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HomeMy WebLinkAboutRES 85-403 R E S O L U T I O N BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF B EAUMO NT: THAT the City Manager be, and he is hereby, authorized to approve the 1986 contract with the Texas Department of Health, a copy of which is attached as Exhibit "A" . PASSED BY THE CITY COUNCIL of the City of Beaumont this the /letX day of � e �� 1985. - Mayor - 9, C747' ' F ,ny r PEl6•P9�6 -texas Department of Health Robert Bernstein, M.D., f.A.0 P. 1100 West 49th Street Robert A. MacLean, M.D. Commissioner Austin, Texas 78756 Deputy Commissioner (512) 458-7111 Professional Services Hermas L. Miller Deputy Commissioner Management and Administration Date November 7 , 1985 From C. C. ave . Assoc 1 ei si re TDH Doc. No. C 6000507 Community and Rural Health Attachments To Maurine Gray (Acting ) , Director Beaumont Citv Health Department Subject 1985 Contract for Local Health Services Enclosed are three copies of the 1986 contract between your agency and the Texas Department of Health. The individual attachments identify the program and amount of funds allocated for each activity. After these are signed, all three copies should be returned for final processing. A fully executed copy will be returned to you after that action. The base contract is very similar to the 1985 contract; however , it has been simplified and clarified. These changes have been discussed in the meetings held during the summer with representatives of local health agencies and accounting offices . Hopefully, these discussions have resulted in all involved parties being familiar with the major changes and improvements. There are several blanks to be completed prior to these contract copies being signed and returned. These are on the first , third, fourth, and signature pages . The blanks for authorized contracting entity and the name and title of the person authorized to sign are to be completed with the name of the city or county office , or in the event your agency serves more than one entity, both offices may be listed with the names and titles of the individuals signing the contract . If the authority to sign has 1 been given to a single office or to you as director of the Performing Agency , a copy of this authorization must be returned with the contracts . If this has been filed previously please note this information in the return transmittal . The person indicated on page one should sign the signature page , fill in the title and date . This year there is a section on the signature page for Performing Agency recommendation signature and blanks to be completed with the address . The information to be completed in Article 4 on page three is very important . The individual listed will be the one recognized as authorized to initiate requests for transfer of funds from an attachment with state budgeted positions to the attachment which provides funds for local administration. This procedure should eliminate or reduce the number of amending attachments which have been done in the past and create a much more efficient and timely process for handling conversions of state vacancies . It is hoped that you will be the person so designated by the contracting entities . In Article 8 , the ending month and year of your local current operating budget is to be entered. As stated, this will be the fiscal data to be included in the annual health services and operating budget report which will be requested later . Financial requirements are given in Article 15. These have been simplified and the number of required reports has been reduced. The method for advance payments and billing procedures is explained in the article and all of these procedures were covered in the recent training meetings . Please note that reimbursements cannot be made after November unless the financial reports have been received. The due dates for these are given in this article . For your information, when requesting conversion of funds from a state budgeted position to local costs and administration , the local personnel level and pay rate is used. This department ' s job classification titles and salary schedules do not apply. Also , you have the option of requesting that funds be set up in categories other than personnel . The terms of attachments are being realigned in some cases to keep within the fiscal period of September 1985 through August 1986. Some attachments may cover only eleven months in the 1986 contract to allow this change to occur . The twelfth month, September 1986 , will be included in the 1987 contract cycle . A few 1985 attachments were amended to drop September 1985 so that that period could be included in the 1986 attachment . If this occurred in a 1985 contract attachment which was amended within the past few months , a transmittal notice would have indicated this . This new procedure does not apply to all programs because of the source of funding, etc. , so you may not have this reflected in any of your department ' s attachments . 2 The local categories of expense include all UGCMS authorized direct cost items; however , funds may not be budgeted in all of the categories . Institutional prior approval is required on transfers between categories when the total amount transferred is 5p or more of the approved budget amount . Also, equipment purchases , items with a unit cost of $250 . 00 or more , require special approval and a list is to be filed. All equipment must be ordered prior to the end of the state fiscal year (August 31 , 1986 ) . When claims are submitted which include costs for equipment , a list is be be attached to the voucher . The monitor can advise you regarding specific guidelines if you have any questions . A schedule of dates for major contract documents is enclosed. There will be a grace period of September , October , and November during which we will honor vouchers even though the base contract has not been signed. We will need to receive your signed contract during this period to complete the agreement and continue to process your vouchers . If there are any questions , please contact me or the monitor for your department who will be happy to assist you. 7'W:gd Enclosures 3 dr-� Yak 1986 CONTRACTS, FORMS AND REPORTS SCHEDULE CONTRACTS PERIODICITY DUE, DATE Contract (base ) with Annually 8-31-85'-mailed to initial attachments PERFORMING AGENCY *11-30-85 signed/returned to RECEIVING AGENCY FORMS AND REPORTS Annual Local Health Services Annually Stated in transmittal and Operating Budget Summary cover letter Application for Assistance As needed to In advance of changes Budget Data ( Short Form) (GC-9 ) revise budget Financial Status Report Quarterly 20th of month following ( SF 269a; GC-4 ) end of each quarter; 90 days after end of attachment term Indirect Cost Rate Record As needed Within 6 months (negotiated between Per- of expiration date forming Agency and federal/ State Cognizant Agency) Request for Advance or Annually 90 days after end Reimbursement ( SF 270; of attachment term GC-10 ) Request/Approval to Transfer As needed As vacancy or—urs State Budgeted Funds to Local ( initiate in advance Funds of actual vacancy, when possible ) Request for Funds Annually Mid 86 contract cycle (approx . Feb. 1986 ) State of Texas Purchase Voucher Monthly, or Not later than 90 (AG-37 ) as needed days after end of the attachment term *Must be on file in RECEIVING AGENCY by November 30 , 1985 , in order for billings to be processed after this date . Submit all forms and reports to: Texas Department of Health, Community and Rural Health, 1100 West 49th Street , Austin , Texas 78756 . NOTE 1 : Individual programs may require other program reports not listed. NOTE 2 : Most forms may be ordered from TDH/Literature and Forms. Contact Community and Rural Health for information on others . 1 Document No. C6aa05o7 STATE OF TEXAS LOCAL HEALTH SERVICES COUNTY OF TRAVIS C O N T R A C T The Texas Department of Health , hereinafter referred to as RECEIVING AGENCY, acting through its Deputy Commissioner for Management. and Administration , and _._ (Authorized Contracting Entity) acting through BEAUMONT CITY HEALTH DEPARTMENT _ (Name of PERFORMING AGENCY ) hereinafter referred to as PERFORMING AGENCY , acting through C. A. Shelton (Name of Person Authorized to Sign Contracts ) its Interim City Manager _ (Title of Person Authorized to Sign Contracts ) mutually agree as follows : ARTICLE 1 . Scope of 'Fork PERFORMING AGENCY shall perform the work outlined in the Scope ( s ) of Work which is/are hereby incorporated and made a part of this contract as Attachment (s ) 1-5 plus amendments which may be added by additional Attachments ) from time to time as hereinafter provided. ARTICLE L . Terms The term of this contract shall be governed by the time period on the Attachment (s ) . No commitment of contract funds is permitted prior to the first day of the Attachment term nor subsequent to the last day of the Attachment term. The term may be extended by amendment ( s ) . ARTICLE 3 Applicable Laws and Standards This contract shall be governed by the laws of the State of Texas . PERFORMING AGENCY agrees that the Uniform Grant and Contract Management Standards (UGCMS) , Article 4413 , Section 32g, V. A . C . S. , will apply as terms and conditions of this contract , and the standards are adopted by reference in their entirety. If there is a conflict between the provisions of this contract and UGCMS, the provisions of UGCMS will prevail unless expressly stated otherwise . A copy of this manual and its references are provided to PERFORMING AGENCY by RECEIVING AGENCY upon request . UGCMS contains requircaents in OMB Circulars No. A-102 and A-87 that pass- through with State and Federal monies including but not limited to : I . allowable costs in applicable Cost Principles , A-87 ; 2. financial management standards , A-102, Attachment G; 3 . procurement , A-102, Attachment U; and 4 . audit requirements , A-102 , Attachment P . In addition , A-102, Attachment 0,' sets out provisions that must be in all contracts . Those provisions are hereby adopted when applicable , and include but are not limited to: audit and record access and retention; Equal Employment Opportunity; environmental and energy protection laws and regulations . PERFORMING AGENCY will comply with the requirements set forth in the enabling Federal legislation , as set out in the Attachment (s ) hereto, Treasury Circular 1075 ( 31 CFR Part 205 ) and all other Federal laws and regulations applicable to Federal funding source (s ) in this contract . PERFORMING AGENCY will utilize RECEIVING AGENCY policies and procedures for hiring and promoting individuals into state budgeted positions funded by this contract . Qualifications of any individuals filling these positions will be subject to approval of RECEIVING AGENCY Bureau of Personnel Management . The purpose of the approval is to insure that individuals occupying these state budgeted positions meet minimum educational and experience requirements . PERFORMING AGENCY shall have in place legally sufficient Due Process Hearing Procedures for all of its state budgeted employees . The Director of PERFORMING AGENCY shall have full authority to employ, promote , suspend, demote , discharge , and transfer any and all state budgeted personnel funded by Attachment (s ) to this contract; provided, however , that any demotions , suspension , or discharge of such state Pitt y .. budgeted to ees shall be in accordance with the Due Process Hearing g p Procedures as set out above . All personnel Funded by Att.ac: ment (s ) to this contract are employees of PERFORMING AGENCY which shall be responsible for their direction and control and liable for any of their acts or o��iss�v4is . The only distinction between state budgeted and local paid employees is that employees on state budgeted positions receive state benefits , and are subject to certain obligations as state employees , as contained in state law. These obligations include provisions that no employee paid on a State budgeted position may receive a salary supplement from any other source . PERFORMING AGENCY agrees to defend and indemnify RECEIVING AGENCY for any and all claims and/or judgements taken against any employees , state or local , or against said RECEIVING AGENCY, arising out of any claims or cause of action against any such employees . ARTICLE 4 . Compensation and Payment For services satisfactorily performed pursuant to the Scope (s ) of Work , PERFORMING AGENCY shall have furnished or be reimbursed by RECEIVING AGENCY an amount not to exceed the total of all Attachment (s ) which are attached hereto. Allowable costs shall be only as outlined in the Attachment (s ) . 2 PERFORMING AGENCY w- I not bill RECEIVING AGEN' for any costs under this contract which have also been billed or shoula have been billed to any other funding source . _ Costs claimed for reimbursement must -be substantiated. With proper justification, and concurrence of RECEIVING AGENCY, PERFORMING AGENCY may request advance payment under this contract in accordance with the applicable provisions of this contract . PERFORMING AGENCY may be reimbursed for local personnel costs or other categories of expense used to fulfill the scope of work of an Attachment in lieu of being furnished state payroll warrants after a state budgeted position becomes vacant . Reimbursement shall not exceed the balance of funds on the state budgeted position after all benefits , obligations , and/or other entitlements are met . Maurine Gray Acting HPAIth Director , (title and name of person) is authorized to request such transfer for PERFORMING AGENCY , the method and format of which shall be prescribed by RECEIVING AGENCY. PERFORMING AGENCY shall submit certified vouchers according to the procedures set out in this contract . At the close of each quarter , a signed financial report , the format of which is in the UGCMS, must be submitted. ARTICLE 5 . Funding PERFORMING AGENCY shall use funds from this contract to supplement its budget . These funds will in no event supplant existing funds currently available to PERFORMING AGENCY. PERFORMING AGENCY agrees to assign to RECEIVING AGENCY expenditures of local funds for public health services as matching for Federal funds . Such assigned local matching funds shall be reported to RECEIVING AGENCY on the annual final report (Form 270 ) . In the event such assigned funds are required by PERFORMING AGENCY to match other Federal funds , prior written approval must be obtained from RECEIVING AGENCY to withdraw the assigned funds from RECEIVING AGENCY. This contract is contingent upon funding being available for the term of the Attachment (s ) and PERFORMING AGENCY shall have no right of action against RECEIVING AGENCY in the event that RECEIVING AGENCY is unable to perform its obligations under this contract as a result of the suspension, termination , withdrawal , or failure of funding to RECEIVING AGENCY or lack of sufficient funding of RECEIVING AGENCY for any Attachment (s ) to this contract . If funds become unavailable , provisions of the Termination Article in this contract shall apply. ARTICLE 6 . Program Income All revenues received from the delivery of contract services shall be identified and reported and shall be utilized as provided in this article . Such program income shall be retained by PERFORMING AGENCY and; ( 1 ) be used by PERFORMING AGENCY for any purposes which further the objectives of legislation under which the contract was made and be deducted from total project costs , or ( 2) be deducted from total project costs , according to 3 4s- RECEIVING AGENCY pol interpreting UGCMS, a c-oy of which is provided as supplementary material to the UGCMS manual . PERFORMING AGENCY shall -develop a fee For service system and a schedule of fees for personal health services in accordance with the provisions of Article 4414c, V.C. S. , and the Texas Board of Health rules covering Fees for Clinical Health Services ( 25 TAC, Sec. 1 . 19 ) and other applicable laws; provided, however , that a patient may not be denied a service due to inability to pay. ARTICLE 7 . Records PERFORMING AGENCY will have a system in effect to protect from inappropriate disclosure of patient records maintained in connection with the activities funded under this contract . ARTICLE 8 . Reports and Inspections PERFORMING AGENCY shall make financial , program, progress , and other reports as requested by RECEIVING AGENCY in the format agreed to by the parties hereto and will arrange for onsite inspections by RECEIVING AGENCY . PERFORMING AGENCY shall participate fully in any required evaluation study. PERFORMING AGENCY will furnish RECEIVING AGENCY an annual budget of PERFORMING AGENCY on forms provided by RECEIVING AGENCY. The budget shall be for PERFORMING AGENCY current fiscal year ending September 30. 1986 The budget shall be shown by object of expense category and include all funding sources . The personnel category shall include position classification and gross salary for all employees. ARTICLE 9 . Amendments This contract may be amended as provided in Article 4 , or by the addition of Attachments (s ) containing additional Scope (s ) of Work and Budget (s ) related to same , or by revision of existing Attachment (s ) and the Scope (s ) of Work and/or Budget (s ) ; such Attachment (s ) to be duly executed by the parties as hereinabove provided. Thar-- contract shall not be altered, changed, or amended except by instrument in writing executed by authorized officials of the parties hereto . ARTICLE 10 . Property and Supplies Subject to the obligations and conditions set forth in this contract and UGCMS, title to all property purchased from funds provided herein shall vest upon acquisition with PERFORMING AGENCY. PERFORMING AGENCY shall maintain a property and supplies inventory and administer a program of maintenance , repair , and protection of assets provided under this contract so as to assure their full availability and usefulness for performance under this contract . 4 - RECEIVING AGENCY retains the option to recover .ill unused supplies and useable equipment furnished under this contract upon the termination of relationship of the parties hereto. This also includes acquisitions through lease-purchase agreements with funds provided under this contract or with funds provided by program income attributable to the programs provided for under this contract . In the event PERFORMING AGENCY is indemnified, reimbursed, or otherwise compensated for any loss of , destruction o£ , or damage to, the assets provided under this contract during the period of this contract , it shall use the proceeds to repair or replace said assets . ARTICLE 11 . Discrimination Prohibited No person in the United States shall on the grounds of race , creed, color , handicap, age , ability to pay , sex , or national origin be excluded from participation in, be denied the proceeds of, or be subject to discrimination in the performance of this contract . The parties will comply with the regulations promulgated by the Secretary of DHHS, with the approval of the President of the United States , pursuant to Title VI of the Civil Rights Act of 1964 (45 CFR Part 80 ) . In addition , PERFORMING AGENCY shall comply with the provisions of the Rehabilitation Act of 1973 , Public Law 93-112, Section 504 , which ensures that no individual "shall , solely by reason of handicap, be excluded from the participation in, be denied the benefits of, or be subject to discrimination in this program. " ARTICLE 12. Severability If any provision(s ) of this contract shall be construed to be illegal or invalid, it shall not affect the legality or validity of any of the other prt?v sions hereof , and the illegal or invalid provision(s )shall be deemed stricken and deleted herefrom to the same extent and effect as if never incorporated herein, but all other provisions shall continue . ARTICLE 13 . Scope of Agreement This contract incorporates all of the agreements , convenants , and understandings between the parties hereto concerning the Attachment (s ) and all such covenants , agreements , and understandings have been merged into this written contract . No prior agreement or understanding, oral or otherwise , of the parties or their agents shall be valid or enforceable unless embodied in this contract . ARTICLE 14 . Termination This contract or any Attachment (s ) hereto may be terminated by either of the parties hereto for noncompliance by the other party. A party intending to terminate for noncompliance by the other party shall provide written notice to the other party at least thirty ( 30 ) days prior to the intended date of termination. Such notice shall include the reasons for the 5 termination and shams provide the other party r opportunity to rebut the reasons in writing. A hearing may be requested vii the proposed termination if such request is made in writing within ten ( 10 ) days from any final notification of termination. By such termination, neither party may nullify obligations already incurred for performance or failure to perform prior to the date of termination. Such termination shall not be an exclusive remedy but shall be in addition to any other rights and remedies provided by law or under this contract . This contract or any Attachment (s ) hereto may be terminated in whole , or in part , when both parties agree that continuation would not produce results commensurate with further expenditure of funds . Both parties shall agree on the effective date and, in the case of partial termination, the portion to be terminated. RECEIVING AGENCY shall immediately send PERFORMING AGENCY written notice of the terms agreed to and such notice shall become a part of the contract . PERFORMING AGENCY shall not incur new obligations for the terminated portion after the effective date and shall cancel as many outstanding obligations as possible . RECEIVING AGENCY shall allow full credit to PERFORMING AGENCY for noncancelable obligations which were properly incurred prior to the termination date . This contract or any Attachment (s ) hereto may be terminated if funds allocated for any Attachment (s ) hereto should become reduced, depleted, or unavailable during any Attachment (s ) budget period, and RECEIVING AGENCY is unable to obtain additional funds for such purposes . RECEIVING AGENCY shall immediately provide written notification to PERFORMING AGENCY of such fact and such Attachment (s ) to this contract is/are terminated upon receipt of that notification. PERFORMING AGENCY shall not incur new obligations after the effective date and shall cancel as many outstanding obligations as possible . RECEIVING AGENCY shall allow full credit to PERFORMING AGENCY for noncancelable obligations which were properly incurred prior to the termination date . This contract or any Attachment (s ) hereto may be terminated in the event that Federal or state laws or other requirements should be amended or judicially interpreted so as Go render continued fulfillment of this contract , on the part of either party, unreasonable or impossible . If the parties should be unable to agree upon amendment which would therefore be needed to enable the substantial contcn services AGENCY to PERFORMING contemplated herein, then, upon written notification by RECEIVING AGENCY, the parties shall be discharged from any further obligations created under the terms of this contract , except for the equitable settlement of the respective accrued interests or obligations incurred up to the date of termination. ARTICLE 15 Financial Reporting Requirements The following prescribes uniform procedures and the standard forms for_ PERFORMING AGENCY to: 1 . request reimbursements and/or advance payment , and 2. summarize and report expenditures and unexpended funds. 6 Reimbursements Monthly , or as needed, PERFORMING AGENCY shall submit a State of Texas Purchase Voucher (TDH Form #AG-37 ) . Advance Payment PERFORMING AGENCY may request an advance with proper justification and concurrence of RECEIVING AGENCY. Amount of the advance shall be determined by the amount and term of the Attachment (s ) ; however , for eech Attachment , the amount of the advance shall not exceed one-sixth ( 1/6th) of the Attachment amount . The advance will be requested on a State of Texas Purchase Voucher at the beginning of the Attachment period or at a single later time in the Attachment period if circumstances so warrant and the request is approved. Advance funds will be liquidated in the final months of the Attachment period so that , after final monthly billing, PERFORMING AGENCY will- not have advance funds on hand. Advance funds may be drawn only to meet immediate cash needs for disbursement (UGCMS and Federal Circulars ) . Reports Quarterly - PERFORMING AGENCY shall submit a Financial Status Report State Supplemental Form 269a (TDH Form #GC-4 ) by the twentieth ( 20th) of the month following a quarter . Reporting requirements apply regardless of whether or not costs have been incurred. Annual/Final-PERFORMING AGENCY shall submit no later than 90 days after the end of the Attachment period final quarterly Financial Status Report State Supplemental Form 269a and Request for Advance or Reimbursement Form 270 . If necessary, a State of Texas Purchase Voucher will also be submitted if all costs have not been recovered or a refund will be made of excess monies if costs incurred were less than funds received. 7 EXECUTED IN TRIPLICATE 01--,,IG1NA1T_S ON 711.1'_' CONTRACTING ENTITY FOR AND IN BEHALF OF - RECEIVING AGENCY PERFORMING AGENCY By By------- ( Signature of Person Authorized Hermas L. Miller to Sign Contracts ) Deputy Commissioner Management and Administration Title Date- Date--- Recommended: Recommended: By R-w"W"z By C (PERFORMING AGENCY Dire or , if- different from above Associate Commissioner Community and Rural Health Print or Type B'y PERFORMING AGENCY Address : ice , M. Beaumont :Iaalth Department ift Pr -P r� Associate Commissioner (Mailing Address ) _ L_ PersoQ A A17-, e aPlt h S e r vic es (Street Address , if different ) J�!r e H . Greenberg, M. D. . Beaumont, Teas 77704 ss ciate Commissi r (city , Zip Code ) r 'rentable Dis ea A,— Approved as to Form: Office of General Counsel 8 ATTACHMENT 'NO . 1 PERFORMING AGENCY: BEAUMONT CI`T'Y HEALTH DEPARTMENT PROGRAM WITHIN RECEIVING AGENCY (TDH ) : COMMUNITY AND RURAL HEAL'T'H TERM: September 1 , 1985 through August. 31 ,__ 1986 SCOPE OF WORK: The state direct assistance and other funds to health departments are intended to supplement in the delivery of comprehensive public health services to protect the health of all citizens in the department ' s jurisdiction. Personal health services may include , but are not limited to, immunizations , maternal and child health, crippled children, adult health, tuberculosis control , chronic disease , dental health , public health education, and venereal disease control . Environmental health services may include , but are not limited to , food inspections , wastewater control , vector control , premise inspections , swimming pool inspections , and other services as related to the particular problems of the jurisdiction. Required personnel , payroll , and time records on state budgeted personnel as the basis for issuance of state ;payroll warrants shall be submitted to RECEIVING AGENCY . Reports of services performed under this attachment shall be submitted to the Office of Community and Rural Health. Also , evidence that a public hearing was held on expenditure of health block grant funds and an annual audit report shall be submitted. LEGAL AUTHORITY : Current Appropriations Bill . BUDGET: The attached list of positions and budgetary amounts , exclusive of category 41 if applicable , is an integral part of Attachment I . A state warrant will be issued for each filled position in the amount of monthly net salary earnings . Total amount of this Attachment shall not exceed $52 . 176 . 00 . 1 AS OF F U N D ( S A ?I E S O N L Y GORY DESCRIPTION OR TITLE ENDING ITEM � JOT B 7 PAY TP— EFFECTIVE ( MONTHLY BUDGETED AMOUNT DESC. I ' , MONTH NO. i CLASS Gr STEP; DATE RATE 1 11+P.s IV aTATE � ;r:] �; <' i1 � -t^ 7`- pal , r r I ..I.. � le. tb G .0 a : f414 . I i I ? CT ".T� ur�i �c�U3r 7 2 6.. ^r i , r I I I I I ! �T 1 i _ I III ATTACHMENT NO. 2 PERFORMING AGENCY: BEAUMONT CITY HEALTH DEPARTMENT PROGRAM WITHIN RECEIVING AGENCY (TDH) : COMMUNITY AND RURAL HEALTH TERM: September 1 , 1985 through August 31 , 1986 SCOPE OF WORK: This allocates funds in support of the scope of work in Attachment No. 1 . LEGAL AUTHORITY: Current Appropriations Bill and Title XIX, Public Health Services Act , Omnibus Budget Reconciliation Act of 1981 , DHHS final regulations on block grants . BUDGET: Personnel $73 , 801 . 00* Fringe Benefits 4 , 297 . 00 Travel -0- Equipment -0- Supplies -0- Contractual -0- Other -0- Total 578 , 098 . 00 *Includes $20 , 801 ( $1 , 891 x 11 month; October 1985 - August 1986 ) and $53, 000 ( 12 month funding) . Total amount of this Attachment shall not exceed $78 , 098 . 00 , except as adjusted under provisions of Article 4 of the contract . 1 ATTACHMENT 3 PERFORMING AGENCY: Beaumont City Health Department PROGRAM WITHIN RECEIVING AGENCY (TDH) : Bureau of Maternal and Child Health TERM: October 1, 1985 through September 30, 1986 SCOPE OF WORK: To provide clinical services to meet the needs of low income women and children with particular reference to prenatal care for pregnant women, family planning services, and preventive child health services. These services shall be provided in accordance with the standards for maternity, family planning, and child health services as promulgated by the Bureau of Maternal and Child Health, Texas Department of Health. Services performed under this Attachment shall be reported monthly by submission of Maternity/Family Planning and Child Health Clinic Reports. If fees for services are imposed as provided in Article 6 of this contract., charges will not be imposed for the provision of health services to low income mothers or children. The term "low income" refe,-s to an individual or family with an income determined to be below the nonfarm income official poverty line defined by the Office of Management and Budget and revised annually in accordance with Section 624 of the Economic Opportunity Act of 1964, LEGAL AUTHORITY: Title V, Social Security Act, :omnibus Budget Reconciliation Act of 1981; DHHS regulations on block grant. BUDGET: Personnel $71,205 _ Fringe Benefits -0- Travel • - -0__ Equipment _0- Supplies -0- Contractual 2,200 Other -0- Total Direct Cost $73,405 Total amount of this Attachment shall not exceed $. 73,405.00 '��=��3 4 PEP RMING Beaumont City Health Department pROMRpM WITHIN DIVING AG&NCY (TOH) : Bureau of Dental Health TEPM. Deoarber 1, 1985 through August 31, 1986 SOOPE OF WJRK: Dental treatment services are Ito be ;provided to indigent children through a age 18. Indigency is to be defined by Bureau of Dental Health guidelines (see AddendLun 1) . A minimum of 225 patients well be treated! and a minimum of 450 dental procedures performed during the contract period. Funds are provided at $ 20.00 per clinic hoar for _ 225 hour`; and a total of $4,500.00 Ptusua.t to this agreement, the Pei- or<ming Agency shall: 1. Submit a State of Texas Puiatose vouches- (AG-37) monthly, which shall include the number of clinic hour: involved. 2. With the AG-37, sufinit patient treat Ment record forms (N-19) to be for-warded to the Bureau of Dental Health. 3. Submit upon request a formal request for continuation of financial assistance for the subsequent state fiscal year. Tl':e request shall include an exhibit of information (see Ardde_ndtsn 2) , which will be used to help to evaluate the request. IGAL AUytiORITy: S.B. 894, 69th '.texas Legislature. BUDGET: Personnel $ 0 Fringe Benefits 0 Travel 0 Eicui psrrf:n e 0 Supplies 0 Contractual 4,500.00 Other 0 Total $ 4,500.00 Total amount of this attacfurent shall not exceed $ 4,500-00 BUREAU OF DENTAL HEALTH GUIDELINES FOR ELIGIBILITY FOR DECAL SERVICES FY 86 (September 1, 1985 - August 31, 1986 Family Size Annual Incase 1 $0 - 6,825 2 $0 - 9,165 3 $0 - 11,505 4 $0 - 13,845 5 $0 - 16,185 6 $0 - 18,525 7 $0 - 20,865 8 $0 - 23,205 Each additional family mcziTber - $2,340 LxJlibit OF ln: )t'maC1On Identificatiull (name, address , & telephone number of clinic) :, Name & telephone number of person in charge of dental program: Approximate prorated in-kind costs based on amount of actual contributed time: ANNUAL, PRO-RATA:. EStimale(i cost of clinical space (rent) Estimated cost of utilities for clinical space Estimated cost of dental equipment & maintenance Estimated cost of dental supplies Estimated cost of office supplies -- * Estimated cost to the clinic for the time devoted to this program. !low are patients referred to the clinic for dental care?' School Nurse Welfare Dept. Health Dept . Other (list) What services are provided: Diagnostic Preventive Restorative Endodontics Periodontics Prosthodontics Ora Surgery Orthodontics What ' s the priority of care? First Priority Second Priority Third Priority Other E f Estimated number of patients to be treated annually by this program with the funds requested. Age: ` ( 1 - 4) (5 - 14) ( 15 - 13) (19 & over) .- Describe criteria for eligibility for dental care (explain and attach forms): Comments: r ATTACHMENT 5 PERFORMING AGENCY: Beaumont City Health De artment PROGRAM WITHIN RECEIVING AGENCY (TDH): _ Bureau of Epidemiology TERM: October 23, 1985 through April 22, 1986. SCOPE OF WORK* During the 365—day period of the award the Beaumont City Health Department will publicize in high risk communities the availability of the HTLV—III antibody testing through its clinics as an alternative to obtaining the test results via donation of a unit of blood or plasma; provide written and verbal information, precounseling about the test and its interpretation to individuals requesting the test; collect blood on those who elect testing after precounseling; ship it to the Houston City Health Department laboratory; and communicate results and provide additional specific counseling to the patient. The following data must be collected and reported to the Texas Department of Health in a manner and form approved by the Texas Department of Health (Bureau of Epidemiology): number of patients tested; number tested without charge; number (each) of negative. positive, borderline test results; number of pre— and post—test counseling sessions; and personnel hours devoted to the program. A report and budget will be required within 90 days of the end of the grant period. Where permitted, fees will be charged in accordance with the policy of the Beaumont City Health Department. The following section applies to all fees collected under this grant. The Beaumont. City Health Department hereby gives assurances that: 1) Resources required are only to defray costs for services to those who could not otherwise afford them except in those situations where the requirement conflicts with state- or local law or other established policies; 2) it has reduced its request by taking into consideration funds expected to be collected from patients, wr-iere such collections are permissible; 3) the resources requested are limited to those required for a 365— day period from the date of the budget period; and 4) local resources are insufficient to provide for HTLV—III testing without charge at alternate sites. LEGAL AUTHORITY: This contract is funded from the Federal Notice of Cooperative Agreement Award No. U62/CCU600903-01; Section 311, PHS Act. BUDGET: Personnel Fringe Benefits $ 10,202.00 Travel $ 2,551.00 Equipment $ 0 Supplies $ 0 Contractual $ 0 -Other $ 0 $ 301.00 Total $ 13,054.00 This attachment permits continuance of the activities previously funded through Attachment No. 5B of the Fiscal Year 85 Local Health Department Contract (TDH Document No. 05000507 ) . The total funding level for this activitiy for the time period April 26, 1985 through April 22, 1986 shall not exceed $ 13,054.00