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Home My WebLink About20231822.tiffRESOLUTION RE: APPROVE PROFESSIONAL SERVICES AGREEMENT FOR VARIOUS CORE AND NON -CORE SERVICES AND AUTHORIZE CHAIR PRO-TEM TO SIGN - HOPELIGHT MEDICAL CONIC, DBA HOPELIGHT 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 Professional Services Agreement for Various Core and Non -Core Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and Hopelight Medical Clinic, dba Hopelight Behavioral Health, commencing June 1, 2023, and ending May 31, 2024, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, 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 Professional Services Agreement for Various Core and Non -Core Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and Hopelight Medical Clinic, dba Hopelight 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 agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 28th day of June, A.D., 2023, nunc pro tunc June 1, 2023. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST:dtedfm) XL:el Weld County Clerk to the Board ounty torney Date of signature: 07111/23 cc; (SD 07/2o/23 2023-1822 HR0095 untvacr I W 19 PRIVILEGED AND CONFIDENTIAL MEMORANdUM DATE: June 13, 2023 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Professional Services Agreement with Hopelight Medical Clinic dba Hopelight Behavioral Health Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Professional Services Agreement with Hopelight Medical Clinic dba Hopelight Behavioral Health. The Department is requesting to enter into a Professional Services Agreement for Mental Health Services and Foster Parent Training. The Term of the Agreement shall be from June 1, 2023 through May 31, 2024. Fees for Services: Mental Hea Services $ 125.00 Hour Initial Consult/Assessment for Parent Training: in Office/ Video $ 150.00 $ 50.00 $ 100.00 Hour Each Hour initial Consult/Assessment for Parent Training: In -Home or (:omnuutily Initial Consult/Assessment for Parent Training: No Show (Max of 2 no shows or2 hnurs/month/client) Ongoing Individualized Parent Training: in Office/ Video Ongoing Individualized Parent Training: In -Home or Community Ongoing Individualized Parent Training: No Show (Max of 2 no shows or 2 hours/month/client) Foster Parent Training: Mileage' from 2693 Silverheels Drive, I.oveland. Colorado 80538 Direct ABA Therapy Services: in Office/Video Dir=:r A13A Therapy Services: In -Home or Community Direct ABA Therapy Services: No Show (Max of 2 no shows or 2 hours/month/client) Supervision of Direct ABA Therapy Services: In Office/Video $ 125.00 $ 50.00 Hour Each $ 0.58 Mile $ 75.00 $ 75.00 $ 25.00 Hour Hour Each $ 100.00 hour $ 100.00 hour Supervision of Direct ABA Therapy Services: In -Home or Community $ 50.00 Each Direct ABA Therapy Scrvicm: No Show (Max of 2 no shows or 2 hours/month/client) $ 0.58 Mile Mental Health Services: Mileage. from 1351 Collyer Street, Longmont, Colorado 80501 Foster Parent Trainin $ 100.00 General ABA "Bootcamp" Training: in Office/ Video $ 50.00 Each General ABA "Bootcamp" Training: No Show (Max of 2 no shows or 2 hours/month/client) Pass -Around Memorandum; June 13, 2023 - CMS ID 7119 Page I 2023-1822 PRIVILEGED AND CONFIDENTIAL I do no't recommend a Work Session. I recommend approval ofl this Professional Services Agreement and authorize the Chair to sign. Approve Recommendation Perry L. Buck, Pro-Tem Mike Freeman, Chair Scott K. James Kevin D. Ross Lori Saine Schedule Work Session Other/Comments: Pass -Around Memorandum; June 13, 2023 - CMS ID 7119 Page 2 Karla Ford From: Sent: To: Subject: Approve Kevin Ross Kevin Ross Tuesday, June 13, 2023 11:43 AM Karla Ford Re: Please Reply - PA FOR ORUTING; CW Hopelight PSA (CMS TBD) From: Karla Ford <kford@weld.gov> Sent: Tuesday, June 13, 2023 12:2O:11 PM To: Kevin Ross <kross@weld.gov> Subject: Please Reply - PA FOR ORUTING; CW Hopelight PSA (CMS TBD) Please advise if you approve recommendation. Thank you. Karla Ford Office Manager, Board of Weld County Commissioners 1150 0 Street, P.Q. Box 758, Greeley, Colorado 80632 :: 970.336-7204 :: kford@weldgov.com :: www.weldgov.com **Please note my working hours are Monday -Thursday 7:00a.m.-5:00p.m.** Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Windy Luna <wluna@weld.gov> Sent: Tuesday, June 13, 2023 10:57 AM To: Karla Ford <kford@weld.gov> Cc: Cheryl Pattelli <cpattelli@weld.gov>; Esther Gesick <egesick@weld.gov>; Lennie Bottorff <bottorll@weld.gov>; Chris D'Ovidio <cdovidio@weld.gov>; Bruce Barker <bbarker@weld.gov>; HS -Contract Management <HS- ContractManagement@co.weld.co.us> Subject: PA FOR ORUTING; CW Hopelight PSA (CMS TBD) Good morning Karla, Please see the attached PA that has been approved for routing: CW Hopelight PSA (CMS TBD). Thank you, Windy Luna Contract Management and Compliance Coordinator 1 PROFESSIONAL SERVICE AGREEMENT BETWEEN WELD COUNTY AND HOPELIGHT MEDICAL CLINIC DBA HOPELIGHT BEHAVIORAL HEALTH q THIS AGREEMENT is made and entered into this 2day of 31..11x, , 2023, by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as "County," and Hopelight Medical Clinic dba Hopelight Behavioral Health, hereinafter referred to as "Contractor". WHEREAS, County desires to retain Contractor to perform services as required by County and set forth in the attached Exhibits; and WHEREAS, Contractor is willing and has the specific ability, qualifications, and time to perform the required services according to the terms of this Agreement; and WHEREAS, Contractor is authorized to do business in the State of Colorado and has the time, skill, expertise, and experience necessary to provide the services as set forth below; and WHEREAS, the Colorado Department of Human Services has provided Core/Non-Core or other funding to the Department for Mental Health Services and Foster Parent Training. NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties hereto agree as follows: 1. Introduction. The terms of this Agreement are contained in the terms recited in this document and in the attached Exhibits, each of which forms an integral part of this Agreement and are incorporated herein. The parties each acknowledge and agree that this Agreement, including the attached Exhibits, define the performance obligations of Contractor and Contractor's willingness and ability to meet those requirements (the "Work"). If a conflict occurs between this Agreement and any Exhibit or other attached document, the terms of this Agreement shall control, and the remaining order of precedence shall based upon order of attachment. Exhibit A consists of the Scope of Services. Exhibit B consist of the Rate Schedule. Exhibit C consists of County's Request for Proposal (RFP) as set forth in Bid Package No. B2300040 which is incorporated into this agreement by reference and will be provided upon request to the Department. Exhibit D consists of Contractor's Response to County's Request. 2. Service or Work. Contractor agrees to diligently provide all services, labor, personnel and materials necessary to perform and complete the Work described in the attached Exhibits. Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibits A, Scope of Services, and Exhibit D, Contractor's Response to Request for Proposal. Contractor shall further be responsible for the timely completion and acknowledges that a failure to comply with the standards and requirements of Work within the time limits prescribed by County may result in County's decision to withhold payment or to terminate this Agreement. 3. Term. The term of this Agreement shall be from June 1, 2023, through May 31, 2024, unless sooner terminated as provided herein. Both of the parties to this Agreement understand and agree that the laws of the State of Colorado prohibit County from entering into Agreements which bind County for periods longer than one year. This Agreement may be renewed for 2 (two) additional one-year terms upon mutual written agreement of the Parties. 4. Termination; Breach; Cure. County may terminate this Agreement for its own convenience upon thirty (30) days written notice to Contractor. Either Party may immediately terminate this Agreement upon material breach of the other party, however the breaching party shall have fifteen (15) days after receiving such notice to cure such breach. If this Agreement is terminated by County, Contractor shall be compensated for, and such compensation shall be limited to, (1) the sum of the amounts contained in invoices which it has submitted and which have been approved by the County; (2) the reasonable value to County of the services which Contractor provided prior to the date of the termination notice, but which had not yet been approved for payment; and (3) the cost of any work which the County approves in writing which it determines is needed to accomplish an orderly termination of the work. County shall be entitled to the use of all material generated pursuant to this Agreement upon termination. Upon termination of this Agreement by County, Contractor shall have no claim of any kind whatsoever against the County by reason of such termination or by reason of any act incidental thereto, except for compensation for work satisfactorily performed and/or materials described herein properly delivered. 5. Extension or Amendment. Any amendments or modifications to this agreement shall be in writing signed by both parties. No additional services or work performed by Contractor shall be the basis for additional compensation unless and until Contractor has obtained written authorization and acknowledgement by County for such additional services. Accordingly, no claim that the County has been unjustly enriched by any additional services, whether or not there is in fact any such unjust enrichment, shall be the basis of any increase in the compensation payable hereunder. In the event that written authorization and acknowledgment by the County for such additional services is not timely executed and issued in strict accordance with this Agreement, Contractor's rights with respect to such additional services shall be deemed waived and such failure shall result in non-payment for such additional services or work performed. Any claims by the Contractor for adjustment hereunder must be made in writing prior to performance of any work covered in the anticipated Amendment, unless approved and documented otherwise by the County Representative. Any change in work made without such prior Amendment shall be deemed covered in the compensation and time provisions of this Agreement, unless approved and documented otherwise by the County Representative. 6. Compensation. County agrees to pay Contractor through an invoice process during the course of this Agreement in accordance with the Rate Schedule as described as Exhibit B. Contractor agrees to submit invoices which detail the work completed by Contractor. The County will review each invoice and if it agrees Contractor has completed the invoiced items to the County's satisfaction, it will remit payment to the Contractor. No payment in excess of that set forth in the Exhibits will be made by County unless an Amendment authorizing such additional payment has been specifically approved by Weld County as required pursuant to the Weld County Code. If, at any time during the term or after termination or expiration of this Agreement, County reasonably determines that any payment made by County to Contractor was improper because the service for which payment was made did not perform as set forth in this Agreement, then upon written notice of such determination and request for reimbursement from County, Contractor shall forthwith return such payment(s) to County. Upon termination or expiration of this Agreement, unexpended funds advanced by County, if any, shall forthwith be returned to County. County will not withhold any taxes from monies paid to the Contractor hereunder and Contractor agrees to be solely responsible for the accurate reporting and payment of any taxes related to payments made pursuant to the terms of this Agreement. Unless expressly enumerated in the attached Exhibits, Contractor shall not be entitled to be paid for any other expenses (e.g. mileage). Notwithstanding 2 anything to the contrary contained in this Agreement, County shall have no obligations under this Agreement after, nor shall any payments be made to Contractor in respect of any period after December 31 of any year, without an appropriation therefore by County in accordance with a budget adopted by the Board of County Commissioners in compliance with Article 25, Title 30 of the Colorado Revised Statutes, the Local Government Budget Law (C.R.S. 29-1-101 et. seq.) and the TABOR Amendment (Colorado Constitution, Article X, Sec. 20). 7. Independent Contractor. Contractor agrees that it is an independent contractor and that Contractor's officers, agents or employees will not become employees of County, nor entitled to any employee benefits (including unemployment insurance or workers' compensation benefits) from County as a result of the execution of this Agreement. Contractor shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contractor, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contractor or any of its agents or employees. Unemployment insurance benefits will be available to Contractor and its employees and agents only if such coverage is made available by Contractor or a third party. Contractor shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. 8. Subcontractors. Contractor acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the completion of the Work without County's prior written consent, which may be withheld in County's sole discretion. County shall have the right in its reasonable discretion to approve all personnel assigned to the Work during the performance of this Agreement and no personnel to whom County has an objection, in its reasonable discretion, shall be assigned to the Work. Contractor shall require each subcontractor, as approved by County and to the extent of the Work to be performed by the subcontractor, to be bound to Contractor by the terms of this Agreement, and to assume toward Contractor all the obligations and responsibilities which Contractor, by this Agreement, assumes toward County. County shall have the right (but not the obligation) to enforce the provisions of this Agreement against any subcontractor hired by Contractor and Contractor shall cooperate in such process. The Contractor shall be responsible for the acts and omissions of its agents, employees and subcontractors. 9. Ownership. All work and information obtained by Contractor under this Agreement or individual work order shall become or remain (as applicable), the property of County. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contractor in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the County. Contractor shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of County. 10. Confidentiality. Confidential information of the Contractor should be transmitted separately from non -confidential information, clearly denoting in red on the relevant document at the top the word, "CONFIDENTIAL." However, Contractor is advised that as a public entity, Weld County must comply with the provisions of the Colorado Open Records Act (CORA), C.R.S. 24-72-201, et seq., with regard to public records, and cannot guarantee the confidentiality of all documents. Contractor agrees to keep confidential all of County's confidential information. Contractor agrees not to sell, assign, distribute, or disclose any such confidential information to any other person or entity without seeking written permission from the County. Contractor agrees to advise its employees, agents, and consultants, of the confidential and proprietary nature of this confidential information and of the restrictions imposed by this Agreement. 3 11. Warranty. Contractor warrants that the Work performed under this Agreement will be performed in a manner consistent with the standards governing such services and the provisions of this Agreement. Contractor further represents and warrants that all Work shall be performed by qualified personnel in a professional manner, consistent with industry standards, and that all services will conform to applicable specifications. 12. Acceptance of Services Not a Waiver. Upon completion of the Work, Contractor shall submit to County originals of all test results, reports, etc., generated during completion of this work. Acceptance by County of reports and incidental material(s) furnished under this Agreement shall not in any way relieve Contractor of responsibility for the quality and accuracy of the project. In no event shall any action by County hereunder constitute or be construed to be a waiver by County of any breach of this Agreement or default which may then exist on the part of Contractor, and County's action or inaction when any such breach or default exists shall not impair or prejudice any right or remedy available to County with respect to such breach or default. No assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the County of, or payment for, the Work completed under this Agreement shall not be construed as a waiver of any of the County's rights under this Agreement or under the law generally. 13. Insurance. Contractor must secure, before the commencement of the Work, the following insurance covering all operations, goods, and services provided pursuant to this Agreement, and shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, and during any warranty period. For all coverages, Contractor's insurer shall waive subrogation rights against County. Types of Insurance. Workers' Compensation / Employer's Liability Insurance as required by state statute, covering all of the Contractor's employees acting within the course and scope of their employment. The policy shall contain a waiver of subrogation against the County. This requirement shall not apply when a Contractor or subcontractor is exempt under Colorado Workers' Compensation Act., AND when such Contractor or subcontractor executes the appropriate sole proprietor waiver form. Commercial General Liability Insurance including public liability and property damage, covering all operations required by the Work. Such policy shall include minimum limits as follows: $1,000,000 each occurrence; $1,000,000 general aggregate; $1,000,000 Personal injury; $5,000 Medical payment per person. Automobile Liability Insurance: Contractor shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere, for vehicles owned, hired, and non -owned vehicles used in the performance of this Contract. Professional Liability (Errors and Omissions Liability). The policy shall cover professional misconduct or lack of ordinary skill for those positions defined in the Scope of Services of this contract. Contractor shall maintain limits for all claims covering wrongful acts, errors and/or omissions, including design errors, if applicable, for damage sustained by reason of or in the course of operations under this Contract resulting from professional services. In the event that the professional liability insurance required by this Contract is written on a claims -made basis, Contractor warrants that any retroactive date under the policy shall precede the effective date of this Contract; and that either continuous coverage will be maintained or an extended discovery 4 period will be exercised for a period of two (2) years beginning at the time work under this Contract is completed. Minimum Limits: $1,000,000 Per Loss; $2,000,000 Aggregate. b. Proof of Insurance. Upon County's request, Contractor shall provide to County a certificate of insurance, a policy, or other proof of insurance as determined in County's sole discretion. County may require Contractor to provide a certificate of insurance naming Weld County, Colorado, its elected officials, and its employees as an additional named insured. c. Subcontractor Insurance. Contractor hereby warrants that all subcontractors providing services under this Agreement have or will have the above described insurance prior to their commencement of the Work, or otherwise that they are covered by the Contractor's policies to the minimum limits as required herein. Contractor agrees to provide proof of insurance for all such subcontractors upon request by the County. d. No limitation of Liability. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor. The County in no way warrants that the minimum limits contained herein are sufficient to protect the Contractor from liabilities that might arise out of the performance of the Work under by the Contractor, its agents, representatives, employees, or subcontractors. The Contractor shall assess its own risks and if it deems appropriate and/or prudent, maintain higher limits and/or broader coverages. The Contractor is not relieved of any liability or other obligations assumed or pursuant to the Contract by reason of its failure to obtain or maintain insurance in sufficient amounts, duration, or types. The Contractor shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. e. Certification of Compliance with Insurance Requirements. The Contractor stipulates that it has met the insurance requirements identified herein. The Contractor shall be responsible for the professional quality, technical accuracy, and quantity of all services provided, the timely delivery of said services, and the coordination of all services rendered by the Contractor and shall, without additional compensation, promptly remedy and correct any errors, omissions, or other deficiencies. 14. Indemnity. The Contractor shall defend, indemnify and hold harmless County, its officers, agents, and employees, from and against any and all injury, loss, damage, liability, suits, actions, claims, or willful acts or omissions of any type or character arising out of the Work done in fulfillment of the terms of this Agreement or on account of any act, claim or amount arising or recovered under workers' compensation law or arising out of the failure of the Contractor to conform to any statutes, ordinances, regulation, judicial decision, or other law or court decree. The Contractor shall be fully responsible and liable for any and all injuries or damage received or sustained by any person, persons, or property on account of its performance under this Agreement or its failure to comply with the provisions of the Agreement. It is agreed that the Contractor will be responsible for primary loss investigation, defense and judgment costs where this contract of indemnity applies. In consideration of the award of this contract, the Contractor agrees to waive all rights of subrogation against the County its associated and/or affiliated entities, successors, or assigns, its elected officials, trustees, employees, agents, and volunteers for losses arising from the work performed by the Contractor for the County. A failure to comply with this provision shall result in County's right to immediately terminate this Agreement. 15. Non -Assignment. Contractor may not assign or transfer this Agreement or any interest therein or claim thereunder, without the prior written approval of County. Any attempts by Contractor to assign or transfer its rights hereunder without such prior approval by County shall, at the option of County, 5 automatically terminate this Agreement and all rights of Contractor hereunder. Such consent may be granted or denied at the sole and absolute discretion of County. 16. Examination of Records. To the extent required by law, the Contractor agrees that an duly authorized representative of County, including the County Auditor, shall have access to and the right to examine and audit any books, documents, papers and records of Contractor, involving all matters and/or transactions related to this Agreement. Contractor agrees to maintain these documents for three years from the date of the last payment received. 17. Interruptions. Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 18. Notices. County may designate, prior to commencement of Work, its project representative ("County Representative") who shall make, within the scope of his or her authority, all necessary and proper decisions with reference to the project. All requests for contract interpretations, change orders, and other clarification or instruction shall be directed to County Representative. All notices or other communications made by one party to the other concerning the terms and conditions of this contract shall be deemed delivered under the following circumstances: (a) personal service by a reputable courier service requiring signature for receipt; or (b) five (5) days following delivery to the United States Postal Service, postage prepaid addressed to a party at the address set forth in this contract; or (c) electronic transmission via email at the address set forth below, where a receipt or acknowledgment is required and received by the sending party; or Either party may change its notice address(es) by written notice to the other. Notice may be sent to: TO CONTRACTOR: Name: Sarah Plunkett Position: Intake/Business Development, BCBA Address: 1351 Collyer Street Address: Longmont, Colorado 80501 E-mail: sarahp@hopelightbh.org Phone: (303) 834-9338 TO COUNTY: Name: Jamie Ulrich Position: Director Address: P.O. Box A Address: Greeley, Colorado 80632 E-mail: julrich(a,weld.gov Phone: (970) 400-6510 19. Compliance with Law. Contractor shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. 20. Non -Exclusive Agreement. This Agreement is nonexclusive and County may engage or use other Contractors or persons to perform services of the same or similar nature. 6 21. Entire Agreement/Modifications. This Agreement including the Exhibits attached hereto and incorporated herein, contains the entire agreement between the parties with respect to the subject matter contained in this Agreement. This instrument supersedes all prior negotiations, representations, and understandings or agreements with respect to the subject matter contained in this Agreement. This Agreement may be changed or supplemented only by a written instrument signed by both parties. 22. Fund Availability. Financial obligations of the County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. Execution of this Agreement by County does not create an obligation on the part of County to expend funds not otherwise appropriated in each succeeding year. 23. Employee Financial Interest/Conflict of Interest — C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to this Agreement state that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. 24. Survival of Termination. The obligations of the parties under this Agreement that by their nature would continue beyond expiration or termination of this Agreement (including, without limitation, the warranties, indemnification obligations, confidentiality and record keeping requirements) shall survive any such expiration or termination. 25. Severability. If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. 26. Governmental Immunity. No term or condition of this Agreement shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act §§24-10-101 et seq., as applicable now or hereafter amended. 27. No Third Party Beneficiary. It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action 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 be an incidental beneficiary only. 28. Board of County Commissioners of Weld County Approval. This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado or its designee. 29. Choice of Law/Jurisdiction. Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 30. Attorney's Fees/Legal Costs. In the event of a dispute between County and Contractor concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 7 31. Binding Arbitration Prohibited. Weld County does not agree to binding arbitration by any extra- judicial body or person. Any provision to the contrary in this Agreement or incorporated herein by reference shall be null and void. 32. Acknowledgment. County and Contractor acknowledge that each has read this Agreement, understands it and agrees to be bound by its terms. Both parties further agree that this Agreement, with the attached Exhibits, is the complete and exclusive statement of agreement between the parties and supersedes all proposals or prior agreements, oral or written, and any other communications between the parties relating to the subject matter of this Agreement. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: BY: ddri4.4) Jele4,;„k, 8 BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO JUN 2 8 2023 CONTRACTOR: Hopelight Medical Clinic dba Hopelight Behavioral Health 1351 Collyer Street Longmont, Colorado 80501 By. 1c tt1 Gn (&Wei Jun 15, 2023 15:58 CDT) Shyll Bowen, Director Date: Jun 15, 2123 vo23 - /�a� EXHIBIT A SCOPE OF SERVICES Contractor will provide Mental Health Services and Foster Parent Training, as referred by the Department. Program Area: Mental Health Services 1. Initial Consult/Assessment for Direct Applied Behavior Analysis (ABA) Services and Parent Training a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. In -person consults will be conducted for all initial visits. ii. Assessment sessions will be conducted in -person. iii. Board Certified Behavior Analyst (BCBA). iv. Verbal Behavior Milestones Assessment Placement Program (VB-MAPP). v. Promoting the Emergence of Advanced Knowledge (PEAK) Assessment. vi. Assessment of Functional Living Skills (AFLS). vii. Assessment of Basic Language and Learning Skills Revised (ABLLS-R). viii. Vineland Assessment. ix. Parent Comprehensive interview. x. Adaptive Behavior Assessment System (ABAS-3). xi. Functional Behavioral Assessment (FBA) xii. Direct observation of the child. xiii. Anecdotal and/or checklist ABC data recording. xiv. Questions about Behavior Function (QABF). xv. Functional Assessment Screening Tool (FAST). xvi. Brief Functional Analysis (BFA). xvii. Practical Functional Assessment (PFA). b. Anticipated Frequency of Services: i. Initial Assessments - No less than two (2) observations. ii. Follow-up Discussions — One (1) to two (2) hours. c. Anticipated Duration of Services: i. Initial Assessment - Up to twelve (12) hours. ii. Follow-up Discussions — One (1) meeting. d. Goals of Services: i. Identify relevant behavior reduction goals for child and identify goals based on the associated Behavioral Intervention Plan (BIP). ii. Identify relevant skill acquisition goals for the child that will be taught by BCBA and foster parent(s). iii. Create treatment plan outlining specific goals for future services that specify time -based mastery criteria. iv. Foster parents will gain an understanding of roles and expectations for future consultation services. v. Promote foster parent buy -in for on -going individualized parent training services, as appropriate. e. Outcomes of Services: i. Promote stronger foster parent and child relationships by providing parents with detailed information about their child's needs and intervention supports to address those needs. ii. Decrease the risk of children transitioning from homes due to foster parents struggles to manage behaviors and maintain safety in the home. iii. Increase the foster child's independence and safety as s/he learns new skills through the support of his/her foster parents and the BCBA. iv. Support foster child's transition to home/adopted placement by providing the family with specific goals and interventions to address the child's behavior and skill needs. f. Target Population: i. Foster Parents and children with identified skill deficits and/or behavioral concerns. ii. Applicable ages. iii. Applicable genders. g. Language: i. English. ii. Spanish translation available upon request for a limited number of cases. h. Medicaid Eligibility: i. This service is Medicaid eligible. i. Service Access and Transportation: i. In -office at 1351 Collyer Street, Longmont, Colorado 80501. ii. In -home. iii. Telehealth for assessment follow-up meetings only. 2. Ongoing Individualized Parent Training a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Initial Treatment Plan. ii. Communication skills. iii. Emotion regulation skills. iv. Toileting skills, etc. v. Direct coaching. vi. Modeling and/or video modeling. vii. Role-play scenarios. viii. Review of written resources/plans. ix. Verbal discussion. x. General ABA resources for teaching in ABA "Bootcamp" training sessions. xi. A variety of visual aids and written reminders in parent training that will be created/shared as needed. xii. Data collection, including paper -and -pencil. xiii. HIPPA-compliant electronic data collection systems. xiv. Ongoing assessments during parent trainings. b. Anticipated Frequency of Services: i. Frequency varies on client needs. ii. One (1) hour weekly, or two (2) hours bi-weekly. c. Anticipated Duration of Services: i. One (1) to three (3) hours per training meeting. ii. Generally, three (3) months. d. Goals of Services: i. Foster parents will learn how to respond to challenging behaviors by utilizing the treatment plan/BIP as a guide to prevent certain behaviors. ii. Foster parents will be able to implement function -based consequences when certain behaviors occur. iii. Foster parents will learn how to teach relevant skills (e.g., play skills and adaptive living skills). iv. Foster parents will be able to generalize skills that are learned during initial ABA training "bootcamp" to their child's everyday functioning and behavior. v. BCBA will gather data on foster parent/child goals to determine foster parent fidelity of program implementation and child responding to foster parents. e. Outcomes of Services: i. Foster parents will have a strong system of ongoing support to directly help them manage the behavior and learning needs of the children placed in their home as the child's needs change. ii. Children will more severe needs will be able to stay in placements longer because families will have the supports they need to ensure safety and growth for both the foster child and their own family. iii. Relationships between the foster family and the child will improve. iv. Foster Families will be less likely to experience burn out. f. Target Population: i. Foster Parents and children with identified skill deficits and/or behavioral concerns. ii. Applicable ages. iii. Applicable genders. g. Language: i. English. ii. Spanish translation can be available upon request for a limited number of cases. h. Medicaid Eligibility: i. This service is not Medicaid eligible. i. Service Access and Transportation: i. In -office ii. In -home. 3. Direct ABA Therapy Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Provided by a Behavior Technician under the supervision of a BCBA. ii. Treatment plan created by the BCBA assessment and initial consultation (Prerequisite). iii. Supervision by BCBA for a minimum of 10% of service hours billed for Individualized Parent Training. iv. Family must maintain eighty percent (80%) attendance and have no more than two (2) no-shows in a month for services to continue. v. Direct ABA services are only available if the service location is within a twenty (20) mile radius of Hopelight Behavioral Health at 1351 Collyer Street, Longmont, Colorado 80501. b. Anticipated Frequency of Services: i. Minimum of ten (10) hours per week. ii. Maximum of forty (40) hours per week. iii. Two (2) hours per day. c. Anticipated Duration of Services: i. One (1) to six (6) months. d. Goals of Services: i. The child will demonstrate an increase in appropriate skills through the direct intervention of the behavior technician, and collaboration with the foster family. These skills may include: a) Communication. b) Social skills. c) Independence with daily living skills (toileting, showering, brushing teeth, etc.). d) Eating wider variety of food items. e) Transitioning from preferred to non -preferred tasks, and leisure skills. ii. Decrease in challenging behavior. iii. Decrease the need for on -going therapy and eventually transition the child out of services due to mastery of goals. e. Outcomes of Services: i. The child will be able to participate more fully in the family activities. ii. The child will be able to stay in their home placement longer. iii. The child will be able to transition more smoothly into a long-term placement because their behavioral needs are no longer interfering with daily activities. E Target Population: i. Ages one (1) through eighteen (18) with behavioral challenges or skill deficits. g. Language: i. English. ii. Spanish. h. Medicaid Eligibility: i. This service is Medicaid eligible. i. Service Access and Transportation: i. In -office located at 1351 Collyer Street, Longmont, Colorado 80501. ii. In -Home. 4. Supervision of Direct Therapy Services by a Board -Certified Behavior Analyst (BCBA) Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Direct ABA therapy services by a Behavior Technician (Prerequisite). ii. Family must maintain eighty percent (80%) attendance and have no more than two (2) no-shows in a month for services to continue. iii. Direct ABA services are only available if the service location is within a twenty (20) mile radius of Hopelight Behavioral Health at 1351 Collyer Street, Longmont, Colorado 80501. iv. Direct ABA therapy will be provided by a behavior technician under the supervision of a Board -Certified Behavior Analyst (BCBA). v. The technician will work directly with the child providing behavioral interven:ions as deemed necessary from the assessment and treatment plan created by the BCBA. b. Anticipated Frequency of Services: i. Ten (10) hours per week. ii. Maximum of forty (40) hours, weekly. iii. Two (2) hours, daily. c. Anticipated Duration of Services: i. One (1) to six (6) months. d. Goals of Services: ii. Increased communication. iii. Increased social skills. iv. Independence with daily living skills (toileting, showering, brushing teeth, etc.). v. Decrease in challenging behavior. vi. Decrease the need for on -going therapy and eventually transition the child out of services due to mastery of goals. e. Outcomes of Services: i. The child will be able to participate more fully in the family activities. ii. The child will be able to stay in their home placement longer. iii. The child will be able to transition more smoothly into a long-term placement because their behavioral needs are no longer interfering with daily activities. f. Target Population: i. Ages one (1) through eighteen (18) with behavioral challenges or skill deficits. g. Language: i. English. ii. Spanish. h. Medicaid Eligibility: i. This service is Medicaid eligible. i. Service Access and Transportation: i. In -office 1351 Collyer Street, Longmont, Colorado 80501. ii. In -Home. iii. Telehealth (Not to exceed 25% of all supervision sessions). Program Area: Foster Parent Training 1. General ABA "Bootcamp" Training — Group Training a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Success on the Spectrum: How to Teach Skills to Individuals with Autism (Partington & Partington). ii. Behavior Management Strategies and a Curriculum for Intensive Behavioral Treatment of Autism (Leaf & McEachin). iii. Applied Behavior Analysis (Cooper, Heron, & Heward). iv. Applied Behavior Analysis and Autism: An Introduction (Buchanan & Weiss: Autism New Jersey). v. Parent Training for Disruptive Behavior: The RUBI Autism Network (Bearss, Johnson, Handen, Butter, Lecavalier, Smith, & Scahill). vi. Summarized peer -reviewed journal articles from relevant behavior -analytic sources that are presented in a format that is engaging and easier to understand. b. Anticipated Frequency of Services: i. As -needed training events. c. Anticipated Duration of Services: i. Generally, one (1) day. d. Goals of Services: i. Foster parents and other DHS staff will learn basic ABA -based terminology and how it is relevant to understanding child's behavior. ii. Foster parents and other DHS staff will be able to describe basic intervention tools that may be useful in helping support the children in their care. e. Outcomes of Services: i. To gain knowledge in theories of behavior. ii. Children will decrease challenging behaviors. iii. Children will increase pro -social behavior iv. Families will be safer as they are more equipped to keep themselves and the children safe as they work through crisis situations. v. Foster parents and other DHS staff will have a base level of training in ABA. vi. Foster parents will develop collaborative relationships that will help strengthen the teams and help build a connection within the foster community. f. Target Population: i. Foster parents. ii. Weld Department of Human Services employees. iii. Group training to facilitate conversation, minimum two (2) people. g. Language: i. English. h. Medicaid Eligibility: i. This service is not Medicaid eligible. i. Service Access and Transportation: i. In Community. ii. At Department. Terms 1. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. 2. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. 3. Contractor will respond to the Mental Health and Support Services Team CWServiceReferral(&,weldgov.com) within three (3) business days regarding the ability to accept the received referral. 4. Upon acceptance of a referral, Contractor will offer an initial appointment within seven (7) days of receiving the referral. The first attempt to contact the client will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If the client does not respond after three (3) attempts in the first seven (7) days of the referral period, the Contractor will notify the caseworker and the Mental Health and Support Services Team HS- CWServiceReferral(aiweldgov.com. 5. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Mental Health and Support Services Team HS-CWServiceReferral(&weldaov.com. No other Department staff or other party to the case may authorize services or modifications to services. 6. Contractor understands that "no shows" are defined as unexcused and unplanned/uncommunicated absences for services. If a rate for "no shows" is not specifically stated in Exhibit B, Rate Schedule, then Contractor understands that the Department will not reimburse for "no-shows". Contractor understands that the Department will only reimburse Contractor for up to two (2) "no-shows", or up to two (2) hours, on the part of case participants who cancel without 24 hour notice. After three (3) "no-shows", Contractor will place client on a behavioral plan requiring attendance or discharge the client from services. Contractor must inform the caseworker and the Mental Health and Support Services Team HS- CWServiceReferral@weldaov.com within three (3) days of when the client is placed on a behavioral plan or discharged 7. Contractor understands that the Department will not reimburse Contractor for cancelled appointments either on the part of the client or the Contractor. If the cancellation is generated from the Contractor, a "makeup" session/episode, to occur within 30 days of the cancellation, will be offered to the client (excluding session/episodes that fall on holidays). If the cancellation is generated from the client, the Contractor must request a makeup session from the Department prior to the makeup session occurring (excluding session/episodes that fall on holidays). After three (3) cancellations, Contractor will inform the caseworker and the Mental Health and Support Services Team HS-CWServiceReferral(a/weldgov.com immediately via email, to discuss service continuation. 8. Contractor will identify, in detail, areas of continued concern and make recommendations to the caseworker in a monthly report regarding continuation of services and/or the need for additional services. 9. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 10. Contractor will document in detail any and alt observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported to the caseworker and the Mental Health and Support Services Team HS-CWServiceReferral(a,weldgov.com immediately AND on the required monthly report. 11. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Core Service Coordinator or any member of the Mental Health and Support Services Team. Any changes to visitation referrals will be approved by a new referral signed by the Child Welfare Supervisor. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 12. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Bid Meetings, Professional Stuffings, Family Team Meetings and/or Team Decision Making meetings. The Department will reimburse for actual participation in the meeting only so long as there is written authorization from the Mental Health and Support Services Team, and the facilitator documents in the meeting notes the timeframe that the provider attended and when participation in the meeting is deemed appropriate and necessary by the Department. The Facilitator will be responsible for filling out the time attended on the meeting notes. Stuffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. Contractor may participate by phone or virtually, if approved by the Department. 13. On a monthly basis, the Contractor will notify the Mental Health and Support Services Team HS- CWServiceReferral(a)weldgov.com of new staff who will manage and/or administer the services with the following information: a. Staff member name and contact information b. Education level/degree (if applicable) c. Licensure/credentials (if applicable) d. Department of Regulatory Authority (DORA) number (if applicable) e. Supervisor name and contact information The Department reserves the right to decline the new staff members managing and/or administering services to Department clients. 14. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR), and will address the aforementioned three areas when completing monthly reports as required by Paragraph 9 of this Exhibit. 15. Certification Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the Contractor prior to the start of any Agreement. 16. Training Contractor may be required to attend training at the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, unending the training or any other associated costs unless otherwise agreed to by the Department. 17. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at (970) 336-7235 and advise that the subpoena must be personally served. 18. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department, and the Contractor. Contractor will collaborate in a timely manner with the Department to resolve issues pertaining to service delivery, service quality, documentation, and invoicing during referral period and after services have concluded. The Contractor will require clients to sign releases of information. Contractor understands that the Department will not reimburse for services rendered to Department clients until releases of information are obtained. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. The monitoring agency may, if in its sole discretion deems necessary or appropriate, have access to any program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures for purposes of monitoring. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. EXHIBIT B RATE SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate(s) specified below in Paragraph 2, Fees for Services. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department expenditures and shall not be reimbursed by the Department. For services funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit a State of Colorado direct deposit enrollment form, which will be provided by the Department, with a voided check, deposit slip or bank letter. Failure to complete and submit this form and voided check in a timely and accurate manner may result in a delay of payment. For services not funded through Core Services; Contractor agrees to accept payment through County Warrant when funding source does not allow for direct deposit. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services Program ,area Mental Health Rate $ 125.00 I nit Type Hour' Service Name Initial Consult/Assessment far Parent Training: in Office/Video $ 150.00 Hour Initial Consult/Assessment for Parent Training: In -Home or Community $ ` 50.00 Each Initial Consult/Assessment for Parent Training: No Show (Max of 2 no shows or 2 hours/month/client) $ 100.00 Hour Ongoing Individualized Parent Training: in Office/ Video $ 125.00 Hour Ongoing Individualized Parent Training: In -Home or Community $ 50.00 Each Ongoing Individualized Parent Training: No Show (Max of 2 no shows or 2 hours/month/client) $ 0.58 Mile Foster Parent Training: Mileage* from 2693 Silverheels'Drive, Loveland, Colorado 80538 $ 75.00 Hour Direct ABA Therapy Services: in Office/Video $ 75.00 ; Hour Direct ABA Therapy Services: In -Home or Community' $ 25.00 Each Direct ABA Therapy Services: No Show (Max of 2 no shows or 2 hours/month/client) $ 100.00 - hour; Supervision of Direct ABA Therapy Services: In Office/Video $ 100.00 hour Supervision of Direct ABA Therapy Services: In -Home or Community $ 50.00 Each Direct ABA Therapy Services: No Show (Max of 2 no shows or 2 hours/month/client) $ 0.58 Mile Mental Health Services: Mileages from 1351 Collyer Street, Longmont, Colorado 80501 Foster Parent Training $ 100.00 Hour General ABA "Bootcamp" Training: in Office/ Video $ 50.00 Each General ABA "Bootcamp" Training: No Show (Max of 2 no shows or 2 hours/month/client) 3. Request for Reimbursement and Supporting Documentation Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7th day of the month following the month of service, but no later than 45 days from the date of service for each client receiving ongoing services. Contractor shall prepare and submit monthly a Request for Reimbursement and monthly report including other supporting documentation, if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 of this Agreement. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. Monthly reports for ongoing services must include the following information, entered in the "Narrative" box for each date of service: a. Time(s) of service (i.e. 2-4pm) b. Location of where the service took place (i.e. clinician's office, client's home, in the community.) c. Clinician/therapist name d. What interventions were used, recommendations and/or goals discussed, progressions towards goals, and client engagement. e. For mileage reimbursement, if applicable, the mileage accumulated minus roundtrip mileage that is included in the rate, starting location, and ending location. f. Any and all safety concerns. When submitting a Request for Reimbursement for a one-time service, the contractor shall submit the first and last page of the evaluation/report to confirm proof of services rendered. The full evaluation/report should be submitted by the contractor to the caseworker. For Monitored Sobriety services, proof of services rendered shall be the test result. Requests for Reimbursement and/or supporting documentation received after the 7`h day of the month may delay payment. Requests for Reimbursement and/or supporting documentation received after 45 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 45 -day deadline may result in termination of the Agreement. 4. Payment The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. Exceptions to this Paragraph may include, if approved by the Department, the following: The service being provided by the contractor is not a Medicaid eligible service; a. The service is not deemed medically necessary; b. The Court with jurisdiction over the case has ordered that a non -Medicaid provider or service be used; c. A Medicaid provider is not available to provide the needed service; d. Medicaid is exhausted for the needed service; or e. Medicaid denied service. f. The client is not eligible for Medicaid. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: a. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. b. Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 6. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and OMB Circular A-133. Exhibit C WELD COUNTY'S REQUEST FOR PROPOSAL (Weld County's Request for Proposal is incorporated into this agreement by reference and will be provided upon request to the Department.) This page is intentionally left blank Exhibit D Contractor's response to the Request for Proposal Exhibit D contains the following documents: • Attachment B — Provider Information Form (PIF) • Attachment C — Proposal • Attachment D — Staff Data Sheet • Certificate of Insurance (COI) ATTACHMENT B WELD COUNTY DEPARTMENT OF HUMAN SERVICES — PROVIDER INFORMATION FORM (PIF) AGENCY INFORMATION Agency Name: Hopelight Behavioral Health Provider Contact Full Name: Sarah Plunkett Trails Provider ICS (if known): Title: Intake/Business Development BCBA 303-834-9338 Primary Phone Number (lo -digit): Ext.: Fax Number (to -dice): Primary Contact Email: sarahp@hopelightbh.org Web Address: 888-863-4354 https://www.hopelightbh.org/ Agency Location Address (street, city, state, zip): 1351 Collyer St, Longmont, CO 80501 Agency Mailing Address (street, city, state, zip): 1351 Collyer St, Longmont, CO 80501 Agency Type (pick one): Public Company Private Non -Profit ® Private for Profit Send Referrals for Service to: Sarah Plunkett Intake/Business Development BCBA Referral Contact Name: Title. Referral Phone Number (10 -digit): 303-834-9338 Ext.: Email: sarahp@hopelightbh.org Billing Contact Billing Contact Name: Sarah Plunkett Title: n Billing Phone Number Ito -digit): Ext.: Email: CERTIFICATION f• I certify that the services proposed for intended use by the Weld County Department of Human Services will meet all the specifications it has so indicated in this bid form, I further affirm intention to enter Into an agreement with Weld County, on behalf of the Weld County Department of Human Services, and comply with all requirements of the contract, if awarded. The Board of Weld County Commissioners reserve the tight to reject any or all bids, to waive any informality in the bids, and to accept ( the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. The Board of Weld County Commissioners shall give preference to resident Weld County bidders in all cases where the bids are competitive in price and quality. WELD COUNTY IS EXEMPT FROM COLORADO SALES TAXES. THE CERTIFICATE OF EXEMPTION NUMBER IS ti98 03551-0000. Shyll Bowen Director • Authorized Rep. Full Name: Title: � Authorized Rep. Email: shyll@hopelightbh.org j• Authorized Rep. Address (street, city, state, zip): • Signature of Authorized Phone (to -digit): 51 CollriSt, Longmont, CO 80501 Ext.: Date: 4/26/23 i REV. DECEMBER 2O21 ATTACHMENT C - PROPOSAL Please type your answers in the boxes below or check the appropriate box. SECTION 1 Provider and Program Area Information Bidder's Legal Name: Program Area: Hopelight Behavioral Health Mental Health Services Number of services offered on this Attachment C (max 5): Program Areas are listed in column 1 of the table located in Item XI of the Request You may complete another Attachment C if you have more than 5. for Proposal starting on page 13. 5 SECTION 2 - Service Name(s) and Information If the service is a monthly package, please offer different levels. All monthly packages must state a specific minimum number of direct service hours. Service #1 Name: • Initial Consult/Assessment for Direct ABA Services and Parent Training 2.1a Modalities, curriculum, tools used in delivery of service (DO NOT list company history; DO use bullet points): In -person consults will be conducted for all initial visits. Follow-up meetings can be conducted via Telehealth but all assessment sessions will be conducted in -person. • Board Certified Behavior Analyst (BCBA) will utilize a variety of behavior -based skills assessments during the consult to obtain a better understanding of client functioning. Relevant examples include Verbal Behavior — Milestones Assessment Placement Program (VB-MAPP), PEAK (Promoting the Emergence of Advanced Knowledge) Assessment, Assessment of Functional Living Skills (AFLS), Assessment of Basic Language and Learning Skills Revised (ABLLS-R), Vineland Assessment — Parent Comprehensive Interview, Adaptive Behavior Assessment System (ABAS-3). The BCBA may choose to use multiple assessment measures during the initial consult to obtain information on child functioning that is individualized and tailored to client need. • BCBA will perform a variety of functional behavioral assessment (FBA) procedures as need is determined in order to identify important patterns of challenging behavior emitted by the child as well as identify function(s) of these behaviors and the impact of the family/home environment on challenging behavior. Typical FBA -based assessments include direct observation of the child, anecdotal and/or checklist ABC data recording where BCBA and/or family record data regarding events that happen immediately before and after the behavior of interest, behavior -based checklists and/or questionnaires such as the QABF (Questions about Behavior Function), FAST (Functional Assessment Screening Tool), and when necessary, functional analysis (FA) procedures such as the brief functional analysis (BFA) or practical functional assessment (PFA) to experimentally manipulate variables to determine the function of severe challenging behavior. FAs are relatively rare and will only be conducted when other FBA procedures are inconclusive in determining patterns of functioning for significantly challenging behaviors. If/when conducted, FAs will involve multiple clinicians for the procedure. • After conducting the initial assessment, BCBAs will write up the assessment results and select goals based on skill deficits and behaviors of concern that were identified during initial assessment. This document will be referred to as a treatment plan. REV. NOV 2020 1 ATTACHMENT C - PROPOSAL 2.1b 2.1c 2.1d • • • • • • Initial clients challenging promote of that implementation The section to course The therapy After plan services. All Crisis coaching, event appropriate able training will behavior challenging key be initial initial the and to the of Assessment implemented stakeholders Management who of of services use services. generalization BCBA treatment discuss a treatment the ongoing treatment and/or behavioral safety will behaviors reduction crisis will report behaviors be of and/or the other support holds This for receiving be the training. Important: plan goals. will targeted with and teaching plan or plan crisis, important Direct child's a clinical of targeted ongoing is have on regard the a will separate will services created, Both foster any direct few Therapy behavior also also access skills. foster direction for Hopelight of to skill parent parties the distinction therapy decrease) be document, for determine parents that the The the to acquisition parents. reduction versus paired foster child plan training the have initial BCBA will to services treatment Behavioral parents will (see sign children/clients will Initial and as with how been treatment The that will be the based be skill goals below) a services. the directed majority schedule previously discussed client. behavior will many on Assessment will document Health acquisition for include on plan the identify in the the hours Some plan use to of order a to is child intervention function. contact identified. who with for goals specific meeting promote not of a per to for goals to combination goals parent initiate qualified protective have parent but to reduce week Parent emergency (e.g., will will teach guidelines The with transparency been are Hopelight training plan the training also focus challenging BIP foster Training: to holds behaviors foster clinically referred start of be (BIP), may provide mostly services behavior taught (e.g., on parents of to Behavioral staff parents The either how be of manage for targeted recommended ongoing any at initial to IAPT) on behavior modified services direct the to to /authorities reduction skill will listed training, the prevent review will parent crisis Health start treatment foster acquisition focus ABA for identify in throughout and as increase) the behavior. of a the collaboration. in staff and/or goals on specific and for training -person and/or services. parents home. treatment direct a respond plan (e.g., goals are mixture the In parent that other for to ABA the not Anticipated administrative frequency time, of overhead, direct service time or travel with (i.e. the 4 client/family hours/week). If per the week, service not including has levels, professional be specific for staffing each time, level: time • Initial well observations services Assessment: as the will severity of require the Then of client challenging no number less under than of multiple 2 child observations appointments behaviors contexts, varies targeted the and depending initial may for take reduction. assessment up to on 12 the hours. initial Because for parent concerns of the training of need the and to conduct for foster direct parents multiple ABA as • Follow-up Discussion of Treatment Plan: This will usually occur as a single meeting and will take 1-2 hours. Anticipated duration of service (i.e. 3-4 months): • Initial Assessment: Up to 12 hours (see above) • Follow-up Discussion of Treatment Plan: 1-2 hours Three (3), or specific goals of the service (DO use bullet points): more, • BCBA that will can identify be targeted relevant for foster behavior reduction parent(s) through goals their for child involvement and will in identify parent goals training. based on the associated BIP • • BCBA through BCBA so that will will progress identify parent create relevant training. treatment can skill be evaluated plan acquisition outlining in the specific future. goals for the goals child for future that will services be taught that specify by BCBA and time -based the foster mastery parent(s) criteria REV. NOV 2020 2 ATTACHMENT C - PROPOSAL 2. 2. 2. 2. Servic 2.2a le if lg lh e • • Foster Services parent parents will training help will services, to gain elicit an as understanding foster appropriate. parent of buy -in roles and for general expectations ABA for training/ future "bootcamp" consultation and services. ongoing individualized Three (3), or more, specific outcomes of service: • • • • interventions Promote child's Decrease maintain Increase parents Support needs and foster stronger the the safety the and risk in foster child's to intervention of BCBA. address foster the child's children home. transition parent the independence transitioning child's supports and to home/adopted child behavior to relationships and address from safety and homes skill those placement as s/he needs. by due needs. providing to learns foster's by new providing parents parents skills the with through struggles family detailed the with to information support specific manage of goals behaviors his/her about and their and foster Target population of the service, including age and gender: Foster parents and children with identified skill deficits and/or behavioral concerns, applicable ages and genders Languages service is available in (please list proficiency and if interpreter services are available): English, Spanish translation can be available upon request for a limited number of cases Medicaid eligibility list whether the service is eligible for Medicaid in whole or in part: — Initial Initial documentation, an may assessment. Assessment Assessment discuss other per It may for for ways Medicaid Parent Direct also of take funding Training ABA requirements. Services: some a (IAPT): time direct Medicaid for therapy This They the service provide client eligibility assessment is to not a obtain eligible is flat so dependent fee that Medicaid regardless for the Medicaid client on eligibility the of the may child's funding. number for be services, able primary of to diagnosis hours in start which services required and case sooner. available to the complete team #2 Modalities, Name: curriculum, Ongoing Individualized Parent Training tools used in delivery of service (DO NOT list company history; DO use bullet points): • large • implement • in BCBA emitted most emotion The and/or training parents, but BCBA order modality he will portion important may video or by regulation (e.g., and she to utilize the the utilize teach of of modeling, direct direct may training child BIP the to training more skills teach and not initial skills, instruction feedback based be to role-play teach general will for toileting will present foster treatment on be acquisition be from their function. focused highly of ABA parents. skills, scenarios, the the for child resources plan individualized skill some on Other in BCBA) etc.). skills. Additional (IAPT) implementation the to parent review be goals will The home used to taught, be child training provide to of for resources setting based written utilized be modeling will teaching taught on likely sessions ongoing of based as resources/plans, the client the may in during teaching be BIP on primary ABA be as training the need present used and this parent "bootcamp" responding child's and is of means based to for appropriate. training may and the foster need some skill, on include verbal of teaching training the parents. to (e.g., rehearsal of challenging will the needs direct discussion. focus communication parent sessions As foster coaching, of of the mentioned on the training behavior skills parents (e.g., Behavioral skill parent(s) that see skills, modeling by sessions, above, how that are foster skills below) and to is a REV. NOV 2020 3 ATTACHMENT C - PROPOSAL child. All procedures taught to the parents will be evidence -based and based on the principles of applied behavior analysis. Examples of skills to be taught: • BCBA may utilize a variety of visual aids and written reminders in parent training and will create/share these materials as needed. • Data collection- As an important aspect of monitoring foster parent treatment fidelity and evaluating the effects of parent training services will be recording data on foster parent responses to child behavior and/or foster parent implementation of programs/goals identified in treatment plan. Data collection can take many modalities, including paper -and -pencil and HIPPA-compliant electronic data collection systems. • Services may be conducted in -person or remotely/telehealth (video chat and phone). • Ongoing assessment during parent trainings- BCBAs will consult with families regularly regarding any new concerns or challenging behaviors. BCBA may schedule additional time during a parent training to observe this behavior or discuss it in more detail. BCBAs can add additional goals to the treatment plan and provide training on new challenges as they arise. • Crisis Management Important: Hopelight Behavioral Health is not qualified to provide any training, in -person coaching, and/or other clinical direction to parents on the use of protective holds to manage crisis behavior. In the event of a behavioral crisis, foster parents will be directed to contact emergency services /authorities and/or other appropriate crisis support services that have been previously identified. Hopelight Behavioral Health staff are not able to use safety holds on any of the foster children/clients who have been referred for direct ABA and/or parent training services. This important distinction will be discussed with parent training staff at the start of services. 2.2b Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: The frequency varies on client needs. At minimum, families receiving ongoing individualized parent training will meet for 1 hour weekly, or 2 hours biweekly. Foster parents/children in need of more support can meet multiple times per week. It should be noted that appointments will be scheduled by the BCBA at least 2 days in advance. While foster parents are encouraged to reach out to BCBA for recent concerns, we cannot provide emergency or on -call services. Hopelight Behavioral Health will do its best to meet with a family within 3 business days if there is an immediate need to meet outside of regularly - scheduled ongoing parent training services. 2.2c Anticipated duration of service (i.e. 3-4 months): Duration of each individualized parent training meeting will also vary. All individualized parent training meetings will fall between 1-3 hours. 2.2d Three (3), or more, specific goals of the service (DO use bullet points): • Foster parents will learn how to respond to challenging behaviors by utilizing the treatment plan/BIP as a guide to preventing certain behaviors and (when necessary) implementing function -based consequences when these behaviors occur. • Foster parents will learn how to teach relevant skills (e.g., play skills, adaptive living skills, etc.) as specified in treatment plan. • Foster parents will be able to generalize skills learned during initial ABA training/"bootcamp" (see below) to their child's everyday functioning and behavior. REV. NOV 2020 4 ATTACHMENT C - PROPOSAL 2.2e 2.2f 2.2g 2.2h Servic 2.3a • BCBA child will responding take data to on foster foster parents. parent/child goals to determine foster parent fidelity of program implementation and Three (3), or specific outcomes of service: more, • • • • Foster needs Children need Relationships how Foster needs to to parents of communicate Families of ensure the will the children more children will between safety will severe have be in placed with and the less a their strong needs growth foster the likely in care. child their system will to for family and experience home be both able of and better ongoing as to the the the stay foster child meet burn child's support in child their out placements will needs because to and improve needs. change. their directly they longer because own are help because family. the equipped them families family manage and has supported the will knowledge behavior have the in and supports and meeting training learning the they on Target population of the service: Foster parents and children with identified skill deficits and/or behavioral concerns, applicable ages and genders Languages service is available in (please list proficiency and if interpreter services are available): English, Spanish translation can be available upon request e Medicaid #3 Modalities, eligibility list whether the service is eligible for Medicaid in whole or in part: — This service is not billable through Medicaid Name: curriculum, General ABA "Bootcamp" Training - Group Training tools used in delivery of service (DO NOT list company history; DO use bullet points): • • • coaching, In BCBA to foster also Modalities part principles Crisis the understand be of will child Management event requested. guided Success A of Applied Applied Parent Lecavalier, Summarized format and/or provide of of Work behaviors. Autism ABA of training curriculums. and a Training that on in Behavior Behavior behavioral an and/or (Leaf other explain Progress: Smith, Important: initial the is will peer More Spectrum: engaging clinical include relevant & for the Analysis Analysis -reviewed training All McEachin) & Disruptive crisis, specific Behavior Scahill) common materials direction Hopelight research and a (Cooper, and foster for variety How journal parent easier foster Management behavior to Autism: Behavior: to will parents of conducted Teach Behavioral parents training be Heron, articles to parents written understand -analytic created An Skills The will Introduction or & from that on Strategies RUBI Health be a materials, in to Heward) staff by the directed terms variety Individuals relevant will behavior Autism on field. is cover not the and (Buchanan used of video to Examples use topics a Network behavior qualified contact the analytic with Curriculum by presentations, of basic professionals protective as Autism & (Bearss, -analytic to emergency they professionals may principles Weiss: provide relate include (Partington for Johnson, holds and Intensive Autism sources and any services/authorities to of the to ABA their the demonstrations and training, following: New that manage & Behavioral Handen, principles will in Partington) relevance Jersey) terms are be in crisis based presented -person Butter, that of that Treatment in behavior. ABA and/or are terms are on easy of may in a REV. NOV 2020 5 ATTACHMENT C - PROPOSAL 2.3b 2.3c 2.3d 2.3e 2.3f 2.3g 2.3h other not training able appropriate to services. use safety This crisis holds important support services on any of distinction the that foster will have children/clients be been discussed previously with who identified. parent have training been Hopelight referred staff at Behavioral for the direct start ABA of Health services. and/or staff are parent Anticipated administrative frequency time, of overhead, direct service time or travel with time (i.e. the 4 client/family hours/week). If per the week, service not including has levels, professional be specific for staffing each time, level: The frequency of services is dependent on referrals and requests for training through DHS. Creation of training materials and that drive time to the are created location for of training training can will be used also repeatedly be considered in the future). in the hours needed to conduct training (e.g., of course, materials Anticipated duration of service (i.e. 3-4 months): Services training may occur per month), as as -needed etc. training events or may take the form of a rolling service (e.g., 4 hours of biweekly staff Three (3), or more, specific goals of the service (DO use bullet points): • Foster child's parents behavior. and other DHS staff will learn basic ABA -based terminology and how it is relevant to understanding Three • (3), Foster support or parents the children specific and other in outcomes their DHS staff care. of service: will be able to describe basic intervention tools that may be useful in helping more, • • • • • Foster better Children responding Families situations. Foster work Due strengthen with to parents decisions parents the will will all group the decrease more be children and safer and teams about appropriately nature other other as challenging and and how they of DHS DHS therefore the help to staff respond are staff to training, build more behaviors their will will assist a equipped connection gain to have behaviors. foster the with knowledge and a behavior base smoother parents increase to within keep level in of will themselves of the theories the pro transitions training develop children -social foster of in collaborative community. behavior behavior and of they ABA children the that are children that because serving. will into relationships will make the staff safe help them home. as guide and they that them parents work more will equipped in are through help making crisis to Target population of the service: Foster parents and all relevant Weld DHS employees - Group training to facilitate conversation/ minimum of 2 people Languages service is available in (please list proficiency and if interpreter services are available): English Medicaid eligibility list whether the service is eligible for Medicaid in whole or in part: — This is not eligible for Medicaid billing REV. NOV 2020 6 ATTACHMENT C - PROPOSAL Servi 2.4a 2.4b 2.4c 2.4d 2.4e :e #4 Modalities, Name: curriculum, Direct ABA Therapy provided by a Behavior Technician tools used in delivery of service (DO NOT list company history; DO use bullet points): • Prerequisite goals • On -going for to ensure requirements: therapy we are able to Supervision begin: BCBA to meet the by assessment needs BCBA of for the a and child. minimum initial of consultation 10% of with service hours family billed to develop as #2 treatment service line, plan family and must enough location provide maintain hours is within staffing 80% of therapy and a attendance 20 safely mile to make radius monitor and significant of the have Hopelight no case). more behavioral Behavioral than 2 change; no-shows Health direct in in a month ABA services Longmont for (e.g., services are only in order to continue available to ensure if to that the ensure service we can • Direct ABA therapy will be provided by a behavior technician under the supervision of a Board Certified Behavior Analyst (BCBA) • The technician will work directly with the child providing behavioral interventions as deemed necessary from the assessment and treatment plan created by the BCBA. • Crisis Management Important: Hopelight Behavioral Health is not qualified to provide any training, in -person coaching, event of and/or a behavioral other clinical crisis, foster direction to parents parents will be directed on the use of to contact protective emergency holds to manage crisis services /authorities behavior. and/or In the other appropriate crisis support services that have been previously identified. Hopelight Behavioral Health staff are not able to use safety services. This holds important on any of distinction the foster will children/clients be discussed with who parent have training been referred staff at for the direct ABA start of and/or services. parent training Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: • Minimum of 10 hours per week to ensure client is able to make meaningful changes in his/her behavior, unless a • lower Maximum number of 40 of hours hours is approved per week. by the Clinical Director of Home Services. • Generally scheduled in a minimum of 2 hour chunks of time per day. • Open Monday -Friday from 9:00am-6:00pm; we can make changes to service hours based on staff availability and family need. Anticipated duration of service (i.e. 3-4 months): authorization 1-6 Months of time takes until longer Medicaid than anticipated, authorization in which can be obtained, case a new unless referral there are circumstances for Core services will where be requested. obtaining Medicaid Three (3), or more, specific goals of the service (DO use bullet points): • The and child collaboration will demonstrate with the an increase foster family, in appropriate as described skills in the through assessment the direct and intervention treatment plan. of the behavior technician, Skill showering, preferred areas may tasks, brushing include: leisure Communication, teeth, skills, Social etc.), eating wider etc. skills, variety Independence of food items, with transitioning daily living from skills (toileting, preferred to non - • The child will demonstrate a decrease in challenging behavior as described in the assessment and treatment plan. Potential areas of concern: elopement (leaving the designated area), aggression, tantrums, self -injury, etc. • Decrease the need for on -going therapy and eventually transition the child out of services due to mastery of goals. Three (3), or specific outcomes of service: more, • • The The child child will will be able be able to to participate stay in their more fully home placement in the family longer, activities. or at least decrease the risk of transition due to behaviors interfering with home placements. REV. NOV 2020 7 ATTACHMENT C - PROPOSAL 2.4f 2.4g 2.4h Servic 2.5a 2.5b • The longer child interfering will be able with to daily transition more smoothly activities. into a long-term placement because their behavioral needs are no Target population of the service: Individuals placement. ages 1-18 with behavioral challenges or skill deficits that are interfering with the child's successful home Languages service is available in (please list proficiency and if interpreter services are available): English; Spanish-speaking at times we are staff able to find technicians that are bilingual in Spanish but in some cases it may take time to obtain Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part: limited Yes, for children to: Autism, with a medical Down Syndrome, diagnosis PTSD, of ADHD, a disability Developmental that would Delay potentially lead to behavioral concerns such as but not e #5 Name: Supervision of Direct Therapy Services by a Board Certified Behavior Analyst (BCBA) Modalities, curriculum, tools used in delivery of service (DO NOT list company history; DO use bullet points): • • Prerequisite started Supervision appointments. supervision where (see additional sessions for therapy list of services Supervision telehealth prerequisites require may to not begin: appointments that hours for exceed the Supervision may direct BCBA 25% therapy may of be approved must all of be supervision direct be services conducted able by therapy (service to Sarah see via sessions Plunkett. services and telehealth #4). interact for the can or begin with in month, -person the once client barring direct directly meetings. any therapy unusual during Telehealth services supervision circumstances have • On -going attendance to make requirements: and significant have behavioral Supervision no more than change. 2 by BCBA no-shows for a minimum in a month of for services 10% of service to continue hours to billed, ensure family enough must maintain hours of therapy 80% • Supervision and of is in good direct standing therapy with the services Behavior may only Analyst be Certification fulfilled by an individual Board (BACB). who maintains an active BCBA certification • implementation, BCBA based will coaching provide support and etc. feedback. to the Examples behavior technician include in written the feedback, form of evidenced verbal feedback, -based behavior modeling skills of program training (BST) - • In services, treatment generalization/maintenance assist interventions, addition with BCBA to plan learning directly will includes etc.). provide (e.g., implementation adding changing necessary of learned new changes goals prompt of goals, programming to for acquisition, and levels, programming determining adding and removing modifications providing during reinforcers, coaching supervision mastered to programs adding to goals, the sessions. specific planning in behavior acquisition antecedent/consequent Modification for therapist as necessary during of the direct to • Crisis coaching, event appropriate to services. use Management of safety a and/or This behavioral crisis other support on Important: crisis, any clinical services of distinction foster the direction Hopelight foster parents that will have children/clients be to Behavioral will discussed parents been be directed previously on Health with the who to parent use is contact identified. have not of protective training qualified been emergency referred Hopelight staff to holds provide at for services the to Behavioral direct any training, manage /authorities ABA start of crisis services. Health and/or in behavior. -person and/or staff parent are In other not training the able holds important Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: REV. NOV 2020 8 ATTACHMENT C - PROPOSAL 2.5c 2.5d 2.5e 2.5f 2.5g 2.5h • • • Supervision Health's higher Generally FRB and is family supervision open target scheduled need. by Monday BCBA goal rate. for in -Friday for supervision a a minimum minimum of of of from 9:00am-6:00pm; direct 1-2 10% of services hour service chunks we of hours of can contracted time make billed per changes per cases week. week is to on average. 20% of service scheduled hours Hopelight based direct Behavioral services on staff availability hours or Anticipated duration of service (i.e. 3-4 months): authorization 1-6 Months of time takes until longer Medicaid than anticipated, authorization in which can be obtained, case a new unless referral there for are circumstances Core services will where be requested. obtaining Medicaid Three (3), or more, specific goals of the service (DO use bullet points): • • Decrease The and The the child collaboration child need Skill showering, preferred Potential will will for demonstrate areas demonstrate on -going with may tasks, areas brushing the therapy include: leisure of an foster a concern: decrease increase family, Communication, teeth, skills, and etc.), elopement eventually in etc. in as challenging appropriate eating described transition wider (leaving Social skills in behavior the skills, variety the the through assessment designated child Independence of as food described the out items, of direct and area), services in intervention treatment with transitioning the aggression, assessment due daily living to plan. from tantrums, mastery of the skills and preferred of behavior (toileting, treatment self goals. -injury, technician, to non plan. - etc. Three (3), or more, specific outcomes of service: interfering The child • • The The behaviors will child child with be able daily will will interfering to activities. be be able able transition to to with participate stay more in home their smoothly placements. more home fully into placement in a the long-term family longer, placement activities. or at least decrease because their the behavioral risk of transition needs due are to no longer Target population of the service: Individuals placement. ages 1-18 with behavioral challenges or skill deficits that are interfering with the child's successful home Languages service is available in (please list proficiency and if interpreter services are available): English, at times we are able to find supervisors that are bilingual in Spanish but we cannot guarantee this support Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part limited Yes, for children to: Autism, with Down a medical Syndrome, diagnosis PTSD, of a disability ADHD, Developmental that would Delay potentially lead to behavioral concerns such as but not 3.1 3.2 Will one: Will one: you charge you conduct Weld services Section County in a for client's transporting 3 home — Service or clients in the Access or mileage? community? and Check Check YES YES NO NO Transportation ❑ ❑ REV. NOV 2020 9 ATTACHMENT C - PROPOSAL I 3.3 Will you transport clients to and/or from services? Check one: ■ YES NO 3.4 How many miles are you willing to travel round trip? List a specific number of miles. 3.5 When you calculate mileage, what is your starting point address? 20 Miles 1351 Collyer St, Longmont, CO 80501 (when calculating mileage for direct ABA therapy services) 2693 Silverheels Dr, Loveland, CO 80538 (when calculating mileage for foster parent and staff training) SECTION 4 - SERVICE RATES All rates need to include administrative work (i.e. scheduling or report writing) and overhead. Rates cannot be per episode, except for home studies and monitored sobriety testing. Only hourly or monthly rates will be accepted for services, except for those listed above. • For hourly rates complete section(s) 4.1-4.5. • For monthly rates complete section 4.6. • For Home study providers complete section 4.7. • For monitored sobriety testing providers complete section 4.8. 4.1 Hourly Service #1 Name: 4.1a 4.1b Initial Consult/Assessment for Parent Training (Up to 12 hours) In-Office/Video: In -Office with Transportation: In -Home or Community: 4.1c FTM, TDM, Prof. Staffing: 4.1d No show: 4.1e Mileage rate: $ Amount Unit Type $125 $150 $50 .58 per Hour per Hour No. of miles included in rate: per Hour No. of miles included in rate: per Hour per No Show per Mile This is paid after the miles listed above. 20 miles miles I REV. NOV 2020 10 ATTACHMENT C - PROPOSAL 4.2 Hourly Service #2 Name: 4.2a 4.2b Ongoing Individualized Parent Training In-Office/Video: In -Office with Transportation: 4.2c In -Home or Community: 4.2d FTM, TDM, Prof. Staffing: 4.2e No show: 4.2f Mileage rate: $ Amount Unit Type $100 $125 $50 .58 per Hour per Hour No. of miles included in rate: per Hour No. of miles included in rate: per Hour per No Show per Mile This is paid after the miles listed above. 20 miles miles 4.3 Hourly Service #3 Name: 4.3a 4.3b General ABA "Bootcamp" Training - per hour of service (e.g., includes making materials if necessary and driving to training location) In-Office/Video: In -Office with Transportation: 4.3c In -Home or Community: 4.3d FTM, TDM, Prof. Staffing: 4.3e No show: 4.3f Mileage rate: $ Amount Unit Type $100 $50 .58 per Hour per Hour No. of miles included in rate: per Hour No. of miles included in rate: per Hour per No Show per Mile This is paid after the miles listed above. 20 miles miles 4.4 Hourly Service #4 Name: 4.4a 4.4b Direct ABA Therapy Services In-Office/Video: In -Office with Transportation: In -Home or Community: 4.4c FTM, TDM, Prof. Staffing: 4.4d No show: 4.4e Mileage rate: $ Amount Unit Type $75 $75 $25 .58 per Hour per Hour No. of miles included in rate: per Hour No. of miles included in rate: per Hour per No Show per Mile This is paid after the miles listed above. 20 miles miles 4.5 Hourly Service #5 Name: Supervision of Direct ABA Therapy Services REV. NOV 2020 11 ATTACHMENT C - PROPOSAL $ Amount Unit Type 4.5a 4.5b 4.5c In -Home In-Office/Video: In Transportation: or -Office Community: with $100 per Hour per Hour per Hour No. No. of of included included in rate: in rate: miles miles miles miles $100 20 4.5d 4.5e 4.5f FTM, TDM, Prof. Mileage No Staffing: show: rate: per per per Hour No Mile Show This is paid after the miles listed above. $50 .58 4.6 Monthly Service Rates (each level must be listed): Service Name with Level Rate Month per No. of Direct Service Hours: 4.6a 4.6b 4.6c 4.6d 4.6e 4.6f 4.6g 4.6h 4.6i 4.6j 4.7 Home Study Providers List your rates in the box below. — 4.8 Monitored Sobriety Providers — List your rates in the box below. Provider special notes: REV. NOV 2020 12 ATTACHMENT D - STAFF DATA SHEET Bidder Must List All Staff Who Will Administer the Proposed Service(s) BIDDER'S LEGAL NAME (As it appears on the W-9): AGENCY CONTACT: Shyll Bowen PHONE NUMBER: 303-834-9338 Hopelight Behavioral Health EMAIL: shyll@hopelightbh.org PROPOSED SERVICE(S): Service Ongoing Service #1 Individualized #4 Name: Name: Initial Direct Consult/Assessment Parent ABA Therapy Training; Service for #3 by Direct Name: Behavior ABA General Services Technician; ABA and "Bootcamp" Parent Service Training; Training #5 Name: Service - Supervision Group #2 Training; Name: Direct Therapy Services by a Board Certified provided Behavior Analyst a (BCBA) of Legal Last Name Initial Middle Name Previous (If applicable) Legal Last Legal First Name Service Type Credentials Licensure/ DORA # (If applicable) Plunkett C Webb Sarah #1-3 1-18-31515 CHILD WELFARE REQUEST FOR PROPOSAL 2023-24 - VARIOUS SERVICES ACORD. CORD Client# 1091023 HOPELMED CE T FICATE OF LIA OLOTY 6NSU ANCE DATE (MM/DD/YYYY) 04/26/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s) PRODUCER USI Insurance Svcs CL Cheyenne 4081A Laramie Street Cheyenne, WY 82001 307 635-4231 ACT Christina Lythgoe, CMSR NAME ONEo, E., 307-635-4231 No) P(A/C NH307-635-4231 F'''X 307-635-4237 ADDRIESS Christina Lythgoe@usi corn INSURER(S) AFFORDING COVERAGE NAIL # INSURER Westfield lnsuranceCompany 24112 INSURED Hopetight Medical Clinic 1351 Collyer Street Longmont, CO 80501-3310 INSURER B INSURER C INSURER INSURER E INSURER F COVERAGES CERTIFICATE NUMBER REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IN R TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF (MM1DD/YYYY) POLICY EXP (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ® OCCUR 9680418 03/20/2023 03/20/2024 EACH OCCURRENCE $1,000,000 PANE -MT -an. $1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL&ADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN X L AGGREGATE LIMIT APPLIES PER POLICY JECT E LOC J OTHER PRODUCTS - COMP/OP AGG $2,000,000 AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON -OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ $ DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED ❑ (Mandatory m NH) If yes descnbe under DESCRIPTION OF OPERATIONS below N / A (STATUTE I I2RH E L EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE $ E L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101 Additional Remarks Schedule maybe attached if more space is required) Board of County Commissioners of Weld County and its Officers/Employees are included as additional insured per written contract or agreement under General Liability CERTIFICATE HOLDER CANCELLATION Weld County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1150 O St ACCORDANCE WITH THE POLICY PROVISIONS Greeley, CO 80631 AUTHORIZED REPRESENTATIVE 1 1'. © 1988-2015 ACORD CORPORATION All rights reserved ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S39857602/M39857578 CIKBQ SIGNATURE REQUESTED: Weld/Hopelight Behavioral Health PSA FULL Final Audit Report 2023-06-15 Created: 2023-06-09 By: Windy Luna (wluna@co.weld.co.us) Status: Signed Transaction ID: CBJCHBCAABAAoSivW5MMshtHNJk27LXxWDhfMzgPRNIt "SIGNATURE REQUESTED: Weld/Hopelight Behavioral Health PSA FULL" History t Document created by Windy Luna (wluna@co.weld.co.us) 2023-06-09 - 8:57:20 PM GMT 2. Document emailed to shyll@hopelightbh.org for signature 2023-06-09 - 8:58:07 PM GMT ▪ Email viewed by shyll@hopelightbh.org 2023-06-09 - 8:58:09 PM GMT e Email viewed by shyll@hopelightbh.org 2023-06-12 - 11:12:26 PM GMT t Email viewed by shyll@hopelightbh.org 2023-06-13 - 2:43:22 PM GMT n Email viewed by shyll@hopelightbh.org 2023-06-15 - 3:43:34 PM GMT ti0 Signer shyll@hopelightbh.org entered name at signing as Shyll Bowen 2023-06-15 - 8:58:08 PM GMT �So Document e -signed by ShyII Bowen (shyll@hopelightbh.org) Signature Date: 2023-06-15 - 8:58:10 PM GMT - Time Source: server Agreement completed. 2023-06-15 - 8:58:10 PM GMT Powered by Adobe Acrobat Sign Contract Form New Contract Request Entity Information Entity Name* HOPELIGHT BEHAVIORAL HEALTH Entity ID* O00047225 Contract Name* HOPELIGHT BEHAVIORAL HEALTH (POST -BID BIDE 2300040 RSA) Contract Status CTB REVIEW ❑ New Entity? Contract ID 7119 Contract Lead * WLIJNA Contract Lead Email wluna Eweldgov.com;cobbx xlk0nseldgov.com Parent Contract ID Requires Board Approval YES Department Project # Contract Description* HOPELIGHT BEHAVIORAL HEALTH (POST -BID RELATED TO BID 082300040) (PROFESSIONAL SERVICES AGREEMENT). TERM 06:01 2023 THROUGH 0S:31 '2024. Contract Description 2 PA ROUTING THROUGH NORMAL PROCESS. ETA TO CTB 06 1 5.'2023. Contract Type* AGREEMENT Amount* 30.00 Renewable* NO Automatic Renewal Grant Department HUMAN SERVICES Department Email CM- HumanServices,aweldgov.co Department Head Email CM-HumanServices- DeptHead _Eveldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COU NTYATTORNEY0WELDG OV.COM Requested BOCC Agenda Date* 06 2£ 2023 Due Date 06,`24!2023 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID If this is part of a NSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in GnBase Contract Dates Effective Date Review Date. 03 29 2024 Renewal Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Committed Delivery Date Expiration Date. 05,31 2024 Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Approver Purchasing Approved Date Approval Process Department Head JAMIE ULRICH DH Approved Date 06,20;2023 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 06/28:2023 Originator WLUNA Finance Approver CHERYL PATTELLI Legal Counsel BYRON HOWELL Finance Approved Date Legal Counsel Approved Date 06; 20,'2023 06; 20? 2023 Tyler Ref # AG 062823 Hello