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Home My WebLink AboutPH DSHS Amendment No 1 615 Sheridan Street Port Townsend, WA 98368 c9e1[ehson www.JeffersonCountyPublicHealth.org Consent Agenda Public Healt JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Mark Mc Cauley, County Administrator FROM: Apple Martine, Public Health Director Anna McEnery, DD & BH Coordinator DATE: j�tVsuG ri� Z, 262 q SUBJECT: Agenda Item — Amendment #1 to the Program Agreement with Department of Social and Health Services, the Developmental Disabilities Administration (DDA); #2363-48908; in Jefferson County, Washington; July 1, 2023 — June 30, 2024; additional revenue of $304,353.00; for a total of $943,727.00 STATEMENT OF ISSUE: Jefferson County Public Health, the Developmental Disabilities Division; is requesting Board approval of Amendment #1 to the Program Agreement with Department of Social and Health Services, (DSHS); the Developmental Disabilities Administration, (DDA); #2363-48908; in Jefferson County, Washington; July 1, 2023- June 30, 2024; additional revenue of $304,353.00; for a total of $943,727.00. ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S: This Contract Amendment supports a continuation of programs with DSHS - DDA; for services to individuals PP P 9 who experience intellectual/developmental disabilities; in Jefferson County, Washington. The Program Agreement covers a variety of services. The services include: Administration, Training expenses (volunteers, board members, staff), Community Information Activities, Consumer Support, Early Intervention Services, Individual Supported Employment, Group Supported Employment, Community Inclusion, Individual Technical Assistance and other activities (Special Projects). Community Inclusion is individualized services provided in integrated community settings. Activities are tailored to the individual's needs, interests, and abilities; opportunities that are typically experienced by the general public of similar age in their local community. The goal of the service is to support individuals to participate, contribute, and develop relationships with community members who are not paid staff. 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 DD-23-049-A 1 Community Inclusion Services may be authorized for individuals age 62 and older. In addition, since January 1, 2023, DDA has authorized concurrent services. That means an individual who experiences an intellectual developmental disability and has received nine months of employment support, (in Individual Employment or Group Employment Services) will be offered Community Inclusion Services. The added funding from DDA will go towards individuals accessing concurrent services and additional Individual Employment and Group Employment services. The Statement of Work requires a qualified Developmental Disabilities Coordinator, Developmental Disabilities Advisory Board, working knowledge of DSHS/DRW Access Agreement and assignment of Medicaid billing rights under Title XIX. The Jefferson County Developmental Disabilities Program has Professional Service Agreements with agencies and/or organizations to provide services. The Jefferson County, Intellectual/Developmental Disabilities Advisory Board agrees that these are essential and important services for our community. FISCAL IMPACT/COST BENEFIT ANALYSIS : This Program Agreement with the Department of Social and Health Services; includes both State and Waiver revenue. This revenue will be used to support services in the Jefferson County, Developmental Disabilities Programs. RECOMMENDATION: Jefferson County Public Health, the Developmental Disabilities Division; requests Board approval of Amendment #1 to the Program Agreement with Department of Social and Health Services, (DSHS); the Developmental Disabilities Administration, (DDA); #2363-48908; in Jefferson County, Washington; July 1, 2023- June 30, 2024; additional revenue of $304,353.00; for a total of$943,727.00. REVIEWED BY: � 1 /' /.2 yi>?3 Mark McCauley, C ty Administrator Da 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 REVIEW FORM Clear Form (INSTRUCTIONS ARE ON THE NEXT PAGE) CONTRACT WITH: DSHS-Developmental Disabilities Administration-(DDA) Contract No: DD-23-049-A1 Contract For: Services for People who experience Intellectual/Developmental Disabilities Term: July 1, 2023-June 30, 2024 COUNTY DEPARTMENT: Jefferson County Public Health-DD Program Contact Person: Anna McEnery Contact Phone: 360-385-9410 Contact email: amcenery@co.jefferson.wa.us AMOUNT: $304,353.00 PROCESS: ✓ Exempt from Bid Process Revenue: $304,353.00 _ Cooperative Purchase Expenditure: Competitive Sealed Bid Matching Funds Required: Small Works Roster Sources(s) of Matching Funds _ Vendor List Bid Fund# PH fund#127 RFP or RFQ Munis Org/Obj #12756800 Other: APPROVAL STEPS: STEP 1: DEPARTMENT CERTIFIES COMP CE W 55.080 AND CHAPTER 42.23 RCW. CERTIFIED: N/A: - - Dec. 19,2023 Signature Date STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE COUNTY (CONTRACTOR) HAS NOT BEEN DEBA BY ANY FEDERAL, STATE, OR LOCAL AGENCY. CERTIFIED: l l N/A: f __ Dec. 19, 2023 Signature Date STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche): Electronically approved by Risk Management on 12/26/2023. STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche): Electronically approved as to form by PAO on 12/21/2023. Approved as to form PAO 12.21.23 STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND PROSECUTING ATTORNEY(IF REQUIRED). STEP 6: CONTRACTOR SIGNS STEP 7: SUBMIT TO BOCC FOR APPROVAL 1 DSHS Agreement Number . ,,., , ` "'`' COUNTY PROGRAM AGREEMENT 2363-48908 Department of Social ''t &Health Services AMENDMENT Amendment No. 01 Transforming lives This Program Agreement Amendment is by and between the State of Washington Administration or Division Department of Social and Health Services (DSHS)and the County identified below. Agreement Number DD-23-049-A1 County Agreement Number DSHS ADMINISTRATION DSHS DIVISION DSHS INDEX NUMBER CCS CONTRACT CODE Developmental Disabilities Division of Developmental 1223 1223 Admin Disabilities DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS Wendi Winchel PO BOX 45315 Olympia, WA 98504-5315 DSHS CONTACT TELEPHONE DSHS CONTACT FAX I DSHS CONTACT E-MAIL (360)725-4264 (360) 586-6502 I winchwaladshs.wa.gov COUNTY NAME COUNTY ADDRESS Jefferson County 615 SHERIDAN STREET Jefferson County DDA County Services Port Townsend, WA 98368 COUNTY FEDERAL EMPLOYER IDENTIFICATION NUMBER COUNTY CONTACT NAME Anna McEnery I COUNTY CONTACT TELEPHONE COUNTY CONTACT FAX COUNTY CONTACT E-MAIL (360) 385-9410 (360) 385-9401 amcenery(c�co.iefferson.wa.us IS THE COUNTY A SUBRECIPIENT FOR PURPOSES OF THIS PROGRAM CFDA NUMBERS AGREEMENT'? No AMENDMENTSTART DATE PROGRAM AGREEMENT END DATE 12/01/2023 06/30/2024 PRIOR MAXIMUM PROGRAM AGREEMENT AMOUNT OF INCREASE OR DECREASE TOTAL MAXIMUM PROGRAM AGREEMENT AMOUNT AMOUNT $639,374.00 $304,353.00 $943,727.00 REASON FOR AMENDMENT; CHANGE OR CORRECT CHOOSE ONE: EXHIBITS. When the box below is marked with a check (4)or an X,the following Exhibits are attached and are incorporated into this Program Agreement Amendment by reference: ❑ Exhibits (specify): This Program Agreement Amendment, including all Exhibits and other documents incorporated by reference, contains all of the terms and conditions agreed upon by the parties as changes to the original Program Agreement. No other understandings or representations, oral or otherwise, regarding the subject matter of this Program Agreement Amendment shall be deemed to exist or bind the parties. All other terms and conditions of the original Program Agreement remain in full force and effect. The parties signing below warrant that they have read and understand this Program Agreement Amendment, and have authority to enter into this Program Agreement Amendment. COUNTY SIGNATURE(S) PRINTED NAME(S)AND TITLE(S) DATE(S)SIGNED Heidi Eisenhour, Chair Board of County Commissioners Jefferson County Washington DSHS SIGNATURE PRINTED NAME AND TITLE DATE SIGNED Approved as to form only: h bt,-4,04"- 12/21/23 Barbara Ehrlichman Date Civil Deputy Prosecuting Attorney Jefferson County Washington DSHS Central Contract Services 1769CP Contract Amendment(4-12-23) Page 1 This Program Agreement between the County and the State of Washington Department of Social and Health Services (DSHS) is hereby amended as follows: 1. The Total Maximum Contract Amount is hereby increased in the amount of$304,353.00, for a new Contract Amount of$943,727.00. 2. Section 8. Billing and Payment: a. Program Administration: The County will provide program administration and coordination including such activities as planning, budgeting, contracting, monitoring, and evaluation. Monthly claims for administration can be 1/12 of the maximum amount identified in Exhibit B under Administration or for the actual costs incurred in the given month but the total Administration billed will be the lesser of the two. Administration cost reimbursement will not exceed 10% unless the Assistant Secretary of DDA approves a request for an exception under chapter 388-850 WAC. b. Preadmission Screening and Resident Review(PASRR)Administration: The County may bill for administration costs as identified in Exhibit B. Monthly claims for administration cost will be based on the actual PASRR expenditures multiplied by 10%. 3. Exhibit B. Program Agreement Budget is hereby replaced with the following Exhibit 61, Program Agreement Budget. All other terms and conditions of this Program Agreement remain in full force and effect. DSHS Central Contract Services 1769CP Contract Amendment(4-12-23) Page 2 Exhibit B1 Program Agreement Budget Original Budget X Budget Revision REVENUES Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2024 State only 332,557 480,307 Medicaid 306,817 463,420 Total Rev. $639,374 $943,727 $ $ Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2025 State only Medicaid Total Rev. $ $ $ Job Foundation PASRR State Medicaid Account Title/BARS Funds Funds Funds Funds TOTAL ADMINISTRATION 11,12,13,14 672 0 39,770 32,538 72,980 OTHER CONSUMER SUPPORTS 31, 32, 41, 92, 93, 94, 97 0 0 20,914 17,112 38,026 CONSUMER SUPPORT a ; ,' t . E _ -- STATE-ONLY 62, 64, 65, 67, 69 0 0 0 0 Child Develo•ment 61 „ ', � ., � �, 16,125 16,125 MEDICAID CLIENTS 62, 64, 65, 67, 69 95, 96 9,600 0 263,549 263,549 536,698 MEDICAID CLIENT PROVISO 62, 64, 65, 67, 95, 96 0 0 139,949 139,949 279,898 ROADS to COMMUNITY LIVING 62,64, 65, 67, 69 0 0 0 TOTAL 10,272 0 480,307 453,148 943,727 DSHS Central Contract Services 1769CP Contract Amendment(4-12-23) Page 3