HomeMy WebLinkAboutRESOLUTION - 45-21 - 8/17/2021 - Symetria Recovery Memorandum of Agreement (2)RESOLUTION NO.45-21
A RESOLUTION AUTHORIZING THE MAYOR AND VILLAGE CLERK TO
EXECUTE A MEMORANDUM OF AGREEMENT BETWEEN THE VILLAGE OF ELK
GROVE VILLAGE POLICE DEPARTMENT AND SYMETRIA RECOVERY
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
SYMETRIA RECOVERY
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: 5 NAYS: 0 ABSENT: 1
PASSED this 17" day of August 2021.
APPROVED this 17th day of August 2021.
APPROVED:
Mayor Craig B. Johnson
Village of Elk Grove Village
ATTEST:
Loretta M. Murphy, Village Clerk
MEMORANDUM OF AGREEMENT
BETWEEN
ELK GROVE VILLAGE POLICE DEPARTMENT
AND
SYMETRIA RECOVERY
The Elk Grove Village Police Department located at 901 Wellington Ave, Elk Grove Village, IL
60007 and Symetria Recovery administrative offices located at 40 Shuman Blvd, Suite #262,
Naperville, IL 60563 enter into this Agreement for Services to establish coordination of outpatient
treatment services for Elk Grove Village Police Department referrals. Symetria Recovery and Elk
Grove Village Police Department agree to the following:
Elk Grove Village Police Department will make referrals for day treatment substance abuse
services to be provided at Symetria Recovery.
A. Services provided by Symetria Recovery include:
Biopsychosocial Assessment;
Treatment and discharge planning;
Case management;
Recreational activities;
Routine medical and dietary care and education;
Comprehensive discharge planning;
12-step orientation meetings and provisions for alternative aftercare services ;
Ambulatory detoxification;
Medically managed opioid and other substance use disorder treatments;
- Full psychiatric and dual diagnosis services (alcohol, heroin, antianxiety issues);
Fully integrated behavioral services including, intensive outpatient program
(IOP), aftercare, and individual and family counseling;
Written progress reports as requested.
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
- 1f required, the Elk Grove Village Police Department will reimburse up to two (2)
weeks cost for Transitional Housing/Lodging.
- Confirm Elk Grove Village Police Department's payment obligations set forth in
Paragraph C. below.
C. Elk Grove Village Police Department agrees to reimburse Symetria Recovery up to
$12,000 in an 8-month treatment period for participants whom Elk Grove Village Police
Department determines do not have third -parry commercial insurance, Medicaid or who
are ineligible for Division of Substance Use Prevention and Recovery (SUPR) benefits
(SEE EXHIIBT A — PRICING). In the event Symetria Recovery 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 Symetria
Recovery to Elk Grove Village Police Department. Symetria Recovery agrees if the Elk
Grove Village Police Department referral is currently covered by Medicaid, or
commercial insurance, or meets the SUPR eligibility requirements, as notified by Elk
Grove Village Police Department, 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 parry coverage or who have exhausted
other third party coverage. Community Law Enforcement Partnership for Deflection and
Addiction Treatment Act Grant funds will be available to fulfill the financial obligations
of the Elk 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. Symetria Recovery is a "Part 2 Program" as defined by the Confidentiality of Substance
Use Disorder Patient Records regulations at Title 42 of 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, Elk 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
identifying an individual as having or having had a substance use disorder either directly,
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, Symetria Recovery 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 of
Symetria Recovery. Continued stay shall be based on Symetria Recovery's criteria.
Individuals who are determined by Elk Grove Village Police Department, to have the
ability to pay for services, through insurance, self -pay, or Medicaid, will be required to
pay Symetria Recovery for their treatment. Symetria will make reasonable efforts to
identify changes in insured status for current patients and notify Elk Grove Village Police
Department of billing status change when appropriate.
G. Symetria Recovery reserves the right to immediately terminate a client for violation of
program rules, but shall advise Elk Grove Village Police Department at the time of
termination. Otherwise, at the completion of a client's treatment, Symetria Recovery will
work with client on the discharge plan and coordinating transportation.
1I. Symetria Recovery 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. Symetria Recovery shall defend and indemnify Elk Grove Village Police Department and
its directors, officers, employees, representatives, agents, successors and assigns
(collectively, "Indemnitees") 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 Symetria Recovery 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 Indemnitecs.
J. Either 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 August 1, 2021 and shall terminate on August
31, 2022.
T.XHITBIT A - Pricing
Months 1-3 (IOP and comprehensive MAT)
$1,200 per month for Intensive Outpatient (if elected by patient and clinical team)
$1,050 per month for comprehensive MAT (not including the use of Vivatrol or Sublocade) including
ancillary services as determined between patient and clinical team
Months 4-8 (comprehensive MAT)
$1,050 per month for comprehensive MAT (not including the use of Vivatrol or Sublocade) including
ancillary services as determined between patient and clinical team
[Signature page to fallow]
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date
beside their respective signatures.
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