HomeMy WebLinkAbout20223576.tiffMEMORANDUM
DATE: September 28, 2023
FROM: Clerk to the Board's Office
SUBJECT: Tyler Document #2022-3576
Final signatures were not obtained by the parties required to fully execute Tyler
Document #2022-3576, approved by the Weld County Board of Commissioners on December 28,
2022. Pursuant to the attached email from Alyssa Campbell, Colorado Department of Human
Services, the attached Amendment #1 to the Contract for Jail Based Behavioral Health Services
was not executed and was replaced by an updated Amendment #1, known as Tyler Document
#2023-0787. The Clerk to the Board's Office has deemed it prudent to close this item out. This
memorandum will be added to the Commissioners' files to demonstrate this document was not
fully executed.
2022-3576
S00043
Mariah Higgins
From:
Sent:
To:
Cc:
Subject:
Attachments:
Follow Up Flag:
Flag Status:
Brandon Williams
Thursday, August 3, 2023 7:19 AM
Jan Warwick; Mariah Higgins
Sonja Kohlgraf
FW: FW: FW: 2023 June CTB Temp Status Update
23 IBEH 174482 - Am 1 - (179400) - Weld County - BHAS - JBBS.pdf
Follow up
Flagged
Good Morning,
Below is the email response that I received from the State.
Brandon
From: Alyssa Campbell (She/Her) - BHA <alyssa.campbell@state.co.us>
Sent: Wednesday, August 2, 2023 5:03 PM
To: Brandon Williams <bwilliams@weld.gov>
Cc: Kayla Martin - BHA (She I Her I Hers) <kayla.martin@state.co.us>
Subject: Re: FW: FW: 2023 June CTB Temp Status Update
n: 11ais email originated from outside of Weld County Govern:
er and know die -content is safe.;
Brandon,
Thank you for your follow up.
eut. Do not cllel inks or..0 ttachtnenrecognize?;
I think I recognize the confusion. This amendment document that you have
Weld County, and was signed prematurely. The BHA required revisions and
the BHA was unable to execute this as -was. The corrected Amendment Doc
2023 for a re -signature.
attached, was signed in December 2022 by
changes to this amendment document, and
ument was sent to Weld County in early
And the revised Amendment #1 was signed in March 2023 by Weld County and fully executed by the BHA in April 2023.
Which is the attached document.
Let me know if you have further questions regarding this item.
Thank you,
On Wed, Aug 2, 2023 at 4:55 PM Brandon Williams <bwilliams@weld.gov> wrote:
Ms. Campell,
See Mariah's email
Hey Brandon,
I have attached a PDF of the contract we are looking for, it's contract ID #6591 from last year. We need the
signature on Page 3 to complete our records. Hopefully this helps.
Thank you,
Mariah Higgins
Deputy Clerk to the Board
Clerk to the Board's Office
Weld County
1150 O Street
Greeley, CO 80631
Tel: (970) 400-4225
Email: mhiggins(c�weld.gov
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended
only for the person or entity to which it is addressed and may contain information that is privileged,
confidential or otherwise protected from disclosure. If you have received this communication in error, please
immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying,
distribution or the taking of any action concerning the contents of this communication or any attachments by
anyone other than the named recipient is strictly prohibited.
2
RESOLUTION
RE: APPROVE AMENDMENT #1 TO CONTRACT FOR JAIL BASED BEHAVIORAL
HEALTH SERVICES AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Co rs of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Horn - Charter, is vested with the authority of
administering the affairs of Weld County, Color o, and
WHEREAS, the Board has bee se ted with Amendment #1 to the Contract for Jail
Based Behavioral Health Services b twe e County of Weld, State of Colorado, by and
through the Board of County Corn oners of Weld County, on behalf of the Sheriff's Office,
and the Colorado Department of Hu an ices, Behavioral Health Administration, commencing
July 1, 2022, and ending June 30, 023, with further terms and conditions being as stated in said
amendment, and
WHEREAS, after review, the oard deems it advisable to approve said amendment, a
copy of which is attached her incorporated herein by reference.
NOW, THEREFO , B IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, at A ndment #1 to the Contract for Jail Based Behavioral Health
Services between the Co o eld, State of Colorado, by and through the Board of County
Commissioners of W Coun y, on behalf of the Sheriff's Office, and the Colorado Department
of Human Services, viol Health Administration, be, and hereby is, approved.
BE IT FU-THER''SOLVED by the Board that the Chair be, and hereby is, authorized
to sign said amen. ent.
The above an• oregoing Resolution was, on motion duly made and seconded, adopted
by the follog vote on the 28th day of December, A.D., 2022, nunc pro tunc July 1, 2022.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTE
Wel
BY:
T: ditifet) G JKfiz.4
my Clerk to the Board
.County At orney
Date of signature: oI/2.3(23
Scdtt K. James, Chair
EXCUSED
Mike Freeman, Pro -Tern
EXCUSED
Perry L. Buck
Lori Sai
cc.: SoCSK/Sw)
og1ae a3
2022-3576
SO0043
Cn-h'cu* iD1#(ns°1 I
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
PASS -AROUND TITLE: Intergovernmental Agreement for Jail Based Behavioral Services Between Weld
County and State of Colorado, Department of Human Services (Original 23 IBEH 174482 Amendment 23
IBEH 1797400)
DEPARTMENT: Weld County Sheriffs Office DATE: December 5th, 2022
PERSON REQUESTING: Stephanie Dandurand, Director of Inmate Services, Weld County Sheriff's Office -
Detentions
Brief description of the problem/issue:
The intergovernmental agreement referenced above between Weld County and the State of Colorado was
executed in July of 2017 with a term of one year with three (3) extensions (2018, 2019, 2020). The 2020 fiscal
year contract finalization was delayed due to challenges created by COVID 19 but came to fruition on February
17, 2021 (July 1St, 2020 through June 30th, 2021) with an amendment offering additional funding in the amount
of $37,500 in March 2021. The state extended the contract through FY22 (period 7/1/21 — 6/30/22) to continue
the same services. Fiscal year 2023 (July 1St, 2022 — June 30th, 2023) has continued the same services as
previous years with a total amount of $284,979 and the state is offering an amendment to our current agreement
for an additional $70,000. This agreement has provided a valuable service to the County and should be
considered. It should be of note that this contract has been reviewed and approved by Karin McDougal.
What options exist for the Board? (include consequences, impacts, costs, etc. of options):
The Board may approve or deny the contract amendment. A denial of this request would result in not receiving
the additional funding of $70,000 the State of Colorado is offering for the treatment of individuals in the jail for
substance use disorders along with release planning to include continuing services and resources once released
from the jail. A Medication -Assisted Treatment (MAT) Program, a primary focus of Colorado legislation, is a
Jail Based Behavioral Services resource which may provide the additional support as individuals are being
released to the community focusing on reducing recidivism on many different levels, to include but not limited
to medication, education services, referrals, staff salaries, and equipment to support these functions. These
funds may help provide further support in the remodeling of Weld County's MAT Program to further meet the
needs of the individual in custody. For the period of July 2021 - April 2022, even with pandemic challenges,
the program had an average of 80% of individuals who were successfully transitioned to the community
measured at one (1) month from release from jail. Weld County operates as a conduit for the reimbursement
contracted services between the provider who works in the jail to deliver direct services, and the State of
Colorado, who funds the program, by distributing the funds appropriately to the provider to offset the cost of
services incurred each month.
An approval of this contract request would continue this no cost service and provide additional funding which
has proven to be an asset to the Weld County Sheriffs Office and the citizens of Weld County.
**Please note this has been reviewed by Weld County Attorney office.
2022-3576
I Z UZ2
a, 0U-13
Recommendation:
It is recommended that the Weld County Board of County Commissioners approve the amendment to the
original contract.
A rove
Recommendation
Perry L. Buck
Mike Freeman, Pro -Tern
Scott K. James, Chair
Steve Moreno
Lori Saine
Schedule
Work Session Other/Comments:
CONTRACT AMENDMENT #1
SIGNATURE AND COVER PAGE
State Agency
Colorado Department of Human Services
Behavioral Health Administration
Original Contract Number
23 IBEH 174482
Contractor
Weld County Colorado for the use and benefit of Weld County
Sheriffs Department
Amendment Contract Number
23 IBEH 179400
Current Contract Maximum Amount
Initial Term
State Fiscal Year 2023 $354,979.00
Extension Terms
None
Total for All State Fiscal Years $354,979.00
Contract Performance Beginning Date
July 1, 2022
Current Contract Expiration Date
June 30, 2023
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment
and to bind the Party authorizing his or her signature.
CONTRACTOR
Weld County Colorado for the use and benefit of
Weld County Sheriffs Department
STATE OF COLORADO
Jared Polis, Governor
Colorado Department of Human Services
Michelle Barnes, Executive Director
By: ott James, Chair, Board of County Commissioners
DEC 2 8 2022
Date:
By: Dr. Morgan Medlock, Commissioner, Behavioral Health
Administration
Date:
In accordance with §24-30-202 C.R.S., this Amendment is not valid until signed and dated below by the State Controller or an
authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
By:
Andrea Eurich / Toni Williamson
Amendment Effective Date:
Amendment Contract Number: 23 IBEH 179400
Page 1 of 3 Rev. 1/14/19
x_3574
1. PARTIES
This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover
Page for this Amendment (the "Contract") is entered into by and between the Contractor, and the
State.
2. TERMINOLOGY
Except as specifically modified by this Amendment, all terms used in this Amendment that are
defined in the Contract shall be construed and interpreted in accordance with the Contract.
3. AMENDMENT EFFECTIVE DATE AND TERM
A. Amendment Effective Date
This Amendment shall not be valid or enforceable until the Amendment Effective Date
shown on the Signature and Cover Page for this Amendment. The State shall not be bound
by any provision of this Amendment before that Amendment Effective Date, and shall have
no obligation to pay Contractor for any Work performed or expense incurred under this
Amendment either before or after of the Amendment term shown in §3.B of this Amendment.
B. Amendment Term
The Parties' respective performances under this Amendment and the changes to the Contract
contained herein shall commence on the Amendment Effective Date shown on the Signature
and Cover Page for this Amendment and shall terminate on the termination of the Contract.
4. PURPOSE
In accordance with the provisions of this Contract and its exhibits and attachments, the
Contractor shall provide substance abuse and mental health treatment in the Weld
County jail.
The purpose of this amendment is to replace the Exhibit A, Statement of Work, replace the
Exhibit B, Budget and replace the Exhibit C, Miscellaneous Provisions. This amendment
increases the FY23 Budget by $70,000 resulting in a new FY23 Budget of $354,979.00.
5. MODIFICATIONS
The Contract and all prior amendments thereto, if any, are modified as follows:
A. The Contract Maximum Amount table on the Contract's Signature and Cover Page is hereby
deleted and replaced with the Current Contract Maximum Amount table shown on the
Signature and Cover Page for this Amendment.
B. REPLACE Exhibit A, Statement of Work with Exhibit A-1, Statement of Work, attached
and incorporated by reference.
C. REPLACE Exhibit B, Budget with Exhibit B-1, Budget, attached and incorporated by
reference.
D. REPLACE Exhibit C, Miscellaneous Provisions with Exhibit C-1, Miscellaneous Provisions,
attached and incorporated by reference.
6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE
This Amendment is incorporated by reference into the Contract, and the Contract and all prior
amendments or other modifications to the Contract, if any, remain in full force and effect except
as specifically modified in this Amendment. Except for the Special Provisions contained in the
Amendment Contract Number: 23 IBEH 179400 Page 2 of 3
Rev. 1/14/19
Contract, in the event of any conflict, inconsistency, variance, or contradiction between the
provisions of this Amendment and any of the provisions of the Contract or any prior modification
to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and
control. The provisions of this Amendment shall only supersede, govern, and control over the
Special Provisions contained in the Contract to the extent that this Amendment specifically
modifies those Special Provisions.
Amendment Contract Number: 23 IBEH 179400 Page 3 of 3
Rev. 1/14/19
Exhibit A-1
Exhibit A-1 - Statement of Work
Jail Based Behavioral Health Services
Definitions and Acronyms
Definitions and Acronyms. The following list of terms shall be applied to this contract and
Statement of Work, based on the services that are provided at each respective jails:
"Behavioral Health Administration" means the facilities that are contracted with BHA to
provide inpatient restoration services to individuals.
"Bridges Program/Court Liaison" means an individual employed or contracted with the State
Court Administrator's Office (SCAO) to implement and administer a program that identifies and
dedicates local behavioral health professionals as court liaisons in each judicial district. These
individuals are responsible for facilitating communication and collaboration between judicial and
behavioral health systems.
https://www.courts.state.co.us/Administration/Unit.cfm?Unit=bridqesThese
"Case Manager" assists in the planning, coordination, monitoring, and evaluation of services
for a client with emphasis on quality of care, continuity of services, and cost-effectiveness
"Certified Addiction Specialist" - CAS (Formerly CAC II & Ill) requires a Bachelor's degree
in a Behavioral Health specialty (Psychology, Social Work, Human Services). This does not
include Criminal Justice, Sociology or Nursing. These individuals are approved to provide
Clinical Supervision and consultation to individuals working towards CAT or CAS. 2,000
clinically supervised hours (1,000 direct clinical hours beyond the Technician). Must pass the
NCAC II exam and Jurisprudence exam.
"Certified Addition Technician" - CAT (Formerly CAC I) requires 1000 hours of clinically
supervised work hours (does not require DORA registration prior to the 1000 hours). Once
these hours are met, the individual is not able to perform duties until the CAT is officially
approved), in addition to passing the NCAC I Exam and passing the Jurisprudence Exam.
"Competency Enhancement Program - CEP" means the program funded through SB 19-223
to provide jail -based mental health services to those awaiting an inpatient competency
restoration bed.
"Competency Evaluator" is a licensed physician who is a psychiatrist or licensed psychologist,
each of whom is trained in forensic competency assessments, or a psychiatrist training and
practicing under the supervision of a psychiatrist with expertise in forensic psychiatry, or a
Page 1 of 25
Exhibit A-1
psychologist who is in forensic training and is practicing under the supervision of a licensed
psychologist with experience in forensic psychology.
"Court -Ordered Competency Evaluation" means a court -ordered examination of an individual
before, during, or after trial, directed to developing information relevant to a determination of the
individual's competency to proceed at a particular stage of the criminal proceedings, that is
performed by a Competency Evaluator and includes evaluations concerning restoration to
Competency.
"Critical Incidents" means a critical incident is any significant event or condition that must be
reported to the Department that is of public concern and/or has jeopardized the health, safety
and/or welfare of individuals or staff.
"Forensic Navigator" means social workers working within the CDHS that provide proper care
and coordination of pretrial individuals, which involves working with the courts, court liaisons,
service providers, and conducting periodic case management evaluations across the 22 judicial
districts.
"Forensic Support Team" means a group of individuals working within the CDHS who provide
evaluation and competency restoration education services, case management, and assertive
community treatment services to individuals awaiting competency restoration services.
"High Risk for Transfer" means an individual who has been ordered to receive inpatient
restorative treatment; for whom an evaluator has determined either that the individual appears
to have a mental health disorder and as a result of the mental health disorder, appears to be an
imminent danger to others or to himself and/or appears to be gravely disabled.
"LAC", or Licensed Addiction Counselor, is a behavioral health clinician who can provide co-
occurring services. Master's degree or higher in Substance Use Disorders/Addiction and/or
related counseling subjects (social work, mental health counseling, marriage & family,
psychology, medical doctor) from a regionally accredited institution of higher learning.
3,000 clinically supervised hours (2,000 direct clinical hours). Must pass the MAC and
jurisprudence exam. Designated providers of Clinical Supervision for all levels of certification
and licensure, in the addiction's profession.
"LCSW", or Licensed Clinical Social Worker, is a social worker trained in psychotherapy who
helps individuals deal with a variety of mental health and daily living problems to improve overall
functioning.
"LMFT", or Licensed Marriage and Family Therapist help couples and family members manage
problems within their relationships.
Page 2 of 25
Exhibit A-1
"LPC", or Licensed Professional Counselor, is a person engaged in the practice of counseling
who holds a license as a licensed professional counselor issued under the provisions of the
state of Colorado.
"Long Acting Injectable (LAI)" is an injectable medication that allows for the slow release of
medicine into the blood. An LAI can last anywhere from 2-12 weeks, which helps to control
symptoms of mental illness and / or substance use.
"Low Risk for Transfer" means an individual who has been ordered to receive inpatient
restorative treatment services and is assessed to need mental health services but does not
need a referral to a BHA designated inpatient facility.
"Moderate Risk for Transfer" means an individual who has been ordered to receive inpatient
restorative treatment, for whom an evaluator has determined either that the individual appears
to have a mental health disorder or appears to be gravely disabled and does not appear to be
an imminent danger to others or to himself at that point in time.
"Memorandum of Understanding" means a type of agreement between two or more parties.
It expresses a convergence of will between the parties, indicating an intended common line of
action.
"Program Level of Care Type" means the level of care a person receives while in jail awaiting
a bed for inpatient restorative treatment.
"Regional Accountable Entity" is responsible for building networks of providers, monitoring
data and coordinating members' physical and behavioral health care. RAEs replace and
consolidate the administrative functions of Regional Care Collaborative Organizations (RCCOs)
and Behavioral Health Organizations (BHOs).
"Screening Tools" are brief questionnaires or procedures that examine risk factors,
mental health/trauma symptoms, or both to determine whether further, more in-depth
assessment is needed on a specific area of concern, such as mental health, trauma, or
substance use.
Exhibits
A: Statement of Work - the narrative description of a project's work requirement. It defines
project -specific activities, deliverables and timelines for the Contractor providing services.
B: Budget - outline of the projected cost/expenses of the project.
C: Miscellaneous Provisions - general contract provisions and requirements including
standard conditions in contracts like payment procedures, audit thresholds, and recommended
measures against contract violation.
D: HIPAA Business Associate Agreement /Qualified Service Organization Addendum -
terms detailing required compliance with HIPAA and 42 C.F.R. Part 2 privacy regulations.
Page 3 of 25
Exhibit A-1
PART ONE - GENERAL PROVISIONS
Article 1
General Administration
1.1 Participation / Catchments. County Sheriffs may develop programs either individually, or
as multiple Sheriffs Departments (otherwise known as a catchment), submitting a combined
work plan. If services are provided to a catchment, the fiscal agent county (the county holding
this primary Contract with BHA) shall enter into subcontracts with its catchment county Sheriffs
Departments. BHA reserves the right to change the fiscal agent as necessary. Subcontracts
entered into under this provision shall adhere to the requirements of Exhibit C, Miscellaneous
Provisions, Section II.
1.2 Program Administrator. The Contractor shall select a JBBS Program Administrator,
identify the positions' roles, responsibilities and authority, and develop a management plan that
supports the JBBS Program Coordination Group. Any changes to the Program Administrator's'
contact information shall be communicated via email to the Behavioral Health Administration
within one business day of change to cdhs IbbsCSstate.co.us
a. BHA prefers that a staff person from the Sheriffs Department assume the role of
Program Administrator. The Program Administrator shall be well versed in the JBBS
Program, including contractual requirements. The Program Administrator shall also
participate in the JBBS Quarterly Meetings and shall oversee the JBBS Program and its
operations. The Sheriffs Department is encouraged to account for this administrative
position in their budget.
1.3 JBBS Program Coordination Group. The Contractor shall develop a process for
implementing a Program Coordination Group within the facility, to guide and support the JBBS
program. The Program Coordination Group shall meet on a regular and continual basis to
ensure project implementation and goals are progressing. In addition to monthly check -ins, the
JBBS Program Manager(s) will be available to attend periodic Program Coordination Group
meetings for technical assistance, contract management, and support based on agency need.
BHA reserves the right to record JBBS meetings as necessary. The Program Coordination
Group shall:
a. Oversee program implementation.
b. Make training recommendations.
c. Measure the program's progress toward achieving stated goals, using data provided
by BHA program manager(s) to guide work.
d. Resolve ongoing challenges to program effectiveness.
e. Inform agency leaders and other policymakers of program costs, developments, and
progress.
f. Develop policies and protocols to ensure clinical staff have the resources and support
required for service provision.
Page 4 of 25
Exhibit A-1
g. For JBBS Programs serving a catchment of counties, a sheriffs department
representative from each county is required to participate in the JBBS Program
Coordination Group.
h. Ensure the needs of all the jails in the catchment are being met by the resources and
subcontracted service providers.
1.4 Subcontractors. The JBBS Program requires a subcontract, or an MOU be in place for any
and all subcontractors. See Exhibit C, Miscellaneous Provisions, Section II for requirements
regarding the use of subcontractors.
1.5 Audits. As a participant in the JBBS program, participation in regular audits will be required.
Clinical and financial documentation shall be made available for onsite or virtual review by the
Office of Behavioral Health, in addition the location(s) where treatment services are being
provided.
1.6 The Contractor may serve individuals who are awaiting Medicaid approval or other funds to
pay for initial treatment services.
1.6 The Contractor shall provide services in a manner that respects and protects individual
rights. This requirement includes providing the subcontractor with the required space to offer
individual and group treatment services described in this Contract.
1.7 Recovery Support Services. SAMHSA (Substance Abuse and Mental Health Services
Administration) encourages those involved in substance abuse and / or mental health treatment,
to address their emotional, spiritual, intellectual, physical, environmental, financial, occupational,
and social needs. JBBS programs may provide recovery support services for wraparound
resources including, but not limited to, clothes, transportation, food, emergency housing/motel
vouchers, or basic hygiene purchases that will assist in stabilizing the individual in the
community.
1.8 The Contractor shall maintain support relationships with all points in the criminal justice
system, i.e., probation, parole, diversion, Department of Corrections, etc. to ensure continuity of
care.
1.9 Cultural Competency. The Contractor shall provide culturally competent and appropriate
services, per National Standards for Culturally and Linguistically Appropriate Services (CLAS
Standards), available at https://thinkculturalhealth.hhs.gov/clas/standards
1.10 The Contractor shall make reasonable accommodations to meet the needs of individuals
who are physically challenged, deaf or hearing impaired, or blind.
1.11 Medication Consistency (C.R.S. 27-70-103)
a. For the sole purpose of ensuring medication consistency for persons with mental health
disorders involved in the criminal justice system, for individuals participating in the JBBS
Page 5 of 25
Exhibit A-1
program, Contractor shall share patient -specific mental health and treatment information
with all subcontractors, clinicians, and providers involved in the individual's plan of care.
b. All such information sharing must comply with confidentiality requirements, including any
necessary memorandums of understanding between providers, set for in the federal
"Health Insurance Portability and Accountability Act of 1996", 45 CFR Parts 2, 160, 162,
and 164.
c. Contractor is encouraged, though not required, to participate in the Minnesota Multistate
Contracting Alliance for Pharmacy Cooperative Purchasing Agreement to purchase
medication and to utilize the Medication Consistency formulary developed by CDHS and
HCPF.
d. If Contractor does not utilize the Medication Consistency formulary developed by CDHS
and HCPF, Contractor shall provide a copy of the medication formulary available at
Contractor's jail. A copy of the CDHS and HCPF formulary is available on the CDHS
Website.
e. Contractor shall not bill inmates for appointments or medications otherwise covered by
JBBS. See Exhibit B, Budget and Rate Schedule for a list of covered meds
Article 2
Confidentiality and HIPAA / 42 CFR Part Two
2.1 HIPAA Business Associate Addendum / Qualified Service Organization Addendum.
The Contractor shall agree to comply with the terms of the HIPAA Business Associate
Addendum / Qualified Service Organization Addendum, Exhibit D of this Contract.
2.2 Third Parties and Business Associate Addendum / Qualified Service Organization
Addendum.
a. The Contractor shall require that any third parties, including subcontractors or other
partner agencies, that it involves for work to be done pursuant to this Contract agree to
the most recent CDHS version of the HIPAA Business Associate Addendum / Qualified
Service Organization Addendum, found in Exhibit D of this Contract.
b. A HIPAA Business Associate Addendum / Qualified Service Organization Addendum
is required between subcontracted treatment provider agencies for any program that has
more than one treatment subcontractor agency rendering services in the jail in order to
share assessments and screenings between subcontracted treatment provider agencies.
2.3 Additional Measures. The Contractor shall agree to the following additional privacy
measures:
a. Safeguards. The Contractor shall take appropriate administrative, technical and
physical safeguards to protect the data from any unauthorized use or disclosure not
provided for in this agreement.
b. Confidentiality. The Contractor shall protect data and information according to
acceptable standards and no less rigorously than they protect their own confidential
information. The Contractor shall ensure that individual level identifiable data or
Page 6 of 25
Exhibit A-1
Protected Health Information (PHI) shall not be reported or made public. The Contractor
shall ensure that all persons (e.g., interns, subcontractors, staff, and consultants) who
have access to confidential information sign a confidentiality agreement.
Article 3
Financial Provisions
3.1 Cost Reimbursement / Allowable Expenses. This contract is paid by cost reimbursement.
See Exhibit B, Budget and Rate Schedule, for a list of reimbursable expenses. The Rate
Schedule is non -exhaustive; other items expensed to this Contract must be reasonable toward
completion of the contract terms, are reviewable by BHA, and shall not exceed any detail in the
budget in this regard.
3.2 Staff Time Tracking and Invoicing. The Contractor shall ensure expenses and staff are
tracked and invoiced separately for each program or funding stream. Any other funding sources
or in -kind contributions supporting the JBBS Program shall be disclosed in the invoice
submission. Invoices will be submitted to cdhs BHApavmenta.state.co.us
by the 20th of the following month.
3.3 General Accounting Encumbrances (GAE). Some Parts under this Statement of Work
may utilize general accounting encumbrances. Detailed information regarding the general
accounting encumbrances can be found in those Parts.
3.4 Procurement Card. BHA recommends, although does not require, counties to consider the
use of a procurement card to be used for expenses related to the JBBS program. Contractor
shall follow its county's internal guidance and policies for use of procurement cards.
3.5 Proportional Reduction of Funds. The Behavioral Health Administration has the unilateral
authority to proportionately reduce the contract budget amount to match current spending rates.
If the Sheriffs Department has not spent 40% of the contract budgeted amount by November
30th, the Office of Behavioral Health may proportionately reduce the contract budget amount to
match current spending rates. If the Sheriffs Department has not spent 65% of the contract
budgeted amount by February 28th, the Behavioral Health Administration may again
proportionately reduce the contract budget amount to match current spending rates.
3.6 Fiscal Agent County Responsibilities. Where a county is acting as a fiscal agent for other
counties, the fiscal agent county shall pay invoices received by the catchment counties within 45
days of receipt.
3.7 Other Financial Provisions, including invoicing instructions can be found in Exhibit C,
Miscellaneous Provisions.
Page 7 of 25
Exhibit A-1
PART TWO - SUBSTANCE USE DISORDER (SUD) TREATMENT SERVICES
Article 1
Purpose and Target Population
1.1 Purpose. As used in this Statement of Work exhibit, the State and the Contractor together
are referred to as the "Parties". The Parties understand and agree that the goal of the Jail
Based Behavioral Health Services (JBBS) Program is to support county Sheriffs in providing
screening, assessment and treatment for offenders with substance use disorders (SUD) and co-
occurring substance use and mental health disorders, as well as transition case management
services. Through funds authorized by the Colorado General Assembly (SB 12-163), the
Behavioral Health Administration (BHA) intends to continue funding the Jail Based Behavioral
Health Services Programs as set forth in this Contract.
1.2 Target Population. Adults 18 years of age and older that are residing in the county jail with
substance use disorder or co-occurring substance use and mental health disorders. In this
regard, the Contractor, in accordance with the terms and conditions of this Contract, shall
develop, maintain, and provide behavioral health services in the county jails for individuals
highlighted in section 1.2. The Contractor, in providing required services hereunder, shall utilize
and maintain a partnership with community provider(s)/individuals that are licensed (LAC, LPC,
LCSW, CAS), who are in good standing with the Department of Regulatory Agencies (DORA),
have the ability to provide services within the jail or through televideo options, and have the
capacity to provide free or low cost services in the community to inmates upon release.
Article 2
Activities and Services
2.1. Licensed Substance Use Disorder Treatment Requirements.
a. Eligible individuals must have a substance use disorder and/or a co-occurring mental
health disorder (determined by SUD and MH screening) to be eligible to receive services
under the JBBS program.
b. Individual treatment providers must hold a Substance Use Disorder Provider license
and be in good standing with the Colorado Department of Regulatory Agencies (DORA).'
c. Contractor shall implement policies and procedures on how subcontracted treatment
provider(s) will manage and maintain clinical records for the individuals served at the
outpatient community location. The providers must follow the same protocols and
policies for record management for services offered in the jail.
d. Contractor shall provide appropriate screening(s), assessment(a), brief intervention
and linkage to care in the community, based on an individualized treatment and/or
transition plan.
i. Contractor shall utilize evidence -based screening processes and tools (see
page 11; Article 2, 2.1), subject to approval by BHA, to screen for mental health
Page 8 of 25
Exhibit A-1
disorders, substance use disorders, trauma, traumatic brain injuries and
suicidality.
e. Each individual's treatment / transition plan shall incorporate:
i. Summary of the continuum of services offered to individuals based on
evidence -based curricula.
ii. Frequency and duration of services offered.
iii. If an individual's treatment will be provided by more than one treatment
provider, describe how services are distributed between providers.
iv. Incorporation of criminogenic risk factors in service and transitional case
planning as determined from the Level of Supervision Inventory (LSI).
v. The individual's natural communities, family support, and pro -social support.
vi. A plan to transition individuals from jail -based services to appropriate
behavioral health and other needed community services upon release from
incarceration.
vii. Contractor shall provide treatment to individuals in need of services in
accordance with the treatment and transition plan described above.
Article 3
Standards & Requirements
3.1 Authorizing Legislation and Description of Services. The Jail Based Behavioral Health
Services (JBBS) Program is funded through the Correctional Treatment Cash Fund legislated in
the passage of Senate Bill 12-163. Section 18-19-103 (c), C.R.S. directs the judicial department,
the Department of Corrections, the state board of parole, the Division of Criminal Justice of the
Department of Public Safety, and the Department of Human Services to cooperate in the
development and implementation of the following:
a. Alcohol and drug screening, assessment, and evaluation.
b. Alcohol and drug testing.
c. Treatment for assessed substance abuse and co-occurring disorders.
d. Recovery support services.
The Correctional Treatment Fund Board has determined the Jail Based Behavioral Health
Services (JBBS) Program meets the requirements set forth in SB 12-163.
3.2 Level of program care. Services offered by the Contractor hereunder shall meet ASAM
Level 1 or 2.1 level of care.
Article 4
Data Reporting
4.1 Contractor is required to report information in the BHA Jail Based Behavioral Health
Services (JBBS) CiviCore Database or another database as prescribed by BHA.
Data must reflect current individual enrollment and services provided by the 15th day of each
calendar month to allow BHA staff to utilize current data. The following data elements will be
captured in the Civicore JBBS database or other database as prescribed by BHA:
Page 9 of 25
Exhibit A-1
a. A record for each individual who screened "positive" for a mental health disorder or
substance use disorder; other screenings completed and results thereof.
b. Basic demographic and working diagnosis information (including veteran status and
pregnancy status, if applicable).
c. For individuals in jail more than 30 days and who are admitted to the JBBS program, it
is recommended that a Level of Supervision Inventory (LSI/LSI-R) risk assessment be
completed.
d. The type and dosage of medications provided for Medication Assisted Treatment
(MAT). Please see Exhibit B for allowable medications.
e. Number of individuals who successfully transition to community -based services upon
release.
f. Program discharge outcomes and treatment status in the community after discharge.
4.2 The Contractor agrees to respond to BHA's inquiries about data submissions within two (2)
business days and work with BHA to quickly resolve any data issues.
4.3 Contractor is required to notify BHA of any staffing changes within 48 hours, as this
individual's Database access will need to be removed.
Article 5
Performance Measures
5.1 Performance Measures:
a. Transition Tracking Outcomes. The goal of the JBBS program is to identify treatment
service needs and assist with engagement in community -based treatment services upon
release. Contractor shall make reasonable efforts to contact all JBBS individuals who
are successfully discharged from the program and released to the community at one,
two, six and 12 months post release. The individual's treatment status shall be recorded
in the CiviCore JBBS database, or another data system as prescribed by BHA. If a client
remains engaged in treatment post -release, JBBS may continue to provide support
through the Contractor's Recovery Support Services section of their budget, for up to 12
months. The following are the treatment status options:
i. Deceased — In the event of death of the individual post -release.
ii. In Treatment — Individual is engaged in community -based treatment services
as recommended in the transition plan.
iii. New Crime/Regressed - Individual returned to jail for violations or committed a
new crime.
iv. Not Applicable - Individual sentenced to Department of Corrections, Probation,
Community Corrections, or treatment status not applicable at month two, six, or
12 due to prior tracking status of Deceased, New Crime/Regressed, or Treatment
Completed.
Page 10 of 25
Exhibit A-1
v. Not in Treatment — Individual is reported by the community -based treatment
provider as not in treatment or the individual reports to not be in treatment
services as recommended on the transition plan.
vi. Status Unknown — Individual cannot be located.
vii. Treatment Completed — Individual has completed treatment as recommended
in the transition plan.
b. Recidivism. JBBS aims to decrease the rate of reincarceration of former JBBS
participants. This approach should result in greater treatment engagement in the
community and decreased recidivism through better identification and treatment of
behavioral health needs.
c. BHA may conduct an annual analysis of recidivism. The following will apply to this
analysis:
i. JBBS participants who have received treatment services or groups will be
included in the recidivism analysis.
ii. "Recidivism" is the analysis that will be defined as re -arrest and reincarceration
for a new crime or a technical violation related to the individual's original charge.
iii. Recidivism Target. Programs will ensure that data in the JBBS Database
pertaining to the most recent complete fiscal year (July 1 - June 30) is verified
and correct by the 15th of July following the fiscal year so that the recidivism
analysis may be completed by BHA.
Article 6
Deliverables
6.1 For Deliverables under this section, please see Part 5 - JBBS Program Deliverables
PART THREE - JAIL MEDICATION ASSISTED TREATMENT (SB 19-008)
Article 1
Purpose & Target Population
1.1 Purpose. Senate Bill 19-008 concerns treatment of individuals with substance use disorders
who come into contact with the criminal justice system. Section 6 of the bill requires jails that
receive funding through the jail -based behavioral health services program to allow medication -
assisted treatment to be provided to individuals in the jail. The jail may enter into agreements
with community agencies and organizations to assist in the development and administration of
medication -assisted treatment. "Medication -assisted treatment" or "MAT" means a combination
of behavioral therapy and medications approved by the Federal Food and Drug Administration
to treat SUD disorders.
1.2 Target Population. 18 years of age and older, residing in county jail(s), SB 19-008 enacts
policies related to the involvement of persons with substance use disorders in the criminal
justice system.
Page 11 of 25
Exhibit A-1
Article 2
Activities & Services
2.1 Provision of Medication -Assisted Treatment. Contractors engaging 19-008 funding shall
expand access to care for persons who are incarcerated with substance use disorder (SUD)
through the following activities:
a. Have a policy in place for the provision of Medication -Assisted Treatment (MAT) and
how it will be implemented. A copy of this policy will be provided to BHA before MAT
services are provided. If a policy is not provided and MAT services are not offered, an
explanation as to why will be provided to BHA prior to any BHA JBBS funds being
issued. See Part Five, Article 1.5 for more details on how this needs to be submitted.
b. Identify program appropriate individuals via screening.
c. Link persons with SUD with a community based clinical care provider.
d. Initiate MAT for SUD and retain in MAT/optimize retention to MAT while in jail.
e. Provide patient education surrounding SUD and the types of treatment available in
their community.
f. Develop and routinely review individualized treatment plans.
2.2 Allowable Expenses. The following are allowable expenses in the provision of the services
above specific to this Part, reimbursable in accordance with the BHA -approved rate schedule.
a. Fee for service agreements with contractors for treatment, medical staff, and
medications.
b. Required medications, handled subject to Controlled Substance / Medication Assisted
Treatment licensing requirements, including medications for overdose reversal such as
Naloxone.
c. Jail payroll expenses for interventions, medical staff, and medications.
d. Facility and equipment upgrades related to MAT.
e. Training and staff development for MAT. Invoice requests are due to BHA as
expenses are incurred. Only one month's expenses are allowed per invoice.
Article 3
Standards and Requirements
3.1 General Accounting Encumbrance. This program will be funded by a General Accounting
Encumbrance (GAE). Payment to Contractor is made from available funds encumbered and
shared across multiple contractors. The State may increase or decrease the total funds
encumbered at its sole discretion and without formal notice to the Contractor. The liability of the
State for such payments is limited to the encumbered amount remaining of such funds.
3.2 Program Policies and Plans.
a. Contractor shall adhere to the policy or plan for its jail submitted to satisfy the
deliverable described in Part Six, Article 1.5.
Page 12 of 25
Exhibit A-1
b. A Sheriff who is the custodian of a county jail or city and county jail may enter into
agreements with community agencies, behavioral health organizations, and substance
use disorder treatment organizations to assist in the development and administration of
medication -assisted treatment in the jail.
3.3 License Requirements.
a. Providers licensed as an opioid medication assisted treatment (OMAT) program shall
adhere to 2 CCR 502-1 Behavioral Health Rules regarding 21.320: Opioid Medication
Assisted Treatment (OMAT).
b. Providers handling controlled substances shall adhere to 2 CCR 502-1 Behavioral
Health Rules regarding 21.300: Controlled Substance License Requirements, which
includes direction on the safe storage and handling of controlled substances.
3.4 Level of Program/Care. OMAT provider facilities shall meet ASAM Level 1 Outpatient
Treatment or 2.1 Intensive Outpatient level of care.
3.5 Tiered MAT Funding.
a. Contractors will be provided with funding for MAT services based on the following
tiered system created by BHA:
TIER 1. This is the base tier, a starting point for jails that may have high barriers and/or
resource shortage. It is primarily for jails that only offer Vivitrol and Buprenorphine
continuations for pregnant individuals. If Contractor at this tier anticipates spending over
$5,000 in a year, it must provide a budget to BHA for pre -approval.
TIER 2. This is the middle tier for established programs, but these programs may have
some barriers and are not offering a full FDA MAT medication list yet. This is primarily
for jails that offer continuations for inmates for Buprenorphine products as well as
Vivitrol. An additional $10,000 may be offered if Methadone is offered as a continuation
for inmates. If Contractor at this tier anticipates spending over $35,000 in a year, it must
provide a budget to BHA for pre -approval.
TIER 3. This is the top tier for established programs. It should include full induction and
continuation of all FDA approved medications. Jails in this group would submit a budget
(could be $150,000 or more) for their MAT program, submit a work plan outlining how
they will screen, refer, provide medications while incarcerated, and transfer care of those
individuals to community MAT providers upon release.
b. MAT funding based on Tiers will be based on Program Manager's discussion with the
contracted jail. If a program chooses to prove eligibility for a higher tier, this will be taken
into consideration for the following contract year. A jail will stay within one tier for an
entire contract year, but can move up or down depending on proved eligibility and need.
Page 13 of 25
Exhibit A-1
Article 4
Deliverables
4.1 For Deliverables under this section, please see Part 5 - JBBS Program Deliverables
PART FOUR - JBBS TECHNICAL ASSISTANCE (HB 22-1326)
Article 1
Purpose & Target Population
1.1 Purpose
The State of Colorado, Behavioral Health Administration (BHA) in cooperation with JBBS
(Jail Based Behavioral Health Services) program, will assist county jails in meeting the
requirements set forth by legislation as it pertains to Medication Assisted Treatment (MAT)
technical assistance provided to jails. County jails may enter into agreements with
community agencies and organizations to assist in the development and administration of
medication -assisted treatment.
"Medication -assisted treatment" or "MAT" means a combination of behavioral therapy and
medications approved by the Federal Food and Drug Administration to treat SUD disorders.
This technical assistance is a menu of options for different technical assistance elements
needed for jails including but not limited to: consulting related to staffing necessary to
provide MAT services, including jail operations staff, medical staff, and behavioral health
staff. This technical assistance should also include options as to what services are available
to offenders upon their release from custody.
Those who will be assisted by the technical assistance are local county detention facilities
(jails) throughout the state of Colorado. The state of Colorado has 64 counties, however, not
all 64 counties have jails. The JBBS program is currently being offered in 47 county jails. Jail
population sizes vary by county, with the largest populations being housed in the seven
county Denver metro area jails.
1.2 Target Population.
Colorado County Jails participating in the Jail Based Behavioral Health Services program with
the Behavioral Health Administration annually contracting with the state of Colorado to receive
these funds for the provision of jail based behavioral health services have access to these funds
through their contracts.
1.3 General Accounting Encumbrance. This program will be funded by a General Accounting
Encumbrance (GAE). Payment to Contractor is made from available funds encumbered and
shared across multiple contractors. The State may increase or decrease the total funds
encumbered at its sole discretion and without formal notice to the Contractor. The liability of the
State for such payments is limited to the encumbered amount remaining of such funds.
Article 2
Definitions and Acronyms
Page 14 of 25
Exhibit A-1
Behavioral Health Administration (BHA) represents one of Colorado's many steps towards
strategic investments in improving the behavioral health system. The BHA is a new cabinet
member -led agency, housed within the Department of Human Services, designed to be the
single entity responsible for driving coordination and collaboration across state agencies to
address behavioral health needs.
Drug Enforcement Agency (DEA) enforces the controlled substances laws and regulations of
the United States and brings to the criminal and civil justice system of the United States, or any
other competent jurisdiction, those organizations and principal members of organizations,
involved in the growing, manufacture, or distribution of controlled substances appearing in or
destined for illicit traffic in the United States; and to recommend and support non -enforcement
programs aimed at reducing the availability of illicit controlled substances on the domestic and
international markets.
Jail Based Behavioral Health Services (JBBS) The Jail Based Behavioral Health Services
(JBBS) Program has been operational since October 2011 with funding from the Correctional
Treatment Cash Fund pursuant to C.R.S.18-19-103 (5)(c)(V). The goal of the JBBS Program is
to provide appropriate behavioral health services to inmates while supporting continuity of care
within the community after release from incarceration.
Medication Assisted Treatment (MAT) is the use of medications, in combination with
counseling and behavioral therapies, to provide a "whole -patient" approach to the treatment of
substance use disorders. Medications used in MAT are approved by the Food and Drug
Administration (FDA) and MAT programs are clinically driven and tailored to meet each patient's
needs.
Article 3
Activities and Services
3.1 Expanded Provision of Medication -Assisted Treatment Through Technical
Assistance. Contractors engaging JBBS funding shall access technical assistance to expand
access to care for persons who are incarcerated with substance use disorder (SUD) through the
following activities:
a. Contractor shall utilize technical assistance for the Development and
Implementation of Medication -Assisted Treatment (MAT)
b. Contractor shall hire technical assistance ("TA") providers to support MAT
programs in their facility to address:
i. Medication availability within the community
ii. Medication Acquisition/utilize technical assistance for identifying bulk
purchasing opportunities for necessary services
iii. DEA licensing services
iv. Temporary or Permanent staffing services for positions related to the
implementation of MAT services. These could be both sworn and civilian
positions.
v. Training services for jail staff as it relates to MAT
vi. Consultation services for jail staff and community providers as it relates to
MAT
Page 15 of 25
Exhibit A-1
vii. Advertising, Marketing or Public Relation Services regarding MAT
services
viii. Building modifications as it pertains to MAT services
ix. Human Services collaboration as it pertains to Medicaid enrollment prior
to release from jail
x. Telecommunication services (ex WiFi upgrades)
xi. Translation services when needed
xii. Delivery of MAT medications
xiii. Community re-entry services for offender transition (services that help
offenders transition from prison to a productive community life)
c. Contractor shall provide a work plan outlining the jail's intended use for the TA
funding for no later than 30 days from the date this amendment is executed. If
jails decline the funding, a written explanation will be provided by 30 days from
when this amendment is executed.
d. Submit a policy of the Jail's MAT protocols and procedures for the facility
outlining the services and medications offered no later than 30 days from the
date this amendment is executed to cdhsjbbs@state.co.us.
i. A copy of this policy will be provided to BHA before MAT services are
provided. If a policy is not provided and MAT services are not offered, an
explanation as to why will be provided to BHA prior to any BHA JBBS
funds being issued no later than 30 days from the date this amendment is
executed.
ii. The policies will also include guidelines for nonmedical evaluations,
including timelines for performing a subsequent medical evaluation.
e. Contractor shall provide appropriate and best -practice withdrawal management
care to incarcerated individuals as necessary.
f. Contractor shall develop community partnerships with necessary providers to link
persons with SUD with an approved community -based clinical care provider.
g. Contractor shall initiate MAT for SUD and retain in MAT/optimize retention to
MAT while in jail where clinically indicated.
h. Contractor shall provide patient education surrounding SUD/MAT/OUD and the
types of treatment available in their community.
3.2 Allowable Expenses. The following are allowable expenses in the provision of the services
above specific to this Part, reimbursable in accordance with the BHA -approved rate schedule.
a. Purchase technical assistance services identified in 3.1(b) above.
b. Provide staff development and training regarding Medication -Assisted Treatment,
Substance Use Disorder, and Opioid Use Disorder to fulfill requirements of HB
22-1326.
c. Fee for service agreements with contractors for treatment, medical staff, and
medications.
d. Required medications, handled subject to Controlled Substance / Medication
Assisted Treatment licensing requirements, including medications for overdose
reversal such as Naloxone.
e. Jail payroll expenses for interventions, medical staff, and medications.
Page 16 of 25
Exhibit A-1
f. Facility and equipment upgrades related to MAT. Upgrade plan subject to prior
approval.
PART FIVE - JBBS PROGRAM DELIVERABLES
Article 1
1.1 Deliverables for All JBBS Programs
a. JBBS Work Plan. Using the JBBS Statement of Work, the Contractor is required to
design a work plan based on the five criteria listed below. The Annual Work Plan should
specify the following information for each service in which the Contractor will participate
in. See JBBS Work Plan Template at the end of this document.
b. Annual Report. The Contractor shall submit to the State the previous year's Annual
Report by EOB July 31, utilizing the JBBS Reporting Template provided by BHA. The
Contractor shall submit this report via email to cdhsjbbs@state.co.us
c. JBBS Database Reporting.
i. The Contractor or designated subcontractor shall complete all applicable data
fields in the JBBS (Civicore) Database using the following URL:
https://fw.civicore.com/ibbhs or another data system as prescribed by BHA. All
data entry shall be updated on an ongoing basis and must reflect current
individual enrollment and services provided by the 15th of each month following
the month when the service was provided.
ii. Data Entry shall include:
a. Basic individual demographic and working diagnosis information.
b. Booking date (date that the individual was booked into jail).
c. Screening date and results (Mental Health, Substance Use, Traumatic
Brain Injury, Trauma, and Suicidality) for all individuals who screen
"positive" for a mental health disorder or substance use disorder.
d. Admission date (date that individual began receiving JBBS services).
e. If applicable, results of Level of Supervision Inventory (LSI/LSI-R) risk
assessment (recommended for individuals admitted to the JBBS program
who are in jail more than 30 days).
f. Individual -level services provided (date of service, type of service,
duration of service, and any additional applicable information), including
any Medication Assisted Treatment services provided (date of service,
duration of service, type of MAT service, specific MAT medication, and
any other applicable information, including frequency of dosage).
g. Date, duration, and participants who attended for treatment or case
management group sessions.
h. Discharge date and type (unsuccessful discharge or successful
discharge, depending on whether the individual is actively participating in
the JBBS program at the time of discharge). BHA utilizes discharge and
admission dates to approximate sentence length and measure progress
toward shortening sentence lengths.
Page 17 of 25
Exhibit A-1
i. Date tracked and treatment status in the community, tracked at month 1,
month 2, month 6, and month 12 after discharge.
iii. The Contractor or Contractor's designated subcontractor shall complete Drug
Alcohol Coordinated Data System (DACODS), Colorado Client Assessment
Records (CCAR), and Encounters - or other BHA prescribed data system
records, according to the following schedule:
a. Encounters are due by the last business day of each month for all
services provided during the previous month.
b. CCARs are due by the last business day of the month following the
admission, annual update, or discharge of a client.
c. DACODS are due by the 15th of the following month for admissions into,
and discharges from, JBBS services.
See the latest version of the Finance & Data Protocol #1 Special Studies Codes
and Eligibility for more details.
d. Workgroup Attendance. BHA facilitates JBBS Program Meetings every other month.
The Contractor shall ensure that a representative from each jail participates in the
meetings. The representative(s) who attends the meetings shall be responsible for
relaying the information discussed during the meetings to the rest of the Contractor's
program organizational structure.
e. Critical Incidents. The Contractor shall ensure any critical incident involving a JBBS
client that occurs within the jail, is documented and shared with the Office of Behavioral
Health via an encrypted email to cdhs ci bhastate.co.us, within 24 hours of the time
the incident occurs. It is recommended that the Contractor include this reporting
requirement in all subcontractor agreements. The documentation should include the
following:
i. Date and time of incident
ii. Location of the incident
iii. The nature of the incident
iv. How the incident was resolved
v. Name[s] of staff present
vi. Whether the incident resulted in any physical harm to the participant or any
staff.
f. Copy of Proposed Subcontract. The Contractor shall provide to BHA a copy of any
proposed subcontract between the Contractor and any potential provider of services to
fulfill any requirements of this Contract, to cdhs ibbs@state.co.us within 30 days of
subcontract execution. The subcontract will be evaluated to ensure it is in compliance
with the maximum rates established in the Annual Budget document provided by BHA.
g. Site Visits. The JBBS Program Manager(s) shall conduct site visits for the purpose of
providing technical assistance support and quality assurance monitoring of the program
on a periodic/as needed basis.
h. Monthly Contract Monitoring Tool. The Contractor shall submit a completed
contract monitoring tool to their assigned JBBS program manager no later than the 20th
of the month with the prior months information. JBBS program managers will update this
internally.
Page 18 of 25
Exhibit A-1
i. Plan of Action. Contractors who do not meet the deliverables above, or any additional
deliverables listed below, for which they have been provided funding, shall be asked to
submit a plan of action to improve program performance for the current or next fiscal
year.
j. Monthly BHA Invoice. Invoices will be submitted to cdhs bhapayment@state.co.us
by the 20th of the following month. Only one month's expenses are allowed per invoice.
Supporting documentation will only be required in the event of an audit, but these
records should be maintained by the Contractor.
k. Spending Projection Plan. If a contractor is underspent by greater than 40% of their
budget by mid fiscal year (Nov 30), Contractor shall submit a spending projection plan.
Failure to submit the spending plan and failure to effectively utilize funding could result in
reduction in the current year budget.
I. Behavioral Health Screenings:
i. Individuals involved in the JBBS program are required to complete an evidence
based behavioral health screen for each of the following five categories:
Substance Use Disorder, Mental Health, Suicide, Trauma and Traumatic Brain
Injury. This information should be used to formulate a comprehensive treatment
plan to include appropriate referrals...
ii. For individuals who are admitted to the JBBS program and are in custody more
than 30 days, it is recommended that a Level of Supervision Inventory (LSI/LSI-
R) risk assessment be completed.
1.2 Additional Deliverables Related to Mental Health Expansion (SB 18-250)
a. Data Entry. The Contractor or designated subcontractor shall complete all applicable
data fields in the JBBS (Civicore) Database, or another data system as prescribed by
BHA. All data entry shall be updated on an ongoing basis and must reflect current
individual enrollment and services provided by the 15th of each month following the
month when the service was provided. In addition to the data reporting requirements
outlined in Part 5, Article 1, Section 1.1, Subsection c, above, the following additional
data related to Mental Health Expansion shall be collected:
i. Whether the individual is receiving mental health services only, not SUD
services (checkbox in JBBS Database).
1.3 Additional Deliverables Related to Competency Enhancement (SB 19-223)
a. Data Entry. The Contractor or designated subcontractor shall complete all applicable
data fields in the JBBS (Civicore) Database, or another data system as prescribed by
BHA. All data entry shall be updated on an ongoing basis and must reflect current
individual enrollment and services provided by the 15th of each month following the
month when the service was provided. In addition to the data reporting requirements
outlined in Part 5, Article 1, Section 1.1, Subsection c, above, the following additional
data related to Competency Enhancement shall be collected:
i. Whether the individual is involved in the competency restoration process
(checkbox in JBBS Database).
Page 19 of 25
Exhibit A-1
ii. Whether the individual has returned to jail after receiving competency
restoration services (checkbox in JBBS Database).
1.4 Additional Deliverables Related to Pre -Sentence Reentry Coordinator Services
a. Data Entry. The Contractor or designated subcontractor shall complete all applicable
data fields in the JBBS (Civicore) Database, or another data system as prescribed by
BHA. All data entry shall be updated on an ongoing basis and must reflect current
individual enrollment and services provided by the 15th of each month following the
month when the service was provided. In addition to the data reporting requirements
outlined in Part 5, Article 1, Section 1.1, Subsection c, above, the following additional
data related to Pre -Sentence Reentry shall be collected:
i. Whether the individual is pre -sentence at time of admission (checkbox in JBBS
(CiviCore) Database.
1.5 Additional Deliverables Related to Jail Medication -Assisted Treatment (SB 19-008)
a. Organizational Structure. All Contractors participating in JBBS shall determine and
provide an organizational structure designed to facilitate and promote effective MAT
program administration. Describe the use of evidence based best practices for
coordination of care for identified inmates. This report is due via email to
cdhs ibbs(B)_state.co.us by August 1 annually.
b. Policies. Prior to MAT services being delivered, the Contractor shall provide BHA a
written policy for their intended Jail MAT service delivery method, via email to
cdhs IbbsAstate.co.us. Contact JBBS Program Manager for additional information on
creating MAT policies.
c. Barrier Reports. If Contractor does not yet deliver MAT in its jail, Contractor shall
submit a report detailing the barriers Contractor is experiencing that have prevented
MAT delivery in the jail. Describe the capacity or efforts needed to get the jail into
compliance or ability to provide MAT in the jail, including but not limited to withdrawal
management, screening, and coordination of care for inmates identified for MAT. The
report is due via email to cdhs ibbsf.state.co.us by AugUst 1 annually.
d. Start -Up Plans. In the first year that Contractor will deliver MAT in its jail, Contractor
shall submit a report of ramp -up activities that will occur in the first four months of the
project via email to cdhs ibbsestate.co.us by August 1 annually.
e. Work Plan and Budget Submission/Approval. In order to access MAT funds,
Contractor must submit a work plan selecting an MAT tier and describing how the funds
will be used. If Contractor's proposed budget exceeds the soft cap described in its tier
(described in Part Three, article 3.5 above), Contractor shall provide an initial budget to
the BHA JBBS Program Manager with Contractor submission of the work plan. BHA
JBBS Program Manager will respond with an approval, a request for more information,
or a rejection with cause. Budgets in excess of its tier's soft cap must be approved in
advance in writing by the BHA JBBS Program Manager. Contractors with ongoing MAT
programs must submit the workplan and budget by June 1 annually for the upcoming
state fiscal year (beginning July 1). Contractors beginning new MAT programs must
submit the workplan and budget prior to commencing services billed to this fund.
Page 20 of 25
Exhibit A-1
Contractor work may not commence until the work plan and budget are approved by the
BHA JBBS Program Manager.
f. Data Entry. The Contractor or designated subcontractor shall complete all applicable
data fields as outlined in Part 5, Article 1, Section 1.1, Subsection c, above. Data shall
be entered in the JBBS (Civicore) Database, or another data system as prescribed by
BHA. All data entry shall be updated on an ongoing basis and must reflect current
individual enrollment and services provided by the 15th of each month following the
month when the service was provided.
1.6 Additional deliverables related to JBBS TECHNICAL ASSISTANCE (HB 22-1326)
a. Work Plan. Contractor shall provide a work plan outlining the jail's intended use for the
TA funding for no later than 30 days from the date this amendment is executed. If jails
decline the funding, a written explanation will be provided by 30 days from when this
amendment is executed.
Table 1
Below is the deliverables table required by BHA, for each JBBS related service.
Program
Deliverable
Description
Due Date
Responsible
Party
Deliver to
All
Provide annual
work plan
See Part 5,
Article 1,
Section 1.1,
Subsection
a, above
By EOB April
1, for the
following fiscal
year
Contractor
cdhsjbbs@state.co.us
All
BHA invoice
See Part 1,
Article 3,
Section 3.2,
above
By 20th of
following
month for
previous
month's
expenses
Contractor
cdhs_BHApayment@st
ate.co.us
All
Report critical
incidents
See Part 5,
Article 1,
Section 1.1,
Subsection
e, above
Within 24
hours of
incident
Contractor
cdhs_ci_BHA@state.co.us
All
Provide JBBS
annual report
See Part 5,
Article 1,
Section 1.1,
Subsection
b, above
By EOB July
31 of the
current year
Contractor
cdhslbbs@state.co.us
Page 21 of 25
Exhibit A-1
All
Workgroup
attendance
See Part 5,
Article 1,
Section 1.1,
Subsection
d, above
Quarterly
Contractor
Locations TBD
All
Send BHA copy of
proposed
subcontract
See Part 5,
Article 1,
Section 1.1,
Subsection f,
above
Within 30 days
of contract
being signed
Contractor
cdhsjbbs@state.co.us
All
Site Visits
See Part 5,
Article 1,
Section 1.1,
Subsection
g, above
Ongoing / as
needed
BHA
Locations TBD
All
Contract
Monitoring Tool
See Part 5,
Article 1,
Section 1.1,
Subsection
h, above
Ongoing, by
the 20th of
each month for
all services
provided
during the
previous month
Contractor
JBBS Program
Manager
Mental
Health
Expansion
(SB 18-250)
Data entry specific to
SB 18-250
See Part 5,
Article 1,
Section 1.2,
Subsection
a, above
Ongoing, by
the 15th of
each month for
all services
provided
during the
previous month
Contractor or
designated
subcontractor
JBBS Civicore
Database
J
es
rd i
s
Heaealthh Services
Competency
Enhancemen
t (SB 19-223)
Data entry
specific to SB
19-223
See Part 5,
Article 1,
Section 1.3,
Subsection
a, above
Ongoing, by
the 15th of
each month for
all services
provided
during the
previous month
Contractor or
designated
subcontractor
JBBS Civicore
Database
Jail Based Behavioral
Health Services
Pre -sentence
Reentry
Coordinator
Services
Data entry specific to
pre -sentence Reentry
coordinator services
See Part 5,
Article 1,
Section 1.4,
Subsection
a, above
Ongoing, by
the 15th of
each month for
all services
provided
during the
previous month
Contractor or
designated
subcontractor
JBBS Civicore
Database
JailBasedBehavioral
J
Health Services
Page 22 of 25
Exhibit A-1
JMAT (SB
19-008)
Organizational
structure
Part 5, Article
1, Section
1.5,
Subsection
a, above
August 1
(annually)
Contractor
cdhsjbbs@state.co.us
JMAT (SB
19-008)
Policies
Part 5, Article
1, Section
1.5,
Subsection
b, above
Prior to MAT
services being
delivered
Contractor
cdhsJbbs@state.co.us
JMAT (SB
19-008)
Barrier Reports
Part 5, Article
1, Section
1.5,
Subsection c,
above
August 1
(annually)
Contractor
cdhsJbbs@state.co.us
JMAT (SB
19-008)
Start -Up Plans
Part 5, Article
1, Section
1.5,
Subsection
d, above
August 1
(annually)
Contractor
cdhsJbbs@state.co.us
JMAT (SB
19-008)
Work Plan and
Budget
Submission/Appr
oval
Part 5, Article
1, Section
1.5,
Subsection
e, above
Within five (5)
business days
of plan
submission
Contractor
cdhsJbbs@state.co.us
JMAT (SB
19-008)
Data Entry
Specific to JMAT
(SB 19-008)
Part 5, Article
1, Section
1.5,
Subsection f,
above
Ongoing, by
the 15th of
each month for
all services
provided
during the
previous month
Contractor or
designated
subcontractor
JBBS Civicore
Database
Jail Based Behavioral
Health Services
JBBS MAT
TA (HB 22-
1326)
Work Plan and
Budget
Submission/
Approval
Within five (5)
business days
of plan
submission
Contractor or
designated
subcontractor
cdhsJbbs@state.co.us
JBBS Work Plan
1. Identify the Project Name, Purpose and Timeline
i. The Project Name will be either JBBS/Substance Use Disorder
Treatment, JBBS/Mental Health Treatment, JBBS/Pre-Sentence
Page 23 of 25
Exhibit A-1
Coordinator, JBBS/Competency Enhancement, or JBBS/Medication
Assisted Treatment (MAT).
ii. The Purpose will include what you hope to accomplish by providing
JBBS services in your facilities.
iii. The Timeline will be June 30, 2022 - July 1, 2023
2. Put Your Work Plan Into Context
i. This should include an introduction and background of the facility's
JBBS program.
ii. Write an introduction and background to better outline why you need
this project to happen - Creating context and establishing the problem,
helps explain why you need the solution. Examples could include an
increase in substance abuse usage, increase in mental health disorders,
increased jail population, high recidivism rates, Colorado state statute
requirements, etc...
iii. Describe the overall goal of the JBBS program. Examples can include
who is eligible for services, how will referrals to the program be made,
what are the admission criteria, how services will be provided, etc...
iv. If the facility is a new JBBS program, please include a brief summary
of how and why JBBS services will be implemented into your facility, and
what you hope to gain from this program.
3. Establish Your Goals and Objectives: Goals and objectives should be developed in
an integrated, multi -disciplinary fashion, which includes the active and ongoing
participation of the offender, jail staff and community providers. Examples could include:
i. What are / will be, the assessments and screenings between
subcontracted treatment provider agencies?
ii. How will you interface with other agencies serving persons with
substance use disorders or co-occurring mental illnesses, (i.e.,
community mental health centers, substance use disorder treatment
programs, service programs for Veterans, community service agencies,
and other licensed clinicians in private practice), to meet individuals'
treatment needs?
iii. What is the service array available within the community to program
participants upon their release from jail, OR, if there are limited services
available in your area, highlight this as a potential barrier.
iv. Which recovery support services (RSS) are most needed in your
community and/or catchment area and how will the provider or Sheriffs
Department use a portion of their budget to meet these needs?
v. What security protocol and reporting requirements are expected from
the treatment provider?
vi. What is the current capacity or efforts to screen all individuals booked
into the jail facility for mental health, suicidality and substance use
histories and needs?
Page 24 of 25
Exhibit A-1
vii. What are/will be, the continuum of services being offered, pursuant to
this Contract based on evidence -based curricula?
viii. What will the frequency and duration of services offered look like?
Discuss the availability of services during the week and hours of
operation, as well as include a breakdown of staff time (FTE) allocated to
the program, credentials, and general duties of each position.
4. Define and Coordinate Your Resources:
i. Determine and provide an organizational structure designed to facilitate
and promote effective administration of the JBBS program (should include
jail staff as well as any subcontracted staff).
ii. Describe how you plan to link offenders with community services upon
their release from custody.
5. Understand Your Constraints: Are there any obstacles that are going to get in the way
of providing these services?
i. Examine if there are any barriers to treatment within the jail? Within the
community?
ii. If so, it is possible to address these and, if so, how do you plan to do
that?
6. Discuss Risks and Accountability: Here you will highlight any foreseeable risks to the
program, as well as who will be accountable for each aspect of the program.
i. Activities, services, budgets, plans, timelines, goals, and outcome
measures included in the Work Plan shall be interpreted as being material
contractual performance requirements, outcomes, measures, and
contract deliverables of the Contractor.
The work plan, once approved by BHA, shall be incorporated into this Contract by reference as
work requirements of the Contractor supplemental to Contractor work requirements under the
current Contract Exhibit A, Statement of Work, as amended. Please use the template provided
below to complete your work plan.
Page 25 of 25
Exhibit B-1
COLORADO
Office of Behavioral Health
Department of Human Services
EXHIBIT B -1, FY23 ANNUAL BUDGET
Agency Name
Weld County
Budget Period
July 1, 2022 - June 30, 2023
Project Name
JBBS
Program Contact, Title
Phone
Email
Stephanie Dandurant,
Director of Inmate Services
970-400-3937
sdandurand@weldgov.com
Fiscal Contract, Title
Phone
Email
Kevin Halloran, Lieutenant
970-400-2837
khalloran@weldgov.com
Date Completed
November 1, 2022
SERVICE
CATEGORIES
Services (Fixed
Price per rate Schedule)
Funding Source
Total
Substance Use Disorder Treatment
State General Fund
354,979.00
Total Contract
354,979.00
General
Accounting Encumbrance
- Medication
Assisted Treatment
MAT Services
GAE Total
1,690,458.00
Fentanyl Technical Assistance
GAE Total
2,955,000.00
**GAF total for all Contractors is S.4,635,458. No minimum amount is guaranteed to Contractor. Funds are invoiced as earned per the terms of Exhibit A and the following Rate Schedule.
JBBS
RATE
SCHEDULE
Statewide Maximum Salaries
Positions should be hired at salary levels indicative of qualifications, experience,
only. It is understood that many positions will be hired at lower salary levels
and organization pay schedules. This table indicates a maximum salary
than the state maximum.
Licensed Therapist
(LPC/LCSW/LAC/LMFT)*
$82,400/year
Unlicensed Master's Level Therapist or Substance Abuse Counselor (example CAS)*
$66,950/year
Unlicensed Bachelor's Level Therapist or Substance Abuse Counselor (example
CAS)*
$61,800/year
Case Manager (CM) *
$56,650/year
Certified Addiction Technician (CAT)
$43,260/year
Physician Assistance (PA) *
$123,600/year
MD/DO *
$258,805/year
JBBS Program Administrator (Primary responsibility of managing the jail's JBBS
program.) *
$100,522/year
_
Pre -sentence Coordinator *
$70,00/year
$131,933/year
Pharmacist (Pharm-D)
Registered Nurse *
$74,160/year
Data Entry Clerk
$41,200/year
Peer Support Specialist
$35,000/year
Qualified
Medication
Administration Person (QMAP)
$15.50/hour
*BHA will reimburse salaries up to the state maximum
*BHA may consider rates 10% above statewide maximum salaries pending justification
from jails and written pre -approval by BHA
Travel
Mileage (IRS rate) I
$0.59/mile
Operating Expenses
Maximum total percentage of contract budget I
10%
Training and continuing education for jail employees/clinicians (including but not
Trauma Informed Care, (Certified Addiction Specialist -Classes only) may be included
limited to QMAP, CIT, Motivational Interviewing, Mental Health First Aid,
in the operating expenses
BHA may pay for one licensing test per clinician (NCE, MAC, NCAC). Up to $200
per clinician, per test.
BHA may consider operating expenses above 10% of total contract budget pending
justification from jails and written pre -approval by BHA
Indirect Expenses
Maximum total percentage of contract budget I
10%
Page 1 of 2
Exhibit B-1
BHA may consider operating expenses above 10% of total contract budget pending justification from jails and written pre -approval by BHA
RECOVERY SUPPORT SERVICES
Allowed Services *
Additional Notes
Application Fees ID / Birth Certificates
Indigent Backpacks
Basic Hygiene Items
Bicycles
May be provided if client is engaged in treatment services for 2 + months post release. 1
bike per person.
Bus Pass — Daily, Monthly
Child Care
1 month limit per client, per child
Clothing
Educational Costs ( books, supplies, and fees)
Emergency Housing/Rental Assistance
90 day limit per person
Food Assistance
Gas Vouchers
GED Program / Testing
Job Placement Training
Life Skills Training
Medical Assistance — copays / infectious disease testing
Limit of $250.00 per person
Medications
30 day limit per person
Personal Care (e.g. haircuts)
Phone Cards
Limit of $15.00 per person
Pre -paid Cell Phones
To be paid for upon release and after client attends 2 appointments in the community.
Cost of the phone and up to 2 months of bills.
Printed Resources
Transportation Assistance
Transportation to Residential Treatment
Out of state travel to treatment will need prior approval by BHA
UA / BAs
Limit of $100.00 per person
Utilities
1 month limit per client
* BHA may consider other expenses pending justification from jails and written pre -approval by BHA
MEDICATIONS
Medication reimbursement will be based on a) providers established rate or b) jail purchase agreement rate or c) in the absence of an established rate or jail purchase
agreement rate the following BHA rate schedule.
Psychotropic Medication will be reimbursed at rate established on Preferred Drug List (PDL) which can be found at https://www.colorado.gov/hcpf/pharmacy
Medication
Rate
Methadone
$18/day. Methadone treatment, including medication and integrated psychosocial and
Naltrexone (oral)
Monthly Medication Rate: $85. Monthly Prescriber Rate: $150
Depot-naltrexone (injectable) (Vivitrol)
$1,376/unit; 380mg injection (extended release) per month
Buprenorphine (pregnancy) - mg.
$41 /month
Buprenorphine (pregnancy) - 2mg
$31 /month
Buprenorphine/naloxone sublingual film (suboxone) - 12mg/3mg
$275/month
Buprenorphine/naloxone sublingual film (suboxone) - 8mg/2mg
$140/month
Buprenorphine/naloxone sublingual film (suboxone) - 4mg/lmg
$140/month
Buprenorphine/naloxone sublingual film (suboxone) - 2mg/0.5mg
$80/month
Naloxone (Narcan)
Unit Cost: $75. Prescriber Rate: $35
Suboxone and generics
$5.55 / unit @30 days = $166.50 for a 2mg-0.5mg dose; range can increase from 4mg-
Buprenorphine - 8mg
$41/month
Buprenorphine - 2mg
$31/month
Suballocate (injectable)
$1,376/unit; 380mg injection (extended release) per month
Revised 02_23_2022
**Payment to Contractor is made from available funds encumbered and shared across multiple contractors. The State may increase or decrease the
total funds encumbered at its sole discretion and without formal notice to Contractor. No minimum payment is guaranteed to Contractor. The
liability of the State for such payments is limited to the encumbered amount remaining of such funds.
Page 2 of 2
Exhibit C-1
Exhibit C-1
Miscellaneous Provisions
I. General Provisions and Requirements
A. Finance and Data Protocols
The Contractor shall comply with the Behavioral Health Administration's (BHA) most current
Finance and Data Protocols and the Behavioral Health Accounting and Auditing Guidelines,
made a part of this Contract by reference.
B. Marketing and Communications
The Contractor shall comply with the following marketing and communications requirements:
1. Reports or Evaluations. All reports or evaluations funded by BHA must be reviewed
by BHA staff, including program, data, and communications, over a period of no
fewer than 15 business days. The Contractor may be asked to place a report or
evaluation on an BHA template and the report or evaluation is required to display
the BHA logo. The Contractor shall submit the finished document to BHA in its
final format and as an editable Word or Google document.
2. Press Releases. All press releases about work funded by BHA must note that the
work is funded by the Colorado Department of Human Services, Behavioral Health
Administration. Press releases about work funded by BHA must be reviewed by
BHA program and communications staff over a period of no fewer than five
business days.
3. Marketing Materials. Contractor shall include the current Colorado Department of
Human Services, Behavioral Health Administration logo on any marketing
materials, such as brochures or fact sheets, that advertise programs funded by this
Contract. Marketing materials must be approved by the Contract's assigned BHA
program contract over a period of no fewer than 5 business days.
4. All Other Documents. All other documents published by the Contractor about its
BHA -funded work, including presentations or website content, should mention the
Colorado Department of Human Services, Behavioral Health Administration as a
funder.
5. Opinion of BHA. BHA may require the Contractor to add language to documents
that mention BHA reading: "The views, opinions and content expressed do not
necessarily reflect the views, opinions or policies of the Colorado Department of
Human Services, Behavioral Health Administration."
C. Start-up Costs
If the State reimburses the Contractor for any start-up costs and the Contractor closes the
program or facility within three years of receipt of the start-up costs, the Contractor shall
reimburse the State for said start-up costs within sixty (60) days of the closure. The Contractor
is not required to reimburse the State for start-up costs if the facility or program closure is due
to BHA eliminating funding to that specific program and/or budget line item.
Page 1 of 5
Exhibit C-1
D. Immediate Notification of Closures / Reductions in Force
If the Contractor intends to close a facility or program, it shall notify the BHA Contracts Unit
at least five business days prior to the closure. Similarly, if the Contractor, or any sub-
contractor provider, intends to conduct a reduction in force which affects a program funded
through this contract, the Contractor shall notify the BHA Contracts Unit at least five business
days prior to the layoffs.
E. Contract Contact Procedure
The Contractor shall submit all requests for BHA interpretation of this Contract or for
amendments to this Contract to the BHA Contract Manager.
F. Continuity of Operations Plan
1. In the event of an emergency resulting in a disruption of normal activities,
BHA may request that Contractor provide a plan describing how Contractor
will ensure the execution of essential functions of the Contract, to the extent
possible under the circumstances of the inciting emergency ("Continuity of
Operations Plan" or "Plan").
2. The Continuity of Operations Plan must be specific and responsive to the
circumstances of the identified emergency.
3. BHA will provide formal notification of receipt of the Continuity of
Operations Plan to the Contractor.
4. The Continuity of Operations Plan will not impact or change the budget or
any other provisions of the contract, and Contractor's performance will be
held to the same standards and requirements as the original Contract terms,
unless otherwise specified in the Continuity of Operations Plan.
5. Any submitted Continuity of Operations Plan will be ratified as an
amendment to the contract as soon as possible.
6. Contractor shall communicate, in a format mutually agreed upon by BHA
and Contractor staff, on a frequency that supports the monitoring of services
under the Continuity of Operations Plan. If adjustments are needed to the
Plan, such adjustments will be made in writing and accompanied by written
notice of receipt from BHA.
a.As part of the BHA/Contractor communication during the emergency,
Contractor and BHA will evaluate whether the emergency has
resolved such that normal operations may be resumed.
b.Contractor and BHA will agree in writing when the emergency
situation is sufficiently resolved and agree to a closeout period that is
four weeks or less.
c.BHA will submit notice accepting the termination of the Continuity
of Operations Plan to the Contractor as the final action for any
qualifying emergency response.
Page 2 of 5
Exhibit C-1
G. Cultural Responsiveness in Service Delivery
1. The Behavioral Health Administration expects funding dollars to support equity in
access, services provided, and behavioral health outcomes among individuals of all
cultures, gender identities, sexual orientations, races, and ethnicities. Accordingly,
Contractors should collect and use data to: (1) identify priority populations vulnerable
to health disparities encompassing the contractor's entire geographic service area
(e.g., racial, ethnic, limited English speaking, indigenous, sexual orientation, gender
identity groups, etc.) and (2) implement strategies to decrease the disparities in access,
service use, and outcomes —both within those subpopulations and in comparison to
the general population.
2. One strategy for addressing health disparities is the use of the recently revised
National Standards for Culturally and Linguistically Appropriate Services in Health
and Health Care (CLAS). The U.S. Department of Health and Human Services (HHS)
Think Cultural Health website (https://thinkculturalhealth.hhs.gov/) also features
information, continuing education opportunities, resources, and more for health and
health care professionals to learn about culturally and linguistically appropriate
services, or CLAS.
3. Contractors providing direct behavioral health prevention, treatment, or recovery
services shall submit one of the following two documents to
CDHS BHAdeliverables@state.co.us by August 31 annually:
a. If a provider has completed an equity plan that identifies how they will
address health equity, they can submit the plan or;
b.Submit a completed CLAS checklist that follows this HHS format:
https://thinkculturalhealth.hhs.gov/assets/pdfs/AnImplementationChecklistfort
heNationalCLASStandards.pdf
H. Prohibition on Marijuana. Funds may not be used, directly or indirectly, to purchase,
prescribe, or provide marijuana or treatment using marijuana. Treatment in this context
includes the treatment of opioid use disorder. Funds also cannot be provided to any individual
who or organization that provides or permits marijuana use for the purposes of treating
substance use or mental disorders. This prohibition does not apply to those providing such
treatment in the context of clinical research permitted by the DEA and under an FDA -
approved investigational new drug application where the article being evaluated is marijuana
or a constituent thereof that is otherwise a banned controlled substance under federal law.
IL Use of Subcontracts.
A. Services described in this Contract may be performed by Contractor or by a subcontractor,
except where this Contract states explicitly that a service must not be subcontracted.
1. To the extent a subcontractor is used, the Contractor shall provide a copy of the subcontract
to BHA at CDHS_BHAdeliverables@state.co.us.
2. Contractor shall ensure that its subcontractors perform to the terms of this Contract as set
forth in the Contract provisions.
Page 3 of 5
Exhibit C-1
B. Any subcontract for services must include, at a minimum, the following:
1. A description of each partner's participation
2. Responsibilities to the program (policy and/or operational)
3. Resources the subcontractor will contribute, reimbursement rates, services to be included
and processes in collecting and sharing data and the most recent CDHS version of the
HIPAA Business Associates Addendum, if this Contract contains the HIPAA Business
Associates Addendum/Qualified Service Organization Addendum as an exhibit.
4. A copy of this Contract and all its terms and conditions.
C. The Contractor shall provide to BHA a copy of any proposed subcontract between the
Contractor and any potential provider of services to fulfill any requirements of this Contract, to
CDHS_BHAdeliverables@state.co.us within 30 days of subcontract execution.
D. BHA reserves the right to require Contractor to renegotiate subcontracts where necessary to
adhere to the terms of this Contract.
E. Subcontractor/Partnership Termination. In the event where partnerships with a subcontractor
such as a treatment provider is terminated, the Contractor shall transition to a new partnership
no later than 30 days from termination to ensure continuity of care for all participants of the
program.
III.Financial Requirements
A. Funding Sources
1. The Contractor shall identify all funds delivered to subcontractors as state general fund,
state cash funds, or federal grant dollars in Exhibit B, "Budget."
2. If a Single Audit is performed in accordance with Section III.B. above, the Contractor shall
report the amount of the federal grant identified in the budget under the CFDA number
identified on the first page of this Contract.
3. The Contractor shall communicate the CFDA number to all sub -contractors in their sub-
contracts.
B. Budget Reallocations
1. The Contractor may reallocate funds between the budget categories of this contract, up to
10% of the total contract amount, upon written approval by BHA, without a contract
amendment. Any allowable reallocation is still subject to the limitations of the
Not to Exceed and the Maximum Amount Available per Fiscal Year.
C. Payment Terms
1. The Contractor shall invoice monthly for services, no later than the 20th of the month
following when services are provided.
2. The Contractor shall utilize the invoice template(s) provided by BHA.
3. All payment requests shall be submitted electronically to
CDHSBHApayment@state.co.us
4. Any requests for payment received after September 10th for the prior state fiscal year cannot
be processed by BHA.
Page 4 of 5
Exhibit C-1
5. The State will make payment on invoices within 45 days of receipt of a correct and complete
invoice to CDHS_BHApayment@state.co.us. Consequently, the Contractor must have
adequate solvency to pay its expenses up to 45 days after invoice submission to the State.
Page 5 of 5
Contract Form
New Contract Request
Entity Information
New Entity?
Entity Name* Entity ID*
COLORADO DEPARTMENT OF HUMAN 800003650
SERVICES
Contract Name.
AMENDMENT TO JAIL BASED BEHAVIORAL HEALTH SERVICES
ORBS)
Contract Status
CTB REVIEW
Contract ID
6591
Contract Lead*
KHALLORAN
Contract Lead Email
khal loranAweldgov.com; s ko
hlgrafRweldgov.com
Parent Contract ID
Requires Board Approval
YES
Department Project #
Contract Description*
STATE OF CO DEPT OF HS IS FUNDING BEHAVIORAL HEALTH SERVICES TO INMATES PROVIDED BY NRBH. 100% STATE
FUNDED. MONTHLY INVOICE SUBMITTED TO THE STATE OF CO.
Contract Description 2
AMENDMENT TO ORIGINAL CONTRACT FOR $ 70K INCREASE
Contract Type*
AMENDMENT
Amount.
S 70, 000.00
Renewable*
NO
Automatic Renewal
Grant
IGA
Department
SHERIFF
Department Email
CM-Sh eriff0 we ldgov.com
Department Head Email
CM-Sheriff-
DeptHeadveldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COUNTYATTORNEYW WELDG
OV.COM
Requested BOCC Agenda
Date*
12 /28./2022
Due Date
12/24!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 MA enter NSA Contract ID
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
OnBase
Contract Dates
Effective Date
Review Date*
05;`01,2023
Renewal Date
Termination Notice Period
Contact Information
Contact Info
Contact Name
Purchasing
Committed Delivery Date
Expiration Date*
06:30.=2023
Contact Type Contact Email Contact Phone I Contact Phone 2
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head
ESTHER GESICK
DH Approved Date
12/20/2022
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
12/28?2022
Originator
SKOHLGRAF
Finance Approver
CHRIS D'OVIDIO
Legal Counsel
MATTHEW CONROY
Finance Approved Date Legal Counsel Approved Date
12!2012022 12/21/2022
Tyler Ref #
AG 122822
Hello