HomeMy WebLinkAboutca11Amend1Truancy Reform Jefferson County Juvenile Court 615 Sheridan Street
Port Townsend, WA 98368
cefehson www.JeffersonCountyPublicHealth.org
Consent Agenda
Public Heal
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Mark McCauley, County Administrator
FROM: Apple Martine, Director
Anna McEnery, DD & BH Coordinator
DATE:
SUBJECT: Agenda Item — Amendment #1 - Memorandum of Understanding
Agreement with Jefferson County Juvenile Court; January 1, 2021 —
December 31, 2022; an additional $2,690.00 in funding, for a total of
$25,690.00, for this agreement
STATEMENT OF ISSUE:
Jefferson County Public Health, (JCPH), is requesting Board approval of Amendment #1 to the Memorandum
of Understanding Agreement with Jefferson County Juvenile Court; Direct services (e.g. Functional Family
Therapy) for youth participants in the Truancy Reform Project; January 1, 2021 — December 31, 2022; an
additional $2,690.00 in funding, for a total of $25,690.00, for this agreement.
ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S:
Amendment #1 to the Memorandum of Understanding Agreement; is with the Jefferson County Juvenile
Court; for the Truancy Reform Project for Jefferson County youth with behavioral or emotional problems
affected by substance abuse, chemical dependency and mental health issues. Direct services (e.g. Functional
Family Therapy) will be provided to youth participants in the Truancy Reform Project.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
This is County sales tax revenue, which is deposited into the 1/10 of 1% Fund; the BoCC allocates it, with
input from 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.
The initial Professional Services Agreement resulted from an RFP process and was recommended to the BoCC
by the Behavioral Health Advisory Committee.
Community Health Environmental Public Health
Developmental Disabilities 360-385-9444
360-385-9400 (f) 360-379-4487
360-385-9401 (f) Always working for a safer and healthier community
A D-21-014-A l
RECOMMENDATION:
JCPH management requests approval of the Amendment #1 to the Memorandum of Understanding Agreement
with Jefferson County Juvenile Court; Direct services (e.g. Functional Family Therapy) for youth participants in
the Truancy Reform Project; January 1, 2021 — December 31, 2022; an additional $2,690.00 in funding, for a
total of$25,690.00 for this agreement.
REVIEWED BY:
71744ZZ J
///1/71-2—
Mark McCauley, C my Administrator Date
Community Health Environmental Public Health
Developmental Disabilities 360-385-9444
360-385-9400 (f) 360-379-4487
360-385-9401 (f) Always working for a safer and healthier community
CONTRACT AMENDMENT #1
MEMORANDUM OF UNDERSTANDING
Between
Jefferson County Juvenile Court
And
Jefferson County Board of County Commissioners as Administrator of
1/10th 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 1/10th of 1% Behavioral Health Sales Tax; (Fund 131); is being allocated to Jefferson
County Juvenile Court for the Truancy Reform Project. This Project will provide direct services
(e.g. Functional Family Therapy) for youth participants with behavioral or emotional problems
affected by substance abuse, chemical dependency and mental health issues; and
WHEREAS,the parties desire to amend the terms of that agreement.
IT IS AGREED BETWEEN BOTH PARTIES AS NAMED HEREIN AS FOLLOWS:
The term of the above referenced agreement ends December 31, 2022.
1. Subcontractor's Contract will be increased by $2,690.00 in funding for services rendered
during the term of June 1, 2022 through December 31, 2022. Total compensation under this
Agreement shall not exceed $25,690.00, without express written amendment signed by
both parties.
2. Work performed between June 1,2022 and the execution of this Agreement that is consistent
with the provisions of this Agreement is hereby ratified.
3. All other terms and conditions of the agreement will remain the same.
Dated this day of ,2022
By:
Heidi Eisenhour, Chair
Jefferson Board of County Commissioners
By:
Barbara Carr, Administrator
Jefferson County Juvenile Services
AD-21-O 14-A I
ATTEST:
By:
Carolyn Gallaway,Clerk of the Board
APPROVED AS TO FORM ONLY:
By: July 7, 2022
Philip C.Hunsucker, Date
Chief Civil Deputy Prosecuting Attorney
2
«•,V� MEMORANDUM OF UNDERSTANDING , gp
alf
(J v Between
x� '�' Jefferson County Juvenile Court
and
Jefferson County Board of County Commissioners as Administrator of
1/10th 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/l0th 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 1/10th of 1% Behavioral Health Sales Tax; (Fund 131); is being allocated to Jefferson County
Juvenile Court for the Truancy Reform Project for youth with behavioral or emotional problems
affected by substance abuse,chemical dependency and mental health issues; 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 therapeutic court case
management services in 2021-2022 as follows; $23,000 for the Truancy Reform Project in Jefferson
County Juvenile Court; and
WHEREAS,the Board of County Commissioners approved a 2021-2022 County Budget that
allocates funding from the 1/10th 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 the
therapeutic court case management services 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 1/10th 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 1/10th 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,
1/10th 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 1/10th of 1%Behavioral Health Sales Tax; (Fund 131);
Jefferson County Juvenile Court mutually agrees for the Court to provide case management
services and other services to individuals enrolled in the Truancy Reform Project in Juvenile
Court, as described in this MOU, including EXHIBIT A: Scope of Work: Truancy Reform
Project and EXHIBIT B: Therapeutic Courts 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.
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Funding from the 1/10th of 1% Behavioral Health Sales Tax; (Fund 131);to the Juvenile Court for the
services pursuant to this MOU shall be up to $11,500 in 2021 and up to $11,500 in 2022 as described
in the following Budget Table, subject to modification pursuant to Section 4 of this MOU.
Juvenile Court will use the 1/10th of 1%Behavioral Health Sales Tax; (Fund 131); for direct services
(e.g. Functional Family Therapy) for participants in the Truancy Reform 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
Functional Family Therapy Cost per 1/1/2021 —
Family: $2500.00 12/31/2021 $10,000
Projected # of Families Served: 4 $1,500
Booster Sessions - 6
Truancy Reform Project Functional 1/1/2021 — $11,500
Family Therapy and Other Services: 12/31/2021
Subtotal:
Functional Family Therapy 1/1/2022—
12/31/2022
Cost per Family: $2500.00 $10,000
Projected#of Families Served: 4 $1,500
Booster Sessions - 6
Truancy Reform Project Functional 1/1/2022— $11,500
Family Therapy and Other Services: 12/31/2022
Subtotal:
Total Funding for Juvenile Court for $23,000
2021-2022
1. 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 1/10th 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 Truancy Reform Project are less than the
authorized budgeted amount, the difference will be transferred back to the 1/10th of 1%
Behavioral Health Sales Tax; (Fund 131); Juvenile Court will not exceed the amount provided by
the 1/10th of 1% Behavioral Health Sales Tax; (Fund 131); without obtaining an appropriation.
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2. Funding provided by the 1/10th of 1% Behavioral Health Sales Tax; (Fund 131); will be used to
monitor participant compliance and as well as help participants improve psychiatric symptoms
and functioning, reduce substance use, reduce hospitalizations, increase housing stability, reduce
arrests,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 and may be
shared between the descriptions, with budget updates given to Public Health.
3. Juvenile Court will use the 1/10th of 1% Behavioral Health Sales Tax; (Fund 131) Spreadsheet;
see EXHIBIT C -Jefferson County, 1/10th of 1% Behavioral Health Sales Tax; (Fund 131);
Spreadsheet for actual paid monthly expenses that have incurred.
4. A copy of EXHIBIT C—Jefferson County, 1/10th of 1% Behavioral Health Sales Tax;
(Fund 131); Spreadsheet will be emailed by the 10th of every month to Judy Shepherd of the
Auditor's Office at jshepherd@co.jefferson.wa.us and to Veronica Shaw of Public Health at
veronica@cojefferson.wa.us.
5. Juvenile Court and any Contractors it may use to provide Case Management with the 1/10th 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 Countyreserves first right to use as match,the Chemical
g 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 1/10th of 1%Behavioral Health Sales Tax
funds as match, at the County's sole discretion. Should the County decline to use the 1/10th
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 1/10th 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 1/10th 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.
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6. 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.
7. 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 t-3-day ofA2021.
Jefferson County Board of Commissioners Jeffe son ounty Juvenile Court
Kate Dean, Chair B. b,:'rra Carr, Juvenile Court
Administrator
Attest: Approved as to Form Only:
(le / /
Carolyn Gal way, Clerk of the 1r'aard Philip Hunsucker, Chief Civil eputy
Prosecuting Attorney
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EXHIBIT A
Scope of Work: Truancy Reform Project
Jefferson County Juvenile Court agrees to utilize the l/10th 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 the intervention of Functional Family Therapy (FFT) to youth who are referred
via that Jefferson County Truancy Reform Project in writing by Jefferson County Juvenile
Services, in accordance with the FFT model, which shall include but is not limited to:
a) Concepts and practice contained in the most recent Blueprints for Violence
Prevention: Functional Family Therapy;
b) General Precepts/Practice/Assessment practices contained in FFT initial 3-Day
Training and 1-Day Systems Training;
c) Clinical Guidance as supplied by:
➢ FFT, Inc.;
➢ Local FFT Supervisor in formal consultation and any FFT site visits.
2. Make referrals to Functional Family Therapy"in conjunction"with any current treatment
program, and require a mutual exchange of information release to increase the
effectiveness of all co-occurring treatment modalities.
3. Assure that youth referred for truancy from school districts, undergo the WARNS
(Washington Assessment of Risk and Needs for Students) Assessment. This assessment
identifies risk factors that are related to truant behaviors.
4. Collect and share data statistics; school attendance data, court and school referral data,
WARNS assessment data, court collection of referral dates, start dates and completion
dates, and school outcome data for school attendance, for the administration of the
Truancy Reform Project and for reporting purposes.
5. EXHIBIT B: The Truancy Reform Project's Logic Model and Performance
Measures are attached hereto and incorporated herein.
6. The 1/10th of 1%Behavioral Health Sales Tax; (Fund 131); provides support
needed to operate the Truancy Reform Project,which protects public safety while
reducing the students risk for future justice involvement and placement in a higher,
more restrictive level of care or incarceration. Funds provide Functional Family
Therapy Intervention to all referred youth and their families.
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7. 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.
8. Provide at least the following for the Truancy Reform Project to enable the Behavioral
Health Advisory Committee to review usage of allocated funds in order to assure access to
appropriate treatments and services:
a) 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 to;Judy Shepherd of the Auditor's Office at
jshepherdAco jefferson.wa.us and to Veronica Shaw of Public Health at
veronica@co.jefferson.wa.us by the 10th of every month.
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 the Auditors office and Public Health.
c) Juvenile Court will provide all 2021 invoices to the Auditors office for processing by
January 7,2022 and all 2022 invoices by January 6, 2023.
d) Provide to Jefferson County through Jefferson County Public Health a copy of any
service contracts(and all amendments associated therewith)with the 1/10th 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
Truancy Reform Project are sent to Amanda Tjemsland of Kitsap County Health
District,at: Amanda.Tjemsland(akitsappublichealth.org and that a copy of each
electronic report is also sent to Anna McEnery of Jefferson County Public Health at
amcenery@co.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.
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EXHIBIT B
TRUANCY, At-Risk Family FFT Logic Model —
Jefferson County 1/10th of 1% Sales Tax
Truancy/At-Risk Project with FFT intervention - School, LEA, Court and Family
Therapy Collaboration
(NOTE:An additional Logic Model specifically for the FFT intervention
http://www.episcenter.psu.edu/sites/default/files/ebp/functional-family-therapy-logic-model-REV%204-2014.pdf)
OUTPUTS
INPUT 11 v CO S
=��' Truancy: 1.Youth and fimily have
Truancy: 1.Student meets legal"truant" Truancy.1 Youth is g developed skills to addre
definition and truancy referral by school and engaged in appropriate behaviors related to truancy;
received; educational program, 2.Action plan created to
2.WARNS assessment completed,CTB communication at home is specifically address barriers to
scheduled;C 13 notified of FFT ineiptaved; educational success 3. Student
eligibility status including CD/MII risks; 2.Factors leading to truant attends school and potentially
3.CTB held and FFT included in Student behavior are addressed;
Truancy Intervention Agreement,with increases other pro-social
priority given to middle school opportunities 3.Youth has improved education
o rtunities e.g.;school activities.
students/family if necessary; outcomes such as better attendance 4.Youth and family's belief that
3a.If youth is non-compliant with and educational progress. education has personal value is
CTB recommendations,Court may refer 4.Youth no longer meets"truant" improved.
eligible youth when a"finding of definition and is dismissed from At-Risk Family: 1.At-risk
truancy"is reached; court truancy intervention behaviors reduced and/or better
4.Referral made to FFT provider within At-Risk Family; 1.Factors leading specific management of family's
I week by JC Truancy Coordinator,and to family distress are addressed; spidecific
management
hand-off session with family and FFT 2.Youth is not exhibiting same 2.Overall improvement of family
therapist is held. risky behaviors and is following
At-Risk Family: 1.Prevention referral functioning;and reduced at-risk
received from law enforcement,school, appropriate household rules,and is behaviors;
parent or child; successfully addressing substance 3.Behavior change successful;
2.WARNS or other non-offender use or mental health issues; family environment improved to
assessment completed and determines 5.Youth&Family no longer meet preserve family unit.
risk factors in areas of MI-I/CD and At Risk definition and services
family dysfunction; terminated.
3.If family willing,referral made for
early intervention FFT.
PROCESS
i.Referred youth and their families
receive Functional Family Therapy Any discontinuation of FFT will be reported to the
Intervention,moving through all Juvenile Court Becca Counselor.
phases successfully: School will decide the path forward for truancy;
Engagement for At Risk Prevention.
Motivation The Becca Counselor will consider the
Relational Assessment appropriateness of moving forward with
Behavior Change encouraging a formal filing of an at-risk youth or a
Generalization 2.JC BECCA Counselor is notified child in need of services petition.
of progress through the phases;
3.Barriers to educational success and
family support are identified;
4.Family completes FFT and
therapist reports completion to JC
Becca Counselor.
7ofI1
EXHIBIT C:
JEFFERSON CO 1/10th of 1% Behavioral Health Sales Tax; (Fund 131)
SPREADSHEET
TRUANCY REFORM PROJECT-2021
TRUANCY REFORM PROJECT TOTAL A WARD: $11,500.00
Month of
Vendor Svc Date Paid Amount Description/Service
Total FTC Court YTD
Expended $0.00
Total FTC Court Remaining $0.00
8 of 11
EXHIBIT C:
JEFFERSON CO 1/10th of 1% Behavioral Health Sales Tax; (Fund 131)
SPREADSHEET
TRUANCY REFORM PROJECT-2022
TRUANCY REFORM PROJECT AWARD: $11,500.00
Month of
Vendor Svc Date Paid Amount Description/Service
Total FTC Court YID
Expended $0.00
Total FTC Court Remaining $0.00
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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 1/10th of 1% sales tax initiative)to augment state funding for behavioral health
treatment. Jefferson County collects and distributes the 1/10th 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 1/10th 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 1/10th 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 1/10th 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 1/10th 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 1/10th 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 1/10th 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 1/10th of 1% Behavioral Health Sales
Tax funding as match.
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615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org
de�exson
Public He 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 2021 rstDecing embegreement r 31, 2022;1th Jefferson
$23,000.00
County Juvenile Court; January
STATEMENT OF ISSUE:
Jefferson County Public Health, (JCPH); as the fund manager of the 1/10th of 10/0 Behavioral Healt�hSales Tax
Treatment Funds, is requesting Board approval of a Memorandum of Understanding, (MOU);
with e
Jefferson County Juvenile Court; for the Truancy
0y Reform Project; January 1, 2021 — December 31, 2022;
$23,000.00 ($11,500.00 in 2021 and $11
ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S:
This Memorandum of Understanding, is with the Jefferson County Juvenile Court; for the Truancy Reform
Project for Jefferson County youth with behavioral or emotional problems affected by substance abuse,
chemical dependency and mental health issues. Direct services (e.g. Functional Family Therapy) will be
provided to youth participants in the Truancy Reform Project.
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 Treatment
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 aMerigand $11,500.00�n 2 Juvenile Court;
January 1, 2021 — December 31, 2022; $23,000.00
r 000 00 ($11,500.00 n 2021
REVIEWA.
iilitaleig&
Phili• r ey, County a r trator Date
Environmental Public Health
Community Health 36D-385-9444
Developmental Disabilities (f)360-35-9444
360-385-9400
360-385-9401 (f) Always working for a safer and healthier community
RECEIVED
FEB 1 8 2021
CoTty
Public Heattn
CONTRACT REVIEW FORM JEFFERSON COUNTY
COMMISSIONERS
CONTRACT WITH: Jefferson County Juvenile Court TRACKING NO.: AD-21-014
(Contractor/Consultant)
CONTRACT FOR: Truancy Reform Project TERM: 1/1/21 to 12/31/22
COUNTY DEPARTMENT: Jefferson County Public Health
For More Information Contact: Anna McEnery
Contact Phone #: x410
RETURN TO: Karen Abbott RETURN BY: ASAP
(Person in Department) (Date)
AMOUNT: $23,000 PROCESS: ❑ Exempt from Bid Process
❑ Consultant Selection Process
Revenue ❑ Cooperative Purchase
Expenditure $23,000 ❑ Competitive Sealed Bid
Matching funds Required ❑ Small Works Roster
Source(s)of Matching Funds ❑ Vendor List Bid
▪ RFP or RFQ
O Other-MOU
Step 1: REVIEW BYl flPN)% E ENT
Revie- . f
Date Re
APPROVED FORM ❑ Returned for revision(See Comments)
Comments
Step 2: REVIEW BY PROS jil• NG ATTORNEY
Review by: • C. Philip C. Hunsucker
Date Reviewed: .2- /B�� Chief Civil Deputy Prosecuting Attorney
APPROVED AS TO FO > ,/� _ • Returned for revision(See Comments)
Comments At "'Wu
Step 3: (If required)DEPARTMENT MAKES REVISIONS&RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY
Step 4: CONTRACTOR/CONSULTANT SIGNS APPROPRIATE NUMBER OF ORIGINALS
Step 5: SUBMIT TO BOCC FOR APPROVAL
Submit original Contract(s),Agenda Request,and Contract Review form. Also,please send 2 copies of just the Contract(s)
(with the originals)to the BOCC Office. Place"Sign Here"markers on all places the BOCC needs to sign. MUST be in
BOCC Office by 4:30 p.m.TUESDAY for the following Monday's agenda.
(This form to stay with contract throughout the contract review process.)