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HomeMy WebLinkAboutC13-310 Colorado Department of Human Services MOUCCMEMORANDUMOFUNDERSTANDINGTheStateofColoradoDepartmentofHumanServicesandTheBoardofCountyCommissionersorotherelectedgoverningbodyofEagleCounty(ies),ColoradoThisMemorandumofUnderstanding(or“MOU”)ismadethis1StdayofJuly,2013,betweentheStateofColoradoDepartmentofHumanServices(the“CDHS”)andtheBoardofCountyCommissionersorotherelectedgoverningbodyofEagleCounty(ies),Colorado(the“County”).CDHSisthesolestateagencywiththeresponsibilitytoadministerorsupervisetheadministrationofthehumanservicesprogramslistedinCRS26-1-201.TheColoradoGeneralAssemblyenactedSB/HB13-231inresponsetotheCDHSbeinggrantedwaiverauthoritybytheUnitedStatesDepartmentofHealthandHumanServices,AdministrationforChildrenandfamilies,underSection1130oftheSocialSecurityAct,whichauthorizesstatestoconductdemonstrationprojectswhicharedeterminedtopromotetheobjectivesofpartsBorEofTitleIVoftheSocialSecurityAct.AcopyofthewaivertermsandconditionsareattachedtothisMOUasExhibitA.CRS26-5-105.4requiresCDHSandtheCountytoenterintoanannualperformanceagreementthatexplainstheCounty’sdutiesandresponsibilitiesinimplementingtheTitleJV-EWaiverDemonstrationProjects.CDHSandtheCountyunderstandandagreethattheservicesoutlinedinthisMOUaresubjecttoavailableappropriationsbytheGeneralAssembly,andneitherpartywillbeobligatedtoprovideservicesorassistanceifadequateappropriationshavenotbeenmade.1 CCThefollowingtermsareagreedtobyCDHSandtheCounty:1.MOUMEETSPERFORMANCECONTRACTREQUIREMENTThepartiesagreethattheprovisionsofthisMOUconstitutecompliancewithCRS26-5-105.4.2.TERMThetermofthisMOUwillbefromJuly1,2013toandincludingJune30,2014.3.DEFINITIONSThepartiesagreetoprovidethefollowingminimumservicestotheidentifiedpopulationsasdenotedbelow(checkallthatapply):XfamilyEngagement—Meetingswillbeprovidedtofamilieswithanewlyopenedchildwelfarecaseduringthedemonstrationperiod:•Atcaseopening—within7businessdaysafterthe60thday(69daysbyincludingweekends);•Within7businessdaysofinitialplacement;•Every90dayswheninout-of-homecare(DHS/DSScustody);•Every6monthsinin-home(caseopen).XPermanencyRoundtables—Meetingwillbeheldquarterlyforyouthwithanopenedchildwelfarecasewhoare:XOvertheageof16withagoalofOtherPlannedPermanentLivingArrangement;and/orXWithagoalofOtherPlannedPermanentLivingArrangementwhohavebeenincareforlongerthanoneyear.Xforchildrenlyouthincareover12months,nomatterwhatthepermanencygoalis,dependentonPRTresources2 CCDKinshipSupports—Supportservicesandgoodswillbeprovidedtokinshipfamilieswhoare:Licensedfostercaregivers;Non-licensedfostercaregivers.4.REQUIREDDUTIESOFTHECOUNTYa)Duringthetermoftheagreement,theCountyagreestoimplementtheintervention(s)asdescribedinExhibitBandinaccordancewiththerulesadoptedbytheStateBoardofHumanServices.b)TheCountywillmaintainsufficientrecords,willperformthereporting,ColoradoTrails(Trails)andCFMSactionsrequiredtoimplementtheWaiver,andwillpermitCDHS,itsevaluators,dulydesignatedagentsand/orrepresentativesofthefederalgovernment,toinspecttherecordsandwillmakesuchrecordsavailabletoCDHSasspecifiedinCRS26-1-122.c)TheCountyagreestoparticipateintheevaluationoftheTitleIV-EWaiverDemonstrationProject,asdescribedunderSection3ofExhibitA,andasestablishedunderCRS26-5-105.4.d)TheCountyagreestouse50%oftheunderspentcountyTitleIV-EWaiverfundsforchildwelfareservicesthatcanincludea)IV-EWaiverinterventionservicestoeligibleandnon-eligibleTitleIV-Echildrenb)ConventionaltitleIV-EprogramservicesthatmustbeismaintainedforthoseTitleIV-Eeligiblechildreninoutofhomeplacementc)Otherchildwelfareservicestoeligibleandnon-eligibleTitleIV-Echildrenandtheirfamiliese)TheCountyplantoexpendeitherallocatedTitleIV-EWaiverfunds,orunderspentcountyTitleIV-EWaiverfundsasoutlinedinExhibitB.f)TheCountyagreestotransmit50%oftheunderspentcountyTitleIV-EfundstotheTitleIV-EWaivercashfund,asestablishedinCRS26-5-105.4.Costsavingsaredeterminedasfollows:Costsincludethecosttoprovideaninterventionauthorizedinthismemorandumofunderstandingtoanindividual.Thecostincludesthetype,amountsandcostsoftheinterventionservice.Thecostsincludeinterventionfunds,staffandvendor3 CCcostsasidentifiedinTrails,CountyfinancialManagementSystem(CfM$)and/or100%timereportingbyindividualsperformingawaiveractivity.ThereisapresumptionthatacostisnotawaivercostunlessaffirmativelydocumentedinCfMS,Trails,and/oravendor’stimedetailreportfor100%timereporting.Thecostsoftheservicesreceivedbychildrenandfamiliesforthefiveyearspriortothewaiverdemonstrationbeingimplementedandthecurrentcostforchildwelfareservicesnotunderthewaiverwillalsobeutilized.Thesecostsmayincludehistoricalandcurrentcostsexperiencedbycountiesoragroupofcounties.Whencomparingcostsandsavings,acounty’sownrevenueandexpenditurehistoryandmayincludeasystem-levelassessmentofrevenuesandexpendituresforagroupofcounties.OnlycostsandsavingsthatareconsistentwiththeWaiverDemonstrationsEvaluationPlanandfinancialdataavailableintheCFMSandTrailswillbeutilized.Medicaidandotherrevenuesandexpenditureswillbeincludedonlytotheextenttheyareincludedinthewaiverevaluation.TheDepartmentDivisionofChildWelfareandDivisionofAccountingwilldevelopanexpenditure,savings,andcost-savingsmethodologyandtransmissionprocessincollaborationwiththefinanceSubPACandapplicableOfficeofInformationTechnologypersonnel(Trails).ThisMOUwillbeamendedifnecessarytoconformtothemethodologyandtransmissionprocess.g)TheCountyinsuresanystafffundedwithTitleIV-EWaiverfundsparticipatesin100%timereporting.Staffwith100%oftimedevotedtoTitleIV-EWaiverintervention(s)mayutilizethe6MonthCertificationforminlieuof100%timereporting.5.DUTIESOFCDHSa)CDHSwilloverseetheimplementationoftheTitleIV-EWaiverDemonstrationProject,andwilldevelopstandardizedformsandreportingprocessesforthetrackingofparticipants,inconsultationwiththeCounties.b)CDHSwillmonitortheCounty’sprovisionofTitleIV-EWaiverinterventionservicesasoutlinedintheExhibitBandExhibitC.c)CDHSwillexerciseoversightofandresponsibilityforthedevelopment,implementation,maintenance,andenhancementofTrailsanditsapplicationrelativetoChildWelfareServices.4 C0d)ForSfY14/15andsubsequentyears,CDHSagreestoallocatetocountiesanyTitleIVEfundstransmittedtotheTitleIV-EWaivercashfundandappropriatedbythegeneralassemblytoeitherimplementtheTitleIV-EWaiverDemonstrationProject,ortofundoutofhomeplacementandcaseplanningforTitleIV-Eeligiblechildren,inaccordancewithCRS26-5-105.4.6.SEVERABILITYTotheextentthatthisMOUisexecuted,andperformanceoftheobligationsofthepartiesmaybeaccomplished,thetermsoftheMOUareseverable.ShouldanysingularterminthisMOUbedeclaredinvalidorbecomeinoperativeforanyreason,itwillnotinvalidatetheMOUitself,oranyofthetermsincludedtherein.7.INTEGRATIONOFUNDERSTANDINGThepartiesrecognizethenatureoftherelationshipbetweentheCountyandtheState.ThisrelationshipisgovernedmorebroadlybypertinentprovisionsoftheColoradoConstitutionandofstatestatutesandrules,includinglawfulrulespromulgatedbytheStateBoardofHumanServices.ThepartiesfurtherrecognizethatthisMOUisnotintendedtosupersedeorchangetherelationshipbetweentheCountyandtheStateasestablishedbyanylegalauthority.8.NOTHIRDPARTYBENEFICIARYThisMOUisbindingtoCDHSandtheCounty,aswellastheirrespectivesuccessorsandassigns.ItisagreedthattheenforcementofthetermsandconditionsofthisMOUarereservedforCDHSandtheCounty,totheextentpermittedbylaw.NothingcontainedinthisMOUallowsaclaimorrightofactionbyathirdparty.AnythirdpartyreceivingservicesorbenefitsundertheprovisionsofthisMOUisdeemedanincidentalbeneficiary.9.DISPUTERESOLUTIONPriortotheexecutionofthisdocument,ifthepartiesareunabletoreachagreementconcerningtheinclusionof,orwordingof,provisionsoftheMOU,eitherpartymayreferthedisputetothe5 00TitleIV-EWaiverDemonstrationProjectOversightCommittee.TheCommittee’sdecisionwillbemadebyamajorityvoteofitsmembers,andisnon-binding.Ifdissatisfiedwiththedecisionoftheoversightcommittee,eitherpartymayseekreviewbytheOfficeDirectorofChildrenYouthandfamiliesordesignee.Nothingintheseprovisionslimitsaparty’sabilitytopursueotherremediesavailableunderthelaw.10.TERMINATIONThepartiesacknowledgethatwithdrawalfromthisMOUwillresultintheterminationofthisAgreementandterminationoffundingandservicesassociatedwiththisAgreement.TheCountyshallassureaslittledisruptionaspossibleinthedeliveryofservicesprovidedtoRecipients.a)Withdrawal/Termination.AnypartymaywithdrawfromthisAgreementatanytimebyproviding30dayswrittennoticetoallotherParties.b)ForLossoffunds.AnypartymaywithdrawfromthisAgreement,intheeventoflossorreductionofresourcesfromitsfundingsourcesandshallprovidenoticeofwithdrawal,inwritingwithin30days.c)LackofCompliance.CDHSmayterminatetheagreementifitisfoundtheCountyisnotcomplyingwiththetermsofthismemorandum.Intheeventthememorandumisterminatedforfailuretoperform,interventionsfundsmaybereducedatthediscretionofCDHS.6 INWITNESSWHEREOF,thePartieshereto,throughtheirauthorizedrepresentativeshaveexecutedthisMemorandumofUnderstandingeffectiveforthedateswrittenabove.Director,DivisionofChildWelfareDateCOUNTY(ies)OFEAGLECOLORADO,byandthroughtheBOOFCOUNTYCOMMISSIONERSJ•Ryan,ChairmanProTernAUEST:7Teaknton,1erktotheBoardDATE:. CCExhibitADEPARTMENTOfHEALTHANDHUMANSERVICESADMINISTRATIONFORCHILDRENANDFAMILIESADMINISTRATIONONCHILDREN,YOUTHANDFAMILIESCHILDREN’SBUREAUDEMONSTRATIONPROJECTAUTHORITYSTATE:COLORADOWaiversofthefollowingprovisionsoftheSocialSecurityActandProgramRegulationsareprovidedtotheStatetooperateademonstrationproject:Section471(a)(1O):Licensin2Standards:ToallowtheStatetowaivecategoricallyspecificnon-safetystandards(asdeterminedbytheState)inrelativefosterfamilyhomesforspecificchildrenincare.Section472(a):ExpandedEligibility:ToallowtheStatetoexpendtitleIV-EthudsforchildrenandfamilieswhoarenotnormallyeligibleunderPartEoftitleIVoftheActasdescribedintheTermsandConditions.Section474(a)(l):ExpandedClaiming:ToallowtheStatetoclaimatthefederalmedicalassistancepercentageanyallowableexpendituresoffostercaremaintenancepaymentcostsavings.Section474(a)(3)(E)and45CFR1356.60(c)(3):ExpandedServices:ToallowtheStatetomakepaymentsforservicesthatwillbeprovidedthatarenotnormallycoveredunderPartEoftitleIVoftheAct;andtoallowtheStatetousetitleIV-EfundsforthesecostsandservicesasdescribedintheTermsandConditions,Section2.0.AllwaiversaregrantedonlytotheextentnecessarytoaccomplishtheprojectasdescribedintheseTermsandConditions.EXHIBITColoradoTermsandConditions—FiNAL1 CCDEMONSTRATIONPROJECTTERMSANDCONDiTIONSCOLORADOSECTION1:GENERAL1.0TheDepartmentofHealthandHumanServices(hereinafterreferredtoas“theDepartment”)willgrantwaiverstotheStateofColorado(hereinafterreferredtoas“theState”)underSection1130oftheSocialSecurityAct(hereinafterreferredtoas“theAct”)tooperateademonstrationproject(hereinafterreferredtoas“thedemonstration”)assetforthintheseDemonstrationProjectTermsandConditions.TheDepartmentreservestheright,initssolediscretion,towithdrawapprovalofthisdemonstrationproject,includingwithdrawalofanyandallwaiversgrantedbytheDepartmentatsuchtime(s)thattheDepartmentdetenninesthattheStatehasmateriallyfailedtomeettherequirementsassetforthintheseDemonstrationProjectTermsandConditions.TheStatealsoretainstherighttoterminatethedemonstration.1.1FailuretooperatethedemonstrationasapprovedandaccordingtoFederalandStatestatutesandregulationswillresultinwithdrawalofapprovalofthisdemonstrationproject.TheFederalstatutesandregulationswithwhichtheStatemustcomplyintheoperationofthedemonstrationincludecivilrightsstatutesandregulationsthatprohibitdiscriminationonthebasisofrace,color,nationalorigin,disability,sex,age,andreligion,includingtitleVIoftheCivilRightsActof1964,Section504oftheRehabilitationActof1973,theAgeDiscriminationActof1975,titleIIoftheAmericanswithDisabilitiesAct,thenondiscriminationprovisionsoftheOmnibusBudgetReconciliationActof1981,andtheMultiethnicPlacementActasamended.Afterthedemonstrationisapproved,theDepartmentreservestherighttowithdrawapprovalifagreementcannotbereachedonanyitem(s)citedinthisdocumentasneedingapprovalbytheDepartment.TheStatealsohasthesameright.1.2TheDepartmentmayterminatetheState’sauthoritytoconductademonstrationprojectif,afterthethree-yearperiodfollowingapprovaloftheseTermsandConditions,theStatehasnotmadesignificantprogressinimplementingthechildwelfareprogramimprovementpoliciesproposedbytheStateinitsapplicationtoconductademonstration,andasdescribedinsection1130(a)(3)(C)oftheAct(seealsoSection2.3).1.3IfFederalorStatestatutesorregulationsthatwouldhaveamajoreffectonthedesignandimpactsofthisdemonstrationareenacted,orifanydeficienciesorseriousproblemsinimplementationoftheseTermsandConditionsarenotedbytheDepartment,theDepartmentandtheStatewillreassesstheoveralldemonstrationanddevelopamutuallyagreed-uponstrategyfordealingwiththedemonstrationinthecontextofsuchchanges.Ifsuchamutuallyagreed-uponstrategycannotbedeveloped,theDepartmentreservestheright,initssolediscretion,towithdrawapprovalatsuchtime(s)astheDepartmentdetennines.ColoradoTermsandConditions—fINAL2 c?.01.4MiprovisionsoftheActnotwaivedremainineffect.1.5ThedemonstrationprovisionswillbeimplementednoearlierthanApril1,2013,andnolaterthanOctober1,2013.TheimplementationdateofthedemonstrationshallbethefirstdayonwhichtheStateoffersservices,subsidies,orothersupportsundertheprovisionsoftheseDemonstrationProjectTermsandConditionstoparticipatingchildren,caregivers,orothertargetedindividuals.Forcost-neutralitypurposes,thedemonstrationshallbedeemedtobeginonthefirstdayofthecalendarquarter(hereinafter“quarter”),whichincludestheimplementationdate,butforthepurposeofcalculatingcostsfortheinitialquarterofthedemonstration,onlycostsincurredbeginningwiththemonththatincludestheimplementationdatewillbecounted.Thedemonstrationshallendnolaterthanthelastdayofthe20thquarterendingafterthedeemedbeginningdate.ThedemonstrationprovisionsshallbeasspecifiedinSections2and3.WaiversnecessaryforthedemonstrationareapproveduponacceptancebytheDepartmentandtheStateoftheseDemonstrationProjectTermsandConditions.Theywillbecomeeffectiveasoftheimplementationdateandwillremainineffectuntilthelastdayofthe20thquarterendingafterthedeemedbeginningdate,unlessthedemonstrationisterminatedearlier.TheState’sprojectdemonstrationperiodmaynotexceedamaximumoffivetotalyearsundertheprovisionsoftheAct,unlessinthejudgmentoftheSecretary,thedemonstrationprojectshallbeallowedtocontinue.1.6FederalapprovaloftheseDemonstrationProjectTermsandConditionsshallnotbeconstruedtoestablishanyprecedentthattheDepartmentwillfollowintheapprovalofanysubsequentrequestforTermsandConditions.1.7NothingintheseTermsandConditionsshallcreateeligibilityforanychildorfamilyforanyFederalprogramorentitlementforwhichthatchildorfamilywouldnototherwisebeentitled,exceptthattitleIV-Efundsmaybeexpended,accordingtotheprovisionsoftheseTermsandConditions,forpersonswhowouldnotbeeligiblefortitleIV-Efundsintheabsenceofthedemonstration.ReceiptofservicesreimbursableundertitleXIXbutprovidedundertheseTermsandConditionsforchildrenandfamilieswhoarenoteligibleundertitleIV-EdoesnotconstituteeligibilityforMedicaid.ChildrenunderthisdemonstrationwhoaredeterminedtobeeligibleundertitleIV-Ewillretainthateligibilitythroughthedurationofthedemonstrationproject,sothatsuchchildrenwillremaineligibleforMedicaid,titleIV-EAdoptionAssistance,titleIV-EFosterCare,andtitleIV-EGuardianshipAssistanceProgram,ifapplicable.ColoradoTermsandConditions—fINAL3 o0SECTION2:IMPLEMENTATION2.0UndertheseDemonstrationProjectTermsandConditions,theStateisauthorizedtoimplementademonstrationprojectthatseekstointegratecurrentsystemicchildwelfarereformsandinnovativepracticesthroughtheuseofstrategiestoincreasefamilyengagementandaddresstheassessmentandtreatmentofchildhoodtrauma.TheState’sdemonstrationwillfocusonaccomplishingthefollowinggoal(s):•Increasepermanencyforallinfants,children,andyouthbyreducingthetimeinfosterplacementswhenpossibleandpromotingasuccessfultransitiontoadulthoodforolderyouth.•Increasepositiveoutcomesforinfants,children,youth,andfamiliesintheirhomesandcommunities,includingtribalcommunities,andimprovethesafetyandwellbeingofinfants,children,andyouth.•Preventchildabuseandneglectandthere-entryofinfants,children,andyouthintofostercare.Thedemonstrationwillbeimplementedinupto64countiesintheState;however,eachcountywillimplementsomeorallserviceinterventionsinvaryingstagesduringthedemonstrationtimeperiod.Thedemonstration’stargetpopulationwillincludealltitleIV-Eeligibleandnon-IV-Eeligiblechildrenwithscreened-inreportsofabuseorneglectandthosealreadyreceivingservicesthroughanopenchildwelfarecaseduringthedemonstrationperiodregardlessofcustodystatus.Oncethedemonstrationisfullyimplemented,theStateestimatesthatitmayserveupto101,100cases(duplicatedcount)throughthesixserviceinterventionsdescribedinSection2.1below.ThestatemaychoosetoimplementthedemonstrationprojecteitherbyindividualcountyperformanceagreementsorbyachangeinStateregulation.2.1TheState’sdemonstrationwillincludethefollowingthreeprimaryserviceinterventionstobeimplementedstatewide:•Familyfngaement:TheStatewillintroducefamilyengagementpreceptsandprocessesthroughacombinationoftraining,coaching,andpeermentoring.Additionally,theStatewillmodifynon-safetycertificationregulationsofrelativefosterfamilyhomestofacilitatetheplacementofchildrenwithrelativeswhenout-of-homeplacementisnecessary.•Trauma-InformedChildAssessment:TheStatewillsupplementexistingassessmentprocessesandinstrumentswithstandardizedtoolsthataregearedspecificallytowardchildrenwhohaveexperiencedtrauma.ThefollowingassessmenttoolswillbeevaluatedtodeterminethebesttoolforusebyColorado’scountydepartmentsandbehavioralhealthorganizationsandmayColoradoTermsandConditions—fINAL4 CCincludebutarenotlimitedto:•ChildObservationRecord•BattelleDevelopmentInventory•AgesandStagesQuestionnaireChildDevelopmentInventory•BehavioralandEmotionalRatingScale‘ClinicalAssessmentPackageforAssessingClients’RiskandStrengths•SocialSkillsRatingSystem•ChildandAdolescentAdaptiveFunctioningScale•4-PStrengths-BasedAssessmentToolsforYouthinCare•family,Friends,andSelfFormColoradoBehavioralHealthOrganizations(BHOs)and/orlocalchildwelfareserviceagenciesmaybeengagedtoconductthetrauma-informedassessments.Thefinalselectionoftrauma-informedassessmenttools,andthetimelineforimplementingthem,willbespecifiedintheState’sFinalDesignandImplementationReport(Section2.4).•Trauma-FocusedBehavioralHealthTreatments:Countiesandbehavioralhealthorganizationswillincreasetheuseofbehavioralhealthtreatmentsthathavebeenshowntobeeffectivewithchildrenwhohaveexperiencedtraumathroughcontractswithlocalhumanserviceprovidersand/orthroughtheirexpandedutilizationbyBROs.Thetreatmentinterventions(organizedbycategorybelow)willbeevaluatedtodeterminethebesttooltomeetlocalneedandmayinclude,butarenotlimited,to:•GeneralCaseManagement:FamilyConnectionsandSolution-BasedCaseworkTraumaandAnxiety:EyeMovementDesensitization&Reprocessing,Trauma-FocusedCognitiveBehavioralTherapy,andCopingCat•TherapeuticInterventions:MultidimensionalFamilyTherapy,Multi-systemicTherapy,andMultidimensionalTreatmentFosterCare•SubstanceAbuse(adults):MotivationalInterviewing•Depression(adults):CognitiveTherapyandInterpersonalPsychotherapy•ParentTraining:TheIncredibleYears,ParentManagementTraining,Parent-ChildInteractionTherapy,andPositiveParentProgram(TripleP)VThefmalselectionoftrauma-focusedbehavioralhealthtreatments,andthetimelineforimplementingthem,willbespecifiedintheState’sFinalDesignandImplementationReport(Section2.4).Inadditiontothethreeprimaryserviceinterventionsnotedabove,theStatewillassistindividualcountiesinidentifyingadditionalinterventionstobeimplementedColoradoTermsandConditions—FINAL-5 CCbasedonthespecificneedsandcircumstancesofthecounty.Additionalserviceinterventionsthatmaybeimplementedbycountiesinclude:•PermanencyRoundtables:ExpansionofCaseyFamilyProgram’sexistingPermanencyRoundtableinitiativetocountiesthatdonotdirectlyparticipateintheinitiative,andthatmakesubstantialuseofcongregatecareandotherplannedpermanentlivingarrangementsforchildreninout-of-homeplacement.•KinshipSupports:Establishmentofsupportgroupsandreferralnetworks,combinedwiththeprovisionofdiscretionaryfundsfortime-limitedsupportsandservices,toassistnon-licensedkinfostercaregivers.•MarketSegmentation:Developmentofatooltoassistintheidentificationandrecruitmentoffosterandadoptiveparents.Thespecificcountiesthatwillimplementeachofthesesupplementalserviceinterventions,andthetimelineforimplementingthem,willbebaseduponcounties’readinesstoimplement,drivenbylocalneed,andspecifiedintheState’sFinalDesignandImplementationReport(Section2.4).2.2TheStateshallcomplywiththefollowinggeneralprovisionsoverthefulltermofthedemonstrationproject.TheStatewill,orwhereappropriate,willensurethatcaseworkers,supervisors,andcontractedserviceproviders:a.Workcloselywiththeevaluatortomaintaintheintegrityoftheevaluation.b.Developanddeliverservicestomeettheindividualneedsofeachchildandfamily.c.Ensurethatanyservicesbeingprovidedtoachildorfamilymemberatthetimethedemonstrationendswillbecompleted.d.Ensuretheconfidentialityoftheinformationcollectedonthechildrenandfamiliesunderthedemonstration.e.Ensurethattherightsofchildrenandtheirfamiliesareprotected,andthatthesafetyofthechildrenisaparamountconcernofthedemonstrationproject.f.EnsurethattitleIV-Eeligibilitydeterminationsaremadeforallchildrenwhoareinvolvedinthedemonstrationproject,throughoutthelifeofthedemonstrationproject,toensurethateligiblechildrenretaintheireligibilityafterthedemonstrationends.g.Bearanycoststhatexceedtheamountoffederalfundsprovidedforthedemonstration.ColoradoTermsandConditions—FINAL6 C0h.EnsurethattheStateisorganizationallyandlegallypreparedforallaspectsofdemonstrationprojectimplementation.1.EnsurethataconventionaltitleIV-Eprogramismaintainedforthosechildrenandfamiliesthatarenotdesignatedtoreceivedemonstrationservices,andthatthesechildrenandfamiliescontinuetoreceiveservicesthatareconsistentwiththe“traditionalservices”availabletosuchchildrenandfamiliesintheStateatthetimethedemonstrationbegins.j.EnsurethatallapplicableprovisionsoftheActapplytoalldemonstrationcomponentsexceptforthoseprovisionsthatareexplicitlywaivedabove.k.EnsurethatchildrenwhoareeligiblefortheMedicaidprogramwillretaintheireligibilityforafullrangeofMedicaidservicesunderthedemonstration.1.Ensurethatany“savings”resultingfromthedemonstration,whethertheyaresavingstotheFederalgovernment,totheState,ortoacountyortoanotherjurisdictionwithintheState,willbeusedforthefurtherprovisionofchildwelfareservices.Forthepurposesofthisprovision,“savings”meansanyamountthatwouldhavebeenexpendedforconventionaltitleIV-Epurposesintheabsenceofthisdemonstration,orthatcouldhavebeenexpendedundertitleIV-BoftheAct.m.EnsurethattheStateannuallywillprovideanaccountingofanyadditionalFederal,State,tribal,andlocalinvestmentsmade,aswellasanyprivateinvestmentsmadeincoordinationwiththeState,toprovidetheserviceintervention(s)thattheapplicantintendstoundertakethroughthedemonstration(seeSection5.6).n.EnsurethatineachyearthroughoutthedurationofthisdemonstrationtheappropriateStateofficial(s)andevaluatorswillattendandparticipateinanannualmeetingoftheChildWelfareDemonstrationStatesintheWashington,D.C.area.o.Forthedurationofthedemonstrationproject,assurethattheStateshallprovidehealthinsurancecoveragetoanychildwithspecialneeds(asdeterminedunderSec.473(C)oftheAct)forwhomthereisineffectanadoptionassistanceagreementbetweentheStateandanadoptiveparentorparents.2.3TheStateshallprovideassuranceofhowtheStatehasimplemented,orplanstoimplementwithinthreeyearsofthedateonwhichitsubmitsitsapplicationthefollowingchildwelfareprogramimprovementpolicies:•AddressHealthandMentalHealthNeedsofChildreninFosterCare:Thedevelopmentandimplementationofaplanformeetingthephysicalandmentalhealthneedsofinfants,children,andyouthinfostercarethatensuresthattheprovisionofsuchcareischild-specific,comprehensive,appropriate,andconsistent(throughsuchmeansasensuringthatthechildhasamedicalhome,ColoradoTermsandConditions—fINAL7 CUregularweilnessmedicalvisits,andaddressingtheissueoftrauma,whenappropriate).•LimitingtheUseofCongregateCare:Thedevelopmentandimplementationofaplanthatensurescongregatecareisusedappropriatelyandreducestheplacementofchildrenandyouthinsuchcare.2.4Within90daysfollowingacceptanceoftheseTermsandConditions,theStatewillSubmitaPreliminaryDesignandImplementationReporttotheDepartmentforapproval;andaFinalDesignandImplementationReportwillbesubmittedtotheDepartmentforapprovalwithin180daysfollowingacceptanceoftheseTermsandConditions(seeSection5.2).Thesereportswillincludeinformationaboutprogramdesignandimplementation.Reportsectionsregardingimplementationwillinclude:•AfinalWorkPlan,outliningthekeytasks,reportingrequirements,andtimelinesthroughoutthecourseofthedemonstration;•Aphase-downplanforthedemonstrationsothatcaseplansforchildrenandtheirfamiliescanbeadjusted,ifnecessary,forthepost-demonstrationportionoftheirplacement(SeeSection6.1);•Thedetailedprotocolorsetofpoliciesthatwillguidedecisionsaboutwhichfamiliesorchildrenaretobeselectedtoparticipateinthedemonstration,howtheselectionwillbemade,andhowthesuitabilityofserviceswillbedetermined;•StandardsofqualityandsafetyandpracticerequirementsidentifiedbytheStatetobeincorporatedintoanyagreementswithpublicandprivateprovidersthatareexpectedtoprovidesupportandservices;and•Thestatusofevaluationactivities,includingeffortstoengageathird-partyevaluator.ThedemonstrationprojectwillbereviewedperiodicallybytheDepartmenttoensurethatthedemonstrationactivitiesareconsistentwiththepurposesoftitlesIV-BandIV-EoftheActandtheseTermsandConditionsinprovidingchildwelfareservices,includinganassuranceofthesafetyofthechildrenandfamiliesinvolved.Thereviewisintendedtoensurethatbenefiteligibilitywillnotbeimpairedandthatimprovedoutcomesforthechildrenandfamilieswillresult.AnyproposedamendmenttotheseTermsandConditionsissubjecttopriorapprovalbytheDepartment.ColoradoTermsandConditions—FINAL8 CCSECTION3:EVALUATION3.0TheStatewillconductanevaluationoftheuseoftitleIV-EfundstotestthehypothesisthattheflexibleuseoftitleIV-Efundstoprovidefamilyengagementservices,trauma-informedchildassessments,andtrauma-focusedbehavioralhealthtreatments,asappropriate,willresultinimprovedsafety,permanency,andwellbeingforchildren.Theevaluationwillconsistofthreecomponents:Aprocessevaluation,anoutcomeevaluation,andacostanalysis.TheStateisrequiredtoengageathirdpartytoconductanevaluationofthedemonstrationprogram.Theevaluatorshallbeanindependentorganizationthatisnotaffiliatedwithstateorlocalgovernment,exceptthatstateuniversitiesmaybeengagedtoconducttheevaluation.Theevaluatorshallberesponsibleforthedevelopmentofthefinalevaluationdesignwithinthebasicevaluationparametersoutlinedbelow.Theevaluatorshalldeveloparesearchdesignandsamplingplan;developandexecutethedatacollectionandanalysisplans;andprepareinterimandfinalreports.3.1EvaluationDesign:TheState’sevaluationwillinvolveamatchedcasecomparisondesignandatime-seriesanalysis.Thematchedcasecomparisondesignwillexaminechangesinoutcomesforchildrenreceivingoneormoreinterventionsimplementedatthebeginningoforearlyinthedemonstrationperiodcomparedtosimilarchildrenincountiesthatimplementedtheseinterventionslaterinthedemonstrationperiod.Thetimeseriesanalysiswillexaminechangesovertimeinkeymeasuresofchildsafetyandpermanency.Totheextentpossible,theState’sanalysisofprocessandoutcomefindingswillbebasedoncase-leveldatafromtheState’schildwelfareinformationsystems,caserecords,andotherdatasourcesasappropriate.Additionally,theState’sprocessandoutcomeevaluationwillincludeananalysisofthemodificationofStatenon-safetycertificationregulationsforrelativefosterfamilyhomesonchildsafetyoutcomeswhichwillinclude,butarenotlimitedto,allegationsofabuseinrelativefosterfamilyhomes.TheStatewillalsoexaminethedifferencesinoutcomesforchildrenplacedinrelativefosterfamilyhomesastheycomparetothoseintraditionalfosterfamilyhomes.TheseoutcomeswillberegularlymonitoredbytheState’sAdministrativeReviewDivisionandreportedintheState’sprogressreports(Section5.3)andinterimandfinalevaluationreports(Sections5.7and5.8).AdditionaldetailsofthefinalevaluationdesignwillbedeterminedinconsultationwiththeDepartmentandtheState’sthird-partyevaluationcontractoranddescribedintheState’sevaluationplan(Section3.5).Throughouttheevaluation,theStatewillapprisetheDepartmentofanydifficultiesencounteredinachievingtheestimatedsamplesizesfortheproject,andinconsultationwiththeoutsideevaluatorwilldetermineifsuchdifficultieswillaffecttheState’sabilitytoidentifystatisticallysignificantdifferencesinkeydemonstrationoutcomes.TheStateColoradoTermsandConditions—fINAL9 CCwillnotifytheDepartmentassoonasanyseriousproblemsarenoted.Semi-annualprogressreports(seeSection5.4)willincludeanupdateonthesamplesizesandprogresstowardmeetingthetargetedsizes.Caseswillmaintaintheirassignedstatusforthefullperiodofthedemonstration.ModificationstothesamplingpianmaybeproposedtotheDepartmentforapprovalifthesamplesizesfortheexperimentalandcontrolgroupsaresuchthatthenumberofclientsineachgroupwillprovideadequatestatisticalpowertodetectdifferencesinoutcomesofinterestbetweenthetwogroups.3.2ProcessEvaluation:Theevaluationwillincludeinterimandfinalprocessanalysesthatdescribehowthedemonstrationwasimplementedandthatidentifyhowdemonstrationservicesdifferfromservicesavailablepriortoimplementationofthedemonstration,orfromservicesavailabletochildrenandfamiliesthatarenotdesignatedtoreceivedemonstrationservices.Theanalysiswillincludealogicmodelthatdescribesthedemonstration’sobjectives,theservicesorotherinterventionsprovided,andthewaytheinterventionislinkedtomeasurableoutcomes.Inaddition,theprocessanalysiswillexamine,ataminimum,thefollowing:•Theplanningprocessforthedemonstrationincludingwhetheranyformalneedsassessment,assetmapping,orassessmentofcommunityreadinesswasconducted;•Theorganizationalaspectsofthedemonstration,suchasstaffstructure,fundingcommitted,administrativestructures,andprojectimplementation,includingongoingmonitoring,oversight,andproblemresolutionatvariousorganizationlevels;•Thenumberandtypeofstaffinvolvedinimplementation,includingthetrainingtheyreceived,aswellastheirexperience,educationandcharacteristics;Theservicedeliverysystem,includingproceduresfordeterminingeligibility,referringsubjectsforservices,thearrayofservicesavailable,thenumberofchildren/familiesservedandthetypeanddurationofservicesprovided;•Theroleofthecourtsinthedemonstrationandtherelationshipbetweenthechildwelfareagencyandcourtsystem,includinganyeffortstojointlyplanandimplementthedemonstration;•Contextualfactors,suchasthesocial,economicandpoliticalforcesthatmayhaveabearingonthereplicabilityoftheinterventionorinfluencetheimplementationoreffectivenessofthedemonstration.Thisdiscussionwillnoteanypossibleconfoundingeffectsofchangesinthesesystems,orchangesresultingfromotherdemonstrationsorreformsthatwereimplementedduringthetitleIV-Edemonstration;ColoradoTermsandConditions—FINAL10 C0•Thedegreetowhichdemonstrationprogramsandservicesareimplementedwithfidelitytotheirintendedservicemodels;and•Thebarriersencounteredduringimplementation,thestepstakentoaddressthesebarriers,andanylessonslearnedduringimplementation.Foreachofthefactorsdescribedabove,theprocessanalysiswillnoteanydifferences,asappropriatefortheState’sevaluationdesign,inimplementationbeforeandafterthestartofthedemonstration,amongparticipatingcountiesorotheradministrativeunits,orbetweentheexperimentalandcontrol/comparisongroups.3.3OutcomeEvaluation:TheState’soutcomeevaluationwilladdress,ataminimum,changesinthefollowingoutcomes:•Caregiverknowledgeandcapacity.•Childemotional/behavioralandsocialfunctioning.•Out-of-homeplacementandre-entryrates(placementavoidance).•Placementwithkincaregivers(bothlicensedandunlicensed).•Newandrepeatallegationsofabuse(inrelativeandnon-relativefosterfamilyhomes).•Lengthofstayinout-of-homecare.•Frequencyofchangesinplacementsetting(placementstability).•Exitstopermanencythroughreunification,guardianship,andadoption.•Fostercarere-entryrates.•Useofcongregatecare.TheStateisfreetoproposeadditionalresearchquestionsandoutcomemeasuresforinclusionintheevaluation.TheStatewillcollectdatatoaddressthesequestionsfromtheState’sautomatedchildwelfareinformationsystems,childwelfareagencycaserecords,andadditionalinformationsourcesasappropriate.TheStatewillworkwithitsevaluationcontractortoidentifyotherappropriatedatasourcestoaddresstheprocessandoutcomemeasuresdescribedabove.3.4CostStudy:Thecostanalysiswillexamine,ataminimum,thecostsofthekeyelementsofservicesreceivedbychildrenandfamiliesdesignatedtoreceivedemonstrationservicesandwillcomparethesecostswiththoseofservicesavailablepriortothestartofthedemonstration,orthatwerereceivedbythechildrenandfamiliesthatwerenotdesignatedtoreceivedemonstrationservices.Thecostanalysiswillalsoincludeanexaminationoftheuseofkeyfundingsources,includingallrelevantfederalsourcessuchastitlesIV-A,IV-B,IV-EandXIXoftheAct,aswellasStateandlocalfunds.Thepurposeoftheanalysiswillbetocomparethecostsofservicesavailablethroughthedemonstrationwiththoseofservicestraditionallyprovidedtochildrenandtheirfamilies.Wherefeasible,acost-effectivenessanalysiswillbeconductedtoestimatethecostsofColoradoTermsandConditions—fINAL11 0eachsuccessfuloutcomeachievedthroughthedemonstration.Thisanalysiswillbeconductedusingoneormoreofthekeyoutcomemeasuresforwhichastatisticallysignificantdifferenceisidentified.3.5EvaluationReportingRequirements:ThefollowingreportsanddocumentsshallbeprovidedtotheDepartmentforreviewandapproval(alsonotedinSection5):•TheStatewillsubmittotheDepartmentforreviewadraftofthespecificationsorRequestforProposals(RFP)fortheagreementtoconductanevaluationofthedemonstrationwithin60daysafteracceptanceoftheseTermsandConditions.Thedraftspecificationsmustdetailtheobjectivesoftheproject,theevaluationdesign,thespecifictaskstobeconducted,thetimeframesforconductingthosetasks,andascheduleandlistofdeliverables.Theresearchquestions,keyvariables,datacollectionmethods,samplesizesandotheraspectsoftheevaluationnotedintheseTermsandConditionswillbeclearlydescribed.•TheStatewillsubmitanevaluationplantotheDepartmentforapprovalwithin120daysaftertheevaluationcontractisawarded.Theevaluationplanmustpresenttheunderlyinglogiclinkinginterventionstoexpectedoutcomes,theresearchquestionstobestudied,themajorvariablestobemeasured,thefinalsamplingplan,thedatasources(includinganassessmentofthereliabilityandvalidityofeachsource),datacollectionprocedures,andthemajordataanalysestobeperformed.Theplanwilldescribethecomparabilityofselectedtimeperiodsandgroupsonkeyvariables.•Notlaterthan60daysaftertheconclusionofthe10thquarterfollowingthedemonstration’simplementationdate,theStatewillsubmitaninterimevaluationreport(seeSection5).Thereportwillincludeaprocessanalysisoftheevaluationtodateandanyoutcomedataavailableatthattime.Thereportwillalsoincludeabriefdescriptionoftheoutcomeandcostcomponentsoftheevaluationplannedandnoteanyissuesorproblemsanticipatedincompletionofthesecomponents.Ifthefmdingsareunclearorincomplete,theDepartmentmayrequestrevisionsandresubmissionofthereport.•Notlaterthansixmonthsaftertheconclusionofthedemonstration(20thquarter),afmalreportintegratingtheprocess,outcomeandcostcomponentsoftheevaluationwillbesubmitted.Ifthefindingsareunclearorincomplete,theDepartmentmayrequestrevisionsandresubmissionofthereport.•TheStatewillpostcopiesoftheinterimandfinalevaluationreportsontheState’schildwelfareagencyWebsite(seeSection5.10).•Notlaterthansixmonthsaftertheconclusionofthedemonstration(20thquarter),theStatewillhavetheevaluationcontractorproduceandmakeavailablepublic-usedatatapes,includingdocumentationnecessarytopermitre-analysisofthedatagatheredduringthecourseoftheevaluation.ColoradoTermsandConditions—fINAL12 CC.;PublicreleaseofanyevaluationormonitoringreportsrequiredunderthisagreementwillbemadeonlybytheDepartmentortheState.Priortopublicreleaseofsuchreports,theDepartmentandtheStatewillhaveatleasta30-dayperiodforreviewandapproval.3.6ProgramChanges:Additionalprogramchangesthatarenotappliedequallytoexperimentalandcontrol/comparisongroups,orthatwouldsubstantiallyaffecttheevaluationofthedemonstration,mustbeapprovedbytheDepartmentasanamendmenttotheseDemonstrationProjectTermsandConditions.ColoradoTermsandConditions—fINAL13 CCSECTION4:COSTNEUTRALITY4.0Asrequiredbysection1130(h)oftheAct,theamountoffederalfundsexpendedforthisprojectmaynotexceedtheamountofsuchfundsthatwouldbeexpendedbytheStateundertheStateplansapprovedunderpartsBandEoftitleIVifthedemonstrationprojectwerenotconducted.Therefore,exceptforcostsofevaluatinganddevelopingthisproject(asspecifiedinSections4.4and4.5below),startingwiththedeemedbeginningdate(seeSection1.5)theoperationofthisdemonstrationistobecost-neutraltotheFederalgovernmentwithrespecttomaintenanceandadministrativecostsfortitlesIV-BandIV-EoftheAct.4.1Section4Terms:Costs.Allreferencesmadetocosts(unlessotherwisespecificallynoted)consistoftotalcomputable(gross)costs.TheFederalshareofdemonstrationprojectcostswillbecomputedusingthematchingrateapplicabletothefundingcategory.MaintenanceCosts.AllreferencesmadetomaintenancecostsincludetitleIV-Eallowablefostercaremaintenanceassistancepayments(perSection475(4)(A)oftheAct),andsuchothercostsforcasesdeemedastitleIV-Eallowablethroughawaivergrantedforthisdemonstrationproject.AdministrativeCosts.AllreferencesmadetoadministrativecostsincludetitleIV-Eallowableadministrativecosts(perFederalregulationsat45CFR1356.60(c))andothercostsdeemedastitleIV-Eallowablethroughawaivergrantedforthisdemonstrationproject.Cumulative.Allreferencesmadetocumulativeinthecontextofcostswillindicatethatcostsaretobesummedforallquartersfromthedeemedbeginningdatethroughthequarterinquestion.4.2Thetotalcostsoffostercarepayments,includingmaintenanceandadministrativecosts,shallbeanamountdeterminedbyabaseallocationasdeterminedinSection4.2.1belowpiusanyannualchangefactororexclusionsasspecifiedinSection4.2.2.TheresultsofthiscalculationareshowninSection4.3,Table1.Theaggregatefive-yearsumofFederalsharepaymentsshallbethecumulativefixedpaymentthatshallbemadetotheState.ReceiptbytheStateofpaymentsnotgreaterthatthecumulativefixedpaymentshallbeconsideredcostneutraltotheFederalgovernment.Atleast90dayspriortoimplementation,theStateshallprovidetheDepartmentwithadocumentshowingafixedscheduleofpaymentsforthefive-yeardemonstrationperiod.TheStatemayreceivequarterlypaymentsinaccordancewithascheduleofquarterlypaymentsthesumofwhichdonotexceedthetotalcumulativepaymentsunderthedemonstration.ColoradoTermsandConditions—fINAL14 C;C4.2.1ThefostercarebaseallocationamounttobeusedforpurposesofestablishingacaptoreflectcostneutralitytotheFederalgovernmentfordemonstrationprojectoperationshasbeendeterminedforeachofthefundingcategoriesimpactedbythedemonstrationprojectthroughthefollowingprocesses:Sourceofclaims:ThebaseamountisthecalculatedStateFiscalYear(SfY)totalcomputable(gross)titleIV-EFosterCareclaims(includingcurrentandpriorquarteradjustments)submittedbyColoradoonquarterlyreportsofexpendituresandestimates(i.e.formACF-IV-E-1orCB-496,asapplicable)duringthespecifiedtimeperiodsforthefollowingcostcategoriesandadjustedforbaselineincreasesasspecifiedbelow:•Fostercaremaintenancecosts:Totalcomputablecostsof$35,943,219.ThistotaliscalculatedfromtheaverageofmaintenancepaymentsclaimsforSFY2008-2010.•Fostercareadministrativecosts(excludingSACWIS,non-SACWISchildwelfareinformationsystems,andtraining):Totalcomputablecostsof$54,251,490.ThistotaliscalculatedfromtheaverageofadministrationclaimsforSFY2008-2010inthefollowingspecificcategoriesofadministration:eligibilitydeterminationsandcasemanagement.Applicationofbaseallocation:Thebaseamountwillbeappliedseparatelyindeterminingannualallocationsformaintenanceassistancepaymentsandadministration.4.2.2ThepaymentsforeachfullFFYduringthe5-yearoperationalperiodofthedemonstrationprojectshallconsistofthebaseamountadjustedeachFFYbythechangefactor(s)andtheexclusionsdescribedinthesubsectionsbelow.Thus,paymentsinthesecondandsubsequentfullFFYsofdemonstrationoperationswillequaltheamountcalculatedforthepriorFFYplusanyfurtherapplicablechanges.PaymentsfordemonstrationoperationsduringanypartialFFYwillbepro-ratedproportionallybyquartertoreflecttheportionoftheFFYwhenthedemonstrationprojectisoperational.4.2.2.1Theannualallocationchangefactorsappliedhavebeendeterminedbythefollowingprocess:a.Maintenanceassistancepayments:Threeyearaverageannualrateofchangeintheratiooftotalcomputablemaintenancepaymentclaimstoaveragemonthlynumberofchildren.b.Administration:Threeyearaverageannualrateofchangeintotalcomputableadministrationclaimsforthespecifiedcategories.ColoradoTermsandConditions—FINAL15 CC4.2.2.2Thefostercarecostsexcludedfromthecostneutralitycalculationandthussubjecttopaymentoutsideofthecappedallocationareasfollows:a.AnyallowablefostercareadministrativecostsnotpreviouslyidentifiedinSection4.2.1willbeexcludedfromthecalculationofthedemonstration’scappedallocation(seeSection4.3),andwillbereimbursableseparatelyinadditiontotheamountofthecappedallocation.b.AnyallowableSACWISornon-SACWISchildwelfareinformationsystemdevelopmentoroperationalcostswillbeexcludedfromthecalculationofthedemonstration’scappedallocation(seeSection4.3),andwillbereimbursableseparatelyinadditiontotheamountofthecappedallocation.Costsassociatedwiththedevelopment,maintenanceandoperationoftheState’sSACWISprojectwillbesubjecttoapplicableadvanceplanningdocumentandapprovalprocesses.c.Anyallowablestaff/providerorprofessionalpartnertrainingcostswillbeexcludedfromthecalculationofthedemonstration’scappedallocation(seeSection4.3),andwillbereimbursableseparatelyinadditiontotheamountofthecappedallocation.4.3FederaltitleIV-EpaymentstotheStateforthisdemonstration,includingexpendituresofanyrealizedsavings,willbemadeforamountsinaccordancewithTable1(shownbelow)quarterlybasedonStateestimatesofdemonstrationexpendituresforthenextquarterinaccordancewiththepaymentschedule(asdeterminedinSection4.2above).Table1-ColoradoTitleIV-EFosterCareTotalComputableDemonstrationProjectCappedAllocationPaymentsDemonstrationBSEYSFY20135FY2014SFY2015SFY2016SFY2017SFY2018ProjectFundingAmountAllocationAllocationAllocationAllocationAllocationAllocationCategoryCapCapCapCapCapCapMaintenancePayments35,943,21936,593,88837,212,12038,486,50039,353,63740,323,32541,414,040Administration54,251,49055,651,17856,669,59557,383,63258,468,18359,438,75460,389,774AllCappedCategories90,194,70992,245,06693,881,71595,870,13297,821,87099,762,579101,803,814FederaltitleIV-Epaymentsfordemonstrationoperationalexpenditureswillbemadeforanyquarterbeginninginaccordancewiththedatesspecifiedinsection1.5ofthesetermsandconditionswhenthedemonstrationisinoperationandforatotalperiodofnolongerthanfiveyears(20quarters)thereafter.ColoradoTermsandConditions—FINAL16 0CActualexpendituresclaimedforthedemonstrationproject,includingexpendituresofanyrealizedsavings,alongwithestimatesinadvanceofeachquarter,willbeidentifiedseparatelyontheACFquarterlyclaimform,CB-496.SummaryfiscalinformationontheresultsoftheprojectmustbereportedinPart3aswellasotherapplicablepartsofformCB-496.TheseestimatesandclaimsrelatingtothedemonstrationwillbesubjecttoreviewanddeferraloradjustmentaccordingtothenormalproceduresforreviewingtitleIV-EestimatesandpayingtitleIV-Eclaims.AllothertitleIV-Eclaimsthatarenot’relatedtothisdemonstrationwillcontinuetobefiledinaccordancewithcurrentquarterlyclaimingrequirementsforpaymentsforallowablecost.TheStatemustexamineitscostallocationplantodeterminewhetheranyofthecomponentswillaffectthecalculationoforclaimingforanyadministrativecostsundertitleIV-E,andifsotheStatemustsubmitanamendmenttothecostallocationplanpriortotheimplementationdatetoaddressanysucheffectsappropriately.4.4DevelopmentalCosts.DevelopmentalcostsaretheexpensestheStateincurstoestablishthedemonstrationpriortotheproject’simplementation.Thesecostsareexcludedfromthecost-neutralitycalculation.foractivitiesundertakenpriortotheimplementationdatespecifiedinSection1.5above,theFederalgovernmentwillmatchtheapprovedadministrativecostsrelatedtodevelopmentofthedemonstrationproject(otherwisecalleddevelopmentalcosts)attheapplicablematchingratewithoutapplicationofcostallocation.SuchcostscanbeginwiththepreparationoftheState’sproposalandmayalsoincludeautomatedsystemsdevelopmentandchanges,policyorproceduresdevelopment,andstafftraining.Developmentalcostsdonotincludecostsforactivitiesperformedonorafterthedeemedstartdateofprojectoperations.Nolaterthan30daysaftertheStateformallyacceptstheseTermsandConditions,theStatewillsubmitaplan,forapprovalbytheDepartment,designatingwhichadministrativecostswillbetreatedasdevelopmentalcostsforpurposesofthissection(seeSection5.0).ThissectionisnotintendedtosupersedeotherrequirementsforFederalapprovalforadministrativecostsoftheprogramsinvolvedinthedemonstration.4.5EvaluationCosts.EvaluationcostsareexpensesincurredbytheexternalevaluatoraswellasthoseincurredbytheStatethataredirectlyrelatedtotheevaluationeffort.Thesecostsareexcludedfromcost-neutralitycalculation.Evaluationcostsbeginwiththefirstevaluationplanningactivitiesandcontinueuntilthefinalevaluationreportissubmitted.Suchcostswillencompassallcostsnecessarytocarryouttheapprovedevaluationplan,includingcostsforevaluationactivitiescarriedoutbyStateandlocalagenciesaswellasthosecarriedoutbytheevaluationcontractor.ThecostsofapprovedevaluationactivitiesmaybechargedtotitleIV-EadministrativecostswithoutcostallocationsothattheStatemayclaimafull50percentofthesecostsastitleIV-Eadministrativecosts.TheStateshalladdressanychangesneededtoimplementthisprovisionthroughsubmissionofappropriateamendmentstoitsapprovedStatecostallocationplans.Costsofevaluationthatarisefromthedemonstrationproject(s)approvedundertheseTermsandConditionsmaybeclaimedforareasonableperiodoftimeaftertheexpirationoftheperiodofthisdemonstration(Section1.5)solongasthecostsareforactivitiesrequiredbytheevaluationplan(s)approvedbytheDepartmentandareotherwiseallowableandColoradoTermsandConditions—FiNAL17 reasonable.EvaluationcomponentsnotapprovedbytheDepartmentwillnotqualifyforfederalmatchinghinds.ColoradoTermsandConditions—FINAL18 C0SECTIONS:MONITORiNGTheStatewillsendallreportsrequiredinthissectiontotheChildren’sBureau,theRegionalACFOffice,andtheevaluationtechnicalassistancecontractorforthisinitiative.5.0TheStatemustsubmitaplan,forapprovalbytheDepartment,designatingwhichadministrativecostswillbetreatedasdevelopmentalcosts(seeSection4.4)nolaterthan30daysafteracceptingtheseTermsandConditions.5.1Within60daysofacceptanceoftheseTermsandConditions,theStatewillsubmittotheDepartmentadraftofthespecificationsorRequestforProposal(RFP)andevaluationspecificationsforreview.5.2Within90daysfollowingacceptanceoftheseTermsandConditions,theStatewillsubmitaPreliminaryDesignandImplementationReporttotheDepartmentforapproval;andaFinalDesignandImplementationReportwillbesubmittedtotheDepartmentforapprovalwithin180daysfollowingacceptanceoftheseTermsandConditions(seeSection2.4fordetailedelementsofthereports).5.3TheStateshallsubmitquarterlyprogressreportsbeginning90daysaftertheacceptanceoftheseTermsandConditionsandcontinuinguntilimplementation.ThePreliminaryDesignandImplementationReportwillserveasthefirstquarterlyreport.Allsubsequentreportsareduenolaterthan30daysaftertheconclusionofeachquarterlyperiodandwillincludeabasicupdateonthestatusofeachactivityortaskidentifiedintheImplementationReport.Thereportwillalsoidentifyanyproblemsencounteredthatmayhaveanimpactonthedesignoranticipatedimplementationschedule.SuggestionsforresolvingtheseproblemswillbeprovidedfortheDepartment’sreviewandapproval.5.4Onceimplementationhasbegun,semi-annualprogressreportswillberequiredthroughouttheprojectperiodsummarizingprojectandevaluationactivitiesandaccomplishmentsduringthereportingperiodaswellasinterimfindingsfromtheevaluation,ifavailable.Thesemi-annualmonitoringreportsshallindicateissuesorproblemsandresolutionsregardingtheimplementationofthedemonstrationorevaluationasapproved,includingupdatesontheresolutionofanysignificantproblemsidentifiedintheimplementationreport.TheStatewilladdressitsprogresstowardimplementingtheChildWelfareProgramImprovementPoliciesasdescribedinSection2.3.Thesereportsareduenolaterthan30daysaftertheconclusionofeachreportingperiod.5.5TheStatewillsubmitanevaluationplantotheDepartmentforapprovalwithin90daysaftertheevaluationcontractisawarded(Section3.5).TheevaluationplanmustbeapprovedbytheDepartmentpriortoimplementation.5.6TheStatewillsubmitanannualaccountingduringthedemonstrationprojectperiodofallinvestments,publicorprivate,madeincoordinationwiththeStatetoprovideservicesundertheproposeddemonstrationproject.ColoradoTermsandConditions—fINAL19 CC5.7TheStatewillsubmitanInterimEvaluationReport60daysaftertheconclusionofthe10thquarterfollowingthedemonstration’simplementationdate(Section3.5).AdditionalreportsmaybeproposedbytheStateand,subjçcttoapprovalbytheDepartment,maybeconsideredallowablecomponentsoftheevaluationofthedemonstration.5.8TheStatewillsubmitaFinalEvaluationReportsixmonthsaftertheprojectends,integratingtheprocessstudy,theoutcomesstudy,andthecostanalysis(Section3.5).5.9TheStatewillpostcopiesoftheinterimandfinalevaluationreportsontheState’schildwelfareagencyWebsite(seeSection3.5).5.10TheStatewillsubmit,orhavetheevaluationcontractorproduceandmakeavailable,public-usedatatapes,includingdocumentationnecessarytopermitre-analysisofthedatagatheredduringthecourseoftheevaluation,sixmonthsaftertheprojectends(Section3.5).ColoradoTermsandConditions—fINAL20 CCSECTION6:TERMiNATIONPROCEDURES6.0federalfinancialparticipationindemonstrationactivitiesrequiringwaiverswillnotbeprovidedbeyondtheperiodapprovedbytheDepartment.6.1AspartofthePreliminaryDesignandImplementationReportandtheFinalDesignandImplementationReport(Section2.4),theStatewillsubmitfortheDepartment’sapprovalaplantophasedownandendthedemonstrationtoensurethattherearenodemonstration-relatedFederalcostsincurredbeyondtheperiodapprovedbytheDepartment.AllactivitiesrequiringDepartmentapprovalmustceaseonthedatedecidedbytheDepartmentiftheprojectisterminatedpriortotheendofthe20thquarterafterthedeemedbeginningdateofthedemonstration.Approval:Acceptance:ReggieBicha7’ç,pñissionerExecutiveDirectorAdministrationonChildren,YouthColoradoDepartmentofandfamiliesHumanServicesDateDateColoradoTermsandConditions—FINAL21 RegionalIV-EWaiverApplicutionfDNorthWestRegionalInterventionGarfield-Eagle-Pitkin-Moffat-Routt-RioBlancoCounties5/24/13Intervention-FamilyEngagementandKinshipSupportContactPerson:SharonLonghurstPrittsprittcgarfieId-county.com970-625-5282Ext.3265Intervention-PermanencyRoundtablesContactPerson:ToniRozanskitoni.rozanski@eaglecounty.us970-328-8852ManagementPlanforWaiverimplementationIntervention-FamilyEngagementandKinshipSupportLeadPersonsforWaiverActivities:SharonLonghurstPritt,CWServicesAdmin.GarfieldCountyIntervention-PermanencyRoundtableLeadPersonsforWaiverActivities:ToniRozanski,ChildrenfamilyandAdultServicesDirector,EagleCoIVEWaiverExecutiveCommitteeSharonLonghurstPritt,ServicesAdministrator,GarfieldCountyToniRozanski,Children,FamilyandAdultServicesDirector,EagleCountyKimDuBois,CWAdmin.PitkinCountyBonnieRuckman,Director,RioBlancoCountyVickieClark,Director,RouttCountyKernKlein,Director,MoffatCounty1 RegionalIV-EWaiverApplicationNorthWestRegionalInterventionGarfield-Eagle-Pitkin-Moffat-Routt-RioBlancoCountiesWaiverTeam-PRTandFamilyEngagementSharonLonghurstPritt,ServicesAdministrator,GarfieldCountyToniRozanski,Children,familyandAdultServicesDirector,EagleCountyKimDuBois,CWAdmin.,PitkinCountySheilaStrouse,Supervisor,GarfieldCountywillleadeffortsofFamilyEngagementSusanGarcia,Supervisor,willleadeffortsofKinshipSupportMattMcGaugh,supervisor,GarfieldCounty,willleadPRTeffortsinGarfieldCountyandcollectdataDorothyWilson,EagleCounty,ManagerHollyKasper,EagleCounty,managerWaiverTeam-KinshipSupportSharonLonghurstPritt,ServicesAdministrator,GarfieldCountyKimDuBois,CWAdmin.PitkinCountySusanGarcia,Supervisor,willleadeffortsofKinshipSupportinPitkinandGarfieldCountyMission-willbedeterminedastheteambeginstocometogetherasagroupandgoalsareoutlinedfortheirpurpose.Task-Supervisorsandmanagersidentifiedtoleadthecomponentsofthewaiverareresponsibletoimplementstepsasoutlinedinthisproposal.Thecoordinatorwillberesponsibleforarrangingmeetingtimesandsettinganagendaforreportsonthewaiveractivities.ThecoordinatorwillleadthemonthlymeetinginanefforttokeepthecountiesandCDHSinformedoftheprogressandidentifibarriersastheyarise,Thispersonwillalsocollectdataandshareoutcomesatthemonthlymeetings.WaiverInterventionsTitleW-EwaiverInterventionsProposed1.familyEngagementfundingAmountRequested228,3202.PermanencyRoundtablesfundingAmountRequested139,0613.KinshipSupportsfundingAmountRequested55,243Total422,6242 RegionalIV-EWaiverApplicationNorthWestRegionalInterventionGarfield-Eagle-Pitkin-Moffat-Routt-RioBlancoCounties•TheCountieswillcommitstafftoserveonanimplementationcommitteetodiscussissuesthatariseinputtinginplaceparticularinterventionsorinoverallimplementationoftheinterventionstrategies,FamilyEngagement:GarfieldCountyhasdesignedandimplementedafamilyEngagementpracticethathasbeensolidifiedinpractice.ThispolicyincludesanumberoffamilymeetingtypesthatincludeTeamDecisionMakingmeetings,familyGroupConferencingandFacilitatedfamilyMeetings.Thepolicy(attached)describesatwhatintervalsinacaseanyparticulartypeofmeetingistobeused.Workersareheldtothispolicythroughgroupsupervisionandindividualsupervision.AllmeetingswiththefamilyaredocumentedinTrails.Therearenoneededchangeswithinthecounty’spracticeorpolicyforfamilyEngagement,changesproposedwouldincludetwoseparatedistinctareastoenhanceandgrowtheengagementoffamilies.ExpandcurrentFamilyEngagementpracticetoPitkinandEagleCountyGarfieldCountywouldproposecollaboratingwithPitkinCountyandEagleCountytoprovidetheresourcesandinfrastructuretoimplementfamilyengagementstrategiesasoutlinedintheGarfieldCountyfamilymeetingpolicy.ThroughconversationsthathavealreadytakenplacePitkinCountyhasverballyagreedtoutilizeGarCofacilitatorsasoutlinedintheestablishedpolicy.ThisverbalagreementwouldbesolidifiedwithawrittendocumentoutliningPitkin’sintentonfollowingthepolicywithfidelityandGarfield’sagreementthatfacilitatorswouldbeavailableupondemand.ThisfacilitationwouldbeavailablefortheportionofEagleCountythatPitkinCountyisservicing.EagleCountywouldproposehiringafacilitatorandtrainingthisindividualinTDMsandFGC.TheintentwouldbeforEagleCountytoadoptGarfield’spolicyforfamilyMeetingsandimplementthispracticewithfidelitytotheidentifiedtimeframesandtypesofmeetings.Allthreecountieswouldbeadheringtothepolicythatisattached.Currentlyallthreecountiescollaborateinanumberofareasandtherelationshipsthathavebeenforgedwillserveasastrongfoundationforimplementingthisproposal.GarfieldhasprovidedlimitedfacilitationforPitkininthepastbutthesearrangementshavebeenlooseanddependentonstaffavailabilityandtheneedsofGarfieldfamilies.Throughaformalarrangementbothcountieswillunderstandtheirresponsibilitiesandobligationtoprovidethisservice.GarfieldwouldproposecontractingorpotentiallyaddingastaffmembertomeettheadditionalneedsofPitkinCountyandtheportionofEagleCountythatPitkinservices.EagleCountywouldproposetheadditionof1fTEforfamilyengagementintheircounty.WRAPfacilitator3 RegionalIV-EWaiverApplicationNorthWestRegionalInterventionGarfield-Eagle.-Pitkin-Moffat-Routt-RioBlancoCountiesThecountiesarecognizantofthefactthatunlessservicesandsupportsareputintoplaceinthecountytheeffortstolowercongregatecarenumbersandotherplacementswillbefruitless.Throughstrongefforts,collaborationandrelationshipbuildingGarCoDHShasbeenputtingtimeandenergyintocreatinganetworkandcontinuumofservicestoaddresshighlevelneedsoffamilies,youthandchildren.Thecountyhasspearheadedandencouragedcontinuedeffortswithagroupofindividualsrepresentingschools,behavioralhealth,probation,andayouthservingagency(SB94&diversionprograms)tointegratecurrentprograms,developprogrammingforgapsinservicesandcreateapositionwheretheseeffortscanbemanagedinacoordinatedmanner.ThecommunitycametogetherforWRAPtraininginearly2013;representativesfromtheabovedisciplineswerepresent.Manyoftheparticipantssharedthisconceptandpracticewouldbenefitfamiliespresentingwithhighneedsandmultipleserviceproviders.WiththeideaofcombiningtheeffortsputforwardfromtheteamworkingonacoordinatedservicedeliverysystemandtheparticipantsfromtheWRAPtrainingaproposalwouldbetofundthepositionofaWRAPfacilitator,Thispositionwouldbesupervisedandhousedbyacommunitypartner.Therearethreecommunitypartnersthathaveagreedtobepotentialemployersofthisposition,behavioralhealth,youthservingagency,andschool.Thepositionwouldbefunded.5bywaiverfundsandpotentially.5byPA3funds(whenthisfundingsourcebecomesavailable)toallowforbothchildwelfareinvolvedfamiliesandnon-childwelfarefamiliestoutilizethissupport.ThisWRAPfacilitatorwouldbeabletoengagefamiliesinallthreecounties.Theentitiesthathavebeenidentifiedhaveservicesavailableinallthreecounties.Althoughthisconceptdoesn’tfitintheapplicationasoutlinedargumentwouldbepresentedthatthismodelfallspreciselywithintheideaoffamilyengagement.Thecountieswouldsupportthatthisproposedfundedpositionallowsthecommunitytoparticipateinfamilyengagementandthereforebroadenthespectrumandcatcharea.Thecountywouldcontractwithanentityandfundtheposition.Therearenaturalpartnersthatspamthethreecountiesandcouldserveasthecontractorforthisposition.Garfield,PitkinandEagleCountiesshareaCoreServiceplanandthroughthisplanColoradoWestMentalHealthprovidesbehavioralhealthservicestoallareas.Thisagencyiswillingtopartnerwithoureffortstobringapositiontotheirorganization.Thiscollaborationandestablishedelationshipallowsforthistypeofproposaltomoveforward.Thecountywouldanticipateprovidingthisservicefor12-15families.ThisnumberisderivedfromthenumberofyouthinOOHplacementwhocouldpotentiallyreturntothecountiesifcomprehensiveserviceswereavailable,thecrossoveryouth,andYICcases.Thisnumbercouldalsopotentiallyincludecomplicatedcaseswithyoungerchildreninvolved.4 RegionalIV-EWaiverApplicdtionNorthWestRegionalInterventionGarfield-Eagle-Pitkin-Moffat-Routt-RioBlancoCountiesBudgetPersonnel1FTEGarfieldCounty$80,6011fTEEagleCounty$88,7921FTEContracted$50,000TotalforPersonnel-219,393Training,Travel,OfficeSuppliesandEquipmentTotal$8927FamilyEngagementTotalBudget$228,320PermanencyRoundtables:TheNorthwestRegionofColoradoisproposingtopartnertoprovidePermanencyRoundTablesforEagle,Pitkin,Garfield,RioBlanco,MoffatandRouttcounties.ThepartnershipisanoutgrowthofthenaturalregionintheNorthwestcornerofColoradoandtheregionaleffortsofPitkin,GarfieldandEaglecounties.TheregionaleffortofPRTsforNWColoradobuildsupontheworkofpromotingandachievingsafety,permanencyandwell-beingforallchildrenandyouthinfostercare;reducingcongregatecareuse,reducingtimeinoutofhomecareandincreasingthevoiceofchildlyouthandfamilyintheplanningoftheirfuture.Although,onlyEaglehasparticipatedinthePRTprocesswithheavysupportfromCDHS,theentireregionisreadyandpositionedtosupporteachotherintheimplementationoftakingpermanencyinterventionstothenextlevel.TheneededmodificationstoengageinPRTsintheregionincludebuildingacadreofstaffacrosstheregiontosupporteachotherintherolesofthePRTsandtheentiretrainingcurriculumrequiredbytheintervention.ThecollaborationofthePRTintheNorthwestregionhopestofacilitateastrongpartnershipinsupportingeachotherandallofourchildrenandyouthtoidentifyrealisticsolutionstopermanencysolutionsandremoveobstacles.ThroughouttheimplementationofthisinterventionofPRTs,ourgoalistoimprovepermanencyoutcomes,assessattitudestowardpermanency,organizationalclimateandculture,documentandaddressbarrierstopermanencyandbuildonthescientificstudyofapplyingtheinterventionwithfidelity.Thetrainingmodelisbeingenvisionedoverthecourseofthefirstquarterandinterventionswillfollowimmediately.5 RegionalIV-EWaiverApplicationNorthWestRegionalInterventionGarfield-Eagle-Pitkin-Moffat-Routt-RioBlancoCountiesTrainingTimeframeNotesIntensive2dayPRTorientationJuly/AugustOfferedmultipletimesthroughouttheregiontoensurefullparticipationofstaffinaltparticipatingcountiesCollateralPartnerstrainingAugust/Sept/OctOnesessionineachcountyMasterPractitionertrainingAugust/SeptTojoinstatewideofferingorcreatetrainingopportunityintheregionfacilitatortrainingAugust/SeptTojoinstatewideofferingorcreatetrainingopportunityintheregionOngoingValuestrainingOngoingThroughouttheregionQuarterlyhalfdaytrainingforOngoingThroughouttheregionsupervisors,casemanagers,managersAdditionalresourcesarebeingrequestedtosupporttheRegionalPRTeffort.Duetothewideandfarreachoftheregionbasedonsquaremilesandnumberofcounties,wearerequesting1.5VFEtolead,facilitateandimplementthePRTinterventionfortheregion.OneFTEisplannedinEagleCountyand.5fTEisrequestedforGarfieldCounty.Theregionisalsorequestingafundformileagetotraveltoandfromparticipatingregionsforthisintervention.Theestimatesofthemileagearebasedonanaveragenumberofmeetingsovertheyear,averagenumberofkidstheregionwillserveandtheanticipatedmeetingfrequencytoleadtheseactions.PersonnelcostsincludingSalaryandfringe---$125,832Mileageandmeetingsupport--$10,300(EagCo)+2929(GarCo)Total:$139,061Noanticipatedbarriersexistforthisintervention.Afewanticipatedchallengeswillbediscussedandaddressedintheearlyimplementationdiscussionswhichinclude:distance,fidelityacrosssystems,thestrengtheningoftheregionalcollaborativerelationship,anddifferentstartingpoints.Eachcountyparticipatinginthisinterventionself-reportedtheneedofPRTsfortheiridentifiedcountybyansweringthefollowingquestions:1.PleaseconfirmyourparticipationinthePRTinterventiononly.2.DoyouplantohaveaMasterPractitionerinyourcountytobeshared?Ifyes,doyouwantarequestforfundingforallorpart?3.HowmanyeligiblekidsdoyouhaveinOPPLA?6 fl—C’ountyParticipationMPOPPLAI2I7ftYInregionEagleYY1NoneGarfieldYY62NoneRioBlancoYN2lNoneMoffatYN25PitkinYN00niaRoutiYN20None)1InthefutureofdevelopingthePRTregionalmodel,theaccessandtrainingofmasterpractitionersandfacilitatorswilloccurinthefirstquarteroftheintervention.Theadministrativeandpermanencyexpertrolewillbeprovidedbythelocalcountyfromwhichthechildenteredthesystem.Theadditionaldetailsbehindthispartoftheimplementationwillbeaddressedintheimplementationteam.KinshipSupports:GarfieldCountyDHSFosterCareprogramincollaborationwithPitkinCountyisdedicatedtoprovidingKinshipCaretofamiliesexperiencingdifficultieswithintheirfamilysystem.Thecountyisdedicatedtodiligentsearchandensuringthatchildrenand/oryouthareplacedwiththeirfamilymembers.familymembersareinvitedtoallFamilyMeetingsandareinvolvedfromthebeginningofthechild’splacementprocess.Oncethelegalbackgroundchecksarecompletedandthefamilymember(s)meetsthelegalandbackgroundcheckrequirementsaSAFEHomeStudyprocessisstarted.KinshipplacementsarerequiredtocompletealloftheSAFEHomeStudyandtrainingsthatarerequiredbytheStateofColorado.AFosterCareCoordinatorisassignedtothecaseandcompletesmonthlyvisitsandcasemanagementasneededbythefamily.ThecollaborativeefforthasseenanincreaseinKinshipPlacements.Thecountywouldliketodedicateaspecific“KinshipWorker”withintheFamilyResourceUnit.TheKinshipWorkerwouldhaveasupportteamthatwouldbeassistedbyaBehaviorCoach,InHomeFamilyTherapist,LifeSkillWorker,TransportationWorker,andaClinicalSupervisor.GarfieldCountyincollaborationwithPitkinCountywouldliketoincreasethesupportsthatareavailabletoKinshipplacements.Inmostcircumstance,familiesaremorethanwillingtotaketheirfamilyintotheirhome.ThefamiliesarewellintendedbutpoorlyequippedtobringthechildintotheirRegionalIV-EWaiverApplicationNorthWestRegionalInterventionGarfield-Eagle-Pitkin-Moffat-Routt-RioBlancoCounties4.Howmanyeligiblekidsdoyouhaveincareover12moscurrently?).5.Fromthetotalofcurrentlyeligibles--howmanyareplacedinthe9..iA’otintheptifwherearethey?,‘‘7 CDRegionalIV-EWaiverApplicationNorthWestRegionaLInterventionGarfield-Eagle-Pitkin-Moffat-Routt-RioBlancoCountieshome.Mostofthesituationsareanemergencyandthefamiliesdonothavethenecessarydiapers,cloths,wipes,beds,formulatomeetayoungerchildneeds.Witholderchildrenandadolescents,mosttimestheycometotheDepartmentwithlittleornobelongings.TheDepartmenthaslimitedsuppliesonhandtoassistthesechildrenatthosetimes.Thetwocountyprojectwouldliketohaveprovisionsavailabletomeettheactivitiesofdailylivingtomeettheneedsofthechildrenandfamilies.MostimportantlytheKinshipfamilyneedsasignificantamountofsupportandtrainingrelatedtothechild’ssituation,Inmostcases,thekinshipfamilymemberhasnoideathatthereareissuesoccurringintheirrelative’shome.ThephonecallfromthedepartmentmaybethefirstcallthattheKinshiphomeismadeawarethattheirimmediate/extendedfamilyishavingdifficulties.ItisimportanttothesuccessoftheprojectthattheworkerincreasestheircontactswiththefamilytoensuresafetyandasmoothtransitionforthechildintotheKinshiphome.TheprojectwouldliketoprovidetailoredtrainingandcasemanagementtoKinshipfamilymembers.Incaseswherethereisadequatetime,theKinshipWorkerwillbedoingapreinterviewandassessmentregardingthetreatmentconcernsandsafetyofthechildinthehome.TheFosterCareWorkerwill“frontload”thenecessaryservicesfortheKinshipfamilyincludingbutnotlimitedtoTherapy,Parenting,BehaviorCoaching,LifeSkills,andtransportation.ThefostercareprogramisadministratedincollaborationwithPitkinCountyandtheKinshippieceoftheprogramwouldalsoincludePitkinCounty.Anticipatedresourceneeds:Staff:KinshipWorker.5fTERespite:Inmostcasesthechildrenwhoenterthekinshipprogramhavesignificantmentalhealth,attachment,andbehaviorchallenges.Kinshipfamilieshavechildrenoftheirown.Respiteisanimportantcomponenttothesuccessofthekinshipplacement.Daycare:OftentimesKinshipprovidersareworkingfulltimeandwillneeddaycareforthechildrenwhoareplacedintheircare.Thefundingstreamsforthecountyareoftenlimitedandrestrictive.TherearefrequentlyemergencysituationsthatDaycareisneededandfundingisunavailable.8 CDRegionalIV-EWaiverApplicationNorthWestRegionalInterventionGarfield-Eagle-Pitkin-Moffat-Routt-RioBlancoCountiesPurchasingofHardSupplies:WhenaKinshipfamilytakesachildintotheirhome,theyarefrequentlyinneedofhardsupplies,ageappropriatefurniture,clothing,babysupplies,schoolsupplies,food,gifts(dependingonthetimeofyear),transportationneeds(alargercarandfuel),anditemsrelatedtomeetingtheKinshipHomeStudyrequirements(fireextinguishers,nightlights,safetylocks,fences,andsmokedetectors.InHomeTraining:Thecountieshavesignificantresourceswithinthecountytoprovideinhometrainingtofamilies.However,therearesomecircumstancesthatfamiliesmayneedadditionalresourcesbeyondwhatthedepartmentcanoffer.Trainerscanbecontractedwithbutatahigherfee.HousingAssistance:TheremaybeoccurrencesinwhichKinshipfamily’sarewillingtotakechildrenintotheirhomeandmakealongtermcommitmenttothechild.Theirhomemaynotbeabletoaccommodateallofthefamilymembersandthefamilymayhavetolookforadifferenthometomeetthefamily’sneeds.Familiesmayneedfinancialassistancetomoveintoanotherresidence.Transportation:Kinshipprovidersmayhavelimitedoptionstotransportchildren.AnticipatedbarriersNoidentifiedbarriersatthistime.BudgetPersonnel.5fTEGarfieldCounty29,144TotalforPersonnel-29,144OfficeSuppliesandEquipment,KinshipSupportsTotal$26,099KinshipSupportTotalBudget$55,243NumberofKinshipFamilyFosterHomesServed9 CDRegionalIV-EWaiverApplicationNorthWestRegionalInterventionGarfield-Eagle-Pitkin-Moffat-Routt-RioBlancoCountiesPitkinandGarfieldCountytogetherarecurrentlyservinganaverageof3to5familiesperyear.Theprojectisanticipatingserving5-7KinshipFosterHomes.ServiceImplementationImplementserviceswillbeginJuly1,2013:KinshipWorker.5FTEBehaviorCoachParentingSupportIntensiveFamilyTherapywithClinicalSupervision.RespiteCareDayCareIntensiveCaseManagementandMonitoringTrainingAreasofconcernthatcausesignificantbarriersfortheKinshipworkersandthefamilyarefundingtransportation,daycare,andhardsuppliessuchasfurniture,diapers,wipes,clothing,andcarseats.TANFisutilizedwhenappropriateandavailablebuttheneedexceedstheresources.CommunityPartners:Rateeachofyourmajorcommunitypartnersontheirknowledgeofandsupportforthewaiverinyourcountyonascaleof1-5with1beingleastknowledgeable,supportive,etc.Useadditionalcolumnstoaddothermajorpartnersinyourcounty.CourtBehavioralSchoolProbationSB94CM?-AllHealthSystemYZMembersUnderstandingofColorado’swaiver?244444Understandingoftheimplicationsofwaiver23222210 RegionalIV-EWaiverApplicationNorthWestRegionalInterventionGarfield-Eagle-Pitkin-Moffat-Routt-RioBlancoCountiesforthepartner?Willingnesstoworkwithcountyonwaiver555555implementation?Commitmentofstafftowaiver-relatedtasks555555andinterventions?Anyspecialinterestsorcommitments?254445Brieflydescribethecounty’sinitialplansforincreasing/solidifyingsupportandengagementbycommunitypartners.InGarCogroundworkhasbeenlaidwithcommunitypartners.ThetopichasbeenintroducedanddiscussedatthelOGmeetingsandwithotherpartnersnotrepresentedatthelOG.AlthoughlittleinformationhasbeenavailabletosharewiththesepartnerstheydounderstandthegeneralconceptofreducingOOHplacements,increasingcommunitysupportandeitherbuildingonexistingservicesorcreatingnewservicestoembracetheconceptofourchildrenstayingintheirowncommunity.Thecommunityhasindicatedfullsupportoftheseeffortsandisanxiouslyawaitinginformationtomoveforwardonaplanningprocess.Thisplanningprocesswouldincludediscussionsongapsofservicesandsupportsthatwouldneedtobeimplementedtokeepourchildrenandyouthinallsixcounties.Somesimilarworkalthoughsomewhatdifferenthasbeendoneintheothercounties.Eachcountyisuniqueintheircommunityengagementstrategies.Thecommonthreadisallcountieshavebegunconversationswiththeircommunitymembersandlaidafoundationtostrengthentheirhomecommunityresources.Throughouttheregionpartnersofchildwelfarearehearingastrongandconsistentmessagethatwemustdevelopmentasafetynetworkwithinourneighborhoodstosupportfamiliesandkeepkidshomesafely.Systems:foreachofthefollowinginitiativesdescribebrieflyhowthecountyenvisionstheconnections/complementaritiesbetweentheTitleIV-EWaiverDemonstrationandtheinitiative.Ifyourcountydoesnotyetparticipateintheinitiativeanddoesnotplantodosoduringthewaiverperiod,writeNA.11 CDRegionalIV-EWaiverApplicationNorthWestRegionalInterventionGarfield-Eagle-Pitkin-Moffat-Routt-RioBlancoCountiesTrauma-InformedSystemsofCare-GarfieldCountyisinvolvedwithProjectfocusandhascommittedtocontinueworkwiththeKempeCenter.ThisefforthasbeenexpandedtoincludePitkinandEagleCountiesandtrainingallstaffinGarfieldCounty.ThevisionwouldincludemovingthisworkforwardandsolidifyingpracticeastheTraumaInformedportionoftheIVEWaiverisintroducedin2014.ColoradoWestMentalHealth(BHO)hasanumberofindividualstrainedintraumainformedcare;thereweretwoindividualswhoattendedtheconveningwithcountystaffinearlyApril.Thisagencyhasindicatedaninterestandawillingnesstopartnerinmovementtowardsassistingwithassessmentoftrauma.Ayouthservingagencyinthethreecountiesthatisresponsiblefor5394andprovidesservicesfordelinquentyouthhasalsoreceivedtrainingandattendedtheconveninginearlyApril.Thisagencyhasalsoexpressedinterestandwillingnesstoutilizetraumainformedcarethroughouttheirassessmentsandtreatmentofthispopulationofyouth.•CollaborativeManagementProgram-GarfieldCountyhasbeenaCMPsitesince2008andthemembershavedevelopedasolidworkingrelationship.DHSutilizesthisgroupofcommunitypartnersasaconduitforinformationsharingandservicedevelopment.ThisgroupservesastheAdvisoryCommitteeforCore,RRHYandPSSF.Informationregardingthewaiverhasbeensharedwiththisgroupmonthlyasithasbecomeavailable.GarCoCMPwillserveasaworkinggrouptoallowservicestobedevelopedwithinthecountyenhancingtheeffortstoservicechildrenandyouthtoremainincounty.EagleCountyalsohasanactiveCMPgroup.Theircommunitymemberswillworkinasimilarfashiononbeingagatewayforassessingcommunityneedsandworkingtowardsservicedevelopment.PitkinCountyisintheearlystagesofCMPdevelopmentbuthaveastrongcommunitycollaboration.•DifferentialResponse-GarfieldCountywaspartofthefivecountydemonstrationproject.Garfieldisservingasaresourceforcountiesthatareintroducingthispractice.ThephilosophiesthatColoradohasadoptedaspartofthisdualtracksystemcomplementtheIVEactivities.ThispracticechangehaslaidsolidgroundworkforGarfieldCountytomoveintoanimplementationphaseforwaiverproposals.TheproposalwouldsuggestthatFamilyEngagementbeenhancedandexpandedtoaneighborcounty,thepolicieswrittenaspartofDRwillserveasthevenuetoallowthistomoveforward.•PermanencybyDesign-Thecountieshaven’ttakenthisparticularinitiativeonasthedefinitionwouldsuggestbutallthecomponentsofPermanencybyDesignarewovenintothepracticeinthecounties.Thereisnoformalplanto“label”anyoftheworkwehaveimplementedunderaPermanencybyDesigntitlebutthecountieswillcontinuetoutilizethecomponentsofthismodelinallareasofinteractionswithfamilies.12 (_)CDRegionalIV-EWaiverApplicationNorthWestRegionalInterventionGarfield-Eagle-Pitkin-Moffat-Routt-RioBlancoCountiesWaiverPlanningandMonitoringProcess:Brieflydescribeyourplanningprocesstodate-Planninghasincludedthreemainareas:•Meetingwithneighboringcounties(EagleandPitkin)anumberoftimestodefinewhereeachcountyisatintheareasasoutlinedinthewaiver.Potentialareasofoverlaporwherethereisapotentialforcollaboration.Conversationsincludingthoughtsandideasabouthoweachcountyplansonimplementingthethreeareasofwaiveractivity.•InternalmeetingsinalltheCWDivisionswithintheregion.ThesediscussionshavehappenedinthecontextoftheworkbeingcompletedbytheCQIteamandthemanagementteam.Conversationshaveincludedbrainstormingonwaiverimplementationideasandmatchingdatawithareasofconcentrationwithinthewaiver.•ExternalmeetingsinthecommunityincludingCM?andothercollaborations.ThishasincludedcontinuousintroductionandcommunicationonthedirectionofCW,brainstormingonservicedeliverytosupportfamiliesandcommitmentfrompartnerstobepartoftheplanningprocess.AttachanywrittenpLanorothermaterialsthathavebeendeveLopedrelatedtowaiverimplementation-NABrieflydescribeanticipatedimplementationplanningandmonitoringactivitiesduringthefirstyearofthewaiver-ImplementationplanningandmonitoringactivitieswillbeapartoftheCQIteamprocess.Theteamsarecurrentlymonitoringactionplansthatwereputintoplaceasaresultoftheprocessmappinganddatareview.ThesuggestedactivitiesasapartoftheIVEwaiverweredevelopedinpartthroughtheworkoftheseteams.TheCQIteamsareanaturalconnectionforthemonitoringandreviewoftheIVEwaiveractivities.TheactivitieswillalsobemonitoredbytheExecutiveTeamasidentifiedinthecontactportionoftheapplicationandtheworkingteam.Barriers:•Workingoutdetailsofcrosscountycollaboration•Integratingadditionalmeetingsintopractice•ArrangingcontractsandcreatingapracticearoundaWRAPFacilitator13 cERegionalIV-EWaiverApplicationNorthWestRegionalInterventionGarfield-Eagle-Pitkin-Moffat-Routt-RioBlancoCounties•Distancebetweencounties•Eachcounty’slownumberofinvolvedchildren,youthandfamiliesIndependentEvaluation:FamilyEngagementandKinshipSupportInterventionPrimaryContact:SharonLonghurstPritt,ServicesAdministrator,sprit@garfield-county.com,970-625-5282Ext.3265.AdditionalEvaluationContact:MattMcGaugh,UnitManager,mmcmaugh@garfi1edcounty.com,970-625-5282Ext.308PermanencyRoundTableInterventionPrimaryContact:ToniRozanski,Children,family,andAdultServicesDirector,toni.rozanski(eaglecounty.usGarfieldCountyhasparticipatedinrigorousevaluationwithfourothercountiesinColoradoforthepurposesoftheDRdemonstrationproject.MattworkedcloselywithotherdataexpertsinthecreationandongoingworktomonitoroutcomesontheDRproject.Thecountyrunsregularreportsandreviewsdatamonthly.GarCoalsohascompletedthefirstroundofCQItrainingandimplementation.EagleCountyisaColoradoPracticeModelCountyandiscompletingthefirstroundoftheCQIprocess.ToniRozanskiisanactivememberofthePOITandhasleadevidencedbasedservicesforCOREservicesinDenverandEaglecounties.ToniisalsoamemberoftheCPMCQIworkgroup.ThecountieswillcontinuethepracticeofreviewingdatamonthlyandsubmittingreportstotheappropriateBOCC.Throughtheuseofthismonthlymonitoringthecountieswillexaminetrendsandadjustprogrammingasneeded.Other:Garfield/PitkinlEagle:14 CDRegionalIV-EWaiverApplicationNorthWestRegionalInterventionGarfield-Eagle-Pitkin-Moffat-Routt-RioBlancoCountiesThecountyhasproposedtoutilizeW-EwaiverfundingtopayforFTEs,thetwo.5FTEpositionsarealreadypositionsheldwithintheGarCoCWDivisionand3newpositions,1forGarCoand2inEagCo.ThroughthesavingsofthesesalariedindividualsinGarCothecountywouldreinvestthesedollarsintocommunityservices.InEagleCounty,theadditionalpositionsforfamilyEngagementandtheregionaleffortofPRTmodelswillallowimplementationwithfidelity.ThroughtheGarCoCQIprocessadeterminationwasmadethatthebarriermostsignificantlyimpactingthecounty’sabilitytokeepyouthandchildrenintheirownhomesisthelackofintensiveservicestoachievethisgoal.Thisbecomesabarriernotonlyattimeofinitialplacementbutalsoatthepointareturnhomehasbeenachieved.RecidivismratesaredirectlylinkedtoalackofcomprehensiveservicesasanalyzedandreviewedthroughtheCQIteam.ThedollarsreinvestedwouldserveasonlypartofalargercommunityefforttopoolresourcesfromCMPmemberstocreateprogrammingforyouth.Othercommunitymemberswillingtocommitresourcesarebehavioralhealth,schools,probationandYouthZone(SB94anddiversionprogramming).Groundworkhasbeenlaidandeffortshavebeencoordinatedforayeartocreateacomprehensiveservicedeliverysystemtoyouththatareathighestriskforhighleveloutofhomeplacement.Thissamemodelcouldbereplicatedtoservicechildrenundertheage12.VolumeVII:•Willyourcountyrequestanywaiverofrules?No15 County_Pitkin_IagreetoparticipateIntheNWregionalmodeloftheIV-Ewaiverapplication.Byparticipating,Iagreetosupporttheprogrammaticrequirements,cooperatewiththeEvaluationTeam,andimplementthewaiverinterventionswithfidelitytothemodelsinuse.)IDirectorsignatureDate CountyQJ77L,1frIagreetoparticipateintheNWregionalmodeloftheIV-Ewaiverapplication.Byparticipating,agreetosupporttheprogrammaticrequirements,cooperatewiththeEvaluationTeam,andimplementthewaiverinterventionswithfidelitytothemodelsinuse.DirectorsignatureDate CDCDCountyagreetoparticipateintheNWregionalmodeloftheIV-Ewaiverapplication.Byparticipating,Iagreetosupporttheprogrammaticrequirements,cooperatewiththeEvaluationTeam,andimplementthewaiverinterventionswithfidelitytothemodelsinuse,/iDof-sgclatu.re,‘4di115hJ-Date CDCCCountyIagreetoparticipateintheNWregionalmodeloftheIV-Ewaiverapplication.Byparticipating,Iagreetosupporttheprogrammaticrequirements,cooperatewiththeEvaluationTeam,andimplementthewaiverInterventionswithfidelitytothemodelsinuse.DirectorsignatureDate CDCounty___________IagreetoparticIpateintheNWregionalmodeloftheIV-Ew3lverapplication.Byparticipating,iagreetosupporttheprogrammaticrequirements,cooperatewiththeEvaluationTean,andImplementthewaiver(ntêrventIohwithfidelitytothemodelsInuse.DIrectorsignatureDate CountyIagreetoparticipateintheNWregionalmodeloftheIV-Ewaiverapplication.Byparticipating,Iagreetosupporttheprogrammaticrequirements,cooperatewiththeEvaluationTeam,andImplementthewaiverinterventionswithfidelitytothemodelsinuse.\1fSL1aLLL5773f13DirectorsignatureDate CDCD/arI1CotmDepadmentOfHumanSeicesPROGRAMAREA:EFFECTIVEDATE:ChildandAdultProtectionREVISIONDATE:TITLE:FamilyGroupDecisionMakingAUTHORIZINGSIGNATURE:FGDMPurpose:GarfieldCountyrecognizestheimportanceofinvolvingfamilygroupsindecisionmakingaboutchildrenwhoneedprotectionorcare.TheFamilyGroupDecisionMakingprocessactivelyseeksthecollaborationandleadershipoffamilygroupsincraftingandimplementingplansthatsupportthesafety,permanencyandwellbeingoftheirchildren.FGDMDefinition:Adecision-makingprocesswhenmembersofthefamilygroupareinvitedandjoinedbymembersoftheirinformalnetwork,communitygroups,andthechildwelfareagencythathasbecomeinvolvedinthefamily’slife.FGDMKeyPrincipals:•Thechild’swelfareisparamount•familiesshouldbeempoweredtobecentrallyinvolvedinplanningforchildren’sfutures•Children’sbestinterestaregenerallyservedinasafehomeenvironmentwithintheirfamily•Immediateandextendedfamilyhavearighttobegiveneveryopportunitytoprovidefortheirchildren’sbestinterest•Children,youngpeopleandtheirfamilieshavearighttobeprovidedwithprocessesthatallowthemtomakeinformedandresponsibledecisionsregardingthechildren’sfuturecareandsafety•Achild’sneedforpermanenceiscriticaltoensuretheirongoingdevelopment•Thefamilyshouldbecentrallyinvolvedindecision-makingaroundpermanencyplanningforthechild•Itisessentialtoworkinpartnershipwithfamiliesby:-Showingrespecttoeachparticipant-Ensuringaccountabilityforeachperson’scontribution-Valuingeachperson’scontributionPage1of4 CDCD-Respectingtheprinciplethatwhereverpossible,childrenarebestlookedafterintheirownfamilies-Gaininganunderstandingofeachfamily’suniqueandindividualneeds;andpracticeinawaytomeettheseneedsFGDMPolicyIEachfamilyinvolvedinachildwelfareAssessment/CasewithGarfieldCountyDepartmentofHumanServicesshallbegivenanopportunitytoparticipateinfamilymeetingswiththeDepartmentwhenagencyinterventionisrequired,including;FamilyGroupConferences(FGC),TeamDecisionMakingMeetings(TDM)&familySupportMeetings(FSM).Thesemeetingscanbeinitiatedbythefamilyorthechildwelfareagencywheneverapivotaldecisionaboutachildisrequired.ThevariousmeetingtypesallowGarfieldCountyDHSandfamiliesthatrequireDHSinterventionflexibleoptionsthatemphasizethefamily’svoiceinplanninganddecisionmakingaroundsafetyandpermanencyofchildren.CriteriaforholdingdifferentFamilyMeetings:1.)FamilyGroupDecisionMakinginGarfieldCountyismandatoryat“PivotalDecision”makingpointswhenafamilyisinvolvedwithGarfieldCountyDHS.2.)Therecanbe“OptionalReasons”toprovideFamilyDecisionMakingmeetingsforfamiliestosupportsuccessoffamiliesGarfieldCountyDHSbecomesinvolvedwith.Pivotal(Mandatory)DecisionsInclude:1.)Emergencyremovalofchild2.)Consideredremovalofchild3.)Changeinchild’splacement4.)ReunificationDecisions5.)PermanencyGoalDecisionsOptionalReasonsforFGDM:1.)FamilySupportMeeting2.)CasePlanning3.)TransitionPlanning4.)followupMeetings5.)CaseClosurePlanningASIS4S’f,A’f)J.t’55SI,I.1Siiil:FamilyGroupConference(FGC)-FGCisconsidered“FamilyDriven”meetingsthatallowfamiliestoleaddecisionmakingbypresentingplanstoaddressidentifiedconcerns&agencyacceptsandsupportsplanswhenallsafetyconcernsareaddressed.FGCaretobeusedatanydecisionmakingpoint,onlywithfamilieswhoincludeextendedfamilyanda“SafetyNetwork”ofpeopletosupportplans.Thefamilymustbewillingtoparticipatein“privatetime”tocraftaplantobepresentedtotheagencyandGAL(whennecessary).PreparationiscompletedbytheFamilyMeetingCoordinator,whichcantake2-4weekstoplanandprepareforaFamilyGroupConference.•TeamDecisionMaking(TDM)-TDMsareconsidered“AgencyDriven”meetingsthatincludethefamily’sinput;theteamhasthegoalofreachingaconsensus;howeverDHSisresponsibleforfinaldecisionmakingregardingcourtrecommendationstoensurechildsafety.TDMsareusedforEmergencysituationsandwhenPivotalDecisionsaretobemade;andthefamilydoesnotfitcriteriaorwanttoparticipateinFamilyGroupConferencing.Page2of4 CDCDfamilySupportMeeting(FSM)-Ameetingwhendecisionmakinghasbeenmadeorisnotnecessary.Thismeetingisheldforplanningpurposestosupportfamilies.PermanencyandPlacementchangescanhappenunderafamilysupportmeetingifitappearstheoptionsinthecasearelimitedoralreadyagreedon.Procedure:•AtanypointinaChildWelfareCase/Assessmentwhenthefamilyoragencyworkerfeelsa“pivotaldecision”aboutachildneedstobemade;oran“optional”familymeetingcanoccurwhenthefamilyisinneedofsupport.Thefamily,agencyworkeroranyonefromthe“SafetyNetwork”canrequestsuchameeting.•Pivotaldecisionsmandatingtheneedtocallafamilymeetinginclude:-Emergency/ConsideredRemovals-Emergency/ConsideredChangeinPlacements-PermanencyPlanning-FamilyReunification-TransitionPlanning-AnyotherissuesRelatedtochildsafety,permanenceandwell-being•Theagencyworkerwillneedtoconsultwiththeirsupervisoraboutrequestingafamilymeeting•Theagencyworkerwillneedtoconsultwiththefamilyabouthavingafamilymeeting;-clearlyexplainingmeetingtypes(FGC,TDM,&FamilySupport)-clearlystatingagencyconcerns&goals-explorefamilyconcerns&goalsrelatingtodecisionmakingandplanningforthemeeting•Followingtheworker’sdiscussionofthefamilymeetingwiththesupervisorandthefamily;theagencyworkerwillneedtoprovideacompletedFGDMreferraltothemeetingcoordinatorandtheirsupervisor.•Themeetingcoordinator(ifnecessary)willconsultwiththeagencyworkertoconfirmaimsandobjectiveforthefamilymeeting.Themeetingtypewillbeestablishedbythecoordinator,caseworkerand/ormanagementteam.•Themeetingcoordinatorwillinitiatecontactwithfamily(orcaseworker,asappropriate)andbeginpreparationsforschedulingafamilymeeting.•Dependentonthetypeofmeetingtobeheld,1DM,FGC,orFSM,GarfieldCountyDHSstaffwillfollowtheappropriateprotocolforthemeetingtypethatwillbeprovided.PleaseNote:•IntheeventthatapivotaldecisionneedstobemadeforachildandthefamilyisunableorunwillingtohaveaFGC,theagencywillplanforaTDM.•Intheeventwherethereisarestrainingorderinplaceorafamilymemberhasbeenidentifiedasthepersonresponsibleforseriousphysicalabuse,injury,separatemeetingswillbeplanned(fromtheTDMprotocol.)Page3014 CDCD•SomeCaseswillmeetcriteriatofollowtheServicesAssessmentTeam’s(SAM)processandprotocols.Intheeventafamily’sinvolvementfallsunderthatcriterion(UsuallyProgramArea4children);theFGDMPolicywillnotneedtobefollowed.Page4of4 CCCountyName:NorthWestRegionalCostProjectedIntervention:FamilyEngagementWorkload*FTE(Includepositionlevelandfunction)GarCo80,60120familymeetingspermonth*FTE(Includepositionlevelandfunction)EagCo88,79220familymeetingspermonth*FTE(Includepositionlevelandfunction)TriCo50,000Caseloadof15familiesA4*FTE(Includepositionlevelandfunction)ICaseworkerlevelpositionswithassignedresponsibilityforfacilitationexclusively1TotalFTECosts219,393-Hardware/SoftwareCosts-DetaHbelowOfficeSuppliesandEquipment2,550Training2,322Travel(Incurredgettingtothefamilymeetings)4,054Transportation(ForFamilies)TotalRequest228,320*&IncludeSalary,benefits,mileage,cellphoneGarfieldandEagleCounty’scosttoemployaFTEarehigherthenthesuggestedamountof55,000 %LIV-EWaiverBudgetNeeds(7/1/13-6/30/14)CSalary+Benefits/Contractor1GarCoFTE1ContractedFTE.5FTEBret.5FTEMikki80,60150,00037,04029,144TOTALI196,7851TOTALI2,850J2,550300Officesupplies&Equip1-GarcoFTE2-.5FTEPRTTrainingTravelFETrainingTravel7--SI’1/’1,3091,620TOTALI2,92912,3224,054)—TOTALL6,3771GRANDTOTAL208,941 C0CountyName:Garfield/EagleCostProjectedWorkloadInterventionPRT*FTE(Includepositionlevelandfunction)Garfield.537,040regionalcoverageforPRTs*FTE(Includepositionlevelandfunction)Eagle1FTE88,792regionalcoverageforPRTs*FTE(Includepositionlevelandfunction)*FTE(Includepositionlevelandfunction)Caseworkerpositionwithfunctionofprovidingfacilitatedmeeting5exclusivelyTotalFTECosts(.5FTE)125,832GarfieldEagleHardware/SoftwareCosts-DetailbelowforGarfield.600OfficeSuppliesandEquipment3002000Travel(Incurredgettingtomeetings)1,6205134TrainingTransportation(ForFamilies)1,30925663,22910300TotalRequest139,061*&IncludeSalary,benefits,mileage,cellphone •CCCountyName:NorthWestRegionProjectedCostIntervention:KnishipSupportsWorkload*FTE(Includepositionlevelandfunction)29,144)*FTE(Includepositionlevelandfunction)//*FTE(Includepositionlevelandfunction)L-1‘FTE(Includepositionlevelandfunction)Caseworkerposistionwithfunctionsincludingresource/fosterhome/kinhomeresPonsibilit/TotalFTECosts(.5FTE)29,144Hardware/SoftwareCosts-DetailbelowTransportation(ForFamilies)KinshipHardSupports(detailperunitcostsandunitsneeded)DetailedinformationwassubmittedwiththeoriginalapplicationTotalRequest*&lncludeSalary,benefits,mileage,cellphone C0NumberofoutofhomeplacementsCountyName.FosterHomesCertifiedKinHomesGroupHomesResidentialCareGarfield8539Eagle2316NumberofoutofhomeplacementsProposedReduction.FosterHomesCertifiedKinHomesGroupHomesResidentialCareGarfield5325Eagle2305Projected$Savings:GarfieldEagleFosterHomes1,500mthlyCertifiedKinHomes1,000mthlyGroupHomes2,000mthlyResidentialCare24,000mthlytotal$50,000Comments:Eagle--EagleCountywouldliketoaimtohaveonePRTyouthmoveintopermanencyinterventionfromresidentialcaretofostercareinthenextyear.EagleCountyprojectsa$50,000wellaseffortstoreunifychildrenandyouthfasterandbrestablishpermanencyforchildrenand KinshipFosterCareBudget;Maxim7AntipatedFamiliesumberofFamiliesMonthlyCostParticipatinginServicesFamilyServiceMonthlyorAverageMonthlyOne-TimeTotaljHardServicesDiapersWipes$35.00$12.0011$35.00$12.00Furniture1$200.002$400.00Clothes$40.003$120.00Bedding$25.003$75.00Shoes$15.004$60.00SchoolSupplies$35.005$175.00Gifts$50.003$150.00Food$100.003$300.00Mattresses$120.002$240.009/1/13-6/30/14HardServicesSubtotal:$2084.00y’TransportationFuel$50.002$100.00:Tires$300.002$600.00Repairs$200.002$400.00BusPasses$50.002$100.009/1/13-6/30/14TransportationSubtotal:$1200.00RespiteOneDay/Month$216.001I$216.00cTeeDays/Monthj$648.001$648.00./Training9/1/13-6/30/14RespiteSubtotal:$8640.00StaffKinshipFamily1$700.0O7$4900.009/1/13-6/30/14TrainingSubtotal:$4900.00Q,Daycare0J\\7t2iRateC)gë/1/13-6/30/14Day$700.00:careSubtotalJRecreationActivitiesI$50.007$350.009/1/13-6/30/14RecreationSubtotal:$350.00Education-I$80.00Tutoring$80.001$75.00Afterschool$25.003ActivitiesSportsFee$75.00H$225.00EducationSubtotal:$1775.00— CC’)me.Weestimatethatcouldsaveusaround$43,000ayear,whichwecouldthenreinvestinotherislV-Efunding$6,717.00Thatleaves$6,717.00MoffatCountydollarsmonthly.50%ofthattobefticulttopredictanamount.Butforthesakeofthisexercisewewoulde5timateasavingsof6mon CC)AverageLengthofStayFosterHomesCertifiedKinHomesGroupHomesResidentialCare2247031518$AverageLengthofStayFosterHomesCertifiedKinHomesGroupHomesResidentialCare18060175150withfamilyandanotherPRTyouthstepdownalevelinsavingsinplacementexpendituresfromthesegoalsasbryouthforchildrenwithin12monthsofplacement. CCCountyName:Garfield/EagleCostProjectedWorkloadInterventionPRT*FTE(Includepositionlevelandfunction)Garfield.537,040regionalcoverageforPRTs*FTE(Includepositionlevelandfunction)Eagle1FTE88,792regionalcoverageforPRTs*FTE(Includepositionlevelandfunction)*FTE(Includepositionlevelandfunction)CaseworkerpositionwithfunctionofprovidingfacilitatedmeetingsexclusivelyTotalFTECosts(.5ETE)125,832GarfieIdEagle-Hardware/SoftwareCosts-DetailbelowforGarfield.600OfficeSuppliesandEquipment3002000TravelfIncurredgettingtomeetings)1,6205134Training-ITransportation(ForFamilies)1,30925663973,22910300TotalRequest6139,061*&lncludeSalary,benefits,mileage,cellphone3C1O/ oCountyName:NorthWestRegionalCostProjectedIntervention:FamilyEngagementWorkload*FTE(Includepositionlevelandfunction)GarCo80,60120familymeetingspermonth*nE(Includepositionlevelandfunction)EagCo88,79220familymeetingspermonth*RE(Includepositionlevelandfunction)TriCo50,000Caseloadof15families*flE(Includepositionlevelandfunction)CaseworkerlevelpositionswithassignedresponsibilityforfacilitationexclusivelyTotalRECosts219,393Hardware/SoftwareCosts-DetailbelowOfficeSuppliesandEquipment2,550Training2,322Travel(Incurredgettingtothefamilymeetings)4,054Transportation(ForFamilies)TotalRequest228,320*&lncludeSalary,benefits,mileage,cellphoneGarfieldandEagleCounty1scosttoemployaREarehigherthenthesuggestedamountof55,000\_ CCtttCountyName:Garfield/EagleCostProjectedWorkloadInterventionPRT*flE(Includepositionlevelandfunction)Garfield.537,040regionalcoverageforPRTs*flE(Includepositionlevelandfunction)Eagle1FTE88,792regionalcoverageforPRTs*flE(Includepositionlevelandfunction)*flE(Includepositionlevelandfunction)CaseworkerpositionwithfunctionofprovidingfacilitatedmeetingsexclusivelyTotalFTECosts(.5FTE)125,832GarfieldEagleHardware/SoftwareCosts-DetailbelowforGarfield.600OfficeSuppliesandEquipment3002000Travel(Incurredgettingtomeetings)1,6205134TrainingTransportation(ForFamilies)1,30925663,22910300TotalRequest139,061*&IncludeSalary,benefits,mileage,cellphone CountyName:NorthWestRegionCostProjectedIntervention:KnishipSupportsWorkload*flE(Includepositionlevelandfunction)29,144*nE(Includepositionlevelandfunction)*E(Includepositionlevelandfunction)*nE(Includepositionlevelandfunction)Caseworkerposistionwithfunctionsincludingresource/fosterhome/kinhomeresponsibilitiesTotalFrECosts(.5FTE)29,144Hardware/SoftwareCosts-DetailbelowTransportation(ForFamilies)KinshipHardSupports(detailperunitcostsandunitsneeded)DetailedinformationwassubmittedwiththeoriginalapplicationTotalRequest*&lncludeSalary,benefits,mileage,cellphone 208meetinghours(2hrs/meeting)312prep/posthours(1hrprep/2hrspost)InMoffat-24nights@hotel($90)=$2,16010,208milesX$0.55=$5,654$7,814710Hours208meetinghours(2hrs/meeting)312prep/posthours(1hrprep/2hrspost)InMoffat-24nights@hotel($90)=$2,1606,448milesX$0.55$3,546$5,706636HoursCNumberCountyofYouthEagleGarfieldMoffat11252milesroundtrip178milesroundtrip6048milesannually2PRT/day4272milesannually2PRT/day120hrintravelannually72hrintravelannuallyEagle2118milesroundtrip‘I472milesannually2PRT/day8hrintravelannuallyPitkin0144milesroundtrip136milesroundtripNANANANARoutt2168milesroundtrip262milesroundtrip672milesannually2PRT/day1048milesannually2PRT/day8hoursintravelannually20hoursintravelannuallyRioBlanco200milesroundtrip82milesroundtrip1600milesannually656milesannually32hoursintravelannually16hoursintravelannuallyGarfield8118milesroundtrip1888milesannually2PRT/day32hoursintravelannuallyTOTALS 6STATEOFOLORADOsColoradoDepaitmentotHumon5QrYicespcoplcwhoht’lppcopkCHILDREN,YOUTHANDFAMILIESJulieKrow,MA,LPC,DirectorDivisionofChildWelfareServices1575ShermanStreet,2MFloorDenver,Colorado80203-1714ReggieBichaPhone303.866.5932Fax303.866.5563ExecutiveDirectorwww.colorado.gov/cdhsCORRECTEDAugust19,2013Ms.ToniRozanskiEagleCountyDepartmentofHealthandHumanServicesP0Box660551BroadwayEagle,CO81631DearMs.Rozanski,WearepleasedtoinformyouthatEagleCountyDepartmentofHealthandHumanServicesisbeingawardedTitleIV-EWaiverDemonstrationProjectfundingbytheColoradoDepartmentofHumanServices,OfficeofChildren,Youth,andFamilies.Eachapplicationwasreviewedandfollowupcontactwasmadewitheachapplicanttofurtherdefinetherequestforfunding.Thesediscussionsincluded:•Reviewbytwoseparatestafftoassurecountyplanwasevaluatedagainstcriteriaestablishedbyastate/countyworkgroup•Removingfederallydisallowedexpenditures•Removingcostsnotdirectlyrelatedtoservice•Removingoptionalorothercomponentsnotdefinedascorecomponentsofmodel•Focusingonfidelity•FocusingonaveragecostperchildGiventhoroughreviewofyourapplication,itwasdeterminedyourcountywillreceive$99,092.00.Thisfundingshallbeusedtofundthefollowinginterventions:FE’.’PermanencyRoundtables$99,092.00$99,092.00JohnW.HickeniooperGovernor 00Staffwillneedtobehiredordesignated,andinterventionimplementationinplacebyJuly30,2013.FundingisallocatedforStateFiscalYear2013.Aseparateapplicationprocesswillbeinplacetosecurefundingforsubsequentyears.TheMemorandumofUnderstandingisbeingsentseparatelyforreviewandsignatures.PleasereturnthesignedMOUbyMonday,September30,2013toPaige(Black)Rosemond,paige.rosemond@state.co.us,303-866-2866.InimplementingFamilyEngagementandKinshipSupports,pleasefocusyoureffortsonservingnewcases,kin,families,youthandchildren.Youareabletocontinueeffortswithexistingfamilies,buttheywillnotbeincludedinthespecificTitlelV-EWaiverfundedintervention.Tofurtherunderstandingoftheevaluationprocessandlogicmodels,theevaluator,HumanServicesResearchInstitute(HSRI)isconveningparticipantcounties.Youwillreceivecommunicationaboutthespecificlocations,dates,andtime.HSRIwillreviewtheEvaluationPlan,expectationsandterms,andsolicityourinputregardingtheindividualinterventionlogicmodels.WeareencouragedbyyourparticipationintheProjectandlookforwardtocontinuedcollaboration.Pleasecontactuswithanyquestions.Also,joinuseveryotherMonday,from12:00PM—1:00PM(877-820-7831,742294#)todiscussanyimplementationand/orfundingquestions.ThenextphoneconferenceisscheduledforAugust5,2013.Sincerely,RobertWerthweinDeputyOfficeDirectorActingChildWelfareDirectorOfficeofChildren,YouthandFamilies