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MEMORANDUM
' �`
DATE: August 12, 2015
' 1861
L TO: Board of County Commissioners—Pass-Around
'�1'r1 � l, ,l
r FR: Judy A. Griego, Director, Human Services
GO UN ' Y
RE: Additional Provisions for the Agreement to Purchase
Out-of-home Placement Services SS23A For the
Purchase of Residential Child Care Facility Services
between the Department and Reflections For Youth,
Inc.
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 Additional Provisions for the Agreement to Purchase Out-of-
Home Placement Services SS23A For the Purchase of Residential Child Care Facility
Services between the Department and Reflections For Youth, Inc. Effective May 1, 2015,to
and until June 30,2015, the County agrees to provide Child Maintenance, Administrative
Maintenance and Services,which are listed in this Agreement at a rate of$148.00 per day
unless otherwise negotiated based on the needs of the individual child placed within the SOMB
Transitional Residential Child Care Facility program.
I do not recommend a Work Session. I recommend approval of these Additional Provisions.
Approve Request
BOCC A enda Work Session
Sean Conway
Steve Moreno
Barbara Kirkmeyer
Mike Freeman
Julie Cozad
2015-3223
Pass-Around Memorandum; August 12, 2015 Page 1 O/
EXHIBIT A to the SS23A
Additional Provisions for the Agreement to Purchase
Out-of-Home Placement Services SS23A
For the Purchase of
Residential Child Care Facility 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 Reflections For Youth, Inc., hereinafter referred to as,
"Contractor."
I. Effective May 1,2015,to and until June 30,2015, County agrees to purchase and
Contractor, ID# 1530130,agrees to provide:
a. Child Maintenance, Administrative Maintenance and Services, which are listed in this
Agreement at a rate of$168.79 per day unless otherwise negotiated based on the
needs of the individual child placed within the Residential Child Care Facility.
b. Child Maintenance, Administrative Maintenance and Services, which are listed in this
Agreement at a rate of$148.00 per day unless otherwise negotiated based on the
needs of the individual child placed within the SOMB Transitional Residential Child
Care Facility program.
b. Additional services not covered by Medicaid or considered within the above vendor
rate. These additional services/rates may be negotiated on a child by child basis,
based on the needs of the child and in accordance with the Colorado Department of
Human Services Agency Letter CW-06-1 I-I dated June 8, 2006.
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 considers the agreed upon rate, outlined in the Weld County Addendum to this
contract, to be all inclusive and shall not pay for additional treatment fees; i.e.
Drug/Alcohol and Sex Offender services.
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. Reimbursement rates for bed hold days may not exceed the state
standard rate for administrative maintenance and administrative services or may be a
reduced rate that is mutually agreed upon.
4. The services purchased under this Agreement as Child Maintenance, Administrative
Maintenance and Services for Residential Child Care Facilities include, but are not
limited to: Food, shelter, clothing, personal needs and allowance, administration,
administrative overhead, support staff, support overhead, sleep-over staff, direct child
care, transportation,therapeutic recreation, service delivery staff, parent training for
Exhibit A to the 23A 1 Revised 6/2014
teens, independent living training, mentor/advocate, supervised visitation and all other
services as outlined in the Child Specific Addendum. The anticipated minimum
percentage for each item is as follows and will be subject to County monitoring as
outlined in Section VI of this contract:
a. Food, including meals and snacks (25%).
b. Clothing(3%).
c. Shelter, including utilities and use of household furnishing and equipment and daily
supervision, including those activities that a parent would normally carry out to assure
protection, emotional support and care of the child (30%).
d. Personal items and grooming care for the child, such as toothpaste, toothbrushes, soap,
combs, haircuts, and other essentials (2%).
e. Other/miscellaneous items considered usual in the care and supervision of the child,
include, but are not limited to, transportation, recreation and overhead (40%).
5. A minimum of one polygraph test per Colorado fiscal year, if needed by the child, will be
furnished by the Contractor under this contract for facilities that provide sex offender
treatment.
6. Any additional costs for specialized services, which include, but are not limited to;
polygraph tests, plethysmographs, and urinalysis screens, that is not provided within the
vendor rate or attached Scope of Service, will need be negotiated and authorized, in
writing by the County, prior to the service being performed. Any payment for specialized
services not authorized in writing will be denied.
7. Contractor agrees to have appropriate personnel available to attend or participate in
Family Engagement or Team Decision making meetings. Provider shall be notified by
County staff of the dates and times attendance is requested.
8. Contractor agrees to 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 scheduled within 14 days and dental
examinations scheduled 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 will
complete or obtain a completed IEP. A copy will then be forwarded to the County.
11. Children in 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 6/2014
WHEREFORE,the parties have herein set their hands and affixed their seals the day and
date first written above.
_ A ��i COUNTY:
ATTEST: d,� '�• eiCh9;""' BOARD OF COUNTY COMMISSIONERS
Weld Clerk to the Board WE COUNTY,COL( O
By:
Deput lerk to the rd arbara Kirkmeyer, hair our 0 7 2015
APPROVED AS TO UN a ENG: APPROVED AS O SU TANCE:
Controller �� � '�~� �Ele Officia or Depa ent Hea
APPROVED AS Te F• ' ' � '•441
186
irector of Genera Services
County Attorney
CONTRACTOR:
Reflections For Youth, Inc.
1000 S Lincoln Ave,Ste 200
Loveland,CO 053 -6357
1//4?/42.19/
By:
ntract s(or designee's)Signature
a
Exhibit A to the SS23A
3 Revised 6!2014
X616--00W-3
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