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HomeMy WebLinkAbout20182753.tiffRESOLUTION RE: APPROVE MEMORANDUM OF UNDERSTANDING FOR THE TITLE IV -E DEMONSTRATION PROJECT FUNDING AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Memorandum of Understanding between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and the Colorado Department of Human Services, Division of Child Welfare Services, commencing July 1, 2018, and ending June 30, 2019, with further terms and conditions being as stated in said memorandum of understanding, and WHEREAS, after review, the Board deems it advisable to approve said Memorandum of Understanding, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Memorandum of Understanding for the Title IV -E Demonstration Project Funding between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and the Colorado Division of Human Services, Division of Child Welfare Services, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said memorandum of understanding. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 29th day of August, A.D., 2018, nunc pro tunc July 1, 2018. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: datcio `k;e1 Weld County Clerk to the Board BY: O2 -e-, Q. - puty Clerk to the Board ty'' orney Date of signature: q (a 1I I $' cc: HSO long /2.0 EXCUSED Stele Moreno, Chair r 2018-2753 HR0089 PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: August 27, 2018 TO: Board of County Commissioners — Pass -Around FR: Judy A. Griego, Director, Human Services RE: Weld County Department of Human Services' Title IV -E Memorandum of Understanding -Year Six 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 Title IV -E Memorandum of Understanding (MOU)-Year Six. Weld County has been awarded $582,110.00 of Title IV -E Waiver Demonstration Project funding by the Colorado Department of Human Services (CDHS), Division of Child Welfare. The original application for funding was submitted in April 2017 for $1,416.309.50. The budget has been revised to reflect the awarded amount ($466,660.00 -Family Engagement, $115,450.00 -Kinship Supports, $0.00 -Trauma Informed Screening, Assessment and Treatment). Colorado Revised Statutes 26-5-105.4 requires that CDHS and the County enter into an MOU that explains the County's duties and responsibilities in implementing the Title IV - E Waiver Demonstration Projects. The term of this MOU will be from July 1, 2018, to and including June 30, 2019, and shall be used for the following interventions: Family Engagement, Kinship Supports and Trauma Informed Screening, Assessment, and Treatment. Funding for Trauma Informed Screening, Assessment and Treatment will be through other funding such as Medicaid. I do not recommend a Work Session. I recommend approval of this MOU. Approve Recommendation Work Session Schedule Sean P. Conway Julie A. Cozad Mike Freeman Barbara Kirkmeyer, Pro -Tern Steve Moreno, Chair Other/Comments: 2018-2753 Pass -Around Memorandum; August 27, 2018 — CMS 2064 Page 1 Karla Ford From: Sent: To: Cc: Subject: Steve Moreno Tuesday, August 28, 2018 7:17 AM Karla Ford Sean Conway Re: EXPEDITE: PA for Routing (IV -E MOU) Agree with recommendation Sent from my iPhone On Aug 27, 2018, at 4:07 PM, Karla Ford <kford@weldgov.com>wrote: Steve and Sean, Please review pass around and let me know if ok to be on Wednesday's agenda. This is a rush!!! Karla Ford R Office Manager, Board of Weld County Commissioners 1150 0 Street, P.O. Box 758, Greeley, Colorado 80632 :: 970.336-7204 :: kford a(�.weldoov.com :: www.weldgov.corn :. My working hours are Monday -Thursday 7:00a.m.-4:00 p.m. Friday 7:00a.m. - Noon <image002.jpg> Confidentiality Notice: This electronic transmission and any attached documents or other writings ore 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. From: Tobi Vegter Sent: Monday, August 27, 2018 2:56 PM To: Karla Ford <kford@weldgov.com> Cc: Amanda Petzold <apetzoldc weldgov.com>; Barb Connolly <bconnollvCahweldgov.com>; Bruce Barker <bbarker@weldgov.com>; Esther Gesick <egesick@weldgov.com>; HS Contract Management <HS Contract ManagementPco.weld.co.us>; Jamie •Ulrich <ulrichii@weidgov.com>; Judy Griego <griegoia@weldgov.com>; Lennie Bottorff <bottorll@weldgov.com> Subject: EXPEDITE: PA for Routing (IV -E MOU) Good afternoon, Karla. Please see attached PA for routing. This item is slated for Wednesday's Agenda as it is due to the State this Friday, August 31. I've notified CTB and they are aware of this item. It is in CMS (2064). Thank you. 1 MEMORANDUM OF UNDERSTANDING The State of Colorado Department of Human Services And The Board of County Commissioners or other elected governing body of WELD County(ies), Colorado This Memorandum of Understanding (or "MOU") is made this a9 day of August, between the State of Colorado Department of Human Services (the "CDHS") and the Board of County Commissioners or other elected governing body of Weld County(ies), Colorado (the "County"). CDHS is the sole state agency with the responsibility to administer or supervise the administration of the human services programs listed in CRS 26-1-201. The Colorado General Assembly enacted SB 13-231 in response to the CDHS being granted waiver authority by the United States Department of Health and Human Services, Administration for Children and Families, under Section 1 130 of the Social Security Act, which authorizes states to conduct demonstration projects which are determined to promote the objectives of parts B or E of Title IV of the Social Security Act. A copy of the waiver terms and conditions are attached to this MOU as Exhibit A. CRS 26-5-105.4 requires CDHS and the County to enter into a Memorandum of Understanding that explains the County's duties and responsibilities in implementing the Title IV -E Waiver Demonstration Projects. CDHS and the County understand and agree that the services outlined in this MOU are subject to available appropriations by the General Assembly, and neither party will be obligated to provide services or assistance if adequate appropriations have not been made. 0.20/1--a7i3 The following terms are agreed to by CDHS and the County: 1. MOU MEETS PERFORMANCE AGREEMENT REQUIREMENT The parties agree that the provisions of this MOU constitute compliance with CRS 26-5-105.4. 2. TERM The term of this MOU will be from July 1, 2018 to and including June 30, 2019. 3. DEFINITIONS The parties agree to provide the following minimum services to the identified populations as denoted below (check all that apply): Family Engagement — Meetings will be provided to families with a newly opened child welfare case during the demonstration period: • Within seven business days of case opening; o (in FAR cases, within seven business days after the 60`h day (69 days by including weekends); • Within seven business days of initial placement; • Every 90 days when in out -of -home care (DHS/DSS custody); • Every six months in in -home (case open). Permanency Roundtables — Meeting will be held quarterly for: ❑ All open cases involving a child/youth with a goal of Other Planned Permanent Living Arrangement; and/or All open cases involving a child/youth who has been in out of home care for 12+ months; and/or ❑ Other: ✓ Kinship Supports — Support services and goods will be provided to kinship families who are: Licensed kinship foster caregivers; Non -licensed kinship foster caregivers. 2 z Trauma Informed Screening, Assessment, and Treatment to the following target population: All children in out -of -home placement. 4. REQUIRED DUTIES OF THE COUNTY a) During the term of the agreement, the County agrees to implement the intervention(s) in accordance with the rules adopted by the State Board of Human Services, modified as necessary in accordance with Section 6 of this Memorandum of Understanding. b) The County will maintain sufficient records, will submit reports, and will accurately record Colorado Trails (Trails) and CFMS actions as may be required to document all cost and case activities supporting the implementation of the Waiver, and will permit CDHS, its evaluators, duly designated agents and/or representatives of the federal government, to inspect the records and will make such records available to CDHS as specified in CRS 26-1-122. If the County complies with current record keeping requirements as outlined by current rules, such shall be considered to be "sufficient records." c) Counties shall report costs to provide an intervention service to an individual, as authorized through this MOU. The cost shall include the type of intervention service provided, the volume of such services provided, and costs of the intervention service, where applicable. The costs include intervention funds, staff and vendor costs as identified in Trails, County Financial Management System (CFMS) and/or 100% time reporting by individuals performing a waiver activity. There is a presumption that a cost is not a waiver cost unless affirmatively documented in CFMS, Trails, and/or a vendor's time detail report for 100% time reporting. d) The County agrees to participate in the evaluation of the Title IV -E Waiver Demonstration Project, as described under Section 3 of Exhibit A, and as established under CRS 26-5-105.4. e) In accordance with CRS 26-5-105.4, the County agrees to the State retaining 50% of the Child Welfare savings resulting from the IV -E Waiver activities. The remaining 50% savings will be retained by the County for additional Child Welfare services, as defined in CRS 26-5-101.3. Cost savings are determined as follows: 3 1) The difference between i) the amount of Title IV -E funds that were claimed for foster care maintenance, case planning and administration and eligibility determination in State Fiscal Year ("SFY") 2012-13, and ii) the amount of Title IV -E funds that would have been claimed for foster care maintenance, case planning and administration and eligibility determination in SFY 2018-19, had the State of Colorado not been granted waiver authority by the United States Department of Health and Human Services under Section 1 130 of the Social Security Act. 2) For the ten counties with the largest caseload size, the methodology for distributing cost savings between counties that have entered into a Title IV -E Waiver Demonstration Project MOU shall be based on the reduction in the number of foster care bed days between SFY 2012-13 and SFY 2018-19; 3) For all other counties that have entered into a Title IV -E Waiver Demonstration MOU with CDHS, the methodology for distributing cost savings between counties that have entered into a Title IV -E Waiver Demonstration Project MOU shall be based on the reduction in the number of foster care bed days between either SFY 2011-12 or SFY 2012-13, and SFY 2018-19, as selected by the County. 4) "Cost savings" shall not include unspent Title IV -E Waiver Demonstration Project funds provided to counties through the MOU for purposes of implementing Waiver Interventions. Any such unspent funds remaining at the end of SFY 2018-19 shall revert to the Title IV -E Waiver cash fund. 5) The County insures any county employee funded with Title IV -E Waiver Intervention funds participates in 100% time reporting. County employees with 100% of time devoted to Title IV -E Waiver intervention(s) may utilize the six Month Certification form in lieu of 100% time reporting. f) No later than June 30, 2019, the County agrees to use 50% of the underspent county Title IV -E Waiver funds for child welfare services that can include: I) IV -E Waiver intervention services to eligible and non -eligible Title IV -E children 2) Conventional title IV -E program services that are maintained for those Title IV -E eligible children in out of home placement 3) Other child welfare services to eligible and non -eligible Title IV -E children and their families 4 4) The County plan to expend either allocated Title IV -E Waiver funds, or underspent county Title IV -E Waiver funds as outlined in Exhibit B. 5. DUTIES OF CDHS a) CDHS will oversee the implementation of the Title IV -E Waiver Demonstration Project, and will develop standardized forms and reporting processes for the tracking of participants, in consultation with the Counties. b) CDHS will monitor the County's provision of Title IV -E Waiver intervention services as outlined in the Exhibit B and Exhibit C. CDHS will pull any necessary records or data for monitoring purposes from existing TRAILS and other current recording/data keeping systems. CDHS will not request the County to compile records/data that CDHS may compile or access through the use of TRAILS or other record/data keeping systems. c) CDHS will exercise oversight of and responsibility for the development, implementation, maintenance, and enhancement of Trails and its application relative to Child Welfare Services. d) CDHS agrees to allocate to counties any Title IV -E funds transmitted to the Title IV -E Waiver cash fund and appropriated by the general assembly to either implement the Title lV-E Waiver Demonstration Project, or to fund out of home placement and case planning for Title IV -E eligible children, in accordance with CRS 26-5-105.4. 6. BUDGET In the preparing of Exhibit C, "Title IV -E Waiver Demonstration Project Year 6 (SFY20I8-19) Budget," the County shall develop a detailed budget that identifies all direct costs associated with the implementation of the Waiver interventions, as defined in Section 3 of this Memorandum, for which the County has been awarded IV -E Waiver Demonstration funds, a) Upon receipt of Exhibit B, "County IV -E Waiver Demonstration Project Year 6 (SFY2018-19) Award Letter", The County shall prepare and submit a revised Budget. The budget, once accepted by CDHS, shall constitute the Exhibit C, and shall become part of this MOU. b) With the written approval of CDHS, the County may request a revision to its accepted budget during the term of the agreement: 5 I) The County may transfer budgeted funds between expenditure line items within a specific intervention, provided that the transferred amounts do not constitute a significant modification to the services as described within the Application. 2) A written statement of impact to the services as described in the Application shall be prepared by the County and accompany any requested budget revisions that exceed the thresholds as identified in Sections 6.B. I above, and may be required by CDHS for any requested budget revision falling within the thresholds identified in Sections 6.B.l above. 7. SEVERABILITY To the extent that this MOU is executed, and performance of the obligations of the parties may be accomplished, the terms of the MOU are severable. Should any singular term in this MOU be declared invalid or become inoperative for any reason, it will not invalidate the MOU itself, or any of the terms included therein. 8 INTEGRATION OF UNDERSTANDING The parties recognize the nature of the relationship between the County and the State. This relationship is governed more broadly by pertinent provisions of the Colorado Constitution and of state statutes and rules, including lawful rules promulgated by the State Board of Human Services. The parties further recognize that this MOU is not intended to supersede or change the relationship between the County and the State as established by any legal authority. 9. NO THIRD PARTY BENEFICIARY This MOU is binding to CDHS and the County, as well as their respective successors and assigns. It is agreed that the enforcement of the terms and conditions of this MOU are reserved for CDHS and the County, to the extent permitted by law. Nothing contained in this MOU allows a claim or right of action by a third party. Any third party receiving services or benefits under the provisions of this MOU is deemed an incidental beneficiary. 10. DISPUTE RESOLUTION 6 Prior to the execution of this document, if the parties are unable to reach agreement concerning the inclusion of, or wording of, provisions of the MOU, either party may refer the dispute to the Title IV -E Waiver Demonstration Project Oversight Committee. The Committee's decision will be made by a majority vote of its members, and is non -binding. If dissatisfied with the decision of the oversight committee, either party may seek review by the Office Director of Children Youth and Families or designee. Nothing in these provisions limits a party's ability to pursue other remedies available under the law. 11. TERMINATION The parties acknowledge that withdrawal from this MOU will result in the termination of this Agreement and termination of funding and services associated with this Agreement. The County shall assure as little disruption as possible in the delivery of services provided to Recipients. a) Withdrawal/Termination. Any party may withdraw from this Agreement at any time by providing 30 days written notice to all other Parties. b) For Loss of Funds. Any party may withdraw from this Agreement, in the event of loss or reduction of resources from its funding sources and shall provide notice of withdrawal, in writing within 30 days. c) Lack of Compliance. CDHS may terminate the agreement if it is found the County is not complying with the terms of this memorandum. In the event the memorandum is terminated for failure to perform, interventions funds may be reduced at the discretion of CDHS. 7 IN WIINESS WI IEFREOF, the Parties hereto, through their authorized representatives have executed this Memorandum of Understanding effective for the dates written above. akkIkeasa&-, Ann Rosales. Director. Division of Child Welfare Date COUNTY(ies) OF Weld COLORADO, by and through the BOARD OF COUNTY COMMISSIONERS "rbara Kirkmeye4 Chair Pro Tem TEST: eputy Clerk to DATE: ozog- X753 Amended June, 2018 to clarify scope of implementation of primary waiver inters entions and to remose reference to "Market Segmentation" as a waiver inters ention (See Section 2.1); and to extend the demonstration through September 30, 2019, (See Sections 1.5, 3.5, 4.2. 4.2.2, 4.3, 5.8, 5.10, 6.1 and Revised Table 1) DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATION FOR CHILDREN AND FAMILIES ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES CHILDREN'S BUREAU WAIVER AUTHORITY STATE: COLORADO Waivers of the following provisions of the Social Security Act and Program Regulations are provided to the State to operate a child welfare demonstration project: Section 471 (a)(l0): Licensing Standards: To allow the State to waive categorically specific non -safety standards (as determined by the State) in relative foster family homes for specific children in care. Section 472 (a): Expanded Eligibili v: To allow the State to expend title IV -E funds for children and families who are not normally eligible under Part E of title IV of the Act as described in the Terms and Conditions. Section 474(a)(1): Expanded Claiming: To allow the State to claim at the Federal medical assistance percentage any allowable expenditures of foster care maintenance payment cost savings. Section 474(a)(3)(E) and 45 CFR I 356.60(c)(3): Expanded Services: To allow the State to make payments for services that will be provided that are not normally covered under Part E of title IV of' the Act; and to allow the State to use title IV -E funds for these costs and services as described in the Terms and Conditions, Section 2.0. All waivers are granted only to the extent necessary to accomplish the project as described in these Terms and Conditions. Colorado Terms wid Conditions FINAL 1 Amended June, 2018 DEMONSTRATION PROJECT TERMS AND CONDITIONS COLORADO SECTION 1: GENERAL 1.0 The Department of Health and Human Services (hereinafter referred to as "the Department") will grant waivers to the State of Colorado (hereinafter referred to as "the State") under Section 1 130 of the Social Security Act (hereinafter referred to as "the Act") to operate a demonstration project (hereinafter referred to as "the demonstration") as set forth in these Demonstration Project Terms and Conditions. The Department reserves the right, in its sole discretion, to withdraw approval of this demonstration project, including withdrawal of any and all waivers granted by the Department at such time(s) that the Department determines that the State has materially failed to meet the requirements as set forth in these Demonstration Project Terms and Conditions. The State also retains the right to terminate the demonstration. 1.1 Failure to operate the demonstration as approved and according to Federal and State statutes and regulations will result in withdrawal of approval of this demonstration project. The Federal statutes and regulations with which the State must comply in the operation of the demonstration include civil rights statutes and regulations that prohibit discrimination on the basis of race, color, national origin, disability, sex, age, and religion, including title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, title II of the Americans with Disabilities Act, the nondiscrimination provisions of the Omnibus Budget Reconciliation Act of 1981, and the Multiethnic Placement Act as amended. After the demonstration is approved, the Department reserves the right to withdraw approval if agreement cannot be reached on any item(s) cited in this document as needing approval by the Department. The State also has the same right. 1.2 The Department may terminate the State's authority to conduct a demonstration project if, after the three-year period following approval of these Terms and Conditions, the State has not made significant progress in implementing the child welfare program improvement policies proposed by the State in its application to conduct a demonstration, and as described in section 1 13O(a)(3)(C) of the Act (see also Section 2.3). 1.3 If Federal or State statutes or regulations that would have a major effect on the design and impacts of this demonstration are enacted, or if any deficiencies or serious problems in implementation of these Terms and Conditions are noted by the Department, the Department and the State will reassess the overall demonstration and develop a mutually agreed -upon strategy for dealing with the demonstration in the context of such changes. If such a mutually agreed -upon strategy cannot be developed, the Department reserves the right, in its sole discretion, to withdraw approval at such time(s) as the Department determines. Colorado Terms and Conditions FINAL Amended June, 2018 1.4 All provisions of the Act not waived remain in effect. 1:5 then April 1, 2013, and no later -than October 1, O13. The State's project demonstration period may not exceed a maximum of five total years (20 quarters) under the provisions of the Act, unless in the judgment of the Secretary, the demonstration project shall be alloy ed to continue. The implementation date of the demonstration shall -be was the first day on which the State offers services, subsidies, or other supports under the provisions of these Demonstration Project Terms and Conditions to participating children, caregivers, or other targeted individuals. For cost -neutrality' purposes, the demonstration shall be was deemed to haN a begun begift on July 1, 2013 the first day of the calendar quarter (hereinafter "quarter"), which includes the implementation date1. bfft fee For the purpose of calculating costs for the initial quarter of the demonstration, only costs incurred beginning with the month that includes the implementation date will be counted. hall--end-no -la l--the-20htrquarter-ending The demonstration provisions shall be as specified in Sections 2 and 3. Waivers necessary for the demonstration are approved upon acceptance by the Department and the State of these Demonstration Project Terms and Conditions. They will become became effective as of the implementation date and ‘N ill remain in effect for the duration of the project, until the last da”fthe 2b'quarter-ending after the deemed -beta -inning date. unless the demonstration r ter-minated-ear4,er. -1 Sure--i project demonstration perk of -ft -kg five4t4tul s eari-i under the pcovisioti 'new el the Sec felan, . t tt+_if ' jett shalt he allowed to continue. -The State submitted a request to extend the project beyond the originally approved fig c -y ear (20 quarter) term and that request has been approved by the Secretary. The demonstration shall end no later than September 30, 2019 1.6 Federal approval of these Demonstration Project Terms and Conditions shall not be construed to establish any precedent that the Department will follow in the approval of any subsequent request for Terms and Conditions. 1.7 Nothing in these Terms and Conditions shall create eligibility for any child or family for any Federal program or entitlement for which that child or family would not otherwise be entitled, except that title IV -E funds may be expended, according to the provisions of these Terms and Conditions, for persons who would not be eligible for title I V -E funds in the absence of the demonstration. Receipt of services reimbursable under title XIX but provided under these Terms and Conditions for children and families who are not eligible under title IV -E does not constitute eligibility for Medicaid. Children under this demonstration who are determined to be eligible under title IV -E will retain that eligibility through the duration of the demonstration project, so that such children will remain eligible for Medicaid, title I V -E Adoption Assistance, title IV -E Foster Care, and title IV -E Guardianship Assistance Program, if applicable. Colorado Terms and Conditions FINAL Amended June, 2018 SECTION 2: IMPLEMENTATION 2.0 Under these Demonstration Project Terms and Conditions, the State is authorized to implement a demonstration project that seeks to integrate current systemic child welfare reforms and innovative practices through the use of strategies to increase family engagement and address the assessment and treatment of childhood trauma. The State's demonstration will focus on accomplishing the following goal(s): • Increase permanency for all infants, children, and youth by reducing the time in foster placements when possible and promoting a successful transition to adulthood for older youth. • Increase positive outcomes for infants, children, youth, and families in their homes and communities, including tribal communities, and improve the safety and well- being of infants, children, and youth. • Prevent child abuse and neglect and the re-entry of infants, children, and youth into foster care. The demonstration will be implemented in up to 64 counties in the State; however, each county will implement some or all service interventions in varying stages during the demonstration time period. The demonstration's target population will include all title IVeE eligible and non-IWE eligible children with screenedain reports of abuse or neglect and those already receiving services through an open child welfare case during the demonstration period regardless of custody status. Once the demonstration is fully implemented, the State estimates that it may serve up to 101,100 cases (duplicated count) through the six service interventions described in Section 2.1 below. The state may choose to implement the demonstration project either by individual county performance agreements or by a change in State regulation. 2. I The State's demonstration will include the following three primary service interventions to be implemented by some or all participating counties statewide: • Family Engagement: The State will introduce family engagement precepts and processes through a combination of training, coaching, and peer mentoring. Additionally, the State will modify non -safety certification regulations of relative foster family homes to facilitate the placement of children with relatives when out -of -home placement is necessary. • Trauma -Informed Child Assessment: The State will supplement existing assessment processes and instruments with standardized tools that are geared specifically toward children who have experienced trauma. The following assessment tools will be evaluated to determine the best tool for use by Colorado's county departments and behavioral health organizations and may Colorado Terms and Conditions F/NAL 4 Amended June, 2018 include but are not limited to: • Child Observation Record ■ Battelle Development Inventory ■ Ages and Stages Questionnaire • Child Development Inventory • Behavioral and Emotional Rating Scale ■ Clinical Assessment Package for Assessing Clients' Risk and Strengths • Social Skills Rating System • Child and Adolescent Adaptive Functioning Scale • 4-D Strengths -Basel! Assessment Tools for Youth in Care • Family, Friends, and Self Form Colorado Behavioral Health Organizations (BHOs) and/or local child welfare service agencies may be engaged to conduct the trauma -informed assessments. The final selection of trauma -informed assessment tools, and the timeline for implementing them, will be specified in the State's Final Design and Implementation Report (Section 2.4). • Trauma -Focused Behavioral Health Treatments: Counties and behavioral health organizations will increase the use of behavioral health treatments that have been shown to be effective with children who have experienced trauma through contracts with local human service providers and/or through their expanded utilization by BHOs. The treatment interventions (organized by category below) w ill be evaluated to determine the best tool to meet local need and may include, but are not limited, to: ■ General Case Management: Family Connections and Solution -Based Casework • Trauma and Anxiety: Eye Movement Desensitization & Reprocessing, Trauma -Focused Cognitive Behavioral Therapy, and Coping Cat • Therapeutic Interventions: Multidimensional Family Therapy, Multi - systemic Therapy, and Multidimensional Treatment Foster Care • Substance Abuse (adults): Motivational Interviewing • Depression (adults): Cognitive Therapy and Interpersonal Psychotherapy • Parent Training: The Incredible Years, Parent Management Training, Parent -Child Interaction Therapy, and Positive Parent Program (Triple P) The final selection of trauma -focused behavioral health treatments, and the timeline for implementing them, will be specified in the State's Final Design and Implementation Report (Section 2.4). In addition to the three primary secs ice interventions noted above, the State will assist individual counties in identifying additional interventions to be implemented Colorado Terms and Conditions FINAL 5 Amended June, 2018 based on the specific needs and circumstances of the county. Additional service interventions that may be implemented by counties include: • Permanency Roundtables: Expansion of Casey Family Program's existing Permanency Roundtable initiative to counties that do not directly participate in the initiative, and that make substantial use of congregate care and other planned permanent living arrangements for children in out -of -home placement. • Kinship Supports: Establishment of support groups and referral networks, combined with the provision of discretionary funds for time -limited supports and services, to assist non -licensed kin foster caregivers. The specific counties that will implement each of these supplemental service interventions, and the timeline for implementing them, will be based upon counties' readiness to implement, driven by local need, and specified in the State's Final Design and Implementation Report (Section 2.4). 2.2 The State shall comply with the following general provisions over the full term of the demonstration project. The State will, or where appropriate, will ensure that caseworkers, supervisors, and contracted service providers: a. Work closely with the evaluator to maintain the integrity of the evaluation. b. Develop and deliver services to meet the individual needs of each child and family. c. Ensure that any services being provided to a child or family member at the time the demonstration ends will be completed. d. Ensure the confidentiality of the information collected on the children and families under the demonstration. e. Ensure that the rights of children and their families are protected, and that the safety of the children is a paramount concern of the demonstration project. Ensure that title IV -E eligibility determinations are made for all children who are involved in the demonstration project, throughout the life of the demonstration project, to ensure that eligible children retain their eligibility after the demonstration ends. g Bear any costs that exceed the amount of Federal funds provided for the demonstration. Colorado Terms and Conditions FINAL Amended June, 2018 h. Ensure that the State is organizationally and legally prepared for all aspects of demonstration project implementation. i. Ensure that a conventional title IV -E program is maintained for those children and families that are not designated to receive demonstration services, and that these children and families continue to receive services that are consistent with the "traditional services" available to such children and families in the State at the time the demonstration begins. j. Ensure that all applicable provisions of the Act apply to all demonstration components except for those provisions that are explicitly waived above. k. Ensure that children who are eligible for the Medicaid program will retain their eligibility for a full range of Medicaid services under the demonstration. Ensure that any "savings" resulting from the demonstration, whether they are savings to the Federal government, to the State, or to a county or to another jurisdiction within the State, will be used for the further provision of child welfare services. For the purposes of this provision, "savings" means any amount that would have been expended for conventional title IV -E purposes in the absence of this demonstration, or that could have been expended under title IV -B of the Act. rn. Ensure that the State annually will provide an accounting of any additional Federal, State, tribal, and local investments made, as well as any private investments made in coordination with the State, to provide the service intervention(s) that the applicant intends to undertake through the demonstration (see Section 5.6). n. Ensure that in each year throughout the duration of this demonstration the appropriate State official(s) and evaluators %% ill attend and participate in an annual meeting of the Child Welfare Demonstration States in the Washington, D.C. area. o. For the duration of the demonstration project, assure that the State shall provide health insurance coverage to any child with special needs (as determined under Sec. 473(C) of the Act) for whom there is in effect an adoption assistance agreement between the State and an adoptive parent or parents. 2.3 The State shall provide assurance of how the State has implemented, or plans to implement within three years of the date on which it submits its application the following child welfare program improvement policies: • Address Health and Mental Health Needs of Children in Foster Care: The development and implementation of a plan for meeting the physical and mental health needs of infants, children, and youth in foster care that ensures that the provision of such care is child -specific, comprehensive, appropriate, and consistent (through such means as ensuring that the child has a medical home, Colorado Terms and Conditions FINAL 7 Amended June, 2018 regular wellness medical visits, and addressing the issue of trauma, when appropriate). • Limiting the Use of Congregate Care: The development and implementation of a plan that ensures congregate care is used appropriately and reduces the placement of children and youth in such care. 2.4 Within 90 days following acceptance of these Terms and Conditions, the State will Submit a Preliminary Design and Implementation Report to the Department for approval; and a Final Design and Implementation Report will be submitted to the Department for approval within 180 days following acceptance of these Terms and Conditions (see Section 5.2). These reports will include information about program design and implementation. Report sections regarding implementation will include: • A Final Work Plan, outlining the key tasks, reporting requirements, and timelines throughout the course of the demonstration; • A phase -down plan for the demonstration so that case plans for children and their families can be adjusted, if necessary, for the post -demonstration portion of their placement (See Section 6.1); • The detailed protocol or set of policies that will guide decisions about which families or children are to be selected to participate in the demonstration, how the selection %vitl be made, and how the suitability of services will be determined; • Standards of quality and safety and practice requirements identified by the State to be incorporated into any agreements with public and private providers that are expected to provide support and services; and • The status of evaluation activities, including efforts to engage a third -party evaluator. The demonstration project will be reviewed periodically by the Department to ensure that the demonstration activities are consistent with the purposes of titles IV -B and IV -E of the act and these Terms and Conditions in providing child welfare services, including an assurance of the safety of the children and families involved. The review is intended to ensure that benefit eligibility will not be impaired and that improved outcomes for the children and families will result. Any proposed amendment to these Terms and Conditions is subject to prior approval by the Department. Colorado Terms and Conditions FINAL 8 Amended June, 2018 SECTION 3: EVALUATION 3.0 The State will conduct an evaluation of the use of title IV -E funds to test the hypothesis that the flexible use of title IV -E funds to provide family engagement services, trauma -informed child assessments, and trauma -focused behavioral health treatments, as appropriate, will result in improved safety, permanency, and well- being for children. The evaluation will consist of three components: A process evaluation, an outcome evaluation, and a cost analysis. The State is required to engage a third party to conduct an evaluation of the demonstration program. The evaluator shall be an independent organization that is not affiliated with state or local government, except that state universities may be engaged to conduct the evaluation. The evaluator shall be responsible for the development of the final evaluation design within the basic evaluation parameters outlined below. The evaluator shall develop a research design and sampling plan; develop and execute the data collection and analysis plans; and prepare interim and final reports. 3.1 Evaluation Design: The State's evaluation will involve a matched case comparison design and a time -series analysis. The matched case comparison design will examine changes in outcomes for children receiving one or more interventions implemented at the beginning of or early in the demonstration period compared to similar children in counties that implemented these interventions later in the demonstration period. The time series analysis will examine changes over time in key measures of child safety and permanency. To the extent possible, the State's analysis of process and outcome findings will be based on case -level data from the State's child welfare information systems, case records, and other data sources as appropriate. Additionally, the State's process and outcome evaluation will include an analysis of the modification of State non -safety certification regulations for relative foster family homes on child safety outcomes which will include, but are not limited to, allegations of abuse in relative foster family homes. The State will also examine the differences in outcomes for children placed in relative foster family homes as they compare to those in traditional foster family homes. These outcomes will be regularly monitored by the State's Administrative Review Division and reported in the State's progress reports (Section 5.3) and interim and final evaluation reports (Sections 5.7 and 5.8). Additional details of the final evaluation design will be determined in consultation with the Department and the State's third -party evaluation contractor and described in the State's evaluation plan (Section 3.5). Throughout the evaluation, the State will apprise the Department of any difficulties encountered in achieving the estimated sample sizes for the project, and in consultation with the outside evaluator will determine if such difficulties will affect the State's ability to identify statistically significant differences in key demonstration outcomes. The State Colorado Terms and Conditions FINAL 9 Amended June, 2018 will notify the Department as soon as any serious problems are noted. Semi-annual progress reports (see Section 5.4) will include an update on the sample sizes and progress toward meeting the targeted sizes. Cases will maintain their assigned status for the full period of the demonstration. Modifications to the sampling plan may be proposed to the Department for approval if the sample sizes for the experimental and control groups are such that the number of clients in each group w" ill provide adequate statistical power to detect differences in outcomes of interest between the two groups. 3.? Process Evaluation: The evaluation will include interim and final process analyses that describe how the demonstration was implemented and that identify how demonstration services differ from services available prior to implementation of the demonstration, or from services available to children and families that are not designated to receive demonstration services. The analysis will include a logic model that describes the demonstration's objectives, the services or other interventions provided, and the way the intervention is linked to measurable outcomes. In addition, the process analysis will examine, at a minimum, the following: • The planning process for the demonstration including whether any formal needs assessment, asset mapping, or assessment of community readiness was conducted; • The organizational aspects of the demonstration, such as staff structure. funding committed, administrative structures, and project implementation, including ongoing monitoring, oversight, and problem resolution at various organization levels; • The number and type of staff involved in implementation, including the training they received, as well as their experience, education and characteristics; • The service delivery system, including procedures for determining eligibility, referring subjects for services, the array of services available, the number of children/families served and the type and duration of services provided; • The role of the courts in the demonstration and the relationship between the child welfare agency and court system, including any efforts to jointly plan and implement the demonstration; • Contextual factors, such as the social, economic and political forces that may have a bearing on the repl icabi l ity of the intervention or influence the implementation or effectiveness of the demonstration. This discussion will note any possible confounding effects of changes in these systems, or changes resulting from other demonstrations or reforms that were implemented during the title IV -E demonstration; Colorado Terms and Conditions FINAL I ( I Amended June, 2018 • The degree to which demonstration programs and services are implemented with fidelity to their intended service models; and • The barriers encountered during implementation, the steps taken to address these barriers, and any lessons learned during implementation. For each of the factors described above, the process analysis will note any differences, as appropriate for the State's evaluation design, in implementation before and after the start of the demonstration, among participating counties or other administrative units, or between the experimental and control/comparison groups. 3.3 Outcome Evaluation: The State's outcome evaluation will address, at a minimum, changes in the following outcomes: • Caregiver knowledge and capacity. • Child emotional/behavioral and social functioning. • Out -of -home placement and re-entry rates (placement avoidance). • Placement with kin caregivers (both licensed and unlicensed). • New and repeat allegations of abuse (in relative and non -relative foster family homes). • Length of stay in out -of -home care. • Frequency of changes in placement setting (placement stability). • Exits to permanency through reunification, guardianship, and adoption. • Foster care re-entry rates. • Use of congregate care. The State is free to propose additional research questions and outcome measures for inclusion in the evaluation. The State will collect data to address these questions from the State's automated child welfare information systems, child welfare agency case records, and additional information sources as appropriate. The State will work with its evaluation contractor to identify other appropriate data sources to address the process and outcome measures described above. 3.4 Cost Study: The cost analysis will examine, at a minimum, the costs of the key elements of services received by children and families designated to receive demonstration services and will compare these costs with those of services available prior to the start of the demonstration, or that were received by the children and families that were not designated to receive demonstration services. The cost analysis will also include an examination of the use of key funding sources, including all relevant Federal sources such as titles IV -A, IV -B, IV -E and XIX X of the Act, as well as State and local funds. The purpose of the analysis will be to compare the costs of services available through the demonstration with those of services traditionally provided to children and their families. Where feasible, a cost-effectiveness analysis will be conducted to estimate the costs of Colorado Terris and Conditions -FINAL 11 Amended June, 2018 each successful outcome achieved through the demonstration. This analysis will be conducted using one or more of the key outcome measures for which a statistically significant difference is identified. 3.5 Evaluation Reporting Requirements: The following reports and documents shall be provided to the Department for review and approval (also noted in Section 5): • The State will submit to the Department for review a draft of the specifications or Request for Proposals (REP) for the agreement to conduct an evaluation of the demonstration within 60 days after acceptance of these Terms and Conditions. The draft specifications must detail the objectives of the project, the evaluation design, the specific tasks to be conducted, the time frames for conducting those tasks, and a schedule and list of deliverables. The research questions, key variables, data collection methods. sample sizes and other aspects of the evaluation noted in these Terms and Conditions will be clearly described. • The State will submit an evaluation plan to the Department for approval within 120 days after the evaluation contract is awarded. The evaluation plan must present the underlying logic linking interventions to expected outcomes, the research questions to be studied, the major variables to be measured, the final sampling plan, the data sources (including an assessment of the reliability and validity of each source), data collection procedures, and the major data analyses to be performed. The plan will describe the comparability of selected time periods and groups on key variables. • Not later than 60 days after the conclusion of five-year 10'h quarter following the demonstration's implementation date, the State will submit an interim evaluation report (see Section 5). The report will include a process analysis of the evaluation to date and any outcome data available at that time. The report will also include a brief description of the outcome and cost components of the evaluation planned and note any issues or problems anticipated in completion of these components. lithe findings are unclear or incomplete, the Department may request revisions and resubmission of the report. • Not later than six months after the conclusion of the demonstration period ending on .tune 30, 2018 (20th quarter), a final report integrating the process, outcome and cost components of the evaluation will be submitted. If the findings are unclear or incomplete, the Department may request revisions and resubmission of the report. originally approved five-year • The State will post copies of the interim and final evaluation reports on the State's child welfare agency Website (see Section 5.10). • Not later than six months after the conclusion of the demonstration period ending on June 30, 2018 (20th quarter), the State will have the evaluation contractor produce and make available public -use data tapes, including documentation necessary to permit re -analysis of the data gathered during the course of the evaluation. originally approved five-year Colorado Terms and Conditions FINAL 1 2 Amended June, 2018 Public release of any evaluation or monitoring reports required under this agreement will be made only by the Department or the State. Prior to public release of such reports, the Department and the State will have at least a 30 -day period for review and approval. 3.6 Program Changes: Additional program changes that are not applied equally to experimental and control/comparison groups, or that would substantially affect the evaluation of the demonstration, must be approved by the Department as an amendment to these Demonstration Project Terms and Conditions. Colorado Terms and Conditions FINAL 13 Amended June, 20/8 SECTION 4: COST NEUTRALITY 4.0 As required by section 1 130(h) of the Act, the amount of Federal funds expended for this project may not exceed the amount of such funds that would be expended by the State under the State plans approved under parts B and E of title IV if the demonstration project were not conducted. Therefore, except for costs of evaluating and developing this project (as specified in Sections 4.4 and 4.5 below), starting with the deemed beginning date (see Section 1.5) the operation of this demonstration is to be cost -neutral to the Federal government with respect to maintenance and administrative costs for titles IV -B and IV -E, of the Act. 4.1 Section 4 Terms: Costs. All references made to costs (unless otherwise specifically noted) consist of total computable (gross) costs. The Federal share of demonstration project costs will be computed using the matching rate applicable to the funding category. Maintenance Costs. All references made to maintenance costs include title IV -E allowable foster care maintenance assistance payments (per Section 475(4)(A) of the Act), and such other costs for cases deemed as title IV -E allowable through a waiver granted for this demonstration project. Administrative Costs. All references made to administrative costs include title IV -E allowable administrative costs (per Federal regulations at 45 CFR 1356.60(c)) and other costs deemed as title IV -E allowable through a waiver granted for this demonstration project. Cumulative. All references made to cumulative in the context of costs will indicate that costs are to be summed for all quarters from the deemed beginning date through the quarter in question. 4.2 The total costs of foster care payments, including maintenance and administrative costs, shall be an amount determined by a base allocation as determined in Section 4.2.1 below plus any annual change factor or exclusions as specified in Section 4.2.2. The results of this calculation are shown in Section 4.3, Table 1. The aggregate - year sum of Federal share payments for the appros ed operational period shall be the cumulative fixed payment that shall be made to the State. Receipt by the State of payments not greater that the cumulative fixed payment shall be considered cost neutral to the Federal gos ernment. At least 90 days prior to implementation and upon approval of amended payments, the State shall provide the Department with a document showing a fixed schedule of payments for the fiti a -gear• demonstration period covering Federal Fiscal Years (FFY's) 2013 through 2019. The State may receive quarterly payments in accordance with a schedule of quarterly payments the sum of which do not exceed the total cumulative payments under the demonstration. Colorado Terms and Conditions FINAL Amended June, 2018 IAl 4.2.1 The foster care base allocation amount to be used for purposes of establishing a cap to reflect cost neutrality to the Federal government for demonstration project operations has been determined for each of the funding categories impacted by the demonstration project through the following processes: Source of claims: The base amount is the calculated State Fiscal Year (SFY) total computable (gross) title IV -E Foster Care claims (including current and prior quarter adjustments) submitted by Colorado on quarterly reports of expenditures and estimates (i.e. form ACF-IV-E-1 or CB -496, as applicable) during the specified time periods for the following cost categories and adjusted for baseline increases as specified below: • Foster care maintenance costs: Total computable costs of S35,943,219. This total is calculated from the average of maintenance payments claims for SFY 2008-2010. • Foster care administrative costs (excluding SACS°IS, non-SACWIS child welfare information systems, and training): Total computable costs of S54,251,490. This total is calculated from the erage of administration claims for SFY 2008-2010 in the following specific categories of administration: eligibility determinations and case management. Application of base allocation: The base amount will be applied separately in determining annual allocations for maintenance assistance payments and administration. 4.2.2 The payments for each full FFY during the approved 5 -year operational period of the demonstration project shall consist of the base amount adjusted each FFY by the change factor(s) and the exclusions described in the subsections below. Thus, payments in the second and subsequent full FFYs of demonstration operations will equal the amount calculated for the prior FFY plus any further applicable changes. Payments for demonstration operations during any partial FFY will be pro -rated proportionally by quarter to reflect the portion of the FFY when the demonstration project is operational. Based upon the approval of the state's request for an extension through September 30, 2019, Section 4.2.2.1 describes the annual allocation change factors through FFY 2019. 4.2.2.1 The annual allocation change factors applied have been determined by the following process: a. Maintenance assistance payments: Three year average annual rate of change in the ratio of total computable maintenance Colorado Terms and Conditions PK': I L 1 5 Amended June. 2018 payment claims to average monthly number of children. b. Administration: Three year average annual rate of change in total computable administration claims for the specified categories. 4.2.2.2 The foster care costs excluded from the cost neutrality calculation and thus subject to payment outside of the capped allocation are as follows: a. Any allowable foster care administrath a costs not previously identified in Section 4.2.1 will be excluded from the calculation of the demonstration's capped allocation (see Section 4.3), and will be reimbursable separately in addition to the amount of the capped allocation. b. Any allowable SACWIS or non-SACWIS child welfare information system development or operational costs will be excluded from the calculation of the demonstration's capped allocation (see Section 4.3), and will be reimbursable separately in addition to the amount of the capped allocation. Costs associated with the development, maintenance and operation of the State's SACWIS project will be subject to applicable advance planning document and approval processes. c. Any allowable staff/provider or professional partner training costs will be excluded from the calculation of the demonstration's capped allocation (see Section 4.3), and will be reimbursable separately in addition to the amount of the capped allocation. 4.3 Federal title IV -E payments to the State for this demonstration, including expenditures of any realized savings, be made for amounts in accordance with Table 1 (shown below) quarterly based on State estimates of demonstration expenditures for the next quarter in accordance with the payment schedule (as determined in Section 4.2 above). Table 1 - Colorado Title IV -E Foster Care Total Computable Demonstration Project Capped Allocation Payme i vemonstration Project Funding Category Maintenance Payments T Base SFY Amount $35,943,219 rat- SFY 2013 Allocation Cap Administration $54,251,490 All Capped Categories $90,194,709 a4 36, 593, 888 55,651,178 92,245,066 SFY 2014 Allocation Cad SFY 2015 Allocation Cap 37,212,120 56,669,595 93,881,715 38,486,500 57,383,632 95,870,132 Colorado Terms and Conditions FINAL Amended June, 2018 SPY 2016 Allocation Cap —T SFY 2017 Allocation Ca 39,353,687 58,468,183 97,821,870 16 40,323,825 SFY 2018 i SFY 2019 Allocation Ca 41414.040 59,438,754 60,389, 774 99,762 579 101,803,814 Allocation Cap , SFY 2020 Allocation tao 4!,428,416 61,428,479 $ 43,495,830 $ 62,448,191 103,856,895 I $105,944,021 Table 1 Cotorn ° fit e V 5 Foster Care Total Coc o4 Also€at=on Paycnents Demonstration i' 2t 13 5:-"f 2G1 " 5 SP(2t 10 S 20-x7 & O Project Allocation Allocation Allocation Allocation Funding Amount cap Gap Gap Gap Allocation Allocation cap Gap Maintenance Pay eats 35,943,219_- 36,593,888 37,212,120 33,486,500 39,353,687 40,323;325 41,414,040 4_ Administration 54,251,490 55,651,178 56;669,595 57,383,632 58,466-,183 59,138,754 60,389,774 — -- — AN Capped LGat ►go(ses 90,194,709 192,245,066 03,881,715 9537c 97,-K1,870 494424;9 101,803,814 ,132 Federal title IV -E payments for demonstration operational expenditures will be made for any quarter beginning in accordance with the dates specified in section 1.5 of these terms and conditions when the demonstration is in operation and for a total period of no longer than five years (20 quarters) thereafter. Actual expenditures claimed for the demonstration project, including expenditures of any realized savings, along with estimates in advance of each quarter, will be identified separately on the ACF quarterly claim form, CB -496. Summary fiscal information on the results of the project must be reported in Part 3 as well as other applicable parts of form CB -496. These estimates and claims relating to the demonstration will he subject to review and deferral or adjustment according to the normal procedures for reviewing title IV -E estimates and paying title 1V -E claims. All other title IV -E claims that are not related to this demonstration will continue to be filed in accordance with current quarterly claiming requirements for payments for allowable cost. The State must examine its cost allocation plan to determine whether any of the components will affect the calculation of or claiming for any administrative costs under title IV -E, and if so the State must submit an amendment to the cost allocation plan prior to the implementation date to address any such effects appropriately. 4.4 Developmental Costs. Developmental costs are the expenses the State incurs to establish the demonstration prior to the project's implementation. These costs are excluded from the cost -neutrality calculation. For activities undertaken prior to the implementation date specified in Section 1.5 above. the Federal government will match the approved administrative costs related to development of the demonstration project (otherwise called developmental costs) at the applicable matching rate without application of cost allocation. Such costs can begin with the preparation of the State's proposal and may also include automated systems development and changes, policy or procedures development, and staff training. Developmental costs do not include costs for activities performed on or after the deemed start date of project operations. No later than 30 days after the State formally accepts these Terms and Conditions. the State will submit a plan, for approval by the Department, designating which administrative costs will be treated as developmental costs for purposes of this section (see Section 5.0). This section is not intended to supersede other requirements for Federal approval for administrative costs of the programs involved in the demonstration. Colorado Terms and Conditions FINAL 17 Amended June, 2018 4.5 Evaluation Costs. Evaluation costs are expenses incurred by the external evaluator as well as those incurred by the State that are directly related to the evaluation effort. These costs are excluded from cost -neutrality calculation. Evaluation costs begin with the first evaluation planning activities and continue until the final evaluation report is submitted. Such costs will encompass all costs necessary to carry out the approved evaluation plan, including costs for evaluation activities carried out by State and local agencies as well as those carried out by the evaluation contractor. The costs of approved evaluation activities may be charged to title IV -E administrative costs without cost allocation so that the State may claim a full 50 percent of these costs as title IV -E administrative costs. The State shall address any changes needed to implement this provision through submission of appropriate amendments to its approved State cost allocation plans. Costs of evaluation that arise from the demonstration project(s) approved under these Terms and Conditions may be claimed for a reasonable period of time after the expiration of the period of this demonstration (Section 1.5) so long as the costs are for activities required by the evaluation plan(s) approved by the Department and are otherwise allowable and reasonable. Evaluation components not approved by the Department will not qualify for federal matching funds. Colorado Terms and Conditions FINAL l 8 An ended June, 201S SECTION 5: MONITORING The State will send all reports required in this section to the Children's Bureau, the Regional ACF Office. and the evaluation technical assistance contractor for this initiative. 5.0 The State must submit a plan, for approval by the Department, designating which administrative costs will be treated as developmental costs (see Section 4.4) no later than 30 days after accepting these Terms and Conditions. 5.1 Within 60 days of acceptance of these Terms and Conditions, the State will submit to the Department a draft of the specifications or Request for Proposal (RFP) and evaluation specifications for review. 5. 2 Within 90 days following acceptance of these Terms and Conditions, the State will submit a Preliminary Design and Implementation Report to the Department for approval; and a Final Design and Implementation Report will be submitted to the Department for approval within 180 days following acceptance of these Terms and Conditions (see Section 2.4 for detailed elements of the reports). 5.3 The State shall submit quarterly progress reports beginning 90 days after the acceptance of these Terms and Conditions and continuing until implementation. The Preliminary Design and Implementation Report will serve as the first quarterly report. All subsequent reports are due no later than 30 days after the conclusion of each quarterly period and will include a basic update on the status of each activity or task identified in the Implementation Report. The report will also identify any problems encountered that may have an impact on the design or anticipated implementation schedule. Suggestions for resolving these problems will be provided for the Department's review and approval. 5.4 Once implementation has begun, semi-annual progress reports will be required throughout the project period summarizing project and evaluation activities and accomplishments during the reporting period as well as interim findings from the evaluation, if available. The semi-annual monitoring reports shall indicate issues or problems and resolutions regarding the implementation of the demonstration or evaluation as approved, including updates on the resolution of any significant problems identified in the implementation report. The State will address its progress toward implementing the Child Welfare Program Improvement Policies as described in Section 2.3. These reports are due no later than 30 days after the conclusion of each reporting period. 5.5 The State will submit an evaluation plan to the Department for approval within 90 days after the evaluation contract is awarded (Section 3.5). The evaluation plan must be approved by the Department prior to implementation. 5.6 The State will submit an annual accounting during the demonstration project period of all investments, public or private, made in coordination with the State to provide services under the proposed demonstration project. Colorado Terms and Conditions FINAL 19 Amended June, 2018 5.7 The State will submit an interim Evaluation Report 60 days after the conclusion of the lath quarter following the demonstration's implementation date (Section 3.5). Additional reports may be proposed by the State and, subject to approval by the Department, may be considered allowable components of the evaluation of the demonstration. 5.8 The State will submit a Final Evaluation Report six months after the end of the originally approved five-year demonstration period ending on June 30, 2018 (20th quarter) project ends, integrating the process study, the outcomes study, and the cost analysis (Section 3.5). 5.9 The State will post copies of the interim and final evaluation reports on the State's child welfare agency Website (see Section 3.5). 5.10 The State will submit, or have the evaluation contractor produce and make available, public -use data tapes, including documentation necessary to permit re -analysis of the data gathered during the course of the evaluation, six months after the end of the originally approved five-year demonstration period ending on June 30, 2018 (20th quarter) the project ends (Section 3.5). Colorado Terms and Conditions FINAL 20 Amended June, 20/8 SECTION 6: TERMINATION PROCEDURES 6.0 Federal financial participation in demonstration activities requiring waivers will not be provided beyond the period approved by the Department. 6.1 As part of the Preliminary Design and Implementation Report and the Final Design and Implementation Report (Section 2.4), the State will submit for the Department's approval a plan to phase down and end the demonstration to ensure that there are no demonstration -related Federal costs incurred beyond the period approved by the Department. All activities requiring Department approval must cease on the date decided by the Department if the project is terminated prior to September 30, 2019 the end of the 2O -ou rt r fter the -deemed be2inni Approval: • Jerry Milner Associate Commissioner Children's Bureau June 22, 2018 Date Colorado Terms and Conditions FIN. iL Amended June. 2018 Acceptance: Reggie Bicha Executive Director Colorado Department of Human Services Date EXHIBIT B COLORADO Office of Children, Youth E Families division of Child Welfare Ann M. Rosales, MSW, Director Ms. Judy Griego Weld County Department of Human Services 315 North 11th Avenue Greeley, CO, 80631 July 11, 2018 Dear Director Griego, The Colorado Department of Human Services, Division of Child Welfare is pleased to inform you that Weld County OHS is being awarded Title W -E Waiver Demonstration Project (Waiver) funding. On June 29`x', 2018, Director Bicha signed for approval of the amended federal terms and conditions for a five - quarter extension of the Waiver. The total available intervention funding for the SFY 2018-19 is 56M, or 60% of the SFY 2017-18 total budget. Prior SFY 2017-18, fiscal balancing toots were employed to ensure fair and equitable funding to the 35 counties who applied to serve children and families in 49 counties. Because this balancing occurred last year, all counties participating in year five of the Waiver are being awarded funding proportionally to their year five budget, All county budgets were subjected to the same methodology. Based on the allocation methodology, it was determined your county's portion of the available allocation is 5582,110.00.. in order to participate in this project, your county must submit a Memorandum of Understanding (MOU), signed by your county's commissioning body, by August 31, 2018. A blank copy of the MOU can be found in the IV -E Waiver Application folder at: https://sites.google.com/alstate.co.us/cdhs-dcw/for-professionals/forms. The executed amended federal terms and conditions document is referenced as "Exhibit A" in the State/County MOU, and may be found at the aforementioned IV -E Waiver Application folder, CDHS requests that you submit a new budget, in writing, to Tyler Allen, Title IV E Waiver Administrator, at tvier.allenistate.co.us, with or before the submission of your county's MOU. The total sum for alt interventions and expansion projects must not be greater than your award amount. This new budget shalt constitute the item "Exhibit C", as identified in the MOU. This award letter constitutes "Exhibit B", as identified in the MOU. The independent third party evacuation of the Waiver will' conclude, as planned, on December 31, 2018. The findings of that evaluation will be made public, and shared directly with participating Waiver counties. Those findings may impact state guidance regarding the future practice of the Waiver interventions. There wilt be no county levet evaluation efforts (such as the annual Implementation Index and site visits) this year, though CDHS wilt continue to monitor the counties for fidelity to practice. 575 ,)not!i:,a... Uhl 3t 3 fits ti9 zL F 30 86655 z i_+r :.a rip • 1' t-�r r••••rl Please direct any questions you have about your Title IV E Waiver award or MOU to Tyler Allen, Title IV E Waiver Administrator, at tyler alien@state co us or at (303) 866-2154 We are encouraged by your ongoing participation in the Project and look forward to continued collaboration Please contact us with any questions Sincerely, Mary Alice Mehaffey Associate Director of Operations, Division of Child Welfare 1575 Sherman Street 2nd Floor, Denver, CO 80203 P 303 86c 5932 a 303 866 5561 ivww colorado gov'cdhs John of Hickentooper, Governor ; 9eg5ie Bicha Executive Director EXHIBIT C Title IV -E Demonstration Project Year 6 (SFY2018-19) Budget INTERVENTION DETAIL AMOUNT FAMILY ENGAGEMENT Family Engagement Practitioner $84,450 00 Family Engagement Practitioner $80,750 00 Family Engagement Practitioner $80,750 00 Family Finder $71,350 00 Family Finder $78,900 00 Family Finder $69,460 00 Total $466,660 00 KINSHIP SUPPORTS Kinship Care Coordinator $85,450 00 Kinship Funding (for various needs such as hard goods, respite, child care, safety items, academic supplies, recreational activities) $30,000 00 Total I 115,450 00 TRAUMA INFORMED SCREENING, ASSESSMENT, AND TREATMENT N/A $0 00 Total $0 00 TOTAL (ALL INTERVENTIONS) I $582,110 00 1 Hello