CTR048038_Contract_Amendment_Summary__8.pdf

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Master Agreement AZ|CTR048038
Contract number
CTR048038
Issued by
Arizona

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This document is a Contract Amendment (Amendment Number 8) between the Arizona Department of Economic Security and the Inter-Tribal Council of Arizona, Inc. The contract is specifically related to Area Agencies on Aging services and bears the contract number CTR048038. The amendment modifies the original contract's reimbursement ceiling for the period of July 1, 2022 through June 30, 2023.

The amendment increases the contract reimbursement ceiling from $2,890,261 to $3,313,274, which includes an estimated carryover funding of $1,408,975 from State fiscal year 2022. The contract covers multiple service categories including State Administration, Older Americans Act (OAA) Administration, Title III programs (B, C1, C2, D, E), State Independent Living Supports, Elder Abuse prevention, and various COVID-related and supplemental funding streams. The revised Service Budget is attached to the amendment, detailing allocations across different program codes and service areas, with funding sources including federal, state, and special COVID-related appropriations such as CARES Act, ARPA, and other specific grants targeting senior services and support.

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CONTRACT AMENDMENT

Arizona Department of Economic Security

1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007

CONTRACT NUMBER: AMENDMENT NUMBER:

CTR048038 8

DESCRIPTION/ LABEL: Area Agencies on Aging

CONTRACTOR NAME: Inter-Tribal Council of Arizona, Inc

THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:

Pursuant to the Special Terms and Conditions Section 28.0 Levels of Service, and in accordance with the Alert issued on June 03, 2022, the Contract reimbursement ceiling for the period July 1, 2022 through June 30, 2023 is revised from $2,890,261 to $3,313,274. This amount includes estimated carryover funding from State fiscal year 2022 in the amount of $1,408,975.

Therefore, the revised Service Budget for the period of July 1, 2022 through June 30, 2023 is attached.

ALL OTHER REQUIREMENTS, SPECIFICATIONS, AND TERMS AND CONDITIONS REMAIN UNCHANGED

ACKNOWLEDGEMENT AND AUTHORIZATION

This Amendment shall be fully executed by means of electronic approval in APP.

Organization Contract No. CTR048038 Period

Admin Admin COVID Supplmntl Admin Admin Admin Prog Dev Advocacy EPHW EPHW CRRSA VACCINE VACCINE

ADM ADM ADM ADM ADM ADM PGD ADV PGD ADM LTC CEI ADM

HCB HCB HCB FCS HCB FCS HCB HCB HCB HCB OMB HCB HCB

C19 C21 C20 C20 PHW PHW CRR VAC VAC

1 State Admin 17,685.00 6,751.00 2 OAA Admin (III C-1) 152,463.00 3 OAA Admin (III E) 20,251.00 4 Title III-B 168,394.00 130,000.00 5 Title III-C1 6 Title III-C2 7 Title III-D 8 Title III-E Caregiver

9 NSIP

10 Title VII Elder Abuse 2,195.00 11 Title VII FED OMB 12 State Ind Living Supports 33,136.00 22,049.00 29,000.00 13 State Ombudsman 14 State Respite 15 S.H.I.P.

16 Senior Medical Patrol 17 SSBG - One-Time Admin. 3,391.00 18 SSBG - One-Time (Services) 20,000.00 10,523.00

19 FFCRA - C1

20 FFCRA - C1 Admin

21 FFCRA - C2

29 TITLE III-C2 COVID Supplemental 30 OAA ADMIN. III-C2 COVID Supp.

31 ACCESS VACCINES 29,000.00

32 ACCESS VACCINES ADMIN 8,000.00

33 CRRSA LTC OMB 2,300.00

34 ADRC ACCESS VACCINES

35 ADRC ACCESS VACCINES ADMIN

36 ARPA - III-B

37 ARPA - III-C1

38 ARPA - III-C1 ADMIN

39 ARPA - III-C2

40 ARPA - III-D

41 ARPA - III-E

42 ARPA - III-E ADMIN

43 ARPA - VII FED OMBUDSMAN

44 STATE ARPA

45 EXPANDING PH WORKFORCE 89,839.00

Contract Reimbursement Ceiling 206,675.00 - - 27,002.00 - - 210,443.00 171,718.00 89,839.00 - 2,300.00 29,000.00 8,000.00

DIRECT SERVICES

ALTCS

Program Income Non-Fed In-kind 16,839 13,000.00 Non-Fed Cash Other Federal Total - - - - - - 16,839 13,000.00 - - - - -

PURCHASED SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total - - - - - - - - - - - - - Grand Total 206,675.00 - - 27,002 - - 227,282 184,718.00 89,839.00 - 2,300.00 29,000.00 8,000.00

EXPENSES/DIRECT

Personnel - Direct 22,196.00 15,108 132,584 112,043.00 ERE - Direct 5,475.00 3,728 32,698 27,635.00 Professional/Out

16,000.00 16,839 13,000.00 10,000.00

Travel - Direct 1,136.00 1,200 2,200 1,680.00 1,200.00 Space - Direct 5,027.00 Equipment - Direct

Material/Supplies - Direct 31,081.00 2,616 6,064 2,000.00 60,368.00 729.00 19,329.00 711.00 Operating Svcs - Direct 34,570.00 3,000 700.00 5,000.00 5,000.00 6,000.00 Allocated Indirect - Direct 91,190.00 4,350 33,897 27,660.00 14,471.00 371.00 4,671.00 1,289.00 SubTotal DIRECT 206,675.00 - - 27,002 - - 227,282 184,718.00 89,839.00 - 2,300.00 29,000.00 8,000.00 SubTotal Sub-Contracted - - - - - - - - - - TOTAL SERVICE 206,675.00 - - 27,002 - - 227,282 184,718.00 89,839.00 - 2,300.00 29,000.00 8,000.00

Units/Direct 1 1 3,952 3,744 Units/Sub-Contracted Units Total 1 - - 1 - - 3,952 3,744 - - - - -

Unit Rate/Direct Unit Rate/Sub-Contracted Unit Rate/Total - - - - - - - - - - - - -

Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) require a state match Required State Match 50,821.00 - - 6,750.33 - - 9,905.61 7,647.12 - - - - - State Admin 17,685.00 - - 6,751.00 - - - - - - - - - State ILS 33,136.00 - - - - - 22,049.00 29,000.00 - - - - -

On Going

CARES ACT - III-E Admin

CARES ACT - VII-FED. OMB.

STATE LTC OMBUDSMAN

CARES ACT - ADRC

07/1/22 - 06/30/23

Sub-Contracted

One Time

Service Detail Code Program Codes

Inter-Tribal Council of AZ

DAARS Codes

Direct

CARES ACT - III-B

CARES ACT - III-C2 Admin

CARES ACT - III-C2

CARES ACT - III-E

1 of 5 9/1/2022 1:00 PM

Organization

State Admin OAA Admin (III C-1) OAA Admin (III E) Title III-B Title III-C1 Title III-C2 Title III-D Title III-E Caregiver

NSIP

Title VII Elder Abuse Title VII FED OMB State Ind Living Supports State Ombudsman State Respite S.H.I.P.

Senior Medical Patrol SSBG - One-Time Admin.

SSBG - One-Time (Services)

FFCRA - C1

FFCRA - C1 Admin

FFCRA - C2

TITLE III-C2 COVID Supplemental OAA ADMIN. III-C2 COVID Supp.

ACCESS VACCINES

ACCESS VACCINES ADMIN

CRRSA LTC OMB

ADRC ACCESS VACCINES

ADRC ACCESS VACCINES ADMIN

ARPA - III-B

ARPA - III-C1

ARPA - III-C1 ADMIN

ARPA - III-C2

ARPA - III-D

ARPA - III-E

ARPA - III-E ADMIN

ARPA - VII FED OMBUDSMAN

STATE ARPA

EXPANDING PH WORKFORCE

tract Reimbursement Ceiling

DIRECT SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total

PURCHASED SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total Grand Total

EXPENSES/DIRECT

Personnel - Direct ERE - Direct Professional/Out

Travel - Direct Space - Direct Equipment - Direct

Material/Supplies - Direct Operating Svcs - Direct Allocated Indirect - Direct SubTotal DIRECT SubTotal Sub-Contracted

TOTAL SERVICE

Units/Direct Units/Sub-Contracted Units Total

Unit Rate/Direct Unit Rate/Sub-Contracted Unit Rate/Total

Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) re Required State Match State Admin State ILS

On Going

CARES ACT - III-E Admin

CARES ACT - VII-FED. OMB.

STATE LTC OMBUDSMAN

CARES ACT - ADRC

Sub-Contracted

One Time

Service Detail Code Program Codes

Inter-Tribal Council of AZ

DAARS Codes

Direct

CARES ACT - III-B

CARES ACT - III-C2 Admin

CARES ACT - III-C2

CARES ACT - III-E

Amendment 8

VACCINE VACCINE Senior Patrol Senior Patrol Cares Act Cares Act Trasnportation L Term Care L Term Care Home Del

CEI ADM SHI SHI SHI TSP SOC TSP LTC LTC CNG C-19 HDM

HCB HCB SHP SMP SMP HCB HCB HCB OMB OMB HCB HCB HCB

VA1 VA1 OTR OTP C20 C20 C20

28,000.00 108,135.00 306,104.00

225,376.00

65,358.00 36,000.00

19,816.00 8,010.00 9,792.00 18,400.00 13,523.00

30,000.00

10,770.00 4,125.00

18,000.00

7,800.00

60,000.00

7,000.00 1,800.00

7,000.00 1,800.00 46,780.00 4,125.00 - 67,800.00 - 117,927.00 49,816.00 - 389,862.00 18,000.00 274,899.00

2,800

- - 2,800 - - - - - - - - - -

10,814 25,610.00 22,538.00 5,000.00

- - - - - - - 10,814 - - 30,610.00 - 22,538.00 7,000.00 1,800.00 49,580 4,125 - 67,800.00 - 128,741 49,816.00 - 420,472.00 18,000.00 297,437.00

13,688.00 3,379.00

67,800.00 128,741 25,000.00 420,472.00 18,000.00 297,437.00 1,000.00

4,872.00 1,010.00 2,000.00 1,000.00 500.00 49,580 4,125 752.00 1,128.00 290.00 3,997.00 7,000.00 1,800.00 49,580 4,125 - - - - 24,816.00 - - - -

- - - 67,800.00 - 128,741 25,000.00 - 420,472.00 18,000.00 297,437.00 7,000.00 1,800.00 49,580 4,125 - 67,800.00 - 128,741 49,816.00 - 420,472.00 18,000.00 297,437.00

400 400 416 20,689 480 30,935 23,316

- - 400 400 - - - 20,689 896 - 30,935 - 23,316

- - 1,647.07 - - - - 6,360.94 - - 18,006.27 - 13,257.52

- - 8,010.00 - - - - 9,792.00 - - 18,400.00 - 13,523.00

Congregate

SHIP I&R

2 of 5 9/1/2022 1:00 PM

OAA Admin (III C-1) OAA Admin (III E) Title III-B Title III-C1 Title III-C2 Title III-D Title III-E Caregiver

NSIP

Title VII Elder Abuse Title VII FED OMB State Ind Living Supports State Ombudsman State Respite S.H.I.P.

Senior Medical Patrol SSBG - One-Time Admin.

SSBG - One-Time (Services)

FFCRA - C1

FFCRA - C1 Admin

FFCRA - C2

TITLE III-C2 COVID Supplemental OAA ADMIN. III-C2 COVID Supp.

ACCESS VACCINES

ACCESS VACCINES ADMIN

CRRSA LTC OMB

ADRC ACCESS VACCINES

ADRC ACCESS VACCINES ADMIN

ARPA - III-B

ARPA - III-C1

ARPA - III-C1 ADMIN

ARPA - III-C2

ARPA - III-D

ARPA - III-E

ARPA - III-E ADMIN

ARPA - VII FED OMBUDSMAN

STATE ARPA

EXPANDING PH WORKFORCE

tract Reimbursement Ceiling

DIRECT SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total

PURCHASED SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total Grand Total

EXPENSES/DIRECT

Personnel - Direct ERE - Direct Professional/Out

Travel - Direct Space - Direct Equipment - Direct

Material/Supplies - Direct Operating Svcs - Direct Allocated Indirect - Direct SubTotal DIRECT SubTotal Sub-Contracted

TOTAL SERVICE

Units/Direct Units/Sub-Contracted Units Total

Unit Rate/Direct Unit Rate/Sub-Contracted Unit Rate/Total

Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) re Required State Match State Admin State ILS

On Going

CARES ACT - III-E Admin

CARES ACT - VII-FED. OMB.

STATE LTC OMBUDSMAN

CARES ACT - ADRC

Sub-Contracted

One Time

Service Detail Code Program Codes

Inter-Tribal Council of AZ

DAARS Codes

Direct

CARES ACT - III-B

CARES ACT - III-C2 Admin

CARES ACT - III-C2

CARES ACT - III-E

12,000 COVID-19 COVID-19 COVID Supplmntl Soc/Rec. Health Prom Comm Ed Ombudsman Direct Care Worker Direct Care Worker Direct Care Worker Direct Care Worker

HDM HDM HDM SOC HED RSP CEI LTC ATT PRC HSK RSP

HCB HCB HCM HCB HPR FCS HCB OMB HCB HCB HCB FCP

C19 C20 C21 FTE DCW DCW DCW DCW

33,965.00 17,900.00

25,172.00

5,200.00 5,000.00 21,600.00

6,372.00

12,000.00

5,000.00

12,000.00 5,000.00 - 39,165.00 48,072.00 6,372.00 21,600.00 - - - - -

3,397 1,790

- - - 3,397 1,790 - - - - - - - 12,000.00 5,000.00 - 42,562 49,862 6,372 21,600 - - - - -

24,983 13,772

6,143 3,398

12,000.00 5,000.00 42,562 10,690 6,372 515 950

1,220

6,311 3,480

- - - - 39,172 - 21,600 - - - - -

12,000.00 5,000.00 - 42,562 10,690 6,372 - - - - - - 12,000.00 5,000.00 - 42,562 49,862 6,372 21,600 - - - - -

2 12 3,406 137 554

- - - 3,406 139 554 12 - - - - -

- - - 1,997.96 1,052.95 - - - - - - -

- - - 5,200.00 5,000.00 - 21,600.00 - - - - -

Respite

3 of 5 9/1/2022 1:00 PM

OAA Admin (III C-1) OAA Admin (III E) Title III-B Title III-C1 Title III-C2 Title III-D Title III-E Caregiver

NSIP

Title VII Elder Abuse Title VII FED OMB State Ind Living Supports State Ombudsman State Respite S.H.I.P.

Senior Medical Patrol SSBG - One-Time Admin.

SSBG - One-Time (Services)

FFCRA - C1

FFCRA - C1 Admin

FFCRA - C2

TITLE III-C2 COVID Supplemental OAA ADMIN. III-C2 COVID Supp.

ACCESS VACCINES

ACCESS VACCINES ADMIN

CRRSA LTC OMB

ADRC ACCESS VACCINES

ADRC ACCESS VACCINES ADMIN

ARPA - III-B

ARPA - III-C1

ARPA - III-C1 ADMIN

ARPA - III-C2

ARPA - III-D

ARPA - III-E

ARPA - III-E ADMIN

ARPA - VII FED OMBUDSMAN

STATE ARPA

EXPANDING PH WORKFORCE

tract Reimbursement Ceiling

DIRECT SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total

PURCHASED SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total Grand Total

EXPENSES/DIRECT

Personnel - Direct ERE - Direct Professional/Out

Travel - Direct Space - Direct Equipment - Direct

Material/Supplies - Direct Operating Svcs - Direct Allocated Indirect - Direct SubTotal DIRECT SubTotal Sub-Contracted

TOTAL SERVICE

Units/Direct Units/Sub-Contracted Units Total

Unit Rate/Direct Unit Rate/Sub-Contracted Unit Rate/Total

Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) re Required State Match State Admin State ILS

On Going

CARES ACT - III-E Admin

CARES ACT - VII-FED. OMB.

STATE LTC OMBUDSMAN

CARES ACT - ADRC

Sub-Contracted

One Time

Service Detail Code Program Codes

Inter-Tribal Council of AZ

DAARS Codes

Direct

CARES ACT - III-B

CARES ACT - III-C2 Admin

CARES ACT - III-C2

CARES ACT - III-E

split how? Split IIIE how?

123,742 15,198 449,499 171,482 444,059 43,419 9,868 IIIb 136,747 76,043

ARPA ARPA ARPA ARPA ARPA ARPA ARPA ARPA ARPA ARPA ARPA

ADM ADM TSP CNG HDM HED LTC PGD RSP IIIE IIIE HOLD CGT SUP

HCB FCS HCB HCB HCB HCB OMB HCB FCS HCB HOLD FCS FCS

ARP ARP ARP ARP ARP ARP ARP ARP ARP ARP HOLD

18,050.00 11,000.00

2,500.00 2,353.00 4,205.00 8,475.00 295.00

40,000.00 5,000.00 300,000.00 71,482.00 100,000.00

100,000.00 144,059.00 300,000.00

43,419.00 136,747.00

7,500.00 9,868.00

- 10,000.00 42,353.00 75,687.00 152,534.00 43,419.00 9,868.00 5,295.00 - 136,747.00 800,000.00 18,050.00 11,000.00

- 10,000 42,353 75,687 152,534 43,419 9,868 5,295 - 136,747 800,000 18,050 11,000

42,353 75,687 152,534 500,000 18,050 4,720 369

8,389 36,425 8,278 4,442 80,000 8,000 30,000 251,678 859

1,611 6,994 1,590 853 22,027 48,322 1,772

- 10,000 - - - 43,419 9,868 5,295 - 136,747 300,000 - 11,000

- - 42,353 75,687 152,534 - - - - - 500,000 18,050 -

- 10,000 42,353 75,687 152,534 43,419 9,868 5,295 - 136,747 800,000 18,050 11,000

- - - - - - - - - - - 464 50

- 2,500.00 2,352.96 4,204.86 8,474.13 - - 294.12 - - - -

- 2,500.00 2,353.00 4,205.00 8,475.00 - - 295.00 - - - -

4 of 5 9/1/2022 1:00 PM

OAA Admin (III C-1) OAA Admin (III E) Title III-B Title III-C1 Title III-C2 Title III-D Title III-E Caregiver

NSIP

Title VII Elder Abuse Title VII FED OMB State Ind Living Supports State Ombudsman State Respite S.H.I.P.

Senior Medical Patrol SSBG - One-Time Admin.

SSBG - One-Time (Services)

FFCRA - C1

FFCRA - C1 Admin

FFCRA - C2

TITLE III-C2 COVID Supplemental OAA ADMIN. III-C2 COVID Supp.

ACCESS VACCINES

ACCESS VACCINES ADMIN

CRRSA LTC OMB

ADRC ACCESS VACCINES

ADRC ACCESS VACCINES ADMIN

ARPA - III-B

ARPA - III-C1

ARPA - III-C1 ADMIN

ARPA - III-C2

ARPA - III-D

ARPA - III-E

ARPA - III-E ADMIN

ARPA - VII FED OMBUDSMAN

STATE ARPA

EXPANDING PH WORKFORCE

tract Reimbursement Ceiling

DIRECT SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total

PURCHASED SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total Grand Total

EXPENSES/DIRECT

Personnel - Direct ERE - Direct Professional/Out

Travel - Direct Space - Direct Equipment - Direct

Material/Supplies - Direct Operating Svcs - Direct Allocated Indirect - Direct SubTotal DIRECT SubTotal Sub-Contracted

TOTAL SERVICE

Units/Direct Units/Sub-Contracted Units Total

Unit Rate/Direct Unit Rate/Sub-Contracted Unit Rate/Total

Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) re Required State Match State Admin State ILS

On Going

CARES ACT - III-E Admin

CARES ACT - VII-FED. OMB.

STATE LTC OMBUDSMAN

CARES ACT - ADRC

Sub-Contracted

One Time

Service Detail Code Program Codes

Inter-Tribal Council of AZ

DAARS Codes

Direct

CARES ACT - III-B

CARES ACT - III-C2 Admin

CARES ACT - III-C2

CARES ACT - III-E

CEI INR OTR

FCS FCS FCS

24,436.00 152,463.00

20,251.00 486,394.00 306,104.00 225,376.00

25,172.00 125,126.00 7,000.00 21,000.00 182,176.00

101,358.00 2,195.00

19,816.00 183,538.00

30,000.00 6,372.00

10,770.00 4,125.00 3,391.00

30,523.00 18,000.00

12,000.00 7,800.00

5,000.00

60,000.00

29,000.00 8,000.00 2,300.00 7,000.00 1,800.00

345,000.00 171,482.00 100,000.00 444,059.00

43,419.00 136,747.00

7,500.00 9,868.00

89,839.00

125,126.00 7,000.00 21,000.00 3,313,274.00

32,639.00

- - - 32,639.00

64,149.00 5,000.00

- - - 69,149.00

125,126.00 7,000 21,000 3,415,062.00

68,441.00 402,815.00 16,880.00 99,336.00

5,000.00 60,839.00 7,000 21,000 1,850,698.00

2,100.00 17,070.00 5,027.00

5,051.00 282,585.00 7,500.00 400,264.00

20,154.00 296,428.00 125,126.00 - - 1,564,364.00

- 7,000 21,000 1,850,698.00 125,126.00 7,000 21,000 3,415,062.00

12 8,990.00 750 27 80,758.00

12 750 27 89,748.00

- - - 135,273

- - - 24,436

- - - 183,538

Title III-E

5 of 5 9/1/2022 1:00 PM

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