DSHS Program Agreement Amendment

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. For fiscal year 2021 911100 through Bt31tO1r For fiscal year 2022 9l1lo'l through Bl31l0Zr For fiscal year 2023 911102 through At31l0gr For fiscal year 2024 911103 through gl31t04 These students currently attending schooland have completed an application to participate in this Value Based Payment (VBP) project. The VBP project application will include the following minimum criteria identified in the sample application found at: https://w!vw.dshs.wa.oov/sites/ddfault/fileslDDA/dda/d_o,cuments/JobTo20Foundation%20Aopti calion O407 2Qo/o2jo/o2$0o2o/o2g .docx (2) Qualified providers will collaborate with School District staff to complete the Job Foundation document and then provide a copy to the County, To be a qualified provider for the Partnership Project the Counties must require the provider to have a current contract with the Division of Vocational Rehabilitation; a contract in good standing with the County and cannot be in provisional status; a minimum of two years' experience providing lndividuai Employment with demonstrated job placement skills. The Job Foundation recommendation will only have actionable next steps towards integrated competitive employment. (3)A County participating in the Partnership Project must have the ability to work collaboratively with School Districts to identify DDA students in high school, collect and track information, be proficient in electronic spreadsheets, and ability to evaluate if completed Job Foundation document(s) meet quality standards. u. Employment Outcome Payment. Providers with transition students born between r For fiscalyear 2023 gl1l01 through Bl31l\i. For fiscal year 2024 9t1t01through glg1l02r For fiscal year 2025 gt1t02 through B/31/03. For fiscal year 2026 gl1tj3 through Al31lO4 with high acuity and are authorized for lndividual Employment, may receive one outcome payment if student obtains a competitive integrated job approved by the County within timeframes described in the chart below. lf the County is also the service provider DDA will provide the job approval. lf the job is at a minimum of ten hours of work per week an additional amount will be included in lhe payment. 5. Section 7. Consideration, item b. (2) is hereby replaced with the following language: (2) Spending Plan: _DDA willprovide the initial spending plan / Program Agreement Budget / ExhibitB. Funding shall be distributed under State ano Medicaid in the revenle section. file ptanneO expenditures for Consumer Supports are based on authorized Clients, their acuity levejand work history for a given point in time. The AdditionalConsumer Support are the ionsumer Supports 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. 6. Section 8. Billing and Payment, items f. and i. are hereby replaced with the following language: f. Program Administration: The County witl provide program administration and coordination including such activities as planning, budgeting, contracting, monitoring, and evaluation, Monthly claims for'administration can be 1112 of the maximum amount identified in Exhibit B under Adminiitration or for the actual costs incurred in the given month but will be the lesser of the two, Administration cost DSHS Central Contract Services 1769CP Conkact Amendment (12-10-21) page 3