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Home My WebLink AboutAgreements/Contracts - Renew (003)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 ®NO DATE: 07.10.24 PHONE:X5470 Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑Computer Related ❑County Code El Emergency Purchase El Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders []Grants — Fed/State/County ❑ Leases ❑ MOA / MOU []Minutes ❑Ordinances ❑Out of State Travel El Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution El Recommendation []Professional Sery/Consultant ❑Support Letter ❑Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB ic-ma'i�� Amendment #2 between Department of Social & Health Services (DSHS) and Grant County (Renew) for developmental disability services. This is an amendment to DSHS Agreement # 2363-49275. 1ev-vv,'1 If necessary, was this document reviewed by accounting? ❑ YES ❑ NO 0 N/A If necessary, was this document reviewed by legal? *1 YES ❑ NO ❑ N/A DATE OF ACTION: I i (61 - 0 APPROVE: DENIED ABSTAIN D1: D3: 4/23/24 DEFERRED OR CONTINUED TO: WITHDRAWN: x RECEIVED_`� JUL 10 2024 GRANT COUNTY COMMIISSIO E S, This Program Agreement between the County and the State of Washington Department of Social and Health Services (DSHS) is hereby amended as follows: 1. The Total Maximum Contract Amount is hereby increased for FY25 in the amount of $1,378,365 for a new Contract Amount of $2,640,943 2. The period of performance end date is extended through 6/30/2025. 3. Section 6. Statement of Work is revised to include the following language: 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: (a) For fiscal year 2021 9/1/00 through 8/31/01 (b) For fiscal year 2022 9/1/01 through 8/31/02 (c) For fiscal year 2023 9/1/02 through 8/31/03 (d) For fiscal year 2024 9/1/03 through 8/31/04 (e) For fiscal year 2025 9/1/04 through 8/31/05 These students currently attending school and have completed an application to participate in this Value Based Payment (VPB) project. The VBP project application will include the following minimum criteria identified in the sample application found at: https://www.dshs.wa.gov/sites/default/files/DDA/dda/documents/Job%20Foundation%2OApplica tion 040720%20%28002%29.docx 4. Section 8. Billing and Payment Work will be replaced with the following language: I. Reimbursement for Partnership project: A claim of $3,000 per student for each completed Job Foundation document that is at a satisfactory or above rating will be requested through the AWA system as other monthly cost. o. Job Foundation Administration: The County may bill for administration costs as identified in Exhibit B. Monthly claims for administration cost will be based on the actual expenditures multiplied by 10%. King, Snohomish and Pierce Counties will use line item 13, all other participating Counties will use line item 14 (OSPI). 5. 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 (6-10-24) Page 2 Exhibit B Program Agreement Budget Original Budget X Budget Revision REVENUES Fiscal Year Fund Source Original 1 st Revision 2nd Revision 3rd Revision 2024 State only 573,866 641,152 Medicaid 688,298 OTHER CONSUMER SUPPORTS 31, 32, 41, 92, 93, 94, 97 Medicaid 554,741 621,426 30207 677127 CONSUMER SUPPORT STATE -ONLY 62, 64, 65, 67,69 Total Rev. 1,378,365 $ $ Total Rev. $11128,607 $1,262,578 $ $ 2160 2 160 Fiscal Year Fund Source Original 1St Revision 2nd Revision 3rd Revision 2025 State only 690,067 1075 59095 Medicaid 688,298 OTHER CONSUMER SUPPORTS 31, 32, 41, 92, 93, 94, 97 36920 30207 677127 CONSUMER SUPPORT STATE -ONLY 62, 64, 65, 67,69 Total Rev. 1,378,365 $ $ Child Development 61 2160 FY24 Account Title / BARS Job Foundation Funds PASRR Funds State Funds Medicaid Funds TOTAL ADMINISTRATION 11,12,13,14 1075 59095 48351 108,521 OTHER CONSUMER SUPPORTS 31, 32, 41, 92, 93, 94, 97 36920 30207 677127 CONSUMER SUPPORT STATE -ONLY 62, 64, 65, 67,69 Child Development 61 2160 2 160 MEDICAID CLIENTS 62, 64, 65, 67,69 95, 96 10752 473018 473018 9561788 MEDICAID PROVISO 63991 63991 127,982 ROADS to COMMUNITY LIVING 62, 64, 65, 67, 69 TOTAL 11 827 635,184 615,567 11262,578 DSHS Central Contract Services 1769CP Contract Amendment (6-10-24) Page 3 FY25 Account Title /BARS Job Foundation Funds PASRR Funds State Funds Medicaid Funds TOTAL ADMINISTRATION 11,12,13,14 900 1010 67801 55473 1251184 OTHER CONSUMER SUPPORTS 317 32, 41, 927 93, 94, 97 630 44744 36609 817983 CONSUMER SUPPORT STATE -ONLY 62, 64, 65, 67, 69 2160 Child Development 61 2,160 563849 16677 171467802 227236 MEDICAID CLIENTS 62, 64, 65, 67, 69 95,96 9000 10104 563849 MEDICAID PROVISO ROADS to COMMUNITY LIVING 62, 64, 65, 67, 69 5559 672,608 11378,365 TOTAL 10,530 11,114 11 6841113 DSHS Central Contract Services 1769CP Contract Amendment (6-10-24) Page 4