Agenda

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AI- 44659

Health Care Foundation

Meeting Date:	04/02/2018
Approval of Non-Profit Service Agreement with Allen Community Outreach
Submitted For:	Candy Blair	Submitted By:	Sophia Vilca
Department:	Health Care
Request Type:	CONSENT

Information

Department Action

Please approve the Services Agreement and Business Associate Agreement with Allen Community Outreach. The amount of the agreement shall not exceed $35,025 for sick medical visits and prescription assistance for the period March 1, 2018 through February 28, 2019. The guidelines and application for the 2018 Health Care Foundation Service Agreements with the nonprofit agencies to provide health-related services were approved in court on February 12, 2018.

Purchasing Department Action

Collin County Health Care Foundation approval of Services Agreement and Business Associate Agreement with Allen Community Outreach for sick medical visits and prescription assistance and authorize Board President to execute same. lh

HR and/or IT Action

Budget Department Action

Service Agreement and Business Associate Agreement with Allen Community Outreach to provide primary health care services to citizens who are at or below 100% of the Federal Poverty Level. Agreement not to exceed $35,025. Contract period is March 1, 2018 through February 28, 2019. Budgeted funds available in Health Care Foundation (040).

Auditor's Office Action

Funds available in the Healthcare Foundation Fund.

Commissioners Court

Services Agreement and Business Associate Contract (in accordance with HIPAA and Incorporated Security Addendum) (NTE $35,025) with Allen Community Outreach to provide assistance for low income United States Citizens and Resident Aliens of Collin County at or below 100% of the Federal Poverty Level through and including February 28, 2019, Health Care.

Budget Information

Information about available funds

Budgeted:

Funds Available:

Adjustment:

Amount Available:

$35,025

Unbudgeted:

Funds NOT Available:

Amendment:

Account Code(s) for Available Funds
1:	040-6001-720.65-50

Fund Transfers

Remarks:

Attachments
Court Order
Memo
Services Agreement
Business Associate Contract