YH23-0067_ASU_Amend_9_Executed__1_.pdf

INTERAGENCY SERVICE AGREEMENT AMENDMENT

1. AMENDMENT #:

2. CONTRACT #:

YH23-0067

CTR062538

3. EFFECTIVE DATE OF AMENDMENT:

Upon Final Signature

4. PROGRAM:

DBHH

5. CONTRACTOR/PROVIDER NAME AND ADDRESS:

Arizona Board of Regents, Acting on Behalf of

Arizona State University Office of Research & Sponsored Projects Administration

P.O. Box 876011 Tempe, AZ 85287-6011

6. PURPOSE: To insert the attached SOR IV Year 2 Price Sheet and Budget Narrative and Justification for the Contract term September 30, 2025, through September 30, 2026. To increase the Contract amount by $217,000.

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

• To insert the attached SOR IV Year 2 Price Sheet and Budget Narrative and Justification for the Contract term September 30, 2025, through September 29, 2026.

• To increase the Contract amount by $217,000.

• All other portions of the Contract remain in effect.

Electronic Submission: A 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 on behalf of the Arizona State University

10. ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM

SIGNATURE OF AUTHORIZED INDIVIDUAL: SIGNATURE:

TYPED NAME: TYPED NAME:

Tracey Thomas

TITLE: TITLE:

Procurement Manager

DATE: DATE:

10/7/2025

Docusign Envelope ID: 25C35CC9-2548-4DF2-B0AD-2207EA1651D4

Robert Weidenbaum

Director, Contracts, KE - Research Operations

10/22/2025

PRICE SHEET

FUNDING / METHOD OF REIMBURSEMENT

SOR IV Year 2 September 30, 2025 – September 29, 2026

Arizona State University

YH23-0067

ACCOUNT CLASSIFICATION AMOUNT

Personnel $90,636 ERE/Fringe $31,500 Travel Expense $2,728 Equipment $0 Supplies $0 Contractual $0 Other Operating $25,413 Total Direct Charges $150,277 Indirect Charges or Admin $66,723

TOTAL $217,000

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.

Indirect Costs are subject to the approved indirect cost agreement or the de minimus rate for non-federal entities in conformance with Uniform guidance, 2 CFR 200.414.

All travel related expenditures will require the original receipts and will not exceed the State allowable rates which can be found at https://gao.az.gov/travel

The information provided below is solely to comply with 2 CFR Part 200, Grants & Agreements §200.331:

Grantor: Substance Abuse & Mental Health Services Administration (SAMHSA) Grantee: Arizona Health Care Cost Containment System Grant Name: State Opioid Response IV Grant (SOR IV) Year 2

CFDA: 93.788

Federal Award Identification Number (FAIN)

Contract Amount

Contract Period

Award Amount

Issue Date Award Period

Period of Performance

(Project Performance

FFATA

(Y/N)

H79TI087838 $217,000 09/30/25 –

09/29/26

$35,814,664 09/26/2025 09/30/25 – 09/29/26

09/30/24 – 09/29/25 Y https://gao.az.gov/travel

Budget Narrative and Justification SOR IV – Year 2

Arizona State University

YH23-0067

September 30, 2025 – September 29, 2026

A. Personnel:

Position

(1) Name

(2) Key Staff

(3) Annual

Salary/Rate (4)

Hourly Rate (5)

Level of Effort (6)

Total Salary Charge to Award

(7) Principal Investigator Elizabeth Anthony Yes $133,704 $64.28 3.13% $5,571

Co-Investigator Natasha Mendoza $140,000 $67.31 0.78% $1,458

Co-Investigator Justin Harty $126,933 $61.03 2.03% $3,438

Co-Investigator Manuel Cano $133,600 $64.23 2.49% $3,329

Research Specialist Nika Hernandez $55,000 $26.44 67% $36,850

Project Manager Elisabeth Williams $88,200 $42.40 5% $4,410

Project Research Manager Autumn Young $69,300 $33.32 5% $3,465

Senior Program Manager Isabel Larsen $91,627.80 $44.05 2% $1,833

Research Specialist Michelle Santana $50,470 $24.26 60% $30,282

TOTAL REQUEST $90,636

JUSTIFICATION:

• The Principal Investigator (Anthony) is responsible for providing overall leadership and overseeing all aspects of the project, ensuring alignment with the project’s goals, timelines, and grant requirements, coordinating the work of project staff and collaborates, managing project operations, and overseeing data collection, analysis, reporting and dissemination. Drawing on her expertise in adolescent development and school-based intervention, she will guide the design and implementation of the educational components to ensure they are developmentally appropriate and evidence-based and lead efforts to disseminate findings through publications and presentations.

• The Co-Investigator (Mendoza) is responsible for providing subject matter expertise in behavioral health and treatment, advising on curriculum content, and providing input during data interpretation and dissemination phases, and offering feedback on key deliverables and collaborating on scholarly products resulting from the project.

• The Co-Investigator (Harty) is responsible for guiding the project in matters related to juvenile justice and the child welfare system, providing expertise in integrating these systems into the project’s framework, ensuring effective support for adolescents involved in these areas, advising on intervention strategies, participating in data analysis, and contributing to the dissemination of findings through publications and presentations. Dr. Harty’s extensive experience with young people aging out of the foster care system and young families in the child welfare system is crucial for addressing the unique needs of these vulnerable populations.

• The Co-Investigator (Cano) is responsible for supporting the project in data collection, analysis, reporting, ensuring robust and accurate data methodologies, supervising staff specifically charged with data analysis, overseeing the design and implementation of data collection protocols, guiding the analytical process, and contributing to the dissemination of findings through publications and presentations.

• The Research Specialist (Hernandez) is responsible for managing the day-to-day operations of the project, coordinating project activities, including scheduling, communication among team members and community collaborators, maintaining project documentation, organizing meetings, assisting with data collection logistics, ensuring adherence to project timelines, coordinating all project reporting with Dr. Mendoza’s supervision, and playing a key role in creating the infrastructure for training.

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

• The Project Research Manager (Young) 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 Senior Program Manager (Larsen) is responsible for providing operational support and project oversight while coordinating logistical and administrative matters at the university level, providing guidance about ASU policies and procedures, communicating with other departments and administrators, assisting with the resolution of sensitive issues, coordinating all official financial processes to ensure that the grant deliverables are met, and working with budget management during the project years.

• The Research Specialist (Santana) is responsible for assisting in various administrative and operational areas across the project, providing support in scheduling, coordinating meetings, maintaining project documentation, facilitating communication among team members, aiding in data collection logistics, preparation of reports, and dissemination of project findings, ensuring that all project activities run efficiently and effectively, contributing to the overall success of the intuitive, and playing a key role in supporting the infrastructure for training.

B. Fringe Benefits:

Position

(1) Name

(2) Rate (3)

Total Salary Charged to Award

(4)

Total Fringe Charged to Award

(5) Principal Investigator Elizabeth Anthony 30.60% $5,571 $1,704 Co-Investigator Natasha Mendoza 30.60% $1,458 $446 Co-Investigator Justin Harty 30.60% $3,438 $1,052 Co-Investigator Manuel Cano 30.60% $3,329 $1,019 Research Specialist Nika Hernandez 35.50% $36,850 $13,082 Project Manager Elisabeth Williams 35.50% $4,410 $1,566 Project Research Coordinator Autumn Young 35.50% $3,465 $1,230 Senior Program Manager Isabel Larsen 35.50% $833 $651 Research Specialist Michelle Santana 35.50% $30,282 $10,750

FEDERAL REQUEST $31,500

JUSTIFICATION: ASU defines fringe benefits as direct costs, estimates fringe 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. The rates used in the proposal budget are based on the current federally-negotiated rate agreement. An estimated cost escalation has been included in the out years, consistent with ASU policy. Below is a breakdown of the rates used above for FY24. Any start date of six (6) months or more into a fiscal year will use the following fiscal year’s rates according to ASU policy.

Fringe Category Rate

Faculty 30.60% Staff 35.50% Total 66.10%

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 Travel Arizona Mileage 1,000/miles x $0.67 $670 Conference TBD Washington, DC Airfare (roundtrip) $600 x 1/staff $600 Conference TBD Washington, DC Lodging $276/night x 1/staff x 3/nights $828 Conference TBD Washington, DC Per Diem $82/day x 1/staff x 4/days $328 Conference TBD Washington, DC Ground Transportation $50/day x 4/days $200 Conference TBD Washington, DC Misc Charges (luggage) $80 $80 Conference TBD Washington, DC Concur Travel Fee $13 $13

FEDERAL REQUEST $2,728

JUSTIFICATION:

• Local travel to facilitate essential connections with behavioral health stakeholders across rural Arizona and to disseminate educational materials. This travel is crucial for building partnerships, conducting site visits, and ensuring that educational initiatives reach underserved communities. The mileage reimbursement is based on Arizona’s allowable rate of $0.67/mile which covers travel expenses for project staff. Additionally, the budget includes a per diem allocation for meals and incidental expenses during travel calculated per the State of Arizona Accounting Manual (SAAM) travel policy and supported by actual receipts. This travel support is fundamental to the project’s outreach, engagement, and dissemination efforts, ensuring that all regions, especially rural areas, benefit from the project’s resources and activities.

• Out-of-state travel funds are requested is for one (1) staff member to attend a Conference in Washington D.C. Dr. Anthony will present on ASU Opioid Initiatives, funded by SOR IV, educating providers across the Southwest Region about technical assistance with MOUD.

Attending this conference will provide valuable insights into national policy developments and best practices, informing ASU’s material development and enhancing the project’s impact. This opportunity will also facilitate networking and knowledge exchange with leading experts in the field.

• ASU’s travel system software provider, Concur Technologies, charges $13 per person for each travel expense report submitted.

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 $5,000 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 (HUB Team) $2,500/each x 6/staff $15,000 Consultants (Adolescent Treatment HUB Team) $1,000/each x 6/staff $6,000 Printing (Guides and SOR related materials) $2,150 $2,150 Advertising (Social Media to promote training) $1,000 $1,000 Marketing (Salesforce Annual Fee) $180 $180 Shipping (FedEx/USPS to mail guides) $508 $508 Conference Registration Fee $575 $575

FEDERAL REQUEST $25,413

JUSTIFICATION:

• Consultants - Hub Team members who make up the Substance Use Management & Medication with Inclusive Treatment SUD Treatment

& Medication Across the Lifespan ECHO are experts who specialize in prevention, intervention, treatment, and policy related to the ongoing opioid crisis. The team brings a wealth of experience and knowledge to the program, ensuring that the training provided is comprehensive and up to date. The team meets every other week to discuss and strategize on the latest developments and best practices in MOUD and facilitates bi-weekly training sessions via Zoom to a wide audience of providers, offering interactive and practical guidance to enhance the effectiveness of OUD treatment across various settings. This regular engagement helps ensure continuous learning and support for providers, ultimately aiming to improve patient outcomes.

• Consultants - Adolescent Treatment Advisory Board are experts in adolescent development, substance use intervention, treatment, and policy and will bring a diverse range of expertise to ensure that their guidance is comprehensive and relevant. The board is expected to meet monthly to review progress, share insights, and strategize on best practices for addressing adolescent substance use disorders and will play a key role in curriculum development, providing valuable input and support to create effective training programs. Their involvement will be crucial in ensuring that the educational initiatives are aligned with current best practices and address the unique needs of adolescents.

• Printing of opioid initiative materials in hard copy is essential for ensuring that all providers, especially those in rural or underserved areas with limited internet access, have reliable and easy access to critical information. Hard copies allow for quick reference during clinical practice and can be sharded easily among staff, enhancing the dissemination of best practices and treatment protocols.

• Advertising/social media will be used to promote SOR related projects, including new curriculum via paid advertising (e.g. Facebook, Google) to enhance participation. These funds will be used to target specific demographics, ensuring that the information reaches relevant providers and stakeholders. By leveraging digital advertising platforms, we can enhance visibility, engage a broader audience, and drive higher participation rates in our training programs and resource utilization. This strategic promotion is crucial for maximizing the impact of our initiatives and effectively addressing the opioid crisis.

• Shipping of MOUD guides to various stakeholders, including healthcare providers, community organizations, and educational institutions.

These materials are critical for ensuring widespread access to up-to-date information, training resources, and treatment guidelines.

Covering shipping costs ensures that all intended recipients, particularly those in remote or underserved areas, receive the necessary materials promptly and efficiently, thereby supporting the overall effectiveness and reach of the opioid initiatives.

• Conference Registration Fee for one (1) staff member to attend the conference in Washington, D.C.

I. Total Direct Charges:

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

Calculation

(1) Revised Total

(2)

Indirect Cost Agreement 44.4% $66,723

FEDERAL REQUEST $66,723

JUSTIFICATION: This is not a research or instruction project. This falls under the other type of category working with external health services, and therefore, ASU’s NICRA reflects 44.4% for the other category type projects.

$150,277 FEDERAL REQUEST – TOTAL DIRECT CHARGES -

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) $217,000

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

Category Year 1 09/30/24 – 09/29/25

Year 2 09/30/25 – 09/29/26

Year 3 09/30/26 – 09/29/27

Total Budget

Personnel $85,505 $90,636 $89,838 $265,979 Fringe $28,565 $31,500 $32,298 $92,363 Travel $2,987 $2,728 $3,421 $9,136 Equipment $0 $0 $0 $0 Supplies $0 $0 $0 $0 Contractual $0 $0 $0 $0 Other $33,220 $25,413 $24,720 $83,353 Total Direct Charges $150,277 $150,277 $150,277 $450,831 Indirect Charges or Administration $66,723 $66,723 $66,723 $200,169

Total Project Costs $217,000 $217,000 $217,000 $651,000 *For Requested Future Years