AGREEMENT BETWEEN INTENSIVE TREATMENT SYSTEMS AND MARICOPA COUNTY_.PDF PE.PDF
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AGREEMENT
Between
MARICOPA COUNTY AND
INTENSIVE TREATMENT SYSTEMS OF ARIZONA
This Agreement for Joint Training needs is entered into between Intensive Treatment
Systems of Arizona (“ITS”) and MARICOPA COUNTY (“COUNTY”) to be administered
by its DEPARTMENT OF CORRECTIONAL HEALTH SERVICES (“CHS”).
I.
PURPOSE:
The County and ITS desire to enter into an Agreement to address joint training
needs. The purpose of this Agreement is to establish a program to increase access
to Medication Assisted Treatment (“MAT”), Opioid Use Disorder (“OUD”)
recovery support services, and opioid prevention awareness for incarcerated
patients transitioning to the community.
II.
DEFINITIONS:
As used throughout this Agreement, the following terms shall have the meanings
set forth below:
A.
Agreement means this document and all attachments and amendments
hereto.
B.
County means Maricopa County.
C.
CHS means the Department of Correctional Health Services.
D.
Criminal Justice Information refers to any confidential information
collected by criminal justice agencies on individuals consisting of
identifiable descriptions and notations of arrests, detentions, indictments,
information, or other formal criminal charges, and any disposition arising
therefrom, as well as confidential pre-booking or booking personal
identifiable information, including date of birth, social security number,
age, demographic information, projected release dates and release date
information as defined in 5.U.S.C. § 552 and 5 U.S.C. § 552a.
E.
Director means the Director of CHS.
F.
Medical Director means the Medical Director of CHS.
G.
Authorized Use means Protected Health Information (“PHI”) provided by
CHS to ITS that shall be used and/or disclosed only as authorized by law
including, but not limited to the treatment of individuals identified as
homeless as needed in order to reduce recidivism. Except when otherwise
required by law, disclosures of PHI pursuant to this Agreement is subject to
a minimum necessary determination by CHS (45 CFR § 164.502(b)). When
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reasonable to do so, CHS may rely upon the representations of ITS as to
what information is the minimum necessary for their lawful purpose (45
CFR § 164.514(d) (3) (iii)). Information regarding substance use or abuse
shall not be disclosed without the express written authorization of the
individual.
H.
HIPAA refers collectively to the Health Insurance Portability and
Accountability Act of 1996, codified at 42 U.S.C. § 1320d et seq., and the
Health Information Technology for Economic and Clinical Health Act,
enacted as Title XIII of the American Recovery and Reinvestment Act of
2009, codified at 42 U.S.C. § 17921 et seq., and any current and future
regulations promulgated thereunder, including but not limited to 45 C.F.R.
Parts 2, 160 and 164.
I.
Electronic Health Record (“EHR”) refers to the electronic health record
software system licensed by the County and maintained by CHS.
J.
PHI shall have the same meaning as defined under HIPAA and includes
any information about health status, provision of health care or any
individually identifiable information including Social Security Number,
Age, Sex, Date of Birth, Patient Identification Number, Medical Record
Documentation either paper or electronic, diagnosis, procedural
information and any other information directly linked and identifiable to a
specific individual under the care, safety and medical supervision of CHS.
III.
JOINT TRAINING NEEDS FOR CHS AND ITS
A.
Background: CHS enhances community safety by working in a
collaborative partnership with ITS. The State Opioid Response
(SOR) grant is a program funded by the Substance Abuse and
Mental Health Services Administration (SAMHSA). The grant's
goal is to help the community access: MAT, Coordinated and
integrated care, OUD/stimulant use disorder recovery support
services.
B.
“Reach-in” Care Coordination: To facilitate the transition of
members transitioning out of jails and back into our community,
collaboration between CHS and ITS is critical to reentry activities.
Specifically, ITS will collaborate with CHS to accomplish “reach-
in” care coordination for individuals re-entering the community
from correctional settings to assist with access to MAT, integrated
healthcare, and OUD/stimulant use disorder recovery support
services.
C.
Data Sharing and Coordination: ITS and CHS will partner to accomplish
the following:
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1.
Communicate timely data necessary for coordination of care in
conformance with all applicable administrative orders, state laws
and regulations, 42 CFR Part 2, and Health Insurance Portability and
Accountability Act (HIPAA) requirements that permit the sharing
of written, verbal, and electronic information.
2.
Use data sharing agreements and administrative orders that permit
the sharing of written, verbal, and electronic information at the time
of admission into the facility and at the time of discharge.
D.
Protocols
1.
CHS will provide referrals to ITS by triaging community transition
needs with individuals and scheduling a MAT-ITS appointment in
the CHS-EHR.
2.
ITS will provide Navigation staff to complete face to face and video
visits with in-custody individuals to assess needs, provide education
and develop a plan to link the individual to community resources
upon release.
3.
ITS will provide referrals for pre-release inductions to CHS and
identify a release plan for the patient to follow up with treatment,
upon release.
E.
Communication and Problem Resolving
1.
CHS and ITS will have monthly steering committee meetings to
build and strengthen relationship and address any problems or
conflicts. Additionally, ITS will identify and extend invitations to
CHS, to meetings appropriate for CHS participation.
2.
Meetings shall include opportunities for agency cross-training and
for identifying, communicating, and resolving problems to increase
understanding and knowledge of each other's mission, goals and
how, through agency collaboration, members are provided
identified services to improve their health and well-being and reduce
recidivism.
3.
ITS and CHS will work together to ensure processes from both
agencies are being practiced. On-going improvement efforts will
focus on reducing redundancies and providing timely, accurate and
relevant information to coordinate services and evaluate outcomes
of those services.
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4.
ITS and CHS will identify key staff who have the authority to assist
with disputes and find resolutions based on the agreements and best
interest of the populations jointly served. If necessary, this may
include the ITS Director (or designee) and the CHS Mental Health
Director. Meetings shall include opportunities to report identified
gaps and discuss and act on resolutions.
F.
Joint Training Needs: ITS and CHS will provide cross training
opportunities as mutually agreeable needs are identified.
IV.
SPECIAL TERMS AND CONDITIONS:
A.
TERM OF AGREEMENT: This Agreement shall begin upon approval by
both parties and shall terminate one year thereafter unless otherwise
terminated or amended as provided herein. By mutual written amendment
executed by the Parties’ authorized representatives, this Agreement may be
extended for supplemental periods of twelve (12) months, up to maximum
of forty-eight (48) months.
B.
TERMINATION: This Agreement may be terminated by either party with
prior written notice to the other party. Such Notice of Termination by ITS
shall be effective thirty (30) calendar days after mailing by certified mail,
return receipt requested, to CHS. CHS may terminate this Agreement, in
whole or in part, immediately upon providing either written or verbal notice
to ITS when CHS deems the health or welfare of a patient is endangered.
Either party may terminate this agreement immediately upon providing
written or verbal notice when it deems that performance would be in
violation of the law or order of a court of law. For any other cause, CHS may
terminate this Agreement upon thirty (30) calendar days after mailing by
certified mail, return receipt requested, to ITS.
C.
AMENDMENTS: Any changes to this Agreement shall be in writing and
signed by both parties.
D.
ITS & CHS’S RESPONSIBILITIES: ITS and CHS shall operate in a
professional manner that conforms to all local, state, and federal codes and
rules and within the standard of practice for the scope of each of the parties’
responsibilities. ITS and CHS shall comply with all federal, state, and local
laws, ordinances, rules, and regulations applicable to each party’s
performance under this Agreement. There are no financial responsibilities
assigned by this Agreement; the Agreement is intended to allow ITS and
CHS to work together to better address the needs of the community.
E.
ONBOARDING: CHS requires the ITS’s staff to use the most updated
version of the Onboarding Packet, available online at the following link:
https://www.maricopa.gov/DocumentCenter/View/76039/Onboarding-
Packet. ITS’s staff must complete the Onboarding Packet and provide all
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required supporting documentation. ITS must submit the completed
Onboarding Packet with required supporting documentation to CHS via
email: CHSOnboard@maricopa.gov. ITS staff shall remain in compliance
with the requirements as detailed in the Onboarding Packet. Prior to working
onsite, ITS is responsible for ensure their staff review the Contractor
Information
Packet;
available
online
at
the
following
link:
https://www.maricopa.gov/DocumentCenter/View/76559/Contractor-
Information-Packet
F.
EHR COMPLIANCE MONITORING: CHS shall conduct periodic
quality assurance audits to determine ITS’ s proper access and utilization of
its EHR system to monitor respective compliance with, and performance
under, the terms and conditions of this Agreement.
G.
RETENTION OF RECORDS: ITS and CHS shall maintain records and
other relevant documents to this Agreement for five (5) years following the
termination or expiration of the Agreement; provided however, if any audit
questions are unresolved at the end of that five (5) year period, all records
and documents relating to such audit questions shall be maintained until
those audit questions are resolved.
H.
NON-DISCRIMINATION: To the extent applicable, ITS, in accordance
with ARS § 41-1461, et seq., shall provide equal employment opportunities
for all persons, regardless of race, color, creed, religion, sex, age, national
origin, disability or political affiliation. ITS shall comply with the Americans
with Disabilities Act.
I.
EMPLOYMENT VERIFICATION: To the extent applicable, the parties
shall comply with ARS § 41-4401, all Federal immigration laws and
regulations relating to employees, including compliance with A.R.S. § 23-
214, Subsection A.
J.
GOVERNING LAWS: This Agreement shall be governed by the laws of
the State of Arizona. Any litigation arising from the agreement, or the
performance thereof will be decided in the federal or state courts of Maricopa
County unless otherwise agreed to between the Parties.
K.
INDEMNIFICATION: To the fullest extent permitted by law, each party
shall defend, indemnify, and hold harmless the other party, its agents,
representatives, officers, directors, officials, and employees for, from and
against all claims, damages, losses and expenses, including, but not limited
to, attorneys’ fees, court costs, expert witness fees, and the cost of appellate
proceedings, relating to, arising out of, or alleged to have resulted from the
negligent acts, errors, omissions or mistakes relating to the performance of
this Agreement. Each party’s duty to defend, indemnify and hold harmless
the other party, its agents, representatives, officers, directors, officials, and
employees shall arise in connection with any claim, damage, loss or expense
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that is attributable to bodily injury, sickness, disease, death, or injury to,
impairment, or destruction of property, including loss of use resulting
therefrom, caused by any negligent acts, errors, omissions or mistakes in
the party’s performance of this Agreement including any person for whose
acts, errors, omissions or mistakes a party may be legally liable.
L.
INSURANCE: ITS, at ITS’s own expense, shall purchase and maintain, at
a minimum, the herein stipulated insurance from a company or companies
duly licensed by the State of Arizona and possessing an AM Best, Inc.
category rating of B++. In lieu of State of Arizona licensing, the stipulated
insurance may be purchased from a company or companies, which are
authorized to do business in the State of Arizona, provided that said
insurance companies meet the approval of County. The form of any
insurance policies and forms must be acceptable to County.
All insurance required herein shall be maintained in full force and effect
until all work or service required to be performed under the terms of the
Agreement is satisfactorily completed and formally accepted. Failure to do
so may, at the sole discretion of County, constitute a material breach of this
Agreement. In the event that the insurance required is written on a claims-
made basis, ITS warrants that any retroactive date under the policy shall
precede the effective date of this Agreement and either continuous coverage
will be maintained, or an extended discovery period will be exercised for a
period of two years beginning at the time work under this Agreement is
completed. ITS’s insurance will be primary insurance as respects County,
and any insurance or self-insurance maintained by County will not
contribute to it.
Any failure to comply with the claim reporting provisions of the insurance
policies or any breach of an insurance policy warranty shall not affect the
County’s right to coverage afforded under the insurance policies. The
insurance policies may provide coverage that contains deductibles or self-
insured retentions. Such deductible and/or self-insured retentions shall not
be applicable with respect to the coverage provided to County under such
policies. ITS shall be solely responsible for the deductible and/or self-
insured retention and County, at its option, may require ITS to secure
payment of such deductibles or self-insured retentions by a surety bond or
an irrevocable and unconditional letter of credit.
The insurance policies required by this Agreement, except Workers’
Compensation and Errors and Omissions, shall name County, its agents,
representatives, officers, directors, officials, and employees as additional
insureds. The policies required hereunder, except Workers’ Compensation
and Errors and Omissions, shall contain a waiver of transfer of rights of
recovery (subrogation) against County, its agents, representatives, officers,
directors, officials, and employees for any claims arising out of ITS’s work
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or service. If available, the insurance policies required by this Agreement
may be combined with Commercial Umbrella Insurance policies to meet
the minimum limit requirements. If a Commercial Umbrella insurance
policy is utilized to meet insurance requirements, the Certificate of
Insurance shall indicate which lines the Commercial Umbrella Insurance
covers.
1.
Commercial General Liability: Commercial General Liability
(CGL) insurance and, if necessary, Commercial Umbrella insurance
with a limit of not less than $1,000,000 for each occurrence,
$3,000,000 Products/Completed Operations Aggregate, and
$3,000,000 General Aggregate Limit. The policy shall include
coverage for premises liability, bodily injury, broad form property
damage, personal injury, products and completed operations and
blanket contractual coverage, and shall not contain any provisions
which would serve to limit third party action over claims. There
shall be no endorsement or modifications of the CGL limiting the
scope of coverage for liability arising from explosion, collapse, or
underground property damage.
2.
Workers’ Compensation: Workers’ Compensation insurance to
cover obligations imposed by Federal and state statutes having
jurisdiction of ITS’s employees engaged in the performance of the
work or services under this Agreement; and Employer’s Liability
insurance of not less than $1,000,000 for each accident, $1,000,000
disease for each employee, and $1,000,000 disease policy limit. ITS,
its subcontractors, and sub-subcontractors waive all rights against
this Agreement and its agents, officers, directors, and employees for
recovery of damages to the extent these damages are covered by the
Workers’ Compensation and Employer’s Liability, or Commercial
Umbrella Liability insurance obtained by ITS, its subcontractors,
and its sub-subcontractors pursuant to this Agreement.
3.
Professional Liability Insurance: ITS shall maintain Professional
Liability insurance which will provide coverage for any and all acts
arising out of the work or services performed by ITS under the terms
of this Agreement, with a limit of not less than $1,000,000 for each
claim, and $3,000,000 aggregate claims.
4.
Sexual Molestation and Physical Abuse: The policy shall be
endorsed to include coverage for sexual molestation and physical
abuse at limits not less than $1,000,000.00 per occurrence and
$2,000,000.00 aggregate. These limits may be included within a
General Liability policy, Professional Liability policy or provided
by separate endorsement with its own limits as required. ITS must
provide the following statement on their Certificate(s) of Insurance:
“Sexual molestation and physical abuse coverage is included.”
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Policies/certificates stating that “Sexual molestation and physical
abuse coverage is not excluded” do not meet this requirement.
5.
Cyber, Network Security, and Privacy Liability: Cyber, Network
Security and Privacy Liability Insurance with a limit of not less than
$5,000,000 per occurrence. The policy shall include, but not be
limited to; coverage for all directors, officers, agents and employees
of ITS, losses with respect to network risks (such as data breaches,
unauthorized access or use, and ID theft of data), invasion of privacy
(regardless of the type of media involved in the loss of private
information), crisis management, identity theft response costs,
breach notification costs, credit remediation, and credit monitoring,
defense, and claims expenses, regulatory defense costs plus fines
and penalties, cyber extortion, electronic data restoration expenses
(data asset protection), network business interruption, computer
fraud coverage, funds transfer loss, third-party fidelity, theft, no
requirement for arrest and conviction, and loss outside the premises
of the named insured.
6.
Certificates of Insurance: Prior to Agreement execution, ITS shall
furnish the County with valid and complete certificates of insurance,
or formal endorsements as required by the Agreement in the form
provided by the County, issued by ITS’s insurer(s), as evidence that
policies providing the required coverage, conditions, and limits
required by this Agreement are in full force and effect. Such
certificates shall identify this contract number and title. In the event
any insurance policy(ies) required by this Agreement is (are) written
on a claims-made basis, coverage shall extend for two years past
completion and acceptance of ITS’s work or services and as
evidenced by annual Certificates of Insurance. If a policy does
expire during the life of the Agreement, a renewal certificate must
be sent to County 15 calendar days prior to the expiration date.
Certificates of Insurance shall identify Maricopa County as the
additional insured/certificate holder as follows:
Maricopa County
c/o Risk Management
301 W Jefferson St., Suite 910
Phoenix, AZ 85003
7.
Cancellation and Expiration Notice: Applicable to all insurance
policies required within the insurance requirements of this
Agreement, VSD’s insurance shall not be permitted to expire, be
suspended, be canceled, or be materially changed for any reason
without 30 calendar days prior written notice to Maricopa County.
VSD must provide notice to Maricopa County, within two business
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days of receipt, if they receive notice of a policy that has been or
will be suspended, canceled, materially changed for any reason, has
expired, or will be expiring. Such notice shall be sent directly to
Maricopa County Office of Procurement Services and shall be
mailed, or hand delivered to 301 W. Jefferson St. Suite 700,
Phoenix, AZ 85003.
M.
EMPLOYMENT: Parties acknowledge that under this agreement no
employee or participant of ITS is to be considered a County employee, and
that no rights of County merit, County retirement, or County personnel rules
shall accrue to such individual. ITS shall have total responsibility for all
salaries,
wages,
bonuses,
retirement,
withholdings,
workman's
compensation,
occupational
disease
compensation,
unemployment
compensation, other employee benefits, and all taxes and premiums
appurtenant thereto concerning such individuals and shall save and hold
County and CHS harmless with respect thereto.
N.
NON-JOINT VENTURE. This Agreement is not intended to constitute,
create, give rise to, or otherwise recognize a joint venture agreement,
partnership or other formal business association or organization of any kind,
and the right and obligations of the Parties shall be only those expressly set
forth in this Agreement.
O.
CONFLICTS OF INTEREST: This Agreement is subject to the provisions
of A.R.S. § 38-511.
P.
ARBITRATION: To the extent applicable, the parties, in accordance with
ARS §12-1518, agree to resolve all disputes arising out of or relating to this
Agreement through arbitration, after exhausting applicable administrative
review except as may be required by other applicable statutes. This provision
does not apply to provider claims disputes or member appeals regarding
covered services provided by ITS.
Q.
PUBLIC RECORDS: Notwithstanding any other provision of this
Agreement to the contrary, CHS is subject to A.R.S. 39-121 through 39-128
regarding public records. Any provision regarding confidentiality is limited
to the extent necessary to comply with the provisions of Arizona law. The
parties acknowledge that ITS is not a public agency subject to public records
laws but is a private corporation.
R.
CONFIDENTIALITY OF RECORDS:
1.
Neither party shall use or disclose any PHI received from the other
in any manner that would constitute a violation of this Agreement or
federal or state law. Each party shall take reasonable measures to
ensure that its directors, officers, employees, vendors, contractors,
and agents use or disclose PHI received from the other party in
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accordance with the provisions of this AGREEMENT and federal
and state law. Each party shall implement all appropriate safeguards
reasonably necessary to maintain the confidentiality of the
information accessed through the EHR system.
2.
Information pertaining to substance abuse will only be shared upon
obtaining a release of information from the individual in compliance
with 42 CFR Part 2.
3.
Before ITS’ Authorized Users may have access to CHS’s EHR
application system, Authorized Users will be required to read and
agree to the terms of CHS’s user/confidentiality agreement. The
parties shall work cooperatively to fulfill this requirement and return
copies of the executed agreements, as necessary.
4.
ITS and its Authorized Users may be provided with Criminal Justice
Information via the EHR system by CHS for the sole purpose of
safely and securely providing and/or coordinating treatment and/or
healthcare services to patients incarcerated in the Maricopa County
Jail. ITS shall not use or disclose Criminal Justice Information for
any other purpose and will treat all Criminal Justice Information as
confidential as required by state and federal laws at all times and take
reasonable measures to maintain the security and confidentiality of
such information. ITS shall instruct its staff concerning the
confidential nature of Criminal Justice Information and the
applicable prohibitions against its use and disclosure.
5.
REPORTING OF UNAUTHORIZED USE OR DISCLOSURE OF
PHI:
CHS and ITS shall, within twenty-four (24) hours of becoming aware
or has reason to believe of an unauthorized use or disclosure of PHI
by either organization; or any of its Authorized Users, officers,
directors, employees, vendors, contractors, agents or by a third party.
Such notice shall be made to the following:
MARICOPA COUNTY CORRECTIONAL HEALTH
SERVICES (CHS)
Attn: BIT Team
Title: Unauthorized use or Disclosure of PHI
Address: 234 N Central Avenue, Suite 5350
City, State Zip: Phoenix, AZ 85004
Phone: (602) 506-0897
Emails: CHSHIMTEAM@Maricopa.gov
and CHSBIT@Maricopa.gov
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Intensive Treatment Systems of Arizona
ATTN. Daniella Sabur
Title: Director of Operations
Address: 4136 N 75th Ave Suite 116
City, State and ZIP: Phoenix AZ 85033
Phone: 602-576-8651
Email: daniellasabur@itsofaz.com
S.
ASSIGNMENT, DELEGATION AND EXECUTION:
1.
Neither party may assign this Agreement without the express,
written, prior consent of both parties, which shall not be unreasonably
withheld or delayed.
2.
This Agreement does not imply authority to perform any tasks or
accept responsibility.
3.
Sections and other headings contained in this Agreement are for
reference purposes and shall not affect in any way the meaning or
interpretation of this Agreement.
4.
This Agreement may be executed in two or more counterparts, each
of which shall be deemed an original but all of which together shall
constitute the same instrument. Faxed, copied, and scanned
signatures are acceptable as original signatures.
5.
This Agreement contains the entire understanding of the parties
hereto with respect to the matters covered, and it supersedes all
proposals, oral or written, and all other documents or
communications between the parties relative to the subject matter
herein covered, unless such documents or communications are
specifically included by reference.
6.
All notices under this Agreement given by either party to the
other shall be in writing and shall be delivered in person or sent by
U.S. Postal Service, postage prepaid and addressed to the following
individuals:
MARICOPA COUNTY CORRECTIONAL HEALTH
SERVICES (CHS)
Attn: Lisa Struble
Title: CHS Department Director
Address: 234 N. Central Avenue, Suite 5000
City, State Zip: Phoenix, AZ 85004
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Phone: (602) 350-1745
Email: Lisa.Struble@maricopa.gov
Intensive Treatment Systems
ATTN. Daniella Sabur
Title: Director of Operations
Address: 4136 N 75th Ave Suite 116
City, State and ZIP: Phoenix AZ 85033
Phone: 602-576-8651
Email: daniellasabur@itsofaz.com
7.
Prior to or simultaneously with the execution of this Agreement, ITS
shall provide CHS with proof, satisfactory to the County Attorney, that
the individual executing this Agreement on behalf of ITS is legally
authorized to bind ITS.
* Remainder of Page Intentionally Left Blank *
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IN WITNESS WHEREOF, the parties have executed this Agreement as of the respective
dates written below.
Intensive Treatment Systems
MARICOPA COUNTY
Authorized Individual:
BOARD OF SUPERVISORS
By:
By:
Name: _ Daniella Sabur _ Name: ________________________
Title: Director of Operations
Title: Chairman, Board of Supervisors
Date:
Date:
ATTEST:
By:
Name: _______________________
Title : Clerk of the Board
Date:
APPROVED AS TO FORM:
By:
Name:
Title: Deputy County Attorney
Date:
4/25/2023
DocuSign Envelope ID: 36FD9223-DB66-4681-B858-1C1B51ECCD0B
4/25/2023
Davina Bressler