HomeMy WebLinkAbout20073508.tiff • WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Therapeutic Residential Child Carel__
Facility Services and Residential Child Care Facility Services (the
"Agreement") between PSI Cedar Springs Hospital, Inc. and Weld County /n
Department of Social Services for the period from
July 1, 2007 through June 30, 2008.
The following provisions, made this ) day of J/ , 2007, are added to the referenced
Agreement. Except as modified hereby, all terms of t�ement remain unchanged.
1. County agrees to purchase and Contractor, identified as Provider ID#1517006, agrees to
provide:
A. Child Maintenance, Administrative Maintenance and Services, which are listed in
this Agreement at a rate of$178.08 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$178.08 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 1, 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,
soap, combs, haircuts, and other essentials (2%); ow) Ss
Co' SS 1 Weld County SS-23A Addendum pc-
l' Ii - ate '-07
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 Social 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,
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
2 Weld County SS-23A Addendum
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.
11. 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 Social Services Policy
and Procedure Manual.
12. 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.
13. 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.
14. Add Paragraph 9 to Section VI. The Director of Social 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
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 Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Social Services and the
Contractor, or by Social Services as a debt to Social Services or otherwise as
provided by law. •
3 Weld County SS-23A Addendum
15. Add Paragraph 10 to Section VI. The contractor 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 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
Social 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: ""e'^7 �`"'"""�
Weld County Clerk to the Board
WELD COUNTY BOARD OF
E La SOCIAL SERVICES, ON BEHALF
OF THE WELD COUNTY
��...;, DEPARTMENT OF SOCIAL
1861 SERVICES
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By: aG( 5 . tyITC
By:
eputy lerk to the Bo rd David E. Long, Cha
OV 1 4 2001
CONTRACTOR
PSI Cedar Springs Hospital, Inc.
2135 Southgate Rd
Colorado Springs, CO 80906-2605
By: /�,Ck-.i_ Rte( - II.n
WELD COUNTY DEPARTMENT
OF SOCIAL SERVICES
By:
Director
4 Weld County SS-23A Addendum
02409- 36
•
Exhibit A
Cedar Springs Hospital
2135 Southgate Road
Colorado Springs, CO 80906
719.633.4114
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Creating Hope,
Saving Lives,
Healing Families. . .
We Are Cedar Springs Hospital
Exhibit A
Programs at Cedar Springs Hospital
Cedar Springs Hospital is located in the South-central area of Colorado Springs, Colorado near the
Broadmoor Country Club and Fort Carson. The immediate area of the city surrounding the facility is older,
and has been a focus of improvement over the last year, with a new shopping center being constructed
directly across the street within the last few years. The campus is large, with a park spanning the space
between buildings that have, in some cases,been here since 1923. There is a strong sense of history and
tradition in this setting, as well as a peaceful atmosphere. The facility is licensed for 110 acute and
residential beds.
Cedar Springs offers acute psychiatric services to adults, adolescents, and children on two (2)units
comprising 40 beds. There are three(3) distinct Residential Treatment Programs for children and
adolescents. Twenty-four(36)beds are reserved for the general child/adolescent population, 12 beds are
utilized for young patients challenged with Reactive Attachment Disorder, and 12 beds are used for sexually
reactive and offending adolescent males. There is a separate home on the campus,Peakview House, which
is used to house the 28-day chemical dependency inpatient program,known as Choices at Peakview. There
are 10 beds at Peakview House. Outpatient medication management, Intensive Outpatient Services, and a
Driving with Care program are also available at the hospital.
Cedar Springs maintains a treatment philosophy that is based upon sound clinical theory, maintains the
dignity and individuality of each patient, and provides for a strengths-focused approach to mastering
second-order changes in the lives of the persons served. Individual treatment will include intensive
psychotherapy for the patient with additional emphasis upon the family system and opportunities to
participate in group dynamics. Milieu treatment is generally based upon Cognitive-Behavioral principles,
with adjustments made to best meet the needs of each particular population. The facility is licensed or
accredited by JCAHO, Colorado Department of Human Services, Colorado Department of Youth
Corrections, and the Colorado Division of Mental Health. Regulatory compliance is maintained with no
less than 7 different oversight entities, with surveys occurring on a regular basis. Such activity aids the
facility in maintaining the highest quality of care at all times.
Bed and Space Compliment
UNIT PROGRAMS/TRACKS POPULATION SERVED
Aspen
Acute
14 Beds Adult Acute Care Services Adults
Crisis Stabilization Ages 18+
Psychiatric Evaluation and Intervention
Chemical Detoxification
12 Beds Adolescent and Child Acute Care Services Adolescents and Children
Crisis Stabilization Ages 4-18
Psychiatric Evaluation and Intervention
Behavioral Evaluation and Intervention
Chemical Detoxification
14 Beds Overflow Beds Available for Either Acute Program
Exhibit A
Aspen Residential Care for Reactive Attachment Disorder Adolescents and Children
RTC Ages up to 18
"Connections"
12 Beds
Juniper Residential Care for General RTC Population Adolescents and Children
RTC Contracted Tricare RTC Beds Ages up to 18
"Mountain Faith-based RTC Program
View Place"
36 Beds
Juniper Long-teen Residential Care for Sexually Offending Adolescents
RTC and Sexual Abuse Reactive Males Ages 12-18
"Threshold"
12 Beds
Commons Outpatient Day Treatment Adolescents
Southgate Educational Services for RTC Patients Ages 5-18
School GED Services for RTC Patients
Peakview 28-day Inpatient chemical dependency rehabilitation Adults
House program Ages 18+
10 Beds
Intensive Outpatient Group Therapy for Chemical Dependency, Adults
Outpatient Psychiatric, and Dual-Diagnosis Clients Ages 18+
Program
Driving with Court Sanctioned Outpatient Group Program for Adults
Care Clients Required to Complete a DUI Program Ages 18+
Outpatient Outpatient Medication Management Adults, Adolescents, Children
Clinic Ages 4+
Educational Services
Southgate School at PSI Cedar Springs is a fully accredited private school providing education services for
the patient of Cedar Springs. The school is accredited through the Colorado Department of Education.
Southgate School provides educational services to all residential patients and has an outpatient education
program. The program is a Cognitive-Behaviorally based program and provides services in a positive peer
culture environment. Educational services are designed to provide Kindergarten through High School level
education. A GED Program is available for those students for whom it is appropriate. The educational
curriculum meets the Colorado Department of Education standards and benchmarks. Educational services
are provided for both regular and special education students, to include those with Individual Education
Plans.
Exhibit A
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Cedar Springs
Behavioral
Health System, Inc.
July 20, 2007
Weld County Department of Social Services
Attn: Lesley Cobb
PO Box A
Greeley, CO 80632
RE: Cedar Springs
Contracting
Dear Ms. Cobb:
Please see attached requested information regarding Scope of Service and Program
Descriptions. Rates listed are for all services available and can be individually added
to your contract as necessary.
Program Gross Billable Charge Proposed Rate
Acute Psychiatric Inpt $1200.00 per day $700.00 per day
PRTF $600.00 per day $385.00 per day
TRCCF $600.00 per day $178.08 per day
Should you have questions or require additional information, please contact me
directly at (719) 329-5353. Please forward the 2007-2008 contract to my attention at
the address listed below.
Sincerely,
er
C am/ „ 0 1k2E9Y,[gyp
Randi Ropp
Business Office Director
2135 Southgate Road Colorado Springs, CO 80906
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