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Home My WebLink About991269.tiff RESOLUTION RE: APPROVE THREE NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR CORE SERVICES FUNDS AND AUTHORIZE CHAIR TO SIGN - NORTH COLORADO PSYCHCARE 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 for Core Services Funds 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 PsychCare, commencing June 1, 1999, and ending May 31, 2000, with further terms and conditions being as stated in said awards, 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 three Notification of Financial Assistance Awards for Core Services Funds 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 PsychCare, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said awards. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 2nd day of June, A.D., 1999, nunc pro tunc June 1, 1999. BOARD OF COUNTY COMMISSIONERS ,,o� LD COUNTY, COLORADO ATTEST: /� l'� �l //S4rf≥s .ae . Hall, Chair Weld County Clerk to the !ar• 1861 r-; t3 CUSED DATE OF SIGNING (AYE) :rbara J. Kirkmeyer, Pro-Tem BY: Ht.. ! / ;. Deputy Clerk to the Bob ®JJ tmt /XCUSED DATE OF SIGNING (AYE) . LL, 111 George . Baxter • ��3/ AS TO FORM: , ,Ni.� C ile G.unty Atto ey 99.2i/i41-/fA Glenn Vaad 991269 ('t; ; SS SS0026 fil;ft litilltS . DEPARTMENT OF SOCIAL SERVICES PO BOX A ' GREELEY, CO 80632 and Public Assistance(970) 352-1551 Child Support(970) 352-6933 CAdministration Protective and Youth Services (970) 352-1923 COLORADO MEMORANDUM TO: Dale K. Hall, Chair Date: May 24, 1999 Board of County Commissioners , FR: Judy A. Griego, Director, and Social Services Al V ` RE: Core Services Notification of Financial Assistance Awards between the Weld County Department of Social Services and North Colorado PsychCare Enclosed for Board approval is Core Services Notification of Financial Assistance Awards (NOFFAs) between the Weld County Department of Social Services and North Colorado PsychCare. The purposes of the NOFAAs are to conclude our Request: for Proposal Process for vendors under the Core Services Funds. The Families, Youth, and Children(FYC) Commission has recommended approval of the NOFAAs. 1. The terms of the NOFAAs are from June 1, 1999 through May 31, 2000. 2. The source of funds is Core Services, Family Issues Cash Fund. Social Services agrees to pay North Colorado PsychCare unit costs as outlined in this Memorandum. 3. North Colorado PsychCare will provide three programs to families and children in need of child protection services as follows: A. Intensive Family Therapy—Youth Passages TREK Program: 1.) Description: The program provides individual and group therapy to adolescents and their families, a maximum of 72 families. The average stay is eight to ten weeks for six to nine hours per week in the program. 2) Cost Per Unit of Service: $77.00 per hour. 13Q'. Intensive Family Therapy—Youth Passages: 1) Description: The program will consist of two to four hours of therapy per week per family with an average length of treatment of eight to ten weeks. A total of sixty families will be served for adolescents and their families. 2) Cost Per Unit of Service: $77.00 an hour. 991269 '- C. Day Treatment: 2) Description: The program will provide day treatment addressing behavioral, psychological, family issues, and academic enrichment. An average of fourteen youth (ages twelve to eighteen)per year, for a minimum of eight hours of site-based services per day, forty hours per week for 24 weeks. 2) Cost Per Unit of Service: $1,419.60 per month If you have any questions, please telephone me at extension 6510. 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 99-FYC-2000 Revision (RFP-FYC-99008) Contract Award Period Name and Address of Contractor Beginning 06/01/1999 and North Colorado PsychCare - Youth Passages Ending 05/31/2000 Intensive Family Therapy-TREK 928 12th Street Greeley, CO 80631 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Assistance The Youth Passages TREK program will serve a total of Award is based upon your Request for Proposal (RAP) 72 clients in a 12 or 17 month program.The average and the Addendum RFP information. The RFP monthly capacity is 6, average stay 8-10 weeks, 6-9 specifies the scope of services and conditions of award. hours per week in the program. The program provides Except where it is in conflict with this NOFAA in individual and multifamily groups, in-home visits, which case the NOFAA governs, the RFP upon which access to nursing and psychiatric services. Breathalyzer this award is based is an integral part of the action. and urine testing services are available. Special conditions Cost Per Unit of Service 1) Reimbursement for the Unit of Services will be based on a monthly rate per child or per family. Hourly Rate Per Unit of Service $ 77.00 2) 11ie hourly rate will be paid for only direct face to face Based on Average Capacity. contact with the child and/or family, as evidenced by client-signed verification form, as specified in the unit Enclosures: of cost computation. 3) Unit of service costs cannot exceed the hourly and "S ed RFP:Exhibit A yearly cost per child and/or family. .7SupyJiemental Narrative to RFP: Exhibit B 4) Payment will only be remitted on cases open with, and "commendation(s) referrals made by the Weld County Department of Conditions of Approval Social Services. 5) Requests for payment must be an original submitted to the Weld County Department of Social Services by the end of 25'calendar day following the end of the month of service. The provider must submit requests for payment on forms approved by Weld County Department of Social Services. App vals: Program Official: J B By —. Dale K. Hall, Chair Judy . rieg irector Board of Weld County Commissioners Weld€€.ounty Department of Social Services Date: eve Ao.V q9 Date: .S/.2 y/QC 797-1-)6r (a-) 1.x40.31 , // ' r, INVITATION TO BID DATE: February 26, 1999 BID NO: RFP-FYC-99008 RETURN BID TO: Pat Persichino, Director of General Services 915 1Oth Street,P.O. Box 758, Greeley, CO 80632 SUMMARY Request for Proposal(RFP-FYC-99008)for. Family Preservation Program—Intensive Family Therapy Program Family Issues Cash Fund or Family Preservation Program F1t.th Deadline: March 23, 1999,Tuesday, 10:00 a.m. The Placement Alternatives 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.RS. 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 Placement Alternatives Commission wishes to approve services targeted to run from June 1, 1999,through May 31,2000, at specific rates for different types of service,the County will authorize approved vendors and rates for services only. The Intensive Family Therapy.Program must provide for therapeutic intervention through one or more qualified family therapists, typically with all family members, to improve family communication,function, and relationships. This program announcement consists of five parts, as follows: PART A...Adntinistrative Information PART D...Bidder Response Format PART B...Background,Overview and Goals PART E...Bid Evaluation Process PART C...Statenient of Work Delivery Date -- (After receipt of order) BID MUST BE SIGNED IN INK Karl Gills _ TYPED OR PRINTED SIGNATURE VENDOR North Colorado Medical Center — (Name) Handwritten Signature By Authorized Officer or Agent of Vender ADDRESS 1801 16th crrPPr TITLE Administrator Greeley, CO 80631 DATE 3/1/7) PHONE # 970-352-4121 The above bid is subject. to Terms and Conditions as attached hereto and incorporated. • RFP-FYC-99008 Attached A • INTENSIVE FAMILY THERAPY PROGRAM BID PROPOSAL FAMILY PRESERVATION PROGRAM 1999/2000 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 1999-2000 BID#RFP-FYC-99008 NAME OF AGENCY: NORTH COLORADO PSYCHCARE _ ADDRESS: 99R 17th Strear Greeley Co 80631 PHONE:( 970) 397-1056 CONTACT PERSON: Jeff Hauser TITLE: Manager DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Intensive Family Therapy Program must provide for therapeutic intervention through one or more qualified family therapists.typically with all family members.to improve family communication.functioning.and relationships. 12-Month approximate Project Dates: — 12-month contract with actual time lines of Start June 1. 1999 Start End May 31. 1999 End TITLE OF PROJECT: TNTENSTVF FAMTLY TREATMENT PROGRAM MERLE EVANS 3/17/99 Name and Signature of Person Preparing Document Date, 400,404.44.4 KART r 2rT T S �7/e// J f 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 Proposal for Bid For renewal bids,please indicate which of the required sections have not changed from Program Fund Year 1998-1999 to Program Fund Year 1999-2000. Indicate No Change from FY 1998-1999 X Project Description X Target/Eligibility Populations X Types of services Provided X Measurable Outcomes X Service Objectives Workload Standards Staff Qualifications X Unit of Service Rate Computation X Program Capacity per Month X Certificate of Insurance Dnno 70 ,, Zc RFP-FYC-99008 Attached A ----------------------------------- -------------------- - - --------------- Date of Meeting(s)with Social Services Division Supervisor:/{ '� �� L C �� n Comments SSD Supervisor: ti—e °-L1-14„ f %r2 ' - 'r '4,-, may' /j,/' / ,- f ,/'7., �--E1 a____ .4'•6 C.--11 I': ^--(t -\,{fill j 7 /%/i Name and Signature of SSD Supervisor Date FYC PROPOSAL Project Description PSYCHCARE TREK/FRC Program has the capacity to address the multifaceted needs of parents/families of adolescents experiencing significant emotional, behavioral, educational, interpersonal, and familial problems and to prevent out of home placement and to prepare the home for safe re-entry of the youth. As such, it serves the parent suffering from a wide range of psychiatric disorders and chemical dependency. At the intensive outpatient level TREK/FRC can assess and treat these parents while minimizing the disruption to work and family schedules. PSYCHCARE TREK/FRC programming will consist of 6-9 hours per week per family; including individual and group therapy, individual and multifamily groups, in- home visits, access to nursing and psychiatric services. Breathalyzers and urine testing services are available, under a separate fee schedule. When indicated psychotropic medications are also administered. 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 the treatment plan. Progress toward treatment goals will be communicated in biweekly phone reports to WDSS caseworkers. A written discharge summary will be completed and forwarded at the completion of treatment. A strength of our services is the collaborative approach to the complexity of issues with youth and parents. A strong emphasis is placed on working with all agencies/services involved with the family. We prioritize communications in our collaborative approach. PSYCHCARE TREK/FRC 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. 1 ; ) j •0 ! c } — � u . � \ � � � el- � 2 ) o \ { o \ � \) § Ci ! \ ) » Qn in o ) § / \ eo \ 4 & G ; ) \ \ r. em \ / a ° � } u I.9 ) f\ / \ 2 \ § 0 ) ( ) g ) ) \ C/) j u « ; 3992 o ® - ® \\ § 122 ` 2 ° li ) ,! >-' -8 / \j « \ t [ 7323 / / _ O• O , \ )" z — / co 7 2 ; / te \ \ 2 :4-• - § / j } O 0 E ) k ) •\ \ 00" \ & g \ a \ § . E U ) 2 § ; Ti ( ) \ & � E m % t ) ) § & em ; -s _ { 2 m » - ©Ex w \ \ \ � 5 \ \ U ) � \ \ ( \ u § § } e \s ) = 7 \ 2 ® ` ) } \ t k § jK 74 ( ) \ \ ) ( / ) , e y Q a - } e J § @ & A R a \~ # ( / \ It , k & G d \ d / — Ill. TYPE OF SERVICES TO BE PROVIDED A. Comprehensive diagnostic and treatment planning services will be delivered using a modified case conference format. The initial therapy session will be comprised of filling out a biopsychsocial 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 record release. Biweekly phone calls to WCDSS caseworkers will ensure accurate and timely communication of information between involved parties. B. Our therapeutic intervention will include 6-9 hours of service per week for 8-10 weeks. PSYCHCARE TREK/FRC 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 therapeutic services will be facilitated by a minimum of one Master's level therapist specializing in psychiatric, addiction, dual-diagnosis and family therapy. PSYCHCARE TREK/FRC staff is open to co-facilitating sessions with other accredited community providers. D. Our brief therapy solution oriented treatment approach will be focused, concrete and goal directed. As dictated by the RFP-FYC-99008 our focus will be on resolving conflict and disagreement within the family which 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 psychiatric, addiction, dual-diagnosis, communication skills, conflict resolution, anger management, parenting, behavior plans, substance abuse issues and stress management. 3 IV. 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. C. 100% of clients will receive therapeutic services provided by a minimum of one Master's Level therapist specializing in psychiatric, addiction, dual-diagnosis and family therapy. D. 1.00% of clients will receive therapy that is designed to address psychiatric, addiction and dual-diagnosis issues, 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. 4 IV. MEASURABLE OUTCOMES A. 60% children receiving services will not go into placement. This will be measured via: 1)gathering relevant information at discharge; and 2) FYC follow-up family questionnaires administered 6 months after discharge. B. 60% families remain intact. This will be measured via: 1) gathering relevant information at discharge; and 2) FYC follow-up family questionnaires administered 6 months after discharge. C. 55% children placed out of home will be reunified with their families. This will be measured via: 1) gathering relevant information 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 IFT services than to place a child out of the home. Utilizing a goal oriented brief therapy approach will ensure cost containment. 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 5 V. SERVICE OBJECTIVES A. 75% of our clients will demonstrate a decrease in family dysfunction due to psychiatric, addiction and dual-diagnosis issues; and 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. 6 VI. WORKLOAD STANDARDS A. The persons providing this service for North Colorado PSYCHCARE will be full-time Behavioral Health Therapists, who will not work more than 40 hours per week, 173 hours (on average) per month, and 2080 hours per year. B. PSYCHCARE TREK/FRC plans on treating no more than 12 families concurrently at its maximum capacity. This caseload will be handled by up to four Master's Level Therapists, with assistance from Psychiatrists, CAC III's, Registered Nurses and Registered Dieticians. C. Maximum caseload per therapist - 6 D. The treatment modality is a systems based approach to family therapy. The treatment philosophy is brief therapy with solution oriented interventions. E. Total Number of Hours of Service- Service Type Hrs/day Hrs/week Hrs/month Individual Therapy .3 1.0 4.0 Group Therapy 1.5 3.0 12.0 Family Therapy 1.0 2.0 10.0 F. Total number of individuals providing these services- Individual Therapy - 4 Therapists Family Therapy - 4 Therapists Group Therapy - 4 Therapists G. Maximum caseload per supervisor - 12 H. Insurance - See attached certificate of insurance 7 VII. STAFF QUALIFICATIONS A. The Mental Health Therapist providing services will have a minimum of a Master's Degree in psychology, counseling or a related field and work experience treating psychiatric, addiction, dual-diagnosis issues and family therapy. B. Four staff members will be available for this project with four providing direct service and one providing clinical supervision. In addition, two psychiatrists, three registered nurses, one occupational therapist and one registered dietician will provide services to the project. C. All staff members who work at PSYCHCARE TREK/FRC 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 Behavioral Health Therapists will be expected to attend a minimum of 8 hours of training and provide documentation of this for their personnel file. E. The Behavioral Health Therapists at PSYCHCARE TREK/FRC will receive one hour of supervision per week from a skilled therapist, experienced in psychiatric, addiction and dual-diagnosis issues and family therapy. F. The cliinical 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 RFP-FYC-99008 Attached A. VIII. COMPUTATION OF DIRECT SERVICE RATE This 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 only 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 54 Hours [A] Total Clients to be Served 7? Clients [B] Total Hours of Direct Service for Year 3888 Hours [C] (Line [A] Multiplied by Line [B] Cost per Hour of Direct Services $ 3R 33 Per Hour ID] Total Direct Service Costs $ 149,027.04 [E] (Line [C] Multiplied by Line [D] ) Administration Costs Allocable to Program $ 51.613.00 I[F] Overhead Costs Allocable to Program $ 61.955.02 [C] Total Cost, Direct and Allocated, of Programs_262,595.06 (H] Line [E] Plus Line [F] Plus Line [G] ) Anticipated Profits Contributed by this Program $ 36,780.94 [I] Total Costs and Profits to be Covered by this Program(Line [H] Plus Line [I] ) $ 299,376.00 NJ] Total Hours of Direct Service for Year 3888 [K] (Must Equal Line [C] ) Rate per Hour of Direct, Face-to-Face Service to be Charged to Weld County Department of Social Services $ 77.00 [L] Day Treatment Programs Only: Direct Service House Per Client Per Month [M] Monthly Direct Service Rate $ [N] Page 34 of35 7,& North Colorado Medical Center March 17, 1999 TO WHOM IT MAY CONCERN: RE: LUTHERAN HEALTH SYSTEMS Lutheran Hospitals and Homes Society of America Western Health Network, Inc. Country Health, L.L.C. North Colorado Medical Center(dba North Colorado PsychCare/North Colorado Family Recovery Center) This is to advise that Lutheran Health Systems, along with its subsidiary operations, are self- insured through the LHS Self-Insured Liability Trust. The effective date of this coverage is January 1, 1999 This coverage extends to all corporate entities as well as any employee working within the scope of their employment. The limits provided by the LHS Self-Insured Liability Trust are at least $1,000,000 per occurrence/$15,000,000 in the aggregate. Excess liability limits of $25,000,000 are provided through the American Healthcare Systems Risk Retention Group. If additional information is necessary, please contact Philip Holt, Insurance Manager at Lutheran Health Systems, Post Office Box 6200, Fargo, North Dakota 58106-6200 (701/277-7577) (FAX 701/277-7636). Sincerely, John Miller Assistant Administrator 1801 16th St. Greeley,CO 80631-5199 (970)352-4121 North Colorado PsychCare/ Family Recovery Center The mental health and addiction unit of North Colorado Medical Center David Aldridge Weld County DSS P.O. Box A Greeley, CO 80631 May 18th, 1999 Re: FYC Commission Recommendations Dear Mr. Aldridge: PsychCare/FRC's response to the FYC recommendations and conditions are as follows: 1. RFP 99008., Family Therapy - TREK • We are currently developing a plan to provide outreach services to the Ft. Lupton School District staff. These services will include staff training on anger management, conflict resolution and leadership training. We will expand this plan to include information sharing on the Intensive Family Therapy program and its availability to Ft. Lupton and other south Weld County residents. This site based service will continue to be housed at PsychCare/FRC in Greeley. • We will advertise this service through the LIIS system which has a medical clinic in Ft. Lupton. • PsychCare/FRC currently employs two bilingual staff members and is in the process of recruiting a third staff member with bilingual capabilities. • PsychCare/FRC has access to the NCMC translator service which provides translators for several languages as well as a computer translation program which translates written documents into numerous languages. • PsychCare/FRC will not charge for any service which is less than 45 minutes in duration unless prior approval is granted by the program area supervisor. 1 928 12th St. Greeley,CO 80631 (970)352-1056 (800)882-8297 (800)322-4673 2. RFP 99008, Intensive Family Therapy - Youth Passages • PsychCare/FRC has contracted Debra Prince to provide direct services in the Intensive Family Therapy Program. She will be available to provide direct services beginning on 6/01/99. • PsychCare/FRC will not charge for any service which is less than 45 minutes in duration unless prior approval is granted by the program area supervisor. 3. RFP 99006, Day Treatment - Youth Passages • Youth Passages bills only for direct client contact hours at the rate of$18.72 per hour. These direct service hours are tracked on a daily basis and submitted in monthly totals to the Department of Social Services. If you need any additional information or I can be of any further assistance please do not hesitate to contact me. Respectfully submitted, A kyov David Rastatter Youth Services Coordinator rtteitt., SERVICES DEPARTMENT OF SOCIAL P.O BOX A 1 GREELEY, COLORADO 80632 111 D Administration and Public Assistance (970) 352-1551 Child Support (970) 352-6933 Se rvices and Youth (970) 352-1923 Food Stamps (970) 356-3850 May 14, 1999 Fax (970) 353-5215 COLORADO Mr. Karl Gills, Administrator North Colorado Medical Center, Youth Passages 1801 16 Street Greeley, CO 80631 Re: RFP 99008 TREK, Intensive Family Therapy RFP 99008 Intensive Family Therapy RFP 99006 Day Treatment Dear Mr. Gills: The purpose of this letter is to outline the results of the RFP Bid process for PY1999-2000 and to request written information or confirmation from you by May 20, 1999. A. Results of the RFP Bid Process for PY1999-2000 On April 7, 1999, 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 and/or conditions regarding your RFP bid(s). 1. RFP 99008, Family Therapy. TREK: Recommendation: Youth Passages will work toward meeting a goal of providing services to South County and Bilingual/bicultural services. Condition: Payment will be denied to Intensive Family Therapy providers for any charge submitted for therapy 45 minutes or less unless cleared by explanation and approved by the program area supervisor. 2. RFP 99008, Intensive Family Therapy: Conditions: (1) North Colorado Medical Center, Youth Passages, IFT, will have contracted with staff in order for the lFT program to be in place by the beginning of the program year, June 1, 1999. (2)Payment will be denied to Intensive Family Therapy providers for any charge submitted for therapy 45 minutes or less unless cleared by explanation and approved by the program area supervisor. 3. RFP 99006. Day Treatment: Clarification: Is the program billing monthly or hourly? Page 2 North Colorado Medical Center, May 14, 1999 RFP 99008, IFT, TREK; RFP 99008, IFT; 99006, Day Treatment B. Required Response by RFP Bidders Concerning FYC Commission Recommendations and Conditions 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 David Aldridge, Weld County Department of Social Services, P.O. Box A, Greeley, CO, 80632, by May 20, 1999, close of business as follows: 1. FYC Commission Recommendations: You are requested to accept the recommendations 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. 2. FYC Commission Conditions: All conditions will be incorporated as part of your RFP Bid and Notification of Financial Assistance Award (NOFAA). If you do not accept the condition(s), you will not be authorized as a vendor unless your mitigating circumstances are accepted by the FYC Commission and the Weld County Department of Social Services. If you do not accept the condition, you must provide in writing reasons why. A meeting will be arranged to discuss your response. Your response to the above conditions will be incorporated in the RFP Bid and Notification of Financial Assistance Award. If you wish to arrange a meeting to discuss the above conditions and/or recommendations, please do so through Elaine Furister, 352.1551, extension 6295, and one will be arranged prior to May 20, 1999. Sincerely, llAj-J`t4yy A. ririjeg Dire for Weld County epartment of Social Services et' cc: Mike Hoover, Chair, FYC Commission David Aldridge, Social Services Manager 11 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 FY99-CORE-0003 Revision (RFP-FYC-99008) Contract Award Period Name and Address of Contractor Beginning 06/01/1999 and North Colorado PsychCare - Youth Passages Ending 05/31/2000 Intensive Family Therapy 928 12th Street Greeley, CO 80631 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Assistance The Youth Passages IFT program will consist of two to Award is based upon your Request for Proposal (RFP). four hours per week per family. The treatment model The RFP specifies the scope of services and conditions will be based on a brief therapy solution oriented model of award. Except where it is in conflict with this with an average length of treatment of 8 to 10 weeks. NOFAA in which case the NOFAA governs, the REP Parenting classes and a multifamily group are offered as upon which this award is based is an integral part of the adjunctive therapies at no extra charge. Home visits will action. be considered on a case-by-case basis. 60 total number Special conditions of clients under the age of 18, five monthly average capacity, two to four hours per week per family, for 8 to 1) Reimbursement for the Unit of Services will be based 10 weeks. on a monthly rate per child or per family. 2) The monthly rate will be paid for only direct face to Cost Per Unit of Service face contact with the child and/or family, as evidenced by client-signed verification form, as specified in the Hourly Rate Per $77.00 unit of costs computation. Unit of Service Based on Approved Plan 3) Unit of service costs cannot exceed the hourly and yearly cost per child and/or family. 4) Payment will only be remitted on cases open with, and Enclosures: referrals made by the Weld County Department of viigned RFP:Exhibit A Social Services. Sup emental Narrative to RFP: Exhibit B 5) Requests for payment must be an original submitted to j�ecommendation(s) the Weld County Department of Social Services by the / 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 Dale K. all, Chair Judy . Grie , Direct Board of Weld County Commissioners Wel ount epartment of Social Services Date: o//'©.2/9 P Date: 4_2A/€5 99i9-(0 9LA) INVITATION TO BID DATE: February 26, 1999 BID NO: RFP-FYC-99008 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-99008) for: Family Preservation Program--Intensive Family Therapy Program Family Issues Cash Fund or Family Preservation Program Funds Deadline: March 23, 1999, Tuesday, 10:00 a.m. The Placement Alternatives 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 Placement Alternatives Commission wishes to approve services targeted to run from June I, 1999, through May 31, 2000, at specific rates for different types of service, the County will authorize approved vendors and rates for services only. The Intensive Family Therapy Program must provide for therapeutic intervention through one or more qualified family therapists, typically with all family members, to improve family communication, function, and relationships 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 Karl Gills TYPED OR PRINTED SIGNATURE VENDOR North Colorado Medical Center (Name) Handwritten Signature By Authorized Officer or Agent of Vender ADDRESS 1201 12rh srraar TITLE Administrator Greeley, CO 80631 DATE 3/VCI PHONE # 970-352-4121 The above bid is subject to Terms and Conditions as attached hereto and incorporated Page 1 of35 RFP-FYC-99008 Attached A INTENSIVE FAMILY LILLRAPY PROGRAM BID PROPOSAL FAMILY PRESERVATION PROGRAM 1999/2000 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 1999-2000 BID #RFP-FYC-99008 NAME OF AGENCY: North Colorado Medical Center ADDRESS: 1801 16th Street, Greeley, CO 80631 PHONE: 1970 ) 352-4121 CONTACT PERSON: Jeff J. Hauser TITLE: Manager, Behavioral Health Service DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Intensive Family Therapy Program must provide for therapeutic intervention through one or more qualified family therapists.typically with allTamily members.to improve family communication.functionine-and relationships. 12-Month approximate Project Dates: _ 12-month contract with actual time lines of: Start June 1. 1999 start June 1, 1999 End May 31. 1999 End May 31 . 2000 TITLE OF PROJECT: Youth Passages --q [b11 Name and Signature of Perso r c nt Date Karl Gills 1/V, Name and Signature Chief Administrative Officer Applicant Agency Datey 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 1998-1999 to Program Fund Year 1999-2000. Indicate No Change from FY 1998-1999 Project Description X _ Target/Eligibility Populations X _ _ Types of services Provided X _ Measurable Outcomes X — _ Service Objectives X — Workload Standards X — _ Staff Qualifications X Unit of Service Rate Computation X — Program Capacity per Month Certificate of Insurance X Page 29 of 35 r ` ,r RFP-FYC-99008 Attached A i Date of Meeting(s)with Social Services Division SuperMisor: } „ --Gti.� < ,Q-(A,1/4-/N-r\1 . 7 // Comments/by SSD Supervisor: . �- 1- : �. -1 A7�-� t-eci -e' c,---c-_-<_,..A,__� Name and Signature of SSD Supervisor Date i Page 30 of35 FYC PROPOSAL I. PROJECT DESCRIPTION Youth Passages has been an FYC day treatment provider for six 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 which 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 (IFT) . The Youth Passages IFT program will consist of 2 to 4 hours of direct service per week per family. The treatment will be based on a brief therapy solution oriented model with an average length of treatment of 8 to 10 weeks. Home visits will be considered on a case by case basis. Youth Passages IFT 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 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. P. ! / Iii} | I• _ \) a / % a \ a ) E § ) lb I ) / k ) k a) ± 2 g,..' -g 0 a 0B § k = ael pica = \) kk \ e \ t @E . ] N § \ } § � \\ \ k 7 ° ^ � � 5 \ � \ 7 § % § 0 ea ° / a ° � ° / 2@f 322 . / ° ; 2eeo « AW v $ ( gE/ k•- o ~ 0 - } A to cis in el 7 00 B k \ § E 2. | ) \ \ _ k » ) § _ & } P. \ A8 \ . ) at \ 2 0 © / ! E 2 k a. .8 f / ) \ ) O ] « r § te e a } [ $ / ] « 4 ] 0 ( 0 } / I / { \ / ; ] \ . & f k § ° § ] k / .E / J k \ § \ § \ -. >,4- ® , � m \ \ \ / ® \ � H tE \ 2 + ) \ ) s / E | [ a - o F. 7 \ 0 7 § ) : © # » Eo / $ % ( \ \ rip ~ \ ( } $ Zet w k & G b \ } 2 & III. TYPE OF SERVICES TO BE PROVIDED A. Comprehensive diagnostic and treatment planning services will be delivered using a modified case conference format. 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 record release. Biweekly phone calls to WCDSS caseworkers will ensure accurate and timely communication of information between involved parties. B. Our therapeutic intervention will include 2-4 hours of family therapy per week for 8-10 weeks. 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 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 . D. Our brief therapy solution oriented treatment approach will be focused, concrete and goal directed. As dictated by the RFP-FYC-99008 our focus will be on resolving conflict and disagreement within the family which 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. 3 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. 4 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. 60% 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 IFT services than to place a child out of the home. Utilizing a goal oriented brief therapy approach will ensure cost containment. 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. 5 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. 6 VI. WORKLOAD STANDARDS A. The person providing this service for North Colorado PsychCare will be a part-time contract therapist who will not work more than 40 hours per week, 173 (on average) per month, and 2080 per year. B. Youth Passages plans on treating no more than 6 families concurrently at its maximum capacity. This caseload will be handled by one Master' s Level therapist. C. Maximum caseload per therapist - 6 D. The treatment modality is a systems based approach to family therapy. The treatment philosophy is brief therapy with solution oriented interventions. E. Total Number of Hours of Service - 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 F. Total number of individuals providing these services- Family Therapy - 1 therapist G. Maximum caseload per supervisor - 6 H. Insurance - See attached certificate of insurance 7 VII. STAFF QUALIFICATIONS A. The Mental Health Therapist providing services will have a minimum of a Master's Degree in psychology, counseling or a related field and work experience treating children, adolescents and families. B. Two staff members will be available for this project with one providing direct service and one providing clinical supervision. 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 Therapist 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 RFP-FYC-9900 8 Attached A VIII. COMPUTATION OF DIRECT SERVICE RATE This 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 only 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 40 Hours [A] Total Clients to be Served 60 Clients [B] Total Hours of Direct Service for Year 2,400 Hours [C] (Line [A] Multiplied by Line [B] Cost per Hour of Direct Services $ 25 Per Hour [D] Total Direct Service Costs $ 60.000 [E] (Line [C] Multiplied by Line (D] ) Administration Costs Allocable to Program $ 42.362.40 [F] Overhead Costs Allocable to Program $ 45,095 [G] Total Cost, Direct and Allocated, of Program$ 147,457.40 [H] Line [E] Plus Line [F] Plus Line [G] ) Anticipated Profits Contributed by this Program $ 37,342.60 [I] Total Costs and Profits to be Covered by this Program(Line [H] Plus Line [I] ) $ 184,800 [,j] Total Hours of Direct Service for Year 2,'00 [K] (Must Equal Line [C] ) Rate per Hour of Direct, Face-to-Face Service to be Charged to Weld County Department of Social Services $ 77.00/hr [L] Day Treatment Programs Only: Direct Service House Per Client Per Month [M] Monthly Direct Service Rate $ [N] Page 34 of 35 • North Colorado Medical Center March 17, 1999 TO WHOM IT MAY CONCERN: RE: LUTHERAN HEALTH SYSTEMS Lutheran Hospitals and Homes Society of America Western Health Network, Inc. Country Health, L.L.C. North Colorado Medical Center (dba North Colorado PsychCare/North Colorado Family Recovery Center) This is to advise that Lutheran Health Systems, along with its subsidiary operations, are self- insured through the LHS Self-Insured Liability Trust. The effective date of this coverage is January 1, 1999 This coverage extends to all corporate entities as well as any employee working within the scope of their employment. The limits provided by the LHS Self-Insured Liability Trust are at least $1,000,000 per occurrence/$15,000,000 in the aggregate. Excess liability limits of $25,000,000 are provided through the American Healthcare Systems Risk Retention Group. If additional information is necessary,please contact Philip Holt, Insurance Manager at Lutheran Health Systems, Post Office Box 6200, Fargo, North Dakota 58106-6200 (701/277-7577) (FAX 701/277-7636). Sincerely, John Miller Assistant Administrator 1801 16th St. Greeley,CO 80631-5199 (970)352-4121 A member of Western Plains Health Network North Colorado PsychCare/ Family Recovery Center The mental health and addiction unit of North Colorado Medical Center David Aldridge Weld County DSS P.O. Box A Greeley, CO 80631 May 18th, 1999 Re: FYC Commission Recommendations Dear Mr. Aldridge: PsychCare/FRC.'s response to the FYC recommendations and conditions are as follows: 1. RFP 99008, Family Therapy - TREK • We are currently developing a plan to provide outreach services to the Ft. Lupton School District staff. These services will include staff training on anger management, conflict resolution and leadership training. We will expand this plan to include information sharing on the Intensive Family Therapy program and its availability to Ft. Lupton and other south Weld County residents. This site based service will continue to be housed at PsychCare/FRC in Greeley. • We will advertise this service through the LIIS system which has a medical clinic in Ft. Lupton. • PsychCare/FRC currently employs two bilingual staff members and is in the process of recruiting a third staff member with bilingual capabilities. • PsychCare/FRC has access to the NCMC translator service which provides translators for several languages as well as a computer translation program which translates written documents into numerous languages. • PsychCare/FRC will not charge for any service which is less than 45 minutes in duration unless prior approval is granted by the program area supervisor. 1 928 12th St. Greeley, CO 80631 (970)352-1056 (800) 882-8297 (800)322-4671 1 2. RFP 99008., Intensive Family Therapy - Youth Passages • PsychCare/FRC has contracted Debra Prince to provide direct services in the Intensive Family Therapy Program. She will be available to provide direct services beginning on 6/01/99. • PsychCare/FRC will not charge for any service which is less than 45 minutes in duration unless prior approval is granted by the program area supervisor. 3. RFP 99006.. Day Treatment - Youth Passages • Youth Passages bills only for direct client contact hours at the rate of$18.72 per hour. These direct service hours are tracked on a daily basis and submitted in monthly totals to the Department of Social Services. If you need any additional information or I can be of any further assistance please do not hesitate to contact me. Respectfully pe submitted, czo David Rastatter Youth Services Coordinator 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 FY99-PAC-10000 Revision (RFP-FYC-99006) Contract Award Period Name and Address of Contractor Beginning 06/01/1999 and North Colorado PsychCare -Youth Passages Ending 05/31/2000 Day Treatment Program 928 12th Street Greeley, CO 80631 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Assistance Adolescent Partial Hospitalization 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. 96 adolescents(10-18 yrs)per year, Special conditions eight monthly average capacity, 40 hours per week, for 12-20 weeks.. 1) Reimbursement for the Unit of Services will be based on a monthly rate per child or per family. Cost Per Unit of Service 2) The monthly rate will be paid for only direct face to face contact with the child and/or family, as evidenced Hourly Rate Per Unit of Service $ 18.72 by client-signed verification form, as specified in the Based on Approved Plan(Day-Treatment) unit of costs computation. 3) Unit of service costs cannot exceed the hourly and En 1 r yearly cost per child and/or family. Signed RFP:Exhibit A 4) Payment will only be remitted on cases open with, and .VSupple ental Narrative to RFP: Exhibit B referrals made by the Weld County Department of _✓Recommendation(s) Social Services. 5) Requests for payment must be an original submitted to Conditions of Approval the Weld County Department of Social Services by the end of the 25'" calendar day following the end of the month of service. The provider must submit requests for payment on forms approved by Weld County Department of Social Services. A vals: Program Official: By By Z Dale K. Hall, Chair Judy A riego, irector Board of Weld County Commissioners Weld o my Department f Social Services Date: _06 Date: 5/ 1)(--t g 9 9) 69 � �) INVITATION TO BID DATE: February 26, 1999 BID NO: RFP-FYC-99006 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-99006) for: Family Preservation Program--Day Treatment Program Family Issues Cash Fund or Family Preservation Program Funds Deadline: March 23, 1999, Tuesday, 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, 1999, through May 31, 2000, 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 Karl Gills TYPED OR PRINTED SIGNATURE VENDOR North Colorado Medical Center (Name) Handwritten Signature By Authorized Officer or Agent of Vender ADDRESS 1801 16th Street TITLE Administrator�J Greeley, CO 80631 DATE y(O2 PHONE# q7n -352-4121 The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 35 RFP-FYC-99006 Attached A DAY TREATMENT PROGRAM BID PROPOSAL FAMILY PRESERVATION PROGRAM 1999/2000 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 1999-2000 BID#RFP-FYC-99006 NAME OF AGENCY: North Colorado Medical Center ADDRESS: 1801 lhth Street rrertey, CO 80'31 ._ PHONE:1970 )352-4121 CONTACT PERSON: Jeff Hanger TITLE: Manager Behar ' 1 H 1th c vices DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Day Treatment Pro a am Category must provide a comprehensive.highly structured program alternative to placement that provides therapy and education for children. 12-Month approximate Project Dates: I2-month contract with actual time lines of: Start June I. 1999 Start June 1, 1999 End May 31. 1999 End May 31, 2000 TITLE OF PROJECT: Youth Passages 3) 1Gn Name and Signature of Per .n tent Date Karl Gills 711-'41444 3/1,77 Name and Signature Chief Administrative Officer Applicant Agency Date MANDATORY PROPOSAL REQUIREMENTS Please initial to indicate that the following required sections are included in this proposal: Indicate No Change from FY 1998-1999 _ Project Description Target/Eligibility Populations X Types of services Provided g _ Measurable Outcomes X _ Service Objectives X _ Workload Standards X Staff Qualifications X Unit of Service Rate Computation X _ Program Capacity per Month X Certificate of Insurance X Page 29 of 35 RFP-FYC-99006 Attached A Date of Meeting(s)with Social Services Division Supervisor: p&p,2 eS,. it 199 9 Comments by SSD Supervisor: S o c a-{ te . ry�c e Q t C f i R$5ity-v f 1 tie i� - J[ Lv2 1`.re -bet `r t/ e_rs r� tti l < `e- by . t I `'Y� a o_.- P-D C n.r d i ,n q f¢� P t rA$:v r h o..t (cc-fey �{-A�..9, (1M..1 y Pi rrL.,.4 A c A -is *4 f lo .. I. Pr--i f_�g.es , r' / 0_, „v( Aae.G, 1// /9P g Name and Signature o(SSD Supervisor Date A L Arta. le- s se z Page 30 of 35 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 As a partial hospitalization program, 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) . When indicated psychotropic medications are also administered. In addition, an accredited BOCES classroom staffed by an affective needs teacher 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 home. 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This rate may only 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 Eor these Lines are Provided on the Following Page) Total Hours of Direct Service per Client 640 Hours [A] Total Clients to be Served 9A Clients [B] Total Hours of Direct Service for Year 61440 Hours (C] (Line (A] Multiplied by Line [B] Cost per Hour of Direct Services $ 13:.25 Per Hour [D] Total Direct Service Costs $ '814,080 [EJ (Line (C] Multiplied by Line [D] ) Administration Costs Allocable to Program $ 46,584.80 (F] h4 al Overhead Costs Allocable to Program $ 771 '11q (G] Total Cost, Direct and Allocated, of Program$1 ,131,983.80 [H] Line [E] Plus Line (F] Plus Line [G] ) Anticipated Profits Contributed by this Program p18, 173 [I] Total Costs and Profits to be Covered by this Program(Line (H] Plus Line (I] ) $ 1, 150,156.80 [J] Total Hours of Direct Service for Year 61,440 (K] (Must Equal Line (CJ ) Rate per Hour of Direct, Face-to-Face Service to be Charged to Weld County Department of Social Services $ 18.72 Day Treatment Programs Only: Direct Service House Per Client Per Month 110 [M] Monthly Direct Service Rate $ 2,059.20 [NJ Page 34 of35 North Colorado Medical Center March 17, 1999 TO WHOM IT MAY CONCERN: RE: LUTHERAN HEALTH SYSTEMS Lutheran Hospitals and Homes Society of America Western Health Network, Inc. Country Health, L.L.C. North Colorado Medical Center(dba North Colorado PsychCare/North Colorado Family Recovery Center) This is to advise that Lutheran Health Systems, along with its subsidiary operations, are self- insured through the LHS Self-Insured Liability Trust. The effective date of this coverage is January 1, 1999 'This coverage extends to all corporate entities as well as any employee working within the scope of their employment. The limits provided by the LHS Self-Insured Liability Trust are at least $1,000,000 per occurrence/$15,000,000 in the aggregate. Excess liability limits of $25,000,000 are provided through the American Healthcare Systems Risk Retention Group. If additional information is necessary, please contact Philip Holt, Insurance Manager at Lutheran Health Systems, Post Office Box 6200, Fargo, North Dakota 58106-6200 (701/277-7577) (FAX 701/277-7636). Sincerely, John Miller Assistant Administrator 1801 16th St. Greeley,CO 80631-5199 (970)3524121 A member of Western Plains Health Network s7 I t' North Colorado PsychCare/ Family Recovery Center The mental health and addiction unit of North Colorado Medical Center David Aldridge: Weld County DSS P.O. Box A Greeley, CO 80631 May 18th, 1999 Re: FYC Commission Recommendations Dear Mr. Aldridge: PsychCare/FRC's response to the FYC recommendations and conditions are as follows: 1. RFP 99008, Family Therapy - TREK • We are currently developing a plan to provide outreach services to the Ft. Lupton School District staff. These services will include staff training on anger management, conflict resolution and leadership training. We will expand this plan. to include information sharing on the Intensive Family Therapy program and its availability to Ft. Lupton and other south Weld County residents. This site based service will continue to be housed at PsychCare/FRC in Greeley. • We will advertise this service through the LEIS system which has a medical clinic in Ft. Lupton. • PsychCare/FRC currently employs two bilingual staff members and is in the process of recruiting a third staff member with bilingual capabilities. • PsychCare/PRC has access to the NCMC translator service which provides translators for several languages as well as a computer translation program which translates written documents into numerous languages. • PsychCare/FRC will not charge for any service which is less than 45 minutes in duration unless prior approval is granted by the program area supervisor. 1 928 12th St. Greeley,CO 80631 (970)352-1056 (800)882-8297 (800)322-4673 2. RFP 99008, Intensive Family Therapy- Youth Passages • PsychCare/FRC has contracted Debra Prince to provide direct services in the Intensive Family Therapy Program. She will be available to provide direct services beginning on 6/01/99. • PsychCare/FRC will not charge for any service which is less than 45 minutes in duration unless prior approval is granted by the program area supervisor. 3. RFP 99006, Day Treatment - Youth Passages • Youth Passages bills only for direct client contact hours at the rate of$18.72 per hour. These direct service hours are tracked on a daily basis and submitted in monthly totals to the Department of Social Services. If you need any additional information or I can be of any further assistance please do not hesitate to contact me. Respectfully submitted, 1\16 'V David Rastatte:r Youth Services Coordinator 4111, \\ DEPARTMENT OF SOCIAL SERVICES P.O. BOX A JJJ GREELEY, COLORADO 80632 Administration and Public Assistance (970) 352-1551 Child Support (970) 352-6933 Se rvices and Youth Services (970) 352-1923 Food Stamps (970) 356-3850 COLORADO May 14, 1999 Fax (970) 353-5215 Mr. Karl Gills, Administrator North Colorado Medical Center, Youth Passages 1801 16 Street Greeley, CO 80631 Re: RFP 99008 TREK, Intensive Family Therapy RFP 99008 Intensive Family Therapy RFP 99006 Day Treatment Dear Mr. Gills: The purpose of this letter is to outline the results of the RFP Bid process for PY1999-2000 and to request written information or confirmation from you by May 20, 1999. A. Results of the RFP Bid Process for PY1999-2000 On April 7, 1999, 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 and/or conditions regarding your RFP bid(s). 1. RFP 99008, Family Therapy. TREK: Recommendation: Youth Passages will work toward meeting a goal of providing services to South County and Bilingual/bicultural services. Condition: Payment will be denied to Intensive Family Therapy providers for any charge submitted for therapy 45 minutes or less unless cleared by explanation and approved by the program area supervisor. 2. RFP 99008, Intensive Family Therapy: Conditions: (1) North Colorado Medical Center, Youth Passages, IFT, will have contracted with staff in order for the IFT program to be in place by the beginning of the program year, June 1, 1999. (2) Payment will be denied to Intensive Family Therapy providers for any charge submitted for therapy 45 minutes or less unless cleared by explanation and approved by the program area supervisor. 3. RFP 99006. Day Treatment: Clarification: Is the program billing monthly or hourly? Page 2 North Colorado Medical Center, May 14, 1999 RFP 99008, IFT, TREK; RFP 99008, IFT; 99006, Day Treatment B. Required Response by RFP Bidders Concerning FYC Commission Recommendations and Conditions 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 David Aldridge, Weld County Department of Social Services, P.O. Box A, Greeley, CO, 80632, by May 20, 1999, close of business as follows: 1. FYC Commission Recommendations: You are requested to accept the recommendations 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. MI approved recommendations under the NOFAA will be monitored and evaluated by the FYC Commission. 2. FYC Commission Conditions: All conditions will be incorporated as part of your RFP Bid and Notification of Financial Assistance Award (NOFAA). If you do not accept the condition(s), you will not be authorized as a vendor unless your mitigating circumstances are accepted by the FYC Commission and the Weld County Department of Social Services. If you do not accept the condition, you must provide in writing reasons why. A meeting will be arranged to discuss your response. Your response to the above conditions will be incorporated in the RFP Bid and Notification of Financial Assistance Award. If you wish to arrange a meeting to discuss the above conditions and/or recommendations, please do so through Elaine Furister, 352.1551, extension 6295, and one will be arranged prior to May 20, 1999. Sincerely� J y A. rieg Dire for Id County epartment of Social Services of cc: Mike Hoover, Chair, FYC Commission David Aldridge, Social Services Manager II Hello