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Home My WebLink About20231547.tiffRESOLUTION RE: APPROVE MEMORANDUM OF UNDERSTANDING FOR COLLABORATIVE MANAGEMENT PROGRAM WITH VARIOUS AGENCIES AND AUTHORIZE CHAIR AND DIRECTORS OF DEPARTMENT OF HUMAN SERVICES AND DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT TO SIGN ELECTRONICALLY WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Memorandum of Understanding for the Collaborative Management Program among 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 various agencies as listed in said memorandum of understanding, commencing July 1, 2023, and ending June 30, 2024, with further terms and conditions being as stated in said memorandum of understanding, and WHEREAS, after review, the Board deems it advisable to approve said memorandum of understanding, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Memorandum of Understanding for the Collaborative Management Program among 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 various agencies as listed in said memorandum of understanding, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair and the Directors of the Department of Human Services and the Department of Public Health and Environment, be, and hereby are, authorized to electronically sign said memorandum of understanding. cc:1-ISD, CA (KM) 07/31/21 2023-1547 HR0095 MEMORANDUM OF UNDERSTANDING FOR COLLABORATIVE MANAGEMENT PROGRAM WITH VARIOUS AGENCIES PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 5th day of June, A.D., 2023. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: ...) ; Weld County Clerk to the Board County Attorney Date of signature: OG/13/2- Mike eeman, Chair 2023-1547 HR0095 Un c+1D4-ie�� PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: May 23, 2023 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Weld County's SFY2023-24 Collaborative Management Program (CMP) Memorandum of Understanding (MOU) 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 Weld County's SFY2023-24 Collaborative Management Program (CMP) Memorandum of Understanding (MOU). Each year, Weld County, along with community partners, enter into a MOU which outlines bylaws and performance measures related to the CMP. This collaborative approach to the delivery of services to children and families results in a more appropriate and effective service delivery. Such collaboration also allows agencies providing treatment and services to do so within existing consolidated resources, thus focusing on positive and direct outcomes for Child Welfare families and children. The mandated partners for this MOU include: 1. Weld County Department of Human Services 2. 19th Judicial District Probation Department 3. 19' Judicial District Courts 4. Weld County Department of Public Health & Environment 5. Weld County School District RE -6 6. Weld County School District RE -8 7. Northeast Health Partners 8. North Range Behavioral Health Center 9. Division of Youth Services 10. Signal Behavioral Health Network 11. A Woman's Place Inc. The MOU further includes five (5) non -mandated partners. Those partners include: 1. United Way of Weld County 2. Weld County Board of Commissioners 3. Weld County Sheriff 4. Weld County District Attorney 5. Colorado Youth Detention Continuum Pretrial Services Pass -Around Memorandum; May 23, 2023 - CMS ID 7018 Page 1 2023-1547 tof5 PRIVILEGED AND CONFIDENTIAL The term of the MOU will be July 1, 2023 through June 30, 2024. The total overall in -kind services and/or contributions for this MOU equals $245,691.64, with the WCDHS providing $150,000.00, which is a $100,000.00 increase from last year. The fiscal agent for the Interagency Oversight Group (IOG) of Weld County is the WCDHS. I do not recommend a Work Session. I recommend approval of this MOU, authorize the Weld County Controller to sign as the fiscal agent, authorize the Director to sign as the designated representative for the Department of Human Services as a mandated partner, and authorize the Chair to sign as the designated representative of the Board of Weld County Commissioners as a non -mandated partner. 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; May 23, 2023 - CMS ID 7018 Page 2 DocuSign Envelope ID: 64B96BCB-26D4-4O39-B50E-F605A7089A4D COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING This Agreement is made between the following statutorily Mandated Partners and Non -Mandated Partners to the Collaborative Management Program, each of which may herein be referred to individually as a "Party" or collectively as the "Parties": MANDATED PARTNERS 1. WELD COUNTY DEPARTMENT OF HUMAN/SOCIAL SERVICES, located at 315 N. 11th Avenue, Greeley, CO, 80631; 2. 19TH JUDICIAL DISTRICT PROBATION DEPARTMENT, located at 934 9th Avenue, Greeley, CO 80631; 3. 19TH JUDICIAL DISTRICT COURTS, located at 915 10th Street, Greeley, CO 8063 1; 4. WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT, located at 1555 N. 17th Avenue, Greeley, CO, 80631; 5. WELD COUNTY SCHOOL DISTRICT RE -6, located at 1025 9th Avenue, Greeley, CO, 80631; 6. WELD COUNTY SCHOOL DISTRICT RE -8, located at 200 S. Fulton, Ft. Lupton, CO 80621 7. NORTH RANGE BEHAVIORAL HEALTH CENTER, located at 1300 N. 17th Avenue, Greeley, Co, 80631 8. NORTHEAST HEALTH PARTNERS, located at 710 11th Avenue, Ste 203 Greeley, CO 80631 9. DIVISION OF YOUTH SERVICES, located at 700 West 84th Avenue, Ste. 700, Thornton, CO 80260 10. SIGNAL BEHAVIORAL HEALTH NETWORK, located at 1300 N. 17t Avenue, Greeley, CO 80631; 11. A WOMAN'S PLACE INC., located at P.O. Box 71, Greeley, CO, 80632. NON -MANDATED PARTNERS -ALL VOTING MEMBERS 12. UNITED WAY OF WELD COUNTY, located at 814 9th Street., Greeley, CO 80631; MOU 1 of 16 DocuSign Envelope ID: 64B96BCB-26D4-4O39-B50E-F605A7089A4D COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY 2023-2024 13. WELD COUNTY BOARD OF COMMISSIONERS, located at 1150 O Street, P.O. Box 758, Greeley, CO 80631; 14. WELD COUNTY SHERIFF, located at 1950 O Street, Greeley, CO 80631; 15. WELD COUNTY DISTRICT ATTORNEY, located at 915 10`h Street, P.O. Box 1 1 67, Greeley, CO 80632-1 167 16. COLORADO YOUTH DETENTION CONTINUUM PRETRIAL SERVICES, located at 710 11`h Avenue Suite 104, Greeley, CO 80634; * Please indicate whether the non -mandated partners are voting or non -voting members'. WHEREAS, Colorado Revised Statutes (C.R.S.) Section 24-1.9-102(1)(a) authorizes the county department of human services/social services to enter memorandums of understanding with specific agencies for the purpose of promoting a collaborative system of local -level interagency oversight groups and individualized service and support teams to coordinate and manage the provision of services to children and families who would benefit from integrated multi -agency services; and WHEREAS, the undersigned desire to enter into an agreement for the collaboration of services to families and children who would benefit from integrated multi -agency services; and WHEREAS, the undersigned agencies include all of the agencies required by statute. NOW THEREFORE, in consideration of the premises and mutual promises and covenants herein contained, and for their mutual benefit, the Parties agree as follows: Term of the Agreement. This Memorandum of Understanding (MOU) shall be effective beginning July 1st, 2023 and shall expire June 30`}', 2024. Renewal of MOU. "I,he Parties may renew this MOU annually, subject to mutual agreement. Each Party reserves the right to elect not to renew the MOU after the expiration of the current term. If any Party intends not to renew the MOU, it should give notice of such intent at least thirty (30) days prior to expiration of the Agreement. I. Oversight Group. The Parties agree that there is hereby created an Interagency Oversight Group (IOG) as authorized by C.R.S 24-1.9-102, that is identified locally as Interagency Oversight Group of Weld County, whose membership shall be comprised of a local representative of each Party to this MOU. Membership requirements, the status of each Party as a voting member or advisory member, procedures for election of officers, procedures for resolving disputes and MOU / 2 of 16 DocuSign Envelope ID: 64B96BCB-26D4-4O39-B50E-F605A7089A4D COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY 2023-2024 procedures for the development of subcommittee groups can be found in the By-Laws/Procedure Guide ("By -Laws" or "Guide") attached hereto as a labeled Appendix A. By signing this MOU, the Parties agree to follow and review these by-laws annually to ensure all statutory and rule mandates are met. Any changes to the by-laws are considered a revision to the MOU and shall require new submission to the State with new signatures of all mandated and non -mandated partners. H. Target Population. In recognition of the goals of the Collaborative Management Program (CMP), children, youth, and families across systems are identified and served according to their contact with collaborative programs. The CMP target population consists of at -risk children and youth ages birth through twenty-one (21) years of age and their families who would benefit from a multi -system integrated service plan or multisystem approach. An Individualized Service and Support Team (ISST) includes two (2) or more system representatives that are present to assist a child/youth/family with developing an integrated service plan directed by family need. The ISST identifies goals and facilitates collaboration and is a family -driven model for service planning. The child/youth/family members are present at and participating in the development of their plan. Interagency Oversight Group of Weld County serves their target population(s) directly through an ISST(s) called: Interagency Oversight Group of Weld County: Family Team Meetings (FTM) (operated through WCDHS), (Appendix B) Team Decision Making (TDM) (operated through WCDHS), (Appendix C) Multi -Tiered System of Support (MTSS, MST, and FFT) (operated through the school districts) (Appendix D). Interagency Oversight Group of Weld County may also serve children, youth, and families within their communities through the Collaborative Management Program by providing multi - system prevention program(s). The target population for these prevention programs consists of at -risk children and youth ages birth through twenty-one (21) years of age and their families who would benefit from a multisystem approach. A multisystem prevention program must include two (2) or more system representatives that establish a program that facilitates collaboration and address needs not currently provided within the community. WCDHS Family Resource Division Community Case Managers (operated through WCDHS), (Appendix E) WCDHS Teamwork Innovation, Growth, Hope, and Training (TIGHT) Youth Corp Program (operated through WCDHS), (Appendix F) School Based Behavioral Health Services (Operated through NRBH). (Appendix G) High Fidelity Wraparound Services -(Operated through WCDHS) (Appendix H) Restorative Justice Program- (Operated through- TBD) (Appendix I) III. Services. As authorized by Section 12 CCR 2509-4-7.303.32(A), Counties may elect to participate in CMP by entering a Memorandum of Understanding (MOU) that is designed to promote a collaborative system to coordinate and manage the provision of services to children, youth, and families who would benefit from an integrated multi -system approach to service and DocuSign Envelope ID: 64B96BCB-26D4-4O39-B50E-F605A7089A4D COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY 2023-2024 service delivery. The Parties agree to provide the following specific services, subject to the availability of funds for which the collaborative has authority as specified below. Services Defined: (please include descriptions) • The CMP's ISST is called Family Team Meetings (FTM). It functions as an integrated service planning model with specific policies and procedures Appendix B. This ISST is linked to the following performance measure(s): CMP Youth who do not enter diversion, probation, or parole, CMP Medicaid eligible children/youth who received a behavioral health screen. • The CMP's ISST is called Team Decision Making (TDM). It functions as an integrated service planning model with specific policies and procedures, Appendix C. This ISST is linked to the following performance measures: CMP youth who do not enter diversion, probation, or parole, CMP Medicaid eligible children/youth who receive a behavioral health screen. • The CMP's ISST is called Multi -Tiered System of Support (MTSS). It functions as an integrated service planning model with specific policies and procedures, Appendix D. This ISST is linked to the following performance measures: Children and youth with fewer disciplinary actions, CMP Medicaid eligible children/youth who received a behavioral health screen. • The CMP provides a prevention program through WCDHS Family Resource Division Community Case Managers prevention program. It prevents multisystem involvement by Including two or more system representatives in the development of prevention programming. These systems include Weld County Department of Human Services, Weld County Health Department, and North Range Behavioral Health. Attached as a labeled Appendix E. Prevention programs are mandated to meet one of the following: 1) multi -systemic approach; 2) multiple disciplines involved in the development or enhancement of the program; 3) multiple agencies involved in the delivery of the services; 4) program developed to reduce bifurcated services; or 5) joint approach benefiting children, youth and or families. This prevention program is linked to the following performance measure(s): CMP Medicaid eligible children/youth who received a behavioral health screen, Children and youth with fewer disciplinary actions. • The CMP provides a prevention program through WCDHS Teamwork Innovation, Growth, Hope, and Training (TIGHT) Youth Corp Program (operated through WCDHS). It prevents multisystem involvement by including two or more system representatives in the development of prevention programming. These systems include: Child Welfare, the 19th Judicial District, North Range Behavioral Health, and Colorado Youth Detention Continuum. Attached as a labeled Appendix F. Prevention programs are mandated to meet one of the following: 1) multi -systemic approach; 2) multiple disciplines involved in the development or enhancement of the program; 3) multiple DocuSign Envelope ID: 64B96BCB-26D4-4O39-B50E-F605A7089A4D COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY 2023-2024 agencies involved in the delivery of the services; 4) program developed to reduce bifurcated services; or 5) joint approach benefitting children, youth and or families. This prevention program is linked to the following performance measure: CMP youth who do not enter diversion, probation, or parole. • The CMP provides a multisystem approach prevention program through School Based Behavioral Health Services prevention program. It prevents multisystem involvement by including two or more system representatives in the development of prevention programming. These systems include North Range Behavioral Health and local School Districts. Attached as a labeled Appendix G. Prevention programs are mandated to meet one of the following: 1) multi -systemic approach; 2) multiple disciplines involved in the development or enhancement of the program; 3) multiple agencies involved in the delivery of the services; 4) program developed to reduce bifurcated services; or 5) joint approach benefitting children, youth and or families. This prevention program is linked to the following performance measure: Children and youth with fewer disciplinary actions, CMP Medicaid eligible children/youth who receive a behavioral health screen. • The CMP provides a multisystem approach prevention program through High Fidelity Wraparound Service. It prevents multisystem involvement by including 2 or more system representatives in the development of prevention programming. These systems include: WCDHS, Health Department, School Districts, and local Mental Health Center. Attached as a labeled Appendix H. Prevention programs are mandated to meet one of the following: 1) multi -systemic approach; 2) multiple disciplines involved in the development or enhancement of the program; 3) multiple agencies involved in the delivery of the services: 4) program developed to reduce bifurcated services; or, 5) joint approach benefitting children, youth and or families. This prevention program is linked to the following performance measure: CMP youth who do not enter into diversion, probation, or parole, CMP Medicaid eligible children/youth who received a behavioral health screen. • The CMP provides a multisystem approach prevention program through Restorative Justice Program (operated through TBD) prevention program. It prevents multisystem involvement by including two or more system representatives in the development of prevention programming. These systems include: 19th Judicial District Attorney's office, 16 municipal police agencies, School Districts, WCDHS, and Weld County Sheriff's Office. Attached as a labeled Appendix I. Prevention programs are mandated to meet one of the following: 1) multi -systemic approach; 2) multiple disciplines involved in the development or enhancement of the program; 3) multiple agencies involved in the delivery of the services: 4) program developed to reduce bifurcated services; or, 5) joint approach benefitting children, youth and or families. This prevention program is linked to the following performance measure: CMP youth who do not enter into diversion, probation, or parole. of 16 DocuSign Envelope ID: 64B96BCB-26D4-4C39-B50E-F605A7089A4D COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING IV. Authorization to Contribute Resources and Funding. Each Party represents that it has the authority to approve the contribution of time, resources, and funding to solve problems identified by Interagency Oversight Group of Weld County to create a seamless, collaborative system of delivering multi -agency services to children and families. The resources and funding to be contributed are identified in Section V: Funding Sources. V. Funding Sources. Funding identified in this MOU may be a carryover from incentive funding or savings, additional funding provided to the CMP program or any funds directed towards CMP. Additional funding may become available during the term of this MOU and the Parties agree to comply with any terms, conditions and restrictions on the funding made available to them. The Parties agree to financial risk sharing where commitments to support programs exceed the remaining monies available. The fiscal agent for Interagency Oversight Group of Weld County is The Weld County Department of Hum r S # iceindefaults to County Human Services/Social Service Departments) and by signing e (signature of fiscal agent - Christopher D'Ovidio) agrees to assum Fligiflelf9t3F4Sk. The financial risk defaults to the fiscal agent unless otherwise stated here n/a . For this reason, Interagency Oversight Group of Weld County projects a conservative budget based on currently available resources. Table of Resource Pooling SFY 2023-2024 CMP Carry Over/Reserve Funds $ 137,111.35 Party IN -KIND CASH 1. COUNTY DEPARTMENT OF HUMAN/SOCIAL SERVICES $ 150,000 $ 2. JUDICIAL DISTRICT PROBATION DEPARTMENT $ 1,500 $ 3. JUDICIAL DISTRICT COURT $ 1,000 $ 4. HEALTH DEPARTMENT $ 2,900 $ 5. SCHOOL DISTRICT RE -6 $30,000 $ 6. SCHOOL DISTRICT RE -8 $15,800 DocuSign Envelope ID: 64B96BCB-26D4-4C39-B50E-F605A7089A4D COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY 2023-2024 7. MENTAL HEALTH CENTER $ 15,000 $ 8. REGIONAL BEHAVIORAL ACCOUNTABLE HEALTH ORGANIZATION ENTITY ("RAE") ("BHO") or $ 1,500 $ 9. DIVISION OF YOUTH SERVICES ("DYS") $ 2,500 $ 10. FOR ALCOHOL 27-80-107, DESIGNATED THE PROVISION AND C.R.S. DRUG MANAGED ("MSO") OF ABUSE TREATMENT SERVICE PURSUANT ORGANIZATION SERVICES TO SECTION FOR $ 10,000 $ 11. PURSUANT COMMUNITY TO 26-7.5-104, DOMESTIC C.R.S. VIOLENCE ("DVP") PROGRAM $915 $ 12. United Way of Weld County $ 1,500 13. Weld County Board of Commissioners $ 3,695.44 $ 14. Weld County Sheriff $ 2,881.20 15. Weld County District Attorney's office $5,000 16. Services Colorado Youth Detention Continuum Pretrial $1,500 TOTALS $ 245,691.64 $ MOU' 7 of 16 DocuSign Envelope ID: 64B96BCB-26D4-4O39-B50E-F605A7089A4D COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY 2023-2024 Total of CMP Carry Over/Reserve Funds = $ 137,111.35 Approximate total cash contribution = $ 0 Approximate total in -kind services/contributions = $245,691.64 Approximate total contribution = $382,802.99 VI. Reinvestment of Funds Saved. Interagency Oversight Group of Weld County has established a procedure to allow incentive funds received by the CDHS, and allocated pursuant to CRS 24-1.9-104, to be reinvested by the Parties to provide appropriate services to children and families who would benefit from multi - agency services has been approved by the head or director of each Party, as documented in the By-Laws/Guide Article XIV, a. The Parties agree by signing this MOU that the Interagency Oversight Group of Weld County will review the CMP budget regularly to ensure that CMP funds are being used to serve children, youth and families that are involved in multiple systems or at risk of involvement in multiple systems. This includes funds being used to serve children, youth and families who are part of an ISST, CMP prevention program or as a mechanism to increase collaboration among Parties. VII. Collaborative Management Processes. Pursuant to section 24-1.9-102(2)(e), C.R.S., Interagency Oversight Group of Weld County has established a collaborative management process addressing risk sharing, resource pooling, performance expectations, outcome monitoring, and staff training. This management process shall be utilized by the ISSTs and CMP Prevention Programs when providing services to children and families serviced by the parties to this MOU, designed to reduce duplication and fragmentation of services, increase the quality, appropriateness, and effectiveness of services delivered to families, and encourage cost sharing among services providers. All of which can be found in the By-laws/Procedure Guide attached as Appendix A. By signing this MOU, the Parties agree to follow and review these by-laws annually to ensure all statutory and rule mandates are met. VIII. Collaborative Management Program Elements. Pursuant to section 24-1.9-102(2)(1) the Parties hereby determine that they will attempt to meet performance measures specified by the Colorado Department of Human Services, in conjunction with the Collaborative Management Program State Steering Committee, and elements of collaborative management in order to: A. Reduce duplication and eliminate fragmentation of services provided to children, youth and families who would benefit from integrated multi -agency services. The Parties will reduce duplication and fragmentation of services by: Supporting collaborative management processes and team decision making processes within Weld County; Providing support to projects and services throughout Weld County; Coordination and oversight of programs and services; and conducting and coordinating assessments of MOU 8 of 16 DocuSign Envelope ID: 64B96BCB-26D4-4C39-B50E-F605A7089A4D COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING community needs. The CMP works towards removing barriers, collaborating through relationships, and creating opportunities for partnership in Weld County. B. Increase the quality, appropriateness, and effectiveness of services delivered to children and families who would benefit from multi -agency services, to achieve better outcomes; the Parties will increase the quality, appropriateness, and effectiveness of services delivered through: Processes within Weld County; Providing support to projects and services throughout Weld County; Coordination and oversight of programs and services; Sharing and establishing best practices and continuous quality improvement. Utilizing family, youth, and professional feedback forms to receive anonymous feedback regarding effectiveness, availability, and outcomes of services. C. Encourage cost sharing among service providers. The Parties will encourage cost sharing through: Supporting collaborative management processes and team decision making processes within Weld County; Providing support to projects and services throughout Weld County; Arranging for and/or providing technical assistance and cross system training; and Funding support and coordination. IX. Performance Measures. Interagency Oversight Group of Weld County has determined how performance shall be measured and has selected three (3) measures in which the Colorado Department of Human Services shall determine incentive funding to the local JOG in a labeled Appendix J. 1) Interagency Oversight Group of Weld County has selected the following as our first performance measure: CMP youth who do not enter into diversion, probation or parole 2) Interagency Oversight Group of Weld County has selected the following as our second performance measure: Children and youth with fewer disciplinary actions 3) Interagency Oversight Group of Weld County has selected the following as our third performance measure: 4) CMP Medicaid eligible children/youth who received a behavioral health screen X. Process Measures. Pursuant to section Code of Colorado Regulations 7.30335 (A), the Parties agree that they will attempt to meet process measures in order to receive the meaningful minimum portion of the collaborative management incentive funds. Counties will receive the meaningful minimum (35% of total allocation) based on the two (2) following criteria: 1) Number of children, youth and families served; and 2) Meeting three (3) of the six (6) process measures of collaborative management. Please select all the process measures that the CMP site will attempt to achieve. Each CMP site must select at least three (3). DocuSign Envelope ID: 64B96BCB-26D4-4O39-B50E-F605A7089A4D COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING X IOG meeting attendance (all partners signing MOU attending 75% of the time at 75% of scheduled meetings); X Family agency or member participation on the IOG as a voting member; X Seventy-five (75%) percent of the agencies contribute resources at a service level, either in -kind or actual funds; X Use of Evidence Based or Evidence Informed practices; X Process of Continuous Quality Improvement used by the IOG; X Evidence of cost -sharing X Each agency will submit a written statement annually stating how their agency contributed to the cost sharing either through in -kind donations or cash donation to the Interagency Oversight Group of Weld County. XI. Data. The Parties agree to use either the State provided Efforts to Outcomes (ETO) database and/or the Comprehensive Child Welfare Information System (CCWIS)/Trails for data collection for CMP served clients. ETO shall be used for non -child welfare children, youth and families to track participation. Trails or CCWIS databases shall be used for all Child Welfare CMP served children, youth and families. The Parties agree by signing this MOU that the attestation statement shall be completed and the Parties shall comply with Operational Memo #OM-CW-2021-0017 prior to receiving incentive funds. The CMP site is responsible for ensuring there is no duplication of clients entered into ETO and/or Trails. Duplication is defined as a child, youth or family that is counted twice for the same ISST meeting or prevention program and recorded in one (1) or more CMP data system(s). A child, youth or family may be counted for multiple service episodes supported by several multi -systems partnerships. XII. Confidentiality Compliance. The Parties agree that State and Federal law concerning confidentiality shall be followed by the Parties and Interagency Oversight Group of Weld County. Any records used or developed by Interagency Oversight Group of Weld County, its members, a listed ISST, or a listed Prevention Program that relate to a particular person are to be kept confidential and may not be released to any other person or agency, except as provided by law. The Parties have developed a release of information that addresses the confidentiality needs of all Parties attached as an Appendix K. XIII. Termination of MOU. The Parties acknowledge that withdrawal from this MOU of any Mandated Party shall result in the automatic termination of this Agreement and termination of the collaborative system of delivery of services developed hereunder. The withdrawing Party shall assist the other Parties to achieve an orderly dissolution of the collaborative system with as little disruption as possible in the delivery of services provided to children and families who would benefit from multi -agency services. MOU 10 of 16 DocuSign Envelope ID: 64B96BCB-26D4-4O39-B50E-F605A7089A4D COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY 2023-2024 A. Withdrawal/Termination. Any Party may withdraw from this Agreement at any time by providing 30 days written notice to all other Parties. B. For Loss of Funds. Any Party may withdraw from this Agreement or modify the level of its commitment of services and resources hereunder, in the event of loss or reduction of resources from its funding source identified herein. Any Party withdrawing due to loss of funds will provide notice of withdrawal in writing within 30 days. C. Distribution of Funds. The Parties have established a collaborative management process addressing the distribution of funds if the MOU is terminated as further described in the by-laws/procedure guide. Appendix A, Article XVII, a. IN WITNESS WHEREOF, the Parties hereto, through their authorized representatives have executed this Memorandum of Understanding and commit to all elements described above, effective for the dates written above. (Please note scanned and electronic signatures, with an attached digital receipt, are acceptable). Interagency Oversight Group Members MANDATED PARTNERS 1. COUNTY DEPARTMENT OF HUMAN/SOCIAL SERVICES Name and Title: Jamie Ulrich, Director Agency: Weld County Department of Human Services Address: 315 N. 11th Avenue, City/State/Zip: Greeley, Co. 80631 Phone: 970-400-6210 Email: ulrichjj@weld.gov Signature: DocuSigned by: ULndc "-AEF2D90FE49A48F... Unless noted below, the signatory above is designated to represent this organization on the Weld County 1451 Collaborative Management Program for SFY 2023-24. Designee- Heather Walker N1OU11of16 DocuSign Envelope ID: 64B96BCB-26D4-4O39-B50E-F605A7089A4D COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY 2023-2024 2. JUDICIAL DISTRICT PROBATION DEPARTMENT Name Agency: Address: City/State/Zip: Phone: Signature: and 19th 970-475-2800 Title: 934 Judicial 9th Greeley, Jerry Avenue 412.4.A. Green, District Co. by: Chief 80631 Probation Probation Department Officer Email: jerry.green@judicial.state.co.us c DocuSigned itnill A6028420A303468. 3. JUDICIAL DISTRICT COURTS Name: Agency: Address: City/Sta:e/Zip: Julie 19th 915 Phone: Hoskins, Judicial 10th Greeley, Street 970-475-2510 Chief District by: Co. Judge 80631 Court Email: julie.hoskins@judicial.state.co.us ,--DocuSigned Signature: j(1k.Lk, 9DFED9D28D634B6 €kosiv.s 4. DEPARTMENT HEALTH Name: Agency: Jason Public Chessher, Health Executive and Environment Director : Address:1555 City/State/Zip: Phone:970-400-2293 Signature: N Greeley, 17th Avenue Co. 80631 by: (Jwss(ux Email: jchessher@weld.gov cDocuSigned jaSOut '-0O2D13CCDFEA4BD 5. SCHOOL DISTRICT Name: Agency: Deirdre School Pilch, District Superintendent Greeley -Evans Greeley District -Evans RE School -6 District RE -6 : Address:1025 City/State/Zip: Phone: 970-348-6012 DocuSigned 9th Avenue Greeley, Co. 80631 by: Email: dpilch@greeleyschools.org c Signature: —14"1E25 77 o 5 8A421 NOR! 12 of 16 DocuSign Envelope ID: 64B96BCB-26D4-4O39-B50E-F605A7089A4D COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY 2023-2024 6. SCHOOL DISTRICT Name: Alan Kaylor, Superintendent Weld District RE -8 Agency: Weld District RE -8 . Address:200 South Fulton Avenue City/State/Zip: Fort Lupton, Co. 80621 Phone: 303-857-3200 Email: akaylor@weld8.org ,.-DocuSigned by- Signature- �i 8CDD26970C95499. 7. MENTAL CENTER HEALTH Name: Rebecca Wyperd, Chief Clinical Officer Agency: North Range Behavioral Health Center Address:1300 North 17th Avenue City/State/Zip: Greeley, Co. 80631 Phone: 970-313-1164 Email: rebecca.wyperd@northrange.org Signature DocuSigned by: �« ()Jiff' 4CFDIF0CA4194FF 8. BEHAVIORAL HEALTH ORGANIZATION/REGIONAL ACCOUNTABILITY ENTITY Name and Title: Kari L. Snelson, LCSW, CHC, Executive Director Agency: Northeast Health Partners Address: 710 11th Avenue City/State/Zip: Greeley, CO 80631 Phone: 970-347-2462. Email: Kari@nhpllc.org DocuSigned Dy: Signature: kuri Skitheiv, D55B115C15754AB. Unless noted below, the signatory above is designated to represent this organization on the Weld County 1451 Collaborative Management Program for SFY 2023-24. Designee- Jennifer Hale Coulson MOU f° 13 of 16 DocuSign Envelope ID: 64B96BCB-26D4-4O39-B50E-F605A7089A4D COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY 2023-2024 9. DIVISION OF YOUTH SERVICES Name Agency: Address City/State/Zip: Phone: Signature: and 720-584-1649 Division 700 Title: West Thornton, DocuSigned Maria of 84th Youth Campos Avenue, by: Services Co. 80620 NE Suite Region 700 Director Email: maria.campos@state.co.us "-91 C6815F94844C4 10. MANAGED SERVICE ORGANIZATION Name Agency: Address:1300 City/State/Zip: Phone: Signature. and Signal 970-347-1303 Title: <s North DocuSigned Behavioral Greeley, Kim ce Collins, 17th a. by: Co. Health Avenue Chief 80631 Executive Network Officer Email: kimberly.collins@northrange.org c `—E56A3B12B19E4CF 11. DOMESTIC VIOLENCE PROGRAM Name Agency: Address: City/State/Zip: Phone: Signatur and N/A e A P.O. ['tie: Woman's Box Greeley, DocuSigned Diane 71 cktuf Place by: Heldt, Co. Executive Director 80632 Email: diane@awpdv.org ' pt. —DD7503660EF1462 In! -t DocuSign Envelope (D: 64B96BCB-26O4-4O39-B50E-F605A7089A4D COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY 2023-2024 NON -MANDATED PARTNERS 12. Name and Title: Melanie Woolman, CEO and President Agency: United Way Address: 814 9th Street City/State/Zip: Greeley, Co. 80631 Phone: 970-353-4300 Email: mwoolman@unitedway-weld.org Signature: (---DocuSigned by '__1DD73FAEFFA843C 13. Name and Title: Mike Freeman, Weld County Commissioner Chair Agency: Weld County Board of County Commissioners Address: 1150 O Street City/State/Zip: Greeley, Co. 80631 Phone: 970-400-4206 Email: bocc-contracts@co.weld.co.us Signature DocuSigned bj: na\itrAna v- E74B8DB083-544A1. Unless noted below, the signatory above is designated to represent this organization on the Weld County 1451 Co laborative Management Program for SFY 2023-24. Designee- Perry Buck 14. Name and Title: Steve Reams, Sheriff Agency: Weld County Sheriff's Office Address: 1950 O Stree: City/State/Zip: Greeley. Co. 80631 Phone: 970-400-2809 DocuSigned by: Signature f 4_ 47E307603AFE4EB Email: sreams@weldgov.com Unless noted below, the signatory above is designated to represent this organization on the Weld County 1451 Collaborative Management Program for SFY 2023-24. Designee- Marcy Roles -Foos MOU ,, 15 of 16 DocuSign Envelope ID: 64B96BCB-26D4-4O39-B50E-F605A7089A4D COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY 2023-2024 15. Name and Title: Michael J. Rourke, District Attorney Agency: District Attorney's Office Address: 915 10th Street P.O. Box 1167 City/State/Zip: Greeley, Co. 80632 Phone: 970-400-4775 Email: mrourke@weld.gov Signature: ^-DocuSigned by: kdccwL 9. OUU4t DADD4DC Unless noted below, the signatory above is designated to represent this organization on the Weld County 1451 Collaborative Management Program for SFY 2023-24. Designee- Kirsta Britton and Steven Wrenn 16. Name and Title: Kirsta Britton, JSPC Chair Agency: Colorado Youth Detention Continuum Pretrial Services Address: 710 11th Avenue City/State/Zip: Greeley, Co. 80620 Phone: 970-400-4775 Email: kbritton@weld.gov Signature! _DocuSigned by: 6V'Sfa f7vffav, `-80F8F438473E4A1 MOU 16 of 16 DocuSign Envelope ID 64B96BCB-26D4-4O39-B50E-F605A7089A4D Appendix A INTERAGENCY OVERSIGHT GROUP BY-LAWS Interagency Oversight Group Weld County, Colorado HB 04-1451/CMP Article L Name The name of the collaborative shall be the Interagency Oversight Group of Weld County, called the "IOG " b. The designated service area of the IOG shall be Weld County, Colorado c. The principal office and place of business of the IOG shall be located as designated by the IOG The primary office shall be Weld County Department of Human Services, 315 N l lth Avenue, Greeley, CO, 80631 Locations for IOG meetings shall be determined by the IOG to best meet the needs of the collaborative and the community Article IL Mission of Collaborative The mission of the Weld County 1451 IOG is to provide a high quality, integrated system of services that blends funding, reduces fragmentation, and produces positive outcomes by effectively meeting the needs of children, youth and families in the community Article III. Purpose of the Collaborative The IOG is founded on the principles of collaborative management Its purposes shall be to 1. Conduct joint planning for resources utilization for multi -agency services to children, youth, and families 2. Facilitate coordination and collaboration among fenders and service providers which encourages shared decision -making and shared accountability 3. Provide a forum for discussing community -wide needs and set service coordination and developmental pnonties 4. Set and assess service improvement goals DocuSign Envelope ID 64B96BCB-26D4-4O39-B50E-F605A7089A4D Article IV. Governance of the Collaborative The governing authonty of the IOG shall be vested in its voting membership, which shall have the right and obligation to exercise its powers in the coordination of the business and affairs of the IOG, as set out and authorized in HB 1451/CMP, and agreed to by the Weld County Collaborative Management Partners ("CMP") in its Memorandum of Understanding pursuant to House Bill 04-1451, called the "MOU " Article V. Meetings a. The IOG meetings are held at a minimum of a bi-monthly basis, with the ability of the IOG and/or CMP to agree to meetings on a more frequent basis Meeting dates, times, and locations shall be decided by the IOG and/or CMP b. The Chair, Co-Chair/Coordinator or any member may call emergency meetings when needed c. At least once per calendar year, the IOG will hold a meeting to set a vision and determine goals to be assessed in the upcoming year This may be referred to as a "strategic planning meeting " d. Meeting notices will be sent to all members in advance of the meeting by the coordinator Notices shall indicate the date, time, and location of the meeting, as well as the specific agenda information e. If an IOG member cannot attend due to schedule conflicts, that member will send a proxy representative from their agency to serve and vote in their place f. Meetings can also be attended by phone or video by any member when needed g. The IOG will reach a quorum when 51% of member representation to vote on any presented item(s) is achieved If voting item(s) are presented without the meeting reaching to quorum then the item(s) needing a vote will be provided electronically to all members for consideration and voting h. After the IOG meeting the Coordinator/Secretary will send out the Meeting Minutes to the IOG, the minutes will be approved at the next IOG meeting by all members Article VI. Membership a. IOG Membership is required to have mandated members by House Bill 04-1451, called "HB 1451", or CMP, to include but not be limited to one voting member from each of the following or the organization's designee DocuSign Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D ® Weld County Department of Human Services, 19th Judicial District Probation Department, 19th Judicial District Courts, Weld County Department of Public Health and Environment, Weld County School Districts RE -6 and RE -8, North Range Behavioral Health Center, Northeast Health Partners, Division of Youth Services, Signal Behavioral Health Network, A Woman's Place ® A mandated partner agency or person may resign from the CMP with 30 days written notice to the Chair and Co -Chair of the Interagency Oversight Group ("IOG") b. Our other members are considered non -mandated partners and have all the same member privileges, those members include • United Way of Weld County, Weld County Board of Commissioners, Weld County Sheriff, Weld County District Attorney, Colorado Youth Detention Continuum Pretrial Services Any additional non -mandated members will be considered by the JOG Any member can bring a newly suggested member up for consideration at any time JOG non -mandatory members can resign at any time by providing a written notice to the Chair A non -mandated partner agency or person may resign from the CMP with 30 days written notice to the Chair and Co -Chair of the Interagency Oversight Group ("IOG") Article VI. Membership Requirements (Requirements apply to all IOG members) a. The member should have the ability and authority to represent their agency or organization that serves the needs of children and families living within Weld County, b. Member agency has the authority to approve the contribution of time, resources, and/or funding to solve problems, Agreement to serve as the single voting representative from their agency, organization or association approved with voting privileges and designate a proxy to fulfill all membership requirements in writing to the coordinator per fiscal year, c. Attend and actively participate in regularly scheduled meetings 75% of the time, d. A commitment to problem solving and decision making through a consensus model, e. The ability to represent the interest and needs of your agency, organization or association and the populations you serve, while simultaneously viewing services to families and children on a systems -level and understanding the mandates and needs of other partner agencies or organizations, f. Assume personal responsibility on oversight of the project by reading reports, making recommendations, and managing conflict in a professional problem- solving manner, DocuSign Envelope ID 64B96BCB-26O4-4C39-B50E-F605A7089A4D g. Assume solution -focused responsibility for the oversight of the financial status of the project, h. Participate in both short and long-term planning and goal setting, i. Provide input and recommendations, J. Assume personal responsibility to help assure the project remains mission driven Article VII. Officers Officers of the IOG shall consist of a Chair and Co -Chair, each of whom shall be a representative from the mandated partner list The IOG, by majority vote, may opt to create additional Officer positions, which shall be filled by a representative from the mandated partner list An individual may not hold more than one office at one time b. Duties of the Officers will be as follows 1 Election, Term of Office Officers shall be elected by the membership of the IOG at one-year intervals with consideration for overlap, The Officers may continue to extend their time term if approved by the IOG until the next election, Officers will be selected by a majority vote of the IOG members, Should an Officer position become vacant, the IOG will elect a successor from its membership at the next regular meeting The successor shall serve for the remainder of the term of office, An Officer can resign at any time by providing written notice to the Chair If the Chair resigns the notice will be sent to the Coordinator and Co -Chair Upon resignation, vacancies shall be filled in accordance with the Officer Election procedures, Any officer elected or appointed by the IOG may be removed by an IOG vote of not less than fifty-one percent of the members present at a scheduled IOG meeting, c. Powers and Duties of the Chair/Co-Chair ® Preside at each meeting of the IOG and IOG subcommittees or workgroups, facilitate discussion and resolution, or designate meeting facilitation to the coordinator, ® Keep IOG members informed of matters pertinent to their responsibility, ® Approve agendas for all IOG, IOG workgroup, and all subcommittees, • Sign letters and other official documents on behalf of the IOG, ® Support and provide oversight for the CMP Coordinator, ® Perform other duties as agreed upon by the IOG, DocuSign Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D Article VIII. Coordinator Position Coordinator Responsibilities: The work of the coordinator is directed by the executive committee which is guided by the IOG, Send out meeting notices to all members pnor to the meeting that includes date, time, and agenda, Create agenda and send to Chair/Co-Chair for approval pnor to sending out to IOG members, Conduct research and prepare reports or other information in response to the interests and established plan of the IOG, ® Maintain membership rosters of all IOG and IOG subcommittee members, a Create and maintain new membership orientation packet, ® Maintain files of any documents deemed important in the IOG, Assist with the development, implementation and monitonng of procedures, policies, budgets, and programs essential to the IOG Continuously build professional relationships and collaborations within Weld County, Maintain the MOU and By -Laws, ® Maintain consistent and accurate data collection of all Weld County CMP programs, ® Enter all CMP program data into all necessary programs and databases, ® Process all incoming data continuously to maintain Weld County's IOG performance and process measures, Complete the CMP Annual Report that consists of the previous year's qualitative and quantitative data to provide the State and the IOG, Facilitate meetings as designated by the IOG, create agendas, complete case plans, and communicate with all parties and professionals needed as well as the youth and families, Conduct continuous quality improvement for CMP programs, as recommended by the CMP, a Attend IOG, workgroups, and sub -Committee meetings, a Update all IOG members on all current data, programs, and CMP information, ® Continuously stay apprised on all CMP legislation, statues, and program requirements, ® Update members on the functions and activities of the coordinator, ® Act as the designee for all Officers in their absence d. Additional Personnel The IOG may choose to employ personnel as necessary to carry out its functions as required by the MOU or By -Laws. Article IX. Subcommittees a. Establishment DocuSIgn Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D Subcommittees may be established by the Chair to serve the special interests of the Commission Goals and objectives of subcommittees shall be established by the Chair in consultation with the CMP and/or IOG b. Members Subcommittee membership may consist of mandated partners, non -mandated partners or designated community partners Each subcommittee shall be compnsed of a Subcommittee Chair who shall be appointed by the IOG Chair after a recommendation from members of the IOG A Co -Chair may be appointed by the members of each subcommittee c. Duration and Responsibilities of Subcommittee ® Members serve voluntarily on subcommittees, ® A subcommittee member will either take minutes and prepare a written report, or provide a verbal report to the IOG and CMP at the next regular meeting, ® Upon the completion of the assigned task the subcommittee shall be dissolved, d Subcommittee Chair's Powers and Duties It shall be the Subcommittee Chair and Co -Chair's responsibility to ® Hold at least one meeting quarterly or submit an alternative plan to the IOG Chair, ® Set the agenda and preside at the meetings, ® Address the goals and objectives of the subcommittee, ® Review and approve subcommittee minutes prior to receipt by the IOG and CMP, and ® Report subcommittee activities, progress, outcomes, and issues to the IOG and CMP Article X. Open Records All accounts, records, and meetings of the CMP, IOG, and its subcommittees shall be open to the public at all reasonable times Exceptions are permitted where a specific determination is made by the CMP or IOG that there is a legitimate public purpose achieved by withholding a document concerning legal, personnel, or proprietary information, as set forth in the Colorado Open Meetings Law and Colorado Open Records Act Article XI. Parliamentary Authority The rules contained in the most current edition of Robert's Rules of Order Newly Revised shall govern the CMP, IOG, and its subcommittees in all cases to which they are applicable and in which they are not inconsistent with these Bylaws, any special rules of order the CMP may adopt, or as otherwise provided by law Article XII. Amendment of Bylaws These Bylaws may be amended by a majonty vote of the CMP, provided that the amendment was previously submitted in writing to CMP members By-laws can and should be DocuSign Envelope ID 64B96BCB-26D4-4O39-B50E-F605A7089A4D updated but those changed cannot be implemented or go Into effect until the following fiscal year unless new signatures are obtained, and a revision sent into the State. Article XIII. Collaborative Management Processes Risk Sharing (legal and financial) Legal and financial nsk is fully assumed by the partner agency supplying the service Those partners who receive yearly funding from the CMP to provide services must show in their request for funding that they have the legal and financial means prior to funds being disbursed At least twice per fiscal year the CMP will receive a full expenditure report compiled by the Coordinator and fiscal agent The report will include current reserves, spending trends and revenue b. Resource Pooling Mandated and non -mandated partners of the CMP agree to, at a minimum, provide their time at JOG meetings to discuss policy, procedure, best practice, protocol, and community needs in Weld County Additional in -kind sources, such as administrative costs and staff time at collaborative meetings, will be documented in the yearly MOU Funding for special events and requests may be solicited from the CMP or individual members These situations will be documented in the end of the year report to the Colorado Department of Human Services and full expenditure reports to the Commission c. Performance Expectations The CMP is formed to address the need for a collaborative approach within Weld County Its mission is defined as establishing collaborative leadership to promote accountable, efficient, cost effective, and coordinated systems to increase the health and well-being of children, youth, and families in Weld County The CMP strives to support programming that focuses on the whole person, recognizes success and not compliance, and provides integrated, family centered services for all age groups Mandated and non -mandated partners of the CMP, as well as agency staff on subcommittees, agree to uphold the mission of the CMP and perform functions, tasks and responsibilities associated with the collaboration in accordance with the mission d. Outcome Monitoring Outcome monitoring for all programming that is a part of the MOU by the CMP will be reported to the Coordinator quarterly for inclusion in the year-end report Data will be gathered from existing collections sources that are dependent upon the agency, such as TRAILS for human services Data will be shared with any partner or community member requesting to view information, once all identifying information has been removed that would compromise confidentiality or a legally recognized pnvilege e. Staff Training The CMP will sponsor free training within the county to ensure partners, staff and community members are current on addressing needs specific to Weld County The coordinator will work to identify ongoing training needs and coordinate trainmgs to address such Education sessions within the set agenda of CMP or subcommittee meetings are encouraged to ensure ongoing development DocuSign Envelope ID 64B96BCB-26D4-4C39-B50E-F6o5A7o89A4D Article XIV. Reinvestment of Incentive Funds a. Incentive Fund Reinvestment Incentive funds received by the CMP and allocated pursuant to CRS §24-1 9-104 will be reinvested by the CMP to provide appropriate services to children and families who would benefit from multi -agency services and to meet the performance measures approved by the partners For the 2022-2023 fiscal year, the IOG did approve to fund a CMP coordinator position out of the incentive funds monies, if available This would include salary, benefits, equipment, and trainings costs Requests for funding for programs approved through the current MOU can be requested throughout that current fiscal year Requests for funding for new programs will be accepted once per year in March from agencies and/or members of the CMP to further their collaborative efforts These requests will be reviewed and approved or denied by May of that year for funding to start in the following Fiscal year Requests for funding can be used to finance positions, training expenses and/or services that benefit children, youth and families in a way that if the position/service did not exist, the results would be a bifurcated system and a burden would be placed on multiple systems Requests for funding may not be considered if incentive funds are not available to support programmmg Requests for funding must follow an established format and include thorough explanation of The target population and unmet needs within the community, Demonstration of evidence -based practices, How the position/service/trammg will reduce duplication and eliminate fragmentation of services provided to children and families who would benefit from integrated multi - agency services, increase the quality, appropriateness, and effectiveness of services delivered to children and families who would benefit from integrated multi -agency services to achieve better outcomes for these children and families, and encourage cost - sharing among service providers, Identified bamers to implementation and plans for sustainability without incentive funds, Identified goals, objectives and measurements that will show when a goal/objective has been met, Budgetary expenses, fiscal agent and in-kind/matching Requests for funding will be heard by the CMP at the meeting following the requests for funds Funding requests that meet criteria may be denied, approved in full, or partially funded by a majority vote of the CMP after quorum has been met Requests for funding may not be considered if incentive funds are not available to support programming Article XV. Integrated Service and Support Teams (ISST) An ISST includes two or more system representatives that are present to assist a child/youth/family with developing an integrated, mutually agreed upon service plan directed by family need The ISST identifies goals and facilitates collaboration to fund services in the community and defines response It follows a family -driven model for service planning, with the child/youth/family member present at and participating in the development of the plan For any family meeting held within the CMP, a multi -systemic approach involving active participation in the meeting DocuSign Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D by two or more systems must occur Documentation of system presence is captured on signature sheets, where participants also note their agreement or disagreement with the arrived upon plan (next steps) When possible, multiple systems are involved in the delivery of any identified services and dependent upon which system has access to best provide The CMP uses the ISST approach whenever possible to reduce fragmentation and duplication of service provision, improve satisfaction by less time spent in meetings to discuss service need, and decrease the number of times a family must tell their story to receive appropriate services A lead agency is identified for each meeting and second agency is present during these meetings, which could be any of the partners to the CMP The CMP embraces the Two Generation (2Gen) Approach by assisting families in their desire to end generational poverty This is approached by focusing jointly on the development of both the children and the adults who care for them The approach is held as standard in all prevention programming and ISST's within the county Many programs address needs by delegating parent - oriented and child -oriented programs into separate service areas The CMP strives to engage families in programming and decision making that combines services and addresses both groups' needs simultaneously The whole family approach identifies resources specific to each family member's need and seeks to meet those needs to ensure the success of the entire family CMP partners from the WCDHS, North Range Behavioral Health, Weld County School Districts RE -6 and RE -8, 19th Judicial District Probation, 19th Judicial District Courts, and many non -government organizations are present at planning and implementation stages to hear directly from the family regarding their needs The mutually agreed upon plan at the end of the meeting, includes next steps and resources for all members of the family who identify a need, not just the child The CMP identifies this approach as best for children, youth and the families who care for them a. Team Decision Making Meetings (TDM) Weld County Human Services is the lead agency for hosting a TDM Its purpose is to engage the family, child(ren) (if appropriate), family's supports, and professionals in a structured meeting led by a trained facilitator where immediate "live" decisions are made about safety and placement Safety and support plans can be developed, including immediate case planning such as visitation or urine screens A TDM is held prior to any considered removal or placement change or within one business day of an emergency removal b. Family Engagement Meetings (FEM) Weld County Human Services is the lead agency for hosting an FEM Its purpose is to engage the family, child(ren), (if appropriate), family's supports, and professionals in a structured meeting led by a trained facilitator where decisions are made about safety planning, service coordination, case monitoring, permanency planning, and case closure A FEM must be held every three months for cases with children in out -of -home care and every six months for children at home or in the temporary legal custody of kin c. Additional ISST Development Ongoing development of additional ISSTs may be necessary to fill an unmet family planning need within a system New family planning meetings within the county that fit the definition of an ISST may be denied or approved by a majority vote of the CMP once quorum has been met DoneSign Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D Article XVI. Authorization to Contribute Resources and Funding Each CMP partner represents that she/he has the authority to approve the contnbution of time, resources, and funding to solve problems identified in order to create a seamless, collaborative system of delivering multi -agency services to children and families The resources and funding to be contributed are identified in the yearly MOU and include in -kind and cash pooling Article XVII. Funding Sources Funding identified in the yearly MOU can be a carry-over from incentive funding, additional funding provided to the Commission or any funds directed towards the Commission The CMP partners agree to financial risk shanng, with commitments to support programs with earned incentive funds and carryover when monies are available For this reason, the CMP projects a conservative yearly budget based on available resources Distribution of 1451 Incentive Funds Upon IOG Dissolution Due to Mandatory Member Resignation In the event the CMP is dissolved due to the departure of a mandatory partner, as defined by statute, an emergency meeting of the remaining JOG members will be called within seven (7) days to vote upon distnbution of remaining funds Distribution of remaining funds will be decided upon by a majority vote of 51% of the remaining JOG members Article XVIII. Alternate Designation A voting member may designate a consistent alternate to represent his or her interests on matters that come before the CMP Alternates may participate in meeting deliberations but may not vote unless they carry a proxy vote for a member that is unable to attend Article XIX. Conflict of Interest Any CMP member who is present at a meeting at which any matter is discussed, in which he or she has a private pecuniary or property interest, shall declare that he or she has a potential conflict of interest He or she shall refrain from attempting to influence the decisions of the other members of the governing body in voting on the matter and shall not vote in respect to such matter Article XX. Dispute Resolution Any concern or dispute between or among CMP members related to the Collaborative Management Program may be submitted in wnting to the coordinator for review by the CMP A clear description of the issue or concern and of the primary partners or individuals involved shall DocuSign Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D be included The CMP will attempt to resolve the concern or dispute through a facilitated discussion with the primary parties involved, seeking solution through consensus agreement If no resolution is reached, a vote will be taken by the CMP with majonty vote by a quorum of the CMP deciding the outcome Reviewed by IOG on 2/14/2023 DocuSign Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D Appendix B ISST- FAMILY TEAM MEETING PROTOCOL Family Team Meetings Family Team Meeting ISSTS are a planning and decision -making process that includes parents, caregivers, children/youth, caseworkers and other service/community providers Two or more IOG partners working with the same child/youth/family and making an effort to reduce bifurcated services and utilize programs developed to assist families in better delivery of services through a multi -system approach The overall goal of the Family Team Meeting is joining with the family/kin and community agencies to establish common goals of safety, well-being, and permanency through the involvement of the case and inclusive of other systems This is an overarching theme of practice throughout service assessment, planning and delivery is to Reduce or prevent involvement within the criminal justice system Reduce disciplinary actions at school Increase mental health assessments This ISST(s) model takes a two -generation (2Gen) approach in an effort to holistically serve Colorado's families by focusing on family strengths, nurturing self-sufficiency, fostering resiliency, and focusing on strategies that connect all members of the family to supportive services including job readiness, food assistance, energy assistance, self-sufficiency work, and any other identified goals of the family that are contributing drivers to the increased risk of further multi -systems penetration by the identified child/youth and their families Ongoing bamers to collaborative process and service delivery to families will be discussed on a consistent basis at all IOG meetings to address and solve Meetings will be scheduled at the request of a CMP Agency and can be scheduled at any time when circumstances of the case change, or the family and team are stuck on a concern and can use the team to develop and brainstorm options and solutions The voice of the youth or child is represented at the table Have all agencies within Weld County that is working with the family participate in the meeting Children and youth ages 0-17 that are involved with the Weld County Department of Human Services Child Welfare or Weld County Department of Human Services Prevention Program, 19' Judicial Probation Department, Division of Youth Services, and or Weld County Department of Public Health and Environment are eligible for Family Team Meeting ISST The Weld County Department of Human Services must be a partner at these meetings and have an open assessment or case DocuSign Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D Appendix C ISST- TEAM DECISION MAKING PROTOCOL A Team Decision Making Meeting ISST (TDM) is a process used by DHS to make decisions regarding children's safety by engaging the family, child/youth (if appropriate), family's supports and professionals in a structured meeting led by a trained Practitioner where immediate "live" decisions are made An ISST TDM must be held when considering a removal, during or immediately after an emergency removal or prior to a placement ehange and must include two or more IOG signing participants to be counted as an ISST TDM When a child's safety is in question and the child may need to be removed from their home and when DHS is working in collaboration with an CMP Partner Agency In the event that the child is placed out of the home on an emergency basis, the TDM will be scheduled prior to the Court hearing This meeting usually takes approximately 1 t/z hours depending on what needs to be decided The overall goal of the TDM process is to reach a decision through consensus addressing safety and nsk with a plan that protects children and improves the agency's decision -making process and engagement with families The CMP partner agencies will work together to utilize resources in an effort to keep the child/ren or youth at home or with a kin placement The ISST TDM will also focus on how placement or remaining home will impact potential further involvement or involvement in the criminal justice system, reduce disciplinary actions at school, and will determine if a behavioral health screen has been completed and if not, to determine if one is needed Ongoing barriers to collaborative process and service delivery to families will be discussed on a consistent basis at all IOG meetings to address and solve Children and youth ages 0-17 that are involved with the Weld County Department of Human Services Child Welfare or Weld County Department of Human Services Prevention Program, 19th Judicial Probation Department, Division of Youth Services, and or Weld County Department of Public Health and Environment may request for Team Decision Making Meeting The Weld County Department of Human Services must be a partner at these meetings and have an open assessment or case DocuSign Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D Appendix D Multi -Tiered System of Supports ISST A Multi -Tiered System of Supports (MTSS) is a systemic, continuous -improvement framework in which data -based problem solving and decision -making is practiced across all levels of the educational system for supporting students The framework of MTSS is a "way of doing business," which utilizes high quality evidence -based instruction, intervention, and assessment practices to ensure that every student receives the appropriate level of support to be successful A Multi -Tiered System of Supports helps schools and districts to organize resources through alignment of academic standards and behavioral expectations, implemented with fidelity and sustained over time, in order to enable every child to successfully reach his/her fullest potential Functional Family Therapy Child Welfare FFT A community and family focused evidence -based approach that serves families with youth 0-18 years of age The specific focus is to intervene and preserve family systems at nsk of the child being placed in the child welfare system FFT-CW therapists work to address a range of referral concerns that including parenting needs, family conflict and violence, emotional regulation, depression, trauma, anxiety, and substance use FFT-CW therapists aim to help families relate in positive ways while respecting culture and strengths and supports families who have had difficulties with navigating community systems and/or who experience blame and negativity Multi -Systemic Therapy MST An intensive family- and community -based evidence -based treatment model that addresses problematic behavior in teens and young adults, ages 12-17 MST therapist's' aim to empower caregivers with skills and resources to parent effectively around behaviors like aggression, truancy, substance use, leaving without permission, and other behavioral issues that occur at home, school, or in the community MST therapists provides on call support to coach youth and families through challenging circumstances and engages with other professionals on an going basis to collaborate across educational, legal, child welfare, and other systems to support youth and caregivers in reducing risk and youth remaining at home in the community The Five Essential Components are • Team -Driven Shared Leadership • Data -Based Problem Solving and Decision -Making • Family, School, and Community Partnering • Layered Continuum of Supports • Evidence -Based Practices The CO MTSS framework in Colorado is comprised of these Essential Components, which form a foundation for creating a sustamable system of supports When schools and districts fully -embrace and embed these components into their organizational structure, systems alignment and substantive improvement can occur An enabling context is established so that systems -level and stakeholder -level innovations can be initiated, implemented with fidelity, and maintained successfully over time The goal and pnmary purpose of CO MTSS implementation is to improve outcomes for students, using • data for decision making, • evidence -based practices for student outcomes, and • systems which adults need in order to support implementation efforts DocuSign Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D By systemically evaluating and analyzing student progress through ongoing universal screening and progress monitoring, school systems are able to use their available resources more efficiently and to improve student performance Information yielded by these data sets allows educators to problem -solve less severe educational challenges in the general education environment and preserve additional resources for students who require more targeted and intensive instruction and intervention in order to achieve educational benchmarks Effective leadership facilitates the building of systems and atmosphere to support and encourage educational stakeholders to problem solve at all levels and more efficiently meet student needs Children and Youth ages 5-17 in Weld County School Districts and North Range Behavioral Health will have MTSS ISST meetings to assist in reducing disciplinary actions and increase behavioral health screens Children and Youth and their families that attend MTSS ISST meetings will be referred for a behavioral health screen and be provided resource information to another program within Weld County Only MTSS meetings with two or more IOG signing participants will be counted as an ISST MTSS Ongoing barriers to collaborative process and service delivery to families will be discussed on a consistent basis at all IOG meetings to address and solve DocuSign Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D Appendix E WCDHS Family Resource Team Community Case Management Prevention Program (Operated through WCDHS), These programs are operated by the Weld County Department of Human Services (WCDHS) and Weld County Public Health and Environment to work with families who have children between the ages of birth through eighteen (18) and have an overarching goal of keeping families safe, intact, and self-reliant This program was developed between WCDHS, Local School Distncts, WCPHE, and NRBH to assist with families on identifying challenges and developing goals Together they designed interventions which build on family strengths, reduce the likelihood of out -of -home placement and reduce incidence of child abuse and neglect Currently staff are employed by WCDHS and WCPHE but outreach to the different Agencies in order to serve a larger population IOG signing participants and other agencies within Weld County can make a referral and request the services of the Case Management Prevention Program Services include crisis intervention, life skills coaching, and connect families to community resources In addition to previous involvement, for the 2021-22 CMP MOU, the Family Recourse Team will attend various ISST meetings and offer this program Services are individualized and can be provided in the family's home, community or in the office The community case managers work closely with the Weld County Public Health Department, North Range Behavioral Health, Catholic Charities, local School District, Housing Authority, United Way, the local Domestic Violence Shelter, and North Colorado Health Alliance Community Case Management follows the Two Generation(2Gen) approach while working with families and their youth, ages birth through eighteen (18), who are expenencmg family conflict Case Managers work closely with families to build an alliance in order to develop goals and tasks that will help change unwanted behaviors by addressing unresolved trauma issues Family Service Planning is individualized to the needs of each youth and his/her parents and each case is staffed to provide a continuum of services and expertise WCDHS Family Resource Team Community Case Management Prevention Program is open and willing to ideas and suggestions from the CMP on ways to enhance the program or work with other similar programs in Weld County due to overlap of services or to serve more children/youth in the community Program funding is provided through WCDHS This prevention program is linked to the following performance measure CMP youth who do not enter into diversion, probation or parole, decrease disciplinary problems at school, Increase behavioral health DocuSign Envelope ID 64B96BCB-26D4-4C39-650E-F605A7089A4D Appendix F WCDHS Teamwork Innovation, Growth, Hope, and Training (TIGHT) Youth Corp Program (operated through WCDHS), In 2004, the Weld County Department of Human Services (WCDHS) launched the TIGHT program Youth between the ages of 14 — 17 are referred to TIGHT from Child Welfare TIGHT specifically serves at-nsk/opportunity youth and is a last alternative to out -of -home placement or the Department of Youth Corrections TIGHT works closely with Child Welfare, the 19th Judicial District, North Range Behavioral Health, and Colorado Youth Detention Continuum, formally known as Senate Bill 94, to ensure that corps members are engaged in a positive and structured environment where they can work on educational achievements, and prepare for the workforce and healthy engagement in their communities The TIGHT Youth Corps Program utilizes the Two Generation(2Gen) approach by engaging parents/guardians and families in partnership with the TIGHT member and his/her associated professional team Opportunities to work with the family in a 2Gen approach takes place at least monthly during routine member staffing Staffing provides opportunities to evaluate current activities, progress, and address challenges, as well as to develop a plan to continue moving forward Program funding is provided through WCDHS TIGHT members often have not been successful in traditional educational settings either due to their own behaviors or due to constant changes throughout their educational years TIGHT provides educational activities designed to meet individual needs This is achieved by having computers specifically dedicated to TIGHT with TIGHT Crew Leaders providing support as needed In addition, TIGHT members may receive additional one-on-one or small group tutoring provided by Instructors from the Learning Lab Educational goals are developed with the TIGHT member and their professional team to ensure alignment and all circumstances are known TIGHT members are not all on the same educational path, some may plan to return to school the next semester or following an extended suspension while others may be in pursuit of obtammg a High School Equivalency (HSE) Diploma, commonly referred to as a GED TIGHT members enrolled in the year-round program are engaged in educational activities roughly half of their day TIGHT members enrolled for the summer program spend eight to ten hours a week in educational activities to support their return to school in the fall TIGHT will provide data to the IOG on a regular basis A representation from the program will present at IOG meetings success stories from the program and any bamers they have for success The representation will share with the IOG what their program needs in order to enhance services to best assist the families that they work with TIGHT is open and willing to ideas and suggestions from the CMP on ways to enhance the program or work with other similar programs in Weld County due to overlap of services or to serve more children/youth in the community DocuSign Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D The CMP would benefit from data of this program to determine overlap in services, success of the program, and how to utilize the program to a larger population This prevention program is linked to the following performance measure CMP youth who do not enter into diversion, probation or parole DocuSign Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D Appendix G School Based Behavioral Health (operated through North Range Behavioral Health), The School Based Services Team provides comprehensive mental health and substance use treatment for students struggling with life's challenges ages 5-18 Therapists are housed within the schools to provide crisis services and ongoing therapeutic services Team provides convenient access to effective therapy services to students during their school day Enhancing client care for students are adjunctive services that include workforce development, consultation, psychoeducation for parents, and engagement services The School Based Services Team utilizes the 2Gen approach by bnnging the youth and their family together This often includes a multi -generational restorative process that affects not only the youth and their parents but the entire family system as a whole For the schools with onsite behavioral health staff, School Staff, DHS caseworkers, Probation officers, and Pre -Trial Services staff are able to refer children and youth to this program Through the MTSS ISST and working directly with the youth and their families, the School Based Behavioral Health staff are able to ensure that families are able to reduce bifurcated services and assist the school staff with working directly with the youth and their families The School Based Behavioral Health staff are able to refer the family to other agencies in Weld County that can assist the family with their needs This could include but is not limited to referrals to the Department of Human Services, The United Way, A Woman's Place, local law enforcement, Catholic Charities, local medical clinics, and youth assessment programs Programs included in the continuum of care because of a determination by the Interagency Group of Weld County that the programs are a multi -system approach that pi events bifurcation of services foi families The Weld County IOG is responsible foi broad oveisight of these programs and provides assessment of data and outcomes Failing to have these programs would create a burden on families and a burden on the system allowing for deeper involvement in the child serving systems or that could iesult in duplication and fiagmentation of services School Based Behavioral Health will provide data to the IOG on a regular basis A representation from the program will present at IOG meetings success stories from the program and any barriers they have for success The representation will share with the IOG what their program needs in order to enhance services to best assist the families that they work with The CMP would benefit from data of this program to determine overlap in services, success of the program, and how to utilize the program to a larger population The School Based Behavioral Health program is open and willing to ideas and suggestions from the CMP on ways to enhance DocuSign Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D the program or work with other similar programs in Weld County due to overlap of services or to serve more children/youth in the community DocuSign Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D Appendix H High Fidelity Wraparound Services- WCDHS High Fidelity Wraparound Services engage and convene representatives from various behavioral/mental health systems and natural supports to create an integrated and individualized High -Fidelity Wraparound (HFW) plan for program participants ages 5-18 HFW is an evidenced -based care coordination process which has been demonstrated as an effective way to support individuals with acute behavioral/mental health needs to increase safety, promote family stability, and decrease the need for out -of -home placement Wraparound Facilitators coordinate services to maintain the least restrictive environment and to help participants live successfully in the community with their families A representation from the program will present at IOG meetings success stories from the program and any barriers they have for success The representation will share with the IOG what their program needs in order to enhance services to best assist the families that they work with The CMP would benefit from data of this program to determine overlap in services, success of the program, and how to utilize the program to a larger population The High Fidelity Wraparound Services program is open and willing to ideas and suggestions from the CMP on ways to enhance the program or work with other similar programs in Weld County due to overlap of services or to serve more children/youth in the community High Fidelity Wraparound Services staff are able to refer the family to other agencies in Weld County that can assist the family with their needs This could include but is not limited to referrals to the North Range Behavioral Health, The United Way, A Woman's Place, local law enforcement, Catholic Charities, local medical clinics, and youth assessment programs DocuSign Envelope ID 64B96BCB-26D4-4C39-850E-F605A7089A4D Appendix I Weld County Restorative Justice Program (operated through TBD) Weld County Restorative Justice (RJ) is a program/service that was developed in partnership among the 19th Judicial District Attorney's office, Youth & Family Connections, 16 municipal police agencies, the Weld County Sheriff's Office, and concerned community volunteers It was designed to resolve conflicts and restore relationships It is in intent of this IOG to reestablish the RJ program in Weld County during the 2022-2023 fiscal year using funds from the CPM incentive funds and as well as funding from other agencies This program is based on a strong foundation of integrity, honor and respect for all participants The overall purpose of the Weld County Restorative Justice Program is to develop an effective process and referral network that specifically responds to the needs of the victims and offenders in Weld County, facilitate restorative justice practices, and provide data to assess the efficacy of restorative justice to reduce recidivism (an anticipated 80-90% non -recidivism rate), repair the harm caused to victims in the community, increase victim satisfaction with the process and perception of safety, reduce costs associated with juvenile justice processes, and ensure accountability while allowing juveniles to avoid the collateral consequences associated with criminal charges and convictions The Weld County Restorative Justice program utilizes the 2Gen approach by bringing the youth offender and their family together to develop a plan (or contract) to repair the harm caused by the youth's actions to the victim and community This often includes a multi -generational restorative process that affects not only the youth and their parents but the entire family system as a whole Program funding is provided through the following contributions from local Law Enforcement Agencies, School Districts, and Weld County, fundraising support from local donors, 19th Judicial District CYDC Pre -Trial Services funds (both operational and MTR), and support from the CMP Weld County Restorative Justice Program will provide data to the IOG on a regular basis A representation from the program will present at IOG meetings success stones from the program and any barriers they have for success The representation will share with the IOG what their program needs in order to enhance services to best assist the families that they work with The CMP would benefit from data of this program to determine overlap in services, success of the program, and how to utilize the program to a larger population This program was formed through the previous CMP in Weld County This program remained in place after the previous CMP in order to provide continued support to the families in Weld County The Weld County Restorative Justice program is open and willing to ideas and suggestions from the CMP on ways to enhance the program or work with other similar programs in Weld County due to overlap of services or to serve more children/youth in the community The RJ program will service youth between the ages of 10-18 DocuSign Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D Appendix .I Collaborative Management Performance Measures 1 Prevent involvement or further involvement in the juvenile justice system 60% of CMP youth who do not enter into probation Any child/youth that is currently involved with or under the supervision of diversion, probation, or parole when CMP services began Any child/youth that is currently under supervision of the municipal court o Any client in a juvenile justice related prevention program o Any child/youth that is currently involved with truancy court Interagency Oversight Group of Weld County - 60% of the youth 10-17 years old being served through CMP will not pick up new charges that results in a sentence to probation July 2022 -June 2023 2 Decrease disciplinary problems at school i a 60% of CMP children/youth with fewer disciplinary actions (referrals, suspensions, or expulsions) while involved with CMP services Any child/youth currently enrolled in an educational program Any child/youth that becomes enrolled in an educational program Any child/youth in an education related prevention program Interagency Oversight Group of Weld County - 60% of CMP children/youth ages 5-12 that receive a disciplinary action between July 2022 and May 2023 will not receive in school or out of school suspension within the 22-23 school year following a CMP ISST meeting or participation in a prevention program 3 Increase behavioral health 60% of CMP Medicaid eligible children/youth over the age of 10 will received a behavioral health screen o Any child/youth that is involved with CMP prevention program with Medicaid Any child/youth that is involved in a CMP service with Medicaid Interagency Oversight Group of Weld County - 60% of CMP children/youth ages 5-17 will have completed or will complete a behavioral health screen between the months July 2022 and June 2023 DocuSign Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D Behavioral Health screen will include an assessment or behavioral health treatment anytime within the time from of July 2022 and June 2023 DocuSign Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D Appendix K Interagency Oversight Group of Weld County AUTHORIZATION TO SHARE INFORMATION Name of Individual Receiving Services (Please Print) Individual's Date of Birth The Agencies listed below are requesting this authorization to share information about the above -named individual This data is for information gathering only in order to evaluate the programs utilized by the Interagency Oversight Group of Weld Count to determine overlap in services, success of the programs, and how to utilize the program to a larger population The information will be placed into a database that collects data from other Interagency groups across the State of Colorado ▪ WELD COUNTY DEPARTMENT OF HUMAN/SOCIAL SERVICES (WCDHS) ▪ COLORADO DEPARTMENT OF HUMAN SERVICES • NORTH RANGE BEHAVIORAL HEALTH I understand that the types of information identified in this authorization may be shared, in addition to all exceptions required or allowed by law This authorization covers all admissions and/or contacts with the above -listed Agencies and individuals and allows a free exchange of this information between and among the Agencies and individuals I have agreed to release and receive information I understand that the Agencies and/or individuals may need to share information among themselves more than one time and/or with other persons working for the Agencies or service providers The following information will be shared with the Weld County Department of Human Services and the Colorado Department of Human Services: Demographic information that identifies me and my children (name, date of birth, gender, race/ethnicity, and zip code) Program start and end dates Data that relates to the performance measures linked to the IOG's programs that are being measured For 2022-2023 this includes school disciplinary actions, new criminal charges or adjudication, and/or dates of behavioral health screens or treatment The purpose of any disclosure within the Agencies and/or with the individuals will be that the Agencies and/or individuals above will release and receive confidential information only to assess the programs utilized by the Interagency Oversight Group of Weld Count to determine overlap in services, success of the programs, and how to utilize the program to a larger population This authorization remains valid unless one of the below applies, whichever is sooner • the authorization expires two years from the date I sign the form, or • when the sharing of information is no longer needed to manage or provide services to DocuSign Envelope ID 64B96BCB-26D4-4C39-B50E-F605A7089A4D me, my child, or ward, or, when I revoke this authorization I understand that the information covered by this authorization may be disclosed for data sharing and data collection purposes within the Agencies NOTICE TO RECIPIENT: This information has been disclosed to you from records protected by federal confidentiality rules (42 CFR Part 2) The federal rules prohibit you from making any further disclosure of this information unless further disclosure is expressly permitted by the written consent of the person to whom it pertains or as otherwise permitted by 42 CFR Part 2 A general authorization for release is NOT sufficient for this purpose The federal rules restrict any use of the information to criminally investigate or prosecute an alcohol or drug abuse patient I understand that this is a HIPAA-compliant Authorization and as such, the Agencies and/or individuals may not condition treatment, payment, enrollment or eligibility for benefits on my signing this Authorization I understand that I can still apply forand receive services on my own, my child's, or my ward's behalf without signing this form I understand that I may revoke this authorization at any time, except to the extent that action has already been taken in relianceupon this authorization In order to revoke this authorization with respect to information other than drug and alcohol treatmentprogram records which may be revoked verbally, I understand that I must provide written notice to the Agencies I understand I will be given a copy of this form A person may use a copy or facsimile (FAX) of this form in place of the originalsigned authorization form By signing this Authorization form, I agree that I have read and understand the information on this form I understand that there is the potential for re -disclosure by the recipient and that it may no longer be protected by the HIPAA Privacy Regulation Signature Date If not the client, please print and state your legal authority to sign for client COLORADO Office of Children, Youth & Families IDv►ston of Chile Welfare Jamie Ulrich Director Department of Human Services 315 N. 11th Avenue Greeley, CO 80631 6/22/2023 Re: Acceptance of Weld County Collaborative Management Program MOU for SFY 2023-2024 Dear Director Ulrich, The purpose of this letter is to communicate information about your county's participation in the Collaborative Management Program (CMP), C.R.S. 24-1.9-101, also known as HB 04-1451. The Weld County CMP Memorandum of Understanding (MOU) for SFY 2023-2024 has been accepted. As specified in Section XI of your county's MOU, Weld County needs to submit the attached attestation statement with signatures prior to receiving the earned incentive funds. The Colorado Department of Human Services appreciates Weld County's continued commitment to the coordination and integration of services to children, youth, and families in their community. If you have any questions or concerns, do not hesitate to contact Andie Scott at apdie.scott®state coUS. Sincerely, ielt Scott Andie Scott Collaborative Management Program Administrator 1575 Sherman St., Denver, Co 80203 P 303.866.5932 F 303.866.5563 cdhs.colorado.gov Jared Polls, Governor I Michelle Barnes, Executive Director Collaborative Management Program Incentive Funding Award � Attestation Statement i In accepting the incentive funding award for Weld County. I, the County Commissioner(s) and/or County Director, hereby attest that the Collaborative Management Program wilt: • Track clients served in all target populations listed in the CMP site MOU; • Agree to not duplicating clients in the approved databases (Trails and/or Efforts to Outcome and/or Excel); and, Comply with Operation Memorandum #OM-CW-2021-0017. • �LCcsiNiC II {t County Director and/or Commissioner -Printed Name Signature z3 Please sign and return this document to Andie Scott, Collaborative Management Administrator, Colorado Department of Human Services, Division of Community Programs, andie.scottCstate.co.us via email as a scanned document, or by mail to 1575 Sherman Street, 2' Floor, Denver, CO 80203. 1575 Sherman St., Denver, CO 80203 P 303.866.5932 F 303.866.5563 cdhs.colorado.gov gov Jared Polls, Governor I Michelle Barnes, Executive Director i Contract Form Entity Infor Entity ID* INTERAGENCY OVERSIGHT GROUP ;P00043961 (IOC) Contract Name' COLLABORATIVE MANAGEMENT PROGRAM (CMP) MEMORANDUM OF UNDERSTANDING (MOU) SFY 2023-24 Contract Status CTB REVIEW New Entity? Contract ID 7018 Contract Lead* COBBXXLK Contract Lead Email cobbxxlkOco.weld.co.us Parent Contract ID Requires Board Approval YES Department Project Contract Description' THE CMP CONSISTES OF 11 MANDATED PARTNER & 5 NON -MANDATED PARTNERS WHO HAVE BEEN ASKED TO ENTER INTO THE MOU PURSUANT TO C.F..S. SECTION 24-1.9-102. TERM 7 i` 1, 23-6,30/24. WDDHS IN -KIND CONTRIBUTION TOTALS S150,000.00 Contract Description 2 PA IS ROUTING THROUGH THE NORMAL PROCESS. ETA TO CTB = 5125/23. Contract Type' CONTRACT Amount' $0.00 Renewable* NO Automatic Renewal Department HUMAN SERVICES Department Email CM - H umanServicesrOweldgov.co m Department Head Email CM-HumanServices- DeptHead-L weldg©v.r_om County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COU NTYATTO RN EYVELDG OV.COM Requested BOCC Agenda Date' 06/05/2023 Due Date 06/01/2023 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 NSA Contract ID Note. the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contra 1)ai? Effective Date Review Date* 04/30/2024 Renewal Date Termination Notice Period Canto4 Contact Inft3 Contact Name Parch De t Head JAMIE ULRICH DH Approved Date 05/19/2023 Final i BOCC Approved BOCC Signed Date BOCC Agenda Date 06/05/2023 A pro Originator C(BBXXLK ion Contact Type Committed Delivery Date Contact Email Finance Approver CHERYL PATTELL! Expiration Date* 06/28/2024 Contact Phone 1 Purchasing Approved Date Finance Approved Date 05/20/2023 Tyler Ref # AG 060523 Legal Counsel MATTHEW CONROY Contact Phone 2 Legal Counsel Approved Date 05/23/2023 Hello