HomeMy WebLinkAboutDiscovery Behavioral Health, Amendment No. 1 (School Based Mental Health Services) - 022618�)- 1u& -AI
wv�CONTRACT AMENDMENT #1
1 l For Professional Services
�- Between
Jefferson County
And
Discovery Behavioral Healthcare
For School Based Mental Health Services
WHEREAS, Discovery Behavioral Healthcare (Contractor) and Jefferson County (County)
entered into an agreement on January 1, 2017 for Professional Services to children and
youth enrolled in in the school districts of Port Townsend, Chimacum, Quilcene and
Brinnon 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 behavioral health counseling
services in all four districts in Jefferson County, Washington.
The term of the above referenced agreement ends March 31, 2018.
1. Discovery Behavioral Healthcare will continue to provide behavioral health
counseling to students affected by substance abuse disorders and mental health
issues as stated in Exhibit A, Statement of Work and Attachment A, Match
Policy.
2. This amendment adds $24,126.00 in funding as stated in Exhibit B, Fee Schedule,
to be used specifically for behavioral health counseling for students affected by
substance abuse disorders and mental health issues in Jefferson County.
3. The contract, including this amendment, shall not exceed $161,282.00 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.
4. All other terms and conditions of the agreement will remain the same.
Dated this 2(P' of , 2018.
By:
Davi u livan, Chairman
Jefferson County Board of Commissioners
By:
/Contractor
ATTEST:
By: 0
4
Carolyn C N Deputy Clerk of t Board
APPROVED AS O FORM ONLY:
By:
Philip Hunsucker, Chief Civil, Dep ty P osecuting
Attorney
EXHIBIT A
Scope of Work
RESPONSIBILITIES:
The Discovery Behavioral Healthcare, 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. Public Health and School Districts must be notified of any extended leave of
absence for Counselors.
G. SBC will be notified if a Counselor is out sick and unable to make an appointment.
H. Background checks are required for DBH 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 background checks for employees new
to Washington State. Please verify requirements with the School District offices.
I. Copies of background checks & Counselor resumes must be available upon request
by JCPH.
J. Provide crisis interventions and emergency response services.
K. Provide on-going supportive counseling as needed, to all youth. Services are not
dependent on Medicaid eligibility.
L. Provide Counselors with the ability to make long distance phone calls from the
schools.
M. Work with children or youth to provide support services and referral to behavioral
health or other treatment programs. Assist with the application and eligibility
paperwork necessary to receive outside services.
N. Parents or guardians of children or youth may be contacted as necessary following
HIPPA laws and Washington State laws concerning age of consent.
O. Assist school staff in identifying and developing strategies to assist students with
behavioral health issues.
P. Work with social services or other agencies as needed for dually served children or
youth with behavioral health and/or chemical dependency issues.
Q. Make a DBH Supervisor available to provide weekly clinical and supervisory
oversight for the therapist providing services in this program.
R. DBH Supervisor must attend regularly scheduled Clinician meetings and quarterly
SBHC Advisory meetings.
S. Maintain a secure and confidential records system guaranteeing HIPPA.
T. Counselor's will offer each student an opportunity for session feedback by
providing a Likert -type rating scale.
U. Provide a yearly report on client (students and families), utilization, referrals,
outcomes.
V. Fill out a new "new client sheet" for every new client to services at each School.
R. At every visit, fill out a "visit details sheet" to collect information about the
reasons for the visit, referrals, and satisfaction with services.
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 @ 10%
DBH may bill no more than $8,402.00 a month for services
Not to exceed $24,126.00 in completion of services 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 Mon www. Jeff ersonCountyP6l9M$46ffFP4g
January 18, 2018
is 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: 90u! 901
SUBJECT: Agenda Item —Contract Amendment #1 —Discovery
Behavioral Healthcare — School Based Mental Health
Services; January 1, 2018 — March 31, 2018; Additional
$24,126.00 for a total of $161,282.00
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 $24,126.00 for
a total of $161,282.00
ANALYSIS/ STRATEGIC GOALS/PRO'S and CON'S:
This is a three month contract amendment between JCPH and Discovery Behavioral Healthcare,
(DBH) for behavioral health counseling to children and youth enrolled in in the school districts
of Port Townsend, Chimacum, Quilcene, and Brinnon in Jefferson County, Washington who are
affected by substance abuse disorders and mental health issues
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 1/1011 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 $24,126.00 for a total of $161,282.00
REVIEWED BY:
AF
Philip Morl , County Adminis for Date
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
615 Sheridan Street
Port Townsend, WA 98368
,,�OmIIowuR www.JeffersonCountyPublicHealth.org
Public Health
N -17-108-A1
CONTRACT REVIEW FORM
JAN 1 2010
CONTRACT WITH: Discovery Behavioral Health
CONTRACT FOR: School Based Mental Health Services TERM: 1/l/2018-3/31/2018
COUNTY DEPARTMENT:
For More Information Contact:
Contact Phone #:
Jefferson County Public Health
Anna McEnery
X410
RETURN TO: Jenny Matter RETURN BY: ASAP
AMOUNT: Additional $24,126 for a total of
$161,282
Revenue:
Expenditure: $24,126
Matching Funds Required:
Source(s) of Matching / Funds: 1/10th of 1%
Step 1
- APPROVED FORM
Comments:
REVIEW BY RIr-
Review by:
Date Reviewe
PROCESS: ❑ Exempt from Bid Process
❑ Consultant Selection Process
❑ Cooperative Purchase
❑ Competitive Sealed Bid
❑ Small Work Roster
❑ Vendor List Bid
❑x RFP or RFQ
❑ Other:
l
Returned for revision (See Comments)
Step 2: REVIEW BY PROSE,91TING A
Review by: V• 0
Date Reviewed: 7-
ja
/APPROVED AS TO FORM Ret rned 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