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Item Q1
BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: October 16, 2013 Division: Monroe County Health Department r Bulk Item: Yes x No Staff Contact: Robert Eadie 809-5610 AGENDA ITEM WORDING: Approval of the contract between Monroe County Board of County Commissioners and the State of Florida, Department of Health for operation of the Monroe County Health Department - contract year 2013-2014. ITEM BACKGROUND: Review of annual contract 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 allowed by law, Monroe County Health Department has established Notary Public service fees. STAFF RECOMMENDATIONS: Approval. TOTAL COST: $939,070.00 INDIRECT COST: BUDGETED: Yes X No COST TO COUNTY: $939,070.00 SOURCE OF FUNDS: REVENUE PRODUCING: Yes - No AMOUNT PER MONTH-- Year APPROVED BY: County Atty mm IPurc using" Risk Management . DOCUMENTATION: Included X� Not Required„ DISPOSITION: AGENDA ITEM# Revised I M MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CONTRACT SUMMARY Contract with: MC Health Department Contract# Effective Date: October 1, 2014 Expiration Date: September 30, 2014 Contract Purpose/Description: Approval of the contract between Monroe County Board of Commissioners and The State of Florida Department of Health- for operation of the Monroe County Health Del2artment Contract year 2013-2014 Contract Manager: Robert Eadie 809-5610 MC Health Department (Name) (Ext.) (Department/Stop#) for BOCC meeting on 10/16/2013 A genda Deadline: 10/1/13 CONTRACT COSTS Total Dollar Value of Contract: $ 939,070 Current Year Portion: $ Budgeted? Yes® No ❑ Account Codes: - - - Grant: $ 0 - - County Match: $ - - - ADDITIONAL COSTS Estimated Ongoing Costs: $ /yr For: (Not included in dollar value above) (e .maintenance,utilities,ianitorial,salaries,etc.) CONTRACT REVIEW Changes Date Out Date In Needed Reviewer Division Director Yes No Risk Management .' Yes No -=.°O.M.B./Purchas .... g Yes No ._.... County Attorney Yes No Comments: OMB Form Revised 2127,/01 MCP#2 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 2013-2014 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, 2013. 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, 2013, through September 30, 2014, 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. t 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 II. 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 II, Part II is an amount not to exceed $ 5,332,673 (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. #. The County's appropriated responsibility (direct contribution excluding any fees, othercash or local contributions) as provided in Attachment II, Part II is an amount not to exceed $939,070 (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 2 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, Bureau 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, Bureau 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. 3 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 6J., below. Books, records and documents must be adequate to allow the CHD to comply with the following reporting requirements: i. 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; iii. 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 4 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 Il, 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 directorlad min istrator 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 directorlad min istrator 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. 5 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 fi.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 lll. 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 DE3851-1 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, Bureau 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: i. March 1, 2014 for the report period October 1, 2013 through December 31, 2013; Y. June 1, 2014 for the report period October 1, 2013 through March 31, 2014; id. September 1, 2014 for the report period October 1, 2013 through June 30, 2014; and iv. December 1, 2014 for the report period October 1, 2013 through September 30, 2014. 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 parry'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, 2014, 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: For the County: Mary Vanden Brook, J.D. Roman Gastesi Name Name Administrative Services Director County Administrator Title Title PO Box 6193 Gato Building, 1100 Simonton Street 1100 Simonton St. Key West, FL 33040 Key West, FL 33040 Address Address 305-809-5612 305-292-4441 Telephone 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 page agreement to be executed by their undersigned officials as duly authorized effective the 7day of October, 2013. BOARD OF COUNTY COMMISSIONERS STATE OF FLORIDA FOR MONROE COUNTY DEPARTMENT OF HEALTH SIGNED BY: SIGNED BY: NAME: George Neugent NAME: John H. Armstrong, MD TITLE: Mayor/Chairman TITLE: Sur eon Genera I/Secretary of Health DATE: October 16, 2013 DATE: ATTESTED TO: SIGNED BY: SIGNED BY: NAME: Amy_Heavilin NAME: Robert Eadie, J.D. TITLE: Clerk TITLE: CHD Director/Administrator DATE: October 16, 2013 DATE: MONROE COUNTY ATTORNEY APPROVED Elf TO FORM. .. HI U "rUIN't M. UMBERT-BARROVV ATTACHMENT 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 Requirement 1. Sexually Transmitted Disease Requirements as specified in F.A.C. 64D-3, F.S.381 and Program F.S. 384. 2. Dental Health Monthly reporting on DH Form 1008'. Additional reporting requirements, under development,will be required.The additional reporting requirements will be communicated upon finalization. 3. Special Supplemental Nutrition Service documentation and monthly financial reports as Program for Women, Infants specified in DHM 150-24'and all federal, state and county and Children (including the WIC requirements detailed in program manuals and published Breastfeeding Peer Counseling procedures. Program) 4. Healthy Start/ Requirements as specified in the 2007 Healthy Start Improved Pregnancy Outcome Standards and Guidelines and as specified by the Healthy Start Coalitions in contract with each county health department. 5. Family Planning Periodic financial and programmatic reports as specified by the program office. 6. 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 surveillancetinvestigation of reportable vaccine-preventable diseases, adverse events, vaccine accountability, and assessment of immunization 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' B. 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, ATTACHMENT I (Continued) Requirements as specified in F.A.C. 6413-2 and 6413-3, 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), 10. Tuberculosis Tuberculosis Program Requirements as specified in F.A.C. 64D-3 and F.S. 392. 11. General Communicable Disease Control Cary out surveillance for reportable communicable and other acute diseases, detect outbreaks,, respond to Individual cases of reportable diseases, investigate outbreaks„and cant'out communication and quality assurance functions,as specified in F.A.C. 64D-3, F.& 381, F.S. 384 and the CHD Epidemiology Guide to Surveillance and Investigations. "or the subsequent replacement if adopted during the contract period. 10 U ¥ , § 0 Oa 09 m / CD CD 9L-1 / A O � � � §_ ■ 0 ) 0= r,3 0 c a � � � % w � CL k ECL 03 E :3 m / - - - -0 rL - nto m CD gom � U COD O � k 0 § 0 o 0 CD 2 � - " � 2 > / � � � � \ _-4 o � � M a E m 0 Q J c 7 -n z n CL � 0k 2 =3 o $ CL 3 ] 2 © $ v % g 2 q w . w o Q) n C z ) 3w 2 k � wE o 2 CD m O E z 2 x w » O = (D a m § - -4 m 2 E c $ � w k t w go -4 £ � % g -n to 4 ' S S _ � n � i /Fr o # Q 2 = Q ro /Z � ■ � 2 k m � 2 § a ] g E � CFr g 10 w -4 m k 0 2 /, o c a�rrac�rrr✓ /. // / , /i / II, ��/ Y / %/// //car/ i, /� � /i�ii✓�r✓� /gym,/ r r/ /� /l, /,/l/,„",/r✓ // �/"r s��„sr i�/r ,�i(���/„/l(",r�Xtr rr�r a,il(ir,rr//rr u� ;,""�"//rrl(��. �,m�.,�....<< m mnam- ,� ��r l�s��r��r%/w.��✓rr(rrr�r��/���/r✓%ir«rr/w�✓Fo✓rr//m %�/✓rl�ll I��NFr�✓r��, ,.rrr�� r ✓. i � a.�(���ar,rrtmmar�/r�/-. 1. GENERAL REVENUE-STATE 015040 AIDS PREVENTION 73,552 0 73,552 0 73,552 015040 ALG/CESSPOOL IDENTIFICATION AND ELIMINATION 64,707 0 64,707 0 64,707 015040 ALG/CONTR TO CHDS-AIDS PATIENT CARE NETWORK259,200 0 259,200 0 259,200 015040 ALGIIPO HEALTHY STARTIIPO 0 0 0 0 0 015040 COMMUNITY SMILES-MI 1-DADE ❑ 0 0 0 0 015 COUNTY SPECIFIC DENTAL PROJECTS-ES CAMBIA 0 0 0 0 0 01504D DUVAL TEEN PREGANCY PREVENTION-DUVAL 0 0 0 0 0 015040 FL CLPPP SCREENING&CASE MANAGEMENT 0 4 0 0 0 015 HEALTHY START GENERAL REVENUE CHD 0 0 0 0 0 015040 HEALTHY START MED-WAIVER-CLIENT SERVICES 0 0 0 0 0 015040 LA LIGA-LEAGUE AGAINST CANCER- I 1-DADE 0 0 0 0 0 015040 METRO ORLANDO URBAN LEAGUE-ORANGE 0 0 0 0 0 015040 MINORITY OUTREACH-PENALVER CLINIC- IAMI-DADS; 0 0 0 0 0 015040 PREPAREDNESS GRANT MATCH 0 0 0 0 0 015040 SCHOOL HEALTH GENERAL REVENUE 55,223 0 55,223 0 55,223 015040 STATEWIDE DENTISTRY NETWORK-ESCAMBIA 0 0 0 0 0 015040 STD GENERAL REVENUE 16,755 0 16,755 0 16,755 015040 TREASURE COAST MIDWIFERY-MARTIN 0 0 0 0 0 015040 AIDS SURVEILLANCE 0 0 0 0 0 015040 ALG/CONTR TO CHDS-AIDS PATIENT CARE 370,000 0 370,000 0 370,000 015040 ALG/CONTR TO CHDS-SOVEREIGN IMMUNITY 0 0 0 0 0 015040 /PRIMARY CARE 199,742 0 199,742 0 199,742 015040 COMMUNITY TB PROGRAM 36,534 0 36,534 0 36,534 015040 DENTAL SPECIAL INITIATIVES 0 0 0 0 0 015040 FAMILY PLANNING GENERAL REVENUE 47,373 0 47,373 0 47,373 015040 FL HEPATITIS&LIVER FAILURE PREVENTIOWCONTROL 72,000 0 72,000 0 72,000 015040 HEALTHY START MED WAIVER-SOBRA 0 0 0 0 ❑ 015040 JESSIE TRICE CANCER CTRIHEALTH CHOICE,MIAMI,DADE 0 0 0 0 0 015040 MANATMI�COUNTY RURAL HEALTH SERVICES 0 0 0 0 0 015040 MIGRANT LABOR CAMP SANITATION 0 0 0 0 0 015050 NON-CATEGORICAL GENERAL REVENUE 1,056,345 0 1,056,345 0 1,056,345 GENERAL REVENUE TOTAL 2,251:,431 0 '251,431 0 2,251,431 2. NON GENERAL REVENUE-STATE 015010 ALGICONTIL TO CHDS-BIOMEDICAL WASTE 3,580 0 3,580 0 3,580 015010 FOOD AND WATERBORNE DISEASE PROGRAM ADM TFDACS 0 0 0 0 0 015010 PREPAREDNESS GRANT MATCH 67,193 0 67,193 0 67,193 015010 SCHOOL HEALTH TOBACCO TF 41,000 0 41,000 0 1,000 015010 TOBACCO COMMUNITY INTERVENTION 149'55 0 109,255 0 109155 015010 AL&CONTR.TO CHDS-SAFE DRINKING WATER PRG 0 0 0 0 0 015010 MEDICAID INCENTIVE FOR ELECTRONIC HEALTH RECORDS 46,,741 0 46,747 0 46,747 015010 PUBLIC SWIMMING POOL PROGRAM 0 0 0 0 0 015010 TOBACCO ADMINISTRATION&MANAGEMENT 0 0 0 0 0 015020 TRANSFER FROM ANOTHER STATE AGENCY 0 0 0 0 0 015020 TRANSFER FROM ANOTHER STATE AGENCY 0 0 0 0 0 015020 TRANSFER FROM ANOTHER STATE AGENCY 0 0 0 0 0 015060 NON-CATEGORICAL TOBACCO REBASING 16,745 0 16,745 0 16,745 ii ,. ,rii/ n�/r��/r,��Y/, ��,,u i:r/ ,ria�r,/ arc /r�ir are ✓ic, ,„r/r .�� /r // � /r i ✓ /� / { Fmk : ����r�����rr/Ill�r�%f,c/� rrr%(rrrrGrl�rr��✓rf(rnrr,l�«�J�lrr�ir�/�.... . ....... rr NON GENERAL REVENUE TOTAL 284,520 10 294,520 0 284,520 3. FEDERAL FUNDS-State 007000 ABSTINENCE EDUCATION GRANT PROGRAM 0 0 0 0 0 007000 AIDS PREVENTION 123,956 0 123,956 0 123,956 007000 BIOTERRORISM HOSPITAL PREPAREDNESS 0 0 0 0 0 007000 COASTAL.BEACH MONITORING PROGRAM 17,523 0 17,523 0 17,523 007000 DENTAL SERVICES 0 0 0 0 0 007000 EPIDEMIOLOGY&LABORATORY CAPACITY FOR INFECTIOUS 0 0 0 0 0 007000 EXPANDED TESTING INITIATIVE(ETI) 0 0 0 0 0 007000 FGTF/BREAST&CERVICAL CANCER-ADMIN/CASE MAN 0 0 0 0 0 007000 HEPATITIS B VACCINATION PILOT PROJECT 0 0 0 0 0 007000 IMMUNIZATION AFIX 0 0 0 0 0 007000 IMMUNIZATION FIELD STAFF EXPENSE 0 0 0 0 0 007000 MCH BGTF-HEALTHY START COALITIONS 0 0 0 0 0 007000 MINORITY AIDS INITIATIVE 0 0 0 0 0 007000 MINORITY INVOLVEMENT IN HIV/AIDS PROGRAM 0 0 0 0 0 007000 PREGNANCY ASSOCIATED MORTALITY PREVENTION 0 0 0 0 0 007000 PUBLIC HEALTH PREPAREDNESS BASE 125,785 0 125)85 0 125 285 007000 RYAN WHITE 76,596 0 76,596 0 76,596 007000 RYAN WHITE-AIDS DRUG ASSIST PROG-ADMIN 35,443 0 35,443 0 35,443 007000 STATE OFFICE OF RURAL HEALTH 0 0 0 0 0 007000 STD FEDERAL GRANT-CSPS 0 0 0 0 0 007000 SYPHILIS ELIMINATION 0 0 0 0 0 007000 TOBACCO FAITH BASED PROJECT 0 0 0 0 0 007000 UNINTE Ed ANTED PREG-TEEN PREGNANCY PREV 24,818 0 24,818 0 24.818 007000 WIC BREASTFEEDING PEER COUNSELING 38,558 0 38,558 0 38,558 007000 ADULT VIRAL HEPATITIS PREVENTION&SURVEILLANCE 0 0 0 0 0 007000 AIDS SURVEILLANCE 0 0 0 0 0 007000 CHRONIC DISEASE PREV1:NTION&HEALTH PROMOTION 8,000 0 8,000 0 81 007000 COLORECTAL CANCER SCREENING 0 0 0 0 0 007000 ENHANCE COMPREHENSIVE PREVENTION PLANNING AND IMPL 0 0 0 0 0 007000 EPIDEMIOLOGY&LABORATORY CAPACITY HAI 0 0 0 0 0 007000 FGTFIAIDS MORBIDITY 0 0 0 0 0 007000 FGTFIFAMILYPLANNING-TITLEX 14,192 0 74,192 0 74,192 007000 HIV HOUSING FOR PEOPLE LIVING WITH AIDS 520,787 0 520,787 0 520,787 007000 IMMUNIZATION FEDERAL GRANT ACTIVITY SUPPORT 8,863 0 8,863 0 8,863 007000 MCH BGTF-GADSDEN SCHOOL CLINIC 0 0 0 0 0 007000 MEDICARE RURAL HOSPITAL FLEXIBILITY PROGRAM 0 0 0 0 0 007000 MINORITY AIDS INITIATIVE TCE COLLABORATIVE 0 0 0 0 0 007000 PHP-CITIES READINESS INITIATIVE 0 0 0 0 0 007000 PUBLIC HEALTH INFRASTRUCTURE 0 0 0 0 0 007000 RAPE PREVENTION&EDUCATION 0 0 0 0 0 007000 RYAN WHITE-•EMERGING COMMUNITIES In 0 0 0 0 007000 RYAN WHITE-CONSORTIA 484,M, 0 484,m1,A0 0 484„040 007000 STATEWIDE ASTHMA PROGRAM 0 0 0 0 0 007000 STD PROGRAM INFERTILITY PREVENTION PROJECT(IPP) 0 0 0 0 0 007000 TEENAGE PREGNANCY PREVENTION REPLICATION P 0 0 0 0 007000 TUBERCULOSIS CONTROL.-FEDERAL.,GRANT 10 0 0 0 0 /- ,J / // ,,,/ ✓ ,,,,, /JJII, / ,, 1, i / ,l,� r r 7, l/ J,r„. / / / /„�%' , „/�,ii �/ r /// ,./ �/ ice/ MONROECOIINTY�HEALTHDEPARTiVIENTI, /� / � � / ,/ / / ��.. 1l r, v,///d/r/L...� ..� �2 ,/l /edr. _✓r.// 0... l6l l✓O/O../r�/� /� r ((r/���,,,Ianl/-6/�/��/��lr✓/��a���4/,L/�%//,/i si rm���.!r//r/// rl/rii/,rlrr/l////��ll��%/rrllr//%al/ ��/.,.nnarN//r; ,err///�;, -rfWw,�9,,/1����rlr�l/r��i//��al� f«rr w,�rcmim/nfr/,,fiih��rlf/fmr�uYwuin/i,��. 3. FEDERAL FUNDS-State W7000 WIC ADMINISTRATION 298,425 0 298,425 0 298,425 015009 MEDIPASS WAIVER-HLTHY MT CLIENT SERVICES 0 0 0 0 0 015009 MEDIPASS WAIVER-SOBRA 0 0 0 0 0 007055 ARRA FEDERAL GRANT-SCHEDULE C 0 0 0 0 0 015075 SCHOOL HEALTH TITLE XXI 123,839 0 123,839 0 123,839 015075 SCHOOL HEALTH 0 0 0 0 0 015075 SCHOOL HEALTH 409 0 409 0 409 015075 SCHOOL HEALTH 0 0 0 0 0 FEDERAL FUNDS TOTAL I r960,734 0 1,960,734 0 1,960,734 4. FEES ASSESSED BY STATE OR FEDERAL RULES-STATE 001020 PUBLIC WATER ANNUAL OPER PERMIT 0 0 0 0 0 001020 NON-SDWA SYSTEM PERMIT 0 0 0 0 0 001020 SWIMMING POOLS 41,200 0 43,200 0 43,2oO 001020 BODY PIERCING 945 0 445 0 945 001020 MOBILE HOME AND PARKS "z208 0 21-208 0 22,208 001020 BIOHAZARD WASTE PERMIT k635 0 8,635 0 8,635 001020 TANNING FACILITIES 1,495 0 1,495 0 1,495 001020 MIGRANT HOUSING PERMIT 0 0 0 0 0 001020 FOOD HYGIENE PERMIT 18,162 0 19,162 0 18,162 001020 PRIVATE WATER CONSTR PERMIT 0 0 0 0 0 001020 PUBLIC WATER CONSTR PERMIT 0 0 0 0 0 001020 SAFE DRINKING WATER 0 0 0 0 0 001092 OSDS PERMIT Flit 141,900 0 141,000 0 141,000 001092 AEROBIC OPERATING PERMIT 0 0 0 0 0 001092 NON SDWA LAB SAMPLE 0 0 0 0 0 001092 ENVIRONMENTAL HEALTH FEES 3,178 0 3,178 0 3,178 001092 1&M ZONED OPERATING PERM IT 0 0 0 0 0 001092 SEPTIC TANK SITE EVALUATION 0 0 0 0 0 001092 OSDS VARIANCE FEE 0 0 0 0 0 001092 OSDS REPAIR PERMIT 0 0 0 0 0 001170 LAB FEE CHEMICAL ANALYSIS 0 0 0 0 0 001170 NONPOTABLE WATER ANALYSIS 0 0 0 0 0 001170 WATER ANALYSIS-POTABLE 0 0 0 0 0 001206 CENTRAL OFFICE SURCHARGE 26,825 0 �6,825 0 26,825 001093 CHD ON-LINE BILLING FEt 0 0 0 0 0 FEES ASSESSED BY STATE OR FEDERAL RULES TOTAL 265,648 0 265,648 0 265.648 S. OTHER CASH CONTRIBUTIONS-STATE 010304 STATIONARY POLLUTANT STORAGE TANKS 78,000 0 78,000 10 78,000 090001 DRAW DOWN FROM PUBLIC HEALTH UNIT 2 ,331 41 290,331 0 290,331 031005 CHDTF CASIi TRANSFER 0 0 0 0 0 010306 DOIFDOL INTERAGENCY AGREEMENT 0 0; 0 0 0 OTHER CASH CONTRIBUTIONS TOTAL 368,331 0 368,331 0 368,331 6. MEDICAID-STATEICOUNTY 001056 MEDICAIDPHARMAC,A 0 11 0 1.) 0 / // ,./ //" J 11 / ,,,, ✓ /.. � o / ! / � 1, ,,, 'l✓/:: /, / / ✓ / / ,� ��/ / /„ tea / / � / /i � ,/ ✓ / �,Fr�irrr��/ru�✓arq�//,✓ro/l�l..✓lr/u,//;x-�//rI/,�////l/,u��/,✓�/.,��///iri//�Ir�/��//l/�(llNrwr�/rrrlrrrrr...«Rrrrrrrn„ %7/rlrrrrrsv.. arn i/,rti�rl�/,��i/�,:,, ,lx/a,ua,r ur�w ..I ,,//�/�,✓✓✓/�,r2rvr l/u 6. MEDICAID-STATEICOUNTY 001076 MEDICAID TB 0 0 0 0 0 001078 MEDICAID ADMINISTRATION OF VACCINE 0 20,846 20,946 0 20,846 001079 MEDICAID CASE MANAGEMENT 0 0 0 0 0 001081 MEDICAID CHILD HEALTH CHECK UP 0 7,904 7,904 0 7,904 001082 MEDICAID DENTAL 0 0 0 0 0 001083 MEDICAID FAMILY PLANNING 0 16,426 16,426 0 16,426 001087 MEDICAID STD 0 542 442 0 542 001089 MEDICAID AIDS 0 32j 17 32,117 0 32,117 001147 MEDICAID HMO CAPITATION 0 0 0 0 0 0o1191 MEDICAID MATERNITY 0 0 0 0 0 001192 MEDICAID COMPREHENSIVE CHILD 0 10 10 0 W 001193 MEDICAID COMPREHENSIVE ADULT 0 54,954 54,954 0 54,954 001194 MEDICAID LABORATORY 0 0 0 0 0 001208 MEDIPASS$3.00 ADM.FEE 0 0 0 0 0 001059 MEDICAID LOW INCOME POOL 0 0 0 0 0 001051 EMERGENCY MEDICAID 0 0 0 0 0 001058 MEDICAID-BEHAVIORAL HEALTH 0 0 0 0 0 001071 MEDICAID ORTHOPEDIC 0 0 0 0 0 001072 MEDICAID DERMATOLOGY 0 0 0 0 0 001075 MEDICAID.,SCHOOL HEALTH CERTIFIED MATCH 0 12,000 12,000 0 12,000 001069 MEDICAID-REFUGEE HEALTH 0 106,000 106,000 0 G6,ODO 001055 MEDICAID-HOSPITAL 0 0 0 0 0 001148 MEDICAID HMO NON-CAPITATION 11 0 0 0 0 001074 MEDICAID-NEWBORN SCREENING 0 0 0 0 0 001180 DENTAL MEDICAID HMO 0 0 0 0 0 MEDICAID TOTAL 0 250,799 750,799 0 250,799 7. ALLOCABLE REVENUE-STATE 018000 REFUNDS 0 0 (5 0 037000 PRIOR YEAR WARRANT 0 0 0 0 0 038000 12 MONTH OLD WARRANT 0 0, 0 0 ALLOCABLE REVENUE TOTAL 0 0 11 0 0 8. OTHER STATE CONTRIBUTIONS NOT IN CHD TRUST FUND-STATE ADAP 0 0 0 371,006 371.006 OTHER(SPECIFY) 0 0 0 0 0 PHARMACY SERVICES 0 0 0 70,326 70,326 TB SERVICES 0 0 0 0 0 STD SERVICES 0 0 0 0 0 WIC FOOD 0 0 0 941,030 941.030 DENTAL SERVICES 0 0 0 0 0 OTHER(SPECIFY) 0 0 0 0 0 LABORATORY SERVICES 0 0 0 21,537 21,537 IMMUNIZATION SERVICES 0 0 0 548,222 548,222 CONSTRUCTIONIRENOVATION 0 0 0 0 0 OTHER STATE CONTRIBUTIONS TOTAL 0 0 0 I,952,I21 1,952,121 a u+nx r ,�+ r..,rr,u"u" n,rni ra, u , ,u riirr a r, rr'ry mr a aa,rxr/ /// 9. DIRECT LOCAL CONTRIBUTIONS-BCCITAX DISTRICT 008010 CONTRIBUTION FROM CITY GOVERNMENT 0 0 0 0 0 008020 CONTRIBUTION FROM HEALTH CARE TAX NOT THRU BCC 0 0 0 0 0 008D40 BCC GRANTICONTRACT 0 0 0 0 0 008030 CONTRIBUTION FROM HEALTH CARE TAX 0 910,000 910,000 0 910,000 008034 BCC CONTRIBUTION FROM GENERAL FUND 0 0 0 0 0 DIRECTCOUNTY CONTRIBUTION TOTAL 0 9i0,00D 910.000 0 910,000 10. FEES AUTHORIZED BY COUNTY ORDINANCE OR RESOLUTION-COUNTY 001060 CHD SUPPORT POSITION 0 1,957 1„957 0 1,957 001077 RABIES VACCINE 0 0 0 0 0 001077 PERSONAL HEALTH FEES 0 144,044 144,044 0 144,044 001077 CHILD CAR SEAT PROG 0 0 0 0 0 001077 AIDS CO-PAYS 0 19,533 19.533 0 19,533 001094 ADULT ENTER.PERMIT FEES 0 0 0 0 0 001094 LOCAL ORDINANCE FEES 0 123.530 123,530 0 123,530 00[114 NEW BIRTH CERTIFICATES 0 17,750 17,750 0 17,750 001115 VITAL STATISTICS-DEATH CERTIFICATE 0 44,450 44,450 0 44,450 001117 VITAL STATS-ADM.FEE 50 CENTS 0 610 610 0 610 001073 CO-PAY FOR THE AIDS CARE PROGRAM 0 0 0 0 0 D01025 CLIENT REVENUE FROM GRC 0 0 0 0 0 001040 CELL PHONE ADMINISTRATIVE FEE 0 0 0 0 0 FEES AUTHORIZED BY COUNTY TOTAL 0 351,874 351,874 0 314,874 11. OTHER CASH AND LOCAL CONTRIBUTIONS-COUNTY 001009 RETURNED CHECK ITEM 0 0 0 0 0 001029 THIRD PARTY REIMBURSEMENT 0 131P38 131,038 0 131,038 001029 HEALTH MAINTENANCE ORGAN.(HMO) 0 0 0 0 0 001054 MEDICARE PART D 0 0 0 0 0 001077 RYAN WHITE TITLE I1 0 0 0 0 0 001090 MEDICARE PART B 0 106„096 106,096 0 106,096 00l[90 HEALTH MAINTENANCE ORGANIZATION 0 0 0 0 0 005040 INTEREST EARNED 0 0 0 0 0 005041 INTEREST EARNED-STATE INVESTMENT ACCOUNT 0 19,300 19,300 0 19,300 007010 U.S.GRANTS DIRECT 0 767 28l 767,281 0 767,281 008050 SCHOOL BOARD CONTRIBUTION 0 0 0 0 0 008060 SPECIAL PROJECT CONTRIBUTION 0 0 0 0 0 010300 SALE OF GOODS AND SERVICES TO STATE AGENC[1 S 0 2,890 2,890 0 2.890 010301 EXP WITNESS FEE CONSULTNT CHARGES 0 0 0 0 0 010405 SALE OF PHARMACEUTICALS 0 0 0 0 0 010409 SALE OF GOODS OUTSIDE STATE GOVERNMENT 0 0 0 0 0 011001 HEALTHY START COALITION CONTRIBUTIONS 0 300,000 300,000 0 300,000 011007 CASH DONATIONS PRIVATE 0 0 0 0 0 012020 FINES AND FORFEITURiI S 0 0 0 0 0 012021 RETURN CHECK CHARGE 0 0 0 0 0 02HO20 INSURANCE RECOVERIES-OTHkR 0 0 0 0 0 090002 DRAW DOWN FROM PUBLIC HEALTH UNIT 0 193,554 193.554 0 141,554 011000 GRANT-D[RECT 0 0 0 0 0 / / ✓,i �/ of J / / i ,/ // I / ////„ / / , ..� r �//.. /.i%/,IJYd//„ .,/��// /0//1 !J/�,bG,../,OC .r/%�. .1/ .I'•.. /�/7a.,o/t%i� ,.. // 11. OTHER CASH AND LOCAL CONTRIBUTIONS-COUNTY 011000 DIRECT-ARROW 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 011000 GRANT DIRECT-ARROW 0 0 0 0 0 011000 GRANT DIRECT-HEALTH CARE DISTRICT PAHOKEE 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 011000 GRANT DIRECT-NOVA UNIVERSITY CHD TRAINING 0 0 0 0 0 011000 GRANT DIRECT-COUNTY HEALTH DEPARTMENT DIRECT SERVICES 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 011000 GRANT DIRECT-QUANTUM DENTAL 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 011000 GRANT-DIRECT 0 0 0 0 0 010402 RECYCLED MATERIAL SALES 0 0 0 0 0 010303 FDLE FINGERPRINTING 0 0 0 0 0 007050 ARRA FEDERAL GRANT 0 0 0 0 0 001010 RECOVERY OF BAD CHECKS 0 0 0 0 0 008065 FCO CONTRIBUTION 0 0 0 0 0 011006 RESTRICTED CASH DONATION 0 0 0 0 0 028000 INSURANCE RECOVERIES ❑ 0 0 0 0 001033 CMS MANAGEMENT FEE PMPMPC 0 0 0 0 0 010400 SALE OF GOODS OUTSIDE STATE GOVERNMENT 0 290,305 290,305 0 290,305 010500 REFUGEE HEALTH 0 0 0 0 0 005045 INTEREST EARNED-TH]RD PARTY PROVIDER 0 0 0 0 0 005043 INTEREST EARNED-CONTRACTI'GRANT 0 0 0 0 0 001053 MEDICARE-PART A 0 0 0 0 0 011002 ARRA FEDERAL GRANT-SUB-RECIPIENT 0 0 0 0 0 011004 LOW INCOME POOL_SUBRECIPIENT 0 0 0 0 0 001003 WIRE TRANSFER FEE 0 0 0 0 0 OTHER CASH AND LOCAL CONTRIBUTIONS TOTAL 0 L810„464 1,810,464 0 1,810.464 12. ALLOCALE REVENUE-COUNTY 018000 REFUNDS 0, IT050 1,050 0 1,050 037000 PRIOR YEAR WARRANT 0 0 0 0 0 038000 12 MONTH OLD WARRANT 0 0 0 0 0 001053 CLIENT REVENUE FROM NCO 0 0 0 0 0 COUNTY ALLOCABLE REVENUE TOTAL 0 1,050 1,050 0 1,050 13. BUILDINGS-COUNTY ANNUAL RENTAL EQI,IIVALENT VALUT, 0 0 0 527,454 527,454 OTHER(SPECIFY) 0 0 0 0 0 UTILITIES 0 0 0 55,930 55,930 BUILDING MAINTENANCE 0 0 0 65,128 65,129 GROUNDS MAINTENANCit'll 0 0 0 102,000 102,000 INSURANCE 0 0 0 0 0 OTI IER(SPECIFY) 0 0 0 0 0 BUILDINGS TOTAL 0 0 0 750,512 750,512 11/�/��/��rr�����Il/IIr((,/rl,,�r///r//I�r��ir,/r'/rr�����//,r�%r (/((l/(Aral I(r r�r r(/rllr//r„r-xYIlMIYYd�/�r/Irr/(rm�,�, ,r, ✓,,,r,;,///lr/r, I r! G e.1 �..�i.,:✓6� �� u��f�aia���V�JIr������/l��W u1�d��. 14. OTHER COUNTY CONTRIBUTIONS NOT IN CHD TRUST FUND-COUNTY EQUIPMENTIVEHICLE PURCHASES 0 0 0 0 0 VEHICLE INSURANCE 0 0 0 0 0 VEHICLE MAINTENANCE 0 0 0 0 0 OTHER COUNTY CONTRIBUTION(SP C.IFY) 0 0 0 0 0 OTHER COUNTY CONTRIBUTION(SPECIFY) 0 0 0 0 0 OTHER COUNTY CONTRIBUTIONS TOTAL 0 0 0 0 0 GRAND TOTAL CHD PROGRAM 5,130,664 3,324,197 8.454,851 2,702,633 11,157.484 ATTACHMENT lit 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. ��ii <✓,% /1,�,, � /ii,„,, r�,/u% �i / /�, ,,,1✓//. Y✓ ,r .,/,%i�1�Ga�//, ./r parr,,, lii/, /, I,. ,,, /.� /, ,�<,��/% i / Mt And rasa B thla Each 0�Of Scrvkc /// % /Part IIL lalsaCd S CII �VVI r / orrrrii/ i / rr r / / // / r,. .00 Uaip ,,+ � e•1!) r /�Stat!</ ,/,fii ,//r , ., � � ,r ii/G %( /lii crr,,,, / ✓,,,c///r .,,,/,: "✓,.,/i,,,,cu�/,F/r linrrrrrrr�r,/I�,�,,,,.,,.,,.,,. ///�rn�i�(Girrrrrrrrrr/rr(r(rr! /,��wu2�/rr/i«rrrrrrrrrrrirr,��r//rrrrr/rr//G/�iur��irarr,l�rrrrl/(r�ra!rrr,�r,�/fir»�i/�/ram�i A. COMMUNICABLE DISEASE CONTROL: IMMUNIZATION(101) 10.03 6,000 8,000 276,912 237292 276,912 276,806 23217 1,044,705 1,067,922 S (102) 1.67 250 500 33299 28,535 33w99 33286 81,586 46,833 128,419 HIV/AIDS PREVENTION(03A1) 3.95 350 600 79,637 68,243 79,637 79,605 307,122 0 307,122 HIV/AIDS SURVEILLANCE(03A2) 0.14 35 40 2,819 2,416 2,819 2,817 6,995 3,876 10,871 HIV/AIDS PATIENT C (03A3) 20.84 500 4,000 785,030 672,710 785,030 784,727 2,017,778 1,009,719 3,027,497 ADAP(03A4) 1.21 60 75 20,872 17,886 20,872 20,864 80,494 0 80,494 TB CONTROL SERVICES(104) 0.60 20 65 15,742 13,490 15,742 15,737 60.711 0 60,711 COMM.DISEASE SURV.(106) 0.72 0 1,700 17,823 15273 17,823 17.816 44226 24,509 68,735 HEPATITIS PREVENTION(109) 0.83 400 700 22,345 19,148 22,345 22,338 85.747 429 86,176 PUBLIC HEALTH PREP AND RESP(116) 2.80 0 650 69,570 59,616 69,570 69,545 268,301 0 268,301 REFUGEE HEALTH(118) 2,04 255 615 43250 37,062 43,250 43234 107,321 59,475 166,796 VITAL STATISTICS(180) 1.40 1,925 51510 24,316 20,837 24,316 24,305 0 93,774 93,774 COMMUNICABLE DIS AS SUBTOTAL 46.23 9.795 2-,455 1,391,615 1,192,508 1,391,615 1,391,090 3,083,498 2,283,320 5,366,819 B. PRIMARY CARE: CHRONIC DISEASE SERVICES(210) 0.46 0 0 10,388 8,902 10,388 10,383 40,061 0 40,061 T013ACCO PREVENTION(212) 1.26 0 40 32,355 27,725 32,355 32,342 124,777 0 124,777 IC(21 W 1) 5.23 1,950 15,750 96,827 82,973 96,927 96,791 373,418 0 373,418 WIC BREASTFEEDING PEER COUNSELING(21 W3) 1.24 0 1,075 19,142 16,403 19,142 19,134 73,821 0 73,821 FAMILY PLA ING(223) 4.24 1,2215 2,300 102,874 88,155 102,874 102,833 302,602 94,134 396,736 IMPROVED PREGNANCY OUTCOME(225) 0.00 0 0 0 0 0 0 0 0 0 HEALTHY START PRENATAL(227) 3.14 625 4,775 62,153 53,261 62,153 62,130 0 239,697 239,697 COMPREHENSIVE CHILD HEALTH(229) 0.42 295 335 8,056 6,904 8,056 8,054 21)74 9.796 31.070 HEALTHY START INFANT(231) 1.87 375 2,500 33,148 28,405 33,148 33,135 82,253 45,583 127,836 SCHOOL HEALTH(234) 4.54 0 125,000 77,487 66,400 77,487 77,458 283,379 15,453 298.832 COMPREHENSIVE ADULT HEALTH(237) 3.23 500 3,000 81„025 69,432 81,025 80,993 139,645 172,830 312,475 COMMUNITY HEALTH DEVELOPMENT(238) 1.09 0 0 30.010 25,716 30,010 29,997 115,733 0 115,733 DENTAL HEALTH(240) 0.00 0 0 0 0 0 0 0 0 0 PRIMARY A SUBTOTAL 26.72 4,970 154,775 553,465 474,276 553,465 553250 1,556,963 577,493 2,134,456 C. ENVIRONMENTAL HEALTH: Ater and Onsite Sewage Programs COASTAL BEACH MONITORING(347) 0.27 300 300 7,606 6,518 7,606 7,604 29,327 7 29,334 LIMITED USE PUBLIC WATER SYSTEMS(351) 0.00 0 0 17 15 17 18 43 24 67 PUBLIC WATER SYSTEM(358) 0.00 0 0 0 0 0 0 0 0 0 PRIVATE WATER SYSTEM(359) 0.00 0 0 0 0 0 0 0 0 0 INDIVIDUAL SEWAGE DISP.(361) 7.17 3,300 6,700 117,474 100,666 117,474 117,429 361,531 91,512 453,043 Group Total 7.44 3,600 7,000 125,097 107,199 125,097 125,051 390,901 91,543 482,444 Facility Programs FOOD HYGIENE(348) 0.64 55 180 11,2"9 %665 11,279 11274 29,839 13,658 43,497 BODY PIERCING FACILITIES SERVICES(349) 0,09 7 9 1,569 1,345 1,569 1,569 3,213 2,839 6,052 GROUP CARE FACILITY(351) 0.08 22 35 1,158 992 1,158 1,156 2,232 2,232 4.464 MIGRANT LABOR CAMP(352) 0.00 0 0 0 0 0 0 0 0 /,i%//% � /%/// ,r,i� %i,,«, � i//ro,: �,�,r �!�i /,.,/r �G/{�rl „/���� /�r/(///�i„�/ r./,%rr/,/ //✓/ / ✓� /�, /rr„ ail%/// // / / �II�//, //�////��rart m PW�aea s cliam ' Amd alearm'� servke wltf�E.ch�of s«wice///%�//% / /. � /%,, � ill r//% ✓ ,,,,,/ ,. / ,,,e // � i / � %/. ................................. �rri / w„/%i/ii//a„i✓/l/i,. /el ;,,=„rrr,i ,,,,s,cl/ -,-/I/�/ rrrr„/r,r/ar«««riirrr/II,,,,,�,✓✓r �iir,r�„�G�% „ir�rrr,",",/ri/��1/,i/,oi%a///�.�Ir/�///fr//,.%G/��r�i„///�r� ai,,�//;,,�/�///i//;�/;r/rr�IrGr'r%/r/0/rrrr/„rnrrl/�//„//rF.: /%,iN C. ENVIRONMENTALHEALTH: Facil Programs HOUSING,PUBLIC BLDG SA ,SANITATION(353p.00 0 0 98 84 98 98 243 135 378 MOBILE HOME AND PARKS SERVICES(354) 0.37 115 250 6,156 5,275 6,156 6,154 11,756 11,985 23,741 SWIMMING POOLSIBATHING(360) 1.66 643 1,400 28,047 24,034 28,047 28,038 61,433 46,733 I08,166 BIOMEDICAL WASTE SERVICES(364) 0,39 198 206 6-97 5,396 6?97 6_196 14,747 9,539 24-286 TANNING FACILITY SERVICES(369) 0,00 0 0 105 90 105 104 291 113 404 Group Total 3.23 1,040 2,080 54,709 46,881 54,709 54,689 123,754 87)34 210,988 Groundwater Contamination STORAGE TANK COMPLIANCE(35$) 1.15 218 416 25,085 21,496 25,085 25,075 96,T+? 19 96,741 SUPER ACT SERVICE(356) 0.00 0 4 68 59 68 69 170 94 264 Group Total 1.15 218 420 25,153 21,555 25,153 25,144 96,892 113 97,005 Community Hygiene TATTOO FACILITIES SERVICES 0,07 0 17 1,257 1,077 1-57 1?57 4,174 674 4,848 COMMUNITY ENVM HEALTH(345) 0.00 0 0 0 0 0 0 0 0 0 INJURY PREVENTION(346) 0.00 0 0 0 0 0 0 0 0 0 LEAD MONITORING SERVICES(350) 0.00 0 0 0 0 0 0 0 0 0 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) 028 80 211 5,041 4,320 5,041 5,039 9,721 9,720 19,441 RABIES SURVEILLANCE/CONTROL SERVICES(366)0.04 3 I8 744 638 744 745 1,435 1,436 2,871 ARBOVIRUS SURVEILLANCE(367) 0.00 0 0 0 0 0 0 0 0 0 RODENT/ARTHROPOD CONTROL(368) 0.00 0 3 44 38 44 44 109 61 170 WATER POLLUTION(370) 0.00 0 0 0 0 0 0 0 0 0 INDOOR AIR(371) 0.00 0 0 30 26 30 30 75 41 116 RADIOLOGICAL HEALTH(372) 0.00 0 0 61 52 61 62 152 84 236 TOXIC SUBSTANCES(373) 1.00 1w00 1?00 18,273 15,659 18 273 18,267 13 70,459 70,472 Group Total 1.39 1,283 1,449 25,450 21,810 25,450 25,444 15,679 82,475 98,154 ENVIRONMENTAL HEALTH SUBTOTAL 13.21 6,141 10,949 230,409 197,445 230,409 230,328 627,226 261,365 888,591 D. NON-OPERATIONAL COSTS: NONOPERATIONAL COSTS(599) 0.00 0 0 0 0 0 0 0 0 0 ENVIRONMENTAL HEALTH SURCHARGE(399) 0.00 0 0 6,956 5,961 6,956 6,952 26,825 0 ?6,825 MEDICAID BUYBACK(611) 0.00 0 0 9,895 8,479 9,895 9,892 38,161 0 38,161 NON-OPERATIONAL COSTS SUBTOTAL 0.00 0 0 16,851 14,440 16,851 16,844 64,986 0 64,986 TOTAL CONTRACT 86.16 20,906 188,179 2,192,340 1.878.669 2,192,340 2.191,502 5,332,673 3,1'?,178 8,454,851 ATTACHMENT IV MONROE COUNTY HEALTH DEPARTMENT FACILITIES UTILIZED BY THE COUNTY HEALTH DEPARTMENT Facility Descr1otion Location Owned By Gato Building 1100 Simonton Street Monroe County Administration Key West, FL 33040 Nursing Environmental Health Health Care Center 3134 Northside Drive MW &JC, LLC and Building B Leased to Key West, FL 33040 Monroe County For MCHD use Murray E. Nelson Government Center 102050 Overseas Highway Monroe County Environmental Health Key Largo, FL 33037 Roosevelt Sands Center 105 Olivia Street City of Key West Key West, FL 33040 subject to Inter-local Agreement with Monroe County for MCHD use Ruth Ivins Center 3333 Overseas Highway Monroe County Marathon, FL 33050 Roth Building 50 High Point Road Monroe County Tavernier, FL 33070 ATTACHMENT V MONROE COUNTY HEALTH DEPARTMENT SPECIAL PROJECTS SAVINGS PLAN IDENTIFY THE AMOUNT OF CASH THAT IS ANTICIPATED TO BE SET ASIDE ANNUALLY FOR THE PROJECT. CONTRACT YEAR STATE COUNTY TOTAL 2011-2012 $ $ $ - 2012-2013 $ $ $ - 2013-2014 $ $ $ - 2014-2015 $ $ $ - 2015-2016 $ $ $ - PROJECT TOTAL $ NIA $ NIA $ NIA SPECIAL PROJECT CONSTRUCTIONIRENOVATION PLAN 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. ESTIMATED PROJECT INFORMATION: START DATE(initiat expenditure of funds): COMPLETION DATE: DESIGN FEES: $ CONSTRUCTION COSTS: $ FURNITURE/EQUIPMENT $ TOTAL PROJECT COST: $ - COST PER SO FOOT: $ NIA Special Capital Projects are new construction or renovation projects and new furniture or equipment associated with these projects and mobile health vans. FEE RESOLUTIONS 1 -2014 HEALTH A. PURPOSE. To establish publicIt is in order to expand existing public health servicesthe community large. PRIMARYB. I . (1) Primary care illary services include II and sick adult and child It services and familyplanning services. is ill be charged at not more than 160% of the prevailingMedicare r there is no Medicare , the fee will be the Medicaid te. Service levels il[ be determinedutilizing current Medicare guidelines r coding and billingis r vided. Discounting adjustmentsill be clientmade to contract for services withMedicare other 3rd party payers. In iti sliding I r primary care services will be based upon Federal OMB guidelinesin accordanceiState of Floridaof HealthPolicy - Medicaid is billedMedicaid Cost-basedreimbursement r these servicesis consideredn in full. ( ) Pharmacy— Medications issued will be providedt recent cost. Medicaid is acceptedin full. ( ) Injection r parenteral medications periji ( ) Lab fees -AllI r logy fees are subjectsliding scale adjustmentr l Guidelines. Specimensa. in clinic- $10.00 (hemoglobin, urine, I r, mono, wet mount, sr ) b. Pregnancy st No charge C. COMMUNITY PUBLIC HEALTH SERVICES ( ) Tuberculosis X-rayr suspected, confirmed or Symptomatic contact r case ( ) Tuberculosis Skin Test for suspected, confirmed or Symptomatic contact or case ( ) Tuberculosis ( ) Sputum Culturer suspected, confirmed, r symptomatic contact of case No Charge ( ) Tuberculin ( ) Skin Test, withreading, than $35.00 listed abovein C. ( ). ( ) Tuberculin assessment of clientsithistory of positive i Page I of 3 Monroe County Health Department Core Contract 2013-2014 (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. Professional Component fees: Office/Outpatient Visit, New $178.00 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 Vaccine administration fee (child or adult) $23.50 (8) Special vaccination campaigns Accept insurance contracted amount, no co-pay or deductible to client. Where manufacturer offers rebate, assistance or replacement plans, un- insured clients are eligible for no cost. Reference separate county inter-local agreement for specific campaign details re: HPV, Tdap, and Seasonal Flu for residents making $40k per year or less. (9) Seasonal Flu shots $18.00 (regardless of where administered, and outside of Fee scale applies county inter-local agreement) (10) All other Immunizations Cost of vaccine x 2 + $35 injection fee (11) Class/Seminar attendance registration Per person charge for health care, social work and counseling employees. AIDS 101 No Charge AIDS 500 No Charge AIDS 501 No Charge (12) Expendable medical/wound care supplies such as: Sponge Gauze, Bandages/Dressings, Gloves Cost Page 2 of 3 Monroe County Health Department Core Contract 2013-2014 (13) International Certificates of Vaccination Cost x 3.5 D. VITAL STATISTICS: (1) Birth Certificates: $ 16.00 Additional Copies $ 16.00 (2) Protective Covers (3) Death Certificates— Certified Copy $ 13.00 Additional Copies $ 13.00 (4) Express Fee $ 10.00 E. MEDICAL RECORDS: Copying of Medical Record (per page) $ 1.00 F. PUBLIC RECORDS: Copying of Public Record (per page) 25 cents G. RETURNEWDISHONORED CHECKS: (S. 215.34(2), F.S.) A service fee of$15.00 or 5% of the face amount of the check, draft, or money order whichever is greater, not to exceed $150.00 H. PUBLIC HEALTH AND MEDICAL PREPAREDNESS New or annual review of Comprehensive Emergency Management Plan for Home Health Agencies, Hospices, Nurse Registries, Home Medical Equipment Providers $ 75.00 Page 3 of 3 Monroe County Health Department Core Contract 2013-2014 Monroe County Health Department Fee Schedule, Environmental Health County Fee List(In addition to State Fees on alternate Fee Schedule) HEALTH DESCRIPTION ONSITE SEWAGE DIPOSAL PROGRAM(OSTDS) County Fee Application and plan review for construction permit for new systems 100 Application and approval for existing system,if system inspection not required. 10 Application and Existing System Evaluation with inspection 50 Application for permitting of an new Performance-based treatment system 75 Site Evaluation 0 Site re-evaluation 40 Permit or permit amendment for new systems 25 Initial system inspection 50 System re-Inspection{stabilization,non-compliance,or other inspection after initial 25 Inspection. Research fee(State Fee) 0 Repair Permit with Inspection 50 Application for system abandonment permit 45 Tank manufacturer's inspection per annum 20 Amendment to an Operating Permit 0 Septage Disposal Service Permit per annum 2X per yr inspection 45 Portable or temporary toilet service permit per annum 45 Additional charge per pump out vehicle 5 Annual operating permit industrial/manufacturing zoning or commercial sewage 0 waste Biennial Operating permit for aerobic treatment unit or performance-based 0 treatment system Aerobic treatment unit maintenance entity permit per annum 0 Variance application for a single family residence per each lot or building site 100 Variance application for a multifamily or commercial building site 140 Inspection for construction of an Injection well(FL Keys) 95 OSTDS Operating Permit Late Fee(45 days past due) 50 Per request-Expediting-Fast Track Permitting New&Existing(48 hour turn- 500 around)Charged in addition to state fee Letter of Coordination for development review committees 250 Expedited OSTDS Variance Processing.Received within 8 days of monthly 500 deadline.Charged in addition to state fee OSTDS PETS screening test fee 25 PUBLIC SWIMMING POOLS Annual permit-up to and Including 25,000 gallons 115 Annual permit-more than 25,000 gallons 100 Non routine Inspection(no charge for first Inspection 100 Exempted condominiums/Cooperatives with over 32 units 25 MOBILE HOME&RECREATIONAL VEHICLE PARKS Annual permit for 5 to 25 spaces 125 Annual permit for 26 to 149spaces$4.00 per space $3,50 @:er spa n Annual permit for 150 and above spaces 400 ., ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Monroe County Health Department Core Contract 2013 2014 FOOD ESTABLISHMENTS Annual Permit for Fraternal/Civic 35 Annual Permit School Cafeteria Operating for 9 months or less 106 Annual Permit School Cafeteria Operating for more than 9 months 125 Annual Permit for Movie Theaters 0 Annual Permit for Jails/Prisons 0 Annual Permit for Bars/Lounges 85 Annual Permit for Residential Facilities 65 Annual Permit for Limited Food Service 115 Child pre center 40 Caterer 45 Mobile Food Units 45 Other Food Service 35 Vending machine dispensing potentially hazardous food 0 Plan review per hour public schools,colleges,and vocational teaching facilities 20 are exempt from this fee Food establishment worker training course per person 0 Alcoholic beverage inspection approval 15 Request for inspection 10 Re-inspectlon(for each re-Inspection after the first) 0 Temporary event food service establishment (a)sponsor Wo existing 100 sanitation certificate b)vendor or booth at an establishment or location wto an existing sanitation 50 certificate Late renewals 15 BIOMEDICAL Generators 40 Storage Facilities 40 Late Fee 20 TANNING FACILITIES Annual Permit 100 Fee per Device 0 Consultation 50 Late Renewal Fee 0 BODY PIERCING ESTABLISHMENTS License Fee 100 Temporary Establishment 15 Late fee 0 Consultation 50 HEALTHY HOMES PROGRAM Healthy home Assessment Voluntary Inspection living unit(radon,CO2.Mold 300 Safety) Public Education-Per Attendee 25 Monroe County Health Department Core Contract 2013-2014 F � 2 Q M 6 T ti 99 CL SF G O $lo� 2 LL a �w w w w w w w w wU U U U U w } Ln R.- Z o w N N N [,W; NNa O O 9 O8LU w a� w �s w w w 13 a 011 W m o S a � � N W 2 V N ui LL ` Ci ® 0 �+ F E .J q* tg Nom HNCL 0 iZ Z 9 W Q w a� o W p m a°% a » p OL — W U. 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