Approving Contract Amendment No. 1 to Program Agreement No. 1563-42483 with DSHS BEFORE THE BOARD OF COUNTY COMMISSIONERS
OF LEWIS COUNTY, WASHINGTON
IN RE:
Approve Contract Amendment #1 to Program )
Agreement#1563-42483 between the Department )
of Social & Health Services (DSHS) and Lewis ) RESOLUTION No. 15- hcam.
County
WHEREAS, the Board of County Commissioners (BOCC), Lewis County,
Washington, has reviewed contract amendment#1 between Lewis County and DSHS,
Division of Behavioral Health and Recovery (DBHR) for the period of July 1, 2015
through June 30, 2017; AND
WHEREAS, additional funding in the amount of $45,600 is available through
DSHS to add dedicated marijuana account funding for prevention services and provides
guidelines under the Community Prevention and Wellness Initiative for the selected
community of Morton; AND
WHEREAS, it appears to be in the best public interest to authorize the execution
of said contract for Lewis County;
NOW, THEREFORE BE IT RESOLVED that Contract Amendment#1 between
DSHS and Lewis County in the amount of$45,600 from July 1, 2015 through
June 30, 2017 is hereby approved and the Director of Public Health & Social Services is
authorized to sign the same.
DONE IN OPEN SESSION this day of r AGv-- Lr , 2015.
APPROVED JD.ARM: BOARD OF COUNTY COMMISSIONERS
Jonathan Meye ruting Attorney LEWIS COUNTY, WASHINGTON
'. �.�
By: David F ne 0, = N Edna J. F Id/ On
Deputy Prosecutintr
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(3/ Imo._
ATTEST: w � � o• P. Sch Ite, Vice Chair
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5 ta,r ).
arri Muir CMC, lerk of the Bobtd Gary Stam er, Member
Lewis County
Details of Budget or Request For Budget Amendment
Fund 104 Type of appropriation:
Department " 614 C) Supplemental-has new offsetting revenue
Program 0 Emergency-using fund balance
Please Discuss Current Budget Uses or Describe a Need For Addittinfal Fund_r
This budget detail is for Contract Agreement 1563-42483 Amendment#01 with Department of Social and
Health Services funded through Division of Behavioral Health and Recovery. This amendment adds
additional funding that was not anticipated for the current budget.
Use of Funds
0 New Expenditure ❑ New Transfer Out or ❑ Currently Budgeted
Account Description BARS Account Number Amount
Professional Services 104 61411 000 000 566I 22 41 00 45,600
— � I
Total Use of Funds: $45,600
Sourie of Fund
New Revenue ❑ Use of Fund Balance ❑ New Transfer In or ❑Currently Budgeted
Account Description BARS Account Number Amount
SABG Prevention 104 614 000`1 000 3341 041 66 20 45,600
I
I
Total Source of Funds: $45,600
Elected/Director ` Date
This Program Agreement between the County and the State of Washington Department of Social and Health
Services (DSHS) is hereby amended as follows:
1. Amend the maximum contract consideration to add $45,600, therefore increasing the maximum
consideration from $142,007 to $187,607. The Awards and Revenues (A&R) is attached as Exhibit B.
2. Section 1. Definitions is deleted and replaced in its entirety with the following:
a. "Awards and Revenues" or"A&R" details the Contractor's Awards and Revenues attached as
Exhibit B.
b. "Awards" means the total funding of all individual awards DSHS allocates to the County, and the
total of all awards in this Contract's Maximum Amount, which is itemized, per service, in Exhibit B.
c. "BARS" means—"Fiscal/Program Requirements", see below, which replaces BARS document.
d. "BHSIA" means Behavioral Health and Service Integration Administration.
e. "Boilerplate Language" means the standard Contract language, including General and Special
terms, which will be common to all subcontracts issued by the County for provision of the services
required by this Contract.
f. "Calibration Scoring" means scoring between Observer 3, Observer 2, and Observer 1 to prevent
scorer drift from the standards and methods established in the Washington Codebook. Calibration
Scoring happens on a frequency of approximately ten percent (10%) of entries in the CCB or
semiannually to ensure reliability.
g. "CCB" means the Community Check Box, an on-line documentation support system.
h. "Certified Prevention Professional" or"CPP" means the Prevention Specialist certification
recognized by the International Credentialing and Reciprocity Consortium (IC&RC) and supported
by the Prevention Specialist Certification Board of Washington, www.pscbw.com.
i. "Community Prevention and Wellness Initiative" or"CPWI" means the DSHS substance abuse
prevention delivery system that focuses prevention services in high-need communities in
Washington State as selected by County and approved by DSHS.
j. "Contract Coordinator" means the person designated to carry out administrative and oversight
responsibilities of the prevention programs.
k. "Contract Manager" means the DSHS contact identified on page 1 of this Contract.
I. "Data" means information that is disclosed or exchanged as described by this Contract.
m. "DEA" means United States Drug Enforcement Agency.
n. "Dedicated Marijuana Account" or"DMA" means revenue generated by the taxation of retail
marijuana as a result of the implementation of Initiative 502 (1-502) as authorized by the
Washington State Legislature in 2E2SHB 2136.
o. "DBHR" means the Division of Behavioral Health and Recovery or its successor.
p. "DSHS Contact" means the DSHS Contact staff identified on page 1 of this Contract.
q. "DUNS" or"Data Universal Numbering System" means a unique identifier for businesses. DUNS
DSHS Central Contracts and Legal Services
1644CS County Program Agreement Amendment(10-28-2015) Page 2
numbers are assigned and maintained by Dun and Bradstreet(D&B) and are used for a variety of
purposes, including applying for government contracting opportunities.
r. "Ensure" as to this Contract means to make sure that something will happen or will be available
within the resources identified in the Consideration.
s. "EPA" means Environmental Protection Agency.
t. "Fiscal/Program Requirements" means the new title of the updated version of the formerly titled
BARS manual including the DSHS BHSIA/DIVISION OF BEHAVIORAL HEALTH AND
RECOVERY/CHEMICAL DEPENDENCY Supplementary Instructions and Fiscal Policy Standards
for Reimbursable Costs as used by DSHS, located at:
https://www.dshs.wa.gov/sites/default/files/BHSIA/dbh/Substance%20Use/FY14%20Fiscal%20Proq
ram%20Requirements%20for%20SUD.pdf
u. "Media materials and publications" means:
(1) News Release: A brief written announcement the agency provides to reporters highlighting key
events, research, results, new funding and programs, and other news.
(2) Paid Media: Any advertising space/time that is purchased for prevention/coalition messages
(printed publications/newspapers, online, outdoor, on-screen, TV and radio).
(3) Earned Media: Published news stories (print, broadcast or online) resulting from the County's
contacts with reporters.
(4) Donated Media, including public service announcements: Any free advertising space or time
from broadcast, print, outdoor, online, and other advertising vendors.
(5) Social Media: Also referred to as new media: messages posted online on Facebook, Twitter,
YouTube, Instagram, Snapchat and similar sites.
v. "Monitoring and Participatory Evaluation" or"M&E" means data collection and evaluation process
for coalitions to measure community impact of coalition activity.
w. "Observer 1" means the Primary Scorer(s), the Coalition Coordinator(s) and Coalition Member(s).
x. "Observer 2" means the Reliability scorer at DSHS.
y. "Observer 3" means the Calibration scorer at Work Group for Community Health and Development
at the University of Kansas (KU Work Group).
z. "Partnerships for Success" also known as Partnerships for Success 2013 or PFS means the
Federal grant funded by the Substance Abuse and Mental Health Services Administration
(SAMHSA), CFDA number 93.243.
aa. "Performance-based Prevention System" or"PBPS" means the management information system
maintained by DSHS that collects planning, demographic, and prevention service data.
bb. "Prevention Activity Data" means information input to PBPS to record all active prevention services
including outcome measures. This information will be used to verify services identified in A-19
invoices prior to payment and must be entered into PBPS by the close of business of the fifteenth
(15th) of each month for prevention activities provided during the previous month.
cc. "Prevention System Manager" (PSM) means the designee assigned to manage day to day
responsibilities associated with this Contract.
DSHS Central Contracts and Legal Services
1644CS County Program Agreement Amendment(10-28-2015) Page 3
dd. "Reliability Scoring" means scoring between Observer 2 and Observer 1 to ensure the
standardizing of methods, times, and other aspects of the observation to be accurate and
consistent, and therefore more useful to an overall evaluation. Reliability scoring happens on a
monthly frequency with DSHS to ensure reliability and consistency of entries with the Washington
Codebook.
ee. "Substance Abuse Block Grant" or"SABG" means Federal Substance Abuse Block Grant funded by
the Substance Abuse and Mental Health Services Administration (SAMHSA), CFDA number
93.959.
3. Section 4. Performance Work Statement a.(1) is deleted and replaced in its entirety with the following:
(1) Provision of CPWI services in accordance with the CPWI Community Coalition Guide located on
the Athena Forum website
(http://www.theathenaforum.orq/cpwi community coalition guide updated august 2015)
which outlines the minimal standards to participate in the CPWI. County shall plan to reach the
ideal benchmarks related to the community coalition's efforts and staffing with the Dedicated
Marijuana Account.
4. Amend Section 4. Performance Work Statement a. to add the following:
(9) Dedicated Marijuana Account(DMA) shall be used for program and strategy training and
implementation.
(a) All programs planned and implemented with DMA shall be programs selected from the
DBHR provided youth marijuana use prevention and reduction program list.
i. No less than eighty-five percent (85%) of DMA funds shall be expended on evidence-
based or research-based programs on the identified program list.
ii. Up to fifteen percent(15%) of DMA funds may expended on Promising programs on the
identified program list.
(10) County shall submit a DMA Program Enhancement Packet to the Contract Manager within thirty
(30) days of this executed contract amendment.
Required DMA Packet information includes updated Action Plan, Logic Model and Budget
Template that denotes additional program(s) planned or plans for additional program(s) services
of the programs on the list provided.
(11) County is encouraged to collaborate and partner with community-based organizations (CBOs)
that operate within or serves the CPWI community.
(12) Meals may be provided for participants using DMA funds only if:
(a) The training is four(4) hours or more in duration; or
(b) The program is recurring, direct service family domain program, and must be approved in
strategic plan.
5. Section 7. Consideration a.(2) is deleted and replaced in its entirety with the following:
(2) Funding for earned incentives will be provided by DSHS every six (6) months through a contract
amendment.
6. Section 7. Consideration a.(4) is deleted and replaced in its entirety with the following:
DSHS Central Contracts and Legal Services
1644CS County Program Agreement Amendment(10-28-2015) Page 4
(4) The County shall use no more than eight percent (8%) of the PFS funds for administrative costs.
(a) Administrative costs shall be billed separately from direct prevention services as indicated
on the A-19 invoice.
(b) Administrative costs are defined in the Fiscal/Program Requirements.
https://www.dshs.wa.00v/sites/default/files/BHSIA/dbh/Substance%20Use/FY14%20Fiscal%
20Program%20Requirements%20for%20SUD.odf.
(c) No SABG funds allocated in this contract shall be used for administrative costs.
7. Amend Section 7. Consideration a. to add the following:
(5) County shall use no more than eight percent(8%) of the Dedicated Marijuana Account
allocation for administrative costs.
(a) Administrative costs shall be billed separately from direct prevention services as indicated
on the A-19 invoice.
(b) Administrative costs are defined in the Fiscal/Program Requirements.
https://www.dshs.wa.gov/sites/default/files/BHSIA/dbh/Substance%20Use/FY14%20Fiscal%
20Program%20Requirements%20for%20SUD.pdf.
8. Section 7. Consideration e. is deleted and replaced in its entirety with the following:
e. The source of funds in this contract is the Substance Abuse Block Grant(SABG) CFDA 93.959, the
Washington State Dedicated Marijuana Account (DMA), and the Partnerships for Success (PFS)
Grant CFDA 93.243 (Year 2 is September 30, 2014 to September 29, 2015, Year 3 is September
30, 2015 to September 29, 2016, Year 4 is September 30, 2106 to September 29, 2017). PFS and
DMA funds are not carried forward from year to year.
9. Amend Section 9. Miscellaneous Items a. is deleted and replaced in its entirety with the following:
a. Complete the Contractor Self-Assessment Monitoring Tool and submit to Contract Manager or
designee.
10. Amend the Contract by adding Section 19. Applicable Exhibits.
19. Applicable Exhibits.
The following table lists the included exhibits in the Contract and the Counties or Contractors to
which they apply.
Exhibit Title of Exhibit Applicable to the Following
Counties/Contractors
Exhibit A Data Security Requirements All Counties/Contractors
Exhibit B Awards and Revenue (A&R) All Counties/Contractors
Exhibit C PFS Community Monitoring and Asotin County, Cowlitz County,
Participatory Evaluation Pilot Project San Juan County, Okanogan
County Community Coalition,
Skamania County Sherriff's
Office, and Monroe School
District
Exhibit D PFS Community Monitoring and King County and Tekoa School
Participatory Evaluation Pilot Project; District
Secure Medicine Take-back
DSHS Central Contracts and Legal Services
1644CS County Program Agreement Amendment(10-28-2015) Page 5
Exhibit E PFS Secure Medicine Take-back County of Yakima Sunnyside
School District
Exhibit F PFS Community Monitoring and Rural Resources
Participatory Evaluation Pilot Project;
Sector Sharing Project
11. Amend the Contract by adding the following Exhibits as they apply to each County:
Exhibit C— PFS Community Monitoring and Participatory Evaluation Pilot Project
Exhibit D— PFS Community Monitoring and Participatory Evaluation Pilot Project; Secure Medicine
Take-back
Exhibit E— PFS Secure Medicine Take-back
Exhibit F— PFS Community Monitoring and Participatory Evaluation Pilot Project; Sector Sharing
Project
All other terms and conditions of this Program Agreement remain in full force and effect.
DSHS Central Contracts and Legal Services
1644CS County Program Agreement Amendment(10-28-2015) Page 6
Exhibit B
AWARD AND REVENUES
2015-2017 Biennium
CONTRACTOR NAME Lewis County
CONTRACT NUMBER 1563-42483
COUNTY Lewis
The above named Contractor is hereby awarded the following amounts for the purposes listed.
REVENUE
SOURCE TYPE OF SERVICE AWARD AMOUNTS
CODE:
SFY 16 SFY 17 Biennial Total 15-17
Funds Biennium
333.99.59 SABG Prevention $40,488 $40,488
$80,976 li
334.04.6X GF-State- Admin(for SABG Prevention) $3,521 $3,521 $7,042
334.04.6X Dedicated Marijuana Account-Fund 315-State $22,800 $22,800 $45,600
333.92.43 PFS-Total $43,191 $10,798 $0 $53,989
Year 2 FFY14(7.1.15-9.29.15) $10,798 $10,798
Year 3 FFY15(9.30.15-9.29.16) $32,393 $10,798 $43,191
Year 4 FFY16(9.30.16-6.30.17)
Total Federal Funds $83,679 $51,286 $0 $134,965
Total State Funds $26,321 $26,321 $0 $52,642
TOTAL ALL AWARDS $110,000 $77,607 $0 $187,607
Federal CFDA:
SABG-Substance Abuse Block Grant-CFDA 93.959 Substance Abuse and Mental Health Services Administration(SAMHSA)
PFS-Partnership for Success-CFDA 93.243 Substance Abuse and Mental Health Services Administration(SAMHSA)
2015-17 Lewis Amend#1
Executive Summary
BOCC Meeting Date:
2015-11-23
Contact:
Danette York
Department:
Public Health and Social Services
Wording
Approve Contract Amendment #1 to Program Agreement#1563-42483 between the Department of
Social & Health Services (DSHS) and Lewis County
Description
This contract amendment of$45,600 adds dedicated Marijuana Account funding for prevention
services and provides guidelines under the Community Prevention and Wellness Initiative for the
selected community of Morton. The Division of Behavioral Health and Recovery (DBHR) contracts
with county governments to coordinate, subcontract, and monitor prevention programs at the local
level.
The contract is effective July 1, 2015 - June 30, 2017.
Recommendation
Approve Resolution
Other
xr -r
# �. F k II ° .T hi -`, 7 t *,.+m 2-i,V w lto �' Y-fa-af
Resolution #: I S -3'(U BOCC Meeting Date: Nov 23, 2015
Suggested Wording for Agenda Item: Agenda Type: Consent
Approve Contract Amendment#1 to Program Agreement#1563-42483 between the Department of Social &
Health Services (DSHS) and Lewis County.
Brief Reason for BOCC Action:
This amendment adds funding for prevention services and provides guidelines for the selected community of
Morton.
Submitted By: Andrus, Sandi Phone: 2774
Date Submitted: Nov 10,2015
Contact Person Who Will Attend BOCC Meeting: Danette York
Action Needed: Approve Resolution
Publication Requirements:
Hearing Date:
Publications:
Publication Dates:
Approvals:
User Group Status
York, Danette Pending
Young,Paulette f 0 Pending
gagerree-nn Pending
Cover Letter To
DSHS -Division of Behavioral Health and Recovery
4500 10th Avenue SE
Lacey,WA 98503
Additional Copies
Sandi Andrus
April Kelley
Canna Oaksmith
Karen Soukkala
Paulette Young
Suzette Smith
Amanda Migliaccio
•