HomeMy WebLinkAboutResolution - 2021-R0387 - Contract 15629 with Methodist Children's Hospital DBA Covenant 9.28.21Resolution No. 2021-R0387
Item No. 7.16
September 28, 2021
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of Lubbock is hereby authorized and directed to execute for and
on behalf of the City of Lubbock, Contract No. 15629, as per RFP 21-15629-MA, to provide
Network of Substance Use Disorder Treatment Services Providers, by and between the City of
Lubbock and Methodist Children's Hospital d/b/a Covenant Children's Hospital of Lubbock,
Texas, and related documents. Said Contract is attached hereto and incorporated in this
resolution as if fully set forth herein and shall be included in the minutes of the City Council.
Passed by the City Council on September 28, 2021
DANIEL M. POPE, MAYOR
ATTEST:
Rebec Garza, City Secret
APPROVED AS TO CONTENT:
Bill Ho rton, Deputy riiager�
APPROVED AS TO FORM:
Ry "oke, City Attorney
RES.Contract 15629-Covenant Children's Hospital
9.3.21
DocuSign Envelope ID: AFBF8733-2117-4DAE-89B7-D6B5CDCE538D
Resolution No. 2021-R0387
Contract 15629
City of Lubbock, TX
NETWORK OF SUBSTANCE USE DISORDER TREATMENT SERVICES PROVIDERS
Agreement
This Service Agreement (this "Agreement') is entered into as of the to day of September 2021
("Effective Date") by and between Methodist Children's Hospital dba Covenant Children's Hospital
(the Contractor), Covenant Health Foundation (Sub Contractor) and the City of Lubbock (the "City").
RECITALS
WHEREAS, the City has issued a Request for Proposals 21-15629-MA, NETWORK OF
SUBSTANCE USE DISORDER TREATMENT SERVICES PROVIDERS.
WHEREAS, the proposal submitted by the Contractor has been selected as the proposal which best
meets the needs of the City for this service; and
WHEREAS, Contractor desires to perform as an independent contractor to provide NETWORK OF
SUBSTANCE USE DISORDER TREATMENT SERVICES PROVIDERS.
, upon terms and conditions maintained in this Agreement; and
NOW THEREFORE, for and in consideration of the mutual promises contained herein, the City and
Contractor agree as follows:
City and Contractor acknowledge the Agreement consists of the following exhibits which are
attached hereto and incorporated herein by reference, listed in their order of priority in the event of
inconsistent or contradictory provisions:
1. This Agreement
2. Exhibit A
General Requirements
3. Exhibit B
Service Types and Unit Rates
4. Exhibit C
Proposal Narratives
5. Exhibit D
Business Associate Agreement
6. Exhibit E -
Insurance
Scope of Work
Contractor shall provide the services that are specified in Exhibit A. The Contractor shall comply with all
the applicable requirements set forth in Exhibit B, C, D and E attached hereto.
Article 1
1.1 The contract shall be for a term of one year, with the option of three, one-year extensions,
said date of term beginning upon formal approval. The City of Lubbock does not guarantee
any specific amount of compensation, volume, minimum, or maximum amount of services
under this bid and resulting contract. The Contractor must maintain the insurance coverage
required during the term of this contract including any extensions. It is the responsibility of
the Contractor to ensure that valid insurance is on file with the Purchasing and Contract
Management Department as required by contract or contract may be terminated for non-
compliance.
1.2 The Contractor shall not assign any interest in this Agreement and shall not transfer any
interest in the Agreement, whatsoever, without prior consent of the City.
1.3 All funds for payment by the City under this Agreement are subject to the availability of an
annual appropriation for this purpose by the City. In the event of non -appropriation of funds
DocuSign Envelope ID: AFBF8733-2117-4DAE-89B7-D6B5CDCE538D
by the City Council of the City of Lubbock for the goods or services provided under the
Agreement, the City will terminate the Agreement, without termination charge or other
liability, on the last day of the then -current fiscal year or when the appropriation made for
the then -current year for the goods or services covered by this Agreement is spent, whichever
event occurs first. If at any time funds are not appropriated for the continuance of this
Agreement, cancellation shall be accepted by the contractor on 30 days prior written notice,
but failure to give such notice shall be of no effect and the City shall not be obligated under
this Agreement beyond the date of termination.
1.4 This contract shall remain in effect until the first of the following occurs: (1) the expiration
date, (2) performance of services ordered, or (3) termination of by either party with a 30 day
written notice. The City of Lubbock reserves the right to award the canceled contract to the
next lowest and best bidder as it deems to be in the best interest of the city.
Article 2 Miscellaneous.
2.1 This Agreement is made in the State of Texas and shall for all purposes be construed in
accordance with the laws of said State, without reference to choice of law provisions.
2.2 This Agreement is performable in, and venue of any action related or pertaining to this
Agreement shall lie in, Lubbock, Texas.
2.3 This Agreement and its Exhibits contains the entire agreement between the City and
Contractor and supersedes any and all previous agreements, written or oral, between the
parties relating to the subject matter hereof. No amendment or modification of the terms of
this Agreement shall be binding upon the parties unless reduced to writing and signed by
both parties.
2.4 This Agreement may be executed in counterparts, each of which shall be deemed an original.
2.5 In the event any provision of this Agreement is held illegal or invalid, the remaining
provisions of this Agreement shall not be affected thereby.
2.6 The waiver of a breach of any provision of this Agreement by any parties or the failure of
any parties otherwise to insist upon strict performance of any provision hereof shall not
constitute a waiver of any subsequent breach or of any subsequent failure to perform.
2.7 This Agreement shall be binding upon and inure to the benefit of the parties and their
respective heirs, representatives and successors and may be assigned by Contractor or the
City to any successor only on the written approval of the other party.
2.8 All claims, disputes, and other matters in question between the Parties arising out of or
relating to this Agreement or the breach thereof, shall be formally discussed and negotiated
between the Parties for resolution. In the event that the Parties are unable to resolve the
claims, disputes, or other matters in question within 30 days of written notification from the
aggrieved Party to the other Party, the aggrieved Party shall be free to pursue all remedies
available at law or in equity.
2.9 At any time during the term of the contract, or thereafter, the City, or a duly authorized audit
representative of the City or the State of Texas, at its expense and at reasonable times,
reserves the right to audit Contractor's records and books relevant to all services provided to
the City under this Contract. In the event such an audit by the City reveals any errors or
overpayments by the City, Contractor shall refund the City the full amount of such
DocuSign Envelope ID: AFBF8733-2117-4DAE-89B7-D6B5CDCE538D
overpayments within 30 days of such audit findings, or the City, at its option, reserves the
right to deduct such amounts owing the City from any payments due Contractor.
2.10 The City reserves the right to exercise any right or remedy to it by law, contract, equity, or
otherwise, including without limitation, the right to seek any and all forms of relief in a court
of competent jurisdiction. Further, the City shall not be subject to any arbitration process
prior to exercising its unrestricted right to seek judicial remedy. The remedies set forth herein
are cumulative and not exclusive, and may be exercised concurrently. To the extent of any
conflict between this provision and another provision in, or related to, this do.
2.11 The contractor shall not assign or sublet the contract, or any portion of the contract, without
written consent from the Director of Purchasing and Contract Management. Should consent
be given, the Contractor shall insure the Subcontractor or shall provide proof of insurance
from the Subcontractor that complies with all contract Insurance requirements document, this
provision shall control.
2.12 Contractor acknowledges by supplying any Goods or Services that the Contractor has read,
fully understands, and will be in full compliance with all terms and conditions and the
descriptive material contained herein and any additional associated documents and
Amendments. The City disclaims any terms and conditions provided by the Contractor unless
agreed upon in writing by the parties. In the event of conflict between these terms and
conditions and any terms and conditions provided by the Contractor, the terms and conditions
provided herein shall prevail. The terms and conditions provided herein are the final terms
agreed upon by the parties, and any prior conflicting terms shall be of no force or effect.
2.13 Section 2270.002, Government Code, (a) This section applies only to a contract that: (1) Is
between a governmental entity and a company with 10 or more full-time employees; and (2)
has a value of $100,000 or more that is to be paid wholly or partly from public funds of the
governmental entity. (b) A governmental entity may not enter into a contract with a company
for goods or services unless the contract contains a written verification from the company
that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of the
contract.
2.14 SB 252 prohibits the City from entering into a contract with a vendor that is identified by
The Comptroller as a company known to have contracts with or provide supplies or service
with Iran, Sudan or a foreign terrorist organization.
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DocuSign Envelope ID: AFBF8733-2117-4DAE-89B7-D6B5CDCE538D
IN WITNESS WHEREOF, the parties hereto have caused this Contract to be executed the day and year
first above written. Executed in triplicate.
CITY OF LUBBOCK
BY:
Daniel M. Pope, Mayor
ATTEST:
0 .2 E
Rebecc rza, City Secretark)
APBJG*VW AS TO CONTENT:
a raA
4 1%.0
atherine Wells, Director of Health
APPROVED AS TO FORM
Ry n B oke, ssistant City Attorney
CONTR A C'TOR
DocuSigned by:
_19K11-
455A96DC71A64DC
Authorized Representative
Amy Thompson, MD
Print Name
Address
4015 22nd Street, Lubbock, Tx, 79410
City, State, Zip Code
Exhibit A
GENERAL REQUIREMENTS
1 INTRODUCTION
Exhibit A
The City of Lubbock's Health Department invites proposals from qualified applicants to facilitate
substance use treatment for Substance Use Disorder Treatment Services, Co -Occurring Psychiatric
Substance Use Disorder (COPSD) services in the Lubbock area. This is to include residential, intensive
outpatient, and other services as needed. The services are grant funded.
2 CONTRACT TERM
The contract shall be for a term of one year, with the option of three, one-year extensions, said date of term
beginning upon formal approval. The City of Lubbock does not guarantee any specific amount of
compensation, volume, minimum, or maximum amount of services under this bid and resulting contract.
The Contractor must maintain the insurance coverage required during the term of this contract including
any extensions. It is the responsibility of the Contractor to ensure that valid insurance is on file with the
Purchasing and Contract Management Department as required by contract or contract may be terminated
for non-compliance.
3. LEVELS OF CARE / SERVICE TYPES
A. OUTPATIENT TREATMENT SERVICES (ASAM Level
1 Outpatient Services)
Contractor shall:
1. Adhere to Texas Administrative Code ( TAC) rules adopted by System Agency related to SUD UM
Guidelines for outpatient treatment programs / services.
2. Provide and document in Clinical Management of Behavioral Health Services (CMBHS) one (1)
3. Document in CMBHS a discharge follow-up sixty (60) calendar days after discharge from the
outpatient treatment services.
4. When the assessment indicates placement in System Agency funded Women and Children Intensive
or Supportive Residential services but there are no available beds, Contractor shall provide coordinated
interim care until a Women and Children Intensive or Supportive Residential bed becomes available.
A pregnant Client, if she chooses and is appropriate for this service type, shall be transferred to Women
and Children Intensive and Supportive Residential services no later than the eighth month of pregnancy
in order to provide sufficient time to adjust to the changes prior to delivery of her child.
5. As part of the education hours, Contractor will provide and document in CMBHS:
i. A minimum of one (1) hour per week (or one (1) hour per month for Clients who have been
transferred to outpatient after successfully completing a residential level of care) of evidence -based
parenting education and document these services; and
ii. A minimum of six (6) hours (or two (2) hours for Clients who have been transferred to outpatient
after successfully completing a residential level of care) of reproductive health education prior to
discharge and document these services.
6. Provide and document in CMBHS research -based education on the effects of ATOD
on the fetus.
B. SUPPORTIVE RESIDENTIAL TREATMENT SERVICES
(ASAM Level 3.1 Clinically Managed Low -Intensity Residential Services)
Contractor shall:
1. Adhere to TAC and SUD UM Guidelines applicable to supportive services requirements.
2. When the assessment indicates placement in System Agency -funded Women and Children Intensive
or Supportive Residential services but there are no available beds, Contractor shall provide coordinated
interim care until a Women and Children Intensive or Supportive Residential bed becomes available.
A pregnant Client, if she chooses and is appropriate for this service type, shall be transferred to Women
and Children Intensive and Supportive Residential services no later than the eighth month of pregnancy
in order to provide sufficient time to adjust to the changes prior to delivery of her child.
3. As part of education hours, Contractor will provide:
i. A minimum of one (1) hour per week of evidenced -based parenting education; and
ii. A minimum of two (2) hours of reproductive health education within thirty (30) Service
Days of admission.
Document in CMBHS a discharge follow-up sixty (60) calendar days after discharge from the
residential treatment services.
C. SUPPORTIVE RESIDENTIAL FOR WOMEN AND CHLDREN (ASAM Level 3.1
Clinically Managed Low -Intensity Residential Services)
Contractor shall:
1. Adhere to TAC and SUD UM Guidelines applicable to supportive services requirements.
2. In addition, adhere to TAC requirements applicable to Treatment Services for Women and Children.
3. As part of education hours, Contractor will provide and document in CMBHS:
i. A minimum of two (2) hours per week of evidence -based parenting education and
document these services;
ii. A minimum of six (6) hours of reproductive health education within thirty (30) service days of
admission and document these services; and
iii. At minimum, evidenced -based education on the effects of ATOD during pregnancy.
4. Document in CMBHS a discharge follow-up sixty (60) calendar days after discharge from the
residential treatment services.
D. INTENSIVE RESIDENTIAL TREATMENT SERVICES (ASAM Level 3.5
Clinically Managed High -Intensity Residential Services)
Contractor shall:
1. Adhere to TAC and SUD UM Guidelines applicable to intensive services requirements.
2. When the assessment indicates placement in System Agency -funded Women and Children Intensive
or Supportive Residential services but there are no available beds, Contractor shall provide
coordinated interim care until a Women and Children Intensive or Supportive Residential bed
becomes available. A pregnant Client, if she chooses and is appropriate for this service type, shall be
transferred to Women and Children Intensive and Supportive Residential services no later than the
eighth month of pregnancy in order to provide sufficient time to adjust to the changes prior to delivery
of her child.
3. As part of education hours, Contractor will provide and document in CMBHS:
i. A minimum of two (2) hours per week of evidenced -based parenting education; and
ii. A minimum of six (6) hours of reproductive health education within thirty (30) service days of
admission.
3. Document in CMBHS a discharge follow-up sixty (60) calendar days after discharge from the
residential treatment services.
E. INTENSIVE RESIDENTIAL FOR WOMEN AND CHLDREN
(ASAM Level 3.5 Clinically Managed High -Intensity Residential Services)
Contractor shall:
1. Adhere to TAC and SUD UM Guidelines applicable to intensive services
requirements.
2. Adhere to TAC requirements applicable to Treatment Services for Women and
Children.
3. As part of education hours, Contractor will provide:
i. A minimum of two (2) hours per week of evidence -based parenting education and document
these services; and
ii. A minimum of six (6) hours of reproductive health education within thirty (30) Service
Days of admission and document these services.
F. RESIDENTIAL DETOXIFICATION / WITHDRAWAL MANAGEMENT (ASAM
LEVEL 3.7 MEDICALLY MONITORED WITHDRAWAL MANAGEMENT)
Contractor shall:
1. Adhere to TAC requirements for detoxification services.
2. Adhere to the SUD UM Guidelines for detoxification services.
3. Adhere to the following additional service delivery requirements:
i Document in CMBHS a Withdrawal Management Intake Form.
ii Document in CMBHS a discharge plan prior to discharge or transfer.
iii Document in CMBHS a discharge follow-up no more than ten (10) calendar days after discharge from
withdrawal management services.
iv. Develop and Implement Policies, Procedures, and Medical Protocols to ensure Client placement into
the appropriate level of withdrawal management services in accordance with national guidelines, peer -
reviewed literature, and best practices and have available for System Agency review.
G. AMBULATORY WITHDRAWAL MANAGEMENT (ASAM LEVEL 2
WITHDRAWAL MANAGEMENT)
Contractor shall:
1. Adhere to TAC requirements for detoxification services.
2. Adhere to the SUD UM Guidelines for detoxification services.
3. Adhere to the following additional service delivery requirements:
i. Document in CMBHS a Withdrawal Management Intake Form.
ii. Document in CMBHS a discharge plan prior to discharge or transfer.
iii. Document in CMBHS a discharge follow-up no more than ten (10) calendar days after discharge from
withdrawal management services.
iv. Develop and Implement Policies, Procedures, and Medical Protocols to ensure Client placement into
the appropriate level of withdrawal management services in accordance with national guidelines, peer -
reviewed literature, and best practices and have available for System Agency review.
4. Ambulatory detoxification shall not be a stand-alone service. Contractors shall ensure the Client is
simultaneously admitted to a substance use disorder treatment service while admitted to ambulatory
detoxification services.
TARGET POPULATION
A. TREATMENT FOR FEMALES (TRF)
Adult pregnant women and women with Dependent Children (including women whose
children are in custody of the State) who meet Client Eligibility for System Agency -funded substance use
disorder services as stated in the System Agency Substance Use Disorder
(SUD).
Utilization Management (UM) Guidelines (attached as RFA Exhibit O within the Solicitation, Attachment I).
1. Outpatient Treatment Services
(ASAM Level 1 Outpatient Services)
2. Supportive Residential Treatment Services
(ASAM Level 3.1 Clinically Managed Low -Intensity Residential Services)
3. Intensive Residential Treatment Services
(ASAM Level 3.5 Clinically Managed High -Intensity Residential Services)
4. Residential Detoxification Services
(ASAM Level 3.7 Medically Monitored Withdrawal Services)
5. Ambulatory Detoxification Services
(ASAM Level 2 Withdrawal Management)
B. TREATMENT FOR WOMEN AND CHLDREN
Adult pregnant women and women with Dependent Children (including women whose
children are in custody of the State) who meet Client Eligibility for System Agency -funded
substance use disorder services as stated in the System Agency Substance Use Disorder (SUD)
Utilization Management (UM) Guidelines.
Clients being admitted into Women and Children's treatment facilities must meet at least one
(1) of the following criteria:
A. Be in the third trimester of her pregnancy; and/or
B. Have at least one (1) child physically residing overnight with her in the facility; and/or
C. Have a referral by Department of Family and Protective Services (DFPS).
Note: DFPS will not allow at least one (1) child to initially reside overnight but DFPS plans to place the
child in the facility within the first thirty (30) Service Days of treatment.
1. Women and Children's Intensive Residential Services
(ASAM Level 3.5 Clinically Managed High -Intensity Residential Services)
2. Women and Children's Supportive Residential Services
(ASAM Level 3.1 Clinically Managed Low -Intensity Residential Services)
Exhibit B
SERVICE TYPE AND UNIT RATES
TREATMENT FOR ADULT (TRA)
Service Type
Unit
Rate
Adult Outpatient -Individual
Outpatient -Group Counseling
$18.84
Outpatient -Group Education
$17.79
Outpatient -Individual Counseling
$60.69
Adult Intensive Residential
$113.02
Adult - Supportive Residential
$42.90
Adult - Ambulatory Detoxification
$88.95
Adult — Residential Detoxification
$234.41
Adult — HIV Residential
$180.00
Adult HIV Residential Wraparound Services (Medicaid Adult — 21 and Over)
$35.58
CO-OCCURRING PSYCHIATRIC & SUBSTANCE ABUSE DISORDERS (COPSD)
Service Type
Unit
Rate
Co-occurring Psychiatric & Substance Abuse Disorders (COPSD) — Adult
$66.98
Co-occurring Psychiatric & Substance Abuse Disorders (COPSD) — Youth
$66.98
Exhibit C
SUBSTANCE USE DISORDER TREATMENT SERVICES
PROPOSAL NARRATIVE
Covenant Health Foundation - Covenant ChiMmes/Covenant Health Behavioral Health
Services
Narrative Information
Covenant Health Foundation - Covenant ChIldreWs/Covenant Health Behavioral Heaih
Methodology
Intensive Outpatient Program (IOP):
The Covenant Health/Texas Tech University Health Sciences Center IOP program Is a 10-week
Intensive program, with aftercare programs that extend for up to 48 weeks. This program
follows the Matrix lOP method, which familiarizes clients with 12-step programs and other
support groups, teaches clients time management and scheduling skills, and includes
conducting regular drug and breath -alcohol testing. This program allows the client to live at
home and pursue employment, while engaging In the recovery services daily for a supportive
recovery community.
Description of service
Intake process - (one session) - This assessment Is based upon the premise that integrated
assessment and treatment of co-occurring substance use and mental health disorders are best
practices. Therefore, several mental health instruments and assessment tools are used in
conjunction with the Addiction Severity Index for this comprehensive psychosociai assessment.
This assessment allows the client to become oriented to the program, Including client grievance
procedures, client rights, program expectations, and overview and scheduling of services.
Individual counseling sessions - Each client is assigned one primary counselor. The counselor
meets individually with the client, and possibly the client's family members, weekly in the Initial
phase of treatment with a step down in services as needed. As needed individual sessions can
also be requested and scheduled with the client's individual counselor.
Early Recovery Skills Group - (eight sessions) — This group is an introduction to the structure
needed to be successful In early recovery. Group topics include scheduling, triggers, and
recognizing addictive behaviors.
Relapse Prevention Group - (28 sessions) — This group makes up the bulk of programming in
this program. Topics are designed to help clients understand their addiction behaviors and
process in depth.
Family Education Group- (10 sessions) - Ten, 90-minute family education group sessions are
held once per week for the duration of the program, and are often the first group attended by
clients and their families. The group format uses PowerPoint slides, discussions, and panel
presentations. The counselor personally Invites family members to attend the series.
Process Group - (10 sessions) - This group is designed for clients to have a space to discuss their
current issues (related to recovery or otherwise) and find solutions with the help of other group
members. The social support group allows clients to build skills such as effective
communication, staying solution focused and providing honest feedback where appropriate.
Texas Commission on Alcohol and Drug Abuse (TACADA) Education - (four sessions) -
Education materials cover STD/HIV, tobacco cessation, and NARCAN and Pregnancy.
Aftercare Group (weekly) — This group Is for clients who have successfully gone through the IOP
program and would like to benefit from a continuation of pre.
These are open admission/revolving groups. As new members begin their program, they may
be placed in groups with clients who have been receiving services for an extended period of
time. Group members' start and end dates may differ.
Each service component listed above is conducted by one of the counselors.
The Covenant Health IOP promotes a drug -free recovery and environment. In order to monitor
sobriety, we conduct random drug screens throughout the client's treatment program.
Any refusal of testing may result in an automatic positive result. Diluted drug screens result in
automatic retesting, and consistent diluted screens will be considered positive.
Covenant Health Foundation - Covenant Children's/Covemnt Health Behavioral Health
Services
Expertise
The current chemical dependency program located at Covenant Health was developed by doctoral level
c#rdclans at Texas Tech University Health Sciences Center (TTUHSC), licensed in Marriage and Family
Therapy or Professional Counseling areas, in collaboration with board certified faculty psychiatrists. The
Matrix Model was the foundation as an evidence -based practice for the program and the development
of its curri alum, as recommended by the Substance Abuse Mental Health Service Administration
(SAMHSA).
Previous Chemical Dependency Projects:
The TTUHSC Department of Psychiatry Southwest Initiative for Addictive Diseases has successfully
collaborated with the Federal Bureau of Prisons for Prisons and Federal United States Probation Office
for approximately thirty years to provide outpatient Individual and group services to help clients re-
enter the community successfully and maintain sobriety. This project is ongoing. References for these
two SWIAD projects are:
Greg Cruz
Sr. Probation Officer
1205 Texas Avenue, Room 106
Lubbock TX 79401-4001
806,472-1142
area cruz@txq%u.scourts.gov
Crystal A Lotterberry, MHS, LCDC
Community Treatment Oversight Specialist
Federal Bureau of Prisons
344 Marine Forces Drive
Grand Prairie, TX 75051
Phone: 972-730-8943
Ccorsev@boo.eov
Covenant Health Chemical Q=ndena Intensive Outoatlent P(ggram (CD lop):
Covenant Health Behavioral Health and TTUHSC Department of Psychiatry clinicians opened the
Covenant Health CD IOP in February of 2020 and continued its operation in the midst of the CDVID-19
pandemic. The IOP program utilizes the SAMHSA Matrix Model and Is for treatment of patients with
mental health and chemical dependency disorders. The program currently offers both virtual and in -
person individual counselirig sessions as well as in -person group sessions. Weekly urine analysis and
breathalyzers are conducted to ensure sobriety of participants in the program. This project is ongoing.
References for the CD IOP are:
Kimberly Kerkslek, PhD.
Senior Director of SWIAD
TTUHSC Department of Psychiatry
36014a' Street, STOP 8103
Lubbock, Texas 79430
Phone: 806-743-280D
KImbarhr. ke ds slek0t tuh seed u
Alan Korinek, PhD.
Senior Director EAP/The Counseling Center
TTUHSC
3602 Wh Street, STOP 8119
Lubbock, Texas 79430
Phone: 806-743-1327
Alan.korinek@ttuhsc.edu
Thomas F. McGovern, EdD.
Professor Emeritus
TTUHSC Department of Psychiatry
3601411 STOP 8103
Lubbock, Texas 79430
Phone: 806-743-2800
Thomas. mcaovernattuhsc.edu
Grant funds — Texas Department of Health and Human Services
Funds were provided to Covenant Health for salary and benefits, supplies, equipment, and contractual
costs for detox services, IOP, and medication management. Covenant Health collaborated with TTUHSC
on this project, which ended 8/31/20.
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GENERA.
We would like to introduce you to Covenant
Chemical Dependency Intensive Outpatient
Program, also known as IOP. We understand
making a step towards treatment can be
challenging and often filled with uncertainty.
Our staff is dedicated to providing you with an
individualized approach to cane.
IOP is a substance abuse treatment program
that is determined by clinical and/or medical
assessment. IOP is appropriate for those who
do not need medically -supervised detox or
residential level of care. however, they need
more than community support.
This levelof care allows the individual to be
part of a recovery program on a part-time yet
intensive schedule designed to accommodate
work and family life. With this program, you
can start rebuilding your life right away as
you live at home while addressing family,
career or educational issues during your
recovery. Additionally, you can build strong
recovery community ties in your home town
while establishing the foundation for your
long-term recovery.
The Matrix Model is a comprehensive.
multi -format program that covers six key
clinical areas:
+ INDIVIDUAL/CONJOINT THERAPY
+ EARLY RECOVERY
+ RELAPSE PREVENTION
+ FAMILY EDUCATION
+ SOCIAL SUPPORT
+ URINE TESTING
It's an integrated therapeutic model
incorporating:
COGNITIVE BEHAVIORAL
MOTIVATIONAL ENHANCEMENT
COUPLES AND FAMILY THERAPY
INDIVIDUAL SUPPORTWEXPRESSIVE
PSYCHOTHERAPY AND PSYCHOEDUCATION
TWELVE -STEP FACILITATION
GROUP
The TOP covers a comprehensive
io-week curriculum, led by experienced
substance abuse providers. Individual
and group therapy services are available
for up to 8 hours a week. Group times are
reflected below:
MONDAY
5:30 pm - 8:30 pm
TUESDAY
5:30 pm - 8:30 pm
THURSDAY
5:30 pm - 8:30 pm
Covenant Health Foundation - Covenant Childrens/Covenant Heald l Behavioral Health Services
List of Principals
Name of Principal Amount of Time Involved in the ect
Jessica Nelson, MD 5%
Me" Director of Behavioral Health, Covenant Health
Program Director, Psychiatry Residency Program
Associate Professor of Psychiatry, Texas Tech University Health Sciences Center
Mary Giles, MSN, RN
Manager, Behavioral Health Services
Covenant Health
21%
Lauren Crumpter, BSN, RN 2S%
Nurse Prowl Development Special Behavioral Health Services
Covenant Health
Cynthia D'Sauza, PhD
Counselor
Texas Tech University Health Sciences Center
Billy Hued. LPC
Counselor
Texas Tech University Health Sciences Center
A" (Menchaca LMSW, LCDC
Soclal Worker
Behavioral Health Services
Covenant Health
Michelle Swallows Vermiye, LMSW, LCDC
Social Worker
Belwvioral Health Services
Covenant Health
100%
10D%
100%
cove=* Health F - covenant madi WsIcavenent Health Behavioral afeafth Sendoes
List of Odcer profasdon@b
List of Profenkmah
Lucas Divine
KeNI McElhone
Kbry Allyn Blair
Lindsay Young
Sarah Mapard Wakefield, MD
eto0of Experience
Regional Director Operations
Covenant Children's
Manager Grants and Foundations
Covenant Health Foundation
Senior Clinical Department Administrator
Percentage of Time involved In the Project
S96
5%
S%
Texas Tech University Health Sciences Center School of Medicine
Depwbrmd of Psychiatry
Adjunct Instructor
Texas Tech University Health Sciences Center School of Health Professions
Department of Healthcare AdmMistration and Leadership
'please see attached CV
Director 30%
Department of Psychiatry/SWIAD
Texas Tech University Health Sciences Center School of Medicine
'please see attached Resume
Chair, Department of Psychiatry 596
Director of Child and Adolescent Psyd" Services
Associate Professor of Psyddatry
Texas Tech University Health Sciences Center
'please see attached CV
Chemical Dependency Intensive Outpatient Program Org Chart (Current December 2020)
No area Report
—. ; Indirect Report
Covenant Health Foamdatlon - Covenant Children s/Covenant Health Gehaviorsl Health
services
Additional Narrative Information
TREATMENT OF ADULTS
What services do you provide and how long have you provided services?
Covenant Health Behavioral Health, in collaboration with Texas Tech University Health Sciences Center
Department of Psychiatry, has been providing chemical dependency and detox services to adults In the
Lubbock and surrounding area for over 40 years. This care was provided in an inpatient psychiatric unit
and an outpatient ambulatory dank. However, in February of 2020, the two organizations joined forces
to open an intensive outpatient program (IOP) for chemical dependency, funded with State grant funds.
The IOP Is based on the Meft model as recommended by the SAMHSA (Substance Abuse and Mental
Health Services Administration). it offers group counseling and individual counseling, as well as
monitoring substance use via urinalysis and breathalyzer.
Now many individuals do you some daily and annually? in the tOP, 50 have been referred, 3S enrolled,
and 28 patients have completed. What is your rate of completion? 8096 What Is the procedure for
follow up after patient die? Once a patient Is discharged, we reach back out at the 30, 60, and 90
day marks to follow up on sobriety as well as satisfaction with the program. Patients are allowed to
come back into the program for "booster" sessions if needed for up to 12 months after completion.
What curriculum =4 strategies do you currently implement? The matrix model by SAMHSA is used for
IOP. Do these meet the grant requirements listed In the scope of work? Yes. 0 not, what changes to
prwomming need tobe nude? NA
Now many people do you propwo serving through this funding program?
ice Type v
Maximum enrolled
t one time
padty for 12
onths
ult Outpatient -Individual
2
60
tient-Group Counseling
2
60
tient-G Education
2
60
atlent-Individual Counsel!
2
b0
ult Intensive Residential
A - Supportive Residential
A
duct - Ambulatory Detoxification
A
ult — Residential Detoxification
ult— HIV Residential
A
A
ult HIV Residential Wraparound Services
Medicaid Adult— 21 and Over]
Exhibit D
BUSINESS ASSOICATES
AGREEMENT
Exhibit D
BUSINESS ASSOICATES
AGREEMENT
BUSINESS Associm AGREEMENT
This Business Associate Agreement (the "Agreement"), effective
September 28, 2021 is entered into by and between the City of Lubbock ("City" or
"Covered Entity") Covenant Health Foundation. (the "Business Associate"), (each a "Party"
and collectively the "Parties").
Business Associate is a provider of City of Lubbock for Grant Reporting Software for
Community Development. (the "Services"), and the Covered Entity is a political subdivision
of the State of Texas. The Parties have an agreement (the "Master Agreement") under which
the Business Associate regularly uses and/or discloses Protected Health Information in its
performance of the Services described. Both Parties are committed to complying with the
Standards for Privacy of Individually Identifiable Health Information under the Health
Insurance Portability and Accountability Act of 1996 ("HIPAA"). This Agreement sets forth
the terms and conditions, pursuant to which the Protected Health Information, that is provided,
created, or received by the Business Associate, from or on behalf of the Covered Entity, will be
handled between the Business Associate and the Covered Entity, and further with third parties
during the term of the Master Agreement and after its termination. The Parties agree as follows:
Covered Entity will make available to Business Associate certain information (e.g.,
medical records, patient information that is confidential and must be afforded special treatment
and protection) in connection with Services provided by Business Associate to Covered Entity
pursuant to the Master Agreement.
Business Associate will have access to and/or receive from Covered Entity certain
Information that can be used or disclosed only in accordance with this Agreement, the Master
Agreement and the Department of Health and Human Service Privacy Regulations.
Covered Entity and Business Associate agree as follows:
1. Business Associate shall not use or disclose Protected Health Information except
as provided in this Agreement, the Master Agreement or required by law.
A) The City of Lubbock agrees to provide Business Associate with a list of
employees who are authorized to request retrieval of government documents.
The City of Lubbock will be responsible for ensuring the fax machine is in a
secured area for the receipt of confidential information.
B) The City of Lubbock will fax to Business Associate a written, signed, and
dated release of information request to Business Associate at: 806 723-
6256. Business Associate will verify the name of the requestor and the
incoming fax number prior to retrieving the requested document(s). Business
Associate will verbally contact the original requestor prior to faxing or
physically returning the documents and confirm request, verify documents,
fax number and/or ship to address.
C) Business Associate will return requested documents per City of Lubbock
instructions. Fax requested returns will be to the authorized requestor's
attention at (806)775-2164. Physical return of documents will be to the
Business Associate Agreement —My of Lubbock Page i 0 3
authorized requestor's attention at: The City of Lubbock, Citizens Tower,
1314 Avenue K, 9tb Floor, Lubbock, TX 79401
D) Business Associate will document method of return and original written
authorization of release. Business Associate will maintain all release
information for a period of six (6) years.
2. Business Associate shall implement and maintain appropriate safeguards to
prevent the use or disclosure of Protected Health Information other than as
provided herein.
3. Business Associate shall report to Covered Entity any use or disclosure of
Protected Health Information in violation of this Agreement or the Master
Agreement in which Business Associate becomes aware.
4. Business Associate agrees that anytime information is provided to or made
available to any subcontractors or agents, Business Associate shall enter into a
subcontract with the subcontractor or agent that contains the same terms,
conditions and restrictions on the use and disclosure of information as contained
in this Contract.
5. Business Associate shall make Protected Health Information available through
and upon written request of the Covered Entity, to the individual subjects of such
information.
6. Business Associate shall incorporate into this Agreement any amendments or
convections to Protected Health Information when notified by Covered Entity.
7. Business Associate shall provide for an accounting of uses and disclosures of
Protected Health Information as requested by Covered Entity.
8. Business Associate shall make its internal practices, books and records relating to
the use and disclosure of Protected Health Information available to the Secretary
of the Department of Health and Human Services (HHS) as necessary for
purposes of determining Covered Entity's compliance with the HIPAA Privacy
Rule.
9. At termination of this Agreement Business Associate agrees to return or destroy
all information received from, or created or received by Business Associate on
behalf of Covered Entity. Business Associate agrees not to retain any copies of
the information after termination of this contract. If return or destruction of the
information is not feasible, Business Associate agrees to extend the protections of
this Agreement for as long as necessary to protect the information after the
termination of this Contract.
10. Covered Entity may terminate this agreement if it determines that Business
Associate has violated a material term of this agreement after first providing
written notice of such breach to Business Associate. Business Associate will then
Busleess Assodate Agreement - uty of lubbodc f►age 2 of 3
have seventy-two (72) hours to rec* said breaeb and notify Covered Entity of
the resolution.
11. If termination of the contract is not feasible, then Covered Entity must report this
violation to the Secretary of HHS.
12. The information shall be and remain the property of Covered Entity. Business
Associate agrees that it acquires no title or rights to the information, including any
de -identified information, as a result of this Contract.
In witness whereof, Business Associate and City have caused this Contract to be signed
and delivered by their duly authorized representatives, as of the date set forth above.
The City of Lubboc Contractor
Print Name. Daniel M. Pope t•print-ftme:
Title• Mayor Title:} r(a ULAN . J 1IrP C(OPJIACA }'
0rqW
&Wb AUOCkftApt—aIVGI& O* Pasesefs
Exhibit E
INSURANCE COVERAGE REQUIRED
DocuSign Envelope ID: AFBF8733-2117-4DAE-89B7-D6B5CDCE538D
City of Lubbock, TX
Purchasing & Contract Management
INSURANCE COVERAGE REQL IRED
TYPE OF INSURANCE
COMBINED SINGLE LIMIT
GENERAL LIABILITY
❑■ Commercial General Liability
General Aggregate I.M.000
❑ Claims Made ❑ Other
Products-Comp/Op AGG X
❑ WiHemy Equipment ❑■ Occurrence
Personal & Adv. Injury X
❑ XCU
Contractual Liability X
❑ To Include Products of Complete Operation Endorsements
Fire Damage (Any one Fire)
Med Exp (Any one Person) X
❑ PROFESSIONAL LIABILITY ❑ Occurrence
General Aggregate
❑ or Technical Errors and Omissions
❑ CYBER LIABILITY ❑ Occurrence
General Aggregate
OTHER:
Combined Single Limit 1,000,000
x❑ Medical Malpractice ❑■ Occurrence
General Aggregate '_000001
AUTOMOTIVE LIABILITY
0 Any Auto ❑ All Owned Autos
Per Occurrence
❑ Scheduled Autos ❑ Hired Autos
❑ Non -Owned Autos
Aggregate
EXCESS LIABILITY
❑ Umbrella Form
Each Occurrence _
Aggregate
GARAGE LIABILITY
❑ Any Auto
Auto Only - Each Accident _
❑ Other than Auto Only:
Each Accident
Aggregate
❑ BUILDER'S RISK ❑ 100% of the Total Contract Price
❑ INSTALLATION FLOATER ❑ 100% of the Total Material Costs
❑ POLLUTION
❑ CARGO
❑� WORKERS COMPENSATION or OCCUPATONAL MEDICAL AND DISABILITY 500.000
❑■ EMPLOYERS' LIABILITY
Iow —
OTHER: COPIES OF ENDOSEMENTS ARE REQUIRED
❑■ City of Lubbock named as additional insured on Auto/General Liability
on a primary and non-contributory basis.
❑■ To include Products and Completed Operations Endorsements
❑ Waiver of subrogation in favor of the City of Lubbock on all coverages
❑ No insurance required.
Additional Comments:
City and Contractor agree that Contractor cannot waive subrogation for Workers Compensation claims; however. Contractor agrees to waive subrogation under other coverages referenced above.
City and Contractor agree that Texas Tech University Health Sciences Center ('TTUHSC'), as a subcontractor to Contractor, is a stale entity and cannot agree to contract provisions that potentially
place TTUHSC at nsk for becoming a debtor, including but not limited to subrogation provisions. City has agreed to waive these requirements as it relates to TTUHSC as a subcontractor