ADOPTED - SEPTEMBER 15, 1998

Agenda Item No. 22

Introduced by the Human Services and Finance Committees of the:

INGHAM COUNTY BOARD OF COMMISSIONERS

RESOLUTION TO AUTHORIZE AN AMENDMENT TO THE 1997-98 COMPREHENSIVE PLAN BUDGET AND CONTRACT WITH THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH

RESOLUTION #98-212

WHEREAS, the responsibility for protecting the public health is a shared responsibility between the State and county governments in Michigan; and

WHEREAS, the Michigan Department of Community Health (MDCH) and Ingham County have historically entered into contracts to clarify the role and responsibility of each party in protecting the public health; and

WHEREAS, Ingham County and the MDCH have entered into a Comprehensive Plan Budget and Contract (CPBC) agreement for the 1997-98 Fiscal Year, authorized by Resolution No. 97-260; and

WHEREAS, the MDCH has advised the County of the need to amend the CPBC agreement to incorporate certain clarifications regarding funding, reporting and performance reimbursement criteria and to adjust the funding and performance levels for certain categorical programs; and

WHEREAS, the Health Officer has recommended that the amendment be authorized and executed.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes an amendment to the 1997-98 Comprehensive Plan Budget and Contract with the Michigan Department of Community Health.

BE IT FURTHER RESOLVED, the purpose of the amendment is to incorporate Attachments I, II and IV (as revised/updated) for the cost sharing and categorical budget detail, H-977 (output measure plan) and performance reimbursement criteria.

BE IT FURTHER RESOLVED, that another purpose of the amendment is to add to the agreement the following language, relating to the Cost-Sharing program:

1. Current appropriations for the Cost Sharing program are adequate to fund the Cost Sharing amounts in Attachment IV.

2. Until the 50% funding level is reached for the eight required Cost Sharing services, the applicable Minimum Program Requirements should be used as guidelines for the provision of services.

3. The proportion of actual to projected Cost Sharing services (as noted on the H-977 Output Measures Report), must be equal to or greater than the proportion of Cost Sharing funding provided by the Department, for the eight required Cost Sharing services, to the amount of Cost Sharing funding required to meet the 50% funding level for the same services.

ADOPTED - SEPTEMBER 15, 1998

Agenda Item No. 22

RESOLUTION #98-212

BE IT FURTHER RESOLVED, that Attachment III, "Childhood Immunization Registry Special Requirements" shall be amended as follows:

Revise the first paragraph to read: "The agency ensures that all immunizations administered by the agency or by any agency(s) receiving VFC or deputized providers on behalf of the agency:"

Revise by adding the following as the last sentence of the Agency Requirements: "All revisions to existing instruction must be approved by the governing board prior to implementation."

BE IT FURTHER RESOLVED, that Attachment III, "Local M&CH/Maternal & Infant Care (M&IC) Special Requirements" shall be amended as follows:

Remove Section 1(A) under Agency Requirements.

BE IT FURTHER RESOLVED, that a new section will be added to the "Agency Responsibilities" section of the agreement to ensure year 2000 compatibility for any software purchases.

BE IT FURTHER RESOLVED, that the amendment shall also reduce the total MDCH funding by $9,717, from $4,940,244 to $4,930,527.

BE IT FURTHER RESOLVED, that the terms and conditions of the 1997-98 CPBC Agreement not specifically amended by this resolution and the proposed amendment shall remain unchanged.

BE IT FURTHER RESOLVED, that the Controller is authorized to amend the Health Department's 1998 budget to implement this resolution and the proposed amendment.

BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the amendment after review by the County Attorney.

HUMAN SERVICES: The Human Services Committee will meet 9/14/98

FINANCE: Yeas: Goulet, Keefe, McDonald, Grebner, Czarnecki, Bernero,

Nays: None Absent: Schafer Approved: 9/9/98