CONTRACT

AMENDMENT

1. AMENDMENT #:

2. CONTRACT #:

YH23-0067

CTR062538

3. EFFECTIVE DATE OF AMENDMENT:

Upon Final Signature

4. PROGRAM:

DGI

5. CONTRACTOR/PROVIDER NAME AND ADDRESS:

Arizona Board of Regents

Acting on Behalf of the Arizona State University (ASU) Office of Research & Sponsored Projects Administration

P.O. Box 876100 Tempe, AZ 85287-6011

6. PURPOSE:

To remove and replace the existing SOR III Price Sheet and Budget Narrative and Justification with the attached for the term September 30, 2022, through September 29, 2023.

7. THE ABOVE REFERENCED CONTRACT IS HEREBY AMENDED AS FOLLOWS:

Contract YH23-0067 is hereby amended to remove and replace the existing SOR III Price Sheet and Budget Narrative and Justification and replace with the attached for the term September 30, 2022, through September 29, 2023.

All other portions of the Contract remain in effect.

NOTE: Please sign, date, and return one scanned copy to: Marie Horn, Senior Procurement Specialist at marie.horn@azahcccs.gov

Electronic Submission: An electronic or portable document file (PDF) copy of this amendment shall serve as the original.

8. IN WITNESS WHEREOF THE PARTIES HERETO SIGN THEIR NAMES IN AGREEMENT.

9. NAME OF CONTRACTOR/PROVIDER:

Arizona Board of Regents, Acting on Behalf of the Arizona State University

10. ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM

SIGNATURE OF AUTHORIZED INDIVIDUAL: SIGNATURE:

TYPED NAME:

Kristy Macdonald

TYPED NAME:

Tracey Thomas

TITLE:

Assistant Director, Research Operations

TITLE:

Procurement Manager

DATE: DATE:

DocuSign Envelope ID: CEBC5195-6748-4B7A-BA01-3BCFA7389A2F

7/20/20238/11/2023 mailto:marie.horn@azahcccs.gov

PRICE SHEET

FUNDING / METHOD OF REIMBURSEMENT

SOR III Year 1 September 30, 2022, through September 29, 2023

ASU - SIRC

YH23-0067

ACCOUNT CLASSIFICATION AMOUNT

Personnel $95,384

ERE/Fringe $30,528

Travel $2,623

Equipment $0

Supplies $0

Contractual $0

Other Operating $22,317

Total Direct Charges $150,852

Indirect or Admin (If Authorized)* $66,978

TOTAL $217,830

With prior written approval from the Program Manager, the contractor is authorized to transfer up to a maximum of 10% of the total budget amount between line items. Transfers of funds are only allowed between funded line items. Transfers exceeding 10% or to a non-funded line item shall require an amendment.

All travel related expenditures will require itemized receipts and will not exceed the State allowable rates which can be found at the State of Arizona Accounting Manual (SAAM) https://gao.az.gov/publications/saam

In compliance with 2 CFR Part 200, Grants & Agreements §200.331, Requirements for Pass Thru Entities (subrecipient), the information below is solely to comply with 2 CFR Part 200 and does not reflect the funding amount or period of performance of the contract.

Please refer to the Contract & Cost Reimbursement Line-Item Budget for funding amount and Period of Performance.

Grantor: Substance Abuse & Mental Health Services Administration (SAMHSA) Grantee: Arizona Health Care Cost Containment System Grant Name: State Opioid Response III Grant (SOR III)

CFDA: 93.788

Federal Award Identification Number (FAIN)

Award Amount Issue Date Award Period Period of Performance (Project Performance

FFATA

(Y/N)

H79TI083320 $31,963,651 09/23/2022 09/30/2022-

09/29/2023

09/30/2022-09/29/2024 Y https://gao.az.gov/publications/saam

Budget Narrative and Justification

ASU – SIRC

YH23-0067

September 30, 2022 – September 29, 2023

A. Personnel:

Position (1)

Name (2)

Key Staff (3)

Annual Salary/Rate (3)

Level of Effort (5)

Total Salary Charge to Award

(6)

Principal Investigator Natasha Mendoza Yes $98,428 20% $6,562

Co-Investigator Stephanie Lechuga Pena $87,200 10% $2,907

Clinic Coordinator Maria Hanlin $80,945 8% $6,476

Project Manager Elisabeth Williams $70,000 10% $7,000

Research and Evaluation Specialist Trey Jenkins $56,000 27% $15,120

Research Specialist Sr. Jeremiah Kaplan $56,000 5% $2,800

Senior Program Manager Isabel Larsen $83,116.80 4% $3,325

Research Specialist Nika Hernandez $50,000 45% $22,500

Research Specialist Isaac Akapnitis $53,040 10% $5,304

Research Specialist Jennifer Martinez-Sanchez $49,000 35% $17,150

GSA TBD $37,440 50% $6,240

TOTAL REQUEST $95,384

JUSTIFICATION:

The Principal Investigator is responsible for the ASU portion of the SOR project, leading staff efforts in three (3) main areas on the SOR project, expanded technical assistance for recovery residence providers and ongoing medication for opioid use disorder (MOUD) resource dissemination (new curriculum, MOUD pocket guide, MOUD docuseries, etc.), working in collaboration with the Co-Investigator to oversee the new provider survey component.

The Co-Investigator is responsible for taking the lead on a new survey component aimed at assisting provider perceptions of transitional housing needs among individuals exiting treatment services and working closely with the Principal Investigator and staff to coordinate data collection, reporting and recommendations.

The Clinic Coordinator is responsible for managing the day-to-day logistics and administration of the ECHO program including but not limited to reminder emails to participants, inputting new program registrations, data entry into the ECHO Institute database (iECHO), CME coordination and guest presenter liaising.

The Project Manager is responsible for overseeing the management of the program including outreach and recruitment of new Centers of Excellence, planning of annual curricula, participant data collection (post-session and annual surveys) participant data collection (post-session and annual surveys), participation in hub team huddles and planning meetings, and quarterly report development.

The Research and Evaluation Specialist is responsible for serving in a supportive role to the project Principal Investigator and will contribute to the technical assistance (TA) of community partners in housing services (e.g., sober living homes, residential SUD’s treatment), including evaluation of these TA activities.

The Research Specialist Senior is responsible for supporting instruction, curricula development, and graphic design of technical assistance resources, including toolkits, working with community providers needing technical assistance related to Project MATTRR’s (i.e., Project Medication and Treatment Technical assistance for Recovery Residences).

The Senior Program Manager is responsible for providing overall project administrative support for the Principal Investigator and staff.

The Research Specialist (N. Hernandez) is responsible for ensuring project logistics are organized and that project reporting is comprehensive and timely and provides support for data collection, analysis, interpretation, and reporting.

The Research Specialist (I Akapnitis) is responsible for supervising Project MATTRR’s collaborative curricula development and working with the Arizona Recovery Housing Association to create learning modules for Project MATTRR’s.

The Research Specialist (J Martinez-Sanchez) is responsible for assisting project leads in developing a scoping literature review, disseminating findings from project evaluation, supporting Project MATTRR’s curriculum development, and offering coordination support for gap analysis related to housing.

The GSA will be responsible for assisting staff in all SOR-related project activities including curriculum development, technical assistance, data collection, analysis, and reporting.

B. Fringe Benefits:

Position (1)

Name (2)

Rate (3)

Total Salary Charged to Award

(4)

Total Fringe Charged to Award

(5)

Principal Investigator Natasha Mendoza 25.60% $6,562 $1,730

Co-Investigator Stephanie Lechuga Pena 25.60% $2,907 $767

Clinic Coordinator Maria Hanlin 34% $6,476 $2,268

Project Manager Elisabeth Williams 34% $7,000 $2,451

Research and Evaluation Specialist Trey Jenkins 34% $15,120 $5,295

Research Specialist Senior Jeremiah Kaplan 34% $2,800 $981

Senior Program Manager Isabel Larsen 34% $3,325 $1,164

Research Specialist Nika Hernandez 34% $22,500 $7,880

Research Specialist Jennifer Martinez-Sanchez 34% $17,150 $6,006

Research Specialist Isaac Akapnitis 34% $5,304 $1,857

GSA TBD 2% $6,240 $129

FEDERAL REQUEST $30,528

JUSTIFICATION: ASU defines fringe benefits as direct costs, estimates benefits as a standard percent of salary applied uniformly to all types sponsored activities, and charges benefits to sponsors in accordance with the Federally-negotiated rates in effect at the time salaries are incurred. Benefit costs are expected to increase per year, the rates used in the proposal budget are based on the current Federally negotiated Rate Agreement rate plus annual escalation for out years. Below is a breakdown of the rates used above for FY

22. Any start date of six months or more into a fiscal year will use the following fiscal year’s rates according to ASU policy.

Employee Related Expenses (ERE) Faculty Staff Post Docs Students RA/TA

Workers Comp Insurance 0.27% 0.27% 0.29% 0.28% 0.28%

Retiree Accumulated Sick Leave 0.35% 0.39% 0.41% 0% 0%

Unemployment Insurance 0.01% 0.06% 0% 0% 0%

FICA Tax 6.65% 7.01% 6.27% 1.18% 0.17%

Combined Retirement 7.87% 9.62% 0% 0% 0%

ASRS Long Term Disability 0.16% 0.16% 0.24% 0% 0%

Group Health Insurance 8.97% 13.92% 15.55% 0% 0%

RATA Health Insurance 0% 0% 0% 0% 8.11%

RATA Dental Insurance 0% 0% 0% 0% 0.08%

Group Dental Insurance 0.08% 0.12% 0.12% 0% 0%

Life/ACC Death/Disability 0.07% 0.08% 0.09% 0% 0%

Dependent Care Flex Spending 0.01% 0.01% 0.01% 0% 0%

Medical Exp Flex Spending 0.02% 0.08% 0.02% 0% 0%

Employee Tuition Reimbursement 0.16% 1.64% 0% 0% 0%

Sabbatical Payments 1.73% 0% 0% 0% 0%

Employee Assistance 0.06% 0.06% 0.07% 0% 0%

Accrued Vacation Payouts 0.17% 0.83% 0.01% 0% 0%

Fertility/Adoption 0.01% 0.01% 0% 0% 0%

Pool Adjustment from FY20 (Over)/Under Recovery

-0.13% -1.55% -0.97% 0.20% 1.57%

ERE Total 26.5% 32.6% 22.1% 1.7% 10.2%

C. Travel:

Please note: All travel expenditures will require itemized receipts and will not exceed the State allowable rates which can be found in the State of Arizona Accounting Manual (SAAM) https://gao.az.gov.publications/saam. .

https://gao.az.gov.publications/saam

Purpose (1)

Destination (2)

Item (3)

Calculation (4)

Travel Cost Charged to the Award

(5)

In-State Maricopa County Mileage 928 miles x $0.625 $580

Summer Institute (7-23) Flagstaff, AZ Lodging $138/night x 3/staff x 3/nights $1,242

Summer Institute (7-23) Flagstaff, AZ Per Diem $64/day x 3/staff x 4/days $768

Summer Institute (7-23) Flagstaff, AZ Travel Fee $33

FEDERAL REQUEST $2,623

JUSTIFICATION: Local travel to conduct project activities, training events, and meetings. Per Diem is a generic term used for budgeting purposes only. Actual reimbursement is submitted to the State of Arizona Accounting Manual (SAAM) travel policy and actual receipts.

D. Equipment:

Item(s) (1)

Quantity (2)

Amount (3)

% Charged to the Award

(4)

Total Cost Charged to the Award

(5)

FEDERAL REQUEST $0

JUSTIFICATION:

E. Supplies (Items costing less than 45,000 per item):

Item(s) (1)

Rate (2)

Cost (3)

FEDERAL REQUEST $0

JUSTIFICATION:

F. Contractual:

COSTS FOR CONTRACTS MUST BE BROKEN DOWN IN DETAIL AND A NARRATIVE JUSTIFICATION PROVIDED. A SEPARATE ITEMIZED BUDGET IS REQUIRED FOR EACH CONTRACTOR. IF APPLICABLE, NUMBER OF CLIENTS SHOULD BE INCLUDED IN THE COSTS.

Name (1)

Service (2)

Rate (3)

Other (4)

Total (5)

FEDERAL REQUEST $0

JUSTIFICATION:

G. Construction: (NOT ALLOWED)

H. Other: (Include Other Consultants)

Item Rate Cost

Consultants $2,500 x 7 $17,500

Printing – MOUD and Consumer Guides $1,000 $1,000

Advertising (Facebook & Google) $1,200 $1,200

Shipping (FedEx) for guide mailing $967 $967

Summer Institute Conference Registration Fee $550/each x 3/staff $1,650

FEDERAL REQUEST $22,317

JUSTIFICATION:

Consultants are Hub members who make up the MOUD ECHO and are experts who specialize in prevention, intervention, treatment, harm reduction and/or policy related to the ongoing opioid crisis. Hub teams members meet every other week and facilitate MOUD training to a wide audience of providers every other week via Zoom.

Advertising funds are to promote SOR-related projects including the new MOUD curriculum and emerging Toolkit for recovery residences via paid advertising to increase participation.

I. Total Direct Charges:

FEDERAL REQUEST – TOTAL DIRECT CHARGES - $150,852

J. Indirect Cost Rate or Administration (See Footnote below):

Calculation (1)

Revised Total (2)

F&A Costs based on MTCD @ 44.40% Base: $150,852 $66,978

FEDERAL REQUEST $66,978

JUSTIFICATION: Indirect costs are calculated on Modified Total Direct Costs (MTDC) using rates approved by U.S. Department of Health and Human Services (DHHS). The University’s Rate Agreement was approved on April 20th, 2021, at 44.40% of Modified Total Direct Costs (MTDC) for on-campus research projects. MTDS includes salaries and wages, fringe benefits, materials and supplies, service, travel, and the first $25,000 of each subaward. Exclusions from MTDC include graduate student tuition remission, participant support, subawards over the first $25,000 capital equipment, and scholarships/fellowships.

FOOTNOTE:

(1) Please specify whether utilizing indirect or administrative overhead.

(2) For administrative overhead, please provide a justification of costs included in administration.

(3) For indirect costs, please specify if using the de minimis rate or provide a copy of the approved indirect cost agreement. The de minimis rate of 10 percent for non-federal entities is subject to Uniform Guidance, 20 CFR 200.414.

K. Total Project Costs:

FEDERAL REQUEST – TOTAL PROJECT COSTS –

(Sum of Total Direct Costs and Indirect (Or Admin) Costs)

$217,830

L. Budget Summary: (Should include future years, as applicable to the grant, and projected total):

Category Year 1 Year 2* Total Project Costs

Personnel $95,384 $95,384

Fringe $30,528 $30,528

Travel $2,623 $2,623

Equipment $0 $0

Supplies $0 $0

Contractual $0 $0

Other $22,317 $22,317

Total Direct Charges $150,852 $150,852

Indirect Charges or Administration $66,978 $66,978

Total Project Costs $217,830 $217,830

*For Requested Future Years