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AMENDMENT #1 TO
AGREEMENT FOR PROVISION OF SERVICES
BY AND BETWEEN
CARELON BEHAVIORAL HEALTH, INC.
AND
COUNTY OF GRANT DBA RENEW
This first amendment ("Amendment") amends Agreement for Provision of Services ("Agreement") entered into by and
between Carelon Behavioral Health, Inc. ("Carelon") and County of Grant dba Renew ("Vendor"). Unless otherwise
defined herein, all capitalized terms used in this Amendment shall have the same meaning as set forth in the
Agreement.
WHEREAS, the Agreement permits amendments to the Agreement by Carelon and Vendor; and
WHEREAS, Carelon and Vendor desire to amend the Agreement to make certain changes to it.
NOW, THEREFORE, in consideration of the promises and mutual covenants contained herein and other good and
valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the Agreement is hereby
amended as follows, effective July 1, 2022:
1, Exhibit B Scope of Work and Budget is removed in its entirety and replaced with Exhibit B.A1 Scope of Work
and Budget.
2. This Amendment shall be effective upon the date set forth by Carelon following signature by both Carelon and
Vendor.
3. Except as amended herein, all other terms and conditions of the Agreement shall remain in full force and
effect without modification.
4, Scope of work pursuant with contract terms between Carelon and Health Care Authority as dictated in contract
amendment dated July 1, 2022.
COUNTY OF GRANT DBA RENEW
By:
Rob Jones, Chair
q / I8,1
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Date
TIN: 91.6001319
CARELON BEHAVIORAL HEALTH, INC.
Do cuSigned by:
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By. n n a i u
AVP Account Partnership
Title
4/24/2023
Date
CBRA Amend 1 — PID 301052
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DocuSign Envelope ID: 9587F377-5107-424A-B077-65A80D566367
EXHIBIT B.A1
SCOPE OF WORK AND BUDGET
1. Vendors shall commit to providing long-term or bridge subsidy in Grant county in the North Central Regional
Service Area (RSA) for eligible households within the eligible population described below.
2. Vendors shall comply with all of the requirements, policies and procedures in the most up-to-date version of
the Community Behavioral Health Rental Assistance Program Guidelines as published by the Washington
State Department of Commerce.
3. Eligible Population for Housing Subsidy Funded Under This Contract:
a. Adults (and their households) who have a diagnosed behavioral health condition, are eligible for
services from a long-term supportive services program, and demonstrate a need for long-term
subsidy.
i. See: Program Guidelines, Overview and Program Eligibility
4. Vendors shall commit to prioritizing subsidies for the priority populations described below:
a. Priority Population for Housing Subsidy funded under this Contract: Households that meet one or
more of the following:
i. Discharging or needing to discharge from a psychiatric hospital or other psychiatric
inpatient setting.
ii. Discharged from a psychiatric hospital or other psychiatric inpatient setting within the past
12 months.
1. See: Program Guidelines, Priority Populations
5. Vendors shall submit the following deliverables on time with truthful, accurate information:
a. Monthly Invoices and Required Back -Up Documentation submitted via email
Behavioral Health_WAASO@carelon.com
i. See: Program Guidelines, Reimbursements
b. Annual County Expenditure Report Information to the lead of each county homelessness crisis
response system within the service area.
i. See: Program Guidelines, Reporting Requirements
c. Accurate and Timely Data Entry into the Homeless Management Information System Database.
i. See: Program Guidelines, HMIS and Data Quality
6. Consequences of non-compliance:
a. If Carelon determines that a Vendor is failing to comply with the Guidelines, Terms, and
Conditions, Carelon will notify Vendor that Vendor will receive technical assistance and be required
to respond to a corrective action plan to address and remedy the noncompliance.
CBRA Amend 1 — PID 301052
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DocuSign Envelope ID: 9587F377-5107-424A-B077-65A80D566367
b. If the Vendor is still out of compliance after the technical assistance, Carelon may move the Vendor
into a probationary period with a second corrective action plan and may reduce the grant total by
20%.
c. If the Vendor remains out of compliance after the probation period, Carelon may terminate the
grant per the General Terms and Conditions TERMINATION FOR CAUSE.
7. BUDGET
a. Table 1 below provides the maximum budget for the stated time period.
i. See: Program Guidelines, Eligible Activities and Costs
Table 1.A1: Maximum Budget
July 1, 2022 — June 30, 2023
Budget
g
July 12022 —
June 30, 2023
Admin
$5,492
Program Operations
$22,964
Rent Assistance
$40,606
Total
$69,062
b. Monitoring Facility spending against the funds allocated in Table 1 is the responsibility of Vendor.
Carelon supports this responsibility by providing Vendor with periodic Finance Memos that include
payments made by Carelon to Vendor and any remaining funds available for that fiscal year.
c. Carelon and Vendor agree to the following spending checkpoints where spending to date will be
reviewed and technical assistance provided. If Carelon determines at any point that Vendor is
unlikely to spend all unencumbered funds, Carelon reserves the right to reduce Vendor's budget
and reallocate funds to another organization.
L 6 months after contract effective date
ii. Quarterly thereafter.
8. RISK ASSESSMENT
a. The Vendor shall maintain Policy and Procedures that demonstrate compliance with the most up-
to-date version of the Community Behavioral Health Rental Assistance Program Guidelines as
published by the Washington State Department of Commerce.
CBRA Amend 1 — PID 301052
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