His Excellency, Governor Christopher T. Sununu Authorize The
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STATE OF NEW HAMPSHIRE DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION FOR BEHA VIORAL HEALTH Lor1A.SbiMaettc 129 PLEASANT STREET,CONCORD, NH 03301 Comaisslooer 603-271-9544 l-<00-852-3345 Ezt 9544 Pax: 603-271-4332 TDDAcceu: 1-800-735-2964 www.dhb$.nfa.gov KatJ> S> Fox Director June 21,2021 His Excellency, Governor Christopher T. Sununu and the Honorable Council State House Concord, New Hampshire 03301 REQUESTED ACTION Authorize the Department of Health and Human Services, Drvislon for Behavioral Health, to enter Into Retroactive amendments to existing contracts with the vendors listed below for the continued provision of substance use disorder prevention and early intervention services for children, from birth through age nine (9) years old, who are involved vrith the New Hampshire Division for Children, Youth and Families (DCYF) and their parents and caregivers who have a substance use disorder, by increasing the total price limitation by $371,755 from $6,241,597 to $6,613,352 with no change to the contract completion dates of September 29, 2021, effective retroactive to January 1. 2021, upon Governor and Council approval. 100% Other Funds (Governor's Office for Emergency Relief and Recovery). The individual contracts were approved by Governor and Council as specified In the table below. Vendor Vendor Area Served Current Increase . Revised G&C Approval Name Code Amount (Decrease) Amount Conway O: 5/2/18, #20 Rochester Seacoast A1: 5/15/19, Southern #17A Granite 228900- Manchester $3,891,606 $205,480 $4,097,086 Pathways 8001 A2: GA 7/20/20, Keene 8/26/20 Info. Claremont Item M Concord Laconia A3: 1/21/21, #17 0: 5/2/18, #20 A1:12/19/20, The Family #20 162412- Berlin Resource $2,349,991 $166,275 $2,516,266 A2: GA 7/20/20, 8001 Littleton Center at 8/26/20 Info. Gorham Item M. A3: 1/21/21, #17 Total: $6^1,597 $371,755 $6,613,352 The Department of Health and Human Serxncee'Mittion i* to join eommuniliei and families in providing opporluniiiet for tidiens to achieve health and independence. His Excellency. Governor Christopher T. Sununu and the Honorable Council Page 2 of 3 Funds are available in the following accounts for State Fiscal Year 2022, upon the. availability and continued appropriation of funds in the future operating budget, with the authority to adjust budget line items within the price limitation and encumbrances between state fiscal years through the Budget Office, if needed and justified. See attached fiscal details. EXPLANATION This request is Retroactive because funding provided through Amendment #3 ended in December of 2020, and due to ongoing need, the Contractors continued to provide services to families and caregivers who are affected by a substance use disorder or mental illness and are undergoing an assessment by DGYF. The Department became aware in early 2021 that additional support was need for non-substance use disorder families. However, after assessing various potential funding sources, additional funding from GOFERR was confirmed in May 2021, at which point the Department needed additional time to finalize budgets and fully execute contract documents for Governor and Executive Council approval. This retroactive action will allow the Contractors to bill for the services and support they provided to at-risk and high-risk families back to January 1, 2021. The Contractors will continue to provide the Strength to Succeed Program services to children, parents, and caregivers who are undergoing an assessment by DCYF, and are affected by a substance use disorder or mental illness as well as evidence-based curriculum to grandparents who are caring for a minor child as a result of DCYF involvement and parental substance use and/or mental illness. Approximately 115 families will be served through September 29, 2021. The Contractors will continue to provide programs that provide accessible, integrated services to reduce and mitigate childhood trauma that results from familial substance use. Core components of the Strength to Succeed program include rapid access to treatment for parents within DCYF reunification timeframe, DCYF Parent Partner peer support, home visiting services, direct prevention services to children to mitigate risk of substance misuse, and caregiver support for relative caregivers of children exposed to substance use in the home. The Department will continue to monitor contracted services by ensuring the Contractors: • Provide evidence-based home visiting sen/ices to all families referred to the program that require home visiting services as part of their treatment plan. • Increase training opportunities for the early childhood and home visiting workforce in substance misuse prevention, recovery, and trauma informed care by three (3) trainings per calendar year and increase the knowledge of substance misuse prevention, recovery and trauma informed care among the early childhood and home visiting workforce, as demonstrated by an increase of 10% in aggregate as measured quarterly from training pre-tests to training post-tests. • Ensure that 80% of families referred to the program receive access to treatment or interim treatment services within 48 hours of referral. • Collaborate with the Department on the development, reporting, and quality improvement efforts for additional performance measures and outcome indicators. His Excellency. Governor Chrfstopher T. Sununu and the Honorable Council Page 3 of 3 Should the Governor and Executive Council not authorize this request, children impacted by substance misuse and/or mental illness within their family may not receive ttte services and targeted prevention services necessary to support their current needs and to assist them with avoiding substance misuse issues themselves. In addition, relative caregivers impacted by familial substance misuse may not receive the senrices and supports that are necessary to continue to support the children in their families. Area served: Statewide In the event that the Other Funds become no longer available, General Funds will not be requested to support this program. Respectfully sutmiitted. Lori A. Shibinette Commissioner DEPARTMENT OF HEALTH AND HUMAN SERVICES Targeted Prevention Programming for DCYF Involved Families FISCAL DETAIL 05-95-92-920510-25590000 HEALTH AND SOCIAL SERVICES, DEPT OF HEALTH AND HUMAN SVS, HHS: DIVISION FOR BEHAVIORAL HEALTH, BUREAU OF DRUG AND ALCOHOL. OPIOID STR GRANT 100% Federal Funds Granite Pathways Vendor #228900 State Fiscal Increase Revised Class / Account Class Title Job Number Current Amount Year (Decrease) Amount Contracts for Program 2018 102/500731 92052559 $121,778 $0 $121,778 Services Contracts for Program 2019 102/500731 92052559 $487,111 $0 $487,111 Services Contracts for Program 2020 102/500731 92052559 $0 $0 $0 Services $608,889 $0 $608,889 The Family Resource Center at Gorham Vendor#162412 State Fiscal Increase Revised Class / Account Class Title Job Number Current Amount Year (Decrease) Amount Contracts for Program 2018 • 102/500731 92052559 $27,062 $0 $27,062 Services Contracts for Program 2019 102/500731 92052559 $108,247 $0 $108,247 Services Contracts for Program 2020 102/500731 92052559 $0 $0 $0 Services $135,309 $0 $135,309 Subtotal $744,198 $0 $744,198 05-95-92-920510-70400000 HEALTH AND SOCIAL SERVICES, DEPT OF HEATH AND HUMAN SVS, HHS: BEHAVIORAL HEALTH DIV, BUREAU OF DRUG & ALCOHOL SERVICES,STATE OPIOID RESPONSE GRANT 100% Federal Funds Granite Pathways Vendor #228900 State Fiscal Increase Revised Class / Account Class Title Job Number Current Amount Year (Decrease) Amount Contracts for Program 2019 102/500731 92057040 $284,744 $0 $284,744 Services Contracts for Program 2020 102/500731 92057040 $598,103 $0 $598,103 Services Contracts for Program 2021 102/500731 92057040 , $146,853 $0 $146,853 Services Contracts for Program 2021 102/500731 92057046 $469,217 $0 $469,217 Services Contracts for Program 2021 102/500731 92057048 $549,200 $0 $549,200 Services Attachment - Bureau of Behavioral Health Financial Detail Page 1 of 2 DEPARTMENT OF HEALTH AND HUMAN SERVICES Targeted Prevention Programming for DCYF Involved Families FISCAL DETAIL Contracts for Program 2022 102/500731 92057048 $274,600 $0 $274,600 Services Subtotal $2,322,717 $0 $2,322,717 The Family Resource Center at Gorham Vendor #162412 State Fiscal Increase Revised Class / Account Class Title Job Number Current Amount Year (Decrease) Amount Contracts for Program 2019 102/500731 92057040 $195,743 $0 $195,743 Services Contracts for Program 2020 102/500731 92057040 $548,805 $0 $548,805 Services Contracts for Program 2021 102/500731 92057040 $149,527 $0 $149,527 Services Contracts for Program 2021 102/500731 92057046 $195,607 $0 $195,607 Services Contracts for Program 2021 102/500731 92057048 $400,000 $0 $400,000 Services Contracts for Program 2022 102/500731 92057048 $200,000 $0 $200,000 Services $1,689,682 $0 $1,689,682 Subtotal $4,012,399 $0 $4,012,399 05-95-95-950010-19290000 HEALTH AND SOCIAL SERVICES, DEPT OF HEATH AND HUMAN SVS, HHS: COMMISSIONER'S OFFICE, OFFICE OF THE COMMISSIONER, DHHS COVID RELIEF FD FR GOFERR 100% Other Funds Granite Pathways Vendor #228900 State Fiscal Increase Revised Class / Account Class Title Job Number Current Amount Year (Decrease) Amount Contracts for 2021 103/502664 95010895 $960,000 ' $0 $960,000 Operational Services Contracts for 2022 103/502664 95010795 $0 $205,480 $205,480 Operational Services Sub Total $960,000 $205,480 $1,165,480 The Family Resource Center at Gorham Vendor #162412 State Fiscal Increase Revised Class / Account Class Title Job Number Current