Maternal, Child & Adolescent Health Program:

Santa Barbara County AFLP RFA

 MO-07-0102 MCAHFI

Santa Barbara County RFA (PDF)

Attachments

Exhibits

Appendices

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Attachments:

1. Application Cover Page (Word)

2. Application Checklist (Word)

3. Business Information Sheet (Word)

4. CCC 1005 - Certification (Word) 

5. Payee Data Record (Word)

6. RFA Clause Certification (Word)

7. Voluntary Letter of Intent (Word)

8. Work Plan (Word)

9. Budget, year 1 - fiscal year 2007-2008 (Excel)

10. Subcontractor Budget, year 1 - fiscal year 2007-2008 (Excel)

11. Budget, year 2 - fiscal year 2008-2009 (Excel)

12. Subcontractor Budget, year 2 - fiscal year 2008-2009 (Excel)

13. Budget, year 3 - fiscal year 2009-2010 (Excel)

14. Subcontractor Budget, year 3 - fiscal year 2009-2010 (Excel)

Exhibits:

A1. Grant Agreement, HAS 1229 (Word) 

A2. Start-Up Scope of Work, FY 2007-08 (Word) 

A3. Scope of Work, FY 2008-10 (Word)

B. Budget Detail and Payment Provisions (Word)

C. General Terms and Conditions, GTC 1005 (Word)

D(F). Special Terms and Conditions (Word)

E. Additional Provisions (Word) 

F. Contractor’s Release (Word) 

G. Travel Reimbursement Information (Word) 

H. Contract Equipment purchased with CDHS funds. HAS 1203 (Word)

I. Inventory Disposal Form HAS 1204 (Word)

J. HIPPA Addendum (Word)

Appendices:

1. AFLP Standards and Glossary (Word)

2. AFLP Directory (Word)  

3. Client Caseload Phase-In Plan (Word)

4. Example of Standard Implementation Document (Word)

5. MCAH Policy and Procedure Manual (Word)

6. Example of Individual Service Plan, ISP (Word) 

7A. Form 4-- Quarterly Cover page (Word)  

7B. Form 5—SID Entry Criteria (Word)

7C. Form 6—Personnel List, Quarterly and Annual Report (Word)

8A. Comprehensive Baseline Assessment (Word)

8B. Comprehensive Baseline Assessment Form Instructions (Word) 

9A. LodeStar Data Form - Additional Child (PDF)

9B. LodeStar Data Form - Additional Outcomes (PDF)

9C. LodeStar Data Form - Client ID and Update (PDF)

9D. LodeStar Data Form - Coding Instructions (PDF)

9E. LodeStar Data Form - Follow-Up (PDF)

9F. LodeStar Data Form - Lodestar Form Schedule (Word)

9G. LodeStar Data Form - Intake (PDF)

9H. LodeStar Data Form - Pregnancy Outcome (PDF)

9I. LodeStar Data Form - Service Matrix (PDF)

9J. LodeStar Data Form - Status Change (PDF)

10. Youth Development Strength Based Approach to Serving Adolescents (Word)

11A. Start-up Quarterly Reporting Form (Word) 

11B. Annual Reporting Form (Word)

12. Sample Budget Justification Template and Budget Summary Template (Excel) 

13. Minor Equipment List (Word) 

14A. Federal Financial Participation Guidelines (Word)  

14B. FFP Section of Policy and Procedure Manual (PDF)

15. Federal Financial Participation Calculation File (Excel)

16A. Program Policy Alert Letter 2004-05-02 (PDF)

16B. Program Policy Alert Letter 2004-05-03 (PDF)

16C. Program Policy Alert Letter 2004-05-05 (PDF)

16D. Program Policy Alert Letter 2004-06-04 (PDF)

16E. Program Policy Alert Letter 2004-06-05 (PDF)

16F. Program Policy Alert Letter 2004-07-01 (PDF)

Download:

Complete Santa Barbara County AFLP RFA with Attachments, Exhibits & Appendices (Zip, 3.2MB)