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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: DYES ®NO DATE: 6.4.26 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 ❑Employee Rel. ❑ Facilities Related ❑ Financial ❑ Funds ❑ Hearing ❑ Invoices / Purchase Orders ❑ Grants — Fed/State/County ❑ Leases ❑ MOA / MOU El Minutes ❑Ordinances ❑Out of State Travel El 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 '� INNge Subcontractor agreement between Grant and Adams County Developmental i If necessary, was this document reviewed by legal? 0 YES ❑ NO ❑ N/A - . , s � :n ,. ;-..- ,� . ... .. ;; �...,s�.. � � .�.; �. f ,,,,, _ _ _- �. .-.�. ,,�,,_ ;� �-,-.. ------ ---------- DATE OF ACTION: b�l- DEFERRED OR CONTINUED TO: APPROVE: DENIED A D1: D2: D3:` WITHDRAWN: 4/23/24 411'*61610 k W-TA41 �M� �4- 4 AGREEMENT PERIOD: 06/01/2026 — 6/30/2026 ORGANIZATION NAME: Elmview SUBCONTRACTOR CONTACT PERSON: Sherie Bury,, Executive Director EMAIL: sherieb@elmview.Mr TELEPHONE: (509) 925-6688 SIGNATORY AUTHORITY: Sherie Bury,, Executive Director EMAIL: sherieb@elmview TELEPHONE: (509) 925-6688 ADDRESS: PO Bix 66,, Ellensburg,, WA 98926 IRS TAX NUMBER: 91-0791250 QUALIFIED PROVIDER SERVICES: Individual Supported Employment and Community Inclusion Additional terms of this agreement are set out in and governed by following which are incorporated herein by reference: Exhibit A — Special Terms and Conditions Exhibit B — Data Security Requirements Exhibit C — Spending Plan Agreement Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/1/2026-6/30/2026 Page 1 Exhibit A — Special Terms and Conditions 1) Definitions Specific to Program Agreement: The words and phrases listed below, as used in this Program Agreement, shall each have the following definitions: a) "Acuity Level" means the level of a Client's abilities and needs as determined through the DDA assessment. b) "ALTSA Web Access (AWA)" means a web -based portal to the Developmental Disabilities Administration CARE system designed to support county services for DDA clients. c) "Additional Consumer Services" refers to indirect Client service types as follows: 1) "Community Information and Education": Activities to inform and/or educate the general public about developmental disabilities and related services. These may include information and referral services; activities aimed at promoting public awareness and involvement; and community consultation, capacity building and organization activities. 2) "Training": To increase the job related skills and knowledge of staff, providers, volunteers, or interning students in the provision of services to people with developmental disabilities. Also to enhance program related skills of board or advisory board members. 3) "Other Activities" reserved for special projects and demonstrations categorized into the following types: (a) Infrastructure projects: Projects in support of Clients (services not easily tracked back to a specific working age Client) or that directly benefit a Client(s) but the Client is not of working age. Examples include planning services like generic job development e.g. "Project Search". (b) Start-up projects: Projects that support an agency or directly benefit the agency. Examples include equipment purchases and agency administrative support. (c) Partnership Project: Collaborative partnerships with school districts, employment providers, DVR,families, employers and other community collaborators needed to provide the employment supports and services young adults with developmental disabilities require to become employed during the school year they turn twenty- one (21). d) "Budget and Accounting Reporting System (BARS)" means a master classification of balance sheet, revenue and expenditure/expense accounts. e) "Client" means a person with a developmental disability as defined in chapter 388-823 WAC who is currently eligible and active with the Developmental Disabilities Administration or is an identified PASRR Client. f) "Competitive Integrated Employment" means work performed by a Client on a part-time or full-time basis, within an integrated setting within the community that meets HCBS settings requirements. The Client must be compensated at minimum wage or higher, using the higher of the Federal, State, or local rate, and at a rate comparable to the wage paid to non - disabled workers performing the same tasks, including receiving the same benefits and opportunities for advancement. g) "Consumer Support" refers to direct Client service types as follows: 1) "Community Inclusion" or "Cl": means individualized services provided in integrated community settings with other Individuals without disabilities. The activities are based Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/l/2026-6/30/2026 Page 2 on Client interests and provide opportunities typically experienced by the general public of similar age in their local community, accessible by public transit or a reasonable commute from their home. The goal of the service is to support clients to participate, contribute, and develop relationships with community members who are not paid staff. These services may be authorized for individuals age 62 and older. These services may be authorized in addition to or instead of employment support (Individual Employment or Group Supported Employment) for working age individuals who have received nine months of employment support. 2) "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) "Individual Supported Employment" or "IE": services are a part of a Client's pathway to employment and are tailored to individual needs, interests, and abilities, and promote career development. These are individualized services necessary to help persons with developmental disabilities obtain and continue integrated employment at or above the state's minimum wage in the general workforce. These services may include intake, discovery, assessment, job preparation, job marketing, job supports, record keeping and support to maintain a job. 4) "Individualized Technical Assistance" or "ITA": services are a part of a Client's pathway to individual employment or community inclusion. This service provides assessment and consultation to the provider to identify and address existing barriers to employment or community inclusion. This is in addition to supports received through supported employment or community inclusion services for Clients who have not yet achieved their goal. 5) "Group Supported Employment" or "GSE": services are a part of a Client's pathway to integrated jobs in typical community employment. These services are intended to be short term and offer ongoing supervised employment for groups of no more than eight (8) workers with disabilities in the same setting. The service outcome is sustained paid employment leading to further career development in integrated employment at or above minimum wage. Examples include enclaves, mobile crews, and other business models employing small groups of workers with disabilities in integrated employment in community settings. h) "County" is the political subdivision of the state of Washington and the county or counties entering into this Program Agreement. i) "DDA Case Resource Manager (CRM)" means a case manager for DDA Clients. j) "County Service Authorization (CSA)" means an authorization for county services. k) "Developmental disabilities (DD)" means a disability attributable to intellectual disability, cerebral palsy, epilepsy, autism, or another neurological or other condition of an individual found by the secretary to be closely related to an intellectual disability or to require Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/l/2026-6/30/2026 Page 3 treatment similar to that required for individuals with intellectual disabilities, which disability originates before the individual attains age eighteen, which has continued or can be expected to continue indefinitely, and which constitutes a substantial limitation to the individual. l) "Developmental Disabilities Administration DDA" means a division within the Department of Social and Health Services. m) "DDA Regional office (DDA Region)" means the regional DDA office that supports DDA clients. n) "Division of Vocational Rehabilitation (DVR)" means a division within the Department of Social and Health Services o) "Employment Outcome Payment" means a payment to providers for transition students born between specific dates; have high acuity; are authorized for Individual employment; and student obtains a competitive integrated job within a specific timeframes. If the job is,a minimum of ten hours of work per week an additional amount will be include in the payment. p) "General Terms and Conditions" means the contractual provisions contained within that agreement, which govern the contractual relationship between DSHS and the county. q) "High Acuity Client" means a DDA Client who requires significant and intensive support in the community, often due to complex needs, as determined through the DDA assessment. r) "Medicaid Home and Community Based Services (HCBS)" means services that occur in a Client's home or community rather than institutions or other isolated settings. These programs serve a variety of targeted populations groups, such as people with intellectual or developmental disabilities, physical disabilities, and/or mental illnesses. s) "Job Foundation Report" is a document derived from employment readiness activities performed by students who are between ages 19 through 20 that identifies actionable next step for employment. The employment service providers developing the Job Foundation report will be supporting students with employment activities on average of 35 hours. t) "Preadmission Screening and Resident Review (PASRR)" means individuals with intellectual disabilities or related conditions (ID/RC) who have been referred for nursing facility (NF) care. u) "Person Centered Service Plan or PCSP" means a document that authorizes and identifies the DDA paid services to meet a Client's assessed needs. Formerly referred to as the Individual Support Plan. v) "Quality Assurance" means an adherence to all Program Agreement requirements, including DDA Policy 6.13, Provider Qualifications for Employment and Day Program Services, County Guidelines and the Criteria for Evaluation, as well as a focus on reasonably expected levels of performance, quality, and practice. w) "Quality Improvement" means a focus on activities to improve performance above minimum standards and reasonably expected levels of performance, quality and practice. x) "Service Provider" is a qualified Client service vendor who is contracted to provide Employment and Day Program services. y) "Subcontractor" is the service provider contracted by the County to provide services. 2) Purpose: This Program Agreement is entered into between Grant and Adams County Developmental Disabilities (County) and Elmview in accordance with chapter 71 A.14 RCW. Its Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/1/2026-6/30/2026 Page 4 purpose is to advance the state legislative policy to provide a coordinated and comprehensive state and local program of services for persons with developmental disabilities. 3) Client Eligibility: Client eligibility and service referral are the responsibility of DDA under chapter 388-823 WAC (Eligibility) and chapter 388-825 WAC (Service Rules). Only persons referred by DDA shall be eligible for direct Client services under this Program Agreement. It is RDA's responsibility to determine and authorize the appropriate direct service(s) type. Direct Client services provided without a current County Service Authorization are not reimbursable under this Program Agreement. 4) Credentials and Minimum Requirements: a) Fiscal Responsibility: The Subcontractor must demonstrate the ability to safeguard public funds including maintaining books, records, documents and other materials relevant to the provision of goods and services. b) Sufficient Policies and Procedures for establishment and maintenance of adequate internal control systems: The Subcontractor will maintain written policy procedural manuals for information systems, personnel, and accounting/finance in sufficient detail such that operations can continue should staffing change or absences occur. Policies shall be dated and include dates when updated. c) Background/Criminal History Check: A background/criminal history clearance is required every three years for all employees (including DD program County staff), subcontractors, and/or volunteers who may have unsupervised access to vulnerable DSHS Clients, in accordance with RCW 43.43.830-845, RCW 74.15.030, and chapter 388 WAC. If the entity reviewing the application elects to hire or retain an individual after receiving notice that the applicant has a conviction for an offense that would disqualify the applicant from having unsupervised access to vulnerable adults as defined in chapter 74.34 RCW, then DDA shall deny payment for any subsequent services rendered by the disqualified individual provider. The DSHS Background Check Central Unit (BCCU) must be utilized to obtain background clearance. d) Qualified Service Providers: The Subcontractor assures that all service providers meet qualifications as outlined in the DDA Policy 6.13, Program Qualifications for Employment and Day Program Providers. e) Home and Community Based Waiver Services Assignment of Medicaid Billing Rights: The subcontractor has agreed to assign to the County its Medicaid billing rights for services to DDA Clients eligible under Title XIX programs in this Program Agreement. Written documentation shall be available to DSHS on request. f) Reporting Abuse and Neglect: Subcontractor staff are mandated reporters under RCW 74.34.020(13) must comply with reporting requirements described in RCW 74.34.0351 .040 and chapter 26.44 RCW. If the County is notified by DSHS that a subcontractor staff member is cited or on the registry fora substantiated finding, then that associated staff will be prohibited from providing services under this Program Agreement. g) The County staff who perform evaluations of subcontractor work sites will promptly report to DSHS per DDA Policy 6-08, Incident Management and Reporting Requirements for County and County -Contracted Providers, if: Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/l/2026-6/30/2026 Page 5 1) They have reasonable cause to believe that abandonment, abuse, financial exploitation or neglect (as defined in RCW 74.34.020) of a person who has a developmental disability (as defined in RCW 71 A.10.020) has occurred, and, 2) If they have reason to suspect that sexual or physical assault of such a person has occurred, they shall also immediately report to the appropriate law enforcement agency. h) Subcontractors are specifically authorized to have data storage on portable devices or media in accordance with the Data Security Requirements. i) Order of Precedence: In the event of any inconsistency in this Program Agreement and any attached exhibits, unless otherwise provided herein, the inconsistency shall be resolved by giving precedence, in the following order, to: 1) Contract 2) Attached Exhibits. 5) Duty to Disclose: Under 42 CFR §455.104, the Subcontractor must obtain certain disclosures and complete required screenings to ensure the County does not pay federal funds to excluded person or entities. The Subcontractor is required to provide disclosures from managing employees, specificallythe persons in the positions of Director/Manager and Fiscal/Budget staff, i.e. the person who authorizes expenditures. 6) Statement of Work: Subcontractor shall provide the services and staff, and otherwise do all things necessary for or incidental to the performance of work, as set forth below. Working collaboratively and sharing information as needed for service coordination, the parties shall administer DD services within the county as set forth below: a) The Subcontractor shall: 1) Work with the County when individuals are referred for services, authorized services, and/or for support modifications; 2) Work with the County to document planned services in the Client's Person Centered Service Plan; 3) Assist with informing the County of any potential service level changes not documented in the Client's DD Assessment prior to any changes; 4) Work with the County regarding service termination; 5) Maintain appropriate insurance coverage as required in any Program Agreements; 6) Adhere to and/or maintain an appropriate Dispute Resolution policy pursuant to DDA Policy 5.03, Client Complaints; 7) Have policies, procedures, and practices that sufficiently document their invoices to the County and evidence they are in compliance with all applicable laws and regulations regarding record maintenance during the terms of the Agreement and for six (6) years following termination or expiration of this Agreement. b) Compliance with Budget and Accounting Reporting System Policies: Subcontractor shall take any necessary and reasonable steps to comply with BARS Policies. c) The Subcontractor shall comply with the following referenced documents found at DDA Internet site: 1) DDA Policy 4.11, County Services for Working Age Adults; 2) Chapter WAC 388-850, chapter 388-828 WAC, WAC 388-845-00012 00302 0210, 0215, 0220, 0600-0610, 1030-1040, 2100, 2110; Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/l/2026-6/30/2026 Page 6 3) Criteria for Evaluation; zU DDAGuiding Values; 5) County Guide to Achieve DOA'eGuiding Values; 8) DDA Guidelines for Community Assessments within Employment and Vocational Programs; and 7) Disability Rights Washington (formerly Washington Protection and Advocacy System) Access Agreement. d) The Subcontractor shall develop and submit a comprehensive plan for the County DD Services oerequired byVVAC388-85O-O2O. a) Qualified Providers: A qualified provider must be a county or an individual or agency contracted with ocounty orOOA. f) Technical Assistance: DDA contracts with Technical Assistance providers that may be utilized by Counties with prior written approval. g) Subcontractors: The County will pass on all applicable contractual requirements that are between DDA and the County to the subcontractor. The County shaLL immediately notify the DDA Region of the County's intent to terminate a subcontractor who is serving a DDA referral. IndividuaLs or agencies contracted with a county or DDA may not subcontract for Employment orCommunity Inclusion services. h) The Subcontractor shall provide with qualified Employment and Day Program Service Providers for consumer support services that include the following program outcomes: 1) Monthly Community Inclusion (CI) service support hours will be based on the Client's CI service Level per WAC 388-828-9310 for aLL Clients who began receiving CI services Juiy1'2O11and forward. (e) To ensure health and safety, promote positive image and relationships in the community, increase competence and individualized skiLL-buiLding, and achieve other expected benefits of C1, services will occur individually or in a group of no more than two (2) or three (3) Client's with oirnibsr interests and needs. (b) CI services will focus on activities that are typically experienced by the general public. Support to participate in segregated activities and/or specialized activities will not be reimbursed. 2) Clients in an employment program will be supported to work towards a living wage. A living wage is the amount needed to enable a Client to meet or exceed living expenses. Clients should be supported to average twenty (20) hours of community work per week or eighty-six (86) hours per month; however, each person's preferred hours of employment should be taken into consideration. The amount of service a Client receives will be based on his/her demonstrated need, acuity Level and work history per WAC388'828. 3) The Client's DDA PCSP is the driver for service. The AWA County Service Authorization (CSA) and updated Planned Rates information will not exceed the Client's DDA PCSP. Service changes will not occur until the Client has received proper notification from DDA. 4) ALL Clients will have an Individualized Employment and/or Community Inclusion plan to identify Client's preferences. Minimum plan elements are outlined in the reference document "Criteria for an Evaluation." A copy of the Client's individualized plan will be Grant aAdams County Developmental Disabilities subcontroctorAgreomen provided to the Client, their DDA Case Resource Manager (CRM), guardian and others as appropriate. 5) Six-month progress reports describing the progress made towards achieving Client's goal will be provided by the service provider to the CRM, Client, and/or guardian, if any, within 30 days following the six-month period. The report will summarize activities and outcomes made towards the Client's individualized goal(s).All Clients will be contacted by their service provider according to Client need and at least once per month. 6) All Clients will be contacted by their service provider according to Client need and at least once per month. 7) If Clients in Individual Employment or Group Supported Employment, have not obtained paid employment at minimum wage or higher within six (6) months, the County will assure the following steps are taken: (a) Review the progress toward employment goals; (b) Provide evidence of consultation with the Client/guardian; and (c) Develop additional strategies with the Client/guardian, county staff, employment support staff, case manager, and others identified by the Client. Strategies may include providing technical assistance, changing to a new provider, and/or providing additional resources as needed to support the Client's pursuit of employment. The additional strategies will be documented for each Client and kept in the Client's file(s). 8) If after twelve (12) months the Client remains unemployed, an additional review will be conducted. The provider will address steps outlined in the previous six month progress report in the next six month progress report. When requesting to participate in CI, the Client shall communicate directly with his or her DDA Case Manager. The DDA Case Manager is responsible for authorizing CI services. 9) For Individual Employment where the service provider is also the Client's employer, long term funding will remain available to the service provider employer for six months after the employee DDA Client's date of hire. At the end of the six-month period, if the DDA Client continues to need support on the job, another service provider who is not the employer of record must provide the support unless the County or DDA issues prior written approval for the service provider to continue to provide long-term supports if needed. If the County or DDA approves the continuation of long-term supports where the service provider is also the Client's employer, the County or DDA will regularly monitor these positions to assure fading efforts occur when appropriate and any potential conflict of interest is addressed. 10) Individual Employment staff hours must be attributed to the "Individual Employment and Billable Activity Phase(s)' . 11) Employment and day services must adhere to the Home and Community Based settings (HCBS) requirements of 42 C.F.R. Section 441.301(c)(4), including that: (a) The setting is integrated in the greater community and supports Client's to have full access to the greater community; (b) Ensures the Client receives services in the community to the same degree of access as individuals not receiving Medicaid HCBS; Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/l/2026-6/30/2026 Page 8 (c) The setting provides opportunities to seek employment and work in competitive integrated settings; and (d) The setting facilitates individual choice regarding services and supports, and who provides them. i) The subcontractor must attend 75% of the "County Best Practice Meeting" provided by the County. j) Outcome Payment. 1) Providers, with transition students born between: (a) For fiscal year 2026 9/1 /03 through 8/31 /04 (b) For fiscal year 2027 9/1 /04 through 8/31 /05 2) High acuity transition students who are authorized for Individual employment, the provider may receive one outcome payment if transition student obtains a competitive integrated job approved by the County within timeframes described in the chart in the DDA Billing Instructions. If the County is also the service provider DDA will provide the job approval. If the job is at a minimum of ten hours of work per week an additional amount will be include in the payment. 3) High acuity Clients who are authorized for Individual employment, provider may receive one outcome payment if client obtains a new competitive integrated job at a minimum of ten hours of work per week for a minimum of 4 out of each 6 months during the fiscal year. 4) Client who are authorized for Community Inclusion who have an acuity of F which equals 18 support hours per month orGwhich equals 20 support hours per month as based on the Support Intensity Scale (SIS), provider may receive on outcome payment per month if provider delivers a minimum of 80% of the authorized hours. 5) A new Community Inclusion referral is defined as a Client who has a new County Service Authorization (CSA). Incentive/outcome payments to accept and support overall increased CSAs billed over the year may be requested from DDA if funds are available. 6) Community Inclusion case notes and 6-month progress report summary review that scores 16 points or more with the "Community Inclusion Case Note Review Tool" when used in conjunction with a Community Inclusion plan that has scored 20+points with the Community Inclusion plan Quality review tool, provider may receive an outcome payment. 7) All outcome payments are described in the chart in the DDA Billing instructions. 7) Consideration: a) Fees: 1) Approval of fees is the responsibility of the DDA. The DDA HQ Employment and Day Unit Manager reserves the right to approve fees/rates for the services being provided. The County will submit a fee/rate schedule with the initial Program Agreement. The County will submit updated fee/rate schedules to the HQ Employment and Day Unit Manager for approval as changes occur. The rate schedule will include the following information: (a) County(s) name; (b) Time period for which the schedule is applicable; and (c) Each contracted direct service (IE, GSE, CI, ITA, CDS) and its associated rate. Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/i/2026-6/30/2026 Page 9 2) Fee Limitations: The DDA Billing Instructions found on the DDA internet site provides limitations on the Hourly Rate for each direct service. Hourly rates must be divisible by four. b) Budget and Spending Plan, attached as Exhibit B: 1) Budget amount listed in Exhibit C: The County may not exceed the state only revenue dollar amount or the total revenue dollar amount indicated on the Program Budget Agreement included in Exhibit C. The waiver revenue dollar amount may be exceeded to accommodate Clients moving from state -only employment and day services to waiver employment and day services. 2) Spending Plan: The County will provide the initial spending plan / Program Agreement Budget / Exhibit C. The planned expenditures for Consumer Support are based on authorized Clients, their acuity level and work history for a given point in time. To determine the Additional Consumer Support amount, the Consumer Support amount is multiplied by a percentage. The spending plan may only be modified by mutual agreement of the parties in writing and shall not require a program agreement amendment. c) Exemptions: The DDA Assistant Secretary may approve in writing an exemption to a specific program agreement requirement. 8) Billing and Payment: a) Program Agreement Budget: The County shall pay the Subcontractor all allowable costs, which are defined by DDA as cost incurred by the program for: 1) Additional Consumer Services: (a) Training: (i) Staff Training: Costs incurred by the program for planned, structured activities for the purpose of providing, or improving, or enhancing job -related knowledge and skills of staff, providers, volunteers, or interning students in the provision of developmental disabilities services. (b) Community Information and Education: to inform and/or educate the general public about developmental disabilities and related services. These may include information and referral services; activities aimed at promoting public awareness and involvement; and community consultation, capacity building and organization activities. (c) Other Activities. (i) Infrastructure projects: Projects in support of Clients (services not easily tracked back to a specific working age Client) or that directly benefit a Client(s) but the Client is not of working age. Examples include planning services like generic job development e.g. "Project Search." (ii) Start-up projects: Projects that support an agency or directly benefit the agency. Examples include equipment purchases and agency administrative support. (iii) Partnership project: Collaborative partnerships with school districts, employment providers, Division of Vocational Rehabilitation (DVR), families, employers and other community collaborators needed to provide the employment supports and services young adults with developmental disabilities require to become employed during the school year they turn Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/l/2026-6/30/2026 Page 10 twenty-one (21). Supports provided should complement and not replace what the student(s) receive through the Individualized Education Program (IEP). 2) Consumer Support. (a) Community Inclusion Services are individualized and provided in integrated community settings with other individuals without disabilities. The activities are based on Client interests and provide opportunities typically experienced by the general public of similar age in their Local community, accessible by public transit or a reasonable commute from their home. The goal of the service is to support Clients to participate, contribute, and develop relationships with community members who are not paid staff. These services may be authorized for individuals age 62 and older. These services may be authorized in addition to or instead of employment support (Individual Employment or Group Supported Employment) for working age individuals who have received nine months of employment support. (b) Individual Supported Employment services are a part of a Client's pathway to employment and are tailored to individual needs, interests, and abilities to promote career development. These are individualized services necessary to help persons with developmental disabilities obtain and continue integrated employment at or above the state's minimum wage in the general workforce. These services may include intake, discovery, assessment, job preparation, job marketing, job supports, record keeping and support to maintain a job (per the Individual Employment Phases & Billable Activities) (c) Individualized Technical Assistance services area part of a Client's pathway to employment or community inclusion. This service provides assessment and consultation to the provider to identify and address existing barriers to employment or community inclusion. This is in addition to supports received through supported employment or community inclusion services for individuals who have not yet achieved their goal. b) Reimbursement for the state Fiscal Year shall not exceed the total amount Listed in Exhibit C to this Program Agreement. However, with a Program Agreement amendment, the parties may increase or decrease the Program Agreement amount. Counties will work with DDA HQ on amendments to the Program Agreement. c) Monthly Invoice with Signed Documentation: ALL requests for reimbursement amounts must be entered and posted into the AWA system. The Subcontractor may post a combined claim of all programs/services covered by this Program Agreement. DSHS shall make aLL payments due to the County for all invoices submitted pursuant to this section within forty five (45) days following posting of required information. d) Clients will be assisted in accessing DVR services per the DDA/DVR MOU. Client services shall not be reimbursed under this Program Agreement when the same services are paid for under the Rehabilitation Act of 1973 by DVR, Public Law 94-142 or any other source of public or private funding. e) Reimbursement of Client Services: A claim for each Client is made on the AWA system by indicating the number of service units delivered to each Client Listed and the fee per unit. Units are defined as: Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/1/2026-6/30/2026 Page 11 1) An "Hour" is at least fifty (50) minutes of direct service. Partial hour to the quarter may be recorded. f) The Individual Employment Phases & Billable Activities document defines the individual Client services that DDA reimburses. That document is located on the DSHS DDA County Best Practices Web site at https://www.dshs.wa.gov/dda/county-best-practices. g) The Community Inclusion Billable Activities document defines the individual Client services DDA reimburses. That document is located on the DSHS DDA County Best Practices Web site at https://www.dshs.wa.gov/dda/county-best-practices. h) Timeliness of and Modification to Billings: All initial invoices with signed documentation must be received by the DDA Region within forty-five (45) calendar days following the last day of the month in which the service is provided. Corrected invoices and documentation including re -posted billing information will be accepted throughout the fiscal year as long as they are received within sixty (60) calendar days of the associated fiscal year unless an extension is approved by the DDA Regional Administrator or designee. Payment will not be made on any invoice submitted past sixty (60) calendar days after the Program Agreement fiscal year. i) Recovery of Fees: If the Subcontractor bills and is paid fees for services that DSHS later finds were (a) not delivered or (b) not delivered in accordance with Program Agreement standards, the County shall recover the fees for those services and the Subcontractor shall fully cooperate during the recovery. 9) Single State Medicaid Agency Health Care Authority (HCA): HCA, as the single state Medicaid Agency, has administrative authority for Title XIX coverage per 42 CFR 431.10. DSHS is the operating agency for the Home and Community Based Waivers for services for people with developmental disabilities. The County only has responsibility for services covered in this agreement. 10) DSHS/DRW Access Agreement: The DRW February 27, 2001 Access Agreement with DDA is incorporated by reference. The Subcontractor will review the Access Agreement. The agreement covers DRW's access to individuals with developmental disabilities, Clients, programs and records, outreach activities, authority to investigate allegations of abuse and neglect, and other miscellaneous matters and is binding for all providers of DDA contracted services. 11) Confidential Information. All Counties and their subcontractors must: a) Ensure the security of Confidential Information, and b) When transporting client records containing Confidential Information outside a Secure Area, one or more of the following as appropriate: 1) Using a Trusted Network; or 2) Encrypting the Confidential Information, including: (a) Email and/or email attachments (b) Confidential Information when it is stored on portable devices or media including but not limited to laptop computers and flash memory devices. Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/l/2026-6/30/2026 Page 12 Exhibit B ® Data Security Requirements 1) Definitions. The words and phrases Listed below, as used in this Exhibit, shall each have the following definitions: a) "AES" means the Advanced Encryption Standard, a specification of Federal Information Processing Standards Publications for the encryption of electronic data issued by the National Institute of Standards and Technology (https://nvLpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.197-upol .pdf). b) "Authorized Users(s)" means an individual or individuals with a business need to access DSHS Confidential Information, and who has or have been authorized to do so. c) "Category 4 Data" is data that is confidential and requires special handling due to statutes or regulations that require especially strict protection of the data and from which especially serious consequences may arise in the event of any compromise of such data. For purposes of this contract, data classified as Category 4 refers to data protected by: the Health Insurance Portability and Accountability Act (HIPAA). d) "Cloud" means data storage on servers hosted by an entity other than the Contractor and on a network outside the control of the Contractor. Physical storage of data in the cloud typically spans multiple servers and often multiple locations. Cloud storage can be divided between consumer grade storage for personal files and enterprise grade for companies and governmental entities. Examples of consumer grade storage would include iCLoud, Dropbox, Box.com, and many other entities. Enterprise cloud vendors include Microsoft Azure, Amazon Web Services, 0365, and Rackspace. e) "Encrypt" means to encode Confidential Information into a format that can only be read by those possessing a "key"; a password, digital certificate or other mechanism available only to authorized users. Encryption must use a key length of at Least 128 bits (256 preferred) for symmetric keys, or 2048 bits for asymmetric keys. When a symmetric key is used, the Advanced Encryption Standard (AES) must be used if available. f) "Hardened Password" means a string of at least eight characters containing at Least three of the following four character classes: Uppercase alphabetic, lowercase alphabetic, numeral, and special characters such as an asterisk, ampersand, or exclamation point. g) "Mobile Device" means a computing device, typically smaller than a notebook, which runs a mobile operating system, such as iOS, Android, or Windows Phone. Mobile Devices include smart phones, most tablets, and other form factors. h) "Multi -factor Authentication" means controlling access to computers and other IT resources by requiring two or more pieces of evidence that the user is who they claim to be. These pieces of evidence consist of something the user knows, such as a password or PIN; something the user has such as a key card, smart card, or physical token; and something the user is, a biometric identifier such as a fingerprint, facial scan, or retinal scan. "PIN" means a personal identification number, a series of numbers which act as a password for a device. Since PINs are typically only four to six characters, PINs are usually used in conjunction with another factor of authentication, such as a fingerprint. i) "Portable Device" means any computing device with a small form factor, designed to be transported from place to place. Portable devices are primarily battery powered devices with base computing resources in the form of a processor, memory, storage, and network Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/1/2026-6/30/2026 Page 13 access. Examples include, but are not limited to, mobile phones, tablets, and laptops. Mobile Device is a subset of Portable Device. j) "Portable Media" means any machine readable media that may routinely be stored or moved independently of computing devices. Examples include magnetic tapes, optical discs (CDs or DVDs), flash memory (thumb drive) devices, external hard drives, and internal hard drives that have been removed from a computing device. k) "Secure Area" means an area to which only authorized representatives of the entity possessing the Confidential Information have access, and access is controlled through use of a key, card key, combination lock, or comparable mechanism. Secure Areas may include buildings, rooms or locked storage containers (such as a filing cabinet or desk drawer) within a room, as long as access to the Confidential Information is not available to unauthorized personnel. In otherwise Secure Areas, such as an office with restricted access, the Data must be secured in such a way as to prevent access by non -authorized staff such as janitorial or facility security staff, when authorized Contractor staff are not present to ensure that non -authorized staff cannot access it. l) "Trusted Network" means a network operated and maintained by the Contractor, which includes security controls sufficient to protect DSHS Data on that network. Controls would include a firewall between any other networks, access control lists on networking devices such as routers and switches, and other such mechanisms which protect the confidentiality, integrity, and availability of the Data. m) "Unique User ID" means a string of characters that identifies a specific user and which, in conjunction with a password, passphrase or other mechanism, authenticates a user to an information system. 2) Authority. The security requirements described in this document reflect the applicable requirements of policies and standards of the Washington Technology Services Agency (https://watech.wa.gov/poLicies?combine=&fieLd categories_ target, id=80&field, type target ii d=All), and of the DSHS Information Security Policy and Standards Manual. Reference material related to these requirements can be found here: https://www.dshs.wa.gov/ffa/keeping-dshs- client-information-private-and-secure, which is a site developed bythe DSHS Information Security Office and hosted by DSHS Central Contracts and Legal Services. 3) Administrative Controls. The Subcontractor must have the following controls in place: a) A documented security policy governing the secure use of its computer network and systems, and which defines sanctions that may be applied to Contractor staff for violating that policy. b) If the Data shared under this agreement is classified as Category 4 data, the Contractor must be aware of and compliant with the applicable legal or regulatory requirements for that Category 4 Data. c) If Confidential Information shared under this agreement is classified as Category 4 data, the Contractor must have a documented risk assessment for the system(s) housing the Category 4 Data. 4) Authorization, Authentication, and Access. In order to ensure that access to the Data is Limited to authorized staff, the Contractor must: a) Have documented policies and procedures governing access to systems with the shared Data Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/1/2026-6/30/2026 Page 14 b) Restrict access through administrative, physical, and technical controls to authorized staff. c) Ensure that user accounts are unique and that any given user account Logon ID and password combination is known only to the one employee to whom that account is assigned. For purposes of non -repudiation, it must always be possible to determine which employee performed a given action on a system housing the Data based solely on the Logon |Dused toperform the action d) Ensure that only authorized users are capable ofaccessing the Data. e) Ensure that anemployee's access tothe Data isremoved immediately: 1) Upon suspected compromise ofthe user credentials. 2) When their employment, orthe contract under which the Data immade available to them, iaterminated. 3) When they no Longer need access to the Data to fulfiLl the requirements of the contract. f) Have a process to periodically review and verify that only authorized users have access to systems containing DSHSConfidential Information @) When accessing the Data from within the Contractor's network (the Data stays within the Contractor's network at aLL times), enforce password and Logon requirements for users within the Contractor's network' including: 1) A minimum Length of 8 characters, and containing at least three of the following character classes: uppercase Letters, Lowercase Letters, numerals, and special characters such osanasterisk, ampersand, orexclamation point. 2) That a password does not contain a user's name, logon ID, or anyform of their full name. 3) That a password does not consist of a single dictionary word. A password may be formed oaapapsphraoewhich consists ofmultiple dictionary words. 4) That passwords are significantly different from the previous four passwords. Passwords that increment by simply adding a number are not considered significantly different. h) When accessing Confidential Information from an external location (the Data will traverse the Internet or otherwise travel outside the Contractor's network), mitigate risk and enforce password and Logon requirements for users by employing measures including: 1) Ensuring mitigations applied to the system don't alLowend-user modification. 2) Not allowing the use ofdiei-upconnections. 3) Using industry standard protocols and solutions for remote access. Examples would include RADIUS and (]itrix. 4) Encrypting aLL remote access traffic from the external, workstation to Trusted Network or to a component within -the Trusted Network. The traffic must be encrypted at al1times while traversing any network' including the Internet, which is not a Trusted Network. 5) Ensuring that the remote access system prompts for re -a uthe nti cation or performs automated session termination after no more than 30 minutes of inactivity. 8) Ensuring use of MuLti-factor Authentication to connect from the external end point to the internal end point. i) Passwords or PIN codes may meet a Lesser standard if used in conjunction with another authentication mechanism, such as a biometric (fingerprint, face recognition, iris scan) or token (software, hardware, smart card, etc.) inthat case: Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/1/2026-6/3V2026 poge15 1) The PIN or password must beat Least 5 Letters or numbers when used in conjunction with at Least one other authentication factor 2) Must not be comprised of all the same Letter or number (111111 22222; aaaaa, would not be acceptable) 3) Must not contain a Ccrunyy of three or more consecutive numbers (12398, 98743 would not be acceptable) j) If the contract specifically allows for the storage of Confidential Information on a Mobile Device, pamaoodeoused onthe device must: 1) Beaminimum ofsix alphanumeric characters. 2) Contain at Least three unique character classes (uppercase, Lowercase, Letter, number). 3) Not contain more than a three consecutive character run. Passcodes consisting of 12345, or abcdl 2 would not be acceptable. W Render the device unusable after a maximum of 10 failed Logon attempts. 5) Protection of Data. The Subcontractor agrees tostore Data onone ormore ofthe following media and protect the Data oadescribed: a) Hard disk drives. For Data stored onLocal workstation hard disks, access tothe Data will be restricted to Authorized User(s) by requiring Logon to the local workstation using a Unique User |D and Hardened Password orother authentication mechanisms, which provide equal orgreater security, such aobiometrics orsmart cards. b) Network server disks. For Data stored on hard disks mounted onnetwork servers and made available through shared folders, access to the Data will be restricted to Authorized Users through the use of access control lists which will grant access only after the Authorized User has authenticated tothe network using oUnique User |D and Hardened Password or other authentication mechanisms which provide equal or greater security, such as biometrics or smart cards. Data on disks mounted to such servers must be located inanarea, which isaccessible only toauthorized personnel, with access controlled through use of a key, card key, combination Lock, or comparable mechanism. For DSHS Confidential Information stored on these disks, deleting unneeded Data is sufficient emLong asthe disks remain inaSecure Area and otherwise meet the requirements Listed inthe above paragraph. Destruction of the Data, as outiined bekovvin Section 8 Data Disposition, may be deferred until the disks are retired, replaced, or otherwise taken out of the Secure Area. o) Optical discs (CDs orDVDs)lnlocal workstation optical disc drives. Data provided by DSHS on optical discs which will be used in local workstation optical disc drives and which will not be transported out of a Secure Area. When not in use for the contracted purpose, such discs must be Stored in a Secure Area. Workstations which access DSHS Data on optical discs must be Located in an area which is accessible only to authorized personnel, with access controlled through use of a key, card key, combination Lock, or comparable rneohoniarn. d) Optical discs (CDs orDVDm)indrives o,jukeboxeaattached toservers. Data provided by DSHS on optical discs which will be attached to network servers and which will not be transported out of a Secure Area. Access to Data on these discs will be restricted to Authorized Users through the use of access control Lists which will grant access only after Grant & Adams County Developmental Disabilities Subcontractor Agreement the Authorized User has authenticated to the network using a Unique User ID and Hardened Password or other authentication mechanisms which provide equal or greater security, such as biometrics or smart cards. Data on discs attached to such servers must be located in an area, which is accessible only to authorized personnel, with access controlled through use of a key, card key, combination lock, or comparable mechanism. e) Paper documents. Any paper records must be protected by storing the records in a Secure Area, which is only accessible to authorized personnel. When not in use, such records must be stored in a Secure Area.. f) Remote Access. Access to and use of the Data over the State Governmental Network (SGN) or Secure Access Washington (SAW) will be controlled by DSHS staff who will issue authentication credentials (e.g. a Unique User ID and Hardened Password) to Authorized Users on Contractor's staff. Contractor will notify DSHS staff immediately whenever an Authorized User in possession of such credentials is terminated or otherwise leaves the employ of the Contractor, and whenever an Authorized User's duties change such that the Authorized User no longer requires access to perform work for this Contract. g) Data storage on portable devices or media. 1) Except where otherwise specified herein, DSHS Data shall not be stored by the Contractor on portable devices or media unless specifically authorized within the terms and conditions of the Contract. If so authorized, the Data shall be given the following protections:: (a) Encrypt the Data. (b) Control access to devices with a Unique User ID and Hardened Password or stronger authentication method such as a physical token or biometrics. (c) Manually Lock devices whenever they are left unattended and set devices to lock automatically after a period of inactivity, if this feature is available. Maximum period of inactivity is 20 minutes. (d) Apply administrative and physical security controls to Portable Devices and Portable Media by: (i) Keeping them in a Secure Area when not in use, (ii) Using check-in/check-out procedures when they are shared, and (iii) Taking frequent inventories. 2) When being transported outside of a Secure Area, Portable Devices and Portable Media with DSHS Confidential Information must be under the physical control of Contractor staff with authorization to access the Data, even if the Data is encrypted. h) Data stored for backup purposes. 1) DSHS Confidential Information maybe stored on Portable Media as part of a Contractor's existing, documented backup process for business continuity or disaster recovery purposes. Such storage is authorized until such time as that media would be reused during the course of normal backup operations. If backup media is retired while DSHS Confidential Information still exists upon it, such media will be destroyed at that time in accordance with the disposition requirements below in Section 8 Data Disposition. 2) (2) Data may be stored on non -portable media (e.g. Storage Area Network drives, virtual media, etc.) as part of a Contractor's existing, documented backup process for Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/1/2026-6/30/2026 Page 17 business continuity or disaster recovery purposes. If so, such media will be protected as otherwise described in this exhibit. If this media is retired while DSHS Confidential Information still exists upon it, the data will be destroyed at that time in accordance with the disposition requirements below in Section 8 Data Disposition i) Cloudy storage. DSHS Confidential Information requires protections equal to or greater than those specified elsewhere within this exhibit. Cloud storage of Data is problematic as neither DSHS nor the Contractor has control of the environment in which the Data is stored. For this reason: 1) DSHS Data will not be stored in any consumer grade Cloud solution, unless all of the following conditions are met: (a) Contractor has written procedures in place governing use of the Cloud storage and Contractor attest to the contact listed in the contract and keep a copy of that attestation for your records in writing that all such procedures will be uniformly followed. (b) The Data will be Encrypted while within the Contractor network. (c) The Data will remain Encrypted during transmission to the Cloud. (d) The Data will remain Encrypted at all times while residing within the Cloud storage solution. (e) The Contractor will possess a decryption key for the Data, and the decryption key will be possessed only by the Contractor. (f) The Data will not be downloaded to non -authorized systems, meaning systems that are not on the contractor network (g) The Data will not be decrypted until downloaded onto a computer within the control of an Authorized User and within either the DSHS or Contractor's network. 2) Data will not be stored on an Enterprise Cloud storage solution unless either: (a) The Cloud storage provider is treated as any other Sub -Contractor, and agrees in writing to all of the requirements within this exhibit; or, (b) The Cloud storage solution used is HIPAA compliant. 3) If the Data includes protected health information covered by the Health Insurance Portability and Accountability Act (HIPAA), the Cloud provider must sign a Business Associate Agreement prior to Data being stored in their Cloud solution. 6) System Protection. To prevent compromise of systems which contain DSHS Data or through which that Data passes: a) Systems containing DSHS Data must have all security patches or hotfixes applied within 3 months of being made available. b) The Contractor will have a method of ensuring that the requisite patches and hotfixes have been applied within the required timeframes. c) Systems containing DSHS Data shall have an Anti-Malware application, if available, installed. d) Anti-Malware software shall be kept up to date. The product, its anti -virus engine, and any malware database the system uses, will be no more than one update behind current. 7) Data Segregation. a) DSHS category 4 data must be segregated or otherwise distinguishable from non-DSHS data. This is to ensure that when no longer needed by the Contractor, all DSHS Data can be Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/1/2026-6/30/2026 Page 18 identified for return or destruction. It also aids in determining whether DSHS Data has or may have been compromised in the event of a security breach. As such, one or more of the following methods will be used for data segregation 1) DSHS Data will be kept on media (e.g. hard disk, optical disc, tape, etc.) which will contain no non-DSHS Data. 2) DSHS Data will be stored in a logical container on electronic media, such as a partition or folder dedicated to DSHS Data. 3) DSHS Data will be stored in a database which will contain no non-DSHS data. And/or, 4) DSHS Data will be stored within a database and will be distinguishable from non-DSHS data by the value of a specific field or fields within database records. 5) When stored as physical paper documents, DSHS Data will be physically segregated from non-DSHS data in a drawer, folder, or other container. b) When it is not feasible or practical to segregate DSHS Data from non-DSHS data, then both the DSHS Data and the non-DSHS data with which it is commingled must be protected as described in this exhibit. 3) Data Disposition. When the contracted work has been completed or when the Data is no Longer needed, except as noted above in Section 5.b, Data shall be returned to DSHS or destroyed. Media on which Data may be stored and associated acceptable methods of destruction are as follows: Data stored on: WILL be destroyed by: Server or workstation hard disks, or Using ",wipe" utility which will overwrite the Data at least three (3) times using either Removable media (e.g.floppies, USB flash random or single character data, or drives, portable hard disks) excluding optical discs Degaussing sufficiently to ensure that the Data cannot be reconstructed, or Physically destroying the disk Paper documents with sensitive or Confidential Recycling through a contracted firm, provided Information the contract with the recycler assures that the confidentiality of Data will be protected. Paper documents with sensitive or Confidential On -site shredding, pulping, or incineration Information Optical discs (e.g. CDs or DVDs) Incineration, shredding, or completely defacing the readable surface with a coarse abrasive Magnetic tape Degaussing, incinerating or crosscut shredding 9) Notification of Compromise or Potential Compromise. The compromise or potential compromise of DSHS shared Data must be reported to the DSHS Contact designated in the Contract within one (1) business day of discovery. If no DSHS Contact is designated in the Contract, then the notification must be reported to the DSHS Privacy Officer at Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/l/2026-6/30/2026 Page 19 dshsprivacyofficer@dshs.wa.gov. Contractor must also take actions to mitigate the risk of loss and comply with any notification or other requirements imposed by law or DSHS. 10) Data shared with Subcontractors. If DSHS Data provided under this Contract is to be shared with a subcontractor, the Contract with the subcontractor must include all of the data security provisions within this Contract and within any amendments, attachments, or exhibits within this Contract. If the Contractor cannot protect the Data as articulated within this Contract, then the contract with the sub -Contractor must be submitted to the DSHS Contact specified for this contract for review and approval. Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/1/2026-6/30/2026 Page 20 Exhibit C —Spending Man Agreement The subcontractor agrees to the following inoatief a ctohLyperfomning the terms and conditions of this contract: 1) Payment for Individual Employment Services will be paid at an hourly rate of $108.80; 2) Payment for Community Inclusion Services will be paid at an hourly rate of $66.08; 3) Payment for Group Employment Services will bepaid atonhourly rate of$83.8O; 4) No payment shall be made for any services rendered by the Subcontractor except for services within the scope of this agreement, and all funds received must be used for services as identified inthis agreement; 5) Except as provided in the section titled Reduction in Funding, all budget revisions shall be treated as agreement modifications. Grant & Adams County Developmental Disabilities Subcontractor Agreement BOARD OF COUNTY COMMISSIONERS Kevin R. Bur Oer ss, Chair 1 "t .......... R Jones, Vice -Chair AI/ d t. CindyCareer, Member Dated the of , 2026 SUBCONTRACTOR Sherie Bury, Executive Director E[mview Dated the 28 of May _)2026 GRANT & ADAMS COUNTY DEVELOPMENTAL DISABILITIES cah4, u G WZLYGaf t, Catalina Guzman (May 28, 2026 09:06:40 PDT) Catalina Guzman, DD County Coordinator Belt MieL oyt, M. Eel, L IVItC Dell Anderson, M.Ed., LMHC (Jun 3, 2026 14:42:36 PDT) Dell Anderson, M.Ed, LMHC Renew Executive Director Dated the 33 of June , 2026 Grant & Adams County Developmental Disabilities Subcontractor Agreement 6/1/2026-6/30/2026 page 22