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Home My WebLink About20171927.tiffMEMORANDUM TO: Department of Human Services DATE: September 18, 2020 FROM: Clerk to the Board's Office SUBJECT: Tyler Document #2017-1927 Final signatures were not obtained by the parties required to fully execute Tyler Document #2017-1927, approved by the Weld County Board of Commissioners on June 28, 2017. Due to the prolonged delay in obtaining final signatures, the Clerk to the Board's Office has deemed it prudent to close this item out. This memorandum will be added to the Commissioners' files to demonstrate this document was not fully executed. Oocl-IRa7 HR©o€$ RESOLUTION 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, July 1, 2017, and ending June 30, 2018, 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 28th day of June, A.D., 2017. BOARD OF COUNTY COMMISSIONERS WELD COIJ;VTY, COLORfDO ATTEST: daltsiti 'el Weld County Clerk to the Board BY uty Clerk to the Board APP e J. AS County Attorney Date of signature: "71 I°1 /17 Julie A. Cozad, Chair C"' Sep Conway rbara Kirkmeyer Steve Moreno, Pro-Tem cc: HSD O1 /22/20 2017-1927 HR0088 PRIVILEGED AND CONFIDENTIAI, MEMORANDUM DATE: June 21, 2017 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 Five 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 Five. Weld County has been awarded $970,183.00 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 ($569,033.00 -Family Engagement, $293,150.00 -Kinship Supports, and $108,000.00 -Other). 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, 2017 to and including June 30, 2018 and shall be used to fund the following interventions: Family Engagement and Kinship Supports. I do not recommend a Work Session. I recommend approval of this MOU. Sean P. Conway Julie A. Cozad, Chair Mike Freeman Barbara Kirkmeyer Steve Moreno, Pro-Tem Approve Schedule Recommendation Work Session Other/Comments: Pass -Around Memorandum; June 21, 2017 — ID 1212 Page 1 0,1-0/7-/q02-7 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 egrday of June, 2017, 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-I-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 CDIIS 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. 02oi7-/9©27 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, 2017 to and including June 30, 2018. 3. DEFINITIONS The parties agree to provide the following minimum services to the identified populations as denoted below (check all that apply): O 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; a (in FAR cases, within seven business days after the 60th 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: El Kinship Supports — Support services and goods will be provided to kinship families who are: Licensed kinship foster caregivers: 121 Non -licensed kinship foster caregivers. Trauma Informed Screening. Assessment, and Treatment to the following target population: 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, and as described in Exhibit B, "County IV -E Waiver Demonstration Application," modified as necessary in accordance with Section 6 of this Memorandum ofUnderstanding. 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 1V -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: 1) The difference between 1) 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 2017-18, 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 2017-18: 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 2017-18, 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 2017-18 shall revert to the Title IV -E Waiver cash fund and rolled into the SFY 2018-19 child welfare block allocation, unless the CDHS is granted a Waiver extension. If an extension is granted, the reverted funds shall be included in the total amount of available funds for counties' SFY 2018-19 IV -E Waiver Demonstration extension interventions. 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. 4 t) 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-Echildren 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) 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) For STY 2017-18. 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 IV -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 B. "Title IV -E Waiver Demonstration Project Year 5 (SFY2017-18) Application." the County shall develop a detailed budget that identities all direct costs associated 5 with the implementation of the Waiver interventions, as defined in Section 3 of this Memorandum, for which the County has applied for IV -E Waiver Demonstration funds, a) Based on the results of negotiations with CDHS, should the level of funding awarded through the MOU differ from the funding requested through the Application, the County shall prepare and submit a revised Budget and any other changes to service delivery that will differ from the County's original Application submission. The revisions to the Application, once accepted by CDHS, shall constitute the Exhibit B, 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: 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.1 above, and may be required by CDHS for any requested budget revision falling within the thresholds identified in Sections 6.13.1 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. 6 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 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 -F. 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 ofloss 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 DATE: JUN 2 8.2017 IN WITNESS WHEREOF, the Parties hereto, through their authorized representatives have executed this Memorandum of Understanding effective for the dates written above. Ann Rosales, Director, Division ofChild Welfare Date COUNTY(ies) OF Weld COLORADO, by and through the BOARD OF COUNTY COMMISSIONERS Q(7J Chair , Julie A. Cozad JUN 282017 ATTEST: ditivti my Clerk to the 8 0207_ /9a7 6) Exhibit A Waiver Terms and Conditions DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATION FOR CHILDREN AND FAMILIES ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES CHILDREN'S BUREAU DEMONSTRATION PROJECT AUTHORITY STATE: COLORADO Waivers of the following provisions of the Social Security Act and Program Regulations are provided to the State to operate a demonstration project: Section 471 (a)(10): j. icenslnf 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 Eligibility: 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. Sect)an 474(aXl): Expagde, Claimi n a: To allow the State to claim at the Federal medical ass percentage any allowable expenditures of foster care maintenance payment cost savings. Section 474(aX3XE) and 45 CFR 1356.60(cX3): Expanded Services: To allow the State to for services that will be provided that are not normally covered under Part E of title 1� ,ofthe 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 and Commas — FINAL 1 DEMONSTRATION PROJECT TERMS AND CONDITIONS COLORADO SECTION 1: GENERAL 1.0 The Department of Health and Human Services (hereinafter referred to as "the will waivers to the State of Colorado (hereinafter referred to as "the S under ect on 1130 of the Social Security Act (hereinafter referred to as "the Act") to operate a demonstration project (hereinafter referred to as "the demonstration") Project Ta ms erms and Conditions. The Department to withdraw approval of this demonstration Y and all waivers granted by the Department at such that the State has materially failed to meet the on Project Terms and Conditions. The demonstration. 1.1 , .. as approved and according to Federal and in wi +al of al of this demonstration ca the if the in its ai XC) of the Act cant aPPro 1.4 All provisions of the Act not waived remain in effect. 1.5 The demonstration provisions will be implemented no earlier than April 1, 2013, and no later than October 1, 2013. The implementation date of the demonstration shall be 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 deemed to begin on the first day of the calendar quarter (hereinafter "quarter"), which includes the implementation date, but 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. The demonstration shall end no later than the last day of the 20th quarter ending after the deemed beginning date. The demonstration provisions shall be as specified in Sections 2 vers necessary for the demonstration are approved upon acceptance by the t and the State of these Demonstration Project Terms and Conditions. They e effective as of the implementation date and will remain in effect until the 206 quarter ending after the deemed beginning date, unless the eaurher. The State's project demonstration period may not l years under the provisions of the Act, unless in the demonstration project shall be allowed to continue. Terms and Conditions shall not be ent will follow in the approval of 'billy for any child or fatty for or family would not of according to the provisiaa d not be eligible for title IV -E title o are -E net, so that nee, title IV -E Fos C SECTION 2: IMPLEMENTATION 2.0 Under these Demonstration Project Terms and Conditions, the State is authorized to implement a demonstration project that seeks to intimate 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. • ve outcomes for infants, children, youth, and families in their homes *eluding tribal communities, and hnprtrve the safety and well - children, and youth. • r+mt child abuse and neglect and the re-entry of inf nts, children, and youth into itoted in rap to 64 con; the Derr however, the al 4 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 -Based 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 t i r-i dbrmed a seessment tools, and the timeline for Ling tlhem be spa H d in the State's Final Design and • Counties and behavioral �vioral health treatments that ho have experienced trauma +ids providers and/or through their The treatment interventions (organized by the best tool to meet local need ns and Solution -Based & Reprocessing, Coping Cat Therapy, Multi- Poster Care �d Interpersonal t Management Training, ositive Parent Program (Tripis ts, and the timeline and State 'p based on the specific needs and circumstances of the county. Additional service interventions that may be implemented by counties include: • Permancucv 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. • its: 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. • {enptdon: Development of a tool to assist in the identification and of foster and adoptive parents. counties that will implement each of these supplemental service and the timeline for implementing them, will be based upon counties' pleated, driven by local need, and specified hi the State's Final plementation Report (Section 2.4). 2.2 comply with the following general provisions over the full term of the eject. The State will, or where appropriate, will ensure that npervisors, and contracted service providers: y with the evaluator to maintain the integrity of the evaluation. and deliver services to meet the individual needs of each child and services being provided to a child or family member at the time ends will be completed ty of the information collected on the children and nmutation. s of children and their families are protected, and that the a paramount concern of the demnstration project. igibility determinations are made for all children who 'on project, throughout the life of the demo gible children retain their eligibility after the ncceed the amount of Federal funds provided for the 6 h. Ensure that the State is organizationally and legally prepared for all aspects of demonstration project implementation. 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. 1. 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. m. 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 °Melal(s) and evaluators will 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: • Health Chi in Foster Care: The mean and on of a plan for meeting the physical and mental health needs of infants, car, and youth in foster care that ensures that the provision of such care iteight-specific, comprehensive, appropriate, and consistent (through such means as ensuring that the child has a medical home, Colorado ado Terms and Conditions — F)ML 7 regular wellness medical visits, and addressing the issue of trauma, when appropriate). • Llmitina 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; • • for the demonstration so that case plans for children and their if necessary, for the post -demonstration portion of their 6.1); 1 or set of policies that will guide decisions about which families pate in the demon, how the selection of services will be practice public including 8 She to be 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 and a time -series analysis. The matched case comparison design will changes in outcomes for children receiving one or more interventions tad at the beginning of or early in the dmnonstration period compared to dren iva caunimplemented these,., interventions later in the _ series analysis w01 examine changes over time in To the extent possible, the State's a case -level data from the and other data sources as 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 will provide adequate statistical power to detect differences in outcomes of interest between the two groups. 3.2 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 folio • 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. • C'd 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 • of smp is out= p home care. placement sett cement stability). o permanency through reunification, guardianship, and adoption. ea free to propose additional research questions and outcome measures for the evaluation. to these quesli from the State's automated child agency carecords, and additional The State will work with its evaluation contractor to to address the process and outcome measures -FINAL 11 um, the costs of the key elements to receive demonstration ices available prior to the start of and families that were not analysis will also include an all relevant Federal sources ll as State and local funds. The services available through the +gt►ded to children and their families. conducted to estimate the costs of 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 (RFP) 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 stitched, 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 pmt will desertdesertbeth comparability of seketed time periods and groups on key variables. • Not later than 60 days after the conclusion of the 10th the demonstration's implementation the State will evaluation report (see Sect 5). The report will include a process of the evaluation to date and any outcome data available aim time. The report o ilmlude a brief OtOcome and cost oftlr z, _ anticipated in completion of tl ►plate, the Department may request revisions and resubmission of months alter the conclusion of the deep on (20th quarter), a . g tbe process, outcome and cost conipoileate of the evaluation if the findings are unclear or incomplete, the Department may resubon of the report of the interim and final evaluation reports on the State' era (see Section 5.10). alter the conclusion of the caatrtc>or produce and to permitr+e-rurald the data C e and Coatigass-FIN L 12 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 Cond/tioa t — FINAL 13 SECTION 4: COST NEUTRALITY 4.0 As required by section 1130(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. MI references made to maintenance costs include title IV -E allowable foster care maintenance assistance payments (per Section 475(4XA) of the Act), and such other costs for cases deemed as title IV -E allowable through a waiver granted for this demonstration project. Administrajlve Costs. MI 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. All references made to cumulative in the context of costs will indicate are to be summed for all quarters from the deemed beginning date through the quarter in question. l costs of foster care payments, including maintenance and administrative shalt be an *Mount determined by a base allocation as determined in 4.2.1below phis any annual change factor or exclusions as spedfled in Seed* 4.1.2. The results of this calculation are shown in Section 4.3, Table 1. The aggregate lbw yelr,sum of Federal share payments shall be the cumulative fixed payment that shall he made toDie State. Receipt by the State of payments not greater that the payment shall be considered cost neutral tothe Federal At, ad 90 days prior to implementation, the State shall provide the Department e > a fixed schedule of payments for the ire -year + The State may receive quarterly payments hi accordance tqaerterity payments the sum of which do not exceed the total cumulative payments ander the demonstration. 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 $35,943,219. This total is calculated from the average of maintenance payments claims for SFY 2008-2010. • Foster ewe administrative cis (excluding SACWIS. non-SACWIS child were infgrmatlon systokkjpili ;rglnlnal: Total computable costs of $54,251,490. This total is calculated from the average of administration claims for SFY 2008-2010 in the following specific calvaries of administration: eligibility determinations and case management Aplien4ion of base a,1ipcathm: The base amount will be applied separately in deterzm annual allocations for nobaenance assistance payments and 4.2.2 The payments for each fill FFY during the 5 -year operational period of the demonstration project shall consist of the base amount adjusted each 'FY by end the exclusions described in the subsections below. d and subsequent lull FFYs of demonstration oust calculated for the prior Mr plus arty Payments for demonstration operations during rated proportionally by quarter to reflect the demonstration project is operationaL a. nn applied have been : Three year avenge annual computable maintenance av -► number of children. b. Administration: Three year tee annual rate of change in total computable administration eWmi for the specified categories. Carob Tonsa sdConditkons--FWAL 15 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 administrative 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 weifIre 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 (set Section 4.3), and WM be reimbursable separately ► in addition to the amount of the capped allocation. 4.3 Federal title 1144E paymeats to the State for this demonstration, including expenditures of brings, will be made for in accordance with masocats Table (s r based on estimates ve deinomatration In accordance with the pay sent schedule (as weed Terms and Caveltions --FINAL 16 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 be subject to review and deferral or adjustment according to the normal procedures for reviewing title IV -E estimates and paying title IV -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 Devel. , 4. ental 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 die automated systems development and changes, policy or procedures and trig. Developmental costs do not include costs for activities on or seer the deemed start date of project operations. No later than 30 days formally accepts these Terms and Conditions, the State will submit a plan, by the Department, designating which administrative costs will be treated as costs for purposes of this section (see Section 5.0). This section is not e other requirements for Federal approval for administrative costs of evolved in the demonstration. Evaluation costs are expenses incurred by the external evaluator as S that are directly related to the evaluation effort. These ity calculation. Evaluation costs begin with the first ntinue until the final evaluation report is submitted. necessary to carry out the approved evaluation plan, lets carried out by State and local agencies as well as tractor. The costs of approved evaluation activities five costs without cost allocation so that the Stade -E administrative costs. The State vision through submission of cation plans. Costs of evaluation under these Terms and Conditions e expiration of the period of this for activities required by the otherwise allowable and 17 reasonable. Evaluation components not approved by the Department will not qualify for Federal matching funds. 18 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 Desk 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). State shall submit quarterly progress reports beginning 90 days after the acceptance Terms and Conditions and continuing until implementation. The Preliminary Implementation Report will serve as the first quarterly report. All are due no later than 30 days after the conclusion of each quarterly a is14xlate on the status of each activity or task identified in rt will also identify any problems encountered or antici implementation schedule. Suggestions Department's review and a reports will be required aul evaluation activities and as in Aga from the wall i _ to issues or ran of fife demo than or ►lution of any' signif" i cant probl ad i, prat toward eat Policies as described in Secti r tie conclusion of each reporting 5.7 The State will submit an Interim Evaluation Report 10'" quarter following the demonstration's impmenter date 60 days after the conclusion of the Additional reports may be proposed by the State and,(Section 3.5). Department, may be considered allowable components subject to approval byof the demonstration. ponents of the evaluation the 5.9 The State will post copies of the interim and final evaluation welfare agency Website (see Section 3.5). reportsthe State's child on 5.10 The State will submit, or have the evaluation public -use data tapes, incl contractor produce and make available, gathered documzrttation necessary to permit re -analysis of the data 3.5). dig the course of the evaluation, six months after the project ends (Section 5.8 The State will submit a Final Evaluation R integrating the six months after the project ends, process study, the outcomes study, and the cost analysis (Section 3.5). 20 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 liminary 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 the end of the 20'a quarter after the deemed beginning date of the demonstration. Approval: s oner on on Children, Youth and Families Colorado Terms and Conditions - FINAL 21 Acceptance: Reggi Bicha Executive Director Colorado Department of Human Services Date /E (3 -f)-- Exhibit B COLORADOADEIPARTMENT'OF Budget U AAN SERVICES Title IV -E Waiver Demonstration Project Individual County Year 5 {SFY 2017-18) Application Colorado Department of Human Services encourages you to apply to participate in the fifth year of the Title IV -E Waiver Demonstration Project. It is not mandatory for you to participate in all 5 interventions. Research your county's child welfare needs and gaps in service delivery and utilize this funding to improve services to children, youth and families in need. Use data to support needed FTE's and funding for hard goods. Structure and positions must be in place for implementation on 7/1/17. Please contact Tyler Allen, Administrator of the Title IV -E Waiver Demonstration Project at tvler.alb .,rt «='f=.co.us, 303.866.2154, with questions related to this application. This application is due for submission by 4/14/2017. Name of County/Region: Weld County Primary Contact: Judy Griego County: Weld Address: 1150 O St Phone: (970)352-1551 Waiver Interventions What Title IV -E Waiver Interventions are you Family Engagement Permanency Roundtables Kinship Supports Trauma -Informed Screening, Assessment, and Treatment Date: 4-18-17 Agency: Weld County Department of Human Services City, State Zip Greeley, Co 80631 Email: griegoja@weldgov.com applying for funding? Total Funding Amount Requested. Total Funding Amount Requested: Total Funding Amount Requested: Total Funding Amount Requested: TOTAL: $821,845.00 $594,464.50 $ $1,416,309.50 Are there Title IV -E Waiver Interventions you are implementing with fidelity, to be included in the evaluation, but are not requesting funding? Please fill out the corresponding area of this application. 7 Family Engagement Kinship Supports nPermanency Roundtables Sustainability Plan Provide an estimate of funds (other state or local funds) that will be !expenses in SFY 2018-19 Family Engagement Permanency Roundtables Kinship Supports Trauma -Informed Screening, Assessment, and Treatment Trauma -Informed Screening and Referral made available, if any. to sustain intervention Total Funding Amount Estimated - Total Funding Amount Estimated: Total Funding Amount Estimated: Total Funding Amount Estimated: TOTAL: $ Management Plan for Waiver Intervention(*) Implementation - Who will oversight, coaching, and supervision of the interventions? WW your management team include the data analyst, t1nandal manager. staff members throughout the hierarchy? If a Region, include representation from each county N er Walker Title: Chid Welfare Director P e ©a-S2i 8 n: All Email walkertid ov.com Si V r Cavazos y: [rf DHS Title: Resource Manager X82 Email: ion: Kinship v. R in Title: R Trauma Informed Care Nar' Title en n. Email: S Title: Email: SI Title: Email: ng any versight, coaching, and supervision. If you am a region, which county will be the fiscal Individual supervoon, consultation, peer coaching,, infra -county support. etc N i wpb Child Welfare is comprised of three primary areas: Response, chart). We meet as a management team monthly as a whole and by Rowing and working <e 2 to maximize ven Each monthly to assess how each element of the Waiver is working in program _'=r .r7 , , : The three Managers and pit/Weft Herd Organization upper management team to discuss how the functioning d .; organizations. There is also ion Access, our OHO, about any concerns with provision of Medicaid to our clients services needed within the community. terventlon the direct supervisor provides the oversight, coaching and supervision of staff! The as necessary and provides the direction and guidance to stay on course. There are bi-monthly h supervisor and manager and division head stile. The worker or employee, meets with their for individual guidance and coaching, generally speaking. Have you identified any barriers or potential barriers in providing the monitoring, oversight. coaching and supervision of the intervention(s)? If you are a region, which county(ies) will provide monitoring, oversight, coaching and supervision? Weld has made a shift in practice with regard to the Family Finder positions and we have recently moved them under the Kinship Supervisor. The thought behind this move was to assist with the connections between kin and 2 the Kinship Coordinators on an ongoing basis. Weld has also recently started Family Finding meetings where the caseworker, supervisor, Family Finder and GAL meet to talk about who all they have found and if they each have any leads to new family or kin. The main barrier with this has been finding the time to get everyone together, however, when they do occur the outcome has been good. As for the Trauma Informed Care, Weld is not applying for financial assistance this year. We have had some positive outcomes and we plan to continue the practice of trauma screens and referrals. From July 1, 2016 to now the Department of Human Services has submitted 193 trauma screens to North Range Behavioral Health. Of those 193 screens, 124 came for an assessment and treatment. This brings our attendance/show rate to 64%, which is significantly higher than last year. How can CDHS support you in meeting your technical assistance, coaching, and/or training needs? Weld has continued to share the frustration with regard to the meetings not being accurate with what Trails data is pulling. Any help with that would be great. 3H FANS. NC' EM t' I Are you building on existing practice? i Yes ONo If *i- current model, including target population, and efforts to ensure fidelity. Is there anything unique to your nt Family Engagement? to continue to partic in liv T+ of the IV -E Waiver criteria f plans to continue to use the family ingandyfor aflchildren end Weld County cases, to utilize TDM's and FTM's as and community partners in minimizing placement, umbers and increasing reunification and achieving permanency for a children and V -E Waiver DOCiSiefl tifying been suc r continues to to keep children safe in a dedicated phone lino use to bring M's within 24 hours or before court on a lured above this process has reduce court f*ngs, has improved the information for come up with great plans to keep children safe without court involvement. s, FTM's, and Group nrlai+on's in Weld County, the number of y. The below Sable shows the rase in eta r in 'total a of Youth Served '2013 183 279 2014 914 1369 2015 1237 2091 2016 1702 3134 597 1 TotaIto Dad's present continues to be, cing case Nibs the Agency. The u!e TDM's and FTM's occasions even the sane day. removals and most Total C of Total ii Totaai C of Total s ER- of CR- PC- FTM's TDM's TDM's TDM's hell! held held ' held 79 10 71 29 68 Total of Pars held 409 93 168 109 461 &3 593 70 221 162 751 27 751 85 311 216 1054 279 9 101 74 399 •(2013) - data was only collected during the last quarter of the year from September - December. `(2017) - data was only collected during the first quarter of the year from January - March. The average number of meetings per month; 2013 = 45.75, 2014 = 76.16, 2015 = 103.08, 2016 = 141.83, 2017= 199 Are you prepared for intervention service delivery by 7/1/17? If not, what is your intervention start date? Yes, Weld County, has a dedicated Family Engagement Unit that is fully staffed and staff that are non -case carrying, trained and qualified to perform their existing duties of facilitation of IV -E family engagement meetings to include (TDM's, FTM's and Group Supervision's). is your staff currently trained in a model, consisting of the core components? if not, what are your plans to train staff in preparation for implementation by 7/1/17? Yes, the family engagement practitioners all maintain their State Certification requirements of (40) hours of continual training. The family engagement practitioners have all been trained to the Annie E. Casey Foundation model fidelity of TDM's. Weld County continues to work in collaboration with The Annie E. Casey Staff who have observed and will continue to provide feedback to the skill sets of the practitioners and have provided a tool for continued observation of practitioner's skills pertaining to the fidelity of the TDM model. Based on your county/region's Trails data, what is the number of families currently being served through Family Engagement? (Regions - specify date for each county) Based on our 2017 data collection from January through March 2017 the number of new families served is 100, which breaks down to 33 new families a month, which if we stayed at that rate we would anticipate serving 396 new families. The data reflects that we have served 502 existing families that breaks down to 167 families per month served, if Weld County continued to serve those families through the end of December 2017 the anticipated number of existing families served would be 2008 families. Based on your county/region's Trails data, what is the anticipated number of families to be served through Family Engagement with the additional i V -E Waiver funds? (Regions - specify data for each county) See above if you implemented the Family Engagement intervention as part of Title IV -E Waiver Demonstration Project Year 4, what was your progress towards meeting your goals? (such as: did you meet your desired outcomes? What challenges did you experience? How will you practice change and/or improve in Year 5?) Weld County continues to see progress overall with the implementation of the family engagement intervention. One of our goals through the past years with the wavier was to have an increase in participation of fathers In the TDM's and FTM's. Based on our own data collection of father's participation from the last quarter of 2013 to the first quarter of 2017 fathers participating continues to increase. Here are the numbers per each year demonstrating an increase; 2013 = 79, 2014 = 409, 2015 = 592, 2016 = 751 and, 2017 = 328. If the monthly numbers for 2017 stay consistent we are set to have a total for the year of 1116 father's attendance in TDM's and FTM's. One other area of continued improvement has been the focus of permanency within the family team meetings, it has been implemented and has now become practice for the family engagement practitioners' to ask the four following permanency questions during FTM's for children and youth who are in out of home placement and also in kinship homes; what is the current permanency goal? What is the concurrent permanency goal? What is the permanency rating? What are the barriers to permanency? By incorporating these questions In the FTM's the entire team including the family will know what the permanency goal is, what the permanency rating is and barriers. During the family team meeting they address those barriers through the action steps so that by the next meeting there should be additional progress made toward the permanency goal. What are your specific goals and desired outcomes for this upcoming year in implementing Family Engagement in your county/region? Weld County's goal is to continue to increase and focus on permanency for children and youth through the TDM's, and FTM's with the desired outcome of less time in out of home placement for children and youth. Another continued goal is to use the model fidelity of the TDM process with the desired outcome of having to file less D/N's and an increase in having family available to provide the necessary care for children and youth who otherwise might have to be placed in OOH care such as foster, group or residential. This will continue to be done by maintaining the timeliness of TDM's, casework staff engaging families and encouraging natural supports to be present at TDM's and FTM's. The family engagement practitioners will continue to address permanency in every FTM and will gather names and numbers of family, kin and other connections that might be permanent options for children and youth. Ongoing training on a quarterly basis will also help new staff and existing staff on the importance of the TDM's, FTM's, permanency and engagement. FAMILY ENGAGEMENT BUDGET Complete the table below to justify FTE funding (Examples are written in gray and italicized) Position Level Function Supervision of staff Supervisor s 2 Practitioners Practitioner Practitioner Facilitator _ 2 Family Finder 2 Family Finder Facilitate Meetings Facilitate Meetings Facilitate Meetings Facilitate Meetings Find Families through several resources t- Find Families through several resources (Cost of FTE to include salary. benefits, mileage, and cellphone ) Workload 7 staff 30/month 301month 301m oath 30/month Status Continuation from Year 2 Continuation from Year 2 Cont. from year 2 Cont. from year 2 New Year 4 New Year 4 Cont. year 2 T4,676.25 Cost 151 92,660.00; 68, 144,935.00! Family Service: Support Clerk Schedule meetings for workers and several other duties to assist ith meetings Cont. year 2 "FTE" TOTAL Complete the table below to justify OTHER funding' (E.g hard goods, services, travel for families) Goods/Service Families Served I Cost/Unit Child care for Family in Attendance 45 $50 47,047.50 i $821,845.00 Cost $2 250 001 "OTHER" TOTAL Do you have specific infrastructure and/or start up needs that would be a one-time request? $ (Reflected on page 1) "FTE/OTHER/INFRASTRUCTURE" TOTAL $821,845.00 Do you intend to fund this intervention in the state fiscal year following the end of the demonstration (SFY 2018-19)? Dyes ❑No If no, please enter "$0" in the 'Family Engagement' line of the "Sustainability Plan" section on page 1 of this application. if yes, please describe what funding stream you intend to use (e.g.- Child Welfare block grant, Core Services, local funds,...) and for what amount. Please enter the total amount of anticipated funding in the "Family Engagement" line of the "Sustainability Plan ' section on page 1 of this application Additional Comments. Concerns. Justifications Obvious concerns are that Weld County Department of Human Services has changed practice for the better of families and all involved in the Child Welfare system, while the budget is a concern to maintain this level of intervention. Our hope Is that the state is working toward a resolution to assist with great practice and a change in budget in 2018. 6 If you are part of a region, which counties will participate in this intervention? How will staff/goods/services will be shared? Are you building on existing practice? ❑Yes ❑No If yes, describe current model, including target population, and efforts to ensure fidelity. Is there anything unique to your efforts to implement Permanency Roundtables? Are you prepared for intervention service delivery by 7/1/17? If not, what is your intervention start date? As a part of the implementation of the Permanency Roundtable (PRT) practice, the following training schedule is required: Achieving Permanency through Roundtables, Permanency Roundtables Skills and Youth Centered Permanency Roundtables. iV-E waiver funding cannot be utilized for training expenses (though the state offers alternative provisions for PRT trainings). Is your staff currently trained in the PRT model? If not, what are your plans to train staff in preparation for implementation by 7/1/17? Based on your county/region's Trails data. what is the number of youth currently being served through Permanency RoundtableS? (Regions - specify data for each county) Based on your county/region's Trails data, what is the anticipated number of youth to be served through Permanency Roundtables with the additional IV -E Waiver funds? (Regions - specify data for each county) If you implemented the Permanency Roundtables intervention as part of Title IV -E Waiver Demonstration Project Year 4, what was your progress towards meeting your goals? (such as: did you meet your desired outcomes? What challenges did you experience? How will you practice change and/or improve in Year 5?) What are your specific goals and desired outcomes for this upcoming year in implementing Permanency Roundtables in your county/region? PERMANENCEY ROUNDTABLES BUDGET Complete the table below to justify FTE funding (Cost of FTE to include salary, benefits. mileage, and cellphone.) (Examples are written in gray and italicized) roslnon Level Function i _ Workload T Status Cost C Caseworker Ill 0 5 FTE Master Practitioner ,-- 1 20 youth _ Continuation from Year 1/New Request $37,500 00 i Complete the table below to justify OTHER fundin Goods/Service for Fam,iy/K,n to be rr attendance "FTE" TOTAL (E, . hard goods, services, travel for families) Youth Served CosUUnit 2C Y uU 375 $6.000 00 $ Cuarte Inv Meet",ys; Cost L 71aa3 "OTHER" TOTAL Do you have specific infrastructure and/or start up needs that would be a one-time request? $ (Reflected on page 1) "FTE/OTHERIINFRASTRUCTURE" TOTAL Do you intend to fund this intervention in the state fiscal year following the end of the demonstration (SFY 2018-19)? ❑Yes ❑No $ If no, please enter "$0" in the "Permanency Roundtables" line of the "Sustainability Plan' section on page 1 of this application. If yes, please describe what funding stream you intend to use (e.g.- Child Welfare block grant, Core Services, local funds,...) and for what amount Please enter the total amount of anticipated funding in the "Permanency Roundtables" line of the "Sustainability Plan" section on page 1 of this application Additional Comments, Concerns, Justifications: 8H KINSHIP SUPPORTS If you are part of a region, which counties will participate in this intervention? How will staff/goods/services will be shared? Are you building on existing practice? Yes ❑No if yes, describe current model, including target population, and efforts to ensure fidelity. Is there anything unique to your efforts to implement Kinship Supports? Weld county is utilizing the Kinship Supports Logic Model. The target population Is non -certified, certified and non -child welfare Kinship families providing out of home care for youth and children. Weld County has three Kinship Coordinator position that is separate from the family caseworker. Due to the growing need of non -child welfare kinship providers needing more support other than TANF and PA -3 services can provide, we are re- organizing the Kinship Supports Unit. Currently we also are utilizing one foster care position as needed to support the three Kinship Coordinator positions that are solely focused on providing support and services. The Kinship staff are completing an initial assessment and working collaboratively with the family caseworker to provide assistance and support to the Kinship care provider. Services include a needs assessment, initiating the process for hard good assistance when needed, attending family engagement meetings with kinship providers, screening background information, documenting in TRAILS and sharing information with kin about available resources. Kinship staff also participate in monthly roundtables for foster and licensed kinship homes. The purpose of the kinship supports is to increase permanency by reducing time in out of home care; promote successful transition to adulthood for older youth; increase outcomes for children, youth and families in their homes and communities to improve the safety and well-being of children. So that: Family and kin will be more knowledgeable about their children/youth needs So that: increased awareness and knowledge in accessibility to community resource s and support networks So that: Family and Kin seek out supports and assistance more frequently So that: Kinship placement for children increase So that: Children are more stable and able to adjust with kinship placements and family involvement and support So that: Children and Youth can achieve legal permanency Are you prepared for intervention service delivery by 7/1/17? If not what is your intervention start date? Yes Is your staff currently trained in a model, consisting of the core components? If not, what are your plans to train staff in preparation for implementation by 7/1/17? Yes. Kinship staff is trained to the Kinship supports logic model and adhering to the core components. Based on your county/region's Trails data, what is the number of kinship families currently being served through Kinship Supports? (Regions - specify data for each county) We are currently serving 120 non -certified kinship families. However, since July 2016 to date we have served a total of 175 families with IVE Waiver funding. Given the continued enhanced working relationship between the kinship unit, family engagement unit, prevention unit and TANF support unit kin continue to be more aware of resources and support and our kinship numbers. Last year at this time, we were serving 143 families. Due to family team meetings, diligent search efforts, and an emphasis on placing with kin families Initially, Kinship providers are actively participating and being Identified earlier in the out of home process. In addition, due to having more support and resources kinship families are successful at maintaining placements of older youth and are more willing to allow older youth into their homes. Kinship supports have assisted in helping more children and youth maintain and sustain permanent connections. Weld County data suggests that we should expect to increase kinship families In our program next year by at least 45 families, so a total of 220. We also provided assistance through our Kinship services to 8 kinship families that wanted to become licensed providers this year. We continue to have several non -child welfare kinship providers reaching out to our unit for assistance with navigating the TANF system, hard goods, and support The number of families being served in non -child welfare are 25. Based on your county/region's Trails data, what is the anticipated number of kinship families to be served through Kinship Supports with the additional IV -E Waiver funds? (Regions - specify data for each county) We anticipate serving 220 non -certified kinship families through the IV -E Waiver. This fourth year, challenges included clarity of roles regarding kinship coordinators and caseworkers. Developing clear kinship policy and procedures, providing ongoing support, and training to kin providers when placements last more than 60 days. We continue to run into barriers regarding affordable childcare of all ages. Especially for those children over the age of twelve who continue to need supervision before and after school and during the summer months while kin providers are working and infants that are too young to receive care in many licensed childcare facilities. We also continue to have challenges identifying and helping kin access sustainable community supports with immediate needs such as food, clothing, furniture, transportation, and home repairs. Helping kinship providers with a sense of community and support that can be sustained after the Department is out of their lives is also a concern. We have made great progress in engaging kin families once we are aware of them through a referral process that is initiated by caseworkers. Generally, when the Kinship Coordinator is notified of a new provider, initial contact is made by phone within forty-eight hours and an initial home visit within five to seven days. Caseworkers are doing a much better job notifying the kinship unit through a form or email that a child is being placed with kin. Not only does this provide additional support to the provider timely, it also helps the caseworker with their processes as well. Kinship Coordinators assist with kinship placement safety walk through when they are available and this also helps caseworkers with their workload. Kinship Coordinators have also done a great job this year learning what state expectations are regarding background check requirements and have become a huge resource to workers in walking them through the process to ensure all documentation is done completely and timely. We have been able to attend the majority of family engagement meetings where kin providers are involved. Through these meetings, we have been able to advocate for the needs of the kinship provider and help to stabilize and maintain placements. The monies that were granted through the IV -E Waiver have assisted in stabilizing placements through services and hard goods for 175 families. The communication between the kinship unit and TANF workers has improved tremendously and together, we have improved the process and timeliness for kinship providers receiving benefits. Our emphasis for next year Is to focus on not only stabilizing children and youth initially in placement with kin, but to help kin sustain placement of children who need placement out of home longer than sixty days. Our data suggests that while we are doing a much better job identifying and placing with kinship providers, we continue to struggle with maintaining those children with kin providers for longer than three months. We also know that older children are more likely to be disrupted in kinship homes than younger ones. We recognize that kinship providers begin to feel the impact of the trauma that children placed out of their home have experienced after they have been placed for a couple of months. Kinship providers are often unaware how much this affects their own lives, relationships, finances, and health. Kinship providers are not prepared in the same way as foster families who receive ongoing training and counseling before ever taking a child into their families. Helping kin identify respite, specialized therapy, education and training regarding children who have been Impacted by abuse and neglect remain one of our biggest challenges. Helping kinship providers with the unique supervision needs and requirements for older children who may or may not have legal Issues has also been an area we have identified as needing to improve in order for kinship providers to maintain these youth in their homes while they continue to work and support the family. increased contact with kinship families throughout the placement process is needed. Given the increasing amount of kinship providers, it is not possible to have the direct contact with families that would be ideal in creating helping relationships between Kinship Coordinators and providers. Currently, ongoing support is directed through the provider contacting the Kinship Coordinator or Caseworkers communicating with Kinship Coordinators regarding services needed. Due to numbers, Kinship Coordinators are still most impactful at the onset of placement. If you implemented the Kinship Supports intervention as part of Title IV -E Waiver Demonstration Project Year 4, what was your progress towards meeting your goals? (such as. did you meet your desired outcomes? What challenges did you experience? How will you practice change and/or improve in Year 5?) We met the goals of assessing every child welfare Kinship home that we were referred. We also were able to have 10IP at least quarterly contact with families via phone, email, or family engagement meetings. We have seen success in stabilizing placements immediately and for the first 60 days. Challenges include not being aware of ongoing issues early enough so that when kin are having issues we can intervene before disruption. We are continuing to work on better communication and notification regarding kin by the caseworker. We also need to have kin who want to be certified in their own setting rather than being trained with traditional foster families. Next year we will be working on support groups for kin that are community based. Having a quarterly staffing that address kin concerns and needs specifically with the professionals as their concerns are often not addressed In other meetings that are more focused on case progress. What are your specific goals and desired outcomes in implementing Kinship Supports in your county/region? Weld County will continue to develop positive working relationships with community businesses and service providers to educate them on the importance of kinship providers and how our community benefits as a whole when children are able to remain with kin and how our community can support kin in various ways. Securing resources such as discounted services for kin, discounted fees for activities, and other resources that could ease the financial burden to families that are often stretched very thin. Weld County will continue to collaborate with Weld County District 6 to educate them on how many children are living with kin providers and the unique challenges and opportunities this brings to their classrooms. We would like to focus on building kinship providers support circles so that they are able to remain healthy, energized and able to meet the very demanding needs of our system and children. We would like to have family engagement meetings that focus solely on the kinship providers needs and how best to support them in providing care to children and youth in their home. These meetings would include family members, community members, and other support people Identified by the kinship providers. Weld County wants to build on kin's strengths and self-sufficiency, children and youth will have more kin engaging them as they transition into adulthood. They will have sustained quality relationships that are intended to last a lifetime. This would be achieved by having kin -focused family engagement meetings through the life of a case that focuses on the entire family taking a role in a child's life. The Department would help the family identify lasting connections and supports so that once the Department is out of the kinship's lives they are able to have supports that can sustain children on an ongoing basis. KINSHIP SUPPORTS BUDGET Complete the table below to justify FT E funding --. -.. �..s, wlo,7, ucgmrna, mileage, ana ceapnone.) (Ex amples are written in gray and italicized) Position Level Kinship Function Workload Status Cost Supervisor Supervise staff a staff Continued 4 1 9 193,3.00 2 Kinship Coordinators Kinship Assist Kinship Families 85 each Cont yearar 2 Coordinator Assist Kinship Families $5 Cont, from year 4 ,61155.00 986,667.50 TAL $486,464.50 omplete the table below to iustifv C)THFR ftrnriinr, -- +-----+ - — • •_. ..... � y. ,.s.. , y..+wa, aeivic.ws, navel ror tamales) GoodalService Cribs, Families Served Cost/Unit Cost Beds, Bedding, furniture, food and clothing Car — 120 500 60,000 repairs and gas cards 50 500 25,000 Youth programming, child care and respite 20 500 10,000 Utility bills, rent, appliances, deposits I 13 1000 13,000 - 5108,000 Do you have specific infrastructure and/or start up needs that would be a one-time request? no (Reflected on page 1) "FTE/OTHERIiNFRASTRUCTURE" TOTAL $594,464.S0 Do you intend to fund this intervention in the state fiscal year following the end of the demonstration (SFY 2018-19)' 11 13 Yes E1 No If no, please enter "$0" in the "Kinship Supports" line of the "Sustainability Plan" section on page 1 of this application. If yes, please describe what funding stream you intend to use (e.g.- Child Welfare block grant, Core Services, local funds,...) and for what amount. Please enter the total amount of anticipated funding in the "Kinship Supports" line of the "Sustainability Plan" section on page 1 of this application. Additional Comments, Concerns, Justifications: Weld County Department of Human Services takes pride in the fact that we have grown our Kinship placements by leaps and bounds over the course of this Waiver. However, the concern of knowing the funding for assistance to the families is going away is a huge concern and it is clear these types of services may become a barrier in the future for some families due to not having the needed goods or services for these families. 121 .3 3 TRAUMA -INFORMED SCREENING,ASSE, 4 t4 +xas,1t't t raiatinv t= irk ;-will . t t f *terionWtt trr; ; the Oftsao 1 fa r if you are part of a region, which counties will participate in this intervention? How will staffigroods4emices T. a1 d TREATMENT (Ple eft root ;, _arid r t Please identify your collaborating local mental health provider(s) and describe what efforts you are making to ensure ongoing collaboration with them? Is your local mental health provider(s) willing to participate in the evaluation processes of the IV -E Waiver? Describe the prioritization of your target population with consideration of your local mental health provider's capacity to assess and treat. Are you building on existing practice? []Yes ❑No If yes, describe current model, including target population, and efforts to ensure fidelity. Is there anything unique to your efforts to implement Trauma -Informed Screening, Assessment and Treatment? Are you prepared for intervention service delivery by 7/1/17? If not, what is your intervention start date? Is your staff currently trained in using the screening tool? If not, what are your plans to train staff In preparation for implementation by 7/1/17? Implementation and evaluation of the /V -E Waiver requires that participating mental health providers include"irFt tt assessment: • The Trauma History section of the Mental Health Referral Tool in the National Child Traumatic Stress Network/Chadwick Trauma -Informed Systems Project Child Welfare Trauma Training Toolkit, and • one of the following three (age -dependent) fools: o Trauma Symptom Checklist for Young Children, o The Child Post Traumatic Stress Checklist, or o PTSD Checklist is your local mental health provider prepared to administer these assessments? What additional assessment tools) will be utilized? implemerrtati€n and evaluation of the !V -E Waiver requires that participating mental health providers include at least one of the following treatment modalities: • Child Parent Psychotherapy (0-5) • Trauma Focused Parent Child Interaction Therapy (2-7) • Trauma Focused Cognitive Behavioral Therapy (3-18) • Alternatives for Families Cognitive Behavioral Therapy • Adolescent Dialectical Behavioral Therapy • Skilled therapist trained in sensory integration and the Neurosequential Model of Therapeutics • Complementary supports addressing goals from assessment Is your local mental health provider prepared to utilize at least one of these treatment modalities? What additional treatment modalities may be utilized? 131Page Based on your county/region's Trails data. what is the anticipated number of families to be served through Trauma - Informed Screening? (Regions - specify data for each county) Are your local mental health providers prepared to implement Trauma -Informed Assessment and Treatment? What is their capacity to assess and treat? What are your specific goals and desired outcomes in implementing Trauma -Informed Screening, Assessment and Treatment in your county/region? Do you anticipate needing any technical assistance in the implementation of this intervention? TRAUMA -INFORMED SCREENING, ASSESSMENT, TREATMENT BUDGET Complete the table below to justify FTE funding: (Cost of FTE to include salary, benefits, mileage, and cetiphone ) Position Level Function ' Workload I Cost Administrative Assistant Referral Process & communication 100 Referrals/Ma wifamilies I f $45.000 00 17 nO (E g hard goods, services, travel for families Goods/Service Families Served fi Cost/Unit Cost 1 Do you have specific infrastructure and/or start up needs that would be a one-time request? (Reflected on page 1) "FTE/OTHERIINFRASTRUCTURE" TOTAL Do you intend to fund this intervention in the state fiscal year following the end of the demonstration (SFY 2018-19)? El Yes No if no, please enter "$0" in the "Trauma -Informed Screening. Assessment, and Treatment" line of the "Sustainability Plan" section on page 1 of this application. If yes, please describe what funding stream you intend to use (e.g.- Child Welfare block grant, Core Services, local funds,etc. .) and for what amount. Please enter the total amount of anticipated funding in the "Trauma -informed Screening, Assessment. and Treatment" line of the "Sustainability Plan" section on page 1 of this application Additional Comments, Concerns. Justifications 14 ! 3 ? $ rscribe your cour,?y/reg, 5 e, iaer₹ se and capacity for data managerrien,, Weld County has a data analyst that assists in running reports monthly or on an as needed basis. The Family Engagement Supervisor also maintains an Excel database that keeps track of the type of meeting, father's presence, number of kids in the family, and recommendations. With the addition of our MOU in working with Annie E, Casey on TD M fidelity we will have a database specifically for tracking data for our TOM meetings. Will your counfyhegion complete eva cation activities independent of the statewide evaluation of the identiftlinterventionsl Yes as selitedebove Additional Comments, Concerns, Justifications you foresee &'�rrrr:ers nferr eify in irnpi rr�ent:ng` in the statewide el.aluatson7 to colHS to ensure the success or Title IV --E Waiver' The main concerning barrier at this time would be the loss of funding for these positions. it is clear that Weld has increased in good practice which has resulted in a decrease of congregate care placements as well as foster care placements and an increase in kinship. Weld Winged to work on further organizing the kinship program and how we are utilizing the Coordinators. There are many needs within the kinship program and while staff attempt daily to do the best they can it is clear that they are only putting out fires and pacing band aids on situations. As stated above we have identified that within 3 months several kin placements begin to have concerns and at times we are losing those placements. This is not what we want for children as it isn't just another move but can be a rejection from a family member. How may CDHS assist with addressing any of these harries' CDHS can assist witi., being a leader in the discussions with Medicaid/HCPF to determine how the language for medically necessary can be practiced in a more consistent manner so that families and children are receiving better treatment at the best time. Also, advocating with the legislature on how to increase the needed budget so that the good outcomes that counties have had with the change in practice can be sustained. Also, to help with rule changes that add more work to workers at the sake of taking time away from the families they are trying to serve. Assist us with judicial to help them in their learning of what is best for children and families and to match up Colorado Revised-ute with Volume 7 so that we are working in tandem not against one another in court. Additional Comments Concerns, ,justifications: V -E Waiver and Please accept this signature as vet participation in the Title iV-c Waiver Director's signature. .rte€ rioted Name ation in the application as rest and support of rrly county's oject, SFY 2017-18, Regional Models must include each county's Date 15IPa je IV -E Waiver Revised Budget 2017 FAMILY ENGAGEMENT BUDGET Complete the table below to justify FTE funding: (Cost of FTE to include salary, benefits, mileage, and cellphone ) Position Level Function Workload Status Cost Supervisor Supervision of staff 7 staff Continuation from Year 2 98,246.25 2 Practitioners Facilitate Meetings 30/month Continuation from Year 2 24. .00 Practitioner Facilitate Meetings 30/month Continuation from Year 2 74,876.25 Practitioner Facilitate Meetings 30/month Continuation from Year 2 0.00 Facilitator Facilitate Meetings 30/month New Year 4 34 .00 2 Family Finder Find Families through several resources New Year 4 144,935.00 2 Family Finder Find Families through several resources Continuation from Year 2 144,935.00 Family Services Support Clerk Schedule meetings for workers and several other duties to assist with meetings Continuation from Year 2 47,047.50 KINSHIP SUPPORTS BUDGET Complete the table below to justify FTE funding: (Cost of FTE to include salary, benefits. mileage, and cellphone Position Level Function Workload Status Cost Kinship Supervisor Supervise staff 8 staff Continuation from Year 4 196,492.50 2 Kinship Coordinators Assist Kinship Families 85 each Continuation from Year 2 0.00 Kinship Coordinator Assist Kinship Families 85 Continuation from Year 4 96,657.50 : (E.g., hard goodsservices, travel for families Goods/Service Families Served Cost/Unit Cost Cribs, Beds, Beddin , furniture, food and clothin 120 500 60,000 Car repairs and gas cards 50 500 25,000 Youth programming, child care and respite 20 500 10,000 Utility bills, rent, appliances, deposits 13 1000 13,000 Do you have specific infrastructure and/or start up needs that would be a one-time request? (Reflected on page 1) "FTE/OTHER/INFRASTRUCTURE" TOTAL $594,464.50 *The highlighted areas above are the areas that were decreased or eliminated from the IV -E Waiver Funding. Exhibit C Award Letter COLORADO t)tf ee of Children. Youth & Families o�,,,i Ohiovv Ann M Rosales, MSW Director Ms Judy Gnegc Weld County Department of Human Services 315 North 11 ;Avenue Greeley. CO.80631 June 9. 2C17 7 Dear Director Grego The Colorado Department of Human Services Divsion ;f Child 'P✓elfare is peased to inform you that Weld County OHS E being awarded Title lV E Waiver Demonstra ran P-01C,d r. P,o ectt fr�ndlrq The total available funding for the 3F" 20'7-18 s 310M There were 35 Counties who applied for 5'5 5M to serve children and families r 49 counties. Therefore. significant cuts were made to all applicant counties Three filters were used on all applicant total award amounts (total award amount equals the sum of all Fnterventlon and intervention expansion requests) Requests were reduced to the prole ted yearend spending or pror year closeout whthever i; highest Requests were reduced for each, Rter entr. n by she amount threshold Requests were reduced by pr000nion of lot atx,,ve. a common cost -per chin/family tattewsoe budget after the other two filters To ensure a fair and equitable process, all appitcan cudgels were subjected to he same methodology Follow up contacts were made with each applicant county -is needeil ' ;r d;arification Based on the allocation methodology it was t e`e)r^ ed yn, count,,,,portion $970 18300 In order to participate in this project your �=„r�- your county's commissioning body by June 30 Application folder at you submit a r w budget in writing to Tyler .Alien T Or before the submission of your OOur'ty's zir)., be greater than your award amount Tns new . e 'Exhibit B". as identified n' the %ICU allocation E �',te of rr t,rr t nderstandtng i4tC)Ut stgnea by bluox it the 41OU can be found it the t4` -E ✓JBiver dcwlfor-orot _scion^L�Iforrn �t;Pg requests that tie Nc ;�iai ,er A,dministrator al jvlerallenOstate.co,ug, with `vial all rcae. ,,rrn mars and expansion protects must not S'O' r , 1 r LAI acolicatton shall constitute 'he item Pease direct .any q esors vOi.: nave a00u! A7-"rnlslrator a tvleratlen attstateco,us or at Ii' - 3� n F tle iV ` /Vac.;er Exhibit C Award Letter We are encouragers by your ongoing participation r the Protect and bek forward to cormcm,ed cooaoorat.,on Please contact Us r, th any questions Ann Rosales Director Dyson of Chit) Welfare p Hello