The URL can be used to link to this page

Home My WebLink AboutAgreements/Contracts - RenewIf'o 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: FlYES ® NO DATE: 08.12.2024 PHONE:x5470 ®Agreement / Contract EIAP Vouchers ElAppointment / Reappointment EIARPA Related El Bids / RFPs / Quotes Award E]Bid Opening Scheduled El Boards / Committees El Budget El Computer Related El County Code El Emergency Purchase El Employee Rel. El Facilities Related 7 Financial El Funds El Hearing 7 Invoices / Purchase Orders El Grants — Fed/State/County E]Leases 7MOA / MOU 7Minutes F] Ordinances 7 Out of State Travel F Petty Cash ❑ Policies El Proclamations F Request for Purchase El Resolution El Recommendation El Professional Serv/Consultant El Support Letter [:]Surplus Req. F]Tax Levies ElThank You's E]Tax Title Property E1WSLCB UGGESTED, IN AGEN0AWhat; When, Wfty ,Term, cost,-x- �7 Amendment #1 between DSHS Developmental Disabilities Administration and Grant -Adams County DDA County Services. Effective 12/01/23-06/30/24. Increase of $133,971 in funding. DSHS Agreement # 2363-49275. If necessary, was this document reviewed by accounting? 7 YES 0 NO F-1 N/A If necessary, was this document reviewed by legal? 0 YES El NO F-1 N/A 10, DATE OF ACTION: — APPROVE: DENIED ABSTAIN An D1: GI�— D2: D3: 4/23/24 DEFERRED OR CONTINUED TO: WITHDRAWN: K24-207 ��°^QtRR �=a�� COUNTY PROGRAM AGREEMENT Department of Social 71tv & Halth Se 4 AMENDMENT Transforming lives This Program Agreement Amendment is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below. DSHS ADMINISTRATION Developmental Disabilities Admin DSHS CONTACT NAME AND TITLE Seanna Woodard DSHS CONTACT TELEPHONE (509)329-2952 DSHS DIVISION DSHS INDEX NUMBER Division of Developmental 1221 Disabilities DSHS CONTACT ADDRESS 1611 W Indiana Ave Spokane, WA 99205 DSHS CONTACT FAX 509 568-3037 COUNTY NAME COUNTY W. Third Ave ADDRESS Grant County Grant -Adams County DDA County Services I Moses Lake, WA 98837- COUNTY FEDERAL EMPLOYER IDENTIFICATION COUNTY CONTACT NAME NUMBER I Nicole Davidson COUNTY CONTACT TELEPHONE COUNTY CONTACT FAX (509) 764-6329 Click here to enter text. IS THE COUNTY A SUBRECIPIENT FOR PURPOSES OF THIS PROGRAM AGREEMENT? No AMENDMENT START DATE PROGRAM AGREEMENT END DATE 12/01/2023 06/30/2024 PRIOR MAXIMUM PROGRAM AGREEMENT AMOUNT OF INCREASE OR DECREASE AMOUNT $1,128,607.00 $133,971.00 DSHS Agreement Number 2363-49275 Amendment No. 01 Administration or Division Agreement Number Click here to enter text. County Agreement Number CCS CONTRACT CODE 1221 DSHS CONTACT E-MAIL woodas(ZD,dshs.wa.aov ICOUNTY CONTACT E-MAIL ---Click here to enter text. CFDA NUMBERS TOTAL MAXIMUM PROGRAM AGREEMENT AMOUNT $1,262,578.00 REASON FOR AMENDMENT; CHANGE OR CORRECT MAXIMUM 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: Z Exhibits (specify): EXHIBIT 131 This Program Agreement Amendment, including all Exhibits.and other documents incorporated by reference, contains all of the terms and conditions agreed upon by I the parties 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 full 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 SIGNATUR&(SJ.,, PRINTED NAME(S) AND TITLE(S) -[-DATES) SIGNEFD. DSHS SIGNATU Cindy Carter, Chair PRINTED NAME AND TITLE DATE SIGNED ,A�� (Jennifer Albertson, Contract Specialist 10/16/24 DSHS Central Contract Services 1769CP Contract Amendment (4-12-23) R E C V AUG 12 2OZ4 I GRANT COUNTY COMMISSIONERS 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: 'I. The Total Maximum Contract Amount is hereby increased in the amount of $133,971, for a new Contract Amount of $1,262,578. 2. Section 8. Billing and Payment: a. 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 the total Administration billed will be the lesser of the two. Administration cost reimbursement will not exceed 10% unless the Assistant Secretary of DDA approves a request for an exception under chapter 388-850 WAC. b. Preadmission Screening and Resident Review (PASRR) Administration: The County may bill for administration costs as identified in Exhibit B. Monthly claims for administration cost will be based on the actual PASRR expenditures multiplied by 10%. 3. 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. 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 554,741 6211426 Total Rev. $111281607 $11262, 578 $ $ Fiscal Year Fund Source Original 1 St Revision 2nd Revision 3rd Revision 2025 State only Medicaid Total Rev. $ $ DSHS Central Contract Services 1769CP Contract Amendment (4-12-23) Page 2 FY24 DSHS Central Contract Services 1769CP Contract Amendment (4-12-23) Page 3 Exhibit B1 Program Agreement Budget Original Budget Budget Revision REVENUES Fiscal Year Fund Source Original 1 St Revision 2nd Revision 3rd Revision 2022 State onl Medicaid Total Rev. Fiscal Year Fund Source Original 1 St Revision 2nd Revision 3rd Revision 2023 State only Medicaid Total Rev. DSHS Central Contract Services 1769CP Contract Amendment (4-12-23) Page 4 Linze Greenwalt From: Rebekah M. Kaylor Sent: Wednesday, July 31, 2024 1:11 PIVI To: Linze Greenwalt Subject: RE: DDA Contract Amendment 1 I am fine with this. It is helpful to have the original attached to the amendment. Regards, Rebekah Kaylor Chief Deputy Prosecuting Attorney (Civil/Appellate) Grant County Prosecuting Attorney's Office PO Box 37 Ephrata, WA 98823 Phone: 509.754.2011 x3950 Fax: 509.754.6574 rmkavlor(@Rrantcountvwa.Rov The contents of this e-mail message, including any attachments, are intended solely for the use of the person or entity to whom the e-mail was addressed. It contains information that may be protected by attorney -client privilege, work -product, or other privileges, and may be restricted from disclosure by applicable state and federal law. If you are not the intended recipient of this message, be advised that any dissemination, distribution, or use of the contents of this message is strictly prohibited. If you received this message in error, please contact the sender by reply e-mail. Please also permanently delete all copies of the original e-mail and any attached documentation. Please be advised that any reply to this e-mail may be considered a public record and be subject to disclosure upon request. From: Linze Greenwalt <Igreenwalt@grantcountywa.gov> Sent: Monday., July 8, 2024 9:38 AM To: Rebekah M. Kaylor <rmkaylor@grantcountywa.gov> Subject: DDA Contract Amendment 1 Hi there, This amendment just came across my desk last week. I was out Thursday and Friday so this was my first chance to send it to you. This is Amendment I to the DDA contract that you just approved the Amendment 2. 1 did ask our finance coordinator and she said that we have been receiving the additional funds that this amendment gave us. Please let me know if you have any questions. Thanks, Linze From: Nicole Davidson <ndavidson@grantcountywa.gov> Sent: Wednesday, July 3,,2024 10:42 AM 1 To: Linze Greenwalt <Igreenwalt@g-rantcountvwa.gov> Subject: FW: FY24 amended Chelan/Douglas DDA contract -for signature Nicole R Davidson .90* Quality & Compliance Manager Ph: 509.765.9239 Aw"MIRI& AV '% 0 ---ft n AaftL w 840 E Plum St Moses Lake, WA r Grant Behavioral Health 8 Wellness E-MAIL CONFIDENTIALITY NOTICE: The contents of this e-mail and any attachments are intended solely for the addressee(s) and may contain confidential and/or legally privileged information. If you are not the intended recipient of this message or if this message has been addressed to you in error, please immediately alert the sender by reply e-mail and then delete this message and any attachments. If you are not the intended recipient, you are notified that any use, dissemination, distribution, copying or storage of this message or any attachment is strictly prohibited. From: Woodard,, Seanna (DSHS/DDA) <seanna.woodard@dshs.wa.go > Sent: Tuesday, December 19, 2023 9:24 AM To: Nicole Davidson <ndavidson@grantcountvwa.gov> Subject: FY24 amended Chelan/Douglas DDA contract - for signature Hi Nicole, Attached isyour FY24 amended DDA contract. Please sign and return via email, unless you need a "wet" signature copy for your county., at your earliest convenience. Please ensure that the signer of the contract is a staff member identified as a signer on your Intake Form that was submitted. If you have any questions, please feel free to reach out. Thank you, Seanna Woodard / Regional Operations Manager DDA Region 1-Spokane / Developmental Disabilities Administration Washington State Department of Social and Health Services (0) 509.329.2952 / (F) 509.568.3037 Email: woodas@dsh.,s.wa.gov OR ' seanna.woodard@dshs.wa.gov Transforming Lives Stay connected with DDA 2 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: DYES FrA N 0 DATE: 07.10.24 PHONE:x5470 ----- -------- - I ------ - - -------------- Q un-limi RAgreement / Contract EIAP Vouchers ElAppointment / Reappointment _E1_ARPA Related D Bids / RFPs / Quotes Award RBid Opening Scheduled El Boards / Committees DBudget D Computer Related E]County Code El Emergency Purchase R Employee Rel. OFacilities Related ElFinancial 0 Funds 0 Hearing ❑ Invoices / Purchase Orders []Grants — Fed/State/County OLeases EIMOA / MOU DMinutes ElOrdinances El Out of State Travel El Petty Cash El Policies El Proclamations El Request for Purchase 11 Resolution DRecornmendation ElProfessional Serv/Consultant DSupport Letter OSurplus Req. DTax Levies ❑Thank You's 0Tax Title Property 11WSLC13 If necessary, was this document reviewed by accounting? El YES El NO W N/A If necessary, was this document reviewed by legal? F* YES 0 NO El N/A AWL Health smim Department of social COUNTY PROGRAM AGREEMENT AMENDMENT This Program Agreement Amendment is by and between the State of Washington Department of Social and Health Services (DSHS) and the County identified below. DSHS ADMINISTRATION DSHS DIVISION DSHS INDEX NUMBER Developmental Disabilities Division of Developmental 1221 Admin Disabilities DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS Seanna Woodard 1611 W Indiana Ave I Spokane, WA 99205 DSHS CONTACT TELEPHONE DSHS CONTACT FAX �5091329-2952 509)568-3037 COUNTY NAME COUNTY ADDRESS Grant County 1038 W Ivy Ave Grant -Adams County DDA County Services ? Moses Lake, WA 98837- COUNTY FEDERAL EMPLOYER IDENTIFICATION COUNTY CONTACT NAME NUMBER VWXMIErf DSHS Agreement Number 2363-49275 Amendment No. 02 Administration or Division Agreement Number Click here to enter text, County Agreement Number CCS CONTRACT CODE 1221' DSHS CONTACT E-MAIL woodas@dshs.wa.c lov 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 SUBRECIPIENT FOR PURPOSES OF THIS PROGRAM CFDA NUMBERS AGREEMENT? No AMENDMENT START DATE PROGRAM AGREEMENT END DATE 07/01/2024 06/3012025 PRIOR MAXIMUM PROGRAM AGREEMENT AMOUNT OF INCREASE OR DECREASE AMOUNT: TOTAL MAXIMUM PROGRAM AGREEMENT $1$262,578.00 $1,3�8.365.00 AMOUNT . REASON FOR AMENDMENT; j943.00 .CHANGE OR CORRECT -OTHER: SEE PAGE TWO EXHIBITS. When the box below is marked with a check (4) or an X, the following Exhibits are attached and are incorporated into this Program Agreement Amendment by reference: 0 Exhibits (specify): Exhibit 131 Program Agreement Budget This Program Agreement Amendment, including all Exhibits and other documents incorporated by referen'ce, contains all of the terms and Conditions ag'reed upon by the parties 'a s changes to the original Program Agreement. No other understandings or representations, oral or otherwise, regarding the s . ubje6t *matter of this Program Agreement Amendment shall .be deemed to exist or bind the parties, All other terms and Cohd* itions of the original Program Agreement iremain in full force and effect. The parties signing below warrant that they have read and understand this Program Agreement Amendment, and have authority to enter into this Program Agreement Amendment'. 9 COUNTY SIGNATURE(S) PRINTED NAME(S) AND TITLE($) DATE(S) SIGNED Cindy Carter, Chair DSHS PRINTED NAME AND TITLE A —IjIl I& DATE SIGNED Jennifer Albertson, Contract Specialist 7/18/24 DSHS Central Contract Services 1769CP Contract Amendment (6-10-24) Page 1 This Program Agreement between the County and the State of Washington Department of Social and Health Services {DBHB) 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 8/31101 (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: hftps://www.dshs.wa-gov/sites/default/files/DDA/dda/documents/Job°/�20Foundation`/`2OApplica Lion 040720%20%28002%29.docx 4. Section 8..Billing and Payment or will be replaced with the following language: Reimbursement for Partnership project: A claim of $3,O00 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 I 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 *riginal Budget X Budget Revision REVENUES Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rdRevision 2024 State only 573,866 641,152 Medicaid - - ----- 554,741 621 Y426 - ----- Total Rev. $1,128,607 $1,2623578 Fiscal Year Fund Source --- -- -------- Original 1 st Revision 2ndRevision 3rdRevision 2025 State only 690,067 Medicaid 688,298 -- ------- - -- -------- ----------- ------ - -- — - ------ Total Rev. 11378,365 Job — --------- I— — Foundation PASRR State Medicaid Account Title / BARS Funds-- Funds-------- Funds Funds ADMINISTRATION --TOTAL 11,12,13,14 1075 59095 48351 108,521 OTHER CONSUMER SUPPORTS 31, 32, 41,92, 93, 94, 97 ------- ---- ------- 36920 30207 67,127 CONSUMER SUPPORT tk� 101, STATE -ONLY 62,64,65, 67,69 21160 Child Deve.lopment,61"y�-G s�'� 3 � 3.C9` �;cS.�,�3Yrf :�'X �s�/ Yt- - ---�l 6 .l, y�------- -------------- MEDICAID CLIENTS 62, 64, 55, 67, 69 95, 96 10752 473018 473018 1 39927 9567788 9 j$2 MEDICAID PROVISO y {� z 5� v 3�j, 5399I ROADS to COMMUNITY LIVING 62,64, 65,67,69 1,262257§ 615,567 TOTAL AL ------- 11,827 535, �18 4� DSHS Central Contract Services 1769CP Contract Amendment (6-10-24) Page 3 Job ----- Foundation PARR State Medicaid Account Title / BARS Funds Funds Funds Funds ADMINISTRATION --TOTAL 11,12,13,14 900 1010 67801 55473 125,184 OTHER CONSUMER SUPPORTS 31, 327 41, 92, 93, 94, 97 630 44744 36609 81,983 CONSUMER SUPPORT 7," 77,�,if7 STATE -ONLY 62,64,65, 67, 69 Child Deve 21160 2160 — — - ---- ------ MEDICAID CLIENTS 62, 64, 65,67,69 95, 96 9000 10104 563849 563849 11146,802 MEDICAID PROVISO ROADS to COMMUNITY LIVING 62,64, 65, 67,69 RZI 55.)Z2 --------- -16677 22,236 - - ,TOTAL 10,530 11,114 684,113 672,608 11378,3_6_5 DSHS Central Contract Services 1769CP Contract Amendment (6-10-24) Page 4