HomeMy WebLinkAboutDoc 148 - IGA Amend - DHS - Health SvcsDeschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701-1960
(541) 388-6570 - Fax (541) 385-3202 - www.deschutes.org
AGENDA REQUEST & STAFF REPORT
For Board Business Meeting of March 30, 2011
DATE: March 23, 2011
FROM: Lori Hill, Adult Treatment Program Manager, Deschutes County Health Services,
541-322-7535
TITLE OF AGENDA ITEM:
Consideration of Board Signature of Document #2011-148, Amendment #54 to the 2009-2011 Intergovernmental
Agreement for the financing of mental health, developmental disability and addiction services, Agreement
#127295.
PUBLIC HEARING ON THIS DATE? No.
BACKGROUND AND POLICY IMPLICATIONS:
The 2009-2011 Intergovernmental Agreement for the financing of mental health, developmental disability
and addiction services sets forth the dollar amounts and guidelines for Deschutes County Health Services
(DCHS) to provide or coordinate provision of mental health and developmental disability treatment services
to individuals, as well as alcohol, other drug and problem gambling prevention and treatment services for the
2009-2011 biennium.
Amendment #127295-54 provides funding for rent subsidy, start-up funds, room and board, medication,
rehabilitative services and service payments for clients located at the Deschutes Recovery Center Secure
Residential Treatment Facility (SRTF), Edgecliff Residential Treatment Home and Angel's Embrace
Treatment Home.
Deschutes Recovery Center, located on Poe Sholes Drive, provides transitional housing for recovering
addicts and mentally ill residents. Deschutes Recovery Center offers residents recovery -centered mental
health support.
Edgecliff Residential Treatment Home is a five -bed residential treatment facility that provides a stable home
environment for people who are transitioning to community-based services and rebuilding their lives.
Angel's Embrace is a home health care facility for Seniors.
FISCAL IMPLICATIONS:
Maximum Compensation is $1,227,626.
RECOMMENDATION & ACTION REQUESTED:
Behavioral Health recommends approval.
ATTENDANCE: Nancy England, Contract Specialist
DISTRIBUTION OF DOCUMENTS:
Fax the documents to April D. Barret at (503) 378-4324, and fully executed copy to Nancy England, Contract
Specialist, Behavioral Health Department.
DESCHUTES COUNTY DOCUMENT SUMMARY
(NOTE: This form is required to be submitted with ALL contracts and other agreements, regardless of whether the document is to be
on a Board agenda or can be signed by the County Administrator or Department Director. If the document is to be on a Board
agenda, the Agenda Request Form Is also required. If this form Is not included with the document, the document will be resumed 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 farm with your documents, please submit this form
electronically to the Board Secretary.)
Date:
Please complete all sections above the Official Review line.
March 7, 2011
Department:
Health Services, Behavioral Health
Contractor/Supplier/Consultant Name:
Contractor Contact:
April Barrett
Type of Document: Amendment
Oregon Department of Human Services
Contractor Phone #:
503-945-5821
Goods and/or Services: Deschutes County Health Services (DCHS) provides or coordinates
the provision of mental health and developmental disability treatment services to individuals;
services may include alcohol and drug treatment, problem gambling prevention treatment
services, transportation services, housing services and the provision of peer resources.
Background & History: The intergovernmental agreement between the Department of Human
Services and DCHS provides the financing for mental health, developmental disability and
addiction services and sets forth the guidelines for DCHS to provide or coordinate provision of
mental health and developmental disability services to individuals.
Amendment #54 to the agreement modifies funding for the following service elements:
1) Service element #20 — Non -Residential Adult Mental Health Services — $191,565, funds
are awarded for rent subsidy and rehabilitative services for sixteen (16) slots at
Deschutes Recovery Center Secure Residential Treatment Facility (SRTF). Located on
Poe Sholes Drive, Deschutes Recovery Center is transitional housing for recovering
addicts and mentally ill residents, providing residents with recovery -centered mental
health support.
2) Service element #28 — Residential Treatment Services - $908,612, funds are awarded
for service payment for one client at Edgecliff Residential Treatment Home; funds are
awarded and limitation is increased for service payment for sixteen (16) slots at
Deschutes Recovery Center (SRTF). Edgecliff Residential Treatment Home is a five -
bed residential treatment facility that provides a stable home environment for people who
are transitioning to community-based services and rebuilding their lives.
3) Service element #34 — Adult Foster Care Mental Health Services - $10,188, funds are
awarded for one client at Angel's Embrace, a home health care facility for Seniors.
4) Service element #37 — Mental Health Services Special Projects - $107,573, Start-up
funds are awarded for Deschutes County Recovery Center (SRTF).
5) Service element #201 — Non -Residential Designated Services Mental Health Services,
$9,688 funds are awarded for room, board and medication at Edgecliff Residential
Treatment Home; funds are awarded for room and board for one client at Angel's
Embrace.
Agreement Starting Date:
July 01, 2010
Annual Value or Total Payment:
Ending Date:
June 30, 2011
Maximum Compensation is $1,227,626.
3/7/2011
El Insurance Certificate Received (check box)
Insurance Expiration Date:
County is Contractor
Check all that apply:
❑ RFP, Solicitation or Bid Process
❑ Informal quotes (<$150K)
® Exempt from RFP, Solicitation or Bid Process (specify — see DCC §2.37)
Funding Source: (Included in current budget? ® Yes El No
If No, has budget amendment been submitted? El Yes ❑ No
Is this a Grant Agreement providing revenue to the County? ❑ Yes ® No
Special conditions attached to this grant:
Deadlines for reporting to the grantor:
If a new FTE will be hired with grant funds, confirm that Personnel has been notified that it is a
grant -funded position so that this will be noted in the offer letter: ❑ Yes ❑ No
Contact information for the person responsible for grant compliance: Name:
Phone #:
Departmental Contact and Title:
Phone #:
541-322-7516
Department Director Approval:
Nancy England, Contract Specialist
5 11
Date
Distribution of Document: Fax the entire Amendment to April D. Barrett at (503) 373-
7365, fully executed copy to Nancy England.
Official Review:
County Signature Required (check one): BOCC 0 Department Director (if <$25K)
Administrator,(if >$25K but <$150K; if >$150K, BOCC Order No.
Legal Review s--,4_ Date - 2 - (/
Document Number: 2011-148
3/7/2011
> SDHs
Oregon Department
of Human Services
ADMINISTRATIVE SERVICES DIVISION
Office of Contracts and Procurement
1-r)gra.1-th
Authority
John A. Kitzhaber, MD, Governor 250 Winter St NE, Room 306
Salem, OR 97301
In compliance with the Americans with Disabilities Act, this Voice: (503) 945-5818
document is available in alternate formats such as Braille, FAX: (503) 378-4324
large print, audiotape, oral presentation and electronic
format. To request an alternate format, please send an e-mail to
DHS.Forms@state.or.us or contact the Office of Document Management at (503)
378-3523, and TTY at 503-378-3523.
FIFTY-FOURTH AMENDMENT TO
DEPARTMENT OF HUMAN SERVICES
2009-2011 INTERGOVERNMENTAL AGREEMENT FOR THE
FINANCING OF MENTAL HEALTH, DEVELOPMENTAL DISABILITY
AND ADDICTION SERVICES AGREEMENT #127295
This Fifty -Fourth Amendment to Department of Human Services 2009-2011
Intergovernmental Agreement for the Financing of Mental Health, Developmental Disability and
Addiction Services dated as of July 1, 2009 (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 Department of Human Services ("Department" or "DHS") and Deschutes County ("County").
RECITALS
WHEREAS, the Department and County wish to modify the Financial Assistance Award set
forth in Exhibit C-1 of the Agreement.
NOW, THEREFORE, in consideration of the premises, covenants and agreements contained
herein and other good and valuable consideration the receipt and sufficiency of which is hereby
acknowledged, the parties hereto agree as follows:
AGREEMENT
1. The financial and service information in the Financial Assistance Award are hereby
amended as described in Exhibit 1 attached hereto and incorporated herein by this
reference. Exhibit 1 must be read in conjunction with the portion of Exhibit C-1 of the
Agreement that describes the effect of an amendment of the financial and service
information.
2. Capitalized words and phrases used but not defined herein shall have the meanings
ascribed thereto in the Agreement.
3. County represents and warrants to Department that the representations and warranties of
County set forth in section 2 of Exhibit E of the Agreement are true and correct on the
date hereof with the same effect as if made on the date hereof.
DG .O11•1 g
4. Except as amended hereby, all terms and conditions of the Agreement remain in full
force and effect.
5. This Amendment may be executed in any number of counterparts, all of which when
taken together shall constitute one agreement binding on all parties, notwithstanding that
all 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.
STATE OF OREGON ACTING BY AND THROUGH
ITS DEPARTMENT OF HUMAN SERVICES
By: Date:
Name: Stella Transue
Title: Administrator, DHS Office of Contracts & Procurement
Deschutes County
By: Date:
Name: Title:
Document date: 02/16/2011 Amendment #54 Page 2
Reference #049
Exhibit 1 to the 54th Amendment to
Department of Human Services
2009-2011 Intergovernmental Agreement for the
Financing of Mental Health, Developmental Disability
and Addiction Services Agreement #127295
Document date: 02/16/2011 Amendment #54 Page 3
Reference #049 '.
DEPARTMENT OF HUMAN SERVICES
Financial Assistance Award Amendment (FAAA)
2009-2011
CONTRACTOR: DESCHUTES COUNTY Contract#: 127295
DATE: 02/09/2011 Reference#: 049
MENTAL HEALTH SERVICES
SECTION: 1
SERVICE REQUIREMENTS MEET EXHIBIT B AND, IF INDICATED, EXHIBIT B-2
Start/End CPMS
Part Dates Name
Approved
Service Funds
SE# 20 NON-RESIDENTIAL ADULT MH SERV
A 1/2011- 6/2011 N/A
B 1/2011- 6/2011 N/A
SUBTOTAL SE# 20
Approved Serv. Unit EXHIB B2 Spec
Start-up Units Type Codes Cond#
$74,048 $0 16. SLT N/A
$117,517 $0 16. SLT N/A
$191,565 $0
SE# 28 RESIDENTIAL TREATMENT SERVICES
A 10/2010- 1/2011 ONZEDR-860130 -$9,000 $0 -4. SLT N/A M0627 1
A 12/2010- 6/2011 ERNLEG-871002 $20,516 $0 7. SLT N/A M0627 2
A 1/2011- 6/2011 N/A $395,419 $0 16. SLT 28A M0627 5
B 1/2011- 6/2011 N/A $501,677 $0 16. SLT 28A
SUBTOTAL SE# 28
$908,612 $0
SE# 34 ADULT FOSTER CARE MHS
A 1/2011- 6/2011 OLDENE-501108 $10,188 $0 6. SLT N/A M0627 4
SUBTOTAL SE# 34 $10,188 $0
SE# 37 MHS SPECIAL PROJECTS
C 12/2010- 6/2011 N/A $0 $107,573 0. NA N/A M0627 3
SUBTOTAL SE# 37 $0 $107,573
SE# 201 NON -RES DESIGNATED SVCS MHS
A 10/2010- 1/2011 ONZEDR-860130 -$5,047 $0 0. NA N/A
A 12/2010-12/2010 ERNLEG-871002 $40 $0 0. NA N/A
A 12/2010- 6/2011 ERNLEG-871002 $12,525 $0 0. NA N/A
A 1/2011- 6/2011 OLDENE-501108 $2,170 $0 0. NA N/A
SUBTOTAL SE# 201
TOTAL SECTION 1
$9,688 $0
$1,120,053 $107,573
CONTRACTOR: DESCHUTES COUNTY Contract#: 127295
DATE: 02/09/2011 Reference#: 049
MENTAL HEALTH SERVICES
SECTION: 1
SERVICE REQUIREMENTS MEET EXHIBIT B AND, IF INDICATED, EXHIBIT B-2
Start/End CPMS Approved Approved Serv. Unit EXHIB B2 Spec
Part Dates Name Service Funds Start-up Units Type Codes Cond#
TOTAL AUTHORIZED FOR MENTAL HEALTH SERVICES $1,227,626
TOTAL AUTHORIZED FOR THIS FAAA: $1,227,626
DEPARTMENT OF HUMAN SERVICES
Financial Assistance Award Amendment (FAAA)
CONTRACTOR: DESCHUTES COUNTY Contract#: 127295
DATE: 02/09/2011
REASON FOR FAAA (for information only):
REF#: 049
Non -Residential Adult Mental Health (General) (MHS 20) funds are awarded
for rent subsidy and limitation is increased for rehabilitative services
for 16 slots at Deschutes Recovery Center SRTF, LOI #09-11-2928.
Residential Treatment Services (MHS 28) funds are removed for service
payment for one client at Edgecliff RTH, LOT #09-11-2743; funds are awarded
for service payment for one client at Edgecliff RTH, LOI #09-11-2744; funds
are awarded and limitation is increased for service payment for 16 slots at
Deschutes Recovery Center SRTF, LOI #09-11-2928.
Adult Foster Care Services (MHS 34) funds are awarded for service payment
for one client at Angel's Embrace SPD AFH, LOI #09-11-2904.
MHS Special Projects (MHS 37) funds are awarded for start-up of Deschutes
County Recovery Center SRTF, LOI #09-11-2865.
Non -Residential Adult Mental Health Services (Designated) (MHS 201) funds
are removed for treatment services for one client at Edgecliff RTH, LOI
#09-11-2743; funds are awarded for room & board and treatment services for
one client at Edgecliff RTH, LOI #09-11-2744; funds are awarded for
medication for one client at Edgecliff RTH, LOT #09-11-2849; funds are
awarded for room & board for one client at Angel's Embrace SPD AFH, LOT
#09-11-2904.
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.
M0627 1 Special Condition M0518-1, in Amendment 47, regarding "MHS 28
Rate" applies.
M0627 2 MHS 28 Rate: For services delivered to individuals during a
particular month, Department will provide financial assistance at
the rate of $3,000 per month per individual.
M0627 3 The Special Projects, Start -Up (MHS 37) financial assistance
subject to this special condition may only be used for start-up
activities related to development or preservation of housing for
persons with serious mental illness who are at risk of
psychiatric hospitalization or homelessness (the financial
assistance may not be used to cover costs eligible for funding
from other sources or to purchase furniture or equipment that
does not become part of the real property). Exhibit 37 -Start -Up
to Service Description MHS 37 applies to the financial assistance
to this special condition.
M0627 4 MHS 34 Rate and Slot: For slots utilized during a particular
month, Department will provide financial assistance at the rate
of $1,784.40 per month per slot for up to 1 slot.
M0627 5 MHS 28 Rate: For services delivered to individuals during a
particular month, Department will provide financial assistance at
the rate of.r ,729.1& per month per individual.
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TOTAL SE# 201
$11,021,402
$1,227,626
$9,780,723
)rDHS
Oregon Department
of Human Services
John A. Kitzhaber, MD, Governor
ADMINISTRATIVE SERVICES DIVISION
egalth
Office of Contracts and Procurement Authority
250 Winter St NE, Room 306
Salem, OR 97301
Voice: (503) 945-5818
FAX: (503) 378-4324
DATE: February 17, 2011
TO: Scott Johnson, Director
Deschutes County
RE: Amendment #54 to the
2009-2011 Intergovernmental Agreement for the Financing
of Mental Health, Developmental Disability, and Addiction Services
Agreement #127295
Enclosed is an amendment to the Agreement.
NOTE: Payment for amendments returned to DHS by the 3rd 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".
• Fax only the signature page of the amendment and the completed, signed "Document
Return Statement" to DHS at 503-373-7365.
Following receipt by DHS of your signed amendment, DHS will route its copy of amendment to
the official(s) who is/are authorized to execute the amendment. Once the amendment is signed
DHS will scan the Amendment and transmit to the appropriate County official.
If you have questions regarding this financial assistance award, please contact Sheryl Derting,
Mental Health & Addiction Services, at (503) 945-6263 or April D. Barrett at (503) 945-5821.
Sincerely,
April D. Barrett, OPBC
Contracts Specialist
Attachment
)rDHS
Oregon Department
of Human Services
John A. Kitzhaber, MD, Governor
ADMINISTRATIVE SERVICES DIVISION Oregalth
Office of Contracts and Procurement Authority
250 Winter St NE, Room 306
Salem, OR 97301
Voice: (503) 945-5818
FAX: (503) 378-4324
DOCUMENT RETURN STATEMENT
Re: Amendment #54 to Agreement #127295 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
the Department of Human Services, and Deschutes County, by e-mail from Tami Goertzen on February
17, 2011.
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)