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HomeMy WebLinkAboutDSHS DDA FinalKittitasCountyReviewFormiKilTITMt1ITTYGrants&ContractAgreementToday'sDatePACamasRequest#:06/06/2022Fund/DepartmentAgendaDate:116-PublicHealthContract|GrantInformationContract/GrantAgency:DevelopmentalDisabilitiesAdministration(DDA)PeriodBeginDate:07/01/2022PeriodEndDate:06/30/2023TotalGrant/ContractAmount:$630,642.00Grant/ContractNumber:Contract/GrantSummary:DDAcontractfundsprovideadministrationoversightandpassthrufundstosupportactivitiesforindividualswithdisabilitiesinKittitasCounty.RecommendationforBoardofHealthReviewonDepartmentHeadSignature:,DirectorDate:KittitasCountyProsecutor,Auditor,andBoardofHealthReviewandComment:APPROVEDASTOFORM:SignatureofProsecutor'sOfficeDateSignatureofAuditor'sOfficeDateVerificationthecontractingAgencyisnotSuspended/Disbarred:Agencyisnotsuspended/disbarredNotChecked(reason)FinancialInformationGrant/ContractReviewPage1 TotalAmount$630,642.00StateFunds$FederalFunds$PercentageCountyFundsMatchingFunds$CFDA#In-Kind$15Equipmentbeingpurchased?Whoownsequipment?NewPersonnelbeinghired?ContactHRhiring--reportingrequirementsFutureimpactsorliabilitytoKittitasCounty:BudgetInformationgeded?YesabudgetformNowhynotNewDivisioncreated?RevenueCode105.568.334.04.68ExpenseCode105.568.54101/541PassThroughInformationytoPassThroughAmounttoPassThroughExpenseCode:Sub-ContractApprovedDate:ProsecutorReviewtheProsecutorreviewedthisagreement?CountyDepartmentsImpactedAuditorFacilitiesMaintenanceInformationServicesHumanResourceProsecutorTreasurergKdaseyKnutsoTrackingInforProsecutor'sOfficeWhoSignedthegrantapplicationDateGrant/ContractReviewPage2 DSHSAgreementNumberosmaaronso"COUNTYPROGRAMAGREEMENT2163-24876DepartmentofSocial&HealthServicesAMENDMENTAmendmentNo.Transforminglives01ThisProgramAgreementAmendmentisbyandbetweentheStateofWashingtonAdministrationorDivisionDepartmentofSocialandHealthServices(DSHS)andtheCountyidentifiedbelow.AgreementNumberClickheretoentertext.CountyAgreementNumberDSHSADMINISTRATIONDSHSDIVISIONDSHSINDEXNUMBERCCSCONTRACTCODEDevelopmentalDisabilitiesDivisionofDevelopmental12251225AdminDisabilitiesDSHSCONTACTNAMEANDTITLEDSHSCONTACTADDRESSSeannaWoodard1611WIndianaAveSpokane,WA99205DSHSCONTACTTELEPHONEDSHSCONTACTFAXDSHSCONTACTE-MAIL(509)329-2952(509)568-3037woodas@dshs.wa.govICOUNTYNAMECOUNTYADDRESSKittitasCounty507NorthNanumStreetSuite102KittitasCountyDDACountyServicesEllensburg,WA98926-2886COUNTYFEDERALEMPLOYERIDENTIFICATIONCOUNTYCONTACTNAMENUMBERKaseyKnutsonCOUNTYCONTACTTELEPHONECOUNTYCONTACTFAXCOUNTYCONTACTE-MAIL(509)962-7090(509)962-5883kasey.knutson@co.kittitas.wa.usISTHECOUNTYASUBRECIPIENTFORPURPOSESOFTHISPROGRAMCFDANUMBERSAGREEMENT?NoAMENDMENTSTARTDATEPROGRAMAGREEMENTENDDATE07/01/202206/30/2023PRIORMAXIMUMPROGRAMAGREEMENTAMOUNTOFINCREASEORDECREASETOTALMAXIMUMPROGRAMAGREEMENTAMOUNTAMOUNT$630,642.00$630,642.00$1,261,284.00REASONFORAMENDMENT;CHANGEORCORRECTPERIODOFPERFORMANCEANDMAXCONTRACTAMOUNTEXHIBITS.Whenthebo×belowismarkedwithacheck(4)oranX,thefollowingExhibitsareattachedandareincorporatedintothisProgramAgreementAmendmentbyreference:Exhibits(specify):ExhibitBThisProgramAgreementAmendment,includingallExhibitsandotherdocumentsincorporatedbyreference,containsallofthetermsandconditionsagreeduponbythepartiesaschangestotheoriginalProgramAgreement.Nootherunderstandingsorrepresentations,oralorotherwise,regardingthesubjectmatterofthisProgramAgreementAmendmentshallbedeemedtoexistorbindtheparties.AllothertermsandconditionsoftheoriginalProgramAgreementremaininfullforceandeffect.ThepartiessigningbelowwarrantthattheyhavereadandunderstandthisProgramAgreementAmendment,andhaveauthoritytoenterintothisProgramAgreementAmendment.COUNTYSIGNATURE(S)PRINTEDNAME(S)ANDTITLE(S)DATE(S)SIGNEDDSHSSIGNATUREPRINTEDNAMEANDTITLEDATESIGNEDDSHSCentralContractServices1769CPContractAmendment(12-10-21)Page1 ThisProgramAgreementbetweentheCountyandtheStateofWashingtonDepartmentofSocialandHealthServices(DSHS)isherebyamendedasfollows:1.TheTotalMaximumContractAmountisherebyincreasedintheamountof$630,642foranewContractAmountof$1,261,2842.Section1.DefinitionsSpecifictoProgramAgreement,itemso,r,anduareherebyreplacedwiththefollowinglanguage:o."EmploymentOutcomePayment"meansapaymenttoprovidersfortransitionstudentsbornbetweenspecificdates;havehighacuity;areauthorizedforIndividualEmployment,andstudentobtainsacompetitiveintegratedjobwithinspecifictimeframes.Ifthejobisaminimumoftenhoursofworkperweekanadditionalamountwillbeincludedinthepayment.r."JobFoundationReport"meansadocumentderivedfromemploymentreadinessactivitiesperformedbystudentswhoarebetweenages19through20thatidentifiesactionablenextstepsforemployment.TheemploymentserviceprovidersdevelopingtheJobFoundationreportwillbesupportingstudentswithemploymentactivitiesonaverage35hours.u."QualityAssurance"meansanadherencetoallProgramAgreementrequirements,includingDDAPolicy6.13,ProviderQualificationsforEmploymentandDayProgramServices,CountyGuidelines,andtheCriteriaforEvaluation,aswellasafocusonreasonablyexpectedlevelsofperformance,qualityandpractice.3.Section4.CredentialsandMinimumRequirements,itemh.isherebyreplacedwiththefollowinglanguage:h.QualifiedServiceProviders:TheCountyassuresthatallserviceprovidersmeetqualificationsasoutlinedintheDDAPolicy6.13,ProviderQualificationsforEmploymentandDayProgramServices.4.Section6.StatementofWork,itemsk.(4),(5)and(11),t.andu.areherebyreplacedwiththefollowinglanguage:(4)AllClientswillhaveanindividualizedemploymentorCommunityinclusionplantoidentifyClient'spreferences.Minimumplanelementsareoutlinedinthereferencedocument"CriteriaforEvaluation".AcopyoftheClient'sindividualizedplanwillbeprovidedtotheClient,theirCRM,guardian,andothersasappropriate.(5)Six-monthprogressreportsdescribingtheprogressmadetowardsachievingClient'sgoalwillbeprovidedbytheserviceprovidertotheCRM,participant,and/orguardian,ifany,within30daysfollowingthesix-monthperiod.ThereportwilsummarizeactivitiesandoutcomesmadetowardsClient'sindividualizedgoal(s).(11)ForGroupSupportedEmployment(GSE),Clientsmusthavepaidwork.Thetotalnumberofdirectservicestaffhoursprovidedtothegroupshouldbeequaltoorgreaterthanthegroup'scollectiveamountofauthorizedservicehours,ifthedirectservicestaffhoursarelessthanthecollectiveamount,thentheproviderwillbereimbursedonlyforthenumberofhoursstaffactuallyprovide.t.PartnershipProject.(1)AJobFoundationdocumentwillbecompletedperguidelinesforeligiblestudents.EligiblestudentsareDDAClientswhowerebornbetween:DSHSCentralContractServices1769CPContractAmendment(12-10-21)Page2 •Forfiscalyear20219/1/00through8/31/01•Forfiscalyear20229/1/01through8/31/02•Forfiscalyear20239/1/02through8/31/03•Forfiscalyear20249/1/03through8/31/04ThesestudentscurrentlyattendingschoolandhavecompletedanapplicationtoparticipateinthisValueBasedPayment(VBP)project.TheVBPprojectapplicationwillincludethefollowingminimumcriteriaidentifiedinthesampleapplicationfoundat:https://www.dshs.wa.gov/sites/default/files/DDAlddaldocuments/Job%20Foundation%20Application040720%20%28002%29.docx(2)QualifiedproviderswillcollaboratewithSchoolDistrictstafftocompletetheJobFoundationdocumentandthenprovideacopytotheCounty.TobeaqualifiedproviderforthePartnershipProjecttheCountiesmustrequiretheprovidertohaveacurrentcontractwiththeDivisionofVocationalRehabilitation;acontractingoodstandingwiththeCountyandcannotbeinprovisionalstatus;aminimumoftwoyears'experienceprovidingIndividualEmploymentwithdemonstratedjobplacementskills.TheJobFoundationrecommendationwillonlyhaveactionablenextstepstowardsintegratedcompetitiveemployment.(3)ACountyparticipatinginthePartnershipProjectmusthavetheabilitytoworkcollaborativelywithSchoolDistrictstoidentifyDDAstudentsinhighschool,collectandtrackinformation,beproficientinelectronicspreadsheets,andabilitytoevaluateifcompletedJobFoundationdocument(s)meetqualitystandards.u.EmploymentOutcomePayment.Providerswithtransitionstudentsbornbetween•Forfiscalyear20239/1/00through8/31/01•Forfiscalyear20249/1/01through8/31/02•Forfiscalyear20259/1/02through8/31/03•Forfiscalyear20269/1/03through8/31/04withhighacuityandareauthorizedforIndividualEmployment,mayreceiveoneoutcomepaymentifstudentobtainsacompetitiveintegratedjobapprovedbytheCountywithintimeframesdescribedinthechartbelow.IftheCountyisalsotheserviceproviderDDAwillprovidethejobapproval.Ifthejobisataminimumoftenhoursofworkperweekanadditionalamountwillbeincludedinthepayment.5.Section7.Consideration,itemb.(2)isherebyreplacedwiththefollowinglanguage:(2)SpendingPlan:DDAwillprovidetheinitialspendingplan/ProgramAgreementBudget/ExhibitB.FundingshallbedistributedunderStateandMedicaidintherevenuesection.TheplannedexpendituresforConsumerSupportsarebasedonauthorizedClients,theiracuitylevelandworkhistoryforagivenpointintime.TheAdditionalConsumerSupportaretheConsumerSupportsmultipliedbyapercentage.Thespendingplanmayonlybemodifiedbymutualagreementofthepartiesinwritingandshallnotrequireaprogramagreementamendment.6.Section8.BillingandPayment,itemsf.andi.areherebyreplacedwiththefollowinglanguage:f.ProgramAdministration:TheCountywillprovideprogramadministrationandcoordinationincludingsuchactivitiesasplanning,budgeting,contracting,monitoring,andevaluation.Monthlyclaimsforadministrationcanbe1/12ofthemaximumamountidentifiedinExhibitBunderAdministrationorfortheactualcostsincurredinthegivenmonthbutwillbethelesserofthetwo.AdministrationcostDSHSCentralContractServices1769CPContractAmendment(12-10-21)Page3 reimbursementwillnotexceed7%unlesstheAssistantSecretaryofDDAapprovesarequestforanexceptionunderchapter388-850WAC.i.TimelinessofandModificationtoBillings:AllinitialinvoiceswithsigneddocumentationmustbereceivedbytheDDARegionwithinforty-five(45)calendardaysfollowingthelastdayofthemonthinwhichtheserviceisprovided.Correctedinvoicesanddocumentationincludingre-postedbillinginformationwillbeacceptedthroughoutthefiscalyearaslongastheyarereceivedwithinsixty(60)calendardaysoftheassociatedfiscalyearunlessanextensionisapprovedbytheDDARegionalAdministratorordesignee.Paymentwillnotbemadeonanyinvoicesubmittedpastsixty(60)calendardaysaftertheProgramAgreementfiscalyear.7.ExhibitB.ProgramAgreementBudgetisherebyreplacedwiththefollowingExhibitB1,ProgramAgreementBudget.AllothertermsandconditionsofthisProgramAgreementremaininfullforceandeffect,DSHSCentralContractServices1769CPContractAmendment(12-10-21)Page4 ExhibitB1ProgramAgreementBudgetOriginalBudgetXBudgetRevisionREVENUESFiscalYearFundSourceOriginal16*Revision2ndRevision3rdRevision2022Stateonly316,726Medicaid_313,916TotalRev.$630,642$$$FiscalYearFundSourceOriginal166Revision2ndRevision3rdRevision2023Stateonly316,726Medicaid313,916TotalRev.$630,642$$$FY22JobFoundaÏionFundsPASRRMedicaidFundsStateFundsFundsTOTALADMINISTRATION336(CMIS/AWABARS11)224941840541,235OTHERCONSUMERSUPPORTS(CMIS/AWACode31,33632,_41,92,93,94)210231720038,559CONSUMERSUPPORTSTATE-ONLYChildDevelopmentÃDICAIDCLIENTS4800273024273024550,848ROADStoCOMMUNITYLIVINGTOTAL5,472316,541308.629630,642DSHSCentralContractServices1769CPContractAmendment(12-10-21)Page5 FY23JobFoundationFundsPASRRMedicaidFundsStateFundsFundsTOTALADMINISTRATION336(CMIS/AWABARS11)224941840541,235OTHERCONSUMERSUPPORTS(CMIS/AWACode31,33632,41,92,9394)210231720038,559CONSUMERSUPPORTSTATE-ONLYChildDevelopmentMEDICAIDCLIENTS4800273024273024550,848ROADStoCOMMUNITYLIVINGTOTAL5,472316,541308,629_630,642DSHSCentralContractServices1769CPContractAmendment(12-10-21)Page6