HomeMy WebLinkAboutAgreements/Contracts - Renew (002)GRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT: Renew
REQUEST SUBMITTED BY: Linze Greenwalt
CONTACT PERSON ATTENDING ROUNDTABLE: Dell Anderson
CONFIDENTIAL INFORMATION: ❑YES W NO
DATE: 10/25/23
PHONE:5470
Disabilities/Developmental Disabilities. Maximum $70,000. Contract terms 12/1/23-6/30/24
DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
DEFERRED OR CONTINUED TO:
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Approval request for Dell Anderson to sign DocuSi n for MOU between Renew & E
g n Route
Coaching & Training Services. Renew staff will be trained to support youth with Intellectual
Disabilities/Developmental Disabilities. Maximum $70,000. Contract terms 12/1/23-6/30/24
DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
DEFERRED OR CONTINUED TO:
-v'3
DocuSign Envelope ID: 8199BB26-C6DF-4BFF-BA68-D947B6F9FA1A. L'%�/� -25 8
- u 01h 0
Coaching &Trafning Servicos. LLC
October 17, 2023
Dell Anderson, Executive Director
Renew Grant Behavioral Health & Wellness
840 E Plum St I Moses Lake, WA 98837
(509) 765-9239 1 daanderson@grantcountvwa.Dov
RE: HCA - WISe SED/ASD (RUBI) Specialty Teams 2023-2024
Dear Dell Anderson,
This letter and enclosures will serve as the agreement between Renew Grant
Behavioral Health & Wellness (Renew) and En Route Coaching & Training Services (En
Route, LLQ for participation in the Health Care Authority (HCA) sponsored project:
Developing Workforce to Support SED Youth with Intel lectual/Developmental
Disabilities Includinq Autism Spectrum Disorder for the Wraparound with Intensive
Services (WISe) program.
Renew will be compensated a maximum of $70,000.00 between December 01, 2023,
and June 30,'2024, by En Route, LLC for specific deliverables outlined in the
MOU/SOW.
Please see the enclosed documents for project specifics, timelines and instructions
for billing and compensation.
We look forward to working with you.
Sincerely,
Dan Embree, M.Ed., NCC
Principal Partner I Executive Director
Enclosures: MOU/SOW 2023-2024
En Route, LLC 1551 NE 22nd Ave I Portland, OR 97232 (503) 941-0692
DocuSign Envelope ID: 8199BB26-C6DF-4BFF-BA68-D947B6F9FA1A
En Route, LLC
1551 NE 22nd Ave I Portland, OR 97232
(503) 941-0692 1 fiscal@enroutecoaching.com Coaching & Training SerVices, LLC
SUBCONTRACTOR
MEMORANDUM OF UNDERSTANDING AND STATEMENT OF WORK
of
Renew Grant Behavioral Health & Wellness (Renew)
to
En Route Coaching & Traini-ng Services (En Route, LLQ
for
Washington State Health Care Authority (HCA)
Project Title:
Developing the workforce to support Serious Emotionally Disturbed (SED) youth with
Intellectual Disabilities/DevelopmentaiDisabilities (IDD) including Autism Spectrum
Disorder (ASD). The project may also be referred to as the: HCA-SED/ASD (RUBI) Specialty
Teams 2023.
Period of Performance:
The period of performance (reports and invoices) shall take place December 01, 2023,
through June 30, 2024. This period is based on a contract between HCA and En Route, LLC
and may be changed as HCA deems necessary.
Purpose:
The purpose of this project is to 1) Design a project plan and timeline for a WISe Specialty
Team model for SED youth with co-occurring ASD, 2) Implement theproject plan for the
WISe ASD specialty team, and 3) Attend required trainings. In addition, attendance at
meetings convened by HCA and/or En Route, LLC related to planning, implementation, and
follow-up recommendations for the project are required.
En Route, LLC and Renew: SED/ASD (RUBI) Specialty Teams 2023-2024 1 of 5
DocuSign Envelope ID: 8199BB26-C6DF-4BFF-BA68-D947B6F9FA1A
Partnership and Reporting Requirements
Partnership Activities:
Renew will work with HCA and En Route, LLC staff to design and implement a WISe
SED/ASD specialty team for SED youth with co-occurring ASID. Specific deliverables include:
1. Renew will submit a plan identifying staff involved in the project and an overview of
the agency's team model. The WISe ASID Team will be responsible for attending and
implementing the HCA selected training and testing their agency specific team
model during the project.
2. Renew will ensure the SED/ASD specialty team participates in the HCA selected
training provided by the University of Washington (UW) Seattle Children's Hospital.
The RUBI training model includes:
a) Sixteen (16) hour workshop
b) Twenty (20) weeks of ongoing consultation with the team mental health
therapist and other team members as indicated
'Reporting Requirements:
Renew will submit a monthly narrative report to En Route, LLC and HCA covering the
activities of the project. The requirements for the content of the report are provided by En
Route, LLC (example format, page 5).
Renew will provide information for a final summary report that will include
recommendations for next steps and broader implementation. Information from all sites will
be included and compiled by En Route, LLC.
En Route, LLC and Renew: SED/ASD (RUBI) Specialty Teams 2023-2024 2 of 5
DocuSign Envelope ID: 8199BB26-C6DF-4BFF-BA68-D947B6F9FA1A
Program Deliverables, Compensation, and Payment Schedule
Renew shall be compensated as follows:
6Owenble
Timeline
ost::
Submit and implement WISe SED/ASD Specialty
December 31, 2023
$10,000
Team project plan; Complete monthly reports;
January 31, 2024$10,000
Attend UW trainings; Attend HCA convened
February 28, 2024
$10,000
meetings.
March 31, 2024
$10,000
April 30, 2024
$10,000
May 31, 2024
$10,000
June 30, 2024
$10,000
Total Amount
$70,000.00
Billing:
Renew will submit a billing invoice to En Route, LLC monthly and maintain supporting
documentation that details time and effort to support the deliverables of the projectp Ian
and consistent with the payment schedule. Payments will be issued via ACH direct deposits
or mailed paper check by En Route within sixty (60) days of the invoice date. Renew will
send the invoices via email to fiscal@enroutecoachina.com.
Maintenance of Records:
Renew will maintain accounts and records, including personnel, financial, programmatic
records, or other such records as may be deemed necessary by HCA to ensure proper
accounting for all funds and compliance with this agreement.
Forms:
Renew will submit the following documents to En Route, LLC before November 01, 2023.
1. Federal Form W9, provided via DocuSign [ V completed]
2. Direct Deposit/ACH Enrollment Form, provided via DocuSign completed]
En Route, LLC and Renew: SED/ASD (RUBI) Specialty Teams 2023-2024 3 of 5
DocuSign Envelope ID: 8199BB26-C6DF-4BFF-BA68-D947B6F9FA1A
ATTACHE MNT A
Example Monthly Report Format for SED/ASD (RUBI) Specialty Teams
Date Range of Report:
Agency:
Submitted by:
Team Members or Hiring Status
RUBI Training Sessions Completed:
RUBI Consultations Attended:
Implementation Strengths/Successes:
Implementation Challenges/Barriers:
En Route, LLC and Renew: SED/ASD (RUBI) Specialty Teams 2023-2024 5 of 5