HomeMy WebLinkAboutElevate - MOU 02.15.2021 MEMORANDUM OF AGREEMENT
WATERLOO POLICE DESIGNATED COLLABORATION ORGANIZATION
THIS AGREEMENT (the "Agreement"), is entered into on this date February 15 , 2021 by and
between:
Elevate Housing Foundation, a non-profit organization located at 604 Lafayette Street, Second
Floor, Waterloo, Iowa 50703, hereby known as the "CCBHC", and;
Waterloo Police, City of Waterloo, whose address is 715 Mulberry Street, Waterloo, Iowa
50703, (herby known as the "DCO Agency");
WHEREAS, the CCBHC desires to enter into an agreement for the effective care coordination
and delivery of services within the Designated Collaboration Organization (DCO)Agency;
NOW, THEREFORE, in consideration of the mutual covenants made by the parties, they agree to
the following:
Purpose
To coordinate and provide needed services for Waterloo residents through the DCO Agency by
embedding a CCBHC employee within the DCO Agency. The CCBHC embedded employee will
be under the joint supervision of CCBHC and the DCO Agency. A Project Committee will be
established with one designee from CCBHC, one designee from DCO and the Social Worker.
The CCBHC embedded employee will deliver services under the same requirements as the
CCBHC to the extent billable to third party reimbursement, at no cost to the DCO. DCO Agency
encounters will be treated as CCBHC encounters and the DCO agency will support clinical
fidelity to the services provided.
Scope of Services
The embedded CCBHC employee will be a social worker meeting the clinical criteria to provide
Integrated Health Home services to individuals encountered within the scope of their work at
the DCO. This will include screening, intake and assessment of individuals with behavioral
health needs and connection or referral to identified behavioral health services. This may
include direct engagement of community members while on patrol or called to community
members in need of behavioral health assistance by the DCO Agency. Consultation, training,
and assistance to the DCO Agency on behavioral health. Follow-up care coordination to
community members referred by the DCO Agency.
The embedded CCBHC social worker will also be charged with implementing the Elevate Next
Steps to a New Beginning Program designed along the Sequential Intercept Model to divert or
transition individuals from justice involvement. This will involve collaboration among the
various elements of the justice system, CIT Officers, police, courts,jails, corrections, civil
commitment, and reentry.
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MEMORANDUM OF AGREEMENT
WATERLOO POLICE DESIGNATED COLLABORATION ORGANIZATION
Barriers
Both parties agree to adhere to Section 2402(a) of the Affordable Care Act (PL 111-148)
Removal of Barriers to Providing Home and Community-Based Services:
"Services must reflect person-and family-centered, recovery-oriented care; be respectful of the
individual consumer's needs, preferences, and values; and ensure consumer involvement and
self-direction of services. Services for children and youth should be family-centered, youth-
guided and developmentally appropriate."
Grievances
CCBHC members receiving services from a DCO Agency will have access to the CCBHC's existing
grievance procedures, in addition to any grievance procedure available under the DCO Agency.
Training
The CCBHC will coordinate as needed training including the DCO Agency Staff on cultural
competence, person-centered and family-centered, recovery-oriented, evidence-based and
trauma-informed care and primary care/behavioral health integration. The CCBHC will
collaborate and support Crisis Intervention Training for law enforcement.
Additional annual training focused on risk assessment, suicide prevention and suicide response;
the roles of families and peers and other trainings as may be requested by the state or
accrediting agencies.
Care Coordination
The DCO Agency will support services in accordance with CCBHC member's current treatment
plan that is reasonable within the scope of the DCO Agency's duties of the embedded social
worker.
Health Information Technology
The DCO Agency will be trained and enter into a HIPAA Business Agreement to protect any
personal information they may inadvertently encounter as the result of the embedded social
worker within their agency. The embedded social worker will have direct access to the CCBHC
member's clinical record as allowed and established by confidentiality laws and policies of
(HIPAA)(PL104-191), federal Substance Abuse Confidentiality Regulations, 42 Code of Federal
Regulations (CFR) and other federal and state laws, including privacy requirements specific to
the care of minors.
Non-Confidential Records from the DCO Agency may be uploaded into the document storage of
CCBHC's EHR system to ensure effective coordination of care and services.
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MEMORANDUM OF AGREEMENT
WATERLOO POLICE DESIGNATED COLLABORATION ORGANIZATION
CCBHC and its employees understand that the activities they witness are considered confidential
under Iowa and federal laws. They will not be allowed to record any of the events witnessed.
CCBHC and its employees agree not to release any confidential information to anyone. CCBHC
and its employees understand that confidential information includes but is not limited to the
names of victims, suspects, witnesses, officer activities and other duties as assigned. CCBHC
and its employees understands that the imbedded employee may at times be required to provide
testimony in cases of a criminal or civil nature, at the expense of the CCBHC. Whether or not
directly or indirectly related to their duties and care coordination.
Data Collection and Reporting
DCO Agency agrees to collaborate with CCBHC in the collection of data as legally permissible.
Elevate shall provide adequate consent, as appropriate, and obtain releases of information for
each affected member.
Payment
CCBHC agrees to provide reimbursement of the embedded social worker's salary, benefits, and
tools necessary to provide members with CCBHC behavioral health services for the period of
SAMHSA CCBHC grant, April 30, 2022. CCBHC will bill third-party coverage for the service and
referred and authorized by the CCBHC to receive the identified service.
CCBHC and its employees understand the inherent dangers involved in working with the DCO.
These dangers may include, but are not limited to, personal injury, damages to property, and/or
death. CCBHC and its employees understand and hereby acknowledge that the foregoing
inherent dangers have been explained to them, and with full knowledge of said risks and
dangers, voluntarily assume and accept all inherent risks and/or dangers.
The DCO Agency agrees to provide transportation and any identified workspace for the
performance of required duties within the agency. DCO Agency will provide embedded social
worker with required training and equipment to function as safely as possible within the DCO
Agency. The DCO will provide standard sized body armor to the CCBHC employee while riding,
CCBHC or the employee will be responsible for any additional equipment needed.
Term
This Agreement shall commence upon execution of signatures and terminate April 30, 2022 or
extend by mutual agreement of both parties based on sustainable reimbursement for the
position. Either party may also voluntarily terminate the agreement by sending a letter to the
other party in not less than sixty (60) days prior to the desired date of termination.
IN WITNESS WHEREOF, each Party has executed the Agreement, both Parties by its duly
authorized officers as of the dates below:
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MEMORANDUM OF AGREEMENT
WATERLOO POLICE DESIGNATED COLLABORATION ORGANIZATION
GZ e� H-r-� 1 2/18/2021
(Mayor, City of Waterloo) Authorized Agent Print Date
)oee 2/18/2021
(DCO Agency, Chief Waterloo Police) Authorized Agent Signature Date
Tony Shir 2/18/2021
(CCBHC) Elevate CCBHC Agent Print Date
7 w (5hir 2/18/2021
(CCBHC) Elevate CCBHC Signature Date
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