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Contract Information
Contract Number 032.18 D
Project Name Mental Health and Substance Use Services
Contractor CO West Regional Mental Health DBA Mind Springs Health
Budget Line Item 11631196.581000.10179 $ 450,185.00
$Additional Budget Line $ _
Item(s) $ _
(Please fully allocate New Contract Total)
$ 450,185.00
Procurement Method: _Formal
Type: Services/Maintenance
Contract Start Date 1/1/2018
Contract End Date 12/31/2022
Contract Type Change Order/Contract Amendment
Retainage No
If this is a new contractor, please enter the New Vendor information into Munis for workflow approval.
Contact Information:
Department Public Health
County Representative Jordana Sabella County Representative (970) 920-5062
Phone
Provide a brief description of the Contract or Change Order:
Extension of Contract for 2022 term.
Contract Value Summary:
Original Contract Amount $ 488,001.00
Previous Change Order/Amendment Amount $ 1,466,581.00
This Change order/Amendment amount $ 450,185.00
Contract Total $ 2,404,767.00
Contract#: 032.18 Rev. 2018.06.13 btf
Budget Line Item#: 11437372.531000.10179
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CHANGE ORDER/CONTRACT AMENDMENT
Change Order Number: 032.18 D
OWNER: CONTRACTOR:
Pitkin County, Colorado CO West Regional Mental Health DBA
530 E. Main St., Suite#302 Mind Springs Health
Aspen, CO 81611 715 Horizon Drive, Suite 225
Grand Junction, CO 81506
The Provision of Mental Health and Substance Use Services (the "Contract") dated January 1,
2018 between the Board of County Commissioners of Pitkin County, Colorado (the "County")
and CO West Regional Mental Health DBA Mind Springs Health (the "Contractor"), is hereby
amended as follows:
Description of Change:
1. Extension of Contract term through December 31, 2022. This Contract will be extended
for one more year past the original two extension terms at which point the County will
initiate a formal,public bid process for future provision of services.
2. Allocation of funds not to exceed Four Hundred Fifty Thousand One Hundred Eighty-
Five dollars and No cents ($450,185.00) for the 2022 Contract term.
Reason for Change: Extension of Contract term.
Original Contract Amount $ 488,001.00
Previous Change Order/Amendment Amount $ 1,466,581.00
This Change Order/Amendment Amount $ 450,185.00
New Contract Total $ 2,404,767.00
*Increases over$25,000 and/or 10%(single increase or accumulative)of original contract must
have County Manager signature. 1
Contract#: 032.18 Rev. 2018.06.13 btf
Budget Line Item#: 11437372.531000.10179
In all other respects, the Contract is in full force and effect and remains unchanged by this
Amendment.
CO WEST REGIONAL MENTAL HEALTH DBA MIND SPRINGS HEALTH
NIA') pattiSOln, Mar-25-2022
Doug Patti son Date
CFO
PITKIN COUNTY, COLORADO
RECOMMENDED FOR APPROVAL:
jOrdtzo A. Sabaa. Mar-21-2022
Jordana Sabella Date
Public Health Director
MANAGER APPROVAL:
PLUS litattiGt, Mar-28-2022
Phyl i s Mattice Date
Deputy County Manager
*Increases over$25,000 and/or 10%(single increase or accumulative)of original contract must
have County Manager signature. 2
2022 Vital MH Services/MH Continuum Contract Scope of Work:
2022 Final Draft Budget Here
I. Contractor's Obligations. Contractor shall provide Mental Health and
Substance Use and Misuse Services through a Community Based Mental Health
Team, an Integrated Care Team, and School Based Therapists.
A. Major Services
1. Community Based Mental Health Team: Mind Springs Health (MSH)
a) 1.0 Full-Time Equivalent ("FTE") Licensed Therapist: Rapid Response
Mobile Unit Team Member — intensive, community based, outpatient
treatment focused on high-risk individuals who might not come into a
clinic setting. Includes peer counseling, case management and therapy
services. Intensive Stabilization Program Team Member — after-crisis
intervention, serve as a bridge between crisis services and standard
outpatient services.
b) 1.0 FTE Case Manager: Rapid Response Mobile Unit Team Member.
Intensive Stabilization Program Team Member.
c) Admin Support/Supervision: Administrative supervision and some clinical
supervision will be provided by the program director. There may also be
additional clinical supervision provided by a clinical supervisor. The time
related to this is 2 hours a week.
d) Separate from supervision is the indirect expenses on the contract.
Indirect expenses (15%) are related to the different agency wide
departments that this program would be accessing including: human
resources, IT, finance, senior leadership, internal training, and compliance.
e) Operating Expenses (15% based on actual) for MSH include: IT licenses
and fees, subscriptions and dues, insurance, office supplies, recruiting
expense, service contracts, electronic health record charges, compliance
charges, and other costs of operations that are directly assignable to this
program.
2. School Based Licensed Therapists: Mind Springs Health
a) 2.0 FTE Aspen School District Therapists: On-site therapists for students
with depression, trauma, and/or anxiety, substance use/misuse and
consultation with school staff to facilitate assessment by a
multidisciplinary team. Available to all schools within the Aspen School
District.
b) Admin Support/Supervision: Administrative supervision and some clinical
supervision will be provided by the program director. There may also be
additional clinical supervision provided by a clinical supervisor. The time
related to this is 2 hours a week.
c) Indirect expenses (15%) are related to the different agency wide
departments that this program would be accessing including: human
resources, IT, finance, senior leadership, internal training, and compliance.
3. Integrated Care Team: Mountain Family Health Center (MHFC)
(Basalt)
a) 2.0 FTE Behavioral Health Specialists: This staff will work in the MHFC
Basalt Clinic, and expand the current behavioral health program. They will
provide outpatient (six (6) sessions) services for families, substance use
disorders, trauma, hypnosis, animal assisted and other evidence based
therapies.
b) 2.0 FTE Patient Care Coordinators: Care Coordinators will work in the
MFHC Basalt Clinic, one will be a patient educator, and the other a social
health advocate. The patient educator will advocate for the patient and
family, facilitating culturally appropriate communication between patient
and providers and will identify and decrease barriers to behavior change
and improve access to needed services. The social health advocate will
provide care coordination to patients who are at most risk for health
deterioration and/or poor outcomes. The social health advocate will assess
the determinants of health and assist the patient in addressing barriers and
increase access to services.
c) Operating Expenses for MFHC (28%) include both operating and indirect
expenses based on salaries, which include office supplies, facility costs,
front desk, billing, call center, medical records support, IT, human
resources and finance deparliiients' support.
B. (1) Less Revenue Received will be listed on the annual budget, as well as monthly
invoicing, and will reflect Medicaid Reimbursement dollars returned to the
contracted organization. In calendar year budgeting, this reimbursement amount is
to be estimated based on the previous year's total, and is to be updated throughout
the year to reflect accurate reimbursement amounts. Medicaid reimbursement
dollars will be used to offset the cost of the Vital Mental Health Services funds in
total as received, allowing full use of available funding dollars for expansion and
strengthening of the Vital Mental Health Program.
C. (2) Contractors are to coordinate monthly meetings with School District Staff to
ensure ease of referral and operation within the schools. Contractors are to
participate in quarterly data discussion meetings, as organized by the Mental
Health Analyst, during which contractors will present most recent data findings
(frequency to be updated based upon agreement between the Funding Operational
staff and Contractor). Contractors are expected to provide an annual data
summary report by January 20th following the calendar year.
D. (3) Contractors will participate in regular meetings with the Mental Health
Analyst to ensure all necessary contractual information is shared, including, but
not limited to, program needs or concerns, newfound data or information
collection techniques, staffing updates, etc. Frequency of meetings to be updated
based upon agreement between Mental Health Analyst and Contractor, though
must occur monthly at a minimum.
E. (4) Complete Quarterly data reports using the template attached by the 15th of the
month following close of quarter(for instance: Q 1 data is due April 15th).
F. (5) Maintain an updated staff/organizational chart detailing current staff roles
(including supervision and management of program staff).
G. (6) Contract invoicing is to be submitted the 20th of each month, reflecting the
previous month's expenditures (for example, January's invoice is due for
submission to Pitkin County on February 20th).
Changes and additions detailed:
1. Less revenue receive verbiage added to specify reimbursement expectations and
discussed
2. Contractor meeting coordination and participation requirements updated and
detailed appropriately, including timeliness and purpose of meetings.
3. Mental Health Analyst information sharing and meeting expectations, including
any staffing or programmatic changes or needs
4. Data reporting expectation and timeliness, including indicators and format
5. Staff/organizational chart upkeep and reporting
6. Invoicing formatting expectations and timeliness
VITAL MENTAL HEALTH SERVICES CONTRACT
2022 Annual Budget
Community&School Based Programs:Mind Springs Health
CY 2022 Budget CY 2021
Personnel _
1.0 FTE Licensed Therapist(Community Based) 55,082 51,877
1.0 FTE Case Manager(Community Based) 42,000 44,961
2.0 FTE Licensed Therapists(School Based) 110,522 98,357
Taxes and Benefits(26%)(actual) 53,977 50,538
Hiring Bonuses 14,000 15071
Stay Bonuses 41,521 36,178
FICA Applied to Stay Bonus 7.65%per bonus
Total Personnel 317,102 296,982
Operating Expenses
Vehicle Expense 7,440 7,440
Other Operating 29,452 29,452
Total Operating 36,892 36,892
Total Direct Expenses 353,994 333,874
Indirect Expense @15% 53,099 47,026
Less revenue earned from other sources (140,000) (120,000)
Total Community&School Based Programs $267,093 $261,113
Integrated Care Program:Mountain Family Health Center,Basalt
Personnel Expense
2.0 FTE Behavioral Health Specialists 142,031.91 134,030.00
2.0 FTE Patient Care Coodinators 85,375 77,031
Taxes and Benefits(26%) 59,126 54,876
Total Personnel Expense 286,532 265,937
Capital and Programming Costs
Operating&Support Expenses - 80,229 74,462
Total Expenses 366,761 340,399
Less 75%of Patient Services Revenue 183,669 110,933
Integrated Care Program Total $183,092 $229,466
Total Budget $450,185 490,579
DocuSign
Certificate Of Completion
Envelope Id: EB1D4AFC22FA484681A2BED835770151 Status:Completed
Subject:Vital Mental Health Services I Pitkin County Change Order 032.18 D for Review and Signature
Source Envelope:
Document Pages:7 Signatures:3 Envelope Originator:
Certificate Pages:5 Initials:0 Pitkin County Procurement
AutoNav: Enabled 530 East Main Street
Envelopeld Stamping: Disabled Suite 203
Time Zone: (UTC-07:00)Mountain Time(US&Canada) Aspen,CO 81611
Procurement@PitkinCounty.com
IP Address:75.110.134.54
Record Tracking
Status:Original Holder:Pitkin County Procurement Location: DocuSign
3/4/2022 7:01:02 AM Procurement@PitkinCounty.com
Signer Events Signature Timestamp
Jordana Sabella Sent:3/4/2022 7:04:33 AM
Jordana.Sabella@PitkinCounty.com jorhkut Salat,lt.a Viewed:3/21/2022 2:03:00 PM
Public Health Director Signed:3/21/2022 4:33:47 PM
Pitkin County
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(None) Using IP Address:73.95.153.34
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Doug Pattison Sent:3/21/2022 4:33:49 PM
DPattison@mindspringshealth.org VOL PAR-is IA Resent:3/22/2022 11:31:53 AM
CFO Resent:3/22/2022 11:32:16 AM
Security Level: Email,Account Authentication Viewed:3/22/2022 2:49:37 PM
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Signed:3/25/2022 12:10:16 PM
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Accepted:3/22/2022 8:29:39 AM
ID:3a2765a5-1fb2-4954-a62c-6e1ed2e7acc9
Company Name:Pitkin County,Colorado
Phylis Mattice Sent:3/25/2022 12:10:17 PM
phylis.mattice@pitkincounty.com P(u1(is Aket.f/tGt, Viewed:3/25/2022 6:22:40 PM
Deputy County Manager Signed:3/28/2022 4:28:05 PM
Signing Group:County Manager Group
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Company Name:Pitkin County,Colorado
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Pitkin County Procurement COPIED Sent:3/28/2022 4:28:07 PM
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Electronic Record and Signature Disclosure
Electronic Record and Signature Disclosure created on:3/20/2020 3:28:13 PM
Parties agreed to:Doug Pattison,Phylis Mattice
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