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Home My WebLink AboutAgreements/Contracts - Renew (002)REASON FOR AMENDMENT; CHANGE OR CORRECT PERIOD OF PERFORMANCE AND MAX CONTRACT AMOUNT 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: F1 Exhibits (MeCiM' Exhibit B This Prog . ram Agreement Amendment, including all Exhibits and other documents incorporated by reference, contains all of the terms and conditions agreed upon by the partie's 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 DSHS Agreement Number -Amendment, and have authority to enter into this Program Agreement Amendment. COUNTY PROGRAM AGREEMENT 2163-24991 D De. patant o rf, Social Danny E Stone, BOCC Chair 7 & pearth icy AMENDMENT PRINTED NAME AND TITLE Amendment No. 01 Transforming lives This Program Agreement Amendment is by and between the State of Washington 9/6/2022 Administration or Division Department of Social and Health Services (DSHS) and the County identified below. Agreement Number Click here to enter text. County Agreement Number DSHS ADMINISTRATION DSHS DIVISION DSHS INDEX NUMBER CCS CONTRACT CODE Developmental Disabilities Division of Developmental 1221 1221 Admin Disabilities DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS Seanna Woodard 1611 W Indiana Ave Spokane, WA 99205 DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL ( 509)329-2952 509 568-3037 C woodas@dshs.wa.gov COUNTY NAME COUNTY ADDRESS Grant County PO BOX 1057 Grant -Adams County DDA County Services Moses Lake, WA 98837-0160 COUNTY FEDERAL EMPLOYER IDENTIFICATION COUNTY CONTACT NAME NUMBER Nicole Davidson COUNTY CONTACT TELEPHONE COUNTY CONTACT FAX COUNTY CONTACT E-MAIL 509 764-6329 Click here to enter text. Click here to enter text. IS THE COUNTY A SUBRIECIPIENT FOR PURPOSES OF THIS PROGRAM CFDA NUMBERS AGREEMENT? No AMENDMENT START DATE PROGRAM AGREEMENT END DATE 07/01/2022 06/30/2023 PRIOR MAXIMUM PROGRAM AGREEMENT AMOUNT OF INCREASE OR DECREASE TOTAL MAXIMUM PROGRAM AGREEMENT AMOUNT' AMOUNT $856,1669.00 $856,669.00 $1,713,338.00 REASON FOR AMENDMENT; CHANGE OR CORRECT PERIOD OF PERFORMANCE AND MAX CONTRACT AMOUNT 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: F1 Exhibits (MeCiM' Exhibit B This Prog . ram Agreement Amendment, including all Exhibits and other documents incorporated by reference, contains all of the terms and conditions agreed upon by the partie's 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 fullr 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 Danny E Stone, BOCC Chair DSHS SIGNATURE PRINTED NAME AND TITLE DATESIGNED Tammy Layton, Contract Manager 9/6/2022 DSHS Central Contract Services 1769CP Contract Amendment (12-10-21) 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: The Total Maximum Contract Amount is hereby increased in the amount of $856,669 for a new Contract Amount of $1,713,338 2. Section 1. Definitions Specific to Program Agreement, items o, r, and u are hereby replaced with the following language: o. "Employment Outcome Payment" means a payment to providers for transition students born between specific dates; have high acuity; are authorized for Individual Employment, and student obtains a competitive integrated job within specific timeframes. If the job is a minimum of ten hours of work per week an additional amount will be included in the payment. r. "Job Foundation Report" means a document derived from employment readiness activities performed by students who are between ages 19 through 20 that identifies actionable next steps for employment. The employment service providers developing the Job Foundation report will be supporting students with employment activities on average 35 hours. U. "Quality Assurance" means an adherence to all Program Agreement requirements, including DDA Policy 6.13, Provider Qualifications for Employment and Day Program Services, County Guidelines, and the Criteria for Evaluation, as well as a focus on reasonably expected levels of performance, quality and practice. 3. Section 4. Credentials and Minimum Requirements, item h. is hereby replaced with the following language: h. Oualifie'd Service Providers: The County assures that all service providers meet qualifications as outlined in the DDA Policy 6.13, Provider Qualifications for Employment and Day Program, Services. 4. Section 6. Statement of Work, items k. (4), (5) and (11), t. and u. are hereby replaced with the following language: (4) All Clients will have an individualized employment or Community Inclusion plan to identify Client's preferences. Minimum plan elements are outlined in the reference document "Criteria for Evaluation". A copy of the Client's individualized plan will be provided to the Client, their CRM, guardian, and others as appropriate. (5) Six-month progress reports describing the progress made towards achieving Client's goal will be provided by the service provider to the CRM, participant, and/or guardian, if any, within 30 days following the six-month period. The report will summarize activities and outcomes made towards Client's individualized goal(s). (11) For Group Supported Employment (GSE), Clients must have paid work. The total number of direct service staff hours provided to the group should be equal to or greater than the group's collective amount of authorized service hours. If the direct service staff hours are less than the collective amount, then the provider will be reimbursed only for the number of hours staff actually provide. t. Partnership Project. (1) A Job Foundation document will be completed per guidelines for eligible students. Eligible students are DDA Clients who were born between: DSHS Central Contract Services 1769CP Contract Amendment (12-10-21) Page 2 • For fiscal year 2021 9/1/00 through 8/31/01 • For fiscal year 2022 9/1/01 through 8/31/02 • For fiscal year 2023 9/1/02 through 8/31/03 • For fiscal year 2024 9/1/03 through 8/31/04 These students currently attending school and have completed an application to participate in this Value Based Payment (VBP) project. The VBP project application will include the following minimum criteria identified in the sample application found at: https://www.dshs.wa..qov/sites/default/files/DDA/dda/documents/Job%20Foundation%20Appli cation 040720%20%28002%29.docx (2) Qualified providers will collaborate with School District staff to complete the Job Foundation document and then provide a copy to the County. To be a qualified provider for the Partnership Project the Counties must require the provider to have a current contract with the Division of Vocational Rehabilitation; a contract in good standing with the County and cannot be in provisional status; a minimum of two years' experience providing Individual Employment with demonstrated job placement skills. The Job Foundation recommendation will only have actionable next steps towards integrated competitive employment. (3)A County participating in the Partnership Project must have the ability to work collaboratively with School Districts to identify DDA students in high school, collect and track information, be proficient in electronic spreadsheets, and ability to evaluate if completed Job Foundation document(s) meet quality standards. u. Employment Outcome Payment. Providers with transition students born between i For fiscal year 2023 9/.1/00 through 8/31/01 • For fiscal year 2024 9/1/01 through 8/31/02 • For fiscal year 2025 9/1/02 through 8/31/03 • For fiscal year 2026 9/l/03 through 8131/04 With high acuity and are authorized for Individual Employment, may receive one outcome payment if student obtains a competitive integrated job approved by the County within timeframes described in the chart below. If the County is also the service provider DDA will provide the job approval. If the job is at a minimum of ten hours of work per week an additional amount will be included in the payment. 5. Section 7. Consideration, item b. (2) is hereby replaced with the following language: (2) Spending Plan: DDA will provide the initial spending plan / Program Agreement Budget/ Exhibit B. Funding shall be distributed under State and Medicaid in the revenue section. The planned expenditures for Consumer Supports are based on authorized Clients, their acuity level and work history for a given point in time. The Additional Consumer Support are the Consumer Supports multiplied by a percentage. The spending plan may only be modified by mutual agreement of the parties in writing and shall not require a program agreement amendment. 6. Section 6. Billing and Payment, items f. and i. are hereby replaced with the following language: f. 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 will be the lesser of the two. Administration cost DSHS Central Contract Services 1769CP Contract Amendment (12-10-21) Page 3 reimbursement will not exceed 7% unless the Assistant Secretary of DDA approves a request for an exception under chapter 388-850 WAC. Timeliness of and Modification to Billings: All initial invoices with signed documentation must be received by the DDA Region within forty-five (45) calendar days following the last day of the month in which the service is provided. Corrected invoices and documentation including re -posted billing information will be accepted throughout the fiscal year as long as they are received within sixty (60) calendar days of the associated fiscal year unless an extension is approved by the DDA Regional Administrator or designee. Payment will not be made on any invoice submitted past sixty (60) calendar days after the Program Agreement fiscal year. 7. Exhibit B. Program Agreement Budget is hereby replaced with the following Exhibit B1, 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 (12-10-21) Page 4 Exhibit B1 Program Agreement Budget Original Budget X Budget Revision REVENUES Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2022 State only 434,835 State '.Modicaid Medicaid 421,834 Funds ...Funds TOTAL ADMINISTRATION Total Rev. $856,669 30824 $ $ Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2023 State only 434;835 State '.Modicaid Medicaid 421,834 Funds ...Funds TOTAL ADMINISTRATION Total Rev. $856,669 30824 $ $ FY22 3044 37304.1 746,088 37 MEDICAID CLIENTS 4 ROADS to COMMUNITY LIVING TOTAL DSHS Central Contract Services 1769CP Contract Amendment (12-10-21) 4734,835" 421383347 856,669 Page 5 Job Foundation Funds PASRR State '.Modicaid Funds Funds ...Funds TOTAL ADMINISTRATION (CMISAWA, BARS 11) 30824 -25220'. 56,044 OTHER CONSUMER SUPPORTS CM IS/AWA Code .31, 32,41,92,93, 94 28807 ...23570. 62,377 ----------- CONSUMER SUPPORT STATE -ON LY Child Development 2160 2,160 3044 37304.1 746,088 37 MEDICAID CLIENTS 4 ROADS to COMMUNITY LIVING TOTAL DSHS Central Contract Services 1769CP Contract Amendment (12-10-21) 4734,835" 421383347 856,669 Page 5 FY23 DSHS Central Contract Services 1769CP Contract Amendment (12-10-21) Page 6 Job Foundation Funds PASRR Medicaid Funds State Funds Funds . TOTAL ADMINISTRATION (CM IS/AWA BARS 1.1 3.0824 25220 56;044 OTHER CONSUMER SUPPORTS (CMISIAWA Code 31, 321 41, 92, 93.1 94) 28807 ;: 23570 52,377 CONSUMER SUPPORT STATE -ONLY Child Development 2160 21160 DSHS Central Contract Services 1769CP Contract Amendment (12-10-21) Page 6