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HomeMy WebLinkAboutSH22-011 - WA STATE HCA MOUD IN JAILS PSA - Amendment 2 - Grant and Contract Review FormU AOES.... ro Th Kittitas County Review Form eurrrr.%a COUNT Grants & Contract Agreement Today's Date F1 Agenda Date August 8, 2023 1 1 August 15, 2023 Fund/Department 30 / Sheriff Contract/Grant Information Contract /Grant Agency: Washington State Healthcare Authori Period Begin Date: 07/01/23 1 1 Period End Date: 06/30/24 Total Grant/Contract Amount: $752,775 Increase of $229,740 from Amendment No. 1. Grant/Contract Number: K5885 Amendment No.: 2 SH22-011 Contract/Grant Summary: The original funds were awarded in 2022 to provide medication for opioid use disorder (MOUD) in jails to incarcerated individuals who present with an opioid use disorder (OUD). This amendment extends the contract through June 30, 2024 and increases the total award amount. Financial Information Total Amount: $752,775 State Funds: $752,775 Federal Funds: $0 Percentage County Funds Matching Funds $0 CFDA# In -Kind $ Explain Is Equipment being purchased? No Who owns equipment? na New Personnel being hired? No I Contact HR hiring — reporting requirements - na Future impacts or liability to Kittitas County: Compliance and audit/reporting requirements. Budget Information Budget Amendment Needed? Yes© will be done as actual costs/reimbursement requests are made. No Why not: New Division Created? No Revenue Code 13012363340693 Expense Code 1 3012365xxxx Pass Through Information ARency to Pass Through NA Amount to Pass Through $0 Sub -Contract Approved Date: Prosecutor Review Has the Prosecutor reviewed this agreement? Yes No ❑ CAMAS# 10019 Grant/Contract Review Page 1 County Departments Impacted Auditor Facilities Maintenance Information Services Human Resource Prosecutor Treasurer Submitted Signature: Date: _ e-- 1- Department Sheriff f Assiunment of Trackine Information Auditor's Office Human Resource Prosecutor's Office Z Z 9 4-a G_ Who Signed the grant ap2lication Reviewer I Date Grant/Contract Review Page 2