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Home My WebLink About20231566.tiffam -Wad- Oa -7o to PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: May 23, 2023 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Agreement Amendment #1 with Paragon Behavioral Health Connections 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 Agreement Amendment #1 with Paragon Behavioral Health Connections. The Department entered into an Agreement with Colorado Boys Ranch Foundation dba CBR YouthConnect for Home -Based Intervention and Life Skills Services, this agreement is known as Tyler ID# 2022-1532. On May 3, 2023, the Agreement was assumed by Paragon Behavioral Health Connections, this Assumption Agreement is known to the Board as Tyler ID# 2023-1237. The Agreement is now being amended to renew for a second year, for the period June 1, 2023 through May 31, 2024, and to make changes to the Scope of Services and Rate Schedule as noted below. The Human Services Advisory Commission (HSAC) has reviewed and approved this information. Scope of Services Changes: • Updates to the terms as requested by the Department. Rate Schedule Changes: • Updates to the terms as requested by the Department. • Updates to the rates as requested by the Contractor. Fees for Services Program Arc❑ Home -Based Intervention Rate $ 135.00 Unit 1., pc Hour $135.00 Hour ticr� icc Name Home -Based Intervention - Bachelor Level: In - Home or Communi Home -Based Intervention - Bachelor Level: In- OfficeNideo Pass -Around Memorandum; May 23, 2023 — CM�S ID 1 u/5/23 Pace 1 2023-1566 PRIVILEGED AND CONFIDENTIAL Program :krea Home -Based Intervention Rate $60.00 Unit I', ire Hour Service \'ante Home -Based Intervention -Bachelor Level: Team Meeting (FTM), Team Decision Making (TDM) Meeting, Professional Staffing $155.00 Hour Home -Based Intervention - Master Level: In - Home or Community $155.00 Hour Home -Based Intervention - Master Level: In- Office/Video $87.00 Hour Home -Based Intervention - Master Level: Team Meeting (FTM), Team Decision Making (TDM) Meeting, Professional Staffing $70.00 Hour Specialized Mentoring: In -Home or Community $60.00 Hour Specialized Mentoring: In-OfficeNideo $60.00 Hour Specialized Mentoring: Team Meeting (FTM), Team Decision Making (TDM) Meeting, Professional Staffing Life Skills $90.00 Hour Supervised Visitation: In -Home or Community $85.00 Hour Supervised Visitation: In-Office/Video $115.00 Hour Supervised Visitation with Transportation $60.00 Hour Supervised Visitation: Team Meeting (FTM), Team Decision Making (TDM) Meeting, Professional Staffing $150.00 Hour Therapeutic Supervised Visitation: In -Home or Community $100.00 Hour Therapeutic Supervised Visitation: In- OfficeNideo $135.00 Hour Therapeutic Supervised Visitation with Transportation $87.00 Episode Therapeutic Supervised Visitation: Team Meeting (FTM), Team Decision Making (TDM) Meeting, Professional Staffing All Programs $35.00 Each No Show (Max of 2 no shows or 2 hours/month/client) $0.59 Mile Mileage I do not recommend a Work Session. I recommend approval of this Agreement Amendment #1 and authorize the Chair to sign. Approve Schedule Recommendation Work Session Other/Comments: Perry L. Buck, Pro-Tem Mike Freeman, Chair Scott K. James Kevin D. Ross Lori Saine Pass -Around Memorandum; May 23, 2023 - CMS ID 7010 Page 2 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND PARAGON BEHAVIORAL HEALTH CONNECTIONS This Agreement Amendment, made and entered into -litlday of &k.fl €, 2023 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Paragon Behavioral Health Connections, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Home -Based Intervention and Life Skills, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2022-1532, approved on June 6, 2022. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on May 31, 2023. • The Original Agreement was amended on: • May 3, 2023 to reflect contractor's name change from Colorado Boys Ranch Foundation dba CBR YouthConnect to Paragon Behavioral Health Connections. • This Assumption Agreement is identified by the Weld County Clerk to the Board of County Commissioners as document No. 2023-1237. This Amendment, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement as of June 1, 2023: 1. Exhibit A, Scope of Services, is hereby amended as attached. 2. Exhibit B, Rate Schedule, is hereby amended as attached. 3. Term This agreement is being renewed for a second year, for the period of June 1, 2023 through May 31, 2024. All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: ;(1 BOARD OF COUNTY COMMISSIONERS o the Bo r WELD COUNTY, COLORADO BY: Mike Freeman, Chair JUN 0 5 223 Paragon Behavioral Health Connections 12678 West Cedar Drive, Suite 101 Lakewood, Colorado 80228 (720) 224-7867 CaIot? to ftatdrig By: Camille Harding (May 15, 2023 13 MDT) Camille Harding, Chief Executive Officer May 15, 2023 Date: X02,5 Oz,z, EXHIBIT A SCOPE OF SERVICES Contractor will provide Home -Based Intervention and Life Skills, as referred by the Department. Program Area: Home -Based Intervention 1. Home -Based Intervention — Bachelor Level a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Trust -Based Relational Intervention (TBRI). ii. Strengths -Based Interventions. iii. Motivational Interviewing. iv. Love and Logic. v. Trauma Informed Care. b. Anticipated Frequency of Services: i. Two (2) to nine (9) hours per week. Frequency will depend on level of support needed for the family and as referred by the Department. c. Anticipated Duration of Services: i. Three (3) to six (6) months. d. Goals of Services: i. Emotional regulation skills. ii. Coping Mechanisms (stress reduction techniques). iii. Strengthening relationships. iv. Positive communication. e. Outcomes of Services: i. Increased positive communication within family structure — have tools to talk about underlying issues. ii. Advocating for self and family — within the family and with other systems such as schools. iii. Access to resources — connect families with ongoing supports beyond working with Contractor. iv. Ability to self -regulate and transform destructive behaviors into positive outcomes. f. Target Population: i. Families with children/youth of all ages, abilities, and disabilities. g. Language: i. Mobile translation services are available. h. Medicaid Eligibility: i. This service is not Medicaid eligible. i. Service Access and Transportation: i. Family's home, community, anywhere the family and/or the Department feels support would be helpful. 2. Home -Based Intervention — Master Level a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Trauma -Focused Cognitive Behavioral Therapy 1 ii. Trust -Based Relational Intervention iii. Solution -Focused Therapy iv. Strengths -Based Interventions v. Cognitive Behavioral Therapy vi. Motivational Interviewing vii. Dialectical Behavior Therapy viii. Narrative Therapy ix. Art Therapy x. Love and Logic b. Anticipated Frequency of Services: i. Two (2) to nine (9) hours per week. Frequency will depend on level of support needed for the family and as referred by the Department. c. Anticipated Duration of Services: i. Three (3) to six (6) months. d. Goals of Services: i. Emotional regulation skills. ii. Coping Mechanisms (stress reduction techniques). iii. Strengthening relationships. iv. Positive communication. a. Outcomes of Services: i. Increased positive communication within family structure — have tools to talk about underlying issues. ii. Advocating for self and family — within the family and with other systems such as schools. iii. Access to resources — connect families with ongoing supports beyond working with Contractor. iv. Ability to self -regulate and transform destructive behaviors into positive outcomes. L Target Population: i. Families with children/youth of all ages, abilities, and disabilities. g. Language: i. Mobile translation services are available. h. Medicaid Eligibility: i. This service is not Medicaid eligible. i. Service Access and Transportation: i. Family's home, community, anywhere the family and/or the Department feels support would be helpful. 3. Specialized Mentoring Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Specialized Mentoring services will be targeted toward promoting educational stability, building community connections and resources, emotional regulation, social skills, promoting resiliency, and building essential life skills. Contractor will use teachable moments to build life skills, including but not be limited to: 1. Personal motivation 2. Executive functioning 3. Academic skills 2 4. Emotional awareness and regulation 5. Social and interpersonal skills 6. Personal health 7. Integrity/character skills b. Anticipated Frequency of Services: i. Minimum of two (2) hours, one (1) to two (2) times per week. c. Anticipated Duration of Services: i. Four (4) to six (6) months. d. Goals of Services: i. Increase youth's protective and resiliency factors. ii. Foster social -emotional development through prosocial relationship building. iii. Youth empowerment through a strengths -based approach to youth empowerment. e. Outcomes of Services: i. Increased individual and community capacities, strength, and resilience. ii. Increased community support and healthy relationships for both youth and families. iii. Increased communication, problem solving, and prosocial abilities. iv. Increase youth success by increasing social and academic functioning, while decreasing risk factors in both. f. Target Population: i. Appropriate for children and adolescents between five (5) and twenty-one (21) years of age. g. Language: i. Mobile translation services are available. h. Medicaid Eligibility: i. This service is not Medicaid eligible. i. Service Access and Transportation: i. Youth's home and the community. Program Area: Life Skills 1. Supervised Visitation a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Involves little intervention by the visitation supervisor; during visits, the supervisor observes and documents parent -child interactions. The visitation supervisor will provide guidance and support when needed or if concerns arise. b. Anticipated Frequency of Services: i. Two (2) to four (4) hours a visit, one (1) to two (2) visits per week. c. Anticipated Duration of Services: i. Three (3) to six (6) months on average. Contractor can continue to support the family as long as the Department authorizes. d. Goals of Services: i. Foster safe and supportive environment for development of parent child relationship. 3 ii. Increase family protective factors. iii. Support permanency for youth. e. Outcomes of Services: i. Permanency for youth and family reunification. ii. Strengthened family bonds and increased protective factors decrease likelihood of future out of home placements. iii. Safe and secure placements for youth. f. Target Population: i. Children and youth from birth to eighteen (18) years of age. g. Language: i. Mobile translation services are available. h. Medicaid Eligibility: i. This service is not Medicaid eligible. i. Service Access and Transportation: i. In community or family home when appropriate. 2. Therapeutic Supervised Visitation j. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Direct observation and documentation of the visits and intervention with the parents to improve parenting skills, eliminate safety concerns, and reduce the time in out -of -home care. ii. Staff member immediate support, feedback, and interventions for parents when interacting with their children. There is a focus on parenting skills development in which families receive individual instruction with an emphasis on attachment and bonding, alternatives to physical discipline, household management, consistent delivery of rules, effective communication skills, consequences and rewards, knowledge of developmental milestones, nutrition, and other goals indicated by the referring agency. k. Anticipated Frequency of Services: i. Typically, two (2) to four (4) hours per week. 1. Anticipated Duration of Services: i. Typically, three (3) months. Youth would then transition to supervised visitation. m. Goals of Services: i. Support appropriate youth development through skill building with parents and families ii. Foster the parent child relationship. iii. Increase youth access to safe and supportive adults through direct work with parents and children in non -clinical contexts. iv. Support youth permanency by increasing family protective factors. v. Family reunification. Outcomes of Services: i. Increased positive parenting skills. ii. Fosters healthy parent child relationships. iii. Facilitate the return home of youth in out of home placement when appropriate. iv. Strengthens family bonds, increasing youth protective factors and decreasing likelihood of future removal of youth from the home. 4 o. Target Population: i. Children and youth from birth to eighteen (18) years of age. p. Language: i. Mobile translation services are available. q. Medicaid Eligibility: i. This service is not Medicaid eligible. r. Service Access and Transportation: i. In community or family home when appropriate. 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 L CWServiceReferral(n,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- CW ServiceReferral4weldgov.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-CWServiceReferralnu,weldgov.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 D, 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(a,weldgov.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 5 "malaeup" 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(afweldgov.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 all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concem 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(&,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 Staffings, 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 meetiig 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 h. 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; 6 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, attending 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. 7 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 Home -Based Intervention - Bachelor Level: In- OfficeNideo $135.00 Hour .00 $155.00 Hour Home -Baked Intervention Tea Meeting (FTM),.. Tear (TOM) Meeting, Profession Home -Based Intervention - Master Level: In - Home or Community Home -Based Intervention - Master Leve OfficeNideo Home -Based Intervention - Master Level: Team Meeting (FTM), Team Decision Making (TDM) Meeting, Professional Staffing Specialized Mentoring: Specialized Mentoring: In-OfficeNideo Specialized Mentoring Team Decision M Professional Staffing Supervised Visitation: In -Home or Community Supervised Visitation:, Supervised Visitation with Transportation Supervise Team.Des Professio 155.00 Hour $87.00 Hour $70.00 $60.00 Hour e or, Hour $60,,00 Hour Life Skills $90.00 $05.00 $115.00 Hour Hoar ,00 Hour S1 Program Area Life Skills Rate Unit Type Service Name $150.00 Hour Therapeutic Supervised Visitation: In -Home or Community 00.00 eo $135.00 $87.00 Hour Episoc Therapeutic Supervised Visitation with Transportation Tl erapeutic Supervised Visitation. Team l rleeling (FTM), Team Decision Making (TDI eeting, Professional stir: No Show (Max of 2 no shows or 2 hours/month/client) All Programs $35.00 $0.59 Each Mite * For distances exceeding 30 miles roundtrip from 12678 West Cedar Drive, Suite 101, Lakewood, Colorado 80228. 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. E 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 7th 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 saisfy 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. SIGNATURE REQUESTED: Weld/Paragon PSA Final Audit Report 2023-05-15 Created: 2023-05-12 By: Windy Luna (wluna@co.weld.co.us) Status: Signed Transaction ID: CBJCHBCAABAAcDrEQbbJQW8Bevh8LCgY9ZZplYtZu0kv "SIGNATURE REQUESTED: Weld/Paragon PSA" History 'n Document created by Windy Luna (wluna@co.weld.co.us) 2023-05-12 - 4:49:51 PM GMT ECy Document emailed to charding@youthconnect.org for signature 2023-05-12 - 4:51:03 PM GMT t Email viewed by charding@youthconnect.org 2023-05-15 - 5:12:58 PM GMT r05j Signer charding@youthconnect.org entered name at signing as Camille Harding 2023-05-15 - 5:13:30 PM GMT At Document e -signed by Camille Harding (charding@youthconnect.org) Signature Date: 2023-05-15 - 5:13:32 PM GMT - Time Source: server Agreement completed. 2023-05-15 - 5:13:32 PM GMT Powered by Adobe Acrobat Sign Contract Form New Gone Reque Entity Information PARAGON BEHAVIORAL HEALTH CONNECTIONS Entity ID* AO0036422 Contract Name. PARAGON BEHAVIORAL HEALTH CONNECTIONS (CHILD PROTECTION AGREEMENT AMENDMENT #1) Contract Status CTB REVIEW Contract ID 7010 Contract Lead WLUNA ❑ New Entity? Parent Contract ID 20221532 Requires Board Approval YES Contract Lead Email Department Project wluna^weldgov.corn;cobbx xlkAweldgov.com Contract Description * PARAGON BEHAVIORAL HEALTH CONNECTIONS (BID #822000401 CHILD PROTECTION AGREEMENT AMENDMENT #1. TERM - 06/01)2023 THROUGH 05/31/2024. Contract Description 2 PA ROUTING THROUGH NORMAL PROCESS. ETA TO CTB 05125'2023. Contract Type "* AMENDMENT Amount $0.00 Renewable YES Automatic Renewal Department HUMAN SERVICES Department Email CM- Huma 7ServicesAweldgov.co Department Head Email CM-HumanServices- DeptHead Wweldgov.corn County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COU NTYATTORN EYAWELDG OV.COM Requested BOCC Agenda Date. 05,,2412023 Due Date 05;'20;'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 MA enter NSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Effective Date Termination Notice Period Conta Con) Info Contact Name Purchasin chasing Approver Approval Process Department Head JAMIE ULRICH DH Approved Date 05119,2023 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 06,05,,2023 Originator Originator WLUNA Contact Type Review Date* 03/29,2024 Committed Delivery Date Contact Email Finance Approver CHERYL PATTELLI Renewal Date* 05/312024 Expiration Date Contact Phone 1 Contact Phone 2 Purchasing Approved Date Legal Counsel BYR©N HOWELL Finance Approved Date Legal Counsel Approved Date 05/20,2023 05,`22; 2023 Tyler Ref # AG 060523 Hello