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HomeMy WebLinkAboutbocc.res.106.2024 RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS (“BOCC”) OF PITKIN COUNTY, COLORADO APPROVING A THIRD AMENDMENT TO A CONTRACT WITH THE COLORADO DEPARTMENT OF HUMAN SERVICES, BEHAVIORAL HEALTH ADMINISTRATION, PROVIDING FUNDING FOR JAIL-BASED BEHAVIORAL SERVICES RESOLUTION NO. 106-2024 RECITALS WHEREAS, Pursuant to Section 2.8.3 (Actions) of the Pitkin County Home Rule Charter (“HRC”) official action by formal resolution shall be required for all actions of the Board not requiring ordinance power on matters of significant importance affecting citizens, and; RECITALS WHEREAS, Pursuant to Section 2.8.3 (Actions) of the Pitkin County Home Rule Charter (“HRC”) official action by formal resolution shall be required for all actions of the Board not requiring ordinance power on matters of significant importance affecting citizens, and; WHEREAS, The Colorado Department of Human Services, Behavioral Health Administration through funds authorized by the Colorado General Assembly (SB 12-163), intends to continue funding the Jail Based Behavioral Health Services Program (“JBBS”), and; WHEREAS, The goal of the (JBBS) program is to support County Sheriffs in providing screening, assessment and treatment for offenders (over the age of 18 years) with substance use disorders (SUD) and co-occurring substance use and mental health disorders, as well as transition case management services, and; WHEREAS, On May 25, 2022, the BOCC adopted Resolution No. 033-2022 approving a contract with the Colorado Department of Human Services, Office of Behavioral health, Providing funding for Jail Based Behavioral Services in the amount of $198,850.00 for the use and benefit of the Pitkin County Sheriff’s Department, and; WHEREAS, on June 14, 2023, the BOCC adopted Resolution No. 039-2023 approving Amendment No. 1 to a contract with the Colorado Department of Human Services, Office of Behavioral Health, providing funding for Jail Based Behavioral Services in the amount of 206,350.00, and; WHEEAS, on May 8, 2024, the BOCC adopted Resolution No. 027-2024 approving Amendment No. 2 to a contract with the Colorado Department of Human Services, Office of Behavioral Health, providing funding of Jail Based Behavioral Services in the amount of $175,000, and; WHEREAS, the Department of Human Services has awarded an additional 100% grant to Pitkin County with specific conditions contained in the Amended Contract No. 3 attached hereto as Exhibit A, which increases the FY25 Budget by $7,500 for Substance Use Disorder Treatment funds resulting in a new FY25 Budget of $182,500.00 for the year 2025, and; 2 RESOLUTION NO. 106-2024 WHEREAS, The BOCC finds that it is in the best interests of the citizens of Pitkin County to approve this Resolution. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Pitkin County, Colorado that it hereby adopts a Resolution Approving a Third Amendment to a Contract with the Colorado Department of Human Services, Behavioral Health Administration, Providing Funding for Jail-Based Behavioral Services and authorizes the Chair to sign the Resolution and upon the satisfaction of the County Attorney as to form, execute any other associated documents necessary to complete this matter. INTRODUCED AND FIRST READ ON THE 6TH DAY OF NOVEMBER, 2024 AND SET FOR SECOND READING AND PUBLIC HEARING ON THE 20TH DAY OF NOVEMBER 2024. NOTICE OF PUBLIC HEARING AND TITLE AND SHORT SUMMARY OF THE RESOLUTION PUBLISHED IN THE ASPEN DAILY NEWS ON THE 7TH DAY OF NOVEMBER, 2024. NOTICE OF PUBLIC HEARING AND THE FULL TEXT OF THE RESOLUTION POSTED ON THE OFFICIAL PITKIN COUNTY WEBSITE (www.pitkincounty.com ) ON THE 7TH DAY OF NOVEMBER 2024. ADOPTED AFTER FINAL READING AND PUBLIC HEARING ON THE 20TH DAY OF NOVEMBER 2024. POSTED BY TITLE AND SHORT SUMMARY ON THE OFFICIAL PITKIN COUNTY WEBSITE (www.pitkincounty.com ), AFTER ADOPTION, ON THE 28TH DAY OF NOVEMBER 2024. PUBLISHED BY TITLE AND SHORT SUMMARY, AFTER ADOPTION, IN THE ASPEN DAILY NEWS ON THE 28TH DAY OF NOVEMBER, 2024. ATTEST: BOARD OF COUNTY COMMISSIONERS By _________________________ By: _____________________________ Sam Engen Greg Poschman, Chair Clerk to the Board Date: ______________ APPROVED AS TO FORM: MANAGER APPROVAL ___________________________ _________________________________ Richard Neiley, III Jon Peacock, County Manager Interim County Attorney Nov-25-2024 Amendment Contract Number: 25 IBEH 193717 Page 1 of 3 Rev. 1/14/19 CONTRACT AMENDMENT #3 SIGNATURE AND COVER PAGE State Agency Colorado Department of Human Services Behavioral Health Administration Original Contract Number 23 IBEH 174473 Contractor Pitkin County Colorado for the use and benefit of Pitkin County Sheriff's Department Amendment Contract Number 25 IBEH 193717 Current Contract Maximum Amount Initial Term Contract Performance Beginning Date July 1, 2022 State Fiscal Year 2023 $198,850.00 Extension Terms Current Contract Expiration Date June 30, 2025 State Fiscal Year 2024 State Fiscal Year 2025 $198,850.00 $182,500.00 . Total for All State Fiscal Years $580,200.00 THE PARTIES HERETO HAVE EXECUTED THIS AMENDMENT Each person signing this Amendment represents and warrants that he or she is duly authorized to execute this Amendment and to bind the Party authorizing his or her signature. CONTRACTOR Pitkin County Colorado for the use and benefit of Pitkin County Sheriff's Department ______________________________________________ By: Greg Poschman, Chair, Board of County Commissioners Date: _________________________ STATE OF COLORADO Jared Polis, Governor Colorado Department of Human Services Michelle Barnes, Executive Director ______________________________________________ By: Dannette R. Smith, Commissioner, Behavioral Health Administration Date: _________________________ In accordance with §24-30-202 C.R.S., this Amendment is not valid until signed and dated below by the State Controller or an authorized delegate. STATE CONTROLLER Robert Jaros, CPA, MBA, JD By:___________________________________________ Toni Williamson / Telly Belton / Amanda Rios Amendment Effective Date:_____________________ Docusign Envelope ID: 6C3EF1D4-B276-4A78-A3D1-1B5AA34664B4 11/19/2024 11/20/2024 11/20/2024 Amendment Contract Number: 25 IBEH 193717 Page 2 of 3 Rev. 1/14/19 1. PARTIES This Amendment (the “Amendment”) to the Original Contract shown on the Signature and Cover Page for this Amendment (the “Contract”) is entered into by and between the Contractor, and the State. 2. TERMINOLOGY Except as specifically modified by this Amendment, all terms used in this Amendment that are defined in the Contract shall be construed and interpreted in accordance with the Contract. 3. AMENDMENT EFFECTIVE DATE AND TERM A. Amendment Effective Date This Amendment shall not be valid or enforceable until the Amendment Effective Date shown on the Signature and Cover Page for this Amendment. The State shall not be bound by any provision of this Amendment before that Amendment Effective Date, and shall have no obligation to pay Contractor for any Work performed or expense incurred under this Amendment either before or after of the Amendment term shown in §3.B of this Amendment. B. Amendment Term The Parties’ respective performances under this Amendment and the changes to the Contract contained herein shall commence on the Amendment Effective Date shown on the Signature and Cover Page for this Amendment and shall terminate on the termination of the Contract. 4. PURPOSE In accordance with the provisions of this Contract and its exhibits and attachments, the Contractor shall provide substance abuse and mental health treatment in the Pitkin County jail. The purpose of this amendment is to update and replace the following exhibit with the most current version for Fiscal Year 2025: the Exhibit B-3, Budget. This amendment increases the FY25 Budget by $7,500 for Substance Use Disorder Treatment funds resulting in a new FY25 Budget of $182,500.00. 5. MODIFICATIONS The Contract and all prior amendments thereto, if any, are modified as follows: A. The Contract Maximum Amount table on the Contract’s Signature and Cover Page is hereby deleted and replaced with the Current Contract Maximum Amount table shown on the Signature and Cover Page for this Amendment. B. REPLACE Exhibit B-3, Budget, with Exhibit B-4, Budget, attached and incorporated by reference. 6. LIMITS OF EFFECT AND ORDER OF PRECEDENCE This Amendment is incorporated by reference into the Contract, and the Contract and all prior amendments or other modifications to the Contract, if any, remain in full force and effect except as specifically modified in this Amendment. Except for the Special Provisions contained in the Docusign Envelope ID: 6C3EF1D4-B276-4A78-A3D1-1B5AA34664B4 Amendment Contract Number: 25 IBEH 193717 Page 3 of 3 Rev. 1/14/19 Contract, in the event of any conflict, inconsistency, variance, or contradiction between the provisions of this Amendment and any of the provisions of the Contract or any prior modification to the Contract, the provisions of this Amendment shall in all respects supersede, govern, and control. The provisions of this Amendment shall only supersede, govern, and control over the Special Provisions contained in the Contract to the extent that this Amendment specifically modifies those Special Provisions. REMAINDER OF THIS PAGE INTENTIONALLY LEFT BLANK Docusign Envelope ID: 6C3EF1D4-B276-4A78-A3D1-1B5AA34664B4 BHA Program JBBS Project Name JBBS MD/DO * Pharmascist (Pharm-D) Registered Nurse * Data Entry Clerk Peer Support Specialist Qualified Medication Administration Person (QMAP) 1 month limit per client, per childChild Care Clothing Allowed Services * Application Fees ID / Birth Certificates Indigent Backpacks Basic Hygiene Items Bicycles Bus Pass – Daily, Monthly Additional Notes May be provided if client is engaged in treatment services for 2 + months post release. 1 bike per person. $135,891/year $76,385/year $42,436/year $36,050/year $15.97/hour *BHA will reimburse salaries up to the state maximum *BHA may consider rates 10% above statewide maximum salaries pending justification from jails and written pre-approval by BHA Travel Mileage (IRS rate)$0.67/mile Operating Expenses Maximum total percentage of contract budget 10% Training and continuing education for jail employees/clinicians (including but not limited to QMAP, CIT, Motivational Interviewing, Mental Health First Aid, Trauma Informed Care, (Certified Addiction Specialist -Classes only) may be included in the operating expenses BHA may pay for one licensing test per clinician (NCE, MAC, NCAC). Up to $200 per clinician, per test. BHA may consider operating expenses above 10% of total contract budget pending justification from jails and written pre-approval by BHA Indirect Expenses 10% BHA may consider operating expenses above 10% of total contract budget pending justification from jails and written pre-approval by BHA RECOVERY SUPPORT SERVICES Maximum total percentage of contract budget August 21, 2024 State General Fund $107,250.00 Email Date Completed SERVICE CATEGORIES Services (Fixed Price per rate Schedule) Funding Source Total Substance Use Disorder Treatment Budget Period July 1, 2024 - June 30, 2025 Fiscal Contract, Title Alex Burchetta, Undersheriff Phone 970-920-5331 Alex.burchetta@pitkinsheriff.com EXHIBIT B-4, FY25 ANNUAL BUDGET Agency Name Pitkin County Program Contact, Title Dan Fellin, Detention Division Chief Phone 970-429-3358 Email dan.fellin@pitkinsheriff.com Unlicensed Master's Level Therapist or Substance Abuse Counselor (example CAS)*$68,959/year Unlicensed Bachelor's Level Therapist or Substance Abuse Counselor (example CAS)*$63,654/year $58,349/year JBBS Program Administrator (Primary responsibility of managing the jail's JBBS program.) * Pre-sentence Coordinator * Case Manager (CM) * Certified Addiction Technician (CAT)$44,558/year Physician Assistance (PA) *$127,308/year $266,569/year $103,538/year $72,100/year Total Contract $182,500.00 JBBS RATE SCHEDULE Mental Health Treatment State General Fund $75,250.00 Statewide Maximum Salaries Positions should be hired at salary levels indicative of qualifications, experience, and organization pay schedules. This table indicates a maximum salary only. It is understood that many positions will be hired at lower salary levels than the state maximum. Licensed Therapist (LPC/LCSW/LAC/LMFT)*$84,872/year FY25 JBBS Budget Exhibit B-4 Page 1 of 2 Docusign Envelope ID: 6C3EF1D4-B276-4A78-A3D1-1B5AA34664B4 Food Assistance Revised 03_04_2024 Educational Costs ( books, supplies, and fees) Emergency Housing/Rental Assistance Gas Vouchers GED Program / Testing Job Placement Training 90 day limit per person $140/month $140/month $80/month Unit Cost: $75. Prescriber Rate: $35 $5.55 / unit @30 days = $166.50 for a 2mg-0.5mg dose; range can increase from 4mg- $41/month $31/month $1,376/unit; 380mg injection (extended release) per month Depot-naltrexone (injectable) (Vivitrol) $1,376/unit; 380mg injection (extended release) per month Buprenorphine (pregnancy) - 8mg $41/month Buprenorphine (pregnancy) - 2mg $31/month $275/month Buprenorphine - 2mg Sublocade (injectable) Buprenorphine/naloxone sublingual film (suboxone) - 12mg/3mg Buprenorphine/naloxone sublingual film (suboxone) - 8mg/2mg Buprenorphine/naloxone sublingual film (suboxone) - 4mg/1mg Buprenorphine/naloxone sublingual film (suboxone) - 2mg/0.5mg Naloxone (Narcan) Suboxone and generics Buprenorphine - 8mg * BHA may consider other expenses pending justification from jails and written pre-approval by BHA MEDICATIONS Medication reimbursement will be based on a) providers established rate or b) jail purchase agreement rate or c) in the absence of an established rate or jail purchase agreement rate the following BHA rate schedule. Psychotropic Medication will be reimbursed at rate established on Preferred Drug List (PDL) which can be found at https://www.colorado.gov/hcpf/pharmacy resources Medication Rate Methadone $18/day. Methodone treatment, including medication and integrated psychosocial and Naltrexone (oral)Monthly Medication Rate: $85. Monthly Prescriber Rate: $150 Utilities Life Skills Training Medical Assistance – copays / infectious disease testing Medications Personal Care (eg. haircuts) Phone Cards Pre-paid Cell Phones Printed Resources Out of state travel to treatment will need prior approval by BHA Limit of $100.00 per person 1 month limit per client Limit of $250.00 per person 30 day limit per person Limit of $15.00 per person To be paid for upon release and after client attends 2 appointments in the community. Cost of the phone and up to 2 months of bills. Transportation Assistance Transportation to Residential Treatment UA / BAs FY25 JBBS Budget Exhibit B-4 Page 2 of 2 Docusign Envelope ID: 6C3EF1D4-B276-4A78-A3D1-1B5AA34664B4