HomeMy WebLinkAboutElevate - MOA - 10.2.2023MEMORANDUM OF AGREEMENT
WATERLOO POLICE DESIGNATED COLLABORATION ORGANIZATION
THIS MEMORANDUM OF AGREEMENT (the "MOA"), is entered into as of October 2 , 2023
by and between Elevate Housing Foundation, a non-profit organization located at 405 E. 5th Street,
Waterloo, Iowa 50703 ("Elevate") and City of Waterloo, Iowa, acting by and through the Waterloo
Police Department, located at 715 Mulberry Street, Waterloo, Iowa 50703 (the "DCO Agency");
WHEREAS, the parties desire 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 herein, they agree
to the following:
Purpose
The purpose of this MOA is to coordinate and provide needed services for Waterloo residents
through the DCO Agency by embedding an Elevate employee within the DCO Agency. The
Elevate embedded employee will be under the joint supervision of Elevate and the DCO Agency. A
Project Committee will be established with one designee from Elevate, one designee from DCO
and the Social Worker. The Elevate embedded employee will deliver services under the same
requirements as Elevate to the extent billable to third -party reimbursement, at no cost to the DCO
Agency. DCO Agency encounters will be treated as Elevate encounters, and the DCO Agency will
support clinical fidelity to the services provided.
Scope of Services
The embedded Elevate 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. Elevate will provide consultation, training, and
assistance to the DCO Agency on behavioral health. Elevate will provide follow-up care
coordination to community members who are referred by the DCO Agency.
The embedded Elevate 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.
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
Elevate members receiving services from a DCO Agency will have access to Elevate's existing
grievance procedures, in addition to any grievance procedure available under the DCO Agency.
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MEMORANDUM OF AGREEMENT
WATERLOO POLICE DESIGNATED COLLABORATION ORGANIZATION
Training
Elevate will coordinate as -needed training to include 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. Elevate will collaborate
and support Crisis Intervention Training for law enforcement. Elevate will also provide or
coordinate 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 the Elevate 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 that agency staff may inadvertently encounter as the result of the embedded
social worker within their agency. The embedded social worker will have direct access to the
Elevate 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 applicable 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
Elevate's EHR system to ensure effective coordination of care and services.
Elevate and its employees understand that the activities they witness are considered confidential
under Iowa and federal laws, and that without their agreement to hold such information confidentially,
as set forth in this section, the DCO Agency would not enter into this MOA. Elevate employees will
not be allowed to record any of the events witnessed. Elevate and its employees agree not to release
any confidential information to anyone. Elevate 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. Elevate and its employees understand that the imbedded employee
may at times be required to provide testimony in cases of a criminal or civil nature, at the expense of
Elevate, whether or not directly or indirectly related to their duties and care coordination.
Data Collection and Reporting
DCO Agency agrees to collaborate with Elevate 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
Elevate agrees to provide reimbursement of the embedded social worker's salary, benefits, and tools
necessary to provide members with Elevate behavioral health services for the period of SAMHSA
Elevate grant, April 30, 2022. Elevate will bill third -party coverage for the service and referred and
authorized by the Elevate to receive the identified service. The DCO Agency is not responsible to
compensate any Elevate employee or contractor, nor to reimburse for any expenses, and Elevate
hereby indemnifies the DCO Agency and holds it harmless from liability for any such costs or
expenses.
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MEMORANDUM OF AGREEMENT
WATERLOO POLICE DESIGNATED COLLABORATION ORGANIZATION
Elevate and its employees understand the inherent dangers involved in working with the DCO
Agency. These dangers may include, but are not limited to, personal injury, damages to or loss or
property, and/or death. Elevate 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. The DCO Agency will provide an embedded
social worker with required training and equipment to function as safely as possible within the DCO
Agency. The DCO Agency will provide standard -sized body armor to the Elevate employee while
riding, and Elevate or the employee will be responsible for any additional equipment needed.
Indemnification
Elevate agrees to indemnify defend and hold harmless the DCO Agency, its elected officials, officers,
employees and agents, from and against any and all claims, demands, causes of action, fines, fees,
penalties, damages, costs, expenses and liabilities of any nature whatsoever, including but not limited
attorneys' fees and expenses, arising from or in connection with the acts or omissions of any Elevate
employee or contractor or any DCO Agency employee in performing services under this Agreement.
Insurance
Elevate agrees to maintain commercial general liability insurance in the amount of not less than
$1,000,000 per occurrence and $2,000,000 annual aggregate. Such insurance shall cover, at
minimum, liability arising from premises operations, independent contractors, personal injury,
products, and liability assumed under an insured contract, including but not limited to the activities of
Elevate, its employees and agents. Certificates or copies of said policies, naming DCO Agency, its
elected and appointed officials, officers, employees and agents, as additional insured, shall be
delivered to the DCO Agency no later than the effective date of this MOA. Such insurance shall be
primary and non-contributory, and shall include a waiver of subrogation in favor of DCO Agency. A
renewal certificate shall be provided to the DCO Agency prior to expiration of any policy.
Elevate also agrees to maintain workers compensation insurance at least meeting statutory
requirements and employers liability insurance of not less than $1,000,000 per occurrence.
Term
This MOA shall commence upon mutual execution and shall terminate on October 2,2024, unless
extended by mutual written agreement of both parties. Either party may also voluntarily terminate
this MOA upon 60 days' advance written notice from one party to the other party.
Miscellaneous
This MOA is the entire understanding between the parties pertaining to the subject matter hereof
and supersedes all prior oral or written understandings or agreements relating to such subject
matter. This MOA is binding on the parties and their respective successors and assigns. It may
not be modified or amended without the written consent of both parties. This MOA may be
executed in counterparts.
IN WITNESS WHEREOF, each party has executed this Memorandum of Agreement by its duly
authorized representative as of the date first set forth above.
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MEMORANDUM OF AGREEMENT
WATERLOO POLICE DESIGNATED COLLABORATION ORGANIZATION
CITY OF WATERLOO, IOWA ELEVATE HOUSING FOUNDATION
By: Querduz icrC
Quentin Hart, Mayor
Attest: Kerrey Te[chTe
Kelley Felchle, City Clerk
WATERLOO POLICE DEPARTMENT
By: Joe Lethold
Joseph Leibold, Chief
By:
Title:
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