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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 DATE: 5.6.26 PHONE: x5470 ow • MENEE-ONE ©Agreement / Contract ❑AP Vouchers ❑Appointment / Reappointment ❑ARPA Related ❑ Bids / RFPs / Quotes Award ❑ Bid Opening Scheduled ❑ Boards / Committees ❑ Budget El 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 El 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 Ow, W-041-Mmr," I - 0- � - / • Amendment to Program Agreement for DDA County Services between Washington State DSHS and Grant -Adams County Services. Contract # 2563-64341 Amendment 01. 3/1 /2026 - 6/30/2026. decrease i $298,000 n funding. If necessary, was this document reviewed by accounting? ❑ YES ❑ NO M N/A If necessary, was this document reviewed by legal? 0 YES ❑ NO ❑ N/A w DATE OF ACTION: ,5�Z��DEFERRED OR CONTINUED TO: APPROVE: DENIED ABSTAIN D 1:' D2: r4 i D3: WITHDRAWN: 4/23/24 DSHS Agreement Number W 0,5 m!-4f t 0rf $ 00 J I 1 T:V Department of social COUNTY PROGRAM AGREEMENT 2563-64341 Health Services 7 AMENDMENT Amendment No. Transforming lives 01 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 I L CI1'i.-,k hera to ente- text, County Agreement Number DSHS ADMINISTRATION DSHS DIVISION DSHS INDEX NUMBER CCS CONTRACT CODE Developmental Disabilities Division of Developmental 1221 1221 Admin Disabilities I I 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 wood as2dshs.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 765-4124 1 - greenw ' alt@grantcountywa.gov. _(509) IS THE COUNTY A SUBRECIPIENT FOR PURPOSES OF THIS PROGRAM CFDA NUMBERS AGREEMENT? No AMENDMENT START DATE PROGRAM AGREEMENT END DATE 03/01/2026 06/30/2026 PRIOR MAXIMUM PROGRAM AGREEMENT AMOUNT OF INCREASE OR DECREASE TOTAL MAXIMUM PROGRAM AGREEMENT AMOUNT AMOUNT $1,343,106.00 $-298,000.00 $1,045,106.00 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: Exhibits (specify): Exhibit B-1 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 Kevin R. Burgess, 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 decreased in the amount of $298,000 for a new Contract Amount of $1,045,106 2. Exhibit B. Program Agreement Budget is hereby replaced with the following Exhibit B-1, 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 2026 State only 6827732 539,982 Medicaid 6607374 505,124 Total Rev. $1,343,106 $17045,106 $ $ Fiscal Year Fund Source Original 1 st Revision 2nd Revision 3rd Revision 2027 State only Medicaid Total Rev. $ $ $ $ Job Foundation PASRR Funds Medicaid Funds State Funds Funds TOTAL ADMINISTRATION (11, 121 13, 14) 6,7155 54946 122,101 OTHER CONSUMER SUPPORTS (31, 32 41 92 937 94 97) 56434 35945 92,379 CONSUMER SUPPORT STATE -ONLY 62, 64, 65, 67, 69 21160 2,160 Child Development 61 MEDICAID CLIENTS 62, 64, 67, 69, 95, 96 420483 420483 840,966 Medicaid Proviso%!!�% % %�� -6250 -6250 -12,500 ROADS to COMMUNITY LIVING 62, 64, 65, 67, 69 ------------- TOTAL 539,982 505,124 11045,106 DSHS Central Contract Services 1769CP Contract Amendment (6-10-24) Page 3