HomeMy WebLinkAbout20031978.tiff RESOLUTION
RE: APPROVE SUBSTANCE ABUSE TREATMENT AGREEMENT AND AUTHORIZE
CHAIR TO SIGN - SIGNAL BEHAVIORAL HEALTH NETWORK
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 a Substance Abuse Treatment
Agreement 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 Signal
Behavioral Health Network commencing July 1, 2003, and ending June 30, 2004, with further
terms and conditions being as stated in said agreement, and
WHEREAS, after review, the Board deems it advisable to approve said agreement, a
copy of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, ex-officio Board of Social Services, that the Substance Abuse
Treatment Agreement 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
Signal Behavioral Health Network be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said agreement.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 4th day of August, A.D., 2003, nunc pro tunc July 1, 2003.
BOARD OF COUNTY COMMISSIONERS
/���� q WELL OUNTY, COLORADO
ATTEST: �51 .- __�0�1�'v"G, . // o! /II Q L t C 4.,
r"ti`1 '`� ( vid E. Long, Chair
Weld County Clerk to the Board
Robert D. M en, Pro-Tem
I �� .• C to the Board
•_"�. '1 M. J. G ile
' 1861
l„-172/4„,
Willis H. Jerke
y A t �_�� e:
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Glenn Vaad
Date of signature: ''--/C-Y?_3
2003-1978
SS0030
SIGNAL BEHAVIORAL HEALTH NETWORK
WELD COUNTY DEPARTMENT OF SOCIAL SERVICES
SUBSTANCE ABUSE TREATMENT SERVICE AGREEMENT
CHILD WELFARE CLIENTSLe At.
'
ADDITIONAL FAMILY SERVICES (AFS) FUNDING Lc, „9
A.,
This Agreement is between the Weld County Department of Social Services, hereinafter referred
to as "WCDSS" and Signal Behavioral Health Network, hereinafter referred to as "Signal".
WHEREAS,the Weld County Department of Social Services requires the services of a
substance abuse treatment provider to assist the County in delivering substance abuse treatment
services to child welfare clients, and Signal is willing and able to provide such services; and
WHEREAS, Signal is a Colorado non-profit corporation organized for the purpose of
managing and coordinating high quality, cost efficient, integrated chemical dependency and
related behavioral health care services in the State of Colorado.
NOW, THEREFORE, it is mutually agreed as follows:
I. SERVICES:
A. Responsibilities of Signal:
1. Signal agrees and desires to participate as the service coordinator for WCDSS qualified
child welfare clients under the definition set forth in the Child Welfare Lawsuit Settlement
Agreement (David Littman vs. State of Colorado).
2. Signal will maintain a high quality of clinical care to clients in a delivery system of
limited resources and public funding. The full continuum of care (Outpatient, Intensive
Outpatient, Transitional Residential, Intensive Residential, Therapeutic Community, or
comparable alternatives as mutually agreed upon) will be available to clients. The client's
clinical needs will determine the level of care Signal is to provide and Signal will meet those
needs regardless of"modality."
3. Signal encourages Agencies and clients/consumers/referral agencies to resolve any
complaint or grievance or appeal at the level closest to the situation. Should WCDSS and/or
Signal and its Provider fail to agree upon the level of care offered by Signal, they may appeal the
case directly to Bill Wendt, Signal Behavioral Health Network for resolution. Signal, its
Provider(s) and WCDSS will have an opportunity to provide Signal with consultation and
documentation regarding the appeal. Signal's Medical Director and Clinical Director may also
be consulted. Appeals are to be resolved within 72 working-day hours, unless good cause
justifies an extension. In the interim of the appeal, Signal is expected to continue providing
services to the client.
4. Signal will assure that all eligible child welfare clients referred by WCDSS in need of
treatment will receive such in accordance with ASAM PPC-II R level of care, as
reimbursed by the State of Colorado, Alcohol and Drug Abuse Division.
5. Signal will serve child welfare clients (parents and children) on a priority basis who
comply with the following criteria as WCDSS refers:
■ Case is active on TRAILS, and
■ Case meets the State DHS program category criteria 4, 5, or 6, and
• Case meets the definition of"imminent risk for out-of-home placement/reunification"
set forth by the State of Colorado.
Signal will include the following provisions in all subcontracts with providers:
• The Provider shall submit a treatment plan for the client within 30 days of treatment
intake appointment to the assigned caseworker
• The Provider shall submit to Signal monthly progress reports to the assigned
caseworker.
6. Signal will utilize AFS monies to pay for services in cooperation with designated
WCDSS staff
7. Signal will assure that the providers in its network give timely notice of cancelled
appointments to the clients and will reschedule such appointments as soon as practical.
8. Signal will provide monthly reports showing the amount of AFS and Core spent on
treatment.. Signal will also provide monthly progress reports for each WCDSS client in
treatment.
9. Signal will provide training and technical support;as necessary, for WCDSS staff in
accessing data reports and on the use of the child welfare referral system.
B. Responsibilities of WCDSS:
1. WCDSS will work cooperatively with Signal and its Providers to deliver quality, efficient
and cost-effective substance abuse treatment services to WCDSS qualified clients.
2. WCDSS will make every effort to inform Signal and its Providers in a timely manner of
system issues, developments, and complications so that Signal and the Provider can make
informed choices in its role as the managed service organization and treatment agency
respectively.
3. WCDSS will assure that all referrals under this contract meet the eligibility criteria
expressed in Section I(A)(6) above.
4. WCDSS agrees to provide Signal with the name of a primary contact person who will be
responsible for interacting with Signal's data system.
5. WCDSS, or its authorized designee(s), will be responsible for electronically authorizing
services to various providers.
II. PERIOD OF PERFORMANCE
The Signal Additional Family Service period of performance under this Agreement shall be for
the 12-month period beginning July 1, 2003 through June 30, 2004, unless sooner terminated.
As a condition of continuing to render services under this Agreement, it is understood that Signal
will report any limitation or restriction of their license or insurance or the ability to perform the
services covered by this Agreement under any condition of impairment.
Either party may terminate this Agreement or any part herein at any time by giving not less than
45 days advance written notice to the other party.
In the absence of any formal agreement beyond the term of this agreement, Signal agrees to
continue providing treatment, under the terms of this agreement, for clients that are in treatment
or referred by WCDSS for treatment. This is with the further understanding that service delivery
and payment are subject to the termination terms mentioned above.
Signal reserves the right to suspend services to clients if funding is no longer available. WCDSS
acknowledges financial responsibility for all services authorized and performed before the
effective date of termination.
III. COMPENSATION
Signal agrees to contribute a maximum of Eighty-nine thousand seven hundred seven
dollars and twenty cents ($89,707.20) annually from designated ADAD Additional Family
Service (AFS) funds to serve eligible clients in accordance with the terms herein.
IV. CLIENT FEES OR CO-PAYS
Neither Signal nor their network providers shall assess a client fee or co-pay to child
welfare clients served under this contract, unless the client is required to pay for any positive
urine screen as a condition of their treatment plan or through court order for monitored sobriety
and/or treatment as a condition of their treatment plan.
V. ATTACHMENTS
Signal and WCDSS agree to adopt herein the attached fee-for-service Exhibit A as the
fees paid to Providers.
VI. INDEPENDENT CONTRACTOR
Signal and its providers shall be providing services hereunder as an independent
contractor and the relationship of employer and employee does not exist between WCDSS and
Signal.
VII. NON-DISCRIMINATION
It is the policy of Signal to provide equal opportunity without discrimination based on
race, color, sex, religion, age, sexual orientation, national origin, veteran status, or individual
handicap in any aspect of employment,training or services offered. All Signal programs,
activities, and services are administered on a non-discriminatory basis subject to the provisions
of:
Title VI and VII of the Civil Rights Act of 1964
Executive Order 11246, as amended
Title VII and VIII of the Public Health Services Act
Rehabilitation Act of 1973 (Section 503 and 504)
Equal Pay Act of 1963, as amended
Title IX of the Education Amendments of 1972
Vietnam Era Veteran's Readjustment Assistance Act of 1974
Age Discrimination in Employment Act of 1967
Age Discrimination Act of 1975
Non-Discrimination Laws of the State of Colorado.
VIII. ACCESS TO RECORDS
Signal and WCDSS agree to make available in a timely manner all books, documents,
and records pertinent to this contract for the purpose of billing for services, audit, and
compliance with requirements and regulations of federal and state agencies and commercial
insurance carriers.
Signal acknowledges that in reviewing, storing,processing, or otherwise dealing with any
client records dealing with any client seen by a Signal provider or the on-site substance abuse
counselor is bound by the confidentiality provisions of 42 CFR Part 2. If necessary, Signal shall
resist in judicial proceedings any efforts to obtain access to client records except as permitted by
42 CFR Part 2. WCDSS and Signal shall sign a Qualified Service Organization Agreement in
compliance with 42 CFR, Part 2.
IX. OBLIGATIONS
Obligations of WCDSS and Signal are contingent upon funds for that purpose being
appropriated, budgeted and otherwise made available.
X. PROVISIONS
This Agreement may be amended only by written agreement signed by each of the parties
hereto. This Agreement shall be binding upon, and shall inure to the benefit of the respective
parties hereto and shall not be assigned without the consent of all parties hereto.
XI. NOTICES:
Any notice required to be given pursuant to the terms and provisions hereof shall be in
writing and shall be sent by certified mail,return receipt requested;
To Signal at:
Bill Wendt, Chief Executive Officer
Signal Behavioral Health Network
950 S. Cherry Street, Suite 416
Denver, CO 80246
After September 1, 2003, the address for Signal will be:
950 S. Chorry Strcct, Suite 416 i 39 i S Fe -
Dcuvu,CO 80246 Su Sat
WANG& uo '1st-I&
1st-& \
To Weld County at:
Judy A. Griego, Director
Weld County Department of Social Services
P.O. Box A
Greeley, CO 80632
XII. DISPUTE RESOLUTION
It is the desire of all parties to resolve conflicts at the Signal/Provider/County level through
cooperation. Internally, the County Director(s) and the Signal Chief Executive Officer shall
attempt to resolve all conflicts and disputes. If the issue cannot be resolved, either party may
request that the State intervene and mediate the situation (by DHS Child Welfare and ADAD).
Any further unresolved issues may be submitted to George Kawamura, Office of Health and
Rehabilitation Services or his designee(s) for case presentation and review. _
Should the above efforts fail, Signal, its Providers and WCDSS hereby agree to submit all
unresolved controversies, claims, and disputes arising out of this Agreement to mediation in
Denver County, Colorado, according to the commercial rules and practices of the American
Arbitration Association then in force, or pursuant to other rules or procedures as to which the
parties may agree. Regardless of the outcome, each party agrees to fund their own litigation
expenses.
This Agreement shall be governed by and construed in accordance with the laws of the
State of Colorado.
XII. MISCELLANEOUS PROVISIONS
12.1 Headings. The headings of the sections and subsections of this Agreement are
inserted solely for ease of reference and shall not bin any way affect the meaning or
interpretation of this Agreement.
12.2 Non-Assignment. None of the parties shall have the right to assign the benefits or
delegate the obligations in this Agreement without prior written consent of the other parties.
Subject to the foregoing, this Agreement shall be binding upon and inure to the benefit of the
parties and their respective heirs, successors, legal or personal representatives and permitted
assigns.
12.3 Waiver of Breach. The waiver of any party of a breach or violation of any
provision of this Agreement shall not operate as, or be construed to be, a waiver of any
subsequent breach of the same or any other provision thereof.
12.4 Gender and Number. Whenever the context of this Agreement requires, the
gender of all words shall include the masculine, feminine and neuter, and the number of all
words shall include singular and plural.
12.5 Severability. If any provision of this Agreement is held to be unenforceable for
any reason, the unenforceability thereof shall not affect the remainder of this Agreement, which
shall remain in full force and effect and be enforceable in accordance with its terms.
12.6 Counterparts. This Agreement may be executed in duplicate originals, each of
which shall be an original instrument but both of which taken together shall constitute one and
the same instrument.
12.7 Entire Agreement. This Agreement constitutes the entire understanding and
agreement between the parties with respect to its subject matter and supersedes all prior
agreements or understandings, whether written or unwritten, with respect to the same subject
matter.
12.8 Hold Harmless. To the extent authorized by law each party shall indemnify, save
and hold harmless the other and the Colorado Department of Human Services, against any and
all claims, damages, liability and court awards including costs, expenses, and attorney fees
incurred as a result of any act or omission by the party's employees, agents, subcontractors, or
assignees, or arising out of any dispute between the WCDSS, Signal,Network Providers and the
State Department of Human Services in connection with the Agreement.
SIGNAL BEHAVIORAL HEALTH NETWORK
WELD COUNTY DEPARTMENT OF SOCIAL SERVICES
SUBSTANCE ABUSE TREATMENT SERVICE AGREEMENT
CHILD WELFARE CLIENTS -AFS SERVICE FUNDING
APPROVED BY:
SIGNAL BEHAVIORAL HEALTH NETWORK
Cdr 7 /25/03
Michael W. Kirby, P i. Date
Signal's Federal tax ID Number: 84-1362495
WELD J OJ.}Y
C� Y� (�yi 08/04/2003
By: David E. Long, Chair Date
Board of County Commissioners
WELD COUNT AD_ TMENT OF SOCIAL SERVICES
7/ )3
By: J y A. 'ego, Dire or Date
SIGNAL BEHAVIORAL HEALTH NETWORK and
WELD COUNTY DEPARTMENT OF SOCIAL SERVICES
SUBSTANCE ABUSE TREATMENT SERVICE
Attachment A
The rates set below shall be the rates paid to the Provider.
Fee-For-Service Reimbursement(for services not provided by the on-site counselor)m:
Amounts are not to exceed the following:
Description Service Weld
Code
Rate Unit
Antabuse Monitoring 16 $2.00 Each
Antabuse Physical 60 $60.00 Each
Breathalyzer 32 $2.00 Each
Court Testimony 29 $75.00 Hour(s)
Detox 3 $185.00 Day(s)
Detox— Extended Stay 76 $50.00 Day(s)
Drug Patch * 40 $50.00 Each
Evaluation � 1 $130.00 Each
Evaluation — Co-Occurring Alcohol & Drug with Domestic Violence 75 $130.00 Each
Evaluation -- Forensic 70 $175.00 Each
Eyalyatinn -- Off-site 74 Pm n0_Parh at—
Family Session 12 $80.00 Hour(s)
Group Session 11 $15.00Hour(s)
Individual Session 10 $60.00 Hour(s)
IOP —Adolescent (Fast Track) 73 $50.00 Hour(s)
IOP —Adolescent Residential Support Services 72 $120.00 Day(s)
lOP Group —Adult 53 $25.00 Hour(s)
On-site Staff Services 54 $55.00 Hour(s)
Transitional Residential 8 $115.00 Day(s)
UA -- 3-Panel 55 $15.00 Each
UA -- 7-Panel 56 $25.00 Each
UA Confirmation (GCMS) 61 $35.00 Each
Includes monitoring and confirmation.
A 7-Panel UA will be required at an additional $25.
m Signal Additional Family funding will be responsible for purchasing services in accordance
with the above schedule (to a maximum funding specified in the contract language).
Signal, in accordance with federal HIPAA regulations, will be adopting the standard transaction
code set for all treatment services on or before October 16, 2003. Even though this compliance
will change the service labels and groupings, the net fees associated with those services will not
change.
•
DEPARTMENT OF SOCIAL SERVICES
PO BOX A
' GREELEY,CO 80632
WEBSITE:www.co.weld.co.us
Administration and Public Assistance(970)352-1551
C Child Support(910)352.6933
COLORADO MEMORANDUM
TO: David E. Long, Chair Date: July 29, 2003
Board of County Commissioners
FR: Judy A. Griego, Director, Social Services f (�L
RE: Substance Abuse Treatment Services Agreement between Signal
r`�
Behavioral Health Network and Weld County Department of
Social Services
Enclosed for Board approval is a Substance Abuse Treatment Services Agreement
between Signal Behavioral Health Network (Signal) and the Weld County Department of
Social Services (Department). The Agreement was reviewed and discussed at the
Board's Work Session of June 16, 2003.
The major provisions of the Agreement are as follows:
1. The term of the Agreement is July 1, 2003 through June 30, 2004.
2. The source of funding is Additional Family Services (AFS)provided through
Signal. The Department does not contribute fiscally to this Agreement.
3. Signal will pay from an AFS fund of$89,707.20 for alcohol and drug services on
behalf of child welfare clients referred by Social Services. These services will be
provided through Signal's Network Contractors including Island Grove Regional
Treatment Center. Payments, on behalf of child welfare clients, will be based on
Signal's schedule of services and fees.
If you have any questions, please telephone me at extension 6510.
•
2003-1978
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