HomeMy WebLinkAbout20082675.tiff MEMORANDUM
DATE: October 2, 2008
William H. Jerke, Chair, Board of County Commissioners
WIlDTO:�•FROM: Judy A. Griego, Director, Human Services Depart en
COLORADO RE: Addendum to Purchase Out-of-Home P1 ement ervicq for
Therapeutic Residential Child Care Fac Se es between
the Weld County Department of Human Services and the
University of Colorado Health Sciences Center dba Synergy
to be Placed on the Consent Agenda
Enclosed for Board approval is an Addendum to Purchase Out-of-Home Placement Services
for Therapeutic Residential Child Care Facility Services between the Weld County Department
of Human Services and the University of Colorado Health Sciences Center dba Synergy. This
Agreement can be placed on the Consent Agenda.
Please see attached Memorandum for the major provisions of this Agreement. The term for
this Agreement is July 1, 2008 through June 30, 2009.
If you have questions, please give me a call at extension 6510.
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2008-2675
re,cr( (} DEPARTMENT OF HUMAN SERVICES
P.O. BOX A
GREELEY,
Website:ite: eld.co.us
2
Administration and Public Assistance(970)352-1551
Child Support(970)352-6933
•
COLORADO
MEMORANDUM
TO: Judy Griego — Director
igy
FROM: Lesley Cobb - Child Welfare Rate Negotiator
DATE: September 29, 2008
SUBJECT: Weld Addendum to the Agreements to Purchase Out-of-home Placement
Services (SS-23A)
Attached please find the Weld Addendum to the Agreement to Purchase Out-of-home Placement
Services (SS-23A) for the following provider:
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1 The University of Colorado Health 3738 W
Sciences Center dba Synergy 49488 $148.49 $148.49 Princeton Cir Denver CO 80236
This contract has been presented for consent approval to the Board of County
Commissioners however; I am requesting your signature along with the Boards to complete
this contract for the FY 2008-2009. If you have any questions please call me at Ext. 6441
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Therapeutic Residential Child Care
Facility Services and Residential Child Care Facility Services (the
"Agreement") between The University of Colorado Health Sciences Center
dba Synergy and Weld County Department of Human Services for the
period from
July 1, 2008 through June 30, 2009.
The following provisions, made thist-}ji day of kkr5r, 2008, are added to the referenced
Agreement. Except as modified hereby, all terms of the Agreement remain unchanged.
1. County agrees to purchase and Contractor, identified as Provider ID#49488, agrees to
provide:
A. Child Maintenance, Administrative Maintenance and Services, which are listed in
this Agreement at a rate of$148.49 per day for children placed within the
Therapeutic Residential Child Care Facility.
B. Child Maintenance, Administrative Maintenance and Services, which are listed in
this Agreement at a rate of$148.49 per day for children placed within the
Residential Child Care Facility.
C. Additional services not covered by Medicaid or considered within the above
vendor rate. These additional services/rates may be negotiated on a child by child
basis,based on the needs of the child and in accordance with the Colorado
Department of Human Services Agency Letter CW-06-11-I dated June 8, 2006.
These services will be for children who have been deemed eligible for social services
under the statutes, rules and regulations of the State of Colorado.
2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day
maximum for a child's temporary absence from a facility, including hospitalization. Bed
hold requests must have prior written authorization from the Department Administrator
before payment will be release to provider. Reimbursement rates for bed hold days may
not exceed the state standard rate for administrative maintenance and administrative
services or may be a reduced rate that is mutually agreed upon. No child maintenance
will be paid for bed holds, due to the child's absence.
3. Add Paragraph 6 to Section I. The services purchased under this Agreement as Child
Maintenance, Administrative Maintenance and Services for Therapeutic Residential
Child Care Facilities and Residential Child Care Facilities include, but are not limited to:
Food, shelter, clothing, personal needs and allowance, administration, administrative
overhead, support staff, support overhead, sleep-over staff, direct child care,
transportation, therapeutic recreation, service delivery staff, parent training for teens,
independent living training, mentor/advocate, supervised visitation and all other services
as outlined in the Contractor's scope of service attached as Exhibit A or the Child
Specific Addendum. The anticipated minimum percentage for each item is as follows
and will be subject to County monitoring as outlined in Section VI of this contract:
A. Food, including meals and snacks (25%);
B. Clothing(3%);
C. Shelter, including utilities and use of household furnishing and equipment and
daily supervision, including those activities that a parent would normally carry out
to assure protection, emotional support and care of the child (30%);
D. Personal items and grooming care for the child, such as toothpaste, toothbrushes,
Weld County SS-23A Addendum
soap, combs, haircuts, and other essentials (2%);
E. Other/miscellaneous items considered usual in the care and supervision of the
child, include, but are not limited to, transportation, recreation and overhead
(40%)
4. Add Paragraph 7 to Section I. A minimum of one polygraph test per Colorado fiscal
year, if needed by the child, will be furnished under this contract for facilities that
provide sex offender treatment.
5. Add Paragraph 8 to Section I. Any additional costs for specialized services, which
include, but are not limited to; polygraph tests,plethysmographs, and urinalysis screens,
that is not provided within the vendor rate or attached Scope of Service, will need be
negotiated and authorized, in writing by the County, prior to the service being performed.
Any payment for specialized services not authorized in writing will be denied.
6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or intake
screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 304-2749.
7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Utilization Review Team. This review
team convenes every Monday morning, excluding holidays.
8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Human Services to shorten the duration of placement.
9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan
(IEP) for youth designated as a Special Education Student will be conducted every 3
years and reviewed every year. If the IEP is due while the child is in placement, the
Contractor will complete or obtain a completed IEP. A copy will then be forwarded to
the County.
11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement,been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
2 Weld County SS-23A Addendum
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity(federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
12. Section V, Paragraph 5. Children in Therapeutic Residential Child Care Facilities,
Residential Child Care Facilities and Child Placement Agencies are not eligible to receive
clothing allowances as outlined in the Weld County Department of Human Services
Policy and Procedure Manual.
13. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the
enforcement of the terms and conditions of this Agreement, and all rights of action
relating to such enforcement, shall be strictly reserved to the undersigned parties or their
assignees, and nothing contained in this Agreement shall give or allow any claim or right
of action whatsoever by any other person not included in this Agreement. It is the
express intention of the undersigned parties that any entity other than the undersigned
parties or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
14. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunity the parties or their officers or employees may
posses, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
circumvent or replace such immunities.
15. Add Paragraph 9 to Section VI. The Director of Human Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
Contractor cannot be performed or if performed would be of no value to the
Human Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Human Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Human Services and the
Contractor, or by Human Services as a debt to Human Services or otherwise as
provided by law.
3 Weld County SS-23A Addendum
16. Add Paragraph 10 to Section VI. The contractor shall promptly notify Human Services
in the event in which it is a party defendant or respondent in a case, which involves
services provided under the agreement. The Contractor, within five (5) calendar days
after being served with a summons, complaint, or other pleading which has been filed in
any federal or state court or administrative agency, shall deliver copies of such
document(s) to the Human Services' Director. The term"litigation" includes an
assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or
foreclosure.
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
ATTEST:
Weld Count $oard
WELD COUNTY BOARD OF
HUMAN SERVICES, ON BEHALF
OF THE WELD COUNTY
0.d,, bi. i . DEPARTMENT OF HUMAN
SERVICES
By: By: / Let—,
Deputy erk o the Board Chair Signature
William H. Jerke
10/06/2008
CONTRACTOR
The University of Colorado
Health Sciences Center dba Synergy
3738 W Princeton Cir
Denver, CO 80236
By: 77a -J
tier'
Harlan L. Ray
WELD COUNTY DEPARTMENT Contracts Manager
OF HUMAN SERVICES Grants and Contracts
By: ,27/v�
hector
4 Weld County SS-23A Addendum
Exhibit A
Board of Regents in behalf of UCDHSC dba ARTS/Synergy
Synergy TRCCF
1) Scope of Service:
a. Target Population-Synergy TRCCF serves adolescent males ages 14-18 with
significant conduct, drug/alcohol and other co-occurring psychiatric disorders, e.g. such
as Major Depressive Disorder; Bipolar Disorder, most also with serious family and
academic problems. Because the program is ADAD licensed, clients must have a
drug/alcohol problem. Youths with an I.Q below 70 or those deemed developmentally
disabled would not be appropriate for this setting/milieu. Other exclusions include youths
who are currently actively suicidal/homicidal; sexual perpetrators; or youths with
psychosis.
b. Treatment-The Synergy TRCCF provides medically necessary individual, group and
family therapy via licensed therapists. All clients receive a comprehensive assessment,
biospsychosocial assessment and structured interviews including thorough drug/alcohol
evaluation. Psychiatric evaluation, medication review/management is provided by the
Synergy Psychiatrist in collaboration with the rest of the treatment team, family, and
relevant involved agency. The therapies provided to each client at minimum: 3 groups
and 1 individual per week, and family therapy offered once per week, in the context of a
highly specialized treatment milieu which integrates concurrent treatment of conduct,
substance use and other co-occurring psychiatric disorders. The Synergy Psychiatrist is
board certified with additional qualifications and training in addictions. In addition to the
therapies, within the very structured, non-permissive milieu, are included: drug/alcohol
counseling(group and individual), relapse prevention, urinalyses/breathalyzers,
infectious disease screening, incentive system, cognitive behavioral interventions, ADAD
approved curriculum, client government, etc. The program is licensed at treatment level
(Therapeutic Community) by the Alcohol and Drug Abuse Division and is accredited by
CARF as a Therapeutic Community with integrated drug/alcohol and mental health
treatment.
c. Program Staff and Supervision (number)-Synergy TRCCF personnel includes;
TRCCF Coordinator(LPC/CAC III); an additional 5 Licensed Therapists (4 are also
CACs); 10 other supervisory and line personnel, (most are CACs). There are also
Synergy Director(LCSW/CAC III); Synergy Psychiatrist; various Administrative,
maintenance and dining services personnel. Synergy is unlocked with no take
downs/restraints. Supervision is regarded as a priority. Client to staff ratios during
awake hours are at least 1 staff to 7 or often fewer youths, midnight to 12, 2 staff for 31
youths. The Synergy School personnel include: Special Ed Director, 2 Masters
Level/TTE teachers and 2 aides.
d. Evidenced based practices-Synergy utilizes current evidence/research based
practices in the delivery of services including therapeutic community programming;
cognitive behavioral interventions; motivational enhancement techniques; a
rewards/incentive system. All clients receive these services. Synergy utilizes
Multisystemic Therapy(MST) (when it is county- approved and funded) for youth
transitioning for their aftercare services in the Denver Metro area. The version of MST is
enhanced with Contingency Management making it a special version of MST for
substance abusers. New aftercare this year for clients who are returning to the Denver
Exhibit A
Metro area, is grant supported community-based Assertive Continuing Care. ACC is a
new research based model both client and family focused and aimed at sustaining the
gains the youth has made during the TRCCF stay.
e. Educational Services-The Synergy TRCCF School is CDE approved, and serves
general and special education students. The Synergy School utilizes a wide range of
materials, textbooks and supportive resources for the diverse adolescent client population
served in these programs. All textbooks and materials are aligned with state and national
standards. In addition to the classroom curricula, Synergy School also utilizes a wide
variety of materials and resources to improve and enhance the necessary pre-requisite
social, vocational and pre-employment skills required for successful entry into the
workforce and/or society.
Synergy TRCCF school utilizes the following to assess each adolescent student:
Curriculum Based Measures [CBM] for Reading, Written Language and Mathematics.
The two types of Reading CBM measures include AIMSweb oral reading fluency and
AIMSweb comprehension measures [MAZE]. AIMSweb writing rubric and
Spellography CBM's are utilized to gauge written language proficiency. The Criterion
Test of Basic Skills and the Transitional Mathematics assessments help pinpoint specific
gaps and skill deficits in the area of math. All students are given these tests as a baseline
measurement of academic functioning. Each student is also tested upon discharge from
the program to gauge and document gains in these core academic areas.
In addition to these CBM measurements, all Synergy students are administered the Wide
Range Achievement Test [WRAT-R4] upon admission to the school program. Special
education students or those in need of a more extensive assessment are also given the
Woodcock-Johnson Test of Achievement to evaluate specific skill deficits. Synergy
School personnel coordinate with the Family Therapist/Case Manager, family and
oversee the transition to the youth's home school, an alternative, vocational or other more
appropriate setting. Those plans are begun early in treatment and refined as the time for
transition nears. Synergy was awarded last year a CDE facility school summer grant
"designed to assist facility schools in providing intensive academic, research-based
education services in the areas of reading writing and/or mathematics for students
performing below grade level". We have again applied for and anticipate receiving the
summer award. The TRCCF School also has a Title I master's level teacher, reading and
math specialist to assist all students as needed. This past year, Synergy incorporated
additional life skills and transition programs including"Learning for Life" and Bridges-
Transitions. Also clients may utilize a College in Colorado website and"Choices
Explorer and Choices Planner" for career, college and vocational exploration and
planning.
f. Length of Stay-The average length of stay at Synergy TRCCF is 6 months or less,
with transition/disposition planned for at admission and reviewed monthly. Synergy has
condensing some programming which has decreased the length of stay to about 5.5
months. Plans and discussions of the plans in monthly staffings are documented in
writing on each occasion. Consistent coordination with the caseworker, emphasis on
family involvement and therapy facilitate briefer lengths of stay. Synergy clearly
Exhibit A
emphasizes progress as well as barriers to progress, especially as they impact length of
stay in timely calls to caseworkers and in monthly progress reports. Plans for
schooling/vocational services and/or employment begin early in treatment and are
finalized during the final month of treatment via graduated passes to the community:
home. school/employment. When MST or ACC has been approved for aftercare, there is
overlap and a handoff session between the residential and MST or ACC therapist for
continuity of care. Other step down/transition options in the Synergy continuum include:
Day Treatment (which also included MST); traditional Outpatient. For youths outside
the Denver Metro area, efforts are coordinated among the caseworker, parent(s), Synergy
School and the Family Therapist to secure similar supports and services in their home
community, such as: family/MST therapy; outpatient drug/alcohol treatment, AA and/or
urine monitoring; ongoing mental health services if indicated. Synergy is the adolescent
treatment component of Addiction Research and Treatment Services, a comprehensive
drug treatment agency which has also a continuum of care for adults with substance use
disorder, thereby affording Synergy clients' family members treatment options if needed.
2) Daily Rate for service-For FY 2007-08, Synergy's daily rate based on the Cost
Report submitted ($146.66 per day), plus a cost of living of slightly less than 2.5% is
$150. Thus, we request $146.66 plus the cost of living, if that is approved by the state.
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