210000001451.pdf

PDF 3 MB Posted Oct 1, 2021

Attached to: Department Technology, Management and Budget MI|MA210000001451
Contract number: MA210000001451
Issued by: Michigan

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Written by GovTribe AI · Oct 12, 2026

Summary of Contract MA210000001451

This document comprises multiple change notices and statements of work for Contract MA210000001451 between the State of Michigan, Department of Technology, Management and Budget (DTMB), and the Altarum Institute, with the primary requesting agency being the Michigan Department of Health and Human Services (MDHHS). The contract establishes an indefinite delivery vehicle for interoperability systems services, maintenance, and operations supporting multiple public health programs and initiatives across Michigan state agencies.

The contract provides comprehensive interoperability services including birth defects registry development, vital records interoperability for birth and death data, cancer registry operations, newborn screening programs, blood lead level reporting, environmental health systems, and integrated care bridge record management. The initial contract value was $4,098,790.00 (effective October 1, 2021), with subsequent change notices increasing the aggregate contract value to $19,858,279.70, including a 7-month extension through April 30, 2027. Pricing is structured through firm fixed fees, monthly maintenance and operations payments, and milestone-based progress payments ranging from 5 to 30 percent upon completion of design, development, testing, and production release phases. Recent modifications include $250,000.00 for birth defects surveillance services (CCN 19), $2,846,664.00 for fiscal year 2026 operations (CCN 17), and various prior year adjustments totaling millions in enhancements and maintenance support. Payment terms are NET 45 days, with invoices submitted monthly to the state accounts payable office and approved by designated DTMB and MDHHS project managers.

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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 19 to

Contract Number MA210000001451

C O

ALTARUM INSTITUTE

3520 Green Ct.

Suite 300

Ann Arbor MI 48105

Steven Follum

(202) 772-5054 steven.follum@altarum.org

CV0023268

Pr og ra m

M an ag er

Various Various

C on tr ac t Ad m in is tr at or Jarrod Barron DTMB

(517) 249-0406

BarronJ1@michigan.gov

CONTRACT SUMMARY

Interoperability Systems Services, Maintenance, and Operations

INITIAL EFFECTIVE DATE

October 1, 2021

INITIAL EXPIRATION DATE

October 1, 2022

INITIAL AVAILABLE OPTIONS

4 - 1 Year

EXPIRATION DATE BEFORE

CHANGE(S) NOTED BELOW

September 30, 2026

PAYMENT TERMS

NET 45

DELIVERY TIMEFRAME

N/A

ALTERNATE PAYMENT OPTIONS

P-Card Direct Voucher (PRC) Other

EXTENDED PURCHASING

Yes No

MINIMUM DELIVERY REQUIREMENTS

N/A

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION

7 Months

REVISED EXP. DATE

April 30, 2027

CURRENT VALUE

$19,608,279.70

VALUE OF CHANGE NOTICE

$250,000.00

ESTIMATED AGGREGATE CONTRACT VALUE

$19,858,279.70

DESCRIPTION

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

Effective 9/29/2026, the parties extend the contract to 4/30/2027 and add $250,000.00 for maintenance, support, enhancement, and transition services detailed in the attached statement of work. All other terms, conditions, specifications and pricing remain the same. Per Contractor, Agency, DTMB Central Procurement and State Administrative Board approval on 9/29/2026.

CHANGE NOTICE NO. 19 TO CONTRACT NO. MA210000001451

Program Managers for

Multi-Agency and Statewide Contracts

AGENCY NAME PHONE EMAIL

DTMB John Moore 517-331-5065 MooreJ7@michigan.gov

DTMB Soopriya Razdan 517-219-2766 RazdanS@michigan.gov

MDHHS Jeffrey Duncan 517-335-8677 DuncanJ11@michigan.gov

MDHHS Edward Hartwick 517-284-4947 HartwickE@michigan.gov

MDHHS Shelby Heppe 517-335-6497 Heppes@michigan.gov

MDHHS Julie Kusey 517-335-9604 KuseyJ@michigan.gov

MDHHS Dan Albright 517-284-4791 AlbrightD@michigan.gov

MDHHS Matthew Seager 517-599-1461 SeagerM@michigan.gov

IT SOW CHANGE NOTICE

Required Intake Information

SOW Title: CDC Birth Defects Surveillance for FY27

Contractor Name: Altarum

Contract Number: 210000001451

Contract Term: 10/1/2026 – 4/30/2027

Requesting Agency: Michigan Department of Health & Human

Request Date: August 27, 2026

Completed by: 4/30/2027

Contact Phone Email

Agency Program Manager: Soopriya Razdan 517-219-2766 Razdans@michigan.gov

DTMB Program Manager: Jeff Duncan 517-335-8677 Duncanj11@michigan.gov

Contract Admin: Jarrod Barron 517-249-0406 Barronj1@michigan.gov

Contractor Contact: Steven Follum 202-772-5054 Steven.follum@altarum.org

1. SOW Objectives/Purpose.

The goal of this contract change is to strengthen the capacity of birth defects surveillance programs to respond to emerging threats to mothers and babies as a key component of preparedness, identifying and addressing mechanisms contributing to health disparities, and improving health outcomes of affected populations. The key objectives are:

• Work with a hospital (Hurley Medical Center, Michigan Medicine and/or Henry Ford Health) to pilot the use of a SMART-on-FHIR application to pull data from the hospital’s production EHR system using data from eCR-identified birth defect cases

• Compare the combined eCR/EHR data to the case report data previously submitted by the hospital via flat file to the birth defect registry to evaluate quality and completeness to determine if eCR/FHIR could replace flat file for reporting birth defect case data

The parties agree to extend the Contract for 7-months (April 30, 2027) to allow for the completion of the work identified in this SOW.

2. Software.

Software requirements are identified in the Business Requirement Specification Table.

mailto:Razdans@michigan.gov mailto:Duncanj11@michigan.gov mailto:Barronj1@michigan.gov mailto:Steven.follum@altarum.org

3. Implementation Milestones, Deliverables, and Pricing.

3.1. Implementation Table

Milestone Event Associated Milestone Deliverable(s) Milestone Date Implementation Fee

Project Kick-off Meeting with State and Pilot Hospitals

Project Kick-off October FY27 $3,361.13

Modify and QA Test Birth Defects Reporting FHIR Application to Support a SMART-on-FHIR Standalone Launch and EHR FHIR Data Pull using eCR Birth Defect Case Data

Modify/QA Test Birth Defects Reporting FHIR Application to Support a SMART-on-FHIR Standalone Launch and EHR FHIR Data Pull using eCR Birth Defect Case Data

January 2027 $103,624.48

Deploy FHIR Application to ASCN, Configure Integration with Hospital EHRs, and Test against Hospital Test EHRs using Hospital Test Patient

February 2027 $60,413.36

Run FHIR Application against Hospital Production EHRs using eCR Birth Defect Case Data

March 2027 $40,278.00

Milestone Event Associated Milestone Deliverable(s) Milestone Date Implementation Fee

Deliver Combined EHR FHIR/eCR Data Set to the State and Assist with Comparing against Data Submitted to Birth Defect Registry via Flat File

March 2027 $29,909.04

Adding Findings to CDC Final Report

Adding Finding to CDC Final Report April 2027 $4,685.92

Project Closeout Project Closeout April 2027 $0

Labor Total $242,271.93

*Contractor will invoice upon State Acceptance of Milestone Deliverable(s).

3.1.1. Other Fees.

Description Monthly Amount Term (Year

1) * Term (Year 2) Term (Year

3) Total

Hosting: Altarum Secure Cloud Network (ASCN) Hosting

$ 0 $ 0 $ 0 $ 0 $ 4,144.00

Support Services:

Epic Support Services

$ 0 $ 0 $ 0 $ 0 $ 2,280.00

Non-Labor & G&A for ODC $ 1,304.07

Total Other Fees: $ 0 $ 0 $ 0 $ 0 $ 7,728.07

*Term and fee will be pro-rated upon State Acceptance to include any applicable Warranty Period and to be co-terminus with the MA.

4. Total SOW Pricing.

Summary Table

Description Total

Implementation Fees (Total from Table 5.1) $ 242,271.93

License Fees (Total from Table 5.2.1) $ 0

Other Fees (Total from Table 5.2.2) $ 7,728.07

Total SOW Amount $ 250,000.00

5. Other Information:

Contractor will perform the following activities to support a proof-of-concept hospital pilot test using eCR identified birth case data to pull birth defect case reporting data from a hospital’s production EHR:

• Hold project kick-off meeting with state and pilot hospitals

• Modify Birth Defects Reporting SMART-on-FHIR (FHIR) application to support a SMART-on-FHIR standalone launch per the Epic specification

• Modify FHIR application to support loading and using eCR birth defect case data to pull EHR FHIR data

• Modify FHIR application to support an extract of joined eCR and EHR FHIR data

• Upload to Epic Vendor Services and configure for hospital access in Test and Prod

• Deploy FHIR application to ASCN and configure integration with pilot hospitals’ Test and Production EHRs to enable the SMART-on-FHIR standalone launch

• Test FHIR application in ASCN against hospital Test EHRs using test patient data provided by the hospitals

• Download eCR case data spreadsheet from state network, convert to .CSV format and upload to the Altarum Secure Cloud Network (ASCN)

• Run FHIR application in ASCN against hospital Production EHRs using the eCR data

• Generate extract of combined EHR FHIR data and eCR data and deliver to the state

• Work with state to extract case report data submitted via flat file from the birth defect registry that corresponds to the case data in the eCR spreadsheet

• Assist state in comparing the combined EHR FHIR/eCR data to the data submitted to the birth defect registry via flat file

• Add findings to CDC Final Report

• Closeout project

Contractor will provide:

• One (1) year of Epic Vendor Services Membership

• One (1) hour of Epic Support Services

• Seven (7) months of Altarum Secure Cloud Network hosting

Acceptable Criteria:

• The scope of the proof-of-concept test is with an Epic hospital only

• Hosting of the SMART-on-FHIR application will reside in the Altarum Secure Cloud Network (ASCN) for purposes of conducting the proof-of-concept test

• The state will place an Excel spreadsheet containing eCR birth defect case data in a folder on the state network that is accessible by Altarum staff

• The application will keep a working copy of the source FHIR data

Central Procurement Services 320 S Walnut Street Lansing, MI 48933 P.O. Box 30026, Lansing, MI 48909

CONTRACT CHANGE NOTICE

Change Notice Number 18 to Contract Number MA210000001451

C O

A C

ALTARUM INSTITUTE

3520 Green Ct.

Suite 300

Ann Arbor MI 48105

Steven Follum

(202) 772-5054 steven.follum@altarum.org

CV0023268

Pr og ra m

M an ag er

Various Various

C on tr ac t A dm in is tr at or Jarrod Barron DTMB

(517) 249-0406

BarronJ1@michigan.gov

CONTRACT SUMMARY

Interoperability Systems Services, Maintenance, and Operations

INITIAL EFFECTIVE DATE

October 1, 2021

INITIAL EXPIRATION DATE

October 1, 2022

INITIAL AVAILABLE OPTIONS

4 - 1 Year

EXPIRATION DATE

BEFORE

September 30, 2026

PAYMENT TERMS

NET 45

DELIVERY TIMEFRAME

N/A

ALTERNATE PAYMENT OPTIONS

P-Card Direct Voucher (PRC) Other

EXTENDED PURCHASING

Yes No

MINIMUM DELIVERY REQUIREMENTS

N/A

DESCRIPTION OF CHANGE NOTICE

OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION

0 Years

REVISED EXP. DATE

CURRENT VALUE

$19,608,279.70

VALUE OF CHANGE NOTICE

$0.00

ESTIMATED AGGREGATE CONTRACT VALUE

$19,608,279.70

DESCRIPTION

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

Effective 2/20/2026, the parties add the services detailed in the attached CDC Birth Defects Surveillance and Birth Reporting FHIR statements of work, both of which will utilize existing contract funds. All other terms, conditions, specifications and pricing remain the same. Per Contractor, Agencies, and DTMB Central Procurement approval.

CHANGE NOTICE NO. 18 TO CONTRACT NO. MA210000001451

Program Managers for

Multi-Agency and Statewide Contracts

AGENCY NAME PHONE EMAIL

DTMB John Moore 517-331-5065 MooreJ7@michigan.gov

DTMB Soopriya Razdan 517-219-2766 RazdanS@michigan.gov

MDHHS Jeffrey Duncan 517-335-8677 DuncanJ11@michigan.gov

MDHHS Edward Hartwick 517-284-4947 HartwickE@michigan.gov

MDHHS Shelby Heppe 517-335-6497 Heppes@michigan.gov

MDHHS Julie Kusey 517-335-9604 KuseyJ@michigan.gov

MDHHS Dan Albright 517-284-4791 AlbrightD@michigan.gov

MDHHS Allison Repp 517-599-1461 ReppA@michigan.gov

Michigan.gov/MiProcurement

Version 2021-1 1 of 4

STATEMENT OF WORK -

IT CHANGE NOTICE

Project Title:

CDC Birth Defects Surveillance

Period of Coverage:

10/1/2025-4/30/2026

Requesting Department:

Michigan Department of Health and Human Services

Date:

November 24, 2025

Agency Program Manager:

Jeff Duncan

Phone:

517-335-8677

DTMB Program Manager:

Soopriya Razdan

Phone:

517-219-2766

Brief description of services to be provided:

PROJECT OBJECTIVE:

This Statement of Work is subject to the terms and conditions of Contract 210000001451. The objective is to enhance the ability of birth defects surveillance programs to effectively respond to emerging threats impacting mothers and infants. The goal is to respond to emerging threats to mothers and babies as a key component of preparedness, identifying and addressing mechanisms contributing to health disparities, and improving health outcomes of affected populations. The project objectives are:

• Improve birth defects surveillance capacity, including leveraging Electronic Health Records (EHR) and interoperability capabilities to enhance surveillance of birth Defects

• Improve birth defects surveillance data quality

• Use surveillance data to improve health outcomes of affected populations

SCOPE OF WORK:

The Contractor will continue with the development and testing work of the birth defects reporting SMART-on-FHIR application, to include the following features and activities to support a hospital pilot test:

• Identify and Extract Originally Submitted Data from BD Registry for Each Participating Hospital

• Configure FHIR Application Backend to Use EHR FHIR Data from Birth FHIR Launch for Birth Defect Pilot Test

• Conduct Hospital Pilot Test

• Deploy Rhapsody FHIR to Flat File Conversion Route to DQT Test

• Use Rhapsody Route to Convert EHR FHIR Data to BD Registry Flat File Data

Version 2021-1 2 of 4

• Compare and Assess Converted EHR FHIR Data to Originally Submitted Data

• Add Findings to CDC Final Report

In addition to the above activities, the firm fixed fee includes:

• One (1) year of Epic Vendor Services Membership

• One (1) hour of Epic Support Services

• Four (4) months of Altarum Secure Cloud Network hosting

The funding for these efforts is listed under CCN3.

The parties agree as follows:

• The scope of the pilot test is with an Epic hospital only

• Hosting of the SMART-on-FHIR application will reside in the Altarum Secure Cloud Network (ASCN) for purposes of conducting the pilot test

• The application will keep a working copy of the source FHIR data

PROJECT MILESTONE TIMELINE:

Milestone Timeline Date Identify and Extract Originally Submitted Data from BD Registry for Each Participating Hospital Mar FY26

Configure FHIR Application Backend to Use EHR FHIR Data from Birth FHIR Launch for Birth Defect Pilot Test Apr FY26

Conduct Hospital Pilot Test Apr FY26

Deploy Rhapsody FHIR to Flat File Conversion Route to DQT Test AprFY26 Use Rhapsody Route to Convert EHR FHIR Data to BD Registry Flat File Data Apr FY26

Compare and Assess Converted EHR FHIR Data to Originally Submitted Data

Apr FY26

Add Findings to CDC Final Report Apr FY26 Pilot Test Completes Apr FY26

DELIVERABLES:

Deliverables will not be considered complete until the Agency Project Manager has formally accepted them.

SPECIFIC DEPARTMENT STANDARDS:

Agency standard, if any, in addition to DTMB standards.

Version 2021-1 3 of 4

PROJECT COST:

Contractor may invoice the State for the $87,000.00 firm fixed fee after the State has received, tested, and formally accepted all deliverables detailed herein. Contractor will send invoices to dtmb-accounts-payable@michigan.gov. The table below reflects how the project costs were calculated.

Labor Cost Identify and Extract Originally Submitted Data from BD Registry for Each Participating Hospital $12,477.42

Configure FHIR Application to Support Hospital Production EHR Launch $20,382.06

Conduct Hospital Proof-of-Concept Test $8,771.58

Deploy Rhapsody FHIR to Flat File Conversion Route to DQT Test $10,057.98

Use Rhapsody Route to Convert EHR FHIR Data to BD Registry Flat File Data

$9,480.06

Compare and Assess Converted EHR FHIR Data to Originally Submitted Data

$11,355.26

Add Findings to CDC Final Report $9,827.64 Labor Total $82,352.00

Epic Support

Epic Support Services $2,280.00

Epic Support Services Total $2,280.00

Hosting

Altarum Secure Cloud Network (ASCN) Hosting $2,368.00

ASCN Hosting Total $2,368.00

Project Total $87,000.00

EXPENSES:

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

PROJECT CONTACTS:

The designated Contractor Project Manager is:

Mike Yaskanin Senior Product Manager 248-935-michael.yaskanin@altarum.org mailto:dtmb-accounts-payable@michigan.gov mailto:michael.yaskanin@altarum.org

Version 2021-1 4 of 4

The designated DHHS Program Manager is:

Jeff Duncan Michigan Department of Health and Human Services 333 S. Grand Ave.

Lansing, MI 48933 517-335-8677 Duncanj11@michigan.gov

The designated DTMB Program Manager is:

Soopriya Razdan Department of Technology Management and Budget Agency Services 235 S. Grand Ave.

Lansing, MI 48933 517-219-2766 Razdans@michigan.gov mailto:Duncanj11@michigan.gov mailto:Razdans@michigan.gov

Version 2021-1 1 of 3

Project Title:

Birth Reporting FHIR (VRS-FHIR-CERT)

Period of Coverage:

2/1/2026 – 9/30/2026

Requesting Department:

Michigan Department of Health & Human Services

Date:

January 26, 2026

Agency Program Manager:

Jeff Duncan

Phone:

(517) 335-8677

DTMB Project Manager:

Soopriya Razdan

Phone:

(517) 219-2766

Brief description of services to be provided:

SCOPE OF WORK:

This Statement of Work is subject to the terms and conditions of Contract 210000001451.

Contractor will continue with the development and testing work of the birth reporting SMART-on- FHIR application, to include the following features and activities:

• Conduct Hospital Production Pilot Testing

• Develop & Test Application Reports Functionality

• Develop & Test Audit Log Export Functionality

• Develop & Test System Administrator Functionality

• Add MiLogin Integration for Systems Administrator Access

Along with application development, testing, integration and hospital pilot testing, the firm fixed fee includes:

• One (1) hour of Epic vendor support services

• Seven (7) months of Altarum Secure Cloud Network hosting

PROJECT MILESTONE TIMELINE:

Conduct Hospital Production Pilot Testing June FY26

Develop & Test Application Reports Functionality June FY26

Develop & Test Configurations Functionality June FY26

Version 2021-1 2 of 3

Develop & Test Audit Log Export Functionality August FY26

Develop & Test System Administrator Functionality August FY26

Add MiLogin Integration for Systems Administrator Access August FY26

Phase 2 Production Pilot Completes – Project Close September FY26

Deliverables will not be considered complete until the Agency Project Manager has formally accepted them.

SPECIFIC DEPARTMENT STANDARDS:

Agency standard, if any, in addition to DTMB standards.

PROJECT COST:

Contractor may invoice the State for the $354,930.81 firm fixed fee after the State has received, tested, and formally accepted all deliverables detailed herein. Contractor will send invoices to dtmb-accounts-payable@michigan.gov. The tables below reflect how the project costs were calculated.

Labor Estimate

Conduct Hospital Production Pilot Testing $147,373.16

Develop & Test Application Reports Functionality $33,536.28

Develop & Test Configurations Functionality $75,850.68

Develop & Test Audit Log Export Functionality $20,016.28

Develop & Test System Administrator Functionality $62,243.64

Add MiLogin Integration for Systems Administrator Access $9,563.60

Labor Total $348,583.64

Non-Labor Estimate

Epic Support Services $533.14

Altarum Secure Cloud Network (ASCN) Hosting $5,814.03

Non-Labor Total $6,347.17

Version 2021-1 3 of 3

Project Total Estimate

Total Labor/Non-Labor $354,930.81

Contract Rate Card for Ancillary Professional Services Mapping:

Staffing Category Contract Rates Hours Total Price

Project Manager/Technical Lead

$204.06 150 $30,609.00

Senior Software Developer

$198.08 456 $90,324.48

Programmer $177.62 1,132 $201,065.84

Technical Writer $144.48 184 $26,584.32

Total Labor Price 1,922 $348,583.64

EXPENSES:

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

PROJECT CONTACTS:

The designated Contractor Project Manager is:

Mike Yaskanin Senior Product Manager 248-935-4690 michael.yaskanin@altarum.org

The designated DHHS Agency Program Manager is:

Jeff Duncan Michigan Department of Health and Human Services 333 S. Grand Ave.

Lansing, MI 48933

(517) 335-8677 Duncanj11@michigan.gov

The designated DTMB Project Manager is:

Soopriya Razdan Michigan Department of Technology Management and Budget Agency Services 235 S. Grand Ave.

Lansing, MI 48933

(517) 219-2766 RazdanS@michigan.gov mailto:michael.yaskanin@altarum.org mailto:Duncanj11@michigan.gov mailto:RazdanS@michigan.gov

Central Procurement Services 320 S Walnut Street Lansing, MI 48933 P.O. Box 30026, Lansing, MI 48909

CONTRACT CHANGE NOTICE

CONTRACT SUMMARY

Interoperability Systems Services, Maintenance, and Operations

INITIAL EFFECTIVE DATE INITIAL EXPIRATION DATE INITIAL AVAILABLE OPTIONS EXPIRATION DATE

BEFORE

October 1, 2021 October 1, 2022 4 - 1 Year September 30, 2025

PAYMENT TERMS DELIVERY TIMEFRAME

ALTERNATE PAYMENT OPTIONS EXTENDED PURCHASING

MINIMUM DELIVERY REQUIREMENTS

N/A

P-Card Direct Voucher (PRC) Other Yes No

3520 Green Ct.

Suite 300

Ann Arbor MI 48105

Steven Follum

(202) 772-5054 steven.follum@altarum.org

CV0023268

ALTARUM INSTITUTE

C O

A C

Jarrod Barron

(517) 249-0406

DTMB

Various Various

BarronJ1@michigan.gov

C ontract

A dm inistrator Program M anagerSTA

N/ANET 45

Change Notice Number 17

Contract Number MA210000001451 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

1 Year September 30, 2026

$16,761,615.70 $2,846,664.00 $19,608,279.70

DESCRIPTION

Effective 9/11/2025, the parties exercise the final option year and add $2,846,664.00 for the services detailed in the three attached statements of work (SOW): (1) FY26 M&O SOW, (2) SOW descoping NBS DBS effective 5/1/2025, and (3) the SOW revising ICBR scope and funding through 12/31/2025. All other terms, conditions, specifications and pricing remain the same. Per Contractor, Agency, DTMB Central Procurement and State Administrative Board approval on 9/11/2025.

AGENCY NAME PHONE EMAIL

MDHHS Allison Repp 517-599-1461 ReppA@michigan.gov

MDHHS Dan Albright 517-284-4791 AlbrightD@michigan.gov

MDHHS Edward Hartwick 517-284-4947 HartwickE@michigan.gov

MDHHS Jeffrey Duncan 517-335-8677 DuncanJ11@michigan.gov

DTMB John Moore 517-331-5065 MooreJ7@michigan.gov

MDHHS Julie Kusey 517-335-9604 KuseyJ@michigan.gov

MDHHS Shelby Heppe 517-335-6497 Heppes@michigan.gov

DTMB Soopriya Razdan 517-219-2766 RazdanS@michigan.gov

Program Managers for

Multi-Agency and Statewide Contracts

CHANGE NOTICE NO. 17 TO CONTRACT NO. MA210000001451

Version 2021-1 1 of 12

STATEMENT OF WORK -

IT CHANGE NOTICE

Project Title:

Interoperability Exercising Option Year 4 and support for

FY26 M&O.

Period of Coverage:

10/1/2025 – 9/30/2026

Requesting Department:

Michigan Department of Health and Human Services

Date:

8/19/2025

Agency Project Manager:

Jeffrey Duncan

Phone:

517-335-8677

DTMB Project Manager:

Soopriya Razdan

Phone:

517-219-2766

I. BACKGROUND:

II. PROJECT OBJECTIVE:

Altarum supports Interoperability under contract 171-210000001451. Provided is an overview of the objectives and deliverables for the project estimates in support Interoperability Fiscal Year 2026.

III. SCOPE OF WORK:

The scope includes the following requirements based upon information from multiple sources shared with Altarum:

1. Birth Defect Registry Development:

The service is a comprehensive effort led by the Michigan Department of Health and Human Services (MDHHS) to modernize and enhance the state's birth defect surveillance infrastructure. Key components include system development and data analytics.

Deliverable Details

Release 22 CDC CFD, DQ, FIT, ML, CV, VRL, Ref. Tables

Release 23 CDC CFD, DQ, FIT, ML, CV, VRL, Ref. Tables

Release 24 CDC CFD, DQ, FIT, ML, CV, VRL, Ref. Tables Release 25 CDC CFD, DQ, FIT, ML, CV, VRL, Ref. Tables Release 26 AQR, Dash, FRC

Version 2021-1 2 of 12

Deliverable Details

Release 27 CFD Pull. Event Log (Audit) Release 28 User Permissions, User Mgt/Facility Mgt Release 29 In App Notifications, M&O Release 30 Advanced Analytics, BE, M&O Release 31 Advanced Analytics, BE, M&O Release 32 Advanced Analytics, BE, M&O Release 33 Automated VR Feeds, M&O Release 34 Knowledge Transfer

2. Birth Defect Registry Interoperability:

The service focuses on enhancing and maintaining the accurate, consistent, and timely reporting of birth defect-related data between healthcare facilities and the state registry. It aims to provide the necessary tools to ensure that facility data quality and reporting frequency meets the requirements of the state birth defect surveillance program.

Configure testing and validation for birth defect reporting

• Validate message formats against current reporting specifications

• Simulate real-world scenarios for edge case handling Provide technical assistance for submitters

• Offer training sessions and user guides for system onboarding

• Troubleshoot connectivity, formatting, and transmission issues

• Maintain a help desk or support ticket system for inquiries

Test national standards for birth defect reporting

• Participate in interoperability testing events (e.g., IHE & HL7 Connectathons)

• Benchmark compliance with federal reporting requirements

• Assess cross-jurisdictional data integration effectiveness

Provide technical assistance to Vital Records to automate monthly birth and death data extract files to the birth defect registry

• Provide technical assistance to Vital Records to include adoptions (sealed birth records) in the monthly birth data extract file to the birth defect registry

• Onboard new hospital and ambulatory sites

• Provide institutional and technical assistance for direct submitters

• Update flat file specification as necessary

• Provide institutional and technical assistance for data extract and reporting requests

3. Vital Records Interoperability - Birth (VR Birth):

Version 2021-1 3 of 12

This service ensures standardized, automated, and timely exchange of birth-related data between healthcare facilities and the state registry. It supports real time integration of live birth records, enhances data quality for public health surveillance, and streamlines the registration process using HL7 messaging and modern APIs.

Work with CDC NCHS to design and implement birth and fetal death standards

• Collaborate on national messaging specifications (e.g., HL7 and FHIR profiles)

• Align reporting fields with jurisdictional and federal Requirements

• Participate in workgroups and review cycles led by NCHS Test national standards for vital records reporting

• Conduct scenario-based validation across multiple Jurisdictions

• Use synthetic datasets to test edge cases and compliance

• Provide feedback to CDC NCHS on implementation issues

Recruit and provide technical assistance for electronic reporting

• Engage state and local vital records offices for onboarding

• Offer webinars, onboarding kits, and direct consultation

• Monitor data submission rates and troubleshoot issues

Add new functionality as requested by MDHHS

• Incorporate new data fields or workflows into current systems

• Prioritize enhancements based on MDHHS feedback and policy needs

• Document changes and update user-facing materials Additional integration activities - Implement routes in DQT Rhapsody to support FHIR message exchange with NCHS

• Configure transformation logic from legacy formats to FHIR

• Set up secure transport protocols and message routing

• Monitor transaction logs and message success rates

4. Vital Records Interoperability - Death (VR Death)

This service focuses on securely transmitting death certificate data from hospitals, coroners, and funeral homes to the state registry, and from the state registry to the CDC. It aims to reduce delays, ensure accurate cause-of-death coding, and support analytics for epidemiology and public health policy work focuses on ensuring proper message flow to and from MDSS and its partner organizations.

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Deliverable Details

Work with CDC NCHS to design and implement death standards

• Collaborate on FHIR profiles for death certification

• Standardize cause-of-death coding and data elements

• Align workflow requirements with national vital records system Test national standards for vital records reporting

• Conduct conformance testing with pilot jurisdictions

• Validate interoperability across diverse state systems

• Share findings to inform national standard refinements

Recruit and provide technical assistance for electronic reporting

• Engage funeral homes, coroners, and medical certifiers

• Provide onboarding kits, documentation, and webinars

• Offer direct support for system integration and data submission Add new functionality as requested by MDHHS

• Integrate specialized death reporting features (e.g., overdose tracking)

• Support updates to metadata and user permissions

• Enhance user interfaces based on MDHHS feedback

Support death batch flat file and FHIR routes in DQT Rhapsody

• Maintain parallel processing of legacy and FHIR message types

• Optimize translation logic between formats

• Monitor and troubleshoot transfer pipelines

Modify death FHIR routes to improve performance and eliminate need for stopping

• Implement asynchronous routing logic

• Add load balancing and retry mechanisms

• Reduce downtime during system updates

Modify death FHIR routes to support exchange with VERA death registry

• Configure endpoint integration with VERA APIs

• Map FHIR resource elements to VERA schema

• Validate message fidelity and delivery status

Provide testing and technical assistance to upgrade DQT Rhapsody to version 7.4

• Coordinate upgrade timelines with stakeholders

• Test compatibility of existing routes and scripts

• Offer documentation and post-upgrade support

5. Cancer Interoperability

This service focuses on the seamless exchange of cancer diagnosis, staging, treatment, and outcome data between providers and cancer registries.

Leveraging HL7 CDA and FHIR standards, it enables timely reporting, supports clinical decision-making, and drives surveillance for cancer control initiatives.

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Deliverable Details

Configure testing and validation tools for cancer reporting

• Set up conformance testing tools for HL7 CDA and FHIR messages

• Validate structured data against national and state cancer registry standards

• Simulate diverse submission formats from pathology labs and clinics

Provide technical assistance to submitters

• Offer onboarding support to hospitals, labs, and providers

• Troubleshoot interface, formatting, and transmission challenges

• Provide help desk support and guided documentation for system integration Update configurations and support Altarum’s State Sponsored Sharing organization

• Modify data exchange configurations to meet Altarum’s program requirements

• Ensure cancer data messages comply with sharing and privacy protocols

• Coordinate updates in response to policy or technical guidance

Manage HL7 and CDA interfaces for importing electronic pathology data into Cancer Registry

• Maintain transformation logic for CDA pathology report ingestion

• Monitor interface performance and error logging

• Apply quality checks to ensure completeness and fidelity of received data Support MCSP during call for Data Cancer reporting to ensure timely submission

• Provide scheduling, extraction, and formatting assistance to MCSP participants

• Validate completeness and timeliness of submitted cancer case records

• Serve as point of contact for troubleshooting and outreach during submission windows

6. NBS Critical Congenital Heart Disease (CCHD):

This service focuses on integrating electronic CCHD screening results from birthing facilities into newborn screening systems. It enhances early detection efforts by automating data capture, ensuring follow-up coordination, and aligning with standardized protocols for pulse oximetry results and confirmatory testing.

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Deliverable Details

Configure testing and validation tools for CCHD messaging

• Set up HL7 message validation tools to ensure formatting and field compliance

• Test data exchange with synthetic screening results and real-world edge cases

• Verify connectivity and message integrity across sender and receiver systems

Provide technical assistance for CCHD data submissions

• Guide facilities on HL7 message creation for pulse oximetry results

• Troubleshoot transmission failures, missing fields, and data errors

• Offer documentation, training materials, and ongoing help desk support

Add new functionality as requested by MDHHS

• Expand message fields to support additional screening metrics or follow-up tests

• Enhance reporting dashboards or analytics tools for state level monitoring

• Adjust validation logic and workflows in response to policy or program change

Onboard new sites to CCHD HL7 reporting

• Conduct readiness assessments and workflow reviews for new birthing centers

• Provide HL7 implementation guides and interface specifications

• Monitor initial data submissions and offer live support during onboarding

7. Environmental Health – BLL:

This service focuses on providing interoperability between the environmental health and blood lead systems, onboarding new partners, planning, developing, testing and implementing.

Technical assistance, testing, and validation of new data providers

• Identify new submitters and provide technical assistance to new submitters in the testing and validation process

• Provide feedback on the quality of the pre-production data submissions and work with MDHHS to approve for production

• Configure environments for production submissions

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Deliverable Details

• Perform end-to-end connectivity testing Updates as required to the message validator system

• Refine validator rules to reflect evolving reporting requirements

• Operate, monitor, update, and resolve defects to the MDHHS Validation Tool

• Update business rules and resolve defects in the Data Quality Tool Tier

Add new functionality as requested by MDHHS

• Update system to improve interoperability and streamline data flow processes both in-bound and out-bound

• Enhancements as requested

IV. PROJECT CONTROL AND REPORTS:

A monthly progress status report must be submitted to the Agency and DTMB Project Managers throughout the life of this project. This report may be submitted with the monthly billing invoice. Each monthly progress report must contain the following:

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

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

V. PAYMENT SCHEDULE:

Maintenance & Operations Payments

Payment will be made on a fixed-price invoicing structure for FY2026, consistent with the Statement of Work. Twelve (12) equal monthly invoices shall be submitted to the State as outlined below.

Milestone-Based Progress Payments

The following milestone table outlines the progress payment percentages applicable to each enhancement. These percentages represent a portion of the total cost for each enhancement and are determined based on the enhancements included in each release.

Progress payments will be made upon completion of the corresponding milestone as follows:

Milestone Progress Payment

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Requirements Sign-off 5%

Design Review 15%

Development Complete 25%

User Acceptance Testing (UAT) Complete 5%

Production Release 20%

Source Code and Deliverable Acceptance 30%

Each progress payment is calculated as a percentage of the total cost of the applicable enhancement(s) included in the release. These progress payments apply only to non-M&O work, which includes Birth Defect Registry Development.

The invoices shall document to the State’s satisfaction, and include the following:

• Project name

• Category of work performed (maintenance and operations, support and/or enhancements

• A description of the work performed/accomplishments,

• The timeframe when the work was performed,

• The purchase order number,

• An invoice number,

• The invoice date,

• The amount to be paid,

• Any additional charges/reimbursable expenses with supporting documentation, and

• Cumulative funds expended

DTMB will pay CONTRACTOR upon receipt of properly completed invoice(s) which shall be submitted to the billing address on the State issued purchase order not more often than monthly. DTMB Accounts Payable area will coordinate obtaining Agency and DTMB Project Manager approvals. All invoices should reflect actual work completed by payment date and must be approved by the Agency and DTMB Project Manager prior to payment. The invoices shall describe and document to the State’s satisfaction a description of the work performed, the progress of the project, and fees. When expenses are invoiced, receipts will need to be provided along with a detailed breakdown of each type of expense.

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

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Please note that the invoice shall be sent to dtmb-accounts-payable@michigan.gov

Deliverable Cost

Birth Defect Registry Development Release 22: CDC CFD, DQ, FIT, ML, CV, VRL, Ref. Tables $33,949.43 Release 23: CDC CFD, DQ, FIT, ML, CV, VRL, Ref. Tables $67,898.86 Release 24: CDC CFD, DQ, FIT, ML, CV, VRL, Ref. Tables $67,898.86 Release 25: CDC CFD, DQ, FIT, ML, CV, VRL, Ref. Tables $67,898.86 Release 26: AQR, Dash, FRC $67,898.86 Release 27: CFD Pull. Event Log (Audit) $67,898.86 Release 28: User Permissions, User Mgt/Facility Mgt. $67,898.86 Release 29: In App Notifications, M&O $67,898.86 Release 30: Advanced Analytics, BE, M&O $67,898.86 Release 31: Advanced Analytics, BE, M&O $67,898.86 Release 32: Advanced Analytics, BE, M&O $67,898.86 Release 33: Automated VR Feeds, M&O $67,898.86 Release 34: Knowledge Transfer $67,898.86 Non-Labor $22,890.25

Total – Birth Defect Registry Development $871,626.00 Birth Defect Registry Interoperability Configure testing and validation for birth defect reporting; Provide technical assistance for submitters

$293,283.28

Test national standards for birth defect reporting $19,552.22 Provide technical assistance to Vital Records to automate monthly birth and death data extract files to the birth defect registry

$78,208.87

Non-Labor $765.64 Total – Birth Defect Registry Interoperability $391,810.00

Vital Records Interoperability Birth Work with CDC NCHS to design and implement birth and fetal death standards; Test national standards for vital records reporting

$13,752.92

Recruit and provide technical assistance for electronic reporting

$55,011.67

Add new functionality as requested by MDHHS $151,282.10 Implement routes in DQT Rhapsody to support FHIR message exchange with NCHS

$55,011.67

Non-Labor $765.64 Total – Vital Records Interoperability Birth $275,824.00

Vital Records Interoperability Death

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Deliverable Cost

Work with CDC NCHS to design and implement death standards; Test national standards for vital records reporting

$13,160.18

Recruit and provide technical assistance for electronic reporting

$13,160.18

Add new functionality as requested by MDHHS $26,320.36 Support death batch flat file and FHIR routes in DQT Rhapsody

$52,640.72

Modify death FHIR routes to improve performance and eliminate need for stopping

$52,640.72

Modify death FHIR routes to support exchange with VERA death registry

$78,961.08

Provide testing and technical assistance to upgrade DQT Rhapsody to version 7.4

$26,320.36

Non-Labor $4,375.41 Total Cost Vital Record Interoperability Death $267,579.00

Cancer Interoperability Configure testing and validation tools for cancer reporting

$21,141.66

Update configurations and support Altarum’s State Sponsored Sharing organization

$84,566.65

Manage HL7 and CDA interfaces for importing electronic pathology data into Cancer Registry

$232,558.29

Support MCSP during Call for Data Cancer reporting to ensure timely submission

$84,566.65

Non-Labor $6,203.75 Total Cancer Interoperability $429,037.00

NBS CCHD

Configure testing and validation tools for CCHD messaging

$41,156.21

Provide technical assistance for CCHD data submissions; Add new functionality as requested by

MDHHS

$82,312.42

Onboard new sites to CCHD HL7 reporting $13,718.74 Non-Labor $765.64

Total NBS CCHD $137,953.00 Environmental Health - BLL Technical assistance, testing, and validation of new data providers

$303,310.31

Updates as required to the message validator system $23,331.56

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Deliverable Cost

Update systems to improve interoperability and streamline data flow processes

$139,989.38

Non-Labor $6,203.75 Total Cost Environmental Health - BLL $472,835.00

TOAL LABOR COST $2,804,693.96

TOTAL NON-LABOR COST (ODC Oracle Hosting and G&A for ODC)

$41,970.04

TOTAL INTEROPERABILITY COST FY26 $2,846,664.00

VI. PROJECT CONTACTS:

The designated Agency Project Manager is:

Jeff Duncan Michigan Department of Health and Human Services 333 S. Grand Ave.

Lansing, MI 48933 517-335-8677 duncanj11@michigan.gov

The designated Business Owner for NBS CCHD is:

Shelby Heppe Michigan Department of Health and Human Services 333 S. Grand Ave.

Lansing, MI 48933 517-335-9296 heppes@michigan.gov

The designated Business Owner for Environmental Health is:

Dan Albright Michigan Department of Health and Human Services 333 S. Grand Ave.

Lansing, MI 48933 517-284-4791 albrightd@michigan.gov

The designated DTMB Project Manager is:

mailto:duncanj11@michigan.gov mailto:heppes@michigan.gov mailto:albrightd@michigan.gov

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Soopriya Razdan Department of Technology Management and Budget (DTMB) Business Relationship Manager - 17 235 S. Grand Ave Lansing, MI 48933 517-219-2766 razdans@michigan.gov mailto:razdans@michigan.gov

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STATEMENT OF WORK -

IT CHANGE NOTICE

Project Title:

Change in Scope for Newborn Screening Blood Spot (NBS DBS) and reduction in the monthly cost for the Bureau of Labs (BOL) Electronic Test Orders and Results (ETOR) – Starlims for remaining FY25

Period of Coverage:

5/1/2025 – 9/30/2025

Requesting Department:

Michigan Department of Health and Human Services

(MDHHS)

Date:

5/15/2025

Agency Project Manager:

Julie Kusey

Phone:

517-335-9604

DTMB Project Manager:

Kevin Gaddy

517-896-6172

I. PROJECT OBJECTIVE:

The goal of the cooperative agreement between the State of Michigan and Altarum is to remove the NBS DBS with Hospital Onboarding deliverable effective 5/1/2025; the associated cost of $98,157.95 is removed from the contract for 5/1/2025 - 9/30/2025.

In addition, the State of Michigan and Altarum agree to a reduction in maintenance and operations for the removal of the Identify/onboard a new Pilot EMR system for Starlims HL7 Orders and Result deliverable from 5/1/2025 to 9/30/2025. This reduction equates to $10,252.28 per month, or $51,261.42 for 5/1/2025 to 9/30/2025.

II. SCOPE OF WORK:

Altarum will continue with Maintenance and Operations for BOL ETOR – Starlims until the end of FY25 (9/30/2025)

III. PAYMENT SCHEDULE:

Payment will be made on a monthly basis. DTMB will pay the Vendor upon receipt of properly completed detailed invoices which shall be submitted to the billing address on the State issues purchase order not more often than monthly. All invoices should reflect actual work completed by payment date and must be approved by the Agency and DTMB Project Manager prior to payment. DTMB will coordinate obtaining approvals.

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The invoices shall document to the State’s satisfaction.

• Project name

• Category of work performed (maintenance and operations, support and/or enhancements)

• The timeframe when the work was performed,

• The purchase order number,

• An invoice number,

• The invoice date, and

• The amount to be paid.

Payment shall be considered timely if made by the DTMB within 45 days after receipt of properly completed invoices.

Pricing Schedule

Program Month 25’ Cost