T32 Amendment (6) ARPA: Request de-obligation of ($507,675.49) per 1-1-24 quarterly ULO.
T32 Amendment (5) ARPA: Request de-obligation of ($104,564.42) per 10-1-23 quarterly ULO; change PM to Robert Stegner.
T32 Amendment (4) ARPA: Request de-obligation of ($92,010.45) per NGB.
T32 Amendment (3) ARPA: Request de-obligation of FY 2021 funds of ($15,890,146.93) per NGB.
T32 Amendment (2) ARPA: DOD may provide up to 1,200 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be funded with cost estimates at $4,482,000 for operations beginning January 1, 2022 through April 1, 2022. Additional funding requirements, if required, may will be provided by NGB J8 thereafter.
T32 Amendment (1)  ARPA: DOD may provide up to 1,200 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be funded with cost estimates at $2,880,000.00 for operations beginning October 1, 2021 through December 31,2021.  Additional funding requirements, if required, may will be provided by NGB J8 thereafter.
T32  ARPA: This is a continuation of MA#1509-347158 and is being issued to address the change in funding through the American Rescue Plan Act of 2021. DOD may provide up to 1200 personnel to assist state to execute emergency protective measures to mitigate the impacts of COVID-19. Missions will be incrementally funded with initial cost estimated at $28,800,000 for operations beginning May 1, 2021 through June 30, 2021. Additional funding requirements will be provided by NGB J8 thereafter.


ARPA-Activation of Defense Coordinating Element in support of regional COVID Response Coordination in Region VII

As requested by and in coordination with FEMA, Department of Defense (DOD) will Activate and Deploy Defense Coordinating Element (DCE), Joint Regional Medical Planning Officer (JRMPO), Regional/State Emergency Preparedness Liaison Officers (REPLOS) and other enablers as required to support COVID response operations, Planning, and serve as Liaisons to FEMA Region VII at the Regional Response Coordination Center (RRCC), Initial Operating Facilities, and EOCs as determined by FEMA supporting local, state, and federal agencies during COVID-19 Response Operations. DCO/E and JMRPO will provide DOD Subject Matter Expertise, validate DOD requirements, and conduct liaison efforts with Joint Task Forces, theater enablers, and other command and control elements, as required. DOD Personnel will be prepared to support operations, remotely, virtually, and at duty location to support OFAs IAW DOD COVID-19 Guidance.
This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.
ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and
that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still
operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been
provided.


ARPA-Amendment#1-De-obligate ($10K) per 10-1-22 quarter ULO.

ARPA-Activation of Defense Coordinating Element in support of regional COVID Response Coordination in Region VII


ARPA-Provide a large medical team (LMT), configuration based upon staffing up to 40 beds, for staff augmentation to BJC Christian Hospital, 11133 Dunn Rd, St. Louis, MO 63136.

LAD: 28JAN 2022; IOC: 31 JAN 2022; FOC: 01 FEB 2022; End of Clinical Mission 02 MAR 2022

As requested by the State of Missouri, as directed by and in coordination with FEMA, DoD will deploy a large medical team (LMT) capable of assisting and/or back-filling medical professionals, augmenting COVID-19 care, to the state of MO. The LMT provides medical staff augmentation capabilities to designated hospitals and staff and is focused on treatment of inpatient medical wards and augmentation of medical and surgical facilities during peak COVID-19 patient surges. Team will consist of medical providers, registered nurses, and respiratory technicians/medical technicians plus appropriate command and control, sustainment, and other enabler support as deemed necessary. The LMT is not intended to support ICU / critical care requirements and is not staffed with appropriate technical skills to meet ICU / critical care requirements.

This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030. - MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
- All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement.
- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


ARPA-Amendment#1-De-obligate (-$500,000.00) per 4/1/2022 quarterly ULO report.

ARPA-Provide a large medical team (LMT), configuration based upon staffing up to 40 beds, for staff augmentation to BJC Christian Hospital, 11133 Dunn Rd, St. Louis, MO 63136.

LAD: 28JAN 2022; IOC: 31 JAN 2022; FOC: 01 FEB 2022; End of Clinical Mission 02 MAR 2022


ARPA-Amendment#2-Request de-obligation of (-$160,775.86) per 10/1/2022 quarterly ULO report.
ARPA-Amendment#1-De-obligate (-$500,000.00) per 4/1/2022 quarterly ULO report.
ARPA-Provide a large medical team (LMT), configuration based upon staffing up to 40 beds, for staff augmentation to BJC Christian Hospital, 11133 Dunn Rd, St. Louis, MO 63136.
LAD: 28JAN 2022; IOC: 31 JAN 2022; FOC: 01 FEB 2022; End of Clinical Mission 02 MAR 2022


ARPA-Amendment#3-Request de-obligation of (-$40,735.15)) per 10/1/2022 quarterly ULO report.

ARPA-Amendment#2-Request de-obligation of (-$160,775.86) per 10/1/2022 quarterly ULO report.
ARPA-Amendment#1-De-obligate (-$500,000.00) per 4/1/2022 quarterly ULO report.
ARPA-Provide a large medical team (LMT), configuration based upon staffing up to 40 beds, for staff augmentation to BJC Christian Hospital, 11133 Dunn Rd, St. Louis, MO 63136.
LAD: 28JAN 2022; IOC: 31 JAN 2022; FOC: 01 FEB 2022; End of Clinical Mission 02 MAR 2022

As requested by the State of Missouri, as directed by and in coordination with FEMA, DoD will deploy a large medical team (LMT) capable of assisting and/or back-filling medical professionals, augmenting COVID-19 care, to the state of MO. The LMT provides medical staff augmentation capabilities to designated hospitals and staff and is focused on treatment of inpatient medical wards and augmentation of medical and surgical facilities during peak COVID-19 patient surges. Team will consist of medical providers, registered nurses, and respiratory technicians/medical technicians plus appropriate command and control, sustainment, and other enabler support as deemed necessary. The LMT is not intended to support ICU / critical care requirements and is not staffed with appropriate technical skills to meet ICU / critical care requirements.
This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030. - MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
- All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement.
- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


ARPA-VC - Requesting volunteer staffing support in the form of 5 generalists from the Department of Labor for the St. Louis, Missouri Community Vaccination Center (CVC).  CVC site support includes non-clinical efforts such as administrative assistance, monitoring throughput and traffic flow, and/or data entry. Names of 5 identified individuals volunteering are attached. This MA is being issued with funding through the American Rescue Plan Act of 2021.

As directed by and in coordination with FEMA, US Department of Labor (DOL) will provide Surge Capacity Force personnel consisting of permanent agency staff willing to deploy for a field assignment to augment FEMA's disaster operations. DOL will provide employees who have been identified as Surge Capacity Force (SCF) member at specified tier (Tier 3 or Tier 4) in accordance with standards established in the DHS SCF Concept of Operations, dated April 2010.
This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.
NOTE: Agencies do not receive advances of funds from FEMA to pay for mission assigned activities. FEMA must receive and approve a request for payment for mission assignment work, accompanied by supporting documentation, to process reimbursement from the Disaster Relief Fund (DRF).
ADDITIONAL NOTES from FEMA:
MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency.
MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


ARPA-VC Amendment#1 No cost PoP extension to June 2, 2021

ARPA-VC - Requesting volunteer staffing support in the form of 5 generalists from the Department of Labor for the St. Louis, Missouri Community Vaccination Center (CVC).  CVC site support includes non-clinical efforts such as administrative assistance, monitoring throughput and traffic flow, and/or data entry. Names of 5 identified individuals volunteering are attached. This MA is being issued with funding through the American Rescue Plan Act of 2021.


ARPA-VC Amendment#2 De-obligate (-$83,778.31) due to inactivity, if a Final Bill is presented will re-open and add additional funds.  Change Project Manager to Adrian Walker

ARPA-VC Amendment#1 No cost PoP extension to June 2, 2021

ARPA-VC - Requesting volunteer staffing support in the form of 5 generalists from the Department of Labor for the St. Louis, Missouri Community Vaccination Center (CVC).  CVC site support includes non-clinical efforts such as administrative assistance, monitoring throughput and traffic flow, and/or data entry. Names of 5 identified individuals volunteering are attached. This MA is being issued with funding through the American Rescue Plan Act of 2021.


ARPA VC   Request for up to ten FPS Guards to support COVID19 CVC site in St. Louis, MO for 24 hours/day, 7 days/week duration of up to 60 days.

Security of FEMA facilities will be based on FEMA Office of Chief Security Officer (OCSO) security standards, policies and practices. At the direction of, and in coordination with FEMA OCSO security personnel, FPS will provide contract protective services officers to support response and recovery operations in the State of Missouri. FEMA OCSO Security will issue MA Task Orders for specific resource requirements, location(s), dates and duration of assignment(s). Equipment purchases are not authorized under this Mission Assignment.
This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 9/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 9/30/2030.
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


ARPC VC Amendment #1 Add additional funding of $18,340.00 (PSO cost) to fund the original request of $426,580.40

ARPA VC   Request for up to ten FPS Guards to support COVID19 CVC site in St. Louis, MO for 24 hours/day, 7 days/week duration of up to 60 days.


ARPC VC Amendment#2 Add additional funding of $8,164.80 for one (1) PSO for the period 5/12/2021 to 5/17/2021

ARPC VC Amendment #1 Add additional funding of $18,340.00 (PSO cost) to fund the original request of $426,580.40

ARPA VC   Request for up to ten FPS Guards to support COVID19 CVC site in St. Louis, MO for 24 hours/day, 7 days/week duration of up to 60 days.


ARPC VC Amendment#3  No cost extension of POP to 6/3/2021

ARPC VC Amendment#2 Add additional funding of $8,164.80 for one (1) PSO for the period 5/12/2021 to 5/17/2021

ARPC VC Amendment #1 Add additional funding of $18,340.00 (PSO cost) to fund the original request of $426,580.40

ARPA VC   Request for up to ten FPS Guards to support COVID19 CVC site in St. Louis, MO for 24 hours/day, 7 days/week duration of up to 60 days.


ARPA VC Amendment#4 Amend to de-obligate (-$35,081.07) per 10/01/2021 quarterly ULO Report; change PM to Adrian Walker

ARPA VC Amendment#3  No cost extension of POP to 6/3/2021

ARPA VC Amendment#2 Add additional funding of $8,164.80 for one (1) PSO for the period 5/12/2021 to 5/17/2021

ARPA VC Amendment #1 Add additional funding of $18,340.00 (PSO cost) to fund the original request of $426,580.40

ARPA VC   Request for up to ten FPS Guards to support COVID19 CVC site in St. Louis, MO for 24 hours/day, 7 days/week duration of up to 60 days.


Request Mission Assignment of GSA to support site searching requirements in St. Louis in support of the CVC mission. A deployable Realty Leasing Officer will be required.  This mission could result in significant leasing requirements, potential fixed facilities, as well as open space parking areas for facilitating mobile CVC site to include wrap around services for required hygiene protocol.

Request Mission Assignment of GSA to support site searching requirements in St Louis in support of the CVC mission. A deployable Realty Leasing Officer will be required. This mission could result in significant leasing requirements, potential fixed facilities as well as open space parking areas for facilitating mobile CVC sites. 03/22/2021 14:14 NRCC approves this action and GSA is the correct Federal Partner to support the vaccine campaign, please create an MA to GSA and have them develop the language in the MA/MATO as necessary. Once created please ensure that RSSC, Darrell Ransom is in the routing of the MA/MATO as an Action Tracker-Operations after the project manager signature the remaining regional signature approvals remains the same. Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement. --- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement. --- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA. --- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency --- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin#157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


ARPA-CVC- Amend#1  Extend PoP to 6-3-2021 for mission continuation, no additional funds needed at this time-change PM to Conradge Brown.

Request Mission Assignment of GSA to support site searching requirements in St. Louis in support of the CVC mission. A deployable Realty Leasing Officer will be required.  This mission could result in significant leasing requirements, potential fixed facilities, as well as open space parking areas for facilitating mobile CVC site to include wrap around services for required hygiene protocol.


ARPA-CVC-Amend#2 Request de-obligation of ($2,252.62) per 10-1-22 quarterly de-obligations; change PM to Bryon Grable
ARPA-CVC-Amend#1 Extend PoP to 6-3-2021 for mission continuation, no additional funds needed at this time-change PM to Conradge Brown.
Request Mission Assignment of GSA to support site searching requirements in St. Louis in support of the CVC mission. A deployable Realty Leasing Officer will be required.  This mission could result in significant leasing requirements, potential fixed facilities, as well as open space parking areas for facilitating mobile CVC site to include wrap around services for required hygiene protocol.


Request up to 22 staff effective POP from today 11/4/2020 for three weeks ending on 11/25/2020 as follows:

1 Infectious Control Nurse; 3 RN/LPNs (day), 4 RN/LPNs (nights); 7 CNAs (day), 7 CNAs (night).

As directed by and in coordination with FEMA in support of this State of Missouri COVID request, the Health and Human Services (HHS) will provide up to 22 staff at the Missouri Veterans Home in Cameron, Missouri over two shifts per day. The number and specialty of the deployed personnel, not to exceed the MA total estimated cost, will be determined by conditions observed at the site and will be made by Subject Matter Experts (SMEs) from . The duration of the support services will be limited to the end of the day on November 25, 2020. State of Missouri has provide assurances that Missouri Veterans Home will provide/ensure staffing as needed by this date at each facility covered in this tasking for them to operate on their own. State of Missouri is to provide PPE as available. HHS cannot provide services for Pediatric or OB/GYN patients.

Mission Assignment task orders may be issued by FEMA for specific requirements, personnel. location(s), date(s), and duration of assignments(s). All equipment and supply purchases must be coordinated with FEMA. Prior Federal Approving Official (FAO) is necessary to ensure reimbursement. Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement, per 44 CFR 206.208(c)(2). Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement. The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that all costs are reasonable and supported by documentation maintained by the respective agencies. Mission Assignments shall be
considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157 and Mission Assignment Policy 1040102. For mission Assignments still operationally open, requests for additional obligations may be withheld if no invoicing. ULO Validation or additional justification has been provided.


Amendment #1: De-obligate remaining funds of $312,900.00 per 1/1/2021 ULO validation.

Request up to 22 staff effective POP from today 11/4/2020 for three weeks ending on 11/25/2020 as follows:

1 Infectious Control Nurse; 3 RN/LPNs (day), 4 RN/LPNs (nights); 7 CNAs (day), 7 CNAs (night).


ARPA VC 2 Pharmacists Requested from PHS

Event Name of Number: R07 MO COVID-19/SARS-CoV-2(4490-DR-MO)
Tour Duty Station: St. Louis
Report to Tour Duty Station: No
Address: TBD upon site selection
City: St. Louis
State: MO
Zip: TBD
Requested Arrival Date: 03/30/2021
Latest Arrival Date: 03/31/2021
Duration (in days): 80
Rental Vehicle Authorized: Yes
Per Diem Authorized: Yes
POC Name: Todd Patton
POC Number: 202-826-5918
Notes: Support MO CVC Pilot site operations for vaccine distribution
Incident Type: Incident Management
Pharmacist/Pharmacy Technicians
Program Area: ESF 8
Job Title: Pharmacist-(2)
# of Personnel Required: 2

In support of Missouris request, as directed by and in coordination with FEMA, HHS will deploy personnel to support activities including, but not limited to, the following areas in support of FEMA's COVID vaccination operations. HHS personnel is to augment the State/Tribe/Territorys COVID vaccination capacity by administering vaccinations at sites across the State/Tribe/Territory. HHS requests that specific requests (i.e. security clearances, license documentation, vaccinations, etc.) be identified in advance of assigning the Mission Assignment to ensure that requests can be fulfilled. HHS requests up to 5 days from the date of the signed Mission Assignment to deploy personnel to requested location. HHS requests that deployed personnel are provided the essential equipment, materials, supplies, and information to safely execute vaccine operations. HHS also requests that funds for travel, billeting, per-diem, and incidentals are included in cost estimate.
MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s). Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement. All equipment and supply purchases must be coordinated with FEMA Project Manager.
If approved, documentation is necessary to ensure reimbursement. Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA. The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency. MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.
State will provide first and second vaccination doses to FEMA employees, FEMA Corps members, Surge Capacity Force Members and/or FEMA-provided personnel (e.g., federally-contracted personnel, volunteer personnel deployed at FEMAs request, and personnel from other federal agencies) deployed in support of the vaccination effort.
This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.
ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


ARPA-VC-Amendment#1-De-obligate (-$126,000.00) per FEMA MA HQ closeout team due to billing inactivity; change PM to Adrian Walker

ARPA VC 2 Pharmacists Requested from PHS

Event Name of Number: R07 MO COVID-19/SARS-CoV-2(4490-DR-MO)
Tour Duty Station: St. Louis
Report to Tour Duty Station: No
Address: TBD upon site selection
City: St. Louis
State: MO
Zip: TBD
Requested Arrival Date: 03/30/2021
Latest Arrival Date: 03/31/2021
Duration (in days): 80
Rental Vehicle Authorized: Yes
Per Diem Authorized: Yes
POC Name: Todd Patton
POC Number: 202-826-5918
Notes: Support MO CVC Pilot site operations for vaccine distribution
Incident Type: Incident Management
Pharmacist/Pharmacy Technicians
Program Area: ESF 8
Job Title: Pharmacist-(2)
# of Personnel Required: 2


ARPA-Activate HHS to RRCC, IOF, JFO or other regional facilities for Technical Assistance Team.
Estimated costs:
 TAT cost per team member, for 7-day operation: $2,250 per person
14 Day Estimate $22,500 plus cost of Overtime, Per Diem, Travel.
Additional 2 Local travelers for salary only.  5 Person Team
Total Cost of Team 2250 (per person per week) x 5 pax=22500 + 7500 Travel Lodging for 5 Pax + 2 extra days (+644) =30,644 for 29 Jul-13 Aug.

As directed by and in coordination with FEMA, Health & Human Services (HHS) will provide appropriate personnel to support FEMA response operations.

ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


ARPA-Amendment#1-De-obligate (-$31,000) per FEMA MA HQ closeout team due to billing inactivity; change PM to Adrian Walker

ARPA-Activate HHS to RRCC, IOF, JFO or other regional facilities for Technical Assistance Team.
Estimated costs:
 TAT cost per team member, for 7-day operation: $2,250 per person
14 Day Estimate $22,500 plus cost of Overtime, Per Diem, Travel.
Additional 2 Local travelers for salary only.  5 Person Team
Total Cost of Team 2250 (per person per week) x 5 pax=22500 + 7500 Travel Lodging for 5 Pax + 2 extra days (+644) =30,644 for 29 Jul-13 Aug.


ARPA-HHS to provide NDMS HMTF to Research Medical Center for Emergency Department Decompression (EDD) and/or general hospital decompression as necessary for up to 30 days. To start NLT 07 Jan 2022.
- Assessment will be completed 10 days into the mission to determine if the team should be reloaded at 14 days.
- Cost Estimate
16 people
$2500/person for travel and per-diem
$1000/person per day
Up to 30 days. (each team can only come for 14 days)
Initial PPE push pack - $15,000
(32 people x $2500)+(16x$1000)30 days + 15,000 = $575,000

NDMS HMTF will be 16 people to include:
1 Group Supervisor
1 Log
1 Team Commander
1 Provider
1-2 Mid-level providers (PA or NP)
Remainder will be a mix or RNs and paramedics

ARPA-In support of Missouri response to COVID-19 request, as directed by and in coordination with FEMA, Health & Human Services (HHS) will deploy NDMS HMTF with appropriate PPE push pack to Research Medical Center for Emergency Department Decompression (EDD) and / or general hospital decompression as necessary. Assessment to be completed 10 days from start of mission to determine the need for team extension.
----
ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided


ARPA-Amendment#1: Add additional funding of $225,400 for HHS to provide continued NDMS HMTF via a replacement team to Research Medical Center for Emergency Department Decompression (EDD) and/or general hospital decompression as necessary for up to 30 days to continue operations beyond 20 Jan 2022.

ARPA-HHS to provide NDMS HMTF to Research Medical Center for Emergency Department Decompression (EDD) and/or general hospital decompression as necessary for up to 30 days. To start NLT 07 Jan 2022.
- Assessment will be completed 10 days into the mission to determine if the team should be reloaded at 14 days.
- Cost Estimate
16 people
$2500/person for travel and per-diem
$1000/person per day
Up to 30 days. (each team can only come for 14 days)
Initial PPE push pack - $15,000
(32 people x $2500)+(16x$1000)30 days + 15,000 = $575,000

NDMS HMTF will be 16 people to include:
1 Group Supervisor
1 Log
1 Team Commander
1 Provider
1-2 Mid-level providers (PA or NP)
Remainder will be a mix or RNs and paramedics


ARPA-Amendment#2:  De-obligate ($428,347.50) per 7-1-2022 quarterly ULO report.

ARPA-Amendment#1: Add additional funding of $225,400 for HHS to provide continued NDMS HMTF via a replacement team to Research Medical Center for Emergency Department Decompression (EDD) and/or general hospital decompression as necessary for up to 30 days to continue operations beyond 20 Jan 2022.

ARPA-HHS to provide NDMS HMTF to Research Medical Center for Emergency Department Decompression (EDD) and/or general hospital decompression as necessary for up to 30 days. To start NLT 07 Jan 2022.
- Assessment will be completed 10 days into the mission to determine if the team should be reloaded at 14 days.
- Cost Estimate
16 people
$2500/person for travel and per-diem
$1000/person per day
Up to 30 days. (each team can only come for 14 days)
Initial PPE push pack - $15,000
(32 people x $2500)+(16x$1000)30 days + 15,000 = $575,000

NDMS HMTF will be 16 people to include:
1 Group Supervisor
1 Log
1 Team Commander
1 Provider
1-2 Mid-level providers (PA or NP)
Remainder will be a mix or RNs and paramedics


ARPA-Amendment#3:  De-obligate ($372,052.50) and close due to inactivity per 10-1-2023 quarterly ULO; change PM to Robert Stegner.
ARPA-Amendment#2:  De-obligate ($428,347.50) per 7-1-2022 quarterly ULO report.
ARPA-Amendment#1: Add additional funding of $225,400 for HHS to provide continued NDMS HMTF via a replacement team to Research Medical Center for Emergency Department Decompression (EDD) and/or general hospital decompression as necessary for up to 30 days to continue operations beyond 20 Jan 2022.
ARPA-HHS to provide NDMS HMTF to Research Medical Center for Emergency Department Decompression (EDD) and/or general hospital decompression as necessary for up to 30 days. To start NLT 07 Jan 2022.
- Assessment will be completed 10 days into the mission to determine if the team should be reloaded at 14 days.
- Cost Estimate
16 people
$2500/person for travel and per-diem
$1000/person per day
Up to 30 days. (each team can only come for 14 days)
Initial PPE push pack - $15,000
(32 people x $2500)+(16x$1000)30 days + 15,000 = $575,000
NDMS HMTF will be 16 people to include:
1 Group Supervisor
1 Log
1 Team Commander
1 Provider
1-2 Mid-level providers (PA or NP)
Remainder will be a mix or RNs and paramedics


ICATT - ARPA. State of Missouri requests HHS-CDC assistance implementing and managing COVID-19 surge testing sites.  This request meets the four criteria established in which surge testing sites should be considered for communities:

1) With moderate-to-high social vulnerability index1

2) Where the demographic composition of the sites surrounding county includes large minority or at risk populations

3) Where the average COVID-19 incidence is 100 cases per 100,000 population over last 7 days

4) Where the percentage of COVID-19 fully vaccinated, among those eligible for vaccine, is less than the average U.S. percentage of fully vaccinated

As authorized in the President's December 27, 2021, Memorandum for the Secretary of Health and Human Services, the Secretary of Homeland Security, and the Administrator of the Federal Emergency Management Agency on Maximizing Assistance to Respond to COVID19: In support of State of Missouri request, as directed by and in coordination with FEMA, and as adjudicated by the Emergency Support Function (ESF) #8 Advisory Council, Centers for Disease Control and Prevention (CDC) will launch, provide, and operate ICATT COVID19 Surge Testing sites to augment State, local, Tribal, and territorial public health resources in support of FEMA disaster operations including, but not limited to the following:
- Coordinate with the State/Territory/Tribe to select surge testing location, testing method, and operational model.
- Provide technical expertise to FEMA and ESF #8 Advisory Council when adjudicating requests.
- For all requests approved ESF #8 Advisory Council, CDC will connect the requesting jurisdiction with the ICATT federal contractor to begin implementation.
- ICATT will manage the federal contractor providing surge testing services per their contractual agreement. The federal contractor supports site set up and management in coordination with the jurisdiction; provides endtoend testing support.
- ICATT will monitor surge site testing performance during the approved duration and coordinate with ESF #8 Advisory Council and the jurisdiction to extend or retire testing services based on available funding and community testing needs.
- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
 Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
 All equipment and supply purchases only for those items not provided by CDC or their contractor must be coordinated with FEMA Project Manager in advance. If the purchase is preapproved, documentation is necessary to ensure reimbursement.
 Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
 The missionassigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
 MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA
CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment#1-ARPA-De-obligate (-$2,184,000.00) per 01/1/23 quarterly ULO report.
ICATT - ARPA. State of Missouri requests HHS-CDC assistance implementing and managing COVID-19 surge testing sites.  This request meets the four criteria established in which surge testing sites should be considered for communities:
1) With moderate-to-high social vulnerability index1
2) Where the demographic composition of the sites surrounding county includes large minority or at risk populations
3) Where the average COVID-19 incidence is 100 cases per 100,000 population over last 7 days
4) Where the percentage of COVID-19 fully vaccinated, among those eligible for vaccine, is less than the average U.S. percentage of fully vaccinated


Activate TVA to requested location to support COVID-19 Recovery Operations for R07 MO COVID-19/SARS-CoV-2 (4490-DR-MO).

As directed by and in coordination with FEMA, Tennessee Valley Authority (TVA) /Bicentennial Volunteers, Inc. will provide appropriate personnel to support FEMA disaster operations. Expertise required may include, but is not limited to the following:

Expertise required may include, but is not limited to, the following:
� Responsibilities associated with the Program Delivery Manager (PDMG) and Site Inspector, Program Delivery Task Force Leader (PDTFL), Site Inspector Task Force Leader (SITFL), or Site inspector Crew Leader (SICL) positions
� The Development of the PA Project Worksheet using Grants Manager and supporting documentation
� Debris operations
� Power restoration, transmission, and distribution operations
� Waste water facilities operations
� Road, Bridge, or Structural Analysis

- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
- All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement.
- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment#1 De-obligate (-$323,673.87) and close MA per OFA

Activate TVA to requested location to support COVID-19 Recovery Operations for R07 MO COVID-19/SARS-CoV-2 (4490-DR-MO).


USDA to provide technical assistance for livestock depopulation and disposal.

Requested Resources: Activation USDA to the State of Missouri and locations within the State

As directed by and in coordination with FEMA in support of the State of Missouri , the USDA will provide specialized technical assistance for the purpose of livestock culling and disposal in response to workforce and operational capacities reductions in meat processing facilities in Missouri due to COVID19. Request for technical assistance from USDA will include planning and site design for depopulation operations, disposal and carcass management of livestock, and cost estimation. MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s). Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement. All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement. Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA. The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment #1 De-obligate ($321,848.88) and closed MA; change project manager to Tim Young.

USDA to provide technical assistance for livestock depopulation and disposal.

Requested Resources: Activation USDA to the State of Missouri and locations within the State


Amendment#2 The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021. Change PM to Adrian Walker

Amendment #1 De-obligate ($321,848.88) and closed MA; change project manager to Tim Young.

USDA to provide technical assistance for livestock depopulation and disposal.

Requested Resources: Activation USDA to the State of Missouri and locations within the State


ARPA VC USDA liaison activate to the RRCC, IOF, JFO, or other FEMA teams or facilities in support of FEMA disaster operations..

As directed by and in coordination with FEMA, US Dept of Agriculture (USDA) will provide appropriate personnel to the RRCC, IOF, JFO, or other FEMA teams or facilities in support of FEMA disaster operations.
This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under the MA must be submitted to FEMA no later than 09/30/2030.
ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment#1 Amend to de-obligate (-$9,933.18) per 7/1/21 quarterly ULO report.

ARPA VC USDA liaison activate to the RRCC, IOF, JFO, or other FEMA teams or facilities in support of FEMA disaster operations..


ARPA VC Request for 05 BLSTs from USDA Event Name of Number: R07 MO COVID-19/SARS-CoV-2(4490-DR-MO) Tour Duty Station: St. Louis Report to Tour Duty Station: No Address: 701 Convention Plaza City: St. Louis State: MO Zip: 63101 Requested Arrival Date: 03/30/2021 Latest Arrival Date: 03/31/2021 Duration (in days): 80 Rental Vehicle Authorized: Yes Per Diem Authorized: Yes POC Name: Todd Patton POC Number: 202-826-5918 Notes: Support MO CVC Pilot site operations for vaccine distribution Incident Type: Incident Management Pharmacist/Pharmacy Technicians Program Area: ESF 8 Job Title: Pharmacy Technicians-(5) # of Personnel Required: 5

In support of Missouri's request, as directed by and in coordination with FEMA, United States Department of Agriculture (USDA-APHIS) will deploy personnel up to, but not limited to, (5) Laboratory Technicians, plus 1 Safety Officer, to augment the States COVID vaccination capacity. State will provide first and second vaccination doses to FEMA employees, FEMA Corps members, Surge Capacity Force Members and/or FEMA-provided personnel (e.g., federally-contracted personnel, volunteer personnel deployed at FEMAs request, and personnel from other federal agencies) deployed in support of the vaccination effort.
This MA is funded with American Rescue Plan Act of 2021 funding and must be operationally complete by 09/30/2025. Any expenditures under this MA must be submitted to FEMA no later than 09/30/2030.
ADDITIONAL NOTES from FEMA:
--- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
--- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
--- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement.
--- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
--- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
--- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment#1 Amend to de-obligate (-$36,050.00) per 7/1/2021 quarterly ULO report.

ARPA VC Request for 05 BLSTs from USDA Event Name of Number: R07 MO COVID-19/SARS-CoV-2(4490-DR-MO) Tour Duty Station: St. Louis Report to Tour Duty Station: No Address: 701 Convention Plaza City: St. Louis State: MO Zip: 63101 Requested Arrival Date: 03/30/2021 Latest Arrival Date: 03/31/2021 Duration (in days): 80 Rental Vehicle Authorized: Yes Per Diem Authorized: Yes POC Name: Todd Patton POC Number: 202-826-5918 Notes: Support MO CVC Pilot site operations for vaccine distribution Incident Type: Incident Management Pharmacist/Pharmacy Technicians Program Area: ESF 8 Job Title: Pharmacy Technicians-(5) # of Personnel Required: 5


Amendment#2 ARPA  De-obligate (-$43,444.52) per 10/1/21 quarterly ULO report.

Amendment#1 Amend to de-obligate (-$36,050.00) per 7/1/2021 quarterly ULO report.

ARPA VC Request for 05 BLSTs from USDA Event Name of Number: R07 MO COVID-19/SARS-CoV-2(4490-DR-MO) Tour Duty Station: St. Louis Report to Tour Duty Station: No Address: 701 Convention Plaza City: St. Louis State: MO Zip: 63101 Requested Arrival Date: 03/30/2021 Latest Arrival Date: 03/31/2021 Duration (in days): 80 Rental Vehicle Authorized: Yes Per Diem Authorized: Yes POC Name: Todd Patton POC Number: 202-826-5918 Notes: Support MO CVC Pilot site operations for vaccine distribution Incident Type: Incident Management Pharmacist/Pharmacy Technicians Program Area: ESF 8 Job Title: Pharmacy Technicians-(5) # of Personnel Required: 5


Activate DOJ to the RRCC, IOF, JFO,  or other facilities in support of COVID activity.

*Virtual Only*

As directed by and in coordination with FEMA, Dept of Justice (DOJ) will provide appropriate personnel to RRCC, JFO, IOF, or other facilities as requested in support FEMA disaster operations.

Funding for DOJ command center(s), if authorized by FEMA, will be provided under a separate MA.

- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s).
- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement.
- All equipment and supply purchases must be coordinated with FEMA Project Manager. If approved, documentation is necessary to ensure reimbursement.
- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA.
- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency
- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amendment 1: No cost extension of period of performance (POP) to 2/26/2021; change project manager to Roderick (Lewis) Young

Activate DOJ to the RRCC, IOF, JFO,  or other facilities in support of COVID activity.

*Virtual Only*


Amendment 2: No cost extension of period of performance (POP) to 04/30/2021; change project manager to Wendy Newsom

Amendment 1: No cost extension of period of performance (POP) to 2/26/2021; change project manager to Roderick (Lewis) Young

Activate DOJ to the RRCC, IOF, JFO,  or other facilities in support of COVID activity.

*Virtual Only*


Amendment 3: De-obligate ($36,000.00) and close MA per OFA; change project manager to Adrian Walker

Amendment 2: No cost extension of period of performance (POP) to 04/30/2021; change project manager to Wendy Newsom

Amendment 1: No cost extension of period of performance (POP) to 2/26/2021; change project manager to Roderick (Lewis) Young

Activate DOJ to the RRCC, IOF, JFO,  or other facilities in support of COVID activity.

*Virtual Only*


Request COVID assistance for 30 days, beginning on/around September 18, 2020 to October 18, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 15, VA Heartland Network.  VA will assist State of Missouri COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home.  This request is up to 13 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistance (CNAs) OR any combination thereof, per day.  Services to be provided at the Missouri Veterans Home in Cape Girardeau, Missouri.  The state has exhausted all other options for providers.

As directed by and in coordination with FEMA in support of this State of Missouri COVID request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide up to 13 staff at the Missouri Veterans Home in Cape Girardeau, MO over two shifts per day. The number and specialty of the deploying personnel, not to exceed the MA total estimated cost, will be determined by conditions observed at the site and will be made by Subject Matter Experts (SMEs) from VHA long term care operations providing the staff. The duration of the support services will be limited to the end of the day on October 18, 2020. State of Missouri has provided assurances that Missouri Veterans Home will provide/ensure staffing as needed by this date at each facility covered in this tasking for them to operate on their own. State of Missouri is to provide PPE as available.
VHA cannot provide services for Pediatric or OB/GYN patients.
State of Missouri will reimburse for overtime, transportation costs, supplies and ancillary fees and costs as applicable.
Mission Assignment task orders may be issued by FEMA for specific requirements, personnel. location(s), date(s), and duration of assignments(s). All equipment and supply purchases must be coordinated with FEMA. Prior Federal Approving Official (FAO) is necessary to ensure reimbursement. Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement, per 44 CFR 206.208(c)(2). Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement. The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that all costs are reasonable and supported by documentation maintained by the respective agencies. Mission Assignments shall be considered closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157 and Mission Assignment Policy 1040102. For mission Assignments still operationally open, requests for additional obligations may be withheld if no invoicing. ULO Validation or additional justification has been provided.


Amendment #1: De-obligate excess funds of (-$12,450.80) per 1/1/2021 ULO validation.

Request COVID assistance for 30 days, beginning on/around September 18, 2020 to October 18, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 15, VA Heartland Network.  VA will assist State of Missouri COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home.  This request is up to 13 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistance (CNAs) OR any combination thereof, per day.  Services to be provided at the Missouri Veterans Home in Cape Girardeau, Missouri.  The state has exhausted all other options for providers.


Amendment#2:The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021.

Amendment #1: De-obligate excess funds of (-$12,450.80) per 1/1/2021 ULO validation.

Request COVID assistance for 30 days, beginning on/around September 18, 2020 to October 18, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 15, VA Heartland Network.  VA will assist State of Missouri COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home.  This request is up to 13 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistance (CNAs) OR any combination thereof, per day.  Services to be provided at the Missouri Veterans Home in Cape Girardeau, Missouri.  The state has exhausted all other options for providers.


Amendment#3-De-obligate (-$179,709.55) per FEMA MA Close Out Team due to billing  inactivity; change PM to Adrian Walker.

Amendment#2:The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021.

Amendment #1: De-obligate excess funds of (-$12,450.80) per 1/1/2021 ULO validation.

Request COVID assistance for 30 days, beginning on/around September 18, 2020 to October 18, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 15, VA Heartland Network.  VA will assist State of Missouri COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home.  This request is up to 13 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistance (CNAs) OR any combination thereof, per day.  Services to be provided at the Missouri Veterans Home in Cape Girardeau, Missouri.  The state has exhausted all other options for providers.


Request COVID assistance for 30 days, beginning on/around September 23, 2020 to October 22, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 15, VA Heartland Network. VA will assist State of Missouri COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home. This request is up to 13 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistance (CNAs) OR any combination thereof, per day. Services to be provided at the Missouri Veterans Home in St James, Missouri. The state has exhausted all other options for providers.

As directed by and in coordination with FEMA in support of this State of Missouri COVID request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide up to 13 staff at the Missouri Veterans Home in St James, MO over two shifts per day. The number and specialty of the deploying personnel, not to exceed the MA total estimated cost, will be determined by conditions observed at the site and will be made by Subject Matter Experts (SMEs) from VHA long term care operations providing the staff. The duration of the support services will be limited to the end of the day on October 22, 2020. State of Missouri has provided assurances that Missouri Veterans Home will provide/ensure staffing as needed by this date at each facility covered in this tasking for them to operate on their own. State of Missouri is to provide PPE as available. VHA cannot provide services for Pediatric or OB/GYN patients. State of Missouri will reimburse for overtime, transportation costs, supplies and ancillary fees and costs as applicable. Mission Assignment task orders may be issued by FEMA for specific requirements, personnel. location(s), date(s), and duration of assignments(s). All equipment and supply purchases must be coordinated with FEMA. Prior Federal Approving Official (FAO) is necessary to ensure reimbursement. Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement, per 44 CFR 206.208(c)(2). Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement. The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that all costs are reasonable and supported by documentation maintained by the respective agencies. Mission Assignments shall be considered closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157 and Mission Assignment Policy 1040102. For mission Assignments still operationally open, requests for additional obligations may be withheld if no invoicing. ULO Validation or additional justification has been provided.


Amendment#1: The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021.

Request COVID assistance for 30 days, beginning on/around September 23, 2020 to October 22, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 15, VA Heartland Network. VA will assist State of Missouri COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home. This request is up to 13 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistance (CNAs) OR any combination thereof, per day. Services to be provided at the Missouri Veterans Home in St James, Missouri. The state has exhausted all other options for providers.


Amendment#2: De-obligate ($49,614.40) per OFA; change Project Manager to Khaalis Jackson

Amendment#1: The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021.

Request COVID assistance for 30 days, beginning on/around September 23, 2020 to October 22, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 15, VA Heartland Network. VA will assist State of Missouri COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home. This request is up to 13 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistance (CNAs) OR any combination thereof, per day. Services to be provided at the Missouri Veterans Home in St James, Missouri. The state has exhausted all other options for providers.


Amendment #3 Amend to de-obligate ($209,002.89) per OFA and change PM to Adrian Walker

Amendment#2: De-obligate ($49,614.40) per OFA; change Project Manager to Khaalis Jackson

Amendment#1: The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021.

Request COVID assistance for 30 days, beginning on/around September 23, 2020 to October 22, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 15, VA Heartland Network. VA will assist State of Missouri COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home. This request is up to 13 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistance (CNAs) OR any combination thereof, per day. Services to be provided at the Missouri Veterans Home in St James, Missouri. The state has exhausted all other options for providers.


Activate VA to RRCC, IOF, JFO or other regional facilities and/or locations.

As directed by and in coordination with FEMA, Veterans Administration (VA) will provide appropriate personnel (and/or other teams) to the RRCC,
IOF, JFO, and/or other facilities in support of disaster operations.
Mission Assignment task orders may be issued by FEMA for specific requirements, personnel. location(s), date(s), and duration of assignments(s). All equipment and supply purchases must be coordinated with FEMA. Prior Federal Approving Official (FAO) is necessary to ensure reimbursement. Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement, per 44 CFR 206.208(c)(2). Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement. The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that all costs are reasonable and supported by documentation maintained by the respective agencies. Mission Assignments shall be considered closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157 and Mission Assignment Policy 1040102. For mission Assignments still operationally open, requests for additional obligations may be withheld if no invoicing. ULO Validation or additional justification has been provided.


Amendment#1 Extend PoP through 30 Nov 2020, no additional funding needed; change Project Manager to William Campbell

Activate VA to RRCC, IOF, JFO or other regional facilities and/or locations.


Amendment#2 Extend PoP through 31 Jan 2021, no additional funding needed; change Project Manager to Tim Young

Amendment#1 Extend PoP through 30 Nov 2020, no additional funding needed; change Project Manager to William Campbell

Activate VA to RRCC, IOF, JFO or other regional facilities and/or locations.


Amendment#3 Extend PoP through 02 March 2021, no additional funding needed; change Project Manager to Wendy Newsom

Amendment#2 Extend PoP through 31 Jan 2021, no additional funding needed; change Project Manager to Tim Young

Amendment#1 Extend PoP through 30 Nov 2020, no additional funding needed; change Project Manager to William Campbell

Activate VA to RRCC, IOF, JFO or other regional facilities and/or locations.


Amendment#4 Extend PoP through 02 March 2021, no additional funding needed; previous amendment shows PoP to 11-30-2020

Amendment#3 Extend PoP through 02 March 2021, no additional funding needed; change Project Manager to Wendy Newsom

Amendment#2 Extend PoP through 31 Jan 2021, no additional funding needed; change Project Manager to Tim Young

Amendment#1 Extend PoP through 30 Nov 2020, no additional funding needed; change Project Manager to William Campbell

Activate VA to RRCC, IOF, JFO or other regional facilities and/or locations.


Amendment#5 Extend PoP through 10 June 2021, no additional funding needed; previous amendment shows PoP to 03-02-2021

Amendment#4 Extend PoP through 02 March 2021, no additional funding needed; previous amendment shows PoP to 11-30-2020

Amendment#3 Extend PoP through 02 March 2021, no additional funding needed; change Project Manager to Wendy Newsom

Amendment#2 Extend PoP through 31 Jan 2021, no additional funding needed; change Project Manager to Tim Young

Amendment#1 Extend PoP through 30 Nov 2020, no additional funding needed; change Project Manager to William Campbell

Activate VA to RRCC, IOF, JFO or other regional facilities and/or locations.


Amendment#6 De-obligate ($10K) and close MA per OFA; change PM to Khaalis Jackson

Amendment#5 Extend PoP through 10 June 2021, no additional funding needed; previous amendment shows PoP to 03-02-2021

Amendment#4 Extend PoP through 02 March 2021, no additional funding needed; previous amendment shows PoP to 11-30-2020

Amendment#3 Extend PoP through 02 March 2021, no additional funding needed; change Project Manager to Wendy Newsom

Amendment#2 Extend PoP through 31 Jan 2021, no additional funding needed; change Project Manager to Tim Young

Amendment#1 Extend PoP through 30 Nov 2020, no additional funding needed; change Project Manager to William Campbell

Activate VA to RRCC, IOF, JFO or other regional facilities and/or locations.


Request COVID assistance for 30 days, beginning on/around October 3, 2020 to November 6, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 15, VA Heartland Network. VA will assist State of Missouri COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home. This request is up to 18 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistants (CNAs) OR any combination thereof, per day. Services to be provided at the Missouri Veterans Home in Mt Vernon, Missouri. The state has exhausted all other options for providers

As directed by and in coordination with FEMA in support of this State of Missouri COVID request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide up to 18 staff at the Missouri Veterans Home in Mt Vernon, MO over two shifts per day. The number and specialty of the deploying personnel, not to exceed the MA total estimated cost, will be determined by conditions observed at the site and will be made by Subject Matter Experts (SMEs) from VHA long term care operations providing the staff. The duration of the support services will be limited to the end of the day on November 6, 2020. State of Missouri has provided assurances that Missouri Veterans Home will provide/ensure staffing as needed by this date at each facility covered in this tasking for them to operate on their own. State of Missouri is to provide PPE as available. VHA cannot provide services for Pediatric or OB/GYN patients. State of Missouri will reimburse for overtime, transportation costs, supplies and ancillary fees and costs as applicable. Mission Assignment task orders may be issued by FEMA for specific requirements, personnel. location(s), date(s), and duration of assignments(s). All equipment and supply purchases must be coordinated with FEMA. Prior Federal Approving Official (FAO) is necessary to ensure reimbursement. Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement, per 44 CFR 206.208(c)(2). Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement. The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that all costs are reasonable and supported by documentation maintained by the respective agencies. Mission Assignments shall be considered closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157 and Mission Assignment Policy 1040102. For mission Assignments still operationally open, requests for additional obligations may be withheld if no invoicing. ULO Validation or additional justification has been provided.


Amendment#1: The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021.

Request COVID assistance for 30 days, beginning on/around October 3, 2020 to November 6, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 15, VA Heartland Network. VA will assist State of Missouri COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home. This request is up to 18 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistants (CNAs) OR any combination thereof, per day. Services to be provided at the Missouri Veterans Home in Mt Vernon, Missouri. The state has exhausted all other options for providers


Amendment#2: Amend to de-obligate (-$289,647.84) per HQ  ULO e-mail. Change PM to Holly Chapman

Amendment#1: The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021.

Request COVID assistance for 30 days, beginning on/around October 3, 2020 to November 6, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 15, VA Heartland Network. VA will assist State of Missouri COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home. This request is up to 18 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistants (CNAs) OR any combination thereof, per day. Services to be provided at the Missouri Veterans Home in Mt Vernon, Missouri. The state has exhausted all other options for providers


Request COVID assistance for 30 days, beginning on/around October 3, 2020 to November 6, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 15, VA Heartland Network. VA will assist State of Missouri COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home. This request is up to 18 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistants (CNAs) OR any combination thereof, per day. Services to be provided at the Missouri Veterans Home in Warrensburg, Missouri. The state has exhausted all other options for providers

As directed by and in coordination with FEMA in support of this State of Missouri COVID request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide up to 18 staff at the Missouri Veterans Home in Warrensburg, MO over two shifts per day. The number and specialty of the deploying personnel, not to exceed the MA total estimated cost, will be determined by conditions observed at the site and will be made by Subject Matter Experts (SMEs) from VHA long term care operations providing the staff. The duration of the support services will be limited to the end of the day on November 6,, 2020. State of Missouri has provided assurances that Missouri Veterans Home will provide/ensure staffing as needed by this date at each facility covered in this tasking for them to operate on their own. State of Missouri is to provide PPE as available. VHA cannot provide services for Pediatric or OB/GYN patients. State of Missouri will reimburse for overtime, transportation costs, supplies and ancillary fees and costs as applicable. Mission Assignment task orders may be issued by FEMA for specific requirements, personnel. location(s), date(s), and duration of assignments(s). All equipment and supply purchases must be coordinated with FEMA. Prior Federal Approving Official (FAO) is necessary to ensure reimbursement. Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement, per 44 CFR 206.208(c)(2). Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement. The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that all costs are reasonable and supported by documentation maintained by the respective agencies. Mission Assignments shall be considered closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157 and Mission Assignment Policy 1040102. For mission Assignments still operationally open, requests for additional obligations may be withheld if no invoicing. ULO Validation or additional justification has been provided.


Amendment#1: The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021.

Request COVID assistance for 30 days, beginning on/around October 3, 2020 to November 6, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 15, VA Heartland Network. VA will assist State of Missouri COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home. This request is up to 18 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistants (CNAs) OR any combination thereof, per day. Services to be provided at the Missouri Veterans Home in Warrensburg, Missouri. The state has exhausted all other options for providers


Amendment#2: De-obligate($202,702.01) and close MA per OFA; change PM to Khaalis Jackson

Amendment#1: The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021.

Request COVID assistance for 30 days, beginning on/around October 3, 2020 to November 6, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 15, VA Heartland Network. VA will assist State of Missouri COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home. This request is up to 18 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistants (CNAs) OR any combination thereof, per day. Services to be provided at the Missouri Veterans Home in Warrensburg, Missouri. The state has exhausted all other options for providers


Amendment#3: The State Cost Share was amended to 100% federal funding on 04/19/2021; however, in the Coordination block V (5) the 0% cost share was not checked.  This action is to correct the admin error.  Change PM to Adrian Walker.

Amendment#2: De-obligate($202,702.01) and close MA per OFA; change PM to Khaalis Jackson

Amendment#1: The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021.

Request COVID assistance for 30 days, beginning on/around October 3, 2020 to November 6, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 15, VA Heartland Network. VA will assist State of Missouri COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home. This request is up to 18 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistants (CNAs) OR any combination thereof, per day. Services to be provided at the Missouri Veterans Home in Warrensburg, Missouri. The state has exhausted all other options for providers


Amendment#4 Request de-obligation of ($91,837.350) per FEMA MA HQ closeout team due to inactivity and no response from VA.
Amendment#3: The State Cost Share was amended to 100% federal funding on 04/19/2021; however, in the Coordination block V (5) the 0% cost share was not checked.  This action is to correct the admin error.  Change PM to Adrian Walker.
Amendment#2: De-obligate($202,702.01) and close MA per OFA; change PM to Khaalis Jackson
Amendment#1: The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021.
Request COVID assistance for 30 days, beginning on/around October 3, 2020 to November 6, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 15, VA Heartland Network. VA will assist State of Missouri COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home. This request is up to 18 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistants (CNAs) OR any combination thereof, per day. Services to be provided at the Missouri Veterans Home in Warrensburg, Missouri. The state has exhausted all other options for providers


Amendment#5 Request de-obligation of (0.50 cents) this amount is to correct the original de-ob of ($91,837.35) that should be ($91,837.85) per FEMA MA HQ closeout team due to inactivity and no response from VA.
Amendment#4 Request de-obligation of ($91,837.350) per FEMA MA HQ closeout team due to inactivity and no response from VA.

Amendment#3: The State Cost Share was amended to 100% federal funding on 04/19/2021; however, in the Coordination block V (5) the 0% cost share was not checked.  This action is to correct the admin error.  Change PM to Adrian Walker.

Amendment#2: De-obligate ($202,702.01) and close MA per OFA; change PM to Khaalis Jackson
Amendment#1: The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021.

Request COVID assistance for 30 days, beginning on/around October 3, 2020 to November 6, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Veterans Integrated Services Network 15, VA Heartland Network. VA will assist State of Missouri COVID-19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home. This request is up to 18 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistants (CNAs) OR any combination thereof, per day. Services to be provided at the Missouri Veterans Home in Warrensburg, Missouri. The state has exhausted all other options for providers


MVH-Cameron is requesting temporary licensed practical nurse, licensed registered nurse and certified nursing assistant staffing within the nursing department from any source including SEMA, MONG, FEMA, KCVA, etc. to support operations. This initial request date begins Tuesday,  October 13, 2020 and continues for 30 days through Tuesday November 11, 2020; this request may be resubmitted, extended, or expanded based upon unforeseen circumstances. This request is for two shifts, working 12-hour shifts. The request includes both shifts and all days, every day within the period specified.
DELIVERABLE DESCRIPTION
1st Shift: 6:30am - 7:00pm - 1 Infection Control Nurse Manager (RN)
1st Shift: 7:00am -  7:00pm - 3 Licensed Nurses (RN or LPN)
1st Shift: 7:00am - 7:00pm - 7 Certified Nursing Assistants (CNAs)
2nd Shift: 7:00pm - 7:00am - 4 Licensed Nurses (RN or LPN)
2nd Shift: 7:00pm - 7:00am - 7 Certified Nursing Assistants (CNAs)
22 PAX in total

Request COVID assistance for 30 days, beginning on/around October 13, 2020 to November 11, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA),Veterans Integrated Services Network 15, VA Heartland Network. . VA will assist State of Missouri COVID19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home. This request is up to 22 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistants (CNAs) OR any combination thereof, per day. Services to be provided at the Missouri Veterans Home in Cameron, Missouri. The state has exhausted all other options for providers.

As directed by and in coordination with FEMA in support of this State of Missouri COVID request, the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide up to 22 staff at the Missouri Veterans Home in Cameron, MO over two shifts per day. The number and specialty of the deploying personnel, not to exceed the MA total estimated cost, will be determined by conditions observed at the site and will be made by Subject Matter Experts (SMEs) from VHA long term care operations providing the staff. The option for the VA to care for patients at a VA hospital is also open. The duration of the support services will be limited to the end of the day on November 11, 2020. State of Missouri has provided assurances that Missouri Veterans Home will provide/ensure staffing as needed by this date at each facility covered in this tasking for them to operate on their own. State of Missouri is to provide PPE as available. VHA cannot provide services for Pediatric or OB/GYN patients. State of Missouri will reimburse for overtime, transportation costs, supplies and ancillary fees and costs as applicable.
Mission Assignment task orders may be issued by FEMA for specific requirements, personnel. location(s), date(s), and duration of assignments(s). All equipment and supply
purchases must be coordinated with FEMA. Prior Federal Approving Official (FAO) is necessary to ensure reimbursement. Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement, per 44 CFR 206.208(c)(2). Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement. The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that all costs are reasonable and supported by documentation maintained by the respective agencies. Mission Assignments shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157 and Mission Assignment Policy 1040102. For mission Assignments still operationally open, requests for additional obligations may be withheld if no invoicing. ULO Validation or additional justification has been provided.


Amendment#1: The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021.

MVH-Cameron is requesting temporary licensed practical nurse, licensed registered nurse and certified nursing assistant staffing within the nursing department from any source including SEMA, MONG, FEMA, KCVA, etc. to support operations. This initial request date begins Tuesday,  October 13, 2020 and continues for 30 days through Tuesday November 11, 2020; this request may be resubmitted, extended, or expanded based upon unforeseen circumstances. This request is for two shifts, working 12-hour shifts. The request includes both shifts and all days, every day within the period specified.
DELIVERABLE DESCRIPTION
1st Shift: 6:30am - 7:00pm - 1 Infection Control Nurse Manager (RN)
1st Shift: 7:00am -  7:00pm - 3 Licensed Nurses (RN or LPN)
1st Shift: 7:00am - 7:00pm - 7 Certified Nursing Assistants (CNAs)
2nd Shift: 7:00pm - 7:00am - 4 Licensed Nurses (RN or LPN)
2nd Shift: 7:00pm - 7:00am - 7 Certified Nursing Assistants (CNAs)
22 PAX in total

Request COVID assistance for 30 days, beginning on/around October 13, 2020 to November 11, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA),Veterans Integrated Services Network 15, VA Heartland Network. . VA will assist State of Missouri COVID19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home. This request is up to 22 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistants (CNAs) OR any combination thereof, per day. Services to be provided at the Missouri Veterans Home in Cameron, Missouri. The state has exhausted all other options for providers.


Amendment#2: De-obligate ($317,051.77) and close MA per OFA; change PM to Khaalis Jackson

Amendment#1: The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021.

MVH-Cameron is requesting temporary licensed practical nurse, licensed registered nurse and certified nursing assistant staffing within the nursing department from any source including SEMA, MONG, FEMA, KCVA, etc. to support operations. This initial request date begins Tuesday,  October 13, 2020 and continues for 30 days through Tuesday November 11, 2020; this request may be resubmitted, extended, or expanded based upon unforeseen circumstances. This request is for two shifts, working 12-hour shifts. The request includes both shifts and all days, every day within the period specified.
DELIVERABLE DESCRIPTION
1st Shift: 6:30am - 7:00pm - 1 Infection Control Nurse Manager (RN)
1st Shift: 7:00am -  7:00pm - 3 Licensed Nurses (RN or LPN)
1st Shift: 7:00am - 7:00pm - 7 Certified Nursing Assistants (CNAs)
2nd Shift: 7:00pm - 7:00am - 4 Licensed Nurses (RN or LPN)
2nd Shift: 7:00pm - 7:00am - 7 Certified Nursing Assistants (CNAs)
22 PAX in total

Request COVID assistance for 30 days, beginning on/around October 13, 2020 to November 11, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA),Veterans Integrated Services Network 15, VA Heartland Network. . VA will assist State of Missouri COVID19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home. This request is up to 22 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistants (CNAs) OR any combination thereof, per day. Services to be provided at the Missouri Veterans Home in Cameron, Missouri. The state has exhausted all other options for providers.


Amendment#3: De-obligate ($12,386.67) per FEMA MA HQ closeout team; change PM to Adrian Walker

Amendment#2: De-obligate ($317,051.77) and close MA per OFA; change PM to Khaalis Jackson

Amendment#1: The State Cost Share is amended to 100% federal funding in accordance with memorandum 100% Federal Cost Share for COVID-19 Direct Federal Assistance Mission Assignments, dated March 29, 2021; effective 20 January 2020 through 30 September 2021.

MVH-Cameron is requesting temporary licensed practical nurse, licensed registered nurse and certified nursing assistant staffing within the nursing department from any source including SEMA, MONG, FEMA, KCVA, etc. to support operations. This initial request date begins Tuesday,  October 13, 2020 and continues for 30 days through Tuesday November 11, 2020; this request may be resubmitted, extended, or expanded based upon unforeseen circumstances. This request is for two shifts, working 12-hour shifts. The request includes both shifts and all days, every day within the period specified.
DELIVERABLE DESCRIPTION
1st Shift: 6:30am - 7:00pm - 1 Infection Control Nurse Manager (RN)
1st Shift: 7:00am -  7:00pm - 3 Licensed Nurses (RN or LPN)
1st Shift: 7:00am - 7:00pm - 7 Certified Nursing Assistants (CNAs)
2nd Shift: 7:00pm - 7:00am - 4 Licensed Nurses (RN or LPN)
2nd Shift: 7:00pm - 7:00am - 7 Certified Nursing Assistants (CNAs)
22 PAX in total

Request COVID assistance for 30 days, beginning on/around October 13, 2020 to November 11, 2020 by the Department of Veterans Affairs (VA), Veterans Health Administration (VHA),Veterans Integrated Services Network 15, VA Heartland Network. . VA will assist State of Missouri COVID19 outbreak response operations by providing staffing of healthcare personnel to support vulnerable residences/patients in the Missouri Veterans Home. This request is up to 22 Registered Nurses (RNs) OR Licensed Practical Nurses (LPNs) OR Certified Nursing Assistants (CNAs) OR any combination thereof, per day. Services to be provided at the Missouri Veterans Home in Cameron, Missouri. The state has exhausted all other options for providers.


ARPA -Request VHA provide vaccination services to non-VA beneficiaries at vaccination opportunities at various American Legion and other Veteran Service Organization (VSO) locations in the state of Missouri.

As directed by and in coordination with the Federal Emergency Management Agency (FEMA), the Department of Veterans Affairs (VA), Veterans Health Administration (VHA) will provide, up to but not limited to COVID-19 vaccination services to people otherwise not eligible for care. Staffing numbers and support requirements will be determined by VHA.
VHA will be responsible for the following:
- Coordinate with the Veteran Service Organization for location and access, site security, external site traffic control, telecommunications support, trash and medical waste removal, and other site administration issues as needed.
- All travel, lodging, per diem, overtime, transportation costs, supplies, and ancillary fees necessary for VHA staff.
- Appropriate PPE for staff and patients.
- Vaccine and ancillary supplies (needles, syringes, vaccination cards, educational materials, and related items) for all personnel eligible for care.
- Storage, transportation, and delivery of the vaccine to the vaccination site in accordance with CDC and manufacturer cold chain, storage, and transportation requirements.
- VHA cannot provide services for Pediatric or OB/GYN patients.
  FEMA will be responsible for providing the following:
- Reimbursement for ancillary supplies, PPE, and other associated items provided to non-VA beneficiaries and other non-VHA personnel, as needed.
Mission Assignment task orders may be issued by FEMA for specific requirements, personnel. location(s), date(s), and duration of assignments(s). All equipment and supply purchases must be coordinated with FEMA. Prior Federal Approving Official (FAO) is necessary to ensure reimbursement. Work that falls within the statutory authority of the performing Federal agency is not eligible for FEMA reimbursement, per 44 CFR 206.208(c)(2). Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement. The mission assigned agency is responsible for ensuring that all activity is properly authorized, goods are received,services are provided, and that all costs are reasonable and supported by documentation maintained by the respective agencies. Mission Assignments shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157 and Mission Assignment Policy 1040102. For mission Assignments still operationally open, requests for additional obligations may be withheld if no invoicing. ULO Validation or additional justification has been provided.


ARPA-Amendment#1 De-obligate (-$1,500.00) per ULO report; change PM to Adrian Walker

ARPA -Request VHA provide vaccination services to non-VA beneficiaries at vaccination opportunities at various American Legion and other Veteran Service Organization (VSO) locations in the state of Missouri.


The State of Maryland requests Federal support to establish the capacity of a Mobile Vaccination Support Task Force composed of one (1) command and control (C2) element and six (6) mobile vaccination teams for vaccinating isolated, nonmobile, and equity communities throughout the State.

In support of Maryland's request, as directed by and in coordination with FEMA, United States Department of Agriculture (USDA) will deploy personnel up to, but not limited to, (12) USDA Biological Science Laboratory Technicians/Clinical staff to assist in the readying of vaccine for administration in accordance with EUA. Duties include, but may not be limited to, transferring vials to vaccinators, drawing doses and preparing syringes as part of the MD, Mobile Vaccination Task Force. USDA requests that incoming personnel that are fulfilling the mission be given the opportunity to receive a COVID-19 vaccination as soon as possible after arriving to their assigned duty location. INITIAL COST ESTIMATE: 30 days x 14 people x $1,125/per day per person ADDITIONAL NOTES from FEMA: --- MA task orders (MATOs) may be issued by FEMA for specific requirements, personnel, location(s), date(s), and duration of assignment(s). --- Agencies will be reimbursed for all eligible expenses pursuant to 44 CFR. Supporting documentation is required for reimbursement. --- All equipment and supply purchases must be coordinated with FEMA. If approved, documentation is necessary to ensure reimbursement. --- Activation of agency command center(s), if required, must be coordinated with FEMA as a separate MA. --- The mission-assigned agency is responsible for ensuring that all activity is properly authorized, goods are received, services are provided, and that costs are reasonable and supported by documentation maintained by the respective agency --- MAs shall be considered for closure after 180 days with no financial activity in accordance with FEMA CFO Bulletin #157. For MAs still operationally open, requests for additional obligations may be withheld if no invoicing, ULO Validation, or additional justification has been provided.


Amend # 1 Change POP dates Start 3/31/2021 and end 5/1/2021.

The State of Maryland requests Federal support to establish the capacity of a Mobile Vaccination Support Task Force composed of one (1) command and control (C2) element and six (6) mobile vaccination teams for vaccinating isolated, nonmobile, and equity communities throughout the State.


Amendment #2: De-obligate ($150,000) per 7/1/2021 ULO validation.

Amend # 1 Change POP dates Start 3/31/2021 and end 5/1/2021.

The State of Maryland requests Federal support to establish the capacity of a Mobile Vaccination Support Task Force composed of one (1) command and control (C2) element and six (6) mobile vaccination teams for vaccinating isolated, nonmobile, and equity communities throughout the State.