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HomeMy WebLinkAbout20072846.tiff 0 DEPARTMENT OF SOCIAL SERVICES P.O. BOX A I GREELEY, CO. 80632 Website:www.co.weld.co.us Administration and Public Assistance(970)352-1551 OFax Number(970)353-5215 COLORADO MEMORANDUM TO: Judy Griego - Director FROM: Lesley Cobb - Child Welfare Rate Negotiator DATE: August 23, 2007 SUBJECT: Weld County Addendums to the Agreement to Purchase — State SS-23A Attached please find the Weld County Addendums to the Agreement to Purchase Child Placement Agency Services for the following providers: 1) Adoption Options—Provider ID 45078 2) Ariel Child Placement Agency—Provider ID 90205 3) Bethany Christian Services Provider ID - 45514 4) Bridges Inc. —Provider ID 1980 5) Children's Network—Provider ID 77512 6) Commonworks DBA Synthesis—Provider ID 104085 7) Dungarvin— Provider ID 98960 8) Griffith Centers for Children Inc.—Provider ID 1531601 9) Hope and Homes—Provider ID 29867 10)Hope Family Services—Provider ID 42942 11)Imagine—Provider ID 21369 12)Loving Homes Inc.—Provider ID 72767 13)Lutheran Family Services of Colorado —Provider ID 45080 14)Maple Star Colorado—Provider ID 90967 15)Smith Agency Inc. —Provider ID 44882 16)Special Kids Special Families—Provider ID 43184 These contracts have been approved for consent by the Board of County Commissioners however; I am requesting your signature along with the Boards to complete these contracts for the FY 2007-2008. If you have any questions please call me at Ext. 6441. SS 0031 2007-2846 witI dct ee,'SS' cnlr< -aoo7 WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Adoption Options and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this / day of S/ , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement 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 placed with Contractor. 2. County agrees to purchase and Contractor 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 CPA identified as Provider ID#45078. 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 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. 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. 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. 1 Weld County SS-23A Addendum 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; 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. 2 Weld County SS-23A Addendum 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. 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 Weld County SS-23A Addendum NORTHERN CONSORTIUM OF COUNTIES NEEDS BASED CARE ASSESSMENT • (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# ISEX F I'TRAILS CASE ID DOB 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 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? ❑Basic Maint.)No participation required ❑1)Once a month ❑1%)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 ❑1)Less than a 'h hour per day ❑1'/) '/2 hour a day ❑2) 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 01)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? 0 Basic Maint.)0-2 hours per week ❑l)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.) 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. ❑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 SS-23A Addendum W COUNTY • 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. _row96 i a' N �r ki•!y, I 1 1:0tt ' f { 1 ::5 s �,, s?l�.a i'+'' +' . 1.. X444..lecauffallek 6 ,akki i x is rte.; - p y 6 ...m:'';, .,.--A.., tru-i:v:l+�I,. IL. ...... .. tea .;°r .,.ra4i , 4 kti .`.'iu t„ .. Aggression/Cruelty to Animals ❑ ❑ 0 0 Verbal or Physical Threatening 0 0 0 0 Destructive of Property/Fire Setting ❑ ❑ ❑ 0 Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ 0 0 Substance Abuse ❑ ❑ 0 0 Presence of Psychiatric Symptoms/Conditions ❑ ❑ O O Enuresis/Encopresis ❑ ❑ 0 0 Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ 0 0 0 5 Weld County SS-23A Addendum BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. �� e7w�a :t xy� t� a err -diti �. F:i .: 5 e 'f.. 3 >e x a c In' �y, t 1�A„ .,,. .,:,-.;air ,! H,. Y�� ,. ,3:3 '". .r.._.r 4.44,-.- ._q„i¢ .R, + .. ..��_,. s .�.._ s as :.,�._.J m:.≥a'" ., .... Inappropriate Sexual Behavior ❑ ❑ 0 0 Disruptive Behavior ❑ 0 0 0 Delinquent Behavior O 0 0 0 Depressive-like Behavior ❑ ❑ 0 0 Medical Needs (If condition is rated"severe",please complete O 0 ❑ ❑ the Medically fragile NBC) Emancipation O 0 0 0 Eating Problems O 0 0 0 Boundary Issues ❑ ❑ 0 0 Requires Night Care ❑ 0 0 0 Education ❑ 0 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 SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) x ' i.x1r. 6 d 'b 6 it '' x 1 ',>a vs y A'+aav"�`;,',, `� :v+r,�3: t' y *,,x '�y. a •h,�wu 4 * •'5,''i . a".; ,n �t :a` ry Age 0-10...$16.32($496) Basic Maint $4.93 day/$150mo Level 0 $0 County r61 Age 11-14...$18.05 3' 14 .. Therapy not needed or provided Banc ihn ($549) : No crisis intervention, Minimal CPA , .. by Level 0...$0 Maint Age 15-21...$19.27 =piti • (None) ' +$,66($ 8 Respite Care rl,r involvement,one face-to-face visit another source,i.e.mental health. • • ($20) 1-g--` with child per month. $19.73 '.. Level 1 $8.22 day/$250 mo Level 1 $4.93/$150 mo • +$.66 Respite Care Minimal crisis interention as needed, Regularly scheduled therapy, 1Level 1 ...$2.99 one face-to-face visit per month with = • ($20.39 day/$620 mo) litil child, up to 4 hours/month. ' 2-3 contacts per month ,. $23.01 ` P 1 1/2 ' • +$.66 Respite Care a.7. Level 1 1/2 $9.86 day/$300 mo It,_ .a:• ($23.67 day/$720 mo) _.; _ $26.30 ari Level 2 $11.51 day/$350 mo a- Level 2 $9.86/$300 mo • r ii' +$.66 Respite Care Occasional crisis intervention as needed, ..-,4.•;:.,,k Weekly scheduled therapy, 2Level 2..$4.47 `' '3iu' two face-to-face visits with child, 5-8 hours a month with 4 hours of ' t ($26.96 day/$820 mo) 1 2-3 contacts per month t:,;2 group therapy. • ' $29.59 �:o:, tha::i . , 2 1/2 ';i3' +$.66 Respite Care E Level 2 1/2.........$13.15 day/$400 mo (::{q • ($30.25 day/$920 mo) �r $32.88 ,- Level 3 $14.79 day/$450 mo ' Level 3 $14.79/$450 mo +$.66 Respite Care ..;W:-. Ongoing crisis intervention as needed, Regularly scheduled weekly 3 x+ t multiple sessions,can include Level 3..$6.02 _ weekly face-to-face visits with childx more ($33.54day/$1020 mo) k.Ei and intensive coordination of Al than 1 person,i.e.family therapy, y a multiple services. ",„; for 9-12 hours/monthly. $36.16 i, -�, 31/2 • +$.66 Respite Care T7A�_, Level 3 1/2 $16.44 day/$500 mo n Ei('I ($36.82 day/$1,120 mo) is" "4-' PI $39.45 '`I Level 4 $18.08 day/$550 mo Level 4 $14.79/$450 mo +$.66 Respite Care Ongoing crisis intervention as needed, •4 Regularly scheduled weekly 4 •z ' multiple sessions,can include U op '` which includes high level of case more Level 4....Neg. x Down :31' management and CPA involvement with than 1 person,i.e.family therapy, ($40.77 day/$1220 mo) _,. ',,,`, t'::• child and provider and 2-3 face-to-face ict for 9-12 hours/monthly. contacts •er week minimum. v Bag Ai qhith MI,: Assess 0. $26.96 day/$820 mo ?a i tH+c oi• Rate f: (Includes Respite) 'mil $11.51 day/$350 mo ! ;N Admin.Overhead Rate: As of 7/01/07 $6.25 day/$190.00 month 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: a" N. Weld County eC r 1861A iJ' '� WELD COUNTY BOARD OF pSOCIAL SERVICES, ON BEHALF � u 0�� OF THE WELD COUNTY DEPARTMENT OF SOCIAL _r_ SERVICES By: /a-Iiiftl.1/4,ea By: �Deputy Clthe Board David E. Long, Ch P 0 5 2001 CONTRACTOR Adoption Options 13900 E Harvard Ave, Suite 200 Aurora, CO 80014 By: Cl UY WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: D rector 8 Weld County SS-23A Addendum .-9nO7- .V.PS// WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency,Services (the "Agreement") between Ariel Child Placement Agency and Weld'County Department of Social Services for the period from /0 July 1, 2007 through June 30, 2008. The following provisions, made this / day of J.; 1/ , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement 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 placed with Contractor. 2. County agrees to purchase and Contractor 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 CPA identified as Provider ID#90205. 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 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. 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. 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. 1 Weld County SS-23A Addendum o?oo 2-a85/ec, 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; 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. 2 Weld County SS-23A Addendum 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. 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 Weld County SS-23A Addendum NORTHERN CONSORTIUM OF COUNTIES NEEDS BASED CARE ASSESSMENT • (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX F RAILS CASE ID IDOB 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? ❑ 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'h hour per day Dv A) '/z hour a day ❑2) 1 hour a day 02 %) 1',4-2 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? 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 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. O 11/4)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) 01)Less than 4 hours per month ❑2)4-8 hours per month ❑3)9-12 hours per month 4 Weld County SS-23A Addendum 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. ti r tt. ' a a t a5, , I tNi 35q 3` �ti d } '�`-i'Waiya�j' -9'. vi/ ...e... -..,—_..r; ICe�kt� .A .'� ' s.,.t,' s—. u ,a-�r:� xaNeititatotrigaikar ri !ixr ITIEISMNP Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ 0 0 Destructive of Property/Fire Setting ❑ 0 ❑ ❑ Stealing O 0 ❑ 0 Self-injurious Behavior O 0 0 0 Substance Abuse O 0 0 0 Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ 0 Runaway ❑ ❑ 0 0 Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County SS-23A Addendum BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. i v ti k xl �aiaii 1 < x ,ess ;irk i ¢ $1 X5 s .. .- .. ' +SS `:...._ :. _ - ..i ,a•, (* + -.,uv, tu,._,.w yay„ 1 4" ^1 a ti Inappropriate Sexual Behavior ❑ ❑ ❑ 0 Disruptive Behavior ❑ ❑ ❑ 0 Delinquent Behavior O ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ 0 0 the Medically fragile NBC) Emancipation ❑ ❑ 0 0 Eating Problems ❑ ❑ ❑ ❑ Boundary Issues O 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 SS-23A Addendum . • WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) liglialjg, t a.'ice' ` '"z 'a ≥ a a r rt. 1 6 1,1 ` .w ,�s i. v 4 y,..+. , , .- s y .l , ° eaih y'ye°: d °� ma p •. `�t '.z ;,. 5 4 oontoo I 1 .. �Ti4R '.5 k'g�V„ ift'°i iaii. i iq y,'*v'R,ilailla ""-- Y4,- ..,i '.:'�- � e.e �b. �'�'� .,g.��4._°......�5� f�r.s "°ak `�"e:°�•ez..a�•�'.hyANS ��zv'. 'ki �tatiMgitafi � .. .tea: .., Div. ..:, u`a,�...dm, t ... "� .'•w'# en.y 4444444 7444;4444 444 4404g4,44444444.4 EA ' a Age 0-10...$16.32($496) ''� i Basic Maint $4.93 day/$150mo T.% Level 0 $0 •1t l County gas�' -_Age 11-14...$18.05 :_: Therapy not needed or provided County =ip ($549) ;`r"'§i? No crisis intervention,Minimal CPA by Level 0...$0 Maint. it Basic Age 15-21...$19.27 •; 44 (None) ($586) . involvement,one face-to-face visit another source,i.e.mental health. -( +$.66 Respite Care ($20) '- ' with child per month. $19.73 _ Level 1 $8.22 day/$250 mo Level 1 $4.93/$150 mo '0 r,i II i +$.66 Respite Care Minimal crisis interention as needed, sei Regularly scheduled therapy, 4:r 1 one face-to-face visit per month with Level 1 ...$2.99 ($20.39 day/$620 mo) child, up to 4 hours/month rlia 2-3 contacts per month „ °l $23.01 lit., 1 1/2 'Lrt,. +$.66 Respite Care Level 1 1/2.........$9.86 day/$300 mo ($23.67 day/$720 mo) ' $26.30 Level 2 $11.51 day/$350 mo Level 2 $9.86/$300 mo .11 2 +$.66 Respite Care Occasional crisis intervention as needed, Weekly scheduled therapy __> Level 2..$4.47 two face-to-face visits with child, 5-8 hours a month with 4 hours of la n ($26.96 day/$820 mo) ha O ilPi_: 2-3 contacts per month group therapy. 't' $29.59Ti0 2 1/2 , +$.66 Respite Care Level 2 1/2.........$13.15 day/$400 mo °'a ($30.25 day/$920 mo) i $32.88 Level 3 $14.79 day/$450 mo Level 3 $14.79/$450 mo SS h +$.66 Respite Care Ongoing crisis intervention as needed, Regularly scheduled weekly Si lip multiple sessions,can include 3 Level 3..$6.02 weekly face-to-face visits with child, more ($33.54day/$1020 mo) ' . and intensive coordination of than 1 person,i.e.family therapy, 5,,: multiple services. for 9-12 hours/monthly. $36.16 as+F$ gym, 3 112 : $.66 Respite Care Level 3 1/2.........$16.44 day/$500 mo „i:,,: ($36.82 day/$1,120 mo) =4'ss4i ' le fir $39.45 Level 4 $18.08 day/$550 mo Level 4 $14.79/$450 mo ?4- A 4-$.66 Respite Care Ongoing crisis intervention as needed, Regularly scheduled weekly ' 4 if multiple sessions,can include RTC which includes high level of case more tiliiiF Level 4....Neg. Drop .l Down j ($40.77 day/$1220 mo) • management and CPA involvement with than 1 person,i.e.family therapy, ii i al • child and provider and 2-3 face-to-face for 9-12 hours/monthly. contacts °er week minimum. 8, wlr Assess *4;'+a., $26.96 day/$820 mo "t•+ Rate ;: (Includes Respite) -,„ $11.51 day/$350 ma zy Admin.Overhead Rate: As of 7/01/07 $6.25 day/$190.00 month 7 Weld County SS-23A Addendum 1. IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Weld Cou 1 t ssi `t r iffc WELD COUNTY BOARD OF 'lc',- SOCIAL SERVICES, ON BEHALF � :' OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: /_� ?t at 2 By: Deputy erk to the Board David E. Long, Chai S 0 5 2007 CONTRACTOR Ariel Child Placement Agency 2938 North Ave, Suite G Grand notion, COE� 8115504 gj�� 0- n By: "vet a ("v't�"'I.C, 1-4-Yj WELD COUNTY DEPARTMENT 81210 OF SOCIAL SERVICES By: irector 8 Weld County SS-23A Addendum _1 AA 7 -.2.Pyti WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services '''., (the "Agreement") between Bethany Christian Services and Weld County /� Department of Social Services for the period from +; July 1, 2007 through June 30, 2008. /a The following provisions, made this / day of 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the eement 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 placed with Contractor. 2. County agrees to purchase and Contractor 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 CPA identified as Provider ID#45514. 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 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. 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. 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. ] Weld County SS-23A Addendum 0007-O7,'596 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; 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. 2 Weld County SS-23A Addendum 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. 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 Weld County SS-23A Addendum NORTHERN CONSORTIUM OF COUNTIES • NEEDS BASED CARE ASSESSMENT (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX [ 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 ❑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%)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'A)Two times month ❑2)Three times a month ❑2%z)Once a week 03)Two times a week D31/2)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%) %:hour a day 02) 1 hour a day 02 %z) 1'/z-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 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 ❑1)3 to 4 hours per week ❑1%) 5 to 7 hours per week 02) 8 to 10 hours per week 02%) 11 to 15 hours per week ❑3) 16 to 20 per week 03%)21 or more hours per week A 1. How often is CPA/County case management required? (Does not include therapy) ['Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e.mutual care placements.) ❑1)Face-to-face contact one 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? ❑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 SS-23A Addendum 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 aras,irek E 1 t 1 3£ otttp .e cs[`o Fit # t ,:$ pl '� _ t � p �.:'� . -: u Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ 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 SS-23A Addendum BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) �'y� Please rate the behavior/intensity of conditions which create the need for services that a..ly to this child.,491 4 '� tdm i4til ! I '!. S 4 'F�rN . P a x.� Inappropriate Sexual Behavior ❑ ❑ 0 0 Disruptive Behavior ❑ 0 ❑ 0 Delinquent Behavior ❑ ❑ ❑ 0 Depressive-like Behavior ❑ ❑ 0 0 Medical Needs (If condition is rated"severe",please complete El 0 0 the Medically fragile NBC) Emancipation ❑ ❑ 0 ❑ Eating Problems ❑ 0 0 ❑ 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 SS-23A Addendum . . ' WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) Milr c 1tt ra. - , an: r S �w �, p' °y�e I j �_� � - � o .� a, r * 7; - � v,:a Y . �` z 1�y� . e c `e %I i1`iWineli 1 �r�z h- � l � ,,. i 3.r p'ei i t,},„ 1m i�,x x '24O, IA tlq Age 0-10...$16.32($496) Basic Maint $4.93 day/$150mo iciii Level 0 $0 is County Pi Age 11-14...$18.05 va Therapy not needed or provided , ddd ($549) No crisis intervention,Minimal CPA Age y j by Level 0...$0 Basic „4 15-21...$19.27 a d= '_`=` �> (None) Maint s `t•= ($586) involvement,one face-to-face visit v. another source,i.e.mental health. .dig ! iddii +$.66 Respite Care s _ ($20) with child per month. rii '4m $19.73 Level 1 $8.22 day/$250 mo VI Level 1 $4.93/$150 mo miff i444i 4444 4.4 1 +$.66 Respite Care Minimal crisis interention as neededs Regularly scheduled therapy "? Level 1 ...$2.99 :biniiiiiir one • 4...".face-to-face visit per month with ($20.39 day/$620 mo) child, up to 4 hours/month. _ 2-3 contacts per month .'. °,. '1 $23.01 1"; 1 112 +$.66 Respite Care Level 1 1/2 $9.86 day/$300 mo ` ------ --------- ar P ($23.67 day/$720 mo) ,EZ .;:' $26.30 Level 2 $11.51 day/$350 mo 1 Level 2 $9.86/$300 mo tig +$.66 Respite Care Occasional crisis intervention as needed, 2 Weekly scheduled therapy 2 „3a; .;fix. Level 2..$4.47 a ($26.96 day/$820 mo) two face-to-face visits with child, '°°" 5-8 hours a month with 4 hours of ' 1k d: Mil. 2-3 contacts per month : , group therapy. erd. s4'> $29.59 2 1/2 idiiiiii lid4 +$.66 Respite Care Level 2 1/2.........$13.15 day/$400 mo !i hi . iiiiid big ($30.25 day/$920 mo) hr: mP 4 E;x $32.88 Level 3 $14.79 day/$450 mo ddid Level 3 $14.79/$450 mo yid LiMt st, +$.66 Respite Care Ongoing crisis intervention as needed, muRegularlyltiple scheduleednweekly i 3 sl:: Level 3..$6.02 E:i weekly face-to-face visits with child, more si, ar din ($33.54day/$1020 mo) q§ and intensive coordination of -+ than 1 person,i.e.family therapy, multiple services. a for 9-12 hours/monthly. :: L„ � : $36.16 •did did "Ed- -did 3112 iiididl +$.66 Respite Care Level 3 1/2 $16.44 day/$500 mo ,r rs = ($36.82 day/$1,120 mo) ,gym 4 s` rvo ro $39.45 Level 4 $18.08 day/$550 mo !did. Level 4 $14.79/$450 mo +$.66 Respite Care Ongoing crisis intervention as needed, Regularly scheduled weekly timS, 4 `idailii multiple sessions,can include lip4 RTC which includes high level of case more i's'.: Level 4....Neg. Down ($40.77 day/$1220 ma) management and CPA involvement with than 1 person,i.e.family therapy, { is E4:41,5 i; i child and provider and 2-3 face-to-face for 9-12 hours/monthly.44,44 46 contacts .er week minimum. d lb a9Nxt�''ti .�u„m(a .��a.,.,,,,.,iiXrta .,..r..,.�„, :.. .,.,...,.. .,,.• ... r �t`x.4..�rvti�. c i Assess pil $26.96 day/$820 mo d dad Rate Pmit (Includes Respite) r $11.51 day/$350 mo •N didiiid to IIiil Admin.Overhead Rate: As of 7/01/07 $6.25 day/$190.00 month 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: a t4 Weld Count '2' Board \%� WELD COUNTY BOARD OF '— SOCIAL SERVICES, ON BEHALF fc. OF THE WELD COUNTY � 01 DEPARTMENT OF SOCIAL SERVICES By: By: c_J _ O Deputy Cl to the Board David E. Long, Chair SEP 5 2007 CONTRACTOR Bethany Christian Services 4820 Rusina Rd, Suite C Colorado Springs, CO 80907-8127 ` BY: ��o q. \"j\x`n Cloy I k WELD COUNTY DEPARTMENT OF SOCIAL SERVICES JIA,dBy: )ctor / I) J 8 Weld County SS-23A Addendum —7M9 '2. _7,P[// • WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Bridges Inc. and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this / day of (j u , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement 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 placed with Contractor. 2. County agrees to purchase and Contractor 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 CPA identified as Provider ID#1980. 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 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. 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. 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. 1 Weld County SS-23A Addendum p 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; 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. 2 Weld County SS-23A Addendum • 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. 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 Weld County SS-23A Addendum NORTHERN CONSORTIUM OF COUNTIES 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 ❑l)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 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 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 01)Less than a'/z hour per day ❑1'/z) '/z hour a day ❑2) 1 hour a day 02 'A) 1'/z-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 ❑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 ❑1%)5 to 7 hours per week 02) 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. 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. 02%)Face-to-face contact three times per month with child and occasional crisis intervention. 03)Face-to-face contact weekly with child and occasional crisis intervention. 03%)Face-to-face contact weekly with child and ongoing crisis intervention which may include intensive coordination of multiple services. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group,or more than one County foster child is with the same provider. T 1. How often are therapy services needed to address child's individual needs per NBC assessment? DO)Not needed or provided by another source(i.e.Medicaid) ❑1)Less than 4 hours per month 02)4-8 hours per month ❑3)9-12 hours per month 4 Weld County SS-23A Addendum • 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. + 3L 9 I L6h Hs.i,t y,. ^qv F '4+tai'PIP's+l+�'t , it yRqq+lu. a . ,a ,..n. rp a Oat i lFSr a.'t i! +at�9u' a 'Fw tci5 � g 3; ' c � ° �; Aggression/Cruelty to Animals ❑ O ❑ O Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting O O O ❑ Stealing ❑ ❑ ❑ O Self-injurious Behavior ❑ O O ❑ Substance Abuse ❑ ❑ O ❑ Presence of Psychiatric Symptoms/Conditions O ❑ O O Enuresis/Encopresis ❑ ❑ O O Runaway ❑ O O O Sexual Offenses ❑ ❑ O ❑ 5 Weld County SS-23A Addendum • BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) • Please rate the behavior/intensity of conditions which create the need for services that ap.ly to this child. fi (Ky rsThlh 91'v'+x'Sx i xi�_:k u• _ tT�'Stid ry � at� "IXh mow- i i E i_ t i toss i a }t i ..•„ •: . Inappropriate Sexual Behavior ❑ ❑ 0 ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ 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 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 SS-23A Addendum \ , WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) m "t 1 '* + '.s r. 'b ^.s ' to i +' h," l '4§5�� �. v.� tw x�"r si + a VIII '� .. � '� a � "- t �a �q`"�"3 �.'�" �'`�a � zu ,,�s�h 't .,;k � ase.+ : via '0 i a x 's'v * m w..: � - .��,4 SCI tx � :>. .� � 't� ���. ni � .: r "�"� . a&y *, "H :''a. ig'�at °%tr°a.T. Pa '§ ,.h a t ,I'i, T"s- s ' t s,r, k ::>. avr 5_l. a. �` + -*�I#�'' t ts' r . gI �k .a ti ads s c man' rv€ "�,,*+,.' ,� +1.° ';c° ..._.�.r.�� ,� tea, t...��. . '".1_'r -_... r.>t� �. _ ���& a�. .,�, _' .'+,''+, ..E'#=�-s,�.�i .?, ,.,, ,�'+,_::...._r" sac Age 0-10...$16.32($496) Basic Maint $4.93 day/$15omo • Level 0 $0 Count M Age 11-14...$18.05 3 :k Therapy not needed or provided Y ($549) No crisis intervention,Minimal CPA by Level 0...$0 Basic Age 15-21...$19.27 . (None) Maint E.≥a. .l in: ($586) involvement,one face-to-face visit another source, i.e.mental health. es +$,66 Respite Care �_'';4 i�,�� _.:} ($20) at: with child per month. .`-" $19.73 ' ' Level 1 $8.22 day/$250 mo fr, 1 Level 1 $4.93/$150 mo rL' 4.66 Respite Care , Minimal crisis interention as needed, Regularly scheduled therapy, 3i 1 Level 1 ...$2.99 PI II one face-to-face visit per month with ($20.39 day/$620 mo) sNW child, up to 4 hours/month. , {qL . itd 2-3 contacts per month 'ar' v v $23.01 'y ;a .. Level 1 1/2 $9.86 day/$300 mo 1 1/2 -4.66 Respite rt r"`�e Care ($23.67 day/$720 mo) 1`-=' OM kip ilk IIIII $26.30 0:1 Level 2 $11.51 day/$350 mo Level 2 $9.86/$300 mo Vidkii.: 2 r- +$.66 Respite Care I'3 Occasional crisis intervention as needed, y Weekly scheduled therapy, '''t Level 2..$4.47 Ti.d ($26.96 day/$820 mo)miu, t ` two face-to-face visits with child, ` 5-8 hours a month with 4 hours of G 2-3 contacts per month group therapy. $29.59 Via'.' 2 1/2 +$111k. .66 Respite Care „:.k., - Level 2 1/2 $13.15 day/$400 mo ..X 4i ($30.25 day/$920 mo) .rte- .x $32.88 Level 3 $14.79 day/$450 mo t Level 3 $14.79/$450 mo it 'r E't +$.66 Respite Care 41'x' Ongoing crisis intervention as needed, Regularly scheduled weekly multiple sessions,can include 3 ` e' Level 3..$6.02 1,1 a= weekly face-to-face visits with child more m ($33.54day/$1020 mo) ti ,a :I Mill ; ;, and intensive coordination of than 1 person,i.e.family therapy, 1it I t, ';E multiple services. '4 for 9-12 hours/monthly. wit $36.16 `'r, 3 1/2 a +$.66 Respite Care Level 3 1/2 $16.44 day/$500 mo Tat ($36.82 day/$1,120 mo) "44, ':n,: ,x:11W It 11;55 $39.45 ,, Level 4 $18.08 day/$550 mo Level 4 $14.791$450 mo M +$.66 Respite Care V' Ongoing crisis intervention as needed, twi Regularly scheduled weekly 4 i multiple sessions,can include RTC ISIII, 1411F which includes high level of case more Level 4....Neg. Down 1 ($40.77 day/$1220 mo) ,,' management and CPA involvement with , than 1 person,i.e.family therapy, .. ,j-:4 iSt$ :I;V T!I; child and provider and 2-3 face-to-face TX4 for 9-12 hours/monthly.feie 'e' contacts •er week minimum. 68 Assess MN $26.96 day/$820 mo n j! x Rate (Includes Respite) -:jir ha.N $11.51 day/$350 mo IV Zii Admin.Overhead Rate: As of 7/01/07 $6.25 day/$190.00 month 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: Weld Cou Cl to'td oaa 1861 -" ,r"`.. ivicw) a WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF °(1- 4 OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES BY: 44-7let._4 )1eiticai BYDeputy Crk to the Board Davi E. Long, Chai S 0 5 2007 CONTRACTOR Bridges Inc. 1225 N Main Street, Suite 102 Pueblo, CO 81003 By WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: \._/ C Dire or 8 Weld County SS-23A Addendum WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the"Agreement") between Children's Network and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this / day of Oa , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement 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 placed with Contractor. 2. County agrees to purchase and Contractor 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 CPA identified as Provider ID#77512. 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 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. 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. 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. ] Weld County SS-23A Addendum . 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 W. 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; 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. 2 Weld County SS-23A Addendum 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. 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 Weld County SS-23A Addendum NORTHERN CONSORTIUM OF COUNTIES • NEEDS BASED CARE ASSESSMENT (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX [TRAILS CASE ID DOB M F WORKER COMPLETING ASSESSMENT IHH# (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. ❑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 01)Once a month ❑1yz)Two times month 02)Three times a month ❑2'/z)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 ❑1)Less than a'h hour per day 01%) %hour a day 02) 1 hour a day 02 %n) 1'/z-2 hours per day ❑3)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 ❑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 ❑1) 3 to 4 hours per week O1%) 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) O 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. 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? DO)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 SS-23A Addendum BASED• LED COUNTY CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensity of conditions which create the need for services that a.ply to this child. vX' t3 �R3Nkl4 `./i fr�C�, x h� M "`'�v��i 4. k' 3 �9� 9..E 8 . .. s 4 d� �ti § x''' .�tm2ata vAj. a+v�,.ti -5 tiZtiit�� ,� a c r= + f -r • 49 !. a - - .4 ti 3 fa ?e� T t.a-u: a a.:. �.. t�x c ' , x:t; e g.,. 1 s} a u_ - ra i � a fi �'^xfr ��• qh 4h yd, Ff19 ti3. ,§4 3L a 4 il nut?t 1_1,-_3 ._ m.,_.v 4 x `Y�'E4:va_ ._ .. - < ...x,a�4k'i i ' rE.+ �7 uii�; Aggression/Cruelty to Animals ❑ ❑ 0 0 Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ 0 ❑ Substance Abuse ❑ ❑ 0 ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ 0 Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County SS-23A Addendum BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. f%d ° ( dE #341 ( - iii �� I L 5 I �e f — i 4✓_ 3 �✓— `` t ... ....... i stay. Si x .S• • ; �: �_ a :_:.s..: 3 a " �. s qty 410 641i4 0,2111r17 StQaftelre..rtagg..XCit4445.4YPI} Inappropriate Sexual Behavior ❑ ❑ ❑ 0 Disruptive Behavior ❑ ❑ ❑ 0 Delinquent Behavior ❑ ❑ 0 0 Depressive-like Behavior ❑ ❑ ❑ ❑ 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 ❑ ❑ ❑ ❑ 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 SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE :+ +��,, (Exhibit C) kk `' '.sAI ', as a. i ; 4 £ e c s""�,_.` .gy IZEfr rk .6�;; ' `4w a.m��' +i' 4 ₹. :,' n 114. aT+ ,y ' rte. s+, .s,i'ir5 '* ,,, 4 *s . iiiiinte lift a, 4a 'is k° 'a t ��Z.t �, a tr, p ". .• '' ' . .= Age 0-10...$16.32($496) p. , Basic Maint $4.93 day/$150mo Level 0 $0 uti Age 11-14...$18.05 Therapy not needed or provided County Basic ;;<',','T ($549) No crisis intervention,Minimal CPA by Level 0...$0 Manicint. i,€ Age 15-21...$19.27 (None) .„ ($586) involvement,one face-to-face visit another source,i.e.mental health. N +$.66 Respite Care ($20) with child per illt $19.73 ta Level 1 Pei $8.22 day/$250 mo to Level 1 $4.93/$150 mo +$.66 Respite Care Minimal crisis interention as needed, filti 1 ,i'7,5, Regularly scheduled therapy, Level 1 ...$2.99 one face-to-face visit per month with • I"" ($20.39 child, •;, up to 4 hours/month. day/$620 mo) 2-3 contacts per month • , T $23.01 1 1/2 irk, +$.66 Respite Care Level 1 1/2 $9.86 day/$300 mo im ($23.67 day/$720 mo) $26.30 Level 2 $11.51 day/$350 mo A rta Level 2 $9.86/$300 mo 2 t +$.66 Respite Care '' Occasional crisis intervention as needed, Weekly scheduled therapy, Level 2..$4.47 to k. two face-to-face visits with child, 5-8 hours a month with 4 hours of ($26.96 day/$820 mo) 11 (",4G` ,, 2-3 contacts per month group therapy. „` $29.59 2 1/2 ^i( +$.66 Respite Care r! Level 2 1/2 $13.15 day/$400 mo "1i ($30.25 day/$920 mo) $32.88 Level 3 $14.79 day/$450 mo Level 3 $14.79/$450 mo gi r q +$.66 Respite Care Ongoing crisis intervention as needed, Regularly scheduled weekly u ; multiple sessions,can include 3 13eie Level 3..$6.02 ;, weekly face-to-face visits with child, more '1 ($33.54day/$1020 mo) �:;; and intensive coordination of than 1 person, i.e.family therapy, ')� ffi multiple services. Kt for 9-12 hours/monthl . $36.16 - };w 31/2 ,�; +$,66 Respite Care Level 31/2.........$16.44 day/$500 mo i ($36.82 day/$1,120 mo) I,'=ik _*. $39.45 Level 4 $18.08 day/$550 mo Level 4 $14.79/$450 mo +� 4 i.: +$.66 Respite Care Ongoing crisis intervention as needed, Regularly scheduled weekly multiple sessions,can include I? RTC which includes high level of case more ,ti=' Level 4....Ne Drop _ 9 Down Tiki ($40.77 day/$1220 mo) management and CPA involvement with .ik: than 1 person,i.e.family therapy, 'a[{a ^ child and provider and 2-3 face-to-face for 9-12 hours/monthly. I[ contacts .er week minimum k, s.. II ,: Assess t $26.96 day/$820 mo 7 I x v Rate ,r (Includes Respite) $11.51 day/$350 mo l�:S. x.a n l ::mot iF„, .34. Admin.Overhead Rate: As of 7/01/07 $6.25 day/$190.00 month 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: Ate, Weld Co � - sd y , a WELD COUNTY BOARD OF +'Oft',`'�� SOCIAL SERVICES, ON BEHALF O Fels �,I OF THE WELD COUNTY Oultl� DEPARTMENT OF SOCIAL SERVICES By: 414(.et— By: Deputy Clefk to the Board David E. Long, Chair SEP 5 2007 CONTRACTOR Children's Network 7651 W 41st Ave, Suite 96 Wheat Ridge, C�O_80033 By: O Jst &Bit WELD COUNTY DEPARTMENT OF SOCIAL SERVICES I By: Dir ctor 5 Weld County SS-23A Addendum WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Commonworks D.B.A. Synthesis and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this , day of ow/ , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Afrieement 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 placed with Contractor. 2. County agrees to purchase and Contractor 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 CPA identified as Provider ID#104085. 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 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. 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. 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. 1 Weld County SS-23A Addendum 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; 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 gi' relating to such enforcement, shall be strictly reserved to the undersigned parties or their gn 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. 2 Weld County SS-23A Addendum 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. 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 Weld County SS-23A Addendum NORTHERN CONSORTIUM OF COUNTIES • • NEEDS BASED CARE ASSESSMENT (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX F I TRAILS CASE ID DOB 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 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 Du Once a month ❑1'/z)Two times month O2)Three times a month O2%)Once a week ❑3)Two times a week O3%)Three times a week or more P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education plan? ❑Basic Maint.)No educational requirements ❑1) Less than a '/z hour per day ❑1'%) %z hour a day ❑2) 1 hour a day O2 %) 1'/r2 hours per day ❑3)2'/2-3 hours per day O 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 ❑l)Less than 5 hours per week ❑1%) 5 to 7 hours per week O2) 8 to 10 hours per week ❑2'%z) 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 O2) 8 to 10 hours per week O2%) 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.) 01)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. 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'%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) 01)Less than 4 hours per month O2)4-8 hours per month ❑3)9-12 hours per month 4 Weld County SS-23A Addendum WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/in of conditions which create the need for services that apply to this child. t t�rfia a,st ,l� t a r o e . t li ' ! keN .,x= 3�x'`Sr v t t t w.. .. t . ;:..,, ,,a t .¢ ffi , Roweere:,tit; i I t s �. 's s.L ts ���:.. ' 1 i,At! 0+ 'yn9 i 44 ii 2;40ivSlttavq . i .74,aa - ' ii.'Sr.:.:. !'..`�' '" '4+ }�'A. ." ..�.al=.. �`� �:.� 7�r i .....+?g ..3631 .. .......,. w. ... ...... .. .�.aks :r,Y:� e.. ls Aggression/Cruelty to Anima ❑ 0 0 0 Verbal or Physical Threatening ❑ 0 ❑ ❑ Destructive of Property/Fire Setting ❑ 0 ❑ 0 Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ 0 ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ 0 0 Enuresis/Encopresis ❑ ❑ 0 ❑ Runaway ❑ ❑ 0 ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County SS-23A Addendum BEHAVIOR ASSESSMENT CONTINUED • • (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child tigilikA-L 4 t$d ayag'v k'4t' 'v�5k s 3Y i e s r ! : ., ! � t5'- T w L 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 ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ 0 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 SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) ;P j;i - +� :ti etwt. 'PIA ,400,:pirilligi : +. � „ `'t+� 77 ;k 7 I't's. 2a$'mow" ) &°' ,, `ci s. o y s J.441, S tit ift �.. ., i.. < .: �. t° ,m. `i ' . "gad ,tits,a�i,i_. ar i,1.4w .kshid4 me 5wv y,(,,. "''».. Heir,,. ;.,dart r Sir' Age 0-10...$16.32($496) /n4. Basic Maint $4.93 day/$150mo Level 0 $0 Age 11-14...$18.05 'T` Therapy not needed or provided ,' County -°�Y ($549) -,}''�._`._.: No crisis intervention,Minimal CPA by %. . Level 0...$0 BasiMaint Age 15-21...$19.27 . 1E, (None) ($586) a,;: involvement,one face-to-face visit another source,i.e.mental health. . s„ 10; ' +$.66 Respite Care .:.r;. 47=`; $20 ,1,111t.- with child .er month. El `; • $19.73 't,l.; Level 1 $8.22 day/$250 mo Level 1 $4.93/$150 mo '"` +$.66 Respite Care ' Minimal crisis interention as needed, Pia WI Regularly scheduled therapy Level 1 ...$2.99 1 ;I:; one face-to-face visit per month with ($20.39 day/$620 mo) ? child, up to 4 hours/month. i. lii 2-3 contacts per monthEN . $23.01 sx 1 1/2 +$.66 Respite Care t Level 1 1/2 $9.86 day/$300 mo .. ($23.67 day/$720 mo) y„ aLt. $26.30 .( Level 2................$11.51 day/$350 mo - Level 2 $9.86/$300 mo 't'` 2 +$.66 Respite Care v Occasional crisis intervention as needed, Weekly scheduled therapy, ,a;" Level 2..$4.47 i MI 1I df ri1 ($26.96 day/$820 mo) '"� two face-to-face visits with child, ~r 5-8 hours a month with 4 hours of , 11 L=. 2-3 contacts per month group therapy. 'a°': In: I15 $29.59 2 1/2 +$,66 Respite Care $,. Level 2 1/2.........$13.15 day/$400 mo " ($30.25 day/$920 mo) "=li $32.88 ;rr Level 3 $14.79 day/$450 mo Level 3 $14.79/$450 mo Y_ +$.66 Respite Care Ongoing crisis intervention as needed, Regularly scheduled weekly ' multiple sessions,can include �dta 3 -I. - Level 3..$6.02 weekly face-to-face visits with child, more -h: ($33.54day/$1020 mo) ,, �; a'.. and intensive coordination of than 1 person,i.e.family therapy ..,.: r,:, ° ,multiple services. for 9-12 hours/monthly. ,: M1 z d . $36.16 31/2 +$.66 Respite Care Level 3 1/2.........$16.44 day/$500 mo ($36.82 day/$1,120 mo) AR, s=F: $39.45 ▪ Level 4 $18.08 day/$550 mo Level 4 $14.79/$450 mo +$.66 Respite Care 5( Ongoing crisis intervention as needed, Regularly scheduled weekly tit,,, ",'4 -1 " multiple sessions,can include „,Y:' RTC '1•"1 � ▪4' which includes high level of case more lip;: Level 4....Neg. Drop RF Down ($40.77 day/$1220 mo) �[:= management and CPA involvement with than 1 person, i.e.family therapy, f- _ ° s child and provider and 2-3 face-to-face for 9-12 hours/monthly. rT A ; contacts •er week minimum. lit :_ P. Assess a 41 $26.96 day/$820 mo „gym.. 14: _ Rate (Includes Respite) (,.RA- $11.51 day/$350 mo ,?_. ta Admin.Overhead Rate: As of 7/01/07 $6.25 day/$190.00 month 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: Weld County Clerk to the Board yg )1111.1.? WELD COUNTY BOARD OF :t, r, SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF SOCIAL r SERVICES By: / 1llL . By: Deputy CI to the Board David E. Long, C air SE 0 5 2007 CONTRACTOR Commonworks D.B.A. Synthesis 3000 Youngfield Street, Suite 155 Lakewood CO 80215 J By: l Bats_ WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Lti ector 8 Weld County SS-23A Addendum • WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Dungarvin Colorado, Inc. and Weld County Department of Social Services for the period from July 1, 2007 through June 30,2008. The following provisions, made this / day of DT; , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the*cement 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 placed with Contractor. 2. County agrees to purchase and Contractor 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 CPA identified as Provider ID#98960. 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 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. 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. 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. 1 Weld County SS-23A Addendum 4(52)2-078% 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; 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. 2 Weld County SS-23A Addendum 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. 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 Weld County SS-23A Addendum NORTHERN CONSORTIUM OF COUNTIES • NEEDS BASED CARE ASSESSMENT (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX tTRAILS CASE ID DOB M F 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 ❑1'%)2 round trips a week ❑2)3-4 round trips a week. ❑2%) 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 ❑l)Once a month ❑1/)Two times month O2)Three times a month O2%)Once a week O3)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 01)Less than a'/ hour per day ❑1'%) hour a day ❑2) 1 hour a day O2 %) 1'/r2 hours per day O3)2Yr3 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 ❑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 02) 8 to 10 hours per week ❑2'%z) 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.) 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. ❑2' )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? DO)Not needed or provided by another source(Le. Medicaid) ❑1)Less than 4 hours per month ❑2)4-8 hours per month ❑3)9-12 hours per month 4 Weld County SS-23A Addendum • WELD COUNTY DSS • NEEDS BASED CARE ASSESSMENT (Exhibit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensity of conditions which create the need for services that a.ply to this child. '' 21141 x^-d , ; ? d i M Y r411 t,-.; tr,...j.htt,"tkt44411-ii24ANXit;45:::42a6:Filt!;:RiNtiliA5alial Att$t: t . t+ .�. Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ 0 Stealing ❑ ❑ 0 ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ 0 ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County SS-23A Addendum BEHAVIOR ASSESSMENT CONTINUED • (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a..ly to this child. 13f� � t € tl xC i!!. i4,4 IgiNEW^ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ 0 0 Delinquent Behavior ❑ ❑ 0 0 Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ 0 0 0 the Medically fragile NBC) Emancipation ❑ ❑ 0 0 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 SS-23A Addendum • WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) .�Y li z 9 ""'y"'v*"°'!a" "s"}:"° �4 `r`# § f"n 'i5. -*-u.& yy'+�R 3 S'4."t'ia g,�',G.=' 3Y°t T y ''„ '+" , e .r ':31 ,i'#a�x 4Itqt 00 4 0"ti k qtr .�}c'�'3, 'a'y tbre"s i',' 7 +� s ��sw °� N r a "s"v,. s * 4 a 4.§t* v.'� 'g` x• i -wti` snt gill x tie ~�,: t` $tli iit iP tau+ , a, . it lgi °n'+, t Tiifi: Ki 7 .s,y, 4'`r }e'.& ,a'C asc%. i3 ara a.� x kaanialligirlitkirmisreinirte wigirtifzi$Al,t,,�'.bliff., :. z sa� •n n.We'LE '.v" s� arx.:.:,.t,.....o..�,u°...�a� . .u. {,v fi Age 0-10...$16.32($496) kw,'} Basic Maint $4.93 day/$150mo Level 0 $0 al 'i,`i Age 11-14...$18.05 1,14 Therapy not needed or provided in County f >t ($549) No crisis intervention, Minimal CPA by Level 0...$0 Basic : ,.v_==. Maint. Age 15-21...$19.27 °" (None) ($586) 1 involvement,one face-to-face visit ( another source,i.e.mental health. Mi. +$.66 Respite Care r$+9: .$7A1 ti uI' ($20) 7z,' with child per month. �y;yr $19.73 .'" Level 1 $8.22 day/$250 mo Irt Level 1 $4.93/$150 mo iiii e +$.66 Care Respite , p' all Minimal crisis interention as needed, Regularly scheduled therapy, 1 - to one face-to-face visit per month with Level 1 ...$2.99 rAt ($20.39 day/$620 mo) II child, up to 4 hours/month. dill `( 2-3 contacts per month ' $23.01 ,„i. 1 1/2 r'? +$.66 Respite Care ..i'.. Level 1 1/2 $9.86 day/$300 mo isi ($23.67 day/$720 mo) , $26.30 Level 2 $11.51 day/$350 mo Level 2 $9.86/$300 mo 2 +$.66 Respite Care 14 Occasional crisis intervention as needed, Weekly scheduled therapy, Level 2..$4.47 ($26.96 day/$820 mo) .a two face-to-face visits with child, t.t 5-8 hours a month with 4 hours of rtil 2-3 contacts per month group therapy. $29.59 21/2 +$.66 Respite Care n Level 2 1/2 $13.15 day/$400 mo ($30.25 day/$920 mo) 3!`)' $32.88 Level 3 $14.79 day/$450 mo Level 3 $14.79/$450 mo i=_ 4.66 Respite Care Ongoing crisis intervention as needed, Regularly scheduled weekly 3 ' , multiple sessions,can include Level 3..$6.02 _ weekly face-to-face visits with child, 0 more Eilli ($33.54day/$1020 mo) th, , and intensive coordination of 4 than 1 person, i.e.family therapy, tittl IC Vii,^':; multiple services. for 9-12 hours/monthly. a43I vii, $36.16 3 112 - .66 Respite Care . Level 3 1/2 $16.44 day/$500 mo f_ +$ a? ($36.82 day/$1,120 mo) a: rii ;' $39.45 Level 4 $18.08 day/$550 mo Level 4 $14.79/$450 mo >xs fs" 4.66 Respite Care Ongoing crisis intervention as needed, Regularly scheduled weekly • 4 multiple sessions,can include • RTC it which includes high level of case more • Level 4....Neg. Drop W. Down u_ ($40.77 day/$1220 mo) .• management and CPA involvement withthan 1 person, i.e.family therapy, t.. child and provider and 2-3 face-to-face hF1 for 9-12 hours/monthly. Si deit contacts .er week minimum. „ r• Assess t $26.96 day/$820 mo 1: u . Rate „.£ (Includes Respite) :, ,.' $11.51 day/$350 mo d": IIH,F. blit Pitt PP Admin.Overhead Rate: As of 7/01/07 $6.25 day/$190.00 month 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: Weld Count� 1 to . _ ar' :Sol , WELD COUNTY BOARD OF *O ( SOCIAL SERVICES, ON BEHALF $ OF THE WELD COUNTY ` ��✓ DEPARTMENT OF SOCIAL SERVICES 4 By: By: WA C. Deputy C c to t e Board David E. Long, Chair SE 0 5 2007 CONTRACTOR Dungarvin Colorado, Inc. 4704 Harlan St., Suite 200 Denver CO 80212-7417 By: Lc /14A-3 /�, , WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Dire for 8 Weld County SS-23A Addendum _7 n/J___h.Pi/Z WELD COUNTY ADDENDUM RECEIVED AUG 16 1007 To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Griffith Centers for Children and Weld County Department of Social Services for the period July 1, 2007 through June 30,2008. '7 J� l.,.:/h. S' The following provisions, made this / day of v u/ , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement 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 placed with Contractor. 2. County agrees to purchase and Contractor 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 CPA identified as Provider ID#1531601. 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 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. 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. 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. 1 Weld County SS-23A Addendum 02067- 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; 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. 2 Weld County SS-23A Addendum 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. 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 Weld County SS-23A Addendum NORTHERN CONSORTIUM OF COUNTIES NEEDS BASED CARE ASSESSMENT (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# IEX F RAILS 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 ❑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 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 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''1 hour per day 01%) Y hour a day ❑2) 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 ❑l) 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. 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) 01)Less than 4 hours per month ❑2)4-8 hours per month ❑3)9-12 hours per month 4 Weld County SS-23A Addendum 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. " ' , E R i i Ai . C- t iE , � , t te pie P- a "C z I 9 �R aYY tt d 'ti 8_ sL ...xig , u zi , 5 , , ` a 3 � k. Ai %s. 'yk.h , 4 Aggression/Cruelty to Animals ❑ 0 0 ❑ Verbal or Physical Threatening ❑ 0 ❑ ❑ Destructive of Property/Fire Setting ❑ 0 ❑ ❑ Stealing ❑ 0 0 ❑ Self-injurious Behavior ❑ 0 0 0 Substance Abuse ❑ ❑ 0 ❑ Presence of Psychiatric Symptoms/Conditions 0 0 0 ❑ Enuresis/Encopresis ❑ ❑ 0 ❑ Runaway ❑ 0 0 ❑ Sexual Offenses ❑ 0 0 ❑ 5 Weld County SS-23A Addendum BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. k s a r i�ysd40. � . --r.''''W liM:5i.kajEllat2V4 1;271.7nta4c.::..41'-, ::,:lc-.:31-1/4,1,-:',I.e,, p.,„,,...„,..„,„,,,.,,,Ix:i,;:lit4ci igiftige4Yr� - .:a_ a - k,-_ �= a m.�_3§e.;u ' 'rnn? ,h : 3�4'i =�..:,ri,,s..N 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 0 ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ 0 ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ 0 0 ❑ Education O 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 SS-23A Addendum ' . WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) ' i{ .d,i u ".,h' P"`s' s,.;.�'- xa $*^:�v. xro 5 a ag s. ^i +:. °, >ia• a - .c:�_ `�, � +,r� i > ' . �'4 y' s_.q; ' > -.r5 4'k.. �r'� r;�" " 'w,a s�se � x ' t .' a,.+>r.�,. ,.a.., a..:{�+,a'`'aa "$' lia a 4Ova '£'v bti nz"'``". +' a -:,k L L ,'"=."�' r`'"' .` a` _ gl o why �„ M, "i t• t fi L' - ova^. ,a. 5 a:cat 4w y 'a sq ,� Age 0-10...$16.32($496) 'i,„= Basic Maint $4.93 day/$150mo Level 0 $0 v,i. h t Age 11-14..$18.05 " ' L. Therapy not needed or provided }� County ($549) No crisis intervention, Minimal CPA by a', Level 0...$0 Bac Ma nt Tgn Age 15-21...$19.27 A . v 3:i (None) anp ($586) Via involvement,one face-to-face visit -! another source,i.e.mental health. .$.66 Respite Care 1; r ($20) tT. with child per month. ak 'F r $19.73 : Level 1 $8.22 day/$250 mo �,; ' Level 1 $4.931$150 mo tipr i;.kr iaii: 1 +$.66 Respite Care ,'' Minimal crisis interention as needed, r Regularly scheduled therapy, " r g Level 1 ...$2.99 i1- one face-to-face visit per month with h.i of ($20.39 day/$620 mo) ;+ child, Any up to 4 hours/month. -I it ... ,:; 2-3 contacts per month m. $23.01 l ' '_-- 1 1/2 +$.66 Respite Care Level 1 1/2 $9.86 day/$300 mo :4".,Z; -u'` =: . __ ($23.67 day/$720 mo) Via: :�: i lift. a $26.30 y Level 2 $11.51 day/$350 mo P , Level 2 $9.86/$300 mo ;u 'a av +$.66 Respite Care Occasional crisis intervention as needed, Weekly scheduled therapy, *F 2qiim �'' _, Level 2..$4.47 ; two face-to-face visits with child, O% 5-8 hours a month with 4 hours of t ($26.96 day/$820 mo) c.� ..s* w i`'' 2-3 contacts per month .' group therapy. =R` r' $29.59 ..'' ryx s r` 2112 .t:" 6lt. ,."t +$.66 Respite Care ' Level 2 1/2.........$13.15 day/$400 mo �'1 si."k ili �._ ($30.25 day/$920 mo) : . ,-s1 li,im $32.88 - is Level 3 $14.79 day/$450 mo Level 3 $14.79/$450 mo fa Illifi ' " F +5.66 Respite Care Ongoing crisis intervention as needed, °' Regularly scheduled weekly :loss 3 mi multiple sessions,can include a."'ka', Level 3..$6.02 weekly face-to-face visits with child, :qinf more lnii ($33.54day/$1020 mo) " ik�y and intensive coordination of than 1 person, i.e.family therapy, 3,,;;,s multiple services. °wI: for 9-12 hours/monthly. S,a $36.16 ,,.rre„ g Wiall f. 31/2 € +$,66 Respite Care r:;'" Level 3 1/2 $16.44 day/$500 mo U'-.4,f' 11O ($36.82 day/$1,120 mo) b;l:;. P. St 4 $39.45 p Level 4 $18.08 day/$550 mo 3_ 1,Level 4 $14.79/$450 mo t.* +$.66 Respite Care (: a Ongoing crisis intervention as needed, Regularly scheduled weekly 1.71, 4 .': -r- ' multiple sessions,can include . " RTCiliwri ttv which includes high level of case ",,; more -.Big Level 4....Neg. x : a ;i 35= 9. Down ($40.77 day/$1220 mo) •1t management and CPA involvement with 54O than 1 person,i.e.family therapy, RT ,N Vii" i; child and provider and 2-3 face-to face for 9-12 hours/monthly .a contacts .er week minimum. ' ; .irk fry' Assess .f $26.96 day/$820 mo Rate tilII Iw (Includes Respite) P`? $11.51 day/$350 mo �` ,,:ahr hp Admin.Overhead Rate: As of 7/01/07 $6.25 day/$190.00 month 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: Weld Cou Sal and s'' eh: WELD COUNTY BOARD OF te inJ SOCIAL SERVICES, ON BEHALF . -.t OF THE WELD COUNTY `� . DEPARTMENT OF SOCIAL .� ;� SERVICES By: By: Deputy C c to e Board David E. Long, h S P 052007 CONTRACTOR Griffith Centers for Children 14142 Denver West Pkwy, Suite 225 Lakewood, CO 80401 By. WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: D ector 8 Weld County SS-23A Addendum n ..-A 1 rob/// WELD COUNTY ADDENDUM • To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Hope and Homes and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this C day of 3 G , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement 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 placed with Contractor. 2. County agrees to purchase and Contractor 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 CPA identified as Provider ID#29867. 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 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. 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. 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. 1 Weld County SS-23A Addendum aoo7-aeye 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; 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. 2 Weld County SS-23A Addendum 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. 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 Weld County SS-23A Addendum NORTHERN CONSORTIUM OF COUNTIES • 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 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%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 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%z hour per day 011/2) '/z hour a day 02) 1 hour a day 02 %z) 1'/-2 hours per day 03)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 O1)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? 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%) 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 timejer 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. 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 SS-23A Addendum 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. !: tiaj o . 0 i ! d # 6 € 9 t t pf � ?.. E it `1 # L2a ���''iv.t:. r` y f 5 -.�� ! tv of raitmaim. - ,a E,. yE s ; e' 4 2 Ott lY 1+ 4t i i�(�."lltlilie%em , llt k . Aggression/Cruelty to Animals ❑ ❑ 0 ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ 0 0 0 Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ 0 ❑ Enuresis/Encopresis ❑ ❑ 0 ❑ • Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County SS-23A Addendum BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behaavior/intensity of conditions wh�i�ch create the need for services that apply to this child -�'-x r t to-�� . �a 2 �z �p 1 s ¢ .,...s . ..r t 7 '� r�tlic�� :" �- } S lit 5# S tit t i 2 p .L, . .y pnpf r� '�'�tls,`� v. `� om. � a ra,� t q fi. :, {x.O,1- toy v li= nt iix ° at as t r t t t o t ( i yrs 414 ''aa 71 t>k,cr t t ti i it el,-;,_::. a s, t ',, t srt :ii, ti-' -e � 6� 5 °�aNY � F. tR 'i& I °I t s Es. "'L t 3. t � a sa %1:240:,w •Fv,. _.„. , e.._ Ma.ris':...fl ... ,Is.., ₹i , . r t,rr'.cs {.: .`N:'r ,t ,. s F).... _ Inappropriate Sexual Behavior ❑ ❑ ❑ 0 Disruptive Behavior ❑ ❑ ❑ 0 Delinquent Behavior ❑ ❑ 0 0 Depressive-like Behavior ❑ ❑ ❑ 0 Medical Needs (If condition is rated"severe",please complete ❑ 0 ❑ 0 the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ 0 0 ❑ Requires Night Care ❑ ❑ 0 ❑ Education ❑ ❑ ❑ 0 Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ill 2 ❑ 3 6 Weld County SS-23A Addendum - WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) iI S y k A P , '. Age 0-10...$16.32($496) Basic Maint $4.93 day/$150mo y, Level 0 $0 County Age 11-14...$18.05 4 Therapy not needed or provided ,'' ($549) No crisis intervention,Minimal CPA by .' . Level 0...$0 Basic Age 15-21...$19.27 t +1L (None) Maint w"! Pa; 43 . yl;. ($586) involvement,one face-to-face visit i another source,i.e.mental health. , ,`. +$,66 Respite Care ($20) with child per month. y1 - y i $19.73 Level 1 $8.22 day/$250 mo 7'44' Level 1 $4.93/$150 mo lr: +$.66 Respite Care Minimal crisis interention as needed, F = Regularly scheduled therapy, Level 1 ...$2.99 1 )1*: one face-to-face visit per month with !'' :! ($20.39 day/$620 mo) child, up to 4 hours/month. t 2-3 contacts per month V. :i: e $23.01 ,1. 1 1/2 :, +$.66 Respite Care Level 1 1/2.........$9.86 day/$300 mo 'r :-! ($23.67 day/$720 mo) . .F::' $26.30 Level 2 $11.51 day/$350 mo tli Level 2 $9.86/$300 mo m: • +$.66 Respite Care Occasional crisis intervention as needed, P.N. Weekly scheduled therapy,2 _,r 4.Vi i. Level 2..$4.47 two face-to-face visits with child, t. 5-8 hours a month with 4 hours of ($26.96 day/$820 mo) k``° 2-3 contacts per month irg group therapy. $29.59 2 1/2 +$.66 Respite Care = Level 2 1/2 $13.15 day/$400 mo 1_ ($30.25 day/$920 mo) a '3{v( $32.88 Level 3 $14.79 day/$450 mo 4 n 1, Level 3 $14.79/$450 mo y'"! ,_F;.. +$.66 Respite Care Ongoing crisis intervention as needed, Regularly scheduled weekly T, * 3 . multiple sessions,can include r'"' Level 3..$6.02 weekly face-to-face visits with child, more TM ($33.54day/$1020 mo) and intensive coordination of r` than 1 person,i.e.family therapy, !i *Al ,114' multiple services. = for 9-12 hours/monthly. `" • $36.16 m .: iiEli 31/2 _,r. +$.66 Respite Care Level 31/2.........$16.44 day/$500 mo F r,'!! ($36.82 day/$1,120 mo) 3 .r .. $39.45 1 Level 4 $18.08 day/$550 mo Level 4 $14.79/$450 mo Pic,a; +$.66 Respite Care Ongoing crisis intervention as needed, Regularly scheduled weekly )': 4 - multiple sessions,can include RTC '' which includes high level of case !'T more ?'C'' 9 i'; Level 4....Neg. Drop Down ($40.77 day/$1220 mo) management and CPA involvement with & it than 1 person,i.e.family therapy, t_r- child and provider and 2-3 face-to-face _ for 9-12 hours/monthly. _ , contacts •er week minimum. '., Assess - $26.96 day/$820 mo Rate (Includes Respite) 3,-7,=�rgS', $11.51 day/$350 mo if?!. Admin.Overhead Rate: As of 7/01/07 $6.25 day/$190.00 month 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: Weld County fierk elm A.4 WELD COUNTY BOARD OF P'' s; SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF SOCIAL - y SERVICES By: ZalLt&f— By: J Deputy Cl to the Board avid E. Long, Chair SEP 5 2007 CONTRACTOR Hope and Homes 1925 Dominion Way, Ste 200 Colorado Springs, CO E 80918 / By: //to �(WO2 r WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Dir ctor a Weld(`nmty CC_9;A Addenda m WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Hope Family Services and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this / day of J u y , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement 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 placed with Contractor. 2. County agrees to purchase and Contractor 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 CPA identified as Provider ID#42942. 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 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. 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. 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. ] Weld County SS-23A Addendum aas a8%6 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; 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. 2 Weld County SS-23A Addendum 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. 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 Weld County SS-23A Addendum NORTHERN CONSORTIUM OF COUNTIES NEEDS BASED CARE ASSESSMENT • (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# ISEX TRAILS CASE ID DOB F I WORKER COMPLETING ASSESSMENT HH# 1DATE OF ASSESSMENT 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 011/2)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 01)Once a month Eli'A)Two times month 02)Three times a month ❑2%z)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 Yz hour per day Pi%) %hour a day ❑2) 1 hour a day 02 %z) 1'/z-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 lime 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 021/4) 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 ❑2) 8 to 10 hours per week 021/4) 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. ❑2%x)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? DO)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 SS-23A Addendum 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 cisiertiea, . ° o e a t •s 'is' oo 4R'itti 3i' y i§ t� ,t d,o m1/4 s72 v k;�e, -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 SS-23A Addendum BEHAVIOR ASSESSMENT CONTINUED • (Exhibit B) ninga.rmteitl":7*Iiltr,+4:on Please rate the behavior/intensity of conditions which create the need for services that ap r ly to this child. 3�' ,..�1`t',fs 'b � 75v. ti lE w � i�r d a 3 .Fry' pct h (' tv`is p !e zf� a b/ �. I t131 aw $ik"! xry&sw ;.101rC b ,S 4 e !_t. 4 a to it c a xa t , u �... �'a' .s.: r �-ralittta m,t..,7s f:,._ _ '���,� .a. g"�'�.: .w'= _,�"S..'sas ,3'" .�..,.,� ,;a.�, ,. ..n �' t.9_�c b....,.,' cii fii'!�' .._�:.:S, wi lla [,,.. iE• , a :t._._ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior El El El ❑ Depressive-like Behavior ❑ 0 ❑ 0 Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ ❑ ❑ ❑ Eating Problems ❑ ❑ ❑ ❑ ❑ 0 ❑ ❑ Boundary Issues Requires Night Care El ❑ El El 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 SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) um ¢ r '�t i:. a w __ .. 0: .. .sr }t; S err;' h' .,a �` ; �a d za c 12.E 14 od # r`f i 'N'', 4,{k SERVICE2 f•'i' iSd ir i,, u,: [[-�. 6 y D - > E rA 8tvv i ,SRS:k !ahSiG,ti 4 c i _aThi,h t a^4iltetal 3litif�r Wearill r-0 r i"."1 ry, a „F. 41.x. d z < : ,. .u`i c 4 'fy�t h. I i �' �:'r,,� ��r4 l�r6Yht...� 1 F {{ tyy ni �� �. �_.. F 4 � :. A, ..�ti i � 'Ya`?.' 1'��n .5. 'Iu`c ti Age 0-10..$16.32($496) i Basic Maint $4.93 day/$150mo 4{ Level 0 $0 WI Age 11-14...$18.05 Therapy not needed or provided tli: County ! ($549) No crisis intervention, Minimal CPA by z.[ ; Level 0...$0 Basic w# Maint. :la Age 15-21...$19.27 lit (None) 3`'"L ($586) involvement,one face-to-face visit be" another source,i.e.mental health. O.,' +$.66 Respite Care I; IF ($20) with child per month. $19.73 b, Level 1 $8.22 day/$250 mo s. Level 1 $4.93/$150 mo '_' li , : +$.66 Respite Care Minimal crisis interention as needed, r: Regularly scheduled therapy, Level 1 ...$2.99 one face-to-face visit per month with ;. ($20.39 day/$620 mo) child, up to 4 hours/month. li2-3 contacts per month IN $23.01 y; i'''. 1 1/2ify. +$.66 Respite Care Level 1 1/2 $9.86 day/$300 mo k ($23.67 day/$720 mo) " $26.30 eft Level 2 $11.51 day/$350 mo ,„ Level 2 $9.86/$300 mo mi+$.66 Respite Care Occasional crisis intervention as needed, Ti Weekly scheduled therapy, ',h r 2 , hh;! Level 2..$4.47 OH two face-to-face visits with child, re' 5-8 hours a month with 4 hours of i4 ($26.96 day/$820 mo) IM ,j.. 2-3 contacts per month ,$} group therapy. RiP $29.59 '' 30 2 1/2 +$.66 Respite Care Level 2 1/2 $13.15 day/$400 mo r• : ------------------ ($30.25 day/$920 mo) $32.88 I. Level 3 $14.79 day/$450 mo Hreh Level 3 $14.79/$450 mo irri i4:'.gN iiiiii +$.66 Respite Care Ongoing crisis intervention as needed, ;>,',try` Regularly scheduled weekly 2tli multiple sessions,can include 3 " Level 3..$6.02 weekly face-to-face visits with child, Arg moreit ($33.54day/$1020 ma)Uiiiii and intensive coordination of . ` than 1 person,i.e.family therapy, v= • multiple services. for 9-12 hours/monthly. $36.16 3 1/2 +$.66 Respite Care Level 3 1/2 $16.44 day/$500 mo ,#L,'^,,- 7,4 ($36.82 day/$1-rrim ,120 mo) :#.#:#1`' $39.45 • Level 4 $18.08 day/$550 mo c Level 4 $14.79/$450 mo cc'.'. +$.66 Respite Care Ongoing crisis intervention as needed, • Regularly scheduled weekly sirE 4 vo multiple sessions,can include RTC LUE which includes high level of case #, more Level 4....Neg. Drop Down ($40.77 management and CPA involvement with ,,• than 1 person,i.e.family therapy, If day/$1220 mo) child and provider and 2-3 face-to-face for 9-12 hours/monthly. 7,' LW contacts .er week minimum ., <'2'. .r YAII N ii Assess I q:. $26.96 day/$820 mo I ; Rate (Includes Respite) $11.51 day/$350 mo y Admin.Overhead Rate: As of 7/01/07 $6.25 day/$190.00 month 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. 7 ATTEST: Weld Count/ 1er \,1i. WELD COUNTY BOARD OF ,, p'' SOCIAL SERVICES, ON BEHALF r ` , & j 4, OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: /LA`/1�/GGC. � ��/fl By: e Deputy Cl rk to the Board David E. Long, C aii SE 0 5 2007 CONTRACTOR Hope Family Services 1610 29th Ave Place#100 Greel; CO�8,0634 By: ' /''� 701 WELD COUNTY DEPARTMENT OF SOCIAL SERVICES 6 By: Dire for ( J c 8 Weld County SS-23A Addendum n.,f).— - ,P//L. WELD COUNTY ADDENDUM . . 4' To that certain Agreement to Purchase Child Placement Agency Services (the"Agreement") between Imagine and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. nd The following provisions, made this 02'day of U' , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of th �greement 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 placed with Contractor. 2. County agrees to purchase and Contractor 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 CPA identified as Provider ID#21369. These services will be for children who have been deemed eligible for social services under the statutes, rul s and regulations of the State of olorado. �� ; 6 d G � �.`I i 1 rQ-� c?-4-12, w t 11 *do- P,�"1' y'C2 - „� t,� � `''�' $/°3l °7 3. Section I, Paragraph 2. All bed hold a orizations and payments are subject to—2 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. 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. 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. 1 Weld County SS-23A Addendum ape 2-a(Py6 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; 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 2 Weld County SS-23A Addendum 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. 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 Weld County SS-23A Addendum NORTHERN CONSORTIUM OF COUNTIES 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 ❑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 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 ❑3Yz)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%) '//hour a day O2) 1 hour a day O2 %) 1'/z-2 hours per day ❑3)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 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 0 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 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 ❑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. 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) ❑1)Less than 4 hours per month ❑2)4-8 hours per month ❑3)9-12 hours per month 4 Weld County SS-23A Addendum WELD(Exhi COUNTY DSS NEEDS BASED CARE ASSESSMENT bit B) BEHAVIOR ASSESSMENT Please rate the behavior/intensit of conditions which create the need for services that apply to this child. rry 'tJ.. eem :m: ' Cii ! P t i d o f is #ti s� ':f fie .. biit n:. t CM Sixr1 d i a...5.' a,��t s_ u,e..�.c °,mss i ! to"s1 Aggression/Cruelty to Animals ❑ ❑ 0 ❑ Verbal or Physical Threatening ❑ ❑ 0 ❑ Destructive of Property/Fire Setting ❑ 0 0 0 Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ 0 ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ 0 ❑ Runaway ❑ ❑ ❑ ❑ Sexual Offenses ❑ ❑ ❑ ❑ 5 Weld County SS-23A Addendum BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that a..1 to this child. —44r40174101rs,vi.,1 .i,' 'fin. C '�a 6 ' ! - i f ,�w'i ern 'lj l $ 1 3 .»Tip~ ,.....,�, iM �� ° ..F xr�%E3�: 4 .;a�'. ;1 .3.w.k#..d.. .k� v �� ! >Lxm- ..a + �-' km— c ._ 5 ,aNi dv ,;:tt..rS}L Inappropriate Sexual Behavior ❑ ❑ 0 ❑ Disruptive Behavior ❑ 0 ❑ ❑ Delinquent Behavior ❑ 0 0 ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ 0 0 the Medically fragile NBC) Emancipation ❑ ❑ ❑ 0 Eating Problems ❑ ❑ 0 0 Boundary Issues ❑ ❑ 0 0 Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ 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 SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) • .. ! -% Y -• 455a 51 ht '.'.t a :ti 4,. ti fin% W.`u l - 1 et p w G 5iV.�'tiM a i '"� ,a 't ca'lat 4X'b"�''`... �,al.T.�,' te° ' S�.f x .,�^5-ry acct i ill A,,% yt +. �'Lh�' b. 9 . yy6 � 4' ,,,A �'4}R LY'ilia :' JA.,,,c4 .µ x°; ,a i w b f , +,::!:: f tad'*, iE :. arcis 'r '' t+ a�ai ' ✓ "';Ai -t "51."E ,"..y i; i i `a"� 'at y$ ro iittlaMp ,� .,w "' v,p ..vp.atarititiPa aiiginkiiiaalY _ �" e '*;m,. m....n: .'u. ,{sws. ?,p�,s.:w°v+.- a.k._ac._c' '....:.u.... . tir'4.' Age 0-10...$16.32($496) '° Basic Maint $4.93 day/$150mo �.~�: Level 0 $0 1;1. Age 11-14...$18.05 Therapy not needed or provided . ' County 91 Basic ($549) No crisis intervention,Minimal CPA by t?: Level 0...$0 Basic Age 15-21...$19.27 t'"° (None) ($586) involvement,one face-to-face visit a another source, i.e.mental health. Rit AM +$.66 Respite Care MI Afilu ($20) with child per month. RI $19.73 • Level 1 $8.22 day/$250 mo 7 Level 1 $4.93/$150 mo ;ta ',` +$.66 Respite Care Minimal crisis interention as needed, Regularly scheduled therapy, Level 1 ...$2.99 1 one face-to-face visit per month with ,.' 'I ($20.39 day/$620 mo) child, up to 4 hours/month. i 03 .6 42-3 contacts per month001 yL'` $23.01 ^a, 1 1/2 i. I 4.66 Respite Care Level 1 1/2 $9.86 day/$300 mo ° I ________--------------- .' ($23.67 day/$720 mo) 1! $26.30 Level 2 $11.51 day/$350 mo Level 2 $9.86/$300 mo 2a • 4.66 Respite Care Occasional crisis intervention as needed, Weekly scheduled therm 2P therapy, Eel(:; Level 2..$4.47 `" two face-to-face visits with child, 5-8 hours a month with 4 hours of ($26.96 day/$820 mo) L 2-3 contacts kr, per month group therapy. 'i $29.59 '- ' 2 1/2 +$.66 Respite Care Level 2 1/2 $13.15 day/$400 mo 4 , ($30.25 day/$920 mo) f'? $32.88 Level 3 $14.79 day/$450 mo Level 3 $14.79/$450 mo a 4.66 Respite Care F. Ongoing crisis intervention as needed, iffitv.I Regularly scheduled weekly lc multiple sessions,can include 'I' Level 3..$6.02 3 more weekly face-to-face visits with child, (ha, ($33.54day/$1020 mo) and intensive coordination of than 1 person,i.e.family therapy, multiple services. ail- for 9-12 hours/monthly. I,- F ii4 � ia $36.16 N 3 1/2 .'/9 4.66 Respite Care Level 3 1/2.........$16.44 day/$500 mo "" x� ($36.82 day/$1,120 mo) fir;, LISI It $39.45 4. Level 4 $18.08 day/$550 mo Level 4 $14.79/$450 mo y,a - ' +$.66 Respite Care ,irtOngoing crisis intervention as needed, Regularly scheduled weekly ';. 4 `` tot multiple sessions,can include +, RTC which includes high level of case ,- more t i, Level 4....Neg. Drop Down = ($40.77 day/$1220 mo) • management and CPA involvement with tte than 1 person,i.e.family therapy v ' • } child and provider and 2-3 face-to-face for 9-12 hours/monthly. 441 YSft A0 contacts .er week minimum ;4,,; ,„. MI i! itui Assess $26.96 day/$820 mo ia, wiaix:. Rate (Includes Respite) ay. $11.51 day/$350 mo ',t'. t. Admin.Overhead Rate: As of 7/01/07 $6.25 day/$190.00 month 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. r ATTEST: / t�,�I, •'f� Weld Count R' a 00,4s, 96 e?(d - 1 � WELD COUNTY BOARD OF � SOCIAL SERVICES, ON BEHALF Om ' OF THE WELD COUNTY U lki DEPARTMENT OF SOCIAL� SERVICES By: /// lL� � ��� By: Deputy Clerk to the Board David E. Long, Chai SE 0 5 2007 CONTRACTOR Imagine 1400 Dixon Ave Lafayett CO 8026 By: Dde\ WELD COUNTY DEPARTMENT $(j 3(°7 OF SOCIAL SERVICES ' By: Dire for Weld County SS-23A Addendum WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the"Agreement") between Loving Homes Inc. and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this / day of D y , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. I. 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 placed with Contractor. 2. County agrees to purchase and Contractor 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 CPA identified as Provider ID#72767. 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 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. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be famished 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. 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. ] Weld County SS-23A Addendum p 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; 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. 2 Weld County SS-23A Addendum 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. 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 Weld County SS-23A Addendum NORTHERN CONSORTIUM OF COUNTIES 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 911/2) 2 round trips a week ❑2)3-4 round trips a week. ❑2'/z)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 Eli)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 011/2) 1/2 hour a day ❑2) 1 hour a day 02 %) 1%:-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 ❑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 ❑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. ❑PA)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) 91)Less than 4 hours per month ❑2)4-8 hours per month ❑3)9-12 hours per month 4 Weld County SS-23A Addendum 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. lai t3, ;._44 Y '. i ate n.�s!i _ . Aggression/Cruelty to Animals ❑ 0 0 0 Verbal or Physical Threatening O 0 0 0 Destructive of Property/Fire Setting 0 0 0 0 Stealing ❑ ❑ 0 0 Self-injurious Behavior O 0 0 0 Substance Abuse ❑ ❑ 0 0 Presence of Psychiatric Symptoms/Conditions O O O O Enuresis/Encopresis ❑ 0 0 0 Runaway O 0 0 ❑ Sexual Offenses ❑ ❑ 0 ❑ 5 Weld County SS-23A Addendum BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. f ,a, h }tit fit lgal i A s s w5�ax :!.;;;;Ilittitte!traliftlitalritTilitc677:rt un vaq- % �,. _� i ii' . .0 .., c „ 5ti 3 f++� . ,:,,' 1 mom „•„ A 41 :tr ui t-�, n a. ... �.,, �:m � s,. ..�..'P,f... . w,.:..: Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ 0 ❑ ❑ 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 ❑ 0 ❑ 0 Requires Night Care ❑ ❑ ❑ ❑ 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 SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) - {{ftu n ,x �',,. ,+.�4Y%vry ..&,.°�.�•,xma -�'' 4;'a' 4n d'+. A '+ +'ta�lita il ilk :a, aR , 3t � y7 1 MitVL .14 '41,1?"-1*Lt,-kka'4''".'iarailltemmtlibenoseve,;•14=40SSioger,:':. ....22t-,na.ngwelrir,tisko,swiazti.i.FtMvIVea gilri,lAWK3Ilgiitial,. It 3337 . ,. _ a4" .. s. _......_.,�'f.�_r,i.::r-1se. $e ,�. . _..s_ 't ,i �5aa ., �., .i. ., ,`. _ u;.'i_' �w a .,i.i .. Age 0-10...$16.32($496) • Basic Maint $4.93 day/$150mo ::- Level 0 $0 Si Age 11-14...$18.05 • _ Therapy not needed or provided y, County '»?` Li Basic ,, ($549) No crisis intervention,Minimal CPA by :y Level 0...$0 Age 15-21...$19.27 y Maint • (None) ($586) ms, involvement,one face-to-face visit u1 another source,i.e.mental health. s I +$.66 Respite Care _ a ($20) with child per month. ''``i FI $19.73 Level 1 $8.22 day/$250 mo ` Level 1 $4.93/$150 mo I! non +$.66 Respite Care Minimal crisis interention as needed :i? Regularly scheduled therapy, ':1=i 1 - 444 one face-to-face visit per month with ' ;3 tie! Level 1 ...$2.99 ($20.39 day/$620 mo) child, up to 4 hours/month. _ IiiI4Fera2-3 contacts per month wi1�` ETts: $23.01 ,•=+a 1 1/2 $a +$.66 Respite Care Level 1 1/2 $9.86 day/$300 moKttE -;-�3 ($23.67 day/$720 mo) _ - rK ; ON $26.30 Level 2 $11.51 day/$350 mo - Level 2 $9.86/$300 mo +$.66 Respite Care Occasional crisis intervention as needed, ji; Weekly scheduled therapy, Level 2..$4.47 two face-to-face visits with child, 3. 5-8 hours a month with 4 hours of 'I°` MI ($26.96 day/$820 mo) _ ail 2-3 contacts per monthIm5, Phi group therapy. _ li St $29.59 aiNii • 2 1/2 #tai ($O 25 Respite day/$920 mo) Level 2 1/2 $13.15 day/$400 mo h1Flryy e _ $32.88 a Level 3 $14.79 day/$450 mo Level 3 $14.79/$450 mo +$.66 Respite Care Ongoing crisis intervention as needed, Regularly scheduled weekly 3 multiple sessions,can include ion Level 3..$6.02 weekly face-to-face visits with child, more -. ($33.54day/$1020 mo) and intensive coordination of than 1 person, i.e.family therapy, r'tilat ' • multiple services. for 9-12 hours/monthly. At :.i $36.16Inri 31/2 f, +$.66 Respite Care Level 3 1/2.........$16.44 day/$500 mo :: ($36.82 day/$1,120 mo) ,•- KZ $39.45 Level 4 $18.08 day/$550 mo Level 4 $14.79/$450 mo .111/4+,. Level ifill +$.66 Respite Care Ongoing crisis intervention as needed, Regularly scheduled weekly `ii ' 4 multiple sessions,can include RTC Frg$t?, • which includes high level of case more _ Level 4....Neg. Drop u • Down 4,1 ($40.77 day/$1220 mo) management and CPA involvement with • than 1 person,i.e.family therapy, • child and provider and 2-3 face-to-face for 9-12 hours/monthly. ti�E, sti..4 contacts •er week minimum. - iAl Assess $26.96 day/$820 mo ,r ; Rate i (Includes Respite) $11.51 day/$350 mo tu' Fill.�4m " a y Admin.Overhead Rate: As of 7/01/07 $6.25 day/$190.00 month 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: Weld Co 1� s5 i fJ WELD COUNTY BOARD OF { y SOCIAL SERVICES, ON BEHALF ft f)1/4-71P A OF THE WELD COUNTY 211pj DEPARTMENT OF SOCIAL SERVICES By: By: (1,J eDeputy Cler to the Board David E. Long, Chai S 0 5 2007 CONTRACTOR Loving Homes Inc. 125 S Union Ave Puebl O 81003 I n q By: ,/1- �`� VI , 2)��' c@ WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Dir c or 8 Weld County SS-23A Addendum ')/OAh_ not/L WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Lutheran Family Services and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this / day of 4 , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Areement remain unchanged. 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 placed with Contractor. 2. County agrees to purchase and Contractor 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 CPA identified as Provider ID#45080. 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 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. 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. 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. 1 Weld County SS-23A Addendum 020407- CUM ' 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; 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 Depaittttent 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. 2 Weld County SS-23A Addendum • 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. 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 Weld County SS-23A Addendum • • NORTHERN CONSORTIUM OF COUNTIES 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# 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%n) 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 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 91)Less than a% hour per day 01%) 'h hour a day ❑2) 1 hour a day 02 %) 1'/-2 hours per day 03)2%r3 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 ❑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 ❑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%x) 11 to 15 hours per week ❑3) 16 to 20 per week ❑3%)21 or more hours per week A 1. How often is CPA/County case management required?(Does not include therapy) ❑Basic Maint.)Face-to-face contact one time per month with child and no crisis intervention. (i.e. mutual care placements.) ❑1)Face-to-face contact one time per month with child and minimal crisis intervention. 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. ❑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 SS-23A Addendum 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 at lily to this child. irt�'��' i � w t t + € c a • s i�. s e��,q t" _ < ..FY.Vim' Aggression/Cruelty to Animals ❑ ❑ 0 ❑ Verbal or Physical Threatening ❑ ❑ 0 ❑ Destructive of Property/Fire Setting 0 0 0 0 Stealing ❑ ❑ 0 0 Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse O 0 ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ 0 Enuresis/Encopresis ❑ 0 ❑ 0 Runaway O 0 ❑ ❑ Sexual Offenses ❑ ❑ 0 0 5 Weld County SS-23A Addendum • • BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) • Please rate the behavior/intensity of conditions which create the need for services that ap.ly to this child. . } . Fvn ,z .,� t i ° t a . e f a e iiezv 6 e P i ar .a•i Y yI s �3 A .1..... ..nn...t,..,�Y'R.!sc`.^a:a.aJ rat__. ' $1,1:=11-_.. a._. ,;^t:: x*F.F ... a.u_s,_.m i a4`2 t,e.'.:.P.) Inappropriate Sexual Behavior ❑ ❑ 0 ❑ Disruptive Behavior ❑ 0 ❑ 0 Delinquent Behavior ❑ ❑ ❑ 0 Depressive-like Behavior ❑ 0 0 0 Medical Needs (If condition is rated"severe",please complete ❑ ❑ ❑ ❑ the Medically fragile NBC) Emancipation ❑ 0 ❑ ❑ Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ 0 Requires Night Care ❑ ❑ 0 ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ 0 CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 6 Weld County SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES ' NEEDS BASED CARE • . RATE TABLE (Exhibit C) !t sL ! a E^ v q to S -. ys:_ :•4'r ;s�„ IL '(!.k« "yam J �{$ � as a trlg5. ra, L ry ��y �y,�3R � `' i - a1`'�'hv tl1 ti a _ .� '1��4'k' '�v'e- e i vY�Yc yy 4 � !i � �vv 3 '+- .. _AAg--•'` 4$?�N 'G s »,y.T . e ,k s a t i 1107.97404a1440:041140111::10 :4.011L111;211Skittliabitlatkaanal'ejel10011M01-0: ,. Lsk ! „0 11��x„ru O.... 13• , 0.: t ;a ..'.m, a 0. ^!001PI,i .' �r110.. .L"0z.• . Sii Age 0-10...$16.32($496) L Basic Maint $4.93 day/$150mo * Level 0 w $0 ,�*;� County Age 11-14...$18.05 AlTherapy not needed or provided ,i ($549) vy, Basic •11." No crisis intervention,Minimal CPA by14'61Level 0...$0 aint Age 15-21..$19 27 1,1,/!: y b (None) M ($586) iiiii9 involvementlik, ,one face-to-face visit .: another source, i.e.mental health. +$.66 Respite Care y rhp�,,($20) MA with child per month. WI -PT OS $19.73 my Level 1 $8.22 day/$250 mo Level 1 $4.93/$150 mo :: +$.66 Respite Care in Minimal crisis interention as needed, , r, Regularly scheduled therapy, 1 ' Level 1 ...$2.99 one face-to-face visit per month with($20.39 day/$620 mo) a ig child, 41 1 up to 4 hours/month. �- 2-3 contacts per month �.) '(= $23.01 1 IMF 1 1/2 4;r +$.66 Respite Care t�., Level 1 1/2 $9.86 day/$300 mo 1,371, k�" 45.O ($23.67 day/$720 mo) 1,,5 T:a � ? $26.30 ' Level 2 $11.51 day/$350 mo L'.,, Level 2 $9.86/$300 mo ,114,1: A +$.66 Respite Care ' Occasional crisis intervention as needed, Weekly scheduled therapy, g 2 :,. `5 on, Level 2..$4.47 iiiyr E two face-to-face visits with child, z; 5-8 hours a month with 4 hours of ($26.96 day/$820 mo) 11 ,arA 2-3 contacts per month N group therapy. (1 $29.59 10110 2 1/2 _ >i+$.66 Respite Care Level 2 1/2 $13.15 day/$400 mo ':' 'ir ($30.25 day/$920 mo) ) !` $32.88 Level 3 $14.79 day/$450 mo Level 3 $14.79/$450 mo illigfib 4.66 Respite Care r Ongoing crisis intervention as needed, k:' Regularly scheduled weekly =i multiple sessions,can include Level 3..$6.02 3 II weekly face-to-face visits with child, more ($33.54day/$1020 ma) S ,0•.: � and intensive coordination of r. .- than 1 person,i.e.family therapy, l Sil nS multiple services. vk: for 9-12 hours/monthly. 4`" $36.16 °�:' 3 1/2 .G +$.66 Respite Care 3+ 3t Level 3 1/2.........$16.44 day/$500 mo "' 'ig::. ($36.82 day/$1,120 mo) i.i mat, 4112 $39.45 Level 4 $18.08 day/$550 mo Level 4 $14.79/$450 mo ,8itlil 8; +$.66 Respite Care Ongoing .41. Regularly weekly On oin crisis intervention as needed, Re ularl scheduled 4 II:,IMIII . 'a multiple sessions,can include ROro which includes high level of case ,; more Level 4....Neg. mnn Down i : ($40.77 day/$1220 mo) Ni management and CPA involvement with than 1 person,i.e.family therapy, 'pip 2." aZ child and provider and 2-3 face-to-face ids. for 9-12 hours/monthly. '4 'n S contacts .er week minimum. 1 33i._. ithi i Assess t $26.96 day/$820 mo l: IT s`= Rate 1- (Includes Respite) ^1 $11.51 day/$350 mo iasr. E i ASA r'11 Admin.Overhead Rate: As of 7/01/07 $6.25 day/$190.00 month 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: Li Weld County e` a6I t ���IP �� WELD COUNTY BOARD OF ` SOCIAL SERVICES, ON BEHALF c(,3 OF THE WELD COUNTY c'egf7 IF At Th> DEPARTMENT OF SOCIAL e,v_J k\ , SERVICES BY: 4-Ititet- 92q i� �� By: aG Deputy Clem toe Board David E. Long, Chair SEP 2007 CONTRACTOR / Lutheran Family Services iF G�rtaO 3800 Automation Way, Suite 200 Fort Collins, 80525 By: WELD COUNTY DEPARTMENT I OF SOCIAL SERVICES . l�. ? By: 5/O Dir ctor 8 Weld County SS-23A Addendum WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the"Agreement") between Maple Star Colorado and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this 1 day of U u I , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Xgreement 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 placed with Contractor. 2. County agrees to purchase and Contractor 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 CPA identified as Provider ID#90967. 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 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. 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. 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. t Weld County SS-23A Addendum .7407-a 896 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; 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. 2 Weld County SS-23A Addendum 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. 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 Weld County SS-23A Addendum NORTHERN CONSORTIUM OF COUNTIES NEEDS BASED CARE ASSESSMENT (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE IDN ISEX F I ID OB CASE ID DOB 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'%)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? 0 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%)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%) '/ hour a day ❑2) 1 hour a day 02 %) 1'/-2 hours per day ❑3)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 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 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.) 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. 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? 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 SS-23A Addendum 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. ri . tit” a s t e a i � � iE`. Opp is . u.MILIPSASIWRIS Aghilt-VII ,...1IY etaRiie;. lif,f il.�i':"3Y - i'l"b 1 IIIf < ......:'. L ...... Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting O O O O Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ O Presence of Psychiatric Symptoms/Conditions O O O ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ O Sexual Offenses ❑ ❑ ❑ O 5 Weld County SS-23A Addendum BEHAVIOR ASSESSMENT CONTINUED • (Exhibit B) Please rate the behavior/intensity of conditions which•create the need for services that a..ly to this child } i ia6thigningine:!Please R' e A ti i .�' w is "r air t r.! _ ':' a ,� y�! '3.y :n£'�fi'dgA i 6 i R i f __ i '1eii a �t�x� ta ..y, L V y..;•v t i !Y� ••• � ROAe use.� - y q .R f i•alai E I i q i t ffi F! i ti . ,.,,,��'au. k 0I O,-;rAIRM uy Mi66iYlku, 1' *c3raw.l.-.,`�-- a�U r °;isa. ..s:�.�1.$x s _n�_≥.. d"ffi'v, 9' �..:a3AI' .s;w 'k'.- _.o .�F'M Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ O ❑ ❑ Delinquent Behavior ❑ ❑ ❑ O Depressive-like Behavior ❑ ❑ O O Medical Needs (Itcondition is rated"severe",please complete ❑ ❑ O O the Medically fragile NBC) Emancipation ❑ O ❑ O Eating Problems ❑ O ❑ O Boundary Issues ❑ ❑ ❑ O Requires Night Care ❑ ❑ ❑ O Education ❑ O ❑ ❑ 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 SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE (Exhibit C) to , v ...... _:a,gh _ f. s m-,nm,7w :y i,:Ri . :4 . :1 a A x,.a a tet x 1 3. - f. i s r 2 3 ', e x' rte ' a lik 1 �'��1 l�. 4, �.4 �� �'-�' �� Any . u: ,� l {� r c�a t 4 �� f. .lfb,A .. "1 :1��4,Lnkz 'leri ' 5 ,0,-9!—, 1077th :., i S r _::+ ' .>4:. 4,. ,:AA2.,;.A a"wu ;JIIrrainIrrthielIII Age 0-10...$16.32($496) Basic Maint $4.93 day/$150mo t';'<„' Level 0 $0 cc. County Age 11-14...$18.05 ;. Therapy not needed or provided irt ($549) No crisis intervention, Minimal CPA �`' by /Ii',`.. Level 0...$0 Basic - Age 15-21...$19.27 a : ,*. (None) Maint. i 9i$ ($586) involvement,one face-to-face visit another source,i.e.mental health. li ,A,g +$.66 Respite Care = ITEE E ($20) with child per month. t $19.73 Level 1 $8.22 day/$250 mo (: Level 1 $4.93/$150 mo iimy `dii" irt ` ' +$.66 Respite Care Minimal crisis interention as needed, ; Regularly scheduled therapy, =i' 1 : 3 6::„...., Level 1 ...$2.99 Sill �f one face-to-face visit per month with s r ($20.39 day/$620 mo) child, q up to 4 hours/month. rt 2-3 contacts per month .` l's kr $23.01 IIIilhWs 1 1/2 +$.66 Respite Care Level 1 1/2 $9.86 day/$300 mo +, _ ($23.67 day/$720 mo) " $26.30 Level 2 $11.51 day/$350 mo 1:2„:"3, Level 2 $9.86/$300 mo `' +"i + �-,i Weekly scheduled thera 2 fgf $.66 Respite Care Occasional crisis intervention as needed, pY Level 2..$4.47 r= L' two face-to-face visits with child, Al* 5-8 hours a month with 4 hours of ViT ($26.96 day/$820 mo) ? lye" •• 2-3 contacts per month `. group therapy. ut $29.59 S v 2 1/2 ,tit +$.66 Respite Care Level 2 1/2.........$13.15 day/$400 mo `S ($30.25 day/$920 mo) 3; ilihill $32.88 Level 3 $14.79 day/$450 mo lr, Level 3 $14.79/$450 mo 1.2 et' +$.66 Respite Care Ongoing crisis intervention as needed, ! Regularly scheduled weekly 3 multiple sessions,can include Level 3..$6.02 weekly face-to-face visits with child, `"r;. more ($33.54day/$1020 mo) > ' and intensive coordination of +-Ei s than 1 person,i.e.family therapy, 1j t. multiple services. for 9-12 hours/monthly. ,0!". $36.16 ..Pi 3 1/2 +$.66 Respite Care Level 3 1/2.........$16.44 day/$500 mo aati': :[,,,1' illiiiii ($36.82 day/$1,120 mo) l i $39.45 Level 4 $18.08 day/$550 mo Level 4 $14.79/$450 mo +$.66 Respite Care Ongoing crisis intervention as needed, ,:, Regularly scheduled weekly r 4 mot. multiple sessions,can include RTC ill which includes high level of case , more 'l. Drop 1 Level 4....Neg. Down hi ($40.77 day/$1220 mo) management and CPA involvement with la: than 1 person,i.e.family therapy, t�arg'rF child and provider and 2-3 face-to-face �'. for 9-12 hours/monthly. contacts .er week minimum. i?; Assess r, $26.96 day/$820 mo a, liP Rate `s (Includes Respite) (33; $11.51 day/$350 mo r1i ;1 ' : £iii ':Ti: Admin.Overhead Rate: As of 7/01/07 $6.25 day/$190.00 month 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: at Weld County so: .9 WELD COUNTY BOARD OF a s,, ;•,/ SOCIAL SERVICES, ON BEHALF \3?---:) I`;w. OF THE WELD COUNTY i f VI DEPARTMENT OF SOCIAL _ -- SERVICES By: / By: 67 Deputy Clef= to the Board David E. Long, Chair SEP 0 5 2007 CONTRACTOR Maple Star Colorado 2785 Speer Blvd, Suite 340 Denver, CO 80211 By: LJ'1 (,;(ye, ict l`- WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: lib c Dire for 8 Weld County SS-23A Addendum WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Smith Agency Inc. and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this / day of v u t , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement 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 placed with Contractor. 2. County agrees to purchase and Contractor 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 CPA identified as Provider ID#44882. 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 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. 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. 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. 1 Weld County SS-23A Addendum ate9-as".96 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 W. 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; 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. 2 Weld County SS-23A Addendum 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. 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 Weld County SS-23A Addendum NORTHERN CONSORTIUM OF COUNTIES NEEDS BASED CARE ASSESSMENT (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX ITRAILS CASE ID DOB M F WORKER COMPLETING ASSESSMENT HH# !DATE OF ASSESSMENT AGENCY NAME PROVIDER NAME PROVIDER TRAILS ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT • For each question below,please select the response which most closely applies to this child. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does the child require transportation by the foster care provider for the following: Therapy; Medical Treatment; Family Visitation; Extraordinary Educational Needs; etc.,as outlined in the treatment plan? ['Basic Maint.) Less than one round trip a week 01)One round trip a week 011/2)2 round trips a week ❑2) 3-4 round trips a week. ❑2Yz) 5 round trips a week 03) 6 round trips a week 031/2)7 round trips or more P 2. How often is the foster care provider required to participate in child's therapy or counseling sessions? 0 Basic Maint.)No participation required 01)Once a month 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 01)Less than a''/z hour per day 01%) Yz hour a day 02) 1 hour a day 02 Yz) 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 ❑I)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 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? 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 ❑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. ❑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) 01)Less than 4 hours per month 02)4-8 hours per month ❑3)9-12 hours per month 4 Weld County SS-23A Addendum 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 m � °�� ekt ' k R i,a 5 s �`� `` `v`.E1—e:- 9 P e t f ! ° $p (' ` j >5 10 fr t 445 1 ,,.* ' , y{�y� i > m• $ S :+.Fv riship �'r ki: 'a ti Ja it .BAs°5.W(5 ,, t 43Ingillealt :'Y9 iii It t r -E 3 i iA-9Pt ..3 y >� r q „ m,w v v�. , hl as 5 n,,�i . mot:_ c �n pi_ a v ir, -yay sat m Aggression/Cruelty to Animals O 0 0 ❑ Verbal or Physical Threatening O 0 0 ❑ Destructive of Property/Fire Setting ❑ ❑ 0 ❑ Stealing ❑ 0 0 0 Self-injurious Behavior O 0 0 0 Substance Abuse ❑ 0 ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ El Sexual Offenses O El 0 0 5 Weld County SS-23A Addendum BEHAVIOR ASSESSMENT CONTINUED (Exhibit B) Please rate the behavior/intensity of conditions which create the need for services that apply to this child. " 'a; _ tihfiyN i xxx xs t x & �i } ih5 MBYY$ is ,y hba ism r s .4:aii 'i sa a '� x a 'c 4J• iS v. t, A It rme1 'uJI'. i H It fi'� .i �tv-'M i $ � i S �} i lk3} C�. i� i ,}ff i . _m..., ,a`� ' �, Inappropriate Sexual Behavior ❑ 0 0 ❑ Disruptive Behavior ❑ 0 0 0 Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs (If condition is rated"severe",please complete ❑ ❑ 0 0 the Medically fragile NBC) Emancipation ❑ ❑ 0 0 Eating Problems o o 0 0 Boundary Issues ❑ ❑ 0 ❑ Requires Night Care ❑ ❑ ❑ ❑ 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 LI 3 6 Weld County SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES • NEEDS BASED CARE RATE TABLE (Exhibit C) .dsdrt v� z 1 Q A R P& r 1 r°_ s _,t f .. k " i lattsiti Is ' 1a raI t9;a`w i1dop €!t if 4 ° Nigh, 11 Age 0-10...$16.32($496) Basic Maint $4.93 day/$150mo illiiii Level 0 $0 Age 11-14...$18.05 = 4i Therapy not needed or provided itiiii., County fp ($549) ii.i. No crisis intervention, Minimal CPA i, by Level 0...$0 Basic Age 15-21...$19.27 '.3 i; (None) Maint ($586) - involvement,one face-to-face visit liiiii. another source,i.e.mental health. 4 +$.66 Respite Care ($20) with child per month. $19.73 Level 1 $8.22 day/$250 mo Level 1 $4.93/$150 mo 1 a. +$.66 Respite Care .i Minimal crisis interention as needed, Regularly scheduled therapy, illligil k one face-to-face visit per month with d:,? Level 1 ...$2.99 t ($20.39 day/$620 mo) iIiiirii is child, up to 4 hours/month. reig Ii t 2-3 contacts per month iiinT $23.01 1 1/2 ifiiff +$.66 Respite Care Level 1 1/2.........$9.86 day/$300 mo ". iiiigg ($23.67 day/$720 mo) !` _ M: $26.30 Level 2 $11.51 day/$350 mo "h Level 2 $9.86/$300 mo iiiiiin 2 +$.66 Respite Care ;r. Occasional crisis intervention as needed Weekly scheduled therapy ' Level 2..$4.47 i'I two face-to-face visits with child, 3.p 5-8 hours a month with 4 hours of ($26.96 day/$820 mo) r,= 2-3 contacts per month group therapy. iiiiibi $29.59 _ ii,iii_N 2 1/2 ,, 4.66 Respite Care f 1` Level 2 1/2.........$13.15 day/$400 mo ;i.( ($30iiiiiii .25 day/$920 mo) u(l ".$32.88 S( Level 3 $14.79 day/$450 mo irilf Level 3 $14.79/$450 mo iiiiiiiii +$.66 Respite Care ciiiiii Ongoing crisis intervention as needed, Ali Regularly scheduled weekly 3 multiple sessions,can include Level 3..$6.02 .,: weekly face-to-face visits with child, iiiiiiii more iiiiiiii ($33.54day/$1020 mo) and intensive coordination of iiiii than 1 person,i.e.family therapy, IR multiple services. fiiillil for 9-12 hours/month) iiilli $36.16 ) IS 31/2 4.66 Respite Care Level 3 1/2 $16.44 day/$500 mo fir ($36.82 day/$1,120 mo) k.:41-, $39.45 }). Level 4 $18.08 day/$550 mo a Level 4 $14.79/$450 mo Tiiiii +$.66 Respite Care qs Ongoing crisis intervention as needed, liti Regularly scheduled weekly 4itini1- itiliih multiple sessions,can include iiiiiiiii RTC iiiiii, r;, which includes high level of case more:94E* di Level 4....Neg. Drop Down ��i ($40.77 day/$1220 mo) ;m w;i management and CPA involvement with iiq than 1 person, i.e.family therapy, child and provider and 2-3 face-to-face 1 n`, for 9-12 hours/monthly. iiiiii :4111 " :ilk, ag contacts ier week minimum. Wit ,:+a ,_w, =ti65d�=2ee«.4Ar`± .`" ,4"a1��sE�t`4tau4a�,LmA`.:u1Iz9E;t>Yia>z ,�id3¢ ,,..S+i'.rHi=Lu„cx.,iui s+si 411 i,s c w 15Li k ..S, q} ss v, ae ,ji.::,_�. } gii-li 4.Assess $26.96 day/$820 mo �1 yo= �;, Rate (Includes Respite) _ifh.i:- $11.51 day/$350 mo .. t;i.'1 iii„ Admin.Overhead Rate: As of 7/01/07 $6.25 day/$190.00 month 7 Weld County SS-23A Addendum i ' IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: _ ___ '� ✓ Weld Count t, 0,tfg d afr P5' WELD COUNTY BOARD OF ?- 725,0 SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES BY: /�,�LtiL1at_Eck By: Deputy Cl to the Board David E. Long, Chair SEP 0 5 2007 CONTRACTOR Smith Agency Inc. 7169 S Liverpool St Centennial, CO 80016 WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: te14)f‘ ( �} 1`J S Weld County SS-23A Addendum WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Special Kids Special Families and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this / day of 7:y , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Ngreement remain unchanged. 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 placed with Contractor. 2. County agrees to purchase and Contractor 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 CPA identified as Provider ID#43184. 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 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. 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. 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. 1 Weld County SS-23A Addendum ace 7-aey6 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; 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. 2 Weld County SS-23A Addendum 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. 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 Weld County SS-23A Addendum NORTHERN CONSORTIUM OF COUNTIES NEEDS BASED CARE ASSESSMENT (Exhibit B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# ISEX F TRAILS CASE ID (DOB I 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 ❑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 O3)6 round trips a week ❑3'h)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 Du Once a month ❑1%z)Two times month O2)Three times a month ❑2%n)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 Yz hour per day ❑1'%) Yz hour a day ❑2) 1 hour a day O2 %) 1'h-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 01)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 ❑1/) 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 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. ❑2%)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 SS-23A Addendum 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.eaiwy y ,4-46:1,41650.1141744:41 :74 " 14 ! a £ 8.Y tatiVRk_ i 9pS'v. 36 + , t { 3 '_ P } `Wt •-ki rm �svl igitiarillSIS t3H _._ : 8all!i 4Ll+ yj�Li` *magi 1 =i fi i Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting 0 ❑ 0 ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions 0 ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ 0 ❑ Sexual Offenses ❑ ❑ 0 ❑ 5 Weld County SS-23A Addendum BEHAVIOR ASSESSENTB) CONTINUED • (exhibMit • Please rate the behavior/intensity of conditions which create the need for services that apply to this child. �a _ rix l al w .F .,e yt ill 3 t _ 5.. ate ® . a �� i:ctbittamtiatwat :fib St, r3.� g4 ' P .ha,li I a.IPIREIRI'a Assess �sAre "'53'ihvR 3,. ti,�.t : ti u r u n iI3 i w g ti P. IS >zF jj P, 7 {E , 7 rit ".:;:!2.,,. .z- P ''" ' x,1 no-az" do _ t .�FaN '-` gg4„,.,,,‘,,„,4„,,„„ ,.. ... �'. .dw..�` S°„?33`3fiv �'(,FL' ...F } .63}!i.azR2E.�d �'4S'C.m. sa 4..: .'V3 .. r ' ...S wd.c... �4 Inappropriate Sexual Behavior ❑ 0 0 0 Disruptive Behavior O 0 0 0 Delinquent Behavior o ❑ ❑ 0 Depressive-like Behavior O 0 0 0 Medical Needs (If condition is rated"severe",please complete ❑ ❑ O ❑ the Medically fragile NBC) Emancipation ❑ 0 0 0 Eating Problems ❑ ❑ ❑ ❑ Boundary Issues ❑ ❑ ❑ ❑ Requires Night Care ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ 0 0 0 CHILD'S OVERALL LEVEL OF NEED FROM BEHAVIOR ASSESSMENT: (check level of need) ❑ 0 ❑ I ❑ 2 ❑ 3 6 Weld County SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE • RATE TABLE (Exhibit C) a ese D - r s tm. . _.. -440flat B ' + 5_t i 4 Y$5*: ; Age 0-10...$16.32($496) Basic Maint $4.93 day/$150mo @t' Level 0 $0 SO Count Count Age 11-14...$18.05 F ' Therapy not needed or provided y ($549) No crisis intervention, Minimal CPA 8:k byit Level 0...$0 Basic Age 15-21...$19.27 " Maint. (None) ($586) involvement,one face-to-face visit 914 another source,i.e.mental health. $.66 Respite Care ` '` + 3�i k�? ($20) with child per month. $19.73 Level 1 $8.22 day/$250 mo Level 1 $4.93/$150 mo +$.66 Respite Care Minimal crisis interention as needed, sue. Regularly scheduled therapy, 1 one face-to-face visit per month with Level 1 ...$2.99 ($20.39 day/$620 mo) child, 5. up to 4 hours/month. `; Int : i( 2-3 contacts per month 1m• k . $23.01 1 1/2 • .,.L +$.66 Respite Care Level 1 1/2.........$9.86 day/$300 mo `% ($23.67 day/$720 mo) 1• $26.30 Level 2 $11.51 day/$350 mo Level 2 $9.86/$300 mo �, . t;r 2 +$.66 Respite Care Occasional crisis intervention as needed, Weekly scheduled therapy, 1,!,!,: Level 2..$4.47 ($26.96 day/$820 mo) two face-to-face visits with child, 5-8 hours a month with 4 hours of r rA 2-3 contacts per month group therapy. $29.59 +u.. 2 1/2 .. +$.66 Respite Care Level 2 1/2.........$13.15 day/$400 mo 1"=` Pi ($30.25 day/$920 mo) _ $32.88 Level 3 $14.79 day/$450 mo Level 3 $14.79/$450 mo 1,:. +$.66 Respite Care Ongoing crisis intervention as needed, Regularly scheduled weekly =_ " multiple sessions,can include t*473 weekly face-to-face visits with child, more Ili : Level 3..$6.02 ($33.54day/$1020 mo) and intensive coordination of I than 1 person,i.e.family therapy, r0. multiple services. for 9-12 hours/monthly. i.E. $36.16 + 3 1/2 • +$.66 Respite Care Level 3 1/2.........$16.44 day/$500 mo "4 h. ($36.82 day/$1,120 mo) e. $39.45 Level 4 $18.08 day/$550 mo Level 4 $14.79/$450 mo +$.66 Respite Care Ongoing crisis intervention as needed, Regularly scheduled weekly , , multiple sessions,can include ',194' =: RTC ` ' which includes high level of case more 91ST,' 9 Leve14....Neg. Drop Down ($40.77 day/$1220 mo) management and CPA involvement with than 1 person, i.e.family therapy, itS 4lAt1 child and provider and 2-3 face-to-face for 9-12 hours/monthly. ;ifs; :I contacts .er week minimum. $+t. . .S s._ - . r ar. ...s u'=, „ +. ..., "r, . . ... .:F +.,. ... '[ ... .. =t. .. + L,. u3.. wry 4, 7,`:,,�2" ia. ... ... Assess Iiit $26.96 day/$820 mo it!. Rate n (Includes Respite) %, $11.51 day/$350 mo k`�', Admin.Overhead Rate: As of 7/01/07 $6.25 day/$190.00 month 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: Weld Cou t C J j :-(i WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES BY: /.L ifyiJe SZeitti By: Deputy Cl to the Board David E. Long, Chair SEP 5 2007 CONTRACTOR Special Kids Special Families 424 W Pikes Peak Ave 1 Colorado Springs, C 905 By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: ,__//l,l lk lire or s Weld County SS-23A Addendum Inn''7 a.Pll/ Hello