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HomeMy WebLinkAbout042213_ca01Ya.~„ c~ ~:ansent A~~:nda ''H r a.,tn k. "~~ 616 Sheridan Street o tort Townsend o Washington a ~~36a wva~.jeffersoncauntypublich~alth.e~rg April 5, ~p13 ~3~AR~3 ~F C~u~Tlll' Ct~MMYSSI~IV~RS AGENDA IRE+t~ll~5~ T~: Board t~f ~Co~n~y Cvrnmissivners F~hiip IMarleyr Cvw~n~y Admi'nii~trator ~RQM: Jean Baldwin, Director ~3ATlE: ~~ ~ ~ ! ~, . ~ ~n ~ ~`r, , Sk1187~E~T: Agenda teem -Agency Agreement with the Department of Social and Health Services for Long `term Payadle, #133-7712; July 1, ~E3J.3 June 3~, 2[14; based on annual review STAfiEI~~NT ~~ ISS~IE: Jefferson County Pubi+c FGe~ith is requesting Board' approval of the Agency Agreement with the Department of Social and Health Services for Lang Term Payable, # 1363-73712.; July 1, 2013 -.lone 30, 2014; based an annual review AIVALYSISJSTRATEGIC GCtALSI PRQ'$ and CC?N'S: 'T'his contract advances funds in anticipation of the actual approval of thaw plans filed by the Contractor, (JC'T'H) with DSHS fdr Division of Devei~opmental i7isablities, {DDD) programs operated during the contract perivd~. This agreement is governed by terms in accordance with the General Terms and Conditions between DSHS and the Contractor. FISCAL IMpAC'flCt}ST BENEFIT ANALYSIS: DSHS calculates and advances tv the Contractor two months average anticipated expenditures from DDD programs flied by the Contractor. This calculation is based upon the Contractor's cash f%ow dvcurnentativn far the arnount needed tv maintain the Contractor's current payments tv sub-contractors. The revenue for this contract is reflected in each annual budget as restricted reserve. ~k'E~O~-I M' EN DATItlN: JCFH management request approval of the Agency Agreement with the Department of Social and Health Services for Long Term Payable, #136373712.; July ~,, 20f3 -June 30, 2014; based on annual review ,.~ Phiii rley, Coin ' ,Administrator Date 0~ ELQP6v1ENTA~L D A61LITiES PUBLIC HEALTH ErVVIRahJMENTAL HEALTH MAIN: r,360~ 385-9460 d4!iYYAYS VM'ORKIEIsG F~DR >lti SAFER ANQ WATER QUALITY MAIN: (360) 385-9444 FAX: (364J 385-9401 HEALTHIER COMMUNITY FAX: (360y 379-44$7 DSFlS Agreement I~umher CQU'~I TY f YVVnslrrnR Pali J~Q f4 L7LF~A RTtu~E'.hf1' C7F ~ 363-x371 ~~C.IAL6~-fEP+LTFf SERV ICES. ~y ~~J [] RA C A' ~~LJ~~~ir~ ~~R~~111Y..A^T ~.vn~-Ter~ll Payable This Program Agreement is dy and between the State of Washington Department of Adrninistratian or flivisit~n Social and health Services (DS~iS} and the County identified below, and is issued in Agreement Number conjunction with a County and DSF~S Agreement On General Terms anti Conditions, which is incorporated by reference. County Agreement Number DSHS ADN9INISTRA~rI0N DSHS DIVt51C}N DSHS INL7Ex NUMBER DSHS CONTRACT CC3Di Executive Administration ' Financial Services 123 8030CS-63_ - DSH'S CONTACT NAME. AND TITLE L7SH5 CQNTA,CT ADDRESS Joel Ernery Pa 'Sox 458~~ Grants & Contracts Marta er Chi m is WA 98504-5842 _ DSHS CONTACT TELEPHC)NE DSHS CONTACT FAl4 DSHS CONTACT E-MAIL 360 664-5752 360 664-5775 ems a dshs.wa. ov COUNTY NAME i CflUNTY ADDRESS Jefferson County 615 Sheridan St Port Townsend WA 98368- - - _ ~ COUNTY CC}NTACT NA4NE Susan Parke Ct3UNTY CONTACT TELEPHONE COUNTY CONTACT FAX. COUNTY CC7NTACT E-MAiL 360 385-9400 360 385-9x01 s .arks co. ~efferson.wa. us 4S THE COt~NTY A SUBRECIPrENT FOR PURPO5E5 OF THfs PROGFiAhfi CFDA NUM6ERS AGREEMENT? tV o PRDGRAIW AGRE~IU~Et~T START DATE 'I PRDGRANt AGREErNENT EtNC] C3ATE MAxIMl,1M PROGRAM AGREEMENT AMOUNT 071t1~l2013 06f30i2014 ~ase~f cart Anrttra! Peview The terms anti conditions of this Contract are an integration and representation. of the final., entire and exclusive understanding between the parties superseding and merging all previous agreements, writings, and communications, oral or otherwise, regarding the subject matter of this Contract. The parties signing below represent that they have read and understand this Contract, and have ttte authority to execute this Contract. This Contract shall be binding on DSF~S only u Orr si nature b ^SHS. CC}UNTY 51GNA7URE~S} PRINTED NAMES} ANO T3TLE(S} DATES} SIGNED ~ DSHS SIGNATURE PFtENTE't"} NAME AND TITLE f}ATE SIGNEtQ Angie Williams, Contract Manager C15HS Central Contract Services DSHS CentraP Cvrltra+vt Saavices 8Q3C]CS Cpunty Long-Tem°I Payable [3-'E3-2013} ppr®~~~ a~ ~ ~'orn~ c~~~~~, 9 .. ~; x , I ~` ~ f f„~'Sr r f ~ ~ ~ ~ art ~ .? r,. . ~ ~e"er~an$Cn. Frn~ec~attrr's ~ tce Wage 1 SPECCAL TER'11~5 AND CC]NDITIC]NS 't. ^efnitions a. "Commingle'' is the act of mixing the funds andlor !Lang-Term Payables for one program with the funds of another program. b. "Documentation of Funds Form" ~DFF} is a farm provided to the County each year by DSHS on which the County records qualifying previous year expenditures front which DSHS can appraise and evacuate the amount of the existing Long-Term Payable or appropriate adjustments.. c. "Long-Term 'Payable" means 'funds provided by DSHS to the County in anticipation of specific client services provided by the County. The County shall not Abe allowed to retain any overage of the Lang-Term Payable funds if the County does not actually provide the anticipated services during the given timeframe. Long-Term Payable funds are to be reconciled by April 3U of each year and any funds not fully utilized shall be refunded to D5H5 by May 31 of each year. d. "Prepaid Inpatient Health Plan" is an entity that contracts with the Behavioral Health and Service Ontegration Administration (BHSIAy to administer mental health services for people who are eligible far the Title 7ClX Medicaid program in accordance with WAG 388-8fi5-flSp~3. ~. Purpose a. It is the ipurpose of this Agreement to specify the procedure by which DSHS will assess and, if necessary, adjust the Long-Terror Payable it provides to the Gounty. b. Funds to support contracts for the following DSHS programs may be included in a Lang-Term Payable; Aging ~ Disability Services ~Develapmentai Disabilities Adrrrinistratian ~IJDA}, Behavioral Health and Service Integration Administration ~BHSIA}, andlar Aging and Long-Term Support Adrninistratinn (ALTSA), andlor Children's Adr~inistratian (CA} operated during the term of this Agreement. 3a Statement of UVark a. County Responsibilities ~1) The County shall submit to DSHS, on forms provided by DSHS and' by a date determined by DSHS, a completed Documentation of Funds Form (DFF} from which DSHS s~tafi assess whether or not an adjustment to the amount of the Long-Term Payable provided to the County is warranted. (2} The County shaV~l exclude all amounts related to its DBHR Prepaid inpatient Health Plan expenditures from its DFF. (3) The County shall repay to DSHS all of the Long-Terra Payable funds received from DSHS that exceed the amount that DSHS determines is warranted.. Repayment requirements shall be based upon DSHS assessment of the mast recent annual IaFF submitted by the County to DSHS. Any !Long-Term Payable funds snot fully utilized by the County, as determined by DSHS through the DFF process, shall be refunded to DSHS by May 39 of each year. ~`t~ The County shall only utilize Long-Term Payable funds for the DSHS program or service for which the funds were originally designated. Long-Term Payable funds may not be cot~nmingled between or among programs or services. DS~iS Centra9 Contract ServFces 8030CS county tong-Terra ~'ayat~le f8-13-2018} gage z SPECIAL Tl`RM5 AIVD C{71~~ITICQNS {5} Ar~y interest the County earns an the Lang-Term Payable funds sha!'l only be utilized for the f~SY°IS programs or services far which the funds were originally designated. Lang-Term Payable interest shall not be used far programs or services unrelated to the client services anticipated by this Agreement. (fi) The County shale record the Lang-Term Payables in its financial records. 4. OSF~S Responsibilities a. C~S'HS shall assess the DI=E submitted lay the County to determine if, during the term of this Agreement, any adjustment to the original two month Lang-Term Payable provided to the County is warranted. b. Adjustment may include C~Sl~S request far repayment by County of any Lang-Term Payable amounts previously paid to County that are in excess of the amount currently warranted. 5. Terrminatipn In the event. that this Agreement, ar a program contrac# listed in 2. b. above, is terminated prior to completion, l~SI--IS shallY take all available steps to recover any Longo-Term Payable determined to be are overpayment and the County shall ful9y cooperate during the recovery process. ©SHS Centrak CorAkract Services 8434CS County Lang-Terrxr Payable {3-33-2413} Page 3