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2019-96-Resolution No. 2019-005 Recorded 3/22/2019Recorded in Deschutes County CJ201 9-96 Nancy Blankenship, County Clerk Commissioners' Journal 03/22/2019 8:16:37 AM v1ES c; IIIIIIIIIIIIIUIIIIIIIII1111 For Recording Stamp Only BEFORE THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY, OREGON A Resolution Appropriating New Grant Funds in the Deschutes County 2018-2019 Budget * RESOLUTION NO. 2019-005 * WHEREAS, Deschutes County's Health Services Fund will receive new grant revenue totaling $181,428; and WHEREAS, these new grant funds need to be appropriated; and WHEREAS, ORS 294.471(c) allows the appropriation and expenditure of new grant funds that have been made available and could not reasonably be foreseen when preparing the original budget; now, therefore, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY, OREGON, as follows: Section 1. That the following grant be budgeted: Revenue Health Services Fund Federal Grant $ 181,428 TOTAL REVENUE: S 181,428 Section 2. That the following appropriations be made within the 2018-2019 County Budget: Appropriation Health Services Fund Program Budget $ 181,428 TOTAL APPROPRIATION 5 181,428 PAGE 1 OF 2 -RESOLUTION NO. 2019-005 Section 3. That the Finance Director make the apsropriate entries in the Deschutes County Financial System to show the above appropriations. DATED this a/iV day of ATTEST: ' a Recording Secretary PAGE 2 OF 2 -RESOLUTION NO. 2019-005 , 2019. BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY,. ORE. N PHILIP G. ENDERSON, Chair PATTI ADAIR, Vice -Chair ANTHONY DEBONE, Commissioner d) O) a 7 a) N 0) (O M O O N (O N (0 (O CO a 1.6 O N 0 CO 0O CO 0 co CO a @ c 7 U D Q 0 a N a) 0 m T2 0 a 0 w m m a) a (a) Federal Grant W Z w W J -J(n 2 0 2 C0 U U 2 Z CL CO S Line Number 0) 0 0/ v W 1 - M 0 C COM2 U 2 m U U (n 2 z_ 2 m (n 2 2 m U U 2 O CO CO3 (h 2 0 2 CO U 0 U m 2 2 1- 2 Z_ (n 2 0 Z 3- a N (n 2 E a) J 0 00 o O Nal .? LL a N0 N a y U.L.. rn VJ N C @ Y ` O) y • N > •C > _0)0) 68 00)C/) 0 a) @ N O c @ a U _O U ? O o) @ a) 82 am a.S @ M kj0 E cc (Na °c U Ct. 2 (n / 3 N c c : /0 O O N a) a) U Y C c N N a L N @ 01-0 O I- O C12a) t LU-. m c'3 o v 2 @ N L N OC N O O L m a) 3>c C U U 6 •c N C E U N O @ U E C- O 0 . .L - N yn OU N 0 w ao U a) ao C20PWYo22(1UU.2 8DOa�>. 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C O (n 0 (` 0 a) 5 5 O N (/,Fo 8 Health Services m E E (.0 m U 0 N CO Revised Budget CO CO- W V (04:1' 645 I r CO 40,036 89,701 4,275 200 1,400 2,850 aa Oi 0) co N f-- 181,428 To (From) 00) (0 (b 4,846 1 COO V V 0 h M 40,036 89,701 in 0- N V 200 1,400 2,850 19,988 7,213 ) N V <- 0) Current Budgeted Amount 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Description (Element -Object, e.g. Time Mgmt, Temp Help, Computer Hardware) Regular Employees )Health -Dental Insurance (ISF) (PERS Employer Q 0 Er Unemployment Insurance Life -Long Term Disability Program Expense (Contracted Services 1 (Office Supplies Travel - Meals Travel - Airfare Travel - Mileage Reimbursement Conferences & Seminars Travel - Accomodations TOTAL 0 O O) r ca0 (Pers, M&S, Cap Out, Contingency) Personnel Personnel Personnel Personnel Personnel Personnel M&S M&S (n .6 2 IM&S (1) 0) O0 05 2222 0) CO Go 06 Project Code HS2WRAPRND HS2WRAPRND HS2WRAPRND HS2WRAPRND HS2WRAPRND �HS2WRAPRND HS1ALL1 HS2CCBHC IHS2CCBHC 1 1HS2CCBHC HS2CCBHC HS2CCBHC HS2CCBHC HS2CCBHC Line Number (HTE 14 digit code) 1 HS2WRAPRND-HSINTYOUTH-HSGENERAL-HS410101 HS2WRAPRND-HSINTYOUTH-HSGENERAL-HS420101 HS2 WRAPR N D -H SI NTYO UTH-HSG EN ERAL-HS420201 HS2WRAPRN D -HS I NTYO UTH-HSG EN ERAL-HS420301 HS2 W RAPRN D -HS I NTYOUTH-HSG EN ERAL-HS420501 HS2WRAPRND-HSINTYOUTH-HSGENERAL-HS420601 HS1ALL-HSINDIRECT-HSGENERAL-HS450094 N CO 0 CO 0) 2 J w w U) 2 Z ❑ 2 CO 2 020 CO 2 IHS2CCBHC-HSBHADMIN-HSGENERAL-HS450140 (00 CO 0 I.0 (1' 1 J w Z CO 2 Z ❑ 2 � 2 1 U)00 2 HS2CCBHC-HSBHADMI N-HSGENERAL-HS450830 HS2CCBHC-HSBHADMIN-HSGENERAL-HS450870 HS2CCBHC-HSBHADMIN-HSGENERAL-HS450030 HS2CCBHC-HSBHADMI N-HSGENERAL-HS450820 E o 00 o O Nal .? LL a N0 N a y U.L.. rn VJ N C @ Y ` O) y • N > •C > _0)0) 68 00)C/) 0 a) @ N O c @ a U _O U ? O o) @ a) 82 am a.S @ M kj0 E cc (Na °c U Ct. 2 (n / 3 N c c : /0 O O N a) a) U Y C c N N a L N @ 01-0 O I- O C12a) t LU-. m c'3 o v 2 @ N L N OC N O O L m a) 3>c C U U 6 •c N C E U N O @ U E C- O 0 . .L - N yn OU N 0 w ao U a) ao C20PWYo22(1UU.2 8DOa�>. L • „a)) U a c -4.O CO m E c o @ O ° Y w a 0) o c m 0) c a) a) ° ,o ° ° a 2 -o •N Y > t >oo °a 3 ,s O o c -a c 2 Q o a) CO (6 .c m 1- .E 0 @ 0 3 2 I� >.a)_,DEO_ 70. • °?`o) O f6 U c .N N 0 • ,O .: W .U-. c .omr �Y c y U _ U O N.cmU 0) 4N= o rn 3 E p O 5 O Nm CO =rn 0 UQ CO (A - 07 0 aa) O (") cN 6N Z }} o a) @ �( LL (h O N L a O y .fl m N = C C T N N M U - E a C) 7 d• N C .2 N N @ .`a- u) F13 Q) c V) U O) U 0 co' o w 7 a X 0 0) w c N 02.>o (O c (an)aYN m ° o -0U COO x oQU voa) O C L U U a) (fl c <i)N L UFw-L a O) O U U m E oo 3 ,c M E N 1m c c U o � O � ° mXo.aa) @ m n °n o (9,E13 9'( mo)oa)o am Z 01) °c0 a'a (n m N U LO @ Cc O f. C O (n 0 (` 0 a) 5 5 O N (/,Fo 8 Health Services m E E (.0 m U 0 N CO CCBHCs Planning Grants Department of Health and Human Services Substance Abuse and Mental Health Services Administration Notice of Award Issue Date: 09/12/2018 Center for Mental Health Services Grant Number: 1H79SM081893-01 FAIN: H79SM081893 Program Director: Tyler Nancy Project Title: Deschutes County Certified Community Behavioral Health Clinic Expansion Grantee Address COUNTY OF DESCHUTES George Conway Deschutes County Health Services 2577 Courtney Street Bend, OR 977017752 Business Address George Conway Deschutes County Health Services Director 2577 Courtney Street Bend, OR 97701 Budget Period: 09/30/2018 — 09/29/2019 Project Period: 09/30/2018 — 09/29/2020 Dear Grantee: The Substance Abuse and Mental Health Services Administration hereby awards a grant in the amount of $1,431,261 (see "Award Calculation" in Section I and "Terms and Conditions" in Section III) to COUNTY OF DESCHUTES in support of the above referenced project. This award is pursuant to the authority of Protecting Access to Medicare Act of 2014 Section 223(c)(1) and is subject to the requirements of this statute and regulation and of other referenced, incorporated or attached terms and conditions. Award recipients may access the SAMHSA website at www.samhsa,.,gov(click on "Grants" then SAMHSA Grants Management), which provides information relating to the Division of Payment Management System, HHS Division of Cost Allocation and Postaward Administration Requirements. Please use your grant number for reference. Acceptance of this award including the "Terms and Conditions" is acknowledged by the grantee when funds are drawn down or otherwise obtained from the grant payment system. If you have any questions about this award, please contact your Grants Management Specialist and your Government Project Officer listed in your terms and conditions. Sincerely yours, Thomas Graves Grants Management Officer Division of Grants Management See additional information below Page -1 SECTION I — AWARD DATA —1 H79SM081893-01 Award Calculation (U.S. Dollars) Salaries and Wages Fringe Benefits Personnel Costs (Subtotal) Equipment Materials & Supplies Contractual Travel Other Direct Cost Indirect Cost Approved Budget Federal Share Cumulative Prior Awards for this Budget Period AMOUNT OF THIS ACTION (FEDERAL SHARE) SUMMARY TOTALS FOR ALL YEARS YR AMOUNT 1 2 $1,431,261 $1,975,537 $472,744 $187,692 $660,436 $350,000 $11,700 $118,201 $14,750 $193,450 $1,348,537 $82,724 $1,431,261 $1,431,261 $0 $1,431,261 *Recommended future year total cost support, subject to the availability of funds and satisfactory progress of the project. Fiscal Information: CFDA Number: EIN: Document Number: Fiscal Year: IC SM CAN C96J800 93.829 1936002292A4 18SM81893A 2018 Amount $1,431,261 IC CAN 2018 2019 SM C96J800 $1,431,261 $1,975,537 SM Administrative Data: PCC: CCBHC / OC: 4145 SECTION II — PAYMENT/HOTLINE INFORMATION —1 H79SM081893-01 Payments under this award will be made available through the HHS Payment Management System (PMS). PMS is a centralized grants payment and cash management system, operated by the HHS Program Support Center (PSC), Division of Payment Management (DPM). Inquiries regarding payment should be directed to: The Division of Payment Management System, PO Box 6021, Rockville, MD 20852, Help Desk Support — Telephone Number: 1-877-614-5533. The HHS Inspector General maintains a toll-free hotline for receiving information concerning fraud, waste, or abuse under grants and cooperative agreements. The telephone number is: 1- 800 -HHS -TIPS (1-800-447-8477). The mailing address is: Office of Inspector General, Page -2 Department of Health and Human Services, Attn: HOTLINE, 330 Independence Ave., SW, Washington, DC 20201. SECTION III — TERMS AND CONDITIONS — 1 H79SM081893-01 This award is based on the application submitted to, and as approved by, SAMHSA on the above -title project and is subject to the terms and conditions incorporated either directly or by reference in the following: a. The grant program legislation and program regulation cited in this Notice of Award. b. The restrictions on the expenditure of federal funds in appropriations acts to the extent those restrictions are pertinent to the award. c. 45 CFR Part 75 as applicable. d. The HHS Grants Policy Statement. e. This award notice, INCLUDING THE TERMS AND CONDITIONS CITED BELOW. Treatment of Program Income: Additional Costs In accordance with the regulatory requirements provided at 45 CFR 75.113 and Appendix XII to 45 CFR Part 75, recipients that have currently active Federal grants, cooperative agreements, and procurement contracts with cumulative total value greater than $10,000,000 must report and maintain information in the System for Award Management (SAM) about civil, criminal, and administrative proceedings in connection with the award or performance of a Federal award that reached final disposition within the most recent five-year period. The recipient must also make semiannual disclosures regarding such proceedings. Proceedings information will be made publicly available in the designated integrity and performance system (currently the Federal Awardee Performance and Integrity Information System (FAPIIS)). Full reporting requirements and procedures are found in Appendix XII to 45 CFR Part 75. SECTION IV — SM Special Terms and Conditions —1 H79SM081893-01 REMARKS FY 2018 New Award 1. This Notice of Award (NoA) is issued to inform your organization that the application submitted through the Certified Community Behavioral Health Clinic Expansion Grants (SM -18- 019) funding opportunity has been selected for funding. This award reflects conditional approval of the budget submitted July 9, 2018 as part of the application by your organization. See special conditions below for further information. 2. Recipients are expected to plan their work to ensure that funds are expended within the 12 - month budget period reflected on this Notice of Award. If activities proposed in the approved budget cannot be completed within the current budget period, SAMHSA cannot guarantee the approval of any request for carryover of remaining unobligated funding. 3. All responses to award terms and conditions and prior approval requests must be submitted through the eRA Commons system. 4. Register Program Director/Project Director (PD) in eRA Commons: If you have not already done so, you must register the PD listed on the HHS Checklist in eRA Commons to assign a Commons ID. Once the PD has received their Commons ID, please send this information to your Grants Management Specialist. You can find additional information about the eRA Commons registration process at https://era.nih.gov/reg_accounts/register_commons.cfm. Page -3 Key Staff Key staff (or key staff positions, if staff has not been selected) are listed below: - DeAnn Carr, Project Director @ 100% level of effort (see language in Revised Budget special condition) - Lorelei Mitchell, Lead Evaluator @ 20% level of effort Any changes in key staff including level of effort involving separation from the project for more than three months or a 25 percent reduction in time dedicated to the project, requires prior approval. Reference the Prior Approval Standard Term for additional information and instructions. SPECIAL TERMS Disparity Impact Statement (DIS) By November 30, 2018 you must submit via eRA Commons. The Disparity Impact Statement (DIS) should be consistent with information in your application regarding access, *service use and outcomes for the program and include three components as described below. Questions about the DIS should be directed to your GPO. Examples of DIS can be found on the SAMHSA website at http://www.samhsa.gov/grants/grants- management/disparity-impactstatement. *Service use is inclusive of treatment services, prevention services as well as outreach, engagement, training, and/or technical assistance activities. The disparity impact statement consists of three components: 1. Proposed number of individuals to be served and/or reached by subpopulations in the grant implementation area should be provided in a table that covers the entire grant period. The disparate population(s) should be identified in a narrative that includes a description of the population and rationale for how the determination was made. 2. A quality improvement plan for how you will use your program (GPRA) data on access, use and outcomes to monitor and manage program outcomes by race, ethnicity and LGBT status, when possible. The quality improvement plan should include strategies for how processes and/or programmatic adjustments will support efforts to reduce disparities for the identified sub - populations. 3. The quality improvement plan should include methods for the development and implementation of policies and procedures to ensure adherence to the Enhanced Culturally and Linguistically Appropriate Services (CLAS) Standards and the provision of effective care and services that are responsive to: a. Diverse cultural health beliefs and practices; b. Preferred languages; and c. Health literacy and other communication needs of all sub -populations within the proposed geographic region. All responses to award terms and conditions must be submitted as .pdf documents in the "View Terms Tracking Details" page in eRA Commons. For more information on how to upload a document in response to a tracked term, please Page -4 reference under heading "4 Additional Materials — grantee" in the User Guide located at: https://era.nih.gov/files/TCM_User_Guide_Grantee.pdf GPRA Term All SAMHSA recipients are required to collect and report certain data so that SAMHSA can meet its obligations under the Government Performance and Results Act (GPRA) Modernization Act of 2010. These data are gathered using SAMHSA's Performance Accountability and Reporting System (SPARS). CCBHC recipients will be expected to complete Annual Goals and Budget training no later than November 30, 2018, and will be expected to enter Annual Goals and Budget information and data no later than January 30, 2019. SPECIAL CONDITIONS Revised Budget Due October 31, 2018 via eRA Commons: • DeAnn Carr is listed as the Project Director in the narrative area of the application but not listed in the detailed budget. Nancy Tyler is listed in the Project Director area of the Checklist form submitted with the application. Who is the correct Project Director? The Project Director is required to be in the detailed budget, even if their level of effort is in- kind. Ensure this is addressed in a revised budget. • Under the Equipment category: o The copier rental line of $4,800 and vehicle maintenance line of $10,500 will be moved to the Other category for this award. The Computers line at $6,000 ($1,500 unit cost) will be moved to the Supplies category for this award. To be considered Equipment, the unit cost must be greater than $5,000 according to 45 CFR Part 75 -- "Equipment means tangible personal property (including information technology systems) having a useful life of more than one year and a per-unit acquisition cost which equals or exceeds the lesser of the capitalization level established by the non -Federal entity for financial statement purposes, or $5,000." o Provide a more detailed cost breakdown of the Furniture & Fixtures for Crisis Stabilization Center $350,000 line so that we can determine whether proposed costs are reasonable/allowable. Anything over $5,000 unit cost should remain in the Equipment category of the revised budget and anything under $5,000 unit cost should be in the Supplies category. In addition, what is the CCBHC program's fair share of use in this "under construction" DCHS Crisis Stabilization Center. How is this amount determined? This fair share portion should be the only part that is charged to SAMHSA for this CCBHC program. • Under the Other budget category, $150,000 is budgeted for Building Rental. A Rent Questions Worksheet will need to be completed and sent back to determine that SAMHSA is only being charged a fair share of leasing costs. You can find the link to the worksheet and more information on rent charging on the following site: https://www.samhsa.gov/grants/grants-management/post-award-changes/rent-costs. All responses to award terms and conditions must be submitted as .pdf documents in the "View Terms Tracking Details" page in eRA Commons. For more information on how to upload a document in response to a tracked term, please reference under heading "4 Additional Materials — grantee" in the User Guide located at: https://era.nih.gov/files/TCM_User_Guide_Grantee.pdf Participant Protection Page -5 Due October 30, 2018 via eRA Commons: The Initial Review Group (IRG) reviewed the applicant's plans for ensuring confidentiality and SAMHSA participant protection and expressed concerns that the applicant organization not only does not include this section, but does not offer any explanation for its omission. By October 30, 2018, you must submit in eRA (SAMHSA's Electronic Research Administration system) a written response addressing the above participant protection concerns identified by the IRG. All grant funds are available for this project except for funds directly related to the above participant protection concerns. Only activities that do not directly involve participant protection issues may be conducted, i.e., activities that are clearly severable and independent form activities that do not involve participant protection. The restriction of funds will be lifted only if the participant protection concerns are addressed and resolved to the satisfaction of the SAMHSA Participant Protection Officer and the designated Government Project Officer. The restriction of award will be lifted upon approval from SAMHSA's Grants Management Specialist by issuance of a Notice of Award (NoA). All responses to award terms and conditions must be submitted as .pdf documents in the "View Terms Tracking Details" page in eRA Commons. For more information on how to upload a document in response to a tracked term, please reference under heading "4 Additional Materials — grantee" in the User Guide located at: https://era.nih.gov/files/TCM_User_Guide_Grantee.pdf STANDARD TERMS AND CONDITIONS Standard Terms for Awards FY 2018 Your organization must comply with the Standard Terms and Conditions for grants awarded in Fiscal Year 2018 and the following award terms applicable to your award type as identified below: * New Grant SAMHSA's Terms and Conditions Webpage is located at: https://www. samhsa.gov/g rants/grants-management/notice-award-noa/standard-terms- conditions. Compliance with Terms and Conditions FAILURE TO COMPLY WITH THE ABOVE STATED TERMS AND CONDITIONS MAY RESULT IN ACTIONS IN ACCORDANCE WITH 45 CFR 75.3 71, REMEDIES FOR NON- COMPLIANCE AND 45 CFR 75.372 TERMINATION. THIS MAY INCLUDE WITHHOLDING PAYMENT, DISALLOWANCE OF COSTS, SUSPENSION AND DEBARMENT, TERMINATION OF THIS AWARD, OR DENIAL OF FUTURE FUNDING. All previous terms and conditions remain in effect until specifically approved and removed by the Grants Management Officer. Annual Federal Financial Report (SF -425) The Federal Financial Report (FFR) (SF -425) is required on an annual basis and must be submitted no later than 90 days after the end of the budget period. The annual FFR should reflect only cumulative actual Federal funds authorized and disbursed, any non -Federal matching funds (if identified in the Funding Opportunity Announcement (FOA)), unliquidated Page -6 obligations incurred, the unobligated balance of the Federal funds for the award, as well as program income generated during the timeframe covered by the report. Additional guidance to complete the FFR can be found at http://www.samhsa.gov/grants/grants- management/reporting-requirements. Annual Report — December 31, 2019 FFR reporting must be entered directly into the eRA Commons system. Instructions on how to submit a Federal Financial Report (FFR) via the eRA Commons is available at https://www.samhsa.gov/sites/default/files/samhsa-grantee-submit-ffr-10-22-17.pptx. Annual Programmatic Progress Report Submission of an annual Programmatic Report is due no later than: Annual Report — December 31, 2019 Note: Recipients must also comply with the GPRA requirements that include the collection and periodic reporting of performance data as specified in the FOA or by the Grant Program Official (GPO). This information is needed in order to comply with PL 102-62, which requires that Substance Abuse and Mental Health Services Administration (SAMHSA) report evaluation data to ensure the effectiveness and efficiency of its programs. The response to this term must be submitted as .pdf documents in the "View Terms Tracking Details" page in eRA Commons. Please contact your Government Program Official (GPO) for program specific submission information. For more information on how to upload a document in response to a tracked term, please reference under heading "4 Additional Materials — grantee" in the User Guide located at: https://era.nih.gov/files/TCM_User_Guide_Grantee.pdf Additional information on reporting requirements is available at https://www.samhsa.gov/grants/grants-management/reporting-requirements. Staff Contacts: Mary Blake, Program Official Phone: (240) 276-1747 Email: mary.blake@samhsa.hhs.gov Fax: (240) 276-1970 Louis Velasco, Grants Specialist Phone: (240) 276-2258 Email: Louis.Velasco@samhsa.hhs.gov Fax: (240) 276-1420 Page -7 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 BOCC Wednesday Meeting of March`27, 2019 DATE: March 18, 2019 FROM: Holly Harris, Health Services, TITLE OF AGENDA ITEM: Consideration of Board Signature of Resolution No. 2019-005, Appropriating Grant Funds RECOMMENDATION & ACTION REQUESTED: Staff recommend approval/signature of Board Resolution 2019-005 appropriating new grant funds into Health Services 2018-2019 budget. ATTENDANCE: Health Services Staff: Holly Harris, Crisis Services Program Manager; Janice Garceau, Behavioral Health Deputy Director; Cheryl Smallman, Business Manager; David Inbody, Administrative Services Deputy Director SUMMARY: Board Resolution 2019-005 appropriates grant funds received from the Substance Abuse and Mental Health Services Administration's FY 2018 Certified Community Behavioral Health Clinic Expansion Grants for the purpose of increasing access to and improving the quality of community behavioral health services. Priority populations are individuals with serious mental illness, substance use disorders, children with serious emotional disturbances, and individuals with co-occurring disorders (combination of mental health and substance use disorders). Funds from this grant are intended to extend funding for limited duration CCBHC positions to September 29, 2020. Without these grant funds, these limited duration positions will end March 31, 2019. Health Services' request to apply for these funds was approved July 11, 2018.