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10 Resolution approving and amendment to the contract with the Department of State Health Service for primary health careCITY COUNCIL AGENDA ITEM BRIEFING SHEET Submittal Date: Originating Department: Presented By: Agenda Item No.: 7-21-200g Council Date: Health Department Anthony Bethel 10. 7-2g-200g RECOMMENDED MOTION: Motion to approve a resolution approving an amendment to the contract with the Department of State Health Services for primary health care, for regional and local medical services, and authorizing the City Manager to execute all necessary documents. POLICY ISSUE(S): Fiscal management. BACKGROUND: Approval of this resolution will modify an existing agreement and allow for reimbursement for primary health care and local medical services from $100,000 to $135,145 for the fiscal year 2008. BOARD/COMMISSION RECOMMENDATION: N/A EXHIBITS: Resolution and contract amendment ACTION: BUDGET INFO: ❑ Financial Report ❑ Minute Order Expense $ ❑ Department Report Z Resolution Budgeted Amt. $ ❑ Presentation ❑ Ordinance y'I'D Actual $ ❑ Public Hearing ❑ Other Acct. Name Acct. Number FISCAL NOTES: REVIEWED AND APPROVED BY: Z Administration Z City Clerk ❑ Community Development ❑ EMS/IT Z Finance ❑ Fire ❑ Municipal Coutt Z Legal ❑ Library ❑ Police ❑ Eng./Public Works ❑ Utilities City of Paris Revised 2/04/08 ~ ~~~083 F `r~-~ Yr) ~ti DAVID L. LAKEY, M.D. COMMISSIONER July 1, 2008 Dear Contractor: 1100 West 49th Street • Austin, Texas 78756 P.O. Box 149347 • Austin, Texas 78714-9347 1-888-963-7111 • www.dshsstate.tx.us TTY: 1-800-735-2989 Enclosed are two copies of your Department of State Health Services (DSHS) contract amendment. Please sign and return both copies to this unit as soon as possible. Your contract will be signed by DSHS and returned to your agency. Changes made to any portion of the contract documents are considered a counter-offer and are not valid without DSHS written concurrence. DSHS will not pay for reimbursements submitted/postmarked more than 60 days after the end of the contract term. Additional information regarding this policy is available on the DSHS website at http://www.dshs.state.tx.us. PLEASE NOTE: Return both copies of the contract in their entirety to the address below. Contracts returned to any other address may result in contract delays. MailinE Address for Resular Mail: Client Services Contracting Unit MC 1886 Department of State Health Services PO Box 149347 Austin, TX 78714-9347 Phvsical Address for Overnight Mail: Client Services Contracting Unit MC 1886 Department of State Health Services 1100 West 49t" Street Austin, TX 78756 Please reference the DSHS contract and attachment number in all future correspondence. If you have questions, please contact Stefanie Jackson at 512-458-7111 ext. 2075 or via email at stefanie.jackson@dshs.state.tx.us. Sincerely, Bob Burnette, Director Client Services Contracting Unit Enclosures TEXAS DEPARTMENT OF STATE HEALTH SERVICES An Equal Employment Op ortunity Employer and Provider a 100084 nRaFT Attorney\reswork\current\Health Contract DSHS No. 2009-024359-001 RESOLUTION NO. A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF PARIS, TEXAS, APPROVING AND AUTHORIZING THE EXECUTION OF AN AMENDMENT TO THE CONTRACT WITH THE DEPARTMENT OF STATE HEALTH SERVICES ("DSHS") DOCUMENT NO. 2008-024359-001 CHS - PRIMARY HEALTH CARE, FOR REGIONAL AND LOCAL MEDICAL SERVICES; MAKING OTHER FINDINGS AND PROVISIONS RELATED TO THE SUBJECT; AND PROVIDING AN EFFECTIVE DATE. WHEREAS, the State of Texas is a funding partner with Lamar County and the City of Paris for the Paris-Lamar County Health Department; and, WHEREAS, the amendment to Contract for Regional and Local Services, DSHS Document No. 2008-024359-001 CHS - Primary Health Care, is necessary because of an increase due to realignment of FY 08 funds to the Paris Lamar-County Health Department, revising the Budget to reflect an increase in total payments from $100,000.00 to $135,145.00; and, WHEREAS, it is appropriate that the Contract attached hereto as Exhibit A, be approved, and that the City Manager be authorized to execute the same on behalf of the City of Paris, which is the authorized contracting entity for the performing agency, the Paris-Lamar County Health Department; NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PARIS, PARIS, TEXAS: Section 1. That the findings set out in the preamble to this resolution are hereby in all things approved. Section 2. That the Contract for Regional and Local Services, DSHS Document No. 2008-024359-001 CHS - Primary Health Care for regional and local medical services attached hereto as Exhibit A, be, and the same is hereby, approved. Section 3. That the City Manager be, and he is hereby, authorized and directed to execute, on behalf of the City of Paris, which is the authorized contracting entity for the performing agency, the Paris-Lamar County Health Department, the amendment to Contract for Regional and Local Services, DSHS Document No.2008-024359-001 CHS - Primary Health Care, under the terms and conditions and in substantially the same form shown in Exhibit A, attached hereto. Section 4. That this resolution shall be effective from and after its date of passage. - 000085 PASSED AND APPROVED this 28th day of July, 2008. Jesse james Freelen, Mayor ATTEST: Janice Ellis, City Clerk APPROVED AS TO FORM: W. Kent McIlyar, City Attorney 00[l(186 DEPARTMENT OF STATE HEALTH SERVICES S~P~ E ~ lw ~ c~ x ~ Amendment To The Department of State Health Services (DSHS) and PARIS-LAMAR COiJNTY HEALTH DEPARTMENT (Contractor) agree to amend the Program Attachment # 001 (Program Attachment) to Contract # 2008- 024359 (Contract) in accordance with this Amendment No. OOlA : CHS - PRIMARY HEALTH CARE , effective 06/11/2008 . This Amendment is necessary because of an increase due to realignment of FY08 funds. Therefore, DSHS and Contractor agree as follows: SECTION VII. BUDGET: Budget is revised as attached. Total payments will not exceed $1-99,089.08 $135,145.00. Department of State Health Services Signature of Authorized Official Date: Bob Burnette, C.P.M., CTPM Director, Client Services Contracting Unit 1100 WEST 49TH STREET AUSTIN, TEXAS 78756 (512) 458-7470 Bob. Burnette@dshs. state.tx.us Contractor Signature of Authorized Official Date: Name: Title: July 28, 2008 Revin Carruth City Manager Address: P. 0- Boz 9037 Phone Paris, T% 75461-9037 (903) 785-7511 Email: kcarruth@paristezas.gov Page - 1 of 1 EXHIBIT -L - 00Pf'F7 DEPARTMENT OF STATE HEALTH SERVICES E w ~ i cn x C~ 1100 WEST 49TH STREET AUSTIN, TEXAS 78756-3199 CATEGORICAL BUDGET CHANGE REQUEST DSHS PROGRAM: CHS - PRIMARY HEALTH CARE CONTRATOR: PARIS-LAMAR COUNTY HERLTH DEPARTMENT CONTRACT NO: 2008-024359 CONTRACT TERM: 09/01/2007 THRU: 08/31/2008 BUDGET PERIOD: 09/01/2007 THRU: 08j31/2008 CHG: OQlA DIRECT COST (OBJECT CLASS CATEGORIES) Current Approved Budget (A) Revised Budget (B) Change Requested Personnel $53,300.00 $69,290.00 $15,990.00 Fringe Benefits Travel $13,325.00 $0.00 $17,322.00 $1,000.00 $3,997.00 $1,000.00 Equipment Supplies Contractual Other Total Direct Charges $0.00 $3,600.00 $25,695.00 $4,080.00 $100,000.00 $0.00 $10,933.00 $30,000.00 $6,600.00 $135,145.00 $0.00 $7,333.00 $4,305.00 $2,520.00 $35,145.00 INDIRECT COST Base $0.00 $0.00 $0.00 Rate Indirect Total 0.00% $0.00 0.00% $0.00 0.00% $0.00 PROGRAM INCOME Program Income Other Match $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Income Total $0.00 $0.00 $0.00 LIMITS/RESTRICTIONS Advance Limit $0.00 $0.00 $0.00 Restricted Budget $0.00 $0.00 $0.00 'SUMMARY CostTotal $100,000.00 $135,145.00 $35,145.00 Performing Agency Share Receiving Agency Share Total Reimbursements Limit $0.00 $100,000.00 $100,000.00 $0.00 $135,145.00 $135,145.00 $0.00 $35,145.00 $35,145.00 JUSTIFICATION ' Financial status reports are due: 12/31/2007, 03/31/2008, 06/30/2008, 10/31/2008 - 000088 1.~