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HomeMy WebLinkAbout20082169.tiff I d DEPARTMENT OF HUMAN SERVICES P.O. BOX A GREELEY, CO. 80632 Website: www.co.weld.co.us Administration and Public Assistance(970)352-1551 Child Support(970)352-6933 1111 • COLORADO MEMORANDUM TO: Judy Griego — Director FROM: Lesley Cobb - Child Welfare Rate Negotiator DATE: July 25, 2008 SUBJECT: Weld County Addendum to the Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreements. Attached please find the Weld County Addendums to the Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreements for the following County foster care providers: 2008-2009 SIGNED CONTRACTS FOR COUNTY FOSTER CARE PROVIDERS PROVIDER NAME ID MAILING ADDRESS CITY STATE ZIP Aguilar, Riley and Greeley, CO 1 Melissa 1510493 2081 40th Ave 80634 Pierce, CO 2 Armfield, Pamela 1549727 340 W Shafer 80650 Beasley, Travis and 840 Grandview Longmont, CO 3 Sarah 1552607 Meadows Dr. #A101 80503 Greeley, CO 4 Brilla, Debbie 30451 2018 20th St Rd 80631 5 Brown, Scott and Robin 1524302 301 Hickory Ave Eaton, CO 80615 6 Caldwell, Cynthia 1550399 936 Eichhorn Dr Erie, CO 80516 Combs, Colin and Greeley, CO 7 Hubert, Rebecca 1545310 5937 W 28th ST 80634 CMG 2008-2169 PROVIDER NAME ID MAILING ADDRESS CITY STATE ZIP Greeley, CO 8 Corliss, Wade and Loni 1547483 26649 CR 60 1/2 80631 Cowper, Michael and Platteville, CO 9 Alecia 1526756 509 N Sholdt Dr 80651 Crownover, Ernie and Windsor, CO 10 Jennifer 1512351 421 Ventana Way 80550 11 Dietz, Bill and Wilma 8635 21257 Hwy14 Ault, CO 80610 Fisher, Matthew and Greeley, CO 12 Claire 1532312 5022 W 2nd St Rd 80634 Flores, Isaiah and 13 Annette 1534649 302 Maple Ave Eaton, CO 80615 Frederick, CO 14 Frank, Jerry and Diana 1530545 7950 Colombine Ave 80530 Garnet, Steven and Greeley, CO 15 Cindy 1525231 1324 10th St 80634 Gerardy, Jerry and Evans, CO 16 Priscilla 1530549 3408 Cody Ave 80620 Gilstrap, William and 6363 St Vrain Ranch Firestone, CO 17 Lynnette 1525054 Blvd 80504 Hebbeler, Troy and Evans, CO 18 Christina 1522988 3610 Cactus Ave 80620 Greeley, CO 19 Heimer, Sara 1547292 3000 W 19th St 80634 Hernandez, Roberto and Fort Lupton, CO 20 Margarita 1520297 912 Elm Ct 80621 Windsor, CO 21 Hickey, Laurie 1518754 1125 Walnut St 80550 Holmgren, David and Windsor, CO 22 Dawn 1522699 864 Amber Court 80550 Housden, Richard and Aurora, CO 23 Rhonda 1550415 1671 S Troy St 80012 Greeley, CO 24 Hunt, Olen J and Nina 1503154 224 48th Ave 80634 Longmont, CO 25 Hymel, Chad and Tiffany 1540875 1257 Red Mountain Dr 80501 Jackson, Scott and Johnstown, CO 26 Andrea 1536689 425 Hickory Ln 80534 Keaton, Roger(R.C.) and Greeley, CO 27 Eva 1545954 25565 CR 47 80631 Kilgore, Julius and Greeley, CO 28 Pamela 1538189 1740 7th Ave 80631 Greeley, CO 29 Kniss, Kevin and Kelly 1524303 1545 71st Ave 80634 Firestone, CO 30 Knutson, Troy and Stacy 1522516 6250 Stagecoach Ave 80504 31 Laube, Keith and Julie 1514494 14497 WCR 76 Eaton, CO 80615 Kersey, CO 32 Lee, Steve and Brenda 1512263 30932 WCR 50 80644 Greeley, CO 33 Lewis, David and Connie 1523277 2904 42nd Ave 80634 Greeley, CO 34 Loschen, Todd and Alicia 1528352 1747 68th Ave 80634 PROVIDER NAME ID MAILING ADDRESS CITY STATE ZIP Maronek, Dennis and Firestone, CO 35 Patricia 1520627 4860 Eagle Crest Blvd 80504 McCreery, James and 36 Tammy 40215 120 Maple Ave Eaton, CO 80615 Greeley, CO 37 McGee, Donna 1539853 1649 31st Ave 80634 Mellmen, Jeffrey and 38 Letha 1547484 352 Laurel Ave Eaton, CO 80615 Greeley, CO 39 Mena, David and Marie 1510691 2905 41st Ave 80634 Middleton, Brian and Greeley, CO 40 Deborah 1537851 2418 W. 24th St Rd 80634 Lochbuie, CO 41 Moore, Earl and Patricia 1517579 135 Poplar St 80603 Murrell, Nicholas and Windsor, CO 42 Terri 1547183 812 Scotch Pine Dr 80550 Newbold, Scott and For Collins, CO 43 Monica 1549222 4324 Silverview Court 80526 Parker, Brian and Greeley, CO 44 Beryldell 1538709 3001 50th Ave 80634 Kersey, CO 45 Plume, Mike and Annette 35126 PO Box 34 80644 Windsor, CO 46 Preston, Daniel and Lisa 1548050 611 Cornerstone Dr 80550 Firestone, CO 47 Purcella, Denise 1551571 10656 Bald Eagle Circle 80504 Rael, Charles and 48 Carmen 1526232 4319 W 15th St Ln Greeley, CO Greeley, CO 49 Ramos, Julian 37631 2604 49th Ave 80634 Ransome, Christopher Greeley, CO 50 and Mary 1552605 1903 24th Ave 80634 Rasmussen, Dennis and Johnstown, CO 51 Diane 104555 345 Gypsum Lane 80534 Redding, Christopher Greeley, CO 52 and Sonja 1524128 2305 42nd Ave 80634 Greeley, CO 53 Ripka, Gary and Jennifer 1538429 2113 74th Ave 80634 Firestone, CO 54 Rogers, Jeffrey and Tami 1550689 5221 Bowersox Parkway 80504 55 Sears, Alan and Diane 1551278 61 Westward Way Eaton, CO 80615 Sevestre, Lewis and Greeley, CO 56 Maureen 1551169 1717 69th Ave 80634 Shindle, Danny and Greeley, CO 57 Andrea 1550177 1606 Fairacres Rd. 80631 Johnstown, CO 58 Skeldum,William 16666 5113 Saguaro Ct 80534 Slaughenhaupt, Gary 59 and Grace 1544611 30633 CR 78 Eaton, CO 80615 Platteville, CO 60 Slipka, Darrel and Ruby 1525217 515 Shirley Ct 80651 PROVIDER NAME ID MAILING ADDRESS CITY STATE ZIP Greeley, CO 61 Steitz, Daniel and Natalie 1546930 1701 Elder Ave 80631 Sugden, Stanley and Greeley, CO 62 Lena 1537224 1251 51st Ave 80634 Greeley, CO 63 Trevino-Rivera, Irene 1506181 4227 W 31st ST 80634 Greeley, CO 64 Van Den Elzen, Dawn 44282 7219 W 20th St Ln 80634 Greeley, CO 65 Walker, Kurt and Jennifer 1546248 1901 15th St 80631 Willert, Melody D and LaSalle, CO 66 Lee, Kimberly 1540372 219 N 4th St 80645 These contracts have been presented for consent approval to the Board of County Commissioners however; I am requesting your signature along with the Boards to complete these contracts for the FY 2008-2009. If you have any questions please call me at Ext. 6441. WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Aguilar, Riley and Melissa 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 o th greement 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#1510493. 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 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 ID# ISEX F TRAILS CASE ID DOB WORKER COMPLETING ASSESSMENT HH# I IDOB 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 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 01)Once a month ❑1Y:)Two times month 02)Three times a month 02%)Once a week ❑3)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 or special education plan? ❑Basic Maint.)No educational requirements ❑l)Less than a 'h hour per day 01%) %z hour a day ❑2) 1 hour a day 02 %) 1'h-2 hours per day 03) 2'/2-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑ Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week 01%) 5 to 7 hours per week 02) 8 to 10 hours per week ❑2%) 11 to 14 hours per week ❑3)Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical,and/or occupational therapy? ❑Basic Maint.)0-2 hours per week ❑l)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%z)21 or more hours per week A 1. How often is CPA/County case management required? (Does not include therapy) ❑Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e.mutual care placements.) ❑l)Face-to-face contact one time per month with child and minimal crisis intervention. ❑1%)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 02%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 03%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)Not needed or provided by another source(i.e. Medicaid) ❑l)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-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensit of conditions which create 6 the need f services that apply to this child. TgVF y ht or S ff A Y0 n w �, � -.a,x t .. ^'' ........4;e,..d.�rf},sk)..Y>.o,.<>k `�.:,..7>.. . ,V,�;�t` °�a • _.5. Aggression/Cruelty to Animals ❑ O ❑ ❑ Verbal or Physical Threatening ❑ ❑ O O Destructive of Property/Fire Setting O O O O Stealing ❑ ❑ ❑ O Self-injurious Behavior ❑ O O O Substance Abuse ❑ O O O Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ O O ❑ Runaway ❑ ❑ O ❑ Sexual Offenses ❑ O O O 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a..ly to this child. vS 4MR1 .: �.':t .` '4,xx:s.`�'�5s. n; '.' �a�. .. t :,. xC"h4r `y.'T, a�.�"c•:u._:.°�4z..aa.e.: .�ta„a.� s.__ a.. 'a. ='v".e�,sl';:.� .bx .. Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ El 0 Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete O 0 ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ 0 Eating Problems ❑ 0 0 0 Boundary Issues ❑ 0 0 ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ 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-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) B Pt A.e 0-10...$16.32/da $496/month tri 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) $23.01 1 1/2 3cirk +$.66 Respite Care Total Rate=($23.67 day/$720 month) stio $26.30 2 +$.66 Respite Care Total Rate=($26.96 day/$820 month) 4,3 $29.59 2 1/2 +$.66 Respite Care Total Rate=($30.25 day/$920 month) BIZ $32.88 3 4.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 3 1/2 b1,9.1 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 TRCCF Drop Down 4.66 Respite Care Total Rate=($40.11 day/$1220 month) 114 Assessment Rate4.0 AP $30.25 day/$920 month(Includes Respite) (30 day max) Effective 7/1/2008 7 Weld County Addendum to the CWS-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: L____ Weld County rk n1 142,c, WELD COUNTY BOARD OF HUMAN SERVICES, ON BEHALF (Zie OF THE WELD COUNTY `! DEPARTMENT OF HUMAN SERVICES By: By: Deputy erk to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Aguilar, Riley and Melissa 2081 40th Ave Greeley, C9 80634 `\ By:'._' _ Signature) WELD COUNTY DEPARTMENT ,4r OF HUMAN SERVICES By: ( irector Sig lure) 8 Weld County Addendum to the CWS-7A-7p 1 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") between Armfield, Pamela and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this i day of 6t , 2008, are added to the referenced Agreement. Except as modified hereby, all terms t)i 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#1549727. 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 4`h 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 ��e_&/6 c 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 CW 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# I 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 ❑l)One round trip a week ❑1'/)2 round trips a week 02)3-4 round trips a week. ❑2%)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? 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 ❑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 01) Less than a '/z hour per day ❑1'%) 'h hour a day 02) 1 hour a day 02 %) 1'/-2 hours per day 03)2'/2-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? 0 Basic Maint.)No special involvement needed 01)Less than 5 hours per week ❑1'/) 5 to 7 hours per week 02) 8 to 10 hours per week ❑2%x) 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 feeding, bathing,grooming,physical, and/or occupational therapy? ❑Basic Maint.)0-2 hours per week ❑1) 3 to 4 hours per week 011/2)5 to 7 hours per week 02) 8 to 10 hours per week ❑2%) 11 to 15 hours per week ❑3) 16 to 20 per week ❑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. ❑2)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) 01)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-7A 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 Please 't "„' . a "4S.'� "�" „av�i` %}aah'I2 ;;a - v °,"sa wa'T''; .'R�t a"�wa. y$ "Fitr ii.i. vus" ' t � '',. " +,; x c yti +`f' ₹ :. c tivi }x + fir Aggression/Cruelty to Animals ❑ O ❑ 0 Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting 0 0 ❑ ❑ Stealing ❑ O ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ O ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ O ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A S-7A • BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. ° v a . Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ 0 0 0 Depressive-like Behavior O 0 0 ❑ Medical Needs (If condition is rated"severe",please complete O 0 0 0 the Medically fragile NBC) Emancipation O 0 ❑ 0 Eating Problems ❑ 0 0 0 Boundary Issues ❑ ❑ 0 ❑ Requires Night Care ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) A.e 0-10...$16.32/da $496/month figk County Basic A.e 11-14...$18.05/da $549/month Maint. A•e 15-21...$19.27/da $586/month +Respite Care$.66/da $20/month Fit $19.73 1 4.66 Respite Care Total Rate= ($20.39 day/$620 month) mml $23.01 1 1/2 4.66 Respite Care 1.4:„ Total Rate=($23.67 day/$720 month) $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 4.66 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) cIfj 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) fig Effective 7/1/2008 7 Weld County Addendum to the C WS ', IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: atel iala Weld County Clerk to rd \$ IS a WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF I86 I r�"'� \^-? OF THE WELD COUNTY t4�: 1 u i _ DEPARTMENT OF SOCIAL (C-2e, A/ SERVICES By: i,u4 4444L.,- - BY: /t-f�G-t_ Deputy C k to the Board Chair Signature William H. Jerke AUG 'I 1 2008 PROVIDER: Armfield, Pamela 340 W Shafer Pierce) CO / By:-- gnature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: (Director Sygn lure) 8 Weld County Addendum to the CWS-7A a008-a/69 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") beeep, Travis & Sarah Beasley 22 and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this S -day of 2' , 2008, are added to the referenced Agreement. Except as modified hereby, all terms f the greement 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 1552607 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 amp-- a/6. 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 ❑1)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 ❑3'A) 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/i)Once a week ❑3)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? 0 Basic Maint.)No educational requirements 01)Less than a 'A hour per day 01%) '/z hour a day 02) 1 hour a day 02 %) 11/2-2 hours per day 03)2'h-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 01)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 ❑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 feeding, bathing,grooming,physical,and/or occupational therapy? 0 Basic Maint.)0-2 hours per week ❑1)3 to 4 hours per week 01%) 5 to 7 hours per week 02) 8 to 10 hours per week ❑2%) 11 to 15 hours per week ❑3) 16 to 20 per week 03%)21 or more hours per week A 1. How often is CPA/County case management required? (Does not include therapy) ❑Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) ❑1)Face-to-face contact one time per month with child and minimal crisis intervention. 01%)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. ❑2/)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. ❑3%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? 00)Not needed or provided by another source(i.e. Medicaid) ❑1)Less than 4 hours per month 02)4-8 hours per month ❑3)9-12 hours per month 4 Weld County Addendum to the CWS-7A WELD COUNTY DSS • NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT f conditions which create the need for services that apply to this child.Please rate the behavior/intensity o alWIR , '� '"`t :'t' ' '£Lase r 4114 - c tom.- p w t i��,i h l ift i ' iN t� F �{ 4,gi 9 irY 1 , 9 r as� r �i sy '°iiiiiiit, tget. Mtgrin . .� �, ... -_•.. . Aggression/Cruelty to Animals ❑ ❑ ❑ 0 Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting 0 ❑ ❑ 0 Stealing ❑ ❑ ❑ 0 Self-injurious Behavior ❑ 0 0 ❑ Substance Abuse ❑ ❑ 0 ❑ Presence of Psychiatric Symptoms/Conditions ❑ 0 0 ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ 0 ❑ 0 Sexual Offenses ❑ ❑ ❑ 0 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED • • (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. tt! : �ZrNI'a , ' 4 F 'e [sYaT $l�t �` ,5 xey's ua^ �, tt a -` " "d Z..2 s' a .`W'R r ..:- 1,.�'mai. �e.m'r a, r s �._R„_'' , .,";;. -ta.�_q�.�. . � ,��` � t T. . a e• f ,,yye�.. a I r 4 7`.�'s.'+� si vg i�,: i),y bl�, au a r c 4,2 a . 264 y .# ,�� >>Q a i,aa nibp @iL'Z`± hlk; vitt�, f '' . `I v era i.s+ ca' ) - " Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ 0 ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ 0 ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ 0 ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) 4 : dkSiv�fi j12415:3Earg,22:Z4i:FE5AnliiRRECS10154allighiniiknopitalmit r 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 {2( Total Rate=($30.25 day/$920 month) ;;i"F $32.88 3 +$.66 Respite Care Total Rate=($33.54day/$1020 month) xc $36.16 3 1/2 +$.66 Respite Care '. ; Total Rate=($36.82 day/$1,120 month) liyF.: 4 $39.45 TRCCF Drop Down +$.66 Respite Care ralt 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-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. S4 ATTEST: ik4 Weld County Cler c 4 ' WELD COUNTY BOARD OF ?�� -a SOCIAL SERVICES, ON BEHALF I861 xi Jr ,�,y OF THE WELD COUNTY 7 --N /- DEPARTMENT OF SOCIAL s i ,'- /• SERVICES By: By: .'"2, C✓t Deputy CI to the Board Chair Signature William H. Jerke AUG 1 1 2008 tPROVIDER: lin !GCIL Or, T7( (Signature WOF LD A ER DEPARTMENT OF SOCIAL SERVICES /� U By: (D rector Signa e) 8 Weld County Addendum to theC�WSS-7AA c! iVO - /(',5 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Brilla, Debbie and the Weld County Department of Social Services for the period from July 1, 2008 through June 30,2009. The following provisions, made this IQ day of 4,1 , 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#30451. 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 ...7m -,-/i0 9 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# ISEX F TRAILS CASE ID jDOB WORKER COMPLETING ASSESSMENT HH# 1DATE 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 ❑l)One round trip a week ❑l%:)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? O Basic Maint.)No participation required ❑l)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 or special education plan? ❑Basic Maint.)No educational requirements ❑l)Less than a Yz hour per day 01%) %I hour a day 02) 1 hour a day 02 '/) 11/4-2 hours per day 03)2%r3 hours per day ❑3%:)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑ Basic Maint.)No special involvement needed 01)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 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 ❑l) 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.) O 1)Face-to-face contact one time per month with child and minimal crisis intervention. O 1%)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 02%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 03%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? 00)Not needed or provided by another source(i.e.Medicaid) ❑l)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-7A • 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 a d °'�i Y° " „`$°ai ° '�'4` " .at rr++ tr '`z s i}%a +. > t�a� x 1ii; `+x k `"mkt c f n}§ ' :a x '� iPs ,'x ' � ,++�"'` e a t a, t9 '�. i ryr5t`x"} 7*-47 }. •.e a ',t ,� }..' s. .i ��„ }+ t ,� }a, �,:: a�`vx� a�R � Aggression/Cruelty to Animals ❑ 0 ❑ ❑ Verbal or Physical Threatening ❑ 0 ❑ ❑ Destructive of Property/Fire Setting 0 ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ 0 Substance Abuse El ❑ ❑ 0 Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ 0 ❑ ❑ Sexual Offenses ❑ ❑ ❑ 0 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a..ly to this child. 6 'Y66via i 6!•:::=3, c"'``' .. &""ti i'x .tz41' 'a=YaS a w .Iih. •„,?s.hu 'a�4?a..h.m.x..v.. ,: • xxS.:•W.. ' '` s d ins sQt ;. x t 6N c.'.66°T6,—"''r': c _.s,. ''P',."£�grt',' 1c - .a :6i 6:4r:-64' .. �� 7ir ° +, , �`'" , sey n t s tl t� 4 s `"' vPa' 'a`' - Y .� •`'� kG ?xllt.dimsb�,k,,,, §tihiL..`4ti;3 •. ;4'° 3 : ® al°`:tLifii'ks'5: .. Inappropriate Sexual Behavior ❑ ❑ 0 0 Disruptive Behavior ❑ 0 0 0 Delinquent Behavior ❑ 0 0 ❑ Depressive-like Behavior ❑ ❑ 0 0 Medical Needs (If condition is rated"severe",please complete O ❑ 0 0 the Medically fragile NBC) Emancipation ❑ ❑ 0 0 Eating Problems ❑ 0 0 ❑ Boundary Issues ❑ ❑ 0 ❑ Requires Night Care ❑ 0 ❑ ❑ Education ❑ 0 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-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) c � � Ate 0-10...$16.32/da $496/month County Basic >; At 11-14...$18.05/da $549/month Maint. Ate 15-21...$19.27/da $586/month +Respite Care$.66/da $20/month $19.73 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) 1 $23.01 1 1/2 +$.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 4.66 Respite Care Total Rate=($26.96 day/$820 month) , $29.59 21/2 4.66 Respite Care Total Rate=($30.25 day/$920 month) $32.88 3 a: +$.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) $39.45 4 4.66 Respite Care TRCCF Drop Down 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: Mid) Weld County Cler WELD COUNTY BOARD OF asi fe,-',..1)f SOCIAL SERVICES, ON BEHALF ,,,) OF THE WELD COUNTY e� P ` DEPARTMENT OF SOCIAL :11SERVICES By: /&1Zrn4 .1,9-444, By: Deputy Cler" fo the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Brilla, Debbie 2018 20th St Rd Greele ,,AC //O 80631Q . •^A By AN L. /� t/L{XX , (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: ire or Sig .ture) 8 Weld County Addendum to the CWS-7A axe a2/6 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") between Brown, Scott and Robin 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 , 2008, are added to the referenced Agreement. Except as modified hereby, all terms th 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#1524302. 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 -7 ale- a/62 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 4 bogs after a child is placed in provider's care. Medical examinations need to be Sale ` d within 0 d ys of the child being placed with Provider and dental examinations need to be ` & 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# 1DATE 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 01%)2 round trips a week 02)3-4 round trips a week. ❑2%) 5 round trips a week 03) 6 round trips a week ❑3%) 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 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 or special education plan? ❑Basic Maint.)No educational requirements ❑1)Less than a%z hour per day 01%) %z hour a day 02) 1 hour a day 02 %) 1'/r2 hours per day 03)2%-3 hours per day ❑3%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week 01%) 5 to 7 hours per week ❑2)8 to 10 hours per week ❑2%) 11 to 14 hours per week O 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 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 ❑3'%z)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'A)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 02)4-8 hours per month 03)9-12 hours per month 4 Weld County Addendum to the CW S-7A 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. .:%;: ,E114:}S �a .,r=_:.� 3..w ....... e ,i. , ... .... .r. .......�4...evam&b Aggression/Cruelty to Animals ❑ 0 0 0 Verbal or Physical Threatening ❑ 0 ❑ 0 Destructive of Property/Fire Setting ❑ 0 0 0 Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ 0 0 0 Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ 0 ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ 0 Runaway ❑ 0 0 ❑ Sexual Offenses ❑ ❑ ❑ 0 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensit of conditions which create the need for services that a..l to this child '9A'f.:'9:.r'"a5"�S�.'?..�3,^.v�... .,_.x".k .. `"+�i..to�..�,... ..sa-, :•:: ..,, ,,..°.. - .. ...::,±�,�'>�.'.43 Inappropriate Sexual Behavior ❑ ❑ 0 0 Disruptive Behavior ❑ 0 ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ 0 ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ 0 ❑ ❑ the Medically fragile NBC) Emancipation ❑ El ❑ 0 Eating Problems ❑ 0 ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) -a sh ma t �x r- "tv;h. rx a• �,.:� nu'vv � ea • 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) $23.01 1 1/2 +$.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 4.66 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 t,pr, 4.66 Respite Care Total Rate=($36.82 day/$1,120 month) P.. 4 $39.45 TRCCF Drop Down t +$_66 Respite Care Total Rate=($40.11 day/$1220 month) Ath Assessment Rate x.. $30.25 day/$920 month(Includes Respite) (30 day max) Effective 7/1/2008 7 Weld County Addendum to the CWS-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: lidal"e" Weld County C d w WELD COUNTY BOARD OF is6i T : HUMAN SERVICES, ON BEHALF 1 ' OF THE WELD COUNTY `n s DEPARTMENT OF HUMAN -1"n, X71"v SERVICES . , d 0:0 \\ By: I Is i" i,�l ��'� _'.'./� By: 1-,.)-, e-e. ,,. Deputy Cl,t to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Brown, Scott and Robin 301 Hickory Ave Eaton, CO 80615 By:c (Signature) WELD COUNTY DEPARTMENT ---P,,....---E--e>�-`_ OF HUMAN SERVICES By: a (Di r ctor Signatu 8 Weld County Addendum to the CWS-7A OW—<Wh WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the"Agreement") between Caldwell, Cynthia and the Weld County Department of Human Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this 2A day of 3 U IVL , 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#1550399. 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 aoaf,-a/ 65 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: 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 ID# ISEX TRAILS CASE ID DOB M F I WORKER COMPLETING ASSESSMENT HH# IDATE 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%z)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? ❑Basic Maint.)No participation required ❑1)Once a month 01%)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 or special education plan? ❑ Basic Maint.)No educational requirements ❑1)Less than a '/z hour per day 011/2) '/z hour a day ❑2) 1 hour a day 02 %) 1'/z-2 hours per day ❑3)2'/:-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? O 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 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical, and/or occupational therapy? ❑ Basic Maint.)0-2 hours per week ❑1)3 to 4 hours per week 01%) 5 to 7 hours per week 02) 8 to 10 hours per week 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. ❑2%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 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? 00)Not needed or provided by another source(i.e. Medicaid) ❑l)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-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensit of conditions • which create the need for services that a..l to this child. r s �° • :yk i .Atr3 1 h a ^}3ea.a asL F.R'Y..�.#uAry ac.f..._.. ..... .. . .. ..... ..r ., vR P%:fX'4L4:. Aggression/Cruelty to Animals ❑ 0 ❑ 0 Verbal or Physical Threatening ❑ ❑ ❑ 0 Destructive of Property/Fire Setting 0 0 0 ❑ Stealing ❑ O 0 0 Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ 0 0 ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ 0 Enuresis/Encopresis ❑ ❑ 0 0 Runaway ❑ O 0 0 Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensit of conditions which create the need for services that a..ly to this child. Please .'k".r'v > s €�°a +y mom+ y1�:.� eI�1 � ,� $ L'k '.e'=• 7 3vffl �, � v �y s S r ar ? was��� ;s � 3 r.� R ;.,+ 4a ,., 3 usY ix - ai S^as} a 'e.F vy f J + t< dim k K p yY L s2 r ,, , i # Inappropriate Sexual Behavior ❑ 0 ❑ 0 Disruptive Behavior ❑ 0 0 0 Delinquent Behavior ❑ 0 0 0 Depressive-like Behavior ❑ ❑ ❑ 0 Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ 0 ❑ 0 Eating Problems ❑ 0 0 0 Boundary Issues ❑ 0 ❑ 0 Requires Night Care ❑ ❑ ❑ ❑ Education ❑ 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-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) ati ' 4 is'v ? I#% F k .... IfrW4Cili;R:5!,:f:S"Alaillita4444:4k4SVEtiaN0SViiktiwA3kirO h4,1, A.e 0-10...$16.32/da $496/month County Basic A.e 11-14...$18.05/da $549/month Maint. LaCif /Vie 15-21...$19.27/da $586/month +Respite Care$.66/da $20/month $19.73 1 4.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 1/2 9rel 4.66 Respite Care Total Rate=($23.67 day/$720 month) 04,1 $26.30 2 +$.66 Respite Care Total Rate=($26.96 day/$820 month) mma 714 $29.59 2 1/2 +$.66 Respite Care Total Rate=($30.25 day/$920 month) $32.88 3 4.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 31/2 4.66 Respite Care r. Total Rate=($36.82 day/$1,120 month) 43,00. $39.45 TRCCF Drop Down +$.66 Respite Care Total Rate=($40.11 day/$1220 month) Assessment RateAtiT $30.25 day/$920 month(Includes Respite) (30 day max) Effective 7/1/2008 7 Weld County Addendum to the CWS-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: ikaitit Weld County Cle e Board L'� WELD COUNTY BOARD OF r HUMAN SERVICES, ON BEHALF'; OF THE WELD COUNTY ",1 y� DEPARTMENT OF HUMAN P-A l `i' SERVICES By: By: i k-Gi' Deputy Cle to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Caldwell, Cynthia 936 Eichhorn DR WESTMINSTER Erie, CO 80516 BY: C)., n;l V.J.e-4-' CC (, (Signature) WELD COUNTY DEPARTMENT OF HUMAN SERVICES By. (D rector Signa re) t; 8 Weld County Addendum to the CWS-7A WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the"Agreement") between Combs, Colin and Hubert,Rebecca and the Weld County Department of Social Services for the period from July1, 2008 through June 30, 2009. The following provisions, made this /w day of ive-D2., , 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#1545310. 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 apeT-a/62 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: 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# ISEX F I ID OB CASE ID DOB 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 01%)2 round trips a week ❑2)3-4 round trips a week. ❑2Yz)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? 0 Basic Maint.)No participation required ❑1)Once a month 011/2)Two times month 02)Three times a month 02%)Once a week 03)Two times a week ❑3%z)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? 0 Basic Maint.)No educational requirements ❑1) Less than a 'Y hour per day 01%) %hour a day ❑2) 1 hour a day 02 Yz) 11/2-2 hours per day ❑3)21/2-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑ Basic Maint.)No special involvement needed 01) Less than 5 hours per week 01%)5 to 7 hours per week 02) 8 to 10 hours per week ❑2'%z) 11 to 14 hours per week ❑3) Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, 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 02) 8 to 10 hours per week ❑2Yz) 11 to 15 hours per week ❑3) 16 to 20 per week ❑3 Yz)21 or more hours per week A 1. How often is CPA/County case management required?(Does not include therapy) ['Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) ❑1)Face-to-face contact one time per month with child and minimal crisis intervention. 01%)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 02%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 03%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)Not needed or provided by another source(i.e.Medicaid) ❑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-7A 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. , a ���[ s „{ r 1, .i, Rating of Conditions r i a rN �'t, twsrle sr • (Check one box for each category) Assessment Area �E 7 • `Lg4.€ Mud Moderate Severe Comments: 0 1 2 3 Aggression/Cruelty to Animals ❑ ❑ ❑ O Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ O Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse D ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ D ❑ ❑ Enuresis/Encopresis ❑ D O O Runaway ❑ ❑ O O Sexual Offenses ❑ ❑ ❑ O 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the ne for sservices that a ly to child �` u r _ s s � .tsyu"''y 5: fr ,. .; '''j!! i 4 ed e y.. '' # this elle ' 'N: �tti.l Y.1/4IMEMENERVI' x. 'si. f : get � 1 ya t inary ,r i a:iaw ax 4Ac°t+ tcx+ s ,,.nal11 2=1:` „„,„,,,°�i�.}s �e ' ��t r 1 .e,`$ T,' a z 1 e`•a * i z g' � @F�r c 3e''�'#,. ry� c 111,41t ell a. r�r a: a �� t! xc ' z ¢� 1'V :mi am-N'sth` vnw ea ' kt� ,-.'Swart'...m� `4� a3� ti Inappropriate Sexual Behavior ❑ 0 ❑ ❑ Disruptive Behavior ❑ 0 ❑ ❑ Delinquent Behavior ❑ 0 0 0 Depressive-like Behavior O ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete O ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ 0 0 ❑ Eating Problems ❑ ❑ ❑ 0 Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ 0 ❑ 0 Education ❑ 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 CWS-7A . WELD COUNTY DEPARTMENT OF SOCIAL SERVICES ' NEEDS BASED CARE . RATE TABLE (Exhibit C) . .t I . .4hY F. /Noe 0-10...$16.32/da $496/month County Basic A•e 11-14...$18.05/da $549/month Maint. li Ave 15-21...$19.27/da $586/month -44 +Res.ite Care$.66/da $20/month lin/ $19.73 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) tiVS $23.01 1 1/2 +$.66 Respite Care :7::: 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) Al $32.88 3 4.66 Respite Care v. Total Rate=($33.54day/$1020 month) siti $36.16 3 1/2 1 A 4.66 Respite Care Total Rate=($36.82 day/$1,120 month) ,4 $39.45 4 +$.66 Respite Care TRCCF Drop Down Total Rate=($40.11 day/$1220 month) Pe 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: L���"�" 4 Weld County Cl sei � � WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF '"F c'` ' OF THE WELD COUNTY DEPARTMENT OF SOCIAL ,/ SERVICES By: ` 1 By: i�iL it Deputy k to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Combs, Colin and Hubert, Rebecca 5937 W 28th ST Greeley, CO/89634 By: / (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: " (D ector Signal ) 8 Weld County Addendum to the CWS-7A aalf—a i� . WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") between Corliss, Wade and Loni and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this 027 day of A-pn , 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#1547483. 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 n?OD(P- (9/65 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# rvEX TRAILS CASE ID DOB F WORKER COMPLETING ASSESSMENT HH# 1DATE 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 ❑2)3-4 round trips a week. 02%)5 round trips a week 03)6 round trips a week ❑3%)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 02)Three times a month 02%)Once a week ❑3)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 or special education plan? ❑Basic Maint.)No educational requirements ❑1)Less than a''/ hour per day ❑1%) 'h hour a day ❑2) 1 hour a day 02 %) 11/2-2 hours per day 03)2'/2-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? O Basic Maint.)No special involvement needed 01)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 ❑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? O 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 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.) O 1)Face-to-face contact one time per month with child and minimal crisis intervention. 011/2)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 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) ❑l)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-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensit of conditions which create the need for services that apply to this child. '� �, Y- g# ,,., twiexL 5k 4, e5... `4a G.ee.�C°3 R % 4 5 a�S� q iz� � �. � _ � li ski �' ��"t� g )` :. ces, x rfi . . ilk " ;�' , ,��,�,s .s. Aggression/Cruelty to Animals ❑ 0 ❑ ❑ Verbal or Physical Threatening 0 O ❑ ❑ Destructive of Property/Fire Setting 0 0 ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ O ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ 0 0 ❑ Enuresis/Encopresis O O 0 ❑ Runaway ❑ ❑ 0 ❑ Sexual Offenses ❑ ❑ 0 ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) :.ii:::,:c„lil Please rate the behavior/intensity of conditions which create the need for services that a..ly to this 77, "t" d.'% ;' be a a :te behavior/intensity ,i v ice ≥= a. " i# r x- J4:3;1:°'."-,:i:S:Li... :ae�.s' ,x,,,,..:4,....j,,;,...',:::,-;:.'.. "a # v° .x� y "+3 .wu° e v_.x <: s t.,:t a...._..."1'v� Inappropriate Sexual Behavior ❑ ❑ ❑ 0 Disruptive Behavior ❑ ❑ 0 0 Delinquent Behavior ❑ 0 0 0 Depressive-like Behavior ❑ ❑ 0 ❑ Medical Needs (If condition is rated"severe",please complete ❑ 0 ❑ 0 the Medically fragile NBC) Emancipation ❑ 0 0 ❑ Eating Problems ❑ ❑ 0 ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ 0 0 0 Education ❑ ❑ 0 ❑ Involvement with Child's Family ❑ 0 0 0 CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 [II 2 ❑ 3 6 Weld County Addendum to the CWS-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) # a k '#{ fit. ." ' � 41 t, iho. t3` , 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 $586/month Ll (?5 +Res•ite Care$.66/da $20/month $19.73 1 4.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 1/2 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 4.66 Respite Care ritt 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 ctaii ves Total Rate=($36.82 day/$1,120 month) $39.45 4 +$.66 Respite Care TRCCF Drop Down 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: nL"a' Weld County and /`'r WELD COUNTY BOARD OF el,i K , ' a SOCIAL SERVICES, ON BEHALF 0 OF THE WELD COUNTY 1 DEPARTMENT OF SOCIAL i SERVICES By: ° By: Deputy Cl to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Corliss, Wade and Loni 26649 CR 60 1/2 Greeley, CO 80631 By: natu` WELD COUNTY DEPARTMENT r Yak-Yak- U ht- OF SOCIAL SERVICES By: ( • ector Signal e) 8 Weld County Addendum to the CWS-7A oQODb'- a/&; WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the"Agreement") between Cowper,Michael and Alecia and the Weld County Department of Human Services for the period from July 1, 2008A through June 30, 2009. The following provisions, made this / day of , 2008, are added to the referenced Agreement. Except as modified hereby, all terms 4 t1'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#1526756. 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 amc-- aie 9 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 great s after a child is placed in provider's care. Medical examinations need to be d w n 1A,d ys of the child being placed with Provider and dental examinations need to b&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 IDN SEX X 'TRAILS CASE ID IDOB MF WORKER COMPLETING ASSESSMENT 1HHVt I (DATE OF ASSESSMENT AGENCY NAME PROVIDER NAME I 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%z)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 01)Once a month 01%)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 or special education plan? ❑Basic Maint.)No educational requirements ❑1)Less than a %z hour per day ❑1%) '/2 hour a day ❑2) 1 hour a day 02 %) 11/2-2 hours per day 03)2'/z-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week 01%)5 to 7 hours per week ❑2)8 to 10 hours per week 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond ape appropriate needs with feeding, bathing,grooming,physical,and/or occupational therapy? O Basic Maint.)0-2 hours per week ❑1)3 to 4 hours per week 01%)5 to 7 hours per week ❑2)8 to 10 hours per week 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. ❑2%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 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-7A • 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. Aggression/Cruelty to Animals ❑ 0 0 0 Verbal or Physical Threatening ❑ 0 0 0 Destructive of Property/Fire Setting 0 El 0 Stealing ❑ 0 0 ❑ Self-injurious Behavior ❑ 0 ❑ 0 Substance Abuse ❑ 0 0 0 Presence of Psychiatric Symptoms/Conditions 0 0 ❑ ❑ Enuresis/Encopresis ❑ 0 O ❑ Runaway ❑ 0 ❑ ❑ Sexual Offenses ❑ 0 ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a..1 to this child. Inappropriate Sexual Behavior ❑ 0 0 0 Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ 0 0 0 Depressive-like Behavior ❑ ❑ 0 0 Medical Needs (If condition is rated"severe",please complete ❑ 0 ❑ 0 the Medically fragile NBC) Emancipation ❑ 0 0 ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ 0 0 0 Education ❑ ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) 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 $586/month +Respite Care$.66/da $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) $29.59 2 1/2 +$.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 $30.25 day/$920 month(Includes Respite) (30 day max) Effective 7/1/2008 7 Weld County Addendum to the CWS-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: gall a laAl Weld County Cle d La WELD COUNTY BOARD OF 1v] HUMAN SERVICES, ON BEHALF Oltfr k-,fOF THE WELD COUNTY `2 ( p DEPARTMENT OF HUMAN A..-- -'k, SERVICES By: / 7/44- LJ By: ��c ,-/-1.---,Deputy erk to the Board Chair Signature William H. Jerke AUG 1 1 2000 PROVIDER: Cowper, Michael and Alecia 509 N Sholdt Dr Platteville, CO _12 (Signature) WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: (D ector Signa ) 8 Weld County Addendum to the CWS-7A &ere— aid • WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Crownover, Ernie and Jennifer and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this /3 day of Unit , 2008, are added to the referenced Agreement. Except as modified hereby, all terms`ot 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#1512351. 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 aPOOP- a/lo 9 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# SEX TRAILS CASE ID IDOB M F I I WORKER COMPLETING ASSESSMENT HH# IDATE 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 O2) 3-4 round trips a week. ❑2%z) 5 round trips a week ❑3)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 ❑i'A)Two times month O2)Three times a month O2%)Once a week O3)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 ❑l)Less than a'/z hour per day 01%) 'A hour a day ❑2) 1 hour a day ❑2 %) 1'/z-2 hours per day O3)2'h-3 hours per day O3%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week 01%) 5 to 7 hours per week O2) 8 to 10 hours per week ❑2%) 11 to 14 hours per week 0 3)Constant basis during awake hours ❑3'A)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 01%) 5 to 7 hours per week O2) 8 to 10 hours per week O2%) 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.) Dl)Face-to-face contact one time per month with child and minimal crisis intervention. ❑1'A)Face-to-face contact one time per month with child and occasional crisis intervention. ❑2)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 O2)4-8 hours per month O3)9-12 hours per month 4 Weld County Addendum to the CWS-7A 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. ' y •{5 iY *{,'4��.ek `4+ysaMe 3�y�4 x. 2''g"+' �i- �.*3x, ti +, ak eh Oyu,w`4 4 5 y'i5 ra = a r+` ppT a F y r k e .3 .f v S Rip rs lat 1."139414"14"traitr.rT: 2, �a,�� iYF N k,� i 1 ...:.. :�wAJfi:°4 »S.. a 'x"4}'Ww�u. B�Pd._..ai._r°i° . Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A • • BEHAVIOR ASSESSMENT(ExhibitB) CONTINUED Please rate the behavior/intensity of conditions which create the need for services that apply to this child. i� r , rte „ ti tt L y" H. 'p y 9R J {i�3 pF `�� $f[{ t p Inappropriate Sexual Behavior ❑ 0 0 0 Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ o ❑ Depressive-like Behavior ❑ 0 0 0 Medical Needs (If condition is rated"severe",please complete ❑ O ❑ O the Medically fragile NBC) Emancipation ❑ ❑ 0 0 Eating Problems ❑ 0 0 0 Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ 0 0 Education ❑ ❑ ❑ 0 Involvement with Child's Family ❑ ❑ 0 0 D FROM BEHAVIOR ASSESSMENT: CHILD'S OVERALL LEVEL OF NEE (check level of need) ❑ 0 El 1 ❑ 2 El3 6 Weld County Addendum to the CWS-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) k � t to > � 4 } x .?T :' + ' Y` A.e 0-10...$16.32/da $496/month 4� County Basic ar A.e 11-14...$18.05/da $549/month Maint. A.e 15-21...$19.27/da $586/month +Respite Care$.66/da $20/month $19.73 1 4.66 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) ',a• $29.59 2 1/2 4.66 Respite Care Total Rate=($30.25 day/$920 month) $32.88 3 1fO 4.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 3 1/2 s.. +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) $39.45 4 4.66 Respite Care TRCCF Drop Down Total Rate=($40.11 day/$1220 month) Assessment Rate . . $30.25 day/$920 month(Includes Respite) (30 day max) a� 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: g4142/11-44 Weld County Cle WELD COUNTY BOARD OF isq Ai( SOCIAL SERVICES, ON BEHALF P Ct;r. OF THE WELD COUNTY { t: DEPARTMENT OF SOCIAL :.\ SERVICES By: By: 'I-CT fr+,,A-. Deputy C to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Crownover, Ernie and Jennifer 421 Ventana Way Windsor, CO 80550 By: (Signature) u WELD COUNTY DEPARTMENT (/d a `-\_ OF SOCIAL SERVICES By: (D rector Signa re) 8 Weld County Addendum to the CWS-7A cRGtof- a/6 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the"Agreement") between Dietz, Bill and Wilma 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 , 2008, are added to the referenced Agreement. Except as modified hereby, all terms o the greement 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#8635. 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 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 tun'"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 ID# SEX TRAILS CASE ID DOB M F WORKER COMPLETING ASSESSMENT HH# PATE OF ASSESSMENT AGENCY NAME PROVIDER NAME ZPROVIDER 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 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 ❑1'%)Two times month O2)Three times a month ❑2%:)Once a week O3)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 ❑l)Less than a%z hour per day 01%) '/hour a day O2) 1 hour a day O2 'A) 1'/r2 hours per day O3)2%r3 hours per day ❑3%x)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? O Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week 01%) 5 to 7 hours per week ❑2)8 to 10 hours per week ❑2'/z) 11 to 14 hours per week ❑3)Constant basis during awake hours ❑3''/)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical,and/or occupational therapy? ❑Basic Maint.)0-2 hours per week ❑1)3 to 4 hours per week 01%)5 to 7 hours per week O2) 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.) ❑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. 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-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensit of conditions which create the need for services that apply to this child. Aggression/Cruelty to Animals ❑ 0 0 0 Verbal or Physical Threatening ❑ 0 0 0 Destructive of Property/Fire Setting 0 0 ❑ 0 Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ 0 Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ 0 0 Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ 0 Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A S-7A • BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) hich create the need for services that a..ly to this child.Please rate the behavior/intensity of conditions w v ? xt 5 d t 5 ' ' .. # tb 16, ! .i i,'61 ::71:‘,;.. ., � v r :, s 5," 4':�. �t �,"�`� r.i.4 c.:.vs u..ks frxTe° v -.:t's...— .-.a .?w z a `° r,'° "° Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete El ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ 0 ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) ,. k 45, vf ry . :tiy Y:• : S,g Sys ti 'k� .y +;..:k�} S# .1 1 e. 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 $586/month +Respite Care$.66/da $20/month $19.73 1 4.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 1/2 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 4.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 31/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 +$.66 Respite Care TRCCF Drop Down Total Rate=($40.11 day/$1220 month) ti Assessment Rate $30.25 day/$920 month(Includes Respite) (30 day max) Effective 7/1/2008 7 Weld County Addendum to the CWS-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: ikail _"____ Weld County Clerk '' C �j � Vibi , WELD COUNTY BOARD OF si V;C :7,:>-4,-fg HUMAN SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF HUMAN nnI �'' . SERVICES BYllplt r6 !` (� By: 11- a771siGL—i Deputy CI to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Dietz, Bill and Wilma 21257 Hwy14 Ault, CO 80610 By: 6-02-2‘ S-4r_ (Signature) WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: a Director, i nature) 8 Weld County Addendum to the CWS-7A OUT-ale WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the"Agreement") between Fisher, Matthew and Claire and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this / day of , 2008, are added to the referenced Agreement. Except as modified hereby, all terms t Agreement remain unchanged. GENERAL PROVISIONS I. 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#1532312. 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. t Weld County Addendum to the CWS-7A doow- / 5 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 ours�iIafter a child is placed in provider's care. Medical examinations need to be coi e'd�ithm 0 d s of the child being placed with Provider and dental examinations need to be'` ` ' 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 ❑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 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 01)Once a month 01%)Two times month 02)Three times a month ❑2%)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 or special education plan? ❑Basic Maint.)No educational requirements 01)Less than a%2 hour per day 01%) 1/2 hour a day ❑2) 1 hour a day 02 'h) 1'h-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 ❑2) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, 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 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.) Du 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%)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-7A 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 l to this child. ae o` tda qy . 3 . p 9 �. ! k t '1. !reTEHAPPWrigartI1'7? .�s 1 'V vi i __* d, ;.c AttliiikalOitttiOtNiZeanitgal y�4. � a"a 4b A tM1`ry�i � �S 1 1:11 is iii ; Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting 0 ❑ ❑ ❑ Stealing ❑ ❑ 0 ❑ Self-injurious Behavior O 0 ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that appl to this child. Div vex ° a !. C ! i 4 i I 4=o"w0000lcosoollmos000ctrtok:0:o := soio A.'Fu ti i. t + :POMP n: ^l}., an:;. 4 s Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ 0 ❑ ❑ Delinquent Behavior ❑ O ❑ ❑ Depressive-like Behavior ❑ ❑ 0 ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ 0 ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ 0 Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) El 0 ❑ 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) Pyt r .e �p�4 &S r x " t tv, '� u G 5 A•e 0-10...$16.32/da $496/month County Basic Poe 11-14...$18.05/da $549/month Maint. A.e 15-21...$19.27/de $586/month +Respite Care$.66/da $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 4.66 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 4.66 Respite Care Total Rate=($40.11 day/$1220 month) Assessment Rate 'VS $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: 44112/14144 Weld County C mss 'T�LR.� eta_=, WELD COUNTY BOARD OF i o SOCIAL SERVICES, ON BEHALF �`l f � OF THE WELD COUNTY & .A DEPARTMENT OF SOCIAL SERVICES BY %ltltt? J44i By: 71-1- Deputy Cl to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Fisher, Matthew and Claire 5022 W 2nd St Rd Greeley, CO 80634 By: �__.0c-nA LILY- (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: a_ (Du ector Sign e) 8 Weld County Addendum to the CWS-7A C7�,S- WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the"Agreement") between Flores, Isaiah and Annette and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this / day of , 2008, are added to the referenced Agreement. Except as modified hereby, all terms th 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#1534649. 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 t7nJ'- a/6 9 a • 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 CW5-7A • ' ♦ 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 tTRAILS CASE ID DOB M F WORKER COMPLETING ASSESSMENT HHN 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 ❑1%z)2 round trips a week 02) 3-4 round trips a week. 02%) 5 round trips a week 93) 6 round trips a week ❑3'/)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 011/2)Two times month 02)Three times a month 92%)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 or special education plan? ❑ Basic Maint.)No educational requirements 01)Less than a 'A hour per day 01%) '/z hour a day ❑2) 1 hour a day 02 'A) 1'/z-2 hours per day 03) 2'/z-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? 0 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 92%) 11 to 14 hours per week ❑3)Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical,and/or occupational therapy? ❑Basic Maint.)0-2 hours per week ❑1)3 to 4 hours per week ❑11z)5 to 7 hours per week 02) 8 to 10 hours per week ❑2%) 11 to 15 hours per week ❑3) 16 to 20 per week 03%)21 or more hours per week A 1. How often is CPA/County case management required?(Does not include therapy) ['Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e.mutual care placements.) ❑1)Face-to-face contact one time per month with child and minimal crisis intervention. ❑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-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behaviortintensit of conditions which create the need for services that a 1 to this child. „wirt„ „Wilk Rating of Conditions �7 ��:., (Check one box for each category) s= ?w Assessment Areas None Mild Moderate ' v e Comm ents: 1 2 3 Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED • (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a 1 to this child. .......... rya '�;.......:.:: �'.._ _ t.a _ s:�.,�'ir�' •.I�.�.�iz�f��'y=_=n;ti �`s' '' ....F: -- "�4', 7c:i, .. _> __ _ ' • Y.h.J... :rti� ; � ,+....,..,: Rating of Conditions • ,. �,�� �� � '�.-- +:; ..... _ (Check one box for each category, . z. Assessment Areas N IVIederate Una Comments: ,11 k ?+ 0 1 2 3 Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior Delinquent Behavior Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) n 0 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS-7A • WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) � "5 r ✓ R A.e 0-10...$16.32/da $496/month County Basic A•e 11-14...$18.05/da $549/month Maint. Asa 15-21...$19.27/da $586/month +Respite Care$.66/da $20/month $19.73 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 1/2 4.66 Respite Care Total Rate=($23.67 day/$720 month) ,',,,:i7 $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) e:.a. $32.88 3 i., 4.66 Respite Care Total Rate=($33.54day/$1020 month) 41 $36.16 3 1/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 A $39.45 TRCCF Drop Down 4.66 Respite Care Total Rate=($40.11 day/$1220 month) 14.0 Assessment Rate $30.25 day/$920 month(Includes Respite) (30 day max) Effective 7/1/2008 7 Weld County Addendum to the C WS= IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: "'idli�""."`o'r Weld County Clerk WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF 1S6 OF THE WELD COUNTY DEPARTMENT OF SOCIAL (l `�v SERVICES By: By: Gl�17�% Deputy Cl to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Flores, Isaiah and Annette 302 Maple Ave Eaton, CO 7 1 By: 0v / 44.- ill (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: .1.. ., . . , �... /,. (Dir- tor Signat le 8 Weld County Addendum to the CWS-7A ,�^�J atelek _a/. % WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") between Frank, Jerry and Diana 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 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#1530545. 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 0708-07/69 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 Depaitment 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) DENTIFYING INFORMATION :HILD'S NAME STATE ID# ISEX F TRAILS CASE ID DOB WORKER COMPLETING ASSESSMENT HH# I PATE OF ASSESSMENT \GENCY NAME PROVIDER NAME IPROVIDER TRAILS ID tNSWERS 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: 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 01%)2 round trips a week O2) 3-4 round trips a week. ❑2%:) 5 round trips a week O3) 6 round trips a week O3%) 7 round trips or more 2. How often is the foster care provider required to participate in child's therapy or counseling sessions? ❑Basic Maint.)No participation required ❑l)Once a month ❑1%)Two times month O2)Three times a month O2%)Once a week O3)Two times a week O3%)Three times a week or more 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 ❑2) 1 hour a day O2 'h) 1'//-2 hours per day O3)2'/2-3 hours per day O3%)More that 3 hours per day 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 O2%) 11 to 14 hours per week O 3)Constant basis during awake hours ❑3'/)Nighttime hours 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 01%) 5 to 7 hours per week O2) 8 to 10 hours per week ❑2%) 11 to 15 hours per week ❑3) 16 to 20 per week ❑3%)21 or more hours per week Y 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.) 01)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. ❑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. r 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) 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 CW S-7A 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.lintiak.� ,g��i — e' e v i i g Z .= „ A; r t,:y .=T Aggression/Cruelty to Animals ❑ DI El Verbal or Physical Threatening El ❑ ❑ Destructive of Property/Fire Setting 0 ❑ ❑ ❑ Stealing El ❑ 0 Self-injurious Behavior El ❑ ❑ ❑ Substance Abuse ❑ 0 ❑ ❑ Presence of Psychiatric Symptoms/Conditions 0 ❑ 0 ❑ Enuresis/Encopresis 0 ❑ ❑ ❑ Runaway ❑ ❑ ❑ 0 Sexual Offenses ❑ O ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that ap•ly to this child. 47 'tal-41 a W .tRaeacianatoristsiszglistimorwit hasase:cialtatemEWARLICaracat, Rae Taw "ADM!wilpiattu.,. ['??, x,�l atr '�"iyaifl{lik } Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ 0 ❑ 0 Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ 0 Eating Problems ❑ 0 0 ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ 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-7A • WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) m � . .� r mow . � " y ..€a is. . - -...-:' .- ' —r.s..,.=' TA 7014, 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 $586/month 31 +Res•ite Care$.66/da $20/month Da $19.73 po 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) ali $23.01 1 112 +$.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 4.66 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 4.66 Respite Care ra Total Rate=($33.54day/$1020 month) 32 $36.16 3 1/2 144 4.66 Respite Care Total Rate=($36.82 day/$1,120 month) ral 4 $39.45 TRCCE Drop Down 0.4 +$.66 Respite Care Total Rate=($40.11 day/$1220 month) Assessment Rate li.i. $30.25 day/$920 month(Includes Respite) (30 day max) Effective 7/1/2008 7 Weld County Addendum to the CWS- ' IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: 1144#47111-4 4 Weld Cou Clerk tp.the-$oard rt WELD COUNTY BOARD OF 1861 SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY A DEPARTMENT OF SOCIAL SERVICES � 1 By: By: /in Deputy C to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Frank, Jerry and Diana 7950 Colombine Ave Frederick, CO 80530 By: (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: (D'rector Sign [ e) 8 Weld County Addendum to the CWS-7A aa'6'-o!/6 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the"Agreement") between Gamet, Steven and Cindy and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this 6 day of 2008, are added to the referenced Agreement. Except as modified hereby, all terms of the eement 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#1525231. 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 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 jDOB M F I I WORKER COMPLETING ASSESSMENT HH# IDATE 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 ❑3)6 round trips a week ❑3%:)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 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 or special education plan? ❑ Basic Maint.)No educational requirements ❑1)Less than a%z hour per day ❑1'h) %z hour a thy 02) 1 hour a day 02 %) 11/4-2 hours per day ❑3) 2'1-3 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? 0 Basic Maint.)No special involvement needed 01)Less than 5 hours per week ❑1Y=)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 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 ❑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. 01%)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 02%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 03%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)Not needed or provided by another source(i.e. Medicaid) ❑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-7A 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. q 4,. ! € ! i q i :9.'vv.�vlJHIh. 1Y Aggression/Cruelty to Animals ❑ 0 ❑ 0 Verbal or Physical Threatening ❑ 0 ❑ ❑ Destructive of Property/Fire Setting 0 0 ❑ 0 Stealing ❑ ❑ 0 0 Self-injurious Behavior ❑ 0 0 ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions 0 ❑ ❑ 0 Enuresis/Encopresis ❑ ❑ 0 ❑ Runaway ❑ ❑ ❑ 0 Sexual Offenses ❑ ❑ ❑ 0 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that appl to this child. ,r v WIN t,v. + ss�"°a a e4 us . §,! 3IEEEJ1e! it n wa r. :;;;Cie. Inappropriate Sexual Behavior ❑ 0 0 ❑ Disruptive Behavior ❑ ❑ ❑ 0 Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ 0 ❑ Medical Needs (If condition is rated"severe",please complete O ❑ 0 ❑ the Medically fragile NBC) Emancipation ❑ ❑ 0 ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ 0 ❑ Requires Night Care ❑ 0 0 ❑ Education ❑ ❑ ❑ 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-7A S-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) Ase 0-10...$16.32/da $496/month County Basic As 11-14...$18.05/da $549/month Maint. Asa 15-21...$19.27/da $586/month +Res.ite Care$.66/da $20/month $19.73 1 4.66 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) FAB $32.88 3 111 4.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 3 1/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) $39.45 4 TRCCF Drop Down 4.66 Respite Care Total Rate=($40.11 day/$1220 month) Assessment Rate $30.25 day/$920 month(Includes Respite) (30 day max) yfq 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: fiat Weld County C WELD COUNTY BOARD OF 1861 �1 SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY %O A DEPARTMENT OF SOCIAL ®`N SERVICES By: L �✓ / !.! ; By: � 1+ Deputy C .! to t e Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Garnet, Steven and Cindy 1324 10th St Greeley, CO 80634 By: *X. Q C is ature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: (Dtr t r St tatur 8 Weld County Addendum to the CWS-7A p WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Gerardy,Jerry and Priscilla 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 • , 2008, are added to the referenced Agreement. Except as modified hereby, all terms o th eement 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#1530549. 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 S-/) T(9/65 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 C WS-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 ITRAILS CASE ID DOB M F 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 ❑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 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 01)Once a month 01%)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 or special education plan? ❑Basic Maint.)No educational requirements ❑1)Less than a'h hour per day 01%) % hour a day 02) 1 hour a day 02 %) 11/2-2 hours per day 03)2Yr3 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 ❑2) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical,and/or occupational therapy? ❑ Basic Maint.)0-2 hours per week ❑1)3 to 4 hours per week 01%)5 to 7 hours per week 02) 8 to 10 hours per week 02%) 11 to 15 hours per week ❑3) 16 to 20 per week O 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. 01%)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 02%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 03%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)Not needed or provided by another source(i.e. Medicaid) ❑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-7A 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. y 'n'b ' y L r, h 0.S% %C'4 _ 5`➢v`" 5 h. 3 } 5 K�qi,f4 " * p.l ,d �y't L"ty'. yvk Aggression/Cruelty to Animals ❑ O ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. • 1; tz ; i' ... ...... .. .o '.' Inappropriate Sexual Behavior ❑ ❑ 0 ❑ Disruptive Behavior ❑ 0 0 ❑ Delinquent Behavior ❑ ❑ ❑ 0 Depressive-like Behavior ❑ 0 0 0 Medical Needs (If condition is rated"severe",please complete ❑ ❑ 0 0 the Medically fragile NBC) Emancipation ❑ ❑ 0 0 Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ 0 0 .❑ Requires Night Care ❑ ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) � Q . R` t � " `. r tt m:ltS��W.: Yak +k��Fa „fig we p,y^iAg Ase 0-10...$16.32/da $496/month County Basic A.e 11-14...$18.05/da $549/month Maint. Ave 15-21...$19.27/da $586/month +Respite Care$.66/da $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) kkt $26.30 2 +$.66 Respite Care dat 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) ttiri Nadi $36.16 3 1/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 +$.66 Respite Care TRCCF Drop Down Total Rate=($40.11 day/$1220 month) Assessment Rate 04 $30.25 day/$920 month(Includes Respite) (30 day max) Litff Effective 7/1/2008 7 Weld County Addendum to the CWS-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. 11/11/4 ATTEST: g f ____ Weld Count fl. oard . 'tJ WELD COUNTY BOARD OF 9-� HUMAN SERVICES, ON BEHALF ,+" ` ' a, OF THE WELD COUNTY ., t.- ' A DEPARTMENT OF HUMAN °` ' - a ' ` SERVICES By: By: �, Deputy Cl to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: • Gerardy, Jerry and Prisci 3408 Cody Ave-. CO306-215 ,1 • �By: , t._ / (Si (us) WELD COUNTY DEPARTMENT OF HUMAN SERVICES , • By: ( 'rector Sign a e 8 Weld County Addendum to the CWS-7A OW-ai 6 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") between Gilstrap, William and Lynnette and the Weld County Department ofwn J crviicces��s for the period from July 1, 2008 t rdee The following provist ns, made this / day of 2008, are added to the referenced Agreement. Except ait modified hereby, all terms t 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 pm-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#1525054. 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 0,9e -c1/4 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 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 01)One round trip a week 0 I 2 round trips a week 02) 3-4 round trips a week. ❑21 )5 round trips a week 03)6 round trips a week ❑31 )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 ❑1'/2)Two times month 02)Three times a month ❑21 )Once a week 03)Two times a week ❑31/2)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 special education plan? ❑ Basic Maint.)No educational requirements 01)Less than a''/2 hour per day ❑11 ) lh hour a day ❑2) 1 hour a day 02 1/2) 1'h-2 hours per day 03)2'/2-3 hours per day 031/2)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 02) 8 to 10 hours per week ❑21 ) 11 to 14 hours per week ❑3)Constant basis during awake hours ❑31/2)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feedi bathing,grooming,physical,and/or occupational therapy? ❑ Basic Maint.)0-2 hours per week 01)3 to 4 hours per week ❑11 )5 to 7 hours per week ❑2)8 to 10 hours per week ❑21/2) 11 to 15 hours per week ❑3) 16 to 20 per week ❑31/2)21 or more hours per week A 1. How often is CPA/County case management required? (Does not include therapy) ❑Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) 01)Face-to-face contact one time per month with child and minimal crisis intervention. ❑hh)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. ❑21 ) 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. ❑31/2)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 CWF • 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. �- Rahn of Conditions (Check one box for each category Moderate ? Q ,.;.::•:.• •.:>.•:s�;• C..•....... 0 1 2. 3: Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ O ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing El ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ O Presence of Psychiatric Symptoms/Conditions ❑ O ❑ El Enuresis/Encopresis ❑ ❑ • ❑ ❑ Runaway ❑ ❑ O El Sexual Offenses ❑ ❑ O ❑ 5 Weld County Addendum to the CWS-7. BEHAVIOR ASSESSMENT CONTINUED • (Exhibit R) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. . • .. Rating of Conditions .: (Check one box for each category) sment 0,^ Severe ... •:.4o ,., one mad jVloderate Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ O ❑ Depressive-like Behavior ❑ ❑ O ❑ Medical Needs (If condition is rated"severe",please complete ❑ O ❑ ❑ the Medically fragile NBC) Emancipation ❑ El ❑ O Eating Problems ❑ O ❑ ❑ Boundary Issues ❑ O O O Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) n0 n 1 n2 n 3 6 Weld County Addendum to the CWS-7, WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) • REC M MENDED LEVEL SERVICE : Level Aa(�,.:.:.... 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 ($586/month) +Res i�te Care$.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) •l i t z x nF3'.2 i 15•r.M,:"f I r ,i I,G c � r 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: 11411111444 Weld County C lb •rd 122...41)7 WELD COUNTY BOARD OF HUMAN SERVICES, ON BEHALF a OF THE WELD COUNTY A I,,:1" DEPARTMENT OF HUMAN ' � SERVICES By: By: /nn"; 6ti r Deputy CI to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Gilstrap, William and Lynnette 6363 St Vrain Ranch Blvd Firestone, CO 80 By: / ��- dribeigna WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: (Di ector Signa e) 8 Weld County Addendum to the CWS-7A a —aii'5 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Hebbeler, Troy and Christina and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this Lid( day of Sane— , 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#1522988. 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 ,91298-07/6 9 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 4,8 ) o r after a child is placed in cAtilr provider's care. Medical examinations need to be ct y�within 1 j1 ys of the child being placed with Provider and dental examinations need to be s 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 jTRAILS CASE ID !DOB M F I I WORKER COMPLETING ASSESSMENT HH# 1DATE 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 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? 0 Basic Maint.)No participation required 01)Once a month 01%)Two times month ❑2)Three times a month ❑2%)Once a week O3)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 01)Less than a Yz hour per day 01%) '/2 hour a day O2) 1 hour a day O2 %) 1'/r2 hours per day O3)2'/2-3 hours per day O3%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑Basic Maint.)No special involvement needed ❑1) Less than 5 hours per week ❑1%)5 to 7 hours per week O2) 8 to 10 hours per week O2%) 11 to 14 hours per week ❑ 3)Constant basis during awake hours O3%)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 01%)5 to 7 hours per week ❑2)8 to 10 hours per week O2%) 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.) ❑1)Face-to-face contact one time per month with child and minimal crisis intervention. O 1%)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-7A 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 asply to this child. � ..": i Y I �6 f r ijt'LLI"8.. : itter teak ilia 4 tt �r. lax :3 iSv' 9..iit brS.,,, 3. 4it.s'c aL.i t {.:..` .'.a Rv X79 . Aggression/Cruelty to Animals ❑ 0 0 ❑ Verbal or Physical Threatening ❑ 0 0 0 Destructive of Property/Fire Setting 0 0 0 0 Stealing ❑ 0 0 0 Self-injurious Behavior ❑ 0 0 0 Substance Abuse ❑ ❑ ❑ 0 Presence of Psychiatric Symptoms/Conditions ❑ 0 0 ❑ Enuresis/Encopresis O 0 0 0 Runaway ❑ ❑ 0 0 Sexual Offenses O 0 0 0 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that ap.ly to this child. i �;hi mac, ,fts s ,,77 ilitt. •,' 'a`r.'S+t;tfa` s , �,L F P e ' F. &,,g a #El �'at tea P s Y � titilniefigagaitest ---,— Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ 0 Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ 0 CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS-7A S-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) r. y �..�"^FikE �l E t t (SC' t _•, � f »' � ✓ � r 'dr + h } � R s' 4 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 4.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 1/2R +$.66 Respite Care Total Rate=($23.67 day/$720 month) Stz $26.30 2 +$.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 4.66 Respite Care Total Rate=($33.54day/$1020 month) ata ,ar $36.16 3 1/2 4.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4415 $39.45 TRCCF Drop Down 4.66 Respite Care Total Rate=($40.11 day/$1220 month) ergf Assessment Rate ti.4 $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: L� ��"�"" �"' Weld County Cler oard jctj �" E La WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF $6' 1 OF THE WELD COUNTY "' Ca DEPARTMENT OF SOCIAL \'�'' fI`i A SERVICES N.-CI r By: By: '--y �G...i Deputy Clerk to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Hebbeler, Troy and Christina 3610 Cactus Ave Evans, 80620 By: gna ur WELD COUNTY DEPARTMENT / OF SOCIAL SERVICES C By: (Dir for Signa e) 8 Weld County Addendum to the CWS-7A r9eoc-a/6 9 • WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the"Agreement") between Heimer, Sara and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. ttThe following provisions, made this / day of Tho t�p l , 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#1547292. 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 dO ai�5 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 N/^ ` + J i1 Ct Cpl I, STATE ID# SEX TRAILS CASE ID DOB H (, YlC Chu (1 Jt RY M F WORKER COMPLETING ASSESSMENT HH# 1DATE 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%)2 round trips a week ❑2)3-4 round trips a week. 02%)5 round trips a week ❑3)6 round trips a week ❑3'/)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 ❑1'/)Two times month 02)Three times a month 02%)Once a week ❑3)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 or special education plan? ❑ Basic Maint.)No educational requirements 01)Less than a%2 hour per day 011/2) 1/2 hour a day ❑2) 1 hour a day 02 %) 1'/r2 hours per day 03)2'A-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? 0 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 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 feeding, bathing,grooming,physical,and/or occupational therapy? ❑Basic Maint.)0-2 hours per week 01)3 to 4 hours per week ❑1%)5 to 7 hours per week 02) 8 to 10 hours per week ❑2%) 11 to 15 hours per week ❑3) 16 to 20 per week 03%)21 or more hours per week A 1. How often is CPA/County case management required?(Does not include therapy) ❑Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) 01)Face-to-face contact one time per month with child and minimal crisis intervention. ❑1%)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 02%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 03%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)Not needed or provided by another source(i.e. Medicaid) ❑1)Less than 4 hours per month ❑2)4-8 hours per month 03)9-12 hours per month 4 Weld County Addendum to the CWS-7A 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. a..'x - ` . ' 4 + �. `Nl ,fit' : 977:ut*x.; "xc --.. M'* .a,°4. agw5 „a a*y,.'u' i e #ut„,,avk,,�' S"`isx•2 .., r a � 'f. '£*'�S. . �',sM. ��°°'` �s, ��"fy, ,y, � •ate 's'sgT •� i ar'�.F '�€ + �5@�a.�'p ��q � �. '* � 5 �, "p�;,� �, a't #H�3i.?'��,.'�t:y�°i}9n"� 3a� 'ss `4 ":�� �?vh '4 i���2�.'x.'.i. �i .�h4•sS"°i°b"Ta��t4'4d ii" L°°°'� k �w' § ''..��µY�i #, � - r' ^a e c° ��k,''` ₹,,a'i R°•q0;^ �% y`�'° ay ,tzt . &� mss. "a. ° `afitreirst Aggression/Cruelty to Animals ❑ 0 0 0 Verbal or Physical Threatening ❑ 0 0 ❑ Destructive of Property/Fire Setting 0 0 ❑ 0 Stealing ❑ 0 0 0 Self-injurious Behavior ❑ 0 0 ❑ Substance Abuse ❑ 0 0 ❑ Presence of Psychiatric Symptoms/Conditions 0 0 ❑ 0 Enuresis/Encopresis ❑ ❑ ❑ 0 Runaway ❑ 0 0 0 Sexual Offenses ❑ ❑ ❑ 0 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a..I to this child. 'MI ta" °s ;: L' r - t` `" ' � ` 4h � s°s° • bill!!* i F'°•, ' '' ,u N: ' a'+'e �' b k § ,qT 9 , 'F y " 4 Gist i q g � t P+.h �s',rs�.§4^ ,{ 'h`3r.£5,. " �' � 1 � °� Y TM -ly �°,. � ' �;i..."r¢¢,"hiS it s4`.W '�u ttfig �'`au da >q �. �. t - * ,w.s��*�� , �' :��� 'S ateSk g 'x, z.. }s tnn. .v w.� tta '.Fin. .'i:nixa- Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ 0 ❑ Delinquent Behavior ❑ ❑ 0 0 Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete O ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ 0 Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ 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 CWS-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) YkT'. "I�tk ti f - ,x 'o- 3Ra s t y � �. �� - YES s x{� ., .,, %':,_ (SSi9. { a.k t 's-,,,,, .La'.3u..r�SSt.d[ ".»."�. CX1:sa�. A.e 0-10...$16.32/da $496/month md 01 County Basic A.e 11-14...$18.05/da $549/month Maint. ON lief A.e 15-21...$19.27/da $586/month +Res.ite Care$.66/da $20/month 00 Pi $19.73 1 +$.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) -144 $26.30 2 +$.66 Respite Care liklTotal Rate=($26.96 day/$820 month) $29.59 2 1/2r....-‘,..1, +$.66 Respite Care Al Total Rate=($30.25 day/$920 month) 4. $32.88 3 +$.66 Respite Care Total Rate=($33.54day/$1020 month) K. $36.16 3 112 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) or 4 $39.45 +$.66 Respite Care TRCCF Drop Down Total Rate=($40.11 day/$1220 month) Assessment Rate (30 day max) $30.25 day/$920 month(Includes Respite) ea Effective 7/1/2008 7 Weld County Addendum to the CW S- IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: 1441/121714% Weld County Clerk oard #�y, IS `� WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF isel C 4;,r OF THE WELD COUNTY ^/` �— DEPARTMENT OF SOCIAL SERVICES By: BY: 7-7—ti! �Gw� Deputy CI ' to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Heimer, Sara 3000 W 19th St Greeley, CO 806341I • By:� t1 ue l l Pt‘e C (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: ( irector Si re) 8 Weld County Addendum to the CWS-7A • WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") between Hernandez, Roberto and Margarita and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this /9 day of nye , 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# 1520297 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 arn8- a/' 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 ID# SEX j1'RAILS CASE ID IDOB M F I I WORKER COMPLETING ASSESSMENT HH# IDATE 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'A) 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 ❑l)Once a month ❑1%2)Two times month 02)Three times a month 02%)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 01)Less than a '/2 hour per day 01%) 'A hour a day ❑2) 1 hour a day 02 '/,) 1'/,-2 hours per day 03)2'/2-3 hours per day ❑3Y:)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 DI) Less than 5 hours per week 01%)5 to 7 hours per week 92) 8 to 10 hours per week ❑2%) 11 to 14 hours per week ❑3)Constant basis during awake hours 931/2)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 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 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.) ❑l)Face-to-face contact one time per month with child and minimal crisis intervention. ❑11/2)Face-to-face contact one time per month with child and occasional crisis intervention. 92)Face-to-face contact two times per month with child and occasional crisis intervention. ❑2Yz)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'A)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) ❑l)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-7A 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. vac-.F4!i.Y 3 w!! ..0 g G p - &: 2't.' S ��� l G!i . ,,., [[��`` �n.T7!'+6 r ! ,a4 $s `t G l.uw4 S 11 4 ��ttw"� G' �.. l �v t�.>�.F '�..'� s .! ,t �. `� G3� 3'`" ��Il1' � ! Ns:- � ! 20 ' >n. .:£.� _ 'fib36`�i 7. i r .1! !@ "M R 4j.{z ht G hA'� 3kN ., t'Mire .ii £ y�Z 3 I k°YL` 3�!!4 T >A 'r� tiu �T { tn"Yv� �5 . Aggression/Cruelty to Animals ❑ ❑ ❑ 0 Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ 0 ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ 0 Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ 0 Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) • Please rate the behavior/intensity of conditions which create the need for services that apply to this child. r 11 z 1,' 1 3as a ;�: '' otcond QiRi1 y2 6- I ^� . + l � k .�$t1C O�I4� C8 U' i fh t 47'x,,. � ' ��" 'c s ,,' tr y 'iP � t aer � i' (t's�a '�°p v�� C N i?d �gNc ! 1 ys i* x ��, vu to ,hli 3 ' r ,, n x r hi) s. .� r is .z ` i , „5 ₹ ,� i"fis 4 .r"i. .ii( + �viya -,,t±.77 & c 1c, s v.,...�..`., . ..__ ., .: L.,.. .�. .[ ? k�� ........ .... . . .,.F. Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ 0 0 Medical Needs (If condition is rated"severe",please complete ❑ ❑ 0 0 the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) {;Ba k1)5 : 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) $29.59 2 112 +$.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 - 4.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 TRCCF Drop Down • 466 Respite Care Total Rate=($40.11 day/$1220 month) Assessment Rateri.. $30.25 day/$920 month(Includes Respite) (30 day max) Effective 7/1/2008 7 Weld County Addendum to the CWS-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: ik 1 /t all-A j Weld County Clerk to the Board 4-41 E WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF is6i ?s? OF THE WELD COUNTY "•J• 4_¢ �: :.a� DEPARTMENT OF SOCIAL SERVICES By: By: (CMG Deputy Cl t to the Board �Ll Chair Signature William H. Jerke AUG 1 1 2000 PROVIDER: Hernandez, Roberto and Margarita 912 Elm Ct Fort Lt to By:42 ($7, 44,- O i ( igna WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: (D rector Signa e) 8 Weld County Addendum to the CWS-7A (Awe-07/4 . t WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Hickey, Laurie and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this / day of "3"-v n)e , 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#1518754. 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 &c6Yv-&i/0 9 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 it 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.Z 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 IDOB M F I I WORKER COMPLETING ASSESSMENT HH# PATE 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 O 3%)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 ❑1%)Two times month 02)Three times a month ❑2%)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 or special education plan? ❑Basic Maint.)No educational requirements On Less than a'/z hour per day 01%) %hour a day ❑2) 1 hour a day 02 %) 1'/r2 hours per day 03)2%r3 hours per day 03%2)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week ❑1%)5 to 7 hours per week 02) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours ❑3%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical,and/or occupational therapy? ❑Basic Maint.)0-2 hours per week 01)3 to 4 hours per week 01%)5 to 7 hours per week 02) 8 to 10 hours per week 02%) I1 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 Der 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%)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-7A 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. • _ i 1 I !' t i I _ t eit%Ar.."Lt4e%n811,14 it 1 rtelii,WrilThzebekgraiC475 ..may, Ili ills • 2 a Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ 0 0 ❑ Destructive of Property/Fire Setting 0 0 0 ❑ Stealing ❑ 0 0 0 Self-injurious Behavior ❑ ❑ 0 ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ 0 ❑ 0 Runaway ❑ 0 ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. �. - it r a , ;� 47:17'. Y .^� tit l�"Eg �'`:y,"s�!r'.,R".�,"-'T! +'Elgilkalr7 .7-t.'et+vP kin gs d ::;:-C,i rµ�� .��..R � Ida t I 1 I t 1 ��� fiatti i'3'2y'sYF '� I t% t 4 ,,,iii i.).:%;2t +,isselitakiimotikzAiitim Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ 0 ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) l• lra�:,:.m f.�2*�::-.� n�. �k3.�.�.�.':,�.r^' .z4t�,..E3.33Wa.;,..,s A•e0-10...$16.32/da $496/month County Basic A.e 11-14...$18.05/da $549/month Maint. A.e 15-21...$19.27/da $586/month +Respite Care$.66/da $20/month $19.73 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 1/2 4.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 4.66 Respite Care Total Rate=($26.96 day/$820 month) $29.59 2 1/2 +$.66 Respite Care Total Rate=($30.25 day/$920 month) Zif $32.88 3 Knt 4.66 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 ins $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: 1441414/1164 Weld County Board -44 -da WELD COUNTY BOARD OF MIt i as SOCIAL SERVICES, ON BEHALF aA OF THE WELD COUNTY �`` DEPARTMENT OF SOCIAL � � Q.t SERVICES By: / /1, . ' By: - Deputy C1e c to t e Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Hickey, Laurie 1125 Walnut St Windsor, CO 80550 By: OCR 1112 (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: a (Dir ctor Signal e) 8 Weld County Addendum to the CWS-7A aeri-are ? WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Holmgren, David and Dawn and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this ( day of 2008, are added to the referenced Agreement. Except as modified hereby, all terms th 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#1522699. 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 awe-07/6 2 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# IDATE 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'/z)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 01)Once a month ❑1%)Two times month 02)Three times a month 02%)Once a week 03)Two times a week ❑3'%z)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 On Less than a%z hour per day ❑1%) %z hour a day 02) 1 hour a day 02 4) 1'/z-2 hours per day 03)2Yz-3 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? ❑ Basic Maint.)No special involvement needed On Less than 5 hours per week ❑1%) 5 to 7 hours per week ❑2)8 to 10 hours per week 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours 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 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 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.) 01)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%)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) 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-7A • 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. 4 T +. §^a'":� M*N7Y ,'°M+°°c sa},�s "6I<- *�iaa r rr, a °'°��: t 4. � ,1' ;i4 ': a°}'x �°i';vg'"h " 'a.'t V`t? ' :C f v r 4. h'*siW +.�,V° 't .n,$� �y RbT Y� 4 4 ' fl 3` F§ uki ' ` i't e `4 i a § `S '4'� re .4, `� tt `, y _' .nes, +�„ '* .: s # `:ii" =:t' 't 3 ;� 'x'' n -_`F. §a "t °3�&''w ,. �°.. .:^:'^��.��:.:.sx �'v..... :�,.�., tx,xr:�d, w"'�s.,.r�..�° '�ki'.+�as; is`�§,::� Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ 0 ❑ 0 Destructive of Property/Fire Setting 0 ❑ 0 ❑ Stealing ❑ 0 ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ 0 0 ❑ Presence of Psychiatric Symptoms/Conditions 0 ❑ ❑ ❑ Enuresis/Encopresis ❑ 0 ❑ 0 Runaway ❑ 0 ❑ 0 Sexual Offenses ❑ 0 ❑ ❑ 5 Weld County Addendum to the CWS-7A • BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. „.„ p ^iA d. v sR M r> �`&� �2w +� a as ' ;3} s e r "[aa +� zxts'a+eg,- a s "q " = i- fr . ......". Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ 0 ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ 0 0 Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ 0 ❑ ❑ Education ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) s $� ~ss.� t k `a ' �la ati 3 E 2 z. -. '7,'..:,dF y & d ! A !,0. " I S i T�yy � �'.� �i� � �3. i4 ^3II i;N{.g'L.. F'L..X`� . RIA.e 0-10...$16.32/da $496/month County Basic Ave 11-14...$18.05/da $549/month Maint. Ass 15-21...$19.27/da $586/month *Respite Care$.66/da $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)1-4 $29.59 2 1/2 4.66 Respite Care Total Rate=($30.25 day/$920 month) $32.88 3 i.. 4.66 Respite Care 9. Total Rate=($33.54day/$1020 month) LA $36.16 3 1/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 TRCCF Drop Down 4.66 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-71 IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: gl#4�"�"'_4 Weld County Cler and WELD COUNTY BOARD OF X61t\ �° SOCIAL SERVICES, ON BEHALF -6, OF THE WELD COUNTY DEPARTMENT OF SOCIAL ' %' A A SERVICES By: Zi'itket & By: % �G+� Deputy C to t e Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Holmgren, David and Dawn 864 Amber Court Windsor, CO 80550 By: ( tgnature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: ( ' ector Sign t re) 8 Weld County Addendum to the CWS-7A WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the"Agreement") between Housden, Richard and Rhonda and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this AXday of , 2008, are added to the referenced Agreement. Except as modified hereby, all terms of e 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 prerado?rime 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#1550415. 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 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 & r61-k1 SrYl i STATE ID# SEX O [TRAILS CASE ID 1DOB /I q ,O 7 WORKER COMPLETING ASSESSMENT HH# I (DATE OF ASSESSMENT / AGENCY NAME PROVIDER NAME H_u,^ J,•, PROVIDER TRAILS ID ANSWERS TO THE FOLLOWING I 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%z)2 round trips a week 02)3-4 round trips a week. 02%)5 round trips a week ❑3)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 01)Once a month 01%)Two times month 02)Three times a month 02%)Once a week 03)Two times a week ❑3'/z)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? 0 Basic Maint.)No educational requirements ❑1)Less than a''/2 hour per day 01%) '/ hour a day ❑2) 1 hour a day 02 %) 1'/2-2 hours per day 03)2'/z-3 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? ❑Basic Maint.)No special involvement needed 01)Less than 5 hours per week 01%)5 to 7 hours per week 02) 8 to 10 hours per week 02%) 11 to 14 hours per week 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 feeding, 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 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. ❑3)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-7A WELD COUNTY NEEDS BASED CARE ASSEDSSSSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensity of conditions which create the need for services that a..ly to this child.'flitiiy° "S'' t'° ht §, 'i.y4' s . ^' �°' > z W+47:, } t y . \ ii a i {i 17,'''''''"'"11;"'-'"‘ �yt4 411' t3 "+'s a :^ 5' xntics , ?:m .k a± t i ;�a � °y` vd : ,, z s ,, ,,,y-- x .. t'�„„.,.�,.rxa .mss .,�*tg}'w _ a .e 5 �yy ° " 4 4 e 'ta u[, 'tt. .C w t i+, ik s t,; �.ar r - >x�; 9. x d 5 ,,,,,;;;;;;,,/;€,,,?:::,Tr °,, ``sl a }t f: F'� r1, ,^f. ttamat a A�_�.�^ * . ,� ai*Tn' 't `� �`` agapit i4 ".'�G, Stsv ^it t:u. ..ai 41. t�y*'t.. 'P tz."'":'-';r::''u,..,. 's..td �.°i...%, s Aggression/Cruelty to Animals ❑ 0 El ❑ Verbal or Physical Threatening ❑ 0 0 0 Destructive of Property/Fire Setting 0 0 0 0 Stealing ❑ 0 0 0 Self-injurious Behavior El 0 0 0 Substance Abuse ❑ O 0 O Presence of Psychiatric Symptoms/Conditions 0 El 0 El Enuresis/Encopresis ❑ 0 0 0 Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ 0 0 0 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a..ly to this child r'��it. .,5kykt�.�4 'm it*c d � 'a T. 4 ns�%v°'`f * � '. t SLY � ? v'J.' �` A'.+4S �� a" • :° • v7 ..°C>:xa.;�.,:n, ,xad ..._i... .°�ws rd°,;s_. °•»a :a' ,h"sa�ca;: a ... :" �....x,.; .a.__..,.,�,.; __...._.., ..... Inappropriate Sexual Behavior ❑ 0 ❑ ❑ Disruptive Behavior ❑ ❑ 0 0 Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ 0 Medical Needs (If condition is rated"severe",please complete O 0 ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ 0 0 Eating Problems ❑ 0 ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ 0 ❑ Education ❑ ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) tilt t r ah Yw. a 1 7 SJt > ro 3 A•e 0-10...$16.32/da $496/month County Basic tiRi A.e 11-14...$18.05/da $549/month Maint. Poe 15-21...$19.27/da $586/month +Respite Care$.66/da $20/month $19.73 1 4.66 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) LIM $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) $36.16 3 1/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) $39.45 4 +$.66 Respite Care TRCCF Drop Down 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: Lad/A, Weld Count i Board ,� WELD COUNTY BOARD OF ¢ , �. o S SOCIAL SERVICES, ON BEHALF 0•c ` h OF THE WELD COUNTY . l- DEPARTMENT OF SOCIAL C .` " ' SERVICES By: g 7 By: '2--vcrk- ✓ Deputy Cl to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Housden, Richard and Rhonda 1671 S Troy St Aurora O 80012 (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: 1 (Dire for Signatur 8 Weld County Addendum to the CWS-7A WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") between Hunt, Olen J and Nina 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 ,� , 2008, are added to the referenced Agreement. Except as modified hereby, all terms 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#1503154. 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 h//'0 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 ID# ISEX F TRAILS CASE ID jDOB WORKER COMPLETING ASSESSMENT HH# I IRATE 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 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 01)Once a month 01%)Two times month O2)Three times a month O2%)Once a week O3)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 ❑2) 1 hour a day O2 %) 1'/z-2 hours per day O3)2%-3 hours per day O3%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week 01%)5 to 7 hours per week ❑2)8 to 10 hours per week O2%) 11 to 14 hours per week O 3)Constant basis during awake hours O3%)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 01%)5 to 7 hours per week O2) 8 to 10 hours per week O2%) 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.) ❑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. O2)Face-to-face contact two times per month with child and occasional crisis intervention. O2%)Face-to-face contact three times per month with child and occasional crisis intervention. O3)Face-to-face contact weekly with child and occasional crisis intervention. O3%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? O0)Not needed or provided by another source(i.e.Medicaid) 01)Less than 4 hours per month O2)4-8 hours per month ❑3)9-12 hours per month 4 Weld County Addendum to the CWS-7A 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..1 to this child. h' Aggression/Cruelty to Animals ❑ 0 ❑ 0 Verbal or Physical Threatening ❑ 0 ❑ 0 Destructive of Property/Fire Setting ❑ 0 ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ 0 ❑ 0 Substance Abuse ❑ 0 0 ❑ Presence of Psychiatric Symptoms/Conditions 0 ❑ 0 0 Enuresis/Encopresis ❑ ❑ 0 ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ 0 0 ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) yy Please rate the behavior/intensit of conditions which create the need for services that a.ply to this child. �_...._�.,.a.. .+..{�.k .�'cs,. _.__: ..., ,...::e .xv .:.s'a�:r. 4 .�x� _-s v.0..,*. 4� ._._.a...w`+�.„:. _....q: .. .._._. .• . .._........ .wv..�.„: m..'fi'`;y..' Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ 0 ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ 0 ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ 0 the Medically fragile NBC) Emancipation ❑ ❑ ❑ 0 Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ 0 Requires Night Care ❑ ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) Ase 0-10...$16.32/da $496/month County Basic frirJi 11-14...$18.05/da $549/month Maint. A.e 15-21...$19.27/da $586/month +Respite Care$.66/da $20/month ,:-- $19.73 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 1/2 4.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 +$.66 Respite Care Total Rate=($26.96 day/$820 month) khq $29.59 2 1/2 +$.66 Respite Care Total Rate=($30.25 day/$920 month) $32.88 3 4.66 Respite Care rig Total Rate=($33.54day/$1020 month) $36.16 31/2 4.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 TRCCF Drop Down 4.66 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-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: gutieW Al Weld County Cler and WELD COUNTY BOARD OF " Ellett SERVICES, ON BEHALF i's� �' ' �' OF THE WELD COUNTY �` `!, '' DEPARTMENT OF HUMAN `._ ' SERVICES i 7 By: '? ' ' ���� By: /jL✓` Deputy Cl to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Hunt, Olen J and Nina 224 48th Ave Greeley, CO 8063 By: ign WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: (Di CorssgQet) 8 Weld County Addendum to the CWS-7A dwei--c /(o; WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the"Agreement between Hymel, Chad and tiffany t415 JaV 30 and the AM II' /8 Weld County Department of Human Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this ?Ai day of , L} J. , 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#1540875. 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 0,901-a/65 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 ID# SEX TRAILS CASE ID IDOB M F I I WORKER COMPLETING ASSESSMENT HH# 1DATE 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 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? O Basic Maint.)No participation required ❑1)Once a month 01%)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 or special education plan? O Basic Maint.)No educational requirements ❑1)Less than a'/z hour per day O1'A) 1/2 hour a day ❑2) 1 hour a day 02 %) 11/2-2 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 ❑1)Less than 5 hours per week 01%)5 to 7 hours per week ❑2)8 to 10 hours per week ❑2%r) 11 to 14 hours per week O 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? O Basic Maint.)0-2 hours per week ❑1) 3 to 4 hours per week 01%)5 to 7 hours per week ❑2) 8 to 10 hours per week 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'%r)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) ❑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-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensit of conditions which create the need for services that apply to this child. ,' .fug.4 #'x t,t.z , a £t t ,y , :':=,. ,t 4�e � 4 4 a. `1 h 2: irrr � v f '+3 tP u -i't s d a ,d,[, t2ar ""' s ' � as �a c r x�" �..a;;ua+ , �' `',1.1A .b. -°..dv..�u6,.e"7"ag'��.� �.m .,��$,.aC�. �3r t...�"r3 "� °F '� Ek . -.�.. Aggression/Cruelty to Animals ❑ 0 ❑ ❑ Verbal or Physical Threatening ❑ ❑ 0 0 Destructive of Property/Fire Setting 0 0 ❑ 0 Stealing ❑ ❑ ❑ 0 Self-injurious Behavior ❑ ❑ ❑ 0 Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ 0 Runaway ❑ ❑ ❑ 0 Sexual Offenses ❑ 0 ❑ 0 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. ` ' � dt.. <•.. 3 e i 1 ` x k '�xx '' ' 'y s. .c ;.y`v+ v+,. xr°;� 4 i x.� y " ky. x�' .a^ t � I Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior O 0 0 0 Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior O ❑ 0 0 Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ 0 0 Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) ; tt+ A.e 0-10...$16.32/da $496/month County Basic A.e 11-14...$18.05/da $549/month Maint. Ace 15-21...$19.27/da $586/month +Respite Care$.66/da $20/month tirf $19.73 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) FA $23.01 1 1/2 +$.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 +$.66 Respite Care Total Rate=($26.96 day/$820 month) fari $29.59 2 1/2 +$.66 Respite Care Total Rate=($30.25 day/$920 month) gat $32.88 3 +$.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 3 1/2 •Nie +$.66 Respite Care pei Total Rate=($36.82 day/$1,120 month) 4 $39.45 TRCCF Drop Down +$.66 Respite Care Total Rate=($40.11 day/$1220 month) tic Assessment Rate kte. $30.25 day/$920 month(Includes Respite) (30 day max) Mt Effective 7/1/2008 7 Weld County Addendum to the CWS-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: )04412671"44 Weld County/(p74�r4to-t oard .: Le I WELD COUNTY BOARD OF : iiyHUMAN SERVICES, ON BEHALF c,1:2,1:,J..- OF THE WELD COUNTY DEPARTMENT OF HUMAN `l'` - SERVICES By: By: 71.4--; �G,�-, Deputy Cl o the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Hymel, Chad and tiffany 1257 Red Mountain Dr Longmont, CO 80501 By: NA!-Iitill 4,_\ , �titl i (Si ature) WELD COUNTY DEPARTMENT f�i(���� OF HUMAN SERVICES WW'� /t Ly. By: (D ector Sig e) 8 Weld County Addendum to the CWS-7A 021‘7 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the"Agreement") between Jackson, Scott and Andrea and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this t31 S-&day of , 2008, are added to the referenced Agreement. Except as modified hereby, all terms offthAgreement 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#1536689. 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. t Weld County Addendum to the CWS-7A OW? CD?/e 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) VU.e, we --R6-Err )adop-t , tvewlevt± ss v20 needs bo.ced cebrt assessment Viet f be of ono) a5 etotraet sta'es Out {o be ja i A tA e. basic yveuh (e_ yak_ veyvd lcss of clul6k heeds < ST tl�,!e (Ur( ktili Ll� --tom a c 1 J has c in(mc.-1✓o-cznc-c C rad-c GAS •-os&r /a -bpf- pa.ru'ct l ckt to mot c�.6 ((C i.tih -lL Ioster /Adopt. pfraorreAls IeZ Skid j clue ` bO)79 a 7vsfei-/ ado riaoenti,/ , SJ 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# I I 1DATE 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'%z)2 round trips a week 02)3-4 round trips a week. 02%) 5 round trips a week 03) 6 round trips a week 031/2)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 On Once a month Di Yz)Two times month 02)Three times a month ❑2'/)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 or special education plan? 0 Basic Maint.)No educational requirements ❑1)Less than a''/ hour per day 01%) '/z hour a day ❑2) 1 hour a day 02 %) 11/4-2 hours per day 03)2'/z-3 hours per day 031/2)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 01%) 5 to 7 hours per week ❑2)8 to 10 hours per week ❑2%z) 11 to 14 hours per week ❑3)Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, 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 ❑3'%z)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.) 01)Face-to-face contact one time per month with child and minimal crisis intervention. 011/2)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 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-7A 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. 3 '� -,*, k2 sr,. r sh+ x x� 5C VI i r^^++ 'may `t !y'a s ,.v,4 h{{ 7- 11x$ .411.;". !b ;lir M1a t e! b a t ' ai i *yr , ,+ .hiL-� .FN^�-k ER.� tG r ! ze :-� _ t�� �`i i3M s,ya! k'- (YC ofirmit4 Y i t .,i L $' i . t.`+ '. L y.0 "(e !el t e ,{y{ �' { r"?I4"`F e 4Te ' '. .,...�. .... ...., .. v:' ' .SS K �.:.4ei�.... _., t 'iu..,6biGiv__G h" � ;, �n.. Aggression/Cruelty to Animals ❑ 0 0 0 Verbal or Physical Threatening ❑ 0 ❑ 0 Destructive of Property/Fire Setting ❑ ❑ ❑ 0 Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ 0 Substance Abuse ❑ 0 0 0 Presence of Psychiatric Symptoms/Conditions ❑ 0 ❑ 0 Enuresis/Encopresis ❑ 0 0 0 Runaway ❑ 0 ❑ 0 Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. $ ,Ti b� r s m 4t.Y �. s s ! ! ' w .f'S fiti• - _a ,� w i vi�,w( '' rt, v pit on O fore !ir .� ��t dday'v` i F i,r�,h.}a"i { a5 ,'I" 9 'k � ! . au 4: '**! h3h3, ! #' 4$ . t' ��t��r 3' 't..h, t �''YP,3L p !! 4a'Lar ARS j `-I''{I :._i4 P 5h sir ,�. .. M h S� ,. ,,,,-, ** i'i vIl fiig:F k- inn 'h`ie 5 j A Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ 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 ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) " t a ns t7atj..3 w7v 4�sl 9 ItiminionEniqfta raiVi4 klks: r~°t�� a.,z fifill;iCQ7NENAPEBign!jA in! . x� s IRRIANIR 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 ($586/month) tg +Respite Care$.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 ttt 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) y $39.45 TRCCF Drop Down +$.66 Respite Care Total Rate=($40.11 day/$1220 month) 1,,. *3 ... � js . :sus . .rs . s .i.„..c ltt Assessment Rate gig $30.25 day/$920 month(Includes Respite) (30 day max) Effective 7/1/2008 7 Weld County Addendum to the CWS-7A ' IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: ik'"7 �� " " Weld County Cl e Board 11, E L � WELD COUNTY BOARD OF `n SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: By: M-7 L+--/ Deputy C} •c to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Jackson, Scott and Andrea 425 Hickory Ln Johnstown, CO 80534 By: ( rure) WOF O A ER DEPARTMENT /,_U� OF SOCIAL SERVICES �/� � ' By: - (Dir ctor Signa e) 8 Weld County Addendum to the CWS-7A,+�v 07a9 -O7a WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the"Agreement") between Keaton, Roger (R.C.) and Eva and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this 1 day of , 2008, are added to the referenced Agreement. Except as modified hereby, all terms of the A eement 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#1545954. 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 ar ?- a/6 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 IDOB M F I I WORKER COMPLETING ASSESSMENT HH# IDATE 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 ❑PA)2 round trips a week O2)3-4 round trips a week. O2%)5 round trips a week O3)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 01)Once a month 01%)Two times month O2)Three times a month O2%)Once a week O3)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 %I hour per day ❑1''/) %l hour a day ❑2) 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 ❑l)Less than 5 hours per week Dv A) 5 to 7 hours per week O2) 8 to 10 hours per week ❑2%) 11 to 14 hours per week ❑3)Constant basis during awake hours O3%)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 01%) 5 to 7 hours per week O2) 8 to 10 hours per week ❑2%) 11 to 15 hours per week ❑3) 16 to 20 per week ❑3'h)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.) O 1)Face-to-face contact one time per month with child and minimal crisis intervention. O 1%)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. ❑3%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)Not needed or provided by another source(i.e. Medicaid) ❑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-7A • 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. Sart'Lli Two{v,• ,�4,£ F ..:9 ° 4s₹ 1. 'f „` : 4' ,2 Aggression/Cruelty to Animals ❑ ❑ 0 ❑ Verbal or Physical Threatening ❑ 0 ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ 0 Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ 0 ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ 0 ❑ Runaway ❑ 0 0 ❑ Sexual Offenses ❑ 0 0 ❑ 5 Weld County Addendum to the CWS-7A • BEHAVIOR ASSESSMENT CONTINUED . . ' (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a..ly to this child. ss,f qql ', . -'e..,3 , , > ,fit TR ."„� ' x°� r "' ` +'t' ' � ,:.*4 ,Y aqu e4 �� • � igitiAid k` i 1 ailtt � S.�°.isfi�k dv;ti � ... e Inappropriate Sexual Behavior ❑ 0 ❑ ❑ Disruptive Behavior ❑ El ❑ ❑ Delinquent Behavior ❑ ❑ 0 ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete El ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ 0 ❑ ❑ Education ❑ ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) a T- A.e 0-10...$16.32/da $496/month County Basic A•e 11-14...$18.05/da $549/month Maint. Me 15-21...$19.27/da $586/month +Respite Care$.66/da $20/month $19.73 1 Ze +$.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) -142 $26.30 2 F,1O +$.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 4.66 Respite Care Total Rate=($33.54day/$1020 month) 144 $36.16 3 112 +$.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 $30.25 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: 41414'414142/14-1411 Weld County Clerk the Board °K‘il .IE L WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY Ia qtr � 9 DEPARTMENT OF SOCIAL or SERVICES By: /ill /l(/1 �?`� ll uC/ B �Yw t Y Deputy Cle o the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Keaton, Roger(R.C.) and Eva 25565 CR 47 Greeley, CO 80631 By: ,t) 14 ti A---- (Signature) WELD COUNTY DEPARTMENT et/ 11 OF SOCIAL SERVICES �' ' By: (Dir ctor Signal ) 8 Weld County Addendum to the CW�S7-7A q cQtVJ 9/6, • WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the"Agreement") between Kilgore,Julius and Pamela and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this /9 day of A p,' � , 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#1538189. 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 9/6 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) DENTIFYING INFORMATION :HILD'S NAME STATE ID# SEX tTRAILS CASE ID IDOB M F VORKER COMPLETING ASSESSMENT HH# PATE OF ASSESSMENT \GENCY NAME PROVIDER NAME PROVIDER TRAILS ID \NSWERS 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. ME FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: ? 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 ❑2) 3-4 round trips a week. ❑2%2)5 round trips a week 03)6 round trips a week ❑3%)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 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 or special education plan? 0 Basic Maint.)No educational requirements ❑1)Less than a''/2 hour per day ❑1'/2) % hour a day 02) 1 hour a day 02 '/2) 1'/2-2 hours per day 03)2'/2-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? 0 Basic Maint.)No special involvement needed Du Less than 5 hours per week ❑1'%)5 to 7 hours per week 02) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑ 3)Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical, and/or occupational therapy? 0 Basic Maint.)0-2 hours per week ❑1) 3 to 4 hours per week ❑112)5 to 7 hours per week 02) 8 to 10 hours per week ❑2%) 11 to 15 hours per week ❑3) 16 to 20 per week 03%)21 or more hours per week A 1. How often is CPA/County case management required? (Does not include therapy) ['Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) ❑1)Face-to-face contact one time per month with child and minimal crisis intervention. ❑1%)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 02%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 03%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)Not needed or provided by another source(i.e.Medicaid) ❑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-7A • 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. �' £.�, t ' i 1 ! t 1 k i I }4 +3 F 4 Yt 3 gq x tf__ ScC 5111�'� 1 Y 4I t Paz zr i 4 `F' - a I d rt x a t 1� t• aa • Aggression/Cruelty to Animals ❑ ❑ 0 0 Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting 0 0 ❑ 0 Stealing o ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis O 0 ❑ ❑ Runaway O 0 ❑ 0 Sexual Offenses D ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSEN (ExhibSSMEit B) T CONTINUED Please rate the behavior/intensity of conditions which create the need for services that apply to this child. f:PAih gy u ETngitsme2ti�'�d, ti �v - 7s . xRt. z£ii ..� — cd ' 4y rti jiYl S b • t4 4 I 1 Uli.€(` Inappropriate Sexual Behavior O 0 0 0 Disruptive Behavior O 0 0 0 Delinquent Behavior O 0 0 0 Depressive-like Behavior O 0 0 0 Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ 0 the Medically fragile NBC) Emancipation ❑ 0 0 0 Eating Problems ❑ 0 0 0 Boundary Issues 0 0 0 0 Requires Night Care o ❑ 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 El 2 ❑ 3 6 weld County Addendum to the CWS-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) +2i 1L � nt �4aw�..`$. 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 $586/month +Respite Care$.66/da $20/month $19.73 1 4.66 Respite Care Total Rate= ($20.39 day/$620 month) 6031 1.44 $23.01 1 112 +$.66 Respite Care Total Rate=($23.67 day/$720 month) alzt $26.30 2 tita 554 +$.66 Respite Care Total Rate=($26.96 day/$820 month) $29.59 2 1/2 IPA +$.66 Respite Care Total Rate=($30.25 day/$920 month) $32.88 3 riga +$.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 3 1/272'4,41.: +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 TRCCF Drop Down 4.66 Respite Care Total Rate=($40.11 day/$1220 month) fat Assessment Rate $30.25 day/$920 month(Includes Respite) (30 day max) nan 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: to#401 Weld County Cler d -kici i2,11„,/4 (4/ WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF asi kil, -' OF THE WELD COUNTY \, , figs DEPARTMENT OF SOCIAL \O,.� ,\e SERVICES R By: 7 - By: r-2-=/�liU Deputy Cl to t e Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Kilgore, Julius and Pamela 1740 7th Ave Greeley,CO 80631 By: ' VI_A c QC,tX 6 C _� (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES ��A. �� �� ( �� t By: (Direct r Signatur 8 Weld County Addendum to the CWS-7A WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Kniss, Kevin and Kelly and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this / day of , 2008, are added to the referenced Agreement. Except as modified hereby, all terms o th 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#1524303. 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 cQ41J'— &/6 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 in 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 achild isplaced n f C J ipprovider's care. Medical examinations need to be completed-within 10 days of the chile)' 1,„ ' being placed with Provider and dental examinations need to be completed within 14 days N., of the child being placed with Provider. All documentation of these examinations will be ; ll 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 F 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 die 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. ❑2'/)5 round trips a week 03)6 round trips a week ❑3%)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 02)Three times a month 02%)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 01)Less than a''/3 hour per day 01%) % hour a day 02) 1 hour a day 02 %) 1'/r2 hours per day 03)2%-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑Basic Maint.)No special involvement needed ❑1) Less than 5 hours per week ❑1%)5 to 7 hours per week ❑2) 8 to 10 hours per week ❑2%:) 11 to 14 hours per week ❑3)Constant basis during awake hours ❑3'/)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical,and/or occupational therapy? 0 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 03%)21 or more hours per week A I. 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. ❑2%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. ❑3'/)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. >T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)Not needed or provided by another source(i.e.Medicaid) 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-7A 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. k� `^. t,, e i p t e r , r + Ss � 794 i ;�t' �irt � _pry r ..r1-3 --atsteittaltttbk-a.W.sa,,FCtiars,14ettatiOtsmeala '}^ i i epic .1 fi' tietWei � r/ a.R - IBASMNI;y es� i �z Y ' xenvt �n t��,, ,n ' l l t li} l Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ 0 ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ 0 Presence of Psychiatric Symptoms/Conditions 0 ❑ ❑ 0 Enuresis/Encopresis ❑ 0 0 ❑ Runaway ❑ 0 0 ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. .. : : 20it VONFSROMe-MFTFV:11M.:4SaraMin Ia a ,! . I it t i 63 Y R f ' a7; ti-Att 1 vet iy _v xPSi l� a{n yr,�3��1t N 1 m 11 �di�i. iiivvi..wi Inappropriate Sexual Behavior ❑ O ❑ ❑ Disruptive Behavior ❑ ❑ O O Delinquent Behavior O O O O Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ O ❑ ❑ Eating Problems ❑ ❑ O O Boundary Issues O ❑ O ❑ Requires Night Care ❑ ❑ ❑ O Education ❑ O ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ O CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) 'f -' - ( 3.. ₹� '�� l � 23n N4 ffi k ^� e'fg' 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 $586/month 1n, +Respite Care$.66/da $20/month $19.73 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) raf $23.01 1 1/2 +$.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 $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: atediath Weld County Cl oard n C WELD COUNTY BOARD OF 1861 SOCIAL SERVICES, ON BEHALF � OF THE WELD COUNTY (-7DEPARTMENT OF SOCIAL t SERVICES Pl\YF\\^C qq�� y% By: i�k 1L9(,i _a., By: ?-n----/ Kti...,, Deputy rk to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Kniss, Kevin and Kelly 1545 71st Ave Greeley, CO 80634 By: (Sign (, WELD COUNTY DEPARTMENT /�� C )/'( / OF SOCIAL SERVICES / ! By: 'rector Signal ) 8 Weld County Addendum to the CWS-7A art-C9/6 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the"Agreement") between Knutson, Troy and Stacy and the Weld County Department of Social Services for the period from July 1, 2008 through June 30,2009. The following provisions, made this 4:9 day of g , 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#1522516. 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 cat- oi/6 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 ITFtAILS CASE ID OOB 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 ❑1)One round trip a week 011/2)2 round trips a week O 2)3-4 round trips a week. ❑2%)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'/z)Two times month ❑2)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 or special education plan? ❑Basic Maint.)No educational requirements 01)Less than a''/z hour per day 011/2) 1/2 hour a day 02) 1 hour a day 02 %) 11/2-2 hours per day 03)21/4-3 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 01) 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 ❑ 3)Constant basis during awake hours ❑3%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical, and/or occupational therapy? ❑ Basic Maint.)0-2 hours per week ❑1) 3 to 4 hours per week 01%)5 to 7 hours per week 02) 8 to 10 hours per week ❑2%) 11 to 15 hours per week ❑3) 16 to 20 per week 03%)21 or more hours per week A 1. How often is CPA/County case management required?(Does not include therapy) ❑Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e.mutual care placements.) 01)Face-to-face contact one time per month with child and minimal crisis intervention. O 11/2)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. ❑2%z) Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 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-7A S-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the beha�ior'intensity of conditions which create the need for services that apply to this child. Rating of Conditions �� �'',.;r ARita (Check one box for each category) 3: � : Assessment Areas None Mild Moderate Severe Comments: 0 1 2 3 Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting O O El ❑ Stealing ❑ ❑ O Cl Self-injurious Behavior ❑ O ❑ O Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ O Runaway ❑ O ❑ O Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. 5,r ra t ccCcui5L46I:. 1 ha I'! d! M s ;y iY C ! k t 4,e �. A'�i a tl »..}y t e t tt ' ' .R -sY" >h '' 5,,,,' k ! q,' �3 d'N'2 r "v.: ib £ � team �+" v>;h s t f y art - t a !` .... ..�d�`_�1 ! �',..�f ,fi I' ��`.' 1�. _ __ a c�,,.:3� I ! G, is l.: E�� t, . e� a._. � ...:� '� ilts litirptf4a '` +� 74- 5a6i g xv� ,,,,,. i =a..s- t .,lL ca ;{�„ i3 , a r a k`wvi[ RE,Mx„+,w tir q` x 33 . + Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ 0 0 ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ 0 Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) 4444- M p . hr. ti, 1,44I . N. � 14Thir. amp-sa kb* fla:E1 - l y ar - 7 ,a r r a #E grr v !d yr x,iiric e a Aqe 0-10...$16.32/day ($496/month) County Basic ;", Age 11-14...$18.05/day ($549/month) Maint. 14, Aqe 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) I $23.01 1 1/2 ' : +$.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 D;A 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 ,.ti (30 day max) ri: $30.25 day/$920 month(Includes Respite) Effective 7/1/2008 7 Weld County Addendum to the CWS-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: /With Weld Coun Board KS' fwn KTI9L WELD COUNTY BOARD OF asi `FVF \ &-,a SOCIAL SERVICES, ON BEHALF :: h OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: By: /1\Mk-Pi-, Deputy C to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Knutson, Troy and Stacy 6250 Stagecoach Ave Firestone, CO 80504 By: %Zc,�‘7, g WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: (Dir c r Signature 8 Weld County Addendum to the CWS-7A WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the"Agreement") between Laube, Keith and Julie and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this (3 day of /I147 , 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#1514494. 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 / & — /l' 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 ❑1)One round trip a week 01%)2 round trips a week ❑2)3-4 round trips a week. ❑2'%)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? 0 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%) 1/2 hour a day ❑2) 1 hour a day 02 %) 1'h-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 01)Less than 5 hours per week ❑1%z)5 to 7 hours per week ❑2) 8 to 10 hours per week ❑2%:) 11 to 14 hours per week ❑3)Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical,and/or occupational therapy? 0 Basic Maint.)0-2 hours per week ❑1)3 to 4 hours per week 01%) 5 to 7 hours per week 02) 8 to 10 hours per week 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. ❑2)Face-to-face contact two times per month with child and occasional crisis intervention. ❑2%)Face-to-face contact three times per month with child and occasional crisis intervention. ❑3)Face-to-face contact weekly with child and occasional crisis intervention. ❑3%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)Not needed or provided by another source(i.e.Medicaid) ❑l)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-7A • 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 r b ,' .,�.`ay ea ab `r ,;: +*sa rxy. + IC §I�.� 3 c I this child. °u p *, • d a »' + }+4 -3•w9a,�r'4 'kR�•a m at 3 °±.s. 4 4 �u "a a�a •r "+ 4y v s #,��tt a ` � '��::�.�r"tr,l"�,`� b+} 'v 4�'• 'a�a �. v �. .' '?u •y, ' 'k tom' sY aYnu tat 2 m € •+ v k { *: `eisA ,t# '-x. .k ke :t1b`s` l e414II`t7:771..y�' s� .. . i.k°' to ' x is a shit gic 'l w hci �-� 3 a 3 1iN tin; ,- ,'" .i s v*: a o f . *4 ....:x_8:3 r n .�t a.+ �tm *✓��,�.`,&dh,�.a.-v'�&���. '�.�t�'�`�; 4 '�°'' Aggression/Cruelty to Animals ❑ 0 0 0 Verbal or Physical Threatening ❑ 0 ❑ ❑ Destructive of Property/Fire Setting 0 0 ❑ ❑ Stealing ❑ 0 0 ❑ Self-injurious Behavior O 0 0 0 Substance Abuse ❑ 0 ❑ ❑ Presence of Psychiatric Symptoms/Conditions 0 0 0 0 Enuresis/Encopresis O 0 ❑ ❑ Runaway ❑ 0 0 0 Sexual Offenses ❑ 0 0 ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a.ply to this child. • v •:r35}.vss.Es'�u vaxs,. h � _ § �+Y� a''`"x i{ Cr'r�"`' 4'` '#§ 's$"K, *. 4 tau +, .�y , , ""` v k ate: ' +c § r * 3.§ ..� n r::::A ."'�"'a i, a a .. #a �: 'Ek •Kr fi�,t sllekrtar : a��w ?,. . �+ . Inappropriate Sexual Behavior ❑ ❑ 0 0 Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior O 0 0 0 Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation O 0 0 0 Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ 0 0 0 Requires Night Care ❑ 0 ❑ 0 Education ❑ ❑ ❑ 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 CWS-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) x � 1 a rr �• -p ^q.. ≥Mfi Si.ixc '1 i s std 1 . A.e 0-10...$16.32/da $496/month A County Basic .e 11-14...$18.05/da $549/month Maint. A.e 15-21...$19.27/da $586/month) +Respite Care$.66/da $20/month $19.73 1141 +$.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 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) ooe 7.0 $36.16 3 112 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) €t. Assessment Rate $30.25 day/$920 month(Includes Respite) (30 day max) iz 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: "'"iala Weld County oard ' :f- WELD COUNTY BOARD OF y. r r SOCIAL SERVICES, ON BEHALF �' s OF THE WELD COUNTY a Ucv ;� h . r� DEPARTMENT OF SOCIAL N ClaI SERVICES By: By: (tG,. Deputy Cl tot e Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Laube, Keith and Julie 14497 WCR 76 Eaton, CO 80615 By: /kid. k tit- (Signature) U WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: (D ector Signa e) 8 Weld County Addendum to the CWS-7A �p �7 &v ` ( /e WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") between Lee, Steve and Brenda and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this 3 day of y 2008, are added to the referenced Agreement. Except as modified hereby, all terms of the A Bement 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#1512263. 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 .-OniP x/(0 9 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 ❑1)One round trip a week ❑1%a)2 round trips a week 02)3-4 round trips a week. ❑2'/)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 ❑l)Once a month 01%)Two times month 02)Three times a month 02%)Once a week 03)Two times a week ❑3%z)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? 0 Basic Maint.)No educational requirements ❑1)Less than a%hour per day 011/2) 1/2 hour a day 02) 1 hour a day 02 %) 1'//-2 hours per day 03)2%z-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week ❑1/) 5 to 7 hours per week 02) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical,and/or occupational therapy? ❑Basic Maint.)0-2 hours per week 01) 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.) 01)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. ❑2%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 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? 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-7A 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.ly to this child x W. i;; 6 nay �e :rff..�, i p "tom U( s I. �d - T '+Yit„ " .,�i , �s t rtt c s is t. r + PAC .. . . `4 5 `v`''iii +nfi �' i`` . R c g� i 4� by w t �'It 'v� i .it' 5. ' i 3i �'�� t'- 3. °s "�+ t aT y i 3 Etlact ,i 4 t. 5 py E u c '4 ii �i7� biort 1:2:34,;) 4;,1'h}9`ti ..�.,.i„ � d. _�s...inTaT�`�i�,•,,,.,��:.;' . ...... . ... ... • .... i. .. . .,_�.'.::. Aggression/Cruelty to Animals ❑ ❑ ❑ 0 Verbal or Physical Threatening O ❑ 0 ❑ Destructive of Property/Fire Setting ❑ 0 ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse O 0 0 0 Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ 0 Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. nc„m+ + - SCP: + .. rr + + 1 tI sti les L.g .y k + , �i^S g+iI ��� 5 ''._ k p' + s�. '��iH'#+" '5�jrt r # ,n:. ' a„ �`�` 7A. Nit f"" m1 yk:.i.iat -xa� � a.. � �"a, �rrr� i�ti �� r 'I°`r: + g :1'414. 1'45 :r+ �trra ,+ 1 ` terony�" L i + t • s + vs°"f i4 rev E • a d+ + �� �,• ,a. cair + a C x-n'a'" .+ i +4ui�.+' p. .,'f3 a t"+ s ,zs � 'k4 pt s 4�...:. : . :ka ';:;h( ,. 9 i{n .. .mn.�,:n. t wA = t !':'I'"`ivai.4 a..�}i. Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ 0 0 O Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ 0 0 Eating Problems ❑ ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) 4 a � r51 � 6 s -tot 'et): RMIMMBILMMIMPfill 5C u it S 'v,li .I 2 k x "s 3 4 � .k A i _ 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 m 4.66 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) $29.59 21/2 .' +$.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 - 4.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 TRCCF Drop Down ". +$.66 Respite Care tm Total Rate=($40.11 day/$1220 month) €+s 1111 Assessment Rate (30 day max) ;s.'.4 $30.25 day/$920 month(Includes Respite) Effective 7/1/2008 7 Weld County Addendum to the CWS-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: a ���a W ty Clerk to the Board E La WELD COUNTY BOARD OF s. !CA- c SOCIAL SERVICES, ON BEHALF t 4 )4-9 OF THE WELD COUNTY DEPARTMENT OF SOCIAL ,'• .1 c SERVICES By: /alma , .� /�, By: ik-G. Deputy Cl to t e Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Lee, Steve and Brenda 30932 WCR 50 Kersey, CO 80644 By: /t..erc (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: irector i natur 8 Weld County Addendum to the CWS-7A &cod &h 5 • WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the"Agreement") between Lewis, David and Connie and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this I day of �u f , 2008, are added to the referenced Agreement. Except as modified hereby, all terms ot'{he greement 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#1523277. 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 ,2'6P-0Vó9 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 turns 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 jDOB WORKER COMPLETING ASSESSMENT jIIH# �.t I DATE OF ASSESSMENT AGENCY NAME PROVIDER NAME I 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 01%)2 round trips a week 02)3-4 round trips a week. ❑2%)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? ❑Basic Maint.)No participation required ❑1)Once a month 01%)Two times month 02)Three times a month 02%)Once a week 03)Two times a week ❑3'%z)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? 0 Basic Maint.)No educational requirements ❑l)Less than a%z hour per day ❑1'/z) %z hour a day ❑2) 1 hour a day 02 %) 11/2-2 hours per day 03)2'/z-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? 0 Basic Maint.)No special involvement needed ❑l)Less than 5 hours per week 01%)5 to 7 hours per week 02) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours ❑3'%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical, and/or occupational therapy? ❑ Basic Maint.)0-2 hours per week ❑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 ❑3%z)21 or more hours per week A 1. How often is CPA/County case management required?(Does not include therapy) ❑Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) ❑1)Face-to-face contact one time per month with child and minimal crisis intervention. 01%)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 02%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 03%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? 00)Not needed or provided by another source(i.e. Medicaid) ❑l)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-7A S-7A 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. C;444.; R i D 1 6 fl f 1 �41F$m '—r tt.. i 5 e iJ ! � 'f •lacisat4 4y. ! i :*:WT.fe-iPt.a.ti0.1.4tatijagilicitiii..icinsa.Q.4 ton,watt 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 ❑ ❑ ❑ 0 Enuresis/Encopresis ❑ ❑ ❑ 0 Runaway ❑ 0 0 ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A S-7A BEHAVIOR ASSESSMENT CONTINUED • (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a..ly to this child.ASirif4 4 �+ Fri ��iv'-:: 'ar` "'Wirt " '4 .t 4L aI # ' P di E! X6F A S� fir,. a ' yCVe VE ! ! t -=1 4 y'rsu 1/1/4 tkAilawatiWIligianitrantrigt: !=;rte,:: Inappropriate Sexual Behavior ❑ 0 0 ❑ Disruptive Behavior ❑ 0 0 0 Delinquent Behavior ❑ ❑ 0 0 Depressive-like Behavior O 0 0 0 Medical Needs (If condition is rated"severe",please complete ❑ 0 0 the Medically fragile NBC) Emancipation ❑ 0 0 0 Eating Problems ❑ ❑ ❑ 0 Boundary Issues ❑ ❑ 0 0 Requires Night Care ❑ 0 0 ❑ Education ❑ 0 0 0 Involvement with Child's Family O ❑ 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-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) Wit- °1 T Wy�'t rpry. y Y 1w - A•e 0-10...$16.32/da $496/month County Basic i A.e 11-14...$18.05/da $549/month EY Maint. A.e 15-21...$19.27/da $586/month +Respite Care$.66/da $20/month $19.73 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) p,. '- $23.01 1 1/2 ' +$.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 4.66 Respite Care Total Rate=($26.96 day/$820 month) $29.59 2 1/2 +$.66 Respite Care es Total Rate=($30.25 day/$920 month) $32.88 3 4.66 Respite Care Total Rate=($33.54day/$1020 month) n G. $36.16 3 1/2 4.66 Respite Care Total Rate=($36.82 day/$1,120 month) $39.45 4 +$.66 Respite Care TRCCF Drop Down .t; Total Rate=($40.11 day/$1220 month) ex; Assessment Rate $30.25 day/$920 month(Includes Respite) (30 day max) . Effective 7/1/2008 7 Weld County Addendum to the CWS-i IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: 14.41/471-"4 Weld C to the Board ev" " ` WELD COUNTY BOARD OF p x SOCIAL SERVICES, ON BEHALF gg OF THE WELD COUNTY i �c �. DEPARTMENT OF SOCIAL SERVICES By: 1 By: M-.71-2'i-n...4 Deputy Cl to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Lewis, David and Connie 2904 42nd Ave Greeley, CO 80634 / By: AS By: (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: ector Sig tare) 8 Weld County Addendum to the CWS-7A WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Loschen, Todd and Alicia and the Weld County Department of Social 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 o the greement 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#1528352. 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# PATE 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 011/2)2 round trips a week 02) 3-4 round trips a week. ❑2'%)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 01)Once a month 01%)Two times month 02)Three times a month 02%)Once a week ❑3)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 or special education plan? ❑Basic Maint.)No educational requirements 01)Less than a'/z hour per day 01%) 1/2 hour a day 02) 1 hour a day 02 %) 11/4-2 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 ❑l)Less than 5 hours per week ❑1'%:) 5 to 7 hours per week 02) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours ❑3%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical, and/or occupational therapy? 0 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 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. ❑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? 00)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-7A S-7A • 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. n. g w rc 4 a rtt: • ' rt "t x?h'+ fi "u d � ' ' yak; +� � £x�x S. ,,„€ R 2 ..c av '`a�, ,�, to "°�5 n � ` d ,vk �,�.;:sa.av� vomcw'MS h' ,z."P' i fit;;;T:!!;;;!';,..;!:;;;;;;2;y a z` h . � !;;; ;;;;; a xv ; r:.;;;;;.; ar t ie- 'Zero,* -w a 't; E 4 i ° '44;$ m 4 r. i , :4 S y atr " is -.,,5.; s aT m"iaiat 4,-..h-I : aw ,...n ....... ..x- :�i' <. , .�: k!3a tm tz ".t,t,u( Aggression/Cruelty to Animals ❑ 0 0 0 Verbal or Physical Threatening ❑ ❑ 0 ❑ Destructive of Property/Fire Setting 0 0 0 0 Stealing 0 ❑ 0 0 Self-injurious Behavior ❑ ❑ ❑ 0 Substance Abuse ❑ 0 0 0 Presence of Psychiatric Symptoms/Conditions ❑ 0 0 ❑ Enuresis/Encopresis 0 0 ❑ 0 Runaway 0 ❑ 0 ❑ Sexual Offenses ❑ 0 ❑ 0 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensit of conditions which create the need for services that asply to this child. wnT.. EIR15.3W 4t k 4 , #+ 4i y tatil W x §a ny , ' Lieli " sazi 4_ i `?;S:23:astEnzibis ;4,1,44 5�P q�^vi ''`4uy y FL �S�'Y°'5s'�- Y.. 4Y' .7 yt ' irali an � .v Nq w. n '' * ". 'wlsiZ}z.s;Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ 0 ❑ Delinquent Behavior ❑ 0 ❑ 0 Depressive-like Behavior ❑ 0 ❑ 0 Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ 0 Eating Problems ❑ ❑ 0 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-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) egg }^'t'., yto-Y75�1p�, "R ! �,y y '' 7 ��Ya9 � � at r ' '� 4s1 � G k'1 g � rc dd 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) $19.73 +$.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 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) Pta 4 $39.45 +$.66 Respite Care TRCCF Drop Down Total Rate=($40.11 day/$1220 month) Assessment Rate Or $30.25 day/$920 month(Includes Respite) (30 day max) Effective 7/1/2008 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: 44144/14-44 Weld County - oard WELD COUNTY BOARD OF ft6 , Y SOCIAL SERVICES, ON BEHALF Std � OF THE WELD COUNTY �,. '�,� DEPARTMENT OF SOCIAL `,.e); . 7,7-4- , SERVICES By: ?Z' ,Lt' By: l--Ga- A Deputy rk to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Loschen, Todd and Alicia 1747 68th Ave Greeley, CO 80634 By: l LZwl O51 T) /ISdL n (signature) WELD COUNTY DEPARTMENT ny` •^ �_ ci�_-____' OF SOCIAL SERVICES By: ( it ctor Signa ) 8 Weld County Addendum to the CWS-7A O,9a— ', • WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Maronek, Dennis and Patricia and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this cf day of 't• , 2008, are added to the referenced Agreement. Except as modified hereby, all terms of the eement 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#1520627. 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 CW!S--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 jDOB 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 01)One round trip a week ❑112)2 round trips a week 02)3-4 round trips a week. 02%) 5 round trips a week 03) 6 round trips a week 031/2)7 round trips or more P 2. How often is the foster care provider required to participate in child's therapy or counseling sessions? ❑Basic Maint.)No participation required ❑l)Once a month ❑112)Two times month ❑2)Three times a month 021/2)Once a week 03)Two times a week ❑3%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'h hour per day ❑112) 'h hour a day 02) 1 hour a day 02 %2) 1'/2-2 hours per day 03)2'/2-3 hours per day 031/2)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 ❑112)5 to 7 hours per week 02) 8 to 10 hours per week ❑212) 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 feeding, 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 ❑2%2) 11 to 15 hours per week ❑3) 16 to 20 per week 03%)21 or more hours per week A 1. How often is CPA/County case management required? (Does not include therapy) 0Basic 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. ❑2%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. ❑3%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? ❑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-7A • 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. its i 'lift,d 0 Egl X i _ t -: Aggression/Cruelty to Animals ❑ 0 0 0 Verbal or Physical Threatening ❑ 0 0 0 Destructive of Property/Fire Setting 0 0 0 O Stealing ❑ O 0 0 Self-injurious Behavior El 0 0 0 Substance Abuse El 0 0 0 Presence of Psychiatric Symptoms/Conditions O ❑ ❑ O Enuresis/Encopresis ❑ 0 0 0 Runaway O O 0 0 Sexual Offenses 0 0 0 0 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSM(ExhibitEB)NT CONTINUED Please rate the behavior/intensity of conditions which create the need for services that a.ply to thn.is child.ymizmausza cLe,2411Paill,)'14 lii-F"Yii 1 3 I ti 6f I cpPabsinatilizt t §4 a 9'x3".- .. 4 1 mx Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ 0 Delinquent Behavior ❑ 0 0 0 Depressive-like Behavior ❑ 0 0 0 Medical Needs (If condition is rated"severe",please complete ❑ ❑ El ❑ the Medically fragile NBC) Emancipation O ❑ ❑ 0 Eating Problems ❑ ❑ ❑ 0 Boundary Issues O ❑ ❑ 0 Requires Night Care O ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 Ill 3 6 Weld County Addendum to the CWS-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) g i .> ' It4+N ° 4u' .vv.Kx r 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 $586/month +Respite Care$.66/da $20/month $19.73 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) Vie $23.01 1 1/2 +$.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 4.66 Respite Care Total Rate=($26.96 day/$820 month) $29.59 2 1/2 4.66 Respite Care ;x Total Rate=($30.25 day/$920 month) $32.88 3 +$.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 31/2 4.66 Respite Care Total Rate=($36.82 day/$1,120 month) $39.45 4 TRCCF Drop Down *$�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: ty Clerk to the Board itaLa WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF lrsi cD OF THE WELD COUNTY r-. h DEPARTMENT OF SOCIAL • { �y SERVICES By: ✓ - L% By: - Deputy Cle z to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Maronek, Dennis and Patricia 4860 Eagle Crest Blvd Firestone, CO 80504 By: Patted-ILL, \(flc /l&ta V (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: (Di ector Signat)h e) 8 Weld County Addendum to the CWS-7A WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between McCreery, James and Tammy and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this day of 1 , 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#40215. 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 4`h 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. 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# 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 01)One round trip a week ❑1'/z)2 round trips a week 02)3-4 round trips a week. 021/2)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 01)Once a month ❑1`/z)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 or special education plan? ❑ Basic Maint.)No educational requirements 01)Less than a '/z hour per day 011/2) '/z hour a day 02) 1 hour a day 02 %) 11/2-2 hours per day 03)2'/z-3 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 ❑l)Less than 5 hours per week ❑1%)5 to 7 hours per week 02) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑ 3)Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical,and/or occupational therapy? 0 Basic Maint.)0-2 hours per week ❑1)3 to 4 hours per week ❑1Yz)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.) 01)Face-to-face contact one time per month with child and minimal crisis intervention. ❑1%)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 02%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 03%) Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? 00)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-7A 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. t a # t t`NalittleStV,SOC941:4-LV:1;C:. t"' -CCI :._� + o. o VON:'-i;471,17 . B .,.,._'...41 $ pax' �_-i- . ii v§c � 4` tx My �'' —� et & A 4'b di _ 6s1Wi� Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ 0 Destructive of Property/Fire Setting 0 0 ❑ 0 Stealing ❑ ❑ ❑ 0 Self-injurious Behavior ❑ ❑ ❑ 0 Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) ' Please rate the behavior/intensity of conditions which create the need for services that abpi to this child. Ph 'e �xi $, �'" ,+"' — F a-'d��?�^>xn,,. .� *„ e# r �a ,, 3 4 '1 t 1 tt i�p , tn'i R } � �b %4 � Ft $ H l4 s.,.,„ � rt yf 4 ltn ash STud irk?" 4 • t E . ��s t:,........� rte t icolirWierict. Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ 0 ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ 0 0 Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ El the Medically fragile NBC) Emancipation ❑ ❑ 0 ❑ Eating Problems ❑ 0 0 ❑ Boundary Issues ❑ ❑ 0 0 Requires Night Care ❑ ❑ ❑ 0 Education ❑ ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) ` '&';a 5 "x. ° k nl 8 .1L x >t w..iv3n. �_:5i:.x"•� 5a�f.�k;�:h S, . Ase 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 .l $19.73 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) 4141 $23.01 1 112 +$.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 +$.66 Respite Care Total Rate=($26.96 day/$820 month) $29.59 2 1/2 +$.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 ±, $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: ,tL.4/ i1 iadAl Weld Co he Board IA L WELD COUNTY BOARD OF 1451 1- SOCIAL SERVICES, ON BEHALF j�`y`� + OF THE WELD COUNTY A ; DEPARTMENT OF SOCIAL � fy,,p1�T�Fl 1 SERVICES By: c By: G\v;o (—G,,.✓ Deputy C c to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: McCreery, James and Tammy 120 Maple Ave Eaton, CO 80615 B 2 6 c , (Si nature) WELD COUNTY DEPARTMENT / r OF SOCIAL SERVICES L 42A-0 417/ By: rect igt ure) fr Cti(Y 8 Weld County Addendum to the CWS-7A a1DOd'- ai&'9 WELD COUNTY ADDENDUM RECEIVED JUN 16 2008 To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between McGee, Donna and the Weld County Department of Social 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 o th 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#1539853. 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. i Weld County Addendum to the CWS-7A WeP— a/4 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 WORKER COMPLETING ASSESSMENT HH# 1DATE 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%)2 round trips a week 02) 3-4 round trips a week. 02'/z) 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? ❑Basic Maint.)No participation required 01)Once a month 01%)Two times month ❑2)Three times a month ❑2%)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 or special education plan? ❑Basic Maint.)No educational requirements ❑1) Less than a '/z hour per day 01%) '/z hour a day ❑2) 1 hour a day 02 %z) 1'/z-2 hours per day 03)2'/z-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 Du Less than 5 hours per week 01%)5 to 7 hours per week ❑2) 8 to 10 hours per week ❑2%) 11 to 14 hours per week 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 feeding, bathing,grooming,physical,and/or occupational therapy? ❑Basic Maint.)0-2 hours per week ❑1)3 to 4 hours per week 01%)5 to 7 hours per week 02) 8 to 10 hours per week 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) 0Basic 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. O1v2)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 02)4-8 hours per month ❑3)9-12 hours per month 4 Weld County Addendum to the CWS-7A • WELD COUNTY DSS NEEDS BASED CRE ASSESSMENT (ExhibAit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensit of conditions which create the need for services that a..1 to this child. rf>ra,.. ° c a w a t a - cat 4 r� �! IniWieardirtritaf 7.04 6 t �1 $ 3 } t mtraiitairsift h >K r i a S= � . t! 'ntA u ;s t .. aL. st . :: ter i 'f�} Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ O O O Destructive of Property/Fire Setting O El O O Stealing ❑ O O O Self-injurious Behavior ❑ O O O Substance Abuse ❑ O O O Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ O Enuresis/Encopresis ❑ O O O Runaway ❑ O O O Sexual Offenses ❑ O O O 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. 4t h = f.p ' 1 k 1 u EJ stet na 'fk 44:1141Sbireaitaitir.1” 'art'veyL��?� aSF + t {41 ,i,. a titaistaaalltigna Inappropriate Sexual Behavior ❑ 0 0 0 Disruptive Behavior O 0 0 0 Delinquent Behavior ❑ 0 0 0 Depressive-like Behavior ❑ 0 ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ 0 0 ❑ the Medically fragile NBC) Emancipation ❑ 0 0 ❑ Eating Problems ❑ 0 0 0 Boundary Issues ❑ 0 0 0 Requires Night Care ❑ 0 ❑ ❑ Education ❑ 0 0 ❑ Involvement with Child's Family O 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-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) S f F Na 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) fre $23.01 1 1/2 +$.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 -4.66 Respite Care 174 Total Rate=($33.54day/$1020 month) 1,471 $36.16 eztt 3 112 k +$.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-7 IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: 144414 ' " a ,r Weld Cou the Board '41 �1 WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF s' , A OF THE WELD COUNTY DEPARTMENT OF SOCIAL (!1 �� SERVICES By: By: Deputy j c to t e Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: McGee, Donna 1649 31st Ave Greeley?CO 80634 di By: k).--)07q6 /l 19 cL (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: ( irec or St g t lure) 8 Weld County Addendum to the CWS-7A ao%t- a/a WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreemenp;between Mellmen,Jeffrey and Letha % and the . Cl/ Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. •The following provisions, made this I Ipl*day of W^( , 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#1547484. 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 ��i C>74) 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# SEX TRAILS CASE ID DOB M F WORKER COMPLETING ASSESSMENT HH# 1DATE 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 ❑2)3-4 round trips a week. ❑2'/)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 01)Once a month ❑1%)Two times month 02)Three times a month 02%)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? 0 Basic Maint.)No educational requirements ❑1)Less than a ''/z hour per day 011/2) 1/2 hour a day ❑2) 1 hour a day 02 %) 1'/z-2 hours per day 03)2'1-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑ Basic Maint.)No special involvement needed 01)Less than 5 hours per week 01%)5 to 7 hours per week ❑2)8 to 10 hours per week ❑2%) 11 to 14 hours per week ❑3)Constant basis during awake hours 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 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.) ❑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. 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-7A • 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. Ry m+vs cS"�'�tt ro �FsY"ng x. Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ 0 Destructive of Property/Fire Setting 0 0 0 ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ 0 ❑ Substance Abuse ❑ ❑ ❑ 0 Presence of Psychiatric Symptoms/Conditions ❑ ❑ 0 0 Enuresis/Encopresis O ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensit of conditions which create the need for services that apply to this child. °aat = -v tr -� x. �A. d @", v'^ s<. +:..a` s, : .4,er rsY ri+ Ors A+O. z4$ � tliq tt�� �'' '4 ? `b "'r7Ti°S.js i.e: 'a5a.4'y,',: :',:-' "i :::;''14:9'7:::r:"-. '' :: " %, . k' - :, y n w x �r_ x Sci ..r°� T :: to „ "'a T�`va v'w z '.,,,,.-3„.., omL4i� �t".`c `�.,.t ..:.$E§,.": ,itti.m..°� .r_ - a. ..'�E'+'�..' . ma..... .:.xrave.. ....,..,.,,,. .. .. _ ..< ... �.° Inappropriate Sexual Behavior ❑ ❑ 0 0 Disruptive Behavior ❑ ❑ 0 0 Delinquent Behavior ❑ 0 0 0 Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete O 0 0 0 the Medically fragile NBC) Emancipation ❑ ❑ 0 ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ 0 ❑ Requires Night Care ❑ 0 ❑ ❑ Education ❑ ❑ 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 CWS-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) v ro • A.e 0-10...$16.32/da $496/month County Basic As 11-14...$18.05/da $549/month Maint. A.e 15-21...$19.27/da $586/month +Respite Care$.66/da $20/month $19.73 1 4.66 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 4.66 Respite Care Total Rate=($30.25 day/$920 month) $32.88 3 4.66 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 4.66 Respite Care Total Rate=($40.11 day/$1220 month) iv 41 Assessment Rate it $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: fia-4"o'r Weld Co` 9 � �o the Board v" WELD COUNTY BOARD OF n`,y�� SOCIAL SERVICES, ON BEHALF sal �< OF THE WELD COUNTY vim : DEPARTMENT OF SOCIAL SERVICES By: By: A-C7 6---74....i Deputy Cl to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Mellmen, Jeffrey and Letha 352 Laurel Ave Eaton, CO 80615 By: (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES c\a,tr) By: C (Diretjsinature) &Dar- a/6; 8 Weld County Addendum to cc—ry lc'9 A i WELD COUNTY ADDENDUM L 1j ' Cw \ To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the"Agreement") between Mena, David and Marie and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this day of 1-2 2008, are added to the referenced Agreement. Except as modified hereby, all terms o the eement 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#1510691. 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 CW5 7AA J /4 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# ISEX TRAILS CASE ID DOB F I WORKER COMPLETING ASSESSMENT HH# IDATE 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%x)2 round trips a week O2)3-4 round trips a week. ❑2%:)5 round trips a week O3)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 ❑1%)Two times month O2)Three times a month ❑2'h)Once a week O3)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 Du Less than a %2 hour per day D1%) v2 hour a day O2) 1 hour a day O2 'A) 1'h-2 hours per day O3)2'A-3 hours per day O3%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week 01%)5 to 7 hours per week ❑2) 8 to 10 hours per week O2%) 11 to 14 hours per week ❑3)Constant basis during awake hours O3%)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? 0 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 O2%) 11 to 15 hours per week ❑3) 16 to 20 per week ❑3'A)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. 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. ❑3)Face-to-face contact weekly with child and occasional crisis intervention. ❑3%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? O0)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-7A 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. i rI' 3 : ��rvy 9-vi_ 9LJ :"..t rlkf S. gg , ,n al, f=f a a ray iiilgaiii Aggression/Cruelty to Animals ❑ ❑ 0 ❑ Verbal or Physical Threatening ❑ 0 ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ 0 Stealing ❑ ❑ ❑ 0 Self-injurious Behavior ❑ ❑ ❑ 0 Substance Abuse ❑ ❑ ❑ 0 Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ 0 Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ 0 ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. AntiriAttriRL rt. t' ! B C e 3 i e" i o t 1 ... i. m F Inappropriate Sexual Behavior ❑ ❑ 0 0 Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ 0 ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ 0 Medical Needs (If condition is rated"severe",please complete ❑ ❑ 0 ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ 0 0 Boundary Issues ❑ ❑ ❑ 0 Requires Night Care ❑ ❑ ❑ ❑ Education ❑ 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-7A S-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) t { y A•e0-10...$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 Lit $19.73 1 4.66 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 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 4.66 Respite Care Total Rate=($33.54day/$1020 month) rat $36.16 3 1/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 TRCCF Drop Down 4.66 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-7 IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: ""( Weld Count he Board /' WELD COUNTY BOARD OF if ! , r (-I Y i SOCIAL SERVICES, ON BEHALF ' �Y OF THE WELD COUNTY 4 / w DEPARTMENT OF SOCIAL ���' = SERVICES By: By: t t—G� Deputy C1e ' o the oard Chair Signature William H. Jerke AUG i 1 2008 PROVIDER: Mena, David and Marie 2905 41st Ave By eley�d34 (JR/`I Signsl'Atel WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: U.4 ( ' ctor Sign t re) 8 Weld County Addendum to the CWS-7A o?oS 0≥J6 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") between Middleton, Brian and Deborah 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 ,}L / , 2008, are added to the referenced Agreement. Except as modified hereby, all terms of thiAgreement 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#1537851. 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 ch // �G'�'J �( 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 ID# SEX 'TRAILS CASE ID DOB M F WORKER COMPLETING ASSESSMENT HH# 1DATE 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 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? O Basic Maint.)No participation required 01)Once a month 01%)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 or special education plan? ❑Basic Maint.)No educational requirements 01)Less than a %z hour per day 01%) 1/2 hour a day 02) 1 hour a day 02 'A) 1'/z-2 hours per day 03)21/4-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week 01%)5 to 7 hours per week 02) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond aae 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 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 03%)21 or more hours per week A 1. How often is CPA/County case management required? (Does not include therapy) ❑Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) ❑1)Face-to-face contact one time per month with child and minimal crisis intervention. 01%)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 02%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 03%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)Not needed or provided by another source(i.e. Medicaid) 01)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-7A 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 as sly to this child. .i.. . . .. Aggression/Cruelty to Animals ❑ ❑ 0 0 Verbal or Physical Threatening ❑ ❑ ❑ 0 Destructive of Property/Fire Setting 0 0 0 0 Stealing ❑ 0 0 ❑ Self-injurious Behavior ❑ ❑ ❑ 0 Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a'ply to this child. a sz ,tr t t t Ys r z r " 1*,; 4x)!�# 3...... : �,.,,..�;°s ..;. � .w *�,„. : ,,.,x�_� a��,�z � dif.lr�.zt3..� 'is.r.�....a:Y�_ _ .__.. .:.5 . ._. Inappropriate Sexual Behavior ❑ ❑ 0 ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ 0 0 0 Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ 0 0 Requires Night Care ❑ ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) 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) $23.01 1 1/2 +$.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 +$.66 Respite Care Total Rate=($26.96 day/$820 month) 714 $29.59 2 112 +$.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 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-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: M" % Weld o the Board ' WELD COUNTY BOARD OF >F ' HUMAN SERVICES, ON BEHALF ,; 1 OF THE WELD COUNTY k .• v- t7/i DEPARTMENT OF HUMAN SERVICES By: By: ..)..,.-7.4-74.--,---c Deputy Cl tot e Board Chair Signature William H. Jerke AUG 1 1 7008 PROVIDER: Middleton, Brian and Debo 2418 W. 24th St Greeley, CO 80634 l � -- BY: 1'�:Jlai i/da��E{'aLln (Signatu WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: C tutrAi r Sig tture) i 8 Weld County Addendum to the CWS-7 C2Md — <9/b Ed WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Moore, Earl and Patricia and the cS Weld County Department of Social Services �U, for the period from July 1, 2008 through June 30, 2009. The following provisions, made this•22_ day o , 2008, are added to the referenced Agreement. Except as modified hereby, all terms o 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#1517579. 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 CW S-7A aat ‘, /& 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 IDOB 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 ❑1)One round trip a week ❑1/)2 round trips a week 02)3-4 round trips a week. ❑2'/)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 ❑I)Once a month ❑1%z)Two times month 02)Three times a month ❑2%)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 or special education plan? ❑ Basic Maint.)No educational requirements ❑l)Less than a''/z hour per day ❑1%) %z hour a day ❑2) 1 hour a day 02 A) 1%-2 hours per day 03)2'/z-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? 0 Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week ❑1/) 5 to 7 hours per week 02) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical,and/or occupational therapy? ❑ Basic Maint.)0-2 hours per week 01)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.) ❑l)Face-to-face contact one time per month with child and minimal crisis intervention. 011/2)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 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) 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-7A 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. ^� �n eS F 3 E B A E f %4,..�.; _ ijlcgk I P r b c. is y ,,,,yYpi i ht"-r qSy n -y dye' fib €t i !ht, 3' yf, _ ' ,. !T-,-...;,,..',..:41-4,L, t B'• 1 n " t i "a re v ..-t.,3'5 � ��-y a a�4 ;x 3. "x - .,. :: su �.tt7 L 1. �'� .� +S ,w Aggression/Cruelty to Animals I: ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ 0 Destructive of Property/Fire Setting ❑ ❑ ❑ 0 Stealing O 0 0 ❑ Self-injurious Behavior ❑ ❑ ❑ 0 Substance Abuse ❑ ❑ 0 0 Presence of Psychiatric Symptoms/Conditions 0 ❑ 0 0 Enuresis/Encopresis El ❑ 0 0 Runaway ❑ ❑ ❑ 0 Sexual Offenses ❑ 0 ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASS(ExhibitESSMEB)NT CONTINUED Please rate the behavior/intensity of conditions which create the need for services that apply to this child. rw a E ; 3 �•: €al;4 174iyin " . If __ t ..., , .; r ,:aairr Inappropriate Sexual Behavior ❑ 0 ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ 0 0 0 Depressive-like Behavior ❑ 0 ❑ ❑ Medical Needs (If condition is rated"severe",please complete O ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ 0 0 0 Eating Problems ❑ 0 0 ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ El ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 III 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) xG. 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 $586/month tent +Respite Care$.66/da $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) iSa $26.30 2 +$.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 44 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 S IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: "' a ( Weld ( Clerk to the Board ./#:44 1 e.y WELD COUNTY BOARD OF * p �; 7'a' SOCIAL SERVICES, ON BEHALF i ihItrAp OF THE WELD COUNTY f DEPARTMENT OF SOCIAL 7 ,. SERVICES 2- Deputy C to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Moore, Earl and Patricia 135 Poplar St Lochbuie,/ CO 80603 BY. c A- ar, J c J��//77 /(Sgnalu� WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: (Di ector Signal e) 8 Weld County Addendum to the C3/S- 02/6 9 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Murrell, Nicholas and Terri and the Weld County Department of Human Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this \p day of , 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#1547183. 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 J a/o,, 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 ID# SEX [TRAILS CASE ID DOB M F WORKER COMPLETING ASSESSMENT HH# 1DATE 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'%)2 round trips a week 02) 3-4 round trips a week. ❑2'/)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 01)Once a month ❑1'%)Two times month 02)Three times a month 02%)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 %x hour per day ❑1'%i '/z hour a day ❑2) 1 hour a day 02 %) 1'/r2 hours per day ❑3)2'h-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑ Basic Maint.)No special involvement needed 01)Less than 5 hours per week Di%) 5 to 7 hours per week ❑2) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours 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 02) 8 to 10 hours per week 02%) 11 to 15 hours per week ❑3) 16 to 20 per week ❑3%) 21 or more hours per week A 1. How often is CPA/County case management required? (Does not include therapy) 0Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e.mutual care placements.) 01)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. O 2)Face-to-face contact two times per month with child and occasional crisis intervention. 021/2)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. ❑3'%z)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? 00)Not needed or provided by another source(i.e.Medicaid) ❑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-7A 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. m u�Gtm%iii ` F""a "'t p ki ufE°° ,ei k h. ,�,� ,w "x eus. ,. 5 R '�',. yi aruro y�:. tom: �yEit �'' sn ' " t' � � i iglu � i{n r o-t� �" , „itit � . b 4 .:�.ip,�N���t, p6t7 is t� StYY 'ri.: w b 6R 10141:.;,,A roggw„iii, -414 nisi elf;12,..e.,,Arnfrgestioameimitamprvitt:: .41-m Aggression/Cruelty to Animals ❑ ❑ ❑ O Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting O ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ O O ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ O ❑ O Runaway ❑ ❑ ❑ O Sexual Offenses ❑ ❑ O ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED • (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. Fsn Ww. -7':.. k o- t o a s ��''`2n..vt a 4:74 ttle4t n t .� yt - ' tom", ICI«, s .. ',4I3 k b A .A '' ''�,:. nr„ t ) .i .k SfrM vriggted, , +1 r,19Pifin, �M`x* -_ t4 u n Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ 0 0 Medical Needs (If condition is rated"severe",please complete El El ❑ ❑ the Medically fragile NBC) Emancipation ❑ 0 0 ❑ Eating Problems ❑ 0 0 0 Boundary Issues O 0 ❑ 0 Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family O 0 0 0 CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ l ❑ 2 ❑ 3 6 Weld County Addendum to the CWS-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) 5�x ; A.e0-10...$16.32/da $496/month pi County Basic A.e 11-14...$18.05/da $549/month Maint. A.e 15-21...$19.27/da $586/month 01 +Res site Care$.66/da $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) 4O. $32.88 3 4.66 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 Ratelot $30.25 day/$920 month(Includes Respite) (30 day max) Effective 7/1/2008 7 Weld County Addendum to the CWS-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: 1414" M Weld County Board 4 r. WELD COUNTY BOARD OF HUMAN SERVICES, ON BEHALF OF THE WELD COUNTY O\ �� DEPARTMENT OF HUMAN SERVICES By: 4.'/L�14 C l By: 72-271,4„, Deputy Cl to t e Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Murrell, Nicholas and Tern 812 Scotch Pine Dr Windsor, CO 80550 By: \Q_)`17lS_ (Signature) WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: (Dir ctor Signa e 8 Weld County Addendum to the CWS-7A y 9/6 ; WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Newbold, Scott and Monica and the Weld County Department of Human Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this t(e day of OT.A,let t. , 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#1549222. 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 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 ID# ISEX [TRAILS CASE ID DOB IM F 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 ❑1)One round trip a week 01%)2 round trips a week ❑2)3-4 round trips a week. ❑2'%2) 5 round trips a week ❑3)6 round trips a week 93%)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%)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 or special education plan? ❑ Basic Maint.)No educational requirements ❑1)Less than a '/2 hour per day 01%) '/2 hour a day ❑2) 1 hour a day 02 %) 1''A-2 hours per day ❑3) 2'/2-3 hours per day ❑3%2)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? O 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 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond ate appropriate needs with feeding, bathing,grooming,physical, and/or occupational therapy? 9 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.) 91)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. ❑2)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'%)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-7A 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:sly.to this child.gaSnil'�,. .t sn k tir '3eEi r .� "l v,.`j -s1..„ ,a'ta x 4�s q r It:fri +° aU'F 3 "4'3 sS 3a.�5? �����+lyy??"„„'2 ' 3g ii � >7 5rs biz 1411 it in bTl t y i ti ¢re:"}R�33Rii } y .���yy{ ��� qa n is y �� 3h w�14 ...................... a j i�i,i �v4�'4IR� '4.i°dhSA. ._.... ..,w. .-�_..a. 3 ..,u� .=:acs.. r RPM" Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ 0 Destructive of Property/Fire Setting ❑ ❑ 0 ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ 0 ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ 0 Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. m.. . v � -:in 4C ^v 7 t : a:'ltli ' n .t.4 ,...a m t6F -E' � t `} d4 ;�,�T'h!_$l f 3 i A k ` i yEyt zit'' . g-r7 6 t� al t ug t1 e r : -fh—�, _tca x{t.y k# .3 - '$' °w' 4.4t,a. : t['tee ? 5 a _: #, ;^"t ��� ssw a v 0J: : z i t tIRT qt+ tSfi t t t;v�guY, v 3 c n � 't,-; `y, -a 1pgaiNegtInappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS-7A S-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) • Age 0-10...$16.32/day ($496/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) Witz $23.01 1 1/2 +$.66 Respite Care TIP Total Rate=($23.67 day/$720 month) $26.30 2 ek1f. +$.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) epfsl $36.16 3 1/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) .74 4 $39.45 TRCCF Drop Down 4.66 Respite Care Total Rate=($40.11 day/$1220 month) tta Assessment Rate $30.25 day/$920 month(Includes Respite) (30 day max) Effective 7/1/2008 7 Weld County Addendum to the CWS-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: L414/1-444 Weld County Clerk the Board 44 }i" 4 r j� WELD COUNTY BOARD OF - HUMAN SERVICES, ON BEHALF - - ; i OF THE WELD COUNTY 4t.1 .te 2I DEPARTMENT OF HUMAN yr ' SERVICES BY: 2 1L1lit LI By: � _ r Deputy Cl to t e Board Chair Signature William H. Jerke AUG 1 1 7008 PROVIDER: Newbold, Scott and Monica 4324 Silverview Court For Co MI.CO 8052 By: en (Sig re) WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: a G O ( hector Signa a e) 8 Weld County Addendum to the CWS-7A S-7A a'Vf- (9)69 r WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Parker,Brian and Beryldell and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this y day of 7ttir1 , 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#1538709. 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 maybe 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 a/6 9 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: 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# SEX TRAILS CASE ID IDOB M F WORKER COMPLETING ASSESSMENT HH# 1DATE 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 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 01%)Two times month O2)Three times a month O2%)Once a week O3)Two times a week ❑3%i 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'/2 hour per day ❑1%) '/z hour a day O2) 1 hour a day O2 %) 1'/2-2 hours per day O3)2'/2-3 hours per day O3%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week 01%)5 to 7 hours per week ❑2)8 to 10 hours per week O2%) 11 to 14 hours per week ❑3)Constant basis during awake hours O3%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical,and/or occupational therapy? O Basic Maint.)0-2 hours per week ❑1)3 to 4 hours per week 01%)5 to 7 hours per week ❑2)8 to 10 hours per week O2%) 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.) 01)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 O2)4-8 hours per month O3)9-12 hours per month 4 Weld County Addendum to the CWS-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensit of conditions which create the need for services that a..ly to this child. �'x °'` �u ' * v. '`�- c Gpxb' ""a h". r"4"' m x ;S�tt" a.aSz % this. s +' 2"i '�` �` 4 '� g� .,` 'a, � �� + 's 4 +t ,$ .' rt +x .a,4,r2x 5 Aggression/Cruelty to Animals ❑ 0 ❑ 0 Verbal or Physical Threatening ❑ 0 0 0 Destructive of Property/Fire Setting ❑ 0 0 0 Stealing ❑ 0 0 0 Self-injurious Behavior ❑ 0 ❑ 0 Substance Abuse ❑ 0 0 ❑ Presence of Psychiatric Symptoms/Conditions ❑ 0 ❑ 0 Enuresis/Encopresis ❑ 0 0 ❑ Runaway ❑ ❑ 0 ❑ Sexual Offenses ❑ 0 ❑ 0 5 Weld County Addendum to the CWS-7A S-7A BEHAVIOR ASSESSMENT CONTINUED • (Exhibit B) Please rate the bbeehavior/intensit of conditions which create the need for services that apply to this child. 14 a . �'—nnv` a , �u rb�g�'4 'e n,nmsw aps e.t a;8 ,�a`�`;*. '.t""s u , r, ''tF ti, a 5.a, fyu a.l=,. ,.va.' ` ` `t�" s . C'pL_ . ,^.'. '+ '� . # �� . kqt. .. .,-"4* Wr„.;aily ti s .k^y;. .4O ,„ 5 -„9 • +c�` a sr, t t » x •; 11 n 7„a+ E; ,r avh•k�. t a'" ' ,.,.aa ° Ra' t. ..s :�' a.re tx l• '�r b v6.. tot..s °'2...m. a,+t .se:.i.'k±rcs... _,. .F..e. .$r...s. ...._.mva Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ 0 0 Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ 0 ❑ the Medically fragile NBC) Emancipation ❑ ❑ 0 ❑ Eating Problems ❑ 0 0 ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) R tV tint im � ka iI •.- 4-14...$1.. /.- $4•./month County Basic rat, 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) $23.01 1 1/2 +$.66 Respite Care 04 Total Rate=($23.67 day/$720 month) $26.30 2 +$.66 Respite Care Total Rate=($26.96 day/$820 month) flt $29.59 2 1/2 +$.66 Respite Care Total Rate=($30.25 day/$920 month) $32.88 3 +$.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 31/2 +$.66 Respite Care lei 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) mil Effective 7/1/2008 7 Weld County Addendum to the CWS-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: e"integ�'//'� Weld Co Clerk tithe Board WELD COUNTY BOARD OF Yea SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: By: i�� Deputy erk to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Parker, Brian and Beryldell 3001 50th Ave Greeley, CO 80634 By: l L�r'J a jar �2 (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: (Direct r Signature) 8 Weld County Addendum to the CWS-7A aaoi .7/65 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") better Pluma, Mike and Annette Cwt and the C,�3D Qlu 8. Weld County Department of Human Services /a 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 o th 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#35126. 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. j Weld County Addendum to the CWS-7A 0201 02/69 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 ID# SEX !TRAILS CASE ID IDOB M F I WORKER COMPLETING ASSESSMENT HH# 1DATE 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'/z)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 ❑l'/)Two times month ❑2)Three times a month 02%)Once a week 03)Two times a week ❑3'/z)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 Du Less than a '/ hour per day 01%) 'A hour a day ❑2) 1 hour a day 02 'A) 1'/z-2 hours per day 03) 2'/z-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week 01%)5 to 7 hours per week ❑2)8 to 10 hours per week 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours 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 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) ❑Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e.mutual care placements.) ❑1)Face-to-face contact one time per month with child and minimal crisis intervention. 011/2)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two timesper 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 02)4-8 hours per month ❑3)9-12 hours per month 4 Weld County Addendum to the CWS-7A 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. s* � B Aggression/Cruelty to Animals ❑ 0 ❑ ❑ Verbal or Physical Threatening ❑ 0 0 0 Destructive of Property/Fire Setting 0 0 ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ 0 ❑ 0 Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child �.. ;§ `per x & :k;„ . .... ..as.: . .,r _n .a. ,'ilk �._.. .r• :�... d-05;4-0241: 7 te .va Y ° it 1:1:30.20;;;;;:irz„sa,� '� ,n+s;�a4..s.z* ,tr...� ...is"� k+:�w��.i v. .yal. .ws a 's +#As.n.:ke ;: ' ` sa._.,_ • E '' Inappropriate Sexual Behavior ❑ 0 0 0 Disruptive Behavior ❑ 0 0 0 Delinquent Behavior ❑ 0 ❑ 0 Depressive-like Behavior ❑ 0 0 0 Medical Needs (If condition is rated"severe",please complete O 0 0 0 the Medically fragile NBC) Emancipation ❑ 0 0 0 Eating Problems ❑ 0 0 0 Boundary Issues ❑ 0 0 0 Requires Night Care ❑ 0 0 0 Education ❑ ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) 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 $586/month +Respite Care$.66/da $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 $30.25 day/$920 month(Includes Respite) (30 day max) Effective 7/1/2008 7 Weld County Addendum to the CWS-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: 4"/S-444 Weld County C1er oard Si,/,f j WELD COUNTY ,44jF ' HUMAN SERVICES,BOARD ON BEHALFOF is€1 l It-a OF THE WELD COUNTY DEPARTMENT OF HUMAN >` .�� SERVICES � r: I . BY: 40-11/1,-- Gf/L/ By: -e/22—., Deputy Cleft to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Pluma, Mike and Annette PO Box 34 Kersey, CO 806 / (Signature) WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: (D ector Sign e) 8 Weld County Addendum to the CWS-7A & 6d'- 917o WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the"Agreement") between Preston, Daniel and Lisa and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this /9 day of /,., ) , 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#1548050. 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 a49f-07/69 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 F TR[ AILS CASE ID jDOB I WORKER COMPLETING ASSESSMENT HH# I (DATE OF ASSESSMENT I AGENCY NAME PROVIDER NAME PROVIDER TRAILS I 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%z)2 round trips a week 02)3-4 round trips a week. ❑2'/z)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 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 or special education plan? ❑Basic Maint.)No educational requirements ❑1)Less than a '/2 hour per day 01%) %z hour a day ❑2) 1 hour a day 02 %) 11/2-2 hours per day 03)2%z-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑ Basic Maint.)No special involvement needed 01)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 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'%z)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.) 01)Face-to-face contact one time per month with child and minimal crisis intervention. D11/2)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 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? 00)Not needed or provided by another source(i.e. Medicaid) 01)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-7A • 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. +'at:e `� � t 'hi", ₹� �t z,'b.ii'+ t a aa4 t #.' k sxa-, 4Fr : 't;WIWI vv ' ra' �, 7: }S _5 ;per ," vkt. r k a i ` s, x Aggression/Cruelty to Animals ❑ 0 0 0 Verbal or Physical Threatening ❑ 0 0 ❑ Destructive of Property/Fire Setting ❑ ❑ 0 0 Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ 0 0 Enuresis/Encopresis ❑ ❑ ❑ 0 Runaway ❑ ❑ ❑ 0 Sexual Offenses ❑ 0 0 ❑ 5 Weld County Addendum to the CWS-7A • BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a..ly to this child. # ',sue .. "r .r `�*a '#'; h ,'t" �:'v �. z s w. . + x �,a • r �, akp 7 r. s "k,ys� ,,°° a,to x+''`# .s '` ° . °`, a ...44 •R'y`a. t a a ri: `s.t« -. " Fait` ", . i a A �,�' '* s. , v VMS: .� 3, :. a v—a' q ;a �ti s'+ . *!Ae a i �t'x its a4 Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ 0 Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ 0 ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ 0 ❑ the Medically fragile NBC) Emancipation ❑ ❑ 0 ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) �saa t E1 t,h aat ,� .� `tisfi s tv Ase 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 $586/month +Respite Care$.66/da $20/month $19.73 1 4.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 1/2 4.66 Respite Care Total Rate=($23.67 day/$720 month) $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 4.66 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) $39.45 4 4.66 Respite Care TRCCF Drop Down Total Rate=($40.11 day/$1220 month) Assessment Rate 11 $30.25 day/$920 month(Includes Respite) (30 day max) dsi 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: gl4/147144 Weld County Clerk to the Board `µ )ra %Lx i�- J WELD COUNTY BOARD OF �c SOCIAL SERVICES, ON BEHALF v 1 OF THE WELD COUNTY lw ': DEPARTMENT OF SOCIAL _t SERVICES By: a tit/ By: ��(�/ ..✓ Deputy erk to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Preston, Daniel and Lisa 611 Cornerstone Dr Windsor, CO 550 By: _/ �'�"V - WELD COUNTY DEPARTMENT �� r(�ignam b. OF SOCIAL SERVICES By: (Dire to Signatur 8 Weld County Addendum to the CWS-7A 4.9,0a- &/� WELD COUNTY ADDENDUM t To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") between Purcella, Denise 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 , 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#1551571. 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 S-7A arid'- a/6 9 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 CIIILD'S NAME STATE IDt/ SEX TRAILS CASE ID IDOB M F I J WORKER COMPLETING ASSESSMENT 1111# 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 ❑1'/)2 round trips a week 92)3-4 round trips a week. ❑2Y:)5 round trips a week ❑3)6 round trips a week ❑3%)7 round trips or more P 2. How often is the foster care provider required to participate in child's therapy or counseling sessions? 9 Basic Maint.)No participation required ❑l)Once a month ❑1%)Two times month 92)Three times a month ❑2'/:)Once a week ❑3)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? 9 Basic Maint.)No educational requirements ❑1)Less than a'/z hour per day ❑1'/) 1 hour a day ❑2) 1 hour a day 92 1/2) 1'/2-2 hours per day 93)2'/a-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? 9 Basic Maint.)No special involvement needed ❑l) Less than 5 hours per week O1%)5 to 7 hours per week ❑2)8 to 10 hours per week ❑2''/) 11 to 14 hours per week 9 3)Constant basis during awake hours ❑3'/)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding. bathing,grooming,physical, and/or occupational therapy? 9 Basic Maint.)0-2 hours per week ❑1)3 to 4 hours per week ❑1'/:)5 to 7 hours per week 92) 8 to 10 hours per week ❑2%,) 11 to 15 hours per week ❑3) 16 to 20 per week 93'A)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. ❑2)Face-to-face contact two times per month with child and occasional crisis intervention. ❑2%z)Face-to-face contact three times per month with child and occasional crisis intervention. 93)Face-to-face contact weekly with child and occasional crisis intervention. ❑3%) Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? 90)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-7A 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. Rating of Conditions w Check one box for each cat o; :: . :: .............. ....• s .. _. :... : Moderate Se • p 1. 2 3 - ... Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ El Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. Rating of Conditions - Check one box for each es .._... . .)`.`';: ; . ;_:' :. �_�:s-��`_::-isaa':-i; :=: : .:.:::..,_ >: .' tcsr iid Moderate sib:.:::: ...:,: ::-..::..-.........: .:.:. .:Comm' ::: .:::::::-::..:::. .:: ,...._.._.. ........:: Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ El the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ O O O Education ❑ ❑ ❑ O Involvement with Child's Family El O ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 n 1 n 2 ❑ 3 6 Weld County Addendum to the CWS-7P WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) LEVEL OF ROIwMANENFI:C3 ;>::;:: SERVICE Leven .R 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) $36.16 3 112 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 +$.66 Respite Care TRCCF Drop Down 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-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: i ,dd Weld C to the Board E ,�n i7, ., \ WELD COUNTY BOARD OF r FF ' -%\ SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY .\ > �x yr. '` +�l DEPARTMENT OF SOCIAL r- ^ - , ,? SERVICES •". r) 11,:;; By: / By: '1-CrleG.../ Deputy Cle to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: «NAME» «MAILING ADDRESS» «CIT(YSTATE ZIP» � BY: 1G./ (l�C.t.(_e:� Fit (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES Demise, A PueccLC r9 loco Sea 6fito CAtCE Cz2. rieeiroNE, Co Soso* By: (Di ctor igna e) 8 Weld County Addendum to the CWS-7A a0 orGP- oR/� WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") between Rael, Charles and Carmen and the Weld County Department of Social 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#1526232. 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 t- a/t'9&a 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 IDOB M F I WORKER COMPLETING ASSESSMENT HH# IDATE 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 ❑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? ❑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 01)Less than a'//hour per day 01%) '/z hour a day 02) 1 hour a day 02 %) 1'/r2 hours per day 03)2/2-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑Basic Maint.)No special involvement needed 01)Less than 5 hours per week 011/2)5 to 7 hours per week ❑2) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours 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 I71 1%) 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 03%)21 or more hours per week A 1. How often is CPA/County case management required? (Does not include therapy) ['Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e.mutual care placements.) ❑1)Face-to-face contact one time per month with child and minimal crisis intervention. 01%)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 02%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 03%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)Not needed or provided by another source(i.e.Medicaid) ❑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-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensity of conditions which create the rvi That apply to this child. �.. 2 needfor se ces 2^N p��� �y � knd ' 6 430 q3 ¢x ��. �i T� 1 ' iY : f i iIk 4 :rwgxk,� 4s ₹ m i ru aat„,:i u .! Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ 0 Destructive of Property/Fire Setting 0 ❑ 0 0 Stealing ❑ ❑ 0 0 Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ 0 ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ 0 ❑ Enuresis/Encopresis ❑ 0 0 0 Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ 0 ❑ ❑ 5 Weld County Addendum to the CWS-7A • BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. a � A c i i t l fi s t { t 'L y tAle it 410C /P. 2' 4let" }" i, t} ,,;_ x..�� 3aJ a is=E: t�;a i Mgr" *PAN Inappropriate Sexual Behavior ❑ 0 ❑ ❑ Disruptive Behavior ❑ ❑ 0 0 Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ 0 ❑ Eating Problems ❑ 0 0 0 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-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) A zs > i"q A•e 0-10...$16.32/da $496/month County Basic Ave 11-14...$18.05/da $549/month Maint. Erz Ase 15-21...$19.27/da $586/month +Respite Care$.66/da $20/month $19.73 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) 0.51 $23.01 1 1/2 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 2 112 ' 4.66 Respite Care Total Rate=($30.25 day/$920 month) 5.4 $32.88 3 t 4.66 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 4.66 Respite Care Total Rate=($40.11 day/$1220 month) Assessment Rate $30.25 day/$920 month(Includes Respite) (30 day max) r 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: iaa-Mil Weld County C to the Board 4.1 y°ii.dt WELD COUNTY BOARD OF )' SOCIAL SERVICES, ON BEHALF �a —� OF THE WELD COUNTY fl6 I ✓' ,th- DEPARTMENT OF SOCIAL et(Th, ,; SERVICES ;r y thBy: By: '‘--1.--e k Deputy Cl to t e Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Rael,,harles and Carmen 431 W 1 St Ln G e: ey, CO B : I/ (Si WELD COUNTY DEPARTMENT ^ OF SOCIAL SERVICES ( (, CL/6 C By: (Du cc or Signal e) 8 Weld County Addendum to the CWS-7A rand' au WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the"Agreement") between Ramos, Julian and the Weld County Department of Social Services for the period from July 1,2008 through June 30, 2009. The following provisions, made this ( day of 2008, are added to the referenced Agreement. Except as modified hereby, all terms o th 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#37631. 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-7Ay ��, 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 CW 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 jDOB WORKER COMPLETING ASSESSMENT HH# I [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 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 ❑3%)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'/2)Two times month O2)Three times a month O2%)Once a week O3)Two times a week ❑3%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 %2 hour per day 01%) '/2 hour a day ❑2) 1 hour a day O2 %) 1'h-2 hours per day ❑3)2'/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 O2) 8 to 10 hours per week O2%) 11 to 14 hours per week ❑3)Constant basis during awake hours O3%)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? 0 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 O2%) 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.) ❑1)Face-to-face contact one time per month with child and minimal crisis intervention. O 1%)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. ❑2A)Face-to-face contact three times per month with child and occasional crisis intervention. O3)Face-to-face contact weekly with child and occasional crisis intervention. O3%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? O0)Not needed or provided by another source(i.e.Medicaid) ❑1)Less than 4 hours per month O2)4-8 hours per month O3)9-12 hours per month 4 Weld County Addendum to the C W S-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT ices Please rate the behavior/intensity of conditions which create the need for sery that apply to th s child. , ! f ore O� :a Aggression/Cruelty to Animals ❑ ❑ 0 0 Verbal or Physical Threatening ❑ 0 0 0 Destructive of Property/Fire Setting 0 0 0 0 Stealing ❑ ❑ 0 0 Self-injurious Behavior ❑ ❑ 0 0 Substance Abuse O 0 0 0 Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ 0 Enuresis/Encopresis O 0 0 0 Runaway ❑ ❑ ❑ ❑ Sexual Offenses O 0 0 0 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of condisamartions which create the need for services that apply to this child. iR;!�y4F�y" r! a t i a a t e a ' F s i v t u. her. t Haas :k: 4'.I"b '.v. R E?,-kkil .:; C _ it Y a 'at;W. , :; s__: a r �� . a_ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ 0 0 Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ 0 ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ 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-7A S-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) 3� R uY`C d5Y 4i ' � fasx 4�y'`..a • Poe 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/de $586/month) +Respite Care$.66/da $20/month $19.73 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) eltNi $23.01 1 1/2 +$.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 $30.25 day/$920 month(Includes Respite) (30 day max) ads 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: utailah Weld CounSaygcrk to the Board f" q A �� i?J'..✓''� WELD COUNTY BOARD OF ' .- SOCIAL SERVICES, ON BEHALF ti;6i : v OF THE WELD COUNTY ,ion Fi; ) DEPARTMENT OF SOCIAL S�c: k, SERVICES 40; 1 V By: By 7\-17, tE'Gw Deputy erk to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Ramos, Julian 2604 49th Ave Greele CO 80634 ig WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: _ �u U (Di ect r Signature) 8 Weld County Addendum to the CWS-7 /62 WELD COUNTY ADDENDUM • To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Christcipher & Mary Ransome and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this I5 day of u , 2008, are added to the referenced Agreement. Except as modified hereby, all terms of th 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 1552605 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. 0 5. All reimbursement requests shall be submitted to and approved by the appropriat`�-County staff as set forth in the Foster Parent Handbook. Reimbursement for placement *vices 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 beTeturned unpaid if submitted in an unapproved format or inadequate documentation is prodded. All billings are to be submitted by the 4th of each month following the month ofservice. If the billing is not submitted within twenty-five (25) calendar days of the month_ following service, it may result in forfeiture of payment. N 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 SociServices or Weld County Department of Social Services staff to preserve placement in7ie least restrictive placement appropriate and to comply with the treatment plan of thy-child. 4. To schedule physical and dental examinations within 48 hours after a child ispnlaced in provider's care. Medical examinations need to be completed within 10 days if 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) epN fT Pia 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 HEW 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? 0Basic 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 ❑3Y:)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''/)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 '/:hour per day 01%) 'h hour a day ❑2) 1 hour a day 02 %) 1'/z-2 hours per day 03)21/2-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week 01%)5 to 7 hours per week ❑2)8 to 10 hours per week ❑2%) 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 feeding, bathing,grooming,physical, and/or occupational therapy? ❑ Basic Maint.)0-2 hours per week ❑1)3 to 4 hours per week 01%)5 to 7 hours per week 02) 8 to 10 hours per week 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. ❑2'/)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. ❑3'%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)Not needed or provided by another source(i.e.Medicaid) ❑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-7A 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.sogookioomofg:k i os 't yso v. ¢1 ( tis,za�je a ! �� a �,r ittaitehttskliviblik 'Itraktaitte.:f!; Et e, i R rant 4 yli' p i"i' R T.. , n !s 1 �' ,.. a,, 9R,33� g" .eP R"- : s t e ails `i i t k ! ° :. ! 'd5t . .. ....... .. ......:..'.t... L .� ... . .' '. Aggression/Cruelty to Animals ❑ ❑ 0 0 Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ 0 0 ❑ Stealing ❑ ❑ 0 ❑ Self-injurious Behavior • ❑ 0 ❑ 0 Substance Abuse ❑ ❑ 0 0 Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ 0 Runaway ❑ ❑ 0 0 Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apptn ly to this child. w atn_ • W� C adF z;:•:1, ,'-..! 1 + t E I . . .. s � '� p ,, ,c t {i14''� i v Cb R• `�Y.ji'IH ylea v�'i. t. 4 ) i N-trti,,lisstirtt yJ� 'vi�2 a y.'7.:lititratkillkifrt in--, 4 a v �. ft$"It s di:ux 2a u i ' •3 � rGa. S il 3R '�� 9 , a it h-e}- l 44 k J -:.t.-..2:401441,404.ai S,e _ '^ti3 tL ':. ..., r...: ....., ..a l a __..-...;•-xu ..... : ,,..c: _ i ,:« ..x r,n.,:.F..�t..:�.`5`n.:. +v�a/�.t . .7,. � ..a.. "_....'li`,,.: Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ 0 CI Delinquent Behavior El 0 CI El 'or Depressive-like Behav O 0 0 0 Medical Needs (If condition is rated"severe",please complete El ❑ CI CI the Medically fragile NBC) Emancipation ❑ El CI CI Eating Problems ❑ ❑ El 0 Boundary Issues ❑ El El CI Requires Night Care ❑ ❑ CI 0 Education ❑ 0 0 0 Involvement with Child's Family ❑ CI 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-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) ''a s s°,ti r s I } i c s ' err T :ii • vu a c:tt is w ..y d tr -Fr'�s ' �!�5,r. .... ' + : , :�� :a=_ z,°d:� ' . Rite 4 a 'Fa r tlia, L))0aallUt .0042 FR may " . iri1141._ : ="'>;v1'br_°; '. 0I° - ..l ;l_. 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 ($586/month) 64, - -- +Respite Care$.66/day ($20/month) $19.73 1 =i3= +$.66 Respite Care !...111,1' !'' Total Rate= ($20.39 day/$620 month) $23.01 1 1/2 `_ - +$.66 Respite Care Total Rate=($23.67 day/$720 month) =11i $26.30 2 +$.66 Respite Care =€il Total Rate=($26.96 day/$820 month) y ' $29.59 ;(ti' 2 1/2 +$.66 Respite Care Total Rate=($30.25 day/$920 month) 5,55 5555 $32.88 ,19 3 ?: +$,66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 3 1/2 n`;;;} 4.66 Respite Care Total Rate=($36.82 day/$1,120 month) :i $39.45 4 x TRCCF Drop Down -555 +$.66 Respite Care Total Rate=($40.11 day/$1220 month) i 4 i . • Assessment Rate % $30.25 day/$920 month(Includes Respite) (30 day max) 015 Effective 7/1/2008 7 Weld County Addendum to the CWS-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: li a""a/ Weld County Clerk to the Board / '. ' ' WELD COUNTY BOARD OF f (s.....r `ti SOCIAL SERVICES, ON BEHALF f OF THE WELD COUNTY .. IDEPARTMENT OF SOCIAL c� '� SERVICES By: By: A..,-/rA..--,' Deputy Cl to the Board Chair Signature William H. Jerke AUG 1 1 7008 PROVIDER: n «NAME»Chri5 iansome, Mani f24nsarnz, «MAILING ADDRESS» 1103 2.44% Ave «CITY_ST TTE_ZZIIP» &reelcy to 1001 By: (Signature)(, WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: `,- (Dir ctor Signa e) c r- cr F. 8 Weld County Addendum to the CWS-7A sear-a/,, WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Rasmussen,Dennis and Diane and the Weld County Department of Human Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this /O day of ) L , 2008, are added to the referenced Agreement. Except as modified hereby, all terms f the greement 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#104555. 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 &m1- a//9 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. 1 0. 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 1HH# (DATE OF ASSESSMENT AGENCY NAME !PROVIDER NAME I 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 Dl)One round trip a week ❑1%a)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%:)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 ❑l)Once a month ❑l'/)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 or special education plan? ❑Basic Maint.)No educational requirements 01)Less than a%l hour per day 011/2) 1/2 hour a day ❑2) 1 hour a day 02 %) 11/2-2 hours per day 03) 2Y:-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑Basic Maint.)No special involvement needed 01)Less than 5 hours per week ❑1%)5 to 7 hours per week 02)8 to 10 hours per week ❑2%) 11 to 14 hours per week O 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 01%)5 to 7 hours per week 02) 8 to 10 hours per week ❑2%) 11 to 15 hours per week ❑3) 16 to 20 per week ❑3%i 21 or more hours per week A 1. How often is CPA/County case management required?(Does not include therapy) ❑Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) ❑l)Face-to-face contact one time per month with child and minimal crisis intervention. ❑1'%)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 02%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 03%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)Not needed or provided by another source(i.e.Medicaid) ❑l)Less than 4 hours per month 02)4-8 hours per month ❑3)9-12 hours per month 4 Weld County Addendum to the CWS-7A 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•ly to this child y .r t`h b u++ J l4 is ns'r::n�i.�` �e�.�'a`9:4c ?.x °e,.+A.��.. +. .v4.n.}'ae°a4s°S"LY °' ••.t '� � 1 {. ...svvv.,. .. �'. "� ..........• Aggression/Cruelty to Animals ❑ ❑ ❑ 0 Verbal or Physical Threatening ❑ 0 ❑ 0 Destructive of Property/Fire Setting 0 0 ❑ ❑ Stealing ❑ 0 ❑ ❑ Self-injurious Behavior ❑ 0 ❑ 0 Substance Abuse ❑ 0 0 ❑ Presence of Psychiatric Symptoms/Conditions 0 ❑ ❑ 0 Enuresis/Encopresis ❑ 0 0 0 Runaway ❑ 0 0 ❑ Sexual Offenses ❑ 0 0 0 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a..ly to this child. Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ 0 Depressive-like Behavior ❑ 0 ❑ 0 Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ 0 Eating Problems ❑ ❑ 0 ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ 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 CWS-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) s T �' ' = • trtd A•e 0-10...$16.32/da $496/month County Basic A•e 11-14...$18.05/de $549/month Maint. A•e 15-21...$19.27/da $586/month -41 +Res•ite Care$.66/da $20/month $19.73 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 1/2 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 4.66 Respite Care Total Rate=($30.25 day/$920 month) $32.88 3 +$.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 3 1/2 +$.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) Eiri Effective 7/1/2008 7 Weld County Addendum to the CWS-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: MA/2/4L47 Weld C crow,the Board hki �- WELD COUNTY BOARD OF iF a�, HUMAN SERVICES, ON BEHALF 861 � � � OF THE WELD COUNTY kg.v DEPARTMENT OF HUMAN SERVICES tr / By: ' By: n-, ' k z — Deputy Cl c to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Rasmussen, Dennis and Diane 345 Gypsum Lane Johnstown, CO 80534 By: S:Izi.A.-„ C, "n-a_,-- (S7 re) ' ---CiTtlin'ue-ii-av-Yu.) WELD COUNTY DEPARTMENT P OF HUMAN SERVICES /t4- ex,,, �` " 1 By: (Dire tor Signatur 8 Weld County Addendum to the CWS-7A GOOd' -02/ WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Pu,posP et Care Services and Foster Care Facility Agreement(the"Agreeme ' between Redding, Christopher and Sonja and the Weld County Department of Social Services for the period from July 1, 2008 through June 30,2009. The following provisions, made this day of , 2008, are added to the referenced Agreement. Except as modified hereby, all terms o th greement 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#1524128. 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 mod'- 02/6 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# IDATE 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 01%)2 round trips a week 02)3-4 round trips a week. ❑2'/:)5 round trips a week ❑3) 6 round trips a week ❑3%:)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 ❑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''/3 hour per day 011/2) '/2 hour a day ❑2) 1 hour a day 02 %) 11/2-2 hours per day 03)2%-3 hours per day 031/2)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'%) 5 to 7 hours per week ❑2) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑ 3)Constant basis during awake hours ❑3%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical,and/or occupational therapy? 0 Basic Maint.)0-2 hours per week ❑1)3 to 4 hours per week ❑1'/x) 5 to 7 hours per week 02) 8 to 10 hours per week ❑2%) 11 to 15 hours per week ❑3) 16 to 20 per week 03%)21 or more hours per week A 1. How often is CPA/County case management required?(Does not include therapy) ❑Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e.mutual care placements.) ❑1)Face-to-face contact one time per month with child and minimal crisis intervention. 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? 00)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-7A 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. r a}i � 3 444, Wd i a i +'{ ,214.44itit4::!;igega#daPartaTa NUS b.' s nurawriodreptvit Aggression/Cruelty to Animals ❑ ❑ ❑ 0 Verbal or Physical Threatening O ❑ ❑ ❑ Destructive of Property/Fire Setting 0 ❑ 0 0 Stealing ❑ ❑ 0 ❑ Self-injurious Behavior ❑ ❑ ❑ 0 Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis O 0 0 ❑ Runaway ❑ ❑ ❑ 0 Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A . BEHAVIOR ASS(ExEShibitSMEB)NT CONTINUED Please rate the behavior/intensity of conditions which create the need for services that apply to this child. s:Y .r" Std iabl R f ky Y H Ptglign `\§ :47:0...r,PS " .:x14 ty "� R T i ty'' 1 A:.#_ 11�.i�. ll x 3C`. LS- 4,1 fI *. 3 R Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior 0 0 0 0 Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ 0 0 0 Medical Needs (If condition is rated"severe",please complete O 0 0 0 the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems 0 0 0 0 Boundary Issues ❑ ❑ 0 0 Requires Night Care ❑ ❑ 0 0 Education ❑ ❑ 0 0 Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 El 3 6 Weld County Addendum to the CWS-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) r r� � Lb{�.. �`�c�.r a. v 3'+,&x.�x�- t �� c �... �a �' , �s�4�k s, 'S➢en�:.._9a. A•e 0-10...$16.32/da $496/month County Basic A.e 11-14...$18.05/da $549/month Maint. Poe 15-21...$19.27/da $586/month +Res•ite Care$.66/da $20/month $19.73 1 4.66 Respite Care Total Rate= ($20.39 day/$620 month) elM $23.01 1 1/2 +$.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 21/2 4.66 Respite Care Total Rate=($30.25 day/$920 month) $32.88 3 4.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 31(2 4.66 Respite Care Total Rate=($36.82 day/$1,120 month) 114 $39.45 4 +$.66 Respite Care TRCCF Drop Down Total Rate=($40.11 day/$1220 month) 414 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: L /gaii __'""' Weld County Clerk to the Board M �~x;;i WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF a61(.--- Far 1-` OF THE WELD COUNTY Fx , _ IDEPARTMENT OF SOCIAL r � ✓ /k f , SERVICES i! By: / /1 BY: " '-1 (1---A-.A Deputy Cl to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Redding, Christopher and Sonja 2305 42nd Ave Greeley, CO 80634 �✓J By: /� igna[ure) - WELD COUNTY DEPARTMENT /C� OF SOCIAL SERVICES fer /7 01( By: (Di ector Signa e) 8 Weld County Addendum to the CWS-7A S-7A at7r ...07/1 • WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Ripka, Gary and Jennifer and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this 21 day of' U 2008, are added to the referenced Agreement. Except as modified hereby, all terms of tlAgreement 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#1538429. 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 ateg-C/O 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 • A 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 [TRAILS CASE ID DOB F 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 01)One round trip a week ❑1%:)2 round trips a week ❑2)3-4 round trips a week. ❑2'/i)5 round trips a week ❑3)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 01)Once a month ❑1%)Two times month 02)Three times a month 02%)Once a week 03)Two times a week O 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 01)Less than a'/ hour per day 01%) 1/2 hour a day O 2) 1 hour a day 02 %1) 1'h-2 hours per day 03)2'/r3 hours per day 93%)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 01)Less than 5 hours per week 01%) 5 to 7 hours per week 02) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical,and/or occupational therapy? O Basic Maint.)0-2 hours per week ❑l) 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 O 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. O 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. O 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) 01) 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-7A S-7A 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. �'x fr r`'� i'xvy:=r7 vmr x' a EFk xs t !�'s` ";t't�' ThirgrnSfisaliggiifint7 MallialleallESSVIESPry v r + * 'tc'-ate° r x : �{ r�a ! ::'v nn d4x vd :-t"i i ww key L xgh xg i ... q w*. J t +w 5e. 4 i�3 I L . tr 2z vvaT xx,: Sri uJal vi g it cttf •Friu at Nx tt Biwa a4gi`r'Ssw Px# :v- B 'R'.` x' E v - a ar r' igai °niacrx OO7;::;CA,,EWIfilF3.-1.kij.h.heiM`HUP'AiM24.,RIq'MIP v Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ O Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a..ly to this child. v r " ��rVW0 :�4.7vn, t t i i t er i e • : age aiRigila �5. yr a .s F a . ,v. o-5 c. u F f F as .y:t_'4� \y �e- ' E4 iciataltialial lin........................[st t 3 as x .. aa'ar "a s t : ,` H`(fi-5 4 It v s *1/40 hr ��d''(` A �c �' ' I .. rvc v a n .. �.'�-`' Flr0,i• .i ... Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ 0 0 Medical Needs (If condition is rated"severe",please complete O ❑ ❑ 0 the Medically fragile NBC) Emancipation ❑ ❑ 0 0 Eating Problems ❑ 0 ❑ ❑ Boundary Issues ❑ ❑ 0 0 Requires Night Care ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) atii5.a -ti S' -ciPiN1.3"�"}.t ,�,3& da a a sac lr, 4 #. ii a 5 .N ,.al,p s t` amp 4 .'�3 . _„ w i:+ F7 ,ane=y)4 'y� �" � y$ ii �;. + hi tt �- i —�°� as s :Fars l2 iii c .. �ekt ihiit...:..: i,. "i fir..,. . .. .m....... 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 4.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 1/2 ghtt +$.66 Respite Care Total Rate=($23.67 day/$720 month) zi yip_, $26.30 2 4.66 Respite Care Total Rate=($26.96 day/$820 month) 1x K $29.59 2 1/2 g4p 4.66 Respite Care Total Rate=($30.25 day/$920 month) .._.. $32.88 3 4.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 31/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 TRCCF Drop Down .::;r:f 4.66 Respite Care - Total Rate=($40.11 day/$1220 month) Assessment Rate n a}. $30.25 day/$920 month(Includes Respite) (30 day max) pit Effective 7/1/2008 7 Weld County Addendum to the CWS-7A S-7A . IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: 4 4d'l/7 Weld Co o the Board 41 rc ). WELD COUNTY BOARD OF ' y f ta SOCIAL SERVICES, ON BEHALF -)� OF THE WELD COUNTY O r` DEPARTMENT OF SOCIAL SERVICES By: bb By: ")-.-1 ll'J,,,,f Deputy Cl tot e Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Ripka, Gary and Jennifer 2113 74th Ave Greeley, CO 80634 By: �����(Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: (Di etor Signs n e) 8 Weld County Addendum to the CWS-7A WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Jeffrey & Tami Rogers and the Weld County Department of Social Services for the period from July 1,2008 through June 30, 2009. The following provisions, made this_Is' day of July , 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#1550689These 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 WORKER COMPLETING ASSESSMENT HH# 1DATE 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. 92%) 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 ❑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? 0 Basic Maint.)No educational requirements ❑1) Less than a 'h hour per day 011/2) '/x hour a day 02) 1 hour a day 02 %) 1''A-2 hours per day ❑3)2'/a-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? 9 Basic Maint.)No special involvement needed ❑l) Less than 5 hours per week ❑1'/) 5 to 7 hours per week 02) 8 to 10 hours per week 02%) 11 to 14 hours per week 9 3)Constant basis during awake hours ❑3%i 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? 9 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 92%) 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.) 91)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. 92)Face-to-face contact two times per month with child and occasional crisis intervention. 92%)Face-to-face contact three times per month with child and occasional crisis intervention. 93)Face-to-face contact weekly with child and occasional crisis intervention. 93%)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) ❑l)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-7A S-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensity of conditions which create the need for sen.ices that apply to this child. a,„_ ?}_- } r(t- t v �kii��F�7: "'i.'"+rJ'r₹'PL'`+nr Rating of Conditions�E6..n . s 00„11 t.Fy15 *,r� (Check one box for each category) • Assessment Areas None Had Moderate Severe Comn ei4s: d 1 2 3 Aggression/Cruelty to Animals Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. ..... ... .... ..SS Y.:'j ELLY: ,3,� •:JU: '� N • Ate4ult , }sating of Conditions t 7t ;;. . (Check one box for each category) Assessment Areas Nerve Moderate Severe Comments; 4 1 2 3 Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) n 0 n 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS-7A • • WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) NEP swc .. . s 4 3tL t jq #w, a.. .."OratTgatit,ifaiiiiii3A"PkUtEiaMt. liTh:"!IiigllitiONETL±... MORTYMI-ZgatgeHaitINE . 2i I a, x.sa, 4x a`Nx. ks�l. a ll ,; .!n 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 4.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 1(2 ''' 4.66 Respite Care 2 : Total Rate=($23.67 day/$720 month) $26.30 2 4.66 Respite Care Total Rate=($26.96 day/$820 month) $29.59 21/2 '� 4.66 Respite Care Total Rate=($30.25 day/$920 month) $32.88 3 4.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 31/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 TRCCF Drop Down "' +$.66 Respite Care gti' Total Rate=($40.11 day/$1220 month) fv 1 fE�l ''�•1�,'.`^ty�iln.n i�, �"'���i �"+I� - �"r"f`i1,1 �`�k1VI� �' :•�� � 'Assessment Rate l $30.25 day/$920 month(Includes Respite) (30 day max) Effective 7/1/2008 7 Weld County Addendum to the CWS-7A ' • . . IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: 4^+ !/i'(/a-4f Weld Count erk to the Board WELD COUNTY BOARD OF I fir . � . SOCIAL SERVICES, ON BEHALF 1 itt � OF THE WELD COUNTY e DEPARTMENT OF SOCIAL ' '•"c' � SERVICES By: / By: 71., f .-G„-i Deputy CI tote Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: «NAME» «MAILING_ADDRESS» «CITY_STATE ZIP» By: %z5K C. (S�7ie ) WELD COUNTY DEPARTMENT -Tva. \7-_t:36`z� OF SOCIAL SERVICES S .).-.)-\ &k,-iz✓Lg:x ?ks..k, I�1Vt1 �raZ., Ci: Ye5—Oy By: ( trector S nature) 8 Weld County Addendum to the CWS-7A WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between ALAN & DIANE SEARS ZT, and the <'0 A'l'l 10: qq Weld County Department of Social Services for the period from July 1,2008 through June 30, 2009. The following provisions, made this I ) day of ( I1-( , 2008, are added to the referenced Agreement. Except as modified hereby, all terms 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#1551278. 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 IDOB 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 01)One round trip a week ❑1%s)2 round trips a week ❑2)3-4 round trips a week. ❑2%) 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 ❑2)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 011/2) '/z hour a day 02) 1 hour a day ❑2 /) 1'/:-2 hours per day ❑3)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 ❑I) Less than 5 hours per week ❑1'%)5 to 7 hours per week 02) 8 to 10 hours per week ❑2/) I 1 to 14 hours per week ❑3)Constant basis during awake hours ❑3%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical,and/or occupational therapy? 0 Basic Maint.)0-2 hours per week ❑1)3 to 4 hours per week ❑1'%)5 to 7 hours per week O 2) S to 10 hours per week ❑2/) 11 to 15 hours per week ❑3) 16 to 20 per week 03%)21 or more hours per week A 1. How often is CPA/County case management required?(Does not include therapy) ['Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) ❑1)Face-to-face contact one time per month with child and minimal crisis intervention. O 11/2)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. ❑2/)Face-to-face contact three times per month with child and occasional crisis intervention. ❑3)Face-to-face contact weekly with child and occasional crisis intervention. ❑3'/)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)Not needed or provided by another source(i.e.Medicaid) ❑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-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit 8) BEHAVIOR ASSESSMENT Please rate the behavior/intensity of conditions which create the need for services that a.,ly to this child. x� a,ts.p i2i3c xgn,� a 2 EYnny. Y ^'k .i� - �. ? f £ ! . q t I t�.�y �' t 4vi�i •�tM s4 g na . ...%Rilli £: 2 �}R m2 f i P l it • 4 i !. { u 2 2 elx'§nF41 .4 .v' ,141 ayrri 4' ilg t'_u �a :.x wr..� i 2Ir 3.,,, v 7 r,Y 2 e 21 f y!2 v aR �µl setr - y t l ''t i . . >zt exit 't ° `',t^'r" 1 �yyp . i n. ` .'C}it4,)gqiiiS .....v ai. a..l „to__ ii:I i44i Aggression/Cruelty to Animals ❑ 0 0 ❑ Verbal or Physical Threatening ❑ ❑ ❑ 0 Destructive of Property/Fire Setting 0 0 ❑ ❑ Stealing ❑ ❑ ❑ 0 Self-injurious Behavior ❑ ❑ 0 0 Substance Abuse ❑ 0 ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ 0 ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a ly to this child. ydM,v �,r t:5v '4144 ed*Oil ` '`�. r 5 4 !'t i "r n s t a ie �, 1v,s x '",44,4;14,• NelfillPtkligf•t 1/4 t.. �.t e'a'' t '"`eSs c"IS H l es w t ''��u s tG'`t�t 6ra tk dag , ;r �idlifr AID !) tom F S ! i �.i9 �' a '5. 1rhv ' E i F'I"" "if 'A' r ezti to cox �c S3n 4t ..�. . Tzjals ! ! c' 81l74111r#1. .�r w"t °r' .p,�•I I ._ , ""c n!y v p�'>t tl p� 2 v! ! lo~ I £ it 1 Il h 'i! 4 r". Y 'v dgl�� d '! 4 .(jl Inappropriate Sexual Behavior ❑ ❑ ❑ 0 Disruptive Behavior O ❑ 0 0 Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior O 0 El 0 Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ 0 0 0 Eating Problems O 0 0 0 Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ 0 0 0 Education ❑ 0 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-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) T, 7. M F c rj' `1(iusm-.,: .w 9 ibianiattilinsilh t Nginava > > fa ` ��i k4Y '�°�'�3`"` Mn 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 ($586/month) s-' +Respite Care$.66/day ($20/month) $19.73 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) NEt $23.01 1 1/2 +$.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 4.66 Respite Care • -- Total Rate=($26.96 day/$820 month) $29.59 2 112 +$.66 Respite Care Total Rate=($30.25 day/$920 month) PHIIF $32.88 3 +$.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 3 1/2 ";' +$.66 Respite Care I[; Total Rate=($36.82 day/$1,120 month) rs1 4 $39.45 TRCCF Drop Down _ +$.66 Respite Care Total Rate=($40.11 day/$1220 month) r . ° tl . ... ..htiq ..:.....:'. Hy Assessment Rate IV $30.25 day/$920 month(Includes Respite) (30 day max) a,. Effective 7/1/2008 7 Weld County Addendum to the CWS-7A - ' ' IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: iG �u Weld Count ,C1erlc19 the Board �~ ' ,:%-t--, y: WELD COUNTY BOARD OF nh (;;.,T.:/-"\--- SOCIAL SERVICES, ON BEHALF iFt, d. ...: °;" ‘) OF THE WELD COUNTY +'`�' � , DEPARTMENT OF SOCIAL �,, _�, SERVICES �Il �)�\\ By: 47 It , ►� I By: 'It l(---l.,--1 Deputy C1-rk to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Alan or Diane Sears 61 Westward Way Eaton, C rado 80615 By: (,UKL,iA__, (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: (Di ector Signa e) 8 Weld County Addendum to the CWS-7A a-67/2 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Sevestre, Lewis and Maureen and the Weld County Department of Human Services for the period from July 1, 2008 through June 30,2009. The following provisions, made this a.t day ofdi n , 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#1551169. 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 C-9eni ale, 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 wit ??��••4 h urs after a child is placed in provider's care. Medical examinations need to be within 10 days of the child being placed with Provider and dental examinations need to be ttiledia 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 B CHILD'S NAME STATE ID# ISEX F !TRAILS CASE ID bD0[MOW0RKER COMPLETING ASSESSMENT [MO DATE OF ASSESSMENT AGENCY NAME PROVIDER NAME I 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 ❑2) 3-4 round trips a week. 02%) 5 round trips a week 03) 6 round trips a week ❑3%)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 02%)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%) '/z hour a day ❑2) 1 hour a day 02 %) 1'h-2 hours per day ❑3)2'/z-3 hours per day ❑31z)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 01%)5 to 7 hours per week 02) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond aae 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 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 031/2)21 or more hours per week A 1. How often is CPA/County case management required? (Does not include therapy) ❑Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e.mutual care placements.) 01)Face-to-face contact one time per month with child and minimal crisis intervention. 01%)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 02%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 03%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)Not needed or provided by another source(i.e. Medicaid) ❑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-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensit of conditions which create the need for services that a..l to this child , Y +' :� �f. r, 4t anP . -L '� '' s i ass Yt • Jan:y.ri ..;:4:it <..3. 4 1 r.k.. fix..: 2&;: Aggression/Cruelty to Animals ❑ 0 0 ❑ Verbal or Physical Threatening ❑ 0 0 0 Destructive of Property/Fire Setting 0 0 ❑ 0 Stealing ❑ 0 0 0 Self-injurious Behavior O 0 ❑ 0 Substance Abuse ❑ 0 0 0 Presence of Psychiatric Symptoms/Conditions 0 0 0 ❑ Enuresis/Encopresis ❑ 0 ❑ ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses O 0 0 ❑ 5 Weld County Addendum to the CWS-' BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensit of conditions which create the need for services that a..1 to this child. •n i wa wx * :� r ,r '* 'act, 9. §g ,a r wag.'k z ey�r • .aa+a":ti¢,.t.•.h,:i a Th °"di&��*:c4 z`'t" . ,.a *....._ =4� : "^ xc _' Inappropriate Sexual Behavior ❑ 0 0 ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ 0 ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ 0 ❑ 0 the Medically fragile NBC) Emancipation ❑ 0 0 ❑ Eating Problems ❑ ❑ 0 0 Boundary Issues ❑ ❑ 0 ❑ Requires Night Care ❑ ❑ 0 ❑ Education ❑ ❑ ❑ ❑ 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) 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 $586/month Pit +Res•ite Care$.66/da $20/month $19.73 Nit 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 1/2ttt.11: 4.66 Respite Care Total Rate=($23.67 day/$720 month) tra $26.30 2 4.66 Respite Care Total Rate=($26.96 day/$820 month) $29.59 2 1/2 nr,,s +$.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=($36.62 day/$1,120 month) 4 $39.45 TRCCF Drop Down +$66 Respite Care Total Rate=($40.11 day/$1220 month) itA Assessment Rate too. $30.25 day/$920 month(Includes Respite) (30 day max) Effective 7/1/2008 7 Weld County Addendum to the CWS-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Liej���� `^"4 Weld Clerk to the Board 17(f 71 r�� WELD COUNTY BOARD OF :`C Y' HUMAN SERVICES, ON BEHALF t ' (` Astt, OF THE WELD COUNTY \I ' '' 4, }' ' DEPARTMENT OF HUMAN CF � SERVICES l BY: [�iti ./(J` le-teiki.YBy: ���1, -/ Deputy Cl to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Sevestre, Lewis and Maureen 1717 69th Ave Greeley, CO 80634 l BY: -/l (a,(af6,Y1 ,fill( a1c (Signature) WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: a (Dire for Signatw 8 Weld County Addendum to the CWS-7A WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Shindle, Danny and Andrea 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 / , 2008, are added to the referenced re Agreement. Except as modified hereby, all term f U 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#1550177. 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. I Weld County Addendum to the CWS-7A & -02/69 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) DENTIFYING INFORMATION .HILD'S NAME STATE 11N1 SEX F 'TRAILS CASE ID bDOB WORKER COMPLETING ASSESSMENT riffriff �.t 'DATE OF ASSESSMENT LGENCY 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 Ibis child. [HE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: 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 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 01)Once a month 01%)Two times month O2)Three times a month O2%)Once a week O3)Two times a week O3%)Three times a week or more 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%x hour per day 01%) '/2 hour a day O2) 1 hour a day O2 %) 1'/r2 hours per day O3)2%r3 hours per day ❑3'%)More that 3 hours per day 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%) II to 14 hours per week ❑3)Constant basis during awake hours O3%)Nighttime hours 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 01)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 03) lb to 20 per week O3%)21 or more hours per week 1 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. 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. ' 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) 01)Less than 4 hours per month O2)4-8 hours per month O3)9-12 hours per month 4 Weld County Addendum to the CWS-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensit of conditions which create the need for services that ap.ly to this child. Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ 0 ❑ 0 Destructive of Property/Fire Setting 0 ❑ 0 0 Stealing ❑ ❑ 0 ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ 0 0 Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ 0 0 Sexual Offenses ❑ 0 ❑ 0 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. ... <. . v. ...,. a. .. . e.._ .... ..R a x.0 ...,..rk{$5..a.....S. .j.a . .. .. .. .. .., ..�.. .v. ._ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ 0 ❑ ❑ Delinquent Behavior ❑ ❑ 0 0 Depressive-like Behavior ❑ 0 ❑ 0 Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ 0 0 0 Eating Problems ❑ ❑ 0 ❑ Boundary Issues ❑ ❑ 0 0 Requires Night Care ❑ ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) Age 0-10...$16.32/day ($496/month) «i« 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) y s $23.01 1 1/2 +$.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 ' '- 4.66 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= y month) ($33.54day/$1020 $36.16 3 1/2 +$,66 Respite Care ) ; Total Rate=($36.82 day/$1,120 month) $39.45 4 +$.66 Respite Care TRCCF Drop Down . Total Rate=($40.11 day/$1220 month) Assess Rate $26.96 day/$820 month(Includes Respite) (30 day max) Emergency s Placement Rate $30.25 day/$920 month(Includes Respite) (30 day max) ems,; Effective 07/01/2008 7 Weld County Addendum to the CWS-7A • IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: ^ 12a" Weld C to the Board WELD COUNTY BOARD OF % g SOCIAL SERVICES, ON BEHALF II #, I_, - OF THE WELD COUNTY a ri<� DEPARTMENT OF SOCIAL SERVICES • By: / , By: Deputy Cl to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: «NAME» «MAILING_ADDRESS» «CITY STATE ZIP» By/ re) WELD COUNTY DEPARTMENT - OF SOCIAL SERVICES // By: ( ector Sign re) ✓t.wl /(4 04 �QCY47-te-5 Re( aa2J-air 8 Weld County Addendum to the CWS-7A WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Skeldum, William and the Weld County Department of Social 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 o 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#16666. 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 ow". &// 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 Willis 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) DENTIFYING INFORMATION :HILD'S NAME STATE ID# 4SE I IDOB F TRAILS CASE ID DOB NORKER COMPLETING ASSESSMENT HH# �yt DATE OF ASSESSMENT \GENCV NAME PROVIDER NAME PROVIDER TRAILS ID kNSWERS 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. PHE 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 ❑2)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? 0 Basic Maint.)No participation required 01)Once a month 01%)Two times month ❑2)Three times a month 02%)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 Y hour per day 01%) Y hour a day 02) 1 hour a day ❑2 %) 1%-2 hours per thy 03)2'A-3 hours per day ❑3Y:)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 01%)5 to 7 hours per week 02) 8 to 10 hours per week ❑2%) 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 feeding, bathing,grooming,physical, and/or occupational therapy? ❑Basic Maint.)0-2 hours per week ❑1)3 to 4 hours per week 01%) 5 to 7 hours per week 02) 8 to 10 hours per week 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. 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 02)4-8 hours per month 03)9-12 hours per month 4 Weld County Addendum to the CW S-7A • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT +�y�Please rate the behavior/intensity of conditions whiic'h.c�r'ea�.te the needfor services that apply to this child. r�"'y'e -hK.F{! zdeM3"w 'L�n"` x .. en it �c ?T'tions which, �? t. {°�I � 3� 4 i; "x- ., Q'iz.d 'tin alt6P f t 3.,.. .. G.�' i t i ;III t i.4'4 . i `fir .W 4 } , 757.4. Ii rlt y 2 { SZ ➢.;_i: tL '. id: a Y' y1 ! { 'u.g. r Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ El El 0 Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ o 0 Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions O O El O Enuresis/Encopresis ❑ 0 ❑ 0 Runaway ❑ 0 0 0 Sexual Offenses ❑ 0 0 0 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. iltirrebice:Marini .1T-Witt 11/4%, Mitartmajligeacirlatvingai at,..4,41S12414Wrilge WW1 �3.1 ra���>Plf6fre4wirilia td:h, :- ). "(u§ kf1; jc 4?, Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ 0 ❑ Depressive-like Behavior ❑ ❑ ❑ 0 Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ 0 ❑ Requires Night Care ❑ ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) iat �.vW.ui ..tS s o.'alsll4iae 1�"`' TzcF"Tr.-tiaJ�$��..Si� - hem 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 $586/month +Respite Care$.66/da $20/month • $19.73 4.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 1/2 s +$.66 Respite Care Total Rate=($23.67 day/$720 month) $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 4.66 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 4.66 Respite Care Total Rate=($40.11 day/$1220 month) 451 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: i"a"" 7 /�'I/� '1( Weld C to the Board WELD COUNTY BOARD OF 4,_ SOCIAL SERVICES, ON BEHALF I'61 !a OF THE WELD COUNTY OMEir 'f DEPARTMENT OF SOCIAL SERVICES By: By: 71---i r.(-1✓ Deputy Cl to t e Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Skeldum, William 5113 Saguaro Ct Johnstown, CO 80534 By:tV\ - L-- (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: (Dir ctor Signal ) 8 Weld County Addendum to the CWS-7A aaw-ai69 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") between Slaughenhaupt, Gary and Grace and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this a, day of Jvp. e, , 2008, are added to the refelenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. 4 GENERAL PROVISIONS ,y/O 1. County and Provider agree that a child specific Needs Based Care Assessment, v6 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#1544611. 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 n/� c2ZO --c 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 IDOB M F WORKER COMPLETING ASSESSMENT HH# 1DATE 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 ❑i)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? 0 Basic Maint.)No participation required ❑1)Once a month 01%)Two times month O2)Three times a month O2%)Once a week O3)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%) '/2 hour a day ❑2) 1 hour a day O2 %) 1'/-2 hours per day O3)2'/z-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? 0 Basic Maint.)No special involvement needed 01)Less than 5 hours per week 01%) 5 to 7 hours per week O2) 8 to 10 hours per week O2%) 11 to 14 hours per week ❑3)Constant basis during awake hours O3%)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? 0 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 O2%) 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.) ❑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. 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. ❑3)Face-to-face contact weekly with child and occasional crisis intervention. O3%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? O0)Not needed or provided by another source(i.e.Medicaid) ❑1)Less than 4 hours per month O2)4-8 hours per month O3)9-12 hours per month 4 Weld County Addendum to the CWS-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensity of conditions which createth*e need for services that apply to this child. 'a 444.Variglitta,„!ntagatittU tit;:1'k �` vq .f "' k `4. ' S4,w�- t d S. 4 0S' cti". �1ilikT p; ,:tt.' 'yS.,� 'h, ^Lk 3 i.._c,..."" R� 4 +� a"�'a ".'�'b"*'Fk ,+ ft t'�s ahn, xxapA , 8 a �,t Aggression/Cruelty to Animals ❑ 0 0 0 Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ 0 0 ❑ Self-injurious Behavior ❑ 0 0 ❑ Substance Abuse ❑ 0 0 0 Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ 0 Enuresis/Encopresis ❑ 0 0 0 Runaway ❑ ❑ ❑ 0 Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) • • Please rate the behavior/intensity of conditions which create the need for services that a..ly to this child. ��'� .er y k '�.. k s,.r.+.. �,k"*x�.�°v "�� spa�.xxv�.� *`���4 vs:e+s. ,,, 'v s r t s u'' 'ii °°°� s' t -+..I ''�. ti *av v 1 `�,. `":"'e .i4)4`a ki a`:Ilitie A r +'s +` Orr k F '' k, ``t,?'�C;. rl! Vi " �.s'+ �. �''rf ., ti-° , ;�, .................................................... S`a•: e e 3 ^k' • . v a r oaf � ` 5"ak .ti 1+r v c x- , Inappropriate Sexual Behavior ❑ ❑ ❑ 0 Disruptive Behavior ❑ 0 ❑ 0 Delinquent Behavior O 0 ❑ 0 Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete O ❑ 0 ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ 0 0 Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education O ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) • a�` �� '1� b 3' Y� � b7� 4(J � V� t43:v� A.e 0-10...$16.32/da $496/month urN County Basic A.e 11-14...$18.05/da $549/month Maint. /toe 15-21...$19.27/da $586/month +Respite Care$.66/da $20/month $19.73 1 4.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 1/2 4.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 +$.66 Respite Care Total Rate=($26.96 day/$820 month) .44 $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) .474 $36.16 3 1/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 +$.66 Respite Care TRCCF Drop Down Total Rate=($40.11 day/$1220 month) dp Assessment Rateit CZ $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: ,at ms ji Weld-County Clerk to the Board WELD COUNTY BOARD OF n <a SOCIAL SERVICES, ON BEHALF c j OF THE WELD COUNTY Tka ''r DEPARTMENT OF SOCIAL = .N 9� SERVICES 0 By: By: /1" Deputy Cle to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Slaughenhaupt, Gary and Grace 30633 CR 78 Eaton, CO 80615 By: e 9,I (Sign re) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Dire or Signatur 8 Weld County Addendum to the CWS-7A WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") between Slipka, Darrel and Ruby and the Weld County Department of Social Services for the period from July 1, 2008 through June 30,2009. The following provisions, made this 5 day of r✓l o-. , 2008, are added to the referenced Agreement. Except as modified hereby, all terms of t e 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#1525217. 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 thaw of 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 Depaitutent 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 ID M F I I WORKER COMPLETING ASSESSMENT HH# 1DATE 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 ❑l)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 ❑l)Once a month 01%)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 or special education plan? 0 Basic Maint.)No educational requirements El)Less than a %z hour per day ❑1%) '/ hour a day 02) 1 hour a day 02 %) 11/2-2 hours per day 03)2%z-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 01)Less than 5 hours per week 01%)5 to 7 hours per week 02) 8 to 10 hours per week ❑2%z) 11 to 14 hours per week ❑3)Constant basis during awake hours ❑3%z)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical, and/or occupational therapy? ❑Basic Maint.)0-2 hours per week ❑1)3 to 4 hours per week 01%)5 to 7 hours per week 02) 8 to 10 hours per week ❑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) ❑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. 02)Face-to-face contact two times per month with child and occasional crisis intervention. ❑2%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 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) ❑l)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-7A • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensgiitty of Condit ons which create the need for services that a 1 to this child. iq tl axe ' ; `- s` { }r :f• a' 7F i ' 'i,,t>irrl!Ih i ;44 a y ` a...: "y "` 1. .10 t�l,.,.', }`�,'3S�• ° 5 -x- . o-x ''+t`r"* ti a }T v i $".4 .ai a g,�' g 4Rizi i} §? }: 4a� S „0,.-;} ;ii Aggression/Cruelty to Animals ❑ ❑ I: El Verbal or Physical Threatening ❑ 0 0 ❑ Destructive of Property/Fire Setting 0 0 ❑ ❑ Stealing El ❑ ❑ ❑ Self-injurious Behavior ❑ o 0 ❑ Substance Abuse ❑ O 0 0 Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis El ❑ ❑ ❑ Runaway ❑ ❑ El ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A • BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. `'4 A.a 4 F_@ 5 4xt !(^ e' ; Y i ,�k' °6. 'r Y''i. 3�c % k' 3 x . ,.s,"4 `. '? 9R§x.. s tirAY 5 �, ''§ - $,saaa§'°e'da -x.§. Y% 4 rt LEEvrk 'v4 � t S r a r` �..:$ § �. r'°"an'�i T +ft°'.,5 a,r ...rig'Ev. .w .�'+h Y...>a kg' .'tC£aSt% �P3i �y'+.�.t ri' '. ]eJ z:. �bk°..e nid' .e :a .m. P .x.a.a,mvna..xM{t Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ O Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ 0 0 ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES • NEEDS BASED CARE RATE TABLE (Exhibit C) ,+ h 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 4.66 Respite Care Total Rate= ($20.39 day/$620 month) efik $23.01 1 1/2 +$.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 4.66 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 4.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 31/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) •. .. $39.45 4 TRCCF Drop Down +$.66 Respite Care Total Rate=($40.11 day/$1220 month) --'�~ Assessment Rate (30 day max) $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: gjeW jf Weld Count rk to the Board \F t^ :j WELD COUNTY BOARD OF 1/ �F`;.� SOCIAL SERVICES, ON BEHALF 'ss; OF THE WELD COUNTY } 'Ct f� ��� DEPARTMENT OF SOCIAL t"? 4, SERVICES By: By: l j illitiJ Deputy Cl to e Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Slipka, Darrel and Ruby 515 Shirley Ct Platteville, CO 80651 By: ( /Z--- (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: (D ector Signa e) 8 Weld County Addendum to the CWe —air WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement(the "Agreement") between Steitz, Daniel and Natalie and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this 1ct day of 2008, are added to the referenced Agreement. Except as modified hereby, all terms o 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#1546930. 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 ate - a/6f 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# ISEX F TRAILS CASE ID DOB WORKER COMPLETING ASSESSMENT HH# I PATE 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 ❑l)One round trip a week ❑l%)2 round trips a week 92)3-4 round trips a week. 92%) 5 round trips a week 03)6 round trips a week 93%)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 ❑1)Once a month Ell 1/2)Two times month 02)Three times a month 02%)Once a week 93)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 or special education plan? 0 Basic Maint.)No educational requirements 01)Less than a''/ hour per day 01%) '/z hour a day ❑2) 1 hour a day 02 %) 1%-2 hours per day 03)2%-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? 0 Basic Maint.)No special involvement needed 01) 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 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 ❑l)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.) 01)Face-to-face contact one time per month with child and minimal crisis intervention. 01%)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 02%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 03%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? ❑0)Not needed or provided by another source(i.e.Medicaid) 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-7A • 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 thi • • s child. ihitts If 3i E t N_i E YH 1 t ! *Wet �; 3 m x fit. ea .. .41 x•1 _... _.z.;;X * �` "�. .. „,.„4.„„„ i y �. '(�,'�,'" �. _.: t :i1> .I::s _:s 'k a+. Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ O ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) of conditions which create the need for services that apply to this child. Please rate the behavior/intensity ' - s.t=3,14.%:,r e a t c at - t t r • jy ,s s 2..• t FF2:1 tr-u.:?_i it .,- u ..' �il_r ash- a 'l „V 5 }} v y, lagratietmecta Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ 0 ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ 0 ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) � tyt ,s `' • y is �444444Y A•e 0-10...$16.32/da $496/month County Basic �x 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 k 4.66 Respite Care Total Rate= ($20.39 day/$620 month)tAt $23.01 1 1/2 +$.66 Respite Care Total Rate=($23.67 day/$720 month) $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) $32.88 3 r. +$.66 Respite Care Total Rate=($33.54day/$1020 month)k. $36.16 31/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) • $39.45 4 "74,i +$.66 Respite Care TRCCF Drop Down Total Rate=($40.11 day/$1220 month) Assessment Rate n. $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: Lat4 Weld County Clerk to the Board _/G WELD COUNTY BOARD OF *•'3v SOCIAL SERVICES, ON BEHALF io OF THE WELD COUNTY 8 DEPARTMENT OF SOCIAL SERVICES By: / By: Deputy Cl to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Steitz, Daniel and Natalie 1701 Elder Ave Greeley, 0631 By: LYcQ (Signature) . ) e. WELD COUNTY DEPARTMENT (' o±oc i OF SOCIAL SERVICES By: (Di t ctor Sig re) 8 Weld County Addendum to the C WS-7A 7 e WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Sugden, Stanley and Lena and the Weld County Department of Social 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 o the greement 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#1537224. 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 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 IDOB M F 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 ❑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 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 01)Once a month 01%)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 or special education plan? ❑Basic Maint.)No educational requirements 01)Less than a''/z hour per day ❑1%) 1/4 hour a day 02) 1 hour a day 02 %) 11/2-2 hours per day 03)2%r3 hours per day ❑3'%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑ Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week ❑1%) 5 to 7 hours per week 02) 8 to 10 hours per week ❑2%z) 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 feeding, bathing,grooming,physical, and/or occupational therapy? ❑Basic Maint.)0-2 hours per week ❑l)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) ❑Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) ❑1)Face-to-face contact one time per month with child and minimal crisis intervention. 01%)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. 02%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 03%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? 00)Not needed or provided by another source(i.e.Medicaid) ❑l)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-7A 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. Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ 0 0 0 Destructive of Property/Fire Setting ❑ 0 0 0 Stealing ❑ ❑ 0 0 Self-injurious Behavior ❑ ❑ ❑ 0 Substance Abuse ❑ ❑ 0 0 Presence of Psychiatric Symptoms/Conditions ❑ ❑ 0 ❑ Enuresis/Encopresis ❑ 0 ❑ ❑ Runaway ❑ ❑ 0 0 Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. e 8 behavior/intensity :!fir +?°` p+,/'Sa '°'y+'4 , 'x m * '.rvn ry br qw, X a• q:�` s. a`'^sm"�'¢}4y`ti x Asa - t E a `e;. �, ,�.`a174. *, 3 d'ia ' i°° 1k5'#3 w£'''''C '" e rr # p. '„ :. 4 v y ria;kattikLen r'd (.l: ,e ,� ` � s:;" ' litilft S S ? -4 s a8�*. ' wa:� "' b:. .v.°a'im.n„s,.t.....::.,..�.ia.�.s..,�.s.,.__�....s. ., . .. ... x� : Inappropriate Sexual Behavior ❑ ❑ 0 0 Disruptive Behavior ❑ ❑ 0 ❑ Delinquent Behavior ❑ ❑ ❑ 0 Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ 0 ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ 0 ❑ Boundary Issues ❑ ❑ 0 ❑ Requires Night Care ❑ ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) tiai' a"Y a _ v . ya at -,. h P L- yn' rud}' a h y ,^ i • £ '`1 ! yNe" S '.a�.*'h�s _ .:itti,i.,,,,,I,;(.:::::,,,:rdl.,i,,,ri,. .. 1,2 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 $586/month +Respite Care$.66/da $20/month $19.73 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 1/2 FM +$.66 Respite Care Total Rate=($23.67 day/$720 month) Pi $26.30 2 Len +$.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) di KM $36.16 3 1/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) lail 4 $39.45 TRCCF Drop Down +$_66 Respite Care Total Rate=($40.11 day/$1220 month) tie Assessment Rate 14 $30.25 day/$920 month(Includes Respite) (30 day max) Keri 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: �a W :__lerk to the Board "5 WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF " C i` OF THE WELD COUNTY DEPARTMENT OF SOCIAL �� SERVICES iw I By: By: 1.-z-7 PL,� Deputy Clef c to the Board Chair Signature William H. Jerke AUG 1 1 2009 PROVIDER: Sugden, Stanley and Lena 1251 51st Ave Greeley, CO 80634 By: (Signature) 0 WELD COUNTY DEPARTMENT j, _ � 7 , OF SOCIAL SERVICES i .9�_ By: a (Di ctor Signat ) 8 Weld County Addendum to the CWS-7A &oa-G/6 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Trevino-Rivera, Irene and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this a day of Me, L, , 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#1506181. 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 amp'- a/ 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) DENTIFYING INFORMATION :HILD'S NAME STATE ID# SEX !TRAILS CASE ID IDOB M F I YORKER COMPLETING ASSESSMENT HH# 1DATE OF ASSESSMENT CENCY NAME PROVIDER NAME PROVIDER TRAILS ID ,NSWERS 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. [HE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: ' 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 01%)2 round trips a week O2)3-4 round trips a week. ❑2'/z) 5 round trips a week O3) 6 round trips a week O3%)7 round trips or more 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 O2)Three times a month ❑2%)Once a week O3)Two times a week O3%)Three times a week or more '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? 0 Basic Maint.)No educational requirements ❑1)Less than a '/z hour per day 01%) %z hour a day ❑2) 1 hour a day O2 '/z) 1'/z-2 hours per day O3)2'/z-3 hours per day O3%)More that 3 hours per day 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 01)Less than 5 hours per week ❑1'/z)5 to 7 hours per week O2) 8 to 10 hours per week O2%) 11 to 14 hours per week ❑3)Constant basis during awake hours ❑3%z)Nighttime hours '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? 0 Basic Maint.)0-2 hours per week ❑1)3 to 4 hours per week 01%) 5 to 7 hours per week O2) 8 to 10 hours per week ❑2%z) 11 to 15 hours per week ❑3) 16 to 20 per week O3%)21 or more hours per week ,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. 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. ❑3)Face-to-face contact weekly with child and occasional crisis intervention. ❑3/)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. C 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) 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-7A 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. �,�'�,? • 1 ! i i i E o f k �{��� � � 3 t I i t I S f Nt`:l R IB'= b . tl'1 " `.'§eY I, "..l Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ 0 ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ 0 Stealing ❑ ❑ 0 0 Self-injurious Behavior ❑ ❑ ❑ 0 Substance Abuse ❑ ❑ ❑ 0 Presence of Psychiatric Symptoms/Conditions ❑ ❑ 0 0 Enuresis/Encopresis O 0 0 ❑ Runaway ❑ 0 0 ❑ Sexual Offenses O 0 0 0 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that ap.ly to this child `5 Ti . v,.. ' vdt� .,� :71 a t , s .sx.rw" yes �i F -tx•; *' • "ov Vicar . ¢ a :.x''.. r: v� 7 �;y,r titi • a, . Inappropriate Sexual Behavior ❑ 0 0 0 Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ 0 ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ 0 the Medically fragile NBC) Emancipation ❑ ❑ ❑ 0 Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ 0 0 0 Education ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) ^" H G } tvyv 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 $586/month +Respite Care$.66/da $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 tr9 4.66 Respite Care Total Rate=($26.96 day/$820 month) $29.59 2 1/2 +$.66 Respite Care Total Rate=($30.25 day/$920 month) w,. $32.88 3 +$.66 Respite Care Total Rate=($33.54day/$1020 month) a._ $36.16 31/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) . $39.45 4 +$.66 Respite Care TRCCF Drop Down 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: atakiai-Ali Weld GihMit}E1Pri, k to the Board ./ :tilt. , A �If NI > + WELD COUNTY BOARD OF (I hs�r t1) SOCIAL SERVICES, ON BEHALF kl,0,"k OF THE WELD COUNTY A DEPARTMENT OF SOCIAL p,iq. SERVICES By: _ By: "Iz-j C/..,..." Deputy Cl rk to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Trevino-Rivera, Irene 4227 W 31st ST Greeley, CO 80634 By: L ignature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES • AI By: lit�tJ (Dir ctor Signatu e 8 Weld County Addendum to the CWS-7A • WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Van Den Elzen, Dawn and the Weld County Department of Social Services for the period from July 1, 2008 through June 30, 2009. The following provisions, made this / J;day of .,V{ , 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#44282. 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 ass- a/6 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 jDOB M F I I WORKER COMPLETING ASSESSMENT HH# 1DATE 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'/z)2 round trips a week ❑2)3-4 round trips a week. ❑2%z)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? ❑Basic Maint.)No participation required ❑1)Once a month ❑1%z)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 or special education plan? ❑Basic Maint.)No educational requirements On Less than a%x hour per day 011/2) 1/2 hour a day 02) 1 hour a day 02 %) 1'/z-2 hours per day 03)2%z-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week 011/2)5 to 7 hours per week 02) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, 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 ❑3%)21 or more hours per week A 1. How often is CPA/County case management required? (Does not include therapy) 0Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) O 1)Face-to-face contact one time per month with child and minimal crisis intervention. 011/2)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. ❑2%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. ❑3%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? 00)Not needed or provided by another source(i.e. Medicaid) ❑1)Less than 4 hours per month 02)4-8 hours per month ❑3)9-12 hours per month 4 Weld County Addendum to the CWS-7A 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. ERA,z tv. ! i ! k 6 q F i £X ,c �' '�-,�' R[:_ �,„�E a� i)i(� f k 1 i i & b\ mod x v Vacs.�xam:s a _4�4 ,t"Y+�ae" , @'.fi `^ +, .:11 � a ,� a .. t 4tl d. ^Y"i � �' s. '� �S17:4' � e s;) Itilleggaatinf-atiniWk4 ' m Ati2j'd r rr₹r,- Aggression/Cruelty to Animals ❑ ❑ 0 0 Verbal or Physical Threatening O O ❑ 0 Destructive of Property/Fire Setting 0 0 ❑ 0 Stealing O O ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ 0 0 Presence of Psychiatric Symptoms/Conditions El 0 ❑ ❑ Enuresis/Encopresis ❑ O 0 ❑ Runaway ❑ ❑ ❑ 0 Sexual Offenses ❑ ❑ ❑ 0 5 Weld County Addendum to the CWS-7A • BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. yt. irfit air , �c '' aro t a' a a a i 'y`t Yom:'... ; I:a i '•. . _r. a V Inappropriate Sexual Behavior ❑ ❑ ❑ 0 Disruptive Behavior ❑ ❑ ❑ 0 Delinquent Behavior ❑ 0 ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs Or condition is rated"severe",please complete ❑ 0 El ❑ the Medically fragile NBC) Emancipation ❑ ❑ 0 0 Eating Problems ❑ ❑ 0 0 Boundary Issues ❑ ❑ 0 ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ 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-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) A•e 0-10...$16.32/da $496/month County Basic A•e 11-14...$18.05/da $549/month Maint. Ase 15-21...$19.27/da $586/month ka +Respite Care$.66/da $20/month $19.73 1 +$.66 Respite Care Total Rate= ($20.39 day/$620 month) $23.01 1 1/2 4.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 f +$.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 4.66 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) t 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. /444 Li Il / ATTEST: ,Y' Weld County Cler the Board /° WELD COUNTY BOARD OF g5 r • SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY f1c DEPARTMENT OF SOCIAL SERVICES By: By: Deputy rk to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Van Den Elzen, Dawn 7219 W 20th St Ln Greeley, CO 80634 By: ,,fit.,, 1:0.),624;) (Signature) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: lJ� (Direct r Signatur 8 Weld County Addendum to the CWS-7A aoaP-a/e 5 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Walker, Kurt and Jennifer `V and the ., Weld County Department of Social Services �/A for the period from July 1, 2008 through June 30, 2009. The following provisions, made this ? ' day of c)unc. , 2008, are added to the referenced /4 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#1546248. 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 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 1)55 NEEDS BASED CARE ASSESSMENT (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX F [TRAILS CASE ID DOB WORKER COMPLETING ASSESSMENT HH# �ryt I ATE 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'A)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'/)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 or special education plan? ❑Basic Maint.)No educational requirements ❑1)Less than a %z hour per day ❑1%) %]hour a day ❑2) 1 hour a day 02 %) 1'/r2 hours per day 03)2'/a-3 hours per day 03%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week ❑1/)5 to 7 hours per week 02) 8 to 10 hours per week 02%) 11 to 14 hours per week ❑3)Constant basis during awake hours 03%)Nighttime hours P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical,and/or occupational therapy? O 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) ❑Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e.mutual care placements.) ❑1)Face-to-face contact one time per month with child and minimal crisis intervention. 011/2)Face-to-face contact one time per month with child and occasional crisis intervention. 02)Face-to-face contact two times per month with child and occasional crisis intervention. ❑2%:)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%i 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. 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 03)9-12 hours per month 4 Weld County Addendum to the CWS-7A 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. Aggression/Cruelty to Animals ❑ ❑ ❑ 0 Verbal or Physical Threatening ❑ 0 ❑ 0 Destructive of Property/Fire Setting 0 0 ❑ ❑ Stealing ❑ ❑ 0 ❑ Self-injurious Behavior ❑ 0 0 ❑ Substance Abuse ❑ 0 ❑ 0 Presence of Psychiatric Symptoms/Conditions ❑ 0 ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ 0 Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ 0 ❑ 0 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensit of conditions which create the need for services that a..l to this child. Inappropriate Sexual Behavior ❑ ❑ O O Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ O ❑ O Medical Needs (If condition is rated"severe",please complete O O O O the Medically fragile NBC) Emancipation ❑ O ❑ O Eating Problems ❑ O O O Boundary Issues ❑ ❑ ❑ O Requires Night Care ❑ ❑ ❑ O Education ❑ ❑ O O Involvement with Child's Family ❑ ❑ O O CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) 0 0 ❑ 1 0 2 ❑ 3 6 Weld County Addendum to the CWS-7A S-7A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE • RATE TABLE (Exhibit C) 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 4.66 Respite Care Total Rate=($30.25 day/$920 month) $32.88 3 +$.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 31/2 +$.66 Respite Care Total Rate=($36.82 day/$1,120 month) 4 $39.45 TRCCF Drop Down ' 4.66 Respite Care Total Rate=($40.11 day/$1220 month) Assessment Rate (30 day max) $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: la" eWa [ Weld CounC9TC-Ier the Board „g`\J WELD COUNTY BOARD OF c � `` a SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF SOCIAL k! `� SERVICES By: By: ''.I Deputy Cl to a Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Walker, Kurt and Jennifer 1901 15th St Greeley, CO 80631 By: aa.- " (Si tam) WELD COUNTY DEPARTMENT vD jO i OF SOCIAL SERVICES By: (Dlr ctor Signatu ) &er8 Weld County Addendum to theCW5�0?/4 WELD COUNTY ADDENDUM To that certain Individual Provider Contract for Purpose of Foster Care Services and Foster Care Facility Agreement (the "Agreement") between Willert,Melody D and Lee, Kimberly and the Weld County Department of Human Services for the period from July 1, 2008 through June 30,2009. The following provisions, made this 'Y--) day of tA. nR- , 2008, are added to the referenced Agreement. Except as modified hereby, all terms f 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#1540372. 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 4`h 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 & 'f- 0.2/6 2 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 ID# ISEX F [TRAMS CASE ID IDOB WORKER COMPLETING ASSESSMENT [IIH# DATE OF ASSESSMENT AGENCY NAME PROVIDER NAME I 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'/) 2 round trips a week O2)3-4 round trips a week. O2%) 5 round trips a week O3)6 round trips a week ❑3%)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 O2)Three times a month O2%)Once a week O3)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'h hour per day 01%) '/ hour a day ❑2) 1 hour a day O2 %) 1'h-2 hours per day O3)2%r3 hours per day ❑3'%)More that 3 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑Basic Maint.)No special involvement needed ❑1)Less than 5 hours per week ❑1%) 5 to 7 hours per week O2) 8 to 10 hours per week ❑2%) 11 to 14 hours per week ❑3)Constant basis during awake hours O3%)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 O2%) 11 to 15 hours per week ❑3) 16 to 20 per week ❑3'h)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 timeper month with child and occasional crisis intervention. O2)Face-to-face contact two times per month with child and occasional crisis intervention. O2%)Face-to-face contact three times per month with child and occasional crisis intervention. O3)Face-to-face contact weekly with child and occasional crisis intervention. O3%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? O0)Not needed or provided by another source(i.e.Medicaid) ❑l)Less than 4 hours per month O2)4-8 hours per month O3)9-12 hours per month 4 Weld County Addendum to the CWS-7A WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensit of conditions which create the need for services that a.ply to this child. `. _, �• _.. ...... .. .... ..: ... Aggression:Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening O 0 0 0 Destructive of Property/Fire Setting 0 ❑ 0 0 Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ 0 Presence of Psychiatric Symptoms/Conditions ❑ 0 0 0 Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ 0 0 5 Weld County Addendum to the CWS-7A BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a..l to this child. � � 9 .. _ .}.....: . . '.."'. .. .. ....a. .. ..': ..... .> Vi'µ r'....... Inappropriate Sexual Behavior ❑ ❑ 0 0 Disruptive Behavior ❑ ❑ ❑ 0 Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete O 0 0 ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 6 Weld County Addendum to the CWS-7A WELD COUNTY DEPARTMENT OF HUMAN SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) RCS �iY�g� R F P Ase 0-10...$16.32/da $496/month County Basic j. 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) $23.01 1 1/2 +$.66 Respite Care Total Rate=($23.67 day/$720 month) $26.30 2 +$.66 Respite Care Total Rate=($26.96 day/$820 month) $29.59 2 1/2 rs +$.66 Respite Care Total Rate=($30.25 day/$920 month) $32.88 3 +$.66 Respite Care Total Rate=($33.54day/$1020 month) $36.16 31/2 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-7A IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Weld Count 4 qty ., oard Af?)- WELD COUNTY BOARD OF `'' HUMAN SERVICES, ON BEHALF *" OF THE WELD COUNTY (r , 3 r DEPARTMENT OF HUMAN -C/ h ` `c • SERVICES By 1 By: �l✓� Deputy Cl to the Board Chair Signature William H. Jerke AUG 1 1 2008 PROVIDER: Willert, Melody D and Lee, Kimberly 219 N 4th St LaSalle, CO 80645 By: (Si lure WELD COUNTY DEPARTMENT OF HUMAN SERVICES By: (Dtr ctor Signal 8 Weld County Addendum to the CWS-7A S-7A &iVJ'—ai' Hello