HomeMy WebLinkAbout20150854.tiff 186, MEMORANDUM
DATE: March 19, 2015
U ^ T 2 -1O: Barbara Kirkmeyer, Chair, Board of County Commissioners
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FROM: Judy A. (iriego, Director, Human Service y e j". hi f1
RE: Additional Provisions for the Agreement to Purchase O6t-of-
Home Placement Services SS23A between the Department
and Savio I louse
Enclosed for Board approval are Additional Provisions for the Agreement to Purchase Out-of-
Flome Placement Services 5523A between the Department and Savio I louse. Additional
provisions are being requested for the original agreement entitled "Agreement to Purchase Out-
of-Home Placement Services SS23A, by and between the Board of County Commissioners of
Weld County, on behalf of the Weld County Department of l luman Services". These provisions
include costs; services and participation requirements and would be effective December 22,
2014, to and until June 30. 2015.
If you have questions, please give me a call at extension 6510.
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EXHIBIT A to the SS23A
Additional Provisions for the Agreement to Purchase
Out-of-Home Placement Services SS23A
For the Purchase of
Group Home/Group Center Care Services
The following additional provisions apply to the agreement entitled, "Agreement to Purchase
Out-of-Home Placement Services SS23A, by and between the Board of County Commissioners
of Weld County, on behalf of the Weld County Department of Human Services," hereinafter
referred to as, "County," and Savio House, hereinafter referred to as, "Contractor."
1 . Effective December 22, 2014, to and until June 30, 2015, County agrees to purchase
and Contractor agrees to provide the care and services, which are listed in this Agreement
at a rate of $109.63, per day for children placed within the Group Home/Group Center
identified as Provider ID #1621801. These services will be for children who have been
deemed eligible for social services under the statutes, rules and regulations of the State of
Colorado.
2. County and Contractor agree that for Children's Habilitation Residential Program
(CHRP) waiver eligible children, the County agrees to pay the federal SSI rate to
Contractor and all other service costs will be billable under the CHRP program.
3. All bed hold authorizations and payments are subject to a 7 day maximum for a child's
temporary absence from a facility, including hospitalization. Bed hold requests must
have prior written authorization from the Department Administrator before payment will
be release to provider.
4. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be
furnished under this contract for facilities that provide sex offender treatment.
5. Any additional costs for specialized services, which include, but are not limited to;
polygraph tests, plethysmographs, and urinalysis screens, which are not provided within
the negotiated provider rate, will need to be authorized, in writing by the County, prior to
the service being performed. Any payment for specialized services not authorized in
writing will be denied.
6. The services purchased under this Agreement for Group Home/Center services may
include, but are not limited to: Basic 24-hour care and child maintenance (food, shelter,
clothing, educational supplies and allowance), direct child care, transportation,
administrative overhead, support overhead, service delivery staff, which may include but
are not limited to: Parent training for teens, independent living training, and
mentor/advocate services.
7. Contractor agrees to have appropriate personnel available to attend or participate in
Family Engagement or Team Decision making meetings. Contractor shall be notified by
County staff of the dates and times attendance is requested.
Exhibit A to the SS23A 1 Revised 8/2014
8. Contractor agrees to actively participate in achieving the child' s Permanency Goal arid
cooperate with any vendors hired by Weld County Department of Human Services to
shorten the duration of placement.
9. Contractor agrees to have physical examinations completed within 14 days and dental
examinations completed within 8 weeks of the child being placed with Contractor. All
documentation of these examinations shall be forward to the County.
10. Contractor agrees to arrange a full evaluation of an Individualized Educational Plan (IEP)
for youth designated as a Special Education Student every 3 years and coordinate reviews
every year. If the IEP is due while the child is in placement, the Contractor shall
complete or obtain a completed IEP. A copy will then be forwarded to the County.
1 1 . Children in Psychiatric Residential Treatment Facilities, Residential Child Care Facilities
and Child Placement Agencies are not eligible to receive clothing allowances as outlined
• in the Weld County Department of Human Services Policy and Procedure Manual.
Exhibit A to the SS23A 2 Revised 8/2014
WHEREFORE, the parties have herein set their hands and affixed their seals the day and
date first written above.
COUNTY:
ATTEST: ddr/♦ / Je.L'tA BOARD OF COUNTY COMMISSIONERS
Wel o n Clerk to the oar 'WELD COUNTY,COLORADO
B :
Deputy lerk to the Board arbara Kirkmey r , Chair AR 3 0 2015
OVED AS F DING: APPROVED AS TO SUBSTANCE:
Controller Elected Official or[ epartmpilit Head
APPROVED AS TO \
NIA
rector of General Services
County Attorney rf_„
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ç ;) coNTRACToR:
Savio House
325 King Street
Denver, CO 80219
By: /&44 - /44=1/5—
Contractor's(or designee's)Signature
and Date
Exhibit A to the SS23A 3 Revised 8:2014
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