HomeMy WebLinkAboutJourneystiauno Faus
School District 91
A World Class Education
690 fohnAdams Parkway
Idaho Falls, Idaho 83401
Phone: (208) 525-7500 FAX: (2081 525-7 596
Web Address: www.d91.k12.id.us
IDAHO FALLS SCHOOL DISTRICT 9T
System of Care Protocol for Independent Contractors
I. Protocol for Inde n end t Contractors Providins
BEHAVIORAL INTERVENTION SPECIALIST (BN. BEHAVORIAL
INTERVENTION PARAPR o FES SIOANL (BI PARA). BI TECHNICIAN (BI
TECM. COMMUITITY BASE D REHABILITATION SERVICES (CBRS)
A]\tD HABILITATIVE SKILLS (HS):
The purpose ofthe System ofCare is to establish a procedural protocol to assist Idaho Falls
School District 9l in collaborating for the delivery of related services provided by
independent contractors in accordance an eligible student's Individualized Education
Program (lEP) and developed pursuant to Idaho Special Education Rules and Regulations,
2018: The Chtldren's Mental Seryices Acr of 1998; and Medicaid billing policy for
rehabilitative services in a school setting (IDAPA 16.03.09.245, IDAPA
16.03.10.124.05.c, IDAPA 16.03.10.653.05.e, and IDAPA 16.03.09.855.10
Qualifications and Supervision).
This protocol provides guidelines for Idaho Falls School District 91 and independent
contractors to implement Behavioral Intervention (BI) Community Based Rehabilitation
Services (CBRS) that are delivered to Medicaid eligible students with an IEP on file within
the school district. In order to provide BI and CBRS services in the school setting, the
Independent Contractor must be approved by the Director of Student Services and provide
the following documentation:
A copy of your current certificate of liability insurance with ldaho Falls
School District 91 named as an additional insured on the policy.
Proof of workers' compensation coverage for independent contractor
personnel.
A copy ofthe contractor personnel current criminal background check prior
to having contact \ /ith students pursuant to Idaho Code Section 33- 130.
A copy ofthe contractor personnel credentials pertinent to the service being
provided prior to working with students.
A copy ofall planned and subsequent completion oftraining taken towards
CBRS CPRP and,/or CFRP Certification in accordance with USpRA, IDApA
1 6.03.09.8ss. r 0.k.ii.
A copy ofthe service plan the student is working on in non-school settings.
Contractor: Joumeys
(Br, cBRS. HS)
2
3
4
5
6
Date luly 28- 2022
Provide monthly documentation of one-to-one supervision by a qualified
agency representative with the CBRS provider(s) to review treatment
provided to the student in accordance with IDAPA 16.03.09.855.10. The
CBRS provider and agency are responsible to provide supervision with each
student the provider has worked with monthly. This includes if the provider
only worked with a student for one day and must be conducted within the
calendar month they are submitting billing.
The school will be the lead agency for any enrolled student while that student is in school.
Before the Independent Contractor may work with a student, a contractual agreement must
be completed with the Independent Contractor, the Building Principal, and the Director of
Student Services.
Idaho Falls School District 91 must follow the privacy provisions set forth by the Family
Educational Rights and Privacy Act (FERPA), Health Insurance Portability and
Accountability Act (HIPAA), and the Idaho Special Education Manual, 2018. Idaho Falls
School District 91 will need written authorization lrom the parenVguardian to share
information with private service providers.
II. Overview for Independent Contractors Workin e with Students
"Independent contractor" means a person, group, agency, or organization that
meets the following conditions:
a. Provides services to the District under the terms specified in the contractual
agreement;
b. Provides services to the District according to his or her own processes and
methods;
c. Is paid or reimbursed for services provided to a student t}rough the
established billing policy.
"Conflict of interest" means any official action or any decision or
recommendation by a person who is employed by the school district, the effect
of which would be the pdvate pecuniary benefit ofthe person or a member of
the person's household, or a business with which the person or a member ofthe
person's household is associated.
a. In the event that a school district employee has an interest in the independent
contract, or a conflict of interest, the employee must:
i. Prepare a written statement describing the matter required to be
acted upon and the nature ofthe potential conflict;
ii. Deliver the statement to the employee's direct supervisor.
The Independent Contractor may:
a. Submit assessment data and/or reports to a school's evaluation team for
consideration in the student evaluation process.
b. Be invited to an evaluation team meeting by the school and/or
parent/guardian.
7
2
2Contractor: Joumeys
(BI, CBRS, HS)
Date July 28, 2022
1.
3.
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i. The determination of eligibility for special education and the
provision of a Free Appropriate Public Education (FAPE) are the
responsibility of the IEP teams and cannot be prescribed by any
other entity.ii. All education decisions regarding educational methodology,
materials, and personnel are the responsibility ofthe school district.
c. Provide services in the schools to students under the terms ofthe contractual
agreement with the school district (see Independent Contractor Conkactual
Agreement).
i. Contracts are established when the school district describes the
services to be provided, including the frequency and duration of
services; is paying for t}te services; and outlines the role,
responsibilities, and requirements of the Independent Contractor,
including documentation of licensure/certification to perform the
prescribed services, documentation of current background check(s),
documentation of liability insurance, terms of payment, and
provisions for changes or termination ofthe contract.
d. Provide services to students on school grounds under the terms of the
Summary of Services (see Summary of Services form).
i. The Summary of Services is established to allow the services to take
place on school property to benefit the student's progress in the
general education curriculum. The Summary of Services shall
describe the specific services to be provided; the responsibilities of
the school and the Independent Contractor; and the provisions for
space, time, equipment, and materials provided by the school
district.
ii. The school district may terminate the Summary of Services at any
time.
iii. Services provided under the Summary of Services to a student with
a disability shall be included on the student's IEP.
The district has no obligation to enter into a contract with an independent
contractor or to allow an independent conftactor access to school district
property, space, materials, or equipment.
School district records are only accessible to an independent contractor who is
under contract with the school district and with the written consent of the
student's parent/guardian or the student, if 18 years old or older.
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Nothing in this System of Care Protocol shall be construed to limit or impinge
in any way on services parents may acquire for their child thut u." not p.oridid
at the school. Issues related to the amount of time students are removed from
school for any purpose fall under the terms ofother school district policies.
Contractor: Joumeys
(Bt. CBRS, HS)3
Date July 28, 2022
6.
INDEPENDENT CONTRACTOR CONTRACTUAL AGREEMENT
This Independent Conkactor Contractual Agreement (hereinafter referred to as "Contractual
Agreement") is entered into between tdaho Falls School District 9l (hereinafter referred to as "the
District") and JOURI\EYS (hereinafter referred to as "Contractor").
Whereas, the District provides special educational and related services to assisl students attending
school in the District in their educational development, as identified on the student's lndividualized
Education Program (IEP); and
Whereas, the Contractor is duly licensed and/or qualified and able to proyide related services to the
District's students;
It is hereby agreed by both parties that:
DURATION OF AGREEMENT
The period ofthis Contmctual Agreemen t will commence on the 23th day ofAugust 2022 and
remain in effect until the 26rh dav of Mav 2023. This Contactual Agreement is contingent upon the
availability ofdisnict funding. This Contractual Ageement shall not exceed twelve (12) calendar
months. At the discretion ofthe District, the Contractual Agreement may be renewed annually.
RELATIONSHIP OF PARTIES
In performing services under this Contractual Agreement, Contractor is and shall at all times be an
independent contractor ofthe District. Nothing herein is to be construed as establishing an employer-
employee relationship.
SERVICES TO BE RENDERED
Confactor shall render the professional services enumerated on the Summary of Services, attached
hereto and made a part ofthis Contractual Agreement as set forth fully herein.
RECORD KEEPING
Contractor shall be responsible for maintaining complete and accurate records documenting the
professional services provided pursuant to this Contractual Agreement and shall provide copies ofthe
records to the District within five (5) working days ofthe date requested. Additionally, upon
reasonable notice, the Disfict shall have the right to review such records at any time during business
hous. Appropriate Medicaid billing sheets will be completed each month for the student(s) served.
CONFIDENTIALITY
Contractor agrees that all information regarding services provided pursuant to this Contractual
Agreement, including, but not limited to, the student's identity and the nature ofservices rendered,
shall be confidential pursuant to the Family Educational Records and Privacy Act (FERPA).
Contractor is prohibited from disclosing any information obtained as a result of rendering sewices
pursuant to this Contactual Agreement to any individual not authorized and directed by the District or
without the consent ofthe parent/guardian or the student, if l8 years of age or older.
REPORTINC OF ABUSE, ABANDONMENT, OR NEGLECT
contractor acknowledges its obligation to comply with ldaho code Section 16-1601, et seq. and report,
within 24 hours, any suspected abuse, abandonment, or neglect ofa child to law enforcement or the
ldaho Department of Health and Welfare. Contractor also agrees to inform the District, within 24
hours, of such suspicion.
4Contractor: Joumeys
(BI, CBRS, HS)
D,:te luly 28.2022
Idaho Falls School District 91
SERVICE DELIVERY: TIME AND PLACE
Contractor shall perform seryices set forth in the Summary ofServices, unless the parties mutually
agree to a modificatior ofthe time and place ofservice delivery.
PRIOR APPROVAL OF SERVICES
All services rendered by Contractor under the terms ofthis Contractual Agreement shall require prior
approval by the District in accordance with federal and state laws and regulations, local policies and
procedures, and professional codes of conduct.
CONSENT/AUTHORIZATION TO ACCESS EDUCATIONAL RECORDS OR PROTECTED
HEALTH INFORMATION
The District and Confactor shall at all times require the written consent or authorization ofthe
parenvBuardian or student, if l8 years ofage or older, for the disclosure or access to educational
information pursuant to FERPA or protected health information pursuant to the Health Information
Portability and Accountability Act (HIPAA) regarding the student, and shall maintain the
confidentiality ofthat information consistent with the state and federal law and regulations.
PROFESSIONAL SERVICES
The services rendered pursuant to this Contractual Agreement will be provided by individuals who are
duly licensed to perform the services or supervised by a licensed,/certified provider in accordance with
applicable professional standards. Contractor agrees that all work pursuant to this Contractual
Agreement will be performed in accordance with the highest professional standards. Written
documentation will be provided to the District attesting that all employees who come into contact with
students shall have been subject to a criminal background check at least as stingent as that required by
Idaho Code Section 33-130 and policies ofthe District, and have been determined to not hav€ a
criminal background inconsistent with working with children. The District shall haye the right to
observe services being provided to the clients.
INSURANCE AND LIABILITY
Contractor shall be solely liable for any losses or damages resulting ftom Contsactor,s performance of
any ofthe services covered by this Contractual Agreement. Contractor shall indemni! and hold
harmless the District from any liability, including, but not limited to, cost, expenses, and attorney fees,
resulting from contractor's performance ofthe services provided under this contractual Agreement.
Proof of insurance shall be submitted to the District within ten ( l0) days ofthe date ofthis Contractual
Agreement.
COMPENSATION/BILLING
The District shall compensate Contractor for the direct services identified on the attached Idaho School
Based Medicaid Program Service Detail and Actiyity Record. Reimbursement for approved hours will
be at the allowable billing rate (per unit) for community Based R€habilitation Serviies (cBRS) less
state funding rate (30%) and billing services (10%) rates, in an amount not to exceed the District,s rate
for the term of-the contractual Agreement. Additional hours will be compensated at the same rate,provided that the additionar hours have been pre-approved, in writing, byihe District,s designee.
Contractor will submit a monthly invoice (statement ofservices rendered) and the completed districtMedicaid reporting forms to the Director of student services by the end of each month. Thesecompleted forms must be accurate and ready to submit to the District,s bilring service. GeneJry, theDistrict will issue checks monthry ifthe invoice and paperwork are completel and in the Districi officeDy rhe end ot the previous month. Agency providers are responsible for getting the appropriate
Contractor: Joumeys
(Bl. CBRS, HS)5
Date luly 28. 2022
COORDINATION OF SERVICES
To facilitate delivery ofservices, the District will provide: (l) reasonable and prompt notification of
meetings and other appointments in which the Contractor is exp€cted to participate, (2) signed parental
consent forms, as necessary; (3) identio/ing information regarding the client and the parenVguardian;
and (4) reasonable assistance in facilitating communication between the Contractor and the client,
parenrguardian, and other providers and agencies.
The District agrees to pay Contractor at a rate of $!!f!per hour for Behavioral
Intervention Paraprofessio nal (BI PARA) Service &,34-p"r hour for Behavioral
Intervention Specialist (BI) Services, $30,03 pe r hour for Behavioral Intervention
Technician. $36.26 per hour for Communitv Based Rehabilitation Services CBRS()
Services. )$30.03 per hour for Habilitative Skills Pro (HS PRO). and @flper hour
for Habilitative Skills PafaaHS PARA) for the duration of the contract.
NON-DISCRIMINATION
The panies hereby agree that no person shall be excluded from, denied participation in, or otherwise
subjected to discrimination on the grounds ofrace, color, creed, national origin, sex, age, or disability
in performance ofthis Contractual Agreement.
GOVERNANCE
This Contractual Agreement shall be governed by the laws ofthe State ofldaho. Contractor shall, at all
times, comply with and observe all federal, state, and local laws, regulations, and ordinances which are
in effect and applicable during the period ofthis Contractual Agreement.
ASSIGNMENT
This Contactual Agreement shall not be subject to assignment, in whole or in part, by Contractor or by
operation of law, so as to authorize any person other than Contractor, or Contractor's employees, to
assume the duties subject to this Contractual Agreement without the District's prior written consent.
SUCCESSORS AND ASSIGNS
This Contractual Agreement is binding upon, and inures to the benefit of, successors and permitted
assigns to the Confactual Agreement.
AMENDMENT
This Contractual Agreement may be amended at any time with the prior written consent of both
parties. Any and all amendments to this Contractual Agreement shall be in writing.
TERMINATION
This Contractual Agreement may be terminated without cause by either party within thirty (30) days
after providing written notice ofthe intent to terminate to the other party.
Additionally, the District may immediately terminate this Contractual Agreement, upon \aT itten notice,
in the event funding for the District's program is no longer available or the specific services to this
Contractual Agreement are modified or terminated for a student.
DEFAULT
Upon default by either party, the non-defaulting party may, upon written notice, cancel this
Contractual Agreement immediately and may pursue any and all available legal and equitable
remedies. The defaulting party shall be liable for any and all expenses that are incurred by the non-
defaulting party as a result thereof, including, but not limited to, procuring substitute performance,
legal fees, and other Iosses incurred due to the default.
TIME OF PERFORMANCE
Time is ofthe essence in this Contractual Agreement; therefore, all times for performance ofthe
obligations, as stated herein, shall be stictly comPlied with by the parties
6Contractor: Joumeys
(BI, CBRS, HS)
Date July 28,2022
supervision completed by the appropriate supervisor depending on service being provided. AII forms
must be completed fully, signed and be the original. Each monthly invoice must include the following
information for each student receiving services: (1) studenr's name, (2) description ofservices
provided, (3) total number of hours spent in providing services, and (4) cost ofservices provided.
Additional documentation may be required by the District and must be provided within five (5)
working days ofthe date the wriften request for the documentation is made.
NON-WAVIER BREACH
The failure of Contractor or the District to insist upon strict performance of any of the terms ofthis
Contractual Agreement, or to exercise any option herein conferred in any or all instances, shall not
constitute a waiver or relinquishment of any such term, but the same shall be and remain in full force
and effect, unless such waiver is evidenced by the prior written consent of Contactor or the District.
ATTORNEY FEES
Ifeither party defaults in any manner or fails to fulfill any and,/or all provisions ofthis Contractual
Agreement, and ifthe non-defaulting party hires an attomey to exercise its rights upon such default or
failure, or if the parties are involved in any litigation (including any proceedings in bankruptcy), the
prevailing party shall be entitled to recover reasonable attomey fees and costs from the other party.
This paragraph shall be enforceable by the parties notwithstanding any rescission, forfeiture, or other
termination of this Contractual Agreement.
DISPUTE RESOLUTION
All participating agencies agree to resolve systemic disputes that arise in the provision ofspecial
education and independent contractor services in a non-adversarial manner and to ensure that using the
following process to resolve interagency disputes does not disrupt services to students and families:
l. An individual or agency with a concem will hrst use the agency's intemal procedures to address
the concem.
2. Ifresolution is not achieved at the previous level, the issue and all relevant information will now
be forwarded to the Director ofStudent Services for Idaho Falls School District 9l and
Contractor's administrator.
3. Ifconsensus is not reached at the previous level, the Director of Student Services will forward the
issue and all relevant information to the Superintendent of ldaho Falls School District 91.4. Ifa concem is related to the quality ofservice or health and safety issues, schools should refer
such concems about Contractor and/or the services being provided to the Director of Student
Services and Contractor's administrator to be addressed.
5. Ifthese concems are not resolved in a dialogue with the school administrator (the Director of
Student Services and/or the Superintendent) and the Conractor's administrator, the Department of
Health and Welfare regional licensing entity may be contacted to investigate the situation.
SERVERABILITY
Any term or provision ofthis Contractual Agreement that is invalid or unenforceable in any situation
in any jurisdiction will be deemed modified to reflect the intent ofthe parties, determined by reference
to the invalid or unenforceable term or provision, to the greatest permissible extent, and will not affect
the validiry or enforceability ofthe remaining terms and provisions ofthe Contractual Agreement or
the validity or enforceability ofthe offending term or provision in any other situation orjurisdiction.
COMPLETE STATEMENT OF TERMS
This Contractual Agreement constitutes the entire agreement between the parties hereto, and shall
supersede all previous oral or written proposals, negotiations, commitments, and all other
communications between the parties. This Contractual Agreement may not be released, discharged, or
modified except by an instrument in writing, signed by the duly authorized representativ€s ofthe
parties.
Contractor: Joumeys
(Br. CBRS, HS)7Date July 28, 2022
SUMMARY OF SERVICES
Independent Contractor and Idaho Falls School District 9l
This Summary of Services is to be used only after the District and Contractor have signed the
lndependent Contractor Contractual Agreement.
Department of Health & Welfare
Contact: School Based Medicaid
Address: 3232 Elder Street, Boise, ID 83705
Telephone Number: 208-364-1903
Independent Contractor Agency: Joumeys
Administrator: Andy Crossman
Supervisor: Tana Dutton
Business Address: 1560 Midway, Ammon, lD 83406
FaxNumber: 208-524-4450
E-Mail: tana.dutton@iquocy$klaje!0
Certificate/LicensureNumber: DDA-5348 ExpirationDate: 3131/2023
Direct Service Provider: Qualifred individual as mutually agreed upon
Review of Service:
First Review: November I4, 2022
Second Review: February 13, 2023
Third Review: April 24, 2023
At the student's annual IEP Team meeting
SERVICf, PLAN(S) MUST BE ATTACHED (For Information Only)
Service(s) to be provide: Behavioral Intervention (BI), Community Based Rehabilitation
Services (CBRS), and Habilitative Skills (HS)
When service(s) will be provided:
Day(s): Monday - Friday when school is in session and student is attending
Time: the school day when student is attending
Location (i.e., classroom, playground, etc...): all locations
Duration ofservices (each day): As required by the assigned students' lEPs.
Contractor: Journeys
(BI, CBRS, HS)
Date July 28, 2022 8
Contractor will comply with the District and/or school operational procedures and will fulfill
the following responsibilities:
. Sign in and out ofthe school office each visit with proper identification.
o Wear picture identification and/or obtain a visitor's identification badge from the
school for each visit.
. Wear appropriate clothing for the school setting.
r Adhere to set schedule - arrive and leave on time.
. Notiry the building administrator ifyou will be absent (one day's notice, ifpossible).
o Pick up and retum the student to an appropriate school staff person for each visit, if
applicable.
. Remain in assigned location.
o Be knowledgeable about school emergency procedures.
o Not use any information obtained by observing other students to make contact with
parents for solicitation purposes.
. Not attempt to supersede a teacher or school staff member in the instructional
implementation or supervision of an individual or class. The special education
teacher and/or general education teacher is the instructional leader in the classroom.
o Noti& the District and/or school ofany staffing changes within the agency that relate
to the services indicated on this agreement.
o Be cooperative when resolving conflicts with district and/or school staff.
DistricUschool responsibilities include:. Respect the rights of Contractor.r Provide information regarding the procedures and schedule ofthe school.o Provide information on emergency procedures.
. When appropriate, invite Contractor to specific student's Multi-Disciplinary Team
(MDT) meetings and/or Individualized Education Program (lEP) team meetings.. Accommodate, within reason, Contractor's needs to fulfill the service plan.o Provide a positive climate and building environment to facilitate mutual assistance. Be cooperative when resolving conflicts between Contractor and school staff.
The above items are not to be considered all inclusive. Any concems will be addressed according
to the Dispute Resolution section in the Contractual Agreement.
IN WITNESS WHEREOF, the parties have executed this Contractual Agreement.
79 2Z
Si of ntractor or Designee Date
i?albh
Signature of District 91 Superin or Designee
Contractor: Joumeys
(BI. CBRS. HS)
Date
9Date July 28.2022
*'Idaho Falls
School District 91
A World Class Education
BEHAVIORAL INTERVENTION SPECIALIST (B . BEHAVORIAL
INTERVENTIO N PARAPROFESSIOANL (BI PARA)). BEHAVORIAL
TECHNICIAN (BI TE CH), COMMUNITY BASED REHABILITATION SERVICES
AND HABILITATIVE SKIL
The purpose ofthe System ofCare is to establish a procedural protocol to assist Idaho Falls School
District 91 in collaborating for the delivery ofrelated services provided by independent contractors
in accordance an eligible student's Individualized Education Program (IEP) and developed
pursuant to Idaho Special Education Rules and Regulations,2016; The Children's Mental Services
Act of 1998; and Medicaid billing policy for rehabilitative services in a school setting (IDAPA
16.03.09.245,IDAPA 16.03.10.124.05.o,IDAPA 16.03.10.653.05.e. and IDAPA 16.03.09.355.10
- Qualifications and Supervision).
The school will be the lead agency for any enrolled student while that student is in school. Before
the Independent Conffactor may work with a student, a contractual agreement must be completed
with the Independent Contractor and the Director of Student Services.
lndependent Contractor Agency: Joumeys
Supervisor: Tana Dutton
Business Address: 2660 l'r St, Idaho Falls, ID 83401
E-Mail: tana.dunonr2iou rneysdda.com
BI Rate: $34.34lhour
BI-Para Rate: $ 19.31/hour
BI Tech Rate: $30.03/hour
CBRS Rate: $36.26lhour
HS Pro Rate: $30.03/hour
HS Para Rate $ 19.3l/hour
Students: As per addendum.
Independent Contractor:Date:
Director of Student s"*i"".'
Contractori Joumeys
School Year 2022-2023 1
690 John Adams Parkway
Idaho Falls, Idaho 83401
Phone: (208) 525-7500 FAX: [208] 525-7596
Web Address: www.d91.k12.id.us
IDAHO FALLS SCHOOL DISTRICT 9I
System of Care Protocol for Independent Contractors
I. Protocol for Journevs Providing
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