2018-488-Minutes for Meeting October 31,2018 Recorded 12/3/2018BOARD OF
COMMISSIONERS
1300 NW Wall Street, Bend, Oregon
(541) 388-6570
Recorded in Deschutes County CJ2018-488
Nancy Blankenship, County Clerk
Commissioners' Journal 12/03/2018 10:28:41 AM
WORK SESSION MINUTES
1:30 PM
WEDNESDAY, October 31, 2018 ALLEN CONFERENCE ROOM
Present were Commissioners Tammy Baney, Phil Henderson and Anthony DeBone. Also present were
Tom Anderson, County Administrator; Erik Kropp, Deputy County Administrator; David Doyle, County
Counsel; and Sharon Keith, Board Executive Assistant. Several citizens and representatives of the media
were in attendance.
CALL TO ORDER: Chair DeBone called the meeting to order at 1:30 p.m.
ACTION ITEMS
Caldera Springs Decision. Document No. 2018-706: This item was brought to the
Work Session as a revised document from this morning's Business Meeting.
Anthony Raguine, Community Development Department presented a revised
document for the Board's consideration. Further recommended revisions were
made. Mr. Raguine will finalize the document and bring back to the Board for
signatures.
BANEY: Move approval as amended
HENDERSON: Second
VOTE: BANEY: Yes
HENDERSON: Yes
DEBONE: Chair votes yes. Motion Carried
BOCC WORK SESSION
OCTOBER 31, 2018 PAGE 1 OF 5
1. Sunriver Service District Management Agreement
Debbie Baker and Ron Schmid of the Sunriver Service District presented the
agreement for the Board's consideration. Ms. Baker explained the
agreement is due for annual review. One proposal is to increase the number
of the board members from 5 to 7 and the document will now be under a
three year review verses an annual review. New members are anticipated to
start in January.
BAN EY: Move approval of Document No. 2018-695
HENDERSON: Second
VOTE: BAN EY: Yes
HENDERSON: Yes
DEBONE: Chair votes yes. Motion Carried
OTHER ITEM:
• Board Order: Nick Lelack and Matt Martin, Community Development
Department presented a request from Andrew Anderson to extend the clock
until December 14 for the marijuana production application on the Diamond
Forge property. There was concern on clarity with the response Mr.
Anderson had provided. An hour ago, the CDD received a reply from Mr.
Anderson. An Order was presented to the Board for consideration. This
item will be placed on the Consent Agenda next week.
2. 9-1-1 Update
Sara Crosswhite, Will Mullins, and Rick Allen presented. Ms. Crosswhite
introduced Will Mullins, 9-1-1 Deputy Director of Technology for 9-1-1. Mr.
Mullins will work with the stakeholder industries with the radio system
regarding the technical aspect of the system and managing expectations of
the users. Mr. Allen reported on the Overturf Tower stating the engineering
BOCC WORK SESSION
OCTOBER 31, 2018 PAGE 2 OF 5
work is being done, a building will hold the generator and various
equipment, and the site plan is in process which will require a conditional
use permit. A community meeting will be held on November 27 at 6:00 p.m.
at the Bend Parks District Community Room. The land lease has been
drafted and has been reviewed by Legal Counsel. The FAA licensing and
tribal review are also in process.
County Administrator Anderson reported the after action review selection is
down to three finalists and they are ready to make a recommendation. The
next step is to develop a scope of work for a thorough review of the
sequence of events as well as the responses. The review will take
approximately two months.
3. PacificSource Amendment #11 and Contract Discussion Updates
Dr. George Conway and Dave Inbody, Health Services Department presented
this item for discussion. This is amendment #11 will extend the PacificSource
agreement through October 31, 2018. Dr. Conway reported amendment #12
arrived yesterday from PacificSource that covers the month of November.
There are discussions being held in the corporate office for an agreement for
2019. Commissioner Baney spoke on the work being done on reconciliation
and the services required in the Coordinated Care Organization framework.
BANEY: Move approval of Document No. 2018-671 and
Document No. 2018-720
HENDERSON: Second
VOTE: BANEY: Yes
HENDERSON: Yes
DEBONE: Chair votes yes. Motion Carried
BOCC WORK SESSION
OCTOBER 31, 2018 PAGE 3 OF 5
EXECUTIVE SESSION:
At the time of 3:14 p.m., the Board went into Executive Session under ORS 192.660
(2) (e) Real Property Negotiations. The Board came out of Executive Session at 4:07
p.m.
OTHER ITEMS:
• Public Safety Campus Master Plan: County Administrator Anderson
followed up on the Public Safety Campus Master Plan and reported it will be
some time before the stabilization center opens and they would like to bring
three different alternatives with pros and cons of each option.
The third option of a temporary space for leased space would involve signing
a non-binding letter of intent with a building that would house the
stabilization center. This building is currently for lease on the east side of
Neff directly south of Bend Memorial Clinic. The building is a general office
building. The owner is doing some remodeling now and are considering
leasing the space after the first of year. Commissioner Henderson expressed
his opinion on the issue of a temporary space and questions why we
wouldn't consider leasing anyway especially when $1.6 million would be
required for remodeling. Commissioner Henderson feels the Board needs to
participate in the meetings on the plans.
Discussion held on the location of the facility that makes more sense to be
located in a different area for safety reasons away from Highway 97. This
item will come back to the Board. The letter of intent would allow discussion
of space usage. The building is approximately 8100 square feet. Discussion
held on the security needs. The individuals are given the option you can go
to the crisis stabilization center or to jail. The funding for the capital has
been identified on the behavioral health side. The other pieces of the Public
Safety Campus Plan include remodel plans for Parole and Probation and
health staff office needs.
Commissioner DeBone likes the idea of the letter of intent as the location
would be better for that service. Mr. Lewis stated if not for the stabilization
BOCC WORK SESSION
OCTOBER 31, 2018 PAGE 4 OF 5
center it would serve well for other County needs. Mr. Lewis recommends
putting the letter of intent in place so there is at least something lined up and
there is no cost for the LOI and would be in place for 60 days. The Board was
supportive.
COMMISSIONER UPDATES: None reported
ADJOURN
Being no further items to come before the Board, the meeting was adjourned at 4:32 p.m.
DATED this c Day of L iIZrA,\L 2W 8 for the Deschutes County Board of
Commissioners.
RECORDING SECRETARY
BOCC WORK SESSION
ANTHONY DEBONE, CHAIR
PHILIP G. ;ENDERSON, VICE CHAIR
TAMMY RANEY, C ' t . ISSIONER
OCTOBER 31, 2018
PAGE 5 OF 5
Deschutes County Board of Commissioners
1300 NW Wall St, Bend, OR 97703
(541) 388-6570 - www.deschutes.org
WORK SESSION AGENDA
DESCHUTES COUNTY BOARD OF COMMISSIONERS
1:30 PM, WEDNESDAY, OCTOBER 31, 2018
Allen Conference Room - Deschutes Services Building, 2ND Floor - 1300 NW Wall Street - Bend
Work Session, which are open to the public, allow the Board to gather information and give direction to staff.
Public comment is not normally accepted. Written minutes are taken for the record
Pursuant to ORS 192.640, this agenda includes a list of the main topics that are anticipated to be considered or
discussed. This notice does not limit the Board's ability to address other topics.
Meetings are subject to cancellation without notice.
CALL TO ORDER
ACTION ITEMS
1. Sunriver Service District Management Agreement - Debbie Baker, Sunriver Service
District
2. 9-1-1 Update - Sara Crosswhite, 9-1-1 Director
3. PacificSource Amendment #11 and Contract Discussion Updates - Dave lnbody,
Deputy Director
COMMISSIONER'S UPDATES
EXECUTIVE SESSION
4. Executive Session under ORS 192.660 (2) (e) Real Property Negotiations
At any time during the meeting an executive session could be called to address issues relating to ORS
192.5660(2)(e); real property negotiations; ORS 192.660(2)(h) litigation; ORS 192.660(2)(d), labor
Board of Commissioners Work Session Agenda
of 2
Wednesday, October 31, 2018 Page 1
negotiations; ORS 192.660(2)(b); personnel issues; or other executive session categories. Executive sessions
are closed to the public; however ,with few exceptions and under specific guidelines, are open to the public.
OTHER ITEMS
These can be any items not included on the agenda that the Commissioners with to discuss as part of the
meeting pursuant to ORS 192.640.
ADJOURN
Deschutes County encourages persons with disabilities to participate in all programs and
activities. To request this information in an alternate format please call (541) 617-4747.
FUTURE MEETINGS:
Additional meeting dates available at www.deschutes.or_/meetingcalendar
Meeting dates and times are subject to change. If you have question, please call (541) 388-6572.
Board of Commissioners Work Session Agenda
of 2
Wednesday, October 31, 2018 Page 2
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Deschutes County Board of Commissioners
1300 NW Wall St, Bend, OR 97703
(541) 388-6570 - Fax (541) 385-3202 - https://www.deschutes.org/
AGENDA REQUEST & STAFF REPORT
For Board of Commissioners Work Session of October 31, 2018
DATE: October 18, 2018
FROM: Dave Inbody, Health Services,
TITLE OF AGENDA ITEM:
PacificSource Amendment #11 and Contract Discussion Updates
RECOMMENDATION & ACTION REQUESTED:
Request approval and signature of PacificSource amendment #11, extending the
termination date to the original agreement to October 31, 2018.
CONTRACTOR: Contractor/Supplier/Consultant Name: PacificSource Community Solutions
AGREEMENT TIMEFRAME: Start Date: January 1, 2016 End Date: October 31, 2018
INSURANCE:
Insurance Certificate Required: No
Insurance Review Required by Risk Management: No
BACKGROUND AND POLICY IMPLICATIONS:
PacificSource Community Solutions, Inc. (PSCS) has contracted with Deschutes County Health Services as
a Community Mental Health Program (CMHP). Deschutes County Health Services provides treatment to
Oregon Health Plan (OHP) members for mental health, mental illness, addiction disorders and substance
use disorders. Deschutes County Health Services is paid on a monthly capitation basis and PacificSource
provides an incentive payment for meeting performance measures.
This amendment #11 amends the termination date and compensation section to terminate October 31,
2018.
PSCS delivers healthcare solutions to businesses and individuals throughout the Northwest and is an
independent, wholly-owned subsidiary of PacificSource Health Plans, a non-profit community health plan.
PSCS has been providing Medicaid plans to Oregonians since 1995 and currently offers Oregon Health
Plans (OHP) coverage to individuals who need help through the PacificSource Coordinated Care
Organization (CCO).
Deschutes County Health Services was formed in 2009 as a consolidation of the County's Health
Department and Mental Health Department. The department offers services at more than forty (40) locations
in Deschutes County including public schools; health clinics in Bend, La Pine, Redmond and Sisters; five
school-based health clinics; agencies such as the KIDS Center and the State of Oregon Department of
Packet Pg. 3
Human Services; area hospitals; care facilities and homes. Deschutes County Health Services is an equal
opportunity service provider.
FISCAL IMPLICATIONS: Compensation per the original agreement is based on capitation, incentive
payment for performance measures and fee for service and it's not anticipated to exceed $10,000,000.
ATTENDANCE: Dave Inbody, Deputy Director - Request Consent Agenda
Packet Pg. 4
DESCHUTES COUNTY DOCUMENT SUMMARY
(NOTE: This form is required to be submitted with ALL contracts and other agreements, regardless of whether the document is to be
on a Board agenda or can be signed by the County Administrator or Department Director. If the document is to be on a Board
agenda, the Agenda Request Form is also required. If this form is not included with the document, the document will be returned to
the Department:. Please submit documentsto the Board Secretary'for tracking purposes, and not directly- toLegal-Counsel, the
County Administrator or the Commissioners. In addition to submitting this form with your documents, please submit this form
electronically to the Board Secretary.)
Date:
October 10, 2018
Department:
Please complete all sections above the Official Review line.
Health Services, Behavioral Health
Contractor/Supplier/Consultant Name:
Contractor Contact:
Type of Document:
Doug Holtby
PacificSource Community Solutions, Inc.
Contractor Phone #:
Amendment #11 to 2016-117
541-706-5133
Goods and/or Services: PacificSource Community Solutions, Inc. (PSCS) has contracted with
Deschutes County Health Services as a Community Mental Health Program (CMHP). Deschutes
County Health Services provides treatment to Oregon Health Plan (OHP) members for mental
health, mental illness, addiction disorders and substance use disorders. Deschutes County Health
Services is paid on a monthly capitation basis and PacificSource provides an incentive payment for
meeting performance measures.
This amendment #11 amends the termination date and compensation section to terminate October
31, 2018.
Background & History: PSCS delivers healthcare solutions to businesses and individuals
throughout the Northwest and is an independent, wholly-owned subsidiary of PacificSource Health
Plans, a non-profit community health plan. PSCS has been providing Medicaid plans to Oregonians
since 1995 and currently offers Oregon Health Plans (OHP) coverage to individuals who need help
through the PacificSource Coordinated Care Organization (CCO).
Deschutes County Health Services was formed in 2009 as a consolidation of the County's Health
Department and Mental Health Department. The department offers services at more than forty (40)
locations in Deschutes County including public schools; health clinics in Bend, La Pine, Redmond
and Sisters; five school-based health clinics; agencies such as the KIDS Center and the State of
Oregon Department of Human Services; area hospitals; care facilities and homes. Deschutes
County Health Services is an equal opportunity service provider.
Starting Date:
January 1, 2016
Ending Date:
October 31, 2018
Annual Value or Total Payment: Compensation per the original agreement is based on capitation,
incentive payment for performance measures and fee for service and it's not anticipated to exceed
$10,000,000.
® Insurance Certificate Received (check box)
Insurance Expiration Date:
N/A
Check all that apply:
® RFP, Solicitation or Bid Process
El Informal quotes (<$150K)
❑ Exempt from RFP, Solicitation or Bid Process (specify — see DCC §2.37)
10/10/2018
Funding Source: (Included in current budget? ® Yes ❑ No
If No, has budget amendment been submitted? ❑ Yes
❑ No
Is this a Grant Agreement providing revenue to the County? ❑ Yes ® No
Special conditions attached to this grant:
Deadlines for reporting to the grantor:
If a new FTE will be hired with grant funds, confirm that Personnel has been notified that it is a grant -
funded position so that this will be noted in the offer letter: ❑ Yes ❑ No
Contact information for the person responsible for grant compliance:
Phone #:
Departmental Contact and Title:
Phone #:
541-322-7633
Deputy Director Approval:
Department Director Approval:
Distribution of Document:
Services
Name:
Janice Garceau, Acting Deputy Director
Date
Return originals to Justice Evans, Deschutes County Health
Official Review:
County Signature Required (check one): ❑ BOCC ❑ Department Director (if <$50K)
❑ Administrator (if >$50K but <$150K; if >$150K, BOCC Order No. )
Legal Review Date
Document Number 2018-671
10/10/2018
' : )
PacificSource
Community Solutions
AMENDMENT TO
PacificSource Community Solutions /
Community Mental Health Program for Central Oregon CCO
COMMUNITY MENTAL HEALTH PROGRAM AGREEMENT
Effective October 1st, 2018 the PacificSource Community Solutions Community Mental
HealthProgram Agreement with CMHPs is amended as follows:
Section 6 Term and Termination of the 2016 Community Mental Health
Program for Central Oregon CCO shall be Amended as follows: This term of the
Agreement shall begin on the effective date of this Amendment and will be in effect
until October 31st, 2018. Thereafter, this Agreement may be renewed only in writing
signed by both Parties, and on such terms as the Parties may mutually
agree.
Effective January 1 through October 31st, 2018 Section 2
Compensation,subsection 2.3 Fee for Service Payment shall be
Amended as follows:
Behavioral Health services rendered by non-CMHP providers, both contracted and
non -contracted, or services rendered by Member's non -assigned CMHP will be paid
a Fee for Service payment using Fee for Service Payment Holdback dollars retained
by Plan.
III. Effective October 1st through October 31st, 2018 Section 2 Compensation,
subsection 2.4 Fee for Service Payment Holdback shall be Amended as
follows: Plan will hold back and retain a portion of the CMHP capitation payment for
the purpose of making Fee for Service payments as described in 2.3 Fee for Service
Payment. In the event claims are greater than the holdback, PacificSource retains
liability for the difference and in the event the claims are less than the holdback,
PacificSource retains that difference. The percent of the capitation payment to be
held back is described in the Exhibit 6 Rate Table for effective dates 10/1/2016
through 12/31/2016.
IV. Exhibit 6 — Total CCO Capitation for Behavioral Health Services made effective
10/01/2016 shall be Amended as follows: Rate Table effective dates 10/01/2016 —
12/31/2016 shall be replaced with effective dates 10/01/2016 — 10/31/2018.
Except for the changes described herein, the PacificSource Community Solutions Community
Mental Health Program Agreement remains unchanged.
Amendment Community Mental Health Program Agreement 16665
9/27/2018
This Amendment may be executed in counterparts, each of which shall be deemed to be an
original, but all of which, taken together, shall constitute one and the same Amendment.
[THE SIGNATURE PAGE IS THE NEXT PAGE]
Amendment Community Mental Health Program Agreement 16665
9/27/2018
IN WITNESS WHEREOF, the Parties have signed this Agreement on the date written below.
PACIFICSOURCE COMMUNITY SOLUTIONS DESCHUTES COUNTY HEALTH SERVICES
By: By:
PETER MCGARRY ANTHONY OeBONE.CHAIR
PHILIP G. HENDERSON, VICE CHAIR
TAMMY BANEY, COMMISSIONER
Title: VP PROVIDER NETWORK Title: BOARD OF DESCHUTES COUNTY
COMM|S|ONERS
Date: Date:
Address: POBox 74S8 Address: 2577 NE Courtney Drive
Bend, OR 97701 Bend, OR 97701
AniendmentCommunty Mental Health Program Agreement 16665
IN WITNESS WHEREOF, the Parties have signed this Agreement on the date written below.
JEFFERSON COUNTY HEALTH SERVICES JEFFERSON COUNTY HEALTH SERVICES
BOARD OF COUNTY COMMISIONERS
BOARD OF COUNTY COMMISIONERS
By: By:
Name: Wayne Fording
Name: Mike Ahern
Title: Commission Chair Title: Commissioner
Date: Date:
JEFFERSON COUNTY HEALTH SERVICES
BOARD OF COUNTY COMMISSIONERS
By:
Name: Mae Huston
Title: Commissioner
Date:
PACIFICSOURCE COMMUNITY SOLUTIONS
By:
Name: Peter McGarry
Title: VP PROVIDER NETWORK
Date:
Amendment Community Mental Health Program Agreement 16665
9/27/2018
IN WITNESS WHEREOF, the Parties have signed this Agreement on the date written below.
CROOK COUNTY HEALTH SERVICES
BOARD OF COUNTY COMMISIONERS
CROOK COUNTY HEALTH SERVICES
BOARD OF COUNTY COMMISIONERS
By: By:
Name: Name:
Title: Title:
Date: Date:
CROOK COUNTY HEALTH SERVICES
BOARD OF COUNTY COMMISIONERS
By:
Name:
Title:
Date:
PACIFICSOURCE COMMUNITY SOLUTIONS
By:
Name: Peter McGarry
Title: VP PROVIDER NETWORK
Date:
Amendment Community Mental Health Program Agreement 16665
9/27/2018