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HomeMy WebLinkAbout20082945.tiff MEMORANDUM re11: DATE: November 3. 2008 TO: William H. Jerke, Chair, Board of C un�ty�Coom� m sio ers FROM: Judy A. Griego, Director,VIIDC � COLORADO RE: Addendums to Individual Provider ontracts for Purpose of Foster Care Services between the Weld County Department of Human Services and Various Providers for Consent Agenda Enclosed for Board Approval are Addendums to Individual Provider Contracts for Purpose of Foster Care Services between the Weld County Department of Human Services and Various Providers. These Agreements are to be added to the Board's consent agenda. Type of Facility No. Facility Name Location Daily Rate Foster Home 1 Alvarado-Rocha, Debra and Henn Greeley,Colorado $16.32-$40.11 Foster Home 2 Games, Cindy and Erik Firestone,CO $16.32 - $40.11 Foster Home 3 Goodman, Bob and Katie Windsor, Colorado $16.32-$40.11 FesteFl feo+e 2.e.mtve,P Foster Home 5 Rothe, Terry and Marilyn Greeley,Colorado $16.32 - $40.11 Foster Home 6 Erbacher, Dan and Hallie Greeley, Colorado $16.32 -$40.11 Foster Home 7 Geesaman, Sterling and Joyce Greeley, Colorado $16.32 - $40.11 Foster Home 8 Hamilton, Kerry and Kate Evans, Colorado $16.32 - $40.11 The terms for all these Agreements are July 1, 2008 through June 30, 2009 If you have questions, please give me a call at extension 6510. Cmcciij Aft t (t& 2008-2945 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Debra & Benn Alvarado-Rocha and the Weld County Department of Human Services for the period from July 1,2008 through June 30, 2009. The following provisions, made this day of !(' ttikX, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. GENERAL PROVISIONS 1. County and Provider 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 Provider unless the child is placed in a County certified kinship foster care home or if the child is placed in a County foster/adoption home as a pre-adoptive placement. Kinship foster care homes and pre-adoptive placements will be reimbursed at the County Basic Maintenance level on the Needs Based Care Rate Table, designated as Attachment C, regardless of the child's level of need. 2. County agrees to purchase and Provider 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 Weld County Certified Foster Care Home identified as Provider ID#1534770. 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. 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. Any additional costs for specialized services, which may include but are not limited to; Co-pays, deductibles, or services not covered by Medicaid, will need to be authorized, in writing by the Department Administrator, prior to the service being performed. Any payment for specialized services not authorized in writing may be denied. 5. All reimbursement requests shall be submitted to and approved by the appropriate County staff as set forth in the Foster Parent Handbook. Reimbursement for placement services shall be paid from the date of placement up to, but not including the day of discharge. All billings by the Provider must be in a format approved by the County and may be returned unpaid if submitted in an unapproved format or inadequate documentation is provided. All billings are to be submitted by the 4th of each month following the month of service. If the billing is not submitted within twenty-five (25) calendar days of the month following service, it may result in forfeiture of payment. Weld County Addendum to the CWS-7A 6. The Director of Social Services or designee may exercise the following remedial actions should s/he find that the Provider 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 Provider as outlined in the State Department Staff Manual Volume VII and/or County Department Policy and Procedure Manual. These remedial actions are as follows: A. Withhold payment to the Provider 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 Provider cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Provider any incorrect payment due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Provider, or by Social Services as a debt to Social Services or otherwise as provided by law. 7. Provider shall promptly notify Social Services in the event in which it is a party defendant or respondent in a case, which involves services provided under the agreement. The Provider, 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 Social Services' Director. The term "litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. PROVIDER AGREES: 1. To attend or participate, if requested by the Department, in staffing a child's placement with the Utilization Review Team. This review team convenes every Monday morning, excluding holidays but may hold emergency staffings as needed. 2. To request a staffing if considering giving notice to remove a child, except in emergency situations. These requests shall be made through the child's caseworker and/or the provider's Foster Home Coordinator. 3. To cooperate with any contractors hired by Weld County Department of Social Services or Weld County Department of Social Services staff to preserve placement in the least restrictive placement appropriate and to comply with the treatment plan of the child. 4. To schedule physical and dental examinations within 48 hours after a child is placed in provider's care. Medical examinations need to be completed within 10 days of the child being placed with Provider and dental examinations need to be completed within 14 days of the child being placed with Provider. All documentation of these examinations will be placed in the Foster Child's Placement Information Management Binder or as indicated in the Foster Parent Handbook. 5. To attend all necessary school meetings and support any plan that is developed regarding the child in order to promote educational success. 2 Weld County Addendum to the CWS-7A 6. To read, be familiar with and agree to the terms and conditions as set forth in the Foster • Parent Handbook. 7. To report to the County Department and/or local law enforcement any known or suspected child abuse or neglect as set fourth in Section 19-3-304, C.R.S. 8. To maintain/access information on the Foster Parents Internet Database On-line System (FIDOS) as indicated in the Foster Parent Handbook. 9. To maintain/update information in the Foster Child Placement Information Management binder. The binder may be reviewed on a monthly basis and signed off by child's caseworker and/or the provider's Foster Home Coordinator. 10. To maintain behavior observation notes as required by the level of care assessed for each child as indicted in the Foster Parent Handbook. EXHIBITS: (Please refer to pages 4-7) 3 Weld County Addendum to the CWS-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX TRAILS CASE ID DOB M F I I WORKER COMPLETING ASSESSMENT 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 DI)One round trip a week 01%)2 round trips a week O2) 3-4 round trips a week. O2%)5 round trips a week O3)6 round trips a week O3%)7 round trips or more P 2. How often is the foster care provider required to participate in child's therapy or counseling sessions? ❑Basic Maint.)No participation required ❑1)Once a month ❑l%%)Two times month O2)Three times a month O2%)Once a week ❑3)Two times a week O3%)Three times a week or more 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 O2) 1 hour a day O2 %) 1'/-2 hours per day O3)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 ❑1)Less than 5 hours per week 01%) 5 to 7 hours per week ❑2) 8 to 10 hours per week O2%) 11 to 14 hours per week ❑3)Constant basis during awake hours ❑3%x)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 ❑2)8 to 10 hours per week ❑2%) 11 to 15 hours per week ❑3) 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.) ❑l)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. 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? ❑0)Not needed or provided by another source(i.e. Medicaid) ❑1)Less than 4 hours per month ❑2)4-8 hours per month ❑3)9-12 hours per month 4 Weld County Addendum to the CWS-i WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate th„, viortrywirr._ e behavior/intensity of conditions which create the need for services that a.ply to this child. x w i4 � ii £5 Y�° ' ,� 1 x psi ��i a ��'. � k�'4'^Il9 si:r �. :r ..:= !, i._ a+.it» ....t '.. .. =�V`i:._.�� ���L _ ... Aggression/Cruelty to Animals ❑ 0 ❑ 0 Verbal or Physical Threatening O 0 ❑ 0 Destructive of Property/Fire Setting 0 0 ❑ ❑ Stealing ❑ 0 0 0 Self-injurious Behavior ❑ 0 ❑ 0 Substance Abuse ❑ 0 0 ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ 0 ❑ Enuresis/Encopresis O 0 0 0 Runaway O 0 ❑ ❑ Sexual Offenses ❑ 0 0 0 5 Weld County Addendum to the CWS-71 BEHAVIOR ASSESSMENT CONTINUED • (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. 6 a•a to erg.' .. . ti,.G's i y4 I e vt u e i< > a 9 i a Fp3s'i; L TW r, A . f.. x 5 At w ` 4.000 4.v-,,..-`"r. ._«-..,n€ _Ra. �,� , Inappropriate Sexual Behavior ❑ ❑ 0 ❑ Disruptive Behavior ❑ ❑ 0 ❑ Delinquent Behavior ❑ ❑ 0 ❑ Depressive-like Behavior ❑ 0 ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ O ❑ the Medically fragile NBC) Emancipation ❑ 0 ❑ ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ 0 0 Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS-7/ WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) “...4 irmigir.ij,Hf*.liCtalattaciaifif0.10.+4+,24+31?*witaip.+.4.3'eicia. lei 3 Age 0-10...$16.32/day ($496/month) County Basic Age 11-14...$18.05/day ($549/month) Maint. .sr i '>>? Age 15-21...$19.27/day ($586/month) +Respite £'a•;1 Care$.66/day ($20/month) =tom 19.73 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) x te =iE $23.01 1 1/2 +$.66 Respite Care " Total Rate=($23.67 day/$720 month) $26.30 2 +$.66 Respite Care Total Rate=($26.96 day/$820 month) $29.59 2 1/2 F?₹ +$.66 Respite Care Total Rate=($30.25 day/$920 month) $32.88 3 , : +$,66 Respite Care sort Total Rate=($33.54day/$1020 month)Leo $36.16 31/2 +$,66 Respite Care a„, 4s Total Rate=($36.82 day/$1,120 month) 4 at, $39.45 TRCCF Drop Down 3 =+$.66 Respite Care i.s. Total Rate=($40.11 day/$1220 month) 1t Assessment Rate $30.25 day/$920 month(Includes Respite) (30 day max) Effective 7/1/2008 7 Weld County Addendum to the CWS-7 IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Mk Weld Count a -yd Y,S.� cs.r. ` WELD COUNTY BOARD OF c (I�`� ��� SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF SOCIAL l �( ocr ���, SERVICES By: � �// �_ - � By: Deputy C -rk to the Board Chair Signature NOV 1 17009 PROVIDER: Debra & Benn Alvarado-Rocha 3040 41st Ave. Greeley,. olorado, 8063. • By: - C�'/lt�/ �" �� ts�g el iSaf WELD COUNTY DEPARTMENT � �L���� OF SOCIAL SERVICES By: (Direc or Signature 8 Weld County Addendum to the CWS-7A aid'a91k WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") between Cindy & erik Games and the Weld County Department of Human Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this °8 _day of (1(0 f ( , 2008, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. GENERAL PROVISIONS 1. County and Provider 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 Provider unless the child is placed in a County certified kinship foster care home or if the child is placed in a County foster/adoption home as a pre-adoptive placement. Kinship foster care homes and pre-adoptive placements will be reimbursed at the County Basic Maintenance level on the Needs Based Care Rate Table, designated as Attachment C, regardless of the child's level of need. 2. County agrees to purchase and Provider 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 Weld County Certified Foster Care Home identified as Provider ID#1552893. 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. 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. Any additional costs for specialized services, which may include but are not limited to; Co-pays, deductibles, or services not covered by Medicaid, will need to be authorized, in writing by the Department Administrator, prior to the service being performed. Any payment for specialized services not authorized in writing may be denied. 5. All reimbursement requests shall be submitted to and approved by the appropriate County staff as set forth in the Foster Parent Handbook. Reimbursement for placement services shall be paid from the date of placement up to, but not including the day of discharge. All billings by the Provider must be in a format approved by the County and may be returned unpaid if submitted in an unapproved format or inadequate documentation is provided. All billings are to be submitted by the 4th of each month following the month of service. If the billing is not submitted within twenty-five (25) calendar days of the month following service, it may result in forfeiture of payment. 1 Weld County Addendum to the CWS-7A 6. The Director of Social Services or designee may exercise the following remedial actions should s/he find that the Provider 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 Provider as outlined in the State Department Staff Manual Volume VII and/or County Department Policy and Procedure Manual. These remedial actions are as follows: A. Withhold payment to the Provider 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 Provider cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Provider any incorrect payment due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Provider, or by Social Services as a debt to Social Services or otherwise as provided by law. 7. Provider shall promptly notify Social Services in the event in which it is a party defendant or respondent in a case, which involves services provided under the agreement. The Provider, 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 Social Services' Director. The term "litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. PROVIDER AGREES: 1. To attend or participate, if requested by the Department, in staffing a child's placement with the Utilization Review Team. This review team convenes every Monday morning, excluding holidays but may hold emergency staffings as needed. 2. To request a staffing if considering giving notice to remove a child, except in emergency situations. These requests shall be made through the child's caseworker and/or the provider's Foster Home Coordinator. 3. To cooperate with any contractors hired by Weld County Department of Social Services or Weld County Department of Social Services staff to preserve placement in the least restrictive placement appropriate and to comply with the treatment plan of the child. 4. To schedule physical and dental examinations within 48 hours after a child is placed in provider's care. Medical examinations need to be completed within 10 days of the child being placed with Provider and dental examinations need to be completed within 14 days of the child being placed with Provider. All documentation of these examinations will be placed in the Foster Child's Placement Information Management Binder or as indicated in the Foster Parent Handbook. 5. To attend all necessary school meetings and support any plan that is developed regarding the child in order to promote educational success. 2 Weld County Addendum to the CWS-7A S-7A 6. To read, be familiar with and agree to the terms and conditions as set forth in the Foster Parent Handbook. 7. To report to the County Department and/or local law enforcement any known or suspected child abuse or neglect as set fourth in Section 19-3-304, C.R.S. 8. To maintain/access information on the Foster Parents Internet Database On-line System (FIDOS) as indicated in the Foster Parent Handbook. 9. To maintain/update information in the Foster Child Placement Information Management binder. The binder may be reviewed on a monthly basis and signed off by child's caseworker and/or the provider's Foster Home Coordinator. 10. To maintain behavior observation notes as required by the level of care assessed for each child as indicted in the Foster Parent Handbook. ( 'EXHIBITS: (Please refer to pages 4-7) 3 Weld County Addendum to the CWS-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# ISEX F "TRAILS CASE ID IDOB WORKER COMPLETING ASSESSMENT HH# DATE OF ASSESSMENT I 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 ❑1)One round trip a week ❑1%x)2 round trips a week 02)3-4 round trips a week. 02%) 5 round trips a week 03) 6 round trips a week 03%)7 round trips or more P 2. How often is the foster care provider required to participate in child's therapy or counseling sessions? ❑ Basic Maint.)No participation required ❑1)Once a month ❑1'%)Two times month 02)Three times a month 02%)Once a week 03)Two times a week 03%)Three times a week or more 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 to special education plan? 0 Basic Maint.)No educational requirements ❑1)Less than a 'h hour per day 011/2) 1/2 hour a day ❑2) 1 hour a day 02 %) 1%-2 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 01%)5 to 7 hours per week ❑2)8 to 10 hours per week 02%) 11 to 14 hours per week O 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 feedir 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 02%) 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 timeper 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. ❑3)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) ❑1)Less than 4 hours per month ❑2)4-8 hours per month ❑3)9-12 hours per month 4 Weld County Addendum to the CWS. WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensity of conditions which create the need for services that a..ly to this child. a A i X ,� R i ' t t E3 5 I ! �� 4ti{• I � �'t S f k ' } t ..i..i er+iss 4 e .�. eitiliral ..;_ep +1� � S£ 3.: l ; Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ 0 0 Destructive of Property/Fire Setting 0 ❑ 0 ❑ Stealing ❑ ❑ 0 0 Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions 0 0 ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ 0 0 Sexual Offenses ❑ 0 0 0 5 Weld County Addendum to the CWS BEHAVIOR ASSESSMENT CONTINUED • (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a..I to this child. } xf ga• tx3 � .l sC, � $ • ': yd �t I - ' ' o ..c . air. S1` J t 311 i t yl4. ..a` I Inappropriate Sexual Behavior ❑ ❑ ❑ 0 Disruptive Behavior ❑ ❑ ❑ 0 Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ 0 ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ 0 Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ 0 0 ❑ Requires Night Care ❑ ❑ 0 0 Education ❑ ❑ 0 0 Involvement with Child's Family ❑ 0 ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) Thlk iScr 4 "3 ii -1 i . . .. 7'st. 0 1 2.444. �s :& �1 r t .a +{ R qb xu t't Lel "`t kt .r:`w'). ',s* ; `tie}�` '44 A.e r-1 r...$1.. 1.. $496 month County Basic t'-� A.e 11-14...$18.05/da $549/month Maint. Age 15-21...$19.27/day ($586/month) +Respite Care$.66/day ($20/month) $19.73 1 M. +$,66 Respite Care Total Rate= ($20.39 day/$620 month) A.A $23.01 1 1/2c, +$,66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 ttp. +$.66 Respite Care Total Rate=($26.96 day/$820 month) au $29.59 2 1/2 +$,66 Respite Care =t' Total Rate=($30.25 day/$920 month) $32.88 3 +$,66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 3 1/2 `X +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 TRCCF Drop Down o- +$66 Respite Care Na Total Rate=($40.11 day/$1220 month) ' Assessment Rate $30.25 day/$920 month(Includes Respite) (30 day max) th Effective 7/1/2008 7 Weld County Addendum to the CWS-1 IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: iitaletiglia% Weld County Cle d P° ` j,IN WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF r -) '" OF THE WELD COUNTY ! + DEPARTMENT OF SOCIAL / I ` `1Y SERVICES By: ,e,,,,,A_;,44,4_,4J44i By: 71-1 i __ Deputy erk to the Board Chair Signature NOV 1 7 9nr!j PROVIDER: Cindy& Erik Games 826 3rd Street, Box 959 Firestone, Colorado 80520 By: (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES r By: 4jiJrsiG -e) .J 8 Weld County Addendum to the CWS-7A O20O- d y5/- WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "AgreemI1tt")4 etween Bob & Katie Goodman ,, , and the 8 Weld County Department of Human Services for the period from July 1, 2008 through June 30,2009. The following provisions, made this 22nd day of September, 2008, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. GENERAL PROVISIONS County and Provider 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 Provider unless the child is placed in a County certified kinship foster care home or if the child is placed in a County foster/adoption home as a pre-adoptive placement. Kinship foster care homes and pre-adoptive placements will be reimbursed at the County Basic Maintenance level on the Needs Based Care Rate Table, designated as Attachment C, regardless of the child's level of need. 2. County agrees to purchase and Provider 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 Weld County Certified Foster Care Home identified as Provider ID# 1552796. 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. 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. Any additional costs for specialized services, which may include but are not limited to; Co-pays, deductibles, or services not covered by Medicaid, will need to be authorized, in writing by the Department Administrator, prior to the service being performed. Any payment for specialized services not authorized in writing may be denied. 5. All reimbursement requests shall be submitted to and approved by the appropriate County staff as set forth in the Foster Parent Handbook. Reimbursement for placement services shall be paid from the date of placement up to, but not including the day of discharge. All billings by the Provider must be in a format approved by the County and may be returned unpaid if submitted in an unapproved format or inadequate documentation is provided. All billings are to be submitted by the 4th of each month following the month of service. If the billing is not submitted within twenty-five (25) calendar days of the month following service, it may result in forfeiture of payment. 1 Weld County Addendum to the CWS-7A aof-d95 6. The Director of Social Services or designee may exercise the following remedial actions should s/he find that the Provider 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 Provider as outlined in the State Department Staff Manual Volume VII and/or County Department Policy and Procedure Manual. These remedial actions are as follows: A. Withhold payment to the Provider 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 Provider cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Provider any incorrect payment due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Provider, or by Social Services as a debt to Social Services or otherwise as provided by law. 7. Provider shall promptly notify Social Services in the event in which it is a party defendant or respondent in a case, which involves services provided under the agreement. The Provider, 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 Social Services' Director. The term "litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. PROVIDER AGREES: 1. To attend or participate, if requested by the Department, in staffing a child's placement with the Utilization Review Team. This review team convenes every Monday morning, excluding holidays but may hold emergency staffings as needed. 2. To request a staffing if considering giving notice to remove a child, except in emergency situations. These requests shall be made through the child's caseworker and/or the provider's Foster Home Coordinator. 3. To cooperate with any contractors hired by Weld County Department of Social Services or Weld County Department of Social Services staff to preserve placement in the least restrictive placement appropriate and to comply with the treatment plan of the child. 4. To schedule physical and dental examinations within 48 hours after a child is placed in provider's care. Medical examinations need to be completed within 10 days of the child being placed with Provider and dental examinations need to be completed within 14 days of the child being placed with Provider. All documentation of these examinations will be placed in the Foster Child's Placement Information Management Binder or as indicated in the Foster Parent Handbook. 5. To attend all necessary school meetings and support any plan that is developed regarding the child in order to promote educational success. 2 Weld County Addendum to the CWS-7A • 6. To read, be familiar with and agree to the terms and conditions as set forth in the Foster Parent Handbook. 7. To report to the County Department and/or local law enforcement any known or suspected child abuse or neglect as set fourth in Section 19-3-304, C.R.S. 8. To maintain/access information on the Foster Parents Internet Database On-line System (FIDOS) as indicated in the Foster Parent Handbook. 9. To maintain/update information in the Foster Child Placement Information Management binder. The binder may be reviewed on a monthly basis and signed off by child's caseworker and/or the provider's Foster Home Coordinator. 10. To maintain behavior observation notes as required by the level of care assessed for each child as indicted in the Foster Parent Handbook. EXHIBITS: (Please refer to pages 4-7) 3 Weld County Addendum to the CWS-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT • (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX [TRAILS CASE ID DOB M F WORKER COMPLETING ASSESSMENT 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 01)One round trip a week ❑1'Ax)2 round trips a week ❑2)3-4 round trips a week. ❑2'/:) 5 round trips a week ❑3)6 round trips a week ❑3'/z)7 round trips or more P 2. How often is the foster care provider required to participate in child's therapy or counseling sessions? ❑Basic Maint.)No participation required ❑1)Once a month ❑19x)Two times month ❑2)Three times a month ❑2'%)Once a week 03)Two times a week ❑39x)Three times a week or more 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 ''/z hour per day 01%) %z hour a day 02) 1 hour a day 02 '/z) 11/4-2 hours per day 03)2'/z-3 hours per day ❑39x)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 01)Less than 5 hours per week ❑1'%z) 5 to 7 hours per week ❑2)8 to 10 hours per week 02%) 11 to 14 hours per week 0 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 01)3 to 4 hours per week 01%) 5 to 7 hours per week ❑2) 8 to 10 hours per week ❑2'%z) 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) DBasic 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? DO)Not needed or provided by another source(i.e.Medicaid) ❑1)Less than 4 hours per month 02)4-8 hours per month 03)9-12 hours per month 4 Weld County Addendum to the CWS-i WELD COUNTY DSS • NEEDS BASED CARE ASSESSMENT (exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensity of conditions which create the need for services that apply to this child. Lby �k44.. .. ,t ��'TFiI N R6Lalativ* � E x 4 B Six. a m fe 4 kitimiiii! 7..4;n t ti E kw.,,ft�SMss-gam' Euvu «.x a` w r- .� E.F: . .(S-.. n� . ,.3t Aggression/Cruelty to Animals ❑ O 0 ❑ Verbal or Physical Threatening ❑ O ❑ 0 Destructive of Property/Fire Setting ❑ 0 0 ❑ Stealing ❑ ❑ 0 0 Self-injurious Behavior ❑ O 0 0 Substance Abuse ❑ ❑ 0 ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ 0 0 Enuresis/Encopresis ❑ ❑ 0 0 Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ 0 0 0 5 Weld County Addendum to the CWS- BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) • Please rate the behavior/intensity of conditions which create the need for services that apply to this child. .�$ o. i ' t w e d 4 t � ' ' t'''' 1 a 1 ' t { Oil... 331trai4H11111>r�'11��1 • 1" )r 3 Inappropriate Sexual Behavior ❑ ❑ ❑ 0 Disruptive Behavior O ❑ 0 ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ 0 ❑ 0 Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ 0 ❑ 0 Eating Problems ❑ ❑ 0 ❑ Boundary Issues ❑ ❑ ❑ 0 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 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS- • WELD COUNTY DEPARTMENT NEEDSBASED OFCARE HUMAN SERVICES RATE TABLE (Exhibit C) •• 4. 4.4414 414442S4Are! hor;.s 4. ,c,a A.e r-1 I...$1..32/. $4•./month County Basic Age 11-14...$18.05/day ($549/month) Maint. A.e 15-21...$19.27/da $586/month +Respite Care$.66/day ($20/month) • $19.73 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 112 +$.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 +$.66 Respite Care • Total Rate=($26.96 day/$820 month) $29.59 2 112 +$.66 Respite Care • Total Rate=($30.25 day/$920 month) $32.88 3 +$.66 Respite Care • Total Rate=($33.54day/$1020 month) $36.16 3 1/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 TRCCF Drop Down +$.66 Respite Care ro Total Rate=($40.11 day/$1220 month) Assessment Rate $30.25 day/$920 month(Includes Respite) (30 day max) 1, Effective 7/1/2008 7 Weld County Addendum to the C W S• IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Weld County C t / WELD COUNTY BOARD OF \a-C1 SOCIAL SERVICES, ON BEHALF t `C ,t�� OF THE WELD COUNTY :. Y,,,�i j J DEPARTMENT OF SOCIAL SERVICES BY: 4-0,,I9/P �� ���E4J By: �v- Deputy rk to the Board Chair Signature NOV 1 i znr i PROVIDER: Bob & Katie Goodman 8134 Louden Circle Windsor, CO 80550 By:4r,„, ) ignazure WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: (D ector Signe e) 8 Weld County Addendum to the CWS-7A loaf- 9 • • WELD COUNTY ADDENDUIVIED To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") between Terry & Marilyn Rothe and the Weld County Department of Human Services for the period from July 1, 2008 through June 30,2009. The following provisions, made this 29th day of September, 2008, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. GENERAL PROVISIONS County and Provider 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 Provider unless the child is placed in a County certified kinship foster care home or if the child is placed in a County foster/adoption home as a pre-adoptive placement. Kinship foster care homes and pre-adoptive placements will be reimbursed at the County Basic Maintenance level on the Needs Based Care Rate Table, designated as Attachment C, regardless of the child's level of need. 2. County agrees to purchase and Provider 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 Weld County Certified Foster Care Home identified as Provider ID#15169 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. 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. Any additional costs for specialized services, which may include but are not limited to; Co-pays, deductibles, or services not covered by Medicaid, will need to be authorized, in writing by the Department Administrator, prior to the service being performed. Any payment for specialized services not authorized in writing may be denied. 5. All reimbursement requests shall be submitted to and approved by the appropriate County staff as set forth in the Foster Parent Handbook. Reimbursement for placement services shall be paid from the date of placement up to, but not including the day of discharge. All billings by the Provider must be in a format approved by the County and may be returned unpaid if submitted in an unapproved format or inadequate documentation is provided. All billings are to be submitted by the 4th of each month following the month of service. If the billing is not submitted within twenty-five (25) calendar days of the month following service, it may result in forfeiture of payment. ] Weld County Addendum to the CWS-7A Stet' dY% 6. The Director of Oral Services or designee may exercise following remedial actions should s/he find that the Provider 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 Provider as outlined in the State Department Staff Manual Volume VII and/or County Department Policy and Procedure Manual. These remedial actions are as follows: A. Withhold payment to the Provider 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 Provider cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Provider any incorrect payment due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Provider, or by Social Services as a debt to Social Services or otherwise as provided by law. 7. Provider shall promptly notify Social Services in the event in which it is a party defendant or respondent in a case, which involves services provided under the agreement. The Provider, 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 Social Services' Director. The term "litigation" includes an assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or foreclosure. PROVIDER AGREES: 1. To attend or participate, if requested by the Department, in staffing a child's placement with the Utilization Review Team. This review team convenes every Monday morning, excluding holidays but may hold emergency staffings as needed. 2. To request a staffing if considering giving notice to remove a child, except in emergency situations. These requests shall be made through the child's caseworker and/or the provider's Foster Home Coordinator. 3. To cooperate with any contractors hired by Weld County Department of Social Services or Weld County Department of Social Services staff to preserve placement in the least restrictive placement appropriate and to comply with the treatment plan of the child. 40. To schedulephysical and dental examinations within 48 ours after a child is placed in provider's care. Medical examinations need to be complete within 10 days of the child being placed with Provider and dental examinations need to be completed within 14 days of the child being placed with Provider. All documentation of these examinations will be placed in the Foster Child's Placement Information Management Binder or as indicated in the Foster Parent Handbook. 5. To attend all necessary school meetings and support any plan that is developed regarding the child in order to promote educational success. 2 Weld County Addendum to the CWS-7A • 6. To read, be famiwith and agree to the terms and condos as set forth in the Foster Parent Handbook. 7. To report to the County Department and/or local law enforcement any known or suspected child abuse or neglect as set fourth in Section 19-3-304, C.R.S. 8. To maintain/access information on the Foster Parents Internet Database On-line System (FIDOS) as indicated in the Foster Parent Handbook. 9. To maintain/update information in the Foster Child Placement Information Management binder. The binder may be reviewed on a monthly basis and signed off by child's caseworker and/or the provider's Foster Home Coordinator. 10. To maintain behavior observation notes as required by the level of care assessed for each child as indicted in the Foster Parent Handbook. EXHIBITS: (Please refer to pages 4-7) 3 Weld County Addendum to the CWS-7A • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX TRAILS CASE ID DOB M F I I WORKER COMPLETING ASSESSMENT 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? DBasic Maint.)Less than one round trip a week 01)One round trip a week ❑1%)2 round trips a week ❑2)3-4 round trips a week. 02%) 5 round trips a week 03)6 round trips a week 031/2)7 round trips or more P 2. How often is the foster care provider required to participate in child's therapy or counseling sessions? 0 Basic Maint.)No participation required 01)Once a month ❑1%)Two times month 02)Three times a month 02%)Once a week 03)Two times a week 031/2)Three times a week or more 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 '/z hour per day 01%) '/z hour a day 02) 1 hour a day 02 %) 1%-2 hours per day 03)2'/z-3 hours per clay ❑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 01)Less than 5 hours per week ❑1%)5 to 7 hours per week ❑2)8 to 10 hours per week ❑2Y:) 11 to 14 hours per week ❑3)Constant basis during awake hours ❑3%x)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? 0 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 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. 031/2)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) 01)Less than 4 hours per month ❑2)4-8 hours per month ❑3)9-12 hours per month 4 Weld County Addendum to the CWS- WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensity of conditions which create the need for services that ap.l to this child. :�� N P'° v, t"� wV i+,. °'y "�iy�„ `^' t,,. .y..; § 'u}��,"� yx, t + n a 0 �:t "'T' h + etat ,iir *�' pws at � girr. � +>t r �f ukrtalapsr?t2rg?: '•-•••••t 4d� A 't Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting 0 ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ 0 Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the C WS-i • BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create[he need for services that a..1 to this child. r ,,.. er_[t x..: -yrx 144a-4,4-744-1 .,-,-,4A "£ ..x.„;(,�Hy '°y..."z h`), it i " `-as'""€ _ x'tr' v# �`;D;r... ' a. ,,A } M: ,� t. ss t r .€a' 'i 1 1.� a . "A'44:.3' E 1 # f 1 t st ,. 1 r,v ' a t' r E.. s y u x _ t. 1 �.. w 3. 7' tt #yy a, si;1,1 a 'r�,g�S... f. ,A' �t .. c ;_ „ .a '. : a ' i t r lij a .li„ a �., s_ .. aG 8 xv - x+ .o-!'ktti"n slit'( ,'ae�§e . .alli. Inappropriate Sexual Behavior ❑ 0 0 0 Disruptive Behavior ❑ ❑ 0 0 Delinquent Behavior ❑ 0 0 0 Depressive-like Behavior ❑ 0 0 0 Medical Needs (If condition is rated"severe',please complete O O O O the Medically fragile NBC) Emancipation ❑ 0 0 0 Eating Problems O 0 0 0 Boundary Issues O 0 0 0 Requires Night Care ❑ 0 0 0 Education ❑ 0 0 0 Involvement with Child's Family ❑ 0 0 0 CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) t s ''.10,4s1. e•tm:§1.a A.e t-1 I...$1.. /.. $4•./month County Basic :: Age 11-14...$18.05/day ($549/month) Maint. '°a=4 Age 15-21...$19.27/day ($586/month) 4 ' +Respite Care$.66/day ($20/month) Fi IN $19.73 1 ,. l.' +$.66 Respite Care ;i Total Rate= ($20.39 day/$620 month) w`e: `' $23.01 IP 1 1/2 fir; +$.66 Respite Care Total Rate=($23.67 day/$720 month) 4-4 :k,: $26.30 2 +$.66 Respite Care P [ Total Rate=($26.96 day/$820 month) uI $29.59 2 1/2 _ +$.66 Respite Care 'e Total Rate=($30.25 day/$920 month) $32.88 3 +$.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 3 1/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) II 4 $39.45 TRCCF Drop Down +$.66 Respite Care Total Rate=($40.11 day/$1220 month) Assessment Rate Al $30.25 day/$920 month(Includes Respite) (30 day max) •,,,,,.. Effective 7/1/2008 7 Weld County Addendum to the CWS-'. IN WITNESS WHERE , the parties hereto have duly executedIPAddendum as of the day, month, and year first above written. ATTEST: 44.1 Weld County Cle o the"Board 1 " a ' A \, WELD COUNTY BOARD OF ,a SOCIAL SERVICES, ON BEHALF t - OF THE WELD COUNTY DEPARTMENT OF SOCIAL if k\I°\\ SERVICES By: By: r1-2-, Deputy rk to the Board Chair Signature NOV 1 7 nub PROVIDER: Terry & Marilyn Rothe 4115 W. 20th St. Rd. Greeley, Colorado 80634 By: S,, L // Signatu WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: C ( 'rector Sign re) 8 Weld County Addendum to the CWS-7A S-7A ea?-a9 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Erbacher, Dan and Hallie and the Weld County Department of Human Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this I day of , 2008, are added to the referenced Agreement. Except as modified hereby, all terms t Agreement remain unchanged. GENERAL PROVISIONS 1. County and Provider 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 Provider unless the child is placed in a County certified kinship foster care home or if the child is placed in a County foster/adoption home as a pre-adoptive placement. Kinship foster care homes and pre-adoptive placements will be reimbursed at the County Basic Maintenance level on the Needs Based Care Rate Table, designated as Attachment C, regardless of the child's level of need. 2. County agrees to purchase and Provider 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 Weld County Certified Foster Care Home identified as Provider ID#1546381. 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. 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. Any additional costs for specialized services, which may include but are not limited to; Co-pays, deductibles, or services not covered by Medicaid, will need to be authorized, in writing by the Department Administrator, prior to the service being performed. Any payment for specialized services not authorized in writing may be denied. 5. All reimbursement requests shall be submitted to and approved by the appropriate County staff as set forth in the Foster Parent Handbook. Reimbursement for placement services shall be paid from the date of placement up to,but not including the day of discharge. All billings by the Provider must be in a format approved by the County and may be returned unpaid if submitted in an unapproved format or inadequate documentation is provided. All billings are to be submitted by the 4th of each month following the month of service. If the billing is not submitted within twenty-five(25) calendar days of the month following service, it may result in forfeiture of payment. Weld County Addendum to the CWS-7A OW,' 5/S 6. The Director of Human Services or designee may exercise the following remedial actions should s/he find that the Provider 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 Provider as outlined in the State Department Staff Manual Volume VII and/or County Department Policy and Procedure Manual. These remedial actions are as follows: A. Withhold payment to the Provider 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 Provider 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 Provider any incorrect payment due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Human Services and the Provider, or by Human Services as a debt to Human Services or otherwise as provided by law. 7. Provider 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 Provider, 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. PROVIDER AGREES: 1. To attend or participate, if requested by the Department, in staffing a child's placement with the Utilization Review Team. This review team convenes every Monday morning, excluding holidays but may hold emergency staffings as needed. 2. To request a staffing if considering giving notice to remove a child, except in emergency situations. These requests shall be made through the child's caseworker and/or the provider's Foster Home Coordinator. 3. To cooperate with any contractors hired by Weld County Department of Human Services or Weld County Department of Human Services staff to preserve placement in the least restrictive placement appropriate and to comply with the treatment plan of the child. 4. To schedule physical and dental examinations within 48 hours after a child is placed in provider's care. Medical examinations need to be completed within 10 days of the child being placed with Provider and dental examinations need to be completed within 14 days of the child being placed with Provider. All documentation of these examinations will be placed in the Foster Child's Placement Information Management Binder or as indicated in the Foster Parent Handbook. 5. To attend all necessary school meetings and support any plan that is developed regarding the child in order to promote educational success. 2 Weld County Addendum to the CWS-7A 6. To read, be familiar with and agree to the terms and conditions as set forth in the Foster Parent Handbook. 7. To report to the County Department and/or local law enforcement any known or suspected child abuse or neglect as set fourth in Section 19-3-304, C.R.S. 8. To maintain/access information on the Foster Parents Internet Database On-line System (FIDOS) as indicated in the Foster Parent Handbook. 9. To maintain/update information in the Foster Child Placement Information Management binder. The binder may be reviewed on a monthly basis and signed off by child's caseworker and/or the provider's Foster Home Coordinator. 10. To maintain behavior observation notes as required by the level of care assessed for each child as indicted in the Foster Parent Handbook. EXHIBITS: (Please refer to pages 4-7) 3 Weld County Addendum to the CW S-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX [TRAILS CASE ID DOB 4 F WORKER COMPLETING ASSESSMENT HH# JDATE 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 ❑1)One round trip a week ❑1%)2 round trips a week 02)3-4 round trips a week. 02%) 5 round trips a week 03)6 round trips a week 031/4) 7 round trips or more P 2. How often is the foster care provider required to participate in child's therapy or counseling sessions? ❑Basic Maint.)No participation required 01)Once a month 01%)Two times month ❑2)Three times a month ❑2%z)Once a week 03)Two times a week 031/2)Three times a week or more 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% '/3 hour a day 02) 1 hour a day 02 %) 1'/z-2 hours per day 03)2'/r3 hours per day ❑3'%z)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? 0 Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week ❑1%a)5 to 7 hours per week 02) 8 to 10 hours per week 02%) II 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 feeding 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 02%) 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. ❑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. ❑3)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) ❑1)Less than 4 hours per month ❑2)4-8 hours per month ❑3)9-12 hours per month 4 Weld County Addendum to the CW S-7r WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensity of conditions which create the need for services that a.ply to this child. W 3 ! E P 677; vitatpct: p i . bo Aggression/Cruelty to Animals ❑ 0 ❑ ❑ Verbal or Physical Threatening O 0 ❑ ❑ Destructive of Property/Fire Setting 0 0 ❑ ❑ Stealing ❑ 0 0 ❑ Self-injurious Behavior ❑ 0 ❑ 0 Substance Abuse ❑ 0 0 ❑ Presence of Psychiatric Symptoms/Conditions ❑ 0 0 0 Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ 0 ❑ ❑ Sexual Offenses ❑ 0 0 0 5 Weld County Addendum to the CWS-7. BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a.'I to this child.AViNii;i"3i . t, � e i t s ie.' .fi_x .,a' .`x �'� e i�:�f { F I x '.'t ViP43 i � a., t:tt it4slop aiiikaa;SAW all Sa r' Pj x { .x.tppj `y` ,- � vt ' -,e.c: .:ax�.a- : !.Y, .• #t 4§ INir}df 9 i g 9 . " `I s":! 3 $wail' Inappropriate Sexual Behavior ❑ 0 ❑ 0 Disruptive Behavior ❑ ❑ 0 0 Delinquent Behavior ❑ ❑ 0 0 Depressive-like Behavior ❑ 0 0 0 Medical Needs (If condition is rated"severe",please complete El 0 ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ 0 Eating Problems ❑ ❑ 0 0 Boundary Issues ❑ ❑ 0 0 Requires Night Care ❑ 0 0 0 Education ❑ 0 0 0 Involvement with Child's Family ❑ 0 0 ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS-, • WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) 6' %aYu *..LiSe.li,i.l,!:s-v4t_t**ii!AlralkialirMilakiS0 4,04: } ;- ih 4's ,p 7 Age 0-10...$16.32/day ($496/month) County Basic Age 11-14...$18.05/day ($549/month) Maint. Age 15-21...$19.27/day ($586/month) +Respite Care$.66/day ($20/month) $19.73 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 1/2 +$.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 +$.66 Respite Care Total Rate=($26.96 day/$820 month) $29.59 2 1/2 +$.66 Respite Care Total Rate=($30.25 day/$920 month) $32.88 3 +$.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 3 1/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 TRCCF Drop Down *$66 Respite Care Total Rate=($40.11 day/$1220 month) Assessment Rate s-7 $30.25 day/$920 month(Includes Respite) (30 day max) Effective 7/1/2008 7 Weld County Addendum to the CWS-7 t • IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: g444fri Weld County erk to llie d3` WELD COUNTY BOARD OF HUMAN SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF HUMAN 4] SERVICES By: 4 , ,t44$ 042 By: / LG� Deputy rk to the Board Chair Signature NOV 1 7 ?n9S PROVIDER: Erbacher, Dan and Hattie 3850 Cheyenne Dr Greeley, CO 80634 By: 1 /'a'-1-- 414; &kc1u (Signature) WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: ( it ;,tor Signatu 8 Weld County Addendum to the CWS-7A G 4 • WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Geesaman, Sterling and Joyce and the Weld County Department of Human Services for the period from July 1, 2008 through June 30,2009. The following provisions, made this: day of Jul , 2008, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. GENERAL PROVISIONS 1. County and Provider 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 Provider unless the child is placed in a County certified kinship foster care home or if the child is placed in a County foster/adoption home as a pre-adoptive placement. Kinship foster care homes and pre-adoptive placements will be reimbursed at the County Basic Maintenance level on the Needs Based Care Rate Table, designated as Attachment C, regardless of the child's level of need. 2. County agrees to purchase and Provider 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 Weld County Certified Foster Care Home identified as Provider ID#17920. 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. 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. Any additional costs for specialized services, which may include but are not limited to; Co-pays, deductibles, or services not covered by Medicaid, will need to be authorized, in writing by the Department Administrator, prior to the service being performed. Any payment for specialized services not authorized in writing may be denied. 5. All reimbursement requests shall be submitted to and approved by the appropriate County staff as set forth in the Foster Parent Handbook. Reimbursement for placement services shall be paid from the date of placement up to, but not including the day of discharge. All billings by the Provider must be in a format approved by the County and may be returned unpaid if submitted in an unapproved format or inadequate documentation is provided. All billings are to be submitted by the 4th of each month following the month of service. If the billing is not submitted within twenty-five (25) calendar days of the month following service, it may result in forfeiture of payment. 1 Weld County Addendum to the CWS-7A raa,57-a95 6. The Director of Human Services or designee may exercise the following remedial actions should s/he find that the Provider 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 Provider as outlined in the State Department Staff Manual Volume VII and/or County Department Policy and Procedure Manual. These remedial actions are as follows: A. Withhold payment to the Provider 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 Provider 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 Provider any incorrect payment due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Human Services and the Provider, or by Human Services as a debt to Human Services or otherwise as provided by law. 7. Provider 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 Provider, 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. PROVIDER AGREES: 1. To attend or participate, if requested by the Department, in staffing a child's placement with the Utilization Review Team. This review team convenes every Monday morning, excluding holidays but may hold emergency staffings as needed. 2. To request a staffing if considering giving notice to remove a child, except in emergency situations. These requests shall be made through the child's caseworker and/or the provider's Foster Home Coordinator. 3. To cooperate with any contractors hired by Weld County Department of Human Services or Weld County Department of Human Services staff to preserve placement in the least restrictive placement appropriate and to comply with the treatment plan of the child. 4. To schedule physical and dental examinations wi ie 4 hours after a child is placed in provider's care. Medical examinations need to be completed within 1 days of the child being placed with Provider and dental examinations need to be c f' te&within 14 days of the child being placed with Provider. All documentation of these examinations will be placed in the Foster Child's Placement Information Management Binder or as indicated in the Foster Parent Handbook. 5. To attend all necessary school meetings and support any plan that is developed regarding the child in order to promote educational success. 2 Weld County Addendum to the CWS-7A 6. To read,be familiar with and agree to the terms and conditions as set forth in the Foster Parent Handbook. 7. To report to the County Department and/or local law enforcement any known or suspected child abuse or neglect as set fourth in Section 19-3-304, C.R.S. 8. To maintain/access information on the Foster Parents Internet Database On-line System (FIDOS) as indicated in the Foster Parent Handbook. 9. To maintain/update information in the Foster Child Placement Information Management binder. The binder may be reviewed on a monthly basis and signed off by child's caseworker and/or the provider's Foster Home Coordinator. 10. To maintain behavior observation notes as required by the level of care assessed for each child as indicted in the Foster Parent Handbook. EXHIBITS: (Please refer to pages 4-7) 3 Weld County Addendum to the CWS-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# ISEX F TRAILS CASE ID DOB WORKER COMPLETING ASSESSMENT HH# I (DATE OF ASSESSMENT AGENCY NAME IPROVIDER 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 Du One round trip a week 01%)2 round trips a week 02)3-4 round trips a week. 02%)5 round trips a week 03) 6 round trips a week 03%) 7 round trips or more P 2. How often is the foster care provider required to participate in child's therapy or counseling sessions? ❑Basic Maint.)No participation required ❑1)Once a month 01%)Two times month 02)Three times a month ❑2%:)Once a week 03)Two times a week ❑3%)Three times a week or more 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%) 'h hour a day ❑2) 1 hour a day 02 %) 11/2-2 hours per day 03)2%r3 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 ❑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 feedin bathing,grooming,physical,and/or occupational therapy? ❑Basic Maint.)0-2 hours per week Du 3 to 4 hours per week 01%)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 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. ❑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? ❑0)Not needed or provided by another source(i.e. Medicaid) ❑1)Less than 4 hours per month ❑2)4-8 hours per month ❑3)9-12 hours per month 4 Weld County Addendum to the CWS-7 WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensi of conditions which create the need for services that apply to this child. �} t :. „eE s x. ...=u. ...._ ...z=kA`zaL' a..;vS t_!...c_v...,».rr.✓u.., .=_. :,; :_.._,_: . ......... ._.e..: ...u...,v.u". Aggression/Cruelty to Animals ❑ ❑ 0 0 Verbal or Physical Threatening ❑ 0 0 0 Destructive of Property/Fire Setting 0 ❑ 0 ❑ Stealing ❑ ❑ ❑ 0 Self-injurious Behavior ❑ ❑ 0 ❑ Substance Abuse ❑ ❑ ❑ 0 Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ 0 0 0 Sexual Offenses ❑ ❑ 0 0 5 Weld County Addendum to the CW S- BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensit of conditions which create the need for services that apply to this child. '.,a+.� T° + `�'x ' r "`Y �`4u''t r 4 as r�s a.+;; ..ax. �+r`"I' s, r ' ,:.xea. b: _ '� •;:".. � sas*��........., .z.�_. a�?".�.�s,.v.r l»x..,``.s.. �iF......'+;: KL€ Inappropriate Sexual Behavior ❑ 0 ❑ ❑ Disruptive Behavior ❑ 0 ❑ 0 Delinquent Behavior ❑ 0 0 0 Depressive-like Behavior ❑ 0 0 0 Medical Needs (If condition is rated"severe",please complete O ❑ 0 0 the Medically fragile NBC) Emancipation 0 0 0 ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ 0 ❑ 0 Requires Night Care ❑ 0 ❑ ❑ Education ❑ 0 0 0 Involvement with Child's Family ❑ 0 0 0 CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS-7 WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) 3 a t . ae sE 't= 'ti₹IN ' t n -P.x A.e 0-10...$16.32/da $496/month County Basic A.e 11-14...$18.05/da $549/month Maint. A.e 15-21...$19.27/da $586/month +Res.ite Care$.66/da $20/month $19.73 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) ityp $23.01 1 1/2 +$.66 Respite Care Total Rate=($23.67 day/$720 month) rta $26.30 2 4.66 Respite Care Total Rate=($26.96 day/$820 month) $29.59 2 1/2 4.66 Respite Care Total Rate=($30.25 day/$920 month) $32.88 3 +$.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 3 1/2 4.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 TRCCF Drop Down +$.66 Respite Care Total Rate=($40.11 day/$1220 month) Assessment Rate $30.25 day/$920 month(Includes Respite) (30 day max) Effective 7/1/2008 7 Weld County Addendum to the CWS-' IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Weld County C 'to the Boar J WELD COUNTY BOARD OF HUMAN SERVICES, ON BEHALF OF THE WELD COUNTY ° rlA DEPARTMENT OF HUMAN r1c't SERVICES By: L By: Deputy Cl rk to the Board Chair Signature NOV 1 - Z008 PROVIDER: Geesaman, Sterling and Joyce 1275 42 Ave Ct Greeley, CO 80634 By: 1`e, YrJ � ' taZ� (Signature) WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: (Di ector Signah r ) 8 Weld County Addendum to the CWS-7A aoocP-- 9: WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") between Hamilton, Kerry and Kate and the Weld County Department of Human Services for the period from July 1, 2008 through June 30, 2009. The following provisions,made this I Q day of Ot t*.cc , 2008, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. GENERAL PROVISIONS 1. County and Provider 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 Provider unless the child is placed in a County certified kinship foster care home or if the child is placed in a County foster/adoption home as a pre-adoptive placement. Kinship foster care homes and pre-adoptive placements will be reimbursed at the County Basic Maintenance level on the Needs Based Care Rate Table, designated as Attachment C, regardless of the child's level of need. 2. County agrees to purchase and Provider 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 Weld County Certified Foster Care Home identified as Provider ID#1547784. 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. 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. Any additional costs for specialized services, which may include but are not limited to; Co-pays, deductibles, or services not covered by Medicaid, will need to be authorized, in writing by the Department Administrator, prior to the service being performed. Any payment for specialized services not authorized in writing may be denied. 5. All reimbursement requests shall be submitted to and approved by the appropriate County staff as set forth in the Foster Parent Handbook. Reimbursement for placement services shall be paid from the date of placement up to, but not including the day of discharge. All billings by the Provider must be in a format approved by the County and may be returned unpaid if submitted in an unapproved format or inadequate documentation is provided. All billings are to be submitted by the 4th of each month following the month of service. If the billing is not submitted within twenty-five(25) calendar days of the month following service, it may result in forfeiture of payment. 1 Weld County Addendum to the CWS-7 ry! 6. The Director of Human Services or designee may exercise the following remedial actions should s/he find that the Provider 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 Provider as outlined in the State Department Staff Manual Volume VII and/or County Department Policy and Procedure Manual. These remedial actions are as follows: A. Withhold payment to the Provider 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 Provider 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 Provider any incorrect payment due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Human Services and the Provider, or by Human Services as a debt to Human Services or otherwise as provided by law. 7. Provider 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 Provider, 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. PROVIDER AGREES: 1. To attend or participate, if requested by the Department, in staffing a child's placement with the Utilization Review Team. This review team convenes every Monday morning, excluding holidays but may hold emergency staffings as needed. 2. To request a staffing if considering giving notice to remove a child, except in emergency situations. These requests shall be made through the child's caseworker and/or the provider's Foster Home Coordinator. 3. To cooperate with any contractors hired by Weld County Department of Human Services or Weld County Department of Human Services staff to preserve placement in the least restrictive placement appropriate and to comply with the treatment plan of the child. 4. To schedule physical and dental examinations within 48 hours after a child is placed in provider's care. Medical examinations need to be completed within 10 days of the child being placed with Provider and dental examinations need to be completed within 14 days of the child being placed with Provider. All documentation of these examinations will be placed in the Foster Child's Placement Information Management Binder or as indicated in the Foster Parent Handbook. 5. To attend all necessary school meetings and support any plan that is developed regarding the child in order to promote educational success. 2 Weld County Addendum to the CWS-7A 6. To read,be familiar with and agree to the terms and conditions as set forth in the Foster Parent Handbook. 7. To report to the County Department and/or local law enforcement any known or suspected child abuse or neglect as set fourth in Section 19-3-304, C.R.S. 8. To maintain/access information on the Foster Parents Internet Database On-line System (FIDOS) as indicated in the Foster Parent Handbook. 9. To maintain/update information in the Foster Child Placement Information Management binder. The binder may be reviewed on a monthly basis and signed off by child's caseworker and/or the provider's Foster Home Coordinator. 10. To maintain behavior observation notes as required by the level of care assessed for each child as indicted in the Foster Parent Handbook. EXHIBITS: (Please refer to pages 4-7) 3 Weld County Addendum to the CWS-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE IDtt ISEX,,t I F [TRAILS CASE ID IDOB WORKER COMPLETING ASSESSMENT Nth � 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 ❑1)One round trip a week 01%)2 round trips a week 02)3-4 round trips a week. 02%)5 round trips a week 03)6 round trips a week ❑3'/z)7 round trips or more 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 ❑1)Once a month ❑1'/)Two times month 02)Three times a month ❑2%z)Once a week 03)Two times a week ❑3'/)Three times a week or more 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 Dl)Less than a''/z hour per day 01%) %z hour a day 02) 1 hour a day 02 %) 1'/z-2 hours per day 03)2%r3 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 ❑2%) 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? ❑ 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 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.) ❑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. 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) ❑1)Less than 4 hours per month ❑2)4-8 hours per month ❑3)9-12 hours per month 4 Weld County Addendum to the CWS- WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT utsciattz Please rate the behavior/intensity of conditions which create the need for services that apply to this child.Falargrearratt}r ! s t r c X s i t3,q" t t .. ,..: ° ty' ptl� yz t p� 4- .3 L Se MAR 4 ffi^1b A fi .. f ��Iv 3+ „ ..Y E tey d .. '� f`ffi..V ➢ _ .. '� �..�. ..: Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting 0 0 0 ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ 0 ❑ Runaway ❑ O 0 ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS- BEHAVIOR ASSESSMENT(ExhibitB) CONTINUED Please rate the behavior/intensity of conditions which create thet,e need for services that apply to this child. (31 a ! 3 e 'q.!iiii '71el:rr_.4: d'ifi�YA.N� n J: i.ny Y u. it .•,',... ;ltiat + git. STi TO ,tt ro F �e � �il�= pa,, t �= l ' alb Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ 0 0 0 Delinquent Behavior ❑ ❑ 0 0 Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ 0 0 0 the Medically fragile NBC) Emancipation ❑ 0 0 0 Eating Problems O 0 0 0 Boundary Issues ❑ 0 0 0 Requires Night Care ❑ 0 0 0 Education O 0 0 0 Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 6 Weld County Addendum to the C WS i • WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) Age 0-10...$16.32/day ($496/month) County Basic A.e 11-14...$18.05/da $549/month Maint. Age 15-21...$19.27/day ($586/month) +Respite Care$.66/day ($20/month) $19.73 1 4.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 112 4.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 +$.66 Respite Care Total Rate=($26.96 day/$820 month) $29.59 2 1/2 +$.66 Respite Care Total Rate=($30.25 day/$920 month) $32.88 3 +$.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 3 112 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 TRCCF Drop Down +$.66 Respite Care Total Rate=($40.11 day/$1220 month) Assessment Rate (30 day max) V$' $30.25 day/$920 month(Includes Respite) Effective 7/1/2008 7 Weld County Addendum to the CWS-' IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: �i!/t/G Weld County Cler. 4 the' i ,11_r (5 f •.i, r�v' � WELD COUNTY BOARD OF HUMAN SERVICES, ON BEHALF �,� `'l w� OF THE WELD COUNTY /� ' DEPARTMENT OF HUMAN R17,1 \\~ SERVICES By: L/. i �, I _�. ./.C' By: !i--' Deputy C "to the Board Chair Signature NOV 3 ; iluud PROVIDER: Hamilton, Kerry and Kate 3121 39th Ave Evans, CO 80620 K -- -. By> . 'ctvC /'iL`i, (Signature WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: (Dir for Signatur 8 Weld County Addendum to the CWS-7A aezci'-a95 Hello