Recruit, hire, train and deploy Community Health Workers

PROCUREMENT JUSTIFICATION FORM (PJF) This form must accompany ail contract requests and sole source requisitions (RQS) over $5,000 submitted to the Division of Procurement Services. INSTRUCTIONS: Please provide the requested information in the white spaces below. All responses (except signatures) must be typed; no hand-written forms will be accepted. See the guidance document posted with this form on the Division of Procurement Services intranet site (Forms page) for additional instructions. ede Ah Department Office/Division/Program: | DHHS/MCDCP/Chronic Disease Prevention and Control Department Contract Administrator. or Grant Coordinator: Chris Moiles / Brianne Carrero (lf applicable) Department Reference #:) Multiple - See attached table Amount: Contract/Amendment/Grant Multiple - See attached table Advantage. CT. /-RQS # | See attached Table 08/30/2024 CONTRACT _|_ Proposed Start Date: | 12/1/2022 ceopee en Original Start: Date: Previous End Date: Project Start Date: Effective

Date: New. End. Date: Grant Start Date: : Project. End Date: Grant-End Date: Vendor/Provider/Grantee. Name, onlo City, State: Multiple ~ See attached table Brief:Description. of sbi : . Goods/Services/Grant: Recruit, hire, train and deploy Community Health Workers. PART Il: JUSTIFICATION FOR VENDOR SELECTION Mark an " before the justification(s) that applies to this request. (Check all that apply.) a OlA. Competitive Process O {|.G: Grant O }:BeAmendment O |-H.State Statute/Agency. Directed O/C. Single Source/Unique. Vendor QO fh---Federal:Agency Directed O |.D.:Proprietary/Copyright/Patents & /-J.--Willing and Qualified O /E. Emergency O EK: "Client Choice 1 /.F::University.Cooperative Project O | &.. Other Authorization REV 10/19/2021 Page 1 of 4 Procurement Justification Form (PJF) Please respond to ALL the questions in the following sections. PART Il: SUPPLEMENTAL INFORMATION 4. Provide a more detailed description and:explain the need for the goods, services. or.grant to supplement the response in Part, The purpose of this Agreement is to expand Community Health Worker (CHW) services throughout the state of Maine in order to support COVID-19 response efforts in communities impacted by COVID-19 and among populations that are at high risk for COVID-18 exposure, infection, and outcomes. The provider shail increase skills, capacity, and roles of CHWs in order to provide services and support for COVID-19 public health response efforts. The provider shall increase utilization of community resources and clinical services among priority populations at highest risk for poor health outcomes. 2. Provide a brief justification for the selected vendor to. supplement the response in Part ll. Reference the REP. number; if:applicable. DHHS Maine CDC has determined that these providers are qualified to provide these services because they have met the following criteria: 4. The provider must be a community-based organization, public health department (tribal, municipal), or health care organization (primary care practice, health system, community care team). 2. The provider must currently employ Community Health Workers. A CHW is defined as a frontline public health worker who is a trusted member of and/or has an unusually close understanding of the community served, This trusting relationship enables the CHW to serve as a liaison/link/intermediary between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. 3. The provider must have the capacity to deploy CHWs in the care, support, and follow up of priority populations. Priority populations are those with increased prevalence of COVID-19 and are disproportionately impacted by long-standing health disparities related to sociodemographic characteristics, geographic regions, and economic strata. Examples include, racial and ethnic minority groups, persons who are economically disadvantaged, justice-involved, experiencing homelessness, or have certain underlying medical conditions that increase COVID-19 risk. 3.. Explain-how.the negotiated'costs or rates are fair and reasonable; or how.the funding was.allocated to grantee. The rate for these services is comparable among the willing and qualified providers. The funding was allocated as part of the approved year 2 budget for collaborative agreement CDC-DP21-2109. 4. Describe the plan for. future competition for the goods or services: The Department does not intend to RFP these services as they are offered to providers who are willing and qualified to provide these services. This is a one-time contract using federal funding that will end on 8/30/24. PART IV: AMERICAN RESCUE PLAN ACT (ARPA) / MAINE JOBS & RECOVERY PLAN (MJRP) Does this request utilize ARPA/MJRP funds? O Yes If Yes, please attach the approved Business Case(s). Bi No If No, proceed to Part V REV 10/21/2021 Page 2 of 4 1/25/2023Kathy Paquette Procurement Justification Form (PJF) PART V: APPROVALS The sigt tures bel / indicate approval of t rocurement request Signature of requesting Department's Commissioner (or designee): Typed Name: Signature of DAFS f L Procurement Official: Nc! Typed Name: Date: REV 10/21/2021 Page 3 of 4 DocuSigned by: 41C2BA36FAF44CD... Procurement Justification Form (PJF) The following list identifies all vendors associated with this State of Maine Justification Form. Office: Maine CDC Service Group: Chronic Disease Start: 12/1/2022 End: 8/30/2024 CcT#: Agreement number Vendor Amount AK Health and Social Services, CT 10A CDM-23-4570 Lewiston, ME 20221115000000001365 $109,556 City of Portland, Portland, ME CT 10A CDM-23-4571 20221115000000001366 $98,021 Gateway Community Services, CT 10A CDM-23-4572 Portiand, ME 20221115000000001367 $109,556 Maine Health, Franklin Hospital, Farmington, ME | CT 10A CDM-23-4573 20221115000000001368 $66,476 Her Safety Net, Lewiston, ME CT 10A CDM-23-4574 20221115000000001369 $109,556 Maine Access Immigrant Network, Portland, ME CT 10A CDM-23-4575 20221115000000001370 $76,458 Maine Medical Center, Portland, ME CT 10A CDM-23-4576 20221115000000001371 $109,553 Hand in Hand/Mano en Mano, CT 10A CDM-23-4577 $109,556 Millbridge, ME 20221115000000001372 New England Arab American Organization, CT 10A CDM-23-4578 Portland, ME 20221115000000001373 $64,115 New Mainers Public Health Initiative, Lewiston, CT 10A CDM-23-4579 ME {20221115000000001374 $109,547 Portland Community Health Center, Portland, ME | CT 10A CDM-23-4580 20221115000000001375 $109,556 Rangeley Health and Weliness, Rangeley, ME TCT 410A CDM-23-4581 20221115000000001376 $109,512 Central Maine Area on Aging (Spectrum), CT 10A CDM-23-4582 Augusta, ME 20221115000000001377 $108,505 Total $1,289,967 REV 10/21/2021 Page 4 of 4