HomeMy WebLinkAboutDoc 666 - IGA - Behav Health FundingDeschutes 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 November 30, 2011
DATE: November 23, 2011
FROM: Nancy England, Contract Specialist, Deschutes County Health Services, 322-7516
TITLE OF AGENDA ITEM:
Consideration of Board Signature of Document #2011-666, Amendment #4 to the Intergovernmental
Financial Agreement Award #134309 between Deschutes County Health Services, Behavioral Health
Division and the Oregon Health Authority.
PUBLIC HEARING ON THIS DATE? No.
BACKGROUND AND POLICY IMPLICATIONS:
The Oregon Health Authority (OHA) was created by the 2009 Oregon legislature to bring most health
related programs in the state into a Single agency. OHA is at the forefront of lowering and containing
costs, improving quality and increasing access to health care in order to improve the lifelong health of
Oregonians. In the public sector, OHA will consolidate most of the state's health care programs,
including Addictions &Mental Health Services (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 reflects the ongoing 2009-2011 changes approved by the Oregon
Health Authority after the calculation of the initial 2011-2013 Financial Assistance Award.
FISCAL IMPLICATIONS:
Maximum Compensation is $480,463.
RECOMMENDATION & ACTION REQUESTED:
Approval and signature of Document #2011-666, Amendment #4 to the Intergovernmental Financial
Agreement Award #134309 between Deschutes County Health Services, Behavioral Health and the
Oregon Health Authority is requested.
ATTENDANCE: Lori Hill, Program Manager
DISTRIBUTION OF DOCUMENTS:
Fax the Signature page and completed, signed "Document Return Statement" to April D. Barrett at
(503) 373-7365, fully executed copy to Nancy England.
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 November 1! 2011
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 #4 to #134309
Goods and/or Services: Deschutes County Health Services (DCHS) provides or coordinates
the provision of mental health and developmental disability treatment services to individuals;
services may include alcohol and drug treatment, problem gambling prevention treatment
services, transportation services, housing services and the provision of peer resources.
Background & History: The intergovemmental 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 #4 to the agreement reflects the ongoing 2009-2011 changes approved by the
Oregon Health Authority after the calculation of the initial 2011-2013 Financial Assistance
Award.
Agreement Starting Date: . July 01, 2011 1 Ending Date: 1 June 30, 2013 •
Annual Value or Total Payment: 1 Maximum Compensation is $480,463.1
Insurance Certificate Received (check b2'--"x'--__----.
Insurance Expiration Date:! CoLAnt is Contractor
Check all that apply: o R FP I Solicitation or Bid Process o I nformal quotes «$150K)
r;g] Exempt from RFP, Solicitation or Bid Process (specify -see DCC §2.37)
Funding Source: (Included in current budget? 0 Yes r;g] No
If No, has budget amendment been submitted? I25J Yes 0 No
11/1412011
Is this a Grant Agreement providing revenue to the County? DYes 181 No
Special conditions attached to this grant: D
Deadlines for reporting to the grantor: D
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:
Phone#:D
Departmental Contact and Title: I Nancy England, Contract Specialist I
Phone #: I 541-322-7516 I
Department Director Approval: ___ ~~.....:...;;:=-_____\.....:.\_1..:..-'..;..\~_
~ Date
Distribution of Document: Fax the Signature page and completed, signed "Document
Return Statement" to April D. Barrett at (503) 373-7365, fully executed copy to Nancy England.
Official Review:
County Signature Required (check one): ill BOCC 0 Department Director (if <$25K)
o Adminis )
Date 1/-l1 ' tJ
Document Number: !!::;20~1!...!1~-666=_____
111112011
ADMINISTRATIVE SERVICES DIVISION)rQt1~"~n' e~lth
of Human Services Office of Contracts and Procurement L-----Authority
John A. Kitzhaber, MD, Governor 250 Winter St NE, Room 306
Salem, OR 97301
Voice: (503) 945-5818
FAX: (503) 378-4324
DATE: October 10, 2011
TO: Scott Johnson, Director
Deschutes County
RE: Amendment #04 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
I
ADMINISTRATIVE SERVICES DIVISION)(Qt1~'t_"t ][eg~nth
of Human Services Office of Contracts and Procurement Authority
John A. Kilzhaber, MD, Governor 250 Winter St NE, Room 306
Salem, OR 97301
Voice: (503) 945-5818
FAX: (503) 378-4324
DOCUMENT RETURN STATEMENT
Re: Amendment #04 to Agreement #134309 hereinafter referred to as "Document."
Please complete the following statement and return it along with the completed signature page and the
Contractor Data and Certification page and/or Contractor Tax Identification Information form (if
applicable ).
Important: If you have any questions or find errors in the above referenced Document, please contact
the contract specialist, April D. Barrett at (503) 945-5821.
(Name) (Title)
received a copy 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 October 11,
2011.
On _________ I signed the electronically transmitted Document without J
(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)rQti?"lm,"1
of Human Services Office of Contracts and Procurement
John A. Kilzhaber, Mo, Governor 250 Winter St NE, Room 306
Salem, OR 97301
In compliance with the Americans with Disabilities Act, this Voice: (503) 945-5818
document is available in alternate formats such as Braille, FAX: (503) 378-4324
large print, audio recordings, Web-based communications
and other electronic fonnats. To request an alternate fOlmat, please send an e
mail to dhsalt@state.or.us or call 503-378-3486 (voice) or 503-378-3523
(TTY) to alTange for the alternative fOlmat.
FOURTH AMENDMENT TO
OREGON HEALTH AUTHORITY
2011-2013 INTERGOVERNMENTAL AGREEMENT FOR THE
FINANCING OF COMMUNITY ADDICTIONS AND MENTAL HEALTH
SERVICES AGREEMENT #134309
This FOUl1h Amendment to Oregon Health Authority 2011-2013 Intergovernmental
Agreement for the Financing of Comnnmity 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
Award set f0l1h 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 Award are hereby
amended as described in Exhibit 1 attached hereto and incorporated herein by this
reference. Exhi bi t 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
information.
2. Capitalized words and phrases used but not defined herein shall have the meanings
ascribed thereto in the Agreement.
REVI ~ ~AL '
LEGAL COUNSEL
.. 2011-6
3. COlmty represents and wan'ants to Depal1ment that the representations and warranties of
County set fOl1h 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 ofthe 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 counterpal1. Each copy ofthis 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:
-------------------.... ~--.... ----.....
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: 1011 0/20 II Amendment #04 Page 2
Reference #005
Exhibit 1 to the 4th Amendment to
Oregon Health Authority
2011-2013 Intergovernmental Agreement for the
Financing of Community Addictions and Mental Health Services Agl'eement #134309
Document date: 10/1012011 Amendment #04 Page 3
Reference #005
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment
2011-2013
(FAAA)
CONTRACTOR: DESCHUTES COUNTY
DATE: 10/10/2011
Contract#:
Reference#:
134309
005
MENTAL HEALTH SERVICES
SECTION: 1
SERVICE REQUIREMENTS MEET EXHIBIT B AND, IF INDICATED, EXHIBIT B-2
Part
Start/End
Dates
CPMS
Name
Approved
Service Funds
Approved
Start-up
Servo
Units
Unit
Type
EXHIB B2
Codes
Spec
Cond#
SEn 1 LOCAL ADMIN MENTAL HEALTH SVCS
A 7/20116/2012 N/A $206,000 $0 O. NA N/A M0085 1
SUBTOTAL SEn 1 $206,000 $0
SEn 28 RESIDENTIAL TREATMENT SERVICES
A
A
A
7/20116/2012 CAVALT-910904
7/2011-6/2012 HOMARY-500609
7/2011-6/2012 ERNLEG-871002
$72,000
$48,252
$36,000
$0
$0
$0
1.
1.
1.
SLT
SLT
SLT
28A
28A
N/A
M0085
M0085
M0085
2
3
4
SUBTOTAL SEn 28 $156,252 $0
SEn 30 PSRB TMNT & SUPERVISION
A
A
A
A
A
A
A
A
A
A
A
A
7/20116/2012 AMEISA-761026
7/20116/2012 ARRIMO-631028
7/20116/2012 AVIANC-650914
7/20116/2012 AVlYOCK-630818
7/20116/2012 EINEFF-680124
7/20116/2012 ENERIK-890211
7/20116/2012 ERSHRI-720303
7/2011-6/2012 Hot1ARY-500609
7/2011-6/2012 ORDOUG-590822
7/2011-6/2012 URPIMB-791228
7/2011-6/2012 SMAMEN-690815
7/20116/2012 RASOBE-650925
$5,294
$5,294
$5,294
$5,294
$5,294
$5,294
$5,294
$5,294
$5,294
$5,294
$5,294
-$5,294
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
1.
1.
1.
1.
1.
1.
1.
1.
1.
1.
1.
-12.
SLT
SLT
SLT
SLT
SLT
SLT
SLT
SLT
SLT
SLT
SLT
SLT
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
M0085
M0085
M008S
MOOSS
MOOS5
MOOSS
MOOS5
MOOS5
MOOS5
MOOS5
MOOS5
M0085
5
5
5
5
5
5
5
5
5
5
5
6
SUBTOTAL SEn 30 $52,940 $0
SEn 201 NON-RES DESIGNATED SVCS MHS
A
A
A
A
A
A
7/2011-6/2012 CAVALT-910904
7/20116/2012 ERNLEG-871002
7/2011-6/2012 Hot1ARY-500609
7/2011-6/2012 IMMHER-490627
7/2011-6/2012 INGIDE-820904
7/2011-6/2012 URPIMB-791228
$24,954
$23,475
$16,866
-$12,000
$3,888
$8,088
$0
$0
$0
$0
$0
$0
O.
O.
O.
O.
O.
O.
NA
NA
NA
NA
NA
NA
N/A
N/A
N/A
N/A
N/A
N/A
CONTRACTOR: DESCHUTES
DATE: 10/10/2011
COUNTY . ContractU:
Reference#:
134309
005
MENTAL HEALTH SERVICES
SECTION: 1
SERVICE REQUIREMENTS MEET EXHIBIT B AND, IF INDICATED, EXHIBIT B-2
Part
Start/End
Dates
CPMS
Name
SUBTOTAL SEn 201
TOTAL SECTION 1
TOTAL AUTHORIZED FOR MENTAL
Approved
Service Funds
$65,271
$480,463
HEALTH SERVICES
Approved
Start-up
$0
$0
Servo
Units
Unit EXHIB B2
Type Codes
$480,463
Spec
Cond#
TOTAL AUTHORIZED FOR THIS FAAA: $480,463
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
CONTRACTOR: DESCHUTES COUNTY Contract#: 134309
DATE: 10/10/2011 REF#: 005
REASON FOR FAAA (for information only) :
The 2011-2013 Financial Assistance Award (FAA) for Mental Health Services
(MHS) is revised to make Adjustments to Base to reflect the ongoing
2009-2011 changes approved by Oregon Health Authority after the calculation
of the initial 2011-2013 FAA.
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.
MOOSS 1 A)Local Administration-Mental Health Services (MHS oil 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 special condition. B) These funds are for Local
Administration Services at Deschutes Recovery Center SRTF.
MOOSS 2 A)MHS 28 Rate: For services delivered to individuals during a
particular month, OHA will provide financial assistance at the
rate of $6,000 per month per individual. BlThese funds are for
services at Deschutes Recovery Center SRTF.
MOOSS 3 A)MHS 28 Rate: For services delivered to individuals during a
particular month, OHA will provide financial assistance at the
rate of $4,021 per month per individual. B)These funds are for
services at Deschutes Recovery Center SRTF.
MOOSS 4 A)MHS 2S Rate: For services delivered to individuals during a
particular month, aHA will provide financial assistance at the
rate of $3,000 per month per individual. B)These funds are for
services at 12th Street House RTR.
M0085 5 MHS 30 Rate and Slot: For slots utilized during a particular
month, OHA will provide financial assistance at the rate of
$441.13 per month per slot for up to 11 slots.
MOOS5 6 Special Condition MOOOO-30, in Amendment I, regarding "MHS 30
Rate and Slot" applies.
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
FAAA Totals
Part A
2011-2013
********************* INFORMATION ONLY *********************
CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 134309
DATE: 10/10/2011 REF#: 005
CURRENT CURRENT PROPOSED REVISED
SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL
1 LOCAL ADMIN MENTAL HEALTH SVCS $246,168 $0 $206,000 $452,168
TOTAL SE# 1 $246,168 $0 $206,000 $452,168
20 NON-RESIDENTIAL ADULT MH SERV $367,261 $84,264 $0 $451,525
20 NON-RESIDENTIAL ADULT MH SERV $302,152 $0 $0 $302,152
TOTAL SE# 20 $669,413 $84,264 $0 $753,677
22 CHILD & ADOLES MH SERVICES $198,106 $16,100 $0 $214,206
TOTAL SE# 22 $198,106 $16,100 $0 $214,206
24 REGIONAL ACUTE PSYCH INPATIENT $530,700 $0 $0 $530,700
24 REGIONAL ACUTE PSYCH INPATIENT $821,002 $29,779 $0 $850,781
TOTAL SE# 24 $1,351,702 $29,779 $0 $1,3S1,481
25 COMM CRISIS -ADULT & CHILD $356,297 $33,474 $0 $389,77'1
TOTAL SE# 25 $356,297 $33,474 $0 $389,771
26 NON-RESIDENTIAL YOUTH DESIGNAT $414,933 $0 $0 $414,933
TOTAL SE# 26 $414,933 $0 $0 $414,933
28 RESIDENTIAL TREATMENT SERVICES $907,999 $0 $120,252 $1,028,251
NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column
that have not yet been accepted/approved. Therefore, these amounts may change.
-----------------------------------------------_.__._-----.. -..---
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
FAAA Totals
Part A
2011-2013
********************* INFORMATION ONLY *********************
CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 134309
DATE: 10/10/2011 REF#: 005
CURRENT CURRENT PROPOSED REVISED
SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL
28 RESIDENTIAL TREATMENT SERVICES $638,989 $0 $36,000 $674,989
TOTAL SEIt 28 $1,546,988 $0 $156,252 $1,703,240
30 ?SRB TMNT & SUPERVISION $37,055 $0 $52,936 $89,991
TOTAL SE# 30 $37,055 $0 $52,936 $89,991
35 OLDER/DISABLED ADULT MH SVCS $9,367 $0 $0 $9,367
TOTAL SEIt 35 $9,367 $0 $0 $9,367
38 SUPPORTED EMPLOYMENT SERveS $93,593 $0 $0 $93,593
TOTAL SElf 38 $93,593 $0 $0 $93,593
39 CSS-HOMELESS $66,365 $0 $0 $66,365
TOTAL SElf 39 $66,365 $0 $0 $66,365
201 NON-RES DESIGNATED SVCS MHS $13,020 $0 $65,271 $78,291
TOTAL SE# 201 $13,020 $0 $65,271 $78,291
$5,003,007 $163,617 $480,459 $5,647,083
NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column
that have not yet been accepted/approved. Therefore, these amounts may change.
ua¥UiJJ!iUiE¥i&.M9$,Q,.tJMJ. iMXw.&eZk. VJ(i 4&,1*",.04 411)411!$.1'.....*' 44, _.%+""......... ,iji#iW%t¥;tu: aW''''''WhP\il'''~
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
FAAA Totals
Part B
201l-2013
********************* INFORMATION ONLY *********************
CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 134309
DATE: 10/10/2011 REF#: 005
CURRENT CURRENT PROPOSED REVISED
SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL
20 NON-RESIDENTIAL ADULT MH SERV $65,302 $0 $0 $65,302
20 NON-RESIDENTIAL ADULT MH SERV $471,723 $0 $0 $471,723
TOTAL SE# 20 $537,025 $0 $0 $537,025
22 CHILD & ADOLES MH SERVICES $61,145 $0 $0 $61,145
TOTAL SE# 22 $61,145 $0 $0 $61,145
·28 RESIDENTIAL TREATMENT SERVICES $1,152,000 $0 $0 $1,152,000
28 RESIDENTIAL TREATMENT SERVICES $728,933 $0 $0 $728,933
TOTAL SE# 28 $1,880,933 $0 $0 $1,880,933
31 ENHANCED CARE SERVICES $219,095 $0 $0 $219,095
TOTAL SE# 31 $219,095 $0 $0 $219,095
34 ADULT FOSTER CARE MHS $320,697 $0 $0 $320,697
TOTAL SE# 34 $320,697 $0 $0 $320,697
36 PASARR MHS $10,036 $0 $0 $10,036
TOTAL SE# 36 $10,036 $0 $0 $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.
~L"'t1,"Mt t;. \) 1"""'''''''''''0,,+,1' ,hi 4i,t.;;;;;e;:4iiIl$p,,,,qmGiWM¥!iL 4A1:;:;:U.J¢ii*4 L,¢;:;PI§£J?i4(1::iJU,¥¢ /M"iWhJ3i$'i!LiiV1'!!iiK.,.tt,6UF.9 7AiGA, )1,;;.»_ \¥¢ l+} ,".14,*", f!!lf@l; W4iii""h,,,,,,,,',,,","_F%, ".1 4,~qn .$1#.
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
FA.AA Totals
Part B
2011-2013
********************* INFORMATION ONLY *********************
CONTRACTOR:
DATE:
DESCHUTES COUNTY
10/10/2011
CONTRACT#:
REF#:
134309
005
SE# DESCRIPTION
CURRENT
APPROVED
CURRENT
PENDING
PROPOSED
CHANGE
REVISED
TOTAL
$3,028,931 $0 $0 $3,028,931
NOTE: The amounts in the "REVISED TOTAL" column include amounts reported in the "CURRENT PENDING" column
that have not yet been accepted/approved. Therefore, these amounts may change.
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
FAAA Totals
Summary
2011-2013
********************* INFORMATION ONLY *********************
CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 134309
DATE: 10/10/2011 REF#: 005
CURRENT CURRENT PROPOSED REVISED
SE# DESCRIPTION APPROVED PENDING CHANGE TOTAL
1 LOCAL ADMIN MENTAL HEALTH SVCS $246,168 $0 $206,000 $452,168
TOTAL SE# 1 $246,168 $0 $206,000 $452,168
20 NON-RESIDENTIAL ADULT MH SERV $432,563 $84,264 $0 $516,827
20 NON-RESIDENTIAL ADULT MH SERV $773,875 $0 $0 $773,875
TOTAL SE# 20 $1,206,438 $84,264 $0 $1,290 / 702
22 CHILD & ADOLES MH SERVICES $61 / 145 $0 $0 $61,145
22 CHILD & ADOLES MH SERVICES $198,106 $16,100 $0 $214 / 206
TOTAL SE# 22 $259 / 251 $16,100 $0-$275 / 351
24 REGIONAL ACUTE PSYCH INPATIENT $530,700 $0 $0 $530 / 700
24 REGIONAL ACUTE PSYCH INPATIENT $821 / 002 $29,779 $0 $850,781
TOTAL SE# 24 $1,351,702 $29,779 $0 $1,381,481
25 COMM CRISIS -ADULT & CHILD $356,297 $33,474 $0 $389,771
TOTAL SE# 25 $356,297 $33,474 $0 $389,771
26 NON-RESIDENTIAL YOUTH DESIGNAT $414,933 $0 $0 $414 1933
TOTAL SE# 26 $414,933 $0 $0 $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
Financial Assistance Award Amendment (FAAA)
FAAA Totals
Summary
2011-2013
********************* INFORMATION ONLY *********************
CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 134309
DATE: 10/10/2011 REF#: 005
CURRENT CURRENT PROPOSED REVISED
SEt DESCRIPTION APPROVED PENDING CHANGE TOTAL
$2,180,251
$1,403,922
$3,584,173
$89,991
$89,991
$219',095
$219,095
$320,697
$320,697
$9,367
$9,3E>'7
$10,036
$10,036
$93,593
PENDING" column
--_.._----......_-------.. -
... ~~''''.''V''~.__r''_,,....,.,"''''"'l''..,...
28 RESIDENTIAL TREATMENT SERVICES
28 RESIDENTIAL TREATMENT SERVICES
TOTAL SEt 28
30 PSRB TMNT & SUPERVISION
TOTAL SE:It 30
31 ENHANCED CARE SERVICES
TOTAL SE# 31
34 ADULT FOSTER CARE MES
TOTAL SEt 34
35 OLDER/DISABLED ADULT
TOTAL SE# 35
36 PASARR MRS
TOTAL·SE# 36
38 SL~PORTED EMPLOYMENT
NOTE: The amounts in the
ME SVCS
SERVCS
$2,059,999 $0 $120,252
$1,367,922 $0 $36,000
$3,427,921 $0 $156,252
$37,055 $0 $52,936
$37,055
$219,095
$219,095
$320,697
$320,697
$9,367
$9,367
$10,036
$10,036
$93,593
$0
$0
$0
$0
$0
$0
$0
$0
$0
$0
$52,936
$0
$0
$0
$0
$0
$0
$0
$0
$0
"REVISED TOTAL" column include amounts reported in the "CURRENT
{"'.AjM ;:L.4#1$.,M$L, _••, ..,.",.,"" 4$1~ ,W""x I;, sa, wt,-#( 4iiJQii¢;,\,QW,W)!1T1!4IIillMiMJ44ta;4Wd t,; l4. W'PJiNQC;:;;,YAAii: ((4 JZ14 )$.'4"S, lpM_1.4SU:U;,$J!iii¢,l1*4/iMW. dQ.1l.M1i¥&:;;;;:;:;;;S;Qf9)iW
that have not yet been accepted/approved. Therefore, these amounts may change.
OREGON HEALTH AUTHORITY
Financial Assistance Award Amendment (FAAA)
FAAA Totals
Summary
2011-2013
********************* INFORMATION ONLY *********************
CONTRACTOR: DESCHUTES COUNTY CONTRACT#: 134309
DATE: 10/10/2011 REF#: 005
CURRENT CURRENT PROPOSED REVISED
SE# DESCRIPTION APPROVED PEJ:>."DING CHANGE TOTAL
TOTAL SElf 38 $93,593 $0 $0 $93,593
39 CSS-HOMELESS $66,365 $0 $0 $66,365
TOTAL SE# 39 $66,365 $0 $0 $66,365
201 NON-RES DESIGNATED SVCS MRS $13,020 $0 $65,271 $78,291
TOTAL SE# 201 $13,020 $0 $65,271 $78,291
CONTRACT TOTAL $8,031,938 $163,617 $480,459 $8,676,014
NOTE: The amounts in the "REVISED TOTAL" colutl1.."1 include amounts reported in the "CURRENT PENDING" column
that have not yet been accepted/approved. Therefore, these amounts may change.
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