Exhibit A

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Statement of Work

[VENDOR LEGAL NAME INCLUDING DBA IF APPROPRIATE]

MATERNAL INFANT EARLY CHILDHOOD HOME VISITING PROGRAM

CDEC PROGRAM CONTRACT MANAGER

● Name: Brittany Martens Title: MIECHV Program Manager Email: brittany.martens@state.co.us

ABBREVIATIONS

● ACF - Administration for Children and Families

● CDC - Centers for Disease Control

● CDEC - Colorado Department of Early Childhood

● CFR – Code of Federal Regulations

● CO - Colorado

● CQI - Continuous Quality Improvement

● FTE- Full Time Equivalent

● GED – General Educational Development

● HIPAA- Health Insurance Portability and Accountability Act of 1996

● HR - Human Resources

● HRSA - Health Resources and Services Administration

● HV - Home Visitor

● MCHB – Maternal and Child Health Bureau

● MIECHV - Maternal Infant Early Childhood Home Visiting Program

● PAT - Parents as Teachers

● PATNC- Parents as Teachers National Center

● PE- Parent Educator

● PFS - Protective Factors Survey

● SOW - Statement of Work mailto:brittany.martens@state.co.us

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GLOSSARY

● Visit Tracker (Visit Tracker Web) for Parents as Teachers- secure, cloud-based data management and documentation system.

● SMART- specific, measurable, actionable, relevant, and time bound goals. This goal setting strategy is utilized in the continuous quality improvement work throughout the performance period.

● OnBase- platform utilized by the Colorado Department of Early Childhood to digitize, manage, and automate records, documents, and workflows. This platform serves as a vendor invoice submission hub that MIECHV vendors must use.

INTRODUCTION/BACKGROUND

● The Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program provides pregnant women and families, particularly those considered at-risk, with the necessary resources and skills to raise physically, socially, and emotionally healthy and ready-to-learn children. From birth to kindergarten entry, the Health Resources and Services Administration (HRSA), in partnership with the Administration for Children and Families, funds states, territories, and tribal entities to develop and implement evidence-based, voluntary programs that best meet the needs of their communities.

● Colorado’s goal is to fund and support prevention services for families at risk of entering the child welfare system by implementing and expanding evidence-based home visiting programs with fidelity to the evidence-based model, using Continuous Quality Improvement plans to improve service delivery, and collecting program data that show progress towards the intended goals. MIECHV requires grantees to demonstrate measurable improvement in at least four benchmark domains.

o MIECHV benchmarks include:

o Improvement in maternal and newborn health, o Reduction in child injuries, abuse, and neglect, o Improved school readiness and achievement, o Reduction in crime or domestic violence, o Improved family economic self-sufficiency, and o Improved coordination and referral for other community resources and support.

SCOPE OF WORK

● The Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) gives pregnant women and families, particularly those considered at-risk, the necessary resources and skills to raise children who are physically, socially, and emotionally healthy and ready to learn.

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● The Parents as Teachers (PAT) model is the evidence-based, voluntary program used for this scope of work. It is designed to improve parenting practices by increasing parents' knowledge of early childhood development, promoting early detection of developmental delays and health issues, helping prevent child abuse and neglect, and increasing children’s school readiness and success.

● The PAT model has four dynamic components that together create a cohesive package of services for families with young children:

● Personal Visits: Certified parent educators share age-appropriate child development information with parents and caregivers and engage the family in activities that promote meaningful parent and child interaction.

● Group Connections: These meetings relay important information about child development and offer parents opportunities to interact with and support one another, fostering social connection and empowerment.

● Health & Developmental Screenings: Services are provided to detect any developmental delays or health issues early in a child’s life.

● Resource Network: Families are connected with resources to help them reach their goals and address their individual needs, including external resources and enhanced wrap-around services.

PERIOD OF PERFORMANCE

● October 01, 2026 – September 30, 2027

WHERE SERVICES WILL BE PERFORMED

● Provide the Parents as Teachers Program to a minimum caseload of [Insert Number] parents/families in Colorado.

● Increase families’ protective capacities by promoting family strengths.

MATERNAL, INFANT, EARLY CHILDHOOD HOME VISITING PROGRAM (MIECHV) WORK PLAN

Work Plan Outcomes, Benchmarks, and Milestones Outcome Statement #1:

Provide the MIECHV home-visiting model, Parents as Teachers (PAT).

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Key Activity A1: Recruit and retain MIECHV PAT eligible families, provide voluntary PAT home visits and services for the funded caseload of [Insert Number] families, in [list counties served].

Tasks Time Period Deliverable Measurement Position(s) Responsible Budget Category A1-1: Recruit families to enroll in the PAT Program, prioritizing identifying families that meet MIECHV at-risk definitions.

10/01/26- 09/30/27

Recruit and maintain the required PAT caseload of [Insert Number] throughout the program year. Recruitment priority is given to at-risk individuals. At-risk criteria are as follows:

- Low-income families

- Families with pregnant women under the age of 21

- Families with a history of child abuse or neglect, or with interactions with child welfare services

- Families with a history of substance abuse or a need for substance abuse treatment

- Families where someone uses tobacco products in the home

- Families with children who have developmental delays or disabilities

- Families with children with low student achievement

- Families with individuals who are serving or formerly served in the United States armed forces

Contractor shall track the site’s PAT caseload, including enrolled and maintained throughout the year, as demonstrated in Visit Tracker and other systems, as required by the state intermediary, Parent Possible on a monthly basis.

[Insert Here] [Insert Here]

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Tasks Time Period Deliverable Measurement Position(s) Responsible Budget Category A1-2: Conduct ongoing recruitment efforts to maintain a full caseload.

10/01/26- 09/30/27

Recruit and maintain the required caseload of families per Parent Educator as described in the budget throughout the program year.

Caseload enrolled per PE, per month, as demonstrated in the Visit Tracker database.

Monthly check-ins with parent educators to discuss caseload and recruitment/retention challenges.

A1-3: Implement service delivery frequency based on PAT National Center guidelines and recommendations and

MIECHV

requirements.

10/01/26- 09/30/27

Offer at least 12 home visits per year to families with zero or one stressor.

Offer at least 24 home visits per year to families with two or more stressors.

Complete at least one in-person visit per enrolled family during the program year.

Monthly report of family visits (including number of visits and in-person/virtual visit location) as demonstrated in the Visit Tracker Database.

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A1-4: Implementation of the Parents as Teachers Home Visit Program to fidelity, defined as meeting or exceeding the minimum levels for all of the Essential Requirements as determined by the PAT National Center.

If fidelity measures are not met, work with Parent Possible to complete the PAT Essential Requirement Success Plan and participate in regular follow-up to support progress and improvement.

10/01/26- 09/30/27

By 09/30/2027, a continuous caseload of [Insert Number] families shall receive regular home visits from Parents as Teachers-certified parent educators. All families shall be offered at least two years of services and will receive support around parenting skills, practices, capacity, and stress.

Information/referrals will be provided to families to reduce social isolation, increase resilience, and improve access to formal and informal services.

Families will be invited to participate in site-hosted monthly group connections.

Data and documentation required to assess model fidelity and family outcomes will be collected, stored, and reported as required by PAT National Center.

Collection and report of data and documentation in the Visit Tracker Database and to Parent Possible staff for ongoing fidelity monitoring.

Participation in topical group monthly calls and quarterly individual check-ins.

Participation in site visits (minimum of one per year) with Parent Possible.

Benchmark reporting will include the percentage of families who show increased knowledge of age-appropriate child development, parenting capacity, parenting practices, and parent-child relationships and family connections to services using data collected in accordance with PAT and MIECHV requirements.

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A1-5: Submit the annual Affiliate Program Report to the PAT State Office and PAT National Center.

10/01/26- 09/30/27

Program staff will meet all Essential Requirements for program quality, model fidelity, and maintaining affiliate status.

Program Affiliate Report documents submitted and Affiliate Status maintained.

[Insert Here] [Insert Here]

A1-6: Administer the PAT Parent Participation survey.

10/01/26- 09/30/27

Summarize and use participant satisfaction data to identify areas for program improvement.

Survey results responses are entered into the online system Alchemer, or physical copies are mailed to Parent Possible.

Key Activity B1: Engage in Continuous Quality Improvement (CQI).

B1-1: Engage in Continuous Quality Improvement (CQI) initiatives to enhance and improve program outcomes; assemble CQI team, identify CQI topics/goals, align goals with a CQI pathway.

10/01/26- 09/30/27

Designate a CQI lead team member(s), select a CQI pathway, and complete a CQI project plan.

Completed verbal or written project plan for one CQI pathway containing team information, topic, SMART aim, data tracking plan, at least one new change strategy per program year.

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B1-2: Monitor CQI progress monthly and report quarterly on CQI progress.

10/01/26- 09/30/27

Complete CQI quarterly report (verbal or written).

Completed verbal or written quarterly report with at least one change strategy implemented during the quarter and monthly or quarterly data tracked to monitor status. Changes to project plans to be submitted with each quarterly report, if applicable.

[Insert Here] [Insert Here]

B1-3: Participate in CQI peer learning sessions each quarter (or provide written quarterly update report)

10/01/26- 09/30/27

Attend and provide verbal reports of CQI project progress during quarterly CQI peer learning sessions or complete quarterly written reports.

One team member's attendance/participatio n during 4 quarterly meetings/program period, or an alternative completed written quarterly report.

Verbal or written presentation of quarterly change strategy tested, data metric monitored, challenges experienced, and plans for adaptation, abandonment, adoption, and/or expansion of change strategies planned for next quarter.

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B1-4: Share final CQI data/outcomes at the end of the project period in a peer learning session or written report/slide deck.

10/01/26- 09/30/27

Attendance at the CQI wrap-up meeting. Verbal or written end-of-project report.

Completion of verbal or written report or presentation of final data metric used to track progress and outcome/lessons learned of the CQI project.

[Insert Here] [Insert Here]

B1-5: Implementation of new CQI projects each program year.

10/01/26- 09/30/27

Development of a CQI project each year that includes at least one new change strategy per year.

At least one change strategy listed in the project plan is new to the current program year (i.e., not tested in the previous two program years).

Key Activity C1: Collect, enter, and report data and work with the state intermediary and the CDEC/State Grantor to monitor, evaluate and improve program performance.

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C1-1: Collect and report MIECHV performance data, including service/engagement, staffing, benchmark and demographic data on all clients served by home visitors funded entirely or partly by

MIECHV.

10/01/26- 09/30/27

Programs submit Form 1 (demographic/clinical data) and Form 2 (performance measurement benchmarks) required data biannually in accordance with State Intermediary Parent Possible, CDEC, and HRSA deadlines.

Programs submit Form 4 (service provision and staffing data) quarterly in accordance with State Intermediary Parent Possible, CDEC, and HRSA deadlines.

Programs submit monthly data (service provision and staffing) in accordance with State Intermediary Parent Possible and CDEC deadlines.

Required MIECHV service/engagement, staffing, benchmark, and client demographic data collected and entered into Visit Tracker and monthly report templates for Forms 1, 2, and 4, and monthly data by Parent Possible, CDEC, and HRSA deadlines.

[Insert Here] [Insert Here]

C1-2: Submit data as requested by the CDEC/State Grantor.

10/01/26- 09/30/27

CDEC utilizes data to improve performance outcomes and measure how program services help families and communities.

The requested data has been submitted to the CDEC meeting and meets all deadlines.

[Insert Here] [Insert Here]

C1-3: Require all MIECHV clients to sign an informed participant consent form specifying whether child-level data can be shared with CDEC/State Grantor for evaluation purposes.

Upon enrollment into MIECHV programs during the performance period 10/01/26- 09/30/27

Signed informed participant consent forms from all MIECHV clients.

MIECHV clients sign informed participant consent forms. Consent forms are kept on file.

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Key Activity D1: Ensure qualified staff are hired, trained, and supported to deliver MIECHV services.

D1-1: Create and maintain a recruitment and retention plan for home visiting staff.

10/01/26- 09/30/27

A completed and updated staff recruitment and retention plan

Plan completed by 09/30/2027 and reviewed annually.

[Insert Here] [Insert Here]

D1-2: Recruit, hire, train, and retain qualified staff for all MIECHV-funded positions, including the Early Childhood Supervisor and Certified Parent Educators, as defined by PATNC.

10/01/26- 09/30/27

All MIECHV-funded positions are filled with qualified staff. This task shall be completed in a timely manner, without disrupting services, and shall be aligned with the organization's, state’s, and federal hiring practices.

Staffing is maintained at the required full-time equivalent (FTE) positions throughout the year and reported on monthly and quarterly CDEC reports.

[Insert Here] [Insert Here]

D1-3: Train all staff in delivering the PAT Program.

As needed throughout the performance period of 10/01/26- 09/30/27

All MIECHV-funded staff receive initial and ongoing training in the PAT Program model.

This task shall be completed in a timely manner, without disrupting services, and shall be aligned with the organization's, states, and federal hiring practices.

100% of staff complete all required initial and ongoing training within the timelines set by the model and the Program Site and report dates of initial training completion and first visits with families on the monthly CDEC report.

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D1-4: Employ staff who provide a safe environment for children and parents.

As needed and before new staff are hired throughout the performance period of 10/01/26- 09/30/27

The Program Site implements all required safety and background check procedures for staff.

100% of staff have current and satisfactory background checks on file, completed at the time of hire, and available upon request to the CDEC MIECHV Program Manager for review and during site visits, as referenced in B2-5.

[Insert Here] [Insert Here]

D1-5: Provide annual training for staff on mandatory reporting of child maltreatment.

As needed throughout the performance period of 10/01/26- 09/30/27

Annual training is provided to current staff utilizing the most up-to-date mandatory reporter training offered by the Colorado Department of Human Services.

New staff must be trained prior to interacting with families.

100% of staff receive annual mandatory reporter training.

Training date and time documentation is maintained.

[Insert Here] [Insert Here]

D1-6: Provide individual reflective supervision.

10/01/26- 09/30/27

All Certified Parent Educators receive monthly individual reflective supervision.

PEs working more than 0.5 FTE participate in a minimum of two hours of individual reflective supervision, and a minimum of two hours of staff meetings. Those working 0.5 FTE or less participate in one hour of reflective supervision and two hours of staff meetings (including supervisors with a caseload)

100% of Certified Parent Educators receive the required frequency of individual reflective supervision.

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D1-7: Provide Group Reflective Supervision/Consultat ions for supervisors.

10/01/26- 09/30/27

All Program Site Early Childhood Supervisors receive monthly group reflective supervision/consultations.

100% of Program Site Early Childhood Supervisors receive the required frequency of group reflective supervision/consultation s (e.g., monthly).

[Insert Here] [Insert Here]

D1-8: Attend CDEC annual orientation.

10/01/26- 09/30/27

At least 2 staff members will attend the annual MIECHV Orientation.

100% attendance by at least 2 staff members at the mandatory MIECHV orientation hosted by

CDEC.

Program Director Financial Staff (Adjust titles as needed)

[Insert Here]

D1-9: New staff whose job duties include assisting with preparing budgets, invoices, or grant management for this project shall attend the annual MIECHV orientation.

Ongoing, as needed.

Site shall alert the CDEC MIECHV Program Manager to any new staff who assist with budget preparation, invoices, or grant administration within 45 days of hire, to support orientation training.

Site informs CDEC of new staff within 45 days of hire.

Grant orientation for new staff has been completed within 90 days of hire.

[Insert Here] Travel, Personnel and/or indirect

D1-10: Participate in State Intermediary Training Activities.

10/01/26- 09/30/27

Site shall attend and participate in training activities to receive up-to-date information on model requirements, changes, and best practices, and participate in regular fidelity monitoring.

Virtual or asynchronous attendance at monthly Parent Possible meetings.

Participation in Basecamp.

Participation in Parent Possible site visits.

[Insert Here] Travel, Personnel and/or indirect

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D1-11: Staff whose job duties include entering required MIECHV data shall attend data training provided by Parent Possible and the

CDEC.

10/01/26- 09/30/27

Site shall share training information, including dates and times of in-person or virtual training opportunities, with appropriate staff members.

Sites shall provide scheduling assistance as needed to ensure staff attend training.

The site shall alert the CDEC MIECHV Program Director to any new staff involved in data entry to ensure ongoing training is provided.

Participation in Parent Possible and the CDEC data training opportunities.

Site shall inform CDEC of new staff within 45 days of hire.

[Insert Here] Travel, Personnel and/or indirect

Work Plan

Outcomes, Benchmarks, and Milestones Outcome Statement #2: Enhanced Wrap-Around Service Delivery and External Resource Referral and Follow-up.

Key Activity A2: Families receive referrals to internal and external resources as needed.

A2-1: Referrals to internal and external resources.

10/01/26- 09/30/27.

All families receive appropriate referrals to internal and external resources.

Family connection to and follow-up of at least one referral, as demonstrated in Visit Tracker and/or other required data systems, as required by Parent Possible and CDEC.

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A2-2: Collaborate with community programs and agencies to ensure home visitors are knowledgeable about referring families to varied support, including establishing relationships with other home visiting models and making appropriate referrals

10/01/26- 09/30/27

Home visitors are trained in referring families to a resource network of community programs and support, including internal and external home visiting models, based on family needs and goals.

Families are offered and receive a documented warm handoff referral as needed.

Referrals will be entered into Visit Tracker database.

[Insert Here] Personnel

Travel

A2-3: Intimate Partner Violence referral.

10/01/26- 09/30/27

All families screening positive for intimate partner violence referrals using a validated tool approved for use by MIECHV-funded programs receive a warm handoff referral to an appropriate resource.

Caregivers screening positive for intimate partner violence receive a warm handoff referral, connection, and follow-up as demonstrated in Visit Tracker and/or other required data systems, as required by Parent Possible and the CDEC.

[Insert Here] [Insert Here]

A2-4: Tobacco cessation referral.

10/01/26- 09/30/27

All families with a tobacco user in the home are offered a referral to tobacco cessation resources.

Families with tobacco use in the home receive a connection and follow-up to tobacco cessation services, as demonstrated in Visit Tracker and/or other required data systems, as required by Parent Possible and the CDEC.

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A2-5: Referrals for developmental concerns/delays.

10/01/26- 09/30/27

All children with a developmental concern or delay identified using a validated tool approved for use by MIECHV-funded programs receive appropriate referral and follow-up.

Children with identified developmental concerns/delays receive a connection to developmental support services and follow-up, as demonstrated in Visit Tracker and/or other required data systems, as required by Parent Possible and the CDEC.

[Insert Here] [Insert Here]

A2-6: Depression and Anxiety Screening Referrals.

10/01/26- 09/30/27

All parents/caregivers with a positive depression and/or anxiety screen using a validated tool approved for use by MIECHV-funded programs receive an appropriate referral and follow-up.

Caregivers with a positive depression and/or anxiety screen receive a connection to mental health services and follow-up, as demonstrated in Visit Tracker and/or other required data systems, as required by Parent Possible and the CDEC.

Key Activity B2: MIECHV grant accounting, sub-recipient monitoring, and record retention compliance.

B2-1: 2 CFR 200.334

(Record retention requirements) applies to MIECHV, requiring 3-year retention.

10/01/26- 09/30/27

Financial records, supporting documents, statistical records, and all other grantee records must be retained for at least 3 years from the end of the performance period.

Monthly submission of supporting documentation via the OnBase invoice submission platform.

Record retention on site.

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B2-2: Administrative fiscal policies and procedures.

10/01/26- 09/30/27.

● Written Staff Recruitment and Retention Plan

● Policy and Procedure for Background Checks

● Fiscal policies & procedures

● Personnel policies & procedures

● Time & Effort policy and reports

Annually, the site will review the physical or electronic copies of all listed policies and procedures to confirm they are formally written, dated, approved, and aligned with current grant and model requirements.

[Insert Here] [Insert Here]

B2-3: Programmatic policies and procedures.

10/01/26- 09/30/27

● Confidentiality

● Voluntary Nature of

Enrollment

● Early Intervention

● Transition Planning

● Dual Enrollment

● High-Quality Supervision

● Disengaged Families

Annually, the site will review the physical or electronic copies of all listed policies and procedures to confirm they are formally written, dated, approved, and aligned with current grant and model requirements.

[Insert Here] [Insert Here]

B2-4: HIPAA

compliance and data safety.

10/01/26- 09/30/27

Records for all families must always be maintained in a secure environment. The protection of health information is the responsibility of the organization and staff.

The site maintains a HIPAA policy and provides staff with adequate training, storage, and equipment to ensure confidentiality in accordance with HIPAA guidelines.

[Insert Here] [Insert Here]

B2-5: CDEC site visit. 10/01/26- 09/30/27

Sites will participate in a site visit and comply with federal regulations regarding document requests.

Sites will provide documentation and respond to and correct findings (if any) within 90 days of the site visit completion.

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B2-6: Complete and submit the MIECHV invoice package to CDEC for reimbursement on time, adhering to all submission deadlines and required formats.

Monthly invoices are to be submitted 15 days after the end of each month.

Final invoices may be submitted up to 45 days following the end of the performance period, 10/01/26- 09/30/27

Completed Invoice Package: A successful submission, including:

● CDEC Invoice Template

● Expenditure Report for the invoiced period

● Copies of all supporting

Invoices and receipts

● Corresponding Time &

Effort reports for all grant-funded staff

All contractors shall submit "redacted" versions for HIPAA compliance when receipts involve client-specific support materials.

Monthly invoice submissions that occur via the OnBase System.

Monthly invoices are to be submitted 15 days after the end of each month within the performance period.

Final invoices may be submitted up to 45 days following the end of the performance period.

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B2-7: Contractor shall submit a written plan outlining how they will use Client Support Materials funds to support program objectives

October 31, 2026.

Contractor shall draft and submit a written plan to CDEC outlining how they will use Client Support Materials funds.

The plan must include examples of the types of items that would be purchased and how they relate to program objectives, as well as general guidelines for when the items are purchased in alignment with programming milestones or family needs.

The plan must align with the state intermediary guidelines and budget per family, per year.

The plan is submitted to CDEC by October 31, 2026. The CDEC MIECHV Program Manager shall reply in writing with approval or request additional changes.

[Insert Here] [Insert Here]

B2-8: Contractor shall submit appropriate support documentation for all Client Support Materials charges on their monthly invoices.

Ongoing In any month that Client Support Materials are requested for reimbursement on the invoice, the Contractor shall attach all receipts, invoices, or other relevant support documentation as additional documentation in OnBase for review with their invoice submission.

Support documentation for all Client Support Materials charges has been received prior to invoice approval.

SCHEDULE/MILESTONES

● Program Performance: The overall Period of Performance is October 01, 2026 – September 30, 2027.

● Family Services & Caseload: Throughout the performance period, recruit and maintain a minimum caseload of [Insert

Number] families, delivering the PAT Home Visit Program to fidelity, which includes regular home visits in accordance with PAT fidelity and MIECHV requirements, and a minimum of 9 annual group connections.

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● Assessments and Screenings: Complete all required child developmental assessments and observations, caregiver depression and anxiety screenings and caregiver intimate partner violence screenings for all enrolled families and children within specified MIECHV and PAT timelines.

● Staffing and Support: Maintain a qualified staff complement, providing individual and group reflective supervision for all Parent Educators and Supervisors.

● Compliance, Data, and Quality: Collect, enter, and report MIECHV service, staffing, benchmark, and demographic data into Visit Tracker and monthly data report templates by intermediary deadlines, ensure client consent forms are on file, and actively engage in Continuous Quality Improvement (CQI) initiatives and model fidelity monitoring. Submit the annual Affiliate Program Report by [Insert Date] (e.g., August 15th).

● Resource Connections: Provide timely referrals and follow-up for internal/external resources, including those indicated by screenings completed using validated tools approved for use by MIECHV-funded programs.

ACCEPTANCE CRITERIA

The acceptance of all deliverables shall reside with the CDEC (specific program). The designated program manager shall monitor all deliverables to ensure the completeness of each project stage and that the scope of work has been met. The CDEC program manager shall either sign off on the approval or reply to the vendor, in writing, advising what tasks must still be accomplished.