HomeMy WebLinkAboutResolution - 2017-R0377 - Justice Benefits Inc. - 10/12/2017Resolution No.2017-R0377
Item No.6.23
October 12,2017
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,a Professional Services Contract for Federal
Financial Participation services to be provided to the City of Lubbock Health Department,by
and between the City of Lubbock and Justice Benefits,Incorporated,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 bythe City Council on October 12,2017 •
DANIEL M.POPE.MAYOR
ATTEST:
JL&£JLz
Rebecca Garza,City Secret
APPROVED AS TO CONTENT:
Katherine Wells,MPH,Director of Public Health
APPROVED AS TO FORM:
t)ke^S3^tent City Attorney
RES.PSC-Justice Benefits Inc.
09.26.17
Resolution No. 2017-RO377
AGREEMENT FOR PROFESSIONAL SERVICES
between
Justice Benefits, Incorporated
and
City of Lubbock, Texas
This Agreement is entered into by and between the City of Lubbock, Texas (hereinafter referred
to as the "City") and Justice Benefits, Inc. as the general partner of JBI, LTD, a Texas limited
partnership (hereinafter, collectively referred to as "JBI" or "Contractor"), located at 1711 E. Beltline
Road, Coppell, Texas 75019.
WITNESSETH
WHEREAS, many of the services provided by the City through the Health Department are
funded directly by local and state funds when, in fact, some of those services are eligible for Federal
Financial Participation (hereinafter "FFP"); and
WHEREAS, JBI is willing and able to provide professional assistance to explore opportunities
for new FFP, to review prospects for expansion of existing FFP, and to secure additional FFP as may
be appropriate for the City;
NOW, THEREFORE, for and in consideration of these mutual covenants and promises
recorded herein, the parties hereto agree as follows.
ARTICLE I
RESPONSIBILITIES OF JBI
JBI agrees to perform the following services:
1.01 JBI will review the policies and procedures used by the City to identify such additional Federal
and other revenue sources, if any, as may be available to the City through participation in new
programs or expansion of existing FFP. These efforts may include any of the following
activities: advising the City of the reimbursement opportunity, preparing or enhancing the
claim, preparing or assisting with submittal packages, preparing audit files, assisting the City
with submittals, assisting the City should it be audited for claims on which the Company
assisted, or other related federal revenue enhancement activities.
1.02 JBI will continually monitor for new opportunities of funding. Whenever a new federal
reimbursement opportunity arises, JBI may notify the City of that opportunity. JBI will strive to
identify and optimize all federal reimbursement opportunities for the City; but is not obligated
to make the City aware of all possible opportunities and shall have no liability for any omission
to identify the same. Upon the City signing an Initiative with JBI for the claiming of federal
dollars, then JBI will be entitled to compensation for that Initiative as set forth in Article V of
this Agreement.
JBI Contract 2017
1
ARTICLE II
RESPONSIBILITIES OF THE CITY
2.01 The City agrees to perform the following activities:
a. Designate a properly authorized City representative to sign each JBI Initiative of which the
City approves.
b. Designate a contract monitor who shall:
i. Be the person responsible for monitoring JBI's performance under the terms and
conditions of this Agreement; and
ii. Authorize payment for services rendered based upon properly submitted invoices to
the City in accordance with Article V of this agreement (i.e. Compensation).
c. Provide JBI with copies of or access to documents and databases that are necessary for the
successful completion of work required by this Agreement.
ARTICLE III
INITIAL TERM AND RENEWAL
3.01 The initial term of this Agreement is one year, commencing with the date of this Agreement
(the "Initial or Renewal Term").
3.02 Upon conclusion of the Initial Term of this Agreement, this Agreement may continue by mutual
agreement by both parties from year to to year for a maximum of four (4) addiontal years.
ARTICLE IV
CONFIDENTIALITY
The City and JBI mutually agree that the confidentiality of the information obtained by JBI
shall be strictly observed, as permitted by law, in any reporting, auditing, invoicing and evaluation,
provided however, that this provision shall be construed as a standard of conduct and not a limitation
upon the right to conduct the foregoing activities.
ARTICLE V
COMPENSATION
5.01 The intent of this Agreement is to compensate JBI for new revenues received by the City that
are a direct result of JBI's efforts. These efforts may include any or all of the following activities:
advising the City of the reimbursement opportunity for the health department, preparing or enhancing
the claim, preparing of submittal packages, preparing audit files, assisting the City with submittals,
JBI Contract 2017
2
assisting the City should it be audited for claims on which the Company assisted, or other related
federal revenue enhancement activities. The parties agree JBI will be compensated for new or
enhanced revenue sources that directly result from JBI's activities at the following rate:
❖ Fifteen percent (15%) of all revenue paid to the City (prospectively or retroactively) as
described in each of the City signed Initiatives. JBI will be paid its fees for a minimum of four
years worth of claims filed prospectively once an Initiative is signed by the City. In addition,
JBI will be paid its fees on any retroactive claims filed for that same Initiative.
5.02 Unless otherwise agreed or directed by JBI in writing, the City shall make payment to the order
of JBI, at 1711 E. Beltline Road, Coppell, Texas 75019.
5.03 Both parties recognize that delays in payment or reimbursement to the City by the Federal
government may occur. JBI will be reimbursed within thirty (30) days after funds are actually received
by the City and an accurate invoice is delivered to the City by JBI, even if those receipts occur beyond
the term of this Agreement.
5.04 JBI agrees that in the unlikely event any funds recovered by the City as a result of this
Agreement be subsequently disallowed, that the related fees paid to JBI based on such disallowed
reimbursements will be credited against future payments to JBI, or be promptly repaid to the City
should this agreement be terminated. In any event, the monetary amount of damages and the full extent
of JBI's liability to the City, if any, shall be strictly limited to the amount of funds paid to, or owed to,
JBI as a result of this Agreement.
5.05 JBI shall have the right to review the City's claims, grant awards, and such books, records, and
other documents as may be required to ensure that the payment of JBI's fees is in accordance with this
Agreement.
ARTICLE VI
NOTIFICATION
Any notice, specifications, reports, or other written communications from JBI to the City shall
be considered delivered when posted by certified mail. Any notice, delivered by certified mail to JBI at
the address on the first paragraph of this Agreement shall be considered delivered when posted.
A. Provider's address and numbers for the purposes of notice are:
April Farmer
Senior Vice President
Justice Benefits, Inc.
1711 E. Beltline Rd.
Coppell, TX 75019
Telephone: (972) 406-3728
B. City's address and numbers for the purposes of notice are:
JBI Contract 2017
3
Katherine Wells,
Health Department Director
City of Lubbock
P.O. Box 2000
1625 13th Street
Lubbock, Texas 79457
Telephone: 806-775-2941
ARTICLE VII
MISCELLANEOUS PROVISIONS
7.01 Authority. All necessary approvals for the execution of this Agreement have been obtained and each person
executing this agreement on behalf of the City is authorized to execute this Agreement as the binding act of the City.
Some programs require a submission with digital signature from an authorized elected official of the City.
Contractor will prepare the claim and then provide step-by-step instructions for the authorized City official to complete the
online form.
7.02 Changes to be in Writing. This Agreement may be modified to include additional work the City desires to be
completed on a fixed or contingent fee basis with the written consent of both parties.
7.03 Choice of Law, Forum Selection and Alternative Dispute Resolution. Once records are made available, the
claim preparation work will be performed by the Contractor at its headquarters in Dallas City, Texas. This Agreement shall
be governed by the laws of the State of Texas, and any disputes shall be resolved in said state. The parties prefer informal
resolution of any disputes. Prior to filing litigation, the parties shall discuss participating in alternative dispute resolution,
including a pre -suit mediation or settlement conference.
7.04 Venue and Applicable Law. This Agreement is subject to all present and future valid laws, orders, rules and
ordinances and/or regulations of the United States of America, the State of Texas and the Parties, and any other regulatory
body having jurisdiction. This Agreement shall be construed and governed according to the laws of the State of Texas. The
sole venue for any action, controversy, dispute or claim arising under this Agreement shall be in a court of appropriate
jurisdiction in Lubbock County, Texas exclusively.
7.05 Counterparts. This Agreement and the Initiatives that follow may be executed in separate counterparts, each of
which shall be deemed to be an original, and such counterparts shall together constitute but one and the same document.
7.06 Entire Agreement. This Agreement and its attachments (including all approved Initiatives), if any, contain the
entire Agreement between the Contractor and the City. Any previous proposals, offers, discussions, preliminary
understandings and other communications relative to this Agreement, oral or written, are hereby superseded by this
Agreement.
7.07 Force Maieure. Contractor shall be excused from performance during any delay beyond the time named for the
performance of this contract caused by any act of God, war, civil disorder, strike or other cause beyond its reasonable
control.
7.08 Headings. The headings used herein are for convenience only and shall not limit the construction or interpretation
hereof.
7.09 Inconsistencies. Where there exists any inconsistency between this Agreement and other provisions of collateral
contractual agreements that are made a part hereof by reference or otherwise, the provisions of this Agreement shall control.
7.10 Indemnification. Contractor agrees to indemnify the City, its officers, employees and agents for injury to persons
or property, including contractor, its officers, employees or agents, the City, its officers, employees or agents, or other
persons where such injury proximately results from an intentional act or omission of the Contractor or its employees.
7.11 Independent Contractor. Contractor shall be considered an independent contractor and not an employee of the
City. Contractor shall be solely responsible for paying its own staff and the out-of-pocket expenses it incurs in providing
services hereunder. Contractor shall also maintain general liability insurance at its own expense, in addition to workers'
compensation coverages as may be required by law, and will provide proof of insurance to the City upon twenty (20) days
notice.
JBI Contract 2017
IN WITNESS WHEREOF, the undersigned parties are fully authorized by the City and the
Company respectively to execute this Agreement as of the date written below, as well as JBI Initiatives
as federal reimbursement opportunities arise from time to time.
EXECUTED THIS 12th DAY OF October , 2017
AGREED:
City of Lubbock, Texas
Daniel M. Pope, Mayor
City of Lubbock
1625 13"' Street
Lubbock, Texas 79401
APPRO ED AS TO CONTENT:
Katherine Wells
City of Lubbock Health Department, Director
APPROVED AS TO FORM:
Ry ook
Assis t City Attorney
ACCEPTED BY:
JBI, LTD., a Texas Limited Partnership
By: Justice Benefits, Inc., a Texas Corporation
Its: rporate Gener'q Partner
April Farmer
Senior Vice President
1711 E. Beltline Road
Coppell, Texas 75019
JBI Contract 2017
6
INITIATIVE: Medicaid Administrative Claiming (MAC)
A) Description of JBI's Contribution:
JBI recognizes that the City of Lubbock, Texas could file Medicaid Administrative Claiming (MAC)
claims. MAC seeks reimbursement for activities that improve access to Medicaid coverage or improve
the use of Medicaid covered services, per Texas Health and Human Services Commission.
JBI will assist with the Implementation Plan, provide training, be a secondary financial contact, enter
financial information into database, and obtain the necessary financial data to successfully prepare
MAC claims for the Health Department.
B) Claims submitted:
No claims yet submitted by JBI.
C) Total Increased Reimbursements expected:
Unknown until data is collected.
D) Fee Structure:
JBI will be paid its fees per its contract with City of Lubbock, Texas on all amounts generated from
this program.
E) Agreed, JBI may proceed with this Initiative:
City of Lubbock, Texas:
Daniel M. Pope
Mayor
Justice Benefits, Inc.: (�P�
Ad Farmer
Senior Vice President
JBI Contract 2017
October 12,1017
Date
9 /,)- 1 1 -7
Date
7
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
lofl
Complete Nos. 1- 4 and 6 if there are interested parties.
OFFICE USE ONLY
Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties.
CERTIFICATION OF FILING
Certificate Number:
2017-268399
1
Name of business entity filing form, and the city, state and country of the business entity's place
of business.
Justice Benefits, Inc.
Coppell, TX United States
Date Filed:
10/04/2017
2
Name of governmental entity or state agency that is a party to the contract for which the form is
being filed.
City of Lubbock
Date Acknowledged:
3
Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a
description of the services, goods, or other property to be provided under the contract.
13527
Government consulting firm assisting the health department with a Federal revenue program called Medicaid Administrative
Claiming (MAC).
Nature of interest
4
Name of Interested Party
City, State, Country (place of business)
(check applicable)
Controlling I
Intermediary
5
Check only if there is NO Interested Party. ❑
6
AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct.
�* iM ' 4, DANIEU.E LEDAT
* *_= MY COMMISSION EXPIRES
Novw&r 16, 2019
Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP 1 SEAL ABOVE
) /'�
Sworn to and subscribed before me, by the said T7[� pn;` F"-Jy - this th_ Ll th -- day of OCT�f3EyL ,
20 17 , to certify which, witness my hand and seal of office.
, \ "I U1I E L�bA7 � jc c.—Ixan.a �-
Signature of officer a ministering oath Printed name of officer administering oath Title of officer administering oath
ki;— \i1 n
Forms provided by Texas Ethics commission www.euocs.aare.0 .Ub
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
1 of 1
Complete Nos. 1- 4 and 6 if there are interested parties.
Complete Nos. 1, 2, 3, 5, and 6 if there are no interested parties.
OFFICE USE ONLY
CERTIFICATION OF FILING
Certificate Number:
2017-268399
Date Filed:
10/04/2017
Date Acknowledged:
10/04/2017
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
Justice Benefits, Inc.
Coppell, TX United States
2 Name of governmental entity or state agency that is a party to the contract for which the form is
being filed.
City of Lubbock
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a
description of the services, goods, or other property to be provided under the contract.
13527
Government consulting firm assisting the health department with a Federal revenue program called Medicaid Administrative
Claiming (MAC).
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
I Intermediary
5 Check only if there is NO Interested Party. ❑
X
6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct.
Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said this the day of
20 , to certify which, witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.3337