INTERAGENCY SERVICE AGREEMENT

(Contract #YH23-0067)

This Interagency Service Agreement (“Agreement”) is entered into by and between Arizona State University Southwest Interdisciplinary Research Center (ASU SIRC) and the Arizona Health Care Cost Containment System (AHCCCS), and shall be effective upon execution by both parties and terminated pursuant to the terms set forth in this agreement.

Project Title: Arizona Opioid State Targeted Response III Grant– ASU SIRC

Term of Agreement: The term of the Agreement is from September 30, 2022 through September 29, 2024 unless otherwise terminated or extended by mutual agreement of the parties in a duly authorized and executed amendment.

Authority: This Agreement is entered into in accordance with A.R.S. §35-148 authorizing a State agency to transfer funds for services performed pursuant to an Interagency Service Agreement. Authority to enter into this agreement is granted to AHCCCS pursuant to A.R.S. §36-2903 et seq. and 36-2932 et seq.

This Agreement is the complete and exclusive statement of the understanding between the parties, and it supersedes all proposals, oral or written, and all other documents or communications between the parties relative to the subject matter herein covered, unless such documents or communications are specifically included by reference.

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

IN WITNESS THEREOF THE PARTIES HERETO SIGN THEIR NAMES IN AGREEMENT.

NAME OF CONTRACTOR/PROVIDER:

Arizona State University SIRC

ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM

SIGNATURE OF AUTHORIZED INDIVIDUAL:

SIGNATURE:

TYPED NAME:

Sabrina Oesterie

TYPED NAME:

Tracey Thomas

TITLE:

Director

TITLE:

Procurement Manager

DATE: DATE:

Tracey Thomas (Sep 30, 2022 10:35 PDT)

Sep 30, 2022

Sabrina Oesterle (Sep 30, 2022 12:27 PDT) Sabrina Oesterle

Sep 30, 2022

SCOPE OF WORK

PROJECT TITLE: Arizona State Opioid Response III Grant – ASU SIRC

1.0 PROJECT TIMELINE: 09/30/2022 – 09/29/2024

2.0 PURPOSE:

AHCCCS is seeking services to assist with expanding technical assistance, training, and implementation for medication for opioid use disorder among recovery residence providers. Additionally, the contractor will work to assess provider perceptions of transitional housing needs among individuals exiting treatment services through data collection, analysis, interpretation, and reporting.

3.0 BACKGROUND :

The Arizona Health Care Cost Containment System (AHCCCS) has been awarded the State Opioid Response grant (SOR III) and the overarching goal of the project is to increase access to Medications for the treatment of Opiate Use Disorder (MOUD), coordinated and integrated care, and recovery support services to reduce the prevalence of OUDs, Stimulant Use Disorder, and stimulant/opioid related overdose deaths in the state of Arizona. The project approach includes developing and supporting state, regional and local level collaborations, substance use disorder (SUD) prevention programming, and service enhancements that enact evidence-based practices that comprehensively address the full continuum of care related to stimulant and opioid misuse, abuse, and dependence. The primary populations of focus for the Arizona State Opioid Response (SOR) grant are as follows: individuals with active opioid use; individuals with Opioid Use Disorder (OUD);

individuals at risk for opioid overdose or misuse; individuals with stimulant use disorder; individuals in recovery; youth confronted with social pressures related to opioids/stimulants; and youth, parents, community members and health consumers unaware of the potential risks of opioid/stimulant misuse and abuse. Arizona has also identified the following sub-populations for targeted activities in SOR: individuals re-entering the community from correctional settings; individuals in rural and isolated areas; individuals without housing or with insecure housing; tribal populations; veterans, military service members and military families; pregnant women and parents with OUD, especially those with matters in family court or with Department of Child Safety involvement; individuals with physical disabilities; individuals needing pain management; and individuals who have experienced trauma, toxic stress or adverse childhood experiences (ACEs).

4.0 The Contractor shall:

4.1 Monitoring & Evaluation of Recently Trained Buprenorphine Waiver Providers

4.1.1 Monitor/evaluate buprenorphine waiver training participants' engagement and use of training from SOR year 1 and 2 workshops: length of time between training and obtaining waiver status; frequency of implementation (if available); follow-up with participants to identify short- and long-term needs for ongoing support, engagement, and assistance (ongoing technical assistance, supporting in-clinic interaction/screening, coaching, motivational interviewing, etc.).

4.2 Provide medication for opioid use disorder (MOUD) implementation and technical assistance.

4.2.1 Continue operating hub-and-spoke concept (i.e. MAT ECHO program) for ongoing support of buprenorphine-waivered providers.

4.2.2 Partner with Medical Advisory Board representatives, existing groups and resources to identify existing gaps in medication for opioid use disorder (MOUD) and create/support holistic training and ongoing resources for implementation at the practice level and increasing screening/referrals/naloxone distribution.

4.3 MOUD Resources Expansion & Dissemination

4.3.1 Continue ongoing updates and printing of MOUD pocket guides for continued mass distribution across the

State (patient and provider versions).

4.3.2 Continue dissemination of MOUD docuseries, including mass distribution and marketing across multiple public streams (e.g. social media, public television, etc.)

4.4 Expansion of Technical Assistance (TA) to Housing Services Serving OUD Patients

4.4.1 Conduct statewide needs assessment of MOUD-readiness amongst housing providers serving patients with OUD (e.g. sober living homes, residential treatment settings, shelters). Utilize needs assessment to identify targets for TA. Needs assessment to include virtual meetings, interviews, and online surveys.

4.4.2 Provide targeted technical assistance services to identified housing entities to ensure they are ‘MOUD-friendly’ (e.g. reducing stigma amongst staff, medication storage access, transportation to MOUD services, etc.).

4.4.3 Create sustainable TA resources (e.g. online toolkit) for housing organizations to become more MOUD-friendly.

4.5 Include the following SAMHSA disclaimer on all publications:

4.5.1 This publication was made possible by grant number 1H79TI085739 from SAMHSA. The views, opinions and content of this publication are those of the author and do not necessarily reflect the views, opinions, or policies of SAMHSA or HHS.

4.6 Not have any conflicts of interest that would impact the work on this project.

4.7 Meet with AHCCCS monthly to review programmatic progress and barriers to programming.

5.0 AHCCCS will:

5.1 Coordinate all grant deliverables to SAMHSA, monthly and annual reporting.

5.2 Coordinate performance measure reporting to SAMHSA.

5.3 Coordinate monthly and quarterly meetings for planning and implementation activities among all partners, consultants and stakeholders.

5.4 Oversee all prevention, treatment and recovery support activities within the grant.

5.5 Provide technical assistance as needed for ASU SIRC.

6.0 Funding

Refer to Exhibit A - SOR III Terms and Conditions

7.0 Reporting Requirements / and or Deliverables

Timeframe Deliverable Description Due Date Send To:

Monthly Monthly meeting with AHCCCS Contractor shall meet with AHCCCS at a minimum once per month to review programmatic progress and any issues or barriers being experienced.

Contractor or AHCCCS may elect to increase frequency based on provider performance.

Will begin October 2022.

Recurring day shall be mutually agreed upon by ASU-SIRC and AHCCCS.

N/A

Monthly Contractor Expenditure Report (CER)

Provide an accurate and detailed expenditure report with back up documentation for allowable reimbursement of 1H79TI085739-01 grant fund expenditures.

The CER form can be found on Attachment A and at:

https://www.azahcccs.go v/PlansProviders/Guides ManualsPolicies/index.ht ml

15th of the month, following month-end. In the event that the 15th falls on a weekend of holiday, the CER is due the next business day.

BHSinvoices@azahc ccs.gov and cc:

OODGrants@azahcc cs.gov https://www.azahcccs.gov/PlansProviders/GuidesManualsPolicies/index.html https://www.azahcccs.gov/PlansProviders/GuidesManualsPolicies/index.html https://www.azahcccs.gov/PlansProviders/GuidesManualsPolicies/index.html https://www.azahcccs.gov/PlansProviders/GuidesManualsPolicies/index.html https://www.azahcccs.gov/PlansProviders/GuidesManualsPolicies/index.html https://www.azahcccs.gov/PlansProviders/GuidesManualsPolicies/index.html https://www.azahcccs.gov/PlansProviders/GuidesManualsPolicies/index.html mailto:BHSinvoices@azahcccs.gov mailto:BHSinvoices@azahcccs.gov

Quarterly Performance Measures Report

Number of individuals reached per strategy and activity of community resources and education materials distributed by county.

Additional prevention performance measu/res as requested by SAMHSA.

The 15th of the month following the quarter. In the event that the 15th falls on a weekend or holiday, the report is due the next business day

OODGrants@azahcc cs.gov

Annually Progress Report Summary of progress achieved (to include major activities, accomplishments, and outcomes data), barriers encountered and efforts to overcome these barriers for the entire project period 9/30/22 – 9/29/24.

9/29/23 and 9/29/24 OODGrants@azahcc cs.gov

Ad-Hoc Out of State travel forms

Required Out of State travel forms;

Attachment B&C.

Minimum of 30 business days prior to travel

OODGrants@azahcc cs.gov

Upon Award

Federal Funding Accountability and Transparency Act (FFATA)

Required per 2 CFR Chapter 1, Part 170

REPORTING SUB-

AWARD AND

EXECUTIVE

COMPENSATION

INFORMATION:

https://www.azahcccs.go v/ Resources/Grants/FFATA/

15 days after receiving fully executed contract

AHCCCSGrants@aza hcccs.gov

8.0 Notices and Correspondence

8.1 For Programmatic Notices to AHCCCS, report to:

o AHCCCS

Bianca Arriaga, Grants Administrator for Opioid Grants Division of Grants Administration 801 E. Jefferson St. Mail Drop 1900 Phoenix, AZ 85034 Phone: 602-417-4176 Email: bianca.arriaga@azhcccs.gov

8.2 Any contractual notices or correspondence related to this Agreement shall be sent to the parties or their designees respectively as follows:

o AHCCCS

Attn: Marie Horn, Senior Procurement Officer Division of Business Finance 801 E. Jefferson Street, MD 5700 Phoenix, AZ 85034 Phone: 602-417-4753 EmailMarie.Horn@azahcccs.gov mailto:OODGrants@azahcccs.gov mailto:OODGrants@azahcccs.gov mailto:OODGrants@azahcccs.gov mailto:OODGrants@azahcccs.gov mailto:OODGrants@azahcccs.gov mailto:OODGrants@azahcccs.gov https://www.azahcccs.gov/Resources/Grants/FFATA/ https://www.azahcccs.gov/Resources/Grants/FFATA/ https://www.azahcccs.gov/Resources/Grants/FFATA/ https://www.azahcccs.gov/Resources/Grants/FFATA/ mailto:AHCCCSGrants@azahcccs.gov mailto:AHCCCSGrants@azahcccs.gov mailto:bianca.arriaga@azhcccs.gov mailto:Marie.Horn@azahcccs.gov

PAYMENT TERMS AND PRICING SCHEDULE

FUNDING / METHOD OF REIMBURSEMENT

September 30, 2022 – September 29, 2023

ACCOUNT CLASSIFICATION AMOUNT

Personnel $100,992

Fringe $25,188

Travel $2,122

Equipment $0

Supplies $0

Contractual $0

Other $22,550

Total Direct Charges $150,852

Indirect Charges $66,978

Total Project Costs $217,830

With prior written approval, 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 in the State of Arizona Accounting Manual (SAAM) https://gao.az.gov/publications/saam.

* See Attachment B & C – Required Out of State Travel Forms

In compliance with 2 CFR Part 200, Grants & Agreements §200.331, Requirements for Pass Thru Entities, 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.

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 Period)

FFATA (Y/N)

H79TI085739 $31,963,651 09-23-2022 09/30/22-

09/29/23

09/30/22 - 09/29/24 Y https://gao.az.gov/publications/saam

Budget Narrative and Justification

A. Personnel:

Position (1) Name (2)

Key Staff (3)

Annual Salary/Rate (4)

Level of Effort

(5)

Total Salary Charge to Award (6)

Principal Investigator Natasha Mendoza

X $95,928 3mont hs X 10%

$3,197

Co-Investigator Stephanie Lechuga

Pena

$84,700 3 months x 10%

$2,823

Clinic Coordinator Maria Hanlin

$78,445 8% $6,276

ProjeElct Manager Elisabeth Williams

$67,500 10% $6,750

Research and Evaluation Spec.

Trey Jenkins

$53,000 20% $10,600

Research Specialist Sr Jeremiah Kaplan

$52,992 5% $2,650

Media Manager Kevin Bushaw

$55,552 5% $2,778

Senior Program Manager

Isabel Larsen

$79,920 3% $2,398

Research Specialist Nika Hernandez

$46,000 75% $34,500

Research Specialist Isaac Akapnitis

$51,500 20% $10,300

GSA TBH $37,440 50% $18,720

FEDERAL REQUEST $100,992

JUSTIFICATION:

Natasha Mendoza, MSW, PhD, will serve as Principal Investigator for the ASU subcontract and will have overall responsibility for the ASU portion of the SOR III project. Specifically, Dr. Mendoza will lead staff efforts in three main areas on the SOR III 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.). She will work in close collaboration with Dr. Lechuga Pena to oversee a new provider survey component. Dr. Mendoza will devote 10% effort for 3 months to this project year for a total cost of $3,197.

Stephanie Lechuga Pena, PhD, will serve as Co-Investigator for the ASU subcontract and will take lead on a new survey component aimed at assessing provider perceptions of transitional housing needs among individuals exiting treatment services. She will work closely with Dr. Mendoza and staff to coordinate data collection, reporting and recommendations.

Dr. Lechuga Pena will devote 10% effort for 3 months to this project for a total of $2,823.

Maria Hanlin, MA, will manage 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. Ms. Hanlin will devote 8% of her annual effort to the project, for a total cost of $6,276.

Elisabeth Williams, MPH, will oversee 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), participation in hub team huddles and planning meetings, and quarterly report development. Ms.

Williams will devote 10% of her annual effort to the project, for a total cost of $6,750.

Trey Jenkins, MSW, will serve in a supportive role to the project PI, and will contribute to the technical assistance (TA) of community partners in housing services (e.g. sober living homes, residential SUDs treatment), including evaluation of these TA activities. Mr. Jenkins will support the project at 20% of his annual effort, for a total of $10,600.

Jeremiah Kaplan, BA, will support instruction, curricula development, and graphic design of technical assistance resources, including toolkits. He will work with community providers needing technical assistance related to Project MATTRRs (i.e., Project Medication and Treatment Technical assistance for Recovery Residences). Mr. Kaplan will support the project at 5% of his annual effort, for a total of $2,650.

Kevin Bushaw, will serve as a media manager on the SOR III project, assisting with marketing, promotion and related outreach efforts related to all SOR III community/provider-facing products including MOUD Pocket Guide expansion. Mr.

Bushaw will devote 5% effort to the project year for a total cost of $2,778.

Nika Hernandez, Research Specialist, will ensure project logistics are organized and that project reporting is comprehensive and timely. Further, they will provide support for data collection, analysis, interpretation, and reporting. Ms. Hernandez will devote 75% effort to the project year for a total cost of $34,500.

Isabel Larsen, Sr. Program Manager, will provide overall project administrative support for PI and staff. Ms. Larsen will devote 3% effort to the project for a total cost of $2,398.

Isaac Akapnitis, Research Specialist, will supervise Project MATTRRs collaborative curricula development. He will work with the Arizona Recovery Housing Association to create learning modules for Project MATTRRs. Mr. Akapnitis will devote 20% effort to the project for a total cost of $10,300.

TBH, GSA, will assist staff in all SOR III-related project activities including curriculum development, technical assistance, data collection, analysis, and reporting. TBH will devote 50% effort to the project for a total cost of $18,720.

To support charges for direct and indirect salaries and wages, recipients maintaining hourly timesheets must ensure that timesheets encompass all hours worked and not worked on a daily basis. The timesheet should identify the: (a) grant, project or cost center being worked on; (b) number of hours worked on each; (c) description of work performed; and (d) Paid Time Off (PTO) hours. The total hours recorded each day should coincide with an individual’s employment status in accordance with established policy (i.e., full-time employees work 8 hours each day, etc.).

Recipients may not directly charge a grant for employees’ time not spent working on the grant. Therefore, Paid Time Off (PTO), such as vacation, holiday, sick and other paid leave, is not recoverable directly from grants, but rather must be allocated to all grants, projects, and cost centers over an entire cost accounting period through either an indirect cost or fringe benefit rate.

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

27.30% $3,197 $873

Co-Investigator Stephanie Lechuga Pena

27.30% $2,118 $771

Clinic Coordinator

Maria Hanlin 33.58% $6,276 $2,107

Project Manager Elisabeth Williams

33.58% $6,750 $2,267

Research and Evaluation Spec.

Trey Jenkins 33.58% $10,600 $3,559

Research Specialist Sr

Jeremiah Kaplan 33.58% $2,650 $891

Media Manager Kevin Bushaw 33.58% $2,778 $933 Senior Program Manager

Isabel Larsen 33.58% $2,398 $805

Research Specialist

Nika Hernandez 33.58% $34,500 $11,584

Research Specialist

Isaac Akapnitis 10.4% $10,300 $1,072

GSA TBH 1.75% $18,720 $327

FEDERAL REQUEST $25,188

Arizona State University 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 FY22. 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 POSTDOCS STUDENTS RA/TA

WORKERS' COMPENSATION

INSURANCE

0.27% 0.27% 0.29% 0.28% 0.28%

RETIREE ACCUMULATED SICK

LEAVE

0.35% 0.39% 0.41% 0.00% 0.00%

UNEMPLOYMENT INSURANCE 0.01% 0.06% 0.00% 0.00% 0.00%

FICA TAX 6.65% 7.01% 6.27% 1.18% 0.17%

COMBINED

RETIREMENT

7.87% 9.62% 0.00% 0.00% 0.00%

ASRS LONG TERM DISABILITY 0.16% 0.16% 0.24% 0.00% 0.00%

GROUP HEALTH INSURANCE 8.97% 13.92% 15.55% 0.00% 0.00%

RATA HEALTH INSURANCE 0.00% 0.00% 0.00% 0.00% 8.11%

RATA DENTAL INSURANCE 0.00% 0.00% 0.00% 0.00% 0.08%

GROUP DENTAL INSURANCE 0.08% 0.12% 0.12% 0.00% 0.00%

LIFE/ACC DEATH/DISABILITY 0.07% 0.08% 0.09% 0.00% 0.00%

DEPENDENT CARE FLEX

SPENDING

0.01% 0.01% 0.01% 0.00% 0.00%

MEDICAL EXP FLEX SPENDING 0.02% 0.02% 0.02% 0.00% 0.00%

EMPL TUITION

REIMBURSEMENT

0.16% 1.64% 0.00% 0.00% 0.00%

SABBATICAL PAYMENTS 1.73% 0.00% 0.00% 0.00% 0.00%

EMPLOYEE ASSISTANCE 0.06% 0.06% 0.07% 0.00% 0.00%

ACCRUED VACATION PAYOUTS 0.17% 0.83% 0.01% 0.00% 0.00%

FERTILITY/ADOPTION 0.01% 0.01% 0.00% 0.00% 0.00%

POOL ADJUSTMENT FROM

FY20 (OVER)/UNDER RECOVERY

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

EMPLOYEE RELATED EXPENSES 26.5% 32.6% 22.1% 1.7% 10.2%

https://researchadmin.asu.edu/salaries-wages-and-ere#Employee%20Related%20Expenses

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).

Purpose

(1) Destination (2) Item

(3) Calculation (4) Travel Cost Charged to the Award

(5)

In-State Maricopa County

Mileage .445 x 500 miles $223

Out-of-State Travel- NARR Conference

Richmond, VA Airfare $700 $700

Lodging 4 nights x $147 $588 Per Diem 5 days x $56 $280 Ground transportation 5 days x $50 $250

Misc charges (e.g. luggage)

2 x $35 $70

Concur Travel Fee

1 $11

FEDERAL REQUEST $2,122

Local travel is mileage requested to conduct project activities, training events, and meetings within the State of Arizona. Local travel is based upon Arizona’s allowable mileage reimbursement rate of .445/mile. Note: Per Diem is a generic term used for budgeting purposes only. Actual reimbursement is subject to the State of Arizona Accounting Manual (SAAM) travel policy and actual receipts.

Out-of-state travel request for one staff to attend the National Alliance for Recovery Residences in Richmond, Virginia being held on October 24-26, 2022. Dr. Mendoza will submit a project abstract based on the SOR III Project MATTRRs.

We aim to present the emerging “Toolkit” as a standard of practice for addressing stigma among providers.

D. Equipment (Over $5,000 per item):

Item(s)

(1) Quantity

(2) Amount

(3) % Charged to the Award (4)

Total Cost Charged to the Award (5)

FEDERAL REQUEST $0

E. Supplies (Items costing less than $5,000 per item):

Item(s)

(1) Rate (2)

Cost (3)

F. Contractual:

COSTS FOR CONTRACTS MUST BE BROKEN DOWN IN DETAIL AND A NARRATIVE JUSTIFICATION PROVIDED.

Name (1) Service (2) Rate (3) Other (3) Cost (5)

G. Construction: NOT ALLOWED H. Other:

I. Item Rate Cost Consultant – Dr.

Matt Evans Facilitator and SME for the MAT ECHO program - $10,000 $10,000

Consultant – Dr. Tara Riedley

$9,500 $9,500

Printing Printing of MOUD Guides and consumer guide - $1,000 $1,000

Advertising Social media funds to promote training (e.g Facebook) - $1,000 $1,000

Shipping FedEx – MOUD Guide mailing $500 NARR Conference

Registration Fee 1 staff - $550 $550

FEDERAL REQUEST $22,550

Dr. Evans will serve as a ‘hub’ member for the MOUD ECHO program, providing feedback to healthcare learners/participants and will additionally facilitate the sessions. Dr. Evans is a medical doctor who specializes in addiction medicine with additional expertise in hepatitis C treatment and addiction medicine telehealth services.

Dr. Riedley will be providing expertise in the area of pharmacology for the biweekly Medications for Opioid Use Disorder (MOUD) teleECHO sessions and biweekly hub team members. This includes planning the curriculum, providing didactic content, and assisting with hub team recommendations for case presenters.

Printing of MOUD Guide

Shipping via FedEx of MOUD Guides

Advertising / Social media – advertising funds are requested to promote SOR III-related projects including the new MOUD curriculum and emerging Toolkit for recovery residences via paid advertising (e.g. Facebook, Google) to increase participation.

NARR Conference – Registration Fee – for one staff to attend the National Alliance for Recovery Residences in Richmond, Virginia being held on October 24-26, 2022

J. Total Direct Charges:

FEDERAL REQUEST – TOTAL DIRECT CHARGES - $150,852

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

Calculation (1) Indirect Cost Charged to the Award (2)

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

FEDERAL REQUEST $66,978

Indirect costs are calculated on Modified Total Direct Costs (MTDC) using rates approved by US 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. MTDC includes salaries and wages, fringe benefits, materials and supplies, services, 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.

DEFINITIONS

As used in this Contract, the terms listed below are defined as follows:

1.0 AHCCCS: The Arizona Health Care Cost Containment System – a managed health care program which pertains to health care services provided pursuant to A.R.S. 36-2903 et seq., and is also the name of the State agency.

2.0 CONTRACT: The combination of the Contract Terms and Conditions, and Scope of Work; Contract Amendments; and any terms applied by law.

3.0 CONTRACT AMENDMENT: A written document signed by the Procurement officer that is issued for the purpose of making changes in the contract.

4.0 CONTRACTOR: A person who has a contract with AHCCCS.

5.0 DAYS: Calendar days unless otherwise specified.

6.0 GRATUITY: A payment, loan, subscription, advance, deposit of money, services or anything of more than nominal value, present or promised, unless consideration of substantially equal or greater value is received.

7.0 HEALTH PLAN: An organization which contracts with the AHCCCS Administration to administer the provision of a comprehensive package of AHCCCS covered acute and behavioral health care services to AHCCCS members enrolled with the health plan.

8.0 MAY: Indicates something that is not mandatory but permissible.

9.0 MATERIALS: All property, including equipment, supplies, printing, insurance and leases of property but does not include land, a permanent interest in land or real property or leasing space.

10.0 PROCUREMENT OFFICER: The person, or his or her designee, duly authorized by the State and AHCCCS to enter into and administer Contracts and made written determinations with respect to the Contract.

11.0 PROGRAM CONTRACTOR: An organization which contracts with the AHCCCS Administration to execute the provision of a comprehensive package of ALTCS covered acute care, behavioral health services and long term care services to ALTCS members enrolled with the program contractor.

12.0 SHALL, MUST: Indicates a mandatory requirement. Failure to meet these mandatory requirements may result in the rejection of a proposal as non-responsive.

13.0 SHOULD: Indicates something that is recommended but not mandatory. If the Offeror fails to provide recommended information, the State may, at its sole option, ask the Offeror to provide the information or evaluate the proposal without the information.

14.0 SCOPE OF WORK: Those provisions of this solicitation which specify the work and/or results to be achieved by the

Contractor.

15.0 SUBCONTRACT: Any Contract, express or implied, between the Contractor and another party or between a subcontractor and another party delegating or assigning, in whole or in part, the making or furnishing of any material or any service required for the performance of the Contract.

16.0 STATE: The State of Arizona.

17.0 STATE FISCAL YEAR: The period beginning with July 1 and ending June 30.

Uniform Terms and Conditions Version 9

1. DEFINITIONS - All definitions listed in the definition of terms.

2. Contract Interpretation

2.1 Arizona Law. The Arizona law applies to this Contract including, A.R.S. § 36-2906 and its implementing rules.

2.2 Implied Contract Terms. Each provision of law and any terms required by law to be in this Contract are a part of this

Contract as if fully stated in it.

2.3 Contract Order of Precedence. In the event of a conflict in the provisions of the Contract, as accepted by the State and as they may be amended, the following shall prevail in the order set forth below:

2.3.1 Special Terms and Conditions;

2.3.2 Uniform Terms and Conditions;

2.3.3 Statement or Scope of Work;

2.3.4 Specifications;

2.3.5 Attachments;

2.3.6 Exhibits;

2.4 Relationship of Parties. The Contractor under this Contract is an independent Contractor. Neither party to this Contract shall be deemed to be the employee or agent of the other party to the Contract.

2.5 Severability. The provisions of this Contract are severable. Any term or condition deemed illegal or invalid shall not affect any other term or condition of the Contract.

2.6 No Parole Evidence. This Contract 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 document and no other understanding either oral or in writing shall be binding.

2.7 No Waiver. Either party’s failure to insist on strict performance of any term or condition of the Contract 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.

3. Contract Administration and Operation

3.1 Records. Under A.R.S. § 35-214 and § 35-215, the Contractor shall retain and shall contractually require each subcontractor to retain all data and other “records” relating to the acquisition and performance of the Contract for a period of five years after the completion of the Contract. 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.

3.2 Non-Discrimination. The Contractor shall comply with State Executive Order No. 2009-09 and all other applicable Federal and State laws, rules and regulations, including the Americans with Disabilities Act.

3.3 Audit. Pursuant to ARS § 35-214, at any time during the term of this Contract 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 Contract or Subcontract.

3.4 Facilities Inspection and Materials Testing. The Contractor agrees to permit access to its facilities, subcontractor facilities and the Contractor’s processes or services, at reasonable times for inspection of the facilities or materials covered under this Contract.

The State shall also have the right to test, at its own cost, the materials to be supplied under this Contract. Neither inspection of the Contractor’s facilities nor materials testing shall constitute final acceptance of the materials or services. If the State determines noncompliance of the materials, the Contractor shall be responsible for the payment of all costs incurred by the State for testing and inspection.

3.5 Notices. Notices to the Contractor required by this Contract shall be made by the State to the person indicated on the Offer and Acceptance form submitted by the Contractor unless otherwise stated in the Contract. Notices to the State required by the Contract shall be made by the Contractor to the Solicitation Contact Person indicated on the Solicitation cover sheet, unless otherwise stated in the Contract. An authorized Procurement Officer and an authorized Contractor representative may change their respective person to whom notice shall be given by written notice to the other and an amendment to the Contract shall not be necessary.

3.6 Advertising, Publishing and Promotion of Contract. The Contractor shall not use, advertise or promote information for commercial benefit concerning this Contract without the prior written approval of the Procurement Officer.

3.7 Federal Immigration and Nationality Act. The contractor shall comply with all federal, state and local immigration laws and regulations relating to the immigration status of their employees during the term of the contract. Further, the contractor shall flow down this requirement to all subcontractors utilized during the term of the contract. The State shall retain the right to perform random audits of contractor and subcontractor records or to inspect papers of any employee thereof to ensure compliance. Should the State determine that the contractor and/or any subcontractors be found noncompliant, the State may pursue all remedies allowed by law, including, but not limited to; suspension of work, termination of the contract for default and suspension and/or debarment of the contractor.

3.8 E-Verify Requirements. In accordance with A.R.S. § 41-4401, Contractor warrants compliance with all Federal immigration laws and regulations relating to employees and warrants its compliance with Section A.R.S. § 23-214, Subsection A.

3.9 Offshore Performance of Work 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 secure or sensitive data or personal client data shall be performed within the defined territories of the United States. Unless specifically stated otherwise in the specifications, this paragraph does not apply to indirect or 'overhead' services, redundant back-up services or services that are incidental to the performance of the contract. This provision applies to work performed by subcontractors at all tiers.

4. Costs and Payments

4.1 Payments. Payments shall comply with the requirements of A.R.S. Titles 35 and 41, Net thirty (30) days. Upon receipt and acceptance of goods or services, the Contractor shall submit a complete and accurate invoice for payment from the State within thirty (30) days.

4.2 Delivery. Unless stated otherwise in the Contract, all prices shall be F.O.B. Destination and shall include all freight delivery and unloading at the destination.

4.3 Applicable Taxes.

4.3.1 Payment of Taxes. The Contractor shall be responsible for paying all applicable taxes.

4.3.2 State and Local Transaction Privilege Taxes. The State of Arizona is subject to all applicable state and local transaction privilege taxes. Transaction privilege taxes apply to the sale and are the responsibility of the seller to remit. Failure to collect such taxes from the buyer does not relieve the seller from its obligation to remit taxes.

4.3.3 Tax Indemnification. Contractor and all subcontractors shall pay all Federal, state and local taxes applicable to its operation and any persons employed by the Contractor. Contractor shall, and require all subcontractors to hold the State harmless from any responsibility for taxes, damages and interest, if applicable, contributions required under Federal, and/or state and local laws and regulations and any other costs including transaction privilege taxes, unemployment compensation insurance, Social Security and Worker’s Compensation.

4.3.4 IRS W9 Form. In order to receive payment the Contractor shall have a current I.R.S. W9 Form on file with the State of Arizona, unless not required by law.

4.4 Availability of Funds for the Next State fiscal year. Funds may not presently be available for performance under this Contract beyond the current state fiscal year. No legal liability on the part of the State for any payment may arise under this Contract beyond the current state fiscal year until funds are made available for performance of this Contract.

4.5 Availability of Funds for the current State fiscal year. Should the State Legislature enter back into session and reduce the appropriations or for any reason and these goods or services are not funded, the State may take any of the following actions:

4.5.1 Accept a decrease in price offered by the contractor;

4.5.2 Cancel the Contract; or

4.5.3 Cancel the contract and re-solicit the requirements.

5. Contract Changes

5.1 Amendments. This Contract is issued under the authority of the Procurement Officer who signed this Contract. The

Contract may be modified only through a Contract Amendment within the scope of the Contract. Changes to the Contract, including the addition of work or materials, the revision of payment terms, or the substitution of work or materials, directed by a person who is not specifically authorized by the procurement officer in writing or made unilaterally by the Contractor are violations of the Contract and of applicable law. Such changes, including unauthorized written Contract Amendments shall be void and without effect, and the Contractor shall not be entitled to any claim under this Contract based on those changes.

5.2 Subcontracts. The Contractor shall not enter into any Subcontract under this Contract for the performance of this contract without the advance written approval of the Procurement Officer. The Contractor shall clearly list any proposed subcontractors and the subcontractor’s proposed responsibilities. The Subcontract shall incorporate by reference the terms and conditions of this Contract.

5.3 Assignment and Delegation. The Contractor shall not assign any right nor delegate any duty under this Contract without the prior written approval of the Procurement Officer. The State shall not unreasonably withhold approval.

6. Risk and Liability

6.1 Risk of Loss. The Contractor shall bear all loss of conforming material covered under this Contract until received by authorized personnel at the location designated in the purchase order or Contract. Mere receipt does not constitute final acceptance. The risk of loss for nonconforming materials shall remain with the Contractor regardless of receipt.

6.2 Indemnification.

6.2.1 Contractor/Vendor Indemnification The parties to this contract agree that the State of Arizona, its departments, agencies, boards and commissions shall be indemnified and held harmless by the contractor for the vicarious liability of the State as a result of entering into this contract. However, the parties further agree that the State of Arizona, its departments, agencies, boards and commissions shall be responsible for its own negligence. Each party to this contract is responsible for its own negligence.

6.3 Indemnification - Patent and Copyright. The Contractor shall indemnify and hold harmless the State against any liability, including costs and expenses, for infringement of any patent, trademark or copyright arising out of Contract performance or use by the State of materials furnished or work performed under this Contract. The State shall reasonably notify the Contractor of any claim for which it may be liable under this paragraph. If the contractor is insured pursuant to A.R.S. § 41-621 and § 35-154, this section shall not apply.

6.4 Force Majeure.

6.4.1 Except for payment of sums due, neither party shall be liable to the other nor deemed in default under this

Contract if and to the extent that such party’s performance of this Contract is prevented by reason of force majeure. The term “force majeure” means an occurrence that is beyond the control of the party affected and occurs without its fault or negligence. Without limiting the foregoing, force majeure includes acts of God; acts of the public enemy; war; riots; strikes; mobilization; labor disputes; civil disorders; fire; flood;

lockouts; injunctions-intervention-acts; or failures or refusals to act by government authority; and other similar occurrences beyond the control of the party declaring force majeure which such party is unable to prevent by exercising reasonable diligence.

6.4.2 Force Majeure shall not include the following occurrences:

6.4.2.1 Late delivery of equipment or materials caused by congestion at a manufacturer’s plant or elsewhere, or an oversold condition of the market;

6.4.2.2 Late performance by a subcontractor unless the delay arises out of a force majeure occurrence in accordance with this force majeure term and condition; or

6.4.2.3 Inability of either the Contractor or any subcontractor to acquire or maintain any required insurance, bonds, licenses or permits.

6.4.3 If either party is delayed at any time in the progress of the work by force majeure, the delayed party shall notify the other party in writing of such delay, as soon as is practicable and no later than the following working day, of the commencement thereof and shall specify the causes of such delay in such notice. Such notice shall be delivered or mailed certified-return receipt and shall make a specific reference to this article, thereby invoking its provisions. The delayed party shall cause such delay to cease as soon as practicable and shall notify the other party in writing when it has done so. The time of completion shall be extended by Contract Amendment for a period of time equal to the time that results or effects of such delay prevent the delayed party from performing in accordance with this Contract.

6.4.4 Any delay or failure in performance by either party hereto shall not constitute default hereunder or give rise to any claim for damages or loss of anticipated profits if, and to the extent that such delay or failure is caused by force majeure.

6.5 Third Party Antitrust Violations. The Contractor assigns to the State any claim for overcharges resulting from antitrust violations to the extent that those violations concern materials or services supplied by third parties to the Contractor, toward fulfillment of this Contract.

7. Warranties

7.1 Liens. The Contractor warrants that the materials supplied under this Contract are free of liens and shall remain free of liens.

7.2 Quality. Unless otherwise modified elsewhere in these terms and conditions, the Contractor warrants that, for one year after acceptance by the State of the materials, they shall be:

7.2.1 Of a quality to pass without objection in the trade under the Contract description;

7.2.2 Fit for the intended purposes for which the materials are used;

7.2.3 Within the variations permitted by the Contract and are of even kind, quantity, and quality within each unit and among all units;

7.2.4 Adequately contained, packaged and marked as the Contract may require; and

7.2.5 Conform to the written promises or affirmations of fact made by the Contractor.

7.3 Fitness. The Contractor warrants that any material supplied to the State shall fully conform to all requirements of the Contract and all representations of the Contractor, and shall be fit for all purposes and uses required by the Contract.

7.4 Inspection/Testing. The warranties set forth in subparagraphs 7.1 through 7.3 of this paragraph are not affected by inspection or testing of or payment for the materials by the State.

7.5 Compliance With Applicable Laws. The materials and services supplied under this Contract shall comply with all applicable Federal, state and local laws, and the Contractor shall maintain all applicable license and permit requirements.

7.6 Survival of Rights and Obligations after Contract Expiration or Termination.

7.6.1 Contractor's Representations and Warranties. All representations and warranties made by the Contractor under this Contract shall survive the expiration or termination hereof. In addition, the parties hereto acknowledge that pursuant to A.R.S. § 12-510, except as provided in A.R.S. § 12-529, the State is not subject to or barred by any limitations of actions prescribed in A.R.S., Title 12, Chapter 5.

7.6.2 Purchase Orders. The Contractor shall, in accordance with all terms and conditions of the Contract, fully perform and shall be obligated to comply with all purchase orders received by the Contractor 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 Contract.

8. State's Contractual Remedies

8.1 Right to Assurance. If the State in good faith has reason to believe that the Contractor does not intend to, or is unable to perform or continue performing under this Contract, the Procurement Officer may demand in writing that the Contractor give a written assurance of intent to perform. Failure by the Contractor to provide written assurance within the number of Days specified in the demand may, at the State’s option, be the basis for terminating the Contract under the Uniform Terms and Conditions or other rights and remedies available by law or provided by the contract.

8.2 Stop Work Order.

8.2.1 The State may, at any time, by written order to the Contractor, require the Contractor to stop all or any part, of the work called for by this Contract for period(s) of days indicated by the State after the order is delivered to the Contractor. The order shall be specifically identified as a stop work order issued under this clause. Upon receipt of the order, the Contractor shall immediately comply with its terms and take all reasonable steps to minimize the incurrence of costs allocable to the work covered by the order during the period of work stoppage.

8.2.2 If a stop work order issued under this clause is canceled or the period of the order or any extension expires, the Contractor shall resume work. The Procurement Officer shall make an equitable adjustment in the delivery schedule or Contract price, or both, and the Contract shall be amended in writing accordingly.

8.3 Non-exclusive Remedies. The rights and the remedies of the State under this Contract are not exclusive.

8.4 Nonconforming Tender. Materials or services supplied under this Contract shall fully comply with the Contract. The delivery of materials or services or a portion of the materials or services that do not fully comply constitutes a breach of contract. On delivery of nonconforming materials or services, the State may terminate the Contract for default under applicable termination clauses in the Contract, exercise any of its rights and remedies under the Uniform Commercial Code, or pursue any other right or remedy available to it.

8.5 Right of Offset. The State shall be entitled to offset against any sums due the Contractor, any expenses or costs incurred by the State, or damages assessed by the State concerning the Contractor’s non-conforming performance or failure to perform the Contract, including expenses, costs and damages described in the Uniform Terms and Conditions.

9. Contract Termination

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

9.2 Gratuities. The State may, by written notice, terminate this Contract, in whole or in part, if the State determines that employment or a Gratuity was offered or made by the Contractor or a representative of the Contractor to any officer or employee of the State for the purpose of influencing the outcome of the procurement or securing the Contract, an amendment to the Contract, or favorable treatment concerning the Contract, including the making of any determination or decision about contract performance. The State, in addition to any other rights or remedies, shall be entitled to recover exemplary damages in the amount of three times the value of the Gratuity offered by the Contractor.

9.3 Suspension or Debarment. The State may, by written notice to the Contractor, immediately terminate this Contract if the State determines that the Contractor has been debarred, suspended or otherwise lawfully prohibited from participating in any public procurement activity, including but not limited to, being disapproved as a subcontractor of any public procurement unit or other governmental body. Submittal of an offer or execution of a contract shall attest that the contractor is not currently suspended or debarred. If the contractor becomes suspended or debarred, the contractor shall immediately notify the State.

9.4 Termination for Convenience. The State reserves the right to terminate the Contract, in whole or in part at any time when in the best interest of the State, without penalty or recourse. Upon receipt of the written notice, the Contractor shall stop all work, as directed in the notice, notify all subcontractors of the effective date of the termination and minimize all further costs to the State.