Item C24
(~~~
Louis LaTorre, Senior Director
Social Services/tabt
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
MEETING DATE: 3/20-21/02
DIVISION: COMMUNITY SERVICES
BULK ITEM:
YES X
NO
DEPARTMENT: SOCIAL SERVICES
AGENDA ITEM WORDING: Approval of Amendment 001 to Contract KZ-197 for the Alzheimer's Disease
Initiative for Fiscal Year 7/1/01 thru 6/30102 between the Alliance For Aging, Inc., and the Monroe County
Board of County Commissioners/Monroe County Social Services (Monroe County In Home Service Program,
The Case Management Agency).
ITEM BACKGROUND: The approval of this amendment is to revise contract clauses only; specifically
Attachment I, Section II., A.and Attachment I, Section IV, Paragraphs B. and B.1.
PREVIOUS RELEVANT BOCC ACTION:
Approval of Contact KZ 197
CONTRACT/AGREEMENT CHANGES: Revising the above mentioned Attachment & Sections to
read as shown in Amendment 001 to the existing attached contract.
STAFfi' .l:U:COMM.I!.:NDAT10N: Approval
TOTAL COST: $65,194.00-0-
COST TO COUNTY: $5,300.00 (Fiscal Year)
BUDGETED: YES-1L NO_
REVENUE PRODUCING: YES NO AMT.PER MONTH YEAR
APPROVED BY: COUNTY ATTY.l ~B/PurchaSing~ RISK MANAGEMENT -X t~ ;Z,
DIVISION DIRECTOR APPROVAL:
DOCUMENTATION:
INCLUDED X
TO FOLLOW
NOT REQUIRED_
AGENDA ITEM#:
c_~y
DISPOSITION:
Revised 2/27/0 I
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract with: Alliance For Aging, Inc.
Contract #KZ 197
Effective Date: July I, 200 I
Expiration Date: June 30, 2002
Contract PurposelDescription: Approval of Amendment 00 I to Contract KZ-197 Alzheimer's Disease Initiative
for Fiscal Year 7/1101 thru 6/30/02 between the Alliance For Aging Inc., and the Monroe County board of County
CommissionerslMonroe County Social Services (Monroe County In Home Service Program, The Case
Management Agency).
Louis La Torre f//~457J
(Name) {,-/ (Ext.)
Social Services/Stop I
(Department/Stop #)
Contract Manager:
For BOCC meeting on 3/20/21-02
Agenda Deadline:
3/6/02
CONTRACT COSTS
Total Dollar Value of Contract: $65,194.00
Budgeted? Yes X No 0 Account Codes:
Grant: $ 65,194.00
County Match: $ 5,300.00 (7,5%)
Current Year Portion: $
I ~ 5 - tcl..J:J(,-.53/)'fft) as olBIP
Estimated Ongoing Costs: $
(Not included in dollar value above)
/yr
ADDITIONAL COSTS
For:
(el!, Maintenance, utilities, janitorial, salaries, etc)
CONTRACT REVIEW
Division Director
Date I!}
'2-/ I )( OL-.
-:.1..'12(,]02-
. I
\ I
~l;z\ 18:J- Yes 0
3/1/02-
Changes
Needed _____ ~ .' l[iew...~
Yes 0 No.e:f /\1'(/. 0
~ ~ . - "-
, , \ ., -t.
Yes 0 No U \ \_'-' (\-<~',~ ~ "-..t:k)+~,- v~(;,,"-..
Date Out
O.M.B.lPurchasing
No~
NO/.
Risk Management
County Attorney
Yes 0
Comments:
OMB Form Revised 2/27/01 MCP #2
AMENDMENT 001
Contract KZi!197
Page 1
THIS AMENDMENT, entered into between the Alliance for Aging, Inc.,
hereinafter referred to as the "Alliance" and the Monroe County Board of
Commissioners, hereinafter referred to as the "recipient", amends contract KZ-197,
The purpose of this contract amendment is to revise contract clauses.
1, ATTACHMENT I, Section II., A. is hereby amended to read:
II. SERVICES TO BE PROVIDED
A. Services:
1, The recipient's service application for state fiscal year 2001,
and any revisions thereto approved by the Alliance and
located in the contract manager's file, are incorporated by
reference in this contract between the Alliance and the
recipient, and prescribe the services to be rendered by the
recipient.
2. Consumers may not be enrolled into a department state
general revenue funded program, including ADI, who are
also enrolled in a Medicaid capitated long term care health
plan or program. These programs include the Frail Elder
Program operated by United Health Care, the Channeling
Program operated by Miami Jewish Home and Hospital for
the Aged, the Long Term Care Community Diversion
Program operating in Planning and Service Areas 7 and 9,
and the Program of All Inclusive Care for the Elderly (PACE)
program planned to begin operations in the Miami-Dade
County area.
2. ATTACHMENT I, Section IV, Paragraphs B. and B.1. are hereby amended to
read:
B. Assessment and Prioritization for Service Delivery for New
Consumers:
The following are the criteria to prioritize new consumers for service
delivery. It is not the intent of the department to remove existing clients
from any services in order to serve new clients being assessed and
prioritized for service delivery.
1. Priority Criteria for Service Delivery:
AMENDMENT 001
Contract KZ-197
Page 2
a) individuals in nursing homes under medicaid who could be
transferred to the community;
b) individuals in nursing homes whose medicare coverage is
exhausted and may be diverted to the community;
c) individuals in nursing homes which are closing and can be
discharged to the community; or,
d) individuals whose mental or physical health condition has
deteriorated to the degree self care is not possible, there is
no capable caregiver and institutional placement will occur
within 72 hours.
3, This amendment shall be effective on the date on which the amendment is
signed by both parties.
All provisions in the contract and any attachments thereto in conflict with this
amendment are hereby changed to conform with this amendment.
All provisions not in conflict with this amendment are still in effect and are to be
performed at the level specified in the contract.
This amendment and all its attachments are hereby made a part of the contract.
IN WITNESS WHEREOF, the parties hereto have caused this 2 page amendment to be
executed by their undersigned officials as duly authorized.
MONROE COUNTY BOARD
OF COMMISSIONERS
ALLIANCE FOR AGING, INC.
SIGNED BY:
SIGNED BY:
NAME:
NAME: STEVEN WEISBERG
TITLE:
TITLE: PRESIDENT/CEO
DATE:
DATE:
Al"t"KOvED AS TO FORM /
AND LEG~L SUF~ICIE '/!.....
BY /.--fl-t-</-
~uz NN~ ~tTON
DATE ? - iA 0 J---
! /
FEDERAL 10 NUMBER:
RECIPIENT FISCAL YEAR ENDING DATE:
59-6000749
09/30
ALLIANCE FOR AGING, INC,
FOR
DADE AND MONROE COUNTIES
CERTIFICATION FOR RETROACTIVE PAYMENT
A. BACKGROUND
Sub-recipient contracts are updated yearly to reflect any pertinent changes required as a result of new
contract terms or programmatic and/or administrative requirements set down by the Department of Elder
Affairs for the Alliance and its sub-recipients. Due to the late date on which the Alliance received its ADI
contract for 2001-2002 from the Department, the sub-contract with Monroe County Social Services was
not forwarded to the sub-recipient until June 27,2001,
B. JUSTIFICATION
Although an executed contract was not in place until August 2, 2001 the sub-recipient is requesting
payment for services provided to clients between July 1 and August 1, 2001.
The procurement policies followed by the Alliance for payment of contractual services make allowance
for retroactive payment when timely execution of a contract can not be achieved due to unforeseen
circumstances beyond the control of the Alliance and its sub-contractor. The health and welfare of
elderly consumers must also be at risk.
Since needed services were provided to existing clients, the provider's request for retroactive payment
should be granted since the expense was incurred in good faith for services approved in the Service
Provider Application submitted to the Alliance for 2001.
C. CERTIFICATION
Approval for retroactive payment is granted for services rendered to ADI clients during the time
period in question. Payment shall be on a one-time basis only.
SIGNED BY:
~~
G-/~~
')
NAME
STEVEN WEISBERG
TITLE
EXECUTIVE DIRECTOR. ALLIANCE FOR AGING. INC.
( ( 01 I ~ )
DATE
Page 10f 1
AOI CONTRACT - Summary of contract changes for SFY 2001/2002
Standard Contract Changes
1. Header updated for new contract year and contract number.
2. Updated Master Agreement Number in first paragraph,
3. Sections I.C. and II. - Updated dates for new contract year,
4. Section III.A. - Updated contract begin and end dates.
5. Section III.C. - Added "Recipient Responsibility: Notwithstanding the pass through language
contained in Section I.S,1. of the Master Agreement. the recipient maintains responsibility for the
performance of all subrecipients in accordance with all applicable federal and state laws.
6. Substituted the word "recipient" for "provider" throughout the contract.
7. Substituted the word "subrecipient" for "subcontractor" throughout the contract.
8. Substituted the word "consumer" for "client" throughout the contract.
A IT ACHMENT I Changes
1. Section II.A.and B. - Updated dates for new contract year.
2, Section II.B. and IV,A - Added "dated 12/98."
3, Section III.A. - Reworded method of payment clause to be consistent with changes made in 2001
OM contract. Added - "The recipient must ensure fixed rates include only those costs which are
in accordance with all applicable state and federal statutes and regulations and are based on
audited historical costs in instances where an independent audit is required."
4, Section III.B. - Added clause "The recipient shall maintain documentation to support payment
requests which shall be available to the Comptroller, the Department of Elder Affairs, or the
Alliance upon request."
5, Section '".C. - Added "for services" in first sentence. Added "and approved by the Alliance" in
second sentence.
6, Section III.F.3. - Updated dates for new contract year.
7, Section III.G. - Added "including any disallowance not resolved as outlined in Section I.T. of the
Master Agreement."
8, Section IV, - Deleted Special Provision clauses for Surplus/Deficit report and Outcome
Achievement because these clauses are in the Master Agreement. Deleted Program Income
clause.
9. Section IV,B..- Changed wording of first sentence to read "The following are the criteria to prioritize
new consumers for service delivery,"
10. Section IV.8.1,c) - Added "or in receivership".
11. Section IV.B.1,d) - Changed word "and" to "or".
12. Section IV,C,3, - Added "Co-payments collected in the ADI program must be used to expand
services,"
13. Section IV.D. - Deleted reference to ADI database. Added Attachment IV for Model Day Care
training report.
14. Section IV.E. - Added - Collaboration with Memory Disorder Clinics clause.
15, Section IV.F. - Added - "Service Cost Reports: The recipient will submit semi-annual service cost
reports which reflect actual costs of providing each service by program. This report provides
information for planning and negotiating unit rates."
ATTACHMENT IV - Added Model Day Care Center Training Report Format
CLERK'S ORIGINAl.
07/01/2001
Contract Number KZ 197
ALZHEIMERS' DISEASE INITIATIVE CONTRACT
2001-2002
THIS CONTRACT is entered into between the Alliance for Aging, Inc., hereinafter
referred to as the "Alliance", and the Monroe County Board of Commissioners,
hereinafter referred to as the "recipient", This contract is subject to all provisions
contained in the MASTER AGREEMENT executed between the Alliance and the
recipient, Agreement No. PA 129, and its successor, incorporated herein by reference,
The parties agree:
I. Recipient Agrees:
A. Services to be Provided:
To plan, develop, and accomplish the services delineated, or otherwise cause
the planning, development, and accomplishment of such services and activities,
under the conditions specified and in the manner prescribed in Attachment I of
this agreement.
B. Requirements of Section 287.058, Florida Statutes:
These requirements are herein incorporated by reference.
C. Final Request for Payment:
1. The recipient must submit the final request for payment to the Alliance no
later than September 15, 2002; if the recipient fails to do so, all right to
payment is forfeited, and the Alliance will not honor any requests
submitted after the aforesaid time period.
2, If the contract is terminated prior to the contract end date of September 15,
2002, then the recipient must submit the final request for payment to the
Alliance no more than 45 days after the contract is terminated; if the
recipient fails to do so, all right to payment is forfeited, and the Alliance
will not honor any requests submitted after the aforesaid time period.
II. The Alliance Agrees:
Contract Amount:
To pay for contracted services according to the conditions of Attachment I in an
amount not to exceed $65,194.00, subject to the availability of funds. The Alliance's
performance and obligation to pay under this contract is contingent upon an annual
appropriation by the Legislature. The costs of services paid under any other
1
07/01/2001
Contract Number KZ 197
contract or from any other source are not eligible for reimbursement under this
contract. The funds awarded to the recipient pursuant to this contract are in the
state grants and aids appropriations and consists of the following:
Program Title Year Funding Source CSFA# Fund
Amounts
Alzheimer's 2001 General Revenue 65004 $65,194,00
Disease Initiative
- Respite
Services
Alzheimer's 2001 General Revenue 65002
Disease Initiative
- Model Day Care
Alzheimer's 2001 General Revenue 65002
Disease Initiative
-Alzheimer
Special Projects
TOTAL FUNDS CONTAINED IN THIS CONTRACT: $65,194,00
III. Recipient and Alliance Mutually Agree:
A. Effective Date:
1. This contract shall begin on July 1, 2001 or on the date the contract has
been signed by both parties, whichever is later.
2. Delivery of services shall end on June 30, 2002. This contract shall end on
September 30, 2002. See Attachment I, Section 111.0.
B. Termination, Suspension, and/or Enforcement:
The causes and remedies for termination or suspension of this contract shall
follow the same procedures as outlined in Section III. B. And Section III. C, of
the Master Agreement.
C. Recipient Responsibility:
Notwithstanding the pass through language contained in Section I.S.1, of the
Master Agreement, the recipient maintains responsibility for the performance of
all subrecipients in accordance with all applicable federal and state laws.
2
07/01/2001
Contract Number KZ 197
D. Notice, Contact, and Payee Information:
1. The name. address, and telephone number of the contract manager for the
Alliance for this contract is:
Steven Weisberg
9500 South Dadeland Boulevard, Suite 400
Miami, Florida 33156
(305) 670-6500 SC 455-6500
2, The name, address, and telephone number of the representative of the
recipient responsible for administration of the program under this contract is:
Louis LaTorre
5100 College Road - Wing III
Key West, Florida 33040
(305) 292-4573
3. In the event different representatives are designated by either party after
execution of this contract, notice of the name and address of the new
representative will be rendered in writing to the other party and said
notification attached to originals of this contract.
4. The name (recipient name as shown on page 1 of this contract) and mailing
address of the official payee to whom the payment shall be made:
Monroe County Board of Commissioners
5100 College Road - Wing III
Key West, Florida 33040
3
07/01/2001
Contract Number KZ 197
IN WITNESS THEREOF, the parties hereto have caused this 12 page contract to be
executed by their undersigned officials as duly authorized.
RECIPIENT:
MONROE COUNTY BOARD
OF COMMISSIONERS
BOARD PRESIDENT OR
AUTHORIZED DESIGNEE
~f)-.e ~(f-d
FEDERAL 10 NUMBER:
RECIPIENT FISCAL YEAR END DATE:
ALLIANCE FOR AGING, INC.
~
~~~;u>.c~~~ ~
iME: KATE CALLAHAN, PH.D.
TITLE: PRESIDENT
DATE:
f h/ LJ/
59-6000749
09/30
4
07/01/2001
Contract Number KZ 197
A TT ACHMENT I
ALZHEIMER'S DISEASE INITIATIVE PROGRAM
I. STATEMENT OF PURPOSE
The Alzheimer's Disease Initiative (ADI) Program is focused on caring for persons
18 + with memory disorders,
II. SERVICES TO BE PROVIDED
A. Services:
The recipient's service provider application for state fiscal year 2001, and any
revisions thereto approved by the Alliance and located in the contract manager's
file, are incorporated by reference in this contract between the Alliance and the
recipient, and prescribe the services to be rendered by the recipient.
B. Manner of Service Provision:
The services will be provided in a manner consistent with and described in the
recipient's service provider application for state fiscal year 2001 and the
Department of Elder Affairs Client Services Manual dated 12/98. In the event
the manual is revised, such revision will automatically be incorporated into the
contract and the recipient will be given a copy of the revisions.
III. METHOD OF PAYMENT
A. The method of payment in this contract is based on a fixed rate reimbursement
for approved services, The recipient must ensure fixed rates include only those
costs which are in accordance with all applicable state and federal statutes and
regulations and are based on audited historical costs in instances where an
independent audit is required. All requests for payment and expenditure reports
submitted to support requests for payment shall be on DOEA forms 106Z and
105Z. Duplication or replication of both forms via data processing equipment is
permissible, provided all data elements are in the same format as included on
departmental forms.
8. The recipient shall maintain documentation to support payment requests which
shall be available to the Comptroller, the Department of Elder Affairs, or the
Alliance upon request.
5
07/01/2001
Contract Number KZ 197
C. The recipient may request a monthly advance for service costs for each of the
first two months of the contract period, based on anticipated cash needs,
Detailed documentation justifying cash needs for advances must be submitted
with the signed contract, approved by the Alliance, and maintained in the
contract manager's file. All payment requests for the third through the twelfth
months shall be based on the submission of monthly actual expenditure reports
beginning with the first month of the contract. The schedule for submission of
advance requests is ATTACHMENT II to this contract. Reconciliation and
recouping of advances made under this contract are to be completed by the
time the final payment is made. All advance payments are subject to the
availability of funds,
D. Advance funds may be temporarily invested by the recipient in an insured
interest bearing account. All interest earned on contract fund advances must be
returned to the Alliance at the end of the first quarter of the contract period.
E. The Alliance shall make payment to the provider for provision of services up to a
maximum number of units of service and at the rate(s) stated below:
Service to be
Provided
Unit of
Service
Unit
Rate
Maximum
Units
Maximum
Dollars
Respite/I n-Home
1 client hour
$23.741442 2,746
$65,194
F. Contract Amendments:
1, The recipient agrees to implement the distribution of funds as detailed in the
service provider application and the Budget Summary, ATTACHMENT 11/ to
this contract. Any changes in the amounts of the funds identified on the
Budget Summary form require a contract amendment.
2, With the exception of Case Management, the recipient agrees to implement
a Modified Spending Authority. Recipient is to offer services based on
clients' service plans and will not be restricted to providing the services as
projected, Additional budget revisions/contract amendments will not be
required to move funding among these services, with the exception of Case
Management. Any changes in the total amount of the funds under contract
require a formal contract amendment.
3, This contract is for services provided during the 2001/2002 State Fiscal year
beginning July 1, 2001 through June 30, 2002, however, the contract is in
effect through September 30, 2002 in order to provide for maximization of
resources and to allow for greater flexibility to pay for the services rendered
by June 30, 2002. Services provided after June 30, 2002 cannot be
6
07/01/2001
Contract Number KZ 197
reimbursed under this contract.
4. The recipient will submit a draft closeout report by August 15, 2002. Any
contract amendments after August 15, 2002 determined necessary by the
Alliance will be based on the draft closeout reports.
5. The final expenditure report and request for payment will be due to the
Alliance no later than September 15, 2002. No expenditure reports or
requests for payment will be accepted after September 15, 2002.
G. Any payment due by the Alliance under the terms of this contract may be
withheld pending the receipt and approval by the Alliance of all financial and
programmatic reports due from the recipient and any adjustments thereto,
including any disallowance not resolved as outlined in Section l. T. of the Master
Agreement.
IV. SPECIAL PROVISIONS
A. State Laws and Regulations:
The recipient agrees to comply with applicable parts of Rule 580-1, Florida
Administrative Code promulgated for administration of Sections 430,501
through 430,504, Florida Statutes, and the Department of Elder Affairs Client
SeNices Manual dated 12/98.
B. Assessment and Prioritization for Service Delivery for New Consumers:
The following are the criteria to prioritize new consumers for seNice delivery. It
is not the intent of the Department of Elder Affairs to remove existing clients
from any program in order to seNe new clients being assessed and prioritized
for seNice delivery,
1, Priority Criteria for SeNice Delivery:
a) individuals in nursing homes under medicaid who could be transferred
to the community;
b) individuals in nursing homes whose medicare coverage is exhausted
and may be diverted to the community;
c) individuals in nursing homes which are closing or in receivership and
can be discharged to the community;
d) individuals whose mental or physical health condition has deteriorated
to the degree self care is not possible, there is no capable caregiver
and institutional placement will occur within 72 hours; or,
7
07/01/2001
Contract Number KZ 197
e)
individuals who have been assessed and are pending enrollment in
the Long Term Care Community Diversion Project.
2. Priority Criteria for Other Assessed Individuals:
The assessment and provision of services should always consider the most
cost effective means of service delivery. Functional impairment shall be
determined through the department's consumer assessment form
administered to each applicant. The most frail individuals not prioritized in
the group above, regardless of referral source, will receive services to the
extent funding is available.
C. Co-payment Collections:
1. The recipient will establish annual co-payment goals. The Alliance also has
the option to withhold a portion of the recipient's Request for Payment if
goals are not met according to the Department of Elder Affairs' co-payment
guidelines.
2. Co-payments include only the amounts assessed consumers or the amounts
consumers opt to contribute in lieu of an assessed co-payment. The
contribution must be equal to or greater than the assessed co-payment.
3, Co-payments collected in the ADI program must be used to expand
services,
D. Evaluation, Statistics and Reports:
The recipient agrees to respond to requests for evaluation information and
statistical data concerning its consumers based on information requirements of
the Memory Disorder Clinics and Brain Bank. The recipient will ensure Model
Day Care Centers supported by this contract develop innovative therapies and
interventions which can be shared with other Alzheimer's Disease Initiative
health and social services personnel via training. Model Day Care Centers
supported by this contract must report to the provider all training activities
provided to health care and social service personnel and caregivers, as well as
serve as a natural laboratory for service related applied research by Memory
Disorder Clinics, An annual Model Day Care Center Training Report,
ATTACHMENT IV, is due by July 5,2002,
E. Collaboration with Memory Disorder Clinics:
Memory Disorder Clinics are required to provide four hours of in-service training
8
07/01/2001
Contract Number KZ 197
to all respite and model day care centers in their designated service areas. The
recipient agrees to collaborate with Memory Disorder Clinics to assist in this
effort.
F. Service Cost Reports:
The recipient will submit semi-annual service cost reports which reflect actual
costs of providing each service by program. This report provides information for
planning and negotiating unit rates.
9
07/01/2001
Report
Number
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Legend: *
**
Contract Number KZ 197
A TT ACHMENT II
ALZHEIMER'S DISEASE INITIATIVE PROGRAM
CONTRACT REPORT CALENDAR
Based On
Submit to the
Alliance On
This Date
July Advance*
August Advance*
July Expenditure Report
August Expenditure Report
September Expenditure Report
October Expenditure Report
November Expenditure Report
December Expenditure Report
January Expenditure Report
February Expenditure Report
March Expenditure Report
April Expenditure Report
May Expenditure Report/July Adv. Recon. **
June Expenditure Report/August Adv. Recon.**
Draft Closeout Report
Final Expenditure and Request for
Payment Report
Closeout Report
July 1
July 1
August 10
September 10
October 1 0
November 10
December 10
January 10
February 10
March 10
April 10
May 10
June 10
July 10
August 15
September 15
September 15
Advance based on projected cash need.
Submission of expenditure reports mayor may not generate a
payment request. If final expenditure report reflects funds due back
to the Alliance, payment is to accompany the report.
Note # 1: Report #1 for Advance Basis Contracts cannot be submitted to the Alliance
prior to July 1 or until the contract with the Alliance has been executed,
Actual submission of the vouchers to the Department of Elder Affairs is
dependent on the accuracy of the expenditure report.
Note # 2: The last two months of the recipient's fiscal reports covering actual
expenditures should reflect an adjustment repaying advances for the first
two months of the contract.
10
07/01/2001
Contract Number KZ 197
A TT ACHMENT III
ALZHEIMER'S DISEASE INITIATIVE PROGRAM
BUDGET SUMMARY
1 , Respite
$ 65.194,00
2. Model Day Care
$
3. Total
$ 65.194.00
11
07/01/2001
Contract Number KZ 197
A TT ACHMENT IV
ANNUAL MODEL DAY CARE CENTER TRAINING REPORT
Model Day Care Center Name:
Print Name of Person completing report
Signature of Person completing report
Date
The purpose of each model day care program must be to provide service delivery to
persons suffering from Alzheimer's disease or a related memory disorder and training
for health care and social service personnel in the care of persons having Alzheimer's
disease or related memory disorders. This report documents the required training for
the State Fiscal Year July 1 st through June 30th.
Actual Training Event(s) Number Number Total
Health Care Social People
Professionals Services Trained
Trained Personnel
Trained
Training Title:
Date:
Training summary:
12