HomeMy WebLinkAbout20222386.tiffRESOLUTION
RE: APPROVE 2022-2023 PLAN FOR CORE SERVICES PROGRAM AND AUTHORIZE
CHAIR AND DIRECTOR OF DEPARTMENT OF HUMAN SERVICES TO SIGN AND
SUBMIT ELECTRONICALLY
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with the 2022-2023 Plan for the Core Services
Program from the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Human Services, to the Colorado
Department of Human Services, commencing July 1, 2022, and ending June 30, 2023, with further
terms and conditions being as stated in said plan, and
WHEREAS, after review, the Board deems it advisable to approve said plan, a copy of
which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the 2022-2023 Plan for the Core Services Program from the County of
Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on
behalf of the Department of Human Services, to the Colorado Department of Human Services,
be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair and Director of the Department
of Human Services be, and hereby are, authorized to electronically sign and submit said plan.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 17th day of August, A.D., 2022, nunc pro tunc July 1, 2022.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: ditArAl ..do;&k.
Weld County Clerk to the Board
BY:
Deputy Clerk to the Boar
APP ED A
County A torney
Date of signature: /22
Scott K. James , Chair
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2022-2386
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PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: August 9, 2022
TO: Board of County Commissioners — Pass -Around
FR: Jamie Ulrich, Director, Human Services
RE: Core Services Program Plan — First Year of a
Three -Year Plan (SFY 2022-23)
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 Core Services Program Plan — First Year of a Three -
Year Plan (SFY 2022-23). The Core Services Program Plan has been developed in accordance with
State Department of Human Services rules governing Core Services funding. This Plan is for year one of
a three-year Core Plan cycle and is effective for the fiscal year July 1, 2022, through June 30, 2023. The
Department's allocation for year 2022-23 is $4,425,936.00 which is an increase of $270,206.00 over
2021-22. The High -Fidelity Wraparound program is the only new service that has been added for this
Core Service Year.
If the proposed Core Services Program Plan is approved by the State, the Plan will be administered in
conformity with its provisions and the provisions of State Department rules.
I do not recommend a Work Session. I recommend approval of this Plan and authorize the Chair and
Director to sign.
Approve
Recommendation
Perry L. Buck
Mike Freeman, Pro -Tern
Scott K. James. Chair
Steve Moreno
Lori Saine
(i)s
Schedule
Work Session Other/Comments:
Pass -Around Memorandum; August 9, 2022 - CMS ID 6192
Pace
2022-2386
0-P_OOclq
DocuSign Envelope ID: C93C41C6-85FB 4907-92C1-BFA81335FF5E
COLORADO
Department of Human Services
CORE SERVICES PROGRAM
FIRST YEAR OF A THREE-YEAR PLAN
SFY 2022 - 2023
SFY 2023 - 2024
SFY 2024 - 2025
FOR
Weld
COUNTY(IES):
Please complete this plan template and budget pages.
Upload a copy of this plan into Docusign to route for
signatures.
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs. colorado. gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
REQUEST FOR STATE APPROVAL OF PLAN
All signatures from the County Director(s), Boards of Commissions, and Placement Alternatives
Commission are required.
Weld
This Core Services Plan is hereby submitted for [Indicate county name(s) and lead
county if this is a multi -county plan], for the period contract years June 1, 2022, through May 31, 2023
fiscal years July 1, 2022, through June 30, 2023. The Plan includes the following:
• Completed "Statement of Assurances";
• Completed program description of each proposed "County Designed Service";
• Completed "Information on Fees" form;
• Completed "Overhead Cost" form (Optional);
• Completed "State Board Summary";
• Completed "100% Funding Summary" form; and
• Completed "Final Budget Page".
This Core Services Program Plan has been developed in accordance with State Department of Human
Services rules and is hereby submitted to the Colorado Department of Human Services, Division of Child
Welfare for approval. If the enclosed proposed Core Services Program Plan is approved, the Plan will
be administered in conformity with its provisions and the provisions of State Department rules.
The person who will act as primary contact person for the Core Services Plan is,
970-400-6545
can be reached at telephone numbe , and e-mail at
If two or more counties propose this plan, the required signatures below are to be completed by each
county, as appropriate. Please attach an additional signature page as needed.
Denise Suniga
and
Please check here if your county has a Core II Plan:
x
sunigadk@weldgov.com
Please check here if your county does not have a Placement Alternative Commission:
DocuSigned by:
1C1020$047 401
Signature, DIRECTOR, COUNTY DEPARTMENT OF HUMAN/SOCIAL SERVICES
DocuSigned by:
Scoff ja*t,s
E74B8DB083D44A1...
8/4/2022
DATE
8/17/2022
Signature, CHAIR, PLACEMENT ALTERNATIVES COMMISSION
DocuSigned by:
\kr— 14.3.31 UZbbbbU4Ub
DATE
8/6/2022
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado. gov
Jared Polis, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
Signature, CHAIR, BOARD OF COUNTY COMMISSIONERS
CORE SERVICES
STATEMENT OF ASSURANCES
Weld
DATE
County assures that, upon approval of the Core Services Program Plan the following
will be adhered to in the implementation of the Program:
Core Services Assurances:
Operation will conform to the provisions of the Plan;
Operation will conform to State rules;
Core Services Program Services, provided or purchased, will be accessible to children and
their families who meet the eligibility criteria set forth in Rule Manual Volume 7, at 7.303;
Operation will not discriminate against any individual on the basis of race, sex, national origin,
religion, age or mental/physical disability who applies for or receives services through the
Core Services program;
Services will recognize and support cultural and religious background and customs of children
and their families;
Out-of-state travel will not be paid for with Core Services funds;
All forms used in the completion of the Core Services Plan will be State prescribed or State
approved forms;
Core FTE/Personal Services costs authorized for reimbursement by the State Department will
be used only to provide the direct delivery of Core Services;
The purchase of services will be in conformity with State purchase of service rules including
contract form, content, and monitoring requirements;
Core Services Program expenditures will not be reimbursed when the expenditures may be
reimbursed by some other source. (Set forth in Rule Manual Volume 7, at 7.414,B);
Information regarding services purchased or provided will be reported to the State Department
for program, statistical and financial purposes;
All providers of Core Services (through purchase of service contracts) must be registered with
the Colorado Department of Regulatory Agencies (DORA). The provision of Life Skills is the
only exception to this mandate;
County staff are responsible for monitoring their Program provider payments and for ensuring
the county and providers are following all statutory and regulatory requirements;
All Core Services are made available, based on need of each child/youth/family; and
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
• All contracts for services using Core Services Program funding will include all of the required
language of the attached contract template.
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
CORE SERVICES TO BE PROVIDED/PURCHASED
List below "County Designed Service" that will be provided/purchased. Please indicate which, if any,
of the County Designed Service are provided through the Evidenced Based Services to Adolescents
earmarked funding:
• Prevention Services Program
• Crisis Intervention and Stabilization Services (Various providers)
• Mental Health in Schools
• Functional Family Therapy (FFT) (Various providers) (Evidenced Based Services to Adolescents)
• Foster Parent Consultation (Various providers)
• High Fidelity Wraparound Services
• Kinship Consultation and Support (Therapeutic Kinship Services)
• Mediation (Various providers)
• Mentoring (Various providers)
• Mental Health Navigator Program
• Multi -Systemic Therapy (MST) (Various providers) (Evidenced Based Services to Adolescents)
• Nurse Consultation (Nurturing Program)
• Post Permanency Services
• Role Model Mentoring (Child Mentoring and Family Support)
• Teamwork, Innovation, Growth, Hope and Training (TIGHT) (Evidenced Based Services to
Program Area Three - PA3 Services - Prevention/Intervention Services
If your county submitted a Program Area Three (PA3) Plan last fiscal year, and you wish to continue
providing PA3 services using Core Services Program funding, please check the box below;
® Yes, our county wishes to continue offering PA3 services using Core Services Program funding.
If your county has not submitted a Program Area Three (PA3) Plan, and you wish to provide PA3
services, please complete and submit the PA3 Plan Addendum attached.
Funding for Evidenced Based Services to Adolescents
If the county received funding for evidenced based services to adolescents, and is requesting the
funding to continue to receive the same funding for the same expansion or created of the evidenced
based county designed program to adolescents, please indicate that above, as well as on the Core Plan
under County Designed.
1575 Sherman St., Denver, Co 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Bames, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
CORE SERVICES COUNTY DESIGNED SERVICE
Service Name: Prevention Services Program
Optional services approved as a part of the county's Core Services Plan are approved on an annual basis.
For a County Designed Service to be extended beyond one year, this portion of the plan must be submitted
and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to provide
detailed information as outlined below. The information listed below is to be completed for each County
Designed Service and included in the County(ies)' Core Services Program Plan.
1. Describe the service and components of the service; define the goals of the program.
The Prevention Services Program is a county -wide intensive case management system to meet
the needs of families at risk of involvement with child welfare or youth services.
Specific Family Services are developed to incorporate access to existing community services
and the development of new service alternatives to address
Drug and alcohol concerns
Mental and behavioral health needs
Mediation and/or mentoring needs
Educational and employment concerns
Truancy concerns
Juvenile delinquency behavior
Parenting education and support
Developmental needs
Barriers to stable income and housing
Services include comprehensive and individualized case management and may include
psychosocial groups that focus on preventive education and support.
2. Indicate if a new Trails service detail is necessary for this County Designed Program or that the
service detail is already an option in Trails.
3. This service detail is currently available through existing Program Area 3 Prevention Services.
Define the eligible population to be served.
The eligible population for these services will include
- Families who are not involved with an open PA4 Youth Services, PA5 Child Protection or
PA6 Youth In Transition Case with children or youth currently in school if 18who are at
1575 Sherman St., Denver, Co 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
risk of child welfare or youth services involvement and who agree to intervention that
focuses on the family unit, as well as the needs and aspirations of the family.
- Families who meet the rules and requirements specific funding stream utilized.
4. Define the time frame of the service.
- Individual participation time frames will vary based on the family's level of involvement
with Weld County and their specific needs.
5. Define the workload standard for the program:
• number of cases per worker, up to 35 active cases
• number of workers for the program, There are currently six (6) Community
Case Managers, and
• worker to supervisor ratio. 8:1 is the current ratio
6. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see
7.303.17 for guidelines.
- At a minimum, Qualified Full Time Employees (FTEs) must have a Bachelor's degree or
higher, complete and maintain CDHS caseworker certification, and complete the
Strengthening Families' Protective Factors Framework training.
7. Define the performance indicators that will be achieved by the service, see 7.303.18.
At a minimum, The Prevention Services Program will
Whenever possible, prevent families who are at risk of child welfare involvement who are
willing and open to services from penetrating the child welfare system or having a youth
become adjudicated through the juvenile justice system.
Successfully reduce high cost services, such as out -of -home placement, detention, or Division
of Youth Services (DYS) commitment.
Keep families together through a better utilization of existing community resources to avoid
the opening of a case in the child welfare or juvenile justice system.
Increase families' protective factors.
8 Identify the service provider.
- Weld County Staff
9. Define the rate of payment (e.g., $100.00 per session/episode).
- $7085.00/Month per FTE
- $7567.21 /Month per FTE (Weld County Public Health Department)
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
Service Name: Crisis Intervention and Stabilization Services
Optional services approved as a part of the county's Core Services Plan are approved on an annual basis.
For a County Designed Service to be extended beyond one year, this portion of the plan must be submitted
and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to provide
detailed information as outlined below. The information listed below is to be completed for each County
Designed Service and included in the County(ies)' Core Services Program Plan.
1. Describe the service and components of the service; define the goals of the program.
Crisis Intervention and Stabilization Services will provide immediate in-person/in-home
response to families, youth and children, in crisis, 24 hours a day, seven (7) days a week. A
"crisis" is further defined as a situation or circumstance, usually acute (recent) in nature, which
breaks down the normal functioning of an individual and/or family, and results in the inability
of the individual and/or family to resolve the crisis through normal coping behaviors, or without
immediate intervention.
The primary goal of the services is to prevent out -of -home placement of youth and/or child(ren)
and provide families with the services they need to maintain their youth and/or child(ren) in
their home. Services may also be used for crises occurring during reunification.
2. Indicate if a new Trails service detail is necessary for this County Designed Program or that the
service detail is already an option in Trails.
The service detail already exists in Trails ("Crisis Intervention").
3. Define the eligible population to be served.
The eligible population for these services will include:
Families with open Program Area 3, 4, 5 or 6 cases with Weld County.
Children (and their families) identified as eligible for Core Services based on their
imminent risk of out -of -home placement due to one or more factors as defined in Volume 7.
4. Define the time frame of the service.
Individual participation off amities will vary based on the referred family's level of
involvement with Weld County, and their specific needs. Initial services will be immediate
with follow-up occurring for 45-60 days.
5. Define the workload standard for the program:
• number of cases per worker, five (5)- seven (7) cases per clinician at any one
time
• number of workers for the program, and
Number of workers varies as needed
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Bames, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
• worker to supervisor ratio. <6:1
6. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see
7.303.17 for guidelines.
Qualified Crisis Intervention staff will have a Bachelor's degree or higher and demonstrate the
knowledge, training and expertise to conduct Crisis Intervention and Stabilization Services.
Service provider will also be familiar with Trauma Informed Care principles and practices.
7. Define the performance indicators that will be achieved by the service, see 7.303.18.
At a minimum, Crisis Intervention and Stabilization Services will:
- Help prevent out -of -home placement of youth and/or child(ren)
- Provide families with the services they need to maintain their youth and/or child(ren) in
their home.
- Provide families with the services they need to continue the reunification process with
their youth and/or child(ren) in their home.
8. Identify the service provider.
- Various Providers
9. Define the rate of payment (e.g., $100.00 per session/episode).
$55/Hour
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
CORE SERVICES COUNTY DESIGNED SERVICE
Service Name: Mental Health in Schools
Optional services approved as a part of the county's Core Services Plan are approved on an annual basis.
For a County Designed Service to be extended beyond one year, this portion of the plan must be submitted
and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to provide
detailed information as outlined below. The information listed below is to be completed for each County
Designed Service and included in the County(ies)' Core Services Program Plan.
1. Describe the service and components of the service; define the goals of the program.
Mental Health in School services students with emotional disabilities and students on the autism
spectrum in grades 6-12. Students with emotional disabilities and students on the autism
spectrum will receive services in separate classrooms set up specifically for their needs.
Each student shall:
Receive individual or dyad -based "tutorial" sessions in English/Language Arts, Math and
Reading based upon their skill level, as well as their individual learning pace and style.
Receive a minimum of three (3) sessions daily with the student, teacher and/or teaching
assistant to provide direct instruction, review material, reinforce skill development, and
prepare for an exhibition, test or mastery -of -material assessment.
Rotate through independent work, teacher -directed tutorials, technology -based activities
and small group reinforcement sessions.
Receive curriculum aligned with the Common Core Standards.
Receive individual and/or group counseling as prescribed by the student's Individualized
Education Program (IEP).
Model for Students with Autism. Each student shall participate in:
Discrete Trail Training (DTT): An intensive 1:1 where students are engaged in trails of
demands which focus on expanding the repertoire of language development.
Social Skills Lab: A small group opportunity for social skills application utilizing an
interactive activity that requires them to use greetings, requesting, and sharing skills in
order to complete the activity.
Independent Play and Leisure: An independent station that allows students to engage in an
age -appropriate item for a set duration of time to increase their ability to learn a variety of
functionalities and maintain independence.
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
Natural Environment Teaching (NET): A small group setting in which students have an
opportunity to practice their greetings, requesting, sharing, play, and leisure skills to use in
a less contrived setting.
Activity Schedules: An activity that requires students to independently complete visual
performance and fine motor tasks when guided by a visual schedule in order to prepare
students for an academic or workplace setting.
Life Skills: An individualized plan of skills that focuses on everyday functional activities to
increase successful home and community generalization.
Motor Lab: A sequence of progressive skills, which increase fine and gross motor abilities.
Services Shall also include:
Development, implementation and tracking of Individualized Education Plan 9.
Personalized, tutorial -based target and interactive instructional approaches to meet all
student IEP goals provided by one certified teacher and instructional aide per classroom.
Classroom utilization of technology to supplement teacher -guided instruction. Classroom
desktop computers are equipped with word recognition and speech -to -text software, and
AlphaSmart keyboards. iPads and large screen calculators are provided as necessary.
An intensive behavior modification system designed to minimize classroom disruptions and
maximize learning is implemented, supported by positive reinforcement techniques and
student incentives.
Social skills' training is infused throughout the school day, to teach students the aptitudes
and self-confidence needed to function well interpersonally and interpersonally.
A flexible curriculum, focused on holistically educating challenging students while
conforming to the home district's unique curriculum and instruction standards, is utilized.
Renaissance Learning STAR Assessments are used to both monitor progress and inform daily
instruction.
An expansive array of transition services is provided, including the use of a Transition
Planning Inventory; training in financial independence/management and the use of
transportation resources; the development of good work habits; community involvement
for the purposes of career readiness, exposure to occupations/industries, and volunteer
activities; and exploration of and preparation for postsecondary educational opportunities.
End -of -year outcome measurements relating to pre -and post -text academic achievement,
attendance, behavioral level summary, standardized test scores, and positive trends
working LRE and IEP progress are provided to referral entity.
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
2. Indicate if a new Trails service detail is necessary for this County Designed Program or that the
service detail is already an option in Trails.
This service detail already exists in Trails (Mental Health Services)
3. Define the eligible population to be served.
Students in grades 6-12, with emotional disabilities and/or students on the autism spectrum,
who are at risk of out -of -home placement.
4. Define the time frame of the service.
Monday through Friday, 8:30 a.m. - 3 p.m.
5. Define the workload standard for the program:
• number of cases per worker,
Teacher to Student Ratio = 1:2.5
• number of workers for the program, and
Varies on need
• worker to supervisor ratio.
<6:1
6. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see
7.303.17 for guidelines.
Bachelor's Degree or higher in a related field with demonstrated teaching experience and
credentialing.
7 Define the performance indicators that will be achieved by the service, see 7.303.18.
A minimum of 93% of students will transition successfully to their mainstream home school
environment (if applicable).
All Students will:
Acquire academic skills in reading and writing.
Acquire skills in obtaining and managing information, solving problems, thinking critically,
and communicating effectively.
Acquire specific information concerning the principles of the physical and biological
sciences.
Understand specific events and the broader context of social studies, the historical record
of human achievements and failures, and current social issues.
Become effective and responsible contributors to the political decision -making processes
of the community, state, country and world.
Play a greater role in his/her educational environment.
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
Acquire awareness of career opportunities and to acquire knowledge necessary for further
education.
Acquire an understanding of and the ability to form responsible relationships with a wide
range of people.
Acquire the capacities for playing satisfying and responsible roles in family life.
Acquire the knowledge, habits, and attitudes that promote personal and public health,
both physical and mental.
Acquire the ability and the desire to express himself/herself creatively in one or more of
the arts, as well as in other education disciplines, and to appreciate the creative
expressions of other people.
Develop an understanding his/her own worth, abilities, potential, and limitations.
Enjoy the process of learning and acquire skills necessary for a lifetime of continuous
learning and adaptation to change.
8. Identify the service provider.
Centennial BOCES DBA Sierra School of Weld County
9. Define the rate of payment (e.g., $100.00 per session/episode).
$73.00/Day (Therapeutic Costs)
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID. C93C41C6-85FB-4907-92C1-BFA81335FF5E
CORE SERVICES COUNTY DESIGNED SERVICE
Service Name: Functional Family Therapy (FFT)
Optional services approved as a part of the county's Core Services Plan are approved on an annual basis.
For a County Designed Service to be extended beyond one year, this portion of the plan must be submitted
and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to provide
detailed information as outlined below. The information listed below is to be completed for each County
Designed Service and included in the County(ies)' Core Services Program Plan.
1. Describe the service and components of the service; define the goals of the program.
Functional Family Therapy (FFT) is an intensive family -based treatment that addresses the
pervasive patterns of relational dysfunction known to be determinants of conduct disorder,
violent acting out, and substance abuse among youth 10-18 years of age. FFT address the
multiple factors known to be related to delinquency and therefore strives to enhance both the
safety of the youth and family directly receiving FFT services as well as the safety of the greater
community in which the youth resides.
2. Indicate if a new Trails service detail is necessary for this County Designed Program or that the
service detail is already an option in Trails.
The service detail already exists in Trails (Functional Family Therapy).
3. Define the eligible population to be served.
The target population for this service is youth ages 10-18 who are conduct disordered, violent
or have issues with substance abuse, and are a risk of out -of -home placement. Youth must
meet Core Services criteria as identified in Volume 7.
4. Define the time frame of the service.
The average length of services is two (2) to five (5) months which can be lengthened for youth
deemed appropriate for extended services.
5. Define the workload standard for the program:
number of cases per worker,
North Range Behavioral Health (NRBH): 16, Savio :8-10
number of workers for the program, and
NRBH: 4, Savio: 3 (FT), 2 (PT)
worker to supervisor ratio.
NRBH: 4:1, Savio: 7:1
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
6. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see
7.303.17 for guidelines.
FFT therapists are Master's level clinicians or equivalent. All therapists have completed the
nationally recognized FFT training program and strictly adhere to the accepted program
model.
7 Define the performance indicators that will be achieved by the service, see 7.303.18.
"Family Conflict Management". The family shall demonstrate capacity to resolve conflicts
and disagreements contributing to child maltreatment, running away, status offenses and
delinquent behavior.
"Parental Competency". "Caregivers/parents will show ability to maintain sound
relationships with the children placed in the home and provider care, nutrition, hygiene,
discipline, protection, instructions, and supervision.
"Personal and Individual Competency". Families will show awareness in terms of self-
esteem, victim awareness, peer relationships enhancement, establishing appropriate
physical and emotional boundaries, demonstrating assertive behavior and assuming
responsibility for one's own behavior.
8. Identify the service provider.
North Range Behavioral Health
Savio
9. Define the rate of payment (e.g., $100.00 per session/episode).
NRBH: $700/Month (FFT)
$1200/Month (FFT-CW)
Savio $1,000-1,300/Month (FFT-Various Levels)
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
CORE SERVICES COUNTY DESIGNED SERVICE
Service Name: Foster Parent Consultation (Foster Care/Adoption Support)
Optional services approved as a part of the county's Core Services Plan are approved on an annual basis.
For a County Designed Service to be extended beyond one year, this portion of the plan must be submitted
and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to provide
detailed information as outlined below. The information listed below is to be completed for each County
Designed Service and included in the County(ies)' Core Services Program Plan.
1. Describe the service and components of the service; define the goals of the program.
This program provides foster care consultative services in the areas of (1) consultation and
foster parent support specific to a child placed in the home, (2) mandated corrective action
consultation specific to a child placed in the home, and (3) mandated critical care consultation
specific to a child placed in the home. Through consultation, foster care children are being
maintained in the lowest level of care and least restrictive setting when out -of -home placement
is necessary.
2. Indicate if a new Trails service detail is necessary for this County Designed Program or that the
service detail is already an option in Trails.
The service detail already exists in Trails.
3. Define the eligible population to be served.
These services are open to any child placed in a Weld County foster home.
4. Define the time frame of the service.
Foster children are referred for the service through the assigned County Foster Care
Coordinator. Duration is initially three (3) months with the option to review the service for
renewal through the staffing team.
5. Define the workload standard for the program:
• number of cases per worker,
The number of cares per worker varies and is dependent upon the
availability of the provider and the need for services at any given time.
• number of workers for the program, and
Varies on Need
• worker to supervisor ratio.
1:1
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Bames, Executive Director
DocuSign Envelope ID: C93C4106-85FB-4907-92C1-BFA81335FF5E
6. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see
7.303.17 for guidelines.
Master's level clinician, or higher, with extensive experience and training in the area of foster
care and Child Welfare.
7. Define the performance indicators that will be achieved by the service, see 7.303.18.
"Family Conflict Management". The foster family shall demonstrate capacity to resolve
conflicts and disagreements contributing to child maltreatment, running away, status
offenses and delinquent behavior.
"Parental Competency". Foster parents will show ability to maintain sound relationships
with the children placed in the home and provider care, nutrition, hygiene, discipline,
protection, instructions, and supervision.
"Academic, Behavioral and Emotional Competency". Children involved in school or day
treatment settings will demonstrate ability to meet school requirements, to control
behavior, and to control and communicate feelings.
8. Identify the service provider.
Various Providers
9. Define the rate of payment (e.g., $100.00 per session/episode).
Varies $100-$150 an hour
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID C93C41C6-85FB-4907-92C1-BFA81335FF5E
CORE SERVICES COUNTY DESIGNED SERVICE
Service Name: High -Fidelity Wraparound Services
Optional services approved as a part of the county's Core Services Plan are approved on an annual basis.
For a County Designed Service to be extended beyond one year, this portion of the plan must be submitted
and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to provide
detailed information as outlined below. The information listed below is to be completed for each County
Designed Service and included in the County(ies)' Core Services Program Plan.
Describe the service and components of the service; define the goals of the program.
The High -Fidelity Wraparound (HFW) Program is an intensive, team -based, person -centered
service that provides coordinated, family -driven care to meet the complex needs of children
and adolescents who are involved with multiple systems who have mental and behavioral
health, neurobiological, and/or substance use problems and may be at risk for high levels of
care and/or out -of -home placement. HFW is a service that; facilitates care planning and
coordination of services for children and adolescents, provides access to support to promote
engagement and completion of services, engages youth and families to establish an
individualized child and family team that develops and monitors a strengths -based plan of
care, and addresses youth and family needs across domains of physical and behavioral health,
social determinants of health, and natural supports.
2. Indicate if a new Trails service detail is necessary for this County Designed Program or that the
service detail is already an option in Trails.
This service detail is currently available through existing Program Area 3 Prevention Services,
Program Area 4 Youth in Conflict, Program Area 5 Children in Need of Protection, or Program
Area 6 Adoption Cases.
3. Define the eligible population to be served.
Children and adolescents who are involved with multiple systems (e.g. mental health, child
welfare, juvenile/criminal justice, education, community centered boards), who have mental
and behavioral health, neurobiological, and/or substance use problems and may be at risk for
high levels of care and/or out -of -home placement, or are aging out of DHS care.
4. Define the time frame of the service.
Participation in the HFW Program is voluntary and can be accessed as many times as
necessary throughout the lifetime of the child(ren).
5. Define the workload standard for the program:
1575 Sherman St., Denver, Co 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Bames, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
• number of cases per worker,
Wraparound Facilitators can be assigned up to 10 families.
• number of workers for the program, and
Four (4) FTE
• worker to supervisor ratio.
4:1
6. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see
7.303.17 for guidelines.
Wraparound Facilitators must have successful completion of a bachelor's degree in a human
behavioral science field or other appropriately related field. They must possess Colorado
Caseworker Certification or obtain it within first 12 months of employment, and they must
possess Colorado Wraparound Facilitator Credentialing or obtain it within first 12 months of
employment.
7 Define the performance indicators that will be achieved by the service, see 7.303.18.
Throughout this process, the child(ren) or adolescents and their parent(s)/caregiver(s)
develop skills in the following:
"Family Conflict Management": The family shall demonstrate capacity to resolve conflicts
and disagreements contributing to child maltreatment and delinquent behavior.
"Parental Competency": Parents will show ability to provide appropriate care and maintain
sound relationships with their children.
"Resources Access Competency": Parents will demonstrate ability to obtain help when
needed.
"Personal and Individual Competency": Families will show awareness in terms of self-
esteem, victim awareness, management of one's own history and assuming
responsibility for one's own behavior.
"Competence in Maintaining Sobriety": Household members will be able to maintain
sobriety and/or develop relapse prevention planning
8. Identify the service provider.
Family Resource Division's Wraparound Facilitators
9. Define the rate of payment (e.g., $100.00 per session/episode).
$491,416/Year (Four (4) Wraparound Facilitators and one Supervisor).
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
CORE SERVICES COUNTY DESIGNED SERVICE
Service Name: Kinship Consultation and Support
Optional services approved as a part of the county's Core Services Plan are approved on an annual basis.
For a County Designed Service to be extended beyond one year, this portion of the plan must be submitted
and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to provide
detailed information as outlined below. The information listed below is to be completed for each County
Designed Service and included in the County(ies)' Core Services Program Plan.
1. Describe the service and components of the service; define the goals of the program.
This program provides kinship consultative services in the areas of (1) consultation and kinship
parent support specific to a child placed in a kinship home, (2) corrective consultation specific
to a child placed in a kinship home, and (3) critical care consultation specific to a child placed
in a kinship home. Through consultation, children placed in kinship care are being maintained
in the lowest level of care and the least restrictive setting when out of home placement is
necessary.
2. Indicate if a new Trails service detail is necessary for this County Designed Program or that the
service detail is already an option in Trails.
The service detail already exists in Trails (Therapeutic Kinship Services)
3. Define the eligible population to be served.
The population served is any child placed in a Weld County kinship home.
4. Define the time frame of the service.
Kinship children are referred for the service through the assigned Kinship Care Coordinator.
Duration is initially three (3) months with the option to review the service for renewal
through the staff Ing team.
5. Define the workload standard for the program:
• number of cases per worker,
40-50 Cases
• number of workers for the program, and
Four (4) Kinship Coordinators
One (1) FTE Supervisor
• worker to supervisor ratio.
• 4:1
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
6. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see
7.303.17 for guidelines.
The Kinship Care Coordinators must have a Bachelor's degree in Social Work and one year of
professional casework experience acquired after the degree in a public or private social
services agency or a Master's degree in Social Work.
7. Define the performance indicators that will be achieved by the service, see 7.303.18.
Family Conflict Management: The kinship family shall demonstrate capacity to resolve
conflicts and disagreements contributing to child maltreatment, running away, status
offenses and delinquent behavior.
Parental Competency: Kinship parents will show the ability to maintain sound relationships
with the children placed in the home and provide care, nutrition, hygiene, discipline,
protection, instructions and supervision.
Academic, Behavioral and Emotional Competency: By supporting kinship providers,
children will remain in a stable placement and therefore be able to demonstrate the
ability to meet school requirements, to control behavior and to control and communicate
feelings.
8. Identify the service provider.
Weld County Kinship Coordinators
9. Define the rate of payment (e.g., $100.00 per session/episode).
$472, 800.00/Year
- Supervisor ($110,900.00)
- Four (4) Kinship Care Coordinators ($361,900.00)
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Bames, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
CORE SERVICES COUNTY DESIGNED SERVICE
Service Name: Mediation
Optional services approved as a part of the county's Core Services Plan are approved on an annual basis.
For a County Designed Service to be extended beyond one year, this portion of the plan must be submitted
and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to provide
detailed information as outlined below. The information listed below is to be completed for each County
Designed Service and included in the County(ies)' Core Services Program Plan.
1. Describe the service and components of the service; define the goals of the program.
Mediation serves as a means to assist parties in reaching successful agreements on various issues
that will help progress their case and limit litigation.
When possible, mediation will assist parties to reach agreements that can advance the case
and reduce litigation.
If full agreements cannot be reached by the participating parties, mediation will aid in
bringing the parties closer to resolution, which can limit the issues in Court and provide the
foundation for a better working relationship among the parties.
2. Indicate if a new Trails service detail is necessary for this County Designed Program or that the
service detail is already an option in Trails.
The service detail already exists in Trails ("Mediation").
3. Define the eligible population to be served.
Families with open Program Area 3, 4, 5 or 6 cases with Weld County.
Children (and their families) identified as eligible for Core Services based on their
imminent risk of out -of -home placement due to one or more factors as defined in Volume
7.
Collaterals within the community for the purpose of developing effective treatment and
prevention plans for children and/or families.
4. Define the time frame of the service.
Individual participation of families will vary based on the referred family's level of
involvement with Weld County, and their specific needs. Potential timeframes may range
from two (2) to four (4) hours per scheduled mediation session.
5. Define the workload standard for the program:
• number of cases per worker,
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
Up to six (6) mediations per month
• number of workers for the program, and
• worker to supervisor ratio.
1:1
6. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see
7.303.17 for guidelines.
Service provider must be an attorney -at -law in good standing with extensive experience
and/or training in mediation, Dependency and Neglect and Family Law. Service provider must
agree to accept calls directly from the Court to schedule mediations as needed.
7. Define the performance indicators that will be achieved by the service, see 7.303.18.
- Mediation will assist parties to reach agreements that can advance the case and reduce
litigation.
- Mediation will aid in bringing the parties closer to resolution, which can limit the issues in
Court and provide the foundation for a better working relationship among the parties.
8. Identify the service provider.
Julie A. Scroggins, Attorney -at -Law
9. Define the rate of payment (e.g., $100.00 per session/episode).
$250.00 per hour
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Bames, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
CORE SERVICES COUNTY DESIGNED SERVICE
Service Name: Mentoring
Optional services approved as a part of the county's Core Services Plan are approved on an annual basis.
For a County Designed Service to be extended beyond one year, this portion of the plan must be submitted
and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to provide
detailed information as outlined below. The information listed below is to be completed for each County
Designed Service and included in the County(ies)' Core Services Program Plan.
1. Describe the service and components of the service; define the goals of the program.
One-on-one mentoring to guide and teach youth to make positive choices, support goals as
defined by the referral source, and prevent out -of -home placement or involvement/further
involvement in the juvenile justice system.
Services will include:
Connecting youth and family with resources in the area of parenting, pregnancy, mental
health concerns, drug and alcohol treatment, and alternative educational opportunities.
Advocating for youth ad teaching youth accountability and responsibility for behaviors.
Teaching youth skills which foster independence such as job skills, goal setting, and
development.
Assisting youth in identifying alternative outlets for self-destructive behavior, as well as
assessing risks and developing plans to make positive choices in difficult situations.
Engaging the youth in pro -social activities, interests and plans which promote a positive self-
image and expand upon those experiences to increase positive peer associations.
Assisting youth with compliance of system expectations including probation, community
service, electronic home monitoring, court appearances, school attendance, and other
requirements.
Encouraging youth to participate in recommended programs, such as therapy, as well as
processing any barriers to participation.
Providing youth with opportunities and discussion to strengthen self-esteem,
communication skills, and coping strategies while building hope and intermediary steps
towards long-term goals.
Guiding youth to increase communication with parents and adult supports through
utilization of positive resources.
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
2. Indicate if a new Trails service detail is necessary for this County Designed Program or that the
service detail is already an option in Trails.
The service detail already exists in Trails ("Mentoring").
3. Define the eligible population to be served.
Children and youth, age five (5) to 18, who are at risk of out -of -home placement.
4. Define the time frame of the service.
A minimum of one (1) time per week for up to six (6) months.
5. Define the workload standard for the program:
• number of cases per worker,
Two (2) to Three (3) cases at any given time
• number of workers for the program, and
One (1)
• worker to supervisor ratio.
1:1
6. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see
7.303.17 for guidelines.
Bachelor's Degree or higher in a related field with demonstrated youth mentoring experience
and/or credentialing and complete the Strengthening Families "Protective Factors
Framework.
7 Define the performance indicators that will be achieved by the service, see 7.303.18.
Youth will demonstrate progress towards goals as defined by the referral source. This may
include increased attendance at school, improved personal hygiene, securing
employment, or other demonstrated progress as it relates to the specific goals of the
referred youth.
85% of the youth who successfully discharge from services will continue to reside at home,
or in a least restrictive setting, and will have not entered the juvenile justice system at
the time of discharge.
8. Identify the service provider.
Various Providers
9. Define the rate of payment (e.g., $100.00 per session/episode).
$65-70/Hour
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Bames, Executive Director
DocuSign Envelope ID. C93C41C6-85FB-4907-92C1-BFA81335FF5E
CORE SERVICES COUNTY DESIGNED SERVICE
Service Name: Mental Health Navigator Program
Optional services approved as a part of the county's Core Services Plan are approved on an annual basis.
For a County Designed Service to be extended beyond one year, this portion of the plan must be submitted
and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to provide
detailed information as outlined below. The information listed below is to be completed for each County
Designed Service and included in the County(ies)' Core Services Program Plan.
1. Describe the service and components of the service; define the goals of the program.
Mental Health Navigators are highly trained and licensed staff who assist families and
caseworkers in navigating through the Mental Health System and Medicaid process. They
provide mental health clinical expertise and oversight to assist caseworkers in accurately
assessing factors contributing to intrapsychic, social and/or family dysfunction of children/
youth and their families. They complete mental health assessments and written reports on
children in the custody of Weld County using standardized assessment instruments including
the CANS on youth at risk of out -of -home placement to determine the appropriate level of care.
The Navigators meet with families in person when possible or via phone call to best understand
their needs and determine where in the process their services might be within the Medicaid
system. They then coordinate with the Regional Accountable Entities (RAE) to work on best
service options for those families. They also appeal decisions if the county disagrees with a
determination or if the family disagrees and walks them through the process working in the
best interest of the child.
2. Indicate if a new Trails service detail is necessary for this County Designed Program or that the
service detail is already an option in Trails.
A new Trails Service Detail needs to be created.
3. Define the eligible population to be served.
The population served are all families who are either entering the child welfare system or
who have been in the child welfare system with an open case and who have need of
assistance for navigation of the mental health system. There are also times the Navigators
assist with PA 3 prevention cases to prevent a family from coming into the child welfare
system.
4. Define the time frame of the service.
Services may be provided up to 18 months.
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Bames, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
5. Define the workload standard for the program:
• number of cases per worker,
15-20 Cases
• number of workers for the program, and
Two (2) Mental Health Navigators
.3 FTE Supervisor
• worker to supervisor ratio.
3:1
6. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see
7.303.17 for guidelines.
The Mental Health Navigators must have a Master's level degree in Social Work, Psychology or
a related field. In addition, the Mental Health Professional must be a Licensed Professional
Counselor, Licensed Clinical Social Worker, Licensed Marriage and Family Therapist or
Licensed Psychologist and have five years full-time work experience as a Social Worker, Case
Worker or Mental Health Counselor.
7. Define the performance indicators that will be achieved by the service, see 7.303.18.
The Mental Health Navigators enhance the ability for parents and children to access
mental health services in a timely manner by helping them to navigate the mental health
system, assisting with the Medicaid process and assessing the type of mental health service
that is most appropriate to meet the needs of the parents and children.
Parental Competency: Appropriate mental health services will increase parental
competency and personal and individual competency. As parents access treatment to
address their mental health concerns, they will be more likely to build and maintain sound
relationships with their children and provide appropriate care.
Personal and Individual Competency: As parents engage in mental health services to
address trauma, prior victimization and self-esteem issues, they are better equipped to
establish physical and emotional boundaries for themselves and their children and assume
responsibility for their behavior. Children who access mental health treatment will
develop healthy self-esteem and the skills necessary to positively interact with family and
peers while maintaining physical and emotional safety for themselves.
8. Identify the service provider.
Weld County Mental Health Navigators
9. Define the rate of payment (e.g., $100.00 per session/episode).
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Bames, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
$213,580.00/Year
- 20% Supervisor ($19,980.00/Year)
- Three (3) FT Mental Health Navigators ($290,400.00/Year)
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
CORE SERVICES COUNTY DESIGNED SERVICE
Service Name: Multisystemic Therapy (MST)
Optional services approved as a part of the county's Core Services Plan are approved on an annual basis.
For a County Designed Service to be extended beyond one year, this portion of the plan must be submitted
and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to provide
detailed information as outlined below. The information listed below is to be completed for each County
Designed Service and included in the County(ies)' Core Services Program Plan.
1. Describe the service and components of the service; define the goals of the program.
Multisystemic Therapy (MST) is a nationally recognized evidence, family and community -based
program model that focuses on chronic juvenile offenders, ages 12 and 17, who have extensive
criminal histories. MST therapists work closely with families in their home to assist the youth
and family in controlling the youth's behaviors, maintaining focus on school, engaging in pro -
social activities, and obtaining job skills. The program utilizes Cognitive Behavioral Therapy,
behavior management training, family therapy and community -based resources.
2. Indicate if a new Trails service detail is necessary for this County Designed Program or that the
service detail is already an option in Trails.
The service detail already exists in Trails ("Multisystemic Therapy").
3. Define the eligible population to be served.
The target population for this service is youth ages 12-17 with antisocial behavior and who
have extensive criminal histories. Youth must meet Core Services criteria as identified in
Volume 7.
4. Define the time frame of the service.
The average length of services is two (2) to five (5) months which can be extended for youth
deemed appropriate for extended services.
5. Define the workload standard for the program:
• number of cases per worker,
NRBH: 6, Savio: 4-5
• number of workers for the program, and
NRBH:4, Savio 4
• worker to supervisor ratio.
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
NRBH: 4-1, Savio: 4-1
6. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see
7.303.17 for guidelines.
MST therapists are Master's level clinicians or equivalent. All therapist have completed the
nationally recognized MST training program and strictly adhere to the accepted program
model.
7. Define the performance indicators that will be achieved by the service, see 7.303.18.
- The family shall demonstrate capacity to resolve conflicts and disagreements and show
awareness and responsibility for one's behavior.
- Parents will show ability to maintain sound relationships with their children.
8. Identify the service provider.
North Range Behavioral Health (NRBH)
Savio
9. Define the rate of payment (e.g., $100.00 per session/episode).
NRBH: $1,8000.00/Month (Multisystemic Therapy)
Savio: $1,794.00-3,237.00/Month (Multisystemic Therapy - Various Levels)
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Bames, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
CORE SERVICES COUNTY DESIGNED SERVICE
Service Name: Nurse Consultation Program
Optional services approved as a part of the county's Core Services Plan are approved on an annual basis.
For a County Designed Service to be extended beyond one year, this portion of the plan must be submitted
and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to provide
detailed information as outlined below. The information listed below is to be completed for each County
Designed Service and included in the County(ies)' Core Services Program Plan.
1. Describe the service and components of the service; define the goals of the program.
As part of the Nurse Consultation Program, the nurse will:
Be available to accompany caseworkers on home visits to assess medical, environmental and
psychosocial needs as appropriate
Provide care management, monitoring, education, basic nursing interventions such as
medication administration, setting up medication boxes and other needed interventions
Provide services in -home as applicable and promptly and appropriately respond to any
medical issues that arise during the provision of services
Provide education and training for caregivers to include, but not limited to, basic daily care
skills, medical equipment usage and maintenance, medical/behavioral health monitoring
and other areas specific to the medical needs of the child
Continually assess foster parents' or caregivers' capacity to appropriately care for the
child's needs to keep the child safe and enhance child's well-being
Participate in Family Team Meetings to provide medical expertise as requested
Assist in the development of the treatment plan goals and services for medically fragile
children and their families
2. Indicate if a new Trails service detail is necessary for this County Designed Program or that the
service detail is already an option in Trails.
Nurturing Program
3. Define the eligible population to be served.
The population served are high risk infants and children who have high medical needs and
their families who have an open Child Welfare case.
4. Define the time frame of the service.
Services may range from a one-time intervention up to 6 months of intensive services.
5. Define the workload standard for the program:
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
• number of cases per worker,
One (1) FTE Nurse, 15-20 Cases
• number of workers for the program, and
One (1) FTE Nurse
• worker to supervisor ratio.
1:1
6. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see
7.303.17 for guidelines.
The Nurse will have a minimum of a bachelor's degree. Specialized training will include child
abuse and neglect, motivational interviewing, counseling regarding risk reduction for use of
alcohol, drugs and tobacco and knowledge of early childhood development and other
emotional and health related needs.
7 Define the performance indicators that will be achieved by the service, see 7.303.18.
This service will be provided by Nurses from community partners.
The Nurse will help families to achieve elements A through G set forth in 7.303.18. In
addition to these elements, this service will help children achieve permanency more quickly,
shorten length of stay in placement and prevent out of home placement. The Nurse
Consultation Program will be evaluated on the following measure:
At least 95% of children who are in home with nurse involvement should remain home
At least 90% of the children in Weld County Foster homes who have nurse involvement
should maintain placement or return home
100% of the prevention cases the nurse is involved with will not enter child
welfare anytime during the nurse engagements
90% of children in Weld County Foster homes who returned home and had nurse
involvement will not re-enter placements
8. Identify the service provider.
This service will be provided by Nurses from community partners.
9. Define the rate of payment (e.g., $100.00 per session/episode).
Payment is made based on the number of hours provided each month as a fee for service
contract or one (1) FTE nurse salary. Total amount not to exceed $140,000.
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
CORE SERVICES COUNTY DESIGNED SERVICE
Service Name: Post Permanency Services
Optional services approved as a part of the county's Core Services Plan are approved on an annual basis.
For a County Designed Service to be extended beyond one year, this portion of the plan must be submitted
and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to provide
detailed information as outlined below. The information listed below is to be completed for each County
Designed Service and included in the County(ies)' Core Services Program Plan.
6. Describe the service and components of the service; define the goals of the program.
The Weld County Department of Human Services (WCDHS) Family Resource Division's (FRD) Post
Permanency Support Program provides ongoing outreach, one on one consultation, community
resource referral and case management services for adoptive, allocation of parental
responsibilities (APR) and guardianship families. The main goal of the program is to support
families in remaining intact and healthy. Using a strengths -based approach, the Adoption
Support and Resource Coordinators develop and maintain supportive relationships with families
from the time they are matched with children and through the child's 18th birthday as long as
they remain the legal responsibility of the participant guardian. Through implementation of the
evidenced based Trust Based Relational Intervention model, the Adoption Support and Resource
Coordinators provide training and individualized support to ensure families have the skills and
tools needed to successfully parent children who may have experienced trauma and loss. In
addition, they assist families in maneuvering systems and accessing resources which are
necessary to ensure safety and meet the specific needs of each child. This often includes
advocacy and assistance in obtaining specialized educational, physical and mental health
services, behavioral and social skills interventions, therapeutic services and specialized parent
coaching.
7. Indicate if a new Trails service detail is necessary for this County Designed Program or that the
service detail is already an option in Trails.
This service detail is currently available through existing Program Area 6 Adoption Cases or
Program Area 3 Prevention Services.
8. Define the eligible population to be served.
Families who are adopting, have APR/guardianship or who have adopted from WCDHS
(whether they reside in Weld County or elsewhere), and families who have adopted
elsewhere who currently reside in Weld County are eligible to participate in the program.
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92O1-BFA81335FF5E
Participation in the Post Permanency Support Program is voluntary and can be accessed as
many times as necessary throughout the lifetime of the child(ren).
9. Define the time frame of the service.
This service is available to all adoption and APR/Guardianship cases until the child reaches the
age of 18.
10. Define the workload standard for the program:
• number of cases per worker,
Adoption Support and Resource Coordinators are available as a resource for
all adoptive families and can work with up to 20 active families at a time.
• number of workers for the program, and
Two (2) FTE
• worker to supervisor ratio.
8:1
6. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see
7.303.17 for guidelines.
Adoption Support and Resource Coordinators must meet the minimum professional and
educational requirements for Colorado Social Caseworker outlined in Volume 7.
7. Define the performance indicators that will be achieved by the service, see 7.303.18.
The Post Adoption Support Program works with families to design individualized Family
Service Plans which assist families in building skills in the following:
- "Family Conflict Management": The family shall demonstrate capacity to resolve conflicts
and disagreements contributing to child maltreatment, running away, status offenses and
delinquent behavior.
- "Parental Competency": Parents will show ability to maintain sound relationships with
their children and provide care, nutrition, hygiene, discipline, protection, instructions,
and supervision.
- "Resources Access Competency": Parents will demonstrate ability to obtain help from the
community and within the local, state, and federal governments.
8. Identify the service provider.
Family Resource Division's Adoption Support and Resource Coordinators
9. Define the rate of payment (e.g., $100.00 per session/episode).
$151,576.00/Year (Two (2) FT Adoption Support and Resource Coordinators)
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
CORE SERVICES COUNTY DESIGNED SERVICE
Service Name: Role Model Mentoring (Child Mentoring and Family Support)
Optional services approved as a part of the county's Core Services Plan are approved on an annual basis.
For a County Designed Service to be extended beyond one year, this portion of the plan must be submitted
and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to provide
detailed information as outlined below. The information listed below is to be completed for each County
Designed Service and included in the County(ies)' Core Services Program Plan.
1. Describe the service and components of the service; define the goals of the program.
Rote Model Mentoring (RMM) works with youth who have lost or been abandoned by a parent.
Youth involved in the program progress through a level system that incorporates activities,
interactions, and events that build self-esteem, explore the youth's interests, and build
leadership skills.
2. Indicate if a new Trails service detail is necessary for this County Designed Program or that the
service detail is already an option in Trails.
The service detail does exist in Trails at this time (Child Mentoring and Family Support).
3. Define the eligible population to be served.
Any youth who has lost or been abandoned by a parent, including youth in foster or kin
placement.
4. Define the time frame of the service.
Individual participation of families will vary based on the referred family's level of
Involvement with Weld County, and their specific needs.
5. Define the workload standard for the program:
• number of cases per worker,
Up to seventy-five (75) youth per year; unduplicated.
• number of workers for the program, and
One (1)
• worker to supervisor ratio.
1:1
6. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see
7.303.17 for guidelines.
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Bames, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
Bachelor's degree or higher in a related filed with demonstrated youth mentoring experience
and/or credentialing and complete the Strengthening Families'' Protective Factors.
7. Define the performance indicators that will be achieved by the service, see 7.303.18.
Better utilization of strengths within the family to promote protective factors
Increased attendance rates of children and youth in school
85% of the youth who successfully discharge from the program will continue to reside at
home, in a least restrictive setting, and will have not entered the juvenile justice system
at the time of discharge.
8. Identify the service provider.
Paid in Full, Inc.
9. Define the rate of payment (e.g., $100.00 per session/episode).
$95.00/Episode (One-time fee/client. Level 1 - Intro to Best Effort)
$195.00/Episode (One-time fee/client. Level 1 - Intro to Camaraderie)
$195.00/Episode (One-time fee/client. Level 1 - Intro to Work as a Team)
$195.00/Episode (One-time fee/client. Level 1 n- Prep and Test for Level 2)
$100.00/Episode (One-time fee/client. Level 2 - R.M.M. Family Club, Up to 12 Sessions)
$100.00/Episode (Level 3 - Club Captains, up to 4 Times)
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID C93C41C6-85FB-4907-92C1-BFA81335FF5E
CORE SERVICES COUNTY DESIGNED SERVICE
Service Name: Teamwork, Innovation, Growth, Hope and Training- TIGHT (Reconnecting Youth)
Optional services approved as a part of the county's Core Services Plan are approved on an annual basis.
For a County Designed Service to be extended beyond one year, this portion of the plan must be submitted
and approved annually by the State Department.
Given that County Designed programs are not standardized across counties, it is important to provide
detailed information as outlined below. The information listed below is to be completed for each County
Designed Service and included in the County(ies)' Core Services Program Plan.
1. Describe the service and components of the service; define the goals of the program.
Teamwork, Innovation, Growth, Home and Training (TIGHT) is a collaborative effort involving
Youth Services in the Child Welfare Division and the Employment Services Division. The goal of
TIGHT is to delay or eliminate the need for out -of -home placement by exposing participating
youth to a variety of projects within their community. These include educational opportunities,
pro -social activities, and exposure to life skills topics such as financial literacy, job readiness,
soft skills, and other information to help them be successful independent young adults. These
projects promote a healthy growth in self-esteem and a sense of community, with the hope
that participating youth identify and choose positive alternatives in their community.
2. Indicate if a new Trails service detail is necessary for this County Designed Program or that the
service detail is already an option in Trails.
The service detail already exists in Trails ("Reconnecting Youth").
3. Define the eligible population to be served.
The target population for this service is youth ages 15-17 who are at risk of out -of -home
placement and who exhibit delinquent/maladaptive behaviors, primarily truancy issues and
expulsion from school.
4. Define the time frame of the service.
Youth participate in the program for various lengths of time; each individuals situation is
different.
5. Define the workload standard for the program:
• number of cases per worker,
TIGHT Crew, 8:1
• number of workers for the program, and
Two (2)-FTE (Crew Leaders)
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92O1-BFA81335FF5E
.5 FTE (Team Leader)
• worker to supervisor ratio.
1:3 (FT/PT)
6. Define the staff qualifications for the service, e.g., minimum caseworker III or equivalent, see
7.303.17 for guidelines.
Team Leader has a Bachelor's degree in Human Services, six (6) years of experience working
with youth and two (2) years supervisory experience. Crew Leaders have high school diploma
or GED and two (2) years Human Services experience working with youth.
Define the performance indicators that will be achieved by the service, see 7.303.18.
"Family Conflict Management". The family shall demonstrate capacity to resolve conflicts
and disagreements contributing to child maltreatment, running away, status offenses and
delinquent behavior.
"Parental Competency". Parents will be supported in developing household structure,
increased monitoring and supervision of their youth, and the development of clear rules
and consequences. Furthermore, parents will be empowered with skills and resources
needed to independently address the difficulties that arise with their youth.
"Personal and Individual Competency". Families will show awareness in terms of self-
esteem, victim awareness, peer relationships enhancement, establishing appropriate
physical and emotional boundaries, demonstrating assertive behavior and assuming
responsibility for one's own behavior. Youth will demonstrate an ability to seek positive
alternatives and positive choices.
8. Identify the service provider.
Collaborative effort between Child Welfare and Employment Services Divisions in Weld County
DHS.
9. Define the rate of payment (e.g., $100.00 per session/episode).
Youth Programs Crew Leader (1 FTE) $64,100.00
Youth Programs Crew Leader (1 FTE)
WCYCC Supervisor (.5 FTE)
$68,800.00
$43,100.00
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
INFORMATION ON CORE SERVICE FEES
Please check all that apply:
®Fees will not be assessed for Core Services Program Services.
If above line is checked, STOP. Remainder of information does not need to be completed.
❑Fees will be assessed for the following services: Check those that apply:
0 Home Based Intervention
❑ Intensive Family Therapy
0 Life Skills
❑ Day Treatment
0 Sexual Abuse Treatment
0 County Designed Service (List Services Below)
O Special Economic Assistance
❑ Mental Health Services
0 Substance Abuse Treatment Services
❑ Fee assessment formula is the same for all services. State the formula here (attach additional
sheets as needed).
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Bames, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
❑ Fee assessment formula varies with service. State formula used for each service (attach
additional sheets as needed).
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
CORE SERVICES PROGRAM
OVERHEAD/PROGRAM ADMINISTRATION COST for CORE SERVICES STAFF
***OPTIONAL PAGE - ONLY USE IF YOUR COUNTY WISHES TO CLAIM OVERHEAD/PROGRAM
ADMINISTRATION COSTS***
1. DIRECT SERVICE
A. Total Core Services salary/Fringe/Travel/Operating Costs of Line
Core Service Workers and their Immediate Supervisors _$2,179,378
B. Formula Percentage Allowed for Overhead/Program Administration Costs 15%
C. Provided Service Overhead/Program Administration Costs (A X B) _$326,906.00
2. PURCHASED SERVICE
A. Purchased Service Dollar Amount $2,246,5572
B. Formula Percentage Allowed for Overhead/Program Administration Costs
$0 - 50,000 = 5%; $50,001 -100,000 = 4.9%
For each $50,000 (in total expenditure) increase the Overhead/
Program Administration decreases by .1 %.
C. Allowed Amount for Overhead/Program Administration Costs (A X B) -0-
D. Base Overhead/Program Administration Cost Allowed
E. Purchased Service Overhead/Program Administration Costs (C + D)
3. TOTAL OVERHEAD?PROGRAM ADMINISTRATION COSTS (1C + 2E)
$500.00__
$500
_$327,406.00
DISTRIBUTION
OF
OVERHEAD/PROGRAM
ADMINISTRATION
COSTS
AMONG
SERVICES*
SERVICE
Overhead/Program
Administration
Provided
Service
Costs
Overhead/Program
Administration
Purchased
Service
Costs
Total
Overhead
Administration
Costs
/Program
1.
Home
Based
Intervention
$26,476.15
$26,476.15
2.
Intensive
Family
Therapy
3. Sexual
Abuse
Treatment
$17,304.65
4.
Day Treatment
$2,480.40
5.
Life
Skills
$159,342.40
$139,057.35
6. County
Designed
Service
$141,087.45
$141,087.45
r
$500.00
$500.00
COLUMN
TOTALS
$326,906.00
$500.00
$327.406.00
* Formula to determine overhead/program administration cost by service:
Step 1: total provided service cost (by service) x 15% = provided service overhead/program administration cost
Step 2: total purchased service cost (by service) x % listed in 2B = Y
$500 divided by the number of purchased service = Z, then Y + Z = overhead/program administration cost
Step 3: Provided service overhead/program administration cost plus purchased service overhead cost equals total
overhead/program administration cost
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
80/20 FUNDING SUMMARY
CORE SERVICES PROGRAM
FY 2022-2023
County(ies):
Weld
Services
Resource/Provider
or Number of FTE
Age of
Child
# of Families
Served Per
Month
# Children
Served Per
Month
Cost per
Child Per
Month
Cost per Year
Home Based Intervention
Various Providers
0-21
See Trails
See Trails
See Trails
$ 300,000.00
Intensive Family Therapy
Various Providers
0-21
See Trails
See Trails
See Trails
$ 3,000.00
Life Skills
Various Providers
0-21
See Trails
See Trails
See Trails
$ 1,227,000.00
Mental Health in Schools
Various Providers
0-21
See Trails
See Trails
See Trails
$ 10,000.00
Sex Abuse Treatment
Various Providers
0-21
See Trails
See Trails
See Trails
$ 90,000.00
Special Economic
Assistance
Various Providers
0-21
See Trails
See Trails
See Trails
Substance Abuse
Treatment Services
Various Providers
0-21
See Trails
See Trails
See Trails
County Design Services -
Purchased Services
(Community Based Family
Support Services -
Compass; Child Mentoring
and Family Support-RMM;
Foster Care/Adoption
Support -Foster Parent
Consultation; Therapeutic
Kinship Services -Kinship
Parent Consultation;
Mediation; Mentoring)
Various Providers
0-21
See Trails
See Trails
See Trails
$ 869,776.00
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
County Design Services -
Evidenced Based Services
for Adolescents
(Functional Family Therapy;
High Fidelity Wraparound
Services; Multisystemic
Therapy; Reconnecting
Youth-T.I.G.H.T.)
Various Providers
0-21
See Trails
See Trails
See Trails
$ 200,000.00
Total 80/20 CORE:
$ 2,699,776.00
100% FUNDING SUMMARY
CORE SERVICE PROGRAM
FY 2022-2023
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
County(ies):
Weld
Services
Resource/Provider or
Number of FTE
Age of Child
# of Families
Served Per
S
Month
# Children
Served Per
e
Month
Cost per Child
per Month
Cost per Year
Home Based
Intervention
Various Providers
0-21
See Trails
See Trails
See Trails
$ 150,000.00
Intensive Family
Therapy
Various Providers
0-21
See Trails
See Trails
See Trails
$-
Life Skills
Various Providers
0-21
See Trails
See Trails
See Trails
$ 600,000.00
Mental Health in
.Schools
Various Providers
0-21
See Trails
See Trails
See Trails
$ 0
Sex Abuse
Treatment
Various Providers
0-21
See Trails
See Trails
See Trails
$ 60,000.00
Special Economic
Assistance
Various Providers
0-21
See Trails
See Trails
See Trails
$ 64,014.00
Substance Abuse
Treatment
Services
Various Providers
0-21
See Trails
See Trails
See Trails
$ 445,000.00
County Design
Services -
Purchased
Services
(Community Based
Family Support
Services -
Compass; Child
Mentoring and
Family Support-
RMM; Foster
Care/Adoption
Support -Foster
Parent
Various Providers
0-21
See Trails
See Trails
See Trails
$ 150,000.00
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
Consultation;
Therapeutic
Kinship Services -
Kinship Parent
Consultation;
Mediation;
Mentoring)
County Design
Services -
Evidenced Based
Services for
Adolescents
(Functional Family
Therapy; High
Fidelity
Wraparound
Services;
Multisystemic
Therapy;
Reconnecting
Youth -T. I. G. H.T. )
Various Providers
0-21
See Trails
See Trails
See Trails
Total 100% CORE:
$ 1,726,159.00
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
FINAL BUDGET PAGE
FY 2021-2022
CORE SERVICES PROGRAM
CFMS Function
Code
Service Name
Other DSS
Funds
(Specify fund
source)
Other Source
Funds
(Specify Fund
source)
Total Funds
80/20
1700
Total Funds 100%
(Core, SEA, Substance
Abuse, Mental Health)
1800
Total FSS
Funds
TOTAL
FUNDS
1700/1800
Home Based
Intervention
$ 300,000.00
$ 150,000.00
$450,000.00
1710/1810
Intensive Family
Therapy
$ 3,000.00
$3,000.00
1720/1820
Life Skills
$ 1,227,000.00
$ 600,000.00
$1,827,000.00
1730/1830
Day Treatment
$ 10,000.00
$
$10,000.00
1740/1840
Sexual Abuse
Treatment
$ 90,000.00
$ 60,000.00
$150,000.00
1855
Special Economic
Assistance
$ 64,014.00
$64,014.00
1845
Mental Health
Services
$ 445,000.00
$445,000.00
1850
Substance Abuse
Treatment Services
$ 150,000.00
$150,000.00
1747
County Design
Services -
Purchased Services
(Community Based
Family Support
Services -
Compass; Child
Mentoring and
Family Support-
RMM; Foster
Care/Adoption
$ 869,776.00
$ 257,145.00
$1,126,921.00
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
Support -Foster
Parent
Consultation;
Therapeutic
Kinship Services -
Kinship Parent
Consultation;
Mediation;
Mentoring)
1725
County Design
Services -
Evidenced Based
Services for
Adolescents
(Functional Family
Therapy; High
Fidelity
Wraparound
Services;
Multisystemic
Therapy;
Reconnecting
Youth-T.I.G.H.T.)
$ 200,000.00
$200,000.00
TOTALS
$2,699,776.00
$1,726,195.00
$
$4,425,935.00
CFMS Function Codes 17xx denotes 80/20 funded Core Service
CFMS Function Codes 18xx denotes 100% funded Core Service
CFMS Function Codes for Family Stability Services will be determined by funding source.
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
PURCHASE OF SERVICE CONTRACT
Core Services Program
1. THIS CONTRACT, made this day of , 21 by and between the County
Department of Human/Social Services at , hereinafter called "County" and (address) ,
(name) , (address) , hereinafter called "Contractor". (Tax I.D. or Social Security
Number)
2. This contract will be effective from until
3. County agrees to purchase and Contractor agrees to provide (Core Service) •
To at at other such (population to be served) (location service is to be provided)_
location as shall facilitate the provision of such services. This service is described in Rule Manual Volume
7, Section 7.303.1 , and, if appropriate, the State approved County Core Service Plan.
4. County agrees to purchase and contractor agrees to furnish units of service at the
cost of per unit of service for a maximum amount of this contract of $ .
5. The parties agree that the Contractor's relationship to the county is that of an independent
Contractor.
6. The parties agree that payment pursuant to this Contract is subject to and contingent upon the
continuing availability of funds for the purpose thereof.
7. County agrees:
a) To determine child eligibility and as appropriate, to provide information regarding rights to fair
hearings.
b) To provide Contractor with written prior authorization on a child or family basis for services to be
purchased.
c) To provide Contractor with referral information including name and address of family, social,
medical, and educational information as appropriate to the referral.
d) To monitor the provision of contracted service.
e) To pay Contractor after receipt of billing statements for services rendered satisfactorily and in
accordance with this Contract.
8. Contractor agrees:
a) Not to assign any provision of this Contract to a subcontractor.
b) Not to charge clients any fees related to services provided under this contract.
c) To hold the necessary license(s) which permits the performance of the service to be purchased,
and/or to meet applicable Colorado Department of Human Services qualification requirements.
d) To comply with the requirements of the Civil Rights Act of 1964 and Section 504, Rehabilitation Act of
1973 concerning discrimination on the basis of race, color, sex, age, religion, political beliefs,
national origin, or handicap.
e) To provide the service described herein at cost not greater than that charged to other persons in the
same community.
f) To submit a billing statement in a timely manner, no later than forty-five (45) days after services.
failure to do so may result in nonpayment.
g) To safe guard information and confidentiality of the child and the child's family in accordance with
rules of the Colorado Department of Human Services and the County Department of Human/Social
Services.
h) To provide County with reports on the provision of services as follows:
• Within weeks of enrollment/participation, submission of a treatment plan for the
child/child's family with specific objectives and target dates. The treatment plan is subject
to county approval.
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Potts, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
• At intervals of months, from the time of enrollment/participation, submit reports that
include progress and barriers in achieving provisions of the treatment plan.
i) To provide access for any duly authorized representative of the County or the Colorado Department
of Human Services until the expiration of five (5) years after the final payment under this Contract,
involving transactions related to this Contract.
j) Indemnify the County and the Colorado Department of Human Services from the action based upon or
arising out of damage or injury, including death, to persons or property caused or sustained in
connection with the performance of this contract or by conditions created thereby, or based upon any
violation of any statue, regulation, and the defense of any such claims or actions.
9. In addition to the foregoing, the County and Contractor also agree:
10. Termination: Either party may terminate this Contract by thirty (30) days prior notification in
writing.
11. All payments will be paid through the State's approved automated system, as appropriate.
o Core Services Program expenditures will not be reimbursed when the expenditures may be reimbursed by
some other source. (As set forth in Rule Manual Volume 7, at 7.414, B (12 CCR 2509-5).
ADDITIONAL PROVISIONS:
County Director's Signature Contractor's Signature
Date Contractor's Title
Date
Original to Contractor
Copy to the Case File
Copy to County Bookkeeping
Copy to State Accounting
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Bames, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
Program Area Three PA3 -
Prevention and
Intervention Services Plan
Please submit if applying for CDHS funding sources per
Volume 7.200.1, 7.200.11 and 7.200.12.
COUNTY(IES)
Prevention Intervention Service Delivery using:
Please check all that apply:
❑ Child Welfare Block Funding
❑ Collaborative Management Funding
❑ Core Services Program Funding
❑ County Only Funds
❑ Promoting Safe and Stable Families Program Funding
(if your county is an approved PSSF site)
❑ Parental Fee Funding
❑ SSA/SSI Trust Funds
❑ TANF Block Grant Funding
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
For Core Services Funding Only:
Program Area Three (PA3): Prevention and Intervention Services TO BE PROVIDED/PURCHASED
Place an "X" to indicate which of the following Services will be provided/purchased in accordance with State Department
rules:
Home Based Intervention
Intensive Family Therapy
Sexual Abuse Treatment Services
Day Treatment
Life Skills
Special Economic Assistance
Mental Health Services
Substance Abuse Treatment Services
List below "County Designed Service" that will be provided/purchased in accordance with State Department rules.
The Prevention Services Program is a county -wide intensive case management system to meet the needs of families at risk of
involvement with child welfare/youth services. Prevention is also available to support families who are transitioning out of child
welfare/youth services when there are no longer any child protection concerns. The information below is a simplified breakdown of
the salary expenses associated with the prevention case managers. No Core Services funds are currently used to pay prevention
salaries; however, other Core Services are available to families involved with prevention when other sources are not available.
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
Program Area Three (PA3): Prevention and Intervention Services
COUNTY DIRECTLY PROVIDED SERVICES SUMMARY
SFY 2022-2023
County(ies):
Weld
Services
Position Number of
FTE
Age Range of
Children
Child(ren)
Number of
Families Served
Per Month
Number of
Children
Served Per
Month
Cost per Child Per
Month
Cost per Year
Prevention Case
Manager
7
0-18
113
204
$245.00
$600,826.52
Total:
$600,826.52
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polls, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
Program Area Three (PA3): Prevention and Intervention Services
FINAL BUDGET PAGE - SFY 2022-2023
County(ies):
Weld
Service Name
Service Provider
PA3 Funding
PA3 Funding
Source:
PA3 Funding
Source:
Total Funds
80/20
CWB:
Total Funds 100%
CWB:
TOTAL
FUNDS
Core:
Core:
Prevention Case
Management
Weld County
PSSF
85,832.36
Prevention Case
Management
Weld County
CCR
85,832.36
Prevention Case
Management
Weld County
80/20
85,832.36
Prevention Case
Management
Weld County
CSBG
128,748.54
Prevention Case
Management
Weld County
TANF
214,580.90
Total:
600,826.52
1575 Sherman St., Denver, CO 80203 P 303.866.5700 cdhs.colorado.gov
Jared Polis, Governor I Michelle Barnes, Executive Director
DocuSign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FF5E
100% Funding Summary
Core Service Program
FY 2022-23 (Core II Plan)
County (ies)
Weld
Services
Resource/Provider or
Number of FTE
Age of
Child
# of Families
Served Per
Month .
# Children .
Served Per
Mont
Cost per Child
Per Month
Cost per Year
Home Based Intervention
Various Providers
0-21
See Trails
See Trails
See Trails
$ 250,000.00
Life Skills
Various Providers
0-21
See Trails
See Trails
See Trails
$ 274,000.00
Supervised Visitation
Various Providers
0-21
See Trails
See Trails
See Trails
Day Treatment
Various Providers
0-21
See Trails
See Trails
See Trails
$ 30,000.00
Sexual Abuse Treatment
Various Providers
0-21
See Trails
See Trails
See Trails
$
Special Economic
Assistance
Various Providers
0-21
See Trails
See Trails
See Trails
$ 10,000.00
Mental Health Services
Various Providers
0-21
See Trails
See Trails
See Trails
$
Substance Abuse Treatment
Services
Various Providers
0-21
See Trails
See Trails
See Trails
$
Total 100% CORE $ 564,000.00
DocuSign Envelope ID: C93C41C6-85FB-4907-9201-BFA81335FFSE
State Board Summary
Core Service Program
FY 2022-23 80/20 Funding (Core II Plan)
County (ies)
Weld
;,Services
Bee I1^ider er
N,00ber Rr$ TP
����9f
'h
#�
d " y 3
� rr
Pee
,
n Mee--„
Home Based Intervention
Various Providers
0-21
See Trails
See Trails
See Trails
$
Intensive Family Therapy
Various Providers
0-21
See Trails
See Trails
See Trails
$
Life Skills
Various Providers
0-21
See Trails
See Trails
See Trails
$
Mental Health Services
Various Providers
0-21
See Trails
See Trails
See Trails
$
Supervised Visitation
Various Providers
0-21
See Trails
See Trails
See Trails
$
Day Treatment
Various Providers
0-21
See Trails
See Trails
See Trails
$
Sexual Abuse Treatment
Various Providers
0-21
See Trails
See Trails
See Trails
$
County Design Services -
Purchased Services
(Community Based Family
Support Servcies -
Compass; Child Mentoring
and Family Support-RMM;
Foster Care/Adoption
Support -Foster Parent
Consultation; Therapeutic
Kinship Services -Kinship
Parent Consultation;
Mediation; Mentoring)
Various Providers
0-21
See Trails
See Trails
See Trails
$ 88,000.00
County Design Services -
Evidenced Based Services
for Adolescents
(Functional Family
Therapy; Multisystemic
Therapy; Reconnecting
Youth-T.I.G.H.T.)
Various Providers
0-21
See Trails
See Trails
See Trails
$
DocuSign Envelope ID: C93C41C6-85F6-4907-92C1-BFA81335FF5E
Total 80/20 Core $ 88,000.00
Docu5ign Envelope ID: C93C41C6-85FB-4907-92C1-BFA81335FFSE
Final Budget Page
FY 2022-23 (Core II Plan)
CORE SERVICES PROGRAM
CFMS
Function
Code
Service Name
Other DSS
Funds (Speeifiy
fund source)
Other Source
Funds
(Specify fund
source)
Total Funds 80/20
1700
Total Funds 100%
(Core, ACM, SEA,
Substance Abuse,
Mental Health)
1800
Total FSS 100%
TOTAL FUNDS
1700/1800
Home Based Intervention
8 250,000 00
$250,000
1710/1810
Intensive Family Therapy
$
1720/1820
Life Skills
$ 274,000.00
$274,000
1730/1830
Day Treatment
$
$
1740/1840
Sexual Abuse Treatment
$ 30,000.00
$30,000
1855
Special Economic Assistance
$ 10,000.00
$10,000
1845
Mental Health Services
$
1850
Substance Abuse Treatment
Services
$
1747
County Design Services -
Purchased Services
(Community Based Family
Support Serviies - Compass;
Child Mentoring and Family
Support-RMM; Foster
Care/Adoption Support -
Foster Parent Consultation;
Therapeutic Kinship Services -
Kinship Parent Consultation;
Mediation; Mentoring)
$ 88,000.00
$
$88,000
1725
County Design Services -
Evidenced Based Services for
Adolescents
(Functional Funnily Therapy;
Multisystemic Therapy;
Reconnecting Youth-
T.I.G.H.T.)
$
TOTALS
$
$
$88,000
$564,000
$
$652,000
CFMS functional Codes 18. denotes 100% funded Core Service
CFMS functional Codes 17xx denotes 80/20 funded Core Service
CFMS Functional Codes for Family Stability Services will be determined by funding source: Child Welfare Block or
County Funds. Please Contact Melinda Cox at 303.866.5962 for more information.
Contract Form
New Contract Request
Entity Information
Entity Name' Entity ID'
COLORADO DEPARTMENT OF HUMAN OO0003650
SERVICES
Contract Name*
COLORADO DEPARTMENT OF HUMAN SERVICES (CORE
SERVICES PROGRAM PLAN SFY 2022-23)
Contract Status
CTB RESIEW
Contract ID
6192
Contract Lead'
APEGG
❑ New Entity?
Parent Contract ID
Requires Board Approval
YES
Contract Lead Email Department Project #
apeggigweldgov.com;cobbx
xlk@weldgov.com
Contract Description'
NEW CORE SERVICES PROGRAM PLAN FOR SFY 2022-23 AS PREPARED BY THE DHS DIVISION OF CHILD WELFARE. PLAN WILL
BE SIGNED AND SUBMITTED TO CDHS VIA DOCUSIGN. THE DEPARTMENT'S ALLOCATION FOR YEAR 2022-23 IS
54,425,936.00.
Contract Description 2
PA IS BEING ROUTED THROUGH THE NORMAL PROCESS. ETA TO CTB: 8 11 2022.
Contract Type'
APPLICATION
Amount'
54,425,936.00
Renewable'
NO
Automatic Renewal
Grant
IGA
Department
HUMAN SERVICES
Department Email
CM-
HumanServices0,weldgov.co
Department Head Email
CM-HumanServices-
DeptHeatht'weldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COU NTYATTO RN EY UFWELDG
OV.COM
Requested BOCC Agenda
Date'
08,17=2022
Due Date
08,'13;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
Review Date
05 01;2023
Committed Delivery Date
Renewal Date
Expiration Date
06,'30:2023
Contact Type Contact Email Contact Phone 1 Contact Phone 2
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head
JAMIE ULRICH
DH Approved Date
08.'09:2022
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
08 1, 2022
Originator
APEGG
Finance Approver
CHERYL PATTELLI
Legal Counsel
CAITLIN PERRY
Finance Approved Date Legal Counsel Approved Date
08!09,2022 08 12'2022
Tyler Ref #
AG 081 722
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