HomeMy WebLinkAbout20041753.tiff RESOLUTION
RE: APPROVE AMENDMENT#1 FOR SINGLE ENTRY POINT AGENCY AND AUTHORIZE
CHAIR TO SIGN - COLORADO DEPARTMENT OF HEALTH CARE POLICY AND
FINANCING
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 Amendment #1 for Single Entry Point
Agency 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 Human Services,Area Agency on
Aging, and the Colorado Department of Health Care Policy and Financing, commencing July 1,
2004, and ending June 30, 2005, with further terms and conditions being as stated in said
amendment, and
WHEREAS,after review,the Board deems it advisable to approve said amendment,a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Amendment#1 for Single Entry Point Agency 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 Human Services,Area Agency on Aging, and the Colorado Department
of Health Care Policy and Financing be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said amendment.
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 28th day of June, A.D., 2004.
� BOARD OF COUNTY COMMISSIONERS
e,\` /_ 4 WE COUNTY, COLORADO
'1661 I� s"�'ita =; �""��� Robert D. Malden, Chair
Clerk to the Board
1-2
,� \ ",, William H. rke, Pro-Tem
Deputy Clerk to the Board
M. eile
ED ASSD RM: CAL,
•
/� David E. Long
Coun yAttorney /IS ,4
Glenn Vaa
Date of signature: 7�/3/0X
2004-1753
HR0075
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MEMORANDUM
frDATE: June 22, 2004
ITO: Robert Masden, Chair, Weld County Board ofWCommissioners
COLORADO FROM: Walter Speckman, Executive Director, Division of Human
Services
SUBJECT: The Weld County Single Entry Contract for
Fiscal Year 20042005
Enclosed for Board approval is the Single Entry Point Contract for Fiscal Year 2004-2005. The Weld
County Area Agency on Aging provides case management services for Medicaid clients who fall under the
responsibility of the Single Entry Point. The contract amount is $502,404. The effective dates of the
contract is July 1, 2004 through June 30, 2005.
If you have additional questions,please contact Eva Jewel, Director of the Weld County Area Agency on
Aging at 353-3800, extension 3331.
2004-1753
Agency or Department Name
Health Care Policy & Financing
Department or Agency Number
UHA
Contract Routing Number
2305-9059
CONTRACT AMENDMENT NUMBER 1
THIS AMENDMENT, made this first day of July 2004, by and between the State of Colorado
for the use and benefit of the Department of Health Care Policy and Financing, 1570 Grant
Street, Denver, Colorado 80203 hereinafter referred to as the Department, and Weld County
Division of Human Services' Area Agency on Aging by and through the Weld County Board of
Commissioners, 1551 North 17th Avenue, P. O. Box 1805, Greeley, Colorado 80631, hereinafter
referred to as the Contractor, the Single Entry Point Agency or SEP.
FACTUAL RECITALS
Authority exists in the Law and Funds have been budgeted, appropriated, and otherwise made
available and a sufficient unencumbered balance thereof remains available for payment; and
Required approval, clearance, and coordination has been accomplished from and with
appropriate agencies; and
The Department and the SEP—entered into a contract dated July 1, 2003 pursuant to which the
SEP determines whether persons meet the functional level required for eligibility for long-tens
care benefits. The purpose of this amendment is to extend the performance period and to revise
the payment amounts.
NOW THEREFORE, it is hereby agreed that:
1. Consideration for this amendment to the original contract, Contract Routing Number
2304-1319 dated July 1, 2003 consists of the payments, which shall be made pursuant to
this amendment and the promises, and agreements herein set forth.
2. It is expressly agreed by the parties that this amendment is supplemental to the original
Contract, dated July 1, 2003, collectively referred to as the "original contract", which is,
by this reference, incorporated herein, that all terms, conditions, and provisions thereof,
unless specifically modified herein, are to apply to this amendment as though they were
expressly rewritten, incorporated, and included herein.
3. It is agreed the original contract is and shall be modified, altered, and changed in the
following respects only:
a. Section III.2 shall be amended to change the end date from June 30, 2004 to June
30, 2005.
b. Section IIL3 shall be amended to change the not to exceed amount to
$502,404.00.
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4. The effective date of this amendment is upon approval of the State Controller, or July 1,
2004, whichever is later.
5. Except for the "Special Provisions," in the event of any conflict, inconsistency, variance,
or contradiction between the provisions of this amendment and any of the provisions of
the original contract, the provisions of this amendment shall in all respects supersede,
govern, and control. The "Special Provisions" shall always be controlling over other
provisions in the contract or amendments. The representations in the Special Provisions
concerning the absence of bribery or corrupt influences and personal interest of State
employees are presently reaffirmed.
6. FINANCIAL OBLIGATIONS OF THE STATE PAYABLE AFTER THE CURRENT
FISCAL YEAR ARE CONTINGENT UPON FUNDS FOR THAT PURPOSE BEING
APPROPRIATED, BUDGETED, AND OTHERWISE MADE AVAILABLE.
Page 2 of 3
Received: 12/17/2004 14:16; -,.HUMAN SERVICES; 061 ; Page 4
COLO DEPT OF HCPF Fax:3038662573 Dec` 2004 1504 P.04
IN WITNESS WHEREOF,the parties hereto have executed this amendment on the day first
above written. •
Contractor: State of Colorado
Bill Owens,Governor
Weld County Division of Human Services'
Area Agency or1 Aging by and through the
Weld County Board of Couwlissioners
(Full Legal Name)
_333(
(Signature of Individual) N 2 B 200 axe einertson, Executive Director
Robert D. Masden DEPARTMENT OF HEALTH CARE
POLICY &FINANCING
(Name of Individual)
Chair Attorney General,Ken Salazar
Position(Title)
54000g1 3'D Date:
Sodal Security Number or
F ederaJ Employer ID Number
fartidijaidAhl
AP
Attestation: ..„.,zf :006. 1%
By. v e r . • 414111
ALL CONTRACTS MUSS`BE APPROVED BY THE STATE CONTROLLER
CRS 24-30-202 requires that the State Controller approve all state contracts. This contract is not
valid until the State Controller,or such assistant as he may delegate,has signed it. The contractor
is not authorized to begin performance until the contract is signed and dated below. If
performance begins prior to the date below,the State of Colorado may not be obligated to pay for
goods and/or services provided,
State Controller, Approvals:
Arthur L.Barnhart State Controller
Art Barnhart
By: -E,
Date: 01-/
Page 3 of 3 -
SINGLE ENTRY POINT (SEP) AGENCY CONTRACT
REIMBURSEMENT METHODLOGY
Fiscal Year 2004.2005
I. FORMULA
Contract Funding =A+ B + C +D + E + MC+ UR
II. FACTORS
ALJ Administrative Law Judge Cases
$39.75 (BA x 5%)
BA Basic Activity- assessment, planning, case management for all waiver clients
$795.00 per client per year
CC Averaged client count in population measured
HH Long term home health Prior Authorization Request(PAR) process
$39.75 (BA x 5%)
HN Assessment for Hospital/ Nursing Facility Discharge
$75.00 per client discharged
IE Assessment completed with finding of client ineligibility for waiver service
Where an average of 3 out of 4 completed assessments result in
an approval for the client to receive waiver services
$75.00 per completed assessment x CC—(CC x 75%)
MC Service area to clients in multiple counties
$8,000 per county per year
MI Differential on BA for clients on the waiver for persons with mental illness
$75.00 per client per year
P Assessment per PACE client
$75.00 per client per year
UR Utilization Review
Amount of budget line total represented by percent derived from
the SEP waiver CC/by the total state SEP waiver CC
III. CALCULATIONS
A = CC(BR + ALJ + HH) where CC is the populations of waiver clients served
except clients on the waiver for persons with mental illness
B = CC(BR + ALJ + HH + MI)where CC is the population of clients served on the
waiver for persons with mental illness
C = CC x HN where CC is the population of clients discharged from the hospital
or nursing home
D = CC x P where CC is the population of PACE clients served
E = CC x IE where CC is the total number of waiver clients served
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