Loading...
HomeMy WebLinkAboutDoc 506- IGA - Behav 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 REOUEST & STAFF REPORT For Board Business Meeting of August 10, 2011 DATE: July 28, 2011 FROM: Nancy England, Contract Specialist, Deschutes County Health Services, 322-7516 TITLE OF AGENDA ITEM: Consideration of Board Signature of Document #2011-506, Amendment #1 to the Intergovernmental Financial Agreement Award #134309 between Deschutes County Health Services, Behavioral Health Division and the Oregon Health Authority. PUBLIC HEARING ON THIS DA"rE? No. BACKGROUND AND POLICY IMPLICATIONS: The Oregon Health Authority (OHA) was created by the 2009 Oregon legislature to bring most health­ related programs in the state into a single agency. OHA is at the forefront of lowering and containing costs, improving quality and increasing access to health care in order to improve the lifelong health of Oregonians. In the public sector, OHA will consolidate most of the state's health care programs, including Addictions & Mental Health Services (AM H), Public Health, the Oregon Health Plan (OHP), HealthyKids Connect, employee benefits and public-private partnerships. This will give the state greater purchasing and market power to begin tackling issues with costs, quality, lack of preventive care and health care access. In both the public and the private sector, OHA will be working to fundamentally improve how health care is delivered and paid for. OHA will also be working to reduce health disparities and to broaden the state's public health focus. The 2011-2013 Intergovernmental Agreement for the Financing of Community Addictions and Mental Health Services sets the dollar amounts and guidelines for Deschutes County Health Services to provide or coordinate proviSion of behavioral health as well as alcohol, other drug and problem gambling prevention and treatment services for the next two years. The attached Amendment to the Agreement sets forth the funding for mental health services for year 2011-2012. These amounts reflect reductions in service levels in order to stay within the Governor's Balanced Budget as of March 1, 2011. Additional ongoing changes approved after that date will be reflected in subsequent Amendments. FISCAL IMPLICATIONS: Funding reimbursement for Mental Health service elements FY 11-12 is $8,031,940. RECOMMENDATION & ACTION REQUESTED: Approval and signature of Document #2011-506, Amendment #1 to the Intergovernmental Financial Agreement Award #134309 between Deschutes County Health Services, Behavioral Health and the Oregon Health Authority is requested. ATTENDANCE: Nancy England, Contract Specialist DISTRIBUTION OF DOCUMENTS: E-Mail (tami.Lgoertzen@state.or.us) Tami Goertzen, signed Page 2 of the agreement and the Signed Document Return Statement Original documents to Nancy England at Health Services. DESCHUTES COUNTY DOCUMENT SUMMARY (NOTE: This form is required to be submitted with ALL contracts and other agreements, regardless of whether the document is to be on a Board agenda or can be signed by the County Administrator or Department Director. If the document is to be on a Board agenda, the Agenda Request Form is also required, If this form is not included with the document, the document will be returned to the Department. Please submit documents to the Board Secretary for tracking purposes, and not directly to Legal Counsel, the County Administrator or the Commissioners. In addition to submitting this form with your documents, please submit this form electronically to the Board Secretary,) Please complete all sections above the Official Review line. Date: I July 22, 20111 Department: I Health Services, Behavioral Health I Contractor/Supplier/Consultant Name: I Oregon Health Authority Contractor Contact: I April Barrett I Contractor Phone #: I 503-945-5821 Type of Document: Amendment Goods and/or Services: Deschutes County Health Services (DCHS) provides or coordinates the provision of mental health and developmental disability treatment services to individuals; services may include alcohol and drug treatment, problem gambling prevention treatment services, transportation services, housing services and the provision of peer resources. Background & History: The intergovernmental agreement between the Oregon Health Authority (OHA) and DCHS provides the financing for mental health and addiction services and sets forth the guidelines for DCHS to provide or coordinate provision of mental health services to individuals. Amendment #1 to the agreement provides the funding allocation FY11-12 for mental health services. Additional ongoing changes will be reflected in subsequent Financial Assistance Award amendments. Agreement Starting Date: IJuly 01, 2011 I Ending Date: I June 30, 2013 i Annual Value or Total Payment: I Maximum Compensation is $8,031,940.1 Check all that apply: D RFP, Solicitation or Bid Process D Informal quotes «$150K) I:8J Exempt from RFP, Solicitation or Bid Process (specify -see DCC §2.37) I I Funding Source: (Included in current budget? I:8J Yes D NoI If No, has budget amendment been submitted? DYes D No 7/29/2011 Is this a Grant Agreement providing revenue to the County? DYes t8l No Special conditions attached to this grant: o Deadlines for reporting to the grantor: If a new FTE will be hired with grant funds, confinn that Personnel has been notified that it is a grant-funded position so that this will be noted in the offer letter: DYes D No Contact infonnation for the person responsible for grant compliance: Name: 0 Phone#:D Departmental Contact and Title: I Nancy England, Contract Specialist I Phone #: I 541-322-7516 I __J_l1l.....i_2t5.:0...6-''..10..'_ Date Distribution of Document: Fax the Signature page and completed, signed "Document Retum Statement' to April D. Barrett at (503) 373-7365, fully executed copy to Nancy England. Department Director Approval: ----=---...-'T----­ Official Review: County Signature Required (check one): 0 BOCC 0 Department Director (if <$25K) o Administrator (if >$25K but <$150K; if >$150K, eocc Order No. ____-I) Legal Review _________ Date Document Number: =20:,.1.....1..,;:-506=_____ r f ADMINISTRATIVE SERVICES DIVISION)rQLt~'bn'n'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 FAX: (503) 378-4324 DOCUMENT RETURN STATEMENT Re: Amendment #01 to Agreement #134309 hereinafter referred to as "Document." Please complete the following statement and return it along with the completed signature page and the Contractor Data and Certification page and/or Contractor Tax Identification Information form (if applicable ). Important: If you have any questions or find errors in the above referenced Document, please contact the contract specialist, April D. Barrett at (503) 945-5821. I (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 21,2011. On "JJ '''1 ;)~J .;20 I , , 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. (Date) ADMINISTRATIVE SERVICES DIVISION)rQtj~"m'" ] [~lth 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 DATE: July 21,2011 TO: Scott Johnson, Director Deschutes County RE: Amendment #01 to the 2011-2013 Intergovernmental Agreement for the Financing of Mental Health, Developmental Disability, and Addiction Services Agreement #134309 Enclosed is an amendment to the Agreement. NOTE: Payment for amendments returned to DHS 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". • 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 ADMINISTRATIVE SERVICES DIVISION of H\lman Sery1ces Office of Contracts and Procurement )(Qt1o.~,_", ][csa~th John A. Kilzhaber, MD, Governor 250 Winter St NE, Room 306 Salem, OR 97301 In compliance with the Americans with Disabilities Act, this Voice: (503) 945-5818 document is available in alternate fOlmats such as Braille, FAX: (503) 378-4324 large print, audio recordings, Web~based communications and other electronic fonnats. To request an alternate fonnat,'please send an e­ mail to dhsalt@state.or.us or call 503-378-3486 (voice) or 503-378-3523 (TTY) to arrange for the alternative format. FIRSTAMENDMENT TO OREGON HEALTH AUTHORITY 2011-2013 INTERGOVERNMENTAL AGREEMENT FOR THE FINANCING OF COMMUNITY ADDICTIONS AND MENTAL HEALTH SERVICES AGREEMENT #134309 This First Amendment to Oregon Health Authority 2011-2013 Intergovemmental Agreement for the Financing of Community Addictions and Mental Health Services dated as of July 1,2011 (as amended, the "Agreement"), is entered into, as of the date of the last signature hereto, by and between the State of Oregon acting by and through its Oregon Health Authority ("OHA") and Deschutes County ("County"). RECITALS WHEREAS, OHA and County wish to modify wish to modify the Financial Assistance A ward set f011h in Exhibit C of the Agreement. NOW, THEREFORE, in consideration of the premises, covenants and agreements contained herein and other good and valuable consideration the receipt and sufficiency of which is hereby acknowledged, the parties hereto agree as follows: AGREEMENT 1. The financial and service information in the Financial Assistance A ward are hereby amended as described in Exhibit 1 attached hereto and incorporated herein by this reference. Exhibit 1 must be read in conjunction with the portion of Exhibit C of the Agreement that describes the effect of an amendment of the financial and service infOlmation. 2. Capitalized words and pln'ases used but not defined herein shall have the meanings ascribed thereto in the Agreement. REVIE\<VED DC 2011-506 3. County represents and warrants to Department that the representations and wananties of County set forth in section 4 of Exhibit F of the Agreement are true and correct on the date hereof with the same effect as if made on the date hereof. 4. Except as amended hereby, all terms and conditions of the Agreement remain in full force and effect. 5. This Amendment may be executed in any number of counterparts, all of which when taken together shall constitute one agreement binding on all parties, notwithstanding that all parties are not signatories to the same counterpart. Each copy of this Amendment so executed shall constitute an original. . IN WITNESS WHEREOF, the palties hereto have executed this amendment as of the dates set forth below their respective signatures. Deschutes County By: ~------------------------------------~ Authorized Signature Title Date State of Oregon acting by and through its Oregon Health Authority By: Stella Transue Date Administrator, Office of Contracts and Procurement Document date: 07121120 II Amendment #01 Page 2 Reference 11002 Exhibit 1 to the 1st Amendment to Oregon Health Authority 2011-2013 Intergovernmental Agreement for the Financing of Community Addictions and Mental Health Services Agreement #134309 Document date: 07/2112011 Amendment #01 Page 3 Reference 11002 OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) 2011-2013 CONTRACTOR: DESCHUTES COUNTY Contract#: 134309 DATE: 07/21/2011 Reference#: 002 MENTAL HEALTH SERVICES SECTION: 1 SERVICE REQUIREMENTS MEET EXHIBIT BAND, IF INDICATED, EXHIBIT B-2 Start/End CPMS Approved Approved Servo Unit EXHIB B2 Spec Part Dates Name Service Funds Start-up Units Type Codes Cond# SE# 1 LOCAL ADMIN MENTAL HEALTH SVCS A 7/2011-6/2012 N/A $109,436 $0 O. NA M/A MOOOO 1 A 7/2011-6/2012 N/A $36,893 $0 O. NA M/A MOOOO 2 A 7/2011-6/2012 N/A $49,920 $0 O. NA N/A MOOOO 3 A 7/2011-6/2012 N/A $49,920 $0 O. NA N/A MOOOO 4 ..__.._-­ SUBTOTAL SE# 1 $246,169 $0 SE# 20 NON-RESIDENTIAL ADULT MH SERV A 7/2011-9/2011 N/A $9,275 $0 O. NA N/A MOOOO 5 A 7/2011-6/2012 N/A $118,734 $0 O. NA N/A MOOOO 7 A 7/2011 6/2012 N/A $77,586 $0 O. NA N/A MOOOO 9 A 7/2011-6/2012 N/A $133,840 $0 O. NA N/A A 7/2011-6/2012 N/A $85,018 $0 96. SLT N/A MOOOO 11 A 7/2011-6/2012 N/A $18,932 $0 60. SLT N/A MOOOO 12 A 7/;2Q11 6/2012 N/A $56,592 $0 60. SLT N/A MOOOO 13 A 7/2011-6/2012 N/A $56,592 $0 60. SLT N/A MOOOO 14 A 7/2011-6/2012 M/A $85,018 $0 96. SLT N/A MOOOO 15 A 10/2011-6/2012 N/A $27,825 $0 O. NA M/A MOOOO 5 B 7/2011-6/2012 N/A $65,302 $0 O. NA N/A B 7/2011-6/2012 N/A $134,927 $0 96. SLT N/A MOOOO 6 B 7/2011-6/2012 N/A $134,927 $0 96. SLT N/A MOOOO 10 B 7/2011-6/2012 N/A $100,934 $0 120. SLT M/A MOOOO 16 B 7/2011-6/2012 N/A $100,934 $0 120. SLT M/A MOOOO 17 SUBTOTAL SE# 20 $1,206,436 $0 SE# 22 CHILD & ADOLES MH SERVICES A 7/2011-9/2011 N/A $17,275 $0 O. NA N/A MOOOO 5 A 7/2011-6/2012 N/A $13,590 $0 O. NA M/A MOOOO 18 A 7/2011-6/2012 M/A $60,412 $0 O. NA M/A MOOOO 19 A 7/2011-6/2012 M/A $55,003 $0 O. NA N/A A 10/2011-6/2012 N/A $51,825 $0 O. NA N/A MOOOO 5 E 7/2011-6/2012 M/A $61,145 $0 24. SLT 22A MOOOO 2Q SUBTOTAL SE# 22 $259,250 $0 CONTRACTOR: DESCHUTES DATE: 07/21/2011 COUNTY Contract#: Reference#: 134309 002 MENTAL HEALTH SERVICES SECTION: 1 SERVICE REQUIREMENTS MEET EXHIBIT B AND, IF INDICATED, EXHIBIT B-2 Part StartlEnd Dates CPMS Name Approved Service Funds Approved Start-up Servo units Unit EXHIB B2 Type Codes Spec Cond# SE# 24 REGIONAL ACUTE PSYCH INPATIENT A A A 7/2011­ 7/2011 7/2011­ 6/2012 N/A 6/2012 N/A 6/2012 N/A $530,700 -$29 t 779 $850,781 $0 $0 $0 8784. O. O. CSD NA NA N/A N/A N/A MOOOO 33 SUBTOTAL SEn 24 $1,351,702 $0 SEn 25 COMM CRISIS -ADULT & CHILD A A 7/2011­ 7/2011 6/2012 N/A 6/2012 N/A $144,990 $211,307 $0 $0 O. O. NA NA N/A N/A 1'40000 1'40000 21 22 SUBTOTAl, SEn 25 $356,297 $0 SEll 26 NON-RESIDENTIAL YOUTH DESIGNAT A 7/2011 6/2012 N/A $414,933 $0 O. NA 26A 1'40000 8 SUBTOTAl, SElf 26 $414,933 $0 SElf 28 RESIDENTIAL TREATMENT SERVICES A A A B B B B 7/2011­6/2012 N/A 7/2011­6/2012 NIA 7/2011­6/2012 N/A 7/2011­6/2012 N/A 7/2011-6/2012 NIA 7/2011­6/2012 NIA 7/2011­6/2012 N/A $907,999 $319,795 $319,195 $1,152,000 $368,933 $180,000 $180,000 $0 $0 $0 $0 $0 $0 $0 192. 60. 60. 192. 60. 60. 60. SLT SLT SLT SLT SLT SLT SLT 28A N/A NIA 28A N/A N/A N/A 1'40000 MOOOO 1'40000 1'40000 1'40000 MOOOO MOOOO 24 27 29 23 25 26 28 SUBTOTAL SEn 28 $3,427,922 $0 SEl! 30 PSRB TMNT & SUPERVISION A A A A A A A 7/2011­6/2012 ETTONA-790325 7/2011­6/2012 LAKANI-661008 7/2011-6/2012 ASORAN-810809 7/2011-6/2012 RASOBE-650925 7/2011­6/2012 OYEHOM-480408 7/2011-6/2012 RONUST-690224 7/2011­6/2012 INGIDE-820904 $5,294 $5,294 $5,294 $5,294 $5,294 $5,294 $5,294 $0 $0 $0 $0 $0 $0 $0 12. 12. 12. 12. 12. 12. 12. SLT SLT SLT SLT SLT SLT SLT N/A N/A N/A N/A N/A N/A N/A 1'40000 MOOOO 1'40000 1'40000 1'40000 1'40000 1'40000 30 30 30 30 30 30 30 CONTRACTOR: DESCHUTES COUNTY Contract#: 134309 DATE: 07/21/2011 Reference#: 002 MENTAL HEALTH SERVICES SECTION: 1 SERVICE REQUIREMENTS MEET EXHIBIT B AND, IF INDICATED, EXHIBIT B 2 Part Start/End Dates CPMS Name Approved Service Funds Approved Start-up Servo Units Unit EXHIB B2 Type Codes Spec Cond# SUBTOTAL SEn 30 $37,058 $0 B SEn 31 ENHANCED CARE SERVICES 7/2011-6/2012 N/A SUBTOTAL SEn 31 $219,095 $219,095 $0 $0 26352. CSD N/A B SEn 34 ADULT FOSTER CARE 7/2011-6/2012 N/A SUBTOTAL SEn 34 MHS $320,697 $320,697 $0 $0 O. NA N/A A SEn 35 OLDER/DISABLED ADULT 7/2011 6/2012 N/A SUBTOTAL SEn 35 MH SVCS $9,367 $9,367 $0 $0 O. NA 35A 1'10000 31 SEn 36 PASARR MHS B 7/2011 6/2012 N/A SUBTOTAL SEn 36 $10,036 $10,036 $0 $0 O. NA N/A A SEn 38 SUPPORTED EMPLOYMENT 7/2011-6/2012 N/A SUBTOTAL SEn 38 SERVCS $93,593 $93,593 $0 $0 O. NA N/A 1'10000 32 A SEn 39 CSS-HOMELESS 7/2011-6/2012 N/A SUBTOTAL SEn 39 $66,365 $66,365 $0 $0 O. NA N/A 1'10000 34 SEn 201 NON-RES DESIGNATED SVCS MHS CONTRACTOR: DESCHUTES COUNTY ContractU: 134309 DATE: 07/21/2011 Reference": 002 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# A 7/2011-6/2012 ASORAN-810809 $600 $0 O. NA N/A A 7/2011-6/2012 IMMHER-490627 $12,000 $0 O. NA N/A A 7/2011-6/2012 RONUST-690224 $420 $0 O. NA N/A SUBTOTAL SEU 201 $13,020 $0 TOTAL SECTION 1 $8,031,940 $0 TOTAL AUTHORIZED FOR MENTAL HEALTH SERVICES $8,031,940 TOTAL AUTHORIZED FOR THIS FAAA: $8,031,940 OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) CONTRACTOR: DESCHUTES COUNTY Contract#: 134309 DATE: 07/21/2011 REF#: 002 REASON FOR FAAA (for information only) : This Financial Assistance Award is for Mental Health Services within the Governor's 2011-13 Balanced Budget (GBB) through June 30, 2012. Amounts reflect reductions in service levels in order to stay within the GBB as of March 1, 2011. Additional ongoing changes approved after that date will be reflected in a subsequent Financial Assistance Award Amendment. Payment of funds in this Financial Assistance Award is subject to Legislative approval of the Oregon Health Authority's 2011-13 Budget, at the level proposed in the Governor's Balanced Budget or Higher. The follm·ling 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 AVlard. MOOOO 1 Local Administration -Mental Health Services (MHS01) Financial Assistance Associated vlith 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 in its CMHP, OHA shall have no obligation, after the termination, to payor disburse to County financial assistance subject to this special condition. r40000 2 A) Local Administration Mental Health Services (MHS01) 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 in its CMHP, OHA shall have no obligation, after the termination, to payor disburse to County financial assistance subject to this subject condition. B) These funds are for Local Admin at Hosmer House. MOOOO 3 A) Local Administration Mental Health Services (MHS01) 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 in its CMHP, OHA shall have no obligation, after the termination, to payor disburse to County financial assistance subject to this subject condition. B) These funds are for Local Admin at 12th Street House. MOOOO 4 A) Local Administration -Mental Health Services (MHS01) 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 in its CMHP, OHA shall have no obligation, after the termination, to payor disburse to County financial assistance subject to this subject condition. B) These funds are for Local Admin at Edgecliff House. MOOOO 5 These funds are for MH Block Grant services. MOOOO 6 These funds are for Rehabilitative services. MOOOO 7 These funds are for Case Management services. MOOOO 8 These funds are for EAST services. MOOOO 9 These funds are for Jail Diversion services. MOOOO 10 These funds are for PSRB Rehabilitative services. MOOOO 11 These funds are for PSRB Rent Subsidy services. I i I MOOOO 12 These funds are MOOOO 13 These funds are MOOOO 14 These funds are MOOOO 15 These funds are Center. MOOOO 16 These funds are MOOOO 17 These funds are MOOOO 18 These funds are MOOOO 19 These funds are MOOOO 20 These funds are MOOOO 21 These funds are MOOOO 22 These funds are MOOOO 23 These funds are MOOOO 24 A) MHS 28 Rate: for Rent Subsidy services. for Rent Subsidy services at Edgecliff House. for Rent Subsidy services at 12th Street House. for Rent Subsidy services at Deschutes Recovery for Treatment services at Edgecliff House. for Treatment services at 12th Street House. for CSCI services. for Kids Non-Title 19 services. for Foster Care Treatment services. for Adult Crisis services. for Community Crisis services. for services at Deschutes Recovery Center. For services delivered to individuals during a particular month, OHA will provide financial assistance at the rate of $4,729.16 per month per individual. B} These funds are for services at Deschutes Recovery Center. MOOOO 25 These funds are for services at Hosmer House. MOOOO 26 These funds are for services at Edgecliff House. MOOOO 27 A) MHS 28 Rate: For services delivered to individuals during a particular month, OHA will provide financial assistance at the rate of $5,329.91 per month per individual. B) These funds are for services at Edgecliff House. MOOOO 28 These funds are for services at 12th Street House. MOOOO 29 A) MHS 28 Rate: For services delivered to individuals during a particular month, OHA will provide financial assistance at the rate of $5,319.91 per month per individual. B} These funds are for services at 12th Street House. MOOOO 30 MHS 30 Rate and Slot: For slots utilized during a particular month, ORA will provide financial assistance at the rate of $441.13 per month per slot for up to "7 slots. MOOOO 31 These funds are for Gero Specialists services. MOOOO 32 County shall provide MHS 38 Evidence-Based supported Employment services to a minimum of 34 unduplicated individuals with serious mental illness per year. Supported Employment Services shall result in a minimum of 35% of the above consumers achieving competitive employment. MOOOO 33 These funds 24. are for Governor's Budget Reduction services at MHS MOOOO 34 Providers of MHS-39 Services shall provide PATH services to a minimum of 70 PATH-Enrolled consumers per year. Outreach services will be provided to a minimum of 100 PATH-Eligible consumers per year. OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) FAAA Totals Part A 2011-2013 ********************* INFORMATION ONLY ********************* CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 134309 DATE: 07/21/2011 REF#; 002 Cti'RRENT CURRENT PROPOSED REVISED SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL 1 LOCAL ADMIN MENTAL HEALTH SVCS $0 $0 $246,168 $246,168 TOTAL SE# 1 $0 $0 $246,168 $246,168 20 NON-RESIDENTIAL ADULT MH SERV $0 $0 $367,261 $367,261 20 NON-RESIDENTIAL ADULT MH SERV $0 $0 $302,152 $302,152 TOTAL SE# 20 $0 $0 $669,413 $669,413 22 CHILD & ADOLES ME SERVICES $0 $0 $198,106 $198,106 TOTAL SE# 22 $0 $0 $198,106 $198,106 24 REGIONAL ACUTE PSYCH INPATIENT $0 $0 $530,700 $530,700 24 REGIONAL ACUTE PSYCH INPATIENT $0 $0 $821,002 $821,002 TOTAL SE# 24 $0 $0 $1,351,702 $1,351,702 25 COMM CRISIS -ADULT & CHILD $0 $0 $356,297 $356,297 TOTAL SE# 25 $0 $0 $356,297 $356,297 26 NON-RESIDENTIAL YOUTH DESIGNAT $0 $0 $414,933 $414,933 TOTAL SE# 26 $0 $0 $414,933 $414,933 28 RESIDENTIAL TREATMENT SERVICES $0 $0 $907,999 $907,999 NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column that have not yet been accepted/approved. Therefore, these amounts may change. ili"""''>!'"?I!I'''''~~'~'"~'W!I'jlY:M'<~'~'''ff!'''*I!'I1~'''''''''l~~,""",~.411(11,' '" PhhVj "' 1.1, G '$\iT'~,"'..i$+A F ,vq X'<lU \'J'll~.~ 0 W~ !{iF jffofo.,*" k. p,~ "Hi) g;; 7$;;:;; flU . h \¢ 4 141$. 4!i+\Ji.,IMt; t"jfI4i!!II, JLii \4$iiWP,J,iJll(w\X" )\;;,i\l.4ii4l'f\ii';iIflkffli\"'L*X"it-!f'! ',tlM,a !.WijllOIi\i!!i' OREGON HEALTH AUTHORITY Financial Assistance Award ~~endment (FAAA) FAAA Totals Part A 2011-2013 ********************* INFORMATION ONLY ********************* CONTRACTOR; DESCHUTES COUNTY CONTRACT~: 134309 DATE: 07/21/2011 REF#; 002 CURRENT CURRENT PROPOSED REVISED SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL 28 RESIDENTIAL TREATMENT SERVICES $0 $0 $638,989 $638,989 TOTAL SE# 28 $0 $0 $1,546,988 $1,546,988 30 PSRB TMNT & SUPERVISION $0 $0 $37,055 $37,055 TOTAL SE# 30 $0 $0 $37,055 $37,055 35 OLDER/DISABLED ADULT MH SVCS $0 $0 $9,367 $9,367 TOTAL SE# 35 $0 $0 $9,357 $9,367 38 SUPPORTED EMPLOYMENT SERVCS $0 $0 $93,593 $93,593 TOTAL SE# 38 $0 $0 $93,593 $93,593 39 eSS-HOMELESS $0 $0 $66,365 $66,365 TOTAL SE# 39 $0 $0 $66,365 $66,365 201 NON-RES DESIGNATED SVCS MRS $0 $0 $13,020 $13,020 TOTAL SE# 201 $0 $0 $13,020 $13,020 $0 $0 $5,003,007 $5,003,007 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 OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (F~~} FAAA Totals Part B 2011-2013 ********************* INFORMATION ONLY ********************* CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 134309 DATE: 07/21/2011 REF#: 002 CURRENT CURRENT PROPOSED REVISED SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL 20 NON-RESIDENTIAL ADULT MH SERV $0 $0 $65,302 $65,302 20 NON-RESIDENTIAL ADULT MR SERV $0 $0 $471,723 $471,723 TOTAL SE# 20 $0 $0 $537,025 $537,025 22 CHILD & ADOLES MR SERVICES $0 $0 $61,145 $61,145 TOTAL SE# 22 $0 $0 $61,145 $61,145 28 RESIDENTIAL TREATMENT SERVICES $0 $0 $1,152,000 $1,152,000 28 RESIDENTIAL TREATMENT SERVICES $0 $0 $728,933 $728,933 TOTAL SE# 28 $0 $0 $1,880,933 $1,880,933 31 ENHANCED CARE SERVICES $0 $0 $219;095 $219,095 TOTAL SE# 31 $0 $0 $219,095 $219,095 34 ADULT FOSTER CARE MRS $0 $0 $320,697 $320,697 TOTAL SE# 34 $0 $0 $320,697 $320,697 36 PASARR MRS $0 $0 $10,036 $10,036 TOTAL SE# 36 $0 $0 $10,036 $10,036 NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column that have not yet been accepted/approved. Therefore, these amounts may change. OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) FAAA Totals Part B 2011-2013 ********************* INFORMATION ONLY ********************* CONTRACTOR: DATE: DESCHUTES COUNTY 07/21/2011 CONTRACT#: REF#: 134309 002 SE# DESCRIPTION CURRENT APPROVED CURRENT PENDING PROPOSED CHANGE REVISED TOTAL $0 $0 $3,028,931 $3,028,931 NOTE: The amounts in the "REVISED TOTAL" column that have not yet been accepted/approved. include amounts reported in the "CTJRRENT Therefore, these amounts may change. PENDING" co!l.umn OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) ********************* CONTRACTOR: DATE: DESCHUTES COUNTY 07/21/2011 SE#: DESCRIPTION CURRENT APPROVED 1 LOCAL ADMIN MENTAL HEALTH SVCS $0 TOTAL SE# 1 $0 20 NON-RESIDENTIAL ADULT ME SERV $0 20 NON-RESIDENTIAL ADULT ME SERV $0 TOTAL SEtj: 20 $0 22 CHILD & ADOLES ME SERVICES $0 22 CHILD & ADOLES ME SERVICES $0 TOTAL SE# 22 $0 24 REGIONAL ACUTE PSYCH INPATIENT $0 24 REGIONAL ACUTE PSYCH INPATIENT $0 TOTAL SE# 24 $0 25 COMM CRISIS -ADULT & CHILD $0 FAAA Totals Summary 2011-2013 INFORMATION ONLY CURRENT PENDING $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 $0 TOTAL SE# 25 $0 $0 26 NON-RESIDENTIAL YOUTH DESIGNAT $0 $0 TOTAL SE# 26 $0 $0 ********************* CONTRACT#: 134309 REF#: 002 PROPOSED REVISED CHANGE TOTAL $246,168 $246,168 $246,168 $246,168 $432,563 $432,563 $773,875 $773,875 $1,206,438 $1,206,438 $61,145 $61,145 $198,106 $198,106 $259,251 $259,251 $530,700 $530,700 $821,002 $821,002 $1,351,702 $1,351,702 $356,297 $356,297 $356,297 $356,297 $414,933 $414,933 $414,933 $414,933 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 Fir~ncial Assistance Award Amendment (FAAA) FAAA Totals Summary 2011-2013 ********************* INFORMATION ONLY ********************* CONTRACTOR: DESCHTJTES COUNTY CONTRACT#: 134309 DATE: 07/21/2011 REF#: 002 CURRENT CURRENT PROPOSED REVISED SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL 28 RESIDENTIAL TREATMENT SERVICES $0 $0 $2,059,999 $2,059,999 28 RESIDENTIAL TREATMENT SERVICES $0 $0 $1,367,922 $1,367,922 TOTAL SE# 28 $0 $0 $3,427,921 $3,427,921 30 PSRB TMNT & SUPERVISION $0 $0 $37,055 $37,055 TOTAL SE# 30 $0 $0 $37,055 $37,055 31 ENHANCED CARE SERVICES $0 $0 $219,095 $219,095 TOTAL SE# 31 $0 $0 $219,095 $219,095 34 ADULT FOSTER CARE MRS $0 $0 $320,697 $320,697 TOTAL SE# 34 $0 $0 $320,697 $320,697 35 OLDER/DISABLED ADULT MR sves $0 $0 $9,367 $9,367 TOTAL SE# 35 $0 $0 $9,367 $9,367 36 PASARR MRS $0 $0 $10,036 $10,036 TOTAL SE# 36 $0 $0 $10,036 $10,036 38 SUPPORTED EMPLOYMENT SERVCS $0 $0 $93,593 $.93,593 NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column that have not yet been accepted/approved. Therefore, these amounts may change. OREGON HEALTH AUTHORITY Financial Assistance Award Amendment (FAAA) FAAA Totals Summary 2011-2013 ********************* INFORMAT~ON ONLY ********************* CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 134309 DATE: 07/21/2011 REF#: 002 CDRRENT CURRENT PROPOSED REVISED SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL TOTAL SE# 38 $0 $0 $93,593 $93,593 39 CSS-HOMELESS $0 $0 $66,365 $56,365 TOTAL SE# 39 $0 $0 $66,365 $66,365 201 NON-RES DESIGNATED SVCS MHS $0 $0 $13,020 $13,020 TOTAL SEw 201 $0 $0 $13,020 $13,020 CONTRACT TOTAL $0 $0 $8,031,938 $8,031,938 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.