CTR059105_Contract_Amendment_5.pdf

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Attached to
Master Agreement AZ|CTR059105
Contract number
CTR059105
Issued by
Arizona

About this file

This is Amendment Five (5) to Contract CTR059105, issued by the Arizona Department of Economic Security (DES), Division of Developmental Disabilities (DDD), to Marshall's Home for Men, Inc., an assisted living facility contractor. The amendment modifies the existing contract's Scope of Work Section 5.0 regarding contractor requirements by adding new compliance provisions related to Adult Protective Services (APS) Registry verification.

The amendment adds Section 5.25 to the contract, establishing mandatory APS Registry compliance requirements for all employees providing direct services to DDD Members. Effective January 1, 2025, the contractor must provide APS verification results for all new employees, with employees found on the APS Registry prohibited from providing direct services. By March 31, 2025, existing employees must also be verified, with the same restriction applied to those listed on the registry. Subsequently, the contractor must provide annual APS verification results by March 31 or upon request, with all verification documentation submitted electronically to DDDspecialtycontracts@azdes.gov. All other contract requirements, specifications, and terms and conditions remain unchanged.

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Text version

CTR059105

CONTRACT AMENDMENT

Arizona Department of Economic Security

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

CONTRACT NUMBER: AMENDMENT NUMBER:

CTR059105 Five (5)

DESCRIPTION/ LABEL: Assisted Living Facility

CONTRACTOR NAME: Marshall's Home for Men, Inc.

THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:

In accordance with the Uniform Terms and Conditions, Section 5, Contract Changes, Subsection 5.1 Amendments, the Scope of Work Section 5.0 Contractor Requirements is hereby revised and Section 5.25 added as follows:

5.25 Comply with the Adult Protective Services (APS) Registry pursuant to A.R.S. 46-459.

https://des.az.gov/APSRegistry

5.25.1 Beginning January 01, 2025, provide APS verification results for all new employees. If the employee is found on the APS Registry the employee cannot provide any direct services under this contract to DDD Members. https://des.az.gov/APSRegistry

5.25.2 On or before March 31, 2025, provide APS verification results for each employee. If the employee is found on the APS Registry the employee cannot provide any direct services under this contract to DDD Members.

5.25.3 Provide APS verification results annually by March 31 to DDD or upon request that all employees are not on the APS registry pursuant to A.R.S. 46-459.

5.25.4 Provide all verification results to DDD Contracts electronically to:

Arizona Department of Economic Security Division of Developmental Disabilities Contracts Administration DDDspecialtycontracts@azdes.gov

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.

File details come from the government source that posted it. Updated .