APRIL 2009 93.283 CENTERS FOR DISEASE CONTROL AND PREVENTION- INVESTIGATIONS AND TECHNICAL ASSISTANCE State Project/Program: NORTH CAROLINA COMPREHENSIVE CANCER PROGRAM U. S. Department of Health and Human Services Federal Authorization: State Authorization: Public Health Service Act, as amended, Sections 301, 307, 310, 311, 317(k)(2), 322(e), 325, 327, 328, 352, 361-369 and 1703 of the PHS Act, (42 U.S.C. Sections 243, 247b(k)(2), and 300u-2). as amended; Federal Mine Safety and Health Amendments Act of 1977, as amended; Occupational Safety and Health Act of 1970; Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act of 1988, Public Law 100-202. N/A NC Department of Health and Human Services Division of Public Health Agency Contact Person Program Brent Chattin (919) 707-5323 Brent.Chattin@ncmail.net Agency Contact Person Financial Judith McDermott Chief Budget Officer (919) 707-5080 Judith.McDermott@ncmail.net N. C. DHHS Confirmation Reports: SFY 2009 audit confirmation reports for payments made to Counties, Area Programs, Boards of Education, Councils of Government, District Health Departments, DCD State Level Contractors and HRSA Bioterrorism Grant Subrecipients will be available by around late August to early September at the following web address: http://www.dhhs.state.nc.us/control/ At this site, page down to Letters/reports/forms for ALL Agencies and click on Audit Confirmation Reports (State Fiscal Year 2008-2009). Additionally, audit confirmation reports for Nongovernmental entities receiving financial assistance from the DHHS are found at the same website except select Non-Governmental Audit Confirmation Reports (State Fiscal Years 2007-2009). The auditor should not consider the Supplement to be safe harbor for identifying audit procedures to apply in a particular engagement, but the auditor should be prepared to justify departures from the suggested procedures. The auditor can consider the Supplement a safe harbor for identification of compliance requirements to be tested if the auditor performs reasonable procedures to ensure that the requirements in the Supplement are current. The grantor agency may elect to review audit working papers to determine that audit tests are adequate. Auditors may request documentation of monitoring visits by the State Agencies. B-4 93.283-4 1
I. PROGRAM OBJECTIVES: In 2006, cancer became the leading cause of death in North Carolina, surpassing heart disease. The North Carolina Comprehensive Cancer Program (NCCCP), including the optional Prostate Cancer and Colorectal Cancer Projects, if a federally funded program provided through the Centers for Disease Control and Prevention (CDC). The NCCCP is required to develop and implement a collaborative process through which a community pools resources to reduce the burden of cancer that results in risk reduction, early detection, better treatment, and enhanced survivorship. These efforts should encourage healthy lifestyles, promote recommended cancer screening guidelines and tests, increase access to quality cancer care, and improve the quality of life for cancer survivors. The programs are also required to assess current cancer burdens and health disparities and to assess the existing initiatives, capacity, coalitions/partnerships, and infrastructure in the State. In order to accomplish these objectives, the program must reach out to local and regional partners working on cancer issues. Primary Program Activities include the following: Provision of professional and public education to improve prevention, detection and control of cancer. Collaboration with communities to foster cancer control through state and regional advisory councils, coalitions and committees. Promotion of partnerships and collaboration with agencies, health facilities and educational institutions to actively work toward the goals and objectives of the Comprehensive Cancer Plan. Through a joint effort the General Baptist State Convention s (GBSC) Center for Health and Healing (CHH) and the North Carolina Comprehensive Cancer Program (NC CCP) will work together to implement prostate and colorectal cancer initiatives with a focus on African- Americans in five counties (Edgecombe, Wilson, Halifax, Nash and Northampton). The Center for Health and Healing is a non-profit organization committed to service. Their mission is to improve health and quality of life outcomes of economically, socially, educationally and/or historically distressed North Carolinians by leveraging culturally rooted church infrastructures as well as localized community health advocates, services and resources. II. PROGRAM PROCEDURES: The North Carolina Comprehensive Cancer Program is funded through the U. S. Department of Health and Human Services, Centers for Disease Control and Prevention, through Funding Opportunity Number CDC-RFA-DP07-703, Grant # 1 U58 DP000832. The program title is thee National Cancer Prevention and Control Program. The project period runs for five years, from July 1, 2007 to June 30, 2012. This grant covers three separate programs, the National Comprehensive Cancer Control Program, the National Breast and Cervical Cancer Early Detection Program, and the National Program of Cancer Registries. The North Carolina Comprehensive Cancer Program includes the primary Comprehensive Cancer Control Program and the optional Prostate Cancer and Colorectal Cancer programs, which are additional programs combined under the National Comprehensive Cancer Control Program. The North Carolina Comprehensive Cancer Control Program has a 10% cost sharing requirement. The Prostate Cancer and Colorectal Cancer components have no cost sharing or matching requirements. Subrecipients have no cost sharing or matching requirements under any of the programs. In B-4 93.283-4 2
March, 2008, NCCCP awarded contract #02443-08 to the Center for Health and Healing for a period running through June 31, 2010. Funding for this contract comes through the Prostate Cancer Program and the Colorectal Cancer Program. No funding for this contract comes from the North Carolina Comprehensive Cancer Program. The CHH is charged with implementing activities for both initiatives (Prostate Cancer Project and Colorectal Cancer Project) to positively impact the population of the project region by (1) providing overall and preventive cancer education; (2) identifying and sharing cancer resources and/or assistance information; (3) fortifying persons and associates to better handle a cancer diagnosis when it occurs; and (4) connecting patients, family and friends to networks who offer long term cancer care and support such as Colon Cancer Alliance (CCA), the American Cancer Society (ACS), GBSC, CHH, and Carolina Community Network (CCN). CHH staff will visit area clergy and lay leaders to elicit their involvement and endorsement of the importance of health promotion as a means of reducing the prevalence of chronic diseases and especially the unique role congregations can play in enabling the membership toward healthy lifestyles. This area was selected due to significantly higher incidence and mortality rates for these specific types of cancer among the African American population compared to the white population. This contract is intended to increase cancer prevention, screening and treatment awareness and activity among the African American community. Ultimately, this will result in decreasing cancer rates and mortality among the focus population. III. COMPLIANCE REQUIREMENTS A. ACTIVITIES ALLOWED OR UNALLOWED CDC funds must be used for activities described in contract #02443-08. These include: Staff salaries, wages and fringe benefits Educational and promotional materials Education of community leaders, health care professionals and decision makers Convening interested groups Participant incentives Program related telephone and mailing costs Printing Office supplies Travel in State CDC funds cannot be used for: capital expenditures to supplant funds from federal or State sources to provide direct health care services to support or engage in any effort to participate in political activities or lobbying payment of non-program related debts, fines or penalties contributions to a contingency fund membership fees interest or other financial payments travel and meals in excess of the health department or current North Carolina State rates cost related to out-of-state travel any expenditure that may create a conflict of interest or a perception of impropriety B. ALLOWABLE COSTS/COST PRINCIPLES B-4 93.283-4 3
All grantees that expend State funds (including federal funds passed through the N. C. Department of Health and Human Services) are required to comply with the cost principles described in the N. C. Administrative Code at 09 NCAC 03M.0201. Basic Considerations, Indirect Costs, Direct Costs, Allowable Costs, and Unallowable Costs may be found in the latest version of the federal Office of Budget and Management (OMB) Circular 122 or OMB Circular A-87 available from the OMB website at www.whitehouse.gov/omb/circulars. C. CASH MANAGEMENT Funds are granted on a reimbursement basis and no testing is required at the local level. E. ELIGIBILITY There are no eligibility requirements. Services and activities are intended for the specific focus group listed in the contract. Suggested Audit Procedure: Review Contract #02443-08 and records of activities reported to determine if specific focus groups are the actual beneficiaries of the activities. However, it should be noted that a broader community based effort, including family members, friends, church members, and co-workers in all age groups will be utilized in reaching these focus groups. Prostate Cancer component: Primary beneficiary group is African-American men age 45 and over, with secondary efforts at all men age 50 and over. Colorectal Cancer component: Because of requirements to address health disparity issues, primary beneficiaries are African-American men and women, with secondary beneficiaries to include the local community encompassing all racial groups. F. EQUIPMENT AND REAL PROPERTY MANAGEMENT Prior approval is required from the program for any equipment, computer purchases and disposition of the equipment in accordance with state laws and procedures. H. PERIOD OF AVAILABILITY OF FEDERAL FUNDS Funds are available through the contract period, ending June 30, 2010 I. PROCUREMENT AND SUSPENSION AND DEBARMENT All grantees that expend federal funds (received either directly from a federal agency or passed through the N. C. Department of Health and Human Services) are required to conform to federal agency codifications of the grants management common rule accessible on the Internet at http://www.whitehouse.gov/omb/grants/chart.html. All grantees that expend State funds (including federal funds passed through the N. C. Department of Health and Human Services) are required to comply with the procurement standards described in the North Carolina General Statutes and the North Carolina Administrative Code, which are identified in the State of North Carolina Agency Purchasing Manual accessible on the Internet at http://www.doa.state.nc.us/pandc/agpurman.htm#p6_65. B-4 93.283-4 4
Non-federal entities are prohibited from contracting with or making subawards under covered transactions to parties that are suspended of debarred or whose principals are suspended or debarred. L. REPORTING Contractor must submit monthly expenditure reports for reimbursement. The contractor must submit monthly performance reports describing accomplishments toward activity requirements described in the activities chart, Scope of Work, in contract #02443-08; M. SUBRECIPIENT MONITORING The contractor shall not subcontract any of the work contemplated under this contract without obtaining prior written approval from the Division. Any approved subcontract shall be subject to all conditions of this contract. NCCCP has a specific monitoring program in place for this contract. N. SPECIAL TESTS AND PROVISIONS CONFLICT OF INTEREST AND CERTIFICATION REGARDING NO OVERDUE TAX DEBTS Compliance Requirement All non-state entities (except those entities subject to the audit and other reporting requirements of the Local Government Commission) that receive, use or expend State funds (including federal funds passed through the N. C. Department of Health and Human Services) are subject to the financial reporting requirements of G. S. 143C-6-23 for fiscal years beginning on or after July 1, 2007. These requirements include the submission of a Notarized Conflict of Interest Policy (see G. S. 143C-6-23(b)) and a written statement (if applicable) that the entity does not have any overdue tax debts as defined by G. S. 105-243.1 at the federal, State or local level (see G. S. 143C-6-23(c)). All non-state entities that provide State funding to a non-state entity (except any non-state entity subject to the audit and other reporting requirements of the Local Government Commission) must hold the subgrantee accountable for the legal and appropriate expenditure of those State grant funds. B-4 93.283-4 5