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2019-144-Resolution No. 2019-008 Recorded 4/30/2019REVIEWED 1114./ LEGAL COUNSEL Recorded in Deschutes County CJ2019-144 Nancy Blankenship, County Clerk Commissioners' Journal 04/30/2019 1:54:21 PM 11111141111111111111111111111111 For Recording Stamp Only BEFORE THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY, OREGON A Resolution Appropriating New Grant Funds And Increasing FTE Within the 2018-2019 Deschutes County Budget * * RESOLUTION NO. 2019-008 WHEREAS, Deschutes County's Health Services Fund has requested an additional 1.00 FTE Peer Support Specialist, and related appropriation for the remainder of the 2018-2019 budget; and WHEREAS, Deschutes County Classification of Positions Policy (HR -1) requires that the creation/increase of a Department's FTE outside of the adopted budget must be approved by the Board of Commissioners; 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 within the 2018-2019 County Budget: Revenue Health Services Fund State Grant TOTAL REVENUE: $ 18,492 8 18,492 Section 2. That the following appropriation be made within the 2018-2019 County Budget: Appropriation Health Services Fund Program Budget $ 18,492 TOTAL APPROPRIATION 8 18,492 PAGE 1 OF 2 -RESOLUTION NO. 2019-008 Section 2. That the Finance Director make the appropriate entries in the Deschutes County Financial System to show the above appropriations. Section 3. That the Human Resources Director make the appropriate entries in the Deschutes County FTE Authorized Positions Roster to show the above FTE changes. DATED this day of ATTEST: Recording Secretary PAGE 2 OF 2 -RESOLUTION NO. 2019-008 2019. BOARD OF COUNTY COMMIS S NERS OF DES HUTES COUNTY, 0 G PHILIP G. H hair PATTI ADAIR, Vice -Chair /. ,f1 ANTHONY DEBONE, Commissioner REVIEWED H Oregon alth Authority In compliance with the Americans with Disabilities Act, this document is available in alternate formats such as Braille, large print, audio recordings, Web -based communications and other electronic formats. To request an alternate format, please send an e-mail to dhs- oha.publicationrequest@state.or.us or call 503-378-3486 (voice) or 503-378-3523 (TTY) to arrange for the alternative format. FOURTEENTH AMENDMENT TO OREGON HEALTH AUTHORITY 2017-2019 INTERGOVERNMENTAL AGREEMENT FOR THE FINANCING OF MENTAL HEALTH, SUBSTANCE USE DISORDERS, AND PROBLEM GAMBLING SERVICES AGREEMENT #153121 This Fourteenth Amendment to Oregon Health Authority 2017-19 Intergovernmental Agreement for the Financing of Community Mental Health, Substance Use Disorders, and Problem Gambling Services effective as of July 1, 2017 (as amended, the "Agreement"), is entered into, as of the date of the last signature hereto, by and between the State of Oregon, acting by and through its Oregon Health Authority ("OHA"), and Deschutes County ("County"). RECITALS WHEREAS, OHA and County wish to modify the Financial Assistance Award set forth in Exhibit C of the Agreement. NOW, THEREFORE, in consideration of the premises, covenants and agreements contained herein and other good and valuable consideration the receipt and sufficiency of which is hereby acknowledged, the parties hereto agree as follows: AGREEMENT 1. The financial and service information in the Financial Assistance Award are hereby amended as described in Attachment 1 attached hereto and incorporated herein by this reference. Attachment 1 must be read in conjunction with the portion of Exhibit C of the Agreement that describes the effect of an amendment of the financial and service information. 2. Capitalized words and phrases used but not defined herein shall have the meanings ascribed thereto in the Agreement. 3. County represents and warrants to OHA that the representations and warranties of County set forth in section 4 of Exhibit F of the Agreement are true and correct on the date hereof with the same effect as if made on the date hereof. 4. Except as amended hereby, all terms and conditions of the Agreement remain in full force and effect. 5. This Amendment may be executed in any number of counterparts, all of which when taken together shall constitute one agreement binding on all parties, notwithstanding that all partiee are not signatories to the same counterpart. Each copy of this Amendment so executed shall constitute an original. 153121 lob Amendment #14 Page 1 of 4 Financial Pages Reference #014 Approved 08.23.18 (GT1016-18) DC 2019-12 IN WITNESS Wi-)ER1?OP, the parties hereto have executed this amendment as of the dates set forth below their respective signatures. 6. Signatures. Deschutes County By: Autho 'zeN'Signature George A. Conway ' Director Printed Name Title State of Oregon acting by and through its Oregon Heath Authority f, By: .77 ` -�4 i hn h'iJ (_` (1O «11,1 PESj 4v -e (7*. j.47 (1p Printed Name Title Date Auth Ind Signature Approved by: ire or, OHA Health Systems Division By. bardoci It.m9figes& /-- Authorized Signature Printed Name Title Date Approved for Legal Sufficiency: Approved by Steven Marlowe, Senior Assistant Attorney General, Department of Justice, on August 23, 201k etrall in Contract File: OHA Program: Approved by Carmen Armendariz on Febraary R. 2019; e-mail in contract tile. 153121 lob Amendment N 1,1 i ase z or Financial rages Reference #1014 Approved 08.23.18 (0T1016-18) Financial Assistance Award P4 0 U a w En A W W 0 $41,504.00 0 O O 0 O' O $41,504.00 0 O O $41,504.00 FOR 2018-2019 0 0 $41,504..00 FOR M0438 Amendment #14 Reference #014 OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) CONTRACTOR: DESCHUTES COUNTY Contract#: 153121 REF#: 014 DATE: 02/06/2019 REASON FOR FAAA (for information only): MHS Special Projects (MHS 37) Exhibit MHS 37 - Peer Delivered Services (PDS) to MHS 37 Service Description MHS Special Projects funds are awarded for a pilot program for Peer Delivered Services for Veterans. The following special condition(s) apply to funds as indicated by the special condition number in column 9. Each special condition set forth below may be qualified by a full description in the Financial Assistance Award. M0438 ?These funds are for Exhibit MHS 37 -Peer Delivered Services (PDS) Veteran Peer Delivered Services, for the following: 1. Hire, train, and supervise Peer Support Specialists (PSS) or Peer Wellness Specialists (PWS) with significant prior or current military experience. 2. Ensure that PSS/PWS acquire and maintain certification with the Oregon Health Authority (OHA) Traditional Health Worker registry, including completion of OHA approved training. 3."Provide PDS in a culturally competent manner as defined by OAR 410-180-0300-0380, to individuals who identify as military veterans with current behavioral health needs. Activities may include 1:1 peer support, systems navigation, facilitation of support and education groups, outreach, and community education. 4. Provide program participants with funds or material supports needed to eliminate barriers to accessing health care services which will improve the veteran's behavioral health, support treatment plans, or support the veteran's recovery or community engagement. 5. Regularly engage and serve a minimum of 25 veterans annually. 6. Report the following to OHA on 06/14/19. a. Number of veterans served on a regular basis, e.g. enrolled in peer services, and making use of peer supports on a weekly basis. b. Number of veterans offered and number of veterans completed the pre and post survey supplied by OHA. c. Responses for all completed surveys. d. Description of program progress, successes, barriers. 153121 lob Amendment #14 Page 4 of 4 Financial Pages Reference #014 Approved 08.23.18 (GT1016-18) 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 documents to the Board Secretary for tracking purposes, and not directly to Legal 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: February 11, 2019 Department: Please complete all sections above the Official Review line. Health Services, Behavioral Health Contractor/Supplier/Consultant Name: Contractor Contact: Larry Briggs Oregon Health Authority Contractor Phone #: 503-945-6879 Type of Document: Amendment to Intergovernmental Agreement #153121-14 Goods and/or Services: The Intergovernmental Agreement (#153121) outlines the services and financing of Community Mental Health, Substance Use Disorders, and Problem Gambling Services for the 2017-2019 fiscal year. This amendment awards funds for a pilot program for Peer Delivered Services for Veterans. Background & History: The Oregon Health Authority (OHA) was created by the 2009 Oregon legislature to bring most health-related programs in the state into a single agency to maximize its purchasing power. OHA is at the forefront of lowering and containing costs, improving quality and increasing access to health care in order to improve the lifelong health of Oregonians. OHA knows what it needs to do to improve health care: focus on health and preventive care, provide care for everyone and reduce waste in the health care system. OHA includes most of the state's health care programs, including Public Health, the Oregon Health Plan, Healthy Kids, employee benefits and public- private partnerships. This gives the state greater purchasing and market power to begin tackling issues with costs, quality, lack of preventive care and health care access. Service Element #37 is increased by $41,504. These funds are for the period January 1, 2019 through June 30, 2019. Specifically, these funds will be used for: 1. Hire, train and supervise Peer Support Specialists (PSS) or Peer Wellness Specialists (PWS) with significant prior or current military experience. 2. Ensure that PSS/PWS acquire and maintain certification and training with OHA Traditional Health Worker registry. 3. Provide services to individuals who identify as military veterans with current behavioral health needs. Activities may include: peer support, systems navigation, facilitation of support and education groups, outreach and community education. 4. Provide program participants with funds or material supports needed to eliminate barriers to accessing health care services which will improve veteran's behavioral health, support treatment plans, or support veteran's recovery or community engagement. 5. Regularly engage and serve a minimum of twenty-five (25) veterans annually. 6. Report the following to OHA no later than June 14, 2019: a. Number of veterans served on a regular basis (enrolled in peer services, and making use of peer supports on a weekly basis). b. Number of veterans offered and number of veterans completed the pre and post survey supplied by OHA c. Responses for all completed surveys. d. Description of program progress, successes and barriers. 2/11/2019 Agreement Starting Date: Total Payment: July 01, 2017 $41,504. Ending Date: ® Insurance Certificate Received (check box) Insurance Expiration Date: June 30, 2019 N/A County is Contractor Check all that apply: ❑ RFP, Solicitation or Bid Process O Informal quotes (<$150K) ® Exempt from RFP, Solicitation or Bid Process (specify — see DCC §2.37) Funding Source: (Included in current budget? ® Yes ❑ No If No, has budget amendment been submitted? 0 Yes 0 No Is this a Grant Agreement providing revenue to the County? 0 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: 0 Yes 0 No Contact information for the person responsible for grant compliance: Phone #: Departmental Contact and Title: Phone #: 541-322-7664 j Deputy Director Approval: Department Director Approval: Janice Garceau, Deputy Director Name: nature toe Sig Distribution of Document: E -Mail entire amendment (larry.o.briggs dhs•ha.state.or.us) Larry Briggs. Original documents to Justice Evans at Health Services. Official Review: County Signature Required (check one): 0 BOCC Director (if <$50K) 0 Administrator (if >$50,I $ Legal Review if >$150K, BOCC 0 der o.) Document Number: 2019-127 Date 2/11/2019 } § / CO $ } k a k E / / \ Cf) kCD )0 oc< / § 0 State Grant ) 0 / \ \ ? Line Number / f § \ ) / 0 ? § ƒ 0 CO § 0 ? E a k 0 0 \ 0 0 §§m2 O . ro • &-9 }k\. )/%_ .c 0) %a=m mm: (5 0. 41) o_ $ /a)2 f, -E` _ e „„� %a"E$ a a) k[{\ CO=o\ c73 • If "5 -a 7eee )0 )f a e 2 o k§0 ==50. kfA± »"6 „ 0 0) a>2 ka(§\ ®E % ._ 03 CD DoE 0)csj 0. 8 ( _ \ § Revised Budget '/7ƒ »n� 446 1,200 I 0 700 k a- 1,000 100 §§ 1,500 100 /\/' ��a- 18,492 To (From) 5,340 I Q7 // 446 1,200 250 8GG82G@SQ/G ~f/-~~\-f/f. 18,492 Current Budgeted Amount 1111.1111111111111 I Description (Element -Object, e.g. Time Mgmt, Temp Help, Computer Hardware) Regular Emplo ees Health -Dental Insurance PERS Employer § Travel - Accommodations Travel - Mileage Travel - Meals Computers & Peripherals Education and Training Office Supplies Program Supplies Meeting Supplies Client Flex Funds Communication Department Admin Transfr Department Admin Transfr Program Expense TOTAL 0 7 CCI (Pers, M&S, Cap Out, Contingency) CD C LT} Personnel Personnel Personnel mmmmmm=mmm 7§§§§§§§§§§ Internal Admin Xfer Internal Admin Xfer M&S Project Code HS2AOUTC HS2AOUTC HS2AOUTC HS2AOUTC HS2AOUTC HS2AOUTC �HS2AOUTC HS2AOUTC HS2AOUTC HS2AOUTC HS2AOUTC HS2AOUTC HS2AOUTC IHS2AOUTC HS2AOUTC HS1ALL HS1ALL Line Number (HTE 14 digit code) HS2AOUTC.HSOUTPATIE.HSGENERAL.HS410101 HS2AOUTC.HSOUTPATIE.HSGENERAL.HS420101 HS2AOUTC.HSOUTPATIE.HSGENERAL.HS420201 HS2AOUTC.HSOUTPATIE.HSGEN ERAL. HS420301 HS2AOUTC. HSOUTPATI E. HSGENERAL. HS450820 HS2AOUTC. HSOUTPATI E. HSGENERAL. HS450870 HS2AOUTC. HSOUTPATI E. HSGENERAL.HS450860 HS2AOUTC.HSOUTPATIE.HSGENERAL.HS460610 H S2AO UTC. H SO UTPATI E. HSG EN ERAL. HS450040 HS2AOUTC.HSOUTPATIE.HSGENERAL.HS460140 1 1 HS2AOUTC.HSOUTPATIE.HSGENERAL.HS450914 HS2AOUTC.HSOUTPATIE.HSGENERAL.HS450310 HS2AOUTC.HSOUTPATIE.HSGENERAL.HS490501 HS1ALL. HSINDIRECT.HSGENERAL.HS490501 HSIALL. HSINDIRECT.HSGENERAL.HS450094 E a §§m2 O . ro • &-9 }k\. )/%_ .c 0) %a=m mm: (5 0. 41) o_ $ /a)2 f, -E` _ e „„� %a"E$ a a) k[{\ CO=o\ c73 • If "5 -a 7eee )0 )f a e 2 o k§0 ==50. kfA± »"6 „ 0 0) a>2 ka(§\ ®E % ._ 03 CD DoE 0)csj 0. 8 ( _ \ § FY 2023 1 i/? ih i/} i/)• i). $ 15,185 $ 167,012 Al N' 0 Al 1.>- 0- if) ifl $ 31,457 �$ 22,729 $ 250 $ 4,668 O ri ri: ' 01 IJ1 O (.0N 0 Al >- OZOZA3 $ 38,800 $ 23,320 $ 3,400 M 1 VO11 111 0 1: i/? i/} i/} i/? $ 5,340 r-1 O $ 3,200 '-f $ 18,492 Lf1 00 01r. r'I' .Ni1 V) 1.0 r -I 0Al >-: W i/> in i/} if} VI a) Benefits Travel N a) Total Indirect (10% de -minimus) (allows $2,500 for contracts) Total Costs 00 f0 O. O. v1 N r1 0 N ,n. Ln e-1 O V'1 1.0 iPr O 4 m 00 Total grant funds, per year in Total (5 Year Total) C "' V1 +, 0) ` 3 -I 11.. O ri !^ +; 0. in. co +, ai . 2 m 0 (0 0 00 = O. O til c V) s E f° c o m c cca a E c z O N 0) -a '0:a) E o N 0) 7 0 "E v) a ri c0 0 f0 3 �+ v 0 >. = o fa o c 1= fa 3 u 0) 0 C L I— 01 U I- i O 3 00 v 0 N 10 (0 0 O. tCL }t_ fc0 . C ,,, 0 CU U c t CO CU +-, C c O 0) 00 'O E 0. c2 L°+ 4- a) = s n3 -0 4., -0 C 3 a) f0 > .v) V �0) +t+ a�0 i ON t0 C 0 in 'O - C 0) 444• uCU E s a) (0 ` C = re 0 >0) as > o 0 CD 0- ,> 1-0) fo +, +1 N C C — i O = L_ � 'O 13 .0 ,.-1 o 'EL D. N N -0 2 NN N 03 O. >- 00 v) Q LL C 0 0) it E C "a O N � Di ++ O. O. 00 0 3 a) O O 13 ++ ro O Q LA C � '^ in f° _ (0 a) to c vra (1) = C U H L C 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 April 24, 2019 DATE: April 16, 2019 FROM: Wayne Lowry, Finance, 541-388-6559 TITLE OF AGENDA ITEM: Consideration of Board Signature of Resolution No. 2019-008, Appropriating New Grant Funds and Increasing FTE in the Health Services Fund RECOMMENDATION & ACTION REQUESTED: Staff recommends approval of Resolution 2019-008 appropriating new grant funds and increasing FTE in the Health Services Fund by 1.00 limited duration FTE. BACKGROUND AND POLICY IMPLICATIONS: In February 2019, the Behavioral Health Division was notified they were a recipient of the Veteran Behavioral Health Peer Support Specialist Pilot Program for the time period 1/01/2019 thru 12/31/2020. The purpose of the grant is to hire, train, and supervise Peer Support Specialists with prior or current military experience and lived mental health or addictions history to provide peer services and outreach in a culturally competent manner to individuals who identify as military veterans with current behavioral health needs. To perform the programmatic services, the division is requesting 1.0 FTE limited -duration Peer Support Specialist to coincide with the grant's funding period. FISCAL IMPLICATIONS: This budget adjustment authorizes an increase of $18,492 in appropriation for Fiscal Year 2019. The amount requested is fully funded by the State award during Fiscal Year 2019. Future funding, as made available by the State, is expected to continue through December 31, 2020. The associated increase in FTE is requested for a time period not to extend later than the term of funding, as any such extension would be an unfunded obligation to future budgetary years. ATTENDANCE: Cheryl Smallman, Health Services Business Manager