HomeMy WebLinkAbout20151247.tiff x\ ,861 MEMORANDUM
I I�
DATE: April 30, 2015
G O UN T TO: Barbara Kirkmeyer, Chair, Board of County Commis 'o s
FROM: Judy A. Griego,Director, Human Services part
RE: Additional Provisions for the Agreement to urchase Out-
of-Home Placement Services SS23A for the Purchase of
Group Home/Group Center Care Services between the
Weld County Department of Human Services and Various
Providers
Enclosed for Board approval are Additional Provisions for the Agreement to Purchase Out-of-
Home Placement Services SS23A for the Purchase of Group Home/Group Center Care Services
between the Department and Various Providers. These amendments were reviewed under the
Board's Pass-Around Memorandum dated April 15, 2015, and approved for placement on the
Board's Agenda.
These provisions are to a parent contract(2014-3352)and define the services to include, but 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, and
service delivery staff,which may include but are not limited to: parent training for teens,
independent living training, and mentor/advocate services.
No. Contractor Term Rate
1 Kids Crossing February 1,2015, to and until June 30, 2015 $95.47/day
2 Parker Personal Care December 1,2014,to and until June 30,2015 $143.00/day
Homes, Inc.
If you have questions, please give me a call at extension 6510.
CaMen.t Aopic a
5-4-IS
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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 Kids Crossing, hereinafter referred to as, "Contractor."
1. Effective February 1,2015,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$95.47, per day for children placed within the Group Home/Group Center
identified as Provider ID #1625620. 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 and
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.
11. 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.
LC�� / c COUNTY:
ATTEST+/ SC XS:eek BOARD OF COUNTY COMMISSIONERS
Weld County Clerk to the Board WELD COUNTY, I LORADO
By:
puty Clerk to th " .'. .. _ Lrbara Kirkmey r, Chair
AY 042015
APPROVED AS O F i � �� -= '�ROVED AS TO S ':STANCE:
Controller e Offici• or Dep • ent ad
APPR T
eDirector of General Services
County ey
CONTRACTOR:
Kids Crossing
1440 E Fountain Blvd
Colorado Springs CO 80003
By:
Contractor's(or designee's) Signature
and Date./v( ih n.,7ra 2_
Exhibit A to the SS23A 3 Revised 8/2014
, 186, 1, MEMORANDUM
P Ii
-L ,' DATE: April 30, 2015
GO N T TO: Barbara Kirkmeyer, Chair, Board of County Commis 'o s
FROM: Judy A. Griego, Director, Human Services part a
RE: Additional Provisions for the Agreement to urchase Out-
of-Home Placement Services SS23A for the Purchase of
Group Home/Group Center Care Services between the
Weld County Department of Human Services and Various
Providers
Enclosed for Board approval are Additional Provisions for the Agreement to Purchase Out-of-
Home Placement Services SS23A for the Purchase of Group Home/Group Center Care Services
between the Department and Various Providers. These amendments were reviewed under the
Board's Pass-Around Memorandum dated April 15. 2015, and approved for placement on the
Board's Agenda.
These provisions are to a parent contract(2014-3352) and define the services to include, but 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, and
service delivery staff, which may include but are not limited to: parent training for teens,
independent living training, and mentor/advocate services.
No. I Contractor i Term Rate
1 Kids Crossing February I, 2015, to and until June 30, 2015 $95.47/day
2 Parker Personal Care December 1, 2014, to and until June 30, 2015 $143.00/day
Homes, Inc.
If you have questions, please give me a call at extension 6510.
2015-1247
Cornzrlr A5 �
m2.ooSCv
5-4-I
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 Parker Personal Care Homes Inc.,hereinafter referred to as,
"Contractor."
1. Effective December 1,2014,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$143.00,per day for children placed within the Group Home/Group Center
identified as Provider ID#1654684. 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 S SI 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 I Revised 8/2014
8. Contractor agrees to actively participate in achieving the child's Permanency Goal and
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:
acritakl
ATIEST: BOARD OF COUNTY COMMISSIONERS
Weld County Clerk to the Board WELD COUNTY,COLORADO
By:
+ uty Clerk to the : . ` ��
•,ra xirkmeyer, MAY 0 4 2015
/A OVED AS T i t c• .z# 4��•OVED AS TO SUBSTANCE:
i. fiaLQ
Controller r �q f • cial .r
APP . �• ♦ —
NIA—
Director of General Services
County;.• .
CONTRACTOR:
Parker Personal Care Homes Inc.
1597 Cole Blvd, Ste 250
Lakewood,CO 80401-3417
By: .O1- \J `\,
v •�
Contractor's or designeels)Signatute
and Date
Exhibit A to the SS23A 3 Revised 8/2014
x015—I2H7
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