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Home My WebLink AboutRESOLUTION - 40-21 - 7/20/2021 - A Bridge Back, Inc. AgreementRESOLUTION NO.40-21 A RESOLUTION AUTHORIZING THE MAYOR AND VILLAGE CLERK TO EXECUTE A MEMORANDUM OF AGREEMENT BETWEEN THE VILLAGE OF ELK GROVE VILLAGE POLICE DEPARTMENT AND A BRIDGE BACK, INC. NOW, THEREFORE, BE IT RESOLVED by the Mayor and Board of Trustees of the Village of Elk Grove Village, Counties of Cook and DuPage, State of Illinois, as follows: Section 1: That the Mayor be and is hereby authorized to sign the attached documents marked: MEMORANDUM OF AGREEMENT BETWEEN ELK GROVE VILLAGE POLICE DEPARTMENT AND A BRIDGE BACK, INC. a copy of which is attached hereto and made a part hereof as if fully set forth and the Village Clerk is authorized to attest said documents upon the signature of the Mayor. Section 2: That this Resolution shall be in full force and effect from and after its passage and approval according to law. VOTE: AYES: 6 NAYS: 0 ABSENT: 0 PASSED this 2011 day of July 2021. APPROVED this 201h day of July 2021. APPROVED: Mayor Craig B. Johnson Village of Elk Grove Village thorizin Loretta M. Murphy, Village Clerk RESOLUTION NO.40-21 A RESOLUTION AUTHORIZING THE MAYOR AND VILLAGE CLERK TO EXECUTE A MEMORANDUM OF AGREEMENT BETWEEN THE VILLAGE OF ELK GROVE VILLAGE POLICE DEPARTMENT AND A BRIDGE BACK, INC. NOW, THEREFORE, BE IT RESOLVED by the Mayor and Board of Trustees of the Village of Elk Grove Village, Counties of Cook and DuPage, State of Illinois, as follows: Section l: That the Mayor be and is hereby authorized to sign the attached documents marked: MEMORANDUM OF AGREEMENT BETWEEN ELK GROVE VILLAGE POLICE DEPARTMENT AND A BRIDGE BACK, INC. a copy of which is attached hereto and made a part hereof as if fully set forth and the Village Clerk is authorized to attest said documents upon the signature of the Mayor. Section 2: That this Resolution shall be in full force and effect from and after its passage and approval according to law. VOTE: AYES: 6 NAYS: 0 ABSENT: 0 PASSED this 20t' day of July 2021. APPROVED this 20th day of July 2021. APPROVED: Mayor Craig B. Johnson Village of Elk Grove Village ATTEST: Loretta M. Murphy, Village Clerk MEMORANDUM Or AGREEMENT BETWEEN ELK GROVE VILLAGE POLICE DEPARTMENT AND A BRIDGE BACK, INC. The Elk Grove Village Police Department located at 901 Vdcllington Ave, Elk Grove Village, IL 60007 and A Bridge Back administrative offices located at 314 Mcl lenry Rd, Buffalo Grove, II_ 60089 enter into this Agreement for Services to establish coordination of' inpatient treatment services for Elk Grove Village Police Department referrals. A Bridge Back and Elk Grove Village Police Department agree to the following: Elk Grove Village Police Department will make referrals for residential substance abuse services to be provided at A Bridge Back. A. Services provided by A Bridge Back include: - Behavioral 1-iealth Screen to Determine Eligibility ($105.54) - Psychiatric Diagnostic Evaluation ($87.60) - Individual/Family Psychotherapy ($66.92 for 60 minutes) - Group Therapy ($25.36 per hour) - Case Management ($55"00 per hour) - Detoxification (M.A.'r) — ($250.00 initial visit + $150.00 each follow up visit) - Transitional 1-lousing/Lodging ($175 per week and does not include meals) B. Elk Grove Village Police Department will provide the following services: With signed written authorization by the client, - Participate in case staffing; - Provide pertinent information related to the participant's involvement with the Elk Grove Village Police Department relevant to treatment decisions; - Participate in site visits when requested; and - irequired. the Elk Grove Village Police Department will reimburse up to two (2) f weeks cost for "transitional 1-lousing/Lodging. - Confirm Elk Grove Village Police Departments payment obligations set forth in Paragraph C. below. C. Elk Grove Villa�.,c Police Department agrees to reimburse A Badge Back up to $500 Medicaid or weekly for participants whom do not have third -party commercial insurance, and Recovery (SUPR) who are ineligible for Division of Substance Use Prevention benefits. 11, the event A Bridge Back receives State rates for residential substance abuse treatment services that exceed the rate set forth in this agreement, the contract rate shall be increased upon thirty (30) days' notice from A Bridge Back to Elk Grove Village e Back agrees ifs the F Ik Grove Village Police Department Police Department. A Bridg referral is currently covered by Medicaid. or commercial insurance. or meets the SUPR eligibility requirements, then in that event. Medicaid, SUPR or the commercial insurance will be billed first for covered services, subject to applicable laws. The Elk Grove Village Police Department funds will be available for those Elk Grove Village Police Department participants who have no third party coverage or who have exhausted other third party. coverage. Community Law Enforcement Partnership for Deflection and Addiction ill be available to fulfill the financial obligations of the Elk Treatment Act Grant funds w Grove Village Police Department during the period November 1, 2021 through June 30, 2022. Invoices submitted to the Elk Grove Village Police Department will include the participants name and dates of services. D. A Bridge Back is a '`Part 2 Program" as defined by the Confidentiality of Substance Use Disorder Patient Records regulations at Title 42 01' the Code of Federal Regulations (C.F.R.) Part 2 (42 C.F.R. Part 2) and complies with the provisions of 42 C.F.R. Part 2. Information that would identify, directly or indirectly. an individual as having been diagnosed, treated, or referred for treatment for a substance use disorder is protected under federal law/42 C.F.R. Part 2. in receiving any protected information, Ilk Grove Village Police Department agrees that they are fully bound by the provisions of-42 C.F.R. Part 2. Elk Grove Village Police Department shall not disclose or redisclose information aving had a substance use disorder either directly, identifying an individual as having or h by reference to publicly available information. or through verification of such identification by another person unless disclosure is expressly permitted by the written consent of the individual whose information is being disclosed or as otherwise permitted by 42 C.F.R. Part 2. E. In order- to improve case coordination. A Bridge Back will attempt to obtain the consent of a participant to disclose his or her information to the Elk Grove Village Police Department Social Worker. F. Acceptance of referrals shall be based on current admission policies and procedures 01' A Bridge Back and the availability of beds. Continued stay shall be based on A Bridge Back's criteria. Individuals who are determined by A Bridge Back to have the ability to pay for services. through insurance, self -pay, or Medicaid, will be required to pay A Bridge Back for their treatment. G. A Bridge Back reserves the right to immediately terminate a client for violation of program rules. but shall advise Eli: Grove Village Police Department at the time of termination so that Elk Grove Village Police Department can make arrangements to pick up the client, if, necessary. Otherwise, at the completion of a client's treatment, A Bridge Back will work with client on the discharge plan and coordinating. transportation. 1-1. A Bridge Back shall, at its own expense, procure and maintain professional and comprehensive general liability insurance with limits of not less than $1 million per occurrence or $3 million in aggregate. I. A Bridge Back shall defend and indemnify Ilk Grove Village Police Department and its officers, employees, representatives, agents, successors and assigns directors. (collectively. "Indemnitces") from and against any and all claims, demands, suites fines, penalties or causes of action (collectively claims) brought by third parties including claims for liabilities. damages, awards, losses, costs and expenses (including reasonable attorney(s) fees) that result from any and all service provided by A Bridge Back to Elk Grove Village Police Department clients. except to such extent that such liabilities, damages, awards, losses, costs and expenses arise due to the negligent or intentional acts or omissions of any of the Elk Grove Village Police Department Indemnitces. J. Lither party may terminate this Agreement for Services by providing 30 days prior written notice to the other party. K. The parties acknowledge that this Agreement constitutes the entire agreement between them and that no promises, terms, or conditions not recited, incorporated or referenced herein, including prior agreements or oral discussions, shall be binding upon either party. This Agreement for Services shall commence on July 1, 2021 and shall terminate on .lone 30, 2022. [,Signwurehnge to.follotivJ IN WITNESS \VHEK2OF,[hepahoncWhave executed this /\orecnnon\onthe date beside thcir respective sionatures. VU|oueo[E|kGrove Village, an U\inois Homc Ku|c Municipal Corporation By: Title: Date: By Title Date Attest: By: Tide: Date: ycBackInc.