HomeMy WebLinkAboutIGA Rev - Health - DHS - Self-Sufficiency ProgramDeschutes 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 June 25, 2008
Please see directions for completing this document on the next page.
DATE: June 12, 2008
FROM: Dan Peddycord Health Department 322-7426
TITLE OF AGENDA ITEM:
Consideration of Board signature of document # 2008-342 — Intergovernmental Agreement # 113554
revision 4 for the Self Sufficiency Program (SSP) for 2008 — 09 between the State of Oregon, acting by
and through its Department of Human Services and Deschutes County acting by and through its local
public health department.
PUBLIC HEARING ON THIS DATE? No.
BACKGROUND AND POLICY IMPLICATIONS:
The purpose of this program is to support the efforts of the Department of Human Services Self
Sufficiency Program (SSP) clients to achieve success with employment and family stability by
providing on-site public health nurses to assist with the identification and evaluation of medical
limitations, act as a liaison between medical/ health professionals, SSP and JOBS contractor staff,
provide health related information and education, and connect clients with local health and medical.
resources.
The health department supervises 2 nurses who do self-sufficiency case -management. They have
received increased funding to increase their FTE from a .75FTE to .9FTE for July 1, 2008 through June
30, 2009 to meet the demands of the increased workload. The State of Oregon is increasing the amount
from $125,528.00 last fiscal year to $161,679.00 this fiscal year (2008-09) to support 2 nurses who
each will work .9 FTE.
FISCAL IMPLICATIONS:
This agreement will pay wages and benefits for 2 public health nurses at .9 FTE. A supplemental
budget request has been submitted to increase FTE for the FY 09.
RECOMMENDATION & ACTION REQUESTED:
Approval and signature of document # 2008-342 — Intergovernmental Agreement # 113554 revision 4
for the Self Sufficiency Program (SSP) for 2008 — 09 between the State of Oregon Department of
Human Services and Deschutes County is requested.
ATTENDANCE: Dan Peddycord
DISTRIBUTION OF DOCUMENTS:
Joan Lee, DHS Office of Contracts & Procurement, 500 Summer St NE E-03, Salem OR 97301-1030
503-945-5657, Joan.M.Lee@state.or.us; and Jill Fox, Health Department, 2577 NE Courtney Drive,
Bend, Oregon 97701, 322-7478.
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: Department:
Contact Person: Dan Peddycord Phone #:
June 16, 2008
Contractor/Supplier/Consultant Name:
Health Department
322-7478
Joan Lee, DHS Office of Contracts &
Procurement, 500 Summer St NE E-03, Salem OR 97301-1080, 503-945-5657,
Joan.M.Lee@state.or.us.
Goods and/or Services: Consideration of Board signature of document # 2008-342 —
Intergovernmental Agreement # 113554 revision 4 for the Self Sufficiency Program
(SSP) for 2008 — 09 between the State of Oregon Department of Human Services and
Deschutes County local Public Health Department.
Background & History:
The purpose of this program is to support the efforts of the Department of Human
Services Self Sufficiency Program (SSP) clients to achieve success with employment
and family stability by providing on-site public health nurses to assist with the
identification and evaluation of medical limitations, act as a liaison between medical/
health professionals, SSP and JOBS contractor staff, provide health related information
and education, and connect clients with local health and medical resources.
The health department supervises 2 nurses who do self-sufficiency case -management.
They have received increased funding to increase their FTE from a .75FTE to .9FTE for
July 1, 2008 through June 30, 2009 to meet the demands of the increased workload.
The State of Oregon is increasing the amount from $125,528.00 last fiscal year to
$161,679.00 this fiscal year (2008-09) to support 2 nurses who will each work .9 FTE.
Agreement Starting Date:
July 1, 2008
Annual Value or Total Payment:
$161,679.00
❑ Insurance Certificate Received check box)
Insurance Expiration Date:
Check all that apply:
❑ RFP, Solicitation or Bid Process
❑ Informal quotes (<$150K)
® Exempt from RFP, Solicitation or Bid Process (specify — see DCC §2.37)
Ending Date:
June 30, 2009
Funding Source: (Included in current budget? ® Yes ❑ No
If No, has budget amendment been submitted? ❑ Yes ❑ No
6/17120( 8
Departmental Contact:
Title:
Shannon Dames
Health Department Clinic Manager
Phone #:
322-7410
Department Director Approval: -��- -4� m-- Gild/4
Signature
Date
Distribution of Document: 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 Date
Document Number
6/16/2003
Agreement Number 113554
Amendment to
State of Oregon
Intergovernmental Agreement
In compliance with the Americans with Disabilities Act, this document is available
in alternate formats such as Braille, large print, audiotape, oral presentation and
electronic format. To request an alternate format, please send an e-mail to
1)iiS.Formsrrnstate.or.us or contact the Office of Document Management at (503)
378-3523, and TTY at 503-378-3523.
This is amendment number 04 to Agreement Number 113554 between the State of Oregon,
acting by and through its Department of Human Services, hereinafter referred to as "DHS" and
Deschutes County Health Department
2577 NE Courtney Drive
Bend, OR 97701
Telephone: 541-322-7426
Fax: 541-322-7467
Email address: Daniel_Peddycord@co.deschutes.or.us
hereinafter referred to as "Agency."
1. This amendment shall become effective on the date this Amendment has been fully
executed by every party and, when required, approved by Department of Justice
2. The Contract is hereby amended to add an additional $161,679.00 in funds for the period
of July 1, 2008 — June 30, 2009 to continue the work as called for in the original
agreement.
3. The agreement is hereby amended as follows: language to be deleted or replaced is struck
through; new language is underlined and bold.
a. Section I, EFFECTIVE DATE AND DURATION is amended as follows:
I. EFFECTIVE DATE AND DURATION
This Agreement shall be effective July 1, 2005, through June 30, 2-008
2009 regardless of the date it is actually signed by all applicable parties.
Agreement termination or expiration shall not extinguish or prejudice
DHS' right to enforce this Agreement with respect to any default by
Agency that has not been cured.
b. Section III, CONSIDERATION, subsection A, is amended as follows:
III. CONSIDERATION
A. The maximum not -to -exceed amount payable to Agency under this
Agreement, which includes any allowable expenses, is
$326,587.00 $488,266.00. DHS will not pay Agency any amount
in excess of the not -to -exceed amount for completing the Work,
and will not pay for Work until this Agreement has been signed by
all parties.
For the period July 1, 2005, through June 30, 2006, an amount not
to exceed $86,378.00;
For the period July I, 2006, through June 30, 2007, an amount not
to exceed $114,681.00;
For the period July 1, 2007, through June 30, 2008, an amount not
to exceed $125,528.001
For the period July 1, 2008, through June 30, 2009, an amount
not to exceed $161,679.00.
c. Section III, CONSIDERATION, is amended to add a new subsection C as
follows:
C. VENDOR OR SUB -RECIPIENT DETERMINATION
In accordance with the State Controller's Oregon Accounting
Manual, policy 30.40.00.102, and DHS procedure "Contractual
Governance", DHS' determination is that:
❑ Agency is a sub -recipient;
OR
E Agency is a vendor.
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Catalog of Federal Domestic Assistance (CFDA) #(s) of federal funds
to be paid through this Contract: 93.558
d. Exhibit A, Part 2, Statement of Work, section I, Purpose as follows:
I. Purpose
To establish an intergovernmental agreement between DHS and the
Agency for the provision and coordination of services for DHS Self
Sufficiency Programs' (SSP) clients for the period of July 1, 2005,
through June 30, 2007 2009.
e. Exhibit A, Part 3, section III, is amended as follows:
III. Upon provision of outlined services, receipt and approval of monthly
billing from Agency, DHS will pay Agency up to $10,460.67 $13,473.25
per month.
A. Reports will be submitted to designated SSP Agreement Liaison.
B. If reported hours are significantly Tess than -5 1.8 FTE in any
month, payment may be prorated based on the percent of hours of
service actually provided.
C. Discussion with the Agency Agreement Administrator or designee
by the DHS Agreement Administrator or designee will occur prior
to a reduced payment.
f. Exhibit B, Standard Terms and Conditions, Section 5, Funds Available and
Authorized; Payments is amended as shown below:
5. Funds Available and Authorized; Payments
a. Agency shall not be compensated for Services performed under
this Agreement by any other agency or department of the State of
Oregon or the federal government. DHS certifies that it has
sufficient funds currently authorized for expenditure to finance the
costs of this Agreement within DHS' current biennial appropriation
or limitation. Agency understands and agrees that DHS' payment
of amounts under this Agreement is contingent on DHS receiving
appropriations, limitations, allotments or other expenditure
authority sufficient to allow DHS, in the exercise of its reasonable
administrative discretion, to continue to make payments under this
Agreement.
b. All billings and payments processed through the Medicaid
Management Information System (MMIS) shall be processed
in accordance with the provisions of Oregon Administrative
Rules (OAR) 407-120-0100 through 407-120-0200, OAR 407-
120-0300 through OAR 407-120-0380 and any other DHS
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g.
Oregon Administrative Rules that are program specific to the
billings and payments and, if applicable, to billing and
payment of Medicaid services.
Exhibit D, Required Federal Terms &Conditions, is amended as shown below:
8. Audits
a. Contractor shall comply and, if applicable, cause a subcontractor
to comply, with the applicable audit requirements and
responsibilities set forth in the Office of Management and Budget
Circular A-133 entitled "Audits of States, Local Governments and
Non -Profit Organizations."
b. Sub -recipients shall also comply with applicable Code of
Federal Regulations (CFR) sections and OMB Circulars
governing expenditure of federal funds. State, Local and Indian
Tribal Governments and governmental hospitals must follow
OMB A-102. Non -profits, hospitals, colleges and universities
must follow 2 CFR 215. Sub -recipients shall monitor any
organization to which funds are passed for compliance with
CFR and OMB requirements.
4. Except as expressly amended above, all other terms and conditions of the original
agreement and any previous amendments are still in full force and effect. Agency
certifies that the representations, warranties and certifications contained in the original
agreement are true and correct as of the effective date of this Amendment and with the
same effect as though made at the time of this amendment.
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5. SIGNATURES
AGENCY: YOU WILL NOT BE PAID FOR SERVICES RENDERED PRIOR TO
NECESSARY STATE APPROVALS
Approved By ency
Authorize Si attire Title
X)cC� tOCkI� 1�C
Approved By DHS
Date
Authorized Signature
Approved for Legal Sufficiency:
Title Date
Assistant Attorney General Date
Reviewed by:
Office of Contracts and Procurement:
Signature
Name (printed) Date
DATED this Day of 2008.
BOARD OF COUNTY COMMISSIONERS
OF DESCHUTES COUNTY, OREGON
DENNIS R. LUKE, Chair
TAMMY MELTON, Commissioner
MICHAEL M. DALY, Commissioner
ATTEST:
Recording Secretary
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