HomeMy WebLinkAbout20073819.tiff h' 5
j cc le
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Therapeutic Residential Child Care
Facility Services and Residential Child Care Facility Services (the
"Agreement") between The University of Colorado Health Sciences Center
dba Synergy and Weld County Department of Social Services for the period
from
July 1, 2007 through June 30, 2008.
The following provisions, made this/L day ofji 2007, are added to the referenced
Agreement. Except as modified hereby, all terms o the e Agreement remain unchanged.
1. County agrees to purchase and Contractor, identified as Provider ID#49488, agrees to
provide:
A. Child Maintenance, Administrative Maintenance and Services, which are listed in
this Agreement at a rate of$146.30 per day for children placed within the
Therapeutic Residential Child Care Facility.
B. Child Maintenance, Administrative Maintenance and Services, which are listed in
this Agreement at a rate of$146.30 per day for children placed within the
Residential Child Care Facility.
C. Additional services not covered by Medicaid or considered within the above
vendor rate. These additional services/rates maybe negotiated on a child by child
basis, based on the needs of the child and in accordance with the Colorado
Department of Human Services Agency Letter CW-06-11-I dated June 8, 2006.
These services will be for children who have been deemed eligible for social services
under the statutes, rules and regulations of the State of Colorado.
2. Section 1, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day
maximum for a child's temporary absence from a facility, including hospitalization. Bed
hold requests must have prior written authorization from the Department Administrator
before payment will be release to provider. Reimbursement rates for bed hold days may
not exceed the state standard rate for administrative maintenance and administrative
services or may be a reduced rate that is mutually agreed upon. No child maintenance
will be paid for bed holds, due to the child's absence.
3. Add Paragraph 6 to Section I. The services purchased under this Agreement as Child
Maintenance, Administrative Maintenance and Services for Therapeutic Residential
Child Care Facilities and Residential Child Care Facilities include, but are not limited to:
Food, shelter, clothing, personal needs and allowance, administration, administrative
overhead, support staff, support overhead, sleep-over staff, direct child care,
transportation, therapeutic recreation, service delivery staff, parent training for teens,
independent living training, mentor/advocate, supervised visitation and all other services
as outlined in the Contractor's scope of service attached as Exhibit A or the Child
Specific Addendum. The anticipated minimum percentage for each item is as follows
and will be subject to County monitoring as outlined in Section VI of this contract:
A. Food, including meals and snacks (25%);
B. Clothing (3%);
C. Shelter, including utilities and use of household furnishing and equipment and
daily supervision, including those activities that a parent would normally carry out
to assure protection, emotional support and care of the child (30%); S.5 ocs
D. Personal items and grooming care for the child, such as toothpaste, tc
2007-3819
/1 ss t Weld County
C (a1_t (07
soap, combs, haircuts, and other essentials (2%);
E. Other/miscellaneous items considered usual in the care and supervision of the
child, include, but are not limited to, transportation, recreation and overhead
(40%)
4. Add Paragraph 7 to Section I. A minimum of one polygraph test per Colorado fiscal
year, if needed by the child, will be furnished under this contract for facilities that
provide sex offender treatment.
5. Add Paragraph 8 to Section 1. Any additional costs for specialized services, which
include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens,
that is not provided within the vendor rate or attached Scope of Service, will need be
negotiated and authorized, in writing by the County, prior to the service being performed.
Any payment for specialized services not authorized in writing will be denied.
6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or intake
screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number (970) 304-2749.
7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Utilization Review Team. This review
team convenes every Monday morning, excluding holidays.
8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Social Services to shorten the duration of placement.
9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan
(IEP) for youth designated as a Special Education Student will be conducted every 3
years and reviewed every year. If the IEP is due while the child is in placement, the
Contractor will complete or obtain a completed IEP. A copy will then be forwarded to
the County.
11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
2 Weld County SS-23A Addendum
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity (federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
11. Section V, Paragraph 5. Children in Therapeutic Residential Child Care Facilities,
Residential Child Care Facilities and Child Placement Agencies are not eligible to receive
clothing allowances as outlined in the Weld County Department of Social Services Policy
and Procedure Manual.
12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the
enforcement of the terms and conditions of this Agreement, and all rights of action
relating to such enforcement, shall be strictly reserved to the undersigned parties or their
assignees, and nothing contained in this Agreement shall give or allow any claim or right
of action whatsoever by any other person not included in this Agreement. It is the
express intention of the undersigned parties that any entity other than the undersigned
parties or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunity the parties or their officers or employees may
posses, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
circumvent or replace such immunities.
14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
Contractor cannot be performed or if perforated would be of no value to the
Social Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Social Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Social Services and the
Contractor, or by Social Services as a debt to Social Services or otherwise as
provided by law.
3 Weld County SS-23A Addendum
15. Add Paragraph 10 to Section VI. The contractor shall promptly notify Social Services in
the event in which it is a party defendant or respondent in a case, which involves services
provided under the agreement. The Contractor, within five (5) calendar days after being
served with a summons, complaint, or other pleading which has been filed in any federal
or state court or administrative agency, shall deliver copies of such document(s) to the
Social Services' Director. The term "litigation" includes an assignment for the benefit of
creditors, and filings in bankruptcy, reorganizations and/or foreclosure.
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
ATTEST:
We f'Co.�� '.:�: t Board
i 1861 �/.�`�
e,4
Y .,; WELD COUNTY BOARD OF
ra SOCIAL SERVICES, ON BEHALF
cif/ • p OF THE WELD COUNTY
Die
DEPARTMENT OF SOCIAL
SERVICES
By: � 21t By: C
Deputy Clerk to the Board David E. Long, Cl r
EC 19 2007
CONTRACTOR
The University of Colorado Health
Sciences Center dba Synergy
3738 W Princeton Cir
Denver, CO 80236
By: lfQ
WELD COUNTY DEPARTMENT Harlan L. Ray
OF SOCIAL SERVICES Contracts Manager
Grants and Contracts
By: //I/o7
irector
:3rne
4 Weld County SS-23A Addendum
Exhibit A
Board of Regents in behalf of UCDHSC dba ARTS/Synergy
Synergy TRCCF
1) Scope of Service:
a. Target Population-Synergy TRCCF serves adolescent males ages 14-18 with significant
conduct, drug/alcohol and other co-occurring disorders, e.g. such as Major Depressive Disorder;
Bipolar Disorder. The youths have serious family and academic problems. Because the program
is ADAD licensed, clients must have a drug/alcohol problem. Youths with an I.Q below 70 or
those deemed developmentally disabled would not be appropriate for this setting/milieu. Other
exclusions include youths who are currently actively suicidal/homicidal; sexual perpetrators; or
youths with psychosis.
b. Treatment-The Synergy TRCCF provides medically necessary individual, group and family
therapy via licensed therapists and psychiatric evaluation, medication review/management by the
Synergy Psychiatrist for clients with appropriate DSM diagnoses. The therapies are provided to
each client at minimum: 3 groups and 1 individual per week, and family therapy offered once per
week, in the context of a highly specialized treatment milieu which integrates concurrent
treatment of conduct, substance use and other co-occurring psychiatric disorders. In addition to
the therapies, within the very structured, non-permissive milieu, are included: drug/alcohol
counseling (group and individual), relapse prevention, urinalyses/breathalyzers, infectious
disease screening, incentive system, cognitive behavioral interventions, ADAD approved
curriculum etc. The program is licensed at treatment level (Therapeutic Community) by the
Alcohol and Drug Abuse Division and is accredited by CARF as a Therapeutic Community with
integrated dntg/alcohol and mental health treatment.
c. Program Staff(number)-Synergy TRCCF personnel includes; TRCCF Coordinator
(LPC/CAC III); 5 Licensed Therapists (4 are also CACs); 10 other supervisory and line
personnel, (most are CACs). There are also Synergy Director (LCSW/CAC III); Synergy
Psychiatrist; various Administrative, maintenance and dining services personnel. Synergy is
unlocked with no take downs/restraints. Supervision is regarded as a priority. Client to staff
ratios during awake hours are at least 1 staff to 7 or often fewer youths, midnight to 12, 2 staff
for 31 youths. The Synergy School personnel include: Special Ed Director, 2 Masters Level/TTE
teachers and 2 aides.
d. Evidenced based practices-Synergy utilizes current evidence based practices in the delivery
of services including therapeutic community programming; cognitive behavioral interventions;
motivational enhancement techniques; a rewards/incentive system. All clients receive these
services. Synergy utilizes Multisystemic Therapy (MST) (when it is county- approved and
funded) for youth transitioning for their aftercare services in the Denver Metro area. The version
of MST is enhanced with Contingency Management making it a special version of MST for
substance abusers.
e. Educational Services-The Synergy TRCCF School is CDE approved, was recently audited
with favorable feedback and serves general and special education students. The Synergy School
utilizes a wide range of materials, textbooks and supportive resources for the diverse adolescent
client population served in these programs. All textbooks and materials are aligned with state and
national standards. In addition to the classroom curricula, Synergy School also utilizes a wide
variety of materials and resources to improve and enhance the necessary pre-requisite social,
vocational and pre-employment skills required for successful entry into the workforce and/or
society.
5 Weld County SS-23A Addendum
Exhibit A
Synergy TRCCF school utilizes the following to assess each adolescent student: Curriculum
Based Measures [CBM] for Reading, Written Language and Mathematics. The two types of
Reading CBM measures include AIMSweb oral reading fluency and AIMSweb comprehension
measures [MAZE]. AIMSweb writing rubric and Spellography CBM's are utilized to gauge
written language proficiency. The Criterion Test of Basic Skills and the Transitional
Mathematics assessments help pinpoint specific gaps and skill deficits in the area of math. All
students are given these tests as a baseline measurement of academic functioning. Each student
is also tested upon discharge from the program to gauge and document gains in these core
academic areas.
In addition to these CBM measurements, all Synergy students are administered the Wide Range
Achievement Test [WRAT-R3] upon admission to the school program. Special education
students or those in need of a more extensive assessment are also given the Woodcock-Johnson
Test of Achievement to evaluate specific skill deficits. Synergy School personnel coordinate
with the Family Therapist/Case Manager, family and oversee the transition to the youth's home
school, an alternative, vocational or other more appropriate setting. Those plans are begun early
in treatment and refined as the time for transition nears. Synergy was awarded a CDE facility
school summer grant "designed to assist facility schools in providing intensive academic,
research-based education services in the areas of reading writing and/or mathematics for students
performing below grade level". Those services are currently in place. The TRCCF School also
has a Title I master's level teacher, reading and math specialist to assist all students as needed.
f. Length of Stay-The average length of stay at Synergy TRCCF is 6 months or less, with
transition/disposition planned for at admission and reviewed monthly. Synergy is currently
condensing some programming with the aim of decreasing length of stay. Plans and discussions
of the plans in monthly staffings are documented in writing on each occasion. Consistent
coordination with the caseworker, emphasis on family involvement and therapy facilitate briefer
lengths of stay. Synergy clearly emphasizes progress as well as barriers to progress, especially
as they impact length of stay in timely calls to caseworkers and in monthly progress reports.
Plans for schooling/vocational services and/or employment begin early in treatment and are
finalized during the final month of treatment via graduated passes to the community: home.
school/employment. When MST has been approved for aftercare, there is overlap and a handoff
session between the residential and MST therapist for continuity of care. Other step
down/transition options in the Synergy continuum include: Day Treatment (which also included
MST); traditional Outpatient. For youths outside the Denver Metro area, efforts are coordinated
among the caseworker, parent(s), Synergy School and the Family Therapist to secure similar
supports and services in their home community: family/MST therapy; outpatient drug/alcohol
treatment, AA and/or urine monitoring; ongoing mental health services if indicated. Synergy is
the adolescent treatment component of Addiction Research and Treatment Services, a
comprehensive drug treatment agency with a continuum of care for adults with substance use
disorder, thereby affording Synergy clients' family members treatment options if needed.
2) Daily Rate for service-For FY 2007-08, Synergy's daily rate as established by the state is
$146.30.
6 Weld County SS-23A Addendum
DEPARTMENT OF SOCIAL SERVICES
P.O. BOX A
GREELEY, CO. 80632
' Website:www.co.weld.co.us
Administration and Public Assistance(970)352-1551
Child Support(970)352-6933
OFax(970)346-7663
•
COLORADO
MEMORANDUM
TO: David E. Long, Chair Date: December 17, 2007
Board of County Commissioners
FR: Judy A. Griego, Director, Social Services
RE: Addendums to Agreements to Purchase R dentii Child are Facilities
(RCCF)/Therapeutic Child Care Facilities(TRCCF) Services with
3 Vendors
Enclosed for Board approval are Addendums to Agreements to Purchase RCCF/TRCCF Services
between the Weld County Department of Social Services(Department)with 3 vendors. The
Addendums were reviewed at the Board's Work Session held on December 17, 2007.
Addendums are with providers for reimbursement during SFY2007-2008 (July 1, 2007 through
June 30,2008).
A. Rates are negotiated and based on State vendor rates for child maintenance,
administrative maintenance and services. Medicaid provides for therapeutic services on a
fee for services basis for TRCCF care.
B. The vendors include:
Provider ID Number RCCF/TRCCF Rate
Mount St. Vincent Home #45174 $178.08 per day(RCCF/TRCCF)
Mount St. Vincent Home #1541575 $138.88 per day(RCCF)
The University of Colorado Health #49488 $146.30 per day(RCCF/TRCCF)
Services Center dba Synergy
If you have any questions, please telephone me at extension 6510.
Hello