HomeMy WebLinkAbout20241810.tiffRESOLUTION
RE: APPROVE AMENDMENT #2 TO MEMORANDUM OF UNDERSTANDING FOR
COLORADO CHANGE MANAGEMENT REDESIGN (CMRD) FUNDING ALLOCATION
FOR CASE MANAGEMENT AGENCY (CMA) AND AUTHORIZE CHAIR PRO-TEM TO
SIGN - HEALTH MANAGEMENT ASSOCIATES, INC. (HMA)
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 #2 to the Memorandum of
Understanding for Colorado Change Management Redesign (CMRD) Funding Allocation for the
Case Management Agency (CMA) 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, and Health Management Associates, Inc. (HMA), commencing June 25, 2024,
and ending July 31, 2024, 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 Amendment #2 to the Memorandum of Understanding for Colorado
Change Management Redesign (CMRD) Funding Allocation for the Case Management Agency
(CMA) 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, and Health
Management Associates, Inc. (HMA), be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair Pro-Tem be, and hereby is,
authorized to sign said amendment.
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Og/i6/ q
2024-1810
HR0096
AMENDMENT #2 TO MEMORANDUM OF UNDERSTANDING FOR COLORADO CHANGE
MANAGEMENT REDESIGN (CMRD) FUNDING ALLOCATION FOR CASE MANAGEMENT
AGENCY (CMA) - HEALTH MANAGEMENT ASSOCIATES, INC. (HMA)
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 3rd day of July, A.D., 2024.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST:
Weld County Clerk to the Board
BY:
.tt)ailtoi (.46.
Deputy Clerk to the Board
VEDAS T
County At •rney
qI1xDate of signature: 12L4
EXCUSED
Keyi a_p. Ross, Chair
Perry L.
ck, Pro-Tem
Mike eeman
K. James
USED
ri Saine
2024-1810
HR0096
C,o riAvat+ 11A# N 38'
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: Health Management Associates Memorandum of Understanding Amendment #2.
DEPARTMENT: Human Services DATE: June 25, 2024
PERSON REQUESTING: Jamie Ulrich, Director, Human Services
Brief description of the problem/issue: On January 19, 2024 the Board approved a Memorandum of
Understanding between the Weld County Department of Human Service (WCDHS) and Health Management
Associates (HMA), known to the Board as Tyler ID 2024-0108. This MOU outlined the Scope of Work and Budget
for pass through funding that Weld County will use for technical assistance and transition planning support
regarding the Case Management redesign.
On April 10, 2024, the Board approved Amendment #1 to extend the Timeline for Work for Policy Support to
June 30, 2024.
The Department is now requesting approval of Amendment #2 to extend the Timeline for Work for Policy
Support to July 31, 2024.
The Amendment has been reviewed by Legal (B. Howell).
What options exist for the Board?
• Approval of the HMA Amendment #2.
• Deny approval of the HMA Amendment #2.
Consequences: WCDHS will not have an agreement in place to allow for the extended time to complete
the Scope of Work by July 31, 2024.
Impacts: The Case Management Agency will not have the extended time to have work completed by
the due date.
Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years):
• Pass through funding provided to WCDHS = $30,250.00. (No change)
• Funded through Colorado Department of Health Care Policy & Financing through Health Management
Associates. The funding associated with this request is solely for the purpose of this project.
2024-1810
Pass -Around Memorandum; June 25, 2024 - CMS ID 8438
1 /3 v-OV 1Lo
Recommendation:
• Approval of the Amendment and authorize the Chair to sign electronically.
Support Recommendation Schedule
Place on BOCC Agenda Work Session Other/Comments:
Perry L. Buck, Pro-Tem
Mike Freeman
Scott K. James
Kevin D. Ross, Chair
Lori Seine
w\t" f
i"
','(-
Pass -Around Memorandum; June 25, 2024 - CMS ID 8438
DocuSign Envelope ID: 94E38DDD-1FFC-4E82-8974-56BE0E8C0F8D
AMENDMENT #2 TO
MEMORANDUM OF UNDERSTANDING
This Second Amendment to Memorandum of Understanding ("Amendment") is made
and entered into effective June 25, 2024, by and between Health Management Associates, Inc., a
Michigan corporation, including its affiliates, subsidiaries, and/or parent company(ies)
("Company") and Weld County Department of Human Services ("Client").
RECITALS
Company and the Client are parties to a certain Memorandum of Understanding
regarding Consulting Services dated December 4, 2023 (as previously amended, the
"Agreement").
The parties wish to amend the Agreement as further stated herein.
AGREEMENT
NOW, THEREFORE, in consideration of the foregoing premises, the following mutual
terms and conditions, and other good and valuable consideration, the receipt and sufficiency of
which are hereby acknowledged, Company and the Client agree as follows:
1. Capitalized Terms. Capitalized terms not otherwise defined herein shall have the
meanings set forth in the Agreement.
2. Amendment. The Agreement shall be amended as follows:
A. Scope of Services. The Scope of Services section shall be amended as
follows:
The Memorandum of Understanding shall be amended according to the attached
Exhibit A.
3. Ratification. Except as expressly modified and amended hereby, the Agreement
and all the terms and provisions thereof are and shall remain in full force and effect and the same
are hereby ratified and confirmed. In the event of a dispute between the terms of the Agreement
and the terms of this Amendment, the terms of this Amendment shall control.
4. Counterparts. This Amendment may be executed in counterparts. Each executed
counterpart of this Amendment will constitute an original document, and all executed
counterparts, together, will constitute the same instrument.
1
o20a / /f/ )
DocuSign Envelope ID: 150A3389-1814-4E57-8F84-2779009E4A9E
IN WITNESS WHEREOF, the parties have executed and delivered this Amendment as
of the date first above written.
Health Management Associates, Inc., a
Michigan corporation
cDocuSigned by:
E36A79D3FDA045D...
Weld County Department of Human Services,
by and through Board of County
Commissioners, Weld County, Colorado
DocuSigned by:
0 `J1 Ol.11t4tl
Name: Jeffrey M. DeVries Name: 'erry Buck
Title: Contracts Senior Director
HMA Project #: 203092
Revised 09/15/2023
2
Title: Chair Pro-Tem
DocuSign Envelope ID: 94E38DDD-1FFC-4E82-8974-56BEOE8COF8D
EXHIBIT A
Scope of Work Request with Budget Details
Per the Department of Health Care Policy and Financing (the Department), there are specific
categories of technical assistance (TA) with which case management agencies (CMAs) may
request support. These include:
1. Policy support
2. Legal and corporate structure support
3. Staffing capacity support
4. Transition planning and support
5. Change management training
6. Strategic and organizational planning
7. Facilitation and community planning
8. Communications strategy and planning
The following definitions for each of these categories of TA are provided to help CMAs
understand the scope and types of support they may receive through HMA and various
subcontracted entities as part of the CMA Capacity Building project.
Policy Support
Assistance in accessing information about publicly available federal and state policies, in
particular Colorado state policies related to the Case Management Redesign and identifying what
will be needed to operationalize written policies provided by the state.
Legal and Corporate Structure Support
Assistance with identifying and implementing administrative, governance, finance, and
management structures as it relates to CMA transition processes.
Staffing Capacity Support
Assistance in identifying staffing capacity needs, staff retention and recruitment, and other
staffing concerns that may arise as a result of the planned transition.
Transition Planning and Support
Assistance to agencies in planning their transitions from their current state to the future state of
their agency/community after case management redesign. Every agency is contractually
obligated to submit a transition plan to the Department.
Change Management Training
Assistance with understanding and managing the operational and adaptive needs of all
stakeholders, including (as applicable) Board members, County Commissioners, leadership
teams, staff and clients for adapting to the changes driven by the CMA transitions. Focus is on
support for leadership, communications, culture change, and staff training needs.
3
DocuSign Envelope ID: 94E38DDD-IFFC-4E82-8974-56BE0E8C0F8D
Strategic and Organizational Planning
Assistance in determining the transition vision and goals of an agency and creating a roadmap
for getting there. Strengths, weaknesses, opportunities and threats analysis, and support for
strategic and operational planning for CMA transitions.
Facilitation and Community Planning
Assistance with facilitated engagement and outreach to communities, providers, and
clients/families.
Communications Strategy and Planning
Assistance with creating communication strategies and messages to all target audiences
regarding the transition.
Expected Deliverables and Timeline
All services and supports funded under this MOU must be related directly to the Sub -
Contractor's completion of a draft Case Management Agency Transition Plan. This Transition
Plan is a requirement of the Sub -Contractor's contract with HCPF for case management services
(Case Management Agency contract Closeout Plan).
Final Transition Plans must be submitted to the Department based on the date that the
Department determines and makes public. These Transition Plans will fulfill the Closeout Plan
requirements that Sub -Contractor has with the Department as part of its Case Management
Agency contract.
All resources used by the Sub -Contractor in under this MOU for the purposes of its Transition
Plan must be invoiced to HMA no later than August 10, 2024. The invoice from the CMA must
include evidence that the deliverable was provided. This can simply be the invoice from the
vendor indicating that the deliverable was produced, and an assurance of acceptance of the work
(deliverable) from the CMA.
Please complete the following table to define the scope of work requested, including:
Vendor for each row of activities
• TA Category from above list
• General description of the activity/work
• Deliverable associated with each row — the same deliverable may apply to multiple rows
of work, but not always
Timeline for each row
• Average hourly rate for each row of work
• Total Cost per row
• Total cost for entire scope of work
4
DocuSign Envelope ID: 94E38DDD-1FFC-4E82-8974-56BE0E8C0F8D
Scope of Work and Budget
Vendor
Cyntegral
LLC
TA
Category
Transition
Planning
and
Support
Description of
Activity
Collaborative
assistance with
development,
refinement, and
writing of an
Operations
Guide that
includes a
Communication
Plan, Business
Continuity Plan,
Start -Up Plan,
and Closeout
Plan.
Associated
Deliverable
RFP UHAA
2023000170,
Section
4.11.2.1
Deliverable:
Operations
Guide
Timeline
for Work
TBD
Per RFP
Section
4.11.3.2,
due within
30 business
days after
the Effective
Date (date
the contract
is signed
and
executed)
Hourly
Rate
$200.00
Hours
20
(Total
Cost)
$4,000.00
Cyntegral
LLC
Policy
Support
Per RFP UHAA
2023000170
Section 4.10.1.4.:
Create a Policy
and Procedures
Manual that
contains the
policies and
procedures for
all systems and
functions
necessary for the
Contractor to
complete its
obligations
under the
Contract.
Review, Update,
and Create CMA
program policies
and procedures
explicitly
identified in the
Per RFP UHAA
Written
Policy &
Procedures
that contribute
to the Policies
& Procedures
Manual
contract
deliverable
referenced in
RFP Section
4.10.1.5.1
October 16,
2022 to
July 31,
2024
Per RFP
Section
4.10.1.5.2:
Due no later
than the
operational
start date
$150.00
175
Due to the
scope and
breadth of
this
project,
an exact
amount of
time
cannot be
provided.
175 is a
"not to
exceed"
amount
$26,250
5
DocuSign Envelope ID: 94E38DDD-1FFC-4E82-8974-56BE0E8C0F8D
2023000170. See
list of examples
below.
Review, Update,
and Create CMA
program policies
and procedures
for non-SEP
programs
currently
managed by the
CCB for Service
Area 9. See list
of programs
below.
Review, Update,
and Create CMA
program policies
and procedures
for SEP
programs
currently
managed by the
SEP for Service
Area 9. See list
of programs
below.
Review, update,
and the creation
of policies and
procedures may
utilize the
following
resources: a)
existing P&Ps
from Weld and if
available other
agencies, CO
Regulations,
6
DocuSign Envelope ID: 94E38DDD-1FFC-4E82-8974-56BE0E8C0F8D
Rules, and
statues, b) HCPF
Operational and
Informational
Memos, c) RFP
UHAA
2023000170, and
d) the draft
contract
associated with
the RFP,
Appendix B.2
County Contract
Weld County
SEP will
determine how
P&Ps are
prioritized.
Total
requested
S30.250
For each deliverable, the future invoice will require some evidence of the work being completed,
typically an invoice from the vendor indicating the work was billed to the CMA for the work. If
needed, additional deliverables may be requested to verify the work was completed.
7
DocuSign
Certificate Of Completion
Envelope Id: 94E38DDD1 FFC4E82897456BE0E8C0F8D
Subject: 203092 Weld County DHS MOU 2023-16 Amendment 2
Source Envelope:
Document Pages: 7
Certificate Pages: 5
AutoNav: Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-05:00) Eastern Time (US & Canada)
Record Tracking
Status: Original
6/25/2024 10:01:08 AM
Signer Events
Jeffrey M. DeVries
jdevries@healthmanagement.com
Contracts Senior Director
Health Management Associates, Inc.
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events
Editor Delivery Events
Agent Delivery Events
Intermediary Delivery` Eventf
Certified Delivery Events
Carbon Copy Events
Perry L. Buck
HS-ContractManagement@co.weld.co.us
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Accepted: 6/25/2024 10:08:14 AM
ID: 8cddab70-57ec-4423-bbeb-fde6686968d4
Witness Events
Note
mt
Envelope Sent
Envelope Updated
Envelope Updated
Envelope Updated
Envelope Updated
Signatures: 1
Initials: 0
Status: Completed
Envelope Originator:
Austin Bossenberger
2501 Woodlake Circle
Suite 100
Okemos, MI 48864
abossenberger@healthmanagement.com
IP Address: 68.48.79.154
Holder: Austin Bossenberger Location: DocuSign
abossenberger@healthmanagement.com
Signature
DacuSipned by:
,,t,�Yt� M.. Vt ll's
E36A79D FDA045D..
Signature Adoption: Pre -selected Style
Using IP Address: 68.55.55.147
Signature
Status
ills
Status
Status
Status
COPIED
Signature
Signature
ttlIS
Hashed/Encrypted
Security Checked
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Timestamp
Sent: 6/25/2024 3:09:34 PM
Viewed: 6/25/2024 3:19:05 PM
Signed: 6/25/2024 3:19:10 PM
Timestamp
Timestamp
Timestamp
Timestai
Timestamp;
Timestamp
Sent: 6/25/2024 10:04:07 AM
Resent: 6/25/2024 3:19:11 PM
Viewed: 6/25/2024 10:08:14 AM
6/25/2024 10:04:07 AM
6/25/2024 3:09:33 PM
6/25/2024 3:09:33 PM
6/25/2024 3:09:33 PM
6/25/2024 3:09:33 PM
Envelope Summary Events
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Certified Delivered
Signing Complete
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Electronic Record and Signature Disclosure
Timestamps
6/25/2024 3:09:33 PM
6/25/2024 3:09:33 PM
6/25/2024 3:09:33 PM
6/25/2024 3:19:05 PM
6/25/2024 3:19:10 PM
6/25/2024 3:19:11 PM
Timestamps
Electronic Record and Signature Disclosure created on: 8/19/2016 4:51:42 PM
Parties agreed to: Perry L. Buck
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n
ct F
Entity Information
Entity Name
HEALTH MANAGEMENT
ASSOCIATES INC
Entity ID"
@00047969
Contract Name*
AMENDMENT #2 TO THE MEMORANDUM OF
UNDERSTANDING
Contract Status
CTB REVIEW
Q New Entity?
Contract ID
8438
Contract Lead *
SADAMS
Contract Lead Email
sadams@weld.gov;cobbx
xlk@weld.gov
Parent Contract ID
Requires Board Approval
YES
Department Project #
Contract Description
AMENDMENT #2 TO EXTEND TERMS OF THE SCOPE OF WORK TO ALLOW UNTIL JUNE 30, 2024 TO COMPLETE THE
SOW.
THIS IS PASS -THROUGH FUNDING FROM HMA THAT IS BEING PAID TO CYNTAGRAL TO COMPLETE THE SCOPE OF
WORK.
Contract Description 2
PA ROUTED THROUGH NORMAL PROCESS. ETA TO CTB ON 06/25/24.
Contract Type*
AMENDMENT
Amount *
$ 0.00
Renewable *
NO
Automatic Renewal
Grant
IGA
Department
HUMAN SERVICES
Department Email
CM-
HumanServices@weldgov.
com
Department Head Email
CM-HumanServices-
DeptHead@weldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WEL
DGOV.COM
Requested BOCC Agenda
Date *
07/03/2024
Due Date
06/29/2024
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept. to be
included?
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts
are not in OnBase
Contract Dates
Effective Date
Termination Notice Period
Contact Information
Review Date*
06/30/2024
Committed Delivery Date
Renewal Date
Expiration Date*
07/31/2024
Contact Info
Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head Finance Approver Legal Counsel
JAMIE ULRICH CHERYL PATTELLI BYRON HOWELL
DH Approved Date Finance Approved Date Legal Counsel Approved Date
06/26/2024 06/27/2024 06/27/2024
Final Approval
BOCC Approved Tyler Ref #
AG 070324
BOCC Signed Date Originator
SADAMS
BOCC Agenda Date
07/03/2024
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