AMENDMENT TO PUBLIC CONTRACT FOR SERVICES (PCS)
THIS
1EMENT, entered into as of this
day of
&it20i3, by and
between BOARD OF COUNTY COMMISSIONERS OF THE COUNTY OF
DOUGLAS, STATE OF COLORADO (the "County"), and LIFE SUPPORT
BEHAVIORAL INSTITUTE ("Contractor"), located at 7853 East Arapahoe Court,
#3550, Centennial, Colorado, 80112, authorized to do business in Colorado.
WHEREAS, the County and the Contractor entered into a certain Public Contract for
Services to acquire therapeutic placement prevention services for the 2013-2014 State fiscal year
(the "Contract"); and,
WHEREAS, the County desires to amend the Contract by expanding the scope of work
performed to adequately meet the needs of the population served; and
WHEREAS, the County desires to amend the Contract by increasing the
Maximum Contract Liability by Thirty Thousand Dollars ($30,000) which may be paid
to the Contractor; and
WHEREAS, the Contractor desiresto perform additional services for County pursuant to
these amendments to the Contract; and
WHEREAS, County has budgeted and appropriated the necessaiy finds to satis1' the
financial obligations to be incurred by expanding the scope of work performed pursuant to this
Contract.
NOW, THEREFORE, the parties hereto mutually agree as follows:
1.
Section 4 of the Contract is hereby amended to read:
"Maximum Contract Expenditure". Any other provisions of this Contract
notwithstanding, in no event shall the County be liable for payment under this Contract
for any amount in excess of $80,000.00 . The County is not under obligation to
make any future apportionment or allocation to this Contract."
The cost of this additional work shall not exceed: $30,000.00
Previously approved PCS Revisions: $00,000.00
Total for all PCS Revisions (to date): $30,000.00
Total for Original PCS:
$50,000.00
Grand Total including all PCS Revisions (to date): $80,000.00
Exhibit A. of the Contract is hereby removed and replaced by the attached
Exhibit A-I, incorporated herein by this reference.
Exhibit B. of the Contract is hereby amended by adding a rate of service
contained in the attached Exhibit B-I, incorporated herein by this reference.
1
AMENDMENT TO PUBLIC CONTRACT FOR SERVICES (PCS)
The remainder of the Contract shall remain in full force and effect.
4.
IN WITNESS WHEREOF, the County and Contractor have executed this Amendment as of the
date first above written.
LIFE SUPPORT BEHAVIORAL INSTITUTE
DATE:
Signature of Notary Public Required:
STATE OF Coc.-c (ZJki)o
COIJNTYOF
],OjGifl
)
)
)
88.
The foregoing instrument was acknowledged before me this (1
2-°t13'
,by LL)tf VM
1'day of ¶t6r'E!
Witness my hand and official seal
My commission expires:
.e r-
- za
THE BOARD OF COUNTY COMMISSIONERS
OF THE COUNTY OF DOUGLAS, COLORADO
DOUGLAS J. DEBORD
County Manager
APPROVED AS TO FISCAL CONTENT:
APPROVED AS TO LEGAL FORM:
ANDREW COPLA
Director of Finance
JHN THIRKELL
DATE:
DATE:
Sónior Assistant County Attorney
2
AMENDMENT TO PUBLIC CONTRACT FOR SERVICES (PCS)
Exhibit A-i
SCOPE OF SERVICES
Contractor agrees to provide services requested by the Department in the "Referral for
Service" (Attachment B) for the person, services(s), unit(s), and rate(s) as identified
herein. Services provided outside of this scope of service may be deemed gratuitous and
are sub] ect to non-payment at the Department's discretion. All services must be
performed in accordance with the Guiding Principles (Attachment A).
1. Services
A. General Home Based Services
Definition - Home Based services are short-term, family-centered, in-home or
community, therapeutic services for high-risk families used for the purpose of
preventing out-of-home placement, maintaining the child(ren) in the home or to
prepare a family for reunification. This service is intended to primarily stabilize
family functioning and address safety risks to children. In addition, this service
may teach families to work with community agencies, assist in the development
and enhancement of parenting skills, stress reduction, problem solving, and
communication skills. Services should be flexible and individualized to each
family in aligmnent with the Department's Family Services Plan. This in-home
service may include intervention with the identified individual, individual family
members or the entire family and may include 24-hour crisis response.
Frequency/Duration - Services usually occur at least once a week or more;
Provider may provide up to 15 hours of direct service per month as authorized by
the Human Services Caseworker and indicated in the Authorization for Services.
Provider Credentials - Providers must have, at minimum, a Bachelor's degree
in one of the Human Services fields with two years of direct client experience in a
human services field. A Masters degree in one of the Human Services fields may
substitute for one year of required experience.
B. Substance Abuse Individual Therapy
After completing a thorough assessment, individual therapy
Definition
services are tailored to each patient's level of clinical severity and are designed to
help the patient achieve changes in his or her alcohol or other drug-using
behaviors. Treatment must address major lifestyle, attitudinal and behavioral
issues that have the potential to undermine the goals of treatment or to impair the
individual's ability to cope with major life tasks without the non-medical use of
alcohol or other drugs. Services must also address the primary safety concerns for
Human Services involvement as noted in the Family Services Plan.
Frequency/Duration One (1) to Three (3) Group sessions per week. Sessions
may last from one (1) to three (3) hours each. Average length of group sessions
before completion is 6 to 9 months. Authorizations will be approved in 3 month
increments.
3
AMENDMENT TO PUBLIC CONTRACT FOR SERVICES (PCS)
(iii) Provider Credentials Unless treating a client with a co-occurring mental
health disorder, providers at minimum, must have a Bachelors Degree in a Human
Services related field from an accredited college and no less than a Certified
Addiction Counselor II (CAC II) certification. For treatment of a co-occurring
disorder, providers must have Master's Degree from an accredited college in a
Human Services related field and have passed the Colorado State licensing exam
in one of the licensing areas (LMFT, LPC, LCSW, LAC).
C. Substance Abuse Group Therapy
Definition - Therapeutic/Process Group therapy is recognized as the most
effective methodology for substance abuse treatment. Group therapy is a
therapeutic intervention that occurs primarily in a clinical setting. Group Therapy
should progress toward measurable goals/outcomes that are consistent with the
FSP and/or treatment plan. Therapeutic Groups address many different issues of
substance abuse to include, frequency, health, accountability/responsibility,
identity, cessation, anger management, self-esteem, relationship dynamics,
conflict, coping skills, relapse prevention, and may include a single group of
people, family or may be multi-family oriented.
Frequency/Duration - One (1) to Three (3) Group sessions per week. Sessions
may last from one (1) to three (3) hours each. Average length of group sessions
before completion is 9-12 months.
Provider Credentials - Unless treating a client with a co-occurring mental
health disorder, providers at minimum, must have a Bachelors Degree in a Human
Services related field from an accredited college and no less than a Certified
Addiction Counselor II (CAC II) certification. For treatment of a co-occurring
disorder, providers must have Master's Degree from an accredited college in a
Human Services related field and have passed the Colorado State licensing exam
in one of the licensing areas (LMFT, LPC, LCSW, LAC).
D. Mental Health Individual Therapy
Description - Individual Therapy usually occurs in a clinical setting, but can
occur in individuals' own environment. It should be solution focused, and may
take many form inclàding Brief Therapy, EMDR, behavior modifications, play
therapy, etc,. Individual therapy should identi& measurable goals / outcomes that
are consistent with the Human Services FSP.
Frequency/Dutation - Up to 1.5 hours of service per week or as authorized by
the Caseworker.
Provider Credentials - Must hold a Master's Degree from an accredited
college in a Human Services Related field and have passed the Colorado State
licensing exam in one of four licensing areas toward certification (LMFT, LPC,
LCSW, LAC).
E. Mental Health Family Therapy
(i) Definition Family Therapy is family-centered and focuses on the interactions
4
AMENDMENT TO PUBLIC CONTRACT FOR SERVICES (PCS)
of family members (and other systems that impact the family (i.e., DHS). It helps
the family identify destructive patterns and define new healthy patterns for
interaction. Family therapy focuses on resolving the presenting problem and may
include two or all members of the family in the office with the therapist at one
time. It generally occurs in a clinic, however, it may take place in the home or
community. Family therapy should be individualized to each family and should
identify measurable goals / anticipated outcomes that are consistent with the FSP.
Frequency/Duration - Up to 1.5 hours of service per week. Services are
initially authorized for 3 months but may be extended with reauthorization signed
by the casework supervisor.
Must hold a Master's Degree from an accredited
Provider Credentials
college in a Human Services Related field and have passed the Colorado State
licensing exam in one of four licensing areas toward certification (LMFT, LPC,
LCSW,LAC)
F. Supervised Visitation
Definition - Supervised Visitation provides a safe, child-friendly environment
that allows parents to engage in monitored contract with their child(ren).
Supervised Visitation services are used primarily when children are placed out-ofhome as a result of child abuse or neglect and are unable to return to their home.
Upon entry into the Supervised Visitation service, an assessment will be
conducted to ascertain parenting abilities, strengths, needs and potential risks.
Results of the assessment are used by visitation workers to guide the level of
monitoring, support and education that will be provided to parents during
visitation sessions. Visitation workers ensure child safety and confidentiality by
assisting the transition from foster home parent or physical care-taker into the
visitation and, at the end of visitation, back to physical care-taker. During
visitation sessions, workers maintain the safety of the child while educating,
mentoring and training parents to encourage bonding and healthy parenting.
Visitation workers also provide role modeling to foster healthy parent-child
interactions. As a result, clients are able to make positive changes in the quality of
each parenting interactions with their child(ren).
Frequency/Duration - The average length of Supervised Visitation services is
2-3 months. Services continuing longer than 3 months are subject to supervisor or
division manager approval.
Provider Credentials Minimum qualifications for Supervised Visitation
services worker is a Bachelor's degree in one of the Human Services fields with
two (2) years of direct experience in human services field. A Masters degree in
one of the Human Services fields may substitute for one year of required
experience.
G. Life Skills Parenting Group
(1) Description - Life Skills parenting may take a variety of forms such as
psycho-educational group intervention or in-home parenting education. Groups
typically occur in a clinical setting. Groups should identify concerns and topics
5
AMENDMENT TO PUBLIC CONTRACT FOR SERVICES (PCS)
that are consistent with the FSP and br treatment plan. Groups may specifically
address ninny different issues using an established or evidence-based parenting
curriculum approved by the Department. In-home family parenting is a flexible
curriculum that may be used to teach parenting skills and may also assist with
basic skills such as finance budgeting, shopping, cooking, cleaning and job skills
and connecting to community resource.
Frequency/Duration - Services can be provided for up to 15 hours per month
for in-home services and 3 hours a week for Psycho-educational groups as
determined by the Human Services assessment. Additional months may be
authorized by the caseworker and casework supervisor.
Provider Credentials - Minimum qualifications to provide Basic Life Skills
services is a high school diploma and two years of direct experience working with
individuals in a similar capacity. Providers instructing in-home parenting and
psycho-educational groups must have, at minimum, a Bachelor's degree in one of
the Human Services fields with two years of direct experience in human services
field.
H. Substance Abuse Monitoring
(i) Definition - On-site drug tests and laboratory screening for substance abuse is
a tool used to help a parent or other person responsible to overcome denial, or
complete an assessment process to determine the presence or absence of a
substance abuse problem. Urinalysis and other methods are useflul as a part of a
comprehensive array of outpatient services and should not be conducted, except
for assessment purposes, independent of a written, co-developed, measurable
treatment plan. Urine screens may be appropriate for drugs. For alcohol,
breathalyzer monitoring should be used in conjunction with urinalysis as a
confirmation for positive breath tests. Selection of the appropriate methods of
testing, including frequency, should be determined by qualified certified
substance abuse clinicians using generally accepted standards of care.
(ii) Types of Tests
a. 7 Panel Urine Analysis Includes screening for Amphetamines, Cocaine,
Opiates, Phencyclidine (PCP), TUC, Barbiturates, Benzodiazepine.
Breath Tests Measures the release of gases from lungs of the participant
through a straw and into a devices to determine existing levels of alcohol
in the body.
Ethyl Glucuronide (EtG) Test
A urine test that measures alcohol
consumption up to 48-72 following the period of use.
(iii) Frequency Frequency of random substance abuse monitoring is dependent
on the types of substances used, frequency of use, treatment plan and progress in
treatment. Frequency must be maintained within the units/hours indicated on the
referral for services.
6
AMENDMENT TO PUBLIC CONTRACT FOR SERVICES (PCS)
I. Mental Health Court Testimony
(i) Description - Professional Court Testimony is only a billable service through
Core Services when providers are subpoenaed by the court or county attorney to
provide professional testimony. To be considered a billable service, the provider
must have provided a professional service to the individual or family for which
the subpoena was issued. Professional testimony provided by a provider who has
had no previous involvement with a family is not a billable service through Core
Services. The following types of activities are billable activities and must be
documented in detail and submitted with billing to be paid.
Preparation Assembling notes, communication, dictation, meetings.
Testimony In court testimony
Deposition - Out-of-court oral or written testimony
(ii) Frequency/Duration - As subpoenaed by the Court or County Attorney
(iii) Provider Credentials
Provider credentials may vary depending on the
services provided and topic for which the subpoena was issued.
2. Referral for Services
The services and rates that will be paid are noted in Exhibit B of this Agreement
unless specifically noted otherwise as an approved exception on the "Referral for
Service" and authorized through the County Representative or designee.
The services will be provided at the location(s) noted on the "Referral for Service".
The Department's approved "Referral for Service" must be received by the
provider prior to the commencement of services.
P. The "Referral for Service" will include identifring information such as the name
and address of the family, social history, medical and educational information, as
appropriate.
3. Responsibilities
A. The Department shall:
Determine the eligibility of each person referred for services as appropriate.
Provide information regarding rights and fair hearings.
Monitor the provision of contracted services.
B. The Contractor shall:
Bill only for services authorized, amount of services authorized and actually
provided per the "Referral for Service".
Hold the necessary license(s) which permit the performance of purchased
service, and/or meet applicable Colorado Department of Human Services
Qualification requirements, comply with the requirements of Tile VI of the
7.
AMENDMENT TO PUBLIC CONTRACT FOR SERVICES (PCS)
Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, Title
II of the Americans with Disabilities Act of 1990, the Age Discrimination Act
of 1975, and the Regulations of the U.S. Department of Health and Human
Services issued pursuant to the above statues at Title 45 Code of Federal
Regulations (CFR) Parts 80, 84, and 91, and Title 28 CFR Part 35,
(iii)Comply with all mandatory child abuse and neglect reporting laws and
policies (C.R.S § 19-3-307).
(iv)Safeguard information and confidentiality of the child and the child's family
in accordance with the Colorado Revised Statute (CRS § 19-3-313.5) and rules
of the Colorado Department of Human Services and Douglas County
Department.
(v) Provide the Department with the following client reports for services:
Service Plan Within thirty (30) days following the initial client contact
by the provider, submission of a provider service plan for the child/child's
family with specific objectives and target dates. The provider service plan
is subject to Department approval.
Monthly Progress Reports
Provide monthly reports from the time of
enrollmentlparticipatioh that include the number of client contact hours,
types of services provided, progress and barriers in achieving provisions
of the provider's service plan.
Missed Appointments/Significant Events - Notice of missed
appointments shall be provided to the County. Any events considered
clinically significant, i.e., family deaths, discovery of new relevant mental
health issues, missed urine analysis appointments or other events that
could be considered pertinent to client welfare shall also be reported
within 48 hours.
Discharge Summary/Reports - Discharge summary/reports are due to
the Department within ten working days from the close of service.
Discharge reports, at the conclusion of treatment, should render the
provider's opinion of the success of services for the client and any
ongoing recommendations.
4. Credentialing Criteria
Contractor shall ensure that all employees/subcontractors who provide services to
clients under this contract meet the credentials/qualifications specific to the
County's identified credentialing standards and C.R.S Title 12, Article 43 and in
the Social Services Manual Volume 7.000.6(M) (12 CCR 2509-4). The County
has the right to approve Contractor's employees/subcontractors who will be
performing services under this contract prior to the commencement of the work
and shall have the right to review the employee(s)'/subcontractor(s)' employment
files prior to granting approval. Contractor must retain copies of employee
credentialing qualifications and background checks in personnel files and make
8
AMENDMENT TO PUBLIC CONTRACT FOR SERVICES (PCS)
such records available to the County Representative upon request.
Contractor shall obtain reference and background checks, including fingerprintbased police (CBI andlor FBI) checks (if required by statute or regulation or if
there will be unsupervised contact with children), checks of Department records,
and Sexual Offender Registry checks and receive, at minimum, preliminary
results before assigning/hiring employees/subcontractors to perform under this
contract. In the event that the County becomes dissatisfied with Contractor's
employee(s)/subcontractor(s), the County will notifS' Contractor of its concerns
about the employee(s)/subcontractor(s). Disciplinary measures, if any, will be the
sole responsibility of Contractor. However, if the concerns/issues cannot be
resolved to the County's satisfaction, Contractor's employee(s)/subcontractor(s)
may not be allowed to provide services under this contract.
9
AMENDMENT TO PUBLIC CONTRACT FOR SERVICES (PCS)
Exhibit B-i
Method of Payment
Cntegory
Court testimony
Rate
$70.00
Service
Court Testimony
10
Unit
Hour