The URL can be used to link to this page

Home My WebLink AboutDSHS Program Agreement AmendmentKittitas County Review Form Grants & Contract Agreement Contract/G ra nt I nformation Recommendation for Board of Health Review on Department Head Signature Director Date: q a(})) verification the contracting Agency is not suspended/Disbarred: ! Agency is not suspended/disbarred ! Not Checked (reason) Financial lnformation Today's Date 06/06/2022 PA Camas Request #6t-llho Fund/Department 116-Public Health Agenda Date: -'l IVIZZ contract /Grant Agency: Developmental Disabilities Administration (DDA) Period Begin Date: 07/0L/2022 Period End Date: 06/30/2023 Total Grant/Contract Amount: SO3O,6+Z.OO Grant/Contract N u mber: Contract/G ra nt Su m ma ry DDA contract funds provide administration oversight and pass thru funds to support activities for individuals with disabilities in Kittitas County. ,.1. Aiyre y.,/, ,r^pt,*,, o( Kittitas county Prosecutor, Auditor, and Board of Health Review and comment: APPROVED AS TO FORM: fi i-k"6 'Lt z Signature o f rosecutor's Office Date z?q Signature of itor's Office Grant/Contract Review Page L Total Amount 5630,642.00 State Funds $Federal Funds S Percentage Cou nty Funds Matching Funds S CFDA# ln-Kind $ tn ls Equipment being purchased?Who owns equipment? New Personnel bein hired?Contact HR hiring - reporti uirementsre Future impacts or liability to Kittitas County: Bu lnformation Pass Through lnformation Prosecutor Review Budget Amendment Needed? New Division Created? Yes ! attach budget form No n why not Revenue Code 105.568.33 4.O4,68 Expense Code 10s.s68.5410t /54122 Agency to Pass Through Amount to Pass Through Expense Code: Sub-Contract Approved Date Has the Prosecutor reviewed this agreement?Yes No Coun D rtments lm acted BOCC Approval Needed? Assignment of Tracki ng lnformation Auditor Facilities Maintenance lnformation Services Human Resource Prosecutor Treasu rer Yes I NoE Staff Member Presenting: Kasey Knutson Auditor's Office Human Resource Prosecutor's Office +t-LYkJ-,& $t*t Who Signed the grant application Reviewer Date Grant/Contract Review Page 2 ,mHt l'/'rCnlailt0il Sf,tla Dcpailmcnt ol Social & llealth Sen'lces Transforming ltves COUNTY PROGRAM AGREEMENT AMENDMENT reement Number Amendment No. 01 DSHS Ag 2163-24876 This ramProg AmementAgre ndts betweenby the ofState nofDepartmentSocialandHealthServicesHDSathendcs)belowidentifiedounty Agreement Number Clicl< here to enter text. County Agreement Number on or DSHS Developmental Disabilities Admin DSHS Division of Developmental bilities 1225 INDEX 1225 Seanna Woodard AND wA 99205 1611 W lndiana Ave NTACT 329-2952 DSHS 5 DSHS E-MAIL shs.wa Kittitas County Kittitas County DDA County Services 507 North Nanum Street Suite 102 Ellen wA 98926-2886 NUMBER DERAL Kas Knutson 962-7090 kittitas.wa.us co AGREEMENT? No FOR OF PROGRAMTHE COUNry A SUBRECIP DA NUMB 47t01t2022 TE 06t30t2023 AMOUNT $630,642,00 IMUM oFl $630,642.00 OR RAM NT 284.00 AMOUNT I\4AXIMU REASON F AMEND ENT; CONTRACT AMOUNTERFORMANCE AND MAXCHANGE OR CORRECT PERIOD OF P EXHI WhentTs th boxe below IS withmarked cha eck 4 anor theX Exhi bits are dattached ndfollowing a rethintoincorporatedSProgramAmendmAgreemententreferenceby Exhibits Exh Bbit This ram reementProg Amen nAg aldment,otheranduding umedoc nts referenincorporated containsceby alltheoftermsandditionscontheuponbyaschtoagreedpartiestheNoangesmotheroriginaPrograAgreementrstandinundeorntatigsoorralrepreseons,otherwise,the ectregarding matter thisofsubj m Am mentendPrograAgreementallshbedeemedexrtoorstthebindes.otherAilparti terms nd conditio ofns the ramoriginal reement atnremProgAg tnfuforceeffect.and The nparties below warrantsignis that have andreadthey thunderstand ts m ntreemePrograAgndAmentmeavehatoenterntothisAmendment. ['t]!"V \,'f r I Stit-(!llttY tttsttY NTED NAM rTLE(S) ht( b Vt SIGNED \lnlea Tammy Layton, Contract Manager D 8131t2022 DSHS Central Contract Services 1769CP Contract Amendment (12-tO-zj) RECEIVED JUL 2 8 2022 DDA SPOI(Af{E Page 1 JH':::t6$A3iTil:3;f:ffi:"T""S;o,i,:y"l.o the srate or washinsron Deparrmenr or sociar and Hearrh1' Ilitl"XllH:Xffitrufllfilot"rnt is herebv increased in the amount or9630,642 rora new 2' ffitifi"l;1;3ijltr,"T": specific to program Asreement, items o, r, and u are hereby repraced w*h o' "Employment outcome Payment" T"a.l" a payment to providers for transition students bornbetween specific dates; n"i'.'r,ii:n ^acrlitv; r'i#rr#ir"o ror rnliviou;i;ffi&rent, and srudenrobtains a competitive iit"g'aled"j;u titiiilt "io,irilliirl+.;;;'. riffi"d'i'l'l,rninirrm or ten hoursof work per week an additLnai ainount wirr de inlluieiin *re payment.r. "Job Foundation Report,, means a document derived froperrormed bv stuoenis '"n" 11" u""u"*r-1siiil'il;fiilffi steps foremployment' The employmeni service providers oevliiprng the Job roJnoition report wi, besupporring students witn bmprovment aitivi*es;;;;;g" 35 hours. u. "Quality Assura nce" means an ad herence to all Program Agreement requirements, includi ng Criteria for Eva luation,as wellas a focus on reasonably expected levels of performa County Guidquality and practice. and the DDA elines, nce, ffii:$J Gredentials and Minimum Requlrements, item h, is hereby reptaced with the foilowing h' Qualified service l':uig"q The county Tsrl!'gs that alrservice providers meet qualifications asoutlined in the DDA Policv 6' rs, Pi";ibr orJiGiii,ir"ilr"erpnvment and oay elogram services 3is$ift?;f,li:"#,"" of work, items k, (4), (5) and (11), t. and u, are hereby reptaced w*h the (4) All clients willhave an individualized employment or communiry rncrusion pran to identifyclient's preferences' Minimffirrn .irnfi.nts Jii'"ltr]i#.p,ttre referencelolrr.nt ,,criteria 8;n:ffi ffi :;,:;;tstT,.g.?5J,.'"'#1r;"J:ffi1JlTiilb;p;;;;;;;iilJt,i"nr,'rei, (5) six-month progress reports describing.theBrogress made towards achieving crien.s goarwi'be provided by rhe service pi"rlrio i;rn. ccfi,;;;ilil, and/or guardian_, if any, within 30,lffi.l13Y,SiyffT,il;i[lj;*"t,1###,fiil'Jfiiff'li.e ",tiu'iriet ",l'",t.;,..,"Ju (1 1) For Group,supported Employment (GSE), clients must have paid work. The total number ofdirect se-rvice siaff r'ouis lirovio"Jd d;6'ili'si'outo. ne uqrir io or-gr""t* rhan rhe group,scollective amount of authorizeo servioe ni;;;: r il- orr*iJJ*illlt""tr=t,orr. "re ress than the::lf$ffiTlount, then tne provioer ;iil ;il;;;u,**a onrv io;G; ilil.r or,hours starr t. partnership project. (1) ^"r;:;i::t 83lT,:l#teJl]f;lj ffi"i]frff:#liderines for erisibre srudents Erigibre ""'#:"ilTi*ll'fjlo',i1,1?iir.,,o.r,r page 2 3. 4. . 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 reimbursement will not exceed 7% unless the Assistant secreta ry of DDA approves a request for anexception under chapter 388-850 WAC. Timeliness of and Modification 1o Billings: All initial invoices with signed documentation must bereceived by the DDA Region within forty-five (45) calendar days foiiowing the lait Jay or the monthin which the service is provided. Corrected invoices and documentation including r."-poit"o uiflinginformation will be accepted throughout the flscal year as long ai they are receiTeo witnrn sixty (60)calendar days of the associated fiscalyear unlessan extensi6n is approved by the DDA Regi6nal ' Ad.ministrator or designee. Payment wilt not be made on any invoice submitted past sixty 1oo;calendar days after the program Agreemenl fiscal year, 7 Exhibit B- Program Agreement Budget is hereby replaced with the following Exhibit 81, program Agreement Budget. All other terms and conditions of this Program Agreement remain in full force and effect, DSHS Central Contracl Services 1769CP Conlract Amendment (12-.10-21)Page 4 Exhibit B1 Program Agreement Budget Original Budget X Budget Revision REVENUES FY22 TOTAL DSHS Central Contract Services 1 769CP Contract Amendment (12-10-21) Fiscal Year Fund Source Oriqinal l.tRevision 2nd Revision 3rd Revision 2022 State onlv 316,726 Medicaid 313.916 TotalRev $630,642 $$$ Fiscal Year Fund Source Original lstRevision 2nd Revision 3'd Revision 2023 State only 316,726 Medicaid 313,916 TotalRev $630,642 $$$ Job Foundation Funds PASRR Funds State Funds Medicaid Funds TOTAL ADMINISTRATION (cMrs/AWA BARS 11) 336 22494 1 8405 4',| OTHER CONSUMER SUPPORTS (CMIS/AWA Code 31, 32,41,92.93.94) 336 21023 38.559CONSUMER SUP STATE-ONLY Child Development MEDICAID CLIENTS 4800 550.848 ROADS to COMMUNITY LIV]NG 64263'l 541 629 Page 5 FY23 TOTAL DSHS Central Contract Services 1 769CP Contract Amendment (12-10-21) Job Foundation Funds PASRR Funds State Funds Medicald F-unds TOTAL ADMINISTRATION (CMIS/AWA BARS 11) 336 22494 18405 41.235 OTHER CONSUMER SUPPORTS (CMIS/AWA Code 31, 32.41.92.93.94) 336 21023 17200 38.559 CONSUMER SUPPORT STATE.ONLY Child Development MEDICAID CLIENTS 4800 273024 550,848 ROADS to COMMUNITY LIVING s,472 316.541 308,629 630 Page 6