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HomeMy WebLinkAboutResolutions - 2026.08.13 - 43104 AGENDA ITEM: Amendment #3 & #4 to the Interlocal Agreement with the Michigan Department of Health and Human Services for the FY 2024 Children's Village Shelter Care Program DEPARTMENT: Public Services - Children's Village MEETING: Board of Commissioners DATE: Thursday, August 13, 2026 9:30 AM - Click to View Agenda ITEM SUMMARY SHEET COMMITTEE REPORT TO BOARD Resolution #2026-6478 Motion to approve amendment #3 & #4 to the interlocal agreement with the Michigan Department of Health and Human Services for the FY 2024 Children's Village Shelter Care Program for the period of April 1, 2026, through September 30, 2028; further, authorize the Chair of the Board of Commissioners to execute the attached agreements. ITEM CATEGORY SPONSORED BY Interlocal Agreement Penny Luebs INTRODUCTION AND BACKGROUND The Michigan Department of Health and Human Services (MDHHS) requires a contract in order for Oakland County Children’s Village to receive reimbursement for shelter care services provided to abused and neglected youths placed in shelter care. Corporation Counsel has reviewed and approved the amendments. POLICY ANALYSIS • Amendment #3 includes language that; o Increases the number of unfilled/guaranteed beds from 6 to 8. o Extends the contract end date from September 30, 2026 to September 30, 2028. o Clarifies admission and/or referral refusal/objection criteria and removals, clarifies MDHHS policy distribution and training requirements, staff qualifications, and ethical standards, revises timelines and/or templates for required service plans, assessments, intake forms, and documentation, clarifies video surveillance, uniforms, financial audit, billing, and cost reporting, staff ratios, AWOLP, and services to be provided. o Incorporates a new billing procedure. The State is now referring to “guaranteed beds” as “unfilled beds". The State is also aligning the contracted number of beds with unfilled beds; entities will not have two separate numbers on contracts, as they have had in the past. On any day of a calendar month, if all contracted beds are not filled, the State can be invoiced for those unfilled beds. See 2.17 a. on the amendment for more details. • Amendment #4 includes language that; o Revises services that will be provided, adds ADA Compliance, and adds accessibility requirements. • The department requested from MDHHS a few contract provisions regarding reporting requirements listed in Amendment #3. While those were addressed, MDHHS granted the department a variance. Amendment #4 addresses and includes the agreed-upon revisions. • Amendment #2 was approved via resolution #2024-4809 to decrease the number of contracted beds from 10 to 8 and decrease the number of guaranteed beds from 8 to 6. This reduction allowed staff to accommodate the high ratio of one-on-one supervision. FISCAL IMPACT: No Budget Amendment Needed 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 Heather Calcaterra, Manager Children's Village ITEM REVIEW TRACKING Aaron Snover, Board of Commissioners Created/Initiated - 8/13/2026 AGENDA DEADLINE: 07/30/2026 4:30 PM ATTACHMENTS 1. MA23-1090 A3 UNSIGNED 2. MA23-1090 A4 UNSIGNED COMMITTEE TRACKING 2026-08-05 Public Health & Safety - Recommend to Board 2026-08-13 Full Board - Adopt Motioned by: Commissioner Penny Luebs Seconded by: Commissioner Robert Hoffman Yes: Charles Cavell, Ann Erickson Gault, Marcia Gershenson, Robert Hoffman, Brendan Johnson, Karen Joliat, Christine Long, Penny Luebs, Gwen Markham, William Miller III, Kristen Nelson, Robert Smiley, Yolanda Smith Charles, Michael Spisz, Linnie Taylor, David Woodward (16) No: None (0) Abstain: None (0) Absent: Michael Gingell, Philip Weipert (2) Passed CONTRACT NUMBER: MA 230000001090 AMENDMENT NUMBER: 3 Between THE STATE OF MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES And CONTRACTOR County of Oakland, A Michigan Constitutional Corp. CONTRACTOR ADDRESS 1200 N Telegraph Rd., Bldg. 34E., Pontiac, MI 48341 CONTRACTOR EMAIL Woodwardd@OakGov.com STATE CONTACT NAME EMAIL Contract Administrator Jenifer Vorce vorcej@michigan.gov BGP Analyst Amanda Herren herrena1@michigan.gov SERVICE DESCRIPTION Shelter Foster Care (SHFC) GEOGRAPHIC AREA Statewide INITIAL EFFECTIVE DATE October 1, 2023 CURRENT EXPIRATION DATE September 30, 2026 CURRENT CONTRACT VALUE $10,000,000.00 CONTRACT TYPE Unit Rate/Per Diem OPTION LENGTH OF OPTION EXTENSION LENGTH OF EXTENSION REVISED EXPIRATION DATE 2 Years N/A September 30, 2028 AMENDMENT AMOUNT ESTIMATED AGGREGATE CONTRACT VALUE $N/A INCREASE DECREASE $10,000,000.00 NATURE OF CHANGE Effective April 1, 2026, this amendment utilizes two option years, replaces all instances of Regional Placement Unit (RPU) with Specialized Placement Unit (SPD), and revises the following Sections: 1.2 Referrals, Section 1.3 Admission Criteria, Section 1.4 Service Planning and Delivery, 2.4 Licensing Requirements and Number of Children in Care, 2.7 Provider Numbers, 2.9 Compliance Requirements, 2.10 Services to be Provided, 2.13 Financial Audit Requirements, 2.14 Cost Reporting, 2.15 Service Documentation, 2.17 Billing, 2.18 Fees and Other Sources of Funding, 2.19 Recovery of Funding and Repayment of Debts, 2.21 Contract Evaluation and Assessment, 2.22 Corrective Action Requirements, 2.25 Service Level Agreements, 2.26 Required Functionality Relating to Data Retention, Disposal, and Retrieval, 3.2 Contract Monitoring and Compliance, and replaces Schedule B Pricing. The undersigned have the lawful authority to bind the Contractor and the Michigan Department of Health and Human Services (MDHHS) to the terms set forth in this Contract. FOR THE CONTRACTOR: FOR THE STATE: County of Oakland, A Michigan Constitutional Corp. MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES Contractor Signature of Director or Authorized Designee Signature of Director or Authorized Designee Terri Smith Director, Bureau of Grants and Purchasing Print Name Print Name Date Date PAGE 2 of 24 Rev. 2-23 STATE OF MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES WHEREAS, the Michigan Department of Health and Human Services (hereinafter referred to as “MDHHS”) entered into a Contract effective October 1, with County of Oakland, A Michigan Constitutional Corp. (hereinafter referred to as “Contractor”), having a mailing address of 1200 N Telegraph Rd., Bldg. 34E., Pontiac, MI 48341, for the provision of certain services as set forth therein; and, WHEREAS, it is mutually desirable to MDHHS and to the Contractor to amend the aforesaid Contract. THEREFORE, in consideration of the promises and mutual covenants hereinabove and hereinafter contained, the parties hereto agree to the following amendment of said Contract. This amendment will be attached to the Contract, said Contract being hereby reaffirmed and made a part hereof. Article I This amendment is effective April 1, 2026. Article II MDHHS will exercise both of two one-year options to renew. Therefore, the end date of the Contract will be changed from September 30, 2026 to September 30, 2028. The existing Schedule B Pricing will be deleted and replaced with the attached Schedule B Pricing. Article III This amendment replaces all instances of Regional Placement Unit (RPU) with Specialized Placement Unit (SPD). Article IV In Section 1. PROGRAM REQUIREMENTS, Item 1.2 Referrals, a. 2) is deleted and replaced with the following to update the emergency placement authorization process: 2) The Specialized Placement Unit (SPD) shall provide to the Contractor referral material which complies with this Contract. Emergency placements may occur during non-business hours ONLY with the approval of SPD and the BSC Director or the MDHHS Director with the authorization of the SPD Director. Contract Number: MA 230000001090 Amendment Number: 3 PAGE 3 of 24 Rev. 4-25 Article V In Section 1. PROGRAM REQUIREMENTS, Item 1.2 Referrals, c. 10). Is deleted and replaced with the following to add medicinal supply admission refusal clarification: 10) Copies of current Psychotropic Medication Consent (DHS-1643) for current prescriptions. (See FOM 802-1). The referring MDHHS/PAFC caseworker shall coordinate with the attending medical provider to ensure the child has a minimum of a 14-day supply of prescribed medications AND a prescription for all current medications, OR a 30-day supply of all medications. The Contractor must not refuse an admission based on less than a 14-day supply of medications. MDHHS shall be responsible for providing the balance of the 14-day medication supply within 48 hours of admission. Article VI In Section 1. PROGRAM REQUIREMENTS, Item 1.3 Admission Criteria, d. is deleted and replaced with the following to clarify the process and consequences for placement denials and requests for removals of eligible children. : d. Have a documented severe score on the Mental Health and Well-Being item on the Child Assessment of Needs and Strengths within the past 90 days and have repeated placement instability and a more thorough assessment is needed to either reunify or make a stable next placement. The Contractor must accept all children referred by the Department when a placement bed is available 24 hours per day, seven days per week, 365 days a year. The Contractor shall not deny placement or ask for removal of any eligible child referred for placement by SPD. The Contractor may request an objection to a referral, and provide circumstances for the placement objection, but the final decision for placement will rest with the SPD. The Contractor must provide a detailed explanation to the SPD if safety or appropriate concerns exist that prevent the Contractor from admitting the youth. If the Contractor does not accept or asks for a removal of any placement by SPD, the Contractor will forego the guaranteed empty bed payment for the month they did not accept or asked for the removal of any youth placement requests. If the Foster Care Program Office does not agree with the Contractor’s decision to deny a placement or have a placement removed, the Contractor will not receive an empty bed payment for the month the denial occurred. Article VII Contract Number: MA 230000001090 Amendment Number: 3 PAGE 4 of 24 Rev. 4-25 In Section 1. PROGRAM REQUIREMENTS, Item 1.4 Service Planning and Delivery, f. is deleted and replaced with the following to reduce the number of calendar days the SPD is required to notify the Contractor of discharge decisions made: f. The SPD primary case worker responsible for placement, except in emergencies or when constrained by a court order or parental demand, shall give at least two calendar days notification (when possible) to the Contractor of any discharge decision made without the Contractor's concurrence. Article VIII In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.4 Licensing Requirements and Number of Children in Care, the last paragraph is deleted and replaced with the following to restrict the number of children the Contractor can place to the contracted number of beds, per Schedule B Pricing, and update the Bed Capacity Exception point of contact: At no time shall the number of children in care exceed the licensed capacity of the facility specified in the Contractor’s license. On no day during this Contract period shall there be more youth than the number of contracted beds listed in Schedule B Pricing, or for whom MDHHS has the responsibility to make a state payment. If the Contractor is able to admit more than the contracted number of children (but not more than the licensed capacity), a Bed Capacity Exception must be obtained through the Foster Care Program Office within 24 hours of placement. Article IX In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.7 Provider Numbers, is deleted and reserved. The MiSACWIS/CCWIS Provider Number is now included on Schedule B Pricing. 2.7 Reserved Article X In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.9 Compliance Requirements, b. is deleted and replaced with the following to specify the type of administrative codes required and update policy links: b. Throughout the term of this Contract, the Contractor must ensure that it provides all applicable MDHHS policy and MDHHS policy amendments (including interim policy bulletins) and applicable Michigan Child Caring Institution Administrative Codes to social service staff. The Contractor must ensure that social service staff comply with all applicable requirements. MDHHS policies, amendments, and policy bulletins, are published on the following internet link: Current Policy Manuals. Michigan Child Caring Institution Administrative Rules are published at on the following internet link: ARS Public - MI Contract Number: MA 230000001090 Amendment Number: 3 PAGE 5 of 24 Rev. 4-25 Administrative Code(s) for Health and Human Services - Children's Services Agency. Article XI In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.9 Compliance Requirements, e. 2) final sentence is deleted and replaced with the following to change ‘child placing agency’ to ‘Contractor’: The Contractor acknowledges that it has waived any legal protections under MCL 722.124e, MCL 722.124f, and/or MCL 710.23g to decline to provide any services that conflict with, or under circumstances that conflict with, the child placing agency’s sincerely held religious beliefs unless those beliefs are contained in a written policy, statement of faith, or other document adhered to by the Contractor. Article XII In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.9 Compliance Requirements, h. is added: h. Ethical Standards The Contractor must uphold high ethical standards and is prohibited from: 1) Holding or acquiring an interest that would conflict with this Contract. 2) Any act that creates an appearance of impropriety with respect to the award or performance of the Contract. 3) Attempting to influence or appearing to influence any State employee by the direct or indirect offer of anything of value. 4) Paying or agreeing to pay any person, other than employees and consultants working for Contractor. 5) Any consideration contingent upon the award of the Contract. The Contractor must immediately notify MDHHS of any violation or potential violation of these standards. This Section applies to Contractor, any parent, affiliate, or subsidiary organization of Contractor, and any subcontractor that performs Contract Activities in connection with this Contract. Article XIII In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.9 Compliance Requirements, i. is added: Contract Number: MA 230000001090 Amendment Number: 3 PAGE 6 of 24 Rev. 4-25 i. The Contractor must maintain video surveillance of all common areas and utilize video surveillance to eliminate blind spots in their facility. Common areas are defined as any area the residents may routinely occupy on facility grounds excluding sleeping areas, bathrooms, or areas where youth may receive individual medical, dental, or mental health treatment. Facilities will be required to maintain access to existing video surveillance footage for a minimum of 30 days. Constant rolling and motion triggered surveillance systems are both acceptable formats. The Mental Health Code Act 258 0f 1974 (Rights of Recipients of Mental Health Services) prohibits the use of video surveillance in facilities that serve mental health recipients. The Mental Health Code defines a recipient as “an individual who receives mental health services from the department, or a community mental health service program or a facility or from a provider that is under contract with the community mental health service program.” MCL 330.1100c(13). Therefore, facilities that have any mental health recipients are exempt from the video surveillance contract requirements in this section. Article XIV In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided b. Standardized Assessment Tools second sentence is deleted and replaced with the following to decrease the number of days between admission and assessment tool administration: The Contractor must administer the assessment tools within five calendar days of admission. Article XV In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided c. Referral and Intake Process 3) Intake c), is deleted and replaced with the following to decrease the timeline to develop a preliminary assessment and specify the timeline for submitting the assessment to the placing agency/case manager: c) The Contractor must develop a comprehensive preliminary assessment within five calendar days of admission. The Contractor must provide a copy of the preliminary resident assessment to the placing agency staff/case manager within seven calendar days following the child’s admission. The plan must include: i. A comprehensive assessment of the child’s physical/mental health needs. ii. An assessment of the child’s immediate and specific needs and diagnosis. iii. Long-term service needs for the youth. The Contractor document services in the treatment plan. Contract Number: MA 230000001090 Amendment Number: 3 PAGE 7 of 24 Rev. 4-25 iv. The specific services the Contractor will provide as well as other resources to meet the identified needs. v. Goals, outcomes, and timeframes for achievement. vi. The placement recommendation. vii. Barriers to achievement of the recommended placement and plans to eliminate barriers. Article XVI In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided c. Referral and Intake 3) Intake d), is deleted and replaced with the following to clarify the assessment-based plan timeline: d) The Contractor must update the assessment-based plan every 15 calendar days after the initial plan is complete. Article XVII In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided c. Referral and Intake Process 3) Intake e), v. is deleted and replaced with the following to change the bio-psychosocial evaluation reference to a service plan : v. The Contractor must ensure that each service plan includes the following: a) A psychiatric history, as necessary. b) Social history. c) A mental status examination. d) A trauma assessment. e) Intelligence and projective tests, if necessary. f) A behavioral appraisal. g) Family, environmental, cultural, religious, or spiritual preferences. h) Behaviors that necessitated a more restrictive placement setting for the child. i) A review of any previous psychotherapeutic and psychiatric assessments and treatment. j) An updated assessment of the child’s specific needs and diagnosis. Contract Number: MA 230000001090 Amendment Number: 3 PAGE 8 of 24 Rev. 4-25 k) Placement recommendations. l) Service recommendations to meet the child’s identified needs. Article XVIII In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided c. Referral and Intake Process 3) Intake f), is added: f) The case worker will complete the Shelter Youth Intake Form MDHHS-6323 with all information available at the time of admission before the child is brought to the shelter. The Contractor must not, at any time, refuse admittance to a child and worker, no matter the time of day or night. No alternative forms shall be used. The Contractor cannot require an additional intake process for a youth to be admitted. Article XIX In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided d. Staffing 1) Diversity, Equity, and Inclusion, is deleted and replaced with the following to rename the section to Hiring Practices: 1) Hiring Practices The Contractor must recruit and employ a diverse staff reflective of the Contractor’s client population. Article XX In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided d. Staffing 2), Child Care Services is deleted and replaced with the following to extend the emergency assistance response time and specify in-person status for emergency assistance: 2) Child Care Services Childcare services are defined as those activities necessary to meet the daily physical, social and emotional needs of the child. Specific direct care staffing ratios are defined within. The Contractor must ensure staff are available for in person emergency assistance within 30 minutes of the requested need. Article XXI In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided d. Staffing 3), Staff Education and Experience Qualifications a) is deleted and replaced with the following to specify Michigan Child Caring Institution Rules: Contract Number: MA 230000001090 Amendment Number: 3 PAGE 9 of 24 Rev. 4-25 a) Contractor staff must possess the minimum qualifications prior to working with the child(ren) outlined in Michigan Child Caring Institution Administrative Rules and FOM 912. Article XXII In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided d. Staffing 3) Staff Education and Experience Qualifications, b) is deleted and replaced with the following to update staff credentials required to provide therapy services: b) The Contractor must ensure therapy is provided by individuals trained/certified in evidence-based trauma informed treatment. Credentials may include: i. Michigan Licensed mental health clinician or limited licensed mental health clinician with appropriate supervision (licensed master's level social worker, limited licensed master’s level social worker, doctorate level licensed psychologist, limited licensed psychologist, licensed counselor, limited licensed counselor, or licensed professional trained in the assessment and treatment of trauma in children and adolescents). ii. Psychiatrist trained to work with youth and families; Board Certified in Child/Adolescent Psychiatry is preferred. If therapy services are subcontracted, the Contractor must ensure the subcontracted provider has the appropriate credentials outlined in this Contract in addition to training, experience and a conceptual approach to children and families consistent with the intent of this contracted service. Article XXIII In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided d. Staffing 4) Staff Training Requirements, a) is deleted and replaced with the following to specify the Michigan Child Caring Institution Rule: a) Orientation must include topics identified in Michigan Child Caring Institutions Administrative R400.4128, as well as the Child Protection Law, Mandated Reporting Requirements, Family/Child/Youth Engagement, interpersonal-communication, appropriate discipline, crisis intervention, effects of trauma, secondary trauma, MiTEAM Case Practice Model Overview, youth handling and de-escalation techniques and basic group dynamics. Article XXIV Contract Number: MA 230000001090 Amendment Number: 3 PAGE 10 of 24 Rev. 4-25 In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided d. Staffing 4) Staff Training Requirements, e) is deleted and replaced with the following to specify the Michigan Child Caring Institution Rule: e) Based on the assessment of a staff person’s identified training needs, annual training topics must be selected from, but not be limited to, the areas identified in Michigan Child Caring Institutions Administrative Rule R400.4128 and FOM 912. Article XXV In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided d. Staffing 4) Staff Training Requirements, g) is added: g) All staff who have, or will have, direct contact with youth must complete Sexual Orientation, Gender Identity and Expression (SOGIE) training listed on the MDHHS CCI Training Resources webpage, located here: MDHHS CCI Training Resources. These courses include: • Building Safety for Youth and Families: Recognizing and Affirming SOGIE – Introduction • Building Safety for Youth and Families: Recognizing and Affirming SOGIE – Part 1 • Building Safety for Youth and Families: Recognizing and Affirming SOGIE – Part 2 • Building Safety for Youth and Families: Recognizing and Affirming SOGIE- Part 3 • Building Safety for Youth and Families: Recognizing and Affirming SOGIE – Post Test Existing staff must complete SOGIE Training within 90 days of Contract execution and annually thereafter. All staff hired on or after 10/1/24 must be compliant with SOGIE Training within 90 days of hire and annually thereafter. Contract Number: MA 230000001090 Amendment Number: 3 PAGE 11 of 24 Rev. 4-25 Article XXVI In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided d. Staffing 5) Staffing Ratio, is deleted and replaced with the following to allocate ratio specification to the Schedule B Pricing: 5) Staffing Ratio The Contractor must: a) Maintain the minimum amount of direct care staff to youth ratios as outlined in Schedule B Pricing. i. The ratio is intended for non-school hours. School hours are not included in this requirement. II. All staff must be awake during sleeping hours. The staff to youth ratio identified on Schedule B for sleeping hours is reflective of this requirement. Room checks must be conducted at least every 15 minutes during sleeping hours. Article XXVII In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided d. Staffing 6) One-to-One Supervision, is added: 6) One-to-One Supervision If a youth requires short-term, one-to-one supervision to stabilize behavior and ensure safety, the Contractor must submit a request in writing on Contractor letterhead. The request must describe the youth’s behavior which warrants one-to- one supervision, the steps taken to stabilize behavior within the contracted direct care staffing ratio, and the number of one-to-one supervision hours requested. See FOM 903-09 Case Service Payments. Article XXVIII In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided f. Restraint and Seclusion, is deleted and replaced with the following to update the policy for Restraint and Seclusion: f. Restraint and Seclusion 1) The Contractor must implement strategies to eliminate the use of restraint and seclusion and promote cultures of care that are family-driven, youth-guided, trauma informed and responsive, and culturally and linguistically competent. Contract Number: MA 230000001090 Amendment Number: 3 PAGE 12 of 24 Rev. 4-25 2) The Contractor must follow restrictions, debriefing requirements, and reporting requirements as outlined below as well as in FOM 722-02B. 3) The Contractor must report the use of restraint and seclusion/isolation within 24 hours to MDHHS and within 12 hours to the child’s parent or legal guardian. The Contractor must follow the incident reporting requirements outlined in FOM 722-02B. Article XXIX In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided g. Transition and Discharge Planning is deleted and replaced with the following to include additional Contractor expectations for transitions and discharges. g. Transition and Discharge Planning Transition and discharge planning must begin at the time of admission. The Contractor must develop a transition/discharge plan in collaboration with the child, parent or guardian, agency with placement responsibility, foster parents, relative caregiver, and Lawyer Guardian ad Litem (LGAL) during the initial and subsequent Family Team Meetings to be held within seven calendar days of admission. The Contractor must document transition and discharge planning within the child’s service plan and treated as an ongoing component of service delivery, not a one-time event. The Contractor must ensure that transition and discharge planning activities, updates, and progress are reflected in the service plan and updated as necessary based on the child’s needs, placement stability, and anticipated discharge timeline. The Contractor must further ensure that transition and discharge planning efforts are documented in required progress reports, including but not limited to the 15-day reports. Documentation must clearly identify: a. Progress toward the projected discharge date and level of care. b. Barriers or delays impacting transition or discharge. c. Actions taken to prepare the child, family, and caregivers for discharge. d. Coordination with the placing agency, caregivers, and other required parties. The Contractor must provide the following for a child whose placement recommendation is residential: a. Child-specific information including all required documentation. Contract Number: MA 230000001090 Amendment Number: 3 PAGE 13 of 24 Rev. 4-25 b. Notification to the local MDHHS County Office or SPD staff and assigned caseworker of pre-placement interviews held at the facility. c. Transportation coordination services. The Contractor must work with the case worker to ensure transportation and coordinate transportation for the child to pre- placement interviews held off site if requested by the primary caseworker/agency and SPD responsible for placement. d. A list of the medications supplied upon discharge including: i. Prescriptions for medications sent with the youth (minimum 30-day supply). ii. Prescription refills (minimum 30-day supply) available for transfer from the pharmacy at discharge. iii. Medications supplied in packaging (minimum 30-day supply). iv. If a youth is taking a controlled substance or any tightly regulated medication and the pharmacy will not dispense a 30-day supply, the prescription should include refills sufficient to provide a 30-day supply of the medication. Article XXX In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided i. Legal or Court Related, is deleted and replaced with the following to add additional information regarding safety of the youth’s transportation and remove reference to court request timelines: i. Legal or Court Related The Contractor must cooperate with the primary case worker/agency responsible for placement of youth in matters relating to legal or court activities concerning youth. These activities may include, but are not limited to: 1) Transportation of the youth to and from court hearings including supervision of youth during transport or while present at the hearing. 2) Court testimony, recommendations, and reports to the court as requested by the court. Safety of the youth must always be a priority concern when considering the youth’s transportation needs. If it is determined that a youth is presenting safety concerns and is unable to be safely transported to a court hearing, the Contractor must immediately notify the youth’s Legal Guardian Ad Litem (LGAL) and the primary caseworker/agency responsible for the youth’s placement. Article XXXI Contract Number: MA 230000001090 Amendment Number: 3 PAGE 14 of 24 Rev. 4-25 In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided j. Absent Without Legal Permission, is deleted and replaced to include restrictions in the process based on the number of days the youth was AWOLP as follows: j. Absent Without Legal Permission The Contractor must have a clearly defined process for determining when a child is absent without legal permission (AWOLP) from the placement. The process must delineate how the facility and grounds are searched, what personnel will be involved in the search, and how the determination will be made that the child is AWOLP from the placement. Once determined that a child is AWOLP from the placement, the Contractor must: 1) Immediately notify law enforcement agencies that the child under their care has failed to return at the expected time. 2) Immediately file a missing person report with law enforcement. 3) Immediately notify the local office the primary caseworker/agency responsible for placement of the child's AWOLP status. The Contractor and primary caseworker/agency are expected to discuss the factors that led to the child(ren) leaving placement, the plan to alleviate these factors, and the activities of the child(ren) while AWOLP, including if the child(ren) was a victim of trafficking so that appropriate services and treatment can be implemented. It is imperative that the Contractor and primary caseworker/agency communicate regarding any service needs after an AWOLP child(ren) being trafficked consistent with SRM 300 Human Trafficking of Children and the MDHHS Human Trafficking of Children Protocol. If a child is AWOLP for more than five (5) days, the Contractor must ask the MDHHS Specialized Placement Division (SPD) when the Contractor can discharge the youth from the shelter program. When a child returns to the shelter within five (5) days, the youth must be allowed back into the shelter program. At no time shall the Contractor refuse to let the child back in, no matter the time of day or night. The return of the child to the shelter will not be considered a new placement and no new intake should be required. Upon return of an AWOLP child after business hours, the Contractor must contact Central Intake to report the child has returned. If the child returns during business hours, the Contractor must contact the case worker to let them know the child has returned to the shelter. Article XXXII Contract Number: MA 230000001090 Amendment Number: 3 PAGE 15 of 24 Rev. 4-25 In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided l. Clinical Case Management and Day to Day Crisis Counseling, second sentence is deleted and replaced to update the frequency of individual therapy. Services must include two sessions of individual therapy per week, supplemented with group therapy and psychiatric services as needed. Article XXXIII In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided n. Religion and Cultural, the first sentence will be deleted and replaced to include compliance with FOM policy. The Contractor must respect the religious preference of the child and his/her parent(s) or legal guardian and allow for participation in compliance with FOM 722 and Michigan Child Caring Institution Administrative Rules. Article XXXIV In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided q. Wardrobe, the following paragraph will be added: At no time should a child be required to wear a uniform during their stay at the shelter (apart from school uniforms). Children should be able to wear their own street clothing. If a child comes to the shelter without adequate clothing, the county/placement agency of origin is responsible for providing adequate clothing for the child. Article XXXV In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.10 Services to be Provided t. Meals and Snacks is added: t. Meals and Snacks The Contractor must supply healthy meals in accordance with Michigan Child Caring Institutions Administrative Rule R400.4149 (Resident Nutrition). In addition, the Contractor must always have healthy snacks available to youth. At no time should a young person have to ask for a snack, snacks should be placed in a common area for any youth to access. Article XXXVI In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.13 Financial Audit Requirements, a. Required Audit or Audit Exemption Notice 1) Single Audit is deleted and replaced with the following to increase the dollar amount threshold: 1) Single Audit Contract Number: MA 230000001090 Amendment Number: 3 PAGE 16 of 24 Rev. 4-25 Contractors that are a non-profit organization and that expend $1,000,000 or more in federal awards during the Contractor’s fiscal year must submit a Single Audit to the Department, regardless of the amount of funding received from the Department. The Single Audit must comply with the requirements of Title 2 Code of Federal Regulations, Subpart F. Article XXXVII In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.13 Financial Audit Requirements, a. Required Audit or Audit Exemption Notice 2) Financial Statement Audit is deleted and replaced with the following to increase the dollar amount threshold: 2) Financial Statement Audit Contractors exempt from the Single Audit requirements with fiscal years that receive $1,000,000 or more in total funding from the Department in State and Federal grant funding must submit to the Department a Financial Statement Audit prepared in accordance with generally accepted auditing standards (GAAS). Article XXXVIII In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.14 Cost Reporting, the first paragraph will be deleted and replaced with the following to update submission criteria. 2.14. Cost Reporting The Contractor must submit annual financial cost reports based on the state’s fiscal year which begins October 1 and ends September 30 in the following calendar year. The reports must contain the actual costs incurred by providers in delivering services required in this Contract to MDHHS clients for the reporting period. Costs for non- MDHHS children must not be included. Reports will be submitted using a template provided by MDHHS. The Contractor must submit financial reports annually. These reports are due December 15 of each fiscal year. The Contractor must comply with all other program and fiscal reporting procedures as are or may hereinafter be established by MDHHS. Reports shall be submitted electronically to MDHHS-Foster-Care- Audits@michigan.gov with the subject line: SHFC Cost Report Article XIL In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.15 Service Documentation, will be deleted and reserved as shown below: 2.15. Reserved Article XL Contract Number: MA 230000001090 Amendment Number: 3 PAGE 17 of 24 Rev. 4-25 In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.17 Billing, will be deleted and replaced with the following to update the billing procedure for filled and unfilled beds, and One- to-One Supervision: 2.17. Billing The Contractor must submit through the MiSACWIS/CCWIS system the bi-weekly roster for any youth in the Contractors care per the instructions within the MiSACWIS/CCWIS system. For Unfilled Bed payments, the Contractor must bill MDHHS in accordance with section 2.17. a. Unfilled Bed Procedure, below. a. Unfilled Bed Procedure Unfilled Beds are contracted beds in which a youth is not placed. Unfilled Bed Payments The Contractor must submit the monthly unfilled bed invoice and MDHHS provided spreadsheet within 30 days from the end of the billing period. A reconciliation of placement days of care will occur by MDHHS to verify the unfilled bed payment. All undisputed amounts are payable within 45 days of receipt. The State has the right to withhold payment of any disputed amount until the parties agree to the validity of the disputed amount. The State will notify the contractor of any dispute within a reasonable time. The invoice and completed spreadsheet must be submitted electronically to MDHHS-FederalComplianceDivision@michigan.gov. The subject line must read: SHFC Unfilled Bed Payment. The Contractor will receive the applicable unfilled bed per diem rate listed in Schedule B Pricing. b. Filled Bed Procedure Filled beds are the number of contracted beds in which a youth is placed. Filled Bed Payments The Contractor must submit through the MiSACWIS/CCWIS system, the bi- weekly roster for all youth in the Contractors care per the instructions within the MiSACWIS/CCWIS system. The billing must only indicate the units of service provided by the Contractor and must be submitted to MDHHS within 30 days from the end of the billing period. Youth placed in a contracted bed by a court directly, who are not under the care and supervision of MDHHS, will not be verified in MiSACWIS/CCWIS roster for Contract Number: MA 230000001090 Amendment Number: 3 PAGE 18 of 24 Rev. 4-25 payment; however, all youth placed in a contracted bed, regardless of the supervising agency, must be reported to MDHHS by the Contractor. c. One-to-One Supervision Procedure The Contractor must submit monthly payment requests in accordance with FOM 903-09 policy. No original request for payment submitted by the Contractor more than 180 days after the close of the two week billing period during which services were provided will be honored for payment. When the Contractor’s financial records reveal that payment for a child has not been provided by MDHHS within 30 days of receiving all necessary documentation, the Contractor must seek payment resolution by contacting the direct supervisor of the assigned MDHHS case worker in writing. Any concerns over a payment authorization or issuance that cannot be resolved within 30 days of the written notice must be reported to the MDHHS County Director for immediate resolution. The Contractor must apprise MDHHS Federal Compliance Division at MDHHS- FederalComplianceDivision@michigan.gov of any ongoing, unresolved payment concerns. Article XLI In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.18 Fees and Other Sources of Funding, will be deleted and replaced reserved as shown below.: 2.18. Reserved Article XLII In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.19 Recovery of Funding and Repayment of Debts, will be deleted and replaced with 2.19 Repayment: 2.19 . Repayment If an overpayment occurs, MDHHS will contact the Contractor by letter with details regarding the overpayment. The letter will provide instructions for remitting payment as well as contact information for disputes. If the Contractor fails to remit payment or make payment arrangements in accordance with the overpayment letter, such failure may constitute grounds to terminate immediately any or all of MDHHS’ contracts with the Contractor. Article XLIII In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.21 Contract Evaluation and Assessment will be deleted and reserved as shown below: Contract Number: MA 230000001090 Amendment Number: 3 PAGE 19 of 24 Rev. 4-25 2.21. Reserved Article XLIV In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.22 Corrective Action Requirements, will be deleted and replaced with the following to add objectives for Notification of Noncompliance, Performance Improvement Plan Submission, and Compliance During Interim or Adverse Actions: 2.22. Corrective Action Requirements If a program review by MDHHS-Bureau of Out of Homes Services (OOHS) identifies noncompliance with the requirements of this Contract, the Contractor must adhere to the following: a. Notification of Noncompliance Upon receipt of written notice identifying areas of noncompliance, the Contractor must review all findings, which may reflect isolated incidents or broader systemic concerns. b. Performance Improvement Plan (PIP) Submission The Contractor must submit a complete Performance Improvement Plan (PIP) addressing all cited areas of noncompliance within the following timeframes: 1) Thirty (30) calendar days from receipt of a written program evaluation. 2) Fifteen (15) calendar days from receipt of a compliance or adverse action investigation. Extensions may be granted only if formally requested and approved by OOHS. If a PIP is not approved, the Contractor must submit a revised PIP within ten (10) calendar days of receiving written feedback. Repeated denial of a PIP does not relieve the Contractor of the responsibility to achieve compliance. The Contractor is responsible for implementing all approved corrective actions according to the established timelines. c. Compliance During Interim or Adverse Actions The Contractor must comply with all interim, temporary, or adverse contract actions imposed or recommended by MDHHS-OOHS, including but not limited to Contract Number: MA 230000001090 Amendment Number: 3 PAGE 20 of 24 Rev. 4-25 placement restrictions, moratoriums, or service limitations, and must not delay compliance pending appeal, response, or submission of additional documentation. Article XLV In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.25 Service Level Agreements will be added: 2.25. Service Level Agreements (SLA) Article XLVI In Section 2. CONTRACTOR RESPONSIBILITIES, Item 2.26 Required Functionality Relating to Data Retention, Disposal, and Retrieval will be added: 2.26. Required Functionality Relating to Data Retention, Disposal, and Retrieval The State has legal obligations to retain, dispose, and retrieve State Data along with obligations to manage and secure State Data. To meet these obligations, the Solution must allow the State to: a. Retain all data for the entire length of the Contract. The information will be retained in accordance with the Records Retention and Disposal Schedule the agency uses for their recordkeeping purposes, Child Welfare Policy and Programs Item #38288, for Foster Care Case Files. These records document services provided to families after an intensive crisis intervention is completed to assist in strengthening the new skills and behaviors, and to act as support for the family. They may include bids, contract records, critical incident reports, supporting documentation, etc. The retention period is from the date created plus seven (7) years, then destroy. SLA Unfilled Bed Requirements Guarantee the MDHHS throughout the term of the Contract regardless of availability of staffing or services. The Contractor is expected to meet 100% capacity absent lack of assignments from the Specialized Placement Unit. Credit agree with the Contractor’s objection to accepting a youth or disagrees with the Contractor’s removal of a youth, the Contractor will not receive the monthly empty Contract Number: MA 230000001090 Amendment Number: 3 PAGE 21 of 24 Rev. 4-25 b. Delete its data or request the deletion of its data, even data that may be stored offline or in backups. c. Transfer its data back to the State or to a new vendor or new solution. d. Transfer its data to the Archives of Michigan as may be required by a retention and disposal schedule. e. Retrieve data, even data that may be stored offline or in backups. Except as otherwise stated in the Contract, Contractor will not dispose of, delete, or destroy State Data without the prior written approval of the State. Article XLVII In Section 3. MDHHS RESPONSIBILITIES, Item 3.2 Contract Monitoring and Compliance will be deleted and replaced with the following to add criteria for Monitoring and Evaluation, Notification of Noncompliance, Performance Improvement Plan Oversight and Review, Contract Compliance Investigations, and Adverse and Interim Contract Action sections: 3.2. Contract Monitoring and Compliance MDHHS-OOHS has responsibility for monitoring, oversight, and enforcement of this Contract to ensure compliance and protect the health, safety, and welfare of children served. MDHHS-OOHS’s authority includes, but is not limited to, the following: a. Monitoring and Evaluation 1) Conduct annual contract evaluations and contract compliance investigations, as necessary. 2) Review, analyze, and provide feedback on all activities conducted under the Contract. 3) Take immediate, temporary, or interim action when required to protect child health, safety, or welfare. b. Notification of Noncompliance 1) MDHHS-OOHS will issue written notice to the Contractor identifying all areas of noncompliance through a comprehensive report. c. Performance Improvement Plan (PIP) Oversight and Review 1) Require submission of a PIP when noncompliance is identified. Submission timelines are as follows: Contract Number: MA 230000001090 Amendment Number: 3 PAGE 22 of 24 Rev. 4-25 i. Thirty (30) calendar days from receipt of a written program evaluation. ii. Fifteen (15) calendar days from receipt of a compliance or adverse action investigation. 2) Conduct collaborative conferences with Contractor leadership, as deemed appropriate. 3) Issue written notification within seven (7) calendar days of PIP review indicating approval or denial. 4) Provide written feedback and technical assistance when a PIP is not approved. d. Contract Compliance Investigations 1) MDHHS-OOHS may conduct compliance investigations at any time to assess ongoing, emergent, or escalated contract concerns. 2) The same notification, PIP, and review procedures shall apply unless immediate action is required. e. Adverse and Interim Contract Action 1) MDHHS-OOHS may take interim or temporary action when there is reasonable cause to believe the Contractor’s operations, practices, staffing, supervision, or service delivery pose a risk to the health, safety, or welfare of children or families served, or when substantiated findings are issued by MDHHS or other authorized oversight entities, including but not limited to: i. Division of Child Welfare and Licensing (DCWL) ii. Children’s Protective Services (CPS) – Maltreatment in Care (MIC) iii. Michigan Children’s Institute (MCI) iv. Office of the Child Advocate (OCA) v. Office of the Attorney General (OAG) vi. Other state or federal oversight bodies 2) MDHHS-OOHS may rely on such findings without conducting a duplicative investigation when the nature or severity of the findings indicates a risk to child safety or welfare. Contract Number: MA 230000001090 Amendment Number: 3 PAGE 23 of 24 Rev. 4-25 3) Interim or temporary actions may be imposed prior to completion of a PIP and independently of the PIP process when delay would be inconsistent with the Department’s responsibility to ensure child safety and wellbeing. 4) MDHHS-OOHS shall provide the Contractor with written notice describing the basis, scope, and conditions for modification or removal of any interim action. Implementation shall not be delayed pending the Contractor’s response or submission of additional documentation. Interim actions shall remain in effect until MDHHS-OOHS determines that: i. The identified risk has been sufficiently mitigated. ii. Required corrective actions have been implemented and verified; or iii. A final contract determination has been made. 5) All recommendations for contract termination shall be submitted to the MDHHS Executive Governance Committee for review and approval. Contract Number: MA 230000001090 Amendment Number: 3 PAGE 24 of 24 Rev. 4-25 SCHEDULE B PRICING Payments must not exceed the amounts allocated as identified below. Payments made above the allocated amounts identified will require an amendment to the contract. Program Name License Number Mandy's Place CE630201059 Bridges Provider Number MiSACWIS/CCWIS Number 6358407 10400607 Service Description Service Code Shelter Foster Care 745 Staffing Ratio (Direct Care Worker to Youth) Security Level Awake Hours: 1:2 Sleeping Hours: 1:8 N/A Sex (including gender identity) Age Range Male & Female 0-17 Service Title Per Diem Contracted/Guaranteed Bed Rate $857.83 One to One Supervision Rate $33.99 per hour Per Diem & One-to-One Effective Date Number of Contracted Beds 10/1/2024 8 Contract Period Contract Amount Begin date through September 30, 2028 $10,000,000.00 Change Notice No. 4 Contract No. MA230000001090 Contract Change Notice State of Michigan Procurement Department of Health and Human Services 235 South Grand Avenue, Suite 1201, Lansing, MI 48933 P.O. Box 30037, Lansing, MI 48909 Change Notice Number. 4 to Contract Number. MA230000001090 Contractor State County of Oakland, A Michigan Constitutional Corp. Program Manager 1200 N Telegraph Rd, Building 34E Jenifer Vorce MDHHS Pontiac, MI 48341 517.242.5279 David Woodward vorcej@michigan.gov Authorized Official Contract Administrator 248.858.1164 Amanda Herren MDHHS woodwardd@oakgov.com 517.335.0153 CV0048080 herrena1@michigan.gov Contract Summary Description: Shelter Foster Care (SHFC) Services Statewide Initial Effective Date Initial Expiration Date Initial Options Available Expiration Date Before Change(s) Noted Below October 1, 2023 September 30, 2026 Two, one-year September 30, 2028 Payment Terms Delivery Timeframe N/A N/A Alternate Payment Options Extended Purchasing Other No Minimum Delivery Requirements N/A Description of Change Notice Option Length of Option Extension Length of Extension Revised Exp. Date No N/A No N/A N/A Current Value Value of Change Notice Estimated Aggregate Contract Value $10,000,000.00 N/A $10,000,000.00 Change Notice No. 4 Contract No. MA230000001090 Change Notice Summary Please note the Program Manager or Contract Administrator may have changed, and any changes made are reflected above. Description: Effective August 1, 2026, this amendment revises Sections 2.10 Services to be Provided, adds Section 2.27 ADA Compliance, and adds Section 4.57 Accessibility Requirement. Change Notice No. 4 Contract No. MA230000001090 FOR THE CONTRACTOR Company Name Authorized Agent Signature Authorized Agent (print or type) Date FOR THE STATE Signature Terri Smith, Director Name and Title MDHHS, Bureau of Grants and Purchasing Agency Date Change Notice No. 4 Contract No. MA230000001090 1. In Section 2. CONTRACTOR RESPONSIBILITIES, 2.10 Services to be Provided Subsection b. Standardized Assessment Tools is deleted and replaced with the following to revise the timeline to administer the assessment from calendar days to business days. b. Standardized Assessment Tools The Contractor must utilize the following assessment tools to assess the child’s overall progress in functioning while in the program: 1) Child Assessment of Needs and Strengths (CANS) or Child and Adolescent Needs and Strengths (CANS), or Child and Adolescent Functional Assessment Scale (CAFAS). 2) Casey Life Skills Assessment or Daniel Memorial Assessment (For children 14 years of age and older). The Contractor must administer the assessment tools within five business days of admission. Throughout the term of this Contract the Contractor must maintain the capability to provide services 24 hours a day, 365 days a year as specified in the treatment plan for each child and his/her family accepted for care. The range of services specified below establishes a range and number of services to be provided. Services provided to each child must be individually determined based on the CANS/CANS/CAFAS, and Casey Life Skills Assessment/Daniel Memorial Assessment, and must be documented in the child’s assessment. 2. In Section 2. CONTRACTOR RESPONSIBILITIES, 2.10 Services to be Provided c. Referral and Intake Process Subsection 3) Intake is deleted and replaced with the following to correct numbering and change calendar days to business days: 3) Intake a) The Contractor and the assigned primary caseworker/agency must meet at the time of placement to share information which will assist in the care and supervision of the child. If the placement occurs after normal business hours, the meeting must take place within the next business day. b) The caseworker will complete the Shelter Youth Intake Form MDHHS-6323 with all information available at the time of admission before the child is brought to the shelter. The Contractor must not at any time refuse admittance to a child and worker, no matter the time of day or night. No alternative forms can be used. The Contractor must not require an additional intake process for a youth to be admitted. c) The Contractor must complete a DHS-3377 and document all the personal belongings that a child has at placement. d) The Contractor must develop a comprehensive preliminary assessment within five business days of admission. The Contractor must provide a copy of the preliminary resident assessment to the placing agency staff/case manager within seven calendar days following the child’s admission. The plan must include: i. A comprehensive assessment of the child’s physical/mental health needs. Change Notice No. 4 Contract No. MA230000001090 ii. An assessment of the child’s immediate and specific needs and diagnosis. iii. Identified long-term service needs for the youth. iv. The specific services to be provided by the contractor and other resources to meet the identified needs. v. Goals, outcomes, and timeframes for achievement. vi. Placement recommendation. vii. Barriers to achievement of the recommended placement and plans to eliminate barriers. e) The Contractor must update the assessment-based plan every 15 calendar days after the initial plan is complete. f) Service plans must include: i. Placement recommendation. ii. Barriers to achievement of the recommended placement and plans to eliminate barriers. iii. Identified long-term service needs. iv. The Contractor must submit the service plans, treatment plans, and any assessments that were completed for that reporting period, to the primary caseworker. v. The Contractor must ensure that the service plan include the following: a) A psychiatric history, as necessary. b) A social history. c) A mental status examination. d) A trauma assessment. e) Intelligence and projective tests, if necessary. f) A behavioral appraisal. g) Family, environmental, cultural and religious or spiritual preferences. h) Behaviors that necessitated a more restrictive placement setting for the child. i) Reviewing previous psychotherapeutic and psychiatric assessments and treatment. j) An updated assessment of the child’s specific needs & diagnosis. k) Placement recommendations. l) Recommended service to meet the child’s identified needs. 3. In Section 2. CONTRACTOR RESPONSIBILITIES, 2.10 Services to be Provided Subsection g. Transition and Discharge Planning, the first paragraph is deleted and replaced with the following to remove the requirement that the Contractor develop the transition/discharge plan: The Contractor must begin transition and discharge planning at the time of admission. The Contractor must collaborate on a transition/discharge plan with the child, parent or guardian, agency with placement responsibility, foster parents, relative caregiver, and Lawyer Guardian ad Litem (LGAL) during the initial and subsequent Family Team Meetings to be held within seven calendar days of admission. Change Notice No. 4 Contract No. MA230000001090 4. In Section 2. CONTRACTOR RESPONSIBILITIES, 2.10 Services to be Provided Subsection l. Clinical Case Management and Day to Day Crisis Counseling, the second paragraph is deleted and replaced with the following to change the frequency of weekly clinical contacts: Services must include a minimum of twice weekly clinical contacts for each youth. Contacts may include traditional therapy, clinical intervention, or short clinical contact, as determined to be clinically appropriate by the clinician. 5. In Section 2. CONTRACTOR RESPONSIBILITIES, Subsection 2.27 ADA Compliance is added as follows: 2.27 ADA Compliance The State is required to comply with the Americans with Disabilities Act of 1990 (ADA), including its accessibility standard for websites, applications, content and documents. All Contract Activities created, provided, or made available by Contractor under this Contract in a digital format, including but not limited to, websites, applications, software, mobile applications, text, images, sounds, videos, controls, animations, links, and documents (including files in the following formats: PDF, word processing, presentation, and spreadsheet) must comply with the accessibility standards provided in the Digital Accessibility Standards, located at SOM Digital Standards. 6. In Section 4. STANDARD CONTRACT TERMS, Subsection 4.57 Accessibility Requirement is added as follows: 4.57 Accessibility Requirement All Contract Activities created, provided, or made available by Contractor under this Contract in a digital format, including but not limited to, websites, applications, software, mobile applications, text, images, sounds, videos, controls, animations, links, and documents (including files in the following formats: PDF, word processing, presentation, and spreadsheet) (hereinafter “Digital Deliverables”), must conform to the accessibility standards provided in the SOM Digital Standards, located at SOM Digital Standards (the “Digital Accessibility Standards”). Throughout the Term of the Contract, Contractor must: (a) ensure that no changes made by Contractor to any Digital Deliverables will have any adverse effect on conformance to the Digital Accessibility Standards; and (b) comply with plans and timelines approved by the State to remediate issues and achieve conformance with the Digital Accessibility Standards in the event of any deficiencies, at its sole cost and expense.