HomeMy WebLinkAbout20060523.tiff RESOLUTION
RE: APPROVE ADDENDUM TO SIX 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 an Addendum to Six 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 January 13,2006, and ending June 30, 2006,
with further terms and conditions being as stated in said amendment, and
1. Savio House -#37330
2. Savio House -#5628
3. Savio House -#1517239
4. Savio House - #1534549
5. Savio House - #1536911
6. Maple Star
WHEREAS,after review,the Board deems it advisable to approve said addendum, a copy
of which is attached hereto and incorporated herein by reference.
NOW,THEREFORE,BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, ex-officio Board of Social Services, that the Addendum to Six Agreements to
Purchase Child PlacementAgency 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 and the following providers be, and hereby are, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said amendment.
2006-0523
SS0033
C
ea S53 O3 -fit- ki
ADDENDUM TO SIX 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 22nd day o[ebruant A.D., 2006, nunc pro tunc January 13, 2006.
i ♦4BOARD OF COUNTY COMMISSIONERS
` ELD COUN/Y, COLORADO
ATTEST: at, .�; �_�, ��� /�f i6L
J eile, Chair
Weld County Clerk to the +►w
��i >1
l' d °e� V i r � " David E. Long, Pro-Tern
BY: /
_
D uty Cl 'k to the Bo( 11 : . ail
Willi er 1��� ��
APP VED M: l- I�WDeIUr�
�� Robert C). Masden_/
Coun ttorney —� _� /I
Glenn Vaad
Date of signature: 3 w/
10 p
2006-0523
SS0033
S DEPARTMENT OF SOCIAL SERVICES
P.O. BOX A
GREELEY, CO. 80632
' WebsIte:www.co.weld.co.us
Administration and Public Assistance(970) 352-1551
Fax Number(970) 346-7691
O
•
COLORADO MEMORANDUM
TO: M.J. Geile, Chair Date: February 14, 2006
Board of County Commissioners
FR: Judy A. Griego, Director, Social Services �•,otH ( X C;� L
RE: Addendums to Agreements to Purchase Child Placement Agency(CPA) and
Group Center Services with Various Vendors
Enclosed for Board approval are Addendums to Agreements to Purchase CPA Services between
the Weld County Department of Social Services (Department) and various vendors. The
Addendums were reviewed at the Board's Work Session held on February 13, 2006. Addendums
have been entered into with those Vendors who are new providers that include the provision that
rates will remain the same until June 30, 2006.
The vendors include:
Center Foster Care
Rate Rate
t. Savio House—Provider ID#37330 NA $130.95 per day
2. Savio House—Provider ID#5628 $78.50 per day N/A
3. Savio House—Provider ID#1517239 $103.34 per day N/A
4. Savio House—Provider ID#1534549 $78.50 per day N/A
5. Savio House—Provider ID#1536911 $105.21 per day* N/A
6. Maple Star Needs Based Formula
*Offense specific placement would be$120.82 per day.
If you have any questions,please telephone me at extension 6510.
2006-0523
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Child Placement Agency Services
("Agreement") between Savio House and Weld County Department of Social
Services for the period from
January 13, 2006, through June 30, 2006.
The following provisions, made this 20t1day of January , 2006, are added to the referenced
Agreement. Except as modified hereby, all terms of the Agreement remain unchanged.
1. County agrees to purchase and Contractor, identified as Provider ID #37330, agrees to
provide:
A. Care and services, which are listed in this Agreement at a rate of$130.95 per day
for children placed within the Multidimensional Treatment Foster Care
Program.
These services will be for children who have been deemed eligible for social services
under the statutes, rules and regulations of the State of Colorado.
2. Add Paragraph 12 to Section I. The services purchased under this Agreement for CPA
services may include, but are not limited to: Basic 24-hour care and child maintenance
(food, shelter, clothing, educational supplies and allowance), Direct Child Care,
Transportation, Administrative Overhead, Support Overhead, Service delivery Staff,
which may include but are not limited to: Parent Training for Teens, Independent Living
Training, Mentor/Advocate, and Supervised Visitation.
3. Add Paragraph 6 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake
Screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 350-8389.
4. Section V, Paragraph 5. Children in Residential Treatment Facilities, Residential Child
Care Facilities and Child Placement Agencies are not eligible to receive clothing
allowances as outlined in the Weld County Department of Social Services Policy and
Procedure Manual.
15. ' Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Social Services to shorten the duration of placement.
6. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
Weld County SS-23A Addendum
7. 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.
8. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity (federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the
enforcement of the terms and conditions of this Agreement, and all rights of action
relating to such enforcement, shall be strictly reserved to the undersigned parties or their
assignees, and nothing contained in this Agreement shall give or allow any claim or right
of action whatsoever by any other person not included in this Agreement. It is the
express intention of the undersigned parties that any entity other than the undersigned
parties or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunities the parties or their officers or employees may
possess, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
circumvent or replace such immunities.
14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
2 Weld County SS-23A Addendum
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
Contractor cannot be performed or if performed would be of no value to the
Social Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Social Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Social Services and the
Contractor, or by Social Services as a debt to Social Services or otherwise as
provided by law.
15. Add Paragraph 10 to Section VI. The contractor shall promptly notify Social Services in
the event that the Contractor learns of any actual litigation in which it is a party defendant
in a case, which involves services provided under the agreement. The Contractor, within
five (5) calendar days after being served with a summons, complaint, or other pleading
which has been filed in any federal or state court or administrative agency, shall deliver
copies of such document(s) to the Social Services' Director. The term "litigation"
includes an assignment for the benefit of creditors, and filings in bankruptcy,
reorganizations and/or foreclosure.
3 Weld County SS-23A Addendum
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
ATTEST: 4.0 `t0 4
Weld County Clerk to the Board
}%, \ WELD COUNTY BOARD OF
t ictr - SOCIAL SERVICES, ON BEHALF
Isar ) � OF THE WELD COUNTY
hi, DEPARTMENT OF SOCIAL
is SERVICES
By: \. �� CZ.Gt (t' :C I By:
Deput/ lerk to the Baa d .J. Geile, Chair
J v
FEB 2 2 2008
CONTRACTOR
Savio House
325 King Street
Denver, CO 80219
✓By: ZIP/a
WELD COUNTY DEPARTMENT
OF SOCIAL SERVICES
By:
Director'
4 Weld County SS-23A Addendum
;,lore-05°73
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Group Center Care Services
("Agreement") between Savio House and Weld County Department of Social
Services for the period from
January 13, 2006, through June 30, 2006.
The following provisions, made this 20th day of January , 2006, are added to the referenced
Agreement. Except as modified hereby, all terms of the Agreement remain unchanged.
1. County agrees to purchase and Contractor, identified as Provider ID #5628, agrees to
provide:
A. Care and services, which are listed in this Agreement at a rate of$78.50 per day
for children placed within the Group Home/Center.
These services will be for children who have been deemed eligible for social services
under the statutes, rules and regulations of the State of Colorado.
2. Add Paragraph 12 to Section I. The services purchased under this Agreement for Group
Home/Center services may include, but are not limited to: Basic 24-hour care and child
maintenance (food, shelter, clothing, educational supplies and allowance), Direct Child
Care, Transportation, Administrative Overhead, Support Overhead, Service delivery
Staff, which may include but are not limited to: Parent Training for Teens, Independent
Living Training, Mentor/Advocate, and Supervised Visitation.
3. Add Paragraph 6 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake
Screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 350-8389.
4. Section V, Paragraph 5. Children in Residential Treatment Facilities, Residential Child
Care Facilities and Child Placement Agencies are not eligible to receive clothing
allowances as outlined in the Weld County Department of Social Services Policy and
Procedure Manual.
5. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Social Services to shorten the duration of placement.
6. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
7. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan
j Weld County S5-23A Addendum
a�Gl�6- �J��
(IEP) for youth designated as a Special Education Student will be conducted every 3
years and reviewed every year. If the IEP is due while the child is in placement, the
Contractor will complete or obtain a completed IEP. A copy will then be forwarded to
the County.
8. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity (federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the
enforcement of the terms and conditions of this Agreement, and all rights of action
relating to such enforcement, shall be strictly reserved to the undersigned parties or their
assignees, and nothing contained in this Agreement shall give or allow any claim or right
of action whatsoever by any other person not included in this Agreement. It is the
express intention of the undersigned parties that any entity other than the undersigned
parties or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunities the parties or their officers or employees may
possess, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
circumvent or replace such immunities.
14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
2 Weld County SS-23A Addendum
Contractor cannot be performed or if performed would be of no value to the
Social Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Social Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Social Services and the
Contractor, or by Social Services as a debt to Social Services or otherwise as
provided by law.
15. Add Paragraph 10 to Section VI. The contractor shall promptly notify Social Services in
the event that the Contractor learns of any actual litigation in which it is a party defendant
in a case, which involves services provided under the agreement. The Contractor, within
five (5) calendar days after being served with a summons, complaint, or other pleading
which has been filed in any federal or state court or administrative agency, shall deliver
copies of such document(s) to the Social Services' Director. The term "litigation"
includes an assignment for the benefit of creditors, and filings in bankruptcy,
reorganizations and/or foreclosure.
3 Weld County SS-23A Addendum
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above l' written.
ATTEST: J "< i!/. "-"
Weld County Clerk to the Board
t E La WELD COUNTY BOARD OF
?, SOCIAL SERVICES, ON BEHALF
53 , OF THE WELD COUNTY
1161 h �' DEPARTMENT OF SOCIAL
„„P.A. SERVICES
By: " 9 �1�ll. � lC . 6t1 By:
DeputyClerk to the B6 rd .J. Geile, Chair
FEB 2 2 2006
CONTRACTOR
Savio House
325 King Street
Denver, CO 80219
By: //>//1%'`_'
(Z
WELD COUNTY DEPARTMENT
OF SOCIAL SERVICES
By: tibtio.
re t 3r
4 Weld County SS-23A Addendum
&IY6 -1-'543
WELD COUNTY ADDENDUM • '
-
To that certain Agreement to Purchase Group Center Care Services
("Agreement") between Savio House and Weld County Department of Social
Services for the period from
January 13, 2006, through June 30, 2006.
The following provisions, made this 20thday of January , 2006, are added to the referenced
Agreement. Except as modified hereby, all terms of the Agreement remain unchanged.
1. County agrees to purchase and Contractor, identified as Provider ID #1517239, agrees to
provide:
A. Care and services, which are listed in this Agreement at a rate of$103.34 per day
for children placed within the Group Home/Center.
These services will be for children who have been deemed eligible for social services
under the statutes, rules and regulations of the State of Colorado.
2. Add Paragraph 12 to Section I. The services purchased under this Agreement for Group
Home/Center services may include, but are not limited to: Basic 24-hour care and child
maintenance (food, shelter, clothing, educational supplies and allowance), Direct Child
Care, Transportation, Administrative Overhead, Support Overhead, Service delivery
Staff, which may include but are not limited to: Parent Training for Teens, Independent
Living Training, Mentor/Advocate, and Supervised Visitation.
3. Add Paragraph 6 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake
Screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 350-8389.
4. Section V, Paragraph 5. Children in Residential Treatment Facilities, Residential Child
Care Facilities and Child Placement Agencies are not eligible to receive clothing
allowances as outlined in the Weld County Department of Social Services Policy and
Procedure Manual.
5. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Social Services to shorten the duration of placement.
6. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
7. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan
1 Weld County SS-23A Addendum
tW -CS.�2
(IEP) for youth designated as a Special Education Student will be conducted every 3
years and reviewed every year. If the IEP is due while the child is in placement, the
Contractor will complete or obtain a completed IEP. A copy will then be forwarded to
the County.
8. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity(federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the
enforcement of the terms and conditions of this Agreement, and all rights of action
relating to such enforcement, shall be strictly reserved to the undersigned parties or their
assignees, and nothing contained in this Agreement shall give or allow any claim or right
of action whatsoever by any other person not included in this Agreement. It is the
express intention of the undersigned parties that any entity other than the undersigned
parties or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunities the parties or their officers or employees may
possess, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
circumvent or replace such immunities.
14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
2 Weld County SS-23A Addendum
Contractor cannot be performed or if performed would be of no value to the
Social Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Social Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Social Services and the
Contractor, or by Social Services as a debt to Social Services or otherwise as
provided by law.
15. Add Paragraph 10 to Section VI. The contractor shall promptly notify Social Services in
the event that the Contractor learns of any actual litigation in which it is a party defendant
in a case, which involves services provided under the agreement. The Contractor, within
five (5) calendar days after being served with a summons, complaint, or other pleading
which has been filed in any federal or state court or administrative agency, shall deliver
copies of such document(s) to the Social Services' Director. The term "litigation"
includes an assignment for the benefit of creditors, and filings in bankruptcy,
reorganizations and/or foreclosure.
3 Weld County SS-23A Addendum
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
aja14,44
ATTEST:
Weld County Clerk to the Board
WELD COUNTY BOARD OF
SOCIAL SERVICES, ON BEHALF
�e ; , OF THE WELD COUNTY
t�t �I
Y tDEPARTMENT OF SOCIAL
'*, SERVICES
1 �,
By: I26 1 i �2 By:
eput Clerk to the B a d M.J. Geile, Chair
FEB 2 2 2006
CONTRACTOR
Savio House
325 King Street
Denver,
�C/O�8021199
By: L:l/��/�G e%rf- c -
WELD COUNTY DEPARTMENT
OF SOCIAL SERVICES
By: O
irecto
4 Weld County SS-23A Addendum
0?CCE: —CSC
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Group Center Care Services
("Agreement") between Savio House and Weld County Department of Social
Services for the period from
January 13, 2006, through June 30, 2006.
The following provisions, made this 20thday of January , 2006, are added to the referenced
Agreement. Except as modified hereby, all terms of the Agreement remain unchanged.
1. County agrees to purchase and Contractor, identified as Provider ID #1534549, agrees to
provide:
A. Care and services, which are listed in this Agreement at a rate of$78.50 per day
for children placed within the Group Home/Center.
These services will be for children who have been deemed eligible for social services
under the statutes, rules and regulations of the State of Colorado.
2. Add Paragraph 12 to Section I. The services purchased under this Agreement for Group
Home/Center services may include, but are not limited to: Basic 24-hour care and child
maintenance (food, shelter, clothing, educational supplies and allowance), Direct Child
Care, Transportation, Administrative Overhead, Support Overhead, Service delivery
Staff, which may include but are not limited to: Parent Training for Teens, Independent
Living Training, Mentor/Advocate, and Supervised Visitation.
3. Add Paragraph 6 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake
Screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 350-8389.
4. Section V, Paragraph 5. Children in Residential Treatment Facilities, Residential Child
Care Facilities and Child Placement Agencies are not eligible to receive clothing
allowances as outlined in the Weld County Department of Social Services Policy and
Procedure Manual.
5. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Social Services to shorten the duration of placement.
6. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
7. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan
1 Weld County SS-23A Addendum
(IEP) for youth designated as a Special Education Student will be conducted every 3
years and reviewed every year. If the IEP is due while the child is in placement, the
Contractor will complete or obtain a completed IEP. A copy will then be forwarded to
the County.
8. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity (federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the
enforcement of the terms and conditions of this Agreement, and all rights of action
relating to such enforcement, shall be strictly reserved to the undersigned parties or their
assignees, and nothing contained in this Agreement shall give or allow any claim or right
of action whatsoever by any other person not included in this Agreement. It is the
express intention of the undersigned parties that any entity other than the undersigned
parties or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunities the parties or their officers or employees may
possess, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
circumvent or replace such immunities.
14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
2 Weld County SS-23A Addendum
Contractor cannot be performed or if performed would be of no value to the
Social Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Social Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Social Services and the
Contractor, or by Social Services as a debt to Social Services or otherwise as
provided by law.
15. Add Paragraph 10 to Section VI. The contractor shall promptly notify Social Services in
the event that the Contractor learns of any actual litigation in which it is a party defendant
in a case, which involves services provided under the agreement. The Contractor, within
five (5) calendar days after being served with a summons, complaint, or other pleading
which has been filed in any federal or state court or administrative agency, shall deliver
copies of such document(s) to the Social Services' Director. The term "litigation"
includes an assignment for the benefit of creditors, and filings in bankruptcy,
reorganizations and/or foreclosure.
3 Weld County SS-23A Addendum
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
ATTEST: �� "e'^'1 /��!/YGf r�i%
Weld County Clerk to the Board
R, WELD COUNTY BOARD OF
�' t: - SOCIAL SERVICES, ON BEHALF
: { OF THE WELD COUNTY
m DEPARTMENT OF SOCIAL
SERVICES
tppS
7/
By: y^�i"l /zip L-O(70 1'I By: 77/71,07,2‘..c„,
Deput Clerk to the 1§jiard M.J. Geile, Chair
FEB 2 2 2006
CONTRACTOR
Savio House
325 King Street
Denver,
CO 80219
800219
Byi&i//�4/ I()
WELD COUNTY DEPARTMENT
OF SOCIAL SERVICES
By: Ok
Director
Pkt
4 Weld County SS-23A Addendum
ohle6 -c..5a3
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Group Center Care Services •
("Agreement") between Savio House and Weld County Department of Social -'
Services for the period from ` „)
January 13, 2006, through June 30, 2006.
The following provisions, made this 90rhday of January , 2006, are added to the referenced
Agreement. Except as modified hereby, all terms of the Agreement remain unchanged.
1. County agrees to purchase and Contractor, identified as Provider ID #1536911, agrees to
provide:
A. Care and services, which are listed in this Agreement at a rate of $120.82 per day
for Offense Specific placements, all other placement will be at rate of $105.21 for
children placed within the Group Home/Center.
These services will be for children who have been deemed eligible for social services
under the statutes, rules and regulations of the State of Colorado.
2. Add Paragraph 12 to Section I. The services purchased under this Agreement for Group
Home/Center services may include,but are not limited to: Basic 24-hour care and child
maintenance (food, shelter, clothing, educational supplies and allowance), Direct Child
Care, Transportation, Administrative Overhead, Support Overhead, Service delivery
Staff, which may include but are not limited to: Parent Training for Teens, Independent
Living Training, Mentor/Advocate, and Supervised Visitation.
3. Add Paragraph 6 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake
Screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 350-8389.
4. Section V, Paragraph 5. Children in Residential Treatment Facilities, Residential Child
Care Facilities and Child Placement Agencies are not eligible to receive clothing
allowances as outlined in the Weld County Department of Social Services Policy and
Procedure Manual.
5. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Social Services to shorten the duration of placement.
6. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
] Weld County SS-23A Addendum
7. 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.
8. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity (federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the
enforcement of the terms and conditions of this Agreement, and all rights of action
relating to such enforcement, shall be strictly reserved to the undersigned parties or their
assignees, and nothing contained in this Agreement shall give or allow any claim or right
of action whatsoever by any other person not included in this Agreement. It is the
express intention of the undersigned parties that any entity other than the undersigned
parties or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunities the parties or their officers or employees may
possess, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
circumvent or replace such immunities.
14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
2 Weld County SS-23A Addendum
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
Contractor cannot be performed or if performed would be of no value to the
Social Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Social Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Social Services and the
Contractor, or by Social Services as a debt to Social Services or otherwise as
provided by law.
15. Add Paragraph 10 to Section VI. The contractor shall promptly notify Social Services in
the event that the Contractor learns of any actual litigation in which it is a party defendant
in a case, which involves services provided under the agreement. The Contractor, within
five (5) calendar days after being served with a summons, complaint, or other pleading
which has been filed in any federal or state court or administrative agency, shall deliver
copies of such document(s) to the Social Services' Director. The term "litigation"
includes an assignment for the benefit of creditors, and filings in bankruptcy,
reorganizations and/or foreclosure.
3 Weld County SS-23A Addendum
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
ATTEST: ' '•G�f.11 4
Weld County Clerk to the Board
1 tt WELD COUNTY BOARD OF
i,7 SOCIAL SERVICES, ON BEHALF
-. OF THE WELD COUNTY
��I a�I 4a DEPARTMENT OF SOCIAL
(fAr '',SERVICES
By: �� , / , � By: 4
Depulerk to the yard M.J. Geile, Chair
V
FEB 2 2 2006
CONTRACTOR
Savio House
325 King Street
Denver,�CO�880221199
By: ��.e'///i�Gi� L_A
WELD COUNTY DEPARTMENT
OF SOCIAL SERVICES
By:
hector
4 Weld County SS-23A Addendum
WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Child Placement Agency Services
(the "Agreement") between Maple Star Colorado and Weld County
Department of Social Services for the period from
October 1, 2005, through June 30, 2006.
The following provisions, made this day of , 2005, are added to the referenced
Agreement. Except as modified hereby, all terms of the Agreement remain unchanged.
1. County and Contractor agree that a child specific Needs Based Care Assessment,
designated as Attachment B, shall be used to determine levels of care for each child
placed with Contractor.
2. County agrees to purchase and Contractor agrees to provide the care and services, which
are listed in this Agreement, based on the Needs Based Care Assessment levels
determined. The specific rate of payment will be paid for each level of service, as
indicated by the Needs Based Care Rate Table, designated as Attachment C, for children
placed within the CPA identified as Provider ID#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. Add Paragraph 14 to Section I. A minimum of one polygraph test per Colorado fiscal
year, if needed by the child, will be furnished under this contract for facilities that
provide sex offender treatment.
4. Add Paragraph 6 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or Intake
Screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 350-8389.
5. Section V, Paragraph 5. Children in Residential Treatment Facilities, Residential Child
Care Facilities and Child Placement Agencies are not eligible to receive clothing
allowances as outlined in the Weld County Department of Social Services Policy and
Procedure Manual.
6. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Social Services to shorten the duration of placement.
7. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
8. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan
(IEP) for youth designated as a Special Education Student will be conducted every 3
years and reviewed every year. If the IEP is due while the child is in placement, the
Contractor will complete or obtain a completed IEP. A copy will then be forwarded to
the County.
;?ot 6
1 mein r h,cc_nn Addpnn,,..,
9. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity(federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
10. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the
enforcement of the terms and conditions of this Agreement, and all rights of action
relating to such enforcement, shall be strictly reserved to the undersigned parties or their
assignees, and nothing contained in this Agreement shall give or allow any claim or right
of action whatsoever by any other person not included in this Agreement. It is the
express intention of the undersigned parties that any entity other than the undersigned
parties or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
11. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunities the parties or their officers or employees may
possess, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
circumvent or replace such immunities.
12. Add Paragraph 9 to Section VI. The Director of Social Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
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;
2 Weld(nine.,CC_91A Addendum
• C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Social Services and the
Contractor, or by Social Services as a debt to Social Services or otherwise as
provided by law.
13. Add Paragraph 10 to Section VI. The contractor shall promptly notify Social Services in
the event that the Contractor learns of any actual litigation in which it is a party defendant
in a case, which involves services provided under the agreement. The Contractor, within
five (5) calendar days after being sewed with a summons, complaint, or other pleading
which has been filed in any federal or state court or administrative agency, shall deliver
copies of such document(s) to the Social Services' Director. The term "litigation"
includes an assignment for the benefit of creditors, and filings in bankruptcy,
reorganizations and/or foreclosure.
14. Add Section VII-ATTACHMENTS:
3 WnlA rnnnh,CC-11A ',Hon/biro
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# 1DATE OF ASSESSMEI
AGENCY NAME ROVIDER NAME PROVIDER CWEST ID
ANSWERS TO THE FOLLOWING QUESTIONS WILL DETERMINE THE NEEDS BASED CARE PAYMENT FOR
CHILDREN AGES 1 DAY THROUGH 18 YEARS OLD.
• For each question below,please select the response which most closely applies to this child.
• Please check the number for that response in the corresponding box below.
THE FOLLOWING SEVEN QUESTIONS ARE MUTUALLY EXCLUSIVE:
P 1. How often does this child require transportation by the provider for one of the following: therapeutic or
medical treatment,emotional or social counseling,etc.,as outlined in the treatment plan or approved by the
caseworker?
O0)one trip a week or less ❑1)2-3 trips a week
❑2)4-5 trips a week O3)6 or more trips a week
P 2. How often is the provider required to participate in child's therapy or counseling sessions?
O0)one a month ❑l)twice a month O2)once a week ❑3)2 or more times a week
P 3. How much time is the provider required to intervene at home and/or at school with the child in conjunction with
a regular or special education plan?
❑0)less than a'h hour per day ❑1)'A hour a day
O2)more than %hour per day,up to 2 hours per day O3)more than 2 hours per day
P 4. How often does the child require special and extensive involvement by the provider in scheduling and
monitorin of time and/or activities and/or crisis management?
00)less than 5 hours per week ❑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 ❑l)5 to 10 hours per week
O2) 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
❑1) 2-3 contacts per month and/or minimal crisis intervention
O2) 1 face to face contact per month and/or occasional crisis intervention
O3) Face to face contact 1-2 times per week and/or ongoing crisis intervention
T 1. How often are therapy services needed to address child's individual needs per NBC assessment?
O0)not needed or Provided by another source(i.e.Medicaid) ❑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 ❑ 0 ❑ 0
P 2 Therapy/Counseling ❑ ❑ ❑ ❑
P 3 Educational Intervention ❑ 0 0 0
P 4 Behavior Management ❑ ❑ 0 ❑
P 5 Personal Care 0 ❑ ❑ ❑
A 1 Case Management ❑ 0 0 0
T 1 Therapeutic Services ❑ 0 0 ❑
4 wain rn.,nt,,cc-na Aadennnm
WELD COUNTY DSS
NEEDS BASED CARE ASSESSMENT
(CONT.)
RATE THE BEHAVIOR CONDITIONS WHICH CREATE THE NEED FOR SERVICES THAT APPLY TO
THIS CHILD THAT ARE SIGNIFICANT IN TERMS OF DURATION AND INTENSITY.
Assessment Period: ❑Initial Assessment ❑Re-Determination -Months in Care
THE BEHAVIOR ASSESSMENT IS USED ONLY TO IDENTIFY CHILD NEEDS AND ASSIST IN TREATMENT
PLANNING.
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Aggression/Cruelty to Animals ❑ O O ❑
Verbal or Physical Threatening ❑ ❑ O O
Destructive of Property/Fire Setting O O ❑ ❑
Stealing ❑ ❑ ❑ O
Self-injurious Behavior O ❑ ❑ ❑
Substance Abuse ❑ ❑ ❑ ❑
Presence of Psychiatric Symptoms/Conditions ❑ ❑ O ❑
Enuresis/Encopresis ❑ ❑ El ❑
Runaway ❑ O O ❑
Inappropriate Sexual Behavior ❑ O O ❑
Disruptive Behavior O O O O
Delinquent Behavior El ❑ ❑ ❑
Depressive-like Behavior ❑ ❑ ❑ ❑
Medical Needs O ❑ ❑ ❑
Emancipation ❑ ❑ ❑ ❑
Education ❑ ❑ ❑ ❑
Involvement with Child's Family ❑ Cl ❑ ❑
CHILD'S OVERALL LEVEL OF NEED: AVERAGE LEVEL:
(check level of need) ❑ o ❑ 1 O 2 O 3
5 Weld Co,,nty CC-)1A A&lilend°m
WELD COUNTY DSS
NEEDS BASED CARE ASSESSMENT
(ATTACHMENT B)
SUMMARY-Please identify all specific requirements and expectations which support Level of Care.
EVEL OF PROVIDER SERVICES NEEDED (Average of PI through P5)
ERIOD 1: LEVEL#
omments:
EVEL OF CASE MANAGEMENT SERVICES NEEDED(Al)
EVEL #
omments:
EVEL OF THERAPY SERVICES NEEDED(TI)
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)
LEVEL OF RECOMMENDED RECOMMENDER AGENCY RATE INTERVENTION RATE MEDICAL NEEDS
SERVICE PROVIDER RATE 3 :4: ! Al . -. .- . TI! ADDENDUM
Pt,,p
Level 'Rate Adnlht °yprtle-Ad COSe Management Therapy.:
.( (d i .Maim) ; (Admin.,Main€) (Adr#tin.Services)
0 Age 0-10...$11.47 Level 0...$4.56 '. Level 0 $4.93 Level 0 $0 ! Level 0......$0
0 Age 11-14...$12.89 (Therapy not needed or provided (None)
(Minimal CPA involvement, no by another source,i.e.mental
0 Age 15-21...$13.91 crisis intervention.Only doing health.)
what is necessary to maintain `
+$.66 Respite Care monthly responsibility.)
Level 1 $8.22 Level l $4.93
1 $19.07 Level 1 $2.99
+$.66 Respite Care Level 1...$4.56
(Low level of case management ', (Regularly scheduled therapy,
($19.73) ir. minimal crisis intervention,2-3 4 hours/month.)
r. contacts/month,minimal crisis
intervention,
2-3 contacts/month.)
s Level2 $11.51 Level2 $9.86
2 $25.64 (Moderate level of case (Weekly scheduled therapy, Level 2 $4.47
+$.66 Respite Care Level 2...$4.56 Management including ! 4-8 hours a month with 4 hours of
($26.30) Weekly support services, Group therapy.)
Occasional crisis intervention,
Face to face contact 1 time
Per month.)
' Level $14.79 Level 3 $14.79
$32 22 :;(High level of case management (Regularly scheduled weekly
3 +$.66 Respite Care Level 3...$4.56 '- and CPA involvement with child multiple sessions,can include Level 3 $6.02
($32.88) and provider including ongoing more than 1 person,i.e.family
crisis intervention and face to therapy,for 8-12 hours/monthly.)
face contactl-2 time per week
minimum.)
t.',
Level 4 $18.08 Level 4 $14.79
i
4 $38.79 f. (High level of case management Z (Regularly scheduled weekly Level 4 Neg.
RTC +$.66 Respite Care Level 4...$4 56 and CPA involvement with child multiple sessions,can include
Drop ($39 45) . and provider,including on-going more than 1 person,i.e.family
Down crisis intervention and face to therapy,for 8-12 hours/monthly.)
face contact 2-3 times per
week minimum.)
Assess. :�+1 Assessment 'i Assessment Assessment
Period Period $26.30 period $4.56 Period $11.51 '' Assessment Period $0
(Includes Respite)
Effective 10/01/01
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.
a t e It War
ATTEST:
Weld County Clerk to the Board
: if b •q WELD COUNTY BOARD OF
,';'t ▪ .1 SOCIAL SERVICES, ON BEHALF
c:Ael''`` ,9- '• \OF THE WELD COUNTY
185' it
a 0.`l- itl-'9r x-,DEPARTMENT OF SOCIAL
-1 x SERVICES
el (cery, 7 i
By {° (� 1 al 1.( (L. �J h r te By
eputy lerk to the and M. J. Geile, CHair
02/22/2006
CONTRACTOR
Maple Star Colorado
2785 Speer Blvd, Suite 340
Denver, CO 80211
By: _bYlC LU
WELD COUNTY DEPARTMENT
OF SOCIAL SERVICES
By:
hector
8 Weld County SS-23A Addendum
cee - v 3
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