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Home My WebLink About20192196.tiffPRIVILEGED AND CONFIDENTIAL 0_,Cni-cmci- =-O #475D MEMORANDUM DATE: May 11, 2021 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Agreement Amendment with Griffith Centers for Children Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Agreement Amendment with Griffith Centers for Children. The Department entered into a Child Protection Agreement for services with Griffith Centers for Children, identified as Tyler ID 2019-2196 on June 12, 2019. The Agreement was amended on November 27, 2019 to amend the Rate Schedule, April 29, 2020 to extend the term date through May 31, 2021 and to amend the Rate Schedule, and on June 17, 2020 to amend the Rate Schedule. The Agreement is now being amended to renew for a third and final year, for the period of June 1, 2021 through May 31, 2022 and to make changes to the Scope of Services and Rate Schedule as noted below. The Human Services Advisory Commission (HSAC) has reviewed and approved this information. Scope of Services Changes: • The provider bid in this year's Request for Proposal to add Foster Parent Training to their current Agreement. This new service is now reflected in the provider's Scope of Services. Rate Schedule Cha • The following changes were made to the provider's Rate Schedule including adding rates for the new Foster Parent Training service. Home Based Services: $f 4,00.$59,00/Hour (Family Preservation Services) $91,90$144,00/Hour (Family Preservation Services In-home/Community) $9.,.1,...00/Hour (Family Preservation Services In -office with transportation) $54,130$49.00/Hour (Mentoring Services) $70.00$7-1-00/1 icnor (Mentoring Services In-home/Community) $76.00 /Hour (Mentoring Services In -office with transportation) $-51:00/14ottrl-Family-Presepiation &ry ees _ Intake -up to 2 hoofs) 19#70 2S8,5,00/14oar.(Saper-visec Visitatif n Irt-horne/Cora}ttta4) Sg6:00/14our-4Family-Prese vatioaServ.tees.. n-home/CommUntty.--I,atake-up-io 2 hours) $30,O0/Hour (Fantity Team Meeting -04M) -Staffing, Team Decision Making -Meeting (TDM)) Pass -Around Memorandum; May 11, 2021 — ID 4752 Page I aznwn+ AaerNi210L. Ce/` 64S-44.6. 0450 o51( -7/I .T7/ 7A24 H RO090 PRIVILEGED AND CONFIDENTIAL $`19.00 (-Mentoring-Services—I ke $71-;00 (Me ntoringServices In-home/Community -Intake Op -to -2- hours) $:5i6/M. hasec# lees) Life Skills: $56,00$51.00/Hour (Parenting Skills) $ZS00$20.00/llour (Parenting Skills Group — Four (4) or more clients) $79.00$74:00/Hour (Parenting Skills In-home/Community) $63,004 -5 -8,00/1 -lour (Supervised Visitations ...-._in office or T elehehav oral Health) $90.00/Hour (Supervised Visitation — in-otiice with transportation) $90.00/Hour (Supervised Visitation In-home/Community) $30,00/1 eur-l-Farrrily-peen+ Meeting (VIM), Stalling -Team Decision Making Meeting(TDM)) $41:00/Hour (Parent-ing-Skills Intake-up-te-2-110trrs) F74-.04/- our-(Parenting-Skills-In-horne/C orninttrtity Intake up to -2 -hour -s) S58.00/F lour (Supervised Visitation —Intake -tip to -2 -hour $15-5,00/Hour-(Supervised-Visitation Ill-horne/Corontunity- Intake -tip -to 2 hours) $25-00/Hotif(Supervised-Visitation— No --slows) $513-.00/Hour (Telebehevieral-I lealth ,Supervised- Visitation) S-5 00/Hotff-(Telebehavivrul Health -Supervised -Visitation -Itatake-tip-tu-2-hours) $85730/Hour(Telobehtavitsrtal-I-leitith-Superviset# Visitation- ln-home/( intinity) $35.00 144th-frelebehavioral Flealth Superv-ised VisitationIn-honie/Corturninity -Intake up-te-2-h sirs) $23 004icur-Relebehavioral Health Supervised--V-isitatiFn - Pao -shows) $01fie%3.004 lour -(In-office pr-=Telebehtiv ioral-tleraltli Therapeutic .Visitation) $63 00/Hour el-elebe havioral-Flealth-Therapeutio�isitation--Intake-up to 2 heats) i9-7$92:00%Mater-(-P rtial:Telebehrrvierall=ealthTherapetitit Visitation Ira -Bonne ertrrrrunity) $92:110/Motif( elebehavioral Health-Fherapeutie-Visitation I n-home/Community Intaketip-to-2 hours) $23 t}0/HeuriTelebehavioral Ftealth-=1=herupoutia Visitation No shows) $63.00/1 lour (TherapeuticVisitations) $63.00/Hour ('Thernpeutia Visitratitxt---intrtke up-te-2-hours) $42:430/Hour ("Therapeutic Visitation In home/Comilla-oily) $i32,(l0iHouffTherapet+tio Visitation 1n Itorne4=enimunity--Intake-up-to 2 hours) $2-5-00/Hour (Tlterapeutie-Visitat-iorr-Nr lnt3ws) $ .56/M i le-crlansportation for -all -visitations) Mental Health Services: $74.{30$69.00/I lour (Family Therapy o..r1 elebehav,i ral. He alth.l Faintly I'ht rtaa) $106.00 1-40/11our (Family Therapy — In-home/Community $146.0 }/Hour (Family Therapy — In -office with transportation) $70.00$65.00/Hour (Individual Therapy in office or Telebehavioral Health) $l_09,9P$95.00/f lour (Individual Therapy — in-home/Community) $100.00$400/flour (Individual Therapy — In -office with transportation) $54,09$49.00/llour (RELOAD — Reboot Educational Learning Opportunities Affecting Direction) $76+4:)0$-74-:00/Flour (RELOAD — Reboot Educational Learning Opportunities Affecting Direction — In- home/Community) $76.00$71-410/1 lour (RELOAD — Reboot Educational Learning Opportunities Affecting Direction — In - office with transportation) $u57„00$52.00/Hour (Truancy ASK) $81,.0-0$76.00/Hour (Truancy ASK — In-home/Community) $35_,00$30.00/Hour (Truancy ASK — Case Management Services, 1-2 hours/week) 430410ti fF ammtly Team Meeting-(FTM-Y, Staffing `fearer-Deei5ion-Making-Meeting (TDM4) Pass -Around Memorandum; May 11, 2021 — ID 4752 Page 2 PRIVILEGED AND CONFIDENTIAL $69,04/Hoar-fi-funi4y--Plerftpy- -make up4t)•2-4toins) $4-0-1 00/4-ixitrr-{hafrtily Therapy —irt-herrte K-2.of ifntf ttty Intakeupto2'Ric rs) $6.5 #4kmr-(I ndiv iduai--Them. -4nteke-t+fl-t+-2-hour $95:00/1-hex+r{indi-vidual 'Pler-apy In-honteContritunity - Intake up to 2-ht>urs) $49:00/Houri-RE- LAD Reboot Ititle tionah-kettriiing4)pportttnities Af'fee.ting Direction --Intake up to 2 hours) Iii•.410/44our-(-R-Ii4.44AD-.-. Reboot-1-4Itteational LertriM g-Opportimities A#feoting-Direetion In horne/Ct?rt muttity l+ttake-up-to-2--htortr-s) $69:00/Hour-f felebehnviera4-Health- Fam i lv =therapy-) $69.00%1-kxrr(Telebehavioral-Health i aridly-°1"-hertrpy Intake up to 2 hours) $4-0.4,0011—knir (Telebehavit>ra4 44eftith lily Therapy-an--htxnte/Community) S-1-01 0044Our(Telebehavioral-Health-Farniiy'Ilierapy -h tune/Com mortify Intake up to 2 hours) $70__0.0$65 00/Hou-(Telebehavtttral liettlth lrtfllvtclrrrrf fherapy) $.6S.00,144our {"T`elebehavioral-Fleapit--individual Therapy -Intake up to 2 -hours) $95.00/H€tur (Telebehtavioral Health Individual- therapy in-home/Community) $95.00/4-lorry(Telel vioral-l4ealth-fndtvidual 'fherapy In-home/Community Intake up to 2 lttxtrs) $.56/Mile('VransponatiEnlitrall-MentatHealth Services) $52,00/Hextr (T'ruaney- ASK- Intake up to 2 hours-) $46,40/Nour-E runny -ASK In hoine/Coinrnunity Intake Hp -to 2 hour,;) $2-5:4O/Hour(No show for all-Mental-14eralth Services) Foster Parent _'1 raining; $125.00/Hour-(Foster Parent Training) Other _56/M i (4.1.1.•"ransportatlop) ` 25.104-ippriNo sh€TO $.1.5t}.,Q.94arv_t4e 004.1 e $3'a_il(/Hou,r (( amity Team r_Nlcctrng.,.(.1 ITV1 .`?tall rig, Team Decision Making Meeting ('T M)) I do not recommend a Work Session. I recommend approval of this Agreement Amendment. Perry L. Buck Mike Freeman Scott K. James, Pro-Tem Steve Moreno, Chair Lori Saine Approve Schedule Recommendation Work Session Other/Comments: Page 3 Pass -Around Memorandum; May 11, 2021 —1D 4752 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND GRIFFITH CENTERS FOR CHILDREN +h This Agreement Amendment, made and entered into t I day of 2021 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Griffith Centers for Children, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Home Based Services, Life Skills, and Mental Health Services, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2196, approved on June 12, 2019. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement was set to end on May 31, 2020. • The Original Agreement was amended on: November 27, 2019 to amend the Rate Schedule. April 29, 2020 to extend the term date through May 31, 2021 and amend the Rate Schedule. June 17, 2020 to amend the Rate Schedule. The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2019-2196. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Term This agreement is being renewed for a third and final year, for the period of June 1, 2021 through May 31, 2022. 2. Exhibit C, Scope of Services, is hereby amended as attached. 3. Exhibit D, Rate Schedule, is hereby amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. 020/9- .21940 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: .41tifel,) Kf0;Gi Weld . u Clerk to the Board �� ►, Lr� .;7" Tiip„ f a B a and / /Firr �/• BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO jrcv,_e_ Steve Moreno, Chair ONTRACTOR: MAY 1 7 2021 Griffith Centers for Children 1724 Gilpin Street Denver, Colorado 80218 By: Date: este _• Larnoreaur P.O.202112 42., Lisa Lamoreaux, Director of Community Programs May 3, 2021 �q_ a -l9&, EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide various services to Weld County children, youth and families, as referred by the Department. 2. Services available under this Agreement include: a. Home -Based Services i. Home -Based Intensive Services 1. Capacity for Services: a. Meet three (3) to six (6) hours per week in the home. Intensity can be increased in response to need. i. Contractor will offer flexible appointment times based on referred family's needs. ii. Availability 24 hours a day, seven (7) days a week. iii. Service length is two (2) to six (6) months. 2. Goals of Service: To keep children safe and avoid both unnecessary removal and long separations from family in out -of -home care. a. Treatment goals to be mutually agreed up on by the family, Contractor, Department and other professionals. b. Service is flexible and individualized to each family member. c. Home -based model of service delivery is utilized to overcome barriers to service access and to provide treatment where problems actually occur; in the home, school and community settings. 3. Outcomes of Service: a. Stabilize family and reduce safety risks. i. Teach families to work with community agencies, assist in teaching parenting skills, stress reduction, problem -solving, and communication skills. ii. Families learn how to coordinate and advocate with school systems, court, and social services. iii. Service available for one year after discharge to aid in long- term success. b. Provide the family with referrals within their community to increase support system. 4. Target Population: a. Families who are in crisis or experiencing major struggles in functioning. b. Families with youth in the home who are acting out behaviorally c. Children ages 0-17. d. Children who are at risk for out -of -home placement, or transitioning back home from foster care, residential treatment, and youth corrections. e. Foster parents with children requiring stabilization. f. Parents, relatives, guardians, and foster parents 5. Service Access: a. 710 11th Avenue, Suite L-46, Greeley, CO 80631 b. Community -based or home based 6. Language: English only. ii. MentoringBehavioral Health Intervention 1. Capacity for Services: One (1) to two (2) hours per week in the home, school or community settings. a. Contractor will offer flexible appointment times based on referred family's needs. b. Service length is three (3) to 12 months. 2. Goals of Service: Treatment goals to be mutually agreed upon by the family, Contractor, Department and other professionals. 3. Outcomes of Service: a. Teach coordination with school systems, court and Department. b. Client will develop skills to advocate for oneself. c. Follow-up services available for one year after discharge, to aid in long -tern success. 4. Target Population: a. Families who are in crisis or experiencing major struggles in functioning. b. Family with youth in the home who are acting out behaviorally. c. Children, ages 0-17. d. Children who are at -risk for out -of -home placement or transitioning back home from foster care. e. Children who are in out -of -home placement and/or transitioning back home from out -of -home placement. 5. Service Access: a. 710 11th Avenue, Suite L-46, Greeley, CO 80631 b. Community -based or home based c. Services available via Telebehavioral (HIPPA compliant video conferencing) upon request. 6. Language: English only. b. Life Skills i. Life Skills 1. Capacity for Service: a. Flexible and individualized to each family. b. Families will meet one (1) to two (2) times per week totaling three (3) to four (4) hours per week in the home. i. Intensity can be increased in response to family's need. ii. Available 24 hours per day, seven (7) days per week. iii. Service length is two (2) to five (5) months. 2. Goals of Service: Treatment goals to be mutually agreed upon by the family, Contractor, Department and other professionals. a. Home -based model of service delivery is utilized to overcome barriers to service access and to provide treatment where problems actually occur; in the home, school and community settings. b. Coordination and advocacy with school systems, court, and the Department. c. Immediate mitigation of all safety risks and stabilization of the family. d. Individualized approach with the family, based on ethnicity, culture and lifestyles. 3. Outcomes of Service: a. Teach family to work with community agencies, assist in teaching ongoing parenting skills, as well as helping the parent(s) with stress reduction, problem -solving, and community skills. b. Teach the parent skills individually, as well as coach and model with the children present so that parents can implement skills once services end. c. Aid parent in learning life skills to become self-sustaining long-term. d. Services available one year after discharge to aid in long-term success. 4. Target Population: a. Parents or primary caregivers who in -home instruction with parenting skills, household management, and accessing community resources. b. Parents with children, ages 0-17, who are at risk of out -of -home placement. c. Parents with children, ages 0-17, who are placed out -of -home with relatives or in foster care. d. Children who are transitioning back home from out -of -home placement. 5. Service Access: a. 710 11th Avenue, Suite L-46, Greeley, CO 80631 b. Community -based or home based c. Services available via Telebehavioral (HIPPA compliant video conferencing) upon request. 6. Language: English only. ii. Therapeutic Visitation 1. Capacity for Services: a. One (1) to two (2) times per week for one (1) to three (3) hours. b. Service length is two (2) to six (6) months. 2. Goals of Service: Treatment goals to be mutually agreed upon by the family, Contractor, Department and other professionals. a. Parents will learn to address barriers to developing a healthy attachment and bond with their child(ren). b. Parents will learn to process past and current family dynamics. c. Parents and/or children will reduce maladaptive behaviors and learn coping skills. d. Families will be encouraged to engage in bonding activities and allow for a space to process issues/concems. 3. Outcomes of Service: a. The family will move to a lower level of a care. b. Clients will meet treatment goals. c. Clients will learn to engage each other in a healthy, appropriate manner. d. Parents will learn skills to help their children regulate and process past/current issues. 4. Target Population: a. Parents or primary caregivers whose children have been removed, and who need instruction with parenting skills, household management, and accessing community resources b. Parents or primary caregivers that struggle to engage their children in healthy developmentally appropriate conversations. c. Parents who need help processing past/current family dynamics. d. Parents and/or children who have maladaptive behaviors and need to be taught coping skills. e. Parents with barriers to developing a healthy attachment and bond with their child(ren). f. Parents with children, age 0-17, who are placed out of the home with relatives or in foster care. g. Children who are in out -of -home placement and/or transitioning back home from out -of -home placement. 5. Service Access: Throughout Weld County, community -based or in an office setting 6. Language: English only. Telebehavioral Therapeutic Visitation 1. Capacity for Services: a. Service will occur one (1) to two (2) times a week for no more than two (2) hours. b. Service length is three (3) to four (4) months. 2. Goals of Service: Treatment goals to be mutually agreed upon by the family, Contractor, Department and other professionals. a. Parents or primary caregiver and child(ren) will learn coping skills to help them regulate and effectively communication with each other. b. Parents will learn to address barriers to developing a healthy attachment and bond with their child(ren). c. Parents will learn to process past/current family dynamics. d. Parents and/or children will reduce maladaptive behaviors and learn coping skills. e. Families will be encouraged to engage in bonding activities and allow for a space to process issues/concerns. f. Ensure child's emotional safety during the visit and utilize therapeutic interventions throughout the visit to ensure the appropriateness of the parent/child interactions and improve parenting skills. 3. Outcomes of Service: a. Client/family will meet treatment goals. b. Client/family will learn to engage in a heathy, appropriate communication. c. Client/family will gain skills to advocate for their needs. 4. Target Population: a. Parents or primary caregivers whose children have been removed and who instruction with parenting skills, household management and accessing community resources. b. Parents with children, ages 0-17, who are placed out -of -home with relatives or in foster care. c. Children who are in out -of -home placement and/or transitioning back home from out -of -home placement. d. Children who may be moving to an out-of-state placement. 5. Service Access: Throughout Colorado so long as client has access to the Internet. 6. Language: English and Spanish. iv. Supervised Visitation and Telebehavioral Health Supervised Visitation: 1. Capacity of Services: a. One (1) to two (2) times per week for two (2) to three (3) hours per visit. b. Service length is two (2) to six (6) months. 2. Goals of Service: Treatment goals to be mutually agreed upon by the family, Contractor, Department and other professionals. a. Ensure child safety during the visit, closely monitor all parent/child interaction to ensure the appropriateness of the interactions, and to improve parenting skills. b. Interventions and parenting skills based on the established programs of "Love & Logic", "Nurturing Program" and "Common Sense Parenting". c. Teach parents skills individually, as well as coach and model with the child(ren) present. 3. Outcomes of Services: a. Family will move to a lower level of care. b. Parents or primary caregiver will have developed healthy developmentally appropriate parenting skills. 4. Target Population: a. Parents or primary caregivers whose children have been removed, and who need instruction with parenting skills, household management, and accessing community resources. b. Parents with children, ages 0-17, who are place out -of -home with relatives or in foster care. c. Children who are in out -of -home placement and/or transitioning back home from out -of -home placement. 5. Service Access: a. Throughout Weld County, community based or can take place in an office setting (710 11th Avenue, Suite L-46, Greeley, CO 80631). b. Telebehavioral, so long as client has access to the Internet. 6. Language: English only. c. Mental Health Services i. Mental Health Services and Telebehavioral Health Individual and Family Therapy 1. Capacity for Services: a. One (1) to two (2) times per week for two (2) to three (3) hours per visit. b. Service length is three (3) to six (6) months, dependent on each individual client(s) need. 2. Goals of Service: Treatment goals to be mutually agreed upon by the family, Contractor, Department and other professionals. a. Client/family will process family dynamics and life stressors. b. Client will meet treatment goals created by the client, family, Contractor and Department. c. Client will process trauma and gain skills on how to manage triggers moving forward. d. Other skill areas include anger management, problem -solving, home management and accessing community resources. 3. Outcomes of Service: a. Client and/or family will meet their treatment goals. b. Client/family will learn to engage in a healthy, appropriate communication. c. Client/family will gain skills to advocate for their needs. 4. Target Population (Mental Health Services): a. Families with youth in the home who are acting out behaviorally. b. Families who are in crisis or experiencing major struggles in functioning. c. Families with youth in the home who are acting out behaviorally. d. Children, ages 0-17. e. Children who are at risk for out -of -home placement or transitioning back home from foster care. 5. Target Population (Telebehavioral Health Individual and Family Therapy): a. Families who are struggling with communication. b. Youth/or families that move frequently. c. Families with youth in the home who are acting out behaviorally. d. Children ages 10 and older (individual therapy). e. Parents who like to improve attachment and bond with children. 6. Service Access: a. 710 11th Avenue, Suite L-46, Greeley, CO 80631. b. Services based out of Weld County, can be community and/or home based. c. Telebehavioral (HIPPA compliant video conferencing), throughout Colorado so long as client has access to the Internet. 7. Languages: a. Mental Health Services: English only. b. Telebehavioral Health Individual and Family Therapy: English and Spanish. ii. Reload (Reboot Educational Learning Opportunities Affecting) 1. Capacity for Services: Three (3) months, 12 individual session and two (2) family sessions to complete. 2. Goals of Service: Treatment goals to be mutually agreed upon by the family, Contractor, Department and other professionals. a. Provide students with an individualized educational and career portfolio that includes future planning, career assessment, financial budget, educational and career track. 3. Outcomes of Service: a. Provide students with the skills and resources to achieve academic improvement and self -development. b. A completed portfolio that includes a personal statement, resume, financial budget, job or college applications, names, addresses and phone number of references, letters of recommendation and a copy of high school transcripts. 4. Target Population: a. Students who are currently truant, lacking the credits to graduate and struggling to utilize school resources. b. Students, 16 to 18 years old, of any gender. Contractor will consider students age 15. 5. Service Access: a. 710 11th Avenue, Suite L-46, Greeley, CO 80631. b. Community base and/or home based. c. Telebehavioral (HIPPA compliant video conferencing), upon request. 6. Language: English only. iii. Truancy ASK (Advocate Success for Kids) 1. Capacity for Services: a. Flexible frequency and duration dependent on the needs of the client and family. b. Two (2) hours per week in the home and one (1) hour a week case management. c. Service length is three (3) to six (6) months, dependent on each individual client(s) need. 2. Goals of Service: Treatment goals to be mutually agreed upon by the family, Contractor, Department and other professionals. a. Maximization of student's educational potential both inside and outside the school setting. b. Promotion of academic achievement, attendance, good character, responsible decision -making, and mental health wellness. c. Empowerment of parents through family therapy sessions to provide a foundation for positive parental influence and school attendance. 3. Outcomes of Service: a. Students will be guided to develop career/vocational plans b. Prevention of academic failure c. Increased attendance d. Decreased behavioral problems in and out of school e. Development of social skills f. Creation of structure in the home g. Repaired family relationships h. Creation of an individualized treatment plan for the student's mental health 4. Target Population: Any age or gendered student who is currently truant from school, historically truant from school, or at risk of truancy. 5. Service Access: a. 710 11th Avenue, Suite L-46, Greeley, CO 80631. b. Community base and/or home based. c. Telebehavioral (HIPPA compliant video conferencing), upon request. 6. Language: English and Spanish (dependent upon availability). d. Foster Parent Training i. Foster Parent Training 1. Modalities, curriculum, tools used in delivery of service: a. Psychoeducation on parenting b. Topics such as trauma or any others needed c. PowerPoint d. Lecture e. Handouts f. Activities 2. Anticipated frequency of services: a. As needed. 3. Anticipated duration of services: a. Two (2) hours per training. 4. Goals of Service: a. To provide education as needed for foster parents, staff, and others. b. Foster parents will learn signs, symptoms, and behaviors commonly seen in traumatized children. c. Foster parents will learn trauma -informed parenting skills. 5. Outcomes of Service: a. Foster parents will gain increased confidence in parenting skills. b. Participants will have increased understanding around trauma and trauma -informed approaches to parenting. c. Participants will have increased confidence in collaborating with therapeutic professionals to address trauma. 6. Target Population: a. Foster parents and staff who work with both foster parents and foster children. 7. Languages: a. English only 8. Medicaid Eligibility: a. This service is not eligible for Medicaid. Terms 1. Contractor will respond to the Quality Assurance Team (HS-CWQualitvAssurance(a weldgov.com within three (3) business days regarding the ability to accept the received referral. 2. Upon acceptance of a referral, Contractor will offer an initial appointment within seven (7) days of receiving the referral. The first attempt to contact the client will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If the client does not respond after three (3) attempts in the first seven (7) days of the referral period, the Contractor will noffy the caseworker and the Quality Assurance Team HS - C W Q ua lityAs su ra nce(uweldgov. com. 3. Contractor understands that "no shows" are defined as unexcused and unplanned/uncommunicated absences for services. If a rate for "no shows" is not specifically stated in Exhibit D, Rate Schedule, then Contractor understands that the Department will not reimburse for "no shows". Contractor understands that the Department will only reimburse Contractor for up to two (2) "no-shows", or up to two (2) hours, on the part of case participants who cancel without 24 hour notice. After three (3) "no-shows", Contractor will place client on a behavioral plan requiring attendance or discharged client from services. Contractor must inform the caseworker and the Quality Assurance Team HS-CWQualitvAssurance(aweldgov.com. 4. Contractor understands that the Department will not reimburse Contractor for cancelled appointments either on the part of the client or the Contractor. If the cancellation is generated from the Contractor, a "makeup" session/episode, to occur within 30 days of the cancellation, will be offered to the client (excluding session/episodes that fall on holidays). If the cancellation is generated from the client, the Contractor must request a makeup session from the Department prior to the makeup session occurring (excluding session/episodes that fall on holidays). After three (3) cancellations, Contractor will inform the caseworker and the Quality Assurance Team HS-CWQualityAssurance(a�weldgov.com immediately via email, to discuss service continuation. 5. Contractor will identify in detail areas of continued concern and make recommendations to the Department regarding continuation of services and/or the need for additional services. 6. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately AND on the regiired monthly report. 7. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 8. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Core Service Coordinator or any member of the Quality Assurance Team. Any changes to visitation referrals will be approved by the caseworker, their supervisor, or the Family Support and Visitation Center. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 9. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Bid Meetings, Professional Staffings, Family Team Meetings and/or Team Decision Making meetings. The Department will reimburse for actual participation in the meeting only so long as there is written authorization from the Quality Assurance Team, and the Contractor obtains the Facilitator's signature on the Client Verification Form (if in person) at the time of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. The Facilitator will be responsible for filling out the time attended on the Client Verification Form. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. Contractor may participate by phone, if approved by the Department. 10. Contractor will notify the Quality Assurance Team HS-CWQualitvAssurance(aweldgov.com of new staff who will manage and/or administer the services with the following information: a. Staff member name and contact information b. Education level/degree (if applicable) c. Licensure/credentials (if applicable) d. Department of Regulatory Authority (DORA) number (if applicable) e. Supervisor name and contact information The Department reserves the right to decline the new staff members managing and/or administering services to Department clients. Exhibit D Rate Schedule Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after May 31, 2022. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. Fees for Services Home Based Services: Rate Unit Type Service Name $64.00 Hour Family Preservation Services $91.00 Hour Family Preservation Services In-home/Community $91.00 Hour Family Preservation Services in -office with transportation $54.00 Hour Mentoring Services in office or Telelbeavioral Health $76.00 Hour Mentoring Services in -office with transportation $76.00 Hour Mentoring Services In-home/Community Life Skills: Rate Unit Type Service Name $56.00 Hour Parenting Skills — in office or Telebehavioral Health $25.00 Hour Parenting Skills Group — Four (4) or more clients $79.00 Hour Parenting Skills In-home/Community $63.00 Hour Supervised Visitations — in office or Telebehavioral Health $90.00 Hour Supervised Visitation — In-home/Community $90.00 Hour Supervised Visitation — In office with transportation $68.00 Hour In -office or Telebehavioral Health Therapeutic Visitation $97.00 Hour Partial Telebehavioral Health Therapeutic Visitation — In-home/Community Mental Health Services: Rate Unit Type Service Name $74.00 Hour Family Therapy — In Office or Telebehavioral Health $106.00 Hour Family Therapy — In office with transportation $106.00 Hour Family Therapy — In-home/Community $70.00 Hour Individual Therapy — In Office or Telebehavioral Health $100.00 Hour Individual Therapy —In office with transportation $100.00 Hour Individual Therapy — In-home/Community $54.00 Hour RELOAD — Reboot Educational Learning Opportunities Affecting Direction $76.00 Hour RELOAD — Reboot Educational Learning Opportunities Affecting Direction — In office with transportation $76.00 Hour RELOAD — Reboot Educational Learning Opportunities Affecting Direction — In-home/Community $57.00 Hour TrYancy ASK - In Office or Telebehavioral Health $81.00 Hour Traancy ASK - In office with transportation $81.00 Hour Truancy ASK - In-home/Community $35.00 Hour Truancy ASK — Case Management Services, 1-2 hours/week Foster Care/Adoption Support: Rate Unit Type Service Name $125.00 Hour Foster Parent Training Other: Rate Unit Type Service Name $0.56 Mile Transportation $25.00 Hour No show $150.00 Service Intake $35.00 Hour Family Team Meeting (FTM), Staffing, Team Decision Making Meeting (TDM) Submittal of Vouchers Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other supporting documentation, and monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7th day of the month following the month of service, but no later than 60 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline may result in termination of the Agreement. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the completed product. For Monitored Sobriety services, proof of services rendered shall be the test result. Contract Forrri New Contract Request Entity Information Entity Name* Entity ID' GRIFFITH CENTERS FOR CHILDREN INC ?00029886 (..._l New Entity? Contract Name* Contract ID GRIFFITH CENTERS FOR. CHILDREN INC. (AGREEMENT 47'52 AMENDMENT) Contract Status ClB REVIEW Contract Description .x RID ,=B1900025. TEEM: 6 ' 1 .21-5,31 '22. Contract Lead APEGG Contract Lead Email apes gc,77:iweidgov.corncobbx xlk;_=•weidgov.corn Contract Description 2 (: ON SENT. PA IS BEING ROUTED THROUGH THE NORMAL.. PRC..)C:ES 5. E.TA TO C;TR 511 3 '2 1 . Contract Type* AMENDMENT Amount* 50.00 Renewable'* NC, Automatic Renewal IGA Department HUMAN SERVICES Department Email CM- Huma:nServices Awerdgov.co m Department Flead Email CM-HurnanSennces- DeptHead wveldgov,corn County Attorney GENERAL COUNTY AI I _ ORN'EY EMAIL County Attorney Email CM- COUN'TYATTORNEY v`ELDC 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 ** 05,2'.J :' 021 Parent Contract ID 20192190 Requires Board Approval' YES Department Project Due Date 05,22'2021 Will a workk session with BOCC be required?* NO Dues 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 OnBa.se Contract Dates Effective Date Review Date .x J 01 : 2022 Renewal Date Termination Notice Period Contact Information Contact Info Contact Name Purchasing Purchasing Approver CONSENT Approval Process Department Head JAMIE ULRIC"H DH Approved date 05'11;2021 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Efate 05 17 2021 Originator APEGG Committed Delivery Date Contact Type Contact Email Finance Approver' CONSENT Expiration Date 05;`31 2022 Contact Phone 1 Purchasing Approved Date. 05,11.2021 Finance Approved Date 05 31 2021 Tyler Ref ## AC 051721 Legal Counsel CONSENT Contact Phone 2 Legal Counsel Approved Date 05 11 2021 Cam+ ,,� 36 7q PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: May 26, 2020 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Agreement Amendment with Griffith Centers for Children Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Agreement Amendment with Griffith Centers for Children. The Department entered into a Child Protection Agreement for Services, identified as Tyler ID 2019-2196, on June 12, 2019 for the term June 1, 2019 through May 31, 2020. The agreement was amended on April 29, 2020, to extend the term from June 1, 2020 through May 31, 2021. The vendor has requested to add the following rates for the following services: - $25.00/Hour (No -Show for all Home -Based Services) - $25.00/Hour (No -Show for Parenting Skills) - $25.00/Hour (No -Show for all Mental Health Services) I do not recommend a Work Session. I recommend approval of this Amendment and authorize the Chair to sign. Approve Recommendation Mike Freeman, Chair Scott James Barbara Kirkmeyer Steve Moreno, Pro-Tem Kevin Ross Schedule Work Session Other/Comments: Pass -Around Memorandum; May 26, 2020 — CMS 3679 Bid No. B1900025 Cal- el co 7./A a:6x- to- l 7- -2-° Page 1 ,2. I - I qg I#go®9'a. AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND GRIFFITH CENTERS FOR CHILDREN This Agreement Amendment, made and entered into / day of , 2020 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Hu Services, hereinafter referred to as the "Department", and Griffith Centers for Children, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement Life Skills, Home Based Services, Child Mentoring, and Family Support "Original Agreement" identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2196, approved on June 12, 2019. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on May 31, 2021. • The Original Agreement was amended on November 27, 2019 and April 29, 2020. The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2019-2196. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Exhibit D, Rate Schedule, is hereby amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: ditIfilti �• Weld C n Clerk to the Board By: Deputy Clerk the : oard Bid: B1900025 COUNTY: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Mike Freeman, Chair JUN 1 CONTRACTOR: Griffith Centers for Children 1724 Gilpin Street Denver, CO 80218 By: Lisa Lamoreau, Director of Community Programs Date: May 22, 2020 C3.g/--/ Lisa Lamoreaux (May 22, 2020 09:48 MDT) 02o/9-02 / 9( Exhibit D — Rate Schedule 2020-21 Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after May 31, 2021. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. Fees for Services Home Based Services: $59.00/Hour (Family Preservation Services) $59.00/Hour (Family Preservation Services — Intake up to 2 hours) $86.00/Hour (Family Preservation Services In-home/Community) $86.00/Hour (Family Preservation Services In-home/Community — Intake up to 2 hours) $30.00/Hour (Family Team Meeting (FTM), Staffing, Team Decision Making Meeting (TDM)) $49.00 (Mentoring Services) $49.00 (Mentoring Services - Intake) $71.00 (Mentoring Services In-home/Community) $71.00 (Mentoring Services In-home/Community — Intake up to 2 hours) $.56/Mile (Transportation for all home -based services) $25.00/Hour (No show for all home -based services) Life Skills: $30.00/Hour (Family Team Meeting (FTM), Staffing, Team Decision Making Meeting (TDM)) $51.00/Hour (Parenting Skills) $51.00/Hour (Parenting Skills — Intake up to 2 hours) $20.00/Hour (Parenting Skills Group — Four (4) or more clients) $74.00/Hour (Parenting Skills In-home/Community) $74.00/Hour (Parenting Skills In-home/Community — Intake up to 2 hours) $25.00/Hour (No show for all parenting skills services) $58.00/Hour (Supervised Visitations) $58.00/Hour (Supervised Visitation — Intake up to 2 hours) $85.00/Hour (Supervised Visitation In-home/Community) $85.00/Hour (Supervised Visitation In-home/Community — Intake up to 2 hours) $25.00/Hour (Supervised Visitation — No-shows) $58.00/Hour (Telebehavioral Health Supervised Visitation) $58.00/Hour (Telebehavioral Health Supervised Visitation — Intake up to 2 hours) $85.00/Hour (Telebehavioral Health Supervised Visitation — In-home/Community) $85.00/Hour (Telebehavioral Health Supervised Visitation — In-home/Community — Intake up to 2 hours) $25.00/Hour (Telebehavioral Health Supervised Visitation — No-shows) $63.00/Hour (Telebehavioral Health Therapeutic Visitation) $63.00/Hour (Telebehavioral Health Therapeutic Visitation — Intake up to 2 hours) $92.00/Hour (Telebehavioral Health Therapeutic Visitation — In-home/Community) $92.00/Hour (Telebehavioral Health Therapeutic Visitation — In-home/Community — Intake up to 2 hours) $25.00/Hour (Telebehavioral Health Therapeutic Visitation — No-shows) $63.00/Hour (Therapeutic Visitations) $63.00/Hour (Therapeutic Visitation — Intake up to 2 hours) $92.00/Hour (Therapeutic Visitation In-home/Community) $92.00/Hour (Therapeutic Visitation In-home/Community— Intake up to 2 hours) $25.00/Hour (Therapeutic Visitation — No-shows) $.56/Mile (Transportation for all visitations) Mental Health Services: $30.00/Hour (Family Team Meeting (FTM), Staffing, Team Decision Making Meeting (TDM)) $69.00/Hour (Family Therapy) $69.00/Hour (Family Therapy — Irrtake up to 2 hours) $101.00/Hour (Family Therapy— In-home/Community) $101.00/Hour (Family Therapy — In-home/Community — Intake up to 2 hours) $65.00/Hour (Individual Therapy) $65.00/Hour (Individual Therapy — Intake up to 2 hours) $95.00/Hour (Individual Therapy — In-home/Community) $95.00/Hour (Individual Therapy— In-home/Community— Intake up to 2 hours) $49.00/Hour (RELOAD — Reboot Educational Learning Opportunities Affecting Direction) $49.00/Hour (RELOAD — Reboot Educational Learning Opportunities Affecting Direction — Intake up to 2 hours) $71.00/Hour (RELOAD — Reboot Educational Learning Opportunities Affecting Direction — In-home/Community) $71.00/Hour (RELOAD — Reboot Educational Learning Opportunities Affecting Direction — In-home/Community — Intake up to 2 hours) $69.00/Hour (Telebehavioral health Family Therapy) $69.00/Hour (Telebehavioral Health Family Therapy— Intake up to 2 hours) $101.00/Hour (Telebehavioral Health Family Therapy — In-home/Community) $101.00/Hour (Telebehavioral Health Family Therapy — In-home/Community — Intake up to 2 hours) $65.00/Hour (Telebehavioral Health Individual Therapy) $65.00/Hour (Telebehavioral Health Individual Therapy — Intake up to 2 hours) $95.00/Hour (Telebehavioral Health Individual Therapy— In-home/Community) $95.00/Hour (Telebehavioral Health Individual Therapy — In-home/Community — Intake up to 2 hours) $.56/Mile (Transportation for all Mental Health Services) $52.00/Hour (Truancy ASK) $52.00/Hour (Truancy ASK — Intake up to 2 hours) $76.00/Hour (Truancy ASK — In-home/Community) $76.00/Hour (Truancy ASK — In-home/Community — Intake up to 2 hours) $30.00/Hour (Truancy ASK — Case Management Services, 1-2 hours/week) $25.00/Hour (No show for all Mental Health Services) Submittal of Vouchers Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other supporting documentation, and monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7th day of the month following the month of service, but no later than 60 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline may result in termination of the Agreement. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the completed product. For Monitored Sobriety services, proof of services rendered shall be the test result. Contract Form New Contract Request Entity Information Entity Name* GRIFFITH CEN I ERS FOR CHILDREN INC Entity ID* �rt0029886 Contract Name* GRIFFITH CENTERS FOR CHILDREN {AGREEMENT AMENDMENT} Contract Status CTB REVIEW ❑ New Entity? Contract ID 3679 Contract Lead* CULLINTA Contract Lead Emaii cullinta@co:weld.co.us;cobbxxl k@co_weld.co.us Parent Contract ID Requires Board Approval YES Department Project # Contract Description* BID NO. B1900025. THIS IS NOT CONSENT. YOU WILL RECEIVE A SEPERATE PA. AGREEMENT AMENDMENT TO ADD NO SHOW RATE RATE FOR ALL HOME -BASED SERVICES. PARENTING SKILLS, AND MENTAL HEALTH SERVICES. FUNDING: CORE/OTHER. TERM: 06/01/20 - 05/31/21 Contract Description 2 Contract Type* AGREEMENT Amount* $0.00 Renewable* NO Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HumanServices@weldgov.com Department Head Email CM-HumanServices- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WELD GOV.COM Requested ®DCC Agenda Date* 06/02/2021 Due Date 05/29/2021 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Elates Effective Date Review Date* Renewal Date 04/01/2021 Termination Notice Period Committed Delivery Date Expiration Date* 05/31/2021 Contact Information Contact Info Contact Name Purchasing Purchasing Approver Approval Process Department Head JAMIE ULRICH DH Approved Date 06/09/2020 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 06/17/2020 Originator SNYDERKL Contact Type Contact Email Finance Approver BARB C©NN©LLY Contact Phone 1 Contact Phone 2 Purchasing Approved Date Finance Approved Date 06/10/2020 Tyler Ref I AG 061720 Legal Counsel GABE KALOUSEK Legal Counsel Approved Date 06/1012020 Submit Gion-i-cit- TV 44. 8551 PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: April 2, 2020 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Child Welfare 2020-21 Service Provider Agreement Amendments Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Child Welfare 2020-21 Service Provider Agreement Amendments. The Department entered into agreements with various Child Welfare service providers through the 2019-20 Request for Proposal (RFP), identified as Tyler ID 2019-0707). These agreements were issued for a period of three years with the option to renew annually. The attached list reflects the providers, services and rates, including minor rate changes, the Department wishes to enter into for the period of June 1, 2020 through May 31, 2021. The Human Services Advisory Commission (HSAC) has reviewed and approved this information. Upon Board approval of this pass -around, signed agreement amendments will be obtained from providers and submitted to the Board for approval and Chair signature. I do not recommend a Work Session. I recommend approval of these Agreement Amendments. Mike Freeman, Chair Scott James Barbara Kirkmeyer Steve Moreno, Pro-Tem Kevin Ross Approve Schedule Recommendation Work Session Other/Comments: Pass -Around Memorandum; April 2, 2020 — Not in CMS Gor► SP�r►�" ®fri 1459 0..6,e6e_ ©� /21720 Page l ,2D/ef— -</16 Pg©og0 VENDOR RENEWALS Vendor Program Area Day Treatment Services Service Name IDD Special Education Costs Funding Core ' Rate $ 2,644.00 Unit Type Month Regular Special Education Costs Core $ 1,430.00 Month Therapeutic &1'iDD Special Education Costs Core $-- 4,394.00 Month Therapeutic & Regular Special Education Costs Core $ 3,180.00 Month Therapeutic Costs Core 1,750.00 Month , Devereux Cleo Wallace Day Treatment Services Educational Costs Core $ 67.36 Day Full Therapeutic $ Educational Costs Core $ 164.36 Day Therapeutic Costs Core $ 97.00 Day Done On Time, LLC Monitored Sobriety Services 8 Panel Urinalysis CW Block/Child Welfare Services $. 25.00 Test Breathalyzer CW Block/Child Welfare Services $ 5.00 Test Confirmation Testing, Per Drug ' CW Block/Child Welfare Services $ 25.00 Drug Hair CW Block/Child Welfare Services $ 135.00 Test Oral Swab CW Block/Child Welfare Services $ 45.00 Test Empowering Choices Therapy -Manchester, Keith Sexual Abuse Treatment Family Therapy Core $ 90.00 Episode Individual Therapy Core $ 75:00 Episode Staffing, FTM, TDM, Court, etc. Core $ 75.00 Month Flynn Counseling, LLC Mental Health Services Mental Health Evaluations Core $ 300.00 Episode Sexual Abuse Treatment Boundaries Course -Group Core $ 40.00 Hour Boundaries Course -Individual Core $ 80.00 Hour Family Therapy/Parent Support Core $ 80.00 Hour Female Offenders Individual Treatment Core $ 80:00 Hour Informed Supervision Core $ 80.00 Hour Juvenile Offense Specific Treatment: Contact Offense Group Core $ .40.00 Hour Juvenile Offense Specific Treatment: Individual Core $ 80.00 Hour Juvenile Offense Specific Treatment: Internet Offense Group Core $ 40.00 Hour Juvenile Offense Specific Treatment: Non -Contact Offense Group Core $ 40.00 Hour Multidisciplinary Team Meetings (MDT)/Staffings Core $ 80.00 Hour Psychosexual Evaluations Core $ 850.00 Episode Sexually Reactive Individual Treatment Core $ 80.00 Hour Young Adult Sex Offense Treatment: Contact Offense Group Core $ 40.00 Hour Young Adult Sex Offense Treatment: Individual Core $ 80.00 Hour Young Adult Sex Offense Treatment: Internet Offense Group Core $ 40.00 Hour Young Adult Sex Offense Treatment: Non -Contact Offense Group Core $ 40.00 Hour Frances Garcia -Garcia Family Guidance Mentoring FTMs Core $ 85.00 Episode Mentoring Core 65.00 Hour Graceful Oaks Youth Ranch Child Mentoring and Family Support Certified Equine Sessions Core $ 60.00 Hour Empowering Youth Leadership Camp Core $ 250.00 Episode Equine Mentoring Session Core $ 25.00 Hour Greeley Counseling Center, P.C. Mental Health Services Parent/Child Interactional Evaluation Core $ 300.00 Hour Psychological Evaluation - Adult or Adolescent Core $ 300.00 Hour Staffing, FTM, TDM, Court Facilitation, etc. Core $ 150.00 Hour Griffith Centers for Children, Inc. - Chins Up Child Mentoring and Family Support Mentoring Services Core $ 49.00 Hour WELD COUNTY DEPT. OF HUMAN SERVICES - CHILD WELFARE DIVISION 2020-21 SERVICE VENDORS (CORE/NON-CORE) BID NO.: B2000037 4 VENDOR RENEWALS Vendor Program Area Service Name Mentormg Services, In Home/Community Based Funding Core Rate $ 71.00 Unit Type Hour Mentoring Services, In Home/Community Based - Intake Core $ 71.00 Hour Mentoring Services -Intake Core $ 49.00 Hour Staffing, FTM, TDM, etc. Core $ 30.00 Hour Transportation Core $ 0.56 Mile Home Based Services Family Preservation Services Core $ 59.00 Hour Family Preservation Services, In Home/Community Based Core $ 86.00 Hour Family Preservation Services, In Home/Community Based -Intake Core $ 86.00 Hour Family Preservation Services -Intake < Core $ 59.00 Hour Staffing, FTM, TDM, etc. Core $ 30.00 Hour Transportation Core $, 0.56 Mile Life Skills No Show -Visitation Services Only Core $ 25.00 Hour Parenting Skills Core ` $ 51.00 Hour Parenting Skills Group -Four (4) or More Clients Core $ 20.00 Hour Parenting Skills, In Home/Community Core $ 74.00 Hour Parenting Skills, In Home/Community-Intake Core $ 74.00 Hour Parenting Skills -Intake Core $ 51.00 Hour Staffing, FTM, TDM, etc. Core $ 30.00 Hour Supervised Visitation Core $ 58.00 Hour Supervised Visitation, In Home/Community Core $ 85.00 Hour Supervised Visitation, In Home/Community-Intake Core $ 85.00 Hour Supervised Visitation -Intake Core $ 58.00 Hour Telebehavioral Health Supervised Visitation Core $ 58:00 Hour Telebehavioral Health Supervised Visitation, In Home/Community Core $ 85.00 Hour Telebehavioral Health Supervised Visitation, In Home/Community-Intake Core $' 85.00 Hour Telebehavioral Health Supervised Visitation -Intake Core $ 58.00 Hour Telebehavioral Health Therapeutic Visitation Core $ 63.00 Hour Telebehavioral Health Therapeutic Visitation, In Home/Community Core $ 92.00 Hour Telebehaviaral Health Therapeutic Visitation, In Home/Community-Intake Core $ 92.00 Hour Telebehavioral Health Therapeutic Visitation -Intake Core $ 63.00 Hour Therapeutic Visitation Core $-,' 63.00 Hour Therapeutic Visitation, In Home/Community Core $ 92.00 Hour Therapeutic Visitation, In Home/Community-Intake Core $' 92.00 Hour Therapeutic Visitation -Intake Core $ 63.00 Hour Transportation -All Visitation Services tore $ 0.56 Mile Mental Health Services Family Therapy Core $ 69.00 Hour Family Therapy, In Home/Community Core $ 101.00 Hour Family Therapy„ In Home/Community-Intake Core $ 101.00 Hour WELD COUNTY DEPT. OF HUMAN SERVICES - CHILD WELFARE DIVISION 2020-21 SERVICE VENDORS (CORE/NON-CORE) BID NO., B2000037 5 VENDOR RENEWALS Vendor Program Area Service Name Family Therapy -Intake '. Funding Core" Rate $ 69:00 Unit Type Hour Individual Therapy Core $ 65.00 Hour Individual Therapy, In Home/Community Core $ 95..00 Hour . Individual Therapy, In Home/Community-Intake Core $ 95.00 Hour Individual Therapy -Intake Core $ 65.00 Hour Reload -Reboot Educational Learning Opportunities Affecting Direction Core $ 49.00 Hour Reload -Reboot Educational Learning Opportunities Affecting Direction, In Home/Community Based Core $ 71.00 Hour " Reload -Reboot Educational Learning Opportunities Affecting Direction, In Home/Community Based - Intake Core $ 71.00 Hour Reload -Reboot Educational Learning Opportunities Affecting Direction -Intake Core $ 49.00 Hour Staffing, FTM, TDM, etc. Core $ 30.00 Hour Telebehavioral Health Family Therapy Core $ 69.00 Hour Telebehavioral Health Family Therapy, In Home/Community Based Core $ 101.00 Hour Telebehavioral Health Family Therapy, In Home/Community Based -Intake Core $ 10100 Hour Telebehavioral Health Family Therapy -Intake Core $ 69.00 Hour Telebehavioral Health individual Therapy Core $ 65.00 Hour ' Telebehavioral Health Individual Therapy, In Home/Community Based Core $ 95.00 Hour Telebehavioral Health Individual Therapy, in Home/Community Based -Intake Core $ 95.,00 Hour Telebehavioral Health Individual Therapy -Intake Core $ 65.00 Hour Transportation-Att Mental Health Services Core $ 0.56 Mile Truancy ASK (Advocate Success for Kids) Core $ 52.00 Hour Truancy ASK (Advocate :Success for Kids), In Home/Community Based" Core $ 76.00 Hour Truancy ASK (Advocate Success for Kids), In Home/Community Based -Intake Core $ 76.00 Hour Truancy ASK (Advocate Successfor Kids) -intake Core $ 52:00 Hour Truancy ASK -Case Management Services Core $ 30.00 Hour Harmony Acres Equestrian Center Mental Health Services Animal -Assisted Psychotherapy Core $ 85.00 Hour Heart -Centered Counseling Mental Health Services Medication Management Core $ 68.00 15 Min Medication Management, Assessment Core $ 158.00 Episode Medication Management, Discount Core $ 100.00 30 min Mental Health Assessment Core $ 100.00 Hour Neuropsychological Evaluation Core $ 126.00 Hour No Show -Master's Level Session " Core $ 85:00 Hour No Show-Ph.D. Level Session Core $ 93.00 Hour Outpatient Psychotherapy, Master's Level Core $ 89.00 Hour Outpatient Psychotherapy, Ph.D. Level Core $ 98.00 Hour IDEA Forum, Inc. Domestic Violence Intervention Anger Management Evaluation CW Block/Child Welfare Services $ 125.00 Episode Domestic Violence Group CW Block/Child Welfare 5er/ices $ 35.00 Episode Domestic Violence Intake Evaluation CW Block/Child Welfare Services $ 80:00 Episode WELD COUNTY DEPT- OF HUMAN SERVICES - CHILD WELFARE DIVISION 2020-21 SERVICE VENDORS (CORE/NON-CORE) BID NO.: 82000037 6 Lorri-rat-e.,71- -rD 335,' AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND GRIFFITH CENTERS FOR CHILDREN . This Agreement Amendment, made and entered into day of of Weld County Commissioners, on behalf of the Weld County Department of Hum "Department", and Griffith Centers for Children, hereinafter referred to as the "Contractor". 2020 by and between the Board Services, hereinafter referred to as the WHEREAS the parties entered into an Agreement for Life Skills, Home Based Services, and Child Mentoring and Family Support (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2196, approved on June 12, 2019. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on May 31, 2020. • The Original Agreement was amended on November 27, 2019. The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2019-2196. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Term This agreement is being renewed for a second full year term, for the period of June 1, 2020 through May 31, 2021. 2. Exhibit D, Rate Schedule, is hereby amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: Weld C • ntv Clerk to the Board By: Deputy Clerk tr�' — e Bard COUNTY: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO TRAS14_3, Mike Freeman, Chair CONTRACTOR: Griffith Centers for Children 1724 Gilpin Street Denver, CO 80218 Lisa Lamoreaux (Apr 17, 2020) APR 2 9 2020 By: Lisa Lamoreau, Director of Community Programs Date: Apr 17, 2020 6;)L64.4 -e Cam) �f-a�-�� t-®eato Exhibit D — Rate Schedule 2020-21 Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after May 31, 2021. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. Fees for Services Home Based Services: $59.00/Hour (Family Preservation Services) $59.00/Hour (Family Preservation Services — Intake up to 2 hours) $86.00/Hour (Family Preservation Services In-home/Community) $86.00/Hour (Family Preservation Services In-home/Community — Intake up to 2 hours) $30.00/Hour (Family Team Meeting (FTM), Staffing, Team Decision Making Meeting (TDM)) $49.00 (Mentoring Services) $49.00 (Mentoring Services - Intake) $71.00 (Mentoring Services In-home/Community) $71.00 (Mentoring Services In-home/Community — Intake up to 2 hours) $.56/Mile (Transportation for all home based services) Life Skills: $30.00/Hour (Family Team Meeting (FTM), Staffing, Team Decision Making Meeting (TDM)) $51.00/Hour (Parenting Skills) $51.00/Hour (Parenting Skills — Intake up to 2 hours) $20.00/Hour (Parenting Skills Group — Four (4) or more clients) $74.00/Hour (Parenting Skills In-home/Community) $74.00/Hour (Parenting Skills In-home/Community — Intake up to 2 hours) $58.00/Hour (Supervised Visitations) $58.00/Hour (Supervised Visitation — Intake up to 2 hours) $85.00/Hour (Supervised Visitation In-home/Community) $85.00/Hour (Supervised Visitation In-home/Community— Intake up to 2 hours) $25.00/Hour (Supervised Visitation — No-shows) $58.00/Hour (Telebehavioral Health Supervised Visitation) $58.00/Hour (Telebehavioral Health Supervised Visitation — Intake up to 2 hours) $85.00/Hour (Telebehavioral Health Supervised Visitation — In-home/Community) $85.00/Hour (Telebehavioral Health Supervised Visitation — In-home/Community— Intake up to 2 hours) $25.00/Hour (Telebehavioral Health Supervised Visitation — No-shows) $63.00/Hour (Telebehavioral Health Therapeutic Visitation) $63.00/Hour (Telebehavioral Health Therapeutic Visitation — Intake up to 2 hours) $92.00/Hour (Telebehavioral Health Therapeutic Visitation — In-home/Community) $92.00/Hour (Telebehavioral Health Therapeutic Visitation — In-home/Community — Intake up to 2 hours) $25.00/Hour (Telebehavioral Health Therapeutic Visitation — No-shows) $63.00/Hour (Therapeutic Visitations) $63.00/Hour (Therapeutic Visitation — Intake up to 2 hours) $92.00/Hour (Therapeutic Visitation In-home/Community) $92.00/Hour (Therapeutic Visitation In-home/Community — Intake up to 2 hours) $25.00/Hour (Therapeutic Visitation — No-shows) $.56/Mile (Transportation for all visitations) Mental Health Services: $30.00/Hour (Family Team Meeting (FTM), Staffing, Team Decision Making Meeting (TDM)) $69.00/Hour (Family Therapy) $69.00/Hour (Family Therapy — Intake up to 2 hours) $101.00/Hour (Family Therapy— In-home/Community) $101.00/Hour (Family Therapy — In-home/Community — Intake up to 2 hours) $65.00/Hour (Individual Therapy) $65.00/Hour (Individual Therapy— Intake up to 2 hours) $95.00/Hour (Individual Therapy — In-home/Community) $95.00/Hour (Individual Therapy — In-home/Community— Intake up to 2 hours) $49.00/Hour (RELOAD— Reboot Educational Learning Opportunities Affecting Direction) $49.00/Hour (RELOAD — Reboot Educational Learning Opportunities Affecting Direction — Intake up to 2 hours) $71.00/Hour (RELOAD — Reboot Educational Learning Opportunities Affecting Direction — In-home/Community) $71.00/Hour (RELOAD — Reboot Educational Learning Opportunities Affecting Direction — In-home/Community — Intake up to 2 hours) $69.00/Hour (Telebehavioral Health Family Therapy) $69.00/Hour (Telebehavioral Health Family Therapy — Intake up to 2 hours) $101.00/Hour (Telebehavioral Health Family Therapy — In-home/Community) $101.00/Hour (Telebehavioral Health Family Therapy — In-home/Community — Intake up to 2 hours) $65.00/Hour (Telebehavioral Health Individual Therapy) $65.00/Hour (Telebehavioral Health Individual Therapy— Intake up to 2 hours) $95.00/Hour (Telebehavioral Health Individual Therapy— In-home/Community) $95.00/Hour (Telebehavioral Health Individual Therapy — In-home/Community — Intake up to 2 hours) $.56/Mile (Transportation for all Mental Health Services) $52.00/Hour (Truancy ASK) $52.00/Hour (Truancy ASK— Intake up to 2 hours) $76.00/Hour (Truancy ASK — In-home/Community) $76.00/Hour (Truancy ASK — In-home/Community — Intake up to 2 hours) $30.00/Hour (Truancy ASK — Case Management Services, 1-2 hours/week) Submittal of Vouchers Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other supporting documentation, and monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7' day of the month following the month of service, but no later than 60 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline may result in termination of the Agreement. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the completed product. For Monitored Sobriety services, proof of services rendered shall be the test result. Contract Farm New Contract Request Entity Information Entity Name* GRIFFITH CENTERS FOR CHILDREN INC Entity ID* 0029886 Contract Name* GRIFFITH CEN I ERS FOR CHILDREN (AGREEMENT AMENDMENT) Contract Status CTB REVIEW ❑ New Entity? Contract ID 3559 Contract Lead* CULLINTA Contract Lead Email cullinta@co.weld.co us Parent Contract ID Requires Board Approval' YES Department Project # Contract Description* CONSENT. BID NO. 2000037. BOCC APPROVAL 04/15/20 CHILD PROTECTION AGREEMENT AMENDMENT. 1 ERMS_ 06/01/20 THROUGH 05/31/21 FUNDING_ CORE/OTHER_ Contract Description 2 Contract Type* AGREEMENT Amount* $0.00 Renewable* NO Automatic Renewal Department HUMAN SERVICES Department Email CM- HumanService eldgov.cdm Department Head Email CM-HumanServices- DeptHeadaweldgov cam County Attorney GENERAL COUNTY ATTORNEY EMAIL IGA County Attorney Email CM- COUNTYATTORNEY@WELD GOV.COM Requested BOCC Agenda Date* 04/15/2020 Will a work session NO Due Date 04/11/2020 C recauired? * Dees Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID If this is part of a MA enter MSA Contrail ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in Ongase Contract Dates Effective Date Termination Notice Period Review Date* 04/01/2021 Committed Delivery Date Renewal Date Expiration Date 05/3112021 Contact Information Contact Info Contact Name Purchasing Purchasing Approver Approval Process Department Head JAMIE ULRICH DH Approved Date 04/21/2020 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 04/29/2020 Originator SNYDERKL Contact Type Contact Email Finance Approver BARB CONNOLLY Contact Phone 1 Contact Phone 2 Purchasing Approved Date Finance Approved Date 04/22/2020 Tyler Ref it AG 042920 Legal Counsel GABE KALOUSEK Legal Counsel Approved Date 04/2212020 Submit aonirac+ = p * 3 I "7 fo PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: October 15, 2019 TO: Board of County Commissioners — Pass -Around FR: Judy A. Griego, Director, Human Services RE: Agreement Amendment of Child Protection Agreement for Services with Griffith Centers for Children Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Department's Child Protection Agreement for Services with Griffith Centers for Children. The Department entered into a Child Protection Agreement for Services, identified as Tyler ID 2019-2196, on June 12, 2019, for the term of June 1, 2019 -May 31, 2020. The vendor has requested to add a "no show" rate of $25.00 per hour for the following services. Supervised Visitation Telebehavioral Health Supervised Visitation Therapeutic Visitation Telebehavioral Health Therapeutic Visitation I do not recommend a Work Session. I recommend approval of this Amendment and authorize the Chair to sign. Approve Schedule Recommendation Work Session Sean P. Conway Mike Freeman, Pro-Tem Scott James Barbara Kirkmeyer, Chair Steve Moreno Other/Comments: Pass -Around Memorandum; October 15, 2019 — CMS 3176 i //-a2/7-ig Page 1 0 090 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND GRIFFITH CENTERS FOR CHILDREN This Agreement Amendment made and entered into day oI14441-4-12019 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Griffith Centers for Children hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Life Skills ("Original Agreement') identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2196, approved on June 12, 2019. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on May 31, 2020. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Exhibit D, Rate Schedule, is hereby amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: dirittAd Kji4;K. Weld CC erk to the Board _��,WELD COUNTY, CO ADO BOARD OF COUNTY COMMISSIONERS By: l '� I r '' �� ,� VA1L- Deputy Clerk t the Board : arbara Kirkmeyer, CONTRACTOR: Griffith Centers for Children 1724 Gilpin Street Denver, CO 80218 (720)492-3875 By: Date: / Lisa Lamoreaux (Oct 3, 2019) NOV 2'7 MB Lisa Lamoreaux, Director of Community Programs Oct 3, 2019 02o/9-oz/96, EXHIBIT D RATE SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after May 31, 2020. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services Home Based Services: $54.00/Hour (Family Preservation Services) $81.00/Hour (Family Preservation Services In-home/Community Based) $81.00/Hour (Family Preservation Services In-home/Community Based — Intake up to 2 hours) $54.00/Hour (Family Preservation Services — Intake up to 2 hours) $25.00/Hour (Family Team Meeting (FTM), Staffing, Team Decision Making Meeting (TDM)) $44.00/Hour (Mentoring Services) $66.00/Hour (Mentoring Services In-home/Community-based) $66.00/Hour (Mentoring Services In-home/Community-based — Intake up to 2 hours) $44.00/Hour (Mentoring Services — Intake up to 2 hours) $ .56/Mile (Transportation for all home based services) Life Skills: $25.00/Hour (Family Team Meeting (FTM), Staffing, Team Decision Making Meeting (TDM)) $46.00/Hour (Parenting Skills) $15.00/Hour (Parenting Skills Group — Four (4) or more clients) $69.00/Hour (Parenting Skills In-home/Community) $69.00/Hour (Parenting Skills In-home/Community — Intake up to 2 hours) $45.00/Hour (Parenting Skills — Intake up to 2 hours) $53.00/Hour (Supervised Visitation) $80.00/Hour (Supervised Visitation In-home/Community) $80.00/Hour (Supervised Visitation In-home/Community — Intake up to 2 hours) $53.00/Hour (Supervised Visitation — Intake up to 2 hours) $25.00/Hour (Supervised Visitation — No-show) $53.00/Hour (Telebehavioral Health Supervised Visitation) $80.00/Hour (Telebehavioral Health Supervised Visitation In-home/Community) $80.00/Hour (Telebehavioral Health Supervised Visitation In-home/Community — Intake up to 2 hours) $53.00/Hour (Telebehavioral Health Supervised Visitation — Intake up to 2 hours) $25.00/Hour (Telebehavioral Health Supervised Visitation — No-show) $58.00/Hour (Telebehavioral Health Therapeutic Visitation) $87.00/Hour (Telebehavioral Health Therapeutic Visitation/Community) $87.00/Hour (Telebehavioral Health Therapeutic Visitation/Community — Intake up to 2 hours) $58.00/Hour (Telebehavioral Health Therapeutic Visitation/Community — Intake up to 2 hours) 1 $25.00/Hour ($25.00/Hour (Telebehavioral Health Therapeutic Visitation — No-show) $58.00/Hour (Therapeutic Visitation) $87.00/Hour (Therapeutic Visitation In-home/Community) $87.00/Hour (Therapeutic Visitation In-home/Community— Intake up to 2 hours) $58.00/Hour (Therapeutic Visitation — Intake up to 2 hours) $25.00/Hour ($25.00/Hour (Therapeutic Visitation — No-show) $ .56/Mile (Transportation for all visitation) Mental Health Services: $25.00/Hour (Family Team Meeting (FTM), Staffing, Team Decision Making Meeting (TDM)) $64.00/Hour (Family Therapy) $96.00/Hour (Family Therapy In-home/Community) $96.00/Hour (Family Therapy In-home/Community — Intake up to 2 hours) $64.00/Hour (Family Therapy Intake up to 2 hours) $60.00/Hour (Individual Therapy) $90.00/Hour (Individual Therapy In-home/Community) $90.00/Hour (Individual Therapy In-home/Community— Intake up 2 hours) $60.00/Hour (Individual Therapy — Intake up to 2 hours) $44.00/Hour (Reload — Reboot Educational Learning Opportunities Affecting Direction) $66.00/Hour (Reload — Reboot Educational Learning Opportunities Affecting Direction — In- home/Community-based) $66.00/Hour ($66.00/Hour (Reload — Reboot Educational Learning Opportunities Affecting Direction — In- home/Community-based, Intake up to 2 hours) $44.00/Hour (Reload — Reboot Educational Learning Opportunities Affecting Direction — Intake up to 2 hours) $64.00/Hour (Telebehavioral Health Family Therapy) $96.00/Hour (Telebehavioral Health Family Therapy In-home/Community-based) $96.00/Hour (Telebehavioral Health Family Therapy In-home/Community-based — Intake up to 2 hours) $64.00/Hour (Telebehavioral Health Family Therapy — Intake up to 2 hours) $60.00/Hour (Telebehavioral Health Individual Therapy) $90.00/Hour (Telebehavioral Health Individual Therapy In-home/Community-based) $90.00/Hour (Telebehavioral Health Individual Therapy In-home/Community-based — Intake up to 2 hours) $60.00/Hour (Telebehavioral Health Individual Therapy — Intake up to 2 hours) $ .56/Mile (Transportation for all Mental Health Services) $47.00/Hour (Truancy ASK) $71.00/Hour (Truancy ASK In-home/Community-based) $71.00/Hour (Truancy ASK In-home/Community-based — Intake up to 2 hours) $47.00/Hour (Truancy ASK — Intake up to 2 hours) $25.00/Hour (Truancy ASK — Case Management Services, 1-2 hours/week) 3. Submittal of Vouchers Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other supporting documentation, and monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 and Exhibit A. 2 Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7t' day of the month following the month of service, but no later than 60 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline may result in termination of the Agreement. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the completed product. For Monitored Sobriety services, proof of services rendered shall be the test result. 3 Contract Form ew Contract Request Entity Information Entity Name* Entity ID* GRIFFITH CEN I ERS FOR CHILDREN @000298;6 INC ❑ New Entity? Contract Name* Contract ID GRIFFITH CENTERS FOR CHILDREN (AGREEMENT 3176 AMENDMENT) Contract Status CTB REVIEW Contract Lead* CULLINTA Contract Lead Email cullinta@co.weld.co us Parent Contract ID 20192196 Requires Board Approval YES Department Project # Contract Description* AMENDMENT OF EXISTING CHILD PROTECTION AGREEMENT FOR SERVICES. ADD "NO SHOW" RATE. Contract Description 2 Contract Type* AGREEMENT Amount* S0.00 Renewable* NO Automatic Renewal Grant Department Requested BOCC Agenda Due Date HUMAN SERVICES Date * 10/12/2019 10!16/2019 Department Email C M- HumanServicesPweldgov.com Department Head Email CM-HumanServices- DeptHead@weldgov.com County Attorney GENERAL COUNTY AI I ORNEY EMAIL County Attorney Email CM- COUNTY.A 1 I ORNEY@WELD GOV.COM Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date* Renewal Date 04/01/2020 Termination Notice Period Committed Delivery Dare Expiration Date* 06/30/2020 Contact Information Contact Info Contact Name Purchasing Purchasing Approver ApprovalProcess Department Head JUDY GRIEGO DH Approved Date 11119/2019 Final Approval BOCC Approved MCC Signed Date ROCC Agenda Date 11'27/2019 Originator CULLINTA Contact Type Contact Email Hnance Approver BARB CONNOLLY Contact Phone 1 Contact Phone 2 Purchasing Approved Date Hnance Approved Date 11/20/2019 Tyler Ref # AG 112719 Legal Counsel KARIN NICDOUGAL Legal Counsel Approved Date 11/21)2019 Submit 6,7,4„,, • CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND GRIFFITH CENTERS FOR CHILDREN This Agreement, made and entered into the day of 019, by and between the Board of Weld County Commissioners, on behalf of the Weld County Departm t of Human Services, hereinafter referred to as the "Department' and Griffith Centers for Children, hereinafter referred to as the "Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule. Exhibit B, C, and D are attached hereto and incorporated herein by this reference. Exhibit A is Weld County's Request for Proposal Number B1900025, which is incorporated into this agreement by reference and will be provided upon request to the Department. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Core Services or other funding to the Department for Home Based Services, Life Skills, and Mental Health Services. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2019, upon proper execution of this Agreement and shall expire May 31, 2020, unless sooner terminated as provided herein. The agreement is for a period of three years. However, the agreement must be renewed by both parties, in writing, on an annual basis. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit B, Contractor's Response to Request for Proposal and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e- mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Quality Assurance Team Supervisor (hainle►d@weldgov.com, 970-400-6210). No other Department staff or other party to the case may authorize services or modifications to services. c. Contractor agrees to submit a complete Request for Reimbursement and supporting documentation by the 7th of the month, following the month of service, utilizing billing forms required by the �+j _ 66: l� �� 2019-2196 Department. Contractor agrees to utilize the Client Verification Form for all scheduled and unscheduled face-to-face services with the exception of home studies and monitored sobriety testing. Contractor agrees that original complete Client Verification Forms are to be submitted with the Request for Reimbursement. Requests for Reimbursement and Client Verification Forms received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet 60 -day deadline may result in termination of the Agreement. d. Contractor agrees to submit a monthly report by the 7th of the month, following the month of service, for each client receiving ongoing services. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. Monthly reports for ongoing services must include the following information, entered in the "Narrative" box for each date of service: a. Date and time of service b. Where the service took place c. Clinician/therapist name d. Clients participating e. What interventions were used, recommendations and/or goals discussed f. Any and all safety concerns One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation, home study). Verification of Monitored Sobriety Services will be the test result. A completed home study may be a full, partial or denied study, as determined by the Department. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. Exceptions to this Paragraph may include, if approved by the Department, the following: i. The service being provided by the contractor is not a Medicaid eligible service; ii. The service is not deemed medically necessary; iii. The Court with jurisdiction over the case has ordered that a non -Medicaid provider or service be used; iv. A Medicaid provider is not available to provide the needed service; v. Medicaid is exhausted for the needed service; or vi. Medicaid denied service. vii. The client is not eligible for Medicaid. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual 2 terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and OMG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an, which will be provided by the Department, with a voided check. Failure to complete and submit this form and voided check in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and Title VII of the Civil Rights Act of 1964; and the Age Discrimination in Employment Act of 1967; and the Equal Pay Act of 1963; and 3 - the Education Amendments of 1972; and Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. - Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is determined by the Department. d. Contractor assures and certifies that it and its principals: - Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by a Federal or State department or agency; and - have not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and - are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and - have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. e. Public Contracts for Services C.R.S. §8-17.5-101. Contractor certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contractor will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5- 4 102(5)(c). Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contractor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contractor shall notify the subcontractor and the Department within three (3) days that Contractor has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contractor shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contractor participates in the State of Colorado program, Contractor shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contractor has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contractor shall deliver to the Department, a written notarized affirmation that it has examined the legal work status of such employee and shall comply with all of the other requirements of the State of Colorado program. If Contractor fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., the Department, may terminate this Agreement for breach, and if so terminated, Contractor shall be liable for actual and consequential damages. f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contractor receives federal or state funds under the contract, Contractor must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24- 76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5- 103 prior to the effective date of the contract. 8. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR) and will address the aforementioned three areas when completing monthly reports as required by Paragraph 3(d) of this Agreement. 9. Insurance Requirements Contractor and the Department agree that Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent 5 acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provide the liability insurances (including professional liability insurances where necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged in the performance of this Agreement which are required under Weld County's Request for Proposal, and required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement. At a minimum, Contractor shall procure, either personally or through its employer as applicable to the Contractor's business, at its own expense, and maintain for the duration of the work, the following insurance coverage. Weld County, State of Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents, shall be named as additional named insured on the insurance, where permissible the insurance provider. a. General Requirements: Contractors must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant to this request. Contractors shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, and during any warranty period. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, the Department must be notified by the Contractor. Contractor shall be responsible for the payment of any deductible or self -insured retention. The Department reserves the right to require Contractor to provide a bond, at no cost to the Department, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor. Contractor shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i.Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii.Commercial General Liability Insurance written on ISO occurrence form CG 00 0110/93 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: - $1,000,000 each occurrence; $2,000,000 general aggregate; 6 $50,000 any one fire; and $500,000 errors and omissions. iii.Automobile Liability: Contractor shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv.Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduced by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify the Department within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; Waiver of exclusion for lawsuits by one insured against another; A provision that coverage is primary; and A provision that coverage is non-contributory with other coverage or self-insurance provided by the Department. v.For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to the Department, whichever is earlier. c. Contractors shall secure and deliver to County's Risk Administrator ("Administrator') at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor shall provide a copy of this information to its insurance agent or broker and shall have its agent or broker provide proof of Contractor's required insurance. The Department reserves the right to require Contractor to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor. Contractor shall include all such subcontractors, independent contractors, sub -vendors, suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors, suppliers or other entities upon request by the Department. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contractor shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. 10. Certification Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the Contractor prior to the start of any Agreement. 11. Training Contractor may be required to attend training at the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 12. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at 970-400-6503 and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor. Contractor will collaborate in a timely manner with the Department to resolve issues pertaining to service delivery, service quality, documentation, and invoicing during referral period and after services have concluded. The Contractor will require clients sign releases of information. Contractor understands that the Department will not reimburse for services rendered to Department clients until releases of information are obtained. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. The monitoring agency may, if in its sole discretion deems necessary or appropriate, have access to any program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures for purposes of monitoring. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 8 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 15. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: - Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. - Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Child Welfare Division Head Jessica Rock -Jackson, Divisional Director 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970)400-6510 18. Litigation For Contractor: Jessica Rock -Jackson, Divisional Director 1724 Gilpin Street Denver, CO 80218 (415)283-6455 Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the 9 benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 17. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third -Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmental Immunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq., as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of Weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall not enter into any third -party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. A conflict of interest or appearance of a conflict of interest may also apply to personal relationships between providers and clients. If a provider has a personal relationship with a client to whom the 10 Contractor may provide services for, the Contractor must disclose that relationship to the Department. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 25. Confidentiality of Records Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with the Contractor's written policy governing access to, duplication and dissemination of, all such information, in any form, including social networks. Contractor shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality agreement and shall provide a copy of such agreement to the Department, if requested. 26. Proprietary Information Proprietary information for the purposes of this Agreement is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this Agreement. Any proprietary information removed from the Department's site by the Contractor in the course of providing services 11 under this Agreement will be accorded at least the same precautions as are employed by the Contractor for similar information in the course of its own business. 27. Independence of Contractor: Not an Employee of Weld County Contractor agrees that it is an independent Contractor and that Contractor's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contractor shall perform its duties hereunder as an independent Contractor. Contractor shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contractor, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contractor or any of its agents or employees. Unemployment insurance benefits will be available to Contractor and its employees and agents only if such coverage is made available by Contractor or a third party. Contractor shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contractor shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contractor shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and as set forth in Exhibit A provide proof thereof when requested to do so by County. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work, nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to the Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by the Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a 12 waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflicts with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contractor's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 34. Choice of Law/Jurisdiction Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contractor acknowledges that the Department has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the completion of this project without the Department's prior written consent, which may be withheld in the Department's sole discretion. 36. Attorney's Fees/Legal Costs In the event of a dispute between the Department and Contractor, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 37. Ownership All work and information obtained by Contractor under this Agreement or individual work order shall become or remain (as applicable), the property of the Department. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contractor in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the Department. Contractor shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of the Department. 13 38. Interruptions Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 39. Severability If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. 14 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: die4444.1 aI •Jel#26. liG Weld Co y Clerk to the Board WELD COUNTY, COLORADO BOARD OF COUNTY COMMISSIONERS arbara Kirkmeyer, Ch Griffith Centers for Children 1724 Gilpin Street Denver, CO 80218 (415)283-6455 je,, (1741 OCk-L%aCkfalf Jessica Rock -Jackson (Apr 26, 2019) By: Date: 15 Jessica Rock -Jackson, Divisional Director Apr 26, 2019 EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL (Weld County's Request for Proposal is incorporated into this agreement by reference and will be provided upon request to the Department.) This page intentionally left blank. EXHIBIT B CONTRACTOR'S RESPONSE TO REQUEST FOR PROPOSAL Introduction to Griffith Centers for Children, Chins Up Griffith Centers for Children's (GCC) mission is to "Strengthen Colorado Communities One Family at a Time." GCC is a Trauma Informed Agency that provides troubled children the environment and opportunities to become healthy, participating and productive members of society. With a wide array of services and programs, GCC serves 1,600 children and families annually. GCC provides community programs such as family preservation, day treatment, education and Truancy support, which include a Reload program, mentoring, counseling services and Telebehavioral Health Services. GCC's programs are licensed and nationally accredited to serve children from birth to 21 years of age and parents. GCC currently has six (6) locations:) These locations are in Colorado Springs, Pueblo, Denver, Northglenn (Truancy Office), Greeley and Grand Junction. GCC has licensed and unlicensed individuals, registered in the Department of Regulatory Agencies (DORA), who hold Master's degrees in areas relating to mental health and education. All GCC contractors and employees have background checks, finger prints completed and are expected to follow DORA regulations, along with those set by Medicaid and partnering counties. GCC has the ability to comply with WCDHS billing requirements. GCC contractors have their documentation reviewed on a weekly basis by their Clinical Consultant (CC). The CC then submits the documentation to GCC billing department who then submits billing to the WCDHS by the expected due dates. GCC also has a file compliance associate to monitor files and reassure that GCC contractors are keeping up with regulatory expectations. GCC has a thorough supervisory structure to support the capacity of cases that GCC absorbs and allows for best practice in regards to supervision. Each contractor with GCC meets with a clinical consultant for consultation, as per DORA requirements. Contractors are continually assessed and may meet weekly with a clinical consultant if needed. The majority, although not all, of clinical consultants with GCC are licensed as Licensed Professional Counselors (LPCs), Licensed Marriage and Family Therapist (LMFTs) and Licensed Clinical Social Workers (LCSWs). GCC has multiple systems in place that allows for an organized, responsive team with the ability to quickly schedule services as requested. Referrals (requests for services) are sent to the GCC referrals email, referrals@griffithcenters.org. Once a referral is received a Designated Supervisor reviews the referral. The Designated Supervisor might identify a specific contracted clinician that is a good fit for a referral based on clinical skills and directly reach out to the contractor to see if they will accept the case. If a specified contractor is not immediately identified, the Designated Supervisor summarizes the information from the referral in an email and sends it to the contractor team. No identifying information, such as date of birth, specific address, etc., is included to protect confidentiality. If a contractor responds to this email and is interested in the referral, then the Designated Supervisor will assess if they would be a good fit for a case and assigns it as applicable. Following assignment, the Designated Supervisor introduces the contractor who is assigned to the case to the referral source via email. If the referral is not assigned in 72 -hours, the referral source is notified and asked if they would prefer us to continue to attempt to assign the referral or if they would like to attempt to send the referral to another provider. GCC is dedicated to providing the best services possible and working closely with clients and their treatment teams. EXHIBIT B PROVIDER INFORMATION FORM Weld County Department of Human Services r. , AGENCY OR PRIVATE PRACTICE PRIMARY CONTACT -Etat NAME I I C PHONE NUMBER i L / r c -)S‘ TRAILS PROVIDER ID (If Known) -'. r C PRIMARY CONTACT - TITLE 7L_7 EXT. FAX NUMBER PRIMARY CONTACT - E-MAIL ADDRESS AGENCY/PRACTICE WEB ADDRESS IIF APPLICABLE! 1 AGENCY MAILING ADDRESS CITY ZIP REFERRAL CONTACT REFFERAL CONTACT- FULL NAME REFERRAL CONTACT - TITLE 1 t _ 1 _ (v),A)(kvr).�-rkr�tl 1, t'- �yT REFERRAL CONTACT - PHONE NUMBER EXT. REFERRAL CONTACT - E-MAIL ADDRESS ('r' y�Tr BILLING CONTACT 1— c_ BUNG CONTACT - FULL NAME t L k BILLING CONTACT - PHONE NUMBER F', ( t. C Y, E BILLING CONTACT TITLE f�i1 EXT. BILLING CONTACT - E-MAIL ADDRESS ('" I certify that the services proposed for intended use by the Weld County Department of Human Services will meet all the specifications it has so indicated in this bid form. I further affirm intention to enter into an agreement with Weld County. on behalf of the Weld County Department of Human Services, and comply with all requirements of the contract. if awarded. The Board of Weld County Commissioners reserve the right to reject any or all bids. to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board. is in the best interests of the Board and of the County of Weld, State of Colorado. The Board of Weld County Commissioners shall give preference to resident Weld County bidders in all cases where tlTe bids are competitive in price and quality. Signature of Authorized Representative: Date of Signature: t / ? of aI � c Q Oct,- a c%,6 Bid No.: B1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Truancy ASK (Advocate Success for Kids) 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. The ASK truancy program creates an individual plan that focuses on the strength of the client and family, increases student engagement at school and in the home and uses wrap around and advocacy approaches. b. The intervention model increases student engagement at school and in the home, using wrap around and advocacy approaches, including; parental engagement, court support, systems support, individual support, school support, teacher support, accountability and crisis intervention. c. The family will be supported and the therapist will attend truancy court hearings as an added layer of engagement and provide education through modeling. The therapist will work closely with the parents, family and school to get educational goals met, through an advocacy approach. Therapists are also able to work directly with the student's individual teachers to stabilize the student while they are at school. d. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the mental health therapist providing services. iv. Each case should have approximately a 2 -hour intake service. e. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. f. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. GCC can accept a subpoena via email if that is the preferred method —subpoenas@griffithcenters.org g. Client No Show Procedure: i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 4. Capacity to Provide Services (ex. 4 hours/week). a. The ASK program is extremely flexible and the frequency and duration of services is dependent on the needs of the client and family. b. Generally speaking, therapists spend about 2 hours a week in the home providing therapeutic services and one hour a week of case management providing court, school and teacher support c. The ASK program varies in length, dependent on the need of the client and family. The duration of services usually depends on the time the student has been out or truant from school. A general estimate is 3- 6 months of consistent therapy. 5. Goals of the service. a. The goals are created in collaboration with the client, family and/or other professionals involved. Treatment goals to be mutually agreed upon by the family, Griffith Contractor, and the other professionals (i.e., caseworker, truancy court, school officials, probation officer). b. ASK is committed to maximizing a student's educational potential both inside and outside the school setting. c. The program promotes academic achievement, attendance, good character, responsible decision - making, and mental health wellness. d. Parents are empowered through family therapy sessions in order to provide a foundation to positive parental influence and school attendance. 6. Outcomes of service. a. Therapists will guide students to develop career/vocational plans, prevent academic failure, increase attendance, decrease behavioral problems in and out of school, develop social skills, create structure in the home, repair family relationships and create an individualized treatment plan for the student's mental health. 7. Target population for service. a. The targeted population is any age or gendered students who either is currently truant from school, historically truant from school or at -risk for truancy. At -risk students often include (though not limited to) those students whose family members did not graduate from school, students who have a history of trauma, students with family discord and students who are displaying maladaptive behaviors at school. 8. Service access. a. Services based out of Weld County, can be community based and/or home based. b. Weld County Griffith Centers for Children office is located at 710 11th Ave. Greeley, CO 80631 c. Services available via Telebehavioral (HIPPA-compliance video-conferencing) upon request to meet needs outside of Weld County. 9. Languages service is available in. a. English b. Spanish (Fluent, dependent upon availability) 10. Rates of service. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE Truancy Intervention Services: $47 an hour Truancy Intervention Services In- Home/Community Based $71 an hour Intake Services (up to two hours): $47 an hour Intake Services (up to two hours) In- Home/Community Based $71 an hour Truancy Case Management Services: $25 an hour, 1-2 hours a week Family Team Meeting: $25 an hour Transportation: Travel billed at $0.56 per mile outside of the 30 -mile one-way catchment area (inclusive of multiple stops) $0.56 an hour Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Life Skills 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. Intensive home -based model focusing on improving parenting skills, increasing safety and stability. b. Aid in reunification of parents and children following out of home placement. c. Parenting skills are taught with an emphasis on the child's developmental needs. d. Life skills are taught with an emphasis on the parent achieving self-sufficiency. e. GCC contractor assists parents/caregivers with basic parenting skills, household management, budgeting, organizational skills, and other day-to- day issues that impede the care and development of children f. The GCC contractor teaches, models, and coaches parents to help them learn new skills identified in the initial needsassessment. g. Interventions and parenting skills based on the established programs of "Love & Logic", "Nurturing Program." h. Each client receives a GCC contractor who is trained and specializes in parenting, child development, and life skills. i. Interventions may be aimed at the individual, entire family, or appropriate community members. j. Parenting Skills Group (Service offered through Life Skills Program): i. The Parenting Skills group is based on the Nurturing Parenting Program. ii. Nurturing Parenting Program Group Facilitator Qualifications. iii. The Nurturing Parenting Program has several levels of prevention including: iv. Prevention Program (Primary Prevention) Example: Pre -parent stage, Prenatal Stage. v. Intervention Programs (Secondary Prevention) Programs are designed to "intervene" to prevent further escalation of the early stages of maltreatment. Also for families labeled as "at -risk". vi. Treatment Programs (Tertiary Prevention) Programs are designed to "treat" families identified by social services for child abuse and/or neglect. vii. The Nurturing Parenting Programs are evidenced -based parenting programs that can be offered in a group setting for cost effective delivery. viii. The flexibility within the structure of the programs allows facilitators to ensure the specific needs of families are being met. ix. The nurturing philosophy of non-violent parenting focuses on the development of empathy, self-worth, self-awareness, empowerment, and discipline with dignity, appropriate family roles and age -appropriate expectations ofchildren's development. k. Frequency of Duration of the parenting group: i. The group is 10 weeks in duration and occurs ltime a week. ii. It is an open-ended group, so clients can enter at anytime. iii. Parent (s) must attend 8 out of the 10 groups to successfully complete the group Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the Griffith Contractor providing services. iv. Each case should have approximately a 2 -hour intake service. m. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. n. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. GCC can accept a subpoena via email if that is the preferred method —subpoenas@griffithcenters.org o. Client No Show Procedure: i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. 4. Capacity to Provide Services (ex. 4 hours/week). a. This service is flexible and individualized to each family. b. Families will meet 1-2 times a week totaling 3-4 hours/week in the home. c. Intensity can be increased in response to the need. d. Flexible appointment times based on the family's needs, to include evenings and weekends. e. Availability 24 hours 17 days per week. f. Target length of treatment is on average 2-5 months 5. Goals of the service. a. A home -based model of service delivery is utilized to overcome barriers to access and to provide treatment where the problems occur -in the home, school,and community settings b. Coordination and advocacy with school systems, court, and social services. c. The GCC contractor will immediately address all safety risks and work to stabilize the family. d. Treatment goals to be mutually agreed upon by the family, visitation worker, and other professionals (i.e., caseworker, probation officer). e. Individualized approach with the family, based on ethnicity, culture, and lifestyles. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 6. Outcomes of service. a. The Griffith Contractor will teach the family to work with community agencies, assist in teaching ongoing parenting skills, as well as helping the parent(s) with stress reduction, problem -solving, and communication skills. b. Services available for one year after discharge, to aid in long-term success. c. Teach the parent skills individually, as well as coach and model with the children present so that parents can implement skills once services end. d. Aid parent in learning life skills to become self-sustaining long-term. Target population for service. e. Parents or primary caregivers who need in -home instruction with parenting skills, household management, and accessing community resources. f. Parents with children (ages 0-17) who are at risk of out of home placement. g. Parents with children (ages 0-17) who are placed out of the home with relatives or in foster care. h. Children who are transitioning back home from out of home placement. 7. Service access. a. Services based out of Weld County, can be community based and/or home based. b. Weld County Griffith Centers for Children office is located at 710 1Ave. Greeley, CO 80631 c. Services available via Telebehavioral (HIPPA-compliance video-conferencing) upon request to meet needs outside of Weld County. 8. Languages service is available in. a. English 9. Rates of service. Life Skills/Parenting Skills: $46 an hour Life Skills/Parenting Skills In- Home/Community Based $69 an hour Intake Service (up to two hours): $46 an hour Life Skills/Parenting Skills Group 1 hour: $15 per person, 4 or more clients Intake Services (up to two hours) In- Home/Community Based $69 an hour Family Team Meeting: $25 an hour Transportation: Travel billed at $0.56 per mile outside of the 30 -mile one-way catchment area (inclusive of multiple stops) $0.56 per mile Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Mental Health Services 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. Individual and family therapy for adults and children, spanning all ages and circumstances related to the child welfare system b. This service can be utilized to address mental health and behavior issues, as well as issues around abuse/neglect, reunification, trauma, etc. c. Sessions can occur in the office or a client's home/community, to reduce barriers such as transportation d. Can be utilizes in conjunction with or as a follow-up to in -home services (Life Skills/Parenting, Family Preservation and The Family Violence Group). e. If client(s) have received previous services through Chin Up, they can remain with the same provider for continuity f. Therapy conducted by a Master's level mental health professional g. 24 hours / 7 days per week Crisis phone access h. Therapeutic modalities include Behavioral, Cognitive -Behavioral, Family Systems, Play Therapy and other modalities approved by DORA i. Brief and present -focused j. Interventions and parenting skills based on the established programs of "Love & Logic" and "Nurturing Program" and "Common Sense Parenting." k. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the mental health therapist providing services. iv. Each case should have approximately a 2 -hour intake service. I. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. m. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. GCC can accept a subpoena via email if that is the preferred method —subpoenas@griffithcenters.org Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE n. Client No Show Procedure: i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. 4. Capacity to Provide Services (ex. 4 hours/week). a. The service will occur 1-2 times a weekly dependent on client(s) need. b. Service should last on average for 3-6 months. c. Time frame is adjusted based on each individual client(s) need. 5. Goals of the service. a. Treatment goals to be mutually agreed upon by the family, provider and other professionals (i.e., caseworker, probation officer). b. Client/Family will process family dynamics and life stressors. c. Outcomes of the Service: d. Client will meet treatment goals created by client, family and Griffith Contractor. e. Interventions may be aimed at the individual, entire family, or appropriate community members. f. If need client will process trauma and gain skills on how to manage triggers moving forward. g. Other skills areas include anger management, problem -solving, home management, and accessing community resources. 6. Outcomes of service. a. Client and or family will meet their treatment goals. b. Client/Family will learn to engage in a healthy, appropriate communication. c. Client/Family will gain skills to advocate for their needs. 7. Target population for service. a. Families with youth in the home who are acting out behaviorally i. Families who are in crisis or experiencing major struggles in functioning ii. Families with youth in the home who are acting out behaviorally iii. Children ages 0-17 iv. Children who are at risk for out -of -home placement, ortransitioning back home from foster care, 8. Service access. a. Services based out of Weld County, can be community based and/or home based. b. Weld County Griffith Centers for Children office is located at 710 11th Ave. Greeley, CO 80631 c. Services available via Telebehavioral (HIPPA-compliance video-conferencing) upon request to meet needs outside of Weld County. 9. Languages service is available in. a. English 10. Rates of service. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE Individual Therapy: $60 an hour Individual Therapy In-Home/Community Based $90 an hour Intake Services, Individual Therapy (up to two hours): $60 an hour Intake Services (up to two hours), Individual therapy, In-Home/Community Based $90 an hour Family Therapy: $64 an hour Family Therapy In-Home/Community Based $96 an hour Intake Services, Family Therapy (up to two hours): $64 an hour Intake Services (up to two hours): Family Therapy In-Home/Community Based $96 an hour Family Team Meeting: $25 an hour Transportation: Travel billed at $0.56 per mile outside of the 30 -mile one-way catchment area (inclusive of multiple stops) $0.56 per mile Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Mentoring/Behavioral Health Intervention 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. Home -based behavioral health services addressing social skills, life skills, and other behavioral concerns for children (0-17 years of age). b. This service is flexible and individualized to eachfamily and child c. The home -based model of service delivery is utilized to overcome barriers to service access and to provide treatment where problems actually occur -in home, school, and community settings. d. Educate individuals in areas such as social functioning, job -readiness, time management, problem -solving skills, and address behavioral concerns/problem behaviors. e. A strengths -based psycho -educational model that focuses onskill-building f. Services are delivered with a sensitivity to the family's ethnicity, culture, values and beliefs g. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the Griffith contractor providing services. iv. Each case should have approximately a 2 -hour intake service. h. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. i. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. GCC can accept a subpoena via email if that is the preferred method — subpoenas( griffithcenters.org j. Client No Show Procedure: i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. 4. Capacity to Provide Services (ex. 4 hours/week). a. 1-2 hours/week in the home, school, or community settings Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE b. Appointment times are flexible and based on the family's needs, including evenings and weekends. c. Target length of treatment is 3-12 months. 5. Goals of the service. a. Treatment goals to be mutually agreed upon by the family, Griffith Contractor, and other professionals (i.e., caseworker, probation officer). b. Behavioral Health Specialist will be trained in specific behavioral interventions. c. Interventions may be aimed at the individual, entire family, or appropriate community members. d. Other skills areas include anger management, problem -solving, home management, and accessing community resources. 6. Outcomes of service. a. Teach coordination with school systems, court, and social services b. Client will develop skills to advocate for oneself c. Follow-up services available for one year after discharge, to aid in long-term success. 7. Target population for service. a. Families who are in crisis or experiencing major struggles in functioning b. Families with youth in the home who are acting out behaviorally. c. Children ages 0-17. d. Children who are at risk for out -of -home placement, ortransitioning back home from foster car. e. Children who are in out of home placement and/or transitioning back home from out of home placement. 8. Service access. a. Services based out of Weld County, can be community based and/or home based. b. Weld County Griffith Centers for Children office is located at 710 11`" Ave. Greeley, CO 80631 c. Services available via Telebehavioral (HIPPA-compliance video-conferencing) upon request to meet needs outside of Weld County. 9. Languages service is available in. a. English only 10. Rates of service. Mentoring Services: $44 an hour Mentoring Services In-Home/Community Based $66 an hour Intake Services (up to two hours): $44 an hour Intake Services (up to two hours), In- Home/Community Based $66 an hour Family Team Meeting: $25 an hour Transportation: travel billed at $0.56 per mile outside of $0.56 per mile Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE the 30 -mile one-way catchment area (inclusive of multiple stops) Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Reload (Reboot Educational Learning Opportunities Affecting 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. A therapist or Behavioral Health Worker will provide every student with a caring counselor. Every client will be provided an individualized educational and career portfolio, which will be used during the service. b. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the Griffith contractor providing services. iv. Each case should have approximately a 2 -hour intake service. c. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. d. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. iii. GCC can accept a subpoena via email if that is the preferred method —subpoenas@griffithcenters.org e. Client No Show Procedure: i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. 4. Capacity to Provide Services (ex. 4 hours/week). a. The curriculum takes approximately 3 months (12 individual sessions and 2 family sessions) to complete. Extra time may be needed, depending on the client's service plan. 5. Goals of the service. a. The goals are created in collaboration with the client, family and/or caseworker involved. Treatment goals to be mutually agreed upon by the family, Griffith Contractor, and the other professionals (i.e., caseworker, probation officer). b. The goals intend to provide students with an individualized educational and career portfolio that Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE includes: future planning, career assessment, financial budget, educational and career track. 6. Outcomes of service. a. Each session is intended to provide students with the skills and resources to achieve academic improvement and self -development. b. The completed portfolio will include such items such as: a personal statement, resume, financial budget, job or college applications, names, addresses and phone number of references, letters of recommendation and a copy of high school transcripts. 7. Target population for service. a. RELOAD is a program designed to target students who are currently truant, lacking the credits to graduate and struggling to utilize school resources. b. The ideal student is 16-18 years old, of any gender. However, 15 -year old clients are accepted into the program as well. 8. Service access. a. Services based out of Weld County, can be community based and/or home based. b. Weld County Griffith Centers for Children office is located at 710 11th Ave. Greeley, CO 80631 c. Services available via Telebehavioral (HIPPA-compliance video-conferencing) upon request to meet needs outside of Weld County. 9. Languages service is available in. a. English only. 10. Rates of service. Reload Sessions: $44 an hour Reload In-Home/Community Based: $66 an hour Intake Services (up to two hours): $44 an hour Intake Services (up to two hours), In- Home/Community Based $66 an hour Family Team Meeting: $25 an hour Transportation: Travel billed at $0.56 per mile outside of the 30 -mile one-way catchment area (inclusive of multiple stops) $0.56 per mile Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins up Supervised Visitation 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. Home -based model (can be flexible to the needs ofeach individual case -visits can occur safely inthe community, DHS building, Westminster GCC office location, local library, etc.) primary goals are to assess the parent's/caregiver's parenting abilities during the visitation time and to teach appropriate skills in order to meet the needs of the children. b. Parenting skills focus on learning and effectively meeting the developmental needs ofthe children (Nurturing model). c. Life skills focus on achieving self-sufficiency through empowerment and accountability. d. Redirection given when appropriate. e. A visitation log is filled out after each visitation and is reviewed with the parent/caregiver in order to make progress consistently. f. The parent/caregiver is responsible for signing each form to recognize strengths and needs of each visit and overall parenting/life skills. g. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the visitation supervisor providing services. iv. Each case should have approximately a 2 -hour intake service. h. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. i. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. GCC can accept a subpoena via email if that is the preferred method —subpoenas@griffithcenters.org Client No Show Procedure: i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE due to lack of engagement. 4. Capacity to Provide Services (ex. 4 hours/week). a. This service should occur 1-2 times a week for 2-3 hours per visit. b. This service should occur on average for 2-6 months. 5. Goals of the service. a. Treatment goals to be mutually agreed upon by the family, Griffith Contractor, and other professionals (i.e., caseworker, probation officer). b. The objectives are to ensure child safety during the visit; to closely monitor all parent - child interaction to ensure the appropriateness of the interactions; and to improve parenting skills. c. Interventions and parenting skills based on the established programs of "Love & Logic", "Nurturing Program", and "Common Sense Parenting". d. Griffith Contractor will teach the parent skills individually, as well as coach and model with the children present. 6. Outcomes of service. a. Family will move to a lower level of care (i.e. family members supervising visits or supervision no longer required). b. Parents or Primary Caregiver will have developed healthy developmentally appropriate parenting skills. 7. Target population for service. a. Parents or primary caregivers whose children have been removed, and who need instruction with parenting skills, household management, and accessing community resources. b. Parents with children (ages 0-17) who are placed out of the home with relatives or in foster care. c. Children who are in out of home placement and/or transitioning back home from out of home placement. 8. Service access. a. Throughout Weld County, community based or can take place in an office setting depending on the request of DHS. b. Griffith Centers for Children Weld County Office is located at 710 11th Ave. Suite L-46, Greeley, Colorado 80631 9. Languages service is available in. a. English only 10. Rates of service. Supervised Visitation: $53 an hour Supervised Visitation In-Home/Community Based: $80 an hour Intake Service (up to two hours): $53 an hour Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE Intake Service (up to two hours), In -Home, Community Based $80 an hour Family Team Meeting: $25 an hour Client No -Show Cost $25 an hour Transportation: Travel billed at $0.56 per mile outside of the 30 -mile one-way catchment area (inclusive of multiple stops) $0.56 per mile Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Telebehavioral Health Individual and Family Therapy 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. A qualified Master's level therapist will be able to utilize therapeutic modalities that are approved by DORA. Sessions will occur one time a week or biweekly, depending on the client(s) need. This service can be funded through Medicaid or Core funds if needed. b. Description of Individual and Family Therapy: i. Individual and family therapy for adults and children, spanning all ages and circumstances related to the child welfare system ii. Individual therapy for children ages 10 and older iii. This service can be utilized to address mental health and behavior issues, as well as issues around abuse/neglect, reunification, trauma, etc. iv. Sessions occur via Zoom to reduce barriers such as location and transportation. v. Can be utilized in conjunction with or as a follow-up to in -home services (Life Skills/Parenting, Family Preservation, The Family Violence Group). vi. If client(s) have received previous services through Chins Up, they can remain with the same provider for continuity when client(s) placement changes and/or relocates throughout Colorado. vii. Therapy conducted by a Master's level mental health professional viii. Contact is weekly, unless higher frequency is needed ix. 24 hours / 7 days per week Medicaid Crisis phone access. 1. Intake: a. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. b. This service covers the mandatory intake paperwork needed to start and continue services. c. Intake service will be completed by the visitation supervisor providing services. d. Each case should have approximately a 2 -hour intake service. x. Family Team Meeting: l . Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. c. Modalities and Curriculum Used: i. A pre-treatment assessment used to get an initial picture of the mental health functioning of an individual ii. A pre-treatment assessment used to get an initial picture of the mental health Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE functioning of an individual/family iii. Conducted by a licensed mental health professional or Master's level professional under the supervision of licensed mental health professions in the office setting or at client's home. iv. Recommendations for immediate interventions/goals are made, v. In order to receive TBH services clients will need to have the ability to access the Internet to receive these services. vi. Client will either have to have a smart phone or laptop with the video option. Clients will also need to have a phone that the therapist can call if the session is disconnected. vii. Lastly, the client will need to be able to create an email account to receive documents from DocuSign. DocuSign is a secure and encrypted platform that allows the sharing of documents in a secure manner. viii. Therapeutic modalities include Behavioral, Cognitive -Behavioral, Family Systems, Play Therapy ix. Brief and present -focused x. Interventions and parenting skills based on the established programs of "Love & Logic," "Nurturing Program" and "Common Sense Parenting." 4. Capacity to Provide Services (ex. 4 hours/week). a. The service will occur 1-2 times a weekly dependent on client(s) need. b. Service should last for 3-6 months. c. Time frame can be adjusted based on the client(s) need. 5. Goals of the service. a. Treatment goals to be mutually agreed upon by the family, provider and other professionals (i.e., caseworker, probation officer). b. Client/Family will process family dynamics and life stressors. c. Outcomes of the Service: d. Client will meet treatment goals created by client, family and Griffith Contractor. e. Interventions may be aimed at the individual, entire family, or appropriate community members. f If need client will process trauma and gain skills on how to manage triggers moving forward. g. Other skills areas include anger management, problem -solving, home management, and accessing community resources 6. Outcomes of service. a. Client and or family will meet their treatment goals. b. Client(s) and Family will learn to engage each other in a healthy, appropriate manner. c. Parents or primary caregiver will be able to help provide the child(ren) tools to regulate 7. Target population for service. a. Families who are struggling with communication b. Youth and or families that frequently move c. Families with youth in the home who are acting out behaviorally d. Children ages 10 and older for individual therapy e. Parents who would like to improve attachment and bond with children Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 8. Service access. a. Due to the mobility of TBH Services, TBH can be accessed throughout the state of Colorado as long as the client has Internet. 9. Languages service is available in. a. English b. Spanish (Fluent, dependent upon availability) 10. Rates of service. TBH Individual Therapy: $60 an hour TBH Individual Therapy In- Home/Community Based $90 an hour Intake Service (up to two hours) TBH Individual Therapy: $60 an hour Intake Service (up to two hours), TBH Individual therapy In-Home/Community Based $90 an hour TBH Family Therapy: $64 an hour TBH Family In-Home/Community Based $96 an hour Intake Service (up to two hours), TBH Family Therapy: $64 an hour Intake Service (up to two hours), TBH Family Therapy, In-Home/Community Based $96 an hour Family Team Meeting: $25 an hour Transportation: Travel billed at $0.56 per mile outside of the 30 -mile one-way catchment area (inclusive of multiple stops) $0.56 per mile Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins up Telebehavioral Health Supervised Visitation 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. Telebehaviorl Health (TBH) is a mental health service provided through a HIPAA compliant platform named Zoom to provide therapy and visitation services to clients from a qualified counselor. Griffith Centers for Children (GCC) can provide 3 different types of services via Telebehavioral Health (supervised visitation, therapeutic visitation and Mental Health services). Each service is described below. b. Primary goals are to assess the parent's/caregiver's parenting abilities during the visitation time and to teach appropriate skills in order to meet the needs of the children. c. Parenting skills focus on learning and effectively meeting the developmental needs of the children (Nurturing model). d. Life skills focus on achieving self-sufficiency through empowerment and accountability. e. Redirection given when appropriate. f. In order to receive TBH services clients will need to have the ability to access the Internet to receive these services and have either a smart phone or laptop with the video option. Clients will also need to have a phone that the therapist can call if the session is disconnected. Lastly, the client will need to be able to create an email account to receive documents from DocuSign. DocuSign is a secure and encrypted platform that allows the sharing of documents in a secure manner. g. Interventions and parenting skills based on the established programs of "Love & Logic," "Nurturing Program" and "Common Sense Parenting." h. Visitation worker will teach the parent skills individually, as well as coach and model with the children present. i. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the visitation supervisor providing services. iv. Each case should have approximately a 2 -hour intake service. j. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. k. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. GCC can accept a subpoena via email if that is the preferred method —subpoenas@griffithcenters.org I. Client No Show Procedure: i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. 4. Capacity to Provide Services (ex. 4 hours/week). a. This service should occur 1-2 times a week for 2-3 hours per visit. b. This service should occur on average for 2-6 months. 5. Goals of the service. a. Treatment goals to be mutually agreed upon by the family, Griffith Contractor, and other professionals (i.e., caseworker, probation officer). b. The objectives are to ensure child safety during the visit; to closely monitor all parent - child interaction to ensure the appropriateness of the interactions; and to improve parenting skills. c. Interventions and parenting skills based on the established programs of "Love & Logic", "Nurturing Program", and "Common Sense Parenting". d. Griffith Contractor will teach the parent skills individually, as well as coach and model with the children present. 6. Outcomes of service. a. Family will move to a lower level of care (i.e. family members supervising visits or supervision no longer required). b. Parents or Primary Caregiver will have developed healthy developmentally appropriate parenting skills. 7. Target population for service. a. Parents or primary caregivers whose children have been removed, and who need instruction with parenting skills, household management, and accessing community resources. b. Parents with children (ages 0-17) who are placed out of the home with relatives or in foster care. c. Children who are in out of home placement and/or transitioning back home from out of home placement. 8. Service access. a. Due to the mobility of TBH Services, TBH can be accessed throughout the state of Colorado as long as the client has Internet. 9. Languages service is available in. a. English only Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 10. Rates of service. TBH Supervised Visitation up to 2 hours: $53 an hour TBH Supervised Visitation In- Home/Community Based $80 an hour Intake Service (up to two hours): $53 an hour Intake service (up to two hours), In- Home/Community Based $80 an hour Family Team Meeting: $25 an hour Client No -Show Cost $25 an hour Transportation: Travel billed at $0.56 per mile outside of the 30 -mile one-way catchment area (inclusive of multiple stops) $0.56 per mile Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins up Telebehavioral Therapeutic Visitation 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. Therapeutic Visitation — conjoint parent -child therapy is conducted by a Masters Level professional under the supervision of a Licensed Clinical professional, also trained to provide supervised visitation. Role of the visitation worker is to use therapeutic modalities to address parent- child interactions. b. Visitation conducted by a Master's level mental health professional c. Therapeutic Visitation Supervisor will use therapeutic modalities to address parent- child interactions. d. Therapeutic intervention and redirection given when appropriate. e. In order to receive TBH services clients will need to have the ability to access the Internet to receive these services and have either a smart phone or laptop with the video option. f. Clients will also need to have a phone that the therapist can call if the session is disconnected. g. Lastly, the client will need to be able to create an email account to receive documents from DocuSign. DocuSign is a secure and encrypted platform that allows the sharing of documents in a secure manner. h. Therapeutic modalities include Behavioral, Cognitive -Behavioral, Family Systems and Play Therapy. i. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the visitation supervisor providing services. iv. Each case should have approximately a 2 -hour intake service. j. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. k. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. GCC can accept a subpoena via email if that is the preferred method —subpoenas@griffithcenters.org 1. Client No Show Procedure: Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. 4. Capacity to Provide Services (ex. 4 hours/week). a. The service will occur 1-2 times a week for no more than 2 hours at a time. b. Service should last for 3-4 months. 5. Goals of the service. a. Treatment goals to be mutually agreed upon by the family, visitation worker and other professionals (i.e., caseworker, probation officer). b. Parents or primary caregivers that struggle to engage their children in healthy developmentally appropriate conversations. c. Parents or primary caregiver and child(ren) will learn coping skills to help them regulate and effectively communicate with each other. d. Parents will learn to address barriers to developing a healthy attachment and bond with their child(ren). e. Parents will learn to processing past/current family dynamics. f. Parents and or children will reduce maladaptive behaviors and learn coping skills. g. Therapeutic Visitation Supervisor will encourage the family to engage in bonding activities and allow for a space to process issues/concerns. h. The objectives are to ensure child's emotional safety during the visit; to utilize therapeutic interventions throughout the visit to ensure the appropriateness of the parent- child interactions; and to improve parenting skills. 6. Outcomes of service. a. Client/Family will meet treatment goals. b. Client/Family will learn to engage in a healthy, appropriate communication. c. Client/Family will gain skills to advocate for their needs. 7. Target population for service. a. Parents or primary caregivers whose children have been removed and who need instruction with parenting skills, household management and accessing community resources. b. Parents with children (ages 0-17) who are placed out of the home with relatives or in foster care. c.Children who are in out of home placement and/or transitioning back home from out of home placement. d.Children who may be moving to an out of state placement. 8. Service access. a.Due to the mobility of TBH Services, TBH can be accessed throughout the state of Colorado as long as the client has Internet. 9. Languages service is available in. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE a. English b. Fluent Spanish 10. Rates of service. TBH Therapeutic Visitation: $58 an hour TBH Therapeutic Visitation In- Home/Community Based $87 an hour Intake Service (up to two hours): $58 an hour Intake Service (up to two hours), In- Home/Community Based $87 an hour Family Team Meeting: $25 an hour Client No -Show Cost $25 an hour Transportation: Travel billed at $0.56 per mile outside of the 30 -mile one-way catchment area (inclusive of multiple stops) $0.56 per mile Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Therapeutic Visitation 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. Therapeutic Visitation Supervisor will utilize therapeutic modalities approved by DORA and most appropriate for the client and family (i.e. Family Systems Approach, CBT, Solution Focused Therapy, Play therapy, Attachment, Behavioral Modification etc.). b. Therapeutic Visitation Supervisor will provide a more non -directive approach to family therapy and intervene with therapeutic interventions as needed and appropriate. c. Redirection given when appropriate. d. A visitation log is filled out after each visitation and is reviewed with the parent/caregiver in order to make progress consistently. e. The parent/caregiver is responsible for signing each form to recognize strengths and needs of each visit and overall parenting/life skills. f. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the visitation supervisor providing services. iv. Each case should have approximately a 2 -hour intake service. g. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. h. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. GCC can accept a subpoena via email if that is the preferred method —subpoenas@griffithcenters.org i. Client No Show Procedure: i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. 4. Capacity to Provide Services (ex. 4 hours/week). Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE a. Service should occur 1-2 times a week for 1-3 hours at a time. b. Service should last 2-6 months. 5. Goals of the service. a. Treatment goals to be mutually agreed upon by the family, Therapeutic Visitation Supervisor, and other professionals (i.e., caseworker, probation officer). b. Parents or primary caregivers that struggle to engage their children in healthy developmentally appropriate conversations. c. Parents or primary caregiver and child(ren) will learn coping skills to help them regulate and effectively communicate with each other. d. Parents will learn to address barriers to developing a healthy attachment and bond with their child(ren). e. Parents will learn to processing past/current family dynamics. f. Parents and or children will reduce maladaptive behaviors and learn coping skills. g. Therapeutic Visitation Supervisor will encourage the family to engage in bonding activities and allow for a space to process issues/concerns. 6. Outcomes of service. a. The family will move to a lower level of care (i.e. supervised visitation). b. Clients will meet treatment goals. c. Clients will learn to engage each other in a healthy, appropriate manner. d. Clients may move to a lower level of care such as Supervised Visitation. e. Parents will learn skills to help their children regulate and process past/current issues. 7. Target population for service. Note: Please include age range, applicable genders, and any specific characteristics/traits/needs. a. Parents or primary caregivers whose children have been removed, and who need instruction with parenting skills, household management, and accessing community resources. b. Parents or primary caregivers that struggle to engage their children in healthy developmentally appropriate conversations. c. Parents who need help processing past/current family dynamics. d. Parents and or children who have maladaptive behaviors and need to be taught coping skills. e. Parents with barriers to developing a health attachment and bond with their child(ren). f. Parents with children (ages 0-17) who are placed out of the home with relatives or in foster care. g. Children who are in out of home placement and/or transitioning back home from out of home placement. 8. Service access. Note: Bidder must indicate capacity for video conferencing, phone conferencing and in person. If office -based, bidder should provide full physical addresses for all locations. If provided outside the office, bidder should note home -based and/or community -based, and geographical area(s) bidder is Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE willing to travel to. a. Throughout Weld County, community based or can take place in an office setting depending on the request of DHS. Community -based model (can be flexible to the needs ofeach individual case -visits can occur safely in the community, DHS building, Northglenn GCC office location, local library, etc.) 9. Languages service is available in. Note: Bidder should note the language and level of proficiency. a. English 10. Rates of service. Note: Bidder should include fee for service, staffing, mileage, and any other applicable costs bidder would like considered. Rates must be an exact amount and must include the unit of cost (i.e., hour, day, month, episode). Approximate rates or a range of rates for a service will not be accepted. Therapeutic Visitation: $58 an hour Therapeutic Visitation In- Home/Community Based $87 an hour Intake Services (up to two hours): Therapeutic Visitation $58 an hour Intake Services (up to 2 hours); In -Home, Community Based $87 an hour Family Team Meeting $25 an hour Client No -Show Cost $25 an hour Transportation: Travel billed at $0.56 per mile outside of the 30 -mile one-way catchment area (inclusive of multiple stops) $0.56 per mile Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Griffith Centers for Children, Chins Up Home -Based Intensive Services 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. a. Home -based intensive therapeutic service for high -risk families designed to prevent out - of -home placement orprepare a family for reunification. i. This service is flexible and individualized to eachfamily. ii. The home -based model of service delivery is utilized to overcome barriers to service access and to provide treatment where problems actually occur in home, school, and community settings. b. GCC - Chins Up family preservation services are modeled after the National Family Preservation Network's definition of intensive Family Preservation Services - IFPS c. IFPS services are designed to support families in crisis in which children are either at imminent risk of placement or have been placed out of the home. The services are for birth and adoptive families and are effective as reunification services as well as for placement prevention. i. Interventions may be aimed at the individual, entire family, or appropriate community members. ii. A strengths -based psycho -educational model that focuses onskill-building iii. Other skills areas include anger management, problem solving, home management, and accessing community resources. d. Intake: i. Completion of intake materials, which may include, but are not limited to releases of information, confidentiality statements, scope of service, HIPPA documentation, and policies and procedures. ii. This service covers the mandatory intake paperwork needed to start and continue services. iii. Intake service will be completed by the Griffith contractor providing services. iv. Each case should have approximately a 2 -hour intake service. e. Family Team Meeting: i. Visitation worker or therapist on a core funded therapy case attends a family team meeting at the request of the county. f. Court Staffing: i. When a contractor is subpoenaed by the county on a case they will need to take the time to prepare to testify by reviewing the files and going through court preparation with their clinical consultant in order to testify. ii. Contractors will also bill for their time they have to wait in the courtroom along with their time spent on the stand testifying. iii. GCC can accept a subpoena via email if that is the preferred method —subpoenas@griffithcenters.org Client No Show Procedure: g• Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE i. Client No -Shows three times in a row, GCC will contact caseworker about on -going no-shows. GCC will continue to reengage family in services and will send detailed attempt information to caseworker, via email regarding possible closing of the case due to lack of engagement. 4. Capacity to Provide Services (ex. 4 hours/week). a. Meet 3-6 hours a week with in the home, intensity can be increased in response to the need. b. Appointment times are flexible and based on the family's needs, including evenings and weekends. c. Availability 24 hours 17 days per week. d. Target length of service is 2-6 months. 5. Goals of the service. a. The goal of intensive family preservation services (IFPS) is to keep children safe and avoid both unnecessary removal and long separations from family in out -of -home care i. Treatment goals to be mutually agreed upon by the family, FP specialist, and other professionals (i.e., caseworker, probation officer). ii. This service is flexible and individualized to eachfamily iii. The home -based model of service delivery is utilized to overcome barriers to service access and to provide treatment where problems actually occur -in home, school, and community settings. 6. Outcomes of service. a. Stabilize family and reduce safety risks. i. Teach families to work with community agencies, assist in teaching parenting skills, stress reduction, problem -solving, and communication skills. ii. Families learn how to coordinate and advocate with school systems, court, and social services. iii. Services available for one year after discharge, to aid in long-term success. b. Provide the family with referrals within their community to increase support system. 7. Target population for service. Note: Please include age range, applicable genders, and any specific characteristics/traits/needs. a. Families who are in crisis or experiencing major struggles in functioning. b. Families with youth in the home who are acting out behaviorally or sexually. c. Children ages 0-17. d. Children who are at risk for out -of -home placement, ortransitioning back home from foster care,residential treatment, youth corrections, etc. e. Family Preservation can also be utilized to work with foster parents to stabilize a child(ren) in fostercare. f. Family preservation can work with parents, relatives, guardians, and foster parents. 8. Service access. a. Services based out of Weld County, can be community based and/or home based. b. Weld County Griffith Centers for Children office is located at 710 l 1th Ave. Greeley, CO 80631 Languages service is available in. a. English Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 9. Rates of service. Family Preservation Services: $54 an hour Family Preservation Services In Home/ Community Based $81 an hour Intake Services (up to two hours): $54 an hour Intake Services (up to two hours), In- Home/Community Based $81 an hour Family Team Meeting: $25 an hour Transportation: Travel billed at $0.56 per mile outside of the 30 -mile one-way catchment area (inclusive of multiple stops) $0.56 per mile Bid No.: 1900025 STAFF DATA SHEET EXHIBIT D Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) PROPOSED SERVICE OR SERVICE TYPE: Mental Health BIDDER LEGAL ENTITY NAME: Griffith Centers for Children Chins Up APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION SUPERVISOR INFORMATION No. Last Name First Name Work# Work Email Education Level Degree Focus Licensure/ Credentials DORAit (If applicable( Last Name First NametWork le Work Email 1 Lamoreaux Lisa 720-492-3875 lisa.lamoreaux@g MA 415-283-6455 Counseling/Art LPC Marriage and Fl Social Work LPC.0013802 Rock Jessica 415-283-6455 jessica.rock@griffi christina.murphy@ lisa.lamoreaux@gr lisa.lamoreaux@gr lisa.lamoreaux@gr vanessafelhauer.cr 2 Rock Jessica jessica.rock@griff cassandrawilliams MA M FT M FT.0001239 Murphy Lamoreaux Christina 720-425-5510 3 Williams Cassandra 970-817-1072 MSW LCSW CSW.09925430 Lisa 720-492-3875 4 Dunn Amanda 928-515-9043 amandadurn.cont MA Clinical Psychol Counseling Counseling NLC NLC.0105812 Lamoreaux Lisa 720-492-3875 5 Felhauer Vanessa 970-481-5818 vanessafelhauer.c MA LPC LPC.0014491 Lamoreaux Lisa 720-492-3875 6 McCall Courtney Heather 303-746-0187 courtneymccall.cc heatherburkeyskye.contractor@griffithcenters. shandralazar.cont MA LPCC LPCC.0015098 Felhauer Vanessa 970-481-5818 7 Burkey-Skye Lazar 303-810-3812 NLC NLC.0013370 Felhauer Vanessa 970-481-5818 vanessafelhauer.cn 8 Shandra 307-315-5318 MSW Social Work NLC NLC.0109019 Williams Cassandra 970-817-1072 cassandrawilliams. 9 Annan Katie 970-231-5930 katieannan.contra MA Counseling Marriage and F Social Work LPCC LPCC.0015882 Williams Cassandra 970-817-1072 cassandrawilliams. 30 Washington Stack Cammy Alycia Jodi 720-204-8820 cammywashingto alyciastack.contra jodituma.contract aaryneaston.contr audrajalbert.contr amberphipps.cont sarahbooth.contr< MA M FT -C MFTC.0013767 Williams Cassandra 970-817-1072 cassandrawilliams. 11 970-689-6388 MSW MSW NLC in process NLC.0106236 Felhauer Vanessa 970-481-5818 vanessafelhauer.cu 12 Tuma 970-631-7273 MA Counseling Marriage and F; Counseling Marriage and F; Social Work NLC Williams Cassandra 970-817-1072 cassandrawilliams. 13 Easton Aaryn Audra 970-980-8125 MA M FT -C M FTC.0013506 Williams Cassandra 970-817-1072 cassandrawilliams. 14 Jalbert 928-897-1731 MA LPC LPC.0015089 Williams Cassandra 970-817-1072 cassandrawilliams. 15 Phipps Booth Amber 970-308-7797 BA; MA Inte MSW NLC NLC.0109377 Williams Cassandra 970-817-1072 cassandrawilliams. 16 Sarah 831-402-7514 LSW LSW.0009921678 Lamoreaux Lisa 720-492-3875 isa.lamoreaux@gr isa.lamoreaux@gr cassandrawilliams. jessica.rock@griffi 17 Carlson Mary Ellen Sarah 970-541-1522 maryellencarlson. sarahlogan.contra juanitagarza.contr MA Counseling Marriage and Fi Counseling LPC LPC.0015023 Lamoreaux Lisa 720-492-3875 18 Logan Garza 954-790-3563 19 Juanita 405-625-9703 MA MFT-C MFTC.0013828 Williams Cassandra 970-817-1072 MA LPC LPC.0012693 Rock Jessica 415-283-6455 20 21 22 23 24 I clinicians current y contracted with Griffith Centers for Children can provide any of our proposed services at this time 25 26 27 28 Bid No.: 81900025 STAFF DATA SHEET EXHIBIT D (Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) pntractor@griffithcenters.org Dntractor@griffithcenters.org .contractor@griffithcenters.org .contractor@griffithcenters.org .contractor@griffithcenters.org Dntractor@griffithcenters.org .contractor@griffithcenters.org .contractor@griffithcenters.org .contractor@griffithcenters.org .contractor@griffithcenters.org .contractor@griffithcenters.org Bid No.: B1900025 GRIFF-1 OP ID: GA , .---- CERTIFICATE OF LIABILITY INSURANCE DATE1 03//13/213/201188 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Brown & Brown of the LV 3001 Emrick Blvd, Suite 120 Bethlehem, PA 18020 CONTACT NAME: FAX PHOAICNNo, Ext):610-974-9490 (AIC, No): 610-974-9791 E-MAIL ADDRESS:_ INSURER(S) AFFORDING COVERAGE NAIC N INSURER A: Philadelphia Indemnity Insu Co ;18058 INSURED Griffith Centers for Children dba The Emily Griffith Center 1724 Gilpin Street Denver, CO 80218 INSURER B: INSURER C: INSURER D : INSURER E : INSURER F :'. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NAMED ABOVE FOR THE POLICY PERIOD DOCUMENT WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, INSR TYPE OF INSURANCE pDDL SUER POLICY EFF POLICY EXP LTR INSD'WVD POLICY NUMBER (MMIDDIYYYY) (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR PHPK1790071 ' 04/01/2018:04/01/2019 EACH OCCURRENCE $ 1,000,000 DAMAGISEESTO(EaRENTEDurrence) $ 1,000,000 PREMocc MED EXP (Any one person) $ 20,000 Y PERSONAL &ADV INJURY 5 1,000,000 II GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT PRO I LOC _ OTHER: GENERAL AGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ 3,000,000 $ I AUTOMOBILE LIABILITY I ^ A '` ANY AUTO I) ALL OWNED ',. - SCHEDULED AUTOS _ AUTOS X X NON -OWNED _, HIRED AUTOS _ AUTO H Si l PHPK1790071 104/01/20181 04/01/2019 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) I $ PROPERTY DAMAGE $ (Per accident) ; X UMBRELLA LIAR X ,, OCCUR A I EXCESS LIAB �I CLAIMS -MADE PHUB620963 04/01/2018 04/01/2019 EACH OCCURRENCE 5 5,000,000 AGGREGATE . $ 5,000,000 DED I X I RETENTION $` 10,000 S WORKERS COMPENSATION EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ,NIA (Mandatory in NH) I If yes, describe under DESCRIPTION OF OPERATIONS below STATUTE ER MUTE E.L. EACH ACCIDENT 5 E.L. DISEASE - EA EMPLOYEE1 $ r E.L. DISEASE - POLICY LIMIT $ A !Professional Liab IPHPK1790071 04/01/2018 I 04/01/2019 A (Abuse/Molestation PHPK1790071 04/01/2018 04/01/2019 OCC/AGG $1MIL/$3MIL OCC/AGG $1MIL/$3MIL DESCRIPTION OF OPERATIONS I LOCATIONS] VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION WELDCOU Weld County, Colorado PO Box A Greeley, CO 80632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A,J 'Ie - r A.4e--1 ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NOTEPAD INSURED'S NAME Griffith Centers for Children Additional Named Insureds: ChinsUp Youth 6 Family Services Colorado Springs Asset Management LLC Griffith Centers for Children Foundation, Inc. GRIFF-1 OP ID: GA PAGE 2 Date 03/13/2018 AFRO" GRIFCEN-01 RCONTE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1/16/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CoBiz Insurance, Inc. - CO 1401 Lawrence St., Ste. 1200 Denver, CO 80202 INSURED Griffith Centers for Children Barb Ritchie 1724 Gilpin st. Denver, CO 80218 CONTACT Shannon Arzola NAME: PHONE (A/C, No, Ext): (602) 296-2332 E-MDAILESS:_ sarzola@cobizinsurance.com ADR INSURER(S) AFFORDING COVERAGE INSURER A:Pinnacol Assurance Company FAX (ANC, No):(602) 230-5805 NAIC 41190 INSURER B:Travelers Casualty and Surety Company 19038 INSURER C: Philadelphia Indemnity Ins. Co 18058 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE IADDL SUBR' POLICY NUMBER POLICY EFF POLICY EXP LIMITS INSD WVD IMM/DD/YYYYI IMM/DD/YYYYI COMMERCIAL GENERAL LIABILITY OCCUR , EACH OCCURRENCE $ CLAIMS -MADE DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) 5 PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: _ POLICY 1 Fla. LOC OTHER: GENERAL AGGREGATE _ $ PRODUCTS -_COMP/OP AGG $ $ A AUTOMOBILE LIABILITY ANY AUTO ONRJED 1' AUTOS ONLY AUTODS ONLY SCHEDULED AUTOS SSWN AUUTOS ONLY ' '�. COMBINED SINGLE LIMIT (Ea accident) _ S BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Per PROPERTYDAMAGE $ $ . UMBRELLA LIAR, OCCUR EXCESS LIAB CLAIMS -MADE'. r I !, EACH OCCURRENCE_. $ AGGREGATE _ $ DED I RETENTION $ g A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY, YIN ANY PROPRIETOR/PARTNER/EXECUTIVE I- OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below '1864142 1/1/2019 1/1/2020 I NIA I X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 - E.L. DISEASE - EA EMPLOYEE, S 1'000'00 E.L. DISEASE - POLICY LIMIT ' $ 1,000,000 B C Crime 105579952 4/1/2017 4/1/2020 Management Liability PHSD1334007 4/1/2018 I 4/1/2019 ID&O Employee Dishonesty Liability 250,000 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Subject to all policy terms and conditions. CERTIFICATE HOLDER CANCELLATION Weld County, Colorado PO Box A IGreelev. CO 80632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ��/ c& -a,---- �"( ��/ O ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide various services to Weld County children, youth and families, as referred by the Department. 2. Services available under this Agreement include: a. Home -Based Services i. Home -Based Intensive Services 1. Capacity for Services: a. Meet three (3) to six (6) hours per week in the home. Intensity can be increased in response to need. i. Contractor will offer flexible appointment times based on referred family's needs. ii. Availability 24 hours a day, seven (7) days a week. Service length is two (2) to six (6) months. 2. Goals of Service: To keep children safe and avoid both unnecessary removal and long separations from family in out -of -home care. a. Treatment goals to be mutually agreed up on by the family, Contractor, Department and other professionals. b. Service is flexible and individualized to each family member. c. Home -based model of service delivery is utilized to overcome barriers to service access and to provide treatment where problems actually occur; in the home, school and community settings. 3. Outcomes of Service: a. Stabilize family and reduce safety risks. i. Teach families to work with community agencies, assist in teaching parenting skills, stress reduction, problem -solving, and communication skills. ii. Families learn how to coordinate and advocate with school systems, court, and social services. iii. Service available for one year after discharge to aid in long- term success. b. Provide the family with referrals within their community to increase support system. 4. Target Population: a. Families who are in crisis or experiencing major struggles in functioning. b. Families with youth in the home who are acting out behaviorally c. Children ages 0-17. d. Children who are at risk for out -of -home placement, or transitioning back home from foster care, residential treatment, and youth corrections. e. Foster parents with children requiring stabilization. f. Parents, relatives, guardians, and foster parents 5. Service Access: a. 710 11th Avenue, Suite L-46, Greeley, CO 80631 b. Community -based or home based 6. Language: English only. 1 ii. Mentoring/Behavioral Health Intervention 1. Capacity for Services: One (1) to two (2) hours per week in the home, school or community settings. a. Contractor will offer flexible appointment times based on referred family's needs. b. Service length is three (3) to 12 months. 2. Goals of Service: Treatment goals to be mutually agreed upon by the family, Contractor, Department and other professionals. 3. Outcomes of Service: a. Teach coordination with school systems, court and Department. b. Client will develop skills to advocate for oneself. c. Follow-up services available for one year after discharge, to aid in long-term success. 4. Target Population: a. Families who are in crisis or experiencing major struggles in functioning. b. Family with youth in the home who are acting out behaviorally. c. Children, ages 0-17. d. Children who are at -risk for out -of -home placement or transitioning back home from foster care. e. Children who are in out -of -home placement and/or transitioning back home from out -of -home placement. 5. Service Access: a. 710 11th Avenue, Suite L-46, Greeley, CO 80631 b. Community -based or home based c. Services available via Telebehavioral (HIPPA compliant video conferencing) upon request. 6. Language: English only. b. Life Skills i. Life Skills 1. Capacity for Service: a. Flexible and individualized to each family. b. Families will meet one (1) to two (2) times per week totaling three (3) to four (4) hours per week in the home. i. Intensity can be increased in response to family's need. ii. Available 24 hours per day, seven (7) days per week. iii. Service length is two (2) to five (5) months. 2. Goals of Service: Treatment goals to be mutually agreed upon by the family, Contractor, Department and other professionals. a. Home -based model of service delivery is utilized to overcome barriers to service access and to provide treatment where problems actually occur; in the home, school and community settings. b. Coordination and advocacy with school systems, court, and the Department. c. Immediate mitigation of all safety risks and stabilization of the family. d. Individualized approach with the family, based on ethnicity, culture and lifestyles. 2 3. Outcomes of Service: a. Teach family to work with community agencies, assist in teaching ongoing parenting skills, as well as helping the parent(s) with stress reduction, problem -solving, and community skills. b. Teach the parent skills individually, as well as coach and model with the children present so that parents can implement skills once services end. c. Aid parent in learning life skills to become self-sustaining long-term. d. Services available one year after discharge to aid in long-term success. 4. Target Population: a. Parents or primary caregivers who in -home instruction with parenting skills, household management, and accessing community resources. b. Parents with children, ages 0-17, who are at risk of out -of -home placement. c. Parents with children, ages 0-17, who are placed out -of -home with relatives or in foster care. d. Children who are transitioning back home from out -of -home placement. 5. Service Access: a. 710 11`h Avenue, Suite L-46, Greeley, CO 80631 b. Community -based or home based c. Services available via Telebehavioral (HIPPA compliant video conferencing) upon request. 6. Language: English only. ii. Therapeutic Visitation 1. Capacity for Services: a. One (1) to two (2) times per week for one (1) to three (3) hours. b. Service length is two (2) to six (6) months. 2. Goals of Service: Treatment goals to be mutually agreed upon by the family, Contractor, Department and other professionals. a. Parents will learn to address barriers to developing a healthy attachment and bond with their child(ren). b. Parents will learn to process past and current family dynamics. c. Parents and/or children will reduce maladaptive behaviors and learn coping skills. d. Families will be encouraged to engage in bonding activities and allow for a space to process issues/concerns. 3. Outcomes of Service: a. The family will move to a lower level of a care. b. Clients will meet treatment goals. c. Clients will learn to engage each other in a healthy, appropriate manner. d. Parents will learn skills to help their children regulate and process past/current issues. 4. Target Population: a. Parents or primary caregivers whose children have been removed, and who need instruction with parenting skills, household management, and accessing community resources b. Parents or primary caregivers that struggle to engage their children in healthy developmentally appropriate conversations. c. Parents who need help processing past/current family dynamics. d. Parents and/or children who have maladaptive behaviors and need to be taught coping skills. e. Parents with barriers to developing a healthy attachment and bond with their child(ren). f. Parents with children, age 0-17, who are placed out of the home with relatives or in foster care. g. Children who are in out -of -home placement and/or transitioning back home from out -of -home placement. 5. Service Access: Throughout Weld County, community -based or in an office setting 6. Language: English only. Telebehavioral Therapeutic Visitation 1. Capacity for Services: a. Service will occur one (1) to two (2) times a week for no more than two (2) hours. b. Service length is three (3) to four (4) months. 2. Goals of Service: Treatment goals to be mutually agreed upon by the family, Contractor, Department and other professionals. a. Parents or primary caregiver and child(ren) will learn coping skills to help them regulate and effectively communication with each other. b. Parents will learn to address barriers to developing a healthy attachment and bond with their child(ren). c. Parents will learn to process past/current family dynamics. d. Parents and/or children will reduce maladaptive behaviors and learn coping skills. e. Families will be encouraged to engage in bonding activities and allow for a space to process issues/concerns. f. Ensure child's emotional safety during the visit and utilize therapeutic interventions throughout the visit to ensure the appropriateness of the parent/child interactions and improve parenting skills. 3. Outcomes of Service: a. Client/family will meet treatment goals. b. Client/family will learn to engage in a heathy, appropriate communication. c. Client/family will gain skills to advocate for their needs. 4. Target Population: a. Parents or primary caregivers whose children have been removed and who instruction with parenting skills, household management and accessing community resources. b. Parents with children, ages 0-17, who are placed out -of -home with relatives or in foster care. c. Children who are in out -of -home placement and/or transitioning back home from out -of -home placement. d. Children who may be moving to an out-of-state placement. 5. Service Access: Throughout Colorado so long as client has access to the Internet. 6. Language: English and Spanish. iv. Supervised Visitation and Telebehavioral Health Supervised Visitation: 1. Capacity of Services: a. One (1) to two (2) times per week for two (2) to three (3) hours per visit. b. Service length is two (2) to six (6) months. 2. Goals of Service: Treatment goals to be mutually agreed upon by the family, Contractor, Department and other professionals. a. Ensure child safety during the visit, closely monitor all parent/child interaction to ensure the appropriateness of the interactions, and to improve parenting skills. b. Interventions and parenting skills based on the established programs of "Love & Logic", "Nurturing Program" and "Common Sense Parenting". c. Teach parents skills individually, as well as coach and model with the child(ren) present. 3. Outcomes of Services: a. Family will move to a lower level of care. b. Parents or primary caregiver will have developed healthy developmentally appropriate parenting skills. 4. Target Population: a. Parents or primary caregivers whose children have been removed, and who need instruction with parenting skills, household management, and accessing community resources. b. Parents with children, ages 0-17, who are place out -of -home with relatives or in foster care. c. Children who are in out -of -home placement and/or transitioning back home from out -of -home placement. 5. Service Access: a. Throughout Weld County, community based or can take place in an office setting (710 11th Avenue, Suite L-46, Greeley, CO 80631). b. Telebehavioral, so long as client has access to the Internet. 6. Language: English only. c. Mental Health Services i. Mental Health Services and Telebehavioral Health Individual and Family Therapy 1. Capacity for Services: a. One (1) to two (2) times per week for two (2) to three (3) hours per visit. b. Service length is three (3) to six (6) months, dependent on each individual client(s) need. 2. Goals of Service: Treatment goals to be mutually agreed upon by the family, Contractor, Department and other professionals. a. Client/family will process family dynamics and life stressors. b. Client will meet treatment goals created by the client, family, Contractor and Department. 5 c. Client will process trauma and gain skills on how to manage triggers moving forward. d. Other skill areas include anger management, problem -solving, home management and accessing community resources. 3. Outcomes of Service: a. Client and/or family will meet their treatment goals. b. Client/family will learn to engage in a healthy, appropriate communication. c. Client/family will gain skills to advocate for their needs. 4. Target Population (Mental Health Services): a. Families with youth in the home who are acting out behaviorally. b. Families who are in crisis or experiencing major struggles in functioning. c. Families with youth in the home who are acting out behaviorally. d. Children, ages 0-17. e. Children who are at risk for out -of -home placement or transitioning back home from foster care. 5. Target Population (Telebehavioral Health Individual and Family Therapy): a. Families who are struggling with communication. b. Youth/or families that move frequently. c. Families with youth in the home who are acting out behaviorally. d. Children ages 10 and older (individual therapy). e. Parents who like to improve attachment and bond with children. 6. Service Access: a. 710 11th Avenue, Suite L-46, Greeley, CO 80631. b. Services based out of Weld County, can be community and/or home based. c. Telebehavioral (HIPPA compliant video conferencing), throughout Colorado so long as client has access to the Internet. 7. Languages: a. Mental Health Services: English only. b. Telebehavioral Health Individual and Family Therapy: English and Spanish. ii. Reload (Reboot Educational Learning Opportunities Affecting) 1. Capacity for Services: Three (3) months, 12 individual session and two (2) family sessions to complete. 2. Goals of Service: Treatment goals to be mutually agreed upon by the family, Contractor, Department and other professionals. a. Provide students with an individualized educational and career portfolio that includes future planning, career assessment, financial budget, educational and career track. 3. Outcomes of Service: a. Provide students with the skills and resources to achieve academic improvement and self -development. b. A completed portfolio that includes a personal statement, resume, financial budget, job or college applications, names, addresses and phone number of references, letters of recommendation and a copy of high school transcripts. 4. Target Population: a. Students who are currently truant, lacking the credits to graduate and struggling to utilize school resources. b. Students, 16 to 18 years old, of any gender. Contractor will consider students age 15. 5. Service Access: a. 710 11th Avenue, Suite L-46, Greeley, CO 80631. b. Community base and/or home based. c. Telebehavioral (HIPPA compliant video conferencing), upon request. 6. Language: English only. iii. Truancy ASK (Advocate Success for Kids) 1. Capacity for Services: a. Flexible frequency and duration dependent on the needs of the client and family. b. Two (2) hours per week in the home and one (1) hour a week case management. c. Service length is three (3) to six (6) months, dependent on each individual client(s) need. 2. Goals of Service: Treatment goals to be mutually agreed upon by the family, Contractor, Department and other professionals. a. Maximization of student's educational potential both inside and outside the school setting. b. Promotion of academic achievement, attendance, good character, responsible decision -making, and mental health wellness. c. Empowerment of parents through family therapy sessions to provide a foundation for positive parental influence and school attendance. 3. Outcomes of Service: a. Students will be guided to develop career/vocational plans b. Prevention of academic failure c. Increased attendance d. Decreased behavioral problems in and out of school e. Development of social skills f. Creation of structure in the home g. Repaired family relationships h. Creation of an individualized treatment plan for the student's mental health 4. Target Population: Any age or gendered student who is currently truant from school, historically truant from school, or at risk of truancy. 5. Service Access: a. 710 11th Avenue, Suite L-46, Greeley, CO 80631. b. Community base and/or home based. c. Telebehavioral (HIPPA compliant video conferencing), upon request. d. 6. Language: English and Spanish (dependent upon availability). 3. Contractor will respond to the Quality Assurance Team Supervisor (hainlejd@weldgov.com, 970-400- 6210) within three (3) business days regarding the ability to accept the received referral. 4. Upon acceptance of a referral, Contractor will offer an initial appointment within seven (7) days of receiving the referral. The first attempt to contact the client will occur within 24 hours of receiving the 7 referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If the client does not respond after three (3) attempts in the first seven (7) days of the referral period, the Contractor will notify the caseworker and the Quality Assurance Team Supervisor (hainlejd@weldgov.com, 970-400-6210). 5. Contractor understands that "no shows" are defined as unexcused and unplanned/uncommunicated absences for visitation services. If a rate for "no shows" is not specifically stated in Exhibit D, Rate Schedule, then Contractor understand that the Department will no reimburse for "no shows". Contractor understands that the Department will only reimburse Contractor for up to two (2) "no-shows" on the part of the client per month. After three (3) "no-shows, "Contractor will place client on a behavioral plan requiring attendance or discharged client from services. Contractor must inform the caseworker and the Quality Assurance Team Supervisor (hainlejd@weldgov.com, 970-400-6210). 6. Contractor understands that the Department will not reimburse Contractor for cancelled appointments either on the part of the client or the Contractor. If the cancellation is generated from the Contractor, a "makeup" session/episode, to occur within 30 days of the cancellation, will be offered to the client (excluding session/episodes that fall on holidays). If the cancellation is generated from the client, the Contractor must request a makeup session from the Department prior to the makeup session occurring (excluding session/episodes that fall on holidays). After three (3) cancellations, Contractor will inform the caseworker and the Quality Assurance Team Supervisor (hainleid@weldgov.com) immediately via email, to discuss service continuation. 7. Contractor will identify in detail areas of continued concern and make recommendations to the Department regarding continuation of services and/or the need for additional services. 8. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately AND on the required monthly report. 9. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 10. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Contract and Services Coordinator, a Department -facilitated Team Decision Making (TDM) or Family Team Meeting (FTM), or by court order. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 11. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making meetings. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor obtains the Facilitator's signature on the Client Verification Form (if in person) at the time of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract and Services Coordinator. Contractor may participate by phone, if approved by the Department. 8 12. Contractor will notify the Quality Assurance Team Supervisor (hainlejd@weldgov.com, 970-400-6210) of new staff who will manage and/or administer the services with the following information: a. Staff member name and contact information b. Education level/degree (if applicable) c. Licensure/credentials (if applicable) d. Department of Regulatory Authority (DORA) number (if applicable) e. Supervisor name and contact information The Department reserves the right to decline the new staff members managing and/or administering services to Department clients. 9 EXHIBIT D RATE SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after May 31, 2020. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services Home Based Services: $54.00/Hour (Family Preservation Services) $81.00/Hour (Family Preservation Services In-home/Community Based) $81.00/Hour (Family Preservation Services In-home/Community Based — Intake up to 2 hours) $54.00/Hour (Family Preservation Services — Intake up to 2 hours) $25.00/Hour (Family Team Meeting (FTM), Staffing, Team Decision Making Meeting (TDM)) $44.00/Hour (Mentoring Services) $66.00/Hour (Mentoring Services In-home/Community-based) $66.00/Hour (Mentoring Services In-home/Community-based — Intake up to 2 hours) $44.00/Hour (Mentoring Services — Intake up to 2 hours) $ .56/Mile (Transportation for all home based services) Life Skills: $25.00/Hour (Family Team Meeting (FTM), Staffing, Team Decision Making Meeting (TDM)) $46.00/Hour (Parenting Skills) $15.00/Hour (Parenting Skills Group — Four (4) or more clients) $69.00/Hour (Parenting Skills In-home/Community) $69.00/Hour (Parenting Skills In-home/Community — Intake up to 2 hours) $45.00/Hour (Parenting Skills — Intake up to 2 hours) $53.00/Hour (Supervised Visitation) $80.00/Hour (Supervised Visitation In-home/Community) $80.00/Hour (Supervised Visitation In-home/Community — Intake up to 2 hours) $53.00/Hour (Supervised Visitation — Intake up to 2 hours) $53.00/Hour (Telebehavioral Health Supervised Visitation) $80.00/Hour (Telebehavioral Health Supervised Visitation In-home/Community) $80.00/Hour (Telebehavioral Health Supervised Visitation In-home/Community — Intake up to 2 hours) $53.00/Hour (Telebehavioral Health Supervised Visitation — Intake up to 2 hours) $58.00/Hour (Telebehavioral Health Therapeutic Visitation) $87.00/Hour (Telebehavioral Health Therapeutic Visitation/Community) $87.00/Hour (Telebehavioral Health Therapeutic Visitation/Community — Intake up to 2 hours) $58.00/Hour (Telebehavioral Health Therapeutic Visitiaton/Community — Intake up to 2 hours) $58.00/Hour (Therapeutic Visitation) $87.00/Hour (Therapeutic Visitation In-home/Community) 1 $87.00/Hour (Therapeutic Visitation In-home/Community — Intake up to 2 hours) $58.00/Hour (Therapeutic Visitation — Intake up to 2 hours) $ .56/Mile (Transportation for all visitation) Mental Health Services: $25.00/Hour (Family Team Meeting (FTM), Staffing, Team Decision Making Meeting (TDM)) $64.00/Hour (Family Therapy) $96.00/Hour (Family Therapy In-home/Community) $96.00/Hour (Family Therapy In-home/Community — Intake up to 2 hours) $64.00/Hour (Family Therapy Intake up to 2 hours) $60.00/Hour (Individual Therapy) $90.00/Hour (Individual Therapy In-home/Community) $90.00/Hour (Individual Therapy In-home/Community — Intake up 2 hours) $60.00/Hour (Individual Therapy — Intake up to 2 hours) $44.00/Hour (Reload — Reboot Educational Learning Opportunities Affecting Direction) $66.00/Hour (Reload — Reboot Educational Learning Opportunities Affecting Direction — In- home/Community-based) $66.00/Hour ($66.00/Hour (Reload — Reboot Educational Learning Opportunities Affecting Direction — In- home/Community-based, Intake up to 2 hours) $44.00/Hour (Reload — Reboot Educational Learning Opportunities Affecting Direction — Intake up to 2 hours) $64.00/Hour (Telebehavioral Health Family Therapy) $96.00/Hour (Telebehavioral Health Family Therapy In-home/Community-based) $96.00/Hour (Telebehavioral Health Family Therapy In-home/Community-based — Intake up to 2 hours) $64.00/Hour (Telebehavioral Health Family Therapy — Intake up to 2 hours) $60.00/Hour (Telebehavioral Health Individual Therapy) $90.00/Hour (Telebehavioral Health Individual Therapy In-home/Community-based) $90.00/Hour (Telebehavioral Health Individual Therapy In-home/Community-based — Intake up to 2 hours) $60.00/Hour (Telebehavioral Health Individual Therapy — Intake up to 2 hours) $ .56/Mile (Transportation for all Mental Health Services) $47.00/Hour (Truancy ASK) $71.00/Hour (Truancy ASK In-home/Community-based) $71.00/Hour (Truancy ASK In-home/Community-based — Intake up to 2 hours) $47.00/Hour (Truancy ASK — Intake up to 2 hours) $25.00/Hour (Truancy ASK — Case Management Services, 1-2 hours/week) 3. Submittal of Vouchers Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other supporting documentation, and monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7th day of the month following the month of service, but no later than 60 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline may result in termination of the Agreement. 2 For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the completed product. For Monitored Sobriety services, proof of services rendered shall be the test result. 3 Hello