Exhibit B - Program Intermediary SOW.docx

Scope of Work (SOW) State Fiscal Year 2026-2027

[NAME OF PROGRAM]

1. Child First

2. Functional Family Therapy (FFT)

3. Parents as Teachers (PAT)

4. Healthy Families America (HFA)

5. Fostering Healthy Futures® – Preteen (FHF-P)

Scope of Work (SOW) State Fiscal Year 2026-2027

Description of Each of the Programs:

1. Child First, formerly Child Family, Interagency Resource, Support, and Training (or Child FIRST) is a home-based intervention that aims to promote healthy child and family development through a combination of psychotherapy and care coordination. Child First is provided by a clinical team that includes a mental health clinician and a care coordinator.

Child First is provided to families with young children (prenatal through age 5 at entry). The program targets children with social-emotional, behavioral, developmental, or learning problems. These children usually come from families experiencing trauma and adversity. Many of these families also experience multiple social, economic, or psychological challenges (e.g., depression, substance misuse, intimate partner violence, abuse and neglect, homelessness).

Colorado’s Family First Prevention Plan (and claimable services) covers only those Child First services provided to families in an open child welfare involvement with a child-specific prevention plan. Child First will coordinate referrals and services with the county department of human services within the Child First catchment area(s).

2. Functional Family Therapy (FFT) is a short term prevention program for at-risk youth and their families. FFT aims to address risk and protective factors that impact the adaptive development of 11 to 18 year old youth who have been referred for behavioral or emotional problems. The program is organized in multiple phases and focuses on developing a positive relationship between therapist/program and family, increasing motivation for change, identifying specific needs of the family, supporting individual skill-building of youth and family, and generalizing changes to a broader context.

FFT is intended for 11 to 18 year old youth who have been referred for behavioral or emotional problems by juvenile justice, mental health, school, or child welfare systems. Family discord is also a target factor for this program.

Colorado’s Family First Prevention Plan (and claimable services) covers only those FFT services provided to families in an open child welfare involvement with a child-specific prevention plan. Family Functional Therapy will coordinate referrals and services with the county department of human services within the FFT catchment area(s).

3. Parents as Teachers (PAT) is a well-supported home-visiting parent education program that teaches new and expectant parents skills intended to promote positive child development and prevent child maltreatment. PAT aims to increase parent knowledge of early childhood development, improve parenting practices, promote early detection of developmental delays and health issues, prevent child abuse, and neglect, and increase school readiness and success.

PAT programs target families in possible high-risk environments such as teen parents, low income, parental low educational attainment, history of substance abuse in the family, and chronic health conditions. This targets one of Colorado’s identified high risk populations and encourages family and kinship over foster care.

Colorado’s Family First Prevention Plan (and claimable services) covers only those PAT services provided to families in an open child welfare involvement with a child-specific prevention plan. PAT will coordinate referrals and services with the county department of human services within the PAT catchment area(s).

4. Healthy Families America (HFA) is a home visiting program for new and expectant families with children who are at-risk for maltreatment or adverse childhood experiences. HFA is a nationally accredited program that was developed by Prevent Child Abuse America. The overall goals of the program are to cultivate and strengthen nurturing parent-child relationships, promote healthy childhood growth and development, and enhance family functioning by reducing risk and building protective factors. HFA includes screening and assessments to identify families most in need of services, offering intensive, long-term and culturally responsive services to both parent(s) and children, and linking families to a medical provider and other community services as needed.

Families are eligible to receive HFA services beginning prenatally or within three months of birth. This program is designed to serve the families of children who have increased risk for maltreatment or other adverse childhood experiences. Each HFA site is able to determine which family and parent characteristics it targets. For example, sites may choose to target low-income families, single parent households, or families who have experienced substance use, mental health issues, or domestic violence. This targets one of Colorado’s identified high risk populations and encourages family and kinship over foster care.

Colorado’s Family First Prevention Plan (and claimable services) covers only those HFA services provided to families in an open child welfare involvement with a child-specific prevention plan. HFA will coordinate referrals and services with the county department of human services within HFA catchment area(s).

5. Fostering Healthy Futures® for Preteens (FHF-P) is a mentoring and skills group program for preadolescent children (ages 9 to 11) who have current or previous child welfare involvement due to one or more adverse childhood experiences (ACEs). These ACEs may include the experience of maltreatment, out-of-home placement, housing, caregiver or school instability, violence exposure and/or parental substance use, mental illness, or incarceration. FHF-P uses a combination of structured individual mentoring and group-based skills training to promote prosocial development and to ameliorate the consequences of ACEs.

FHF-P enrolls children ages 9 - 11 who have previous or current child welfare involvement due to one or more adverse childhood experiences

Colorado’s Family First Prevention Plan (and claimable services) covers only those FHF-P services provided to families in an open child welfare involvement with a child-specific prevention plan. FHF-P will coordinate referrals and services with the county department of human services within the FHF-P catchment area(s).

Services Provided:

1. Oversight of Program Sites

a. Supervision of site and provider logistics in relation to implementing FFPSA

1. Identify opportunities for program sustainability, expansion, and utilization

1. Engage in opportunities with child welfare county staff to promote service

1. Collaborate with DCW and county staff to identify and promote opportunities to increase federal reimbursement through FFPSA.

b. Provide technical assistance and coaching to program sites as necessary

1. Program Monitoring

1. Fidelity monitoring/supervision

1. Ensure all provider qualifications are met

1. Assurance all providers have met required initial and ongoing training requirements

1. Track adherence to the model and/or ensure that providers are engaging in fidelity monitoring

1. Work with DCW Staff to submit adherence data to the statewide dashboard for fidelity monitoring

1. Create or utilize existing fidelity measurements to be utilized by program sites for qualification measures

2. Coordinate submission of fidelity data from providers and/or export data from existing systems

3. Collaborate with the DCW Staff to develop process for aligning fidelity data with statewide dashboard requirements and adherence rating framework

2. Continuous Quality Improvement (CQI) processes

1. Statewide program oversight to identify trends and potential areas needing support

2. Client feedback processes

3. Troubleshooting issues

1. Broad Program Evaluation

1. Collaborate with CO Lab as the coordinator of FF evaluation requirements and evidence-building activities, including their designated evaluation/research partners

1. Trauma Informed training and delivery monitoring

4. Staff Training

1. Assurance of trauma-informed training for local staff (Initial and ongoing)

1. Identify trauma-informed training for providers based on the CDHS-approved list of training resources to align with Family First requirements

2. Monitor adherence for training requirements

2. Monitor Trauma-Informed Service delivery

1. Trauma-Informed Implementation/practices verification

1. Verify Data Collection Information-Sharing for local sites

5. Client Demographics of Child/Youth

1. Candidacy/eligibility - for FFPSA purposes

5. Local sites have a process for working with county Casework staff to monitor individualized service authorizations, including identification of programs in service type.

1. Member of the Program Intermediary advisory team

iii. Liaison with CDHS

iii. Participate in bi-monthly PI meeting and other contacts as necessary

iii. Work with CDHS to complete CQI processes to develop system-wide recommendations, policies and procedures.

1. Invoice submission and payment for administrative cost protocols

iv. Submit an invoice on a monthly basis

1. Deliverables

v. Fidelity Monitoring/Supervision Deliverables

1. Program has a tracking mechanism to ensure that providers have met program qualifications at initial roll out

1. Program Intermediary will provide assurance that all providers have met training requirements (program-specific and trauma informed training) at initial roll out and on an annual basis.

1. Program has a process in place for aligning fidelity data to statewide dashboard adherence framework.

1. Program is successfully onboarded to the statewide dashboard and submitting data.

1. Program submits fidelity data on a quarterly basis to the statewide dashboard.

1. Broad Program Evaluation Deliverables

1. If the program is undergoing a rigorous evaluation as part of federal requirements for inclusion in the plan, any identified needs of the state intermediary in the evaluation plan are fulfilled and communication needs are responded to timely.

1. Reporting Requirements

1. Participate in bi-monthly PI meetings and elevate any progress and barriers

1. Develop mid-year report to be submitted to DCW no later than February 28th, 2027. Report to include (if applicable): number of families served, names and locations of new sites, names and locations of closing sites with reason for closure, identified trends and barriers in program implementation, changes or updates in funding streams, child welfare referral and utilization rates, efforts to engage sites that are underperforming, and plans for sustainability.

1. Should program sites be newly operating or no longer in operation, program intermediary shall notify DCW program staff within 30 days of the change in writing.

Budget D. Budget is $25,025 which represents one year of an FTE completing the tasks associated with this SOW.