HomeMy WebLinkAbout2024-765-E-Criminal Justice-Alliance Health-Amendment to CARE Team Funding Agreement
NC DEPARTMENT OF
HEALTH AND
HUMAN SERVICES
Division of Mental Health, Developmental
Disabilities and Substance Use Services
ROY COOPER • Governor
KODY H. KINSLEY • Secretary
MARK BENTON • Chief Deputy Secretary for Health
KELLY CROSBIE • Director
NC DEPARTMENT OF HEALTH AND HUMAN SERVICES • DIVISION OF MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND
SUBSTANCE USE SERVICES
LOCATION: 695 Palmer Drive, Anderson Building, Raleigh, NC 27603
MAILING ADDRESS: 3001 Mail Service Center, Raleigh, NC 27699-3001
www.ncdhhs.gov • TEL: 984-236-5000 • FAX: 919-508-0951
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER
August 5, 2024
MEMORANDUM
Allocation #: 25-A-31
UEI #: WX6EEKYAMG77
TO: Rob Robinson, Chief Executive Officer
Alliance Health
FROM: Deidra Oates, Business Allocations Manager
DMHDDSUS
RE: Crisis Investments State Funding Non-UCR for SFY25-
Mobile Crisis and Law- Enforcement Co-response Pilot.
Alliance Health is allocated $579,500 in State Funds on a one-time basis to support the
development and operation of the Orange County Mobile Crisis and Law-Enforcement Co-
response Pilot.
Eligible expenditures must be incurred during the period of July 1, 2024 through June 30,
2025.
FORMAT FOR FUNDING:
These state funds are allocated outside of UCR and approved expenditures shall be reported by
the Tailored Plan through routine submission of monthly Financial Status Reports (FSRs) to the
DMHDDSUS Project Manager and Business and Financial Operations. Funds will be paid on a
reimbursement basis as these funds will not be paid via the Single Stream Funding payment
schedule. Any exceptions to the required timely reporting of funds expended shall be approved in
writing by the DMHDDSUS Business and Financial Operations Director.
Each Tailored Plan should review their program report received from Business and
Financial Operations for the latest expenditure update for funds paid by the Division. If
Tailored Plan are underutilizing funds, the Division reserves the right to make a mid-year
adjustment in allocations.
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SPECIAL CONDITIONS:
1. The award of these funds shall not be used by a county as a basis to supplant any portion of
a county’s commitment of local funds to the area authority.
2. These funds shall only be used for community-based services and supports.
3. The funds provided shall not be utilized to supplement any reimbursement for services or staff
activities provided through the NC Medicaid Program;
4. Funds shall be used in accordance with cost principles describing allowable and unallowable
expenditures for nonprofit organizations in accordance with OMB Circular A-122;
5. Tailored Plan are prohibited from withholding or deducting any portion of allocated state funds
for the support of any Tailored Plan activity or function, including, but not limited to,
administration, overhead, or indirect expenses. All allocated funds are required to be fully
contracted by the Tailored Plan for approved expenditure by eligible non-profit subrecipient
organizations.
6. If Tailored Plans are underutilizing the funds allocated, the Division reserves the right to make
adjustment in allocations.
7. Any payback of funds provided to the Tailored Plan pursuant to this allocation and determined
to be owed by the Tailored Plan as a result of the funding review and settlement process
conducted by DMHDDSUS for each fiscal year, must be paid within 60 days after the date of
Tailored Plan’s receipt of the non-Medicaid funding audit report memorandum (financial
settlement memorandum) from DMHDDSUS. If not timely paid, DMHDDSUS will take action
to recover any such payback amount due from the Tailored Plan. The Tailored Plan will be
provided prior written notice of the process to recoup any payback funds owed and not timely
paid by the Tailored Plan and any appeal rights to contest the payback amount due, in the
financial settlement memorandum from DMHDDSUS.
8. NC DHHS has an approved cost allocation plan which exempts the State from the indirect
cost rate requirement for Federal awards.
9. NC DHHS does not allocate pass-through funds identified as Research and Development.
10. Services provided by the Co-responder Unit are open to all individuals no matter
county of residence or payer, and serve individuals of all ages presenting with
MH/SU/IDD and/or TBI.
11. The Co-Responder Unit is expected to educate the community and other local
providers about their services.
12. The Co-Responder Unit is expected to participate in local Crisis Collaboratives.
13. The funds provided shall not be utilized to purchase vehicles. Funds can be used to
lease vehicles for duration of the pilot.
SPECIAL REPORTING REQUIREMENTS:
The following reporting requirements are required as referenced in G.S. 122C-144.1. Budget Format
and Reports: In order to ensure the Division has complete and accurate information on services
provided and expenditures, reporting of all services is required through NC Tracks and the Financial
Reporting Tool, Financial Status Reporting Monthly Expenditure Detail worksheets. Each allocation
letter should be reported on separate lines within the FSR. This will enable the system to assign
eligible services to the correct disability-based accounts. Complete reporting of services is also
essential for performance measures calculated from NC Tracks claims and encounter data.
DMHDDSUS will provide a data report template for Tailored Plan’s to capture and submit to the
Department monthly by the 15th of the next month. This information should be collected for Medicaid
and non-Medicaid individuals. This report will include information such as, but not limited to:
o # of calls answered by the 911 crisis counselor
o # of face to face visits initiated by the 911 call
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o Reason for call/visit
o Age
o CNDS ID
o Referral Source
o County of residence
o Insurance
o Arrival date/time
o Discharge date/time
o Disposition
o IVC Initiation
o Need for transport to an ED (medical vs acuity)
A quarterly report will be provided to DMHDDSUS outlining the progress toward operations of the
service. Reports to include summary of
o Programmatic design planning
o Programmatic updates (staffing, operations, contracting etc.)
o Risks/barriers
Quarterly reports are expected to be delivered to DMHDDSUS by the 15th of the Month following the
quarter
Quarter 1: July – September, Due October 15th
Quarter 2: October – December, Due January 15th
Quarter 3: January – March, Due April 15th
Quarter 4: April – June, Due July 15
Annual Report Due August 15
FUND ALLOCATION:
NCFS:
Agency Budget
Fund
Account Agency
Mgmt
Unit
(AMU)
Agency
Program
Funding
Source
Project Amount
3000 134604 56900100 30TB183 300003B 2000 2000400000 $579,500
Please do not hesitate to contact Lisa DeCiantis at lisa.deciantis@dhhs.nc.gov or 984-236-5059
regarding any questions or concerns about this allocation.
cc: Tailored Plan Finance Officer
DMHDDSUS Business and Financial Operations Team
DMHDDSUS Executive Leadership Team
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Rev. 7/1/2024 Page 1 of 3
CONTRACT AMENDMENT # 1 TO THE AGREEMENT
BETWEEN ORANGE COUNTY
AND ALLIANCE HEALTH
THIS CONTRACT AMENDMENT dated is October 23, 2024, between Alliance Health (hereinafter
referred to as “Alliance”), and the County of Orange, (hereinafter referred to as “County”), with regard to
the CARE Team Pilot Program.
WITNESSETH:
THAT WHEREAS, Alliance and County entered into a contract dated June 1, 2024, for the provision
of Crisis Assistance, Response and Engagement (CARE) Team, (hereinafter the “Original Agreement”);
and
WHEREAS, Alliance received an Allocation letter from the NC Department of Health and Human
Services in the amount of $579,500 for continuation of the services set forth in this agreement in FY 25;
and
WHEREAS, Alliance and County desire to amend the Original Agreement, while keeping in effect
all terms and conditions of the Original Agreement not inconsistent with the terms and conditions set forth
below.
NOW THEREFORE, for and in consideration for the mutual covenants and agreements made herein,
the parties agree to amend the Original Agreement as follows:
1. Section 1. Funding, is amended to read as follows:
Alliance shall provide to the County funding in the amount not to exceed Two Hundred Twenty-
Nine Thousand Five Hundred Dollars ($229,500.00) for the startup funding expended between April
1, 2024 and June 30, 2024, and an amount not to exceed Five Hundred Seventy-Nine Thousand Five
Hundred Dollars ($579,500.00) for eligible expenditures during the period of July 1, 2024 through
June 30, 2025. (hereinafter referred to as the "Funds") to support staffing of the Team, training, and
additional equipment and supplies for the 2024-2025 fiscal year. A portion of this funding has been
allocated by DHHS and is subject to Allocation Letter 25-A-31, incorporated herein by reference
thereto.
2. Attachment 1, Scope of Work, Finance, is amended to read as follows:
FY 2024: Start-up costs of an amount not to exceed $142,000, and $87,500 in start-up operational
staffing costs for a total of $229,500 in non-UCR funding.
FY 2025: An amount not to exceed $579,500 annual operating costs, subject to the Department
Allocation Letter 25-A-31.
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Rev. 7/1/2024 Page 2 of 3
Invoicing FY2025:
County will not be reimbursed for state and county sales tax paid that is eligible for reimbursement
directly from the State of North Carolina. Except for payroll expenses, invoices must be based on
actual expenses incurred (no accruals per funding requirements).
County must submit expense invoice by the 20th calendar day of the following month. Invoice must
be on the Alliance Invoice Template, exclude sales tax paid and include supporting documentation.
The required invoice template will be provided by Alliance Provider Network Staff or is available
on the Alliance website. See “Invoice and Travel Expense Reimbursement Requirements” located
on the Alliance website for additional information and requirements related to submitting expense
invoices. Supporting documentation must include general ledger detail to support all expenses.
Supporting documentation is required for payroll expenses, travel expenses and costs paid on behalf
of a participant. For example, payroll reports, mileage logs, itemized receipts, check request forms,
etc. If proper supporting documentation is not provided with the invoice, the invoice will be held
until supporting documentation is received. If the invoice is not received timely or supporting
documentation is not received within five days after it is requested, the invoice will be held until the
end of the fiscal year pending availability of funds. Payment of invoices will be made via electronic
funds transfer.
Invoices should be emailed to Alliance Health by the 20th calendar day of the following month at:
AccountsPayable@AllianceHealthPlan.org
*To accommodate Fiscal Year End funding deadlines, invoice submission dates may be
adjusted. The Provider Network Specialist assigned to this Program will reach out with advance
notice for any adjustments to regular invoice submission timelines*
3. By execution hereof, the person signing for County below certifies that he/she has read this Contract
Amendment and that he/she is duly authorized to execute this contract on behalf of the County.
4. Except for the changes made herein, the Original Agreement shall remain in full force and effect to
the extent not inconsistent with this Amendment. In the event that there is a conflict between the
Original Agreement and this Amendment, this Amendment shall control.
IN WITNESS WHEREOF, the parties have expressed their agreement to these terms by causing this
Contract Amendment to be executed by their duly authorized office or agent. This Contract Amendment
shall be effective as of the date herein.
COUNTY OF ORANGE
_____________________________________ ___________________
Caitlin Fenhagen, Department Director, CJRD Date
_____________________________________ ____________________
Gary Donaldson, Chief Financial Officer Date
_____________________________________ ____________________
John Roberts, Orange County Attorney Date
_____________________________________ ____________________
Travis Myren, County Manager Date
Docusign Envelope ID: 317F49C9-77A7-4EB0-8229-FB228B2131CC
11/26/2024
12/11/2024
12/11/2024
12/11/2024
Rev. 7/1/2024 Page 3 of 3
ALLIANCE HEALTH
_______________________________________ ___________________
Robert Robinson, CEO or Designee Date
This instrument has been pre-audited
in the manner required by the
Local Government Budget and Fiscal Control Act.
_______________________________________ ____________________
Alliance Health Finance Officer (or Designee) Date
Docusign Envelope ID: 317F49C9-77A7-4EB0-8229-FB228B2131CC
ORANGE COUNTY—DEPARTMENT USE ONLY
Party/Vendor Name: Alliance Health Party/Vendor Contact Person: Bobbie Jo Hopf Contact Phone: 814-571-8702- Party/Vendor
Address: 5200 W. Paramount Parkway, Suite 200 City: Morrisville State: NC Zip: 27560 Department: CJRD/ES Amount: $809,000
Purpose: Amendment to CARE Team Funding Agreement Code(s): Project Code: 71501 Vendor # N/A Vendor is a BOCC
consultant? Yes No Contract Type: (Check one)New Renewal XAmendment Effective Date
Approved by Board Yes Agenda Date: 6/18/24
This agreement is approved as to technical form and content and I as Department Director affirmatively state work on
this project has not been initiated prior to execution of the agreement:
Department Director’s Signature Date:
Agreements for emergency services or repair are not subject to the above affirmation. If services related to this
agreement have already begun or been completed please briefly describe the nature of the emergency condition that
was addressed:
Information Technologies
(Applicable only to hardware/software purchases or related services) This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer N/A Date:
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office of the Risk Management Officer N/A Date:
Financial Services
This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act:
Office of the Chief Financial Officer Date:
Legal Services
This agreement is approved as to legal form and sufficiency:
Office of the County Attorney Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to the Clerk upon completion: occlerkdocs@orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Orange County Outside Agency Performance Agreement Rev.06/23
Docusign Envelope ID: 317F49C9-77A7-4EB0-8229-FB228B2131CC