HomeMy WebLinkAbout052819_ca06615 Sheridan Street
Port Townsend, WA 96363
www, Jeff ersonCountyPublioHealth .org
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Pub lic H6alth
Consent Agenda
April 3, 2019
JEFFERSON COUNTY
BOARD OF COUNTY" COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Vicki Kirkpatrick, Director
Anna McEnery, DD & 1/101h County Coordinator
DATE:
SUBJECT: Agenda Item — Professional Services Agreement, Believe in Recovery;
January 1, 2019 — December 31, 2020; $64,000.00
STATEMENT OF ISSUE:
Jefferson County Public Health, (JCPH) requests Board approval of a Professional Services Agreement with Believe in
Recovery, to provide services to individuals with substance abuse disorders and/or mental health issues; January 1,
2019 — December 31, 2020; $64,000.00; ($32,000 each in Calendar years 2019 and 2020).
ANAMX51 STRATEGIC AL PR nd OW
This two year agreement between JCPH and Believe in Recovery; is to provide substance use disorder evaluations,
weekly psychoeducation groups, referral to appropriate services and treatment services for Jefferson County
residents who are incarcerated at the Jefferson County Jail.
These services are designed to reduce recidivism, mental health issues and substance use disorders for Jefferson
County Jail (JCJ) inmates.
FISCAL_ IMPACT/ T BENEFIT AN—ALY51S
This is sales and use tax revenue raised by the County and deposited in the 1/10 of 1% Fund; is allocated by the
BOCC with advice from the Mental Health and Substance Abuse Advisory Committee, (now known as the Behavioral
Health Advisory Committee). The agreement states that funding is subject to availability and if the sales tax revenue
decreases, the vendor will be contacted and the contract may be renegotiated.
This Professional Services Agreement results from an RFP process and is recommended to the BOCC by the Mental
Health and Substance Abuse Sales Tax Advisory Committee, (now known as the Behavioral Health Advisory
Committee).
RECO M M EN DATIQN :
JCPH management requests approval of the Professional Services Agreement with Believe in Recovery; January 1,
2019 — December 31, 2020; $64,000.00.
REVIEWED BY:
ty . ,
orle n Admirra r Date
Community Health Environmental Public Health
Developmental Disabilities 360-335-9444
360-335-9400 (f) 360-379-4437
360-335-9401 (f) Always worWing for a safer and healthier community
PROFESSIONAL SERVICES AGREEMENT FOR
Between
Jefferson County
And
Believe In Recovery, LLC
Inmates - Substance Use Disorder Evaluation Services
THIS PROFESIONAL SERVICES AGREEMENT ("this Agreement") is entered into between
the County of Jefferson, a municipal corporation ("the County"), and Believe in Recovery, LLC
("the Contractor"), in consideration of the mutual benefits, terms, and conditions specified
below.
1. 1'roiect 1- esit iat:ion. The Contractor is retained by the County to perform the following
Project: to provide substance use disorder evaluations, weekly psychoeducation groups,
referral to appropriate services and treatment services for Jefferson County residents who
are incarcerated at the Jefferson County Jail.
2. Sc,� ie o1', S ervi1" 5 . Contractor agrees to perform the services identified on Exhibit "A"
attached hereto including the provision of all labor.
3. Ti'iie 1.o mmPerlorniancc. This Agreement shall commence on January 1, 2019 and
continue through December 31, 2020. Work performed consistent with this Agreement
during its term, put prior to the adoption of this Agreement, is hereby ratified. The
Contractor shall perform all services pursuant to this Agreement as outlined on Exhibit
"A". Time is of the essence in the performance of this Agreement.
4. RgyRIgW.. The Contractor shall be paid by the County for completed work and for
services rendered under this Agreement as follows:
a. Payment for the work provided by Contractor shall be made as provided on
Exhibit `B" attached hereto, provided that the total amount of payment to
Contractor shall not exceed $64,000 (or $32,000 in 2019 and $32,000 in 2020),
without express written modification of the Agreement signed by the County.
b. Invoices must be submitted by the 15th of the month for the previous month's
expenses. Such invoices will be checked by the County, and upon approval
thereof, payment will be made to the Contractor in the amount approved. Failure
to submit timely invoices and reports pursuant to Exhibit B of the Agreement may
result in a denial of reimbursement. Invoices not submitted within 60 days may
be denied.
Final payment of any balance due the Contractor of the total contract price earned
will be made promptly upon its ascertainment and verification by the County after
the completion of the work and submittal of reports under this Agreement and its
acceptance by the County.
Page 1 of 18
d. Contractor shall provide invoices and necessary backup documentation for all
services including timesheets and statements (specifying the services provided).
Any indirect charges require the submittal of an indirect cost methodology and
rate using 2 C.F.R. Part 255 and 2 C.F.R. Part 230.
e. The Contractor's records and accounts pertaining to this Agreement are to be kept
available for inspection by representatives of the County and state for a period of
six (6) years after final payments. Copies shall be made available upon request.
f. County reserves 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 allow Contractor to use the chemical
dependency mental health tax funds as match, at the County's sole discretion.
Should the County decline to use chemical dependency mental health tax funds as
match for additional funding and/or grants, then the County may authorize the
Contractor to use such funds for match (see ATTACHMENT A).
g. Where Contractor proposes to use chemical dependency mental health County tax
funds for match, Contractor shall be solely responsible for compliance with all
state and federal laws and regulations, including, but not limited to DSHS, CMS
and MCSR funding rules, applicable to the use of MH/SA sales tax monies as
match. Contractor shall document they have met this responsibility by submitting
to the County Administrator, in writing, their match formula, allocation plan and
any other documentation required of them pursuant to ATTACHMENT A,
attached hereto and incorporated in this Agreement.
h. The County may withhold authorization to utilize the MH/SA sales tax monies as
match. Contractor's failure to provide adequate documentation does not relieve
the Contractor of their responsibility to comply with all state and federal laws and
regulations related to match.
i. County reserves first right to use as match the chemical dependency mental health
to the County Administrator, in writing, their match formula, allocation plan and
any other documentation required of them pursuant to ATTACHMENT A,
attached hereto and incorporated in this Agreement.
wncrsl ip � pd_I-Jse ol,�l octi lents. All non -confidential or de -identified documents,
drawings, specifications, and other materials produced by the Contractor in connection
with the services rendered under this Agreement shall be the property of the County
whether the project for which they are made is executed or not. The Contractor shall be
permitted to retain copies, including reproducible copies, of drawings and specifications
for information, reference and use in connection with Contractor's endeavors. Contractor
shall not be held liable for reuse of documents or modifications thereof, including
electronic data, by County or its representatives for any purpose other than the intent of
this Agreement.
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6. t;
b. Commercial General Liability Insurance in an amount not less than a single limit
of one million dollars ($1,000,000) per occurrence and an aggregate of not less
than two (2) times the occurrence amount ($2,000,000.00 minimum) for bodily
injury, including death and property damage, unless a greater amount is specified
in the contract specifications. The insurance coverage shall contain no limitations
on the scope of the protection provided and include the following minimum
coverage:
i. Broad Form Property Damage, with no employee exclusion;
ii. Personal Injury Liability, including extended bodily injury;
iii. Broad Form Contractual/Commercial Liability — including coverage for
products and completed operations;
iv. Premises — Operations Liability (M&C);
v. Independent Contractors and subcontractors;
vi. Blanket Contractual Liability.
c. Professional Liability Insurance. The Contractor shall maintain professional
liability insurance against legal liability arising out of activity related to the
performance of this Agreement, on a form acceptable to Jefferson County Risk
Management in the amounts of not less than $1,000,000 Each Claim and
$2,000,000 Aggregate. The professional liability insurance policy should be on
an "occurrence" form. If the professional liability policy is "claims made," then
an extended reporting periods coverage (tail coverage) shall be purchased for
three (3) years after the end of this Agreement, at the Contractor's sole expense.
The Contractor agrees the Contractor's insurance obligation to provide
professional liability insurance shall survive the completion or termination of this
Agreement for a minimum period of three (3) years.
d. The County shall be named as an "additional named insured" under all insurance
policies required by this Agreement, except Professional Liability Insurance when
not allowed by the insurer.
e. Such insurance coverage shall be evidenced by one of the following methods: (a)
Certificate of Insurance; or, (b) Self-insurance through an irrevocable Letter of
Credit from a qualified financial institution.
f. The Contractor shall furnish the County with properly executed certificates of
insurance that, at a minimum, shall include: (a) The limits of overage; (b) The
project name to which it applies; (c) The certificate holder as Jefferson County,
Washington and its elected officials, officers, and employees with the address of
Jefferson County Public Health 615 Sheridan Street, Port Townsend, WA 98368,
and, (d) A statement that the insurance policy shall not be canceled or allowed to
expire except on thirty (30) days prior written notice to the County. If the proof
of insurance or certificate indicating the County is an "additional insured" to a
policy obtained by the Contractor refers to an endorsement (by number or name)
but does not provide the full text of that endorsement, then it shall be the
obligation of the Contractor to obtain the full text of that endorsement and
forward that full text to the County. Certificates of coverage as required by this
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section shall be delivered to the County within fifteen (15) days of execution of
this Agreement.
g. Failure of the Contractor to take out or maintain any required insurance shall not
relieve the Contractor from any liability under the Agreement, nor shall the
insurance requirements be construed to conflict with or otherwise limit the
obligations concerning indemnification of the County.
h. The Contractor's insurers shall have no right of recovery or subrogation against
the County (including its employees and other agents and agencies), it being the
intention of the parties that the insurance policies, with the exception of
Professional Liability Insurance, so affected shall protect both parties and be
primary coverage for all losses covered by the above described insurance.
i. Insurance companies issuing the policy or policies shall have no recourse against
the County (including its employees and other agents and agencies) for payment
of any premiums or for assessments under any form of policy.
j. All deductibles in the above described insurance policies shall be assumed by and
be at the sole risk of the Contractor.
k. Any deductibles or self-insured retention shall be declared to and approved by the
County prior to the approval of this Agreement by the County. At the option of
the County, the insurer shall reduce or eliminate deductibles or self-insured
retention, or the Contractor shall procure a bond guaranteeing payment of losses
and related investigations, claim administration and defense expenses.
1. Insurance companies issuing the Contractor's insurance policy or policies shall
have no recourse against the County (including its employees and other agents
and agencies) for payment of any premiums or for assessments under any form of
insurance policy.
in. Any judgments for which the County may be liable, in excess of insured amounts
required by this Agreement, or any portion thereof, may be withheld from
payment due, or to become due, to the Contractor until the Contractor shall
furnish additional security covering such judgment as may be determined by the
County.
n. Any coverage for third party liability claims provided to the County by a "Risk
Pool" created pursuant to Ch. 48.62 RCW shall be non-contributory with respect
to any policy of insurance the Contractor must provide in order to comply with
this Agreement.
o. The County may, upon the Contractor's failure to comply with all provisions of
this Agreement relating to insurance, withhold payment or compensation that
would otherwise be due to the Contractor.
p. The Contractor's liability insurance provisions shall be primary and
noncontributory with respect to any insurance or self-insurance programs
covering the County, its elected and appointed officers, officials, employees, and
agents.
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q. Any failure to comply with reporting provisions of the insurance policies shall not
affect coverage provided to the County, its officers, officials, employees, or
agents.
r. The Contractor's insurance shall apply separately to each insured against whom
claim is made or suit is brought, except with respect to the limits of the insurer's
liability.
s. The Contractor shall include all subcontractors as insured under its insurance
policies or shall furnish separate certificates and endorsements for each
subcontractor. All insurance provisions for subcontractors shall be subject to all
the requirements stated herein.
t. The insurance limits mandated for any insurance coverage required by this
Agreement are not intended to be an indication of exposure nor are they
limitations on indemnification.
u. The Contractor shall maintain all required insurance policies in force from the
time services commence until services are completed. Certificates, insurance
policies, and endorsements expiring before completion of services shall be
promptly replaced. All the insurance policies required by this Agreement shall
provide that thirty (30) days prior to cancellation, suspension, reduction or
material change in the policy, notice of same shall be given to the Jefferson
County Public Health Contracts Manager by registered mail, return receipt
requested.
v. The Contractor shall place insurance with insurers licensed to do business in the
State of Washington and having A.M. Best Company ratings of no less than A-,
with the exception that excess and umbrella coverage used to meet the
requirements for limits of liability or gaps in coverage need not be placed with
insurers or re -insurers licensed in the State of Washington.
w. The County reserves the right to request additional insurance on an individual
basis for extra hazardous contracts and specific service agreements.
10. ,Worker's ('omi elisatr ti IndList1•ial histtralice
a. If and only if the Contractor employs any person(s) in the status of employee or
employees separate from or in addition to any equity owners, sole proprietor,
partners, owners or shareholders of the Contractor, the Contractor shall maintain
workers' compensation insurance at its own expense, as required by Title 51
RCW, for the term of this Agreement and shall provide evidence of coverage to
Jefferson County Public Health, upon request.
b. Worker's compensation insurance covering all employees with limits meeting all
applicable state and federal laws. This coverage shall include Employer's
Liability with limits meeting all applicable state and federal laws.
c. This coverage shall extend to any subcontractor that does not have their own
worker's compensation and employer's liability insurance.
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d. The Contractor expressly waives by mutual negotiation all immunity and
limitations on liability, with respect to the County, under any industrial insurance
act, disability benefit act, or other employee benefit act of any jurisdiction which
would otherwise be applicable in the case of such claim.
e. If the County incurs any costs to enforce the provisions of this subsection, all cost
and fees shall be recoverable from the Contractor.
11. 1 tide pendent Q,!n ra tor. The Contractor and the County agree that the Contractor is an
independent contractor with respect to the services provided pursuant to this Agreement.
The Contractor specifically has the right to direct and control Contractor's own activities,
and the activities of its subcontractors, employees, agents, and representatives, in
providing the agreed services in accordance with the specifications set out in this
Agreement. Nothing in this Agreement shall be considered to create the relationship of
employer and employee between the parties. Neither Contractor nor any employee of
Contractor shall be entitled to any benefits accorded County employees by virtue of the
services provided under this Agreement, including, but not limited to: retirement,
vacation pay; holiday pay; sick leave pay; medical, dental, or other insurance benefits;
fringe benefits; or any other rights or privileges afforded to Jefferson County employees.
The County shall not be responsible for withholding or otherwise deducting federal
income tax or social security or for contributing to the state industrial insurance program,
otherwise assuming the duties of an employer with respect to Contractor, or any
employee of Contractor.
12. ubcontractiiig„ Re...._etn mnts.
a. The Contractor is responsible for meeting all terms and conditions of this
Agreement including standards of service, quality of materials and workmanship,
costs, and schedules. Failure of a subcontractor to perform is no defense to a
breach of this Agreement. The Contractor assumes responsibility for and all
liability for the actions and quality of services performed by any subcontractor.
b. Every subcontractor must agree in writing to follow every term of this
Agreement. The Contractor must provide every subcontractor's written
agreement to follow every term of this Agreement before the subcontractor can
perform any services under this Agreement. The Public Health Director or their
designee must approve any proposed subcontractors in writing.
c. Any dispute arising between the Contractor and any subcontractors or between
subcontractors must be resolved without involvement of any kind on the part of
the County and without detrimental impact on the Contractor's performance
required by this Agreement.
13. �C�°oyerta it Against otttiltgcltt Fees, The Contractor warrants that he has not employed or
retained any company or person, other than a bona fide employee working solely for the
Contractor, to solicit or secure this Agreement, and that he has not paid or agreed to pay
any company or person, other than a bona fide employee working solely for the
Contractor, any fee, commission, percentage, brokerage fee, gifts, or any other
consideration contingent upon or resulting from the award or making of this Agreement.
For breach or violation of this warranty, the County shall have the right to annul this
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Agreement without liability or, in its discretion to deduct from the contract price or
consideration, or otherwise recover, the full amount of such fee, commission, percentage,
brokerage fee, gift, or contingent fee.
14. Discrimination Prohibited. The Contractor, with regard to the work performed by it
under this Agreement, will not discriminate on the grounds of race, color, national origin,
religion, creed, age, gender, sexual orientation, material status, sex, or the presence of any
physical or sensory handicap in the selection and retention of employees or procurement
of materials or supplies.
15. No hiss ;lin erit. The Contractor shall not sublet or assign any of the services covered by
this Agreement without the express written consent of the County. Assignment does not
include printing or other customary reimbursable expenses that may be provided in an
agreement.
16. Non -Waiver. Waiver by the County of any provision of this Agreement or any time
limitation provided for in this Agreement shall not constitute a waiver of any other
provision.
17. Termination.
a. The County reserves the right to terminate this Agreement at any time by giving
ten (10) days written notice to the Contractor.
b. In the event of the death of a member, partner, or officer of the Contractor, or any
of its supervisory personnel assigned to the project, the surviving members of the
Contractor hereby agree to complete the work under the terms of this Agreement,
if requested to do so by the County. This section shall not be a bar to
renegotiations of this Agreement between surviving members of the Contractor
and the County, if the County so chooses.
c. The County reserves the right to terminate this contract in whole or in part, with
10 days' notice, in the event that expected or actual funding from any funding
source is withdrawn, reduced, or limited in any way after the effective date of this
agreement. In the event of termination under this clause, the County shall be
liable for only payment for services rendered prior to the effective date of
termination.
18. Notices. All notices or other communications which any party desires or is required to
give shall be given in writing and shall be deemed to have been given if hand -delivered,
sent by facsimile, email, or mailed by depositing in the United States mail, prepaid to the
party at the address listed below or such other address as a party may designate in writing
from time to time. Notices to the County shall be sent to the following address:
Jefferson County Public Health Department
615 Sheridan Street
Port Townsend, WA 98368
ATT: Anna McEnery-DD/10th County Coordinator
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Notices to Contractor shall be sent to the following address:
Believe In Recovery
211 Taylor Street, #20
Port Townsend, WA 98368
ATT: Gabbie Caudill/Director
19. 111t. r �1tq Ag!-ccpient This Agreement together with attachments or addenda represents
the entire and integrated Agreement between the County and the Contractor and
supersedes all prior negotiations, representations, or agreements written or oral. No
representation or promise not expressly contained in this Agreement has been made. This
Agreement supersedes all prior or simultaneous representations, discussions,
negotiations, and agreements, whether written or oral, by the County within the scope of
this Agreement. The Contractor ratifies and adopts all statements, representations,
warranties, covenants, and agreements contained in its proposal, and the supporting
material submitted by the Contractor, accepts this Agreement and agrees to all of the
terms and conditions of this Agreement.
20. Modifi cation of this Al ectnetit, This Agreement may be amended only by written
instrument signed by both County and Contractor.
21. m ;m pones. The Parties agree to use their best efforts to prevent and resolve disputes
before they escalate into claims or legal actions. Any disputed issue not resolved
pursuant to the terms of this Agreement shall be submitted in writing within 10 days to
the County Risk Manager, whose decision in the matter shall be final, but shall be subject
to judicial review. If either party deem it necessary to institute legal action or proceeding
to enforce any right or obligation under this Agreement, each party in such action shall
bear the cost of its own attorney's fees and court costs. Any legal action shall be initiated
in the Superior Court of the State of Washington for Jefferson County. The parties agree
that all questions shall be resolved by application of Washington law and that the parties
have the right of appeal from such decisions of the Superior Court in accordance with the
laws of the State of Washington. The Contractor hereby consents to the personal
jurisdiction of the Superior Court of the State of Washington for Jefferson County.
22. Sectiotfl,leaditws. The headings of the sections of this Agreement are for convenience of
reference only and are not intended to restrict, affect, or be of any weight in the
interpretation or construction of the provisions of the sections or this Agreement.
23 Litnits ol'Aiiv Waiver mmof Deta llm�tt, No consent by either party to, or waiver of, a breach
by either party, whether express or implied, shall constitute a consent to, waiver of, or
excuse of any other, different, or subsequent breach by either party.
24. No Ora -1 Wai.v l:n No term or provision of this Agreement will be considered waived by
either party, and no breach excused by either party, unless such waiver or consent is in
writing signed on behalf of the party against whom the waiver is asserted. Failure of a
party to declare any breach or default immediately upon the occurrence thereof, or delay
in taking any action in connection with, shall not waive such breach or default.
25. Seve�rabij . Provided it does not result in a material change in the terms of this
Agreement, if any provision of this Agreement or the application of this Agreement to
any person or circumstance shall be invalid, illegal, or unenforceable to any extent, the
Page 9 of 18
remainder of this Agreement and the application this Agreement shall not be affected and
shall be enforceable to the fullest extent permitted by law.
26. l i.rwicfir ig_pnr1t c ams, l lcras sand Assi yaw . This Agreement shall be binding upon and
inure to the benefit of the parties' successors in interest, heirs, and assigns.
27. No Assi nment. The Contractor shall not sell, assign, or transfer any of rights obtained
by this Agreement without the express written consent of the County.
28. No Third-rly Beneficiaries,, The parties do not intend, and nothing in this Agreement
shall be construed to mean, that any provision in this Agreement is for the benefit of any
person or entity who is not a party.
29. Si nature ill Cor1,11terpa ts, The parties agree that separate copies of this Agreement may
be signed by each of the parties and this Agreement shall have the same force and effect
as if all the parties had signed the original.
30 1 acsirarile and�mElectronic Signatlrres. The parties agree that facsimile and electronic
signatures shall have the same force and effect as original signatures.
31 Arlt l eij&tljmN oqg i�. The parties agree that this Agreement has been negotiated at
arms -length, with the assistance and advice of competent, independent legal counsel.
32Public l ecords Act:. Notwithstanding the provisions of this Agreement to the contrary, to
the extent any record, including any electronic, audio, paper or other media, is required to
be kept or indexed as a public record in accordance with the Washington Public Records
Act, Chapter 42.56 RCW, as may hereafter be amended, the Contractor agrees to
maintain all records constituting public records and to produce or assist the County in
producing such records, within the time frames and parameters set forth in state law. The
Contractor further agrees that upon receipt of any written public record request,
Contractor shall, within two business days, notify the County by providing a copy of the
request per the notice provisions of this Agreement.
33. Cogfidentialit , With respect to all information relating to County that is confidential
and clearly so designated, as required by the Health Insurance Portability and
Accountability Act (HIPAA) and any other applicable privacy laws, the Contractor
agrees to keep such information confidential. The Contractor shall not disclose, transfer,
or sell any such information to any party, except as provided by law or, in the case of
personal information, with the prior written consent of the person to whom the personal
information pertains. The Contractor shall maintain the confidentiality of all personal
information and other information gained by reason of this Agreement, and shall return or
certify the destruction of such information if requested in writing by Jefferson County.
This Agreement, once executed, will be a "public record" subject to production to a third
party if same is requested pursuant to • the Washington Public Records Act, Chapter
42.56 RCW, as may hereafter be amended.
34 `ria ait al hlistorylf3�_ g,rotrn�c➢ Qlieck. Each of the Contractor's employees, the employees
of any of the Contractor's approved subcontractor, or volunteers used by the Contractor
shall submit to a Washington State Patrol fingerprint identity and criminal history check
before they are authorized to perform services for the Project. The County agrees to bear
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all reasonable costs incurred in the performance of this fingerprint identity and criminal
history check. Contractors who may or will have regular access or limited access to any
juveniles shall also:
a. Require that each of the Contractor's employees, the employees of any of the
Contractor's approved subcontractor, or volunteers used by the Contractor undergo
not less often than once every three (3) years another Jefferson County approved
criminal history and background check;
b. Ensure all employees, subcontractors, or volunteers are knowledgeable about the
requirements of RCW 13.40.570 and of the new crimes included in RCW 9A.44,
Sexual Offense;
c. Sign the Contractor Requirements for Responding to Situation of Sexual
Misconduct Form, and shall submit to Jefferson County with signed Agreement.
DATED this day of ____ 20
(SIGNATURES FOLLOW ON THE NEXT PAGE)
Page 11 of 18
SIGNATURE PAGE
Name of Contractor
JEFFERSON COUNTY
BOARD OF COMMISSIONERS
Kate Dean, Chair
Contractor Representative (Please print) David Sullivan, Member
(Signature) Greg Brotherton, Member
Title
Date
APPROVED AS TO FORM ONLY:
0.
Philip C. " lay isucker-
Chief Civil Deputy Prosecuting Attorney
Page 12 of 18
EXHIBIT A
Scope of Work
Inmate - Substance Use Disorder Evaluation Services
RESPONSIBILITIES:
The County, as administrator of the Mental Health/Substance Abuse Sales and Use Tax Funds ,
and Believe in Recovery LLC agree that Believe In Recovery, LLC will provide services to
individuals as described in this Contract, including EXHIBIT A: Scope of Work, EXHIBIT B:
Fee Schedule:, and EXHIBIT C; Logic Model and Performance Measures; and further
agrees to comply with the stipulations contained in ATTACHMENT A attached hereto and
incorporated herein.
Believe In Recovery, as a contracted provider, agrees to:
Engage Jefferson County Jail (JCJ) inmates by providing substance use disorder evaluations,
weekly psychoeducation groups, referral to appropriate services and treatment for Jefferson
County residents who are incarcerated in the Jefferson County Jail
1) In Jail services:
a. Weekly psychoeducation groups for men and women focused on substance use
relapse prevention, emotion regulation and positive decision making.
b. Utilizing ASAM patient placement criteria and a complete biopsychosocial
substance use disorder evaluation for all Jefferson County residents who are
incarcerated at the JCJ.
c. Referral to appropriate services: Outpatient/Inpatient SUD treatment; Mental
Health Court; Outpatient/Inpatient Mental Health Treatment; DBH Crisis
Services; JCJ Medical Services, including Primary Medical Care; Medically
assisted treatment agency; Olycap; Housing resources Department of Vocational
Rehabilitation, (DVR); and other services as needed.
d. Supportive Case Management while incarcerated.
e. Discharge planning, engagement and post -release support for inmates.
2) Post Release services when available:
a. Case Management support at time of release from JCJ to ensure referral for intake
and enrollment in mental health and substance use disorder treatment as
appropriate.
b. Case Management support at time of release from JCJ to facilitate referrals to
community services as needed; including, but not limited to: SUD treatment;
Mental Health Court; Outpatient/Inpatient Mental Health treatment, DBH Crisis
Services, JCJ Medical Services, including Primary Medical Care; Olycap;
Housing resources; Department of Vocational Rehabilitation; Community
Support Groups; and/or other services as needed.
c. Assistance in coordinating Transportation post release to appointments as
needed.
d. Ongoing outpatient Case Management with inmates post -discharge.
Page 13 of 18
3) Measures:
i. Outputs:
Quarterly: (unduplicated current quarter and unduplicated year-to-date)
a. Number of inmates that received SUD evaluations
b. Number of inmates who attended relapse prevention class, both new and repeat
attendees
c. Number of individuals served by the programs
ii. Annual:
a. Universal: ZIP Code, Insurance Status, Age, Sex (unduplicated members)
iii. Outcomes:
Quarterly: (unduplicated year-to-date)
a. Proportion of individuals with indicated need admitted into residential inpatient
programs
b. Proportion of individuals with indicated need enrolled in outpatient programming
c. Proportion of individuals with indicated need enrolled in medically assisted
treatment
d. Proportion of individuals with an increased number of primary care visits
iv. Annual:
a. Proportion of individuals with decreased emergency services utilization
b. *Possible: Proportion of applicable individuals employed and/or in school when
they complete services
C. *Possible: Proportion of applicable individuals who obtain or regain their licenses
by the time they complete services
d. Establish referral pathways with agencies providing needed services for clients
(informal and/or formal)
e. Rates of recidivism (charge) at 6, 12, 18 months post -release (compliance -related
rearrests to be excluded)
f. Satisfaction of program services (survey administered after sessions)
g. *Possible: ACEs data collection
4) Attend and report to the Behavioral Health Advisory Committee when requested with
progress evaluation reports.
Exhibit B
Fee Schedule
2019-2020
Not to exceed $64,000.00 in completion of services for the duration of this contract without
express written amendment signed by both parties.
Page 15 of 18
Exhibit C
Logic Model
Program: Believe in Recovery- Inmate SUD Evaluation Services
Inputs Outputs
Incarcerated
individuals
request
current SUD
evaluation
Individuals
request to
attend
relapse
prevention
group
Activities
Individuals
receive SUD
evaluation
Individuals sign
appropriate
releases to
coordinate
services
Individuals
receive
specific relapse
prevention
education
Individuals
needing
additional
services request
a current SUD
evaluation
Participation
Upon release
from custody,
Individuals
enter
recommended
level of care
for substance
use disorder
Upon release
from custody,
Individuals
enter
recommended
level of care
for substance
use disorder
Outcomes
Short Medium Long
Individuals begin to
change thinking patterns
1
Individuals begin to
identify and change
addictive behaviors
1
Individuals identify
relapse patterns and how
to stop them
1
Individuals progress
through stages of change
Individuals establish a
social sober support
network
1
Individuals follow
through with treatment
recommendations
Page 16 of 18
ATTACHMENT A
JF 1 1.160 (,'OLJN'l") 'lll/SA •µIRI 1 E 'lI m 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 BIRR
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.
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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.
Page 18 of 18