HomeMy WebLinkAboutAmend No 34 - 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 30, 2008
Please see directions for completing this document on the next page.
DATE: April 22, 2008
FROM: Sherri Pinner Department: Deschutes County Mental Health (DCMH) Phone #322-7509
TITLE OF AGENDA ITEM:
Consideration and signature of document #2008-213, 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 #119929-34 increases funding for Service element #24 -
Regional Acute Psychiatric Inpatient Services.
Amendment #119929-34 includes revisions for the following service elements:
1. Service element #24 - Regional Acute Psychiatric Inpatient Services - increase of $551,764 for acute
mental health services for the 2007-2009 biennium. The addition of these equity funds provide a rate of
investment that will allow us to sustain the current acute care regional plan, continue sufficient
investment in the Psychiatric Emergency Services (PES) at St. Charles Medical Center (SCMC) and
Sage View, as well as assure an ability to continue our Mobile Crisis Team through the current and
2009-11 biennium.
FISCAL IMPLICATIONS:
The fiscal implication is $551,764 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 amendment will
be submitted to the Finance Dept.
RECOMMENDATION & ACTION REQUESTED:
Approval and signature of document #2008-213.
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.)
Date:
Please complete all sections above the Official Review line.
April 21, 2008
Contact Person:
Lori Hill
Contractor/Supplier/Consultant Name:
Department: IIILlental Health Dept.
Phone #: 322-7535
Oregon Department of Human Services
Goods and/or Services: Consideration and signature of document #2008-213 an
intergovernmental agreement, #119929-34, 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 #119929-34
increases funding for Service element #24 - Regional Acute Psychiatric Inpatient
Services.
Amendment #119929-34 includes revisions for the following service elements:
1. Service element #24 - Regional Acute Psychiatric Inpatient Services - increase of
$551,764 for acute mental health services for the 2007-2009 biennium. The addition of
these equity funds provide a rate of investment that will allow us to sustain the current
acute care regional plan, continue sufficient investment in the Psychiatric Emergency
Services (PES) at St. Charles Medical Center (SCMC) and Sage View, as well as
assure an ability to continue our Mobile Crisis Team through the current and 2009-11
biennium.
Agreement Starting Date:
7/12007
Annual Value or Total Payment:
2007-2009 biennium.
Ending Date:
6/30/2009
Increases contract revenue by $551,764 for the
® Insurance Certificate Received (check box)
Insurance Expiration Date: N/A County is Contracts
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
4/23/2008
If No, has budget amendment been submitted? ® Yes ❑ No
Departmental Contact:
Title:
Lori Hill
Adult Treatment Program Manager
Department Director Approval:
Phone #:
322-7535
cf •23.8
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): 0 BOCC 0 Department Director (if <$25K)
0 Administrator (if >$25K but <$150K; if >$150K, BOCC Order No.
Legal Review Date
Document Number
4/23/2008
Oregon
Theodore R. Kulongoski, Governor
DATE: April 23, 2008
TO:
RE:
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
Amendment #34 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
()re ®n Department of Human Services
Administrative Services
Theodore R. Kulongoski, Govemor Office 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.
THIRTY-FOURTH AMENDMENT TO
DEPARTMENT OF HUMAN SERVICES
2007-2009 INTERGOVERNMENTAL AGREEMENT FOR THE
FINANCING OF MENTAL HEALTH, DEVELOPMENTAL DISABILITY
AND ADDICTION SERVICES AGREEMENT # 119929
(DHS
This Thirty -Fourth 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.
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.
"Assisting People to Become Independent, Healthy and Safe"
An Equal Opportunity Employer
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.
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 counteiparts, 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:
Name:
Document date: 04/23/2008
Reference #030
DATED this Day of 200
BOARD OF COUNTY COMMISSIONERS
OF DESCHLTTES COUNTY, OREGON
DENNIS R. LUKE, Chair
TAMMY (BANEY) MELTON, Commission(
MICHAEL M. DALY, Commissioner
ATTEST:
Recording Secretary
Page 2
Exhibit 1 to the 34th 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: 04/23/2008 Amendment #34 Page 3
Reference #030
DEPARTMENT OF HUMAN SERVICES
Financia?. Assistance Award Amendment (FAAA)
2007-2009
CONTRACTOR: DESCHUTES COUNTY Contract 119929
DATE: 04/22/2008 Reference#: 030
MENTAL HEALTH' SERVICES
SECTION: 1
SERVICE REQUIREMENTS MEET EXHIBIT B AND, IF INDICATED, EXHIBIT D
Start/End CPMS
Part Dates Name
Approved
Service Funds
Approved Serv. Unit EXHIB D Spec
Start-up Units Type Codes Cond#
SE# 24 REGIONAL ACUTE PSYCH INPATIENT
A 7/2007- 6/2008 N/A $275,882 $0 0. NA N/A
A 7/2008- 6/2009 NJA $275,882 $0 0. NA N/A
SUBTOTAL SE# 24
TOTAL SECTION 1
$551,764 $0
$551,764 $0
TOTAL AUTHORIZED FOR MENTAL HEALTH SERVICES $551,764
TOTAL AUTHORIZED FOR THIS FAAA: $551,764
DEPARTMENT OF HUMAN SERVICES
Financial Assistance Award Amendment (FAAA)
CONTRACTOR: DESCHUTES COUNTY Contract#: 119929
DATE: 04/22/2008
REASON FOR FAAA (for information only):
REF#: 030
Regional Acute Psychiatric Inpatient Services - Acute Care (MHS 24) funds
are awarded for Acute Care New Money to provide Acute Care services to
Deschutes, Crook and Jefferson counties.
DHS, Office of Mental Health and Addiction Services, Evidence -Based Practices Unit
O
'5
• c
76 0
i 8
W• Q.
2 a
c o
c co
tom
c a�
O c
U 0))
aw
Explanation of Changes in County Financial Assistance Contract Amendment
N
v-
Contract #
DESCHUTES
Contractor:
U"a
co c
Q. O
(1)U
cc
am
3
►•,
n
u)
To'
o =
~a
275, 882.48
275,882.48
M=Months
Rate D=Daus
Regional Acute Psychiatric Inpatient Services - Acute Care (MHS 24) funds are awarded for Acute Care New Money to
provide Acute Care services for Deschutes, Crook and Jefferson counties.
GRAND TOTAL
0 c
��
0
# Days
or
# Mos.
0
CNIT
Effective Date
1 From: 1 To:
0)
0
0
N
O
f7
CO
7/1/2008
PMS Code
Name
1
4E'(1)
N_ E
•O
5
Provider Name
or Description
ACUTE CARE NEW MONEY
Provider
No.
rn
0
0
g
W
0
P 241
119929 INPUT M0285B 080418.XLS
2007-2009
o 0
th
0 0
L1- 4h
• dg
01 01
at N
o
.41
to r
o
LI -
r
$1,535,287
O
i/}
$1,535,287
1-
$1,711,396
$1,159,631
$1,711,396
N
lO .
r
ri
N
N
in -
$1,159,631
NA
0
DESCRIPTION
W
0)
N N 0 - N O N
T
TOTAL SE#
0
Ol O1 co N O N N O 0
r r ri O N W <H M Hi
V- r M M 10 In N 01 0
U
C- r CO▪ Iu d' CO 00 ri
M M i1} co O1 ri H N
r r in- i!} i? t? N
O
O
O
LI-
4/1 -
O 0
t1} iJ}
0 CO
In
01
CO
N
O
L) -
O
z
H
zR
U
• fd
O U
ret
q E
-rt
10
m g
0
torr P,cd
ii a)
-77
0 4'
o
0
•da
A N
01 O1 CO O OD N N CO
C- r ri lO r c1 dl M
r r M N N N U) 01
C- r CO ▪ N M 00 00 M
V} 41)- t1)- VI- th ri >
U O0
a
▪ pi
Nd
O t))
N +1
a
R N
En Fri 0
R* -1 i> 0 }�
H U1 > (,7W�
U OO EE ill
vi = 41
N R z
a� n 4-4 do
1 0) 0) W Pu u) q
NH t4pQ W • ›
H C11
co
N N Hi to W g 1
Pa4 A m as �a Ji
E W spa W W a
P H
0 f A a s 0] `�
Sc
N
N
TOTAL
0 0
M 01
TOTAL
N
M
co Ft
`Y) z
1.)
0
c.) 9:1
u) t
4 N
41
Ss4 U 0 W
O 0
Pa
•'i
4
rdU
w
2007-2009
A W
2
0
N
Ea
DESCRIPTION
CO 0 0 H H
M 0 0 O O
al O O N N
r► o o t` r
N to in N N
N CA. +/r H H
0
0
0
0
0
0
w
to
0p O O to in
M O O to to
al O O to to
ri 0 o c co
N to U) N N
TOTAL SE# 38
39 CSS -HOMELESS
TOTAL SE# 39
NON -RES DESIGNATED SVCS MHS
0
TOTAL SE# 201
$4,997,346
0
0)-
r-
4n -
03 00
CA
$4,475,393
0
z
2007-2009
N M Vl H
�o EO+
rf
rl
N [�
44
44
0 2 rEg
W
44 0
44 a
14
14
14
14
14
14
Hz
O
z a
0
it
14
14
14
M M M M
l0 t0 M M
N N O O
01 01 ri r!
N N NN
H ra r-1 ri
0
O
O
0
O
0
• M M M
l0 t0 M M
N N 0 0
N N N N
t? t?
H H H
$1,049,516
O
O
$1,049,516
En
N W
124
v u)
0 En
W
Q
H w
H • O N
Ul N OS Npi WWW
DI rti
O VV/ x rn W
N Hyo N O N
F4 H
$1,049,516
a
sn
O
$1,049,516
co
N
TOTAL SE#
M M ri O r1 In U1
V' W d1 in- W 10 t0
al O1 o 0 co co
V4 w m m 0 Orn
H H r N ri H
M M N 40 t/} (41-
4.//-
r}4.//- in. VI -
O
0
is
O
0
0 a
O
0
O
O
irk
O
M M ri O ri N 40
W V d' L} VV t0 t0
01 01 0 0 CO CO
V VV M M 01 01
H H N N H H
M M 1n 10 ir} -m-
in-•
ri
M
r-1
M
TOTAL SE#
E
a a
N�
wEn En
M M
VV V H l0
M M O M
T
TOTAL SE#
$2,207,661
0
in -
$2,207,661
IV
q
rd
N U
rn
b 4J
U g
O E
P rt
S-4 N
tn
g
n1 SAO
b (11
H
UG H
O N
• O • -I
ro
H\d
O N
H 1�
A N
• U
• u
rd
(ll
N
• v
ro
11) n1
H W
*
* Z
* 0 w 0
2 *
41 U
*. a
*
w *
*
*
1.) *
Si *
W *
U 'O *
w1 z
to w 0
'iN "m
r6 m Z U
3 U
O H
4EKNE{ExO 0 fli
oO
i %
1J}R Z
.N *
41ril 8-I pa
Q -I * g
N *
*
*
W
*
*
*
*
*
*
*
*
2
DESCRIPTION
o 0 0
0 0 0 ri
0
w t
u
Z
a
O
th
O
0
0
tn•
0
trk-
t+?
TOTAL SE#
rci(1
O
s �
H
O 4)
n
w u
U1
id
N
t Q)
N
. 4J
4) Q)
1)
0
N {.
1)
N
(
cti
H
#
it
it
4
CK it
it
u) #
N TSH
uWi d 0
3 id o H
HE -9
N
5N
o �oON
#
pt td #
A
#
•ri #
#
it
it
it
m o W m ti
N In (i) FL O at t/,
Ot'Y O H O M
rt l0 O
ri dt N
44 4t
F, ill
E.1a
0,
u)0
0
N
N
cv
A 0
F A
z
O
U
o o
0 0
t/}
4./1-
n
h
A M r-
01
01 01
att1
F. t0 o
di N
!� th
DESCRIPTION
$1,664,550
0
$1,664,550
M M w
M CO rt
0 0 r♦
H CO 01
N dl H
H m tO
4./1- irk th
0 0
0 0
th
0
1)-
$1,711,396
$1,711,396
}
$1,159,631
0
$1,159,631
0
0
0
tli
0
0
4./1-
0 \
h
$1,049,516
0
0
tli
$1,049,516
$1,049,516
0
0
th
$1,049,516
0 0
t/} 4/1-
to
h
O
u)
1:4 rdA
U)En o� tH A
H
u Z
EL EI ad c4 ‘11HH
0W/) 00) A H u) N
Q Q w 4 aCri
U? fl W . rn
0) 0)
A. + CI tW� 4 H ��
U) U)) N al N N W N Z co
N M
Gd A: 9 O U 0z z w H H w 0 w E' w 0)H
) w 2 2a
zo oz 0] A u IUu)i ix 0 fa (/) 0 cn w 04 P4
(n CO
0 0 H N N H W H t1 E< 00 H 0 0
N N 0 N N 0 N 0 N O_ N O_ M M
N N N
T
T
TOTAL SE#
O O
U �t
¢+
td
O N
H V
A N
W U
rd
r.tv
.0
N
'
tri d
JJ
5
fil
Js
DESCRIPTION
M M ri o ri N N It) In 0 0 CO CO 0
d+ d+ d+ M. d. d• dl tp I.0 0 o i+) t+7 0
a\ at 0 o U1 to co co d+ d1 at co 0
d' d+ M co co co as a; to t4 i+) M o
H ri i- i- H ri rl rl rl ri N N to
M M to !!1 th i? th VI- H ri N N tA'
Li i/} V} Li AA- i!} i!} AA-
!}
o
itr
o
ri
M
TOTAL SE#
0 o
if} in.
0 0
L} in
-
0
0
0
o
0
0
itr
0
i�
0
0
0
i/}
0
ih
0
i/}
0
O
w
to
ri
ri
0
0
0
0
i!}
0
to
U co
En >
ixW
0)
co
EA
NN (H�1 0
f7
A
ix2
H W pi 0)
min 0) H A
rci
W ro M (A) M m 4 m E-1
co
H Hi qW 4 4k 0 xfi 44a
Q Q O ? 0)
w 10 N N H ib
M M O M O M O M 0 M
T
T
T
T
TOTAL SE#
ri
O
C7
AH
P4
N N
c [fid
U
id
49 9
o
04 0,5
� N
9 4-'
O
0
'd a)
H a)
0 H
o
tip0 a)
}
P4
H 'd
O N
H +)
A N
W O
cn
H td
a �
LL)
a)
0
to 0
ttj
a)
N+�
CSS -HOMELESS
W
ai
M 0
z
*
*
DESCRIPTION
0)
o H H
0 0 0
0 N N
0 I, i`
III N N
irk H r•I
ih VT
0
01-
a 0
0
o In In
0 In In
o In In
0 co co
ti) 01 01- H rN-I
a? .11)-
0
h
NON -RES DESIGNATED SVCS
0
TOTAL SE# 201
$7,321,407
$6,799,454
)rDHS
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 #34 to Agreement #119929, between
the State of Oregon, acting by and through the Department of Human Services and
Deschutes County, from Connie Thies on April 23, 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