STATE OF MICHIGAN PROCUREMENT

Department Technology, Management and Budget Central Procurement Services 320 S Walnut Street Lansing, MI 48933 P.O. Box 30026, Lansing, MI 48909

CONTRACT CHANGE NOTICE

Change Notice Number 14 to

Contract Number MA210000001002

C O

N

TR

AC

TO

R

HTC GLOBAL SERVICES INC

3270 West Big Beaver Road

Troy MI 48084

Jacob Herrera

616-915-9483 jacob.herrera@htcinc.com

CV0036128

ST

AT

E

Pr og ra m

M an ag er

Various Various

C on tr ac t Ad m in is tr at or Patrick Russell DTMB

(517) 648-7767

RussellP2@michigan.gov

CONTRACT SUMMARY

Adult Services Automated Payment (ASAP) System Maintenance & Support and Enhancements

INITIAL EFFECTIVE DATE

July 1, 2021

INITIAL EXPIRATION DATE

June 30, 2024

INITIAL AVAILABLE OPTIONS

2 - 1 Year

EXPIRATION DATE BEFORE

June 30, 2028

PAYMENT TERMS DELIVERY TIMEFRAME

ALTERNATE PAYMENT OPTIONS

P-Card Direct Voucher (PRC) Other

EXTENDED PURCHASING

Yes No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXP. DATE

CURRENT VALUE

$4,927,550.00

VALUE OF CHANGE NOTICE

$60,360.00

ESTIMATED AGGREGATE CONTRACT VALUE

$4,987,910.00

DESCRIPTION

Please note the Program Manager or Contract Administrator may have changed, and are reflected on this Change Notice.

Effective 04/17/2026, the parties hereby agree to the attached Statement of Work to implement a spreadsheet solution to handle union dues deductions per pay period. The Total cost of this project is $60,360.00.

All other terms, conditions, specifications and pricing remain the same. Per contractor and agency agreement, and DTMB Central Procurement Services approval.

CHANGE NOTICE NO. 14 TO CONTRACT NO. MA210000001002

Program Managers for

Multi-Agency and Statewide Contracts

AGENCY NAME PHONE EMAIL

DTMB Joel Nelson 517-897-0903 NelsonJ34@michigan.gov

DTMB John Moore 517-241-3228 MooreJ7@michigan.gov

MDHHS Michael Bayless 517-335-5208 BaylessM@michigan.gov

MDHHS Michelle M. Martin 517-241-8050 MartinM6@michigan.gov

MDHHS Shemin Blundell 517-899-2276 BlundellS@michigan.gov

STATEMENT OF WORK -

IT CHANGE NOTICE

Project Title:

Adult Services Authorized Payments (ASAP) – Union Dues Spreadsheet Solution

Period of Coverage:

07/01/2026 – 9/30/2026

Requesting Department:

MDHHS

Date:

01/08/2026

MDHHS Program Manager:

Michelle Martin MartinM6@michigan.gov

Phone:

517-648-8057

MDHHS Program Manager:

Michael Bayless BaylessM@michigan.gov

Phone:

517-335-5208

DTMB Program Manager:

John Moore MooreJ7@michigan.gov

Phone:

517-242-1075

Contractor Delivery Director:

Venkat Sankar Venkata.sankaranarayanan@htcinc.com

Phone:

248-935-7017

Brief description of services to be provided:

BACKGROUND:

1.1. This Statement of Work (SOW) is made part of a Change Notice to Contract No.

210000001002 (Contract) between the State of Michigan (State or SOM) and HTC (“Contractor” or “Vendor”) under the terms of the Contract. The Parties agree as follows:

PROJECT OBJECTIVE:

1.2. Modify functionality in ASAP system to support union due deduction process using a spreadsheet approach. This is an interim solution until payment processing is moved into MiAIMS.

1.3. The price below includes development, testing and implementation of the deliverables within this change notice. Ongoing Operations support up to 10 hours per week at $128.00 per hour until 9/30/2026.

Pricing: $60,360.00 mailto:MartinM6@michigan.gov mailto:MooreJ7@michigan.gov

SCOPE OF WORK:

1.4. Scope of Work

1.4.1. ASAP spreadsheet solution for union due deductions:

1.4.1.1. Process spreadsheet in ASAP that will specify the amount to be deducted per pay period for providers who opt into the union.

1.4.1.2. Process spreadsheet to adjust union dues payments to refund overpayments made to the union.

1.4.1.3. Update payment information within ASAP database to record information processed in the spreadsheets.

1.4.1.4. Compile union dues deductions for W2 submission.

DELIVERABLES:

1.5. Supporting Documentation – ASAP Union Dues Spreadsheet Solution:

1.5.1. Approved ASAP Release plan outlining schedule of milestones to be met for the project.

1.5.2. Approved Overall Requirements document in accordance with the SOM State Unified Information Technology Environment (SUITE) standard.

1.5.3. Approved Stage Exit document in accordance with the SOM State Unified Information Technology Environment (SUITE) standard for completion of approval for development.

1.5.4. Approved ASAP Use Case and Design system documentation in accordance with the SOM State Unified Information Technology Environment (SUITE) standard.

1.5.5. Approved Stage Exit document in accordance with the SOM State Unified Information Technology Environment (SUITE) standard for completion of approval for design.

1.5.6. Documented and approved Testing Plans for SIT and UAT and test cases for validation of new functionality as specified in the ASAP requirements documentation and related Use Cases in accordance with the SOM State Unified Information Technology Environment (SUITE) standard.

1.5.7. Documented Code Structured walkthrough outlining participants, date of walkthrough, and any changes or defect in accordance with the SOM State Unified Information Technology Environment (SUITE) standard.

1.5.8. Validation of system testing, and proof of successful testing results as defined in the test plan.

1.5.9. An approved validation of functionality as defined in the test plan.

1.5.10. An approved final UAT Stage Exit document in accordance with the SOM State

Unified Information Technology Environment (SUITE) standard for completion of Production Validation.

1.6.

1.6.1. Documented Installation plan in accordance with the SOM State Unified Information Technology Environment (SUITE) standard.

1.6.2. Documentation as requested to support the Change Management Center of Excellence (CMCoE) process such as maintenance plan and associate roles spreadsheet and proof of source control.

1.6.3. Project User Acceptance testing documents in accordance with the SOM SUITE Standard.

1.6.4. Post Implementation Testing – Contractor, in conjunction with the ASAP Business Area, will test the system post-implementation to confirm it is functioning properly in the production environment.

1.6.5. An approved Project Stage Exit document in accordance with the SOM State Unified Information Technology Environment (SUITE) standard for completion of Production Validation

1.6.6. Validation in Production and approval by business.

1.6.7. All systems software releases or implementations must be thoroughly tested by the vendor and the business area prior to implementation. This testing must include:

1.6.7.1. Unit Test – Contractor staff test each module or unit to ensure the software adheres to all applicable ASAP requirements.

1.6.7.2. System Integration testing – Contractor staff test the entire system to ensure all integrations work properly and the ASAP system adheres to all requirements. The testing must be documented to verify all requirements identified in the approved Business Requirements document have been met.

1.6.7.3. User Acceptance Testing – Contractor assists the ASAP Business Area in testing the application and resolving defects to ensure the ASAP system meets all the requirements identified in the approved Business Requirements document.

PROJECT CONTACTS:

The designated MDHHS Program Managers are:

Michelle Martin Michigan Department of Health and Human Services

(517) 648-8057 MartinM6@Michigan.gov

Michael Bayless Michigan Department of Health and Human Services

(517) 335-5208 BaylessM@Michigan.gov mailto:BaylessM@Michigan.gov

The designated DTMB Program Manager is:

John Moore Michigan Department of Technology, Management and Budget Agency Services supporting Medicaid

(517) 242-1075 MooreJ7@michigan.gov

The Contractor Project Manager is:

Venkat Sankar HTC Global Services

(248) 935-7017 Venkata.Sankaranarayanan@HTCinc.com

PRICING TABLE:

ASAP - Union dues

Union Dues – Successful implementation of the interim Spreadsheet Solution $45,000.00

Union Dues - Ongoing operations to support the spreadsheet until 9/30/2026 $15,360.00

Total $60,360.00

STATE OF MICHIGAN PROCUREMENT

Department Technology, Management and Budget Central Procurement Services 320 S Walnut Street Lansing, MI 48933 P.O. Box 30026, Lansing, MI 48909

CONTRACT CHANGE NOTICE

Change Notice Number 13 to

Contract Number MA210000001002

C O

N

TR

AC

TO

R

HTC GLOBAL SERVICES INC

3270 West Big Beaver Road

Troy MI 48084

Jacob Herrera

616-915-9483 jacob.herrera@htcinc.com

CV0036128

ST

AT

E

Pr og ra m

M an ag er

Various Various

C on tr ac t Ad m in is tr at or Patrick Russell DTMB

(517) 648-7767

RussellP2@michigan.gov

CONTRACT SUMMARY

Adult Services Automated Payment (ASAP) System Maintenance & Support and Enhancements

INITIAL EFFECTIVE DATE

July 1, 2021

INITIAL EXPIRATION DATE

June 30, 2024

INITIAL AVAILABLE OPTIONS

2 - 1 Year

EXPIRATION DATE BEFORE

June 30, 2026

PAYMENT TERMS DELIVERY TIMEFRAME

ALTERNATE PAYMENT OPTIONS

P-Card Direct Voucher (PRC) Other

EXTENDED PURCHASING

Yes No

MINIMUM DELIVERY REQUIREMENTS

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION

0 Months

EXTENSION LENGTH OF EXTENSION

2 Years

REVISED EXP. DATE

June 30, 2028

CURRENT VALUE

$3,780,050.00

VALUE OF CHANGE NOTICE

$1,147,500.00

ESTIMATED AGGREGATE CONTRACT VALUE

$4,927,550.00

Please note the Program Manager or Contract Administrator may have changed, and are reflected on this Change Notice.

Effective 04/14/2026, the parties hereby agree to the attached Statement of work, which outlines the transition of Home Help Agency and Individual Provider payments from ASAP to MiAIMS. Additionally, the contract term will be extended by two years; a revised expiration date of 06/30/28. The total cost of the project is $1,147,500.00.

All other terms, conditions, specifications, and pricing remain the same. Per contractor and agency agreement, DTMB Central Procurement Services approval, and State Administrative Board approval on 04/14/2026.

CHANGE NOTICE NO. 13 TO CONTRACT NO. MA210000001002

Program Managers for

Multi-Agency and Statewide Contracts

AGENCY NAME PHONE EMAIL

DTMB Joel Nelson 517-897-0903 NelsonJ34@michigan.gov

DTMB John Moore 517-241-3228 MooreJ7@michigan.gov

MDHHS Michael Bayless 517-335-5208 BaylessM@michigan.gov

MDHHS Michelle M. Martin 517-241-8050 MartinM6@michigan.gov

MDHHS Shemin Blundell 517-899-2276 BlundellS@michigan.gov

IT CHANGE NOTICE

Project Title:

Adult Services Automated Payments (ASAP) - Home Help Payments Release 2 and contract extension.

Period of Coverage:

11/01/2025 – 06/30/2028

Requesting Department:

MDHHS

Date:

05/02/2025

Department Sponsor:

Michelle Martin MartinM6@michigan.gov

Phone:

517-648-8057

Department Business Owner Michael Bayless BaylessM@michigan.gov

Phone:

517-335-5208

DTMB Program Manager:

John Moore MooreJ7@michigan.gov

Phone:

517-242-1075

Contractor Delivery Director:

Venkat Sankar Venkata.sankaranarayanan@htcinc.com

Phone:

248-935-7017

Brief description of services to be provided:

BACKGROUND:

1.1. This Statement of Work (SOW) is made part of a Change Notice to Contract No.

210000001002 (Contract) between the State of Michigan (State or SOM) and HTC (“Contractor” or “Vendor”) under the terms of the Contract. This Change Notice appends Change Notice Number XXX on the Contract and replaces Change Notice Number 8 and 6. The Parties agree as follows:

1.2. The business owners of the Adult Services Automated Payment (ASAP) System have requested a strategic recommendation for the future direction of the ASAP system. The ASAP system currently supports 4 different business areas and several non-Medicaid programs with various components of functionality. The 4 business areas include: Home Help, Crime Victims, Expenditures, and Collections.

PROJECT OBJECTIVE:

1.3. The changes below are required to complete the PRO03460 – MDHHS-MED- Medicaid Home Help Payments Release 2 project. The price below includes development, testing and implementation of the deliverables within this change notice.

mailto:MartinM6@michigan.gov mailto:BaylessM@michigan.gov mailto:Venkata.sankaranarayanan@htcinc.com

1.4. Extend the contract until 6/30/2028 (2 years). Additionally, increase HTC support by using 2 FTE staff members and pricing ASAP maintenance and operations accordingly. This will also increase the hours available to the State of Michigan from 270 to 300 hours. The price per month reflects that increased number of hours (300 hours).

Pricing for 1.3 - Home Help: $ 187,500

Pricing for 1.4 – Maintenance and Operations Support: $ 960,000

SCOPE OF WORK:

1.5. Phase 1 – Move Home Help Agency and Individual Provider payments

ASAP to MiAIMS.

1.5.1. ASAP Receivables

• Ability to share offset reversal data with MiAIMS.

• Ability to receive payments, offsets and warrant information from MiAIMS.

• Ability to establish receivables for HH, Service Animal, ACP & CMH, APS, and DHS-93 payments based on data received from MiAIMS.

• Ability to share collections data with MiAIMS for payment offsets and reporting purposes. (940, 941, and W-2)

1.1.2. ASAP Retained Requirements

• Vendor to complete pending UAT, Implementation activities for the following retained ASAP requirements. ASAP transition plan is to be planned and finalized during project execution phase.

• 3.1 The system shall discontinue processing payments for HH individual providers, HH agency providers, (0301,9301) and service animals (0501, 9501)

• 3.1.1.1 The system shall discontinue processing payments for HH individual providers, HH agency providers, (0301, 9301) and service animals (0501, 9501) providers effective with the agreed upon transition plan with SOM and Vendor.

• 3.1.1.2 The system shall discontinue rewrite functionality for HH individual providers, HH agency providers, (0301,9301) and service animals (0501, 9501) payments effective with the agreed upon transition plan with SOM and Vendor.

• 3.1.1.3 The system shall display HH individual providers HH agency providers, and service animal payments data on ASAP screens. (ex:

search provider, payment, payment service)

• 3.1.1.4 The system shall discontinue EFT Return and Forgery on warrant screen for HH individual providers, HH agency providers, (0301,9301) and service animals (0501, 9501) payments effective with the agreed upon transition plan with SOM and Vendor.

• 3.1.1.5 The system shall discontinue displaying the authorizations information on screen for HH individual providers, HH agency providers, and service animals as of the go-live date.

• 3.1.1.6 The system shall discontinue generating warrant rewrite forms on the warrant screen for HH individual provider, HH agency providers, and service animal (1354, 1363, 1778, 2362A).

• 3.1.3 The system shall discontinue sending authorization (1023.02A), time-task (1023.02B), and case worker (1023.02C) files to CHAMPS effective with the agreed upon transition plan with SOM and Vendor

• 3.1.4 The system shall disable W-2/FICA/IRS Reports effectively with the agreed upon transition plan with SOM & Vendor.

• 3.1.4.1 The system shall discontinue running the W2 process which includes generating Discrepancy reports, W2 report, SSA wage file, DTMB printing report, FICA Refund effective with the agreed upon transition plan with SOM and Vendor.

• 3.1.4.2 The system shall discontinue generating quarterly reports such as FICA, FUTA, and wage reports (12-Quarters) effective with the agreed upon transition plan with SOM and Vendor.

• 3.1.4.3 The system shall discontinue generating annual reports (Annual FICA Refund Totals, Annual gross pay & FICA Totals) effective with the agreed upon transition plan with SOM and Vendor.

• 3.1.5 The system shall disable the W2 report corrections functionality screen as of effective with the agreed upon transition plan with SOM and Vendor.

• 3.1.6.1 The system shall stop loading the HH (Individual and agency) authorizations and time task from staging database effectively with the agreed upon transition plan with SOM and Vendor.

• 3.1.6.2 The system shall stop loading the Service Animal authorizations from staging database effectively with the agreed upon transition plan with SOM and Vendor.

• 3.1.6.3 The system shall continue to load HH related data to the Home Help System tables for the data warehouse.

• 3.1.6.4 The system shall discontinue sending warrant information including offset and offset amounts to MiAIMS.

DELIVERABLES:

Deliverables will not be considered complete until the Agency Project Manager has formally accepted them. Deliverables for this project include:

1.2. Changes to the project dates or project content will be managed by the established Project Change Request approval process

1.3. Supporting Documentation:

1.3.1. Approved ASAP Release plan outlining schedule of milestones to be met for the project.

1.3.2. Approved Overall requirements document in accordance with the SOM

State Unified Information Technology Environment (SUITE) standard.

1.3.3. Approved Stage Exit document in accordance with the SOM State Unified Information Technology Environment (SUITE) standard for completion of approval for development.

1.3.4. Approved ASAP Use Case and Design system documentation in accordance with the SOM State Unified Information Technology Environment (SUITE) standard

1.3.5. Approved Stage Exit document in accordance with the SOM State Unified Information Technology Environment (SUITE) standard for completion of approval for design

1.3.6. Documented and approved Testing Plans for SIT and UAT and test cases for validation of new functionality as specified in the ASAP requirements documentation and related Use Cases in accordance with the SOM State Unified Information Technology Environment (SUITE) standard.

1.3.7. Documented Code Structured walkthrough outlining participants, date of walkthrough, and any changes or defect in accordance with the SOM State Unified Information Technology Environment (SUITE) standard.

1.3.8. Validation of system testing, and proof of successful testing results as defined in the test plan.

1.3.9. An approved validation of functionality as defined in the test plan.

1.3.10. An approved final UAT Stage Exit document in accordance with the SOM

State Unified Information Technology Environment (SUITE) standard for completion of Production Validation.

1.4. The contractor will provide the following for Project Implementation:

1.4.1. Documented Installation plan in accordance with the SOM State Unified Information Technology Environment (SUITE) standard.

1.4.2. Documentation as requested to support the Change Management Center of Excellence (CMCoE) process such as maintenance plan and associate roles spreadsheet and proof of source control.

1.4.3. Project User Acceptance testing documents in accordance with the SOM SUITE Standard.

1.4.4. Post Implementation Testing – Contractor, in conjunction with the ASAP Business Area, will test the system post-implementation to confirm it is functioning properly in the production environment.

1.4.5. An approved Project Stage Exit document in accordance with the SOM State Unified Information Technology Environment (SUITE) standard for completion of Production Validation.

ACCEPTANCE CRITERIA:

1. All systems software releases or implementations must be thoroughly tested by the vendor and the business area prior to implementation. These tests must include:

a. Unit Test – Contractor staff test each module or unit to ensure the software adheres to all applicable ASAP requirements.

b. System Integration testing – Contractor staff test the entire system to ensure all integrations work properly and the ASAP system adheres to all requirements. The testing must be documented to verify all requirements identified in the approved Business Requirements document have been met.

c. User Acceptance Testing – Contractor assists the ASAP Business Area in testing the application and resolving defects to ensure the ASAP system meets all the requirements identified in the approved Business Requirements document.

PAYMENT SCHEDULE:

1.1. The scope of work for providing system Maintenance, Technical and Operations will not exceed 300 hours per month without mutual agreement. The table below provides additional details on task breakdown and hours. The work will be provided by a shared pool of resources determined by the Vendor, not individually named resources.

1.2. Replace the Pricing Table with the revised schedule in this Change Notice.

1.2.1. Update the work plan as follows:

1.2.1.1. Update the hourly limit per month from 270 to 300

1.2.1.2. Increase Planned Hours for Maintenance from 40 & 80 to 40 & 110

1.2.1.3. Update Schedule A as specified below:

Category Task breakdown Planned Hours

M ai nt en an ce

HTC will participate in Requirement/Prioritization/Discovery session and update the design documentation/use cases based on the design need.

HTC will provide input to 931Form (System Maintenance Document) and produce 0702 document for maintenance releases.

HTC will produce Release Notes for UAT Initial deployment and will provide input for Release notes.

HTC will provide input and update Maintenance plan as needed.

HTC will provide input for Security plan and participate in the meetings as needed.

Other documentation as per CMCoE requirements as needed but within planned hours.

HTC will do the following release and configuration activities:

• Development

• Code Merging

• SIT Scripts Preparation and Execution

• SIT Script execution

• UAT Support & defect fix

• Production Release checkout

*3 months of release hours (240 Hours) are used for Year End Processing (W2, FICA Refund, Reporting)

O pe ra tio ns

HTC will do the following operations support activities:

• Assessment of new project proposals/ideas

• Prioritizing tasks for data fix, initial triaging, troubleshooting.

• Data fixes

• Request fulfillment (Request for Info/Process consulting)

• Maintaining, troubleshooting lower environment

• Initial Analysis

• Estimation process

• Technical meeting action items (POAM, SOLR, Java upgrade.)

• Performs administrative tasks

• Any Misc./ad-hoc related to SOM work.

Problem/Incident Management, HTC will perform the following:

• Break/Fix of Production issues

• Interface / batch Jobs Support

• In-depth Analysis/Troubleshooting.

HTC will perform the following:

Plan and execute Service Strategy for the overall support needs.

Participating in meetings/discussions for support needs.

• Monitoring and managing tasks.

• Task touch-base and prioritization Meeting

• Business Owner Meeting

• Weekly Technical Meeting

• Internal meeting (Planning, ASAP Status, Pre-technical session Meeting) Producing status report on a monthly basis.

Resource planning and managing for support needs.

2. PRICING TABLE:

HH/EVV Project - ASAP

Phase I Requirements (Refer to section 1.6.2 – 1.6.3 for required documentation)

$ 18,750

Phase I Design (Refer to section 1.6.4 and 1.6.5 for required documentation)

$ 43,125

Phase I Construction (Refer to section 1.6.7 for required

Phase I SIT Results (Refer to section 1.6.6 – 1.6.9 for required documentation)

$ 35,625

Phase I UAT completion (Refer to section 1.6.0 for required

Phase I Implementation (Refer to section 1.7 for required

$3,750

Total For ASAP HH/EVV $187,500

Support Services Year Monthly Maintenance Cost

Monthly Operations Cost

Maintenance and Operations @ $40,000/Month

Year 1 $19,750 $20,250

Maintenance and Operations @ $40,000/Month

Year 2 $19,750 $20,250

EXPENSES:

No changes required for this change notice

The designated MDHHS Business Owners are:

Elaina Brown Michigan Department of Health and Human Services

(517) 335-3101 Browne17@Michigan.gov

Michelle Martin Michigan Department of Health and Human Services

(517) 648-8057 MartinM6@Michigan.gov

The designated DTMB Program Manager is:

John Moore Michigan Department of Technology, Management and Budget Agency Services supporting Medicaid

(517) 242-1075 MooreJ7@michigan.gov

The Contractor Delivery Director is:

Venkat Sankar HTC Global Services

(248) 935-7017 Venkata.Sankaranarayanan@HTCinc.com

LOCATION OF WHERE THE WORK IS TO BE PERFORMED:

mailto:Browne17@Michigan.gov mailto:MartinM6@Michigan.gov mailto:Venkata.Sankaranarayanan@HTCinc.com

EXPECTED CONTRACTOR WORK HOURS AND CONDITIONS:

KEY CONTRACTOR STAFF, ROLES AND RESPONSIBILITIES:

WEB OR HYPERLINKS:

ENTIRE AGREEMENT:

STATEMENT OF WORK:

STATE OF MICHIGAN

ENTERPRISE PROCUREMENT

Department of Technology, Management, and Budget 320 S. Walnut Street 2nd Floor Lansing, MI 48933

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

CONTRACT SUMMARY

Adult Services Automated Payment (ASAP) System Maintenance & Support and Enhancements

INITIAL EFFECTIVE DATE INITIAL EXPIRATION DATE INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

July 1, 2021 June 30, 2024 2 - 12 Months June 30, 2026

PAYMENT TERMS DELIVERY TIMEFRAME

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

MINIMUM DELIVERY REQUIREMENTS

P-Card Direct Voucher (PRC) Other Yes No

3270 West Big Beaver Road

Troy MI 48084

Jim Parker

248-981-5761

Jim.Parker@HTCinc.com

CV0036128

HTC GLOBAL SERVICES INC

C O

N

TR

A C

TO

R

Patrick Russell

(517) 648-7767

DTMB

Various Various

RussellP2@michigan.gov

C ontract

A dm inistrator Program M anagerSTA

TE

Change Notice Number 12

Contract Number MA210000001002 to

DESCRIPTION OF CHANGE NOTICE

OPTION EXTENSIONLENGTH OF OPTION LENGTH OF EXTENSION REVISED EXP. DATE

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$3,873,800.00 ($93,750.00) $3,780,050.00

DESCRIPTION

Effective 05/28/2025, the parties hereby agree to reduce the total contract value by $93,750.00 and descope the work previously authorized under Change Notice 10. Change Notice 10 allowed the ASAP system to reverse offsets when a warrant is cancelled and SIGMA has returned the funds. This project was cancelled by MDHHS, and no work was performed by the vendor.

AGENCY NAME PHONE EMAIL

MDHHS Michael Bayless 517-335-5208 BaylessM@michigan.gov

MDHHS Michelle M. Martin 517-241-8050 MartinM6@michigan.gov

DTMB John Moore 517-241-3228 MooreJ7@michigan.gov

DTMB Joel Nelson 517-897-0903 NelsonJ34@michigan.gov

MDHHS Shemin Blundell 517-899-2276 BlundellS@michigan.gov

Program Managers for

Multi-Agency and Statewide Contracts

CHANGE NOTICE NO. 12 TO CONTRACT NO. MA210000001002

Department of Technology, Management, and Budget 320 S. Walnut Street 2nd Floor Lansing, MI 48933

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

CONTRACT SUMMARY

Adult Services Automated Payment (ASAP) System Maintenance & Support and Enhancements

INITIAL EFFECTIVE DATE INITIAL EXPIRATION DATE INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

July 1, 2021 June 30, 2024 2 - 12 Months June 30, 2025

PAYMENT TERMS DELIVERY TIMEFRAME

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

MINIMUM DELIVERY REQUIREMENTS

P-Card Direct Voucher (PRC) Other Yes No

3270 West Big Beaver Road

Troy MI 48084

Jim Parker

248-981-5761

Jim.Parker@HTCinc.com

CV0036128

HTC GLOBAL SERVICES INC

C O

N

TR

A C

TO

R

Patrick Russell

(517) 648-7767

DTMB

Various Various

RussellP2@michigan.gov

C ontract

A dm inistrator Program M anagerSTA

TE

Change Notice Number 11

Contract Number MA210000001002 to

DESCRIPTION OF CHANGE NOTICE

OPTION EXTENSIONLENGTH OF OPTION LENGTH OF EXTENSION REVISED EXP. DATE

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

12 Months June 30, 2026

$3,468,800.00 $405,000.00 $3,873,800.00

Effective 04/22/2025, the State is exercising the final option year and adding funds in the amount of $405,000. The revised contract expiration date is 06/30/2026.

Please note the States Agency Program Manager has been updated to Shemin Blundell.

Please note that the States DTMB Program Manager has been changed from Pat Thelen to Joel Nelson.

All other terms, conditions, specifications, and pricing remain the same. Per contractor and agency

04/22/2025.

DTMB John Moore 517-241-3228 MooreJ7@michigan.gov

MDHHS Michael Bayless 517-335-5208 BaylessM@michigan.gov

MDHHS Michelle M. Martin 517-241-8050 MartinM6@michigan.gov

DTMB Joel Nelson 517-897-0903 NelsonJ34@michigan.gov

MDHHS Shemin Blundell 517-899-2276 BlundellS@michigan.gov

Program Managers for

CHANGE NOTICE NO. 11 TO CONTRACT NO. MA210000001002

Department of Technology, Management, and Budget 320 S. Walnut Street 2nd Floor Lansing, MI 48933

P.O. BOX 30026 LANSING, MICHIGAN 48909

CONTRACT CHANGE NOTICE

CONTRACT SUMMARY

Adult Services Automated Payment (ASAP) System Maintenance & Support and Enhancements

INITIAL EFFECTIVE DATE INITIAL EXPIRATION DATE INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

July 1, 2021 June 30, 2024 2 - 12 Months June 30, 2025

PAYMENT TERMS DELIVERY TIMEFRAME

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

MINIMUM DELIVERY REQUIREMENTS

P-Card Direct Voucher (PRC) Other Yes No

3270 West Big Beaver Road

Troy MI 48084

Jim Parker

248-981-5761

Jim.Parker@HTCinc.com

CV0036128

HTC GLOBAL SERVICES INC

C O

N

TR

A C

TO

R

Patrick Russell

(517) 648-7767

DTMB

Various Various russellp2@michigan.gov

C ontract

A dm inistrator Program M anagerSTA

TE

Change Notice Number 10

Contract Number MA210000001002 to

DESCRIPTION OF CHANGE NOTICE

OPTION EXTENSIONLENGTH OF OPTION LENGTH OF EXTENSION REVISED EXP. DATE

CURRENT VALUE VALUE OF CHANGE NOTICE ESTIMATED AGGREGATE CONTRACT VALUE

$3,375,050.00 $93,750.00 $3,468,800.00

DESCRIPTION

Effective 12/17/2024, the parties agree to the attached Statement of Work to allow the ASAP system to reverse the offsets when a warrant is cancelled and SIGMA has returned the funds. The total cost of this project is $93,750.00.

All other terms, conditions, specifications, and pricing remain the same. Per contractor and agency

12/17/2024.

DTMB Pat Thelen 517-335-3910 ThelenP@michigan.gov

MDHHS Michael Bayless 517-335-5208 BaylessM@michigan.gov

DTMB John Moore 517-241-3228 MooreJ7@michigan.gov

MDHHS Michelle M. Martin 517-241-8050 MartinM6@michigan.gov

Program Managers for

CHANGE NOTICE NO. 10 TO CONTRACT NO. MA210000001002

Michigan.gov/MiProcurement

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STATEMENT OF WORK -

IT CHANGE NOTICE

Project Title:

ASAP Enhancement for Cancelled Warrants Offset Reversals

Period of Coverage:

12/01/2024-9/30/2025

Requesting Department:

MDHHS

Date:

05/17/2024

Department Sponsor:

Michelle Martin MartinM6@michigan.gov

Phone:

517-648-8057

Department Business Owner:

Laura Harrison HarrisonL@michigan.gov

Phone:

517-599-0584

DTMB Program Manager:

John Moore MooreJ7@michigan.gov

Phone:

517-242-1075

Contractor Delivery Director:

Arvind Srinivasan Arvind.Srinivasan@htcinc.com

Phone:

309-287-7565

Brief description of services to be provided:

BACKGROUND:

This Statement of Work (SOW) is made part of a Change Notice to Contract No.

210000001002 (Contract) between the State of Michigan (State or SOM) and HTC (“Contractor” or “Vendor”) under the terms of the Contract. The Parties agree as follows:

PROJECT OBJECTIVE:

ASAP should reverse the offsets that occurred on a receivable when a warrant is cancelled, and SIGMA has returned the funds.

This would reverse any monies that show paid on a receivable and increase the amount due since the warrant was not cashed the offset payment was not collected.

mailto:Arvind.Srinivasan@htcinc.com

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1. SCOPE OF WORK:

1.1. From the time of implementation any newly cancelled warrants that have a receivable offset associated will have the offset reversed and the balance adjusted accordingly.

1.1.1. This requirement will be met through a daily batch job

1.1.2. System implementation will read the warrant status and create an

Increment Offset Error (IOER) transaction. No workflow involved.

1.1.3. The IOER transaction can be viewed using the existing transaction screen

1.1.4. No additional documentation will be created for transaction screen since its existing functionality will not be modified

1.1.5. System Errors will be logged into the error log.

1.1.6. No changes to Federal report or other reports.

1.1.7. No changes to other modules, screens, process.

1.1.8. Effort for resolving Pre-existing defects in not included in the effort estimate this release.

1.2. At the time of implementation any legacy ASAP issued warrants that have been cancelled with a receivable offset that has not been re-written will have the offset reversed and the balance adjusted accordingly.

1.2.1. This requirement will be met through a onetime batch job

1.2.2. System Errors will be logged into the error log.

1.2.3. This would require a one-time report of offsets previously reported on federal reports that have been reversed.

1.3. This project must go live in conjunction with the Home Help payments moving out of ASAP or within 30 days after the payments have moved out. If this project schedule cannot align with the Home Help Payment timeline, it may be necessary for the vendor to assist the business with a mitigation strategy.

1.3.1. Changes to the current re-write process are out of scope.

1.4. The Scope of Work makes the following Assumptions:

1.4.1. Documentation feedback will include track changes for all comments and responses by all parties (MDHHS, DTMB and the vendor) on the entire document.

1.4.2. The schedule for this project will be communicated with CHAMPS (OFIN) to determine the testing plan and adjusted in agreement with both vendors and the State of Michigan.

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2. TASKS:

2.1. Requirements and Design

2.2. Development & Systems Testing

2.3. System Integration Testing

2.4. User Acceptance Testing

2.5. Production Deployment

3. DELIVERABLES:

3.1. Deliverables will not be considered complete until the DTMB Technical Owner and Business Owner Authorized Approver formally accept them.

3.2. Supporting Documentation:

3.2.1. Documentation will be complaint with SUITE and the DTMB Change Management Center of Excellence (CMCoE) process.

3.2.2. Contractor will provide the following for the Project:

3.2.2.1. Approved ASAP Project plan outlining schedule of milestones to be met for the project.

3.2.2.2. Approved Project System and Functional Requirements document in accordance with the SOM State Unified Information Technology Environment (SUITE) standard.

3.2.2.3. A Requirements Traceability Matrix matching the requirements of the Project to the minimum required test cases needed to test those requirements completely.

3.2.2.4. Approved Project ASAP Use Case and Design system

documentation in accordance with the SOM SUITE standard. The documentation for this project will extend the current documentation if it exists. However, if it does not exist at the time of the documentation process, then a new document will be created for the new functionality.

3.2.2.5. An approved Project Stage Exit document in accordance with the SOM SUITE standard for completion of design and acceptance of the above documentation.

3.2.2.6 Documented and approved Project Testing Plans for SIT with Test Cases for new functionality as specified in the ASAP Requirements documentation and related Use Cases in accordance with the SOM SUITE standard.

3.2.2.6.1 SIT test cases will be presented to MDHHS for approval prior to SIT testing being performed with all results being provided to MDHHS prior to invoicing and payment. Scope of SIT testing which includes regression/requirements test

Version 2021-1 4 of 15 will include tests to verify all items in the requirement traceability matrix including the scenario and the opposite scenario.

3.2.2.7 This project is based on data scripts and processing new cancelled warrants as a result HTC will provide the following data to perform UAT based on the UAT test plan.

3.2.2.7.1 HTC will provide up to 5 data reports that will be used for UAT testing.

3.2.2.8 HTC will need to request warrants be cancelled that have an offset and provide a report to ensure that future warrant cancellations are having the offset reversed.

3.2.2.9 Documented Project Code Structured walkthrough outlining participants, date of walkthrough, and any changes or defect in accordance with the SOM SUITE standard.

3.2.2.10 Proof of Successful Project deployment in SIT environment (email to system administrator and DBA requesting deployment).

3.2.2.11 Proof of Successful Project deployment in UAT environment (email to system administrator requesting deployment)

3.2.2.12 Documented Project Implementation Walkthrough outlining participants, date of implementation

3.3. Software Delivery:

3.3.1. All systems software releases or implementations must be thoroughly tested by the vendor and the business area prior to implementation.

This testing must include:

3.3.1.1. Unit Testing – Contractor staff test each module or unit to ensure the software adheres to all applicable ASAP requirements.

3.3.1.2. System Integration Testing – Contractor staff test the entire system to ensure all integrations work properly and the ASAP system adheres to all requirements. This testing must be documented to verify all requirements identified in the approved Business Requirements document have been met.

3.3.1.2.1. Defect priority and severity will be defined within the Test Plan and agreed upon between HTC and MDHHS. Any defect identified in SIT/UAT testing will be given a priority and severity for resolution and a mutually agreed upon direction will be established.

3.3.1.3. User Acceptance Testing – Contractor assists the ASAP Business Area in testing the application and resolving any defects to ensure

Version 2021-1 5 of 15 the ASAP system meets all the requirements identified in the approved Business Requirements document.

3.3.2. Contractor will ensure Project implementation:

3.3.2.1. Documented Project Installation plan in accordance with the SOM

SUITE standard

3.3.2.2. Post Implementation Testing – Contractor, in conjunction with the

ASAP Business Area, test the system post-implementation to confirm it is functioning properly in the production environment.

3.3.2.3. An approved Project Stage Exit document in accordance with the SOM SUITE standard for completion of Production Validation.

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4. ACCEPTANCE CRITERIA:

4.1. Contractor Project Manager is responsible for quality assurance of all submitted deliverables to the SOM. Any deficiency in the quality will be notified to the contractor by the State in a timely manner for corrective action

4.2. Requirements documents are reviewed and updated throughout the development process to assure requirements are delivered in final product.

4.3. Draft documents are not accepted as final deliverable.

4.4. MDHHS will review business documents within 5 business days of receipt unless otherwise agreed. Approvals will be written and signed by MDHHS.

Unacceptable issues will be documented and submitted to the Contractor.

After issues are resolved or waived, the Contractor will resubmit documents for approval within 5 days of receipt unless otherwise agreed.

4.5. MDHHS and DTMB will review technical documents within 5 days of receipt unless otherwise agreed. Approvals will be written and signed by MDHHS, the Contractor and DTMB. Unacceptable issues will be documented and submitted to the Contractor. After issues are resolved or waived, the Contractor will resubmit documents for approval within 5 days of receipt unless otherwise agreed.

4.6. MDHHS and DTMB will review project documents within 5 days of receipt unless otherwise agreed. Approvals will be written and signed by MDHHS, the Contractor and DTMB. Unacceptable issues will be documented and submitted to the Contractor. After issues are resolved or waived, the Contractor will resubmit documents for approval within 5 days of receipt unless otherwise agreed.

4.7. MDHHS Completion Criteria:

4.7.1. Completion criteria will be based on the signoff by the MDHHS

Department Business Owner and the DTMB Technical Owner on project deliverables that conform to the specifications and agreed upon standards. Approval of UAT passing will be completed during UAT stage exit.

4.8. Reviews and Approvals:

4.8.1. All specification and design documents will have to be reviewed and approved by the MDHHS Department Business Owner and DTMB Technical Owner.

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4.9. Acceptance Testing:

4.9.1. UAT will be performed by MDHHS in collaboration with DTMB and HTC per requirements. If MDHHS finds problems/issues with the ASAP system, the problems need to be reported in JIRA under the AUD project.

4.10. Final Acceptance:

4.10.1. All documents, software and services are delivered and accepted by

MDHHS in accordance with the requirements of this Contract Change Notice.

4.10.2. For thirty (30) days after deployment, the software must meet or exceed the performance and reliability requirements in accordance with Schedule C of the current ASAP M&O contract. Unacceptable issues will be documented and submitted to the Contractor.

4.10.3. The contractor will provide 90 days of warranty after the postproduction deployment.

4.10.3.1. Faults discovered during the warranty period in line with the documented requirements and design will be addressed based on business prioritization and environment availability. Code merge/promotion to production will be planned with MDHHS. The timeframe to fix and promote the code to production is dependent on development and test environment availability. Therefore, code deployment to UAT must be co-ordinated with other work.

4.10.4. Project Validation Stage Exit approval will be granted at the latter of:

4.10.4.1. The conclusion of the warranty period

4.10.4.2 The resolution of all warranty issues discovered during the warranty period.

4.10.5 For the project to be completed, all invoices related to this project will be submitted and approved for payment.

5. PROJECT CONTROL AND REPORTS:

5.1. A bi-weekly progress report must be submitted to MDHHS and DTMB Project Managers throughout the life of this project. Each bi-weekly progress report must contain the following:

5.1.1. Accomplishments: Indicate what was worked on and what was completed during the current reporting period.

5.1.2. Funds: Indicate the amount of funds expended during the current reporting period, and the cumulative total to date for the project.

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5.2. Vendor must alert the DTMB Project Manager as soon as it is known a project milestone will be missed and partner with MDHHS and the DTMB Project Manager to establish a Corrective Action Plan.

6. SPECIFIC DEPARTMENT STANDARDS:

6.1. All software items provided by the contractor must be ADA complaint and adhere to the SOM look and feel – The State is required to comply with the Americans with Disabilities Act of 1990 (ADA) and has adopted a formal policy regarding accessibility requirement of the software applications. For AppExchange/SAAS partners, the state requires that software applications conform, where relevant to level AA of providers PAAS Services. The SOM reserves a right to have ADA compliance validated by the E-Michigan team.

DTMB form 3533 must be completed and approved including the development prior to Go-Live. DTMB resources will assist in completion of the DTMB-3533 form.

6.2. SOM Application/Site Standards:

www.michigan.gov/standards

7. ISSUE MANAGEMENT:

7.1. An issue is an identified event that if not addressed may affect schedule, scope, quality, or budget. The Contractor must maintain an issue log for issues relating to the provision of services under this Contract. The issue management log must be communicated to the State’s Project Manager on an agreed upon schedule, with email notifications and updates. The issue log must be updated and must contain the following minimum elements:

7.1.1. Description of issue

7.1.2. Issue identification date

7.1.3. Responsibility for resolving issue.

7.1.4. Priority for issue resolution (to be mutually agreed upon by the State and the Contractor)

7.1.5. Resources assigned responsibility for resolution

7.1.6. Resolution date

7.1.7. Resolution description

8. CHANGE AND RELEASE MANAGEMENT (CRM):

8.1. The purpose of the Change and Release Management is to ensure that standardized methods and procedures are used for efficient and prompt handling of all IT changes, within the SOM. In addition to this, the DTMB Change Management Center of Excellence (CMCoE) has implemented Release Management processes to help ensure that DTMB and its stake holders can meet audit requirements:

http://www.michigan.gov/standards

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8.2. Vendor Partners Responsibilities: Vendor must comply with DTMB CRM policies before implementing every release. This includes providing release tickets for each release and submitting all System Engineering Methodology (SEM) equivalent documents as per CMCoE check list. The documents can be in the Contractors Project Management Methodology (PMM). After the Business Owner signs off the documents and approves the implementation timeframes, the DTMB Business Analyst will create and initiate the Request for Change (RFC) process.

8.3. DTMB CMCoE Check list documents the adherence of the SEM process and is completed by DTMB staff with the assistance of the vendor partner:

8.3.1. A sample CMCoE checklist is available to the vendor partner upon request.

8.4. DTMB Responsibilities: DTMB Business Analyst Resource will be responsible to review the SEM or equivalent documents from vendor for each release and complete the CMCoE check list. The DTMB resource will be responsible to follow the RFC process for Approvals and notifications as specified in the below documents.

8.5. DTMB CMCoE Check list documents the adherence of the SEM process and is completed by DTMB staff with the assistance of the vendor partner. A sample CMCoE checklist is available to the vendor partner upon request.

9. PAYMENT SCHEDULE:

9.1. Payment will be made on satisfactory acceptance of each of the milestones listed in the Task/Deliverable column of the table in Section 17. DTMB will pay Contractor upon receipt of properly completed invoice(s) which must be submitted to the billing address on the State issued DOIT1. DTMB Accounts Payable area will coordinate obtaining MDHHS and DTMB Project Manager approvals. All invoices should reflect the actual milestone(s) completed and must be approved by MDHHS Department Business Owner and DTMB Project Manager prior to payment. When invoicing for a milestone, the invoice amount must not exceed the amount listed in the “Cost” column of the table in Section

17. Final payment will be delivered after the warranty period specified in Section 4.10.3.

9.2. Payment will be considered timely if made by DTMB within forty-five (45) days after receipt of properly completed invoices.

10. EXPENSES:

10.1. The State will NOT pay for any travel expenses, including hotel, mileage, meals, parking, etc.

11. PROJECT CONTACTS:

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11.1. The designated MDHHS Program Manager is:

Michelle Martin Michigan Department of Health and Human Services Aging and Adult Services

(517) 517-241-8050 MartinM6@michigan.gov

11.2. The designated DTMB Program Manager is:

John Moore Michigan Department of Technology, Management and Budget Agency Services supporting Medicaid

(517) 242-1075 MooreJ7@michigan.gov

11.3. The Contractor Delivery Director is:

Arvind Srinivasan HTC Global Services

(309) 287-7565 Arvind.Srinivasan@htcinc.com

12. LOCATION OF WHERE THE WORK IS TO BE PERFORMED:

12.1. Contractor staff will primarily work from Contractor’s offices and facilities.

Occasionally Contractor on-site support may be required within the SOM Lansing, Michigan offices and facilities and will be mutually agreed between the Contractor and the DTMB Program Manager. As defined within the Contract section 2.080, SOM offices and facilities are subject to availability and Contractor personnel may be assigned office space to be shared with State personnel.

13. EXPECTED CONTRACTOR WORK HOURS AND CONDITIONS:

Work hours are not to exceed eight (8) hours a day, forty (40) hours a week. Normal working hours of 8:00 am to 5:00 pm, Eastern Standard Time are to be observed unless otherwise agreed to in writing. No overtime will be permitted. Key project members must be available to meet during these normal working hours. This is a deliverable-based contract change notice, hours beyond 8 hours a day, 40 hours a week and overtime are not applicable.

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14. KEY CONTRACTOR STAFF, ROLES AND RESPONSIBILITIES:

14.1. The Contractor will identify the staff who will be involved in this project and describe in detail their roles and responsibilities.

14.2. The Contractor will commit that staff identified will perform the assigned work and if there are any changes will notify both DTMB and MDHHS.

14.3. The Contractor will identify a Single Point of Contact (SPOC). The duties of the

SPOC must include, but not be limited to:

14.3.1. Supporting the management of the Contract.

14.3.2. Facilitating Issue resolution

14.3.3. Advising the State of performance under the terms and conditions of the

Contract.

14.4. The following table contains the supporting roles specifically for this project and do not reflect a change to the roles or responsibilities within the maintenance contract otherwise

Role Name Org. Responsibility

Business Owner Authorized Approver

& UAT

Authorized Approver

Laura Harrison MDHHS

• Approvers for all application changes and enhancements.

• Represents department’s interest as the single POC for application changes

• Approves the results of User Acceptance Testing.

• Authorized approver for all RFCs to application.

User Acceptance Tester

Laura Harrison MDHHS

• Performs User Acceptance Testing based on the documented plan.

• Communicates the UAT results or Status with Lead Business owner, DTMB and HTC.

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Role Name Org. Responsibility

String and SIT Authorized Approver

Murali Gottumukkala HTC

• Tests integration of application changes against affected systems.

• Clears applications changes for User Testing.

• Perform System Testing based on the documented plan in development Environment.

*ASAP does not have separate SIT environment.

• In some scenario’s SIT testing requires files from Lower ASAP environments and HTC development team need assistance/coordination from DTMB to request these files.

Vendor Project Manager Bruce Dibert HTC • Facilitate project planning and execution specific to ASAP

DTMB Project Manager John Splawn DTMB • Facilitate overall project planning and execution of the project.

Authorized Configuration Manager

Kris Keith Zhiheng Bi

DTMB

• Implements (installs) the application changes into UAT and production.

• Monitors and supports all ASAP environments.

Authorized Database Administrator

Scott Wymer Hyo Dan Jasmine Manaei Wen-Qiu Sun Greg Winegarden

DTMB

• Implements the Database changes into UAT and Production

• Individual is not involved in creation or testing of the change(s).

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Role Name Org. Responsibility

Authorized Developer, UAT

Configuration Manager, UAT

DBA

Administrator, Production…