CTR061304_-_HIV_Care_Services_MCDPH_FE__1_.pdf
PDF 7 MB Posted
- Attached to
- Master Agreement AZ|CTR076674
- Contract number
- CTR076674
- Issued by
- Arizona
About this file
This is an Intergovernmental Agreement (IGA) between the Arizona Department of Health Services (ADHS) and the Maricopa County Department of Public Health (MCDPH) for the Ryan White Part A HIV Care Services Program. The contract covers Maricopa and Pinal Counties, with ADHS acting as the pass-through entity for federal funding from the Health Resources & Services Administration (HRSA). The agreement is effective from April 1, 2022, through June 30, 2027.
The contract provides $500,000 in annual funding for HIV care services, broken down into $300,000 for core services, $90,000 for support services, and $110,000 for administration. The primary objectives include initiating HIV medical care within five days of diagnosis, linking patients to care, ensuring 90% of newly diagnosed clients receive medical services within 30 days, maintaining 90% client retention in HIV medical care, and achieving viral load suppression for 90% of clients. The funding is a Ryan White Care Act Title II HIV Care Formula Grant, with an indirect cost rate of 30.8%. The contractor must provide culturally competent services, maintain detailed client records, and comply with various federal and state regulations regarding HIV care services.
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Text version
C-86-24-120-X-00 Board Approved 01/10/24
INTERGOVERNMENTAL AGREEMENT (IGA)
Contract No. CTR061304
ARIZONA DEPARTMENT OF
HEAL TH SERVICES
150 North 18th Avenue, Suite 530 Phoenix, Arizona 85007 Procurement Officer
Kailee Gra
Project Title: HIV Care Services
Geographic Service Area: Maricopa and Pinal County
Begin Date: April 1, 2022
Termination Date: June 30, 2027
Arizona Department of Health Services has authority to contract for services specified herein in accordance with A.RS.§§ 11-951, 11-952, 36- 104 and 36-132. The Contractor represents that it has authority to contract for the performance of the services provided herein pursuant to: § Counties: A.R.S. §§ 11-201, 11-951, 11-952 and 36-182.
Indian Tribes: A.R.S. §§ 11-951, 11-952 and the rules and sovereign authority of the contracting Indian Nation.
School Districts: A.R.S. §§ 11-951, 11-952, and 15-342.
City of Phoenix: Chapter II, §§ 1 & 2, Charter, City of Phoenix.
City of Tempe: Chapter 1, Article 1, §§ 1.01 & 1.03, Charter, City of Tempe.
Amendments signed by each of the parties and attached hereto are hereby adopted by reference as a part of this Contract, from the effective date of the Amendment, as if fully set out herein.
Arizona Transaction (Sales) Privilege:
Federal Employer Identification No.:
Tax License No.:
Contractor Name: Maricopa County Department of Public Health - Ryan White Part A Program
Address: 4041 North Central Avenue Phoenix, AZ 85012
CONTRACTOR SIGNATURE:
The Contractor agrees to perform all the services set forth in the Agreement and Work Statement.
r�-M-- Jan 11, 2024
Signature of Person Authorized to Sign Date
Jack Sellers Chairman Board of Supeivisors
Print Name and Title
CONTRACTOR ATTORNEY SIGNATURE:
Pursuant to A.RS. § 11-952, the undersigned Contractor's Attorney has determined that this Intergovernmental Agreement is in proper form and is within the powers and authority granted under the laws of Arizona.
Signature of Person Authorized to Sign
Max (i. we/tt.e.ttf Max G. Carpinelli (J-;;;"ii, 02413:09 MST)
Print Name and Title
Date
Jan 11, 2024
FOR CLARIFICATION, CONTACT:
Name: Jeremy Hyvarinen, Ryan White Subdivision Manager
Phone: (602) 647-2996
FAX No:
E-mail: Jeremy.Hyvarinen@maricopa.gov
This Contract shall henceforth be referred to as Contract
No. CIBIHi:131:1!1 The Contractor is hereby cautioned not to commence any billable work or provide any material, service or construction under this Contract until Contractor receives a fully executed copy of the Contract.
State of Arizona Signed this __ day of , 202_
MO n ·1 q U e 8 Ha rr'1 S Digitally signed by Monique B Harris Date: 2024.01.22 08:03:28 -07'00'
Procu re ment Officer
Contract, No. CTR061304, is an Agreement between public agencies, has been reviewed pursuant to A.RS. § 11-952 by the undersigned Assistant Attorney General, who has determined that it is in the proper form and is within the powers granted under the laws of the State of Arizona to those parties to the Agreement represented by the Attorney General.
The Attorney General, BY:
Elise Digitally signed by Elise Phalen DN: cn=Elise Phalen, o=Arizona Attorney General's Office, ou, l!Ii u re email=elise.phalen@Wag.gov, a aJreAral: c=US Date: 2024.01.18 10:24:29 -07'00'
ATTEST: 11ef.1/,11,Vf/(�;u-za,, Juanita Garza (Jan 17io¾ 08:15 MST) Jan 12, 2024
Revised 6/13/2023 Clerk of the Board Date
CONTRACT NUMBER
CTR061304
INTERGOVERNMENTAL AGREEMENT
SCOPE OF WORK
150 North 18th Avenue, Suite 280, Phoenix, AZ 85007 Email patricia.sandoval@azdhs.gov Phone: 480-645-0046
6.2. Notices, correspondence, and reports (and payments if sent to the same address) from ADHS to the contractor shall be sent to:
Jeremy Hyvarinen Ryan White Subdivision Manager Maricopa County Department of Public Health Health Outreach, Partnership & Equity 4041 North Central Avenue Phoenix, AZ 85012 Email: Jeremy.Hyvarinen@maricopa.gov Phone: 602-64 7-2996
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