Interoffice Memorandum
DATE: May 8, 2025
TO: Mayor Jerry L. Demings and County Commissioners
FROM: Carrie Mathes, CFCM, NIGP-CPP, CPPO, C.P.M., Manager II, Procurement Division
CONTACT: Lisa Klier-Graham, Manager, Mental Health and Homelessness Division
PHONE: 407-836-3187
SUBJECT: Approval of Amendment No. 9, Contract Y22-165, Providing Nurse-Family Partnership to At-Risk Pregnant Women, Sub-Recipient Agreement
ACTION REQUESTED:
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Approval of Amendment No. 9, Contract Y22-165, Providing Nurse-Family Partnership Services to At-Risk Pregnant Women, Sub-Recipient Agreement, with Healthy Start Coalition of Orange County, Inc., in the amount of $80,000, for a revised not-to-exceed amount of $3,095,208. ([Community and Family Services Department Mental Health and Homelessness Division] Procurement Division)
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PROCUREMENT:
This amendment extends the contract for the period of August 31, 2025 through September 30, 2025 to align with the fiscal year and increases the contract to support services during this extension period while a new procurement process is complete. A new contract will be put in place for October 1, 2025.
FUNDING:
Funding is available in account number 0001-062-2501-8610.
APPROVALS:
The Mental Health and Homelessness Division concurs with this recommendation.
REMARKS:
On December 14, 2021, the Board authorized the award of Contract Y22-162 with Healthy Start Coalition of Orange County, Inc., in the total contract award amount of $256,302, for a one-year term with three one-year renewal terms.
Historical Relationship with Orange County and the Community: This is the final year of a four-year grant for the implementation of a comprehensive early childhood system with Healthy Start Coalition of Orange County, Inc. This vendor has provided these services since August 2021. The early childhood system is focused on improving coordination and collaboration across child and family serving systems, offering early assessment/identification and referrals to treatment. This project provides evidence-based practice interventions and strengthens infrastructure for the identified families, partners, and systems. Additionally, this contract will continue to expand and follow the recommendations of the Orange County Mental and Behavioral System of Care Community Analysis Report.
Program Goals: Implementation of Nurse-Family Partnership services is an evidence-based community health program, transforming lives of vulnerable, first-time mothers living in poverty. Improving prenatal care, quality of parenting and life prospects for mothers by partnering with a registered nurse.
Enrollment/referral criteria: Any pregnant woman who is less than 28 weeks gestation, will be a first-time mother, meets low-income requirements such as Medicaid or WIC eligible, and resides in Orange County, Florida is eligible.
Referrals/how people know about the services: Healthy Start Orange has a Coordinated Intake and Referral process/unit and utilizes social media, self-referral, and community partnerships, where staff are positioned to engage clients when they are at appointments with their medical providers.
Financial: This one-month extension will be funded by Orange County general revenue dollars.
Previous contract amendments are as follows:
Amendment No. 1: Re-numbered the contract from Y22-162 to Y22-165.
Amendment No. 2: Replaced Exhibit “B”, Budget in its entirety with Exhibit “B”, Budget to correct a discrepancy. The contract amount remained unchanged.
Amendment No. 3: Extended the performance period from September 1, 2022 through August 30, 2023, changed the Federal Award ID No. to 5H79SM084165-02. The contract amount remained unchanged.
Amendment No. 4: Corrected the extended performance period from August 31, 2022 through August 30, 2023. The contract amount remained unchanged.
Amendment No. 5: Increased the contract by $706,302, for a revised not-to-exceed contract amount of $962,604. Replaced the Scope of Services with Exhibit A and replaced the Budget with Exhibit B. Board approved on February 21, 2023.
Amendment No. 6: Extended the performance period from August 31, 2023 through August 30, 2024, with an increase of $956,302, for a revised not-to-exceed contract amount of $1,918,906. Replaced Budget Exhibit B (Amendment No. 5) by Exhibit B (Amendment No. 6) and replaced Required Information for Federal Subawards Table Exhibit C (Amendment No. 5) by Exhibit C (Amendment No. 6). Board approved on September 12, 2023.
Amendment No 7: Extended the performance period from August 31, 2024, through August 30, 2025, with an increase of $956,302, for a revised not-to-exceed contract amount of $2,875,208. Replaced Budget Exhibit B (Amendment No.6) with Exhibit B (Amendment No. 7). The Board approved this item on August 27, 2024.
Amendment No. 8: Increased the contract by $140,000, for a revised not-to-exceed contract amount of $3,015,018. Replaced Exhibit B (Amendment #7) with Exhibit B Rv.1 (Amendment #8).