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HomeMy WebLinkAboutPeninsula Community Health ServicesD(Hlt-ait'� Tb U Pcuv 1jsk MASON COUNTY PROFESSIONAL SERVICES CONTRACT CONTRACT # PCHS=2018.1 THIS CONTRACT is made and entered into by and between Mason County, hereinafter referred to as "COUNTY' and Peninsula Community Health Services, hereinafter referred to as "CONTRACTOR." Contracted Entity Peninsula Community Health Services Mailing Address 400 Warren Ave., Suite 200, Bremerton, WA 98337 Physical Address 31 NE State Route 300, Suite 200, Belfair, WA 98528 Phone 360-874-5591 Primary Contact Name, Title Jennifer Kreidler-Moss, CEO Primary Contact Phone & E-mail 360-475-6707; jkreidler©pchsweb.org Contractor Fiscal Contact Joel Emery Contractor Fiscal Phone & Email 360-475-6710 Washington State UBI# 601-045-332 Federal EI N 94-3079770 Total Award/Contract Value $111,000 Contract Term Duration July 1, 2018-December 31, 2019. County Contract Contact Lydia Buchheit, Community Health Manager County Contract Email & Phone Lydiab acco.mason.wa.us 360-427-9670 404 ext County Fiscal Contact Casey Bingham, Fiscal Manager County Fiscal Email & Phone Casevb@co.mason.wa.us 360-427-9670 ext. 562 PURPOSE The purpose of this contract/grant is to assist the COUNTY in the delivery of chemical dependency or mental health treatment programs and services pursuant to the Revised Code of Washington and according to the Mason County 5-year plan. COUNTY and CONTRACTOR, as defined above, acknowledge and accept the terms of this contract and EXHIBITS and have executed this contract on the date below to start as of the date and year referenced above. The rights and obligations of both parties to this contract are governed by this contract including Special Conditions, General Terms and Conditions, Exhibits, and the following other documents incorporated by reference: RFP Application, instructions and disclosures. CONTRACTOR Peninsula Community Health Services Agency Name Va2J\-fltc C'EC utho ize Signature Jennifer Kreidler-Moss, CEO Print Name & Title July 20, 2018 Date BOARD OF COUNTY COMMISSIONERS MASON COUNTY, WASHINGTON l?i Rand] Neatherlin, Chair ;ZIA Date APPROVED AS TO FORM: rThst 4-- Tim-=WhiteheMrthief DPA Professional Services Contract (rev 05/2018) Page 1 CONTRACTOR will defend, indemnify and hold harmless COUNTY, its officers, agents or employees from any Toss or expense, including, but not limited to, settlements, judgments, setoffs, attorneys' fees or costs incurred by reason of claims or demands because of breach of the provisions of this paragraph. Payment: COUNTY will reimburse CONTRACTOR for actual expenditures incurred each month, according to the terms provided in EXHIBIT B, provided that COTNRACTOR performs the services.and submits all reporting to a satisfactory level. Monthly expenditures will be reported using the template provided. Payment is on the assumption that State and local funds are available to the COUNTY for disbursement to the CONTRACTOR and have been expended and program requirements^rnet, or earlier in the event of non-compliance. If State or local funds are not available to the COUNTY, the COUNTY reserves the right to amend the payment terms and the amount of the maximum contract total. The term of this CONTRACT begins on the Effective Date, and the CONTRACTOR agrees not to incur any expenses on the program using COUNTY funding prior to the effective date. The CONTRACT end date is June 30, 2019, or earlier in the event of non-compliance. • Payment Information: CONTRACTOR agrees to complete or make sure a current Vendor Payment Form is on file providing the COUNTY with all information necessary to correctly issue such payments. If CONTRACTOR fails to provide such information in response to the COUNTY'S written request, then the COUNTY may withhold payments to CONTRACTOR until CONTRACTOR provides such information. Budget: CONTRACTOR further agrees that funds provided under this CONTRACT will be expended as specifically itemized line by line in the Budget provided in Exhibit C, and that CONTRACTOR will follow the Budget Amendment Process for quarterly expense transfers within a budget category (i e. operations, administration, facilities support). Budget transfers will not be made unless approved by the COUNTY. Late requests will not be accepted. Duplicate Payment: The COUNTY shall not pay CONTRACTOR, if the CONTRACTOR has charged or will charge any other party under any other Grant, subgrantlsubcontract, or agreement, for the same services or expenses. If it is determined that CONTRACTOR has received duplicate payment, the CONTRACTOR must pay back the COUNTY for these expenses. Recordkeeping: CONTRACTOR agrees to keep records in an easily read form sufficient to account for all receipts and expenditures of contract funds. These records, as well as supporting documentation, will be archived by the CONTRACTOR'S office for at least six (6) years after the end of the contract. CONTRACTOR agrees to make such books, records, and supporting documentation' available to the COUNTY for inspection when requested. Accounting and Payment for CONTRACTOR Services: Payment to the CONTRACTOR for services rendered under this CONTRACT shall be as set forth in "Exhibit C BUDGET." Where Exhibit "C" requires payments by the COUNTY, payment shall be based upon written claims supported, unless otherwise provided in Exhibit "C," by documentation of unit&of work performed and amounts earned, including, where appropriate, the actual number of days worked each month, total number of hours for the month, and the total dollar payment requested, to comply with municipal auditing requirements. Acceptable invoices will be processed within 30 days of receipt. Unless specifically stated in Exhibit "C" or approved in writing in advance by the official executing this CONTRACT for COUNTY or his or her designee (hereinafter referred to as the "Administrative Officer"). COUNTY will not reimburse the CONTRACTOR for any costs or expenses incurred by the CONTRACTOR in the performance of this CONTRACT. Where required, COUNTY shall, upon receipt of appropriate documentation, compensate the CONTRACTOR, no more often than monthly, Professional Services Contract (rev 05/2018) Page 3 COUNTY will pay sales and use taxes imposed on goods or services acquired hereunder as required by law. The CONTRACTOR must pay all other taxes, including, but not limited to, Business and Occupation Tax, taxes based on the CONTRACTOR's gross or net income, or personal property to which COUNTY does not hold title. COUNTY is exempt from Federal Excise Tax. N o Guarantee of Employment: The performance of all or part of this CONTRACT by the CONTRACTOR shall not operate to vest any employment rights whatsoever and shall not be deemed to guarantee any employment of CONTRACTOR or any employee of CONTRACTOR or any sub -contractor or any employee of any sub -contractor by COUNTY now or in the future. intellectual Property: COTNRACTOR shall retain all copyrights and other intellectual property rights to written work produced because of this award, including but not limited to, work product listed in SCOPE OF S ERVICES. CONTRACTOR grants to COUNTY a nonexclusive, irrevocable, perpetual, and royalty - free license to access, reproduce, publish, copy, or otherwise use such written work. Program materials may be reproduced (but not morphed, amended, revised, or redesigned) by any other party, o n a worldwide, non-exclusive basis and without fee in connection with their own educational or program purposes, but may not be used in connection with sales or distribution for profit. The owner must approve any use of project materials not specifically permitted under this provision, in advance and in writing. As appropriate, all materials shall contain an attribution of ownership. Third -Party Rights: • CONTRACTOR warrants that written work product(s) produced under the terms of this CONTRACT will not infringe, misappropriate, or violate the rights of any third party, or incorporate or be derived from the intellectual property of any third party, without the COUNTY'S prior written consent. Audit Provisions and Non -Compliance: Throughout the course of the CONTRACT term, the COUNTY will monitor compliance with contract requirements outlined in Exhibit A Scope of Services. If the COUNTY, a) encounters non-compliance with the terms outlined in the CONTRACT on the part of the CONTRACTOR, or (b) is not satisfied, in its sole discretion, with the quality of CONTRACTOR'S work, the COUNTY will follow to make a reasonable attempt to assist CONTRACTOR with technical assistance to resolve issues that impede quality and compliance. If compliance and/or quality issues are not resolved through standard technical assistance, or reasonable efforts to provide such assistance, CONTRACTOR will be engaged in corrective action through a Corrective Actions and/or Performance Improvement Plan, as o utlined in Exhibit D Failure to meet the corrective actions can result in early contract termination, as o utlined in Exhibit D Contract Close out: Final payment is contingent upon the CONTRACTOR'S ability to provide the COUNTY with all invoices and work product including; plans, narrative reports, and data reports, to release the final payment for services within sixty (60) calendar days of contract completion or termination. The COUNTY shall have no further obligation to pay CONTRACTOR if any invoices or reports are past due for the sixty (60) day period following the contract term end date. Early Termination: The COUNTY may terminate the contract prior to the end of the term if satisfactory compliance is not reached after reasonable efforts have been made to restore compliance, as outlined in Exhibit D In the case of such termination, CONTRATOR is required to immediately repay the full amount of any funds which CONTRACTOR did not spend as of the date of the notice of termination. CONTRACTOR must submit a final invoice and all reports to a satisfactory level within sixty (60) days of termination to receive payment for any services up until the day of termination. The COUNTY shall have no further obligation to pay CONTRACTOR if any invoices or reports are past due for the sixty (60) day period following termination. ',i Professional Services Contract (rev 05/2018) Page 5 • • thlia Arbitration: Other than claims for injunctive relief brought by a party hereto (which may be brought either in court o r pursuant to this arbitration provision), and consistent with the provisions hereinabove, any claim, dispute or controversy between the parties under, arising out of, or related to this CONTRACT or otherwise, including issues of specific performance, shall be determined by arbitration in Shelton, Washington, under the applicable American Arbitration Association (AAA) rules in effect on the date hereof, as modified by this CONTRACT. There shall be one arbitrator selected by the parties within ten (10) days of the arbitration demand, or if not, by the AAA or any other group having similar credentials. Any issue about whether a claim is covered by this CONTRACT shall be determined by the arbitrator. The arbitrator shall apply substantive law and may award injunctive relief, equitable relief (including specific performance), or any other remedy available from a judge, including expenses, costs and attorney fees to the prevailing party and pre -award interest, but shall not have the power to award punitive damages. The decision of the arbitrator shall be final and binding and an o rder confirming the award or judgment upon the award may be entered in any court having jurisdiction. The parties agree that the decision of the arbitrator shall be the sole and exclusive remedy between them regarding any dispute presented or pled before the arbitrator. At the request of either party made not later than forty-five (45) days after the arbitration demand, the parties agree to submit the dispute to nonbinding mediation, which shall not delay the arbitration hearing date; provided, that either party may decline to mediate and proceed with arbitration. Any arbitration proceeding commenced to enforce or interpret this CONTRACT shall be brought within six (6) years` after the initial occurrence giving rise to the claim, dispute or issue for which arbitration is commenced, regardless of the date of discovery or whether the claim, dispute or issue was continuing in nature. Claims, disputes or issues arising more than six (6) years prior to a written request or demand for arbitration issued under this Agreement are not subject to arbitration. Change in Personnel The success of the approved program is largely contingent on the approved staffing identified in the proposal application and/or related to the final award amount and related services. Should there be any material change in job description, level of authority, or employment status of program staffing (or projected staff start dates for new programs) during the term of the CONTRACT, the COUNTY requires that the CONTRACTOR notify the COUNTY in writing within 15 days of the change and includes a staffing plan to minimize any disruption in services. CONTRACTOR will provide weekly u pdates after the written notice and plan until the staffing change is resolved. Labor Standards: CONTRACTOR agrees to comply with -all applicable state and federal requirements, including but not limited to those pertaining to payment of wages and working conditions, in accordance with RCW 39.12.040, the Prevailing Wage Act; the Americans with Disabilities Act of 1990; the Davis -Bacon Act; and the Contract Work Hours and Safety Standards Act providing for weekly payment of prevailing wages, minimum overtime pay, and providing that no laborer or mechanic shall be required to work in surroundings or under conditions which are unsanitary, hazardous, or dangerous to health and safety as determined by regulations promulgated by the Federal Secretary of Labor and/or the State of Washington. Equipment Purchase, Maintenance, and Ownership The CONTRACTOR agrees that any depreciable equipment purchased, in whole or part, with contract funds at a cost of $1,000 per item or more, is upon its purchase the property of the COUNTY and will be used only for the program funded. The CONTRACTOR agrees to establish and maintain transaction documents (purchase requisitions, packing slips, invoices, receipts) and maintenance records of equipment purchased with Contract funds. The CONTRACTOR shall be responsible for any Toss or damage to property of the COUNTY that results from the negligence of the contractor or that results from the failure on the part of the contractor to maintain and administer that property in accordance with sound management practices. in the case of Early Termination, the CONTRACTOR agrees that all such equipmentwill be returned to the COUNTY unless otherwise agreed upon in writing by the CONTRACTOR and the COUNTY. J Professional Services Contract (rev 05/2018) Page 7 PatentlCopyright Infringement: CONTRACTOR will defend and indemnify COUNTY from any claimed action, cause or demand brought against COUNTY; to the extent such action is based on the claim that information supplied by the CONTRACTOR infringes any patent or copyright. CONTRACTOR will pay those costs and damages attributable to any such claims that are finally awarded against COUNTY in any action. Such defense and payments are conditioned upon the following: A. CONTRACTOR shallbe notified promptly in writing by COUNTY -of any notice of such claim. B CONTRACTOR shall have the right, hereunder, at its option and expense, to obtain for COUNTY the right to continue using the information, in the event such claim of infringement, is made, provided no reduction in performance or Toss results to COUNTY. Confidentiality: CONTRACTOR, its employees, sub -contractors, and their employees shall maintain the confidentiality of all information provided_by COUNTY or acquired by CONTRACTOR in performance of this CONTRACT, except upon the prior written consent of COUNTY or an order entered by a court after having acquired jurisdiction over COUNTY. CONTRACTOR shall immediately give to COUNTY n otice of any judicial proceeding seeking disclosure of such information. CONTRACTOR shall indemnify and hold harmless COUNTY, its officials, agents or employees from all Toss or expense, including, but not limited to, settlements, judgments, setoffs, attorneys' fees and costs resulting from CONTRACTOR's breach of this provision. Right to Review: This CONTRACT is subject to review by any Federal, State or COUNTY auditor. COUNTY or its designee shall have the right to review and monitor the financial and service components of this program by whatever means are deemed expedient by the Administrative Officer or by COUNTY's Auditor's Office. Such review may occur with or without notice and may include, but is not limited to, o n -site inspection by COUNTY agents or employees, inspection of all records or other materials which COUNTY deems pertinent to the CONTRACT and its performance, and any and all communications with or evaluations by service recipients under this CONTRACT. CONTRACTOR shall preserve and maintain all financial records and records relating to the performance of work under this CONTRACT for six (6) years after CONTRACT termination, and shall make them available for such review, within Mason County, State of Washington, upon request. CONTRACTOR also agrees to notify the Administrative Officer in advance of any inspections, audits, or program review by any individual, agency, or governmental unit whose purpose is to review the services provided within the terms of this CONTRACT. If no advance notice is given to CONTRACTOR, then CONTRACTOR agrees to n otify the Administrative Officer as soon as it is practical. Insurance Requirements: At a minimum, CONTRACTOR shall provide insurance that meets or exceeds the requirements detailed in "Exhibit B-Insurance Requirements." insurance as a Condition of Payment: Payments -due to CONTRACTOR under this CONTRACT are expressly conditioned upon the CONTRACTOR's strict compliance with all insurance requirements under this CONTRACT. Payment to CONTRACTOR shall be suspended in the event of non-compliance. Upon receipt of evidence of full compliance, payments not otherwise subject to withholding or set-off will be released to CONTRACTOR. Industrial Insurance Waiver: With respect to the performance of this CONTRACT and as to claims against COUNTY, its officers, agents and employees, CONTRACTOR expressly waives its immunity under Title 51 of the Revised Code of Washington, the Industrial Insurance Act, for injuries to its employees and agrees that the o bligations to indemnify, defend and hold harmless provided in this CONTRACT extend to any claim s. • Professional Services Contract (rev 05/2018) Page 9 a' Act, Chapter 42 52 RCW or any similar statute involving CONTRACTOR, or any activities performed pursuant to the contract. Unilateral Contract Changes The CONTRACTOR acknowledges that the COUNTY may correct typographical errors, numbering errors or other minor grammar or punctuation error without the need to amend the agreement. The CONTRACTOR shall be notified when any correction take place and will be provided with a corrected copy of the contract. Contract Monitoring and Program Review CONTRACTOR will permit Mason County staff to visit CONTRACTOR'S premises and review CONTRACTOR'S activities with respect to the program, and will permit the COUNTY at its own expense, to conduct an independent financial and/or programmatic audit of the expenditures related to this contract. Administration Contract: COUNTY hereby appoints, and CONTRACTOR hereby accepts, the Mason County's Community Services Director and his or her designee, as COUNTY's representative, hereinafter referred to as the Administrative Officer, for the purposes of administering the provisions of this CONTRACT, including COUNTY's right to receive and act on all reports and documents, and any auditing performed by the COUNTY related to this CONTRACT. - The Administrative Officer for purposes of this CONTRACT is: Lydia Buchheit, Community and Family Health & Human Services Manager Mason County Community Services 415 N. 6th Street P hone: 360-427-9670 Ext. 404 Fax: 360-427-7787 E-mail: LydiaB@co.mason.wa.us Financial Contact: Casey Bingham, Finance Manager Mason County Public Health and Human Services 415 N. 6th Street P hone: 360-427-9670 Ext. 562 Fax: 360-427-7787 E-mail: caseyb@co.mason.wa.us N otice: Except as set forth elsewhere in the CONTRACT for all purposes under this CONTRACT except service of process, notice shall be given by CONTRACTOR to COUNTY's Administrative Officer under this CONTRACT. Notices and other communication may be conducted via e-mail, U S. mail, fax, hand -delivery or other generally accepted manner including delivery services. Modifications: Either party may request changes in the CONTRACT. Any and all agreed modifications, to be valid and binding upon either party, shall be in writing and signed by both of the parties. _ Venue and Choice of Law: In the event that any litigation should arise concerning the construction or interpretation of any of the terms of this CONTRACT, the venue of such action of litigation shall be in the courts of the State of Washington and Mason County. Unless otherwise specified herein, this CONTRACT shall be governed by the laws of Mason County and the State of Washington. r Professional Services Contract (rev 05/2018) Page 11 EXHIBIT A SCOPE OF SERVICE Program Expectations 1. STAFFING a. Hire and maintain staffing appropriate to serve the proposed number of households. b. Job Descriptions: keep on file job descriptions for all personnel related to the program to include the date created, date reviewed, or date revised, duties, responsibilities, authority, and performance expectations. 2 TRAINING. all new staff follow a standard on -boarding plan and systems are in place to train staff op policies and procedures, intake forms, customer service, de-escalation techniques, client data base (or tracking system), data timeliness, motivational interviewing, quality improvement and client file documentation. Additional training may be customized depending on the needs of the agency or clients. 3. PROGRAM RECRUITMENT AND ENROLLMENT a. Policies and procedures relating to prioritization, enrollment criteria and program denial procedures b. Reach and maintain program enrollment to achieve or exceed the goal listed in the RFP application (projected households served). c. Maintain a marketing and outreach plan on file or as part of the policies and procedures d. Perform and document outreach activities to community providers or providers in neighboring counties if services are not provided or there is limited capacity in Mason County. e. Low barrier programs and services f. Participation in and collaboration with Coordinated Entry g. Inter -Agency collaboration that improves program enrollments 4. VOLUNTARY SERVICES: Services will be provided to clients on a voluntary basis. Organization Overview: Peninsula Community Health Services Peninsula Community Health Services (PCHS) is a community based nonprofit organization that offers quality, affordable care for children and adults in the Kitsap and Olympic Peninsula areas. Our services include primary medical care, dental care, behavioral health counseling, pharmacy services, referrals to specialty providers, and health education and promotion activities. • The PCHS mission is to provide accessible, affordable, compassionate, quality health care and wellness services for our communities. Our patients come from all walks of life. PCHS services are available to our patients without regard for ability to pay. Identified. Problem: Chemical dependency and mentaa health disorders are well -documented in Mason County. According to the most recent data, Mason County experienced increases across all indices of opioid use disorder (OUD) between the 2002-2004 and 2011-2013 reporting periods, including: opioid-related publicly funded treatment admissions (133%), opioid-related crime lab cases (295%), and opioid- related deaths (145%). Mason County also had annual rates (per 100,000) exceeding Washington State averages for each of these indices (201 vs. 176, 106 vs. 37, 14.7 vs. 8.6, respectively) (UW- ADAI 2015; WA -DOH 2016). Indices related to alcohol use disorder (AUD) in Mason County are similarly concerning with 17% of residents reporting "excessive drinking" (RWJ Foundation 2018). In 2013, there were 77 alcohol- or drug -related deaths accounting for an overall rate of 11.9 per 100 deaths in Mason County (DBHR-RDA 2014). These issues have not gone unnoticed within the community, with "drug use and abuse" (14%) and "alcohol use and abuse" (6%) listed among the most significant health behaviors negatively impacting residents (Mason County 2013). •1 Professional Services Contract (rev 05/2018) Page 13 • at all (McLellan et al 2003). When chemical dependency, mental health, or primary care prescribers are available in the specialty services setting, the transition to long-term services often lacks dedicated care coordination and resource navigation. The burden of this coordination and navigation has been traditionally left to individual seeking treatment, which can lead to treatment delays or disruptions, loss to follow-up, physical and mental stress, and clinical relapse or exacerbation.- Other barriers to establishing long-term care in the community setting include provider access, poverty, insufficient insurance coverage, and siloed stakeholders. Mason County has a documented need in all of these categories, with above average primary care provider (PCP) -to -patient ratios (Mason: 4,070:1, national average: 1,030:1; RWJ County Health Rankings 2018), poverty rates (17% of households with income below Federal Poverty Level; WA DOH 2017), uninsured adults (13%; RWJ County Health Rankings 2018), and stakeholders that are often siloed based organization and geography. In summary, there is a need for improved clinical coordination, resource navigation, and treatment access across a continuum of care to better address the needs of Mason County residents with chemical dependency and mental health disorders. This will require a more integrated care delivery approach with a focus on long-term treatment and recovery support to promote life-long recovery and curb the cycle of more acute, episodic care. Program Title and Description: The goal of the 1CN Program will be to connect individuals and families affected by chemical dependency and mental health disorders with long-term recovery services within the community and primary care setting. The program will embrace the Patient -Centered Medical Home model and Collaborative Care models — an evidenced -based approaches advocated by the SAMHSA-HRSA Center for Integrative Health Solutions (SAMHSA-HRSA 2012), the National Council for Community Behavioral Healthcare (NCCBH 2010), and the Bree Collaborative - to further promote the integration of chemical dependency and mental health services within the primary care setting, as well as coordinate collaborative, bi-directional partnerships between specialized treatment, primary care, and other community resources. The program will also adopt the Collaborative Care model based on the Bree Collaborative to encourage The ICN Program will aim to improve referral completion rates and treatment retention rates - thereby reducing acute, episodic relapses that contribute to the overutilization of costly acute -care and criminal justice services. As a Federally Qualified Health Center (FQHC) serving both Mason and Kitsap counties, PCHS is uniquely positioned to provide comprehensive clinical care via integrated behavioral health, referral and patient support services, health education, and clinical pharmacy services. PCHS is driven by an organization's mission "to provide accessible, affordable, compassionate quality health care services for our community." PCHS provides care for individuals with Medicaid, Medicare, Tricare, and other commercial coverages; however, sliding scale options are also offered to meet the needs of uninsured or underinsured individuals who may otherwise lack affordable treatment options. ICN Program specifics will include: ® Entry -point and referral system redesign through expanded bi-directional partnerships between community resources — including exploring co -location and telehealth strategies. • Care coordination focusing on transitions of care along the care continuum. • Clinical decisional support through clinical care managers, mental health specialists, addiction specialists, and other members of an interdisciplinary collaborative care team. ® Expand patient outreach and engagement to ensure more timely access to treatment. ® Peer navigation for individuals to address multi -dimensional needs and monitor for relapse or exacerbations ® Community partner peer -to -peer mentorship, workgroups, and forums to encourage further integration of chemical dependency, mental health, and primary care services — including expansion of MAT prescribers in integrated primary care settings. This will include expanded Professional Services Contract (rev 05/2018) Page 15 a. Ensure that over 80% of individuals referred to ICN Program complete an initial PCP visit; ensure that over 80% of individuals referred to external intensive treatment programs reconnect with primary care services b. Establish MOUs or other agreements with inpatient treatment, emergency departments, and jails for coordinated referrals 6. Improve coordination of bi-directional referral system with community partners a. Ensure that over 70% of individuals referred to a higher level of care through ICN Program complete the referral b. Ensure -that over 70% of individuals referred to recovery support resources through ICN Program complete the referral 7. Improve timely dialogue between community partners a. Host at least quarterly video -conference meetings of community partners to reduce barriers to participation b. Expand regional workgroups to include community partner representation across broader sectors and geographic location c. Ensure at least monthly communications. regarding changing chemical dependency or mental health needs, services, and events 8. Increase treatment retention rates in the primary care setting a. Maintain a retention rate of over 60% for adult PCHS —Belfair patients 9. Increase chemical dependency and mental health screenings a. Maintain percentage of adult PCHS patients screened for chemical dependency and mental health needs (SBIRT, PHQ-9, and GAD-7) at 80% throughout the funding cycle 10. Clinical Care and Coordination: a. At least 80% of individuals referred to ICN Program complete an initial PCP visit b. At least 80% of individuals referred to external intensive treatment programs reconnect with primary care services c. At least 70% of individuals referred to a higher level of care through ICN Program complete the referral d. Maintain a retention rate of over 60% for adult PCHS —Belfair patients 11. Peer Navigator will ensure that at least 70% of individuals referred to recovery support resources through ICN program complete the referral 12. Community Partner Coordination: a. Host at least quarterly video -conference meetings of community partners to reduce barriers`to participation b. Expand regional workgroups to include community partner representation across broader sectors and geographic location c. Ensure at least monthly communications regarding changing chemical dependency or mental health needs, services; and events 13. MAT Access Expansion a. Increase the number of individuals receiving MAT services at PCHS-Belfair Clinic by 10 OA b. Host at least one peer -to -peer video conference meeting directed at MAT prescribers 14. Outreach Activities: Track for the first 3 months and. create a plan to reach the goal of 250 served by each ICN Peer Navigator. Outreach Activity Location(s) per Contacts month Enrollments times Frequency per month) (# of per month Patient 12 Mason County Mobile Outreach/Engagement 8 Mason County Patient Co-IocatedlTelehealth Engagement When Mason County open Syringe Exchange/Naloxone Program Outreach/Engagement 1 2 times/year Mason County Peer MAT — Peer to Meetings/Forums • Professional Services Contract (rev 05/2018) Page 17 r iii. Total youth, unduplicated households iv. Total number of adults by gender (male, female, other gender) v. Total number of youth and children by gender vi. Total number of veterans by gender vii. Total number literally homeless by gender_ viii. Location — total number served by zip code b. Programs with Case Managers, Navigators, Care Coordinators or similar job title i. Total number of referrals to each agency in a list format ii. Total number enrolled at each agency iii. Examples of programs includes, but is not limited to, Detox facility, inpatient treatment programs, MAT treatment, Outpatient therapy, and Coordinated Entry. c. Clinical Reports i. Use a non -identifiable code and include demographic information and veteran status ii. Pre and Post assessment scores. Number of individual, family and group counseling sessions 5. Bi-annual Program Narrative Report: Contractor will submit TWO (2) Program Narrative Reports on January 10 and July 10. While this report is submitted bi-annually, it is meant to be accumulative in the data, reflection and analysis of trends to include quarterly data comparisons so that a "year-end" report will result with the final submission. The report is expository in nature and must follow this format: a. Introduction: Brief organization and program overview b. Methods: What your program does and how c. Results: program results displayed by quarter using tables, charts, and graphs with brief descriptions d. Discussion: Conclusion and analysis of how the program is tracking toward target outcomes to include trends, challenges, successes, and insights of addressing the community need the program is working to solve. e. Success Story: Sample of clients' success story (Non -identifiable information) 6. Meetings: a. Quarterly In -Person Program Meeting to review monthly enrollment reports, financial invoices, quarterly performance reports, narrative report and other topics such as internal processes, quality improvement, and community collaboration. CONTRACTOR is responsible for setting up a regular meeting day and time and rescheduling for any variations that should happen. b. Monthly Provider Meeting: CONTRACTOR agrees to attend at least 80% of the monthly provider meetings. Months include August, September, October, December, January, February, April, May, and June. c. Coalition Meetings: CONTRACTOR agrees to a leadership role in the Housing & Behavioral Health Coalition. This role includes, but is not limited to, lead/facilitate meetings, lead or organize trainings, lead work groups, community strategic plan development and implementation. 80% attendance required by the executive director, board member or program manager. Months include July, November, and March. d. Case Staffing (name by name) Meetings: Meetings will be organized and conducted by Coordinated Entry and occur one to two times per month and 75% attendance is expected for case managers, advocates, care coordinators, navigators and other similar positions that are directly working with clients. 7. Coordinated Entry: All agencies awarded Treatment Sales Tax funds are required to participate in Coordinated Entry when an individual discloses homelessness or immanently at - risk of homelessness. Participation means CONTRACTOR will send and receive referrals to and from Coordinated Entry. 8. Job titles such as Case Manager, Care Coordinator, Advocates and Navigators will be evaluated based on program outcomes, enrollments into other programs, data quality, 80% referral to enrollment ratio, contract monitoring of client files, and attendance at Case Staffing (name by name) meetings. Examples of other program enrollments include VASH, TBRA, Professional Services Contract (rev 05/2018) Page 19 - . 3 Monthly - 2nd Provider and Executive and/or in discussions collaboration monthly program Response Director, provider to lead improve and System Board to leadership the participate agency member, Crisis 80% attendance on an to annual meetings basis measured Tuesday month of each Housing Meeting Coalition 4 Twice Monthly Case Name meetings Staffing -by -name / participate Case navigators managers, in and case_staffing similar care coordinators, job titles meetings to 75% attendance 5 Quarterly, on or Quarterly application Submitted account effort other documenting as program to outlined quarterly, increase enrollments in a in-house the outreach monthly RFP or Follows application; the plan on each -time; presented program and accurate in the RFP for before the 10th of Documentation of Oct., Jan., July April., & Monthly Outreach Program 6 before Oct., Quarterly, Jan., the July on 10th April., or of & Quarterly Performance Report Program Program agency and Housing referrals customer Placement and demographics, enrollments, Report proper All reports and complete accurate use and of received; templates; all directions followed 7 Quarterly, than Oct., and the Jan., July no 25th April later of Quarterly performance person review in- quarterly CONTRACTOR toward performance to outcomes meet and and tracking discuss . 100% attendance 8 Bi-annual, 10 & January July 10 Program Report Narrative Narrative report provides Follows acceptable data format, and instructions analysis level of program and narrative performance analysis Year-end summary; report with the financial recommendations enrollment report; next including year spenddown outreach; report; a program and for _ accurate and Year-end complete and directions report received use is followed comprehensive, of on templates; time; proper all 9 7/10/19 Contract Close-out 10 August - February Point Count in Time Time Participate promote Count attendance in in the the Annual following at the Point ways: area in Participation survey's and conducted the number of provider Project Event; individuals at homelessness Connect the Conduct Point experiencing Events; in surveys Time as on Count a . CONTRACTOR must use templates when provided by Mason County EXHIBIT B INSURANCE REQUIREMENTS A. MINIMUM Insurance Requirements: 1. Commercial General Liability insurance using Insurance Services Office "Commercial General Liability" policy form CG 00 01, with an edition date prior to 2004, or the exact equivalent. Coverage for an additional insured shall not be limited to its vicarious liability Defense costs must be paid in addition to limits Limits shall be no less than $1,000,000 per occurrence for all covered losses and no less than $2,000,000 general aggregate, for bodily injury, personal injury, and property damage, including without limitation, blanket contractual liability. Professional Services Contract (rev 05/2018) Page 21 • 9. The limits of insurance as described above shall be considered as minimum requirements. Should any coverage carried by CONTRACTOR or a subcontractor of any tier maintain insurance with limits of liability that exceed the required limits or coverage that is broader than as outlined above, those higher limits and broader coverage shall be deemed to apply for the benefit of any person or organization included as an additional insured and those limits shall become the required minimum limits of insurance in all Paragraphs and Sections of this CONTRACT. • 10. None of the policies required herein shall be in compliance with these requirements if they include any limiting endorsement that has not been first submitted to COUNTY and approved of in writing. 11. The requirements in this Exhibit supersede all other sections and provisions of this CONTRACT to the extent that any other section or provision conflicts with or impairs the provisions of this Exhibit. 12 Unless otherwise approved by COUNTY, insurance provided pursuant to these requirements shall be by insurers authorized to do business in Washington and with a minimum A.M. Best rating of A:VII. • 13. All insurance coverage and limits provided by CONTRACTOR and available or applicable to this agreement are intended to apply to the full extent of the policies. Nothing contained in this CONTRACT limits the application of such insurance coverage. 14. CONTRACTOR agrees require insurers, to provide notice to COUNTY thirty (30) days prior to cancellation of such liability coverage or of any material alteration or non -renewal of any such coverage, other than for non-payment of premium. CONTRACTOR shall assure that this provision also applies to any subcontractors, joint ventures or any other party engaged by or on behalf of contractor in relation to this agreement. Certificate(s) are to reflect that the issuer will provide thirty (30) days' notice to COUNTY of any cancellation of coverage. 15. COUNTY reserves the right at any time during the term of the CONTRACT to change the amounts and types of insurance required by giving the CONTRACTOR ninety (90) days advance written notice of such change. If such change results in substantial additional cost to the CONTRACTOR, the COUNTY and CONTRACTOR may renegotiate CONTRACTOR s compensation. 16. Requirements of specific coverage features are not intended as limitation on other requirements or as waiver of any coverage normally provided by any given policy. Specific reference to a coverage feature is for purposes of clarification only as it pertains to a given issue and is not intended by any party or insured to be all-inclusive. 17. CONTRACTOR agrees to provide immediate notice to COUNTY of any claim or loss against CONTRACTOR arising out of the work performed under this agreement. COUNTY assumes no obligation or liability by such notice but has the right (but not the duty) to monitor the handling of any such claim or claims if they are likely to involve COUNTY. EXHIBIT C BUDGET Submit monthly invoices and program reports electronically to tparker©co, maon.wa. us as close to the first (Vt) of each month as possible. • • • • Professional Services Contract (rev 05/2018) Page 23 quarterly narrative reports, and meetings with CONTRACTOR. Contracts that are in non- compliance are at -risk of not qualifying for additional funding through the Request for Proposal Process. Effective 7/1/18: If CONTRACTOR received grant funds the previous contract term (7/1/17 6/30/18), CONTRACTOR has until July 31 to close out previous contract by submitting all invoices and reports to a satisfactory level. COUNTY is not obligated for payment beyond this period. If funding has been awarded for the next grant term and there are outstanding invoices or reports that are not cleared to a complete and satisfactory level by July 31, :the CONTRACTOR will start the new contract term in Probation Status. 2. Corrective Action: assessed monthly with the submission of financial invoices and performance reporting. Corrective Actions are reserved for contract issues that are behavioral in nature. The steps are progressive, and the CONTRACTOR will remain in the non- compliance status corresponding to the infractions and delinquencies outlined below. a. In -Compliance - b. Corrective Action Status c. Probation Status d. Reduction in Funding e. Early Termination 3. Non -Compliance Corrective Action Steps: a. First Offense: Late submissions, not following directions, missing documents, incomplete documents, acts of defiance, and/or discrepancies. CONTRACTOR will have five (5) business days to fix and return to a satisfactory level. If not fixed to a satisfactory level within five (5) business days, CONTRACTOR must submit a Corrective Action Plan and is now in a Corrective Action Status and will remain, in this status. b. Second Offense (consecutive or non-consecutive): Late submissions, not following directions, missing documents, incomplete documents, acts of defiance, and/or discrepancies. CONTRACTOR will have 5 business days to fix and return to a satisfactory level. If not fixed to a satisfactory level within five (5) business days, a withhold of payment action will go into immediate effect Payments will be withheld u ntil all invoices and/or reporting is completed to a satisfactory level. CONTRACTOR remains in Corrective Action Status. c. Third Offense: Probation Status. CONTRACTOR will have five (5) business days to fix and return•to a satisfactory level. If not fixed to a satisfactory level within five (5) business days, the withhold of payment action will continue. Payments will be withheld u ntil all invoices and/or reporting is completed to a satisfactory level. CONTRACTOR remains in Probation Status. d. Fourth Offense: Reduction in Funding Status. 20% reduction in funding over the remaining contract balance. CONTRACTOR will have five (5) business days to fix and return to a satisfactory level. If not fixed to a satisfactory level within five (5) business days, the withhold of payment action will go into immediate effect. Payments will be withheld until all invoices and/or reporting is completed to a satisfactory level. CONTRACTOR remains in Reduced Funding Status. CONTRACTOR may apply for funding on the next Request for Proposal cycle, but future funding awards will be impacted. e. Fifth Offense: Grounds for early contract termination. If the contract is terminated early, the COTNRACTOR will be notified and expected to follow all contract obligations u nder the contract close-out clause. CONTRACTOR may apply for funding on the next Request for Proposal cycle but will start the contract term on probationary status. 4. Performance Improvement Plan Status: assessed monthly and quarterly with the submission of performance reports. Performance Improvement Plans are reserved for contract issues that impact deliverables around numbers served. Professional Services Contract (rev 05/2018) Page 25 •