HomeMy WebLinkAboutIGA - Mental Health Svcs - StateDeschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701 -1960
(541) 388 -6570 - Fax (541) 385 -3202 - www.deschutes.oig
AGENDA REQUEST & STAFF REPORT
For Board Business Meeting of June 24, 2009
DATE: June 17, 2009
FROM: Nancy England, Contract Specialist, Deschutes County Health Services,
541- 322 -7516
TITLE OF AGENDA ITEM:
Consideration of Board approval and signature of Document #2009 -332, the Intergovernmental
Agreement between the Department of Human Services and Deschutes County Health Services 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 biennium Community Mental Health Provider agreement sets the dollar amounts and
guidelines for Deschutes County Health Services to provide or coordinate provision of mental healt1
and developmental disability treatment services to individuals, as well as alcohol, other drug and
problem gambling prevention and treatment services for the coming two years.
The amount of funding is an estimate and subject to final legislative approval. These planned servii es
are consistent with Deschutes County Health Services' overall mission and goals. We recommend
approval of the 2009 -2011 biennium Community Mental Health Provider agreement with the
Department of Human Services.
FISCAL IMPLICATIONS:
Biennial revenue is approximately $10,254,453.
RECOMMENDATION & ACTION REQUESTED:
Approval and signature requested by BOCC
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, Mental 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 slgne Qby 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.)
Date:
Please complete all sections above the Official Review line.
June 15, 2009
Department:
Health Services, Mental Health
Contractor /Supplier /Consultant Name:
Contractor Contact:
April Barrett
Oregon Department of Human Services
Contractor Phone #:
Type of Document: Intergovernmental Agreement
503 - 945 -5821
Goods and /or Services: Consideration and signature of document #2009 -332,
Intergovernmental Agreement #127295 for the financing of mental health,
developmental disability and addiction services, Agreement #127295.
Background & History: The 2009 -2011 biennium Community Mental Health Provider
agreement sets for the dollar amounts and guidelines for Deschutes County Mental
Health 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 coming two years.
The Intergovernmental Agreement (IGA) is contingent on approval of the legislative
appropriation of sufficient funds to finance the services included in the IGA. Oregon
Department of Human Services will inform us if the appropriations are not approved;
resulting in non - execution of this agreement.
Agreement Starting Date: July 01, 2009 Ending Date:
Annual Value or Total Payment:
June 30, 2011
Biennial revenue is approximately, $10,254,453
IN Insurance Certificate Received (check box)
Insurance Expiration Date:
N/A 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 ❑ No
If No, has budget amendment been submitted? ❑ Yes ❑ No
C/1 C MAMA
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
(9.161
Date
Distribution of Document: Fax the signed page of the agreement, a completed page
1 of Exhibit F, and the completed, signed "Fax Back Statement" to DHS at 503 -378-
4324, April D. Barrett, fully executed copy to Nancy England, Mental Health
Department, (541) 322 -7565.
Official Review:
County Signature Required (check one): 0 BOCC 0 Department Director (if <$25K)
CI Administrator (if >$25K but $150 ; if >$150K, BOCC Order No.
Legal Review ) 6 r Date /, • /6 -0 9
Document Number: 2009 -332
6/15/2009
In compliance with the Americans with Disabilities Act, this document is
available in alternate formats such as Braille, large print, audio tape, oral
presentation, and electronic format. To request an alternate format, call the
State of Oregon, Department of Human Services, Office of Forms and
Document Management at (503) 373 -0333, Fax (503) 373 -7690, or TTY (503)
947 -5330.
AGREEMENT #127295
2009 -2011 INTERGOVERNMENTAL AGREEMENT
FOR THE FINANCING OF COMMUNITY MENTAL HEALTH,
DEVELOPMENTAL DISABILITY AND ADDICTION SERVICES
This 2009 -2011 intergovernmental Agreement for the Financing of Community Mental Health,
Developmental Disability and Addiction Services (the "Agreement ") is between the State of Oregon acting
by and through its Department of Human Services ( "Department" or "DHS ") and Deschutes County, a
political subdivision of the State of Oregon ( "County ").
RECITALS
WHEREAS, ORS 430.610(4) and 430.640(1) authorize DHS to assist Oregon counties and
groups of Oregon counties in the establishment and financing of community mental health, developmental
disability, and addiction programs operated or contracted for by one or more counties;
WHEREAS, County has established and proposes, during the term of this Agreement, to operate
or contract for the operation of community mental health, developmental disability, and addiction
programs in accordance with the policies, procedures and administrative rules of DHS;
WHEREAS, County has requested financial assistance from DHS to operate or contract for the
operation of its community mental health, developmental disability, and addiction programs;
WHEREAS, in connection with County's request for financial assistance and in connection with
similar requests from other counties, DHS and representatives of various counties requesting financial
assistance, including the Association of Oregon Counties, have attempted to conduct agreement
negotiations in accordance with the Principles and Assumptions set forth in a draft Memorandum of
Understanding that is being forwarded, for review and consideration, to each county requesting financial
assistance; and
WHEREAS, DHS is willing, upon the terms of and conditions of this Agreement, to provide
financial assistance to County to operate or contract for the operation of its community mental health,
developmental disability, and addiction programs.
WHEREAS, various statutes authorize Department and County to collaborate and cooperate in
providing for basic community mental health, developmental disability, and addiction, programs and
incentives for community -based care in a manner that ensures appropriate and adequate statewide service
delivery capacity, subject to availability of funds.
REVI ED
LEGAL COUNSEL
DC -2009-332
WHEREAS, within existing resources awarded under this agreement, each CMHP/LMHA shall
develop a plan to improve the integration of mental health, chemical dependency and physical/dental
health care services with each Oregon Health Plan P11P (Prepaid Health Plan) serving individuals in the
county. The plan shall be submitted as part of the Biennial Implementation Plan and be limited to
providing a brief description of the approach, the basic goals and expected outcomes
NOW, THEREFORE, in consideration of the foregoing premises and other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto agree as
follows:
AGREEMENT
1. Effective Date and Duration. This Agreement shall become effective on July 1, 2009. Unless
terminated earlier in accordance with its terms, this Agreement shall terminate on June 30, 2011.
2. Agreement Documents, Order of Precedence. This Agreement consists of the following
documents:
This Agreement without Exhibits
Exhibit A Definitions
Exhibit B -1 Service Descriptions
Exhibit B -2 Specialized Service Requirements
Exhibit C -1 Financial Assistance Award
Exhibit C -2 Service Element Prior Authorization
Exhibit C -2 -1 Form of Client Prior Authorization
Exhibit C -2 -2 Form of Provider Prior Authorization
Exhibit C -2 -3 Program Area Limitations
Exhibit C -3 Reserved
Exhibit C -4 Developmental Disability Residential Staffing Requirements
Exhibit C -5 Individual Budget Amounts
Exhibit D Special Terms and Conditions
Exhibit E General Terms and Conditions
Exhibit F Standard Terms and Conditions
Exhibit G Required Federal Terms and Conditions
Exhibit H Required Provider Contract Provisions
Exhibit 1 Financial Procedures Manual
Exhibit J CFDA Number Listing
In the event of a conflict between two or more of the documents comprising this Agreement, the language
in the document with the highest precedence shall control. The precedence of each of the documents
comprising this Agreement is as follows, listed from highest precedence to lowest precedence: (a) this
Agreement without Exhibits, (b) Exhibit G, (c) Exhibit A (d) Exhibit D, (e) Exhibit C -2 -3, (f) Exhibit C -2
(g) Exhibit C-1, (h) Exhibit E (i) Exhibit B -1, (j) Exhibit B -2, (k) Exhibit F, (1) Exhibit 11, (m) Exhibit C-
4, (n) Exhibit C -2 -1, (o) Exhibit C -2 -2, (p) Exhibit 1, and (q) Exhibit J.
09 -11 GT0323 -09
Approved 6/5/2009 2
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be duly executed as of the
dates set forth below their respective signatures.
STATE OF OREGON ACTING BY AND THROUGH ITS DEPARTMENT OF HUMAN
SERVICES
By:
Name:
Title:
Date:
Deschutes County:
DATED this Day of 2009.
BOARD OF COUNTY COMMISSIONERS
OF DESCHUTES COUNTY, OREGON
TAMMY BANEY, Chair
DENNIS R. LUKE, Commissioner
ALAN UNGER, Commissioner
ATTEST:
Recording Secretary
09 -11 GT0323 -09
Approved 6/52009 3