ISA_CTR069657_UOFACOPMTM_Fully_Executed.pdf

INTERAGENCY SERVICE AGREEMENT (ISA)

ARIZONA DEPARTMENT OF

HEALTH SERVICES

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

Procurement Officer:

Stacy Buske Agreement No: CTR069657

PROJECT TITLE: UNIVERSITY OF ARIZONA COLLEGE OF PHARMACY MEDICATION

THERAPY MANAGEMENT

Effective Date:

January 1st, 2024

GEOGRAPHIC SERVICE AREA: STATE OF ARIZONA Termination Date:

December 31st, 2029

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: Rhys Axon, Assistant Research Professor

Federal Employer Identification Number: Phone: 520-621-5961

E-mail: axon@pharmacy.arizona.edu

Arizona Board of Regents - University of Arizona

University Signature of Person Authorized to Sign Date

845 N. Park Ave.

Address Printed Name

Tucson Arizona 85721

City State ZIP Code Title

This Agreement shall henceforth be referred to as Agreement No. CTR069657 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

5/23/2024

Elisha Johnson, J.D.

Sr. Director, Clinical Trials and Contracting

24TH MAY

Jacqueline S. Ortega-Avila Digitally signed by Jacqueline S.

Ortega-Avila Date: 2024.05.24 14:43:43 -07'00'

AGREEMENT NUMBER INTERAGENCY SERVICE AGREEMENT

TERMS AND CONDITIONS CTR069657

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 upon signature of all parties 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 Cost Reimbursement

5. Cancellation for Conflict of Interest

Pursuant to A.R.S. § 38-511, the State may cancel this Agreement within three (3) years after Agreement execution without penalty or further obligation if any person significantly involved in initiating, negotiating, securing, drafting or creating the Agreement on behalf of the State is or becomes at any time while the Agreement or an extension of the Agreement is in effect an employee of or a consultant to any other party to this Agreement with respect to the subject matter of the Agreement. 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 Agreement 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 is 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 Agreement.

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 Agreement for a period of five (5) years after the completion of the Agreement. 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 Agreement 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 Agreement or Subcontract.

18. Arbitration

The parties to this Agreement agree to resolve all disputes arising out of or relating to this Agreement 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 agreement. The subrecipient or sub-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 ten percent (10%).

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.

SCOPE OF SERVICES CTR069657

1. BACKGROUND

1.1. The Arizona Department of Health Services (ADHS), Division of Prevention Services (DPS) received the Improving the Health of Americans through Prevention and Management of Diabetes, Heart Disease and Stroke-Financed in part by 2018 Prevention and Public Health Funds (PPHF) CDC-RFA-DP18- 1815PPHF18, a five (5) year project that is contingent upon federal appropriations. The overall purpose of the Centers for Disease Control and Prevention (CDC) Cooperative Agreement is to support state investments in implementing and evaluating evidence-based strategies to prevent and manage cardiovascular disease (CVD) and diabetes in high-burden populations/communities within each state and the District of Columbia, contributing to improved health outcomes. High burden populations are those affected disproportionately by high blood pressure, high blood cholesterol, diabetes, or prediabetes due to socioeconomic or other characteristics, including inadequate access to care, poor quality of care, or low income.

1.2. ADHS, DPS Office of Chronic Disease will fund a multi-year collaborative effort to promulgate the use of

Medication Therapy Management (MTM) and other quality/care initiatives related to improving medication adherence and patients’ ability to self-manage their hypertension, high cholesterol and/or diabetes. These MTM services will be conducted for the benefit of underserved populations within the urban or rural community health center-setting.

1.3. ADHS has the capacity to fund this project for the full five (5) year grant period if results are favorably measurable. Year one (1) will be a shortened year, utilized for capacity building, site selection, work-plan creation, evaluation plan creation, program design. Follow-on years will follow a July 1st through June 30th time table.

2. OBJECTIVE

All work supported under this Interagency Service Agreement (ISA) will focus on reducing health disparities for priority populations, defined as those impacted by the high prevalence of CVD, exacerbated by health inequities and disparities, social determinants, such as low incomes, poor health care, and unfair opportunity structures.

Specific emphasis is placed on the prevention and control of hypertension and high cholesterol.

3. SCOPE OF SERVICES

3.1. University shall provide staff in defined roles whom shall:

3.1.1. Principal Investigator shall:

3.1.1.1. Provide leadership, mentorship and oversight for all phases of the cutting-edge work, closely working with the subcontractor to implement MTM services with the participating community site.

3.1.2. Assistant Director shall:

3.1.2.1. Assist in overseeing: coordination of compliance and dissemination activities. They will also serve as the primary medical editor-in-chief and work closely with all parties, including ADHS to ensure compliance in dissemination activities as well as timely, professional quality, and successful presentation/publication. They will work closely with the Project Manager from the administrative and financial end.

3.1.3. Project Manager II shall:

3.1.3.1. Provide overall operational, fiscal, project management, technical and administrative support. They will work closely with the Principal Investigator, Assistant Director, Nurse Specialists, and project team to ensure project milestones are met.

3.1.4. Nurse specialists shall:

3.1.4.1. Collaborate with University of Arizona College of Pharmacy Outcomes Research Group (UA COP ORG) and provide services for the ADHS 2304 grant.

3.1.4.2. Serve as program manager of the ADHS 2304 grant.

3.1.4.3. Oversee clinical outcome tracking to measure the following items among participants:

3.1.4.3.1. Health biomarkers (weight, body mass index, blood pressure, A1c, cholesterol, blood glucose).

3.1.4.3.2. Lifestyle modifications (exercise, diet and nutrition, alcohol, smoking)

3.1.4.3.3. Self-Measured Blood Pressure (SMBP) participation

3.1.4.3.4. Medication adherence

3.1.4.4. Ensure that outcomes for patients who are also enrolled in the SMBP program (CDC

2304 3C strategy) are tracked independently of the patients who are enrolled based on diagnosis alone (high blood pressure, high cholesterol, and diabetes).

3.1.4.5. Provide public/patient marketing and education encouraging use of MTM practices, telephonic or clinic-based.

3.1.4.6. Allocate available and qualified staff who shall achieve site implementation at one (1) site every one (1) to three (3) years.

3.1.4.7. Participate in bi-monthly check-in calls with the UA COP, ADHS, and Federally

Qualified Health Center’s (FQHC) participating in the 2304 SMBP Program.

3.2. Subcontractors with the University shall:

3.2.1. Pharmacist Specialist with the subcontractor shall provide MTM initial and follow-up services to patients with multiple chronic disease states, recruited by the participating FQHC clinics/sites.

The pharmacist also will follow up with clinics regarding patients who received services and shall:

3.2.1.1. Optimize use of existing community CVD program/services (SMBP, nutrition/food access, physical activity) by setting up referral networks/systems from members of the care team including pharmacists.

3.2.1.2. During initial Comprehensive Medication Review, pharmacists will provide referral to social services such as nutrition/food assistance, tobacco cessation referrals, transportation, housing support and or translation services etc.

3.2.1.3. At one (1) month and three (3) month follow up with pharmacist for MTM services, pharmacist will follow up on referrals to various social and support services.

3.2.1.4. Pharmacist will follow up with primary care team to provide update and share social service referrals provided at each interval.

3.3. The University shall provide:

3.3.1. Project and Administrative Services shall:

3.3.1.1. Meet monthly with Nurse Specialists and subcontractor to provide project updates.

3.3.1.2. Provide ongoing guidance to subcontractor regarding program specifications and requirements per ADHS agreement.

3.3.1.3. Provide payment to subcontractor for services as described herein.

3.3.1.4. Meet monthly with ADHS Project Manager to provide project updates.

3.3.1.5. Provide Agreement or Contractor Expense Report (CER) monthly invoice with supporting documents to ADHS heart disease and stroke program manager twenty-five (25) days after the month of activity.

3.3.1.6. Supporting documents include: Registration sign-in sheet from training, explanation of staff time spent on project, etc.

3.3.1.7. Prepare quarterly monitoring report with quarterly performance measure (financial and project progress) due with monthly invoices in March, June, September, and December.

3.3.1.8. Provide contact updates annually with March invoices. Must also be submitted within thirty (30) days of key staff change.

3.3.1.9. Pharmacist Specialist will assist in the preparation of monthly invoices by communicating subcontractor expenditure reports (hours worked/week) to accompany the CER invoice for ADHS.

3.3.1.10. Track patient outcomes (thirty (30), sixty 60, ninety (90) day follow up) to determine if patients are achieving controlled hypertension.

3.3.1.11. Provide action plan at least annually with March invoices.

3.3.1.12. Must be an active participant of the Arizona Learning Collaborative (ALC); required attendance at ALC meetings and all activities/projects from the ALC.

3.4. Subcontractors within the University shall:

3.4.1. Provide MTM services to patients referred to the UA COP ORG.

3.4.2. Track provision of MTM services provided for quarterly reporting

3.4.3. Track patient utilization of SMBP services and utilization of social support services.

3.4.4. Communicate with collaborating FQHCs regarding clinical services provided.

4. TASKS

4.1. The University shall:

4.1.1. Goals:

4.1.1.1. Clinics shall provide the following as part of the agreement for the Arizona Department of Health Services 2304 (ADHS):

4.1.1.1.1. Identify patients that have Hyperlipidemia and Hypertension to recruit into the program.

4.1.1.1.2. Identify patients that are participants in the SMBP program (CDC 2304 Strategy 3C) to recruit into the program.

4.1.1.1.3. Recruit at least one-hundred (100) new patients into the program.

4.1.1.1.4. Collaborate with subcontractor MTM provider delivering MTM services to patients identified.

4.1.1.1.5. Follow up with patients when appropriate throughout the program and assess for medication adherence improvement.

4.1.1.1.6. Collaborate with subcontractor MTM provider at designated intervals to discuss status and progress of program.

4.1.1.1.7. Coordinate with the patient’s providers regarding subcontractor MTM provider recommended interventions.

4.1.2. Activities:

4.1.2.1. Reconcile medication list.

4.1.2.2. Assess for safety related medication interventions, vaccine adherence, cost concerns, adherence barriers, and adherence to national consensus guidelines.

4.1.2.3. Provide hypertension and/or cardiovascular disease self-management and lifestyle education (as applicable) in collaboration with Promotors and/or other members of the healthcare team when possible.

4.1.2.4. Provide patients with letters summarizing consultation and communicate recommendations to provider via email/fax/phone.

4.1.2.5. Complete all consultations within six (6) months of receiving the referral.

4.1.2.6. Develop site-specific strategies for sustainability of services which may include one (1) or more of the following:

4.1.2.6.1. Public service campaigns targeting providers and patients.

4.1.2.6.2. Utilize telephonic MTM services to rural FQHC patients as practice sites for academic pharmacists.

4.1.2.6.3. Incentivize new graduate pharmacist to work in positions providing telephonic MTM services to rural FQHC patients.

4.1.2.6.4. Engage community pharmacies in rural and underserved areas to provide telephonic MTM services to their established patients.

4.1.2.6.5. Agreement with private MTM providers to provide service.

4.1.3. Method of Approach; Telephonic

4.1.3.1. Expand availability of cardiovascular disease self-management and lifestyle programs in the State of Arizona utilizing Public Service campaigns.

4.1.3.2. Use telephonic methods with an established track record for the implementation.

4.1.3.3. The Medication Management Center (MMC) shall consult to develop individualized sustainable plans to offer additional permanent self-managed sites to qualified State residents.

5. REQUIREMENTS

5.1. The University shall meet the requirements listed below:

5.1.1. Performance Measures

5.1.1.1. Performance measures are required for all activities. Measures shall be reported to the

CDC. ADHS will provide guidance and technical assistance on the performance measures.

5.1.2. Cultural Competency

5.1.2.1. Provide culturally competent services, as defined by compliance with the National

Culturally and Linguistically Appropriate Services (CLAS) standards.

https://www.cms.gov/Outreach-and-Education/MLN/WBT/MLN1857916-OMH- AHE/OMHAHE/ahe/lesson01/09/index.html

5.1.2.2. Implement organizational policies that comply with the CLAS standards.

5.1.2.3. Provide documentation that CLAS training completed within the past calendar year or a plan to complete CLAS training prior to the payment of the first invoice. If needed, free training is available through ADHS.

5.1.3. Agreement Monitoring

5.1.3.1. ADHS will monitor compliance in regards to performance under the terms and conditions of this Agreement.

5.1.3.1.1. This includes on-site visits for Agreement compliance. At least one (1) site visit every other grant year. These visits may be made by ADHS at any time during the University’s normal business hours, announced or unannounced.

5.1.3.2. Make available by inspection, and/or by copying, all records and accounts relating to the work performed or the services provided under this Agreement, or for similar work and/or service provided under other grants and agreements.

5.1.3.3. Have policies and procedures in place that allow ADHS, as the funding agency, prompt and full access to financial, programmatic records and documents, as needed, for program and fiscal monitoring and oversight.

5.1.3.4. Follow and comply with all related corrective action plans and requirements of site visits conducted by ADHS and or/its representatives. When monetary penalties are imposed or unallowable costs determined, ADHS will define how repayment will be made to ADHS. This may include decreasing or withholding the University’s monthly billing or requiring payment to ADHS.

5.1.3.5. Quarterly reports and scheduled calls will be used to monitor the progress and activities under this Agreement. Monthly calls will be required during the first six (6) months of the Agreement and may be extended at the sole discretion of ADHS.

5.1.4. Restrictions on use of funds:

5.1.4.1. Use funds only for reasonable program purposes, including personnel, travel, supplies and services.

5.1.4.2. Funds may not be used for:

5.1.4.2.1. Research.

5.1.4.2.2. Clinical care, except as allowed by law.

5.1.4.2.3. Reimbursement of pre-award costs unless the CDC provides written approval to ADHS.

5.1.4.2.4. Out of country travel.

5.1.4.2.5. Grant/proposal writer staff or the writing of grants and proposals.

5.1.4.2.6. Fundraisers or fundraising activities.

5.1.4.2.7. Salaries for lifestyle coaches or Diabetes Prevention Program (DPP) facilitators.

5.1.4.2.8. Purchase of furniture or equipment unless approved in writing by ADHS and the CDC Project Officer. Any such spending must be clearly identified in the budgets.

5.1.4.2.9. Electronic Health Record (EHR) enhancements unless approved by

ADHS and the CDC project officer.

5.1.4.3. Other than for normal and recognized executive-legislative relationships, no funds may be used for:

5.1.4.3.1. Publicity or propaganda purposes, for the preparation, distribution, or use of any material designed to support or defeat the enactment of legislation before any legislative body.

5.1.4.3.2. The salary or expenses of any grant or agreement recipient, or agent acting for such recipient, related to any activity designed to influence the enactment of legislation, appropriations, regulation, administrative action, or Executive Order proposed or pending before any legislative body.

5.1.4.4. The direct and primary recipient in a Cooperative Agreement must perform a substantial role in carrying out project outcomes and not merely serve as a conduit to another party or provider who is ineligible.

6. PUBLICATIONS AND PRESENTATIONS

6.1. When issuing statements, press releases and/or Internet-based or printed documents describing projects, programs and/or services funded in whole or in part with these funds, the University shall clearly reference the project as “financed in part or whole by the Centers for Disease Control and The National Cardiovascular

Health Program - Financed by the National Center for Prevention and Health Promotion CDC-RFA-DP23- 0004” respectively. Such references to funding source must be clear and legible.

6.2. Any presentations based on the work funded by this Agreement must be approved in writing, at least ten

(10) business days in advance of the presentation, by the Principal Investigator. A copy of the presentation must be submitted with the request.

6.3. Requests for publication, student thesis or dissertations based on the work funded by this Agreement must be approved in writing, in advance, by the Principal Investigator. The University shall submit the request to the 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 within 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.

7. INVOICES, FISCAL SUPPORT DOCUMENTS AND PAYMENTS

7.1. The University shall submit electronically to the Program one (1) legible copy of their detailed monthly invoice before payment(s) can be made.

7.2. Invoices are due on or before the twenty-fifth (25th) calendar day following the month in which services were performed.

7.3. A complete invoice includes:

7.3.1. CER Report signed by the University’s authorized signer.

7.3.2. General Ledger or expenditure reports showing cost of operating (includes but not limited to travel, office supplies, rent, utilities, professional and outside service charges, etc.) expenses and what percentage of those expenses were paid by the grant program or other supporting documentation acceptable to the Program.

7.4. Activities in the Scope of Work have distinct funding streams and may require separate invoices.

7.4.1. The following fiscal support documents shall be kept on file and available for review:

7.4.1.1. Personnel and ERE break-out showing what was paid by the University. Detailed reports must include staff name, hourly rate, percentage of salary paid (or FTE), and documentation of activities completed by the staff member. Expenses paid by the employee are not reimbursable (i.e. social security tax, state tax, federal tax, employee portion of benefits, etc.).

7.4.1.2. Legible copies of itemized receipts, invoices, purchase orders and travel claims paid with grant funds during the billing month. Travel claims must list the employee traveling, reason for travel, date and employee and supervisor signatures.

7.5. Payments are conditioned upon the timely receipt of applicable, accurate and complete invoice reports and forms submitted by the University. All monthly invoices must be supported by auditable documentation; and

7.6. The University understands and agrees that the Program will not honor any claim for payment submitted sixty (60) calendar days after date of service. The University understands and agrees that the Program will not process any claim for payment for services rendered prior to the end of the agreement period which are submitted forty-five (45) calendar days after the end of the agreement period without approval of Program.

8. BUDGET, REVENUES AND EXPENDITURES:

8.1. A revised budget may be required when changes greater than ten percent (10%) of the agreement award are requested.

8.2. The total indirect costs budgeted; including any federally approved indirect rate (inclusive of the University and subcontractor(s)) cannot exceed ten (10%) of the amount of the current grant award to the sub-recipient, unless there is written approval by ADHS.

8.3. The University agrees that all expenditures are in accordance with the current approved budget. Any expenditure deemed unallowable by the Program is subject to the University submitting a full reimbursement to ADHS.

8.4. All expenditures and encumbered funds must be final and reconciled no later than forty-five (45) days after the close of the grant year.

9. DELIVERABLES:

9.1. The University shall submit to the ADHS:

Deliverable Name Due Date Submit To Monthly Invoice - Contractor Expense Report with general ledger support document.

Twenty-five (25) days after month of activity.

Program Principal Investigator

Monthly check-in calls with programmatic staff.

Required for the first six (6) months and may be extended as needed. Program Manager

Quarterly Monitoring Report with Quarterly Performance Measure Data

Due with monthly invoices in March, June, September, and December, no later than the last day of the month.

Performance Measure reporting will start in the second (2nd) quarter of the Agreement

Program Manager

Quarterly/Monthly Monitoring Calls with fiscal and programmatic staff.

Held during the second full week of the month. Dates may change at the direction of the Office.

Program Manager

Participation in biennial site visit.

Will be scheduled at least thirty (30) days in advance.

Staff will visit the contractor location.

Contact Updates.

Due at least annually with March invoices.

Must also be submitted within thirty (30) days of key staff change.

Program Manager

Action Plan Updates. Due at least annually with March invoices, no later than March 30th. Program Manager

Yearly Budget Worksheet and Narrative/justification.

Due with March invoice for the upcoming year which starts July 1st. Program Manager

Progress Report to include approved work plan and Medicaid Beneficiary Enrollment Totals

Due Every three (3) Months DHS Program Manager

9.2. ADHS shall:

9.2.1. Coordinate and host a kick-off meeting within the first sixty (60) days of the agreement.

9.2.2. Provide feedback, technical assistance and training to support the implementation of approved

Action Plans.

9.2.3. Provide short term measures and written updates of any performance measure changes.

9.2.4. Guide performance management data plan development and provide related technical assistance.

9.2.5. Provide templates for quarterly reporting; Action Plan, Agreement Updates, and Budget.

9.2.6. Coordinate and conduct site visits.

10. APPROVALS

10.1. The following activities or elements require prior written approval from the Lead Contract Manager for any instance during the full term of the Agreement:

10.1.1. Changes to Action Plan goals, objectives and activities.

10.1.2. Shifts of funding in either budget amounts or lines exceeding ten percent (10%) of the total award.

10.1.3. Designation of sub-recipients.

10.1.4. Changes in key personnel as described in the Agreement.

10.1.5. Out of state travel.

10.1.6. Purchase of furniture or equipment which will also require approval from the CDC Project Officer.

10.1.7. Electronic Health Record Enhancements.

10.1.8. Software purchases.

10.1.9. Publications based on the work funded by this agreement.

11. NOTICES, CORRESPONDENCE, REPORTS AND INVOICES

11.1. Notices, correspondence, reports and invoices from the University to ADHS shall be sent to:

Arizona Department of Health Services Heart Disease & Stroke Program Manager, Thelma Reis 150 N. 18th Ave.

Phoenix, Arizona 85007 Email: Thelma.okotie@azdhs.gov Phone: 602.527.4369

11.2. All invoices shall be sent to: Heart Disease & Stroke Program Manager, Thelma Reis at thelma.okotie@azdhs.gov with a cc to Invoices@azdhs.gov.

11.3. Notices, Correspondence, Reports from ADHS to the University shall be sent to:

University of Arizona College of Pharmacy ATTN: Rhys Axon Assistant Research Professor Email: axon@pharmacy.arizona.edu Phone: 520-621-5961 University of Arizona Roy P. Drachman Hall, B306G PO Box 210202 | Tucson, AZ 85721

11.4. Payments from ADHS to the University shall be sent to:

ATTN: Rhys Axon Assistant Research Professor Email: axon@pharmacy.arizona.edu Phone: 520-621-5961 University of Arizona Roy P. Drachman Hall, B306G PO Box 210202 | Tucson, AZ 85721

ATTACHMENT CTR069657

Cost Reimbursement - Price Sheet

July 1st, 2023 – June 30th, 2028

Line-Item Description

Total Amount

Personnel and Employee Related Expenses* $108,356.00

Professional and Outside Services* $0.00

Travel Expenses* $0.00

Other Operating Expenses* $0.00

Capital Outlay Expenses* $0.00

*Other (Indirect Cost, not to Exceed 10% of Total Sum of Lines 1 through 5) $10,836.00

TOTAL ANNUAL NOT TO EXCEED $119,192.00

Exhibit - 2 CFR 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

UEI # QMWUG1AMYF65

Federal Award Identification (Grant Number): 5 NU58DP006557-05-00

Subrecipient name (which must match the name associated with its unique entity identifier): University of Arizona College of Pharmacy

Subrecipient's unique entity identifier (UEI #): ED44Y3W6P7B9 (UofA)

Federal Award Identification Number (FAIN, sometimes it’s the same as the Grant Number): NU58DP007439

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; 06/21/2023

Subaward Period of Performance Start and End Date: 6/30/2023 - 6/29/2024

Subaward Budget Period Start and End Date: 6/30/2023 - 6/29/2024

Amount of Federal Funds Obligated by this action by the pass-through entity to the subrecipient (this is normally the contract amount): $120,000.00

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): $1,105,715.00

Total Amount of the Federal Award committed to the subrecipient by the pass-through entity $1,105,715.00

Federal award project description, as required to be responsive to the Federal Funding Accountability and Transparency Act (FFATA) The National Cardiovascular Health Program

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

Centers for Disease Control and Prevention (CDC)

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: 93.426

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