HomeMy WebLinkAbout2020-376-E-Health-NC Division of Public Health agreement addendum FY-20-21Division of Public Health
Agreement Addendum
FY 20-21
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_____________________________________________ ____________________________________
Health Director Signature (use blue ink) Date
Local Health Department to complete:
(If follow-up information is needed by DPH) LHD program contact name:
Phone number with area code:
Email address:
Signature on this page signifies you have read and accepted all pages of this document. Revised July 2017
Orange County Health Department Epidemiology / PH Preparedness & Response
Local Health Department Legal Name DPH Section / Branch Name
619 COVID-19 Crisis Response
Wayne Mixon, (919) 546-1831
wayne.mixon@dhhs.nc.gov
Activity Number and Description DPH Program Contact
(name, phone number, and email)
06/01/2020 – 03/15/2021
Service Period DPH Program Signature Date
(only required for a negotiable agreement addendum)
07/01/2020 – 04/30/2021
Payment Period
Original Agreement Addendum
Agreement Addendum Revision #
I. Background:
On March 6, 2020, the President of the United States signed into law the Coronavirus Preparedness and
Response Supplemental Appropriations Act, 2020 (P.L. 116-123) (Coronavirus Supplemental). This Act
provides funding to prevent, prepare for, and respond to Coronavirus Disease 2019 (COVID-19).
To support governmental public health emergency response to COVID-19, the Centers for Disease
Control and Prevention (CDC) has activated CDC-RFA-TP18-1802 Cooperative Agreement for
Emergency Response: Public Health Crisis Response (www.cdc.gov/phpr/readiness/funding-crisis.htm).
CDC is awarding funding, totaling $569,822,380, under Components A and B to eligible jurisdictions
that are on the approved but unfunded (ABU) list for CDC-RFA-TP18-1802 to provide resources to
prevent, prepare for, and respond to COVID-19. This funding is intended for state, local, territorial, and
tribal health departments to carry out surveillance, epidemiology, laboratory capacity, infection control,
mitigation, communications, and other preparedness and response activities. These funds are in addition
to funds CDC previously awarded to select jurisdictions for COVID-19 response activities.
The Division of Public Health (DPH), Public Health Preparedness & Response (PHP&R) Branch, is
making an allocation of these funds available to all local health departments through the “CDC-RFA-
TP18-1802, Cooperative Agreement for Emergency Response: Public Health Crisis Response, COVID-
19 Crisis Response Cooperative Agreement – Components A and B Supplemental Funding” to carry out
surveillance, epidemiology, laboratory capacity, infection control, mitigation, communications, and
other preparedness and response activities.
nbontrager@orangecountync.gov
919-245-2407
Natalie Bontrager
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II.Purpose:
This Activity is for the Local Health Department to work to prevent, prepare for, and respond to
Coronavirus Disease 2019 (COVID-19) by carrying out surveillance, epidemiology, laboratory capacity,
infection control, mitigation, communications, and other preparedness and response activities.
III.Scope of Work and Deliverables:
All of the activities the Local Health Department performs under this Agreement Addenda shall
be informed by the NC DHHS COVID-19 Guidance for Health Care Providers and Local Health
Departments.1 The Local Health Department (LHD) shall:
1.Implement and scale-up laboratory testing and data collection to enable identification and
tracking of COVID-19 cases in the community with emphasis placed on priority populations as
defined in NC DHHS guidance2 to include health care workers, first responders, persons in high-risk
congregate settings, and persons at a higher risk of severe illness, and immediate implementation of
real-time reporting to PHP&R. This shall be accomplished by conducting one or more of the
following activities:
a.Expand testing access in the community with a focus on persons who may expose vulnerable
people.
b.Conducting surveillance to identify cases, report case data in a timely manner, identify contacts,
characterize disease transmission, and track relevant epidemiologic characteristics including
hospitalization and death.
c.Conducting surveillance to monitor virologic and disease activity in the community and
healthcare settings, with emphasis on expanding contact tracing for high risk populations using
traditional and non-traditional methods.
d.Implementing routine and enhanced surveillance to support the science base that informs public
health interventions that mitigate the impact of COVID-19, including understanding of clinical
characteristics; infection prevention and control practices; and other mitigation requirements.
e.Establishing or enhancing core epidemiological activities to support response such as risk
assessment, case classification, analysis, visualization, and reporting.
f.Conduct surveillance to monitor disruption in the community caused by COVID-19 and related
mitigation activities (e.g., school closures and cancellation of mass gatherings).
g.Conduct surveillance to monitor disruption in healthcare systems caused by COVID-19 (e.g.,
shortages of personal protective equipment).
2.Write a brief Updated COVID-19 Community Intervention Implementation Plan and upload it
by December 31, 2020 to the COVID-19/Agreement Addendum/County Submissions/CountyName
folder at https://ncconnect.sharepoint.com/sites/phpr/SitePages/PCForums.aspx. The naming
convention for this Plan shall be, “CountyName-Updated Community Plan” (for example: Wake-
Updated Community Plan).
This updated plan shall describe how the LHD will achieve the response’s three mitigation goals: 1)
Slow transmission of disease, 2) Minimize morbidity and mortality, and 3) Preserve healthcare,
1 https://www.ncdhhs.gov/divisions/public-health/covid19/covid-19-guidance#all-guidance-for-health-care-providers-and-local-
health-departments
2 https://files.nc.gov/ncdhhs/documents/files/covid-19/COVID-19-Provider-Guidance-Final.pdf
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workforce, and infrastructure functions and minimize social and economic impacts. The LHD shall
use its current Plan—which it produced for the FY20 Agreement Addendum—as the starting point
and create an Updated COVID-19 Community Intervention Implementation Plan that addresses how
the LHD will accomplish the following tasks, with emphasis on addressing high-risk congregate
settings such as long-term care facilities, homeless shelters, correctional facilities, and migrant
farmworker camps:
a.Minimize potential spread and reduce morbidity and mortality of COVID-19 in communities.
b.Plan and adapt for disruption caused by community spread and implement interventions to
prevent further spread.
c.Ensure healthcare system response is an integrated part of community interventions.
d.Ensure integration of community mitigation interventions with health system preparedness and
response plans and interventions.
3.Summarize the LHD’s Updated COVID-19 Community Intervention Implementation Plan into an
Updated COVID-19 Community Intervention Executive Summary and upload it by December
31, 2020 to the COVID-19/Agreement Addendum/County Submissions/CountyName folder at
https://ncconnect.sharepoint.com/sites/phpr/SitePages/ PCForums.aspx. The naming convention for
this executive summary shall be, “CountyName-Updated Executive Summary” (For example:
Wake-Updated Executive Summary).
This updated executive summary shall provide a brief statement of the problems or proposals
covered, background information, analysis and conclusions regarding how the LHD will meet the
response’s three mitigation goals: 1) Slow transmission of disease, 2) Minimize morbidity and
mortality, and 3) Preserve healthcare, workforce, and infrastructure functions and minimize social
and economic impacts.
4.Identify and address additional response needs through one or more of the allowable activities
from the list of Domains and Categories below, with examples of such activities provided in
Appendix 2 of the attached “CDC-RFA-TP18-1802, Cooperative Agreement for Emergency
Response: Public Health Crisis Response, COVID-19 Crisis Response Cooperative Agreement -
Components A and B Supplemental Funding Interim Guidance” document dated March 15, 2020
(“CDC Interim Guidance document”):
a.Domain 1: Incident Management for Early Crisis Response.
i.Emergency Operations and Coordination
ii.Responder Safety and Health
iii.Identification of Vulnerable Populations
b.Domain 2: Jurisdictional Recovery.
c.Domain 3: Information Management.
i.Information Sharing, with emphasis on infection control policies and proper use of personal
protective equipment (PPE)
ii.Emergency Public Information and Warning and Risk Communication, with emphasis on
expanding communications and public education campaigns including digital platforms and
call lines
d.Domain 4: Countermeasures and Mitigation.
i.Nonpharmaceutical Interventions
ii.Quarantine and Isolation Support, with emphasis on isolation and quarantine of identified
cases in high risk populations
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iii.Distribution and Use of Medical Materiel
e.Domain 5: Surge Management.
i.Surge Staffing
ii.Public Health Coordination with Healthcare Systems
iii.Infection Control
f.Domain 6: Biosurveillance.
i.Public Health Surveillance and Real-time Reporting
ii.Public Health Laboratory Testing, Equipment, Supplies and Shipping
iii.Data Management
IV.Performance Measures/Reporting Requirements:
The Local Health Department shall:
1.Submit the following updates and reports to PHP&R:
a.Monthly Expenditure Monitoring Reports (EMRs) are due via email (phpr.sgm@dhhs.nc.gov) to
the PHP&R Program Manager no later than thirty days after the month ends.
2.Provide all plans and documents for review by PHP&R staff when requested. Plans and other
documents must be consistent with state and federal requirements and must be specific to your local
public health area.
V.Performance Monitoring and Quality Assurance:
PHP&R will provide technical support to the Local Health Department to meet the required and
allowable activities defined in the CDC Interim Guidance document. Templates and best practices will
be provided as needed on an ongoing basis. PHP&R staff will maintain open communication with the
Local Health Department and will therefore, receive and respond to all questions related to the
COVID-19 Crisis Response Cooperative Agreement.
PHP&R’s Subrecipient Grants Monitor or PHP&R Program Manager’s designee will review reports and
may schedule and conduct on-site visits with the Local Health Department to assess compliance with
CDC grant and Agreement Addendum requirements, financials, and/or provide consultative assistance.
Inadequate performance on the part of the Local Health Department directly impacts the capacity of
North Carolina’s ability in overall preparedness. In the event that performance is deemed inadequate or
non-compliant, PHP&R reserves the right to identify the county as “high risk,” which may result in a
reduction or suspension of funds.
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While not necessarily an indicator of inadequate performance, a Local Health Department’s inability to
spend allocated funds will result in an assessment and potential recall of funds for re-allocation to other
local health departments.
VI. Funding Guidelines or Restrictions:
1. Requirements for pass-through entities: In compliance with 2 CFR §200.331 – Requirements for
pass-through entities, the Division provides Federal Award Reporting Supplements to the Local
Health Department receiving federally funded Agreement Addenda.
a. Definition: A Supplement discloses the required elements of a single federal award. Supplements
address elements of federal funding sources only; state funding elements will not be included in
the Supplement. Agreement Addenda (AAs) funded by more than one federal award will receive
a disclosure Supplement for each federal award.
b. Frequency: Supplements will be generated as the Division receives information for federal
grants. Supplements will be issued to the Local Health Department throughout the state fiscal
year. For federally funded AAs, Supplements will accompany the original AA. If AAs are
revised and if the revision affects federal funds, the AA Revisions will include Supplements.
Supplements can also be sent to the Local Health Department even if no change is needed to the
AA. In those instances, the Supplements will be sent to provide newly received federal grant
information for funds already allocated in the existing AA.
2. Unallowable costs:
a. Research
b. Clinical care except as provided above in connection with Domain 4 activities.
c. Publicity and propaganda (lobbying). Other than for normal and recognized executive-legislative
relationships, no funds may be used for:
i. publicity or propaganda purposes, for the preparation, distribution, or use of any material
designed to support or defeat the enactment of legislation before any legislative body
ii. the salary or expenses of any grant or contract recipient, or agent acting for such recipient,
related to any activity designed to influence the enactment of legislation, appropriations,
regulation, administrative action, or Executive order proposed or pending before any
legislative body
Detailed guidance on this prohibition and additional guidance on lobbying for CDC recipients
can be found under Additional Requirement 12: https://www.cdc.gov/grants/documents/Anti-
Lobbying_Restrictions_for_CDC_Grantees_July_2012.pdf
d. All unallowable costs cited in CDC-RFA-TP18-1802 remain in effect, unless specifically
amended in the CDC Interim Guidance document, in accordance with 45 CFR Part 75 – Uniform
Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards.
3. PHP&R will distribute funds to the Local Health Department in amounts based on a formula
developed to maximize COVID-19 prevention and mitigation actions to protect the citizens of North
Carolina. Funds will be distributed through the Controller’s Office based on standard DPH
procedures. It is anticipated that the level of funding provided through this Agreement Addendum
will not be enough to support all of the activities that a Local Health Department will undertake and
that other resources may be necessary to meet the requirements.
4. Overlap in Projects, Budget Items, or Commitment of Effort
a. Funds cannot be used to supplant existing federal funds awarded by other federal sources.
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b. Funds cannot be used to match funding on other federal awards.
5. PHP&R reserves the right to review any expenditure that is not in line with the purpose and scope of
the funding source. After review of the expenditure PHP&R may reject the expenditure and then
require the Local Health Department to further justify or to pay back the expense.
DocuSign Envelope ID: 5B3129F4-24E8-4B06-8D09-86F5B1AFD15F
Federal Award Reporting Requirements for Pass-Through Agencies, 2 CFR § 200.331 DPH v3.1 5-9-19
FY21 Activity: 619 COVID-19 Crisis Response Supplement 1
Supplement reason: ☒ In AA+BE or AA+BE Rev –OR– ☐ –
CFDA #: 93.054 Federal awd date: 3/16/20 Is award R&D? no FAIN: NU90TP922104 Total amount of fed awd: $ 13,820,515
CFDA
name:
Public Health Emergency Response: Cooperative
Agreement for Emergency Response: Public Health
Crisis Response
Fed award
project
description:
North Carolina's Cooperative Agreement for Emergency Response: Public
Health Crisis Response
Fed awarding
agency:
DHHS, Centers for Disease Control and
Prevention
Federal award
indirect cost rate: n/a %
%
Subrecipient Subrecipient
DUNS
Fed funds for
This Supplement
Total of All Fed Funds
for This Activity
Subrecipient Subrecipient
DUNS
Fed funds for
This Supplement
Total of All Fed Funds
for This Activity
Alamance 965194483 123,709 123,709 Jackson 019728518 0 0
Albemarle 130537822 0 0 Johnston 097599104 0 0
Alexander 030495105 5,523 5,523 Jones 095116935 19,793 19,793
Anson 847163029 17,500 17,500 Lee 067439703 72,355 72,355
Appalachian 780131541 95,074 95,074 Lenoir 042789748 76,432 76,432
Beaufort 091567776 39,999 39,999 Lincoln 086869336 0 0
Bladen 084171628 15,341 15,341 Macon 070626825 40,566 40,566
Brunswick 091571349 0 0 Madison 831052873 60,489 60,489
Buncombe 879203560 149,558 149,558 MTW 087204173 10,914 10,914
Burke 883321205 0 0 Mecklenburg 074498353 0 0
Cabarrus 143408289 0 0 Montgomery 025384603 44,351 44,351
Caldwell 948113402 86,155 86,155 Moore 050988146 20 20
Carteret 058735804 19,208 19,208 Nash 050425677 19,569 19,569
Caswell 077846053 4,505 4,505 New Hanover 040029563 0 0
Catawba 083677138 111,650 111,650 Northampton 097594477 0 0
Chatham 131356607 84,834 84,834 Onslow 172663270 0 0
Cherokee 130705072 0 0 Orange 139209659 23,299 23,299
Clay 145058231 0 0 Pamlico 097600456 56,266 56,266
Cleveland 879924850 0 0 Pender 100955413 8,592 8,592
Columbus 040040016 29,321 29,321 Person 091563718 13,500 13,500
Craven 091564294 0 0 Pitt 080889694 13,112 13,112
Cumberland 123914376 48,004 48,004 Polk 079067930 52,626 52,626
Dare 082358631 23,594 23,594 Randolph 027873132 65,752 65,752
Davidson 077839744 0 0 Richmond 070621339 51,176 51,716
Davie 076526651 31,915 31,915 Robeson 082367871 0 0
Duplin 095124798 78,037 78,037 Rockingham 077847143 0 0
Durham 088564075 195,954 195,954 Rowan 074494014 0 0
Edgecombe 093125375 11,000 11,000 Sampson 825573975 428 428
Foothills 782359004 0 0 Scotland 091564146 38,527 38,527
Forsyth 105316439 226,512 226,512 Stanly 131060829 25,397 25,397
Franklin 084168632 2,496 2,496 Stokes 085442705 33,044 33,044
Gaston 071062186 152,665 152,665 Surry 077821858 0 0
Graham 020952383 12,555 12,555 Swain 146437553 2,583 2,583
Granville-Vance 063347626 0 0 Toe River 113345201 0 0
Greene 091564591 58,742 58,742 Transylvania 030494215 66,471 66,471
Guilford 071563613 245,884 245,884 Union 079051637 0 0
Halifax 014305957 0 0 Wake 019625961 551,988 551,988
Harnett 091565986 31,069 31,069 Warren 030239953 28,796 28,796
Haywood 070620232 0 0 Wayne 040036170 31,125 31,125
Henderson 085021470 0 0 Wilkes 067439950 62,095 62,095
Hoke 091563643 0 0 Wilson 075585695 0 0
Hyde 832526243 23,240 23,240 Yadkin 089910624 34,644 34,644
Iredell 074504507 129,659 129,659
DocuSign Envelope ID: 5B3129F4-24E8-4B06-8D09-86F5B1AFD15F
DPH-Aid-To-Counties For Fiscal Year: 20/21 Budgetary Estimate Number :0
Activity 619
Service Period
Payment Period
AA 1264
2680
CP
06/01-03/15
07/01-04/30
Proposed
Total
New
Total
01 Alamance *1 123,709 123,709 123,709
D1 Albemarle 0 0 0
02 Alexander *1 5,523 5,523 5,523
04 Anson *1 17,500 17,500 17,500
D2 Appalachian *1 95,074 95,074 95,074
07 Beaufort *1 39,999 39,999 39,999
09 Bladen *1 15,341 15,341 15,341
10 Brunswick 0 0 0
11 Buncombe *1 149,558 149,558 149,558
12 Burke 0 0 0
13 Cabarrus 0 0 0
14 Caldwell *1 86,155 86,155 86,155
16 Carteret *1 19,208 19,208 19,208
17 Caswell *1 4,505 4,505 4,505
18 Catawba *1 111,650 111,650 111,650
19 Chatham *1 84,834 84,834 84,834
20 Cherokee 0 0 0
22 Clay 0 0 0
23 Cleveland 0 0 0
24 Columbus *1 29,321 29,321 29,321
25 Craven 0 0 0
26 Cumberland *1 48,004 48,004 48,004
28 Dare *1 23,594 23,594 23,594
29 Davidson 0 0 0
30 Davie *1 31,915 31,915 31,915
31 Duplin *1 78,037 78,037 78,037
32 Durham *1 195,954 195,954 195,954
33 Edgecombe *1 11,000 11,000 11,000
D7 Foothills 0 0 0
34 Forsyth *1 226,512 226,512 226,512
35 Franklin *1 2,496 2,496 2,496
36 Gaston *1 152,665 152,665 152,665
38 Graham *1 12,555 12,555 12,555
D3 Gran-Vance 0 0 0
40 Greene *1 58,742 58,742 58,742
41 Guilford *1 245,884 245,884 245,884
42 Halifax 0 0 0
43 Harnett *1 31,069 31,069 31,069
44 Haywood 0 0 0
45 Henderson 0 0 0
46 Hertford 0 0 0
47 Hoke 0 0 0
48 Hyde *1 23,240 23,240 23,240
49 Iredell *1 129,659 129,659 129,659
50 Jackson 0 0 0
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51 Johnston 0 0 0
52 Jones *1 19,793 19,793 19,793
53 Lee *1 72,355 72,355 72,355
54 Lenoir *1 76,432 76,432 76,432
55 Lincoln 0 0 0
56 Macon *1 40,566 40,566 40,566
57 Madison *1 60,489 60,489 60,489
D4 M-T-W *1 10,914 10,914 10,914
60 Mecklenburg 0 0 0
62 Montgomery *1 44,351 44,351 44,351
63 Moore *1 20 20 20
64 Nash *1 19,569 19,569 19,569
65 New Hanover 0 0 0
66 Northampton 0 0 0
67 Onslow 0 0 0
68 Orange *1 23,299 23,299 23,299
69 Pamlico *1 56,266 56,266 56,266
71 Pender *1 8,592 8,592 8,592
73 Person *1 13,500 13,500 13,500
74 Pitt *1 13,112 13,112 13,112
75 Polk *1 52,626 52,626 52,626
76 Randolph *1 65,752 65,752 65,752
77 Richmond *1 51,176 51,176 51,176
78 Robeson 0 0 0
79 Rockingham 0 0 0
80 Rowan 0 0 0
D5 R-P-M 0 0 0
82 Sampson *1 428 428 428
83 Scotland *1 38,527 38,527 38,527
84 Stanly *1 25,397 25,397 25,397
85 Stokes *1 33,044 33,044 33,044
86 Surry 0 0 0
87 Swain *1 2,583 2,583 2,583
D6 Toe River 0 0 0
88 Transylvania *1 66,471 66,471 66,471
90 Union 0 0 0
92 Wake *1 551,988 551,988 551,988
93 Warren *1 28,796 28,796 28,796
96 Wayne *1 31,125 31,125 31,125
97 Wilkes *1 62,095 62,095 62,095
98 Wilson 0 0 0
99 Yadkin *1 34,644 34,644 34,644
Totals 3,557,613 3,557,613 3,557,613
Sign and Date - DPH Program Administrator Sign and Date - DPH Section Chief
Sign and Date - DPH Contracts Office Sign and Date - DPH Budget Officer
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