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Home My WebLink AboutKittitas County Contract 1563-43842 Amendment 1 DSHS Central Contract Services Page 1 6024PF Contract Amendment (3-31-06) CONTRACT AMENDMENT DSHS CONTRACT NUMBER: 1563-43842 Amendment No. 01 This Contract Amendment is between the State of Washington Department of Social and Health Services (DSHS) and the Contractor identified below. Program Contract Number Click here to enter text. Contractor Contract Number CONTRACTOR NAME Kittitas County CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS 507 North Nanum Street Suite 102 Ellensburg, WA 98926- WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) 192-002-673 DSHS INDEX NUMBER 1225 CONTRACTOR CONTACT Dave Wilson CONTRACTOR TELEPHONE (509) 925-9821 CONTRACTOR FAX (509) 837-7700 CONTRACTOR E-MAIL ADDRESS davew@meritresources.org DSHS ADMINISTRATION Behavioral Health and Service Integration DSHS DIVISION Division of Behavioral Health and Recovery DSHS CONTRACT CODE 1647CS-63 DSHS CONTACT NAME AND TITLE Melinda Trujillo Program Manager DSHS CONTACT ADDRESS Sky Valley CSO 19705 SR 2 Monroe, WA 98272 DSHS CONTACT TELEPHONE (360)805-8362 DSHS CONTACT FAX (360) 794-1334 DSHS CONTACT E-MAIL ADDRESS melinda.trujillo@dshs.wa.gov IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? No CFDA NUMBERS AMENDMENT START DATE 10/01/2015 CONTRACT END DATE 03/31/2016 PRIOR MAXIMUM CONTRACT AMOUNT $219,646.00 AMOUNT OF INCREASE OR DECREASE $0.00 TOTAL MAXIMUM CONTRACT AMOUNT $219,646.00 REASON FOR AMENDMENT; CHANGE OR CORRECT CONTRACT TERMS OR SOW, SEE PAGE TWO ATTACHMENTS. When the box below is marked with an X, the following Exhibits are attached and are incorporated into this Contract Amendment by reference: Additional Exhibits (specify): Exhibit B: Awards and Revenues This Contract 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 Contract. No other understandings or representations, oral or otherwise, regarding the subject matter of this Contract Amendment shall be deemed to exist or bind the parties. All other terms and conditions of the original Contract remain in full force and effect. The parties signing below warrant that they have read and understand this Contract Amendment, and have authority to enter into this Contract Amendment. CONTRACTOR SIGNATURE PRINTED NAME AND TITLE Obie O'Brien, Chairman Board Commissioners DATE SIGNED DSHS SIGNATURE PRINTED NAME AND TITLE DATE SIGNED DSHS Central Contract Services Page 2 6024PF Contract Amendment (3-31-06) This Contract between the State of Washington Department of Social and Health Services (DSHS) and the Contractor is hereby amended as follows: 1. Section 1. Definitions Specific to Special Terms is amended by adding the following two (2) terms. Recovery Care Plan (RCP): An individualized plan that sets specific goals and outcomes for an individual’s or their family’s needs based on individual assessment that considers 1) the needs of the individual and/or their families; 2) the extent to which there are recovery support services, health and human services, housing services, and 3) the extent of available resources. Recovery Support Services (RSS): A broad range of nonclinical services that assist individuals and families to initiate, stabilize, and maintain long-term recovery from substance use. 2. Section 5. Reciprocity is amended by removing the phrase “and distance standards” from the first sentence. 3. Section 6. Requirements subsection g.(3). is amended by removing “R34” from the first sentence. 4. Section 8: Statement of Work is amended as follows: a. Subsection k.(1).(b). is amended to read “Women who are postpartum during the first year after pregnancy completion regardless of the outcome of the pregnancy or placement of children.” b. A new subsection “aa.” Is added to read aa. RCP must demonstrate shared decision-making between the individual and the RSS provider. The plan must also document progress and a final interview regarding service impact on their recovery goal at the time of program discharge. c. A new subsection “bb” Is added to read bb. RSS Services may be delivered through a variety of community and faith-based groups, treatment providers, schools, and other specialized services. Services may be provided by a single entity or a consortium of health and human service providers. These services may include: (1) Housing assistance services such as identifying housing options, contacting prospective landlords, assisting with housing or housing subsidy applications. (2) Recovery support such as transportation to and from treatment, employment services and job training, relapse prevention, child care, family/marriage education, self-help and support groups, life skills, spiritual and faith-based support, education, and parent education. (3) RSS does NOT include rent, home repairs, clothing, dental or medical costs, hygiene items, electronics, or anything that is for personal use. d. Subsection w.(1). and w(3) The terms “drug court funding” and “State Drug Court funds” is deleted. e. Subsection w(3).(b). ii. Is deleted in its entirety. DSHS Central Contract Services Page 3 6024PF Contract Amendment (3-31-06) 5. Section 9. Transition of Services is amended as follows: a. Subsections 9.a.(3) through 9.a.(10)are deleted and replaced with the following. (3) For each transitioning client in care January 1, 2016 or entering care after January 1, 2016, and with proper release in accordance with CFR 42 Part 2, Subpart C, 2.31 “Form of Written Consent”, provide the receiving BHO with current treatment information including: (a) What services are being provided, (b) Planned treatment end date, (c) Service provider information, (d) Treatment location (e) Administrative records (4) Participate in the development of individual Client Transition Plans. (5) Document collection of proper release in TARGET. (6) Other activities as requested by DSHS. b. DSHS is responsible for payment of all services delivered up to but not including the date of implementation. 6. Section 11. Consideration is amended by adding the following new subsection. g. Incentive Research Project DSHS has received a grant from Brandeis University to participate in an incentive awards project to improve performance in “treatment engagement” for Outpatient and Intensive Outpatient treatment agencies (including qualified subcontractors) and detox facilities. The project will run from October 1, 2013 through December 31, 2015. (1) Funding for incentive award payments is provided by DSHS. (a) These funds are pooled and not reflected in the Awards and Revenues (A&R) attachment. (b) The earned incentive award payments shall be passed through to the subcontracted providers or directly to the agency providing services that are identified by DSHS as a quarterly awardee. (2) DSHS will notify you in writing and/or by e-mail of the status of your subcontractors as to: (a) If any of your providers have achieved an incentive award payment and the amount awarded (b) Provide a separate A-19 for billing purposes that will cover only the incentive payments. DSHS Central Contract Services Page 4 6024PF Contract Amendment (3-31-06) (3) Send the separate A-19 for the project to Amanda Lewis at lewisae@dshs.wa.gov or designee who will review and forward valid A-19s for payment. 7. Section 12. Billing and Payment for Statement of Work a. Subsection f.(3). the term “Drug Court” is deleted. b. Subsection f.(3).(a) the term “and no more than 10% of the Drug Court” is deleted. c. Subsection f.(3).(b). is deleted in its entirety. d. Subsection j.(3).(c).vii is amended by replacing the reference (x.) with (ix.) 8. Exhibit B: Awards and Revenues is deleted and replaced with the new attached Exhibit B: Awards and Revenues All other terms and conditions of this Contract remain in full force and effect.