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HomeMy WebLinkAbout091117_ca03n 615 Sheridan Street ", ' Port Townsend, WA 98368 www,Jr ff' c' r onCoL.iritY L)bgi l,t'a 31' )K „etida. tt Public Health August 18, 2017 JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Vicki Kirkpatrick, Director Anna McEnery, Developmental Disabilities Coordinator DATE: orl I I ) -Z-q SUBJECT: Agenda Item — Contract Amendment #1 with Jumping Mouse Children's Center; May 1, 2017 — December 31, 2017; additional $38,010.00 for a total of $70,125.00 STATEMENT OF I S E: Jefferson County Public Health, as the fund manager of the Mental Health and Substance Abuse sales tax treatment funds, is requesting Board approval of a Contract Amendment with the Jumping Mouse Children's Center, to provide mental health services for young children (along with support for their parents/ caregivers), who have suffered trauma, including loss, abuse, neglect, exposure to violence, mental illness, and substance abuse; May 1, 2017 - December 31, 2017; additional $38,010.00 for a total of $70,125.00. ANALY' IS TRATE IC GOALS PRO'S and COWS: This eight-month Contract Amendment adds funds for clinical and care management services for an additional 24 children (ages 2-12 living in east Jefferson County), for a total of 45 children and their caregivers. This service may include long-term therapy to children affected by and/or with risk factors for mental illness or substance abuse at home and/or in the community. Jumping Mouse will utilize promising and/or evidence based models of treatment, referrals for mental health medication, provide parental support and education to the adults of the children served and monitoring as required. This Contract Amendment results from a Supplemental RFP process and is recommended by the Mental Health and Substance Abuse Sales Tax Advisory Committee. FISCAL, IMPACT COST BENEFIT ANALYSIS: This is sales tax revenue raised by the County in the 1/10th of 1% Fund; is allocated by the BOCC with advice from Mental Health and Substance Abuse Sales Tax Advisory Committee. The contract states if the sales tax revenue decreases, the vendor will be contacted and the contract may be renegotiated. RECOMMENDATION: JCPH management request approval of the Contract Amendment with Jumping Mouse Children's Center; May 1, 2017 - December 31, 2017; additional $38,010.00 for a total of $70,125.00 in funding. REVIEWED BY: Philip Morley, County Administrator Date 0� �+ 0 1t 360-385-9400 360-385-9401 (f) Environmental Health Water Quality 360-335-9444 (t) 360-379-4437 CONTRACT AMENDMENT #1 For Professional Services Between Jefferson County And Jumping Mouse Children's Center For Expanded Mental Health (MH) & Chemical Dependency (CD) Treatment 2017 WHEREAS, Jumping Mouse Children's Center (Contractor) and Jefferson County (County) entered into an agreement on January 1, 2017 for Professional Services to be provided in connection with the provision of 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 the above referenced agreement ends December 31, 2017. Jumping Mouse Children's Center will continue to provide mental health therapy for young children ages 2-12 living in east Jefferson County (along with support for their parents/caregivers), who have suffered trauma, including loss, abuse, neglect, exposure to violence, mental illness, and substance abuse. Along with funding operations, utility/insurance payments and necessary supplies in order for children affected by substance abuse disorders and mental health issues to be served as stated in Exhibit A, Statement of Work and Attachment A, Match Policy. 2. This amendment adds $38,010.00 in funding as stated in Exhibit C, Fee Schedule, to be used specifically for clinical and care management services for up to 45 children affected by and/or with risk factors for mental illness or substance abuse at home and/or in the community. 3. This contract shall not exceed $70,125.00 without express written amendment signed by both parties. 4. All other terms and conditions of the agreement will remain the same. Dated this day of By: . Kathleen Kler, Chair Jefferson Board of County Commissioners By: (Contractor) ATTEST: Clerk of the Board Approved its to form: Philip C, I-iurIsuckr r Chief Civil Deputy Prosecuting Attorney Jefferson County Prosecuting Attorney's Office EXHIBIT A Scope of Work RESPONSIBILITIES: The Jumping Mouse Children's Center Services agency as a contracted provider, agrees to: 1) Clinical and care management services for up to 45 children and their caregivers per billing period. 2) 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) Background checks are required for all employees; to be redone for every employee every 3 years. The names of licensed therapists will be given to the County upon request. 4) Provide long-term therapy to children affected by and/or with risk factors for mental illness or substance abuse at home and/or in the community. 5) Provide parent support and education to the adults of the children covered in this contract. 6) Work with social services or other agencies as needed for dually served families with mental health or chemical dependency issues. 7) 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. 8) Maintain a secure records system guaranteeing the confidentiality of PHI pursuant to HIPPA. 9) Bill other revenues whenever they exist. 10) Quarterly data template on client utilization, referrals, outcomes, and required reporting, in standard form as specified by Jefferson County Health. 1 1) Individual therapy, using promising and/or evidence based models of treatment. Applicant will identify the number of clients seen, how often each week and the number of hours per week and per month for treatment enrollment. 12) Referral for mental health medication and monitoring as needed. 13) Collection and preparation of data for internal and external evaluation purposes, providing a monthly invoice to JCPH and a quarterly data report. Use forms supplied by JCPH for data. 14) Preparation of progress reports if needed, e.g. for care coordination purposes. 15) Staffed by 4 master's level, Licensed Mental Health Counselors, 3 master's level Licensed Mental Health Counselor Associates, 3 master's level intern therapists (supervised by Washington State Approved Clinical Supervisors), and one social worker, with support staff to include billing and administration. 16) Clerical, billing, and general office support. 17) Operations, utility/insurance payments and necessary supplies in order for children affected by substance abuse disorders and mental health issues to be served. 18) Agency oversight regarding record keeping, data collection, legal and ethical issues and standards of care are updated and meet State of Washington standards. 19) Services are available throughout Jefferson County. 20) Provide data including: • Number of intakes, individual sessions, psychiatric visits, and adult education visits provided • Age, sex, drug of choice, psychiatric diagnosis of clients. • Referrals to other agencies. • Client satisfaction form indicating client's view of how program helped in their life. 21) Opportunities for regular clinical supervision and consultation are available for staff on a regular basis. Supervision for all therapists, including interns and externs, consists of minimum one hour per week in individual consultation, one hour per week in group consultation and three hours per month in a clinical staff meeting. Additional individual support and supervision to interns is also provided on a continual, as -needed basis. 22) Attend and report to the Mental Health and Substance Abuse Sales Tax Advisory Committee once during the duration of this contract period, at a regularly scheduled meeting, with progress evaluation reports for children and their families. 23) For clinical and care management services for up to 45 children and their caregivers per billing period, Jumping Mouse will provide quarterly statistics in an electronic form, an illustrative example of which is shown in Exhibit B of this contract, as will be developed and may be revised by Jefferson County Public Health in consultation with Jumping Mouse, for statistical and program data collection. • Jumping Mouse Children's Center will ensure that quarterly electronic reports are sent to Siri Kushner of Kitsap County Health District, 345 6th Street, Suite 300, Bremerton WA 98337 and/or siri.kushner@kitsappublichealth.org, and that a copy of each electronic report is also sent to Anna McEnery of Jefferson County Public Health at amcenery@co.jefferson.wa.us. • Due dates for reports are as follows: 4/28 for Jan -Mar, 7/28 for Apr -June, 10/31 for July -Sept, and 1/31 of the next year for Oct -Dec. • Quarterly reports will be reviewed by Public Health and Siri Kushner for accuracy. Any questions will be referred back to the Jumping Mouse. EXHIBIT B Jefferson County 1/10th of 1% for Mental Health & Substance Abuse 2017 Quarterly Evaluation Reporting Template For clinical and care management services for up to 45 children and their caregivers, Jumping Mouse will provide quarterly statistics in an electronic form, an illustrative example of which is shown below, that will be developed, and may be revised, by Jefferson County Public Health in consultation with Jumping Mouse. afferson County 1/10th of 1% for Mental Health Substance Abuse 17 Evaluation Reporting Template (Version 2; Individuals children ervice Inquiries Service In`ui ition: Enrollments client fait list: some service tNew stin client fait list: no service vious client losed prior. some service lient refused gency denied out of service •sad altllist closed eferred to other )st to follow-up risis call/walk-in Service Counts: Total clients served: lChild Total clients eligible for 1/10th 1%: a portion Parent Ineligible due to paperwork status Total' caregivers of all clients served: Clients by apcode of Residence nknown due to paperwork status rtment or house heltered C.Aher categories JIM dares not colflect: Not in the work force Private insurance Employed work full time M�,,.,, Employed work part time Medicare Unknown 7 (1 �,,, . Other Parent/caregiver requesting employment support Referral to DVR Total 0 Clients by Age and Gender. Age Range Male Female Total 0to6 0 7to9 0 10 to 12* may be >12 cIloae 0 Total 0 0 0 Client Mental Health no mental health known unknown Status: 11 djustment Disorder eneralized Anxiety ttachment Disorder or T code: = 0 0 0 0 abuse/neglect 0 sexual abuse 0 family or relational problem 0 foster child problem 0 bereavement 0 academic problem 0 ohase of life oroblem 0 e: dhood Experiences - historical hold Mental Illness hold Alcoholism or Drug Addiction Exposure in Utero ness K enence Count Non -Reporting eriences eriences rienceS dame to paperwork status (different Experiences 0 #0 Experiences #D Experiences 0 #D Dr more Experiences 0 #D Client Discharge Outcome: tccessful completion Other lease speci # and t sappeared/Left services Not yet reported opped out/Quit m ltalized .ceased Whist did client die from? )wd out of County ANNUAL OUTCOMES #children lirl,4if, id"II ,1�� e r 90% of children served will #VALUE! successfully participate in medium/long therapy term outcome ts aHintended 0 ineau cce.s sfau 8 i�yd e ve II o medium/long skfllis/haahaviors of 2rograrn term outcome X% of pa rti ci pants report #VALUE! program has helped them participating improve parenting skills (4 or satisfaction Sl outcome X% of pa rti c pants report program has helped them reach goals for fa mily and self satisfaction #DIVI01 # chi ldren #children successfully #VALUE! participating artici atin # parents successfully #parents #VALUE! developing participating # pa rti ci pa nts # participants reporting program completing has helped pa renti ng s ki I I s #VALUE! improve parent question skills # pa rti c! pa nts reporti ng program # participants has helped reach completing #VALUE! familyand self goals for family and self goals question EXHIBIT C Fee Schedule January — December 2017: Therapy and Care Management by three intern therapists @ $366.67 each per month, for a total of $1100.00 per month. Clinical supervision @ $1234.58 per month and Administration @ $341.67 per month. In addition: May — December 2017: Therapy and Care Management by two licensed therapists @ $3609.75 per month. Clinical supervision @ $324.88 per month, Administration @ $408.62 per month, and Operations (supplies, utilities, insurance, etc) @ $408 per month. Not to exceed $70,125.00 in completion of services for the duration of this contract without express written amendment. ATTACHMENT A JEI_FERSON COUNTY MII/SA "11 1:A":I"MI N"1"'I`Ax FUNDING - MATCH POLI 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 / 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 (MH/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.