ISB_Amend_10_SFY23.pdf

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Master Agreement AZ|CTR048038
Contract number
CTR048038
Issued by
Arizona

About this file

Written by GovTribe AI ·

This document is a state and local contract indefinite delivery vehicle for the Inter-Tribal Council of Arizona (ITCA), covering the period from July 1, 2022 to June 30, 2023. The contract encompasses multiple federal and state funding sources including Older Americans Act (OAA) programs, Title III programs, COVID-19 supplemental funds, CARES Act allocations, ARPA funds, and various administrative and direct service categories across different program codes.

The contract details a comprehensive funding breakdown totaling approximately $3.9 million, with allocations spanning administrative costs, direct services, and specific program areas such as elder abuse prevention, caregiver support, independent living supports, and vaccine access. Key funding sources include State Administration, OAA Administration, Title III-B and III-C programs, COVID-19 supplemental funds, and various federal grant programs like CRRSA and ARPA. The contract includes specific line items for personnel expenses, operating services, professional services, travel, and indirect costs, with required state matching funds for certain program categories. The document breaks down funding by specific service codes, program codes, and provides detailed expense categories across multiple funding streams.

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Organization Contract No. CTR048038 Period

Admin Admin COVID Supplmntl Admin Admin Admin Prog Dev Advocacy EPHW EPHW CRRSA VACCINE VACCINE

ADM ADM ADM ADM ADM ADM PGD ADV PGD ADM LTC CEI ADM

HCB HCB HCB FCS HCB FCS HCB HCB HCB HCB OMB HCB HCB

C19 C21 C20 C20 PHW PHW CRR VA1 VA1

1 State Admin 17,638.00 6,798.00 2 OAA Admin (III C-1) 152,945.00 3 OAA Admin (III E) 20,393.00 4 Title III-B 264,521.51 130,000.00 5 Title III-C1 6 Title III-C2 7 Title III-D 8 Title III-E Caregiver

9 NSIP

10 Title VII Elder Abuse 2,718.00 11 Title VII FED OMB 12 State Ind Living Supports 33,344.00 20,680.00 11,070.00 13 State Ombudsman 14 State Respite 15 S.H.I.P.

16 Senior Medical Patrol

17 MIPPA SHIP

18 MIPPA AAA

19 MIPPA ADRC

20 SSBG - One-Time Admin. 3,391.00 21 SSBG - One-Time (Services) 20,000.00 10,523.00

22 FFCRA - C1

23 FFCRA - C1 Admin

24 FFCRA - C2

32 TITLE III-C2 COVID Supplemental 33 OAA ADMIN. III-C2 COVID Supp.

34 ACCESS VACCINES 29,000.00

35 ACCESS VACCINES ADMIN

36 CRRSA LTC OMB

37 ADRC ACCESS VACCINES

38 ADRC ACCESS VACCINES ADMIN

39 ARPA - III-B

40 ARPA - III-C1

41 ARPA - III-C1 ADMIN

42 ARPA - III-C2

43 ARPA - III-D

44 ARPA - III-E

45 ARPA - III-E ADMIN

46 ARPA - VII FED OMBUDSMAN

47 STATE DIRECT CARE WORKER

48 STATE DIRECT CARE INCENTIVE

49 EXPANDING PH WORKFORCE

Contract Reimbursement Ceiling 207,318.00 - - 27,191.00 - - 305,201.51 154,311.00 - - - 29,000.00 -

DIRECT SERVICES

ALTCS

Program Income Non-Fed In-kind 26,452 13,000.00 Non-Fed Cash Other Federal Total - - - - - - 26,452 13,000.00 - - - - -

PURCHASED SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total - - - - - - - - - - - - - Grand Total 207,318.00 - - 27,191 - - 331,653.51 167,311.00 - - - 29,000.00 -

EXPENSES/DIRECT

Personnel - Direct 22,509.00 15,207 111,766.00 99,422.00 ERE - Direct 5,553.00 3,753 27,565.00 24,525.00 Professional/Out

16,000.00 47,452.00 13,000.00 4,657.00

Travel - Direct 10,097.00 1,200 1,200.00 4,308.00 Space - Direct 5,027.00 Equipment - Direct

100,000.00

Material/Supplies - Direct 21,300.00 2,650 10,417.92 200.00 19,672.00 Operating Svcs - Direct 35,539.00 200.00 1,000.00 Allocated Indirect - Direct 91,293.00 4,381 33,052.59 24,856.00 4,671.00 SubTotal DIRECT 207,318.00 - - 27,191 - - 331,653.51 167,311.00 - - - 29,000.00 -

SubTotal Sub-Contracted - - - - - - - - - -

TOTAL SERVICE 207,318.00 - - 27,191 - - 331,653.51 167,311.00 - - - 29,000.00 -

Units/Direct 1 1 3,952 3,744 Units/Sub-Contracted Units Total 1 - - 1 - - 3,952 3,744 - - - - -

Unit Rate/Direct Unit Rate/Sub-Contracted Unit Rate/Total - - - - - - - - - - - - -

Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) require a state match Required State Match 50,981.67 - - 6,797.67 - - 15,560.22 7,647.12 - - - - - State Admin 17,638.00 - - 6,798.00 - - - - - - - - - State ILS 33,344.00 - - - - - 20,680.00 11,070.00 - - - - -

07/1/22 - 06/30/23

Sub-Contracted

One Time

Service Detail Code Program Codes

Inter-Tribal Council of AZ Alert 2.28.23

DAARS Codes

Direct

CARES ACT - III-B

CARES ACT - III-C2 Admin

CARES ACT - III-C2

CARES ACT - III-E

On Going

CARES ACT - III-E Admin

CARES ACT - VII-FED. OMB.

STATE LTC OMBUDSMAN

CARES ACT - ADRC

1 of 5 5/8/2023 10:53 AM

Organization

State Admin OAA Admin (III C-1) OAA Admin (III E) Title III-B Title III-C1 Title III-C2 Title III-D Title III-E Caregiver

NSIP

Title VII Elder Abuse Title VII FED OMB State Ind Living Supports State Ombudsman State Respite S.H.I.P.

Senior Medical Patrol

MIPPA SHIP

MIPPA AAA

MIPPA ADRC

SSBG - One-Time Admin.

SSBG - One-Time (Services)

FFCRA - C1

FFCRA - C1 Admin

FFCRA - C2

TITLE III-C2 COVID Supplemental OAA ADMIN. III-C2 COVID Supp.

ACCESS VACCINES

ACCESS VACCINES ADMIN

CRRSA LTC OMB

ADRC ACCESS VACCINES

ADRC ACCESS VACCINES ADMIN

ARPA - III-B

ARPA - III-C1

ARPA - III-C1 ADMIN

ARPA - III-C2

ARPA - III-D

ARPA - III-E

ARPA - III-E ADMIN

ARPA - VII FED OMBUDSMAN

STATE DIRECT CARE WORKER

STATE DIRECT CARE INCENTIVE

EXPANDING PH WORKFORCE

tract Reimbursement Ceiling

DIRECT SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total

PURCHASED SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total Grand Total

EXPENSES/DIRECT

Personnel - Direct ERE - Direct Professional/Out

Travel - Direct Space - Direct Equipment - Direct

Material/Supplies - Direct Operating Svcs - Direct Allocated Indirect - Direct SubTotal DIRECT

SubTotal Sub-Contracted

TOTAL SERVICE

Units/Direct Units/Sub-Contracted Units Total

Unit Rate/Direct Unit Rate/Sub-Contracted Unit Rate/Total

Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) r Required State Match State Admin State ILS

Sub-Contracted

One Time

Service Detail Code Program Codes

Inter-Tribal Council of AZ

DAARS Codes

Direct

CARES ACT - III-B

CARES ACT - III-C2 Admin

CARES ACT - III-C2

CARES ACT - III-E

On Going

CARES ACT - III-E Admin

CARES ACT - VII-FED. OMB.

STATE LTC OMBUDSMAN

CARES ACT - ADRC

Amendment 10

VACCINE VACCINE MIPPA SHIP MIPPA AAA MIPPA ADRC Senior Patrol Senior Patrol Cares Act Cares Act Trasnportation L Term Care L Term Care

CEI ADM SHI SHI SHI SHI SHI SHI TSP SOC TSP LTC LTC CNG

HCB HCB SHP SHP SHP SHP SMP SMP HCB HCB HCB OMB OMB HCB

VAC VAC OTR MSM MAM MDM OTP C20 C20 C20

28,000.00 108,135.00 378,089.23

65,358.00

20,115.41 1,661.00 6,392.00 23,202.00

30,000.00

17,229.00 4,810.00

4,080.00 3,500.00

1,560.00

178.91

6,427.84

6,427.84 - 46,890.00 4,080.00 3,500.00 1,560.00 4,810.00 - 178.91 - 114,527.00 50,115.41 - 466,649.23

2,800

- - 2,800 - - - - - - - - - - -

10,814 32,809.00 5,000.00

- - - - - - - - - - 10,814 - - 37,809.00 6,427.84 - 49,690 4,080 3,500 1,560 4,810 - 178.91 - 125,341 50,115.41 - 504,458.23

14,036.00

3,465.00

125,341 25,000.00 504,458.23 1,000 1,000 1,000 1,658.00

5,392.48 2,423 1,936 309 150.10 1,200.00 49,690 4,810 710.98

1,035.36 657 564 251 28.81 4,045.43 6,427.84 - 49,690 4,080 3,500 1,560 4,810 - 178.91 - - 25,115.41 - -

- - - - - - - - 125,341 25,000.00 - 504,458.23 6,427.84 - 49,690 4,080 3,500 1,560 4,810 - 178.91 - 125,341 50,115.41 - 504,458.23

400 400 416 20,689 480 30,935

- - 400 - - - 400 - - - 20,689 896 - 30,935

- - 1,647.07 - - - - - - - 6,360.94 - - 22,240.73

- - 1,661.00 - - - - - - - 6,392.00 - - 23,202.00

SHIP I&R Cong

2 of 5 5/8/2023 10:53 AM

OAA Admin (III C-1) OAA Admin (III E) Title III-B Title III-C1 Title III-C2 Title III-D Title III-E Caregiver

NSIP

Title VII Elder Abuse Title VII FED OMB State Ind Living Supports State Ombudsman State Respite S.H.I.P.

Senior Medical Patrol

MIPPA SHIP

MIPPA AAA

MIPPA ADRC

SSBG - One-Time Admin.

SSBG - One-Time (Services)

FFCRA - C1

FFCRA - C1 Admin

FFCRA - C2

TITLE III-C2 COVID Supplemental OAA ADMIN. III-C2 COVID Supp.

ACCESS VACCINES

ACCESS VACCINES ADMIN

CRRSA LTC OMB

ADRC ACCESS VACCINES

ADRC ACCESS VACCINES ADMIN

ARPA - III-B

ARPA - III-C1

ARPA - III-C1 ADMIN

ARPA - III-C2

ARPA - III-D

ARPA - III-E

ARPA - III-E ADMIN

ARPA - VII FED OMBUDSMAN

STATE DIRECT CARE WORKER

STATE DIRECT CARE INCENTIVE

EXPANDING PH WORKFORCE

tract Reimbursement Ceiling

DIRECT SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total

PURCHASED SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total Grand Total

EXPENSES/DIRECT

Personnel - Direct ERE - Direct Professional/Out

Travel - Direct Space - Direct Equipment - Direct

Material/Supplies - Direct Operating Svcs - Direct Allocated Indirect - Direct SubTotal DIRECT

SubTotal Sub-Contracted

TOTAL SERVICE

Units/Direct Units/Sub-Contracted Units Total

Unit Rate/Direct Unit Rate/Sub-Contracted Unit Rate/Total

Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) r Required State Match State Admin State ILS

Sub-Contracted

One Time

Service Detail Code Program Codes

Inter-Tribal Council of AZ

DAARS Codes

Direct

CARES ACT - III-B

CARES ACT - III-C2 Admin

CARES ACT - III-C2

CARES ACT - III-E

On Going

CARES ACT - III-E Admin

CARES ACT - VII-FED. OMB.

STATE LTC OMBUDSMAN

CARES ACT - ADRC

Home Del COVID-19 COVID-19 COVID Supplmntl Soc/Rec. Health Prom Comm Ed Ombudsman Direct Care Worker Direct Care Worker

C-19 HDM HDM HDM HDM SOC HED RSP RSP CEI LTC ATT PRC

HCB HCB HCB HCB HCB HCB HPR FCS FCS HCB OMB HCB HCB

C19 C20 C21 ADH FTE DCW DCW

33,965.00 17,900.00

285,609.07 25,331.00

36,000.00

16,823.00 2,000.00 1,100.00 21,000.00

6,372.00

8,227.67

12,000.00

0.01

12,000.00 8,227.67 338,432.07 12,000.00 - 0.01 35,965.00 44,331.00 6,372.00 - 21,000.00 12,000.00 - -

28,561.00 3,397 1,790

- 28,561.00 - - - 3,397 1,790 - - - - - - 8,227.67 366,993.07 12,000.00 - 0.01 39,362 46,121 6,372 - 21,000 12,000 - -

22,277 13,335

5,476 3,293

2,000

849.00 302,066.00 0.01 39,362 10,690 6,372

751 989

64,927.07

6,190.16 10,067.11 1,220 6,067 2,000

1,188.51 1,932.89 5,707 3,383 1,933 7,378.67 64,927.07 12,000.00 - - - 35,431 - - 21,000 12,000 - -

849.00 302,066.00 - - 0.01 39,362 10,690 6,372 - - - - - 8,227.67 366,993.07 12,000.00 - 0.01 39,362 46,121 6,372 - 21,000 12,000 - -

2 12 23,316 3,406 137 554

- 23,316 - - - 3,406 139 554 - 12 - - -

- 16,800.68 - - - 1,997.96 1,052.95 - - - - - -

- 16,823.00 - - - 2,000.00 1,100.00 - - 21,000.00 - - -

Respiteregate

3 of 5 5/8/2023 10:53 AM

OAA Admin (III C-1) OAA Admin (III E) Title III-B Title III-C1 Title III-C2 Title III-D Title III-E Caregiver

NSIP

Title VII Elder Abuse Title VII FED OMB State Ind Living Supports State Ombudsman State Respite S.H.I.P.

Senior Medical Patrol

MIPPA SHIP

MIPPA AAA

MIPPA ADRC

SSBG - One-Time Admin.

SSBG - One-Time (Services)

FFCRA - C1

FFCRA - C1 Admin

FFCRA - C2

TITLE III-C2 COVID Supplemental OAA ADMIN. III-C2 COVID Supp.

ACCESS VACCINES

ACCESS VACCINES ADMIN

CRRSA LTC OMB

ADRC ACCESS VACCINES

ADRC ACCESS VACCINES ADMIN

ARPA - III-B

ARPA - III-C1

ARPA - III-C1 ADMIN

ARPA - III-C2

ARPA - III-D

ARPA - III-E

ARPA - III-E ADMIN

ARPA - VII FED OMBUDSMAN

STATE DIRECT CARE WORKER

STATE DIRECT CARE INCENTIVE

EXPANDING PH WORKFORCE

tract Reimbursement Ceiling

DIRECT SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total

PURCHASED SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total Grand Total

EXPENSES/DIRECT

Personnel - Direct ERE - Direct Professional/Out

Travel - Direct Space - Direct Equipment - Direct

Material/Supplies - Direct Operating Svcs - Direct Allocated Indirect - Direct SubTotal DIRECT

SubTotal Sub-Contracted

TOTAL SERVICE

Units/Direct Units/Sub-Contracted Units Total

Unit Rate/Direct Unit Rate/Sub-Contracted Unit Rate/Total

Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) r Required State Match State Admin State ILS

Sub-Contracted

One Time

Service Detail Code Program Codes

Inter-Tribal Council of AZ

DAARS Codes

Direct

CARES ACT - III-B

CARES ACT - III-C2 Admin

CARES ACT - III-C2

CARES ACT - III-E

On Going

CARES ACT - III-E Admin

CARES ACT - VII-FED. OMB.

STATE LTC OMBUDSMAN

CARES ACT - ADRC

Direct Care Worker Direct Care Worker Direct Care Worker Direct Care Worker Direct Care Incentive Direct Care Incentive Direct Care Incentive Direct Care Incentive ARPA ARPA ARPA

HSK RSP ADC NRH ATT PRC HSK RSP ADM ADM TSP

HCB FCS HCB HCB HCB HCB HCB FCS HCB FCS HCB

DCW DCW DCW DCW DCI DCI DCI DCI ARP ARP ARP

92,554.00 92,554.00

- 92,554.00 - - - - - 92,554.00 - - -

- 92,554 - - - - - 92,554 - - -

15,000 15,000

42,646 42,646 20,000 20,000 14,908 14,908

- 92,554 - - - - - 92,554 - - -

- 92,554 - - - - - 92,554 - - -

4 of 5 5/8/2023 10:53 AM

OAA Admin (III C-1) OAA Admin (III E) Title III-B Title III-C1 Title III-C2 Title III-D Title III-E Caregiver

NSIP

Title VII Elder Abuse Title VII FED OMB State Ind Living Supports State Ombudsman State Respite S.H.I.P.

Senior Medical Patrol

MIPPA SHIP

MIPPA AAA

MIPPA ADRC

SSBG - One-Time Admin.

SSBG - One-Time (Services)

FFCRA - C1

FFCRA - C1 Admin

FFCRA - C2

TITLE III-C2 COVID Supplemental OAA ADMIN. III-C2 COVID Supp.

ACCESS VACCINES

ACCESS VACCINES ADMIN

CRRSA LTC OMB

ADRC ACCESS VACCINES

ADRC ACCESS VACCINES ADMIN

ARPA - III-B

ARPA - III-C1

ARPA - III-C1 ADMIN

ARPA - III-C2

ARPA - III-D

ARPA - III-E

ARPA - III-E ADMIN

ARPA - VII FED OMBUDSMAN

STATE DIRECT CARE WORKER

STATE DIRECT CARE INCENTIVE

EXPANDING PH WORKFORCE

tract Reimbursement Ceiling

DIRECT SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total

PURCHASED SERVICES

ALTCS

Program Income Non-Fed In-kind Non-Fed Cash Other Federal Total Grand Total

EXPENSES/DIRECT

Personnel - Direct ERE - Direct Professional/Out

Travel - Direct Space - Direct Equipment - Direct

Material/Supplies - Direct Operating Svcs - Direct Allocated Indirect - Direct SubTotal DIRECT

SubTotal Sub-Contracted

TOTAL SERVICE

Units/Direct Units/Sub-Contracted Units Total

Unit Rate/Direct Unit Rate/Sub-Contracted Unit Rate/Total

Note: Title III-B, III-C1, III-C2, III-D, III-E (Admin) r Required State Match State Admin State ILS

Sub-Contracted

One Time

Service Detail Code Program Codes

Inter-Tribal Council of AZ

DAARS Codes

Direct

CARES ACT - III-B

CARES ACT - III-C2 Admin

CARES ACT - III-C2

CARES ACT - III-E

On Going

CARES ACT - III-E Admin

CARES ACT - VII-FED. OMB.

STATE LTC OMBUDSMAN

CARES ACT - ADRC

ARPA ARPA ARPA ARPA ARPA ARPA ARPA

CNG HDM HED LTC PGD RSP HOLD CGT SUP CEI INR OTR

HCB HCB HPR OMB HCB FCS HOLD FCS FCS FCS FCS FCS

ARP ARP ARP ARP ARP ARP HOLD

24,436.00 152,945.00

20,393.00 582,521.51 378,089.23 285,609.07

25,331.00 18,050.00 3,000.00 159,513.40 7,000.00 21,000.00 208,563.40

101,358.00 2,718.00

20,115.41 10,088.00 8,475.00 27,703.00 183,538.00

30,000.00 6,372.00

17,229.00 4,810.00 4,080.00 3,500.00 1,560.00 3,391.00

30,523.00 8,227.67

12,000.00

178.91

0.01

29,000.00

6,427.84

440,254.22 440,254.22 171,482.00 171,482.00

100,000.00 100,000.00 144,059.00 300,000.00 444,059.00

43,419.00 43,419.00 136,747.00 136,747.00

9,868.00 9,868.00

92,554.00 92,554.00

89,839.00 89,839.00 12,000.00

181,570.00 152,534.00 43,419.00 9,868.00 467,957.22 136,747.00 489,839.00 18,050.00 3,000.00 159,513.40 7,000.00 21,000.00 3,775,693.27

42,252.00

- - - - - - - - - - - - 42,252.00

77,371.00 5,000.00

- - - - - - - - - - - - 82,371.00

181,570 152,534 43,419 9,868 467,957.22 136,747 489,839 18,050 3,000 159,513.40 7,000 21,000 3,900,316.27

82,300.00 380,852.00 20,297.00 93,927.00

10,000 2,000.00 125,109.00 181,570 152,534 300,000 18,050 7,000 21,000 1,694,292.24

4,720 317 4,000.00 32,240.00 5,027.00

467,957.22 632,884.29

36,425 8,278 80,000 60,368 1,600 19,223.00 380,380.77 30,000 88,893 600 6,000.00 259,442.98

6,994 1,590 22,027 30,578 483 25,693.40 296,160.99

- - 43,419 9,868 467,957.22 136,747 189,839 - 3,000 159,513.40 - - 2,206,024.03

181,570 152,534 - - - - 300,000 18,050 - - 7,000 21,000 1,694,292.24 181,570 152,534 43,419 9,868 467,957.22 136,747 489,839 18,050 3,000 159,513.40 7,000 21,000 3,900,316.27

50 12 8,990.00 464 750 27 80,758.00

- - - - - - - 464 50 12 750 27 89,748.00

10,087.26 8,474.13 - - 25,897.53 - - - - - - 175,546

- - - - - - - - - - - 24,436

10,088.00 8,475.00 - - 27,703.00 - - - - - - 183,538

Title III-E

5 of 5 5/8/2023 10:53 AM

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