Grant Disbursement Information

Summary

Agency Name: DEPARTMENT OF HEALTH	Agency Contract ID: COQWV
Long Title: NWFL Medical Foster Care	Vendor Name: NWFL COMPREHENSIVE SVS FOR CHIL
Total Contract Amount: $1,016,832.00	Total Budgetary Amount: $217,768.95
Total Payment To Date: $217,768.95	Date of Execution: 06/22/2016
General Description: This contract between the Florida Department of Health and Northwest Florida Comprehensive Services for Children, Inc., d.b.a. 90Woprks, provides the Medical Foster Care Program in Escambia, Santa Rosa, Okaloosa, Walton, Holmes, Jackson, Washington, Bay, Calhoun, and Gulf counties.

Details
Deliverables
Payments
Documents
Audits

Main Information

Agency Contract ID: COQWV

FLAIR Contract ID: COQWV

Short Title: NWFL MFC

Long Title: NWFL Medical Foster Care

Contract Type: Grant Disbursement Agreement

Contract Status: Terminated

Date of Execution: 06/22/2016

Date of Beginning: 07/01/2016

Original End Date: 06/30/2019

New Ending Date: 02/21/2017

Agency Service Area: Multi

Statutory Authority: Chapter 39, 391, 393, FS

Contract Involves State or Federal Financial Assistance: Yes

Recipient Type: NONPROFIT ORGANIZATION

Provide for Administrative Cost: Yes

Provide for Periodic Increase: No

Procurement Information

Authorized Advanced Payment: No

Method of Procurement: Exempt, health services including examination, diagnosis, treatment, prevention, medical consultation, or administration [s. 287.057(3)(e)5., F.S.]

State Term Contract ID:

Contract’s Exemption Justification: The services that are required can only be provided by health care professionals who meet certain credential requirements and have access to facilities and supports that meet quality of care criteria and are able to serve children with complex medical problems.

Agency Reference Number:

Business Case Study Done: No

Legal Challenges to Procurement: No

Outsourcing / Capital Improvements

Was the Contracted Function Previously Performed by the State: No

Was the Contracted Function Considered for Insourcing back to the State: No

Did the Vendor Make Capital Improvements on State Property: No

Budget Information

Original Contract Amount: $1,016,832.00

Total Contract Amount: $1,016,832.00

Total Recurring Budgetary Amount: $217,768.95

Total Non-Recurring Budgetary Amount: $0.00

Total Budgetary Amount: $217,768.95

Total Unfunded Amount: $799,063.05

As of Date: 6/23/2017

Download Budget Information

Recurring Budgetary Amount	Account Code	Fiscal Year Effective Date	FY	Cost Accumulator	Agency Amendment Reference
$217,768.95	64-10-1-000319-64300100-00-100497-00	07/01/2016	2016-2017	MFCCM

No Non-Recurring Budgetary records found for this contract.

Grant Disbursement Change

Download Grant Disbursement Change

Change Type	Amendment Amount	Agency Amendment Reference	Change Description	Amendment Effective Date	Amendment Execution Date	New Ending Date
Amendment	$0.00	A1	Chapter 119, FS Compliance	10/31/2016	10/31/2016

Vendor

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Name Line 1	Name Line 2	City State Zip	Minority Vendor Designation
NWFL COMPREHENSIVE SVS FOR CHIL	DREN	PENSACOLA FL 325020000	Non-Profit, Minority Employees

CFDA

No CFDA Codes found for the contract.

CSFA

CSFA Code	Description
64010

Expand All Deliverables Download Deliverables

Deliverable Number

Commodity/Service Type

Major Deliverable

Method of Payment

Pediatric services

Monthly provision of Medical Foster Care (MFC) Program services with submission of supporting docume...

Fixed Price - Lump Sum

Major Deliverable: Monthly provision of Medical Foster Care (MFC) Program services with submission of supporting documentation as specified in Tasks B.1.a.1) through B.1.a.40).

Deliverable Price: $28,249.00

Non Price Justification:

Performance Metrics: A MFC Medical Director, or their designee, must be provided as specified; a Project Administrator, or their designee, must be provided as specified; 24 hours a day, 7 day a week nursing on-call service must be provided as specified; a MFC RN, or their designee, must be provided as specified; all MFC children placed in the MFC Program must receive services as specified; maintain office hours of 8:00 a.m. to 5:00 p.m., Monday through Friday as specified; MFC staff meetings must be held as specified; review each child’s medical record or plan of care as specified; MFC children monthly listing must be submitted as specified; MFC Deliverable Report (Attachment IV) must be submitted as specified; Targeted Case Management (TCM) Summary Statement must be submitted as specified (Attachment IV); and Client Satisfaction Survey must be submitted as specified.

Financial Consequences: Failure to have a MFC MD will result in a 5% reduction in that month’s payment for every week the position is vacant. Failure to have a Project Administrator will result in a 2% reduction in that month’s payment for every week the position is vacant. Failure to provide 24 hour a day, 7 day a week nursing on call service will result in a 5% reduction in that month’s payment for every business day the service is unavailable. Failure to provide a MFC RN will result in a 2% reduction in that month’s payment for every week the position is vacant or unavailable. Failure to provide services to each MFC child will result in a 2% reduction in that month’s payment for each child not provided services. Failure to maintain office hours of 8:00 a.m. to 5:00 p.m., Monday through Friday will result in a 2% reduction in that month’s payment for every business day the office is unavailable. Failure to provide the MFC staff meeting will result in a 5% reduction in that month’s payment. Failure to review each MFC child’s medical record or plan of care as specified will result in a 2% reduction in that month’s payment for each medical record not reviewed. Failure to submit the MFC children monthly listing will result in a 2% reduction in that month’s payment. Every 5 business days thereafter the monthly listing is not submitted will result in an additional 2% reduction in that month’s payment. Failure to submit Attachment IV will result in a 2% reduction in that month’s payment. Every 5 business days thereafter Attachment IV is not submitted will result in an additional 2% reduction in that month’s payment. Failure to submit the TCM Summary Statement (Attachment IV) will result in a 2% reduction in that month’s payment for each statement not submitted. Failure to submit the annual surveys will result in a 2% reduction in that month’s payment for each survey not submitted.

Source Documentation Page Reference: 14-16

Deliverable Number:

Displaying 1 to 1 of 1

Payments are also referred to as expenditures (creating or incurring a legal obligation to disburse money) or disbursements (the payment of expenditures). Payments include disbursements and accounting adjustments made on a contract. Payments are always positive amounts while accounting adjustments may be positive or negative depending on the type of adjustment.

Payment Details

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"Date" in the listing below indicates the date the payment voucher was recorded in the system, not the date the payment was issued.

Fiscal Year

Total Amount

2016-2017

$217,768.95

Statewide Document #	Agency Document #	Vendor Name	Amount	L1	GF	SF	FID	BE	CAT	Date
D7000457580	V0067850001	NWFL COMPREHENSIVE SVS FOR CHIL	($20,053.95)	64	10	1	000319	64300100	100497	04/19/2017
D7000457580	V0067850001	NWFL COMPREHENSIVE SVS FOR CHIL	$20,053.95	64	10	1	000319	64300100	100497	04/19/2017
D7000457580	V0067850001	NWFL COMPREHENSIVE SVS FOR CHIL	$20,053.95	64	10	1	000319	64300100	100497	03/16/2017
D7000424397	V0062550001	NWFL COMPREHENSIVE SVS FOR CHIL	$28,245.00	64	10	1	000319	64300100	100497	02/28/2017
D7000361719	V0053120001	NWFL COMPREHENSIVE SVS FOR CHIL	$28,245.00	64	10	1	000319	64300100	100497	01/25/2017
D7000292625	V0042360001	NWFL COMPREHENSIVE SVS FOR CHIL	$28,245.00	64	10	1	000319	64300100	100497	12/14/2016
D7000247078	V0035380001	NWFL COMPREHENSIVE SVS FOR CHIL	$28,245.00	64	10	1	000319	64300100	100497	11/17/2016
D7000193781	V0026680001	NWFL COMPREHENSIVE SVS FOR CHIL	$28,245.00	64	10	1	000319	64300100	100497	10/19/2016
D7000129933	V0017550001	NWFL COMPREHENSIVE SVS FOR CHIL	$28,245.00	64	10	1	000319	64300100	100497	09/15/2016
D7000110760	V0014290001	NWFL COMPREHENSIVE SVS FOR CHIL	$28,245.00	64	10	1	000319	64300100	100497	09/06/2016

If a payment or adjustment to a contract was made before July 1, 2012, the information may not be posted in this system.

Grant Disbursement Documents

Click on the pdf icon or Agency Document Link to view the document

Document Type	Document Reference #	Executed Date	Document Add Date	Agency Document Link	View
Original Contract	Original Contract - COQWV	06/22/2016	6/27/2016 1:54:29 PM
Amendment	A1	10/31/2016	11/2/2016 9:28:04 AM

Audit results posted prior to June 30, 2012, appear in a summarized form. As of July 1, 2012, the audit reporting process was expanded to include additional questions and comments from the Bureau of Auditing. As audits are captured in electronic format, they will be posted to this system. If you are interested in seeing audit reports by Fiscal Year and Agency Action Plans, please click here to navigate to the Transparency Florida Contract Audit page.

Audit Type	Review Date	Fiscal Year	View
Contract Review	10/26/2016	2016-2017	View



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