HomeMy WebLinkAbout20133532.tiffMEMORANDUM
DATE: December 19, 2013
TO: William F. Garcia, Chair, Weld County Board of C,gmmyssioners
FROM: Judy A. Griego, Director, Human
RE:
Agreement to Purchase Out -of -Ho 3 dPlacement Services
between the Weld County Department of Human Services and
Jefferson Hills to be Placed on the Consent Agenda
Enclosed for Board approval is Exhibit A to the Agreement to Purchase Out -of -Home Placement Services for
Residential Center Care Facility Services between the Department and Jefferson Hills. This Agreement was
reviewed under the Board's Pass -Around Memorandum dated December 5, 2013, and approved for placement on
the Board's Consent Agenda.
Below are the major provisions of the attached Agreements:
No.
Facility Name/Term
Facility Type/Location
Daily Rate
I
Jefferson Hills (88459)
July 1, 2013 ā June 30, 2014
Residential Center Care Facility
Lakewood, Colorado
$800.00
If you have any questions, give me a call at extension 6510.
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2013-3532
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EXHIBIT "A"
Additional Provisions for the Agreement to Purchase
Out -of -Home Placement Services
SS23A
For the Purchase of
Residential Child Care Facility Services
The following additional provisions apply to the agreement entitled, "Agreement to Purchase
Out -of -Home Placement Services SS23A, by and between the Board of County Commissioners
of Weld County, on behalf of the Weld County Department of Human Services," hereinafter
referred to as, "County," and Jefferson Hills, hereinafter referred to as, "Contractor."
1. County agrees to purchase and Contractor, ID#88459, agrees to provide:
a. Child Maintenance, Administrative Maintenance and Services, which are listed in this
Agreement at a rate of $800.00 per day unless otherwise negotiated based on the
needs of the individual child placed within the Residential Child Care Facility.
b. Additional services not covered by Medicaid or considered within the above vendor
rate. These additional services/rates may be negotiated on a child by child basis,
based on the needs of the child and in accordance with the Colorado Department of
Human Services Agency Letter CW-06-11-I dated June 8, 2006.
These services will be for children who have been deemed eligible for social services
under the statutes, rules and regulations of the State of Colorado.
2. County considers the agreed upon rate, outlined in the Weld County Addendum to this
contract, to be all inclusive and shall not pay for additional treatment fees; i.e.
Drug/Alcohol and Sex Offender services.
3. All bed hold authorizations and payments are subject to a 3 day maximum for a child's
temporary absence from a facility, including hospitalization. Bed hold requests must
have prior written authorization from the Department Administrator before payment will
be release to provider. Reimbursement rates for bed hold days may not exceed the state
standard rate for administrative maintenance and administrative services or may be a
reduced rate that is mutually agreed upon.
4. The services purchased under this Agreement as Child Maintenance, Administrative
Maintenance and Services for Residential Child Care Facilities include, but are not
limited to: Food, shelter, clothing, personal needs and allowance, administration,
administrative overhead, support staff, support overhead, sleep -over staff, direct child
care, transportation, therapeutic recreation, service delivery staff, parent training for
teens, independent living training, mentor/advocate, supervised visitation and all other
services as outlined in the Child Specific Addendum. The anticipated minimum
percentage for each item is as follows and will be subject to Count monitoring as
outlined in Section VI of this contract:
Exhibit "A" to the SS23A
1 Revised 8/2013
a. Food, including meals and snacks (25%).
b. Clothing (3%).
c. Shelter, including utilities and use of household furnishing and equipment and daily
supervision, including those activities that a parent would normally carry out to
assure protection, emotional support and care of the child (30%).
d. Personal items and grooming care for the child, such as toothpaste, toothbrushes,
soap, combs, haircuts, and other essentials (2%).
e. Other/miscellaneous items considered usual in the care and supervision of the child,
include, but are not limited to, transportation, recreation and overhead (40%).
5. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be
furnished by the Contractor under this contract for facilities that provide sex offender
treatment.
6. Any additional costs for specialized services, which include, but are not limited to;
polygraph tests, plethysmographs, and urinalysis screens, that is not provided within the
vendor rate or attached Scope of Service, will need be negotiated and authorized, in
writing by the County, prior to the service being performed. Any payment for specialized
services not authorized in writing will be denied.
7. Contractor agrees to have appropriate personnel available to attend or participate in
family engagement or team decision making meetings. Provider shall be notified by
County staff of the dates and times attendance is requested.
8. Contractor agrees to cooperate with any vendors hired by Weld County Department of
Human Services to shorten the duration of placement.
9. Contractor agrees to have physical examinations scheduled within 14 days and dental
examinations scheduled within 8 weeks of the child being placed with Contractor. All
documentation of these examinations shall be forward to the County.
10. Contractor agrees to arrange a full evaluation of an Individualized Educational Plan (IEP)
for youth designated as a Special Education Student every 3 years and coordinate reviews
every year. If the IEP is due while the child is in placement, the Contractor will complete
or obtain a completed IEP. A copy will then be forwarded to the County.
II. Children in Residential Child Care Facilities and Child Placement Agencies are not
eligible to receive clothing allowances as outlined in the Weld County Department of
Human Services Policy and Procedure Manual.
Exhibit "A" to the SS23A
2 Revised 8/2013
WHEREFORE, the parties have herein set their hands and affixed their seals the day and
date first written above.
COUNTY:
The Board of County Commissioners of Weld
County, on behalf of the Weld County Department
ATTEST`lt'"`° °l""°' of Human Services
By:
Deputy Cler
Approval as to Substan
WELD COUNTY DEP
OF HUMAN SERVICES
By:
Exhibit "A" to the SS23A
at.)
Douglas/Rademac
NTRACTOR:
efferson Hills
421 Zang St
Lakewood, CO 80228
By:
, Chair Pro-tem
DEC 232013
Director's (or designej's) Signa
and Date
3 Revised 8/2013
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