HomeMy WebLinkAboutDoc 438 - Amend IGA - OHA - Beh HealthDeschutes 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 September 3, 2014
DATE: August 22, 2014
FROM: Nancy Mooney, Contract Specialist, Deschutes County Health Services, 322-7516
TITLE OF AGENDA ITEM:
Consideration of Board Signature of Document #2014-438, Amendment #13 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.
The Addictions and Mental Health Division was directed by the legislature to implement a cost-of-living
adjustment to the reimbursement rates of mental health providers for the 2013-2015 biennium. This
adjustment has been made in the form of this Amendment #13 to the existing contract effective July 1, 2013.
This adjustment does not apply to Adult Foster Home providers. The cost-of-living adjustment is a 2.4%
increase to the General Fund contracted amount across the various service elements.
FISCAL IMPLICATIONS:
Funding is modification is estimated to be $2,297.128.
RECOMMENDATION & ACTION REQUESTED:
Approval and Signature of Document #2014-438, Amendment #13 to Intergovernmental Financial Agreement
Award #141408 between Deschutes County Health Services, Behavioral Health and the Oregon Health Authority
is requested.
ATTENDANCE: Nancy Tyler, Adult Treatment Program Manager
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 form is required to be submitted with ALL contracts and other agreements. regardless of whether the do"ciiment is to be
on a Board agenda or can be signed by the County Administrator or Department Director. If the document is to be on a Board
agenda. the Agenda Request Form is also required. If this form is not included with the document, the document will be returned to
the Department. Please submit documents to the Board Secretary for tracking purposes, and not directly to Legal Counsel, the
County Administrator or the Commissioners. In addition to submitting this form with your documents, please submit this form
electronically to the Board Secretary.)
Please complete all sections above the Official Review line.
Date: I August 7,2014
Department: 1 Health Services, Behavioral Health 1
Contractor/Supplier/Consultant Name: I Oregon Health Authority
Contractor Contact: I Tami Goertzen I Contractor Phone #: I 503-373-7365
Type of Document: Amendment #13 to #141408
Goods and/or Services: Amendment #13 outlines the funding to include a cost-of-living
adjustment for mental health and residential treatment 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.
The Addictions and Mental Health Division was directed by the legislature to implement a cost
of-living adjustment to the reimbursement rates of mental health providers for the 2013-2015
biennium. This adjustment has been made in the form of this Amendment #13 to the existing
contract effective July 1, 2013. This adjustment does not apply to Adult Foster Home providers.
The cost-of-living adjustment is a 2.4% increase to the General Fund contracted amount across
the various service elements.
Agreement Starting Date: IJuly 01,2013 I Ending Date: 1 June 30, 2015 I
Annual Value: I $2,297.128.1
Check all that apply: o RFP, Solicitation or Bid Process o Informal quotes «$150K)
t8l Exempt from RFP, Solicitation or Bid Process (specify -see DCC §2.37)
8/7/2014
Funding Source: (Included in current budget? IZI Yes 0 No
If No, has budget amendment been submitted? 0 Yes IZI No
Is this a Grant Agreement providing revenue to the County? 0 Yes IZI No
Special conditions attached to this grant: <-I_---'
Deadlines for reporting to the grantor: D
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:
Phone#:
Departmental Contact and Title: I Nancy Mooney, Contract Specialist I
Phone #: I 541-322-7516 I
Deputy Director Approval: ~c:fk ~ )S-K-li
S~n~ure D~e
Department Director Approval: ~~~II ,~I Lj
Si9nature ate
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)/, SOCC D Department Director (if <$25K)
D Administrator (if >$25K but <$150K; if >$150K, SOCC Order No. )
Legal Review ~W Date ~.... , l{ .;I tf
Document Number: ::.20:::::..1.:....4.:....-4...:..:3=.;:8~____
81712014
ADMINISTRATIVE SERVICES DIVISION
of Human Services Office of Contracts and Procurement
)rQ.~~__t
John A. Kitzhaber, MD, Governor 250 Winter St NE, Room 306
Salem, OR 97301
Voice: (503) 945-5818
FAX: (503) 378-4324
DATE: July 23, 2014
TO: Scott Johnson, Director
Deschutes County
RE: Amendment #13 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 3 rd Friday of every
month are more likely to be in the following month's allotment or electronic
fund transfer.
The instructions for processing this amendment are as follows:
• Open and print the electronic file containing the amendment for signature by the
appropriate authorized County 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.
If you have questions regarding this financial assistance award, please contact Carmen
Armendariz, Mental Health & Addiction Services, at (503) 945-8995 or April D. Barrett at (503)
945-5821.
Sincerely,
April D. Barrett, OPBC
Contracts Specialist
Attachment( s)
I
ADMINISTRATIVE SERVICES DIVISION)tQtt~tm.nt ][calth
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) 3784324
DOCUMENT RETURN STATEMENT
Re: Amendment #13 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 July 23, 2014.
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)
)rDH . .~~~~~~JNtg RATIVE SERVICES DIVISION
Oregon Department
of Human Services Office of Contracts and Procurement
John A. Kilzhaber. 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 fOl1nats such as Braille,
large print, audio recordings, Web-based communications
and other electronic fonnats. To request an alternate format, please send an e-mail
to dhs-oha.publicatiom"eguest@state.or.us or call 503-378-3486 (voice) or 503
378-3523 (TTY) to a11'ange for the altemative fOlmat.
THIRTEENTH AMENDMENT TO
OREGON HEALTH AUTHORITY
2013-2015 INTERGOVERNMENTAL AGREEMENT FOR THE
FINANCING OF COMMUNITY ADDICTIONS AND MENTAL HEALTH
SERVICES AGREEMENT #141408
. .
This Thu1eenth Amendment to Oregon Health Authority 2013-2015 Intergovenunental
Agreement for the Financing of Community Addictions and Mental Health Services dated as of
July 1, 2013(as amended, the "Agreement"), is entered into , as of the date of the last signature
hereto, by and between the State of Oregon acting by and through its Oregon Health Authority
("OHA") and Deschutes County ("County").
RECITALS
WHEREAS, OHA and Cmmty wish to modify the Financial Assistance Award set fOl1h
in Exhibit D-1 and the OWITS Financial Assistance Aw'!rd set fOl1h in Exhibit D -2 of the
Agreement.
NOW, THEREFORE, in consideration 6fthe premises, covenants and agreements
contained herein and other good and valuable consideration the receipt and sufficiency 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 mnst be read in conjunction with the portion of Exhibit D-l of the
Agreement that describes the effect of an amendment of the frnancial and service
information.
DC -20 1 if -43 8
2. The financial and service information 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 conjtmction with the portion of Exhibit D-2 of the
Agreement that describes the effect of an amendment of the [mandaI and service
information.
3. Capitalized words and phrases used but not defined herein shall have the meanings
ascribed thereto in the Agreement.
4. County represents and warrants to OHA that the representations and warranties ofCOlmty
set forth in section 4 of Exhibit G of the Agreement are true and correct on the date
hereof with the same effect as if made on the date hereof.
5. Except as amended hereby, all terms and conditions of the Agreement remain in full
force and effect.
6. 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 counterpalt. Each copy of this Amendment so
executed shall constitute an original.
IN WITNESS WHEREOF. the parties hereto have executed tIus amendment as of the dates set
forth below theh-respective signatures.
Deschutes County
By:
Authorized SignattU'e Title Date
State of Ol'egon acting by amI through its Oregon Health Authority
By:
Authorized Signature Title Date
Document date: 07/23/2014 Amendment 1# 13 Page 2
Reference # 010
Exhibit 1 to the 13th Amendment to
Oregon Health Authority
2013-2015 Intergovernmental Agl'eement for the
Financing of Community Acl<1ictions and Mental Health Services Agreement #141408
Document date: 07/2312014 Amendment # 13 Page 3
Reference # 0 I 0
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAM)
2013-2015
CONTRACTOR: DESCHUTES COUNTY Contract#: 141408
DATE: 07/22/2014 Reference#: 010
MENTAL HEALTH SERVICES
SECTION: 1
SERVICE REQUIREMENTS MEET EXHIBIT BAND, IF INDICATED, EXHIBIT B-2
Start/End Client Approved Approved Servo unit EXHIB B2 Spec
Part Dates Code Service Funds Start-up Units Type Codes Cond#
SE# 1 LOCAL ADMIN MENTAL HEALTH SVCS
A 7/2013 -12/2013 N/A -$24,960 $0 O. NA N/A M0185 1
A 7/2013-12/2013 N/A -$103,000 $0 O. NA N/A M018S 4
A 7/2013 -12/2013 N/A -$24,960 $0 O. NA N/A M0185 7
A 7/2013-12/2013 N/A -$18,447 $0 O. NA N/A M018S 10
A 7/2013-6/2014 N/A $51,118 $0 O. NA N/A M01SS 3
A 7/2013 6/2014 N/A $210,944 $0 O. NA N/A MOi"SS 6
A 7/2013-6/2014 N/A . $51,118 $0 O. NA N/A M018S 9
A 7/2013 6/2014 N/A $37,779 $0 O. NA N/A M0185 12
A 1/2014-6/2014 N/A -$24,960 $0 O. NA N/A M018S 2
A 1/2014 -6/2014 N/A -$103,000 $0 O. NA N/A M018S 5
A 1/2014-6/2014 N/A -$24,960 $0 O. NA N/A M0185 8
A 1/2014-6/2014 N/A -$18,447 $0 O. NA N/A M018S 11
A 7/2014-6/2015 N/A $51,l1S $0 O. NA N/A M01SS 3
A 7/2014-6/2015 N/A $210,944 $0 O. NA N/A M0185 6
A 7/2014-6/2015 N/A $51,118 $0 O. NA N/A M0185 9
A 7/2014-6/2015 N/A $37,779 $0 O. NA N/A M018S 12
SUBTOTAL SElf 1 $359,184 $0
SElf 20 NON-RESIDENTIAL ADULT MH SERV
A 7/2013-12/2013 N/A -$S5,018 $0 -96. SLT N/A M01S5 13
A 7/2013-12/2013 N/A -$28,296 $0 -30. SLT N/A M018S 16
A 7/2013-12/2013 N/A -$28,296 $0 -30. SLT N/A M018S 19
A 7/2013-12/2013 N/A -$9,466 $0 -30. SLT N/A M018S 22
A 7/2013-6/2014 N/A $174,116 $0 192. SLT N/A M018S 15
A 7/2013-6/2014 N/A $57,950 $0 60. SLT N/A M0185 IS
A 7/2013 -6/2014 N/A $57,950 $0 60. SLT N/A M018S 21
A 7/2013-6/2014 N/A $19,387 $0 60. SLT N/A M018S 24
A 1/2014-6/2014 N/A -$85,018 $0 -96. SLT N/A M018S 14
A 1/2014-6/2014 N/A -$28,296 $0 -30. SLT N/A M0185 17
A 1/2014 6/2014 N/A -$28,296 $0 -30. SLT N/A M0185 20
A 1/2014-6/2014 N/A -$9,466 $0 -30. SLT N/A M0185 23
A 7/2014-6/2015 N/A $174,116 $0 192. SLT N/A M01S5 15
A 7/2014-6/2015 N/A $57~9S0 $0 60. SLT N/A M0185 18
A 7/2014-6/2015 N/A $57,950 $0 60. SLT N/A M0185 21
A 7/2014-6/2015 N/A $19,387 $0 60. SLT N/A M01SS 24
----....
SUBTOTAL SE# 20 $316,654 $0
CONTRACTOR: DESCHUTES COUNTY Contract#: 141408
DATE: 07/22/2014 Reference#: 010
MENTAL HEALTH SERVICES
SECTION: 1
SERVICE REQUIREMENTS MEET EXHIBIT B AND," IF INDICATED, EXHIBIT B-2
Start/End Client Approved Approved Servo
Part Dates Code Service Funds Start-up Units
SE# 28' RESIDENTIAL TREATMENT SERVICES
A 7/2013-9/2013 HOMARY-500609 -$10,455 $0 -3.
A 7/2013-9/2013 HOMARY-500609 $10,706 $0 3.
A 7/2013-12/2013 N/A -$453,999 $0 -96.
A 7/2013 -12/2013 N/A -$159,597 $0 -30.
A 7/2013-12/2013 N/A -$159,597 $0 -30.
A 7/2013-6/2014 N/A $929,791 $0 192.
A 7/2013-6/2014 N/A $326,855 $0 60.
A 7/2013-6/2014 N/A $326,855 $0 60.
A 10/2013-1/2014 RANARG-640219 -$17,613 $0 -4.
A 10/2013-1/2014 RANARG-640219 $18,036 $0 4.
A 1/2014-6/2014 N/A -$453,999 $0 -96.
A 1/2014-6/2014 N/A -$159,597 $0 -30.
A 1/2014-6/2014 N/A -$159,597 $0 -30.
A 7/2014-6/2015 N/A $929,791 $0 192.
A 7/2014-6/2015 N/A $326,855 $0 60.
A 7/2014-6/2015 N/A $326,855 $0 60.
SUBTOTAL SE# 28 $1,621,290 $0
TOTAL SECTION 1 $2,297,128 $0
Unit EXHIB B2 Spec
Type Codes Cond#
TOTAL AUTHORIZED FOR MENTAL HEALTH SERVICES $2,297,128
TOTAL AUTHORIZED FOR THIS FAAA: $2,297,128
SLT 28A M01a5
SLT 28A M0185
SLT 28A M0185
SLT N/A M0185
SLT N/A M01a5
SLT 28A" M0185
SLT N/A M0185
SLT N/A MOl85
SLT 28A M01a5
SLT 28A M0185
SLT 28A M0185
SLT N/A M0185
SLT N/A M0185
SLT 28A M018S
SLT N/A M0185
SLT N/A M018S
31
32
2a
25
35
30
27
37
33
34
29
26
36
30
27
37
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
CONTRACTOR: DESCHUTES COUNTY Contract#: 141408
DATE: 07/22/2014 REF#: 010
REASON FOR FAAA (for information only):
The Financial Assistance Award is for Mental Health Services subject to the
2013-2015 Legislatively Adopted Budget for the Oregon Health Authority.
This a'-lard includes Cost of Living Adjustment (COLA) and the extension of
general funds for Fiscal Year 2014-2015 I ,·,here applicable.
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.
M018s 1 Special Condition MOOOO-1, in Base Contract, regarding !lA) Local
Administration" and "B) 12th Street" applies.
M01Ss 2 Special Condition M0066-1, in Amendment 6, regarding "A) Local
Administration" and "B) 12th Street" appli~s.
M018s 3 A) Local Administration -Mental Health Services (MHS 01)
Financial Assistance Associated with Specific Program Area: The
financial assistance subject to this special condition is awarded
for local administration of services in the Mental Health
Services Program Area. If County terminates its obligation to
include this Program Area under this Agreement, OHA shall have no
obligation, after the termination, to payor disburse to County
financial assistance subject to this special condition. B) These
funds are for services at 12th Street RTH.
M018S 4 Special Condition MOOOO-2, in Base Contract, regarding !lA) Local
Administration" and "B) Deschutes Recovery Center" applies.
M01SS S Special Condition M0066-2, in Amendment 6, regarding "A) Local
Administration" and "B) Deschutes Recovery Center" applies.
M018S 6 A) Local Administration Mental Health Services (MHS 01)
Financial Assistance Associated with Specific Program Area: The
financial assistance subject to this special condition is awarded
for local administration of services in the Mental Health
Services Program Area. If County terminates its obligation to
include this Program Area under this Agreement, OHA shall have no
obligation, after the termination, to payor disburse to County
financial assistance subject to this special condition. B} These
funds are for services at Deschutes Recovery Center SRTF.
M018S 7 Special Condition MOOOO-3, in Base Contract, regarding "A) Local
Administration" and liB) Edgecliff" applies.
M018S 8 Special Condition M0066-3, in Amendment 6, regarding itA) Local
Administration" and liB) Edgecliff" applies.
M0185 9 A) Local Administration Mental Health Services (MHS 01)
Financial Assistance Associated with Specific Program Area: The
financial assistance subject to this special condition.is awarded
for local administration of services in the Mental Health
Services Program Area. If County terminates its obligation to
include this Program Area under this Agr~ement, OHA shall have no
obligation, after the termination, to payor disburse to County
financial assistance subject to this special condition. B) These
funds are for services at Edgecliff RTH.
M0185 10 Spec~al Condition MOOOO-4, in Base Contract, regarding
Administration" and "B) Hosmer" applies.
II A) Local
M0185 11 Special Condition M0066-4, in Amendment 6,
Administration" and liB) Hosmer" applies.
regarding "A) Local
M01SS 12 A) Local Administration -Mental Health Services (MRS 01)
Financial Assistance Associated with Specific Program Area: The
financial assistance subject to this special condition is awarded
for local administration of services in the Mental Health
Services Program Area. If County terminates its obligation to
include this Program Area under this Agreement, OHA shall have no
obligation, after the termination, to payor disburse to County
financial assistance subject to this special condition. B) These
funds are for services at Hosmer RTH.
M018S 13 Special Condition MOOOO-8,
Subsidy" applies.
in Base Contract, regarding "Rent
M01SS 14 Special Condition M0066-6,
subsidy" applies.
in Amendment 6, regarding "Rent
MO"18S 15 These funds
SRTF.
are for Rent Subsidy at Deschutes Recovery Center
MOlSS 16 Special Condition MOOOO-ll,
Subsidy" applies.
in Base Contract, regarding "Rent
M018S 17 Special Condition M0066-8,
Subsidy" applies.
in Amendment 6, regarding "Rent
MOlSS 18 These funds are for Rent Subsidy at 12th Street RTH.
M018S 19 Special Condition MOOOO-12,
Subsidy" applies.
in Base Contract, regarding "Rent
M018S 20 Special Condition M0066-9,
subsidy" applies.
in Amendment 6, regarding "Rent
M018S 21 These funds are for Rent Subsidy at Edgecliff RTH.
M018S 22 Special Condition MOOOO-13,
Subsidy" applies.
in Base Contract, regarding "Rent
M018S 23 Special Condition M0066-10,
Subsidy" applies.
in Amendment 6, regarding "Rent
M018S 24 These funds are for Rent Subsidy at Hosmer RTH.
M018S 2S Special Condition MOOOD-17, in Base Contract,
28 Rate" and "B) 12th Street" applies.
regarding "A) MHS
MOlSS 26 Special Condition M0066-11, in Amendment
Rate" and liB} 12th Street" applies.
6, regarding IrA) MUS 28
M01SS 27 A) MHS 28 Rate: For services delivered to individuals during a
particular month, OHA will provide financial assistance at the
rate of $5,447.59 per month per individual. B) These funds are
for 12th Street RTH.
M0185 2B Special Condition MOOOO-1B, in Base Contract, regarding "A)
28 Rate" and "B) Deschutes Recovery Center" applies.
MHS
MOlas 29 Special condition M0066-13, in Amendment 6, regarding "A)
Rate" and liB} Deschutes Recovery Center" applies.
MHS 28
M01BS 30 A) MRS 28 Rate: For services delivered to individuals during a
particular month, OHA will provide financial assistance at the
rate of $4,842.66 per month per individual. B) These funds are
for Deschutes Recovery center SRTF.
M0185 31 Special Condition MOOOO-20, in Base Contract, regarding "A)
28 Rate" and liB) Deschutes Recovery Center" applies.
MRS
M0185 32 A) MHS 28 Rate: For services delivered to individuals during a
particular month, OHA will provide financial assistance at the
rate of $4,117.50 per month per individual. B) These funds are
for Deschutes Recovery Center SRTF.
M01BS 33 Special Condition M008S-3, in Amendment 7, regarding !lA)
Rate" and liB) Deschutes Recovery Center" applies.
MHS 28
M0185 34 A) MHS 28 Rate: For services delivered to individuals during a
particular month, OHA \<li11 provide financial assistance at the
rate of $6,144.00 per month per individual. B) These funds are
for Deschutes Recovery Center SRTF.
M018S 35 Special Condition M0058-2, in Amendment 4,
Rate" and "B) Edgecliff" applies.
regarding nA) MHS 28
M0185 36 Special Condition M015B-2, in Amendment
Rate" and liB) Edgecliffll applies.
10, regarding "A) MRS 28
M018S 37 A) MHS 28 Rate: For services delivered to individuals during a
particular month, OHA will provide financial assistance at the
rate of $5,447.59 per month per individual. B) These funds are
for Edgecliff RTH.
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
FAAA Totals
Part A
2013-2015
********************* INFORMATION ONLY *********************
CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 141408
DATE: 07/22/2014 REF#: 010
CURRID.I'"T CURRENT PROPOSED REVISED
SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL.
1 LOCAL ADMIN MENTAL HEALTH SVCS $342,732 $0 $359,183 $701,915
TOTAL SE# 1 $3~2,732 $0 $359,183 $701,915
20 NON-RESIDENTIAL ADULT MH SERV $11,473 $0 $0 $11,473
20 NON-RESIDENTIAL ADULT MH SERV $302,15.2 $0 $316,655 $618,807
TOTAL SE# .20 $313,625 $0 $316,655 $630,280
28 RESIDENTIAL TREATMENT SERVICES $936,066 $0 $.95.2,256 $1,888,322
28 RESIDENTIAL TREATMENT SERVICES $6,333 $0 $0 $6,333
28 RESIDENTIAL TREATMENT SERVICES $638,390 $0 $669,032 $1,307,422
TOTAL SE# 28 $1,580,789 $0 $1,621,288 $3,202,077
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 $59,219 $0 $0 $59,219
TOTAL SE# 37 $59,.219 $0 $0 $59,21.9
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 "ctlRRENT PENDING" column
that have not yet been accepted/approved. Therefore, these amounts may change.
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
*********************
FAM Totals
Part A
2013-20l5
INFORMATION ONLY *********************
CONTRACTOR: DESCHUTES COUNTY
DATE: 07/22/2014
CONTRACT#:
REF#:
141.408
010
SE# DESCRIPTION
CURRENT
APl?ROVED
CURRENT
l?ENDING
PROPOSED
CHANGE
REVISED
TOTAL
$2/503,~99 $0 $2,297,l26 $4/800,225
NOTE: The amounts in the "REVISED TOTAL" column include amounts reported ,in the "CURRENT l?,ENDING" column
that have not yet been accepted/approved. Therefore, these amounts may change.
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
FAAA Totals
Part B
:2013-2015
********************* INFORMATION ONLY *********************
CONTRACTOR: DESCHUTES COUNTY CON'I'RACT#: 141408
DATE: 07/22/2014 REF#; 010
CURRENT CURRENT PROPOSED REVISED
SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL
20 NON-RESIDENTIAL ADtrLT MH SERV $443,833 $0 $0 ' $443,833
20 NON-RESIDENTIAL ADtrLTMH SERV $235,861 $0 $0 $235,861
TOTAL SE# 20 $679,694 $0 $0 $679,694
22 CHILD & ADOLES MH S~RVICES $122,290 $0 $0 $122,290
TOTAL SE# 22 $122,290 $0 $0 $122,290
28 RESID~~IAL 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 MHS $160,349 $0 $0 $160,349
TOTAL SE# 34 $160,349 $0 $0 $160,349
36 PASARR MHS $20,072 $0 $0 $20,072
TOTAL SE# 36 $20,072 $0 $0 $:20,07:2
NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column
that have not yet been accepted/approved. Therefore, these amounts may change.
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
FAAA Totals
Part B
2013-2015
********************* INFORMATION ONLY *********************
CONTRACTOR:
DATE:
DESCHUTES COUNTY
07/22/2014
CONTRACT#:
REF#:
141408
010
SE# DESCRIPTION
CURRENT
APPROVED
CURRENT
PENDING
PROPOSED
CHANGE
REVISED
TOTAL
$2,032,H9 $0 $0 $2,032,119
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 C
2013-2015
********************* ~NFORMAT~ON ONLY *********************
CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 141408
DATE: 07/22/201.4 REF#: 010
CURRENT CURRENT PROPOSED REVISED
SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL
37 MRS SPECIAL PROJECTS $532,975 $0 $0 $532,975
TOTAL SE# 37 $532,975 $0 $0 $532,975
$532,975 $0 $0 $532,975
NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "qURRENT PENDING" column
that have not yet been accepted/approved. Therefore, these amounts may change.
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
FAAA Totals
Summary
2013-2015
********************* INFORMATION ONLY *********************
CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 141408
DATE: 07/22/2014 REF#: 010
CURRENT CURRENT PROPOSED REVISED
SE# DESCRIPTION· APPROVED PENDING CHANGE TOTAL
1 LOCAL ADMIN MENTAL HEALTH SVCS $342,732 $0 $359,183 $701,915
TOTAL SE# 1 $342,732 $0 $359,183 $701,915
20 NON-RESIDENTIAL ADULT MH SERV $455,306 $0 $0 $455,306
20 NON-RESIDENTIAL ADULT MH SERV $538,013 $0 $316,655 $854,668
TOTAL SE# 20 $993,319 $0 $316,655 $1,309,974
22 CHILD & ADOLES MH SERVICES $122,290 $0 $0 $122,290
TOTAL SE# 22 $122,290 $0 $0 $122,290
28 RESIDENTIAL TREATMENT SERVICES $1,512,066 $0 $952,256 $2,464,322
28 RESIDENTIAL TREATMENT SERVICES $6,333 $0 $0 $6,333
28 RESIDENTIAL TREATMENT SERVICES $1,002,856 $0 $669,032 $1,671,888
TOTAL SE# 28 $2,521,255 $0 $1,621,288 $4,142,543
31 ENHANCED CARE SERVICES $109,248 $0 $0 $109,248
TOTAL SE# 31 $109,248 $0 $0 $109,248
34 ADULT FOSTER CARE MHS $160,349 $0 $0 $160,349
TOTAL SE# 34 $160,349 $0 $0 $160,349
NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column
that have not yet been accepted/approved. Therefore, these amounts may change.
--
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
FAAA Totals
Summary
2013-2015
********************* INFORMATION ONLY *********************
CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 141408
DATE: 07/22/2014 REF#: 010
CURRENT CURRENT l?ROPOSED REVISED
SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL
35 OLDER/DISABLED ADULT MH SVCS $18,734 $0 $0 $18,734
TOTAL SE# 35 $18,734 $0 $0 $18,734
36 PASARR MHS $20,072 $0 $0 $20,072
TOTAL SE# 36 $20,072 $0 $0 $20,072
37 MRS SPECIAL l?ROJECTS $5.92,1.94 $0 $0 $592,l94
TOTAL SE# 37 $5.92,194 $0 $0 $592,194
3.9 CSS-HOMELESS $188,000 $0 $0 $188,000
TOTAL SE# 39 $188,000 $0 $0 $188,000
CONTRACT TOTAL $5,068,193 $0 $2,297,l26 $7,365,3l9
NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT l?ENDING" column
that have not yet been accepted/approved. Therefore, these amounts may change.
Exhibit 2 to the 13th Amendment to
Oregon Health Authority
2013-2015 Intergovernmental Agreement for the
Financing of Community Addictions and Mental Health Services Agreement #141408
Document date: 0712312014 Amendment # 13 Page 4
Reference Ii 0 \0
7131201411:35:53 AM
OREGON HEALTH AUTHORITY
OWITS FiNANCIAL ASSISTANCE AWARD
2013-2015
ExhibitD-2
CONTRACT Deschutes County CONTRACT#: 141408
NAME:
EFFECTIVE 7/112013 12:00:00 PM AMENDMENT#: 13
DATE:
ADDICTIONS AND MENTAL HEALTH SERVICES
SERVICE REQUIREMENTS MEET EXHIBIT B, MHS 31-FLEXIBLE FUNDING
DeschlJ1e$ COunty-141408
Fund Source Description Start Date End Date Approved
Funding Level
Payment
Frequency
Special Condition
0804 MH GENERAl FUND GF
VENDOR
07/01/2013 1213112013 ($1.720,254.84) Monthly
0804 MH GENERAL FUND GF
VENDOR
0710112013 1213112013 $1,761,540.96 Monthly
0804 MH GENERAL FUND GF
VENDOR
07122J2013 0612112014 ($5,4!3 1.O8 ) lump Sum
0S04 MH GENERAL FUND GF
VENDOR
0712212013 0612112014 $5,612.63 Lump Sum
0804 MH GENERAL FUND GF
VENDOR
01/0112014 0613012014 ($1.069,865.59) Monthly
0804 MH GENERAL FUND GF
VENDOR
01/01/2014 06130/2014 $1,095.542.36 Monthly
0804 MH GENERAL FUND GF
VENDOR
07/0112014 0613012015 ($2,139.731.19) Monthly
0804 MH GENERALFlJNO GF
VENDOR
07/0112014 06130/2015 $2,191,084.74 Monthly
--
._---. -... .~---
-------
Deschutl!s Coun~14140S
Fund Source Description
0804 MH GENERAL FUND GF
VENDOR
0804 MH GENERAL FUND GF
VENDOR
Total Authorized Amount of this
Start Date
07/01/2014
07/0112014
End Date
06/3012015
061300015
Approved '
Funding level
($1,443.60)
$1.478.25
$118,482.64
Payment Special Condition
17requency
Monthly
Monthly
:Amendment , --. ~------~
Amendment Reason: The Financial Assistance Award is for MHS 37-Flexible Funding subject to the 2013-2015 Legislatively Adopted
Budget for the Oregon Health Authority. This award indudes Cost of Uving Adjustment (COLA).
-_. -_. ----._-.,,---------------------
k!tH, .M _~,' 1@IA§J);:::;;:;W;W,Mi;tV4SS, R*,,+b;lJ!iiFt;, .,...,..,.-..,--~.~~~~.
I
I
I
I
ADDICTIONS AND MENTAL HEALTH DIVISION ealth
John A. Kitzhaber, MD. Governor
ANNOUNCEMENT
Date: February 21, 2014
To: Community Mental Health Programs
Licensed Mental Health Residential Providers
From: Michael N. Morris, M.S.
Administrator
Subject: Cost-of-Living Adjustment
-----\.\11 hi nil
500 Summer Street NE, E-86
Salem, OR 97301-1118
Voice: 503-945-5763
Fax: 503-378-8467
TTY: 800-375-2863
www.oregon.gov/OHAImentalhealth
The Addictions and Mental Health Division (AMH) was directed by the Legislature to
implement a cost-of-living adjustment to the reimbursement rates of mental health
providers for the 2013-2015 biennium. This adjustment will be made in the form of an
amendment to the existing contract and be effective July 1, 2013, This adjustment will not
apply to Adult Foster Home providers.
The cost of living adjustment will be a 2.4% increase to the General Fund contracted amount
in the following Service Elements:
• Service Element 01
• Service Element 24
• Service Element 20
• Service Element 26
• Service Element 27
• Service Element 28
• Service Element 37 -Flexible Funding
Service Element 24 will include a 1.6% medical inflation increase in addition to the 2.4%
cost of living adjustment, resulting in an overall 4.0% increase.
If you need this letter in an alternate format, please call 503-945-5763 (Voice) or 800-375-2863 (TTY)
An Equal Opportunity Employer
Cost of Living Adjustment
February 21,2014
Page 2
AMH will distribute stand-alone amendments to the County Financial Assistance
Agreements and contracts directly with providers by May 2014.
Residential providers will also receive the 2.4% cost ofliving adjustment to the Medicaid
portion of their funding. A separate memo for the Division of Medical Assistance Programs
describes that process and a copy is attached for your reference.
Please contact Marcus Kroloff at 503·945-9717 or marcus.r.kroloff@state.or.us if you
have any questions about the processing of this cost-of-living adjustment.
Nancy Mooney
From: Lori Hill
Sent: Monday, August 04, 2014 1:22 PM
To: Nancy Mooney; Nancy Tyler
Cc: Sharon Hatcher
Subject: RE: Amendment #13 ready for approval for signature
Approved for signature. Lori
-----Original Message----
From: Nancy Mooney
Sent: Tuesday, July 29, 20142:43 PM
To: Lori Hill; Nancy Tyler
Cc: Sharon Hatcher
Subject: Amendment #13 ready for approval for signature
Hello LorilNancy,
Please provide your affirmation that you have read this document in its entirety, that we can accept/accomplish the
Statement of Work and that signing this document is recommended.
Please note upon e-mailing your consent for signature that you're confirming you've read the document and
reviewed/approved the Statement of Work as it is set forth in the document.
Thank you,
Nancy Mooney
Contract Specialist
Phone: 541-322-7516
Fax: 541-322-7565
Deschutes County Health Services
2577 NE Courtney Drive
Bend, OR 97701
1