4-236132 SOW.pdf

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.