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Home My WebLink About20221536.tiffan-Wvad-1D oc12l PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: May 2, 2023 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Agreement Amendment #1 Front Range Speech & Behavior Clinic Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Agreement Amendment #1 with Front Range Speech & Behavior Clinic. The Department has an Agreement with Front Range Speech & Behavior Clinic for Mental Health Services. This Agreement is known to the Board as Tyler ID# 2022-1536. The agreement is now being amended to renew for a second year, for the period June 1, 2023 through May 31, 2024, and to make changes to the Scope of Services and Rate Schedule as noted below. The Human Services Advisory Commission (HSAC) has reviewed and approved this information. Scope of Services Changes: • Updates to the terms as requested by the Department. Rate Schedule Changes: • Updates to the terms as requested by the Department. • Updates to the rates as requested by the Contractor. Rate changes are noted below. I, ou ' pc, Mental Health Services $150.00 Hour Initial Coonsult/Assessment for Parent Training: In - Home or Community $125.00 Hour Initial Consult/Assessment for Parent Training: In - $50.00 Each Initial Consult/Assessment for Parent Training: No Show (Max 2 no shows or 2 hours/month/client) $100.00 Hour Ongoing Individualized Parent Training: In - Office/Video $125.00 Hour Ongoing Individualized Parent Training: In -Home or Community $50.00 Each Ongoing Individualized Parent Training: No Show (Max 2 no shows or 2 hours/month/client) $100.00 Hour General Applied Behavior Analysis (ABA) "Bootcamp" Training - Group Training: In-Office/Video $50.00 Each General Applied Behavior Analysis (ABA) "Bootcamp" Training - Group Training: No Show (Max 2 no shows or 2 hours/month/client) $75.00 Hour Direct ABA Therapy Services Provided by a Behavior Technician: In -Home or Community $75.00 Hour Direct ABA Therapy Services Provided by a Behavior Technician: In-Office/Video Pass -Around Memorandum; May 2, 2023 - CMS ID 6921 , OV) Cony -t il- 5/V a.3 5/x/23 Page 1 Zou-1sa4 NeOOq4 PRIVILEGED AND CONFIDENTIAL I'r gran, -►r ca Mated Health Services Hatt $25.00 I nit I yjn' Each tiervic' \.nnc Direct ABA Therapy Services Provided by a Behavior Technician: No Show (Max 2 no shows or 2 hours/month/client) $100.00 Hour Supervision of Direct ABA Therapy Services: In -Home or Community $100.00 Hour Supervision of Direct ABA Therapy Services: In- umce/Video $25.00 Each Supervision of Direct ABA Therapy Services: No Show $0.66 Mile Mileages I do not reconsmand a Work Session. I recommend approval of this Agreement Amendment #1 and authorize the Chair to sign. Approve Recommendation Perry L. Buck, Pao -Tern Mike Freeman, Chair Scott K. James Kevin Ross Lori Saine Schedule Work Session Other/Comments, Pass -Around Memorandum; May 2, 2023 — CMS ID 6921 Page 2 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND FRONT RANGESPEECH& BEHAVIOR CLINIC This Agreement Amendment, made and entered into 0 day of 1", , 2023, by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, her 'after referred to as the "Department", and Front Range Speech & Behavior Clinic, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Mental Health Services, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2022-1536, approved on June 6, 2022. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and my previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, h consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on May 31, 2023. • This Amendment, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Child Protection Agreement as of June 1, 2023: 1. Term This Agreement is being renewed for the second year, for the period of June 1, 2023 through May 31, 2024. 2. Exhibit A, Scope of Services, is hereby amended as attached. 3. Exhibit B, Rate Schedule, is hereby amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTES BY: W4davo G: .o%ck COUNTY: BOARD OF COUNTY COMMISSIONERS erk to the Bo • d WELD COUNTY, COLORADO Deputy Cle Mike Freeman, Chair NTRACTOR: MAY 0 8 2323 ront Range Speech & Behavior Clinic 2547 1 l h Avenue, Unit B Greeley, Colorado 80631 (970) 673-8476 By Angela Chase, Chief Executive Officer Date: Apr 24,2023 o240ogfl EXHIBIT A SCOPE OF SERVICES Contractor wit provide Mental Health Services, as referred by the Department. 1. Initial Consult/Assessment for Parent Training a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. In -person consultations will be conducted for all initial visits. Any follow-up meetings can be conducted via Telehealth, but all assessment sessions will be conducted in -person. ii. Board Certified Behavior Analyst (BCBA) will utilize a variety of behavior -based skills assessments during the consult to obtain a better understanding of client functioning. Relevant examples include Verbal Behavior — Milestones Assessment Placement Program (VB-MAPP), PEAK (Promoting the Emergence of Advanced Knowledge) Assessment, Assessment of Functional Living Skills (AFLS), Assessment of Basic Language and Learning Skills Revised (ABLLS-R), Vineland Assessment — Parent Comprehensive Interview, Adaptive Behavior Assessment System (ABAS-3). The BCBA may choose to use multiple assessment measures during the initial consult to obtain information on child functioning that is individualized and tailored to client need. iii. BCBA will perform a variety of Functional Behavioral Assessment (FBA) procedures as need is determined in order to identify important patterns of challenging behavior emitted by the child as well as identify function(s) of these behaviors. Typical FBA -based assessments include direct observation of the child, anecdotal and/or checklist ABC data recording where BCBA and/or family record data regarding events that happen immediately before and after the behavior of interest, behavior -based checklists and/or questionnaires such as the FAST (Functional Assessment Screening Tool), and when necessary, Functional Analysis (FA) procedures such as the brief functional analysis (BFA) or practical functional assessment (PFA) to experimentally manipulate variables to determine the function of severe challenging behavior. FAs are relatively rare and will only be conducted when other FBA procedures are inconclusive in determining patterns of functioning for significantly challenging behaviors. If/when conducted, FAs will involve multiple clinicians for the procedure. iv. After conducting the initial assessment, BCBAs will write up the assessment results and select goals based on skill deficits and behaviors of concern that were identified during initial assessment. This document will be referred to as a treatment plan and it identifies specific behavior reduction and skill acquisition goals for the client, as well as specific goals on teaching behaviors and responding to certain behaviors for the foster parents. Director of Home Services will review the treatment plan. v. The treatment plan will determine how many hours per week are recommended for ongoing parent training services. In general, more intensive parent training will be recommended for the more goals that are identified in the treatment plan. vi. When applicable, the treatment plan with include a Behavior Intervention Plan (BIP) section that will include specific guidelines on how to prevent and respond to child - specific behaviors targeted for reduction based on the function. The BIP may be modified throughout the course of ongoing training. vii. BCBAs will schedule a meeting with foster parents to review the treatment plan and discuss the goals. Both parties will sign the document to initiate the start of ongoing parent training services. viii. All key stakeholders will have access to the treatment plan to promote transparency of services and collaboration. b: Anticipated Frequency of Services: i. One-time service. 1 c. Anticipated Duration of Services: i. Initial Assessment: Up to three (3) meetings which may take up to twelve (12) hours of direct assessment. The number of appointments will vary depending on the initial concerns of the foster parents as well as the severity of challenging child behaviors targeted for reduction. ii. Follow-up discussion of Treatment Plan: Typically, will be a single meeting/appointment, One (1) to two (2) hours in length. d. Goals of Services: i. BCBA will identify relevant behavior reduction goals for child and (when applicable) foster parent(s). ii. BCBA will identify relevant skill acquisition goals for child and (when applicable) foster parent(s). iii. BCBA will create treatment plan outlining specific goals for future services that specify time -based mastery criteria so that progress can be evaluated in the future. iv. Foster parents will gain an understanding of roles and expectations for future consultation services. v. Help determine the need for ongoing foster parent training such as if it is necessary as well as determine number of hours recommended weekly/monthly for ongoing training and consultation or intensive Applied Behavior Analysis (ABA) therapy for the child. vi. Elicit foster parent buy -in for general ABA training/ "bootcamp" and ongoing individualized parent training services, as appropriate. e. Outcomes of Services: i. Promote stronger foster parent and child relationships by providing parents with detailed information about their child's needs and intervention supports to address those needs. ii. Decrease the risk of children transitioning from homes due to the foster parent's struggle to manage behaviors and maintain safety in the home. iii. Increase the foster child's independence and safety as s/he learns new skills through the support of his/her foster parents and the BCBA. iv. Support foster child's transition to home/adopted placement by providing the family with specific goals and interventions to address the child's behavior and skill needs. f. Target Population: i. Foster parents and children with identified skill deficits and/or behavioral concerns, applicable ages and genders. g. Language: i. English. ii. Spanish translation can be available upon request. h. Medicaid Eligibility: i. This service may be Medicaid eligible depending on the child's primary diagnosis. Service Access and Transportation: i. Services can take place in a variety of innings, including the client's home, school, or contractor's locations. ii. In order for services to be conducted in the home setting, the client/family must undergo a home therapy evaluation to ensure that the home is safe for staff and conducive to therapy and/or parent training. If during an evaluation the team determines that the home setting is not conducive to therapy, Contractor will be able to provide services in the Contractor's center location instead. 2 2. Ongoing Individualized Parent Training a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. BCBA will utilize client treatment plan to provide ongoing training to foster parents. ii. Training will be highly individualized based on client need and may include direct coaching, modeling and/or video modeling, role-play scenarios, review of written resources/plans, and verbal discussion. iii. BCBA may utilize resources used in general ABA training/ "bootcamp" as well as consult and/or share additional peer -reviewed journals and research articles to assist with training. iv. BCBA will consider the importance of visual aids and written reminders in parent training and will create/share these materials as needed. v. Data collection- As an important aspect of monitoring foster parent treatment fidelity and evaluating the effects of parent training services will be recording data on foster parent responses to child behavior and/or foster parent implementation of programs/goals identified in treatment plan. Data collection can take many modalities, including paper - and -pencil and Health Insurance Portability and Accountability Act (HIPAA) compliant electronic data collection systems. vi. Services may be conducted in -person or remotely/telehealth (video chat and phone). vii. Ongoing assessment during parent trainings. BCBAs will consult with families regularly regarding any new concerns or challenging behaviors. BCBA may schedule additional time during a parent training to observe this behavior or discuss it in more detail. BCBAs can add additional goals to the treatment plan and provide training on new challenges as they arise. viii. For clients receiving direct therapy by a behavior technician the BCBA will also bill for supervision hours each week to ensure the technician receives the appropriate support and training to meet the child's needs. This can occur during the same session as parent training. D. Anticipated Frequency of Services: i. Frequency varies on client needs. At minimum, families receiving ongoing individualized parent training will meet one (1) hour biweekly. Foster parents/children in need of more support can meet multiple times per week. ii. It should be noted that appointments will be scheduled by the BCBA at least two (2) days in advance. While foster parents are encouraged to reach out to BCBA/Director of Home Services for assistance, we cannot provide emergency or on -call services or guarantee to meet with a family less than one (1) week before a reported concern. c. Anticipated Duration of Services: i. Duration of each individualized parent training meeting will vary. All individualized parent training meetings will fall between thirty (30) minutes and four (4) hours. Longer parent training sessions will include multiple modalities of training, such as discussion, modeling, observation and feedback. d. Goals of Services: i. Foster parents will learn how to respond to challenging behaviors by utilizing the treatment plan/BIP as a guide to preventing certain behaviors and (when necessary) implementing function -based consequences when these behaviors occur. ii. Foster parents will learn how to teach relevant skills, such as, play skills, and adaptive living skills, as specified in the treatment plan. iii. Foster parents will be able to generalize skills learned during initial ABA training/"bootcamp" (see below) to their child's everyday functioning and behavior. iv. BCBA will take data on foster parent/child goals to determine foster parent fidelity of program implementation and child responding to foster parents. 3 e. Outcomes of Services: i. Foster parents will have a strong system of ongoing support to directly help them manage the behavior and learning needs of the children placed in their home as the child's needs change. ii. Children with more severe needs will be able to stay in placements longer because families will have the supports they need to ensure safety and growth for both the foster child and their own family. iii. Relationships between the foster family and the child will improve because the family has knowledge and training on how to communicate with the child and better meet their needs. iv. Foster Families will be less likely to experience bum out because they are equipped and supported in meeting the needs of the children in their care. f. Target Population: i. Foster parents and children with identified skill deficits and/or behavioral concerns, applicable ages and genders. g. Language: i. English. ii. Spanish translation can be available upon request. h. Medicaid Eligibility: i. This service is not Medicaid eligible. i. Service Access and Transportation: i. Services can take place in a variety of settings, including the client's home, school, or contractor's locations. ii. In order for services to be conducted in the home setting, the client/family must undergo a home therapy evaluation to ensure that the home is safe for staff and conducive to therapy and/or parent training. If during an evaluation the team determines that the home setting is not conducive to therapy, Contractor will be able to provide services in the Contractor's center location instead. 3. General Applied Behavior Analysis (ABA) "Bootcamp" Training — Group Training a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. A minimum of two (2) people needed to participate in each group training. ii. Board -Certified Behavior Analyst (BCBA)(s) and/or Director of Home Services and/or Clinical Director (Front Range Behavior) will provide an initial training for foster that will cover the basic principles of ABA in terms that are easy to understand and explain the common behavior -analytic terms used by professionals and their relevance in terms of foster child behaviors. iii. Training will include a variety of written materials, video presentations, and demonstrations that are part of guided curriculums. All materials will be created by behavior analytic professionals and will be based on principles of ABA and/or relevant research conducted in the field. Examples may include the following: 1. Success on the Spectrum: How to Teach Skills to Individuals with Autism (Partington & Partington) 2. A Work in Progress: Behavior Management Strategies and a Curriculum for Intensive Behavioral Treatment of Autism (Leaf & McEachin) 3. Applied Behavior Analysis (Cooper, Heron, & Heward) 4. Applied Behavior Analysis and Autism: An Introduction (Buchanan & Weiss: Autism New Jersey) 4 5. Parent Training for Disruptive Behavior: The RUBI Autism Network (Bearss, Johnson, Handen, Butter, Lecavalier, Smith, & Scahill) 6. Peer -reviewed journal articles from relevant behavior -analytic sources 7. Safety -Care Behavioral Safety Training (QBS): Training will include general procedures on de-escalating common challenging behavior and will not incorporate training on safety holds - Minimum of two (2) participants, maximum of ten (10) participants. b. Anticipated Frequency of Services: i. Once a week training for two (2) hours to cover key concepts of ABA. This training would be set as a rolling service such as every Wednesday from 12-2pm. ii. Four (4) weeks to cover the full material and would be repeated each month for new parents to attend. iii. Safety Care is a one (1) time training for six (6) hours. c. Anticipated Duration of Services: i. One (1) month cycle. dl Goals of Services: i. Foster parents will learn basic ABA -based terminology and how it is relevant to understanding child's behavior. ii. Foster parents will be able to describe basic intervention tools that may be useful in helping support the children in their care. iii. Foster parents will leam basic de-escalation and safety strategies to use when children begin to engage in crisis behaviors (Safety Care). e_ Outcomes of Services: i. Foster parents will gain knowledge in theories of behavior that will help guide them in making better decisions about how to respond to the behavior of the children they are serving. ii. Children will decrease challenging behaviors and increase pro -social behavior because staff and parents are responding more appropriately to their behaviors. iii. Families will be safer as they are more equipped to keep themselves and the children safe as they work through crisis situations iv. Foster parents will have a base level of training in ABA that will make them more equipped to work with all children and therefore assist with smoother transitions of children into the home. v. Due to the group nature of the training, foster parents will develop collaborative relationships that will help strengthen the teams and help build a connection within the foster community. f. Target Population: i. Foster parents. g. Language: i. English. 1. Medicaid Eligibility: i. This service is not Medicaid eligible. . Service Access and Transportation: i. Services can take place in a variety of settings, including the client's home, school, or contractor's locations. ii. 5 4. Direct Applied Behavior Analysis (ABA) Therapy provided by a Behavior Technician Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. A Board -Certified Behavior Analyst (BCBA) assessment and initial consultation with family will be conducted to develop a treatment plan and goals to ensure contractor is able to meet the needs of the child. ii. On -going requirements of supervision by BCBA for a minimum of 10% of service hours billed as #2 service line. iii. 80% attendance by the family must be maintained with no more than two (2) no-shows in a month for services to continue to ensure enough hours of therapy to make significant behavioral change. iv. Direct ABA therapy will be provided by a Behavior Technician under the supervision of a Board -Certified Behavior Analyst. v. The technician will work directly with the child providing behavioral interventions as deemed necessary from the assessment and treatment plan created by the BCBA. b. Anticipated Frequency of Services: i. Minimum of ten (10) hours per week to ensure client is able to make meaningful changes in his/her behavior, unless a lower number of hours is approved by the Clinical Director of Home Services. ii. Maximum of forty (40) hours per week. iii. Generally scheduled for a minimum of two (2) hours per day. c. Anticipated Duration of Services: i. Typically, one (1) to six (6) months until Medicaid authorization can be obtained. d. Goals of Services: i. The child will demonstrate an increase in appropriate skills through the direct intervention of the behavior technician, and collaboration with the foster family, as described in the assessment and treatment plan. 1. Skill areas may include communication, social skills, independence with daily living skills such as toileting, showering, brushing teeth, eating wider variety of food items, transitioning from preferred to non -preferred tasks, and leisure skills. ii. The child will demonstrate a decrease in challenging behavior as described in the assessment and treatment plan. 1. Potential areas of concern: elopement (leaving the designated area), aggression, tantrums, and self -injury. iii. Decrease in the need for on -going therapy and transitioning the child out of services due to mastery of goals. e. Outcomes of Services: i. The child will be able to participate more fully in the family activities. ii. The child will be able to stay in their home placement longer or decrease the risk of transition due to behaviors interfering with home placements. iii. The child will be able to transition more smoothly into a long-term placement because their behavioral needs are no longer interfering with daily activities. f. Target Population: i. Individuals ages one (1) to eighteen (18) with behavioral challenges or skill deficits that are interfering with the child's successful home placement. g. Language: i. English. ii. Spanish - if technicians are available. 6 i. Medicaid Eligibility: i. This service is Medicaid eligible for children with a medical diagnosis of a disability that would potentially lead to behavioral concerns such as, but not limited to, Autism, Down Syndrome, PTSD, ADHD, or a Developmental Delay. Service Access and Transportation: i. Services can take place in a variety of settings, including the client's home, school, or contractor's locations. ii. In order for services to be conducted in the home setting, the client/family must undergo a home therapy evaluation to ensure that the home is safe for staff and conducive to therapy and/or parent training. If during an evaluation the team determines that the home setting is not conducive to therapy, Contractor will be able to provide services in the Contractor's center location instead. iii. Service location may also be dependent on Contractor's ability to find experienced staff 5. Supervision of Direct Therapy Services by a Board -Certified Behavior Analyst (BCBA) a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Supervision of direct therapy services can begin once direct therapy services have started. ii. Supervision services require that the BCBA must be able to see and interact with the client directly during supervision appointments. Supervision appointments may be conducted via telehealth or in -person meetings. Telehealth supervision sessions may not exceed 25% of all supervision sessions for the month, barring any unusual circumstances where additional telehealth hours may be approved by the Clinical Director of Home Services or Executive Clinical Director. iii. On -going requirements: Supervision by BCBA for a minimum of 10% of service hours billed, family must maintain 80% attendance and have no more than 2 no-shows in a month for services to continue to ensure enough hours of therapy to make significant behavioral change. iv. Supervision of direct therapy services may only be fulfilled by an individual who maintains an active BCBA certification and is in good standing with the Behavior Analyst Certification Board (BACB). v. BCBA will provide support to the behavior technician in the form of evidenced -based Behavior Skills Training (BST)- based coaching and feedback. Examples include written feedback, verbal feedback, and modeling of program implementation. vi. In addition to directly implementation of programming and providing coaching to the behavior therapist during direct services, BCBA will provide necessary changes to programming during supervision sessions. Modification of the treatment plan includes adding new goals for acquisition, removing mastered goals, planning for generalization/maintenance of learned goals, and adding modifications to programs in acquisition as necessary to assist with learning such as changing prompt levels, determining reinforcers, and adding specific antecedent/consequent interventions. vii. BCBA may also work directly with the client in the absence of a behavior technician. D. Anticipated Frequency of Services: i. Supervision by BCBA for a minimum of 10% of service hours billed per week on average. Contractor's target goal for supervision of direct services of contracted cases is 20-30% or scheduled direct services hours or higher supervision rate. ii. Generally scheduled for a minimum of one (1) to two (2) hour sessions per week. a. Anticipated Duration of Services: i. Typically, one (1) to six (6) months until Medicaid authorization can be obtained. c. Goals of Services: 7 i. The child will demonstrate an increase in appropriate skills through the direct intervention of the Behavior Technician, and collaboration with the foster family, as described in the assessment and treatment plan. 1. Skill areas may include communication, social skills, independence with daily living skills such as toileting, showering, brushing teeth, eating wider variety of food items, transitioning from preferred to non -preferred tasks, and leisure skills. ii. The child will demonstrate a decrease in challenging behavior as described in the assessment and treatment plan. 1. Potential areas of concern: elopement (leaving the designated area), aggression, tantrums, and self -injury. iii. Decrease the need for on -going therapy and eventually transition the child out of services due to mastery of goals. e. Outcomes of Services: i. The child will be able to participate more fully in the family activities. ii. The child will be able to stay in their home placement longer or decrease the risk of transition due to behaviors interfering with home placements. iii. The child will be able to transition more smoothly into a long-term placement because their behavioral needs are no longer interfering with daily activities. f Target Population: i. Individuals ages one (1) to eighteen (18) with behavioral challenges or skill deficits that are interfering with the child's successful home placement. g. Language: i. English. ii. Spanish - if technicians are available. h. Medicaid Eligibility: i. This service is Medicaid eligible for children with a medical diagnosis of a disability that would potentially lead to behavioral concerns such as, but not limited to, Autism, Down Syndrome, PTSD, ADHD, or a Developmental Delay. i. Service Access and Transportation: , i. Services can take place in a variety of settings, including the client's home, school, or contractor's locations. ii. In order for services to be conducted in the home setting, the client/family must undergo a home therapy evaluation to ensure that the home is safe for staff and conducive to therapy and/or parent training. If during an evaluation the team determines that the home setting is not conducive to therapy, Contractor will be able to provide services in the Contractor's center location instead. Terms I. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. 2. Contractor agrees to receive referrals for services through e-mail and will provide an identified e-mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. 8 3. Caniractor will respond to the Mental Health and Support Services Team flS- CWServiceReferral(agweldgov.com within three (3) business days regarding the ability to accept the received referral. 4. Ulor_ acceptance of a referral, Contractor will offer an initial appointment within seven (7) days of re✓ei"zing the referral. The first attempt to contact the client will occur within 24 hours of receiving the re erml (excluding weekends and holidays). Contractor will document efforts to engage client in referred se -vices. If the client does not respond after three (3) attempts in the first seven (7) days of the referral perio3, the Contractor will notify the caseworker and the Mental Health and Support Services Team (HS- CWf rrviceReferral(&,weldgov.com). 5. Cartrdctor acknowledges that any and all modifications to an existing referral must be approved through the Mcntal Health and Support Services Team(HS-CWServiceReferral(&,weldgov.cam). No other Depatment staff or other party to the case may authorize services or modifications to services. 6. Contractor understands that "no shows" are defined as unexcused and unplanned/uncommunicated absences for services. If a rate for "no shows" is not specifically stated in Exhibit D, Rate Schedule, then Contractor understands that the Department will not reimburse for "no-shows". Contractor understands the tIm Department will only reimburse Contractor for up to two (2) "no-shows", or up to two (2) hours, on the pa -t of case participants who cancel without 24 hour notice. After three (3) "no-shows", Contractor will place client on a behavioral plan requiring attendance or discharge the client from services. Contractor must inform the caseworker and the Mental Health and Support Services Team (HS- CWSa-viceReferral(ajweldgov.com) within three (3) days of when the client is placed on a behavioral plan cr discharged 7. Contractor understands that the Department will not reimburse Contractor for cancelled appointments either the part of the client or the Contractor. If the cancellation is generated from the Contractor, a "mcce p" session/episode, to occur within 30 days of the cancellation, will be offered to the client (excluding session/episodes that fall on holidays). If the cancellation is generated from the client, the Contractor must request a makeup session from the Department prior to the makeup session occurring (exolucing session/episodes that fall on holidays). After three (3) cancellations, Contractor will inform the caseworker and the Mental Health and Support Services Team(HS-CWServiceReferral(�weldgov.corn) imredately via email, to discuss service continuation. 8. Corrractor will identify, in detail, areas of continued concern and make recommendations to the case vsmker in a monthly report regarding continuation of services and/or the need for additional services. 9. Contactor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be sebraitted per the online format required by the Department, unless otherwise directed by the Department. 10. Contactor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported to the casewodcer and the Mental Health and Support Services Team (HS-CWServiceReferral(a,weldgov.com) immediately AND on the required monthly report. 11. Contraeor agrees any change to an existing referral must be pre -approved through the Child Welfare Core Service /oordinator or any member of the Mental Health and Support Services Team. Any changes to visitaiou referrals will be approved by a new referral signed by the Child Welfare Supervisor. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This 9 may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 12. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Bid Meetings, Professional Stuffings, Family Team Meetings and/or Team Decision Making meetings. The Department will reimburse for actual participation in the meeting only so long as there is written authorization from the Mental Health and Support Services Team, and the facilitator documents in the meeting notes the timeframe that the provider attended and when participation in the meeting is deemed appropriate and necessary by the Department. The Facilitator will be responsible for filling out the time attended on the meeting notes. Stuffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. Contractor may participate by phone or virtually, if approved by the Department. 13. On a monthly basis, the Contractor will notify the Mental Health and Support Services Team (HS- CWServiceReferral(a,weldgov.com) of new staff who will manage and/or administer the services with the following information: a. Staff member name and contact information b. Education level/degree (if applicable) c. Licensure/credentials (if applicable) d. Department of Regulatory Authority (DORA) number (if applicable) e. Supervisor name and contact information The Department reserves the right to decline the new staff members managing and/or administering services to Department clients. 14. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR), and will address the aforementioned three areas when completing monthly reports as required by Paragraph 9 of this Exhibit. 15. Certification Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the Contractor prior to the start of any Agreement. 16. Training Contractor may be required to attend training at the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 10 17. Sub3oenas Con ractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Well County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For Cis purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Conractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Veld County Attorney's Office immediately at (970) 336-7235 and advise that the subpoena must be pers.nally served. 18. Montoring and Evaluation Contactor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall oe provided to the Board of Weld County Commissioners, the Department, and the Contractor. Contrictor will collaborate in a timely manner with the Department to resolve issues pertaining to service delivery, service quality, documentation, and invoicing during referral period and after services have concluded. The Contractor will require clients to sign releases of information. Contractor understands that the Department will not reimburse for services rendered to Department clients until releases of information are obtained. Contactor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. The monitoring agenci may, if in its sole discretion deems necessary or appropriate, have access to any program data, species analyses, on -site checking, formal audit examinations, or any other reasonable procedures for puipones of monitoring. All such monitoring shall be performed in a manner that will not unduly interfere with le work conducted under this Agreement. 11 EXHIBIT B RATE SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate(s) specified below in Paragraph 2, Fees for Services. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department expenditures and shall not be reimbursed by the Department. For services funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit a State of Colorado direct deposit enrollment form, which will be provided by the Department, with a voided check, deposit slip or bank letter. Failure to complete and submit this form and voided check in a timely and accurate manner may result in a delay of payment. For services not funded through Core Services; Contractor agrees to accept payment through County Warrant when funding source does not allow for direct deposit. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services Program :hrec Mental -Health Services Rate $150.00 Init I'ype Hour Seri ice Name Initial Consult/Assessment for Parent Training: In - Home or Community $125.00 Hour Initial Consult/Assessment for Parent Training: In- Office/Video $50.00 Each Initial Consutt/Assessment for Parent Training: No Show (Max 2 no shows or 2 hours/month/client) $100.00 Hour Ongoing Individualized Parent Training: In - Office/Video $125.00 Hour Ongoing Individualized Parent Training: In -Home or Community $50.00 Each Ongoing Individualized Parent Training: No Show (Max 2 no shows or 2 hours/month/client) $100.00 Hour General Applied Behavior Analysis (ABA) "Bootcamp" Training - Group Training: In-Office/Video $50.00 Each General Applied Behavior Analysis (ABA) "Bootcamp" Training - Group Training: No Show (Max 2 no shows or 2 hours/month/client) $75.0O Hour Direct ABA Therapy Services Provided by a Behavior Technician: In -Home or Community $75.00 Hour Direct ABA Therapy Services Provided by a Behavior Technician: In-Office/Video $25.00 Each Direct ABA Therapy Services Provided by a Behavior Technician.: Show (Max 2 no shows or 2 hours/month/ctent) $100.00 Hour Supervision of Direct ABA Therapy Services: In -Home or Community Pr 'gram Area Mental Health Services Rate $100.00 Unit Type Service Name Hour '� 11 simmommi $0.66 Supervision of Direct ABA Therapy Services: In- OfficeNideo Su.ervision of Direct ABA Thera. Services: No Show Mile. _e* * For distances exceeding twenty (20) roundtrip miles from 7251 West 20th Street, Greeley, Colorado 80634 3. Request for Reimbursement and Supporting Documentation Contactor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7`h day of the month following the month of service, but no later than 45 days from the date of service for each client receiving ongoing services. Contractor shall prepare and submit monthly a Request for Reimbursement and monthly report including other supporting documentation, if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the tennsand conditions of Paragraph 3 of this Agreement. Monthly reports will be submitted through the Depa-tment's online reporting system, unless otherwise directed or agreed to by the Department. Monthly repo, for ongoing services must include the following information, entered in the "Narrative" box for each date of service: a. Time(s) of service (i.e. 2-4pm) b. Location of where the service took place (i.e. clinician's office, client's home, in the community.) c. Clinician/therapist name d. What interventions were used, recommendations and/or goals discussed, progressions towards goals, and client engagement. e. For mileage reimbursement, if applicable, the mileage accumulated minus roundtrip mileage that is included in the rate, starting location, and ending location. f. Any and all safety concerns. When submitting a Request for Reimbursement for a one-time service, the contractor shall submit the first and laO page of the evaluation/report to confirm proof of services rendered. The full evaluation/report shouldbe submitted by the contractor to the caseworker. For Monitored Sobriety services, proof of services rendered shall be the test result. Requess for Reimbursement and/or supporting documentation received after the 7`h day of the month may delay payment. Requests for Reimbursement and/or supporting documentation received after 45 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 45 -day deadline may result in termination of the Agreement. 4. Paymeat The Department and the Contractor agree that all benefits from private insurance and/or other funding sourcessuch as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. Exceptions to this Paragraph may include, if approved by the Department, the following: The service being provided by the contractor is not a Medicaid eligible service; a. The service is not deemed medically necessary; b. The Court with jurisdiction over the case has ordered that a non -Medicaid provider or service be used; c. A Medicaid provider is not available to provide the needed service; d. Medicaid is exhausted for the needed service; or e. Medicaid denied service. f. The client is not eligible for Medicaid. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: a. Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. b. Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 6. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and OMB Circular A-133. SIGNATURE RQUESTED: Weld/Front e Behavior Range Amendment #1 - 2023-24 Final Audit Repod 2023-04-24 Created: 2023-04-21 By: Lesley Cobb (cobbxxlk@co.weld.co.us) Status: Signed Transaction ID: CBJCHBCAABAAVPgtSXeCInbZWngiC6n9YciMGwExrlMbd "SIGNATURE RQUESTED: Weld/Front Range Behavior Amend ment #1 - 2023-24" History Document o-e.ted by Lesley Cobb (cobbxxlk@co.weld.co.us) 2023-04-21 - h3912 PM GMT- IP address: 204.133.39.9 El Document emailed to Angela Chase (achase@frsb.info) for signature 2023-04-21 - 54003 PM GMT 5 Email viewed by Angela Chase (achase@frsb.info) 2023-04-22 - 05310 AM GMT- IP address: 66.249.81.118 Email viewed by Angela Chase (achase@frsb.info) 2023-04-24 - 75113 PM GMT- IP address: 64.233.172.190 tI® Document a -signed by Angela Chase (achase@frsb.info) Signature Date20e3-04-24 - 7:55:29 PM GMT - Time Source: server- IP address: 107.2.137.65 0 Agreement completed. 2023-04-24 - 7:855:23 PM GMT Names and email addresses are entered into the Acrobat Sign service by Acrobat Sign users and are unverified unless otherwise noted. Powered by Adobe Acrobat Sp 1 Contract Form New Contract Request Entity Information ,Entity Name. Entity ID. FRONT RANGE SPEECH AND BEHAVIOR XO0044220 CLINIC Contract Name" FRONT RANGE SPEECH & BEHAVIOR CLINIC (AGREEMENT AMENDMENT #1 PY 2023-241 Contract Status CTB REVIEW Contract ID 6921 Contract Lead COBBXXLK ❑ New Entity? Parent Contract ID 20221536 Requires Board Approval YES Contract Lead Email Department Project cobbxxlk@co.weld.co. u s Contract Description BID# B2200040. MINOR SCOPE. RATE AND TERM CHANGES. TERM 6,1;23-5'31/24. Contract Description 2 CONSENT PA ROUTING THROUGH NORMAL APPROVAL PROCESS. ETA TO CTB 05,04 2023. Contract Type. AMENDMENT Amount * 50.00 Renewable. NO Automatic Renewal Grant Department HUMAN SERVICES Department Email CM- HumanServicesnweldgov.co m Department Head Email CM-HumanServices- OeptHeadLlweldgav,com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- C:OU NTYATTO RN EY WELDG OV.COM Requested BOCC Agenda Due Date Date* 05 06 2023 05'10;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 MSA► enter MSA Contract 1D Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Date Effective Date Review Date 03/29;2024 Renewal Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Committed Delivery Date Contact Type Contact Email Expiration Date 05;`31x2024 Contact Phone 1 Contact Phone 2 Purchasing Approver Purchasing Approved Date CONSENT Approval Process Department Head JAMIE ULRICH DH Approved Date 04,`2812023 =vial Approval BOCC Approved B©CC Signed Date BOCC Agenda Date 05;08,2023 Originator COBBXXLK 04/28:202'3 Finance Approver CONSENT Legal Counsel CONSENT Finance Approved Date Legal Counsel Approved Date 04,28 2023 04;`28.=2023 Tyler Ref AG 050823 Cunt c+-1 5a09 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND FRONT RANGE SPEECH & BEHAVIOR CLINIC This Agreement, made and entered into the day of Jam. , 2022, by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department" and Front Range Speech & Behavior Clinic, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Scope of Services, Exhibit B, Rate Schedule, Exhibit C, Weld County's Request for Proposal, and Exhibit D, Contractor's Response to Request for Proposal. Exhibit A, B, and D are attached hereto and incorporated herein by this reference. Exhibit C is Weld County's Request for Proposal Number B220040 which is incorporated into this agreement by reference and will be provided upon request to the Department. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Core Services or other funding to the Department for Foster Care/Adoption Support and Mental Health Services. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2022, upon proper execution of this Agreement and shall expire May 31, 2023, unless sooner terminated as provided herein. This agreement may be renewed for 2 additional terms by written agreement of both parties. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit A Scope of Services, and Exhibit D, Contractor's Response to Request for Proposal. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e- mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Quality Assurance Team (HS-CWOualityAssurance(u weldgov.com). No other Department staff or other party to the case may authorize services or_modifications to services. c. Contractor agrees to submit a complete Request for Reimbursement and supporting documentation by the 7th of the month, following the month of service, utilizing billing forms required by the Department. Requests for Reimbursement Forms received after 45 days from the date of service may eons�� 'ioto-- o6io/zz 2022-1536 (I) result in delay or forfeiture of payment. Consistent failure to meet 45 -day deadline may result in termination of the Agreement. d. Contractor agrees to submit a monthly report by the 7th of the month, following the month of service, for each client receiving ongoing services. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. Monthly reports for ongoing services must include the following information, entered in the "Narrative" box for each date of service: a. Date and time(s) of service (i.e. two hours or 2-4pm) b. Location of where the service took place (i.e. clinician's office, client's home, in the community.) c. Clinician/therapist name d. Clients participating e. What interventions were used, recommendations and/or goals discussed f. Any and all safety concerns One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation, home study). Verification of Monitored Sobriety Services will be the test result. A completed home study may be a full, partial or denied study, as determined by the Department. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. Exceptions to this Paragraph may include, if approved by the Department, the following: i. The service being provided by the contractor is not a Medicaid eligible service; ii. The service is not deemed medically necessary; iii. The Court with jurisdiction over the case has ordered that a non -Medicaid provider or service be used; iv. A Medicaid provider is not available to provide the needed service; v. Medicaid is exhausted for the needed service; or vi. Medicaid denied service. vii. The client is not eligible for Medicaid. b. Payment shall be made in accordance with Exhibit A, Scope of Services , Exhibit B, Rate Schedule, Exhibit C, Weld County's Request for Proposal, and Exhibit D, Contractor's Response to Request for Proposal., attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 2 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and OMB Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit A, Scope of Services, Exhibit B, Rate Schedule, and Exhibit D, Contractor's Proposal: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit a State of Colorado direct deposit enrollment form, which will be provided by the Department, with a voided check. Failure to complete and submit this form and voided check in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and - Title VII of the Civil Rights Act of 1964; and the Age Discrimination in Employment Act of 1967; and - the Equal Pay Act of 1963; and - the Education Amendments of 1972; and - Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and 3 - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. - Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is determined by the Department. d. Contractor assures and certifies that it and its principals: - Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by a Federal or State department or agency; and - have not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and - are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and - have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. e. Public Contracts for Services C.R.S. §8-17.5-101. Contractor certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contractor will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E - Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5- 102(5)(c). Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contractor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contractor shall notify the subcontractor and the Department within three (3) days that Contractor has actual knowledge that a subcontractor is 4 employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contractor shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contractor participates in the State of Colorado program, Contractor shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contractor has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contractor shall deliver to the Department, a written notarized affirmation that it has examined the legal work status of such employee and shall comply with all of the other requirements of the State of Colorado program. If Contractor fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., the Department, may terminate this Agreement for breach, and if so terminated, Contractor shall be liable for actual and consequential damages. f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contractor receives federal or state funds under the contract, Contractor must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24- 76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5- 103 prior to the effective date of the contract. 8. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR), and will address the aforementioned three areas when completing monthly reports as required by Paragraph 3(d) of this Agreement. 9. Insurance Requirements Contractor and the Department agree that Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provide the liability insurances (including professional liability insurances where necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged in the performance of this Agreement which are required under Weld County's Request for Proposal, and required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the acceptable evidence that such coverage is in effect prior to execution of this Agreement. At a minimum, Contractor shall procure, either personally or through its employer as applicable to the Contractor's business, at its own expense, and maintain for the duration of the work, insurance coverage 5 listed in this agreement. The Board of County Commissioners of Weld County and its Officers/Employees shall be named as additional insured. a. General Requirements: Contractors must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant to this request. Contractors shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, and during any warranty period. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, the Department must be notified by the Contractor. Contractor shall be responsible for the payment of any deductible or self -insured retention. The Department reserves the right to require Contractor to provide a bond, at no cost to the Department, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor. Contractor shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i.Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii.Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: - $1,000,000 each occurrence; - $2,000,000 general aggregate; - $50,000 any one fire; and - $500,000 errors and omissions. iii.Automobile Liability: Contractor shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv.Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: - If any aggregate limit is reduced by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify the Department within ten (10) days and reinstate the aggregates required; - Unlimited defense costs in excess of policy limits; - Contractual liability covering the indemnification provisions of this Agreement; - A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; 6 A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self-insurance provided by the Department. v.For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to the Department, whichever is earlier. c. Contractors shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor shall provide a copy of this information to its insurance agent or broker and shall have its agent or broker provide proof of Contractor's required insurance. The Department reserves the right to require Contractor to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor's insurer shall name County as an additional insured. f. Waiver of Subrogation: For all coverages, Contractor's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor. Contractor shall include all such subcontractors, independent contractors, sub -vendors, suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors, suppliers or other entities upon request by the Department. A provider of Professional Services shall provide the following coverage: Professional Liability: Contractor shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. 10. Certification Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the Contractor prior to the start of any Agreement. 11. Training Contractor may be required to attend training at the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 7 12. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at (970) 336-7235 and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor. Contractor will collaborate in a timely manner with the Department to resolve issues pertaining to service delivery, service quality, documentation, and invoicing during referral period and after services have concluded. The Contractor will require clients sign releases of information. Contractor understands that the Department will not reimburse for services rendered to Department clients until releases of information are obtained. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. The monitoring agency may, if in its sole discretion deems necessary or appropriate, have access to any program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures for purposes of monitoring. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 15. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: - Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. - Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives 8 of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Child Welfare Division Head Angela Chase, Chief Executive Officer 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Jamie Ulrich, Director P.O. Box A Greeley, CO 80632 (970) 400-6510 18. Litigation For Contractor: Angela Chase, Chief Executive Officer 2547 1 1th Avenue, Unit B Greeley, Colorado 80631 (970) 673-8476 Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 17. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third -Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq., as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The 9 parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of Weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third -party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. A conflict of interest or appearance of a conflict of interest may also apply to personal relationships between providers and clients. If a provider has a personal relationship with a client to whom the Contractor may provide services for, the Contractor must disclose that relationship to the Department. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 25. Confidentiality of Records Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall 10 be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with the Contractor's written policy governing access to, duplication and dissemination of, all such information, in any form, including social networks. Contractor shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality agreement and shall provide a copy of such agreement to the Department, if requested. 26. Proprietary Information Proprietary information for the purposes of this Agreement is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this Agreement. Any proprietary information removed from the Department's site by the Contractor in the course of providing services under this Agreement will be accorded at least the same precautions as are employed by the Contractor for similar information in the course of its own business. 27. Independence of Contractor: Not an Employee of Weld County Contractor agrees that it is an independent Contractor and that Contractor's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contractor shall perform its duties hereunder as an independent Contractor. Contractor shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contractor, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contractor or any of its agents or employees. Unemployment insurance benefits will be available to Contractor and its employees and agents only if such coverage is made available by Contractor or a third party. Contractor shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contractor shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contractor shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and as set forth in Exhibit C, provide proof thereof when requested to do so by County. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner 11 consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to the Department originals of all tests and results, reports, and other similar items, generated during completion of this work. Acceptance by the Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. 4,$24-18-201 et seq. and .S24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflicts with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contractor's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 34. Choice of Law/Jurisdiction Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contractor acknowledges that the Department has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the completion of this project without the Department's prior written consent, which may be withheld in the Department's sole discretion. 36. Attorney's Fees/Legal Costs 12 In the event of a dispute between the Department and Contractor, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 37. Ownership All work and information obtained by Contractor under this Agreement or individual work order shall become or remain (as applicable), the property of the Department. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contractor in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the Department. Contractor shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of the Department. 38. Interruptions Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 39. Severability If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: '*��f 41/ ';64. By: BOARD OF COUNTY COMMISSIONERS Id County Clerk to t e Board WELD COUNTY, COLORADO Deputy Cler 13 ott K. James, Chair JUN 0 6 2022 CONTRACTOR: Front Range Speech & Behavior Clinic 2547 11 th Avenue, Unit B Greeley, Colorado 80631 (970) 673-8476 /Ida Chafe By: Ang a Chase (May 24, 2022 09:35 MDT) Angela Chase, Chief Executive Officer Date: May 24, 2022 aa,2a-,53c. EXHIBIT A SCOPE OF SERVICES Contractor will provide Foster Care/Adoption Support and Mental Health Services, as referred by the Department. 1. Initial Consult/Assessment for Parent Training a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. In -person consultations will be conducted for all initial visits. Any follow-up meetings can be conducted via Telehealth, but all assessment sessions will be conducted in -person. ii. Board Certified Behavior Analyst (BCBA) will utilize a variety of behavior -based skills assessments during the consult to obtain a better understanding of client functioning. Relevant examples include Verbal Behavior — Milestones Assessment Placement Program (VB-MAPP), PEAK (Promoting the Emergence of Advanced Knowledge) Assessment, Assessment of Functional Living Skills (AFLS), Assessment of Basic Language and Learning Skills Revised (ABLLS-R), Vineland Assessment — Parent Comprehensive Interview, Adaptive Behavior Assessment System (ABAS-3). The BCBA may choose to use multiple assessment measures during the initial consult to obtain information on child functioning that is individualized and tailored to client need. iii. BCBA will perform a variety of Functional Behavioral Assessment (FBA) procedures as need is determined in order to identify important patterns of challenging behavior emitted by the child as well as identify function(s) of these behaviors. Typical FBA -based assessments include direct observation of the child, anecdotal and/or checklist ABC data recording where BCBA and/or family record data regarding events that happen immediately before and after the behavior of interest, behavior -based checklists and/or questionnaires such as the FAST (Functional Assessment Screening Tool), and when necessary, Functional Analysis (FA) procedures such as the brief functional analysis (BFA) or practical functional assessment (PFA) to experimentally manipulate variables to determine the function of severe challenging behavior. FAs are relatively rare and will only be conducted when other FBA procedures are inconclusive in determining patterns of functioning for significantly challenging behaviors. If/when conducted, FAs will involve multiple clinicians for the procedure. iv. After conducting the initial assessment, BCBAs will write up the assessment results and select goals based on skill deficits and behaviors of concern that were identified during initial assessment. This document will be referred to as a treatment plan and it identifies specific behavior reduction and skill acquisition goals for the client, as well as specific goals on teaching behaviors and responding to certain behaviors for the foster parents. Director of Home Services will review the treatment plan. v. The treatment plan will determine how many hours per week are recommended for ongoing parent training services. In general, more intensive parent training will be recommended for the more goals that are identified in the treatment plan. vi. When applicable, the treatment plan with include a behavior intervention plan (BIP) section that will include specific guidelines on how to prevent and respond to child - specific behaviors targeted for reduction based on the function. The BIP may be modified throughout the course of ongoing training. vii. BCBAs will schedule a meeting with foster parents to review the treatment plan and discuss the goals. Both parties will sign the document to initiate the start of ongoing parent training services. viii. All key stakeholders will have access to the treatment plan to promote transparency of services and collaboration. b. Anticipated Frequency of Services: i. One-time service. 1 c. Anticipated Duration of Services: i. Initial Assessment: Up to three (3) meetings which may take up to twelve (12) hours of direct assessment. The number of appointments will vary depending on the initial concerns of the foster parents as well as the severity of challenging child behaviors targeted for reduction. ii. Follow-up discussion of Treatment Plan: Typically, will be a single meeting/appointment, One (1) to two (2) hours in length. d. Goals of Services: i. BCBA will identify relevant behavior reduction goals for child and (when applicable) foster parent(s). ii. BCBA will identify relevant skill acquisition goals for child and (when applicable) foster parent(s). iii. BCBA will create treatment plan outlining specific goals for future services that specify time -based mastery criteria so that progress can be evaluated in the future. iv. Foster parents will gain an understanding of roles and expectations for future consultation services. v. Help determine the need for ongoing foster parent training such as if it is necessary as well as determine number of hours recommended weekly/monthly for ongoing training and consultation or intensive Applied Behavior Analysis (ABA) therapy for the child. vi. Elicit foster parent buy -in for general ABA training/ "bootcamp" and ongoing individualized parent training services, as appropriate. e. Outcomes of Services: i. Promote stronger foster parent and child relationships by providing parents with detailed information about their child's needs and intervention supports to address those needs. ii. Decrease the risk of children transitioning from homes due to the foster parent's struggle to manage behaviors and maintain safety in the home. iii. Increase the foster child's independence and safety as s/he learns new skills through the support of his/her foster parents and the BCBA. iv. Support foster child's transition to home/adopted placement by providing the family with specific goals and interventions to address the child's behavior and skill needs. f. Target Population: i. Foster parents and children with identified skill deficits and/or behavioral concerns, applicable ages and genders. g. Language: i. English. ii. Spanish translation can be available upon request. h. Medicaid Eligibility: i. This service may be Medicaid eligible depending on the child's primary diagnosis. i. Service Access and Transportation: i. Services can take place in a variety of settings, including the client's home, school, or contractor's locations. ii. In order for services to be conducted in the home setting, the client/family must undergo a home therapy evaluation to ensure that the home is safe for staff and conducive to therapy and/or parent training. If during an evaluation the team determines that the home setting is not conducive to therapy, Contractor will be able to provide services in the Contractor's center location instead. 2. Ongoing Individualized Parent Training 2 a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. BCBA will utilize client treatment plan to provide ongoing training to foster parents. ii. Training will be highly individualized based on client need and may include direct coaching, modeling and/or video modeling, role-play scenarios, review of written resources/plans, and verbal discussion. iii. BCBA may utilize resources used in general ABA training/ "bootcamp" as well as consult and/or share additional peer -reviewed journals and research articles to assist with training. iv. BCBA will consider the importance of visual aids and written reminders in parent training and will create/share these materials as needed. v. Data collection- As an important aspect of monitoring foster parent treatment fidelity and evaluating the effects of parent training services will be recording data on foster parent responses to child behavior and/or foster parent implementation of programs/goals identified in treatment plan. Data collection can take many modalities, including paper - and -pencil and Health Insurance Portability and Accountability Act (HIPAA) compliant electronic data collection systems. vi. Services may be conducted in -person or remotely/telehealth (video chat and phone). vii. Ongoing assessment during parent trainings. BCBAs will consult with families regularly regarding any new concerns or challenging behaviors. BCBA may schedule additional time during a parent training to observe this behavior or discuss it in more detail. BCBAs can add additional goals to the treatment plan and provide training on new challenges as they arise. viii. For clients receiving direct therapy by a behavior technician the BCBA will also bill for supervision hours each week to ensure the technician receives the appropriate support and training to meet the child's needs. This can occur during the same session as parent training. b. Anticipated Frequency of Services: i. Frequency varies on client needs. At minimum, families receiving ongoing individualized parent training will meet one (1) hour biweekly. Foster parents/children in need of more support can meet multiple times per week. ii. It should be noted that appointments will be scheduled by the BCBA at least two (2) days in advance. While foster parents are encouraged to reach out to BCBA/Director of Home Services for assistance, we cannot provide emergency or on -call services or guarantee to meet with a family less than one (l) week before a reported concern. c. Anticipated Duration of Services: i. Duration of each individualized parent training meeting will vary. All individualized parent training meetings will fall between thirty (30) minutes and four (4) hours. Longer parent training sessions will include multiple modalities of training, such as discussion, modeling, observation and feedback. d. Goals of Services: i. Foster parents will learn how to respond to challenging behaviors by utilizing the treatment plan/BIP as a guide to preventing certain behaviors and (when necessary) implementing function -based consequences when these behaviors occur. ii. Foster parents will learn how to teach relevant skills, such as, play skills, and adaptive living skills, as specified in the treatment plan. iii. Foster parents will be able to generalize skills learned during initial ABA training/"bootcamp" (see below) to their child's everyday functioning and behavior. iv. BCBA will take data on foster parent/child goals to determine foster parent fidelity of program implementation and child responding to foster parents. e. Outcomes of Services: 3 i. Foster parents will have a strong system of ongoing support to directly help them manage the behavior and learning needs of the children placed in their home as the child's needs change. ii. Children with more severe needs will be able to stay in placements longer because families will have the supports they need to ensure safety and growth for both the foster child and their own family. iii. Relationships between the foster family and the child will improve because the family has knowledge and training on how to communicate with the child and better meet their needs. iv. Foster Families will be less likely to experience burn out because they are equipped and supported in meeting the needs of the children in their care. f. Target Population: i. Foster parents and children with identified skill deficits and/or behavioral concerns, applicable ages and genders. g. Language: i. English. ii. Spanish translation can be available upon request. h. Medicaid Eligibility: i. This service is not Medicaid eligible. i. Service Access and Transportation: i. Services can take place in a variety of settings, including the client's home, school, or contractor's locations. ii. In order for services to be conducted in the home setting, the client/family must undergo a home therapy evaluation to ensure that the home is safe for staff and conducive to therapy and/or parent training. If during an evaluation the team determines that the home setting is not conducive to therapy, Contractor will be able to provide services in the Contractor's center location instead. 3. General ABA "Bootcamp" Training — Group Training a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. A minimum of two (2) people needed to participate in each group training. ii. BCBA(s) and/or Director of Home Services and/or Clinical Director (Front Range Behavior) will provide an initial training for foster that will cover the basic principles of ABA in terms that are easy to understand and explain the common behavior -analytic terms used by professionals and their relevance in terms of foster child behaviors. iii. Training will include a variety of written materials, video presentations, and demonstrations that are part of guided curriculums. All materials will be created by behavior analytic professionals and will be based on principles of ABA and/or relevant research conducted in the field. Examples may include the following: 1. Success on the Spectrum: How to Teach Skills to Individuals with Autism (Partington & Partington) 2. A Work in Progress: Behavior Management Strategies and a Curriculum for Intensive Behavioral Treatment of Autism (Leaf & McEachin) 3. Applied Behavior Analysis (Cooper, Heron, & Heward) 4. Applied Behavior Analysis and Autism: An Introduction (Buchanan & Weiss: Autism New Jersey) 5. Parent Training for Disruptive Behavior: The RUBI Autism Network (Bearss, Johnson, Handen, Butter, Lecavalier, Smith, & Scahill) 6. Peer -reviewed journal articles from relevant behavior -analytic sources 7. Safety -Care Behavioral Safety Training (QBS): Training will include general procedures on de-escalating common challenging behavior and will not 4 incorporate training on safety holds - Minimum of two (2) participants, maximum of ten (10) participants. b. Anticipated Frequency of Services: i. Once a week training for two (2) hours to cover key concepts of ABA. This training would be set as a rolling service such as every Wednesday from 12-2pm. ii. Four (4) weeks to cover the full material and would be repeated each month for new parents to attend. iii. Safety Care is a one (1) time training for six (6) hours. c. Anticipated Duration of Services: i. One (1) month cycle. d. Goals of Services: i. Foster parents will learn basic ABA -based terminology and how it is relevant to understanding child's behavior. ii. Foster parents will be able to describe basic intervention tools that may be useful in helping support the children in their care. iii. Foster parents will learn basic de-escalation and safety strategies to use when children begin to engage in crisis behaviors (Safety Care). e. Outcomes of Services: i. Foster parents will gain knowledge in theories of behavior that will help guide them in making better decisions about how to respond to the behavior of the children they are serving. ii. Children will decrease challenging behaviors and increase pro -social behavior because staff and parents are responding more appropriately to their behaviors. iii. Families will be safer as they are more equipped to keep themselves and the children safe as they work through crisis situations. iv. Foster parents will have a base level of training in ABA that will make them more equipped to work with all children and therefore assist with smoother transitions of children into the home. v. Due to the group nature of the training, foster parents will develop collaborative relationships that will help strengthen the teams and help build a connection within the foster community. f. Target Population: i. Foster parents. g. Language: i. English. h. Medicaid Eligibility: i. This service is not Medicaid eligible. i. Service Access and Transportation: i. Services can take place in a variety of settings, including the client's home, school, or contractor's locations. ii. 4. Direct ABA Therapy provided by a Behavior Technician a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. A BCBA assessment and initial consultation with family will be conducted to develop a treatment plan and goals to ensure contractor is able to meet the needs of the child. 5 ii. On -going requirements of supervision by BCBA for a minimum of 10% of service hours billed as #2 service line. iii. 80% attendance by the family must be maintained with no more than two (2) no-shows in a month for services to continue to ensure enough hours of therapy to make significant behavioral change. iv. Direct ABA therapy will be provided by a Behavior Technician under the supervision of a Board Certified Behavior Analyst. v. The technician will work directly with the child providing behavioral interventions as deemed necessary from the assessment and treatment plan created by the BCBA. b. Anticipated Frequency of Services: i. Minimum of ten (10) hours per week to ensure client is able to make meaningful changes in his/her behavior, unless a lower number of hours is approved by the Clinical Director of Home Services. ii. Maximum of forty (40) hours per week. iii. Generally scheduled for a minimum of two (2) hours per day. c. Anticipated Duration of Services: i. Typically, one (1) to six (6) months until Medicaid authorization can be obtained. d. Goals of Services: i. The child will demonstrate an increase in appropriate skills through the direct intervention of the behavior technician, and collaboration with the foster family, as described in the assessment and treatment plan. 1. Skill areas may include communication, social skills, independence with daily living skills such as toileting, showering, brushing teeth, eating wider variety of food items, transitioning from preferred to non -preferred tasks, and leisure skills. ii. The child will demonstrate a decrease in challenging behavior as described in the assessment and treatment plan. 1. Potential areas of concern: elopement (leaving the designated area), aggression, tantrums, and self -injury. iii. Decrease in the need for on -going therapy and transitioning the child out of services due to mastery of goals. e. Outcomes of Services: i. The child will be able to participate more fully in the family activities. ii. The child will be able to stay in their home placement longer, or decrease the risk of transition due to behaviors interfering with home placements. iii. The child will be able to transition more smoothly into a long-term placement because their behavioral needs are no longer interfering with daily activities. f. Target Population: i. Individuals ages one (1) to eighteen (18) with behavioral challenges or skill deficits that are interfering with the child's successful home placement. g. Language: i. English. ii. Spanish - if technicians are available. h. Medicaid Eligibility: i. This service is Medicaid eligible for children with a medical diagnosis of a disability that would potentially lead to behavioral concerns such as, but not limited to, Autism, Down Syndrome, PTSD, ADHD, or a Developmental Delay. i. Service Access and Transportation: 6 i. Services can take place in a variety of settings, including the client's home, school, or contractor's locations. ii. In order for services to be conducted in the home setting, the client/family must undergo a home therapy evaluation to ensure that the home is safe for staff and conducive to therapy and/or parent training. If during an evaluation the team determines that the home setting is not conducive to therapy, Contractor will be able to provide services in the Contractor's center location instead. iii. Service location may also be dependent on Contractor's ability to find experienced staff. 5. Supervision of Direct Therapy Services by a Board Certified Behavior Analyst (BCBA) a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services under this agreement: i. Supervision of direct therapy services can begin once direct therapy services have started. ii. Supervision services require that the BCBA must be able to see and interact with the client directly during supervision appointments. Supervision appointments may be conducted via telehealth or in -person meetings. Telehealth supervision sessions may not exceed 25% of all supervision sessions for the month, barring any unusual circumstances where additional telehealth hours may be approved by the Clinical Director of Home Services or Executive Clinical Director. iii. On -going requirements: Supervision by BCBA for a minimum of 10% of service hours billed, family must maintain 80% attendance and have no more than 2 no-shows in a month for services to continue to ensure enough hours of therapy to make significant behavioral change. iv. Supervision of direct therapy services may only be fulfilled by an individual who maintains an active BCBA certification and is in good standing with the Behavior Analyst Certification Board (BACB). v. BCBA will provide support to the behavior technician in the form of evidenced -based behavior skills training (BST)- based coaching and feedback. Examples include written feedback, verbal feedback, and modeling of program implementation. vi. In addition to directly implementation of programming and providing coaching to the behavior therapist during direct services, BCBA will provide necessary changes to programming during supervision sessions. Modification of the treatment plan includes adding new goals for acquisition, removing mastered goals, planning for generalization/maintenance of learned goals, and adding modifications to programs in acquisition as necessary to assist with learning such as changing prompt levels, determining reinforcers, and adding specific antecedent/consequent interventions. vii. BCBA may also work directly with the client in the absence of a behavior technician. b. Anticipated Frequency of Services: i. Supervision by BCBA for a minimum of 10% of service hours billed per week on average. Contractor's target goal for supervision of direct services of contracted cases is 20-30% or scheduled direct services hours or higher supervision rate. ii. Generally scheduled for a minimum of one (1) to two (2) hour sessions per week. c. Anticipated Duration of Services: i. Typically, one (1) to six (6) months until Medicaid authorization can be obtained. d. Goals of Services: i. The child will demonstrate an increase in appropriate skills through the direct intervention of the Behavior Technician, and collaboration with the foster family, as described in the assessment and treatment plan. 1. Skill areas may include communication, social skills, independence with daily living skills such as toileting, showering, brushing teeth, eating wider variety of food items, transitioning from preferred to non -preferred tasks, and leisure skills. 7 ii. The child will demonstrate a decrease in challenging behavior as described in the assessment and treatment plan. 1. Potential areas of concern: elopement (leaving the designated area), aggression, tantrums, and self -injury. iii. Decrease the need for on -going therapy and eventually transition the child out of services due to mastery of goals. e. Outcomes of Services: i. The child will be able to participate more fully in the family activities. ii. The child will be able to stay in their home placement longer, or decrease the risk of transition due to behaviors interfering with home placements. iii. The child will be able to transition more smoothly into a long-term placement because their behavioral needs are no longer interfering with daily activities. f. Target Population: i. Individuals ages one (1) to eighteen (18) with behavioral challenges or skill deficits that are interfering with the child's successful home placement. g. Language: i. English. ii. Spanish - if technicians are available. h. Medicaid Eligibility: i. This service is Medicaid eligible for children with a medical diagnosis of a disability that would potentially lead to behavioral concerns such as, but not limited to, Autism, Down Syndrome, PTSD, ADHD, or a Developmental Delay. Service Access and Transportation: i. Services can take place in a variety of settings, including the client's home, school, or contractor's locations. ii. In order for services to be conducted in the home setting, the client/family must undergo a home therapy evaluation to ensure that the home is safe for staff and conducive to therapy and/or parent training. If during an evaluation the team determines that the home setting is not conducive to therapy, Contractor will be able to provide services in the Contractor's center location instead. Terms 1. Contractor will respond to the Quality Assurance Team(HS-CWOualityAssurance(Oveldgov.com within three (3) business days regarding the ability to accept the received referral. 2. Upon acceptance of a referral, Contractor will offer an initial appointment within seven (7) days of receiving the referral. The first attempt to contact the client will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If the client does not respond after three (3) attempts in the first seven (7) days of the referral period, the Contractor will notify the caseworker and the Quality Assurance Team HS- CWQualitvAssurance(aweldgov.com. 3. Contractor understands that "no shows" are defined as unexcused and unplanned/uncommunicated absences for services. If a rate for "no shows" is not specifically stated in Exhibit D, Rate Schedule, then Contractor understands that the Department will not reimburse for "no shows". Contractor understands that the Department will only reimburse Contractor for up to two (2) "no-shows", or up to two (2) hours, on the part of case participants who cancel without 24 hour notice. After three (3) "no-shows", Contractor will 8 place client on a behavioral plan requiring attendance or discharge the client from services. Contractor must inform the caseworker and the Quality Assurance Team HS-CWQualityAssurance(a,weldgov.com within three (3) days of when the client is placed on a behavioral plan or discharged. 4. Contractor understands that the Department will not reimburse Contractor for cancelled appointments either on the part of the client or the Contractor. If the cancellation is generated from the Contractor, a "makeup" session/episode, to occur within 30 days of the cancellation, will be offered to the client (excluding session/episodes that fall on holidays). If the cancellation is generated from the client, the Contractor must request a makeup session from the Department prior to the makeup session occurring (excluding session/episodes that fall on holidays). After three (3) cancellations, Contractor will inform the caseworker and the Quality Assurance Team HS-CWQualitvAssurance(&weldgov.com immediately via email, to discuss service continuation. 5. Contractor will identify, in detail, areas of continued concern and make recommendations to the caseworker in a monthly report regarding continuation of services and/or the need for additional services. 6. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported to the caseworker and the Quality Assurance Team HS-CWQualitvAssurancenuu,weldgov.com immediately AND on the required monthly report. 7. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 8. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Core Service Coordinator or any member of the Quality Assurance Team. Any changes to visitation referrals will be approved by a new referral signed by the Child Welfare Supervisor. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 9. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Bid Meetings, Professional Staffings, Family Team Meetings and/or Team Decision Making meetings. The Department will reimburse for actual participation in the meeting only so long as there is written authorization from the Quality Assurance Team, and the facilitator documents in the meeting notes the timeframe that the provider attended and when participation in the meeting is deemed appropriate and necessary by the Department. The Facilitator will be responsible for filling out the time attended on the meeting notes. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. Contractor may participate by phone or virtually, if approved by the Department. 10. On a monthly basis, the Contractor will notify the Quality Assurance Team HS- CWQualityAssurance(&weldgov.com of new staff who will manage and/or administer the services with the following information: a. Staff member name and contact information b. Education level/degree (if applicable) c. Licensure/credentials (if applicable) d. Department of Regulatory Authority (DORA) number (if applicable) e. Supervisor name and contact information 9 The Department reserves the right to decline the new staff members managing and/or administering services to Department clients. 10 EXHIBIT B RATE SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specific in Paragraph 2, below. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services Initial Consult/Assessment for Parent Training Rate Unit Type Service Name $125.00 Hour In-officeNideo $150.00 Hour In -home or community $50.00 Each No Show $0.575 Mile For distances exceeding twenty (20) roundtrip miles from 7251 West 20th Street, Greeley, Colorado 80634 Ongoing Individualized Parent Training Rate Unit Type Service Name $100.00 Hour In-officeNideo $125.00 Hour In -home or community $50.00 Each No Show $0.575 Mile For distances exceeding twenty (20) roundtrip miles from 7251 West 20th Street, Greeley, Colorado 80634 General Applied Behavior Analysis (ABA) "Bootcamp" Training — Group Training Rate Unit Type Service Name $100.00 Hour In-officeNideo $50.00 Each No Show $0.575 Mile For distances exceeding twenty (20) roundtrip miles from 7251 West 20th Street, Greeley, Colorado 80634 Direct ABA Therapy Services Provided by a Behavior Technician Rate Unit Type Service Name $75.00 Hour In-officeNideo $75.00 Hour In -home or community $25.00 Each No Show $0.575 Mile For distances exceeding twenty (20) roundtrip miles from 7251 West 20th Street, Greeley, Colorado 80634 Supervision of Direct ABA Therapy Services Rate Unit Type Service Name $100.00 Hour In-office/Video $100.00 Hour In -home or community $25.00 Each No Show $0.575 Mile 3. Submittal of Vouchers For distances exceeding twenty (20) roundtrip miles from 7251 West 20th Street, Greeley, Colorado 80634 Contractor shall prepare and submit monthly a Request for Reimbursement and monthly report including other supporting documentation, if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 of this Agreement . Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7th day of the month following the month of service, but no later than 45 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 45 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 45 -day deadline may result in termination of the Agreement. For ongoing services, proof of services rendered shall be a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. When submitting a request for payment for a one-time service, the contractor shall submit the first and last page of the evaluation/report to confirm proof of services rendered. The full evaluation/report should be submitted by the contractor to the caseworker. For Monitored Sobriety services, proof of services rendered shall be the test result. Exhibit C WELD COUNTY'S REQUEST FOR PROPOSAL (Weld County's Request for Proposal is incorporated into this agreement by reference and will be provided upon request to the Department.) This page is intentionally left blank Exhibit D Contractor's response to the Request for Proposal Exhibit D contains the following documents: • Attachment B — Provider Information Form (PIF) • Attachment C — Proposal • Attachment D — Staff Data Sheet • Certificate of Insurance (COI) ATTACHMENT B WELD COUNTY DEPARTMENT OF HUMAN SERVICES - PROVIDER INFORMATION FORM (PIF) Agency Name: AGENCY INFORMATION Front Range Behavior Provider Contact Full Name: Angela Chase Trails Provider ID (if known): Title: C E O Primary Phone Number (10 -digit): (970) 673-8476 Ext.: Fax Number (10 -digit): 9705153619 achase @ f rs b .info https://frontrangespeechandbehavior.com/ Primary Contact Email: Web Address: Agency Location Address (street, city, state, zip): 2547 11th Avenue Suite B Greeley CO 80631 Agency Mailing Address (Street, city, state, zip): 2547 11th Avenue Suite B Greeley CO 80631 Agency Type (pick one): F.] Public Company ri Private Non -Profit Private for Profit Referral Contact Name: Send Referrals for Service to: Sarah Webb Referral Phone Number (10 -digit): (970) 373-5400 Ext.: Title: Director of Home Services Email: sarah@frsb.info Billing Contact Name: Billing Contact Angela Chase Billing Phone Number (10 -digit): 9706738476 Ext.: Title: Director of Operations Email: achase@frsb.info CERTIFICATION ' I certify that the services proposed for intended use by the Weld County Department of Human Services will meet all the specifications it I has so indicated in this bid form. I further affirm intention to enter into an agreement with Weld County, on behalf of the Weld County Department of Human Services, and comply with all requirements of the contract, if awarded. The Board of Weld County Commissioners reserve the right to reject any or all bids, to waive any informality in the bids, and to accept Ithe bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. The Board of Weld County Commissioners shall give preference to resident Weld County bidders in all cases where the bids are I competitive in price and quality. iWELD COUNTY IS EXEMPT FROM COLORADO SALES TAXES. THE CERTIFICATE OF EXEMPTION NUMBER IS #98-03551-0000. Authorized Rep. Full Name: jAuthorizedRep.Email: achase@frsb.info Phone (lo digit): 9706738476 Director of Operations Authorized Rep. Address (Street, city, state, zip): I Signature of Authorized Rep.: Title: Ext.: 2547 11th Avenue Unit B Greeley CO 80631 Date: 1/20/22 REV. DECEMBER 2021 Angela Chase ATTACHMENT C - PROPOSAL Please type your answers in the boxes below or check the appropriate box. SECTION 1— Provider and Program Area Information Bidder's Legal Name: Program Area: Program Areas are listed in column 1 of the table located in Item XI of the Request You may complete another Attachment C if you have more than 5. for Proposal starting on page 13. Front Range Behavior- Angela Hansen Chase Mental Health Services Number of services offered on this Attachment C (max 5): 5 SECTION 2 — Service Name(s) and Information If the service is a monthly package, please offer different levels. All monthly packages must state a specific minimum number of direct service hours. Service #1 Name: Initial Consult/Assessment for Parent Training 2.1a Modalities, curriculum, tools used in delivery of service (DO NOT list company history; DO use bullet points): • In -person consults will be conducted for all initial visits. Follow-up meeting can be conducted via Telehealth but all assessment sessions will be conducted in -person. • Board Certified Behavior Analyst (BCBA) will utilize a variety of behavior -based skills assessments during the consult to obtain a better understanding of client functioning. Relevant examples include Verbal Behavior — Milestones Assessment Placement Program (VB-MAPP), PEAK (Promoting the Emergence of Advanced Knowledge) Assessment, Assessment of Functional Living Skills (AFLS), Assessment of Basic Language and Learning Skills Revised (ABLLS-R), Vineland Assessment — Parent Comprehensive Interview, Adaptive Behavior Assessment System (ABAS-3). The BCBA may choose to use multiple assessment measures during the initial consult to obtain information on child functioning that is individualized and tailored to client need. • BCBA will perform a variety of functional behavioral assessment (FBA) procedures as need is determined in order to identify important patterns of challenging behavior emitted by the child as well as identify function(s) of these behaviors. Typical FBA -based assessments include direct observation of the child, anecdotal and/or checklist ABC data recording where BCBA and/or family record data regarding events that happen immediately before and after the behavior of interest, behavior -based checklists and/or questionnaires such as the FAST (Functional Assessment Screening Tool), and when necessary, functional analysis (FA) procedures such as the brief functional analysis (BFA) or practical functional assessment (PFA) to experimentally manipulate variables to determine the function of severe challenging behavior. FAs are relatively rare and will only be conducted when other FBA procedures are inconclusive in determining patterns of functioning for significantly challenging behaviors. If/when conducted, FAs will involve multiple clinicians for the procedure. • After conducting the initial assessment, BCBAs will write up the assessment results and select goals based on skill deficits and behaviors of concern that were identified during initial assessment. This document will be referred to as a treatment plan and it identifies specific behavior reduction and skill acquisition goals for the client, as well as specific goals on teaching behaviors and responding to certain behaviors for the foster parents. Director of Home Services will review the treatment plan. • The treatment plan will determine how many hours per week are recommended for ongoing parent training services. In general, more intensive parent training will be recommended for the more goals that are identified in the treatment plan. • When applicable, the treatment plan with include a behavior intervention plan (BIP) section that will include specific guidelines on how to prevent and respond to child -specific behaviors targeted for reduction based on the function. The BIP may be modified throughout the course of ongoing training. • BCBAs will schedule a meeting with foster parents to review the treatment plan and discuss the goals. Both parties will sign the document to initiate the start of ongoing parent training services. • All key stakeholders will have access to the treatment plan to promote transparency of services and collaboration. 2.1b Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: • Initial Assessment: Number of appointments varies depending on the initial concerns of the foster parents as well as the severity of challenging child behaviors targeted for reduction. Initial assessment can be completed in a single appointment or can take up to 3 meetings (e.g., up to 12 hours of direct assessment). • _ Follow-up Discussion of Treatment Plan: Typically, will be a single meeting/appointment, 1-2 hours in length 2.1c Anticipated duration of service (i.e. 3-4 months): Initial Assessment: Up to 12 hours in total (see above) REV. OCT 2021 1 ATTACHMENT C - PROPOSAL • Follow-up Discussion of Treatment Plan: 1-2 hours 2.1d Three (3), or more, specific goals of the service (DO use bullet points): • BCBA will identify relevant behavior reduction goals for child and (when applicable) foster parent(s) • BCBA will identify relevant skill acquisition goals for child and (when applicable) foster parent(s) • BCBA will create treatment plan outlining specific goals for future services that specify time -based mastery criteria so that progress can be evaluated in the future. • Foster parents will gain an understanding of roles and expectations for future consultation services. • Help determine the need for ongoing foster parent training (e.g., if is necessary as well as determine number of hours recommended weekly/monthly for ongoing training and consultation) or intensive ABA therapy for the child. Elicit foster parent buy -in for general ABA training/ "bootcamp" and ongoing individualized parent training services, as appropriate. 2.1e Three (3), or more, specific outcomes of service: • Promote stronger foster parent and child relationships by providing parents with detailed information about their child's needs and intervention supports to address those needs. • Decrease the risk of children transitioning from homes due to foster's parents struggles to manage behaviors and maintain safety in the home. • Increase the foster child's independence and safety as s/he learns new skills through the support of his/her foster parents and the BCBA. • Support foster child's transition to home/adopted placement by providing the family with specific goals and interventions to address the child's behavior and skill needs. 2.1f Target population of the service, including age and gender: Foster parents and children with identified skill deficits and/or behavioral concerns, applicable ages and genders 2.1g Languages service is available in (please list proficiency and if interpreter services are available): English, Spanish translation can be available upon request 2.1h Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part: Medicaid eligibility is dependent on the child's primary diagnosis and available documentation, per Medicaid requirements. They provide a flat fee regardless of the number of hours required to complete an assessment. 2.1i Service location — list where the service will take place (i.e. client's home, in -office, other) Services can take place in a variety of settings, including the client's home, school, or FRB's center locations. In order for services to be conducted in the home setting, the client/family must undergo a home therapy evaluation to ensure that the home is safe for staff and conducive to therapy and/or parent training. If during an evaluation the team determines that the home setting is not conducive to therapy, FRB will be able to provide services in the center location instead. Service #2 Name: Ongoing Individualized Parent Training 2.2a Modalities, curriculum, tools used in delivery of service (DO NOT list company history; DO use bullet points): • BCBA will utilize client treatment plan to provide ongoing training to foster parents. • Modality of training will be highly individualized based on client need and may include direct coaching, modeling and/or video modeling, role-play scenarios, review of written resources/plans, and verbal discussion. • BCBA may utilize resources used in general ABA training/ "bootcamp" as well as consult and/or share additional peer -reviewed journals and research articles to assist with training. • BCBA will consider the importance of visual aids and written reminders in parent training and will create/share these materials as needed. • Data collection- As an important aspect of monitoring foster parent treatment fidelity and evaluating the effects of parent training services will be recording data on foster parent responses to child behavior and/or foster parent implementation of programs/goals identified in treatment plan. Data collection can take many modalities, including paper - and -pencil and HIPPA-compliant electronic data collection systems. • Services may be conducted in -person or remotely/telehealth (video chat and phone). • Ongoing assessment during parent trainings- BCBAs will consult with families regularly regarding any new concerns or challenging behaviors. BCBA may schedule additional time during a parent training to observe this behavior or discuss it in more detail. BCBAs can add additional goals to the treatment plan and provide training on new challenges as they arise. • For clients receiving direct therapy by a behavior technician the BCBA will also bill for supervision hours each week to ensure the technician receives the appropriate support and training to meet the child's needs. This can occur during the same session as parent training. 2.2b Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: REV. OCT 2021 2 ATTACHMENT C - PROPOSAL Frequency varies on client needs. At minimum, families receiving ongoing individualized parent training will meet 1 hour biweekly. Foster parents/children in need of more support can meet multiple times per week. It should be noted that appointments will be scheduled by the BCBA at least 2 days in advance. While foster parents are encouraged to reach out to BCBA/Director of Home Services for assistance, we cannot provide emergency or on -call services or guarantee to meet with a family less than 1 week before a reported concern. 2.2c Anticipated duration of service (i.e. 3-4 months): Duration of each individualized parent training meeting will also vary. All individualized parent training meetings will fall between 30 minutes -4 hours. Longer parent training sessions will include multiple modalities of training (e.g., discussion, modeling, observation and feedback, etc.). 2.2d Three (3), or more, specific goals of the service (DO use bullet points): • Foster parents will learn how to respond to challenging behaviors by utilizing the treatment plan/BIP as a guide to preventing certain behaviors and (when necessary) implementing function -based consequences when these behaviors occur. • Foster parents will learn how to teach relevant skills (e.g., play skills, adaptive living skills, etc.) as specified in treatment plan. • Foster parents will be able to generalize skills learned during initial ABA training/"bootcamp" (see below) to their child's everyday functioning and behavior. • BCBA will take data on foster parent/child goals to determine foster parent fidelity of program implementation and child responding to foster parents. 2.2e Three (3), or more, specific outcomes of service: • Foster parents will have a strong system of ongoing support to directly help them manage the behavior and learning needs of the children placed in their home as the child's needs change. • Children will more severe needs will be able to stay in placements longer because families will have the supports they need to ensure safety and growth for both the foster child and their own family. • Relationships between the foster family and the child will improve because the family has knowledge and training on how to communicate with the child and better meet their needs. • Foster Families will be less likely to experience burn out because they are equipped and supported in meeting the needs of the children in their care. 2.2f Target population of the service: Foster parents and children with identified skill deficits and/or behavioral concerns, applicable ages and genders 2.2g Languages service is available in (please list proficiency and if interpreter services are available): English, Spanish translation can be available upon request 2.2h Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part: This service is not billable through Medicaid 2.2i Service location — list where the service will take place (i.e. client's home, in -office, other) Services can take place in a variety of settings, including the client's home, school, or FRB's center locations. In order for services to be conducted in the home setting, the client/family must undergo a home therapy evaluation to ensure that the home is safe for staff and conducive to therapy and/or parent training. If during an evaluation the team determines that the home setting is not conducive to therapy, FRB will be able to provide services in the center location instead. Service #3 Name: General ABA "Bootcamp" Training - Group Training 2.3a Modalities, curriculum, tools used in delivery of service (DO NOT list company history; DO use bullet points): • BCBA(s) and/or Director of Home Services and/or Clinical Director (Front Range Behavior) will provide an initial training for foster that will cover the basic principles of ABA in terms that are easy to understand and explain the common behavior -analytic terms used by professionals and their relevance in terms of foster child behaviors. • Modalities of training will include a variety of written materials, video presentations, and demonstrations that are part of guided curriculums. All materials will be created by behavior analytic professionals and will be based on principles of ABA and/or relevant research conducted in the field. Examples may include the following: o Success on the Spectrum: How to Teach Skills to Individuals with Autism (Partington & Partington) o A Work in Progress: Behavior Management Strategies and a Curriculum for Intensive Behavioral Treatment of Autism (Leaf & McEachin) o Applied Behavior Analysis (Cooper, Heron, & Heward) o Applied Behavior Analysis and Autism: An Introduction (Buchanan & Weiss: Autism New Jersey) o Parent Training for Disruptive Behavior: The RUBI Autism Network (Bearss, Johnson, Handen, Butter, Lecavalier, Smith, & Scahill) REV. OCT 2021 3 ATTACHMENT C - PROPOSAL o Peer -reviewed journal articles from relevant behavior -analytic sources • Safety -Care Behavioral Safety Training (QBS): Training will include general procedures on de-escalating common challenging behavior and will not incorporate training on safety holds Minimum of 2 people Max of 10 people 2.3b Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: Once a week training for 2 hours to cover key concepts of ABA. Would be set as a rolling service such as every Wednesday from 12-2pm. Four weeks would cover the full material and would be repeated each month for new parents to attend. Safety Care = 1 time training for 6 hours 2.3c Anticipated duration of service (i.e. 3-4 months): 1 month cycle foster parent enrolled in the bootcamp. 2.3d Three (3), or more, specific goals of the service (DO use bullet points): 2.3e • Foster parents will learn basic ABA -based terminology and how it is relevant to understanding child's behavior. • Foster parents will be able to describe basic intervention tools that may be useful in helping support the children in their care. • Foster parents will learn basic de-escalation and safety strategies to use when children begin to engage in crisis behaviors (Safety Care). Three (3), or more, specific outcomes of service: • Foster parents will gain knowledge in theories of behavior that will help guide them in making better decisions about how to respond to the behavior of the children they are serving. • Children will decrease challenging behaviors and increase pro -social behavior because staff and parents are responding more appropriately to their behaviors. • Families will be safer as they are more equipped to keep themselves and the children safe as they work through crisis situations. • Foster parents will have a base level of training in ABA that will make them more equipped to work with all children and therefore assist with smoother transitions of children into the home. • Due to the group nature of the training, foster parents will develop collaborative relationships that will help strengthen the teams and help build a connection within the foster community. 2.3f Target population of the service: All Foster Parents - Group Training to facilitate conversation minimum of 2 people 2.3g Languages service is available in (please list proficiency and if interpreter services are available): English 2.3h Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part: This is not eligible for Medicaid billing. 2.3i Service location — list where the service will take place (i.e. client's home, in -office, other) Services can take place in a variety of settings, including the client's home, school, or FRB's center locations. In order for services to be conducted in the home setting, the client/family must undergo a home therapy evaluation to ensure that the home is safe for staff and conducive to therapy and/or parent training. If during an evaluation the team determines that the home setting is not conducive to therapy, FRB will be able to provide services in the center location instead. Service #4 Name: Direct ABA Therapy provided by a Behavior Technician 2.4a Modalities, curriculum, tools used in delivery of service (DO NOT list company history; DO use bullet points): • Prerequisite for therapy to begin: BCBA assessment and initial consultation with family to develop treatment plan and goals to ensure we are able to meet the needs of the child. • On -going requirements: Supervision by BCBA for a minimum of 10% of service hours billed as #2 service line, family must maintain 80% attendance and have no more than 2 no-shows in a month for services to continue to ensure enough hours of therapy to make significant behavioral change. • Direct ABA therapy will be provided by a behavior technician under the supervision of a Board Certified Behavior Analyst. • The technician will work directly with the child providing behavioral interventions as deemed necessary from the assessment and treatment plan created by the BCBA. Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: REV. OCT 2021 4 ATTACHMENT C - PROPOSAL 2.4b Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: • Minimum of 10 hours per week to ensure client is able to make meaningful changes in his/her behavior, unless a lower number of hours is approved by the Clinical Director of Home Services. • Maximum of 40 hours per week. • Generally scheduled in a minimum of 2 hour chunks of time per day. • Open Monday -Friday from 9:00am-6:00pm; we can make changes to service hours based on staff availability and family need. 2.4c Anticipated duration of service (i.e. 3-4 months): 1-6 months of time until Medicaid authorization can be obtained, unless there are circumstances where obtaining Medicaid authorization takes longer than anticipated, in which case a new referral for Core services will be requested. 2.4d Three (3), or more, specific goals of the service (DO use bullet points): • The child will demonstrate an increase in appropriate skills through the direct intervention of the behavior technician, and collaboration with the foster family, as described in the assessment and treatment plan. o Skill areas may include: Communication, Social skills, Independence with daily living skills (toileting, showering, brushing teeth, etc.), eating wider variety of food items, transitioning from preferred to non -preferred tasks, leisure skills, etc. • The child will demonstrate a decrease in challenging behavior as described in the assessment and treatment plan. o Potential areas of concern: elopement (leaving the designated area), aggression, tantrums, self -injury, etc. • Decrease the need for on -going therapy and eventually transition the child out of services due to mastery of goals. 2.4e Three (3), or more, specific outcomes of service: • The child will be able to participate more fully in the family activities. • The child will be able to stay in their home placement longer, or at least decrease the risk of transition due to behaviors interfering with home placements. • The child will be able to transition more smoothly into a long-term placement because their behavioral needs are no longer interfering with daily activities. 2.4f Target population of the service: Individuals ages 1-18 with behavioral challenges or skill deficits that are interfering with the child's successful home placement. 2.4g Languages service is available in (please list proficiency and if interpreter services are available): English, at times we are able to find technicians that are bilingual in Spanish but we cannot guarantee this support 2.4h Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part: Yes, for children with a medical diagnosis of a disability that would potentially lead to behavioral concerns such as but not limited to: Autism, Down Syndrome, PTSD, ADHD, Developmental Delay 2.4i Service location — list where the service will take place (i.e. client's home, in -office, other) Services can take place in a variety of settings, including the client's home, school, or FRB's center locations. In order for services to be conducted in the home setting, the client/family must undergo a home therapy evaluation to ensure that the home is safe for staff and conducive to therapy and/or parent training. If during an evaluation the team determines that the home setting is not conducive to therapy, FRB will be able to provide services in the center location instead. Service location may also be dependent upon FRB's ability to find experienced staff to Service #5 Name: Supervision of Direct Therapy Services by a Board Certified Behavior Analyst (BCBA) 2.5a Modalities, curriculum, tools used in delivery of service (DO NOT list company history; DO use bullet points): • Prerequisite for therapy to begin: Supervision of direct therapy services can begin once direct therapy services have started (see list of prerequisites for direct therapy services (service #4). • Supervision services require that the BCBA must be able to see and interact with the client directly during supervision appointments. Supervision appointments may be conducted via telehealth or in -person meetings. Telehealth supervision sessions may not exceed 25% of all supervision sessions for the month, barring any unusual circumstances where additional telehealth hours may be approved by the Clinical Director of Home Services or Executive Clinical Director. • On -going requirements: Supervision by BCBA for a minimum of 10% of service hours billed, family must maintain 80% attendance and have no more than 2 no-shows in a month for services to continue to ensure enough hours of therapy to make significant behavioral change. • Supervision of direct therapy services may only be fulfilled by an individual who maintains an active BCBA certification and is in good standing with the Behavior Analyst Certification Board (BACB). REV. OCT 2021 5 ATTACHMENT C - PROPOSAL • BCBA will provide support to the behavior technician in the form of evidenced -based behavior skills training (BST) - based coaching and feedback. Examples include written feedback, verbal feedback, modeling of program implementation, etc. • In addition to directly implementation of programming and providing coaching to the behavior therapist during direct services, BCBA will provide necessary changes to programming during supervision sessions. Modification of the treatment plan includes adding new goals for acquisition, removing mastered goals, planning for generalization/maintenance of learned goals, and adding modifications to programs in acquisition as necessary to assist with learning (e.g., changing prompt levels, determining reinforcers, adding specific antecedent/consequent interventions, etc.). • BCBA may also work directly with the client in the absence of a behavior technician. 2.5b Anticipated frequency of direct service time with the client/family per week, not including professional staffing time, administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level: • Supervision by BCBA for a minimum of 10% of service hours billed per week on average. FRB's target goal for supervision of direct services of contracted cases is 20-30% or scheduled direct services hours or higher supervision rate. • Generally scheduled in a minimum of 1-2 hour chunks of time per week. • FRB is open Monday -Friday from 9:00am-6:00pm; we can make changes to service hours based on staff availability and family need. 2.5c Anticipated duration of service (i.e. 3-4 months): 1-6 Months of time until Medicaid authorization can be obtained, unless there are circumstances where obtaining Medicaid authorization takes longer than anticipated, in which case a new referral for Core services will be requested. 2.5d Three (3), or more, specific goals of the service (DO use bullet points): • The child will demonstrate an increase in appropriate skills through the direct intervention of the behavior technician, and collaboration with the foster family, as described in the assessment and treatment plan. o Skill areas may include: Communication, Social skills, Independence with daily living skills (toileting, showering, brushing teeth, etc.), eating wider variety of food items, transitioning from preferred to non -preferred tasks, leisure skills, etc. • The child will demonstrate a decrease in challenging behavior as described in the assessment and treatment plan. o Potential areas of concern: elopement (leaving the designated area), aggression, tantrums, self -injury, etc. Decrease the need for on -going therapy and eventually transition the child out of services due to mastery of goals. 2.5e Three (3), or more, specific outcomes of service: • The child will be able to participate more fully in the family activities. • The child will be able to stay in their home placement longer, or at least decrease the risk of transition due to behaviors interfering with home placements. The child will be able to transition more smoothly into a long-term placement because their behavioral needs are no longer interfering with daily activities. 2.5f Target population of the service: Individuals ages 1-18 with behavioral challenges or skill deficits that are interfering with the child's successful home placement. 2.5g Languages service is available in (please list proficiency and if interpreter services are available): English, at times we are able to find supervisors that are bilingual in Spanish but we cannot guarantee this support 2.5h Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part Yes, for children with a medical diagnosis of a disability that would potentially lead to behavioral concerns such as but not limited to: Autism, Down Syndrome, PTSD, ADHD, Developmental Delay 2.6i Service location — list where the service will take place (i.e. client's home, in -office, other) Services can take place in a variety of settings, including the client's home, school, or FRB's center locations. In order for services to be conducted in the home setting, the client/family must undergo a home therapy evaluation to ensure that the home is safe for staff and conducive to therapy and/or parent training. If during an evaluation the team determines that the home setting is not conducive to therapy, FRB will be able to provide services in the center location instead. Section 3 — Service Access and Transportation 3.1 Will you charge Weld County for transporting clients or mileage? Check one: O YES NO 3.2 Will you conduct services in a client's home or in the community? Check one: ® YES ❑ NO 3.3 Will you transport clients to and/or from services? Check one: ❑ YES ® NO REV. OCT 2021 6 ATTACHMENT C - PROPOSAL 3.4 How many miles are you willing to travel round trip? List a specific number of miles. 3.5 When you calculate mileage, what is your starting point address? 30 Miles 7251 West 20th Street, Greeley, CO 80634 SECTION 4 - SERVICE RATES All rates need to include administrative work (i.e. scheduling or report writing) and overhead. Rates cannot be per episode, except for home studies and monitored sobriety testing. Only hourly or monthly rates will be accepted for services, except for those listed above. • For hourly rates complete section(s) 4.1-4.5. • For monthly rates complete section 4.6. • For Home study providers complete section 4.7. • For monitored sobriety testing providers complete section 4.8. 4.1 Hourly Service #1 Name: Initial Consult/Assessment for Parent Training $ Amount Unit Type 4.1a In-Office/Video: $125 per Hour 4.1b In -Office with Transportation: per Hour No. of roundtrip miles included in rate: miles In -Home or Community: $150 per Hour No. of roundtrip miles included in rate: 20 miles 4.1c FTM, TDM, Prof. Staffing: per Hour 4.1d No show: $50 per No Show 4.1e Mileage rate: .575 per Mile This is paid after the miles listed above. 4.2 Hourly Service #2 Name: Ongoing Individualized Parent Training $ Amount Unit Type 4.2a In-Office/Video: $100 per Hour 4.2b In -Office with Transportation: per Hour No. of roundtrip miles included in rate: miles 4.2c In -Home or Community: $125 per Hour No. of roundtrip miles included in rate: 20 miles 4.2d FTM, TDM, Prof. Staffing: per Hour 4.2e No show: $50 per No Show 4.2f Mileage rate: .575 per Mile This is paid after the miles listed above. 4.3 Hourly Service #3 Name: General ABA "Bootcamp" Training - per person in attendance minimum of 2 people $ Amount Unit Type 4.3a In-Office/Video: $100 per Hour 4.3b In -Office with Transportation: per Hour No. of roundtrip miles included in rate: miles 4.3c In -Home or Community: per Hour No. of roundtrip miles included in rate: 30 miles 4.3d FTM, TDM, Prof. Staffing: per Hour 4.3e No show: $50 per No Show 4.3f Mileage rate: .575 per Mile This is paid after the miles listed above. 4.4 Hourly Service #4 Name: Direct ABA Therapy Services $ Amount Unit Type 4.4a In-Office/Video: $75 per Hour 4.4b In -Office with Transportation: per Hour No. of roundtrip miles included in rate: miles In -Home or Community: $75 per Hour No. of roundtrip miles included in rate: 20 miles 4.4c FTM, TDM, Prof. Staffing: per Hour 4.4d No show: $25 per No Show 4.4e Mileage rate: .575 per Mile This is paid after the miles listed above. 4.5 Hourly Service #5 Name: Supervision of Direct ABA Therapy Services $ Amount Unit Type 45a In-Office/Video: I $100 I Per Hour REV. 0CT 2021 ATTACHMENT C - PROPOSAL 4.5b In -Office with Transportation: 4.5c In -Home or Community: 4.5d FTM, TDM, Prof. Staffing: 4.5e No show: 4.5f Mileage rate: per Hour No. of roundtrip miles included in rate: per Hour No. of roundtrip miles included in rate: per Hour per No Show per Mile This is paid after the miles listed above. miles miles $100 20 $25 .575 4.6 Monthly Service Rates (each level must be listed): Service Name with Level Rate per Month No. of Direct Service Hours: 4.6a 4.6b 4.6c 4.6d 4.6e 4.6f 4.6g 4.6h 4.6i 4.6j 4.7 Home Study Providers — List your rates in the box below. 4.8 Monitored Sobriety Providers — List your rates in the box below. Provider special notes: REV. OCT 2021 8 ATTACHMENT D - STAFF DATA SHEET Bidder Must List All Staff Who Will Administer the Proposed Service(s) BIDDER'S LEGAL NAME (As it appears on the W-9): AGENCY CONTACT: Sarah Webb Angela Hansen Chase PHONE NUMBER: (970) 673-8476 EMAIL: sarah@frsb.info PROPOSED SERVICE(S): Initial consult/assessment for parent training and/or direct ABA services, ongoing individualized parent training, supervision of direct ABA provided by a behavior technician, ABA "bootcamp" training (see proposal for additional details) Legal Last Name Middle Initial Previous Legal Last Name (If applicable) Legal First Name Service Type Licensure/ Credentials DORA # (If applicable) Murry B Amanda In,alassessmenl;Perenitreining;suPervisfon BCBA 1-16-22726 Webb C Sarah Intel assessment parent t2ining;superWsion BCBA 1-18-31515 Kirwin A Baysinger Rachel InlOalassessment ;Went lrelning;supaMnon BCBA 1-19-35030 Moore N Alexis Initial assessment; parent lreining;superoision RBT 20-127489 Dao N Rachel Initial assessment, parent treiningpsupervision BCBA 1-20-45421 Heath K Talkington Amy Iniitalassessment;parenllnining;supernoon BCBA 1-13-13266 Furrer A Jessica Initialassessment;perentlreining;supervoon RBT 17-45404 CHILD WELFARE REQUEST FOR PROPOSAL 2022-23 - VARIOUS SERVICES CDH & ASSOCIATES Certificate of Liability Insurance Date Issued: 09/06/2021 PHILADELPHIA INSURANCE COMPANIES A M., d,,, „, Ib. l:de Mn Ma. R.mp Underwritten by: Philadelphia Indemnity Insurance Company One Bala Plaza, Suite 100 • Bala Cynwyd, PA 19004 • NAIC #: 18058 Administered by: CPH & Associates • 711 S. Dearborn St. Ste 205 • Chicago, IL 60605 • P 800.875.1911 • F 312.987.0902 • info@cphins.com DISCLAIMER: This certificate is issued as a matter of information only and confers no rights upon the certificate holder. The Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend, or alter the coverage afforded by the policies listed thereon. Insured: Front Range Behavior Angela Chase 7251 W.20th Street Unit B Greeley, CO 80634 Policy Number: AR73602 Policy Term: 09/11/2021 to 09/11/2022 Covered Locations Professional Liability: Portable coverage, not location specific Coverage Type (Occurrence Form) Professional Liability Supplemental Liability Licensing Board Defense Commercial General Liability o Fire/Water Legal Liability Business Personal Property Vicarious Sexual Misconduct Per Incident (Per individual claim) $ 1,000,000 $ 1,000,000 $ 35,000 N/A N/A N/A $ 1,000,000 Aggregate (Total amount per year) $ 3,000,000 $ 3,000,000 $ 35,000 N/A N/A N/A $ 1,000,000 Comments/Special Descriptions: Certificate Holder Weld County Department of Human Services Jamie Ulrich P.O. Box A Greeley, CO 80632 Certificate Holder has been added as an additional insured If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). Notice of Cancellation will only be provided to the first named insured in accordance with policy provisions, who shall act on behalf of all additional insureds with respect to giving notice of cancellation. (P)4' Authorized Representative C. Philip Hodson Contract Form New Contract Request Entity Information Entity Name* Entity ID* FRONT RANGE SPEECH AND BEHAVIOR gO0044220 CLINIC ❑ New Entity? Contract Name* Contract ID FRONT RANGE SPEECH AND BEHAVIOR CLINIC (NEW CHILD 5869 PROTECTION AGREEMENT) Contract Status CTB REVIEW Contract Lead* APEGG Contract Lead Email apegq@weldgov.com, co bbx xlkgweldgov.com Contract Description* CONSENT BID# B2200040 TERM: JUNE 1, 2022 THROUGH MAY 31, 2023 Parent Contract ID 20220410 Requires Board Approval YES Department Project # Contract Description 2 PROVIDER WAS LISTED ON APPROVED VENDOR LIST PRESNETED TO THE BOCC ON 04:06,' 22 AND AS A COMMUNICATION ITEM; PA SENT TO CTB ON 05/ 10 2022. Contract Type* AGREEMENT Amount* $0.00 Renewable* YES Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HumanServicese_aVeldgov.co m Department Head Email CM-HumanServices- DeptHeadSTweldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COU NTY'A I I ORNEY:_z WELDG OV.COM Requested BOCC Agenda Date* 06?08,'2022 Due Date 06 04 2022 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 MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in On Base Contract Dates Effective Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Purchasing Approver CONSENT Approval Process Department Head JAMIE ULRICH DH Approved Date 05,2512O22 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 06 06 2022 Originator APEGG Review Date* 03;31 :2023 Committed Delivery Date Contact Type Contact Email Finance Approver CONSENT Renewal Date* 05:31?2023 Expiration Date Contact Phone 1 Purchasing Approved Date 05 25'2022 Finance Approved Date 05; 25;"2022 Tyler Ref # AG060622 Legal Counsel CONSENT Contact Phone 2 Legal Counsel Approved Date 05,`25,'2022 Hello