3.5.21 CI HRPP executed.pdf

cc: Agency File SPO Form 101 – Competition Impractical (rev 08/11)

100 N 15th AVE, STE 201,PHOENIX, AZ 85007

Procurement Determination:

Competition Impractical

Procurement Authorization

Sections 1 through 3 MUST be completed Use Attachments as Necessary

1) Agency: Arizona Department of Health Services (ADHS), Bureau of Women’s and Children Health (BWCH)

Name: Felicia Marquez Title: Senior Procurement Specialist

Phone: 480-369-2419 Email: Felicia.Marquez@azdhs.gov

Name: Brenda Nichols Title: Program Manager

Phone: 602-542-7341 Email: Brenda.Nichols@azdhs.gov

Subject Materials or Services High Risk Perinatal Program/Newborn Intensive Care Program (HRPP/NICP) - Maternal and Neonatal Transport/Coordination, and Patient Services (Reference attached document for contract number and supplier) Estimated Cost: Approximately: $2,039,240.00 Annually for a period of five (5) year.

Inpatient Physician Services: Approximately $269,040.00 Consultation and Case Management: Approximately $148,800.00 Transport Services: Approximately $461,400.00 Hospitals: Approximately $1,160,000.00

Provide full description of materials or services: Provision of risk appropriate inpatient physician services, inpatient hospital services of Level Ill, Level II EQ, and Level II hospitals, consultation and case management and, 24/ 7 transport for critically ill newborns eligible for the HRPP/NICP.

The HRPP/NICP or Program mission is to reduce the mortality and morbidity of high-risk pregnant women and infants who are critically ill at birth through regionalized statewide system of coordinated care that includes consultation and case management, transport, hospital care, inpatient neonatology services, newborn emergency medical services, and community health nursing and developmental follow-up. Each service is necessary to adequately provide care for critically ill neonates and ensure the most appropriate level of care surrounding a high-risk birth, as well as early identification and support for the infant's developmental needs. This success of this Program is evidenced by a substantial reduction in Arizona's infant mortality rates This Program provides a safety net for Arizona families, to ensure the most appropriate level of care surrounding a high-risk birth, as well as early identification and support for the infant's developmental needs. ADHS currently contracts with five (5) physicians five (5) neonatal, twenty-seven (27) hospitals, nine (9) transport companies, and twelve (12) consultation and case management. A list of current Contracts is available in the State procurement system.

Provide justification: The Program has contracted with Hospitals since ADHS began receiving funding in 1972. In order for the HRPP/NICP to work, it must contract with all Level II, Level II Enhanced Qualifications and Level III hospitals, all perinatologist and neonatologist, and all transportation companies that are certified through the Commission Accreditation of Medical Transport Systems (CAMTS) specializing in perinatal and neonatal care in Arizona. The HRPP/NICP needs maximum participation from each group throughout Arizona, which makes these Contracts non-exclusive.

This Program is inclusive of the following providers/services:

Inpatient Physician Services Program Consultation and Case Management Hospital Program Transport Services

The Contractors are paid only after all other sources of reimbursement are exhausted; the HRPP/NICP serves as payor of last resort and sets fees based on Arizona Health Care Cost Containment System (AHCCCS) fees. The physicians and hospital collect from all insurance companies or AHCCCS, and agree to honor the family liability limitations set by the HRPP/NICP.

Note: In accordance with the Procurement Rules, the Arizona Uniform Terms and Conditions must be made a part of all contracts. If you will be required to sign a software licensing agreement or sign any other agreement containing terms and conditions, which will be made part of the final contract, you must receive prior approval from the Office of the Attorney General.

Approval of this request does not allow for agencies to exceed their dollar acquisition amount of delegated authority.

cc: Agency File SPO Form 101 – Competition Impractical (rev 08/11)

To Be Completed by Procurement Authority:

APPROVAL

X Request Authorized Pursuant to: R2-7-E303

Request Denied:

Request Returned for Additional Information:

See Comments:

Comments:

Approved by:

Signature:

Title:

Chief Procurement Officer

Date:

3.5.2021

AGENCY NOTICE: This is your official written determination in response to your procurement authorization request. The original request shall be maintained in the State Procurement Office.

Christine Ruth

Digitally signed by Christine Ruth Date: 2021.03.05 13:11:09 -07'00'

High Risk Perinatal Program (HRPP) Contract Supplier CTR054252 Abrazo Arrowhead Hospital CTR054253 Banner Casa Grande Medical Center CTR054254 Banner Desert Medical Center CTR054256 Banner Gateway Medical Center CTR054257 Banner Thunderbird Medical Center CTR054258 Banner University Medical Center-Tucson

CTR054259

Dignity St. Joseph's Medical Center- Phoenix

CTR054260 Flagstaff Medical Center CTR054261 HonorHealth Scottsdale-Osborn CTR054262 HonorHealth Scottsdale-Shea CTR054264 Mercy Gilbert Medical Center CTR054265 Northwest Medical Center CTR054266 Phoenix Children's Hospital

CTR054267

SMSJ Tucson Holdings LLC dba St. Joseph's Hospital

CTR054268 Summit Healthcare Regional CTR054269 Tucson Medical Center CTR054270 Valleywise Health CTR054271 Yuma Regional Medical Center

CTR053476 FLAGSTAFF MEDICAL CENTER

CTR053477

PROFESSIONAL MEDICAL TRANSPORT -

PMT AMBULANCE

CTR053479 PHI Health LLC - Air Evac Services

CTR053480

Guardian Transport Services LLC - Guardian Transport Services

CTR053481

AIR METHODS CORP - UNITED

ROTORCRAFT

CTR053486

SOUTHWEST AMBULANCE OF TUCSON INC -

KORDS SOUTHWEST AMBULANCE

CTR053478

Professional Medical Transport - PMT Ambulance