HomeMy WebLinkAbout20211186.tiffRESOLUTION
RE: APPROVE AMENDMENT #2 TO CONTRACT FOR JAIL BASED BEHAVIORAL
HEALTH SERVICES AND AUTHORIZE CHAIR TO SIGN AND SUBMIT
ELECTRONICALLY
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with Amendment #2 to the Contract for Jail
Based Behavioral Health Services between the County of Weld, State of Colorado, by and
through the Board of County Commissioners of Weld County, on behalf of the Sheriffs Office,
and the Colorado Department of Human Services, Office of Behavioral Health, commencing
December 17, 2020, and ending June 30, 2022, with further terms and conditions being as stated
in said amendment, and
WHEREAS, after review, the Board deems it advisable to approve said amendment, 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 Amendment #2 to the Contract for Jail Based Behavioral Health Services
between the County of Weld, State of Colorado, by and through the Board of County
Commissioners of Weld County, on behalf of the Sheriffs Office, and the Colorado Department
of Human Services, Office of Behavioral Health, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign and submit said amendment electronically.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 3rd day of May, A.D., 2021, nunc pro tunc December 17, 2020.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: ddthA) Xp:tdk.
Weld County Clerk to the Board
BY:
Deputy Clerk to the Board
APPROVED AS
ounty Attorney
Date of signature: O5
CC : so(s-r/5K)
o6/oat /2
Steve ' oreno, Chair
Lori Saine
2021-1186
S00042
BC0054
ntraci- _1 1126
BOARD OF COUNTY COMMISSIONERS
PASS -AROUND REVIEW
`ASS -AROUND TITLE: Contract Amendment #2 to Intergovernmental Agreement for Jail Based Behavioral
Services Between Weld County and State of Colorado, Department of Human Services (21 IHJA 154626)
DEPARTMENT: Weld County Sheriff's Office
DATE: 4/21/21
PERSON REQUESTING: Stephanie Tornquist, Director of Inmate Services, Weld County Sheriff's Office -
Detentions
BRIEF DESCRIPTION OF THE PROBLEM/ISSUE:
The intergovernmental agreement referenced above between Weld County and the State of Colorado was
executed in July of 2017 with a term of one year with three (3) extensions (2018, 2019, 2020). A new contract
was finalized on February 17, 2021 for the fiscal year 2020 (July ls`, 2020 through June 30t, 2021) and had been
delayed in processing due to challenges created by COVID 19. The state amended the contract to offer additional
funding in the amount of $37,500 in March 2021. The current contract amendment #2 extends the contract
throughout FY2022 (period 7/1/2021-6/30/2022) in the amount of $293,792.00 and will continue with the same
services. This agreement has provided a valuable service to the County and should be considered. It should be
of note that this contract has been reviewed and approved by Bob Choate.
What options exist for the Board? (Include consequences, impacts, costs, etc. of options)
The Board may approve or deny the contract. A denial of this request would eliminate the NO COST service the
State of Colorado has been providing to assess and treat individuals in the jail for substance use disorders along
with release planning to include continuing services and resources once released into the community. The
ogram provides resources and programming with the objective of establishing stability for individuals in the
community and focuses on reducing recidivism in the jail. For the period of June 2020 - December 2020, even
with pandemic challenges, the program had an average of 50% of individuals who were successfully transitioned
to the community measured at one (1) month from release from jail. For the period of July 1ST, 2019 to June 30th,
2020, the program had an average of 65% of individuals who were successfully transitioned to the community
measured at one (1) month from release from the jail. Weld County operates as a conduit for the reimbursement
contracted services between the provider who works in the jail to deliver direct services, and the State of Colorado,
who funds the program, by distributing the funds appropriately to the provider to offset the cost of services
incurred each month.
An approval of this contract request would continue this no cost service and provide additional funding which
has proven to be an asset to the Weld County Sheriff's Office and the citizens of Weld County.
**Please note this has been reviewed by Weld County Attorney office.
Recommendation:
It is recommended that the Weld County Board of County Commissioners enter into this contract.
Approve
Recommendation
Perry L. Buck
Mike Freeman
Scott K. James, Pro -Tern
Steve Moreno, Chair
Lori Saine
Schedule
Work Session
Other/Comments:
2021-1186
So ooc. a
(300054
DocuSign Envelope ID: 4BB609E2-EE60-4F2B-816A-C203DCB09BC3
CONTRACT AMENDMENT #2
SIGNATURE AND COVER PAGE
State Agency
Colorado Department of Human Services, Office of Behavioral
Health
Original Contract Number
21 IHJA 154626
Contractor
Weld County Colorado for the use and benefit of Weld County
Sheriff's Department
Amendment Contract Number
22 IHJA 168469
Current Contract Maximum Amount
Initial Term
State Fiscal Year 2021 $289,734.00
Extension Terms
State Fiscal Year 2022 $293,792.00
Total for All State Fiscal Years $583,526.00
Contract Performance Beginning Date
December 17, 2020
Current Contract Expiration Date
June 30, 2022
THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT
Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment
and to bind the Party authorizing his or her signature.
CONTRACTOR
Weld County Colorado for the use and benefit of Weld County
Sheriff's Department
By: Steve Moreno, Chair, Board of
Weld County Commissioners
Date: MAY 0 3 2021
STATE OF COLORADO
Jared Polis, Governor
Department of Human Services
Michelle Barnes, Executive Director
r—D�ocuSigned by: ,, /Jy-�
—64,Z/ i �� �i'�JD (f�
s• --5.3.276C• 4E44B //
By: Lane Gaytan Director of Finance, Office of Behavioral
Health
6/4/2021
Date:
In accordance with §24-30-202 C.R.S., this Amendment is not valid until signed and dated below by the State Controller or an
authorized delegate.
STATE CONTROLLER
Robert Jaros, CPA, MBA, JD
.-DocuSigned by:
W moo.,
By
ntdf�e'i��i`f )dnet Miks / Toni Williamson
Amendment Effective Date:
6/9/2021
Amendment Contract Number: 22 IHJA 168469 Page I of 3
Rev. 1 /14/ 19
Q Z - // O lP
1. PARTIES
This Amendment (the "Amendment") to the Original Contract shown on the Signature and Cover
Page for this Amendment (the "Contract") is entered into by and between the Contractor, and the
State.
2. TERMINOLOGY
Except as specifically modified by this Amendment, all terms used in this Amendment that are
defined in the Contract shall be construed and interpreted in accordance with the Contract.
3. AMENDMENT EFFECTIVE DATE AND TERM
A. Amendment Effective Date
This Amendment shall not be valid or enforceable until the Amendment Effective Date
shown on the Signature and Cover Page for this Amendment. The State shall not be bound
by any provision of this Amendment before that Amendment Effective Date, and shall have
no obligation to pay Contractor for any Work performed or expense incurred under this
Amendment either before or after of the Amendment term shown in §3.B of this
Amendment.
B. Amendment Term
The Parties' respective performances under this Amendment and the changes to the
Contract contained herein shall commence on the Amendment Effective Date shown on the
Signature and Cover Page for this Amendment or July 1, 2021, whichever is later and shall
terminate on the termination of the Contract.
4. PURPOSE
The Purpose of this Contract is for the Contractor to provide substance abuse and mental
health treatment in the Weld County jail.
The purpose of this contract amendment is to update and replace the following exhibits with the
most current versions for Fiscal Year 2022 contract extension and renewal: Exhibit A,
Statement of Work; Exhibit B-1, Budget and Exhibit C, Miscellaneous Provisions.
5. MODIFICATIONS
The Contract and all prior amendments thereto, if any, are modified as follows:
A. The Contract Initial Contract Expiration Date on the Contract's Signature and Cover Page
is hereby deleted and replaced with the Current Contract Expiration Date shown on the
Signature and Cover Page for this Amendment.
B. The Contract Maximum Amount table on the Contract's Signature and Cover Page is
hereby deleted and replaced with the Current Contract Maximum Amount table shown on
the Signature and Cover Page for this Amendment.
Amendment Contract Number: 22 IHJA 168469
Page 2 of 3 Rev. 1/14/19
C. REPLACE Exhilit A, Statement of Work, with Exhibit A-1 Statement of Work, attached
and incorporated by reference.
D. REPLACE Exhibit B-1, Budget, with Exhibit B-2, attached and incorporated by reference.
E. REPLACE Exhibit C, Miscellaneous Provisions with Exhibit C-1 Miscellaneous
Provisions, attached and incorporated by reference.
6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE
This Amendment is incorporated by reference into the Contract, and the Contract and all prior
amendments or other modifications to the Contract, if any, remain in full force and effect except
as specifically modified in this Amendment. Except for the Special Provisions contained in the
Contract, in the event of any conflict, inconsistency, variance, or contradiction between the
provisions of this Amendment and any of the provisions of the Contract or any prior modification
to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and
control. The provisions of this Amendment shall only supersede, govern, and control over the
Special Provisions contained in the Contract to the extent that this Amendment specifically
modifies those Special Provisions.
Amendment Contract Number: 22 IHJA 168469 Page 3 of 3
Rev. 1/14/19
Exhibit A-1
Exhibit A-1 - Statement of Work
Jail Based Behavioral Health Services
Definitions and Acronyms
Definitions and Acronyms. The following list of terms shall be applied to this contract and
Statement of Work, based on the services that are provided at each respective jails:
"Bridges Program/Court Liaison" means an individual employed or contracted with the State
Court Administrator's Office (SCAO) to implement and administer a program that identifies and
dedicates local behavioral health professionals as court liaisons in each judicial district. These
individuals are responsible for facilitating communication and collaboration between judicial and
behavioral health systems.
https://www.courts.state.co.us/Administration/Unit.cfm?Unit=bridaesThese
"Certified Addiction Specialist" - CAS (Formerly CAC II & III) requires a Bachelor's degree
in a Behavioral Health specialty (Psychology, Social Work, Human Services). This does not
include Criminal Justice, Sociology or Nursing. These individuals are approved to provide
Clinical Supervision and consultation to individuals working towards CAT or CAS. 2,000
clinically supervised hours (1,000 direct clinical hours beyond the Technician). Must pass the
NCAC II exam and Jurisprudence exam.
"Certified Addition Technician" - CAT (Formerly CAC I) requires 1000 hours of clinically
supervised work hours (does not require DORA registration prior to the 1000 hours). Once
these hours are met, the individual is not able to perform duties until the CAT is officially
approved), in addition to passing the NCAC I Exam and passing the Jurisprudence Exam.
"Competency Enhancement Program" means the program funded through SB 19-223 to
provide jail -based mental health services to those awaiting an inpatient competency restoration
bed.
"Competency Evaluator" means a licensed physician who is a psychiatrist or licensed
psychologist, each of who is trained in forensic competency assessments, or a psychiatrist
training and practicing under the supervision of a psychiatrist with expertise in forensic
psychiatry, or a psychologist who is in forensic training and is practicing under the supervision of
a licensed psychologist with experience in forensic psychology.
"Court -Ordered Competency Evaluation" means a court -ordered examination of an individual
before, during, or after trial, directed to developing information relevant to a determination of the
individual's competency to proceed at a particular stage of the criminal proceedings, that is
Page 1 of 29
Exhibit A-1
performed by a Competency Evaluator and includes evaluations concerning restoration to
Competency.
"Critical Incidents" means a critical incident is any significant event or condition that must be
reported to the Department that is of public concern and/or has jeopardized the health, safety
and/or welfare of individuals or staff.
"Forensic Navigator" means social workers working within the CDHS that provide proper care
and coordination of pretrial individuals, which involves working with the courts, court liaisons,
service providers, and conducting periodic case management evaluations across the 22 judicial
districts. "Forensic Support Team" means a group of individuals working within the CDHS who
provide evaluation and competency restoration education services, case management, and
assertive community treatment services to individuals awaiting competency restoration services.
"High Risk for Transfers means an individual who has been ordered to receive inpatient
restorative treatment; for whom an evaluator has determined either that the individual appears
to have a mental health disorder and as a result of the mental health disorder, appears to be an
imminent danger to others or to himself and/or appears to be gravely disabled.
"LAC", or Licensed Addiction Counselor, is a behavioral health clinician who can provide co-
occurring services. Master's degree or higher in Substance Use Disorders/Addiction and/or
related counseling subjects (social work, mental health counseling, marriage & family,
psychology, medical doctor) from a regionally accredited institution of higher learning.
3,000 clinically supervised hours (2,000 direct clinical hours). Must pass the MAC and
jurisprudence exam. Designated providers of Clinical Supervision for all levels of certification
and licensure, in the addictions profession.
"LCSW", or Licensed Clinical Social Worker, is a social worker trained in psychotherapy who
helps individuals deal with a variety of mental health and daily living problems to improve overall
functioning.
"LPC", or Licensed Professional Counselor, is a person engaged in the practice of counseling
who holds a license as a licensed professional counselor issued under the provisions of the
state of Colorado.
"Low Risk for Transfer" means an individual who has been ordered to receive inpatient
restorative treatment services, and is assessed to need mental health services but does not
need a referral to an OBH designated inpatient facility.
"Moderate Risk for Transfer" means an individual who has been ordered to receive inpatient
restorative treatment, for whom an evaluator has determined either that the individual appears
to have a mental health disorder or appears to be gravely disabled and does not appear to be
an imminent danger to others or to himself at that point in time.
Page 2 of 29
Exhibit A-1
"Office of Behavioral Health (OBH) designated inpatient restoration facility" means the
facilities that are contracted with OBH to provide inpatient restoration services to individuals.
"Memorandum of Understanding" means a type of agreement between two (bilateral) or
more (multilateral) parties. It expresses a convergence of will between the parties, indicating an
intended common line of action.
"Program Level of Care Type" means the level of care a person receives while in jail awaiting
a bed for inpatient restorative treatment.
"Regional Accountable Entity" is responsible for building networks of providers, monitoring
data and coordinating members' physical and behavioral health care. RAEs replace and
consolidate the administrative functions of Regional Care Collaborative Organizations (RCCOs)
and Behavioral Health Organizations (BHOs).
Exhibits
A: Statement of Work - the narrative description of a project's work requirement. It defines
project -specific activities, deliverables and timelines for the Contractor providing services.
B: Budget - outline of the projected cost/expenses of the project.
C: Miscellaneous Provisions - general contract provisions and requirements including
standard conditions in contracts like payment procedures, audit thresholds, and recommended
measures against contract violation.
D: HIPAA Business Associate Agreement /Qualified Service Organization Addendum -
terms detailing required compliance with HIPAA and 42 C.F.R. Part 2 privacy regulations.
PART ONE - GENERAL PROVISIONS
Article 1
General Administration
1.1 Participation / Catchments. County Sheriffs may develop programs either individually, or
as multiple Sheriffs Departments (otherwise known as a catchment), submitting a combined
work plan. If services are provided to a catchment, the fiscal agent county (the county holding
this primary Contract with OBH) shall enter into subcontracts with its catchment county Sheriffs
Departments. Subcontracts entered into under this provision shall adhere to the requirements of
Exhibit C, Miscellaneous Provisions, Section II.
1.2 Program Administrator. The Contractor shall select a JBBS Program Administrator,
identify the positions' roles, responsibilities and authority, and develop a management plan that
supports the JBBS Program Coordination Group. Any changes to the Program Administrator's'
contact information shall be communicated via email to the Office of Behavioral Health within
one business day of change to cdhs ibbs@state.co.us
Page 3 of 29
Exhibit A-1
a. OBH prefers that a staff person from the Sheriffs Department assume the role of
Program Administrator. The Program Administrator shall be well versed in the JBBS
Program, including contractual requirements. The Program Administrator shall also
participate in the JBBS Quarterly Meetings, and shall oversee the JBBS Program and its
operations. The Sheriffs Department is encouraged to account for this administrative
position in their budget.
1.3 JBBS Program Coordliation Group. The Contractor shall develop a process for
implementing a Program Coordination Group within the facility, to guide and support the JBBS
program. The Program Coordination Group shall meet on a regular and continual basis to
ensure project implementation and goals are progressing. In addition to monthly check-in's, the
JBBS Program Manager(s) will be available to attend periodic Program Coordination Group
meetings for technical assistance, contract management, and support based on agency need.
The Program Coordination Group shall:
a. Oversee program implementation.
b. Make training recommendations.
c. Measure the program's progress toward achieving stated goals, using data provided
by OBH program manager(s) to guide work.
d. Resolve ongoing challenges to program effectiveness.
e. Inform agency leaders and other policymakers of program costs, developments, and
progress.
f. Develop policies and protocols to ensure clinical staff have the resources and support
required for service provision.
g. For JBBS Programs serving a catchment of counties, a sheriffs department
representative from each county is required to participate in the JBBS Program
Coordination Group.
h. Ensure the needs of all the jails in the catchment are being met by the resources and
subcontracted service providers.
1.4 Subcontractors. The JBBS Program requires a subcontract or an MOU be in place for any
and all subcontractors. See Exhibit C, Miscellaneous Provisions, Section II for requirements
regarding the use of subcontractors.
1.5 The Contractor may serve individuals who are awaiting Medicaid approval or other funds to
pay for initial treatment services.
1.6 The Contractor shall provide services in a manner that respects and protects individual
rights. This requirement includes providing the subcontractor with the required space to offer
individual and group treatment services described in this Contract.
1.7 Recovery Support Services. SAMHSA (Substance Abuse and Mental Health Services
Administration) encourages those involved in substance abuse and / or mental health treatment,
to address their emotional, spiritual, intellectual, physical, environmental, financial, occupational,
and social needs. JBBS programs may provide recovery support services for wraparound
Page 4 of 29
Exhibit A-1
resources including, but not limited to, clothes, shoes, transportation, emergency housing/motel
vouchers, or basic hygiene purchases that will assist in stabilizing the individual in the
community.
1.8 The Contractor shall maintain support relationships with all points in the criminal justice
system, i.e. probation, parole, diversion, Department of Corrections, etc. to ensure continuity of
care.
1.9 Cultural Competency. The Contractor shall provide culturally competent and appropriate
services, per National Standards for Culturally and Linguistically Appropriate Services (CLAS
Standards), available at https://thinkculturalhealth.hhs.qov/clas/standards
1.10 The Contractor shall make reasonable accommodations to meet the needs of individuals
who are physically challenged, deaf or hearing impaired, or blind.
1.11 Medication Consistency (C.R.S. 27-70-103)
a. For the sole purpose of ensuring medication consistency for persons with mental health
disorders involved in the criminal justice system, for individuals participating in the JBBS
program, Contractor shall share patient -specific mental health health and treatment
information with all subcontractors, clinicians, and providers involved in the individuals
plan of care.
b. All such information sharing must comply with confidentiality requirements, including any
necessary memorandums of understanding between providers, set for in the federal
"Health Insurance Portability and Accountability Act of 1996", 45 CFR Parts 2, 160, 162,
and 164.
c. Contractor is encouraged, though not required, to participate in the Minnesota Multistate
Contracting Alliance for Pharmacy Cooperative Purchasing Agreement to purchase
medication and to utilize the Medication Consistency formulary developed by CDHS and
HCPF.
d. If Contractor does not utilize the Medication Consistency formulary developed by CDHS
and HCPF, Contractor shall provide a copy of the medication formulary available at
Contractor's jail. A copy of the CDHS and HCPF formulary is available on the CDHS
Website.
e. Contractor shall not bill inmates for appointments or medications otherwise covered by
JBBS. See Exhibit B, Budget and Rate Schedule for a list of covered meds
Page 5 of 29
Exhibit A-1
Article 2
Confidentiality and HIPAA / 42 CFR Part Two
2.1 HIPAA Business Associate Addendum / Qualified Service Organization Addendum.
The Contractor shall agree to comply with the terms of the HIPAA Business Associate
Addendum / Qualified Service Organization Addendum, Exhibit D of this Contract.
2.2 Third Parties and Business Associate Addendum / Qualified Service Organization
Addendum.
a. The Contractor shall require that any third parties, including subcontractors or other
partner agencies, that it involves for work to be done pursuant to this Contract agree to
the most recent CDHS version of the HIPAA Business Associate Addendum / Qualified
Service Organization Addendum, found in Exhibit D of this Contract.
b. A HIPAA Business Associate Addendum / Qualified Service Organization Addendum
is required between subcontracted treatment provider agencies for any program that has
more than one treatment subcontractor agency rendering services in the jail in order to
share assessments and screenings between subcontracted treatment provider agencies.
2.3 Additional Measures. The Contractor shall agree to the following additional privacy
measures:
a. Safeguards. The Contractor shall take appropriate administrative, technical and
physical safeguards to protect the data from any unauthorized use or disclosure not
provided for in this agreement.
b. Confidentiality. The Contractor shall protect data and information according to
acceptable standards and no less rigorously than they protect their own confidential
information. The Contractor shall ensure that individual level identifiable data or
Protected Health information (PHI) shall not be reported or made public. The Contractor
shall ensure that all persons (e.g., interns, subcontractors, staff, and consultants) who
have access to confidential information sign a confidentiality agreement.
Article 3
Financial Provisions
3.1 Cost Reimbursement / Allowable Expenses. This contract is paid by cost reimbursement.
See Exhibit B, Budget and Rate Schedule, for a list of reimbursable expenses. The Rate
Schedule is non -exhaustive; other items expensed to this Contract must be reasonable toward
completion of the contract terms, are reviewable by OBH, and shall not exceed any detail in the
budget in this regard.
3.2 Staff Time Tracking and Invoicing. The Contractor shall ensure expenses and staff are
tracked and invoiced separately for each program or funding stream. Any other funding sources
Page 6 of 29
Exhibit A-1
or in kind contributions supporting the JBBS Program shall be disclosed in the invoice
submission. Invoices will be submitted to cdhs obhpayment(a�state.co.us
by the 20th of the following month.
3.3 General Accounting Encumbrances (GAE). Some Parts under this Statement of Work
may utilize general accounting encumbrances. Detailed information regarding the general
accounting encumbrances can be found in those Parts.
3.4 Procurement Card. OBH recommends, although does not require, counties to consider the
use of a procurement card to be used for expenses related to the JBBS program. Contractor
shall follow its county's internal guidance and policies for use of procurement cards.
3.5 Proportional Reduction of Funds. If the Sheriffs Office has not spent 40% of the contract
budgeted amount by November 30th, the Office of Behavioral Health has the unilateral authority
to proportionately reduce the contract budget amount to match current spending rates. If the
Sheriffs Office has not spent 65% of the contract budgeted amount by February 28th, the Office
of Behavioral Health again has the unilateral authority to proportionately reduce the contract
budget amount to match current spending rates.
3.6 Other Financial Provisions, including invoicing instructions can be found in Exhibit C,
Miscellaneous Provisions.
PART TWO - SUBSTANCE USE DISORDER (SUD) TREATMENT SERVICES
Article 1
Purpose and Target Population
1.1 Purpose. As used in this Statement of Work exhibit, the State and the Contractor together
are referred to as the "Parties". The Parties understand and agree that the goal of the Jail
Based Behavioral Health Services (JBBS) Program is to support county Sheriffs in providing
screening, assessment and treatment for offenders with substance use disorders (SUD) and co-
occurring substance use and mental health disorders, as well as transition case management
services. Through funds authorized by the Colorado General Assembly (SB 12-163), the Office
of Behavioral Health (OBH) intends to continue funding the Jail Based Behavioral Health
Services Programs as set forth in this Contract.
1.2 Target Population. Adults 18 years of age and older that are residing in the county jail with
substance use disorder or co-occurring substance use and mental health disorders. In this
regard, the Contractor, in accordance with the terms and conditions of this Contract, shall
develop, maintain, and provide behavioral health services in the county jails for individuals
highlighted in section 1.2. The Contractor, in providing required services hereunder, shall utilize
and maintain a partnership with community provider(s)/individuals that are licensed (LAC, LPC,
LCSW, CAC III), who are in good standing with the Department of Regulatory Agencies
Page 7 of 29
Exhibit A-1
(DORA), have the ability to provide services within the jail or through televideo options, and
have the capacity to provide free or low cost services in the community to inmates upon release.
Article 2
Activities and Services
2.1. Licensed Substance Use Disorder Treatment Requirements.
a. Eligible individuals must have a substance use disorder and/or a co-occurring mental
health disorder (determined by required SUD and MH screening) to be eligible to receive
services under the JBBS program.
b. Individual treatment providers must hold a Substance Use Disorder Provider license
and be in good standing with the Colorado Department of Regulatory Agencies (DORA).
c. Contractor shall implement policies and procedures on how subcontracted treatment
provider(s) will manage and maintain clinical records for the individuals served at the
outpatient community location. The providers must follow the same protocols and
policies for record management for services offered in the jail.
d. Contractor shall provide appropriate screening(s), assessment(a), brief intervention
and linkage to care in the community, based on an individualized treatment and/or
transition plan. i. Contractor shall utilize evidence -based screening processes and tools
(see page 11; Article 2, 2.1), subject to approval by OBH, to screen for mental health
disorders, substance use disorders, trauma, and traumatic brain injuries.
e. Each individual's treatment / transition plan shall incorporate:
i. Summary of the continuum of services offered to individuals based on evidence
based curricula.
ii. Frequency and duration of services offered.
iii. If an individual's treatment will be provided by more than one treatment
provider, describe how services are distributed between providers.
iv. Incorporation of criminogenic risk factors in service and transitional case
planning as determined from the Level of Supervision Inventory (LSI).
v. The individual's natural communities, family support, and pro -social support.
vi. A plan to transition individuals from jail based services to appropriate
behavioral health and other needed community services upon release from
incarceration.
vii. Contractor shall provide treatment to individuals in need of services in
accordance with the treatment and transition plan described above.
Article 3
Standards & Requirements
3.1 Authorizing Legislation and Description of Services. The Jail Based Behavioral Health
Services (JBBS) Program is funded through the Correctional Treatment Cash Fund legislated in
the passage of Senate Bill 12-163. Section 18-19-103 (c), C.R.S. directs the judicial department,
the Department of Corrections, the state board of parole, the Division of Criminal Justice of the
Page 8 of 29
Exhibit A-1
Department of Public Safety, and the Department of Human Services to cooperate in the
development and implementation of the following:
a. Alcohol and drug screening, assessment, and evaluation.
b. Alcohol and drug testing.
c. Treatment for assessed substance abuse and co-occurring disorders.
d. Recovery support services.
The Correctional Treatment Fund Board has determined the Jail Based Behavioral Health
Services (JBBS) Program meets the requirements set forth in SB 12-163.
3.2 Level of program care. Services offered by the Contractor hereunder shall meet ASAM
Level 1 or 2.1 level of care. Information on the ASAM can be found at
https://www.asam.orq/Quality-Sciencefthe-asam-criteria/about
Article 4
Data Reporting
4.1 Contractor is required to report information in the OBH Jail Based Behavioral Health
Services JBBS CiviCore Database or another database as prescribed by OBH.
Data must reflect current individual enrollment and services provided by the 15th day of each
calendar month to allow OBH staff to utilize current data. The following data elements will be
captured in the JBBS CiviCore Database or other database as prescribed by OBH:
a. A record for each individual who screened "positive" for a mental health disorder or
substance use disorder; other screenings completed and results thereof.
b. Basic demographic and working diagnosis information (including veteran status and
pregnancy status, if applicable).
c. For individuals in jail more than 30 days and who are admitted to the JBBS program, it
is recommended that a Level of Supervision Inventory (LSI/LSI-R) risk assessment be
completed.
d. The type and dosage of medications provided for Medication Assisted Treatment
(MAT). Please see Exhibit B for allowable medications.
e. Number of individuals who successfully transition to community based services upon
release.
f. Program discharge outcomes and treatment status in community after discharge.
4.2 The Contractor agrees to respond to OBH's inquiries about data submissions within two (2)
business days and work with OBH to quickly resolve any data issues.
4.3 Contractor is required to notify OBH of any staffing changes within 48 hours, as this
individual's Database access will be removed.
Page 9 of 29
Exhibit A-1
Article 5
Performance Measures
5.1 Performance Measures:
a. Transition Tracking Outcomes. The goal of the JBBS program is to identify treatment
service needs and assist with engagement in community based treatment services upon
release. Contractor shall make reasonable efforts to contact all JBBS individuals who
are successfully discharged from the program and released to the community at one (1),
two (2), six (6) and 12 months post release. The individual's treatment status shall be
recorded in the JBBS CiviCore Database or another data system as prescribed by OBH.
If a client remains engaged in treatment post -release, JBBS may continue to provide
support through the Contractor's Recovery Support Services section of their budget, for
up to 12 months. The following are the treatment status options:
i. Deceased — In the event of death of the individual post -release.
ii. In Treatment — Individual is engaged in community based treatment services
as recommended in the transition plan.
iii. New Crime/Regressed - Individual returned to jail for violations or committed a
new crime.
iv. Not Applicable - Individual sentenced to Department of Corrections, Probation,
Community Corrections, or treatment status not applicable at month two (2), six
(6), or 12 due to prior tracking status of Deceased, New Crime/Regressed, or
Treatment Completed.
v. Not in Treatment — Individual is reported by the community based treatment
provider as not in treatment or the individual reports to not be in treatment
services as recommended on the transition plan.
vi. Status Unknown — Individual cannot be located.
vii. Treatment Completed — Individual has completed treatment as recommended
in the transition plan.
b. Recidivism. JBBS aims to decrease the rate of reincarceration of former JBBS
participants for crimes related to substance use and drug possession. OBH may conduct
an annual analysis of recidivism. The following will apply to this analysis:
i. JBBS participants who have received SUD-related treatment services or
groups will be included in the recidivism analysis.
ii. "Recidivism" for the purpose of this analysis will be defined as re -arrest and
reincarceration for a crime related to substance use or unlawful possession of a
controlled substance.
5.2 Performance Measure Target
a. Transition Tracking Target. Programs will be compliant with the contract
requirements if a total of 55% or more of individuals who were released from the
program with a "Successful Discharge" are considered "In Treatment" or
"Treatment Completed" at the one month transition tracking interval. JBBS
participants who receive only mental health services or only competency
enhancement services, will be removed from this calculation and not count
Page 10 of 29
Exhibit A-1
toward the performance incentive. For JBBS programs designed to have multiple
county partnerships (catchments), the performance measure will be based on the
average of those counties.
b. Recidivism Target. Programs will ensure that data in the JBBS CiviCore
Database pertaining to the most recent complete fiscal year (July 1 - June 30) is
verified and correct by the 15th of July following the fiscal year so that the
recidivism analysis may be completed by OBH.
i. OBH may withhold payment of Contractor's invoices if entries into the
JBBS CiviCore Database are not complete by the deadline stated above.
c. Plan of Action. Programs who do not meet the performance benchmark for
transition tracking or recidivism analysis shall be asked to submit a plan of action
to improve program performance for the next fiscal year. Failure to comply with
this performance measure could result in reduction of subsequent years' program
budgets.
Article 6
Deliverables
6.1 For Deliverables under this section, please see Part 6 - JBBS Program Deliverables
PART THREE - MENTAL HEALTH TREATMENT (SB 18-250)
Article 1
Purpose & Target Population
1.1 Purpose. The Office of Behavioral Health (OBH) is committed to efforts to provide
resources to support County Sheriffs in providing screening, assessment and treatment for
mental health and substance use disorders or co-occurring disorders; as well as transition case
management services to people who need such services while they are in jail. The Jail Based
Behavioral Health Services (JBBS) Program has been operational since October 2011 with
funding from the Correctional Treatment Cash Fund pursuant to Section 18-19-103 (5)(c)(V).
The goal of the JBBS Program is to provide appropriate behavioral health services to inmates
while supporting continuity of care within the community after release from incarceration. This
approach should result in greater treatment engagement in the community and decreased
recidivism related to substance use or criminal possession through better identification and
treatment of behavioral health needs.
In October 2012, the Correctional Treatment Board voted to fund additional JBBS Programs to
additional counties across the State. As of February 2021, there are JBBS programs in 45
county jails across the State of Colorado.
Page 11 of 29
Exhibit A-1
In May 2018 the Colorado General Assembly passed Senate Bill 18-250, which mandated the
JBBS Program under Colorado Revised Statutes 27-60-106. Additional mental health funding,
also allocated additional furding to the JBBS program to address gaps in services for mental
health disorder screening, assessment, diagnosis and treatment. Additionally, these funds may
support psychiatric prescription services and purchase of medications. Sheriffs Departments
that currently operate JBBS programs, as well as new applicants, are eligible to apply for these
funds. Specifically, Sheriffs Departments may submit an individual application, or they may
submit a combined applicaton if they would like to apply in conjunction with other County
Sheriffs Departments.
In accordance with the legislation, all funds are to be used to provide behavioral health services
for adults (18 years of age and older) with mental health disorders or co-occurring substance
use and mental health disorders. To carry out the JBBS program, Sheriffs Departments may
partner with local community provider(s) who can demonstrate the ability to provide services
within the jail, and the capacity to provide or link individuals released from jail to free or low cost
services in the community.
1.2 Target Population. The program services are intended for individuals at county jails who
are in need of behavioral health services. The Contractor shall develop eligibility criteria and
program policies to identify ndividuals who will be referred to the program services. The
Contractors may expand eligibility criteria to meet specific community needs. The funds from
this contract must be used to provide the provisions of mental health services to individuals who
are in jail and have been court ordered to the Colorado Department of Human Services to
receive competency restoration services. The funds are not limited to this population; however,
this population must be prioritized among the individuals receiving services funded by this
contract.
Article 2
Activities & Services
2.1 Services. At booking, a I jails should be utilizing evidence -based screening tool(s) and
practices to screen for any potential mental health and/or substance use disorders and
withdrawal, as well as suicide risk.
The Contractor shall:
a. Provide adequate staff to complete behavioral health screenings, prescribe psychiatric
medications as necessary; and provide mental health counseling, substance use
disorder treatment aid transitional care coordination.
b. Upon identificatbn of an individual who may be a candidate for JBBS services, a
referral by jail staff should be made to a JBBS clinician within 48 hours, or, when the
individual is medicaly cleared to be screened, via the appropriate channels (e.g.
inmate kite, email).
c. For individuals in ail more than 30 days and who are admitted to the JBBS program, it
is recommended that a Level of Supervision Inventory (LSI/LSI-R) risk assessment be
Page 12 of 29
Exhibit A-1
completed in addition to the screening using at least one recommended tool from each
screening area.
i. Substance Use Disorder Screening:
1. Standardized Offender Assessment - Revised
2. Addiction Severity Index
3. Simple Screening Instrument - Revised
ii. Mental Health Disorder Screening
1. Colorado Criminal Justice Mental Health Screen - Adult (CCJMHS-A)
2. Brief Behavioral Health Screen
iii. Suicide Risk:
1. Columbia Suicide Severity Rating Scale
iv. Trauma Screening:
1. Post -Traumatic Stress Disorder (PTSD) Checklist
2. Trauma Symptom Inventory
v. Traumatic Brain Injury Screening
1. HELPS Brain Injury Screening Tool
2. Traumatic Brain Injury Screening Tool
d. Assess all individuals booked into the jail facility for substance use withdrawal
symptoms and develop protocols for medical detoxification monitoring procedures. F
e. Assess all individuals booked into the jail facility for psychiatric medication needs by
requesting and reviewing medical and prescription history.
f. Have access to psychiatric medications, as defined by the medication formulary
established pursuant to section 27-70-103.
g. Assist in the provision of coordinated services for individuals in jail custody who may
require competency restoration services.
h. Coordinate services with local community behavioral health providers prior to the
release of an inmate to ensure continuity of care following his or her release from the jail.
i. Determine the most effective process to partner with community -based clinical
providers to ensure the following services are available to individuals both in jail custody
and upon release.
2.2 Training and Meetings. The Contractor shall provide training to improve correctional staff
responses to people with mental illness. The Contractor shall determine the amount of training
necessary to ensure, at a minimum, a group of trained staff is able to cover all time shifts. The
training should provide sufficient opportunities for hands-on experiential learning, such as role
play and group problem solving exercises. Cross -training opportunities shall be provided to
behavioral health personnel and other stakeholders to help improve cross -system
understanding. OBH is able to provide assistance with training the Medical Team staff regarding
the MAT services and resources across the state.
a. Program Orientation: The Contractor shall attend a mandatory orientation session with
the OBH Program Manager and Fiscal Staff, to be organized by OBH as soon as is
practicable execution of the contract.
Page 13 of 29
Exhibit A-1
b. Program Meetings and Required Training: Program meetings and other required
training will be scheduled throughout the term of the JBBS Program contract. This
includes the JBBS Learning Community, JBBS Round Table, and the JBBS Quarterly
Workgroup.
2.3 Evidence -Based Practices. The Contractor shall use evidence -based and promising
practices within the screening and service delivery structure to support effective outcomes. The
use of a risk/need/responsivity (RNR) model is encouraged to assess various factors such as
substance use disorders, mental illness, cognitive or physical impairments, financial issues,
family dynamics, housing instability, developmental disabilities, low literacy levels, and lack of
reliable transportation, all of which may need to be addressed to support success. Refer to the
following links for appropriate treatment models: https://www.pewtrusts.orq/en/research-and-
analvsis/data-visualizations/2015/results-firstclearinghouse-database
https://www.samhsa.gov/ebb-resource-center
2.4 Individualized Service Provision. The Contractor shall link individuals referred to the
program to community based behavioral health supports and services, as appropriate based on
the specific needs of the individual to ensure wraparound services are in place to reduce the
risk of the individual returning into the justice system.
Article 3
Standards and Requirements
3.1 Mental Health Treatment Provider. The subcontracted mental health treatment
provider/individual must be licensed and in good standing with the Department of Regulatory
Agencies (DORA).
Article 4
Deliverables
4.1 For Deliverables under this section, please see Part 6 - JBBS Program Deliverables
PART FOUR - COMPETENCY ENHANCEMENT (SB 19-223)
Article 1
Purpose & Target Population
1.1 Purpose. In May 2019, the Colorado General Assembly passed Senate Bill 19-223;
legislation that mandates the provision of interim mental health services for individuals who
have been court -ordered for inpatient competency restoration and who are waiting for admission
to an inpatient bed. To compensate for these specialty services, SB 19-223 allocates funding to
the Jail Based Behavioral Health Services (JBBS) program to address gaps in services in the
jail for those with mental health disorders that are awaiting restoration services.
Page 14 of 29
Exhibit A-1
a. The jail competency enhancement funding is used to provide interim mental health
services to individuals who are in jail and have been court -ordered to the Colorado
Department of Human Services (CDHS) to receive competency restoration services.
b. Funding is also to be used to provide mental health services to individuals who are
returning to the jail after receiving restoration services at an Office of Behavioral Health
(OBH) designated inpatient restoration facility.
c. Coordination of services with the Forensic Support Team (FST) and Court Liaisons
(Bridges) shall occur when a court order has been received for an evaluation and/or
when an individual is identified to be in crisis by the jail at the time of booking or while
incarcerated.
1.2 Target Population. Adults 18 years of age and older that are: awaiting a competency
restoration evaluation, awaiting competency restoration services, are suspected of becoming
incompetent to proceed while in jail, or are returning from an OBH-designated inpatient
restoration facility after receiving restoration services and meet any of the following criteria:
a. Have a serious and persistent mental health disorder.
b. Are experiencing acute psychosis or major mood dysregulation.
c. Have substance use issues, especially if suspicion of intoxication is present.
d. Have a low IQ or significant cognitive issues, including dementia, or observable and
reported symptoms of mental illness.
e. Have a known previous competency history.
f. Have a Traumatic Brain Injury (TBI).
Article 2
Activities & Services
2.1 Program Referral. The Contractor shall refer individuals for competency enhancement
services through one (1) of the following ways:
a. Court ordered competency.
b. Upon return from an OBH-designated inpatient restoration facility.
c. Jail identifies the individual to be in crisis at booking or during the jail stay as defined
in section 1.2 Target Population of this statement of work. Priority must be given to those
individuals involved in the competency restoration process.
2.2 Court Ordered Treatment Level of Care Type. Based upon the results of the court order
competency evaluation, the Contractor shall provide treatment services to an individual while
they await a bed at an OBH designated inpatient restoration facility. The Contractor shall use
the categories below to indicate the level of treatment care needed for individuals based upon
the results of the court -ordered competency evaluation.
a. High Risk - Immediate Transfer: Immediate coordination of transfer to an OBH-
designated inpatient restoration facility.
b. Moderate Risk for Transfer: Daily contact with the medical or mental health services
team. Coordination with Forensic Navigator. Mental Health clinician contact on a weekly
basis or as clinically indicated.
Page 15 of 29
Exhibit A-1
c. Low Risk for Transfer: Services determined by assessment; weekly mental health
clinical or medical contact; additional treatment services shall be offered by existing
JBBS treatment services. Coordination with Forensic Navigator.
2.3 Jail Identified Treatment Level of Care Type. At booking, the Contractor shall identify
individuals that are referenced in section 1.2 "Target Population" and provide treatment services
while the individual is awaiting a court hearing. These provisional services are an attempt to
intervene and stabiize the identified individual before court -ordered competency is raised.
a. Jail Booldng Screening and Referral. The Contractor shall ensure that individuals are
screened within 48 hours from booking, and referred to additional treatment services
based upon the results of the screen. The Contractor shall employ evidence -based
curricula, addressing the following areas listed below. All tools are subject to approval by
OBH.
i. mental health
ii. substance use disorders
iii. suicide risk
b. Jail Referral Process. When there is a positive screen for either substance use,
mental heath, or suicidal ideation, the Contractor shall ensure that the individual is
referred for further assessment with a mental health clinician based upon the timeframes
listed in section 3.3 "Jail Identified Treatment Level of Care Type."
2.4 Jail Mental Health Evaluation. The Contractor shall ensure that a mental health evaluation
is performed promptly on all individuals that have been identified as the "Target Population"
referenced in section 1.2, either through the court -ordered referral process or through the jail -
identified process. A jail mental health evaluation shall identify treatment needs while the
individual is awaiting court proceedings or an OBH-designated inpatient restoration facility bed.
2.5 Transition Plan. The Contractor shall ensure that a transition plan is developed with an
individual upon transition to an OBH designated inpatient restoration facility. The transition plan
shall outline the following:
a. Mental health diagnosis
b. Level of Care type (if applicable)
c. Prescribed psychotropic medications
d. Any identifiable cognitive impairment(s)
e. Treatment services received in jail
f. Copy of the initial plan of care
2.6 Discharge Plan. Upon the individual's return from an OBH designated inpatient restoration
facility, the Contractor shall locate and save a copy of the individual's discharge plan within the
same day an individual returns. Once a copy is received, the Contractor shall ensure follow up
care is provided according to the plan within 24 hours upon return, as well as provide continual
treatment services referenced in 3.2 Program Level of Care Type until the person is released
from jail.
Page 16 of 29
Exhibit A-1
Article 3
Deliverables
3.1 For Deliverables under this section, please see Part 6 - JBBS Program Deliverables
PART FIVE - PRE -SENTENCE REENTRY COORDINATOR SERVICES
Article 1
Purpose & Target Population
1.1 Purpose. In July 2019, the Office of Behavioral Health (OBH) was granted funds by the
Correctional Treatment Fund Board for Pre -sentence Reentry Coordinator position(s) in select
jails. This program shall provide services to individuals at county jails who are in need of
behavioral health treatment and are on pre -sentence status.
a. These positions will work to enhance and improve care coordination for individuals in
County Jails with shorter incarcerations (actual length to be determined by individual
jails), which may prevent them from receiving more meaningful interventions by
behavioral treatment staff.
b. These positions are responsible for facilitating communication and collaboration
between judicial and behavioral health systems.
1.2 Target Population. Adults 18 years of age and older, that are residing in the jail awaiting
sentencing. Priority should be given to those identified to be a high jail utilizer.
Article 2
Activities & Services
2.1 JBBS Pre -Sentence Reentry Coordinator Services. The Contractor shall refer individuals
to behavioral health services, after the booking process is complete and specific needs of the
individual are identified, to ensure wraparound services are in place to reduce the risk of the
individual returning into the justice system. Below is a list of services Contractor shall provide:
a. Behavioral Health Screening: The Contractor shall coordinate with the existing jail
screening processes, to identify the population that will have a shorter length of stay
within the jail and screen positive for a substance use disorders, co-occurring mental
health and substance use disorders and/or are identified to be a suicide risk.
b. High Jail Utilizers: The Contractor shall identify individuals that have three or more
arrests in the past year, and shall be a priority population to receive services to target
the needs.
c. Brief Intake Assessment. The Contractor shall provide a brief intake to assess
immediate behavioral health needs within 48 hours. The Office of Behavioral Health
recommends utilizing the SOA-R to assess for needs. SOA-R training is offered
periodically through the Colorado Division of Criminal Justice.
https://www.colorado.00v/pacific/dci/training-6
Page 17 of 29
Exhibit A-1
d. Open Referral Process. The Contractor shall facilitate an open referral process with
inmates where transitional resource packets are shared, reviewed and completed. The
JBBS Pre -sentence Reentry Coordinator shall make referrals and coordinate services
with licensed (LPC, LAC, LCSW) and/or certified (CAC II, CAC III) behavioral health
professionals, prior b the release of an inmate, to ensure continuity of care. The JBBS
Pre -sentence Reentry Coordinator shall make referral appointments based upon need
and provide the appointment date to the individual before release.
e. Intervention/Therapy. The Contractor shall offer brief intervention and/or therapy to
inmates as necessary. Refer to the following links for appropriate treatment models:
https://www.pewtrusts.orq/en/research-and-analysis/data-visualizations/2015/results-
firstclearinqhouse-database
https://www.samhsagov/ebp-resource-center
f. Coordinate Referral Information. The Contractor shall coordinate with community
entities as applicable (i.e., pre-trial, probation, community corrections, therapeutic
communities, regarding referral information), to ensure the supervision entities are made
aware of the individual's assessed needs and scheduled appointments. This position will
also partner with Bridges Court Liaisons and Forensic Navigators, if applicable, to
identify the competency population and link individuals to the necessary programming
and services.
2.2 Additional JBBS Pre -sentence Reentry Coordinator Services. The Contractor is
encouraged to offer the following services:
a. Create an individualized transition plan with individuals for the purpose of linking them
to community resources upon release. A physical copy of the detailed release plan will
be shared with each inmate prior to release. Included with the release plan will be
applicable referral contact information (i.e. name of referral organization, organization
contract phone number, appointment date and time, identifying a positive family or social
support that can assist the individual in making sure they follow the transition plan).
b. Make referrals to Medication -Assisted Treatment (MAT) services if possible while in
jail, if not, connect them with Opiate Treatment Providers for resources in the community
immediately upon release.
c. Seek partnerships with the Regional Accountable Entity to ensure referrals are made
in a timely manner with the community treatment providers.
2.3 Data Accessibility. The Pre -Sentence Reentry Coordinator position shall receive training
on, and be able to utilize the data in the Jail Management System (JMS). The purpose of the
JMS access is to target the high jail utilizers.
Article 3
Deliverables
3.1 For Deliverables under this section, please see Part 6 - JBBS Program Deliverables
Page 18 of 29
Exhibit A-1
PART SIX - JAIL MEDICATION ASSISTED TREATMENT (SB 19-008)
Article 1
Purpose & Target Population
1.1 Purpose. Senate Bill 19-008 concerns treatment of individuals with substance use disorders
who come into contact with the criminal justice system. Section 6 of the bill requires jails that
receive funding through the jail -based behavioral health services program to allow medication -
assisted treatment to be provided to individuals in the jail. The jail may enter into agreements
with community agencies and organizations to assist in the development and administration of
medication -assisted treatment. "Medication -assisted treatment" or "MAT" means a combination
of behavioral therapy and medications, such as buprenorphine and all other medications and
therapies, approved by the federal food and drug administration to treat opioid use disorder.
1.2 Target Population. 18 years of age and older, residing in county jail(s), SB 19-008 enacts
policies related to the involvement of persons with substance use disorders in the criminal
justice system.
Article 2
Activities & Services
2.1 Provision of Medication -Assisted Treatment. Contractors engaging 19-008 funding shall
expand access to care for persons who are incarcerated with substance use disorder (SUD)
through the following activities:
a. Have a policy in place for the provision of Medication -Assisted Treatment (MAT) and
how it will be implemented. A copy of this policy will be provided to OBH before MAT
services are provided. If a policy is not provided and MAT services are not offered, an
explanation as to why will be provided to OBH prior to any OBH JBBS funds being
issued. See Part Seven, Article 1.5 for more details on how this needs to be submitted.
b. Identify program appropriate individuals via screening.
c. Link persons with SUD with a community based clinical care provider.
d. Initiate MAT for SUD and retain in MAT/optimize retention to MAT while in jail.
e. Provide patient education surrounding SUD and the types of treatment available in
their community.
f. Develop and routinely review individualized treatment plans.
2.2 Allowable Expenses. The following are allowable expenses in the provision of the services
above specific to this Part, reimbursable in accordance with the OBH-approved rate schedule.
a. Fee for service agreements with contractors for treatment, medical staff, and
medications.
b. Required medications, handled subject to Controlled Substance / Medication Assisted
Treatment licensing requirements, including medications for overdose reversal such as
Naloxone.
Page 19 of 29
Exhibit A-1
c. Jail payroll expenses for interventions, medical staff, and medications.
d. Facility upgrades related to MAT.
e. Training and staff development for MAT Invoice requests are due to OBH as
expenses are incurred. Only one month's expenses are allowed per invoice.
Article 3
Standards and Requirements
3.1 General Accounting Encumbrance. This program will be funded by a General Accounting
Encumbrance (GAE). Payment to Contractor is made from available funds encumbered and
shared across multiple contractors. The State may increase or decrease the total funds
encumbered at its sole discretion and without formal notice to the Contractor. The liability of the
State for such payments is limited to the encumbered amount remaining of such funds.
3.2 Program Policies and Plans.
a. Contractor shall adhere to the policy or plan for its jail submitted to satisfy the
deliverable described in Part Seven, Article 1.5.
b. A Sheriff who is the custodian of a county jail or city and county jail may enter into
agreements with community agencies, behavioral health organizations, and substance
use disorder treatment organizations to assist in the development and administration of
medication -assisted treatment in the jail.
3.3 License Requirements.
a. Providers licensed as an opioid medication assisted treatment (OMAT) program shall
adhere to 2 CCR 502-1 Behavioral Health Rules regarding 21.320: Opioid Medication
Assisted Treatment (OMAT).
b. Providers handllig controlled substances shall adhere to 2 CCR 502-1 Behavioral
Health Rules regard ig 21.300: Controlled Substance License Requirements, which
includes direction on the safe storage and handling of controlled substances.
3.4 Level of Program/Care. OMAT provider facilities shall meet ASAM Level 1 Outpatient
Treatment or 2.1 Intensive Outpatient level of care.
3.5 Tiered MAT Funding.
a. Contractors will be provided with funding for MAT services based on the following
tiered system created by OBH:
TIER 1. This is the base tier, a starting point for jails that may have high barriers and/or
resource shortage. II is primarily for jails that only offer Vivitrol and Buprenorphine
continuations for pregnant individuals. If Contractor at this tier anticipates spending over
$5,000 in a year, it must provide a budget to OBH for pre -approval.
TIER 2. This is the middle tier for established programs but these programs may have
some barriers and are not offering a full FDA MAT medication list yet. This is primarily
Page 20 of 29
Exhibit A-1
for jails that offer continuations for inmates for Buprenorphine products as well as
Vivitrol. An additional $10,000 may be offered if Methadone is offered as a continuation
for inmates. If Contractor at this tier anticipates spending over $35,000 in a year, it must
provide a budget to OBH for pre -approval.
TIER 3. This is the top tier for established programs. It should include full induction and
continuation of all FDA approved medications. Jails in this group would submit a budget
(could be $150,000 or more) for their MAT program, submit a work plan outlining how
they will screen, refer, provide medications while incarcerated, and transfer care of those
individuals to community MAT providers for OUD (primary diagnosis) upon release.
b. MAT funding based on Tiers will be based on Program Manager's discussion with the
contracted jail. If a program chooses to prove eligibility for a higher tier, this will be taken
into consideration for the following contract year. A jail will stay within one tier for an
entire contract year, but can move up or down depending on proved eligibility.
Article 4
Deliverables
4.1 For Deliverables under this section, please see Part 6 - JBBS Program Deliverables
PART SEVEN - JBBS PROGRAM DELIVERABLES
Article 1
1.1 Deliverables for All JBBS Programs
a. JBBS Work Plan. Using the JBBS Statement of Work, the Contractor is required to
design a work plan based on the five criteria listed below. The Annual Work Plan should
specify the following information for each service in which the Contractor will participate
in:
i. Identify the Project Name, Purpose and Timeline
1. The Project Name will be either JBBS/Substance Use Disorder
Treatment, JBBS/Mental Health Treatment, JBBS/Pre-Sentence
Coordinator, JBBS/Competency Enhancement, or JBBS/Medication
Assisted Treatment (MAT).
2. The Purpose will include what you hope to accomplish by providing
JBBS services in your facilities.
3. The Timeline will be June 30, 2021 - July 1, 2022
ii. Put Your Work Plan Into Context
1. It is here where you will write an introduction and background of your
JBBS program.
Page 21 of 29
Exhibit A-1
2. Write an introduction and background to better outline why you need
this project to happen - Creating context and establishing the problem,
helps explain why you need the solution. Examples could include an
increase in substance abuse usage, increase in mental health disorders,
increased jail population, high recidivism rates, Colorado state statute
requirements, etc...
3. Describe the overall goal of the JBBS program. Examples can include
who is eligible for services, how will referrals to the program be made,
what are the admission criteria, how services will be provided, etc...
4. If your facility is a new JBBS program, please include a brief summary
of how and why JBBS services will be implemented into your facility, and
what you hope to gain from this program.
iii. Establish Your Goals and Objectives: Goals and objectives should be
developed in an integrated, multi -disciplinary fashion, which includes the active
and ongoing participation of the offender, jail staff and community providers.
Examples could include:
1. What are / will be, the assessments and screenings between
subcontracted treatment provider agencies?
2. How will you interface with other agencies serving persons with
substance use disorders or co-occurring mental illnesses, (i.e.,
community mental health centers, substance use disorder treatment
programs, service programs for Veterans, community service agencies,
and other licensed clinicians in private practice), to meet individuals'
treatment needs?
3. What is the service array available within the community to program
participants upon their release from jail, OR, if there are limited services
available in your area, highlight this as a potential barrier.
4. Which recovery support services (RSS) are most needed in your
community and/or catchment area and how will the provider or Sheriffs
Department use a portion of their budget to meet these needs?
5. What security protocol and reporting requirements are expected from
the treatment provider?
6. What is the current capacity or efforts to screen all individuals booked
into the jail facility for mental health, suicidality and substance use
histories and needs?
7. What are/will be, the continuum of services being offered, pursuant to
this Contract based on evidence based curricula?
8. What will the frequency and duration of services offered look like?
Discuss the availability of services during the week and hours of
operation, as well as include a breakdown of staff time (FTE) allocated to
the program, credentials and general duties of each position.
iv. Define and Coordinate Your Resources:
Page 22 of 29
Exhibit A-1
1. Determine and provide an organizational structure designed to facilitate
and promote effective administration of the JBBS program (should include
jail staff as well as any subcontracted staff).
2. Describe how you plan to link offenders with community services upon
their release from custody.
v. Understand Your Constraints: Are there any obstacles that are going to get in
the way of providing these services?
1. Examine if there are any barriers to treatment within the jail? Within the
community?
2. If so, it is possible to address these and, if so, how do you plan to do
that?
vi. Discuss Risks and Accountability: Here you will highlight any foreseeable risks
to the program, as well as who will be accountable for each aspect of the
program.
vii. Activities, services, budgets, plans, timelines, goals, and outcome measures
included in the Work Plan shall be interpreted as being material contractual
performance requirements, outcomes, measures, and contract deliverables of
the Contractor.
viii. The work plan, once approved by OBH, shall be incorporated into this
Contract by reference as work requirements of the Contractor supplemental to
Contractor work requirements under the current Contract Exhibit A, Statement of
Work, as amended.
b. Annual Report. The Contractor shall submit to the State the previous year's Annual
Report by EOB July 31, utilizing the JBBS Reporting Template provided by OBH. The
Contractor shall submit this report via email to cdhsjbbs@state.co.us
c. JBBS Database Reporting.
i. The Contractor or designated subcontractor shall complete all applicable data
fields in the JBBS CiviCore Database using the following URL:
https://fw.civicore.com/jbbhs or another data system as prescribed by OBH. All
data entry shall be updated on an ongoing basis, and must reflect current
individual enrollment and services provided by the 15th of each month following
the month when the service was provided.
ii. Data Entry shall include:
a. Basic individual demographic and working diagnosis information.
b. Booking date (date that the individual was booked into jail).
c. Screening date and results (Mental Health, Substance Use, Traumatic
Brain Injury, Trauma, and Suicidality) for all individuals who screen
"positive" for a mental health disorder or substance use disorder.
d. Admission date (date that individual began receiving JBBS services).
e. If applicable, results of Level of Supervision Inventory (LSI/LSI-R) risk
assessment (recommended for individuals admitted to the JBBS program
who are in jail more than 30 days).
Page 23 of 29
Exhibit A-1
f. Individual -level services provided (date of service, type of service,
duration of service, and any additional applicable information), including
any Medication Assisted Treatment services provided (date of service,
duration of service, type of MAT service, specific MAT medication, and
any other applicable information, including frequency of dosage).
g. Date, duration, and participants who attended for treatment or case
management group sessions.
h. Discharge date and type (unsuccessful discharge or successful
discharge, depending on whether the individual is actively participating in
the JBBS program at the time of discharge). OBH utilizes discharge and
admission dates to approximate sentence length and measure progress
toward shortening sentence lengths.
i. Date tracked and treatment status in community, tracked at month 1,
month 2, month 6, and month 12 after discharge.
iii. The Contractor or Contractor's designated subcontractor shall complete Drug
Alcohol Coordinated Data System (DACODS), Colorado Client Assessment
Records (CCAR), and Encounters - or other OBH prescribed data system
records, according to the following schedule:
a. Encounters are due by the last business day of each month for all
services provided during the previous month.
b. CCARs are due by the last business day of the month following the
admission, annual update, or discharge of a client.
c. DACODS are due by the 15th of the following month for admissions into,
and discharges from, JBBS services.
See the latest version of the Finance & Data Protocol Protocol #1 Special
Studies Codes and Eligibility for more details.
d. Workgroup Attendance. OBH facilitates JBBS Program Meetings every other month.
The Contractor shall ensure that a representative from each jail participates in the
meetings. The representative(s) who attends the meetings shall be responsible for
relaying the information discussed during the meetings to the rest of the Contractor's
program organizational structure.
e. Critical Incidents. The Contractor shall ensure any critical incident involving a JBBS
client that occurs within the jail, is documented and shared with the Office of Behavioral
Health via an encrypted email to cdhs ci obh(a.state.co.us, within 24 hours of the time
the incident occurs. It is recommended that the Contractor include this reporting
requirement in all subcontractor agreements. The documentation should include the
following:
i. Date and time of incident
ii. Location of the incident
iii. The nature of the incident
iv. How the incident was resolved
v. Name[s] of staff present
Page 24 of 29
Exhibit A-1
vi. Whether the incident resulted in any physical harm to the participant or any
staff.
f. Copy of Proposed Subcontract. The Contractor shall provide to OBH a copy of any
proposed subcontract between the Contractor and any potential provider of services to
fulfill any requirements of this Contract, to cdhsjbbs@state.co.us within 30 days of
subcontract execution. The subcontract will be evaluated to ensure it is in compliance
with the maximum rates established in the Annual Budget document provided by OBH.
g. Site Visits. The JBBS Program Manager(s) shall conduct site visits for the purpose of
providing technical assistance support and quality assurance monitoring of the program
on a periodic/as needed basis.
h. Plan of Action. Contractors who do not meet the deliverables above, or any
additional deliverables listed below, for which they have been provided funding, shall be
asked to submit a plan of action to improve program performance for the current or next
fiscal year.
i. Monthly OBH Invoice. Invoices will be submitted to cdhs obhpavmentAstate.co.us
by the 20th of the following month. Only one month's expenses are allowed per invoice.
Additional supporting documentation will only be required in the event of an audit, but
these records should be maintained by the contractor.
j. Spending Projection Plan. If a contractor is underspent by greater than 50% of their
budget by mid fiscal year (Nov -Dec), Contractor shall submit a spending projection plan.
Failure to submit the spending plan and failure to effectively utilize funding could result in
reduction in the current year budget.
1.2 Additional Deliverables Related to Mental Health Expansion (SB 18-250)
a. Data Entry. The Contractor or designated subcontractor shall complete all applicable
data fields in the JBBS CiviCore Database or another data system as prescribed by
OBH. All data entry shall be updated on an ongoing basis, and must reflect current
individual enrollment and services provided by the 15th of each month following the
month when the service was provided. In addition to the data reporting requirements
outlined in Part 7, Article 1, Section 1.1, Subsection c, above, the following additional
data related to Mental Health Expansion shall be collected:
i. Whether the individual is receiving mental health services only, not SUD
services (checkbox in JBBS Database).
1.3 Additional Deliverables Related to Competency Enhancement (SB 19-223)
a. Data Entry. The Contractor or designated subcontractor shall complete all applicable
data fields in the JBBS CiviCore Database or another data system as prescribed by
OBH. All data entry shall be updated on an ongoing basis, and must reflect current
individual enrollment and services provided by the 15th of each month following the
month when the service was provided. In addition to the data reporting requirements
outlined in Part 7, Article 1, Section 1.1, Subsection c, above, the following additional
data related to Competency Enhancement shall be collected:
i. Whether the individual is involved in the competency restoration process
(checkbox in JBBS Database).
Page 25 of 29
Exhibit A-1
ii. Whether the individual has returned to jail after receiving competency
restoration services (checkbox in JBBS Database).
1.4 Additional Deliverables Related to Pre -Sentence Reentry Coordinator Services
a. Data Entry. The Contractor or designated subcontractor shall complete all applicable
data fields in the JBBS CiviCore Database or another data system as prescribed by
OBH. All data entry shall be updated on an ongoing basis, and must reflect current
individual enrollment and services provided by the 15th of each month following the
month when the service was provided. In addition to the data reporting requirements
outlined in Part 7, Article 1, Section 1.1, Subsection c, above, the following additional
data related to Pre -Sentence Reentry shall be collected:
i. Whether the individual is pre -sentence at time of admission (checkbox in JBBS
CiviCore Database .
1.5 Additional Deliverables Related to Jail Medication -Assisted Treatment (SB 19-008)
a. Organizational Structure. All Contractors participating in JBBS shall determine and
provide an organizational structure designed to facilitate and promote effective MAT
program administration. Describe the use of evidence based best practices for
coordination of care for identified inmates. This report is due via email to
cdhs ibbs@state.co.us by August 1 annually.
b. Policies. Prior to MAT services being delivered, the Contractor shall provide OBH a
written policy for their intended Jail MAT service delivery method, via email to
cdhs ibbs(astate.co.us. Contact JBBS Program Manager for additional information on
creating MAT policies.
c. Barrier Reports. If Contractor does not yet deliver MAT in its jail, Contractor shall
submit a report detailing the barriers Contractor is experiencing that have prevented
MAT delivery in the jail. Describe the capacity or efforts needed to get the jail into
compliance or abiity to provide MAT in the jail, including but not limited to withdrawal
management, screening, and coordination of care for inmates identified for MAT. The
report is due via email to cdhs ibbsstate.co.us by August 1 annually.
d. Start -Up Plans. In the first year that Contractor will deliver MAT in its jail, Contractor
shall submit a report of ramp -up activities that will occur in the first four months of the
project via email to cdhs ibbsstate.co.us by August 1 annually.
e. Work Plan and Budget Submission/Approval. In order to access MAT funds,
Contractor must submit a work plan selecting an MAT tier and describing how the funds
will be used. If Contractor's proposed budget exceeds the soft cap described in its tier
(described in Part Six, article 3.5 above), Contractor shall provide an initial budget to the
OBH JBBS Program Manager with Contractor submission of the work plan. OBH JBBS
Program Manager will respond with an approval, a request for more information, or a
rejection with cause. Budgets in excess of its tier's soft cap must be approved in
advance in writing by the OBH JBBS Program Manager. Contractors with ongoing MAT
programs must submit the workplan and budget by June 1 annually for the upcoming
state fiscal year (beginning July 1). Contractors beginning new MAT programs must
Page 26 of 29
Exhibit A-1
submit the workplan and budget prior to commencing services billed to this fund.
Contractor work may not commence until the work plan and budget are approved by the
OBH JBBS Program Manager.
f. Data Entry. The Contractor or designated subcontractor shall complete all applicable
data fields as outlined in Part 7, Article 1, Section 1.1, Subsection c, above. Data shall
be entered in the JBBS CiviCore Database or another data system as prescribed by
OBH. All data entry shall be updated on an ongoing basis, and must reflect current
individual enrollment and services provided by the 15th of each month following the
month when the service was provided.
Table 1
Below is the deliverables table required by OBH, for each JBBS related service.
Program
Deliverable
Description
Due Date
Responsible
Party
Deliver to
All
Provide
annual work
plan
See Part 7,
Article 1,
Section 1.1,
Subsection
a, above
By EOB April
1, for the
following
fiscal year
Contractor
cdhsJbbs@state.co.us
All
OBH invoice
See Part 1,
Article 3,
Section 3.2,
above
By 20th of
following
month for
previous
month's
expenses
Contractor
cdhs_obhpayment@state.
co.us
All
Report critical
incidents
See Part 7,
Article 1,
Section 1.1,
Subsection
e, above
Within 24
hours of
incident
Contractor
cdhs_ci_obh@state.co.us
All
Provide JBBS
annual report
See Part 7,
Article 1,
Section 1.1,
Subsection
b, above
By EOB July
31 of the
current year
Contractor
cdhsJbbs@state.co.us
All
Workgroup
attendance
See Part 7,
Article 1,
Section 1.1,
Subsection
Quarterly
Contractor
Locations TBD
Page 27 of 29
Exhibit A-1
d, above
All
Send OBH copy
of proposed
subcontract
See Part 7,
Article 1,
Section 1.1,
Subsection f,
above
Within 30
days of
contract
being signed
Contractor
cdhsjbbs@state.co.us
All
Site Visits
See Part 7,
Article 1,
Section 1.1,
Subsection
g, above
Ongoing / as
needed
OBH
Locations TBD
All
Data Entry
See Part 7,
Article 1,
Section 1.1,
Subsection c,
above
Ongoing, by
the 15th of
each month
for all
services
provided
during the
previous
month
Contractor or
designated
subcontracto
r
JBBS Civicore Database
Jail Based Behavioral
Health Services
Mental Health
Expansion (SB
18-250)
Data entry specific
to SB 18-250
See Part 7,
Article 1,
Section 1.2,
Subsection
a, above
Ongoing, by
the 15th of
each month
for all
services
provided
during the
previous
month
Contractor or
designated
subcontracto
r
JBBS Civicore Database
Jail Based Behavioral
Health Services
Competency
Enhancement (SB
19-223)
Data entry
specific to SB
19-223
See Part 7,
Article 1,
Section 1.3,
Subsection
a, above
Ongoing, by
the 15th of
each month
for all
services
provided
during the
previous
month
Contractor or
designated
subcontracto
r
JBBS Civicore Database
Jail Based Behavioral
Health Services
Pre -sentence
Reentry
Coordinator
Services
Data entry specific
to pre -sentence
reentry coordnator
services
See Part 7,
Article 1,
Section 1.4,
Subsection
a, above
Ongoing, by
the 15th of
each month
for all
services
provided
Contractor or
designated
subcontracto
r
JBBS Civicore Database
Jail Based Behavioral
Health Services
Page 28 of 29
Exhibit A-1
during the
previous
month
JMAT (SB 19-
008)
Organizational
structure
Part 7, Article
1, Section
1.5,
Subsection
a, above
August 1
(annually)
Contractor
cdhsJbbs@state.co.us
JMAT (SB 19-
008)
Policies
Part 7, Article
1, Section
1.5,
Subsection
b, above
Prior to MAT
services
being
delivered
Contractor
cdhsJbbs@state.co.us
JMAT (SB 19-
008)
Barrier
Reports
Part 7, Article
1, Section
1.5,
Subsection c,
above
August 1
(annually)
Contractor
cdhsJbbs@state.co.us
JMAT (SB 19-
008)
Start -Up Plans
Part 7, Article
1, Section
1.5,
Subsection
d, above
August 1
(annually)
Contractor
cdhsJbbs@state.co.us
JMAT (SB 19-
008)
Work Plan and
Budget
Submission/A
pproval
Part 7, Article
1, Section
1.5,
Subsection
e, above
Within five (5)
business
days of plan
submission
Contractor
cdhsJbbs@state.co.us
JMAT (SB 19-
008)
Data Entry
Specific to
JMAT (SB 19-
008)
Part 7, Article
1, Section
1.5,
Subsection f,
above
Ongoing, by
the 15th of
each month
for all
services
provided
during the
previous
month
Contractor or
designated
subcontracto
r
JBBS Civicore Database
Jail Based Behavioral
Health Services
Page 29 of 29
Exhibit B-2
a
COLORADO
Office ofBehaviottal Health
Departmentcf Human Services
FY22 ANNUAL BUDGET EXHIBIT B-2
JBBS
Weld County Sheriff's Office
July 1, 2021 -June 30, 2022
JBBS
Program Contact
Phone
Email
Stephanie Tornquist
(970) 400-3937
stornquist@weldgov.com
Fiscal Contract
Phone
Email
Stephanie Tornquist
1970) 400-3937
stornquist@weldgov.com
Date Completed
4/6/2021
SERVICE CATEGORIES
Services (Fixed Price per rate Schedule)
Funding Source
Total
Substance Use Disorder Treatment
State General Fund
$
293,792.00
Total Contract
$
293,792.00
Medication Assisted Treatment
Total - All Jails
MAT Services
$
1,470,000.00
Total GAE
$
1,470,000.00
GAE total for all Contractors is $1,470,006. No minimum amount is guaranteed to Contractor. Funds are invoiced as earned per the terms of Exhibit A and the following
Rate Schedule.
JBBS RATE SCHEDULE
Statewide Maximum Salaries
Positions should be hired at salary levels indicative of qualifications, experience, and organization pay schedules. This table indicates a maximum salary
only. It is understood that many positions will be hired at lower salary levels than the state maximum.
Licensed Therapist (LPC/LCSW/LAC/LMFT)*
$80,000/year
Unlicensed Master's Level Therapist or Substance Abuse Counselor
(CAC II and above) *
$65,000/year
Unlicensed Bachelor's Level Therapistor Substance Abuse Counselor (CAC II
and above) *
$60,000/year
Case Manager (CM) *
$55,000/year
Nurse Practitioner *
$120,000/year
Physician Assistance (PA) *
$120,000/year
MD/DO *
$251,267/year
JBBS Program Administrator (Primary responsibility of managing the jail's
$97,594/year
Pre -sentence Coordinator *
$75,000/year
Pharmascist (Pharm-D)
$128,090/year
Registered Nurse *
$72,000/year
Data Entry Clerk
$40,000/year
Qualified Medication Administration Person (QMAP)
$14.00/hour
*OBH will reimburse salaries up to the state maximum
*OBH may consider rates 10% above statewide maximum salaries pending justification from jails and written pre -approval by OBH
Travel
Mileage (IRS rate) I $0.56/mile
Operating Expenses
Maximum total percentage of contract budget I 10%
Training and continuing education for jail emplowes/clinicians (including but not limited to QMAP, CIT, Motivational Interviewing, Mental Health First Aid,
Trauma Informed Care, (Certified Addiction Specialist -Classes only) may be included in the operating expenses
Page 1 of 5
Exhibit B-2
OBH may consider operating expenses above 10% of total contract budget pending justification from jails and written pre -approval by OBH
Indirect Expenses
Maximum total percentage of contract budget I 10%
OBH may consider operating expenses above 10% of total contract budget pending justification from jails and written pre -approval by OBH
: xTyy RECOVERY SU►� SRI
Allowed Services*
Additional Notes
Application Fees ID / Birth Certificates
One time per client
Backpacks
Basic Hygiene Items
Bicycles
May be provided if client is engaged in treatment services for 2 + months
post release. 1 time per person.
Bus Pass — Daily, Monthly
One time per client for monthly, 3 booklets for one-time passes
Child Care
1 month limit per client, per child
Clothing
Educational Costs ( books, supplies, and fees)
Emergency Housing
90 day limit per person
Food Assistance
Gas Vouchers
Limit of $30.00 per person
GED Program / Testing
Job Placement Training
Life Skills Training
Medical Assistance — copays / infectious disease testing
Limit of $250.00 per person
Medications
30 day limit per person
Personal Hygiene Care (eg. haircuts)
Limit of $20.00 per person
Phone Cards
Limit of $15.00 per person
Pre -paid Cell Phones
To be paid for upon release and after client attends 2 appointments in
the community.
Cost of the phone and up to 2 months of bills.
Printed Resources
Transportation Assistance
Only if no public transportation is available in the area
Transportation to Residential Treatment
Out of state travel to treatment will need prior approval by OBH
UA / BAs
Limit of $100.00 per person
Utilities
1 month limit per client
*OBH may consider other expenses pending justification from jails and written pre -approval by OBH
c M14OICATIiIIV5.=
Medication reimbursement will be based on a) providers established rate orb) jail purchase agreement rate or c) in the absence of an established rate orjail
purchase agreement rate the following OBH rate schedule.
Psychotropic Medication will be reimbursed at rate established on Preferred Drug List (PDL) which can be found at
https://www.colorado.gov/hcpf/pharmacy resources
Medication
Rate
Methadone
$18/day. Methadone treatment, including medication and integrated
psychosocial and medical support services (assumed daily visit) $126/wk. or
$6,552/yr.
Naltrexone (oral)
Monthly Medication Rate: $85. Monthly Prescriber Rate: $150
Depot-naltrexone (injectable) (Vivitrol)
$1,376/unit; 380mg injection (extended release) per month
Buprenorphine (pregnancy) - 8mg
$41/month
Buprenorphine (pregnancy) - 2mg
$31/month
Buprenorphine/naloxone sublingual film (suboxone)- 12mg/3mg
$275/month
Buprenorphine/naloxone sublingual film (suboxone) - 8mg/2mg
$140/month
Buprenorphine/naloxone sublingual film (suboxone) - 4mg/1mg
$140/month
Buprenorphine/naloxone sublingual film (suboxone) - 2mg/0.5mg
$80/month
Naloxone (Narcan)
Unit Cost: $75. Prescriber Rate: $35
Suboxone and generics
$5.55 / unit @30 days = $166.50 for a 2mg-0.5mg dose; range can increase
from 4mg-lmg ($290.75), 8mg-2mg ($290.75), 12mg-3mg ($572.01)
Buprenorphine - 8mg
$41/month
Buprenorphine - 2mg
$31/month
Page 2 of 5
Exhibit B-2
Sublocade (injectable)
$1,376/unit; 380mg injection (extended release) per month
Page 3 of 5
Exhibit B-2
COLORADO
Office of Behavioral Health
Department of Human Services
FY21 ANNUAL BUDGET EXHIBIT B-1
JBBS
Weld County Sheriffs Office
7/1/2020 - 6/30/2021
Proje ct l
JBBS
Stephanie Tornquist
(970) 400-3937
stomquist@weldgov.com
tephanie Tornquist
970) 400-3937
sto t@weldgo om
"-SER:VICE,CATEGO$.,,
Services (Fixed Price per Rate Schedule)
Funding S
ce
Total
Substance Use Disorder Treatment
State Gener
d
I
289,734.00
jiatal
act
289, 734.00
General Accounting Encumbrance --Medication Assisted Treatment
Total - All Jails
Naloxone
138,434.00
008 MAT Services
735,000.00
AL
873,434.00
GAE total for all Contractors is $873,434. No minimum amount is guarantee �6ntractor. Funds are invoiced as earned per the terms of Exhibit A and
the following Rate Schedule.
Potential Performance Payment
Total
Substance Use Disorder Treatment
28,973.00
.
Potential Payment
28,973.00
GAE total for all Contractors is $522,260. No mi amount i to Contractor. Funds are invoiced as earned per the terms of Exhibit A.
L S RATE SCHEDULE
Statewide Maximum Salaries
Positions should be hired sal iodic e of qualifications, experience, and organization pay schedules. This table indicates a
maximum salary only. It derstood that positions will be hired at lower salary levels than the state maximum.
Licensed Therapist (L *
$65,794/year
Licensed Cl. ' Soci LC *
$76,648/year
Unlicensed Therapi Substance Abuse Counselor (CAC II and above) *
$60,500/year
Case Manager (CM) *
$68,415/year
Nurse Practitioner *
$119,353/year
Physician Assistance (PA) *
$119,171/year
MD/DO *
$251,267/year
Administrator (Lieutenant, Sergeant, etc) *
$97,594/year
Pre -sentence Coordinator *
$75,000/year
Registered Nurse *
$68,797/year
*OBH will reimburse salaries up to the state maximum
*OBH may consider rates 10% above statewide maximum salaries pending justification from jails and written pre -approval by OBH
Travel ,
Mileage (IRS rate) I $0.58/mile
Operating Expenses
Maximum total percentage of contract budget I 10%
Any training and continuing education for jail employees may be included in the operating expenses
Page 4 of 5
Exhibit B-2
OBH may consider operating expenses above IC% of total contract budget pending justification from jails and written pre -approval by OBH
Indirect Expenses
Maximum total percentage of contract budget I 10%
OBH may consider operating expenses above le% of total contract budget pending justification from jails and written pre -approval by OBH
3 PORT ER't%ICES
` k
Allowed Services*
Additional Notes
Application Fees ID / Birth Certificates
One time per client
Backpacks
Basic Hygiene Items
Limit of $15.00 per person
Bicycles
May be provided if client is engaged in ent services for 2 or more
Bus Pass — Daily, Monthly
One time per client for monthly and 3 ets for ' e passes
Child Care
1 month limit per client
Clothing Vouchers
Limit of $100.00 per person
Educational Costs ( books, supplies, and fees)
Emergency Housing
90 days limit per p
Food Assistance
Gas Vouchers
Limit of $30.00 person
GED Program / Testing
Job Placement Training
Life Skills Training
Medical Assistance — copays / infectious disease testing
50. person
Medications
30 da ,... .er .er n
Personal Hygiene Care (eg. haircuts)
. .. person
Phone Cards
► of $15.00 per person
Pre -paid Cell Phones
e unity.
Printed Resources
Taxi
ly if no public transportation is available in the area
Transportation to Residential Treatment
't of $1,200.00 per contract (for the whole catchment area)
UA / BAs
imit of $100.00 per person
Utilities
1 month limit per client
*OBH may consider other expen- +en., I • 'ustificati om jails and written pre -approval by OBH
>ICA"IO:S,r,
Medication reimburseme ' be . ased on a oviders established rate orb) jail purchase agreement rate or c) in the absence of an
established rate or j . ' . urc P . y ee the following OBH rate schedule.
Psychotropic Medicatio i be . . timed at rate established on Preferred Drug List (PDL) which can be found at
https://wolorad. ,f/pi • ii . resources
. ation
Rate
Methadone
$18/day. Methadone treatment, including medication and integrated
Naltrexone (oral)
Monthly Medication Rate: $85. Monthly Prescriber Rate: $150
Depot-naltrexone (inject (Vivitrol)
$1,376/unit; 38omg injection (extended release) per month
Buprenorphine (pregnancy - 8mg
$41/month
Buprenorphine (pregnancy) - 2mg
$31/month
Buprenorphine/naloxone sublingual film (subozone) - 12mg/3mg
$275/month
Buprenorphine/naloxone sublingual film (subozone) - 8mg/2mg
$140/month
Buprenorphine/naloxone sublingual film (subozone) - 4mg/1mg
$140/month
Buprenorphine/naloxone sublingual film (subozone) - 2mg/o.5mg
$8o/month
Naloxone (Narcan)
Unit Cost: $75. Prescriber Rate: $35
Suboxone and generics
$5.55 / unit @3o days = $166.50 for a 2mg-o.5mg dose; range can increase
Buprenorphine - 8mg
$41/month
Buprenorphine - 2mg
$31/month
Sublocade (injectable)
$1,376/unit; 38omg injection (extended release) per month
Page 5of5
Exhibit C-1
Exhibit C-1
Miscellaneous Provisions
I. General Provisions and Requirements
A. Finance and Data Protocols
The Contractor shall comply with the Office of Behavioral Health's (OBH) most current
Finance and Data Protocols and the Behavioral Health Accounting and Auditing Guidelines,
made a part of this Contract by reference.
B. Marketing and Communications
The Contractor shall comply with the following marketing and communications requirements:
1. Reports or Evaluations. All reports or evaluations funded by OBH must be
reviewed by OBH staff, including program, data, and communications, over a
period of no fewer than 15 business days. The Contractor may be asked to place a
report or evaluation on an OBH template and the report or evaluation is required to
display the OBH logo. The Contractor shall submit the finished document to OBH
in its final format and as an editable Word or Google document.
2. Press Releases. All press releases about work funded by OBH must note that the
work is funded by the Colorado Department of Human Services, Office of
Behavioral Health. Press releases about work funded by OBH must be reviewed
by OBH program and communications staff over a period of no fewer than five
business days.
3. Marketing Materials. Contractor shall include the current Colorado Department of
Human Services, Office of Behavioral Health logo on any marketing materials,
such as brochures or fact sheets, that advertise programs funded by this Contract.
Marketing materials must be approved by the Contract's assigned OBH program
contract over a period of no fewer than 5 business days.
4. All Other Documents. All other documents published by the Contractor about its
OBH-funded work, including presentations or website content, should mention the
Colorado Department of Human Services, Office of Behavioral Health as a funder.
5. Opinion of OBH. OBH may require the Contractor to add language to documents
that mention OBH reading: "The views, opinions and content expressed do not
necessarily reflect the views, opinions or policies of the Colorado Department of
Human Services, Office of Behavioral Health."
C. Option Letter
For contracts using State funding: The State may increase or decrease the rates established in
the Contract in Exhibit B, "Budget," based upon a cost of living adjustment to the relevant
lines in the Long Bill through an option letter. In order to exercise this option, the State shall
provide written notice to Contractor in a form substantially equivalent to Contract Section 23,
"Sample Option Letter." Delivery of Goods and performance of Services shall continue at
Page 1 of 6
Exhibit C-1
the same rates and terms as described in this Contract.
D. Start-up Costs
If the State reimburses the Contractor for any start-up costs and the Contractor closes the
program or facility within three years of receipt of the start-up costs, the Contractor shall
reimburse the State for said start-up costs within sixty (60) days of the closure. The
Contractor is not required to reimburse the State for start-up costs if the facility or program
closure is due to OBH eliminating funding to that specific program and/or budget line item.
E. Immediate Notification of Closures / Reductions in Force
If the Contractor intends to close a facility or program, it shall notify the OBH Contracts Unit
at least five business days prior to the closure. Similarly, if the Contractor, or any sub-
contractor provider, intends to conduct a reduction in force which affects a program funded
through this contract, the Contractor shall notify the OBH Contracts Unit at least five
business days prior to the layoffs.
F. Licensing and Designation Database Electronic Record System (LADDERS)
The Contractor shall use LADDERS (http://www.colorado.gov/ladders) as needed and/or as
required by rule to submit applications for OBH licensing and designation, keep current all
provider directory details, update daily bed counts (as applicable), and submit policies and
procedures.
G. Contract Contact Procedure
The Contractor shall submit all requests for OBH interpretation of this Contract or for
amendments to this Contract to the OBH Contract Manager.
H. Continuity of Operations Plan
1. In the event of an emergency resulting in a disruption of normal activities, OBH may
request that Contractor provide a plan describing how Contractor will ensure the
execution of essential functions of the Contract, to the extent possible under the
circumstances of the inciting emergency ("Continuity of Operations Plan" or "Plan").
2. OBH will set a deadline and destination email address or other contact information for
a draft of the Continuity of Operations Plan at time of request. Deadline will be
reasonable under the circumstances of the emergency.
3. The Continuity of Operations Plan must be specific and responsive to the
circumstances of the inciting emergency.
4. OBH will provide feedback and edits to the Continuity of Operations Plan within a
reasonable time frame following receipt under the circumstances of the emergency
(for example, five business days where electronic communications are not disrupted).
5. OBH will present Contractor with a final Continuity of Operations Plan to Contractor
for Contractor to approve in writing (hard or electronic formats). Upon Contractor's
acceptance of the final Plan, Contractor may begin to operate under the terms of the
Continuity of Operations Plan.
Page 2 of 6
Exhibit C-1
6. The Continuity of Operations Plan will not impact or change the budget or any other
provisions of the contract, and Contractor's performance of the final Continuity of
Operations Plan will be held to the same standards and requirements as the original
Contract terms, unless otherwise specified in the Continuity of Operations Plan.
7. OBH will submit the Continuity of Operations Plan as a formal contract amendment
to CDHS Contracts Management as soon as is practicable.
8. Contractor shall communicate with OBH a minimum of once weekly, in a format
mutually agreed upon by OBH and Contractor staff, to monitor services under the
Continuity of Operations Plan. If adjustments are needed to the Plan, Contractor and
OBH shall follow the procedures in section I.1-1.5 to make the change.
a.As part of the weekly OBH/Contractor communication, Contractor and OBH
will evaluate whether the emergency situation has resolved such that normal
operations may be resumed.
b.If Contractor and OBH determine that the emergency situation is sufficiently
resolved, Contractor will present a 30 -day closeout procedure. Contractor and
OBH shall follow the procedures in section I.1-1.5 to ratify the closeout
procedure. Weekly reporting shall continue throughout the closeout period and
for four weeks after termination of the Continuity of Operations Plan.
c.OBH will submit notice of termination of the Continuity of Operations Plan as
a formal contract amendment to CDHS Contracts Management as soon as is
practicable.
I. Cultural Responsiveness in Service Delivery
1. The Office of Behavioral Health expects funding dollars to support equity in access,
services provided, and behavioral health outcomes among individuals of all cultures,
gender identities, sexual orientations, races, and ethnicities. Accordingly, Contractors
should collect and use data to: (1) identify priority populations vulnerable to health
disparities (e.g., racial, ethnic, limited English speaking, tribal, sexual orientation,
gender identity groups, etc.) and (2) implement strategies to decrease the disparities in
access, service use, and outcomes —both within those subpopulations and in
comparison to the general population.
2. One strategy for addressing health disparities is the use of the recently revised
National Standards for Culturally and Linguistically Appropriate Services in Health
and Health Care (CLAS). The U.S. Department of Health and Human Services (HHS)
Think Cultural Health website (https://thinkculturalhealth.hhs.gov/) also features
information, continuing education opportunities, resources, and more for health and
health care professionals to learn about culturally and linguistically appropriate
services, or CLAS.
3. Contractors providing direct behavioral health prevention, treatment, or recovery
services shall submit one of the following two documents to
cdhs deliverables@state.co.us by August 31 annually:
Page 3 of 6
Exhibit C-1
a. If a provider has completed an equity plan that identifies how they will
address health equity, they can submit the plan or;
b.Submit a completed CLAS checklist that follows this HHS format:
https://thinkculturalhealth.hhs.gov/assets/pdfs/AnImplementationChecklistfort
heNationalCLASStandards.pdf
Standards.pdf
II. Use of Subcontracts.
A. Services described in ibis Contract may be performed by Contractor or by a subcontractor,
except where this Contract states explicitly that a service must not be subcontracted.
1. To the extent a subcontractor is used, the Contractor shall provide a copy of the
subcontract to OBH at cdhs_deliverablesobh@state.co.us.
2. Contractor shall ensure that its subcontractors perform to the terms of this Contract.
B. Any subcontract for services must include, at a minimum, the following:
3. A description of each partner's participation
4. Responsibilities to the program (policy and/or operational)
5. Resources the subcontractor will contribute, reimbursement rates, services to be included
and processes in collecting and sharing data and the most recent CDHS version of the
HIPAA Business Associates Addendum, if this Contract contains the HIPAA Business
Associates Addendum/Qualified Service Organization Addendum as an exhibit.
C. The Contractor shall provide to OBH a copy of any proposed subcontract between the
Contractor and any potential provider of services to fulfill any requirements of this Contract,
to cdhsdeliverablesobh@state.co.us within 30 days of subcontract execution.
D. OBH reserves the right to require Contractor to renegotiate subcontracts where necessary to
adhere to the terms of this Contract.
E. Subcontractor/Partnership Termination. In the event where partnerships with a subcontractor
such as a treatment provider is terminated, the Contractor shall transition to a new partnership
no later than 30 days from termination to ensure continuity of care for all participants of the
program.
III. Additional Remedies
A. Duty to Act in Good Faith
The Contractor shall comply with all the provisions of this contract and its amendments, if
any, and shall act in good faith in the performance of the requirements of said contract. The
Contractor agrees that failure to act in good faith in the performance with said requirements
may result in the assessment of remedial actions, liquidated damages and/or termination of
the contract in whole or in part and/or other actions by the State as allowed by law as set forth
in this contract.
B. Corrective Action
The State will notify the Contractor of non-compliance and subsequently, after consultation
with the Contractor, will establish a schedule for the Contractor to cure non-compliance. The
Page 4 of 6
Exhibit C-1
Contractor shall be responsible for the submission of a plan of corrective action in accordance
with said schedule. If full compliance is not achieved, or a plan of action for correction is not
submitted and approved by the State within the scheduled time frame, the State may exercise
remedies specified in the General Provisions "Remedies" section of this Contract. If the State
determines that the Contractor continues to be out of compliance with the Contract, the State
may exercise liquidated damages herein.
C. Liquidated Damages.
If an extension of time is not granted by the State, and the required performance associated
with this contract is not received from the Contractor then liquidated damages of $300 a day
will be assessed and may be permanently withheld from payments due to the Contractor for
each day that performance is late. The parties agree that incomplete or incorrect performance
shall also be cause for "late performance." The parties agree that the damages from breach of
this contract are difficult to prove or estimate, and the amount of liquidated damages specified
herein represents a reasonable estimation of damages that will be suffered by the State from
late performance, including costs of additional inspection and oversight, and lost opportunity
for additional efficiencies that would have attended on -time completion of performance.
Assessment of liquidated damages shall not be exclusive of or in any way limit remedies
available to the State at law or equity for Contractor breach.
IV. Audit Requirements
A. Independent Audit Requirements
6. "Independent financial audit" shall be defined as follows— a financial audit conducted by
a certified public accounting firm or certified public accountant (CPA) in accordance with
generally accepted accounting principles and applicable federal regulations. The CPA or
firm must be independent of the Contractor. "Independent" means not a regular full-time
or part-time employee of the Contractor and not receiving any form of compensation from
the Contractor other than compensation that the CPA receives for the conduct of the
financial audit.
7. If the Contractor or sub -contractor expends federal awards from all sources (direct or
from pass -through entities) in an amount of $300,000 or more during its fiscal year shall
have an independent financial audit performed annually. The audit shall identify,
examine, and report the income and expenditures specific to operation of the services
described in this contract. The audit will be presented in the format specified in the
"Accounting and Auditing Guidelines" for Colorado Department of Human Services,
Office of Behavioral Health (OBH), found on the OBH website.
8. The Contractor agrees to comply with the qualified or disclaimer opinion rendered by the
independent auditor on financial statements or the negative opinion on peer review
reports. Non-compliance with these standards shall result in enforcement of remedies
against the Contractor as provided in this Contract.
B. Annual Single Audit
Page 5 of 6
Exhibit C-1
1. If the Contractor or sub -contractor expends federal awards from all sources (direct or
from pass -through entities) in an amount of $750,000 or more during its fiscal year, then
the Contractor or sub -contractor shall have an audit of that fiscal year in accordance with
the Single Audit Act Amendments of 1996, (31 U.S.C. 7501-7507), the provisions for
which are outlined in n/a.
V. Financial Requirements
A. Funding Sources
1. The Contractor shall identify all funds delivered to subcontractors as state general fund,
state cash funds, or federal grant dollars in Exhibit B, "Budget."
2. If a Single Audit is performed in accordance with Section III.B. above, the Contractor
shall report the amount of the federal grant identified in the budget under the CFDA
number identified on the first page of this Contract.
3. The Contractor shall communicate the CFDA number to all sub -contractors in their sub-
contracts.
B. Budget Reallocations
1. The Contractor may reallocate funds between the budget categories of this contract, up to
10% of the total contract amount, upon written approval by OBH, without a contract
amendment. Any allowable reallocation is still subject to the limitations of the
Not to Exceed and the Maximum Amount Available per Fiscal Year.
C. Payment Terms
1. The Contractor shall invoice monthly for services, no later than the 20th of the month
following when services are provided.
2. The Contractor shall utilize the invoice template(s) provided by OBH.
3. All payment requests shall be submitted electronically to OBHpayment@state.co.us
4. Any requests for payment received after September 10th for the prior state fiscal year
cannot be processed by OBH.
5. The State will make payment on invoices within 45 days of receipt of a correct and
complete invoice to OBHpayment@state.co.us. Consequently, the Contractor must have
adequate solvency to pay its expenses up to 45 days after invoice submission to the State.
Page 6 of 6
New Contract Request
Entity Name* Entity ID
COLORADO DEPARTMENT OF HUMAN ?0003650
SERVICES
Contract * Contract ID
JAIL BASED BEHAVIORAL HEALTH SERVICES (IBBS) FY2022 4725
EXTENSION
Contract Status
CTB REVIEW
Contract Lead*
MELBE
❑ New Entity?
Parent Contract ID
4187
Requires Board Approval
YES
Contract Lead Email Department Project #
melbe@co.weld.co.us;skohl
grafPweldgov.com
Contract Description*
STATE OF CO DEPT OF HS IS FUNDING BEHAVIORAL HEALTH SERVICES TO INMATES PROVIDED BY NRBH. 100% STA I E
FUNDED. MONTHLY INVOICE SUBMITTED TO THE STATE OF CD.
Contract Description 2
Contract Type
CONTRACT
Amount*
$293,792.00
Renewable*
YES
Automatic Renewal
Department
SHERIFF
Department Email
CM-Sheriff@weldgov.com
Department Head Email
CM-Sheriff-
DeptHead veldgov.com
County Attorney
GENERAL COUNTY
A 1 I ORNEY EMAIL
County Attorney Email
CM-
COUNTYA I ! ORNEY@WELDG
OV.COM
If this is a renewal enter previous Contract ID
If this is part of a MSA enter MSA Contract ID
Requested BOCC Agenda
Date*
05#0512021
Due Date
05'01.2021
Will a work session with BOCC be required?*
NO
Does Contract require Purchasing Dept_ to be included?
Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in
OnBase
Contract Dates
Effective Date
Termination Notice Period
Contact Information
Contact Info
Contact Name
Purchasing
Approval Process
Department Head
DONNIE PATCH
DH Approved Date
04,`27,=2021
Final Approval
BOCC Approved
BOCC Agenda Date
05/0312021
Originator
SKOHLGRAF
Review Date *
04/04;2022
Committed Delivery Date
Contact Type Contact Email
Finance Approver
BARB CONNOLLY
Renewal Date*
07;01,`2022
Expiration Date
Contact Phone 1 Contact Phone 2
Purchasing Approved Date
Legal Counsel
BOB CHOATE
Finance Approved Date Legal Counsel Approved Date
04/2812021 04;'28:2021
Tyler Ref #
AG 050321
Hello