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HomeMy WebLinkAboutAgreements/Contracts - RenewGRANT 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 onrE:6.17.25 PHONE: X5470 LU 11 1 fAj *Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget ❑ Computer Related ❑ County Code ❑ Emergency Purchase ❑ Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ❑ Grants — Fed/State/County ❑ Leases ❑ MOA / MOU ❑Minutes ❑Ordinances ❑Out of State Travel ❑Petty Cash ❑ Policies ❑ Proclamations ❑ Request for Purchase ❑ Resolution ❑ Recommendation ❑ Professional Serv/Consultant ❑ Support Letter ❑ Surplus Req. ❑Tax Levies ❑Thank You's ❑Tax Title Property ❑WSLCB $UGGESTED WORD NG G AGENDA: Who, WhaWhen, Why, Term; cost Amendment #3 between DSHS Developmental Disabilities Administration and Grant -Adams County DDA County Services. Effective 3.1.25 - 6.30.25. Increase of $87,990 in funding. DSHS Agreement #2363-49275 If necessary, was this document reviewed by accounting? ❑ YES ❑ NO M N/A If necessary, was this document reviewed by legal? R YES ❑ NO ❑ N/A DATE OF ACTION: (0'o� APPROVE: DENIED ABSTAIN D1: D2: �- D3: DEFERRED OR CONTINUED TO: WITHDRAWN: RECEIVED J U N 17 2025 4/23/24 GRANT COItNTY COMMISSIONERS K25-114 DSHS Agreement Number TVf COUNTY PROGRAM AGREEMENT 2363-49275 Department f Social I 7 .Health e ce AMENDMENT Amendment No. Transfotming 03 This Program Agreement Amendment is by and between the State of Washington Administration or Division Department of Social and Health Services (DSHS) and the County identified below. Agreement Number here to enler 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 woodas@dshs.wa.gov 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 Linzie Greenwalt COUNTY CONTACT TELEPHONE COUNTY CONTACT FAX COUNTY CONTACT E-MAIL 509 765-9239 509 765-4124 I reenwalt@grantcountywa.gov IS THE COUNTY A SUBRECIPIENT FOR PURPOSES OF THIS PROGRAM CFDA NUMBERS AGREEMENT? No AMENDMENT START DATE PROGRAM AGREEMENT END DATE 03/01 /2025 06/30/2025 PRIOR MAXIMUM PROGRAM AGREEMENT AMOUNT OF INCREASE OR DECREASE TOTAL MAXIMUM PROGRAM AGREEMENT AMOUNT AMOUNT $276407943.00 $87,990.00 $2,728,933.00 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: E 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 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 SIGNATURE(S) PRINTED NAME(S) AND TITLE(S) DATE(S) SIGNED Rob Jones, Chair DSHS SIGNATURE PRINTED NAME AND TITLE DATE SIGNED 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 (DSHS) is hereby amended as follows: 1. The Total Maximum Contract Amount is hereby increased in the amount of $87,990 for a new Contract Amount of $2, 728, 933 2. Section 1. Definitions Specific to Program Agreement, item g, number (2), is hereby replaced with the following language: "Consumer Support" refers to direct Client service types as follows: (1) "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. Service may include: assistive technology, audiology, family training/home visits, health services, medical services, nursing services, nutrition services, occupational therapy, physical therapy, psychological services, sign language, social work, special instruction, speech -language pathology, vision, and transportation. Services are provided in natural environments to the maximum extent appropriate. 3. Exhibit B. Program Agreement Budget is hereby replaced with the following Exhibit B1, Program Agreement Budget. All other terms and conditions of this Contract remain in full force and effect. DSHS Central Contract Services 1769CP Contract Amendment (6-10-24) Page 2 Exhibit B 1 Program Agreement Budget Original Budget X Budget Revision REVENUES Fiscal Year Fund Source Original 1st Revision 2nd Revision 3rd Revision 2024 State only 573,866 6411152 Medicaid 5543741 621,426 Total Rev. $1,128,607 $1,262,578 $ $ Fiscal Year Fund Source Original 1 St Revision 2nd Revision 3rd Revision 2025 State only 690,067 735,998 Medicaid 6887298 7307357 Total Rev. 1,378,365 $1,466,355 $ $ FY24 Job Foundation PASRR State Medicaid Account Title / BARS Funds Funds Funds Funds TOTAL ADMINISTRATION 11,12,13,14 10, 59095 48351 108,521 OTHER CONSUMER SUPPORTS 31132, 41, 92, 93, 94, 97 36920 1 30207 671127 CONSUMER SUPPORT STATE -ONLY 62, 64, 657 67169 Child Development 61 IN = f --------------- 2160 �� 2 160 MEDICAID CLIENTS 62, 647 65, 67, 69 95, 96 10752 473018 473018 9563788 MEDICAID PROVISO 63991 63991 127,982 ROADS to COMMUNITYy%j% LIVING 62, 64, 65, 67, 69 -� TOTAL 11,827 635,184 615,567 1,262,578 DSHS Central Contract Services 1769CP Contract Amendment (6-10-24) Page 3 FY25 Job Foundation PASRR State Medicaid Account Title / BARS Funds Funds Funds Funds TOTAL ADMINISTRATION ' 11,12 )13 )14 900 1010 70700 57845 1301455 OTHER CONSUMER SUPPORTS 630 31, 32, 41, 92, 93, 94, 97 46642 38161 85,433 CONSUMER SUPPORT STATE -ONLY 62, 64, 65, 67,69 � Child Development 61 - -- � 2160 �� � �// 2,160 �- �, ONION - MEDICAID CLIENTS 62, 647 65, 67, 69 95, 96 9000 10104 563849 563849 111467802 MEDICAID PROVISO 24635 24634 49,269 ROADS to COMMUNITY LIVING 62 64 65 67 69' 5559 16677 22 236 , INFRASTRUCTURE 92 16500 13500 30,000 TOTAL 10,530 117114 730,045 714,666 17466, 355 DSHS Central Contract Services 1769CP Contract Amendment (6-10-24) Page 4