CTR070103 ISA UofA OD2A Executed.pdf

INTERAGENCY SERVICE AGREEMENT (ISA)

ARIZONA DEPARTMENT OF

HEALTH SERVICES

150 N 18th Avenue, Suite 530 Phoenix, Arizona 85007

Procurement Officer:

Brandon Durick

Agreement No: CTR070103

Project Title: Overdose Data to Action in States University of Arizona Center for Rural Health

Effective Date:

September 1st, 2023

Geographic Service Area: State of Arizona Termination Date:

August 31st, 2028

Arizona Department of Health Services has authority to contract for services specified herein in accordance with A.R.S.

§ 35-148, § 36-104, and § 36-132. The University represents that it has authority to contract for the performance of the services provided herein pursuant to A.R.S. §35-148.

The University certifies compliance with all Federal immigration laws and regulations relating to employees and certifies its compliance with Section A.R.S. § 23-214, Subsection A.

The University agrees to perform all the services set forth in the Agreement and Work Statement. Amendments signed by each of the parties and attached hereto are hereby adopted by reference as a part of this Agreement, from the effective date of the Amendment, as if fully set out herein.

Arizona Transaction (Sales Privilege Tax License): For Clarification, contact:

Name: Bridget S. Murphy

Federal Employer Identification Number: Phone: 520-621-6611

E-mail: bridget@arizona.edu

University of Arizona

Contractor Signature of Person Authorized to Sign Date

845 Park Avenue, Room 538.

Address Printed Name

Tucson Arizona 85721

City State ZIP Code Title

This Agreement shall henceforth be referred to as Agreement No. CTR070103

The University is hereby cautioned not to commence any billable work or provide any material, service or construction under this Agreement until University receives an executed purchase order or Agreement release document or written notice to proceed if applicable.

State of Arizona Awarded this _____ day of ______________, 2024

Procurement Officer

Elisha Johnson, J.D.

Sr. Director, Clinical Trials and Contracting

7/22/2024

AGREEMENT NUMBER INTERAGENCY SERVICE AGREEMENT

UNIFORM TERMS AND CONDITIONS CTR070103

In accordance with Arizona Revised Statutes (A.R.S.) Section § 35-148, this Agreement is entered into by and between the Arizona Department of Health Services (hereinafter ADHS) and the Arizona Board of Regents, University of Arizona (hereinafter University) and shall be effective as indicated in Provision 1.

For and in consideration of the terms and conditions set forth herein, the parties agree as follows:

1. Term of Agreement

This Agreement will be effective on January 1st (first), 2023 and shall terminate five (5) years from date of execution, unless otherwise terminated pursuant to the terms herein. The term of this Agreement shall not exceed five (5) years.

2. Renewal of Agreement

If the term of the original Agreement is less than five (5) years, the parties may mutually agree to renew the Agreement by signing an Amendment extending the Agreement. This Agreement can be renewed for four (4) additional one-year terms, upon agreement of the University and ADHS and by both parties signing an Amendment extending this Agreement. The original Agreement term together with the renewal period shall not exceed five (5) years.

3. Termination for Convenience

Either party may terminate this Agreement upon sixty (60) working days written notice to the other party. The Contractor shall reimburse ADHS for any advanced funds for which services are not provided and shall reimburse ADHS for any other resources/materials that are specifically acquired by Contractor, without an agreement between the parties for Contractor to purchase the resource/material.

4. Agreement Type

The Agreement shall be a Cost Reimbursement.

5. Cancellation for Conflict of Interest

Pursuant to A.R.S. § 38-511, the State may cancel this Contract within three (3) years after Contract execution without penalty or further obligation if any person significantly involved in initiating, negotiating, securing, drafting or creating the Contract on behalf of the State is or becomes at any time while the Contract or an extension of the Contract is in effect an employee of or a consultant to any other party to this Contract with respect to the subject matter of the Contract. The cancellation shall be effective when the Contractor receives written notice of the cancellation unless the notice specifies a later time. If the Contractor is a political subdivision of the State, it may also cancel this Contract as provided in A.R.S. § 38-511.

6. Compliance with A.R.S. 35-148

ADHS shall provide for reimbursement for services performed or advancement of funds for services to be performed.

Monies received by University shall be credited to its appropriation account for its use in performing the services.

University shall make an accounting of expenditures and return any advanced funds not used to ADHS.

7. Capital Equipment

In the event the parties have determined the Scope of Services requires the acquisition of capital equipment necessary for the business functions of the University and have further determined to amortize the cost of such equipment over several years, the University shall reimburse ADHS for such unamortized amounts upon a determination by the University not to renew the agreement.

8. Scope of Services

ADHS and the University shall perform the obligations agreed to by each as set forth in the Scope of Services.

9. Non-Availability of Funds

9.1 Every payment and service obligation are conditioned upon the availability of funds appropriated or allocated for the payment or support of such obligation. If funds are not allocated and available for the continuance of this Agreement, either ADHS or the University may terminate at the end of the period for which funds are available.

9.2 No liability shall accrue to ADHS or the University, in the event this provision is exercised, and ADHS and the

University shall not be obligated or liable for any damages as a result of termination under this paragraph.

10. Authorization for Services

Authorization for purchase of services under this Agreement shall be made only upon ADHS issuance of a Purchase Order that is signed by an authorized agent. The Purchase Order will indicate the Agreement number and the dollar amount of funds authorized. The University shall only be authorized to perform services up to the amount on the Purchase Order. ADHS shall not have any legal obligation to pay for services in excess of the amount indicated on the Purchase Order. No further obligation for payment shall exist on behalf of ADHS unless a) the Purchase Order is changed or modified with an official ADHS Procurement Change Order, and/or b) an additional Purchase Order is issued for purchase of services under this Contract.

11. Purchase Orders

The University shall, in accordance with all terms and conditions of the Agreement, fully perform and shall be obligated to comply with all purchase orders received by the University prior to the expiration or termination hereof, unless otherwise directed in writing by the Procurement Officer, including, without limitation, all purchase orders received prior to but not fully performed and satisfied at the expiration or termination of this Agreement.

12. Payment for Services

As payment for full and satisfactory performance of the services, the ADHS agrees to pay the University as outlined in the Price Sheet attached hereto and incorporated herein by this reference. The Master Blank Purchase Order (Agreement) will be entered into the State of Arizona e-procurement system, APP, by ADHS. The Price Sheet will be entered into the Items Tab for the creation of Purchase Order Releases.

13. Advance Funds

A.R.S. § 35-148 (A) authorizes a State Agency to advance funds to another State Agency for services to be performed pursuant to an Interagency Service Agreement, and (B) authorizes such funds to be credited to the appropriation account of the Agency performing the services for use by such Agency.

14. Property of the State

14.1 Equipment. Except as provided below or otherwise agreed to by the parties, the title to any and all equipment acquired through the expenditure of funds received from the State shall remain the property of the State by and through the ADHS and, as such, shall remain under the sole direction, management, and control of the ADHS. When this Agreement is terminated, the disposition of all such property shall be determined by the ADHS. For Fixed Price agreements, when the University provides the services/materials required by the Agreement, any and all equipment purchased by the University remains the property of the University. All purchases of equipment need to be reported to the ADHS Office of Inventory Control.

14.2 Title and Rights to Materials. It is the intention of ADHS and University that all material and intellectual property developed under this Agreement be used and controlled in ways to produce the greatest benefit to the parties to this Agreement and the citizens of the State of Arizona. As used in this paragraph, “Material” means all written and electronic information, recordings, reports, findings, research information, abstracts, results, software, data, discoveries, inventions, procedures, and processes of services developed by the University and any other materials created, prepared or received by the University and subcontractors in performance of this Agreement. “Material” as used herein shall not include any pre-existing data, information, materials, discoveries, inventions or any form of intellectual property invented, created, developed or devised by University (or its employees, subcontractors or agents) prior to the commencement of the services funded by this Agreement or that may result from University’s involvement in other service activities that are not funded by the Agreement.

14.3 Title and exclusive copyright to all Material shall vest in the State of Arizona, subject to any rights reserved on behalf of the federal government. As State agencies and instrumentalities, both ADHS and University shall have full, complete, perpetual, irrevocable and non-transferable rights to reproduce, duplicate, adapt, make derivative works, distribute, display, disclose, publish and otherwise use any and all Material. The University’s right to use Material shall include the following rights: the right to use the Material in connection with its internal, non-profit research and educational activities, the right to present at academic or professional meetings or symposia and the right to publish in journals, theses, dissertations or otherwise of University’s own choosing. University agrees to provide ADHS with a right of review prior to any publication or public presentation of the Material, and ADHS shall be entitled to request the removal of its confidential information or any other content the disclosure of which would be contrary to the best interest of the State of Arizona. Neither party shall release confidential information to the public without the prior expressly written permission of the other, unless required by the State public records statutes or other law, including a court order. Each party agrees to give recognition to the other party in all public presentations or publications of any Material, when releasing or publishing them.

14.4 In addition, ADHS and University agree that any and all Material shall be made freely available to the public to the extent it is in the best interest of the State. However, if either party wants to license or assign an intellectual property interest in the material to a third-party for monetary compensation, ADHS and University agree to convene to determine the relevant issues of title, copyright, patent and distribution of revenue. In the event of a controversy as to whether the Material is being used for monetary compensation or in a way that interferes with the best interest of the state or ADHS, then the Arizona Department of Administration shall make the final decision. Notwithstanding the above, “monetary compensation’ does not include compensation paid to an individual creator for traditional publications in academia (the copyrights to which are Employee-Excluded Works under ABOR Intellectual Property Policy Section 6-908C.4.), an honorarium or other reimbursement of expenses for an academic or professional presentation, or an unprofitable distribution of Material.

15. Reports and Records

Each party shall establish and maintain records regarding its performance under this Agreement in accordance with the records retention standards established by the Department of Library and Archives. Any subcontractors shall be contractually required to retain all data and other records relating to the acquisition and performance of this Agreement for a period of five years after the completion of the Agreement as required by A.R.S. 35-214 and 35-215. All records shall be subject to inspection and audit by the State of Arizona (State) at reasonable times.

16. Records

Under A.R.S. § 35-214 and § 35-215, the Contractor shall retain and shall contractually require each Subcontractor to retain any and all Data and other “records” relating to the acquisition and performance of the Contract for a period of five (5) years after the completion of the Contract. All records shall be subject to inspection and audit by the State at reasonable times. Upon request, the Contractor shall produce a legible copy of any or all such records.

17. Audit

Pursuant to A.R.S. § 35-214, at any time during the term of this Contract and five (5) years thereafter, the Contractor’s or any Subcontractor’s books and records shall be subject to audit by the State and, where applicable, the Federal Government, to the extent that the books and records relate to the performance of the Contract or Subcontract.

SPECIAL TERMS AND CONDITIONS CTR070103

18. Arbitration

The parties to this Contract agree to resolve all disputes arising out of or relating to this Contract through arbitration, after exhausting applicable administrative review, to the extent required by A.R.S. § 12-1518, except as may be required by other applicable statutes (A.R.S. Title 41).

19. Equal Employment Opportunities

The parties shall comply with Executive Order 75-5, as amended by Executive Order 2009-09, which mandates that all persons, regardless of race, color, religion, sex, age, national origin or political affiliation, shall have equal access to employment opportunities, and all other applicable State and Federal employment laws, rules and regulations, including the Americans with Disabilities Act. All parties shall take affirmative action to ensure that applicants for employment and employees are not discriminated against due to race, creed, color, religion, sex, national origin or disability.

20. Federal Immigration and Nationality Act

The parties shall promptly execute and comply with A.R.S. § 41-4401, immigration laws, and conform to A.R.S. § 23- 214, which requires verification of employment eligibility through the “e-verify” program.

21. Offshore Performance of Work Prohibited

Offshore Performance of Work involving Data is Prohibited. Any Services that are described in the specifications or scope of work that directly serve the State of Arizona or its clients and involve access to Data shall be performed within the defined territories of the United States.

22. Health Insurance Portability and Accountability Act (HIPAA) of 1996

22.1 The University certifies that it is familiar with the requirements of HIPAA, as amended by the Health Information Technology for Economic and Clinical Health Act (HITECH Act) of 2009 and accompanying regulations and will comply with all applicable HIPAA requirements in the course of this Agreement. University certifies that it will cooperate with the Arizona Department of Health Services (ADHS) in the course of performance of the Agreement so that both ADHS and University will be in compliance with HIPAA, including cooperation and coordination with the Arizona Department of Administration-Arizona Strategic Enterprise Technology (ADOA-ASET) Office, the ADOA-ASET Arizona State Chief Information Security Officer and HIPAA Coordinator and other compliance officials required by HIPAA and its regulations. University will sign any documents that are reasonably necessary to keep ADHS and University in compliance with HIPAA, including, but not limited to, business associate agreements.

22.2 If requested by the ADHS Procurement Office, University agrees to sign a “Pledge To Protect Confidential

Information” and to abide by the statements addressing the creation, use and disclosure of confidential information, including information designated as protected health information and all other confidential or sensitive information as defined in policy. In addition, if requested, University agrees to attend or participate in HIPAA training offered by ADHS or to provide written verification that the University has attended or participated in job related HIPAA training that is: (1) intended to make the University proficient in HIPAA for purposes of performing the services required and (2) presented by a HIPAA Privacy Officer or other person or program knowledgeable and experienced in HIPAA and who has been approved by the ADOA-ASET Arizona State Chief Information Security Officer and HIPAA Coordinator.

23. The Federal Funding Accountability and Transparency Act (FFATA or Transparency Act - P.L.109-282, as amended by section 6202(a) of P.L. 110-252), found at https://www.fsrs.gov/

If applicable, the subrecipient or sub-awardee is required to abide by the Federal Funding Accountability and Transparency Act (FFATA or Transparency Act – P.L. 109-282, as amended by section 6202(a) of P.L. 110-252), found at https://www.fsrs.gov/. The associated Grant Reporting Certification Form and completion instructions will be sent to the subrecipient from ADHS Program(s) responsible for the specific contract. The subrecipient or sub-

SPECIAL TERMS AND CONDITIONS CTR070103

awardee must return the completed form to ADHS Program(s) by the 15th of the month following that in which the award was received. Failure to complete a required Grant Reporting Certification Form may result in loss of funding.

24. Indirect Rate

The University agrees that for this project requested by ADHS that is funded by State appropriated or other type of State funding, the University shall charge an Indirect Rate no greater than fifteen percent (15%).

25. Miscellaneous

25.1. Purchases made in furtherance of this Agreement, are subject to A.R.S. § 41-2501, et seq. (The Arizona

Procurement Code) and the administrative rules promulgated thereunder (AAC R2-7-101, et seq.).

25.2. This Agreement shall be governed and interpreted by the laws of the State of Arizona.

25.3. Any amendments to this Agreement must be in writing and signed by both parties.

25.4. The provisions of this Agreement are severable. Any term or condition deemed illegal or invalid shall not affect any other term or condition of the Agreement.

25.5. This Agreement is intended by the parties as a final and complete expression of their agreement. No course of prior dealings between the parties and no usage of the trade shall supplement or explain any terms used in this Agreement.

25.6. Either party’s failure to insist on strict performance of any term or condition of the Agreement shall not be deemed a waiver of that term or condition even if the party accepting or acquiescing in the nonconforming performance knows of the nature of the performance and fails to object to it.

CONTRACT NUMBER INTERAGENCY SERVICE AGREEMENT

SCOPE OF SERVICES CTR070103

1. Background

Arizona Department of Health Services (ADHS) Office of Injury and Violence Prevention (OIVP) administers funds provided by the Centers for Disease Control and prevention (CDC) for operation of the Overdose Data to Action (OD2A) Cooperative Agreement.

The overarching goal of the Overdose Data to Action in States (OD2A-S) is to enhance ADHS’ ability to track and prevent nonfatal and fatal overdoses while also identifying emerging drug threats. OD2A-S emphasizes surveillance strategies and the promotion of evidence-based and evidence-informed interventions that have an immediate impact on reducing overdose morbidity and mortality, with a focus on opioids, stimulants, and polysubstance use (if addressed in combination with opioids and stimulants). OD2A-S is underpinned by a data to action framework that reinforces the use of surveillance and other data to inform and drive prevention efforts and policies, with an emphasis on addressing health equity and health disparities.

Abuse and addiction to opioids is a serious and challenging national public health problem. Deaths from drug overdose have risen steadily over the past two (2) decades and have become the leading cause of injury death in the United States. The latest numbers from the CDC show a reported 92,452 overdose deaths for the year 2020, up thirty percent (30%) from the 71,130 deaths in 2019. Of those 2020 deaths, opioids were involved in 69,031, which accounts for seventy-five percent (75%) of all drug overdose deaths.

Previously, this opioid epidemic had been driven by prescription drug use. According to data from Arizona’s CSPMP, there were 4.1 million Class II-IV prescriptions written and 240,511,812 pills dispensed in Arizona in 2019. This equates to thirty-four (34) Schedule II-IV controlled substance pills for every person, adults, and children, living in Arizona. According to experts, recent prescribing practices in Arizona rank our state as twenty-eighth (28th) for opioid prescribing with forty-four point one (44.1) prescriptions per 100 people; but this is no longer the root cause of overdose deaths.

Now, the main driver of the opioid crisis is fentanyl. In 2019, synthetic opioids were involved in more than 36,000 deaths in the U. S., which is about seventy-three percent (73%) of all opioid-involved deaths that year. Most of these fentanyl deaths were due to illicitly made fentanyl, which is found in counterfeit pills and being mixed into other drugs such as heroin. Other street drugs (such as methamphetamines) may be laced with fentanyl without the user’s knowledge, adding to risk of overdose. In Arizona, presence of fentanyl in overdoses significantly increased from nine percent (9%) in 2017 to fifty percent (50%) in 2021.

In addition to the human cost, the financial burden of opioid misuse is enormous. In 2019, there were 56,623 hospital visits related to opioids in Arizona, at an average cost of $11,942 per visit. This equals about $676 million dollars in health care costs due to opioids.

Prescription and illicit opioids, like fentanyl, are addictive and responsible for an increasing number of deaths in Arizona. This rise reflects a growing problem across the nation and overdose deaths are the leading cause of preventable injury death.

2. OBJECTIVE

With resources awarded through the CDC, Arizona will be well equipped to continue expanding prevention services and strategies to halt, reverse, and diminish the opioid crisis in our state. OD2A-S strategies and priorities include:

2.1. Enhancing the capacity of county health departments to address the opioid epidemic through implementation of prevention-based strategies that will lessen the overall impact and burden of opioid misuse across the community.

2.2. Developing and maintaining public health and public safety partnerships (Strategy 7).

2.3. Increasing access to overdose prevention and reversal tools, treatment options, and drug checking equipment through developing and sustaining partnerships and/or creating and disseminating education and communication materials (Strategy 8)

2.4. Expanding linkages to care and treatment for Opioid Use Disorder (OUD) that support retention in care (Strategy 9).

2.5. Activities using navigators are encouraged under Strategy Eight (8) and Strategy Nine (9). Navigators can include peer navigators, certified peer recovery specialists, peer support specialists, case managers, patient navigators, community health workers, persons with lived experience, Promotoras, Community Health Representatives (CHRs).

3. Scope of Work

The Subrecipient shall complete the following activities that correspond to OD2A-S Prevention Strategy Area Six A (6A). Clinician/Health System Engagement:

3.1. Participate in state-wide meetings including:

3.1.1. The statewide Opioid Clinical Advisory Group

3.1.2. ASU medication assistance treatment advisory group/Echo group

3.1.3. OD2A-S linkages to care grantee/contractor meetings.

3.2. Develop and deliver professional development content for clinicians, community health workers/representatives (CHW/R), and other healthcare professionals on content related to the 2022 CDC Opioid Prescribing Guidelines, integrated services, x-waiver elimination, medications to treat opioid use disorder (MOUD) and others.

3.3. Assess, develop, and maintain centralized list of non-Medicaid addiction resources building on existing resources.

3.4. Develop a training and technical assistance plan to support healthcare organizations integrating the CDC Opioid Prescribing Guidelines into the Electronic Health Records (EHRs).

The Subrecipient shall complete the following activities that correspond to OD2A Prevention Strategy Area Eight (8); Harm Reduction.

3.5. Identify training that exists for CHW/Rs to integrate into healthcare settings.

3.6. Develop and provide professional development on naloxone, fentanyl test strips, deterrer bags and other harm reduction resources.

4. Requirements

The subrecipient shall designate a point of contact that will be responsible for maintaining documentation of any PSAs created and placed in the county, regarding opioid misuse prevention.

5. Tasks

5.1. The Subrecipient shall complete the following tasks that correspond to OD2A Prevention Strategy Area 6A.

Clinician/Health System Engagement (based on activities above):

5.1.1. Prepare for and participate in scheduled state-wide meetings.

5.1.2. Develop and deliver five professional development training courses for clinicians, CHW/Rs, and others.

5.1.3. Update county substance use disorder treatment guides.

5.1.4. Develop two more county level substance use treatment resources for American Indian populations.

5.1.5. Meet with Arizona 2-1-1 to coordinate the best way to centralize information.

5.1.6. Connect with professionals who completed the EHR needs assessment to hear more about their integration of prescribing guidelines.

5.1.7. Develop workflows and strategies organizations can use to integrate the CDC Opioid Prescribing Guidelines into their EHRs.

5.1.8. Review the literature regarding ways EHRs can support increasing health equity in prescribing practices.

5.1.9. The Subrecipient shall complete the following activities that correspond to OD2A Prevention Strategy Area eight (8); Harm Reduction.

5.1.10. Meet with groups that offer training to CHW/Rs to document what currently exists in terms of content and modes/methods, and languages.

5.1.11. Update training material to include education about fentanyl, stimulants, and social determinants of health. Provide training materials in English and Spanish. Deliver at least one (1) training.

5.2. The Subrecipient shall:

5.2.1. Participate in surveys, interviews (remote or face-to-face), and questionnaires developed and disseminated by ADHS’ Evaluation Team or Consultant to collect data and information necessary to assess the state and local progress with meeting grant related goals, objectives, evaluation, and outcomes;

Receive prior approval before developing or releasing any PSAs or new educational materials.

Prepare and submit annual budget(s) and work/ action plan(s).

5.2.2. Prepare and submit quarterly Contractors Expenditures Reports (CERs) and documentation at the end of each quarter.

5.2.3. Submit quarterly reports to ADHS detailing quarterly progress on grant activities.

5.2.4. Plan, schedule, and attend onsite/ virtual site visit with ADHS staff, as necessary to meet grant requirements.

5.2.5. Attend and participate in quarterly contractor meetings with ADHS.

5.2.6. Participate in statewide media/ marketing efforts.

5.2.7. Attend and participate in ADHS’ Linkages to Care workgroup.

5.2.8. Attend and participate in any training, statewide contractor’s meetings, or professional development provide by ADHS or it’s contracted vendors, as necessary.

6. STATE PROVIDED ITEMS

ADHS will:

6.1. Provide budget, work/action plan, Contractor Expenditure Reports (CER), and quarterly report templates.

6.2. Coordinate quarterly Contractor calls with county staff to facilitate state and county updates, and progress on opioid prevention projects and activities.

6.3. Host an annual meeting for funded agencies and organizations, either face-to-face or virtual.

6.4. Schedule meetings and professional development opportunities with Counties to provide additional support for the implementation of grant related activities.

7. APPROVALS

7.1. Prior to publishing or recording any marketing materials including, but not limited to, brochures, posters, public service announcements, publications, videos, or journal articles which will be developed and paid using funds awarded under this Contract, a draft of the marketing material must first be approved by ADHS.

The ADHS Communications Director must approve prior to the dissemination of such materials or airing of such announcements.

7.2. Requests for publication, student thesis or dissertations based on the work funded by this intergovernmental

Agreement must be approved in writing, in advance, by the ADHS Principal Investigator. The contractor shall submit the request to the ADHS Principal Investigator at least forty-five (45) days in advance of proposed publication date. ADHS agrees to limit circulation and use of such materials to internal distributions with ADHS and agrees that such distribution will be solely for the purposes of review and comment. ADHS may require additional statements and will provide the statements when needed.

8. REFERENCE DOCUMENTS

8.1. Arizona Opioid Epidemic webpage and Interactive Data Dashboard- azhealth.gov/opioid.

8.2. Arizona Opioid Assistance and Referral (OAR) Line- https://phoenixmed.arizona.edu/oar.

8.3. Centers for Disease Control and Prevention (CDC) Drug Overdose Website-https://www.cdc.gov/drugoverdose/.

8.4. Substance Abuse and Mental Health Services Administration (SAMSHA) Programs Website-https://www.samhsa.gov/programs.

9. Deliverables:

The subrecipient shall provide deliverables that correspond to OD2A Prevention Strategy Area Six A (6A).

Clinician/Health System Engagement:

9.1. Summary report of the number and types of meetings Arizona Center for Rural Health (AzCRH) participated in and the contributions made.

9.2. Summary report about:

9.2.1. The number of trainings provided, attendees, topics and participant satisfaction and intention to use the information.

9.2.2. At least three updated treatment resources that are distributed to AzCRH collaborators and shared on AzCRHs website.

9.2.3. Written plan for working towards a centralized way to host non-Medicaid addiction resources.

9.2.4. Summary report and plan for providing training and technical assistance on the integration of CDCs Opioid Prescribing guidelines into EHRs.

9.2.5. Summary report of literature review on EHR functionality to increase health equity in prescribing practices.

9.3. The Subrecipient shall provide the following deliverables that correspond to OD2A Prevention Strategy

Area Eight (8); Harm Reduction.

9.3.1. Summary report of the types of training offered for CHW/Rs on the topics of overdose, naloxone, social determinants of health, and integrated behavioral health.

9.3.2. Updated curriculum materials that are used in trainings and available on the AzCRH website.

9.3.3. Summary report about:

9.3.3.1. The number of trainings provided and attendees, topics, and participant satisfaction and intention to use the information.

CDC Overdose Data to Action (OD2A) Grant Deliverables Timeline (September 1 - August 31)

Deliverable Title DUE DATE

1st Quarter Survey Completion and CER (September – November) December 31 2nd Quarter Survey Completion and CER (December – February) March 31 3rd Quarter Survey Completion and CER (March – May) June 30 4th Quarter Survey Completion and CER (June – August) September 30

10. NOTICES, CORRESPONDENCE, REPORTS

10.1. Notices, Correspondence, Reports and from the Contractor to ADHS shall be sent to:

Arizona Department of Health Services Bureau of Chronic Disease and Health Promotion Ariel Moreno Health Program Manager III – State Opioid Response Grant 150 North 18th Avenue, Suite 310-B Phoenix, Arizona 85007 Phone: 480-653-4213 Email: ariel.moreno@azdhs.gov CC: Elizabeth.markona@azdhs.gov CC: Maritza.Valenzuela@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 thirty (30) days after the effective date of the Contract.

The form is available online at: https://gao.az.gov/sites/default/files/GAO- 618%20ACH%20Authorization%20Form%20101019.pdf.

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

10.3. Notices, Correspondence, and Reports from ADHS to the Contractor shall be sent to:

University of Arizona Bridget S. Murphy, DBH, M.Ed.

Mel & Enid Zuckerman College of Public Health & Arizona Center for Rural Health 1295 N. Martin Ave.

P.O. Box 245163 Tucson, Arizona 85724 Phone: 520-621-6611 Email: bridget@arizona.edu

PRICE SHEET CTR070103

PRICE SHEET

Arizona Center for Rural Health Cost Reimbursement

Account Classification Total Budget

Personnel* $102,562.00

ERE* $31,224.00

Professional & Outside Services* $192,192.00

Travel* $9,250.00

Occupancy* $0.00

Other Operating* $12,598.00

Capital Outlay $0.00

Indirect (15%) $52,174.00

TOTALS (ANNUAL NOT TO EXCEED) $400,000.00

* If applicable, the Contractor is authorized to transfer up to a maximum of fifteen percent (15%) of the total budget amount between line items with the written approval from an ADHS program representative.

Transfers exceeding fifteen percent (15%) or to a non-funded line item shall require an Agreement Amendment.

*Indicated indirect rate calculation

EXHIBIT ONE CTR070103

Exhibit One

2 CFR 200.332

§ 200.332 Requirements for pass-through entities.

All pass-through entities must:

(a) Ensure that every subaward is clearly identified to the subrecipient as a subaward and includes the following information at the time of the subaward and if any of these data elements change, include the changes in subsequent subaward modification.

When some of this information is not available, the pass-through entity must provide the best information available to describe the Federal award and subaward.

Prime Awardee: Arizona Department of Health Services

DUNS # 804745420

Federal Award Identification (Grant Number): NU17CE010227

Subrecipient name (which must match the name associated with its unique entity identifier): ��������

Subrecipient's unique entity identifier (DUNS

Federal Award Identification Number (FAIN, sometimes it’s the same as the Grant Number): NU17CE010227

Federal Award Date (see the definition of Federal award date in § 200.1 of this part) of award to the recipient by the Federal agency; 08/23/2023

Subaward Period of Performance Start and End Date; 09/01/2023-08/31/2028

Subaward Budget Period Start and End Date: 09/01/2023-08/31/2024

Amount of Federal Funds Obligated by this action by the pass-through entity to the subrecipient (this is normally the contract amount): $400,000.00

Total Amount of Federal Funds Obligated to the subrecipient by the pass-through entity including the current financial obligation (how much is available for contracts): $2,897,299.00

Total Amount of the Federal Award committed to the subrecipient by the pass-through entity $400,000.00

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EXHIBIT ONE CTR070103

Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA) Overdose Data to Action in States

Name of Federal awarding agency, pass-through entity, and contact information for awarding official of the Pass-through entity

Department of Health and Human Services Center for Disease Control and Prevention

Assistance Listings number and Title; the pass-through entity must identify the dollar amount made available under each Federal award and the Assistance Listings Number at time of disbursement: 93.136

Identification of whether the award is R&D No

Indirect cost rate for the Federal award (including if the de minimis rate is charged) per § 200.414 19.50%