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HomeMy WebLinkAbout20062391 RESOLUTION RE: APPROVE ADDENDUM TO TWENTY-TWO AGREEMENTS TO PURCHASE CHILD PLACEMENT AGENCY SERVICES AND AUTHORIZE CHAIR TO SIGN 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 Addendums to twenty-two Agreements to Purchase Child Placement Agency Services between the County of Weld,State of Colorado,by and through the Board of County Commissioners of Weld County,on behalf of the Department of Social Services, and the following providers, commencing July 1, 2006, and ending June 30, 2007, with further terms and conditions being as stated in said addendums, and 1. Adoption Alliance 12. Hope and Homes 2. Alpine Children's Environmental 13. Hope Family Services Services, Inc. 3. Bethany Christian Services 14. Jacob Family Services 4. Bridges, Inc. 15. Laradon Hall 5. Children's Network 16. Loving Homes, Inc. 6. Colorado Family Services, Inc. 17. Lutheran Family Services 7. Carmel Community Living Corp. 18. Maple Star Colorado 8. Commonworks, dba Synthesis 19. Opportunity in Living 9. Dungarvin Colorado, Inc. 20. PATH 10. Frontier Family Services 21. Savio House 11. Griffith Centers for Children 22. Youth Ventures of Colorado WHEREAS,after review,the Board deems it advisable to approve said addendums,copies of which are 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 Addendums to twenty-two Agreements to Purchase Child Placement Agency Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and the above listed providers be, and hereby are, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said addendums. 2006-2391 SS0033 ; S-S oq-/9-off ADDENDUM TO TWENTY-TWO AGREEMENTS TO PURCHASE CHILD PLACEMENT AGENCY SERVICES AND AUTHORIZE CHAIR TO SIGN -VARIOUS PROVIDERS PAGE 2 The above and foregoing Resolution was,on motion duly made and seconded,adopted by the following vote on the 30th day of August, A.D., 2006, nunc pro tunc July 1, 2006. BOARD OF COUNTY COMMISSIONERS WELD COU , COLORADO ATTEST: _/,N'I i ���"a4Ce"'7f� � 04 .4v $j4 1161 kV: G ile, Chair Weld C unty Clerk to the o rd ` el ed 6 cir C 1 +i treavi. E. Long, Pro-Tern BY: AU /÷ Clerk t the Board "LI Yl J Willia H. Jerke APP AS TO F -h&--\\J`�,n`�W --� Robert D. Masden o ttor y EXCUSED Glenn Vaad Date of signature: Cr/l'204 2006-2391 SS0033 hea3/4.3/4... rist ctit 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 Will O MEMORANDUM Fax(970)346-7663 • COLORADO TO: M.J. Geile, Chair Date: August 28, 2006 Board of County Commissioners FR: Judy A. Griego, Director, Social Services✓ 41 Q Vw� RE: Addendums to Agreements to Purchase Child Placement Agency Services with 22 Vendors Enclosed for Board approval are Addendums to Purchase Child Placement Agency(CPA) Services between the Weld County Depai latent of Social Services (Department) with 22 vendors. The Addendums were reviewed at the Board's Work Session held on August 28, 2006. The Addendums are with providers for reimbursement during SFY2006-2007 (July 1, 2006 through June 30, 2007). A. Rates are based on Needs Based Care Assessment. B. The vendors include: Provider ID Number 1. Adoption Alliance #71259 2. Alpine Children's Environmental Services)1W#1519521 3. Bethany Christian Services #45514 4. Bridges, Inc. #1980 5. Children's Network #77512 6. Colorado Family Services, Inc. #26885 7. Carmel Community Living Corp #44383 8. Commonworks, dba Synthesis #104085 9. Dungarvin Colorado,Inc. #98960 10. Frontier Family Services #38041 11. Griffith Centers for Children #1531601 12. Hope and Homes #29867 13. Hope Family Services #42942 14. Jacob Family Services #71260 15. Laradon Hall #45200 16. Loving Homes Inc. #72767 17. Lutheran Family Services #45080 18. Maple Star Colorado #90967 19. Opportunity in Living #1511157 20. PATH #1502692 21. Savio House #37330 22. Youth Ventures of Colorado #1529601 If you have any questions,please contact me. 2006-2391 • WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Adoption Alliance and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this / day of , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of th 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#71259. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number(970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. &n;-&39/ 1 wpmr,.i,„n,cc_n e en 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 WPM("miter.,cc_ne 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. 16. Add Section VII-ATTACHMENTS: 3 WnmA rn„nh,CC_115 AAAnnA,,.., . 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 I-IH# PATE OF ASSESSMEN AGENCY NAME ROVIDER NAME ROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for the following: Therapy; Medical treatment; Family visitation; Extraordinary educational needs;Etc.,as outlined in the treatment plan? O0)one round trip a week or less ❑1)2-3 round trips a week ❑2)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? DO)Once a month El Two times a month but less than weekly ❑2)Once a week O3)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? O0)less than a'/z hour per day ❑1)'h,hour a day O2)more than'/x 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 monitorinYY of time and/or activities and/or crisis management? O0)less than 5 hours per week ❑1)5 to 10 hours per week O 2)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 O2) I 1 to 20 hours per week O3)21 or more hours per week A 1. How often is CPA case management required? O0) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. ❑1) Face to face contact one time per month and minimal crisis intervention. O2) Face to face contact two times per month and/or occasional crisis intervention. O3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or provided by another source(i.e. Medicaid) On less than 4 hours per month ❑2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 0 0 0 P 2 Therapy/Counseling 0 0 0 0 P 3 Educational Intervention 0 0 0 0 P 4 Behavior Management 0 0 0 0 P 5 Personal Care 0 0 0 0 A 1 Case Management ❑ 0 0 ❑ T 1 Therapeutic Services 0 0 0 0 4 wpm rnnnh,CC-11A Addendnn. WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. a t, ' .{= E i M}5s ,r 0 i9lM 1 �1I f b (Yi {i U. ' t iii ,li rvu x _ tl r � I •.. I ! S� I at ppi l' .4'L : 11t '3a ILL dg' . ' .. y�bil i „i p C t "Li I �3 it�„ ih. i,4 ill. ' i! �� � "v ST ' ^R � 'LIP I I � . li lhi C l�i 1 �{ �,I V �'f,�s ::::}-7)::;!'!I!"911!;11,111 Iv. '1 i al„ I,,, f;6/' ii uih� II� _ Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting 0 ❑ ❑ ❑ Stealing ❑ 0 ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ 0 0 0 Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis 0 ❑ ❑ ❑ Runaway ❑ 0 0 0 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) 0 0 ❑ 1 ❑ 2 ❑ 3 SU/p1.1 r,.,,.,,.,CC-11A AddP.,d,in, • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED(Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED(Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (T1) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) 6 Weld County SS-23A Addendum • P. WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) i i1ii I, I } it n 'I !14 •p ,i : 1 I' x , ,f° 11 nAG�aiPi( 11 , I '���'l�,I a y' 4414 i o- i i1P!a 111 ii 1i i t + '� 1 Ifn 1d I ,;;I iil91�10;p;i; li" yl-it'A ,'ill lu I ' ( 1 . Ili vim !G ,Fg� -J i i H'il 1 1ri 'ITS thikt l' i 1 ( It -)Pr s , i ,C l ( g 1,�1 4o r� '! Al i )� ,pry) ! I, 41 �!' � C!: )4)i 11 144: l I I '1 1; 11 N 11 ` 4 ('4.44 4•$!f'i ,Il ,, (-' }}r PGI i ' '>i•' 1 PIA: e t , t ff 11) , , , ! r i '! ' a II14 IIi� 'N .41444,40v ( I 'I!If'6.G 1'at I' 1:Nifa 144 ill r,i 1p4,x , , i ry ;M i 1. 4 p nI! fh 4 . h II 41:ail 11,3 i y 1 414:144441'11 M'r 1+{p11iY� ( s 1 in> jo„k.,{.11 ,a 1� gg�� �,�7 ,� , iv 34 � -GI I, f Ih I � I11 G 1 [INN G(l -�t .� H pp r ,j,�4�9Qr �f 10.144.122 f l.x'r fiY'r5 t1''. 9 1 f" ,. it:6 114:�N '' ,:6661 l r i"i r ( 1 R , :66tV+ It$1636' i ('6 �'� i I ;'i,�' q I 6436 ¢N fi �xi a i I4 ' )N ! f 1- 4!469664 643"'big 1(I' , 1 '6636661.6616i��SS441111 '�16 ' 5 ."6:1 11't,��11it f'i li cihil I 1)i , to ,I;L..,;.0.;,„:::.,44;.4,,,,, ;13' rg ,1, a uL i , : i W I , - b i ., 11, :, W 6 i, w Lui d„, timu, tii :1416:14126:61:136316614i ,h 66*, ( IBn rl f' ,I_., , (� " n 1 iI '''fIp , ,,,i1 n �,i _ ,; r if H .. is * :::3461i66366; Iri' u!44 1i t - !it'�',E ;;.';',;41::- 111 I i;;;.i ill,ii11I ) lc:1ril d1111IgIu11ni1I,1;19N1:'µ1 111 111 xd'� -� 'i n "1'',:411'G 6i r �'nd :;� i 'Ail 'iY I f, ,dx , 1$ ! l l 1 3I 16 1616'n ! ,J,rl '1' I 4 ! I l 0.A 'Ii1i �,n i' I u6+) 'h"' A `' - ff P j ( 4 ! , li 1 11 r111 I rai !• 4 I{ ,ii - � 1 - l iti 4 ,,I, It t Pa '4, "$t GIN itl of � h, ) II 1 i:!' „ f I 1,1 PI y, ! 1, ! 6 1111`11! 1 Ui , r it, il:: n A.. l : 1 �I' s~ F.x h'n r , II I �..d:xn..}� ��;,;i,,,,i, 1 i ,.,.,�w1 .1I,,: IG!...ul .� ,)i,I11aa11J��d�lklil�711�1:9iML.�,,...,� �i�a,u'>i1'l�.w.',1,1:ll' ,f1;ICu�I.b,�;' "� �'�a, w� f,.IS,u,6,.m,...aL,W„. Age 0 10...$11 47 , Level 0...$6.25 ' fIC Level 0 $0 Level 0 $0 o i I . Level0 $4.93 J,. h+i 0 III Age 11-14...$12.89 I.I till' (Therapy not needed or provided III)) (None) f- „ (Minimal CPA involvement It ill by another source, i.e.mental Ill Age 15-21...$13 91 I 0 i and/or no crisis intervention i.e q� health.) x 4 l mutual care placements.) I +$.66 Respite Care tilt I r' r•u III( 111 gli Level 1 $8.22 F Level 1 $4.93 ! 1 �f $19.07 II.:. (i, , n: wt ? Level $2.99 `I Pd. (,,r +$.66 Respite Care It' Level 1...$6.25 I,' (Face to face contact one time I (Regularly scheduled therapy, itil Ilk ($19.73) fl1 ( per month and minimal crisis Il, 4 hours/month.) .111 01 liti intervention) ), i!i Ii �I� l i: .,) Ff:! 111 S a;i 'i :! JI', 11C ,) I I 1 El 11< IFLYb 1� „Level 2 $11.511 Level 2 $9.86;III H! 1 I i 4 2 G, $25.64 Ij (Face to face contact two times (Weekly scheduled therapy, 191 Level 2 $4.47 +$.66 Respite Care '11 Level 2...$6.25 , 1 per month and/or occasional Fill 4-8 hours a month with 4 hours of +.I I ($26.30) I crisis intervention) V;I Group therapy.) 4' -_, 4_u I,k *�3 1tia iN N I,'I !, 1III ! 5 Level 3 $14.79 i ) ' $14.791 p Level 3 64 I .1 IrlIf 1 (Regularly scheduled weekly 141 i; $32.22 111 3 ' + Level 3...$6.25 (Face to face contact 1-2 times multiple sessions,can include i; Level 3.......$6.02 $.66 Respite Care 1 I more than 1 person,i.e.family ($32.88) 1 I per week and/or ongoing crisis { .1 1 ') therapy,for 8-12 hours/monthly.) intervention.) iI.; i 9 I� :y '- L'.� I,.u) a1 1. 6 ti $14.79 i y. I Level 4 $18.08, l Level 4 ,( 4 )I ', (Face to face contact 2-3 times (Regularly scheduled weekly I1 Level 4 Neg.' Respite ,1,1' 9 Y 1•;1 +$.66 Respite Care �a Level 4...$6.25 per week minimum,High level 1 multiple sessions,can include Iiit Drop I of case management and CPA - more than 1 person,i.e.family ,;, Down 1` ($39.45) .; li. involvement with child and (' I therapy,for 8-12 hours/monthly.) tr 1;'i ,rl I'° provider,including on-going 1� s1i crisis intervention.) III r 1 r au1 11 a Assess. I 1 Assessment 11 r. ' Assessment Assessment Period Period $26.30 , i. 'Assessment Period $0 ;i ', (Includes Respite) ! Period $625 i = Period $11.51 1 ),i la Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Weld County Clerk to the Board E�a WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF ti F THE WELD COUNTY 1� EPARTMENT OF SOCIAL ERVICES By: fut' 1 11 By: puty Cl to the Board M J. Geile, Chair AUG 3 0 2006 CONTRACTOR Adoption Alliance 2121 S. Oneda St, Suite 420 Denver, CO 80224 By: KJ04L4' A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: irector 8 Weld County SS-23A Addendum WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Alpine Children's Environmental Services, Inc and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this ( day of j h� , 2006, 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#1519521. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number(970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. &Ca,-a! 1/ 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended,proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local)terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 W Id Crumb/cc_ne ennann,,.,, • 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. 16. Add Section VII-ATTACHMENTS: 3 Weld fnnnn,CCD1A Addendum • 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 IEIH# PATE 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 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 ❑l)2-3 round trips a week ❑2)4-5 round trips a week ❑3)6 or more round trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? DO)Once a month ❑l)Two times a month but less than weekly 02)Once a week 03)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'/:hour per day Ell)'/3 hour a day 02)more than%hour per day,up to 2 hours per day 03)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? P0)less than 5 hours per week ❑l)5 to 10 hours per week ❑2)at least daily ❑3)on a constant basis P 5. How much time is the provider required to assist the child because of impairments beyond age appropriate needs with feeding,bathing,grooming,physical,and/or occupational therapy? DO)less than 5 hours per week ❑1)5 to 10 hours per week 02) 11 to 20 hours per week 03)21 or more hours per week A 1. How often is CPA case management required? DO) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. ❑l) Face to face contact one time per month and minimal crisis intervention. 02) Face to face contact two times per month and/or occasional crisis intervention. 03) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? ❑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)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 ❑ 0 ❑ P 2 Therapy/Counseling ❑ ❑ ❑ 0 P 3 Educational Intervention 0 ❑ 0 ❑ P 4 Behavior Management 0 ❑ ❑ ❑ P 5 Personal Care 0 ❑ 0 0 A 1 Case Management ❑ 0 ❑ ❑ T 1 Therapeutic Services ❑ 0 ❑ ❑ 4 Weld County CC-VIA AdAnnd,,.n WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ['Initial Assessment ❑Re-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. kiREINMIIRV:7:ir:iill'Briii;517C; s ; rr l iii M s ww�4 tin e, B ,w !Ili!'rc�"' i. � a � c e i i u r/ (� i t �1 �'Y '"i r , llSiiii � � "s'� z i i � ,a � ii�r i "'�rc+"'::':.::}t: > » t(- 1 '.1: '''''Y' a it�i ' 41 r i�} 'H 111 �p$!!1:: � E Y..� N t 11, i.A ' y,,s a p 'rii lax ,, � 'i I�r)p.p,T .. ' � I�, §s�"��.j i a Y Ih ttr�1 i��� I, 1A ' 41�34�1{� b i� i.e�� , '� o o� .,t,# i�1' ` I('� n " d 6x 'LAi.lea Wads �&c1,,.L� ..i.� �,��i��li�i�ii��"SR � IltihilllM10l�w � Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ' ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ 0 Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior 0 ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ 0 0 Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ 0 Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ 0 ❑ t ❑ 2 ❑ 3 5 wPu r,."ten,ccaae enAP.,n ,,, • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (TO LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) 6 Weld County SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates • (Atttachment C) �i}., �� 4fNi+ � i �lY tilly,i ,1�� - '�I)i' trt ,P ':x��6,I'�I�4ir -li If ' , t ! • i'• h t - , y is E. ,§ 1, IB o. y � l Yl „ry���,}- i iili ( .Ii ul �) I � ol��� i rti 'i , Ii F P N Yu A {P:. i„il, , , +.I I { 191!I 1 t � { iV re i l�, +i ( i, �'iu,,Ni a �,1 ik i,')i'rr+ :. ,, 9 t I ,- , i I I X ,PIP � a v syy,,F RAi I � ( � + { Ii � i ,II I , i � y �I MOIL!, YI ,C /' i'i rhh. i yy",, Y P a I, i(l( I h i lit, i I I I) �i yy ,I i i,! { ,M1! tl()i I ,i i I1 ,F i i i ' l� ,,, (� rtilP � t i ,{,C���`�1,,!)��„-% k ., ..4{ a-. 3... .t„ ,,::Ai 1,� .,.,a., 8 r-t d , . II + ii ill y Ic, �41i ffl4alt ,,!Nl I 9999143 t��PuSttgbi .II ( ' � � ' •� I t it lL Q14 I{I 1 4b.4 � +d3 µi, i �. 1 1 111 �� 1.1,;111111:.:11111F,11111,1101,141,0i ,i , ,II I, I ,P 111 r, , �N I�Pi: II9i I �, t r9;9919,3 II Ib i i ' l,l �l• 17 !j i� I Ir• r1' i F rt.! :1 1114 tP it�t „ qay+ k If1'tt.,r. i, t t I u5 3' s ,h { �nna4 1 "� I � q I I I 11,,, i ! I I Vi I, T t l .,l '9 i'. Ci l lnl! i, I r�i�K �'��', �I {!rFv �+11 i1 Ij P, 4GI{{;,:f �a I t, , {uI i {� ,un { tlt t� 4 ,���I , 1I d��{{i l+l �, ,�", , t ° +, wl,� , ' .:, lix, 16 u a' , li (l{ I ki I ,TI, 'i, ,, n) {.l- ,, { :y 4i! ,-.A x '4ii ili {:ii iiiiHtit hlv»' 9�+f {Gq �,,�.yy�t i. q , Ii h {i{, iu i'L 4,' l:,, y , R.:. ii4 t r. i n:9 {I+,i , {I I{i 1 (; �i''Iill'.' W.« �i)IN,�,I.ndiauG,5q'iliLul4UN.d� t(k�,�ii'....t::�.l .,�-�.�id.u�il�'I'.', �n..iL!.,.I.,.,.,. ,u .,, MI -(` - 4 ,uI!'I�;�� in��w„iu��� fi Ill ,I' I i` Age 0-10...$11 47 i�� i6 ..i p Level 0...$6.25 �'f Level 0 $4.93 ;I Level0 $0 - Level 0 $0 ohi Age 11-14...$12.89 ;!f (Therapy not needed or provided '• (None) f (Minimal CPA involvement by another source,i.e.mental Ii: o ,�i, Age 15-21...$13 91 ' and/or no crisis intervention i.e. l. health.) 1): _{ 1 :a { mutual care placements.) t cit 1:: +$.66 Respite Care . )1,: F, 4ti ii ii I u ( r Level 1 $8.22 51 Level 1 $4.93 ' 1 $19.07 (44 'I lC: Level 1 $2.99 a, +$.66 Respite Care i!I Level 1...$6.25 (Face to face contact one time di (Regularly scheduled therapy, jil t ($19.73) + l iili per month and minimal crisis .. 4 hours/month.) I19 t�I intervention) II 1'.i. ;I it ,i; Level 2 $11.51 Level 2 $9.86 a;' 5 `1 (Face to face contact two times I (Weekly scheduled therapy, 2 ;, $25.64 1 ,� Levell $4.47 +$.66 Respite Care , Level 2...$6.25 k per month and/or occasional i 4-8 hours a month with 4 hours of ($26.30) il,!_ ill crisis intervention) Group therapy.) ,4 5kJ 51, I'' I i II •r'i 99 Level 3 $14.79.4. lii ,,Level3 $14.79 (Regularly scheduled weekly C. $32.22 ' multiple sessions,can include r„ 3 - P Level 3 $6.02 +$.66 Respite Care .I Level 3...$6.25 (Face to face contact 1-2 times more than 1 person,i.e.family .. t ($32.88) , .ij per week and/or ongoing crisis therapy,for 8-12 hours/monthly.) ' i intervention.) I F4 .41 �,:(Level 4 $18.08 1. Level 4 $14.79+I: 4 i (Face to face contact 2-3 times (Regularly scheduled weekly k Level 4 Neg. RTC $38'79 € per week minimum, High level ,: multiple sessions,can include V. +$.66 Respite Care 1 Level 4...$6.25 ii aI Drop , i of case management and CPA '. more than 1 person,i.e.family Down ($39.45) '`I' involvement with child and :_ therapy,for 8-12 hours/monthly.) ii ii I provider,including on-going 41i 1 crisis intervention.) ;;j ir Assess. Assessment Assessment Assessment Period Period $26.30 ; Period $6.25 Period $11.51 'Assessment Period $0 unAti (Includes Respite) , Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. MA(1/4441 ATTEST: Weld County Clerk to the B and E1/4, WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF ,est � * OF THE WELD COUNTY � DEPARTMENT OF SOCIAL SERVICES ° 1 By: {1 URI 4L.t.. '1(� By: eputy rk to the Board M. J. Geile, Chair AUG 3 0 aiue CONTRACTOR Alpine Children's Environmental Services, Inc 301 N Cascade Ave, Suite C Montrose, CO 81401 By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: D' ector 8 Weld County SS-23A Addendum 02°06-&,:69/ WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the"Agreement") between Bethany Christian Services and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this day of S\ . , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of thel 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#45514. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number(970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. j 1 Wald('niint',cc_)ae e.ldrnA 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V,Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 Weld r..,,.,n,QQ.»e AAd.„d...., 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. 16. Add Section VII-ATTACHMENTS: 3 WpmA Cn,,n..,cc ,1A AAden dn.., WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX I'Crails Case ID rOB Sex WORKER COMPLETING ASSESSMENT IHH# DATE OF ASSESSMEN AGENCY NAME ROVIDER NAME ROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for the following: Therapy;Medical treatment; Family visitation;Extraordinary educational needs;Etc.,as outlined in the treatment plan? DO)one round trip a week or less ❑l)2-3 round trips a week ❑2)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 a month but less than weekly O2)Once a week O3)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'/2 hour per day ❑l)''/ hour a day ❑2)more than 1/2 hour per day,up to 2 hours per day ❑3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitorinp_of time and/or activities and/or crisis management? O0)less than 5 hours per week ❑1)5 to 10 hours per week O 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 ❑1)5 to 10 hours per week O 2) 11 to 20 hours per week O3)21 or more hours per week A 1. How often is CPA case management required? ❑0) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. DI) Face to face contact one time per month and minimal crisis intervention. O2) Face to face contact two times per month and/or occasional crisis intervention. O3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. Ti. How often is therapy services needed to address child's individual needs per NBC assessment? DO)not needed or provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month ❑2)4-8 hours per month ❑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 ❑ ❑ ❑ ❑ P 3 Educational Intervention ❑ ❑ ❑ ❑ P 4 Behavior Management ❑ ❑ ❑ ❑ P 5 Personal Care ❑ ❑ ❑ ❑ A I Case Management ❑ 0 ❑ ❑ T I Therapeutic Services ❑ ❑ 0 ❑ 4 Wald rn,,nn,ccalA Addpnd,,.., WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ['Initial Assessment ORe-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. i is ` si , ' �) n ` (,a'�t ,y ,1 ;IWIli15 i t { � i�a �aa� 3 ��cw 1 I Po 1 ! �� I D � � U. l'1VI:I i;Iit t9s i, a ,,.:. ,� � r I �� �� a ( ' ,' i 1.4 ii i i� '1 in. o., � l �, tine q + ak t. �e �� 4 d t J , $2i rn .i x , r,H w u.S u i.arc ,taw u,i,n urt mrluv.� i kii't. `t 1 rv� 4 t k. .i , drW1 t ❑ iI, i7 * gi.,k 4: s t ,i � .i �i,� r 0. st ., . ,::ii!.....:awc�,. t�" dh�I����1.1 s,i.n t�l� 'L�lili 'yeti ��S� Aggression/Cruelty to Animals ❑ 0 ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting 0 ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ 0 ❑ Presence of Psychiatric Symptoms/Conditions ❑ 0 ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway 0 ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ 0 Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior 0 ❑ ❑ ❑ Medical Needs ❑ 0 0 0 Emancipation ❑ ❑ ❑ 0 Education ❑ ❑ ❑ ❑ Involvement with Child's Family 0 ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 5 WnlA r„u,nw cc-114 Addenn',n, WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (T1) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) 6 Weld County SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) 1t I:IyIlt'I "i: h It r i It° -il it j1 116 ,II , , >r ll ~. i r [( 1 t�4u llylt,„Iz 7 r„ d 7 I 'p1 ti t W i , I d , h t 1 1 j( 1 eI; III RiNlIlli n 1 i {t Ili',11 t c t f) f , , i ,W t i {{i ' j to a"I l,1.z A:',1 I II�' , , i'I ` It ''',��;it., It t)(.;, 'otl i k n d04 to t ut II� +E:_ Ili I I ICI,'! I t t ! IP B ' .ut I` i t j '':;141j'414'. I 1 (i, ,; i4t :„ . (1h1 'f AliF.94,44:1, ill j N �,t,1:t s rilig�f� °t - i Pt , t,,11 1 41 �% . xpaa -P-Ili tl 1 ?!IIIIII II. ,!,_5 ll Ilftl M Ii y iI it : nInMl 1111: i Viic 0 it u a 114 i 1 i I II) 411ic I � n 1F��441! t i , '� aM LI 11 i r. I I Iii It' I ( rl i 1+4'1 9n ( , I 'uillti P K I • • i I, 1 III t rmAIIA (Uri:' i, l I t A I II i , a ifji i!- I It ' ,4 i aa{ ll aJ1�I ihR'i i t ll I i•AAA.:I .A:-,,,,i u jlta I, I trite; {4�+ 'd p i t ! '3 t ,4 I!e I !, to it e ii'rytj i _ _ ., .) �#,uyl jell aj'j�it T81111t1{ t .�Pi tot ",I�it dm,iul, � w va�;.�..�r�' ) (- 1' 'i l j q 'It , li' 1 t I�I ii I I 12 1 y#61Ilti I, ItOP it irrrt 1 r - �i i � Ail,: y tt,: I 1,i't'" r III TM 'je u , i ;a I dl j I. :;11.:,:p;t ( ,t C 1 4y imhi I i r1 I 4 i I Iii z i. I A ,i, 1 i aiAri I1. I ( I ! ' 1 II ICi t I t it t ( itti t t 1III ') -id h�' 11 IF AAA;-µ''H' . Al jt . I ),{:tti '�''; I t t 11 ii rr “Ii ,at,t���y1 '1 r Y t t '� ( jy��ig + i II,�L.( It'. 9 Itti � t I ii ii �I i rl I ' i }.:; I' stet t Y'a-nrr i'11j�11h1 1 1 I G „AAA. I {i{1 tif, , Nj.i .''" xoaa::i II nisi t a„JIB a.I.Ia Lt...!,e 441 I i/1 dirk GI�n';d9k;..l.t,x'i AS.. 'Mt& lI i ilia t Q'2{ i l(7€��t t r .�k IUVuIre 0 }? Age 0-10...$11.47 7bi. Level 0...$6.25 ' i Level 0 $0 4 r Level 0 $0 kl Level 0 xi{ $4.93 Oill l Is. In 1 Age 11-14...$12 89 i, 0 ��� ,1 iii; (Therapy not needed or provided ' (None) ,i ,, i., (Minimal CPA involvement by another source,i.e.mental ( , 0 ril Age 15-21...$13.91 ;I ,j and/or no crisis intervention i.e t- health.) I.. a mutual care placements.) I, .I I;+$.66 Respite '� �. .l) 1 it u„ Care Ph f 1 , '{ . Level 1 $8.22 i; Level 1 $4.93 0 $19.07 I j Level 1 $2.99 1III +$.66 Respite Care ill Level 1...$6.25 j,; (Face to face contact one time I'° (Regularly scheduled therapy, " ($19.73) d per month and minimal crisis 1i 4 hours/month.) ' flilif "N intervention) :Ij '¢tt Iii 1 d; l•b: I; gy :it . ; Level $11.511,`:Level 2 $9.86 r F. 2 $25.64 I (Face to face contact two times I. (Weekly scheduled therapy, " +$.66 Respite Care Ilk per month and/or occasional 1; 4-8 hours a month with 4 hours of d lir Level 2 $4.47 p „ Level 2...$6.25 il ($26.30) 1 crisis intervention) Group therapy.) i jll I ll yl• ;e 11� III to is Ai 49 Ay ' i 3i d t .) !ii .i I 40 I ' II. .Level 3 $14.79 t' 3 fi $14'79 (Regularly scheduled weekly t- 3 !a + $3222 �� 14 multiple sessions,can include I„ Level 3 $6.02 VIII $.66 Respite Care Level 3...$6.25 (Face to face contact 1-2 times ($32.88) 1 ,I per week and/or ongoing crisis 's II more than 1 person,i.e.family i t I. Ill! therapy,for 8-12 hours/monthly.) ;: ;( �t1 intervention.) (I; r i i �:'•; iii ,' ,' ".Level 4 $18.08 '�,�Level 4 $14.79 rf RTC $38.79 i 4 : (Face to face contact 2-3 times i k (Regularly scheduled weekly Level 4 Neg. Drop .. +$66 Respite Care k Level 4...$6.25 !I of case managementer week minimum, h level 1,i t',l moretle han 1 per on,,i ean lnfam family e y: ($39.45) ,. Downth ;� j involvement with child and ',II therapy,for 8-12 hours/monthly.) 1, t , provider,including on-going I rttis crisis intervention.) Assess t Assessment y j t; Period I ; Period $26.30 • Assessment Assessment '�Assessment Period $0 (Includes Respite) ' Period $6.25 Period $11.51 •,! , ,1 r- Lit bill il;', Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. atellaVel-AT ATTEST: Weld County Clerk to the Board IE La WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF 1161 OF THE WELD COUNTY DEPARTMENT OF SOCIAL . f SERVICES y9 By: ^ C'L 1 . //1(-C " By: puty Cl k to the Board M. J. eile, Chair AJt' Li c b CONTRACTOR Bethany Christian Services 4820 Rusina Rd, Suite C Colorado Springs, CO 80907-8127 • By: S)A --� WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: a Dir ctor 8 Weld County SS-23A Addendum • WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Bridges Inc. and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this \ day of , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of th Agreement remain unchanged. 1. County and Contractor agree that a child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement,based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#1980. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number(970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. f---Per-6-4289/ 1 wad r„iinn,cc_ne ndda.,d..m 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 Wald inn„nn,CC-114 AAArndnn, 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. 16. Add Section VII-ATTACHMENTS: 3 Wnl.l!Mimi-,CC-71A A,iA•wAnn, • 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 IDATE 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 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 ❑2)4-5 round trips a week O3)6 or more round trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? ❑0)Once a month 01)Two times a month but less than weekly O2)Once a week O3)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? O0)less than a'/:hour per day ❑1)'/x hour a day O2)more than'/z 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? O0)less than 5 hours per week ❑1)5 to 10 hours per week ❑2)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 O2) 11 to 20 hours per week O3)21 or more hours per week A 1. How often is CPA case management required? O0) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. 01) Face to face contact one time per month and minimal crisis intervention. O2) Face to face contact two times per month and/or occasional crisis intervention. O3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? O0)not needed or provided by another source(i.e. Medicaid) ❑1)less than 4 hours per month O2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 ❑ ❑ ❑ P 2 Therapy/Counseling ❑ ❑ ❑ 0 P 3 Educational Intervention 0 0 ❑ ❑ P 4 Behavior Management 0 ❑ ❑ ❑ P 5 Personal Care 0 ❑ 0 0 A 1 Case Management 0 ❑ ❑ 0 T 1 Therapeutic Services ❑ ❑ 0 0 4 Wald Cnuns,QQ-91A Addenda,,, • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. t l h { iY r t} r ry rr r'Y lri t o �. :,,,,(1,":'14,:':";i {rGY� r lr l r r� ; FM, ,Willi I it rlr .)7 t ' k :i illi;ta a . ar yr� f w , �I ;.r in ��� fil fintii�{i H'( "J* S.} a t r Il f l� i! ;r biq � N` (il •I Fi er lll�� f1.'•,',2.1:t'!1';;{�4Ar7 1 Its .� $ i ,#sh,,,J,,,,,,,,,,,,,,,,,F.,,{1,4;ia. Eli uw 1 ! wiS§ 1;1 6r,iiiii241&2:zialli e iii ,",� xi .,,. ,vV I �i�4d its .a 4 . w ` " a i t"IJr ti 1§I �p iillii ti ar kfa i4 ,p I. +et , f} o-''1 { h Ili �r1r.l rlil tr �F: .i - 'td,wiWw ' 'f ' :St.�:,u i ..,...ib .. Lt.{rl.1Jt kill;.lU.� i i `i Aggression/Cruelty to Animals 0 ❑ ❑ ❑ Verbal or Physical Threatening 0 0 0 0 Destructive of Property/Fire Setting ❑ 0 0 ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ 0 0 Presence of Psychiatric Symptoms/Conditions ❑ 0 ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ 0 ❑ Inappropriate Sexual Behavior ❑ 0 ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ 0 0 ❑ Emancipation ❑ 0 ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ 0 0 1 ❑ 2 0 3 5 • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED(Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (T1) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) 6 Weld County SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) ., rli ,�"I :i `:':'f'I 101'Pr II o{�I� a Idl D II rgil afi , hill 111.,1 Nrill; In *IIlIA IPI r�lla I'i '"91•'s g I irk �. ii y i ii t3 INII I t.,L is I IN i in #i4 L1l l I I ( IN l i :J 1 4 ' il ' 1 e �, I�i i 1 � I a hip I Ii!l) t, Ia,',I i� ;���rr, Iu�,��� C9.1iII rk mho, �!�,�� {II� Ih� ,Iq ,W ��.; � 7 i .21yy 1I"d , I �, -11 1�f,,. 1 I I ij {;E I I I:!fillip, . I'ip 1 I ( :I h ,� 1. 1,9O:11 ` „! !'-ti I I .�"ys'�rH '�1�ik it Ii"In Ill ,,, I ( �f: , NII {IiNI (I lui j1, �N ��� .:!{!� II II,. ,1l Ia I !1 h� t , I II , :s, I'y41 S 41 - �,IIi ;,! . i' I i I,, }, !I,III k ,i) l,l it i' ! I I�1 'Iiili 4f�j'IV1it,,I r ml' i4 ,td iLa Iii III tili19Si,t dIIIh i ' "th'.I'n .u' ;tIN I I! -� {�{ III G - III t , I I I� I :I aI 7 u I - ' 'I � I { ' ,$Ilih�{I I, l I- 14 I Ill 4 II i z4•�l r`{r, I r r,1, , , l I I ml;. 11 ))I l AIiN { .i , m 1 ' I I i Ili i ( ( _ h1 1 I ,,I III I'II I {' ') i , E (iii {t II,L L Iln!C y'�U I , " it 4 01 _I: , i "iti� Ni �i .,w x 11 I jr i;.,0:::.-!):::,:;::I _ ,, !i i t litf x`111 l� ! 'I I (I1 II �Iil i4' ' �iiiit,'Gi: i g q to i - 11111 t ih ., , I i, - Il h l l l 1 II Ii II ,xl wt I Ix,. d Ali I I .W I 4 >t , i i I I ' 1 7 i ' . I IqI i ;; q I i i �r I 4 I III - ' , I { _k in�,M! ie Iii k 11 . N! I , 1, iI `i, y1 i{i!r Ip�1111I I'I ,i 1,!i -if I i-ani f.,�',�Ii s'; 4, 4.m � hu ,,.. �:i a III! I ,iiyAilih ail '°Noll ' 41 :t wr4t'i' p,,,i; i. 'I I{t!I J III I I ' t i w 1 .�{� l i !113 m 4Nilfi { , t i , ili ;.i, 1�i1J.u�.�;�,Lmil,�I I,I � J,J + .:.�»..I 'o . 6 �$�..i.t_�il� tN.L�f�!�� {>I�S r.� ' r { �ji;I �ji, �s {Ni � I t s .u..,J,v ueu.., ...h,�u.,l N._ , 16,. 6a,.n I ��_. tieAli,Lrl �x d,i�2,aa,Nn a.n6a6 ..'�,I,L,,,,,Lw.�.,...d,NtW:eu } id, rlh' 0 Age 0-10...$1147 ro Level 0...$6.25 i1� I'i'I Level $0 .{ Level 0 $0 II!{ I Leve10 $4.93 �i6 Age 11-14...$12.89 '.i ',+ 0 g �� �h: (Therapy not needed or provided { (None) Off :ofol ,E (Minimal CPA involvement 1,!; by another source,i.e.mental ., Age 15-21...$13 91 1 4 p I 9 } ,1 and/or no crisis intervention i.e OS; health.) i Iiiii !i' ,i mutual care placements.) ', NO +$.66 Respite Care :of a 0::: ,I!.I CL: Iii i, h19 I{H PI 1 a ! Level 1 $8.22 Level 1 $4.93`t j $19.07 ii 411 Level 1......$2.99 nN „ I ,,, '!; ' +$.66 Respite Care !I Level 1...$6.25 , iI (Face to face contact one time Eli (Regularly scheduled therapy, j,,i ($19.73) ({I 1:4 per month and minimal crisis r{' 4 hours/month.) 11'11 {I r,;I intervention) t& 00 0 i'i I,ll i{Ir,{ I 0., ! I I mC 5 r'IS r' II q 11 P:. !Level 2 $9.86 II 1., $11.51 ,.;,�Level 2 2 i $25.64 1 C i (Face to face contact two times ' (Weekly scheduled therapy, 1.� I A +$.66 Respite Care � Level 2...$6.25 ( per month and/or occasional 1 4-8 hours a month with 4 hours of n Level 2 $4.47 r crisis !1i{ ($26.30) I r , I intervention) 1 Group therapy.) N! 14 l.i h PU j it fi' r '5 t ". h i<1 Level 3 $14.79,,1 '' - ..Level 3 $14.79 $32 22 1 (Regularly scheduled weekly '.1 3 I I multiple sessions,can include Level 3.......$6.02 +$.66 Respite Care I Level 3...$6.25 (Face to face contact 1-2 times ($32.88) '' r1, more than 1 person,i.e.family too,: 1 per week and/or ongoing crisis I therapy,for 8-12 hours/monthly.) !i ' O.I. intervention.) I.1 6. 'V La �p'I"� II ,) l ri ({I Level4 $18.08�'� Level4 $14.79 I 4 (-1 - 1 (Face to face contact 2-3 times ,d' l $38 79 (Regularly scheduled weekly r Level 4 Neg. RTC + i; r per week minimum,High level I. multiple sessions,can include Drop $'66($39.45)espite Care '� Level 4...$6.25 ,;{ of case management and CPA more than 1 person,i.e.family o, Down ..a N) :' involvement with child and l{ therapy,for 8-12 hours/monthly.) El b I-1 provider,including on-going I ; I ,i do •l . crisis intervention.) I-: Ft !i COO ,.I s.n ob Assess F. Assessment ! +' 1 Assessment Assessment ' • Period 1.4 Period $26.30 '' ' Assessment Period $0 I (Includes Respite) Period $6 25 'Oil Period $11.51 ! r $ I'', L e 6i ;:a= Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: L /��!/�GL Weld County Clerk to the Board E f� WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF r ;SSi ''"O• OF THE WELD COUNTY sk x. DEPARTMENT OF SOCIAL `\S 14 SERVICES 7 By: A rt.A. 1 ti( tiri By: D uty Cler the Board M J. eile, Chair AUG 3 0 2006 CONTRACTOR Bridges Inc. 1225 N Main Street, Suite 102 Pueblo, 81003 By WELD COUNTY DEPARTMENT p� OF SOCIAL SERVICES By: 'rector 8 Weld County SS-23A Addendum &Gh6-a39/ WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Children's Network andj Weld County Department of Social Services for the perio&&' July 1, 2006 through June 30, 2007. G ,0 �' ?1 The following provisions, made this / day of sly , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. 1. County and Contractor agree that a child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement, based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#77512. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests,plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 304-2749. 7. Add Paragraph 13 to Section W. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. 1 wain�,.��.,..,CC-11A en&a*-435/ 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 Wahl Cn,,nh,CC_T1A 4ddnndn,n A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 15. Add Paragraph 10 to Section VI. The contractor shall promptly notify Social Services in the event 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. 16. Add Section VII-ATTACHMENTS: 3 Wn1A rniint.,CC_J1A A'ld,,d,,n. .........._. ... 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 HH# DATE 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 the following: Therapy;Medical treatment; Family visitation; Extraordinary educational needs;Etc.,as outlined in the treatment plan? O0)one round trip a week or less El)2-3 round trips a week ❑2)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? O0)Once a month ❑1)Two times a month but less than weekly O2)Once a week O3)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? O0)less than a'/z hour per day ❑1) '/1 hour a day ❑2)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 monitorin$of time and/or activities and/or crisis management? u0)less than 5 hours per week ❑1)5 to 10 hours per week ❑2)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 01)5 to 10 hours per week O2) I 1 to 20 hours per week O3)21 or more hours per week A 1. How often is CPA case management required? O0) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. ❑1) Face to face contact one time per month and minimal crisis intervention. O2) Face to face contact two times per month and/or occasional crisis intervention. O3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? O0)not needed or provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month ❑2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 ❑ 0 ❑ P 2 Therapy/Counseling ❑ ❑ ❑ 0 P 3 Educational Intervention 0 ❑ ❑ ❑ P 4 Behavior Management 0 ❑ ❑ ❑ P 5 Personal Care 0 ❑ ❑ 0 A 1 Case Management 0 ❑ ❑ 0 T 1 Therapeutic Services 0 ❑ ❑ ❑ 4 Wald rnnnt',cc-11A 4ddendnm WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ['Initial Assessment ['Re-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT .1:1PLANNING. �t t'z ₹ CP! * i"v� s fY jiff fltr�I'ry fa l{�r ltr �, - � y r 1!{ e i �"e { � 1 01 11 ₹�{Itn 1 r`'f #>�+' 1 tt +1 f r yr. 1 "� {.:. n ,.1 1 17 1₹t {e ,9 Iff�1 ₹I71 t₹if i)r Vi`�,`Ilsrs�'hPli i7 r' § 3"' it °I i 11 Ilt I' 1 111 r 11 i ( �1 �� �t ie 1�� i (, Ip w1 3 .1; e ' ,li'e '# ` � 1 n Ii ' '' i �� 111 �i,l 7 1₹' rpI Is { 1I)' E if11i1� L ) S ii 1 Il.- .. b.dr= r 1 i t N'�f e t i j P -9�i �' I, {�1{ 1 1 S 1( I { {1 e1 i t' { 'ku� I � n���k�ull,t t..u,. rtiC,� ' � � t i� S�w1) � �a.r �{k �. �,y dr�.6����t� I � uC1�LI§ t ici J i 1 1 -s9:::/:;',x § 3 § yy+ s , j " i 1 11I 1 i 1 9:v It yp4 i _l tt « 11H _ll:x .A...w11.. . ik.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 ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ 0 0 0 Inappropriate Sexual Behavior 0 ❑ 0 ❑ Disruptive Behavior 0 0 ❑ ❑ Delinquent Behavior 0 0 ❑ 0 Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs 0 0 0 ❑ Emancipation 0 ❑ ❑ ❑ Education 0 0 0 0 Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 5 Weld(rennet cc-11,1 Addend".,, WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) 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: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) EVEL # omments: EXT SCHEDULED RATE REVIEW: Initial Date: maximum of 6 month intervals) 6 Weld County SS-23A Addendum / WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) p G:= N@ 'ly ,Ilr' i ' r I Q `tii t dl'il dt INI 1 1 Vty , 1p 7 i i Iii III Il,l Ill li ,l. , ; (,(j.1 'N•" `(,, i iii , I I I9 "4�1'i l.. 1,t l i I i6[ { f Alvg- 1 ; 1, I II III) �p l 1jl n N.{i 'I i i J Ir � '.. ,ii ai9,r G 1 ,i ,. r I Ii ,i ul tl ' I�r1„ ,,?a -tn; . )IN, I pi, ii r n„ , p n ' 4 t it Y{ ,..{,,q-i:03..., ., it I.t i It I'i : I 1 I .lb i(i(i.iI',4:55: l i ! n w+'�. I II Ir I +i I5 �pu m( r,-n" y U i ,i (, ( , _ i ""i"fl�, ; iii i rt r , 1: it I'),�I1� . I d,I �.e. II�li i , Id, 1;. a. 1:r..to,tins i�'tyl, i t+;. r I ".,,i' i {. i II(' Nl r , I) r ( (III III i I' t tl i �` lh ,air , ii Ia111i � ,i 1 f' 1�:h -_a iC : ' ' i i I !i III i i! 14 ,'l , l' i i I iiill'i ili'pi ll 11..1'; r r ! {Ila5,;,I� bli 1{ fi:i µ t I`i i t r51,,":1,5;),, .F.,., r 1 , ,I i II i;i a i i r q 1 i �- , k, I r , .1.,!;:,!.}.9, II u rtl IE I I I,Po Ill . it ,41, I, 6 V l , I i i i N x t ii'''fpili , I "i i. n t I 6 II I 'I , i i) il, i51.1(,;''a I � ld F dig'tiN�2 ai rill t N,:11;; Ga ,4, I: I , , i 'i ti , , , �} i '4 i 4' , 'f, r611i II r sd -ser r i .:IP i ht it Y.i II 1. rill , ' 'I y p F. �•i v. Ira la �, y { I m'{li t G , I ( I. t 1 i A 1 r i pli O.a I.1, PIA j, l�,lie'1!l �k I.7 , (.i, ,r`r. ,I. 'h ' i ,I - Ilitl ,- IJa M� .t t�, , ; , i ill iii. i t ' i Ki �, l ,'P r ' 11iN l tf ,r K,+,., :iii(�a .LI..,.,....,.w i i I. . wll....ti..Y6n.A.:iL) 6;auRM > 4 1.� iit.,w..,.li,i ., In o 11 Age 0-10...$11.47 rill ll Level 0...$6.25 ' Ii Level 0 $0�li' Level 0 $0 li ','E- 4i Level $4.93 e 0 q; Age 11-14...$12.89 II I I- (Therapy not needed orprovided ' (None) Ili i I'tl {III (Minimal CPA involvement by another source,i.e.mental 0 ill Age 15-21...$13 91 l; .. and/or no crisis intervention i.e health.) f' :; mutual care placements.) i (I +$.66 Respite Care w , G iii 1 ' -ii Level 1 $8.22 ' Level 1 $4.93 "I 1 :it $19.07 I.I .. EIII Level 1 $2.99 iii +$.66 Respite Care i Level 1...$6.25 . (Face to face contact one time ' (Regularly scheduled therapy, 'rll. ($19.73) 'be per month and minimal crisis :� 4 hours/month.) fel I ��f '1 intervention) it. .01 rl I;u H II t! i, -i '8 Level 2 $11.51 a Level 2 $9.86 i:: ; l i;. • $25.64 ?: (Face to face contact two times (Weekly scheduled therapy, , 2 i ., Level 2 $4.47 f:a +$.66 Respite Care Level 2...$6.25 per month and/or occasional 14-8 hours a month with 4 hours of ill :4'ii ($26.30) ale crisis intervention) I Group therapy.) is II.1 it', I a' I , ,Y G'1 ll'� ;r ' i ^Level 3 $14.79,'. .Level 3 $14.79 ' (Regularly scheduled weekly $32.22 "' 3 I ; j multiple sessions,can include , Level 3.......$6.02 ail +$.66 Respite Care I:, Level 3...$6.25 (Face to face contact 1-2 times more than 1 person,i.e.family 9-, €:1 ($32.88) _ per week and/or ongoing crisis I thera for 8-12 hours/monthly.)I" intervention.) pY' :i: is ' u. a t.; in is I'N ° I!1 �_a !i is I,;;Level 4 $18.08 ::Level4 $14.79: i° 4 ( il l (Face to face contact 2-3 times (Regularly scheduled weekly Level 4 Neg. $38.79RTC ' per week minimum,High level multiple sessions,can include t +$.66 Respite Care i,; Level 4...$6.25 g P ,; Drop ; -- of case management and CPA more than 1 person,i.e.family r: 4.Down ,1l ($39.45) involvement with child and therapy,for 8-12 hours/monthly.) ; 11 .! provider,including on-going l i :1 .i1 r.: crisis intervention.) , i Assess. I,. Assessment I Period C Period Assessment Assessment $26 30 Assessment Period $0 Period $625 Period $11.51 ill a (Includes Respite) � ' l': n. Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Letilialli Weld County Clerk to the Board Ef,4) WELD COUNTY BOARD OF C ft qv I SOCIAL SERVICES, ON BEHALF lit6i OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES `viii °`S By: e'/ .4 t62a__. By: puty Cle k to the Board . J. elle, Chair AUG 3 0 2UUb CONTRACTOR Children's Network 7651 W'41st Ave, Suite 96 Wheat Ridge, CO 80033 By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: CilAit Dir for •J 8 Weld County SS-23A Addendum �, . 0a -.2:3". WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Colorado Family Services Inc. and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. • The following provisions, made this 7b"day of J id/j' , 2006, 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#26885. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests,plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number(970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. t1 wPu ,.rii.,n,CC-71A cnn 4:12-9 // 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement,been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery,bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V,Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 Weld('nnnhi QC-11 A Addendn.n A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 15. Add Paragraph 10 to Section VI. The contractor shall promptly notify Social Services in the event 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. 16. Add Section VII-ATTACHMENTS: 3 Weld rn.,nn,CC-11A Addnndii.n • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX ITrails Case ID IDOB Sex WORKER COMPLETING ASSESSMENT JHH# DATE 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 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 D1)2-3 round trips a week ❑2)4-5 round trips a week ❑3)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 ❑l)Two times a month but less than weekly ❑2)Once a week O3)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''/:hour per day ❑1)IA hour a day O2)more than '/:hour per day,up to 2 hours per day ❑3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitorin of time and/or activities and/or crisis management? 00)less than 5 hours per week O1)5 to 10 hours per week ❑2)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 ❑I)5 to 10 hours per week ❑2) II to 20 hours per week O3)21 or more hours per week A 1. How often is CPA case management required? DO) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. ❑t) Face to face contact one time per month and minimal crisis intervention. ❑2) Face to face contact two times per month and/or occasional crisis intervention. ❑3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? ❑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)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 ❑ ❑ ❑ ❑ P 3 Educational Intervention ❑ ❑ ❑ ❑ P 4 Behavior Management ❑ ❑ ❑ ❑ P 5 Personal Care ❑ ❑ ❑ ❑ A 1 Case Management ❑ ❑ ❑ ❑ T 1 Therapeutic Services ❑ ❑ ❑ ❑ 4 weld rnnnt.,CC-71A AddunAnn. • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT • (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ['Initial Assessment ❑Re-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. ;',R f.9i11.rin7itI i llIMF 01 amIt`�'t1 ' s °`" °G , "` o } w, n; 11 F11, 11 illII .uil)u:q; 1N �itho N . MT rdi {. i 1 y1Y Fv �� f*a � ° 43 : 14P .,x s II r , .! ., I 1 a 1i,� '1'44 giali-II },Itil 14 I.dth I 6l.y ` i.�ll`a... ,N,.,., .. a'. .. a i uyt ` x 9l.w,l:1 uul }n 2lii .l .R'� a`C`IS1t' N � '' e *, 1 k 4 x'�� 4�f�:'1 11'S Iii % , 6.10:ii ,. a �7 ��ils-7 L-i I ax&a LILII;;I „f t aAdtai.4.8.: ...i. . Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting 0 ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ 0 ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis 0 ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ 0 ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ 0 ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ 0 0 Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ o ❑ 1 ❑ 2 ❑ 3 5 WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED(Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (Tl) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) 6 Weld County SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) A(9ti'y�i nRc, 'Iitii i""•'i"iiHB "::^ to flu 4n y,,-, F s _.,;p A+Qi=Uia f1![4 i 7 Ttaiiirli uiv5 srv�^�^ ,rauwl,wl muuutxf h• 1I • % K 1� ',.1,•,',. .r.„':11.•,: � t� n.. .1 40 :%-", ii '1',!:•• t d .�,,I'''.1•,.•1". I - -� t FifTrudl R 1Mi s ... • ,a.Y': .j} }, i ' ' i` I t 1y( ,RATE MEDICAL.NEEDS- r1 t i.K .p iiiwww 4,.+iv 1 i� � i,.:..4.. +E> r .�� i r .�{, , f,•+7 ti rL•r<wa au nvi, i •M n,'k4+'1 r i.- i• w �}�,+. i .qs 'd Y��pER _ r4 1 f i 1 df Ai --,,,..-.. ,,,,,,..,(:?F,,,,,;,,.., IN 9 p g, .AD M R �r2 'ni t 44,I. ` '', i~ 4 d a '..7e .. fi �'F �" 'i' lir.f ,44I�,i14p IF�Nt .,r!!,,.. • . ''s,!,PV,...,P s 1p f`i,- 4} ''•,'':'?`*.l' '14'', 1111,,.:".. t,74,:,..S $• ., '.: 106- iiPaP ;, • i I I •1:,.. S y'.y'Sh . i b ' 4-t. 3� a t 7{iierq f,4t ad :i }.,$1•�M `1, f1 •�� ,E 'Therapy g ,�� 1•,Level . ,.',;...":,-,-••,-i-", 'ii r, • .RYti H : t• rc,ii , . I� nai GeT • i�ia'' ,i.i, c .t .;-,i 11'':;"''''''r.e'. '44'>I4 - t' i' a , ..:0.•,:i; "•-•:!,„!:. pp I it itet 9, Ti, Admin.Services) ..? ,,h S'. ;ryKtj}tl� ';Iy' 1 . I.:, n:(Admin,IMilt]>)..�. , t,,Wt�il' In. Nl4j,1 i..y,i� q :li-il�h �.•. ,• ll� ZCI, ''I'l! Age 0-10...$11.47 qqyy 0 g Level 0...56.25 I� 1•1IrLevel0 $0 Level $0 Level 0 $4.93 Age 11-14...512.89 0 (Therapy not needed or provided (None) '•' (Minimal CPA involvement by another source,i.e.mental t 0 Age 15-21...$13.91 a; and/or no crisis intervention i.e. health.) f� mutual care placements.) & +S.66 Respite Care y, r,, fti 5,,i'''. f I Level 1 $8.22 I !Level 1 $4.93 $19.07 . Level 1......$2.99 +$.66 Respite Care I I,,' Level 1...$6.25 (Face to face contact one time ':! (Regularly scheduled therapy, ll ( ($19.73) II' i• iI per month and minimal crisis 4 hours/month.) intervention) i .-Level 2 $11.51 a--Level 2 $9.86 Ilk 2 $25.64 (Face to face contact two times ' (Weekly scheduled therapy, ]] +5.66 Respite Care Level 2...$6.25 pe r month and/or occasional ;'' 4-8 hours a month with 4 hours of ,i Level 2 54.47 't ($26.30) crisis intervention) ., Group therapy.) , Io Level 3 $14.79 t Level 3 $14.79 (Regularly scheduled weekly ; l,, 532.22 , 3 , multiple sessions,can include Level 3 $6.02 +$.66 Respite Care I Level 3...$6.25 (Face to face contact 1-2 times dq'� more than 1 person,i.e.family ($32.88) :! per week and/or ongoing crisis 1I1 therapy,for 8-12 hours/monthly.) intervention.) Ir 'Al )`1 Level 4 $18.08 Level 4 $14.79:' u 4 '' (Face to face contact 2-3 times ,.: (Regularly scheduled weekly i Level 4 Neg. RTC • $38.79 per week minimum,High level 'y multiple sessions,can include Drop ,; +$•66 Respite Care Level 4...56.25 of case management and CPA ° more than 1 person,i.e.family r." Down ' ($39.45) involvement with child and therapy,for 8-12 hours/monthly.) .; provider,including on-going '; crisis intervention.) "a' h .,-i ! Assess. Assessment ; Assessment • ' Assessment Period Period $26.30 Assessment Period $0 Iii (Includes Respite) at Period $6.25 Period $11.51 IR Effective 07/D1/06 7 Weld County SS-23A Addendum • IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: /� �"'glka Weld County Clerk to the Board IE La WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF lwl , ? OF THE WELD COUNTY , 1 DEPARTMENT OF SOCIAL t "� - SERVICES 4'r By: By: i A ` eputy CI to the Board I. J. Geile, Chair AUG 3 0 LUUt) CONTRACTOR Colorado Family Services Inc. 1200 S Wadsworth#300 Lakewood, CO 80232-5434 By: 4 WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: D ector 8 Weld County SS-23A Addendum t,Pere-a?3`1-/ WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Carmel Community Living Corp. and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this I day of 2006, are added to the referenced Agreement. Except as modified hereby, all terms of th 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#44383. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate,will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number(970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 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. 16. Add Section VII-ATTACHMENTS: 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 HH# JATE 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 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 El)2-3 round trips a week ❑2)4-5 round trips a week O3)6 or more round trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? ❑0)Once a month 01)Two times a month but less than weekly O2)Once a week O3)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? O0)less than a'''/ hour per day ❑l)%hour a day O2)more than '/f hour per day,up to 2 hours per day O3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitorin of time and/or activities and/or crisis management? 00)less than 5 hours per week ❑1)5 to 10 hours per week ❑ 2)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? Do)less than 5 hours per week ❑1)5 to 10 hours per week ❑2) II to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? • ❑0) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. ❑I) Face to face contact one time per month and minimal crisis intervention. O2) Face to face contact two times per month and/or occasional crisis intervention. ❑3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? O0)not needed or provided by another source(i.e.Medicaid) El)less than 4 hours per month ❑2)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 ❑ ❑ O ❑ P 2 Therapy/Counseling ❑ ❑ ❑ ❑ P 3 Educational Intervention ❑ ❑ ❑ ❑ P 4 Behavior Management ❑ ❑ ❑ ❑ P 5 Personal Care ❑ ❑ ❑ ❑ A 1 Case Management ❑ ❑ ❑ O T 1 Therapeutic Services ❑ ❑ ❑ ❑ 4 woke r.,,,,n cc_nan • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment Elite-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. . Rating of Conditions . _ ' NuW� (Check one for each category) , € ,`' 6r ,i r, tj ,ASSESS ENTIAREl�.s AREAS **, None Mild Modernte Severe Comments• Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting El El ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ O Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ O O O Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway O O ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ O Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ ' Depressive-like Behavior O ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ El ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family El ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ o ❑ 1 ❑ 2 ❑ 3 S U:Pin rn,.nt..CC_11 A Ad.-kmiinm WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD I: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (T1) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) 6 Weld County SS 23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) LEVEL OF RECOMMENDED t RECOMMENDED AGENCY RATE INTERVENTION RATE MEDIC NEEDS v. ":3.:,p i. +P&1� t 1 y as,iv - •SERVICE PROVIDER RATE :'''''''L:14-- k�, ,•� ,•; . 4c. I ''iv % i dA ,,r Ti ,,w ADDENDUM' ;�i P1,-P5 - rr � $ ,Ark hk gL ,, • i!4' t•Level .-,;.4w.7-,* -Rate' ' Admi Overhead Case Management • Therapy lr 41:5; :i * mss. ° 1 A 1 v< "'I 2 (Adorn.Services) }trl (Admin.'Maint:) '(Adm(n.Maint.) 0 Age 0-10...$11.47 Level 0...$6.25 s Level 0 Level 0 $4.93 $0 Level 0 $0 Age 11-14...$12.89 ) 0 (Therapy not needed or provided (None) (Minimal CPA involvement r' by another source,i.e.mental • Age 15-21...$13.91 `' O,: {and/or no crisis intervention i.e. ,. health.) +$.66 Respite Care it, -, mutual care placements.) r tr' i 1 Level 1 $8.22 Level 1 $4.93 ; Level 1......$2.99 $19.07 ., +$.66 Respite Care .'.' Level 1...$6.25 -, (Face to face contact one time (Regularly scheduled therapy, ($19.73) per month and minimal crisis 4 hours/month.) z. intervention) a ` ' ,Level 2 $11.51 '-: Level 2 $9.86 ii ' (Face to face contact two times Level 2 $4.47 2 $25.64 (Weekly scheduled therapy, +$.66 Respite Care .¢'. Level 2...$6.25 ti. per month and/or occasional t" 4-8 hours a month with 4 hours of ($26.30) crisis intervention) 1,' Group therapy.) 5 1 U a• t4,Level 3 $1479 r.; r„ Level 3 $14.79 ii $32.22 i�` . (Regularly scheduled weekly 3 :ii'''' +$.66 Respite Care 1f Level 3...$6.25 (Face to face contact 1-2 times t' multiple sessions,can include Level 3 $6.02 ($32.88) '' " per week and/or ongoing crisis 3 more than 1 person,i.e.family y f, ;;: therapy,for 8-12 hours/monthly.) • :{ �i intervention.) Mt ss A Level 4 $18.08 Y'Level 4 $14.79 '• ty G 4 $38.79 `` (Face to face contact 2-3 times ) (Regularly scheduled weekly Level 4 Neg. RTC a; lit ` per week minimum,High level '-1 multiple sessions,can include g +$.66 Respite Care Level 4...$6.25 Drop ' of case management and CPA ,•..c more than 1 person,i.e.family ($39.45) �-} Down , ;.4 involvement with child and therapy,for 8-12 hours/monthly.) ; , provider,including on-going Y 4 crisis intervention.) Assess. Assessment y; - Period Period $26.30 Assessment Assessment Assessment Period $0 • (Includes Respite) • Period $6.25 Period $11.51 1 _ Effective 07/01/06 7 \Veld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: dati Weld County Clerk to the Board �� WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF is6t F OF THE WELD COUNTY DEPARTMENT OF SOCIAL -e,,7 9 SERVICES nSPF By: itt 1 C r2 . By: putt'Cle to the Board M. J. Geile, Chair AUG 3 0 2U06 CONTRACTOR Carmel Community Living Corp. 3030 Sterling Circle Bo lder, CO 80301 By: /241fig WELD COUNTY DEPARTMENT id, leg X- OF SOCIAL SERVICES By: 'rector 8 Weld Comity SS-23A Addendum 419/ • • • WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Commonworks D.B.A. Synthesis and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this I day of ,Sul , 2006, 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#104085. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number(970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. 1 wain rniint,cc_'zn e,inanr,,.., 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 wau Q _)14 Addand,,,,, 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. 16. Add Section VII-ATTACHMENTS: 3 wpm rnnnn,CC-11A Addo..d,nn 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 IDATE OF ASSESSMEN AGENCY NAME PROVIDER NAME ROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for the following: Therapy; Medical treatment;Family visitation;Extraordinary educational needs; Etc.,as outlined in the treatment plan? O0)one round trip a week or less ❑1)2-3 round trips a week ❑2)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? O 0)Once a month ❑1)Two times a month but less than weekly O2)Once a week O3)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? O 0)less than a'A hour per day ❑1)'A hour a day O2)more than '/2 hour per day,up to 2 hours per day O3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitorin of time and/or activities and/or crisis management? IU0)less than 5 hours per week ❑1)5 to 10 hours per week 0 2)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? O0)less than 5 hours per week ❑1)5 to 10 hours per week O2) I I to 20 hours per week O3)21 or more hours per week A 1. How often is CPA case management required? ❑0) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. O 1) Face to face contact one time per month and minimal crisis intervention. O2) Face to face contact two times per month and/or occasional crisis intervention. ❑3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? O0)not needed or provided by another source(i.e.Medicaid) 01)less than 4 hours per month ❑2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 0 ❑ ❑ P 2 Therapy/Counseling 0 ❑ ❑ 0 P 3 Educational Intervention 0 0 ❑ 0 P 4 Behavior Management 0 0 ❑ ❑ P 5 Personal Care 0 ❑ ❑ ❑ A 1 Case Management ❑ ❑ ❑ 0 T 1 Therapeutic Services 0 0 0 0 4 Wald rn,,.,n,cC11A AdAand,,.n WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ['Initial Assessment ❑Re-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. y ..' . I 17,: 3 TApffi"4 I.I(' i^.,pi . N fa trr+1 . 3at7F, I1.f ) tiil , D2 ! Yr:I'; P y� ' I 7... �; vr7i m ii 1@ .l.. I t7 a i I� 1 y 'L..a, � r ldl r d Y I .:ii i a '�₹ In i hk� � �y31��.� . a � Ylti s - ip� y ,z 4 n �� ,i' l �,i I T d �6V k hat.41 I„L L n i i ' ,2it' �" �s 1 li � � q 5 l I ,u a�s .�`) •w t 'A a s; ,rx i i a d ' Iii i t '''( 1} !h' '' a 4y� a hST ,} { i .1-;:'''';'!1'';ci il I4 $ I. Ii 4zii,.SI l .. Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ 0 0 Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing 0 ❑ ❑ ❑ Self-injurious Behavior ❑ 0 0 ❑ Substance Abuse 0 ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ 0 ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ 0 ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ 0 ❑ CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ o ❑ I ❑ 2 ❑ 3 5 WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED(Average of PI through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (T1) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) 6 Weld County SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) 1,: 1 tl i Ii I_ rl' t ..':el:I}: I1,1 I i :li)itgil hl 1In Ii �IrfhH 1 .NtY'1 1:619 ig a I XiUI N i ,I; i TMli a d i� L n i I 1 JL+ 1 f i II (rli lllrll , . it 1� r ildx Iii�ry 11 fi {'i I I n r r t 1 I yy � 1 - '! i y r ry i 'f I r Ilse � r ' I 1 ( I I t ' � II �Y 1 r fr y , I�i r pF �I hl" '� yytn*f Fni (�I�rl'1111p�NIIy1r>' ,„ t ( f r ( IIfI t 1 �{� F Ir) i}t I,F 14 rl 'dl 4 tE4 t )1 h 11 ,,; i 1 III If 'tfi II 'If� Iiiil iltii;iii„ L1 �iH li Ii lql,i''i i"I r'III q} Iili ' it!'I llea 1 '_.lYi. Ill L1'I IT it , I n. I1 illl,l �1 AO' III(irrr f{ ll' I ll'IdrilH :l'O rlk6 ( ' IR!�`ti lbi in ,rl. 1 r ) i rI ( ii tiii ll I t1�r {i : Ir a � n 1 ili'. .i 1 1 i j _' t 1'"it I- If IiI f1I 'I!) ii a f hill Wi iI.�I! l:II )iii,1 I1' Ighl.II III : I4 ! ii i lr� j t r r L Ir (l II r r i xil III irlrri: k If II PPP �� a`' N ij,d,r { f i 1 - 'r W f r bred r Iddg il' II iI 11lP 1.1.r I P d Iy1l1111 S�i::"I I i!'il l.;kr r'pllii h'km# !UI Ilk(li:i l i!JI'u'IiG{' i�I (lli1.:'p' .jlj r +• 1 1Ir r f r I r li 1G( Ii � °, $IFr rill i 1 II 1{ II i-Ir i 1' I!,G�il�ir �r r I II'1G,GII a 1 e419:}l„�1 9i f I{w II h 1lni J IF) ( r 1 if r Ii-it')�iir{' III:III Ihhl tlliu ' ,Id it r((:�. j91 r i i r ,} x�a lil ", r JI :limp rl i i i 11 11.tIo :: f -:I;I ilia (r - ( 1 j 111 R :c III�I- O tai i1 III� i f III i 1 I 4p II� . %�1�II ) 'i'I ir:i I�IIII14 � , r) iir iu It ai ll,'lll lrl�)'a� '„i .I,Ikc I f I I Iy Iff II U I 'jn Gr I r i I I I 11 I G l t.. I II -' r I ( CI r I ( JI 4IVI�� t �1i r i r a f.l : 1 1 fi (f i)i i 1 III:Ii 1 1 1 1 1 : pt'L !W I y�(11""11��Si11{11 $ ( I,i�"r': r ,ryAyl'iFlY.l,i,�,r'I�`y( kI��g ("(rat y+;,rl�i�ft li i Vii) II GGIv���rl i:l.&WH34i111I1(1 f11. �I:I� I .�i.I Ar+LIt�.«��X.r II rr L6:�JI�II���i....11�.1.,'I.IJ ..L.�39I�.NWA 1""r:�tfl(M16IIII��GI19itirs61llliili' fi�iGAii:N@i3 t�W�V�rU48IiG�' 1,� r lio 46. Age 0-10...$11.47 rI i Level 0...$6 25 (�� t 4 0 Irr^ 1 I,g Level 0 $4.93 'd;Level 0 $01,11 Level 0.....$0 Age 11-14...$12 89 Irri Ill! 0 j.. _ 11' .iC (Therapy not needed or provided li (None) iI ' ; (Minimal CPA involvement ,1 by another source,i.e.mental i Age 15-21...$13.91 I-1 I': and/or no crisis intervention i.e. health.) ?H 0 i_ I (`'� +$.66 Respite Care -'I till mutual care placements.) ( L Ir ir at ,Ii; 1i' I �' 1'.'I'.1' . Level 1 $8.22 i.4 Level 1 $4.93 to 1 $19.07 i _r Level 1......$2.99 il r a +$.66 Respite Care r ` Level 1...$6.25 (Face to face contact one time 1' (Regularly scheduled therapy, r ($19.73) ,'i per month and minimal crisis :rot 4 hours/month.) ril c intervention) !, 11 I ' in II,' ii '�Level 2 $11.51 rd Level 2 $9.86 M4 Fr y li i (Face to face contact two times ' �l' 2 NI, $25.64 �p I . it,. (Weekly scheduled therapy, r r Level 2 $447 4) +$.66 Respite Care 11 Level 2...$6.25 I ) per month and/or occasional i1ii 4-8 hours a month with 4 hours of Oil j ($26.30) ,I.' , ,j crisis intervention) (4 Group therapy.) FA r:Iii dill 1 :1 II Ift4 is :Piii Pt "_ Level 3 $14.79 -I1 I'.r li " Level3 $14.79 Re ul L.N $32 22 ( g ariy scheduled weekly 3 11 +$.66 Respite Care a I1 Level 3...$6.25 ! (Face to face contact 1-2 times lit, multiple sessions,can include n Level 3 $6.02 1 i' -I a per week and/or ongoing crisis I 'I more than 1 person,i.e.family r r,� ($32.88) I!, : therapy,for 8-12 hours/monthly.) i I ':,, �,, intervention.) q'. I'i i `I I iir`r IIII' J Li jl' I r' I I Level 4 $18.08 fLI',r Level 4 $14.79 il Ii RTC ' + ( e ( I 4 '-I $38.79 i d (Face to face contact 2-3 times ! (Regularly scheduled weekly .r d Level 4......Neg. lii $.66 Respite Care :rift Level 4...$6.25 Per week minimum,High level multiple sessions,can include IN Drop ,I:) ($39 45) - r ' of case management and CPA I r more than 1 person,i.e.family hi Down r „ involvement with child and 4': therapy,for 8-12 hours/monthly.) ll Ifril 11 rl provider,including on-going +i ,d • i•., ill I crisis intervention.) it I Assess ' Assessment i Ir(' Period L. Period $26.30 Assessment Assessment Period $6 25 !< Period $11.51 " Assessment Period $0 ilpfi }, I (Includes Respite) i : 11 Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Weld County Clerk to the Board WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF E� i OF THE WELD COUNTY [ ^r d DEPARTMENT OF SOCIAL SERVICES By: Att1 -LI2Ff \ . By: 22,c4/� uty Cle to e the Board ✓` M. J. Geile, Chair Elu 3 0 2006 CONTRACTOR Commonworks D.B.A. Synthesis 3000 Youngfield Street, Suite 155 Lakewood - CO 80215 _ , BY: lipX -L- DOO.1. WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: ector 8 Weld County SS-23A Addendum Deb .• WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Dungarvin Colorado, Inc. and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this ] day of S , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of th 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#98960. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. caQ9e46- 397 1 U/P14 rnnnhi CC-11A AAAan Anm 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 wpm Cnnnhcc-11A errand,,.., 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. 16. Add Section VII-ATTACHMENTS: 3 Weld rnnnh,Cc_11A Addend„n, WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX Trails Case ID jOB Sex WORKER COMPLETING ASSESSMENT IITH# 1ATE OF ASSESSMEN AGENCY NAME ROVIDER NAME ROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for the following: Therapy; Medical treatment; Family visitation; Extraordinary educational needs;Etc.,as outlined in the treatment plan? O0)one round trip a week or less El)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? O0)Once a month ❑1)Two times a month but less than weekly O2)Once a week O3)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? O0)less than a''A hour per day ❑1) 'ii hour a day O2)more than'/1 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? O0)less than 5 hours per week ❑1)5 to 10 hours per week ❑ 2)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? O0)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) Minimal CPA involvement per month and/or no crisis intervention i.e. mutual care placements. ❑1) Face to face contact one time per month and minimal crisis intervention. O2) Face to face contact two times per month and/or occasional crisis intervention. O3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or provided by another source(i.e.Medicaid) El 1)less than 4 hours per month ❑2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 0 ❑ ❑ P 2 Therapy/Counseling 0 ❑ 0 ❑ P 3 Educational Intervention ❑ 0 ❑ ❑ P 4 Behavior Management 0 0 ❑ 0 P 5 Personal Care 0 0 ❑ ❑ A 1 Case Management ❑ ❑ 0 ❑ T 1 Therapeutic services ❑ ❑ ❑ ❑ 4 ward r,.,,.,h,CC-11A AddP.,di,.., WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. 1 I �r i f 1 o f ;: tl,"rTT i f,iii 4,,;,,i,,,,,,,,, ''`fi a r ¢ I.L4 I a e a i P i'11� 1 yls'A lrI'I� 'fly t � I. s r 9'° 1 1 it .flii� ,,,. ks � � � � i � �. III � �i^�li� �pt l���4 14 c,i.11.1 B t tjm z .,...!,'''.;;;::::.1, ul.1 l':1 IW.1 i. �::'.,1 ...,1')„dv d . ` 1 wlaf >�;.— - ac '` € ,, a...1.1,....:;..,,,sS ,. -VF, }rv;II i77.I I' Ii .tisa. 5� c; cS ,� 4., i4 } �i "I it , 4. , n ! "II' J . k ` dn�l `x�'iIjuh,..INu m�.wil�lifuiY 4.,.I{:J,.a i., ..u,a . . i r.L,.:u� pIA i.IIi IIiI�IIJ�t„IICn�W '� ��. Aggression/Cruelty to Animals ❑ ❑ 0 ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting 0 0 0 0 Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior 0 ❑ ❑ ❑ Substance Abuse 0 0 0 ❑ Presence of Psychiatric Symptoms/Conditions ❑ 0 0 ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway 0 ❑ ❑ ❑ Inappropriate Sexual Behavior 0 ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ 0 Depressive-like Behavior 0 0 ❑ ❑ Medical Needs ❑ ❑ ❑ 0 Emancipation ❑ ❑ 0 ❑ Education ❑ 0 ❑ 0 Involvement with Child's Family ❑ ❑ ❑ 0 CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ o ❑ 1 ❑ 2 ❑ 3 5 wPI4rn.mt,cc-71A eathwi••,,, •• WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (T1) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) • 6 Weld County SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily;tie:Ili, (Attachment C 15'1,411.'011WI MIT 9IlIlf:ETEKEPP4ISFJ ,,,1 Pll {Illiii'Iiill;�MPEEM if'ir'}4� 1' I'pI4� '�I lif illi Ii' l 'l i rsh A.r y�f. . �.! 7. It!: i� i '� i�IfF I,'° ,. I) id 1 i,!i �-i' f f q 1 L .( i a• :tins ( 4 fi 10:bv nIiii,g M1 iii li liiN (f, ip, eN'+ d 1 I t i � _ y I Is l-x ir' ( a ( I' ��t (i') 4a �' f� ai u,� � ��k Ijj I i.,,'"I WI � e rhht'1'kk.i,IrTf 11-I, ,, ii ,,, f ' iJ 1,r,,..;41,i,,,,,.(f ,i , apf' if !f rf r,yfy i ! I dl '. i'f .iiif i v.t;i 11 �u i Irjii ++.8 i ? ' f iy ;t jry ll II 1 }ii'. if ii ii f4'S'.' !till f ,:l Ifni I h�'t) 11I7� it;i l,g1'i it ii , .,it �. , f N t II�i!'f �. l ' 1 f i14 ,iIfj I i F� l„ a f ,,,1 r, f4" ��fI i f I,,.it a� l�i I ( p) f i if '� iI I .4., I � Y'i�6'1 �I��il llll�i�lii fji�Ij�Q/ ifi!!i �'� �'I'ir4m� flii'lI �' ff� �. , toil,��'i�4�, ' u� �di f I I i 1 f I II a I !!f f ff ( f 11� 1 f It I� 'i f rf 11i• Ifl / 1 ipuI; ( i i ffli ?iH °Id i 'a'IA.f i '.r l l fi I f l,.; f I f , , i{ r I, I l l i t r. , f f l I I h k �'y ' ' f. Ii. I'ii ��( xf , � ) d 1 i I I IGAlIj i�I(fii IILI/I i r � i)cA) ��A( III iu '''If ii�'r.. p...'hU ,',atil� I� ��L'il]'�i4 , iii. I) 'PPE of �I P. 1 f Il I'fi I i ix t � - iy^if d -'i I i�l`r 4i I i ° fl + f 1E,r , ':TEh iiif ;',,�fFi Er . ypi ' iI E 'l ''if " ., i ,5 1",s)y', i,p�, tg1 1 1 iI� i I�1Pr l Ill (Ill , " ', ffiiml.k� 1 , I f i ,i. I i fr : f f(' � J(NPh.' II i 'Ill..�!_ .ti f, f r ' li i i., -,!I f , �. If I I I' 7..'i...i.�tx"u.�7�.,b'ini6,ihM14`�.s E.ul�ll a ili.ld§tl�>I aun,� ,al'I� P u ti f ' .�.ii),��I,,.�I,x�..fl iJlf�d, . I•'f)1111 J"r":.fu.ruxls helliii 1.G.,..Et .::..:.:�i ii l Ifia.lai�'iili�lu ii ' f �,) I I1. .'L, I( ,IIV I a ' 'I I Age 0-10...$11 47 ill, lit) M «I 0 i IIie ILevel 0...$6.25 it - r ,r Ii'Level 0 $0 i)) Level 0 $0 Age 11-14...$12 89 'u: o ! g II„_ ,, ` (Therapy not needed or provided l (None) i!' ' i by another source,i.e.mental lif 0 : Age 15-21...$13.91 ii ,'il , , , , - . l? health.) 'i �'I f. � r„iill „I ;Ed +$,66 Respite Care II I III 1:.,t ly (i r, iI 'in (F 1 f l - i Level 1 $4.93 t.; Level 1 $2.99 'Ip"r $19.07 i , ii4 I4 +$.66 Respite Care a Level m1 face - - );i (Regularly scheduled therapy, p ($19.73) (1. Cri, lr in 4 hours/month.) ifIri k � I ,i i e 1 icy i s I l3 : H' i Eli - "' Level 2 $9.86.,1: , e ill 2 i $2564 face contact two i (Weekly scheduled therapy, 4'_) ;♦� +$,66 Respite Care - ; 4-8 hours a month with 4 hours of IA Level 2 $4.47 Iiii Group therapy.) •t li ($26.30) .I, l! r' .i f i' r„ rr ) L i. IL:ii, i ,E ,� F. ,ii -1 j :I Level 3 $14.79 '. l Level 3 $14.79 !I! (Regularly scheduled weekly �' 3 $32'22 ' 1 multiple sessions,can include 'i Level 3 $6.02 I' +$.66 Respite Care Level 3...$6.25 I (Face to face contact 1-2 times .I more than 1 person,i.e.family i ($32.88) :' per week and/or ongoing crisis ;i therapy, c' ' intervention.) ,1 py for 8-12 hours/monthly.) is I ,i ,1i 3! iiIii _ i'r ''I Ai.. .• „i ;I..',..Level 4 $18.08 ;.y Level 4 $14.79;:. 4 $38 79 I (Face to face contact 2-3 times (Regularly scheduled weekly ., Level 4 Neg. RTC t +$.66 Respite Care Level 4...$6.25 I , per week minimum,High level multiple sessions,can include .1111. Drop „i ($39.45) i_ . of case management and CPA :i more than 1 person,i.e.family iv, Down ti I . involvement with child and pi therapy,for 8-12 hours/monthly.) 4 1 �t provider,including on-going jt, C t I i crisis intervention.) jj }Ix is .iii V Iii i1F 1 Assess ri Assessment I.' '1' i Period j Period $26.30 I . Assessment i Assessment -i Assessment Period $0 II II Period $625 1 Period $11.51 II dl (Includes Respite) i Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. 14021116/24 ATTEST: Weld County Clerk to the Board WELD COUNTY BOARD OF ELa SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY 1161 It "Th Q� t EPARTMENT OF SOCIAL '} ERVICES By: l t,4 " q LGi2, t4 r By: puty Cl k tot e Board M. J. Geile, Chair .j i2 3 O - , CONTRACTOR Dungarvin Colorado, Inc. 4704 Harlan St., Suite 200 Denver CO 80212-7417 By: .0G.L (7\ WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: rector 8 Weld County SS-23A Addendum o*V6- a?59/ WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the"Agreement") between Frontier Family Services and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this day of J u , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of th 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#38041. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. 07496' -45'fr 1 wpm r,,,,.,n,cc_ne eenane,,rn 9. Add Paragraph 15 to Section W. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery,bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 wain/`nu...n,cc-11 n nnnp,n",i 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. 16. Add Section VII-ATTACHMENTS: 3 WnIA cc_flA Addpnn',.., 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# rATE OF ASSESSMEN AGENCY NAME ROVIDER NAME ROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for the following: Therapy; Medical treatment;Family visitation;Extraordinary educational needs; Etc.,as outlined in the treatment plan? O0)one round trip a week or less ❑1)2-3 round trips a week ❑2)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? O0)Once a month on Two times a month but less than weekly O2)Once a week O3)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? O0)less than a'A hour per day ❑1) 1/2 hour a day O2)more than Y: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? O0)less than 5 hours per week 01)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 ❑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? DO) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. ❑1) Face to face contact one time per month and minimal crisis intervention. O2) Face to face contact two times per month and/or occasional crisis intervention. ❑3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? O0)not needed or provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month ❑2)4-8 hours per month ❑3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 0 ❑ ❑ _ P 2 Therapy/Counseling ❑ 0 0 ❑ P 3 Educational Intervention 0 0 0 ❑ P 4 Behavior Management 0 0 ❑ ❑ P 5 Personal Care ❑ ❑ ❑ 0 A 1 Case Management 0 ❑ ❑ 0 T 1 Therapeutic Services 0 ❑ 0 O 4 wau ra, t,,cc-lzn Addend,,.., WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. li 411k,iHi ��PI'hJ ii lFI�l '`imn a a pC 1 �I 7 �i i W , At 4 §' �. I uni d1lii iiiki InII I4 (tl slim l it 1 u ?. W.a y I 'IIId ii , � � A. 3'1. P1 I�§M ti I I � 10,11Aiiii i '� i :4 't Y � xI. P t A ! i �i�� ,ufy� �i�s 1 allittigiBlAin .r:.$ .I. I _ i l .„!,e .. ili,u , . ii.,,i,...i,.._i0i �. � i i � � I it i � i:;;;');;:i1:10 i pt� li t 'liui I: idi i i 'i ii 'GI lii ::1/1,1 i i^ . i it u .i ��1 �il _Il d it .�� � ti i� � ; 1 I ( P ; il' i io-i 4I i' 'Ili/ Y } ti 1 I I,ir+ iil tl � � I '�,ul d ial-Y 7 u ;i .. k1s Ip Iv, ' iigata a,, Lklu₹ltd1 i'l`. Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ O ❑ Presence of Psychiatric Symptoms/Conditions ❑ O O ❑ Enuresis/Encopresis O ❑ ❑ ❑ Runaway O ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ O ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ O ❑ ❑ Emancipation ❑ O ❑ ❑ Education ❑ ❑ O ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ o ❑ 1 ❑ 2 ❑ 3 S WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED(Average of PI through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED(Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (T1) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: A NEXT SCHEDULED RATE REVIEW: itial Date: (maximum of 6 month intervals) 6 Weld County SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) .M::: , 1 fl vk 57 fF" IIII.::fl:::;04,-;1111.;:i;ii I INi k1I i * -1 r� L,rt Rw't PI I i'a t (ft i.d 4 �{x.'�p' 1 W:15.1:;7::;:1{11 {111. rtit i iti,l Ltd 144„1 i�) W �: (i Iili 1 IJ'It+, t ,1 1,01-{NL , Nil Ma+'�-J,H{1 t.f ; 1 1� t ii i (I.I' ii�l'i�yl li e0! A I I f:2'441: •t 1 ;.:: t$' ,o I (T { a Y r ! `<) 33 W {k 'yt ii II I .l Oi 'loll k} ' I �, 11 ' l i b { -i I' ( F tl • Tl r' III i,) I rr K li l t l 1 1 i 11 SS .1tY�iwT { !p 1 iiy i i Iii volt i{- (i �"ti 4- - di e�i ij h oil k II iII�,:i 11 �,iti 'i'i41 t; II -17 11 �'� I lit kl (l p1 1 I kllli it 1 6, I 1 �IqI N t:f N F� .till y,.G ( {F '1 k 1. ki 11 1 1 I"t 1 i I ( 1 ,1( 111 IA I t , , i l k! 1 1 11) i i� I li t 4' ( 11`1 1\'.1 11!w !,:1 I1 1 1, I 'ii ( ia I. k Y 1 �.,,i t ill i i1 1 IIAI I '1 Al,r�i . u (���1y� !111I it�t' '�I{ I�IE kI �r1 I 1, �/k�{ , 7 �t{ry 'I 614.Q'1 W4 rQ't,:l' I I hill ,l) {k1Y11 .'IL 1.:1 I,I1� Ik III 'Ix 1kLY 1 i1 F1,1/ I���. 111 Chi f 1'il{ �k.L i..l ,� I.H 111L1i1{�44 :I ' ryt ir' I I I .�,111i III Icy'' i'!1 ,I � � !III IVi lilt pll III$$ 1' i! � 1 I i(q o/a I� �1 Ir'i , , 1 1'�IWWJit i 1 , {t' I 1 i){q ,�'dF r I{k k N[!II ! I)Ik ll���prlrN r,l kik:tl i{Nl ilt I imi �t {k { , -r j•k j i'���I �I I6 {`i 1'i ). II , i Lri1iIl�It M', i.Iik 111 A4y4R� 1,11 !11411I"ry.1 1I't1 tk I1It IIN h�(tibI `ti+WI k POI i i { PI 1( i,i,„•.1I: 1 ;1 h]If1 tF !� 1 ' �li�!IhikhV tY !tIIli (it1 loo iii �!!7 ,I.Hk:Y iki pi it I,i I l I, 1 ,v" ' aLAu1W�,,'l {.t i I,isliai.lIA.d�1:'w.,l..mt...i.l.d..;Ji.til.k iii, i.1,1 (I r:ail . II 1 } - I Age 0-10...$11.47 �t IIIII ot Level 0...$6.25 1:Level 0 $0 Level 0 $0 0 I- ci• ; ;! Level $4.93 q u Age 11-14...$12.89 I (Therapy not needed or provided (None) { (Minimal CPA involvement ki, by another source,i.e.mental 0 Age 15-21...$13.91 i and/or no crisis intervention i.e. Ilk; health.) t,I mutual care placements.) IN I +$.66 Respite Care � II II1 1 Level 1 $8.22 (F'Level 1 $4.93 1 it Level Level 1 $2.99 $19.07 4I' +$.66 Respite Care Level 1...$6.25 ;; (Face to face contact one time (Regularly scheduled therapy, ($19.73) i del' per month and minimal crisis Ili;. 4 hours/month.) ;ii : intervention) i4 rr Ii1 ,;, I,: Level 2 $11.51 t,Level 2 $9.86 t It;I It I $25.64 w I: (Face to face contact two times . (Weekly scheduled therapy, 21 -1 Level 2 $4.47 +$.66 Respite Care II Level 2...$6 25 1!I per month and/or occasional 4-8 hours a month with 4 hours of ($26.30) I,!ii crisis intervention) III Group therapy.) jill . i t ;i Level 3 $14.79 Level 3 $14.79 „ (Regularly scheduled weekly 3 $32'22 t multiple sessions,can include Level 3 $6.02 +$.66 Respite Care J. Level 3...$6.25 I (Face to face contact 1-2 times l more than 1 person,i.e.family ($32.88) i' ( per week and/or ongoing crisis INi therapy,for 8-12 hours/monthly.) t„i i. intervention.) Iii I., II j' ,T ill Ii; .'Level 4 $18.08 . Level 4 $14.79 4 i (Face to face contact 2-3 times (Regularly scheduled weekly Level 4 Neg. RTC ' $38'79 per week minimum, High level multiple sessions,can include Drop *$.66 Respite Care k1P Level 4...$6 25 )' of case management and CPA ' more than 1person,i.e.family ($39.45) !I'' 1,[!. 9 Down I1; .k- involvement with child and e therapy,for 8-12 hours/monthly.) ' ^ ,t provider,including on-going ti crisis intervention.) C' ;1 :: 'y Assess. j; Assessment i;'- I : '! Assessment Assessment 'k; Period ..! Period $26.30 Assessment Period $0 (Includes Respite) 1 Period $6 25 TT, Period $11.51 1 Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Weld County Clerk to the Board Elsa WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF i` OF THE WELD COUNTY ci -t?Z 61 n.,111/4? DEPARTMENT OF SOCIAL •° g SERVICES r By: /tit' ClCC.L `' ' By: uty Cl rk to the Board . J. Geile, Chair AM 3 0 2006 CONTRACTOR Frontier Family Services 1290 Boston Ave Longmont, CO 80501-5810 WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: hector :2146-239/ 8 Weld County SS-23A Addendum • • WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Griffith Centers for Children and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this day of 3 , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of th Agreement remain unchanged. 1. County and Contractor agree that a child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement, based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#1531601. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number(970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. C rn1 wPra r,.ii.,r.,CC-71A en a..,.., 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 Weld fnnnh,QQ_flA Addnndn.n A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 15. Add Paragraph 10 to Section VI. The contractor shall promptly notify Social Services in the event 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. 16. Add Section VII-ATTACHMENTS: 3 \uau rn„nh,cc_nn n nrpnd,,m WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX [Trails Case ID IDOB Sex WORKER COMPLETING ASSESSMENT 1HH# DATE OF ASSESSMEN AGENCY NAME ROVIDER NAME ROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for the following: Therapy; Medical treatment;Family visitation;Extraordinary educational needs;Etc.,as outlined in the treatment plan? 00)one round trip a week or less ❑1)2-3 round trips a week ❑2)4-5 round trips a week 03)6 or more round trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? O 0)Once a month 01)Two times a month but less than weekly 02)Once a week 03)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? 00)less than a''/2 hour per day ❑1)54 hour a day 02)more than'/,hour per day,up to 2 hours per day 03)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? DO)less than 5 hours per week ❑1)5 to 10 hours per week ❑2)at least daily 03)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 02) II 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 i.e. mutual care placements. ❑1) Face to face contact one time per month and minimal crisis intervention. 02) Face to face contact two times per month and/or occasional crisis intervention. ❑3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or provided by another source(i.e. Medicaid) 01)less than 4 hours per month ❑2)4-8 hours per month 03)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 ❑ ❑ ❑ P 2 Therapy/Counseling 0 ❑ ❑ ❑ P 3 Educational Intervention 0 0 ❑ ❑ P 4 Behavior Management 0 0 0 ❑ P 5 Personal Care 0 ❑ 0 ❑ A 1 Case Management ❑ 0 ❑ ❑ T 1 Therapeutic Services ❑ ❑ ❑ 0 4 wPu('n,,.,h,cc_ne nddpnd,,.., WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ORe-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. rn� ^ t t ni � � mkt � t' ,z R �� t�l iil slit I� iK., t i i� h t tN .. a t xya `( .p i p i,Ng 'i o- t R t s '� �tA JhdItt ;tk a } il g � �tah� i J � it t4^r �i �'i�l �jinn �`_ 4 4 i,•,} '.,,$ rn t uti 'II:N.L tt ii r xk u i ws L..: zt'" S. 3` 'L " > a ',,d' N i V 1 , n [ t iu $p � - ,...x � €�S [ /,',..,.;..;..:;k4:,�.;',,,;]',L4'�' i 1�ruti !al!iii 'v R' d,'. °' }a a° ;"''„?;.-,L;;'" !..:.:c.;;!../.49,1.t.', y;t 7 r t i.Il �t ni qi MA Ektl3 i t t � } { '" Ii t; v.i` i.1 tii1,� IJ Jtlist �i rnn sli i , 'Pi r � . tltji.il+ f 11,t tl it iii , dh ' i'9 i ai 1 iiiiiii1!,tfi Aggression/Cruelty to Animals 0 0 0 ❑ Verbal or Physical Threatening ❑ 0 0 ❑ Destructive of Property/Fire Setting 0 0 0 ❑ Stealing 0 ❑ ❑ 0 Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ 0 ❑ ❑ Enuresis/Encopresis ❑ ❑ 0 ❑ Runaway ❑ ❑ 0 0 Inappropriate Sexual Behavior 0 ❑ 0 ❑ Disruptive Behavior ❑ ❑ 0 ❑ 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) ❑ 0 ❑ I ❑ 2 ❑ 3 5 weld('n,mn,CQ9l A Addendum WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (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 • WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) i u iiiR i (i-. 4Il �y i ni ,u".GI 11i� I I ,.iiiiro It t It l" iii , i i al!ri��/ �Il Ii' i.. n W,illiri q T t r,14 Miri I I -i4M �t I i ! ili, IE!IP:"'VI i i it ! 5 �'.ry a II (i__k I:o'i ii (I i :i..:.:4 ,1 1 '£iI i 1 !I i nl!IGppe G l'(1!,��)n i t4 (iy,,in !I'Ii�i,i�� I(1 "x11 .i* ,,4!iiG a @ ! tt i e i 7k .4� �' ! �. I a II I , y- I h ! J '.I„�f 1 111 f I! 141 k� I� 1. ni �f'. 'I i *� � �'V �� `�. �,ii!'- ' i I t! i (Vi ( 1) i,l.'ry! 1, 1711,j!:I'll In ',h' Il,li�ylllii'! % ai Li i4'.a16 bi r l i ' k ' !Ilk i11i , iis II!I , ! !!I . II'i 111 i .!: ill tl111:1:011"."141 ill�11 114 11 N iII IlI1f iii i?: l!Pi "JIIii Ol'kt{ lillrl-i�1 x 4l,YII _! a:�, � � 6 i i , 1144!, play ry4i i ilu i ! 1 , l s ((,Ii ,d a1 0 !II .'.11-A:' ,s I )I , .s 1 i!i'.1 tl�l ; it'. l!'I.I lilxll,11,1 r! - riir!1111., i 10. I I.: id( ! b :1�1,4 m� 41'� i d/ ', ul .i)i i !L ,k iI(lIk Ii 1 ii i i rI 6 i 1 , 111 11 !1 1:1i ! IIII!IH! II au) Ia ! ! II!a1 I lil I11,M,__i•I4 x r ,, 9 .i III I:i l ,i !i;i I!11 I4i 1 i1,i+! ii i. i 1 ( i i I i� -ulu6 ! iit.11 1 i� ! tIiil. m.I6,�_x?....�'k'11F� --�N:�. ,6@��,�aLeICIM,.t.0.x dt�aw'.a rail Itl i i Iii , , I i i i i i -'!11 .11111ii i rerrittynnoniiii r ,• ! 'i .0 �di - ! Int it(I� I„ I, ! ik� ,nrn irno1 Iili[lliinp l iI '4 t ii -"-_iu �) !sir i innYjigil1.ii:J3 i': Ih i xii'ir, f i i l( t II mii xI I IiItII iiI iii' rt llI l t II 1 ill!Iill iit(t Iill iN!,',, t li;4 litr 'blgio,111u({i '' i I iI i1 I' 'i- 4i i II i 1, 41Ii, 1l i i'; II ir;iir'h h 1 h iito,:i i ! i ,=i:riW _ 1 , r- !j 1 I 1 11, I it ifa I i t ii !� �I� t��Ii)_,') ''' Il.�u�i.y:�''H1I. °I3iIIIIi.i iI��;EI� (�11�I:ili, I(J;!n1I t�9iI�'��im �i .. I I . I � INuJ' �:8�'IIi�4�G lJVI�) i nj ai' �4!^a 0 f Age 0-10...$1147 Level 0...$625 iill'll Level 0 $4.93 ` Level 0 $0 ttlt it Level 0 $0 tit 0 iiii Age 11-14...$12 89 Ii INii (Therapy not needed or provided ": (None) ! , tol :e (Minimal CPA involvement r e by another source,i.e.mental . 0 ii ) . Age 15-21...$13 91 :li and/or no crisis intervention i.e. ,it health.) N. titl IN �I,, mutual care placements.) 1 ga yip +$.66 Respite Care 4 1i !iii hi NI . IA 4.11 I hit Di ¢9 Vet e i Level 1 $8.22 Level 1 $4.93 1 r!1 t d 4 Level 1......$2.99 �r $19.07 ji+' : ill +$.66 Respite Care Level 1...$6.25 ,1! (Face to face contact one time iG) (Regularly scheduled therapy, (i; ligi 1,0 iiii ($19.73) I)el, (l:Ii per month and minimal crisis Iii 4 hours/month.) p03, I ( intervention) NI ' iiii Ili Ir Level 2 $11.51 1',Level 2 $9.86,t $25.64 (Face to face contact two times I scheduled therapy, '�$ 2 Respite ill I (Weekly +i Level 2 $4.47 +$.66 Care , Level 2...$6 25 ,0 per month and/or occasional 0, 4-8 hours a month with 4 hours of ;lit, ($26.30) iiip !', crisis intervention) ill. Group therapy.) ;1 I'. ill I , 1 I' I Ali Ir: IA it �;1 i. t rill .iii Level 3 $14.79?'- . I i1! H.Level 3 $14.79 i l- (Regularly scheduled weekly I0. 3 it' +$.66 Respite Care , Level 3...$6.25 I (Face to face contact 1-2 timeslir ' ? multiple sessions,can include i i Level 3 $6.02 more than 1 person,i.e.family ril t ($32.88) I 1 i; per week^dervvention.)nd/or ongoing crisis i., therapy,for 8-12 hours/monthly.) tit rl ,t) ii :IN . i' ..I liP' _� ,; Level 4 $18.08 l Level 4 $14.79) 4 "1 $38 79 III (Face to face contact 2-3 times (Regularly scheduled weekly ii Level 4 Neg. RTC +$.66 Respite Care (f' Level 4...$6 25 i; per week minimum,High level ;i multiple sessions,can include Drop I p I'." a, of case management and CPA till more than 1 person,i.e.family t Down i ($39'45) I:4 I 1 involvement with child and i therapy,for 8-12 hours/monthly.) 1i }4 i�f . provider,including on-going 1`a 5 F r:1 j€, crisis intervention.) I I'P, VN Assess. 'l i li Assessment i t k!l Assessment Assessment lir Li;; Period ,a Period $26.30 Eiji, Assessment Period 1,;l Period $625 Period $11.51 �i1 $0 Il (Includes Respite) V! hl Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Weld County Clerk to the Board .`-, ,' WELD COUNTY BOARD OF `' SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY at, Ittetz, DEPARTMENT OF SOCIAL tr. SERVICES By: jot t-(LCG7t: By: eputy lerk to the Board . J. Geile, Chair AUG 3 0 2006 CONTRACTOR Griffith Centers for Children 14142 Denver West Pkwy, Suite 225 Lakewood, CO 80401 WELD COUNTY DEPARTMENT a� r) a O 0 OF SOCIAL SERVICES By: rector 8 Weld County SS-23A Addendum &OO6-83%1 WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Hope and Homes and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this ( day of J j J , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of the/Agreement remain unchanged. 1. County and Contractor agree that a child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement, based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#29867. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests,plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number(970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. 1 wau r ���n,cc_�zo Addendum-.o(126—,. 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 wain r.,,,..n,ccnn ennpnn,,n, A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 15. Add Paragraph 10 to Section VI. The contractor shall promptly notify Social Services in the event 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. 16. Add Section VII-ATTACHMENTS: 3 Weld!'minty Qc_'1 A Addendn.n • 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 �IH# IDATE OF ASSESSMEN AGENCY NAME ROVIDER NAME ROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for the following: Therapy;Medical treatment; Family visitation;Extraordinary educational needs;Etc.,as outlined in the treatment plan? DO)one round trip a week or less 01)2-3 round trips a week ❑2)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? DO)Once a month ❑l)Two times a month but less than weekly O2)Once a week O3)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''/x hour per day ❑1) S4 hour a day O2)more than'/z 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 monitaringof time and/or activities and/or crisis management? O0)less than 5 hours per week ❑1)5 to 10 hours per week ❑ 2)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 DI)5 to 10 hours per week ❑2) II to 20 hours per week O3)21 or more hours per week A 1. How often is CPA case management required? ❑0) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. ❑1) Face to face contact one time per month and minimal crisis intervention. O2) Face to face contact two times per month and/or occasional crisis intervention. O3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month O2)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 ❑ 0 ❑ 0 P 2 Therapy/Counseling 0 ❑ ❑ 0 P 3 Educational Intervention ❑ ❑ ❑ ❑ P 4 Behavior Management ❑ 0 ❑ ❑ P 5 Personal Care 0 ❑ ❑ ❑ A 1 Case Management ❑ ❑ ❑ ❑ T 1 Therapeutic Services ❑ ❑ ❑ ❑ 4 wan rn,,nn,cc-niA Adna.,A,,... WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ['Initial Assessment ❑Re-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. J ym , trlii: t I"�.0 � ri 1� t 7, is i i ,an '�......i �'+P�( ... � �� � ! '� i nap.. �. �� ski 3 t'i[t t mug t s s .. 2 x i h Plitt Ai ry { I9 ye kt '.; .' p h i��y ' i�lklh� r .R 4� � `�'-14 �7" § r F i 11 �� �� 3�� �'�� 1 i 1iii i s� iii s9,.��:,�.2.ud , p 4Lw( a. e,h4. wp«e I (�. ):::if,,::. ,� T� Fret 2L Ifip 1 ii;ggg��i ��F� y°. �&_'TM `h �� `�%, Y ` 1 ,�lil j.,,„,i ii. hg _ `. i�dq rn ffi� n e ,.p _ ,clil 01 '1 i�ltie . .�® = a .s t j s� . .d..d7.......�o „ Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ O ❑ ❑ Destructive of Property/Fire Setting ❑ O ❑ ❑ Stealing ❑ ❑ O O Self-injurious Behavior ❑ ❑ O ❑ Substance Abuse O ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ O ❑ ❑ Disruptive Behavior ❑ O ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation O ❑ ❑ ❑ Education El ❑ ❑ ❑ Involvement with Child's Family El ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 S • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (TO LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) 6 Weld County SS-23A Addendum • • WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) , .t • MJ'r�i�i=.f °'�- '�"''tlr ul fl. Ip�t' I�{ Irj!,.. ' +''', l ' I,!(,i` H>. - 'li( ',I'�1 '+ �f t.. : ,1.. ,i f' 7, q a-'.5.. n. Iw I i I , tL a b,,. , %.. ! : � ..��I '� ,s !;f + `"-it' coil fit , ii `� I I NT[QM RAE 11,�t il{ , AL NEEDS�h ri', +�`t��,!f{ , ;��,, ' 11 8". : 1 [� ' r, , :'I li { .I ` ,. x I. , �. F _,.�..;'. Y t.�r} t"'t;.E ''+ ! `W 1 �I�fl , ,I :.{ 1 �'+�',{` �I nrY x� s{a,.{�� , I i'rr �'... _... r �'II,I•'f!' d '.:` , ! �t F�,!� h' Ilal l' n •': wy { ' r� °! M, ' 1 I � 'l �j!� t,.. ts!�;I'• ri 1 h'y, , II j�l iriiat"T ry. ' , � HlI y , ij �(t�If li „ helm � h ' ;:a:. 11iuL' to .'k... t.t t i ;~i , 'i n;;, ,,, : r It; i' ,i !I' -� : , 5 i r-: i 1�11ri1 ,h 1 Ali ll�f j' �p t ,I�,I l i n;Cava "' o. >!I n 4 N 11' I C herapY ,t r i k t .t t� g �! P ,.It t, r '{7�+`n 1.r (R` " 1{1 kl 4A' I `+ _F , 1 I I _, ,+,•- t!I � 1' I ! ( I'f�,vk }I i f' a t! s x,,,6 l,t'I'!t 1 i yt l 41 ' I`, ►d .P 1 t ,•�I ti 1 Ilj •icr,r '' ,r�r_, w d�'_ Ii II',t 1 .,Iihi r i I C 1{,. 1•:. ♦, (' .�I ;I: I�, : rl I ,I" ...; l ikOnt - , i{ ''•4. F, !0 I .(I i i lt#I tl y � { H1 Y'�'1 , !`. fl 0, @IC i 41 ,'-1!' j li Ilia lint), l iki l; N1 � er {I O;iS ii6i4k!I4-114 , ty Age 0-10...$11.47 ( (?j IiF p ,i Level 0...$6.25 �II;1 Level 0 $4.93 !V Level 0 $0 i i Level 0 $0 Age 11-14...$12.89 j.' (Therapy not needed orprovided ii 0 ��i a r! (None) illf: Age 15-21...$13.91 (Minimal CPA involvement ' by another source,i.e.mental p li 9 (ij;l �;, and/or no crisis intervention i.e. health.) �kF is mutual care placements.) +$.66 Respite Care p 1 li i i 11 c; jli E II•i, ;.I Level 1 $8.22 Level 1 $4.93 1 I uai $19.07 li Level 1 $2.99 f�, 4.66 Respite Care ,j;i Level 1...$6.25 (Face to face contact one time i,l (Regularly scheduled therapy, ;s ly ($19.73) " � per month and minimal crisis +;; 4 hours/month.) I' intervention) I( j111 Izl '•ti � ! ILr ,,, Level 2 $11.51 Level 2 $9 86 I'i! 2 1, $25.64 , (Face to face contact two times (Weekly scheduled therapy, +$.66 Respite Care ''+ Level 2...$6.25 l per month and/or occasional 4-8 hours a month with 4 hours of .l Level 2 $4.47 ($26.30) crisis intervention ' roup therapy.) 'G I I�i Iii lj 11 Level 3 $14.79 'S Level 3 $14.79 (Regularly scheduled weekly yr .'f $32.22 :! 3 fe t multiple sessions,can include tl; Level 3 $6.02 $.66 Respite Care Ii Level 3...$6.25 (Face to face contact 1-2 times more than 1 person,i.e.family ($32.88) per week and/or ongoing crisis therapy,for 8-12 hours/monthly.) intervention.) I: ?; (: Level 4 $18.08 ; Level 4 $14.79„y 4 i $38.79 , (Face to face contact 2-3 times ! (Regularly scheduled weekly Level 4 Neg. RTC r +$,66 Respite Care '{ Level 4...$6.25 I f' per week minimum,High level j multiple sessions,can include Drop li ($39.45) I; of case management and CPA i more than 1 person,i.e.family Down ,i involvement with child and therapy,for 8-12 hours/monthly.) d i provider,including on-going crisis intervention.) Assess. Assessment Ei Assessment Assessment Period Period $26.30 I1 Assessment Period $0 Period $6.25 I Penod $11.51 t !s! (Includes Respite) Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Weld County Clerk to the Board WELD COUNTY BOARD OF ,c;:'"1, SOCIAL SERVICES, ON BEHALF �' OF THE WELD COUNTY lssl0. , DEPARTMENT OF SOCIAL ,`usVi SERVICES trqb By: It e� � � By: d �1 eputy Cl rk to the Board . J. Geile, Chair AUG 3 0 2006 CONTRACTOR Hope and Homes 620 Southpointe Ct. Colorado Springs, CO 80906 By: WELD COUNTY DEPARTMENT ale C EW C6g1 tC9 OF SOCIAL SERVICES By: Di ector 8 Weld County SS-23A Addendum „� J jLCc � -?9(26_.4;l/57/ WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the"Agreement") between Hope Family Services and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this / day of , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of th Agreement remain unchanged. 1. County and Contractor agree that a child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement, based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#42942. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number(970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. ne- ,95/ 1 wPin rnmity cc_nn earb.ndi.., 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 Weld rnunty CC-11A Addand,,... 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. 16. Add Section VII-ATTACHMENTS: 3 wall Cnnnn.CCYl A Addandnn. WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX trails Case ID OB Sex WORKER COMPLETING ASSESSMENT IHH# (DATE OF ASSESSMEN AGENCY NAME ROVIDER NAME ROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for the following: Therapy; Medical treatment;Family visitation;Extraordinary educational needs;Etc.,as outlined in the treatment plan? ❑0)one round trip a week or less ❑l)2-3 round trips a week ❑2)4-5 round trips a week ❑3)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 El)Two times a month but less than weekly ❑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 El) 'h hour a day D2)more than 'A hour per day,up to 2 hours per day ❑3)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? DO)less than 5 hours per week El)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 El)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) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. ❑1) Face to face contact one time per month and minimal crisis intervention. ❑2) Face to face contact two times per month and/or occasional crisis intervention. ❑3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T I. How often is therapy services needed to address child's individual needs per NBC assessment? O0)not needed or provided by another source(i.e.Medicaid) ❑l)less than 4 hours per month ❑2)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 ❑ ❑ ❑ ❑ P 3 Educational Intervention ❑ ❑ ❑ ❑ P 4 Behavior Management ❑ ❑ ❑ ❑ P 5 Personal Care ❑ ❑ ❑ ❑ A 1 Case Management ❑ ❑ ❑ ❑ T 1 Therapeutic Services ❑ ❑ ❑ ❑ 4 Weld Pont',. cc-lie edda.,d,,.., • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ['Initial Assessment ❑Re-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. rifii.E'illide.::!c!.;ij!!Ii: Yi s » l ilr WI �n �1 i: i't i. i14 �� i . � i � �oiy i��� t(s�'e4i�r£{��,4ii ,n� � �ii i r��� t �� i � V '' y . 1E x ' ' di1i''.a!i:' dlIFJ '�7'l�NIM' �Ii i�l III Tipp s ' ₹ ' i ' r J I� ii���i it � � �I1��' ilillWiltibiliFiltiitieltlki �. .3'"�e=mar wtw ., - '4'. .. : .i . . y p"s. .rz':I'i^ ..-R�s* t ,f halt i I xt�' i"A l �iil�i) �1 U lei i t1.1Sl�I � 7 [( 11i i1;%!::!!!!,;!V !, i ' a Ei i i 1 id n n�1i�Vi # i� fl t I iiibilibilitiliPl i...i1bili{ 8 ' W ' 4, x.111, t�� p lt Aggression/Cruelty to Animals 0 0 0 0 Verbal or Physical Threatening 0 0 0 0 Destructive of Property/Fire Setting 0 0 0 0 Stealing 0 0 0 0 Self-injurious Behavior 0 0 0 0 Substance Abuse 0 0 0 0 Presence of Psychiatric Symptoms/Conditions 0 0 0 0 Enuresis/Encopresis 0 0 0 0 Runaway 0 ❑ 0 0 Inappropriate Sexual Behavior 0 0 0 0 Disruptive Behavior 0 0 0 0 Delinquent Behavior ❑ 0 0 0 Depressive-like Behavior 0 0 0 0 Medical Needs 0 0 0 0 Emancipation ❑ 0 0 0 Education 0 0 0 0 Involvement with Child's Family 0 0 0 0 CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) 0 0 0 1 ❑ 2 ❑ 3 5 world r..�,.,n,cc_nn Addendiun WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: l EVEL OF THERAPY SERVICES NEEDED (Tl) LEVEL # Comments: (SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) 6 Weld County SS-23A Addendum • WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) Ilia i10011040:0000p00001' I a 't, 1>j II I ,I:(, rr , 'h , ( , b i,:. i:l 1 �a' t t i '..y ii p , -ii 0, ' 9 I I:I i MIIIII;;M i t I I i li�i i Ii q n �rl. ,1 ,a Lill iI i u^. ;;;w , � + ��'Y ��,� I' i�i ,� 1 ,I-1^ 1iI c{ �_ .tv N 4i.�} � i) iA it ��"�y-'1_';;;;;R I. !lifter}, I , ,t iii,, „ t i ,i, r ei Ii � 1�IP x it ii t, I, a I ::wlii lfi� err!- I, I pp � 1, 7tt a' .:iii ql li,, , U I _ ' li'I �,+..ql,, t ' iI In 1pi. III, i4) , I. 4� I r+f i ' „'Iii !il iii 1 E r h 1 1 � i , i y�(,, ' I i ;- i I I , q1i ,ip illli F 1�r ' '6 i II 'IA ii iili {:, 1 ii ii.; (Ii i�I!I I i N.li iµ !-.: i :,I,i I i nip.. i I'' 2}�byG) t',, ,"mil lii Iii , lili i'1 � I i I! im ,,DDD,/���) i,, Y i pti i� jil n tjtl!` a i ( x ,ni IIIiili�'l�;i!x y ilit'iii:• �I J I�I �1 ("t1 I'M' Ii'I A l%I"i 1iw41 ial I1400, ' , iiii liM i ' i .$ !ip I 4.h'� iH1 iil .19024401 Y W s 9�i Jr 701.9 .tq. Ii. s d'f liY I yi^a� l+"Y.I�ilhl,i ' pp{10i 0,0,0 ' u .40.EsI1 - I'i Hill ',I ioi'I� " 0: P i,l, .ii0 i 4000 IINI�ii ..I,, k i i I II( .; y 0.0I0.00°0, ! II !, F, 100 it:, I�Y 'i i' + Ii ;44.00 -.i I I�: 11 ii, 'I,1! II,I i s fPq , l( ,' ( 4 I i^ i h 4C 4!) i nOl 1 f {jiii. ' "in i ii !i 1loi,,: u 1 ,Iiilll iii N1 Nil Ai _I i'I i� ) (IIII �II Ir Ii{i j '',1$ ''iA Iw i,fi�� 11149 iE tL!Ii::3:s,J....ib u.a.' ,iiI.n.:'/AL , I I .,i..,..0...dal....i'liddd ..fllllililn; .3,. i .t+�:n y l_ imi Li i'is xm I7 Ph; I I $ Age 0-10...$1147 I,i�t Level 0...$6.25 III: I lit ; Age o ';) Iii Level $4.93 i�Leve10 $0 iq Level $0 a Age 11-14...$12 89 1:'u '`f I,. 3:I 0 I� I !., (Therapy not needed or provided 1,I11 (None) I(f, -i (Minimal CPA involvement '41 by another source,i.e.mental 0 Age 15-21...$13.91 'pill' I ( i and/or no crisis intervention i.e. ,t health.) di_ +$.66 Respite Care II, i•i mutual care placements. ili ) a IlY •Yf ,.q 1IIi4 I„ +I *i Ii€ i Level 1 $8.22 j Level 1 $4.93 , 1 $19.07 Ilt 'i- , Level 1 $2.99 I (Face to face contact one time 'Ii+$,66 Respite Care i.�i, Level 1...$6.25 ,� (Regularly scheduled therapy, ($19.73) 111 yi per month and minimal crisis II;, 4 hours/month.) iii intervention) C;. 'a Hit ;_ ai iGi iii s_ i $11.51 a ttl 1;11 !',1 Level 2 l �i Til i y.,i Level 2 $9.86 2 - $25.64 " !it+ 'I (Face to face contact two times ,; (Weekly scheduled therapy, ';I1 Level 2 $4.47 +$.66 Respite Care (l; Level 2...$6.25 „_, per month and/or occasional ,I,. 4-8 hours a month with 4 hours of y ($26.30) ;l crisis intervention) ,iii Group therapy.) :i;$ ht 1 .I I n 'i ' lit:. :II i • il:q ICI= ;; Level 3 $14.791'1 Ii t Level 3 $14.79 hid it $32 22 I (Regularly scheduled weekly t::. 3 ` 'II 1 multiple sessions,can include 'III Level 3 $6.02 +$,66 Respite Care , Level 3...$6.25 I (Face to face contact 1-2 timespipmore than 1 person,i.e.family ($32.88) per week and/or ongoing crisis i & L�I, intervention.) (!I therapy,for 8-12 hours/monthly.) iil6' If Iq i!I 'Ii di NI i ( {i El ,i441 ll 11 4+ ill (, ; Level 4 $18.08 i Level 4 $14.79 ift q, �I. di I l 4 + $38 79 ' a I (Face to face contact 2-3 times (Regularly scheduled weekly 1, Level 4 Neg. RTC lwill +$.66 Respite Care 11'j Level 4...$6.25 I per week minimum, High level i, multiple sessions,can include 4I Drop ii Alof case management and CPA more than 1 person,i.e.family Down ($39.45) :! I: i. I,i involvement with child and ;i therapy,for 8-12 hours/monthly.) l,;i (ii i Id 'i provider,including on-going qqi ,7 ,,, I' crisis intervention.) - 11 Ii: `�I .Iy u6ry Assess Assessment diII PR Assessment I Assessment ' Period I I' Period $26.30 I ' I Assessment Period $0 3 Period $6.25 '1 Period $11.51 ii l r 1: (Includes Respite) 1 '', :i Hi) ,q a .. : Ni l,fl Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: atai et Weld County Clerk to the Board eas tr, , ,* WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF te.:31,,,„' OF THE WELD COUNTY Ismr j: ''" " DEPARTMENT OF SOCIAL (, ? t SERVICES By: t1. .g r lc CL By: D uty C1er to the oard . J. Geile, Chair AUG 3 0 2006 CONTRACTOR Hope Family Services 1115 llth St _ Greeley O806 By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: D ector 8 Weld County SS-23A Addendum „,oCCE a!5%/ • • WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the"Agreement") between Jacob Family Services and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this Wiay of AV,. , 2006, 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#71260. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. - / 1 w, n.,,.,n,cc_n e Ad,1P�d,,n,id 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local)transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 Weld/`nnnw CC_11A Addc,d»m 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. 16. Add Section VII-ATTACHMENTS: .� wau r,.,,..n,cc_lc e eadenn,,... • • 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 �IH# 1DATE OF ASSESSMEN AGENCY NAME ROVIDER NAME ROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for the following: Therapy;Medical treatment;Family visitation; Extraordinary educational needs;Etc.,as outlined in the treatment plan? ❑0)one round trip a week or less ❑1)2-3 round trips a week ❑2)4-5 round trips a week 03)6 or more round trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? DO)Once a month ❑1)Two times a month but less than weekly 02)Once a week 03)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''/ hour per day ❑1)'/a hour a day 02)more than 1/2 hour per day,up to 2 hours per day 03)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitorin$of time and/or activities and/or crisis management? 00)less than 5 hours per week ❑l)5 to 10 hours per week 0 2)at least daily 03)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 02) II to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? ❑0) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. 01) Face to face contact one time per month and minimal crisis intervention. ❑2) Face to face contact two times per month and/or occasional crisis intervention. ❑3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? 00)not needed or provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month ❑2)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 0 ❑ 0 ❑ P 2 Therapy/Counseling 0 0 ❑ 0 P 3 Educational Intervention 0 ❑ ❑ ❑ P 4 Behavior Management 0 0 0 ❑ P 5 Personal Care 0 0 ❑ ❑ A 1 Case Management 0 0 ❑ ❑ T 1 Therapeutic Services 0 ❑ ❑ ❑ 4 wPu cn,."n,ccnlA An,i,..,,-li... • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. ' "r`; 2 5#I t i, i iii Th s 1 M t3 z , i i err w ! 11n I�fii 4i71 f h` 'iif i:i � illtil � I^a ml i ,I iww nPY+ j N « . � ,1 p II.I�iD tNL x s Y PPP���p . t ii , w i u 4 . j lilitialil'iii Liiiiititgliifilli6;riiiiiibrdigillitiUlthilliiii Et VI' irkiiiiliiiiigiggiiiiiiil hit ., Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ D ❑ Destructive of Property/Fire Setting ❑ ❑ 0 0 Stealing 0 ❑ ❑ 0 Self-injurious Behavior 0 ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ 0 ❑ ❑ Runaway ❑ 0 ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ 0 ❑ Disruptive Behavior 0 ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ 0 ❑ ❑ Involvement with Child's Family ❑ ❑ 0 ❑ CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ 0 ❑ 1 0 2 ❑ 3 S waia r,. �n,ccoae AdA�dnm WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (T1) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: 4 NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) 6 Weld County SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) i 1' I.1 ' -:14747I i "A iir n r I I" ^,i'.e fpc. I i 'P gjSg 1. It, j) r1i 'M"cla a(G ii. =bn i� ,I,, � ,➢ t iI�l ;IT lil. ,I ka , 'l4fri ryf q ji;r,�i i t' ! ( g I n, � t �'4 �'' °j.U. i't:IP ,' ii0 F� ,'t�.�,111 ' �1'0 i+� �, ��I II ' r '{ ' k51.' >, RIi t�r�r'I ,� I " c- lc it II I'� t13. ;' 01001,101' I Mil i 'I I j r ' 11 's, :fillr rf 9 t.: 'w 4d r ' ' } T id'd I �n ti ) I 0 s I ii .i. 'i ,, u dr I f Rit tri.hi' hliI ti) (i I I N,:—OR -4 i 'A girt. a I i ! 1i {pal�,'q�r�}t',,�t aIx'�':'" t::jiI.4, i'�ili I,i" ! IFIBMI .la'') I iIW i ({ i n. I:id �'Pia dr i,II - - IX ' [till tailitii '1*I i� ItY b ,1 i, ~ { v!L] Jl �1,V P � ' f.' i^, :k l ,-,du1r ...I�. ti t �V [mitt�! , • it : lit I! Age O-10...$1147 Ili o � Level 0...$6.25 �t " r', hr. Level 0 $q gg IifE Level 0 $0 r� Level 0 $0 0 "± Age 11-14...$12 89 ';�I. ' a. it (Therapy not needed or provided .1 (None) i I„' 'I, (Minimal CPA involvement 'i, by another source,i.e.mental ji Age 15-21...$13.91 11 xi 0 iijl f Iji and/or no crisis intervention i.e. j. health.) ., l! iP mutual care placements.) H II, +$.66 Respite Care ry I . 41 III, n'� I li fq :iid III fill Iv tl :1 Level 1 $8.22 :Level 1 $4.93 " 1 Irr, ;k i' Ill Level 1 $2.99 $19.07 0 +$.66 Respite Care t Level 1...$6 25 4 (Face to face contact one time !, (Regularly scheduled therapy, ij ($19.73) '= if' per month and minimal crisis Iii 4 hours/month.) intervention F` fit ni! , n, !t f Level 2 $11511 Level 2 $9.861+ 1.i!f I ' , I;I $25.64 'j :I (Face to face contact two times f (Weekly scheduled therapy, 2 .., Level 2 $4.47 +$.66 Respite Care Level 2...$6 25 'i per month and/or occasional ,.I' 4-8 hours a month with 4 hours of . ($26.30) i ,, crisis intervention) Group therapy.) 313 d ,{ #;p I , iit f'a 1. .I ' Level3 $14.791,1 i Level3 $14.79 Id II .1,ri!f (Regularly scheduled weekly it $32.223 Respite ') Iq multiple sessions,can include e.,1 Level 3 $6.02 +$.66 Care ;I Level 3...$6.25 1_I (Face to face contact 1-2 times more than 1 person,i.e.family ,� ($32.88) ;` yl per week and/or ongoing crisis - therapy,for 8-12 hours/monthly.) I'� II,. l� Ill FA a I Di ,l# : WI ,, Level $18.08 Level4 $14.79 „i 4 $38.79 ,;H (Face to face contact 2-3 times (Regularly scheduled weekly I Level 4 Neg. RTC +$.66 Respite Care iii Level 4...$6 25 ! per week minimum, High level ; multiple sessions,can include iiffl Drop ) ii, ,m; of case management and CPA more than 1 person,i.e.family I Down ($39.45 involvement with child and " therapy,for 8-12 hours/monthly.) attit F'.. provider,including on-going fli rhl crisis intervention.) t', it :It til ' i i. 'Ill Assess. Assessment , , .i 4 Assessment Assessment ,. Period Period $26.30 I;k Period $6.25 + Period $11.51 I Assessment Period $0 (Includes Respite) j,rI ::Iiii 1 di Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: Mil r Weld County Clerk to the B d 4,:„1,A,,,,/,,,, ,, :c-: _i - A WELD COUNTY BOARD OF 41, 'te .. >, SOCIAL SERVICES, ON BEHALF 1 m t r ca t-1�`. 1 - 1 OF THE WELD COUNTY V..;..>"I�► 1- DEPARTMENT OF SOCIAL ^, 7/ SERVICES By: "tit I ie?q C_ _ __• By: uty Cl to the Board M. J. Geile, Chair AUG 3 0 2006 CONTRACTOR Jacob Family Services 729 Remington Fort Coll' s CO 80524 By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Direc or 8 Weld County SS-23A Addendum a9m6-&39/ WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the"Agreement") between Laradon Hall and Weld, unty Department of Social Services for the period from!!; July 1, 2006 through June 30, 2007. The following provisions, made this 3( day of , 2006, are added tare referenced Agreement. Except as modified hereby, all terms of the greement remain unchanged. 1. County and Contractor agree that a child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement,based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#45200. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County,prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. aMMDE'-a'3%/ 1 wptn r,.,,..n,cc_11 Afirb.,n,,n, ' 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery,bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 wain cc-nn nndpnn.m.., 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. 16. Add Section VII-ATTACHMENTS: 3 Weld l'nuh,CC-11A Addendum WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B) IDENTIFYING INFORMATION CHILD'S NAME STATE BD SEX Trails Case ID IDOB Sex WORKER COMPLETING ASSESSMENT 1ATE 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 the following: Therapy;Medical treatment; Family visitation; Extraordinary educational needs; Etc.,as outlined in the treatment plan? DO)one round trip a week or less ❑1)2-3 round trips a week D2)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? DO)Once a month ❑1)Two times a month but less than weekly O2)Once a week O3)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''A hour per day ❑1)''A hour a day ❑2)more than'V2 hour per day,up to 2 hours per day ❑3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitorin of time and/or activities and/or crisis management? 00)less than 5 hours per week ❑1)5 to 10 hours per week 0 2)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?DO)less than 5 hours per week ❑I)5 to 10 hours per week O2) 11 to 20 hours per week O3)21 or more hours per week A 1. How often is CPA case management required? ❑0) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. ❑I) Face to face contact one time per month and minimal crisis intervention. D2) Face to face contact two times per month and/or occasional crisis intervention. O3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T I. How often is therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or provided by another source(i.e.Medicaid) 01)less than 4 hours per month ❑2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation ❑ 0 0 ❑ P 2 Therapy/Counseling ❑ 0 ❑ ❑ P 3 Educational Intervention ❑ 0 0 ❑ P 4 Behavior Management ❑ 0 0 ❑ P5 Personal Care 0 ❑ 0 ❑ A 1 Case Management 0 ❑ ❑ ❑ T 1 Therapeutic Services ❑ 0 ❑ ❑ 4 weld r„,,nt.,QC?) A Adde.a,,.., WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ['Initial Assessment ❑Re-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. 3 mky ? G v h �n 1 +t -...!"..°: i i"Ju� �a ttrP f t tit r r t � �r S.,, fC�. y n� ��4 � a m f5 i 3,.0 , i � � x »e Ydt £ '� ' a I I U Yg- 0 I ( + " uI IF •'I a r$ s 4y1 „I, i..w': (1 is 1.,.........:,...i:Lit.' w,, i! u c.L :ittta° A�> , gel f s sl Ay v.." h` s ;O') N �,l it it i . �6' y 1,l s8,i a rs' �t rk ` 3 ' : .l l $t., : s ,iy f" i . t f Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior ❑ O O O Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ O ❑ Runaway ❑ ❑ O O Inappropriate Sexual Behavior ❑ O O ❑ Disruptive Behavior ❑ ❑ O ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family O ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 5 warn C0.ior.,cc-ne enna�n,.., WELD COUNTY DSS • NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED(T1) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) 6 Weld County SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) li it e1 7 Iiir I,I P l ' ' ,I' lit 1 i ! 'I ii I i I `E i t PI' , 11 , liii li V ti f Ci i* ip' h i ,:.1 yew 1 l- i iii I I 1,1 1 I I i -�, 4 N 1 Il„tl 4 'I P a , yEW l,ilyy ,I(t Ill'� Vi i , t,;' -t i WJI i i 'f 01 <.I I,'Ll bk " , 1 ., 'III,f10 !41 Ct LLI{ilp� l Si}.1tl • Il bt i� i ri1 pl ciIA I 1:111.-?;t1'11111,1,11,.) ciil i ' KUIB I itll , II 1 i i 1111 ii h I + ! W d 4 � I Iip1 t f ItI� li i iI ithi {Ifltt111 iN_i, A r i yI ,TI k,tl46.11' 'i ( f'1 µµr�li -:'1 R :)I bti N- I it!IIlIt {" i li '-I 1 rrS i r !tf 1I 1,1 ri I Ir I HI!! 1:9 A i._ I Mt Pit'' [�'N 'tit,' rti)i( i, f.(.., ie i v 11 l I i ti .�Iily with, i' (I i 3I(Ii dlivi.. IY1 f it i 1�r�iTT. i '.! r„( 1 'ail tt I,;I I itl I Ir I i t i PP Jigili ,t d t' - 1 I _ r1ll,,w�!l h`I td t tti lI I i; I IIIIi i i rt I, '� 9i k,c ,Ili 1 :ell il�il1 I I!Lk.? i l dlllil u ai kll dirl:3 lGiilil I,I.�1 I k t 114 t iiF'1'lL�i I III Iii l i fi Ili! illaILI iii i I III Midi + - i.' M, �M y iiiirni ji lli p i Ilil,) ,.p,, 1 y t i , li4un I I II li i nI , i i P i w ac it I) A p Ifn i I It;ltiti llll 11'.?1 l��Pl11 v-l) I� !Ij j�IntIIIl pPill f ztl. IIf ill1 '{i,'i. (Atoll C I,P 5 d9. ( 'l Ya Z .I-It `46i �I'... fit.it)ioliki I tichll ky iiillll Piliy911' .,�, I il�i 'IP pits) n till i.i i Pi,kiii ll i Il , iin'v'.}+ro iii k '�IililllI'''ihlliilltfn„ :.3 Elti it ''kr r I�u�Ii!Ilg, w.Lull.�, tl�'ilf�N�!� f.1,i�II.ii�!i,1J Iihall,I h l+,'Iu.: � ! ifii i, I,Ii Idi'�iki Il,i'. 2 it aIfllil�IICIIIkIIIIIII116II" ' i. 0 pi Age 0-10...$11 47 �(' Level 0...$6.25 i Level 0 $4.93 Level 0 $0 '�;t Level 0 $0 ,t. I . !, ,I It 11 0 Age 11-14...$12.89 '. ,,.' '. (Therapy not needed or provided lift (None) diI iEft (Minimal CPA involvement l_, by another source,i.e.mental 'it 0 R,II Age 15-21...$13.91 l; !' and/or no crisis intervention i.e. !' health.) l; 11 '`( mutual care placements.) !I i!I .1, +$.66 Respite Care h( ) ri ; , l•. it mi i I ^I Id illIk Level 1 $8.22 �.�Level 1 $4.93 ja 1 14, iii(; $19.07 I': Ili Level l $2.99 it,, +$.66 Respite Care t Level 1...$6.25 .I. (Face to face contact one time :' (Regularly scheduled therapy, !g1 pit ($19.73) 1 1!, per month and minimal crisis It 4 hours/month.) 'if' 'Pit ... 'C intervention) ! ,i� r Level 2 $11.51 Level 2 $9.86#t 2 l' $2564 ;till (Face to face contact two times (Weekly scheduled therapy, I t Level 2 $4.47 ri +$,66 Respite Care , Level 2...$6.25 v per month and/or occasional 4-8 hours a month with 4 hours of i 1, Fr ($26.30) 111 crisis intervention) Group therapy.) I I. 1y ! H+ t I i,r d..1 H= I I '' ( Level $14.79 i, .1 Level 3 $14.79 f 4 (Regularly scheduled weekly i t 3 l„ $32.22 ; tt multiple sessions,can include I!I Level 3 $6.02 .t +$.66 Respite Care Level 3...$6.25 1. (Face to face contact 1-2 times „ al AI 1'� more than 1 person,i.e.family ,° per week and/or ongoing crisis ,, �;j rt, ($32.88) , therapy,for 8-12 hours/monthly.) 1 t intervention.) f1 p6'. tr. ill I 'a A1. 11 Level4 $18.08 4 Level4 $14.791,. 4 (Face to face contact 2-3 times (Regularly scheduled weekly (_ Level 4 Neg. RTC k +$.66 Respite Care II I� Level 4...$6.25 I i $38.79 per week minimum,High level multiple sessions,can include till 51.1 Drop ,II. ($39 45) I I( of case management and CPA more than 1 person,i.e.family lu' Down P{' 1. :li involvement with child and therapy,for 8-12 hours/monthly.) F Ph' I .;I provider,including on-going ' ''° I'' crisis intervention.) I,. i't II .11 iill ii t ' it pt Assess. Assessment Assessment Assessment t gi- Period ; . Period $26.30 I period $6.25 Period $11.51 Assessment Period $01 If L i (Includes Respite) 'tit �� V. 131 Lit .,, a... Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. gegibitalaaa ATTEST: Weld County Clerk to the Board '- ; t WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF fig. r'a OF THE WELD COUNTY ;' Y ? . ° DEPARTMENT OF SOCIAL ,, c �19 SERVICES (Rt. By: lit ill tilt- Li^ .L By: ,> uty Cl k to t e Board . . Geile, Chair AUG 3 o 2006 CONTRACTOR Laradon Hall incoln St. Denver O 80216 Y: .- c . a ..., WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Dir ctor 8 Weld County SS-23A Addendum y '--et-- q9/ • • WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the"Agreement") between Loving Homes Inc. and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this 3) day of 2006, are added to the referenced Agreement. Except as modified hereby, all terms of the eement remain unchanged. 1. County and Contractor agree that a child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement, based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#72767. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests,plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number (970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. 1 Weld r,. .,r.,cc_»e re-&39/ �� 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended,proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery,bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 wan rmint',cone AdApnn,,... 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. 16. Add Section VII-ATTACHMENTS: 3 WPl,d r,.,,.,n,cc_l1A A(Man(i,,.,, • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX trails Case ID IOB Sex WORKER COMPLETING ASSESSMENT IFIH# IDATE OF ASSESSMEN AGENCY NAME PROVIDER NAME ROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for the following: Therapy;Medical treatment; Family visitation; Extraordinary educational needs; Etc.,as outlined in the treatment plan? ❑0)one round trip a week or less ❑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? O0)Once a month ❑1)Two times a month but less than weekly ❑2)Once a week O3)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''/x hour per day 01) 16 hour a day O2)more than 1/2 hour per day,up to 2 hours per day O3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitorin of time and/or activities and/or crisis management? D0)less than 5 hours per week ❑l)5 to 10 hours per week ❑ 2)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? O0)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) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. 01) Face to face contact one time per month and minimal crisis intervention. O2) Face to face contact two times per month and/or occasional crisis intervention. O3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? ❑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)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 0 ❑ ❑ P 2 Therapy/Counseling ❑ 0 0 ❑ P 3 Educational Intervention 0 ❑ ❑ ❑ P 4 Behavior Management 0 ❑ ❑ ❑ P 5 Personal Care 0 0 0 ❑ A 1 Case Management ❑ ❑ ❑ 0 T 1 Therapeutic Services 0 ❑ 0 ❑ 4 w•1,1 nn,,..n,cc_l1n Addend,,.., • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ['Initial Assessment Elite-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. ' .! laji d l£ ry� £ , a , s s r a l ! allill .. b .,i1,1#1,114:1.1111 „ry.,'ti,-Yi7,1 ' �',:il,�r4'I wi.4t '' 1. .., 9;,.• A ` 71,1a�*r& 11'.lt t 1 I lrry, ��£1b��}}},,, .. x ..'• ' z>tk b s �.p'f•' d a'k' £ i£ulrl -.£l t ,e +� • .,... .a r t .,. ., *s'. , s ia. '.I. 1l� s : .u a,w uJwu x.irtry,1210/4,-,i.:.,.......,.. Syy't`,€ 3ffi t$et a�aa: `Fv • , k! e„ • I, G.,r: h Ilyi I 7� .. £it 11 to,�'I =u r . : i lk ` '° a , , ,�� i Aggression/Cruelty to Animals El ❑ El ❑ Verbal or Physical Threatening El ❑ El ❑ Destructive of Property/Fire Setting El ❑ ❑ ❑ Stealing ❑ ❑ 0 ❑ Self-injurious Behavior ❑ ❑ 0 0 Substance Abuse ❑ ❑ El El Presence of Psychiatric Symptoms/Conditions ❑ El ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ El ❑ ❑ Inappropriate Sexual Behavior El ❑ ❑ El Disruptive Behavior ❑ El ❑ El Delinquent Behavior ❑ 0 El El Depressive-like Behavior El ❑ 0 El Medical Needs ❑ ❑ ❑ ❑ Emancipation El ❑ ❑ ❑ Education 0 ❑ ❑ ❑ Involvement with Child's Family 0 ❑ ❑ El , CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) El 0 ❑ 1 ❑ 2 El 3 5 wpm('n,,nn,CC-91A Adidendn.n WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (T1) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) 6 Weld County SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) „'i+-•, it ' 7 ,�I {Yrl1[�?:iw.:ssu^r.{ V. , ;•�, ��.' i t ! lr, J f. �S s y_ « H -c-;r'w#! x- kt[y t i t ,�1 pt. I1 ia{ j ,�I '9." �` :.21 r :T r`, Vj 1 p�+iiP.I! f i!i,t �, . 71 l+j 114it f °'iaiufIttSF Dili u ■ C • t k_ n , _ s, , �„� �;l l t r REC : , DE j r I` INTERVENTION RA1 , , t�JEFDS'. � i Itl .1? �- y tt' �', k"� r a�'#!h�- r--� �_ �'`�. �'WF Air , t � iP¢¢rti i I 1, �+ ��i ,� 1 t ,'�� �';1�1�.' u I' .,�..proa�: I, y I+,�:� t d.".h i � ht t$c• t: t • I t , { � ,� N,{lt. � ,- ?� i4 :,t 4 t .4, �Jt IN (�hM! l�l r{� i ✓11 _i t , r krl I t _l 1 + t'y ya {� 'I ..' l� k P. i , ADDENDUM ,` r.�7 if I , , , ".'?it i 11 t�'I[I i i ,t lt}i l •i ( r Ij•�}.I 116� f k !.I I li !` �� A�H 1'I ' )$ � � 01441�', '1 '��II I'� 1�, t) I �y `� 1 s fir..,«...r..tr ,+ � atln u, �r d .In e�i)_t �d l t{ ��' 1.4,E U t�l fiGw+(�3,. " 3 �', t�' �! 1 11 1I1 ry f{I h - t, {i 1 7 it 1"M u 5, 1 ut ( J •{•0.'��( ;i i ` • , �{ 1 t ' t l{1 ,II I( h{ ,...' •Kµ1d_4,;_ J (y i rlr 1 • ,• 4l .� �4 i11)fiil�'i I t c a r a1" 1 itl sa �caBeManagerrl6ttfx it it! ; �!f !1+ki1�till i! i t'It1' �f � C �t��i, _.�� , w,z, ! 1 -,� q ,.,.1a1'ti:. I A'O t iEfii i;� ,ls(iit` ) ! ( �' x� �tit�r ��. �� tl miry: ,i•.::(At1111111f[Att.� 1.�.. 1 PrFi• r' t PP H 0 ; Age 0-10...$11.47 Level 0...$6.25 Level 0 $0 Level 0 SO Level $4.93 Age 11-14...$12.89 �+; o ,(, (Therapy not needed or provided (None) (Minimal CPA involvement by another source,i.e.mental i 0 . Age 15-21...$13.91 , and/or no crisis intervention i.e. `((" health.) ;.1. mutual care placements.) I , I +5.66 Respite Care 5 t ,IIII Level 1 $8-22 Level 1 $4.93 1 ' $19.07 , Level 1 $2.99 i+1'1 + .66 Respite Care Level 1... .2 (Face to face contact one time (Regularly scheduled therapy, +-- t. $ p 56 5 ( 9 Y ($19.73) i,`t per month and minimal crisis 4 hours/month.) intervention) 4.4 �H` Level 2 $11.51 Level 2 $9.86 ji! I, ,. 2 ; $25.64 (Face to face contact two times • (Weekly scheduled therapy, Level 2 $4.47 +$.66 Respite Care Level 2...$6.25 , per month and/or occasional 4-8 hours a month with 4 hours of il ($26.30) crisis intervention) ;It Group therapy.) pp Elli- y6 t h k ' 1 Level 3 $14.79 Level 3 $14.79, ; ' $32.22 ,ll :j; (Regularly scheduled weekly 3 !' multiple sessions,can include Level 3 $6.02 li. +$.66 Respite Care Level 3...$6.25 (Face to face contact 1-2 times ' '( more than 1 person,i.e.family (532.88) , per week and/or ongoing crisis therapy, for 8-12 hours/monthly.) +' intervention.) c Level 4 $18.08,i.Level 4 $14.79 4 $38 79 '; (Face to face contact 2-3 times (Regularly scheduled weekly Level 4 Neg. RTC • +$.66 Respite Care Level 4...$6.25 },' per week minimum,High level I. multiple sessions,can include 19. Drop ?.`' ($39.45) 'ti', of case management and CPA more than 1 person,i.e.family .1; Down �! !I '''.1 involvement with child and therapy,for 8-12 hours/monthly.) '✓ ? provider, including on going 4t- ,, crisis intervention.) tI Assess. Assessment Assessment Assessment Period }, Period $26.30 Assessment Period $0 (Includes Respite) Period $6.25 �1; Period $11.51 ., _ __ c C Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: �°' '""",r �� G"""� Weld County Clerk to the Board � WELD COUNTY BOARD OF s , SOCIAL SERVICES, ON BEHALF ' „ `e' OF THE WELD COUNTY test ti `' _'' ` DEPARTMENT OF SOCIAL �l` c t 4f SERVICES O w.El By: h. 1 r 1flLc By: eputy C rk to e Board M. . Geile, Chair AUG 3 0 200& CONTRACTOR Loving Homes Inc. 954 W Montebello Dr Pueblgst, CO 81007-3 9 / By: 17127,V___ �/ �( /A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: 'rector 8 Weld County SS-23A Addendum dart-ta??%/ • • WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Lutheran Family Services and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this /tday of 2006, are added to the referenced Agreement. Except as modified hereby, all terms of the 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#45080. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number(970) 304-2749. 7. Add Paragraph 13 to Section W. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. 07421?-X5%7 1 Weld Count,CC-11A AdArnd,,.n 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 WPI1 Pont,,„ cc_l 1 A Addnnd,,n, A. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed; B. Deny payment or recover reimbursement for those services or deliverables which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Social Services. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to Social Services; C. Recover from the Contractor any incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation by deducting from subsequent payments under this Agreement or other agreements between Social Services and the Contractor, or by Social Services as a debt to Social Services or otherwise as provided by law. 15. Add Paragraph 10 to Section VI. The contractor shall promptly notify Social Services in the event 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. 16. Add Section VII-ATTACHMENTS: 3 Weld rnnnh,CC/11A AAAe..An.,, 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 "DATE OF ASSESSMEN AGENCY NAME IROVIDER NAME PROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES I 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? 00)one round trip a week or less ❑1)2-3 round trips a week 02)4-5 round trips a week 03)6 or more round trips a week P 2. How often is the provider required to participate in child's therapy or counseling sessions? 00)Once a month 01)Two times a month but less than weekly 02)Once a week 03)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? 00)less than a''A hour per day ❑1) 'G hour a day 02)more than'/3 hour per day,up to 2 hours per day 03)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitorin of time and/or activities and/or crisis management? 00)less than 5 hours per week ❑1)5 to 10 hours per week 0 2)at least daily 03)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? 00)less than 5 hours per week ❑1)5 to 10 hours per week ❑2) 11 to 20 hours per week 03)21 or more hours per week A 1. How often is CPA case management required? 00) Minimal CPA involvement per month and/or no crisis intervention i.e. mutual care placements. ❑1) Face to face contact one time per month and minimal crisis intervention. 02) Face to face contact two times per month and/or occasional crisis intervention. 03) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or provided by another source(i.e. Medicaid) ❑1)less than 4 hours per month 02)4-8 hours per month 03)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation 0 ❑ ❑ 0 P 2 Therapy/Counseling 0 ❑ ❑ 0 P 3 ,Educational Intervention ❑ ❑ ❑ ❑ P 4 Behavior Management 0 ❑ ❑ ❑ P 5 Personal Care ❑ 0 0 ❑ A 1 Case Management ❑ ❑ ❑ ❑ T 1 Therapeutic Services 0 ❑ ❑ ❑ 4 wad co,,nh,canA Addend,,.., WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. ,," ,t n �r itYi,,;,n iV rI ,!klLI 3 • .3r4 3F .r e , , r , a c g h; f .i vsl,L li 1 � i r f ! I ii,iii, 1 .#:• €... ,..: ,,,..57,..., .• • n. . .&�eyai, �i u1;„a::::{ ..1 Lnw .,,.whl� , H t t'Iii�, � � t4i ,,,. :,, z Ii th ,Ir� � _ t,I *�tY�IA4; r ;,,ic t{tf ,, ,i4 1� ` � !� i i�tl i� ir) ii,1il 7 ;, 4"i I I I ; iiit i�i I,�i ;k+�t r� ,1 A {', i. t F,, I k.w kkl;,2:i ;:.L.dae,„u..,x...: 4di i.! , t t; gt c, g �i, , �I i I, +i; r ' it ii ` 'q," tI Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ El Self-injurious Behavior • ❑ ❑ ❑ ❑ Substance Abuse ❑ 0 ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ 0 0 ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ El Depressive-like Behavior ❑ 0 ❑ ❑ Medical Needs ❑ El 0 ❑ Emancipation 0 El 0 ❑ Education 0 ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ 0 CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ 0 ❑ 1 El 2 ❑ 3 5 WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (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 • ' WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) f- I,I i '�iqi i - Ili, " II,N, - f 'U i i i Nf i II, lili i r.t {,P0 917 l Lf fri ,) iPl 1'1N: i Prig q Y {r i 1 I n',to� i'.�tf I1di� r IID'l r,,4 ;I1 ii I. ' II,4 II,I n;..i i i { {i.. C1w.n.i Oh*i'�,ill IN is t{i i n':Or i'N,,P ' ii:P.Di! ea.tt. to Iii '� i iplli�iIVii,'1 l F I „ � like 1 ,N i ,i I f (0 rid l Ili' .Y� III iilI i ' iIi : i f . I! i, f i N I of }{{��1�� .IMi f i �f Pill G t N i 11 4 i) N{ { 1aIIII!'?' (il xt Milli ii f 1 { IIIriT , 1 , _ ii i i. II, a :foie '' i - Ii,{, N41ii `��� iN'1'f i� L (f- i i - i i ( I I 11 Iif Il;J1,4;01,9.04'iri litill; 1 I''d iipodial.II1:r i'i � i�.Ni�i IIII it IN I'1 E1Vi1 . { d I I d i I i`Y f 1 1t ;;ry5 fil:.r,_ it Iij,I fN�11 ' II t i j I if ; ri;ini i 'II6 f1I1rl� i,iiti:L f�) (.Ii N f, lN. I 'xiMi. IIIi9{;itt () (11 Vt 114 IN milt i�l IIII XI t .ili,, I Ii, (ii ( 4.1-:,,i'-.: I ! i.Iis. Iilimi ,,;'i11 III'i',, ii 1({ 1- ii,,�I i{ Ili n3,i pi, i ' N: ,. ,ICI -, 1 +r ,,''y �. 'II 1'I i.r i a.I fi, ;nil; -.I4 ( (', 1 f'r i� 1. tl I I`f5�I{j1'1' il� 1 { Ir ,i I' i f i ��,� �6i�INT 33#I�r6"(4'i� (t�f.4. ', �(' 1 1 f - f - a I.v �,F i', d161u�Lfi�lll I llf Ni1 f 1 I f � -�AiG ��iW���fu�ry iIC1N��' &tI��4NI» ��i ��NN{�f !'. (f'{1N 1RIIII 4NU 1 ni i�,) �, .t,lif'll:u, ifl u f l',1 �i R�.fl,li{i41 i1Vl,',Ij i�n�Iiiljal +1', ilf jE l I1fflii 1� i t "iri, r'tlfIlili ,1I 1' T r A ai'1, ial i Ixi 1 r i -,, I f I, 43I'Ih t `�f ,I f1 ri(GIIItI i' 1 1{i'I ,1111(41RN,'I I 11 )t'I� itiv i II �pO�ff�7,,�Milt!! 1 ( I t 1�1) f l i" �k - t ixM1 ��ff Ili nt ll�44444{,I� I Ill 1i b 'tffatittl'7.:.I �� r i v4i„t ;!tillii fill Ell IIi 314!II 1 1 1''A�fi1 Yt' i p�i �!J�Nx'11 ,1ta l `f I I 11 h.., i �f G NINd&I'ItAl. III IIII '.,x111.13 A4.uld.4.:)I:6I1�i@a$. kddd.4 1 ILIWwIil': �u Id f Ili.F i FPI 1N � ff 0 Age 0-10...$11.47 �' Level 0...$6.25 rl $4.93 I'i Level 0 $0( Level 0 $0 ��� ii,d Level 0I'�s d l Age 11-14...$12.89 G 'I° (Therapy not needed orprovided it None o I!! I! III (None) (Minimal CPA involvement !I: by another source,i.e.mental Isr 0 11 Age 15-21...$13.91 and/or no crisis intervention i.e. I health.) J .i mutual care placements.) l iii +$.66 Respite Care iI ,j Al :" i 1 114 fill I ' f1 r Level 1 $8.22 hi! Level 1 $4.93 bli 1 1fili $19.07 .III4 f14 II 4:i µLevel 1 $2.99 I +$.66 Respite Care )III Level 1...$6 25 II'1 (Face to face contact one time . (Regularly scheduled therapy, ttI, ($19.73) is{ per month and minimal crisis {li 4 hours/month.) li! ,Ii F`, U intervention) I n I.rI, I; I, r Id.. I (it I'll II i.: hh�hh"914: ' II 111 l' I 'Level 2 $11.51 i' Level 2 $9.86I il 'i.+ I (Face to face contact two times (Weekly scheduled therapy, 2 1 ' i ' Level2 $4.47 +$.66 Respite Care Level 2...$6 25 Ii' per month and/or occasional III 4-8 hours a month with 4 hours of($26.30) ;� I,;' crisis intervention) diGroup therapy.) II. ' .1 I I 111 1. x IIt .. J 3.4SI :I 11i Level $14.79!? Y. E. Level 3 $14.79 p ,I , (Regularly scheduled weekly ( 3lit, +$.66 Respite Care ` Level 3...$6 25 ,j1 (Face to face contact 1-2 times II lit multiple sessions,can include { Level 3 $6.02 ti, i HI' more than 1 person,i.e.family ($32.88) I t I per week and/or ongoing crisis IfI I therapy,for 8-12 hours/monthly.) n, �' intervention.) I (i N.,III I it Iii i ' , IIIII1 1141 I i�f -I, fI. f y 4 :I 1 Level 4 $18.08 i I Level 4 $14.791 lt 4 L $38.79 , (Face to face contact 2-3 times (l;l (Regularly scheduled weekly 1 V Level 4 Neg. RTC " +$.66 Respite Care II Level 4...$6 25 per week minimum,High level ; multiple sessions,can include Vii Drop ($39.45) . i of case management and CPA I lilt more than 1 person,i.e.family i i Down in!I t„! al involvement with child and I,IU therapy,for 8-12 hours/monthly.) M': '1!, provider,including on-going '; G'' crisis intervention.) i t rz Nr ellII �I,a iw I Iwi Assess. I Assessment 1 I 11141 I .I Assessment Assessment Period , Period $26.30 I1t,Assessment Period $0 i. P t Period $6.25 Period $11.51 I i (Includes Respite) a lli sl kit Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: LlY�G r//( Weld County Clerk to the Board WELD COUNTY BOARD OF J A , SOCIAL SERVICES, ON BEHALF �acF fvit r y# ,`'# OF THE WELD COUNTY { DEPARTMENT OF SOCIAL et, Filb ifee SERVICES By: It_ By: uty Cler to the card M. . Geile, Chair AUG 3 0 2006 CONTRACTOR Lutheran Family Services OF0[Dr900 3800 Automatic ay, Suite 200 Fort Col ' 525 • WELD COUNTY DEPARTMENT v„ /ifraEi net. )-/ OF SOCIAL SERVICES By: Ihr for 8 Weld County SS-23A Addendum"02, /��jj/ WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Maple Star Colorado and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this / day of Or , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of th�ement remain unchanged. 1. County and Contractor agree that a child specific Needs Based Care Assessment, designated as Attachment B, shall be used to determine levels of care for each child placed with Contractor. 2. County agrees to purchase and Contractor agrees to provide the care and services, which are listed in this Agreement,based on the Needs Based Care Assessment levels determined. The specific rate of payment will be paid for each level of service, as indicated by the Needs Based Care Rate Table, designated as Attachment C, for children placed within the CPA identified as Provider ID#90967. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County,prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number(970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section W. 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. -269/ cc_ne AMa„a,,m 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(federal, state, or local) with commission of any of the offenses enumerated in paragraph(B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 Wald count,CQ11 A Aldan darn 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. 16. Add Section VII-ATTACHMENTS: Weld rn,,nn,CC/II A Add.nd,,m 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 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 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 ❑I)2-3 round trips a week ❑2)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 a month but less than weekly O2)Once a week O3)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'''/ hour per day E11)1/2 hour a day O2)more than'/3 hour per day,up to 2 hours per day O3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitorin of time and/or activities and/or crisis management? IIU0)less than 5 hours per week ❑1)5 to 10 hours per week ❑ 2)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? DO)less than 5 hours per week ❑1)5 to 10 hours per week O2) 11 to 20 hours per week D3)21 or more hours per week A 1. How often is CPA case management required? ❑0) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. DI) Face to face contact one time per month and minimal crisis intervention. O2) Face to face contact two times per month and/or occasional crisis intervention. ❑3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month ❑2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation ❑ ❑ 0 ❑ P 2 Therapy/Counseling ❑ ❑ ❑ ❑ P 3 Educational Intervention ❑ ❑ ❑ ❑ P 4 Behavior Management 0 ❑ ❑ 0 P 5 Personal Care ❑ 0 0 ❑ A 1 Case Management 0 ❑ ❑ 0 T 1 Therapeutic Services ❑ ❑ 0 ❑ 4 wau cc-l1 A A,t,dpnd,,.., WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ['Re-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. p'�HgI�{IgI iiia r a )<'If'tppa i." {I if 7 r ,.::::11:1'!1!., t.i'.III 1�( I r . ^f r:{.t1 s�� r.'* �s x`1.9. 1� i ' f it I1IlC"!�11I ' 11��j�`e 4�� , f�,pl- I • ( V t I, r F 1L' { ot J 1 J I 4� v d.i.t .+.. S v,v. f ! R� i 1 r�. +' y i�A�t a! I I II 1• �t 1 a1� �r. �ir'i�,, .20:,..„;!-...: ......,,..,,.....,,?...,,,,,41,..1.:414,. .*... 1 1 ,� sllit ` �y { I' I, i1i sl .� 1 ' i"•I7 �4y,...1,1,,,- N i $r 1 a�(�� '1;.t '.�+,T.�r�yt fI4rJ�u�eN< f 1 : k 1 .V1, i rt°n ' d I' - t ,: Jrt "w•''r'. . YIi.Y•. 4. ilIIGI tgi J�f, .l,b y r FIa14! II ar 11 x;11I,.i 'v r 4401 �y 3'.. 4:1 ,a Ifr Il w �� � +vt J11 aii..1 4 ,` r . bJi f�l/tl.Ml J JaS i fyli rFL)e 'y�{ � :t 1 f ¢? '';';'''''•r;; e 3,��"1' I� '�U3 tl�!I y II T I l !I,I,n II'; Tfll 4 F t,��l�j 11'M w {f{ 1 I t ! r I I P�r i I 1 f I" iJ fIf i J N y I}II I% 71 1 �I I IlifirIC •I. . PiiI '�I 1,7J kF 1 1 1 ,:I ' 1I !! J .� w u rll � { r F.�1.{ f� 1fJI .f.' 1 01 t.I` ry I I 1 , .i Jill I�` 1 1 I V:114 0t 4: J lift pl"f��1j�� �1;,Jgt{{„} Iik ..�jr f aYJLJrJ1• MI fN ; y�. f 1 '`Illl�i f i t}14;.fist l tiIIIIII II it1JL^I! I� lliI `I '' ' '1'.-r • 'I, rv,,I i, Nfu'.,:ii ii,A.:P..r Iiii tlff' f, whlfbt„i{.rl.�l,nll(.,Ill:li�iln<.J„,I{i.l '.I'„I,{, I,',, ,I,1 Jl.f{,, lirlrlll'fflWifJli Irt${J LW I Aggression/Cruelty to Animals ❑ El ❑ ❑ Verbal or Physical Threatening ❑ O ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ O ❑ Self-injurious Behavior O O O ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ O Enuresis/Encopresis O ❑ ❑ ❑ Runaway O ❑ El ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ O ❑ ❑ Medical Needs ❑ O ❑ ❑ Emancipation O O ❑ ❑ Education ❑ O O O Involvement with Child's Family ❑ El ❑ ❑ CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 • 5 W..1A("Aunt.,cc_,1 A Ari.lvnrillm WELD COUNTY DSS • NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (Tl) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: itial Date: (maximum of 6 month intervals) 6 Weld County SS-23A Addendum • WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) s A ill u� d, Y • .a '. h,;-q:^.. 1 `r .................................' '.r ,r1,11'-.04,1 1 t,.1nN � �� r ''HH^^ �9�L:OF� R� T'E ,' t I TION RAT EEC �tl M I ,,,,,,,,,...„,,,,.,c„.:,,,,,,,,,,,,,.:„.,lt, „ rF '''I n t, rp hell''G tl' .i i{,ff E!:, LI. r 1L rE c , ,Fkrc A nY t n r J �qu 'r' ':i rP . 'i �t r N';� W!t;� ;,r I7q 1, u. ���tit, d. i ",r q 4iK II p-1r I i11 �Ii11 I It l:,I�i. a. J :..wn. 7t *: ADDENDUM -I-, I t !fT '4$'41''''‘'''''''''''''' 'k. *ItYrt c .≥:• r. tl �, 9 •i. 1 ! ll ''''10'1151 I, I t °Y A 1, .ef: - '.1,, 'N11 t 'f�� f' r '=��a �. � L'! .,�. e i -;fi , � !.r I1;`:!;,il �'f! � �.lfrll..� ih� R' �"S•l ' ri '4 =` ,' ''' wy la Ir'. I��I jt., r I 1 ! 1 �{. !rl PI : n m: nq I' ,' .1,iii.,; - {,� ' 1 Pi P� 'F ':. Y. ¢ ;14.-.1u ;I1ii I 1 tf • ,tt, r F 7 ti,I, .s Fr, . ' � � k 'IA 1I AV ,.I„,,,.1 ..II,I a ; �}! ,�I �i"P i h{• i'� �I .I � `' f f _ r "'. ,..T ' t i-N,f pi h4 li� 1 I1 �, I'!1 1��.,!!4 i , '7 r. , c , 1 u ( f' r F it f t il'�"`I' • nt c' ::r, .;, (, it!t Y+ '.114'1271" t,I" il'!' I I Pt ' j < ,. , In � ill 11' Ill, aI r P{ 7'� r�t 11 i ,I a.,,. fi`I In�'r (Admint:Maint-1 la't"", t ,,,r, , R Se vi a ) �, 11.' 1� I114, a . t Aq aI r 0 h` Age 0-10...$11.47 Level 0...$6.25 Level 0 !I Level 0 $0 Level 0 $0 $4.93 �, 0 Age 11-14...$12.89 I r i''i (Therapy not needed or provided (None) I; (Minimal CPA involvement Il: by another source,i.e.mental o Age 15-21...$13.91 and/or no crisis intervention i.e ii, health.) mutual care placements.) ''' +$.66 Respite Care 4( •.!FI 1 Level 1 $8.22.:,!Level 1 $4.93 $19.07 1'i Level 1 $2.99 +$.66 Respite Care Level 1...$6.25 ;; (Face to face contact one time 1j{) (Regularly scheduled therapy, ($19.73) per month and minimal crisis I 4 hours/month.) intervention) I ,,1t I,' Level 2 $11.51;i. Level 2 $9.86 , 2 $25.64 (Face to face contact two times (Weekly scheduled therapy, Level 2 $4.47 +$.66 Respite Care Level 2...$6.25 per month and/or occasional PIE 4-8 hours a month with 4 hours of ($26.30) ' i crisis intervention) i'E: Group therapy.) fi, Level $14.79 Level 3 $14.79 (Regularly scheduled weekly $32.22 3,: multiple sessions,can include Level 3 $6.02 +$.66 Respite Care Level 3...$6.25 a (Face to face contact 1-2 times ill;, more than 1 person,i.e.family ($32.88) .. per week and/or ongoing crisis therapy,for 8-12 hours/monthly.) intervention.) ;•i I ail Level 4 $18.08 i ' Level 4 $14.79 4 $38.79 (Face to face contact 2-3 times (Regularly scheduled weekly Level 4 Neg. RTC +$.66 Respite Care Level 4...$6.25 per week minimum,High level multiple sessions,can include Drop of case management and CPA more than 1 person,i.e.family Down ($39.45) involvement with child and !: therapy,for 8-12 hours/monthly.) provider,including on-going ;`• crisis intervention.) o: Assess. Assessment Assessment Assessment 0 Period Period $26.30 Period $6.25 Period $11,51 Ill Assessment Period $0 (Includes Respite) Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: /MG Weld County Clerk to the Board WELD COUNTY BOARD OF t ,of j SOCIAL SERVICES, ON BEHALF ' OF THE WELD COUNTY .1865 !Ter,;.- - DEPARTMENT OF SOCIAL SERVICES rritc> By: _4-11- 4 1 _ By: uty Cl to the Board J. eile, Chair AUG 3 0 2006 CONTRACTOR Maple Star Colorado 2785 Speer Blvd, Suite 340 Denver, CO 80211 BY:ClItirdi `f' Ph . 0', WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: ector 8 Weld County SS-23A Addendum &a -a'39/ WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Opportunity In Living and WWld.county Department of Social Services for the period from July 1, 2006 through June 30, 2007. `„ The following provisions, made this day of 2006, are added to the referenced Agreement. Except as modified hereby, all terms of th 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#1511157. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding elllcls..im..y 111c11i.,al, ou15ical or do,.1al ..u.., .Tlll to communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number(970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. 1 WPM(`n,nh,CC-11 A A ��� • 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A cop7wi11 then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals?. ,s A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 Weld(`nnnh,CC-11A Addendum 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 servia.pr deliverables which have not been performed and which due to circumstances cafd by the Contractor cannot be performed or if performed would be of no :6;115 to the Social Services. Denial of the amount of payment shall be reasonably rated 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. 16. Add Section VII-ATTACHMENTS: 3 WpIA(',,,..h,CC-71 A Addand,,n, WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B) IDENTIFYING INFORMATION <"h CHILD'S NAME STATE ID# SEX!" grails Case ID !DOB Sex WORKER COMPLETING ASSESSMENT r rrATE OF ASSESSMEN 2 AGENCY NAME ROVIDER NAME ROVIDER t WEST 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? 00)one round trip a week or less ❑1)2-3 round trips a week ❑2)4-5 round trips a week 03)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 a month but less than weekly 02)Once a week 03)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? 00)less than a'A hour per day ❑1)'A hour a day 02)more than '/x hour per day,up to 2 hours per day 03)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 01)5 to 10 hours per week ❑2)at least daily 03)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? 00)less than 5 hours per week 01)5 to 10 hours per week ❑2) II to 20 hours per week 03)21 or more hours per week A 1. How often is CPA case management required? ❑0) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. On Face to face contact one time per month and minimal crisis intervention. 02) Face to face contact two times per month and/or occasional crisis intervention. 03) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? DO)not needed or provided by another source(i.e.Medicaid) ❑1)less than 4 hours per month 02)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 0 ❑ 0 ❑ P 2 Therapy/Counseling ❑ ❑ ❑ ❑ P 3 Educational Intervention 0 0 0 ❑ P 4 Behavior Management 0 ❑ 0 ❑ P 5 Personal Care ❑ ❑ ❑ 0 A 1 Case Management ❑ ❑ ❑ 0 T 1 Therapeutic Services 0 ❑ ❑ ❑ 4 Wpid rn,,nn,CC-91A Add.„d,,n, • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) j RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES3'HAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND IN(TEIcSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination-Months in Care CS THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. 1 §` Y e S#6 9 1 1 �yw -1 ��I� �r 1 nsi�' r �1 ti i i'a nii j I� ( i;� i s esz�, ,x,� , u c.�� Lv�i 2 1 � i � I n eF �a� i4 k �e 1 i 1 Irn�'1 Iti !I �� � . t d t ry :id::: t i q rr li lI Flllh(41 .. . i..kb UT.+3,..vJ.W..LLmas ..:. . =_i '..SS's � . I .n n... a.. x nl,t Ir p L P,,,,I: it w11 r •: +.tXkT(,y 1! I) 1 iff 4 'a trro ` ,Fti G. 1 fled I..1'll it .. n 0 1k. !.46s t q.) �₹as 1 a' 2 . '}:'',. ' t l 4 x� �-3 ,. •d"d W�t:Ih t �im.l�l �1 x.11;11 II WI x�3 41d,I Ih..t waNl Nin 4u...auxE{:.diYak�irtd.vc..i A Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ ❑ ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ 0 0 ❑ Self-injurious Behavior ❑ ❑ 0 ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ 0 0 0 Delinquent Behavior ❑ ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ 0 Medical Needs ❑ 0 0 0 Emancipation ❑ ❑ 0 0 Education ❑ ❑ ❑ 0 Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ 0 ❑ I ❑ 2 ❑ 3 5 Wa1A rn,,nh'cc_nA Addan.t,,..i WELD COUNTY DSS • NEEDS BASED CARE ASSESSMENT (Attachment B Continued) i. SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (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 • WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates ?,� (Attachment C) /r, n r ', i I!! rP d i .{ y 1 r!'U 'N Ij tl rj{Ij rl:.g' i'�z I w 77 I,r..+ ml Rrr f t 1 r:pr !a- .n u 1 i i 1 , 11" i h' , 1 i� y -.{ i 1 I r'1 i�i r) I er 1UP LvTJ!irir ; N,: i ( i r I% I I °I rii Ir Ir i r. hI ii ! �. O, i i t}{ Ilb)Ir y l i i it r�� II 1IIrJ r - . l i f{ .,, ,15 r Idl� I i0II r iIt ikl' n 111i r �ytr. 1 il ili Sii(.Itl nlil r ( i rd9 _ rq ( rl.Ii 4IIj1 I 1 h r h hH I .ip 1 u}t::ii (I L i i i / r i ; :. i rni i i II1( lrd �; { r Ili', i .11 isI it (Ii 1 I'I ,� I , -.nr_ra _ IM i '-ir d .n i �:, i iin it i i iut. I �li ,., �'i d;) � I i wn --Ip; r' I !L 'r - I 1 il{ rnr ' iiii,f i , iii uo 1 v �i rd≥•606'61116: .::!!!!!:6:66.6616,, li r Alll a V I r(� 7 Y vrr -i r ',!•4:66,6,1,,,i,�� �aIi �r � r ( i f r I !!!.!..!',6,, r�' } Ii( ( r :191 it '�' � ai-Y'I�Iq� li ii j i �I ( 3 I' dh ''I �i�iii {'R 'f rri�II. , : itIIii Ii r !. r ii 1'W 1 i P' IIil5 11 Ili gillI Ir PopII' i ° ai it 46.6'f rl.:, NI LI ri rld lkilii {�Jijhl�r}IIIV t, 1`til i1 . kitkl!II :Hid) (� _ 'fhb v�Ithl ! rr i Gd' -- ::I`wkN. uI�vWIlJ 1.w.o I I ..I.I...d:,.e,.r..1lldniW .,I6�i�i��il�i�I 3..I...al.r�: %n.1.7n,.cIllIII.I.e;:n 7� rulSil.I) - Im61�,�ri>. ti.i.m3:iiii.> 'i illii ii r" N Age 0-10...$11 47 ; Level 0...$6 25 ),i Level 0 $0 Level 0 $0 o (r( ,' Level 0 $4.93 SI 1d114 td.0 I Age 11-14...$12.89 tI. i'' rj11 (Therapy not needed or provided ill (None) ,1' (Minimal CPA involvement •:: by another source,i.e.mental o �'iI: Age 15-21...$13 91 o' i �'� u 9 i. di and/or no crisis intervention i.e. i, health.) ' i,. mutual care placements.) (�i 4 ' 4 +$,66 Respite Care ids' ;gip f Sill r . A, Level 1 $8.22 Level 1 $4.93 r' 1 ; $19.07 rI Level 1 $2.99 +$.66 Respite Care II' Level 1...$6.25 r€ (Face to face contact one time Ii; (Regularly scheduled therapy, hih ($19.73) lyi; (j per month and minimal crisis 1','I's4 hours/month.) C li NI intervention) I` G" cI 7:1Iii t`: r Level 2 $11.51 -Level 2 $9.86 Ili i, 2 1: $25 64 (Face to face contact two times (Weekly scheduled therapy, Level 2 $4.47 Jr +$.66 Respite Care ;; Level 2...$6.25 - per month and/or occasional ;. 4-8 hours a month with 4 hours of I sd iT ($26.30) I. crisis intervention) 1,i. Group therapy.) idl i i! s rid s r. Ih. i I:. I,, Level3 $14.79 ssd I' Level 3 $14.79 I; (Regularly scheduled weekly .s 3 I $32.22 multiple sessions,can include Level 3 $6.02 +$.66 Respite Care Level 3...$6.25 t (Face to face contact 1-2 times , more than 1 person,i.e.family ($32.88) -) per week and/or ongoing crisis therapy,for 8-12 hours/monthly.) `_'j 1, Ili intervention.) „ -� 3I Pi d's it 7;? po pp ','�,Level4 $16.08 ' Level4 $14.79 4 Li :.. (Face to face contact 2-3 times (Regularly scheduled weekly Level 4 Neg. RTC $3 s it per week minimum,High level multiple sessions,can include r Id' +$,66 Respite Care Level 4...$6.25 : Drop !di of case management and CPA ); more than 1 person,i.e.family :li ($39.45) involvement with child and - therapy,for 8-12 hours/monthl y.)n .hl' ' ; . provider,including on-going 1'1 crisis intervention.) �F • s II IdsAssess ! Assessment •, Period j_ Period $26 30 i;: Assessment Assessment Assessment Period $0 .1 , , (Includes Respite) Period $6.251.Period $11.51 d .:1 S L 1, • Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. Y 12141/4/114 , ATTEST: S Weld County Clerk to the Board et > WELD COUNTY BOARD OF `'c: > • SOCIAL SERVICES, ON BEHALF .t" _ OF THE WELD COUNTY 361 to ng y - i DEPARTMENT OF SOCIAL f� SERVICES By: i By: D uty Cler to the oard M. . Geile, Chair AUG 3 0 2006 CONTRACTOR Opportunity In Living 7061 S University Blvd# 301 Centennial, CO 80122 By: WELD COUNTY DEPARTMENT �`«-� "- OF SOCIAL SERVICES By: D ector 8 Weld County SS-23A Addendum , 1216-.239/ • WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between PATH and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this I day of T,i,1 , 2006, are added to the.referenced Agreement. Except as modified hereby, all terms of th 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#1502692. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number(970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. er6-5/39/ 1 wain r,....,r„CC-11A e 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 wain re,,.,n,cc_,1 e nnna.a,,... 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. 16. Add Section VII-ATTACHMENTS: 3 Wald CAI,..n,a¢_91 G Addand,,n. • 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 1HH# 1DATE OF ASSESSMEN AGENCY NAME ROVIDER NAME ROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for the following: Therapy; Medical treatment; Family visitation;Extraordinary educational needs;Etc.,as outlined in the treatment plan? O0)one round trip a week or less ❑1)2-3 round trips a week ❑2)4-5 round trips a week ❑3)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 a month but less than weekly ❑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'4 hour per day DI)1/4 hour a day O2)more than ''A hour per day,up to 2 hours per day ❑3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitorin of time and/or activities and/or crisis management? 00)less than 5 hours per week ❑I)5 to 10 hours per week ❑2)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) II to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? ❑0) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. ❑l) Face to face contact one time per month and minimal crisis intervention. ❑2) Face to face contact two times per month and/or occasional crisis intervention. O3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or provided by another source(i.e. Medicaid) ❑1)less than 4 hours per month ❑2)4-8 hours per month O3)8-12 hours per month RATING OF SERVICE AREAS Initial Assessment Date: SERVICE AREAS 0 1 2 3 P 1 Transportation ❑ ❑ 0 0 P 2 Therapy/Counseling 0 ❑ ❑ ❑ P 3 Educational Intervention ❑ 0 ❑ ❑ P 4 Behavior Management ❑ 0 ❑ ❑ P 5 Personal Care 0 ❑ ❑ ❑ A 1 Case Management 0 ❑ ❑ 0 T 1 Therapeutic Services ❑ ❑ 0 ❑ 4 Weld rnnnn,cC_lil Addendum, WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. u..1A 1 ni ;1s'tA#.x� r ' + e Iwn I '* iii r 4 s f ° '- rn �{ a i : i -.-'+t rn. ... avr..+. R 4 to .f - ' t4Y '7 'CIE •tr'; :11t t4 icy x i tliipn ."1 1e �� ujY ''''..C171 f tt 4a r., 'r� { y��l� i ri I.I`i1�� ,�l+a ll ajJtcN'..6�tiggli 13h;llig2 . ,(at lg � Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ ❑ 0 0 Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ ❑ ❑ ❑ Self-injurious Behavior 0 ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ 0 ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ 0 0 0 Inappropriate Sexual Behavior 0 El ❑ ❑ Disruptive Behavior 0 ❑ ❑ ❑ Delinquent Behavior 0 ❑ ❑ ❑ Depressive-like Behavior 0 ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation 0 ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ 0 ❑ El CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ o ❑ 1 ❑ 2 ❑ 3 5 • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (Tl) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) 6 Weld County SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) 31 l pGl ii ' .Iii t mi ,(Lill II ( 4 i i 1 ,j ll5 t lI, '�:It11,ii,I.`°,�'i e�I�l i , s .?It`"II ri tlil iii ; p i _I a i h' itt it p,':'P':!,',.. I i i i i _ I ' N!, "1 I t o d , ,�j'�I � IRI iiir II:ii , „I iiN'- , !!':',0,,-!-::!,,H,''''' 1 i , , , ti i,li-•1I�l ,Ilq , ' 4f 1' � tl, " �,I to --i i� i M r " n , ,t,':,:,,,,14, i i l I 11 t Ii ,. 1p ii , ' 4::,!:',,:',,,:',,',,.!,,..:17,!!!!,:11,!:k4 i '1 i'I �I -i^ 4 I dI Ii. hi ')(tI� )1 1 i 11 '1 I1,.tIry)a .li t , hl. 'a x'il it�I I,it i,t4,l i N , 'II "14Pa 'I 8 • �� i i ,I I i hi �,J i oG q 31t t y �I 1 " .„,,,,,,,,r,,..,,,, 15,,,,,!,,,,,,,, I34,O,,:,,,,,,,,,,,,,,iM; Nti r li -, III „1 !..1.1.0.!!..!!!!!!:4:, Ii �l', till Iii ,,, , -., i ,I t, I is , 'i' ,I t I,{l , , - ,i,1 xk" i I i 3.Kf Iii i�tn.: t ` ''II i. iii M 1 I hll N ,,m N I,( Ir i , + r t lik II) V, -a (ill) i, a !GI I I �I p. i .+iC f , , Ili,iii i - i II I�51 � II i Nail!!! '� .�: �L�IY:, ( •"� ' rnlil�ti T iii i ,i i l I 10" - I8, 0 i •1 m t( i i l Vann In .)Ii, � I, i _fil .c I � i'Idiit� I iiI,i iji ell it ii AIa j I ' iiiiiiilt"t - ',ti p j,lij a'+ . � 9�4 � •, tt rfilr !1w9 ,4x:FJbivislltEt �IrImm l� i.mP.il:�IiEluEal���W1i,.:111jJ. 1�1itP�.l..t����it 141I' i7 g.I4 i11 Age 0-10...$11.47 'f lei It IS p p 't Level 0...$6 25 th Level 0 $4.93 $1 Level 0"la $0 Level 0 $0 o ' Age 11-14...$12.89 a (i' (Therapy not needed or provided ill (None) I E�lI (Minimal CPA involvement II by another source,i.e.mental 0 Ill Age 15-21...$13.91 'I it 9 and/or no crisis intervention i.e. ' health.) !$ 'u .p mutual care placements.) $ I • +$.66 Respite Care 1, Olt /�I' 1 ' WI' h.,:I .Li I Level 1 $8.22 ;1 Level 1 $4.93 j 1�. ,a $19.07 i ,; t Level 1 $2.99 I.• I'( +$.66 Respite Care Level 1...$6.25 .l (Face to face contact one time till (Regularly scheduled therapy, ($19.73) :I per month and minimal crisis ,I 4 hours/month.) intervention) 4;1I l i 't lI I M M, III N • 11 IM III Jo Level 2 $11.51 11 Level 2 $9.86 Ili it iI lli $25.64 I! (Face to face contact two times ;it{ (Weekly scheduled therapy, 2 d la • t' el Level 2 $4.47 k +$.66 Respite Care Level 2...$6 25 ill per month and/or occasional 4-8 hours a month with 4 hours of $ crisis I ($26.30) 'lt intervention) I:? Group therapy.) .+ I 9 ilI i Level 3 $14.79{$,I, kI :Level 3 lt $14.79 I!t i, (Regularly scheduled weekly to $32.22 3 L + �,: t multiple sessions,can include lit' Level 3 $6.02 l! $.66 Respite Care Level 3...$6 25 , (Face to face contact 1-2 times 1 I ,.It _ more than 1 person,i.e.family Ii ($32.88) t`r. per week and/or ongoing crisis lt. therapy,for 8-12 hours/monthly.) N I Ir, ell L,�t intervention.) 1, E'ln il, .r ti I'll • Pi 0Level 4 $18.08 Ill Level 4 $14.79 III 4 r ,l r (Face to face contact 2-3 times t I (Regularly scheduled weekly ha Level 4......Neg. RTC t: $38'79 I- - per week minimum,Hi h level " multi le sessions,ran include �, llil +$.66 Respite Care 'd Level 4...$6 25 1 e 9 19j p ,I Drop of case management and CPA I tt.I! more than 1 person,i.e.family Down ($39.45) ,.� -,j involvement with child and , I therapy,for 8-12 hours/monthly.) �l h yl provider,including on-going ll• 'u i crisis intervention.) 'I Ii, till .iia iha iuk I'I' at I Assess. .' Assessment ') 'i j Itl Assessment I Assessment 1, Period ( Period $26.30 - i:I Assessment Period $0 :i It (Includes Respite) Period $625 ''I Period $11.51 ,i a'h , ,� iI ,..Y .i! •µ tjI Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: J4 "'.a c1 /i�!/�u' Weld County Clerk to the Board WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY ct,_ " 1851Vii;- DEPARTMENT OF SOCIAL "`' SERVICES : F 1 By: it it Zl2 By: eputy C k to fhe Board . J. Geile, Chair AUG 3 0 2006 CONTRACTOR PATH 6355 Ward, Suite 305 Arvad CO 00104 By: w� A WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: D ector 8 Weld County SS-23A Addendum &ere' &59/ � p t� CFlp WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Savio House and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this ( day of , 2006, are added to the referenced Agreement. Except as modified hereby, all terms of tthAgreement 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#37330. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include,but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number(970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. 1 Wald('nii..n,cc_91oPa 6-a9/ 9. Add Paragraph 15 to Section W. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 WP,d!`n,,nh,Qc.1t A Addnn,i.in, 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. 16. Add Section VII-ATTACHMENTS: 3 Weld Count,CC-71A Addnn,V,,... 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 ItHH# 1ATE OF ASSESSMEN AGENCY NAME ROVIDER NAME ROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for the following: Therapy; Medical treatment;Family visitation; Extraordinary educational needs; Etc.,as outlined in the treatment plan? ❑0)one round trip a week or less ❑t)2-3 round trips a week ❑2)4-5 round trips a week ❑3)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 a month but less than weekly ❑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? DO)less than a'/3 hour per day ❑1)'/z hour a day ❑2)more than'A hour per day,up to 2 hours per day ❑3)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? �0)less than 5 hours per week ❑1)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 ❑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? ❑0) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. ❑1) Face to face contact one time per month and minimal crisis intervention. ❑2) Face to face contact two times per month and/or occasional crisis intervention. ❑3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? ❑0)not needed or provided by another source(i.e.Medicaid) ❑I)less than 4 hours per month ❑2)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 ❑ ❑ ❑ ❑ P 3 Educational Intervention ❑ ❑ ❑ ❑ P 4 Behavior Management ❑ ❑ ❑ ❑ P 5 Personal Care ❑ ❑ ❑ ❑ A 1 Case Management ❑ ❑ ❑ ❑ T 1 Therapeutic Services ❑ ❑ ❑ ❑ 4 Wald rl.nntl,CC-11A AddnnA,,.n WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ['Initial Assessment ❑Re-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. `} +G� ' . , . , j... d tN Sr. ! 'Cc, {�itI�B : {, K :4, ,1 1.} ':? 1 �!i fat iTa fI� '. pmt St"-. ', ` ''" j!l'} .11.:1 }�:'' > t " " "lit,, �C�eA. tritr;J uul.!: i ..l l�I.�(I 4 II ! i! dl C ₹yk ltn4- "R } 'F^'!fi 5I I y! +I 4 MI '�+` 11 al:,..:, :c 3waWa ;r.. ;, ,. ... hrrn&,,[e'•i,t,,,;;A�,,so-� .:Ali4l2ili iii$l,�i,J inlf!3 l c F A. I$ fdw :(g:,',i ,'� i cry rt `{ I x ! �I ! a 1 ) i� IFtI l !1 t t �� `l1aF��� $ X w .: -4 P'- %�+,rai§ fie i Y 5 ! �!' ,{.9��.1.; � �u� i f u ! !;- Aggression/Cruelty to Animals ❑ ❑ ❑ 0 Verbal or Physical Threatening 0 ❑ 0 0 Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ El ❑ ❑ Self-injurious Behavior ❑ ❑ ❑ ❑ Substance Abuse ❑ 0 0 ❑ Presence of Psychiatric Symptoms/Conditions 0 ❑ ❑ ❑ Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ ❑ ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ ❑ ❑ ❑ Delinquent Behavior Cl ❑ ❑ ❑ Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation ❑ ❑ ❑ ❑ Education ❑ 0 ❑ ❑ Involvement with Child's Family ❑ ❑ ❑ ❑ CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ 0 ❑ 1 ❑ 2 ❑ 3 5 weld rm inh,cc 11 A A dAendorn WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (Tl) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) 6 Weld County SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) " iii +:'a , lI' , I (ii II (i ,."zk Ii Ili I~roi"i i , III `.II yri l "rtr' r:rill 51 1 �''� iln la , ,ii i,".i A �IIII.IIIIii I i') mY it1 q$liII� ijg* 1'Pill « Rj lk 'A"'IAIII .,, ni li i.Tl 1 it I 1 u ,I'�,I`'t 7', I,,IF ix ,tAi dt '(�lei ' ._. (II l . i itI ( - it 47 "xGa 'L'l . ten} tx. r I 1 I) i i,ll Ilj Ii i" I i') l I)b tlh 1Ppr F 111"$9,3 1 , I i h ii ai s 11 g hi � , 1 f I I , i P e l I" hni�fl �, - ( 1 i, ii. 111, III i iii««{( 3Ii cite,'1 �)BM1r: t J�}r ..! �.�f 4 f i) J." 1111 'f 1 i i ii..r. 'C �I "41 i( �y "„ilr'I i I I.. N i 11 p� , ,r�q �14 1 I"Cl,�" a i r o- E i, ' 'I _ I(I ib'li," it ; i II', il'li, , l I(i. hotli, II "D,I IIl7 iii 1 a,«�if)I'FF' ' qG ,,. 't5' I h11,,.'i i� I!) ," "III '-1I ' ril (Ili ibiiilll iij'I,IIIIiI' iii, Ili,illl Nfi t.illilii Ili+,ptlll qi Ill, II�,�„ 'i liint ' 'I2 il l'!h ( e`I it ( III 'I;I (ill III III '( .,i..,j ;I.n. �iII II I ":"iu I '" x III., . it i ,�1! 3„IIt �,��,.f u'.u" ',il i,I �Inu,� �i d i d�) ji k o-I (I� _ i�II���III;�� r�L'. �.:.I Iullli i.hwii�w '.irfl .Mn gi 1ir r d ir41 " ,' !i'II ','l it aillllluji'jilktilll`t{'1,i9 I a,::::: U'�`''I,N,{IF axg�di4 02:40"JIII',3 n 9i iI Rix I '..;: li 1 tiir ix{+. ,lip i 1.r rifij III i' Ip P ,! ':�I itt I „r iii 0 ii II itioili,) ",.: .i-,A ey l i +I t Vii''ub,t ,ii II (� 0 �,Il ,�I'' ;t I'1N 4j�'P�''� I 'i ,,,, ' t 1 III ,I a i14 1 1 1 i r irli 11 i iiN iM i , , n iii.. ril plai It!mil 1,i II, ,Pi 1 i11 'l r lii,bird II IIw r ¢' I l P ii I i i II NIa r1 I I,Il igi i'�;ilili+,,...li.filii.. !fell a I ,cku ��Ii � �Iail.IAC u (I'.d 1I3��W aI,I A� 'j ligithl Naha lid iill4. Age 0-10...$1147 dill9) " o (lr n Level 0...$625 i; Level $4.93 HILevel ill; Level $0 0 �p ,. Age 11-14...$12.89 ' 1.4 j4 (Therapy not needed or provided I' (None) �l ill (Minimal CPA involvement idi by another source,i.e.mental r!I o (It Age 15-21...$13.91 .1 Ili and/or no crisis intervention i.e. I:,i health.) di 1 Pi mutual care placements.) b, j' +$,66 Respite Care 4 �I1 II:: '«d i i' 1,1 t. '4 , III 5� rl Levell $8.22 I: Level 1 $4.93 it 1 u $19.07 iI I� id Level 1 $2.99 ^, +$.66 Respite Care „j Level 1...$6 25 I S (Face to face contact one time q7III (Regularly scheduled therapy, t', �_ ($19.73) Y I q per month and minimal crisis 1i' 4 hours/month.) iii _. { intervention) 49 �' 1I Ij ih P tiILill! id « I Iti ititix ( p Pt I 'f I I Level 2 $11 51 ,i Level 2 $9.86 ,. I II ih i '' n,« 2 f7 $45,64 ,1 (Face to face contact two times 1 (Weekly scheduled therapy, L. Level 2.......$4.47 1:" +$.66($2e6s Respite Care ,d Level 2...$6.25 per crisis onth and/or tion occasional II 4-8 hoursGroup therapy.)a month hours of i'.30) j id R 4 I l i:. I;11r; l I, Illi �� ,,, 11: Level 3 $14.790; vd;idi -; j Level 3 $14.79I' (Regularly scheduled weekly 3 fir; $3222 I ii, multiple sessions,can include j Level 3 $6.02 d;_ +$,66 Respite Care ,1 Level 3...$6 25 !1 (Face to face contact 1-2 times ($32.88) .y 1 I. more •than 1 person,i.e.family 'I" ,I u f I, per week and/or ongoing crises ", therapy,for 8-12 hours/monthly.) i.' intervention.) I' u, , lirI it ' F lit i i. F, I...Level 4 $18.08 :I Level 4 $14.79 Li qn li ( u r. $38.79Face to face contact 2-3 times Ai (Regularly scheduled weekly ill Level 4 Neg. RTC Li jjj Respite 1; r (per week minimum,High level r' multiple sessions,can include 'j IL +$.66 Care 4, Level 4...$6 25 i,I g P Drop «id� ) „i I I of case management and CPA more than 1 person,i.e.family I Down i' ($39.45 0 involvement with child and •1, therapy,for 8-12 hours/monthly.) )i: j provider, including on-going j'. .1 crisis intervention.) i Assess. Assessment ' Period Period $26.30 1 Assessment "l, Assessment id Assessment Period $0 a ' Period $625 ;I Period $11.51 (Includes Respite) r;1 d. �r w' .. .d) ! rii Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. atAi ATTEST: gell Weld County Clerk to the Board ' ' q WELD COUNTY BOARD OF tr " 4 , SOCIAL SERVICES, ON BEHALF w OF THE WELD COUNTY ^ h n 4 twt 2 " DEPARTMENT OF SOCIAL 4"%-i SERVICES Chi it a'c\ / By: Pat 1 r �K By: 1 uty Cle to the Board . . Geile, Chair AUG 3 0 2006 CONTRACTOR Savio House 325 King Street Denver, CO 880221/9, /�,!/ 80219 By: �;v/s/�G WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: 6, 91., uector V 8 Weld County SS-23A Addendum , mb-. 39/ WELD COUNTY ADDENDUM To that certain Agreement to Purchase Child Placement Agency Services (the "Agreement") between Youth Ventures of Colorado and Weld County Department of Social Services for the period from July 1, 2006 through June 30, 2007. The following provisions, made this / day of O, /v , 2006, 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#1529601. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 3. Section I, Paragraph 2. All bed hold payments for a child's temporary absence from a facility, including hospitalization, need to have prior written authorization from both the caseworker and their supervisor before payment will be released. 4. Add Paragraph 6 to Section I. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be furnished under this contract for facilities that provide sex offender treatment. 5. Add Paragraph 7 to Section I. Any additional costs for specialized services, which include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens, which are not provided within the negotiated provider rate, will need to be authorized, in writing by the County, prior to the service being performed. Any payment for specialized services not authorized in writing will be denied. 6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding emergency medical, surgical or dental care will be made in person-to-person communication, not through phone mail messages. During regular work hours, the Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake Screener of any emergency medical, surgical or dental issues prior to granting authorization. During non-regular work hours, weekends and holidays, the Contractor will contact the Emergency Duty Worker at the pager number(970) 304-2749. 7. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld County Department of Social Services to shorten the duration of placement. 8. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14 days after placement, dental examinations within 60 days after placement and forward all appropriate information to the County. 1 world rnunt',cc_9 1 A Addendnn, 9. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan (IEP) for youth designated as a Special Education Student will be conducted every 3 years and reviewed every year. If the IEP is due while the child is in placement, the Contractor will complete or obtain a completed IEP. A copy will then be forwarded to the County. 10. Add Paragraph 16 to Section IV. Assure and certify that it and its principals: A. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from covered transactions by a federal department or agency. B. Have not, within a three-year period of preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity(federal, state, or local) with commission of any of the offenses enumerated in paragraph (B) above. D. Have not within a three-year period preceding this Agreement, had one or more public transactions (federal, state, and local) terminated for cause or default. 11. Section V, Paragraph 5. Children in Psychiatric Residential Treatment Facilities, Therapeutic Residential Child Care Facilities, Residential Child Care Facilities and Child Placement Agencies are not eligible to receive clothing allowances as outlined in the Weld County Department of Social Services Policy and Procedure Manual. 12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties or their assignees, and nothing contained in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties or their assignees receiving services or benefits under this Agreement shall be an incidental beneficiary only. 13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to constitute a waiver of any immunity the parties or their officers or employees may posses, nor shall any portion of this Agreement be deemed to have created a duty of care that did not previously exist with respect to any person not a party to this Agreement. The parties hereto acknowledge and agree that no part of this Agreement is intended to circumvent or replace such immunities. 14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: 2 Weld renn,..cc_Il Addend",,, 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. 16. Add Section VII—ATTACHMENTS: Weld rn,,nn,cC_11A AA,iend,,m WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B) IDENTIFYING INFORMATION CHILD'S NAME STATE ID# SEX iTrails Case ID !DOB Sex WORKER COMPLETING ASSESSMENT [ATE OF ASSESSMEN AGENCY NAME ROVIDER NAME ROVIDER CWEST ID ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD. • For each question below,please select the response which most closely applies to this child. • Please check the number for that response in the corresponding box below. THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE: P 1. How often does this child require transportation by the provider for the following: Therapy;Medical treatment; Family visitation;Extraordinary educational needs; Etc.,as outlined in the treatment plan? O0)one round trip a week or less El)2-3 round trips a week ❑2)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? O0)Once a month ❑1)Two times a month but less than weekly O2)Once a week O3)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? O0)less than a''/z hour per day 01) '/,hour a day O2)more than'/z hour per day,up to 2 hours per day ❑3)more than 2 hours per day P 4. How often does the child require special and extensive involvement by the provider in scheduling and monitorinf of time and/or activities and/or crisis management? O0)less than 5 hours per week ❑1)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? O0)less than 5 hours per week ❑1)5 to 10 hours per week ❑2) I I to 20 hours per week ❑3)21 or more hours per week A 1. How often is CPA case management required? ❑0) Minimal CPA involvement per month and/or no crisis intervention i.e.mutual care placements. ❑1) Face to face contact one time per month and minimal crisis intervention. O2) Face to face contact two times per month and/or occasional crisis intervention. O3) Face to face contact 1-2 times per week and/or ongoing crisis intervention. **Please Note: The Case Management level may be assessed on a combined basis if a sibling group or more than one Weld County foster child is placed with the same provider. T 1. How often is therapy services needed to address child's individual needs per NBC assessment? O0)not needed or provided by another source(i.e. Medicaid) 01)less than 4 hours per month ❑2)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 ❑ ❑ 0 ❑ P 2 Therapy/Counseling ❑ 0 0 ❑ P 3 Educational Intervention 0 ❑ ❑ 0 P 4 Behavior Management ❑ 0 0 ❑ P 5 Personal Care ❑ 0 ❑ 0 A 1 Case Management ❑ 0 0 0 T 1 Therapeutic Services ❑ 0 ❑ 0 4 w>id rn„nn,cc-o1A Adde„dii.., WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY. Assessment Period: ❑Initial Assessment ❑Re-Determination-Months in Care THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT PLANNING. II ' t r r S 11 "n{ Ia, I.1: - a .. ,ri �L! ,5if z {, 1 * R ..,; 21, pi { fi t � AL i MI6,xxxxxx{ 1 �' I i T �u T : � s. 2 i Ld �� �i 1 u�� ��IiW dmi � ' i, I IIJ .. I ........... � µ T `g -4. � .i 1 �1{_I (Iy,o o!.{{i }'i ia9.hid.i x,+ Ti. i`tr bst TYit 1 iii id L� n �f .. 1, . I I 7 ;. 4 N .i .fi fh 1' V 11�1" gllitik Aggression/Cruelty to Animals ❑ ❑ ❑ ❑ Verbal or Physical Threatening ❑ 0 0 ❑ Destructive of Property/Fire Setting ❑ ❑ ❑ ❑ Stealing ❑ 0 0 ❑ Self-injurious Behavior 0 ❑ ❑ ❑ Substance Abuse ❑ ❑ ❑ ❑ Presence of Psychiatric Symptoms/Conditions ❑ ❑ ❑ 0 Enuresis/Encopresis ❑ ❑ ❑ ❑ Runaway ❑ ❑ 0 ❑ Inappropriate Sexual Behavior ❑ ❑ ❑ ❑ Disruptive Behavior ❑ 0 ❑ ❑ Delinquent Behavior ❑ ❑ ❑ 0 Depressive-like Behavior ❑ ❑ ❑ ❑ Medical Needs ❑ ❑ ❑ ❑ Emancipation 0 ❑ ❑ ❑ Education ❑ ❑ ❑ ❑ Involvement with Child's Family ❑ ❑ 0 0 CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL: (check level of need) ❑ 0 ❑ 1 ❑ 2 0 3 5 Wald rn,,..h,cQ-J1A A nnann',nn, • • WELD COUNTY DSS NEEDS BASED CARE ASSESSMENT (Attachment B Continued) SUMMARY-Please identify all specific requirements and expectations which support Level of Care. LEVEL OF PROVIDER SERVICES NEEDED (Average of P1 through P5) PERIOD 1: LEVEL# Comments: LEVEL OF CASE MANAGEMENT SERVICES NEEDED (Al) LEVEL # Comments: LEVEL OF THERAPY SERVICES NEEDED (T1) LEVEL # Comments: SPECIAL MEDICAL NEEDS: (Medically Fragile Children Only) LEVEL # Comments: NEXT SCHEDULED RATE REVIEW: Initial Date: (maximum of 6 month intervals) 6 Weld County SS-23A Addendum WELD COUNTY DEPARTMENT OF SOCIAL SERVICES NEEDS BASED CARE RATE TABLE Calculated as Daily Rates (Attachment C) riiiidi , 'I ,( Ai � l PItf,((p ':. ia iNi'! W i yii n4 1, ,x i - N i I I i ,Itii riI .Gilµ r .-.iii, 0 617 , P i rs,tp'GH„{t 1 ii' + l,,•p'.. „Ili qi I' 1 (i,111.'•) adl�rll I li' :11 i 3 II.`tF i q !q�'�'!! i .ry,;`i I'P r i t'1 A! I ',l .f i � 4 ' ICI i` r ) i a� � I � ��,,�{[ i it Ii( )Ii lll� i� iIi�i� 1 '��ii�r� �i� N' Ar��(N'� �. ;r3 t E>! CIl�f yii I.' ' d''il �,i r Gl iir ,a ' a t i I' Ili, '1 Imiif' lip. i i It [ roor i f 'liiitiN �i. iccripi 6 I� 1 C ia 'I II( i,t. irrF 'iii l' Ii k pril'o1pIIiiii 'Q„!' Ii, r , Il,l lil{�r'1i 'i'llm t i i �I �..i r �� 'I �-. ..,N!..:ii, :.t) I' �r� ,ii ! it!� IP'i i�!I!'1111 i ,'�r IIII"i '�' ! lillll'1�i�� , '.,-ii� i a r it 'iii ,iii' L 'il li �� � 1 1 ,I P111I' `IMIIII i I '� ,i 114 ( 1 i r 1 iii' ( id tl i ( n i� i, j {' , ill:. �1'..ri 1i i t, ri, It (!.2 I Ili 'I I a�iii i. dII ' .14 iW1 ) i arh,� iu ) 1 -, I'I „t Gl i r'- I.Illl,r ei V U lilt iIS3' I '�ild 4r.Jl ! - Biil i :Eta i: iii it I i i 1 , i I! y, lig ptc, i "nit r 1p, im ��' +ii 'ii R Ili i' � Rn ileP.pi "," 1111, 'IiI,I4 rc4IIAt11.1 pow Fool At.ifDi �i ( hg'Plitt ,' ,!iii ' �,.'I +,i,t ,',i 1) it '. ,(!Ii ti r a ,i i i I '.: W _i 1 V IIiI li.1! i i. ' i1 I'<�1i I r4� o,, I Apo tv. •1141''• 41''1 , ii t 1 ! i r i9 i i i i .:k ,� , k r kA II !I'i �'4 3 t„Ii AI( � '�l'b i l III I i�i,' li last i'_"Atli ( • yl'laialg,. �I as Ill .1.:,. ,,.Ga r!i .�ill is'I fr I„I 6.....,C, .,w I,II.,.IG.,,Ix.,t,i,,u,._sBB `31lµ t 0 hl Age 0-10...$11.47 ' Level 0...$6.25 I? Level 0 $4 93 ImI r'Level 0 $0 I I Level 0 $0 Age 11-14...$12 89 It • 1 0 i;, I�I (Therapy not needed or provided , (None) 4, (Minimal CPA involvement ,IIII by another source,i.e.mental dH 0 { Age 15-21...$13 91 44,, . ; y ( t,. and/or no crisis intervention i.e. Ili' health.) �I , mutual careplacements.) I F +$,66 Respite Care �s �I utt I i, i,i ! 'i I. ':Level 1 F 1. Level 1 1I $8.22 i, $4.93 III IcrI $19.07 ':' ( «` J, Level 1......$2.99 it +$.66 Respite Care 4_ Level 1...$6.25 , (Face to face contact one time i) (Regularly scheduled therapy, ' ($19.73) ' '- per month and minimal crisis CI 4 hours/month.) III; II 1 intervention) :II #' 6i' r i II, GhI Level 2 $11511 Li Level 2 $9.86 , 2 $25.64 (Face to face contact two times -1 (Weekly scheduled therapy, 4 +$.66 Respite Care '' Level 2...$6.25 ! per month and/or occasional A4-8 hours a month with 4 hours of Level 2 $4.47 ! ($26.30) I'I' crisis intervention) ail Group therapy.) ,IIII I4 rI.0 .I 11, I,,; 'l',55 i,r fit er A .he, 1;1f " ,; Level 3 $14.79 rv� I , Level 3 $14.79 ', -a $32 22 i ] (Regularly scheduled weekly !: 3 + I multiple sessions,can include ,' Level 3 $6.02 $.66 Respite Care Level 3...$ 25 : (Face to face contact 1-2 times t ($32.88) 1 ._ per week and/or ongoing crisis more than 1 person,i.e.family I� i f r,i' intervention.) i therapy,for 8-12 hours/monthly.) is irIi al i',!a i'i L IW q i , 'yj lA i )i. lijill 6i{ ,i; ! Level $18.08; ":Level4 $14.79 ill RTC $38.79 ! (Face to face contact 2-3 times (Regularly scheduled weekly I'll Level 4......Neg. .�' +$.66 Respite Care .r. Level 4...$6.25 N- per week minimum,High level multiple sessions,can include G Drop !PI of case management and CPA more than 1person,i.e.family rd' Down ($39.45) G 9 l involvement with child and therapy,for 8-12 hours/monthly.) 4, provider,including on-going G crisis intervention.) C u�' w. Iii( i fl! v Assess '. Assessment Assessment • Assessment ' int Period , . Period $26.30 �;: period $6.25 Period $11,51 Assessment Period $0 i ,''; (Includes Respite) i:I' ! .,,4 PP Effective 07/01/06 7 Weld County SS-23A Addendum IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day, month, and year first above written. ATTEST: "4-94144/44 Weld County Clerk to th Board mow" 41 ', i n . WELD COUNTY BOARD OF F SOCIAL SERVICES, ON BEHALF 1St i (1‘-:::::-.7:`,r �, '-' OF THE WELD COUNTY i , ,V ;ft, ;"/ DEPARTMENT OF SOCIAL 4t 7/ SERVICES Ko ,� '.. By: ii.it , i _ LIZtC By: 7 & puty Cl to the Board M. J. Geile, Chair AUG 3 0 2006 CONTRACTOR Youth Ventures of Colorado 4785 Granby Cir Colorado Springs, O 80919 By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: c lei Drbtor 9111° `J 8 Weld County SS-23A Addendum 7e 4;1'JJ/ Hello