HomeMy WebLinkAboutDoc 135 - OHA Beh - Public Health AmendDeschutes 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 28, 2014
DATE: April 19, 2014
FROM: Nancy Mooney, Contract Specialist, Deschutes County Health Services, 322-7516
TITLE OF AGENDA ITEM:
Consideration of Board Signature of Document #2014-135, Amendment #9 to the Intergovernmental Financial
Agreement Award #141408 between Deschutes County Health Services, Behavioral Health Division and the
Oregon Health Authority for the financing of Community Addictions and Mental Health Services for year 2013
2015.
PUBLIC HEARING ON THIS DATE? No.
BACKGROUND AND POLICY IMPLICATIONS:
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.
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 #6 modifies funds to match the Governor's 2013-2015 budget. The General Funds are to be
extended through June 30, 2014 using the same rate methodology that is currently applied. Payment of funds
is subject to Legislative approval of the Oregon Health Authority's 2013-2015 budget.
Amendment #9 modifies funding for the following service elements:
1. Service Element #37, Mental Health Services Special Projects -$592,194. These funds are awarded for
the special project described in Exhibit MHS 37 -Mental Health Supported Housing and Rental Assistance
services to MHS 37 Service Description. The expenditure of financial assistance awarded for this special
project must result in rental assistance not to exceed $500 per month, per client and a one-time move-in
expense not to exceed $1,000 per client for thirty (30) unduplicated clients.
2. Language Modification: Add Exhibit MHS 37-Mental health Supported Housing and rental Assistance
Services to Service Description MHS 37 -Special Projects. Modify/update Paragraph 16, "Purchase and
Disposition of Equipment", of Exhibit F, "General Terms and Conditions."
3. Mental Health Services (MHS) Flexible Funding - -Promotion, prevention, early identification and
intervention of conditions that lead to mental health, substance use and addiction disorders represent the
array of interventions supported by MHS Flexible Funding. This focus will lead to improved outcomes and
enhanced healthcare experiences for individuals as well as reduce overall expenditures. Deschutes
County will have the flexibility to allocate the funds to meet community needs and statutory requirements.
Changes/Additions to the MHS Flex Funds award is listed below.
i. $200,000. These funds are awarded for Mental Health Prevention and Promotion Services. Deschutes
County will provide behavioral health promotion and prevention which is distinct from treatment.
Promotion and prevention is focused on changing common influences on the development of
individuals across their lifespan, reducing risk factors and increasing protective factors.
ii. $341,792.70. These funds are awarded to Crisis services. These funds are for the provision of mobile
crisis services. Mobile crisis services are delivered in a person's home, a public setting, in a school, in
a residential program or in a hospital to enhance community integration.
FISCAL IMPLICATIONS:
Funding is modification is estimated to be $1,133,986.70.
RECOMMENDATION & ACTION REQUESTED:
Approval and signature of Document #2014-135, Amendment #9 to Intergovernmental Financial Agreement Award
#141408 between Deschutes County Health Services, Behavioral Health and the Oregon Health Authority is
requested.
ATTENDANCE: Lori Hill, Adult Treatment Program Manager
Jessica Jacks, Substance Abuse Prevention Program
DISTRIBUTION OF DOCUMENTS: Fax or E-mail the signature page and completed, signed "Document Return
Statement" and the signature page to Tami Goertzen; tamLj.goertzen@state.or.us or (503) 373-7365, fully
executed copy to Nancy Mooney.
DESCHUTES COUNTY DOCUMENT SUMMARY
(NOTE: This fonn 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 Fonn is also required. If this fonn 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 fonn
electronically to the Board Secretary.)
Please complete all sections above the Official Review line.
Date: : March 26,2014
Department: Health Services, Behavioral Health Ii
Contractor/Supplier/Consultant Name:: Oregon Health Authority
Contractor Contact: I Tami Goertzen I Contractor Phone #: I 503-373-7365
Type of Document: Amendment #9 to #141408
Goods and/or Services: Amendment #9 modifies funding and language changes in Exhibit F,
"General Terms and Conditions" of the original contract and adds funding for the Supported
Housing Rental Assistance Program, Mental Health Prevention and Promotion services and
Crisis services.
Background & History: 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.
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 #9 modifies funding for the following service elements:
1. Service Element #37. Mental Health Services Special Projects -$592,194. These funds are
awarded for the special project described in Exhibit MHS 37 -Mental Health Supported
Housing and rental Assistance services to MHS 37 Service Description. The expenditure of
financial assistance awarded for this special project must result in rental assistance not to
exceed $500 per month, per client and a one-time move-in expense not to exceed $1,000
per client for thirty (30) unduplicated clients.
2. Language Modification: Add Exhibit MHS 37-Mental health Supported Housing and rental
Assistance Services to Service Description MHS 37-Special Projects. Modify/update
Paragraph 16, "Purchase and Disposition of Equipment", of Exhibit F, "General Terms and
Conditions."
Mental Health Services (MHS) Flexible Funding - -Promotion, prevention, early identification
and intervention of conditions that lead to mental health, substance use and addiction
disorders represent the array of interventions supported by MHS Flexible Funding. This
focus will lead to improved outcomes and enhanced healthcare experiences for individuals
as well as reduce overall expenditures. Deschutes County will have the flexibility to allocate
the funds to meet community needs and statutory requirements. MHS Flex Funds awards
are listed below.
3/26/2014
1. Service Element #37, Mental Health Services Flexible Funding -$200,000. These funds are
awarded for Mental Health Prevention and Promotion services. Deschutes County will
provide behavioral health promotion and prevention which is distinct from treatment.
Promotion and prevention is focused on changing common influences on the development
of individuals across their lifespan, reducing risk factors and increasing protective factors.
2. Service Element #37, Mental Health Services Flexible Funding -$341,792.70. These funds
are awarded to Crisis services. These funds are for the provision of mobile crisis services.
Mobile crisis services are delivered in a person's home, a public setting, in a school, in a
residential program or in a hospital to enhance community integration.
Agreement Starting Date: 1 July 01, 2013 I Ending Date: Qune 30, 2015 1
Annual Value: I Amendment #9 modifies funding by $1,133,986.70.1
Check all that apply: o RFP, Solicitation or Bid Process o Informal quotes «$150K)
(gI Exempt from RFP, Solicitation or Bid Process (specify -see DCC §2.37)
Funding Source: (Included in current budget? Yes (gI No
If No, has budget amendment been submitted? 0 Yes rgj No
Is this a Grant Agreement providing revenue to the County? 0 Yes rgj 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: Name: 0
Phone#:D
Departmental Contact and Title: 1 Nancy Mooney, Contract Specialist 1
Phone #: I 541-322-7516 1
Deputy Director Approval:
Date
Department Director Approval:
Date
3/26/2014
Distribution of Document: Fax or E-mail the signature page and completed, signed
"Document Return Statement" and the signature page to Tami Goertzen;
tami.j.goertzen@state.or.us or (503) 373-7365, fully executed copy to Nancy Mooney.
Official Review:
County Signature Required (check one): 00 SOCC 0 Department Director (if <$25K)
o Administrator (if >$25K but <$150K; if >$150K, SOCC Order No. ____-')
Legal Review ~a"= 2.l!iJ)
Document Number: =20::::..1.:...4.:...-~13=.;:5~____
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Date 1-1-tl
3/26/2014
I
ADMINISTRATIVE SERVICES DIVISION)rQti~rtm'"t ][egalth
of Human Services Office of Contracts and Procurement Authority
John A. Kitzhaber. MD, Governor 250 Winter St NE, Room 306
Salem, OR 97301
Voice: (503) 945-5818
FAX: (503) 378-4324
DOCUMENT RETURN STATEMENT
Re: Amendment #09 -Revised to Agreement #141408 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 of the 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 14,
2015.
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
Office of Contracts and Procurement
John A. Kitzhaber, MD, Governor 250 Winter St NE, Room 306
Salem, OR 97301
Voice: (503) 945-5818 In compliance with the Americans with Disabilities Act, this FAX: (503) 378-4324
document is available in alternate fOlmats such as Braille,
large print, audio recordings, Web-based communications
and other electronic fonnats. To request an alternate f01mat, please send an e-mail
to dhs-oha.publicatiomequest@state.or.us or call 503-378-3486 (voice) or 503
378-3523 (TTY) to arrange for the alternative format.
NINTH AMENDMENT TO
OREGON HEALTH AUTHORITY
2013..2015 INTERGOVERNMENTAL AGREEMENT FOR THE
FINANCING OF COMMUNITY ADDICTIONS AND MENTAL HEALTH
SERVICES AGREEMENT #141408
.. This Ninth Amendment to Oregon Health Authority 2013-2015 Intergovernmental
Agreement for the Financing of Community Addictions and Mental Health Servkes dated as Of
July 1,20 13(as amended, the "Agreement"), is entered into, as of the date ofthe 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 f0l1h
in Exhibit D-l, modify the OWITS Financial Assistance Award set forth in Exhibit D-2, modify
the Exhibit for MHS37-Flexible Funding, add Exhibit MHS 37-Mental Health Supported
Housing and Rental Assistance Services to Service DescriptionMHS 37-Special Projects, and
update section 16., "Purchase and Disposition of Equipment" of Exhibit F, "General Terms and
Conditions". . . . . .
NOW, THEREFORE, in consideration of the premises, covenants and agreements
contained herein and other good and valuable consideration the receipt and snfficiency of which
is hereby acknowledged, the pal1ies hereto agree as follows:
AGREEMENT
1. The financial and service information 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 D-l of the
Agreement that describes the effect of an amendment ofthe financial and service
information. -li t Uld!
LEGAL COUNSE L
DC -20 4-1
2. The financial and service infOimation in the OWITS Financial Assistance are hereby
amended as described in Exhibit 2 attached hereto and incorporated herein by this
reference. Exhibit 2 must be read in conjunction with the portion of Exhibit D-2 of the
Agreement that describes the effect of an amendment of the financial and service
information.
3. Exhibit MHS 37-Flexible Funding, is hereby amended to read in its entirety as set forth in
Exhibit 3 attached hereto and incorporated herein by this reference.
4. The Service Description for MHS 37 in Exhibit B of the Agreement is hereby anlended to
add Exhibit MHS 37-Mental Health Supported Housing and Rental Assistance Services,
in the form attached hereto and incorporated herein by this reference.
5. Exhibit F. "General Terms and Conditions", is hereby amended to read in its entirety as
set f011h in Exhibit 5 attached hereto and incorporated herein by this reference.
6. Capitalized words and phrases used but not defined herein shall have the meanings
ascribed thereto in the Agreement.
7. County represents and walTants to OHA that the representations and warranties of County
set fOlih in section 4 of Exhibit G of the Agreement are true and correct on the date
hereof with the same effect as ifmade on the date hereof.
8. Except as amended hereby, all terms and conditions of the Agreement remain in full
force and effect.
9. 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 parties are not signatories to the same counterpart. Each copy of this Amendment so
executed shall constitute an original.
IN WITNESS WHEREOF, the parties hereto have executed this amendment as of the dates set
forth below their respective signatures.
Deschutes County
By:
Tammy Baney, Chair
Deschutes County Board of Commissioners
Authorized Signature Tine Date
State of Oregon acting by and through its Ol'egon Health Authol'ity .
By:
Authorized Signature Title Date
Document date: 03119/2014 Amendment # 09 -Revised Page 2
Reference # 008
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Exhibit 1 to the 9th Amendment to
Oregon Health Authority
2013~2015 Intergovernmental Agreement fot' the
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Financing of Community Addictions and Mental Health Services Agreement #141408
Document date: 0311912014 Amendment # 09 -Revised Page 3
Reference # 008
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment
2013-2015
(FAAA)
CONTRACTOR: DESCHUTES COUNTY
DATE: 02/14/2014
Contract#:
Reference#:
141408
008
MENTAL HEALTH SERVICES
SECTION: 1
SERVICE REQUIREMENTS MEET EXHIBIT B AND, IF INDICATED, EXHIBIT B-2
Part
start/End
Dates
Client
Code
Approved
Service Funds
Approved
Start-up
Servo
units
Unit
Type
EXHIB B2
Codes
Spec
Cond#
f SEn 37 MHS SPECIAL PROJECTS
A 7/2014-6/2015 N/A $59,219 $0 O. NA N/A---_ M01l9 2 IC 1/2014-6/2014 N/A $532,975 $0 O. NA N/A MOll 9 1 t
SUBTOTAL SEn 37 $592,194 $0
TOTAL SECTION 1 $592,194 $0
TOTAL AUTHORIZED FOR MENTAL HEALTH SERVICES $592,194
TOTAL AUTHORIZED FOR THIS FAAA: $592,194
-
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
CONTRACTOR: DESCHUTES COUNTY Contract#: 141408
DATE: 02/14/2014 REF#: 008
REASON FOR FAAA (for information only):
The funds subject to this amendment are a result of Package 810 of the
Legislative Fiscal Office Analyst Adjustment -Invest in Capacity in
Community Mental Health.
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.
M01l9 1 A) These funds are awarded for the special project described in
Exhibit MHS 37 -Mental Health Supported Housing and Rental
Assistance Services to MHS 37 Service Description. B) The
expenditure of financial assistance awarded for this special
project must result in rental assistance not to exceed $500 per
month, per client and a one-time move-in expense not to exceed
$1,000 per client for 30 unduplicated clients. C) The financial
assistance subject to this special condition will be disbursed to
County in one lump sum after the later of the date of the
Agreement or the date of the amendment that awards the financial
assistance.
M01l9 2 These funds are awarded for the special project described in
Exhibit MHS 37 -Mental Health Supported Housing and Rental
Assistance Services to MHS 37 Service Description.
!
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OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
FAAA Totals
Part A
2013-2015
********************* INFORMATION ONLY *********************
C01-<"'TRACTOR: DESCHUTES COUNTY CONTRACT#: ~41408
DATE: 02/14/2014 REF#: 008
CURRENT CURRENT PROPOSED REVISED
SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL
1 LOCAL ADMIN MENTAL HEALTH SVCS $171,366 $171,366 $0 $342,732
TOTAL SE# 1 $171,366 $171,'366 $0 $342,732
20 NON-RESIDENTIAL ADULT MH SERV $9,015 $7,784 $0 $16,799
20 NON-RESIDENTIAL ADULT MH SERV $151,076 $151,076 $0 $302,152
TOTAL SE# 20 $160,091 $158,860 $0 $318,951
28 RESIDENTIAL TREATMENT SERVICES $478,125 $482,067 $0 $960,192
28 RESIDENTIAL TREATMENT SERVICES $319,195 $319,195 $0 $638,390
TOTAL SE# 28 $797,320 $801[262 $0 $~,598,582
35 OLDER/DISABLED ADULT MH SVCS $18,734 $0 $0 $18,734
TOTAL SE# 35 $18,734 $0 $0 $18,734
37 MHS SPECIAL PROJECTS $0 $0 $59,219 $59,219
TOTAL SE# 37 $0 $0 $59,219 $59,219
39 CSS-HOMELESS $188,000 $0 $0 $188,000
TOTAL SE# 39 $188,000 $0 $0 $188,000
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
2013-20~5
********************* INFORMATION ONLY *********************
CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 141408
DATE: o2/14/20~4 REF#: 008
CURRENT CORRENT PROPOSED REVISED
SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL
$1,335,511 $~, 13~, 488 $59,219 $2,526,218
NOTE: The amounts in the "REVISED TOTAL'" column include amou."1ts reported in the "CURRENT PENDING" column
that have not yet been accepted/a~proved. Therefore, these amounts may change.
, ~
?!IlllIII'!:!~[r!*'!lIIII''1!e';.N''fI'III'!!'ft"~~~''~,''''~''''')~II!!1; ,('!!O) "II:m"~,~~'"}R\i!lMi 1$YP:<SNjM.~N~.,"4)f WVj\f"?¥U!f % h4. 8 ,,4ifi~,II'jMjt(i......Sf, 4itA ; .4!( ~1!l1:ll\! ti,~ i t/fl,lIWI.!IIIIi~:wt9,"'''"''' ;;:;;UIiiiiiI'i,H, .... \ ~~"'L *,iiiiW'i(IiiiIlI!ii!'R... "",JlIfllItIki ""*"* "'.JI\OOiI""""'*".'~ !o!IIolil!t'!\l"M~"'lIl~'i 4ft U,i!I!,~".!'I.~, /. \!\!I_~
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
FAAA Totals
Part B
2013-2015
********************* INFORMATION ONLY *********************
CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 141408
DATE: 02/14/2014 REF#: 008
CURRENT CURRENT PROPOSED REVISED
SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL
20 NON-RESIDENTIAL ADULT MR SERV $443,833 $0 $0 $443,833
20 NON-RESIDENTIAL ADULT MH SERV $235,861 $0 $0 $235,861
TOTAL SE# 20 $679,694 $0 $0 $679,694
22 CHILD & ADOLES ME SERVICES $122,290 $0 $0 $122,290
TOTAL SE# 22 $122,290 $0 $0 $122,290
28 RESIDENTIAL TREATMENT SERVICES $576,000 $0 $0 $576,000
28 RESIDENTIAL TREATMENT SERVICES $364,466 $0 $0 $364,466
TOTAL SE# 28 $940,466 $0 $0 $940,466
31 ENHANCED CARE SERVICES $109,248 $0 $0 $109,248
TOTAL SE# 31 $109,248 $0 $0 $109,248
34 ADULT FOSTER CARE MES $160,349 $0 $0 $160,349
TOTAL SE# 34 $160,349 $0 $0 $160,349
36 PASARR MRS $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 PENDING" column
that have not yet been accepted/approved. Therefore, these amounts may change.
~~",~~.,~,~~,o/'l"-':"""'-''''t...'!t'!'''-''''''''''''''''-~¥'''';M'tt~:~",!!! 8., ~~'~~~~.'~~'""Ii:c:t:,.~"",,,1',,* It • ~~~~'~JJI.! fI' ,1IJ.,~I""t' 1I't''t "'.. f!'Q\lOllilI'<ll.........!!{W ..¥~>I<I ",'~~","!AIi t) ,~~,"1»",*"",, ,~~~'
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
FAAA Totals
Part B
2013-2015
********************* INFORMATION ONLY *********************
CONTRACTOR:
DATE:
DESCHUTES COUNTY
02/14/2014
CONTRACT#:
REF#;
141408
008
SE# DESCRIPTION
CURRENT
APPROVED'
CURRENT
PENDING
PROPOSED
CHANGE
REVISED
TOTAL
$2,032,l19 $0 $0 $2,032,J.19
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 •
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~"""~"'~'f~",,"""~~~~~~~~>""'*f'i lliJ?Pt."¥\"""""'~I'!l'!"!~IIl~~~!O!!"'(j\)i)t, 4 "'''''''l\J!iM,IM,MllI!I' A /ftlliij,;t, f¥A(!~ I I.\KlliIQ;q§fM""'l'lI!!11,~,~'~_I' 1.~""!1'I~ ,,,.w,Of.~JIIg• ....,,, »'.iY;t>"~'l'M'I1.1.,Jlt.~,"'lt 1~ !!f'lIIII'~!l."""i
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
*********************
FAAA Totals
Part C
2013-2015
LNFORMATION ONLY *********************
CONTRACTOR: DESCHUTES
DATE: 02/14/2014
SE# DESCRIPTION
COUNTY
CURRENT
APPROVED
".
ctJR:RENT
PENDING
CONTRACT#:
PROPOSED
CIDINGE
REF#:
141408
008
REVISED
TOTAL
37 MHS SPECIAL PROJECTS $0 $0 $532,975 $532,975
TOTAL SE# 37 $0 $0 $532,975 $532,975
$0 $0 $532,975 $532,975
NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column
that have not yet been accepted/approved. Therefore, these amounts may change.
~"."..~?~~r:lie'~'M"'l""'1"'"\~JO~~~,_~~~""'4,'""" i!:l ,\i~''''''.~1''~ffnll''*!1'_tji U!<'1'5 t,9~~,""I:<I~~~~~"tIlilQ1~J~'AIII'j!N'''''~.><i$~~-.1\ ',~"IIf';IlI!'I"I"'''''~_",d$ 4'\ ,,1ii(lI\'fj ~~ ),4 '1Il"''''~
I!., OREGON HEALTH AUTHORITY
Financ~al Assistance Award Amendment (FAAA)
FAAA Totals
Summary
2013-2015
********************* INFORMATION ONLY *********************
CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 141408
DATE: 02/l4/2014 REF#: . 008
CURRENT CURRENT PROPOSED REVISED
SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL
1 LOCAL ADMIN MENTAL HEALTH SVCS $171,366 $171,36'6 $0 $342,732
TOTAL SE# 1 $171,366 $171,36'6' $0 $342,732
20 NON-RESIDENTIAL ADULT MH SERV $452,848 $7,784 $0 $460,6'32
20 NON-RESIDENTIAL ADULT MH SERV $386,937 $151,076 $0 $538,013
TOTAL SE# 20 $839,785 $158,860 $0 If $998,645
22 CHILD & ADOLES MH SERVICES $122,290 $0 $0 $n2,290
TOTAL SE# 22 $122,290 $0 $0 $122,290
28 RESIDENTIAL TREATMENT SERVICES $1,054,125 $482,067 $0 $1,536,192
28 RESIDENTIAL TREATMENT SERVICES $683,661 $319,195 $0 $1,002,856
TOTAL SE# 28 $1,737,786 $801,262 $0 $2,539,048
31 ENHANCED CARE SERVICES $109,248 $0 $0 $109,248
TOTAL SEff 31 $109,248 $0 $0 $109,248
34 ADULT FOSTER CARE MHS $160,349 $0 $0 $160,349
TOTAL SE# 34 $1:60,349 $0 $0 $160,349
35 OLDER/DISABLED ADULT MH SVCS $18,734 $0 $0 $18,734
NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CUl'ffiENT PENDING" column
that have not yet been accepted/approved. Therefore, these amounts may change.
CONTRACTOR: DESCHUTES COuNTy
DATE: 02/14/2014
SE# DESCRIPTION
TOTAL SE# 35
36 PASARR MRS
TOTAL SE# 36
37 MRS SPECIAL PROJECTS
TOTAL SE# 37
39 CSS-HOMELESS
TOTAL SE# 39
CONTRACT TOTAL
OREGON HEALTH AUTHORITY
Financial Assistance Award A~endment (FAAA)
FAAA Totals
Summary
2013-2015
*****'**************** :INFORMATION ONLY ********************,i.
CONTRACT#: 141408
REF#: 008
CURRENT CURRENT PROPOSED REVISED
APPROVED PENDING CHANGE TOTAL
,
$l8,734 $0 $0 $18,734
$20,072 $0 $0 $20,072
$20,072 $0 $0 $20,072
$0 $0 $592,l94 $592,194
$0 $0 $592,l94 $592,194
$188,000 $0 $0 $188,000
$188,000 $0 $0 $l88,OOO
$3,367,630 $1,131,488 $592,194 $5/0~1/312
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.
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Exhibit 2 to the 9th Amendment to
Oregon Health Authority
2013-2015 Intergovernmental Agreement for the
Financing of Community Addictions and Mental Health Services Agreement #141408
Document date: 03/1912014 Amendment # 09 -Revised Page 4
Reference # 008
'2/7120142:42:34 PM
OREGON HEALTH AUTHORIlY
OWITS FINANCIAL ASSISTANCE AWARD
2013--2015
Exhibit 0-2
CONTRACT Deschutes County CONTRACT#: 141408
NANIE:
EFFECTIVE 71112013 12:00:00 AM AMENDNlENT#: 9•DATE:
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ADDICTIONS AND MENTAL HEALTH ~ERVICES
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SERVICE REQUIREMENTS MEET EXH,IBIT B. MHS 37-FLEXIBLE FUNDING
Deschutes County-14140S
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Fund Source Description Start Date End Date Approved
Funding Level
Payment
Frequency
Special Condition
0806 MH GENERAL FUND NEW
INVESTMENT
01/0112014 0613012014 $200,000.00 Lump Sum These funds are for Mental Health
Prevention and Promotion services. i
0806 MH GENERAL FUND NEW
INVESTMENT
01/0112014 0613012014 $341,192.70 Lump Sum These funds are for Crisis services,
0806 MH GENERAL FUND NEW
INVESTMENT
07/01/2014 06/3012015 $37,910.30 Monthly These funds are for Crisis services.
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Total Authorized Amount $579,103.00
Amendment Reason: The funds subject to this amendment are a result of Package 810 of the Leg1slative Fiscal Office Analyst Adjustment
-Invest in Capacity in Community Mental Health.
Exhibit 3 to the 9th Amendment to
Oregon Health Authority
2013·2015 Intergovernmental Agl'eement for the
Financing of Community Addictions and Mental Healtll Services Ag.·eement #141408
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Document date: 03119/2014 Amendment # 09 -Revised Page 5
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Exhibit MHS 37 -Flexible Funding
MHS Special Projects
1. Service Descl'iption
Promotion, prevention, early identification and intervention of conditions that lead to
mental health, substance use and addiction disorders represent the array of interventions
supp011ed by Flexible Funding. This focus wi1llead to improved outcomes and enhanced
healthcare experiences for individuals as well as reduce overall expenditures.
County will have the flexibility to allocate the funds to meet community needs and
statutory requirements.
Based upon the source of the funds shown in OWITS, County shall prioritize persons to
be served as outlined in ORS 430.644, federal Mental Health and Substance Abuse
Prevention and Treatment block grants, and OAR 309-032-1525. I
COtmty is responsible to establish and maintain a structm'e for meaningful system design
and oversight that includes involvement by individuals and families across all ages that
have or are receiving substance abuse or mental health services.
System design and oversight structure must include:
a. Planning
b. Implementation
c. Monitoring
d. Evaluation of services and supports
e. Involvement in activities that focus on:
(1) Resource allocation
(2) Outcomes
(3) Quality improvement
(4) Advisory councils
2. Performance Requirements
COlUlty shall provide the following Services, subject to availability offunding. Services
may be reduced commensurate with reductions in funding by OHA:
a. Behavioral Health Promotion and Prevention.
(1) Behavioral Health Promotion and Prevention is distinct from treatment.
(2) Behavioral Health Promotion and Prevention is focused on changing
conmlon influences on the development of individuals across their
lifespan, reducing risk factors and increasing protective factors. I
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(3) Behavioral Health Promotion and Prevention is designed to target
-universal, selected and indicated populations based on risk.
(4) Behavioral Health Promotion and Prevention must incorporate the
Strategic Planning Framework (SPF). The SPF provides an effective,
comprehensive prevention process and a common set of goals to be
adopted and integrated at all levels. TIlis process is built upon state and
local data assessment, building capacity, development of a comprehensive
strategic plan, implementation of evidence~based strategies, and
evaluation of work.
(5) The SPF takes a public health approach to prevent community problems.
The focus is on change for entire populations, coJlections of individuals
who have one or more personal or environmental characteristics in
common. Population~based public health considers an entire range· of
factors that determine health.
(6) The SPF strives to infuse data in decisions made across all steps.
Deliberate processes to collect, analyze, interpret and apply lessons from
data will drive state prevention efforts.
b. Outreach (Case Finding), Early Identification and Screening. Assessment and
Diagnosis.
(1) Outreach: Partner with healthcare providers and other social service
partners who provide screening for the presence of behavioral health
conditions to facilitate access to appropriate services.
(2) Early Identification and Screening: Conduct periodic and systematic
methods that identify individuals with behavioral health conditions and
potential physical health consequences of behavioral health conditions
which consider epidemiological and community factors, as identified in
the Biennial Implementation Plan (BIP), or Regional Health Improvement
Plan (RHIP) as applicable, pursuant to Exhibit C;
(3) Assessment and Diagnosis: Perform multidimensional biopsychosocial
assessment as appropriate based on OAR 309 w 032 w 1525 to guide person w
centered services and supports planning for behavioral health and co~
existing physical health conditions.
(a) Use the following standardized protocols and tools to identify the
level of service need and intensity of care and coordination,
addressing salient characteristics such as age, culture and language.
1. American Society of Addiction Medicine (ASAM) for
individuals receiving alcohol and drug services
ii. Level of Care Utilization System (LOCUS) for adults
transitioning between the state hospitals, licensed mental health
residential services and intensive community services.
"Intensive community services" are defined as assertive
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community treatment, intensive case management and
supported/supportive housing.
iii. Level of Service Intensity Determination for children including
use of Child and Adolescent Service Intensity Instl1.1ment
(CASU) and Early Childhood Service Intensity Instrument
(ECSJI) for children receiving services with an Intensive
Community-Based Treatment and Support Services or
Intensive Treatment Services as described in OAR 309-032
1540 (5 and 6).
(b) Identify individuals who need intensive care coordination.
c. Initiation and Engagement.
Promote initiation and engagement of individuals receiving services and supports
which may include but are not limited to:
(1) Brief motivational counseling;
(2) Supp0l1ive services to facilitate pat1icipation in ongoing treatment; and
(3) Withdrawal management for Substance Use and Addiction Disorders,
supportive phatmacotherapy to manage symptoms and adverse
consequences of withdrawal, following assessment.
d. Therapeutic Interventions.
(1) General Community Based Services which may include:
(a) Condition management and a whole person approach to single or
multiple chronic conditions based on goals and needs identified by
the individual;
(b) General outpatient services;
(c) Medication Management for:
i. Mental Health disorders
ii. Substance Use disorders
(A) Includes pharmacotherapy for adults diagnosed with
opioid dependence, alcohol dependence or nicotine
dependence and without medical contraindications.
Publicly funded programs will not discriminate in
providing access to services for individuals using
medications to treat and manage addictions.
(B) Pharmacotherapy, if prescribed, should be provided
in addition to and directly linked with psychosocial
treatment and support.
(d) Detoxification for alcohol and drug dependent individuals under
OAR 415-012-0000 through 415-012-0090 and 415-050-0000
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through 415-050-0095 and the equivalent type of service for
pathological gamblers. Supp0l1ive pharmacotherapy may be
provided to manage the symptoms and adverse consequences of
withdrawal, based on a systematic assessment of symptoms and
risk of serious adverse consequences related to the withdrawal
process.
(e) Meaningful individual and family involvement; and
(1) Services provided by peers. The County is encouraged to make
available services and supports delivered by peers. If the County
lacks these services and supports, the County is encouraged to
develop a plan to expand the array of services and supports
provided by peers in a manner that is consistent with their Biennial
Implementation Plan (BIP), or Regional Health Improvement Plan
(RHIP) as applicable, and in consultation with AMH.
(2) Provide Crisis Services including but not limited to 24 hoUl's a day. seven
days a week screening to determine the need for immediate services f01'
any individual requesting assistance or for whom assistance is requested.
(3) Mobile crisis services al'e crisis services delivered in a person's home, a
public setting, in a school, in a residential program or in a hospital to
enhance community integration. Mobile crisis services may include:
(a) Mental health crisis assessment
(b) Brief crisis intervention
(c) Assistance withplacement in crisis respite or residential services
(d) Initiation of civil commitment process if applicable,
(e) Assistance with hospital placement, and
(1) Connecting individual with ongoing services and supp0l1s.
(4) Provide Pre-Commitment Services:
(a) Pre-commitment investigation
(b) Treatment planning and referral
(c) Adherence to the individual's rights through all legal proceedings,
(5) Provide Acute Care Services in accordance with ORS 430.630 and ORS
426.241. Except as provided by ORS 426.241(1), which states that "[t]he
county is responsible for the cost when state funds available therefore are
exhausted," Cmmty need only provide services up to the ftmding amount
outlined in the document found at
http://www.or~n.gov/OHAlamh/Pages/rep0l1in~qs.a~llli
Acute Care Services shall be provided to:
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(a) An individual in need of emergency hold services under ORS
426.232 and ORS 426.233.
(b) An individual committed to Oregon Health Authority under ORS
426.130.
(c) An individual voluntarily seeking crisis services provided that
service capacity is available and the individual satisfies one or
more of the following criteria:
i. The individual is at high risk for an emergency hold or civil
commitment without voluntary inpatient psychiatric
services; or
ii. The individual has a history of psychiatric hospitalization
and is beginning to decompensate and for whom a short
period of inpatient psychiatric treatment may provide
stabilization; or
iii. The individual is an appropriate candidate for inpatient
psychiatric treatment but other inpatient psychiatric
treatment resources are unavailable.
(6) Provide monitoring and supervision services, described below, to all
individuals under the Jurisdiction of the Psychiatric Security Review
Board (pSRB) 01' the Juvenile Psychiatric Security Review Board (JPSRB)
that have been referred to County:
(a) Assessment and evaluation for the Court and the PSRB 01' JPSRB
of an individual for Conditional Release from a state hospital or
facility designated by OHA 01' placement on a waiting list for
cOllditionall'elease from a state hospital or facility designated by
OHA to determine if the individual can be treated in the
community; this includes identification of the specific
requirements for the community placement of an individual.
(b) Supervision and Urinalysis Drug Screen consistent with the
Conditional Release Order.
(c) Coordination with a state hospital or facility designated by OHA
on transition activities related to conditionall'elease of an
individual.
(d) Administrative activities related to the supervision services
described above, including but not limited to:
i. Modification of Conditional Release Orders.
ii. Revocations of conditional release.
iii. Admission or re-admission to a state hospital.
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iv. Respond to Law Enforcement Data System (LEDS)
notifications as a resuH of contact by the individual with
law enforcement agencies.
(7) Provide alcohol and drug treatment services in accordance with ORS
813.270. County shall be responsible for meeting service targets
communicated by the Oregon Health Authority and are subject to regular
review and reconciliation.
Treatment program and Driving under the Influence ofIntoxicants (DUII)
information program services shall be provided to:
(a) Individuals who enter diversion agreements under ORS 813.200
and who are found to be indigent.
(b) Individuals required to comply with the obligations imposed under
ORS 813.020 or ORS 471.432 and who are found to be indigent.
OHA may redistribute the funding allocations quarterly, based on
utilization data. .
(8) Provide Secured Transport.
(9) Provide Supported Employment (SE) services in a manner that is
consistent with fidelity standards established in OAR 309-016-0825
through 309-016-0855 and consistent with their BIP, or RHIP as
applicable. If County lacks qualified Providers to deliver SE services and
supports, County shall implement a plan, in consultation with AMH, to
develop a qualified Provider network to access SE.
(10) Assertive Community Treatment (ACT) and Early Assessment and
SUPPOIi Alliance (EASA). When providing these services, the County
shaH provide ACT and EASA services in a manner that is consistent with
fidelity standards established by AMH and which incorporate the
following;
(a) Assess individuals to determine whether ACT and EASA services
and suppOlis are appropriate.
(b) Provide those services with the individual's engagement and
choice.
(c) EASA services are to be provided to young adults aged 14 to 24
who:
1. Have an lQ of70 or above,
ll. Have not received treatment for a psychotic illness prior to
the last 12 months, and
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111. Have psychotic symptoms not known to be caused by the
temporary effects of substance intoxication, major
depression, or attributable to a known medical condition.
(d) EASA services shall also include
1. Rapid access to psychiatric and counseling services
it Education about causes, treatment and management of
psychosis
iii. Coaching on rights regarding access to employment,
school, housing and additional resources
iv. Family psycho-education and support groups
v. Support for vocational education and independent living
goals
vi. Access to local teams including psychiatrists, social
workers, psychologists and occupational therapists
(e) The assessment and ACT or EASA services and supports must be
provided by Providers that meet fidelity standards found at
l1ttp:llwww.oregon.gov/OIJAJamhlPages/reporting-regs.asR~.
(f) Ifthe County lacks qualified Providers to deliver ACT or EASA
services and supports, the County is encouraged to develop a plan
to develop qualified Provider network or to access ACT or EASA
for individuals in a manner that is consistent with their BIP, or
RHIP as applicable, and in consultation with AMH.
(1I) Provide pre-booking and post-booking jail diversion services that increase
interaction with justice-involved people with Serious and Persistent
Mental Illness (SPMI) that result in the reduction or avoidance ofjail time
through the availability of alternative community based services,
programs, or treatment approaches.
(a) Create partnerships or diversion agreements between law
enforcement agencies, jails, both circuit and municipal courts, and
local mental health providers.
(b) Create opportunities for individuals to access housing in addition
to vocational and educational services.
(c) IJ rovide support services to prevent or curtail relapses and other
crises.
(d) Assist people to negotiate and minimize continuing criminal
sanctions as they make progress in recovery and meet criminal
justice obligations.
(e) Promote peer support and the social inclusion of individuals with
or in recovery from mental and substance use disorders in the
community.
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e. Continuity of Care and Recovery Management.
(l) Continuity of Care
(a) Coordinate and facilitate access to appropriate housing services
and community supports in the individual's community of choice.
(b) Facilitate access to appropriate levels of care and coordinate
management of services and supports based on an individual's
needs in the community of choice.
(c) Facilitate access to services and supports provided in the
community and individual's home designed to assist children and
adults with mental health disorders whose ability to function in the
community is limited and for whom there is significant risk of
higher level of care needed.
(d) Coordinate with other agencies to provide intensive care
coordination sufficient to help individuals prevent placement in a
more restrictive level of care and to be successfully served in their
conununity of choice.
(2) Recovery Management
(a) Continuous case management.
(b) Monitoring of conditions and ongoing l'ecovery and stabilization.
(c) Individual and family engagement.
(d) Transition planning that addresses the individual's needs and
goals.
3. Special Reporting Requirements
a. Biennial Implementation Plan (BIP) as identified in ORS 430.630 (9) (c) except
for Central Oregon counties subject to the Regional Health Improvement Plan
(RHIP) as identified in Senate Bill 204 (2011), Section 16. The components of the
RHIP are identified in OAR 309-014-0320.
(1) Components of the BIP or RHIP can be found at
http://www.orgeon.gov/OHAIamhlPageslreporting-regs.aspx
(2) Submit BIP, or RHIP as applicable, in compliance with AMH BIP Policy
and Procedures as specified in OHA's BIP Guidelines located at:
http://www.oregon.gov/OHAIamhiPages/rep0l1ing-regs.aspx. For counties
subject to the RHIP, submit RHIP in compliance with OAR 309-014
0340.
(a) 2015-2017 BIP or RHIP due to OHA no later than March 1, 2015.
County must pm1icipate in the collaboration process for revisions
that result in an approved BIP or RHIP.
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b. Supported Employment Services
(1) County shall submit a written quarterly summary report, on delivery of
Supported Employment services funded in whole or in part with funds
provided under this Special Project, to OHA no later than the 15th of
October, January, April, and July during the period for which funds are
awarded fOI' Supp0l1ed Employment under tIus Agreement.
(2) Reports must be prepared using fOlms and procedures prescribed by OHA.
c. EASA:
(1) Counties providing EASA services directly to clients will submit data as
specified to the EASA Center for Excellence.
(2) For Counties in the implementation phase, a report will be developed to
describe progress made in implementing the described plan within the
EASA solicitation to include staffhired, trained, community outreach
efforts and expected start date of service provision.
(3) Quarterly and yeru·~towdate budget expenditures.
(4) Providers must prepare and submit a written anllual summary of project
accomplishments and challenges and a narrative interpretation of project
data on outcomes, including fidelity review outcomes. Reports must be
prepared using f01111s and procedures prescribed by OHA, and sent to:
Oregon Health Authority
Addictions and Mental Health Division
Attention: Young Adult Services Coordinator
500 Summer Street N.E. E86
Salem, OR 97301-1118
d. PSRB/JPSRB Supervision Services
(1) County must submit a copy of the Conditional Release Order to AMH for
all individuals conditionally released into the community each month no
later than15 calendar days following the month the conditional release
occurred.
(2) PSRB/JPSRB monthly progress report: County must submit a copy of
each individual's monthly progress report to the PSRB/JPSRB directly,
with a copy to OHA no later than 15 calendar days following the month
supervision services were delivered.
e. Jail Diversion
(1) For Services fully or partially funded with this financial assistance:
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(a) Repol1 the total number of people that received services designated
as pre-booking or post-booking diversion. Break out the following
information:
1. Rep0l1 the number of people that received services
designated as pre-booking diversion.
ii. Rep011 the number of people that were arrested that
received services designated as post-booking diversion.
(b) Report the number of incidences where charges were dismissed or
dropped as a result ofjail diversion services.
(c) Report the number of people that were divelted from the Oregon
State Hospital for 161.3 70 aid & assist services.
(d) RepOlt the charges for which people were atTested that received jail
diversion services.
(e) Provide a description ofjail diversion services that people received
in the ClltTent repOlting period.
(f) Provide a detailed description of any jail diversion service created
prior to the current reporting period.
(g) Provide infOlmation regarding any activities related to jail
diversion that involve law enforcement agencies, jails, circuit ana
municipal COUlts, conununity corrections, and local mental health
providers.
(2) The repot1ing schedule is as follows:
Data from July I-December 31, 2013 due February 14,2014
Data from January I-June 30, 2014 due August 15,2014
Data from July I-December 31, 2014 due February 14,2015
Datafi'om January I-June 30, 2015 due August 15,2015
(3) Data will be submitted on a form provided by AMH.
f. Co-management
COlmty shall facilitate transition of individuals at a state hospital campus within
30 calendar days following the Ready To Transition (RTf) date as detelmined by
the Oregon State Hospital (aSH).
OHA may reduce the monthly allocation, associated with this Special Project,
when the County is identified by aHA as the County of Responsibility of a
patient at a state hospital campus and the patient exceeds the RTf date by more
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than 30 days. The reduction of the monthly allocation will be based on the
following table:
Days Beyond RTT Percentage of State Hospital Cost of
Care
0 30 0%
31-60 25%
61 90 50%
91 120 75%
121 and over 100%
The percentage ofthe cost of care will be reduced by an additional 50% if the
County's patient Average Daily Population (ADP) or identified OHA approved
multi-county region's ADP is at or below the ADP Targets established by OHA
as indicated at http://www.Ol'egon.gov/OHAlamhlPagesireporting-reqs.aspx
State hospital cost of care will be identified in the cunent Institutional Cost of
Care Rates Repol1 published by the Oregon State Hospital Financial Services
Division at http://www.oregon.gov/OHAlamhlosh/cost-of-care.shtml
An appeal of the reduction in funds related to co-management may be sent in
writing to OHA when the procedural problems not related to the County's actions
interfered with the County's ability to facilitate transition from the state hospital.
All appeals must be submitted in writing.
Submit appeal as indicated at http://www.oregon.gov/OHAlamhloshlcost-of
care.shtml
4. Data Reporting
a. The following reporting is required as applicable:
(1) All individuals receiving Services with funds provided under this Special
Project must be enrolled and that client's record maintained in either:
(a) the Client Processing Monitoring System (CPMS) as specified in
OHA's CPMS manual located at:
http://www.oregon.gov/OHAlamh/Pages/reporting-reqs.aspx; or
(b) the Measures and Outcomes Tracking System (MOTS) as specified
in OHA's MOTS manual located at:
htln:llwww.oregon.gov/OHAlanlh/Pages/reporting-regs.as!lli.
Over the next two years, AMH will be closing the CPMS system and
replacing it with the MOTS system. Providers will be notified ofthe
change.
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(2) Ifthe Services are provided in a designated psychiatric acute care setting,
the Services must be repo11ed in Oregon Patient and Resident Care System
(OPIRCS) by the hospital providing the service, as specified in the
OP/RCS Manual located at
http://www.oregon.gov/OHAlamh/Pages/reporting~reqs.aspx,
(3) Submission of applicable substance abuse prevention data via the
Minimum Data Set for Prevention (MDS). All substance abuse prevention
services delivered by County or its Providers must be entered into MDS
on a quarterly basis. The MDS system can be found on the internet at:
https:llmds.hr.state.or.us
Mental Health Promotion and Prevention service activity shall be captured
by submitting qua11erly' expenditure and service reports to OHA subject
to this Special Project as indicated at
http://www.oregon.gov/OHAlamhlPages/repo11ing-reQs.as.Qlf.
(4) Submission of applicable gambling services data as defined in the
Gambling Process Management System (OPMS) Manual located at
http://www.oregon.gov/OHAlamhlPages/reporting~reqs.aspx.
(5) County must pruiicipate in User Acceptance Testing and implementation
activities for a new reporting system as designated by OHA. Once Testing
has been completed, County must ensure data is submitted for all
individuals receiving services with funds provided under this Special
Project by way of one ofthe following options:
(a) comply with data submission using the Oregon Web Infi'astructure
for Treatment Services (OWITS) system as specified in the OHA
OWITS Memorandum ofUnderstanding located at:
http://www.oregon.gov/OH~amh/Pages/reporting-re<.}s.as.Qlf. or
(b) comply with the data submission specifications for SUbmitting data
using File Transfer from an existing Electronic Health Record
(other than OWITS) as specified in the AMH File Transfer
Specifications located at
http;!lWVfW.oregon.gov/OHA/amh/Pa~s/rep9.Iting-reg~.J!~M, or
(c) comply with data submission specifications by entering data in the
Minimum Data Entry (MDE) application as specified in the AMH
MDE user manual located at:
http://www.oregon.gov/OHAlamptPages/reporting-regs.aspx. I
(6) Submission ofrep011s for child and adolescent mental health services I
provided with funds under this Special Project as applicable: f
f(a) comply with Level of Service Intensity Determination Data located
at: h1.tPj/www.oregon.gov/OHAlamh/Pages/reporting-reqs.aspx, or
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(b) comply with Integrated Service Array (lSA) Progress Review
Repo11located at:
ht!P...11~.oregon.gov/OfIA/amh/Page~/rep()rting-11m~,asp'f.
b. The rep011ing schedule is as follows:
(1) Claims paid data from July I-December 31,2013 due February 14,2014
(2) Claims paid data from January I-June 30, 2014 due August 15,2014
(3) Claims paid data from July I-December 31,2014 due February 14,2015
(4) Claims paid data from January I-June 30, 2015 due August 15,2015
5. Financial Reporting
a. County shall submit all Financial Reports as indicated at
http://www.oregon,gov/OHAlamhlPages/reporting-reqs,aspx
b. County shall submit a nan-ative that addresses the following:
(1) Utilization of existing services and programs;
(2) Innovative strategies, programs or services which have been implemented;
(3) Strategies, programs or services that are being planned;
(4) Barriers experienced when planning, implementing or providing services
or programs; and
(5) Analyzing the service data they have reported.
c. The reporting schedule is as follows:
(1) Data from July I-December 31,2013 due February 14,2014
(2) Data from January I-June 30, 2014 due August 15,2014
(3) Data from July I-December 31, 2014 due February 14,2015
(4) Data from January I-June 30, 2015 due August 15,2015
6. Financial Assistance Calculation, Disbursement & Reconciliation ProecdUl'es
a. Calculation of Financial Assistance.
OHA will provide financial assistance identified in Exhibit 0-2, "OWITS
Financial Assistance Award", from funds identified on that line in an amount
equal to the amount set forth in that line of the OWITS Financial Assistance
A ward, subject to the following:
Total OHA financial assistance for this Special Project under a pru1icular line of
Exhibit D-2, "OWITS Financial Assistance Award", shall not exceed the total
funds awarded for this Special Project as specified on that line.
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b. pisbursement of Financial Assistance.
aHA will disburse the funds awarded for this Special Project on a particular line
of Exhibit D-2, "OWITS Financial Assistance Award", to County in substantially
equal monthly allotments dlUing the period specified in the a WITS Financial
Assistance Award, subject to the following:
(1) Upon amendment to the OWITS Financial Assistance Award, aHA shall
adjust monthly allotments to reflect changes in the funds awarded for this
Special Project on that line of the OWITS Financial Assistance Award.
c. Calculation of Incentive Payment:
aHA will provide incentive payments (as indicated at
http://www.oregon.gov/OHAlamhlPages!l.eporting-reqs.as~ identified in
Exhibit D-2, "OWITS Financial Assistance Award", with a special condition
attached.
d. Disbursement of Incentive Payment:
aHA will disburse the funds awarded for this Special Project incentive payment
on a pm1iculal' line of Exhibit D-2, "OWITS Financial Assistance Award", to
County in a one-time payment during the period specified in the OWITS
Financial Assistance Award.
e. Agreement Reconciliation:
Agreement Reconciliation will be used to:
(1) Verify services were provided to priority populations and County
complied with specific funding stream req uirements, using data propedy
reported as required in this Special Project.
(2) Verify County service delivery is consistent with the aHA approved BIP
or RHIP as identified in Exhibit C.
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Exhibit 4 to the 9th Amendment to
Oregon Health Authority
2013~2015 Intergovernmental Agreement for the
Financing of Community Addictions and Mental Health Services Agreement #141408
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EXHIBIT MHS 37 -Mental Health Supported Housing and Rental Assistance Services to
MHS 37 Service Description
MHS Special Project (Special Procurement #3732)
1. Service Description
Rental Assistance Services (RAS) are intended to assist individuals who are 18 years of
age or older with serious mental health illness in paying for rental housing, as defined in
OAR 309-032~0311 (17) and who meet at least one of the followi~g criteria:
a. Transitioning fl:om the Oregon State Hospital (OSH);
b. Transitioning from a licensed l'esidential setting;
c. Without supported housing are at risk of reentering a licensed residential or
hospital setting. For purposes of this special project, supported housing is a
combination of financial assistance and SUPP011ive services that allows an
individual to live as independently as possible in their own home;
d. Homeless-as defined in 42 USC§ 11302; or
e. At risk of being homeless.
Supp0l1ed Housing services allow individuals to live as independently as possible in the
community and to access the appropriate support services.
2. Performance Reguh'ements
a. Rental Assistance Services:
Rental assistance payments per client sh811not exceed $500 per month. Payments
for rental assistance made on behalf of individuals cover payment to landlords or
specific vendors for a portion of the monthly rent; or payment to specific vendors
for resident utility expenses.
Move-in expense payments per client shall not exceed $1000, Payments for move
in costs may include cleaning and security deposits, pet deposits and outstanding
utility bills.
County shall annually inspect or have inspected rental housing units subject to this
special project to assure unit passes the criteria outlined in the AMH approved
Housing Condition Checklist located at
http:/hNww.oregon.gov/OHAlamhlPages/reporting-reqs.aspx.
b. Supported Housing Services:
Supp0l1ed housing services include the funding for a residential specialist position
and a peer support specialist position. For purposes of this special project, the
residential and peer support specialist positions are responsible for coordinating
the program components; such as application process, finding a rental unit, and
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payments to the landlord, with the SUppOlt service components, including, but not
limited to, financial budgeting, community navigation, and maintaining healthy
relationships; which support individuals in their ability to live as independently as
possible in the community. These funds cannot be used to ftmd other county
positions.
c. Tar~eted outcomes include:
(1) Decreasing the OSH readmission rate;
(2) Decreasing Length Of Stay (LOS) in structured residential housing; and
(3) Increasing number of civilly committed and PSRB clients transitioning to
independent living.
d. Administrative Costs:
Administrative costs may not exceed 15% of total operating budget. Eligible
Administrative costs include:
(1) RAS data collection and documentation of service delivery in compliance
with state and federal requirements.
(2) Payment for housing inspection services, accounting services, computer
upgrades, supervision of program staff, expenses associated with program
office space, etc.
Utilization requirements for Mental Health Rental Assistance Services providel's
will be identified in a special condition in a particular line in the Financial
Assistance Award.
3. Special Reporting Requirements
a. For each calendar quarter (or portion thereof) during the period f01' which
financial assistance is awarded under this Agreement for RAS, the County shall
submit written quarterly reports on the delivery of RAS no later than thirty (30)
calendar days after the end of the subject quarter.
Repo11s shall include the following information:
(I) How many units are occupied on a monthly basis;
(2) How many months did the resident occupy the unit;
(3) Why did the resident vacate the unit:
(a) Moved to another apartment, remained in the program;
(b) Landlord Eviction, if so why;
(c) Resident gave 30-day notice, if so why;
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(4) What services are the residents participating in the most; and
(5) What are the biggest barriers to resident pruticipation in services.
RepOlts must be prepared using forms and procedures prescribed by OHA and .
submitted to:
Oregon Health Authority
Addictions and Mental Health Division
Attention: Contracts Administrator
500 Summer Street N.E. E86
Salem, OR 97301 ~1118
b. All individuals receiving services with funds provided under this Agreement must
be emolled and that client's record maintained in either:
(1) the Client Processing Monitoring System (CPMS) as specified in OHA's
CPMS manual located at:
http://www.oregon.gov/OHAlamhltraining/cpmslindex.shtmi, and as it
may be revised from time to time; or
(2) the Measures and Outcome Tracking System (MOTS) as specified in
OHA's MOTS manual located at:
http://www.oregon.gov/OHAlamhlpages/compassielectronic-data
capture.aspx, and as it may be revised from time to time.
Over the next two years, AMH will be closing the CPMS system and replacing it
with the MOTS system. Providers will be notified of the change.
4. Financial Assistance Calculation, Disbursement and Settlement Procedures
a. Calculation of Financial Assistance. OHA will provide financial assistance to
County for SuppOlted Housing and Rental Assistance Services identified in a
prutiClllru' line of Exhi bit D-] , Financial Assistance Award in an amount equal to
the amount of cash assistance actually paid by County on behalf of the clients for,
Services as described above, under that line of Exhibit D-l, Financial Assistance
Award during the period specified in that line, subject to the following:
(1) Total OHA financial assistance for all Rental Assistance Services
delivered under a particular line of the Exhibit D-l, Financial Assistance
Award shall not exceed the total funds awarded for Rental Assistance
Services as specified in that line of Exhibit D-1, Financial Assistance
Award; .
(2) OHA is not obligated to provide financial assistance for any Rental
Assistance Services that are not properly repOlted to OHA in the quruterly
rep0l1s described above.
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b. Disbursement ofFinancial Assistance. Unless a different disbursement method is
specified in that line of Exhibit 0-1, Financial Assistance Award, aHA will
disburse the funds awarded for RAS in a PaI1iculal' line of Exhibit 0-1, Financial
Assistance Award, to County in substantially equal monthly allotments dl1ling the
period specified in that line of Exhibit 0-1, Financial Assistance Award, subject
to the following;
(1) aHA may after 30 days (unless parties agree otherwise) wtitten notice to
County, reduce the monthly allotments based on under-utilized allotments
identified through the required qualterly reports;
(2) aHA may, upon written request of County, adjust monthly allotments; and
(3) Upon amendment to Exhibit 0-1, Financial Assistance Award, OHA shall
adjust monthly allotments as necessary, to reflect changes in the funds
aWal'ded for RAS on that line of Exhibit 0-1, Financial Assistance Award.
c. Agreement Settlement. Agreement Settlement will reconcile any discrepancies
that may have occun'ed during the telID of this Agreement between actual OHA
disbursements of funds awarded for RAS under a particular line of Exhibit 0-1,
Financial Assistance AWal'd, and amounts due for such services provided by
County based on the cash assistance paid on behalf of the individuals for rental
assistance, rental utility and move-in expenses, program staff funds expended, and
administration of tlris special project as properly reported in the quarterly repOlts
described above and subject to the utilization requirements in a special condition
on that line of the Financial Assistance Award.
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Exhibit 5 to the 9th Amendment to
Oregon Health AuthoIity
2013-2015 Intergovernmental Agreement for the
Financing of Community Addictions and Mental Health Services Agreement #141408
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2013-2015 INTERGOVERNMENTAL AGREEMENT
FOR THE FINANCING OF COMMUNITY ADDICTIONS AND MENTAL HEALTH
SERVICES
EXHIBITF
GENERAL TERMS AND CONDITIONS
1. Disbursement and Recovery of Financial Assistance.
a. Disbursement Generally. Subject to the conditions precedent set f01th below,
OHA shaH disburse the financial assistance described in the Financial Assistance
Award to County in accordance with the procedures set forth below and, as
applicable, in the Service Descriptions and the Financial Assistance A ward.
Disbursement procedures may ValY by Service.
(1) Disbursement of Financial Assistance Awarded for Services in
Financial Assistance Award. As set f011h in the Service Descdption for
a particular Service, OHA will generally disburse financial assistance that
is described in the Financial Assistance Award to County in monthly
allotments in advance of actual delivery of the Service.
(2) Disbursements Remain Subject to Recovery. All disbursements of
financial assistance under this Agreement, including disbursements made
directly to Providers, remain subject to recovery £i'om County, in
accordance with Section 1.c.(1), as an Underexpenditure, Overexpenditure
or Misexpenditure.
b. Conditions Precedent to Disbursement. OHA's obligation to disburse financial
assistance to County lmder this Agreement is subject to satisfaction, with respect
to each disbursement, of each ofthe following conditions precedent:
(1) No County default as described in Section 6 of Exhibit G has occ~11'red.
(2) County's representations and warranties set forth in Section 4 of Exhibit G
are true and correct on the date of disbursement with the same effect as
though made on the date of disbursement.
c. Recovery of Financial Assistance.
(1) Notice of Underexpenditure, Overcxpenditurc or Misexpenditm'c. If
OHA believes there has been an Underexpenditure 01' Overexpenditure (as
defined in Exhibit A) of moneys disbmsed under this Agreement, OHA
shall provide County with written notice thereof and OHA and County
shall engage in the process described in Section 1.c.(2) below. lfOHA
believes there has been a Misexpenditure (as defined in Exhibit A) of
moneys disbursed to County under this Agreement, OHA shall provide
County with written notice thereof and OHA and County shall engage in
the process described in Section I.e.(3) below.
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(2) Recovell' of Underexpenditurc or Overexpenditure.
(a) County's Response. County shall have 90 calendar days from the
effective date of the notice of Under expenditure or
Overexpenditure to pay OHA in full or notifY OHA that it wishes
to engage in the appeals process set fot1h in Section l.c.(2)(b)
below. If County fails to respond within that 90 day time period,
County shall promptly pay the noticed Underexpenditure or
Overexpenditure.
(b) Appeals Process. If County notifies OHA that it wishes to engage
in the appeals process, County and OHA shall engage in non
binding discussions to give the County an opportunity to present
reasons why it believes that there is no Underexpenditure or
Overexpenditure, or that the amount of the Underexpenditure or
Overexpenditure is different than the amount identified by OHA,
and to give OHA the oppot1unity to reconsider its notice. County
and OHA may negotiate an appropriate apportionment of
responsibility for the repayment of an Underexpendihu'e or
Overexpenditure; At County request, OHA will meet and
negotiate with County in good faith concerning appropriate
apportionment of responsibility for repayment of an
Underexpenditure or Overexpenditure. In detemlining an
appropriate apportionment of responsibility, County and OHA may
consider any relevant factors. An example of a relevant factor is
the extent to which either party contributed to an interpretation of a
statute, regulation or rule prior to the expenditure that was
officially reinterpreted after the expenditure. If OHA and County
reach agreement on the amount owed to OHA, County shall
promptly repay that amount to OHA by issuing payment to OHA
or by directing OHA to withhold future payments pursuant to
Section 1.(c)(2)(c) below. JfOHA and County continue to
disagree as to whether there has been an Underexpenditure or
Overexpenditme or as to the amount owed, the parties may agree
to consider ftu1her appropriate dispute resolution processes,
including, subject to Depru1ment of Justice and County Counsel
approval, arbitration.
(c) Recovery From Future Payments. To the extent that OHA is
entitled to recover an Underexpenditure 01' Overexpenditure
pursuant to Section 1.c.(2), OHA may recover the
Underexpcnditure or Overexpenditure by offsetting the amount
thereof against ftlture amounts owed to County by OHA,
including, but not limited to, any amount owed to County by OHA
undet· any other contract or agreement between County and OHA,
present or future. OHA shall provide County written notice of its
intent to recover the amount of the Underexpenditure or
Ovel'expenditure from amounts owed County by OHA as set forth
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in this Section, and shall identify the amounts owed by OHA
which OHA intends to offset, (including the contracts or
agreements, if any, under which the amounts owed arose and from
those OHA wishes to deduct payments from). County shall then
have 14 calendar days from the date of OHA's notice in which to
request the deduction be made from other amounts owed to County
by OHA and identified by County. OHA shall comply with
County's fequest for alternate offset. In the event that OHA and
County are unable to agree on which specific amounts, owed to
County by OHA, OHA may offset in order to recover the amount
of the Underexpenditure Of Overexpenditure, then OHA may select
the particular contracts or agreements between OHA and County
and amounts from which it will recover the amount of the
Underexpenditure or Overexpenditure, after providing notice to the
County and within the fol1owing limitations: OHA shall first look
to amounts owed to County (but unpaid) under this Agreement. If
that amount is insufficient, then OHA may look to any other
amounts currently owing or owed in the future to County by OHA.
In no case, without the prior consent of County, shall OHA deduct
from anyone payment due to County under the contract or
agreement it-om which OHA is offsetting funds an amount in
excess of twenty-five percent (25%) of that payment. OHA may
look to as many future payments as necessary in order to fully
recover the amount of the Underexpenditure or Overexpenditure.
(3) Recovery of Misexpcnditure.
(a) COUllty'S Response. From the effective date of the notice of
Misexpenditure, County shall have the lesser of (1) 60 calendar
days. or (2) if a Misexpenditure relates to a federal government
request fOf reimbursement, 30 calendar days fewer than the
number of days (if any) OHA has to appeal a final written decision
from the federal government, to either:
i. Make a payment to OHA in the full amount of the noticed
Misexpenditure identified by OHA; or
ii. Notify OHA that County wishes to repay the amount of the
noticed Misexpenditure from future payments pursuant to
Section 1.c.(3)(c). below; or
iii. Notify OHA that it wishes to engage in the applicable
appeal process set fmth in Section l.c.(3)(b). below.
If County fails to respond within the time required by this Section,
OHA may recover the amount of the noticed Misexpenditure from
future payments as set fOlih in Section l.c.(3)(b). below.
(b) Appeal Process. If County notifies OHA that it wishes to engage
in an appeal process with respect to a noticed Misexpenditure-, the
parties shall comply with the fol1owing procedures, as app1icable:
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i. AppeaJ from OHA-Identified Misexpenditure. If OHA's
notice of Misexpenditure is based on a Misexpenditl.lre
solely of the type described in Section 21 (b) or (c) of
Exhibit A, County and aHA shall engage in the process
described in this Section to resolve a dispute regarding the
noticed Misexpenditure. First, County and aHA shall
engage in non~binding discussions to give the County an
opportunity to present reasons why it believes that there is,
in fact, no Misexpenditure or that the amount of the
Misexpenditure is different than the amount identified by
OHA, and to give aHA the opp0l11.1nity to reconsider its
notice. County and OHA may negotiate an appropriate
apportionment of responsibility for the repayment of a
Misexpenditure. At County request, aHA will meet and
negotiate with County in good faith conce11ling appropriate
app0l1ionment of responsibility for repayment of a
Misexpenditure. In determining an appropriate
app0l1ionment of responsibility, County and aHA may
consider any relevant factors. An example of a relevant
factor is the extent to which either party contributed to an
interpretation of a statute, regulation or rule prior to the
expenditure that was officially reinterpreted after the
expenditure. If aHA and County reach agreement on the
amount owed to the aHA County shall promptly repay that
amount to aHA by issuing payment to aHA or by
directing aHA to withhold future payments pursuant to
Section 1.c.(3)(c) below. If aHA and County continue to
disagree as to whether there has been a Misexpenditure or
as to the amount owed, the parties may agree to consider
further appropriate dispute resolution processes, including,
subject to Depa11ment of Justice and County Counsel
approval, arbitration.
ii. Appeal from Federal-Identified Misexpenditure.
A. If aHA's notice of Misexpenditure is based on a
Misexpenditure of the type described in Section
21 (a) of Exhibit A and the relevant federal agency
provides a process either by statute or
administrative rule to appeal the determination of
improper use of federal funds. the notice of
disallowance or other federal identification of
improper use of funds, and if the disallowance is not
based on a federal or state court judgment founded
in allegations of Medicaid fraud or abuse, then
County may, prior to 30 days prior to the applicable
federal appeals deadline, request that OHA appeal
the determination of improper use, notice of
Amendment # 09 -Revised Page 29
disallowance or other federal identification of
improper use of funds in accordance with the
process established or adopted by the federal
agency. If County so requests that OHA appeal the
determination of improper use of federal fimds,
federal notice ofdisallowance or other federal
identification ofimproper use of funds, tbe amount
in controversy shall, at the option of County, be
retained by the County or returned to OHA pending
the final federal decision resulting from the initial
appeal. If the CO"l.lnty does request, prior to the
deadline set forth above, that OHA appeal, OHA
shall appeal the determination of improper use,
notice of disallowance or other federal identification
of improper use offimds in accordance with the
established process and shall pursue the appeal until
a decision is issued by the Depaltmental Grant
Appeals Board ofthe Depmtment of Health and
Human Services (the "Grant Appeals Board")
pursuant to the process for appeal set forth in 45
C.F.R. Subtitle A, Prut 16, or an equivalent decision
is issued under the appeal process established or
adopted by the federal agency. County and OHA
shall cooperate with each other in pursuing the
appeal. If the Grant Appeals Board or its equi valent
denies the appeal then eithel' County, OHA, or both
may, in theh discretion, pursue fhrthel' appeals.
Regardless of any fiuther appeals, within 90 days of
the date the federal decision resulting from the
initial appeal is final, County shall repay to OHA
the amount of the noticed Misexpenditure (reduced,
if at all, as a result ofthe appeal) by issuing
payment to OHA or by directing OHA to withhold
future payments pursuant to Section l.c.(3)(c)
below. To the extent that County retained any of
the am01mt in controversy while the appeal was
pending, the County shall pay to OHA the interest,
if any, charged by the federal govemment on such
amount.
B. If the relevant federal agency does not provide a
process either by statute or administrative rule to
appeal the determination of improper use offederal
funds, the notice of disallowance or other federal
identification of improper use of funds or County
does not request that OHA pursue an appeal 30 days
prior to the applicable federal appeals deadline, and
if OHA does not appeal, then within 90 days of the
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date the federal determination of improper use of
federal funds, the federal notice of disallowance or
other federal identification of improper use of funds
is final County shall repay to OHA the amount of
the noticed Misexpenditure by issuing a payment to
OHA or by directing OHA to withhold future
payments pursuant to Section l.c.(3)(c) below.
C. If COlmty does not request that OHA pursue an
appeal ofthe determination of improper use of
federal funds, the notice of disallowance or other
federal identification of improper use of funds,
plioI' to 30 days prior to the applicable federal
appeals deadline but OHA nevertheless appeals,
County shall repay to OHA the amount ofthe
noticed Misexpenditure (reduced, if at al1, as a
result ofthe appeal), within 90 days of the date the
federal decision resulting from the appeal is final,
by issuing payment to OHA or by directing OHA to
withhold future payments pursuant to Section
Lc.(3)(c). below.
D. Notwithstanding Section l.c.(3)(a)(i) through iii., if
the MisexpendittU'e was expressly authorized by a
OHA rule or an OHA writing that applied when the
expenditure was made, but was prohibited by
federal statutes or regulations that applied w]len the
expenditure was made, County will not be
responsible for repaying the amount of the
MisexpendittU'e to OHA, provided that:
(i) Where post-expenditure official
reinterpretation of federal statutes or
regulations results in a Misexpenditure,
County and OHA will meet and negotiate in
good faith an appropriate apportionment of
responsibility between them for repayment
ofthe Misexpenditure.
(ii) For purposes ofthis Section, an OHA
writing must interpret this Agreement or an
OHA rule and be signed by the Director of
OHA or by the Assistant Director of
Addictions and Mental Health Services
Division.
OHA shall designate an alternate officer in
the event the Addictions and Mental Health
Services Division is abolished. Upon
County request, OHA shall notify County of
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the names of the individual officers listed
above. OHA shall send OHA writings
described in this paragraph to County by
mail and email and to CMHP directors by
email.
(iii) The writing must be in response to a request
from County for expenditure authorization,
or a statement intended to provide official
guidance to County or counties generally for
making expenditures under this Agreement.
The writing must not be contrary to this
Agreement or contrary to law or other
applicable authority that is clearly
established at the time of the writing.
(iv) IfOHA writing is in response to a request
from County for expenditure authorization,
the request must be in writing and signed by
the director of a County department with
authority to make such a request or by the
County Counsel. It must identify the
supp0l1ing data, provisions of this
Agreement and provisions of applicable law
relevant to determining ifthe expenditure
should be authorized.
(v) An OHA writing expires on the date stated
in the writing, or i{no expiration date is
stated, six years from the date of the writing.
An expired OHA writing continues-to apply
to County expenditures that were made in
compliance with the writing and during the
term of the writing.
(vi) OHA may revoke or revise an OHA writing
at any time if it detelmines in its sole
discretion that the writing allowed
expenditure in violation of this Agreement
or law or any other applicable authority.
(vii) OHA rule does not authorize an expenditure
that this Agreement prohibits.
(c) Recovery From Future Payments. To the extent that OHA is
entitled to recover a Misexpenditure pursuant to Section
1.c.(3)(b)(i) and (ii)., OHA may recover the Misexpenditure by
offsetting the amount thereof against future amounts owed to
County by OHA, including, but not limited to, any amount owed to
County by OHA under this Agreement or any amount owed to
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County by OHA under any other contract or agreement between
County and OHA, present or future. OHA shall provide County
written notice of its intent to recover the amount of the
Misexpenditure from amounts owed County by OHA as set forth
in this Section, and shall identify the amounts owed by OHA
which OHA intends to offset (including the contracts or
agreements, if any, under which the amounts owed arose mId from
those OHA wishes to deduct payments from). County shall then
have 14 calendar days from the date of OHA's notice in which to
request the deduction be made from other amounts owed to County
by OHA and identified by County. OHA shall comply with
County's request for alternate offset. In the event that OHA and
County are unable to agree on which specific amounts, owed to
County by OHA, OHA may offset in order to recover the amount
of the Misexpenditure, then the OHA may select the particular
contracts or agreements between OHA and County and amounts
from which it willl'ecover the amount of the Misexpenditure, after
providing notice to the County, and within the following
limitations: OHA shall fust look to amounts owed to County (but
unpaid) under this Agreement. If that amount is insufficient, then
OHA may look to any other amounts currently owing or owed in
the future to County by OHA. In no case, without the prior
consent of County, shall OHA deduct from anyone payment due
County under the contract or agreement from which OHA is
offsetting funds an amount in excess of twenty-five percent (25%)
ofthat payment. OHA may look to as many future payments as
necessary in order to fully recover the amount ofthe
Misexpenditure.
(4) Additional PJ'ovisiolls related to parties rights/obligations Witll respect
to Underexpenditures, Overexpenditures and MisexpendituJ·es.
(a) County shall cooperate with OHA in the Agreement Settlement
process.
(b) OHA's right to recover Underexpenditures, Overexpenditures and
Misexpenditures from COlmty under this Agreement is not subject
to or conditioned on County's recovery of any money from any
other entity.
(c) If the exercise ofOHA's light to offset under this provision
requires the County to complete a re-budgeting process, nothing in
this provision shall be construed to prevent the County from fully
complying with its budgeting procedures and obligations, or from
implementing decisions resulting from those procedures and
obligations.
(d) Nothing in this provision shall be construed as a requirement or
agreement by the County to negotiate and execute any future
contract with OHA.
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(e) Nothing in this Section shall be construed as a waiver by either
party of any process or remedy that might otherwise be available.
2. Use of Financial Assistance. County shall use the financial assistance disbursed to
County under this Agreement solely to cover actual Allowable Costs reasonably and
necessarily incurred to deliver Services during the tenll ofthis Agreement.
3. Award Adjustments
a. Except for MRS 37-Flexible Funding pursuant to Exhibit D-2, County may use -- funds awarded in a Program Area to cover actual Allowable Costs reasonably and
necessarily incurred to deliver Services in that Program Area, from the effective
date of this Agreement tlU'ough the termination or expiration of this Agreement.
In addition to the financial assistance provided to County under this Agreement
expressly for those Services, up to 10 percent of the aggregate fmancial assistance
awarded to County at the time the use occurs (as such award is reflected in the
Financial Assistance Award without giving effect to any prior adjustments under
this Section 3 and other than from Federal Funds) County may use funds for other
Services in that Program Area (other than financial assistance provided to County
for MRS 26, MRS 27, MHS 37-Start-Up, A&D 61, A&D 6O-Start-Up, and A&D
82 which is not subject to this 10 percent use adjustment). If County uses
financial assistance described in the Financial Assistance Award in reliance on
this Section 3.a, County shall promptly notify in writing of such use.
b. Financial Assistance disbursed to County under this Agreement that County
would be entitled to retain if used prior to the termination or expiration ofthis
Agreement (as calculated in accordance with the methodologies set f0l1h in the
applicable Service Descriptions), may be retained by County even if not used
prior to the termination or expiration of this Agreement provided that other
provisions of this Agreement do not require the financial assistanc~ to be used by
County prior to termination or expiration of this Agreement and provided further
that County uses the financial assistance solely to deliver future Services for the
purpose it was originally awarded.
4. Amendments Proposed by OHA.
a. Amendments of Financial Assistance Award. County shall review al1 proposed
amendments to the Financial Assistance Award prepared and presented to County
by ORA in accordance with this Section promptly after County's receipt thereof.
Amendments to the Financial Assistance Award will be presented to County in
electronic form. aHA may withdraw a proposed amendment by and effective
upon written notice to County. If not sooner accepted or rej ected by County, or
withdrawn by aHA, a proposed amendment shaH be deemed rejected by County
60 days after COlmty's receipt thereof and OHA's offer to amend the Financial
Assistance Award shall be automatically revoked. If County chooses to accept a
proposed amendment presented in electronic form, County shall return the
proposed amendment to aHA signed by the County Financial Assistance
Administrator. Upon OHA's actual physical receipt and signature of a proposed
amendment signed by the County Financial Assistance Administrator but
otherwise unaltered, the proposed amendment shall be considered accepted by the
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parties and the Financial Assistance Award as amended by the proposed
amendment, shall become the Financial Assistanc~ Award under this Agreement.
If County returns a proposed amendment altered in any way (other than by
signature ofthe County Financial Assistance Administrator), OHA may, in its
discretion, accept the proposed amendment as altered by County but only ifthe
County Financial Assistance Administrator has initialed each alteration. A
proposed amendment altered by County and returned to OHA shall be considered
accepted by OHA on the date OHA initials each alteration and on that date the
Financial Assistance Award, as amended by the proposed amendment (as altered).
shaH become the Financial Assistance A ward.
h. Othel' Amendments. County shall review all proposed amendments to this
Agreement prepared and presented to County by OHA, other than those described
in Section 4.a. of this Exhibit, promptly after County's receipt thereof. If County
does not accept a proposed amendment within 60 days of County's receipt
thereof, County shall be deenied to have rejected the proposed amendment and
the offer to amend the Agreement, as set forth in the proposed amendment, shall
be automatically revoked, IfCounty chooses to accept the proposed amendment,
County shall return the pmposed amendment to OHA signed by a duly authorized
County official. Upon OHA's actual physical receipt and signature of a proposed
amendment signed by a duly authorized County official but otherwise unaltered,
the proposed amendment shall be considered accepted by the parties and this
Agreement shall be considered amended as set forth in the accepted amendment.
If County returns a proposed amendment altered in any way (other than by
signature of a'duly authorized County officiaO, OHA may. in its discretion, accept
the proposed amendment as altered by County but only if a duly authorized
County official has initialed each alternation. A pmposed amendment altered by
County and returned to OHA shall be considered accepted by OHA on the date
OHA initials each alteration and on that date this Agreement shall be considered
amended as set f011h in the accepted amendment.
5. Provider Contracts. Except when the Service expressly requires the Service or a
p011ion thereof to be delivered by County directly and subject to Section 6 of this Exhibit
F, County may use financial assistance provided under this Agreement for a particular
Service to pmchase that Service, or a p011ion thereof, fl:om a third person or entity (a
"Provider") through a contract (a "Provider Contract"). Subject to Section 6 of this
Exhibit F, County may pelmit a Provider to purchase the Service, or a portion thereof,
from another person 01' entity under a subcontract and such subcontractors shall also be
considered Providers for pm'poses of this Agreement and the subcontracts shall be
considered Provider Contracts under this Agreement. County shall not pennit any person
or entity to be a Provider unless the person or entity holds all licenses. certificates,
authorizations and other approvals required by applicable law to deliver the Service.
Except for MHS 20 emergency services, if County purchases a Service, or portion
thereof, fmm a Provider, the Provider Contract must be in writing and contain each ofthe
provisions set forth on Exhibit I, in substantially the form set forth therein, in addition to
any other provisions that must be included to comply with applicable law, that must be
included in a Provider Contract under the terms of this Agreement or that are necessary to
implement Service delivery in accordance with the applicable Service Descriptions,
Document date: 03/1912014 Amendment # 09 Revised Page 35
Reference # 008
Specialized Service Requirements and special conditions. County shall maintain an
originally executed copy of each Provider Contract at its office and shall furnish a copy
of any Provider Contract to aHA upon request. County may purchase MHS 20
emergency services according to County's policies and pay for these services upon
receipt of an itemized invoice, purchase order, or other proper billing instrument
evidencing the services rendered, or by a Provider Contract containing the provisions set
forth in Exhibit I, if required by County policy.
6. Provider Monitol'ing. County shall monitor each Provider's delivery of Services and
promptly report to aHA when County identifies a deficiency in a Provider's delivery of a
Service or in a Provider's compliance with the Provider Contract between the Provider
and County. County shall promptly take all necessary action to remedy any identified
deficiency. County shall also monitor the fiscal penOlmance of each Provider and shall
take all lawful management and legal action necessary to pursue this responsibility. In
the event of a deficiency in a Provider's delivery of a Service or in a Provider's
compliance with the Provider Contract between the Provider and County, nothing in this
Agreement shall limit or qualify any right or authority OHA has J.mder state or federal
law to take action directly against the Provider.
7. Alternative Formats and Translation of Written Materials, Interpreter Services. In
connection with the delivery of Services, County shall:
a. Make available to a Client, without charge to the Client, upon the Client's or
.OHA's request, any and all written materials in alternate, if appropriate, formats
as required by aHA's administrative mles or by aHA's written policies made
available to County.
b. Make available to a Client, without charge to the Client, upon the Client's or
aHA's request, any and all written materials in the prevalent non~English
languages in the area served by County's CMHP.
c. Make available to a Client, without charge to the Client~ upon the Client's or
OHA~s request, oral interpretation services in all non-English languages in the
area served by County's CMHP.
d. Make available to Clients with hearing impainnent, without charge to the Client~
upon the Client's or aHA's request, sign language interpretation services and
telephone communications access services.
For purposes of the foregoing, "written materials" includes, without limitation, all written
materials created 01" delivered in connection with the Services and all Provider Contracts
related to this Agreement.
8. Reporting Requirements. If County delivers a Service directly, County shall prepare
and furnish the following infomlation to aHA when that Service is delivered:
a. Client~ Service and financial information as specified in the Service Description.
b. All additional infonnation and reports that OHA reasonably requests.
9. Operation of CMHP. County shall operate or contract for the operation of a CMHP
during the term of this Agreement. If County uses funds provided under this Agreement
for a pa11icular Service, County shall include that Service in its CMHP from the date it
Document dale: 03/19/2014 Amendment # 09 -Revised Page 36
Reference # 008
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begins using the funds for that Service until the earlier of (a) termination or expiration of
this Agreement, (b) telmination by OHA ofOHA's obligation to provide financial
assistance for that Service in accordance with Section 8 of Exhibit G or (c) tennination
by the County, in accordance with Section 8 of Exhibit G, of County's obligation to
include in its CMHP a Program Area that includes that Service.
10. OHA Reports.
a. To the extent resources are available to OHA to prepare and deliver the
infOlmation, OHA shall, during the term o~this Agreement, provide County with
the following rep0l1s:
(1) Summary repo11s to County and County's Providers from the CPMS,
AMH Measures and Outcomes Tracking System (MOTS) data and other
Client data rep011ed to OHA under this Agreement; and
(2) Monthly repo11s to County that detail disbursement offinancial assistance
under the Financial Assistance Award in Exhibit D-l and D-2 for the
delivery of Services.
b. OHA shall prepare and send to each Provider to whom OHA makes direct
payments on behalf of County under this Agreement during a calendar year, an
IRS Form 1099 for that year specifying the total payments made by OHA to that
Provider.
11. Technical Assistance. Duling the term ofthis Agreement, OHA shall provide teclmical
assistance to County in the delivery of Services to the extent resources are available to
OHA for this purpose. If the provision oftechnical assistance to the County concerns a
Provider, OHA may require, as a condition to providing the assistance, that County take
all action with respect to the Provider reasonably necessary to facilitate the teclmical
assistance.
12. Payment of Certain Expenses. If OHA requests that an employee of County or a
Provider or a citizen of County attend OHA training or an OHA conference or business
meeting and CQunty has obligated itself to reimburse the individual for travel expenses
inclll1'ed by the individual in attending the training or conference, OHA may pay those
travel expenses on behalf of County but only at the rates and in accordance with the
reimbursement procedures set forth in the Oregon Accounting Manual
(www.oregon.govIDAS/SCD/SARS/policies/oam/1O.35.00.PR.pdf?ga=t) as of the date
the expense was incurred and only to the extent that OHA determines funds are available
for such reimbursement.
13. Effect of Amendments Reducing Financial Assistance. If County and OHA amend
this Agreement to reduce the amount of financial assistance awarded for a pat1icular
Service, County is not required by this Agreement to utilize other County funds to
replace the funds no longer received under this Agreement as a result of the amendment
and County may, from and after the date of the amendment, reduce the quantity of that
Service included in its CMHP commenSUl'ate with the amount of the reduction in
financial assistance awarded for that Service. Nothing in the preceding sentence shall
affect County's obligations under this Agreement with respect to financial assistance
Document date: 03/1912014 Amendment # 09 -Revised Page 37
Reference # 008
actually disbursed by OHA under this Agreement or with respect to Sel'vices actually
delivered.
14. Resolution of Disputes over Additional Financial Assistance Owed County After
Termination or Expiration. If, after termination or expiration ofthis Agreement.
County believes that OHA disbursements of financial assistance under this Agreement
for a particular Service are less than the amount of financial assistance that OHA is
obligated to provide to County under this Agreement for that Service. as determined in
accordance with the applicable financial assistance calculation methodology, County
shall provide OHA with written notice thereof. OHA shall have 90 calendar days from
the,effective date of County's notice to pay County in full or notify County that it wishes
to engage in a dispute resolution process. If OHA notifies County that it wishes to
engage in a dispute resolution process. County and OHA's Deputy Director for
Addictions and Mental Health Services Division shall engage in non-binding discussion
to give OHA an opportunity to present reasons why it believes that it does not owe
County any additional financial assistance or that the anlOunt owed is different than the
amount identified by County in its notices, and to give County the opportunity to
reconsider its notice. If OHA and County reach agreement on the additional amount
owed to County, OHA shall promptly pay that amount to County. If OHA and County
continue to disagree as to the amount owed. the parties may agree to consider further
appropriate dispute resolution processes. including, subject to Department of Justice and
County Counsel approval, binding arbitration. Nothing in this Section shall preclude the
County from raising underpayment concems at any time prior to termination or
expiration of this Agreement under Section 15 below.
15. Alternative Dispute Resolution. The parties should attempt in good faith to resolve any
dispute arising out ofthis agreement. This may be done at any management level.
including at a level higher than persons directly responsible for administration of the
agreement. In addition, the pa11ies may agree to utilize a jointly selected mediator 01'
arbitrator (for non-binding arbitration) to resolve the dispute short of litigation.
16. Purchase and Disposition of Equipment.
a. For purposes of this section, "Equipment" means tangible, non-expendable
personal propel1y having a useful life of more than one year and a net acquisition
cost of more than $5,000 per unit. However, for purposes of infOlmation
technology equipment, the monetary threshold does not apply (except as provided
below for Software and storage devices). Information teclmology equipment shall
be tracked for the mandatory line categories listed below:
Network
Personal Computer
PrinterIPlottel'
Server
Storage device that will contain client infOlmation
Storage device that will not contain client information, when the acquisition cost
is $100 or more
Software, when the acquisition cost is $100 or more
Document date: 03119/2014 Amendment #I 09 -Revised Page 38
Reference # 008
b. For any Equipment authorized by OHA for purchase with funds fi'om this
Agreement, ownership shaH be in the name ofthe County and County is required
to accurately maintain the following Equipment inventory records:
(l) description ofthe Equipment;
(2) serial number;
(3) where Equipment was purchased;
(4) acquisition cost and date; and
(5) location, use and condition of the Equipment
County shall provide the Equipment inventory list to the Contract Administrator
annually by June 30th of each year. County shall be responsible to safeguard any
Equipment and maintain the Equipment in good repair and condition while in the
possession of County or any subcontractors. COlmty shall depreciate all
Equipment, with a value of more than $5,000, using the straight line method.
c. Upon termination of this Agreement, or any Service thereof, for any reason
whatsoever, County shall, upon request by OHA, immediately, or at such later
date specified by OHA, tender to OHA any and all Equipment purchased with
funds under this Agreement as OHA may require to be l'eturned to the State. At
OHA's direction, County may be required to deliver said Equipment to a
subsequent contractor for that contractor's use in the delivery of services formerly
provided by County. Upon mutual agreement, in lieu of requiring County to
tender the Equipment to OHA or to a subsequent contractor, OHA may require
County to pay to OHA the current value ofthe Equipment. Equipment value will
be determined as of the date of Agreement or Service termination.
d. If funds from this Agreement are authorized by OHA to be used as a portion of
the purchase price of Equipment, requirements relating to title, maintenance,
Equipment inventory reporting and residual value shall be negotiated and the
agreement reflected in a special condition authorizing the purchase.
e. Notwithstanding anything herein to the contrary, County shall comply with 45
CFR 92.32, which, generally, describes the required maintenance, documentation,
and allowed disposition of equipment purchased with federal grant fimds.
17. Nothing in this Agreement shall cause 01' require County or OHA to act in violation of
state 0)' federal constitlltions, statutes, regulations or mles. The parties intend this
limitation to apply in addition to any other limitation in this Agreement, including
limitations in Section 1 of this Exhibit F.
Document date: 0311912014 Amendment # 09 -Revised Page 39
Reference # 008 I
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SUBlECT: I:J REVISED CMHP 141408-9
FROM: APRIL.D.BARRETT@dhsoha.state.or.us
bonnie.baker@deschutes.org , Deann.carr@deschutes.org ,
loretta.gertsch@deschutes.org , nancy.mooney@deschutes.org , TO: conniet@deschutes.org , scottjohnson@deschutes.org , sherrip@deschutes.org ,
APRIL.O.BARRETT@dhsoha.state.or.us
cc: Carmen.ARMENDARIZ@dhsoha.state.or.us
SENT: Wed 19 Mar 2014 13:27:04 PDT
EXPIRES: Fri 18 Apr 201413:27:05 PDT
Reply Reply to All
Good afternoon,
It was brought to my attention I left out the OWITS Financial Award adjustment from this
amendment. I have included the OWITS Financial Award adjustment as Exhibit 2 in the
attached revised document.
Please disregard the one originally sent to you by Tami Goertzen. Ifyou have any questions
please let me know.
Thank you,
April D. Barrett, OPBC
DHSIOHA Office of Contracts & Procurement
Contracts Specialist
250 Winter Street NE
Salem, OR 97301
*: (503) 945-5821 I *: april.d.barrett@state.or.us<mailto:april.d.barrett@state.or.us>
DATE: March 19, 2014
TO: Scott Johnson, Director
Deschutes County
RE: Amendment #09 -Revised to the
2013-2015 Intergovernmental Agreement for the Financing
of Community Addictions and Mental Health Services Agreement #141408
Enclosed is an amendment to the Agreement.
NOTE: Payment for amendments returned to OHA by the 3rd Friday of every month are more
https://secureemail.hr.state.or.us/messenger/def/twyurllNonUserPurLdo?x=d-1668558-Z... 3/20/2014
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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 Official(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.
Ifyou have questions regarding this financial assistance award, please contact Carmen
Armendariz, Addictions and Mental Health Services, at (503) 945-8995 or April D. Barrett,
Office of Contracts and Procurement, at (503) 945-5821.
Sincerely,
April D. Barrett, OPBC
Contracts Specialist
Attachment(s)
ATTACHMENT FILENAME TYPE SIZE
Hypertext Markup messageBody.htm 56.89 KBLanguage File
141408-9 Document Return Microsoft Word 580.5 KBStatement (2).doc File
Adobe Acrobat 141408-9 adb (2).pdf 2.58 MBDocument
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