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HomeMy WebLinkAboutDoc 122 - Agrmt - OR Health Auth - MH SvcsDeschutes County Board of Commissioners 1300 NW Wall St., Suite 200, Bend, OR 97701-1960 (541) 388-6570 -Fax (541) 385-3202 -www.deschutes.org AGENDA REQUEST & STAFF REPORT For Board Business Meeting of April 10, 2013 DATE: March 29,2013 FROM: Nancy Mooney, Contract Specialist, Deschutes County Health Services, 322-7516 TITLE OF AGENDA ITEM: Consideration of Board Signature of Document #2013-122, Amendment #18 to the Intergovernmental Financial Agreement Award #134309 between Deschutes County Health Services, Behavioral Health Division and the Oregon Health Authority. PUBLIC HEARING ON THIS DATE? No. BACKGROUND AND POLICY IMPLICATIONS: 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. 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. In the public sector, OHA will consolidate most of the state's health care programs, including Addictions & Mental Health Services (AMH), Public Health, Oregon Health Plan (OHP), HealthyKids Connect, employee benefits and public­ private partnerships. This will give the state greater purchasing and market power to begin tackling issues with costs, quality, lack of preventive care and health care access. In both the public and the private sector, OHA will be working to improve how health care is delivered and paid for. OHA will also be working to reduce health disparities and to broaden the state's public health focus. The 2011-2013 Intergovernmental Agreement for the Financing of Community Addictions and Mental Health Services sets the dollar amounts and guidelines for Deschutes County Health Services to provide or coordinate provision of behavioral health as well as alcohol, other drug and problem gambling prevention and treatment services for the next two years. Amendment #18 modifies funding to the financial assistance award for residential treatment services for the following service elements: 1-Service Element #20, Non-Residential Adult Mental Health (General) -$205,591, limitation is increased for habilitative services; 2-Service Element #34, Adult Foster Care Mental Health Services -($42,020), funding limitation is decreased for Adult Foster Care; 3-Service Element #201, Non-Residential Adult Mental Health Services (Designated) -($2,197), funding is modified to reflect changes in payment for room and board, incidental funds, transportation and treatment for Psychiatric Security Review Board clients and clients residing at Deschutes Recovery Center Secure ReSidential Treatment Facility (delivers transitional housing for recovering addicts and mentally ill reSidents). FISCAL IMPLICATIONS: Maximum Compensation is $161,374. RECOMMENDATION & ACTION REQUESTED: Request Board Approval and signature of Document #2013-122, Amendment #18 to the Intergovernmental Financial Agreement Award #134309 between Deschutes County Health Services, Behavioral Health and the Oregon Health Authority. ATTENDANCE: Lori Hill, Program Manager DISTRIBUTION OF DOCUMENTS: Stated on Document Summary 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.) Please complete all sections above the Official Review line. Date: 1 March 21,2013 Department: 1 Health Services, Behavioral Health 1 Contractor/S u pplier/Cons u Ita nt Name: '---"-~<-=--""':"";";:"";"':";;'-'-'-~",-,,-..:.L-...--' Contractor Contact: 1 April Barrett 1 Contractor Phone #: ~'!::!.:.~~~---1 Type of Document: Amendment #18 to #134309 Goods and/or Services: Deschutes County Health Services (DCHS) provides or coordinates the provision of mental health and developmental disability treatment services to individuals; services may include alcohol and drug treatment, problem gambling prevention treatment services, transportation services, housing services and the provision of peer resources. Background & History: The intergovernmental agreement between the Oregon Health Authority (OHA) and DCHS provides the financing for mental health and addiction services and sets forth the guidelines for DCHS to provide or coordinate provision of mental health services to individuals. Amendment #18 modifies funding to the 2011-2013 financial assistance award for residential treatment services for the following service elements: 1-Service Element #20, Non-Residential Adult Mental Health (General) -$205,591, limitation is increased for habilitative services; 2-Service Element #34, Adult Foster Care Mental Health Services -($42,020), funding limitation is decreased for Adult Foster Care; 3-Service Element #201, Non-Residential Adult Mental Health Services (Designated) ­ ($2,197), funding is modified to reflect changes in payment for room and board, incidental funds, transportation and treatment for Psychiatric Security Review Board clients and clients residing at Deschutes Recovery Center Secure Residential Treatment Facility (delivers transitional housing for recovering addicts and mentally ill reSidents). Agreement Starting Date: 1 July 01, 2011 1 Ending Date: t.....:..:;;';";";=-';:";:;..L..;::"':"";..::.....J Annual Value or Total Payment: 1 Amendment #18 modifies funding by $161,374.1 Check all that apply: D RFP, Solicitation or Bid Process D Informal quotes «$150K) ~ Exempt from RFP, Solicitation or Bid Process (specify -see DCC §2.37) 3/21/2013 Funding Source: (Included in current budget? C8J Yes D No If No, has budget amendment been submitted? DYes C8J No Is this a Grant Agreement providing revenue to the County? DYes C8J 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: DYes D No Contact information for the person responsible for grant compliance: Name: Phone #: Departmental Contact and Title: I Nancy Mooney, Contract Specialist I Phone #: I 541-322-7516 I Deputy Director Approval: Department Director Approval: Distribution of Document: "Document Return Statement" to Tami Goertzen; tamLj.goertzen@state.or.us or (503) 373­ 7365, fully executed copy to Nancy Mooney. Date Fax or E-mail the ignature page and completed, signed Official Review: County Signature Required (check one): RQ] SOCC 0 Department Director (if <$25K) o Administrator (if >$25K but :VJ50K; if >$150K, soee Order No. 1 Legal Review ~ltfaJ1 Date ?-21 11 Document Number: =-20:!::..1.:..:3::...-~12::.:2=--_____ 3/2112013 ADMINISTRATIVE SERVICES DIVISION)(Qti~'tm'''t of Human Services Office of Contracts and Procurement John A. Kitzhaber, MD, Governor 250 Winter St NE, Room 306 Salem, OR 97301 Voice: (503) 945-5818 FAX: (503) 378-4324 DATE: February 19, 2013 TO: Scott Johnson, Director Deschutes County RE: Amendment #18 to the 2011-2013 Intergovernmental Agreement for the Financing of Community Addictions and Mental Health Services Agreement #134309 Enclosed is an amendment to the Agreement. NOTE: Payment for amendments returned to OHA by the 3 rd Friday of every month are more likely to be in the following month's allotment or electronic fund transfer. The instructions for processing this amendment are as follows: • Open and print the electronic file containing the amendment for signature by the appropriate authorized County OfficiaJ(s). • Obtain the authorized signature(s) on the amendment and the "Document Return Statement". • E-mail or Fax only the signature page of the amendment and the completed, signed "Document Return Statement" to tami.j.goertzen@state.or.us or 503-373-7365. Following receipt by OHA of your signed amendment, OHA will route its copy of amendment to the official(s) who is/are authorized to execute the amendment. Once the amendment is signed OHA will scan the amendment and transmit to the appropriate County official. If you have questions regarding this financial assistance award, please contact Sheryl Derting, Mental Health & Addiction Services, at (503) 945-6263 or April D. Barrett at (503) 945-5821. Sincerely, April D. Barrett, OPBC Contracts Specialist Attachment( s) I ADMINISTRATIVE SERVICES DIVISION ] [eruthOffice of Contracts and Procurement Authority John A, Kilzhaber, MD, Governor 250 Winter St NE, Room 306 Salem, OR 97301 Voice: (503) 945-5818 FAX: (503) 378-4324 DOCUMENT RETURN STATEMENT Re: Amendment #18 to Agreement #134309 hereinafter referred to as "Document." Please complete the following statement and return it along with the completed signature page and the Contractor Data and Certification page and/or Contractor Tax Identification Information form (if applicable ). Important: If you have any questions or find errors in the above referenced Document, please contact the contract specialist, April D. Barrett at (503) 945-5821. (Name) (Title) received a copy ofthe above referenced Document, between the State of Oregon, acting by and through its Oregon Health Authority, and Deschutes County, bye-mail from Tami Goertzen on February 19, 2013. On _________" I signed the electronically transmitted Document without (Date) change. I am returning the completed signature page and Contractor Data and Certification page and/or Contractor Tax Identification Information form (if applicable) with this Document Return Statement. (Authorizing Signature) (Date) ADMINISTRATIVE SERVICES DIVISION)(Q!j~'I"""1of Hllman Services Office of Contracts and Procurement John A. Kilzhaber, MD, Governor 250 Winter St NE, Room 306 Salem, OR 97301 In compliance with the Americans with Disabilities Act, this Voice: (503) 945-5818 document is available in alternate formats such as Braille, FAX: (503) 378-4324 large print, audio recordings, Web-based communications and other electronic formats, To request an alternate format, please send an e­ mail to dhsalt@state.or.us or call 503-378-3486 (voice) or 503-378-3523 (TTY) to a11'ange for the alternative format. EIGHTEENTH AMENDMENT TO OREGON HEALTH AUTHORITY 2011-2013lNTERGOVERNMENTAL AGREEMENT FOR THE FINANCING OF COMMUNITY ADDICTIONS AND MENTAL HEALTH SERVICES AGREEMENT #134309 This Eighteenth Amendment to Oregon HeaHh Authority 2011-2013 Intergovernmental Agreement for the Financing of Community Addictions and Mental Health Services dated as of July 1,2011 (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 fOl1h in Exhibit C of the Agreement. NOW, TBEREFORE, 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 pmties hereto agree as follows: AGREEMENT 1. The financial and service infonnation in the Financial Assistance Award are hereby amended as described in Exhibit 1 attached hereto and incorporated herein by this reference. Exhibit 1 must be read in conjunction with the portion of Exhibit C of the Agreement that describes the effect of an amendment of the fmancial and service infonnation. 2. Capitalized words and phrases used but not defined herein shall have the meanings ascribed thereto in the Agreement. ~EV I (1&Q LEGAL COUNSEL DC - 2 a1 3 -1 2 2 3. County represents and warrants to Depm1ment that the representations and wan'anties of County set fOlth 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 telms and conditions of the Agreement remain in full force and effect. 5. This Amendment may be executed in any number of counterpal1s, all of which when taken together shall constitute one agreement binding on all parties, notwithstanding that all parties are not signatories to the same counterprut. Each copy of this Amendment so executed shall constitute an original. IN WITNESS WHEREOF, the parties hereto have executed this amendment as ofthe dates set forth below their respective signatures. Deschutes County By: Authorized Signature Title Date State of Oregon acting by and through its Oregon Health Authority By: Stella Transue Date Administrator, Office of Contracts and Procurement Document date: 02/19n013 Amendment #18 Page 2 Reference 11018 Exhibit 1 to the 18th Amendment to Oregon Health Authority 2011"2013 Intergovernmental Agreement for the Financing of Community Addictions and Mental Health Services Agreement #134309 Document da.te: 0211912013 Amendment #18 Page 3 Reference #018 OREGON HEALTH AUTHORITY Financial Assistance Award Amendmen .. 2011-:2013 t (FAAA) CONTRACTOR: DATE: 02/19/2 DESCHUTES COUNTY 013 Contract#: Reference#: 134309 018 MENTAL HEALTH SERVICES SECTION: 1 SERVICE REQUIREMENTS MEET EXHIBIT B AND, IF INDICATED, EXHIBIT B-2 Part Start/End Dates CPMS Name Approved Service Funds Approved Start-up Servo Units Unit Type EXHIB B2 Codes Spec Cond# SE# 20 NON-RESIDENTIAL ADULT MH SERV B 7/2012­6/2013 N/A $205,591 $0 O. NA N/A M0472 1 SUBTOTAL SEn 20 $205,591 $0 SE# 34 ADULT FOSTER CARE MRS B 1/2013-6/2013 N/A -$42,020 $0 O. NA N/A SUBTOTAL SE# 34 -$42,020 $0 SEn 201 NON-RES DESIGNATED SVCS MRS A 12/2011-12/2011 OX-ILL-730923 A 2/2012-6/2012 LAKANI-661008 A 6/2012­6/2012 ASORAN-810809 A 7/2012-2/2013 ASORAN-810809 A 7/2012-6/2013 LAKANI-661008 A 7/2012-6/2013 ENERIK-890211 A 7/2012 6/2013 INGIDE-820904 A 3/2013­6/2013 ASORAN-810809 A 5/2013-6/2013 ASORAN-810809 -$587 $485 -$142 -$1,138 $1,164 $1,200 -$3,888 $424 $285 $0 $0 $0 $0 $0 $0 $0 $0 $0 O. O. O. 0, O. O. O. O. O. NA NA NA NA NA NA NA NA NA N/A N/A N/A N/A N/A N/A N/A N/A N/A SUBTOTAL SEn 201 -$2,197 $0 TOTAL SECTION 1 $161,374 $0 TOTAL AUTHORIZED FOR MENTAL HEALTH SERVICES $161,374 TOTAL AUTHORIZED FOR THIS FAAA: $161,374 OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) CONTRACTOR: DESCHUTES COUNTY Contract#: 134309 DATE: 02/19/2013 REF#: 018 REASON FOR FAAA (for information only) : Non-Residential Adult Mental Health (General) (MRS 20) limitation is increased for Habilitative services, LOI #11-13-2472. Adult Foster Care Services (MRS 34) limitation is decreased for Adult Foster Care, LOI #11-13-2446. Non-Residential Adult Mental Health Services (Designated) (MHS 201) funds are awarded for Rental Assistance for one client, LOI #11-13-2350; funds are removed for Room & Board and Personal & Incidental Funds for one client, LOI #11-13-2374: funds are removed for PSRB Rent Assist for one client, LOI #11-13-2384; funds are awarded for Transportation and Treatment Funds and funds are removed for Treatment Funds for one client at Deschutes Recovery Center SRTF, LOI #11-13-2390; funds are awarded for Treatment Funds for one client, LOI #11-13-2418. 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. M0472 1 These funds are for Habilitative Services services for 1915i eligible individuals residing in the community and not in a licensed residential program. --..-,.-,-.-~.. ..,... -"---'~-'"'~-~"'~"'''-'--"''-~-'-------.~~--~----'''''-''~'"~'' .....~,-..-.-""'-,.-,-,,,.""-,---,.."'.-..,,,-.---,-,'.........,.-',.,--,."'......------"~--''-'----'-''--~''."~~'-~'---~------'~~-''-''''''~ OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) FAAA Totals Part A 2011-2013 ********************* INFORMAT~ON ONLY ********************* CONTRACTOR: DESCHOTES COONTY CONTRACT#: 134309 DATE: 02/19/2013 REF#: 018 CURRENT CURRENT PROPOSED REVISED SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL 1 LOCAL ADMIN MENTAL HEALTH SVCS $904,336 $0 $0 $904,336 TOTAL SE# 1 $904,336 $0 $0 $904,336 20 NON-RESIDENTIAL ADULT MH SERV $805,631 $0 $0 $a05,631 20 NON-RESIDENTIAL ADULT MH SERV $604,304 $0 $0 $604,304 TOTAL SE# 20 $1,409,935 $0 $0 $1,409,935 22 CHILD & ADDLES MH SERVICES $216,916 $0 $0 $216,916 TOTAL SE# 22 $216,916 $0 $0 $216,916"­ 24 REGIONAL ACUTE PSYCH INPATIENT $530,700 $0 $0 $530,700 24 REGIONAL ACUTE PSYCH INPATIENT $850,781 $770 $0 $851,551 TOTAL SE# 24 $1,381,481 $770 $0 $1,382,251 25 COMM CRISIS -ADULT & CHILD $434,769 $0 $0 $434,769 TOTAL SEll: 25 $434,769 $0 $0 $434,769 26 NON-RESIDENTIAL YOUTH DESIGNAT $829,866 $0 $0 $829,866 TOTAL SE# 26 $829,866 $0 $0 $829,866 28 RESIDENTIAL TREATMENT SERVICES $1,936,896 $0 $0 $1,936,896 NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column that have not yet been accepted/approved. Therefore, these amounts may change. OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) FAAA Totals Part A 2011-2013 ********************* rNFORMATION ONLY ********************* CONTRACTOR: DESCHOTES COUNTY CONTRACT#: 134309 DATE: 02/19/2013 REF#.: 018 CURRENT CORRENT PROPOSED REVISED SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL 28 RESIDENTIAL TREATMENT SERVICES $1,282,745 $5,032 $0 $1,287,777 TOTAL SE# 28 $3,219,641 ·$5,032 $0 $3,224,673 30 PSRB TMNT & SUPERVISION $86,931 $0 $0 $86,931 TOTAL SE# 30 $86,931 $0 $0 $86,931 34 ADULT FOSTER CARE MRS $0 $0 $0 $0 TOTAL SE# 34 $0 $0 $0 $0 35 OLDER/DISABLED ADULT MR SVCS $18,734 $0 $0 $18,734 TOTAL SE# 35 $18,734 $0 $0 $18,734 37 MRS SPECIAL PROJECTS $3,692,968 -$26,249 $0 $3,666,7H TOTAL SE# 37 $3,692,968 -$26,249 $0 $3,666,719 38 SUPPORTED EMPLOYMENT SERVeS $187,186 $0 $0 $187,186 TOTAL SE# 38 $187,186 $0 $0 $187,186 39 eSS-HOMELESS $144,674 $0 $0 $144,674 NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column that have not yet been accepted/approved. Therefore, these amounts may change. OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) FAAA Totals Part A 2011-2013 ********************* INFO~TrON ONLY ********************* CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 134309 DATE: 02/19/20l3 REF#: 018 CURRENT CURRENT PROPOSED REVISED SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL TOTAL SE# 39 $144,674 $0 $0 $144,674 201 NON-RES DESIGNATED SVCS MRS $87,615 $1,063 -$2,198 $86,480 TOTAL SE# 201 $87,615 $1,063 -$2,198 $86,480 $12,615,052 -$19,384 -$2,198 $12,593,470 NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column that have not yet been accepted/approved. Therefore, these amounts may change. OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) FAAA Totals Part B 2011-2013 ********************* INFORMATION ONLY ********************* CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 134309 DATE: 02/19/2013 REF#: 018 CURRENT CURRENT PROPOSED REVISED SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL 20 NON-RESIDENTIAL ADULT MH SERV $130,604 $0 $20"5,591 $336,195 20 NON-RESIDENTIAL ADULT MH SERV $943;446 $0 $0 $943,446 TOTAL SE# 20 $1,074,050 $0 $205,591 $1,279,641 22 CHILD & ADOLES MH SERVICES $122,290 $0 $0 $122,290 TOTAL SE# 22 $122,290 $0 $0 $122,290 28 RESIDENTIAL TREATMENT SERVICES $2,304,000 $0 $0 $2,304,000 28 RESIDENTIAL TREATMENT SERVICES $1,448,769 -$5,032 $0 $1,443,737 TOTAL SE# 28 $3,752,769 -$5,032 $0 $3,747,737 31 ENHANCED CARE SERVICES $437,591 $0 $0 $437,591 TOTAL SE# 31 $437,591 $0 $0 $437,591 34 ADULT FOSTER CARE MHS $641,394 $0 -$42,020 $599,374 TOTAL SE# 34 $641,394 $0 -$42,020 $599,374 36 PASARR MHS $20,072 $0 $0 $20,072 TOTAL SE# 36 $20,072 $0 $0 $20,072 NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDJ:NG" column that have not yet been accepted/approved. Therefore, these amounts may change. OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) ********************* FAAA Totals Part B 201.1-2013 INFORMATION ONLY ********************* CONTRACTOR: DATE: DESCHUTES COUNTY 02/1.9/2013 CONTRACT#: 1.34309 REF#: 01.8 SE# DESCRIPTION CURRENT APPROVED CURRENT PENDING PROPOSED CHANGE REVISED TOTAL $6,048,166 -$5,032 $163,571 $6,206,705 NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column that have not yet been accepted/approved. Therefore, these amounts may change. OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) FAAA Totals Summary 2011-2013 ********************* rNFORMATION ONLY ********************* CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 134309 DATE: 02/19/2013 REF#: 018 CURRENT CURRENT PROPOSED REVISED SElf DESCRIPTION APPROVED PENDING CHANGE TOTAL 1 LOCAL ADMIN MENTAL HEALTH SVCS $904,336 $0 $0 $904,336 TOTAL SE# 1 $904,336 $0 $0 $904,336 20 NON-RESIDENTIAL ADULT ME: SERV $936,235 $0 $205,591 $1,141,826 20 NON-RESIDENTIAL ADULT ME: SERV $1,547,750 $0 $0 $1,547,750 TOTAL SE# 20 $2,483,985 $0 $205,591 $2,689,576 22 CHILD &. ADOLES ME SERVICES $122,290 $0 $9 $122,290 22 CHILD &. ADOLES ME SERVICES $216,916 $0 $0 $216,916 TOTAL SE# 22 $339,206 $0 $0 $339,206 24 REGIONAL ACUTE PSYCH INPATIENT $530,700 $0 $0 $530,700 24 REGIONAL ACUTE PSYCH INPATIENT $850,781 $770 $0 $951,551 TOTAL SE# 24 $1,381,481 $770 $0 $1,382,251 2S COMM CRISIS -ADULT &. CHILD $434,769 $0 $0 $434,769 TOTAL SE# 25 $434,769 $0 $0 $434,769 26 NON-RESIDENTIAL YOUTH DESIGNAT $829,866 $0 $0 $829,866 TOTAL SE# 26 $829,866 $0 $0 $829,866 NOTE; The amounts in the "REVISED TOTAL" column include amounts reported· in the "CURRENT PENDING" column that have not yet been accepted/approved. Therefore, these amounts may change. OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) FAAA Totals Summary 2011-2013 ********************* INFORMATION ONLY ********************* CONTRACTOR; DESCHUTES COUNTY CONTRACT#: 134309 DATE: 02/19/2013 REF#: 018 CURRENT CURRENT PROPOSED REVISED SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL 28 RESIDENTIAL TREATMENT SERVICES $4,240,896 $0 $0 $4,240,896 28 RESIDENTIAL TREATMENT SERVICES $2,731,514 $0 $0 $2,731,514 TOTAL SE# 28 $6,972,410 $0 $0 $6,972,410 30 PSRB TMNT & SUPERVISION $86,931 $0 $0 $86,931 TOTAL SE# 30 $86,931 $0 $0 $86,931 31 ENHANCED CARE SERVICES $437,591 $0 $0 $437,591 TOTAL SE# 31 $437,591 $0 $0 $437,591 34 ADtlLT FOSTER CARE MRS $641,394 $0 -$42,020 $599,374 34 ADULT FOSTER CARE MRS $0 $0 $0 $0 TOTAL SE# 34 $641,394 $0 -$42,020 $599,374 35 OLDER/DISABLED ADtlLT ME SVCS $18,734 $0 $0 $18,734 TOTAL SE# 35 $18,734 $0 $0 $18,734 36 PASARR MRS $20,072 $0 $0 $20,072 TOTAL SE# 36 $20,072 $0 $0 $20,072 37 MHS SPECIAL PROJECTS $3,692,968 -$26,249 $0 $3,666,719 NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column that have not yet been accepted/approved. Therefore, these amounts may change. OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) PAM Totals Summary 20lJ.-2013 ********************* rNFORMATION ONLY ********************* CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 134309 DATE: 02/19/2013 REF#: 018 CURRENT CURRENT PROPOSED REVISED SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL TOTAL SE# 37 $3,692,968 -$26,249 $0 $3,666,719 38 SUPPORTED EMPLOYMENT SERVCS $187,186 $0 $0 $187,186 TOTAL SE# 38 $187,186 $0 $0 $187,186 39 CSS-HOMELESS $144,674 $0 $0 $144,674 TOTAL SE# 39 $144,674 $0 $0 $144,674 201 NON-RES DESIGNATED SVCS MHS $87,615 $1,063 -$2,198 $86,480 TOTAL SE# 201 $87,615 $1,063 -$2,198 $86,480 CONTRACT TOTAL $18,663,218 -$24,416 $161,373 $18,800,175 NOTE: The amounts in. the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column that have not yet been accepted/approved. Therefore, these amounts may change. -~" ---.~-.----- ~~.~-"'--- OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) FAAA Totals Part A 2011-2013 ********************* INFORMATION ONLY ********************* CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 134309 DATE: 01/15/2013 REF#: 017 CURRENT CURRENT PROPOSED REVISED SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL 1 LOCAL ADMIN MENTAL HEALTH SVCS $904,336 $0 $0 $904,336 TOTAL SE# 1 $904,336 $0 $0 $904,336 20 NON-RESIDENTIAL ADULT MH SERV $805,631 $0 $0 $805,631 20 NON-RESIDENTIAL ADULT MH SERV $604,304 $0 $0 $604,304 TOTAL SE# 20 $1,409,935 $0 $0 $1,409,935 22 CHILD & ADOLES MH SERVICES $216,916 $0 $0 $216,n6 TOTAL SE# 22 $216,916 $0 $0 $216,n6 24 REGIONAL ACUTE PSYCH INPATIENT $530,700 $0 $0 $530,700 24 REGIONAL ACUTE PSYCH INPATIENT $850,781 $0 $770 $851,551 TOTAL SE# 24 $1,381,481 $0 $770 $1,382,251 25 COMM CRISIS -ADULT & CHILD $434,769 $0 $0 $434,769 TOTAL SE# 25 $434,769 $0 $0 $434,769 26 NON-RESIDENTIAL YOUTH DESIGNAT $829,966 $0 $0 $829,866 TOTAL SE# 26 $829,866 $0 $0 $829,866. 28 RESIDENTIAL TREATMENT SERVICES $1,936,996 $0 $0 $1,936,896 NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column that have not yet been accepted/approved. Therefore, these amounts may change. CONTRACTOR: DESCHOTES COUNTY DATE: 01/15/2013 SE# DESCRIPTION OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) ********************* CURRENT APPROVED 28 RESIDENTIAL TREATMENT SERVICES $1,.282,745 TOTAL SE# 28 $3,219,6U 30 PSRB TMNT & SUPERVISION $86,931 TOTAL SE# 30 $86,9n 34 ADULT FOSTER CARE MHS $0 TOTAL SE# 34 $0 35 OLDER/DISABLED .ADULT MH SVCS $18,734 TOTAL SE# 35 $18,734 37 MHS SPECIAL PROJECTS $3,692,968 TOTAL SE# 37 $3,692,968 38 SUPPORTED EMPLOYMENT SERVCS $187,186 TOTAL SE# 38 $187,186 39 CSS-HOMELESS $144,674 FAAA Totals Part A 2011-2013 r.NFORMAT~ON ONLY ********************* CONTRACT#: 134309 CURRENT PROPOSED PENDING CHANGE $0 $5,032 $0 $5,032 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 -$26,249 $0 -$26,249 $0 $0 $0 $0 $0 $0 REF#: 017 REVISED TOTAL $1,287,777 $3,224,673 $86,931 $86,931 $0 $0 $18,734 $18,734 $3,666,719 $3,666,719 $187,186 $187,186 $144,674 NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column that have not yet been accepted/approved. Therefore, these amounts may change. ' ...... ... ------------------------ OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) FAAA Totals Part A 2011-2013 ********************* INFORMATION ONLY ********************* CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 134309 DATE: 01/15/2013 REF#: 017 CURRENT ctJRRENT PROPOSED REVISED SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL TOTAL SE# 39 $144,674 $0 $0 $1.44,674 201 NON-RES DESIGNATED SVCS MRS $87,615 $0 $1,063 $88,678 TOTAL SE# 201 $87,615 $0 $1,063 $88,678 $12,615,052 $0 -$19,384 $12,595,668 NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column that have not yet been accepted/approved. Therefore, these amounts may change. """"" .. -".-~---- ~,---~--"'-,----­ OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) FAAA Totals Part B 2011-20J.3 ********************* INFORMATION ONLY ********************* CONTRACTOR: DESCHUTES COUN'I"Y CONTRACT#: 134309 DATE: 01/15/2013 REF#: 017 CURRENT CURRENT PROPOSED REVISED SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL 20 NON-RESIDENTIAL ADULT MH SERV $130,604 $0 $0 $J.30,604 20 NON-RESIDENTIAL ADULT MH SERV $943,446 $0 $0 $943,446 TOTAL SE#· 20 $1,074,050 $0 $0 $1,074,050 22 CHILD & ADDLES MH SERVICES $122,290 $0 $0 $122,290 TOTAL SE# 22 $122,290 $0 $0 $122,290 28 RESIDENTIAL TREATMENT SERVICES $2,304,000 $0 $0 $2,304,000 28 RESIDENTIAL TREATMENT SERVICES $1,448,769 $0 -$5,032 $1,443,737 TOTAL SE# 28 $3,752,769 $0 -$S,032 $3,747,737 31 ENHANCED CARE SER~CES $437,591 $0 $0 $437,591 TOTAL SE# 31 $437,591 $0 $0 $437,Sn 34 ADULT FOSTER CARE MHS $641,394 $0 $0 $641,394 TOTAL SE# 34 $641,394 $0 $0 $641; 394 36 PASARR MHS $20,072 $0 $0 $20,072 TOTAL SE# 36 $20,072 $0 $0 $20,072 NOTE: The amounts in the "~SED TOTAL" column include amounts reported in the "CURRENT PENDING" column that have not yet been accepted/approved. Therefore, these amounts may change. -.--..-~----~ -,,----~."'..-...-.,.---.-~--,,--" OREGON HEALTH AUTHORITY Financial. Assistance Award Amendment (FAAA) FAAA Totals Part B 20J.~-20~3 ********************* INFORMATION ONLY ********************* CONTRACTOR: DATE: DESCHUTES COUNTY 01/15/2013 CONTRACT#: REF#; ~34309 017 SEt DESCRIPTION CURRENT APPROVED CURRENT PENDING PROPOSED CHANGE REVISED TOTAL $6,048,166 $0 -$5,032 $6,043,134 NOTE: The amounts in the "REVISED TOTAL n column include amounts reported in the "CURRENT that have not yet been accepted/approved. Therefore, these amounts may change. PENDING" column ______n~___~ _~_~_____ -----------,---,.--------------, ___ OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) FAAA Totals Summary 201.1-2013 ********************* INFORMAX~ON ONLY ********************* CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 134309 DATE: 01/15/2013 REF#: 017 CURRENT CURRENT PROPOSED REVISED SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL 1 LOCAL ADMIN MENTAL HEALTH SVCS $904,336 $0 $0 $904,336 TOTAL SEt 1 $904,336 $0 $0 $904,336 20 NON-RESIDENTIAL ADULT MH SERV $936,235 $0 $0 $936,235 20 NON-RESIDENTIAL ADULT MH SERV $1,547,750 $0 $0 $1,547,750 TOTAL SEt 20 $2,483,985 $0 $0 $2,483,985 22 CHILD &: ADOLES MH SERVICES $122,290 $0 $0 $122,290 22 CHILD &: ADOLES MH SERVICES $216,916 $0 $0 $216,916 TOTAL SEt 22 $339,206 $0 $0 $339,206 24 REGIONAL ACUTE PSYCH INPATIENT $530,700 $0 $0 $530,700 24 REGIONAL ACUTE PSYCH INPATIENT $850,781 $0 $770 $851,551 TOTAL SEt 24 .$1,381,481 $0 $770 $1,382,251 25 COMM CRISIS -ADULT & CHILD $434,769 $0 $0 $434,769 TOTAL SE# 25 $434,769 $0 $0 $434,769 26 NON-RESIDENTIAL YOUTH DESIGNAT $829,866 $0 $0 $829,866 TOTAL SEt 26 $829,866 $0 $0 $829,866 NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column that have not yet been accepted/approved. Therefore, these amounts may change. _____~._...._____~'" m; "l'''!IIJ.I!II.'''''''''_'~ I'l' ~ ,~~"'. -,~------:...----.--. CONTRACTOR: DESCHUTES COUNTY DATE: 01/15/2013 SE# DESCRIPTION OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) ********************* CURRENT APPROVED 28 RESIDENTIAL TREATMENT SERVICES $4,240,896 28 RESIDENTIAL TREATMENT SERVICES $2,731,514 TOTAL SE# 28 $6,972,410 30 PSRB TMNT & SUPERVISION $86,931 TOTAL SE# 30 $86,931 31 ENHANCED CARE SERVICES $437,591 TOTAL SE# 31 $437,591 34 ADULT FOSTER CARE MRS $641,394 34 ADULT FOSTER CARE MRS $0 TOTAL SE# 34 $641,394 35 OLDER/DISABLED ADULT MR SVCS $18,734 TOTAL SE# 35 $18,734 36 PASARR MRS $20,072 TOTAL SE# 36 $20,072 37 MRS SPECIAL PROJECTS $3,692,968 FAAA Totals Summary 2011-2013 rNFO~TION ONLY ********************* CONTRACT#: 134309 REF#; 017 CURRENT PROPOSED REVISED PENDING CHANGE TOTAL $0 $0 $4,240,896 $0 $0 $2,731,514 $0 $0 $6,972,410 $0 $0 $86,931 $0 $0 $86,931 $0 $0 $437,591 $0 $0 $437,591 $0 $0 $641,394 $0 $0 $0 $0 $0 $641,394 $0 $0 $18,734 $0 $0 $18,734 $0 $0 $20,072 $0 $0 $20,072 $0 -$26,249 $3,666,719 NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in-the "CURRENT PENDING" column that have not yet been accepted/approved. Therefore, these amo~ts may change. ________.... "" _ ......._______"'.,11!'4,_ • { t'l! l!'l.lIIt.ll',~_____________ OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) FAAA Totals Summary 2011-2013 ********************* INFORMATION ONLY ********************* CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 134309 DATE; 01/15/2013 REF#: 017 CURRENT ctT.RRENT PROPOSED REVISED SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL TOTAL SElt 37 $3,692,968 $0 -$26,249 $3,666,719 38 SUPPORTED EMPLOYMENT SERVCS $187,186 $0 $0 $187,186 TOTAL SE# . 38 $187,186 $0 $0 $187,186 39 CSS-HOMELESS $144,674 $0 $0 $144,674 TOTAL SElf 39 $144,674 $0 $0 $144,674 201 NON-RES DESIGNATED SVCS MES $87,615 $0 $1,063 $88,678 TOTAL SE# 201 $87,615 $0 $1,063 $88,678 CONTRACT TOTAL $18,663,218 $0 -$24,416 $18,638,802 NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDINGH column that have not yet been accepted/approved. Therefore, these amounts may change.