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DSHS Agreement Number
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Deparlmtnt sodfall
COUNTY
2163-24991
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PROGRAM AGREEMENT
9
DDA County Services
This Program Agreement is by and between the State of Washington Department of
Administration or Division
Social and Health Services (DSHS) and the County identified below, and is issued in
Agreement Number
conjunction with a County and DSHS Agreement On General Terms and Conditions,
which is incorporated by reference.
County Agreement Number
DSHS ADMINISTRATION
DSHS DIVISION
DSHS INDEX NUMBER
DSHS CONTRACT CODE
Developmental Disabilities
Division of Developmental
1221
1769CS-63
Admin
Disabilities
I
DSHS CONTACT NAME AND TITLE
DSHS CONTACT ADDRESS
Seanna Woodard
1611 W Indiana Ave
Operations Manager
Spokane, WA 99205
DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL
(509)329-2952(509)568-3037 wood as2dsh s.wa. gov
I N ... 111111gintIll
......
COUNTY NAME COUNTY ADDRESSI
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,
NMU%= OUNWARMUSM
IS TME COUNTYASUBRECIPIENT FOR PURPOSES OF THIS PROGRAM CFDA NUMBERS
AGREEMENT?
No
PROGRAM AGREEMENT START DATE
PROGRAM AGREEMENT END DATE
MAXIMUM PROGRAM AGREEMENT AMOUNT
07/01/2021
1 06/30/2022
1 $856,669.00
111t,- IUIIUVVIIIY EX11101L,'i d[U dUdGrleu: axnioiiA— uata ziecurity Kequirements; hX111101t 13 — Budget and
... .... ...' Spending Plan
By their signatures below, the parties agree to the terms and conditions of this County Program Agreement and all
documents incorporated by reference. No other understandings or representations, oral or otherwise, regarding garding the
ct matter of this Program Agreement shall be dee M -ed to exist or bind the parties. The parties signing below certify
m
tho th are authprite illo sign this Program Agreement.
C NTY IGNAT S) PRINTED AME( AND DATE(S) SIGNED
DSHS -SIGNATURE
DSHS Central Contract Services
1769CS County Agreement 06-08-2021
rc�
0
PRINTED NAME AND TITLE
Melissa Diebert, Management Analyst
r
(21"
DATE SIGNED
08/17/21
Page 1
Special Terms and Conditions
1. Definitions Specific to Program Agreement: The words and phrases listed below, as used in this
Program Agreement, shall each have the following definitions:
a. "Acuity Level" means the level of an individual's abilities and needs as determined through the DDA
assessment.
b. "AWA" means ALTSA Web Access.
c. "Additional Consumer Services" refers to indirect Client service types as follows:
(1) "Community Information and Education": Activities to inform and/or educate the general public
about developmental disabilities and related services. These may include information and
referral services; activities aimed at promoting public awareness and involvement; and
community consultation, capacity building and organization activities.
(2) "Training": To increase the job related skills and knowledge of staff, providers, volunteers, or
interning students in the provision of services to people with developmental disabilities. Also to
enhance program related skills of board or advisory board members.
(3) "other Activities" reserved for special projects and demonstrations categorized into the following
types:
(a) Infrastructure projects: Projects in support of Clients (services not easily tracked back to a
specific working age Client) or that directly benefit a Client(s) but the Client is not of working
age. Examples include planning services like benefits planning and generic job
development e.g. "Project Search".
(b) Start-up projects: Projects that support an agency or directly benefit the agency. Examples
include equipment purchases and agency administrative support.
(c) Partnership Project: Collaborative partnerships with school districts, employment providers,
DVR, families, employers and other community collaborators needed to provide the
employment supports and services young adults with developmental disabilities require to
become employed during the school year they turn twenty-one (21).
d. "BARS" means Budget and Accounting Reporting System.
e. "Client" means a person with a developmental disability as defined in chapter 388-823 WAC who is
currently eligible and active with the Developmental Disabilities Administration or is an identified
PASRR Client.
f. "Competitive Integrated Employment" means work performed by an individual on a part-time or full-
time basis, within an integrated setting within the community that meets HCBS settings
requirements. The individual must be compensated at minimum wage or higher, using the higher of
the Federal, State, or local rate, and at a rate comparable to the wage paid to non -disabled workers
performing the same tasks, including receiving the same benefits and opportunities for
advancement.
g. "Consumer Support" refers to direct Client service types as follows:
(1) "Community Inclusion" or "Cl": services are individualized services provided in typical integrated
community settings. Services will promote individualized skill development, independent living
and community integration for persons to learn how to actively and independently engage in
DSHS Central Contract Services Page 2
1769CS County Agreement 06-08-2021
Special Terms and Conditions
their local community. Activities will provide opportunities to develop relationships and to learn,
practice and apply skills that result in greater independence and community inclusion. These
services may be authorized for individuals age 62 and older. These services may be authorized
instead of employment support (individual Employment or Group Supported Employment) for
working age individuals who have received nine months of employment support.
(2) "Child Development Services" or "CDS": Birth to three services are designed to meet the
developmental needs of each eligible child and the needs of the family related to enhancing the
child's development. Services may include specialized instruction, speech-language pathology,
occupational therapy, physical therapy, assistive technology, and vision services. Services are
provided in natural environments to the maximum extent appropriate.
(3) "Individual Supported Employment" or "IF: services are a part of an individual's pathway to
employment and are tailored to individual needs, interests, and abilities, and promote career
development. These are individualized services necessary to help persons with developmental
disabilities obtain and continue integrated employment at or above the state's minimum wage in
the general workforce. These services may include intake, discovery, assessment, job
preparation, job marketing, job supports, record keeping and support to maintain a job.
(4) "Individualized Technical Assistance" or "ITA": services are a part of an individual's pathway to
individual employment. This service provides assessment and consultation to the employment
provider to identify and address existing barriers to employment. This is in addition to supports
received through supported employment services for individuals who have not yet achieved
their employment goal.
(5) "Group Supported Employment" or "GSE": services are a part of an individual's pathway to
integrated jobs in typical community employment. These services are intended to be short term
and offer ongoing supervised employment for groups of no more than eight (8) workers with
disabilities in the same setting. The service outcome is sustained paid employment leading to
further career development in integrated employment at or above minimum wage. Examples
include enclaves, mobile crews, and other business models employing small groups of workers
with disabilities in integrated employment in community settings.
h. "County" is the political subdivision of the state of Washington and the county or counties entering
into this Program Agreement.
i. "CRM" means the DDA Case Resource Manager.
j. "CSA" means County Service Authorization.
k. "DU means developmental disabilities.
I. "DDA" means the Developmental Disabilities Administration within DSHS.
m. "DDA Region" means the DDA Regional office.
n. TVR)y means the Division of Vocational Rehabilitation.
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 a specific timeframes. If the job is a minimum of ten
hours of work per week an additional amount will be include in the payment.
DSHS Central Contract Services Page 3
1769CS County Agreement 06-08-2021