HomeMy WebLinkAbout2024-791-E-Criminal Justice Dept-Town of Chapel Hil-Mobile Crisis CARE Team Pilot Project
STATE OF NORTH CAROLINA
COUNTY OF ORANGE
AMENDED MEMORANDUM OF UNDERSTANDING
THIS AMENDED MEMORANDUM OF UNDERSTANDING, entered into this 18th
day of December, 2024, by and between the Town of Chapel Hill, by and through the Chapel
Hill Police Department, (hereinafter “Town”), and Orange County (hereinafter “County”)
relates to the partnership between these entities to operate and fund the Mobile Crisis Pilot,
subsequently titled the Crisis Assistance, Response and Engagement Team (hereinafter
“CARE Team”). This Amended Agreement was necessitated by new funding information
provided by Alliance Healthcare to the Parties and replaces the previous Memorandum of
Understanding entered into on February 20, 2024.
WITNESSETH:
WHEREAS, the County provides emergency services responses to its customers in need
of immediate response and is dedicated to ensuring the appropriate and efficient response to
emergencies throughout Orange County, to include Chapel Hill;
WHEREAS, the County’s emergency response includes the Public Safety
Communications Division that serves as the community’s only public safety answering point
(9-1-1);
WHEREAS, the Town works closely with the 9-1-1 Public Safety Communications
Division, the Emergency Medical Services Division, and has over fifty years of experience in
managing and training social workers and other individuals to triage calls and respond to
persons in immediate crisis, connecting them with the appropriate services, to include in-
person care;
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WHEREAS, both parties recognize that many of the 9-1-1 calls that are received involve
individuals in need of immediate crisis intervention and support services;
WHEREAS, both parties recognize the benefit of having a dedicated individual
embedded in the 9-1-1 center devoted to providing crisis management and support services,
so calls can be diverted away from law enforcement and to trained behavioral and mental
health counselors;
WHEREAS, both also parties recognize the benefit of having a three-person mobile
crisis response team to include a Crisis Counselor, a Peer Support Specialist and a
Community Emergency Medical Technician (EMT);
WHEREAS, both parties also recognize and acknowledge the mutual benefit of having
follow up contacts within a defined timeframe after the initial encounter with 9-1-1;
WHEREAS, the parties desire to have one of the Town’s Crisis Counselors embedded in
the 9-1-1 center and for them to be a member of the CARE Team that would initially respond
to calls in Chapel Hill;
WHEREAS, both parties agree that the CARE Team will be equipped to triage, assess,
and respond remotely and in-person to behavioral and mental health, substance use, and
Intellectual Developmental Disability related calls that are non-emergent and do not require a
law enforcement response; and
WHEREAS, both parties acknowledge the mutual benefit in the form of enhanced
efficiency and services to the impacted parties, which benefits both.
NOW, THEREFORE, in consideration of the above and mutual covenants and conditions
hereafter set forth, Orange County and the Town of Chapel Hill hereby agree as follows:
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1. Term of the Agreement. The parties desire to create this CARE Team for an initial
period of two years, during which time the University of North Carolina, by and
through their School of Government’s Criminal Justice Innovation Lab, will analyze
all relevant call data to evaluate the efficacy of service delivery of the program;
2. Scope of Services.
a. Both parties agree that the CARE Team will be equipped to triage, assess, and
respond remotely and in-person to behavioral and mental health, substance use,
Intellectual/Developmental Disability and minor nuisance offense related calls that
are non-emergent and do not require a law enforcement response;
b. Both parties desire to have one of the Town’s Crisis Counselors embedded in the
9-1-1 Call Center and for them to be a member of the CARE Team that would
initially respond to calls in Chapel Hill for the duration of the Agreement;
c. The County agrees to provide the Community EMT employee to serve as a
member of the CARE Team for the duration of this Agreement;
d. The Town agrees to employ and assign a Crisis Counselor to be embedded in the
9-1-1 Communications Call Center, to serve as a conduit to resources for those
experiencing crisis and to serve on the CARE Team, and be cross-trained as a
certified Telecommunications Call-Taker;
e. The Town agrees to provide a Crisis Counselor and Certified Peer Support
Specialist to serve as members of the CARE Team;
f. The County agrees to provide a vehicle for use by CARE Team, if needed; Both
parties agree that at all times during its use by the CARE Team such county
vehicle shall be operated by a County or Town employee who has submitted a
county license verification form and is approved to drive by both of the parties;
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g. The Town may lease a vehicle for use by the CARE Team in case a County vehicle
is unavailable or unacceptable for any reason; at all times during its use by the
CARE Team such town vehicle may be operated by a Town or County CARE
Team employee who has submitted a license verification form and is approved to
drive;
h. The County and Town agree to designate individuals to serve on a Steering and
Planning Committee regarding the oversight and implementation of the CARE Team
pilot program;
i. The County agrees to purchase, install and maintain the necessary software to train
the County’s 911 Call Takers to assess when calls should be forwarded to the
embedded Crisis Counselor.
j. Except as specifically provided herein, neither party shall be responsible for
providing employment costs, coverages, or benefits to the other party’s officers,
employees or agents.
In addition, both parties agree, to the extent allowed by law, to:
a. Share information relevant to the operation of the CARE Team for the
duration of this Agreement;
b. Furnish, or to allow the requesting party to inspect, financial records or
other documents relevant to the operation of the CARE Team, upon
reasonable notice, but no less than forty-eight hours, during normal working
hours;
c. Provide any necessary documentation or information for participation in
UNC’s data analysis regarding the CARE Team response; and
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d. Furnish personnel with equipment and resources necessary to perform their
duties; and that personnel shall report for work with the equipment issued to
them by their employer.
3. Billing and Payment.
a. Alliance Healthcare awarded Orange County a grant to cover funding for the
CARE Team starting on April 1, 2024 and running through June 30, 2025. April 1,
2024 – June 30, 2024 funding will be for start-up costs of an amount not to exceed
$142,000 and start-up operational salary costs not to exceed $87,500. The total
funding for these three months from Alliance is $229,500.
b. Alliance Healthcare’s funding for fiscal year 2025 (July 1, 2024 – June 30, 2025)
is for an amount not to exceed $579,500 for annual operating expenses, subject to NC
Department of Health and Human Services Allocation Letter # 25-A-31.
c. All expenses incurred by the County and Town starting on April 1, 2024 and
through June 30, 2025 will be covered by Alliance Healthcare and will be invoiced to
Alliance by the County quarterly.
d. The Town will submit invoices, along with itemized receipts and payroll reports,
to the County quarterly for the allowable expenses detailed in the DHHS Allocation
and contract with Alliance Healthcare. This funding from April 1, 2024 – June 30,
2025 will not exceed $150,000 for April 1, 2024 – June 30, 2024 and $400,000 for
annual FY expenses. See Attachment A (Alliance Amended Contract #1 dated
October 23, 2024 DHHS Allocation Letter) and the Alliance Budget below, which is
subject to revision as required by the Parties:
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Mobile Crisis Pilot Operation Expenses
ANNUAL EXPENSES
AMOUNT RESPONSIBLE PARTY
EMT Salary and Benefits $75,173 Orange County
911 Call Center Crisis
Counselor Salary and
Benefits
$105,556 Chapel Hill
Mobile Crisis Counselor
Salary and Benefits
$92,633 Chapel Hill
Peer Support Specialist
Salary and Benefits
$75,860 Chapel Hill
Training $5,000 Chapel Hill and Orange
County (equal share)
Harm Reduction Supplies $20,000 Chapel Hill and Orange
County (equal share)
Medical Supplies and
Client Needs
$20,000 Chapel Hill and Orange
County (equal share)
Lease, Gas and Vehicle
Maintenance
$18,500 Chapel Hill
Contract Administrative
Support
$5,000 Chapel Hill
Software Needs $15,000 Chapel Hill
ONE-TIME COSTS AMOUNT
Equipment $8,000
($2,000/per team member)
Chapel Hill and Orange
County
Uniforms $2,000
($500/per team member)
Chapel Hill and Orange
County
UNC School of
Government Criminal
Justice Innovation Lab
$50,000 Orange County
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Evaluation
Annual Operating Costs $432,722
One-Time Costs (Equipment,
Evaluation, Uniforms, Vehicle
expenses)
$60,000
e. For Town personnel expenses incurred before March 31, 2024 (prior to the
Alliance funding awards), the Town should submit an invoice in an amount not to
exceed $22,000. Payment will be made by the County within thirty (30) days of
receipt of an accurate invoice and supporting documentation, approved by their
contact person or their designee.
4. Personnel. All personnel assigned pursuant to this Agreement shall remain subject to the
rules, regulations, and disciplinary procedures of the respective parties and all disciplinary
actions shall be handled by the employing party. Personnel shall remain subject to the
supervision of the employing party and shall be entitled to Worker Compensation, Liability
Insurance and other benefits associated with their employment with the respective party.
Except as specifically provided herein neither party shall be responsible for providing
employment costs, coverages, or benefits to the other party’s officers, employees, agents, or
assigns.
5. Possession of Legal Authority. Each party represents that it possesses the legal authority,
pursuant to proper, appropriate statute, ordinance, official motion, resolution or action passed
or taken or required, to enter into this Agreement.
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6. Authorization for Person Signing. Each party represents that the person or persons
signing and executing this Agreement on behalf of each party has been fully authorized by
such party to execute this Memorandum on behalf of the party and to validly and legally bind
the party to all the terms, conditions, performances and provisions her
7. Dispute as to Authority. Either party shall have the right, at its option, to
either temporarily suspend or permanently terminate this Memorandum, if there is a showing
of actual lack of the legal authority of either the party or the person signing the Memorandum
on behalf of such party.
8. Assumption of Risk. Neither party, nor any officer thereof, will assume responsibility for
the actions of the other party or the other party’s officers, employees, agents, or assigns; and
neither party, nor any officer, employee, agent, or assign thereof, shall assume any
responsibility for the failure or malfunction of any equipment or supplies of the other party.
9. Indemnification. Unless otherwise limited by applicable law, each party will indemnify
and hold the other party, its officers, agents, assigns, and employees, harmless from and
against any claims or causes of action for bodily injury or death to persons, or loss or damage
to property (including but not limited to bodily injury or property damage suffered by either
Party’s own employees or agents), which is the result, directly or indirectly, of the
indemnifying party’s negligence or intentional, willful, or wanton misconduct.
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10. Insurance. Each party may either self-insure, purchase insurance, or utilize any
combination of self-insured retention and excess coverage it may deem necessary for
purposes of this Agreement. Neither party waives its right to assert immunity as a defense
against demands, claims, or causes of action as permitted by G.S. § 160A-485 and 153A-435
in agreeing to the indemnification clause in Paragraph 9 above.
11. Severability. The parties intend and agree that if any provision of this contract or any
portion thereof shall be held to be void or otherwise unenforceable, all other portions of this
Contract shall remain in full force and effect.
12. Interpretation. This Agreement shall be construed and enforced under the laws of North
Carolina. In the event of any dispute between the parties, venue is properly laid in Orange
County, North Carolina for any state court action and in the Middle District of North
Carolina for any federal court action.
13. Assignment. This Agreement shall not be assigned without the prior written consent of
the parties.
14. Entire Agreement. This Agreement shall constitute the entire agreement of the parties
and no other warranties, inducements, considerations, promises, or interpretations shall be
implied or impressed upon this Agreement that are not expressly addressed herein. All prior
agreements, understandings and discussions are hereby superseded by this Agreement. This
Memorandum of Understanding shall be effective upon execution by all parties and expire
upon the 30th day of June, 2025, but may be terminated by either party upon 60 days
written notice.
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15. Signatures. This Agreement together with any amendments or modifications may be
executed electronically. All electronic signatures affixed hereto evidence the intent of the
Parties to comply with Article 11A and Article 40 of the North Carolina General Statutes
Chapter 66.
IN WITNESS WHEREOF, Orange County and the Town of Chapel Hill have signed this
Agreement, effective on the last date this Agreement is signed by both parties as indicated by
the dates set forth under signatures below.
For and on behalf of the Town of Chapel Hill
____________________________________
Town Manager
Senior Legal Advisor/CHPD and Town of Chapel Hill
ATTEST BY TOWN CLERK:
____________________________
TOWN CLERK TOWN SEAL
Town Clerk attests date this the ______day of ___________, 20____.
This instrument has been pre-audited in the manner required by the Local Government
Budget and Fiscal Control Act
For and on Behalf of Orange County Government
______________________________
Travis Myren, County Manager
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24.00December22.00
ORANGE COUNTY—INTERNAL USE ONLY
______________________________________________________________________________
Finance Information
Vendor Name: Town of Chapel Hill Vendor Contact Person: Chief Celisa Lehew Phone: 919-968-2760 Address: 828 MLK Jr Blvd
City Chapel Hill State: NC Zip: 27514 Department: Criminal Justice Resource Department Amount: $22,000 for FY23-24 and
$400,000 for FY24-25 Purpose: Mobile Crisis CARE Team Pilot Project Budget Code(s): 10755020-630000 for FY24 and 30757520-
6300000-71501 for FY25 Vendor # 64
Vendor Status with NCSOS: N/A Vendor is a BOCC consultant: Yes No
Contract Details
Contract Type: New Amendment (Original Contract: 2/20/24) (Most Recent Amendment )
Effective Date 12/10/24 End Date 6/30/25 Notice Date (Notice Purpose )
Award
Approved by Board (Agenda Date: 12/10/24); Made or Administered by
Signature Authority
- BOCC Express Delegation (Agenda Date: 12/10/24)
- Policy 9.4: Under $5,000; Service Under $90,000; Construction Under $250,000
- Budget Policy Section XV (Capital Improvement Project: )
Bidding
Informal Bidding ($30k-$90k); Formal RFP ($90k+); Other (<$30k); Exception(#E – Interlocal Agreement)
Department Affirmation
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.
This agreement is approved as to technical form and content. Services related to this agreement have already begun or been
completed. Description of the nature of the emergency condition that was addressed: Amendment to existing MOU with Town of Chapel
Hill for the Mobile Crisis Pilot Project already underway, amendment necessary to reflect structural changes due to funding agreement.
Department Director’s Signature ________________________________________ Date: ________
Information Technologies
This agreement has been reviewed and is approved as to information technology content and specifications:
Office of the Chief Information Officer___________________________________ Date: ________
Inapplicable because no hardware/software purchases or related services
Risk Management
This agreement is approved for sufficiency of insurance standards, specifications, and requirements:
Office of the Risk Management Officer___________________________________ 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
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:
Received for record retention:
Office of the Clerk to the Board __________________________________________Date:_________
Docusign Envelope ID: A4374658-8DD0-496B-9EC6-BB9E582C46B8
12/23/2024
12/23/2024
12/23/2024
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
Docusign Envelope ID: A4374658-8DD0-496B-9EC6-BB9E582C46B8
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