HomeMy WebLinkAboutDiscovery Behavioral Health, Amendment No. 1 (MH/CD Treatment) - 022618CONTRACT AMENDMENT #1
For Professional Services.
1, Between
Jefferson County
And
Discovery Behavioral Healthcare
For Expanded Mental Health (MH) & Chemical Dependency (CD) Treatment
WHEREAS, Discovery Behavioral Healthcare (Contractor) and Jefferson County (County)
entered into an agreement on January 1, 2017 for Professional Services to serve Jefferson
County citizens who have severe and persistent mental illness with substance use disorder
and/or co-occurring disorders, seeking Mental Health and Substance Abuse treatment 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:
THIS AGREEMENT is made and entered into to provide services to individuals who are at
risk of hospitalization for severe and persistent mental illness with substance use disorder
and/or co-occurring disorders in Jefferson County, Washington.
1. The term of the above referenced agreement ends March 31, 2018.
2. Discovery Behavioral Healthcare will continue to provide services to individuals
affected by substance abuse disorders and mental health issues as stated in Exhibit A,
Statement of Work and Attachment A, Match Policy.
3. This amendment adds $9,099.00 in funding as stated in Exhibit B, Fee Schedule, to
be used specifically for clinical and care management services for adults who have
severe and persistent mental illness with substance use disorder and/or co-occurring
disorders.
4. The contract, including this amendment, shall not exceed $29,222.00 without express
written amendment signed by both parties. Work performed between January 1, 2018
and the execution of this Amendment that is consistent with the provisions of this
Agreement is hereby ratified.
5. All other terms and conditions of the agreement will remain the same.
Dated this .2 ay of �6 , 2018.
By:
1,01
David ullivan, Chairman
Jefferson County Board of Commissioners
By.
Contractor
ATTEST:
By:
Carol3&"w Deputy C k of the
Board
APPROVED AS TO FORM ONLY:
By:/,/?. r. 11b, 2,116
Philip Hunsucke , Chief Civil, Deputy ros tint
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 disorder 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.
8. Work with social services or other agencies as needed for dually served individuals
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. 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.
11. Provide UAs for co-occurring disorder clients as needed.
12. Provide crisis interventions.
13. Maintain a secure records system guaranteeing confidentiality of PHI pursuant to
HIPPA.
14. Participate in discussions during MH therapeutic court staffing for treatment and
case management.
15. Prepare and provide progress reports if needed, e.g. to court.
16. Include Mental Health Court service hours in those billed under CODIT and Drug
Court, which are to be tracked separately.
17. Assure referrals for mental health medication and monitoring as needed.
18. Provide care coordination with other involved agencies, and referral to supportive
services such as housing, transportation and vocational services.
19. Provide adequate office space for staff and client services, as well as waiting room,
group room and private therapy areas.
20. 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.
21. Provide monthly reports on client utilization, referrals, outcomes, and required
reporting on standard form(s) provided by JCPH. Codit Data including:
a. number of intakes and disposition,
b. unduplicated and duplicated participation and total service hours for groups
(per week and month), individual sessions, psychiatric visits, and case
management visits,
c. treatment enrollment hours (per week and per month),
d. age, sex, drug of choice, psychiatric diagnosis of clients and zip code,
e. number of referrals to other agencies,
f. tracking of client involvement in recommended services, including 12 -step or
comparable support,
22. Number of UAs performed, number of individuals receiving a UA and number of
individuals with positive UA.
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.
Exhibit B
Fee Schedule
Chemical Dependency Professional @ $23.00/hour
Clinical Supervisor @ $45.67/hour
UA's $600.00
Indirect Rate @ 10%
DBH may bill no more than $3,033.00 a month for services
Not to exceed a total of $29,222.00 for the duration of this contract amendment without
express written amendment signed by both parties.
ATTACHMENT A
JEFFERSON COUNTY MH/SA 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 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 (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.
615 Sheridan Street
Port Townsend, WA 98368
�e eAson www.JeffersonCountyPu R t �
anuary
Public Healt JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Vicki Kirkpatrick, Director
Anna McEnery, DD & 1/10th County Coordinator
DATE: 'D 1 �'-)('7' DvI
SUBJECT: Agenda Item - Contract Amendment #1 - Discovery
Behavioral Healthcare — Expanded Mental Health and
Chemical Dependency Treatment; January 1, 2018 — March
311 2018; Additional $9,099.00 for a total of $29,222.00
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 a contract amendment with
Discovery Behavioral Healthcare; January 1, 2018 to March 31, 2018; Additional $9,099.00 for a
total of $29,222.00.
ANALYSIS/ STRATEGIC GOALS/PRO'S and CON'S:
This is a three month contract amendment between JCPH and Discovery Behavioral Healthcare,
(DBH) for case management services and UA's for 24-40 Jefferson County citizens with co-
occurring disorders, seeking Mental Health and Substance Abuse treatment.
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.
The contract states if the sales tax revenue decreases the vendor will be contacted and the
contract may be renegotiated.
RFP Panel members of the Substance Abuse Mental Health Advisory Committee are still
deliberating about 2018 1/10th of 1% funding recommendations. Public Health is
recommending a three month amendment to maintain continuity of services.
RECOMMENDATION:
JCPH management requests approval of the contract amendment with Discovery Behavioral
Healthcare; January 1, 2018 to March 31, 2018; Additional $9,099.00 for a total of $29,222.00.
REVIEWED 'BY-
Philip Mo y, Cou-nt,qninistrator
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
615 Sheridan Street
Port Townsend, WA 98368
�e e&on www.JeffersonCountyPublicHealth.org
is He9alt
N -17-91-A1
CONTRACT REVIEW FORM JAN 19 2018
CONTRACT WITH: Discovery Behavioral Health
CONTRACT FOR: Professional Services — MH / CD Treatment TERM: 1/1/2018-3/31/2018
COUNTY DEPARTMENT: Jefferson County Public Health
For More Information Contact: Anna McEnery
Contact Phone #: X410
RETURN TO: Jenny Matter RETURN BY: ASAP
AMOUNT: Additional $9,099 for a total of
$29,222
Revenue:
Expenditure: $9,099
Matching Funds Required:
Source(s):
Step 1
V APPROVED FORM
Comments:
1/10th of 1%
REVIEW BY RIS
Review by: i
Date Reviewer
PROCESS: ❑ Exempt from Bid Process
❑ Consultant Selection Process
❑ Cooperative Purchase
❑ Competitive Sealed Bid
❑ Small Work Roster
❑ Vendor List Bid
9 RFP or RFQ
❑ Other:
,r
❑' eturned for revision (See Comments)
Step 2: REVIEW BY PROSE IN AT Y
Review by: - ('-
Date Reviewed:
APPROVED AS TO FORM LLF Re urned for revision (See Comments)
Comments:
(This form to stay with contract throughout the contract review process)
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