HomeMy WebLinkAbout20212360.tiffRESOLUTION
RE: APPROVE CHILD PROTECTION AGREEMENT FOR SERVICES AND AUTHORIZE
CHAIR TO SIGN - FRONT RANGE SPEECH AND BEHAVIOR CLINIC
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Child Protection Agreement for Services
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Department of Human Services, and Front
Range Speech and Behavior Clinic, commencing July 1, 2021, and ending May 31, 2022, with
further terms and conditions being as stated in said agreement, and
WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, that the Child Protection Agreement for Services between the County of
Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on
behalf of the Department of Human Services, and Front Range Speech and Behavior Clinic, be,
and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said agreement.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 4th day of August, A.D., 2021, nunc pro tunc July 1, 2021.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: dial, w .D;„e
Weld County Clerk to the Board
BY:
APP
Deputy Clerk to the Boa
County orney
Date of signature: O9 /"Z/Z4
Steve Moreno, Chair
RECUSED
mes, Pro-Te yea
IKe reeman
Lori Saine
25744.tx.
cc: I-lSD
4qi I2
2021-2360
HR0093
PRIV1LEUi_D AND CONFIDENTIAL
MEMORANDUM
&0v +ra- i b 5 i7 7,1
DATE: July 27, 2021
TO: Board of County Commissioners — Pass -Around
FR: Jamie Ulrich, Director, Human Services
RE: Child Protection Agreement for Services with Front
Range Speech and Behavior Clinic
Please review and indicate if you would like a work session prior to placing this item on the
Board's agenda.
Request Board Approval of the Department's Child Protection Agreement for Services with Front
Range Speech and Behavior Clinic. The Department is requesting to enter into a Child Protection
Agreement for Mental Health/Applied Behavioral Analysis (ABA) Services. The term of the agreement
shall be from July 1, 2021 through May 31, 2022.
Fees for Services
Initial Consult/Assessment for Parent Training
Rate
Unit Type
Service Name
$125.00
Hour
In-office/video
$150.00
Flour
In-home/community
$50.00
Each
No show
$0.575
Mile
Mileage - For distance exceeding 20 miles roundtrip from 2547 11'h Avenue,
Suite A&13, Greeley, Colorado 80631.
Ongoing Individualized Parent Training and Supervision of Direct Therapy
Rate
Unit Type
Service Name
$100.00
Hour
In-office/video
$125.00
Hour
In-home/community
$50.00
Each
No show
$0.575
Mile
Mileage For distance exceeding 20 miles roundtrip from 2547 1 P" Avenue,
Suite A&B, Greeley, Colorado 8063I.
General Applied Behavior Analysis (ABA) "Bootcamp" Training — Group Training
Rate
Unit Type
Service Name
865.00
Hour
In-office/video
$25.00
Each
No show
80.575
Mile
Mileage For distance exceeding 20 miles roundtrip from 2547 11t Avenue,
Suite A&I3, Greeley, Colorado 80631.
Pass -Around Memorandum; July 27, 2021 ('MS 5072
Page l
2021-2360
Hl2oo93
PRIVILEGED AND CONFIDENTIAL
Direct Applied Behavior Analysis (ABA) Therapy provided by a behavior technician
Rate
Unit Type
Service Name
$75.00
Hour
In-office/video
$75.00
Hour
In-home/`community
$25.00
Each
No show
$0.575
Mile
Mileage For distance exceeding 20 miles roundtrip from 2547 11" Avenue,
Suite A&B, Greeley, Colorado 80631.
Staff Training
Rate
Unit Type
Service Name
$65.00
Hour
1n-office/video
$50.00
Each
No show
$0.575
Mile
Mileage For distance exceeding 20 miles roundtrip from 2547 (Ph Avenue,
Suite A&B, Greeley, Colorado 80631.
I do not recommend a Work Session. I recommend approval of this Agreement and authorize the Chair to
sign.
Perry L. Buck
Mike Freeman
Scott K. James, Pro -Tern
Steve Moreno, Chair
Lori Saine
Approve
Recommendation
Schedule
Work Session
Vittiniva
Other/Comments:
Pass -Around Memorandum; July 27, 2021 - CMS 5072
Page 2
Karla Ford
From:
Sent:
.9
Subject:
yes
Lori Saine
Weld County Commissioner, District 3
1150 O Street
PO Box 758
Greeley CO 80632
Phone: 970-400-4205
Fax: 970-336-7233
Email: Isaine@weldgov.com
Website: www.co.weld.co.us
In God We Trust
Lori Saine
Wednesday, July 28, 2021 11:28 AM
Karla Ford
RE: Please Reply - PA FOR ROUTING: CW Front Range Speech and Behavior Clinic (CMS
5072)
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
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From: Karla Ford <kford@weidgov.com>
Sent: Tuesday, July 27, 2021 4:13 PM
To: Lori Saine <Isaine@weldgov.com>
Subject: Please Reply - PA FOR ROUTING: CW Front Range Speech and Behavior Clinic (CMS 5072)
Importance: High
Do you approve recommendation? Please advise, thanks!
Karla Ford g
Office Manager Board of Weld County Commissioners
1150 0 Street, P.O. Box 758, Greeley, Colorado 80632
:: 970.336-7204 :: kford wekigov.comr :: www.weldgov,com
**please note my working hours are Monday -Thursday 7:00a.m.e5:00p.rn.**
1
CHILD PROTECTION AGREEMENT FOR SERVICES
BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES
AND FRONT RANGE SPEECH AND BEHAVIOR CLINIC
This Agreement, made and entered into the day of 2021, by and between the
Board of Weld County Commissioners, on behalf of the Weld County D artment of Human Services, hereinafter
referred to as the "Department' and Front Range Speech and Behavior C nic, hereinafter referred to as the
"Contractor".
The partielS to this Agreement understand and agree that the provisions of this Agreement specifically include
the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to
Request for Propo+l, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule. Exhibit B, C, and D are attached
hereto and incorporated herein by this reference. Exhibit A is Weld County's Request for Proposal Number B2100042
which is incorporated into this agreement by reference and will be provided upon request to the Department.
WITNESSETH
WHEREIS, required approval, clearance, and coordination have been accomplished from and with
appropriate agencies; and
WHEREAIS, the Colorado Department of Human Services has provided Core Services or other funding to
the Department for Mental Health Services.
NOW THREFORE, in consideration of the premises, the parties hereto covenant and agree as follows:
1. Term
This agrer ment shall become effective on July 1, 2021, upon proper execution of this Agreement and shall
expire May 31, 2022, unless sooner terminated as provided herein.
2. Scope of Services
Services s_iall be provided by the Contractor to any person(s) eligible for services in compliance with
Exhibit B, Contractor's Response to Request for Proposal and Exhibit C, Scope of Services.
3. Referrals, Billing and Tracking
a. Contractor understands and will comply with all aspects of the referral authorization, billing and
tracking requirements as set forth by the Department. Failure to comply with all aspects may result in
a forf?iture of payment.
b. ontractor agrees to receive referrals for services through e-mail and will provide an identified e-
mail ddress prior to the start of this Agreement. Contractor acknowledges that services are not
autho ized until the Contractor has received an authorized referral form from the Department.
Contractor further acknowledges that services provided prior to the authorized start date or outside the
scopeof services on the referral form will not be eligible for reimbursement.
Contr ctor acknowledges that any and all modifications to an existing referral must be approved
throw h the Quality Assurance Team (HS-CWOualitvAssurancenweld2ov.com). No other
Dep ment staff or other party to the case may authorize services or modifications to services.
c. Contr ctor agrees to submit a complete Request for Reimbursement and supporting documentation by
the 7 of the month, following the month of service, utilizing billing forms required by the
Dep ent. Contractor agrees to utilize the Client Verification Form for all scheduled and
unsch duled face-to-face services with the exception of home studies and monitored sobriety testing.
Contr ctor agrees that original complete Client Verification Forms are to be submitted with the
Requ st for Reimbursement. Requests for Reimbursement and Client Verification Forms received
1
after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure
to meet 60 -day deadline may result in termination of the Agreement.
d. Contractor agrees to submit a monthly report by the 7th of the month, following the month of service,
for each client receiving ongoing services. Monthly reports will be submitted through the
Department's online reporting system, unless otherwise directed or agreed to by the Department.
Monthly reports for ongoing services must include the following information, entered in the
"Narrative" box for each date of service:
a. Date and time of service
b. Where the service took place
c. Clinician/therapist name
d. Clients participating
e. What interventions were used, recommendations and/or goals discussed
f. Any and all safety concerns
One-time services will be verified through receipt of the completed product (ex. psychological
evaluation, substance abuse evaluation, home study). Verification of Monitored Sobriety Services will
be the test result. A completed home study may be a full, partial or denied study, as determined by the
Department.
Contractor will document in detail any and all observed or verbalized concerns regarding any child
whom the Contractor is working with under the Agreement. Areas of concern may include, but are not
limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be
reported immediately to the caseworker AND on the required monthly report.
4. Payment
a. The Department and the Contractor agree that all benefits from private insurance and/or other
funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's
Compensation must be exhausted before Core Services or other Department funds can be accessed for
services. Exceptions to this Paragraph may include, if approved by the Department, the following:
i. The service being provided by the contractor is not a Medicaid eligible service;
ii. The service is not deemed medically necessary;
iii. The Court with jurisdiction over the case has ordered that a non -Medicaid provider
or service be used;
iv. A Medicaid provider is not available to provide the needed service;
v. Medicaid is exhausted for the needed service; or
vi. Medicaid denied service.
vii. The client is not eligible for Medicaid.
b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal,
Exhibit B, Contractor's Response to Request for Proposal, Exhibit C, Scope of Services, and Exhibit
D, Rate Schedule, attached hereto and incorporated herein by reference, so long as services are
rendered satisfactorily and in accordance with the Agreement.
c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent
upon, the continuing availability of said funds for the purposes hereof.
d. The Department may withhold reimbursement if Contractor has failed to comply with any part of
the Agreement, including the Financial Management requirements, program objectives, contractual
terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal
such circumstance in writing to the Director of Human Services. The decision of the Director of
Human Services shall be final.
5. Financial Management
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At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall
comply with the administrative requirements, cost principles and other requirements set forth in the
Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds
expended under this Agreement must conform to the Single Audit Act of 1984 and OMG Circular A-133.
6. Paymezt Method
Unless of erwise provided in Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit
D, Rate S heduie:
a. If services are funded through Core Services, Contractor agrees to accept reimbursement through
ACH direct deposit one time per month.
b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor
agrees to complete and submit a State of Colorado direct deposit enrollment form, which will be
provided by the Department, with a voided check. Failure to complete and submit this form and
voided chedc in a timely and accurate manner may result in a delay of payment.
c. Contractor agrees to accept payment through county warrant when funding source does not allow
for diifect deposit.
7. Compliance with Applicable Laws
a. Aft all tines during the performance of this Agreement, Contractor will strictly adhere to all
applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or
guidelfines issued pursuant thereto. This includes protection of the confidentiality of all
applicant/re:,ipient records, papers, documents, tapes and any other materials that have been or may
hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws
and regulations, including, but not limited to the following:
- Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil
Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45
C.F.R. Part 80 et. seq.; and
- all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of
race, creed, color, sex, or national origin, be excluded from participation in, be denied the
benefits of, or be otherwise subjected to discrimination under the approved Agreement.
- Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its
implementing regulations, 45 C.F.R. Part 84; and
- the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its
implementation regulations, 45 C.F.R. Part 91; and
- Title VII of the Civil Rights Act of 1964; and
the Age Discrimination in Employment Act of 1967; and
- the Equal Pay Act of 1963; and
- the Education Amendments of 1972; and
Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and
- all regulations applicable to these laws prohibiting discrimination because of race, color,
national origin, sex, religion, and handicap, including Acquired Immune Deficiency
Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the
3
Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the
Department will resist in judicial proceedings any efforts to obtain access to client records
except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires
that affirmative steps be taken to assure that small and minority businesses are utilized, when
possible, as sources of supplies, equipment, construction and services. This assurance is
given in consideration of and for the purpose of obtaining any all Federal and/or State
financial assistance.
- Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record
checks for all employees, contractors and sub -contractors.
b. Contractor is further charged with the knowledge that any person who feels that s/he has been
discriminated against has the right to file a complaint either with the Colorado Department of Human
Services or with the United States Department of Health and Human Services, Office for Civil Rights.
c. Contractor assures that it will fully comply with all other applicable Federal and State laws which
may govern the ability of the Department to comply with the relevant funding requirements.
Contractor understands the source of funds to be accessed under the Agreement is determined by the
Department.
d. Contractor assures and certifies that it and its principals:
- Are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transaction by a Federal or State department or agency;
and
- have not, within a three-year period preceding this Agreement, been convicted of or had a
civil judgment rendered against them for commission of fraud or criminal offense in
connection with obtaining, attempting to obtain, or performing a public (Federal, State or
Local) transaction or contract under public transaction; violation of federal or state antitrust
statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of
records, making false statements, or receiving stolen property; and
- are not presently indicted for or otherwise criminally or civilly charged by a government
entity (federal, state or local) with commission of any of the offenses enumerated in this
certification; and
- have not, within a three-year period preceding this Agreement, had one or more public
transactions (federal, state, or local) terminated for cause or default.
e. Public Contracts for Services C.R.S. §8-17.5-101. Contractor certifies, warrants, and agrees that
it does not knowingly employ or contract with an illegal alien who will perform work under this
contract. Contractor will confirm the employment eligibility of all employees who are newly hired for
employment in the United States to perform work under this Agreement, through participation in the E -
Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5-
102(5)(c). Contractor shall not knowingly employ or contract with an illegal alien to perform work
under this Agreement or enter into a contract with a subcontractor that fails to certify with Contractor
that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under
this Agreement. Contractor shall not use E -Verify Program or State of Colorado program procedures to
undertake pre -employment screening or job applicants while this Agreement is being performed. If
Contractor obtains actual knowledge that a subcontractor performing work under the public contract for
services knowingly employs or contracts with an illegal alien Contractor shall notify the subcontractor
and the Department within three (3) days that Contractor has actual knowledge that a subcontractor is
employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does
not stop employing or contracting with the illegal alien within three (3) days of receiving
notice. Contractor shall not terminate the contract if within three days the subcontractor provides
4
information to establish that the subcontractor has not knowingly employed or contracted with an illegal
alien. shall comply with reasonable requests made in the course of an investigation, undertaken pursuant
to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contractor
participates in the State of Colorado program, Contractor shall, within twenty days after hiring a new
employee to perform work under the contract, affirm that Contractor has examined the legal work status
of such employee, retained file copies of the documents, and not altered or falsified the identification
documents for such employees. Contractor shall deliver to the Department, a written notarized
affirn}ation that it has examined the legal work status of such employee and shall comply with all of the
other requirements of the State of Colorado program. If Contractor fails to comply with any requirement
of this provision or of C.R.S. §8-17.5-101 et seq., the Department, may terminate this Agreement for
breach, and if so terminated, Contractor shall be liable for actual and consequential damages.
f. Except -where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if
Contractor receives federal or state funds under the contract, Contractor must confirm that any
individual natural person eighteen (18) years of age or older is lawfully present in the United States
pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the
contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of
perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States
pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24-
76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5-
103 prior to the effective date of the contract.
8. Compliance with Child and Family Services Review
The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas;
Safety, Permanency and Well Being of families. For each outcome, data and performance indicators
measure each state's performance according to national standards and monitor progress over time.
Following, the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance
services to families.
Contractor1 agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well
Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under
this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under
the Child and Family Services Review (CFSR), and will address the aforementioned three areas when
completing monthly reports as required by Paragraph 3(d) of this Agreement.
9. Insurance Requirements
Contractor! and the Department agree that Weld County, the Board of County Commissioners of Weld
County, it officers and employees, shall not be held liable for injuries or damages caused by any negligent
acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while
performin duties described in this Agreement. Contractor shall indemnify, defend and hold harmless
Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents.
Contractor shall provide the liability insurances (including professional liability insurances where
necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged in
the performance of this Agreement which are required under Weld County's Request for Proposal, and
required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the
acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement.
At a minimum, Contractor shall procure, either personally or through its employer as applicable to the
Contractor s business, at its own expense, and maintain for the duration of the work, insurance coverage
listed in this agreement. The Board of County Commissioners of Weld County and its Officers/Employees
shall be named as additional insured.
5
a. General Requirements: Contractors must secure, at or before the time of execution of any
agreement or commencement of any work, the following insurance covering all operations, goods
or services provided pursuant to this request. Contractors shall keep the required insurance
coverage in force at all times during the term of the Agreement, or any extension thereof, and
during any warranty period. The required insurance shall be underwritten by an insurer licensed to
do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall
contain a valid provision or endorsement stating "Should any of the above -described policies by
canceled or should any coverage be reduced before the expiration date thereof, the issuing company
shall send written notice to the Weld County Director of General Services by certified mail, return
receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or
reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days
prior. If any policy is in excess of a deductible or self -insured retention, the Department must be
notified by the Contractor. Contractor shall be responsible for the payment of any deductible or
self -insured retention. The Department reserves the right to require Contractor to provide a bond,
at no cost to the Department, in the amount of the deductible or self -insured retention to guarantee
payment of claims. The insurance coverages specified in this Agreement are the minimum
requirements, and these requirements do not decrease or limit the liability of Contractor. Contractor
shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem
necessary to cover its obligations and liabilities under this Agreement.
b. Types of Insurance: Contractor shall obtain, and maintain at all times during the term of
any Agreement, insurance in the following kinds and amounts:
i.Workers' Compensation Insurance as required by state statute, and Employer's Liability
Insurance covering all of Contractor's employees acting within the course and scope of
their employment. If Contractor is an Independent Contractor, as defined by the Colorado
Worker's Compensation Act, this requirement shall not apply. Contractor must submit to
the Department a Declaration of Independent Contractor Status Form prior to the start of
this agreement.
ii.Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93
or equivalent, covering premises operations, fire damage, independent Contractors,
products and completed operations, blanket contractual liability, personal injury, and
advertising liability with minimum limits as follows:
- $1,000,000 each occurrence;
- $2,000,000 general aggregate;
- $50,000 any one fire; and
- $500,000 errors and omissions.
iii.Automobile Liability: Contractor shall maintain limits of $1,000,000 for bodily injury per
person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property
damage applicable to all vehicles operating both on County property and elsewhere.
iv.Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor
liability and pollution liability must provide the following:
If any aggregate limit is reduced by twenty-five percent (25%) or more
by paid or reserved claims, Contractor shall notify the Department within ten (10)
days and reinstate the aggregates required;
Unlimited defense costs in excess of policy limits;
Contractual liability covering the indemnification provisions of this
Agreement;
A severability of interests provision;
- Waiver of exclusion for lawsuits by one insured against another;
A provision that coverage is primary; and
- A provision that coverage is non-contributory with other coverage or
self-insurance provided by the Department.
6
v.For all general liability, excess/umbrella liability, liquor liability, pollution liability and
professional liability policies, if the policy is a claims -made policy, the retroactive date
must be on or before the contract date or the first date when any goods or services were
provided to the Department, whichever is earlier.
c. Contractors shall secure and deliver to County's Risk Administrator ("Administrator") at
or before the time of execution of this Agreement, and shall keep in force at all times during the
term of the Agreement as the same may be extended as herein provided, a commercial general
liability insurance policy, including public liability and property damage, in form and company
acceptable to and approved by said Administrator, covering all operations hereunder set forth in the
related Bid or Request for Proposal.
d; Proof of Insurance: Contractor shall provide a copy of this information to its insurance
agent or broker and shall have its agent or broker provide proof of Contractor's required insurance.
The Department reserves the right to require Contractor to provide a certificate of insurance, a
policy, or other proof of insurance as required by the County's Risk Administrator in his sole
discretion.
of Additional Insureds: For general liability, excess/umbrella liability, pollution legal
liability, liquor liability, and inland marine, Contractor's insurer shall name County as an additional
insured_
f. Waiver of Subrogation: For all coverages, Contractor's insurer shall waive subrogation
rights against County.
g. Subcontractors: All subcontractors, independent contractors, sub -vendors, suppliers or
other entities providing goods or services required by this Agreement shall be subject to all of the
requirements herein and shall procure and maintain the same coverages required of Contractor.
Contractor shall include all such subcontractors, independent contractors, sub -vendors, suppliers or
other entities as insureds under its policies or shall ensure that all subcontractors maintain the
required coverages. Contractor agrees to provide proof of insurance for all such subcontractors,
independent contractors, sub -vendors, suppliers or other entities upon request by the Department.
A provider of Professional Services (as defined in the Bid or RFP) shall provide the following
coverage:
Professional Liability: Contractor shall maintain limits of $1,000,000 for each claim, and
$2,000,D00 aggregate limit for all claims.
10. Certification
it
Contractorcertifies that, at the time of entering into this Agreement, it has currently in effect all necessary
licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by
this Agreenrient. Copies of all necessary licenses shall be provided to the Department by the Contractor
prior to the start of any Agreement.
11. Training
Contractorljmay be required to attend training at the request of the Department specific to services provided
under this Agreement. The Department will not compensate the Contractor for said training in the form of
registration# fees, time spent traveling to and from training, attending the training or any other associated
costs unless otherwise agreed to by the Department.
12. Subpoenas
Contractor; will, on behalf of its employees and/or officers, accept any subpoena for testimony from the
7
Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours.
For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the
Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact
the Weld County Attorney's Office immediately at (970) 336-7235 and advise that the subpoena must be
personally served.
13. Monitoring and Evaluation
Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement
shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation
shall be provided to the Board of Weld County Commissioners, the Department and the Contractor.
Contractor will collaborate in a timely manner with the Department to resolve issues pertaining to service
delivery, service quality, documentation, and invoicing during referral period and after services have
concluded. The Contractor will require clients sign releases of information. Contractor understands that
the Department will not reimburse for services rendered to Department clients until releases of information
are obtained.
Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to
monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. The monitoring
agency may, if in its sole discretion deems necessary or appropriate, have access to any program data,
special analyses, on -site checking, formal audit examinations, or any other reasonable procedures for
purposes of monitoring. All such monitoring shall be performed in a manner that will not unduly interfere
with the work conducted under this Agreement.
14. Modification of Agreement
All modifications to this Agreement shall be in writing and signed by both parties.
15. Remedies
The Director of Human Services or designee may exercise the following remedial actions should s/he find
the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure
to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the
Contractor. These remedial actions are as follows:
- Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed.
- Deny payment or recover reimbursement for those services or deliverables, which have
not been performed and which due to circumstances caused by the Contractor cannot be
performed or if performed would be of no value to the Department. Denial of the amount of
payment shall be reasonably related to the amount of work or deliverables lost to the
Department.
- Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall
be recovered from Contractor by deduction from subsequent payments under this Agreement
or other agreements between the Department and Contractor, or by the Department as a debt
due to the Department or otherwise as provided by law.
16. Representatives
For the purpose of this Agreement, the individuals identified below are hereby designated representatives
of the respective parties. Either party may from time to time designate in writing a new or substitute
representative(s).
8
For Department For Contractor:
Heather Walker, Child Welfare Division Head Angela Chase, Director of Operations
17. Notice
All notices required to be given by the parties hereunder shall be given by certified or registered mail to the
individuals at the addresses set forth below. Either party may from time to time designate in writing a
substitute persoa(s) or address to whom such notices shall be sent.
For Department For Contractor:
Jamie Ulrich, Director Angela Chase, Director of Operation
P.O. Box A 2547 11th Avenue, Unit B
Greeley, CO 80632 Greeley, CO 80634
(970)400=6510 (970) 673-8476
18. litigation
Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation
in which if is a party defendant in a case that involves services provided under this Agreement. Contractor,
within five (5) calendar days after being served with a summons, complaint, or other pleading which has
been filed', in any Federal or State court or administrative agency, shall deliver copies of such document(s)
to the Director of Human Services. The term "litigation" includes an assignment for the benefit of
creditors, and flings of bankruptcy, reorganization and/or foreclosure.
19. Termination
This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the
individuals identified in paragraph 17. No portion of this Agreement shall be deemed to create an
obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise
appropriated in cach succeeding year, as this Agreement is subject to the availability of funding. Therefore,
the Department may terminate this Agreement at any time if the source of funding for the services made
available to the Contractor is no longer available to the Department, or for any other reason. Contractor
reserves the right to suspend services to clients if funding is no longer available.
20. No Third -Party Beneficiary Enforcement
It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement,
and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and
nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person
not included in this Agreement. It is the express intention of the undersigned parties that any entity other
than the undersigned parties receiving services or benefits under this Agreement shall be an incidental
beneficiary only.
21. Governmental Immunity
No term of condition of this contract shall be construed or interpreted as a waiver, express or implied, of
any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental
Immunity Act of §§24-10-101 et. seq., as applicable now or hereafter amended.
22. Partial Invalidity of Agreement
If any section, subsection,paragraph, sentence clause, orphrase of this Agreement is for any reason held
g
or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The
parties hereto declare that they would have entered into this Agreement and each and every section,
subsection; paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more
9
sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or
invalid.
23. Improprieties/Conflict of Interest
No officer, member or employee of Weld County and no member of their governing bodies shall have any
pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof.
The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department
when the Contractor also maintains a relationship with a third party and the two relationships are in
opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor
to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the
two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any
third -party relationship that gives the appearance of creating a conflict of interest. Upon learning of an
existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full
disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to
promptly submit a disclosure statement required by this paragraph shall constitute grounds for the
Department's termination, for cause, of its Agreement with the Contractor.
A conflict of interest or appearance of a conflict of interest may also apply to personal relationships
between providers and clients. If a provider has a personal relationship with a client to whom the
Contractor may provide services for, the Contractor must disclose that relationship to the Department.
Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of
Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a
Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with the awarding of any Federal contract, the making of any Federal grant, the making of any
Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal,
amendment, or modification of an Federal contract, loan, grant, or cooperative agreement.
24. Storage, Availability and Retention of Records
Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during
business hours, have access to inspect and copy records, and shall be allowed to monitor and review
through on -site visits, all activities related to this Agreement, supported with funds under this Agreement,
to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and
evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The
results of the monitoring and evaluation activities shall be provided to the appropriate and interested
parties.
All such records, documents, communications, and other materials created pursuant or related to this
Agreement shall be maintained by the Contractor in a central location and shall be made available to the
Department upon its request, for a period of seven (7) years from the date of final payment under this
Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or
until an audit has been completed with the following qualifications: If an audit by or on behalf of the
Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or
if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the
resolution of the audit finding.
25. Confidentiality of Records
Contractor shall protect the confidentiality of all applicant records and other materials that are maintained
in accordance with this Agreement except for purposes directly connected with the administration of Child
Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall
be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in
accordance with the Contractor's written policy governing access to, duplication and dissemination of, all
10
such information, in any form, including social networks. Contractor shall advise its employees, agents,
and subcontractor, if any, that they are subject to these confidentiality requirements.
Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written
explanation of these confidentiality requirements before access to confidential data is permitted.
Contracto% shall have its employees, agents, and subcontractors, if any, sign a written confidentiality
agreement and shall provide a copy of such agreement to the Department, if requested.
26. Proprietary Information
Proprietary information for the purposes of this Agreement is information relating to a party's research,
development, trade secrets, business affairs, internal operations and management procedures and those of
its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties,
(2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use
or disclose directly or indirectly without prior written authorization any proprietary information concerning
the other party obtained as a result of this Agreement. Any proprietary information removed from the
Department's site by the Contractor in the course of providing services under this Agreement will be
accorded at least the same precautions as are employed by the Contractor for similar information in the
course of its own business.
27. Independence of Contractor: Not an Employee of Weld County
Contractor agrees that it is an independent Contractor and that Contractor's officers, agents or employees
will not become employees of County, nor entitled to any employee benefits from County as a result of the
execution of this Agreement. Contractor shall perform its duties hereunder as an independent Contractor.
Contractor shall be solely responsible for its acts and those of its agents and employees for all acts
performed pursuant to this Agreement. Contractor, its employees and agents are not entitled to
unemployment insurance or workers' compensation benefits through County and County shall not
pay for or otherwise provide such coverage for Contractor or any of its agents or employees.
Unemployment insurance benefits will be available to Contractor and its employees and agents only
if such coverage is made available by Contractor or a third party. Contractor shall pay when due all
applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant
to this Agreement. Contractor shall not have authorization, express or implied, to bind County to any
agreement, liability or understanding, except as expressly set forth in this Agreement. Contractor shall have
the following responsibilities with regard to workers' compensation and unemployment compensation
insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation
insurance in the amounts required by law, and as set forth in Exhibit A, provide proof thereof when
requested to do so by County.
28. Entire Agreement
This Agreement, together with all attachments hereto, constitutes the entire understanding between the
parties with respect to the subject matter hereof, and may not be changed or modified except as state in
Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal
representatives, and assigns. The Contractor and the Department may not assign any of its rights or
obligations hereunder without the prior consent of both parties.
29. Agreement Nonexclusive
This Agreement does not guarantee any work nor does it create an exclusive agreement for services.
30. Warranty
The Contractor warrants that services performed under this Agreement will be performed in a manner
consistent with the professional standards governing such services and the provisions of this Agreement. The
Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence
11
and judgment provided by highly competent individuals and entities that perform services of a similar nature
to those described in this Agreement including Exhibits A, B, C, and D.
31. Acceptance of Services Not a Waiver
Upon completion of the work, the Contractor shall submit to the Department originals of all tests and
results, reports, etc., generated during completion of this work. Acceptance by the Department of reports
and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of
responsibility for the quality and accuracy of the services. In no event shall any action by the Department
hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default
which may then exist on the part of the Contractor, and the Department's action or inaction when any such
breach or default shall exist shall not impair or prejudice any right or remedy available to the Department
with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or
more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any
other breach. Acceptance by the Department of, or payment for, any services performed under this
Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or
under the law generally.
32. Employee Financial Interest/Conflict of Interest. C.R.S. &&24-18-201 et seq. and &24-50-507
The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any
personal or beneficial interest whatsoever in the service or property which is the subject matter of this
Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would
in any manner or degree with the performance of the Contractor's services and the Contractor, shall not
employ any person having such known interests. During the term of this Agreement, the Contractor shall
not engage in any in any business or personal activities or practices or maintain any relationships which
actually conflicts with or in any way appear to conflict with the full performance of its obligations under
this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the
Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor
nor any member of the Contractor's family shall serve on a County Board, committee or hold any such
position which either by rule, practice or action nominates, recommends, supervises Contractor's
operations, or authorizes funding to the Contractor.
33. Board of County Commissioners of Weld County Approval
This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld
County, Colorado.
34. Choice of Law/Jurisdiction
Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation,
execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference
which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute
between the parties, Contractor agrees that the Weld County District Court shall have exclusive jurisdiction
to resolve said dispute.
35. Subcontractors
Contractor acknowledges that the Department has entered into this Agreement in reliance upon the particular
reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the
completion of this project without the Department's prior written consent, which may be withheld in the
Department's sole discretion.
36. Attorney's Fees/Legal Costs
12
In the event of a dispute between the Department and Contractor, concerning this Agreement, the parties
agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or
on its own behalf.
37. Ownership
All work and information obtained by Contractor under this Agreement or individual work order shall
become or remain (as applicable), the property of the Department. In addition, all reports, documents, data,
plans, drawings, records and computer files generated by Contractor in relation to this Agreement and all
reports, test results and all other tangible materials obtained and/or produced in connection with the
performance of this Agreement, whether or not such materials are in completed form, shall at all times be
considered the property of the Department. Contractor shall not make use of such material for purposes other
than in connection with this Agreement without prior written approval of the Department.
38. Interruptions
Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or
otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its
reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or
Governmental actions.
39. Severability
If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of
competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent
that this Agreement is then capable of execution within the original intent of the parties.
IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and
year first above written.
COUNTY:
ATTEST:
Weld County Clerk to the Board
dderifeo ..f4dO;,1
By.
Deputy Clerk to the Board
13
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
Steve Moreno, Chair
AUG 0 4 2021
CONTRACTOR:
Front Range Speech and Behavior Clinic
2547 11t Avenue, Unit B
Greeley, Colorado 80634
(970) 673-8476
Veta dare
By: Chase (Jul 22,2021 12:33 MDT)
Date:
Angela Chase, Director of Operations
Jul 22, 2021
o oO2/ -023(00
EXHIBIT A
WELD COUNTY'S REQUEST FOR PROPOSAL
(Weld County's Request for Proposal is incorporated into this agreement by reference and will be provided upon
request to the Department.)
This page intentionally left blank.
Exhibit B
Contractor's response to the Request for Proposal
Exhibit B contains the following documents:
• Attachmient B — Provider Information Form (PIF)
• Attachment C — Proposal
• Attachment D — Staff Data Sheet
• Certificate of Insurance (COI)
ATTACHMENT B
WELD COUNTY DEPARTMENT OF HUMAN SERVICES — PROVIDER INFORMATION FORM (PIF)
AGENCY INFORMATION
Front Range Speech and Behavior Clinic
Agency Name:
Angela Chase
Provider Contact Full Name:
970-673-8476
Primary Phone Number (10 -digit):
achase@frsb.info
Primary Contact Email:
Trails Provider ID (if known):
Title: Director of Operations
Ext.: Fax Number (10 -digit):
970-515-3619
eepr.//koalnadecpeeduadbebpNarcea./
Web Address:
2547 11th Ave Greeley CO 80634
Agency Location Address (street, city, state, zip):
Agency Mailing Address (street, city, state, zip): Same
Agency Type (pick one): 1-1 Public Company I I Private Non -Profit n Private for Profit
Referral Contact Name:
Send Referrals for Service to:
Angela Chase Title: Director of Operations
970-673-8476
Referral Phone Number (10 -digit):
Ext.:
Email: achase@frsb.info
Billing Contact
Angela Chase
Billing Contact Name:
970-673-8476
Billing Phone Number (10 -digit):
Ext.:
Title: Director of Operations
Email: achase@frsb.info
•
CERTIFICATION
1 I certify that the services proposed for intended use by the Weld County Department of Human Services will meet all the
i specifications it has so indicated in this bid form. I further affirm intention to enter into an agreement with Weld County, on
i behalf of the Weld County Department of Human Services, and comply with all requirements of the contract, if awarded.
IThe Board of Weld County Commissioners reserve the right to reject any or all bids, to waive any informality in the bids, and to
j accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld,
State of Colorado. The Board of Weld County Commissioners shall give preference to resident Weld County bidders in all cases
i where the bids are competitive in price and quality.
I
Authorized Rep. Full Name: Angela Chase
Authorized Rep. Email: achase@frsb.info
Authorized Rep. Address (street, city, state, zip):
Signature of Authorized Rep.:
Director of Operations
Title:
970-673-8476
Phone (10 -digit): _ Ext.:
2547 11th Ave Greeley CO 80634
Date:
1r1r31z-(
REV. NOVEMBER 2020
ATTACHMENT C o PROPOSAL
Please type your answers in the boxes below or check the appropriate box.
SECTION 1— Provider and Program Area Information
Bidder's Legal Name:
Program Area:
Front Range Speech and Behavior Clinic
Mental Health Services
Program Areas are listed in column 1 of the table located in Item XI of the Request
for Proposal starting on page 13.
Number of services offered on this Attachment C (max
5):
You may complete another Attachment Cif you have more than S.
4
SECTION 2 — Service Name(s) and Information
If the service is a monthly package, please offer different levels. All monthly packages must
state a specific minimum number of direct service hours.
Service #1 Name:
Initial Consult/Assessment for Parent Training
2.1a Modalities, curriculum, tools used in delivery of service (DO NOT list company history; DO use bullet points):
• In -person consults will be conducted for all initial visits. Follow-up meeting can be conducted via Telehealth but all
assessment sessions will be conducted in -person.
® Board Certilfied Behavior Analyst (BCBA) will utilize a variety of behavior -based skills assessments during the
consult to obtain a better understanding of client functioning. Relevant examples include Verbal Behavior —
Milestones 1Assessment Placement Program (VB-MAPP), PEAK (Promoting the Emergence of Advanced Knowledge)
Assessment, Assessment of Functional Living Skills (AFLS), Assessment of Basic Language and Learning Skills
Revised (ABLLS-R), Vineland Assessment — Parent Comprehensive Interview, Adaptive Behavior Assessment
System (ABAS-3). The BCBA may choose to use multiple assessment measures during the initial consult to obtain
information on child functioning that is individualized and tailored to client need.
• BCBA will perform a variety of functional behavioral assessment (FBA) procedures as need is determined in order
to identify important patterns of challenging behavior emitted by the child as well as identify function(s) of these
behaviors. Typical FBA -based assessments include direct observation of the child, anecdotal and/or checklist ABC
data recording where BCBA and/or family record data regarding events that happen immediately before and after
the behavior of interest, behavior -based checklists and/or questionnaires such as the FAST (Functional Assessment
Screening Tool), and when necessary, functional analysis (FA) procedures such as the brief functional analysis
(BFA) or practical functional assessment (PFA) to experimentally manipulate variables to determine the function of
severe challenging behavior. FAs are relatively rare and will only be conducted when other FBA procedures are
inconclusive in determining patterns of functioning for significantly challenging behaviors. If/when conducted, FAs
will involve multiple clinicians for the procedure.
® After conducting the initial assessment, BCBAs will write up the assessment results and select goals based on skill
deficits and behaviors of concern that were identified during initial assessment. This document will be referred to
as a treatment plan and it identifies specific behavior reduction and skill acquisition goals for the client, as well as
specific goals on teaching behaviors and responding to certain behaviors for the foster parents. Director of Home
Services will review the treatment plan.
® The treatment plan will determine how many hours per week are recommended for ongoing parent training
services. In general, more intensive parent training will be recommended for the more goals that are identified in
the treatment plan.
• When applicable, the treatment plan with include a behavior intervention plan (BIP) section that will include
specific guidelines on how to prevent and respond to child -specific behaviors targeted for reduction based on the
function. The BIP may be modified throughout the course of ongoing training.
• BCBAs will schedule a meeting with foster parents to review the treatment plan and discuss the goals. Both parties
will sign the document to initiate the start of ongoing parent training services.
® All key stakeholders will have access to the treatment plan to promote transparency of services and collaboration.
2.1b Anticipated frequency of direct service time with the client/family per week, not including professional staffing time,
administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level:
REV. NOV 2020 1
ATTACHMENT C - PROPOSAL
• Initial Assessment: Number of appointments varies depending on the initial concerns of the foster parents as well
as the severity of challenging child behaviors targeted for reduction. Initial assessment can be completed in a
single appointment or can take up to 3 meetings (e.g., up to 8 hours of direct assessment).
• Follow-up Discussion of Treatment Plan: Typically, will be a single meeting/appointment, 1-2 hours in length
2.1c
2.1d
2.1e
2.1f
2.1g
2.1h
Service
2.2a Modalities, curriculum, tools used in delivery of service (DO NOT list company history; DO use bullet points):
Anticipated duration of service (i.e. 3-4 months):
• Initial Assessment: Up to 8 hours (see above)
• Follow-up Discussion of Treatment Plan: 1-2 hours
Three (3), or more, specific goals of the service (DO use bullet points):
• BCBA will identify relevant behavior reduction goals for child and (when applicable) foster parent(s)
• BCBA will identify relevant skill acquisition goals for child and (when applicable) foster parent(s)
• BCBA will create treatment plan outlining specific goals for future services that specify time -based mastery criteria
so that progress can be evaluated in the future.
• Foster parents will gain an understanding of roles and expectations for future consultation services.
• Help determine the need for ongoing foster parent training (e.g., if is necessary as well as determine number of
hours recommended weekly/monthly for ongoing training and consultation) or intensive ABA therapy for the child.
• Elicit foster parent buy -in for general ABA training/ "bootcamp" and ongoing individualized parent training
services, as appropriate.
Three (3), or more, specific outcomes of service:
• Promote stronger foster parent and child relationships by providing parents with detailed information about their
child's needs and intervention supports to address those needs.
• Decrease the risk of children transitioning from homes due to foster's parents struggles to manage behaviors and
maintain safety in the home.
• Increase the foster child's independence and safety as s/he learns new skills through the support of his/her foster
parents and the BCBA.
• Support foster child's transition to home/adopted placement by providing the family with specific goals and
interventions to address the child's behavior and skill needs.
Target population of the service, including age and gender:
Foster parents and children with identified skill deficits and/or behavioral concerns, applicable ages and genders
Languages service is available in (please list proficiency and if interpreter services are available):
English, Spanish translation can be available upon request
Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part:
Medicaid eligibility is dependent on the child's primary diagnosis and available documentation, per Medicaid requirements.
They provide a flat fee regardless of the number of hours required to complete an assessment.
Ongoing Individualized Parent Training and supervision of direct therapy when appropriate
#2 Name:
• BCBA will utilize client treatment plan to provide ongoing training to foster parents.
• Modality of training will be highly individualized based on client need and may include direct coaching, modeling
and/or video modeling, role-play scenarios, review of written resources/plans, and verbal discussion.
• BCBA may utilize resources used in general ABA training/ "bootcamp" as well as consult and/or share additional peer -
reviewed journals and research articles to assist with training.
• BCBA will consider the importance of visual aids and written reminders in parent training and will create/share these
materials as needed.
• Data collection- As an important aspect of monitoring foster parent treatment fidelity and evaluating the effects of
parent training services will be recording data on foster parent responses to child behavior and/or foster parent
implementation of programs/goals identified in treatment plan. Data collection can take many modalities, including
paper -and -pencil and HIPPA-compliant electronic data collection systems.
• Services may be conducted in -person or remotely/telehealth (video chat and phone).
• Ongoing assessment during parent trainings- BCBAs will consult with families regularly regarding any new concerns or
challenging behaviors. BCBA may schedule additional time during a parent training to observe this behavior or discuss
REV. NOV 2020 2
ATTACK E C PROPOSAL
202b
2.2c
told
2.2e
2a2If
202g
Zen
Senific
203a
it
•
the
in
arise.
For clients
ensure
same
more
the
detail.
session
receiving
technician
BCBAs
as
can
direct therapy
receives
parent
add
the
training.
additional
appropriate
by
a behavior
goals
to
support
technician
the
treatment
and
the
training
BCBA
plan
and
will
to meet
also
provide
the
bill
child's
for
training
supervision
needs.
on
new
This
challenges
hours
can
each
occur
week
during
as
they
to
Anticipated
frequency
of direct service time wit
s
the dent/
family
per week,
I t iicOSS
ing
professional
staffing
brine,
adrninistratir
ila, thine, ewer
head,
or travel
tarp'.,
i.e. 4
hours/weekL
if
th
w service
has
levels,
be specific for each
level:
Frequency varies on client
needs.
At minimum,
families
receiving ongoing individualized
parent training will
meet 1
hour
biweekly.
Foster
parents/children
in need
of
more support
can meet multiple
times per week.
It should
be noted
that
appointments
will
be scheduled
by the
BCBA
at least
2 days in advance.
While
foster
parents are
encouraged
to reach
out to
BCBA/Director
of
Home Services for assistance, we cannot
provide
emergency or on -call
services
or guarantee to meet with
a family
less than
1 week
before
a reported
concern.
Antidip;ite
l durati ni -f
service (i.e. 3-4 months):
Duration of each
between 30 minutes
individualized
-4
hours
Longer
parent
training meeting will
parent training sessions
also
will
vary.
include
All
individualized
multiple
modalities
parent training meetings will
of training (e.g., discussion,
fall
modeling,
observation
and
feedback,
etc.).
Three
(3)D or more, specific goals
of the
services (DO
use
bullet
points):
o
Foster
preventing
parents will
certain
learn
behaviors
how to
and
respond
(when
to challenging
necessary)
implementing
behaviors
by utilizing
function
-based
the
treatment
consequences
plan/BIP
when
as
these
a guide
to
behaviors
occur.
•
Foster
parents will
learn
how to teach
relevant
skills
(e.g.,
play
skills,
adaptive
living skills,
etc.) as specified
in
treatment
plan.
•
Foster
parents:will
be able
to generalize
skills
learned
during initial
ABA
training/"bootcamp" (see
below)
to their
child's
everyday
functioning and
behavior.
® BCBA
will
takedata
on
foster
parent/child
goals
to determine
foster
parent fidelity
of
program implementation
and
child
responding
to foster
parents.
Three
(3), or m, r ,D specific
outcomes of service:
® Foster
parents will
have a strong system of
ongoing support
to directly
help
them
manage the
behavior
and
learning
needs of
the
children
placed
in their
home as the
child's
needs change.
• Children
will
more severe needs
will
be able
to stay in
placements
longer
because
families
will
have the
supports
they
need
to ensure safety
and
growth
for
both
the
foster child
and their
own
family.
•
Relationships
between the
foster family
and
the
child
will
improve
because the
family
has knowledge
and
training on
how to communicate with
the
child
and
better
meet
their
needs.
® Foster Families
will
Le less
likely
to experience
burn out
because they
are equipped
and
supported
in meeting the
needs
of
the
children
in their
care.
Tug it
pi
pu!ation
of thr
service:
Foster
parents and
children
with
identified
skill
deficits
and/or
behavioral
concerns, applicable
ages and
genders
Langua 1es service is available
in (please
list
proffikierwy and
if interpreter
services are available):
English,
Spanish
translation
can
be available
upon
request
Medicaid
eligibility
e list
whether
the
srrvice is eligible
o i r
\.I
edicaid in whole
or in
part:
This
service is not
billable
through
Medicaid
e
#3 Name:
General
ABA "Bo•ftcamp"
Training
o Group
Training
Modalities,
curriculum,
tools
used
in delivery
®f service (DI
NIT
list company history;
DO use
bullet
p:Ants):
•
BCBA(s)
and/or
Director
of
Home
Services and/or
Clinical
Director (Front
Range
Behavior) will
provide
an initial
training
for
foster that
will
cover the
basic
principles
of
ABA
in terms that
are easy to understand
and
explain
the
common
behavior
-analytic
terms used
by
professionals
and
their
relevance
in terms of
foster child
behaviors.
•
Modalities
of
training will
include
a variety of
written materials,
video
presentations, and
demonstrations
that
are
part of
guided
curriculums.
All
materials
will
be created by
behavior
analytic
professionals
and
will
be
based
on
principles
of
ABA and/or
relevant
research
conducted
in the
field.
Examples
may include
the
following:
o Success on the
Spectrum:
How to
Teach
Skills
to Individuals
with
Autism
(Partington
&
Partington)
REV. ((kJ; \1 2020
ATTACHMENT C - PROPOSAL
203b
2.3c
2.3d
2.3e
2.3f
2.3g
2.3h
Sonic
2.4a
o
o
o
o
o
o
A
of
Applied
Applied
Parent
Lecavalier,
Peer
Safety
common
of
Work
Autism
10
-reviewed
-Care
people
in
Training
Behavior
Behavior
challenging
Progress:
(Leaf
Smith,
Behavioral
journal
&
for
McEachin)
Analysis
Analysis
&
Disruptive
Behavior
Scahill)
behavior
articles
Safety
(Cooper,
and
Management
Behavior:
from
Training
Autism:
and
Heron,
relevant
will
An
(OBS):
not
The
Strategies
&
Introduction
incorporate
Heward)
RUBI
behavior
Training
and
(Buchanan
Autism
-analytic
will
training
Network
a Curriculum
include
sources
on
&
(Bearss,
general
safety
for
Weiss:
procedures
holds
Intensive
Johnson,
Autism
-
Minimum
New
Behavioral
Handen,
on
Jersey)
de-escalating
of
Butter,
2
Treatment
people
Max
Anticipated
frequency
of direct service time \_rJ th
the
client/family
per week,
not including
prrifessional
staffing
time,
administrative
time, overhead,
or travel
time (i.e. 4 hours/week).
If the service has levels,
be specific
for each
level:
Once a week
training
for 2
hours to cover
key concepts
of
ABA.
Would
be set as a rolling
service such
as every Wednesday
from
12-2pm.
Four weeks
would
cover the
full
material
and
would
be repeated
each
month
for new
parents to attend.
Safety Care =
1 time training
for 6
hours
Anticipated
durati •'n f service (i.e. 3-4 months):
1 month
cycle
foster
parent enrolled
in the
bootcamp.
Three
(3),
or more, specific
goals
of the
service (DI
use
bullet
points):
•
Foster
parents will
learn
basic ABA
-based
terminology
and
how it is relevant
to understanding
child's
behavior.
•
Foster
their
care.
parents will
be able
to describe
basic intervention tools
that
may
be useful
in
helping
support
the
children
in
•
Foster
behaviors
parents
(Safety
will
Care).
learn
basic de-escalation
and
safety strategies to use
when
children
begin to engage in crisis
Three
(3),
or m,• re, specific
outcomes of service:
•
•
•
Foster
how
Children
responding
Families
situations.
to
parents
respond
will
will
decrease
more
be
will
to
safer
appropriately
gain
the
challenging
as
knowledge
behavior
they
are
of
to
more
in
the
behaviors
their
theories
children
equipped
behaviors.
of
they
and
to
behavior
increase
are
keep
serving.
themselves
that
pro
will
-social
help
behavior
and
guide
the
children
them
because
in making
staff
safe
as
and
they
better
decisions
parents
work
are
through
about
crisis
• Foster
parents will
have a
base
level
of
training in ABA
that
will
make
them
more equipped
to work
with
all
children
and
therefore
assist with
smoother
transitions of children
into the
home.
* Due to the
group
nature of
the
training, foster
parents will
develop
collaborative
relationships
that
will
help
strengthen
the
teams and
help
build
a connection within
the
foster community.
Target
population
of the
service:
All
Foster Parents - Group
Training to facilitate
conversation minimum of
2
people
Languages service is available
in (please
list
proficiency
and
if interpreter
services are available):
English
`
edicaid
eligibility
e list
whether
the
service is eligible
for
`,,-iedicaid
in whole
or in
part:
This
is not eligible
for
Medicaid
billing
e #4
Name:
Direct ABA
Therapy
provided
by a
behavior technician
Modalities,
curriculum,
tools
used
in delivery
of service
(DO
NOT
list
c•,mpany
history;
DO use
bullet
points):
•
Pre -requisite
for
therapy
to begin:
BCBA
assessment and
initial
consultation
with
family
to develop
treatment
plan
and
goals
to ensure we are able
to
meet the
needs
of
the
child.
• On -going requirements:
Supervision by
BCBA
for
a minimum
of
10% of
service
hours
billed
as #2
service
line,
family
must maintain 80% attendance and
have no more than
2 no-shows
in a month
for services to continue to ensure
enough
hours of
therapy
to make
significant
behavioral
change.
®
Direct ABA
therapy
will
be
provided
by a behavior
technician
under the
supervision
of
a
Board Certified
Behavior
Analyst.
*
The
technician
will
work
directly
with
the
child
providing
behavioral
interventions as deemed
necessary
from the
assessment and
treatment
plan
created
by the
BCBA.
REV. NOV 2020
4
ATTACHMENT C - PROPOSAL
2.4b
2.4c
2.4d
2.4e
2.4f
2.4g
2.4h
Seer
2.5a
2.5b
2.5c
2.5d
2.5e
2.Sf
2.5g
2.5h
ice
Anticipated
administrative
frequency of
time, overhead,
direct service
or travel
time with
time
the
(i.e.
4
client/family
hours/week).
If
per
the
week,
service
not
including
has
levels,
professional
be specific
for
staffing
each
time,
level:
•
®
•
•
Minimum
Maximum
Generally
Open
need.
Monday
of
of
scheduled
10
4-0
-Friday
hours
hours
in
from
per week
per week.
a minimum
9:00am-6:00pm.
to ensure
of
2
client
hour
chunks
Can
is
make
able
of
to
time
changes
make
per
meaningful
day.
to
service
hours
changes
in
based on
his/her
staff
behavior.
availability
and
family
Anticipat
d duration of service (Le. 3-4 months):
1-6
Months
of
time unt I
Mecicaid
authorization
can
be obtained.
Three
(3), or mar, specific goals
of
the
service (DO
use
bullet
points):
•
•
•
The
and
The
Decrease
child
collaboration
o
child
o
Skill
showering,
preferred
Potential
the
will
will
demonstrate
areas
demonstrate
need
with
tasks,
areas
may
brushing
for
the
on
include:
of
leisure
-going
an
foster
a decrease
concern:
increase
teeth,
skills,
therapy
family,
Communication,
etc.),
elopement
in
etc.
in
as
challenging
and
appropriate
eating
described
eventually
(leaving
wider
Social
behavior
skills
in
the
skills,
variety
the
transition
through
assessment
designated
Independence
of
as
food
described
the
the
items,
child
direct
and
area),
in
intervention
treatment
with
transitioning
the
out
aggression,
of
daily
assessment
services
plan.
living
from
tantrums,
due
of the
skills
and
to
behavior
(toileting,
preferred
treatment
mastery
self
-injury,
technician,
to
of
non
plan.
goals.
etc.
-
Three
(3), or more, specific outcomes of
service:
•
•
•
longer
The
The
behaviors
The
child
child
child
interfering
will
will
interfering
will
be
be
be
able
able
able
with
to
to
with
to
daily
participate
stay
transition
in
home
activities.
their
placements.
more
more
fully
home
smoothly
placement
in
the
into
family
longer,
a
long-term
activities.
or at
least
placement
decrease
the
because
risk
their
of
transition
behavioral
due
to
needs
are no
Target
population
.f the
service:
Individuals
with
behavioral
challenges
or skill
deficits
that
are interfering
with
the
child's
successful
home
placement.
Languages service is available
in (please
list proficiency and
if interpreter
services are available):
English,
at times we are able
to
find technicians
that
are
bilingual
in Spanish
but we cannot guarantee this
support
edicaid
eligibility
list whether
the
service is eligible
fc•,r
Medicaid
in whole
or in part:
—
limited
Yes,
for
children
to:
with
Autism,
a medical
Down Syndrome,
diagnosis
PTSD,
of
ADI-ID,
a
disability
Developmental
that
would
Delay
potentially
lead
to
behavioral
concerns such
as
but not
#5
Modalities,
Name:
curriculum,
tools
used
in delivery
of service (DO
NOT
list company history;
DO use bullet
points):
Anticipated
administrative
frequency
time,
sf
overhead,
direct
service time
or travel
with
time
(Le.
the
4
client/family
hours/week).
If
per
the
week,
service
not
including
has
levels,
be
professional
specific
for
staffing
each
time,
level:
Anticipated
duration of service (Le.
3-4 months):
Three (3), *r more, specific
goals
of
the
service
(DO use
bullet
points):
Three (3), or mite, specific outcomes of
service:
Target
population
of
the
service:
Languages service is available
in
(please
list
proficiency and if interpreter
services are available):
Medicaid
eligibility
—
list whether
the
service is eligible
for
Medicaid
in whole
or in
part
3.1 Will
one:
you charge Weld
Section
County for
3
transporting
—
Service
clients
Access
or mileage?
and
Check
YES
NO
I
Trnsportation
►A
REV. NOV 2020
5
ATTACHMENT C - PROPOSAL
3.2 Will you conduct services in a client's home or in the community? Check
3.3 Will you transport clients to and/or from services? Check
one:
one:
■
YES
3.4 How many miles are you willing to travel round trip? List a specific number of
miles.
3.5 When you calculate mileage, what is your starting point
address?
YES
NO
■
20
Miles
NO
254711th Ave, Suite A&B, Greeley, CO 80631
SECTION 4 - SERVICE RATES
All rates need to include administrative work (i.e. scheduling or report writing) and overhead.
Rates cannot be per episode, except for home studies and monitored sobriety testing.
Only hourly or monthly rates will be accepted for services, except for those listed above.
• For hourly rates complete section(s) 4.1-4.5.
• For monthly rates complete section 4.6.
• For Home study providers complete section 4.7.
• For monitored sobriety testing providers complete section 4.8.
4.1 Hourly Service #1 Name:
nitial Consult/Assessment for Parent Training
4.1a In-Office/Video:
4.1b In -Office with
Transportation:
In -Home or Community:
4.1c FTM, TDM, Prof. Staffing:
4.1d No show:
4.1e Mileage rate:
$ Amount
$125
$150
$50
. 575
Unit Type
per Hour
per Hour
per Hour
per Hour
per No Show
per Mile
No. of miles included in rate:
No. of miles included in rate:
20
This is paid after the miles listed above.
miles
miles
4.2 Hourly Service #2 Name:
Ongoing Individualized Parent Training
4.2a In-Office/Video:
4.2b In -Office with
Transportation:
4.2c In -Home or Community:
4.2d FTM, TDM, Prof. Staffing:
4.2e No show:
4.2f Mileage rate:
$ Amount
$100
$125
$50
. 575
Unit Type
per Hour
per Hour
per Hour
per Hour
per No Show
per Mile
No. of miles included in rate:
No. of miles included in rate:
20
This is paid after the miles listed above.
miles
miles
4.3 Hourly Service #3 Name:
General ABA "Bootcamp" Training - per person in attendance minimum of 2 people
4.3a In-Office/Video:
4.3b In -Office with
Transportation:
4.3c In -Home or Community:
4.3d FTM, TDM, Prof. Staffing:
4.3e No show:
4.3f Mileage rate:
$ Amount
$65
$25
. 575
Unit Type
per Hour
per Hour
per Hour
per Hour
per No Show
per Mile
No. of miles included in rate:
No. of miles included in rate:
20
This is paid after the miles listed above.
miles
miles
4.4 Hourly Service #4 Name:
Direct ABA therapy
$ Amount Unit Type
REV. NOV 2020 6
TTC H E'' T C P
POSAL
4.4a In-Office/Video:
4.4b In -Office with
Transportation:
In -Home or Community:
4.4c FTM, TDM, Prof. Staffing:
4.4d No show:
4.4e Mileage rate:
$75
$75
$25
.575
per Hour
per Hour
per Hour
per Hour
per N Sh
per Mile
w
N o. of miles included in rate:
N o. of miles included in rate:
20
This is paid after the miles listed above.
miles
miles
4.5 Hourly Service #5 Name:
4.5a In-Office/Video:
405b In -Office with
Transportation:
4.5c In -Horne :•:r Community:
4.5d FTM, TOM, Prof. Staffing:
4.5e No show:
4.5f Mileage rate:
Amount
Unit Type
per Hour
per Hour
per Hour
per Hour
per No Show
per Mile
N o. of miles included in rate:
N o. of miles included in rate:
This is paid after the miles listed above.
miles
miles
4.6 Monthly Service Rates (each level must be listed):
Servic
Name with Level
4.6a
4.6b
4.6c
4.6d
4.6e
4.6f
4.6g
4.6h
4.61
4.6j
Rate per
Month
No. of Direct Service Hours:
4.7 Home Study Providers — List y
ur rates in the box below.
4.8 Monitored Sobriety Providers — List your rates in the box below.
Provider special notes:
REV. NOV 2020
7
ATTACHMENT C _ PROPOSAL
Please type your answers in the boxes below or check the appropriate box.
SECTION 1 Provider and Program Area Information
Bidden"n Legal Name:
Fr ,• nt Range Speech & Behavior Clinic
Program Area:
Mental Health Services
Number of services offered on this Attachment C (max 5):
Program Areas are listed in column 1 of the table located in Item XI of the Request You may complete another Attachment C if you have more than 5.
for Proposal starting on page 13.
SECTION 2 — Service Name(s) and Information
If the service is a monthly package, please offer different levels. All monthly packages must
state a specific minimum number of direct service hours.
Service #1 Name:
Staff Training
2.1a Modalities, curriculum, t
ols used in delivery of service (DO NOT list c
mpany history; DO use bullet p
ants):
• BCBA(s) and/or Director of Home Services and/or Clinical Director (Front Range Behavi• r) will provide an initial
training for foster parents as well as foster care staff that will cover the basic principles of ABA in terms that are easy to
understand and explain the common behavior -analytic terms used by professionals and their relevance in terms of foster
child behaviors.
• Modalities if training will include a variety of written materials, video presentatitns, and demonstrations that
are part of guided curriculums. All materials will be created by behavior analytic professic•;nals and will be based on
principles of ABA and/or relevant research conducted in the field. Examples may include the following:
o Success on the Spectrum: How to Teach Skills to Individuals with Autism (Partington & Partington)
o A Work in Progress: Behavior Management Strategies and a Curriculum for Intensive Behavioral Treatment of
Autism (Leaf & McEachin)
o Applied Behavior Analysis (Cooper, Heron, & Heward)
o Applied Behavior Analysis and Autism: An introduction (Buchanan & Weiss: Autism New Jersey)
Parent Training for Disruptive Behavior: The RUBI Autism Network (Bearss, hnson, Handen, Butter, Lecavalier,
Smith, & Scahill)
o Peer -reviewed journal articles trim relevant behavior -analytic sources
o Safety -Care Behavioral Safety Training ((IBS): Training will include general procedures on de-escalating common
challenging behavior and will nrt inc rporate training on safety holds - Minimum of 2 people Max of 10 people
2.1b Anticipated frequency Af direct service time with the client/family per week, not including professional staffing time,
administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level:
Once a week training for 2 hours to cover key concepts of ABA. Would be set as a rolling service once a week for 2 hour
duration.
Four weeks would cover the full material and would be repeated each month for new staff to attend.
Safety Care = 1 time training fir 6 hours
2.1c Anticipated durati
n of service (i.e. 3-4 months):
1 month cycle for each staff enrolled in the bootcamp.
2.1d Three (3), or more, specific g
als of the service (DO use bullet points):
•
• Staff will be able to describe basic intervention tools that may be useful in helping supp',rt the children in their
care.
• Staff will learn basic de-escalation and safety strategies to use when children begin to engage in crisis behaviors
(Safety Care).
Staff will learn basic ABA -based terminology and how it is relevant to understanding child's behavior.
2.1e Three (3), or more, specific outcomes of service:
• Staff will gain knowledge in theories of behavior that will help guide them in making better decisions about how
to respond to the behavior of the children they are serving.
• Children will decrease challenging behaviors and increase pro -social behavior because staff and parents are
responding more appropriately to their behaviors.
• Staff will be safer as they are more equipped to keep themselves and the children safe as they work through crisis
situate
J
ns.
• Staff will have a base level of training in ABA that will make them more equipped to work with all children and
therefore assist with smoother transitions of children into the home.
REV. NOV 2020 1
ATTACHMENT C - PROP 'w r'SAL
Due to the group nature of the training, foster parents and staff will develop collaborative relationships that will
help strengthen the teams and help build a connection within the foster community.
2.1f Target population of the service, including age and gender:
2.1g Languages service is available in (please list proficiency and if interpreter services are available):
2.1h Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part:
Service #2 Name:
2.2a Modalities, curriculum, tools used in delivery of service (DO NOT list company history; DO use bullet points):
2.2b Anticipated frequency of direct service time with the client/family per week, not including professional staffing time,
administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level:
2.2c Anticipated duration of service (i.e. 3-4 months):
2.2d Three (3), or more, specific goals of the service (DO use bullet points):
2.2e Three (3), or more, specific outcomes of service:
2.2f Target population of the service:
2.2g Languages service is available in (please list proficiency and if interpreter services are available):
2.2h Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part:
Service #3 Name:
23a Modalities, curriculum, tools used in delivery of service (DO NOT list c
mpany history; DO use bullet points):
2.3b Anticipated frequency of direct service time with the client/family per week, not including professional staffing time,
administrative time, overhead, or travel time (i.e. 4 hours/week). If the service has levels, be specific for each level:
2.3c Anticipated duration of service (i.e. 3-4 months):
2.3d Three (3), or more, specific goals of the service (DO use bullet points):
23e Three (3), or more, specific outcomes of service:
f the service:
2.3f Target population
2.3g Languages service is available in (please list proficiency and if interpreter services are available):
2.3h Medicaid eligibility — list whether the service is eligible for Medicaid in whole or in part:
Service #4 Name:
2.4a Modalities, curriculum, tools used in delivery of service (DO NOT list company history➢ DO use bullet points):
2.4b Anticipated frequency of direct service time with the client/family per week, not including professional staffing time,
administrative time, overhead, or travel time (Le. 4 hours/week). If the service has levels, be specific for each level:
2.4c Anticipated duration of service (i.e. 3-4 months):
2.4d Three (3), or more, specific goals of the service (DO use bullet points):
REV. NOV 2020 2
TTACHMENT C - P PSL
2.4e Three (3), or more, specific
:• utc.• mes tf service:
2.4f
Target population
of
the
service:
Weld
County staff
- Group
Training
te facilitate
cinversation minimum if
2
pepile
2.4g
Languages service is
available
in (please
list
proficiency
and
if
interpreter
services
are available):
English
2.4h
Medicaid
eligibility
m
list
whether
the
service
is
eligible
for
Medicaid
in whale
or in
part:
Not
eligiblie
for
coverage
under
Medicaid
Service
#5
Name:
2.5a
Modalities,
curriculurn,
tools
used
hi delivery
of
service (DO
NOT
list
cmpany
hist:• ry➢
D ,
use
bullet
pints):
2.5b
Anticipated
administrative
frequency
time,
of
overhead,
direct
service time
or travel
with
time (Le.
the
4
client/family
hours/week).
Of
per
the
week,
service
not
including
has levels,
be
professional
specific
for
staffing
each
level:
time,
2.5c
Anticipated
duration
of service
(Le. 3-4 months):
2.5d
Three]
(3),
or more,
specific
goals
of the
service
(DO
use
bullet
points):
2.5e
Three
(3),
tr more,
specific
outcomes of
service:
2.5f
Target
population
of the
service:
2.5g
Languages
service
is available
in (please
list
proficiency
and
if interpreter
services
are available):
2.5h
Medicaid
eligibility
a list
whether
the service is
eligible
for
Medicaid
in while
or in part
S 3 ® Service
Access
Transportation
Cti _ n
and
3.1
will
you charge
Weld
County for transporting
clients
or mileage?
Check
onr:
YES
►Z1
NO
3.2 Will
yu conduct
services in a client's
home -•:r in the
community? Check
one:
/1
YES
®
NO
33 Will
you transport
clients
t0 and/or
fri• m services?
Check
one:
®
YES
NO
3.4
How
many miles
are you willing
to travel
r• and
trip?
List a specific
number
of miles.
20
Miles
3.5 When
you calculate
mileage
- what is your starting
point address?
2547 11th
Ave, Suite A&B, Greeley,
CMG 80631
e
SERVICE RATES
All rates need to include administratove work (i.e. scheduling or report writing) and overhead.
Rates cannot be per ede, exceffit for some studies and monitored sobriety testing
only hourly or monthly rates will be accepted for seMces, except for those listed above.
For hourly rates c;: mpl -ate section(s) 4.1-4.50
o For monthly rates complete section 4.6.
For Home study providers complete section 4.7.
For monitored sbriety testing providers complete sectoon 4.8.
4.1 H
Ct
ugly Service #1 Name:
Staff Training
4.1a ln-Officr/Video:
4.1b In -Office with Transportation:
In -Home or Community:
4.1c FT,,,�", TDM, Prof. Staffing:
$ Amount
65.00
Unit Type
per H
perH
perH
u r
u r
u r
per Hour
N o. of miles included in rate:
N t•. -•,f miles included in rate:
20
miles
miles
REV. NOV 2020
3
A
ACHMENT
C - PROPOSAL
4.1d
No show:
50.00
per No
Show
4.1e
Mileage
rate:
.575
per
Mile
This
is
paid after the
miles
listed
above.
4.2 Hourly
Service #2 Name:
$ Amount
Unit
Type
4.2a
In-Office/Video:
per
Hour
4.2b
In
-Office
with
Transportation:
per
Hour
No.
of
miles
included
in rate:
miles
4.2c
In
-Home
or Community:
per
Hour
No.
of
miles
included
in rate:
miles
4.2d
FTM,
TDM,
Prof.
Staffing:
per
Hour
4.2e
No
show:
per
No
Show
4.2f
Mileage
rate:
per
Mile
This
is
paid
after
the
miles
listed
above.
4.3
Hourly
Service #3
Name:
$ Amount
Unit
Type
4.3a
In-Office/Video:
per
Hour
4.3b
In
-Office
with
Transportation:
per
Hour
No.
of
miles
included
in
rate:
miles
4.3c
In
-Home
or
Community:
per
Hour
No.
of
miles
included
in
rate:
miles
4.3d
FTM,
TDM,
Prof.
Staffing:
per
Hour
4.3e
No
show:
per
No
Show
4.3f
Mileage
rate:
per
Mile
This
is
paid
after the
miles
listed
above.
4.4
Hourly
Service
#4
Name:
$ Amount
Unit
Type
4.4a
In-Office/Video:
per Hour
4.4b
In
-Office
with
Transportation:
per Hour
No.
of
miles
included
in
rate:
miles
In
-Home
or Community:
per Hour
No.
of
miles
included
in
rate:
miles
4.4c
FTM,
TDM,
Prof. Staffing:
per Hour
4.4d
No
show:
per
No
Show
4.4e
Mileage
rate:
per Mile
This
is
paid
after
the
miles
listed
above.
4.5 Hourly
Service #5
Name:
$ Amount
Unit Type
4.5a
In-Office/Video:
per Hour
4.5b
In
-Office
with
Transportation:
per
Hour
No.
of
miles
included
in rate:
miles
4.5c
In
-Home
or Community:
per
Hour
No.
of
miles
included
in rate:
miles
4.5d
FTM,
TDM,
Prof.
Staffing:
per
Hour
4.5e
No
show:
per
No
Show
4.5f
mileage rate:
per Mile This
is paid
after the miles
listed
above.
4.6 Monthly
Service Rates
(each level
must
be listed):
Service
Name
with
Level
Rate per Month
No.
of
Direct Service Hours:
4.6a
4.6b
4.6c
1
4.6d
4.6e
4.6f
1
4.6g
4.6h
4.6i
4.6j
43 Home Study
Providers
—
List your rates in the
box below.
REV. NOV 2020
4
ATTACHMENT C - PROPOSAL
4.8 Monitored Sobriety Providers
List your rates in the box below.
Provider special notes:
REV. NOV 2020 5
ATTACHMENT D - STAFF DATA SHEET
Bidder Must List All Staff Who Will Administer the Proposed Service(s)
AGENCY
CONTACT:
Angela ela
Chase
BIDDER'S
LEGAL
NAME
(As it appears
on the
W-9):
Front
Range
Speech
and
Behavior
Clinic
PHONE
NUMBER:
970.673_8476
EMAIL:
achase@frsb.info
PROPOSED
SERVICE(S):
ABA/Behavioral
Supports
via Group
Training "Bootcamp",
Behavior
Assessment,
Individualized
Parent
Training
Legal Last Name
Middle
Initial
Name
Previous
(If
Legal
applicable)
Last
Legal
First
Name
Service
Type
Licensure/
Credentials
DORA # (If
applicable)
Webb
C
Sarah
ABA
BCBA
Heath
K
Talkington
Amy
ABA
BCBA-D
Chase
B
Hansen
Angela
ABA
BCBA
Kirwin
A
Baysinger
Rachel
ABA
BCBA
Murry
B
Amanda
ABA
BCBA
CHILD WELFARE REQUEST FOR PROPOSAL 2021-22 - VARIOUS SERVICES
BID NO. B2100042
& ASSOCIATES
Certificate of Liability Insurance
Date Issued: 04/21/2021
iplr/,
AS
PHILADELPHIA
INSURANCE COMPANIES
A Member of the Tokio Marine Group
Underwritten by: Philadelphia Indemnity Insurance Company • One Bala Plaza, Suite 100 • Bala Cynwyd, PA 19004 • NAIC #: 18058
Administered by: CPH & Associates • 711 S. Dearborn St. Ste 205 • Chicago, IL 60605 • P 800.875.1911 • F 312.987.0902 • info@cphins.com
DISCLAIMER: This certificate is issued as a matter of information only and confers no rights upon the certificate holder. The Certificate of Insurance does not
constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend,
extend, or alter the coverage afforded by the policies listed thereon.
Insured: Front Range Behavior
Angela Chase
1901 56th Avenue Suite 110
Greeley, CO 80634
Policy Number: AR73602
Policy Term: 09/11/2020 to 09/11/2021
Covered Locations
Professional Liability: Portable coverage, not location specific
Coverage Type
(Occurrence Form)
Professional Liability
Supplemental Liability
Licensing Board Defense
Commercial General
Liability
Fire/Water Legal Liability
Business Personal Property
Comments/Special Descriptions:
X
Per Incident
(Per individual claim)
$ 1,000,000
$ 1,000,000
$ 75,000
N/A
N/A
N/A
Aggregate
(Total amount per year)
$ 3,000,000
$ 3,000,000
$ 75,000
N/A
N/A
N/A
Certificate Holder
Weld County
Ryan Taylor
1150 O Street
Greeley, CO 80631
Certificate Holder has been added as an additional insured
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in
lieu of such endorsement(s). Notice of Cancellation will only be provided to the first named insured in accordance with policy provisions, who shall act on behalf of all
additional insureds with respect to giving notice of cancellation.
Authorized Representative
C. Philip Hodson
PI-PHCP-05 (03/01)
THIS ENDORSEMENT CHANGED THE POLICY. PLEASE READ IT CAREFULLY.
Additional Insured Endorsement
This endorsement modifies insurance provided under the following:
ALLIED HEALTHCARE PROVIDERS PROFESSIONAL
AND SUPPLEMENTAL LIABILITY INSURANCE POLICY
In consideration of the premium paid, this policy is amended as follows:
Weld County is hereby added as an Additional Insured, solely for Damages arising out of a
Professional Incident covered under this policy. The Professional Incident must arise out of services
provided by the Insured, under contract with Weld County.
Additional Insured Name and Mailing Address:
Weld County
Ryan Taylor
1150 O Street
Greeley, CO , 80631
All other terms and conditions of this policy remain unchanged.
EXHIBIT C
SCOPE OF SERVICES
Contractor will provide Mental Health Services, as referred by the Department.
1. Initial Consult/Assessment for Parent Training
a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services
under this agreement:
i. A Board -Certified Behavior Analyst (BCBA) will utilize a variety of behavior -based
skills assessments during the initial consult to obtain a better understanding of client
functioning. Relevant examples include Verbal Behavior — Milestones Assessment
Placement Program (VB-MAPP), Promoting the Emergence of Advanced Knowledge
(PEAK) Assessment, Assessment of Functional Living Skills (AFLS), Assessment of
Basic Language and Learning Skills Revised (ABLLS-R), Vineland Assessment — Parent
Comprehensive Interview, Adaptive Behavior Assessment System (ABAS-3). The
BCBA may choose to use multiple assessment measures during the initial consult to
obtain information on child functioning that is individualized and tailored to client need.
ii. The BCBA will perform a variety of functional behavioral assessment (FBA) procedures
as need is determined in order to identify important patterns of challenging behavior
emitted by the child as well as identify function(s) of these behaviors. Typical FBA -
based assessments include direct observation of the child, anecdotal and/or checklist
ABC data recording where BCBA and/or family record data regarding events that happen
immediately before and after the behavior of interest, behavior -based checklists and/or
questionnaires such as the FAST (Functional Assessment Screening Tool), and when
necessary, functional analysis (FA) procedures, such as the brief functional analysis
(BFA) or practical functional assessment (PFA) to experimentally manipulate variables
to determine the function of severe challenging behavior. FAs are relatively rare and will
only be conducted when other FBA procedures are inconclusive in determining patterns
of client functioning for significantly challenging behaviors. If/when conducted, FAs will
involve multiple clinicians for the procedure.
iii. After conducting the initial assessment, BCBAs will write up the assessment results and
select goals based on skill deficits and behaviors of concern that were identified during
initial assessment. This document will be referred to as a treatment plan and it identifies
specific behavior reduction and skill acquisition goals for the client, as well as specific
goals for teaching behaviors to a child and how to respond to certain child -specific
behaviors for the foster parents. Director of Home Services will review the treatment
plan.
iv. When applicable, the treatment plan will include a behavior intervention plan (BIP)
section that will include specific guidelines on how to prevent and respond to child -
specific behaviors targeted for reduction based on the function. The BIP may be modified
throughout the course of ongoing training.
v. BCBAs will schedule a meeting with foster parents to review the treatment plan and
discuss the goals. Both parties will sign the document to initiate the start of ongoing
parent training services.
vi. All key stakeholders will have access to the treatment plan to promote transparency of
services and collaboration.
b. Anticipated Frequency of Services:
i. Initial assessment: Number of appointments varies depending on the initial concerns of
the foster parents as well as the severity of challenging child behaviors targeted for
reduction. Initial assessment can be completed in a single appointment or can take up to 3
meetings.
1
ii. Follow-up discussion of Treatment Plan: Typically, will be a single meeting or
appointment.
iii. The treatment plan will determine how many hours per week are recommended for
ongoing parent training services. In general, more intensive parent training will be
recommended depending on the number of goals that are identified in the treatment plan.
c. Anticipated Duration of Services:
i. Initial assessment: Up to eight (8) hours.
ii. Follow-up discussion of Treatment Plan: one (1) to two (2) hours.
d. Goals of Services:
i. The BCBA will identify relevant behavior reduction goals for each child and (when
applicable) any foster parent(s).
ii. The BCBA will identify relevant skill acquisition goals for each child and (when
applicable) any foster parent(s).
iii. The BCBA will create a treatment plan outlining specific goals for future services that
specify time -based mastery criteria so that training progress can be evaluated in the
future.
iv. Foster parents will gain an understanding of roles and expectations for future
consultation services.
v. The Service will help determine the need for ongoing foster parent training, such as
identifying whether or not the training is necessary as well as determining the number of
weekly/monthly hours recommended for ongoing training and consultation or intensive
ABA therapy for the child.
vi. Elicit foster parent buy -in for general ABA training/ "bootcamp" and ongoing
individualized parent training services, as appropriate.
e. Outcomes of Services:
i. Promote stronger foster parent and child relationships by providing parents with detailed
information about their child's needs and intervention supports to address those needs.
ii. Decrease the risk of children transitioning from homes due to foster's parents struggles to
manage behaviors and maintain safety in the home.
iii. Increase the foster child's independence and safety as s/he learns new skills through the
support of his/her foster parents and the BCBA.
iv. Support foster child's transition to home/adopted placement by providing the family with
specific goals and interventions to address the child's behavior and skill needs.
f. Target Population:
, i. Foster parents and children with identified skill deficits and/or behavioral concerns.
ii. All ages and genders, typically ages two (2) to 21
g.
Language:
i. English, Spanish translation can be available upon request.
h. Medicaid Eligibility:
i. This service may be Medicaid eligible depending on the child's primary diagnosis.
i. Service Access and Transportation:
i. Service will take place in the client's home. Contractor will not transport clients to and
from services.
2. Ongoing Individualized Parent Training and Supervision of Direct Therapy
a. dontractor will utilize the following modalities, curriculum, and tools in the delivery of services
under this agreement:
i. BCBA will utilize client treatment plan to provide ongoing training to foster parents.
2
ii. Modality of training will be highly individualized based on client's needs and may
include direct coaching, modeling and/or video modeling, role-play scenarios, review of
written resources/plans, and verbal discussion.
iii. BCBA may utilize resources used in general ABA training/ "bootcamp" as well as
consult and/or share additional peer -reviewed journals and research articles to assist with
training.
iv. BCBA will consider the importance of visual aids and written reminders in parent
training and will create/share these materials as needed.
v. Data collection will occur as an important aspect of monitoring for foster parent
treatment fidelity, evaluating the effects of parent training services, recording data on
foster parent responses to a child's behavior, and for foster parent implementation of
programs/goals identified in treatment plan. Data collection can take many modalities,
including paper -and -pencil and HIPAA-compliant electronic data collection systems.
vi. Services may be conducted in -person or remotely/telehealth (video chat and phone).
vii. BCBAs will conduct ongoing assessments during parent trainings and will consult with
families regularly regarding any new concerns or challenging child -specific behaviors.
BCBA may schedule additional time during a parent training to observe this behavior or
discuss it in more detail. BCBAs can add additional goals to the treatment plan and
provide training on new challenges as they arise.
BCBAs may provide support therapy to ensure that Behavior Technicians receive the
appropriate support and training to meet the client's needs. Support therapy can occur
during the same sessions as parent training.
b. Anticipated Frequency of Services:
i. Frequency will vary depending on the client's needs. At a minimum, families receiving
ongoing individualized parent training will meet one (1) hour biweekly. Foster
parents/children in need of more support can meet multiple times per week.
c. Anticipated Duration of Services:
i. Duration of each individualized parent training meeting will vary. All individualized
parent training meetings will fall between thirty (30) minutes and four (4) hours.
d. Goals of Services:
i. Foster parents will learn how to respond to challenging behaviors by utilizing the
treatment plan/BIP as a guide to preventing certain behaviors and (when necessary)
implementing function -based consequences when these behaviors occur.
ii. Foster parents will learn how to teach relevant skills, which may include but are not
limited to play skills and adaptive living skills as specified in the treatment plan.
iii. BCBA will take data on foster parent/child goals to determine foster parent fidelity of
program implementation and child responding to foster parents.
e. Outcomes of Services:
i. Foster parents will have a strong system of ongoing support to directly help manage the
behavior and learning needs of the children placed in their home as the child's needs
change.
ii. Children with more severe needs will be able to stay in placements longer because
families will have the support needed to ensure safety and growth for both the foster child
and their own family.
iii. Relationships between the foster family and the child will improve because the family
has knowledge and training on how to communicate with the child and better meet their
needs.
iv. Foster Families will be less likely to experience burn out because they are equipped and
supported in meeting the needs of the children in their care.
f Target Population:
3
i. Foster parents and children with identified skill deficits and/or behavioral concerns. All
ages and genders, typically ages two (2) to 21
ii.
g. Language:
i. English, Spanish translation can be available upon request.
h. Medicaid Eligibility:
i. This service is not Medicaid eligible.
i. Service Access and Transportation:
i. Services will take place in the client's home. Contractor will not transport clients to and
from services.
3. General ABA "Bootcamp" Training — Group Training
a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of Services
under this agreement:
i. BCBA(s) and/or Contractor's Director of Home Services and/or Clinical Director will
provide an initial training for foster parents that will cover the basic principles of ABA in
terms that are easy to understand and explain the common behavior -analytic terms used
by professionals and their relevance in terms of foster child behaviors.
ii. Modalities of training will include a variety of written materials, video presentations, and
demonstrations that are part of guided curriculums. All materials will be created by
behavior analytic professionals and will be based on principles of ABA and/or relevant
research conducted in the field. Examples may include the following:
1. Success on the Spectrum: How to Teach Skills to Individuals with Autism
(Partington & Partington).
2. A Work in Progress: Behavior Management Strategies and a Curriculum for
Intensive Behavioral Treatment of Autism (Leaf & McEachin).
3. Applied Behavior Analysis (Cooper, Heron, & Heward).
4. Applied Behavior Analysis and Autism: An Introduction (Buchanan & Weiss:
Autism New Jersey).
5. Parent Training for Disruptive Behavior: The RUBI Autism Network (Bearss,
Johnson, Handen, Butter, Lecavalier, Smith, & Scahill).
6. Peer -reviewed journal articles from relevant behavior -analytic sources.
7. Safety -Care Behavioral Safety Training (QBS): Training will include general
procedures on de-escalating common challenging behavior and will not
incorporate training on safety holds - Minimum of two (2) participants,
maximum of ten (10) participants.
b. Anticipated Frequency of Services:
i. Trainings will take place once a week for two (2) hours. A total of four (4) weeks will
cover all material. Trainings may be repeated each month for new foster parents to attend.
ii. Safety Care is a one (1) time training for six (6) hours.
c. Anticipated Duration of Services:
i. One (1) month for foster parents enrolled in the bootcamp course.
d. Goals of Services:
i. Foster parents will learn basic ABA -based terminology and how it is relevant to
understanding child's behavior.
ii. Foster parents will be able to describe basic intervention tools that may be useful in
helping support the children in their care.
iii. Foster parents will learn basic de-escalation and safety strategies to use when children
begin to engage in crisis behaviors (Safety Care).
4
e. Outcomes of Services:
i. Foster parents will gain knowledge in theories of behavior that will help guide them in
making better decisions about how to respond to the behavior of the children they are
serving.
ii. Children will decrease challenging behaviors and increase pro -social behavior because
staff and parents are responding more appropriately to their behaviors.
iii. Families will be safer as they are more equipped to keep themselves and the children safe
as they work through crisis situations.
iv. Foster parents will have a base level of training in ABA that will make them more
equipped to work with all children and therefore assist with smoother transitions of
children into the home.
v. Foster parents will develop collaborative relationships due to the group nature of the
training that will help strengthen the teams and help build a connection within the foster
community.
f. Target Population:
i. All foster parents.
g. Language:
i. English only.
h. Medicaid Eligibility:
i. This service is not Medicaid eligible.
i. Service Access and Transportation:
i. Services will take place in the client's home. Contractor will not transport clients to and
from services.
4. Direct ABA Therapy provided by a Behavior Technician
a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of Services
under this agreement:
i. Prior to therapy beginning, a BCBA assessment and initial consultation with the family to
develop treatment plan and goals will be needed to ensure Contractor is able to meet the
needs of the child.
ii. On -going requirements: Supervision by BCBA for a minimum of 10% of service hours
billed as #2 service line, family must maintain 80% attendance and have no more than
two (2) no-shows in a month for services to continue to ensure enough hours of therapy
to make significant behavioral change.
iii. Direct ABA therapy will be provided by a Behavior Technician under the supervision of
a Board Certified Behavior Analyst.
iv. The technician will work directly with the child, providing behavioral interventions as
deemed necessary from the assessment and treatment plan created by the BCBA.
b. Anticipated Frequency of Services:
i. Minimum of ten (10) hours per week to ensure client is able to make meaningful changes
in his/her behavior.
ii. Maximum of forty (40) hours per week.
iii. Sessions are typically scheduled for a minimum of two (2) hours per day.
c. Anticipated Duration of Services:
i. One (1) year of therapy is generally needed.
ii. Authorizations are renewed every six (6) months to ensure the client is making progress
and that Contractor has enough time to make a behavioral change.
d. Goals of Services:
5
i. The child will demonstrate an increase in appropriate skills through the direct
intervention of the Behavior Technician, and collaboration with the foster family, as
described in the assessment and treatment plan.
ii. Skill areas may include: Communication, Social skills, Independence with daily living
skills (toileting, showering, brushing teeth, etc.), eating wider variety of food items,
transitioning from preferred to non -preferred tasks, leisure skills, etc.
iii. The child will demonstrate a decrease in challenging behavior as described in the
assessment and treatment plan.
iv. Potential areas of concern this service will address are; elopement (leaving the designated
area), aggression, tantrums, and self -injury.
v. Decrease the need for on -going therapy and eventually transition the child out of services
due to mastery of goals.
e. Outcomes of Services:
i. The child will be able to participate more fully in family activities.
ii. The child will be able to stay in their home placement longer, or at least decrease the risk
of transition due to behaviors interfering with home placements.
iii. The child will be able to transition more smoothly into a long-term placement because
their behavioral needs are no longer interfering with daily activities.
f. Target Population:
i. Individuals with behavioral challenges or skill deficits that are interfering with the child's
successful home placement.
g. Language:
i. English.
h. Medicaid Eligibility:
i. This service is Medicaid eligible for children with a medical diagnosis of a disability that
could potentially lead to behavioral concerns, for example, but not limited to: Autism,
Down Syndrome, Post -Traumatic Stress Disorder (PTSD), Attention deficit hyperactivity
disorder (ADHD), or Developmental Delay.
ii. The Department will pay for this service for one (1) to six (6) months until Medicaid
authorization can be obtained.
S rvice Access and Transportation:
i. Services will take place in the client's home. Contractor will not transport clients to and
from services.
ii. Contractor is open Monday -Friday from 9:OOam-6:OOpm. Contractor is able make
changes to service hours based on staff availability and family need.
5. Staff training
a. Contractor will utilize the following modalities, curriculum, and tools in the delivery of services
under this agreement:
i. BCBA(s) and/or Contractor's Director of Home Services and/or Clinical Director will
provide an initial training for Department staff that will cover the basic principles of
ABA in terms that are easy to understand and explain the common behavior -analytic
terms used by professionals and their relevance in terms of foster child behaviors.
ii. Modalities of training will include a variety of written materials, video presentations, and
demonstrations that are part of guided curriculums. All materials will be created by
behavior analytic professionals and will be based on principles of ABA and/or relevant
research conducted in the field. Examples may include the following:
I. Success on the Spectrum: How to Teach Skills to Individuals with Autism
(Partington & Partington).
2. A Work in Progress: Behavior Management Strategies and a Curriculum for
Intensive Behavioral Treatment of Autism (Leaf & McEachin).
6
3. Applied Behavior Analysis (Cooper, Heron, & Heward).
4. Applied Behavior Analysis and Autism: An Introduction (Buchanan & Weiss:
Autism New Jersey).
5. Parent Training for Disruptive Behavior: The RUBI Autism Network (Bearss,
Johnson, Handen, Butter, Lecavalier, Smith, & Scahill).
6. Peer -reviewed journal articles from relevant behavior -analytic sources.
7. Safety -Care Behavioral Safety Training (QBS): Training will include general
procedures on de-escalating common challenging behavior and will not
incorporate training on safety holds - Minimum of two (2) participants,
maximum of ten (10) participants.
b. Anticipated Frequency of Services:
i. Trainings will take place once a week for two (2) hours, four (4) weeks will cover all
material. Trainings may be repeated each month for new Department staff to attend.
ii. Safety Care is a one (1) time training for six (6) hours.
c. Anticipated Duration of Services:
i. A one (1) month cycle for Department staff who are enrolled.
d. Goals of Services:
i. Staff will learn basic ABA -based terminology and how it is relevant to understanding
child's behavior.
ii. Staff will be able to describe basic intervention tools that may be useful in helping
support the children in their care.
iii. Staff will learn basic de-escalation and safety strategies to use when children begin to
engage in crisis behaviors (Safety Care).
e. Outcomes of Services:
i. Staff will gain knowledge in theories of behavior that will help guide them in making
better decisions about how to respond to the behavior of the children they are serving.
ii. Children will decrease challenging behaviors and increase pro -social behavior because
staff and parents are responding more appropriately to their behaviors.
iii. Staff will be safer as they are more equipped to keep themselves and the children safe as
they work through crisis situations.
iv. Staff will have a base level of training in ABA that will make them more equipped to
work with all children and therefore assist with smoother transitions of children into the
home.
v. Foster parents and staff will develop collaborative relationships due to the group nature
of the training that will help strengthen the teams and help build a connection within the
foster community.
f. Target Population:
i. Department staff.
g. Language:
i. English.
h. Medicaid Eligibility:
i. This service is not Medicaid eligible.
i. Service Access and Transportation:
i. Services will take place at the Department. Contractor will not be transporting clients.
7
Terms
1. Contractor will respond to the Quality Assurance Team (HS-CWQualitvAssurancena weldeov.com within
three (3) business days regarding the ability to accept the received referral.
2. Upon acceptance of a referral, Contractor will offer an initial appointment within seven (7) days of
receiving the referral. The first attempt to contact the client will occur within 24 hours of receiving the
referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred
services. If the client does not respond after three (3) attempts in the first seven (7) days of the referral
period, the Contractor will notify the caseworker and the Quality Assurance Team HS-
CW QualitvAssurance(a)weldeov.com.
3. Contractor understands that "no shows" are defined as unexcused and unplanned/uncommunicated
absences for services. If a rate for "no shows" is not specifically stated in Exhibit D, Rate Schedule, then
Contractor understands that the Department will not reimburse for "no shows". Contractor understands that
the Department will only reimburse Contractor for up to two (2) "no-shows", or up to two (2) hours, on the
part of case participants who cancel without 24 hour notice. After three (3) "no-shows", Contractor will
place client on a behavioral plan requiring attendance or discharged client from services. Contractor must
inform the caseworker and the Quality Assurance Team HS-CWQualitvAssurance(aiweldeov.com.
4. Contractor understands that the Department will not reimburse Contractor for cancelled appointments
either on the part of the client or the Contractor. If the cancellation is generated from the Contractor, a
"makeup" session/episode, to occur within 30 days of the cancellation, will be offered to the client
(excludingsession/episodes that fall on holidays). If the cancellation is generated from the client, the
Contractormust request a makeup session from the Department prior to the makeup session occurring
(excluding session/episodes that fall on holidays). After three (3) cancellations, Contractor will inform the
caseworker and the Quality Assurance Team HS-CWQualitvAssurance(&weldeov.com immediately via
email, to discuss service continuation.
5. Contractor will identify in detail areas of continued concern and make recommendations to the Department
regarding continuation of services and/or the need for additional services.
6. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom
the Contractor is working with under an active referral. Areas of concern may include, but are not limited
to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported
immediately AND on the required monthly report.
7. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will
be submitted per the online format required by the Department, unless otherwise directed by the
Department.
8. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Core
Service Coordinator or any member of the Quality Assurance Team. Any changes to visitation referrals
will be approved by the caseworker, their supervisor, or the Family Support and Visitation Center. A
change is defined as anything outside of the approved documented service on the initial authorized referral
form. This may include an increase or decrease in services hours, change in frequency, change in location
of services, transportation needs, or any change to the initial referral or subsequent authorizations.
9. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings
include Court Facilitations, Bid Meetings, Professional Staffings, Family Team Meetings and/or Team
Decision Making meetings. The Department will reimburse for actual participation in the meeting only so
8
long as there is written authorization from the Quality Assurance Team, and the Contractor obtains the
Facilitator's signature on the Client Verification Form (if in person) at the time of the meeting and
participation in the meeting is deemed appropriate and necessary by the Department. The Facilitator will
be responsible for filling out the time attended on the Client Verification Form. Staffings and/or meetings
other than those listed above are not considered reimbursable unless otherwise approved by the Child
Welfare Contract and Services Coordinator. Contractor may participate by phone, if approved by the
Department.
10. Contractor will notify the Quality Assurance Team HS-CWOualitvAssurance(a,weldgov.com of new staff
who will manage and/or administer the services with the following information:
a. Staff member name and contact information
b. Education level/degree (if applicable)
c. Licensure/credentials (if applicable)
d. Department of Regulatory Authority (DORA) number (if applicable)
e. Supervisor name and contact information
The Department reserves the right to decline the new staff members managing and/or administering
services to Department clients.
9
EXHIBIT D
RATE SCHEDULE
1. Funding and Method of Payment
The Department agrees to reimburse the Contractor in consideration of the work and services performed
under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the
Contractor during the term of this Agreement shall be reported by the Department after May 31, 2022.
Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department
expenditures and shall not be reimbursed by the Department.
Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the
continuing availability of said funds for the purposes hereof. In the event that said funds, or any part
thereof, become unavailable as determined by the Department, the Department may immediately terminate
the Agreement or amend it accordingly.
2. Fees for Services
Initial Consult/Assessment for Parent Training
Rate
Unit it Type
Service Name
$125.00 !
Hour
In-office/video
$150.00
Hour
In-home/community
$50.00
Each
No show
$0.575
Mile
Mileage — For distance exceeding 20 miles roundtrip from 2547 11th Avenue,
Suite A&B, Greeley, Colorado 80631.
Ongoing Individualized Parent Training and Supervision of Direct Therapy
Rate
Unit Type
Service Name
$100.00 ,
Hour
In-office/video
$125.00 I
Hour
In-home/community
$50.00
Each
No show
$0.575
Mile
Mileage — For distance exceeding 20 miles roundtrip from 2547 11th Avenue,
Suite A&B, Greeley, Colorado 80631.
General ABA "Bootcamp" Training — Group Training
Rate
Unit Type
Service Name
$65.00
Hour
In-office/video
$25.00
Each
No show
$0.575
Mile
Mileage — For distance exceeding 20 miles roundtrip from 2547 11th Avenue,
Suite A&B, Greeley, Colorado 80631.
Direct ABA Therapy provided by a behavior technician
Rate
Unit Type
Service Name
$75.00
Flour
In-office/video
$75.00
Hour
In-home/community
$25.00
Each
No show
$0.575
Mile
Mileage — For distance exceeding 20 miles roundtrip from 2547 11th Avenue,
Suite A&B, Greeley, Colorado 80631.
Staff Training
Rate
Unit Type
Service Name
$65.00
Hour
In-office/video
$50.00
Each
No show
$0.575
Mile
3. Submittal of Vouchers
Mileage — For distance exceeding 20 miles roundtrip from 2547 11th Avenue,
Suite A&B, Greeley, Colorado 80631.
Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other
supporting documentation, and monthly report if applicable, certifying that services authorized were
provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of
Paragraph 3 and Exhibit A.
Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department
by the 7th day of the month following the month of service, but no later than 60 days from the date of
service. Requests for Reimbursement and/or supporting documentation received after 60 days from the
date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline
may result in termination of the Agreement.
For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client
and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement.
For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the
completed product.
For Monitored Sobriety services, proof of services rendered shall be the test result.
Contract Form
New Contract Request
Entity Information
Entity Name* Entity ID*
FRONT RANGE SPEECH AND BEHAVIOR O10044220
CLINIC
Contract Name*
FRONT RANGE SPEECH AND BEHA4IOR CLINIC (CHILD
PROTECTION AGREEMENT)
Contract Status
CTB REVIEW
Contract Description *
NEW PROVIDER BID# B2100042. TERM: 7 1 /21-5 '31.'22.
❑ New Entity?
Contract ID
5072
Contract Lead*
COBBX7(LK
Contract Lead Email
cobbxxllogco,weld.co.us
Contract Description 2
PA ROUTING THROUGH NORMAL APPROVAL PROCESS. ETA TO CTB 7:29; 21.
Contract Type
AGREEMENT
Amount*
$0.00
Renewable*
NO
Automatic Renewal
Grant
IGA
Department
HUMAN SERVICES
Department Email
CM-
HumanServices@weldgov.co
m
Department Head Email
CM-HumanServices-
DeptHead@rweldgov.com
County Attorney
GENERAL COUNTY
ATTORNEY EMAIL
County Attorney Email
CM-
COU NTYATTO RN EY AWNELDG
OV,COM
Requested BOCC Agenda
Date*
08,'11;'2021
Parent Contract ID
Requires Board Approval
YES
Department Project #
Due Date
08 07 2021
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 ARSA enter PISA Contract ID
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
On Base
Contract Dates
Effective Date
Review Date *
04 01 2022
Renewal Date
Termination Notice Period
Contact Information
Contact Info
Contact Name
Purchasing
Committed Delivery Date
Contact Type Contact Email
Expiration Date
05 31 2022
Contact Phone 1 Contact Phone 2
Purchasing Approver Purchasing Approved Date
Approval Process
Department Head
JAMIE ULRICH
DH Approved Date
07"26,'2021
Final Approval
BOCC Approved
BOCC Signed Date
BOCC Agenda Date
08!0412021
Originator
COBBXXLK
Finance Approver
CHRIS D`OVIDIO
Legal Counsel
GABE KALOUSEK
Finance Approved Date Legal Counsel Approved Date
07x28,2021 07 28,2021
Tyler Ref #
AG 080421
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