CTR063972_A2_NAU_final1.pdf

CONTRACT AMENDMENT

ARIZONA DEPARTMENT OF

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR063972 AMENDMENT NO.: 2 PROCUREMENT OFFICER

Karen D. Ingram

Accelerated Nursing Program – Component B - Scholarships

Effective upon signature by both parties, it is mutually agreed that the Contract referenced in this Amendment Two (2) is amended as follows:

1. Pursuant to the Special Terms and Conditions, Provision Three (3), Contract Extensions Five (5) Year Maximum, the Contract is extended for a period of twelve (12) months from July 1, 2024 through June 30, 2025.

2. Funding for this contract has not been extended past June 30, 2024.

3. Pursuant to the Uniform Terms and Conditions, Provision Five (5), Contract Changes, Section 5.1. Amendments, the Contract is revised as follows:

3.1 Scope of Work is hereby revised and replaced.

ALL CHANGES ARE IN RED.

ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY

Contractor hereby acknowledges receipt and acceptance of above amendment and that a signed copy must be filed with the Procurement Office before the effective date

The above referenced Contract Amendment is hereby executed this _____ day of __________ 2024_ at Phoenix, Arizona

(To be filled out by Procurement Office)

Contractor Signature

Contractor Signature Date

Authorized Signatory’s Name and Title

The ABOR for and behalf of Northern Arizona University

Office of Sponsored Project – PO Box 4130 Flagstaff, AZ 86011

Contractor’s Name Procurement Officer Signature

Gina Corwin

Digitally signed by Gina Corwin Date:

2024.05.06 14:37:41 -07'00'

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

CONTRACT NO.: CTR063972 AMENDMENT NO.: 2 PROCUREMENT OFFICER

Karen D. Ingram

SCOPE OF SERVICES

1. DEFINITIONS

1.1 Accelerated Nursing Program. A twelve (12) month or up to eighteen (18) months nursing program offered in the State of Arizona;

1.2 ADHS. Arizona Department of Health Services;

1.3 Cultural and Linguistic Competency. A set of congruent behaviors, attitudes, and policies that come together in a system, agency, or among professionals that enables effective work in cross-cultural situation. “Culture” refers to integrated patterns of human behavior that include the language, thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups. “Competence” implies having the capacity to function effectively as an individual and an organization within the context of the cultural beliefs, behaviors, and needs presented by consumers and their communities. Cultural competency is the integration and transformation of knowledge about individuals and groups of people into specific standards, policies, practices, and attitudes used in appropriate cultural settings to increase the quality of services; thereby producing better outcomes. (source: Center for Disease and Prevention (CDC) National Prevention Information Network/ https://npin.cdc.gov/pages/cultural-competence);

1.4 FTE. Full Time Equivalent staffing positions;

1.5 HPSA. Health professional shortage area;

1.6 MUA/P. Medically underserved area/population;

1.7 Scholarship Program. The program established to carry out the requirements of the accelerated nursing programs;

1.8 PCO. The ADHS Primary Care Office;

1.9 Supplant. To supersede (another) and replace.

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

2. BACKGROUND

2.1 The Vision of ADHS is “Health and Wellness for all Arizonans.” The ADHS conducts a five (5) year statewide needs assessment to examine key health indicators and provides a comprehensive overview of the health of Arizonans. ADHS published the 2021 Arizona State Health Assessment which utilizes an evidence-based public health approach to improve the health and wellness of Arizona residents;

2.2 The Mission of ADHS, Bureau of Women’s and Children’s Health (BWCH)’s is to strengthen the family and the community by promoting and improving the health and safety of women, infants, and children. This is accomplished through the provision of community-based services and the facilitation of systems development. BWCH manages and distributes funding that provides services to reduce the mortality and morbidity among women and children, increase access to health care, and reduce health disparities; BWCH promotes and supports the development and coordination of systems of care for the maternal and child health population, which are family-centered, community based and culturally appropriate;

2.3 ADHS BWCH PCO supports a variety of programs and services meant to improve access to high quality primary health care, particularly for the uninsured and other vulnerable populations.

The PCO supports a variety of programs and services meant to improve access to high quality primary health care, particularly for the uninsured and other vulnerable populations. The PCO focuses on improving access to primary health care through workforce programs have been successful, healthcare systems across the State have been experiencing continued challenges for nursing staff, behavioral health technicians, faculty and preceptor sites for health professionals. Arizona ranks in the top five (5) states experiencing the greatest staffing shortages, lack of clinical training sites and associated costs. In an effort to address the nursing workforce shortage of nursing in Arizona, House Bill 2863 and House Bill 2691were passed by the Arizona State Legislature. The passing of these two (2) bills allocates $67,500,000 in State Fiscal Year 2023 to support workforce programs that include the Accelerated Nursing Program, Behavioral Health Care Provider Loan Repayment Program, Arizona Nurse Education Investment Pilot Program, and the Preceptor Grant Program for Graduate Students; and

2.4 State general funds appropriated through HB2863 have been applied to fund the Accelerated

Nursing Program, for two (2) years through June 30, 2024;

2.4.1 In an effort to address the workforce shortage of nursing in Arizona, $44,000,000 was allocated to support public and private universities and community colleges located in Arizona that offer accelerated nursing programs for the purpose of expanding program capacity. Priority will be given to universities and community colleges that offer twelve

(12) month accelerated nursing programs, but accelerated nursing programs up to eighteen (18) months in length are also eligible.

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

3. OBJECTIVES

To implement a scholarship program for students in accelerated nursing programs at public and private universities and community colleges located in Arizona for the purpose of expanding nursing workforce in Arizona. Priority shall be given to universities and community colleges that offer a twelve (12) month accelerated nursing program.

4. SCOPE OF SERVICE

The Contractor shall:

4.1 Establish a scholarship program for students in accelerated nursing programs that should be completed in twelve (12) months and no longer than eighteen (18) months to complete;

4.2 Establish a process and mechanism for awarding these scholarships to ensure that the following occurs:

4.2.1 Scholarships do not supplant other institutional financial aid sources,

4.2.2 Scholarships are provided only after all other financial gifts, aid, or grants received by the student and do not exceed the actual cost of tuition and fees, and

4.2.3 Any scholarship reimbursements received by the Contractor will be used to provide scholarship awards to accelerated nursing students enrolled in newly added accelerated nursing program seats;

4.3 Establish and develop a Contract for scholarship recipients to practice nursing in Arizona for at least four (4) years after completing an accelerated nursing degree and track completion of the required contract terms;

4.3.1 The Contract shall stipulate that if a student does not successfully complete an accelerated nursing program in good academic standing or does not fulfill the service commitment outlined in the Contract, the Student shall reimburse the Contractor for all scholarship costs, and

4.4 Develop an implementation plan (https://docs.google.com/document/d/1w-

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

YeVYl4eWvd3D5_XJMv7Fq30aY8OeTF/edit) that outlines organizational capacity needed to put the strategies/approaches into action through June 30, 2024.

5. REQUIREMENTS

5.1 Be a public or private university or community college located in Arizona that offers accelerated nursing programs; accelerated nursing programs shall be offered in a twelve (12) month to eighteen (18) month program;

5.2 Demonstrate that the nursing program meets the criteria of an accelerated nursing program, specifically twelve (12) month to eighteen (18) month curriculum;

5.3 Provide a budget for all requested funds to be spent by June 30, 2024;

5.4 Ensure that at least eighty percent (80%) of the monies received are used for the costs of providing scholarships;

5.4.1 At least eighty percent (80%) of the monies received shall be used for the costs of providing scholarships and not more than twenty percent (20%) of the monies received are used for administrative expenses, including the costs of hiring faculty and purchasing equipment necessary to expand the accelerated nursing program. Monies may not be used for capital expansion costs.

5.5 Notify ADHS in writing (within sixty (60) days) of any unmet contractual obligations including total reimbursement of scholarship costs;

5.6 Work collaboratively with the ADHS PCO for completion of requirements and tasks within stated time frames;

5.7 Retain and manage all required programmatic and fiscal documentation up to five (5) years after contract ends, including but not limited to reports, invoices, backup documentation, to be verified during annual site visits conducted by ADHS Program Manager;

5.8 Begin implementing plan within sixty (60) days after receiving a Purchase Order;

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

5.9 Request approval in writing, via email, to ADHS for purchases of single items Capital Equipment at or above the purchase price of $5,000 or more, to include the following information:

5.9.1 Type of equipment requesting to be purchased,

5.9.2 Cost of the equipment, and

5.9.3 How the proposed purchase supports the Scope of Services;

5.10 Tag and inventory the equipment in compliance with the policy in the State of Arizona Accounting

Manual (SAAM) https://gao.az.gov/sites/default/files/2535%20Stewardship%20190304.pdf ;

5.11 Submit documents pertaining to the asset, such as receiving documentation, invoices, purchase order, receipts, make, model, serial number, acquisition date, etc.; All out of state travel shall follow the travel and per diem policies as outline in the SAAM https://gao.az.gov/travel/welcome-gao-travel https://gao.az.gov/sites/default/files/5009%20Traveler%20Responsibilities%20Draft%20200113.pd f https://gao.az.gov/sites/default/files/5095%20Reimbursement%20Rates%20%20190102%20a.pdf

5.12 Submit brochure, posters, public services announcements, paid media, videos, sponsorships, to be paid with funds from the Contract prior to the development and use:

5.13 Comply with all policies outlined in the SAAM;

5.14 Supporting documentation shall be kept by the Contractor and does NOT need to be submitted with monthly Contractor Expenses Reports (CERs) with the exception of travel documentation (in-state and out-of-state) and a single purchase or equipment exceeding $250; and

5.15 Documentation supporting all expenses being billed shall be provided, as requested by ADHS.

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

6. TASKS

6.1 Implement a scholarship program for students in accelerated nursing programs at public and private universities and community colleges located in Arizona for the purpose of expanding program capacity through June 30, 2024;

6.2 Award scholarships to students enrolled in accelerated nursing programs that take no longer than eighteen (18) months to complete;

6.3 Establish contract templates and related documentation for scholarship recipients;

6.3.1 Scholarship contract template and related materials that will be used to verify the applicant will practice nursing for at least four (4) years after completion of an acceleration nursing degree;

6.4 Track nurses throughout the duration of the four-year service commitment to ensure compliance with contractual requirements as established by the university.

6.5 Participate in monthly check-in calls with ADHS Program Manager, dates and time to be determined;

After the scholarship issuance has been completed, the check-in calls will be reassessed and reduced to a cadence that aligns with the programmatic needs.

6.6 Submit monthly CERs and maintain sufficient documentation in the form of receipts to support expenses incurred for any purchases that are being claimed for reimbursement; and

6.7 Submit monthly and biannual reports.

7. APPROVALS

7.1 Reports, annual budget workbook, and monthly CERs with receipts supporting expenses billed for in-state and out-of-state travel and equipment purchases of $250 or more, as required and/or requested shall be approved by ADHS prior to payment reimbursement;

7.2 Monthly reports shall be submitted and approved prior to the CER being approved for payment;

7.3 CER with appropriate supporting documents;

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

7.4 Purchase or Capital Equipment (single item purchase of $5,000 or more) will require approval prior to purchasing (refer to Provision 5, Requirements); and

7.5 All marketing materials (the use of ADHS logo, brochures, posters, public services announcements, paid media, videos, etc.,) which have been developed, written, published, or recorded by the Contractor and paid for with funds from this awarded must be first approved by ADHS prior to the dissemination of such materials or airing or use of such announcements.

8. DELIVERABLES

The Contractor shall submit to ADHS:

8.1 A monthly report due by the fifteenth (15th) of each month following the month of services provided; to include the following:

8.1.1 Number of students who have received a scholarship,

8.1.2 Number of nurses who are currently completing the four (4) year service commitment,

8.1.3 Number of students who have reimbursed the Contractor, and

8.1.4 Progress updates, challenges, and barriers;

8.2 After the scholarship issuance has been completed by the university, the reporting requirement shall be adjusted to only require bi-annual reports. Biannual reports will be due on the following dates:

8.2.1 August 15 of each year (the report period will cover all data relating to the fields required from January 1-June 30) and

8.2.2 February 15 of each year (the reporting period will cover all data relating to the fields required from July 1-December 31)

8.2.3 Biannual Reports will require at the minimum the following:

8.2.3.1 The number of students who have received a scholarship

8.2.3.2 The number of nurses who are currently completing the four-year service commitment and the details below for each nurse:

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

8.2.3.2.1 Name of Nurse

8.2.3.2.2 NPI number (if applicable)

8.2.3.2.3 Service site name and address

8.2.3.2.4 Length of time with current employer

8.2.3.2.5 Average number of hours per week

8.2.3.2.6 Area of practice

8.2.3.2.7 Title

8.2.3.2.8 Dates of four-year service obligation

8.2.3.3 The number of students who have fully reimbursed the university

8.2.3.4 The number of students who are in the process of reimbursing the university

8.3 CER with appropriate supporting documents within fifteen (15) days after the end of each month;

8.5 Provide a valid Certificate of Insurance (COI) that meets the requirements in the Special Terms and

Conditions, Provision 19 Insurance Requirement, within five (5) business days of Contract Award, and maintained throughout the life of the Contract. The ADHS will not be able to issue a Purchase Order for the commencement of services without a current and valid COI in the Procurement file.

10 NOTICES, CORRESPONDENCE REPORTS AND CERs

10.1 All notices, correspondences, reports, and CERs from the Contractor to ADHS shall be sent electronically via email to the Program Manager

Arizona Department of Health Services

Office of Primary Care

150 North 18th Ave, Suite 310

Phoenix, Arizona 85007

Phone: (480) 202-6212

HEALTH SERVICES

OFFICE OF PROCUREMENT

150 N 18th Ave., Ste. #530 Phoenix, Arizona 85007

Email: workforce@azdhs.gov

10.2 AUTOMATED CLEARING HOUSE

10.2.1 ADHS may pay invoices for some or all Orders through an Automated Clearing House

(ACH). In order to receive payments in this manner, the Contractor must complete an ACH Vendor Authorization Form (form GAO-618) within 30 (thirty) days after the effective date of the Contract.

The form is available online at:https://gao.az.gov/sites/default/files/GAO618%20ACH%20Authorization%20Form%201 01019.pdf

10.2.2 ACH Vendor Authorization Form shall be emailed to Vendor.Payautomation@azdoa.gov

CTR063972 – Northern Arizona University