HomeMy WebLinkAbout092319_ca05 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: September 23, 2019
SUBJECT: Amendment No. 01 Professional Services Contract for Opiate Treatment
Networks; In the Amount of$417,764; Jefferson County; Washington
State Health Care Authority
STATEMENT OF ISSUE: The Jefferson County Sheriff requests the Board of County Commissioners to
approve Amendment No. 01 to Washington State Health Care Authority Contract No. K3285, a professional
services contract for an opiate treatment network in Jefferson County. Amendment No. 01 extends the
existing Agreement by one year to September 29, 2020, and provides up to $417,764 funding.
ANALYSIS: On January 14, 2019 the County approved an original agreement No. K3285 with the
Washington State Health Care Authority (HCA) to initiate Medication Assisted Treatment (MAT) services in
the Jail and provide for related treatment services for inmates after release through an opiate treatment
network in the community. The original term was through September 29, 2019.
The original HCA grant contract provided funding for the County to enter into a separate agreement with
Olympic Peninsula Health Services (OPHS) to initiate MAT in the Jefferson County Jail and establish an
Opiate Treatment Network in the community.
Jefferson County has been awarded an amendment to the HCA grant, extending funding for MAT services
for a full year, through September 29, 2020, and providing up to $417,764 of additional funding for services
during the extension.
If the Board of Commissioners approves Amendment No. 01 to the HCA contract, the Sheriff's Office is also
proposing a separate Amendment No. 1 to an agreement with OPHS which would extend OPHS's services
through September 29, 2020, and use the HCA funding to compensate OPHS.
FISCAL IMPACT: Amendment No. 01 to Washington State Health Care Authority Contract no. K3285
provides up to $417,764 of funding through September 29, 2020. That is slightly more than enough to pay
for the $414,264 amendment the Sheriff has proposed to our OPHS agreement..
RECOMMENDATION: The Commissioners are being asked to approve amendment No. 01 to Contract
no. K3285 with the Washington State Health Care Authority.
'' 7:7°'ilip 'ey, C inistrator Date
HCA Contract No.: K3285
Washington State CONTRACT Amendment No.: 01
Health Care uthority AMENDMENT
THIS AMENDMENT TO THE CONTRACT is between the Washington State Health Care Authority
and the party whose name appears below, and is effective as of the date set forth below.
CONTRACTOR NAME CONTRACTOR doing business as (DBA)
Jefferson County Sheriff's Office
CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS IDENTIFIER
79 Elkins Rd. (UBI)
Port Hadlock, WA 98339-9700
WHEREAS, HCA and Contractor previously entered into a Contract for Opioid Treatment Networks, and;
WHEREAS, HCA and Contractor wish to amend the Contract pursuant to Section 4.3 to add funds, extend the
contract term, and add deliverables;
NOW THEREFORE, the parties agree the Contract is amended as follows:
1. Section 3.2, Term: The term on the contract is extended from September 29, 2019 to September 29, 2020.
2. Section 3.3 Compensation: The maximum compensation is increased by$417,764 from $463,000 to
$880,764.
3. Section 3.3 Compensation, Subsection 3.3.2 is amended to read as follows:
3.3.2 Contractors compensation for services rendered will be based on the amounts listed in Schedules A
and B, Statements of Work, in the deliverable tables.
4. Section 3.4 Invoice and Payment, Subsection 3.4.1 is amended to read as follows:
3.4.1 Contractor must submit accurate State Form A-19 invoices, or other such forms as designated by
HCA to the following address for all amounts to be paid by HCA via e-mail to:
amy.durahca.wa.gov. Include the HCA Contract number in the subject line of the email and cc
the Contract Manager when submitting the invoice.
5. Schedule A, Statement of Work for December 31, 2018 to September 29, 2019 subsections 1.1, u, and v
are deleted in their entirety.
All remaining subsections are subsequently renumbered.
HCA Contract No. K3285-01 Page 1 of 10
6. Schedule A Statement of Work for December 31, 2018 to September 29, 2019, a new subsection v. is
added as follows:
1.v Assisting in the preparation of reports (e.g., SAMHSA Annual Report, SAMHSA Bi-annual
Report)and other data requested by SAMHSA, their designee, or the HCA Contract Manager
7. Schedule A, Statement of work for December 31, 2018 to September 29,2019, Section 2, Deliverables
table: Deliverable 5 is deleted, reducing the total Deliverables table to $450,000
8. Schedule A, Statement of work for December 31, 2018 to September 29,2019, Section 2, Federal Award
Identification table, line items (vi) and (vii) are amended as follows:
(vi) $450,000
(vii) $450,000
9. A new Schedule B, Statement of Work for September 30, 2019 through September 29, 2020 is added and
attached below.
10. This Amendment will be effective September 30, 2019 ("Effective Date").
11. All capitalized terms not otherwise defined herein have the meaning ascribed to them in the Contract.
12. All other terms and conditions of the Contract remain unchanged and in full force and effect.
The parties signing below warrant that they have read and understand this Amendment and have authority to
execute the Amendment. This Amendment will be binding on HCA only upon signature by HCA.
CONTRACTOR SIGNATURE PRINTED NAME AND TITLE DATE
SIGNED
HCA SIGNATURE PRINTED NAME AND TITLE DATE
SIGNED
A ved as o nly:
�. Date: qd l9 /9
Philip C.Hu sucker,Chief Civil Deputy Prosec ting ttorney
Jefferson County Prosecuting Attorney's Office
HCA Contract No. K3285-01 Page 2 of 10
Schedule B
Statement of Work
September 30,2019 to September 29,2020
1. Performance Work Statement. The Contractor shall serve as the Initiation Site and be responsible for:
a. Bringing Medication Assisted Treatment(MAT) initiation, referral, and retention to an individual
prior to his or her transfer to the Local MAT Treatment Site, ensuring MAT induction goal is
maintained at both the Initiation and Local MAT Treatment Site(s).
b. Serving as the lead organization and recipient of funding for the development and implementation of
an Opioid Treatment Network(OTN)model for adults with an Opioid Use Disorder(OUD)who are
Medicaid eligible or low income. OTN will give priority to:
(1) Individuals at highest risk of overdose and death.
(2) Tribal members to address their OUD needs.
(3) MAT services for pregnant and parenting individuals with OUD.
(4) MAT services for IV drug users.
c. Continuing to monitor MAT is initiated to a minimum of 15 unique individuals no later than
September 29, 2020 at the Initiation Site.
d. Holding responsibility for oversight of the OTN, and ensuring the Local MAT Treatment Site(s) are
working in coordination (including participation in regularly scheduled leadership meetings and
educational and technical assistance opportunities) and meet the terms of the project, contract, goals
and project deliverables.
e. Ensuring travel per diem, computers, office supplies, and all other supplies and tools necessary to
perform defined duties are provided to staff at the Initiation Site and Local MAT Treatment Site(s)
(through Subcontractor's contracts).
f. Ensuring a low-barrier medication model.
g. Providing both agonist and antagonist MAT medications (on-site or in relationship with a pharmacy)
in order to facilitate initial inductions and ongoing treatment.
HCA Contract No. K3285-01 Page 3 of 10
h. Providing intensive services by continuing a central Initiation Site to provide MAT, and a warm hand-
off to continued care to a Local MAT Treatment Site(s)for continuity of care through the usage of a
coordinated network team and processes. Local MAT Treatment Site(s)will provide referrals for
other behavioral health and ancillary services necessary to address the individual's holistic medical
and recovery needs, including tobacco cessation services when appropriate. Build, strengthen, and
maintain referral relationships between Initiation Site and Local MAT Treatment Site(s).
i. Maintaining up to 2.0 FTEs to cover the required functions listed below at the Initiation Site
(individual staff may perform multiple functions. Subcontracting can be sued to provide staffing at
Local MAT Treatment Site(s). Specific staffing arrangements will be determined by Initiation Site.
(1) OTN Nurse Care Manager(NCM): The NCM's primary responsibilities are to provide medical
support to the prescribing physicians or other waivered practitioners. Duties of the NCM will
include, but are not limited to: individual screening, MAT education, assisting with MAT
inductions, taking vital signs, drug testing, lab work, medical assessments, charting, care planning,
stabilization, observation and maintenance,ongoing coordination of follow-up care,relapse
prevention, and support for an individual's self-management.
(2) OTN Care Navigator: The Care Navigator expedites enrollment into Medicaid as necessary,
conducts screenings, assessments and evaluations, provides education, and coordinates referrals for
MAT(and tobacco cessation services if appropriate). Care Navigators assist with data collection
requirements and facilitate referrals for infectious disease screenings, housing, employment
services,withdrawal management services,transportation, referral to OUD or behavioral health
counseling, and provide a warm hand-off to a MAT provider upon an individual's transfer from
any current treatments.
(3) OTN Data Collection Coordinator(Coordinator): The Coordinator is responsible for managing all
data collection activities and serves as the liaison between the OTN, HCA/DBHR and The
Department of Social and Health Services Research and Data Analysis Division (DSHS/RDA).
The Coordinator must become competent in all aspects of GPRA data collection required for this
project(including completion of SAMHSA GRPA training), through RDA offered trainings, and
be available and responsive to project evaluators.
(4) OTN MAT Prescriber: Continue to employ and or contract at least one prescriber and at least one
back-up prescriber with a current DATA-2000 Waiver(in case of primary prescriber absence)at
the Initiation Site.
HCA Contract No. K3285-01 Page 4 of 10
j. Ensuring specific tools, such as job descriptions and statements of work, are developed to ensure
consistent practice throughout the OTN.
k. Obtaining Tobacco Treatment Specialist(TTS) certification by 2 individual staff members completing
the 240 post-training service hours required for the certification.
1. Continuing to Identify, collaborate, and subcontract with Local MAT Treatment Site(s)that are willing
to support and embrace MAT and are responsible for providing integrated care that includes therapy,
SUD counseling, outreach, MAT education, case management, tobacco cessation services, and/or
referral services.
m. Ensuring policies and procedures are in place throughout the OTN to mitigate medication diversion.
DBHR has the discretion to review the policies and procedures upon request.
n. Securing and maintain release-of-information forms that meet federal confidentiality regulations and
allow the release of patient identifying information between Initiation Site and Local MAT Treatment
Site(s) and to DSHS RDA for the purpose of program monitoring and performance evaluation.
o. Working collaboratively with the University of Washington Alcohol and Drug Abuse Institute
Technical Assistance staff to identify training needs and participate in peer-to-peer and educational
learning opportunities including the utilization of EBPs.
p. Meeting, at a minimum, monthly(phone or in-person)with the HCA Contract Manager, SOR Project
Director, or Treatment Manager to discuss project contract requirements, compliance,technical
assistance needs, and problem-solving.
q. Ensuring the use of a certified electronic health record system, and review of the Prescription
Monitoring Drug Program data,when available and appropriate. DBHR may review this system upon
site visit(s).
r. Ensuring patient assessments utilized for MAT treatment services are consistent and transferable
across the Opioid Treatment Network(OTN).
HCA Contract No. K3285-01 Page 5 of 10
s. Data Collection Requirements shall include:
(1) Government Performance and Results Act(GPRA):
(a) OTNs are required to have staff collect data on all individuals receiving services at the
Initiation Site (and subsequent MAT services received). The data collection consists of
multiple individual interviews and a participant log. Initiation Sites are responsible for
ensuring data collection for individuals prior to and after warm hand-offs, including
coordination of data collection with Local MAT Treatment Site(s) staff.
(b) Participant interviews are based on the GPRA Client Outcome Measures Tool.' OTN staff will
conduct face-to-face interviews, compile answers, and enter the results into the web-based,
SAMHSA Performance Accountability and Reporting System (SPARS) or alternative data
collection system.2 OTN staff must collect survey data at four points for each individual
served:
(c) Intake: GPRA Baseline interview is to be completed as soon as possible with every individual
who begins MAT at a facility in your network.
(d) Six-month follow-up: completed one month before to two months after the scheduled follow-
up date—regardless of individual discharge status. OTNs failing to complete 80 percent of
follow-up surveys must submit corrective action plans and demonstrate improved performance.
(e) Discharge: to be completed within 15 days for all individuals leaving treatment.
Administrative discharges (without interviews)are required for individuals lost to follow-up.
(f) SAMHSA's Performance Accountability and Reporting System(SPARS) accounts, online
training, and survey templates will be provided to OTNs (unless an alternative system is
identified);Project Evaluation (RDA)will provide OTN staff with technical assistance as
needed.
(g) GPRA Client Outcome Tool Implementation Delay: There will be a delay in implementation
of the GPRA tool. Sites will not be considered out of compliance during this delay period by
SAMHSA. RDA and SOR Treatment Manager will inform Initiation Sites of the required start
dates for GPRA data collection and training.
1 https://www.samhsa.qov/sites/default/files/GPRA/sais gpra client outcome instrument final.pdf A shorter version of this instrument
will be used for this grant, however, it has not yet been finalized.
2 Your staff must enter surveys into SPARS within seven days.When the interview takes place, say, prior to or after induction,will depend
on the setting, individuals, and workflows.
HCA Contract No. K3285-01 Page 6 of 10
(2) DSHS Research and Data Analysis (DSHSRDA: Maintain and submit monthly through a secure
DSHS portal to RDA, a participant data log template (to be provided) from the Initiation Site only
that includes, but is not limited to the following for every new MAT treatment episode:
First name, last name and middle initial; date of birth; Social Security Number; gender; race;
ethnicity; treatment start date (induction date); MAT drug prescribed(methadone, Bup-mono,
Bup-combo,Naltrexone-Injectable;Naltrexone-Oral),transfers to Local MAT Provider, discharge
date and discharge status (completed,transferred or lost to follow up).
(3) HCA/DBHR: Submit a Monthly Report as detailed in the Deliverables Table with the invoice to
the HCA/DBHR Contract Manager, including, but not limited to: the number of individuals
inducted and successfully transferred to local MAT treatment, barriers and successes,technical
assistance needs and staff changes.
t. Promoting abstinence from tobacco products (except with regard to accepted tribal traditional
practices) and integrating tobacco cessation strategies, medications and services in coordination with
the Washington State Department of Health's (DOH's) Tobacco and Vapor Product Prevention and
Control Program(TVPPCP).
(1) Training of two (2) staff as Tobacco Treatment Specialists (TTS)s to incorporate tobacco cessation
as part of treatment(direct training costs will be covered by DOH, and the 240 service hours
required for TTS certification are eligible for partial reimbursement through this contract).
(2) General tobacco-free training of three(3) additional staff on the best practices of tobacco use
screening and cessation counseling with individuals in SUD treatment, including training on cross-
addiction, application of the Screening, Brief Intervention, and Referral to Treatment(SBIRT)
model of SUD treatment to the Ask,Advise, and Refer model of nicotine dependence treatment.
(3) Ongoing technical assistance from TVPPCP for tobacco cessation practices and implementation of
tobacco-free facility policies.
u. Participating in a pilot program in which patients are referred for tailored, augmented tobacco
cessation services through the Washington State Tobacco Quitline (WAQL). This pilot program will
include the following:
(1) Training of staff on WAQL referral and feedback reporting processes.
(2) Provision of augmented tobacco cessation services, including up to seven(7)telephone counseling
calls and 12 weeks of nicotine replacement therapy, annually, per individual.
(3) Reporting of patients' tobacco cessation progress.
HCA Contract No. K3285-01 Page 7 of 10
v. Assisting in the preparation of reports (e.g., SAMHSA Annual Report, SAMHSA Bi-annual Report)
and other data requested by SAMHSA,their designee, or the HCA Contract Manager.
w. Ensuring the utilization of third party and other revenue realized from provision of services to the
extent possible and use SAMHSA grant funds only for services to individuals who are not covered by
public or commercial health insurance programs, or for services that are not sufficiently covered by an
individual's health insurance plan. Facilitate the health insurance application and enrollment process
for eligible uninsured clients.
HCA Contract No. K3285-01 Page 8 of 10
2. Deliverables Table:
Deliverable Due Date Up to
1 Tobacco Treatment Specialist(TTS)4 Day October 31,2019 $15 000 per staff up to a
Training—two(2)staff with achievement of total of$30,000
certification. Show proof of achievement
certificate to HCA Contract Manager.
2 Tobacco Treatment Specialist(TTS) 1 Day October 31,2019 $11,382 per staff up to a
Training—two(2)staff with achievement of total of$22,764
certification. Show proof of achievement
certificate to HCA Contract Manager.
3 Monthly Reports to HCA Contract Manager Due by the second $12,500 per month up to
including the items listed in 1.s.(2)and(3)of this Wednesday of the month a total of$150,000
Schedule B Statement of Work as well as updates following the month in
on progress,number of unique individuals served, which services were
and Monthly Reports to RDA,compiled data of provided
Local MAT Treatment$ite referrals and services
including the breakdown of agonists and
antagonists($12,500 per month x 12 months=
$150,000)
4 Tobacco Treatment Specialist(TTS)certification— Payable in the month in $13,000
This will partially reimburse OTN contractors for which certification was
provider time spent counseling clients,after received,not later than
completing the 240 post-training service hours September 29,2020.
required for the certification.
5 Provision of services to a minimum of 15 unique Due by the second Up to$15,000 per month
individuals per month,starting October 2019 Wednesday of the month up to a total of up to
(15,individuals per month x 12 months x$1,000= following the month in $180,000
$180,000) which services were
(Payment will be prorated if minimum numbers provided
are not met)
6 Benchmark payment for serving 180 unique September 29,2020 $20,000
individuals(an average of 15 unique individuals
per month)and meet an overall individual
retention of 50%over the period covered by this
Contract.Note:If this benchmark payment is
earned,Contractor shall also be entitled to bill, up
to the maximum amount that remains available
for payment under Deliverable 6,a pro rata
payment of$1,000 for each unique individual
whom Contractor has served but for whom
payment could not be received under the payment
terms applicable to Deliverable 5.In no event shall
more than a total of$200,000 be payable under
this Deliverable 6 combined with payment under
Deliverable 5.
7 Development of a written sustainability plan to September 29,2020 $15,000
ensure continued program services at the end of
SAMHSA funding presented at a site visit prior to
the end of the grant cycle.
TOTAL $430,764
HCA Contract No. K3285-01 Page 9 of 10
3. Federal Award Identification(reference 2 CFR 200.331)—SOR Grant CFDA#93.788
(i) Subrecipient name(which must match the name Jefferson County DBA Sheriff's Office
associated with its unique entity identifier);
(ii) Subrecipient's unique entity identifier;(DUNS) 619143741
(iii) Federal Award Identification Number(FAIN); H79T1081705
(iv) Federal Award Date(see§200.39 Federal award 9/19/18
date);
(v) Subaward Period of Performance Start and End Date; 12/31/2018 to 09/29/2019
(vi) Amount of Federal Funds Obligated by this action; $417,764
(vii) Total Amount of Federal Funds Obligated to the $880,764
subrecipient;
(viii)Total Amount of the Federal Award; $21,573,093
(ix) Federal award project description,as required to be Washington State Opioid Response(SOR)Grant
responsive to the Federal Funding Accountability and
Transparency Act(FFATA);
(x) Name of Federal awarding agency,pass-through Department of Health and Human Services,Substance
entity,and contact information for awarding official, Abuse and Mental Health Services Administration,
Center for Substance Abuse Treatment
Washington State Health Care Authority
Division of Behavioral Health and Recovery
Michael Langer,Director
Post Office Box 45330
Olympia,WA 98504-5330
(xi) CFDA Number and Name;the pass-through entity 93.788
must identify the dollar amount made available under
each Federal award and the CFDA number at time of
disbursement;
(xii) Identification of whether the award is R&D;and ❑Yes ®No
(xiii)Indirect cost rate for the Federal award(including if de minimis(10%)
the de minimis rate is charged per§200.414 Indirect
(F&A)costs).
HCA Contract No. K3285-01 Page 10 of 10