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HomeMy WebLinkAboutC18-234 Colorado Department of Human Services Title IV-E Waiver - NOT FULLY EXECUTEDMEMORANDUMOFUNDERSTANDINGTheStateofColoradoDepartmentofHumanServicesAndTheBoardofCountyCommissionersorotherelectedgoverningbody ofEagleCounty(ies),ColoradoThisMemorandumofUnderstanding(or“MOU”)ismadethis__________________betweentheStateofColoradoDepartmentofHumanServices(the“CDHS”)andtheBoardofCountyCommissionersorotherelected governingbodyofEagleCounty(ies), Colorado(the“County”).CDHSisthesolestateagencywiththeresponsibilitytoadministerorsupervisetheadministrationofthehumanservicesprogramslistedinCRS26-1-201.TheColoradoGeneralAssemblyenactedSB13-231inresponsetotheCDHS beinggrantedwaiverauthoritybythe UnitedStatesDepartmentofHealthandHumanServices,AdministrationforChildrenandFamilies, under Section1130oftheSocialSecurityAct,whichauthorizesstatestoconductdemonstrationprojectswhicharedeterminedtopromotetheobjectivesofpartsBorEofTitleIVoftheSocialSecurityAct.Acopyofthewaivertermsandconditionsareattachedtothis MOUasExhibitA.CRS26-5-105.4requiresCDHSandtheCountytoenterintoaMemorandumofUnderstandingthatexplainstheCounty’sduties andresponsibilitiesinimplementingthe TitleW-EWaiverDemonstrationProjects.CDHSandtheCounty understandand agreethattheservicesoutlinedinthisMOUaresubjecttoavailableappropriationsbytheGeneralAssembly,andneitherpartywillbeobligatedtoprovideservicesorassistanceifadequateappropriationshavenotbeenmade.1C18-234 ThefollowingtermsareagreedtobyCDHSandtheCounty:1.MOUMEETSPERFORMANCEAGREEMENTREQUIREMENTThepartiesagreethattheprovisionsofthisMOUconstitutecompliancewithCRS26-5-105.4.2.TERMThetermofthisMOUwillbefromJuly1,2018toandincludingJune30,2019.3.DEFINITIONSThepartiesagreetoprovidethefollowingminimumservicestotheidentifiedpopulationsasdenotedbelow(checkallthatapply):1FamilyEngagement—Meetingswillbeprovidedtofamilieswithanewlyopenedchildwelfarecaseduringthedemonstrationperiod:•Withinsevenbusinessdaysofcaseopening;o(inFARcases,withinseven businessdaysafterthe60thday(69daysbyincludingweekends);•Withinsevenbusinessdaysofinitialplacement;•Every90dayswheninout-of-homecare(DHS/DSScustody);•Everysixmonthsinin-home(case open).I1PermanencyRoundtables—Meetingwillbeheldquarterlyfor:All opencasesinvolvingachild/youthwithagoalofOtherPlannedPermanentLivingArrangement;and/or1Allopencasesinvolvingachild/youthwhohasbeeninoutofhomecarefor12+months;and/orDOther:KinshipSupports—Supportservicesand goodswillbeprovidedtokinshipfamilieswhoare:E1Licensedkinshipfostercaregivers;Non-licensedkinshipfostercaregivers.2 1X1TraumaInformedScreening,Assessment,andTreatmenttothefollowingtargetpopulation:Allchildrenwithanopenchildwelfarecase.4.REQUIREDDUTIESOFTHECOUNTYa)Duringthetermoftheagreement,theCountyagreestoimplementtheintervention(s)inaccordancewiththerulesadoptedbytheStateBoardofHumanServices,modifiedasnecessaryinaccordancewithSection6ofthisMemorandumofUnderstanding.b)TheCountywillmaintainsufficientrecords,willsubmitreports,andwillaccuratelyrecordColoradoTrails(Trails)andCFMSactionsasmayberequiredtodocumentallcostandcaseactivitiessupportingtheimplementationoftheWaiver,andwillpermitCDHS,itsevaluators,dulydesignatedagentsand/orrepresentativesofthefederalgovernment,toinspecttherecordsandwillmakesuchrecordsavailabletoCDH$asspecifiedinCRS26-1-122.IftheCountycomplieswithcurrentrecordkeepingrequirementsasoutlinedbycurrentrules,suchshallbeconsideredtobe“sufficientrecords.”c)Countiesshallreportcoststoprovideaninterventionservicetoanindividual,asauthorizedthroughthisMOU.Thecostshallincludethetypeofinterventionserviceprovided,thevolumeofsuchservicesprovided,andcostsoftheinterventionservice,whereapplicable.Thecostsincludeinterventionfunds,staffandvendorcostsasidentifiedinTrails,CountyfinancialManagementSystem(CFMS)and/or100%timereportingbyindividualsperformingawaiveractivity.ThereisapresumptionthatacostisnotawaivercostunlessaffirmativelydocumentedinCFMS,Trails,and/oravendor’stimedetailreportfor100%timereporting.d)TheCountyagreestoparticipateintheevaluationoftheTitleIV-EWaiverDemonstrationProject,asdescribedunderSection3ofExhibitA,andasestablishedunderCRS26-5-105.4.e)InaccordancewithCRS26-5-105.4,theCountyagreestotheStateretaining50%oftheChildWelfaresavingsresultingfromtheIV-EWaiveractivities.Theremaining50%savingswillberetainedbytheCountyforadditionalChildWelfareservices,asdefinedinCRS26-5-101.3.Costsavingsaredeterminedasfollows:3 1)Thedifferencebetween1)theamountofTitleIV-Efundsthatwereclaimedforfostercaremaintenance,caseplanningandadministrationandeligibilitydeterminationinStateFiscalYear(“SFY”)2012-13,andii)theamountofTitleIV-Efundsthatwouldhavebeenclaimedforfostercaremaintenance,caseplanningandadministrationandeligibilitydeterminationinSFY2018-19,hadtheStateofColoradonotbeengrantedwaiverauthoritybytheUnitedStatesDepartmentofHealthandHumanServicesunderSection1130oftheSocialSecurityAct.2)Forthetencountieswiththelargestcaseloadsize,themethodologyfordistributingcostsavingsbetweencountiesthathaveenteredintoaTitleIV-EWaiverDemonstrationProjectMOUshallbebasedonthereductioninthenumberoffostercarebeddaysbetweenSFY2012-13andSFY2018-19;3)ForallothercountiesthathaveenteredintoaTitleIV-EWaiverDemonstrationMOUwithCDHS,themethodologyfordistributingcostsavingsbetweencountiesthathaveenteredintoaTitleIV-EWaiverDemonstrationProjectMOUshallbebasedonthereductioninthenumberoffostercarebeddaysbetweeneitherSFY2011-12orSFY2012-13,andSFY2018-19,asselectedbytheCounty.4)“Costsavings”shallnotincludeunspentTitleW-EWaiverDemonstrationProjectfundsprovidedtocountiesthroughtheMOUforpurposesofimplementingWaiverInterventions.AnysuchunspentfundsremainingattheendofSFY2018-19shallreverttotheTitleW-EWaivercashfund.5)TheCountyinsuresanycountyemployeefundedwithTitleW-EWaiverInterventionfundsparticipatesin100%timereporting.Countyemployeeswith100%oftimedevotedtoTitleW-EWaiverintervention(s)mayutilizethesixMonthCertificationforminlieuof100%timereporting.f)NolaterthanJune30,2019,theCountyagreestouse50%oftheunderspentcountyTitleW-EWaiverfundsforchildwelfareservicesthatcaninclude:1)IV-EWaiverinterventionservicestoeligibleandnon-eligibleTitleIV-Echildren2)ConventionaltitleW-EprogramservicesthataremaintainedforthoseTitleW-Eeligiblechildreninoutofhomeplacement3)Otherchildwelfareservicestoeligibleandnon-eligibleTitleW-Echildrenandtheirfamilies4 4)TheCountyplantoexpendeitherallocatedTitleIV-EWaiverfunds,orunderspentcountyTitleIV-EWaiverfundsasoutlinedinExhibitB.5.DUTIESOFCDHSa)CDHSwilloverseetheimplementationoftheTitleIV-EWaiverDemonstrationProject,andwilldevelopstandardizedformsandreportingprocessesforthetrackingofparticipants,inconsultationwiththeCounties.b)CDHSwillmonitortheCounty’sprovisionofTitleW-EWaiverinterventionservicesasoutlinedintheExhibitBandExhibitC.CDHSwillpullanynecessaryrecordsordataformonitoringpurposesfromexistingTRAILSandothercurrentrecording/datakeepingsystems.CDHSwillnotrequesttheCountytocompilerecords/datathatCDHSmaycompileoraccessthroughtheuseofTRAILSorotherrecord/datakeepingsystems.c)CDHSwillexerciseoversightofandresponsibilityforthedevelopment,implementation,maintenance,andenhancementofTrailsanditsapplicationrelativetoChildWelfareServices.d)CDHSagreestoallocatetocountiesanyTitleIV-EfundstransmittedtotheTitleIV-EWaivercashfundandappropriatedbythegeneralassemblytoeitherimplementtheTitleIV-EWaiverDemonstrationProject,ortofundoutofhomeplacementandcaseplanningforTitleIV-Eeligiblechildren,inaccordancewithCRS26-5-105.4.6.BUDGETInthepreparingofExhibitC,“TitleW-EWaiverDemonstrationProjectYear6(SFY2O18-19)Budget,”theCountyshalldevelopadetailedbudgetthatidentifiesalldirectcostsassociatedwiththeimplementationoftheWaiverinterventions,asdefinedinSection3ofthisMemorandum,forwhichtheCountyhasbeenawardedIV-EWaiverDemonstrationfunds,a)UponreceiptofExhibitB,“CountyIV-EWaiverDemonstrationProjectYear6($fY2018-19)AwardLetter”,TheCountyshallprepareandsubmitarevisedBudget.Thebudget,onceacceptedbyCDHS,shallconstitutetheExhibitC,andshallbecomepartofthisMOU.b)WiththewrittenapprovalofCDHS,theCountymayrequestarevisiontoitsacceptedbudgetduringthetermoftheagreement:5 1)TheCountymaytransferbudgetedfundsbetweenexpenditurelineitemswithinaspecificintervention,providedthatthetransferredamountsdonotconstituteasignificantmodificationtotheservicesasdescribedwithintheApplication.2)AwrittenstatementofimpacttotheservicesasdescribedintheApplicationshallbepreparedbytheCountyandaccompanyanyrequestedbudgetrevisionsthatexceedthethresholdsasidentifiedinSections6.B.1above,andmayberequiredbyCDHSforanyrequestedbudgetrevisionfallingwithinthethresholdsidentifiedinSections6.B.1above.7.SEVERABILITYTotheextentthatthisMOUisexecuted,andperformanceoftheobligationsofthepartiesmaybeaccomplished,thetermsoftheMOUareseverable.ShouldanysingularterminthisMOUbedeclaredinvalidorbecomeinoperativeforanyreason,itwillnotinvalidatetheMOUitself,oranyofthetermsincludedtherein.8INTEGRATIONOFUNDERSTANDINGThepartiesrecognizethenatureoftherelationshipbetweentheCountyandtheState.ThisrelationshipisgovernedmorebroadlybypertinentprovisionsoftheColoradoConstitutionandofstatestatutesandrules,includinglawfulrulespromulgatedbytheStateBoardofHumanServices.ThepartiesfurtherrecognizethatthisMOUisnotintendedtosupersedeorchangetherelationshipbetweentheCountyandtheStateasestablishedbyanylegalauthority.9.NOTHIRDPARTYBENEFICIARYThisMOUisbindingtoCDHSandtheCounty,aswellastheirrespectivesuccessorsandassigns.ItisagreedthattheenforcementofthetermsandconditionsofthisMOUarereservedforCDHSandtheCounty,totheextentpermittedbylaw.NothingcontainedinthisMOUallowsaclaimorrightofactionbyathirdparty.AnythirdpartyreceivingservicesorbenefitsundertheprovisionsofthisMOUisdeemedanincidentalbeneficiary.10.DISPUTERESOLUTION6 Priortotheexecutionofthisdocument,ifthepartiesareunabletoreachagreementconcerningtheinclusionof,orwordingof,provisionsoftheMOU,eitherpartymayreferthedisputetotheTitleW-EWaiverDemonstrationProjectOversightCommittee.TheCommittee’sdecisionwillbemadebyamajorityvoteofitsmembers,andisnon-binding.Ifdissatisfiedwiththedecisionoftheoversightcommittee,eitherpartymayseekreviewbytheOfficeDirectorofChildrenYouthandFamiliesordesignee.Nothingintheseprovisionslimitsaparty’sabilitytopursueotherremediesavailableunderthelaw.11.TERMINATIONThepartiesacknowledgethatwithdrawalfromthisMOUwillresultintheterminationofthisAgreementandterminationoffundingandservicesassociatedwiththisAgreement.TheCountyshallassureaslittledisruptionaspossibleinthedeliveryofservicesprovidedtoRecipients.a)WithdrawallTermination.AnypartymaywithdrawfromthisAgreementatanytimebyproviding30dayswrittennoticetoallotherParties.b)ForLossofFunds.AnypartymaywithdrawfromthisAgreement,intheeventoflossorreductionofresourcesfromitsfundingsourcesadsliallprovidenoticeofwithdrawal,inwritingwithin30days.c)LackofCompliance.CDHSmayterminatetheagreementifitisfoundtheCountyisnotcomplyingwiththetermsofthismemorandum.ththeeventthememorandumisterminatedforfailuretoperform,interventionsfundsmaybereducedatthediscretionofCDHS.7 iNWITNESSWHEREOF,thePartieshereto,throughtheirauthorizedrepresentativeshaveexecutedthisMemorandumofUnderstandingeffectiveforthedateswrittenabove.AnnRosales,Director,DivisionofChildWelfareDateCOUNTY(ies)OFCOLORADO,byand,throughtheBOARDOFCOTYCOMMISSIONERSChairmarJCATTEST:-C0co3_____________________untyClerktotheBoardhf-r.L_DATE:JZtL$ AmendedJune,2018toclarifyscopeofimplementationofprimarywaiverinterventionsandtoremovereferenceto“MarketSegmentation”asawaiverintervention(SeeSection2.1);andtoextendthedemonstrationthroughSeptember30,2019,(SeeSections1.5,3.5,4.2.4.2.2,4.3,5.8,5.10,6.1andRevisedTable1)DEPARTMENTOFHEALTHANDHUMANSERVICESADMINISTRATIONFORCHILDRENANDFAMILIESADMINISTRATIONONCHILDREN,YOUTHANDFAMILIESCHILDREN’SBUREAUWAIVERAUTHORITYSTATE:COLORADOWaiversofthefollowingprovisionsoftheSocialSecurityActandProgramRegulationsareprovidedtotheStatetooperateachildwelfaredemonstrationproject:Section471(a)(J0):LicensingStandards:ToallowtheStatetowaivecategoricallyspecificnon-safetystandards(asdeterminedbytheState)inrelativefosterfamilyhomesforspecificchildrenincare.Section472(a):ExpandedEligibility:ToallowtheStatetoexpendtitlelV-EfundsforchildrenandfamilieswhoarenotnormallyeligibleunderPartEoftitleIVoftheActasdescribedintheTermsandConditions.Section474(a)(l):ExpandedClaiming:ToallotvtheStatetoclaimattheFederalmedicalassistancepercentageanyallowableexpendituresoffostercaremaintenancepaymentcostsavings.Section474(a)(3)(E)and45CER1356.60(c)(3):ExpandedServices:ToallowtheStatetomakepaymentsforservicesthattvillbeprovidedthatarenotnormallycoveredunderPartEoftitleIVoftheAct;andtoallowtheStatetousetitlelV-EfundsforthesecostsandservicesasdescribedintheTermsandConditions,Section2.0.AllwaiversaregrantedonlytotheextentnecessarytoaccomplishtheprojectasdescribedintheseTermsandConditions.ColoradoTermsandConditionsfJN.ILAmendedJune,2018EXHIBITA DEMONSTRATIONPROJECTTERMSANDCONDITIONSCOLORADOSECTION1:GENERAL1.0TheDepartmentofHealthandHumanServices(hereinafterreferredtoas“theDepartment”)willgrantwaiverstotheStateofColorado(hereinafterreferredtoas“theState”)underSection1130oftheSocialSecurityAct(hereinafterreferredtoas“theAct”)tooperateademonstrationproject(hereinafterreferredtoas“thedemonstration”)assetforthintheseDemonstrationProjectTermsandConditions.TheDepartmentreservestheright,initssolediscretion,towithdrawapprovalofthisdemonstrationproject,includingwithdrawalofanyandalltvaiversgrantedbytheDepartmentatsuchtime(s)thattheDepartmentdeterminesthattheStatehasmateriallyfailedtomeettherequirementsassetforthintheseDemonstrationProjectTermsandConditions.TheStatealsoretainstherighttoterminatethedemonstration.FailuretooperatethedemonstrationasapprovedandaccordingtoFederalandStatestatutesandregulationswillresultinwithdrawalofapprovalofthisdemonstrationproject.TheFederalstatutesandregulationswithwhichtheStatemustcomplyintheoperationofthedemonstrationincludecivitrightsstatutesandregulationsthatprohibitdiscriminationonthebasisofrace,color,nationalorigin,disability,sex,age,andreligion,includingtit)eVIoftheCivilRightsActof1964,Section504oftheRehabilitationActof1973,theAgeDiscriminationActof1975,titleIIoftheAmericanswithDisabilitiesAct,thenondiscriminationprovisionsoftheOmnibusBudgetReconciliationActof1981,andtheMultiethnicPlacementActasamended.Afterthedemonstrationisapproved,theDepartmentreservestherighttowithdrawapprovalifagreementcannotbereachedonanyitem(s)citedinthisdocumentasneedingapprovalbytheDepartment.TheStatealsohasthesameright.I.2TheDepartmentmayterminatetheState’sauthoritytoconductademonstrationprojectif,afterthethree-yearperiodfollowingapprovaloftheseTermsandConditions,theStatehasnotmadesignificantprogressinimplementingthechildwelfareprogramimprovementpoliciesproposedbytheStateinitsapplicationtoconductademonstration,andasdescribedinsection1130(a)(3)(C)oftheAct(seealsoSection2.3).I.3IfFederalorStatestatutesorregulationsthatwouldhaveamajoreffectonthedesignandimpactsofthisdemonstrationareenacted,orifanydeficienciesorseriousproblemsinimplementationoftheseTermsandConditionsarenotedbytheDepartment,theDepartmentandtheStatewillreassesstheoveralldemonstrationanddevelopamutuallyagreed-uponstrategyfordealingwiththedemonstrationinthecontextofsuchchanges.Ifsuchamutuallyagreed-uponstrategycannotbedeveloped,theDepartmentreservestheright,initssolediscretion,towithdrawapprovalatsuchtime(s)astheDepartmentdetermines.ColoradoTermsandConditionsFINALAmendedJune,2018EXHIBITA 1.4AltprovisionsoftheActnottvaivedremainineffect.Thedemonstrntionpro-visionsv.IIIbeimplementednocarticf4hnApril1,2013,andcio4eier4huwOctobcr1,2013.TheState’sprojectdemonstrationperiodmaynotexceedamaximumoffivetotalyears(20quarters)undertheprovisionsoftheAct,unlessinthejudgmentoftheSecretary,thedemonstrationprojectshallbeaIIowedtocontinue.Theimplementationdateofthedemonstrationhn!1bewasthefirstdayonwhichtheStateoffersservices,subsidies,orothersupportsundertheprovisionsoftheseDemonstrationProjectTermsandConditionstoparticipatingchildren,caregivers,orothertargetedindividuals.Forcost-neutralitypurposes,thedemonstrationshaHbewasdeemedtohavebegunbeginonJuly1,2013thefirstdayofthecalendarquarter(hereinafter“quarter”),whichincludestheimplementationdateT.hatfei-Forthepurposeofcalculatingcostsfortheinitialquarterofthedemonstration,onlycostsincurredbeginningwiththemonththatincludestheimplementationdatewillbecounted.The-enioiatliaN-eut1a+erthnnthe1a5Ldayof4he-2Oquarterendingafterthedeemedbeginningdate.ThedemonstrationprovisionsshallbeasspecifiedinSections2and3.WaiversnecessaryforthedemonstrationareapproveduponacceptancebytheDepartmentandtheStateoftheseDemonstrationProjectTermsandConditions.They%ill-becomebecameeffectiveasoftheimplementationdateandwillremainineffectforthedurationoftheproject,untilthelastday-of4he2Oquarterendingafterthe-4ee+e4beinningdate,unless—tklenlo+lslffil4onisterminatedca4ir.—flStt&-projectdemonstrationpct4#maynotexceedamximi1-ie-totu-1yearsundertheiii-t-ftheAct.unte;in-thejudmeitf-theSecretary.thedemonsEroio+-projecrshallheallowedtocoMrn*ITheStatesubmittedarequesttoextendtheprojectbeyondtheoriginallyapprovedfic-year(20quarter)termandthatrequesthasbeenapprovedbytheSecretary.ThedemonstrationshallendnolaterthanSeptember30,20191.6FederalapprovaloftheseDemonstrationProjectTermsandConditionsshallnotbeconstruedtoestablishanyprecedentthattheDepartmentwillfollowintheapprovalofanysubsequentrequestforTermsandConditions.1.7NothingintheseTermsandConditionsshallcreateeligibilityforanychildorfamilyforanyFederalprogramorentitlementforwhichthatchildorfamilywouldnototherwisebeentitled,exceptthattitlelV-Efundsmaybeexpended,accordingtotheprovisionsoftheseTermsandConditions,forpersonswhowouldnotbeeligiblefortitleIV-Efundsintheabsenceofthedemonstration.ReceiptofservicesreimbursableundertitleXIXbutprovidedundertheseTermsandConditionsforchildrenandfamilieswhoarenoteligibleundertitlelV-EdoesnotconstituteeligibilityforMedicaid.ChildrenunderthisdemonstrationwhoaredeterminedtobeeligibleundertitlelV-Ewillretainthateligibilitythroughthedurationofthedemonstrationproject,sothatsuchchildrenwillremaineligibleforMedicaid,titleIV-EAdoptionAssistance,titleIV-EFosterCare,andtitletV-EGuardianshipAssistanceProgram,ifapplicable.otoradoTernisandConditionsFINALAmenclediitne,201831.5EXHIBITA SECTION2: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’stargetpopulationivillincludealltitleIV-Eeligibleandnon-IV-Eeligiblechildrenwithscreened-inreportsofabuseorneglectandthosealreadyreceivingservicesthroughanopenchildwelfarecaseduringthedemonstrationperiodregardlessofcustodystatus.Oncethedemonstrationisfullyimplemented,theStateestimatesthatitmayserveupto101,100cases(duplicatedcount)throughthesixserviceinterventionsdescribedinSection2.1below.ThestatemaychoosetoimplementthedemonstrationprojecteitherbyindividualcountyperformanceagreementsorbyachangeinStateregulation.2.1TheState’sdemonstrationwillincludethefollowingthreeprimaryserviceinterventionstobeimplementedbysomeorallparticipatingcountiesstatcwidc:•FamilyEnanement:TheStatewillintroducefamilyengagementpreceptsandprocessesthroughacombinationoftraining,coaching,andpeermentoring.Additionally,theStatewillmodifynon-safetycertificationregulationsofrelativefosterfamilyhomestofacilitatetheplacementofchildrenwithrelativeswhenout-of-homeplacementisnecessary.•Trauma-InformedChildAssessment:TheStatewillsupplementexistingassessmentprocessesandinstrumentswithstandardizedtoolsthataregearedspecificallytowardchildrenwhohaveexperiencedtrauma.ThefollowingassessmenttoolswillbeevaluatedtodeterminethebesttoolforusebyColorado’scountydepartmentsandbehavioralhealthorganizationsandmayColoradoTermsandconditionsFLVAL4AmendedJune,2018EXHIBITA includebutarenotlimitedto:•ChildObservationRecord•BattetleDevelopmentInventoryAgesandStagesQuestionnaireaChildDevelopmentInventory•BehavioralandEmotionalRatingScale•ClinicalAssessmentPackageforAssessingClients’RiskandStrengths•SocialSkillsRatingSystem•ChildandAdolescentAdaptiveFunctioningScale•4-DStrengths-BasedAssessmentToolsforYouthinCare•Family,Friends,andSelfFormColoradoBehavioralHealthOrganizations(BHOs)and/orlocalchildwelfareserviceagenciesmaybeengagedtoconductthetrauma-informedassessments.Thefinalselectionoftrauma-informedassessmenttools,andthetimelineforimplementingthem,willbespecifiedintheState’sFinalDesignandImplementationReport(Section2.4).•Trauma-FocusedBehavioralHealthTreatments:Countiesandbehavioralhealthorganizationswillincreasetheuseofbehavioralhealthtreatmentsthathalebeenshowntobeeffectivewithchildrenwhohaveexperiencedtraumathroughcontractswithlocalhumanserviceprovidersand/orthroughtheirexpandedutilizationbyBHOs.Thetreatmentinterventions(organizedbycategorybelow)willbeevaluatedtodeterminethebesttooltomeetlocalneedandmayinclude,butarenotlimited,to:•GeneralCaseManagement:FamilyConnectionsandSolution-BasedCasework•TraumaandAnxiety:EyeMovementDesensitization&Reprocessing,Trauma-FocusedCognitiveBehavioralTherapy,andCopingCat•TherapeuticInterventions:MultidimensionalFamilyTherapy,Multi-systemicTherapy,andMultidimensionalTreatmentFosterCare•SubstanceAbuse(adults):MotivationalInterviewing•Depression(adults):CognitiveTherapyandinterpersonalPsychotherapy•ParentTraining:TheIncredibleYears,ParentManagementTraining,Parent-ChildInteractionTherapy,andPositiveParentProgram(TripleP)Thefinalselectionoftrauma-focusedbehavioralhealthtreatments,andthetimelineforimplementingthem,willbespecifiedintheState’sFinalDesignandImplementationReport(Section2.4).Inadditiontothethreeprimaryserviceinterventionsnotedabove,theStatewillassistindividualcountiesinidentil’ingadditionalinterventionstobeimplementedC’o!oracloTernisandCoiiditionsFINAL5Anienck’ctJune,2018EXHIBITA basedonthespecificneedsandcircumstancesofthecounty.Additionalserviceinterventionsthatmaybeimplementedbycountiesinclude:PermanencyRoundtables:ExpansionofCaseyFamilyProgram’sexistingPermanencyRoundtableinitiativetocountiesthatdonotdirectlyparticipateintheinitiative,andthatmakesubstantialuseofcongregatecareandotherplannedpermanentlivingarrangementsforchildreninout-of-homeplacement.KinshipSupports:Establishmentofsupportgroupsandreferralnetworks,combinedwiththeprovisionofdiscretionaryfundsfortime-limitedsupportsandservices,toassistnon-licensedkinfostercaregivers.-.........mcntation:DevelonmentofntooltoassistintheIdentilicutionrecruitmentoffosterandadoptwcnnrcnt.Thespecificcountiesthatvillimplementeachofthesesupplementalserviceinterventions,andthetimelineforimplementingthem,willbebaseduponcounties’readinesstoimplement,drivenbylocalneed,andspecifiedintheState’sFinalDesignandImplementationReport(Section2.4).2.2TheStateshallcomplywiththefollowinggeneralprovisionsoverthefulltermofthedemonstrationproject.TheStatewill,orwhereappropriate,willensurethatcaseworkers,supervisors,andcontractedserviceproviders:a.Workcloselywiththeevaluatortomaintaintheintegrityoftheevaluation.b.Developanddeliverservicestomeettheindividualneedsofeachchildandfamily.c.Ensurethatanyservicesbeingprovidedtoachildorfamilymemberatthetimethedemonstrationendswillbecompleted.U.Ensuretheconfidentialityoftheinformationcollectedonthechildrenandfamiliesunderthedemonstration.e.Ensurethattherightsofchildrenandtheirfamiliesareprotected,andthatthesafetyofthechildrenisaparamountconcernofthedemonstrationproject.f.EnsurethattitlelV-Eeligibilitydeterminationsaremadeforallchildrenwhoareinvolvedinthedemonstrationproject,throughoutthelifeofthedemonstrationproject,toensurethateligiblechildrenretaintheireligibilityafterthedemonstrationends.g.BearanycoststhatexceedtheamountofFederalfundsprovidedforthedemonstration.ColoradoTernisandconditionsFlN1L6AmendedJune,20)8EXHIBITA h.EnsutethattheStateisorganizationallyandlegallypreparedforallaspectsofdemonstrationprojectimplementation.i.EnsurethataconventionaltitleIV-Eprogramismaintainedforthosechildrenandfamiliesthatarenotdesignatedtoreceivedemonstrationservices,andthatthesechildrenandfamiliescontinuetoreceiveservicesthatareconsistentwiththe“traditionalservices”availabletosuchchildrenandfamiliesintheStateatthetimethedemonstrationbegins.j.EnsurethatallapplicableprovisionsoftheActapplytoalldemonstrationcomponentsexceptforthoseprovisionsthatareexplicitlywaivedabove.k.EnsurethatchildrenwhoareeligiblefortheMedicaidprogramwillretaintheireligibilityforafullrangeofMedicaidservicesunderthedemonstration.I.Ensurethatany“savings”resultingfromthedemonstration,whethertheyaresavingstotheFederalgovernment,totheState,ortoacountyortoanotherjurisdictionwithintheState,willbeusedforthefurtherprovisionofchildwelfareservices.Forthepurposesolthisprovision,“savings”meansanyamountthatwouldhavebeenexpendedforconventionaltitleIV-Epurposesintheabsenceofthisdemonstration,orthatcouldhavebeenexpendedundertitleIV-BottheAct.m.EnsurethattheStateannuallywillprovideanaccountingofanyadditionalFederal,State,tribal,andlocalinvestmentsmade,aswellasanyprivateinvestmentsmadeincoordinationwiththeState,toprovidetheserviceintervention(s)thattheapplicantintendstoundertakethroughthedemonstration(seeSection5.6).n.EnsurethatineachyearthroughoutthedurationofthisdemonstrationtheappropriateStateoffkial(s)andevaluatorswillattendandparticipateinanannualmeetingoftheChildWelfareDemonstrationStatesintheWashington,D.C.area.o.Forthedurationofthedemonstrationproject.assurethattheStateshallprovidehealthinsurancecoveragetoanychildwithspecialneeds(asdeterminedunderSec.473(C)oftheAct)forwhomthereisineffectanadoptionassistanceagreementbetweentheStateandanadoptiveparentorparents.2.3TheStateshallprovideassuranceofhowtheStatehasimplemented,orplanstoimplementtvithinthreeyearsofthedateontvhichitsubmitsitsapplicationthefollowingchildwelfareprogramimprovementpolicies:•AddressHealthandMentalHeatIhNeedsofChildreninFosterCare:Thedevelopmentandimplementationofaplanformeetingthephysicalandmentalhealthneedsofinfants,children,andyouthinfostercarethatensuresthattheprovisionofsuchcareischild-specific,comprehensive,appropriate,andconsistent(throughsuchmeansasensuringthatthechildhasamedicalhome,ColoradoTermsandConditionsFINiJL7Amenctediunc,2018EXHIBITA regularweilnessmedicalvisits,andaddressingtheissueoftrauma,whenappropriate).•LimitingtheUseofCongregateCare:Thedevelopmentandimplementationofaplanthatensurescongregatecareisusedappropriatelyandreducestheplacementofchildrenandyouthinsuchcare.2.4Within90daysfollowingacceptanceoftheseTermsandConditions,theStatewillSubmitaPreliminaryDesignandImplementationReporttotheDepartmentforapproval;andaFinalDesignandImplementationReportwillbesubmittedtotheDepartmentforapprovaltvithin180daysfollowingacceptanceoftheseTermsandConditions(seeSection5.2).Thesereportswillincludeinformationaboutprogramdesignandimplementation.Reportsectionsregardingimplementationwillinclude:•AFinalWorkPlan,outliningthekeytasks,reportingrequirements,andtimelinesthroughoutthecourseofthedemonstration;•Aphase-downplanforthedemonstrationsothatcaseplansforchitdrenandtheirfamiliescanbeadjusted,ifnecessary,forthepost-demonstrationportionoftheirplacement(SeeSection6.1);•Thedetailedprotocolorsetofpoliciesthatwillguidedecisionsaboutwhichfamiliesorchildrenaretobeselectedtoparticipateinthedemonstration,howtheselectionwillbemade,andhowthesuitabilityofserviceswillbedetermined;•StandardsofqualityandsafetyandpracticerequirementsidentifiedbytheStatetobeincorporatedintoanyagreementswithpublicandprivateprovidersthatareexpectedtoprovidesupportandservices;and•Thestatusofevaluationactivities,includingeffortstoengageathird-partyevaluator.ThedemonstrationprojectwillbereviewedperiodicallybytheDepartmenttoensurethatthedemonstrationactivitiesareconsistentwiththepurposesoftitlestV-BandIV-EoftheActandtheseTermsandConditionsinprovidingchildwelfareservices,includinganassuranceofthesafetyofthechildrenandfamiliesinvolved.Thereviewisintendedtoensurethatbenefiteligibilitywillnotbeimpairedandthatimprovedoutcomesforthechildrenandfamilieswillresult.AnyproposedamendmenttotheseTermsandConditionsissubjecttopriorapprovalbytheDepartment.o1oradoTermsandconditionsFINAL8AmendedJune,2012EXHIBITA SECTION3:EVALUATION3.0TheStatewillconductanevaluationoftheuseoftitleIV-EfundstotestthehypothesisthattheflexibleuseoftitleIV-Efundstoprovidefamilyengagementservices,trauma-informedchildassessments,andtrauma-focusedbehavioralhealthtreatments,asappropriate,viIlresultinimprovedsafety,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.TheStateColoradoTermsandconditionsFINAL9AmendedJune,2018EXH1511A willnotifytheDepartmentassoonasanyseriousproblemsarenoted.Semi-annualprogressreports(seeSection5.4)willincludeanupdateonthesamplesizesandprogresstowardmeetingthetargetedsizes.Caseswillmaintaintheirassignedstatusforthefullperiodofthedemonstration.ModificationstothesamplingplanmaybeproposedtotheDepartmentforapprovalifthesamplesizesfortheexperimentalandcontrolgroupsaresuchthatthenumberofclientsineachgroupwillprovideadequatestatisticatpowertodetectdifferencesinoutcomesofinterestbetweenthettvogroups.3.2ProcessEvaluation:Theevaluationwillincludeinterimandfinalprocessanalysesthatdescribehowthedemonstrationwasimplementedandthatidentil’howdemonstrationservicesdifferfromservicesavailablepriortoimplementationofthedemonstration,orfromservicesavailabletochildrenandfamiliesthatarenotdesignatedtoreceivedemonstrationservices.Theanalysistvillincludealogicmodelthatdescribesthedemonstration’sobjectives,theservicesorotherinterventionsprovided,andthewaytheinterventionislinkedtomeasurableoutcomes.Inaddition,theprocessanalysiswillexamine,ataminimum,thefollotving:•Theplanningprocessforthedemonstrationincludingwhetheranyformalneedsassessment,assetmapping,orassessmentofcommunityreadinesswasconducted;•Theorganizationalaspectsofthedemonstration,suchasstaffstructure.fundingcommitted,administrativestructures,andprojectimplementation,includingongoingmonitoring,oversight,andproblemresolutionatvariousorganizationlevels;•Thenumberandtypeofstaffinvolvedinimplementation,includingthetrainingtheyreceived,aswellastheirexperience,educationandcharacteristics;•Theservicedeliverysystem,includingproceduresfordeterminingeligibility,referringsubjectsforservices,thearrayofservicesavailable,thenumberofchildren!famitiesservedandthetypeanddurationofservicesprovided;•Theroleofthecourtsinthedemonstrationandtherelationshipbetweenthechildwelfareagencyandcourtsystem,includinganyeffortstojointlyplanandimplementthedemonstration;•Contextualfactors,suchasthesocial,economicandpoliticalforcesthatmayhaveabearingontherepticabilityoftheinterventionorinfluencetheimplementationoreffectivenessofthedemonstration.Thisdiscussionvillnoteanypossibleconfoundingeffectsofchangesinthesesystems,orchangesresultingfromotherdemonstrationsorreformsthatwereimplementedduringthetitleIV-Edemonstration;ColoradoTernisandconditionsFIThLI0AmendedJune,2018EXHIBITA •Thedegreetowhichdemonstrationprogramsandservicesareimplementedwithfidelitytotheirintendedservicemodets;and•Thebarriersencounteredduringimplementation,thestepstakentoaddressthesebarriers,andanylessonslearnedduringimplementation.Foreachofthefactorsdescribedabove,theprocessanalysisvillnoteanydifferences,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.TheStatewillcollectdatatoaddressthesequestionsfromtheStatesautomatedchildwelfareinformationsystems,childwelfareagencycaserecords,andadditionalinformationsourcesasappropriate.TheStatewillworkwithitsevaluationcontractortoidentifyotherappropriatedatasourcestoaddresstheprocessandoutcomemeasuresdescribedabove.3.4CostStudy:Thecostanalysiswillexamine,ataminimum,thecostsofthekeyelementsofservicesreceivedbychildrenandfamiliesdesignatedtoreceivedemonstrationservicesandwillcomparethesecostswiththoseofservicesavailablepriortothestartofthedemonstration,orthatwerereceivedbythechildrenandfamiliesthatwerenotdesignatedtoreceivedemonstrationservices.Thecostanalysiswillalsoincludeanexaminationoftheuseofkeyfundingsources,includingallrelevantFederalsourcessuchastitlesIV-A,tV-B,IV-EandXIXoftheAct,aswellasStateandlocalfunds.Thepurposeoftheanalysiswillbetocomparethecostsofservicesavailablethroughthedemonstrationwiththoseofservicestraditionallyprovidedtochildrenandtheirfamilies.Wherefeasible,acost-effectivenessanalysiswillbeconductedtoestimatethecostsofC’oloradoTern,sandConditionsFINALItAmendedJune,2018EXHIBITA eachsuccessfuloutcomeachievedthroughthedemonstration.Thisanalysiswiltbeconductedusingoneormoreofthekeyoutcomemeasuresforwhichastatisticallysignificantdifferenceisidentified.3.5EvaluationReportingRequirements:ThefdflotvingreportsanddocumentsshaltbeprovidedtotheDepartmentforreviewandapprovat(alsonotedinSection5):•TheStatewillsubmittotheDepartmentforreviewadraftofthespecificationsorRequestforProposals(RFP)fortheagreementtoconductanevaluationofthedemonstrationwithin60daysafteracceptanceoftheseTermsandConditions.Thedraftspecificationsmustdetailtheobjectivesoftheproject,theevaluationdesign,thespecifictaskstobeconducted,thetimeframesforconductingthosetasks,andascheduleandlistofdeliverables.Theresearchquestions,keyvariables,datacollectionmethods,samplesizesandotheraspectsoftheevaluationnotedintheseTermsandConditionstvillbeclearlydescribed.•TheStatewillsubmitanevaluationplantotheDepartmentforapprovalwithin120daysaftertheevatuationcontractisawarded.Theevaluationplanmustpresenttheunderlyinglogiclinkinginterventionstoexpectedoutcomes,theresearchquestionstobestudied,themajorvariablestobemeasured,thefinalsamplingplan,thedatasources(includinganassessmentofthereliabilityandvalidityofeachsource),datacollectionprocedures,andthemajordataanalysestobeperformed.Theplanwiltdescribethecomparabilityofsetectedtimeperiodsandgroupsonkeyvariables.•Notlaterthan60daysaftertheconclusionoffive-yearI0hquarterfollowingthedemonstration’simplementationdate,theStatewillsubmitaninterimevaluationreport(seeSection5).Thereportvillincludeaprocessanalysisoftheevaluationtodateandanyoutcomedataavailableatthattime.Thereportwillalsoincludeabriefdescriptionoftheoutcomeandcostcomponentsoftheevaluationplannedandnoteanyissuesorproblemsanticipatedincompletionofthesecomponents.Ifthefindingsareunclearorincomplete,theDepartmentmayrequestrevisionsandresubmissionofthereport.•Notlaterthansixmonthsaftertheconclusionoftheoriginallyapprovedfive-yeardemonstrationperiodendingonJune30,2018(20thquarter),afinalreportintegratingtheprocess,outcomeandcostcomponentsoftheevaluationwillbesubmitted.Ifthefindingsareunclearorincomplete,theDepartmentmayrequestrevisionsandresubmissionofthereport.•TheStatewillpostcopiesoftheinterimandfinalevaluationreportsontheState’schildwelfareagencyWebsite(seeSection5.10).•Notlaterthansixmonthsaftertheconclusionoftheoriginallyapprovedfive-yeardemonstrationperiodendingonJune30,201$(2Qthquarter),theStatewillhavetheevaluationcontractorproduceandmakeavailablepublic-usedatatapes,includingdocumentationnecessarytopermitre-analysisofthedatagatheredduringthecourseoftheevaluation.ColoradoTernisandConditionsFINAL12AmendedJune,2018EXHIBITA PublicreleaseofanyevaluationormonitoringreportsrequiredunderthisagreementwiltbemadeonlybytheDepartmentortheState.Priortopublicreleaseofsuchreports,theDepartmentandtheStatetvillhaveatleasta30-dayperiodforreviewandapproval.3.6ProgramChanges:Additionalprogramchangesthatarenotappliedequallytoexperimentalandcontrol/comparisongroups,orthatwouldsubstantiallyaffecttheevaluationofthedemonstration,mustbeapprovedbytheDepartmentasanamendmenttotheseDemonstrationProjectTermsandConditions.ColoradoTermsandconditionsFIPLIL13AmendedJune,2018EXHIBITA SECTION4:COSTNEUTRALITY4.0AsrequiredbysectionI30(h)oftheAct,theamountofFederatfundsexpendedforthisprojectmaynotexceedtheamountofsuchfundsthattvouldbeexpendedbytheStateundertheStateplansapprovedunderpartsBandEoftitleIVifthedemonstrationprojectwerenotconducted.Therefore,exceptforcostsofevaluatinganddevelopingthisproject(asspecifiedinSections4.4and4.5below),startingtviththedeemedbeginningdate(seeSectionI.5)theoperationofthisdemonstrationistobecost-neutraltotheFederalgovernmentwithrespecttomaintenanceandadministrativecostsfortitlesIV-BandIV-EoftheAct.4.1Section4Terms:Costs.Allreferencesmadetocosts(unlessothenvisespecificallynoted)consistoftotalcomputable(gross)costs.TheFederalshareofdemonstrationprojectcostswillbecomputedusingthematchingrateapplicabletothefundingcategory.MaintenanceCosts.AllreferencesmadetomaintenancecostsincludetitleIV-Eallowablefostercaremaintenanceassistancepayments(perSection475(4)(A)oftheAct),andsuchothercostsforcasesdeemedastitleIV-Eallowablethroughawaivergrantedforthisdemonstrationproject.AdministrativeCosts.AllreferencesmadetoadministrativecostsincludetitleTV-fallowableadministrativecosts(perFederalregulationsat45CFR1356.60(c))andothercostsdeemedastitleTV-fallowablethroughawaivergrantedforthisdemonstrationproject.Cumulative.AllreferencesmadetocumulativeinthecontextofcostswillIndicatethatcostsaretobesummedforallquartersfromthedeemedbeginningdatethroughthequarterinquestion.4.2Thetotalcostsoffostercarepayments,includingmaintenanceandadministrativecosts,shallbeanamountdeterminedbyabaseallocationasdeterminedinSection4.2.1belowplusanyannualchangefactororexclusionsasspecifiedinSection4.2.2.TheresultsofthiscalculationareshowninSection4.3,Table1.TheaggregateliceyeesumofFederalsharepaymentsfortheapprovedoperationalperiodshallbethecumulativefixedpaymentthatshallbemadetotheState.ReceiptbytheStateofpaymentsnotgreaterthatthecumulativefixedpaymentshallbeconsideredcostneutraltotheFederalgovernment.Atleast90dayspriortoimplementationanduponapprovalofamendedpayments,theStateshallprovidetheDepartmentwithadocumentshowingafixedscheduleofpaymentsforthefwcyeardemonstrationperiodcoveringfederalFiscalYears(FFY’s)2013through2019.TheStatemayreceivequarterlypaymentsinaccordancewithascheduleofquarterlypaymentsthesumofwhichdonotexceedthetotalcumulativepaymentsunderthedemonstration.ColoradoTetnisandconditionsfINAL14AniendeclJune,2018EXHIBITA 4.2.1ThefostercarebaseallocationamounttobeusedforpurposesofestabtishingacaptoreflectcostneutralitytotheFederalgovernmentfordemonstrationprojectoperationshasbeendeterminedforeachofthefundingcategoriesimpactedbythedemonstrationprojectthroughthefollowingprocesses:Sourceofclaims:ThebaseamountisthecalculatedStateFiscalYear(SFY)totalcomputable(gross)titteIV-fFosterCareclaims(includingcurrentandpriorquarteradjustments)submittedbyColoradoonquarterlyreportsofexpendituresandestimates(i.e.formACF-IV-f-iorCB-496,asapplicable)duringthespecifiedtimeperiodsforthefollowingcostcategoriesandadjustedforbaselineincreasesasspecifiedbelow:•Fostercaremaintenancecosts:Totalcomputablecostsof$35,943,219.ThistotaliscalculatedfromtheaverageofmaintenancepaymentsclaimsforSFY2008-2010.•Fostercareadministrativecosts(excludingSACWIS,non-SACWISchildwelfareinformationsystcmsandtraining):Totalcomputablecostsof$54,251,490.ThistotaliscalculatedfromtheaverageofadministrationclaimsforSFY2008-2010inthefollowingspecificcategoriesofadministration:eligibilitydeterminationsandcasemanagement.Applicationofbaseallocation:Thebaseamountwillbeappliedseparatelyindeterminingannualallocationsformaintenanceassistancepaymentsandadministration.4.2.2ThepaymentsforeachfullFFYduringtheapproved5yearoperationalperiodofthedemonstrationprojectshallconsistofthebaseamountadjustedeachFFYbythechangefactor(s)andtheexclusionsdescribedinthesubsectionsbelow.Thus,paymentsinthesecondandsubsequentfullFFYsofdemonstrationoperationswillequaltheamountcalculatedforthepriorFFYplusanyfurtherapplicablechanges.PaymentsfordemonstrationoperationsduringanypartialFFYwillbepro-ratedproportionallybyquartertoreflecttheportionoftheFFYwhenthedemonstrationprojectisoperational.Basedupontheapprovalofthestate’srequestforanextensionthroughSeptember30,2019,Section4.2.2.1describestheannualallocationchangefactorsthroughFFY2019.4.2.2.1Theannualallocationchangefactorsappliedhavebeendeterminedbythefollowingprocess:a.Maintenanceassistancepayments:ThreeyearaverageannualrateofchangeintheratiooftotalcomputablemaintenanceColoradoTermsandConditionsffNAL15AmendedJune,2018EXHIBITA paymentclaimstoaveragemonthlynumberofchildren.b.Administration:Threeyearaverageannualrateofchangeintotalcomputableadministrationclaimsforthespecifiedcategories.4.2.2.2Thefostercarecostsexcludedfromthecostneutralitycalculationandthussubjecttopaymentoutsideofthecappedallocationareasfollows: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-EFosterCareTotalComputableDemonstrationProiectCappedAllocationPaymentsDemonstration18a5eSFc’{iFY2013SFY2014SFY2015SFY2016SFY20175FY2018SFY20195FY2020ProjectFundingAmountIAllocationAllocationAllocationAllocationAllocationAllocationAllocationAllocationCategoryCapCapCapCapCapCapCapCapMaintenance$35,943,21936,593,88837,212,120138,486,50039,353,68741,U3,82541,414,04041,428,416$43,495.830PaymentsAdministration$54,251,49055,651,17856,669,59557,383,63258,468,18359,438,75460,389,77461,428,479562,448,191AllCa1ed$90,194,70992,245,06693,881,71595,870,13297,821,87099,762.579101,803,814303,856,895$105,944,021CategoriesColoradoTermsandconditionsFINAL16AmenckctJune,2018EXHIBITA Dcrnontrption5Y2014O—SFY2QSEY2017ProjectAIloctonAllocptionAllocationAPatunAllocatiaAllocatoiFundiAmountMaintonincoPmctt5,9432196,593,SSs37212,1203S4S6,SO0393536740,323S2S1111,010Admlnltrotion54,251190556S1,1-Th56669,59557,383,63258,168-18-359,138,75150,32934AllCappedcatecoe90,194,7092,215,0693,281,71595E70,t297,821,27099,762,579101,203,211federaltitleIV-Epaymentsfordemonstrationoperationalexpenditureswillbemadeforanyquarterbeginninginaccordancewiththedatesspecifiedinsection1.5ofthesetermsandconditionswhenthedemonstrationisinoperationandforatotalperiodofnolongerthanfiveyears(20quarters)thereafter.Actualexpendituresclaimedforthedemonstrationproject,includingexpendituresofanyrealizedsavings,alongwithestimatesinadvanceofeachquarter,willbeidentifiedseparatelyontheACFquarterlyclaimform,CB-496.SummaryfiscalinformationontheresultsoftheprojectmustbereportedinPart3aswellasotherapplicablepartsofformCB-496.TheseestimatesandclaimsrelatingtothedemonstrationwillbesubjecttoreviewanddeferraloradjustmentaccordingtothenormalproceduresforreviewingtitleIV-EestimatesandpayingtitleIV-fclaims.AllothertitleIV-fclaimsthatarcnotrelatedtothisdemonstrationwillcontinuetobefiledinaccordancewithcurrentquarterlyclaimingrequirementsforpaymentsforallowablecost.TheStatemustexamineitscostallocationplantodeterminewhetheranyofthecomponentswillaffectthecalculationoforclaimingforanyadministrativecostsundertitleIV-E,andifsotheStatemustsubmitanamendmenttothecostallocationplanpriortotheimplementationdatetoaddressanysucheffectsappropriately.4.4DevelopmentalCosts.DevelopmentalcostsaretheexpensestheStateincurstoestablishthedemonstrationpriortotheproject’simplementation.Thesecostsareexcludedfromthecost-neutralitycalculation.ForactivitiesundertakenpriortotheimplementationdatespecifiedinSection1.5above,theFederalgovernmentwillmatchtheapprovedadministrativecostsrelatedtodevelopmentofthedemonstrationproject(otherwisecalleddevelopmentalcosts)attheapplicablematchingtatewithoutapplicationofcostallocation.SuchcostscanbeginwiththepreparationoftheState’sproposalandmayalsoincludeautomatedsystemsdevelopmentandchanges,policyorproceduresdevelopment,andstafftraining.Developmentalcostsdonotincludecostsforactivitiesperformedonorafterthedeemedstartdateofprojectoperations.Nolaterthan30daysaftertheStateformallyacceptstheseTermsandConditions,theStatewillsubmitaplan,forapprovalbytheDepartment,designatingtvhichadministrativecoststvillbetreatedasdevelopmentalcostsforpurposesofthissection(seeSection5.0).ThissectionisnotintendedtosupersedeotherrequirementsforFederalapprovalforadministrativecostsoftheprogramsinvolvedinthedemonstration.ColoradoTermsandConditionsfIPML17AmendedJune,2018EXHIBITA 4.5EvaluationCosts.EvaluationcostsareexpensesincurredbytheexternalevaluatoraswellasthoseincurredbytheStatethataredirectlyrelatedtotheevaluationeffort.Thesecostsareexcludedfromcost-neutralitycalculation.Evaluationcostsbeginwiththefirstevaluationplanningactivitiesandcontinueuntilthefinalevaluationreportissubmitted.Suchcostswillencompassallcostsnecessarytocarryouttheapprovedevaluationplan,includingcostsforevaluationactivitiescarriedoutbyStateandlocalagenciesaswellasthosecarriedoutbytheevaluationcontractor.ThecostsofapprovedevaluationactivitiesmaybechargedtotitlelV-EadministrativecoststvithoutcostallocationsothattheStatemayclaimafull50percentofthesecostsastitlelV-Eadministrativecosts.TheStateshalladdressanychangesneededtoimplementthisprovisionthroughsubmissionofappropriateamendmentstoitsapprovedStatecostallocationplans.Costsofevaluationthatarisefromthedemonstrationproject(s)approvedundertheseTermsandConditionsmaybeclaimedfotareasonableperiodoftimeaftertheexpirationoftheperiodofthisdemonstration(SectionI.5)solongasthecostsareforactivitiesrequiredbytheevaluationplan(s)approvedbytheDepartmentandareotherwiseallowableandreasonable.EvaluationcomponentsnotapprovedbytheDepartmentwillnotqualifyforfederalmatchingfunds.ColoradoTermsandC’onditionsFINAL18AmendedJune,2018EXHIBITA SECTION5:MONITORINGTheStatewillsendaltreportsrequiredinthissectiontotheChildren’sBureau,theRegionalACFOffice.andtheevaluationtechnicalassistancecontractorforthisinitiative.5.0TheStatemustsubmitaplan,forapprovalbytheDepartment,designatingwhichadministrativecostswillbetreatedasdevelopmentalcosts(seeSection4.4)nolaterthan30daysafteracceptingtheseTermsandConditions.5.1Within60daysofacceptanceoftheseTermsandConditions,theStatewillsubmittotheDepartmentadraftofthespecificationsorRequestforProposal(RFP)andevaluationspecificationsforreview.5.2Within90daysfollowingacceptanceoftheseTermsandConditions,theStatewillsubmitaPreliminaryDesignandImplementationReporttotheDepartmentforapproval;andafinalDesignandImplementationReportwillbesubmittedtotheDepartmentforapprovalwithin180daysfollowingacceptanceoftheseTermsandConditions(seeSection2.4fordetailedelementsofthereports).5.3TheStateshallsubmitquarterlyprogressreportsbeginning90daysaftertheacceptanceoftheseTermsandConditionsandcontinuinguntilimplementation.ThePreliminaryDesignandImplementationReportwiltserveasthefirstquarterlyreport.Allsubsequentreportsareduenolaterthan30daysaftertheconclusionofeachquarterlyperiodandwillincludeabasicupdateonthestatusofeachactivityortaskidentifiedintheimplementationReport.Thereportwillalsoidentifyanyproblemsencounteredthatmayhaveanimpactonthedesignoranticipatedimplementationschedule.SuggestionsforresolvingtheseproblemswillbeprovidedfortheDepartment’sreviewandapproval.5.4Onceimplementationhasbegun,semi-annualprogressreportswillberequiredthroughouttheprojectperiodsummarizingprojectandevaluationactivitiesandaccomplishmentsduringthereportingperiodaswellasinterimfindingsfromtheevaluation,ifavailable.Thesemi-annualmonitoringreportsshallindicateissuesorproblemsandresolutionsregardingtheimplementationofthedemonstrationorevaluationasapproved,includingupdatesontheresolutionofanysignificantproblemsidentifiedintheimplementationreport.TheStatewilladdressitsprogresstowardimplementingtheChildWelfareProgramImprovementPoliciesasdescribedinSection2.3.Thesereportsareduenolaterthan30daysaftertheconclusionofeachreportingperiod.5.5TheStatewillsubmitanevaluationplantotheDepartmentforapprovalwithin90daysaftertheevaluationcontractisawarded(Section3.5).TheevaluationplanmustbeapprovedbytheDepartmentpriortoimplementation.5.6TheStatewillsubmitanannualaccountingduringthedemonstrationprojectperiodofallinvestments,publicorprivate,madeincoordinationwiththeStatetoprovideservicesundertheproposeddemonstrationproject.ColoradoTermsantic’ondidonsFINAL19AmendedJune,2012EXHIBITA 5.7TheStatewillsubmitanInterimEvaluationReport60daysaftertheconclusionofthe0quarterfollowingthedemonstration’simptementationdate(Section3.5).AdditionalreportsmaybeproposedbytheStateand,subjecttoapprovalbytheDepartment,maybeconsideredallowablecomponentsoftheevaluationofthedemonstration.5.8TheStatewillsubmitaFinalEvaluationReportsixmonthsaftertheendoftheoriginallyapprovedlive-yeardemonstrationperiodendingonJune30,201$(2othquarter)projectends,integratingtheprocessstudy,theoutcomesstudy,andthecostanalysis(Section3.5).5.9TheStatewillpostcopiesoftheinterimandfinalevaluationreportsontheState’schildwelfareagencyWebsite(seeSection3.5).5.10TheStatewillsubmit,orhavetheevaluationcontractorproduceandmakeavailable,public-usedatatapes,includingdocumentationnecessarytopermitre-analysisofthedatagatheredduringthecourseoftheevaluation,sixmonthsaftertheendoftheoriginallyapprovedfive-yeardemonstrationperiodendingonJune30,201$(2Othquarter)theprojectends(Section3.5).ColoradoTernisandConditions—FINAL20AmendedJune,2018EXHIBITA SECTION6:TERMINATIONPROCEDURES6.0FederalfinancialparticipationindemonstrationactivitiesrequiringwaiverswillnotbeprovidedbeyondtheperiodapprovedbytheDepartment.6.1AspartofthePreliminaryDesignandImplementationReportandtheFinalDesignandImplementationReport(Section2.4),theStateviIlsubmitfortheDepartment’sapprovalaplantophasedownandendthedemonstrationtoensurethattherearenodemonstration-relatedFederalcostsincurredbeyondtheperiodapprovedbytheDepartment.AllactivitiesrequiringDepartmentapprovalmustceaseonthedatedecidedbytheDepartmentiftheprojectisterminatedpriortoSeptember30,2019theendofthe20111quarterafterthedeemedbeginningdateof-thedemonstrution.Approval:Acceptance:JerryMimerReggieBichaAssociateCommissionerExecutiveDirectorChildren’sBureauColoradoDepartmentofHumanServicesJune22,201$DateDateColoradoTermsandConditionsFINAL21AmendedJune,2018EXHIBITA ‘llCOLORADOOfficeofChildren,Youth&familiesDivisionofChildWelfaroAnnM.Rosales,MSW,DirectorMs.MeganButchEagleCountyHumanServices551BroadwayEagle,CO81314JuLy11,2018DearDirectorBurch,TheCotoradoDepartmentofHumanServices,DivisionofChitdWetfareispleasedtoinformyouthatEagteCountyOHSisbeingawardedTitleIV-EWaiverDemonstrationProject(Waiver)funding.OnJune29,2018,DirectorBichasignedforapprovaloftheamendedfederaltermsandconditionsforafive-quarterextensionoftheWaiver.ThetotalavailableinterventionfundingfortheSF1201819is56M,or60%oftheSF12017-18totalbudget.PriorSFY2017-18,fiscalbalancingtootswereemployedtoensurefairandequitablefundingtothe35countieswhoappliedtoservechildrenandfamiliesin49counties.Becausethisbalancingoccurredlastyear,altcountiesparticipatinginyearfiveoftheWaiverarebeingawardedfundingproportionallytotheiryearfivebudget.Attcountybudgetsweresubjectedtothesamemethodology.Basedontheallocationmethodology,iiwasdeterminedyourcounty’sportionoftheavailableallocationis50.00.Inordertoparticipateinthisproject,yourcountymustsubmitaMemorandumofUnderstanding(MOU),signedbyyourcounty’scommissioningbody,byAugust31,2018.AbtankcopyoftheMOUcanbefoundinthetV-EWaiverApplicationfolderat:htts://sites.00te.com/a/state.co.us/cdhs-dcw/for-rofessionats/forms.Theexecutedamendedfederaltermsandconditionsdocumentisreferencedas“ExhibitA”intheState/CountyMOU,andmaybefoundattheaforementionedIV-EWaiverAppLicationfolder.CDHSrequeststhatyousubmitanewbudget,inwriting,toTylerAllen,TitleIV-EWaiverAdministrator,attyter.atlen@state.co.us,withorbeforethesubmissionofyourcounty’sMOU.Thetotatsumforallinterventionsandexpansionprojectsmustnotbegreaterthanyourawardamount.Thisnewbudgetshallconstitutetheitem“ExhibitC”,asidentifiedintheMOU,Thisawardletterconstitutes“Exhibit8”,asidentifiedintheMOU.TheindependentthirdpartyevaluationoftheWaiverwillconclude,asplanned,onDecember31,2018.Thefindingsofthatevaluationwiltbemadepublic,andshareddirectlywithparticipatingWaivercounties.ThosefindingsmayimpactstateguidanceregardingthefuturepracticeoftheWaiverinterventions.TherewillbenocountyLevelevaluationefforts(suchastheannualImplementationIndexandsitevisits)thisyear,thoughCDHSwiltcontinuetomonitorthecountiesforfidelitytopractice.0rC%575ShermanStreet,2ndFloor,Denver,CO80203P303-866-5932F303-866-5563www.colorado.gou/cdhsJohnW.Hickentooper,GovernorReggieBicha,ExecutiveDirector**EXHIBITB PleasedirectanyquestionsyouhaveaboutyourTitleIV-EWaiverawardorMOUtoTyLerAlLen,TitleIV-EWaiverAdministrator,attyLer.atten@state.co.usorat(3O3)866-2154.WeareencouragedbyyourongoingparticipationintheProjectandtookforwardtocontinuedcollaboration.Pteasecontactuswithanyquestions.Sincerety,MaryAticeMehaffeyAssociateDirectorofOperations,DivisionofChildWetfare1575ShermanStreet2ndFloorDenverCO80203P3038665932F3038665563wwwcoloradogovftdhsJohnW.Hickentoopec,GovernorIReggieBicha,ExecutweDirector*I.EXHIBITB ÀyCOLORADOOfficeofChildren,Youth&familiesDw;scnofCh!dW11areAnnM.Rosales,MSW,DirectorMs.CheryLTernesArapahoeCountyDHS1498EAlamedaDr.Aurora,CO80012Mr.DanMakelkyDouglasCountyOHS4400CastletonCourtCastleRock,CO80109Ms.LauraWatkerLarimerCountyDHS1501BlueSpruceDriveFortCottins,CO80524Mr.FrankAlexanderBoulderCountyDHHS3400N.BroadwayBoulder,CO80304Mr.DonMaresDenverCountyOHS1200FederaLBlvdDenver,CO80204Juty27,2018Ms.MeganBurchEagLeCountyDHHS551BroadwayEagLe,CO81631Ms.LynnJohnsonJeffersonCountyDHS900JeffersonCtyPkwyGolden,CO80401DearDirectorsTernes,Atexander,Mares,Makelky,Butch,Johnson,andWatker,WearepleasedtoinformyouthatAtamosa,Boutder,Denver,Douglas,Eagle,JeffersonandLarimerCountyD(H)HSs(hereafterreferredtoasthe7CountyConsortium)arebeingawardedTitleIV-EWaiverDemonstrationProjectfunding.Onrebruary28th,2015,theIV-EWaiverOversightCommittee(OSC)approvedfundingfortheResitiencyCenterthroughexpansionoftheTraumaServicesinterventions.OnMay13,2016,theOSCvotedtocontinuetheprojectthroughSFY2016-17.TheSFY2017-15ResiliencyCenterfundingwasincludedinthetotalannualWaiveratlocation,approvedbytheOSConApriL21,2017.TheSFY2018-19ResiliencyCenterfundingwasincludedinthetotalannuaLWaiverallocation,approvedbytheOSConJuly9,2018.ThefinalizedSFY2017-18ResiliencyCenterbudgetwasagreeduponbytheparticipatingcounties,andprovidedtotheStateonJune28,2018.Basedonthedetailbudgetprovided,the7CountyConsortiumisawarded5706,156.00,tobespentwithinSFY2017-18.Thisfundingshallbeusedasdefinedbypreviousapptications,undertheoversightofthe7CountyConsortiumworkgroup,andassummarizedinthefollowingbudget:1575ShermanStreet,2ndFloor,Denver,CO80203P303-866-5932F303-866-5563www.colorado.gov/cdhsJohnW.Hickenlooper,GovernorReggieBicha,ExecutiveDirector-o?CO0-p7I.0*4*‘176EXHIBITC m >< w -I 1575 Sherman Street,2nd Floor,Denver,CO 80203 P 303-866-5932 F 303-866-5563 www.cotorado.gov/cdhs John W.Hickentooper Governor I Reggie Bicha,Executive Director .-ç Cr)f,. &‘..4 -. 0 ‘ Attachment I -7 County Child Welfare Resiliency Center Budget -SFY2OI 9 Services for Non- St ff Chtd Non-covered Services M d El b1 County TOP/CANS Support Assessment for Med.Eligible Children and e TOTAL Children and Families Families Arapahoe $30,932 $30,932 BouLder $51,543 $37,295 $88,836 Denver $56,900 $62,084 $5,000 $123,984 DougLas $6,878 $24,000 $24,000 $54,878 EagLe $38,477 $7,020 $45,497 Jefferson $38,220 $81,622 $119,842 Larimer $196,200 $46,085 $242,285 TOTALS $196,200 $185,140 $271,916 $29,000 $24,000 $706,256 0 ThefundingawardedbythisLetterisregardedasanexpansionofthefundingawardedtoyourcountiesbytheYear6Waiverapplication,andsubjecttothetermsoftheYear6MemorandumofUnderstandingsignedbyyourcounty’scommissioningbody.PleasedirectanyquestionsyouhaveaboutthistoTyLerAllen,TitleIVEWaiverAdministrator,attyter.alten@state.co.usorat(303).866-2154.WeareencouragedbyyourongoingparticipationintheProjectandlookforwardtocontinuedcollaboration.Pleasecontactuswithanyquestions.Sincerely,i5&A?MaryAliceMehatfey,AssociateDirectorofOperations,DivisionofChildWetfare1575ShermanStreet2ndFloorDenverCO80203P3038665932F3038665563wwwcoloradoov/cdhs‘JohnWHickentooperGovernorIReggieBichaExecutiveDirector**EXHIBITC