HomeMy WebLinkAbout20070337.tiff RESOLUTION
RE: APPROVE ADDENDUM TO THE AGREEMENT TO PURCHASE CHILD PLACEMENT
AGENCY SERVICES AND AUTHORIZE CHAIR TO SIGN -WHIMSPIRE CPA
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with an Addendum to the Agreement to
Purchase Child Placement Agency Services between the County of Weld, State of Colorado, by
and through the Board of County Commissioners of Weld County, on behalf of the Department of
Social Services, and WhimSpire CPA, commencing July 1, 2006, and ending June 30, 2007, with
further terms and conditions being as stated in said addendum, and
WHEREAS,after review, the Board deems it advisable to approve said addendum, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, ex-officio Board of Social Services, that the Addendum to the Agreement to
Purchase Child Placement Agency Services between the County of Weld, State of Colorado, by
and through the Board of County Commissioners of Weld County, on behalf of the Department of
Social Services, and WhimSpire CPA be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said addendum.
The above and foregoing Resolution was,on motion duly made and seconded, adopted by
the following vote on the 7th day of February, A.D., 2007, nunc pro tunc July 1, 2006.
BOARD OF COUNTY COMMISSIONERS
WEL 6�OUNTY, COLO DO
ATTEST: 12d) A �p'•.e+%''"
., ,�` t D2{ id E. Long, Chair
Weld County Clerk to the Bo r sci V"''' s - 1
get��Q ;11VIIlP J�r Tem
BY: L___
Deputy Clerk to the Board _
Wil • m F. Garda �p�P;D D A • \ ac______
Robert D. MasderT
County Attorney - , cz ,
as Cher
Date of signature: a/2 2/°7
2007-0337
SS0034
(r : SS O.2/-x7/O7
a
(to
DEPARTMENT OF SOCIAL SERVICES
P.O. BOX A
' GREELEY, CO. 80632
Website:www.co.weld.co.us
Administration and Public Assistance(970)352-1551
OFax Number(970)353-5215
COLORADO
MEMORANDUM
TO: David E. Long, Chair Date: February 5,2007
Board of County Commissioners
FR: Judy A. Griego, Director, Social Services
i a 9AT
RE: Addendum to Agreement to Purchase ChihV g Placement
Agency Services—WhimSpire CPA
Enclosed for Board approval is an Addendum to Purchase Child Placement Agency(CPA)
Services between the Weld County Department of Social Services(Department)with WhimSpire
CPA. The Addendum was reviewed at the Board's Work Session held on February 5, 2007.
The Addendums are with providers for reimbursement during SFY2006-2007 (July 1, 2006
through June 30,2007).
Rates are based on Needs Based Care Assessment.
Provider ID
Number
1. WhimSpire CPA #19562
If you have any questions, please contact me.
2007-0337
• WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Child Placement Agency Services
(the "Agreement") between WhimSpire CPA and Weld County Department
of Social Services for the period from
July 1, 2006 through June 30, 2007.
The following provisions, made this /,j day of Snun n , 2007, are added to the referenced
Agreement. Except as modified hereby, all terms of the Ngreement remain unchanged.
1. County and Contractor agree that a child specific Needs Based Care Assessment,
designated as Attachment B, shall be used to determine levels of care for each child ‘sed
9
placed with Contractor. �_`
2. County agrees to purchase and Contractor agrees to provide the care and services, which S �_�j �.
are listed in this Agreement, based on the Needs Based Care Assessment levels a�
determined. The specific rate of payment wile paid for each level of service, as . �r
indicated by the Needs Based Care Rate Table, designated as Attachment C, for children
placed within the CPA identified as Provider ID#19562. These services will be for
children who have been deemed eligible for social services under the statutes, rules and
regulations of the State of Colorado.
3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a
facility, including hospitalization, need to have prior written authorization from both the
caseworker and his or her supervisor before payment will be released.
• 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal
year, if needed by the child, will be furnished under this contract for facilities that
provide sex offender treatment. ,
5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which
include,but are not limited to; polygraph tests,plethysmographs, and urinalysis screens,
which are not provided within the negotiated provider rate, will need to be authorized, in
writing by the County, prior to the service being performed. Any payment for specialized
services not authorized in writing will be denied.
6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or intake
screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 304-2749.
7. 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.
8. 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.
1 wan rnunn,cc_»e enaa.,d,,..,
9. 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.
10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity (federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities,
Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child
Placement Agencies are not eligible to receive clothing allowances as outlined in the
Weld County Department of Social Services Policy and Procedure Manual.
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:
2 wold rnnnt',cc_91 A AAdonA,,.n
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.
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.
16. Add Section VII-ATTACHMENTS:
3 w,inrn„nh,CC_7'1A enna.,,d,,m
' WELD COUNTY DSS
NEEDS BASED CARE ASSESSMENT
(Attachment B)
IDENTIFYING INFORMATION
CHILD'S NAME STATE ID# SEX Trails Case ID iDOB
Sex
WORKER COMPLETING ASSESSMENT ll# PATE OF ASSESSMEN
AGENCY NAME ROVIDER NAME ROVIDER CWEST ID
ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR
CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD.
• For each question below,please select the response which most closely applies to this child.
• Please check the number for that response in the corresponding box below.
THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE:
P 1. How often does this child require transportation by the provider for the following: Therapy;Medical
treatment;Family visitation; Extraordinary educational needs;Etc.,as outlined in the treatment plan?
❑0)one round trip a week or less 01)2-3 round trips a week
O2)4-5 round trips a week O3)6 or more round trips a week
P 2. How often is the provider required to participate in child's therapy or counseling sessions?
❑0)Once a month 01)Two times a month but less than weekly
O2)Once a week ❑3)2 or more times a week
P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with
a regular or special education plan?
❑0)less than a%1 hour per day ❑1)'/l hour a day
O2)more than'/,hour per day,up to 2 hours per day O3)more than 2 hours per day
P 4. How often does the child require special and extensive involvement by the provider in scheduling and
monitorin of time and/or activities and/or crisis management?
00)less than 5 hours per week ❑l)5 to 10 hours per week
❑2)at least daily ❑3)on a constant basis
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?
DO)less than 5 hours per week ❑1)5 to 10 hours per week
O2) 11 to 20 hours per week O3)21 or more hours per week
A 1. How often is CPA case management required?
DO) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements.
El) Face to face contact one time per month and minimal crisis intervention.
O2) Face to face contact two times per month and/or occasional crisis intervention.
O3) Face to face contact 1-2 times per week and/or ongoing crisis intervention.
**Please Note: The Case Management level may be assessed on a combined basis if a sibling
group or more than one Weld County foster child is placed with the same provider.
T 1. How often is therapy services needed to address child's individual needs per NBC assessment?
DO)not needed or provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month
❑2)4-8 hours per month O3)8-12 hours per month
RATING OF SERVICE AREAS Initial Assessment Date:
SERVICE AREAS 0 1 2 3
P 1 Transportation O O O ❑
P 2 Therapy/Counseling O ❑ O O
P 3 Educational Intervention O O O O
P 4 Behavior Management O ❑ ❑ O
P 5 Personal Care O O O O
A 1 Case Management O O O O
T 1 Therapeutic Services O O O O
4 Wald Cnnnnr CC-11A addrmdi,n,
WELD COUNTY DSS
NEEDS BASED CARE ASSESSMENT
(Attachment B Continued)
RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO
THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY.
Assessment Period: ❑Initial Assessment Ellie-Determination-Months in Care
THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT
PLANNING.
,, ,T,Tintormalitikr',1
ws
<�)I! � � huu 7771:171:7.7:7!.,57,177,7177:77,7:717:77'7714k71777).::'yr 7 :17,.7.717::,?:: fi'(1
ll'IC " 77 ', '-'F ti 4 /': ' x ti
71'17771—, +E r i w t t+ c :7r ; P A s
,..- 44 1 � " "
a�u j"�� yr p6 �. � tat 'g���) r `� 3: 1
i 1 i a'4 L: i. ;{t .,;-4.1 ill', fry° 'I ; • ,..4 L ;, l � fil . o- �ai
s . ...,,Lw .... 4.
Aggression/Cruelty to Animals ❑ 0 0 ❑
Verbal or Physical Threatening ❑ ❑ ❑ ❑
Destructive of Property/Fire Setting 0 ❑ ❑ ❑
Stealing ❑ 0 ❑ ❑
Self-injurious Behavior 0 ❑ 0 0
Substance Abuse ❑ 0 ❑ ❑
Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑
Enuresis/Encopresis 0 0 0 0
Runaway ❑ 0 ❑ ❑
Inappropriate Sexual Behavior ❑ ❑ ❑ ❑
Disruptive Behavior ❑ 0 ❑ 0
Delinquent Behavior ❑ ❑ ❑ ❑
Depressive-like Behavior 0 0 0 0
Medical Needs ❑ 0 0 0
Emancipation ❑ ❑ ❑ ❑
Education 0 0 0 0
Involvement with Child's Family ❑ ❑ ❑ ❑
CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL:
(check level of need) ❑ 0 ❑ I 0 2 0 3
5
WELD COUNTY DSS
NEEDS BASED CARE ASSESSMENT
(Attachment B Continued)
SUMMARY-Please identify all specific requirements and expectations which support Level of Care.
LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5)
PERIOD 1: LEVEL#
Comments:
LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al)
LEVEL #
Comments:
LEVEL OF THERAPY SERVICES NEEDED(T1)
LEVEL #
Comments:
SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only)
LEVEL #
Comments:
NEXT SCHEDULED RATE REVIEW: Initial Date:
(maximum of 6 month intervals)
6 Weld County SS-23A Addendum
•
WELD COUNTY DEPARTMENT OF SOCIAL SERVICES
NEEDS BASED CARE RATE TABLE
Calculated as Daily Rates
(Attachment C)
'f^ .41i (, r r,iri.6 iW t t1,r_;„11, Al , rp II, l!IlIli7' (Iliv ill r',�!. ri A ,I "711 rr + I tw r. II i iN"''"I
4 Il�i d ,- di :i " �i 1 ..H 1 . 1 'figs..` ' .ill..: r i Vail: �1 :: 11. 1 r a hita i�)i. ':''"
u:- +I{ � '•t'I 4 Ila m r nY iII4 4I'i 7 aup ..{lilg m I i I r lV I' t.i74-1:1J ' J r n I` r 4, J I I
�I)i t' ') ' I' ,; {J 4 I r' r i rl'i r is�tIN�!hh� 1 'TM I� I I i 1 �If•IF I ��17 i 1� I ,�4.'41 Ilia Ir - i
' w� I' 1A ai 4 � rll II ( '[+�'n r, ;"l i'k t (10:.i Ii! I,II i,p'i i'O 11 1 ' ' I1 I• 11 ',{ i r 'Ii i R I 401,i1 - I Ili,
, . � n �' i s rr i { ( f ti lli fn t t l i N
4 }.I111 ' rill HII- It'1� id' ' Bi�' I Ilri#� ilz.v 141I �r �11I ,I it� '� � ii lu ) rI I"'ir xa n
t - I� II III 1 11 P Ir 1 xr 1'7 H I di d 41
iti
( L (�� � t ,) 11, , , I 1 I u r Iiti (� d' �It IG'alR4 1ti I. r i:01.,,,, I1',II, 7 t4„ I,' r r � t�Il, Iu�1 t f1
{ � t r x I ret Y'l i�r' i t ik 'I t 1 rt i R IIII , R t r I )':Alit,'r'�)�
1� �� kid rlrll-'rt rt. i! n. pp) rI)� lu' t� �l.Li I)I� lx Ir III rrl��i ha ��� ii 1 I �r iii I r .I ry II " .F t ii'1�'� I r 11i�I4' IHk.'S-' i,
ifitiriiklifiIm,l )IA! ( I iUl;
t i r.Eit P i _ Iilir 1'i In rib„, 11 ; S rtn 'r' I: I i' ,ti t _ 1 i I : i, I_ i m
I; .1p
r.! � , "i' i�. ( �r�11I J e ��4 I r r d Ia �iiiHtp Ir railto , I rH i.l' 7FIr+i} I I:i 'tl ll 1) !1i�i1 i. 'il r'"i�ik:Ii r l 1 }r �I ].I 141I'14. i ( I- I i, FI r : I - rIt r i �{ � iril i .0 A rX� (i {III (, t I4.do.I ''''5 II t i r�l 1' Ili i', III h'r'4i � d ti.�i;�iIRA ii � , I �'r`Itir@R..'_..t.a 1���� 1,Ii �rllfiti..t;a IJ i',.r�11;��4P H�ii I.�r,r7:�Gu�«.vd.r....,wt.�;ra.r,t,� -.�W.a'uu:li�inir!yi.',�'Li�u e I�H
p
0 Age 0-10...$11 47 di Level 0...$6 25 igil k'4
' .Level 0 'G
�') Itu Level 0 $4 93 a: SO .44
Level 0 $0
.r Age 11-14..$1289 i'' 'If 11 )
0 �I i l ;I . (Therapy not needed or provided ill (None)
yf�{ i: (Minimal CPA involvement I - by another source,i.e.mental
�rl;i Age 15-21...$13.91 I Cr,, I vi
0 {, and/or no crisis intervention i.e. health.)
Ili; +$,66 Respite Care Vii
jy mutual care placements.) �',. 4
r'a 1141 I'I'I iii, j1
I.9 ra $822jiLevel1 $4.93 A'
1 I it It i Level 1
$19.07 4III 44, I ! Level 1 $2.99
itJ +$.66 Respite Care t Level 1...$6.25 f' (Face to face contact one time (Regularly scheduled therapy, t
I($19.73) i$ !F per month and minimal crisis Iiy 4 hours/month.) i(
n d ,, intervention) ('_ all
IIii IT; iii .
112 H r Ir.
i F tir, i, IV
'"' l.i Level 2 $11 51 't.Level 2 $9.86 ,':
iillt
2 m4 $25.64 4.441 1 (Face to face contact two times r " (Weekly scheduled therapy,
+$.66 Respite Care lig„II Level 2...$6 25 „; per month and/or occasional , 4-8 hours a month with 4 hours of ;s Level 2 $4.47
i" ($26.30) (II
, crisis intervention) Group therapy.) Ilk}
1?iI I
144 II ; I i
hilt
iii'
I n;I
I) , i Level 3 $14.79
III I�, 1 I Level 3 $14.79,,
14 79 . (Regularly scheduled weekly I-
3 '1'�, +$.66 Respi a Care '.i Level 3...$6 25 ! (Face to face contact 1-2 times �' multiple sessions,can include Level 3 $6.02
IH more than 1 person,i.e.family i
,III ($32.88) ' per week and/or ongoing crisis therapy,for 8-12 hours/monthly.) t
AIl ,1 intervention.) LI ,
till a I
Iii
('C
q6i I,E .'Level 4 $18.08 iril
1 .I Level 4 $14.79;r,
4 {i $38 79l. II, I ` (Face to face contact 2-3 times I (Regularly scheduled weekly r Level 4 Neg.
RTC 'I per week minimum,High level ( multiple sessions,can include
Drop ,44
+ '$.66 Respite Care . Level 4...$6 25 ' of case management and CPA i more than 1 person,i.e.family '
Down ($39'45) I� i,i involvement with child and h_ therapy,for 8-12 hours/monthl .) �'
it provider,including on-going
f14 crisis intervention.) I;
i ' 1 iiil
li y I
Assess. ,.'; Assessment Assessment Assessment ) IIII
Period jt1 Period......$26 30 7 Pedod $6 25 t Period $11.51 E.
Assessment Period $01
(Includes Respite) ( I I' , . I,;
... i:.i, the {'. 1e1.
Effective 07/01/06
7 Weld County SS-23A Addendum
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
ATTEST: �y�!"�� ' 1 /-
Weld County Clerk ti��
is6]
WELD COUNTY BOARD OF
?t ;)-e-N..s.
SOCIAL SERVICES, ON BEHALF
ertl % OF THE WELD COUNTY
DEPARTMENT OF SOCIAL
11//".,, LL..�''ll �, SERVIC
By: afrdh ≤�_r� By:
CC
Deputy Clerk to the Board David
David E. Long , Chai
FEB 7 2007
CONTRACTOR
WhimSpire CPA
70 Morning Sun, Suite 300
Woodland
dPPark,
C -O80863
BY:etircr t 1)'�-
WELD COUNTY DEPARTMENT II
OF SOCIAL SERVICES
By:
re or
8 Weld County SS-23A Addendum
X01- 07
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