Division of Public Health Consolidated Contracting Information for CY 2017

The 2017 consolidated contract covers the timeframe from October 2016 through September 2018.  Valuable information is available on this page for Local Health Departments (LHD) regarding the overall contracting process and LHD allocations. 

Base Contract, Signature Pages and Addenda

Local health departments (LHD) may find their 2017 Consolidated Contracts and associated documents by following each of the four steps below. Please complete each step to ensure that you receive all of the necessary documentation pertaining to your 2017 DPH Consolidated Contract.

  1. Template MOU for Transferring Funds to a Consortium Fiscal Agent (Word)
    If an LHD has chosen to transfer funds to another LHD via a Memorandum of Understanding (MOU), both sending and receiving LHDs must sign and return the Template MOU along with the signed 2017 Contract Signature Package. If multiple LHDs are transferring funds to one LHD, then there must be an MOU included with the Contract Signature Package for each LHD that is transferring funds.
  2. 2017 DPH Base Contract (PDF)
    The Base Contract serves as the legal contract and describes the grantee's accountability for the program deliverables and funding provided in the 2017 Consolidated Contract Addendum.
  3. 2017 Base Contract Signature Package (Word)
    The Contract Signature Package includes a brief cover page, the DPH Base Contract Signature Page, the Anti-Lobbying Signature Page, and the Certification Regarding Debarment and Suspension Signature Page. In order to receive payment, two signed originals of each of these pages must be returned to the following address :

    Yvette Smith
    Department of Health Services
    1 West Wilson Street, Room 250
    Madison WI 53703
  4. Contract Addenda - 2017 Consolidated Contract Overview (Excel)
    To download your 2017 Consolidated Contract Addendum, open the 2017 Consolidated Contract Overview spreadsheet and click the link for your agency-specific addendum in the Base Contract Addendum column of the Overview tab. By way of reference, the addendum is considered an attachment to the Basic Contract and includes all programmatic objectives, quality criteria, and statements of work as well as the associated funding amount for each of the programs initially included in your 2017 DPH Consolidated Contract. Contract addenda are only available for LHDs that have completed negotiations in GAC for all of their allocated funding. The remaining addenda will be made available on this spreadsheet as the negotiations are completed and objectives are signed off on.

Additional Information

Program Information

Childhood Lead Poisoning Prevention Program

Childhood Lead Poisoning Prevention Program Boundary Statement (PDF)
Childhood Lead Poisoning Prevention Program Quality Criteria (PDF)
Childhood Lead Poisoning Prevention Program Template Objectives (PDF)

Children and Youth with Special Health Care Needs (CYSHCN)

CYSHCN Template Objectives (PDF)

Immunization Program

Immunization Program Boundary Statement (PDF)
Immunization Program Quality Criteria (PDF)
Immunization Program Template Objectives (PDF)

Maternal and Child Health (MCH)

MCH Program Parameters (PDF)
MCH Objective Summary (PDF)
MCH Template Objective (PDF)

Oral Health Program

Oral Health Fluoride Mouthrinse Boundary Statement (PDF)
Oral Health Fluoride Mouthrinse Template Objective (PDF)  
Oral Health Fluoride Supplement Boundary Statement (PDF)
Oral Health Fluoride Supplement Template Objective (PDF)

Preventive Health and Health Services (PHHS) Block Grant: October 2016 - September 2018

Information pertaining to your 2015-2017 Preventive Health and Health Services (PHHS) contract can be found on the 2016 Consolidated Contract webpage.
PHHS Boundary Statement (PDF)
PHHS Quality Criteria (PDF)
PHHS Template Objectives (PDF)
PHHS Block Grant Allocation Spreadsheet (PDF)
PHHS Preventive Health and Health Services Program Contracting Update (PDF)

Radon Program

Radon RICs Program Boundary Statement (PDF)
Radon RICs Program Quality Criteria (PDF)
Radon RICs Template Objective (PDF)

Women, Infants and Children (WIC) Supplemental Nutrition

WIC Supplemental Nutrition Template Objective (PDF)

Supplemental Nutrition Assistance Program- Education (SNAP-Ed)

SNAP-Ed Template Objective (PDF)  
Fit Families SNAP-Ed Template Objective (PDF)



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Last Revised: October 3, 2017