HomeMy WebLinkAboutSalish Behavioral Health Organization (BHO)/Kitsap, Jefferson and Clallam Counties with Jamestown S'Klallam Tribe, Amendment No. B - 100118Revision 2000-09-02
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CONTRACT AMENDMENT
B
This CONTRACT AMENDMENT is made and entered into between SALISH
BEHAVIORAL HEALTH ORGANIZATION, through Kitsap County, as its administrative
entity, a political subdivision of the State of Washington, with -its principal offices at 614
Division Street, Port Orchard, Washington 98366, hereinafter "SBHO", and Kitsap
County, Clallam County, Jefferson County and Jamestown S'Klallam Tribe, hereinafter
"CONTRACTOR."
In consideration of the mutual benefits and covenants contained herein, the
parties agree that their Contract, numbered as Kitsap County Contract No. KC -359-15,
and executed on December 14, 2015, shall be amended as follows:
1. Article X. Effective Date and Duration, Amendment and Superseding
Nature, Item A. This Amendment will extend the end date from
December 31, 2018 to June 30, 2020 and shall be amended to read as
follows:
A. Effective Date and Duration: This Agreement shall take
effect upon the date of its full execution and shall expire
June 30, 2020, unless extended in writing by the parties hereto.
2. If this Contract Amendment extends the expiration date of the Contract,
then the Contractor shall provide an updated certificate of insurance
evidencing that any required insurance coverages are in effect through the
new contract expiration date. The Contractor shall submit the certificate of
insurance to:
Program Lead, Salish Behavioral Health Organization
Kitsap County Department of Human Services
614 Division Street, MS -23
Port Orchard, WA 98366.
Upon receipt, the Human Services Department will ensure submission of
all insurance documentation to the Risk Management Division, Kitsap
County Department of Administrative Services.
3. Except as expressly provided in this Contract Amendment, all other terms
and conditions of the original Contract, and any subsequent amendments,
addenda or modifications thereto, remain in full force and effect.
This amendment shall be effective upon execution by the parties.
KC -359-15-B Salish Behavioral Health Organization final
PASSED AND APPROVED on this 2 day of GKA -&j , 2018
BOARD OF COUNTY COMMISSIONER
CLALLAM COUNTY, WASHINGTON
Commissioner
MARK OZIAS, Qodimissioner
M,!�L U seal " -ZCn -C
BILL PEACH, Commissioner
ATTEST:
on' Gores, Clerk of the Board
Approved a= to form only by:
David Alvarez
Chief Civil Deputy ProSwdng Attorney
Clallam County
KC -359-15-B Salish Behavioral Health Organization final
PASSED AND APPROVED on this t 15yday of C b*60-- 2018
BOARD OF COUNTY COMMISSIONERS
JEFFERSON COUNTY, WASHINGTON
KATE DEAN, Commissioner
VE � -�N , a N
KATHLEEN ER, Commissioner
r
f
DAVID ULLIVAN, Commissioner
ATTEST:
ci�&6c
Caroly, Gallaway, Clerk.#f the Board
KC -359-15-B Salish Behavioral Health Organization final 3
A ved a4!11�� (.Dater
Philip C. Hunsucker, Chief Civil Deputy Prosecuting Attorney
Jefferson County Prosecuting Attorney's office _
PASSED AND APPROVED on this 10 day of UeGLy-4ZM , 2018
BOARD OF COUNTY COMMISSIONERS
KITSAP COUNTY, WASHINGTON
e
ROB RT LDER, Chair
EDWARD E. W05LFE,. Commissioner
> Q�vtti✓er----1
CHARLOTTE GARRIDO, Commissioner
ATTEST:
6 dr T Da ffi i 5 s, Clerk of the Board
KC -359-15-B Salish Behavioral Health Organization final 4
PASSED AND APPROVED on this November day of 16 , 2018
JAMESTOWN S'KLALLAM TRIBE
W. Ron Allen, Tribal Chair/CEO
KC -359-15-B Salish Behavioral Health Organization final
Consent Agenda
Commissioners Office
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Leslie Locke, Executive Assistant
DATE: October 1, 2018
SUBJECT: AGREEMENT, Amendment No. B re: SALISH Behavioral Health
Organization; Extension of Time Through June 30, 2020; Jefferson
County Administrator; Kitsap and Clallam Counties and Jamestown
S'Klallam Tribe
STATEMENT OF ISSUE:
The SALISH Behavioral Health Organization is requesting to extend the current agreement until June 30,
2020.
ANALYSIS:
On November 23, 2015, the County Commissioners approved an agreement to establish the Salish
Behavioral Health Organization as requested by 2SSB 6312. The original agreement was amended on August
15, 2016 that included a change in the membership to include one non-voting representative from the
Olympic Community of Health.
FISCAL IMPACT:
Time extension only.
RECOMMENDATION:
The Commissioners are being asked to approve the amendment with Kitsap and Clallam Counties and
Jamestown S'Klallam Tribe extending the agreement through June 30, 2020.
D B V. f� //'9/
!/2,7
TpMorle C ty A or Date
CONTRACT WITH:
CONTRACT FOR:
CONTRACT REVIEW FORM (3- 11)b
SALISH Behavioral Health Organization (Kitsap, Clallam, Jefferson Co.
& Jamestown S'Klallam Tribe
Amendment B: Extension of Deadline to June 30, 2020
TERM: .6/30/2020
AMOUNT: No Change in $ Amount PROCESS:
Revenue:
Expenditure:
Matching Funds Required:
Source(s) of Matching Funds:
Exempt from Bid Process
Consultant Selection Process
Cooperative Purchase
Competitive Sealed Bid
Small Works Roster
Vendor List Bid
RFP or RFQ
Step 1
REVIEW BY RISK
Review by;
Date Revie
sf— APPROVED FORM
Comments:
Step 2: REVIEW BY
Review by:
Date Reviewc
APPROVED AS TO FORM
Comments:
MReturned for revision (See comments)
MReturned for revision (See comments)
Step 3: DEPARTMENT MAKES REVISIONS
Have contractor sign appropriate number of originals.
Step 4: SUBMIT TO PROSECUTING ATTORNEY FOR FINAL SIGN OFF
Step 5: SUBMIT TO BOCC FOR APPROVAL
Submit originals and 6 copies of Contract, Review Form, and Agenda Bill to BOCC Office.
Place "Sign Here" markers on all places the BOCC needs to sign.
MUST be in BOCC Office by 4:30 p.m. TUESDAY for the following Monday's agenda.
(This form to stay with contract throughout the contract review process.)
Julie Shannon
From:
Alexandra Hardy <ahardy@co.kitsap.wa.us>
Sent:
Thursday, September 06, 2018 2:59 PM
To:
'Liz Mueller'; 'Mark Ozias'; Kathleen Kler
Cc:
'Loni Gores'; Shimmin, Paula; Julie Shannon
Subject:
SBHO Interlocal Agreement - Amendment B
Attachments:
KC -359-15-B SBHO Interlocal Agreement - final.pdf
Good afternoon,
Please see the attached contract amendment. Please print out three (7) originals, obtain the necessary
signatures on all seven originals, and return to the address below by November 16th to ensure the document
will be fully executed by all parties in 2018.
Alex Hardy
Kitsap County Department of Human Services
614 Division Street, MS -23
Port Orchard, WA 98366-4676
Please let me know if you have any questions.
Alexandra M Hardy
Office Support, Salish Behavioral Health Organization
Kitsap County
614 Division Street, MS -23
Port Orchard, WA. 98366-4676
(360) 337-4604
ahardy@co.kitsap.wa.us
CONFIDENTIALITY NOTICE:
This message and accompanying documents are covered by the Electronic
Communications Privacy Act, 18 U.S.C. §§ 2510-2521, and contain
information intended for the specified individual(s) only.This e-mail,
including attachments, may include confidential and/or proprietary
information, and may be used only by the person or entity to which it is
addressed. If you have received this e-mail in error, please notify the
sender by replying to this message and delete this e-mail immediately.
Department of Human Services
Doug Washburn
WASHINGTON Director
KITSAP COUNTY
DEPARTMENT OF HUMAN January 9, 2019
SERVICES
Hannah Shockley,
Office Supervisor
507 Austin Drive
614 Division Street, MS -23
Port Orchard, WA 98366 Jefferson County Commissioners Office
Phone: 360.337.7185 PO Box 1220
Fax 360.337.5721
Developmental Disabilities Port Townsend, WA 98368
Kelly Oneal, Coordinator
Phone: 360.337.4624
RE: KC -359-15-B Salish Behavioral Health Organization Interlocal
Behavioral Health
Anders Edgerton, Administrator Agreement FINAL
Phone: 360.337.4886
Mental Healthenvy/ hemp ut To Whom It May Concern:
Dependency/Therapeutic Court Y
Gay Neal, Coordinator
Phone: 360.337.4827
Substance Abuse Prevention/ The Kitsap County Board of Commissioners signed the enclosed
Treatment and Youth Services agreement on December 10, 2018. The agreement has now been
Laura Hyde, Coordinator
Phone: 360.337.4879 signed by all parties and the enclosed document is your hardcopy
Substance Abuse Prevention
Deanne Montgomery, Prevention original of the agreement.
Coalition Coordinator
Phone: 360.337.4878
Aging & Long Term Please call Stephanie Lewis, SBHO Administrator, at 360.337.4422 if
Care/Senior Information &
Assistance you have any questions.
Assistance
Givens Community Center
1026 Sidney Avenue, Suite 105
614 Division Street, MS -5 Sincerely,
Port Orchard, WA 98366
Phone: 360.337.7068 (LTC)
Phone: 360.337.5700 (Sr. I&A)
1.800.562.6418 (Sr. I&A)
Fax: 360.337.5746
Stacey Smith, Administrator
Phone: 360.337.5624
Community Development Alexandra Hardy
Block Grant
Norm Dicks Government Center Administrative Specialist
345 6" Street, Suite 400
Bremerton, WA 98337
Fax: 360.337.4609
Bonnie Tufts, Coordinator
Phone: 360.337.4606 Enclosure
Housing and Homelessness
Kirsten Jewell, Coordinator
Phone:360.337.7286
Kitsap Recovery Center
1975 NE Fuson Road
Bremerton, WA 98311
Fax: 360.377.7027
Bergen Starke, Clinical Manager
Phone: 360.337.4625
Workforce Development
1300 Sylvan Way
Bremerton, WA 98310
Elizabeth Court, Director, OWDA
Phone: 360.337.4767
Veterans Assistance
Stacey James, Coordinator
Phone: 360.337.4811
507 Austin Street • 614 Division Street, MS -23 • Port Orchard, Washington 98366-4676
Main Line 360.337.7185 • FAX 360.337.5721
From: Olalla 253.851.4147 • Bainbridge Island 206.842.2061
[FKS 4 : aloof
1
INTERLOCAL AGREEMENT
for the
SALISH BEHAVIORAL HEALTH ORGANIZATION
ARTICLE I. PURPOSE OF AGREEMENT
The undersigned parties hereby establish a Behavioral Health Organization ("BHO") for
the purpose of planning, establishing and operating a comprehensive Behavioral Health
system pursuant to chapters 70.96A, 71.24, 71.34, 71.05 RCW, and 2SSB 6312 of the
2014 Legislative Session and related regulations.
ARTICLE II. MEMBERSHIP
This organization shall be named the Salish Behavioral Health Organization and shall
consist of the following parties:
KITSAP COUNTY
Kitsap County Courthouse
614 Division Street
Port Orchard, Washington 98366
CLALLAM COUNTY
Clallam County Courthouse
223 East Fourth Street
Port Angeles, Washington 98362
JEFFERSON COUNTY
Jefferson County Courthouse
Jefferson and Cass Streets
Port Townsend, Washington 98368
JAMESTOWN S'KLALLAM TRIBE
1033 Old Blyn Hwy.
Sequim, WA 98382
ARTICLE III. AREA TO BE SERVED
The geographical area shall consist of:
A. Kitsap County 392.70 square miles
B. Clallam County— 1,752.50 square miles
C. Jefferson County — 1,805.20 square miles
KC -359-15 Salish Behavioral Health Organization
ARTICLE IV. CERTIFICATION OF AUTHORITY
Parties, by signatures, certify that they possess full legal authority, as provided by federal,
state, tribal and local statutes, charters, codes or ordinances, to enter into this agreement
and to provide services pursuant to RCW 71.24, 71.34, 70.96A, and 71.05.
ARTICLE V. POWERS, FUNCTIONS AND RESPONSIBILITIES OF
BEHAVIORAL HEALTH ORGANIZATION
The BHO shall exercise such powers, functions, and responsibilities as necessary for the
planning, establishing and operating of a comprehensive behavioral health system in
accordance with chapters 71.24, 71.34, 70.96A, and 71.05 RCW, and related regulations.
ARTICLE VI. BEHAVIORAL HEALTH ORGANIZATION BOARD
There shall be a BHO Board ("Board"), which shall constitute the executive body of the
Salish BHO. The Board shall exercise all executive powers, functions, and responsibilities
necessary for conducting the BHO, except those expressly delegated by the Board to their
contractors, subcontractors, grantees, subgrantees, agencies, organizations, or
individuals, for all activities established pursuant to chapter 71.24 RCW and regulations
promulgated thereto. The Board may establish bylaws as necessary for conducting its
meetings.
A. Membership: The Board shall be composed of one elected commissioner
from each of the three aforementioned counties (with a specific
commissioner as alternate member for each county), one elected tribal
official representing the various tribes in the three counties and one non-
voting representative from the Salish Behavioral Health Organization
Advisory Board. There shall be a total of four voting members.
B. Voting: Each voting member of the Board shall have one vote. All
decisions of the Board shall be made by no less than a majority vote at a
meeting where a quorum is present.
C. Quorum: A quorum shall consist of a total of not less than three members
representing three of the four voting parties to this Agreement.
D. Chair, Vice -Chair, Second Vice -Chair and Third Vice -Chair: Annually,
the Board shall elect a Chair, a Vice -Chair, a Second Vice -Chair and a Third
Vice -Chair by majority vote. Officers of the Board shall be composed of one
elected member from each county and from the tribe serving as the Tribal
Liaison, and officers shall rotate annually through ascension unless
otherwise agreed.
E. Quality Assurance: Members of the Board may attend the Quality
Improvement Committee of the Salish BHO Advisory Board. A member of
the Quality Improvement Committee shall report to the Board at each of the
KC -359-15 Salish Behavioral Health Organization
Board's regular meetings and Quality Improvement Committee agenda
notices shall be forwarded to the Board.
F. Meetings: The Board shall meet at such times and places as determined by
the Board. In the absence of the Chair, the Vice -Chair shall preside over
meetings. In the absence of the Chair and Vice -Chair, the Second Vice -
Chair shall preside over meetings. In the absence of the Chair, Vice -Chair,
and Second Vice -Chair, the Third Vice -Chair shall preside over meetings. In
the absence of the Chairman, Vice -Chair, Second Vice -Chair and Third Vice -
Chair, a Chair pro tem shall be elected by a majority of the members present
to preside for that meeting only.
G. Powers, Functions, and Responsibilities: The Board's powers, functions,
and responsibilities (either jointly with the counties and participating tribes or
independently) include, but are not limited to:
(1) Establishing, policies, priorities, goals, and objectives of the BHO and
the programs and services to be operated by the BHO in cooperation
with the agencies, entities or individuals providing or implementing the
programs and services.
(2) Establishing and implementing policies and procedures for planning,
administering, monitoring, and evaluating programs and services.
(3) Overseeing the implementation and enforcement of quality assurance
policies.
(4) Establishing and overseeing financial management policies and
procedures in order to prevent financial harm to the BHO and its
constituent entities — for example, insolvent contractors and cost -
overruns.
(5) Reviewing and approving comprehensive plans and modifications
thereto.
(6) Approving applications for funds to be submitted and all contracts and
agreements related thereto with the Washington State Department of
Social and Health Services and other departments and agencies of
state, local or participating tribal governments, as may be required.
(7) Undertaking such other functions as may be deemed appropriate for
the discharge of the BHO's duties and responsibilities under law and
regulations.
(8) Delegating such functions and responsibilities, along with adequate
funding, to agencies, individuals or committees, as deemed
appropriate for effective administration.
(9) Approving all BHO-wide grants, subgrants, contracts and agreements
.relating to the expenditure of behavioral health services funding
received from the state.
KC -359-15 Salish Behavioral Health Organization
(10) Appointing all advisory board members pursuant to a nomination and
appointment process established by the BHO. The advisory board
shall be composed of equal numbers of individuals from each of the
three counties, and two additional at -large tribal representatives, and
at least 51 % of its membership shall be made up of consumers or
parents or legal guardians of individuals with lived experience with a
behavioral health disorder.
(11) Taking no action that would in any way limit service agencies from
applying for and receiving grants from outside sources which are
designed to enhance their ability to provide local services, except to
the extent required or authorized by law or contract.
H. Conflicts of Interest:
(1) Each member of the Board must be free from conflicts of interest and
from any appearance of conflicts of interest between personal,
professional and fiduciary interests. Members of the Board must act
within the best interests of the BHO and the consumers served.
(2) If a conflict of interest, or the appearance of a conflict of interest,
becomes evident, the Board member shall announce the conflict and
refrain from discussion and voting on that issue.
(3) If a conflict of interest, or the appearance of a conflict of interest,
becomes evident, the Board may assign the matter to others, such as
an alternate commissioner from his or her jurisdiction who does not
have a conflict of interest.
ARTICLE VII. GRANT RECIPIENT AND ADMINISTRATIVE ENTITY
The Kitsap County Board of Commissioners is designated as the grant recipient and
administrative entity of the BHO, and shall exercise such duties and responsibilities as set
forth in this Agreement, chapter 71.24 RCW, and other applicable law and rules. This=
includes authority to:
A. Receive and disburse funds in accordance with grant agreements and
contracts with the State of Washington, to include the execution of all
contracts. Funds shall be administered in adherence with applicable law and
any policies or regulations established by the financial administrator (Kitsap
County) for the BHO.
B. Carry out all necessary functions for operation of the program including, but
not limited to:
(1) Executing grants, subgrants, contracts, and other necessary
agreements as authorized by the Board, as necessary to carry out
BHO functions.
KC -359-15 Salish Behavioral Health Organization
(2) Employing administrative staff to assist in administering the programs
authorized by the Board.
(3) Organizing staffing and hiring qualified persons for that staffing, as
authorized by the Board.
(4) Developing procedures for program planning, operating, assessment
and fiscal management, evaluating program performance, initiating
any necessary corrective action for subgrantees and subcontractors,
determining whether there is a need to reallocate resources, as
directed by the Board, and modifying grants, consistent with goals and
policies developed by the Board.
C. Subcontract to the signatory parties such functions as may be deemed
appropriate by the Board. This may include planning and providing services
directly or subcontracting for local services within the parties' funding
allocations.
ARTICLE VIII. ALLOCATION OF FUNDS
All funds granted to the BHO pursuant to chapter 71.24 RCW or other provision of law
shall be allocated and expended among participating counties and tribes for programs and
services for which they are intended, according to federal, state, and tribal formulas,
approved plans, grants, and all pertinent laws and rules.
Funds currently received by each county, or providers located in each county, shall be
allocated by the BHO for services within that county. Millage, mental health sales tax,
current expense contributions to mental health programs by county government, and the
Involuntary Treatment Act ("ITA") maintenance of effort funds shall be retained by each
county and dispensed by the Board of Commissioners thereof; provided, however, that
current ITA maintenance of effort funds must continue to be appropriated for ITA services.
New funds which become available as a result of attaining BHO status shall, after review
of state guidelines, be allocated by the Board to fund programs in each of the three
counties, including those of participating tribes. However, by majority vote, the Board may
redirect funds for region -wide services, to fund particular programs in individual counties,
or to prioritize access to behavioral health services for citizens residing within the Salish
BHO.
ARTICLE IX. LIABILITY, INDEMNIFICATION AND INSURANCE
A. Sovereign Immunity: Each party to this Agreement consents to a limited
waiver of sovereign immunity for enforcement of the provisions of this
Agreement, and this Agreement only, against it by any other party or parties
to this Agreement. For this purpose only, each party consents to. the
personal jurisdiction of the Tribal Courts and the courts of competent subject
matter jurisdiction of the State of Washington.
KC -359-15 Salish Behavioral Health Organization
B. Joint and Several Liability for Contract Oversight: Each party to this
Agreement is responsible for overseeing the operations of the BHO to
provide services under chapter 71.24 RCW and other applicable law and
rules. The parties shall be jointly and severally liable for debts, liabilities and
obligations incurred by the BHO which arise under chapter 71.24 RCW and
other applicable law and rules,., and with respect to the grants, contracts, or
agreements administered pursuant hereto.
C. Indemnification: Each party to this Agreement agrees to defend and
indemnify the other parties and their elected and appointed officials,
officers and employees against all claims, losses, damages, suits, and
expenses, including reasonable attorneys' fees and costs, to the
extent they arise out of, or result from, the negligent performance of
this Agreement by the indemnitor or its elected or appointed officials,
officers and employees. The indemnitor waives its immunity under
Title 51 (Industrial Insurance) of the Revised Code of Washington
solely for the purposes of this provision and acknowledges that this
waiver was mutually negotiated. This provision shall survive the
expiration or termination of this Agreement.
D. Purchase of Independent Insurance: Kitsap County, as the administrative
entity, shall obtain and maintain throughout the term of this Agreement,
general liability and professional liability or malpractice (errors and
omissions) insurance coverage in the total amount of not less than
$20,000,000 per occurrence for any acts or omissions occurring in behalf of,
or related to, the member or BHO's actions or responsibilities relating to the
provision of services under this Agreement. Each party to this Agreement
shall be a named insured under the policy. This coverage shall be the
primary coverage in order to shield the individual interests of each party to
this Agreement related to the provision of services, whether administrative or
contractual, covered by this Agreement.
E. Extended Coverage: If the professional liability insurance policy to be
purchased and maintained by Kitsap County and described above is issued
on a "Claims -Made" basis, then each policy must have a Retroactive Date of,
or prior to, the effective date of this Agreement. Furthermore, for each such
"Claims -Made" policy purchased and maintained by Kitsap County, a
Supplemental Extended Reporting Period ("SERP") shall be purchased, with
an Extended Reporting Period of not less than three years. In the event the
Claims -Made policy is cancelled, non -renewed, switched to an Occurrence
form, retroactive date advanced or there is any other event triggering the
right to purchase a SERP policy during the term of this Agreement, then
Kitsap County agrees its insurance obligation shall survive the completion or
termination of the term of this Agreement for a minimum of three years.
KC -359-15 Salish Behavioral Health Organization
F. Miscellaneous: The BHO shall assure the coverage applies to claims after
termination or expiration of the Agreement that relate to services pursuant to
this Agreement and any other agreements of the BHO. The BHO shall be
solely responsible for any premiums or deductible amounts required under
such policies; such costs or normal business expenses are to be paid out of
BHO funds. Evidence of such insurance shall be promptly provided to any
member upon its written request. BHO shall not permit any such policy to
lapse without first providing each member at least thirty calendar days'
written notice of its intention to allow the policy to lapse. Each Board
member shall be a covered insured for any and all official acts performed by
such individual under this Agreement.
G. Other Insurance Non -Contributory: Any coverage for third party liability
provided by any Memorandum of Coverage or program of joint self-
insurance provided to Jefferson and/or Clallam counties by a chapter 48.62
RCW Risk Pool shall be non-contributory to the insurance otherwise
mandated by this section and the insurance otherwise mandated by this
section shall be deemed primary for all claims, demands, actions, or lawsuits
generated against the BHO or the parties to this Agreement.
ARTICLE X. EFFECTIVE DATE AND DURATION, AMENDMENT AND
SUPERSEDING NATURE
A. Effective Date and Duration: This Agreement shall take effect upon the
date of its full execution and shall expire December 31, 2018, unless
extended in writing by the parties hereto.
B. Amendment: This Agreement may be amended from time to time in
accordance with the written agreement of all of the parties hereto.
C. Superseding Nature: As of its effective date, this Agreement supersedes
the Restated Interlocal Agreement for the Peninsula Regional Support
Network, which took effect February 28, 2011.
ARTICLE XI. PARTY'S RIGHT TO WITHDRAW FROM BHO
A. Right to Withdraw; Prior Notice Required: Any party to this Agreement
may withdraw from the BHO and terminate its participation under this
Agreement at any time, subject to the survival of any duty, obligation or
liability it incurred prior to the effective date of termination; and provided that
(a) the terminating party provides written notification to each of the other
parties of the terminating party's intention to withdraw at least 120 days prior
to the proposed effective date of such termination and (b) such notification is
received at least 120 days prior to the expiration of the current fiscal grant
year period.
KC -359-15 Salish Behavioral Health Organization
B. Return of Funds: In the event that a party withdraws from the BHO, such
funds which are budgeted for services in that party's jurisdiction shall be
deleted from the BHO budget through contract amendment. These funds
shall be returned to the Washington State Department of Social and Health
Services, which shall then become responsible for service delivery in that
jurisdiction.
C. Access to Services: If a party withdraws from the BHO after a BHO-wide
service is established within that party's jurisdiction, such service shall be
made available to the remaining parties on a contractual basis. If such
service is located within the jurisdiction of remaining parties, it shall be made
available to the withdrawn party on a contractual basis.
D. Disposal of Fixed Assets: If a party withdraws from the BHO, such fixed
assets of the BHO as may be located within that jurisdiction shall be returned
to the BHO for use, while fixed assets not purchased with BHO funds shall
vest with the withdrawing party.
ARTICLE XII. DISPOSITION OF ASSETS UPON DISSOLUTION OF BHO
In the event of dissolution of the entire BHO, ownership of such fixed assets as may have
been purchased with State funds shall revert to the State.
We, the undersigned, do hereby approve this Agreement and the terms and conditions
contained herein, represent that we have the authority to enter into this Agreement and to
perform all activities and functions contemplated herein, and do hereby undertake to
conduct this BHO for providing community behavioral health services in Kitsap, Clallam,
and Jefferson counties and in tribal jurisdictions within those counties, all in accordance
with applicable law and rules.
KC -359-15 Salish Behavioral Health Organization
KC -359-15 Salish Behavioral Health Organization
KITSAP COUNTY
,1 BOARD OF COMMISSIONERS
Approved this I`Y day of � - , 2015
a
Robert Gelder, � chair
Edward E. Wolfe, Commissioner
Charlotte Garrido, Commissioner
ATTEST:
Dana Daniels, Clerk of the Board
CLALLAM COUNTY BOARD OF COMMISSIONERS
Approved this day of AdYIM bW , 2015
Jim McEntire, Chair
Mike Chapman, Commissioner
Bill Fyefh, Commissioner
ATTEST:
- —1t, -.5b 4 l�&Z
Trish Holden, CMC, Clerk of the Board
7�F
farm by.
endt
Deputy Prosecuting Attorney
Clallam County
KC -359-15 Satish Behavioral Health Organization 10
JEFFERSON COUNTY BOARD OF COMMISSIONERS
Approved this /V35 day of Y Mfi" , 2015
David Sufliv Ch it
Phil Johnson, C mmissioner
Kathleen Kier, Commissioner
ATTEST:
'1
Carolyn Adery, Deputy rk of the Board
A�P�ve� �l� Ta FOK�
biIEP C1vkz Z PA
KC -359-15 Salish Behavioral Health Organization 1
JAMESTOWN S'KLALLAM TRIBE
Approved this ,, day of V, , 2015
Ron AAD, Trioal Chair/CEO
KC -359-15 Salish Behavioral Health Organization 12
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
REGULAR AGENDA REQUEST
TO: Board of County Commissioners
FROM: Philip Morley, County Administrator,
{
DATE: November 23, 2015
RE: Interlocal Agreement for the Salish Behavioral Health Organization
STATEMENT OF ISSUE: County Commissioners are asked to approve and execute an
Interlocal Agreement for the Salish Behavioral Health Organization with Kitsap County, ,Clallam
County, and the Jamestown S'Klallam Tribe.
ANALYSIS: In 2014, the Washington State Legislature passed 2SSB 6312, which mandated
the creation of Behavioral Health Organizations to oversee the delivery of Mental Health and
Substance Use Disorder services in Washington State. The Commissioners of Kitsap, Jefferson,
and Clallam counties have voted to become the Salish Behavioral Health Organization (SBHO),
which will be administered by Kitsap County. Creation of the SBHO will change funding for
Substance Use Disorder Services for the Medicaid population, from a Fee for Service system, in
which providers are paid a fixed amount for a given delivered service, to a Managed Care
system, in which the SBHO will receive a capitated payment for each Medicaid recipient within
our boundaries. The SBHO will be responsible for providing all Medically Necessary behavioral
health (mental health and substance use disorder) to those individuals.
The proposed Interlocal Agreement would establish the Salish Behavioral Health Organization
(Salish BHO) covering all of Kitsap, Clallam and Jefferson Counties. The Salish BHO will plan,
establish and operate a comprehensive behavioral health system pursuant to chapters 70.96A,
7a.24, 71.34, 71.05 RCW, and 2SSB 6312 of the 2014 Legislative Session, and related
regulations.
The Interlocal Agreement would:
• establish a Salish BHO Board comprised of four voting members (one elected County
Commissioner from each of the three counties, plus one elected tribal official
representing the various tribes within the Salish BHO territory), plus one non-voting
member from the Salish BHO Advisory Board;
• designate the Kitsap County Board of Commissioners as the State grant recipient and
administrative entity for the Salish BHO;
• describing the process for allocating State grant funds among the programs and services
within the participating counties and tribes;
• describing liability, indemnification and insurance provisions;
• take effect upon full execution, and expire on December 31, 2018, unless extended by the
parties;
provide conditions under which parties may withdraw from the Salish BHO; and
provide for the disposition of assets in the event the Salish BHO ever dissolves.
The Interlocal Agreement was developed and recommended for adoption by the Peninsula
Regional Service Network Executive Board to comply with a state mandate to replace regional
service networks with new Behavioral Health Organizations throughout Washington State. If the
three counties fail to adopt a BHO by year's end, Washington State may step in and dictate a
different structure and solution for allocating behavioral health funding to the three counties.
FISCAL IMPACT: No direct fiscal impact from adopting the Interlocal Agreement itself.
However, it is unclear how future state grants for the Salish BHO will compare to prior state
funding for mental health and substance abuse services. Grant fund allocation shares between
the three counties have yet to be determined. In addition, it is likely that the administrative
overhead charged by Kitsap County will be higher than previously charged under the PRSN,
which could impact funding available for direct services.
RECOMMENDATION: Pass a motion to approve and execute the proposed Interlocal
Agreement for the Salish Behavioral Health Organization.
REWEWED B
Philip Mor Count Administr or
////9//5 1, -
Date
CONTRACT REVIEW FORM
CONTRACT WITH: Kitsap and Clallam Counties and Jamestown S'Kallam Tribe
(Contractor)
CONTRACT FOR: Salish Behavioral Health Organization TERM: Ends 12/31/18
AMOUNT:
Revenue:
Expenditure:
Matching Funds Required:
Source(s) of Matching Funds:
Step 1: REV
PROCESS: Exempt from Bid Process
Consultant Selection Process
Cooperative Purchase
Competitive Sealed Bid
Small Works Roster
Vendor List Bid
RFP or RFQ
nate Keviewed:
Co
1APPROVED FORM Returned for revision (See comments)mments:
Step 2: REVIEW BY PROSECUTING ATTO EY
Review by: I)L—
Date Reviewed: I ^ 2— 0 l
APPROVED AS TO FORM Returned for revision (See comments)
o nts:
Step 3: DEPARTMENT MAKES REVISIONS
Have contractor sign appropriate number of originals.
Step 4: SUBMIT TO PROSECUTING ATTORNEY FOR FINAL SIGN OFF
Step 5: SUBMIT TO BOCC FOR APPROVAL
Submit originals and 6 copies of Contract, Review Form, and Agenda Bill to BOCC Office.
Place "Sign Here" markers on all places the BOCC needs to sign.
MUST be in BOCC Office by 4:30 p.m. TUESDAY for the following Monday's agenda.
(This form to stay with contract throughout the contract review process.)
Leslie Locke
From: Linda Ward <lward@co.kitsap.wa.us>
Sent: Wednesday, November 18, 2015 2:49 PM
To: Trish Holden; Leslie Locke
Cc: Anders Edgerton
Subject: SBHO Interlocal Agreement
Hi,
I'm just checking to see where we are in the process of getting the captioned Interlocal Agreement
approved and signed through your county. We have a short window of opportunity to get the
agreement completed before the end of the year, which is the timeframe the state has provided us.
We need five original signature pages, not the entire contract returned. Once, all four parties to the
Interlocal have signed and returned their signed pages, we will complete the process and return one
completed signed original for your records. The pages can be sent to:
Anders Edgerton, PRSN Regional Administrator
Kitsap County Department of Human Services
614 Division Street, MS -23
Port Orchard, WA 98366-4676
Linda Ward, PRSN Administrative Assistant
Kitsap County Dept of Human Services
Phone: 360-337-4604
lward@co.kitsap.wa.us
r
1
n er 1c) ca -A
6��,oAc� cj\,-
KITSAP COUNTY
DEPARTMENT OF HUMAN
SERVICES
Nicki Kremer, Office Supervisor
507 Austin Drive
614 Division Street, MS -23
Port Orchard, WA 98366
Phone: 360.337.7185
Fax: 360.337.5721
Developmental Disabilities
Kelly Oneal, Coordinator
Phone: 360.337.4624
Mental Health
Anders Edgerton, Administrator
Phone: 360.337.4886
Mental Health/Chemical
Dependency/Therapeutic Court
Gay Neal, Coordinator
Phone: 360.337.4827
Substance Abuse Prevention/
Treatment and Youth Services
Laura Hyde, Coordinator
Phone: 360.337.4879
Substance Abuse Prevention
Deanne Montgomery, Prevention
Coalition Coordinator
Phone: 360.337.4878
Aging & Long Term
Care/Senior Information &
Assistance
Givens Community Center
1026 Sidney Avenue, Suite 105
614 Division Street, MS -5
Port Orchard, WA 98366
1.800.562.6418 (Sr. I&A)
Fax: 360.337.4609
Stacey Smith, Administrator
Phone: 360.337.5624
Community Development
Block Grant
Norm Dicks Government Center
345 Vh Street, Suite 400
Bremerton, WA 98337
Fax: 360.337.4609
Bonnie Tufts, Coordinator
Phone: 360.337.4606
Housing and Homelessness
Kirsten Jewell, Coordinator
Phone: 360.337.7286
Kltsap Recovery Center
1975 NE Fuson Road
Bremerton, WA 98311
Fax: 360.377.7027
Bergen Starke, Clinical Manager
Phone: 360.337.4625
Workforce Development
1300 Sylvan Way
Bremerton, WA 98310
Bob Potter, Director, OWDA
Phone: 360.337.4873
Veterans Assistance
Stacey James, Coordinator
Phone: 360.337.4811
Department of Human Services
Doug Washburn
Director
December 16, 2015
Jefferson County Board of Commissioners
P.O. Box 1220
Port Townsend, WA 98368
RE: Interlocal Agreement for the Salish Behavioral Health Organization
Dear Clerk of the Board:
Enclosed for your records is a signed original, of the Interlocal Agreement for
the Salish Behavioral Health Organization. The Kitsap County Board of
Commissioners signed the Agreement on, December 14, 2015.
If you have any questions please me at 360.337.4886.
Sincerely,
Anders Edgerton, Regional Administrator
Peninsula Regional Support Network
AE:dm
Enclosure
507 Austin Street • 614 Division Street, MS -23 • Port Orchard, Washington 98366-4676
Main Line 360.337.7185 • FAX 360.337.5721
From: Olalla 253.851.4147 • Bainbridge Island 206.842.2061
• (_ C, { 1 t
A9 -
` KC -35
CFDA#: NIA
CONTRACT AMENDMENT
A
This CONTRACT AMENDMENT is made and entered into between SALISH
BEHAVIORAL HEALTH ORGANIZATION, through Kitsap County, as its administrative
entity, a political subdivision of the State of Washington, with its principal offices at 614
Division Street, Port Orchard, Washington 98366, hereinafter "SBHO", and Kitsap
County, Clallam County, Jefferson County and Jamestown S'Klallam Tribe, hereinafter
"CONTRACTOR."
In consideration of the mutual benefits and covenants contained herein, the
parties agree that their Contract, numbered as Kitsap County Contract No.KC-359-15-,
and executed on December 14, 2015, shall be amended as follows:
1. Section VI. Behavioral Health Organization Board, Item A. Membership
shall be amended to read as follows:
A. Membership: The Board shall be composed of one elected
commissioner from each of the three aforementioned counties (with
a specific commissioner as alternate member for each county), one
elected tribal official representing the various tribes in the three
counties, one non-voting from the Olympic
Community of Health (Executive Director) and one non-voting
representative from the Salish Behavioral Health Organization
Advisory Board (Chair). There shall be a total of four voting
members.
2. If this Contract Amendment extends the expiration date of the Contract,
then the Contractor shall provide an updated certificate of insurance
evidencing that any required insurance coverages are in effect through the
new contract expiration date. The Contractor shall submit the certificate of
insurance to:
Program Lead, Salish Behavioral Health Organization
Kitsap County Department of Human Services
614 Division Street, MS -23
Port Orchard, WA 98366.
Upon receipt, the Human Services Department will ensure submission of
all insurance documentation to the Risk Management Division, Kitsap
County Department of Administrative Services.
3. Except as expressly provided in this Contract Amendment, all other terms
and conditions of the original Contract, and any subsequent amendments,
addenda or modifications thereto, remain in full force and effect.
This amendment shall be effective upon execution by the parties.
KC -359-15A Salish Behavioral Health Organization
KITSAP COUNTY, `BOARD OF COMMISSIONERS
Approved this 14 day of QCAJ , 2016
Edward E. Wolfe, C it
Charlotte Qa0do, Commissioner
Robert Gelder, Commissioner
CC7M4jf
`,ATTEST:
CD
ana Daniels, Clerk of the Board
KC -359-15A Salish Behavioral Health Organization
CLALLAM COUNTY BOARD OF COMMISSIONERS
Approved this
tOday of t- '>', 2016
Mike Chapman, Chair
Mark Ozias, Co missioner
f,.
Bill Pe , Commissioner
ATTEST:
Trish Holden, CMC, Clerk of the Board
Approved as to form by:
Brian Wendt
Deputy Prosecuting Attorney
Clallam County
Approved sa to of by:
Dara Akwa
Chief Civil Deputy Pmnc* g Afl f"
Clallam County
KC -359-15A Salish Behavioral Health Organization
JEFFERSON COUNTY BOARD OF
COMMISSIONERS
( (kk'--V
Approved this day of 2016
Kathleen Kier, Chair
Phil Johnson, Commissioner_
DavidSullivan, Commissioner
ATTEST:
Jerk of Board
Approved as to form by:
Prosecuting Attorney
Jefferson County
KC -359-15A Salish Behavioral Health Organization
JAMESTOWN S'KLALLAM TRIBE
Approved this day of , 2016
W. Ron Allen, nal Chair/CEO
KC -359-15A Salish Behavioral Health Organization
Serving Gallant, Jefferson
and Kitsap Counties
it E. uj '.F Ya
I'9 v
Anders Edgerton
Administrator
XECUTIVE BOARD
November 16, 2016
lallam County
like Chapman
lark Ozias
Jefferson County Board of Commissioners
ill Peach
PO Box 1220
311erson County
Port Townsend, WA 98368
hill Johnson
athleen Kler
Re: Interlocal Agreement Amendment for the Salish Behavioral Health
avid Sullivan
Organization, KC -359-15A
itsao County
harlotte Garrido
Dear Clerk of the Board:
obert Gelder
dward E. Wolfe
Enclosed for your records is a signed original of the Interlocal Agreement
Amendment for the Salish Behavioral Health Organization. The Kitsap County
wn S'Klallam Tribe
Board of Commissioners signed the Agreement on November 14, 2016.
z Mueller
z Mueller
DVISORY BOARD
If you have any questions please call me at 360-337-4886.
lallam County
Sincerely,
arbara Maxwell
inet Nickolaus
harles Pridgen
Anders Edgerton, Regional Administrator
Leve Schermerhom, ScD
Salish Behavioral Health Organization
Werson County
ine Dean
AE:Iw
elen Morrison, RN, MSN
atharine Robinson
Enclosure
ike Stringer
tsao County
rhn Freeburg
assell Hartman
)is Hoell. RN. MS
conifer Kreidler-Moss
m Stroup
art Gamble S'Klallam Tribe
Bene George
)wer Elwha Klallam Tribe
3berta Charles, MED, CAS, LMHC
614 Division Street, MS -23 Port Orchard, WA 98366-4676 (36o) 337-7U5o
FAX (360) 337-5721
Regular Agenda
Commissioners Office
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Julie Shannon
DATE: August 15, 2016
SUBJECT: DISCUSSION AND POSSIBLE ACTION re: AGREEMENT,
Amendment No. 1 re: Salish Behavioral Health Organization; Kitsap,
Jefferson and Clallam Counties with Jamestown S'Klallam Tribe
STATEMENT OF ISSUE:
DISCUSSION AND POSSIBLE ACTION re: AGREEMENT, Amendment No. 1 re: Salish
Behavioral Health Organization; Kitsap, Jefferson and Clallam Counties with Jamestown S'Klallam
Tribe; Vicki Kirkpatrick, Public Health Director and Philip Morley, County Administrator
ANALYSIS:
This Amendment No. Ito this Interlocal to allow one non-voting representative from the Olympic
Community of Health (Executive Director) on the Salish Behavioral Health Organization Advisory
Board; No Dollar Amount; Jefferson County Administrator; Salish Behavioral Health Organization
(Kitsap and Clallam Counties with Jamestown S'Klallam Tribe)
RECOMMENDATION:
Review and sign AGREEMENT, Amendment No. 1 re: Salish Behavioral Health Organization;
Kitsap, Jefferson and Clallam Counties with Jamestown S'Klallam Tribe
REVIEWED BY:
Morlfy,. o my mini rator Date
CONTRACT REVIEW FORM
CONTRACT WITH: Kitsap� Jefferson and Clallam Counties with Jamestown S Klaltam Tribe
(Contractor/Consultant)
CONTRACT FOR: Amendment No. 1 - Salish Behavioral Health TERM: 12/31/18
Organization
COUNTY DEPARTMENT:
For More Information Contact:
Contact Phone #:
RETURN TO: BOCC Staff
in
AMOUNT: No dollar Amount
Revenue:
Expenditure:
Matching Funds Required:
Sources(s) of Matching Funds
N/A
N/A
N/A
N/A
Step 1: REVIEW BY
Review by:
Date Reviewed:
(� APPROVED FORM
/Comments
Step 2:
Review by:
Date Reviewed:
R1 APPROVED AS TO FORM
Comments
County Administrator
Philip Morley
x-383
RETURN BY: ASAP, must be on8/ 5/16
PROCESS: Exempt from Bid Process
Consultant Selection Process
Cooperative Purchase
Competitive Sealed Bid
Small Works Roster
Vendor List Bid
RFP or RFQ
Other
Returned for revision (See Comments)
BY PROSEC NG ATTORNEY
;2 -
Returned for revision (See Comments)
Step 3: (If required) DEPARTMENT MAKES REVISIONS & RESUBMITS TO
RISK MANAGEMENT AND PROSECUTING ATTORNEY
Step 4: CONTRACTOR/CONSULTANT SIGNS APPROPRIATE NUMBER OF
ORIGINALS
Step 5: SUBMIT TO BOCC FOR APPROVAL
Submit originals and 9 copies of Contract, Review Form, and Agenda Bill to BOCC Office.
Place "Sign Here" markers on all places the BOCC needs to sign.
MUST be in BOCC Office by 4:30 p.m. TUESDAY for the following Monday's agenda.
(This form to stay with contract throughout the contract review process.)