Loading...
HomeMy WebLinkAbout012516_ca07615 Sheridan Street Port Townsend, WA 98368 www.JeffersonCounfyPublicHealth.org Consent Agenda January 11, 2016 JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS TO: FROM: DATE: SUBJECT: AGENDA REQUEST Board of County Commissioners Philip Morley, County Administrator Jean Baldwin, Director Anna McEnery, DD Coordinator / / '5--- / 2"0 Lp Agenda item — Contract Agreement Amendment 1 — Jefferson Mental Health Services for School Based Health Center; January 1, 2015 — December 31, 2016; $59,736.00 STATEMENTOF ISSUE: Jefferson County Public Health, as the fund manager of the Mental Health and Substance Abuse sales tax treatment funds, is requesting Board approval of the Contract Agreement Amendment 1— Jefferson Mental Health Services for School Based Health Center; January 1, 2015 — December 31, 2016; $59,736.00 ANALYSTS STRATEGIC GOALS PRO'S and CON'S: This is a one year contract with JCPH and Jefferson Mental Health to provide services negotiated by the BOCC and the Substance Abuse Advisory Committee. This agreement provides for mental health services in the Port Townsend, Chimacum, and Quilcene School Districts. Mental Health services will be provided to children in grades 4 — 12 who identify with mental health issues. Contractor will provide Child and Family Therapist services. Counseling services provided will include anger management, depression, conflict resolution, and stress, relationship issues, suicidal ideation, eating disorders, domestic violence, and sexual and physical abuse. A mental health provider will spend 3 days a geek at Port Townsend School District, 3 days a week at Chimacum School District and 1 day a week at Quilcene School District. JCPH will work with JMHS to monitor service data, performance outcomes, and ongoing interface between the schools, the county and the MH CD committee. FISCAL IMPACT COST BENEFIT ANALYSIS: This is sales tax revenue raised by the County in the 1/10 of 1% Fund and is allocated by the BOCC with advice from the Mental Health and Substance Abuse Sales Tax Advisory Committee. Should funds be reduced or withdrawn, termination and/or renegotiation language is in place. Community Health Environmental Health Developmental Disabilities Water Quality 360-385-9400 360-385-9444 360-385-9401 (f) Always working for a safer and healthier community (f) 360-379-4487 JCPH management requests approval of the Contract Agreement Amendment 1— Jefferson Mental Health Services for School Based Health Center; January 1, 2015 — December 31, 2016; $59,736.00 101 ip Morley, o+ 'nty �dmini trato Date (Routed to all Public Health Managers) CONTRACT AMENDMENT #1 For Professional Services Between Jefferson County And Jefferson Mental Health Services For School Based Health Clinics WHEREAS, Jefferson Mental Health (Contractor) and Jefferson County (County) entered into an agreement on January 1, 2015 for Professional Services in connection with mental health services in the school districts of Chimacum, Port Townsend, and Quilcene for Jefferson County, Washington. WHEREAS, the parties desire to amend the terms of that agreement. IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS: 1. The term of the above referenced agreement ends December 31, 2016. 2. Jefferson Mental Health will continue to provide enhanced mental health intervention and treatmentservices in the schools for children or youth grades 1-12 who identi17y with mental health issues as stated in Exhibit .A, Statement of Work, Exhibit B, Fee Schedule and Attachment A, MatchPolicy in order to increase Jefferson Meatal l lealt;h's ability to quickly address the ntental health needs ol`participants within School based Health Clinics. 3. This amendment adds $59,736 in funding, to be used specifically for case management services and incentives directly related to the positive progress of program participants. 4. This contract shall not exceed $119,472 without express written amendment signed by both parties. 5. All other terms and conditions of the agreement will remain the same. Dated this day of , 2016. By: Kathleen Kler, Chair Jefferson Board of County Commissioners By: (Contractor) A as DI m 0" le ers n Co, 1"fWws c t wr"s i Ice David Alvarez, Chief Civil DPA EXHIBIT A Scope of Work RESPONSIBILITIES: The Jefferson Mental Health Services, as a contracted provider, agrees to: A. Work with identified youth and their families throughout the school year. B. Work collaboratively with local mental health and substance abuse treatment agencies for identified clients. C. Allocate 85% of staff hours to clinical services. D. Staff each site with licensed therapists who consistently work at the same site except for needs for personal leave. Exceptions may only be made with the written approval of the County. E. The names of licensed therapists working in each school will be given to the JCPH. JCPH and the schools will be notified of any staff changes in writing, (before they occur). F. County must be notified of any extended leave of absence for Counselors. G. Youth and their families along with the SBC will be notified if a Counselor is out sick and unable to make an appointment. H. Background checks are required for Jefferson Mental Health employees working with children or youth who provide services under this contract. School districts each have different requirements and all require out of state FBI for new to WA employees. Please verify requirements with JCPH or the school district offices. I. Copies of background checks & Counselor resumes must be sent to JCPH. J. Provide crisis interventions and emergency response services. K. Provide on-going individual therapy as needed to all youth. Services are not dependent on Medicaid eligibility. L. Run groups as appropriate. M. Provide Counselors with the ability to make long distance phone calls from the schools. N. Work with children or youth to provide support services and referral to mental health or other treatment programs. Assist with the application and eligibility paperwork necessary to receive outside services. O. Parents or guardians of children or youth may be contacted as necessary following HIPPA laws. P. Assist school staff in identifying and developing strategies to assist students with mental health issues. Q. Work with social services or other agencies as needed for dually served children or youth with mental health or chemical dependency issues. R. Provide clinical and supervisory oversight for the therapist providing services in this program. S. JMH Supervisor must attend regularly scheduled Clinician meetings and quarterly Advisory meetings. T. Maintain a secure and confidential records system guaranteeing HIPPA. U. Bill all revenue sources for services where appropriate. V. Yearly report on client (students and families), utilization, referrals, outcomes. School Districts agree to: A. Educate school teachers and staff about the availability of the referral process for the "Partnership for Health" to assure mutual understanding of proceedings and requirements. B. Identify students who may need mental health intervention and refer individuals for screening or services. C. Refer appropriate individual to the contracted provider for services, including necessary contact information as needed. D. Introduce MPHs to each building principal, counselor, and other staff, and provide an overview of building protocol. E. Assist with data collection. F. Provide space and access to a data connection for confidential mental health services for the professional and the student. G. If available, provide access to the Internet. Exhibit B Fee Schedule Mental Health Therapist ranging from @ $21.42/hour to $27.17/hour Clinical Supervision @ $55.59/hour Project Management @ $61.82/hour Administrative Support for scheduling, billing and bookkeeping ranging from $22.97/hour to $52.73/hour Indirect Rate @ 8.3% Not to exceed $119.472 in completion of services for the duration of this signed contract amendment. ATTACHMENT A JEFFERSON COUNTY MH/SA TREATMENTTAX A.X FUNDING MATCH POLICY Definitions: Match: is a requirement for the grantee to provide contributions of a specified amount or percentage to match funds provided by another grantor. Matching can be in the form of cash or in-kind contributions. Regulations: The specific requirements for matching funds are unique to each federal or state program. The A-102 Common Rule provides criteria for acceptable costs and contributions in regard to match. Jefferson County Policy: In 20051, the Washington State Legislature created an option for counties to raise the local sales tax by 0.1 percent, (the 1 / 10th of 1 % sales tax initiative) to augment state funding for mental health and chemical dependency treatment. Jefferson County collects and distributes the Mental Health/Chemical Dependency (MI-J/SA) tax. Services purchased by the County are allocated through a formal Request for Proposal (RFP) process, review and contracting; staffed by Jefferson County Public Health, overseen by Jefferson County Mental Health Substance Abuse Fund Advisory Committee and adopted by the Board of County Commissioners, (BOCC). BOCC does not assume any fiscal responsibility/liability for any of the Contractors they contract for services with. Jefferson County reserves the first right to use as match the chemical dependency mental health tax funds and the services funded by them for purposes of qualifying for additional funding and grants. County may make available to the Contractor the chemical dependency mental health tax funds for the Contractor to propose as match to state, federal or other entities, at the County's sole discretion. Contractor shall not use chemical dependency mental health County tax funds for match without prior authorization by the Jefferson County Administrator and County fiscal team. To request authorization of availability of the funds for match, Contractor must apply to the County Administrator in writing, and include their match formula and allocation plan and may include other documentation to support their request. The County Administrator will authorize or deny the availability of match funds in writing within 30 days of the application. If the County informs the Contractor of the availability of chemical dependency mental health County tax funds for match, then the Contractor shall be solely responsible for compliance with all state and federal laws and regulations, including, but not limited to DSHS, CMS and DBHR funding rules, applicable to the use of MH/SA sales tax monies as match. Following state, federal and local guidelines for match is the responsibility of the Contractor. For example, if a Contractor provides Title XIX Medicaid services (the Policy 19.50.02 or 42CFR 430.30) they are required by those rules to actually bill Medicaid for the services at the same time. If no Medicaid billing exists, the match would not comply with state and federal guidelines for match. Concurrent with its request for authorization of the availability of match, Contractor shall document it has met its responsibility to follow state, federal and local guidelines for match by submitting in writing to the County Administrator their match formula, allocation plan, and other documentation made mandatory pursuant to this Agreement and this Attachment A. At a minimum, the Contractor shall also provide the following to the County Administrator: 1. DSHS requires contractors to complete and submit a "Local Match Certification" form (DSHS 06-155) or a form that has equivalent data elements prior to any agreement for DSHS services. Submit a copy of this application and form when requesting match availability from the County and at each monthly billing. 2. Submit the current administrative policy within WA State regulating your services and the use of local match. 3. Submit to the County your last financial audit showing your use of match, County funds and tracking systems. 4. Submit to the County the terms of the agreement showing the MH/SA allocation is an allowable source of match. 5. Provide documentation that your financial reporting system tracks matching funds at a level that meets the level of documentation required by federal or state statutes. The County may reject permission for Contractor to utilize the MH/SA sales tax monies as match.