HomeMy WebLinkAboutResolutions - 2025.03.06 - 41908
AGENDA ITEM: Memorandum of Understanding between Oakland County Health Division and
Oakland Community Health Network for the Provision of Access Services
DEPARTMENT: Health & Human Services - Health Division
MEETING: Board of Commissioners
DATE: Thursday, March 6, 2025 6:00 PM - Click to View Agenda
ITEM SUMMARY SHEET
COMMITTEE REPORT TO BOARD
Resolution #2025-4966
Motion to approve the memorandum of understanding between Oakland County Health Division and
Oakland Community Health Network for the provision of Access services.
ITEM CATEGORY SPONSORED BY
Contract Penny Luebs
INTRODUCTION AND BACKGROUND
Oakland County Health Division (OCHD) – Southfield location and Oakland Community Health
Network (OCHN) will partner to offer support to the community by providing resources and referrals
to individuals seeking non-emergent services for mental health, substance use disorders, and/or
intellectual developmental disabilities at 27725 Greenfield Rd Southfield, MI 48076 (“Site”). This Site
will aim to provide support to residents of Oakland County, regardless of insurance coverage, who
are affected by behavioral health and substance use concerns. OCHN will provide this Site with an
Access Information and Referral Specialist/ Screener (“RSS”) OCHN staff person who will assist
individuals with accessing non-emergent behavioral health services. Individuals may be referred to
higher levels of care (emergent services) as necessary.
POLICY ANALYSIS
Per the attached MOU, each Party will be responsible for its own costs and expenses incurred in
connection with this MOU and the activities contemplated herein.
OCHN will staff the OCHD – Southfield location with a person holding a preferred master’s degree
with knowledge and understanding of behavioral health and OCHN network. This staff will connect
individuals to services, provide on-site referrals and provide eligibility screening. Additionally, a
supervisor will be available to provide guidance, coaching, and support to these staff members,
adhering to the clinical guidelines and Medicaid requirements. OCHN RS/Screening staff will
operate exclusively within agreed-upon hours of operation at the Site.
Services at the OCHD - Southfield, provided by OCHN are designed to serve the following target
populations:
• Residents of Oakland County, with or without insurance
• Adults aged 18 and over
• Children and youth 17 and under• Individuals with behavioral health treatment needs
• Individuals with co-occurring or primary substance use disorders (SUD)
• Individuals with co-occurring or primary Intellectual Developmental disorder
BUDGET AMENDMENT REQUIRED: No
Committee members can contact Barbara Winter, Policy and Fiscal Analysis Supervisor at
248.821.3065 or winterb@oakgov.com or the department contact persons listed for additional
information.
CONTACT
Leigh-Anne Stafford, Director Health & Human Services
ITEM REVIEW TRACKING
Aaron Snover, Board of Commissioners Created/Initiated - 3/6/2025
AGENDA DEADLINE: 03/16/2025 6:00 PM
ATTACHMENTS
1. OC and OCHN Co-Location at SOHC 2.6.25 Final
COMMITTEE TRACKING
2025-02-25 Public Health & Safety - Recommend to Board
2025-03-06 Full Board - Adopt
Motioned by: Commissioner Robert Hoffman
Seconded by: Commissioner Angela Powell
Yes: David Woodward, Michael Spisz, Penny Luebs, Karen Joliat, Kristen Nelson, Christine
Long, Robert Hoffman, Philip Weipert, Gwen Markham, Angela Powell, Marcia Gershenson,
William Miller III, Yolanda Smith Charles, Charles Cavell, Brendan Johnson, Ann Erickson Gault,
Robert Smiley (17)
No: None (0)
Abstain: None (0)
Absent: Michael Gingell (1)
Passed
MEMORANDUM OF UNDERSTANDING
This Memorandum of Understanding ("MOU") is made and entered into as of August 2, 2024,
by and between Oakland County Health Division (“OCHD”), with its principal place of business
at 27725 Greenfield Rd Southfield, MI 48076 and Oakland Community Health Network
(“OCHN”), with its principal place of business at 5505 Corporate Drive, Troy, MI 48098. OCHN
and OCHD may be referred to individually as a "Party" and collectively as the "Parties."
1. Purpose:
The purpose of this MOU is to outline the intentions and responsibilities of the Parties regarding
the provision of Access services to be provided on site by OCHN for no fee.
2. Scope of Services:
The specific details and scope of the Access services to be provided by OCHN will be outlined
in a separate attachment to this MOU (Attachment A).
3. Term:
This MOU shall commence on the date first written above and shall continue until September 30,
2025, unless terminated earlier by either Party as provided herein.
4.Responsibilities:
•OCHD will provide the necessary facilities and support to enable OCHN to perform the
Access services as detailed in Attachment A.
•OCHN will provide the Access services as detailed in Attachment A.
•OCHN will obtain the necessary insurance as detailed in Attachment B.
5. Confidentiality:
5.1 Definition of Confidential Information: For purposes of this MOU, "Confidential
Information" means any information or material that is proprietary to either Party,
whether or not owned or developed by that Party, which is not generally known other
than by the Party, and which the Party may obtain through any direct or indirect contact
with the other Party.
5.2 Obligations of Confidentiality: Each Party agrees to keep the Confidential
Information of the other Party confidential and not to disclose it to any third party
without the prior written consent of the disclosing Party. The receiving Party agrees to
take all reasonable steps to protect the confidentiality of the Confidential Information and
to prevent any unauthorized use or disclosure.
5.3 Exclusions: Confidential Information does not include information that (a) is or
becomes publicly known through no breach of this MOU; (b) is received from a third
party without breach of any obligation of confidentiality; (c) is independently developed
by the receiving Party without use or access to the disclosing Party's Confidential
Information; or (d) is required to be disclosed by law or regulation.
6. Costs:
Each Party will be responsible for its own costs and expenses incurred in connection with this
MOU and the activities contemplated herein.
7. Termination:
Either Party may terminate this MOU upon sixty (60) days' written notice to the other Party. In
the event of termination, each Party shall be responsible for its own costs incurred up to the date
of termination.
8. Non-Binding Nature:
Except for its confidentiality obligations this MOU is non-binding and does not create any legal
obligations or enforceable rights between the Parties. The Parties acknowledge that any binding
agreement will be subject to the negotiation and execution of a definitive agreement.
9. Governing Law:
This MOU shall be governed by and construed in accordance with the laws of the State of
Michigan, without regard to its conflicts of law principles.
IN WITNESS WHEREOF, the Parties hereto have executed this Memorandum of
Understanding as of the date first written above.
ATTACHMENT A
Scope of Work: Oakland County Health Division - Southfield Partnership
Overview
Oakland County Health Division (OCHD) – Southfield location and Oakland Community Health
Network (OCHN) will partner to offer support to the community by providing resources and
referrals to individuals seeking non-emergent services for mental health, substance use disorders,
and/or intellectual developmental disabilities at 27725 Greenfield Rd Southfield, MI 48076
(“Site”). This Site will aim to provide support to residents of Oakland County, regardless of
insurance coverage, who are affected by behavioral health and substance use concerns. OCHN
will provide this Site with an Access Information and Referral Specialist/ Screener (“RSS”)
OCHN staff person who will assist individuals with accessing non-emergent behavioral health
services. Individuals may be referred to higher levels of care (emergent services) as necessary.
Program Parameters
Resources and referrals will be provided by an OCHN RSS staff member who holds a master's
degree and possesses knowledge and understanding of behavioral health within the OCHN
network. The OCHN RSS will provide non-emergent resources, referrals and screenings on a
walk-in basis at the Site.
Individuals will receive the following:
•Greeting by a warm and welcoming staff who is a subject matter expert in Oakland
County’s behavioral health resources
•Access to a person who can provide education and referrals as appropriate
•Access screening to determine eligibility for OCHN Specialty Behavioral Health Services
•Information and advocacy to individuals regarding the Access department and accessing
services in Oakland County
•Integrated physical and mental health care coordination
•Resources and referrals to support the social determinants of health
Target Population
Services at the OCHD - Southfield, provided by OCHN are designed to serve the following
target populations:
•Residents of Oakland County, with or without insurance
•Adults aged 18 and over
•Children and youth 17 and under
•Individuals with behavioral health treatment needs
•Individuals with co-occurring or primary substance use disorders (SUD)
•Individuals with co-occurring or primary Intellectual Developmental disorder
The team will assess opportunities for improving or expanding service options for the target
population and to meet the community demand.
Staffing Plan
OCHN will staff the OCHD – Southfield location with a person holding a preferred master’s
degree with knowledge and understanding of behavioral health and OCHN network. This staff
will connect individuals to services, provide on-site referrals and provide eligibility screening.
Additionally, a supervisor will be available to provide guidance, coaching, and support to these
staff members, adhering to the clinical guidelines and Medicaid requirements. OCHN
RS/Screening staff will operate exclusively within agreed-upon hours of operation at the Site.
Location and Accommodations for Integrated Care Delivery
OCHN’s staff will operate on-site at the OCHD Southfield location. OCHN and OCHD will
provide workspace and phones for all staff, along with accommodation necessary and
appropriate for OCHN staff to deliver the services outlined in this scope of work. This includes
offices configured for the delivery of services in a manner compliant with applicable regulations
including, but not limited to, those regarding privacy and confidentiality, access to internet, and
any other technology required by OCHN to provide the services under the agreement. OCHN
will supply its staff with computers and other supplies necessary to perform their duties.
However, the OCHD shall be solely responsible for the installation and maintenance of
communication infrastructure to support the function of OCHN’s hardware.
Coding, Data Collection, and Reports
OCHN will utilize the ODIN system for billing and data collection for individuals receiving
behavioral health services. To manage follow-up after the initial services have been rendered,
OCHN and OCHD will track referrals made to OCHN.
Out of Scope: Crisis Level Care
OCHN shall not provide crisis level care at the Site. The parties acknowledge that the facility is
not adequately staffed or configured to provide such services and OCHN shall bear no obligation
to undertake such modifications. If an individual exhibits signs of needing crisis level care,
OCHN will not conduct any preliminary triage or screening. Instead, OCHN RS/Screener staff
will facilitate a warm transfer to the appropriate crisis provider or hospital. OCHN bears no
obligation regarding the transportation of such individuals to the appropriate facility or any
further care or treatment costs.
For the purposes of this clinic, a "crisis" involves the following criteria:
•A situation in which an individual is experiencing the signs and symptoms of a serious
behavioral health disorder, and one of the following applies:
o The individual can be expected within the near future to physically injure himself
or another individual, either intentionally or unintentionally
o The individual is unable to provide himself food, clothing, or shelter, or to attend
to basic physical activities such as eating, toileting, bathing, grooming, dressing,
or ambulating, and this inability may lead soon to harm to the individual or
another individual; or
o The individual’s judgment is so impaired that he is unable to understand the need
for treatment and, in the opinion of the behavioral health professional, his
continued behavior because of the behavioral health disorder can be expected
soon to result in physical harm to the individual or to another individual.
Other crisis services within OCHN’s Behavioral Health Crisis Care Continuum Model, such as
crisis screening, intervention, and psychiatric consultation, will be accessible through OCHN’s
provider network. Service coordination will be managed through the network for services such as
mobile crisis, transportation, respite, intensive crisis residential, intensive crisis stabilization,
partial hospitalization, and transitional housing, as appropriate and as available.
Restrictions on Prescribing Medications
OCHN will not prescribe prescriptions for individuals seeking care.
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ATTACHMENT B
INSURANCE REQUIREMENTS
During this Memorandum of Understanding ("MOU"), the OCHN shall provide and maintain, at their
own expense, all insurance as set forth and marked below, protecting the County against any Claims, as
defined in this MOU. The insurance shall be written for not less than any minimum coverage herein
specified.
Primary Coverages
Commercial General Liability Occurrence Form including: (a) Premises and Operations; (b)
Products and Completed Operations (including On and Off Premises Coverage); (c) Personal and
Advertising Injury; (d) Broad Form Property Damage; (e) Independent Contractors; (f) Broad Form
Contractual including coverage for obligations assumed in this Contract;
$1,000,000 – Each Occurrence Limit
$1,000,000 – Personal & Advertising Injury
$2,000,000 – Products & Completed Operations Aggregate Limit
$2,000,000 – General Aggregate Limit
$ 100,000 – Damage to Premises Rented to You (formally known as Fire Legal Liability)
Workers’ Compensation Insurance with limits statutorily required by any applicable Federal or State
Law.
1. ☐ Fully Insured or State approved self-insurer.
2. ☐ Sole Proprietors must submit a signed Sole Proprietor form.
3. ☐ Exempt entities, Partnerships, LLC, etc., must submit a State of Michigan form WC-337
Certificate of Exemption.
Commercial Automobile Liability Insurance covering bodily injury or property damage arising out of
the use of any owned, hired, or non-owned automobile with a combined single limit of $1,000,000 each
accident. This requirement is waived if there are no company owned, hired or non-owned automobiles
utilized in the performance of this Contract.
Commercial Umbrella/Excess Liability Insurance with minimum limits of $2,000,000 each
occurrence. Umbrella or Excess Liability coverage shall be no less than following form of primary
coverages or broader. This Umbrella/Excess requirement may be met by increasing the primary
Commercial General Liability limits to meet the combined limit requirement.
Supplemental Coverages – As Needed
1. ☒ Professional Liability/Errors & Omissions Insurance (Consultants, Technology Vendors,
Architects, Engineers, Real Estate Agents, Insurance Agents, Attorneys, etc.) with minimum limits
of $1,000,000 per claim and $1,000,000 aggregate.
2. ☒ Commercial Property Insurance. The OCHN shall be responsible for obtaining and
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maintaining insurance covering their equipment and personal property against all physical damage.
3. ☒ Cyber Liability Insurance with minimum limits of $1,000,000 per claim and $1,000,000
aggregate.
4. ☐ Other Insurance Coverages as may be dictated by the provided product/service and deemed
appropriate by the County Risk Management Department.
General Insurance Conditions
The aforementioned insurance shall be endorsed, as applicable, and shall contain the following terms,
conditions, and/or endorsements. All certificates of insurance shall provide evidence of compliance
with all required terms, conditions and/or endorsements.
1. All policies of insurance shall be on a primary, non-contributory basis with any other insurance or
self-insurance carried by the County;
2. Any and all deductibles or self-insured retentions shall be assumed by and be at the sole risk of the
OCHN;
3. OCHN shall be responsible for their own property insurance for all equipment and personal property
used and/or stored on County property;
4. The Commercial General Liability and Commercial Automobile Liability policies along with any
required supplemental coverages shall be endorsed to name the County of Oakland and it officers,
directors, employees, appointees and commissioners as additional insured where permitted by law
and policy form;
5. The OCHN shall require its contractors or sub-contractors, not protected under the OCHN’s
insurance policies, to procure and maintain insurance with coverages, limits, provisions, and/or
clauses equal to those required in this MOU;
6. Certificates of insurance must be provided no less than ten (10) Business Days prior to the County’s
execution of the Contract and must bear evidence of all required terms, conditions and
endorsements; and