The URL can be used to link to this page

Browse Search

Home My WebLink About20021319 RESOLUTION RE: APPROVE THREE NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR VARIOUS PROGRAMS AND AUTHORIZE CHAIR TO SIGN - NORTH COLORADO MEDICAL CENTER -YOUTH PASSAGES 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 three Notification of Financial Assistance Awards 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 North Colorado Medical Center- Youth Passages, commencing June 1, 2002, and ending May 31, 2003, with further terms and conditions being as stated in said awards for the following programs: 1) Option B - Home Based Services 2) Intensive Family Therapy 3) Day Treatment Program, and WHEREAS, after review, the Board deems it advisable to approve said awards, 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 Notification of Financial Assistance Awards for the above listed programs 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 North Colorado Medical Center- Youth Passages, be, and hereby are, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said awards. Oa : SS 2002-1319 SS0029 THREE NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS - NORTH COLORADO MEDICAL CENTER - YOUTH PASSAGES PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 22nd day of May, A.D., 2002. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORA O doseravat ATTEST: MO 'sa E�t Vaal, Chair`` le Vaad, Chair Weld County Clerk to the :r-r• Y-40' ) ��( , // M � Siavid . g, ro-Tem BY: o n ` Deputy Clerk to the Boa • y� +e �f` a M. J. Geile I D AS F M: 'L, 7 V,/ ( illiam H. Jerke ^ ou y ttor e „ — obert D. Ma den 5� Date of signature: ,7o 2002-1319 SS0029 DEPARTMENT OF SOCIAL SERVICES PO BOX A GREELEY,CO 80632 1trer WEBSITE:www.co.weld.co.us Administration and Public Assistance(970)352-1551 Child Support(970)352-6933 COLORADO MEMORANDUM TO: Glenn Vaad, Chair Date: May 22, 2002 Board of County Commissioners FR: Judy Griego, Director Weld County Departme f So 1 Servic RE: PY 2002-2003 Notification of Financial Assistance Awards (NOFAA) under Core Services Funds-North Colorado Medical Center, PsychCare,Youth Passages. Enclosed for Board approval are the PY 2002-2003 Notifications of Financial Assistance Awards (NOFAA) for Families, Youth, and Children Commission (FYC) Core Services Funds, which are for the period of June 1, 2002,through May 31, 2003. The Families, Youth and Children Commission (FYC) reviewed proposals under a Request for Proposal process and are recommending approval of these bids. A. Option B-Home Based Intensive:Program serves children and adolescents under the age of 18 and their families, new clients in the YP system, as well as being used as a step-down service for partial hospitalization program clients. Yearly capacity is 96 families, two to six hours of direct service per week per family, with an average length of treatment of 8-10 weeks. Bilingual-Bicultural services to approximately 48 individuals. Monthly maximum capacity is 14, monthly average capacity is 8. Services to South Weld County families is estimated at 24 individuals. Rate is$82/hour. B. Intensive Family Therapy. A maximum of 96 clients under the age of 18 for two to six hours of brief solution-based therapy per week per family at an average of 8 to 10 weeks. Home visits will be considered on a case-by-case basis. Bilingual- Bicultural services to approximately 48 individuals. Monthly maximum capacity is 15, monthly average capacity is 8. Services to South Weld County families is estimated at 24 individuals. Rate is$82.00/hour; $1,800 Multiple Contact rate; $1,800 Network Intervention Rate. 2002-1319 Page 1 of 2 - - MEMORANDUM TO GLENN VAAD, CHAIR WELD COUNTY BOARD OF COMMISSIONERS RE: CORE SERVICE NOFAA PY 2002-2003 C. Day Treatment. Sixty adolescents (10-18 years) and/or (range of 5 years to 18 years)per year, 12 monthly average capacity, 40 hours weekly,for 6-10 weeks. Average hours in intensive outpatient program is 12. Bilingual therapist is available for family sessions. Provision for South County transportation for 4 youth has been provided through Weld BOCES during this past year. Rate is $19/hour; $3,040/month. If you have any questions, please telephone me at extension 6510. of Page 2 of 2 Weld County Department of Social Services Notification of Financial Assistance Award for Families,Youth and Children Commission (Core) Funds Type of Action Contract Award No. X Initial Award FY02-CORE-0010 Revision (FP-FYC-02010) Contract Award Period Name and Address of Contractor Beginning 06/01/2002 and North Colorado Medical Center-Youth Passages Ending 05/31/2003 Option B-Home Based Services 1801 16 Street Greeley,CO 80031 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Assistance This program is based on a brief therapy solution Award is based upon your Request for Proposal(RFP). oriented model with an average length of The RFP specifies the scope of services and conditions treatment of 8-10 weeks. Two to six direct of award. Except where it is in conflict with this service hours per week per family. Yearly NOFAA in which case the NOFAA governs, the RFP capacity is 96 families. The program serves upon which this award is based is an integral part of the children and adolescents under the age of 18 and action. their families. The program serves new clients in Special conditions YP system, as well as being used as a step-down 1) Reimbursement for the Unit of Services will be based on service for partial hospitalization program a monthly rate per child or per family. clients. Clients can enter the home-based 2) The monthly rate will be paid for only direct face to face program directly without being a YP day contact with the child and/or family or as specified in the treatment client. Bilingual-bicultural services to unit of cost computation. approximately 48 families. Monthly maximum 3) Unit of service costs cannot exceed the hourly and yearly capacity is 15,monthly average capacity is 8. cost per child and/or family. Services to South Weld County families is 4) Payments will only be remitted on cases open with,and estimated at 24 individuals. referrals made by the Weld County Department of Social Services. Cost Per Unit of Service 5) Requests for payment must be an original submitted to Hourly Rate Per $ 82.00 the Weld County Department of Social Services by the end of the 25th calendar day following the end of the Unit of Service Based on Approved Plan month of service.The provider must submit requests for payment on forms approved by Weld County Enclosures: Department of Social Services. X Signed RFP:Exhibit A X Supplemental Narrative to RFP: Exhibit B _X_Recommendation(s) _Conditions of Approval APP rova Program fficial:et By al ' By 5)(01 Glenn Vaad, Chair (a5/3d/200a) Judy . go Direct r Board of Weld County Commissioners Weld unty epartment of Social Services aefQ--/.319 EXHIBIT A SIGNED RFP INVITATION TO BID _------- ------ ----- DATE:tebruary 27, 2002 BID NO: RFi5-FYC-02010 RETURN BID TO: Pat Persichino, Director of General Services 915 10th Street, P.O. Box 758, Greeley, CO 80632 SUMMARY Request for Proposal (RFP-FYC-02010) for:Family Preservation Program--Home Based Intensive Family Intervention Program Family Issue's Cash Fund or Family Preservation Program Funds Deadline: March 22, 2002, Friday, 10:00 a.m. The Families, Youth and Children Commission, an advisory commission to the Weld County Department of Social Services, announces that competing applications will be accepted for approved vendors pursuant to the Board of Weld County Commissioners' authority under the Statewide Family Preservation Program (C.R.S. 26-5.5-101) and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home Placement (C.R.S. 26-5.3-101). The Families, Youth and Children Commission wishes to approve services targeted to run from June 1, 2002, through May 31, 2003, at specific rates for different types of service. The County will authorize approved vendors and rates for services only. The Home Based Intensive Family Intervention Program is a family strength focused home-based services to families in crisis which are time limited,phased in intensity, and produce positive change which protects children, prevents or ends placement, and preserves families. This program announcement consists of five parts, as follows: PART A...Administrative Information PART D...Bidder Response Format PART B...Background, Overview and Goals PART E...Bid Evaluation Process PART C...Statement of Work Delivery Date (After receipt of order) BID MUST BE SIGNED IN INK Jon Sewell TYPED OR PRINTED SIGNATURE VENDOR North Colorado Medical Center J gr._ _ (Name) Handwritten Signature By Authorized Officer or Agent of Vender ADDRESS 1801 16th Street TITLEChief Executive Officer Greeley, CO 80631 DATE frill / a, PHONE # (970 ) 352-1056 The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 31 RFP-FYC-02010 Attached A HOME BASED INTENSIVE FAMILY INTERVENTION PROGRAM BID PROPOSAL AND REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING FAMILY PRESERVATION PROGRAM 2002-2003 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2002-2003 BID #RFP-FYC-02010 NAME OF AGENCY: North Colorado Medical c'eater ADDRESS: 1801 16th Street, Greeley, CO 80631 PHONE: (970 1 352-1056 CONTACT PERSON: Pam Johnson TITLE:Req.Dir.Behaviora1 HBA1th DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Home Based Intensive Family Intervention Program is a family strength focused home-based services to families in crisis which are time limited, ho ased intensity, and produce positive change which protects children, prevents or ends placement, and preserves families. 12-Month approximate Project Dates: _ 12-month contract with actual time lines of: Start June 1. 2002 Start June 1 , 2002 End May 31, 2003 End May 31 , 2003 TITLE OF PROJECT: Youth Passages Pam Johnson ( &w an 4. 3/19/O. Name and Signature of Person Preparing Do ument Date Jon Sewell j o--C JJ� , Ana is z 2 Name and Signature Chief Administrative Officer Applicant Agency Date MANDATORY PROPOSAL REOUIREMENTS For both new bids and renewal bids, please initial to indicate that the following required sections are included in this Proposal for Bid. For renewal bids, please indicate which of the required sections have not changed from Program Fund Year 2001-2002 to Program Fund year 2002-2003. Indicate No Change from FY 2001-2002 to 2002-2003 Project Description Pn x Target/Eligibility Populations X Types of services Provided Measurable Outcomes X Service Objectives x Workload Standards x Staff Qualifications X Unit of Service Rate Computation4. x Program Capacity per Month X P9 Certificate of Insurance Page 25 of 31 RFP-FYC-02010 Attached A Date of Meeting(s)with Social Services Division Supervisor: 2 - -D) Comments by SSD Supervisor: - �il "i ' B -(if/4 Q 1 D a 4 .t_ llll/ k R , --(k t o„L) 1) _ L-pri,y,. .f.3 & 7,9 .e., _,Iut--,,,t, g kJ \-you , ,.,, por .p.,./u \--4t, L-L.1 -1)01 P�h • _kLL—d.( 4i 2000) al� -8oa Name and Signature Supervisor Date Page 26 of 31 RFP-FYC-02010 Attached A Program Category Home Based Intensive Family Intervention Program Bid Category Project Title Youth Passages Vendor North Colprado Medical Center PROJECT DESCRIPTION Provide a brief one-page description of the project. II. TARGET/ELIGIBILITY POPULATIONS Provide a one page brief description of the proposed target/eligibility populations. At a minimum your description must address: A. Total number of clients to be served. B. Total individual clients and the children's ages. C. Total family units. D. Sub-total of individuals who will receive bicultural/bilingual services. E. Sub-total of individuals who will receive services in South Weld County. F. Sub-total of Individuals who will have access to 24 hour service. G. The monthly maximum program capacity. H. The monthly average capacity. I. Average stay in the program (weeks). J. Average hours per week in the program. III. TYPE OF SERVICES TO BE PROVIDED Provide a two-page description of the types of services to be provided. Please address if your project will provide the service minimums as follows: A. Therapeutic Services - includes re-parenting, family therapy, support groups, problem solving, communication skills, parent-child conflict management, etc. B. Concrete Services - means concentrated assistance in the development and enhancement of parenting skills, stress reduction, problem solving, hands-on parenting, budget management, recreational activities, etc. C. Collateral Services - teaching families to work with other community agencies such as drug and alcohol, health care,job training, information and referral, advocacy, etc. D. Crisis Intervention Services - including in-home counseling and other interventions available on a 24-hour basis. Provide your quantitative measures as they directly relate to each service. At a minimum, include a number to be served in each service component. Describe your internal process to assure that FYC resources will not supplant existing and available services in the community; e.g. mental health capitation services, ADAD and professional services otherwise funded. Page 27 of 31 RFP-FYC-02010 Attached A IV. MEASURABLE OUTCOMES Provide a two-page description of your expected measurable outcomes of the project. Address the following measurable outcomes: A. Child remains in home at time case is closed. B. Improvements in parental competency, parent/child conflict management and household management competency as measured by pre and post placement functional tests. C. Children who are currently in their own home will remain in their own home 12 months after the completion of Home Based Intensive Family Intervention family preservation services. D. Children currently in long-term placement who are provided reunification Home Based Intensive Family Intervention services will return to their own home and not reenter out-of- home placement 12 months after completion of Home Based Intensive Family Intervention services. E. Families who receive either family preservation or reunification services will not have a substantiated abuse or neglect 12 months after completion of Home Based Intensive Family Intervention services. F. Cases which receive either family preservation or reunification services by Home Based Intensive Family Intervention will measure "LOW"on the risk assessment devise at service closure. Describe your quantitative measures: Also, describe the methods you will use to measure, evaluate, and monitor each quantitative measure. V. SERVICE OBJECTIVES Provide a one page description of your expected service objectives and quantitative measures. Address, at a minimum, the following ways the project will: A. Improve Family Conflict Management - Mediation and counseling designed to resolve conflicts and disagreements between parents and their children contributing to child maltreatment, running away and other status offenses. B. Improve Parental Competency - capacity of parents to maintain sound relationships with their children and provide care, nutrition, hygiene, discipline, protection, instructions, and supervision. C. Improve Household Management Competency - capacity of parents to provide a safe household environment for their children through competent household cleaning and maintenance, budgeting and purchasing. D. Improve Ability to Access Resources - services shall assist parents in learning to obtain help from other sources in the community and within the local, state, and federal governments. Describe the methods you will use to measure, evaluate, and monitor each service objective. Page 28 of 31 RFP-FYC-02010 Attached A VI. WORKLOAD STANDARDS Provide a one page description of the project's work load standards and quantitative measures. Address, at a minimum, the following areas: A. Number of hours per day, week or month. (Minimum intensity of 3 hours per week per family.) B. Number of individuals providing the services. C. Maximum caseload per worker. (Minimum family caseload of 8-10.) D. Modality of treatment. E. Total number of hours per day/week/month. F. Total number of individuals providing these services. G. The maximum caseload per supervisor. H. Insurance. VII. STAFF QUALIFICATIONS Provide a one page description of staff qualifications and address, at a minimum, the following: A. Will your staff, including supervisors, who are providing direct services have the minimum qualifications in education and experience in Staff Manual Volume VII, Section 7.303.17, and Section 7.0006,Q, Colorado Department of Human Services? Describe. B. Total number of staff, including supervisors, available for the project. C. Will your staff have received mandated new caseworker training? D. Will your staff have knowledge in risk assessment? E. Will your staff have completed the required State Home Based Intensive Family Services training component? Page 29 of 31 FYC PROPOSAL I. PROJECT DESCRIPTION Youth Passages has been an FYC provider for eight years. Throughout that time we have provided high quality intensive treatment to youths experiencing significant emotional, behavioral, psychiatric, educational, interpersonal, familial and chemical dependency problems. Treatment modalities that we specialize in include: milieu, individual, group, experiential, behavioral and family therapy. Our family therapy program is one of the strengths of our service delivery system. Youth Passages staff has consistently demonstrated the ability to develop positive relationships and facilitate growth with an unmotivated clientele. We feel this skill base will be an asset in working with the type of families referred for Home Based Intensive Family Therapy (IFT). The Youth Passages Home Based IFT program will consist of 2 to 6 hours of direct service per week per family. The therapist assigned to these cases is bilingual and experienced in the treatment of families with chemical dependency and domestic violence issues. The treatment will be based on a brief therapy solution oriented model with an average length of treatment of 8 to 10 weeks. Youth Passages Home Based IFT will serve children and adolescents under age 18 and their families. This program will serve new clients in our system as well as being utilized as a step down service for our partial hospitalization and intensive outpatient program clients. It should be noted that clients and their families can enter the Home Based Intensive Family Therapy program directly without having been a Youth Passages Day Treatment client. An individual treatment plan will be developed for each family to specify appropriate and attainable goals. Input from referring agencies will be utilized in the formulation of these plans. Youth Passages staff will communicate progress toward treatment goals via biweekly phone reports to WCDSS caseworkers and a written discharge summary at the end of treatment. A clinic based adjunctive therapy program, titled Multi Family Systems Group, held every Saturday at PsychCare from 10:00 A.M. to 1:00 P.M. is available to our home based clients. This program offers one hour of education and two hours of group therapy focusing on goal setting and family system interventions. Our treatment approach is based on an integrative model which incorporates effective family system interventions which are well known, commonly used and effective. The open enrollment multi family group brings the experience of several families together to assist in finding effective methods to handle family difficulties. Families who successfully complete the Intensive Family Therapy Program are invited to participate in North Colorado PsychCare's Family Continuing Care Group. This free of charge service is offered on Thursdays from 6:00 pm to 8:00 pm at the PsychCare/Family Recovery Center building. 1 \ \) o it () > on� ( go V 0 § } § \\ O § (ti / a \ a - - \\ .0 _ \\\ CA uto Cd 411 U - 111 c / ) ] / _o at et \ } i ( a / ( o {7,1 _ ; - . cam ' CO mo et 4.1 C .-• } | { < : ; = \ y/ ! � o ) $ , & ) ko E j ( )_ 5 ) / � T / ` - 0 j ) ) \ (/ k > \ � ) 0.- j ) § / ) \ § e0o 000 _ - ) & , 0 E ©I \ #/ j } QE &2 5 a.a z Cl \ 7 0 Da e La - / % _ Ges Cl) / _ , | / \ • ) ) \ \ } \ \ \ Cu » \ \ \ Er / § 2 - a ! « : ( - - \ § ) ® \ \ c ] Ct m \ ) - - \ § j • § { - : : ( - _ [ ] / % $ ) g - §_ B / ; } \ \ 2 \ \ - - w � E , ) >ctt,4.- 5T \ / % t a El 0 \ ( / cE- - 3 sE \ 20 o § ) o / \ 55 m • \ \ � \ { � �� \� \ \ \ 3 Cu w < a G a & & d a = w III. TYPE OF SERVICES TO BE PROVIDED A. Youth Passages Home Based IFT Program will include family therapy interventions which provide re-parenting, problem solving, communication skill building and parent-child conflict management. These interventions are available not only in the home to individual families but in our clinic based Multi Family Systems Group which is held every Saturday at PsychCare from 10:00 AM to 1:00 PM. Families that successfully complete the program are invited to participate in North Colorado PsychCare's Family Continuing Care Group. This free of charge service is offered on Thursdays from 6:00 P.M. to 8:00 P.M. at the PsychCare/Family Recovery Center building. B. Youth Passages Home Based IFT Program will provide concentrated assistance in the development and enhancement of parenting skills, stress reduction, problem solving, "hands-on" parenting, budget management and prosocial recreational activities. C. Youth Passages Home Based IFT Program will provide education and training which enables families to improve their ability to access services from other community agencies such as drug and alcohol, health care,job training, information and referral and client advocacy. D. Youth Passages Home Based IFT Program will include in-home counseling for referred clients. PsychCare/F'RC is staffed with licensed professionals 24 hours per, 365 days per year. These staff members will collect relevant case information and communicate it to the direct service provider as soon as possible. Quantitative Measures A. 100% of clients will receive family therapy services that include re-parenting, problem solving, communication skill building and parent-child conflict management. B. 100% of clients will receive therapy services that assist in the development and enhancement of parenting skills, stress reduction, problem solving, "hands-on" parenting, budget management and prosocial recreational activities. C. 100% of clients will receive collateral services which include teaching families to work with other community agencies. 3 D. 100% of clients will receive in-home family therapy services and clients will be able to call in to speak with a licensed professional 24 hours a day, 365 days a year. This professional will pass on the relevant information to the assigned therapist as soon as the therapist is available. North Colorado PsychCare/Family Recovery Center deals daily with patient funding issues which include mental health capitation, ADAD and private insurance. We will not utilize FYC funds when other payer sources are available. IV. MEASURABLE OUTCOMES A. 80% of children remain in the home at time the case is closed. This will be tracked by gathering relevant information at discharge. B. 80% of clients will demonstrate improvements in parental competency, parent/child conflict management and household management competency as measured by pre and post placement functional tests. This will be measured via an approved parenting skills inventory administered at admission and discharge. C. 75% of children who are currently in their own homes will remain at least 12 months after the completion of Home Based Intensive Family Intervention family preservation services. This will be measured via FYC follow-up questionnaire administered 12 months after discharge. D. 70% of children currently in long-term placement who are provided reunification Home Based Intensive Family Intervention services will return to their own home and not reenter out-of-home placement 12 months after completion of Home Based Intensive Family Intervention services. This will be measured via: 1) gathering relevant info at discharge; and 2) FYC follow-up family questionnaires administered 12 months after discharge. E. 75% of families who receive either family preservation or reunification services will not have a substantiated abuse or neglect case 12 months after completion of Home Based Intensive Family Intervention services. This will be measured via a follow-up phone call to the assigned WCDSS caseworker. 4 F. 75% of cases which receive either family preservation or reunification services by Home Based Intensive Family Intervention will measure "LOW" on the risk assessment devise at service closure. This will be measured by an approved questionnaire at the time of discharge. V. SERVICE OBJECTIVES A. 80% of our clients will demonstrate improved family conflict management which will lead to decreased child maltreatment, running away and other offenses. This will be measured via an approved parenting skills and family functioning inventory administered at admission and discharge. B. 80% of our clients will demonstrate improved parental competency as based on their capacity to maintain sound relationships with their children and provide care, nutrition, hygiene, discipline, protection, instructions and supervision. This will be measured via an approved parenting skills inventory administered at admission and discharge. C. 80% of the parents will demonstrate an improved capacity to provide a safe household environment for their children through competent household cleaning and maintenance, budgeting and purchasing. This will be measured via an approved parenting skills inventory administered at admission and discharge. D. 100% of our clients will have increased their knowledge of and ability to access other resources in the community and those offered by the local, state and federal governments. This will be measured via an approved parenting skills inventory administered at admission and discharge. VI. WORKLOAD STANDARDS A. The person providing this service for North Colorado PsychCare will be a fulltime bilingual therapist who will not work more than 12 hours per day, 40 hours per week, or 173 (on average) per month. One per diem Master's Level therapist will be available to assist in high census periods. 5 B. Youth Passages plans on treating no more than 15 families concurrently at its maximum capacity. This caseload will be handled by Master's Level therapist(s). C. Maximum caseload per therapist - 10 D. The treatment modality is a systems based approach to family therapy. The treatment philosophy is brief therapy with solution oriented interventions. Anticipated duration of treatment is 8 to 10 weeks. E. Total Number of Hours of Service - 2 hours per day of home based family therapy (on days clients are seen) 3 hours per day of clinic based multi family therapy 4- 6 hours per week of family therapy 16—24 hours per month of family therapy F. Total number of individuals providing these services- Home based 1 fulltime bilingual therapist 1 per diem therapist for high census Clinic based multi family group 2 fulltime therapists 1 per diem therapist for high census G. Maximum caseload per supervisor- 15 H. Insurance - See attached certificate of insurance VII. STAFF QUALIFICATIONS A. The Behavioral Health Therapist(s) providing services will have a minimum of a Master's Degree in psychology, counseling, social work or a related field and work experience treating children, adolescents and families. B. Two staff members will be available for the direct service phase of this project with one additional staff member providing supervision. Additional direct service staff is available on a per diem basis if census dictates. C. Youth Passages staff members will participate in mandated orientation and training as required by NCMC. Our providers are not employees of DSS 6 and should not require the 12 days of training mandated for new caseworkers. We are open to discussing orientation and short term training for our therapists in order for them to become more familiar with DSS rules and regulations. D. The therapists providing services to this program will be fully trained to cover all aspects of the Behavioral Health Therapist II position at North Colorado Medical Center. This includes providing assessment coverage at the Emergency Department as well as providing care to involuntary patients on our locked psychiatric unit. A significant portion of the training for this position includes risk assessment, involuntary treatment and legal reporting requirements. E. Our staff members are not employees of the State of Colorado and should not be subject to state training requirements. As previously mentioned, our therapists possess a minimum of a Master's Degree in psychology, counseling, social work or related field. They also possess direct service experience providing family therapy to at risk children and adolescents. We are open to discussing an orientation period for our therapists to become more familiar with the requirements and requests of DSS. 7 Computation of Direct Service Rate IFT Option B-Home Based Total hours of Direct Service/Client 40!A Total Clients to be served 60!B Total Hours of Direct Service j For year line A X'x B I 2400 IC Cost/hour of Direct Service $ 40.37 !D --Total Direct Service Costs I • C X's D [ $ 96,888.00 'E Administratiev Costs $ 43,600.00 IF Overhead Costs $ 45,992.00 j G Total Costs direct/allocated _ E+F+G I $ 186,480.00 1 H Anticipated Profits $ 10,320.00 II -- Total Costs/Profits -— r H+I $ 196,800.00 IJ Total Hours of Direct Service for Year ._. � —- must equal C 2400 K Rate per Hour of direct face to face service 3 82.00 L Computation of Direct Service Rate Multi Family Systems Group Total Hourss of Direct Service/Client _ 40 A _ Total Clients to be served 60 B Total Hours of Direct Service For year line A X'x B 2400 C Cost/Hour of Direct Service $26.00 D Total Direct Service Costs C X's D r $62,400.00 E Administratiev Costs $43,596.00 F Overhead Costs I $80,964.00 G Total Costs direct/allocated E + F+G $186,960.00 H Anticipated Profits $9,840.00 I Total Costs/Profits H + I $196,800.00 J Total Hours of Direct Service for Year must equal C 2400 K Rate per Hour of direct face to face service $82.00 L oilked 01/41 North Colorado Medical Center Banner Health Colorado March 14, 2002 TO WHOM IT MAY CONCERN: RE: BANNER HEALTH SYSTEM This is to advise that Banner Health System, along with its subsidiary operations, are self-insured through the BHS Self-Insured Liability Trust. The coverage is continuous. This coverage extends to all corporate entities as well as any employee working within the scope of their employment. The limits provided by the BHS Self-Insured Liability Trust are at least $2,000,000 per occurrence/$15,000,000 in the aggregate. Excess liability coverage is provided through the Samaritan Insurance Funding, Ltd.. If additional information is necessary, please contact Philip Holt, System Director Risk Financing, Risk Management at Banner Health System, 1441 North 12th Street, Phoenix, AZ 85006, telephone 602-495-4000. Sincerely, r),4 /doer/ ire,rn u , cc'-r AA...,,,vlcMC Philip B. Holt System Director Risk Financing, Risk Management 1801 16th St. • Greeley,CO 80631 • 970-352-4121 • Fax 970-350-6644 • ncmcgreeley.com EXHIBIT B SUPPLEMENTAL NARRATIVE TO RFP RECOMMENDATIONS • ristici . I� North Colorado Medical Center Banner Health Colorado April 22, 2002 Ms. Gloria Romansik via Certified Mail Weld County Dept. of Social Services PO Box A S Greeley, CO 80632 -n Dear Ms. Romansik: Thank you for your letter of April 8th and the acknowledgement of our success as a vendoittor PY 2002-2003 RFP Bid process. We do accept the FYC Commission recommendations aj will work with the Commission to report outcomes specific to each of the below programs: 1. RFP 02008, Intensive Family Therapy 2. RFP02010, Option B 3. RFP 02006, Day Treatment I apologize for the delay in responding to your request. Unfortunately I did just receive your letter today. Please contact Pam Johnson or Dave Rastatter at North Colorado PsychCare/FRC (352-1056)if they may be of any further assistance. Sincerely, John Miller Assistant Administrator cc: Elaine Furister, Weld County Dept. of Social Services Pam Johnson, Director,PsychCare/FRC Dave Rastatter, Coordinator, Youth Passages,PsychCare/FRC Banner Health System, Colorado Region, Contract Office 1801 16th Sc • Greeley,CO 80631 • 970-352-4121 • Fax 970-350-6644 • ncmcgreeleycom COPY DEPARTMENT OF SOCIAL SERVICES PO BOX A GREELEY,CO 80632 ' WEBSITE:www.co.weld.co.us Administration and Public Assistance(970)352-1551 Chad Support(970)352-6933 COLORADO Apri18,2002 Jon Sewell, Chief Executive Officer North Colorado Medical Center. 1801 16'h Street Greeley, CO 80631 • Re: RFP 02008, Intensive Family Therapy RFP 02010, Option B RFP 02006,Day Treatment Dear Mr. Sewell: The purpose of this letter is to outline the results of the RFP Bid process for PY 2002- 2003 and to request written confirmation from you by Wednesday, April 17,2002. A. Results of the RFP Bid Process for PY 2002-2003 Through the 2002-2003 Core Services bid evaluation process,the Families, Youth and Children(FYC) Commission approved the RFP(s) listed above for inclusion on our vendor list. The FYC Commission attached the following recommendations)regarding your RFP bid(s). The FYC Commission approved the following recommendation for all programs on the vendor list for 2002-2003. The recommendation reads as follows: Recommendation: Providers will report outcomes speck to their programs. 1. RFP 02008.Intensive Family Therapy: Approved with the above recommendation: 2. RFP 02010, Option B: Approved with the above recommendation: 3. RFP 02006;Day Treatment Approved with the above recommendation: Page 2 North Colorado Medical Center-PsychCare-Youth Passages Results of RFP Process for PY 2002-2003 B. Required Response by RFP Bidders Concerning FYC Commission Recommendations The Weld County Department of Social Services is requesting your written response to the FYC Commission's recommendations and conditions. Please respond in writing to Gloria Romansik,Weld County Department of Social Services,P.O. Box A, Greeley, CO, 80632,by Wednesday, April 17,2002,close of business as follows: FYC Commission Recommendations: You are requested to review the recommendation(s) and to: a. accept the recommendation(s) as written by the FYC Commission; or b. request alternatives to the FYC Commission's recommendation(s); or c. not accept the recommendation(s)of the FYC Commission. Please provide in writing how you will incorporate recommendation(s)in your bid. If you do not accept the recommendation(s), please provide reasons why. All approved recommendations under the NOFAA will be monitored and evaluated by the FYC Commission. If you wish to arrange a meeting to discuss the above conditions and/or recommendations,please do so though Elaine Furister, 352.1551, extension 6295, and one will be arranged prior to April 17,2002. Sincerely, Judy A. Griego, Director Weld County Department of Social Services of cc: Dick Palmisano, Chair,FYC Commission Gloria Romansik, Social Services Administrator Weld County Department of Social Services Notification of Financial Assistance Award for Families,Youth and Children Commission(Core) Funds Type of Action Contract Award No. X Initial Award FY02-CORE-0003 Revision (RFP-FYC-02008) Contract Award Period Name and Address of Contractor Beginning 06/01/2002 and North Colorado Medical Center-Youth Passages Ending 05/31/2003 Intensive Family Therapy 1801 16th Street Greeley, CO 80631 Computation of Awards Description The issuance of the Notification of Financial Assistance Unit of Service Award is based upon your Request for Proposal (RFP). Improve both individual and family functioning The RFP specifies the scope of services and conditions through in-home and in-office services. A of award. Except where it is in conflict with this maximum of 96 clients under the age of 18 for 2- NOFAA in which case the NOFAA governs, the RFP 6 hours of brief solution-based therapy per week upon which this award is based is an integral part of the per family for 8-10 weeks. Bicultural-bilingual action. services to 48 individuals. Monthly maximum Special conditions capacity is 8. Services to South Weld County families is estimated at 24 individuals. 1) Reimbursement for the Unit of Services will be based on an hourly rate per child or per family. Cost Per Unit of Service 2) The hourly rate will be paid for only direct face to face contact with the child and/or family, as evidenced by Hourly Rate Per $82.00 client-signed verification form,as specified in the unit of Multiple Contact Rate $1,800.00 costs computation. Network Intervention Rate $1,800.00 3) Unit of service costs cannot exceed the hourly and yearly Unit of Service Based on Approved Plan cost per child and/or family. 4) Payment will only be remitted on cases open with, and referrals made by the Weld County Department of Social Enclosures: Services. X Signed RFP:Exhibit A 5) Requests for payment must be an original submitted to X Supplemental Narrative to RFP: Exhibit B the Weld County Department of Social Services by the X Recommendation(s) end of the 25th calendar day following the end of the Conditions of Approval month of service.The provider must submit requests for payment on forms approved by Weld County Department of Social Services. Approvals: Program Official: By !b�[Lcl6�(s By Glenn Vaad, Chair Judy Grie Directo Board of Weld County Commissioners Weld ounty epartment of Social Services Date: 05/01.,;4206a, Date: L .20602-1319 J - EXHIBIT A SIGNED RFP RFP-FYC-02008 Attached A INTENSIVE FAMILY THERAPY PROGRAM BID PROPOSAL FAMILY PRESERVATION PROGRAM 2002-2003 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2002-2003 BID #RFP-FYC-02008 NAME OF AGENCY: North Colorado Medical Center ADDRESS: 1801 16th Street, Greeley, CO 80631 PHONE: { 97(1352-1056 CONTACT PERSON: Pam Johnson TITLE: Req.Dir.Behavioral Health DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Intensive Family Therapy Program must rovide for thera eutic intervention throw h one or m re ualified famil thera ists icall with all famil members to drove family communication, functioning, and relationships. 12-Month approximate Project Dates: — 12-month contract with actual time lines of: Start June 1, 2002 Start June 1 , 2002 End May 31,2003 End May 31 , 2003 TITLE OF PROJECT: Youth Passages Pam Johnson 73Lrn. ,V,qd cYr'v-- 3%% 2/7- Name and Signature of Person Preparing Do ment Date Jon Sewell ---1----..--)-e---,--- MMct Jr zooz Name and Signature Chief Administrative Officer Applicant Agency Date MANDATORY PROPOSAL REOUIREMENTS For both new bids and renewal bids, please initial to indicate that the following required sections are included in this Proposal for Bid.For renewal bids,please indicate which of the required sections have not changed from Program Fund Year 2001-2002 to Program Fund Year 2002-2003. Indicate No Change from FY 2001-2002 to 2002-2003 19 Project Description X PITarget/Eligibility Populations x Types of services Provided Measurable Outcomes X 7 Service Objectives X Workload Standards x Staff Qualifications IC Unit of Service Rate Computation x Program Capacity per Month x Certificate of Insurance Page 25 of 31 • RFP-FYC-02008 Attached A Date of Meeting(s) with Social Services Division Supervisor: Comments by SSD Supervisor: Le- p/l ±A i 1 J-- n '- 0-1 I e �n ' 2 A '(fit Q�'P Q tLD , Ii f y4tEf_, 14211 ,e( • 0, 1)O2 --99( q)c)) 0 LILO ALtti M-Zq Name and Signature of S D Supervisor Date Page 26 of 31 RFP-FYC-02008 Attached A Program Category Intensive Family Therapy Program Bid Category Project Title Youth Passages Vendor North Colorado Medical Center PROJECT DESCRIPTION Please provide a one page brief description of the project. II. TARGET/ELIGIBILITY POPULATIONS Please provide a one page brief description of the proposed target/eligibility populations. At a minimum your description must address: A. Total number of clients to be served. B. Total individual clients and the children's ages. C. Total family units. D. Sub-total of individuals who will receive biculturalfbilingual services. E. Sub-total of individuals who will receive services in South Weld County. F. Sub-total of individuals who will have access to 24 hour services. G. The monthly maximum program capacity. H. The monthly average capacity. I. Average stay in the program (weeks). J. Average hours per week in the program. III. TYPE OF SERVICES TO BE PROVIDED Please provide a two page description of the types of services to be provided. Please address if your project will provide the service minimums as follows: A. Comprehensive, diagnostic and treatment planning with the family and other service providers. B. Therapeutic intervention with flexibility to bring in other services, if needed. C. Co-facilitated therapeutic services provided by one or more qualified family therapists. D. Therapy that is designed to resolve conflicts and disagreement within the family, contributing to child maltreatment, running away, and to the behavior constituting status offenses. Also, provide your quantitative measures as they directly relate to each service. At a minimum, include a number to be served in each service component. Describe your internal process to assure that PAC resources will not supplant existing and available services in the community; e.g. mental health capitation services, ADAD and professional services otherwise funded. IV. MEASURABLE OUTCOMES Please provide a two page description of your expected measurable outcomes of the project. Please address the measurable outcomes for each area as described below: Page 27 of 31 RFP-FYC-02008 Attached A A. Children receiving services do not go into placement. B. Families remain intact. C. Reunification of children with families. D. Improvements in parental competency, parent/child conflict management as determined or measured by pre and post placement functional tests. E. More cost efficient services through the Intensive Family Therapy Program than the placement of the child. F. Therapeutic outcomes include fundamental changes in the family functioning and dynamics. Describe your quantitative measures: Also, describe the methods you will use to measure, evaluate, and monitor each quantitative measure. V. SERVICE OBJECTIVES Please provide a one page description of your expected service objectives and quantitative measures. Please address, at a minimum, the following ways the project will: A. Improve Family Conflict Management - Mediation and counseling designed to resolve conflicts and disagreement within the family contributing to child maltreatment, running away and other offenses. B. Improve Parental Competency - capacity of parents to maintain sound relationships with their children and provide care, nutrition, hygiene, discipline, protection, instructions, and supervision. C. Improve Ability to Access Resources - services shall assist parents to work with other sources in the community and within the local, state, and federal governments. Describe the methods you will use to measure, evaluate, and monitor each service objective. VI. WORKLOAD STANDARDS Please provide a one page description of the project's work load standards and quantitative measures. Please address, at a minimum, the following areas: A. Number of hours per day, week or month. B. Number of individuals providing the services. C. Maximum caseload per worker. (Generally 12 families per worker. Eight to 10 families per worker if the worker provides case management services to the families on the caseload.) D. Modality of treatment E. Total number of hours per day/week/month (Minimum average of two hours of service per family per week. F. Total number of individuals providing these services. G. The maximum caseload per supervisor. (Minimum of 6 workers per supervisor.) H. Insurance. Page 28 of 31 RFP-FYC-02008 Attached A VII. STAFF QUALIFICATIONS Please provide a one page description of staff qualifications and address, at a minimum, the following: A. Will your staff, including supervisors, who are providing direct services have the minimum qualifications in education and experience as defined in Staff Manual Volume VII, Section 7.303.17, and Section 7.000.6,Q, Colorado Department of Human Services. Describe. B. Total number of staff, including supervisors, available for the project. C. Will staff have expertise in family therapy as demonstrated by specialized training, workshops and experience. D. Will staff have a minimum of eight hours per year of continuing education; i.e. courses, workshops, and/or review of literature to be documented by county. E. Will staff have a minimum of one hour per week of clinical supervision provided by someone with advanced skills in Intensive Family Therapy. F. Will the clinical supervisor(s) be involved in regular training to keep current in state-of-the-art counseling modalities and findings. Page 29 of 31 FYC PROPOSAL I. PROJECT DESCRIPTION Youth Passages has been an FYC provider for eight years. Throughout that time we have provided high quality intensive treatment to youths experiencing significant emotional, behavioral, psychiatric, educational, interpersonal, familial and chemical dependency problems. Treatment modalities that we specialize in include: milieu, individual, group, experiential, behavioral and family therapy. Our family therapy program is one of the strengths of our service delivery system. Youth Passages staff has consistently demonstrated the ability to develop positive relationships and facilitate growth with an unmotivated clientele. We feel this skill base will be an asset in working with the type of families referred for Intensive Family Therapy OFT). Youth Passages will offer four alternatives for family intervention. The Youth Passages IFT program for single families will consist of 2 to 4 hours of direct service per week per family. The therapist assigned to these cases is bilingual and experienced in the treatment of families with chemical dependency and domestic violence issues. The treatment will be based on a brief therapy solution oriented model with an average length of treatment of 8 to 10 weeks. In home family therapy visits will be considered on a case by case basis. The Youth Passages Network Intervention Program (based on the work of Specht & Attaneave) will offer an opportunity for a child's extended circle of support to meet and determine what changes need to be made in a child's world so prosocial growth is accomplished. These day long sessions will be facilitated by Georgia Rigg, L.C.S.W. who will utilize multiple group and family intervention strategies to identify: 1) what specific behavior changes must be made by the child and/or family members; and 2) what the people in the support system must do to support agreed upon changes. The Youth Passages Multiple Impact Family Therapy program will simultaneously treat 3 to 5 families over a period of 2 whole day sessions. Each family, consisting of parents/guardians and children, will present relevant treatment issues. Georgia Rigg, L.C.S.W., will then divide participants into various rotating and intermingling groups (e.g. children, parents, men, women, nuclear families) to help facilitate each individual person and family group in developing a cohesive and realistic plan for productive change. The Youth Passages Multi Family Systems Group, held every Saturday at PsychCare from 10:00 A.M. to 1:00 P.M. offers one hour of education and two hours of group therapy focusing on goal setting and family system interventions. Our treatment approach is based on an integrative model which incorporates 1 effective family system interventions which are well known, commonly used and effective. The open enrollment multi family group brings the experience of several families together to assist in finding effective methods to handle family difficulties. This service can be utilized on its own or as an adjunctive intervention to our clinic based intensive family therapy program. Youth Passages lFI' will serve clients under age 18 and their families. This program will serve new clients in our system as well as being used as step down services for our partial hospitalization and intensive outpatient program clients. It should be noted that clients and their families can enter the Intensive Family Therapy program directly without having been a Youth Passages Day Treatment client. An individual treatment plan will be developed for each family to specify appropriate and attainable goals. Input from referring agencies will be utilized in the formulation of these plans. Youth Passages staff will communicate progress toward treatment goals via biweekly phone reports to WCDSS caseworkers and a written discharge summary at the end of treatment. Families who successfully complete the Intensive Family Therapy Program are invited to participate in North Colorado PsychCare's Family Continuing Care Group. This free of charge service is offered on Thursdays from 6:00 pm to 8:00 pm at the PsychCare/Family Recovery Center building. 2 N U C u rj c c U j U W ta.E N "CJ' 0 0 Ca E u on..c u 'd E M u ° o m w v mce . o T > E > v o O O N 0 E a w c. a 0 o _ a y u d 3 0 � t ° d v u c O co z 3 N til s C 4 E o u 01 L E 7 o c C C 3 0 > o a.) to V N O Na) C .0 C w u N m .0 0 O 0 `0 O 0. ° d o. 49 0. E r > c 0 ca 01 TJ j .U+ O U C i4 O ON ^ � w C N = 8 N "' 0 ..+ y 23 c = 3 N CO A a o L. N U L N' ce N T 0 30 ,_ '0 3 .o 0 o az . °P. c E v iro E o E c P? = w E E v CO °; E aa)i U ' y a 0 w U 0 L ... s 3 v nr � U U N T F 0 U N O.•C U N N Q� d CO cil N U U N y L m• !_ y' o c ro m .>. Aso � F :' O N G E 0 t 0 L 0. 0 0. °03) = a, OW ‘-.3 d V O rn v 00 . ,a 3 c u T r V u a $ 'o o O N ^' ?' ti c a.. W 0 >• o. > a3 ) a. 8. S 0 z rn 0 o c E co .. 00 n` 0 v 00 s CO E CO c o0 „60, y X 0 2 E B 0 u dct c .0 °� ti ea coco Z 3 •> o u w c el cel al F r o ce 5 _ = co u 3 0 o a " w 3 Ca 0 co o O �' E s w°.o cn 3 3 0 n. .`''0 o .c w a O N 3 d o N Hal N 3 0, �e O. rFi e�e L O. J q coL C T o E m a 3 L C O • O N N Wr. I..7 W O E 9 T yN-' O y 6 V > L' >, u 0 F W ri. E -1 v E 0a i° — :o 3 Q N o c 0 o0 CO F C ° .5 „9 d g o'0 ° o o E 0 > CO W F. E a m ❑ a � r u E 0 AV F c m o 0 E a up vO� F s o Eo H a t:4 Z aI a .I 81 a NI �I N =I 001 oo� NI Z d 4 P7 6 d CU W d d .. .-; III. TYPE OF SERVICES TO BE PROVIDED A. Comprehensive diagnostic and treatment planning services will be delivered using a modified case conference format. For the IFT program, the initial therapy session will be comprised of filling out a psychsocial evaluation detailing the client's presenting problem and history. WCDSS and other involved parties will be invited to attend this initial meeting. If this is not feasible, collateral information will be gathered via phone conferencing and written records release. Biweekly phone calls to WCDSS caseworkers will ensure accurate and timely communication of information between involved parties. The Network Intervention, Multiple Impact Family Therapy and Multi Family Systems programs will utilize face to face meetings with caseworkers, phone calls and review of case records to determine client history, presenting problem and goals for the treatment intervention. B. Youth Passages staff is committed to providing total care to all people in our system. Referring agencies and other treating professionals have always been welcome to see current clients in our setting or their office and this practice will continue. Case conferences are an ideal tool to bring together all interested parties to plan and coordinate treatment and assign tasks to specific individuals. c. Our WI' therapeutic services will be facilitated by a minimum of one Master's level therapist specializing in child, adolescent and family therapy. Youth Passages staff is open to co-facilitating sessions with other accredited community providers. The Network Intervention, Multiple Impact Family Therapy and Multi Family Systems programs will be facilitated by a minimum of two Master's level family therapists. D. Our brief therapy solution oriented treatment approach will be focused, concrete and goal directed. As dictated by the RFP-FYC-02008 our focus will be on resolving conflict and disagreement within the family that contributes to child maltreatment, running away and behavior constituting status offenses. Treatment plans outlining the specific goals and the process of obtaining these goals will be completed on a case by case basis. General issues which may be dealt with include communication skills, conflict resolution, anger management, parenting, behavior plans, substance abuse issues and stress management. Quantitative Measures A. 100% of clients will receive comprehensive diagnostic and treatment planning services with the family and other service providers. B. 100% of clients will receive comprehensive therapeutic intervention with the flexibility to bring in other services, if needed. 4 c. 100% of clients will receive therapeutic services provided by a minimum of one Master's Level therapist specializing in child, adolescent and family therapy. D. 100% of clients will receive therapy that is designed to resolve conflicts and disagreements within the family which contributes to child maltreatment, running away and behavior constituting status offenses. There is no overlap of this service which is subsidized by other relevant funding sources. IV. MEASURABLE OUTCOMES A. 75% children receiving services will not go into placement. This will be measured via: 1) gathering relevant info at discharge; and 2) FYC follow-up family questionnaires administered 6 months after discharge. B. 75% families remain intact. This will be measured via: 1) gathering relevant info at discharge; and 2) FYC follow-up family questionnaires administered 6 months after discharge. c. 70% children placed out of home will be reunified with their families. This will be measured via: 1) gathering relevant info at discharge; and 2) FYC follow-up family questionnaires administered 6 months after discharge. D. 80% clients will demonstrate improvements in parental competency and parent/child conflict management as determined by pre and post placement functional tests. This will be measured via an approved parenting skills inventory administered at admission and discharge. E. Our service rate is such that it will be more cost efficient to receive EFT services than to place a child out of the home. Utilizing a goal oriented brief therapy approach targeting a treatment length of 8 to 10 weeks for 1FF and Multi Family Systems Group, 1 day for the Network Intervention program and 2 days for the Multiple Impact Family Therapy program will ensure cost containment. 5 F. 75% clients will experience therapeutic outcomes including fundamental changes in the family functioning and dynamics. This will be measured via an approved parenting skills and family functioning inventory administered at admission and discharge. V. SERVICE OBJECTIVES A. 75% of our clients will demonstrate improved family conflict management which will lead to decreased child maltreatment, running away and other offenses. This will be measured via an approved parenting skills and family functioning inventory administered at admission and discharge. B. 75% of our clients will demonstrate improved parental competency as based on their capacity to maintain sound relationships with their children and provide care, nutrition, hygiene, discipline, protection, instructions and supervision. This will be measured via an approved parenting skills inventory administered at admission and discharge. c. 100% of our clients will have increased their knowledge of and ability to access other resources in the community and those offered by the local, state and federal governments. This will be measured via an approved parenting skills inventory administered at admission and discharge. VI. WORKLOAD STANDARDS A. The person providing this service for North Colorado PsychCare will be a fulltime bilingual therapist who will not work more than 12 hours per day, 40 hours per week and 173 (on average) per month. One per diem Master's Level therapist will be available to assist in high census periods. B. Youth Passages plans on treating no more than 15 families concurrently at its maximum capacity. This caseload will be handled by Master's Level therapist(s). c. Maximum caseload per therapist - 10 D. The treatment modality is a systems based approach to family therapy. The treatment philosophy is brief therapy with solution oriented interventions. 6 Anticipated duration of treatment is 8 to 10 weeks for IFT and Multi Family Systems Group, 1 day for the Network Intervention Program, and 2 days for the Multiple Impact Family Therapy Program. E. Total Number of Hours of Service - IFT 2 hours per day of family therapy (on days clients are seen) 4 hours per week of family therapy 16 hours per month of family therapy Network Intervention 1 eight hour treatment day per case Multiple Impact Family Therapy 2 eight hour treatment days for each family Multi Family Systems Group 3 hours per day of family therapy (on days clients are seen) 3 hours per week of family therapy 12 hours per month of family therapy F. Total number of individuals providing these services- IFT - 1 fulltime bilingual therapist 1 per diem therapist for high census Network Intervention, Multi Family Systems Group and Multiple Impact Family Therapy Minimum of two Master's Level Therapists G. Maximum caseload per supervisor— 15 H. Insurance - See attached certificate of insurance VII. STAFF QUALIFICATIONS A. The Behavioral Health Therapist II providing services will have a minimum of a Master's Degree in psychology, counseling, social work or a related field and work experience treating children, adolescents and families. B. Two staff members will be available for each direct service phase of this project with one additional staff member providing supervision. Additional direct service staff is available on a per diem basis if census dictates. 7 c. All staff members who work at Youth Passages have expertise in working with families. Ongoing training at workshops and seminars is a job expectation. D. North Colorado PsychCare tracks the total number of hours of continuing education in the employee personnel record. The person who fills the role of Intensive Family Therapist will be expected to attend a minimum of 8 hours of training and provide documentation of this for their personnel file. E. The Intensive Family Therapists at Youth Passages will receive one hour of supervision per week from a skilled and experienced family therapist. F. The clinical supervisor for this program will be involved in regular training to keep current in state-of-the-art counseling modalities and training. As previously mentioned, this is an expectation of every employee at North Colorado PsychCare. 8 Computation of Direct Service Rate intensive Family Treatment _ Total Hourss of Direct Service/Client 40 A Total Clients to be served I 60 B _ Total Hours of Direct Service -- For year line A X'x B I 2400 C Cost/Hour of Direct Service $ 26.00 D Total Direct Service Costs — C X's D I $ 62,400.00 E Administratiev Costs S 43,596.00 F Overhead Costs S 80,964.00 G Total Costs direct/allocated E+F+G I $ 186,960.00 H Anticipated Profits S 9,840.00 I Total Costs/Profits H+I I $ 196,800.00 J _ Total Hours of Direct Service for Year must equal C I 2400 K Rate per Hour of direct face to face service $ 82.00 L Computation of Direct Service Rate /Network Intervention Total Days of Direct Service/Client 1 A Total Clients to be served I 12 B Total Days of Direct Service For year line A X':B 12 C Cost/Day of Direct Service $ 640.00 D Total Direct Service Costs C X's D $ 7,680.00 E Administratiev Costs $ 5,376.00 F Overhead Costs $ 6,144.00 G Total Costs direct/allocated E+F+G $ 19,200.00 H Anticipated Profits $ 2,400.00 I Total Costs/Profits H+I $ 21,600.00 J Total Days of Direct Service for Year must equal C I 12 K Rate per Day of direct face to face service $ 1,800.00 L Computation of Direct Service Rate Multi Family Systems Group Total Hourss of Direct Service/Client 40 A Total Clients to be served 60 B Total Hours of Direct Service For year line A X'x B 2400 C Cost/Hour of Direct Service $26.00 D Total Direct Service Costs C X's D $62,400.00 E Administratiev Costs $43,596.00 F Overhead Costs $80,964.00 G Total Costs direct/allocated E + F+ G $186,960.00 H Anticipated Profits $9,840.00 I Total Costs/Profits H + I $196,800.00 J Total Hours of Direct Service for Year must equal C j 2400 K Rate per Hour of direct face to face service $82.00 L Computation of Direct Service Rate/Multiple Impact Total Days of Direct Service/Cllent-Unit 2 A Total Client-Units to be served 12 B Total Days of Direct Service For year line A X'x B 24 C Cost/Day of Direct Service $ 600.00 D Total Direct Service Costs _ C X's D $ 14,400.00 E Administratiev Costs S 10,800.00 !F Overhead Costs $ 10,800.00 'G Total Costs direct/allocated E+F+G S 36,000.00 H Anticipated Profits S 7,200.00 I Total Costs/Profits H+I $ 43,200.00 3 Total Days of Direct Service for Year must equal C _ 24 K Rate per Day of direct face to face service S 1,800.00 L Note: Client-Unit equals 4 families f North Colorado Medical Center Banner Health Colorado March 14, 2002 TO WHOM IT MAY CONCERN: RE: BANNER HEALTH SYSTEM This is to advise that Banner Health System, along with its subsidiary operations, are self-insured through the BHS Self-Insured Liability Trust. The coverage is continuous. This coverage extends to all corporate entities as well as any employee working within the scope of their employment. The limits provided by the BHS Self-Insured Liability Trust are at least $2,000,000 per occurrence/$15,000,000 in the aggregate. Excess liability coverage is provided through the Samaritan Insurance Funding, Ltd.. If additional information is necessary, please contact Philip Holt, System Director Risk Financing, Risk Management at Banner Health System, 1441 North 12h Street, Phoenix, AZ 85006, telephone 602-495-4000. Sincerely, "it iJ tr/(t�/7r2 Ys-.cl^ "y/1/2sis AL.. NcMc Philip B. Holt System Director Risk Financing, Risk Management 1801 16th St. • Greeley,CO 80631 • 970-352-4121 • Fax 970-350-6644 • ncmcgreeleycom sm EXHIBIT B SUPPLEMENTAL NARRATIVE TO RFP RECOMMENDATIONS M1 14� North Colorado Medical Center Banner Health Colorado April 22, 2002 Ms. Gloria Romansik via Certified Mail Weld County Dept. of Social Services PO Box A ti Greeley, CO 80632 O Dear Ms. Romansik: Thank you for your letter of April 8th and the acknowledgement of our success as a vendotTor PY 2002-2003 RFP Bid process. We do accept the FYC Commission recommendations a 51 will work with the Commission to report outcomes specific to each of the below programs: 1. RFP 02008, Intensive Family Therapy 2. RFP02010, Option B 3. RFP 02006, Day Treatment I apologize for the delay in responding to your request. Unfortunately I did just receive your letter today. Please contact Pam Johnson or Dave Rastatter at North Colorado PsychCare/FRC (352-1056)if they may be of any further assistance. Sincerely, fr_yvto John Miller Assistant Administrator cc: Elaine Furister,Weld County Dept. of Social Services Pam Johnson,Director, PsychCare/FRC Dave Rastatter, Coordinator,Youth Passages, PsychCare/FRC Banner Health System, Colorado Region, Contract Office 1801 16th St. • Greeley,CO 80631 • 970-3524121 • Fax 970-350-6644 • ncmcgreeley.com DEPARTMENT OF SOCIAL SERVICES 4 t‘r!$ !:../ r py PO BOX A GREELEY,CO 80632 1 WEBSITE:mviv.co.weld.co.us Administration and Public Assistance(970)352-1551 Chit Support(970)352.6933• COLORADO • April 8,2002 Jon Sewell, Chief Executive Officer North Colorado Medical Center. 1801 16th Street Greeley, CO 80631 • Re: RFP 02008,Intensive Family Therapy RFP 02010, Option B RFP 02006,Day Treatment . Dear Mr. Sewell: The purpose of this letter is to outline the results of the RFP Bid process for PY 2002- 2003 and to request written confirmation from you by Wednesday, April 17,2002. A. Results of the RFP Bid Process for PY 2002-2003 Through the 2002-2003 Core Services bid evaluation process,the Families, Youth and Children(FYC) Commission approved the RFP(s)listed above for inclusion on our vendor list. The FYC Commission attached the following recommendation(s)regarding your RFP bid(s). The FYC Commission approved the following recommendation for all programs on the vendor list for 2002-2003. The recommendation reads as follows: Recommendation:Providers will report outcomes specific to their programs. 1. RFP 02008.Intensive Family Therapy: Approved with the above recommendation: 2. RFP 02010. Option B: Approved with the above recommendation: 3. RFP 02006;Day Treatment Approved with the above recommendation: Page 2 North Colorado Medical Center-PsychCare-Youth Passages Results of RFP Process for PY 2002-2003 B. Required Response by RFP Bidders Concerning FYC Commission Recommendations The Weld County Department of Social Services is requesting your written response to the FYC Commission's recommendations and conditions. Please respond in writing to Gloria Romansik,Weld County Department of Social Services,P.O. Box A, Greeley, CO, 80632,by Wednesday, April 17, 2002, close of business as follows: FYC Commission Recommendations: You are requested to review the recommendation(s)and to: a. accept the recommendation(s) as written by the FYC Commission; or b. request alternatives to the FYC Commission's recommendation(s); or c. not accept the recommendation(s)of the FYC Commission. Please provide in writing how you will incorporate recommendation(s) in your bid. If you do not accept the recommendation(s), please provide reasons why. All approved recommendations under the NOFAA will be monitored and evaluated by the FYC Commission. If you wish to arrange a meeting to discuss the above conditions and/or recommendations,please do so though Elaine Furister, 352.1551, extension 6295, and one will be arranged prior to April 17,2002. Sincerely, Judy A Griego,Director Weld County Department of Social Services of cc: Dick Palmisano, Chair,FYC Commission Gloria Romansik, Social Services Administrator Weld County Department of Social Services Notification of Financial Assistance Award for Families,Youth and Children Commission (Core) Funds Type of Action Contract Award No. X Initial Award FY02-PAC-20000 Revision (RFP-FYC-02006) Contract Award Period Name and Address of Contractor Beginning 06/01/2002 and North Colorado Medical Center-Youth Passages Ending 05/31/2003 Day Treatment Program 1801 16th Street Greeley, CO 80631 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Assistance Adolescent Partial Hospitalization is a program Award is based upon your Request for Proposal(RFP). designed to address the multifaceted needs of The RFP specifies the scope of services and conditions adolescents experiencing significant emotional, of award. Except where it is in conflict with this behavioral, educational, interpersonal, familial NOFAA in which case the NOFAA governs, the RFP problems, and adolescents suffering from a wide upon which this award is based is an integral part of the range of psychiatric disorders and chemical action. dependency.60 adolescents(10-18 years)per year, and/or (range of 5-18 years) 12 monthly average Special conditions capacity, 40 hours per week, for 6-10 weeks. Average hours in intensive outpatient program is 1) Reimbursement for the Unit of Services will be based on 12. Bilingual therapist is available for family a monthly rate per child or per family. sessions.Provision for South County transportation 2) The monthly rate will be paid for only direct face to face for 4 youth has been provided through Weld contact with the child and/or family, as specified in the BOCES during the past year. unit of costs computation. 3) Unit of service costs cannot exceed the hourly and yearly Cost Per Unit of Service cost per child and/or family. 4) Payment will only be remitted on cases open with, and Hourly Rate Per Unit of Service $ 19.00 referrals made by the Weld County Department of Social Monthly Rate $3,040.00 Services. Based on Approved Plan(Day-Treatment) 5) Requests for payment must be an original submitted to the Weld County Department of Social Services by the Enclosures: end of the 25th calendar day following the end of the X Signed RFP:Exhibit A month of service.The provider must submit requests for Supplemental Narrative to RFP: Exhibit B payment on forms approved by Weld County X Recommendation(s) Department of Social Services. Conditions of Approval Approval • Progra Official / BY ByS ( Glenn Vaad, Chair Ju . G 'eg , Directo Board of Weld County Commissioners We oun epartment of Social Services Date: Q5/z/200& Date: e_5'�11�� J aaoa-/Si9 T EXHIBIT A SIGNED RFP . . INVITATION TO BID DATE: February 27, 2002 BID NO: d RFP-FYC-02006 • RETURN BID TO: Pat Persichino, Director of General Services 915 10th Street, P.O. Box ?58, Greeley, CO 80632 • SUMMARY Request for Proposal (RFP-FYC-02006) for:Family Preservation Program ay Treatment Program Family Issue's Cash Fund or FamilLPreservation Program Funds Deadline: March 22, 2002, Friday, 10:00 a.m. - The Families, Youth and Children Commission, an advisory commission to the Weld County Department of Social Services, announces that applications will be accepted for approved vendors pursuant to the Board of Weld County Commissioners authority under the Statewide Family Preservation Program (C.R.S. 26-5.5- 101) and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home Placement (C.R.S. 26-5.3-101). The Families, Youth and Children Commission wishes to approve services targeted to run from June 1, 2002,through May 31, 2003, at specific rates for different types of service, the county will authorize approved vendors and rates for services only. The Day Treatment Program Category must provide a comprehensive, highly structured program alternative to placement or more restrictive placement that provides therapy and education for children. This program announcement consists of five parts, as follows: PART A...Administrative Information PART D...Bidder Response Format PART B...Background, Overview and Goals PART E...Bid Evaluation Process PART C...Statement of Work Delivery Date (After receipt of order) BID MUST BE SIGNED IN INK Jon Sewell TYPED OR PRINTED SIGNATURE VENDOR North Colorado Medical Center o— 0 (Name) Handwritten Signature By Authorized Officer or Agent of Vendor ADDRESS 1801 16th Street TITLE Chief Executive Officer Greeley, CO 80631 DATE M AACI /C" 2-co.2 PHONE# (970) 352-1056 The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 32 RFP-FYC-02006 Attached A '' DAY TREATMENT PROGRAM BID PROPOSAL FAMILY PRESERVATION PROGRAM - 2002/2003BID PROPOSAL APPLICATION • PROGRAM FUNDS YEAR 2002-2003 BID #RFP-FYC-02006 NAME OF AGENCY: North Colorado Medical Center ADDRESS: 1801 16th Street, greeley, CO 80631 PHONE: ( 970) 352-1 056 CONTACT PERSON: Pam Johnson TITLE: Req. Dir. Behavioral Health DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Day Treatment Program Category must provide a comprehensive,highly structured program alternative to placement that provides therapy and education for children 12-Month approximate Project Dates: 12-month contract with actual time lines of: Start June 1.2002 Start June 1 , 2002 End May 31.2001 End May 31 , 2003 TITLE OF PROJECT: Youth Passages Pam Johnson 'GAn� _5(!1'I Name and Signature of Person Preparing ocument Date Jon Sewell )e—��— /WA ne /C 2,,,,... Name and Signature Chief Administrative Officer Applicant Agency Date MANDATORY PROPOSAL REQUIREMENTS For both new bids and renewal bids,please initial to indicate that the following required sections are included in this Posposal for Bid.For renewal bids,please indicate which of the required sections have not changed from Program Fund Year 2001-2002 to Program Fund year 2002-2003. Indicate No Change from FY 2001-2002 P Project Description x Target/Eligibility Populations x Types of services Provided x Measurable Outcomes x Service Objectives X Workload Standards x Staff Qualifications x 4 Unit of Service Rate Computation x Program Capacity per Month x Certificate of Insurance x Page 26 of 32 RFP-FYC-02006 Attached A • r w r Date of Meeting (s)with Social Services Division Supervisor: 3A--a— Comments by SSD Supervisor: ewh. `� N (',yid a I—A 344" Name and Signature of SSD Supervisor Date Page 27 of 32 RFP-FYC-02006 Attached A • e' Program Category Day Treatment Program Bid Category Project Title Youth Passages - Vendor North Colorado Medical tenter PROJECT DESCRIPTION Provide a brief one-page description of the project. II. TARGET/ELIGIBILITY POPULATIONS Provide a one page brief description of the proposed target/eligibility populations. At a minimum your description must address: A. Total number of clients to be served. B. Total individual clients and the children's ages. C. Total family units. D. Sub-total of individuals who will receive bicultural/bilingual services. E. Sub-total of individuals who will receive services in South Weld County. F. The monthly maximum program capacity. G. The monthly average capacity. H. Average stay in the program (weeks). I. Average hours per week in the program. III. TYPE OF SERVICES TO BE PROVIDED Provide a two-page description of the types of services to be provided. Please address if your project will provide the service minimums as follows: A. Site based services(The Bidder must state that a minimum of site based services of 5 hours per day, ages eight through twenty-one(21) and two and one-fourth hours minimum per day for children ages three to seven)will be provided. B. Community collaboration efforts. The Bidder must describe its community collaborative efforts with: 1. The Department of Social Services. 2. The Department of Mental Health. 3. The Department of Education. 4. Others (Please Describe). C. Program components. The Bidder must describe the program components of: 1. Educational 2. Therapeutic 3. Behavioral 4. Recreational D. Parental/Caretaker involvement in all program components as indicated in the case plan and as required. Page 28 of 32 RFP-FYC-02006 Attached A _s E. Assessment and plan to meet the needs of child and family including: 1. Education through a certified teacher. 2. Vocational/Independent living for age appropriate children. 3. Individual and family therapy which includes all family members. 4. Physical health needs, i.e., nutrition, medical, dental, sex education,HIV, contraception, etc. 5. Mental health needs such as psychotropic medications, etc. F. Proactive planning for transition to public school setting or independent living: 1. Reintegration into public school. 2. Follow-up for individual and family therapy. 3. Completion of Day Treatment. 4. Identifies progress/outcomes. 5. Reinforces gains. Provide your quantitative measures as they directly relate to each service. At a minimum, include a number to be served in each service component. Describe your internal process to assure that FYC resources will not supplant existing and available services in the community; e.g. mental health capitation services, ADAD and professional services otherwise funded. IV. MEASURABLE OUTCOMES Provide a two page description of your expected measurable outcomes of the project. Please address the following measurable outcomes: A. The children completing the Day Treatment Program will be residing in their own homes 6 months after discharge from the program. B. The children will enter public school upon graduation from Day Treatment. Describe your quantitative measures: Also, describe the methods you will use to measure, evaluate, and monitor each quantitative measure. V. SERVICE OBJECTIVES Provide a one page description of your expected service objectives and quantitative measures. Address, at a minimum, the following ways the project will: A. The number of children placed within six months of Day Treatment graduation/discharge. B. The number of children that were enrolled in public school from graduation/discharge from the Day Treatment Program. C. Improve ability to access resources - services shall assist parents to work with other sources in the community and within the local, state, and federal governments. Describe the methods you will use to measure, evaluate, and monitor each service objective. Page 29 of 32 RFP-FYC-02006 Attached A VI. WORKLOAD STANDARDS Provide a one page description of the project's work load standards and quantitative measures. Address, at a minimum, the following areas: A. Total number of children and families served. B. Duration/length of time in program. C. Total number of hours per day/week/month. D. Total number of individuals providing these services. E. Insurance. VII. STAFF QUALIFICATIONS Please provide a one-page description of staff qualifications and address, at a minimum, the following: A. Will your staff, including supervisors, who are providing direct services have the minimum qualifications in education and experience as defined in Staff Manual Volume VII, Section 7.303.17, and Section 7.000.6, Q, Colorado Department of Human Services? Describe. B. Total number of staff, including supervisors, available for the project. C. Total number of counselor and/or treatment leader(s) to the number of children ages 5 years to 13 years. (Minimum expectation is 1 staff member to 8 children.) D. Total number of counselor and/or treatment leader(s) to the number of children ages 16 years and over. (Minimum expectation is 1 staff member to 10 children.) Page 30 of 32 FYC PROPOSAL 1. STATEMENT OF NEED Youth Passages Adolescent Partial Hospitalization Program has been designed to address the multifaceted needs of adolescents experiencing significant emotional, behavioral, educational, interpersonal, and familial problems. As such, it serves adolescents suffering from a wide range of psychiatric disorders and chemical dependency. Youth Passages can intensively treat these adolescents while simultaneously minimizing the - disruption and stigma often associated with inpatient treatment or other restrictive settings. Youth Passages offers programming options of day treatment (Monday through Friday, 8:00 a.m. -4:00 p.m.), intensive outpatient (Monday through Thursday, 12:00 - 4:00 p.m.) and outpatient services (individual, group and family therapy). Psychiatric evaluations and ongoing care are provided on a weekly basis by a board certified child and adolescent psychiatrist. In addition, a Colorado Department of Education accredited school program, staffed by licensed master's level affective needs special education teachers, addresses academic and behavioral issues in the classroom. Until the opening of Youth Passages, adolescents needing a more intensive treatment modality than outpatient therapy were necessarily treated outside of our community and/or separated from family. Indeed, in order to assure the adolescent's safety, they were often hospitalized because there were no intermediate levels of care available. Youth Passages is currently the sole community provider of medical model adolescent partial hospitalization services. Given the level of utilization of our PAC program since June'93,Youth Passages appears to be meeting a vital need within our community. We believe that the therapeutic scope and intensity of our program is well suited to successfully intervene with children that are at risk for being placed outside of their homes. By utilizing a partial or day hospitalization model specific therapeutic interventions can be implemented with the family system or with the child's problem behavior while they continue to reside at home. Youth Passages steps children down into less intensive services as soon as they become stabilized. Criterion of stabilization includes, but is not limited to: 1) significant reduction of behavioral acting out; 2) achieving a sustained period of abstinence from drugs and alcohol; 3) a reduction in family conflict; and 4) a decrease of psychiatric symptoms (e.g. level of depression). Stepping down a level of service is achieved by returning a youth to his or her home school while continuing treatment at our facility. Examples of how we accomplish this include: 1) youth attends school in the morning and Youth Passages in the afternoon; and 2) youth attends Youth Passages all day on Monday,Wednesday and Friday and school all day on Tuesday and Thursday. We also offer continuing care group to successful program graduates, free of charge, one hour per week(Thursday from 4:00 P.M. to 5:00 P.M.). -C an 00 C w Cli C .5 C C O E 0 cd en e0 2 N C c ai m a m wv o. .v. C V T ❑ > N T TDW c. ,-, 0. c _. 0 -o �' 9 0 0 o C O ,k T U ,Li. O L d V '- O co F ad v > E o E m . d o ' o_ --, c to .. 0 3 W • e 3 :'. 3 9 c o u m t y o s 0 a 0 E 0 d d A y C0 0 C ad 5 -c >-d _ ye0 C C m 0 4; U 0 .`dd C PP it c ou '" t os> — v t o 22 3 ca .a 0 ❑ as C. v E $ .>v a E an ad Tu C .. o c o d o T � to ab u e03 .4g .d _ 0. p, 0 00 .ai 0 ` y y .C y I .. .Uc .'3 a"i 'y -N Q o. ..-. ^� cal u vi 0 ao 00 00 10 Or C En OD T N C C -> `�- u.. vOi g Or m � x E s m 0 a. i o.� -C Co wg o u c 7 w w s 0 w a ° °' c °_' a U d a r C s yo, o o c t -c o µµ�7 v 5 L k T d Y 3 r W. O.C .d * U • : W v 0 N Z .. O -00 c u 7 O C C 03.C C > . C e- ,C h C 0 L U T C E 00 o u u v m O O m z $ 0 3 > > E E C �� o . 'd a, m 8 m m s d w :E m o ,ac' 0111 0 �° 00 _ E C. P. 0 d > a i4 al 0 as w E m u QA 2E ty w 3 E 5 2 C •c O PO as ° 3 0 u o h = E A y 8a * 3.isc Fh m o. moo ..0 74 C v _ E 00 c 8 3 * _ 0, 0 -0 T ,d E y W 0 L_, t., u) ≥ V > c m O T 6 d ti E W 0 0 id r0 C b U 0 O 2 >m U a to lib CAW U a V �N T"i-. •w o wOa T T 0 0t 0 O. CY ry 'j U 0 O .n .C -C * L F, W r.. c o c ,n iEa '`� o 0 3 2.0 0 0 on 4.1 0 �. C F d '' ii m s E E E m G 0 E 0 m 0 E .5.. o .c r o Q b Q o 0 0.. z F 2, F m F .. CO -0 re F F o N E d d 9I o SI x SI of of "I I o �I I F Li; V S Zc ri 7 ¢ of U Ll ui •• W Y vi o - E 3 Y E o 8 y-u°' 3 �.z w t u •. S. O .m O U > w & O. U N N E u O ° 1/4_O v` E E E E N O Y U T C E C a 3 'S w .0 Y u o 'E a_�i Y ° u L 8 E d 8 u E 8 Y 3 T o y c - g 3 3 a Yana = E 3 E a E o c EE oo b U ° 200 �. wu Ey u F a6 W m °2- ah E �'' `° °°�i o ca.-5 s 8 ° ":O- m yv 'Hv To. E o ti , 0 .. .- en ° E o s ^) O C E U u w 9 1J N •_ E W A ,Ui, L.. C C 'c U uy3 � ° > > w ^ 5 � � E $ � U � 00 .o co a g c c o.-a T my E v s ._ -- c ill tN wCcW UU � v, 0 C � &Ia .c u'E Ozw ¢ zzW 1. C. �N -N t�f � vt Ri w •-N[n vt O y H y y U u ON z >4 N N N N N an N an an N O rrr >4 >4 rrr ren 0 -C C 76 'tab 3 C o y m E C, u C T V T O U t•• a wC u EN > E -o 2 ' C N v u C C m v b'. --E ° vU `l E o. to w m .ru. W—cOi >a a t O O 3 vi Oa a. ��ao., `L. u E A L.8 E E u s c c u p s - `O > N c`. C C t C T ,C O. (11 pc Z.3 E W p �U+ .0 �_ r; ° c E u UL u C w' N L VI Fi W O 2 > N C Thy N O V 3 0 0 0 O U 4... U C O t00 6 EN C O ii N > H L CI O y a g O. C O w L C V °, > o E d u u O c. u c. ¢ u `� m ,� s m u m n c4 ao a 0 . 0 0 0 D o c o g go a u o t a 1-4 m c al CI O V' o u E > u y '3 0 o u o '> 'y u c u., a -o E u u u t '- CO v �S u a y a `� s> u W ›. P- oFFFO QWH C1Wvi � y W7 0. y r co V .^t4 M 7 -' —�' N M R vl .P.“3 •=N in ,t--, vl H 3 ¢ pa U ci ai e; > % 0 f ( E t \ Oct qE ) e \ #) j ) Ck Co i 81 ; E \ ; ; 0 G ( 7 \ o cc \C I- \ ) • � F � 2 § /7 � / 2 o /{\ (\ }\« [ , § ) . 2o tE.E " 4 § « 1 ) .NEtga ° \/ {�k � 2 /, + e : # \ ! 0. - an C .!!$'2\7 2 0 » � °0 »! {k ) { ) & al� � � \ � § e § ff /7 § s7 = ; Eaea : = ! - / ; ,--• / \ 2 0, m o § . an in '0 >- z z & ) \ - o a ) 2 ( em C 7 \ f ] — § O ) d o 0 \ 0. ) \ % & g . m ) ) ■ § ) � / ; , ) } \) 2 C - / � |• � , f \ ( ) 0 \ 0 y ) 2 ° aCA00a , m { C : # e ° eI § \ - _ 0 * F. 2k § 23aE / } \� j } } � � ) ® � F. z o— a ; 0 $ Q \co ) j ( i ( C C co k ! j / i2 § ) ) / -V13 § U . / ( (\ \ « 2 \ \ § { . a ! ) 7 ) - ' / $ A = ! ] ) \ ) � � k \ / y( k -c \ r § § � _ _ \} � � I 2 " '' o #4& / ) *\ cn n (( k § 51 } 00M « i7 ) § * f § F. ( / ara ) 0 0 0 0 ) in \ 5 5 7 3 \ at \ / [ \ I. 0. - % a \ ° § ( $ ) d 00 & { k � ( C) B \ \ - § / \ al \ }\ 3,-R § \ E. \ o .=.. \ � _ / 2 c § \ § &i la - « 7 ( § 5 ) 171 \ / \ \ \ ° ' 0 \ /\ a or § e en en 0, u U u0J -C os .� E 8Y ° .8 Ti am s > > 0 u 3 c E lel a� Q E a n t O ej u y c o T '' c2 p C • O4) a CA C 01 C a3i `4' 0 $ (110 C o 0 - 0 Q E 2 = a 5 c v o • 0 8 0 .- � 3 ` v 0 °... o � a to ta 9 O E 0 y r" g 7 C - b ›.t... ,U O 0 . a. U U c �N .. of ,..°1. U os E 0 U U E 0 o y o.-S T o 2 g o j5 u . U .5 U c c — y > a. U — c c's 0 0 0 '- < O c on co 's =. a. 4. 4. E m .0 eE - .d C. Aa > oo � � � e`b c Ca E = u c c g 0• N O O = uye v35 .08a off =s u ou u o 7 .,u-., o 2 as vi � moo 3 m$ Qo E _ ¢ � = 3T.eu 7o. „ rA aq ?_' c cm > u � 5 'm a, 'o3 N 'c'N — = -O r 2 'Uid w ti p N O 0 0 0 13 1 o u s E - o %PO w u v 0 E o 0 0 w >O O p N .� R 0 W u Be x SQ c c E v c 2 1'1 .-�. =� c 0 ctsQ N o.a. --.C. 8 U U t cN c O. a ob u 7c 0 rn } >-' ›.. Z b O Z O es m b m c ru v. u a E u 0 w F iii o s a Q 0 >u E 15 W° a a E 3 s C 0 0. u u o 0 C '- >- E >0E t E go u S a - — .- o .O u 0 OD o a o y u V s— oy > O .> u 3 3 E u " y u o .c !. m r $ o F o h = Co wo °c' °c' m W 9 U L T O �7 0. U V -c C W X t-i U O 0 Eo c ... CO • u u F ` `u o. ai E d 0. n. E U E C E c n > F Z al rn rn o c s u s 2 ,Z 2 W 3 4 v .6 E a s F 'S1 'n I E � \ } 3 2 ji \ k \ \ / >.� \ / / 3 .x E$ 2 { § f f $ _ # \ La o \) ) \ \\ \ _42. } } a § ■ d ] \ } § E - - . \ () 7 ) O 9 e - } ) § CU C no | 2§ § / UC0. o2c os 0 0 ® ) {/ { j i | 3 kE • 0 } ] ( ) }§ 2E$ § i § ) 2 § ) d CO t # 0 ! 0, 08 & 4) -O 4 \ \ ; 2 ea ! CO m � ) » I. tu ca § C ea f \ f Po $ V 2 a g & § e a § 0 \ . j_ } 1.- Q E ) \ \ \ 0 § & t \ \ ( i ) a §al u. •c cps 0 ) so ok, \ ) ee , , 7 2 c § § ki ) , \ \ \rm O % , � COOa in cn $ | f , e , LI E ! j ] J / G � E - # ± * | # ( 6 - 8 IC ) � ) wa O Iia #� ) 0 « % ] § a - > § 27 \] f /J A ! ! 3 CA \\ 73 73 t 04) 0E kj \ j \ / -SC 15 ° / � �c -4 t4H CCI 01 CO 7 7 < ° 0 La / z on | \ 00 \ ; % % _ & . ) ) \ \) tu k ; . 7\} \ { \\ 3 0 0, _ \} k f\) \} to . c Ea g ! $ § \ ( { & 2 j\ � \) \) < � � ® ® a 2 _ 2 _ Cn � aa i is ) / ) / 0 \ \ \ �� O� § - / » „ i « n ) \ a g ; [ j° :::I'-'a & - w a Li 6 RFP-FYC-02006 Attached A VIII. COMPUTATION OF DIRECT SERVICE RATE Thtg form is to be used to provide detailed explanation of the hourly rate your organization will charge the Core Services Program for the services offered in this Request for Proposal. This rate may on;y'be used to bill the Weld County Department" - • of Social Services for direct, face-to-face services provided to clients referred for these services by the Department. Requests for payment based on units of service such as telephone calls, no shows, travel time, mileage reimbursement, preparation, documentation, and other costs not involving direct face-to-face services will not be honored. Likewise, billings must be for hours of direct service to the client, regardless of the number of staff involved in providing those services. Therefore, it is imperative that this rate be sufficient to cover all costs associated with this client, regardless of the number of staff involved in providing these services. (Explanations for these Lines are Provided on the Following Page) Total Hours of Direct Service per Client 640 Hours [A] Total Clients to be Served Q6 Clients [B] Total Hours of Direct Service for Year 614 a0 Hours [C] (Line [A] Multiplied by Line [B] Cost per Hour of Direct Services $ 13 .95 Per Hour [D] Total Direct Service Costs $ 857, 088. 00 [E] (Line [C] Multiplied by Line [D] ) Administration Costs Allocable to Program $ 47, (100 [F] Overhead Costs Allocable to Program $ 260 ,000.00 [G] Total Cost, Direct and Allocated, of Program$1 . 164.088 .00 [H] Line [E] Plus Line [F] Plus Line [G] ) Anticipated Profits Contributed by this Program $ t, 777 00 [I) Total Costs and Profits to be Covered by this Program(Line [H] Plus Line [I] ) $ 1 , 167. 360 00 It Total Hours of Direct Service for Year 61 , 440 [K] (Must Equal Line [C] ) Rate per Hour of Direct, Face-to-Face Service to be Charged to Weld County Department of Social Services $ 19 . 00 [L] Day Treatment Programs Only: Direct Service House Per Client Per Month 160 [M] Monthly Direct Service Rate $ 3,040.00 [Nl Page 31 of 32 North Colorado Medical Center Banner Health Colorado March 14, 2002 TO WHOM IT MAY CONCERN: RE: BANNER HEALTH SYSTEM This is to advise that Banner Health System, along with its subsidiary operations, are self-insured through the BHS Self-Insured Liability Trust. The coverage is continuous. This coverage extends to all corporate entities as well as any employee working within the scope of their employment. The limits provided by the BHS Self-Insured Liability Trust are at least $2,000,000 per occurrence/$15,000,000 in the aggregate. Excess liability coverage is provided through the Samaritan Insurance Funding, Ltd.. If additional information is necessary,please contact Philip Holt, System Director Risk Financing, Risk Management at Banner Health System, 1441 North 121° Street,Phoenix, AZ 85006,telephone 602-495-4000. Sincerely, Pt, 140 I.T/9r_e_ As-el- Philip B. Holt System Director Risk Financing, Risk Management 1801 16th St • Greeley,CO 80631 • 970-352-4121 • Fax 970-350-6644 • ncmcgreeley.com EXHIBIT B SUPPLEMENTAL NARRATIVE TO RFP RECOMMENDATIONS North Colorado Medical Center Banner Health Colorado April 22, 2002 Ms. Gloria Romansik via Certified Mail Weld County Dept. of Social Services PO Box A Greeley, CO 80632 no Dear Ms. Romansik: Thank you for your letter of April 8th and the acknowledgement of our success as a vendof,Tor PY 2002-2003 RFP Bid process. We do accept the FYC Commission recommendations aj51 will work with the Commission to report outcomes specific to each of the below programs: 1. RFP 02008, Intensive Family Therapy 2. RFP02010, Option B 3. RFP 02006,Day Treatment I apologize for the delay in responding to your request. Unfortunately I did just receive your letter today. Please contact Pam Johnson or Dave Rastatter at North Colorado PsychCare/FRC (352-1056) if they may be of any further assistance. Sincerely, /`/re-y\,'9 u John Miller Assistant Administrator cc: Elaine Furister, Weld County Dept. of Social Services Pam Johnson, Director, PsychCare/FRC Dave Rastatter, Coordinator, Youth Passages, PsychCare/FRC Banner Health System, Colorado Region, Contract Office 1801 16th Sr. • Greeley,CO 80631 • 970-352-4121 • Fax 970-350-6644 • ncmcgreeley.com osy o PY DEPARTMENT OF SOCIAL SERVICES PO BOX A GREELEY,CO 80632 WEBSITE:www.caweld.co.us Administration and Public Assistance(970)352-1551 C. Child Support(970)352-6933• COLORADO • April 8,2002 Jon Sewell, Chief Executive Officer North Colorado Medical Center. 1801 16th Street Greeley, CO 80631 • Re: RFP 02008,Intensive Family Therapy RFP 02010,Option B RFP 02006,Day Treatment Dear Mr. Sewell: The purpose of this letter is to outline the results of the RFP Bid process for PY 2002- 2003 and to request written confirmation from you by Wednesday, April 17,2002. A. Results of the RFP Bid Process for PY 2002-2003 Through the 2002-2003 Core Services bid evaluation process,the Families,Youth and Children(FYC)Commission approved the RFP(s)listed above for inclusion on our vendor list. The FYC Commission attached the following recommendation(s)regarding your RFP bid(s). The FYC Commission approved the following recommendation for all programs on the vendor list for 2002-2003. The recommendation reads as follows: Recommendation:Providers will report outcomes specific to their programs. 1. RFP 02008,Intensive Family Therapy: Approved with the above recommendation: 2. RFP 02010. Option B: Approved with the above recommendation: 3. RFP 02006.Day Treatment Approved with the above recommendation: Page 2 North Colorado Medical Center-PsychCare-Youth Passages Results of RFP Process for PY 2002-2003 B. Required Response by RFP Bidden Concerning FYC Commission Recommendations The Weld County Department of Social Services is requesting your written response to the FYC Commission's recommendations and conditions. Please respond in writing to Gloria Romansik, Weld County Department of Social Services,P.O. Box A, Greeley, CO, 80632,by Wednesday, April 17,2002, close of business as follows: FYC Commission Recommendations: You are requested to review the recommendation(s)and to: a. accept the recommendation(s)as written by the FYC Commission; or b. request alternatives to the FYC Commission's recommendation(s); or c. not accept the recommendation(s)of the FYC Commission. Please provide in writing how you will incorporate recommendation(s)in your bid. If you do not accept the recommendation(s), please provide reasons why. All approved recommendations under the NOFAA will be monitored and evaluated by the FYC Commission. If you wish to arrange a meeting to discuss the above conditions and/or recommendations,please do so though Elaine Furister, 352.1551, extension 6295, and one will be arranged prior to April 17,2002. Sincerely, Judy A. Griego,Director Weld County Department of Social Services of cc: Dick Palmisano, Chair,FYC Commission Gloria Romansik, Social Services Administrator Hello