HomeMy WebLinkAbout20202060.tiffMariah Higgins
From:
Sent:
To:
Cc:
Subject:
Attachments:
Good morning,
Kathy Snyder
Friday, July 10, 2020 11:18 AM
CTB
HS Contract Management
ITEMS OF COMMUNICATION - Notice of Termination of Agreement for North Range
Behavioral Health (Tyler 2017-3817) and Transitions Psychology Group (Tyler
2017-3825)
NRBH_Term Ltr Voc Assess_070920.pdf; Trans Psych_Term Ltr_Voc Assess_070920.pdf
Please add the following as an Items of Communication on the Agenda. These letters are in reference to a Notice of
Termination for Vocational Assessments and Counseling Service for North Range Behavioral Health and Transitions
Psychology Group:
North Range Behavioral Health — Tyler No. 2017-3817
Transitions Psychology Group — Tyler No. 2017-3825
Thank you.
Kathy Snyder
Contract Management and Compliance Coordinator
Administration Support Unit (ASU)
Contract Management Team: 970-400-6556
Direct: 970-400-6603
Fax: 970-353-5215
snyderkl@weldgov.com
Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for
the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise
protected from disclosure. If you have received this communication in error, please immediately notify sender by return
e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the
contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
Vision:
The people of Weld County are connected to the resources needed to thrive in the community
and feel safe and empowered.
Mission:
Engaging and partnering with the community to improve the safety, health and well-being of
individuals and families through the delivery of responsive and collaborative services.
1
CoR!-ton; c04;onS
07/20/20
2020-2060
H Roo 5i1
DEPARTMENT OF HUMAN SERVICES
PO Box A Greeley, CO 80632
Website: www.co.weld.co.us
July 9, 2020
To: Larry Pottorff, Executive Director
North Range Behavioral Health
1300 North 17th Avenue
Greeley, CO 80631
Re: Weld County Agreement for Professional Services — Vocational Assessments and
Counseling
At this time, pursuant to Paragraph 4 of the executed original agreement, identified by the Weld
County Board of County Commissioners as document number 2017-3817 (Attachment A), Weld
County is submitting written notice of termination of the agreement between Weld County and
North Range Behavioral Health, effective August 14, 2020.
We thank you for your partnership ower the last several years and look forward to working with
you again in the future.
Any questions or concerns regarding this action may be directed to the Department's Contract
Management team at HS_Contract_Management@co.weld.co.us.
Enclosure (1)
cc: Weld County Board of County Commissioners
Karin McDougal, Assistant County Attorney
Julie Witkowski, Family Resource Division Head
Jamie Ulrich, Director
Contract Management Team
WELD COUNTY AGREEMENT FOR PROFESSIONAL SERVICES
BETWEEN WELD COUNTY & NORTH RANGE BEHAVIORAL HEALTH
VOCATIONAL ASSESSMENTS AND COUNSELING
THIS AGREEMENT is made and entered into this ‘0NTday of` — 71f7 : , 2017 by and between the County
of Weld, a body corporate and politic of the State of Colorado, by and through its Board of County Commissioners, whose
address is 1150 "O" Street, Greeley, Colorado 80631 hereinafter referred to as "County," and NORTH RANGE
BEHAVIORAL HEALTH whose address is 1300 N. 17O AVENUE GREELEY, CO 80631 hereinafter referred to as
"Contractor".
WHEREAS, County desires to retain Contract Professional as an independent Contract Professional to perform
services as more particularly set forth below; and
WHEREAS, Contract Professional has the ability, qualifications, and time available to timely perform the services,
and is willing to perform the services according to the terms of this Agreement.
WHEREAS, Contract Professional is authorized to do business in the State of Colorado and has the time, skill,
expertise, and experience necessary to provide the services as set forth below;
NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties hereto
agree as follows:
1. Introduction. The terms of this Agreement are contained in the terms recited in this document and in Exhibit A which
forms an integral part of this Agreement. Exhibit A is specifically incorporated herein by this reference.
2. Service or Work. Contractor agrees to procure the materials, equipment and/or products necessary for the Project and
agrees to diligently provide all services, labor, personnel and materials necessary to perform and complete the Project
described in Exhibit A.
3. Term. The term of this Agreement begins July 1, 2017, upon the date of the execution of this Agreement by County, and
shall continue through and until Contractor's completion of the responsibilities described in Exhibits A. This contract may
be extended annually upon written agreement of both parties.
4. Termination. County has the right to terminate this Agreement, with or without cause on thirty (30) days written notice.
Furthermore, this Agreement may be terminated at any time without notice upon a material breach of the terms of the
Agreement.
5. Extension or Modification. Any amendments or modifications to this agreement shall be in writing signed by both
parties. No additional services or work performed by Contractor shall be the basis for additional compensation unless and
until Contractor has obtained written authorization and acknowledgement by County for such additional services.
6. Compensation/Contract Amount. Upon Contractor's successful completion of the Project, and County's acceptance
of the same, County agrees to pay an amount no greater than the amount set forth in Exhibit B. County will not withhold
any taxes from monies paid to the Contractor hereunder and Contractor agrees to be solely responsible for the accurate
reporting and payment of any taxes related to payments made pursuant to the terms of this Agreement.
7. Independent Contractor. 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.
8. Subcontractors. Contractor acknowledges that County 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 County's prior written consent, which may be withheld in County's sole discretion.
2017-3817
9. Ownership. All work and information obtained by Contractor under this Agreement or individual work order shall
become or remain (as applicable), the property of County.
10. Confidentiality. Contractor agrees to keep confidential all of County's confidential information. Contractor agrees
not to sell, assign, distribute, or disclose any such confidential information to any other person or entity without seeking
written permission from the County. Contractor agrees to advise its employees, agents, and consultants, of the confidential
and proprietary nature of this confidential information and of the restrictions imposed by this agreement.
11. Warranty= Contractor warrants that the services performed under this Agreement will be performed in a manner
consistent with the standards governing such services and the provisions of this Agreement. Contractor further represents
and warrants that all services shall be performed by qualified personnel in a professional and workmanlike manner,
consistent with industry standards, and that all services will conform to applicable specifications.
12. Acceptance of Services Not a Waiver. In no event shall any action by County hereunder constitute or be construed
to be a waiver by County of any breach of this Agreement or default which may then exist on the part of Contractor.
Acceptance by the County of, or payment for, the services completed under this Agreement shall not be construed as a
waiver of any of the County's rights under this Agreement or under the law generally.
13. Insurance and Indemnification. Contractor shall procure at least the minimum amount of automobile liability
insurance required by the State of Colorado for the use of any personal vehicle. Proof of said automobile liability insurance
shall be provided to County prior to the performance of any services under this Agreement. Professional Liability (Errors
and Omissions Liability) The policy shall cover professional misconduct or lack of ordinary skill for those positions
defined in the Scope of Services of this contract. Contract Professional shall maintain limits for all claims covering wrongful
acts, errors and/or omissions, including design errors, if applicable, for damage sustained by reason of or in the course of
operations under this Contract resulting from professional services. In the event that the professional liability insurance
required by this Contract is written on a claims -made basis, Contract Professional warrants that any retroactive date under
the policy shall precede the effective date of this Contract; and that either continuous coverage will be maintained or an
extended discovery period will be exercised for a period of two (2) years beginning at the time work under this Contract is
completed.
Minimum Limits:
Per Loss
Aggregate
$ 1,000,000
$ 2,000,000
14. Indemnity. The Contractor shall defend, indemnify and hold harmless County, its officers, agents, and employees,
from and against injury, loss damage, liability, suits, actions, or claims of any type or character arising out of the work done
in fulfillment of the terms of this Contract or on account of any act, claim or amount arising or recovered under workers'
compensation law or arising out of the failure of the Contractor to conform to any statutes, ordinances, regulation, law or
court decree.
15. Non -Assignment. Contractor may not assign or transfer this Agreement or any interest therein or claim thereunder,
without the prior written approval of County.
16. 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.
17. Compliance with Law. Contractor shall strictly comply with all applicable federal and State laws, rules and regulations
in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment
practices.
18. Non -Exclusive Agreement. This Agreement is nonexclusive and County may engage or use other Contractors or
persons to perform services of the same or similar nature.
19. Entire Agreement/Modifications. This Agreement including the Exhibits attached hereto and incorporated herein,
contains the entire agreement between the parties with respect to the subject matter contained in this Agreement. This
instrument supersedes all prior negotiations, representations, and understandings or agreements with respect to the subject
matter contained in this Agreement. This Agreement may be changed or supplemented only by a written instrument signed
by both parties.
20. Fund Availability. Financial obligations of the County payable after the current fiscal year are contingent upon funds
for that purpose being appropriated, budgeted and otherwise made available. Execution of this Agreement by County does
not create an obligation on the part of County to expend funds not otherwise appropriated in each succeeding year.
21. Employee Financial Interest/Conflict of Interest — C.R.S. §§24-18-201 et seq. and §24-50-507. The signatories to
this Agreement state 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.
22. 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.
23. 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 §§24-10-101 et seq., as applicable now or hereafter amended.
24. No Third -Party Beneficiary. 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.
25. 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 or its designee.
26. 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.
27. Public Employment Retirement Program. Contractor is responsible for notifying Weld County of any previous
participation in the Colorado Public Employee Retirement Program. Contractor must notify Weld county of the most recent
employment for a PERA contributing employer.
28. Public Contracts for Services C.R.S. §8-17.5-101. Contractor certifies, warrants, and agrees that it does not
knowingly employ or contract with an illegal alien who will perform work under this contract. Contractor will confirm the
employment eligibility of all employees who are newly hired for employment in the United States to perform work under
this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to
C.R.S. §8-17.5-102(5)(c). Contractor shall not knowingly employ or contract with an illegal alien to perform work under
this Agreement or enter into a contract with a subcontractor that fails to certify with Contractor that the subcontractor shall
not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor shall not use E -
Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while
this Agreement is being performed. If Contractor obtains actual knowledge that a subcontractor performing work under the
public contract for services knowingly employs or contracts with an illegal alien Contractor shall notify the subcontractor
and County 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. Contractor 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 an 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 County, 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., County, may terminate this Agreement for breach, and if so terminated, Contractor shall be
liable for actual and consequential damages.
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.
29. Acknowledgment. County and Contractor acknowledge that each has read this Agreement, understands it and agrees
to be bound by its terms. Both parties further agree that this Agreement, with the attached Exhibits A and B is the complete
and exclusive statement of agreement between the parties and supersedes all proposals or prior agreements, oral or written,
and any other communications between the parties relating to the subject matter of this Agreement. �
IN WITNESS WHEREOF, the parties hereto have signed this Agreement this L(/:rii day of�"� /�;4/,"% 2017.
CONTRACTOR:
North Range Behavioral Health
1300 N. l 7'° Avenue
Greeley, CO 80631
By:
Na rff
Title: Executiv-' i'rector
Date 2 /7
WELD COUNTY:
ATTEST:
Weld
BY:
Clerk to the Boa d
DepuBoar
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY. COLORADO
o .d, Chair
6 2017
(5)&2/7-3k1 7
EXHIBIT A
SCOPE OF SERVICES
1. General Scone of Services:
North Range Behavioral Health (North Range) and the Temporary Assistance for Needy Families
(TANF) Program agree to aid Colorado Works families by offering vocational assessments,
vocational placement, individual, family and group counseling services, evaluations and life skills
services to remove barriers to self-sufficiency and Supplemental Security Income or Social
Security Disability Insurance application assistance.
North Range will work jointly with TANF Program staff (Assistance Payments and Employment
Services of Weld County, both Divisions of the Weld County Department of Human Services).
Employment Services provides the case management, and work activities necessary for Colorado
Works (TANF) clients.
2 Types of Services to be Provided:
North Range agrees to provide certain services as follows:
a. Vocational Assessments:
North Range will conduct vocational assessments called the Vocational Career Profile
through structured individual interviews for Colorado Works applicants aimed at
identifying personal strengths and barriers to self-sufficiency. The vocational
assessment will address various content areas including work/career, family, physical
health, mental health, disabilities, legal issues, housing, support network,
education/training, personal growth/development and motivation. The results of the
screening are compiled into a brief written report delineating employment strengths,
employment concerns and recommendations. The written report is provided to the
referring Human Services staff members within two business days of the interview to
expedite the applicant's placement in employment activities.
Vocational Assessments will be scheduled by the Colorado Works' Employment Services
case managers in conjunction with North Range Employment Specialists to complete the
task of an on -site assessment at either the Weld County Department of Human Services
offices located at 315 North I I's Avenue, Greeley, Colorado and 2950 9th Street, Fort
Lupton, Colorado. Additionally, for increase flexibility, these assessments could occur at
North Range clinical sites or offices.
b. Vocational Placement:
North Range Employment Specialist will attempt to place Colorado Works referrals
based on their Vocational Assessment into the appropriate job placements via the
evidence -based practice known as Individual Placement and Support Program (IPS). This
supportive employment model provides the principles of focusing on competitive
employment; readiness to work; integration with recovery services; effects on benefits;
rapid and systematic job search; and time -unlimited individualized support.
c. Vocational Support:
l (Pape
When clinically appropriate, medically necessary and with the proper diagnosis, mental
health and/or substance abuse support services through an individualized treatment plan
may be recommended:
1) Individual Counseling: North Range will make available individual counseling
for Colorado Works recipients referred by the TANF program and services will
be designed to remove barriers to work and may take place at a North Range
clinical site or offices, in the recipient's home or at other appropriate sites based
on recipients' needs and limitations.
2) Family Counseling: North Range will provide family counseling, which is
designed to remove barriers to work, for Colorado Works recipients referred by
the TANF Program. Services may take place at a North Range clinical site or
offices, in the recipient's home, or at other appropriate sites based on the
recipients' needs and limitations.
3) Group Support or Counseling: North Range will provide group support or
counseling services to those Colorado Works recipients referred by the TANF
Program. Groups will be designed to address self-sufficiency issues common to
the recipients (i.e. self-esteem, anger management, relationship issues, problem -
solving skills and social skills).
4) Life Skills Services: North Range will make available Life Skills Services for
Colorado Works recipients referred by the TANF Program. Life Skills will
provide psychosocial educational services to improve self-sufficiency in targeted
skill areas such as household management, parenting practices, relational skills,
accessing community resources and goal setting. Life Skills Services will take
place at multiple North Range clinical sites or offices or at other appropriate
community sites based on the recipient's needs and limitations.
5) Psychological Evaluation and Consultation: North Range agrees to provide
evaluation and consultation relating to cognitive, social/emotional and other
functioning issues identified with Colorado Works recipients who are referred by
the TANF Program. North Range agrees to provide an evaluation performed by
a qualified psychologist. The purpose of the evaluation is to identify any
limitations or barriers to work that might exist with the clients, especially
identifying functional limitation issues such as learning disabilities, borderline
intellectual functioning and mental illness. A written report is to be provided to
the referring TANF staff member upon completion of the testing. North Range
will also make available a qualified psychologist for consultation with Human
Services, discussing test results or other difficult cases and making Individual
Responsibility Contract (IRC) recommendations.
b. Supplemental Security Income and Social Security Disability Insurance Application
Assistance
1) Documentation: North Range agrees to assist Colorado Works clients that are
referred by the TANF Program in gathering all applicable documentation and
information to assist in the Supplemental Security Income (SSI) and Social Security
Disability Insurance (SSDI) application process. This includes, but not limited to:
identifying and utilizing relevant doctors or other professional's information pertinent
to the client's medial, cognitive and physical condition pertinent to the application,
21Page
obtaining personal information for the application, obtaining the work history of the
client, obtaining all necessary SSI or SSDI applications and paperwork or utilizing
on-line tools and obtaining any correspondence that is sent by Social Security
Administration (SSA).
2) Application Submission: North Range agrees to assist clients that are referred by the
TANF Program with the submission of their SSI or SSDI application. This includes,
but not limited to: ensuring that the application and all required supporting
documentation is complete and accurate to the best of North Range's knowledge,
ensuring all known relevant information is listed on the application and all required
supporting documents or on-line and ensuring that the application and all required
supporting documents are submitted to SSA within SSA specified guidelines.
3) Appeal Process: North Range agrees to assist clients that are referred by the TANF
Program in the appeals process for which clients have been denied for SSI or SSDI.
This includes, but not limited to: Obtaining additional relevant information and
documentation that assists the client in overturning the denial of the application by
SSA, submitting all required information and documentation to SSA within the
applicable timelines set by SSA, informing the Department of any additional
professional help that might assist in overturning the denial of the application, and
following up with the client as needed to ensure all SSA correspondence has been
reviewed and acted upon.
Contact to schedule appointments with clients must be done by North Range within seven
calendar days from receipt of the referral from the appropriate TANF Program staff person.
North Range staff agree to notify the appropriate TANF staff person within 2 working days when
a client fails to show for a scheduled appointment and whenever a referred client cancels the
North Range initial appointment.
The appropriate TANF program staff agrees to notify North Range within 2 working days when a
client is sanctioned, moves, becomes ineligible for cash benefits, or any other reason that may
affect or limit the clients' participation in counseling services.
3. Eligible Recipients:
TANF Program staff will approve designated referrals for counseling, life skills, evaluations, SSI
application assistance, SSDI application assistance and consultation services and provide North
Range with a referral authorization, signed by the technician or case manager and a program
supervisor. Human Services Colorado Works case managers will schedule the vocational
assessments, with a signed referral form for this service.
4. Staff Oualifications:
For all services offered through this Agreement, North Range will provide counselors who hold,
at a minimum, a Master's degree in a human services field and two years of relevant experience.
North Range agrees to make available to the TANF Program State licensed professionals, i.e.
Licensed Professional Counselor, Licensed Marital and Family Therapist, or Licensed Clinical
Social Worker or an equivalent degree and/or experience as appropriate and available.
Vocational assessments will be performed by a professional employment specialist who holds a
Master's degree or an equivalent degree and/or experience in Rehabilitation Counseling. Any
3[Page
substance abuse services will be provided by State of Colorado Certified Addiction Counselors
(II's and III's) or an equivalent addiction -related licensure and/or experience. Evaluation and
Consultation providers will hold, at a minimum, a doctorate degree in psychology or a related
field, two years of relevant experience, and be a Licensed Psychologist or supervised by a
Licensed Psychologist. Most skill -building programs, life skill development and benefit
acquisition services will be done by personnel who hold a Bachelor's degree in the human service
field or an equivalent degree and/or experience.
All staff members and supervisors providing direct services meet or exceed minimum
qualifications in education and experience as defined in Staff Manual Volume VII, Section
7303.17 and Section 7.0006, Q, Colorado Department of Human Services.
5. Measurable Outcomes and Objectives:
a. Vocational Assessments:
1. Screen Colorado Works participants for barriers to self-sufficiency.
2. Provide a prompt written report delineating employment strengths, employment
concerns and recommendations to Colorado Works Program staff to be utilized
in IRC planning
and expedite placement in work activities. Reports will be provided within 48
hours of the assessment interview. Outcomes will be measured by the number of
acceptable reports submitted within time parameters.
b. Vocational Placement:
1. To place Colorado Works participants into competitive job placements based on
experience, interests and/or strengths.
2. Provide information to Colorado Works Program staff of individuals who obtain
and retain jobs.
c. Vocational Support:
1. Provide individual, family and group counseling to remove barriers to self-
sufficiency. Monthly reports will be submitted to the appropriate TANF Program
staff to identify areas addressed and progress.
2. Life Skills Services will utilize a Functional Assessment and Treatment Plan to
measure client progress. The Functional Assessment tool rates the client in areas
of a) self -care management and environment, b) risk assessment c)
symptomology, d) social skills, and e) coping skills. Progress is measured by
changes in the rating scale at pre- and post -treatment.
3. Evaluations will identify barriers to self-sufficiency, including cognitive,
social/emotional and functioning issues. A written report identifying any
diagnoses, disabilities or functioning limitations and recommendations will be
provided to Colorado Works Program staff. Outcomes will be measured by the
number of acceptable reports submitted.
4IPage
4. Program outcomes may also be measured through the analysis of Colorado
Works participation rates, program recidivism and participants' employment
retention rates.
d. Supplemental Security Income and Social Security Disability Insurance Application Assistance
1. Provide SSI or SSDI application assistance to all disabled individuals that are
referred by the TANF Program. Monthly reports will be submitted the appropriate
TANF Program staff to identify how the application assistance is proceeding for each
client.
2. Monthly reports will be provided with the monthly bill detailing how many clients
are currently referred for application assistance, where each client is in the process of
the application process, and how much time has been charged by North Range for
each client. Outcomes will be measured by the number of SSI and SSDI applications
submitted to SSA, the number approved applications and number of overturned
denials.
6. Service Time Frames:
a. Vocational Assessments: Vocational Assessments are completed in one session. The
number of available hours per week for scheduling with an on -site counselor will be
determined based on the needs of the Colorado Works Program. Written reports are filed
within two business days of the assessment interview.
b. Vocational Placement: Job placements and support is unlimited based on the participant's
needs.
c. Vocational Support: Individual, group and family counseling services are tailored for
each referred participant/family and is directed by the person's treatment plan. Length of
stay in treatment, frequency, and service modalities utilized, will be determined by North
Range treatment team(s) in conjunction with Colorado Works staff. Typically, the course
of treatment will follow the professional standard practices in the behavioral health field
as well as meet the Utilization Management guidelines of the agency through the Quality
Improvement Department.
d. Supplemental Security Income and Social Security Disability Insurance Application
Assistance: Application assistance will be tailored to everyone referred. The Individual
Responsibility Contract will detail the client's responsibility to participate in the
application process North Range will complete the initial SSI or SSDI application
processes within two months from referral. Any appeals will be completed within the
guidelines established by SSA. Any non -cooperation from referred clients should be
reported directly to the applicable TANF Program staff member.
7. Workload Standards:
North Range Employment Specialists are trained and follow the fidelity standards set in the
evidence -based practice by the Individual Placement and Support model. This is set forth by
Dartmouth University and therefore do not exceed a caseload size over 20.
North Range counselors who provide individual, family, and group services may carry a mixed
caseload of clients from various referral sources. There are over 100 mental health professionals
available. Thus, allowing designation of a Colorado Works participant to a specific service
5!Page
modality and therapist who meets their individual needs. All therapists follow all rules and
regulations associated with the State of Colorado Office of Behavioral Health. North Range
Behavioral Health Case Managers maintain a maximum caseload within the industry standards
and follow all rules and regulations associated with the State of Colorado Office of Behavioral
Health.
North Range psychologists maintain a maximum caseload within the industry standards and
follow all rules and regulations associated with the State of Colorado Office of Behavioral
Health.
North Range provides a minimum professional liability insurance of $1,000,000 per occurrence
and $3,000,000 aggregate to all clinical employees.
6WPage
EXHIBIT B
PAYMENT SCHEDULE
1. Funding and Method of Payment
Human Services agrees to reimburse to North Range Behavioral Health in consideration for the
work and Services performed, a total amount not to exceed seventy-five thousand dollars
($75,000) for the contract period.
Expenses incurred by North Range Behavioral Health, in association with said project prior to the
term of this agreement, are not eligible Human Services expenditures and shall not be reimbursed
by Social Services.
Payment pursuant to this Contract, whether in whole or in part, is subject to and contingent upon
the continuing availability of Temporary Assistance to Needy Families funds for the purposes
hereof. If said funds, or any part thereof, become unavailable as determined by Human Services,
Human Services may immediately terminate this Contract or amend it accordingly.
2. Fee Schedule
Most services will be covered by Medicaid. However, if there is a non -covered diagnosis or if
medical necessity is not met then the following charges will prevail.
a. Psychologist $120/hour
b. Mental Health Professional (Licensed) $70/hour
c. Mental Health Professional (Non -Licensed) $55/hour
d. Vocational Counselor $55/hour
e. Case Management $15/15 minutes or $60/hour
3. Submittal of Vouchers
North Range Behavioral Health shall prepare and submit monthly the itemized voucher and
certify that the services authorized were provided on the date indicated and the charges made
were pursuant to the terms and conditions of Exhibit A.
Requests for reimbursement will be submitted to Weld County Human Services, P.O. Box A,
Greeley, CO 80632.
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