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HomeMy WebLinkAbout092319_ca06 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. 1 re: Providing Medication Assisted Treatment Services To The Jefferson County Jail; In the Amount of$414,264; Jefferson County Sheriff; Olympic Peninsula Health Services STATEMENT OF ISSUE: The Jefferson County Sheriff requests the Board of County Commissioners to approve Amendment No. 1 to a Professional Services Agreement with Olympic Peninsula Health Services to provide Medication Assisted Treatment (MAT) services to inmates of the Jefferson County Jail. Amendment No. 1 extends the existing Agreement by one year to September 29, 2020, provides up to $414,264 funding for the service, and clarifies billing procedures. ANALYSIS: On January 14, 2019 the County approved an original agreement with Olympic Peninsula Health Services (OPHS) to provide MAT services in the Jail through September 29, 2019. The original agreement was pursuant to and funded by a grant that Jefferson County applied for and was awarded from the Washington State Health Care Authority(HCA). The original HCA grant contract and original OPHS service agreement established the Jefferson County Jail as an initiation site for Medication Assisted Treatment (MAT) and established an Opiate Treatment Network with Olympic Peninsula Health Services. Jefferson County has been awarded an amendment to the HCA grant, extending funding for MAT services for a full year, through September 29, 2020. The Sheriff's Office is proposing a corresponding Amendment No. 1 to the Professional Services Agreement with OPHS which would extend OPHS's services through September 29, 2020, compensate OPHS up to $414,264 for those services, and clarify billing procedures under the Agreement. FISCAL IMPACT: The cost of Amendment No. 1 is $414,264. It is funded by an Amendment No. 01 to Washington State Health Care Authority Contract no. K3285, which the Board of Commissioners is also considering adopting by separate action. RECOMMENDATION: The Commissioners are being asked to approve amendment No. 1 with Olympic Peninsula Health Services. Y: / ^ it"."4" ip Mo�F-� , County Adminis rator Date AMENDMENT TO PROFESSIONAL SERVICES AGREEMENT FOR PROVIDING MAT SERVICES TO THE JEFFERSON COUNTY JAIL THIS AMENDMENT TO PROFESIONAL SERVICES AGREEMENT("this Amendment") amends the Professional Services Agreement for Providing MAT Services to the Jefferson County Jail entered into between the Parties on January 14, 2019 ("the Agreement"), in consideration of the mutual benefits, terms, and conditions specified in the Agreement and below. 1. Purpose of this Amendment. The Washington State Health Care Authority and the County have amended HCA contract Number: K3285 ("the HCA Contract Amendment," attached), which is incorporated into this Agreement by reference and which extends the HCA Contract from September 29, 2019 to September 29, 2020. The purpose of this Amendment is to conform the Agreement to the HCA Contract Amendment. 2. Amendment of the Agreement. The Agreement is modified pursuant to this Amendment only. Unless specifically modified by this Amendment,the terms of the Agreement shall not be changed. 3. Revised Scope of Services. The scope of services is modified pursuant to this Amendment. Subject to subsequent grant funding, OPHS agrees to perform the services as outlined in Revised Schedule A: Scope of Work, attached hereto and incorporated herein, and consistent with the terms and conditions of this Agreement, and the terms and conditions of the HCA Contract and the HCA Contract Amendment. 4. Payment. Section 4 of the Agreement is replaced with the following: OPHS shall be paid by the County for completed work and for services rendered in conformance with this Amendment, the Agreement and the HCA Contract as follows: a. Payment for the work provided by OPHS shall be made as provided on Revised Schedule A: Scope of Work attached hereto, provided that the total amount of payment to OPHS shall not exceed $414,264,without express written modification of the Agreement signed by the County. b. OPHS may submit invoices to the County once per month during the progress of the work for partial payment for project completed to date. OPHS shall include all the information in the sample invoice in Appendix 1, including but not limited to tasks performed by each OPHS representative. Invoices shall indicate which deliverable(s) (from the deliverables table included in Revised Schedule A: Scope of Work of this Agreement) is/are being invoiced and shall include documentation sufficient to substantiate that the deliverable requirements have been met. c. The County will review the invoices and supporting documentation as required in Schedule A: Scope of Work of this Agreement, and upon approval thereof, payment will be made to OPHS in the amount approved. Payment of OPHS invoices shall occur within 30 days of receipt by the County for any invoiced services not in dispute based on the terms of this Agreement. d. For deliverable No. 6 in Revised Schedule A: Scope of Work of this Agreement, OPHS will invoice the County monthly at a rate of$1,000 per unique individual, when enrolled. e. OPHS will pay for the cost of medications provided. f. Final payment of any balance due OPHS of the total Agreement price earned will be made promptly upon its ascertainment and verification by the County after the completion of the work under this Agreement and its acceptance by the County. This includes any billing adjustments that may be allowed under deliverable No. 6 in Revised Schedule A: Scope of Work, if the benchmark is met of serving 126 unique individuals and meeting an overall individual retention of 50%during the period covered. g. Payment as provided in this section shall be full compensation for work performed, services rendered and for all materials, supplies, equipment, and incidentals necessary to complete the work. h. OPHS'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 three (3) years after final payments. Copies shall be made available upon request. 5. Schedule A: Scope of Work. Schedule A: Scope of Work is modified as indicated in the attached Revised Schedule A: Scope of Work. 6. Signature in Counterparts. The parties agree that separate copies of this Amendment 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. 7. Facsimile and Electronic Signatures. The parties agree that facsimile and electronic signatures of this Amendment shall have the same force and effect as original signatures. (SIGNATURES FOLLOW ON THE NEXT PAGE) JEFFERSON COUNTY WASHINGTON OLYMPIC PENINSULA HEALTH SERVICES PS Board of County Commissioners Jefferson County, Washington By: By: 4r1A-{2-1/1f. 9/19/2019 Kate Dean, Chair Date Ann Failoni, President Date By: David Sullivan, Commissioner Date By: Greg Brotherton, Commissioner Date SEAL: ATTEST: Carolyn Galloway Date Deputy Clerk of the Board Approved as to form only: Philip C. Hunsucker Date Chief Civil Deputy Prosecuting Attorney Revised Schedule A: Statement of Work Task Party(s) Responsible 1. Performance Work Statement. The Contractor County Jail will serve as the Initiation shall serve as the Initiation Site and be Site. See responsible parties in paragraphs a.-x, below. responsible for: a. Bringing MAT initiation, referral,and retention to an OPHS will provide these services to the individual prior to his or her transfer to the Local MAT County,except as noted below: Treatment Site,ensuring MAT capacity is maintained at • County staff will do initial screening both the Initiation and Local MAT Treatment Site(s). for referral upon an individual's entry into the Jail, using criteria and procedures provided by OPHS. OPHS staff will visit the Jail 2-3 times per week to confirm the accuracy of screenings and referrals. OPHS staff are available on-call during weekends to provide assistance with screening if needed. • County will obtain MAT medications prescribed by OPHS for individuals in custody. County or its medical service provider will administer MAT medications to enrolled individuals in custody as prescribed by OPHS, except that OPHS will administer Vivitrol to individuals in custody. OPHS will be responsible for all activities at Local MAT Treatment Sites outside the Jail. b. Serving as the lead organization and recipient of County is the lead organization and funding for the development and implementation of an recipient of funding. OPHS is a Opioid Treatment Network(OTN) model for adults with subconsultant to the County and is an Opioid Use Disorder(OUD)who are Medicaid responsible for operating the Opioid eligible or low income.OTN will give priority to: Treatment Network. (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 initiated to a minimum of Screening and referring inmates into 15 unique individuals no later than September 29,2020 MAT are shared by OPHS and County,as at the Initiation Site. described in 1.a., above. d. Holding responsibility for oversight of the OTN and OPHS has primary responsibility,with ensuring the Local MAT Treatment Site(s)are working support from County. 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. Task Party(s)Responsible e. Ensuring travel per diem,computers,office supplies,and OPHS 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 contract). f. Ensuring a low-barrier medication model. OPHS,with support by the County. g. Providing both agonist and antagonist MAT medications OPHS (on-site or in relationship with a pharmacy)in order to • County will obtain MAT medications facilitate initial inductions and ongoing treatment. prescribed by OPHS for individuals in custody. County or its medical service provider will administer MAT medications to enrolled individuals in custody as prescribed by OPHS, except that OPHS will administer Vivitrol to individuals in custody. OPHS will be responsible for all activities at Local MAT Treatment Sites outside the Jail. h. Providing intensive services by developing a central OPHS Initiation Site to provide MAT,and a warm hand-off 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. Hiring and/or contracting up to 2.0 FTEs to cover the OPHS functions listed below at the Initiation Site.Through subcontracting, provide for staffing at Local MAT Treatment Site(s).Specific staffing arrangements will be determined by Initiation Site.The following functions are required (individual staff may perform multiple functions): (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 Task Party(s) Responsible 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, DBHR and RDA.The Coordinator must become competent in all aspects of GPRA data collection required for this project(including completion of SAMHSA GRPA training)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. j. Ensuring specific tools,such as job descriptions and OPHS statements of work,are developed to ensure consistent practice throughout the OTN. k. Obtain Tobacco Treatment Specialist(TTS)certification OPHS by completing the 240 post-training service hours required for the certification. I. Continuing to Identify,collaborate,and subcontract County with Local MAT Treatment Site(s)that are willing to support and embrace MAT and are responsible for providing integrated carethat includes therapy,SUD counseling,outreach, MAT education,case management,tobacco cessation services,and/or referral services. m. Ensuring policies and procedures are in place OPHS in collaboration with County and throughout the OTN to mitigatemedication diversion. County's medical service provider(s). DBHR has the discretion to review the policies and procedures upon request. n. Securing and maintaining release-of-information forms County,using forms developed by OPHS that meet federal confidentiality regulations and allow in coordination with the County and the the release of patient identifying information between County's medical services provider(s). 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 OPHS and County, both. 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) County and OPHS will jointly participate with the HCA Contract Manager or SOR Project Director in monthly meetings with HCA Contract Task Party(s) Responsible or Treatment Manager to discuss project contract Manager. requirements, compliance,technical assistance needs, and problem-solving. q. Ensuring the use of a certified electronic health record OPHS will be responsible, utilizing the system,and review of the Prescription Monitoring Drug County's existing certified electronic Program data,when available and appropriate. DBHR health record system,Amazing Charts. may review this system upon site visit(s). r. Ensuring patient assessments utilized for MAT OPHS treatment services are consistent and transferable across the Opioid Treatment Network(OTN). s. Data Collection Requirements shall include: OPHS (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 z data collection system. 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) Three-month follow-up:completed from one (e) 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. (f) Discharge:to be completed within 15 days for all individuals leaving treatment. Administrative discharges(without interviews) are required for those lost to follow-up. (g) SAMHSA's Performance Accountability and Reporting System(SPARS)accounts,online training,and survey templates will be provided to OTNs(unless an alternative system is Task Party(s)Responsible identified); Project Evaluation (RDA)will provide OTN staff with technical assistance as needed. (h) GPRA Client Outcome Tool Implementation Delay:There will be a delay in implementation of the GPRA tool.Sites will not be considered out ofcompliance 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. (2) DSHS Research and Data Analysis(DSHRDA): OPHS,as supported by the County. 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 HC/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 OPHS with regard to accepted tribal traditional practices)and integrating tobacco cessation strategies, medications, and services in coordination with the 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)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 Task Party(s) Responsible 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 OPHS 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. v. Assisting in the preparation of reports(e.g.,SAMHSA OPHS in coordination with County. 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 OPHS realized from provision ofservices 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. 1 https://www.samhsa.govisitesidefault/files/GPRA/sais gpra client outcome instrument fin I. 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. i O p a''''. o In O O O)11; Ln o V1 '.0 'r ,--.) r-1 11)• V} 4JY 't/} pTr O 00 L O O N. O O O M O N rii 0:-.;.„. 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Federal Award Identification (reference 2 CFR 200.331)—SOR Grant CFDA#93.788 (i) Subrecipient name (which must match the name Jefferson County DBD Sheriff's associated with its unique entity identifier); Office (ii) Subrecipient's unique entity identifier; (DUNS) 619143741 (iii) Federal Award Identification Number (FAIN); H79TI081705 (iv) Federal Award Date (see §200.39 Federal award 9/19/18 date); (v) Subaward Period of Performance Start and End 12/31/2018 to 09/29/2019 Date; (vi)Amount of Federal Funds Obligated by this action; $880,764 (vii)Total Amount of Federal Funds Obligated to the $450880,764 subrecipient; (viii)Total Amount of the Federal Award; $21,573,093 (ix) Federal award project description, as required to be Washington State Opioid Response responsive to the Federal Funding Accountability (SOR) Grant and Transparency Act (FFATA); (x) Name of Federal awarding agency, pass-throuh Department of Health and Human entity, and contact information for awarding Services, Substance Abuse and official, 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 de minimis (10%) if the de minimis rate is charged per §200.414 Indirect (F&A) costs). Appendix 1—Invoice Sample INVOICE-Sample Jefferson County Jail 81 Elkins Road Port Hadlock,WA 98339 360.344.9743 K2385 Service Unit Price Total Date Description Quantity Induction MAT Inductions- XX—New xx/xx/xxxx August xx-Returning $1,000.00 $x,xxxx.00 Monthly Progress Report- xx/xx/xxxx July $xx,xxx.xx $x,xxxx.00 • *Each Task completed by each contracted position (see template below to be xx/xx/xxxx submitted with invoice) Hours Hours OTN Nurse Care Manager(NCM): Performed Performed by Describe Task Here Describe Task Here a a OTN Care Navigator: Describe Task Here Describe Task Here OTN Data Collection Coordinator: Describe Task Here Describe Task Here OTN MAT Prescriber: Describe Task Here Describe Task Here *Identify each task performed, by whom, and how many hours were documented for each of the four positions named in the Contract's Statement of work.