Item K1BOARD OF COUNTY COMMISSI(
AGENDA ITEM SUMMARY
Meeting Date: April 18, 2015 Division: Monroe Count' Health Department
Bulk Item: Yes x No Staff Contact: Robert Eadie 809-5610
AGENDA ITEM WORDING:
Approval of Amendment 1 to the core contract with Monroe County Health Department.
ITEM BACKGROUND:
Review of amendment to planned expenditures, revenue, and fee schedule for county funding of local
health department.
PREVIOUS RELEVANT BOCC ACTION:
This is the annual renewal of an agreement between Monroe County and Florida Department of Health
that has continued for 20+ years.
CONTRACT/AGREEMENT CHANGES:
As specified in paragraph 4, section d, of the above referenced contract, either party may increase or
decrease funds to the contract upon written notification to the other party. Please find the following:
• An updated summary of funding revisions
• Page 2 of the contract reflecting updated funding adjustments
• Revised Attachment lI, Parts H and III, incorporating the changes indicated in the summary
and covering the period subsequent to the contract amendment
• A revised Attachment H, Part I
STAFF RECOMMENDATIONS:
Approval.
TOTAL COST: $1,165,070.00 INDIRECT COST: BUDGETED: Yes X No
COST TO COUNTY: $1,165,070.00 SOURCE OF FUNDS:
REVENUE PRODUCING: Yes _ No AMOUNT PER MONTH Year
pli
APPROVED BY: County Atty � CMI3/Purchasing Risk Management '' x
DOCUMENTATION: Included X Not Ilequired
DISPOSITION: _ _ AGENDA ITEM #
Revised 1/09
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract with: MC Health Department Contract #
Effective Date: October 1, 2014
Expiration Date: September 30, 2015
Contract Purpose/Description:
Approval of amendment to the contract between Monroe County Board of
Commissioners and The State of Florida, Department of Health - for opSation of
the Monroe Countv Health Department Contract vear 2014-2015
Contract Manager. Robert Eadie 809-5610 MC Health Department
(Name) (Ext.) (Department/Stop #)
for BOCC meetins on 04/18/2015 Agenda Deadline: 03/03/15
CONTRACT COSTS
Total Dollar Value of Contract: $ 1,165,070 Current Year Portion: $
Budgeted? Yes® No ❑ Account Codes: - - -
Grant: $ 0 - -
County Match: $ - - - -
ADDITIONAL COSTS
Estimated Ongoing Costs: $ /yr For:
(Not included in dollar value aktove ( _, maintenance. uulities. "anitonal, salaries, etc.
a 1M t : t It
Changes Date Out.
Date In Needed Reviewer
er
Division Director Yes[] No[]
A,
Risk Management Yes❑ No❑
e_
O.M.B./Purchasing _ Yes[-] No[K]mf
County Attorney Yes] Noaf
_ r w
Comments: L t o- l t C
Is)
FIRST AMENDMENT TO
CONTRACT BETWEEN
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
AND
STATE OF FLORIDA DEPARTMENT OF HEALTH
FOR OPERATION OF
THE MONROE COUNTY HEALTH DEPARTMENT
CONTRACT YEAR 2014-2015
This agreement ("Agreement") is made and entered into between the State of Florida, Department
of Health ("State") and the Monroe County Board of County Commissioners ("County"), through
their undersigned authorities, effective this day of April 2015.
RECITALS
WHEREAS, the parties entered into the Agreement intended to serve as a core
contract between the parties on October 1, 2014; and
WHEREAS, Attachment II, Parts II and III to the Agreement sets forth the fees that may
be charged by the State and the County Health Department (CHD) in delivering various services,
planned expenditures and revenue; and
WHEREAS, Attachment II Parts I to the Agreement sets forth the planned use of funds
by the State and the County Health Department (CHD) in delivering various services,; and
WHEREAS, the State and the CHD desire to amend the fee schedule, planned
expenditures and revenue
WHEREAS, the County is in agreement with the request for this amendment;
NOW THEREFORE, in consideration of the mutual promises set forth herein, the
sufficiency of which are hereby acknowledged, the parties hereto agree as follows:
1. Parts I, II & III of Attachment II to the Agreement is removed and replaced in its entirety with
Exhibit A to this First Amendment, which shall henceforth constitute the new Parts I, II & III of
Attachment II to the Agreement.
2. 4.a.i. is hereby amended and replaced with: The State's appropriated responsibility (direct
contribution excluding any state fees, Medicaid contributions or any other funds not listed on
the Schedule C) as provided in Attachment II, Part II is an amount not to exceed $ 4,519,085
(State General Revenue, State Funds, Other State Funds and Federal Funds listed on the
Schedule C). The State's obligation to pay under this contract is contingent upon an annual
appropriation by the Legislature.
3. In all other respects the Agreement between the parties remains the same.
In WITNESS THEREOF, the parties hereto have caused this —,_ page agreement to be
executed by their undersigned officials as duly authorized effective the _,_ day of April 2015.
BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA
MONROE COUNTY, FLORIDA DEPARTMENT OF HEALTH
SIGNED BY:
NAME:
TITLE:
DATE:
ATTESTED TO:
SIGNED BY:
NAME:
TITLE:
DATE:
SIGNED BY:
NAME: John H. Armstrong, MD
TITLE: Surgeon General/Secretary of Health
DATE:
SIGNED BY:
NAME: Robert Eadie, J.D.
TITLE: CHD Director/Administrator
DATE:
10
Mission:
To protect, promote & improve the health
of all people In Florida through Integrated
state, county & community efforts.
February 27, 2015
Rick Scott
Governor
°' I or R1 2.1 1 John H. Armstrong, MD, FAGS
HEALTHI State Surgeon General & Secretary
Vision: To be the Healthlest State in the Nation
Mr. Roman Gastesi, County Administrator
Monroe County Board of County Commissioners
1100 Simonton Street
Key West, Fl- 33040
RE: FY 2014-2015 Contract between the Monroe County Board of County Commissioners and the
Florida Department of Health for operation of the Monroe County Health Department
Dear Mr. Gastesi:
As specified in paragraph 4, section d, of the above referenced contract, either party may increase or
decrease funds to the contract upon written notification to the other party. Please find the following:
• An updated summary of funding revisions
• Page 2 of the contract reflecting updated funding adjustments
• Revised Attachment II, Parts I, II and III, incorporating the changes indicated in the summary
and covering the period subsequent to the contract amendment
Please note, there is no change to the level of funding allocated per the Monroe County BOCC budget
process, merely an update of information regarding anticipated resources and their use for the contract
year.
If you have any questions, please feel free to contact Kathy Rodgers at 305-809-5615.
Sincerely,
*94�
Robert Eadie, J.D.
Ad min i st rato r/D i rector
Monroe County Health Department
Enclosures
Cc: Beth Benton, Office of Budget and Revenue Management
www.FloridaMealth.gov
Florida Department of Health TWITTER:HeafthyFLA
In XX)0= COUNTY • Program name If desired FACEBOOK:FLDeparlmentofHealth
XXXX Address • City, Florida Zip YOUTUBE: fldoh
PHONE: XXX/XXX-XXXX - FAX XXX/XXX-XXXX FLICKR: HealthyFla
PINTEREST: HealthyFla
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Worldng Copy ATTACHMENT H .
MONROE COUNTY HEALTH DEPARTMENT
Part 11. Sources of Contributions to County Health Department
October 1, 2014 to September 30, 2015
State CHD County Total CHD
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution Total
1. GENERAL REVENUE - STATE
015040
AIDS NETWORK REIMBURSEMENT
259,200
0
259,200
0
259,200
015040
AIDS PATIENT CARE
370,000
0
370,000
0
370,000
015040
AIDS PREVENTION & SURVEILLANCE - GENERAL REVENUE
73,552
0
73,552
0
73,552
015040
ALGlCHD SOVEREIGN IMMUNITY
0
0
0
0
0
015040
ALPHA ONE PROJECT
0
0
0
0
0
015040
CHD - TB COMM UNITY PROGRAM
25,284
0
25,284
0
25,284
015040
COMMUNITY HEALTH INITIATIVES - GENERAL REVENUE
53,766
0
53,766
0
53,766
015040
DENTAL SPECIAL INITIATIVE PROJECTS
0
0
0
0
0
015040
DOH RESPONSE TO TERRORISM
0
0
0
0
0
015040
FAMILY PLANNING GENERAL REVENUE
34,188
0
34,188
0
34,188
015040
HEALTHY START - GR
0
0
0
0
0
015040
HEPATITIS AND LIVER FAILURE PREVENTION & CONTROL
72,000
0
72,000
0
72,000
015040
LA LIGA CONTRA EL CANCER - GR
0
0
0
0
0
015040
LEAD POISONING PREVENTION EDUCATION PROGRAM
0
0
0
0
0
015040
MARY BROGAN BREAST & CERVICAL CANCER (NONREC GR)
0
0
0
0
0
015040
MIGRANT LABOR CAMP SANITATION
0
0
0
0
0
015040
PRIMARY CARE LIP MATCH
0
0
0
0
0
015040
PRIMARY CARE PROGRAM
199,742
0
199,742
0
199,742
015040
RACIAL & ETHNIC DISPARITIES - CHD EXPENSES
0
0
0
0
0
015040
RAPE CRISIS CENTER
0
0
0
0
0
015040
SCHOOL HEALTH SERVICES - GENERAL REVENUE
96,223
0
96,223
0
96,223
015040
SEXUALLY TRANSMITTED DISEASE CONTROL PROGRAM GR
16,755
0
16,755
0
16,755
015040
STD CLINICAL SERVICES - MIAMI DADE CHD
0
0
0
0
0
015040
TEEN PREGNANCY PREVENTION - GENERAL REVENUE
0
0
0
0
0
015030
CHD CLINIC FEES
0
0
0
0
0
015050
CHD GENERAL REVENUE NON -CATEGORICAL
1,178,492
0
1,178,492
0
1,178,492
015050
RACIAL & ETHNIC DISPARI PIES - CHD EXPENSES
0
0
0
0
0
GENERALREVENUETOTAL
2,379,202
0
2,379,202
0
2,379,202
2. NON GENERAL REVENUE -STATE
015010
CHD FEDERAL & LOCAL INDIRECT EARNINGS
0
0
0
0
0
015010
CHD GENERAL REVENUE NON-CATEGORICAI,
0
0
0
0
0
015010
DBPR TRANSFER FOR FEES
0
0
0
0
0
015010
ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM
3,859
0
3,859
0
3,859
015010
MEDICAID INCENTIVE FOR ELECTRONIC HLTH RECORD
0
0
0
0
0
015010
PUBLIC SWIMMING POOL PERMIT FEES-10% HQ TRANSFER
0
0
0
0
0
015010
RAPE CRISIS PTF SEXUAL BATTERY VICTIMS ACCESS
0
0
0
0
0
015010
SAFE DRINKING WATER ACT - HEADQUARTERS
0
0
0
0
0
015010
SCHOOL HEALTH SERVICES - TOBACCO FUNDED
0
0
0
0
0
015010
STATE UNDERGROUND PETROLEUM RESPONSE ACT
0
0
0
0
0
015010
TOBACCO NON PILOT EXPENDITURES
0
0
(}
0
0
015010
TOBACCO STATE AND COMMUNITY INTERVENTIONS
114,718
0
114,718
0
114,718
015010
TROPICAL STORM ISAAC 2012
22,576
0
22,576
0
22,576
015060
NON -CATEGORICAL TOBACCO REBASING
0
0
0
0
0
NON GENERAL
REVENUE TOTAL
141,153
0
141,153
0
141,153
3. FEDERAL FUNDS - State
Working Copy ATTACHMENT H .
MONROE COUNTY HEALTH DEPARTMENT
Part H. Sources of Contributions to County
Health Department
October 1, 2014 to September 30, 2015
State CHD
County
Total CHID
Trust Fund
CHD
'rust Fund
Other
(cash)
Trust Fund
(cash)
Contribution
Total
3. FEDERAL FUNDS - State
007000
ABSTINENCE EDUCATION GRANT PROGRAM
0
0
0
0
0
007000
ADULT HEPATITIS B VACCINATION PROJECT
0
0
0
0
0
007000
ADULT VIRAL HEPATITIES PREVENTION & SURVEILLANCE
0
0
0
0
0
007000
ADVANCE REG OF VOLUNTEER HEALTH PROFESSIONALS
0
0
0
0
0
007000
AFRICAN AMERICAN HIV TESTING INITIATIVE/CLINICAL
0
0
0
0
(}
007000
AFRICAN AMERICAN HIV TESTING INITIATIVE/NONCLINC
0
0
0
0
0
007000
AIDS DRUG ASSISTANCE PROGRAM MIN
35,443
0
35,443
0
35,443
007000
AIDS PREVENTION
127,268
0
127,268
0
127,268
007000
AIDS SURVEILLANCE - CORE
0
0
0
0
0
007000
BIOTERRORISM HOSPITAL PREPAREDNESS
0
0
0
0
0
007000
BREAST & CERVICAL CANCER - ADMIN/CASE MANAGEMENT
0
0
0
0
0
007000
CHD GENERAL REVENUE NON -CATEGORICAL
0
0
0
0
0
007000
COASTAL BEACH WATER QUALITY MONITORING
18,962
0
18,962
0
18362
007000
COLORECTAL CANCER SCREENING
0
0
0
0
0
007000
COMPREHENSIVE COMMUNITY CARDIO - PHBG
36,000
0
36„000
0
36,000
007000
DIABETES HEART ENHANCEDD
0
0
0
0
0
007000
FAMILY PLANNING TITLE X - GRANT
60,184
0
60,184
0
60,184
007000
HEALTHY START COALITIONS MCHBG
0
0
0
0
0
007000
HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS
520,798
0
520,788
0
520,788
007000
IMMUNIZATION - AFIX
0
0
0
0
0
007000
IMMUNIZATION ACTION PLAN
8,624
0
8,624
0
8,624
007000
IMMUNIZATION FIELD STAFF
0
0
0
0
0
007000
IMPROVING STD PROGRAMS
0
0
0
0
0
007000
INJURY SURVEILLANCE & PREVENTION GRANT
0
0
0
0
0
007000
MCH SPECIAL PRJC'T UNPLANNED PREGNANCY
22,454
0
22,454
0
22,454
007000
MCH SPECIAL PROJCT DENTAL
0
0
0
0
0
007000
MCH SPECIAL PROJECT PRAMS,
0
0
0
0
0
007000
MCH SPECIAL PROJECTS DENTAL
0
0
0
0
0
007000
MINORITY AIDS FUNDING - PREVENTION - SERVICES
0
0
0
0
0
007000
MINORITY AIDS INITIATIVE TCF.COLLABORATIVE
0
0
0
0
0
007000
MINORITY AIDS INITIATIVES - TREATMENT
0
0
0
0
0
007000
MINORITY INVOLVEMENT IN HIV/AIDS PROGRAM
0
0
0
0
0
007000
MORBIDITY AND RISK BEHAVIOR SURVEILLANCE
0
0
0
0
0
007000
PHP PUBLIC HEALTH PREPAREDNESS BASE ALLOC
129,000
0
129,000
0
129,000
007000
PHP-CITIES RESPONSE INITIATIVE
0
t1
0
0
0
007000
PUBLIC HLTH INF STRUCTURE
26,000
0
26,000
0
26,000
007000
PUBLIC HL'rH INFRASTRUCTURE INDIAN RIVER
0
0
0
0
0
007000
RADON INDOOR AIR EPA FUNDNG ASSISTANCE
0
()
0
0
0
007000
RAPE PREVENTION & EDUCATION GRANT
0
0
0
0
0
007000
RYAN WHITE - EMERGING COMMUNITIES
0
0
0
0
0
007000
RYAN WHITE TITLE 11 CARE GRANT
76,595
0
76,595
0
76,595
007000
RYAN WHITE TITLE It GRANT/CHD CONSORTIAM
481,668
0
481,668
0
481,668
007000
STATEWIDE ASTHMA PROGRAM
0
0
0
0
0
007000
STD - COMPREHENSIVE PREVENTION 2014
0
0
0
0
0
007000
TB CONTROL PROJECT
0
0
0
0
0
007000
TEENAGE PREGNANCY PREVENTION REPLICATION
0
0
0
0
0
007000
TOBACCO PREVENTION AND CONTROL PROGRAM
0
0
0
0
0
007000
WIC BREASTFEEDING PEER COUNSELING PROG
40,212
0
40,212
0
40,212
Working Copy ATTACHMENT II .
MONROE COUNTY HEALTH DEPARTMENT
Part H. Sources of Contributions to County Health Department
October 1, 2014 to September 30, 2015
State CHD County Total CHD
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution Total
F _l
007000
WIC PROGRAM ADMINISTRATION
015075
INSPECTIONS OF SUMMER FEEDING PROGRAM - DOE
015075
REFUGEE HEALTH CHD CASE MANAGERS
015075
REFUGEE HEALTH SCREENING EXPENSE REIMBURSEMENT
015075
REFUGEE HEALTH SCREENING REIMBURSEMENT
015075
SUMMERFEEDING
015075
SUPPLEMENTAL SCHOOL HEALTH
015075
VICTIMS OF CRIME ACT GRANTS - FL DAG
015009
MEDIPASS WAIVER-HLTHY STRT CLIENT SERVICES
015009
MEDIPASS WAIVER-SOBRA
007055
ARRA FEDERAL GRANT - SCHEDULE C
FEDERALFUNDSTOTAL
4. FEES ASSESSED BY STATE OR FEDERAL RULES - STATE
001020
CHD STATEWIDE ENVIRONMENTAL FEES
001020
ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM
001020
SAFE DRINKING WATER ACT -COUNTY HEALTH DEPARTMENT
001092
CHD STATEWIDE ENVIRONMENTAL FEES
001092
ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM
001092
REVENUE CONTRACT/OA WINO REPORTING REQUIREMENT
001092
SAFE DRINKING WATER ACT -COUNTY HEALTH DEPARTMENT
001093
CHD STATEWIDE ENVIRONMENTAL FEES
001170
CHD STATEWIDE ENVIRONMENTAL FEES
001170
LABS CONTRACT BILLINGS
001206
DRINKING WATER PROGRAM OPERATIONS
001206
MOBILE HOME & RV PARK FEES
001206
ON SITE SEWAGE DISPOSAL PERMIT FEES
001206
ONSITE SEWAGE TRAINING CENTER
001206
PUBLIC SWIMMING POOL PERMIT FEES-10% HQ TRANSFER
001206
REGULATION OF BODY PIERCING SALONS
001206
SANITATION CERTIFICATES (FOOD INSPECTION)
001206
SEPTIC TANK RESEARCH SURCHARGE
001206
SEPTIC TANK VARIANCE FEES 50%
001206
STATE UNDERGROUND PETROLEUM RESPONSE ACT
001206
TANNING FACILITIES
001206
TAITO PROGRAM ENVIRONMENTAL HEALTH
OOI206
VITAL STATISTICS CERTIFIED RECORDS
FEES ASSESSED
BY STATE OR FEDERAL RULES TOTAL
5. OTHER CASH CONTRIBUTIONS - STATE
010306
DOC PHARMACY INTERAGENCY AGREEMENT
090001
DRAW DOWN FROM PUBLIC HEALTH UNIT
031 OO5
CHDTF CASH TRANSFER
OTHER CASH COT IBUTIONS °TOTAL
6. MEDICAID - STATE/COUNTY
001055 CHD CLINIC FEES
314,269
0
314,269
0
314,269
268
0
268
0
268
0
0
0
0
0
43,782
0
43,782
0
43,782
75,000
0
75,000
0
75,000
0
0
0
0
0
123,839
0
123,839
0
123,939
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2,140,356
0
2,140,356
0
2,140,356
100,000
0
100,000
0
[00,000
0
0
0
0
0
0
0
0
0
0
183,145
0
183,145
0
183,145
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3,742
0
3,742
0
3,742
10,000
0
10,000
0
10,000
0
0
0
0
0
5,646
0
5,646
0
5,646
60
0
60
0
60
2,350
0
2,350
0
2,350
200
0
200
0
200
200
0
200
()
200
0
0
0
0
0
113
0
113
0
113
370
0
370
0
370
0
0
0
0
0
305,826
0
305,826
0
305,826
0
0
0
0
0
195,258
0
195,258
0
195,258
0
0
0
0
0
195,258
0
195,258
0
195,258
0
0
0
0
0
Working Copy ATTACHMENT H .
MONROE COUNTY HEALTH DEPARTMENT
Put H. Sources of Contributions to County Health Department
October 1, 2014 to September 30, 2015
State CHD County Total CHD
Trust Fund CHID Trust Fund Other
(cash) Trust Fund (cash) Contribution Total
.� t M I! 1►
001055 FEDERALLY QUALIFIED HEALTH CENTER FEES
001056 CHD CLINIC FEES
001056 FEDERALLY QUALIFIED HEALTH CENTER FEES
001061 HEALTH START MEDICAID WAIVER DIRECT - AHCA
001069 C14D CLINIC FEES
001075 CHD CLINIC FEES
001076 CHD CLINIC FEES
001076 FEDERALLY QUALIFIED HEALTH CENTER FEES
001059 CHD CLINIC FEES
001059 LOW INCOME POOLAHCA ENHANCENT
001059 LOW INCOME POOL AHCA PRIMARY CARE
001059 LOW INCOME POOL ALLOCATION MNGD BY DOH
001059 LOW INCOME POOL FQHC ALLOCATION
001058 CHD CLINIC FEES
001058 FEDERALLY QUALIFIED HEALTH CENTER FEES
001078 CHD CLIMC FEES
001078 FEDERALLY QUALIFIED HEALTH CENTER FEES
001078 GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES
001087 CHD CLINIC FEES
001087 FEDERALLY QUALIFIED HEALTH CENTER FEES
001079 CHD CLINIC FEES
001079 PROJECT AIDS CARE CASE MANAGEMENT
001082 CHD CLINIC FEES
001082 FEDERALLY QUALIFIED HEALTH CENTER FEES
001099 CHD CLINIC FEES
001089 FEDERALLY QUALIFIED HEALTH CENTER FEES
001089 RW 11 CONSORTIA CLIENT SERVICES
001083 CHD CLINIC FEES
001083 FEDERALLY QUALIFIED HEALTH CENTER FEES
001081 CHD CLINIC FEES
001081 FEDERALLY QUALIFIED HEALTH CENTER FEES
001147 CHD CLINIC FEES
001147 FEDERALLY QUALIFIED HEALTH CENTER FEES
001180 CHD CLINIC FEES
001180 FEDERALLY QUALIFIED HEALTH CENTER FEES
001148 CHD CLINIC FEES
001148 FEDERALLY QUALIFIED HEALTH CENTER FEES
001148 GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES
001148 SCHOOL HEALTH SERVICES - MEDICAID BILLING
001193 CHD CLINIC FEES
001193 FEDERALLY QUALIFIED HEALTH CENTER FEES
001191 CHD CLINIC FEES
001191 FEDERALLY QUALIFIED HEALTH CENTER FEES
001192 CHD CLINIC FEES
001192 FEDERALLY QUALIFIED HEALTH CENTER FEES
00I192 SCHOOL HEALTH SERVICES - MEDICAID BILLING
001194 MEDICAID LABORATORY
001051 EMERGENCY MEDICAID
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 9,000
9,000
0
9,000
0 0
0
0
0
0 0
0
0
0
0 550
550
0
550
0 0
0
0
0
0 0
0
0
0
0 0
0
0
(}
0 0
0
0
0
0 0
0
0
0
0 14,542
14,542
0
14,542
0 0
0
0
0
0 0
0
0
0
0 8,500
8,500
0
8,500
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 10,000
10,000
0
10,000
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
Working Copy ATTACHMENT 11.
ONROE COUNTY HEALTH DEPARTMENT
Part 11. Sources of Contributions to County Health Department
October 1, 2014 to September 30, 2015
State CHD County Total CHD
Trust Fund CHD Trust Fund Other
(—h) Tlrust Fund (cash) Contribution
6. MEDICAID - STATE/COUNTY
001071 MEDICAID - ORTHOPEDIC
001072 MEDICAID - DERMATOLOGY
001208 CHD CLINIC FEES
001208 FEDERALLY QUALIFIED HEALTH CENTER FEES
001074 MEDICAID - NEWBORN SCREENING
001149 MEDICAID WRAP AROUND
MEDICAID TOTAL
7. ALLOCABLE REVENUE -STATE
018000 CRD CLINIC FEES
018000 CUD FEDERAL & LOCAL INDIRECT EARNINGS
018000 CHD GENERAL REVENUE NON -CATEGORICAL
018000 CHD LOCAL REVENUE & EXPENDITURES
018000 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT
018000 CHD STATEWIDE ENVIRONMENTAL FEES
018000 CHDTF UNRESTRICTED CASH RESERVE
018000 FEDERALLY QUALIFIED HEALTH CENTER FEES
018000 UNITED WAY CONTRACTS WITH CHDS
037000 PRIOR YEAR WARRANT
038000 CHD CLINIC FEES
038000 CHDTF UNRESTRICTED CASH RESERVE
ALLOCABLE REVENUE TOTAL
8, OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND - STATE
ADAP
PHARMACY DRUG PROGRAM
STD
WIC PROGRAM
BUREAU OF PUBLIC HEALTH LABORATORIES
IMMUNIZATIONS
OTHER STATE CONTRIBUTIONS TOTAL
9. DIRECT LOCAL CONTRIBUTIONS - BCC/TAX DISTRICT
008010 CHD LOCAL REVENUE & EXPENDITURES
008020 CHD LOCAL REVENUE & EXPENDITURES
009030 CHD LOCAL REVENUE & EXPENDITURES
008034 AIDS TAKE CONTROL
008034 CDC ACUTE HEPATITIS GRANT
008034 CHAT PUBLIC HEALTH RESPONSE TEAMS
009034 CHD LOCAL REVENUE & EXPENDITURES
008034 CHLAMYDIA PROJECT STD
008034 HIV/AIDS - LOCAL FUNDING
008034 IMMUNIZATION OUTREACH TEAM COUNTY FUNDED
008034 NORTH MIAMI SOCIAL WORKER
008034 STD HUMAN PAPILLONAVIRUS PUBLIC HEALTH TRUST
008034 TB JAIL SURVEILLANCE PHT
008034 TESTING FOR COMMUNICABLE DISEASES IN PRISON
Im
0 0
0
0
0
0 0
0
0
0
0 2
2
0
2
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 42,594
42,594
0
42,594
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
479,474
479,474
0 0
0
63,633
63,633
0 0
0
0
0
0 0
0
859,810
859,8I0
0 0
0
18,662
18,662
0 0
0
1,266,400
1,266,400
0 0
0
2,687,979
2,687,979
0 0
0
0
0
i) 0
0
0
0
0 1,165,070
1,165,070
0
1,165,070
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
Working Copy ATTACHMENT II .
MONROE COUNTY HEALTH DEPARTMENT
Part H. Sources of Contributions to County Health Department
October 1, 2014 to September 30, 2015
State CHD County Total CHD
Trust Fund CHD Trust Fund Other
(eash) Trust Fund (cash) Contribution
008034
TUBERCULOS IS LOCAL FUNDING
0
008040
CHD FEDERAL do LOCAL INDIRECT EARNINGS
0
008040
CHD LOCAL REVENUE & EXPENDITURES
0
008040
FAMILY SAFETY ALLIANCE SYSTEMS ADVOCATE
0
008040
HUMAN AND CHILDRENS SERVICES PROGRAM
0
008040
VOLUNTARY INTERIM PLACEMENT PROGRAM
0
DIRECT
COUNTY CONTRIBUTION TOTAL
0
10. FEES
AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION -
COUNTY
001025
CHD CLINIC FEES
0
001025
FEDERALLY QUALIFIED HEALTH CENTER FEES
0
001025
GENERAL CLINIC RABIES SERVICES &e DRUG PURCHASES
0
001060
CHD CLINIC FEES
0
001060
VITAL STATISTICS CERTIFIED RECO S
0
001077
CHD CLINIC FEES
0
003 077
CHD HEALTHY START COALITION CONTRACT
0
001077
CHD LOCAL REVENUE & EXPENDITURES
0
001077
FEDERALLY QUALIFIED HEALTH CENTER FEES
0
001077
GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES
0
001077
INDIVIDUALIZED SUPERVISED PRACTICE PATHWAYS
0
001077
INFANT CAR SEAT PROGRAM
0
001077
VITAL STATISTICS CERTIFIED RECORDS
0
001114
VITAL STATISTICS CERTIFIED RECORDS
0
001094
CHD CLINIC FEES
0
001094
CHD STATEWIDE ENVIRONMENTAL FEES
0
001094
ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM
0
001094
PINELLAS COUNTY LICENSING BOARD
0
001094
SAFE DRINKING WATER ACT -COUNTY HEALTH DEPARTMENT
0
001094
TATTO PROGRAM ENVIRONMENTAL HEALTH
0
001094
X-RAYS MACHINES REGISTRATION AND INSPECTION
0
001117
VITAL STATISTICS CERTIFIED RECORDS
0
001115
CHD CLINIC FEES
0
001115
VITAL. STATISTICS CERTIFIED RECORDS
0
001073
CO -PAY FOR THE AIDS CARE PROGRAM
0
001040
CELL PHONE ADMUNISTRATIVE FEE
0
001041
CREDIT CA CONVENIENCE FEE
0
FEES AUTHORIZED BY COUNTY TOTAL
0
11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY
001009
CHD CLINIC FEES
0
001009
CHD STATEWIDE ENVIRONMENTAL FEES
0
001009
FEDERALLY QUALIFIED HEALTH CENTER FEES
0
001029
BREAST AND CERVICAL CANCER SCREENING PROGRAM
0
001029
CHD CLINIC FEES
0
001029
FEDERALLY QUALIFIED HEALTH CENTER FEES
0
001029
GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES
0
001029
RYAN WHITE
0
Im
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1,165,070
1,165,070
0
1,165,070
905
905
0
905
0
0
0
0
0
0
0
0
0
0
0
0
2,000
2,000
0
2,000
93,204
93,204
0
93,204
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
(1
0
0
0
0
0
0
17,200
17,200
0
17,200
0
0
0
0
119,928
119,928
0
119,928
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
600
600
0
600
0
0
0
0
42,200
42,200
0
42,200
35,400
35„400
0
35,400
0
0
0
0
0
0
0
0
311,437
311,437
0
311,437
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
185,000
185,000
0
185,000
0
0
0
0
0
0
0
0
0
0
0
0
Working Copy ATTACHMENT H .
MONROE COUNTY HEALTH DEPARTMENT
Part H. Sources of Contributions to County Health Department
October 1, 2014 to September 30, 2015
State CHD County Total CHD
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution Total
11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY
001029
WALGREENS 340B PHARMACY PROGRAM
0
a
0
0
0
001090
CHD CLINIC FEES
0
100,000
100,000
0
100.000
001090
FEDERALLY QUALIFIED HEALTH CENTER FEES
0
0
0
0
0
001090
GENERAL CLINIC RABIES SERVICES & DRUG PURCHASES
0
0
0
0
0
001010
CHD CLINIC FEES
0
0
0
0
0
001010
CHD STATEWIDE ENVIRONMENTAL FEES
tI
0
0
0
0
001010
VITAL STATISTICS CERTIFIER RECORDS
0
0
0
0
0
001054
CHD CLINIC FEES
tl
0
0
0
0
001053
FEDERALLY QUALIFIED HEALTH CENTER FEES
13
0
0
0
0
004010
CHD CLINIC FEES
0
0
0
0
0
005045
CHD CLINIC FEES
0
0
0
0
0
005045
CHD LOCAL REVENUE & EXPENDITURES
0
0
0
0
0
001190
CHD CLINIC FEES
0
0
0
0
0
001190
FEDERALLY QUALIFIED HEALTH CENTER FEES
a
0
0
0
0
007099
CHD FEDERAL & LOCAL INDIRECT EARNINGS
0
0
0
0
0
007099
RYAN WHITE TITLE III - DIRECT TO CHD
0
0
0
0
0
008060
STUDENTS WORKING AGAINSTTOBACCO PROGRAM
0
0
0
0
0
010303
CHO CLINIC FEES
0
0
0
0
0
010303
CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT
0
0
0
0
0
010400
CHD CLINIC FEES
0
0
0
0
0
010400
CHD LOCAL REVENUE& EXPENDITURES
0
0
0
0
0
010400
CHID SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT
0
4,800
4,800
0
4,800
010400
CHD STATEWIDE ENVIRONMENTAL FEES
0
0
0
0
0
010400
FEDERALLY QUALIFIED HEALTH CENTER FEES
0
0
0
0
0
010300
CHD GENERAL REVENUE NON -CATEGORICAL
0
0
0
0
0
010300
CIIIB SALE OF SERVICES 1N OR OUTSIDE OF STATE GOVT
1.I
0
0
0
0
010300
CHO STATEWIDE ENVIRONMENTAL FEES
1,)
1,516
1.516
0
1,516
010300
INSPECTIONS OF SUMMER FEEDING PROGRAM - DOE
11
0
0
0
0
010300
PETROLEUM STORAGE TANK CONTRACT
6
0
0
0
0
010300
SEXUAL ASSUALT PROGRAM0
0
0
0
0
010300
WIC PROGRAMS AT NON -LEAD COUNTIES
1
0
0
0
0
010302
CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT
0
0
0
0
0
005041
CHD CLINIC FEES
1?
0
0
0
0
005041
CHID LOCAL REVENUE & EXPENDITURES
0
7,300
7,300
0
7,300
007010
CAPITAL DEVELOPMENT G NT OSCEOLA CHD
tl
0
0
0
0
007010
FEDERAL QUALIFIED HEALTH CENTER INDIRECT EARNING
0
0
0
0
0
007010
FEDERALLY QUALIFIED HEALTH CENTER FEES
1)
0
0
0
0
007010
FQHC OUTREACH AND ENROLLMENT ASSISTANCE
0
0
0
0
0
007010
HEALTH CENTER CLUSTER GRANT - DIRECT TO CHD
l
0
0
0
0
007010
HEALTHY START DIRECT TO CHD FEDERAL GRANT
0
0
0
0
0
007010
PREVENTION OF TEEN DATING VIOLENCE
Q
0
0
0
0
007010
PRIMARY CARE FEDERALLY QUALIFIED HEALTH CENTER
0
0
0
0
0
007010
RYAN WHITE TITLE III - DIRECT TO C
0
552,509
552,509
0
552,509
007010
RYAN WHITETITLE III - DIRECT TO CHD - 2005-2006
0
0
0
0
0
010304
CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT
(1
593
593
0
593
010304
CHD STATEWIDE ENVIRONMENTAL FEES
0
0
0
0
0
010304
PETROLEUM STORAGET'ANKCONTRACT
0
0
0
0
0
010304
PETROLEUM STORAGE TANK DEP COMPLIANCE CONT RACi
0
77,000
77,000
0
77,000
Working Copy ATTACHMENT II .
MONROE COUNTY HEALTH DEPARTMENT
Part H. Sources of Contributions to County
Health Department
October 1, 2014 to September 30, 2015
State CHD
County
Total CHD
Trust Fund
CHD
Trust Fund
Other
(cash)
Trust Fund
(cash)
Contribution
Total
11. OTHER CASH AND LOCAL CONTRIBUTIONS - COUNTY
010304
PETROLEUM STORAGE TANK DEP TRAINING
0
0
0
0
0
011000
BAPTIST HEALTH - SCHOOL HEALTH NURSE
0
0
0
0
0
011000
BLUE CROSS BLUE SHIELD NORTH PORT DENTAL 2012-15
0
0
0
0
0
01 loo0
BLUE FOUNDATION COUNTY GRANTS
1)
0
0
0
0
011000
BREAST & CERVICAL CANCER SPECIAL DONATIONS
0
0
0
0
0
011000
BREAST CANCER - RACE FOR THE CURE
0
0
0
0
0
011000
CHD CASH DONATION PNON-SPECIFIC
IJ
0
0
0
0
011000
CHD CLINIC FEES
0
0
0
0
0
011000
CHD DENTAL LOCAL FUNDS - LOCAL GRANTS
1)
0
0
0
0
011000
CHD FEDERAL & LOCAL INDIRECT EARNINGS
0
0
0
0
0
011000
CHD GENERAL REVEN UE NON -CATEGORICAL
0
0
0
0
0
011000
CHD HEALTHY START COALITION CONTRACT
t)
0
0
0
0
011000
CHD LOCAL REVENUE & EXPENDITURES
0
0
0
0
0
011000
CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT
0
0
0
0
0
011000
CHD STATEWIDE ENVIRONMENTAL FEES
0
0
0
0
0
011000
CHILDRENS SERVICES COUN INFANT DROWNING PRVNTN
Q
0
0
0
0
011000
COMPREHENSIVE YOUTH SUPPORTS (JWB)
0
0
0
0
0
011000
DENTAL SERVICES - HEAD START
Cl
0
0
0
0
011000
DIABETES EDUCATION - CHD LOCAL GRANT
0
0
0
0
0
011000
EARLY LEARNING COALITION OF SOUTHWEST FLORIDA
0
0
0
0
0
011000
FEDERALLY QUALIFIED HEALTH CENTER FEES
1I
0
0
0
0
011000
GULF REGION HLTH CNTR OUTREACH PROGRAM
0
0
0
0
0
o f ldoo
GULF REGION HLTH CNTR OUTREACH -PLANNING
0
0
0
0
0
011000
HEALTHIER MI I-DADE WALKING PROGRAM
tI
0
0
0
0
011000
HEALTHY FAMILIES FLORIDA
tF
0
0
0
0
011000
HEALTHY FAMILIES FLORIDA GRANT
II
0
0
0
0
011000
HEALTHY FAMILIES PINELLAS (JWB) GRANT
41
0
0
0
0
011oo0
HUG ME PROGRAM - HEALTHY START COALITION
0
0
0
0
0
011000
INDIGENT CARE PROGRAM
0
0
0
0
0
oll000
LOCAL SCHOOL BOARD YOUTH RISK BEHAVIOR
0
0
0
0
0
011000
LOW INCOME POOL AHCA ENHANCMENT
1
0
0
0
0
011000
MARCH OF DIMES CONTRACTS WITH DEPT OF HEALTH
1)
0
0
0
0
011000
MEMORIAL HOSPITAL ADULT DENTAL PROGRAM
11
0
0
0
0
011000
MOBILE MEDICAL UNIT
1.s
0
0
0
0
011000
NACCHO - MEDICAL RESERVE CORPS
0
0
0
0
0
011000
MH GRANT -HIV PREVENTION/INTERVENTION RESEARCH
1)
0
0
0
0
01100o
NURSE FAMILY PARTNERSHIP GRANT
it
0
0
0
0
011000
OSTDS ENV HEALTH DEP GRANT
Ii
0
0
0
0
011000
PACE CENTER FOR GIRLS
Il
0
0
0
0
011oo0
PINELLAS COUNTY LICENSING BOARD
{9
0
0
0
0
oll000
PRIMARY CARE LOCAL AGREEMENT PROJECT
0
0
0
0
0
011000
PUBLIC ASSISTANCE ELIGIBILITY
[I
0
0
0
0
011000
REVENUE CONT CT/MOA W/NO REPORTING REQUIREMENT
49
0
0
0
0
011000
RW 11 CONSORTIA CLIENT SERVICES
r
0
0
0
0
011000
RYAN WHITE
0
0
0
0
0
011000
RYAN WHITE CONTRACTED GRANT PROGRAM
t`I
0
0
0
0
011000
RYAN WHITE COST REIMBURSEMENT HILLS-CHD
0
0
0
0
0
011000
RYAN WHITE DENTAL PROGRAM SUB GRANTS
0
0
0
0
0
Working Copy ATTACHMENT It.
MONROE COUNTY HEALTH DEPARTMENT
Part H. Sources of Contributions to County Health Department
October 1, 2014 to September 30, 2015
State CHD County Total CHD
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution Total
011000
RYAN WHITE DIRECT COUNTY GRANTS
0
0
0
0
0
011000
RYAN WHITE MEDICAL PROGRAM SUB GRANTS
0
0
0
0
0
011000
RYAN WHITE TITLE F CARE ACT SERVICES
0
0
0
0
0
011000
RYAN WHITE TITLE I TBr711V COINFECTION GRANT
f}
0
0
0
0
011000
RYAN WHITE TITLE 11 CONSORTIA SERVICES
0
0
0
0
0
011000
RYAN WHITE TITLE 111 -DIRECT TO CHD
t'
0
0
0
0
011000
SACRED HEART GULF CHD ER DIVERSION PROGRAM
()
0
0
0
0
011000
SCHOOL HEALTH CLINICS FUNDED BY SCHOOL BOARD
0
0
0
0
0
011000
SCHOOL HEALTH CLUSTER INITIATIVE - JWB
0
0
0
0
0
011000
SCHOOL HEALTH SERVICES - LOCAL AGENCY FUNDING
t
0
0
0
0
011000
SCHOOL HEALTH SERVICES -PRIVATE SCHOOLS -COUNTY
0
0
0
0
0
01 t000
SMOKING CESSATION CLASSES
0
0
0
0
0
011000
SOCIAL SERVICES - KIDCARE
0
0
0
0
0
011000
ST JOHNS RIVER WATER MANAGEMENT DISTRICT
0
0
0
0
0
011000
SUSAN G KOMEN BREAST CANCER FOUNDATION
0
0
0
0
0
011000
TARGETED CASE MANAGEMENT -J MENTL HEALTH SRVC
0
0
0
0
0
011000
TB EPIDEMIOLOGICAL RESEARCH
0
0
0
0
0
011000
TOBACCO GRANT HEALTH FOUNDATION SOUTH FLORIDA
0
29,000
28,000
0
28,000
011000
UNITED WAY CONTRACTS WITH CHDS
0
0
0
0
0
011000
UNIV OF SOUTH FLORIDA AIDS NETWORK
0
0
0
0
0
01 IWO
UNIVERSITY OF SOUTH FLORIDA KIDCARE
I'i
0
0
0
0
011000
WE CARE REFERRAL & VOLUNTEER PROGRAM
0
0
0
0
0
011000
WEST VOLUSIA HOSPITAL SPECIALITY CARE
0
0
0
0
0
011000
WRAP -AROUND HEALTH SERVICES AGREEMENT
(D
0
0
0
0
011001
CHD HEALTHY START COALITION CONTRACT
0
290,000
290,000
0
290,000
011001
CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT
0
0
0
0
0
011001
HEALTHY START - TEEN PREGNANCY PREVENTION
0
0
0
0
0
011001
HEALTHY START DATA MANAGEMENT
0
0
0
0
0
011001
HEALTHY START MEDIPASS WAIVER - COALITION TO CHD
0
0
0
0
0
011001
HEALTHY START MOMCARE
J
0
0
0
0
011001
HEALTHY START NUTRITION COUNSELING
€P
0
0
0
0
OI 1001
HEAUI`HY START RISK SCREENINGS
t1
0
0
0
0
0l 100I
HEALTHY START -INITIAL CONTACT -CARE COORDINATION
0
0
0
0
0
005040
INTEREST EARNED
0
30
30
0
30
008050
CHD LOCAL REVENUE & EXPENDITURES
0
0
0
0
0
008050
CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT
0
(}
0
0
0
008050
SCHOOL HEALTH CLINICS FUNDED BY SCHOOL BOA
ID
(>
0
0
0
008050
SCHOOL HEALTH SERVICES - LOCAL AGENCY FUNDING
0
0
0
0
0
011006
BREAST & CERVICAL CANCER SPECIAL DONATIONS
0
0
0
0
0
011006
NACCHO - MEDICAL RESERVE CORPS
I)
0
0
0
0
010500
CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT
tt
145,783
t45,783
0
145,783
010500
FEDERALLY QUALIFIED HEALTH CENTER FEES
ti
0
0
0
0
010500
VITAL STATISTICS CERTIFIED RECORDS
0
0
0
0
0
011007
CHD CLINIC FEES
I
0
0
0
0
011007
CHD HEALTHY START COALITION CONTRACT
t➢
0
0
0
0
011007
CHD LOCAL REVENUE & EXPENDITURES
(
320
320
0
320
010301
EXP WITNESS FEE CONSULTNT CHARGES
sa
0
0
0
0
010405
SALE OF PHARMACEUTICALS
0
0
0
0
0
Working Copy ATTACHMENT II .
MONROE COUNTY HEALTH DEPARTMENT
Part H. Sources of Contributions to County Health Department
October 1, 2014 to September 30, 2015
State CHD County Total CHD
Trust Fund CHD Trust Fund Other
(cash) Trust Fund (cash) Contribution
LM
015020
LOWER ST JOHNS RIVER SEPTIC TANK ENFORCEMNT PROD
0
0
0
0
0
015020
ORHS CONTRACT HUG ME PROGRAM
0
0
0
0
0
015020
PETROLEUM STORAGE TANK CLEANUP CONTRACT
0
0
0
0
0
015020
PETROLEUM STORAGE TANK DEP CLEANUP CONTRACT
0
0
0
0
0
010409
SALE OF GOODS OUTSIDE STATE GOVERNMENT
0
0
0
0
0
012020
CHD GENERAL REVENUE NON -CATEGORICAL
0
0
0
0
0
012020
CHD STATEWIDE ENVIRONMENTAL FEES
0
1,500
1,500
0
1,500
012020
PINELLAS COUNTY LICENSING BOARD
0
0
0
0
0
012020
SAFE DRINKING WATER ACT -COUNTY HEALTH DEPARTMENT
0
0
0
0
0
028020
INSURANCE RECOVERIES -OTHER
0
0
0
0
0
011004
LOW INCOME POOL- SUBRECIPIENT
0
0
0
0
0
011004
LOW INCOME POOL AHCA PRIMARY CARE
0
0
0
0
0
090002
DRAW DOWN FROM PUBLIC HEALTH UNIT
0
395,934
395,934
0
395,934
012021
CHD CLINIC FEES
0
0
0
0
0
012021
CHD GENERAL REVENUE NON -CATEGORICAL
0
0
0
0
0
012021
CHD LOCAL REVENUE & EXPENDITURES
0
0
0
0
0
012021
CHD STATEWIDE ENVIRONMENTAL FEES
0
0
0
0
0
012021
RADIOACTIVE MATERIALS LICENSING
0
0
0
0
0
010402
RECYCLED MATERIAL SALES
0
0
0
0
0
007050
ARKA FEDERAL GRANT
0
0
0
0
0
008065
FCO CONTRIBUTION
0
0
0
0
0
028000
INSURANCE RECOVERIES
0
0
0
0
0
001033
CMS MANAGEMENT FEE - PMPMPC
0
0
0
0
0
005043
INTEREST EARN ED-CONTRACT{GRANT
0
30
30
0
30
011002
ARRA FEDERAL GRANT • SUB -RECIPIENT
0
0
0
0
0
001003
WIRE TRANSFER FEE
0
0
0
0
0
OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL
0
1,790,315
1,790,315
0
1,790,315
12. ALLOCABLE REVENUE - COUNTY
037000
PRIOR YEAR WARRANT
0
39
39
0
39
031000
CHDTF CASH TRANSFER
0
0
0
0
0
018000
COUNTY FOR REFUNDS
0
2,500
2,500
0
2,500
COUNTY
ALLOCABLE REVENUE TOTAL
0
2,539
2,539
0
2,539
13. BUILDINGS -COUNTY
ANNUAL RENTAL EQUIVALENT VALUE
0
0
0
580,199
580,199
OTHER (Specify)
0
0
0
0
0
UTILITIES
0
0
0
61,523
61,523
BUILDING MAINTENANCE
0
0
0
71,641
71,641
GROUNDS MAINTENANCE
0
0
0
112,200
112,200
INSURANCE
0
0
0
0
0
OTHER (Specify)
0
0
0
0
0
OTHER (Specify)
0
0
0
0
0
BUILDINGS TOTAL
0
0
Pt.
825,563
825,563
14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND - COUNTY
EQUIPMENT/ VEHICLE PURCHASES 0 0 0 0 0
WorkIng. Copy ATTACHMNT 0 -
MONROE COIJNTY HEALTH DEPARTME NT
Fart 11. Sources of Contributions to County Health Department
Web . or-1,1014 tQ Sotem!�wt-10i1Q.t$,
County Total CUD
Trust Fund CJID Tru5t Fund Other
(qaW M-ukFdkd (rash) Contribution
14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND - COUNTY
VEHICLE INSURANCE 0 0 0 0
VEHICLE MAINTENANCE 0 0 0 0
OTHER COUNTY CONTRIBUTION (SPECIFY) 0 0 0 0
OTHER COUNTY CONTRIBUTION (SPECIFY) 0 0 0 0
OTHER COUNTY CONTRIBUTIONS TOTAL 0 0 0 0
GRAND TOTAL CUD PROGRAM 5,161.795 3,311,955 8,473,750 3,513,542
EMI
0
0
0
0
0
11,987,292
Worldng Copying ATTACHMENT H .
MONROE COUNTY HEALTH DEPARTMENT
Part III. Planned Staffing, Clients, Services, And Expenditures By Program Service Area Within Each Level Of Service
October 1, 2014 to September 30, 2015
Quarterly Expenditure Plan
FPE's
Clients
Services/
1st
2nd
3rd
4th
Grand
(0.00)
units
Visits
(Whole dollars only)
State
County
Total
A. COMMUNICABLE DISEASE CONTROL:
IMMUNIZATION (101)
11.16
6,000
7,333
344,466
216,885
216,885
225,000
8,624
994,612
1,003,236
STD (102)
1.90
400
700
46,428
42,000
42,000
42,000
16,755
155,673
172,428
HIV/AIDS PREVENTION(03A1)
3.94
410
750
76,828
76,828
76,828
76,828
307,312
0
307,312
HIV/AIDS SURVEILLANCE (03A2)
0.07
50
95
137
1,000
1,000
t,000
3,137
0
3,137
HIV/AIDS PATIENT CARE (03A3)
15.00
500
4,738
743,880
665,416
665,416
665,416 1,963,457
776,671
2,740,128
ADAP (03A4)
1 20
20
240
23,712
20,570
20,569
20,570
95,421
0
85,421
TB CONTROL SERVICES (104)
1.00
40
29
42,284
12,000
12,000
12,000
40,404
37,880
79,284
COMM. DISEASE SURV. (106)
2.75
0
1,200
27,836
27,000
25,000
27.000
0
106,836
106,836
HEPATITIS PREVENTION (109)
140
385
500
23,072
16,309
16,310
16,309
72,000
0
72,000
PUBLIC HEALTH PREP AND RESP (116)
250
0
7,000
71,909
60,000
60,000
60,000
251,909
0
251,909
REFUGEE HEALTH (119)
1.40
300
800
55,767
42,000
45,068
45,050
187,885
0
187,885
VITAL STATISTICS (180)
1.45
2,000
5,100
29,254
29,254
26,055
26,045
48,608
62,000
110,608
COMMUNICABLE DISEASE SUBTOTAL
43.77
10,105
28,485
1,485,573
1,209,262 1,207,131
1,217,218 2,985,512
2,133,672
5,119,184
B. PRIMARY CARE:
CHRONIC DISEASE SERVICES (210)
1.05
0
0
11,896
12,500
11,500
12,000
37,896
10,000
47,896
TOBACCO PREVENTION (212)
2.57
0
450
67,608
40,000
40,000
40,000
114,718
72,890
187,608
WIC (21 W 1)
5,46
1,940
15,500
99,793
99,000
75,000
76,964
350,757
0
350,757
WIC BREASTFEEDING PEER COUNSELING (21W2)
0.35
0
627
9,643
9,600
9,600
9,600
38,443
0
38,443
FAMILY PLANNING (223)
3.90
1,146
2,250
141,512
141,512
120,000
120,000
345,744
177,280
523,024
IMPROVED PREGNANCY OUTCOME (225)
0.00
0
0
0
0
0
0
0
0
0
HEALTHY START PRENATAL(227)
2.83
900
5,000
50,552
50,000
50,500
50,500
0
201,552
201,552
COMPREHENSIVE CHILD HEALTH (229)
0,05
4
4
122
135
125
125
0
507
507
HEALTHY START INFANT (231)
2.20
532
3,000
42,618
15,277
15,276
15,277
0
88,448
88,448
SCHOOL HEALTH (234)
4.55
0
148,125
89,837
89,837
82,000
60,000
220,062
101,612
321,674
COMPREHENSIVE ADULT HEALTH (237)
5.00
600
2,000
126,8 t 1
1[0,000
100,000
100,000
348,953
87,858
436,811
COMMUNITY HEALTH DEVELOPMENT (238)
1.50
0
1,131
53,006
53,006
40,000
30,000
176,012
0
176,012
DENTAL HEALTH (240)
0.00
0
0
0
0
0
0
0
0
0
PRIMARY CARE SUBTOTAL
29.46
5,022
179,097
693,398
620,867
544,001
514,466
1,632,585
740,147
2,372,732
C. ENVIRONMENTAL HEALTH:
Water and Onsite Sewage Programs
COASTAL BEACH MONITORING (347)
0.26
350
350
8,709
8,709
8,700
8,700
19,645
15,173
34,818
LIMITED USE PUBLIC WATER SYSTEMS (357)
0.00
0
0
0
0
0
0
0
0
0
PUBLIC WATER SYSTEM (358)
0.01
0
0
-50
50
0
0
0
0
0
PRIVATE WATER SYSTEM (359)
0.00
0
0
21
0
0
0
0
21
21
TNDIVIDUAL SEWAGE DISP. (361)
4.50
3,951
6,000
88,930
88,930
50,000
89,000
195,833
120,027
315,860
Group Total
4.77
4,301
6,350
97,610
97,689
58,700
96,700
215,478
135,221
350,699
Facility Programs
FOOD HYGIENE (348)
0.75
70
350
15,762
15,762
13,000
13,000
30,489
27,036
57,524
BODY PIERCING FACILITIES SERVICES (349)
0.04
7
7
544
100
100
500
709
535
1,244
GROUP CARE FACILITY (3 5 1)
0.09
20
40
1,858
1,000
1,000
1,000
0
4,858
4,858
MIGRANT LABOR CAMP (352)
0,00
0
0
0
0
0
0
0
0
0
Worldng Copying ATTACHMENT H .
MONROE COUNTY HEALTH DEPARTMENT
Part III. Planned Staffing, Clients, Services, And Expenditures By Program Service Area Within Each
Level Of
Service
October 1, 2014 to September
30, 2015
Quarterly Expenditure Plan
IFTE`s
Clients
Services/
lot
god
3rd
4th
Grand
(0.00)
Units
Molts
(Whole dollars only)
State
County
Total
C. ENVIRONMENTAL HEALTH:
Facility Programs
HOUSING,PUBLIC BLDG SAFETY,SANITATION
(353)0.00
0
0
0
0
0
0
0
0
0
MOBILE HOME AND PARKS SERVICES (354)
0.50
80
200
4,755
3,000
2,000
2,000
6,700
5,055
11,755
SWIMMING POOLS/BATHING(360)
1.46
616
1,418
55,946
27,500
27,724
27,716
79,165
59,721
138,886
BIOMEDICAL WASTE SERVICES (364)
0.35
160
132
9,643
1,800
1,725
1,723
9,891
5,000
14,891
TANNING FACILITY SERVICES (369)
0.01
4
9
384
[00
100
75
341
318
659
Group Total
3.20
957
2,156
88,892
49,262
45,649
46,014
127294
102,523
229,817
Groundwater Contaminatlon
STORAGE TANK COMPLIANCE (355)
1.40
200
420
64,423
27,000
27,000
27,000
68,423
77,000
145,423
SUPER ACT SERVICE (356)
0,00
0
0
48
0
0
0
48
0
48
Group Total
1.40
200
420
64,471
27,000
27,000
27,000
68,471
77,000
145,471
Community Hygiene
TATTOO FACILITIES SERVICES
0.10
0
30
1,952
350
350
350
3,002
0
3,002
COMMUNITY ENVIR HEALTH (345)
1.00
0
1,000
47,329
40,000
40,000
40,000
95,377
71,952
167,329
INJURY PREVENTION(346)
0,00
0
0
0
0
0
0
0
0
0
LEAD MONITORING SERVICES (350)
0.00
0
0
8
6
8
7
1
28
29
PUBLIC SEWAGE (362)
0.00
0
0
0
0
0
0
0
0
0
SOLID WASTE DISPOSAL (363)
0.00
0
0
0
0
0
0
0
0
0
SANITARY NUISANCE (365)
0.16
35
100
3,989
2,500
2,508
2,507
11,504
0
11,504
RABIES SURVEILLANCE/CONTROL SERVICES (366) 0,04
4
24
1,249
500
100
88
1,937
0
1,937
ARBOVIRUS SURVEILLANCE (367)
0.00
0
0
0
0
0
0
0
0
0
RODENT/ARTHROPOD CONTROL(368)
0.00
0
0
0
0
0
0
0
0
0
WATER POLLUTION (370)
0.00
0
0
0
0
0
0
0
0
0
INDOOR AIR (371)
0.00
0
0
0
0
0
0
0
0
0
RADIOLOGICAL HEALTH (372)
0.00
0
0
0
0
0
0
0
0
0
TOXIC SUBSTANCES (373)
0.64
200
900
6,378
10,000
17,517
17,517
0
51,412
51,412
Group Total
1.94
239
2,054
60,905
53,356
60,483
60,469
111,821
123,392
235,213
ENVIRONMENTAL HEALTH SUBTOTAL
11.31
5,697
10,980
311,878
227,307
191,832
230,183
523,064
438,136
961,200
D. NON -OPERATIONAL COSTS:
NON -OPERATIONAL COSTS (599)
0.00
0
0
0
0
0
0
0
0
0
ENVIRONMENTAL HEALTH SURCHARGE (399)
0.00
0
0
4,091
4,963
5,790
5,790
20,634
0
20,634
MEDICAID BUYBACK (611)
0.00
0
0
0
0
0
0
0
0
0
NON -OPERATIONAL COSTS SUBTOTAL
0.00
0
0
4,091
4,963
5,790
5,790
20,634
0
20,634
TOTALCONTRACT
84,54
20,824
217,552
2,494,940
2,062,399 1,948,754
1,967,657
5,161,795
3,311,955
8,473,750
CONTRACT BETWEEN
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
AND
STATE OF FLORIDA DEPARTMENT OF HEALTH
FOR OPERATION OF
THE MONROE COUNTY HEALTH DEPARTMENT
CONTRACT YEAR 2014-2015
This agreement ("Agreement") is made and entered into between the State of Florida,
Department of Health ("State") and the Monroe County Board of County Commissioners
("County"), through their undersigned authorities, effective October 1, 2014.
RECITALS
A. Pursuant to Chapter 154, Florida Statutes, the intent of the legislature is to
"promote, protect, maintain, and improve the health and safety of all citizens and visitors of
this state through a system of coordinated county health department services."
B. County Health Departments were created throughout Florida to satisfy this
legislative intent through "promotion of the public's health, the control and eradication of
preventable diseases, and the provision of primary health care for special populations."
C. Monroe County Health Department ("CHD") is one of the County Health
Departments created throughout Florida.
D. It is necessary for the parties hereto to enter into this Agreement in order to
ensure coordination between the State and the County in the operation of the CHD.
NOW THEREFORE, in consideration of the mutual promises set forth herein, the
sufficiency of which are hereby acknowledged, the parties hereto agree as follows:
1. RECITALS. The parties mutually agree that the forgoing recitals are true and
correct and incorporated herein by reference.
2. TERM. The parties mutually agree that this Agreement shall be effective from
October 1, 2014, through September 30, 2015, or until a written agreement replacing this
Agreement is entered into between the parties, whichever is later, unless this Agreement is
otherwise terminated pursuant to the termination provisions set forth in paragraph 8,
below.
3. SERVICES MAINTAINED BY THE CHD. The parties mutually agree that the CHD
shall provide those services as set forth on Part III of Attachment II hereof, in order to
maintain the following three levels of service pursuant to Section 154.01(2), Florida
Statutes, as defined below:
a. "Environmental health services" are those services which are organized and
operated to protect the health of the general public by monitoring and regulating activities
in the environment which may contribute to the occurrence or transmission of disease.
Environmental health services shall be supported by available federal, state and local
funds and shall include those services mandated on a state or federal level. Examples of
environmental health services include, but are not limited to, food hygiene, safe drinking
water supply, sewage and solid waste disposal, swimming pools, group care facilities,
migrant labor camps, toxic material control, radiological health, and occupational health.
b. "Communicable disease control services" are those services which protect the
health of the general public through the detection, control, and eradication of diseases
which are transmitted primarily by human beings. Communicable disease services shall
be supported by available federal, state, and local funds and shall include those services
mandated on a state or federal level. Such services include, but are not limited to,
epidemiology, sexually transmissible disease detection and control, HIV/AIDS,
immunization, tuberculosis control and maintenance of vital statistics.
c. "Primary care services" are acute care and preventive services that are made
available to well and sick persons who are unable to obtain such services due to lack of
income or other barriers beyond their control. These services are provided to benefit
individuals, improve the collective health of the public, and prevent and control the spread
of disease. Primary health care services are provided at home, in group settings, or in
clinics. These services shall be supported by available federal, state, and local funds and
shall include services mandated on a state or federal level. Examples of primary health
care services include, but are not limited to: first contact acute care services; chronic
disease detection and treatment; maternal and child health services; family planning;
nutrition; school health; supplemental food assistance for women, infants, and children;
home health; and dental services.
4. FUNDING. The parties further agree that funding for the CHD will be handled as
follows:
a. The funding to be provided by the parties and any other sources are set forth in Part
II of Attachment II hereof. This funding will be used as shown in Part I of Attachment 11.
i. The State's appropriated responsibility (direct contribution excluding any state fees,
Medicaid contributions or any other funds not listed on the Schedule C) as provided in
Attachment 11, Part II is an amount not to exceed $ 4,438,817 (State General
Revenue, State Funds, Other State Funds and Federal Funds listed on the Schedule C). The
State's obligation to pay under this contract is contingent upon an annual
appropriation by the Legislature.
ii. The County's appropriated responsibility (direct contribution excluding any fees,
other cash or local contributions) as provided in Attachment 11, Part 11 is an amount not
to exceed $1,165,070 (amount listed under the 'Board of County Commissioners Annual
Appropriations section of the revenue attachment).
b. Overall expenditures will not exceed available funding or budget authority, whichever
is less, (either current year or from surplus trust funds) in any service category. Unless
requested otherwise, any surplus at the end of the term of this Agreement in the County
Health Department Trust Fund that is attributed to the CHD shall be carried forward to the
next contract period.
c. Either party may establish service fees as allowed by law to fund activities of the
CHD. Where applicable, such fees shall be automatically adjusted to at least the Medicaid
fee schedule. As allowed by law, Monroe County Health Department has established
Communicable disease control and Primary care services rates at 160% of the Medicare
Fee Schedule, rounded up to the next whole dollar. Monroe County Health Department
has established Environmental Health Services Fees in line with local recommendations
and economic factors.
d. Either party may increase or decrease funding of this Agreement during the term
hereof by notifying the other party in writing of the amount and purpose for the change in
funding. If the State initiates the increase/decrease, the CHD will revise the Attachment II
and send a copy of the revised pages to the County and the Department of Health, Office
of Budget and Revenue Management. If the County initiates the increase/decrease, the
County shall notify the CHD. The CHD will then revise the Attachment II and send a copy
of the revised pages to the Department of Health, Office of Budget and Revenue
Management.
e. The name and address of the official payee to who payments shall be made is:
County Health Department Trust Fund
Monroe County
PO Box 6193
1100 Simonton Street
Key West, FL 33040
5. CHD DIRECTOR/ADMINISTRATOR. Both parties agree the director/administrator of
the CHD shall be a State employee or under contract with the State and will be under the
day-to-day direction of the Deputy Secretary for Statewide Services. The
director/administrator shall be selected by the State with the concurrence of the County.
The director/administrator of the CHD shall ensure that non -categorical sources of funding
are used to fulfill public health priorities in the community and the Long Range Program
Plan. A report detailing the status of public health as measured by outcome measures and
similar indicators will be sent by the CHD director/administrator to the parties no later than
October 1 of each year (This is the standard quality assurance "County Health Profile" report located on
the Division of Public Health Statistics and Performance Management Intranet site).
6. ADMINISTRATIVE POLICIES AND PROCEDURES. The parties hereto agree that the
following standards should apply in the operation of the CHD:
a. The CHD and its personnel shall follow all State policies and procedures, except to
the extent permitted for the use of county purchasing procedures as set forth in
subparagraph b., below. All CHD employees shall be State or State -contract personnel
subject to State personnel rules and procedures. Employees will report time in the Health
Management System compatible format by program component as specified by the State.
b. The CHD shall comply with all applicable provisions of federal and state laws and
regulations relating to its operation with the exception that the use of county purchasing
procedures shall be allowed when it will result in a better price or service and no statewide
Department of Health purchasing contract has been implemented for those goods or
services. In such cases, the CHD director/administrator must sign a justification therefore,
and all county -purchasing procedures must be followed in their entirety, and such
compliance shall be documented. Such justification and compliance documentation shall
be maintained by the CHD in accordance with the terms of this Agreement. State
procedures must be followed for all leases on facilities not enumerated in Attachment IV.
c. The CHD shall maintain books, records and documents in accordance with those
promulgated by the Generally Accepted Accounting Principles (GAAP) and Governmental
Accounting Standards Board (GASB), and the requirements of federal or state law. These
records shall be maintained as required by the Department of Health Policies and
Procedures for Records Management and shall be open for inspection at any time by the
parties and the public, except for those records that are not otherwise subject to disclosure
as provided by law which are subject to the confidentiality provisions of paragraph 6.i.,
below. Books, records and documents must be adequate to allow the CHD to comply with
the following reporting requirements:
The revenue and expenditure requirements in the Florida Accounting
System Information Resource (FLAIR).
ii. The client registration and services reporting requirements of the
minimum data set as specified in the most current version of the Client
Information System/Health Management Component Pamphlet;
N. Financial procedures specified in the Department of Health's Accounting
Procedures Manuals, Accounting memoranda, and Comptroller's
memoranda;
iv. The CHD is responsible for assuring that all contracts with service
providers include provisions that all subcontracted services be reported
to the CHD in a manner consistent with the client registration and
service reporting requirements of the minimum data set as specified in
the Client Information System/Health Management Component
Pamphlet.
d. All funds for the CHD shall be deposited in the County Health Department Trust
Fund maintained by the state treasurer. These funds shall be accounted for separately
from funds deposited for other CHDs and shall be used only for public health purposes in
Monroe County.
e. That any surplus/deficit funds, including fees or accrued interest, remaining in the
County Health Department Trust Fund account at the end of the contract year shall be
credited/debited to the state or county, as appropriate, based on the funds contributed by
each and the expenditures incurred by each. Expenditures will be charged to the program
accounts by state and county based on the ratio of planned expenditures in the core
contract and funding from all sources is credited to the program accounts by state and
county. The equity share of any surplus/deficit funds accruing to the state and county is
determined each month and at contract year-end. Surplus funds may be applied toward
the funding requirements of each participating governmental entity in the following year.
However, in each such case, all surplus funds, including fees and accrued interest, shall
remain in the trust fund until accounted for in a manner which clearly illustrates the amount
which has been credited to each participating governmental entity. The planned use of
surplus funds shall be reflected in Attachment II, Part I of this contract, with special capital
projects explained in Attachment V.
f. There shall be no transfer of funds between the three levels of services without a
contract amendment unless the CHD director/administrator determines that an emergency
exists wherein a time delay would endanger the public's health and the Deputy Secretary
for Statewide Services has approved the transfer. The Deputy Secretary for Statewide
Services shall forward written evidence of this approval to the CHD within 30 days after an
emergency transfer.
g. The CHD may execute subcontracts for services necessary to enable the CHD to
carry out the programs specified in this Agreement. Any such subcontract shall include all
aforementioned audit and record keeping requirements.
h. At the request of either party, an audit may be conducted by an independent CPA
on the financial records of the CHD and the results made available to the parties within
180 days after the close of the CHD fiscal year. This audit will follow requirements
contained in OMB Circular A-133 and may be in conjunction with audits performed by
county government. If audit exceptions are found, then the director/administrator of the
CHD will prepare a corrective action plan and a copy of that plan and monthly status
reports will be furnished to the contract managers for the parties.
i. The CHD shall not use or disclose any information concerning a recipient of
services except as allowed by federal or state law or policy.
j. The CHD shall retain all client records, financial records, supporting documents,
statistical records, and any other documents (including electronic storage media) pertinent
to this Agreement for a period of five (5) years after termination of this Agreement. If an
audit has been initiated and audit findings have not been resolved at the end of five (5)
years, the records shall be retained until resolution of the audit findings.
k. The CHD shall maintain confidentiality of all data, files, and records that are
confidential under the law or are otherwise exempted from disclosure as a public record
under Florida law. The CHD shall implement procedures to ensure the protection and
confidentiality of all such records and shall comply with sections 384.29, 381.004, 392.65
and 456.057, Florida Statutes, and all other state and federal laws regarding
confidentiality. All confidentiality procedures implemented by the CHD shall be consistent
with the Department of Health Information Security Policies, Protocols, and Procedures.
The CHD shall further adhere to any amendments to the State's security requirements and
shall comply with any applicable professional standards of practice with respect to client
confidentiality.
I. The CHD shall abide by all State policies and procedures, which by this reference
are incorporated herein as standards to be followed by the CHD, except as otherwise
permitted for some purchases using county procedures pursuant to paragraph 6.b. hereof.
m. The CHD shall establish a system through which applicants for services and current
clients may present grievances over denial, modification or termination of services. The
CHD will advise applicants of the right to appeal a denial or exclusion from services, of
failure to take account of a client's choice of service, and of his/her right to a fair hearing to
the final governing authority of the agency. Specific references to existing laws, rules or
program manuals are included in Attachment I of this Agreement.
n. The CHD shall comply with the provisions contained in the Civil Rights Certificate,
hereby incorporated into this contract as Attachment III.
o. The CHD shall submit quarterly reports to the county that shall include at least the
following:
i. The DE3851-1 Contract Management Variance Report and the DE580L1
Analysis of Fund Equities Report;
ii. A written explanation to the county of service variances reflected in the
DE385L1 report if the variance exceeds or falls below 25 percent of the planned
expenditure amount. However, if the amount of the service specific variance
between actual and planned expenditures does not exceed three percent of the
total planned expenditures for the level of service in which the type of service is
included, a variance explanation is not required. A copy of the written
explanation shall be sent to the Department of Health, Office of Budget and
Revenue Management.
p. The dates for the submission of quarterly reports to the county shall be as follows
unless the generation and distribution of reports is delayed due to circumstances beyond
the CHD's control:
March 1, 2015 for the report period October 1, 2014 through
December 31, 2014;
ii. June 1, 2015 for the report period October 1, 2014 through
March 31, 2015;
iii. September 1, 2015 for the report period October 1, 2014
through June 30, 2015; and
iv. December 1, 2015 for the report period October 1, 2014
through September 30, 2015.
7. FACILITIES AND EQUIPMENT. The parties mutually agree that:
a. CHD facilities shall be provided as specified in Attachment IV to this contract and
the county shall own the facilities used by the CHD unless otherwise provided in
Attachment IV.
b. The county shall ensure adequate fire and casualty insurance coverage for County -
owned CHD offices and buildings and for all furnishings and equipment in CHD offices
through either a self-insurance program or insurance purchased by the County.
c. All vehicles will be transferred to the ownership of the County and registered as
county vehicles. The county shall ensure insurance coverage for these vehicles is
available through either a self-insurance program or insurance purchased by the County.
All vehicles will be used solely for CHD operations. Vehicles purchased through the
County Health Department Trust Fund shall be sold at fair market value when they are no
longer needed by the CHD and the proceeds returned to the County Health Department
Trust Fund.
8. TERMINATION.
a. Termination at Will. This Agreement may be terminated by either party without
cause upon no less than one -hundred eighty (180) calendar days notice in writing to the
other party unless a lesser time is mutually agreed upon in writing by both parties. Said
notice shall be delivered by certified mail, return receipt requested, or in person to the
other party's contract manager with proof of delivery.
b. Termination Because of Lack of Funds. In the event funds to finance this
Agreement become unavailable, either party may terminate this Agreement upon no less
than twenty-four (24) hours notice. Said notice shall be delivered by certified mail, return
receipt requested, or in person to the other party's contract manager with proof of delivery.
c. Termination for Breach. This Agreement may be terminated by one party, upon no
less than thirty (30) days notice, because of the other party's failure to perform an
obligation hereunder. Said notice shall be delivered by certified mail, return receipt
requested, or in person to the other party's contract manager with proof of delivery.
Waiver of breach of any provisions of this Agreement shall not be deemed to be a waiver
of any other breach and shall not be construed to be a modification of the terms of this
Agreement.
9. MISCELLANEOUS. The parties further agree:
a. Availability of Funds. If this Agreement, any renewal hereof, or any term,
performance or payment hereunder, extends beyond the fiscal year beginning July 1,
2015, it is agreed that the performance and payment under this Agreement are contingent
upon an annual appropriation by the Legislature, in accordance with section 287.0582,
Florida Statutes.
b. Contract Managers. The name and address of the contract managers for the
parties under this Agreement are as follows:
For the State:
Mary Vanden Brook, J.D.
Name
Administrative Services Director
Title
PO Box 6193
1100 Simonton Street
Key West, FL 33040
Address
305-809-5612
Telephone
For the County:
Roman Gastesi
Name
County Administrator
Title
1100 Simonton Street
Key West, FL 33040
Address
305-292-4441
Telephone
If different contract managers are designated after execution of this Agreement, the name,
address and telephone number of the new representative shall be furnished in writing to
the other parties and attached to originals of this Agreement.
C. Captions. The captions and headings contained in this Agreement are for
the convenience of the parties only and do not in any way modify, amplify, or give
additional notice of the provisions hereof.
In WITNESS THEREOF, the parties hereto have caused this - 3: page agreement to be
executed by their undersigned officials as duly authorized effective the 1st day of October, 2014.
BOARD OF COUNTY COMMISSIONERS
FOR MONROE COUNTY
TITLE: Mayor
DATE: 0Gt D&e` I r"', aU 1 q-
ONROE COUNTY ATTORNEY
A P116A OVE' A
� TT
YNTNIA L, HALL
ASSISTANT COUNTY ATTORNEY
STATE OF FLORIDA
DEPARTMENT OF HEALTH
SIGNED BY: '
NAME: John H. Armstrona, MD
TITLE: Suraeon General/Secretary of Health
DATE: P&
NAME: Robert B. Eadier J.D.
TITLE: CHPAM-=-
W
ATTACHMENT I
MONROE COUNTY HEALTH DEPARTMENT
PROGRAM SPECIFIC REPORTING REQUIREMENTS AND PROGRAMS REQUIRING
COMPLIANCE WITH THE PROVISIONS OF SPECIFIC MANUALS
Some health services must comply with specific program and reporting requirements in addition to the Personal Health
Coding Pamphlet (DHP 50-20), Environmental Health Coding Pamphlet (DHP 50-21) and FLAIR requirements
because of federal or state law, regulation or rule. If a county health department is funded to provide one of these
services, it must comply with the special reporting requirements for that service. The services and the reporting
requirements are listed below:
Service
Sexually Transmitted Disease
Program
2. Dental Health
3. Special Supplemental Nutrition
Program for Women, Infants
and Children (including the WIC
Breastfeeding Peer Counseling
Program)
4. Healthy Start/
Improved Pregnancy Outcome
5.
A
Requirement
Requirements as specified in F.A.C. 64D-3, F.S. 381 and
F.S. 384.
Periodic financial and programmatic reports as specified by
the program office.
Service documentation and monthly financial reports as
specified in DHM 150-24" and all federal, state and county
requirements detailed in program manuals and published
procedures.
Requirements as specified in the 2007 Healthy Start
Standards and Guidelines and as specified by the Healthy
Start Coalitions in contract with each county health
department.
Family Planning Requirements as specified in Public Law 91-572, 42 U.S.C.
300, of seq., 42 CFR part 59, subpart A, 45 CFR parts 74 &
92, 2 CFR 215 (OMB Circular A-110) OMB Circular A-102,
F.S. 381.0051, F.A.C. 64F-7, F.A.C. 64F-16, and F.A.C. 64F-
19. Requirements and Guidance as specified in the Program
Requirements for Title X Funded Family Planning Projects
(Title X Requirements)(2014) and the Providing Quality
Family Planning Services (QFP): Recommendations of CDC
and the U.S. Office of Population Affairs published on the
Office of Population Affairs website. Programmatic annual
reports as specified by the program office as specified in the
annual programmatic Scope of Work for Family Planning and
Maternal Child Health Services, including the Family Planning
Annual Report (FPAR), and other minimum guidelines as
specified by the Policy Web Technical Assistance Guidelines.
Immunization Periodic reports as specified by the department pertaining to
immunization levels in kindergarten and/or seventh grade
pursuant to instructions contained in the Immunization
Guidelines -Florida Schools, Childcare Facilities and Family
Daycare Homes (DH Form 150-615) and Rule 64D-3.046,
F.A.C. In addition, periodic reports as specified by the
department pertaining to the surveillance/investigation of
reportable vaccine -preventable diseases, adverse events,
vaccine accountability, and assessment of immunization
ATTACHMENT I (Continued)
levels as documented in Florida. SHOTS and supported by
CHD Guidebook policies and technical assistance guidance.
7. Environmental Health Requirements as specified in Environmental Health Programs
Manual 150-4* and DHP 50-21 *
8. HIV/AIDS Program Requirements as specified in F.S. 384.25 and
F.A.C. 64D-3.030 and 64D-3.031. Case reporting should be
on Adult HIV/AIDS Confidential Case Report CDC Form
DH2139 and Pediatric HIV/AIDS Confidential Case Report
CDC Form DH2140.
Requirements as specified in F.A.C. 64D-2 and 64D-3, F.S.
381 and F.S. 384. Socio-demographic and risk data on
persons tested for HIV in CHD clinics should be reported
on Lab Request DH Form 1628 in accordance with the Forms
Instruction Guide. Requirements for the HIV/AIDS
Patient Care programs are found in the Patient Care Contract
Administrative Guidelines.
9. School Health Services Requirements as specified in the Florida School Health
Administrative Guidelines (May 2012). Requirements as
specified in F.S. 381.0056, F.S. 381.0057, F.S. 402.3026 and
F.A.C. 64F-6.
10. Tuberculosis
Tuberculosis Program Requirements as specified in F.A.C.
64D-3 and F.S. 392.
11. General Communicable Disease Control Carry out surveillance for reportable communicable and other
acute diseases, detect outbreaks, respond to individual cases
of reportable diseases, investigate outbreaks, and carry out
communication and quality assurance functions, as specified
in F.A.C. 64D-3, F.S. 381, F.S. 384 and the CHD
Epidemiology Guide to Surveillance and Investigations.
12. Refugee Health Program
Programmatic and financial requirements as specified by the
program office.
*or the subsequent replacement if adopted during the contract period.
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1. GENERAL REVENUE • STATE
015040 AIDS PATIENT CARE
015040 AIDS PREVENTION & SURVEILLANCE - GENERAL REVENUE
015040 AIDS NETWORK REIMBURSEMENT
015040 CHD - TB COMMUNITY PROGRAM
015040 SEXUALLY TRANSMITTED DISEASE CONTROL PROGRAM GR
015040 ALG/CESSPOOL IDENTIFICATION & ELIMINATION PROG
015040 FAMILY PLANNING GENERAL REVENUE
015040 HEPATITIS AND LIVER FAILURE PREVENTION & CONTROL
015040 PRIMARY CARE PROGRAM
015040 SCHOOL HEALTH SERVICES - GENERAL REVENUE
015050 CHD GENERAL REVENUE NON -CATEGORICAL
GENERAL REVENUE TOTAL
2. NON GENERAL REVENUE • STATE
015010 ENVIRONMENTAL BIOMEDICAL WASTE PROGRAM
015010 TOBACCO STATE AND COMMUNITY INTERVENTIONS
NON GENERAL REVENUE TOTAL
S. FEDERAL FUNDS • STATE
007000 AIDS DRUG ASSISTANCE PROGRAM ADMIN
007000 WIC BREASTFEEDING PEER COUNSELING PROG
007000 COASTAL BEACH WATER QUALITY MONITORING
007000 COMPREHENSIVE COMMUNITY CARDIO - PHBG
007000 FAMILY PLANNING GENERAL REVENUE
007000 FAMILY PLANNING TITLE X - GRANT
007000 HOUSING OPPORTUNITIES FOR PERSONS WITH AIDS
007000 IMMUNIZATION ACTION PLAN
007000 MCH SPECIAL PRJCT UNPLANNED PREGNANCY
007000 PHP PUBLIC HEALTH PREPAREDNESS BASE ALLOC
007000 AIDS PREVENTION
007000 RYAN WHITE TITLE II CARE GRANT
007000 RYAN WHITE TITLE II GRANT/CHD CONSORTIAM
007000 WIC PROGRAM ADMINISTRATION
015075 INSPECTIONS OF SUMMER FEEDING PROGRAM - DOE
015075 SUPPLEMENTAL SCHOOL HEALTH
015075 REFUGEE HEALTH SCREENING EXPENSE REIMBURSEMENT
015075 REFUGEE HEALTH SCREENING REIMBURSEMENT
FEDERAL FUNDS TOTAL
4. FEES ASSESSED BY STATE OR FEDERAL RULES • STATE
001020 CHD STATEWIDE ENVIRONMENTAL FEES
001092 CHD STATEWIDE ENVIRONMENTAL FEES
001093 CHD STATEWIDE ENVIRONMENTAL FEES
001206 ON SITE SEWAGE DISPOSAL PERMIT FEES
370,000
0
370,000
0
370,000
73,552
0
73,552
0
73,552
259,200
0
259,200
0
259,200
25,284
0
25,284
0
25,284
16,755
0
16,755
0
16,755
53,766
0
53,766
0
53,766
25,360
0
25,360
0
25,360
72,000
0
72,000
0
72,000
199,742
0
199,742
0
199,742
96,223
0
96,223
0
96,223
1,178,492
0
1,178,492
0
1,178,492
2,370,374
0
2,370,374
0
2,370,374
3,859
0
3,859
0
3,859
114,718
0
114,718
0
114,718
118,577
0
118,577
0
118,577
35,443
0
35,443
0
35,443
17,337
0
17,337
0
17,337
18,962
0
18,962
0
18,962
13,668
0
13,668
0
13,668
8,828
0
8,828
0
8,828
60,184
0
60,184
0
60,184
429,306
0
429,306
0
429,306
8,624
0
8,624
0
8,624
17,701
0
17,701
0
17,701
118,412
0
118,412
0
118,412
127,268
0
127,268
0
127,268
76,596
0
76,596
0
76,596
481,668
0
481,668
0
481,668
300,936
0
300,936
0
300,936
268
0
268
0
268
123,839
0
123,839
0
123,839
25,000
0
25,000
0
25,000
75,000
0
75,000
0
75.000
1.939,040
0
1,939,040
0
1,939,040
82,559
0
82,559
0
82,559
183,145
0
183,145
0
183,145
36,556
0
36,556
0
36,556
10,000
0
10,000
0
10,000
Page 1 of 3
001206 SANITATION CERTIFICATES (FOOD INSPECTION)
001206 SEPTIC TANK RESEARCH SURCHARGE
001206 SEPTIC TANK VARIANCE FEES 50%
001206 PUBLIC SWIMMING POOL PERMIT FEES-10% HQ TRANSFER
001206 REGULATION OF BODY PIERCING SALONS
001206 TANNING FACILITIES
001206 TATTO PROGRAM ENVIRONMENTAL HEALTH
001206 MOBILE HOME & RV PARK FEES
FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL
5. OTHER CASH CONTRIBUTIONS - STATE:
010304 CHD STATEWIDE ENVIRONMENTAL FEES
090001 DRAW DOWN FROM PUBLIC HEALTH UNIT
OTHER CASH CONTRIBUTION TOTAL
6. MEDICAID - STATEMOUNTY:
001078 CHD CLINIC FEES
001083 CHD CLINIC FEES
001087 CHD CLINIC FEES
001089 CHD CLINIC FEES
MEDICAID TOTAL
7. ALLOCABLE REVENUE - STATE:
MEDICAID TOTAL
8. OTHER STATE CONTRIBUTIONS NOT IN CIJD TRUST FUND - STATE
ADAP
PHARMACY DRUG PROGRAM
STD
WIC PROGRAM
BUREAU OF PUBLIC HEALTH LABORATORIES
IMMUNIZATIONS
OTHER STATE CONTRIBUTIONS TOTAL
9. DIRECT LOCAL CONTRIBUTIONS - BCC/TAX DISTRICT
008030 CHD LOCAL REVENUE & EXPENDITURES
DIRECT COUNTY CONTRIBUTIONS TOTAL
10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION - COUNTY
001025 CHD CLINIC FEES
001060 VITAL STATISTICS CERTIFIED RECORDS
001073 CHD CLINIC FEES
001077 CHD CLINIC FEES
001094 CHD STATEWIDE ENVIRONMENTAL FEES
001114 VITAL STATISTICS CERTIFIED RECORDS
2,350
0
2.350
0
2,350
200
0
200
0
200
200
0
200
0
200
5,300
0
5,300
0
5,300
60
0
60
0
60
113
0
113
0
113
370
0
370
0
370
3,742
0
3,742
0
3,742
324,595
0
324,595
0
324,596
593
0
593
0
593
88,935
0
88,935
0
88,936
0
0
0
0
0
0
3,641
3,641
0
3,641
0
5.000
5,000
0
5,000
0
100
100
0
100
0
14,542
14,542
0
14,542
0
23,283
23,283
0
23,283
0
0
0
0
0
0
0
0
0
0
0
0
0
479,474
479,474
0
0
0
63,633
63,633
0
0
0
0
0
0
0
0
859,810
859,810
0
0
0
18,662
18,662
0
0
0
1,266,400
1,266,400
0
0
0
2,687,979
2.687,979
0
1,130,050
1,130,050
0
1,130,050
0
1,130,050
1,130,050
0
1,130,050
0
1,200
1,200
0
1,200
0
2,000
2,000
0
2,000
0
35,400
35,400
0
35,400
0
93,204
93,204
0
93,204
0
119,928
119,928
0
119,928
0
17,200
17,200
0
17,200
Page 2 of 3
001115 VITAL STATISTICS CERTIFIED RECORDS
001117 VITAL STATISTICS CERTIFIED RECORDS
FEES AUTHORIZED BY COUNTY TOTAL
11. OTHER CASH AND LOCAL CONTRIBUTIONS • COUNTY
001029 CHD CLINIC FEES
001090 CHD CLINIC FEES
005041 CHD LOCAL REVENUE & EXPENDITURES
005043 CHD LOCAL REVENUE & EXPENDITURES
007010 RYAN WHITE TITLE III DIRECT TO CHD
007010 RYAN WHITE TITLE III DIRECT TO CHD
010300 CHD STATEWIDE ENVIRONMENTAL FEES
010400 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT
010500 IMMUNIZATION CAMPAIGN MONROE COUNTY BOCC
010500 CHD SALE OF SERVICES IN OR OUTSIDE OF STATE GOVT
011000 SMOKE FREE HOUSING GRANT
011001 CHD HEALTHY START COALITION CONTRACT
090002 DRAW DOWN FROM PUBLIC HEALTH UNIT
OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL
12. ALLOCABLE REVENUE • COUNTY
COUNTY ALLOCABLE REVENUE TOTAL
13. BUILDINGS • COUNTY
ANNUAL RENTAL EQUIVALENT VALUE
OTHER (Specify)
UTILITIES
BUILDING MAINTENANCE
GROUNDS MAINTENANCE
INSURANCE
OTHER (Specify)
OTHER (Specify)
BUILDINGS TOTAL
14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND • COUNTY
EQUIPMENT / VEHICLE PURCHASES
VEHICLE INSURANCE
VEHICLE MAINTENANCE
OTHER COUNTY CONTRIBUTION (SPECIFY)
OTHER COUNTY CONTRIBUTION (SPECIFY)
OTHER COUNTY CONTRIBUTIONS TOTAL
GRAND TOTAL CBD PROGRAM
0
42,200
42,200
0
42,200
0
600
600
0
600
0
311,732
311,732
0
311,732
0
143,695
143,695
0
143,695
0
87,295
87,295
0
87,295
0
7,300
7,300
0
7,300
0
10
10
0
10
0
457,509
457,509
0
457,509
0
95,000
95,000
0
95,000
0
683
683
0
683
0
74,800
74,800
0
74,800
0
226,000
226,000
0
226,000
0
68,425
68,425
0
68,425
0
23,031
23,031
0
23,031
0
290,000
290,000
0
290,000
0
454,387
454,387
0
454,387
0
1,928,135
1,928,135
0
1,928,136
0
0
0
0
0
0
0
0
0
0
0
0
0
580,199
580,199
0
0
0
0
0
0
0
0
61,623
61,523
0
0
0
71,641
71,641
0
0
0
112,200
112,200
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
825,563
825,563
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4,842,114
3,393,200
8,235,314
3,513,542
11,748,856
Page 3 of 3
A. COMMUNICABLE DISEASE CONTROL.
IMMUNIZATION (101)
9.75
5,064
7.333
244,885
209,848
244,885
244,791
8.624
935,785
944,409
SEXUALLY TRANS.DIS. (102)
1.66
230
450
35,031
30.019
35,031
35,018
16,755
118,344
135,099
HIV/AIDS PREVENTION (03A1)
3.94
352
587
80,478
68,963
80,478
80,447
309,954
412
310,366
HIV/AIDS SURVEILANCE (03A2)
0.07
35
38
1,436
1,230
1,436
1,435
5,630
7
5,537
HIV/AIDS PATIENT CARE (03A3)
16.28
421
3,203
674,214
577.749
674,214
673.953
1,963,457
636,673
2,600.130
ADAP (03A4)
1.28
33
37
22,184
19,010
22,184
22,176
85,421
133
85.554
TUBERCULOSIS (104)
0.44
12
29
10,489
8,988
10,489
10,484
40,404
46
40,450
COMM. DIS. SURV. (106)
1.20
0
732
31,451
26,951
31,451
31,440
0
121,293
121,293
HEPATITIS (109)
0.95
250
226
22,415
19,208
22,415
22,405
86,343
100
86,443
PREPAREDNESS AND RESPONSE (116)
2.50
0
600
61,581
52,771
61.581
61,558
237,491
0
237,491
REFUGEE HEALTH (118)
1.33
259
1,979
45,068
38,620
45,068
45,050
173,667
139
173,806
VITAL RECORDS (180)
1.42
1.700
4,664
26,055
22,327
26,055
26,045
38,482
62,000
100,482
COMMUNICABLE DISEASE SUBTOTAL
40.82
8,356
19,878
1,255,287
1,075,684
1,255,287
1,254,802
2,966,128
1.874,932
4,841,060
B. PRIMARY CARE:
CHRONIC DISEASE PREVENTION PRO (210)
1.05
30
50
20,390
17,472
20,390
20,382
13,668
64,966
78,634
WIC (21W1)
5.46
1,940
13,080
105,676
90.556
105,676
105,636
407,644
0
407,544
TOBACCO USE INTERVENTION (212)
2.31
0
47
M.609
38,227
44,609
44,592
114,718
67,319
172,037
WICBREASTFEEDING PEER COUNSELING (21W2)
0.56
0
627
8,102
6,942
8,102
8,098
31,244
0
31,244
FAMILY PLANNING (223)
3.90
1,146
2,085
100,674
86,270
100,674
100.634
112,073
276,179
388,252
IMPROVED PREGNANCY OUTCOME (225)
0.00
0
0
0
0
0
0
0
0
0
HEALTHY START PRENATAL (227)
2.88
632
3.440
58,223
49,892
58,223
58,200
0
224,538
224,538
COMPREHENSIVE CHILD HEALTH (229)
0.22
146
151
4,464
3,825
4,464
4,463
0
17,216
17,216
HEALTHY START CHILD (231)
2.20
532
2,705
38,769
33,222
38,769
38,756
0
149,516
149,516
SCHOOL HEALTH (234)
4.55
0
139,076
82.590
70,774
82,590
82,559
220.062
98.451
318,613
COMPREHENSIVE ADULT HEALTH (237)
6.08
600
2,811
148,666
127,395
148,666
148,607
309,252
264,082
573,334
COMMUNITY HEALTH DEVELOPMENT (238)
1.91
0
1,131
43,124
36,954
43,124
43,108
166,310
0
166,310
DENTAL HEALTH (240)
0.00
0
0
0
0
0
0
0
0
0
PRIMARY CARE SUBTOTAL
31.12
5,026
165,203
655,287
561,529
655,287
655,035
1,374,871
1,162,267
2,527,138
C. ENVIRONMENTAL HEALTH:
Water and Onsite Sewage Programs
COSTAL BEACH MONITORING (347)
0.26
287
291
7,195
6,166
7,195
7,192
19,645
8,103
27,748
LIMITED USE PUBLIC WATER SYSTEMS (357)
0.00
0
0
0
0
0
0
0
0
0
PUBLIC WATER SYSTEM (358)
0.00
0
0
25
22
25
26
4
94
98
PRIVATE WATER SYSTEM (359)
0.00
0
0
0
0
0
0
0
0
0
ONSITE SEWAGE TREATMENT & DISPOSAL (361)
6.32
3,951
6,402
107,422
92,053
107,422
107,381
259,470
154,808
414,278
Group Total
6.58
4,238
6,693
114,642
98,241
114,642
114,599
279,119
163.005
442,124
Facility Programs
TATTOO FACILITY SERVICES (344)
0.04
0
11
749
642
749
748
2,888
0
2,888
Page 1 of 2
FOOD HYGIENE (348)
0.51
54
234
8,528
7,307
8,528
8,524
16,473
16,414
32,887
BODY PIERCING FACILITIES SERVICES (349)
0.00
7
0
71
61
71
71
159
115
274
GROUP CARE FACILITY (351)
0.09
30
46
1,621
1,389
1,621
1,619
252
5,998
6,250
MIGRANT LABOR CAMP (352)
0.00
0
0
0
0
0
0
0
0
0
HOUSING & PUB. BLDG. (353)
0.01
1
1
216
185
216
217
22
812
834
MOBILE HOME AND PARK (354)
0.41
119
244
6.397
5,482
6,397
6,395
14,226
10.445
24,671
POOLS/BATHINGPLACES (360)
1.46
616
1,418
24,324
20,844
24,324
24,316
49,441
44,367
93,808
BIOMEDICAL WASTE SERVICES (364)
0.23
130
132
3,725
3,192
3,725
3,723
10,892
3,473
14,365
TANNING FACILITY SERVICES (369)
0.01
4
9
165
142
165
165
425
212
637
Group Total
2.76
961
2,095
45,796
39,244
45,796
45.778
94,778
81,836
176,614
Groundwater Contamination
STORAGE TANK COMPLIANCE SERVICES (355)
1.73
200
358
34,862
29,874
34,862
34,847
64,445
70,000
134,445
SUPER ACT SERVICES (356)
0.00
0
0
45
38
45
45
173
0
173
Group Total
1.73
200
358
34,907
29,912
34,907
34,892
64,618
70,000
134,618
Community Hygiene
COMMUNITY ENVIR. HEALTH (345)
0.29
0
12
6,933
5,941
6,933
6.932
26,739
0
26,739
INJURY PREVENTION (346)
0.00
0
0
0
0
0
0
0
0
0
LEAD MONITORING SERVICES (350)
0.00
0
0
8
6
8
7
1
28
29
PUBLIC SEWAGE (362)
0.00
0
0
0
0
0
0
0
0
0
SOLID WASTE DISPOSAL SERVICE (363)
0.00
0
0
0
0
0
0
0
0
0
SANITARY NUISANCE (365)
0.16
40
100
2,808
2,406
2,808
2,807
10,829
0
10,829
RABIES SURVEILLANCE (366)
0.02
2
8
373
320
373
373
1,439
0
1.439
ARBORVIRUS SURVEIL. (367)
0.00
0
0
0
0
0
0
0
0
0
RODENT/ARTHROPOD CONTROL (368)
0.00
0
0
0
0
0
0
0
0
0
WATER POLLUTION (370)
0.00
0
0
15
13
15
16
59
0
59
INDOOR AIR (371)
0.00
0
0
0
0
0
0
0
0
0
RADIOLOGICAL HEALTH (372)
0.00
0
0
0
0
'
0
0
0
0
0
TOXIC SUBSTANCES (373)
0.64
368
369
13,569
11,628
13,569
13,564
1,199
51,131
52,330
Group Total
1.11
410
489
23,706
20.314
23,706
23,699
40,266
51,159
91,426
ENVIRONMENTAL HEALTH SUBTOTAL
12.18
5,809
9,635
219,051
187,711
219,051
218,968
478,781
366,000
844,781
D. NON -OPERATIONAL COSTS:
SPECIAL CONTRACTS (599)
0.00
0
0
0
0
0
0
0
0
0
ENVIRONMENTAL HEALTH SURCHARGE (399)
0.00
0
0
5,791
4,963
5,791
5,790
22.335
0
22,335
MEDICAID BUYBACK (611)
0.00
0
0
0
0
0
0
0
0
0
NON -OPERATIONAL COSTS SUBTOTAL
0.00
0
0
6,791
4,963
5,791
5,790
22,335
0
22,335
TOTAL CONTRACT
84.12
19,191
194,716
2,135,416
1,829,887
2,135,416
2,134,595
4,842,115
3.393,199
8,235,314
Page 2 of 2
ATTACHMENT III
MONROE COUNTY HEALTH DEPARTMENT
CIVIL RIGHTS CERTIFICATE
The applicant provides this assurance in consideration of and for the purpose of obtaining federal grants, loans,
contracts (except contracts of insurance or guaranty), property, discounts, or other federal financial assistance to
programs or activities receiving or benefiting from federal financial assistance. The provider agrees to complete
the Civil Rights Compliance Questionnaire, DH Forms 946 A and B (or the subsequent replacement if adopted
during the contract period), if so requested by the department.
The applicant assures that it will comply with:
1. Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C., 2000 Et seq., which prohibits
discrimination on the basis of race, color or national origin in programs and activities receiving or
benefiting from federal financial assistance.
2. Section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. 794, which prohibits discrimination
on the basis of handicap in programs and activities receiving or benefiting from federal financial
assistance.
3. Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681 et seq., which prohibits
discrimination on the basis of sex in education programs and activities receiving or benefiting from
federal financial assistance.
4. The Age Discrimination Act of 1975, as amended, 42 U.S.C. 6101 et seq., which prohibits discrimination
on the basis of age in programs or activities receiving or benefiting from federal financial assistance.
5. The Omnibus Budget Reconciliation Act of 1981, P.L. 97-35, which prohibits discrimination on the basis
of sex and religion in programs and activities receiving or benefiting from federal financial assistance.
6. All regulations, guidelines and standards lawfully adopted under the above statutes. The applicant
agrees that compliance with this assurance constitutes a condition of continued receipt of or benefit from
federal financial assistance, and that it is binding upon the applicant, its successors, transferees, and
assignees for the period during which such assistance is provided. The applicant further assures that all
contracts, subcontractors, subgrantees or others with whom it arranges to provide services or benefits to
participants or employees in connection with any of its programs and activities are not discriminating
against those participants or employees in violation of the above statutes, regulations, guidelines, and
standards. In the event of failure to comply, the applicant understands that the grantor may, at its
discretion, seek a court order requiring compliance with the terms of this assurance or seek other
appropriate judicial or administrative relief, to include assistance being terminated and further assistance
being denied.
Facility
Description
Gato Building
Administration
Nursing
ATTACHMENT IV
MONROE COUNTY HEALTH DEPARTMENT
FACILITIES UTILIZED BY THE COUNTY HEALTH DEPARTMENT
Location
1100 Simonton Street
Key West, FL 33040
Juvenile Justice Building
5503 College Road
Environmental Health
Key West, FL 33040
Murray E. Nelson Government Center
102050 Overseas Highway
Environmental Health
Key Largo, FL 33037
Roosevelt Sands Center
105 Olivia Street
Clinic
Key West, FL 33040
Ruth Ivins Center
Clinic
Environmental Health
3333 Overseas Highway
Marathon, FL 33050
Owned By
Monroe County
Monroe County
Monroe County
City of Key West
subject to Inter -local
Agreement with Monroe
County for MCHD use
Monroe County
Roth Building 50 High Point Road Monroe County
Clinic Tavernier, FL 33070
CONTRACT YEAR
2013-2014*
2014-2015**
2015-2016***
2016-2017***
PROJECT TOTAL
ATTACHMENT V
MONROE COUNTY HEALTH DEPARTMENT
SPECIAL PROJECTS SAVINGS PLAN
CASH RESERVED OR ANTICIPATED TO BE RESERVED FOR PROJECTS
STATE COUNTY
$ N/A
SPECIAL PROJECT CONSTRUCTION/RENOVATION PLAN
PROJECT NUMBER:
PROJECT NAME:
LOCATION/ ADDRESS:
PROJECT TYPE: NEW BUILDING ROOFING
RENOVATION PLANNING STUDY
NEW ADDITION OTHER
SQUARE FOOTAGE:
PROJECT SUMMARY: Describe scope of work in reasonable detail.
START DATE (initial expenditure of funds) :
COMPLETION DATE:
DESIGN FEES:
$
CONSTRUCTION COSTS:
$
FURNITURE/EQUIPMENT
$
TOTAL PROJECT COST:
$ -
COST PER SQ FOOT:
$ N/A
TOTAL
Special Capital Projects are new construction or renovation projects and new furniture or equipment
associated with these projects and mobile health vans.
*Cash balance as of 9/30/14.
**Cash to be transferred to FCO account.
***Cash anticipated for future contract years.
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FEE RESOLUTIONS 2014-2015
PURPOSE: To establish public health service fees in order to expand existing public health services
to the community at large.
A. PRIMARY CARE SERVICES.
(1) Primary care and Ancillary services include well and sick adult and child health
services and family planning services. These services will be charged at not more
than 160% of the prevailing Medicare rate. Where there is no Medicare fee, the fee
will be the Medicaid rate. Service levels will be determined utilizing current Medicare
guidelines for coding and billing services provided. Discounting adjustments will be
made to client fees based upon the current contract for services with Medicare and
other 3'd party payers. In addition, sliding scale adjustments to fees for primary care
services will be based upon Federal OMB guidelines and in accordance with State of
Florida Department of Health Policy 56-66-08. Medicaid is billed at the current
Medicaid Cost -based rate and reimbursement for these services is considered
payment in full.
(2) Pharmacy — Medications issued will be provided at the most recent cost. Medicaid is
accepted as payment in full.
(3) Injection fee for parenteral medications per injection $ 35.00
(4) Lab fees - All laboratory and pathology fees are subject to
sliding scale fee adjustment based upon OMB Federal
Guidelines.
L Specimens tested in clinic -(hemoglobin, urine,
blood sugar, mono, wet mount, strep)
$ 10.00
ii. Pregnancy test
No charge
B. COMMUNITY
PUBLIC HEALTH SERVICES
(1)
Tuberculosis X-ray for suspected, confirmed or
Symptomatic contact or case
No charge
(2)
Tuberculosis Skin Test for suspected, confirmed or
Symptomatic contact or case
No charge
(3)
Tuberculosis (TB) Sputum Culture for suspected, confirmed,
or symptomatic contact of case
No charge
(4)
Tuberculin (TB) Skin Test, with reading, any other than
listed above in C. (1).
$ 35.00
(5)
Tuberculin assessment of clients with a past history of
positive skin test
$ 35.00
(6)
Sexually Transmitted Diseases — The fee below will be
adjusted considering the client sliding fee group which is
calculated at eligibility determination, based on Federal
OMB Guidelines. Medicaid identification will be accepted as
full payment in lieu of charges
i. Office/Outpatient Visit, New
$ 178.00
Page 1 of 5
Monroe County Health Department Core Contract 2014-2015
ii. Office/Outpatient Visit, Established $117.00
(7) Required Vaccines for children up to age 18 and eligible for
the Vaccine for Children program No Charge
(8) Vaccine administration fee (child or adult) $ 23.50
(9) Special vaccination campaigns allow for the acceptance
insurance at contracted amount, no co -pay or deductible to
client. Where manufacturer offers rebate, assistance or
replacement plans, un-insured clients are eligible for no No Charge
cost.
(10) County Sponsored Vaccinations for TdAP, HPV and No Charge for
Seasonal Flu residents earning
400% of Federal
Poverty Level or less
(11) Seasonal Flu vaccinations for those not covered in C.10
above $ 18.00
(12)AII other Immunizations Cost of vaccine x 2 + $
23.50 injection fee
(13) Class/Seminar attendance registration per person charge
for health care, social work and counseling employees
i. AIDS 101
ii. AIDS 500 No Charge
iii. AIDS 501 No Charge
(14) Expendable medical/wound care supplies such as: Sponge No Charge
Gauze, Bandages/Dressings, Gloves
(15) International Certificates of Vaccination Cost x 3.5
Cost x 3.5
C. VITAL STATISTICS
(1)
Birth Certificates
$ 16.00
(2)
Additional Birth Certificate Copies
$ 16.00
(3)
Protective Covers
$ 4.00
(4)
Death Certificates — Certified Copy
$ 13.00
(5)
Additional Death Certificate Copies
$ 13.00
(6)
Express Fee
$ 10.00
D. MEDICAL RECORDS
Copying of Medical Record (per page)
$ 1.00
E. PUBLIC
RECORDS
(1)
Copying of Public Record (per page)
$ 1.00
A service fee of
F. RETURNED/DISHONORED
CHECKS: (S 215.34(2) F.S)
$15.00 or 5% of
the face amount of
the check, draft, or
money order
whichever is
greater, not to
Page 2 of 5 Monroe County Health Department Core Contract 2014-2015
exceed $150.00
G. PUBLIC HEALTH AND MEDICAL PREPAREDNESS
Submission and Review of Required Annual Comprehensive
Emergency Management Plan for Home Health Agencies,
Hospices, Nurse Registries, Home Medical Equipment Providers
$ 65.00
Fee Schedule, Environmental Health County Fee List
(In addition to State Fees on alternate Fee Schedule)
I. ONSITE SEWAGE DIPOSALPROGRAM `(OSTDS)
County Fee
a.
Application and plan review for construction permit for
100
new systems
b.
Application and approval for existing system, if system
10
inspection not required.
c.
Application and Existing System Evaluation with inspection
50
d.
Application for permitting of an new Performance -based
75
treatment system
e.
Site Evaluation
0
f.
Site re-evaluation
40
g.
Permit or permit amendment for new systems
25
h.
Initial system inspection
50
i.
System re-inspection(stabilization, non-compliance, or
25
other inspection after initial inspection.
j.
Research fee (State Fee)
0
k.
Repair Permit with Inspection
50
I.
Application for system abandonment permit
45
m.
Tank manufacturer's inspection per annum
20
n.
Amendment to an Operating Permit
0
o.
Septage Disposal Service Permit per annum 2X per yr
45
inspection
p.
Portable or temporary toilet service permit per annum
45
q.
Additional charge per pump out vehicle
5
r.
Annual operating permit industrial/manufacturing zoning
0
or commercial sewage waste
s.
Biennial Operating permit for aerobic treatment unit or
0
performance -based treatment system
t.
Aerobic treatment unit maintenance entity permit per
0
annum
u.
Variance application for a single family residence per each
100
lot or building site
v.
Variance application for a multifamily or commercial
140
building site
w.
Inspection for construction of an, Injection well (FL Keys)
95
x.
OSTDS Operating Permit Late Fee (45 days past due)
50
Page 3 of 5
Monroe County Health Department Core Contract 2014-2015
w 0)j p
u. late renewals 1.5
V. BIOMEDICAL
a. Generators 40
b. Storage Facilities 40
c. Late Fee 20
VI. TANNING FACILITIES
a. Annual Permit
100
b. Fee per Device
0
c. Consultation
50
d. Late Renewal Fee
0
V11. BODY PIERCING ESTABLISHMENTS
a. License Fee
100
b. Temporary Establishment
15
c. Late fee
0
d. Consultation
50
Vill. HEALTHY HOMES PROGRAM
a. Healthy home Assessment Voluntary Inspection living 300
unit(radon, CO2, Mold Safety)
b. Public Education -Per Attendee 25
Page 5 of 5 Monroe County Health Department Core Contract 2014-2015