HomeMy WebLinkAbout022221_ca11Hea
615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org
Consent Agenda
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Vicki Kirkpatrick, Director
Anna McEnery, DD & BH County Coordinator
DATE:
SUBJECT: Agenda Item — a Memorandum of Understanding Agreement with
Jefferson County Juvenile Court; January 1, 2021— December 31, 2022;
$35,600.00 ($17,800.00 in 2021 and $17,800.00 in 2022)
STATEMENT OF ISSUE:
Jefferson County Public Health (JCPH); as the fund manager of the 1/10th of 1% Behavioral Health Sales Tax
Treatment Funds, is requesting Board approval of a Memorandum of Understanding (MOU) with the Jefferson
County Juvenile Court for the Therapeutic Support for Independent Living Project; January 1, 2021—
December 31, 2022; $35,600.00 ($17,800.00 in 2021 and $17,800.00 in 2022).
ANALYSIS/STRATEGIC GOALS/PRO'S and COWS:
This Memorandum of Understanding is with Jefferson County Juvenile Court for the Therapeutic Support for
Independent Living Project in an effort to help participants improve psychiatric symptoms and functioning,
reduce substance use, increase housing stability, employment, reduce arrests, increase connection to
community and improve quality of life for emerging adults experiencing independent living for the first time.
This Memorandum of Understanding results from an RFP process and is recommended by the Behavioral Health
Advisory Committee.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
This is sales tax revenue raised by the County in the 1/10th of 1% Behavioral Health Sales Tax Funds and is
allocated by the BOCC, with advice from the Behavioral Health Advisory Committee. The Memorandum of
Understanding states, if the sales tax revenue decreases; the Court will be contacted and the agreement may
be renegotiated.
RECOMMENDATION:
JCPH management request approval of a Memorandum of Understanding, to Jefferson County Juvenile Court;
January 1, 2021 — December 31, 2022; $35,600.00; ($17,800.00 in 2021 and $17,800.00 in 2022).
Community Health
Developmental Disabilities
360-385-9400
360-385-9401 (f)
Date
Environmental Public Health
360-385-9444
(f) 360-379-4487
Always working for a safer and healthier community
MEMORANDUM OF UNDERSTANDING
Between
Jefferson County Juvenile Court
and
Jefferson County Board of County Commissioners as Administrator of
1/loth of 1% Behavioral Health Sales Tax Fund — 2021-2022
WHEREAS, this Memorandum of Understanding (MOU) is between Jefferson County Juvenile
Court (Court) and the Jefferson County Board of County Commissioners (County) which administers
the 1/10th of 1% Behavioral Health Sales Tax; (Fund 131); through Jefferson County Public Health;
and
WHEREAS, this Memorandum of Understanding describes the mutually -agreed conditions under
which 1/loth of 1% Behavioral Health Sales Tax; (Fund 131); is being allocated to Jefferson County
Juvenile Court for the Therapeutic Support for Independent Living Project; in an effort to help
participants improve psychiatric symptoms and functioning, reduce substance use, increase housing
stability, employment, reduce arrests, increase connection to community and improve quality of life
for emerging adults experiencing independent living for the first time; and
WHEREAS, the Jefferson County Behavioral Health Advisory Committee voted to recommend the
1/10th of 1% Behavioral Health Sales Tax; (Fund 131); be allocated for Independent Living with
Therapeutic Support; in 2021-2022 as follows; January 1, 2021 — December 31, 2022; $35,600.00;
($17,800.00 in 2021 and $17,800.00 in 2022); for Therapeutic Support for Independent Living
Project; in Jefferson County Juvenile Court; and
WHEREAS, the Board of County Commissioners approved a 2021-2022 County Budget that
allocates funding from the 1 /loth of 1% Behavioral Health Sales Tax; (Fund 131); the consistent with
the Jefferson County Behavioral Health Advisory Committee's recommendations; and
WHEREAS, the Juvenile Court will administer the contracts and expenditures to provide
Therapeutic Support for Independent Living pursuant to this MOU from January 1, 2021 to December
31, 2022; and
WHEREAS, Work performed between January 1, 2021 and the execution of this Agreement that is
consistent with the provisions of this Agreement is hereby ratified; and
WHEREAS, all funds from the 1/IOth of 1% Behavioral Health Sales Tax; (Fund 131); may only be
used for their intended purpose within that budget year, and any unexpended funds remaining at the
end of a budget year must be retained in the 1 /loth of 1% Behavioral Health Sales Tax; (Fund 131);
fund balance, to be available for allocation for eligible services in future years; and
WHEREAS, Juvenile Court agrees to regularly report deliverables and metrics to Jefferson County
through the Jefferson County Public Health as specified under this MOU as a condition of receiving,
1/IOth of 1% Behavioral Health Sales Tax; (Fund 131); and to facilitate overall management of the
Fund;
NOW, THEREFORE, it is mutually agreed that:
1. The County, as administrator of the 1 /loth of 1% Behavioral Health Sales Tax; (Fund 131);
Jefferson County Juvenile Court mutually agrees for the Court to provide case management
1of11
services and other services to individuals enrolled in the Therapeutic Support for Independent
Living Project, as described in this MOU,
including EXHIBIT, A: Scope of Work: Therapeutic Support for Independent Living and
EXHIBIT B: Therapeutic Support for Independent Living Logic Model and Performance
Measures and EXHIBIT C: Jefferson County, 1/10th of 1% Behavioral Health Sales Tax;
(Fund 131); Spreadsheet attached hereto and incorporated herein.
2. Funding from the 1/loth of 1% Behavioral Health Sales Tax; (Fund 131); to the Juvenile Court
for the services pursuant to this MOU shall be up to $17,800 in 2021 and up to $17,800 in 2022
as described in the following Budget Table, subject to modification pursuant to Section 4 of this
MOU.
3. Juvenile Court will use the 1/10th of 1% Behavioral Health Sales Tax; (Fund 131); for direct
therapy services for participants in the Therapeutic Support for Independent Living Project.
Juvenile Court will not use the funding from Fund 131 to cover its own administrative costs to
administer this MOU and to administer contracts and associated billings to provide those
services.
Description
Service Period
Amount from
Fund 131
Therapeutic Support for Independent
Living x $120 an hour x 144 hours
1/1/2021 —
12/31/2021
$17,280
Admin
1/l/2021 —
12/31/2021
$520
Subtotal-2021
$17,800
Therapeutic Support for Independent
Living x $120 an hour x 72 hour
1/1/2021 —
12/31/2021
$17,280
Admin
1/l/2022 —
12/31 /2022
$520
Subtotal-2022
$17,800
Total Funding for Juvenile Court for
2021- 2022
$35,600
4. Funding approved pursuant to this MOU will be included in the 2021 and 2022 expenditure
appropriation budgets of Juvenile Court. In addition, a quarterly transfer from the 1 /1 Oth of 1 %
Behavioral Health Sales Tax; (Fund 131); for a total equal to the amount expended during the
YTD period minus previous expenditure reimbursements from this award not to exceed the
authorized annual amounts in the Budget Table above, will be made to the Juvenile Court
revenue budget upon timely submittal of required reports. Funds provided pursuant to this MOU
will be tracked separately by the Court and may only be used for its intended purpose within that
budget year. At the end of each budget year, if documented actual authorized expenditures
pursuant to this MOU services related to/for the Therapeutic Support for Independent Living
Project are less than the authorized budgeted amount, the difference will be transferred back to
the 1/IOth of 1% Behavioral Health Sales Tax; (Fund 131); Juvenile Court will not exceed the
amount provided by the 1/loth of 1% Behavioral Health Sales Tax; (Fund 131); without obtaining
an appropriation.
2of11
Funding provided by the 1 /1 Oth of 1 % Behavioral Health Sales Tax; (Fund 131); will be used to
encourage participant compliance as well as help participants improve psychiatric symptoms and
functioning, reduce substance use, increase housing stability, employment, reduce arrests,
increase connection to community and improve quality of life. Funding will be used to assist
participants with the above areas. Funding listed in the table on page two are approximations for
each line item, (with the exception of Administration) and may be shared between the
descriptions, with budget updates given to Public Health.
6. Juvenile Court will use the 1/10th of 1% Behavioral Health Sales Tax; (Fund 131) Spreadsheet;
see EXHIBIT C - Jefferson County, 1/1011 of 1% Behavioral Health Sales Tax; (Fund 131);
Spreadsheet for actual paid monthly expenses that have incurred.
7. Provide monthly financial reports per EXHIBIT C - Jefferson County, 1/10th of 1%
Behavioral Health Sales Tax; (Fund 131); Spreadsheet for actual paid monthly expenses that
have incurred and email them quarterly to the Auditor's Chief Accountant and to Public Health.
8. Juvenile Court and any Contractors it may use to provide Therapeutic Support with the 1/loth of
1% Behavioral Health Sales Tax; (Fund 131); shall comply with the following:
ATTACHMENT A - Jefferson County 1/10th of 1% Behavioral Health Sales Tax Match
Policy.
a. The County reserves first right to use as match, the Chemical Dependency or Mental Health
Treatment Sales and Use Tax, (now known as the 1/10th of 1% Behavioral Health Sales Tax)
and the services funded by them for purposes of qualifying for additional funding and grants.
The County may allow the Contractor to use the 1/1Oth of 1% Behavioral Health Sales Tax
funds as match, at the County's sole discretion. Should the County decline to use the 1/101h
of 1% Behavioral Health Sales Tax funds as match for additional funding and/or grants, then
the County may authorize the Contractor to use such funds for match consistent with this
MOU; as required by ATTACHMENT A - Jefferson County 1/10th of 1% Behavioral
Health Sales Tax Funding Match Policy.
b. Where the Court or its Contractor proposes to use 1/IOth of 1% Behavioral Health Sales Tax;
(Fund 131); funds for match, the Court or its Contractor shall be solely responsible for
compliance with all state and federal laws and regulations, including but not limited to DSHS,
CMS and DBHR funding rules, applicable to the use of 1/10th of 1% Behavioral Health Sales
Tax funds as match. The Court or its Contractor shall document it has met this responsibility
by submitting in writing to the Juvenile Court and County Administrator their match formula,
allocation plan and any other documentation required of them by ATTACHMENT A -
Jefferson County 1/10th of 1% Behavioral Health Sales Tax Funding Match Policy. The
County may withhold authorization to utilize the 1/IOth of 1% Behavioral Health Sales Tax as
match. The Court's or its Contractor's failure to provide adequate documentation does not
relieve the Court or its Contractor of their responsibility to comply with all state and federal
laws and regulations related to match.
3of11
9. This MOU may be amended by mutual written agreement of both parties. The basis for
amending this agreement includes, but is not limited to, an increase or decrease in sales tax
funding, or addition of required tasks not addressed in this agreement.
10. This MOU shall remain in effect from January 1, 2021 until December 31, 2022, unless
terminated before then by either party with 30 days' prior written notice, except that the
requirements to provide financial and program reports and other documentation required
pursuant to EXHIBIT A, EXHIBIT B, EXHIBIT C and ATTACHMENT A shall remain in
effect until fulfilled. All work performed in 2021 and 2022 consistent with this MOU prior to its
adoption is hereby ratified.
DATED this _ day of 2021.
Jefferson County Board of Commissioners Jefferson County Juvenile Court
Kate Dean, Chair
Attest:
Carolyn Gallaway, Clerk of the Board
Brenda Carr, Juvenile Court
Administrator
Approved as to Form Only:
' 4 z /&
Philip Hunsucker, Chief Civil D uty
Prosecuting Attorney
4of11
EXHIBIT A
Scope of Work:
Therapeutic Support for Independent Living Project
Jefferson County Juvenile Court agrees to utilize the 1/10`h of 1% Behavioral Health Sales Tax; (Fund
131); provided through this MOU to provide the following services and provide tracking reports as
follows:
1. Provide assessment, counseling and behavioral health support to emerging adults (ages 18-
24), who are involved in the independent living/housing program at the Pfeiffer House.
2. Provide social and emotional skill coaching for Pfeiffer House residents.
3. Provide group therapeutic work around the creation of a self-government for the living
environment and ongoing support as needed in the areas of relationship building and conflict
resolution.
4. During the initial stages of the program, assist the Program Manager and steering committee
in the creation of appropriate expectations of program participants, screening tools for guiding
service delivery, and plans for community engagement and public relations for the Pfeiffer
House program.
5. Track time, create client notes, and keep records as expected by the Program Manager, the
Juvenile Court Administrator and the 1/10'h of 1% Behavioral Health Sales Tax Oversight
Committee.
6. If the Court utilizes funds under this MOU to hire a Contractor to provide case management
services or administration and billing services subject to this MOU, the Court agrees to
prepare for BoCC approval a professional services agreement with the Contractor, which
Agreement has been approved by the County's Risk Management and Legal review, and
which requires Contractor's compliance with the provisions of this MOU, including
compliance with the provisions of Section 8 of this MOU, and requires the Contractor to
timely provide all financial and program reports and other documentation necessary for the
Court to comply with this MOU.
7. Provide at least the following for the Therapeutic Support for Independent Living Project to
assure access to appropriate treatments and services:
5of11
a) Provide monthly financial reports per EXHIBIT C - Jefferson County,1/loth of 1%
Behavioral Health Sales Tax; (Fund 131); Spreadsheet for actual paid monthly
expenses that have incurred and email them quarterly to the Auditor's Chief
Accountant and to Public Health.
b) Juvenile Court will provide an estimate of projected expenditures under this MOU for
the remainder of the year at the end of October of 2021 and at the end of October 2022
to Public Health.
c) Juvenile Court will provide all 2021 invoices to the Auditor's office for processing
during the Open Period, (a.k.a. 13th Month, in January); and the final reporting by
January 20, 2022 and January 19, 2023.
d) Provide to Jefferson County through Jefferson County Public Health a copy of any
service contracts (and all amendments associated therewith) with the 1/1Oth of 1%
Behavioral Health Sales Tax; (Fund 131); under this MOU.
e) Jefferson County Juvenile Court will provide quarterly statistics in an electronic form
that is developed and may be revised by Jefferson County Public Health and the Kitsap
Health District, in consultation with the Court, for statistical and program data
collection.
f) Jefferson County Juvenile Court will ensure that quarterly electronic reports for the
Therapeutic Support for Independent Living Project; are sent to Amanda Tjemsland of
Kitsap County Health District, at: Amanda. Tjemslandgkitsappublichealth.org and that
a copy of each electronic report is also sent to Anna McEnery of Jefferson County
Public Health at amcenery_gco.jefferson.wa.us.
o Quarterly reports will be reviewed by Public Health and Kitsap County Health
District for accuracy. Any questions will be referred back to the Court.
6of11
EXHIBIT B
Logic Model
Therapeutic Support for Independent Living Project
(Emerging Adults age 18-24)
INPUT
Therapeutic Support for
Independent Living:
1. Housing and intake
screening identifies case
management goals that include
therapeutic support.
2. Ongoing therapeutic
support and relationship skill
bldg. on -site w/ collaboration
with other providers.
3. Participants (emerging adults
ages 18-24) experience
coaching in independent living
skills such as supporting other
residents, self -care, education
and employment support, self-
government group work as
well as social skill development
within an independent living
environment.
and consistent coachii
time residents.
7of11
EXHIBIT C:
JEFFERSON CO 1/101h of 1% Behavioral Health Sales Tax; (Fund 131)
SPREADSHEET
Therapeutic SUDDort for Independent Living Project-2021
Therapeutic Support for Independent Living Project AWARD: $17,800.00
Month of
Vendor Svc Date Paid Amount Description/Service
Total FTC Court YTD
Expended $0.00
Total FTC Court Remaining $0.00
8of11
EXHIBIT C:
JEFFERSON CO 1/10th of 1% Behavioral Health Sales Tax; (Fund 131)
SPREADSHEET
Therapeutic Sunaort for Indevendent Living Proiect-2022
Therapeutic Support for Independent Living Project AWARD: $17,800.00
Month of
Vendor Svc Date Paid Amount Description/Service
Total FTC Court YTD
Expended $0.00
Total FTC Court Remaining $0.00
9of11
ATTACHMENT A
JEFFERSON COUNTY 1/10th of 1% BEHAVIORAL HEALTH SALES TAX FUNDING
MATCH POLICY
Definitions:
Match: is a requirement for the grantee to provide contributions of a specified amount or
percentage to match funds provided by another grantor. Matching can be in the form of cash
or in -kind contributions.
Regulations: The specific requirements for matching funds are unique to each federal or state
program. The A-102 Common Rule provides criteria for acceptable costs and contributions in
regard to match.
Jefferson County Policy:
In 2005, the Washington State Legislature created an option for counties to raise the local sales tax by
0.1 percent, (the 1/IOth of 1% sales tax initiative) to augment state funding for behavioral health
treatment. Jefferson County collects and distributes the 1/101h of 1% Behavioral Health Sales Tax
fund. 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 Behavioral Health 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 1/loth of 1% Behavioral Health Sales 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 1/loth of 1% Behavioral Health Sales 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 the 1/loth of 1% Behavioral Health Sales 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 the 1/ 1 Oth of 1 % Behavioral Health Sales
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 1/loth of 1 % Behavioral Health Sales Tax funds as match. Following state,
federal and local guidelines for match is the responsibility of the Contractor.
10 of 11
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 1/l0a' of 1% Behavioral
Health Sales Tax fund 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 1/10lb of 1% Behavioral Health Sales
Tax funding as match.
11 of 11