CTR055543_Amendment__3_extension.pdf

Contract Amendment

State of Arizona Department of Child Safety

Office of Procurement 3003 N. Central St, 20th Fl.

Phoenix, AZ 85012

Contract #: CTR055543

Amendment #: 3

The purpose of this Amendment is to extend the Contract, revise sections of the Scope of Work, and revise the contracted rates. The Certificate of Insurance (COI) has been reviewed, found to be current, and incorporated by reference.

• Pursuant to DCS Special Terms and Conditions, Contract Term and Option to Extend, the above referenced contract is extended for the time period of July 1, 2024 through June 30, 2025.

• Pursuant to DCS Special Terms and Conditions, outlined in Section 5, Contract Changes specifically,

5.1 Contract Amendments. The changes made to the Scope of Work are summarized and bolded below.

o Throughout the entirety of the contract the term “DCS” is updated to “ADCS”.

o Throughout the entirety of the contract any acronyms or numbers not previously spelled out are now spelled out (i.e. “fifty (50)” and “Team Decision Making Meeting (TDM)”).

o Throughout the entirety of the contract, grammatical errors are updated.

o 2.4.2 (a) and (b) Service Levels are updated to reflect the current and correct language, pursuant to the FC Program Manual.

o 2.32.6 If the child is removed during the SENSE case, the FCC must immediately notify the

SENSE RN, which may include the SENSE Nurse Consultant, to inform the team members that the remaining nurse assessments are not needed.

o 2.33.2 (c) and 2.33.4 (b) are updated to reflect a previous amendment and contract change, updating the assessment to reflect the Ages & Stages Questionnaires (ASQ-3) Screening tool o 2.33.3 The SENSE RN shall complete the first Health Consultant Nursing Assessment (HCNA) and e-mail a copy within seven (7) business days of completion to the family’s SENSE team members, which may include the SENSE nurse consultant; and upload the completed first HCNA into ADCS Child Welfare Management System within ten (10) business days of completion.

o 2.33.4 (e) The SENSE RN shall complete the second Health Consultant Nursing Assessment (HCNA) and e-mail a copy within seven (7) business days of completion to the family’s SENSE team members, which may include the SENSE nurse consultant; and upload the completed second HCNA into ADCS Child Welfare Management System within ten (10) business days of completion.

o 2.33.5 (e) collaborate with, and seek consultation from, the nurse consultant or identified ADCS staff.

• Pursuant to the DCS Special Terms and Conditions, Section 4.8, Pricing Adjustment (Annual), the Contractor has requested a rate increase adjustment with supporting documentation that has been approved by ADCS administration. Thus, effective July 1, 2024, the rates shown below have been revised as follows and have been updated in the pricing tab in APP:

o Current FC Level 2 (Urban): $9,300 o Revised FC Level 2 (Urban): $9,950 o Current FC Level 1 (Rural): $6,595 o Revised FC Level 1 (Rural): $8,800 o Current FC Level 2 (Rural): $7,800 o Revised FC Level 2 (Rural): $10,800 o Current FC Level 1 and 2 No Contact and Unable to Engage (Urban): $250.00 o Revised FC Level 1 and 2 No Contact and Unable to Engage (Urban): $500.00 o Current FC Level 1 and 2 No Contact and Unable to Engage (Rural): $250.00 o Revised FC Level 1 and 2 No Contact and Unable to Engage (Rural): $600.00 o Current NPP With and Without Oversight (Urban): $5,950 o Revised NPP With and Without Oversight (Urban): $6,400 o Current NPP No Contact and Unable to Engage (Urban): $250.00 o Revised NPP No Contact and Unable to Engage (Urban): $500.00 o Current NPP With and Without Oversight (Rural): $6,178 o Revised NPP With and Without Oversight (Rural): $7,200 o Current NPP No Contact and Unable to Engage (Rural): $250.00 o Revised NPP No Contact and Unable to Engage (Rural): $500.00

The rate increase will be effective on July 1, 2024 and will only be applied to new referrals on or after that date.

Rate increase will not be applied to referrals that were open prior to July 1, 2024.

This amendment becomes an integral part of the Contract and all of the noted changes are effective July 1, 2024. All other terms and conditions remain the same.