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Home My WebLink About080116_ca01615 Sheridan Strep l- Part Townsend, WA 98368 Z' )" ifs , www.,.Jeffersor)CountyPublicFleall-h.org Public Health Consent Agenda July 1, 2016 JEFFERSON; COUNTY BOARD OF COUNTY COMMISSIONERS TO: FROM: AGENDA REQUEST Board of County Commissioners Philip Morley, County Administrator Vicki Kirkpatrick, Director Anna McEnery DATE: !� , 91 SUBJECT: Agenda Item — Agency Agreement with Department of Social and Health Services for Developmental Disabilities Administration, (DDA) #1563-45217 Amendment 1; July 1, 2016 — June 30, 2017; Additional $293,421 for a total of $561,241 STATEMENT' OF ISSUE:: Jefferson County Public Health, Developmental Disabilities Division, is requesting Board approval of the Agency Agreement with Department of Social and Health Services for Developmental Disabilities Administration, (DDA) #1563-45217 Amendment 1; July 1, 2016 — June 30, 2017; Additional $293,421 a total of $561,241 ANALYSIS STP.ATE'GC GOALS PRO`S and CON'S: This contract amendment is a continuation of services with DSHS for services to clients with developmental disabilities in Jefferson County. The contract covers a variety of services. The services include administration, training expenses (volunteers, board members, and staff), community information activities, consumer support (Early intervention services for Child development services for Birth to 3), Group Supported Employment, Pre Vocational Services, Individual Supported Employment, Individual Technical Assistance, Community Access, and other activities (special projects), The statement of work requires a qualified coordinator, advisory board, Interm(diate Care Facilities agreement (where applicable), working knowledge of DSHS/DRW Access Agreement, Feb. 27, 2001, and assignment of Medicaid billing rights under Title XIX. Jefferson County has professional service subcontracts with agencies or organizations representing each group. The developmental disabilities program services provide educational opportunities for life-long learning and training to a specific workforce that allows interactions, equal opportunity, and integrated participation with non -disabled community members. These program services also support strategic efforts toward a sustainable economic base by recognizing the need for integrated employment opportunities for persons with disabilities. DDA program services undergird the economic reach of the disabled community by supporting programs that emphasize and address prevention, early intervention, and recovery; and provide opportunities to overcome community complexity by providing community outreach and activities that recognize the significant health issues the disabled community confronts. C orna"inity Health Environmental Health Developmental Disabilities Water Quality 360-385-9400 360-385-9444 360-385-9401 (t) Always or in for a safer and healthier cornirm uni y (t) 360-379-44.€37 FISCAL. IMPACT COST BENEFIT ANALYSIS: This is a contract amendment with the Department of Social and Health Services and includes both State and Waiver revenue. This revenue will be used to support programs in the Developmental Disabilities Programs. RECOMMENDATION: JCPH management request approval of the Agency Agreement with Department of Social and Health Services for Developmental Disabilities Administration, (DDA) #1563-45217 Amendment 1; July 1, 2016 — June 30, 2017; Additional $293,421 for a total of $561,241 REVIEWED BY: Philip � ty Mori y, �' n Administrator Date DSHS CONTRACT NUMBER: CONTRACT AMENDMENT 1563-45217 IMOV I! A UY I I-' mjlt DDA County Services Amendment No. 01 A*7 This Contract Amendment is between the State of Washington Department of Program Contract Number Social and Health Services (DSHS) and the Contractor identified below. Click here to enter text. Contractor Contract Number CONTRACTOR NAME CONTRACTOR doing business as (DBA) Jefferson Countv Jefferson Countv DDA Countv Services CONTRACTOR ADDRESS WASHINGTON UNIFORM DSHS INDEX NUMBER BUSINESS IDENTIFIER (UBI) 615 Sheridan St Port Townsend, WA 98368- 161-001-169 1223 CONTRACTOR CONTACT ONTRACTOR TELEPHONE I CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS Anna McEnerx (360) 385-9410 (360) 385-9401 amcenerv(cDco.iefferson.wa.us DSHS ADMINISTRATION DSHS DIVISION DSHS CONTRACT CODE Developmental Disabilities Admin Division of Developmental 1769CS-63 DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS Luise Frank 6860 Capital Blvd DSHS CONTACT TELEPHONE ONTACT FAX DSHS CONTACT E-MAIL ADDRESS (360) 725-4252 86-6502 frankl(cDdshs.wa.qov IS S_UBRECIPIENT FOR PURPOSES OF THIS COR-T-RACT? I CFDA NUMBERS No _Z�0_NTRACT END DATE AMENDMENT START DATE 07/01/2016 06/30/2017 PRIOR MAXIMUM CONTRACT AMOUNT AMOUNT OF INCREASE OR DECREASE TOTAL MAXIMUM CONTRACT AMOUNT $267,820.00 $293,421.00 $561,241.00 REASON FOR AMENDMENT; CHANGE OR CORRECT PERIOD OF PERFORMANCE AND MAX CONTRACT AMOUNT ATTACHMENTS. When the box below is marked with an X, the following Exhibits are attached and are incorporated into this Contract Amendment by reference: This Contract Amendment, including all Exhibits and other documents incorporated by reference, contains all of the terms and conditions agreed upon by the parties as changes to the original Contract. No other understandings or representations, oral or otherwise, regarding the subject matter of this Contract Amendment shall be deemed to exist c bind the parties. All other terms and conditions of the original Contract remain in full force and effect. The parties signing below warrant that they have read and understand this Contract Amendment, and have authority to enter into this Contract 7C`o_NTRAcTbR SIGNATURE PRINTED NAME AND TITLE DATE SIGNED DSHS SIGNATURE PRINTED NAME AND TITLE DATE SIGNED Melissa Diebert, Contracts Manager DSHS Central Contract Services Page This Contract between the State of Washington Department of Social and Health Services (DSHS) and the Contractor is hereby amended as follows: This Contract between the State of Washington Department of Social and Health Services (DSHS) and the Contractor is hereby amended as follows: 1. The Total Maximum Contract Amount is hereby increased in the amount of $293,421 for a new Contract Amount of $561,241. This amount is for services provided during the added fiscal year. 2. The Program Agreement end date is extended to June 30, 2017. 3. Section 7. Statement of Work, sub -paragraph h. Qualified Providers. Will add the following paragraph: DDA contracts with Technical Assistance providers that maybe utilized by Counties with prior written approval. 4. Section 8. Consideration sub -paragraph b. Fees, item (2) Fee Limitations, sub -section (b) will be replaced in its entirety with the following: (b) Community Access services will not exceed and hourly rate of $35.00. 5. Section 9. Billing and Payment, will add sub -paragraph (k) as follows: (k) PASRR Administration: The County may bill for administration costs as identified in Exhibit B. Monthly claims for administration cost will be based on the actual PASRR expenditures multiplied by 7%. 6. Exhibit B. Program Agreement Budget is hereby replaced with the following Budget Revision: All other terms and conditions of this Contract remain in full force and effect. DSHS Central Contract Services Page 2 6024PF Contract Amendment (3-31-06) DSHS Central Contract Services Page 3 6024PF Contract Amendment (3-31-06) EXHIBIT B Program Agreement Budget ❑ Original Budget ® Budget Revision REVENUES Fiscal Year Fund Source 7_mw __m. ....._ Oriainal 15' Revision 2nd Revision 3rd Revision ... . ............ . ... 2016 State Funds $143,243 Medical Funds Total $267,820 2017 State Funds.... ........ $297,519 _ $29........ Federal Funds ....� � Total _............... _.... $561,241 �._.� ......� w.............. COUNTY FY 2017 SPENDING PLAN Planned Expenditures Local PASRR Medicaid Funds Funds State Funds Funds TOTAL ADMINISTRATION (CMIS/AWA BARS 11) 10,558 8638 19,196 w.. ........_ ..... .. __.. wk....�...� _........mm R ... OTHER CONSUMER SUPPORTS (CMIS/AWA Code 31, 32, 41, 92.93.94) 8537 6985 15,522 CONSUMER SUPPORT1� 1f , flll/' it STATE-ONLY L� „ Child Development 1 �,J �� 11 �� 515.499 ...... .�,, ��1% t 1r, ��l/J , l'! ^.... MEDICAID CLIENTS117,762 117,762 235,524 ............. ,nm., nmm., ._.._.._ .. i/, �%l ROADS to COMMUNITY LIVING 1920 5760 7680 ;1!��il�;/l!ll f��/i,s�1 w .........._ .......m.m. TOTAL �Ii 154.276 139,145 293.421 DSHS Central Contract Services Page 3 6024PF Contract Amendment (3-31-06)