CN-680000-ME210-A2.pdf

AHCA CONTRACT NO. MED210

AMENDMENT NO. 2

AHCA Contract No. MED210, Amendment No. 2, Page 1 of 4 April 2020

THIS CONTRACT, entered into between the STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, hereinafter referred to as the "Agency" and MYERS and STAUFFER LC, hereinafter referred to as the "Vendor," is hereby amended as follows:

1. Standard Contract, Section II, Item A., Contract Amount, the first sentence is hereby amended to now read as follows:

To pay for contracted services according to the conditions of Attachment I, Scope of Services, in an amount not to exceed $3,685,668.00, subject to the availability of funds.

2. Standard Contract, Section III, Item B., Contract Managers, Sub-Item 1., is hereby amended to now read as follows:

1. The Agency’s Contract Manager’s contact information is as follows:

Ryan Perry Agency for Health Care Administration 2727 Mahan Drive, MS #23 Tallahassee, Florida 32308

(850) 412-4132 Ryan.Perry@ahca.myflorida.com

3. Attachment I, Scope of Services, Section II., Manner of Service(s) Provision, Sub- Section B, Services Provided by the Vendor, is hereby amended to create Item 16., Ad-hoc Project.

16. Ad-hoc Project

a. Year 1 Implementation Support

The following ad-hoc tasks are approved by the Agency to aid in the reporting and monitoring of programs to support low-income recipients and divert them from hospital placement.

TABLE 1

AD-HOC PROJECT: YEAR 1 IMPLEMENTATION SUPPORT

Task # Ad-hoc Task Name Description of Ad-hoc Task 1 Distribution Plan The Vendor shall work with AHCA to develop a spending distribution plan for funding and guidelines for distribution and use of funding (sister agency, direct distribution, etc.).

2 Develop Application The Vendor shall develop, test, and automate (where possible) applications for funding.

DocuSign Envelope ID: 112F27AB-406C-47D4-998B-00EE5A3D2162 mailto:Ryan.Perry@ahca.myflorida.com

AHCA Contract No. MED210, Amendment No. 2, Page 2 of 4

3 Policies and Procedures

The Vendor shall develop policies and procedures for application submittal and approval.

4 Tracking The Vendor shall incorporate application data into a database for tracking.

5 Eligibility The Vendor shall review applications and recommend applications for approval by the Agency.

4. Attachment I, Scope of Services, Section III., Method of Payment, Sub-Section A.

Payment, the first sentence is hereby amended to now read as follows:

This Contract is a fixed price (unit cost) Contract in the amount of $3,685,668.00 for the initial term of this Contract.

5. Attachment I, Scope of Services, Exhibit A, Deliverables, is hereby amended to include Deliverable 4, Ad-hoc Requests, and Deliverable 5, Ad-hoc Project: Year 1 Implementation Support. Deliverable 4, Ad-hoc Requests, was included in AHCA RFP 004-19/20 at the time of award, and due to an administrative oversight, was excluded from the Contract at the time of execution. This deliverable is now incorporated into Attachment I, Scope of Services, Exhibit A, Deliverables, as intended by the Parties at the time of Contract execution.

4. DELIVERABLE

Ad-hoc Requests

SUPPORTING DOCUMENTATION

Ad hoc requests for research and data analysis in support of the rate setting, Medicaid program reform, other sources of State share including the review of Certified Public Expenditures (CPEs) and/or other tasks at the request of the Agency. The Agency will make all ad hoc requests to the Vendor in writing.

For those tasks that the Agency expects to take more than eight (8) hours to complete, the Vendor shall submit to the Agency an estimate of the number of hours required to complete the task and the Agency will provide written notification to the Vendor of its acceptance of the estimate and approval for the Vendor to move forward with the ad hoc request.

For those tasks that the Agency expects to take fewer than eight (8) hours to complete, the Vendor may proceed without developing an estimate. However, if the Vendor, after submission of their original projected hours, determines that a task will require more than eight (8) hours to complete, the Vendor shall submit an estimate to the Agency for formal approval. All ad hoc requests will be invoiced separately from other tasks.

Ad-hoc requests require separate invoice and supporting documentation, including timesheets.

EVALUATION CRITERIA

Completion of the ad-hoc request to the Agency’s satisfaction.

DUE DATE(S)

As requested by the Agency.

AHCA Contract No. MED210, Amendment No. 2, Page 3 of 4

AMOUNT

Unit cost per documented completion of each Ad Hoc Review. See Attachment B., Scope of Services, Section III., Method of Payment, Sub-Section B., Invoicing, Table 1, Required Deliverables and Associated Payments.

PERFORMANCE STANDARDS

For those tasks that the Agency expects to take more than eight (8) hours to complete, the Vendor shall submit to the Agency an estimate of the number of hours required to complete the task and the Agency will provide written notification to the Vendor of its acceptance of the estimate and approval for the Vendor to move forward with the ad hoc request.

For those task that the Agency expects to take fewer than eight (8) hours to complete, the Vendor may proceed without developing an estimate. However, if the Vendor, after submission of their original projected hours, determines that a task will require more than eight (8) hours to complete, the Vendor shall submit an estimate to the Agency for formal approval. All ad hoc requests will be invoiced separately from other tasks.

LIQUIDATED DAMAGES

Please see Attachment B, Scope of Services, Section III., Method of Payment, Sub- Section D., Financial Consequences as Liquidated Damages, Table 2, Performance Standards and Liquidated Damages, for the appropriate liquidated damage that will be imposed.

5.

DELIVERABLE

Ad-hoc Project: Year 1 Implementation Project

SUPPORTING DOCUMENTATION

For each approved ad-hoc project, the Vendor shall submit a written plan to be approved in writing as outlined in Attachment I, Scope of Services, Section II Manner of Service(s) Provision, Sub-Section D., Reporting All working papers must be submitted with the deliverable as outlined in Attachment I, Scope of Services, Section II., Manner of Service(s) Provision, Sub-Section D., Reporting.

EVALUATION CRITERIA

Completion of the approved project plan and submitted with all required supporting documentation. The Agency will track progress of the completion of the project plan tasks through the Vendor’s submission of updated timelines with the Monthly Report.

DUE DATE(S)

Ad-Hoc Deliverable Task

Ad-Hoc Task Name

Due Date Unit Cost

1 Distribution Plan

Ongoing, no later than 11/30/2021 $25,284.00

2 Develop Application

Ongoing, no later than 12/15/2021 $56,840.00

3 Policies and Procedures

Ongoing, no later than 12/31/2021 $32,144.00

4 Tracking Ongoing, no later than 1/15/2022 $139,160.00 5 Eligibility Ongoing, no later than 9/30/2022 $282,240.00

TOTAL $535,668.00

AHCA Contract No. MED210, Amendment No. 2, Page 4 of 4

AMOUNT

Unit cost per documented completion of approved tasks as detailed above.

PERFORMANCE STANDARDS

The Vendor shall submit one final report documenting and compiling all approved ad-hoc analyses, reports, and technical assistant provided.

Contract Year. The Vendor shall submit the deliverable in accordance with the description provided in Attachment I, Scope of Services, Section II., Manner of Service(s) Provision, Sub-Section D., Reporting.

LIQUIDATED DAMAGES

Please see Attachment I, Scope of Services, Section III., Method of Payment, Sub- Section D., Financial Consequences as Liquidated Damages, Table 1, Performance Standards and Liquidated Damages, for the appropriate liquidated damage that will be imposed.

All provisions not in conflict with this Amendment are still in effect and are to be performed at the level specified in this Contract.

This Amendment and all its attachments are hereby made a part of this Contract.

This Amendment cannot be executed unless all previous Amendments to this Contract have been fully executed.

IN WITNESS WHEREOF, the Parties hereto have caused this four (4) page Amendment to be executed by their officials thereunto duly authorized. This Amendment is not valid until signed and dated by both Parties.

MYERS AND STAUFFER, LC STATE OF FLORIDA, AGENCY FOR

HEALTH CARE ADMINISTRATION

SIGNED

BY:

SIGNED

BY:

NAME: NAME:

TITLE: TITLE:

DATE: DATE:

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

12/13/2021

Member

Robert Hicks

Secretary

12/13/2021

Simone Marstiller