HomeMy WebLinkAbout030617_ca06615 Sheridan Street
Port Townsend, WA 98368
www. Jeff ersonCountyPublicHealth.org
is Health Consent Agenda
N -15-91-A2
November 28, 2016
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Vicki Kirkpatrick, Director
Anna McEnery, DD Coordinator
DATE: 31-:A- 1wi-q-
SUBJECT:
Agenda Item - Contract Agreement Amendment 2 - Discovery
Behavioral Healthcare (formerly Jefferson Mental Health Services);
October 1, 2016 - December 31, 2016; $20,060.80
STATEMENT OF 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 2- Discovery
Behavioral Healthcare (formerly Jefferson Mental Health Services); October 1, 2016 to December 31, 2016;
$20,060.80
ANALYSIS/STRATEGIC GOALS PRO`S and CON'S:
This amendment reduces the contract total to $155,568.80, of which $20,060.80 remains to be used
specifically for case management services and UA's directly related to the positive progress of program
participants. This contract funds Discovery Behavioral Healthcare to provide services to 24-40 Jefferson
County citizens with co-occurring disorders seeking Mental Health and Substance Abuse treatment. The
substance abuse treatment portion is a new service that is being provided by Discovery Behavioral
Healthcare, along with continuing mental health services. People with co-occurring disorders is a priority
population identified and funded by the Mental Health Substance Abuse Advisory Committee. Through this
contract services will be increased for Jefferson County citizens who have no other source of payment for
services.
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 County Board
of Commissioners, with advice from 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Should funds be reduced or withdrawn, termination and/or renegotiation language is in place.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
Developmental Disabilities
360-385-9400
360-385-9401 (f)
Always working for a safer and healthier community
Environmental Health
Water Quality
360-385-9444
(f) 360-379-4487
615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org
RECOMMENDATION:
JCPH management request approval of the Contract Agreement Amendment 2 — Discovery Behavioral
Healthcare (formerly Jefferson Mental Health Services); October 1, 2016 — December 31, 2016; $20,060.80
Community Health
Developmental Disabilities
360-385-9400
360-385-9401 (f)
Date
Always working for a safer and healthier community
Environmental Health
Water Quality
360-385-9444
(f) 360-379-4487
/�--z_-0 9
615 Sheridan Stream r
PQrt Townsend, WA 98368
�{e n www.JeffersonCountyPut)liGHealth.org
Public Hea ti
/
N -15-91-A2
CONTRACT REVIEW FORM �1w`J 2.3 ;>W
�. N " Al ", 3 @� 0 v �
CONTRACT WITH: Discovery Behavioral Healthcare (formerly Jefferson Mental Health -Services
CONTRACT FOR: Mental Health Services
TERM: 10/l/2016-12/31/2016
COUNTY DEPARTMENT Jefferson County Public Health
For More Information Contact Anna McEnery
Contact Phone #: X410
RETURN TO: Jenny Matter
RETURN BY: ASAP
AMOUNT: Reduces the contract total to
$155,568.80, of which $20,060.80
remains
Revenue:
Expenditure:
Matching Funds Required:
Source(s) of Matching / Funds:
Step 1
J APPROVED FORMr
Comments:
1/1
of 1%
REVIEW BY RISK M
Review by:
Date Reviewed:
PROCESS: ❑ Exempt from Bid Process
❑ Consultant Selection Process
❑ Cooperative Purchase
❑ Competitive Sealed Bid
❑ Small Work Roster
❑ Vendor List Bid
D RFP or RFQ
13 Other:
rned for revision (See Comments)
Pew 10"_r/ -S / Y `Q,-,
Step 2: REVIEW BY PROSECUTING ATJORNEY
Review by:
Date Reviewed:3 I
j] APPROVED AS TO FORM LJ Returned for rev' ion (See Comments)
1 Comments:
(This form to stay with contract throughout the contract review process)
Community Health
Developmental Disabilities
360-385-9400
360-385-9401 (f)
Always working for a safer and healthier community
Environmental Health
Water Quality
360-385-9444
(f) 360-379-4487
CONTRACT AMENDMENT #2
By and Between
Jefferson County
And
Jefferson Mental Health
For Mental Health (MH) & Chemical Dependency (CD) Treatment
WHEREAS, Jefferson Mental Health, doing business as Discovery Behavioral Healthcare
(Contractor) and Jefferson County (County) executed an agreement on January 20, 2015 for
Professional Services in connection with mental health services to individuals impacted by mental
health/substance abuse issues in Jefferson County, Washington; and executed Amendment #1 on
January 25, 2016; and
WHEREAS, the parties desire to amend the terms of that agreement;
IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS:
The term of this contract amendment is from October 1, 2016 to December 31, 2016. All
work performed beginning October 1, consistent with this contract, as amended is being
retained.
2. Discovery Behavioral Healthcare, (DBH) will continue to provide treatment services to
citizens seeking substance abuse treatment for those who have co-occurring Mental Health
disorder, as stated in Exhibit A -Statement of Work, Exhibit B -Fee Schedule and
Attachment A -Match Policy, in order to increase Discovery Behavioral Healthcare's
ability to quickly address the mental health needs of participants with a co-occurring
disorder.
This amendment reduces the contract total to $155,568.80, of which $20,060.80 remains to
be used specifically for case management services and UA's directly related to. the positive
progress of program participants.
4. This contract shall not exceed $155,568.80 without express written amendment signed by
both parties.
5. All other terms and conditions of the original agreement, as amended; Amendment #1 will
remain the same.
Dated this day of , 2017. �,( c , fZLC4-
By:
Kathleen Kler, Chair�t�crlu f
Jefferson Board of County Commissioners
By:
(Contractor)
JEFFERSON MENTAL HEALTH- Amendment 112 2016
CONTRACT AMENDMENT #2
By and Between
Jefferson County
And
Jefferson Mental Health
For Mental Health (MH) & Chemical Dependency (CD) Treatment
WHEREAS, Discovery Behavioral Healthcare (Contractor) and Jefferson County (County)
entered into an agreement on January 1, 2015 for Professional Services in connection with
mental health services to individuals impacted by mental health/substance abuse issues in
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 this contract amendment is from ( cl r •'
to December 31, 2016.
2. Discovery iMiaE!ioraI I 1 11 itle treatment services to
citizens seeking SL , s,i-1o-occurring Mental
Health disorder, as t AC '` Idbii B -Fee Schedule
and Attachment A y, aI :Behavioral
Healthcare's ability •-'JcJcs participants with a co-
occurring disorder. ��y
3. This amendment redm " $20,060.80 remains
to be used specifically tl v related to the
positive progress of pro OIX
4. This contract shall not ex endrnent signed by
both parties.
5. All other terms and conditi
Dated this day of
2016.
-,Liatit will remain the same.
By.
14l
Kathleen Kler, Chair
Jefferson Board of County Commissioners
By:
(Contractor)
JEFFERSON MENTAL HEALTH- Amendment # 2 2016
CONTRACT AMENDMENT #2
By and Between _M
Jefferson County
And
Jefferson Mental Health
For Mental Health (MH) & cmical Dependency (CD) Treatment
WHEREAS, Discovery Behavioral H Ithcare (Contractor) and Jefferson County (County)
�Wr11 oto an agreement on January , 2015 for Professional Services in connection with
mental health services to individuals impacted by mental health/substance abuse issues in
Jefferson County, Washington a-tJ •9 W- I
WHEREAS, the parties desire to amend the terms of that agreement
%6-
IT IS AGREED BETWEEN BOTH PARTIES AS Nei + REIN AS FOLLOW':
1. The term of this contract amendment is fr October 1, 201 to Dec+e ber 31, 2 16.
int "`�S
:s Le!
2. Discovery Behavioral Healthcare, (DBH) will continue to provide treatment services to
citizens seeking substance abuse treatment for those who have co-occurring Mental
Health disorder, as stated in Exhibit A -Statement of Work, Exhibit B -Fee Schedule
and Attachment A -Match Policy, in order to increase Discovery Behavioral
Healthcare's ability to quickly address the mental health needs of participants with a co-
occurring disorder.
3. This amendment reduces the contract total to $155,568.80, of which $20,060.80 remains
to be used specifically for case management services and UA's directly related to the
positive progress of program participants.
4. This contract shall not exceed $155,568.80 without express written amendment signed by
both parties.
c
5. All other terms and conditions of the greement will remain e same:- --- v Y
Dated this
La
day of
2016.
Kathleen Kler, Chair
Jefferson Board of County Commissioners
(Contractor)
JEFFERSON MENTAL HEALTH- Amendment #2 2016
Exhibit A
Scope of Work
RESPONSIBILITIES:
Discovery Behavioral Healthcare, (DBH) Agency as a contracted provider, agrees to:
1. Provide clinical and care management services for clients with co-occurring disorders.
2. Assure that all employees or subcontractors of the Contractor undertaking the
performance of mental health/substance abuse services under this agreement are required
to be professionally licensed or certified by the State.
3. Provide licensed mental health professionals, with support staff to include nurse,
supervision and contract administrator counselors who, between them, are state -
credentialed in mental health and chemical dependency or co -licensed; as well as one
Bachelor's -level care manager. The mental health counselor will be a master's level
practitioner.
4. Assure the Chemical Dependency Licensed professionals billed to this contract maintain
training and educational needs.
5. Assure opportunities for regular clinical supervision and psychiatric consultation are
available for staff on a regular basis.
6. Assure that background checks are provided for all employees and are to be repeated
every 3 years. The names of licensed therapists will be given to JCPH.
7. Work collaboratively with local mental health courts and substance abuse treatment
agencies to identify and treat clients with co-occurring disorders.
Work with social services or other agencies as needed for dually served families with
mental health or chemical dependency issues.
9. Provide group or individual therapy, or a combination of the two, of a specified duration
using evidence -based models of treatment.
10. Provide Codit Data including:
a. number of intakes, groups, individual sessions, psychiatric visits, and case
management visits provided.
b. number of clients seen in group or individual therapy, or a combination of the
two,
c. how many groups are provided each week,
d. the number of hours per week for treatment enrollment,
e. the number of hours per month for treatment enrollment,
f. age, sex, drug of choice, psychiatric diagnosis of clients,
g. number of referrals to other agencies.
JEFFERSON MENTAL HEALTH- Amendment # 2 2016
11. Assure chemical dependency, mental health and/or COD assessment treatment plan
development and review, documentation of client progress (group and individual session
notes), and aftercare planning and monitoring are documented and maintained for at least
five years or following WA state statutes.
12. Provide UAs for co-occurring disorder clients.
13. Provide crisis interventions.
14. Provide monthly reports on client utilization, referrals, outcomes, and required reporting
on standard form(s) provided by JCPH.
15.Maintain a secure records system guaranteeing confidentiality of PHI pursuant to HIPPA.
16. Participate in discussions during MH therapeutic court staffing for treatment and case
management.
17. Prepare and provide progress reports if needed, e.g. to court.
18. Include Mental Health Court service hours in those billed under CODIT and Drug Court,
which are to be tracked separately.
19. Provide referrals for mental health medication and monitoring as needed.
20. Provide care coordination with other involved agencies, and referral to supportive
services such as housing, transportation and vocational services; tracking of client
involvement in recommended services, including 12 -step or comparable support.
21. Provide adequate office space for staff and client services, as well as waiting room, group
room and private therapy areas.
22. Collection and preparation of data for internal and external evaluation purposes, and
reporting to JCPH monthly with the invoice. Use forms supplied by JCPH for data.
23. Agency oversight regarding record keeping, data collection, legal and ethical issues and
standards of care are updated and meet State of Washington standards.
24. Assure that services are available for any Jefferson County resident.
25. Bill other revenues whenever they exist. Document what percent of clients are covered by
other sources of revenue.
26. Attend and report to the Mental Health Substance Abuse Sales Tax Advisory Committee
when requested with progress evaluation reports.
JEFFERSON MENTAL HEALTH- Amendment# 2 2016
Exhibit B
Monthly Fee Schedule
Not to exceed $155,568.80 in completion of services for the duration of this signed contract
amendment.
JEFFERSON MENTAL HEALTH- Amendment# 2 2016
FTE & Salaries for
each Employee
Employee
Hourly Rate
Tera Philips
CDP
$3,075.20
$ 19.22
$3,075.20
Charles Doyal
MSW
$688.00.
$ 21.50
$688.00
Stephen
Echols
Case
Manager
$ 300.64
$ 18.79
$ 36.06
$ 45.87
$300.64
Ru Kirk
Supervisor
$216.36
$216.36
Adam Marquis
Project
Manager
$ 91.74
$91.74
Benefits for each
Employee
Tera Philips
CDP
$ 550.00
$550.00
Charles Doyal
MSW
$ 110.00
$110.00
Stephen
E
Case
Manager
$ 55.00
$55.00
-Echols
Ru Kirk
Supervisor
$ 550.00
$550.00
Adam Marquis
Project
Manager
$ 550.00
$550.00
OTHER COSTS
Supplies/Materials s
- (Urinalysis)
$500.00
$500.00
TOTAL COST
PER MONTH
$6,686.94
$6,686.94
Not to exceed $155,568.80 in completion of services for the duration of this signed contract
amendment.
JEFFERSON MENTAL HEALTH- Amendment# 2 2016
ATTACHMENT A
JEFFERSON COUNTY MH/CD TREATMENT TAX 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 2005, the Washington State Legislature created an option for counties to raise the local sales
tax by 0.1 percent, (the I/ I Oth of I% sales tax initiative) to augment state funding for mental
health and chemical dependency treatment. Jefferson County collects and distributes the Mental
Health/Chemical Dependency (MH/CD) 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/CD sales tax monies as match. Following state,
federal and local guidelines for match is the responsibility of the Contractor.
JEFFERSON MENTAL HEALTH- Amendment# 2 2016
• 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/CD 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/CD sales tax monies as
match.
JEFFERSON MENTAL HEALTH- Amendment # 2 2016