HRPP_CI_Determination_6.26.23_executed__1_.pdf

Arizona Dept. of Health Services (ADHS), Bureau of Women's and Children's Health (BWCH)

Lucas Terry on Behalf of BWCH lucas.terry@azdhs.gov

Procurement Specialist 480.521.2825

Provision of risk appropriate services of Level Ill, Level 11 EQ, and Level II for critically ill newborns for the Human Research Protection Program (HRPP), and Transportation suppliers certified through the Commission Accreditation of Medical Transport System (CAMTS).

Multiple - Reference attached document for contract number and supplier.

Multiple - Reference attached document for contract number, supplier and their Contract Total NTE Estimates.

- Authorization Request for a new CI

Through 6/30/2028 $5,000,000.00

- Compliance with A.R.S. §§ 41-2533, 41-2534, 41-2538, or 41-2578 is impracticable

HRPP has been previously contracted as Classification Competition Impracticable with suppliers since ADHS began receiving funding in 1972. HRPP requires that the hospitals, perinatologist, and neonatologist suppliers shall meet Level II, Level II EQs, and Level Ill.

Transportation suppliers shall be certified through the Commission Accreditation of Medical Transport Systems (CAMTS), specializing in perinatal and neonatal care in Arizona.

The HRPP requires maximum participation from each group throughout Arizona which makes these Contracts non-exclusive. This Program is inclusive of the following providers/services:

• Inpatient Physician Services Program

• Consultation and Case Management

• Hospital Program

• Transport Services

BWCH is requesting to continue these services with the current and any upcoming suppliers that meet all Level II, Level II EQs and Level Ill, and companies are certified through the Commission Accreditation of Medical Transport Systems (CAMTS), specializing in perinatal and neonatal care in Arizona, during the term of this CI.

It is in the best interest of the State to grant the continuation of this inclusive program designed to recognize and include current Physicians, Transport Providers, and Hospitals as well as recognize any new suppliers that may enter this area of service expertise to insure ADHS's ability to maintain an efficient perinatal care system that services high-risk perinatal mothers and critical ill neonates.

The Contractors are paid only after all other sources of reimbursement are exhausted; the HRPP serves as payer of last resort and sets fees based on Arizona Health Care Cost Containment System (HCCCS) fees. The physicians and hospital collect from all insurance companies or AHCCCS, and agree to honor the family liability limitations set by the HRPP. This financial liability to the families is based on income and family size. The physicians and hospitals write off outstanding debt if the Program funds are depleted. This safety net has been established to prevent financial devastation to the family. As the costs for these services are limited to established AHCCCS rates and available funding, pricing is determined to be fair and reasonable.

6/26/2023Lucas Terry Digitally signed by Lucas Terry Date: 2023.06.26 14:05:56 -07'00'

- Request Authorized Pursuant to R2-7-E303

6/30/2028

Gina Corwin Chief Procurement Officer

6/27/2023

Gina Corwin

Digitally signed by Gina Corwin Date: 2023.06.27 07:40:28 -07'00'

CONTRACTOR NAME CONTRACT

NUMBER SUPPLIER ID CURRENT NTE

AMOUNT

Abrazo Arrowhead CTR054252 IV000003754 $125,000.00 Abrazo West CTR064330 IV0000002964 $75,000.00 Dignity Health Chandler Regional CTR064306 IV0000002177 $250,000.00 Dignity Health Mercy Gilbert CTR054264 IV0000002178 $100,000.00 Flagstaff Medical Center CTR054260 IV0000001473 $125,000.00 HonorHealth Scottsdale Shea CTR054262 IV0000002909 $300,000.00 HonorHealth Sonoran Crossing CTR060787 IV0000002909 $75,000.00 Hushabye Nursery CTR054680 IV0000044527 $75,000.00 Jacob's Hope CTR061275 IV0000032480 $75,000.00 Mountain Vista Medical Center CTR041267 IV0000002964 $75,000.00 Northwest Medical Center CTR054265 IV0000003050 $75,000.00 Phoenix Children's Hospital CTR054266 IV0000002158 $200,000.00 St. Joseph's Hospital Carondelet CTR054267 IV0000010387 $120,000.00 Summit Healthcare Regional CTR054268 IV0000021535 $75,000.00 Tucson Medical Center CTR054269 IV0000002958 $175,000.00 Valleywise Health CTR054270 IV0000001582 $150,000.00 Yavapai Regional Medical Center CTR064296 IV0000000575 $75,000.00 Yuma Regional Medical Center CTR054271 IV0000002179 $125,000.00 Neonatal Specialists IV0000003857 $50,000.00 Obstetrix Medical Group of Phoenix CTR064295 IV0000003828 $225,000.00 Sheridan's Children Healthcare CTR049147 IV0000008885 $50,000.00 Banner University Medical Group CTR065913 IV0000001262 $50,000.00 Phoenix Children's Medical Group CTR076097 IV0000033486 $425,000.00 TMC Medical Network CTR069206 IV0000002958 $50,000.00 Banner University Medical Group Tucson CTR065912 IV0000001262 $5,000.00 Dignity Health Medical Group CTR065909 IV0000002178 $70,000.00 District Medical Group CTR065911 IV0000001581 $125,000.00

Banner University Medical Group Tucson CTR065914 IV0000001262 $5,000.00 Neonatal Specialists CTR065915 IV0000003857 $5,000.00 Obstetrix (PPA-N) [AzN] CTR065916 IV0000003828 $10,000.00 Sheridan Children's Health (DNA) CTR076100 IV0000008885 $10,000.00 District Medical Group CTR061324 IV0000001581 $5,000.00 Phoenix Children's Medical Group (PCMG) CTR050217 IV0000033486 $5,000.00 Developmental Consultant CTR065343 IV0000003373 Veer Consulting CTR064880 IV0000017498 American Medical Response CTR076102 IV0000011534 $50,000.00 Maricopa Ambulance CTR045895 IV0000027311 $25,000.00 Guardian Ground CTR053476 IV0000001473 $25,000.00 lucas terry Cross-Out

Professional Medical Transport CTR053478 IV000003637 $25,000.00 Rural Metro Ambulance CTR053477 IV000001094 $25,000.00 Southwest Ambulance CTR053486 IV000003345 $25,000.00 Guardian Air Coordination CTR053480 IV0000001473 $60,000.00 Air Methods/Life Net Coordination CTR053481 IV0000002430 $50,000.00 PHI Air Evac Coordination CTR053479 IV0000003108 $725,000.00 HRPP Consultation Line CTR051212 IV000003108 $90,000.00