HomeMy WebLinkAbout20143351 MEMORANDUM
1861
rin
, _
,.....sy = DATE: October 23, 2014
U��(_G 71 TO: Douglas Rademacher, Chair, Weld County oard of Co missioners
O U.N T Y (/ �l
FROM: Judy A. Griego, Director, Human Service epa ent
RE: Agreements to Purchase Out-of-Home P ement Services
between the Weld County Department of Human Services
and Various Providers to be Placed on the Consent Agenda
Enclosed for Board approval of additional Provisions for the Agreements to Purchase Out-of-Home
Placement Services between the Department and Various Providers. The boiler-plate Agreements
were reviewed under the Board's Pass-Around Memorandum dated May 22, 2014, these additional
provisions were reviewed under the Board's Pass-Around Memorandum dated October 17, 2014, and
approved for placement on the Board's Consent Agenda.
The additional provisions are to the following agreements:
No. Provider/Term Facility Name Daily Rates
1 Savio House (Provider ID # 1644205) Group Home/Group Center $109.63
Care Services
August 26, 2014—June 30, 2015 Denver, Colorado
2 Savio House (Provider ID # 1548445) Group Home/Group Center $109.63
Care Services
September 1, 2014— June 30, 2015 Denver, Colorado
3 Strong Foundations, LLC (Provider ID Group Home/Group Center $82.52
# 70335) Care Services
September 1, 2014— June 30, 2015 Greeley, Colorado
4 Griffith Centers for Children, Inc. Group Home/Group Center $146.40
(Provider ID # 1543863) Care Services
September 1, 2014—June 30, 2015 Denver, Colorado
If you have any questions, give me a call at extension 6510.
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T 2014-3351
Lo/)sen f aj en d t 10-A8-14
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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 August 26, 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 #1644205. 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 SSJ 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 thin 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.
COUNTY:
) SC .-felett;oe
ATTEST: BOARD OF COUNTY COMMISSIONERS
Weld County Clerk to the Board WELD COUNTY, COLORADO
By: /aida , -'-u I,k 7:y( .�,�/;�� ,,,L
eputy Clerk to the Board /Barbara Kirkmeyer, Pro-Teltki 2 7 2014
APPROVED AS TO FUNDING: APP• OVED AS TO SUBSTANCE:
anid
Controikr- °"ac ffic ,o De.. men ead
APPI EDASTTOF
�• tC1
County Attorney
RACTOR:
Savio House
325 King St
Denver, CO 80219
By: G�'ivh4 ✓C-� Mil
Contractor's (or designee's) Signature
and Date
30/4'335/
Exhibit A to the SS23A 3 Revised 8/2014
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 September 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$109.63, per day for children placed within the Group Home/Group Center
identified as Provider ID #1548445. 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
and times attendan
ce is requested.
County staff of the dates q
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.
COUNTY:
ATTEST:W..retL.O Jet^'e1 BOARD OF COUNTY COMMISSIONERS
Weld County Clerk to the Board WELD COUNTY, COLORADO
JaBy: — Liu- k—k- �; t,Lik—t sty v
�eputy Clerk to the Board Barbara Kirkmeyer, Pro T m q � '
2014
APPROVED AS TO FUNDING: APPROVED AS TO S 13STANCE:
Controller 'c. ,�' '"SIEe ��Vffici 1orDep; , ent ead
APPROVED AS TO F abt t6 *
Vfir
County Attorney ,®u v\c's.
TRACTOR:
Savio House
325 King St
Denver,�� COE 80219
/�21�
By: !% �44I- L
Contractor's (or designee's) Signature
and Date
Exhibit A to the SS23A 3 Revised 8/2014
3351
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 Strong Foundations, LLC,hereinafter referred to as,
"Contractor."
1. Effective September 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$82.52, per day for children placed within the Group Home/Group Center
identified as Provider ID #70335. 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, pfethysmographs, 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
arc 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.
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.
COUNTY:
ATTESliday- -A / fir;; , + BOARD OF COUNTY COMMISSIONERS
Weld Counireie7cTo the Be ®% F,LD COUNTY, COLORADO
By: Li a � s��a .0
••puty Clerk to the L �� z'� t�'' �:ry ara Kirkmey-r, Pro—Tem ' T -
fYi4/'LL9 Y1
APPROVED AS TO FUND �>., �" ROVED AS TO S BSTANCE:
2atielal a_ LOA) ,
Controller 1 El 't.d Offic al or De rtrnent ead
ARTED A rM.
County Attorney
CONTRACTOR:
Strong Foundations, LLC
1 702 68th Ave
Greeley, CO 80634
`$y' Ed LCD O CL.0(4
Contr ctor's (or designee's) Signature
arid' )ate
By:
Contractor's (or designee's) Signature
and Date
Exhibit A to the SS23A 3 Revised 8/2014
al0itb-335/
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 Griffith Center for Children, hereinafter referred to as,
"Contractor."
1. Effective September 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$146.40, per day for children placed within the Group Home/Group Center
identified as Provider ID #1543863. 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
(CIIRP) 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.
��,,// t/ COUNTY:
ATTEST -4 G: .'C�D;ec BOARD OF COUNTY COMMISSIONERS
Weld County Clerk to the Board WELD COUNTY, COLORADO
i
By: C },aii> 1 . . f /,'t14ittitt
puty Clerk to the Board Barbara Kirkmeyer, Pro-TO (Xi( 2 7 2014
APPROVED AS TO FUNDING: APPROVED AS TO SUBSTANCE:
a &VW ._ .4..1.
Controller y Pi1�] Of is or De artme Head
APPRTD AS TO ='' Q .
-"Cr
1861 t�� l.?
Cou y Attorney
CONTRACTOR:
Griffith Center for Children
1724 Gilpin Street
Denver, CO 80218
B . D /Z21(`i
Contracts (or designee's) Sig Iature
and Date
Exhibit A to the SS23A 3 Revised 8/2014
MOA -3�5/
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