HomeMy WebLinkAbout121018_ca11 Consent Agenda
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Vicki Kirkpatrick, Director
Veronica Shaw, Deputy Director
DATE:
SUBJECT: Agenda Item — Award from the US Department of Health and Human
Services, Health Resources and Services Administration (HRSA) for
Rural Health Network Development Planning Program; July 1, 2018—
June 30, 2019; $100,000
STATEMENT OF ISSUE:
Jefferson County Public Health requests Board approval of the Award from the US Department of Health and
Human Services, Health Resources and Services Administration (HRSA) for Rural Health Network
Development Planning Program; July 1, 2018—June 30, 2019; $100,000
ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S:
The HRSA funding for the Rural Health Network Development Planning Program is new, and helps support
implementation of the Community Health Improvement Plan (CHIP). The award is intended to promote the
planning and development of healthcare networks in order to: (i) achieve efficiencies; (ii) expand access to,
coordinate, and improve the quality of essential health care services; and (iii) strengthen the rural health
care system as a whole.
Public Health discovered after the fact that HRSA did not require written execution by Jefferson County
before HRSA began its funding to the County under this award. Although originally granted on June 9,
2018 by HRSA, the following amendments have been added:
• Amendment 1 (09/20/18): Revised to change the Program Director from Senovia Ewers to Lori
Fleming.
• Amendment 2 (10/23/18): Requirement to upload documentation of indirect cost rate was removed.
• Amendment 3 (11/03/18): Revised budget, no change in total funding.
All four documents are enclosed with this Agenda Request. To comply with Jefferson County's own
procedures, Public Health now seeks Board of County Commissioner approval of the original award with
three subsequent amendments.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
This contract provides $100,000 of funding for improving the rural health care system.
RECOMMENDATION:
Jefferson County Public Health requests Board approval of the Award from the US Department of Health and
Human Services, Health Resources and Services Administration (HRSA) for Rural Health Network
Development Planning Program; July 1, 2018—June 30, 2019; $100,000, including approval of the following
four documents:
• Health Resources and Services Administration (HRSA) Rural Health Network Development Planning
Program Award, dated 06/09/18; for a period of July 1, 2018—June 30, 2019; for $100,000;
• Amendment 1, dated 09/20/18;
• Amendment 2, dated 10/23/18; and
• Amendment 3, dated 11/03/18.
REVIEWED BY:
/2/1-/lig
•• . Morley, CO Administrator_ Date
1.DATE ISSUED: 2.PROGRAM CFDA:93.912 us.oeorbaartaNe,tNlrNeraartwnsetriou
06/09/2018 -4.3. R5A
3.SUPERSEDES AWARD NOTICE dated: � A
except that any additions or restrictions previously imposed remain in effect unless specifically rescinded.
4a.AWARD NO.: 4b.GRANT NO.: 5.FORMER GRANT "esnnrtesowcesarid Smokes Administration
1 P10RH31839-01-00 P10RH31839 NO.: NOTICE OF AWARD
6.PROJECT PERIOD: AUTHORIZATION(Legislation/Regulation)
FROM:07/01/2018 THROUGH:06/30/2019 Public Health Service Act,Title III,Section 330A
Section 330A(f)of the Public Health Service Act,42 U.S.C.254c(f),
as amended.
Section 330A(f)of the Public Health Service Act,42 U.S.C.254 c
7.BUDGET PERIOD: (f),as amended.
FROM:07/01/2018 THROUGH:06/30/2019 Section 330A(f)of the Public Health Service Act,(42 U.S.C.
254c(f)),as amended.
8.TITLE OF PROJECT(OR PROGRAM):Rural Health Network Development Planning Grant Program
9.GRANTEE NAME AND ADDRESS: 10.DIRECTOR:(PROGRAM DIRECTOR/PRINCIPAL
JEFFERSON,COUNTY OF INVESTIGATOR)
615 SHERIDAN STREET Senovia D Ewers
PORT TOWNSEND,WA 98368-2439 JEFFERSON,COUNTY OF
DUNS NUMBER: 615 Sheridan St.
184826790 Port Townsend,WA 98368
11.APPROVED BUDGET:(Excludes Direct Assistance) 12.AWARD COMPUTATION FOR FINANCIAL ASSISTANCE:
[X]Grant Funds Only a.Authorized Financial Assistance This Period $100,000.00
[ ] Total project costs including grant funds and all other financial participation b.Less Unobligated Balance from Prior Budget
a.Salaries and Wages: $52,500.00 Periods
9
b. Fringe Benefits: i.Additional Authority $0.00
$4,674.00
ii.Offset $0.00
c.Total Personnel Costs: $57,174.00
c.Unawarded Balance of Current Year's Funds $0.00
d.Consultant Costs: $0.00
d.Less Cumulative Prior Awards(s)This Budget $0.00
e. Equipment: $0.00 Period
f. Supplies: $3,450.00 e.AMOUNT OF FINANCIAL ASSISTANCE THIS $100,000.00
g.Travel: $1,376.00 ACTION
h.Construction/Alteration and Renovation: $0.00 13.RECOMMENDED FUTURE SUPPORT:(Subject to the
availability of funds and satisfactory progress of project)
i. Other: $0.00 YEAR TOTAL COSTS
j. Consortium/Contractual Costs: $6,000.00 Not applicable
k. Trainee Related Expenses: $0.00
14.APPROVED DIRECT ASSISTANCE BUDGET:(In lieu of cash)
I. Trainee Stipends: $0.00 $0.00
a.Amount of Direct Assistance
m Trainee Tuition and Fees: $0.00 b.Less Unawarded Balance of Current Year's Funds $0.00
n.Trainee Travel: $0.00 c.Less Cumulative Prior Awards(s)This Budget Period $0.00
o. TOTAL DIRECT COSTS: $68,000.00 d.AMOUNT OF DIRECT ASSISTANCE THIS ACTION $0.00
p. INDIRECT COSTS(Rate:%of S&W/TADC): $32,000.00
q. TOTAL APPROVED BUDGET: $100,000.00
i.Less Non-Federal Share: $0.00
ii.Federal Share: $100,000.00
15.PROGRAM INCOME SUBJECT TO 45 CFR 75.307 SHALL BE USED IN ACCORD WITH ONE OF THE FOLLOWING ALTERNATIVES:
A=Addition B=Deduction C=Cost Sharing or Matching D=Other [A]
Estimated Program Income:$0.00
16.THIS AWARD IS BASED ON AN APPLICATION SUBMITTED TO,AND AS APPROVED BY HRSA,IS ON THE ABOVE TITLED PROJECT
AND IS SUBJECT TO THE TERMS AND CONDITIONS INCORPORATED EITHER DIRECTLY OR BY REFERENCE IN THE FOLLOWING:
a.The grant program legislation cited above.b.The grant program regulation cited above.c.This award notice including terms and conditions,if any,noted below under REMARKS.d.45 CFR Part 75 as
applicable.In the event there are conflicting or otherwise inconsistent policies applicable to the grant,the above order of precedence shall prevail.Acceptance of the grant terms and conditions is
acknowledged by the grantee when funds are drawn or otherwise obtained from the grant payment system.
REMARKS:(Other Terms and Conditions Attached[X]Yes []No)
Electronically signed by William Davis,Grants Management Officer on:06/09/2018
17.OBJ.CLASS:41.51 18.CRS-EIN: 1916001322A7 19.FUTURE RECOMMENDED FUNDING:$0.00
SUB PROGRAM SUB
FY-CAN CFDA DOCUMENT NO. AMT.FIN.ASST. AMT.DIR.ASST. CODE ACCOUNT
CODE
18-3704138 93.912 18P10RH31839 $100,000.00 $0.00 RHNDPP-18
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A printer version document only. The document may contain some accessibility challenges for the screen reader users.To access same information,a fully 508 compliant accessible HTML version is available on the HRSA Electronic Handbooks.If you need mom
information,please contact HRSA contact center at 877-464-4772,8 am to 8 pm ET,weekdays.
NOTICE OF AWARD(Continuation Sheet) Date Issued:6/9/2018 9:17:30 PM
Award Number:1 PIORH31839-01-00
HRSA Electronic Handbooks (EHBs) Registration Requirements
The Project Director of the grant(listed on this NoA)and the Authorizing Official of the grantee organization are required to register(if not
already registered)within HRSA's Electronic Handbooks(EHBs). Registration within HRSA EHBs is required only once for each user for each
organization they represent.To complete the registration quickly and efficiently we recommend that you note the 10-digit grant number from box
4b of this NoA.After you have completed the initial registration steps(i.e.,created an individual account and associated it with the correct
grantee organization record),be sure to add this grant to your portfolio.This registration in HRSA EHBs is required for submission of
noncompeting continuation applications.In addition,you can also use HRSA EHBs to perform other activities such as updating addresses,
updating email addresses and submitting certain deliverables electronically.Visit
https://grants3.hrsa.gov/2010/WebEPSExternal/Interface/common/accesscontrol/login.aspx to use the system.Additional help is available online
and/or from the HRSA Call Center at 877-Go4-HRSA/877-464-4772.
Terms and Conditions
Failure to comply with the remarks,terms,conditions,or reporting requirements may result in a draw down restriction being placed
on your Payment Management System account or denial of future funding.
Grant Specific Condition(s)
1. Due Date:Within 30 Days of Budget Start Date
The awardee should upload documentation of their approved Indirect Cost Rate Agreement negotiated with the Federal Government.
Grant Specific Term(s)
1. The funds for this award are sub-accounted in the Payment Management System(PMS)and will be in a P type(sub accounted)account.
This type of account allows recipients to specifically identify the individual grant for which they are drawing funds and will assist HRSA in
monitoring the award. If your organization previously received a grant under this program,it was in a G type(cash pooled)account
designated by a PMS Account Number ending in G or G1. Now that this grant is sub accounted the PMS Account Number will be changed
to reflect either P or P1. For example,if the prior year grant was in payee account number 2AAG it will now be in 2AAP. Similarly,if the
prior year grant was in payee account 2AAG1,the grant will be in payee account 2AAP1. The P sub account number and the sub account
code(provided on page 1 of this Notice of Award)are both needed when requesting grant funds.
You may use your existing PMS username and password to check your organizations P account access. If you do not have access,complete a PMS Access Form(PMS/FFR
Form)found at: http://www.dpm.psc.gov/grant_recipienfIgrantee_forms.aspx and send it to the fax number indicated on the bottom of the form. If you have any questions about
accessing PMS,contact the PMS Liaison Accountant as identified at:http://www.dpm.psc.gov/contacts/contacts.aspx.
2. As required by the Federal Funding Accountability and Transparency Act of 2006(Pub.L.109-282),as amended by section 6202 of Public Law 110-252,recipients must report
information for each subaward of$25,000 or more in Federal funds and executive total compensation,as outlined in Appendix A to 2 CFR Part 170. You are required to submit
this information to the FFATA Subaward Reporting System(FSRS)at www.fsrs.gov by the end of the month following the month in which you awarded any subaward. The FFATA
reporting requirements apply for the duration of the project period and so include all subsequent award actions to aforementioned HRSA grants and cooperative agreement
awards(e.g.,Type 2(competing continuation),Type 5(non-competing continuation), etc.). Subawards to individuals are exempt from these requirements. For more
information,visit:http://www.hrsa.gov/grants/ffata.html.
3. All post-award requests,such as significant budget revisions or a change in scope,must be submitted as a Prior Approval action via the
Electronic Handbooks(EHBs)and approved by HRSA prior to implementation.Grantees under"Expanded Authority,"as noted in the
Remarks section of the Notice of Award,have different prior approval requirements.See"Prior-Approval Requirements"in the DHHS
Grants Policy Statement:http://www.hrsa.gov/grants/hhsgrantspolicy.pdf
4. Effective December 26,2014,all references to OMB Circulars for the administrative and audit requirements and the cost principles that govern Federal monies associated with
this award are superseded by the Uniform Guidance 2 CFR 200 as codified by HHS at 45 CFR 75.
Program Specific Term(s)
1. This Notice of Award(NoA)is issued to support your Rural Health Network Development Planning Program application.The proposed
projects,activities,and costs which are supported under the Rural Health Network Development Planning Program should be separate from
all other Federal grant awards and activities.
2. The grantee is required to notify the respective Project Officer whenever there is a change in the network arrangement that differs from what was proposed in the application(e.g.
when a network member voluntarily withdraws from the projects).
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NOTICE OF AWARD(Continuation Sheet) Date Issued:6/9/2018 9:17:30 PM
Award Number:I P1ORH31839-01-00
3, The grantee is required to submit a report using the Performance Improvement Measurement System(PIMS)within 30 days of the project period end date.This will be
submitted through the HRSA Electronic Handbooks(EHB).Additional information will be provided by the Federal Office of Rural Health Policy.
4. By accepting these funds,the grantee is certifying that the main headquarters of the applicant organization is located in a rural area,as defined by HRSA and
all leadership are from that entity.The grantee is also certifying that the service area and target population in HRSA-designated rural areas.
5. The total percent effort of each personnel on the project must not exceed a sum of 100%FTE across all Federally-funded projects.As a condition of award,the awardee
organization must submit correspondence,signed by the PI and the organization's Authorizing Official,confirming that the total percent effort of each personnel does not exceed
a sum of 100%FTE across all Federally-funded projects.
6. In the event that your organization anticipates receiving additional Federal funds not associated with the Rural Health Network Development Planning Program; awardees are
required to notify their project officer within 30 days of receipt of the new award. It is important to note that,all activities performed under the Rural Health Network Development
Planning program must be independent of any other sources of funding.
Standard Term(s)
1. Recipients must comply with all terms and conditions outlined in their grant award,including grant policy terms and conditions outlined in
applicable Department of Health and Human Services(HHS)Grants Policy Statements,and requirements imposed by program statutes
and regulations and HHS grant administration regulations,as applicable;as well as any requirements or limitations in any applicable
appropriations acts.
2. All discretionary awards issued by HRSA on or after October 1,2006,are subject to the HHS Grants Policy Statement(HHS GPS)unless
otherwise noted in the Notice of Award(NoA).Parts I through III of the HHS GPS are currently available at
http://www.hrsa.gov/grants/hhsgrantspolicy.pdf.Please note that the Terms and Conditions explicitly noted in the award and the HHS GPS
are in effect.
3, "This[project/publication/program/website][is/was]supported by the Health Resources and Services Administration(HRSA)of the U.S.Department of Health and Human
Services(HHS)as part of an award totaling$XX with xx percentage financed with non-governmental sources.The contents are those of the author(s)and do not necessarily
represent the official views of,nor an endorsement,by HRSA,HHS or the U.S.Government."
Recipients are required to use this language when issuing statements,press releases,requests for proposals,bid solicitations,and other HRSA-supported publications and
forums describing projects or programs funded in whole or in part with HRSA funding.Examples of HRSA-supported publications include,but are not limited to,manuals,
toolkits,resource guides,case studies and issues briefs.
4. Recipients and sub-recipients of Federal funds are subject to the strictures of the Medicare and Medicaid anti-kickback statute(42 U.S.C.
1320a-7b(b)and should be cognizant of the risk of criminal and administrative liability under this statute,specifically under 42 U.S.C.1320
7b(b)Illegal remunerations which states,in part,that whoever knowingly and willfully:(A)Solicits or receives(or offers or pays)any
remuneration(including kickback,bribe,or rebate)directly or indirectly,overtly or covertly,in cash or in kind,in return for referring(or to
induce such person to refer)an individual to a person for the furnishing or arranging for the furnishing of any item or service,OR(B)In retum
for purchasing,leasing,ordering,or recommending purchasing,leasing,or ordering,or to purchase,lease,or order,any goods,facility,
services,or item....For which payment may be made in whole or in part under subchapter XIII of this chapter or a State health care program,
shall be guilty of a felony and upon conviction thereof,shall be fined not more than$25,000 or imprisoned for not more than five years,or
both.
5. Items that require prior approval from the awarding office as indicated in 45 CFR Part 75[Note: 75(d)HRSA has not waived cost-related
or administrative prior approvals for recipients unless specifically stated on this Notice of Award]or 45 CFR Part 75 must be submitted as a
Prior Approval action via Electronic Handbooks(EHBs).Only responses to prior approval requests signed by the GMO are considered
valid.Grantees who take action on the basis of responses from other officials do so at their own risk.Such responses will not be considered
binding by or upon the HRSA.
In addition to the prior approval requirements identified in Part 75,HRSA requires grantees to seek prior approval for significant
rebudgeting of project costs.Significant rebudgeting occurs when,under a grant where the Federal share exceeds$100,000,cumulative
transfers among direct cost budget categories for the current budget period exceed 25 percent of the total approved budget(inclusive of
direct and indirect costs and Federal funds and required matching or cost sharing)for that budget period or$250,000,whichever is less.
For example,under a grant in which the Federal share for a budget period is$200,000,if the total approved budget is$300,000,cumulative
changes within that budget period exceeding$75,000 would require prior approval). For recipients subject to 45 CFR Part 75,this
requirement is in lieu of that in 45 CFR 75 which permits an agency to require prior approval for specified cumulative transfers within a
grantee's approved budget.[Note,even if a grantee's proposed rebudgeting of costs falls below the significant rebudgeting threshold
identified above,grantees are still required to request prior approval,if some or all of the rebudgeting reflects either a change in scope,a
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NOTICE OF AWARD(Continuation Sheet) Date Issued:6/9/2018 9:17:30 PM
Award Number:1 PI ORH31839-01-00
proposed purchase of a unit of equipment exceeding$25,000(if not included in the approved application)or other prior approval action
identified in Part 75 unless HRSA has specifically exempted the grantee from the requirement(s).]
6. Payments under this award will be made available through the DHHS Payment Management System(PMS).PMS is administered by the
Division of Payment Management,Financial Management Services,Program Support Center,which will forward instructions for obtaining
payments.Inquiries regarding payments should be directed to:ONE-DHHS Help Desk for PMS Support at 1-877-614-5533 or
PMSSupport@psc.hhs.gov.For additional information please visit the Division of Payment Management Website at www.DPM.PSC.GOV.
7. The DHHS Inspector General maintains a toll-free hotline for receiving information concerning fraud,waste,or abuse under grants and
cooperative agreements.Such reports are kept confidential and callers may decline to give their names if they choose to remain
anonymous.Contact:Office of Inspector General,Department of Health and Human Services,Attention:HOTLINE,330 Independence
Avenue Southwest,Cohen Building,Room 5140,Washington,D.C.20201,Email:Htips@os.dhhs.gov or Telephone: 1-800-447-8477(1-
800-HHS-TIPS).
8. Submit audits,if required,in accordance with 45 CFR Part 75,to: Federal Audit Clearinghouse Bureau of the Census 1201 East 10th
Street Jefferson,IN 47132 PHONE:(310)457-1551,(800)253-0696 toll free https://harvester.census.gov/facweb/default.aspx/.
9. EO 13166,August 11,2000,requires recipients receiving Federal financial assistance to take steps to ensure that people with limited
English proficiency can meaningfully access health and social services.A program of language assistance should provide for effective
communication between the service provider and the person with limited English proficiency to facilitate participation in,and meaningful
access to,services.The obligations of recipients are explained on the OCR website at http://www.hhs.gov/ocr/lep/revisedlep.html.
10. This award is subject to the requirements of Section 106(g)of the Trafficking Victims Protection Act of 2000,as amended(22 U.S.C.
7104).For the full text of the award term,go to http://www.hrsa.gov/grants/trafficking.htm.If you are unable to access this link,please
contact the Grants Management Specialist identified in this Notice of Award to obtain a copy of the Term.
11. The Consolidated Appropriations Act,2017,Division H,§202,(P.L.115-31)enacted May 5,2017,limits the salary amount that may be awarded and charged to HRSA grants
and cooperative agreements to the Federal Executive Pay Scale Level II rate set at$189,600,effective January,2018.This amount reflects an individual's base salary exclusive
of fringe benefits.An individual's institutional base salary is the annual compensation that the recipient organization pays an individual and excludes any income an individual
may be permitted to earn outside the applicant organization duties.HRSA funds may not be used to pay a salary in excess of this rate.This salary limitation also applies to
sub-recipients under a HRSA grant or cooperative agreement. The salary limitation does not apply to payments made to consultants under this award although,as with all
costs,those payments must meet the test of reasonableness and be consistent with recipient's institutional policy.None of the awarded funds may be used to pay an
individual's salary at a rate in excess of the salary limitation. Note:an individual's base salary,per se,is NOT constrained by the legislative provision for a limitation of salary.
The rate limitation simply limits the amount that may be awarded and charged to HRSA grants and cooperative agreements.
12. To serve persons most in need and to comply with Federal law,services must be widely accessible.Services must not discriminate on the basis of age,
disability,sex,race,color,national origin or religion.The HHS Office for Civil Rights provides guidance to grant and cooperative agreement recipients on
complying with civil rights laws that prohibit discrimination on these bases.Please see http://www.hhs.gov/civil-rights/for-individuals/index.html.HHS
also provides specific guidance for recipients on meeting their legal obligation under Title VI of the Civil Rights Act of 1964,which prohibits discrimination
on the basis of race,color or national origin in programs and activities that receive Federal financial assistance(P.L.88-352,as amended and 45 CFR Part
75).In some instances a recipient's failure to provide language assistance services may have the effect of discriminating against persons on the basis of
their national origin.Please see htto://www.hhs.Rov/civil-rights/for-individuals/special-topics/limited-english-proficiency/index.html to learn more
about the Title VI requirement for grant and cooperative agreement recipients to take reasonable steps to provide meaningful access to their programs
and activities by persons with limited English proficiency.
13. Important Notice:The Central Contractor registry(CCR)has been replaced.The General Services Administration has moved the CCR to
the System for Award Management(SAM)on July 30,2012.To learn more about SAM please visit https://www.sam.gov.
It is incumbent that you,as the recipient,maintain the accuracy/currency of your information in the SAM at all times during which your entity
has an active award or an application or plan under consideration by HRSA,unless your entity is exempt from this requirement under 2
CFR 25.110.Additionally,this term requires your entity to review and update the information at least annually after the initial registration,
and more frequently if required by changes in your information.This requirement flows down to subrecipients.Note:SAM information must
be updated at least every 12 months to remain active(for both grantees and sub-recipients).Grants.gov will reject submissions from
applicants with expired registrations.It is advisable that you do not wait until the last minute to register in SAM or update your information.
According to the SAM Quick Guide for Grantees(https://www.sam.gov/sam/transcript/SAM_Quick_Guide_Grants_Registrations-v1.6.pdf),
an entity's registration will become active after 3-5 days.Therefore,check for active registration well before the application deadline.
14.
In any grant-related activity in which family,marital,or household considerations are,by statute or regulation,relevant for purposes of determining beneficiary eligibility or
participation,grantees must treat same-sex spouses,marriages,and households on the same terms as opposite-sex spouses,marriages,and households,respectively. By
"same-sex spouses,"HHS means individuals of the same sex who have entered into marriages that are valid in the jurisdiction where performed,including any of the 50
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NOTICE OF AWARD(Continuation Sheet) Date Issued:6/9/2018 9:17:30 PM
Award Number:1 P1 ORH31839-01-00
states,the District of Columbia,or a U.S.territory or in a foreign country,regardless of whether or not the couple resides in a jurisdiction that recognizes same-sex marriage.
By"same-sex marriages,"HHS means marriages between two individuals validly entered into in the jurisdiction where performed,including any of the 50 states,the District of
Columbia,or a U.S.territory or in a foreign country,regardless of whether or not the couple resides in a jurisdiction that recognizes same-sex marriage. By"marriage,"HHS
does not mean registered domestic partnerships,civil unions or similar formal relationships recognized under the law of the jurisdiction of celebration as something other
than a marriage. This term applies to all grant programs except block grants governed by 45 CFR part 96 or 45 CFR Part 98,or grant awards made under titles IV-A,XIX,and
XXI of the Social Security Act;and grant programs with approved deviations.
15.
§75.113 Mandatory disclosures.
Consistent with 45 CFR 75.113,applicants and non-federal entities must disclose,in a timely manner,in writing to the HHS awarding agency,with a copy to the HHS Office of
Inspector General(OIG),all information related to violations of federal criminal law involving fraud,bribery,or gratuity violations potentially affecting the federal award.Sub
recipients must disclose,in a timely manner,in writing to the prime recipient(pass through entity)and the HHS OIG,all information related to violations of federal criminal law
involving fraud,bribery,or gratuity violations potentially affecting the federal award.Disclosures must be sent in writing to the awarding agency and to the HHS OIG at the
following address:
Department of Health and Human Services
Health Resources and Services Administration
Office of Federal Assistance Management
Division of Grants Management Operations
5600 Fishers Lane,Mailstop 10SWH-03
Rockville,MD 20879
AND
U.S.Department of Health and Human Services
Office of Inspector General
Attn:Mandatory Grant Disclosures,Intake Coordinator
330 Independence Avenue,SW,Cohen Building
Room 5527
Washington,DC 20201
Fax:(202)205-0604(Include:"mandatory Grant Disclosures"in subject line)or Email:MandatoryGranteeDisclosures@oig.hhs.gov
Failure to make required disclosures can result in any of the remedies described in 45 CFR 75.371.Remedies for noncompliance,including suspension or debarment(See 2
CFR parts 180&376 and 31 U.S.C.3321).The recipient must include this mandatory disclosure requirement in all sub-awards and contracts under this award.
Non-Federal entities that have received a Federal award including the term and condition outlined in Appendix XII are required to report certain civil,criminal,or administrative
proceedings to www.sam.gov.Failure to make required disclosures can result in any of the remedies described in§75.371,including suspension or debarment.(See also
2 CFR parts 180 and 376,and 31 U.S.C.3321).
Recipient integrity and performance matters.If the total Federal share of the Federal award is more than$500,000 over the period of performance,Appendix XII to CFR Part
200 is applicable to this award.
Reporting Requirement(s)
1. Due Date:Within 90 Days of Budget End Date
A final programmatic report is due within 90 days of the project period end date.The format will be prescribed by the Office of Rural Health
Policy at a later date.Please upload the required documentation into the HRSA Electronic Handbooks.
2. Due Date: 04/19/2019
A Network Organizational Assessment(also known as self-assessment)report is due April 19,2019.The format will be prescribed by the
Project Officer at a later date.Please upload the required documentation in the HRSA Electronic Handbooks(EHB).
3. Due Date:06/07/2019
A strategic plan is due June 7,2019.The format will be prescribed by the Project Office at a later date.Please upload the required documentation in the HRSA Electronic
Handbooks.
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NOTICE OF AWARD(Continuation Sheet) Date Issued:6/9/2018 9:17:30 PM
Award Number:1 PI ORH31839-01-00
4. Due Date:Annually(Budget Period)Beginning:Budget Start Date Ending:Budget End Date,due Quarter End Date after 90
days of reporting period.
The grantee must submit an annual Federal Financial Report(FFR).The report should reflect cumulative reporting within the project period and must be submitted using the
Electronic Handbooks(EHBs).The FFR due dates have been aligned with the Payment Management System quarterly report due dates,and will be due 90,120,or 150 days
after the budget period end date.Please refer to the chart below for the specific due date for your FFR:
• Budget Period ends August—October:FFR due January 30
• Budget Period ends November—January:FFR due April 30
• Budget Period ends February—April:FFR due July 30
• Budget Period ends May—July:FFR due October 30
Failure to comply with these reporting requirements will result in deferral or additional restrictions of future funding decisions.
Contacts
NoA Email Address(es):
Name Role Email
Veronica Shaw Authorizing Official veronica@co.jefferson.wa.us
Senovia D Ewers Point of Contact,Program Director, sdewers@jeffersonhealthcare.org
Business Official
Note: NoA emailed to these address(es)
Program Contact:
For assistance on programmatic issues,please contact Sara Afayee at:
MailStop Code: 17W45-C
CBD/ORHP
1 Fishers Lane
Rockville,MD,20857-
Email:safayee@hrsa.gov
Phone:(301)945-4169
Fax:(301)443-2803
Division of Grants Management Operations:
For assistance on grant administration issues,please contact Ardena Githara at:
MailStop Code: 11-03
HRSA Division of Grants Management Operations
5600 Fishers Ln
Rockville, MD,20852-1750
Email:AGithara@hrsa.gov
Phone:(301)443-4903
Fax:(301)443-6343
Jefferson County Board of County Commissioners
David Sullivan, Chair Date
ATTEST:
By:
Carolyn Gallaway, Deputy Clerk of the Board
APPROVED AS TO FORM ONLY:
By: 0)k
/444.1._ /2/5-//ePhilip Hunsucker, Chief Civil Deputy Prosecuting Attorney
Page 6
NOTICE OF AWARD(Continuation Sheet) Date Issued:9/20/2018 12:02:07 PM
Award Number:6 Pl0RH31839-01-01
HRSA Electronic Handbooks (EHBs) Registration Requirements
The Project Director of the grant(listed on this NoA)and the Authorizing Official of the grantee organization are required to register(if not
already registered)within HRSA's Electronic Handbooks(EHBs). Registration within HRSA EHBs is required only once for each user for each
organization they represent.To complete the registration quickly and efficiently we recommend that you note the 10-digit grant number from box
4b of this NoA.After you have completed the initial registration steps(i.e.,created an individual account and associated it with the correct
grantee organization record),be sure to add this grant to your portfolio.This registration in HRSA EHBs is required for submission of
noncompeting continuation applications. In addition,you can also use HRSA EHBs to perform other activities such as updating addresses,
updating email addresses and submitting certain deliverables electronically.Visit
https://grants3.hrsa.gov/2010/WebEPSExternal/Interface/common/accesscontrol/login.aspx to use the system.Additional help is available online
and/or from the HRSA Call Center at 877-Go4-HRSA/877-464-4772.
Terms and Conditions
Failure to comply with the remarks,terms,conditions,or reporting requirements may result in a draw down restriction being placed
on your Payment Management System account or denial of future funding.
Grant Specific Term(s)
1. This revised Notice of Award is issued to change the Program Director in accordance with your Prior Approval request.
All prior terms and conditions remain in effect unless specifically removed.
Contacts
NoA Email Address(es):
Name Role Email
Lori Fleming Program Director Ifieming@co.jefferson.wa.us
Senovia D Ewers Point of Contact,Business Official sdewers@jeffersonhealthcare.org
Veronica Shaw Authorizing Official veronica@co.jefferson.wa.us
Note: NoA emailed to these add ress(es)
Program Contact:
For assistance on programmatic issues,please contact Sara Afayee at:
MailStop Code: 17W45-C
CBD/ORHP
1 Fishers Lane
Rockville, MD,20857-
Email:safayee@hrsa.gov
Phone: (301)945-4169
Fax: (301)443-2803
Division of Grants Management Operations:
For assistance on grant administration issues, please contact Ardena Githara at:
MailStop Code: 11-03
HRSA Division of Grants Management Operations
5600 Fishers Ln
Rockville, MD,20852-1750
Email:AGithara@hrsa.gov
Phone: (301)443-4903
Fax: (301)443-6343
Jefferson County Board of County Commissioners
David Sullivan, Chair Date
ATTEST:
By:
Carolyn Gallaway,Deputy Clerk of the Board
APPROVED AS TO FORM ONLY:
By:
Philip Hunsucker,Chief Civil Deputy Prosecuting Attorney
Page 2
NOTICE OF AWARD(Continuation Sheet) Date Issued: 10/23/2018 10:58:56 PM
Award Number:6 P 10RH31839-0I-02
HRSA Electronic Handbooks (EHBs) Registration Requirements
The Project Director of the grant(listed on this NoA)and the Authorizing Official of the grantee organization are required to register(if not
already registered)within HRSA's Electronic Handbooks(EHBs). Registration within HRSA EHBs is required only once for each user for each
organization they represent.To complete the registration quickly and efficiently we recommend that you note the 10-digit grant number from box
4b of this NoA.After you have completed the initial registration steps(i.e.,created an individual account and associated it with the correct
grantee organization record),be sure to add this grant to your portfolio.This registration in HRSA EHBs is required for submission of
noncompeting continuation applications.In addition,you can also use HRSA EHBs to perform other activities such as updating addresses,
updating email addresses and submitting certain deliverables electronically.Visit
https://grants3.hrsa.gov/2010/VVebEPSExternal/Interface/common/accesscontrol/login.aspx to use the system.Additional help is available online
and/or from the HRSA Call Center at 877-Go4-HRSA/877-464-4772.
Terms and Conditions
Failure to comply with the remarks,terms,conditions,or reporting requirements may result in a draw down restriction being placed
on your Payment Management System account or denial of future funding.
Grant Specific Term(s)
1. The grant condition stated below on NoA 1 P1 ORH31839-01-00 is hereby lifted.The awardee should upload documentation of their
approved Indirect Cost Rate Agreement negotiated with the Federal Government.
All prior terms and conditions remain in effect unless specifically removed.
Contacts
NoA Email Address(es):
Name Role Email
Senovia D Ewers Point of Contact,Business Official sdewers@jeffersonhealthcare.org
Veronica Shaw Authorizing Official veronica@co.jefferson.wa.us
Lori Fleming Program Director Ifleming@co.jefferson.wa.us
Note: NoA emailed to these address(es)
Program Contact:
For assistance on programmatic issues,please contact Sara Afayee at:
MailStop Code: 17W45-C
CBD/ORHP
1 Fishers Lane
Rockville, MD,20857-
Email:safayee@hrsa.gov
Phone: (301)945-4169
Fax: (301)443-2803
Division of Grants Management Operations:
For assistance on grant administration issues, please contact Ardena Githara at:
MailStop Code: 11-03
HRSA Division of Grants Management Operations
5600 Fishers Ln
Rockville, MD,20852-1750
Email:AGithara@hrsa.gov
Phone: (301)443-4903
Fax: (301)443-6343
Jefferson County Board of County Commissioners
David Sullivan, Chair Date
ATTEST:
By:
Carolyn Gallaway,Deputy Clerk of the Board
APPROVED AS TO FORM ONLY:
By:
Philip Hunsucker,Chief Civil Deputy Prosecuting Attorney
Page 2
NOTICE OF AWARD(Continuation Sheet) Date Issued:11/3/2018 9:38:35 AM
Award Number:6 PI ORH31839-01-03
HRSA Electronic Handbooks (EHBs) Registration Requirements
The Project Director of the grant(listed on this NoA)and the Authorizing Official of the grantee organization are required to register(if not
already registered)within HRSA's Electronic Handbooks(EHBs). Registration within HRSA EHBs is required only once for each user for each
organization they represent.To complete the registration quickly and efficiently we recommend that you note the 10-digit grant number from box
4b of this NoA.After you have completed the initial registration steps(i.e.,created an individual account and associated it with the correct
grantee organization record),be sure to add this grant to your portfolio.This registration in HRSA EHBs is required for submission of
noncompeting continuation applications.In addition,you can also use HRSA EHBs to perform other activities such as updating addresses,
updating email addresses and submitting certain deliverables electronically.Visit
https://grants3.hrsa.gov/2010/WebEPSExternal/Interface/common/accesscontrol/login.aspx to use the system.Additional help is available online
and/or from the HRSA Call Center at 877-Go4-HRSA/877-464-4772.
Terms and Conditions
Failure to comply with the remarks,terms,conditions,or reporting requirements may result in a draw down restriction being placed
on your Payment Management System account or denial of future funding.
Grant Specific Term(s)
1. This revision isissued to approve a budget modification, in accordance with your Prior Approvalrequest.
All prior terms and conditions remain in effect unless specifically removed.
Contacts
NoA Email Address(es):
Name Role Email
Senovia D Ewers Point of Contact,Business Official sdewers@jeffersonhealthcare.org
Veronica Shaw Authorizing Official veronica@co.jefferson.wa.us
Lori Fleming Program Director Ifleming@co.jefferson.wa.us
Note: NoA emailed to these address(es)
Program Contact:
For assistance on programmatic issues, please contact Sara Afayee at:
MailStop Code: 17W45-C
CBD/ORHP
1 Fishers Lane
Rockville, MD,20857-
Email:safayee@hrsa.gov
Phone: (301)945-4169
Fax: (301)443-2803
Division of Grants Management Operations:
For assistance on grant administration issues, please contact Ardena Githara at:
MailStop Code: 11-03
HRSA Division of Grants Management Operations
5600 Fishers Ln
Rockville, MD,20852-1750
Email:AGithara@hrsa.gov
Phone: (301)443-4903
Fax: (301)443-6343
Jefferson County Board of County Commissioners
David Sullivan, Chair Date
ATTEST:
By:
Carolyn Gallaway,Deputy Clerk of the Board
APPROVED AS TO FORM ONLY:
By:
Philip Hunsucker,Chief Civil Deputy Prosecuting Attorney
Page 2