HomeMy WebLinkAbout20241780.tiffRESOLUTION
RE: APPROVE MEMORANDUM OF UNDERSTANDING FOR JAIL BASED BEHAVIORAL
SERVICES AND AUTHORIZE CHAIR PRO-TEM TO SIGN - NORTH RANGE
BEHAVIORAL HEALTH
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Memorandum of Understanding for Jail
Based Behavioral Services between the County of Weld, State of Colorado, by and through the
Board of County Commissioners of Weld County, on behalf of the Sheriffs Office, and North
Range Behavioral Health, commencing upon full execution of signatures, with further terms and
conditions being as stated in said memorandum of understanding, and
WHEREAS, after review, the Board deems it advisable to approve said memorandum of
understanding, 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 the Memorandum of Understanding for Jail Based Behavioral Services
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Sheriffs Office, and North Range Behavioral
Health, 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 memorandum of understanding.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 1st day of July, A.D., 2024.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: ,,1,/ ;o
Weld County Clerk to the Board
BY: 444• IJ G()
Deputy Clerk to the Bo
APP'! ED
County Attorney
Date of signature: 91151 V/
EXCUSED
Ke ' Ross, Chair
Perry L.`B, k, Pro-Tem
ike Freeman
F cott K. James
Lori Saine
cc : So(sK/&a/ir1K)
o8iIH/2y
2024-1780
SO0045
Len- 4ef 84 19
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: Memorandum of Understanding for Jail Based Behavioral Services between Weld
County and North Range Behavioral Health.
DEPARTMENT: Weld County Sheriffs Office DATE: May 14, 2024
PERSON REQUESTING: Brandon Williams, Director of Inmate Services, Weld County Sheriffs Office -
Detentions
Brief description of the problem/issue: The memorandum of understanding (MOU) referenced above
between Weld County and North Range Behavioral Health (NRBH) is a subcontract to honor the
Intergovernmental Agreement for Jail Based Behavioral Services (JBBS) between Weld County and the State of
Colorado (25 IBEH 189024) for the State fiscal year FY25, from July 1st, 2024 - June 30th', 2025. Since the
inception of this program in 2011, NRBH has been providing substance abuse treatment to individuals
incarcerated at the Weld County Jail and offers coordination and support as the individuals transition to the
community. As of July 2021, the State, as part of the contract requests a written MOU with the subcontractor.
NRBH works in collaboration with the Weld County Sheriff's Office to ensure these services are being met in
accordance with the contract with the State of Colorado. Their services are imperative to the success of the
program given their ability to seamlessly provide continuity of care to individuals transitioning to the
community. They provide this service with reimbursement from the State of Colorado managed by the Weld
County Sherriff's Office with no cost to Weld County
What options exist for the Board? The Board of County Commissioners may approve or deny the contract.
Consequences: A approval of this MOU would continue the NO COST service the State of Colorado
has been providing to assess and treat incarcerated adults for substance use disorders along with release
planning to include continuing services and resources once released into the conununity. The program
provides resources and programming with the objective of establishing stability for individuals in the
community and focuses on reducing recidivism in the jail.
A denial of this memorandum of understanding would eliminate the NO COST service the State of
Colorado has been providing to assess and treat incarcerated adults for substance use disorders, along
with release planning to include continuing services and resources once released to the community.
Impacts: For the period of July 2023 through May 2024, the JBBS program had an average of 73% of
individuals who were successfully transitioned to the community measured at one (1) month from
release from jail. This percentage well exceeds the target success rate of 50%.
A denial of this MOU would shift the services provided by the JBBS program to the Weld County
Sheriff's Office's Mental Health Team and impact their capacity to provide mental health services to the
incarcerated population.
Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): Jail Based Behavioral Health
Services is completely funded by the State General Fund. Weld County does not assume any fiscal
obligation related to this service.
2024-1780
�1/1 300045
Recommendation: I recommend the Weld County Board of County Commissioners enter this MOU.
Support Recommendation Schedule
Place on BOCC Agenda Work Session Other/Comments:
Perry L. Buck, Pro -Tern
Mike Freeman
Scott K. James
Kevin D. Ross , Chair
Lori Saine
mf
MEMORANDUM OF UNDERSTANDING FOR JAIL BASED BEHAVIORAL SERVICES
BETWEEN WELD COUNTY AND NORTH RANGE BEHAVIORAL HEALTH
THIS AGREEMENT is made and entered into this 151- day of 2024,
by and between Weld County, by and through the Board of County Commiss ners of
Weld County, on behalf of the Weld County Sheriff, whose address is PO BOX 758, 1950
"0" Street, Greeley, CO 80631 hereinafter referred to as "WCSO" and North Range
Behavioral Health, hereinafter referred to as "NRBH".
RECITALS
WHEREAS, WCSO and NRBH are partners in ensuring Jail Based Behavioral Services are
provided to Inmates in custody atthe Weld County North Jail Complex as outlined in the
contract between Weld County and the Office of Behavioral Health (Contract 25 IBEH
189024), which provides for treatment and case management to those meeting
eligibility requirements outlined in the program. It requires collaboration between WSCO
and NRBH to meet this goal and provide appropriate services.
WHEREAS, this MOU is required by the Office of Behavior Health (OBH) so that the
WCSO may subcontract with NRBH to assist in providing the appropriate behavioral
health services to inmates while supporting continuity of care within the community
after release.
WHEREAS, WCSO and NRBH are authorized to enter into this Agreement by the
above referenced agreement and pursuant to the Weld County Home Rule Charter.
NOW, THEREFORE, in consideration of the following mutual agreements and
covenants, WCSO and NRBH hereby agree as follows:
1. Agreement: The terms of this Agreement are outlined below. This Agreement,
Exhibit A-3 and any addenda and other exhibits are incorporated in by reference, and,
set forth all of the covenants, promises, agreements and conditions between WCSO
and NRBH and there are no other covenants, promises, agreements or conditions,
either oral or written, between them related to the subject covered by this
Agreement. Protocol: WCSO will work in partnership with NRBH to provide for
staffing and services for Jail Based Behavioral Services in accordance with the
approved contract between WCSO and the OBH. NRBH approved staff will work
as contracted employees within the Weld County Jail to identify eligible
individuals in custody for the primary purpose of substance use treatment,
complete assessment of eligible individuals in custody, provide services for
substance use treatment, and the coordination of community services upon
release.
2. Compensation: NRBH will be reimbursed for preapproved expenses as outlined
in the contract between WCSO and the OBH. NRBH will submit invoices,
receipts, and any additional documentation needed to demonstrate proof of
expenses by the 15th of each month for the prior month's expenses. WCSO will
submit an invoice to the OBH to request reimbursement. Once funding is
provided to WCSO by the OBH, reimbursement will be provided to NRBH.
3. Term: This Agreement becomes effective upon full execution of the
Agreement by the parties. This Agreement shall continue for a one (I) year
period. Upon the end of the one (I) year period, the parties may elect to renew
the contract on an annual basis upon the same terms and conditions.
4. Termination: Each party has the right to terminate this agreement, with or
without cause, upon ninety (90) days written notice to the other party.
S. Non -Exclusivity Agreement: This Agreement is nonexclusive and WCSO may
engage or use other Contractors or persons to perform services of the same or
similar nature.
6. Assignment: Neither party may assign or transfer this Agreement or any
interest therein or claim thereunder, without the prior written approval of the
other.
7. Compliance with Laws: WCSO and NRBH agree to comply with the applicable
provisions of all federal, state, and local laws or ordinances and all lawful
2
orders, rules, and regulations issued thereunder; and any provisions,
representations or agreements, or contractual clauses required thereby to be
included or incorporated by reference or operation of law in this Agreement.
8. Modification: Any amendments or modifications to this agreement shall be
made in writing and signed by all parties.
9. Non -Liability: The parties agree that in no event shall either party be liable due
to any stoppage, delay, or any impairment in the protocol pursuant to this
Agreement where such stoppage, delay, or impairment from acts of God, war,
legal or equitable proceeding, or any other cause which is outside the control
of the party.
10. Government Immunity: No portion of this Agreement shall be deemed a
waiver, express or implied, of any immunities, rights, benefits, protections, or
other provisions which either party, or its officers, employees, or agents, may
possess pursuant to the Colorado Governmental Immunity Act§ 24-10-101, et
seq., C.R.S., as applicable now or hereafter amended.
11. Choice of Law/Venue/Compliance with Law: Colorado law, and rules and
regulations established pursuant thereto, shall be applied in the
interpretation, execution, and enforcement of this Agreement. Any
previous included or incorporated herein by reference which conflicts with
said laws, rules and/or regulations shall be null and void. The proper venue for
any action regarding this agreement shall be in Weld County, Colorado. All
parties agree to comply with any applicable federal, state, or local laws, rules,
and regulations.
12. Severability: If any section, subsection, paragraph, sentence, clause, or phrase
of this Agreement is for any reason held or decided to be invalid or
unconstitutional, such a decision shall not affect the validity of the remaining
portions. The parties hereto declare that they would have entered into this
Agreement and each and every section, subsection, paragraphs, sentence,
clauses, and phrases thereof, irrespective of the face that any one or more
3
sections, subsections, paragraphs, sentences, clauses, or phrases might be
declared to be unconstitutional or invalid.
13. Third Party Beneficiary Enforcement: It is expressly understood and agreed
that the enforcement of the terms and conditions of this Agreement, and all
rights of actions relating to such enforcement, shall be strictly reserved to the
undersigned parties and nothing in this Agreement shall give or allow any claim
or right of action whatsoever by any other person not included in this
Agreement. It is the express intention of the undersigned parties that any entity
other than the undersigned parties receiving services or benefits under this
Agreement shall bean incidental beneficiary only.
14. Fund Availability: Nothing in this Agreement shall be construed to require
Weld County to provide funding for any purpose under this Agreement that has
not previously been budgeted and adequately appropriated.
CONTRACT PROFESSIONAL:
North Range Behavioral Health
By: 'Cu.. C•?2s &,a
Name: Kim Collins
Title: Chief Executive Officer
Weld County:
Attest:'�'�
Date: June 17, 2024
Board of County Commissioners,
Weld • ty Clerk to t e Board Well County, Colorado
By:
Deputy Cler
4
to the Bo�`�.
uck, Chair Pro-Tem
JUL 0 1 2024
�o / 710
Exhibit A-3
Exhibit A-3 - Statement of Work
Jail Based Behavioral Health Services (JBBS)
FY25
Definitions and Acronyms
The following list of terms shall be applied to this contract and Statement of Work, based on
the services that are provided at each respective jails:
"Agonists" Opioid agonists such as methadone or buprenorphine are therapeutic drugs
used for the management of opioid dependence. In clinical practice, they are used for
opioid agonist maintenance therapy or withdrawal management. An agonist is a drug that
activates certain receptors in the brain. Full agonist opioids activate the opioid receptors in
the brain fully resulting in the full opioid effect.
"Antagonists" An antagonist is a drug that blocks opioids by attaching to the opioid
receptors without activating them. Antagonists cause no opioid effect and block full agonist
opioids. Examples are naltrexone and naloxone.
"Behavioral Health Administration" The BHA is a new cabinet member -led agency,
housed within the Department of Human Services, designed to be the single entity
responsible for driving coordination and collaboration across state agencies to address
behavioral health needs.
"Bridges Program/Court Liaison" means an individual employed or contracted with the
State Court Administrator's Office (SCAO) to implement and administer a program that identifies
And dedicates local behavioral health professionals as court liaisons in each judicial district.
These individuals are responsible for facilitating communication and collaboration between
judicial and behavioral health systems.
https://www.courls. state.co.us/Administration/Unit.cfm?Unit=bridges
"Case Manager" assists in the planning, coordination, monitoring, and evaluation of
services for a client with emphasis on quality of care, continuity of services, and
cost-effectiveness.
"Certified Addiction Specialist" - CAS (Formerly CAC II & Ill) requires a Bachelor's
degree in a Behavioral Health specialty (Psychology, Social Work, Human Services). This
does not include Criminal Justice, Sociology or Nursing. These individuals are approved to
provide Clinical Supervision and consultation to individuals working towards CAT or CAS.
2,000 clinically supervised hours (1,000 direct clinical hours beyond the Technician). Must
pass the NCAC II exam and Jurisprudence exam.
"Certified Addition Technician" - CAT (Formerly CAC I) requires 1000 hours of clinically
supervised work hours (does not require DORA registration prior to the 1000 hours). Once
these hours are met, the individual is not able to perform duties until the CAT is officially
approved), in addition to passing the NCAC I Exam and passing the Jurisprudence Exam.
"Critical Incidents" means a critical incident is any significant event or condition that must
be reported to the Department that is of public concern and/or has jeopardized the health,
safety and/or welfare of individuals or staff.
Page 1 0123
Exhibit A-3
"Forensic Navigators" are not case managers, clinicians, or involved in community
supervision. The Navigators act as case coordinators, working to ensure that all internal
and external stakeholders have access to up-to-date client information. In collaboration with
stakeholders, the Navigators help to ensure that services are being delivered to clients in
an appropriate and effective manner.
"GAIN" is the Global Appraisal of Individual Needs Assessment
"LAC", or Licensed Addiction Counselor, is a behavioral health clinician who can provide
co-occurring services. Master's degree or higher in Substance Use Disorders/Addiction
and/or related counseling subjects (social work, mental health counseling, marriage &
family, psychology, medical doctor) from a regionally accredited institution of higher
learning. 3,000 clinically supervised hours (2,000 direct clinical hours). Must pass the MAC and
jurisprudence exam. Designated providers of Clinical Supervision for all levels of
certification and licensure, in the addictions profession.
"LCSW", or Licensed Clinical Social Worker, is a social worker trained in psychotherapy
who helps individuals deal with a variety of mental health and daily living problems to
improve overall functioning.
"LMFT", or Licensed Marriage and Family Therapist help couples and family members
manage problems within their relationships.
"LPC", or Licensed Professional Counselor, is a person engaged in the practice of
counseling who holds a license as a licensed professional counselor issued under the
provisions of the state of Colorado.
"Long Acting Injectable (LAI)" is an injectable medication that allows for the slow release
of medicine into the blood. An LAI can last anywhere from 2-12 weeks, which helps to
control symptoms of mental illness and / or substance use.
"Memorandum of Understanding", or MOU, means a type of agreement between two or
more parties. It expresses a convergence of will between the parties, indicating an intended
common line of action.
"Partial Agonists" Partial agonist opioids activate the opioid receptors in the brain, but to
a much lesser degree than a full agonist. Buprenorphine is an example of a partial agonist.
An antagonist is a drug that blocks opioids by attaching to the opioid receptors without
activating them.
"Regional Accountable Entity" is responsible for building networks of providers,
monitoring data and coordinating members' physical and behavioral health care. RAEs
replace and consolidate the administrative functions of Regional Care Collaborative
Organizations (RCCOs) and Behavioral Health Organizations (BHOs).
"Screening Tools" are brief questionnaires or procedures that examine risk factors,
mental health/trauma symptoms, or both to determine whether further, more
in-depth assessment is needed on a specific area of concern, such as mental
health, trauma, brain injuries or substance use.
Page 2 of 23
Exhibit A-3
Exhibits
A: Statement of Work - the narrative description of a projects work requirement. It defines
project -specific activities, deliverables and timelines for the Contractor providing services.
B: Budget - outline of the projected cost/expenses of the project.
C: Miscellaneous Provisions - general contract provisions and requirements including
standard conditions in contracts like payment procedures, audit thresholds, and
recommended measures against contract violation.
D: HIPAA Business Associate Agreement /Qualified Service Organization Addendum
- terms detailing required compliance with HIPAA and 42 C.F.R. Part 2 privacy regulations.
PART ONE - GENERAL PROVISIONS
Article 1
General Administration
1.1 Overall Goal. The overall goal of the JBBS program is to work towards improving the
health outcomes of the individuals served.
1.2 Participation / Catchments. County Sheriffs may develop programs either individually,
or as multiple Sheriffs Departments (otherwise known as a catchment), submitting a
combined work plan. It is the recommendation of the BHA that each county has their own
contract. If services are provided to a catchment, the fiscal agent county (the county holding this
primary Contract with BHA) shall enter into subcontracts with its catchment county Sheriffs
Departments. BHA reserves the right to change the fiscal agent as necessary. Subcontracts
entered into under this provision shall adhere to the requirements of Exhibit C, Miscellaneous
Provisions, Section II.
1.3 Program Administrator. The Contractor shall select a JBBS Program Administrator,
identify the positions' roles, responsibilities and authority, and develop a management plan
that supports the JBBS Program Coordination Group. Any changes to the Program
Administrator's' contact information shall be communicated via email to the Behavioral
Health Administration within one business day of change to cdhs ibbs(cr.state.co.us
BHA prefers that a staff person from the Sheriffs Department assume the role of Program
Administrator. The Program Administrator shall be well versed in the JBBS Program, including
contractual requirements. The Program Administrator shall also attend JBBS Quarterly
Meetings, Round Tables and Learning Communities, and shall oversee the JBBS Program and
its operations. The Program Administrator must also notify JBBS Program Manager(s) to any
change in personnel. The Sheriff's Department is encouraged to account for this administrative
position in their budget.
1.4 JBBS Program Coordination Group. The Contractor shall develop a process for
implementing a Program Coordination Group within the facility, to guide and support the JBBS
program. The Program Coordination Group shall meet on a regular and continual basis to
ensure project implementation and goals are progressing. In addition to monthly check -ins, the
JBBS Program Manager(s) will be available to attend periodic program coordination group
Page 3 of 23
Exhibit A-3
meetings for technical assistance, contract management, and support based on agency needs.
BHA reserves the right to record JBBS meetings as necessary.
The Program Coordination Group shall:
a. Oversee program implementation
b. Make training recommendations
c. Measure the program's progress toward achieving stated goals, using data
provided by BHA program manager(s) to guide work
d. Ensure program effectiveness and performance is measured by specific client -centered
health outcomes and reflected in the data collected
e. Resolve ongoing challenges to program effectiveness
f. Inform agency leaders and other policymakers of program costs, developments,
and progress
g. Develop policies and protocols to ensure clinical staff have the resources and
support required for service provision
h. For JBBS Programs serving a catchment of counties, a Sheriff's Department
representative from each county is required to participate in the JBBS Program
Coordination Group
i. Ensure the needs of all the jails in the catchment are being met by the resources
and subcontracted service providers.
1.5 Subcontractors. The JBBS Program requires a subcontract or an MOU be in place for
any and all subcontractors. See Exhibit C, Miscellaneous Provisions, Section II for
requirements regarding the use of subcontractors.
1.6 Audits. As a participant in the JBBS program, participation in regular audits may be
required. Clinical and financial documentation shall be made available when requested for
onsite or virtual review by the Behavioral Health Administration, in addition to the location(s)
where treatment services are being provided.
1.7 Recovery Support Services. SAMHSA (Substance Abuse and Mental Health Services
Administration) encourages those involved in substance abuse and / or mental health
treatment, to address their emotional, spiritual, intellectual, physical, environmental,
financial, occupational, and social needs. JBBS programs may provide recovery support
services for wraparound resources including, but not limited to, clothes, transportation,
food, emergency housing/motel vouchers, or basic hygiene purchases that will assist in
stabilizing the individual in the community.
1.8 Cultural Competency. The Contractor shall provide culturally competent and
appropriate services, per National Standards for Culturally and Linguistically Appropriate
Services (CLAS Standards), available at https://thinkculturalhealth.hhs.gov/clas/standards
The Contractor shall also make reasonable accommodations to meet the needs of
Individuals who are physically challenged, deaf or hearing impaired, or blind.
1.9 Medication Consistency. Contractor is encouraged, though not required, to participate in
the Minnesota Multistate Contracting Alliance for Pharmacy Cooperative Purchasing Agreement
to purchase medication and to utilize the Medication Consistency formulary developed by CDHS
and HCPF. If requested by the BHA, Contractor shall provide a copy of the medication formulary
available at Contractor's jail. A copy of the CDHS and HCPF formulary is available
Page 4 of 23
Exhibit A-3
on the HCPF Website at https://hcpf.colorado.gov/pharmacy-resources. Contractor shall not bill
inmates for appointments or medications otherwise covered by JBBS. See Exhibit B, Budget
and Rate Schedule for a list of covered medications.
1.10 JBBS Crisis Intervention It is allowable for JBBS providers, while working in the jail
during their shift to support therapeutic mental health interventions (including crisis services)
when they occur. This should not interfere with current JBBS services that are actively being
administered, but in the event that an individual is experiencing a crisis.
Article 2
Confidentiality and HIPAA / 42 CFR Part Two
2.1 HIPAA Business Associate Addendum / Qualified Service Organization
Addendum. The Contractor shall agree to comply with the terms of the HIPAA Business
Associate Addendum / Qualified Service Organization Addendum, Exhibit D of this
Contract.
2.2 Third Parties and Business Associate Addendum / Qualified Service Organization
Addendum.
a. The Contractor shall require that any third parties, including subcontractors or other partner
agencies, that it involves for work to be done pursuant to this Contract agree to the most recent
CDHS version of the HIPAA Business Associate Addendum / Qualified Service Organization
Addendum, found in Exhibit D of this Contract.
b. A HIPAA Business Associate Addendum / Qualified Service Organization
Addendum is required between subcontracted treatment provider agencies for any
program that has more than one treatment subcontractor agency rendering services
in the jail in order to share assessments and screenings between subcontracted
treatment provider agencies.
2.3 Information Sharing. For the sole purpose of ensuring medication consistency for persons
with mental health disorders involved in the criminal justice system, for individuals participating
in the JBBS program, Contractor shall share patient -specific mental health health and treatment
information with all subcontractors, clinicians, and providers involved in the individual's plan of
care. All such information sharing must comply with confidentiality requirements, including
any necessary memorandums of understanding between providers, set for in the
federal "Health Insurance Portability and Accountability Act of 1996", 45 CFR Parts
2, 160, 162, and 164.
2.4 Additional Measures. The Contractor shall agree to the following additional privacy
measures:
a. Safeguards. The Contractor shall take appropriate administrative, technical and
physical safeguards to protect the data from any unauthorized use or disclosure not
provided for in this agreement.
b. Confidentiality. The Contractor shall protect data and information according to
acceptable standards and no less rigorously than they protect their own confidential
information. The Contractor shall ensure that individual level identifiable data or
Protected Health Information (PHI) shall not be reported or made public. The
Page 5 of 23
Exhibit A-3
Contractor shall ensure that all persons (e.g., interns, subcontractors, staff, and consultants)
who have access to confidential information sign a confidentiality agreement. It is recommended
that each participating jail have a universal release of information (ROI) for JBBS clients to sign
to ensure appropriate continuity of care.
Article 3
Financial Provisions
3.1 Cost Reimbursement / Allowable Expenses. This contract is paid by cost reimbursement.
See Exhibit B, Budget and Rate Schedule, for a list of reimbursable expenses. The Rate
Schedule is non -exhaustive; other items expensed to this Contract must be reasonable toward
completion of the contract terms, are reviewable by BHA, and shall not exceed any detail in the
budget in this regard. Documentation of all monthly expenses is required to be submitted along
with the invoice each month.
3.2 Staff Time Tracking and Invoicing. The Contractor shall ensure expenses and staff
are tracked and invoiced separately for each program or funding stream. Any other funding
sources or in kind contributions supporting the JBBS Program shall be disclosed in the
invoice submission. Invoices will be submitted to cdhs_BHApayment@state.co.us
by the 20th of the following month.
3.3 Procurement Card. BHA recommends, although does not require, counties to consider
the use of a procurement card to be used for expenses related to the JBBS program.
Contractor shall follow its county's internal guidance and policies for use of procurement
Cards.
3.4 Proportional Reduction of Funds. The Behavioral Health Administration has the
unilateral authority to proportionately reduce the contract budget amount to match current
spending rates. If the Sheriffs Department has not spent 40% of the contract budgeted
amount by November 30th, the Behavioral Health Administration may proportionately
reduce the contract budget amount to match current spending rates. If the Sheriffs
Department has not spent 65% of the contract budgeted amount by February 28th, the
Behavioral Health Administration may again proportionately reduce the contract budget
amount to match current spending rates.
3.5 Fiscal Agent County Responsibilities. Where a county is acting as a fiscal agent for
other counties, the fiscal agent county shall pay invoices received by the catchment counties
within 45 days of receipt.
3.6 Other Financial Provisions, including invoicing instructions can be found in Exhibit C,
Miscellaneous Provisions.
PART TWO - SUBSTANCE USE DISORDER (SUD) TREATMENT SERVICES
Article 1
Purpose and Target Population
1.1 Purpose. The goal of the Jail Based Behavioral Health Services (JBBS) Program is to
support County Sheriffs in providing screening, assessment and treatment for offenders with
Page 6 of 23
Exhibit A-3
substance use disorders (SUD) and co-occurring substance use and mental health disorders,
as well as transition case management services. Through funds authorized by the Colorado
General Assembly (SB 12-163), the Behavioral Health Administration (BHA) intends to continue
funding the Jail Based Behavioral Health Services Programs as set forth in this Contract.
1.2 Target Population. Adults 18 years of age and older that are residing in the county jail
with substance use disorder or co-occurring substance use and mental health disorders. In
this regard, the Contractor, in accordance with the terms and conditions of this Contract,
shall develop, maintain, and provide behavioral health services in the county jails for
individuals highlighted in section 1.2. The Contractor, in providing required services
hereunder, shall utilize and maintain a partnership with community provider(s)/individuals
that are licensed, who are in good standing with the Department of Regulatory Agencies
(DORA), have the ability to provide services within the jail or through televideo options, and
have the capacity to provide free or low cost services in the community to inmates upon release.
Article 2
Activities and Services
2.1. Licensed Substance Use Disorder Treatment Requirements.
a. Eligible individuals must have a substance use disorder and/or a co-occurring mental health
disorder (determined by SUD and MH screening) to be eligible to receive services under the
JBBS program.
b. Individual treatment providers must hold a Substance Use Disorder Provider license and be
in good standing with the Colorado Department of Regulatory Agencies (DORA).
c. Contractor shall implement policies and procedures on how the subcontracted treatment
provider(s) will manage and maintain clinical records for the individuals served at the outpatient
community location. The providers must follow the same protocols and policies for record
management for services offered in the jail.
d. Contractor shall provide appropriate screening(s), assessment(a), brief intervention and
linkage to care in the community, based on an individualized treatment and/or transition plan.
e. Each individual's treatment / transition plan shall incorporate:
i. Summary of the continuum of services offered to individuals based on evidence based
curricula.
ii. Frequency and duration of services offered.
iii. Description of how services are divided if an individual's treatment will be provided by
more than one treatment provider/agency.
iv. The individual's natural communities, family support, and pro -social support.
Article 3
Standards & Requirements
3.1 Authorizing Legislation and Description of Services. The Jail Based Behavioral
Health Services (JBBS) Program is funded through the Correctional Treatment Cash Fund
Page 7 of 23
Exhibit A-3
legislated in the passage of Senate Bill 12-163. Section 18-19-103 (c), C.R.S. directs the judicial
department, the Department of Corrections, the state board of parole, the Division of Criminal
Justice of the Department of Public Safety, and the Department of Human Services to
cooperate in the development and implementation of the following:
a. Alcohol and drug screening, assessment, and evaluation.
b. Alcohol and drug testing.
c. Treatment for assessed substance abuse and co-occurring disorders.
d. Recovery support services.
The Correctional Treatment Fund Board has determined the Jail Based Behavioral Health
Services (JBBS) Program meets the requirements set forth in SB 12-163.
3.2 Level of Program Care. Services offered by the Contractor hereunder shall meet
ASAM Level 1.
Article 4
Data Reporting
4.1 Contractor is required to report information in the BHA Jail Based Behavioral Health
Services (JBBS) CiviCore Database or another database as prescribed by BHA. Data must
reflect current individual enrollment and services provided by the 15th day of each calendar
month to allow BHA staff to utilize current data. The following data elements will be captured in
the Civicore JBBS database or other database as prescribed by BHA:
a. A record for each individual who screened "positive" for a mental health disorder or substance
use disorder; other screenings completed and results thereof.
b. Basic demographic and working diagnosis information (including veteran status and
pregnancy status, if applicable).
c. The type and dosage of medications provided for Medication Assisted Treatment (MAT).
Please see Exhibit B for allowable medications.
d. Number of individuals who successfully transition to community based services upon release.
e. Program discharge outcomes and treatment status in the community after discharge.
4.2 The Contractor agrees to respond to BHA's inquiries about data submissions within two (2)
business days and work with BHA to quickly resolve any data issue. The Contractor is required
to notify BHA of any staffing changes within 48 hours, as this individual's database access will
need to be deactivated.
Article 5
Performance Measures
5.1 Performance Measures.
a. Transition Tracking Outcomes. The goal of the JBBS program is to identify treatment service
needs and assist with engagement in community based treatment services upon release.
Contractor shall make reasonable efforts to contact all JBBS individuals who are successfully
discharged from the program and released to the community at one, two, six and 12 months
post release. The individual's treatment status shall be recorded in the CiviCore JBBS database
Page 8 of 23
Exhibit A•3
or another data system as prescribed by BHA. If a client remains engaged in treatment post -
release, JBBS may continue to provide support through the Contractor's Recovery Support
Services section of their budget, for up to 12 months. The following are the treatment status
options:
i. Deceased — In the event of death of the individual post -release.
ii. In Treatment — Individual is engaged in community based treatment
services as recommended in the transition plan.
iii. New Crime/Regressed - Individual returned to jail for violations or
committed a new crime.
iv. Not Applicable - Individual sentenced to Department of Corrections,
Probation, Community Corrections, or treatment status not applicable at
month two, six, or 12 due to prior tracking status of Deceased, New
Crime/Regressed, or Treatment Completed.
v. Not in Treatment — Individual is reported by the community based
treatment provider as not in treatment or the individual reports to not be in
treatment services as recommended on the transition plan.
vi. Status Unknown — Individual cannot be located.
vii. Treatment Completed — Individual has completed treatment as
recommended in the transition plan.
b. Recidivism. JBBS aims to decrease the rate of reincarceration of former JBBS participants.
This approach should result in greater treatment engagement in the community and decreased
recidivism through better identification and treatment of behavioral health needs. BHA may
conduct an annual analysis of recidivism. The following will apply to this analysis:
i. JBBS participants who have received treatment services or groups will be
included in the recidivism analysis.
ii. "Recidivism" is the analysis that will be defined as re -arrest and reincarceration for a
new crime or a technical violation related to the individual's original charge.
iii. Recidivism Target. Programs will ensure that data in the JBBS Database pertaining to
the most recent complete fiscal year (July 1 - June 30) is verified and correct by the 15th
of July following the fiscal year so that the recidivism analysis may be completed by
BHA.
Article 6
Deliverables
6.1 For Deliverables under this section, please see Part 6 - JBBS Program Deliverables
PART THREE - MENTAL HEALTH TREATMENT (SB 18-250)
Article 1
Purpose & Target Population
1.1 Purpose. The Behavioral Health Administration (BHA) is committed to efforts to provide
resources to support County Sheriffs in providing screening, assessment and treatment for
mental health and substance use disorders or co-occurring disorders; as well as transition
Page 9 of 23
Exhibit A-3
case management services to people who need such services while they are in jail. The
Jail Based Behavioral Health Services (JBBS) Program has been operational since October
2011 with funding from the Correctional Treatment Cash Fund pursuant to Section
18-19-103 (5)(c)(V).
The goal of the JBBS Program is to provide appropriate behavioral health services to inmates
while supporting continuity of care within the community after release from incarceration. This
approach should result in greater treatment engagement in the community and decreased
recidivism through better identification and treatment of behavioral health needs.
In October 2012, the Correctional Treatment Board voted to fund additional Jail Based
Behavioral Health Services Programs to additional counties across the State. As of
February 2023, there are JBBS programs in 48 county jails across the State of Colorado.
In May 2018 the Colorado General Assembly passed Senate Bill 18-250, which mandated
the JBBS Program under Colorado Revised Statutes 27-60-106. Additional mental health
funding was allocated to the JBBS program to address gaps in services for mental health
disorder screening, assessment, diagnosis and treatment. Additionally, these funds may support
psychiatric prescription services and purchase of medications. Sheriffs Departments that
currently operate JBBS programs, as well as new applicants, are eligible to request these funds.
Sheriffs Departments may submit an individual application, or they may submit a combined
application if they would like to apply in conjunction with other BHCounty Sheriff's Departments.
To carry out the JBBS program, Sheriffs Departments may partner with local community
provider(s) who can demonstrate the ability to provide services within the jail, and the
capacity to provide or link individuals released from jail to free or low cost services in the
community.
1.2 Target Population. Adults 18 years of age and older that are residing in the county jail
with substance use disorder or co-occurring substance use and mental health disorders. In
this regard, the Contractor, in accordance with the terms and conditions of this Contract,
shall develop, maintain, and provide behavioral health services in the county jails for
individuals highlighted in section 1.2. The Contractor, in providing required services
hereunder, shall utilize and maintain a partnership with community provider(s)/individuals
that are licensed (LAC, LPC, LCSW or LMFT), who are in good standing with the
Department of Regulatory Agencies (DORA), have the ability to provide services within the
jail or through televideo options, and have the capacity to provide free or low cost services
in the community to inmates upon release.
Article 2
Activities & Services
2.1 Services. It is best practice that all jails should be utilizing evidence -based screening
Page 10 of 23
Exhibit A-3
tool(s) and practices to screen for any potential mental health and/or substance use disorders
and withdrawal, as well as suicide risk.
The Contractor shall:
a. Provide adequate staff to complete behavioral health screenings, prescribe psychiatric
medications as necessary; and provide mental health counseling, substance use disorder
treatment and transitional care coordination.
b. Upon identification of an individual who may be a candidate for JOBS services, a referral by
jail staff should be made to a JOBS clinician within 48 hours, or, when the individual is medically
cleared to be screened, via the appropriate channels (e.g. inmate kite, email).
c. Assess all individuals booked into the jail facility for psychiatric medication needs by
requesting and reviewing medical and prescription history.
d. Have access to psychiatric medications, as defined by the medication formulary established
pursuant to section 27-70-103 or by their contracted medical provider.
e. Coordinate services with local community behavioral health providers prior to the release of
an inmate to ensure continuity of care following his or her release from the jail.
f. Complete the GAIN 3.2 assessment with an individual enrolled in the JBBS program within 14
calendar days of program enrollment. The Contractor shall monitor and make reasonable efforts
to ensure that all participants complete a GAIN assessment a minimum of every three months
thereafter, to track progress. Other site -specific tools may also be utilized in addition to the
GAIN.
2.2 Training and Meetings. The Contractor shall provide training to improve correctional staff
responses to people with mental illness. The Contractor shall determine the amount of
training necessary to ensure, at a minimum, a group of trained staff is able to cover all time
shifts. The training should provide sufficient opportunities for hands-on experiential learning,
such as role play and group problem solving exercises. Cross -training opportunities shall be
provided to behavioral health personnel and other stakeholders to help improve cross -system
understanding. BHA is able to provide assistance with training the Medical Team staff regarding
the MAT services and resources across the state.
a. Program Orientation: The Contractor shall attend a mandatory orientation session with the
BHA Program Manager and Fiscal Staff, to be organized by BHA as soon as is practicable
execution of the contract.
b. Program Meetings and Required Training: Program meetings and other required training will
be scheduled throughout the term of the JBBS Program contract. This includes the JBBS
Learning Community, JBBS Round Table, and the JOBS Quarterly Workgroup.
2.3 Evidence -Based Practices. The Contractor shall use evidence -based and promising
practices within the screening and service delivery structure to support effective outcomes.
The use of a risk/need/responsivity (RNR) model is encouraged to assess various factors
such as substance use disorders, mental illness, cognitive or physical impairments, financial
issues, family dynamics, housing instability, developmental disabilities, low literacy levels, and
lack of reliable transportation, all of which may need to be addressed to support success.
2.4 Individualized Service Provision. The Contractor shall link individuals referred to the
program to community based behavioral health supports and services, as appropriate
based on the specific needs of the individual to ensure wraparound services are in place to
reduce the risk of the individual returning into the justice system.
Page 11 of 23
Exhibit A-3
Article 3
Standards and Requirements
3.1 Mental Health Treatment Provider. The subcontracted mental health treatment
provider(s)/individual(s) must be licensed and in good standing with the Department of
Regulatory Agencies (DORA), The subcontracted mental health treatment provider(s) must
adhere to all rules and regulations set forth by their license and are prohibited from practicing
outside their scope of training.
Article 4
Deliverables
4.1 For Deliverables under this section, please see Part 6 - JBBS Program Deliverables
PART FOUR - PRE -SENTENCE REENTRY COORDINATOR SERVICES
Article 1
Purpose & Target Population
1.1 Purpose. In July 2019, the Behavioral Health Administration (BHA) was granted funds
by the Correctional Treatment Fund Board for Pre -sentence Reentry Coordinator position(s) in
select jails. This program shall provide services to individuals at county jails who are in need of
behavioral health treatment and are on pre -sentence status.
The intention of this position is to work to enhance and improve care coordination for individuals
in county jails with shorter incarcerations (actual length to be determined by individual jails),
which may prevent them from receiving more meaningful, long term interventions by behavioral
health treatment staff. This position is responsible for facilitating communication and
collaboration between judicial and behavioral health systems.
1.2 Target Population. Adults 18 years of age and older, that are residing in the jail awaiting
sentencing. Priority should be given to those identified to be a high jail utilizer (three or more
arrests in a year).
Article 2
Activities & Services
2.1 JBBS Pre -Sentence Reentry Coordinator Services. The Contractor shall refer
individuals to behavioral health services, after the booking process is complete and specific
needs of the individual are identified, to ensure wraparound services are in place to reduce
Page 12 of 23
Exhibit A-3
the risk of the individual returning into the justice system. Below is a list of services Contractor
shall provide:
a. Behavioral Health Screening: The Contractor shall coordinate with the existing jail processes
to identify the population that will have a shorter length of stay within the jail and who screen
positive fora substance use disorders, co-occurring mental health and substance use disorders,
and/or are identified to be a suicide risk.
b. High Jail Utilizers: The Contractor shall identify individuals that have three or more arrests in
the past year, and shall be a priority population to receive services to target the needs.
c. Brief Intake Assessment. The Contractor shall provide a brief intake to assess immediate
behavioral health needs within 48 hours. BHA recommends using the Risk Need Responsivity
Model https://tools.gmuace.org/files/RNR_Practitioner Pub_FINAL_2.12.13.pdf
d. Open Referral Process. The Contractor shall facilitate an open referral process with inmates
where transitional resource packets are shared, reviewed and completed. The JBBS Pre -
sentence Reentry Coordinator shall make referrals and coordinate services with licensed or
certified behavioral health professionals, prior to the release of an inmate, to ensure continuity
of care. The JBBS Pre -Sentence Reentry Coordinator shall make referral appointments based
upon need and provide the appointment date to the individual before release.
e. Intervention/Therapy. The Contractor shall offer brief intervention and/or therapy to inmates
as necessary.
f. Coordinate Referral Information. The Contractor shall coordinate with community entities as
applicable (i.e., pre-trial, probation, community corrections, therapeutic communities) to ensure
the supervision entities are made aware of the individual's assessed needs and scheduled
appointments.
2.2 Service Provision.
a. A report of high jail utilizers should be run every five to seven days. Based on this list, JBBS
staff should review those who would not qualify for pre -sentence reentry coordination services.
This could include, but is not limited to, Department of Corrections holds, out of county warrants,
serious violent crimes.
b. Once that list is reviewed, the PSC should meet with those individuals to identify their needs.
The BHA recommends using the Risk -Need Responsivity Simulation Tool.
https://tools.gmuace.org/files/RNR_Practitioner_Pub_FINAL_2.12.13.pdf
c. Based on the information gathered through this tool (and other information where
applicable), the presentence coordinator should be creating a discharge packet that should be
given to the individual upon their release.
d. A discharge plan should include (but is not limited to) referral/resource information for the
following categories: mental health services, medication, substance abuse services, medication
assisted treatment, health care/medical services, benefits, food, clothing, transportation,
housing, identification needs, employment, and disability income resources.
e. If the individual wants their discharge plan shared with any of the referral community
agencies, they will need to sign a release of information.
f. If an individual is sentenced, it is expected that the presentence coordinator helps them with
appointments in the community prior to their release. This can also include working with
attorneys, probation officers, or parole officers to gain acceptance to sober living or treatment
Page 13 of 23
Exhibit A-3
programs. If a client reports opiate use, they should be referred to medical for the appropriate
MAT services.
g. Seek partnerships with the Regional Accountable Entity (RAE) to ensure referrals
are made in a timely manner with community treatment providers.
2.3 Data Accessibility. The Pre -Sentence Reentry Coordinator position shall be given
access to, receive training on, and be able to utilize the data in the Jail Management
System (JMS) in order to target the high jail utilizers.
2.4 Data Entry. All discharge plans/notes are entered under the services tab as
"Community Resources and Access". Any additional follow up should be entered under the
services tab utilizing the drop down option that most closely represents what services are being
provided.
Article 3
Deliverables
3.1 For Deliverables under this section, please see Part 6 - JBBS Program Deliverables
PART FIVE - MEDICATION ASSISTED TREATMENT
Article 1
Purpose & Target Population
1.1 Purpose. Treatment of individuals with substance use disorders who come into contact
with the criminal justice system. Jails that receive funding through the jail -based behavioral
health services program are to allow medication -assisted treatment to be provided to
individuals in the jail. Jails must have services involving consideration for FentanylCarfentanil
related substances, and provide 8 mg of Naloxone at release (this can be two 4mg Narcan or
one 8mg Kloxxado). The jail may enter into agreements with community agencies and
organizations to assist in the development and administration of medication -assisted treatment.
"Medication -Assisted Treatment" or "MAT" means a combination of behavioral therapy and
medications approved by the Federal Food and Drug Administration to treat SUD disorders.
1.2 Target Population. Adults 18 years of age and older, residing in county jail(s).
Article 2
Activities & Services
2.1 Provision of Medication -Assisted Treatment. Contractor shall hire technical
assistance ("TA") providers to support MAT programs in their facility. Technical assistance
includes development and implementation of medication -assisted treatment, approval of
prescribers by the United States Drug Enforcement Agency, other appropriate withdrawal
management care, and assistance with identifying bulk purchasing opportunities for
necessary services. The facility shall offer medication approved by the federal Food and Drug
Administration that are approved to treat opiate use disorder, which must include agonists,
Page 14 of 23
Exhibit A-3
partial agonists, and antagonists, to a person in custody with an opiate use disorder. The
person, in collaboration with the treating provider, must be given a choice concerning what
medication is prescribed, based on the facility's medication formulary. The Contractor or
designee, shall be responsible for documenting individual -level MAT services provided,
including date of service, type of service, duration of service, specific MAT medication provided,
frequency of dosage, and any additional applicable information. Contractors engaging in MAT
treatment shall expand access to care for persons who are incarcerated with substance use
disorder (SUD) through the following activities:
a. Have a policy in place for the provision of Medication -Assisted Treatment (MAT)
and how it will be implemented. A copy of this policy will be provided to the assigned JBBS
Program Manage prior to MAT services being provided.
b. Identify program appropriate individuals via evidence based screening.
c. Link persons with a community based clinical care provider.
d. Initiate MAT for SUD and retain in MAT/optimize retention to MAT while in jail.
e. Provide patient education surrounding SUD and the types of treatment available
in their community.
f. Develop and routinely review individualized treatment plans.
g. Have fentanyl related considerations for withdrawal management.
h. Provide overdose reversal medication at release (this can be two 4mg Narcan or
one 8mg Kloxxado).
2.2 Allowable Expenses. The following are allowable expenses in the provision of MAT
services, reimbursable in accordance with the BHA -approved rate schedule or prior
authorization from JBBS Program Manager. For a full list of allowable medications, please
see the "medications" section in Exhibit B.\
a. Fee for service agreements with Contractors for treatment, medical staff, and medications.
b. Required medications, handled subject to Controlled Substance / Medication Assisted
Treatment licensing requirements, including medications for overdose reversal such as
Naloxone or Kloxxado.
c. DEA licensing services.
d. Temporary or Permanent staffing services for positions related to the implementation of MAT
services. These could be both sworn and civilian positions.
e. Facility and equipment upgrades related to MAT, per JBBS program manager approval.
f. Training and staff development for MAT. Invoice requests are due to BHA as expenses are
incurred. Only one month's expenses are allowed per invoice.
g. Technical assistance.
h. Training services for jail staff as it relates to MAT.
i. Consultation services for jail staff and community providers as it relates to MAT.
j. Advertising, marketing or public relation services regarding MAT services.
k. Human Services collaboration as it pertains to Medicaid enrollment prior to release from jail.
I. Translation services for those receiving MAT services when needed.
m. Delivery of MAT medications.
n. Community re-entry services as related to MAT services.
Page 15 of 23
Exhibit A-3
Article 3
Standards and Requirements
3.1 Program Policies and Plans.
a. Contractor shall adhere to the policy or plan for its jail submitted to satisfy the deliverable
described in Part Six, Article 1.5.
b. A Sheriff who is the custodian of a county jail or city and county jail may enter into
agreements with community agencies, behavioral health organizations, and substance use
disorder treatment organizations to assist in the development and administration of medication -
assisted treatment in the jail.
C. Jails are expected to provide a plan to the BHA by December 31, 2024 detailing the
sustainability of their respective MAT programs beyond the fiscal year or when funds are fully
expended. This plan should include how they will continue to provide MAT services and funding
source. Counties are encouraged to use county funding available from a settlement or damage
award from opiate -related litigation to support jails in complying with the requirements of this
section.
3.2 License Requirements.
a. Providers licensed as an Opioid Treatment Program (OTP) shall adhere to various elements
and sections of 2 CCR 502-1 Behavioral Health Rules including but not limited to 21.320 Opioid
Treatment Programs (OTP) and 21.300 Licensing of Substance Use Disorder Programs Using
Controlled Substances.
b. All BHA -licensed agencies (including OTPs) storing and dispensing from stock controlled
substances for the purpose of treating a substance use disorder or withdrawal from a
substances use disorder shall adhere to 2 CCR 502-1 Behavioral Health Rules regarding
21.300: Controlled Substance License Requirements, which includes direction on the safe
storage and handling of controlled substances.
3.3 Level of Program/Care. OTPs seeking a Controlled Substance License must also apply for
approval to operate as a Behavioral Health Entity (BHE), identifying which ASAM level of care
they will choose to operate at and follow BHA regulatory guidelines that define that level of care
within 2 CCR 502-1.
Article 4
Deliverables
4.1 For Deliverables under this section, please see Part 6 - JBBS Program Deliverables
PART SIX - JBBS PROGRAM DELIVERABLES
Article 1
1.1 Deliverables for All JBBS Programs
Page 16 of 23
Exhibit A-3
a. JBBS Work Plan. Using the JBBS Statement of Work, the Contractor is required to design a
work plan based on the five criteria listed below. The Annual Work Plan should specify the
following information for each service in which the Contractor will participate in. See JBBS Work
Plan Template at the end of this document.
b. Annual Report. The Contractor shall submit to the State the previous year's Annual Report by
EOB August 1, utilizing the JBBS Reporting Template provided by BHA. The Contractor shall
submit this report via email to cdhsjbbs@state.co.us
c. JBBS Database Reporting.
i. The Contractor or designated subcontractor shall complete all applicable data fields in
the JBBS (Civicore) Database using the following URL:
https://fw.civicore.com/jbbhs or another data system as prescribed by BHA.
All data entry shall be updated on an ongoing basis, and must reflect current
individual enrollment and services provided by the 15th of each month following
the month when the service was provided.
d. Data Entry shall include:
i. Basic individual demographic and working diagnosis information.
ii. Booking date (date that the individual was booked into jail).
iii. Screening date and results
iv. Admission date (date that individual began receiving JBBS services).
v. Individual -level services provided (date of service, type of service, duration of service,
and any additional information), including any Medication Assisted Treatment services
provided (date of service, duration of service, type of MAT service, specific MAT
medication, and any other applicable information, including frequency of dosage).
vi. Date, duration, and participants who attended for treatment or case management
group sessions.
vii. Discharge date and type (unsuccessful discharge or successful discharge,
depending on whether the individual is actively participating in the JBBS program at the
time of discharge). BHA utilizes discharge and admission dates to approximate sentence
length and measure progress toward shortening sentence lengths.
viii. Date tracked and treatment status in the community, tracked at month 1, month 2,
month 6, and month 12 after discharge.
ix: The contractor shall utilize the Health Information Exchange platform (if available in
the jail) that serves to provide an additional relevant source of longitudinal health data
that can inform & support better treatment options, coordination of care and a better
understanding of the whole health of each individual so they can provide the safest and
most effective treatment recommendations.
e. The Contractor or Contractor's designated subcontractor shall complete Drug Alcohol
Coordinated Data System (DACODS), Colorado Client Assessment Records (CCAR), and
Encounters - or other BHA prescribed data system records, according to the following schedule:
i. Encounters are due by the last business day of each month for all services provided
during the previous month.
ii. CCARs are due by the last business day of the month following the admission, annual
update, or discharge of a client.
Page 17 0 23
Exhibit A-3
iii. DACODS are due by the 15th of the following month for admissions into, and
discharges from, JBBS services. See the latest version of the Finance & Data Protocol
Protocol #1 Special Studies Codes and Eligibility for more details:
https://www.google.com/url?q=https://bha.colorado.gov/sites/bha/files/documents/FINAL
%2520Protocol%25201 %2520Amendment°%25208%2520SSCs%2520and%2520Eligibil
ity%2520October%25202022%2520%25281./02529 0.pdf&sa=D&source=docs&ust=17
09671223916104&usq=AOvVaw0TLJg4bpMoZBfrGf6F2lNE
f. Workgroup Attendance. BHA facilitates JBBS Program Meetings every other month. The
Contractor shall ensure that a representative from each jail participates in the meetings. The
representative(s) who attends the meetings shall be responsible for relaying the information
discussed during the meetings to the rest of the Contractor's program organizational structure.
g. Critical Incidents. The Contractor shall ensure any critical incident involving a JBBS client is
documented and shared with the Behavioral Health Administration via an encrypted email to
cdhs_ci_bha@state.co.us, within 24 hours of the time the incident occurs. It is
recommended that the Contractor include this reporting requirement in all subcontractor
agreements. The documentation should include the following:
i. Date and time of incident.
ii. Location of the incident.
iii. The nature of the incident.
iv. How the incident was resolved.
v. Name[s] of staff present.
vi. Whether the incident resulted in any physical harm to the participant or
any staff.
h. Copy of Proposed Subcontract. The Contractor shall provide to BHA a copy of all
subcontracts between the Contractor and any potential provider of services to fulfill any
requirements of this Contract, to cdhsjbbs@state.co.us within 30 days of subcontract
execution. The subcontract will be evaluated to ensure it is in compliance with the maximum
rates established in the Annual Budget document provided by BHA.
i. Site Visits. The JBBS Program Manager(s) may conduct site visits for the purpose of providing
technical assistance support and quality assurance monitoring of the program on a periodic/as
needed basis.
j. Monthly Contract Monitoring Tool. The Contractor shall submit a completed contract
monitoring tool to their assigned JBBS program manager no later than the 20th of the month
with the prior months information. JBBS program managers will update this internally.
k. Plan of Action. Contractors who do not meet the deliverables above, or any additional
deliverables listed below, for which they have been provided funding, may be asked to submit a
plan of action to improve program performance for the current or following fiscal year.
I. Monthly BHA Invoice. Invoices will be submitted to cdhs_bhapayment@state.co.us by the
20th of the following month. Only one month's expenses are allowed per invoice. Supporting
financial documentation is also required to be submitted along with the invoice.
m. Spending Projection Plan. If a contractor is underspent by greater than 40% of their budget
by mid fiscal year (Nov 30), Contractor shall submit a spending projection plan. Failure to submit
the spending plan and failure to effectively utilize funding could result in reduction in the current
year budget.
Page 18 of 23
Exhibit A-3
n. Behavioral Health Screenings:
i. Individuals involved in the JBBS program are required to complete the GAIN 3.2
assessment with an individual enrolled in the JBBS program within 14 calendar days of
program enrollment.
1.2 Additional Deliverables Related to Jail Medication -Assisted Treatment
a. Organizational Structure. All Contractors participating in JBBS shall determine and provide an
organizational structure designed to facilitate and promote effective MAT program
administration. Describe the use of evidence based best practices for coordination of care for
identified inmates. This report is due via email to cdhsJbbs@state.co.us by August 1 annually.
b. Policies. Prior to MAT services being delivered, the Contractor shall provide BHA a written
policy for their intended Jail MAT service delivery method, via email to cdhsJbbs@state.co.us.
Contact JBBS Program Manager for additional information on creating MAT policies.
c. Barrier Reports. If Contractor does not deliver any part of these deliverables, Contractor shall
submit a report detailing the barrier(s) Contractor is experiencing that have prevented the
service delivery. Describe the capacity or efforts needed to get the jail into compliance, including
but not limited to withdrawal management, screening, and coordination of care for inmates
identified for MAT. The report is due via email to cdhsJbbs@state.co.us by August 1 annually.
d. Work Plan and Budget Submission/Approval. In order to access MAT funds, Contractor must
submit a MAT work plan describing how the funds will be used.
e. Contractor shall provide an initial budget to the BHA JBBS Program Manager with Contractor
submission of the work plan. BHA JBBS Program Manager will respond with an approval, a
request for more information, or a rejection with cause. Budgets in excess of the proposed soft
cap must be approved in advance in writing by the BHA JBBS Program Manager.
f. Contractors with ongoing MAT programs must submit the workplan and budget by June 1
annually for the upcoming state fiscal year (beginning July 1). Contractors beginning new MAT
programs must submit the workplan and budget prior to commencing services billed to this fund.
Contractor work may not commence until the work plan and budget are approved by the BHA
JBBS Program Manager.
g. Data Entry. The Contractor or designated subcontractor shall complete all applicable data
fields as outlined in Part Six, Table 1, page 19. Data shall be entered in the JBBS (Civicore)
database, or another data system as prescribed by BHA. All data entry shall be updated on an
ongoing basis, and must reflect current individual enrollment and services provided by the 15th
of each month following the month when the service was provided.
h. Medication Compliance - Number of individuals who have engaged in MAT services under
the JBBS umbrella, who have successfully transitioned to a provider for further treatment or
ongoing evaluation for MAT services, including community -based or Department of Corrections
settings.
Page 19 of 23
Exhibit A-3
Table 1
Below is the deliverables table required by BHA for each JBBS related service.
Program
Deliverable
Due Date
Responsible
Party
Deliver to
All
Send BHA
copies of all
proposed
subcontracts
Within 30
days of
contract
being signed
Contractor
cdhsJbbs@state.co.us
All
Provide work
plan
With budget
submission
Contractor
cdhsJbbs@state.co.us
All
Submit BHA
invoice &
supporting
financial
documents
By the 20th
of the
following
month
Contractor
cdhs_obhpayment@state.co.us
All
Report critical
incidents
Within 24
hours of
incident
Contractor
cdhs_ci_obh@state.co.us
All
Provide
JBBS annual
report
8/1/25
Contractor
cdhsJbbs@state.co.us
All
Site Visits
Ongoing / As
Needed
BHA
Locations TBD
Page 20 of 23
Exhibit A-3
All
Contract
Monitoring
Tool
Ongoing, by
the 20th of
each month
for all
services
provided
during the
previous
month
Contractor
JBBS Program Manager
All
Program
specific data
Ongoing
Contractor or
designated
subcontractor
Civicore database
All
Workgroup
attendance
Ongoing
Contractor,
subcontractors,
clinicians
Virtual formats - invites will be
provided by JBBS program
managers
MAT
Provide jail
MAT program
policies and
procedures
Prior to MAT
services
being
provided
Contractor
cdhsjbbs@state.co.us
Page 21 of 23
Exhibit A-3
JBBS Work Plan
1. Identify the Project Name, Purpose and Timeline
i. The Project Name will be either JBBS/Substance Use Disorder Treatment,
JBBS/Mental Health Treatment, JBBS/Pre-Sentence Coordinator, or JBBS/Medication
Assisted Treatment (MAT).
ii. The Purpose will include what you hope to accomplish by providing JBBS services in
your facilities.
iii. The Timeline will be July 1, 2024 - June 30, 2025
2. Put Your Work Plan Into Context
i. This should include an introduction and background of the facility's JBBS program.
ii. Write an introduction and background to better outline why you need this project to
happen - Creating context and establishing the problem, helps explain why you need the
solution. Examples could include an increase in substance abuse usage, increase in
mental health disorders, increased jail population, high recidivism rates, Colorado state
statute requirements, etc...
iii. Describe the overall goal of the JBBS program. Examples can include who is eligible
for services, how will referrals to the program be made, what are the admission criteria,
how services will be provided, etc...
iv. If the facility is a new JBBS program, please include a brief summary of how and why
JBBS services will be implemented into your facility, and what you hope to gain from this
program.
3. Establish Your Goals and Objectives. Goals and objectives should be developed in an
integrated, multi -disciplinary fashion, which includes the active and ongoing participation of the
offender, jail staff and community providers. Examples could include:
i. What are I will be, the assessments and screenings between subcontracted treatment
provider agencies?
ii. How will you interface with other agencies serving persons with substance use
disorders or co-occurring mental illnesses, (i.e., community mental health centers,
substance use disorder treatment programs, service programs for Veterans, community
service agencies, and other licensed clinicians in private practice), to meet individuals'
treatment needs?
iii. What is the service array available within the community to program participants upon
their release from jail, OR, if there are limited services available in your area, highlight
this as a potential barrier.
iv. Which recovery support services (RSS) are most needed in your community and/or
catchment area and how will the provider or Sheriff's Department use a portion of their
budget to meet these needs?
v. What security protocol and reporting requirements are expected from the treatment
provider?
Page 22 of 23
Exhibit A-3
vi. What is the current capacity or efforts to screen all individuals booked into the jail
facility for mental health, suicidality and substance use histories and needs?
vii. What are/will be, the continuum of services being offered, pursuant to this Contract
based on evidence based curricula?
vii. What will the frequency and duration of services offered look like? Discuss the
availability of services during the week and hours of operation, as well as include a
breakdown of staff time (FIE) allocated to the program, credentials and general duties of
each position.
4. Define and Coordinate Your Resources:
i. Determine and provide an organizational structure designed to facilitate and promote
effective administration of the JBBS program (should include jail staff as well as any
subcontracted staff).
ii. Describe how you plan to link offenders with community services
upon their release from custody.
5. Understand Your Constraints: Are there any obstacles that are going to get in the
way of providing these services?
i. Examine if there are any barriers to treatment within the jail? Within the community?
ii. If so, it is possible to address these and, if so, how do you plan to do that?
6. Discuss Risks and Accountability: Here you will highlight any foreseeable risks to the
program, as well as who will be accountable for each aspect of the program.
i. Activities, services, budgets, plans, timelines, goats, and outcome measures included
in the Work Plan shall be interpreted as being material contractual performance
requirements, outcomes, measures, and contract deliverables of the Contractor.
ii.The work plan, once approved by BHA, shall be incorporated into this Contract by
reference as work requirements of the Contractor supplemental to Contractor work
requirements under the current Contract Exhibit A, Statement of Work, as amended.
Page 23 of 23
Contract Form
Entity Information
Entity Name* Entity ID*
NORTH RANGE BEHAVIORAL @00008661
HEALTH
Contract Name*
2024-2025 EXTENSION OF MOU FOR JAIL BASED
BEHAVIORAL SERVICES
Contract Status
CTB REVIEW
Contract Description*
EXTENSION OF EXISTING MOU
Contract Description 2
Contract Type*
AGREEMENT
Amount*
$0.00
Renewable*
YES
Automatic Renewal
Grant
IGA
Department
SHERIFF
Department Email
CM-Sheriff@weldgov.com
Department Head Email
CM-Sheriff-
DeptHead@weldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEY@WEL
DGOV.COM
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
❑ New Entity?
Contract ID
8419
Contract Lead *
MKNEE
Contract Lead Email
mknee@weldgov.com;
skohlgraf@weldgov.com
Parent Contract ID
Requires Board Approval
YES
Department Project #
Requested BOCC Agenda Due Date
Date* 06/22/2024
06/26/2024
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"
04/01/2025
Renewal Date"
07/01/2025
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
06/25/2024
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
07/01/2024
Finance Approver
CHERYL PATTELLI
Legal Counsel
KARIN MCDOUGAL
Finance Approved Date Legal Counsel Approved Date
06/25/2024 06/27/2024
Tyler Ref #
AG 070124
Originator
SKOHLGRAF
Hello