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HomeMy WebLinkAbout20061679 RESOLUTION RE: APPROVE REVISIONS TO OPERATIONS MANUAL, SECTION 2.000, SOCIAL SERVICES DIVISION POLICIES AND PROCEDURES WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board has been presented with revisions to Section 2.000,Social Services Division Policies and Procedures,for the Department of Social Services Operations Manual, and WHEREAS,after review,the Board deems it advisable to approve said revisions,a copy of which is attached hereto and incorporated herein by reference. NOW,THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, ex-officio Board of Social Services,that the revisions to Section 2.000, Social Services Division Policies and Procedures for the Department of Social Services Operations Manual, be, and hereby are, approved. The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 26th day of June, A.D., 2006. BOARD OF C NTY COMMISSIONERS E�+�`� WELD COU Y, COLORADO ATTEST: 4 ; '.,• 43? ,pi� — �� M Bile, Chair Weld County Clerk to t{te r P .0 C q;. G David E. Long, Pro-Tem BY: A (1-1 ) I 11 R- De ty Cler o the Board '1.- z ,,,_if Willi H. erke AP V AS TO FO x - L ? ���- _ Robert D. Mas n my Attorney I Glenn Vaa Date of signature: I1H f 2006-1679 SS0033 64.4.3/41 , DEPARTMENT OF SOCIAL SERVICES P.O.BOX A GREELEY,CO. 80632 Website:www.ce.weld.co.us I Administration and Piddle Assistance(970)352-1551 Child Support(970)352-6933 C. COLORADO MEMORANDUM TO: M.J. Geile, Chair Date: June 21, 2006 Board of County Commissioners FR: Judy A. Griego,Director, Social Services - 0`, ?LAT jtklul RE: Revisions to Section 2.000, Social Servicesivision Policies and Procedures,Weld County Department of Social Services Operations Manual Enclosed for Board approval are revisions to Section 2.000, Social Services Division Policies and Procedures, Weld County Department of Social Services Operations Manual. These revisions were reviewed at the Board's Work Session held on June 19, 2006. The purposes of these revisions are to: 1. Provide a 2% cost of living(COLA)increase to Child Placement Agencies. The 2% COLA will result in an additional estimated cost of approximately$44,000 per year to the Child Welfare Block. Concurrently, the Department is transitioning therapeutic services,by June 30, 2007,to Medicaid through Northeast Behavioral Health Organization,which will result in a savings of$93,000 per year. Reference: Sections 2.327 through 2.327.1. 2. Reflect Department rate negotiation practices and methodologies for reimbursement with out of home placement facilities. These rate methodology practices will be used by the Department with child placement agencies, group care homes, therapeutic residential child care facilities,and other associated facilities. Reference: Sections 2.320 through 2.320.1 and Exhibits A through G. If you have any questions,please telephone me at extension 6510. 2006-1679 Social Services Division Policies and Procedures 2.327 Child Placement Agencies Added 1/02 Revised 10/29/02 The Department has established and will reimburse the Child Placement Agencies (CPA) by the method in this manual as outlined in Section 2.320.1. 2.327.1 Reimbursement Rate Revised 10/29/02 A child specific Needs Based Care Assessment, designated as Exhibit B Revised 6/06 shall be used to determine levels of care for each child placed within a CPA. The assessment will be filled out by the county caseworker that is placing the child. The specific rate of payment will be paid for each level of service as recorded by the Needs Based Care Assessment. The reimbursement rate for these levels will be indicated by the Needs Based Care Rate Table, designated as Exhibit C. Once rates have been established, the Needs Based Care Addendum, designated as Exhibit D, will be completed by the County Rate Negotiator to outline the total rate of reimbursement for the out-of-home care of the child. This addendum will be effective from the time of placement until the end of the Colorado fiscal year, June 30, unless otherwise negotiated. The Needs Based Care forms have been adopted from the Northern Consortium of Counties. Effective October 1, 2001, all providers received a 2.5% to 3% increase in administrative overhead rate. Effective July 1, 2006, CPA providers received a 2% COLA to the administrative overhead rate. 2.327.2 Rate Re-Evaluations and Adjustments Added 10/29/02 A. The rates that are established in the Needs Based Care addendum will be re-evaluated and/or adjusted as outlined in the Department's Operations Manual, Section 2.902.2, or B. The rates may be negotiated at any time based upon the changing service needs of the child. Social Services Division Policies and Procedures 2.320 Out-of-Home Placement Reimbursement Effective 1/1/01 The Department establishes rates to be paid to providers for out-of-home Revised 6/02 placements at the beginning of every state fiscal year. These rates are similar to the State determined reimbursement for specific types of facilities. 2.320.1 State Licensed Provider Reimbursement Added 6/02 Revised 6/06 A. The Department will reimburse a state licensed provider if such provider meets the State reimbursement requirements of Colorado State Rules, Section 7.405, Volume VII, Social Services Programs, and the State requirements for State Licensed Providers of Colorado State Rules, Section 7.417.2, Volume VII, Social Services Programs. B. As required by C.R.S. 26-5-104, the Department will negotiate rates, services, and outcomes with providers as outlined in the submitted Rate Setting Methodology, Exhibit A, that has been approved by the State. C. The Department will enter into yearly contracts with each State Licensed Provider that the Department utilizes. The Contracts will be in force from July 1, the start of the state fiscal year, to June 30, the end of the state fiscal year. D. The Child Welfare Rate Negotiator will initiate and mail out to providers, both the State prescribed SS-23A, Agreement to Purchase, contract Exhibit B, for Providers as outlined in Colorado State Rules, Section 7.304 and Section 7.304.661 of Volume VII, and the Weld County Addendum to the Agreement to Purchase SS-23A, Exhibits C-G. The county specific addendum will reflect the daily rate to be paid for each child placed with the contracted provider for the state fiscal year, as outlined in paragraph B. Rates reflected within the yearly contracts, will be determined by the State and may include a cost-of-living increase the county has approved. Rates may also be negotiated to reflect additional services that the department has approved. E. Once signed contracts have been received from providers, the State prescribed SS-23A Agreement to Purchase contracts will be approved and signed by the Director and All Weld County Addendums to the State prescribed SS-23A will be approved and signed by the Director and the Board of County Commissioners, Weld County, sitting as the Weld County Board of Social Services. F. Once Placement Contracts are approved and signed by the Director and/or the Board of County Commissioners, each provider will be mailed fully Social Services Division Policies and Procedures executed copies of the Agreement to Purchase Services, SS-23A and Weld County Addendum for their records. G. All original contracts will be filed in the Business Office. The Business Office will notify the Social Services Administrator, or designee, if a provider is requesting reimbursement and does not have a current signed contract. Payment cannot be authorized to the provider until the required contract is provided to the Business Office. v. Exhibit A ♦ Aill.%.414C(S 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 O • COLORADO RATE SETTING METHODOLOGY For Out-of-Home Placements SFY 2004-2005 Adoption —Negotiations are based on the special needs of the adoptive child and the circumstances of the adoptive family. Maximum monetary payment for an adoption subsidy is the Weld County Basic Child Maintenance rate. (See Table I)The $.66/day respite allowance is not allowable under this program. Foster Family Home Care Regular County Homes—Reimbursement for foster care services in regular county foster care homes are based on the Weld County Basic Child Maintenance Rate. (See retie I) A respite allowance of$.66/day is also added as shown in Table 1. Critical Care County Homes—Reimbursement for foster care services in county critical care homes are based on the Weld County Basic Child Maintenance Rate established in 2000, in addition to a difficulty of care rate, which equaled a critical care base rate of $800.00/mo. Cost of living increases have been added to the child maintenance portion of the critical care base rate since 2001, as noted below in Table 1. The critical care county home rate has been calculated as $28.38/day for 2005. A respite allowance of$.66/day is also added to all critical care county homes. RTC/Foster Care Transition Program* —The base rate for the RTC/foster care transition homes consist of the Weld County Basic Child Maintenance rate (Table 1), in addition to a difficulty of care rate, which equals a transition program base rate of $1,500.00/mo. A respite allowance of$.66/day is also added to all county foster care homes. *This is a new program yet to be approved by the Board of Weld County Commissioners and is subject to change. Updated January,2005 Weld County DSS Exhibit A • Rate Setting Methodology • Continued... Child Placement Agencies* - Utilization of the Need Based Care assessment tool and rates developed by the Northern Colorado Consortium of Counties and as approved by the Board of Weld County Commissioners. *Please note that the Northern Colorado Consortium of Counties has made minor changes to the assessment tool and the rate table effective August 2004. Due to Weld County being bound by provider contracts until June 2005,we will not be utilizing these changes. Attached please find the amended assessment tool and rate table that will be utilized for the state fiscal year 2005-2006,subject to approval by the Board of Weld County Commissioners. Kinship Foster Care-Reimbursement for kinship foster care services are based on the Weld County Basic Child Maintenance Rate. (See Table 1)A respite allowance of$.66/day is also added as shown in Table 1. Group Center Care(CPA)* -Utilization of the Need Based Care assessment tool and rates developed by the Northern Colorado Consortium of Counties and as approved by the Board of Weld County Commissioners. *Please note that the Northern Colorado Consortium of Counties has made minor changes to the assessment tool and the rate table effective August 2004. Due to Weld County being bound by provider contracts until June 2005,we will not be utilizing these changes. Attached please find the amended assessment tool and rate table that will be utilized for the state fiscal year 2005-2006,subject to approval by the Board of Weld County Commissioners. Group Home Care County Homes—Reimbursement for county group home care services are based on the Weld County Basic Child Maintenance Rate (see Table 1), plus the Weld County Direct Care and Services Allowance. (see Table 2) The basic child maintenance rate is based on the age range that the group home accepts, the direct care and service allowance is based on the number of paid full-time equivalent staff. Currently, the department has two group homes with a total of four reserved spaces per month. Child Placement Agencies*- Utilization of the Need Based Care assessment tool and rates developed by the Northern Colorado Consortium of Counties and as approved by the Board of Weld County Commissioners. *(Please note that the Northern Colorado Consortium of Counties has made minor changes to the assessment tool and the rate table effective August 2004. Due to Weld County being bound by provider contracts until June 2005,we will not be utilizing these changes. Attached please find the amended assessment tool and rate table that will be utilized for the state fiscal year 2005-2006,subject to approval by the Board of Weld County Commissioners. Receiving Homes County Homes - Reimbursement for county receiving home care services are based cm the Weld County Basic Child Maintenance Rate (See Table 1), plus the Weld County Direct Care and Services Allowance. (seeTable3) The basic child maintenance rate is based on the age range that the receiving home accepts, the direct care and service allowance is based on the number of paid full-time equivalent staff. Currently, the department has four receiving homes with one reserved space per month. 2 Updated January, 2005 Weld County DSS Exhibit'A Rate Setting Methodology Continued... Residential Child Care Facility-Utilization of State determined rates plus approximately a 2.5% increase to the child maintenance rate, which was effective July 1, 2001. Residential Child Care Facility(Shelter) -Utilization of State determined rates plus approximately a 2.5% increase to the child maintenance rate, which was effective July 1, 2001. The department may negotiate rates with providers to reflect additional services that the department has approved. Residential Treatment Center—Room and Board Rates Only. Utilization of State determined rates plus a 2.5% increase to the maintenance/room and board rate, which was effective July 1, 2001. The department may negotiate room and board rates with providers to reflect additional services that the department has approved. Children's Habilitation Residential Program(CHRP) - Utilization of the Level of Need Worksheet (COPAR), in conjunction with the Needs Based Care assessment tool and rates developed by the Northern Colorado Consortium of Counties and as approved by the Board of Weld County Commissioners. *(Please note that the Northern Colorado Consortium of Counties has made minor changes to the assessment tool and the rate table effective August 2004. Due to Weld County being bound by provider contracts until June 2005,these changes we will not be utilizing these changes. Attached please find the amended assessment tool and rate table that will be utilized for the state fiscal year 2005-2006,subject to approval by the Board of Weld County Commissioners. Placement Contracts Agreement To Purchase Services (SS-23A)—Effective July I, 2002, Weld County changed to annual Agreement to Purchase Services contracts (SS-23A). The annual agreements replace the process of individual contracts being generated per child. Child specific information is now reflected in an attachment A to the annual agreement. This • attachment A is designated as the Placement Referral form, which is completed by caseworkers at the time the child is placed at a facility. The referral form includes the initial treatment plan, estimated dates of accomplishing goals for the child and anticipated living arrangements once the child completes the treatment plan. These agreements and forms are subject to change upon approval of the Board of Weld County Commissioners. 3 Updated January, 2005 Exhibit A Weld County DSS Rate Setting Methodology Continued... Table 1 Weld County *Basic Child Maintenance Rate Age Daily Respite Care Of Maintenance Daily Child Rate Allowance 0 months To $15.20 $.66 10 years 11 years To $16.82 $.66 14 years 15 years To $17.97 $.66 21 years • Established from the standard rates set by the Colorado Department Of Human Services,Division of Child Welfare Plus Weld County Department of Social Services cost of living increases as follows: 1999-2003—Approximate 4%increase each year 2004—Approximate 3%increase 2005—Approximate 2.5%increase Table 2 Weld County Group Care *Direct Care and Services Allowance Number of Paid Payment per Month FTE Staff Per Child 2.0 $11.11 2.25 $11.87 2.50 $12.56 2.75 $13.22 3.0 and above $13.91 • Established from the standard rates set by the Colorado Department Of Human Services,Division of Child Welfare Plus Weld County Department of Social Services cost of living increases as follows: 1999—Approximate 4%increase Table 3 Weld County Receiving Home * Direct Care and Services Allowance Number of Paid Payment per Day FTE Staff Per Child 1.0 $11.11 1.5 $11.87 2.0 $12.56 2.5 $13.22 3.0 $13.91 • Established from the standard rates set by the Colorado Department Of Human Services,Division of Child Welfare Plus Weld County Department of Social Services cost of living increases as follows: 1999—Approximate 4%increase Note: Cost of living increases are effective January 1st of each year upon approval by the Board of Weld County Commissioners. 4 Updated January,2005 Exhibit A 1 WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE ASSESSMENT IDENTIFYING INFORMATION CHILD'S NAME 'STATE ID# SEX RAILS CASE ID 'DOB Sex 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 CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for the following: Therapy; Medical Treatment; Family Visitation; Extraordinary Educational Needs; Etc.,as outlined in the treatment plan? ❑0) One round trip a week or less ❑1)2-3 round trips a week O2)4-5 round trips a week O3)6 or more round trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? ❑0) Once a month ❑1)Two times but less than weekly O2) Once a week ❑3)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education plan? ❑0) Less than a 'A hour per day ❑1) 'A hour a day O2)More than 'A hour per day, up to 2 hours per day O3)More than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑0)Less than 5 hours per week ❑1)5 to 10 hours per week O2)At least daily O3)On a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding, bathing,grooming,physical, and/or occupational therapy? ❑0) Less than 5 hours per week ❑1)5 to 10 hours per week ❑2) 11 to 20 hours per week O3)21 or more hours per week A 1. How often is CPA case management required? ❑0)No crisis intervention,minimal CPA involvement, one face-to-face visit with child per month. ❑1) Minimal crisis intervention as needed,one face-to-face visit with child,2-3 contacts per month. O2) Occasional crisis intervention as needed, two face-to-face visits with child,2-3 contacts per month. O3) Ongoing crisis intervention as needed, weekly face-to-face visits with child, and 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 Exhibit A 2 WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE ASSESSMENT SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) LEVEL# Comments: LEVEL OF CPA CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (TI) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) Exhibit A 3 WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE ASSESSMENT RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ORe-Determination -Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. 3 - zlxrC' Std �f �^ � *-'d-� -- 'a.-. °a.0 ^mot i4!) e'7°'x> is Y� 11 "fit- lze1f s T [. ir yf 5 1. 11EL'" 1:12;;e - Fls tel r" ,�za,..,_ :. '' s., t z .� k Si .�'i'� .�wi bvt : F i 4- kY m in, stu/' ,. a�i.s&es�......ve 44. �.' 4..:5 3b.""* 4y� fi..''fY Sae '°" nl .43�P' Aggression/Cruelty to Animals 0 0 0 ❑ Verbal or Physical Threatening 0 ❑ 0 0 Destructive of Property/Fire Setting ❑ ❑ ❑ 0 Stealing ❑ 0 ❑ 0 Self-injurious Behavior ❑ 0 ❑ ❑ Substance Abuse ❑ ❑ ❑ 0 Presence of Psychiatric Symptoms/Conditions 0 ❑ ❑ ❑ Enuresis/Encopresis 0 0 ❑ ❑ Runaway 0 ❑ ❑ ❑ Inappropriate Sexual Behavior 0 ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ 0 0 ❑ Depressive-like Behavior ❑ 0 0 0 Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ 0 Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) 0 0 ❑ l ❑ 2 0 3 Exhibit A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE C t rxd sYs1e �.--iv —iy,, -712` * " #r "iti 'I 'x Y fFt y , r ez < --"✓.,' -t tir ss ra ' .e y1t,IJ & -- L€ � Age 0-10...$11.47($349) ` Level 0 $4.93 day/$150 month Level 0 $0 0 ' Age 11-14...$12.89($392) . No crisis intervention,Minimal CPA ',. Therapy not needed or provided by Level 0........$0 111 Age 15-21...$13.91 ($423) involvement,one face-to-face visit 1 another source,i.e.mental health. (None) +5.66 Respite Care($20) t with child per month. $15.78 st 1/2 +$.66 Respite Care Level 1/2 $6.58 day/$200 month — ($16.44 day/$500 month) 0 !1. $19.07 .' Level 1 $8.22 day/$250 month ' Level 1 $4.93/$150 month 1 +$.66 Respite Care Minimal crisis interention as needed, Regularly scheduled therapy, Level 1 $2.99 ($19.73 day/$600 month) one face-to-face visit per month with child, ;; up to 4 hours/month. 01 2-3 contacts per month $22.35 1 1/2 0 +$.66 Respite Care ( Level 1 1/2 $9.86 day/$300 month s ($23.01 day/$700 month) .. "$25.64 Level 2 $11.51 day/$350 month . Level 2 $9.86/$300 month 2 +$.66 Respite Care Occasional crisis intervention as needed, Weekly scheduled therapy, Level 2 $4.47 ($26.30 day/$800 month) two face-to-face visits with child, 5-8 hours a month with 4 hours of Is 2-3 contacts per month group therapy. $28.93 2 1/2 +$.66 Respite Care Level 2 1/2 $13.15 day/$400 month s —_ -- ($29.59 day/$900 month) 5 $32.22 Level 3 $14.79 day/$450 month z Level 3.........$14.79/$450 month +$.66 Respite Care Ongoing crisis intervention as needed, Regularly scheduled weekly 3 weekly face-to-face visits with child, �• multiple sessions,can include more Level 3 $6.02 ($32.88 day/$1000 month) and intensive coordination of than 1 person,i.e.family therapy, multiple services. for 9-12 hours/monthly. $35.50 3 1/2 +$.66 Respite Care Level 3 1/2 $16.44 day/$500 month '' ($36.16 day/$1,100 month) $39.45 Level 4 $18.08 day/$550 month Level 4 $14.79/$450 month +$.66 Respite Care Ongoing crisis intervention as needed, Regularly scheduled weekly 4 RTC Drop ' which includes high level of case multiple sessions,can include more Level4 Neg. Down ($40.11 day/$1200 month) 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. contacts per week minimum. MTgSiYAY.2Su" )r'oa. a- -ik4 $5 t*it{�&N.-i41'u x1 r36-,J3i41.a .f.'d:zitM'ibut¢iWY\W% �.rvm p eA:. Assess Rate $19.73 day/$600 month Children (Includes Respite) $8.22 day/$250 month --___________-_ 0-10 Assess Rate $26.30 day/$800 month Children (Includes Respite) $11.51 day/$350 month ---_--_____-.-__-__ 11-18 Admin. Overhead Rate: As of 7/1/05 $4.56 day/$138 month Exhibit B AGREEMENT TO PURCHASE ® CHILD PLACEMENT AGENCY SERVICES (CPA) ❑ PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY (PRTF) ❑ THERAPEUTIC RESIDENTIAL CHILD CARE FACILITY (TRCCF) ❑ RESIDENTIAL CHILD CARE FACILITY (RCCF) 0 FOSTER FAMILY HOME CARE ❑ KINSHIP CARE ❑ RECEIVING HOME CARE ❑ GROUP HOME/GROUP CENTER CARE ❑ SUBSIDIZED ADOPTION ❑ SHELTER CARE ❑ INDEPENDENT LIVING ❑ TRANSITION/HOME BASED AFTER-CARE ❑ RESIDENTIAL DRUG/ALCOHOL PROGRAM THIS AGREEMENT, made this day of , 2006 between the Board of Weld County Commissioners, sitting as the Board of Social Services, on behalf of the Weld County Department of Social Service hereinafter called "County" and«CPA_NAME», «MAILING ADDRESS», «CITY STATE_ZIP», hereinafter called "Contractor." THIS AGREEMENT, shall include all children placed by Weld County Department of Social Services and «CPA NAME». A child specific addendum, identifying individual service needs, must be completed and attached to supplement this agreement for each child being served by the facility. If this is a CPA placement, the child specific addendum should also address how administrative services will be provided in the event the child is placed for adoption in a foster home supervised by the CPA. WHEREAS, the Colorado State Department of Human Services, hereinafter called "State Department" is authorized to provide social services to individuals and families of individuals through its agents, County Departments of Social/Human Services and, WHEREAS, the County is authorized to purchase certain services for eligible children under State Department rules, and WHEREAS, the County wishes to provide these services by purchasing them from Contractor, and, WHEREAS, the Contractor is licensed as a Child Placement Agency, Residential Child Care Facility, certified Psychiatric Residential Treatment Facility, or Therapeutic Residential Child Care Facility. NOW THEREFORE, it is hereby agreed that in consideration of the mutual undertakings the County and the Contractor agree as follows: This Agreement shall be in force from the date of the agreement, July 1, 200, until the end of the Colorado fiscal year, June 30, 2007. Any child may be removed from the facility prior to the end of the fiscal year by the county department. The contractor may 1 State SS-23A(6/2006) Exhibit B also seek approval in writing from the county to terminate the agreement prior to the end of the fiscal year. This Agreement may be renewed only by entering into a new written Agreement such as this Agreement signed by the authorized representatives of the parties. Except as otherwise provided above, either party shall have the right to terminate this contract by giving the other party thirty(30) days notice by registered mail, return receipt requested. If notice is so given, this contract shall terminate on the expiration of the thirty(30) days or until the eligible child can be placed elsewhere, whichever occurs first, and the liability of the parties hereunder for further performance of the terms of this Agreement shall thereupon cease, but the parties shall not be released from the duty to perform their obligations up to the date of termination. This Agreement is in lieu of and supersedes all prior agreements between the parties hereto and relating to the care and services herein described. SECTION I. DESCRIPTION OF SERVICES TO BE PURCHASED. 1. The total rate of payment for care and services under this Agreement shall not exceed the established rate: for the Psychiatric Residential Treatment Facility(PRTF) on the approved vendor list, for CPA placements the negotiated rate or the approved vendor rate, for TRCCF or RCCF placements the negotiated rate or the approved vendor rate, and for the Children's Habilitation Residential Program (CHRP) placements on the agreed upon service proposal rate. The amount paid for purchased care and services for less than a full month will be based upon the daily rate. 2. Payment for a child's temporary absence from the facility, including absence due to hospitalization, will be made in accordance with State Department rules in Staff Manual Volume VII, 7.406.1 F. 3. Transportation shall be furnished by County between the child's residence and Contractor's facility for the initial placement and return after the treatment plan is completed. If the child runs away from the Contractor's facility, the County shall provide transportation to either return the child to the facility or to other care as arranged by the County. The County has responsibility for the decision to return the child to the facility, with input from the Contractor. 4. All other transportation associated with the Contractor's proposed services will be provided by Contractor. Any transportation costs not covered or contemplated in the original treatment plan must be negotiated between County and Contractor and are not subject to reimbursement under this Agreement. However, provisions for payment of other transportation may be provided for in the treatment/service plan. 5. Any transportation costs to be incurred on behalf of a child in placement, which are to be borne by persons, or agencies, which are not a party to this contract, shall be specified in the treatment/service plan, and those persons shall acknowledge their responsibility by signing the treatment/service plan. 2 Stale SS-23A(6/2006) Exhibit B SECTION II. LEGAL STATUS AND AUTHORIZATIONS • 1. Such permission as is held by the County is hereby granted to the Contractor to authorize routine or emergency medical and dental treatment except for the following: a. Medical or dental care shall be provided by personnel duly licensed by law as required by the State of Colorado. It is mutually understood hereto that hospital expenses, surgery, ophthalmology services, eyeglasses, orthodontia or other unusual expenses are not included in the monthly rate. The cost of any items not covered by Medicaid will be negotiated between County and Contractor. 2. County and Contractor shall insure that the child(ren) is enrolled in the Early and Periodic Screening, Diagnosis and Treatment Program. 3. It is agreed and permission is granted for the child(ren) to participate in planned recreational and social activities of Contractor, including supervised off grounds excursions and extended trips within the State, provided that Contractor has written permission from County and legal guardian for any trips out of Colorado for any reason and any planned absence from the facility of over seven (7) days within a consecutive 30—day period. Such written permission may be in the treatment/service plan. Further, Contractor and County will also secure, where possible, permission from parents or guardians of the child placed with the Contractor. 4. County and Contractor shall inform each other and the local school district of any changes in parental residence affecting educational status which comes to their attention. SECTION III. REASONS FOR REFERRAL, TREATMENT PLAN, AND PROGRESS REPORTS. 1. County and Contractor agree and understand that the reasons for referral, which necessitate purchasing services for children are specified in the attached child specific addendum and Family Services Plan. Any other relevant information concerning these children that does not necessitate purchasing services is also included in the addendum. 2. County and Contractor shall formulate an initial individual plan of care within 60 days for children in TRCCFs, RCCFs, or CPAs. The initial individual plan of care must be completed within 72 hours for children in PRTFs. For children in PRTFs a comprehensive individual plan of care must be completed by the multidisciplinary team within 14 days from placement date. The placement date is that date noted in the attached child specific addendum included with this contract. The child's Family Service Plan may be utilized for this purpose for facilities other than PRTFs. Modifications to this plan shall be agreed to in writing on the plan or as a supplemental document. 3. The treatment/service plan shall be goal oriented and time-limited and include: a. Anticipated psychological/behavioral changes and dates for accomplishing those changes; b. Involvement of the child's family or significant other persons in the treatment of the child; c. Anticipated living arrangement for the child at the date of discharge; d. Anticipated educational arrangement for the child at the time of discharge; e. Anticipated date for discharge from treatment purchased for the child. f. A permanency goal for the child. 3 State SS-23A(6/2006) Exhibit B 4. Quarterly, Child Placement Agencies, TRCCFs and RCCFs, and every 14 days for PRTFs, shall provide the County with written reports which address changes to the child's physical condition, psychological and social functioning, changes in the child's family situation, educational progress, significant incidents or disciplinary actions, and progress made to achieve goals specified in the treatment plan. Further, the Contractor agrees to sequence reports to be received by the County fifteen (15) days prior to judicial or administrative hearings or reviews when provided with thirty(30) days advance notice of such dates by County. SECTION IV. CONTRACTOR SHALL: 1. Conform with and abide by all rules and regulations of the State Department, the Department of Health Care Policy and Financing (if appropriate), the State of Colorado and any federal laws and regulations, as such, which may be amended from time to time, and shall be binding on Contractor and control any disputes in this Agreement. 2. Maintain a current license and maintain license requirements as specified under State law and rule. 3. Not charge any fees to children or families of children referred by county for any services provided under this Agreement. 4. Not assign the obligations under this Agreement nor enter into any sub-contract without the express written approval of the Director of the County Department or his/her appointed designee. 5. Abide by all applicable provisions of Title VI and VII of the Federal Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title XX of the Social Security Act of 1975 as revised, and provide confidentiality of information concerning the child. 6. Maintain during the term of this Agreement a liability insurance policy of at least $25,000 for CPAs and $400,000 for PRTFs, TRCCFs, and RCCFs for property damage liability, $150,000 for injury and/or damage to any one person, and $600,000 for total injuries arising from any one accident. 7. Maintain during the terms of this Agreement a fidelity bond of at least $25,000 or two (2) months gross receipts, whichever is greater, covering the activities of any of its officers, agents or employees responsible for the implementation and/or administration of this contract in order to make reparations for any wrongful acts, omissions, or any other defalcations of the Contractor. 8. Indemnify County, State Department and the State of Colorado against any and loss against all claims and actions based upon or arising out of damage or injury, including death, to persons or property caused or sustained in connection with the performance of this contract or by conditions created thereby, or based upon any violations of any statute, ordinance, or regulation and the defense of any such claims or actions. 9. Maintain service program records, fiscal records, documentation and other records, which will sufficiently and properly reflect all direct and indirect costs of any nature incurred in the performance of this Agreement. The above shall be subject at all reasonable times to 4 State SS-23A(62006) Exhibit B inspection, review or audit by federal, State Department or county personnel, and other persons authorized in writing by the Executive Director, Colorado State Department. 10. Bill the County for services rendered, using the required form. This form is to be mailed to the County department by the last day of the month of care. Billings for PRTFs, TRCCFs, RCCFs, CPAs and CHRP placements shall be made to both the MMIS System and the County Department. Provider will not be paid by the county when billing is not received by the County within 30 days following the billing due date. 11. Attend and participate in Administrative Reviews for children in placement with the Contractor pursuant to two (2) weeks written notice by the County. The Contractor shall encourage children (over the age of twelve) to attend their Administrative Review. Participation may be in person or by teleconference. 12. The Contractor shall pay the foster parent the amount identified by the county as the child maintenance or room and board. Any payment to the foster parent in excess of the child maintenance or room and board amount shall be treated as income to the foster parent. SECTION V. COUNTY SHALL: 1. Determine eligibility of the children under this Agreement for placement and medical coverage. 2. Assess and collect fees in accordance with the rules and regulations of the Colorado Department of Human Services. 3. Reimburse Contractor by the 15th of the following month in accordance with fiscal system time frames for services purchased under this Agreement in accordance with the established rate when billing is submitted as described in Section IV, Number 11(above). 4. Abide by all the rules and regulations of the State Department, federal rules and regulations and the laws of the State of Colorado, any of which may be amended from time to time. 5. If this agreement covers an initial placement for a child, the Contractor may receive an "initial clothing allowance: in accordance with State Department rules and regulations, as they currently exist in 7.406.1 (W) and such may be amended. 6. Monitor children's progress in accordance with the treatment/family services plan and the requirements of State Department Staff Manual, Volume VII, and provide consultation to Contractor in relation to the services purchased under this Agreement. 7. Invite Contractor to Administrative Reviews. 8. Involve Contractor in planning for the child and give the Contractor a copy of the Family Services Plan at time of placement or as soon as completed and when updated or revised. 9. The county shall seek recovery from the PRTF, TRCCF, RCCF or CPA for any payment amounts that have been misused (as defined in Volume VII). The county may withhold subsequent payments to recover any funds misused by the CPA. The county shall seek recovery of any remaining funds as a debt due the county for the benefit of the state. The 5 State SS-23A(6/2006) Exhibit B • CPA may appeal the decision to recover or withhold subsequent payments (as defined in Volume VII). 10. The county shall identify the amount to be paid to the foster parent for the child's room and board. Such amount will be the same as shown in Trails for the child's maintenance. 11. Reimbursement rates that are negotiated between County departments and the Contractor shall be for allowable costs in one or more of three primary components: child maintenance, administrative services, and administrative maintenance (7.418.1-7.418.3). Provider type will determine which of these three components will be included in the reimbursement rate. SECTION VI. GENERAL PROVISIONS. 1. The Parties to this Agreement intend that the relationship between them, contemplated by this Agreement is that of employer independent contractor. No agent, employee, or servant of Contractor shall be deemed to be an employee, agent, or servant of County. Contractor will be solely and entirely responsible for its acts or of any agent, employee, servants and sub—contractors during the performance of this Agreement. 2. Payment pursuant to this Agreement, if in State of Colorado or federal funds, whether in whole or in part, is subject to and contingent upon the continuing availability of State of Colorado and federal funds for the purpose thereof. 3. It is agreed that if, after investigation, it is shown that reasonable care was given to guard and protect personal items brought to Contractor by the Children, Contractor will be released from responsibility for loss or damage to such personal items. 4. This Agreement is intended to be applied in conjunction with the child specific addendum and family services plan as the complete integration of all understandings between the parties. No prior or contemporaneous addition, deletion or other amendment hereto shall have any force or affect whatsoever, unless embodied herein in writing. No subsequent notation, renewal, addition, deletion, or other amendment hereto shall have any force or effect unless embodied as a part of this written Agreement. 5. The contract shall permit the State Department to monitor service program, fiscal books and other records sufficiently to assure the purchase services in this Agreement are carried out for the benefit of the aforementioned client through program reports, on site visits where applicable and other contracts as deemed necessary. The Contractor understands that the State Department may provide consultation to Contractor to assure satisfactory performance in the provision of purchased services under this Agreement. a. All reimbursement requests shall be submitted to and approved by the appropriate County staff. Reimbursement for placement services shall be paid from the date of admission up to, but not including, the day of discharge. Furthermore, Medicaid payments for PRTF and TRCCF treatment services or CHRP placements are not permitted on the day of discharge. Medicaid funds shall not be limited to funds encumbered in this contract and shall also include Medicaid funds for PRTF and TRCCF treatment programs and CHRP placements paid by the Department of Health Care Policy and Financing. Payment for placement services will not be provided for clients on "runaway" status unless the County 6 State SS-23A(6'2006) Exhibit B has previously approved it. Reimbursement requests for treatment costs for clients enrolled in PRTF, TRCCF and CHRP programs shall be submitted to the Medicaid Fiscal Agent in accordance with instructions provided by such Fiscal Agent. The Contractor shall forward copies of such billings to the County on a monthly basis. In the event that a Contractor receives payment for a discharge day, regardless of funding source, the Contractor shall refund those dollars forthwith. b. The purpose of these requirements is to provide minimum assurance the Contractor has adequate accounting and budgeting information available to allow management to maintain a financially viable enterprise and to demonstrate financial accountability to the County departments of human/social services and State Departments of Human Services for the use of public funds. 1) The Contractor must have in place a double entry accounting system and all financial transactions must be posted to this system. Financial statements, prepared from information provided by this system, shall be presented in conformity with U.S. generally accepted accounting principles (GAAP). The Contractor must also have adequate time keeping and cost allocation systems to allocate salary cost and indirect cost to appropriate cost centers. The Contractor must also comply with cost principles pursuant to (a) OMB Circular A-122, Cost Principles for Non-Profit Organizations or (b) Title 48—Federal Acquisition Regulations System, Chapter 1—Federal Acquisition Regulation, Part 31—Contract Cost Principles and Procedures for contracts with commercial organizations or OMB A-87, Cost Principles for State, Local, and Indian Tribal Governments, whichever is applicable. Books and records of the Contractor shall be subject, at any reasonable time, to inspection, audit or copying by appropriate Federal, State or county personnel, or such independent auditors or accountants as may be designated by these personnel. 2) All billing by the contractor must be in a format approved by the fiscal agent or county. Contractors must bill the fiscal agent and county at least once a month. Contractors may bill twice a month, on the 15th and last day of the month, for services rendered. Bills will be returned unpaid if the bills do not conform to the approved format or the documentation is inadequate. 3) All Contractors whose total annual expenditures are $100,000 or more shall submit an annual audit of their financial statements by an independent certified public accountant. Contractors with total annual expenditures less than $100,000 may submit an audit as described above or may submit compiled or reviewed financial statements, prepared in accordance with generally accepted accounting principles. If the Contractor is a government agency that has an independent audit done by another agency of that government, their audited financial statements, prepared in accordance with generally accepted accounting principles for state and local governments meet this requirement. The audited, compiled or reviewed financial statements of PRTFs, TRCCFs, RCCFs, and CPAs must be completed and a copy provided to the Colorado 7 State SS-23A(6'2006) Exhibit B Department of Human Services (Attn: RTC Administrator for PRTFs, TRCCFs and RCCFs and Attn: Audit Division Director for CPAs) within 180 days after the contractor's fiscal year end. The audited financial statements and supplementary information defined in regulation for various agencies shall be presented as described in Section VI B-1 above and must contain sufficient detail to provide evidence of financial accountability under the terms of this contract and controlling state regulations. Contractors that are a subsidiary of a parent organization must submit separate financial statements for the subsidiary that detail each of the Contractor's facilities and/or programs that provide services for the Department and also must provide a reconciliation of these financial statements to the consolidated financial statements of the organization as a whole. When applicable, the Contractor must comply with the audit requirements found in the Single Audit Act of 1984 and the Single Audit Act Amendments of 1996 and U. S. Office of Management and Budget (OMB) Circular A-133, Audits of States, Local Governments, and Non-Profit Organizations including subsequent revisions, and appropriate audit and financial reporting requirements as defined in State laws and regulations. 4) If Contractors do not submit their annual audit or refuse to disclose financial information regarding the operation of the program in a timely manner, the Fiscal Agent may withhold payment until the audit and/or requested information is submitted. If the provider is a CPA, then sanctions of the provider may occur for failure to submit. If the provider is a PRTF then the rate may be reduced in accordance with Volume 8 rules. 5) In cases where documentation does not exist to support audit information or services provided, providers will be required to repay all funds received for which documentation does not exist. 6) In cases where audit deficiencies are noted, a plan of corrective action shall be submitted to the Department Audit Division for approval within four(4) months of the date of the audit. 7) Failure to comply with any of these requirements, including items on the addendum is justification for the County to impose fiscal sanctions, penalties, or cancel the contract. 6. In the event this contract is terminated, final payment to the Contractor may be withheld at the discretion of the County until final audit. Incorrect payments to the Contractor due to Omission, error, fraud, or misuse of funds shall be recovered from the Contractor either by deduction from subsequent payments under this contract or other contracts between the County and the Contractor or by the County, as a debt due to both the State of Colorado, Colorado Department of Human Services and the County. The waiver of any violation shall not be construed as a waiver of any other or subsequent violation of this contract or appropriate statutes and regulations. 8 Slate SS-23A(6/2006) Exhibit B WHEREFORE, the parties have herein set their hands and affixed their seals the day and date first written above. COUNTY PROVIDER County Department of Social/Human Services Name Address Address City, State Zip City, State Zip County Director's Signature/Date Director's Signature/Date 9 State SS-23A(6/2006) Exhibit C(CHRP) WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between «CENTER_NAME» and Weld County Department of Social Services for the period from October 1, 2005, through June 30, 2006. The following provisions, made this day of , 2005, 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#«FACILITY_ID». Rates outlined may be negotiated based on the child's CHRP application and the COPAR assessment. 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. Add Paragraph 14 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. 4. Add Paragraph 6 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) 350-8389. 5. Section V, Paragraph 5. Children in Residential Treatment 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. 6. 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. 7. 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. 8. 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 Exhibit C(CHRP) Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 9. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, 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. 10. 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. 11. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, 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. 12. 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; 2 Exhibit C(CHRP) 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. 13. Add Paragraph 10 to Section VI. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant 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. 14. Add Section VII-ATTACHMENTS: Exhibit C(CHRP) WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX trails Case ID DOB Sex WORKER COMPLETING ASSESSMENT I HH# IDATE OF ASSESSMEN AGENCY NAME PROVIDER NAME PROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? DO)one trip a week or less ❑l)2-3 trips a week ❑2)4-5 trips a week ❑3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? DO)one a month ❑1)twice a month D2)once a week ❑3)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education plan? DO)less than a'h hour per day ❑l)%3 hour a day D2)more than %hour per day,up to 2 hours per day D3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitorin of time and/or activities and/or crisis management? D0)less than 5 hours per week ❑l)5 to 10 hours per week ❑2)at least daily ❑3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing,grooming,physical,and/or occupational therapy? ❑0)less than 5 hours per week ❑l)5 to 10 hours per week ❑2) 11 to 20 hours per week ❑3)21 or more hours per week A I. How often is CPA case management required? DO) Minimal CPA involvement per month and/or no crisis intervention ❑1) 2-3 contacts per month and/or minimal crisis intervention ❑2) l face to face contact per month and/or occasional crisis intervention ❑3) Face to face contact 1-2 times per week and/or ongoing crisis intervention 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 D2)4-8 hours per month ❑3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation ❑ ❑ ❑ ❑ P 2 Therapy/Counseling ❑ ❑ ❑ D P 3 Educational Intervention ❑ ❑ ❑ ❑ P 4 Behavior Management ❑ ❑ ❑ ❑ P 5 Personal Care ❑ ❑ ❑ ❑ A I Case Management ❑ ❑ ❑ ❑ T I Therapeutic Services ❑ ❑ ❑ ❑ 4 Exhibit C(CHRP) WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (CONT.) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination -Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. i t;}7)!i[i 1 :t 1[ x. l; t r I t{�,•t tll' ., t.. �i p I! o 1 j,L, t ro .} }.I i�ir "G 1.1 � '5 t, 4 111 !Mil t}7`i, n 1 1,t.) T1�i �((il 1 tN` 1 1}il �.i n�{f Ei rI lI ` x ` fi: {�y l 10,111 I a {' •l! , ,,p,i, i I� ,. 1 `'I ) {I'- i� t • y,t r � fi i 1 ti it t r 1 r I,t RI i. t'1 ! :•} t f ll" ' lip Igi.10,11 ,!.,.iI t { -i`111 i I''�l' ` t4l r l {�f 1 tt t f I G I 1 9 Q�;. li,L,Pjh1 it,;x I •,'E k1} qu '`ftFll aII ii !i )r:l l' i ' tt�s�.�'i�'IktE I � .Ii [1! n, �. '' ii 1`i{i4 } '� `+i '� r �:}�{ I�I € t ��',. " r:l t IS a� il. ...,y,, h I I!a t l f I if liiii f E 'Iiii l ` 1�1 u 1 t •..,t r'll, l>Etw r4 �, ,ai.cull+ a .niun�u +� IA�:r C. I G !� i�, r ��"I�w11 I rr ',� r6!a I " �...,�t �'I F( r :., k!' � i t 1 �} :Si'N i�... ❑ A 'tt il�t) `1 I ` }71 t !'• �i.�; 1 i.SH " 1` 1,t# } "! I �:f �>�'lt t�#t'tt ff (( 't[ r_4� 111 tS it;I. ! i {i 1 a;4rsuii Iii ` t11�S1 71 R }y{}i,;y�y N� �! � ill ' N'.ililf�,l,� .'l�f �t :j' t) �}qI #@ t, lid 1{ s}i};, ,:ah { ` u vi.fi 1 1- i FI 7 sl E�It. I ut'll. E t it l {l'; i11 is . � . l�l; ; ) { E • y[3 ,. :a ., tf .1.::,� „' ��� ���r� • f �1'E ;'1j.�:� 2'],I�,I,,I t4 i��(1t i t °�I s{�+'r�A'}+t���`,t(�l�..S } r t) �. i Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ 0 0 Enuresis/Encopresis ❑ 0 ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ 0 Disruptive Behavior ❑ 0 ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ 0 Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ o ❑ 1 ❑ 2 ❑ 3 5 Ui..l.i r nunlu cc-11A A.I,h„.i...11 Exhibit C(CHRP) • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT • (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. EVEL OF PROVIDER SERVICES NEEDED(Average of P1 through P5) ERIOD 1: LEVEL# omments: EVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) EVEL # omments: EVEL OF THERAPY SERVICES NEEDED (T1) EVEL # omments: PECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # omments: EXT SCHEDULED RATE REVIEW: Initial Date: maximum of 6 month intervals) 6 weld County SS-23A Addendum Exhibit C(CHRP) WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) ' b.�, rj( (F a i it ` i::,.3n, ppi,�yyr,l t I rt i{ t, " t y'I ^ C? €' ti 1A ii i tl S 1 `� i' ; a) , tifi ,0 a:,1A� V s1:"P w v ''C'1110 7A110 , �� - P l i p�7 � � r ., 4,tc titbit! I. 1Ii. ht44Itfl #t,L.�� �) Al, iir.'e '3 t� I, 11 w 6 ��I� i Wit t. n 1t 1�}i 4 v w , t tq t I i£. e is �1 v Pr r u t ,(I Ij 3't i i i3' .A n t t x E I rr v i k °.}' :rh K t I`t'''r:'''','i Elio � I I i7 • 1 g t" ,,g y AY3 §t" ,5$" i'["I n4 '$ t I pit�9(' t, d7Pt it I ti t,+� ',',',11,411,r,, lt+y¶ lt't r'l' ( ilt +,fi t ) t i Nmy 'vt. ,liriglr'� ,k ' t (Ca4 M'NI{ ) 4 d t It t I ii 4' t i,X 11 a"f) .i iw :P{ t t4� t 4 !+ ,111E +t it, t i' a i ! a s Piro"(AdV t I' i A kkgg 4((s(( :; i v rt ki °s'�'Fr' ,. ft _ cf& tr t �, a v i f4 =,lk6�� . ��I=t ltlt(AQp11i1)it� � ,�t � 3;, PI' E� a it,i:i� !� (I A:� . t . f . p 0-10...$11.47'III 1 Level 0...$5.60 Le Id III l l ] h.�tli 1 . ° , 1 ., Age vet 0 $4.93 re Level 0 1h, $0 Level 0 $0 3 Age 11-14...$12.89 . i o '' D. (Minimal CPA involvement,no '�. (Therapy not needed or provided (None) j1 Age 15-21...$13.91 ' A crisis intervention. Only doing rA`" by another source,i.e.mental o }„. }- what is necessary to maintain `.it;! health.) 4z ! +$.66 Respite Care I r ii monthly responsibility.) I (, 9 tfil 4,II rIl I. Level 1 $8.22 II Level 1 $4.93 I 1i $19.07 `"' S, Levell $2.99 01.4(LowIII level of case management,. (Regularly scheduled therapy, .II: +$.66 Respite Care Level 1...$5.60 minimal crisis intervention,2-3 t. g 4 hours/month.) py ($19.73) • contacts/month,minimal crisis 41 I intervention, kit ₹, 2-3 contacts/month.) nil: hi 4 by it ir '$Level 2 $11.51 I`i Level 2 (( $9.86 III 2 ;:: $25.64 . , (Moderate level of case (Weekly scheduled therapy, • ( + Respite 1v III Management including t Level 2 $4.47 $.66 Care Level 2...$5 60 :s. 9 4-8 hours a month with 4 hours of g ($26.30) i ( Weekly support services, t, Group therapy.) i t, Occasional crisis intervention, ih}'. if, ₹` Face to face contact 1 time ,ii` • •i � i4 Per month.) < t. kr k: III 114 u; " k44 r�Level 3 $14.79 Level 3 $14.79 "IIti` . ``'(High level of case management (Regularly scheduled weekly (n" $32.22 k1, and CPA involvement with child 1t*{ multiple sessions,can include t;= Level 3 $6.02 3 `« +$.66 Respite Care ,I ' Level 3...$5 60 , .,; t FIB and provider including ongoing ( more than 1 person,i.e.family " ($32.88) , crisis intervention and face to therapy,for 8-12 hours/monthly.) 11 1.1 r{t face contactl-2 time per week '+J h I1 minimum.) 73 t, hp ' Level 4 $18.08 Level 4 $14.79 IY 4 • t RTC $38.79 t (High level of case management (Regularly scheduled weekly Level 4 Neg. +$66 Respite Care Level 4 $560 ' and CPA involvement with child multiple sessions,can include Drop , 4...$5.60 and provider, including on-going more than 1 person,i.e.family ti Down ($39.45) I,li I. crisis intervention and face to therapy,for 8-12 hours/monthly.) , face contact 2-3 times per week minimum.) till Assess. Assessment t . Period Period $26.30 •' Assessment Assessment Assessment Period $0 (Includes Respite) ' Period $560 Period $11.51 Effective 07/01/2006 7 Weld County SS-23A Addendum Exhibit C(CHRP) 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 WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF SOCL&L SERVICES By: By: Deputy Clerk to the Board William H. Jerke, Chair CONTRACTOR «CENTER NAME» «MAILING ADDRESS» «CITY STATE ZIP» By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Director 8 Weld County SS-23A Addendum Exhibit D(CPA) WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between «CPA_NAME» and Weld County Department of Social Services for the period from October 1, 2005, through June 30, 2006. The following provisions, made this day of , 2005, 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#«FACILITY_ID». 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. Add Paragraph 14 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. 4. Add Paragraph 6 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) 350-8389. 5. Section V, Paragraph 5. Children in Residential Treatment 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. 6. 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. 7. 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. 8. 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 1 AF/cld rnunio cc?IA Ad.b.,.6,m Exhibit D(CPA) the County. 9. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, 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. 10. 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. 11. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may possess, 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. 12. 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 2 Exhibit D(CPA) 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. 13. Add Paragraph 10 to Section VI. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant 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. 14. Add Section VII-ATTACHMENTS: Exhibit D(CPA) WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX Trails Case ID IDOB Sex WORKER COMPLETING ASSESSMENT IHH# IRATE OF ASSESSMEN AGENCY NAME ROVIDER NAME PROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for one of the following: therapeutic or medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the caseworker? ❑0)one trip a week or less ❑1)2-3 trips a week ❑2)4-5 trips a week ❑3)6 or more trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? ❑0)one a month ❑1)twice a month ❑2)once a week ❑3)2 or more times a week P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with a regular or special education plan? ❑0)less than a''A hour per day O1)1/4 hour a day 92)more than '/ hour per day,up to 2 hours per day O3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitoring of time and/or activities and/or crisis management? ❑0)less than 5 hours per week ❑1)5 to 10 hours per week 9 2)at least daily ❑3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing,grooming,physical,and/or occupational therapy? O0)less than 5 hours per week ❑1)5 to 10 hours per week ❑2) 11 to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? DO) Minimal CPA involvement per month and/or no crisis intervention 01) 2-3 contacts per month and/or minimal crisis intervention O2) 1 face to face contact per month and/or occasional crisis intervention O3) Face to face contact 1-2 times per week and/or ongoing crisis intervention T I. 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 93)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P I Transportation ❑ ❑ ❑ ❑ P 2 Therapy/Counseling ❑ ❑ - 0 ❑ P 3 Educational Intervention 9 9 _ ❑ ❑ P 4 Behavior Management ❑ ❑ ❑ ❑ P 5 Personal Care ❑ 0 ❑ 0 A 1 Case Management ❑ ❑ ❑ 0 — T 1 Therapeutic Services ❑ ❑ 0 ❑ Exhibit D(CPA) WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (CONT.) RATE TI-IE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination -Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. $F X icy 'hhaa.. kyzyiqµµ. 19{ $irli " Kln if' G}i h,top + FpF i.' � 1 �� i. PT...:)v, t ' ,TIr t Oog li t� Nlaw p a �"& t�'$y�j�4 'tr( ��I v 1111 �y, 4, � f it,,I,',;!?-,:.'',�{�f� ! ��6v� I �. t i " ia�.` iit n., iiie �i 9 I fib FF'A41.9; d fh, at'' *.ix a`Lkuz'3�m.� 1 La d.,..i, wa t �y y w nr Nitp 'f7 ^ i at HtE rig,,,„„,„,„,„,„,„,,,,,,,,,,,,„.,,, l'111Y 7 S ;40)4 0 ) L� �r� fF �' �lTi , e ?;,0,,e0,;;ti,',,, 1(I,' § f iy.. re Pto, �' 4:,tin:,} ttlit, I �t .I h ' :PIP�' �: ItI dt th Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ O Enuresis/Encopresis ❑ ❑ ❑ O Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ o ❑ 1 ❑ 2 ❑ 3 5 Exhibit D(CPA) • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (ATTACHMENT B) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of Pl through 135) PERIOD I: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (Ti) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) 6 Weld County SS-23A Addendum Exhibit D(CPA) • WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C),Acipiii.tiiiiiglf(0.8iIiiiIIII:iliii(154iiiIililliliiiiiiiiiilliiipligtlii) (\Tril,' -r a s -( ulliliili e . e c ('"a - i. `�"i la ;,,t a I y )�E t�« 14 1 �gae a Yr-r ( ",g: gIiiip l.p H�� ri l{ ai' ka �14 iy tlit lta r iyy - as ai' ti t ', h $t u. .i aMtii (n Ari I «:� ICWI� �,�it,li C, 9 3* i t ��{ « tit, g1 p a § cursirtgRifiiiiiigir; ramcoN a� .. ��«; °`• �' 1'- }{ a silk. (I ,,1 •" tlii {pN$����`' mil a r a Age 0-10...$11.47 t oPi Level 0...$5.60 Level 0 $4.93 Level 0 $0 k„ Level 0 $0 0 PO Age 11-14...$12.89 k- (Therapy not needed or provided F (None) la (Minimal CPA involvement,no linby another source,i.e.mental Age 15-21...$13.91 crisis rvtn Oy ong ) fit:', 0iiii what ii iory.to nl maintaindiill" health.ii+$.66 Respite Care monthly responsibility.) 1-42 iii,la Level 1 $6.22 =I Level 1 $4.93 1 $19.07 Level 1 $2.99 +$.66 Respite Care iii Level 1...$5.60 (Low level of case management, (Regularly scheduled therapy, ,ii ($19 73) 1;�; minimal crisis intervention,2-3 a 4 hours/month.) ssl NI pla r,# contacts/month,minimal crisis • f4. intervention, liiii ,`r 2-3 contacts/month.) , y'',3 r al il, `� Level 2 $11.51 ii Level 2 $9.86a1i 2 ill $25,64kr=, (Moderate level of case (Weekly scheduled therapy, i& +$.66 Respite Care Level 2...$5 60 i Management including '; 4-8 hours a month with 4 hours of a i Level 2 $4.47 ($26.30) ail ai3 Weekly support services, Group therapy.) Occasional crisis intervention 'i;j I Face to face contact 1 time iki ili a fi Per month.) 1 iii;! 4i i11i. 'k � ... rYt, Level3 $14.79 !Level 3 $14.79 a a - h_} (High level of case management�(a(;; (Regularly scheduled weekly I`; 3 $3222 tl` and CPA involvement with child Mi multiple sessions,can include 1: Level 3 $6.02 iii +$.66 Respite Care Level 3...$5.60 .�� ($32.88) i and provider including ongoing ,r more than 1 person,i.e.family ), it ! crisis intervention and face to therapy,for 8-12 hours/monthly.) ' face contact1-2 time per week (?f. N minimum.) I r 'II Level 4 $18.08 r.Level 4 $14.79 4 $38 79 ,''v;(High level of case management bli.. (Regularly scheduled weekly Level 4 Neg. RTC +$.66 Respite Care Level 4...$5 60 • and CPA involvement with child multiple sessions,can include Drop ($39.45) and provider,including on-going `'; more than 1 person,i.e.family Down crisis intervention and face to k therapy,for 8-12 hours/monthly.) face contact 2-3 times per week minimum.) i; Assess. Assessment Assessment Assessment Period a Period $26.30 ` Assessment Period $0 t, (Includes Respite) Period $5.60 Period $11.51 Effective 07/01/2006 7 Weld County SS-23A Addendum Exhibit D(CPA) 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 WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: By: Deputy Clerk to the Board William H. Jerke, Chair CONTRACTOR «CPA NAME» «MAILING ADDRESS» «CITY STATE ZIP» By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Director 8 Weld County SS-23A Addendum Exhibit E(Group Care) WELD COUNTY ADDENDUM To that certain Agreement to Purchase Group Center Care Services ("Agreement") between «CENTER_NAME» and Weld County Department of Social Services for the period from October 1, 2005, through June 30, 2006. The following provisions, made this day of , 2005, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID #«FACILITY_ID», agrees to provide: A. Care and services, which are listed in this Agreement at a rate of «PROVIDER_RATE»per day for children placed within the Group Home/Center. 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. Add Paragraph 12 to Section I. The services purchased under this Agreement for Group Home/Center services may include,but are not limited to: Basic 24-hour care and child maintenance (food, shelter, clothing, educational supplies and allowance), Direct Child Care, Transportation, Administrative Overhead, Support Overhead, Service delivery Staff, which may include but are not limited to: Parent Training for Teens, Independent Living Training, Mentor/Advocate, and Supervised Visitation. 3. Add Paragraph 6 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) 350-8389. 4. Section V, Paragraph 5. Children in Residential Treatment 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. 5. 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. 6. 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. 7. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan i Weld County SS-23A Addendum • Exhibit E(Group Care) (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. 8. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, 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. 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 immunities the parties or their officers or employees may possess, 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 2 Weld County SS-23A Addendum Exhibit E(Group Care) 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 that the Contractor learns of any actual litigation in which it is a party defendant 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. 3 Weld County SS-23A Addendum Exhibit E(Group Care) 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 WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: By: Deputy Clerk to the Board William H. Jerke, Chair CONTRACTOR «CENTER NAME» «MAILING ADDRESS» «CITY STATE ZIP» By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Director 4 Weld County SS-23A Addendum Exhibit F(RCCF/CHRP) WELD COUNTY ADDENDUM To that certain Agreement to Purchase Residential Treatment Center Services and Residential Child Care Facility Services (the "Agreement") between «RCCF_NAME» and Weld County Department of Social Services for the period from October 1, 2005, through January 1, 2006, unless sooner terminated by the Department of Social Services upon the provision of 30 days prior notice. The following provisions, made this day of , 2005, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#«FACILITY_ID», agrees to provide: A. Care and services, which are listed in this Agreement at a rate of «PROVIDER_RATE»per day for children placed within the Residential Child Care Facility unless the child is eligible for the CHRP program. 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. Add Paragraph 12 to Section I. The services purchased under this Agreement for Residential Child Care Facility services may include, but are not limited to: Basic 24- hour care and child maintenance (food, shelter, clothing, educational supplies and allowance), Direct Child Care, Transportation, Administrative Overhead, Support Overhead, Therapeutic Recreation, Service delivery Staff, Direct therapy and evaluation, which may include but are not limited to: Psychological, Neurological Medication and follow-up, Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy, Polygraph, Plethysmograph, Parent Training for Teens, Independent Living Training, Mentor/Advocate, and Supervised Visitation. 3. Add Paragraph 14 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. 4. Add Paragraph 6 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) 350-8389. 5. Section V, Paragraph 5. Children in Residential Treatment 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. i Weld County SS-23A Addendum Exhibit F(RCCF/CHRP) 6. 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. 7. 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. 8. 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. 9. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, 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. 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 immunities the parties or their officers or employees may possess, 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 Exhibit F(RCCF/CHAP) 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 that the Contractor learns of any actual litigation in which it is a party defendant 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. 3 Weld County SS-23A Addendum Exhibit F(RCCF/CHRP) 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 WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: By: Deputy Clerk to the Board William H. Jerke, Chair CONTRACTOR «RCCF NAME» «MAILING ADDRESS» «CITY STATE ZIP» By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Director 4 Weld County SS-23A Addendum Exhibit G(RTC/RCCF) WELD COUNTY ADDENDUM To that certain Agreement to Purchase Residential Treatment Center Services and Residential Child Care Facility Services (the "Agreement") between «RCCF_NAME» and Weld County Department of Social Services for the period from October 1, 2005, through January 1, 2006, unless sooner terminated by the Department of Social Services upon the provision of 30 days prior notice. The following provisions, made this day of , 2005, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#«FACILITY_ID», agrees to provide: A. Room and Board services, which are listed in this Agreement at a rate of «RTC RATE»per day for children placed within the Residential Treatment Center. B. Care and services, which are listed in this Agreement at a rate of «RCCF_RATE» per day for children placed within the Residential Child Care Facility. 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. Add Paragraph 11 to Section I. The services purchased under this Agreement as Room and Board services for Residential Treatment Center facility services include, but are not limited to: Child Maintenance (food, shelter, clothing, personal needs and allowance), Administration, Administrative Overhead, Support Staff, Support Overhead, and Sleep- over Staff 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 (35%); 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 (20%); D. Personal items and grooming care for the child, such as toothpaste, toothbrushes, 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%) 3. Add Paragraph 12 to Section I. The services purchased under this Agreement for Residential Child Care Facility services may include,but are not limited to: Basic 24- hour care and child maintenance (food, shelter, clothing, educational supplies and allowance), Direct Child Care, Transportation, Administrative Overhead, Support Overhead, Therapeutic Recreation, Service delivery Staff, Direct therapy and evaluation, which may include but are not limited to: Psychological, Neurological Medication and follow-up, Family Therapy, Individual Therapy, Group Therapy, Sex Offender Evaluation and/or Sex Offender Treatment as prescribed by the Sex Offender Management Board Policy, Polygraph, Plethysmograph, Parent Training for Teens, Independent Living Training, Mentor/Advocate, and Supervised Visitation. ] Weld Count y SS-2 IA Addendum Exhibit G(RTC/RCCF) • 4. Add Paragraph 13 to Section I. Residential Treatment Center services for children that are deemed in need of rehabilitation will be assessed by the Colorado Client Assessment Record (CCAR) to determine the appropriate level of care. These services are reimbursable by Medicaid under this Agreement, as outlined in the Department of Health Care Policy and Finance, Staff Manual Vol. 8. 5. Add Paragraph 14 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. 6. Add Paragraph 6 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) 350-8389. 7. Section V, Paragraph 5. Children in Residential Treatment 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. 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, declared ineligible, or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; 2 Weld County SS-23A Addendum Exhibit C(RTC/RCCF) C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 12. 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 immunities the parties or their officers or employees may possess, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 15. Add Paragraph 10 to Section VI. The contractor shall promptly notify Social Services in the event that the Contractor learns of any actual litigation in which it is a party defendant 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. 3 Weld County SS-23A Addendum Exhibit G(RTC/RCCF) 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 WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: By: Deputy Clerk to the Board William H. Jerke, Chair CONTRACTOR RCCFNAME» «MAILING ADDRESS» «CITY_STATE_ZIP» By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Director 4 Weld County SS-2?A Addendum Hello