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HomeMy WebLinkAbout20091870.tiffMEMORANDUM DATE: July 30, 2009 WIN.TO: William F. Garcia, Chair, Weld County Board of O Commissioners ; f i/i, COLORADO FROM: Judy A. Griego, Director, Human Serices)epartmefit ' RE: Weld County Addendum to Purchase Child Placement Agency Services between the Weld County Department of Human Services and Various Contractors to be Placed on the Consent Agenda Enclosed for Board approval arc Weld County Addendums to Purchase Child Placement Agency Services between the Weld County Department of Human Services and Contractors listed below. Please place on the Consent Agenda. Below are the major provisions of the attached Agreements: No. Facility Name/Term Type of Facility/Location Daily Rate 1 Adoption Alliance July 1, 2009 — June 30, 2010 Group Home/Foster Home Denver, Colorado $ I6.32-$40.11 2 Adoption Options July 1, 2009 — June 30, 2010 Group Home/Foster Home Aurora, Colorado $16.32-$40.11 3 Bethany Christian Services July I , 2009 — Junc 30, 2010 Group Home/Foster Home Colorado Springs, Colorado $1 6.32-$40.11 4 Gateway Youth and Family July 1, 2009 — June 30, 2010 Group Home/Foster Home Grand Junction, Colorado $16.32-$40.11 5 Hope Family Services July 1, 2009 — June 30, 2010 Group Home/Foster Home Greeley, Colorado $16.32-$40.11 6 Kids Crossing July 1, 2009 — June 30, 2010 Group Home/Foster Home Colorado Springs, Colorado $16.32-$40.11 7 Youth Ventures of Colorado July I, 2009 — June 30, 2010 Group Home/Foster Homc Colorado Springs. Colorado $16.32-$40.11 If you have any questions, give me a call at extension 6510. //,f, ierO on eiti Nit (aacci 6/15r el '2 r 2009-1870 460t4; 111k COLORADO TO: FROM: DATE: SUBJECT: DEPARTMENT OF HUMAN SERVICES P.O. BOX A GREELEY, CO. 80632 Website: www.co.weld.co.us Administration and Public Assistance (970) 352-1551 Child Support (970) 352-6933 MEMORANDUM Judy Griego — Director Lesley Cobb - Child Welfare Rate Negotiator July 22, 2009 The Weld County Addendum to the Agreement to Purchase Out -Of -Home Placement Services contracts for Child Placement Agency Services. Attached please find the Weld County Addendum to the Agreement to Purchase Out -Of -Home Placement Service Contracts for Child Placement Agency Services for following providers: Weld County Child Placement Agency Providers 2009-2010 1 Adoption Alliance 2 Adoption Options 3 Bethany Christian Services 4 Gateway Youth and Family 5 Hope Family Services 6 Kids Crossing 7 Youth Ventures of Colorado 2121 S. Oneda St, Suite 71259 420 13900 E Harvard Ave, 45078 Suite 200 45514 95568 42942 4820 Rusina Rd, Suite C 740 Gunnison Ave 1610 29th Ave Place #100 79752 1440 E Fountain Blvd 1554849 4785 Granby Cir Denver, CO 80224 Aurora, CO 80014 Colorado Springs, CO 80907-8127 Grand Junction, CO 81501 Greeley, CO 80634 Colorado Springs, CO 80910-3502 Colorado Springs, CO 80919 These contracts have been presented for consent approval to the Board of County Commissioners however; I am requesting your signature along with the Boards to complete these contracts for the FY 2009-2010. If you have any questions please call me at Ext. 6441. WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Adoption Alliance and Weld County Department of Human Services for the period from July 1, 2009 through June 30, 2010. The following provisions, made this / day of Agreement. Except as modified hereby, all terms Agreement remain unchanged. , 2009, are added to the referenced 1. County and Contractor agree that a child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement, based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#71259. 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. 3. Section I, Paragraph 2. 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. 4. Add Paragraph 6 to Section I. 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. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person -to -person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or intake screener of any emergency medical, surgical or dental issues prior to granting authorization. During non -regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 304-2749. 7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel available for staffing current placements with the Utilization Review Team. Contractor shall be notified by Department staff of the date and time of the utilization review. 8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. Weld County SS -23A Adden um9_/n,7 Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 8 weeks after placement and forward all appropriate information to the County. 10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed 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. 11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 12. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 13. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 14. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 2 Weld County SS -23A Addendum 15. Add Paragraph 9 to Section VI. The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Human Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Human Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Human Services as a debt to Human Services or otherwise as provided by law. 16. Add Paragraph 10 to Section VI. The contractor shall promptly notify Human Services in the event in which it is a party defendant or respondent in a case, which involves services provided under the agreement. The Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s) to the Human Services' Director. The term "litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. 17. Add Section VII -ATTACHMENTS: 3 Weld County SS -23A Addendum IDENTIFYING INFORMATION WELD COUNTY DHS NEEDS BASED CARE ASSESSMENT (Exhibit B) CHILD'S NAME WORKER COMPLETING ASSESSMENT STATE ID# AGENCY NAME PROVIDER NAME SEX TRAILS CASE ID 1DOB M F I I HH# 'DATE OF ASSESSMENT PROVIDER TRAILS ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT • For each question below, please select the response which most closely applies to this child. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does the child require transportation by the foster care provider for the following: Therapy; Medical Treatment; Family Visitation; Extraordinary Educational Needs; etc., as outlined in the treatment plan? ❑Basic Maint.) Less than one round trip a week 02) 3-4 round trips a week. ❑ 3%) 7 round trips or more ❑ 1) One round trip a week 011/2) 2 round trips a week ❑2''/) 5 round trips a week 03) 6 round trips a week P 2. How often is the foster care provider required to participate in child's therapy or counseling sessions? ❑ Basic Maint.) No participation required 02) Three times a month ❑3%) Three times a week or more DI) Once a month ❑1%) Two times month ❑2%) Once a week 03) Two times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular of special education plan? 0 Basic Maint.) No educational requirements 02) 1 hour a day ❑3%x) More that 3 hours per day ❑1) Less than a''/ hour per day 01%) 1/2 hour a day 02 %) 1'/r2 hours per day 03) 2'/2-3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑ Basic Maint.) No special involvement needed ❑1) Less than 5 hours per week 01%) 5 to 7 hours per week ❑2) 8 to 10 hours per week ❑2%) 11 to 14 hours per week ❑ 3) Constant basis during awake hours ❑3%) Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond aae appropriate needs with feedin bathing, grooming, physical, and/or occupational therapy? 0 Basic Maint.) 0-2 hours per week ❑1) 3 to 4 hours per week ❑1%) 5 to 7 hours per week 02) 8 to 10 hours per week ❑2%) 11 to 15 hours per week ❑3) 16 to 20 per week 03%) 21 or more hours per week A 1. How often is CPA/County case management required? (Does not include therapy) ❑Basic Maint.) Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) ❑1) Face-to-face contact one time per month with child and minimal crisis intervention. O11/2) Face-to-face contact one time per month with child and occasional crisis intervention. 02) Face-to-face contact two times per month with child and occasional crisis intervention. ❑2%) Face-to-face contact three times per month with child and occasional crisis intervention. 03) Face-to-face contact weekly with child and occasional crisis intervention. ❑3%) Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group, or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0) Not needed or provided by another source (i.e. Medicaid) 02) 4-8 hours per month 4 ❑1) Less than 4 hours per month 03) 9-12 hours per month Weld County SS -23A Addend, ..L,1.11 a..v Vl\ l a vno NEEDS BASED CARE ASSESSMENT BEHAVIOR ASSESSMENT .Please rate the behavior/intensity of conditions which create the need for services that a..1 to this child. Aggression/Cruelty to Animals Verbal or Physical Threatening Destructive of Property/Fire Setting Stealing Self -injurious Behavior Substance Abuse Presence of Psychiatric Symptoms/Conditions Enuresis/Encopresis O Runaway Sexual Offenses 5 Weld County SS -23A Addendu BEHAVIOR ASSESSMENT CONTINUED Please rate the behavior/intensit of conditions which create the need for services that a..l to this child 0 0 0 ❑ 0 0 0 Inappropriate Sexual Behavior Disruptive Behavior Delinquent Behavior Depressive -like Behavior Medical Needs (If condition is rated "severe", please complete the Medically fragile NBC) Emancipation Eating Problems Boundary Issues Requires Night Care 0 Education Involvement with Child's Family CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 1'// ❑ 2 ❑ 2''/ ❑ 3 ❑ 3'h 6 Weld County SS -23A Addends WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) County Basic Maint. 4 RTC Drop Down Assess/ Emergency Level Rate (30 Day Max) Admin. Overhead Rate: $6.91 day/$210.00 month Age 0-10...$16.32 ($496) Age 11-14...$18.05 ($549) Age 15-21...$19.27 ($586) + $.66 Respite Care ($20) $19.73 +$.66 Respite Care ($20.39 day/$620 mo) $23.01 +$.66 Respite Care ($23.67 day/$720 mo) $26.30 +$.66 Respite Care ($26.96 day/$820 mo) $29.59 +$.66 Respite Care ($30.25 day/$920 mo) $32.88 +$.66 Respite Care ($33.54day/$1020 mo) $36.16 +$.66 Respite Care ($36.82 day/$1,120 mo) $39.45 4.66 Respite Care ($40.11 day/$1220 mo) $30.25 day/$920 mo (Includes Respite) Basic Maint $4.93 day/$150mo No crisis intervention, Minimal CPA involvement, one face-to-face visit with child per month. Level 1 $8.22 day/$250 mo Minimal crisis intervention as needed, one face-to-face visit per month with child, 2-3 contacts per month Level 1 1/2$9.86 day/$300 mo Level 2 $11.51 day/$350 mo Occasional crisis intervention as needed, two face-to-face visits with child, 2-3 contacts per month Level 2 1/2 $13.15 day/$400 mo Level 3 $14.79 day/$450 mo Ongoing crisis intervention as needed, weekly face-to-face visits with child, and intensive coordination of multiple services. Level 3 1/2 $16.44 day/$500 mo Level 4 $18.08 day/$550 mo Ongoing crisis intervention as needed, which includes high level of case management and CPA involvement with child and provider and 2-3 face-to-face contacts rer week minimum. As of 7/01/08 $13.15 day/$400 mo Level 0 $0 Therapy not needed or provided by another source, i.e. mental health. Level 1 $4.93/$150 mo Regularly scheduled therapy, up to 4 hours/month. Level 2 $9.86/$300 mo Weekly scheduled therapy, 5-8 hours a month with 4 hours of group therapy. Level 3 $14.79/$450 mo Regularly scheduled weekly multiple sessions, can include more than 1 person, i.e. family therapy, for 9-12 hours/monthly. Level 4 $14.79/$450 mo Regularly scheduled weekly multiple sessions, can include more than 1 person, i.e. family therapy, for 9-12 hours/monthly. Level 0...$0 (None) Level 1 ...$2.99 Level 2..$4.47 Level 3..$6.02 Level 4....Neg. 7 Weld County SS -23A Addendu IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Weld County Clerk to the Board By: Deput /' lerk to the Approval as to Substance: WELD COUNTY DEPARTMENT OF HUMAN SERVICES B WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: Chair Signature CONTRACTOR AUG 0 5 2009 Adoption Alliance 2121 S. Oneda St, Suite 420 Denver, CO 80224 By: 8 Weld County SS -23A Addendum &a99-/J'%Ti WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Adoption Options and Weld County Department of Human Services for the period from July 1, 2009 through June 30, 2010. The following provisions, made this 1' Ilk day of , 2009, are added to the referenced Agreement. Except as modified hereby, all terns the A eement remain unchanged. 1. County and Contractor agree that a child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement, based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#45078. 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. 3. Section I, Paragraph 2. 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. 4. Add Paragraph 6 to Section I. 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. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person -to -person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or intake screener of any emergency medical, surgical or dental issues prior to granting authorization. During non -regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 304-2749. 7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel available for staffing current placements with the Utilization Review Team. Contractor shall be notified by Department staff of the date and time of the utilization review. 8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 1 Weld County SS -23A Addendui, 9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 8 weeks after placement and forward all appropriate information to the County. 10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed 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. 11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 12. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 13. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 14. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 2 Weld County SS -23A Addendum 15. Add Paragraph 9 to Section VI. The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Human Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Human Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Human Services as a debt to Human Services or otherwise as provided by law. 16. Add Paragraph 10 to Section VI. The contractor shall promptly notify Human Services in the event in which it is a party defendant or respondent in a case, which involves services provided under the agreement. The Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s) to the Human Services' Director. The term "litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. 17. Add Section VII - ATTACHMENTS: 3 Weld County SS -23A Addendum IDENTIFYING INFORMATION WELD COUNTY DHS NEEDS BASED CARE ASSESSMENT (Exhibit B) CHILD'S NAME WORKER COMPLETING ASSESSMENT STATE ID# SEX trRAILS CASE ID M F DOB HH# 'DATE OF ASSESSMENT AGENCY NAME PROVIDER NAME PROVIDER TRAILS ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT • For each question below, please select the response which most closely applies to this child. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does the child require transportation by the foster care provider for the following: Therapy; Medical Treatment; Family Visitation; Extraordinary Educational Needs; etc., as outlined in the treatment plan? ❑ Basic Maint.) Less than one round trip a week 02) 3-4 round trips a week, ❑ 3'/) 7 round trips or more ❑1) One round trip a week ❑1%z) 2 round trips a week ❑2%z) 5 round trips a week 03) 6 round trips a week P 2. How often is the foster care provider required to participate in child's therapy or counseling sessions? ❑ Basic Maint.) No participation required 02) Three times a month 031/2) Three times a week or more 01) Once a month 01%) Two times month ❑2%z) Once a week 03) Two times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education plan? ❑ Basic Maint.) No educational requirements ❑1) Less than a''/z hour per day ❑1'/s) '/z hour a day 02) 1 hour a day 02 %z) 11/4-2 hours per day 03) 2'/z-3 hours per day 03%) More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑ Basic Maint.) No special involvement needed ❑1) Less than 5 hours per week ❑1/) 5 to 7 hours per week ❑2) 8 to 10 hours per week 021/2) 11 to 14 hours per week ❑ 3) Constant basis during awake hours ❑31) Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feedin bathing, grooming, physical, and/or occupational therapy? ❑ Basic Maint.) 0-2 hours per week ❑1) 3 to 4 hours per week ❑1%) 5 to 7 hours per week 02) 8 to 10 hours per week ❑2%) 11 to 15 hours per week ❑3) 16 to 20 per week 03%) 21 or more hours per week A 1. How often is CPA/County case management required? (Does not include therapy) ['Basic Maint.) Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) ❑1) Face-to-face contact one time per month with child and minimal crisis intervention. 011/2) Face-to-face contact one time per month with child and occasional crisis intervention. 02) Face-to-face contact two times per month with child and occasional crisis intervention. ❑2%z) Face-to-face contact three times per month with child and occasional crisis intervention. 03) Face-to-face contact weekly with child and occasional crisis intervention. ❑3'/z) Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group, or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? 00) Not needed or provided by another source (i.e. Medicaid) 02) 4-8 hours per month 4 ❑1) Less than 4 hours per month ❑3) 9-12 hours per month Weld County SS -23A Addends WELD COUNTY MIS NEEDS BASED CARE ASSESSMENT Aggression/Cruelty to Animals BEHAVIOR ASSESSMENT Please rate the behavior/intensit of conditions which create the need for services that a . . 1 to this child. Verbal or Physical Threatening Destructive of Property/Fire Setting Stealing Self -injurious Behavior Substance Abuse Presence of Psychiatric Symptoms/Conditions Enuresis/Encopresis Runaway Sexual Offenses 5 Weld County SS -23A Addends BEHAVIOR ASSESSMENT CONTINUED Inappropriate Sexual Behavior Please rate the behavior/intensity of conditions which create the need for services that a . . ly to this child. ❑ ❑ Disruptive Behavior O Delinquent Behavior Depressive -like Behavior Medical Needs (If condition is rated "severe", please complete the Medically fragile NBC) Emancipation Eating Problems Boundary Issues Requires Night Care Education Involvement with Child's Family CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 1% ❑ 2 ❑ 2% ❑ 3 ❑ 3% 6 Weld County SS -23A Addends WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) County Basic Maint. 4 RTC Drop Down Assess/ Emergency Level Rate (30 Day Max) Admin. Overhead Rate: $6.91 day/$210.00 month Age 0-10...$16.32 ($496) Age 11-14...$18.05 ($549) Age 15-21...$19.27 ($586) + $.66 Respite Care ($20) $19.73 +$.66 Respite Care ($20.39 day/$620 ma) $23.01 +$.66 Respite Care ($23.67 day/$720 mo) $26.30 +$.66 Respite Care ($26.96 day/$820 mo) $29.59 +$.66 Respite Care ($30.25 day/$920 mo) $32.88 +$.66 Respite Care ($33.54day/$1020 mo) $36.16 4.66 Respite Care ($36.82 day/$1,120 mo) $39.45 +$.66 Respite Care ($40.11 day/$1220 mo) $30.25 day/$920 mo (Includes Respite) Basic Maint $4.93 day/$150mo No crisis intervention, Minimal CPA involvement, one face-to-face visit with child per month. Level 1 $8.22 day/$250 mo Minimal crisis intervention as needed, one face-to-face visit per month with child, 2-3 contacts per month Level 1 1/2 $9.86 day/$300 mo Level 2 $11.51 day/$350 mo Occasional crisis intervention as needed, two face-to-face visits with child, 2-3 contacts per month Level 2 1/2 $13.15 day/$400 mo Level 3 $14.79 day/$450 mo Ongoing crisis intervention as needed, weekly face-to-face visits with child, and intensive coordination of multi • le services. Level 3 1/2 .... ..$16.44 day/$500 mo Level 4 $18.08 day/$550 mo Ongoing crisis intervention as needed, which includes high level of case management and CPA involvement with child and provider and 2-3 face-to-face contacts .er week minimum. $13.15 day/$400 mo Level 0 $0 Therapy not needed or provided by another source, i.e. mental health. Level 1 $4.93/$150 mo Regularly scheduled therapy, up to 4 hours/month. Level 2 $9.86/$300 mo Weekly scheduled therapy, 5-8 hours a month with 4 hours of group therapy. Level 3 $14.79/$450 mo Regularly scheduled weekly multiple sessions, can include more than 1 person, i.e. family therapy, for 9-12 hours/monthl Level 4 $14.79/$450 mo Regularly scheduled weekly multiple sessions, can include more than 1 person, i.e. family therapy, for 9-12 hours/monthly. Level 0...$0 (None) Level 1 ...$2.99 Level 2..$4.47 Level 3..$6.02 Level 4....Neg. As of 7/01/08 7 Weld County SS -23A Addend , IN, WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Weld County Clerk to the Board B Deputy ' lerk lo the Boa Approval as to Substance: WELD COUNTY DEPARTMENT OF HUMAN SERVICES CoArct t7.0 Director J CAL lw� 7 WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: Chair Signature AUG 0 5 2009 CONTRACTOR Adoption Options 13900 E Harvard Ave, Suite 200 Aurora, CO 80014 By: Hool 8 Weld County SS -23A Addendum WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Bethany Christian Services and Weld County Department of Human Services for the period from July 1, 2009 through June 30, 2010. The following provisions, made this I day of , 2009, are added to the referenced Agreement. Except as modified hereby, all terms o th greement remain unchanged. 1. County and Contractor agree that a child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement, based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#45514. 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. 3. Section I, Paragraph 2. 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. 4. Add Paragraph 6 to Section I. 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. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person -to -person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or intake screener of any emergency medical, surgical or dental issues prior to granting authorization. During non -regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 304-2749. 7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel available for staffing current placements with the Utilization Review Team. Contractor shall be notified by Department staff of the date and time of the utilization review. 8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. Weld County SS -23A Addendum d1CD'1—/27< 9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 8 weeks after placement and forward all appropriate information to the County. 10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed 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. 11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 12. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 13. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 14. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 2 Weld County SS -23A Addendum 15. Add Paragraph 9 to Section VI. The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Human Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Human Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Human Services as a debt to Human Services or otherwise as provided by law. 16. Add Paragraph 10 to Section VI. The contractor shall promptly notify Human Services in the event in which it is a party defendant or respondent in a case, which involves services provided under the agreement. The Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s) to the Human Services' Director. The term "litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. 17. Add Section VII - ATTACHMENTS: 3 Weld County SS -23A Addendum IDENTIFYING INFORMATION WELD COUNTY DHS NEEDS BASED CARE ASSESSMENT (Exhibit B) CHILD'S NAME WORKER COMPLETING ASSESSMENT AGENCY NAME STATE ID# SEX !TRAILS CASE ID IDOB M F I HH# !DATE OF ASSESSMENT PROVIDER NAME PROVIDER TRAILS ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT • For each question below, please select the response which most closely applies to this child. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P1. How often does the child require transportation by the foster care provider for the following: Therapy; Medical Treatment; Family Visitation; Extraordinary Educational Needs; etc., as outlined in the treatment plan? ['Basic Maint.) Less than one round trip a week O2) 3-4 round trips a week. O3%) 7 round trips or more Du One round trip a week 01%) 2 round trips a week O2%) 5 round trips a week O3) 6 round trips a week P 2. How often is the foster care provider required to participate in child's therapy or counseling sessions? O Basic Maint.) No participation required ❑2) Three times a month O 'A) Three times a week or more 01) Once a month 01%) Two times month O2%) Once a week O3) Two times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education plan? ❑ Basic Maint.) No educational requirements ❑1) Less than a '/z hour per day 01%) 'A hour a day O2) 1 hour a day O2 %) 1'/z:-2 hours per day O3) 2'/,-3 hours per day O3%) More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑ Basic Maint.) No special involvement needed ❑ 1) Less than 5 hours per week 01%) 5 to 7 hours per week O2) 8 to 10 hours per week O2%) 11 to 14 hours per week ❑ 3) Constant basis during awake hours ❑3'%z) Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing, grooming, physical, and/or occupational therapy? O Basic Maint.) 0-2 hours per week ❑1) 3 to 4 hours per week 01%) 5 to 7 hours per week ❑2) 8 to 10 hours per week ❑2/) 11 to 15 hours per week O3) 16 to 20 per week O3%) 21 or more hours per week A 1. How often is CPA/County case management required? (Does not include therapy) ['Basic Maint.) Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) ❑1) Face-to-face contact one time per month with child and minimal crisis intervention. ❑1'/z) Face-to-face contact one time per month with child and occasional crisis intervention. O2) Face-to-face contact two times per month with child and occasional crisis intervention. O2%) Face-to-face contact three times per month with child and occasional crisis intervention. O3) Face-to-face contact weekly with child and occasional crisis intervention. O3%) Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group, or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? O0) Not needed or provided by another source (i.e. Medicaid) O2) 4-8 hours per month ❑1) Less than 4 hours per month ❑3) 9-12 hours per month Weld County SS -23A Addendum 4 WELD COUNTY DHS NEEDS BASED CARE ASSESSMENT Aggression/Cruelty to Animals BEHAVIOR ASSESSMENT Please rate the behavior/intensit of conditions which create the need for services that a . . ly to this child. 0 0 0 ❑ 0 0 0 Verbal or Physical Threatening Destructive of Property/Fire Setting Stealing Self -injurious Behavior Substance Abuse Presence of Psychiatric Symptoms/Conditions Enuresis/Encopresis Runaway Sexual Offenses 5 Weld County SS -23A Addendum BEHAVIOR ASSESSMENT CONTINUED Please rate the behavior/intensity of conditions which create the need for services that a..ly to this child. Inappropriate Sexual Behavior Disruptive Behavior Delinquent Behavior Depressive -like Behavior Medical Needs (If condition is rated "severe", please complete the Medically fragile NBC) Emancipation Eating Problems Boundary Issues Requires Night Care 0 Education Involvement with Child's Family O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 1111 ❑ 11/4 ❑ 2 ❑ 2'h ❑ 3 ❑ 3'h 6 Weld County SS -23A Addendum WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) County Basic Maint. 4 RTC Drop Down Assess/ Emergency Level Rate (30 Day Max) Admin. Overhead Rate: As of 7/01/08 Age 0-10...$16.32 ($496) Age 11-14...$18.05 ($549) Age 15-21...$19.27 ($586) + $.66 Respite Care ($20) $19.73 +$.66 Respite Care ($20.39 day/$620 mo) $23.01 +$.66 Respite Care ($23.67 day/$720 mo) $26.30 +$.66 Respite Care $29.59 +$.66 Respite Care ($30.25 day/$920 mo) $32.88 +$.66 Respite Care ($33.54day/$1020 mo) $36.16 +$.66 Respite Care ($36.82 day/$1,120 mo) $39.45 +$.66 Respite Care ($40.11 day/$1220 mo) $30.25 day/$920 mo (Includes Respite) Basic Maint $4.93 day/$150mo No crisis intervention, Minimal CPA involvement, one face-to-face visit with child per month. Level 1 $8.22 day/$250 mo Minimal crisis intervention as needed, one face-to-face visit per month with child, 2-3 contacts per month Level 1 1/2 $9.86 day/$300 mo Level 2 $11.51 day/$350 mo Occasional crisis intervention as needed, two face-to-face visits with child, 2-3 contacts per month Level 2 1/2 $13.15 day/$400 mo Level 3 $14.79 day/$450 mo Ongoing crisis intervention as needed, weekly face-to-face visits with child, and intensive coordination of multiple services. Level 3 1/2 $16.44 day/$500 mo Level 4 $18.08 day/$550 mo Ongoing crisis intervention as needed, which includes high level of case management and CPA involvement with child and provider and 2-3 face-to-face contacts •er week minimum. $13.15 day/$400 mo Level 0 $0 Therapy not needed or provided by another source, i.e. mental health. Level 1 $4.93/$150 mo Regularly scheduled therapy, up to 4 hours/month. Level 2 $9.86/$300 mo Weekly scheduled therapy, 5-8 hours a month with 4 hours of group therapy. Level 3 $14.79/$450 mo Regularly scheduled weekly multiple sessions, can include more than 1 person, i.e. family therapy, for 9-12 hours/monthly. Level 4.........$14.79/$450 mo Regularly scheduled weekly multiple sessions, can include more than 1 person, i.e. family therapy, for 9-12 hours/monthly. Level 0...$0 (None) Level 1 ...$2.99 Level 2..$4.47 Level 3..$6.02 Level 4....Neg. $6.91 day/$210.00 month 7 Weld County SS -23A Addenda IN, WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Weld County Clerk to the B By: /Z, Deputy'' lerk to the Boar Approval as to Substance: WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: ( 4 Chair Signature AUG 0 5 2009 CONTRACTOR Bethany Christian Services 4820 Rusina Rd, Suite C Colorado Springs, CO 80907-8127 Byvy 4 8 Weld County SS -23A Addendum WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Gateway Youth and Family and Weld County Department of Human Services for the period from July 1, 2009 through June 30, 2010. The following provisions, made this / day of � 2009, are added to the referenced Agreement. Except as modified hereby, all terms t Agreement remain unchanged. 3N designated as Attaehment B, shall be used to determine levels of care for each child 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement, h +> N a B __mss __._ . , , off determined. The specific rate of payment will be paid for each level of service,-as.4H for children placed within the CPA identified as Provider ID#95568. 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. 3. Section I, Paragraph 2. 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. 4. Add Paragraph 6 to Section I. 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. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person -to -person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or intake screener of any emergency medical, surgical or dental issues prior to granting authorization. During non -regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 304-2749. 7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel available for staffing current placements with the Utilization Review Team. Contractor shall be notified by Department staff of the date and time of the utilization review. 8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. /. 1 Weld County SS -23A Addendun ? ' —/)746 9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 8 weeks after placement and forward all appropriate information to the County. 10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed 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. 11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 12. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 13. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 14. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 2 Weld County SS -23A Addendum 15. Add Paragraph 9 to Section VI. The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Human Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Human Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Human Services as a debt to Human Services or otherwise as provided by law. 16. Add Paragraph 10 to Section VI. The contractor shall promptly notify Human Services in the event in which it is a party defendant or respondent in a case, which involves services provided under the agreement. The Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s) to the Human Services' Director. The term "litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. 17. Add Section VII — ATTACHMENTS: 3 Weld County SS -23A Addendum IDENTIFYING INFORMATION _ CHILD'S NAME WORKER COMPLETING ASSESSMENT WELD COUNTY DHS NEEDS BASED CARE ASSESSMENT (Exhibit B) STATE ID# HHis SEX TRAILS CASE ID M F DOB DATE OF ASSESSMENT AGENCY NAME PROVIDER NAME PROVIDER TRAILS ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT • For each question below, please select the response which most closely applies to this child. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does the child require transportation by the foster care provider for the following: Therapy; Medical Treatment; Family Visitation; Extraordinary Educational Needs; etc., as outlined in the treatment plan? ['Basic Maint.) Less than one round trip a week ❑2) 3-4 round trips a week. 031/2) 7 round trips or more ❑1) One round trip a week ❑1%) 2 round trips a week 02%) 5 round trips a week 03) 6 round trips a week P 2. How often is the foster care provider required to participate in child's therapy or counseling sessions? ❑ Basic Maint.) No participation required 02) Three times a month 03%) Three times a week or more ❑1) Once a month 011/2) Two times month ❑2%:) Once a week 03) Two times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education plan? ❑ Basic Maint.) No educational requirements ❑1) Less than a '/z hour per day 01%) '/z hour a day ❑2) 1 hour a day 02 %) 1'/:-2 hours per day ❑3) 2'/r3 hours per day ❑3%) More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑ Basic Maint.) No special involvement needed ❑1) Less than 5 hours per week ❑1%x) 5 to 7 hours per week ❑2) 8 to 10 hours per week ❑2'/) 11 to 14 hours per week ❑ 3) Constant basis during awake hours 03%) Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feedin bathing, grooming, physical, and/or occupational therapy? ❑ Basic Maint.) 0-2 hours per week ❑ 1) 3 to 4 hours per week ❑ 1%) 5 to 7 hours per week ❑2) 8 to 10 hours per week 021/2) 11 to 15 hours per week ❑3) 16 to 20 per week 03%) 21 or more hours per week A 1. How often is CPA/County case management required? (Does not include therapy) ['Basic Maint.) Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) ❑1) Face-to-face contact one time per month with child and minimal crisis intervention. 01%) Face-to-face contact one time per month with child and occasional crisis intervention. 02) Face-to-face contact two times per month with child and occasional crisis intervention. 02%) Face-to-face contact three times per month with child and occasional crisis intervention. 03) Face-to-face contact weekly with child and occasional crisis intervention. 03%) Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group, or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0) Not needed or provided by another source (i.e. Medicaid) 02) 4-8 hours per month 4 ❑1) Less than 4 hours per month 03) 9-12 hours per month Weld County SS -23A Addendu WELD COUNTY DHS NEEDS BASED CARE ASSESSMENT Aggression/Cruelty to Animals BEHAVIOR ASSESSMENT Please rate the behavior/intensit of conditions which create the need for services that a..ly to this child. 0 0 0 ❑ 0 0 Verbal or Physical Threatening 0 Destructive of Property/Fire Setting Stealing Self -injurious Behavior Substance Abuse Presence of Psychiatric Symptoms/Conditions Enuresis/Encopresis 0 0 0 0 0 Runaway 0 Sexual Offenses 5 Weld County SS -23A Addendu BEHAVIOR ASSESSMENT CONTINUED Inappropriate Sexual Behavior Please rate the behavior/intensit of conditions which create the need for services that a..l to this child 0 0 Disruptive Behavior Delinquent Behavior Depressive -like Behavior 0 0 Medical Needs (If condition is rated "severe", please complete the Medically fragile NBC) Emancipation 0 Eating Problems Boundary Issues Requires Night Care Education Involvement with Child's Family CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ I''/ ❑ 2 ❑ 2'h ❑ 3 ❑ 3% 6 Weld County SS -23A Addends WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) County Basic Maint. 4 RTC Drop Down Assess/ Emergency Level Rate (30 Day Max) Admin. Overhead Rate: Age 0-10...$16.32 ($496) Age 11-14...$18.05 ($549) Age 15-21...$19.27 ($586) + $.66 Respite Care ($20) $19.73 +$.66 Respite Care ($20.39 day/$620 mo) $23.01 +$.66 Respite Care ($23.67 day/$720 mo) $26.30 +$.66 Respite Care ($26.96 day/$820 mo) $29.59 +$.66 Respite Care ($30.25 day/$920 mo) $32.88 +$.66 Respite Care ($33.54day/$1020 mo) $36.16 +$.66 Respite Care ($36.82 day/$1,120 mo) $39.45 +$.66 Respite Care ($40.11 day/$1220 mo) $30.25 day/$920 mo (Includes Respite) Basic Maint $4.93 day/$150mo No crisis intervention, Minimal CPA involvement, one face-to-face visit with child per month. Level 1 $8.22 day/$250 mo Minimal crisis intervention as needed, one face-to-face visit per month with child, 2-3 contacts per month Level 1 1/2.........$9.86 day/$300 mo Level 2 $11.51 day/$350 mo Occasional crisis intervention as needed, two face-to-face visits with child, 2-3 contacts per month Level 2 1/2.........$13.15 day/$400 mo Level 3 $14.79 day/$450 mo Ongoing crisis intervention as needed, weekly face-to-face visits with child, and intensive coordination of multiple services. Level 3 1/2 $16.44 day/$500 mo Level 4 $18.08 day/$550 mo Ongoing crisis intervention as needed, which includes high level of case management and CPA involvement with child and provider and 2-3 face-to-face contacts .er week minimum. As of 7/01/08 $13.15 day/$400 mo Level 0 $0 Therapy not needed or provided by another source, i.e. mental health. Level 1 $4.93/$150 mo Regularly scheduled therapy, up to 4 hours/month. Level 2 $9.86/$300 mo Weekly scheduled therapy, 5-8 hours a month with 4 hours of group therapy. Level 3 $14.79/$450 mo Regularly scheduled weekly multiple sessions, can include more than 1 person, i.e. family therapy, for 9-12 hours/monthly. Level 4 $14.79/$450 mo Regularly scheduled weekly multiple sessions, can include more than 1 person, i.e. family therapy, for 9-12 hours/monthly. Level 0...$0 (None) Level 1 ...$2.99 Level 2..$4.47 Level 3..56.02 Level 4....Neg. $6.91 day/$210.00 month 7 Weld County SS -23A Addend' IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Weld County Clerk to the Bpard By: Deputy fE erk to the Boar Approval as to Substance: WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES Chair Signature AUG 0 5 2009 CONTRACTOR Gateway Youth and Family 740 Gunnison Ave Grand Junction, CO 81501 8 Weld County SS -23A Addendum L3200 9 _AP x WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Hope Family Services and Weld County Department of Human Services for the period from July 1, 2009 through June 30, 2010. The following provisions, made this / day of , 2009, are added to the referenced Agreement. Except as modified hereby, all terms o th greement remain unchanged. 1. County and Contractor agree that a child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement, based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#42942. 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. 3. Section I, Paragraph 2. 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. 4. Add Paragraph 6 to Section I. 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. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person -to -person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or intake screener of any emergency medical, surgical or dental issues prior to granting authorization. During non -regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 304-2749. 7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel available for staffing current placements with the Utilization Review Team. Contractor shall be notified by Department staff of the date and time of the utilization review. 8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. Weld County SS -23A Addendum ' 9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 8 weeks after placement and forward all appropriate information to the County. 10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed 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. 11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 12. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 13. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 14. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 2 Weld County SS -23A Addendum ' 15. Add Paragraph 9 to Section VI. The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Human Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Human Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Human Services as a debt to Human Services or otherwise as provided by law. 16. Add Paragraph 10 to Section VI. The contractor shall promptly notify Human Services in the event in which it is a party defendant or respondent in a case, which involves services provided under the agreement. The Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s) to the Human Services' Director. The term "litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. 17. Add Section VII - ATTACHMENTS: 3 Weld County SS -23A Addendum WELD COUNTY DHS NEEDS BASED CARE ASSESSMENT (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME WORKER COMPLETING ASSESSMENT STATE ID# ISEX TRAILS CASE ID M F I DOB HH# DATE OF ASSESSMENT AGENCY NAME PROVIDER NAME PROVIDER TRAILS ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT • For each question below, please select the response which most closely applies to this child. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does the child require transportation by the foster care provider for the following: Therapy; Medical Treatment; Family Visitation; Extraordinary Educational Needs; etc., as outlined in the treatment plan? ['Basic Maint.) Less than one round trip a week 02) 3-4 round trips a week. ❑3%2) 7 round trips or more ❑1) One round trip a week ❑1'/) 2 round trips a week ❑2'/2) 5 round trips a week ❑3) 6 round trips a week P 2. How often is the foster care provider required to participate in child's therapy or counseling sessions? ❑ Basic Maint.) No participation required ❑2) Three times a month 031/2) Three times a week or more ❑1) Once a month 011/2) Two times month ❑2%2) Once a week 03) Two times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular of special education plan? ❑ Basic Maint.) No educational requirements ❑1) Less than a '/2 hour per day 01%) '/2 hour a day 02) 1 hour a day 02 'A) 1'/2-2 hours per day 03) 2'/2-3 hours per day 03%) More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑ Basic Maint.) No special involvement needed ❑1) Less than 5 hours per week 01%) 5 to 7 hours per week 02) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑ 3) Constant basis during awake hours 03%) Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feedin bathing, grooming, physical, and/or occupational therapy? ❑ Basic Maint.) 0-2 hours per week ❑1) 3 to 4 hours per week 01%) 5 to 7 hours per week 02) 8 to 10 hours per week D21/2) 11 to 15 hours per week ❑3) 16 to 20 per week ❑3%2) 21 or more hours per week A 1. How often is CPA/County case management required? (Does not include therapy) ❑ Basic Maint.) Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) ❑ 1) Face-to-face contact one time per month with child and minimal crisis intervention. 01%) Face-to-face contact one time per month with child and occasional crisis intervention. 02) Face-to-face contact two times per month with child and occasional crisis intervention. 02%) Face-to-face contact three times per month with child and occasional crisis intervention. 03) Face-to-face contact weekly with child and occasional crisis intervention. 03%) Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group, or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0) Not needed or provided by another source (i.e. Medicaid) 02) 4-8 hours per month 4 ❑1) Less than 4 hours per month ❑3) 9-12 hours per month Weld County SS -23A Addend, WELD COUNTY DHS NEEDS BASED CARE ASSESSMENT Aggression/Cruelty to Animals BEHAVIOR ASSESSMENT Please rate the behavior/intensity of conditions which create the need for services that a..1 to this child. 0 0 0 ❑ ❑ 0 0 Verbal or Physical Threatening Destructive of Property/Fire Setting Stealing Self -injurious Behavior Substance Abuse Presence of Psychiatric Symptoms/Conditions Enuresis/Encopresis Runaway Sexual Offenses 5 Weld County SS -23A Addend, BEHAVIOR ASSESSMENT CONTINUED Please rate the behavior/intensit of conditions which create the need for services that a to this child. Inappropriate Sexual Behavior Disruptive Behavior Delinquent Behavior Depressive -like Behavior Medical Needs (If condition is rated "severe", please complete the Medically fragile NBC) Emancipation Eating Problems Boundary Issues Requires Night Care Education Involvement with Child's Family CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: 0 0 ❑ ❑ ❑ ❑ 0 ❑ (check level of need) ❑ 0 ❑ 1 ❑ 11/2 ❑ 2 ❑ 2'/ ❑ 3 ❑ 31/2 6 Weld County SS -23A Addends WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) gr x+u t ugyy� %'t`h County Basic Maint. } :- "�Y:� xkk�p} 4h'4 : t a•T xiT'f Age 0-10...$16.32 ($496) Age 11-14...$18.05 ($549) Age 15-21...$19.27 ($586) + $.66 Respite Care ($20) —6 • -: °. ,�,y 1}} 4�'3„ 4 t �'Q„5' M.Pt�4+ i a S" ), 1. '.�.:°^xt. .., aE hh. Basic Maint $4.93 day/$150mo No crisis intervention, Minimal CPA involvement, one face-to-face visit with child per month " Level 0 $0 Therapy not needed or provided by another source, i.e. mental health. .� Level 0...$0 l (None) 1 $19.73 +$.66 Respite Care ($20.39 day/$620 mo) -,. sha Level 1 $8.22 day/$250 mo Minimal crisis intervention as needed, one face-to-face visit per month with child, 2-3 contacts per month Level 1 $4.93/$150 mo Regularly th scheduled therapy, up to 4 hours/month. Level 1 ...$2.99 .. 1 1/2 $23.01 +$.66 Respite Care ($23.67 day/$720 mo) Level 1 1/2.........$9.86 day/$300 mo -------- ------------- — ----_----- 2 $26.30 +$.66 Respite Care ($26.96 day/$820 mo) Level 2 $11.51 day/$350 mo Occasional crisis intervention as needed, two face-to-face visits with child, 2-3 contacts per month Level 2 $9.86/5300 mo Weekly scheduled therapy, 5-8 hours a month with 4 hours of group therapy. x x €'° `' Level 2..$4.47 2 1/2 $29.59 +$.66 Respite Care ($30.25 day/$920 mo) Level 2 1/2$13.15 day/$400 mo "'f^ ^,1 t" 3 ;a• $32.88 +$.66 Respite Care ($33.54day/$1020 ma) Level 3 $14.79 day/$450 mo Ongoing crisis intervention as needed, weekly face-to-face visits with child, and intensive coordination of multiple services. y =' Level 3 $14.79/$450 mo Regularly scheduled weekly multiple sessions, can include, more than 1 person, i.e. family therapy, for 9-12 hours/monthly. Level 3..$6.02 31/2 $36.16 +$.66 Respite Care ($36.82 day/$1,120 mo) Level 3 1/2 $16.44 day/$500 mo --_------ 4 RTC Drop Down Assess/" Emergency Level Rate (30 Day Max) • ° iy $39.45 +$.66 Respite Care day/$1220 mo) $30.25 day/$920 mo (Includes Respite) •' ;' Level 4 $18.08 day/$550 mo Ongoing crisis intervention as needed, which includes high level of case management and CPA involvement with 9 child and provider and 2-3 face-to-face contacts •er week minimum. $13.15 day/$400 mo . ,r' ` ° a4 Level 4 $14.79/5450 mo Regularly scheduled weekly multiple sessions, can include more than 1person, i.e. family therap y, for 9-12 hours/monthly. ^ s Level 4....Neg. --"'---' Admin. Overhead Rate: $6.91 day/$210.00 month As of 7/01/08 7 Weld County SS -23A Addends IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Weld County Clerk to the Board LAtiaA, Deputy ' lerk to the Boar Approval as to Substance: WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: Chair Signature CONTRACTOR Hope Family Services 1610 29th Ave Place #100 Greeley, CO 80634 By: AUG 0 5 2009 8 Weld County SS -23A Addendu �7/— /x'7O WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Kids Crossing and Weld County Department of Human Services for the period from July 1, 2009 through June 30, 2010. The following provisions, made this / day of , 2009, are added to the referenced Agreement. Except as modified hereby, all terms e Agreement remain unchanged. 1. County and Contractor agree that a child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement, based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#79752. 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. 3. Section I, Paragraph 2. 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. 4. Add Paragraph 6 to Section I. 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. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person -to -person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or intake screener of any emergency medical, surgical or dental issues prior to granting authorization. During non -regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 304-2749. 7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel available for staffing current placements with the Utilization Review Team. Contractor shall be notified by Department staff of the date and time of the utilization review. 8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. Weld County SS -23A Addendum DX09-/P7O 9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 8 weeks after placement and forward all appropriate information to the County. 10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed 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. 11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 12. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 13. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 14. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 2 Weld County SS -23A Addendum 15. Add Paragraph 9 to Section VI. The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Human Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Human Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Human Services as a debt to Human Services or otherwise as provided by law. 16. Add Paragraph 10 to Section VI. The contractor shall promptly notify Human Services in the event in which it is a party defendant or respondent in a case, which involves services provided under the agreement. The Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s) to the Human Services' Director. The term "litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. 17. Add Section VII - ATTACHMENTS: 3 Weld County SS -23A Addendum WELD COUNTY DHS NEEDS BASED CARE ASSESSMENT (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME WORKER COMPLETING ASSESSMENT STATE ID# SEX RAILS CASE ID M F DOB HHP IRATE OF ASSESSMENT AGENCY NAME PROVIDER NAME PROVIDER TRAILS ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT • For each question below, please select the response which most closely applies to this child. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does the child require transportation by the foster care provider for the following: Therapy; Medical Treatment; Family Visitation; Extraordinary Educational Needs; etc., as outlined in the treatment plan? ❑Basic Maint.) Less than one round trip a week 02) 3-4 round trips a week. 03%) 7 round trips or more 01) One round trip a week 01%) 2 round trips a week ❑2'%) 5 round trips a week 03) 6 round trips a week P 2. How often is the foster care provider required to participate in child's therapy or counseling sessions? ❑ Basic Maint.) No participation required 02) Three times a month 03%) Three times a week or more ❑1) Once a month 01%) Two times month 02%) Once a week 03) Two times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education plan? O Basic Maint.) No educational requirements ❑2) 1 hour a day ❑3%i More that 3 hours per day ❑1) Less than a'''A hour per day 01%) 1/2 hour a day 02 Y) 1'/r2 hours per day 03) 2%r3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑ Basic Maint.) No special involvement needed ❑ 1) Less than 5 hours per week 01%) 5 to 7 hours per week ❑2) 8 to 10 hours per week ❑2%) 11 to 14 hours per week ❑ 3) Constant basis during awake hours ❑3%) Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing, grooming, physical, and/or occupational therapy? ❑ Basic Maint.) 0-2 hours per week 02) 8 to 10 hours per week 03%) 21 or more hours per week ❑1) 3 to 4 hours per week 01%) 5 to 7 hours per week 02%) 11 to 15 hours per week ❑3) 16 to 20 per week A 1. How often is CPA/County case management required? (Does not include therapy) ❑Basic Maint.) Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) ❑1) Face-to-face contact one time per month with child and minimal crisis intervention. 01%) Face-to-face contact one time per month with child and occasional crisis intervention. 02) Face-to-face contact two times per month with child and occasional crisis intervention. 02%) Face-to-face contact three times per month with child and occasional crisis intervention. 03) Face-to-face contact weekly with child and occasional crisis intervention. 03%) Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group, or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0) Not needed or provided by another source (i.e. Medicaid) 02) 4-8 hours per month 4 ❑1) Less than 4 hours per month 03) 9-12 hours per month Weld County SS -23A Addendum WELD COUNTY DHS NEEDS BASED CARE ASSESSMENT BEHAVIOR ASSESSMENT Please rate the behavior/intensity of conditions which create the need for services that apply to this child. Aggression/Cruelty to Animals 0 0 0 Verbal or Physical Threatening 0 Destructive of Property/Fire Setting Stealing Self -injurious Behavior Substance Abuse Presence of Psychiatric Symptoms/Conditions Enuresis/Encopresis 0 0 Runaway Sexual Offenses 5 Weld County SS -23A Addendum BEHAVIOR ASSESSMENT CONTINUED Please rate the behavior/intensity of conditions which create the need for services that a..1 to this child. Inappropriate Sexual Behavior Disruptive Behavior Delinquent Behavior Depressive -like Behavior Medical Needs (If condition is rated "severe", please complete the Medically fragile NBC) Emancipation Eating Problems Boundary Issues Requires Night Care Education Involvement with Child's Family 0 0 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O O O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O 0 O O CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 11/2 ❑ 2 ❑ 2'/ ❑ 3 ❑ 31/2 6 Weld County SS -23A Addendum WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) County Basic Maint. 1 1 1/2 2 3 3 1/2 4 RTC Drop Down Assess/ Emergency Level Rate (30 Day Max) Admin. Overhead Rate: As of 7/01/08 Age 0-10...$16.32 ($496) Age 11-14...$18.05 ($549) Age 15-21...$19.27 ($586) + $.66 Respite Care ($20) $19.73 +$.66 Respite Care ($20.39 day/$620 mo) $23.01 +$.66 Respite Care ($23.67 day/$720 mo) $26.30 +$.66 Respite Care ($26.96 day/$820 mo) $29.59 +$.66 Respite Care ($30.25 day/$920 mo) $32.88 +$.66 Respite Care ($33.54day/$1020 mo) $36.16 +$.66 Respite Care ($36.82 day/$1,120 mo) $39.45 +$.66 Respite Care ($40.11 day/$1220 mo) $30.25 day/$920 mo (Includes Respite) Basic Maint $4.93 day/$150mo No crisis intervention, Minimal CPA involvement, one face-to-face visit with child per month. Level 1 $8.22 day/$250 mo Minimal crisis intervention as needed, one face-to-face visit per month with child, 2-3 contacts per month Level 1 1/2 $9.86 day/$300 mo Level 2 ................$11.51 day/$350 mo Occasional crisis intervention as needed, two face-to-face visits with child, 2-3 contacts per month Level 2 1/2.........$13.15 day/$400 mo Level 3 $14.79 day/$450 mo Ongoing crisis intervention as needed, weekly face-to-face visits with child, and intensive coordination of multiple services. Level 3 1/2 $16.44 day/$500 mo Level 4 $18.08 day/$550 mo Ongoing crisis intervention as needed, which includes high level of case management and CPA involvement with child and provider and 2-3 face-to-face contacts .er week minimum. $13.15 day/$400 mo Level 0 $0 Therapy not needed or provided by another source, i.e. mental health. Level 1 $4.93/$150 mo Regularly scheduled therapy, up to 4 hours/month. Level 2 $9.86/$300 mo Weekly scheduled therapy, 5-8 hours a month with 4 hours of group therapy. Level 3 $14.79/$450 mo Regularly scheduled weekly multiple sessions, can include more than 1 person, i.e. family therapy, for 9-12 hours/monthly. Level 4 $14.79/$450 mo Regularly scheduled weekly multiple sessions, can include more than 1 person, i.e. family therapy, for 9-12 hours/monthly. Level 0...$0 (None) Level 1 ...$2.99 Level 2..$4.47 Level 3..$6.02 Level 4....Neg. $6.91 day/$210.00 month 7 Weld County SS -23A Addendurt IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Weld County Clerk to the Board By: Approval as to Substance: WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES Chair Signature CONTRACTOR Kids Crossing 1440 E Fountain Blvd Colorado Springs, CO 80910-3502 AUG 0 5 2009 8 Weld County SS -23A Addendum Oc%-- /CP7e--) WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Youth Ventures of Colorado and Weld County Department of Human Services for the period from July 1, 2009 through June 30, 2010. The following provisions, made this day of Agreement. Except as modified hereby, all terms , 2009, are added to the referenced Agreement remain unchanged. 1. County and Contractor agree that a child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement, based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#1554849. 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. 3. Section I, Paragraph 2. 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. 4. Add Paragraph 6 to Section I. 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. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person -to -person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or intake screener of any emergency medical, surgical or dental issues prior to granting authorization. During non -regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 304-2749. 7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel available for staffing current placements with the Utilization Review Team. Contractor shall be notified by Department staff of the date and time of the utilization review. 8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. Weld County SS -23A Addendum .&2co9-/87Z 9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 8 weeks after placement and forward all appropriate information to the County. 10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed 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. 11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 12. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 13. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 14. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 2 Weld County SS -23A Addendum 15. Add Paragraph 9 to Section VI. The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Human Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Human Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Human Services as a debt to Human Services or otherwise as provided by law. 16. Add Paragraph 10 to Section VI. The contractor shall promptly notify Human Services in the event in which it is a party defendant or respondent in a case, which involves services provided under the agreement. The Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any federal or state court or administrative agency, shall deliver copies of such document(s) to the Human Services' Director. The term "litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. 17. Add Section VII - ATTACHMENTS: 3 Weld County SS -23A Addendum IDENTIFYING INFORMATION WELD COUNTY DHS NEEDS BASED CARE ASSESSMENT (Exhibit B) CHILD'S NAME WORKER COMPLETING ASSESSMENT STATE ID# SEX !TRAILS CASE ID 1DOB M F I HEM IRATE OF ASSESSMENT AGENCY NAME PROVIDER NAME PROVIDER TRAILS ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT • For each question below, please select the response which most closely applies to this child. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does the child require transportation by the foster care provider for the following: Therapy; Medical Treatment; Family Visitation; Extraordinary Educational Needs; etc., as outlined in the treatment plan? ❑Basic Maint.) Less than one round trip a week 02) 3-4 round trips a week. ❑3'/z) 7 round trips or more ❑l) One round trip a week ❑19:) 2 round trips a week 02%) 5 round trips a week 03) 6 round trips a week P 2. How often is the foster care provider required to participate in child's therapy or counseling sessions? O Basic Maint.) No participation required 02) Three times a month 03%) Three times a week or more ❑l) Once a month ❑1%) Two times month ❑2%) Once a week 03) Two times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education plan? ❑ Basic Maint.) No educational requirements 01) Less than a 1/2 hour per day ❑1/) %z hour a day 02) 1 hour a day 02 %:) 1'/r2 hours per day 03) 2%-3 hours per day ❑3%) More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑ Basic Maint.) No special involvement needed ❑l) Less than 5 hours per week ❑1%) 5 to 7 hours per week ❑2) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑ 3) Constant basis during awake hours 031/2) Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feedin bathing, grooming, physical, and/or occupational therapy? O Basic Maint.) 0-2 hours per week ❑l) 3 to 4 hours per week ❑1%) 5 to 7 hours per week 02) 8 to 10 hours per week 02%) 11 to 15 hours per week ❑3) 16 to 20 per week ❑3%:) 21 or more hours per week A 1. How often is CPA/County case management required? (Does not include therapy) ❑Basic Maint.) Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) ❑l) Face-to-face contact one time per month with child and minimal crisis intervention. ❑1%) Face-to-face contact one time per month with child and occasional crisis intervention. 02) Face-to-face contact two times per month with child and occasional crisis intervention. 02%) Face-to-face contact three times per month with child and occasional crisis intervention. 03) Face-to-face contact weekly with child and occasional crisis intervention. 03%) Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group, or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0) Not needed or provided by another source (i.e. Medicaid) 02) 4-8 hours per month ❑I) Less than 4 hours per month 03) 9-12 hours per month Weld County SS -23A Addendu 4 WELD COUNTY DHS NEEDS BASED CARE ASSESSMENT Aggression/Cruelty to Animals BEHAVIOR ASSESSMENT Please rate the behavior/intensit of conditions which create the need for services that ap.1 to this child. 0 0 0 ❑ ❑ Verbal or Physical Threatening 0 Destructive of Property/Fire Setting 0 Stealing Self -injurious Behavior Substance Abuse Presence of Psychiatric Symptoms/Conditions 0 0 Enuresis/Encopresis O 0 0 Runaway Sexual Offenses O 5 Weld County SS -23A Addendum BEHAVIOR ASSESSMENT CONTINUED Please rate the behavior/intensit of conditions which create the need for services that a..1 to this child. Inappropriate Sexual Behavior Disruptive Behavior Delinquent Behavior Depressive -like Behavior Medical Needs (If condition is rated "severe", please complete the Medically fragile NBC) Emancipation Eating Problems Boundary Issues Requires Night Care Education Involvement with Child's Family 0 0 O 0 O ❑ O 0 0 0 O 0 O 0 O 0 O 0 O 0 O 0 0 0 CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑1 ❑ 1'/a ❑ 2 ❑ 2'h ❑ 3 ❑ 3/ 6 Weld County SS -23A Addendum WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) County Basic Maint. 1 1 1/2 2 2 1/2 3 4 RTC Drop Down Assess/ Emergency Level Rate (30 Day Max) Age 0-10...$16.32 ($496) Age 11-14...$18.05 ($549) Age 15-21...$19.27 ($586) + $.66 Respite Care ($20) $19.73 +$.66 Respite Care ($20.39 day/$620 mo) $23.01 4.66 Respite Care ($23.67 day/$720 mo) $26.30 4.66 Respite Care ($26.96 day/$820 mo) $29.59 +$.66 Respite Care ($30.25 day/$920 mo) $32.88 +$.66 Respite Care ($33.54day/$1020 mo) $36.16 +$.66 Respite Care ($36.82 day/$1,120 mo) $39.45 +$.66 Respite Care $30.25 day/$920 mo (Includes Respite) Admin. Overhead Rate: Basic Maint $4.93 day/$150mo No crisis intervention, Minimal CPA involvement, one face-to-face visit with child per month. Level 1 $8.22 day/$250 mo Minimal crisis intervention as needed, one face-to-face visit per month with child, 2-3 contacts per month Level 1 1/2 $9.86 day/$300 mo Level 2 $11.51 day/$350 mo Occasional crisis intervention as needed, two face-to-face visits with child, 2-3 contacts per month Level 2 1/2.........$13.15 day/$400 mo Level 3 $14.79 day/$450 mo Ongoing crisis intervention as needed, weekly face-to-face visits with child, and intensive coordination of multiple services. Level 3 1/2.........$16.44 day/$500 mo Level 4 $18.08 day/$550 mo Ongoing crisis intervention as needed, which includes high level of case management and CPA involvement with child and provider and 2-3 face-to-face contacts •er week minimum. As of 7/01/08 $13.15 day/$400 mo Level 0 $0 Therapy not needed or provided by another source, i.e. mental health. Level 1 $4.93/$150 mo Regularly scheduled therapy, up to 4 hours/month. Level 2 $9.86/$300 mo Weekly scheduled therapy, 5-8 hours a month with 4 hours of group therapy. Level 3 $14.79/$450 mo Regularly scheduled weekly multiple sessions, can include more than 1 person, i.e. family therapy, for 9-12 hours/monthly. Level 4 $14.79/$450 mo Regularly scheduled weekly multiple sessions, can include more than 1 person, i.e. family therapy, for 9-12 hours/monthly. Level 0...$0 (None) Level 1 ...$2.99 Level 2..$4.47 Level 3..$6.02 Level 4....Neg. $6.91 day/$210.00 month 7 Weld County SS -23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Weld County Clerk to the Board B Deputy ' erk to the Board Approval as to Substance: WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: tie Chair Signature AUG 0 5 2009 CONTRACTOR Youth Ventures of Colorado 4785 Granby Cir Colorado Springs, CO 80919 By: 8 Weld County SS -23A Addendum ow -/PA Hello