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Home My WebLink About20242595.tiffRESOLUTION RE: APPROVE AMENDMENT #4 TO CONTRACT FOR JAIL BASED BEHAVIORAL HEALTH SERVICES AND AUTHORIZE CHAIR TO SIGN 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 #4 to the Contract for Jail Based Behavioral Health Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Sheriff's Office, and the Colorado Department of Human Services, Behavioral Health Administration, commencing upon full execution of signatures, and ending June 30, 2025, 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 #4 to the Contract for Jail Based Behavioral Health Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Sheriff's Office, and the Colorado Department of Human Services, Behavioral Health Administration, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said amendment. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 2nd day of October, A.D., 2024. BOARD OF COUNTY COMMISSIONERS WELD CO ATTEST: C� J Weld County Clerk to the Board B‘Actite Deputy Clerk to the Board APPRO ED A u y -v. rney to Date of signature: ° I Kev Ross, Chair Va-4(24 Perry L. Bk, Pro-Tem Mike F -eman on Saine CC : So (s K/KK/t3O) 1.12.4/24 2024-2595 SO0045 Con-h,ac-F IDk3139 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS AROUND TITLE: Amendment to Contract Number 25 IBEH 189024 resulting in a $14,000.00 reduction in funding for Jail Based Behavioral Services. DEPARTMENT: Weld County Sheriff's Office DATE: 9/13/2024 PERSON REQUESTING: Brandon Williams, Director of Inmate Services, Weld County Sheriff's Office. Brief description of the problem/issue: In Contract Amendment #4, 25 193644, the State exercised their option of reducing the funding in Contract Amendment #3, 25 IBEH 189024, from $300,000.00 to $286,000.00. The State replaced Exhibit B-4, with Exhibit B-5 (see attached) indicating a $14,000.00 reduction in the FY25 budget for substance use disorder and mental health treatment. What options exist for the Board? Section 5.B.v. of the Original Contract provides the State with the option to increase or decrease the quantity of services at the rates stated in the original contract. Consequences: This reduction in funding will not impact the program's ability to satisfy the requirements of the contract and does not impact future staffing patterns. The JBBS program continues to be funded to account for a fully staffed program. Impacts: The reduction in funding will restrict the program's access to Recovery Support Services. The managers of the JBBS program will mitigate this impact by seeking alternative funding sources and by being fiscally responsible while approving Recovery Support Services. Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): The JBBS Program would continue at no cost and provide additional funding for substance abuse and mental health treatment which has proven to be an asset to the Weld County Sheriff's Office and the citizens of Weld County. Recommendation: It is recommended that the Weld County Board of County Commissioners enter this amended contract. Karin McDougal, Weld County Attorney, has reviewed and approved this contract. 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 60_ 2024-2595 l/Z SO 0045 IJUTA.Ibl I I CI IVCIU, IU. V / J Fmr Cr-u.7l O-'4UC1�-.7VVL-OUV4VCJG0/ r\+ CONTRACT AMENDMENT #4 SIGNATURE AND COVER PAGE State Agency Colorado Department of Human Services Behavioral Health Administration Original Contract Number 23 IBEH 174482 Contractor Weld County Colorado for the use and benefit of Weld County Sheriffs Department Amendment Contract Number 25 IBEH 193644 Current Contract Maximum Amount Initial Term State Fiscal Year 2023 $354,979.00 Extension Terms State Fiscal Year 2024 $340,000.00 State Fiscal Year 2025 $286,000.00 Total for All State Fiscal Years $980,979.00 Contract Performance Beginning Date July 1, 2022 Current Contract Expiration Date June 30, 2025 THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment and to bind the Party authorizing his or her signature. CONTRACTOR Weld County Colorado for the use and benefit of Weld County Sheriffs Department p -Signed by: By: Kevin i.`R `t Thair, Board of County Commissioners Date: 10/8/2024 STATE OF COLORADO Jared Polis, Governor Colorado Department of Human Services Michelle Barnes, Executive Director Signed by: 50A.vultt, K Smitt‘ &t 1F9S7C9 D... By: Dannette e. math, ommissioner, Behavioral Date: Health Administration 10/8/2024 In accordance with §24-30-202 C.R.S., this Amendment is not valid until signed and dated below by the State Controller or an authorized delegate. By: STATE CONTROLLER Robert Jaros, CPA, MBA, JD ,e-DocuSigned by: /Imn �4 Toni Williams& I lIson / Amanda Rios Amendment Effective Date: 10/10/2024 Amendment Contract Number: 25 IBEH 193644 Page 1 of 3 Rev. 1/14/19 2bZc1—?- --"n 1. PARTIES This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover Page for this Amendment (the "Contract") is entered into by and between the Contractor, and the State. 2. TERMINOLOGY Except as specifically modified by this Amendment, all terms used in this Amendment that are defined in the Contract shall be construed and interpreted in accordance with the Contract. 3. AMENDMENT EFFECTIVE DATE AND TERM A. Amendment Effective Date This Amendment shall not be valid or enforceable until the Amendment Effective Date shown on the Signature and Cover Page for this Amendment. The State shall not be bound by any provision of this Amendment before that Amendment Effective Date, and shall have no obligation to pay Contractor for any Work performed or expense incurred under this Amendment either before or after of the Amendment term shown in §3.B of this Amendment. B. Amendment Term The Parties' respective performances under this Amendment and the changes to the Contract contained herein shall commence on the Amendment Effective Date shown on the Signature and Cover Page for this Amendment and shall terminate on the termination of the Contract. 4. PURPOSE In accordance with the provisions of this Contract and its exhibits and attachments, the Contractor shall provide substance abuse and mental health treatment in the Weld County jail. The purpose of this amendment is to update and replace the following exhibit with the most current version for Fiscal Year 2025: the Exhibit B-4, Budget. This amendment reduces the FY25 Budget by $14,000 for Substance Use Disorder Treatment funds resulting in a new FY25 Budget of $286,000.00. 5. MODIFICATIONS The Contract and all prior amendments thereto, if any, are modified as follows: A. The Contract Maximum Amount table on the Contract's Signature and Cover Page is hereby deleted and replaced with the Current Contract Maximum Amount table shown on the Signature and Cover Page for this Amendment. B. REPLACE Exhibit B-4, Budget, with Exhibit B-5, Budget, attached and incorporated by reference. Amendment Contract Number: 25 IBEH 193644 Page 2 of 3 Rev. 1/14/19 6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE This Amendment is incorporated by reference into the Contract, and the Contract and all prior amendments or other modifications to the Contract, if any, remain in full force and effect except as specifically modified in this Amendment. Except for the Special Provisions contained in the Contract, in the event of any conflict, inconsistency, variance, or contradiction between the provisions of this Amendment and any of the provisions of the Contract or any prior modification to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and control. The provisions of this Amendment shall only supersede, govern, and control over the Special Provisions contained in the Contract to the extent that this Amendment specifically modifies those Special Provisions. REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK Amendment Contract Number: 25 IBEH 193644 Page 3 of 3 Rev. 1/14/19 Exhibit B-5 IF* IP Restd COLORADO Behavioral Health Administration EXHIBIT B-5, FY25 ANNUAL BUDGET BHA Program JBBS Agency Name Weld County Budget Period July 1, 2024 - June 30, 2025 Project Name JBBS Program Contact, Title Phone Email Mike Knee, Director of Inmate Services 970-4002-3937 mknee@weldgov.com Fiscal Contract, Title Phone Email Kevin Halloran, Lieutenant 970-400-2837 khalloran@weldgov.com Date Completed August 21, 2024 SERVICE CATEGORIES Services (Fixed Price per rate Schedule) Funding Source Total Substance Use Disorder Treatment State General Fund $157,000.00 Mental Health Treatment State General Fund $129,000.00 Total Contract $286,000.00 JBBS RATE SCHEDULE Statewide Maximum Salaries Positions should be hired at salary levels indicative of qualifications, experience, and organization pay schedules. This table indicates a maximum salary only. It is understood that many positions will be hired at lower salary levels than the state maximum. Licensed Therapist LPC/LCSW/LAC/LMFT,* $84,872/year Unlicensed Master's Level Therapist or Substance Abuse Counselor (example CAS)* $68,959/year Unlicensed Bachelor's Level Therapist or Substance Abuse Counselor (example CAS)* $63,654/year Case Manager (CM) * $58,349/year Addiction Technician (CAT) $44,558/year (Certified Physician Assistance (PA) * $127,308/year MD/DO * $266,569/year JBBS Program Administrator (Primary responsibility of managing the jail's JBBS program.) * $103,538/year Pre -sentence Coordinator * $72,100/year Pharmascist (Pharm-D) $135,891/year Registered Nurse * $76,385/year Data Entry Clerk $42,436/year Peer Support Specialist $36,050/year Qualified Medication Administration Person (QMAP) $15.97/hour *BHA will reimburse salaries up to the state maximum *BHA may consider rates 10% above statewide maximum salaries pending justification from jails and written pre -approval by BHA Travel Mileage (IRS rate) $0.67/mile Operating Expenses Maximum total percentage of contract budget 10% Training and continuing education for jail employees/clinicians Informed Care, (Certified Addiction Specialist -Classes only) (including may but not limited to QMAP, CIT, Motivational Interviewing, Mental Health First Aid, Trauma be included in the operating expenses BHA may pay for one licensing test per clinician (NCE, MAC, NCAC). Up to $200 per clinician, per test. BHA may consider operating expenses above 10% of total contract budget pending justification from jails and written pre -approval by BHA Indirect Expenses Maximum total percentage of contract budget 10% BHA may consider operating expenses above 10% of total contract budget pending justification from jails and written pre -approval by BHA RECOVERY SUPPORT SERVICES Allowed Services * Additional Notes Application Fees ID / Birth Certificates Indigent Backpacks Basic Hygiene Items Bicycles May be provided if client is engaged in treatment services for 2 + months post release. 1 bike per person. Bus Pass — Daily, Monthly Child Care 1 month limit per client, per child Clothing FY25 JBBS Budget Page 1 of 2 Exhibit B-5 Educational Costs ( books, supplies, and fees) Emergency Housing/Rental Assistance 90 day limit per person Food Assistance Gas Vouchers GED Program / Testing Job Placement Training Life Skills Training Medical Assistance — copays / infectious disease testing Limit of $250.00 per person Medications 30 day limit per person Personal Care (eg. haircuts) Phone Cards Limit of $15.00 per person Pre -paid Cell Phones To be paid for upon release and after client attends 2 appointments in the community. Cost of the phone and up to 2 months of bills. Printed Resources Transportation Assistance Transportation to Residential Treatment Out of state travel to treatment will need prior approval by BHA UA / BAs Limit of $100.00 per person Utilities 1 month limit per client * BHA may consider other expenses pending justification from jails and written pre -approval by BHA MEDICATIONS Medication reimbursement will be based on a) jail purchase agreement rate the following BHA providers established rate or b) jail purchase agreement rate or c) rate schedule. in the absence of an established rate or Psychotropic Medication will be reimbursed at rate established on Preferred Drug List (PDL) https://www.colorado.gov/hcpf/pharmacy resources which can be found at Medication Rate Methadone $18/day. Methodone treatment, including medication and integrated psychosocial and Naltrexone (oral) Monthly Medication Rate: $85. Monthly Prescriber Rate: $150 Depot-naltrexone (injectable) (Vivitrol) $1,376/unit; 380mg injection (extended release) per month Buprenorphine (pregnancy) - 8mg 541/month Buprenorphine (pregnancy) - 2mg 531/month Buprenorphine/naloxone sublingual film (suboxone) - 12mg/3mg $275/month Buprenorphine/naloxone sublingual film (suboxone) - 8mg/2mg $140/month Buprenorphine/naloxone sublingual film (suboxone) - 4mg/1mg $140/month ,Buprenorphine/naloxone sublingual film (suboxone) - 2mg/0.5mg $80/month Naloxone (Narcan) Unit Cost: $75. Prescriber Rate: $35 Suboxone and generics $5.55 / unit @30 days = $166.50 for a 2mg-0.5mg dose; range can increase from 4mg- Buprenorphine - 8mg $41/month Buprenorphine - 2mg $31/month Sublocade (injectable) S1,376/unit; 380mg injection (extended release) per month Revised 03_04_2024 FY25 JBBS Budget Page 2 of 2 Exhibit B-5 COLORADO Behavioral Health Administration EXHIBIT B-5, FY25 ANNUAL BUDGET BHA Program Agency Name Weld County Budget Period July 1, 2024 -June 30, 2025 Project Name IBIS Program Contact, Title Phone Email Mike Knee, Director of Innate Services 970-4002-3937 mknee@weldgnv,com Fiscal Contract, Title Kevin Halloran, Lieutenant Phone 970-400-2837 Email khalloran@weldgov.com Date Completed August 21, 2024 SERVICE CATEGORIES Services (Fixed Price per rate Schedule) Funding Source Total Substance Use Disorder Treatment State General Fund $157,066,601 Mental Health Treatment State General Fund $129,000.00 Total Contract 5586,000.60 JBBS RATE SCHEDULE Statewide Maximum Salaries Positions should be hired at salary levels indicative of qualifications, experience, and organization pay schedules. This table indicates a maximum salary only: It is understood that many positions will be hired at lower salary levels than the state maximum. Licensed Therapist (LPC/LCS W/LAC/LM 5T) 384.872/yea 1 Unlicensed Master's Level Therapist or Substance Abuse Counselor (example CAS)" $68,959/year Unlicensed Bachelor's Level'rherapist or Substance Abuse Counselor (example CAS)" $63,654/year Case Manager(CM)" $58,149/year_ Certified Addiction Technician (CAT) $44,558/year Physician Assistance (PA) " $127,308/year MD/DO " $266,569/year 1885 Program Administrator (Primary responsibility of managing the jail's JOBS program.) " $103,538/5ear Pre -sentence Coordinator " $72,100/year Pharmascist (Pharm-D) 3135,891/year Registered Nurse " $76,385/year Data Entry Clerk 342,436/ 'ear Peer Support Specialist $36,050/year Qu, Itfle t Medication Administration Person (g1v1APl $15.97/hour •BHA will reimburse salaries up to the state maximum 'BHA may consider rates 10% above statewide maximum salaries pending justification from )alts and written pre -approval by BHA Travel Mileage (IRS rate) I $0,67/ntlie Operating Expenses Max(mum total percentaPe of contract budget 20% Training and continuing education for jail employees/clinicians (Including but not limited to QMAP, CIT, Motivational Interviewing, Mental Health First Aid, Trauma informed Care, (Certified Addiction Specialist ',Classes only) maybe Included in the operatJng expenses BHA may pay for one licensing test per clinician (NCE, MAC, WAG). Up to $200 per clinician, per test. BHA may consider operating expenses above 10% of total contract budget pending )ustification from jails and written pre -approval by BHA IndirectExpenses Maximum total percentage of contract budget a HA may consider operating expenses above 10% of total contract budget pending justification from jails and written pre -approval by BHA RECOVERY SUPPORT SERVICES Allowed Services " Additional Notes Application Fees ID / Birth Certificates Indigent Backpacks Basic Hygiene items Bicycles May be provided if client is engaged in treatment services for 2 + months post release. 1 bike per person. Bus Pass Daily, Monthly Child Care 1 month limit per client, per child Clothing FY2518BSBudget Page t of 2 Exhibit B-5 Educational Costs ( books, sullies, and fees) t mer ency lTousing/ftenial Assistance °0 day limit per person Food Assistance Gas chers GED Program / Testing Job Placement Training Life Skills Training Medi6ak #sslttance — copays jtrafectirztls disease ie4ting Limit of $250.00 per person Medlcatlons 30 day Smit per person Personal Care (eg. haircuts] hone'Cards Limit of $15.00 per person Pre -paid Cell Phones To be paid for upon release and after client attends 2 appointments in the community. Cost of the phone and up to 2 months of bills, Printed Respurces Transportation Assistance Transpartatlon to Residential Trea#ment Cut of state travel to treatment wil! need prior approval by BN 1 tJFi /`RAs Limit of S1fJQ,00 per person Utilities 1 month limit per client ' BHA may consider ether expenses pending iustification from jails and written pe-approval by BHA MEDICATI©NS Medication reimbursement will be based on a) providers established rate or b) Jail purchase agreement rate or c) in the absence of an established rate or jail purchase agreement rate the following BHA rate schedule. Psychotropic Medication will be reimbursed at rate established on Preferred Drug List (PDL) which can be found at hops://www.colorado.gov/hcpf/pharmacy resources Medication Rate Methadone $i8 /day Methodone treatment, InBloding medication and IntegraterYp3yet?sockal and Naitrexone (oral) Monthly Medication Rate: $85. Monthly Prescriber Rate: $150. Depct•naltrexonejinjeetable) (Vivitrol) $1,376380mg injectian (extended release) per month :Buprt�rrorpl4lna (prt�ftancyt) - Sm nt'h Suprenorphine (pregnancy) - 2mg $3l/month uprenorphine/naloxone sublingual film tsuboxone) • 12mg/3mg $275/month Bctprenorphlne(nalogonesutill nguatflintC4ut*afYnF) f1mgF#g $14Qlni�ttlth Bu Pri?arph7nejttalnxone sublingtraI film (suboxone) - 4mg/Lrtg $1 U/morrtit __ 6uprenorphine/naioxcne sublingual film (suboxone) - 2mg/Q.Smg $80 on Naloxone (Narcan) Unit Cast: $75. Prescriber Rate: $35 Se all nerics $5.55 / unit @30 days = $166.50 foe a 2 m dose; range can increase from 4mg- Suprenorphine - 8mg $41 on Buprenorphine - 2mg $3ljmonth Subldcade (injectable) $1,376 /unit; 380mg injectian (extended reieasel per montEz oa_o4_ D24 FY25 JBBS Budget Page 2 of 2 Contract Form Entity Information Entity Name* Entity ID" COLORADO DEPARTMENT OF @00003650 HUMAN SERVICES Contract Name* Contract ID REDUCTION IN FUNDING FOR 2024-25 JBBS 8739 CONTRACT FROM $300,000 TO $286,000 Contract Status CTB REVIEW Contract Lead * MKNEE New Entity? Parent Contract ID 5942 Requires Board Approval YES Contract Lead Email Department Project # mknee@weld.gov;skohlgr af@weld.gov Contract Description* AMENDMENT# 4 REDUCTION IN CONTRACT FUNDING FOR 2024-25 FY FROM $300,000 TO $286,000 SUBSTANCE USE DISORDER AND MENTAL HEALTH Contract Description 2 Contract Type* CONTRACT Amount* $ 286,000.00 Renewable" YES Automatic Renewal Grant IGA Department SHERIFF Department Email CM-Sheriff@weld.gov Department Head Email CM-Sheriff- DeptHead@weld.gov County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WEL D.GOV If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Requested BOCC Agenda Due Date Date* 09/29/2024 10/03/2024 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? 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 Contact Info Review Date * 04/15/2025 Renewal Date" 06/30/2025 Committed Delivery Date Expiration Date Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date Approval Process Department Head DONNIE PATCH DH Approved Date 09/26/2024 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 10/02/2024 Finance Approver CHERYL PATTELLI Legal Counsel BYRON HOWELL Finance Approved Date Legal Counsel Approved Date 09/26/2024 09/27/2024 Tyler Ref # AG 100224 Originator SKOHLGRAF Hello