HomeMy WebLinkAbout20242045.tiffRESOLUTION
RE: APPROVE AMENDMENT #3 TO MEMORANDUM OF UNDERSTANDING FOR
COLORADO CHANGE MANAGEMENT REDESIGN (CMRD) FUNDING ALLOCATION
FOR CASE MANAGEMENT AGENCY (CMA) AND AUTHORIZE CHAIR 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 #3 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 July 22, 2024,
and ending August 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 #3 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 be, and hereby is, authorized
to sign said amendment.
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2024-2045
HR0096
AMENDMENT #3 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 31st day of July, A.D., 2024, nunc pro tunc July 22, 2024.
BOARD OF COUNTY COMMISSIONERS
WELD COU
ATTEST:
Weld County Clerk to the Board
B .
Deputy Clerk to the Board
AP" • ED A
unty A
Date of signature:
Kev p -D. Ross, Chair
naf/r2
Perry L. Btk, Pro-Tem
Mike reeman
ri Saine
2024-2045
HR0096
Cuh ac+'D485Z3
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: Health Management Associates Memorandum of Understanding Amendment #3.
DEPARTMENT: Human Services DATE: July 23, 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.
On July 3, 2024, the Board approved Amendment #2 to extend the Timeline for Work for Policy Support to July
31, 2024.
The Department is now requesting approval of Amendment #3 to extend the Timeline for Work for Policy
Support to August 31, 2024.
What options exist for the Board?
Approval of the HMA Amendment #3.
Deny approval of the HMA Amendment #3.
Consequences: WCDHS will not have an agreement in place to allow for the extended time to complete
the Scope of Work by August 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.
Pass -Around Memorandum; July 23, 2024 - CMS ID 8523 2024-2045
-1/31 N 1(2-D0q to
Recommendation:
• Approval of Amendment #3 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 Saine
nne-
Pass-Around Memorandum; July 23, 2024 - CMS ID 8523
Docusign Envelope ID: A2E56003-C2DB-4F26-89F7-99418EE2A2DD
AMENDMENT #3 TO
MEMORANDUM OF UNDERSTANDING
This Third Amendment to Memorandum of Understanding ("Amendment") is made and
entered into effective July 22, 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.
Docusign Envelope ID: A2E56003-C2DB-4F26-89F7-99418EE2A2DD
IN WITNESS WHEREOF, the parties have executed and delivered this Amendment as
of the date first above written.
Health Management Associates, Inc., a Weld County Department of Human Services
Michigan corporation
DocuSigned by:
Vt, A it,s
ame:' evey M. DeVries
Title: Contracts Senior Director
HMA Project #: 203092
Revised 09/15/2023
2
Signed by:
.twin, V. TOSS
ame RI 93. Ross
Title: Chair weld County Commissioners
0.10,2V_ 02D
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.
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 31, 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
2
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
August 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
3
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, Rules,
and statues, b) HCPF
Operational and
Informational
4
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
$30,250
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.
5
DocuSign
Certificate Of Completion
Envelope Id: 6548BEA9B74742D394EAC64D207C15BA
Subject: 203092 MOU 2023-16 Weld County SOW Amendment 3
Source Envelope:
Document Pages: 2
Certificate Pages: 5
AutoNav: Enabled
Envelopeld Stamping: Enabled
Time Zone: (UTC-05:00) Eastern Time (US & Canada)
Record Tracking
Status: Original
7/22/2024 5:16:45 PM
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
Kevin D. Ross
bocc-contracts@weld.gov
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Accepted: 7/22/2024 6:13:52 PM
ID: 8146a9d2-f8fe-48e2-ab8e-70abd5bceabd
Signatures: 1
Initials: 0
Holder: Shelia Coleman
scoleman@healthmanagement.com
Signature
D«usgned ny:
E36A79D5FDA6d5D_.
Signature Adoption: Pre -selected Style
Using IP Address: 68.55.55.147
In Person Signer Events Signature
Editor Delivery Events , Status
Agent Delivery Events Status
Intermediary Delivery Events Status
Certified Delivery Events Status
Carbon Copy Events < Status
Shelia Coleman
scoleman@healthmanagement.com
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
For Processing
forprocessing@healthmanagement.com
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Status: Sent
Envelope Originator:
Shelia Coleman
2501 Woodlake Circle
Suite 100
Okemos, MI 48864
scoleman@healthmanagement.com
IP Address: 98.212.69.232
Location: DocuSign
Timestamp
Sent: 7/22/2024 5:23:03 PM
Viewed: 7/22/2024 5:23:47 PM
Signed: 7/22/2024 5:23:51 PM
Sent: 7/22/2024 5:23:52 PM
Viewed: 7/22/2024 6:13:52 PM
Timestamp
Timestamp
Timestamp
Timestamp
Timestamp
Timestamp
Carbon Copy Events Status
Accepted: 2/8/2024 3:03:46 PM
ID: e9ac5409-3d54-452f-98a0-d4288911bd46
Jonah LaVigne
jlavigne@healthmanagement.com
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via Dav Sign
Witness Events
Notary Events
Envelope Summary Events
Envelope Sent
Certified Delivered
Payment Events
Signature
Signature
Status
Hashed/Encrypted
Security Checked
Status
Electronic Record and Signature Disclosure
Timestamp
Timestamp
Timestamp
Timestamps
7/22/2024 5:23:03 PM
7/22/2024 6:13:52 PM
Timestamps
Contract Form
Entity Information
Entity Name* Entity ID*
HEALTH MANAGEMENT @00047969
ASSOCIATES INC
Contract Name*
AMENDMENT #3 TO THE MEMORANDUM OF
UNDERSTANDING
Contract Status
CTB REVIEW
Q New Entity?
Contract ID
8523
Contract Lead *
SADAMS
Contract Lead Email
sadams@weld.gov;cobbx
xlk@weld.gov
Parent Contract ID
20240108
Requires Board Approval
YES
Department Project #
Contract Description*
AMENDMENT #3 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 07/23/24.
Contract Type* Department
AMENDMENT HUMAN SERVICES
Amount"
$0.00
Renewable"
NO
Automatic Renewal
Grant
IGA
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
D.GOV
Requested BOCC Agenda
Date *
07/31/2024
Due Date
07/27/2024
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*
07/31/2024
Committed Delivery Date
Renewal Date
Expiration Date*
08/31/2024
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
07/24/2024 07/26/2024 07/26/2024
Final Approval
BOCC Approved Tyler Ref #
AG 073124
BOCC Signed Date Originator
SADAMS
BOCC Agenda Date
07/31/2024
Hello