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HomeMy WebLinkAboutCONSENT MOU re Therapeutic Courts 615 Sheridan Street Port Townsend, WA 98368 6� emn www.JeffersonCountyPublicHealth.org Public He Consent Agenda JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Mark McCauley, County Administrator FROM: Apple Martine, Public Health Director DATE: J-W)atAkL, 2,&G SUBJECT: Agenda Item — a Memorandum of Understanding Agreement with Jefferson County Superior Court and the Jefferson County District Court; January 1, 2025 — December 31, 2025; $200,000.00, for this agreement STATEMENT OF ISSUE: Jefferson County Public Health (JCPH), as the fund manager of the 1/10th of 1% Behavioral Health Sales Tax Funds, is requesting Board approval of a Memorandum of Understanding Agreement with the Jefferson County Superior Court and the Jefferson County District Court; for Therapeutic Court Case Management and other services for individuals affected by substance abuse, chemical dependency and mental health issues; January 1, 2025 — December 31, 2025; $200,000.00. ANALYSIS/STRATEGIC GOALS/PROS and CONS: This Memorandum of Understanding is with the Jefferson County Superior Court and the Jefferson County District Court, for Therapeutic Court Case Management and other services for Jefferson County citizens with co-occurring disorders, seeking mental health, substance abuse and chemical dependency treatment; in the Behavioral Health Court, Drug Court and Family Therapeutic Court. FISCAL IMPACT/COST BENEFIT ANALYSIS: This is County sales tax revenue, which is deposited into the 131 Fund (1/10 of 1% Fund). The BoCC allocates it, with input from the Behavioral Health Advisory Committee. The Memorandum of Understanding states if the sales tax revenue decreases, the Courts will be contacted and the agreement may be renegotiated. This Memorandum of Understanding Agreement is recommended 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 AD-24-053 RECOMMENDATION: JCPH management is requesting Board approval of a Memorandum of Understanding Agreement with the Jefferson County Superior Court and the Jefferson County District Court; January 1, 2025 — December 31, 2025; $200,000.00. REVIEWED BY: 11.7_�/� Mark McCaule , ounty Administrator Date Community Health Environmental Public Health Developmental Disabilities 360-385-9444 360-385-9400 (f) 360-379-4487 Always working for a safer and healthier community C*4ONTRACT REVIEW FORM Clear Form (INSTRUCTIONS ARE iO•N,l 1T=HaE NEXT PAGE) CONTRACT WITH: Superior Court&District Court Contract No: AD-24-053 Contract For: Therapeutic Courts Term: January 1,2025 to December 31,2025 COUNTY DEPARTMENT: Public Health Contact Person: Apple Martine Contact Phone: X443 Contact email: amartine@co.jeffersonma.us AMOUNT: $200,000.00 PROCESS: Exempt from Bid Process Revenue: Cooperative Purchase Expenditure: Competitive Sealed Bid Matching Funds Required: Small Works Roster Sources(s) of Matching Funds Vendor List Bid Fund# #131 RFP or RFQ Munis Org/Obj 13156400 Other: APPROVAL STEPS: STEP 1: DEPARTMENT CERTIFIES CO PT CE WI�T"JAC 0 ND CHAPTER 42.23 RCW. CERTIFIED: ■® N/A: Jan. 3, 2025 Signature Date STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE COUNTY (CONTRACTOR) HAS NOT BEEN,I)EBARREP_-BY..ANY FEDERAL, STATE, OR LOCAL AGENCY. r� " CERTIFIED: F N/A: ® '/.....,, Jan. 3, 2025 Signature 7 Date STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche): Electronically approved by Risk Management on 1/8/2025. STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche): Electronically approved as to form by PAO on 1/9/2025. 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 MEMORANDUM OF UNDERSTANDING Between Jefferson County Superior Court&Jefferson County District Court and Jefferson County Board of County Commissioners as Administrator'of 1/10th of 1% Behavioral Health Sales Tax Fund—2025 WHEREAS,this Memorandum of Understanding(MOU) is between Jefferson County Superior Court and Jefferson County District Court(Courts)and the Jefferson County Board of County Commissioners(County)which administers the 1/10t'of I%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/I0`1'of 1%Behavioral Health Sales Tax; (Fund 131); is being allocated to Jefferson County Superior Court&Jefferson County District Court for the Therapeutic Court's Coordinator/Case Manager and other needed services for individuals affected by substance abuse,chemical dependency and mental health issues; and WHEREAS,the Jefferson County Behavioral Health Advisory Committee voted to recommend the 1/100'of 1%Behavioral Health Sales Tax; (Fund 131); be allocated for Therapeutic Court Case Management and other services in September of 2022 as follows;create a permanent budget line of $200,000,for funding Behavioral Health Court,Drug Court&Family Therapeutic Court Coordinator/Case Manager and other needed services in Jefferson County Superior Court and Jefferson County District Court; and WHEREAS,the Board of County Commissioners approved'a 2025 County Budget that allocates funding from the 1/10t'of 1%Behavioral Health Sales Tax; (Fund 131);that is consistent with the Jefferson County Behavioral Health Advisory Committee's recommendations; and WHEREAS,the Jefferson County Superior Court and Jefferson County District Court will administer the contracts and expenditures to provide the Therapeutic Court's Coordinator/Case Manager and other needed services pursuant to this MOU from January 1, 2025 to December 31, 2025; and WHEREAS,Work performed between January 1,2025 the execution of this Agreement that is consistent with the provisions of this Agreement is hereby ratified; and WHEREAS,all funds from the 1/I Wh 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 I/101'of 1%Behavioral Health Sales Tax; (Fund 131); fund balance,to be available for allocation for eligible services in future years; and WHEREAS,Jefferson County Superior Court&Jefferson County District 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, 1/10t'of 1%Behavioral Health Sales Tax; (Fund 131); and to facilitate overall management of the Fund; 1 of 13 AD-24-053 NOW,THEREFORE,it is mutually agreed that: 1. The County,as administrator of the 1/10t'of 1%Behavioral Health Sales Tax; (Fund 131); Superior Court and District Court mutually agrees for the Courts to provide Therapeutic Court's Coordinator/Case Manager and other needed services to individuals enrolled in Behavioral Health Court, Drug Court& Family Therapeutic Court, in Jefferson County Superior& Jefferson County District Courts, as described in this MOU. Including EXHIBIT,A: Scope of Work: Behavioral Health Court,Drug Court& Family Therapeutic Court and EXHIBIT B and EXHIBIT B-1,B-2: Therapeutic Courts Logic Model and Performance Measures. 2. Funding from the 1/10'h of 1%Behavioral Health Sales Tax; (Fund 131);to the Superior Court and District Court for the services pursuant to this MOU;$200,000 in 2025; as described in the following Budget Table; subject to modification pursuant to Section 8 of this MOU. 3. Jefferson County Superior Court& Jefferson County District Court will use the 1/10t'of 1% Behavioral Health Sales Tax; (Fund 131); for all participants enrolled in Behavioral Health Court,Drug Court and Family Therapeutic Court. Services include case management, court time, administrative duties,therapeutic court team staffing,treatment supervision and client support, (e.g. housing, urine analyses,Court incentives,out of custody assessments, in custody assessments,training, and alternative to jail)for participants;per the following Budget Tables; Description Service Period Amount from Fund 131 Therapeutic Court Case Management 1/l/2025— and Other Services Budget: 12/31/2025 Case Management-Staff $140,000 Transportation $1,000 UA Test Standard $3,000 Incentives* $2,000 Housing Vouchers $30,000 Jail Alternatives $3,000 Technology $4,750 Training and Travel $6,500 In Custody drug/alcohol Eval $1,750 Admin Costs $6,000 Emergency Funds $1,500 Education Costs $500 Total Budget $200,000 *Incentives for Therapeutic Courts could include but is not limited to;clothing vouchers from Goodwill or uniform stores, grocery store gift cards, gas cards, work supplies and equipment, bicycles and other transportation assistance. 4. Funding approved pursuant to this MOU will be included in the 2025 expenditure appropriation, budgets of Jefferson County Superior Court and Jefferson County District Court. In addition,a 2of13 quarterly transfer from the 1/101h 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 stated in the Tables on page two and three,will be made to the Jefferson County Superior Court and Jefferson County District Court revenue budget upon timely submittal of required reports. Funds provided pursuant to this MOU will be tracked separately by the Courts 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 Courts are less than the authorized budgeted amount,the difference will be transferred back to the 1/101 of 1%Behavioral Health Sales Tax; (Fund 131);Jefferson County Superior Court&Jefferson County District Court will not exceed the amount provided by the 1/10th of 1%Behavioral Health Sales Tax; (Fund 131);without obtaining an appropriation. S. Funding provided by the 1/10tl'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 Budget Table on page two and three are approximations for each line item,and may be shared between the descriptions,with budget updates given to Public Health. 6. Jefferson County Superior Court and Jefferson County District Court will use the County financial management software (Currently Tyler ERP Account Trial Balance)to provide a report of actual paid monthly expenses incurred,and corresponding supportive documentation to validate expenses,emailed monthly to the Behavioral Health Coordinator and Public Health Finance Manager. 7. Provide monthly financial reports for actual paid monthly expenses that have incurred and email them quarterly to the Auditor's Chief Accountant and to Public Health. 8. Jefferson County Superior Court,Jefferson County District Court and any Contractors it may use to provide services with the 1/10''of 1%Behavioral Health Sales Tax; (Fund 131); shall comply with the following: ATTACHMENT A-Jefferson County 1/10t6 of 1% Behavioral Health Sales Tax Match Policy. a. The County reserves first right to use as match the 1/IOtl'of 1%Behavioral Health Sales Tax, (Fund 131), 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/l Ott'of 1%Behavioral Health Sales Tax funds as match,at the County's sole discretion. Should the County decline to use the 1/10''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 1/101h of 1% Behavioral Health Sales Tax Funding Match Policy. 3of13 b. Where the Courts or its Contractors proposes to use 1/101h of 1%Behavioral Health Sales Tax funds for match,the Courts or its Contractors 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 1/10t'of 1%Behavioral Health Sales Tax funds as match. c. The Contractors shall document it has met this responsibility by submitting in writing to the Jefferson County Superior Court,Jefferson County District 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 Courts or its Contractors of their responsibility to comply with all state and federal laws and regulations related to match. 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, 2025 until December 31, 2025 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 B-1,B-2 and ATTACHMENT A shall remain in effect until fulfilled. All work performed in 2025 consistent with this MOU prior to its adoption is hereby ratified. APPROVED AND ADOPTED this day of , 2025. SIGNATURES ON NEXT PAGE 4of13 SIGNATURE PAGE JEFFERSON COUNTY WASHINGTON JEFFERSON COUNTY SUPERIOR COURT Board of County Commissioners Jefferson County, Washington By: By: Heidi Eisenhour, Chair Brandon Mack, Presiding Judge By: Date: Z� Z Greg Brotherton, Commissioner By: Heather Dudley-Nollette, Commissioner JEFFERSON COUNTY DISTRICT COURT SEAL: By: 4/4 /4' Mindy W cer, Presiding Judge Date: d/ ATTEST: Carolyn Gallaway, Clerk of the Board Approved as to orm only: W for 01/09/2025 Philip C. Hunsucker, Date Chief Civil Deputy Prosecuting Attorney 5of13 EXHIBIT A Scope of Work: Behavioral Health Court, Drug Court, Family Therapeutic Court Jefferson County Superior Court and Jefferson County District Court agrees to utilize the 1/10'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 for and supervise case management services for all citizens enrolled in Behavioral Health Court,Drug Court and Family Therapeutic Court. a) At a minimum,case management shall include: • Prepare and maintain files or a data base on enrollees to track and document their attendance and participation in the therapeutic court,the enrollee's treatment plan, their progress in following the treatment plan,and their progress toward graduation from the therapeutic court. • Communicate with enrollees outside of court as necessary to answer questions, steer enrollees to appropriate resources, and provide guidance to help them comply with their treatment plans. • Coordinate the scheduling and participation of, and communication between,all representatives of agencies that are part of each Therapeutic Court, such as the Judge/Commissioner,Prosecutor, County Clerk,Public Defenders, and Treatment Providers. • Provide administrative support for the smooth functioning of the Therapeutic Courts as may be required by Superior Court and District Court. • Collect and share statistics and data as may be required for the administration of the Therapeutic Courts and for reporting purposes. • EXHIBIT B,EXHIBIT B-1,B-2: The Behavioral Health Court, Drug Court and Family Therapeutic Court Logic Model and Performance Measures are attached hereto and incorporated herein. 2. Adults charged in Jefferson County for criminal activity whose criminal behavior is related to, or affected by, substance use disorder and/or a mental health diagnosis may be eligible to participate in Behavioral Health Court,Drug Court and Family Therapeutic Court,which is a minimum 18 month or longer voluntary program that promotes treatment and accountability.At a minimum participants are required to comply with law abiding behavior,participate in recommended treatment, submit to random urinalyses, attend regular court reviews and maintain frequent contact with the Therapeutic Court Coordinator/Case Manager and Staff. 3. The 1/10''of 1%Behavioral Health Sales Tax; (Fund 131);provides support needed to operate Behavioral Health Court,Drug Court and Family Therapeutic Court which protects public safety while reducing offender risk for future justice involvement and placement in a higher,more restrictive level of care or incarceration. Funds are provided to assist in housing, jail alternatives, in and out of custody assessments,education efforts,job training,treatment not covered by insurance, support and treatment for mental health and substance use disorders as well as the use of monitoring services such as urine analysis(UA)testing and biological alcohol monitoring devices(Sober-Link)to determine compliance with court orders. 6of13 4. Provide at least the following for the Therapeutic Courts; so,the Behavioral Health Advisory Committee is able to review usage of allocated funds in order to assure access to appropriate treatments and services: a) Provide monthly financial reports for actual paid monthly expenses that have incurred and email them quarterly to the Auditor's Chief Accountant and to Public Health. b) Jefferson County Superior Court&Jefferson County District Court will provide an estimate of projected expenditures under this MOU for the remainder of the year at the end of October of 2025 to Public Health. c) Jefferson County Superior Court&District Court will provide all invoices to the Auditor's office for processing during the Open Period,(a.k.a. 13t'Month, in January); and the final reporting by December 27,2025. d) Provide to Jefferson County through Jefferson County Public Health a copy of any service contracts (and all amendments associated therewith)with the 1/10t'of 1%Behavioral Health Sales Tax; (Fund 131): under this MOU. e) Jefferson County Superior Court&Jefferson County District Court will provide quarterly statistics in an electronic form that is developed and may be revised by Jefferson County Public Health, in consultation with the Courts, for statistical and program data collection. f) Assure that quarterly electronic reports about the Therapeutic Courts,will be sent to the Jefferson County Public Health Epidemiologist; in a form as specified by Jefferson County Public Health,as outlined in the Quarterly Evaluation Reporting Template. g) Jefferson County Superior Court&Jefferson County District Court will ensure that quarterly electronic reports for each Therapeutic Court are sent to Lolinthea Hinkley at LHinkley(@co.iefferson.wa.us o Quarterly reports will be reviewed by Public Health for accuracy. Any questions will be referred back to Superior Court&District Court. h) Upon request, additional reports of activities and services will be provided,to the JCPH Contract Representative. i) Attend and report to the Behavioral Health Advisory Committee once during the duration of this contract period, at a regularly scheduled meeting,to share progress and evaluation reports. 7of13 EXHIBIT B Drug Court and Family Therapeutic Court Logic Model page 1 Inputs Outputs Activities Participation Drug Court Team Drug Court Team Drug Court Team • Judge • Referral-Defense or • Judge accepts client • Prosecution Prosecution into Drug Ct. • Defense 0 Prosecution • Client evaluation • JCSO determines • Client treatment • Believe in eligibility • Client accesses Recovery • Substance abuse services-housing, • Discovery significant in GED, mental health Behavioral criminal history • Weekly staffing & Healthcare 0 Client agrees to reviews to support SLID Services D.0 requirements services& monitor Family Therapeutic Family Therapeutic Court compliance Court Team Team Family Therapeutic Court • Judge • Referred by Ct, Team • Discovery parents, atty, dept. • Judge accepts client Behavioral • FTC coordinator into FTC Healthcare screens for • Compliance/follow SUD Services eligibility program rules • GAL Program • Substance abuse a • Client treatment Coordinator significant factor in • Housing, Basic needs • OlyCAP8 dependency action being met • Children's • Client agrees to • Education, Administration FTC requirements employment • Weekly staffing & reviews GOALS: • Increase access to treatment and support services that promote recovery and stability for adults and youth. • Provide education, screening, referral and brief intervention services in the community. • Reduce inappropriate use of county, municipal, and community resources by individuals who have co-occurring mental health and chemical dependency issues. • Reduce future involvement in the court system. • Family change-Address family interaction patterns that maintain the presenting problems; build problems solving and communication skills. Reduce family conflict. • Rehabilitate drug dependent offenders through court mandated treatment. • Promote cost effectiveness in the justice process and the community. 8of13 EXHIBIT B Drug Court and Family Therapeutic Court Logic Model page 2 M I Drug Court Team Drug Court Team Drug Court Team • Participant Increased • Criminal Justice connected with accountability for System saves housing and behavior; motivation money processing treatment to comply with cases &jail time. • Drug avoidance skill program; respect for • Increased pro- development. court process social indicators • Abstinence from Decrease drug use • Decreased substances Family Therapeutic Court recidivism Family Therapeutic Court Team Family Therapeutic Court Team • Address physical Team • Youth remain in and mental health • Recovery for home/reduced time • Abstinence from substance abuse out of home substance abuse • Increased pro placement • Motivated to family lifestyle • Improved family succeed . Increased functioning • Develop parenting parenting skills • Reduce delinquent skills • Increased health behavior • Connect with family and safety of • Client access to resources children housing &offered 0 Family involved in • Community services treatment or involvement and • Develop counseling support network • substance • Safe, Staple • Prevent future avoidance skills Housing/Transport involvement with • Abstain from • In home substance abuse substances. dependency • Reunification • Maintain and • Plan for economic Achieved deepen relationship security with children 9of13 Behavioral Health Court - Logic Model EXHIBIT B-1 Jefferson County - 1/10 of 1 % Sales Tax Environment Theory & Assumptions Situation Theory • Individuals with a mental health • A specialized BHC helps reduce diagnosis spend more time in and the high amount of time and have greater difficulty navigating resource participants consume in the criminal justice system (CJS) the normal CJS • People with a MH diagnosis are • Participants are less likely to likely to repeat criminal behavior recidivate/revoke when appearing (when illness goes untreated) more frequently before a Judge • The traditional criminal justice • A team approach(units working process is typically not effective in collaboration)will create an for persons with MH diagnosis efficient and effective process • Offenders have a high likelihood • Court ordered treatment for of having a mental health issue participants increases compliance Context Intent Addressing the mental health issues To create a more efficient and of offenders is becoming a priority effective process for individuals within Jefferson County with mental health diagnosis in the District Court has created a CJS,while protecting public safety Behavioral Health Therapeutic and preserving accountability. Court(BHC). Local behavioral health providers have appointed jail liaisons. Assumptions • Participants will spend less time Target Population in jail Jefferson County Residents • Fewer petitions to revoke will be Inclusion Criteria filed for probationers Mental health diagnosis Defendants in the Jefferson County • Less recidivism District and Superior Court with a • Court will hold defendants mental health diagnosis and accountable,while considering currently receiving or will receive their mental health diagnosis services from a CPSA provider. • The BHC will be a more cost and Exclusion Criteria time efficient pre- sentdncing Felony charges including murder, process sexual assault,or child molestation • Ensures participants receive services 10 of 13 Behavioral Health Court - Logic Model EXHIBIT B-2 Jefferson County - 1/10 of 1 % Sales Tax Intervention Outcomes Collaboration Process District Court, Discovery Time detained in jail will be less Behavioral Health,Adult Probation, Lower cost to system(through less Jefferson County Sheriff, Port jail time and trial costs) Townsend Police Department, Defendants will SMI spend less Olycap, Discovery Behavioral pro-sentencing time in court Healthcare SUD Services,Believe Communication,collaboration, in Recovery, Defense and and accountability among BHC Prosecution designate specific team person(s),peer graduates to serve Monitoring sentencing of BHC with the MHC. defendants Identification and Case Flow Outcomes • Defendant with SMI is identified by • Defendants are less likely to referring party recidivate • Referral form is submitted.Defense 0 Fewer revocations or petitions to assists in the coordination of revoke are filed services for defendant. • Less new offenses while on • Defendant follows normal flow at initial arraignment,pretrial,etc. probation until referral process is completed Participants maintain treatment • Defendant is diagnosed with an and medication Axia diagnosis and there is a nexus Overall decrease in risk to public to crime—DPA agrees to petition. safety • The BHC team reviews petition and decides on entry • Defendant enters into SOC (Stipulated Order of Continuance) • Defendant enters into phases of BHC and accessed services Post-Sentence • Defendant pleads guilty and is sentenced to post-adjudication BHC or a referral is made by defense,prosecutor. • Referral and Petition packets are completed—Judge agrees to entry • Defendant enters into phases of BHC and accesses services. 11 of 13 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/IOth 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). The 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/IOth 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 1/10t'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/IOth 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 1/10t'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 1/10t'of 1%Behavioral Health Sales Tax funds as match. Following state, federal and local guidelines for match is the responsibility of the Contractor. 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: 12 of 13 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 1/10t'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 1/10t'of 1%Behavioral Health Sales Tax funding as match. 13 of 13