HomeMy WebLinkAboutResolution - 2020-R0208 - Contract HHS000779500005, Co-Occuring Psyciatric And Substance Use Service - 06/23/2020Resolution No. 2020-R0208
Item No. 7.21
June 23, 2020
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City oI'Lubbock is hereby authorized and directed to execute for
and on behalf of the City of l.ubbock. Health and Human Services Commission Contract
No. Hi iS0007795000U5. under the Substance Use Disorder Treatment, to provide funding
for Co-Occurring Psychiatric and Substance Use Disorders Services, and all 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 June 23.2020
DANIEL M. POPE, MAYOR
ATTESr:
Rebucca (iarza. City Seer
APJ'ROVED AS TO CONTENT:
Bill Ho;^lon' Deputy City
APPROVED AS TO FORM:
R e. Assistant City Attorney
KiiS.HHS Contraci No. 1II ISU0()7795C)0005
6,9.20
Resolution No. 2020-RO208
SIGNATURE DOCUMENT FOR
HEALTH AND HUMAN SERVICES COMMISSION
CONTRACT No. HHS000779500005
UNDER THE SUBSTANCE USE DISORDER TREATMENT
CO-OCCURRING PSYCHIATRIC AND SUBSTANCE USE DISORDERS
PURPOSE
The Health and Human Services Commission ("System Agency"), a pass -through entity, and City
of Lubbock ("Grantee") (each a "Party" and collectively the "Parties") enter into the following
grant contract to provide funding for Co -Occurring Psychiatric and Substance Use Disorders
(COPSD) services (the "Contract').
LEGAL AUTHORITY
This Contract is authorized by and in compliance with the provisions of the Substance Abuse
Prevention and Treatment Block Grant, 42 U.S.C. 300x-21, of seq., and Texas Government Code
Chapters 531.039.
DURATION
The Contract is effective on July 1, 2020, and terminates on August 31, 2021, unless extended or
terminated pursuant to the terms and conditions of the Contract. The System Agency, at its own
discretion, may extend this Contract subject to terms and conditions mutually agreeable to both
Parties.
BUDGET
The System Agency allocated share by State Fiscal Year is as follows:
1. Fiscal Year 2021, July 1, 2020 through August 31, 2020: $79,700.00
2. Fiscal Year 2022, September 1, 2021 through August 31, 2021: $79,700.00
The required match per State Fiscal Year is $3,985.00
The total amount of this Contract, including applicable match, will not exceed $167,370.00.
All expenditures under the Contract will be in accordance with ATTACHMENT B, PROGRAM
SERVICES & UNIT RATES.
REPORTING REQUIREMENTS
Grantee shall submit all documents identified below, in accordance with ATTACHMENT A
STATEMENT OF WORK:
Document Name Due Date
System Agency Contract No. HHS000779500005
Page 1 of 4
Clinical Management of Behavioral Health
September 15 & March 15 annually
Services (CMBHS) System Security
Attestation Form and
List of Authorized Users
Quarterly Match Report
Due 15" day following quarter being reported
Closeout documents
October 15 (45 days after end of state fiscal
year)
CONTRACT REPRESENTATIVES.
The following will act as the Representative authorized to administer activities under this Contract
on behalf of their respective Party.
System Aeencv
Health and Human Services Commission
P.O. Box 149347
Austin, TX 78714
Attention: Bryan Hunter, Contract Manager
Grantee
City of Lubbock
1625 13th Street
Lubbock, TX 79401
Attention: Daniel Pope
LEGAL NOTICES
Any legal notice required under this Contract shall be deemed delivered when deposited by the
System Agency either in the United States mail, postage paid, certified, return receipt requested; or
with a common carver, overnight, signature required, to the appropriate address below:
System Agency
Health and Human Services Commission
Brown-Heatly Building
4900 N. Lamar Blvd., MC 1100
Austin, TX 78751
Attention: Office of Chief Counsel
Grantee
City of Lubbock
1625 13th Street
Lubbock, TX 79401
Attention: Daniel Pope
System Agency Contract No. HHS000779500005
Page 2 of 4
NOTICE REQUIREMENTS
Notice given by Grantee will be deemed effective when received by the System Agency. Either Party
may change its address for notices by providing written notice to the other Party. All notices
submitted to System Agency must:
A. include the Contract number;
B. be sent to the person(s) identified in the Contract; and,
C. comply with all terms and conditions of the Contract.
IX. ADDITIONAL GRANT INFORMATION
Federal Award Identification Number (FAIN):
Federal Award Date:
Name of Federal Awarding Agency:
CFDA Name and Number:
Awarding Official Contact Information:
B08TIO10051-18
10/01/2017
Department of Health and Human Services
(HHS), Substance Abuse and Mental Health
Services Administration (SAMHSA)
93.959
Odessa Crocker, Grants Management
Officer, Point of Contact is Wendy Pang,
Grants Specialist, Contact Number: (240)
276-1419, Facsimile: (240) 276-1430, Email:
Wendy.Pang@samhsa.hhs.gov
System Agency Contract No. HHS000779500005
Page 3 of 4
SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO.
HEALTH AND HUMAN SERVICES COMMISSION
Date of execution:
CITY OFILUBBBBOCCKK`,„ /
v I
Name: Daniel M. Pope
Title: Mayor
Date of execution: June 23, 2020
THE FOLLOWING DOCUMENTS ARE HEREBY ATTACHED TO SYSTEM AGENCY CONTRACT NO.
HHS000779500005:
ATTACHMENT A
STATEMENT OF WORK
ATTACHMENT A-1
STATEMENT OF WORK SUPPLEMENTAL
ATTACHMENTA-2
SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT)
BLOCK GRANT CONTRACT SUPPLEMENTAL
ATTACHMENT B
PROGRAM SERVICES & UNIT RATES
ATTACHMENT C
GENERAL AFFIRMATIONS
ATTACHMENT D
UNIFORM TERMS AND CONDITIONS -GRANTEE
ATTACHMENT E
SPECIAL CONDITIONS VERSION 1.2
ATTACHMENT F
FEDERAL ASSURANCES AND CERTIFICATIONS
ATTACHMENT G
DATA USE AGREEMENT VERSION 8.5
ATTACHMENT
FISCAL FEDERAL FUNDING ACCOUNTABILITY AND
TRANSPARENCY ACT (FFATA) FORM
ATTACHMENT[
UTILIZATION MANAGEMENT (UM) GUIDELINES
ATTACHMENTS FOLLOW
;a:nwtl Yk Mrt
U
APPROVED ASTOOOHfm
Atteat:Re Garza, City atary
Syriem Agency Contract No. HHS000779500005
Page4of4
ATTACHMENT A
STATEMENT OF WORK
I. PURPOSE
To provide adjunct services to clients with co-occurring psychiatric and substance use disorders
(COPSD), emphasizing integrated treatment for both mental health needs and substance use
disorders.
II. SERVICE REQUIREMENTS:
Grantee shall:
A. Administrative Requirements
1. Comply with all applicable Texas Administrative Code (TAC) rules adopted by the
System Agency related to SUD treatment.
2. Document aft specified required activities and services in the Clinical Management of
Behavioral Health Services (CMBHS) system. Documents that require client or staff
signature shall be maintained according to TAC requirements and made available to
System Agency for review upon request.
3. Provide age -appropriate medical and psychological therapeutic services designed to
treat an individual's substance use disorder and promote recovery.
4. In addition to TAC and SUD UM required Policies and Procedures, Grantee shall
develop and implement organizational policies and procedures for the following:
i. A marketing plan to engage local referral sources and provide information to
these sources regarding the availability of substance use disorder treatment,
mental health services, and the Client Eligibility criteria for admissions;
ii. All marketing materials published shall include Priority Populations for
Treatment Programs admissions;
iii. Client Retention in services, including protocols for addressing clients absent
from treatment and policies defining treatment non-compliance; and
iv. All policies and procedures shall be provided to System Agency upon request.
5. Grantee may provide services in Grantee's facility, at the client's home, or other
locations where confidentiality can be maintained.
6. Grantee shall ensure that services are provided in addition to, and not as a replacement
for other services.
7. Grantee's COPSE) specialist -to -client ratios shall not exceed 1:20.
8. Grantee shall bill only hours that Grantee's COPSD specialist spends in face-to-face,
one-on-one counseling or case management sessions with a client and shall not bill for
more than three hours per day, per client.
9. Actively attend and share representative knowledge about Grantee's system and
services at the Outreach, Screening, Assessment, and Referrals (OSAR) quarterly
regional collaborative meetings.
10. Ensure compliance with Client Eligibility requirements to include: Texas residence
eligibility, financial eligibility and clinical eligibility as specified in SUD UM
Guidelines.
11. Grantee will develop a local agreement with Department of Family and Protective
Services (DFPS) local offices to address referral process, coordination of services, and
sharing of information as allowed per the consent and agreement form.
12. Adhere to Memorandum of Understanding requirements as stated in the SUD UM
Guidelines.
13. In addition, when there are multiple System Agency -funded COPSD Grantees in the
same Region, Grantee shall maintain MOUs with the other COPSD Grantees to ensure
that COPSD services are available to all clients of System Agency -funded mental
health and SUD treatment providers.
B. Service Delivery
Grantee shall:
I. Ensure that services to adult and youth clients, as defined as the SUD UM Guidelines,
are age -appropriate and are provided by staff within their scope of practice.
2. Provide all services in a culturally, linguistically, and developmentally appropriate
manner for clients, families, and/or significant others.
3. Develop a policy and procedure and have them available for system agency review on
staff training to ensure that information is gathered from clients in a respectful, non-
threatening, and culturally competent manner.
4. Adhere to TAC related to Access to Services for COPSD Clients.
5. Conduct and document a full substance use disorder and mental health assessment
(separate or integrated) within three individual service days of admission to services
unless completed prior to admission. If the assessment identifies a potential mental
health or substance use disorder problem, Grantee shall offer the client appropriate
mental health and/or substance use disorder services either internally or through
referral. Mental health services shall be provided by a facility or qualified person
authorized to provide such services.
6. Document in CMBHS on the client's treatment plan both mental health problems and
SUD problems with a goal, objectives and strategies documented for each problem.
7. Adhere to TAC related to Treatment Planning of Services to Clients with COPSD.
8. Document in CMBHS the treatment plan within five (5) service days of admission.
9. At a minimum, Grantee shall conduct a treatment plan review every three months.
10. Provide and document in CMBHS services that assist in client stabilization, including
Motivational Interviewing, referrals, case management and other counseling as
indicated by the treatment plan based on the clinical assessment.
11. Address both psychiatric and substance use disorders simultaneously and assist clients
in obtaining available services they need and choose, including self-help groups.
Services shall be provided within established practice guidelines for this population.
12. Provide individual counseling and case management as indicated below:
i. Individual Counseling comprises counseling methods from qualified staff that
assist clients in processing feelings in the area of gaining access to and
remaining engaged in substance use disorder or mental health services or
obtaining access to both.
ii. Case Management comprises services that assist and support the client in
developing skills to gain access to needed medical, social, educational, and
other services essential to meeting basic human needs.
13. Provide a minimum of one hour per week of documented service in CMBHS to each
client.
14. In those instances where the client is receiving multiple services from various other
providers in the community, Grantee shall make reasonable efforts to collaborate with
these providers to avoid duplication of services specifically from the mental health
and substance use disorder fields.
15. Adhere to Texas Administrative Code, regarding Client Rights including Client Bill
of Rights, Client Grievances, and Abuse, Neglect, and Exploitation.
16. Provide overdose prevention and reversal education to all clients.
17. Specific overdose prevention activities shall be conducted with clients with opioid use
disorders and those clients that use drugs intravenously. Grantee will directly provide
or refer to community support services for overdose prevention and reversal education
to all identified at risk clients prior to discharge. Grantee will document all overdose
prevention and reversal education in CMBHS.
18. Ensure access to adequate and appropriate medical and psychosocial tobacco cessation
treatment as follow:
i. Assess all clients for tobacco use and clients seeking to cut back or quit.
ii. If the client indicates wanting assistance with cutting back or quitting, the
client will be referred to appropriate tobacco cessation treatment.
19, Document the client -specific information that supports the reason for discharge listed
on the discharge report. A Qualified Credentialed Counselor (QCC) shall sign the
discharge summary. A client's treatment is considered successfully completed, if both
of the following criteria are met:
i. Client has completed the clinically recommended number of treatment units
(either initially projected or modified with clinical justification) as indicated in
CMBHS.
ii. All problems on the treatment plan have been addressed. Grantee shall use the
Treatment Plan component of CMBHS to create a final and completed
treatment plan version.
(1) Problems designated as "treat" or "case manage" status shall have all
objectives resolved prior to successful discharge.
(2) Problems that have been "referred" shall have associated documented
referrals in CMBHS.
(3) Problems with "deferred" status shall be re -assessed. Upon
successful discharge, all deferred problems shall be resolved, either
through referral, withdrawal, treatment, or case management with
clinical justification reflected in CMBHS, through the Progress Note
and Treatment Plan Review Components.
(4) "Withdrawn" problems shall have clinical justification reflected in
CMBHS, through the Progress Note and Treatment Plan Review
Components.
20. Document in CMBHS a Referral and Referral Follow-up.
21. Grantee shall report the Daily Capacity Management Report Monday through Friday
in (CMBHS) by 11:00 a.m. Central Time. For example: Monday's daily attendance
may be reported on Tuesday and Friday's attendance may be reported on the following
Monday.
22. Grantee will adhere to Wait List requirements. The Waiting List is for individuals who
cannot enter services within one week of request.
i. Upon determining the appropriate level of care, Grantee will make a waiting
list entry in CMBHS that details the service type the individual is waiting for
and the priority population designation of the individual.
ii. Arrange for appropriate services in another treatment facility or provide access
to interim services as indicated within 48 hours when efforts to refer to other
appropriate services are exhausted.
i. Have a written policy on waiting list management that defines why and how
individuals are removed from the waiting list for any purpose other than
admission to treatment.
ii. Ensure eligible individuals who cannot be admitted within one week of
requesting services must be placed on the CMBHS waiting list.
iii. Upon admission, treatment Contractor will close the waiting list entry,
indicating the date of admission as the waiting list end date.
iv. Ensure, either directly or through referral, that individuals waiting for
admission receive interim services as required by SAMHSA Block Grant
requirements.
V. Document weekly contact with all individuals on its waiting list
vi. Notify Substance Use Disorder (Substance_ Use_ Disorder@hhse.state.tx.us)
or System Agency Program Specialist for assistance to ensure immediate
admission to priority populations other appropriate services and proper
coordination when appropriate.
III. STAFF COMPETENCY AND REQUIREMENTS
Grantee shall ensure the following:
1. All personnel shall receive the training and supervision necessary to ensure
compliance with System Agency rules, provision of appropriate and individualized
treatment, and protection of client rights, health, safety, and welfare.
2. All COPSD staff shall have at minimum two hours of training annually on working
with persons in the target population.
3. Adhere to TAC related to Specialty Competencies of Staff Providing Services to
Clients with COPSD
4. Ensure that all COPSD staff have access to additional training annually that allows
staff to maintain up-to-date competencies through governing or supervisory boards for
the respective disciplines. Additional training can be found at National Association
for Alcoholism and Drug Abuse Counselors (NAADAC) website.
httus: /hc ww. naadac.orp/education
5. Ensure that all direct care staff receive a copy of the service requirements within this
statement of work.
6. Individuals responsible for planning, directing, or supervising treatment services shall
be QCCs.
7. Grantee shall have a clinical program director known as "Program Director" with at
least two years of post- QCC licensure experience providing substance use disorder
treatment. Substance use disorder counseling shall be provided by a QCC. All
counselor interns shall work under the direct supervision of a QCC.
8. Within 90 days of hire and prior to providing service delivery, clinical staff shall have
specific documented training in the following:
i. Motivational Enhancement Therapy or motivational interviewing techniques;
ii. Trauma Informed Care;
iii. Cultural Competency;
iv. State of Texas co-occurring psychiatric and substance use disorder (COPSD)
training located at the following website www.centralizedtrainine.com
9. Licensed Chemical Dependency Counselors shall recognize the limitations of the
licensee's ability and shall not provide services outside the licensee's scope of practice
or licensure or use techniques that exceed the person's license authorization or
professional competence.
10. Individual counseling shall be provided by a Licensed Practitioner of the Healing Arts
or a QCC. A QCC shall practice within their scope of practice. As outlined in the 25
TAC Chapter 140, Subchapter I § 140.400.
11. Ensure that a Licensed Professional Counselor Intern (LPC-I), Licensed Marriage and
Family Therapist Associate (LMFT-A) and Licensed Master Social Worker (LMSW)
intending to obtain their LCSW (Licensed Clinical Social Worker) in the State of
Texas, may provide a mental health diagnosis and COPSD mental health counseling
as long as the following criteria is met:
i. Confirmation that LPC-1, LMFT-A and LMSW are registered with each of the
respective licensing boards with a board -approved supervisor and will ensure
that LPC-I, LMFT-A and LMSW are under supervision when providing
counseling under the Contract.
ii. An LPC-I may provide individual COPSD counseling services. Refer to 22
TAC, Chapter 681, Subchapter B.
iii. A LMSW may practice clinical social work in an agency employment setting
under clinical supervision, under a board -approved supervision plan, or under
contract with an agency when under a board -approved clinical supervision
plan. The LMSW under a board supervision plan may provide individual
COPSD counseling services under the Contract. Refer to 22 TAC, Chapter
781.
iv. An LMFT-A may provide individual COPSD counseling services. Refer to 22
TAC, §801.42.
12. Case Management shall be provided face-to-face and one-on-one by:
i. An individual who has been credentialed by the LMHA as a QMHP; or,
ii. An individual who:
(1) has a bachelor's degree from an accredited college or university with
a major in psychology, social work, medicine, nursing, rehabilitation,
counseling, sociology, human growth and development, physician
assistant, gerontology, special education, educational psychology,
early childhood education, or early childhood intervention, or
(2) is a registered nurse.
13. Grantee shall train COPSD staff responsible for providing direct services using
Substance Abuse Mental Health Services Administration (SAMHSA) Treatment
Improvement Protocol (TIP) — Comprehensive Case Management to as a
guideline. https://store,samhsa.pov/product/TIP-27-Comprehensive-Case-
Manaeement-for-Substance-Abuse-Treatment/SMA 15-4215
14. Grantee shall develop a post -training test and provide certificates of completion, both
of which will confirm that COPSD staff demonstrate competency in the following
areas:
i. Knowledge of the location and types of local community resources;
ii. Making referrals in the community in which the client resides;
iii. Development of person -centered treatment plans;
iv. Discharge planning;
V. Documentation of service delivery; and
vi. Ensuring services are culturally, linguistically, and developmentally
appropriate.
ATTACHMENT A -I
STATEMENT OF WORK SUPPLEMENTAL
A. CONTRACT INFORMATION
Vendor ID:
1756000590-034
Grantee Name:
City of Lubbock
Contract Number:
HHS000779500005
Contract Type
Treatment
Payment Method:
Fee -for -Service
DUNS Number:
058213893
Federal Award Identification
Number (FAIN)
B08TIO10051-18
Solicitation Document:
Exempt Government
B. SERVICE AREA:
Services or activities will be provided to individuals from the following counties:
Region (1): Armstrong, bailey, Briscoe, Carson, Castro, Childress, Cochran, Collingsworth,
Crosby, Dallam, Deaf Smith, Dickens, Donley, Floyd, Garza, Gray, Hale, Hall, Hansford,
Hartley, Hemphill, Hockley, Hutchinson, King, Lamb, Lipscomb, Lubbock, Lynn, Moore,
Motley, Ochiltree, Oldham, Partner, Potter, Randall, Roberts, Sherman, Swisher, Terry,
Wheeler, Yoakum
C. TARGET POPULATION
Texas residents who meet Client Eligibility criteria for System Agency -funded services as
stated in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines.
D. RENEWALS:
System agency may renew this contract for four (4) additional funding years, which is
contingent on the availability of funds.
E. CONTACT INFORMATION
Name:
Bryan Hunter
Email:
Bryan.Hunter@hhsc.state.tx.us
Telephone:
(512) 206-5313
Address:
909 W 45' Street, Bldg. 552 (MC 2058)
Ci /Zi :
Austin TX 78751
ATTACHMENT
PROGRAM SERVICES & UNIT RATES
Grantee Name: City of Lubbock
Contract Number: HHS000779500005
A. Funding from The United States Health and Humans Services (HHS) and the Substance Abuse
and Mental Health Services Administration (SAMHSA) fund the HHSC Substance Use
Disorder project(s), which includes this Contract.
B. The Catalog of Federal Domestic Assistance (CFDA) funds, if any, are listed as part of the
System Agency Share.
1. Substance Abuse Prevention Treatment (SAPT) Grant, CFDA 93.959
2. State General Revenue
C. Funding
1. System Agency Share total reimbursements will not exceed $159,400.00 for the period
from July I, 2020 through August 31, 2021, as further specified in Article IV, Budget, of
the Contract.
2. For each Fiscal Year noted in Section C, (3) (a-b), Grantee shall provide a five percent
(5%) match requirement as follows:
a. Fiscal Year 2020, July 1, 2020 through August 31, 2020: $3,985.00
b. Fiscal Year 2021, September 1, 2020 through August 31, 2021: $3,985.00
3. Total Contract Value will not exceed $167,370.00 for the period from July 1, 2020 through
August 31, 2021, as follows:
a. Fiscal Year 2020, July 1, 2020 through August 31, 2020: $83,685.00
b. Fiscal Year2021, September 1, 2020 through August 31, 2021: $83,685.00
D. Grantee will submit claims to the System Agency through the Clinical Management for
Behavioral Health Services (CMBHS) system monthly.
E. Except as indicated by the CMBHS financial eligibility assessment, Grantee shall accept
reimbursement or payment from the System Agency as payment in full for services or goods
provided to clients or participants, and Grantee shall not seek additional reimbursement or
payment for services or goods, to include benefits received from federal, state, or local sources,
from clients or participants.
F. Grantee may request revisions to the approved distribution of funds budgeted in the Service
Type/Capacity/Unit Rate Chart, by submitting a written request to the Assigned Contract
Manager. This change is considered a minor administrative change and does not require an
amendment. The System Agency shall provide a Technical Guidance Letter (TGL) if the
revision is approved; and the assigned Contract Manager will update CMBHS, as needed.
G. Any unexpended balance associated with any other System Agency Contract may not be
applied to this System Agency Contract.
H. System Agency funded capacity is defined as the stated number of clients that will be
concurrently served as determined by this Contract.
1. Clinic Numbers must be approved by the assigned Contract Manager before billing can occur.
Clinic Change Request Form is located at: https://hhs.texas.eov/doine-business-hhs/provider-
J. Service Types with no associated amount will be paid from the preceding Service Type with
an associated Amount.
K. In accordance with Rider 64, substance abuse treatment rates for services provided in July and
August 2020 will be increased effective July 1, 2020. Grantee will be paid the service rates in
effect prior to July 1, 2020 for the remainder of FY 2020. Beginning September 1, 2020,
System Agency will extract paid claim data for services provided by Grantee during July and
August 2020 and calculate the difference between Grantee's payment (s) using the pre -July 1,
2020 service rates versus the amended rates. System Agency will thereafter issue Grantee a
final reconciliation payment for the difference between the two service rates. Grantee's FY
2020 payment(s) shalt not exceed the total reimbursement amount stated in section C of this
Attachment B.
L. The following Service Types, Capacity, and Unit Rates are approved and shall be delivered
through this Contract:
SERVICE TYPE/CAPACITY/UNIT RATE CHART
Fvzn
Number
Unit
Service Type
Served
Capacity
Rate
Amount
Co-occurring Psychiatric & Substance Abuse Disorders
70
3
$79,700.00
(COPSD)
Co-occurring Psychiatric & Substance Abuse Disorders
$64.00
(COPSD)-Adult
Co-occurring Psychiatric & Substance Abuse Disorders
$64.00
(COPSD)-Youth
FY21
Number
Unit
Service Type
Served
Capacity
Rate
Amount
Co-occurring Psychiatric & Substance Abuse Disorders
70
3
$79,700.00
(COPSD)
Co-occurring Psychiatric & Substance Abuse Disorders
$66.98
(COPSD)-Adult
Co-occurring Psychiatric & Substance Abuse Disorders
$66.98
(COPSD)-Youth