4-236132 Amendment 5 SOW and quote.pdf

UTAH DEPARTMENT OF HEALTH & HUMAN SERVICES

CONTRACT AMENDMENT

PO Box 144003, Salt Lake City, Utah 84114 288 North 1460 West, Salt Lake City, Utah 84116

2327803 236132 DHHS Log Number State Contract Number

1. CONTRACT NAME: The name of this contract is Utah Health Policy Project - Disability and Health Supplement Funds Amendment 5

2. CONTRACTING PARTIES: This contract amendment is between the Utah Department of Health & Human Services (DHHS) and UTAH HEALTH POLICY PROJECT (CONTRACTOR).

PAYMENT ADDRESS MAILING ADDRESS

UTAH HEALTH POLICY PROJECT

2369 W Orton Cir West Valley City, Utah 84119

UTAH HEALTH POLICY PROJECT

2369 W Orton Cir West Valley City, Utah 84119

Vendor ID: VC0000125744 Commodity Code: 93131 Health Programs including drug abuse, preventing programs

3. PURPOSE OF CONTRACT AMENDMENT: The purpose of this amendment is to increase the contract amount and replace Attachment B.

4. CHANGES TO CONTRACT:

1. The contract amount is being changed. The original amount was $419,101.00. The funding amount will be increased by $148,619.00 in federal funds. New total funding is $567,720.00.

2. Attachment B (attached): Scope of Work is replacing Attachment B: Scope of Work.

All other conditions and terms in the original contract and previous amendments remain the same.

5. EFFECTIVE DATE OF AMENDMENT: This amendment is effective 08/11/2025 .

6. DOCUMENTS INCORPORATED INTO THIS CONTRACT BY REFERENCE BUT NOT ATTACHED:

A. All other governmental laws, regulations, or actions applicable to services provided herein.

B. All Assurances and all responses to bids as provided by the CONTRACTOR.

7. This contract, its attachments, and all documents incorporated by reference constitute the entire agreement between the parties and supersedes all prior written or oral agreements between the parties relating to the subject matter of this contract.

Intentionally Left Blank

Contract with Utah Department of Health & Human Services and UTAH HEALTH POLICY PROJECT , Log # 2327803

IN WITNESS WHEREOF, the parties enter into this agreement.

PRIMARY CONTRACTOR:

Signature Signature

Electronically Signed By

09/23/2025

Matthew C Slonaker

09/17/2025 By:

Tracy Gruber Executive Director Department of Health & Human Services

Date By:

Matthew C Slonaker Matthew C Slonaker

Date

Utah Division of Purchasing and General Services

Electronically Signed By

Date

Attachment B: Scope of Work Utah Health Policy Project – Disability and Health Supplement Funds Amendment 5

Article 1

GENERAL PURPOSE

1.1 General Purpose. The general purpose of this contract is to implement and evaluate a demonstration project to link adults with Intellectual Disability and Developmental Disability with unmet needs to preventive health care and health promotion programs in their community.

Article 2

DEFINITIONS

2.1 Definitions. In this grant, the following definitions apply:

“Healthcare Provider” means a doctor of medicine or osteopathy, physician assistant/associate (PA), podiatrist, dentist, chiropractor, clinical psychologist, optometrist, nurse practitioner, nurse-midwife, or a clinical social worker who is authorized to practice by the State of Utah and acting within the scope of their practice.

“Health Promotion Program” means any program designed to empower individuals to choose healthy behaviors and make changes that reduce the risk of developing chronic diseases or other health conditions (e.g. Walk with Ease, Chronic Disease Self-Management Program, etc.). When there is enough evidence of the program’s effectiveness or benefits, it is also called an evidence-based intervention (EBI).

Article 3

SERVICE REQUIREMENTS

3.1 Administration. The Grantee shall:

(1) maintain staff, including trained linkage coordinator(s), to implement the project;

(2) attend all regularly scheduled Demonstration/Linkage Project stakeholder meetings convened by

DHHS; and

(3) attend meetings for Linkage Coordinators to discuss barriers and successes to participant referrals.

3.2 Linkages. The Grantee shall:

(1) implement the demonstration project. Linkage coordinators shall;

(A) screen at least 50 eligible participants by July 31, 2026;

(B) assess eligible participants for healthcare needs;

(C) refer participants to needed healthcare providers and health promotion programs as identified by assessments and determined by participants;

(D) record the number and type of referral made in the data management system;

(E) conduct follow-up appointments including 3-month (or sooner) appointment; and

(F) conduct pre- and post-knowledge assessments.

3.3 Data. The Grantee shall:

(1) comply with the DHHS Disability and Health Program’s Data Management Plan to ensure data privacy, confidentiality, and security; and

(2) collect, track, and manage required data forms, including:

(A) initial participant interview;

(B) screening and enrollment outcomes;

(C) 3-month follow-up retention; and

(D) overall linkage outcomes.

3.4 Reporting. The Grantee shall submit quarterly reports no later than December 5, April 3, June 30 and

August 7 of each year that include the overall successes and barriers related to the implementation of the project and de-identified participant data results for each required data form.

Article 4

FUNDING

4.1 Funding.

(A) $110,024.00 for the period October 5, 2022 to August 31, 2023.

(B) $211,255.00 for the period August 1, 2023 to July 31, 2024.

(C) $60,000.00 for the period August 1, 2024 to July 31, 2025.

(D) $37,822.00 for the period December 1, 2024 to July 31, 2025.

(E) $148,619.00 for the period August 4, 2025 to July 31, 2026.

4.2 Budget Description Amount

Salaries and fringe $142,619.00

Supplies and current expenses $3,500.00

Travel $2,500.00

Total $148,619.00

Article 5

INVOICING

5.1 Invoicing. The Grantee shall:

(1) submit invoices no later than:

(A) December 5 of each year for the period August 1 to November 30 of each year;

(B) April 3 of each year for the period of December 1 to March 31 of each year;

(C) June 30 of each year for the period of April 1 to June 30 of each year; and

(D) August 7 of each year for the period of July 1 to July 31 of each year.

(2) include the following items in the invoice:

(A) contractor address and contact information;

(B) a unique invoice number;

(C) the state contract number;

(D) invoice due date and invoice period;

(E) service description and amount due; and

(F) contractor signature and date.

Article 6

OUTCOMES

6.1 Outcome. The desired outcome of this grant is to increase fair and equitable access to inclusive and culturally appropriate healthcare.

6.2 Performance Measure. Number of adults with disabilities with fewer unmet needs for preventive health, including mental health.

6.3 Reporting. The Grantee shall submit a high-level annual report using a provided template due by the end of

September 2025.