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HomeMy WebLinkAboutAmend IGA - Mental 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 April 9, 2008 Please see directions for completing this document on the next page. DATE: April 1, 2008 FROM: Sherri Pinner Department: Deschutes County Mental Health (DCMH) Phone #322-7509 TITLE OF AGENDA ITEM: Consideration and signature of document #2008-167, an amendment to an intergovernmental agreement with the Oregon Department of Human Services for mental health, developmental disability, and addiction services. PUBLIC HEARING ON THIS DATE? no. BACKGROUND AND POLICY IMPLICATIONS: The 2007-09 Intergovernmental Agreement for the Financing of Mental Health, Developmental Disability, and Addiction Services agreement sets forth the dollar amounts and guidelines for DCMH 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 2007-2009 biennium. Amendment #119929-30 increases funding for Service element #20 - Non - Residential Adult Mental Health Services and Service element #37 - Mental Health Services Special Projects. Amendment #119929-30 includes revisions for the following service elements: 1. Service element #20 - Non -Residential Adult Mental Health Services. This funding is provided to begin a program for early psychosis intervention. Psychosis treatment services include; outreach .Ind engagement; assessment and treatment using a team consisting of a psychiatrist, social worker, occupational therapist, nurse, and vocational specialist; multi -family psycho education; cognitive behavioral therapy; vocational and educational support; prescribing medication using low dose protocol; and support for the individual in home, community, school and work setting. This funding will be used to hire 1.50 FTE Mental Health Specialist II, .50 FTE Public Health Nurse, and .25 Mental Health Specialist I. 2. Service element #37 - Mental Health Services Special Projects. This funding is provided for si art up costs associated with beginning the early psychosis intervention program. These funds will be used for community education and outreach, and minor office equipment. FISCAL IMPLICATIONS: The fiscal implication is $535,993 in revenue from the Oregon Department of Human Services for the 2007-2009 biennium. This revenue is not included in the current budget and a budget amendmen will be submitted to the Finance Dept. RECOMMENDATION & ACTION REQUESTED: Approval and signature of document #2008-167. ATTENDANCE: Sherri Pinner DISTRIBUTION OF DOCUMENTS: Fax to April D. Barrett at (503) 378-4324, and fully executed copy to Loretta Gertsch, Mental Health Department, (541) 322-7565. 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: April 1, 2008 Contact Person: Barrett Flesh Contractor/Supplier/Consultant Name: Department: Mental Health Dept. Phone #: 322-7591 Oregon Department of Human Services Goods and/or Services: Consideration and signature of document #2008-167, an intergovernmental agreement, #119929-30, with the Oregon Department of Human Services for mental health, developmental disability, and addiction services. Background & History: The 2007-09 Intergovernmental Agreement for the Financing of Mental Health, Developmental Disability, and Addiction Services agreement sets forth the dollar amounts and guidelines for Deschutes County Mental Health (DCMH) 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 2007-2009 biennium. Amendment #119929-30 increases funding for Service element #20 - Non -Residential Adult Mental Health Services and Service element #37 - Mental Health Services Special Projects. Amendment #119929-30 includes revisions for the following service elements: 1. Service element #20 - Non -Residential Adult Mental Health Services. This funding is provided to begin a program for early psychosis intervention. Psychosis treatment services include; outreach and engagement; assessment and treatment using a team consisting of a psychiatrist, social worker, occupational therapist, nurse, and vocational specialist; multi -family psycho education; cognitive behavioral therapy; vocational and educational support; prescribing medication using low dose protocol; and support for the individual in home, community, school and work setting. This funding will be used to hire 1.50 FTE Mental Health Specialist II, .50 FTE Public Health Nurse, and .25 Mental Health Specialist I. 2. Service element #37 - Mental Health Services Special Projects. This funding is provided for start up costs associated with beginning the early psychosis intervention program. These funds will be used for community education and outreach and minor office equipment. Agreement Starting Date: 7/1/2007 Annual Value or Total Payment: 2007-2009 biennium. Ending Date: 6/30/2009 Increases contract revenue by $535,993 for the ® Insurance Certificate Received (check box) Insurance Expiration Date: N/A County is Contractor 3/28/200 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 Departmental Contact: Title: Barrett Flesh Child and Family Program Manager Department Director Approval: Phone #: 322-7591 4.l .g Date Distribution of Document: Fax to April D. Barrett at (503) 378-4324, and fully executed copy to Loretta Gertsch, Mental Health Department, (541) 322-7565. Include complete information if document is to be mailed. Official Review: County Signature Required (check one): ❑ BOCC ❑ Department Director (if <$25K) ❑ Administrator (if >$25K but <$150K; if >$150K, BOCC Order No. ) Legal Review Document Number CC _. 2 Date 3/28/2008 For Recording Stamp Only BEFORE THE BOARD OF COUNTY COMMISSIONERS FOR DESCHUTES COUNTY, OREGON A Resolution Appointing a Financial Assistance Administrator for the 2007-2009 Intergovernmental Agreement for Financing of Community Mental Health, Developmental Disability and Addiction Services, and Authorizing the Director of Mental Health and the County Administrator to Approve Certain Amendments to such Contract RESOLUTION NO. 2007-107 WHEREAS, the State of Oregon acting by and through the Department of Human Services and Deschutes County, acting through the Department of Mental Health have entered into an intergovernmental agreement for the funding and performance of mental health, development disability and addiction services and such agreement requires that the County appoint a Financial Assistance Administrator; and WHEREAS, the Financial Assistance Administrator should be a person knowledgeable about the available mental health services and capable of dealing with a large volume of transactions in a timely manner; now therefore: BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY, OREGON, as follows: Section 1. Scott Johnson, the Director of the Deschutes County Mental Health Department, is duly appointed as the Deschutes County Financial Assistance Administrator with respect to that certain 2007-2009 Intergovernmental Agreement for the Financing of Community Mental Health, Developmental Disability and Addiction Services (herein "DHS Agreement No.119929"). Such appointment shall continue in effect so long as Scott Johnson is an employee of Deschutes County and until a successor is appointed. Section 2. The Financial Assistance Administrator is authorized to perform the functions of such appointment as set forth in DHS Agreement No. 119929, except with respect to contract amendments which exceed a dollar amount of $50,000, in which event such amendments are subject to approval by the County Administrator for amendments which are less than $150,000. Amendments to DHS Agreement No. 119929 which exceed $150,000 shall be subject to prior approval by the Board. Resolution No. 2007-107 Page 1 oft Oregon Theodore R. Kulongoski, Governor DATE: March 27, 2008 TO: Scott Johnson, Director Deschutes County Department of Human Services Administrative Services Office of Contracts & Procurement 500 Summer Street NE, E-03 Salem, OR 97301-1080 (503) 945-5818 Purchasing Fax: (503) 373-7365 Contracts Fax: (503) 373-7889 TTY (503) 947-5330 )(DHS RE: Amendment #30 to the 2007-2009 Intergovernmental Agreement for the Financing of Mental Health, Developmental Disability, and Addiction Services Agreement #119929 Enclosed is an amendment to the Agreement. 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 "Fax Back Statement. • Fax the amendment and "Fax Back Statement" to DHS at 503-373-7889 or 503-378-4324. 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 Joan Wan, Mental Health & Addiction Services, at (503) 947-5395 or April D. Barrett at (503) 945-5821. Sincerely, April D. Barrett, OPBC Contracts Specialist Enclosure "Assisting People to Become Independent, Healthy and Safe" An Equal Opportunity Employer Oregon Department of Human Services Administrative Services Theodore R. Kulongosld, Governor ice of Contracts & Procurement 500 Summer Street NE, E-03 In compliance with the Americans with Disabilities Act, this Salem, OR 97301-1080 document is available in alternate formats such as Braille, (503) 945-5818 large print, audio tape, oral presentation, and electronic Purchasing Fax: (503) 373-7365 format. To request an alternate format call the State of Contracts Fax: (503) 373-7889 Oregon, Department of Human Services, Office of Forms TTY (503) 947-5330 and Document Management at (503) 373-0333. THIRTIETH AMENDMENT TO DEPARTMENT OF HUMAN SERVICES 2007-2009 INTERGOVERNMENTAL AGREEMENT FOR THE FINANCING OF MENTAL HEALTH, DEVELOPMENTAL DISABILITY AND ADDICTION SERVICES AGREEMENT #119929 )rDHS This Thirtieth Amendment to Department of Human Services 2007-2009 Intergovernmental Agreement for the Financing of Mental Health, Developmental Disability and Addiction Services as amended, 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. The Department and County also wish to modify the Specialized Service Requirements set forth in Exhibit B-2 of the Agreement by adding a new Specialized Service Requirement, MHS 20D, Early Psychosis Project. 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. REVIEWED "As IIO'A! COUNSEL fisting People to Become Independent, Healthy and Safe" An Equal Opportunity Employer 2. Exhibit B-2 of the Contract is hereby amended to add the Specialized Service Requirement for MHS 20D, Early Psychosis Project (EPP), in the form attached hereto and incorporated herein by this reference. 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 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. 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 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: Jeremy Emerson Title: Administrator, DHS Office of Contracts & Procurement Deschutes County By: Date: Name: Title: Document date: 03/27/2008 Reference #026 Amendment #30 Page 2 Exhibit 1 to the 30th Amendment to Department of Human Services 2007-2009 Intergovernmental Agreement for the Financing of Mental Health, Developmental Disability And Addiction Services Agreement #119929 Document date: 03/27/2008 Reference #026 Amendment #30 Page 3 MHS 20D/2007-2009 Page 1 of 1 Service Names(s): Non -Residential Adult Mental Health Services (General) Service Element I.D. Code: MHS 20 Specialized Service: Early Psychosis Prosect (EPP) Exhibit B Code: 20D I. Service Description (exceeding Exhibit B-1) Funds awarded for MHS 20 Services that are identified in the Financial Assistance Award as subject to this Specialized Service Requirement may only be expended on MHS 20 Services that are delivered in the Early Psychosis Project (EPP). MHS 20 Services delivered with funds provided under this agreement and subject to this Specialized Requirement include the following, in addition to the services otherwise described in the MHS 20 Service Description: A) Psychosis treatment services and intervention are provided to reduce long-term disability associated with psychosis to uninsured individuals (non -Medicaid clients) following the EPP guidelines. Psychosis treatment services include: 1. Outreach and engagement. 2. Assessment and treatment using a multi -disciplinary team consisting of a psychiatrist, social worker, occupational therapist, nurse, and vocational specialist. 3. Multi -family psycho -education. 4. Cognitive behavioral therapy. 5. Vocational and educational support. 6. Prescribing medication using a low dose protocol. 7. Support for the individual in home, community, school, and work settings. II. Performance Standards (exceeding Exhibit B-1) None III. Reporting Requirements (exceeding Exhibit B-1) A) Maintain the client's CPMS record for MHS 20D Services provided, using a dedicated provider number assigned for the Early Psychosis Project (EPP). IV. Financial Assistance Calculation, Disbursement and Settlement Procedures (exceeding Exhibit B-1) None MHS 20D GT0047-08 Approved 03/20/2008 DEPARTMENT OF HUMAN SERVICES Financial Assistance Award Amendment (FAAA) 2007-2009 CONTRACTOR: DESCHUTES COUNTY Contract#: 119929 DATE: 03/26/2008 Reference#: 026 MENTAL HEALTH SERVICES SECTION: 1 SERVICE REQUIREMENTS MEET EXHIBIT B AND, IF INDICATED, EXHIBIT D Start/End CPMS Part Dates Name Approved Service Funds SE# 20 NON-RESIDENTIAL ADULT MH SERV Approved Serv. Unit EXHIB D Spec Start-up Units Type Codes Cond4 A 12/2007- 6/2008 N/A $46,060 $0 0. NA 20D A 7/2008- 6/2009 N/A $414,933 $0 0. NA 20D SUBTOTAL SE# 20 SE# 37 MHS SPECIAL PROJECTS C 12/2007- 6/2009 N/A SUBTOTAL SE# 37 TOTAL SECTION 1 $460,993 $0 $0 $75,000 0. NA N/A M0182 1 $0 $75,000 $460,993 $75,000 TOTAL AUTHORIZED FOR MENTAL HEALTH SERVICES $535,993 TOTAL AUTHORIZED FOR THIS FAAA: $535,993 DEPARTMENT OF HUMAN SERVICES Financial Assistance Award Amendment (FAAA) CONTRACTOR: DESCHUTES COUNTY Contract#: 119929 DATE: 03/26/2008 REASON FOR FAAA (for information only): REF#: 026 Non -Residential Adult Mental Health (General) (MHS 20) and Early Psychosis (EPP) (MHS 20D) funds are awarded for new EPP project that serves up to 28 clients. MHS Special Projects (MHS 37) funds are awarded for Start -Up of the EPP program. Mid -Valley Behavioral Care Network (MVBCN) will act as consultant for this project. 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. M0182 1 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 of a new MHS 20D program. Exhibit 37 -Start -Up Special Projects to Service Description MHS 37 applies to the financial assistance subject to this special condition. 2007-2009 0) X.0 wr mo N N cn H in N m o H O - m 9E. odl H W lD N- H H Cx rr O ri r PROPOSED U zz a t/r $1,535,698 M O M m 41} rn rn m O ri i/i H dl DESCRIPTION $1,074,294 in- 4/2 - $1,601,141 O in - $1,601,141 O 411- $1,159,631 O1 01 O O N N co N N to to sN dl r*1 N r- N N U•) Ln 0) N N LO N CO CO M (.1 M ri ri H ri N r- r- ri ri ;/)- {h N in- {A ill - 0 O 4/A O rn- O 1/} O 4/Y 0 4/1. O H 0 O 0 z H W E1 0 W ur z tr1 U 0 c N U lam- 7, .r{ E CO TS u ej 41 0 0 :? ¢r to S�r lll tn E ca b H U d p 0 0 U ?a Qi GL ai '0 O a) H 4J in c.n ? H ra (I/r A a) 0 4) d m 0 al ai rd a3 H t. -4 01 01 0 0 N N CO M N N lO XS) 11 .o m LD t- r N N In in O1 01 r r` In In w co rh In m m ri ri ri 1-I N ri N h r-1 H i/? f/} N i))- 4/1- VI- H W W H 9 C) 04 H U O £ Q (1) U H H ,a W FC (1111 a A W a Q o N z a La1 w Cu H W W gIG H Q W ca Ui U) N N ' d' HN 1:4 u) z 0 H In W R14 A Z U N1:.-4 N o ,t a Xk H A4 W # a z z W H Z1 0 W W (x w A W a Z z 0 Cil = a 0 N a O o W ca O O E N dl E LL) F. 0 E-'-' In L. m H N N H N O N 0 N 0 M O M 0 M 0 Therefore, c U 'd H g+ WAC co co rd Fa� 0I. U rT W 0 0r14 N w A U q G .r{ W 2007-2009 DESCRIPTION CO 0 0 N N M 0 0 U lfl m 0 0 H r -f M O O W li N til lf) ri rl N if} if} ri ri 0 O 0 0 0 0 i!} 0 0 if} 0 0 m 0 0 N N M 0 0 lfl l!1 On 0 0 H rl M O O l0 l0 N to Ln ri rl N if} L} H rl VI- ih VI - co M TOTAL SE# CSS -HOMELESS rn M NON -RES DESIGNATED SVCS $4,896,598 $3,993,684 rI 0 U C7 z H Az a a • W ) 0 01 v U rt E Ti O iD id H al S4 'd O F 0 O SA 04 04 td O ) F J) R.� A N CA U Cr) H id C4 m 4J 1.) N •ri .0 ) 0 1--1 7 7 0 eA td yJ N it E-1 4) CI 0 N w a,$ La 16 'b cd 4 F 0� W W H 4 ro A U .r{ 2007-2009 m 1.0 W 10 1.0 M M 01 O H Q N N 0 0 of > F (71 01 H H H W N N N N H a H r-1 rl H W g 0 w �z * O rC # a �pM4CC # O 0 # 0 z 0 w 0 H 0 H PR 0 0 0 0 0 ifl- O ifl- 0 0 H Q M m m m W M M W y N N 0 0 F4+ m m H r3 F4 N N N N 0 F4 rl rl rl rl •/ {/). {/} i? DESCRIPTION W 0) CHILD & ADOLES MH SERVICES o E-, N N O N TOTAL SE# $1,049,516 0 0 $1,049,516 $1,049,516 0 ifl- M c r -I O H tf1 Lfl H d4 tli Sr Vi .4 l0 l0 LD m m O o co co to d1 =r r1 ri m al r H H S S ri rl 0 M M 111 Ln L} •l- N 4.6- 46- N 46. 0 0 0 O 0 0 O O 0 0 0 0 O O W m M H O r -I (1) Lfl -1 H d+ W dl :h Tr w 10 10 Ln 01 01 0 o co ao w 01 di Tt. M M 01 a1 r - TN rl H r N H rl 0 0 M M U) LA i/} Li N LI- 41) 4/)- :? H N U) PEI 0 H5 a w 0) 0) E -i PI r6 c6z F H R GI 0)) a a 0 0 v H W 124 WWa 0 E H 0) H U) c/a Et co W H w a°, M M A07L E-1 a tri VI rzI 4* w�3 `1) w a Aa m w � E. H F d' W l0 t, N 0-� In en M M 0 M HO in the "REVISED TOTAL" 2007-2009 m W N N m C71 0 # U 0 0 H O etiz H W q 0 0 0 01 E o 0 0 H O H co m co a) a) at f:4 VI t? t!} PROPOSED 0 0 0 0 0 0 0 0 0 N th 0 trr 0 th 0 A 0 0 o 0 0 hLI M M M irk DESCRIPTION F WU 0H H U N w M P4 ui N M TOTAL SE# 2 0 0 U C9 W W 15)N U criE N 'Cj J-1 U1 p 0 Di 1t 0 al • 0 'CS N H • v U 0y O 0 U .r Ra • Ri ro H \d O 0 H 1) Ri • 0 W co H to a' N • N 0 •ri .1• -) 0 IR g> 0 rd E .0 of ro H H 0 G) to E b a cnbIn (13 0 r0 a) EE U 0 M W Hmw .� rn Firy a r5 A fd L-1 !i+ 2007-2009 ON 0 H O a1 F H W H W * a 3 + F + 0 Ea W 1• U W U` it H * O U d 3 3 3 it 3 3 • �+ zz 0 z u 0 H 1.4 PR 5 a 4 3 3 11 3 3 3 oH t/1- rI ih $1,664,961 rn rn 0 10 t/} 0 0 in- in - 0 0 -01- 0 0 $1,601,141 0 $1,601,141 0 A o N r M M NO H W > 1Nr1 441 Lil 0 0 H0 IT, 0 0 N a\ r1 111 U P1 N N H d+ 10 H In- i/} VI- {fI• ih LO- >> ? DESCRIPTION 13 W as m� rn� H E ,4 ^y H H Z H 0 a s E E a HH cn co EA aG E. A R d W W N N Z N p: N zz w H A w w E w0 Z z cn 0 U �nG� a cn] Cs 0 u� 0 O E N N H d. L -I m E-4 co N N O N N 0 N 0 N 0 N El V V $1,159,631 0 r/r 0 +/f 0 $1,049,516 0 0 $1,049,516 0 ur 0 0 N In 0 0 i 0 0 01 01 lO ;O 0 0 m r r ri H 10 l0 cP r r 1n I11 N N a\ r r a1 rn In 1f1 q' M M W d' -1 e -I r1 C-- N 0 0 r1 r1 '1 r1 H 9 H U C TREATMENT SERVICES RESIDENTIAL a3 N TOTAL SE# PSRB TMNT & SUPERVISION 0 M TOTAL SE# Trp amounts in the "REVISED TOTAL" column include Therefore, these CONTRACT#: W a Cu DESCRIPTION rl O rl N N In Lf) 0 0 co 03 0 L} di '•N LO LO O 0 M M 0 01 0 0 Lf) in CO CO 0 0 01 01 O d� M M CO co Ot 01 co co m m 0 rl N NHHHH 01 01 N N Lf) Lf) L11 VI in- i? Lf in- VI N N VI LI 0 in - 0 0 i/} VI - 0 0 VI- VI - 0 if} 0 0 i!t 0 O O 4n. 0 1/} O i!} M ri 0 H N N Lf) V cti Z? V' ...at d' to 01 o O !f) in co cre M M CO CO 01 rl b N HI H H M In V) VI- if} if} U en en crl 0 U 0 H Htn rC Mex, W M H M n 0 0 d' �r LO M M 0 m E1 TOTAL SE# TOTAL SE# 0 VI - O 4n. 0 O O VI- ri 0 U H 4 • z (1) �' ro U y • � (cl • E r (1) )) ▪ 0 VI aro )1 a) 4 0 b N H a) U.1~ O E E b H O 0 U }� rd o a) H � w U U id 0 N aJ .0 a) J-) m 0 0 al td v ro H O 0 co co o O O m m 0 O O 01 01 O M M M M O N N N N In if? VI N N VI- VI- VI- PROJECTS M o m T TOTAL SE# SUPPORTED EMPLOYMENT SERVOS 0) M TOTAL SE# CSS -HOMELESS m M in the "REVISED 0 U W itit * E-, it Z * °U wtw7 it ta it a it* a * U Pt it * 1J it O it rn a) * U 4 it* a }, z En W z 0 1: iiii -4 • > , 0 0 U r. 4 >•i to H Z N E N H 0 c w o p0y z w W N t tin H E+ A m * FC PG O PI it * 0 a A .H * U U * 0 ni * O * -rl * k, * * * * it * * * it * PENDING h CO PG0 EA 0 U DESCRIPTION to 0 0 ih 0 0 ih 0 0 ih $7,202,259 o a ui 4(4 o ,-1 HI rn w 1.3 �1 H rI N L} H H N in- M. ih m TOTAL SE# NON -RES DESIGNATED SVCS r� 0 o ▪ Ei N 0 E1 W H El H 0 0 0 E-+ U z Y(DHS Oregon Department of Human Services Office of Contracts & Procurement 500 Summer St. NE, E-03 Salem, OR 97301-1080 Phone: (503) 945-5818 Fax: (503) 378-4324 Alternate Fax: (503) 373-7889 TTY: (503) 947-5330 FAX BACK STATEMENT Please complete the following statement and return it along with the completed signature page. If any changes are made to the Amendment, please return the Amendment in its entirety. Thank you. I (Name) (Title) received a copy of Amendment #30 to Agreement #119929, between the State of Oregon, acting by and through the Department of Human Services and Deschutes County, from Connie Thies on March 27, 2008. On , I signed the printed form of the Amendment without change (Date) from the electronically transmitted document. A copy of the signature page pertaining to the above listed Amendment containing my signature is included with this facsimile transmission. (Signature) (Date) After all parties have signed, you will receive a copy of the Amendment for your records. If you have any questions, please call April D. Barrett at (503) 945-5821. Enclosure(s) Fax Back Statement.doc Revised: May 16, 2005