FY2017 1st Amendment 11/22/2016 CPA
0 . HEAVILIN,
� :
CLERK OF CIRCUIT COURT & COMPTROLLER
MONROE MONROE COUNTY, FLORIDA
DATE: December 16, 2016
TO: Tina Boan
Sr. Director
ATTN: Laura DeLoach
Sr. Administrator Grants & Special Projects
FROM: Cheryl Robertson Executive Aide to the Clerk of Court & Comptroller , / --
At the November 22, 2016 Board of County Commissioner's meeting the Board granted approval and
authorized execution of Item F42 Approval of an amendment to the agreement with Guidance /Care
Center to revise Attachment D to include the KH225 contract between Florida Department of Children
and Families and South Florida Behavioral Health Network and subsequent amendments to KH225
contract.
Enclosed is a duplicate original executed on behalf of Monroe County, for your handling. Should you
have any questions, please feel free to contact me.
CC: County Attorney
Finanr,9e
File 4
500 Whitehead Street Suite 101, PO Box 1980, Key West, FL 33040 Phone: 305 - 295 -3130 Fax: 305- 295 -3663
3117 Overseas Highway, Marathon, FL 33050 Phone: 305- 289 -6027 Fax: 305- 289 -6025
88820 Overseas Highway, Plantation Key, FL 33070 Phone: 852 -7145 Fax: 305- 852 -7146
AMENDMENT 1 TO AGREEMENT
This Amendment 1 to the Agreement is made and entered into this 22 " day of November,
2016, between the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA,
hereinafter referred to as "Board" or `County," and Guidance /Care Center, hereinafter referred to
as "PROVIDER."
WHEREAS, the County participates in funding substance abuse and mental health (SAMH)
services within the County pursuant to Section 394.76(9)(a), Florida Statutes; and
WHEREAS, the PROVIDER is a not - for - profit corporation that provides SAMH services
within Monroe County; and
WHEREAS, it is a legitimate public purpose to provide substance abuse and mental health
services for individuals; and
WHEREAS, there is a need to include additional documents to attachment D; and
IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed
as follows:
1. Attachment D is revised to include the KH225 contract between Florida Department of
Children and Families and South Florida Behavioral Health Network, Inc. and
subsequent amendments to the KH225 contract.
2. In all other respects the Agreement dated October 19, 2016 remains in full force and
effect.
[THIS SPACE INTENTIONALLY LEFT BLANK WITH SIGNATORY PAGE TO FOLLOW]
Guidance Care Center -SAMH Contract FY17- Amendment 1; page 1
IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed as
of the day and year first written above.
f .., . •., ^ '� I BOARD OF COUNTY COMMISSIONERS
ilo ,!. V VILIN, CLERK OF MONROE COUNTY, FLORIDA
s _ ohedSDy By " e• h_,,,,,,,,
Y putt' Clerk Ma yor /Chairman
t Guidance /Care Center
(Federal ID No. C^ — M )
Witness
.� — B , -
VA Wit
nes Director
Guidance /Care Center
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MONROE COUNTY ATTORNEY
AP :IOVED AS Tp FORM:
Si NTHIA L. HALL
ASSISTANT N COUNTY NI
Date
Guidance Care Center -SAMH Contract FY17- Amendment 1; page 2
Additions to Attachment D
Contractual Agreement KH225 between
Florida Department of Children and Families and
South Florida Behavioral Health Network
Amendment #0023
Amendment #0024
Amendment #0025
Amendment #0026
Amendment #0027
Guidance Care Center -SAMH Contract FY17- Amendment 1; page 3
Contract No. KH225 Client Services ® Non - Client ❑
CFDA No. 93.959 Subrecipient ® Vendor ❑
CSFA No. Federal Funds ® State Funds El
THIS CONTRACT is entered into between the Florida Department of Children and Families, hereinafter referred to as the "Department"
and South Florida Behavioral Health Network, Inc., hereinafter referred to as the "Provider ". If this document is denoted above as a
GRANT AGREEMENT, the term "Contract" as it may appear hereinafter shall be construed to mean "Grant" or "Grant Agreement" as the
context may provide. Similarly, the term "Provider" shall be construed to mean "Grantee" and the term "Contract Manager" shall be
construed to mean "Grant Manager".
The section headings contained in this contract are for reference purposes only and shall not affect the meaning or interpretation of this
contract.
The Department and Provider agree as follows:
1. ENGAGEMENT, TERM AND CONTRACT DOCUMENT
1.1. Purpose and Contract Amount
The Department is engaging the Provider for the purpose of serving as a Regional Managing Entity, pursuant to s. 394.9082, F.S, to
manage the day -to -day operational delivery of behavioral health services through an organized system of care, pursuant to
state and federal law, within the annual appropriation, as further described in Section 2, payable as provided in Section 3, in an
amount not to exceed $771,493,245.00..
1.2. Official Payee and Party Representatives
1.2.1. The name, address, telephone number and e-mail address of the Provider's official payee to whom the payment shall be
directed on behalf of the Provider are:
Name: South Florida Behavioral Health Network, Inc.
Address: 7205 Corporate Center Drive, Suite 200
City: Miami State:FL Zip Code:33126
Phone: 305 - 858 -3335 Ext: E -mail:
1.2.2. The name of the contact person and address, telephone, and e-mail address where the Provider's financial and
administrative records are maintained are:
Name: Stephen Zuckerman
Address: 7205 Corporate Center Drive, Suite 200
City: Miami State:FL Zip Code:33126
Phone: 305 - 856 -7542 Ext: E -mail: szuckermant sfbhn.org
1.2.3. The name, address, telephone number and e-mail of the Provider's representative responsible for administration of the
program under this Contract (and primary point of contact) are:
Name: Stephen Zuckerman
Address: 7205 Corporate Center Drive, Suite 200
City: Miami State:FL Zip Code:33126
Phone: 305-856-7542 Ext: E -mail: szuckermanAsfbhn.orq
1.2.4. The name, address, telephone number and e-mail address of the Contract Manager for the Department for this Contract
are:
Name: Lourice Khoury
Address: 401 NW 2ND Avenue; Suite N -812
City: Miami State:FL Zip Code:33128
Phone: 786 - 257 -5180 Ext: E- mail: lourice.khoury@myflfamilies.com
Per section 402.7305(1)(a), F.S., the Department's Contract Manager is the primary point of contact through which all contracting
information flows between the Department and the Provider. Upon change of representatives (names, addresses, telephone numbers or
e -mail addresses) by either party, notice shall be provided in writing to the other party.
CF Standard
Integrated Contract 2016 1 Contract No. KH225
1.3. Effective and Ending Dates
This Contract shall be effective on October 1, 2010 or the last date executed by a party, whichever is later. The service performance
period under this Contract shall commence on October 1, 2010 or the effective date of this Contract, whichever is later, and shall end at
midnight, Eastern time, on June 30, 2020, subject to the survival of terms provisions of Section 7.4.
❑ This Contract may not be renewed.
® This Contract may be renewed in accordance with Section 26 of the PUR 1000 Form and, if renewed, costs for the renewal may
not be charged to this Contract.
❑ This Contract may be renewed in accordance with Section 26 of the PUR 1000 Form and, if renewed, the renewal price(s) set
forth in the bid, proposal, or reply are shown in Exhibit F , subject to negotiation at renewal per section 287.057(13), Florida Statutes
(F.S.).
1.4. Contract Document
This Contract is composed of Sections 1 through 9, Exhibits A through F, Attachments 1 through 3 and any exhibits referenced in said
attachments, and any documents incorporated by reference, which contain all the terms and conditions agreed upon by the parties.
1.4.1. The definitions found in the Standard Contract Definitions, located at:
http: / /www.dcf.state.fl.us /admin/ contracts / docs /GlossaryofContractTerms.pdf are incorporated into and made a part of this Contract.
Additional definitions may be set forth in Exhibit A, Special Provisions.
1.4.2. The PUR 1000 Form (10/06 version) is hereby incorporated into and made a part of this Contract. Sections 1.d., 2 -4, 6, 8-
13, 23, 27 and 31 of the PUR 1000 Form are not applicable to this Contract. In the event of any conflict between the PUR 1000 Form
and any other terms or conditions of this Contract, such other terms or conditions shall take precedence over the PUR 1000 Form.
1.4.3. The terms of Exhibit A, Special Provisions, supplement or modify the terms of Sections 1 through 9, as provided therein.
1.4.4. In the event of a conflict between the provisions of the documents, the documents shall be interpreted in the following order
of precedence:
1.4.4.1. Exhibits A through F;
1.4.4.2. Any documents incorporated into any exhibit by reference;
1.4.4.3. This Standard Integrated Contract;
1.4.4.4. Any documents incorporated into this Contract by reference;
1.4.4.5. Attachments 1 through 3.
2. STATEMENT OF WORK
The Provider shall perform all tasks and provide units of deliverables, including reports, findings, and drafts, as specified in this Contract.
Except for advances, if any, provided for in this Contract, these deliverables must be received and accepted by the Contract Manager in
writing prior to payment, subject to subsequent audit and review and to the satisfaction of the Department. The Department's
determination of acceptable services shall be conclusive. Department receipt of reports and other submissions by the Provider does not
constitute acceptance thereof, which occurs only through a separate and express act of the Contract Manager. Unless otherwise provided
in the procurement document, if any, or governing law, the Department reserves the right to increase or decrease the volume of services
and to add tasks that are incidental or complimentary to the original scope of services. Except where the method of payment is prescribed
by law, compensation under Section 3 will be equitably adjusted by the Department to the extent that it prescribes a fixed price (previously
called "fixed fee ") payment method or does not provide a method of payment for added tasks.
2.1. Scope of Work
The Scope of Work is described in Exhibit B.
2.2. Task List
The Provider shall perform all tasks set forth in the Task List, found in Exhibit C, in the manner set forth therein.
2.3. Deliverables
Deliverables shall be as described in Exhibit D.
CF Standard
Integrated Contract 2016 2 Contract No. KH225
2.4. Performance Measures.
2.4.1. The performance measures for acceptance of deliverables are set forth in Exhibit D, Section D -3.
2.4.2. To avoid contract termination, Provider's performance must meet the minimum performance standards set forth in Exhibit
E, Minimum Performance Measures, Section E -1, regardless of any other performance measures in this Contract. By execution of
this Contract, the Provider hereby acknowledges and agrees that its performance under the Contract must meet these Minimum
Performance Measures and that it will be bound by the conditions set forth therein. If the Provider fails to meet these standards, the
Department, at its exclusive option, may allow a reasonable period, not to exceed six (6) months, for the Provider to correct
performance deficiencies. If performance deficiencies are not resolved to the satisfaction of the Department within the prescribed
time, and if no extenuating circumstances can be documented by the Provider to the Department's satisfaction, the Department must
terminate the Contract. The Department has the sole authority to determine whether there are extenuating or mitigating
circumstances. The Provider further acknowledges and agrees that during any period in which the Provider fails to meet these
standards, regardless of any additional time allowed to correct performance deficiencies, payment for deliverables may be delayed
or denied and financial consequences may apply.
3. PAYMENT, INVOICE AND RELATED TERMS
The Department shall pay for services performed by the Provider during the service performance period of this Contract according to the
terms and conditions of this Contract in an amount not to exceed that set forth in Section 1.1, subject to the availability of funds and
satisfactory performance of all terms by the Provider. Except for advances, if any, provided for in this Contract, payment shall be made
only upon written acceptance of all services by the Department and shall remain subject to subsequent audit or review to confirm contract
compliance. The State of Florida's performance and obligation to pay under this Contract is contingent upon an annual appropriation by
the Legislature. Any costs or services paid for under any other contract or from any other source are not eligible for payment under this
Contract.
3.1. Prompt Payment and Vendor Ombudsman
Per section 215.422, F.S., the Department has five (5) working days to inspect and approve goods and services, unless the bid
specifications, purchase order, or this Contract specify otherwise. Any amount that is authorized for payment but is not available within
forty (40) days, measured from the latter of the date a properly completed invoice is received by the Department or the goods or services
are received, inspected, and approved (or within thirty -five (35) days after the date eligibility for payment of a health care provider is
determined), a separate interest penalty as described in section 215.422, F.S., will be due and payable in addition to the amount
authorized for payment. Interest penalties less than 1 dollar will not be paid unless the Provider requests payment. A Vendor Ombudsman
has been established within the Department of Financial Services and may be contacted at (850) 413 -5516.
3.2. Method of Payment
The Provider shall be paid in accordance with Exhibit F, Method of Payment.
3.3. Invoices
3.3.1. The Provider shall submit bills for fees or other compensation for services or expenses in sufficient detail for proper pre -audit
and post- audit. Where itemized payment for travel expenses is permitted in this Contract, the Provider shall submit bills for any travel
expenses in accordance with section 112.061, F.S., or at such lower rates as may be provided in this Contract.
3.3.2. The final invoice for payment shall be submitted to the Department no more than 45 days after the Contract ends or is
terminated. If the Provider fails to do so, all rights to payment are forfeited and the Department will not honor any requests submitted
after the aforesaid time period. Any payment due under the terms of this Contract may be withheld until performance of services and
all reports due from the Provider and necessary adjustments thereto, have been approved by the Department.
3.4. Financial Consequences
If the Provider fails to perform in accordance with this Contract or perform the minimum level of service required by this Contract, the
Department will apply financial consequences as provided for in Section 6.1. The parties agree that the penalties provided for under
Section 6.1 constitute financial consequences under sections 287.058(1)(h) and 215.971(1)(c), F.S. The foregoing does not limit
additional financial consequences, which may include but are not limited to refusing payment, withholding payments until deficiency is
cured, tendering only partial payments, applying payment adjustments for additional financial consequences or for liquidated damages
to the extent that this Contract so provides, or termination of this Contract per Section 6.2.3 and requisition of services from an alternate
source. Any payment made in reliance on the Provider's evidence of performance, which evidence is subsequently determined to be
erroneous, will be immediately due as an overpayment in accordance with Section 3.5, to the extent of such error.
CF Standard
Integrated Contract 2016 3 Contract No. KH225
3.5. Overpayments and Offsets
The Provider shall return to the Department any overpayments due to unearned funds or funds disallowed that were disbursed to the
Provider by the Department and any interest attributable to such funds. Should repayment not be made promptly upon discovery by the
Provider or its auditor or upon written notice by the Department, the Provider will be charged interest at the lawful rate of interest on the
outstanding balance until returned. Payments made for services subsequently determined by the Department to not be in full compliance
with contract requirements shall be deemed overpayments. The Department shall have the right at any time to offset or deduct from any
payment due under this or any other contract or agreement any amount due to the Department from the Provider under this or any other
contract or agreement.
3.6. MvFloridaMarketPlace Transaction Fee.
This Contract is exempt from the MyFloridaMarketPlace transaction fee.
4. GENERAL TERMS AND CONDITIONS GOVERNING PERFORMANCE
4.1. Compliance with Statutes, Rules and Regulations
In performing its obligations under this Contract, the Provider shall without exception be aware of and comply with all State and Federal
laws, rules and regulations relating to its performance under this Contract as they may be enacted or amended from time -to -time, as well
as any court or administrative order, judgment, settlement or compliance agreement involving the Department which by its nature affects
the services provided under this Contract.
4.2. State Policies
The Provider shall comply with the polices set forth in the Department of Financial Services' Reference Guide for State Expenditures and
active Comptroller /Chief Financial Officer Memoranda issued by the Division of Accounting and Auditing.
4.3. Independent Contractor, Subcontracting and Assignments
4.3.1. In performing its obligations under this Contract, the Provider shall at all times be acting in the capacity of an independent
contractor and not as an officer, employee, or agent of the State of Florida, except where the Provider is a State agency. Neither the
Provider nor any of its agents, employees, subcontractors or assignees shall represent to others that it is an agent of or has the
authority to bind the Department by virtue of this Contract, unless specifically authorized in writing to do so. This Contract does not
create any right in any individual to State retirement, leave benefits or any other benefits of State employees as a result of performing
the duties or obligations of this Contract.
4.3.2. The Provider shall take such actions as may be necessary to ensure that it and each subcontractor of the Provider will be
deemed to be an independent contractor and will not be considered or permitted to be an officer, employee, or agent of the State of
Florida. The Department will not furnish services of support (e.g., office space, office supplies, telephone service, secretarial or
clerical support) to the Provider, or its subcontractor or assignee, unless specifically agreed to by the Department in this Contract.
All deductions for social security, withholding taxes, income taxes, contributions to unemployment compensation funds and all
necessary insurance for the Provider, the Provider's officers, employees, agents, subcontractors, or assignees shall be the sole
responsibility of the Provider and its subcontractors. The parties agree that no joint employment is intended and that, regardless of
any provision directing the manner of provision of services, the Provider and its subcontractors alone shall be responsible for the
supervision, control, hiring and firing, rates of pay and terms and conditions of employment of their own employees.
4.3.3. The Provider shall not assign its responsibilities under this Contract to another party, in whole or part, without prior written
approval of the Department, upon the Department's sole determination that such assignment will not adversely affect the public
interest. No payment shall be made under this Contract to any factor or other person who has been assigned or transferred the right
to receive payment in lieu of or on behalf of the Provider except upon full and faithful performance of the Provider's duties hereunder.
Any assignment or transfer occurring without prior approval of the Department shall be null and void. The Provider shall not
subcontract for any of the work contemplated under this Contract without prior written approval of the Department, which shall not
be unreasonably withheld.
4.3.4. The State of Florida shall at all times be entitled to assign or transfer, in whole or part, its rights, duties, or obligations under
this Contract to another governmental agency in the State of Florida or to a provider of the Department's selection, upon giving prior
written notice to the Provider. In the event of assignment by either party, this Contract shall remain binding upon the lawful successors
in interest of the Provider and the Department.
CF Standard
Integrated Contract 2016 4 Contract No. KH225
4.3.5. The Provider is responsible for all work performed and for all commodities produced pursuant to this Contract whether
actually furnished by the Provider or by its subcontractors. Any subcontracts shall be evidenced by a written document. The Provider
further agrees that the Department shall not be liable to the subcontractor in any way or for any reason relating to this Contract.
4.3.6. The Provider shall include, in all subcontracts (at any tier) the substance of all clauses contained in this Contract that
mention or describe subcontract compliance, as well as all clauses applicable to that portion of the Provider's performance being
performed by or through the subcontract.
® The Provider may subcontract under this Contract.
❑ This Provider is prohibited from subcontracting under this Contract.
4.3.7. To the extent that a subcontract provides for payment after Provider's receipt of payment from the Department, the Provider
shall make payments to any subcontractor within seven (7) working days after receipt of full or partial payments from the Department
in accordance with section 287.0585, F.S., unless otherwise stated in the contract between the Provider and subcontractor. Failure
to pay within seven (7) working days will result in a penalty that shall be charged against the Provider and paid by the Provider to
the subcontractor in the amount of one -half of one percent (0.5 %) of the amount due per day from the expiration of the period allowed
for payment. Such penalty shall be in addition to actual payments owed and shall not exceed fifteen (15 %) percent of the outstanding
balance due.
4.4. Provider Indemnity
Section 19 of PUR 1000 Form shall apply per its terms, except that the phrase "arising from or relating to personal injury and damage to
real or personal tangible property" in the first paragraph is replaced with "arising out of or by reason of the execution of this Contract or
arising from or relating to any alleged act or omission by the Provider, its agents, employees, partners, or subcontractors in relation to
this agreement," and the following additional terms will also apply:
4.4.1. If the Provider removes an infringing product because it is not reasonably able to modify that product or secure the
Department the right to continue to use that product, the Provider shall immediately replace that product with a non - infringing product
that the Department determines to be of equal or better functionality or be liable for the Department's cost in so doing.
4.4.2. Further, the Provider shall indemnify the Department for all costs and attorneys' fees arising from or relating to Provider's
claim that a record contains trade secret information that is exempt from disclosure or the scope of the Provider's redaction of the
record, as provided for under Section 5.3., including litigation initiated by the Department.
The Provider's inability to evaluate liability or its evaluation of liability shall not excuse its duty to defend and indemnify after receipt of
notice. Only an adjudication or judgment after the highest appeal is exhausted finding the Department negligent shall excuse the Provider
of performance under this provision, in which case the Department shall have no obligation to reimburse the Provider for the cost of its
defense. If the Provider is an agency or subdivision of the State, its obligation to indemnify, defend and hold harmless the Department
shall be to the extent permitted by section 768.28, F.S. or other applicable law, and without waiving the limits of sovereign immunity.
4.5. Insurance
The Provider shall maintain continuous adequate liability insurance coverage during the existence of this Contract and any renewal(s)
and extension(s) thereof. With the exception of a State agency or subdivision as defined by subsection 768.28(2), F.S., by execution of
this Contract, the Provider accepts full responsibility for identifying and determining the type(s) and extent of liability insurance necessary
to provide reasonable financial protections for the Provider and the clients to be served under this Contract. Upon the execution of this
Contract, the Provider shall furnish the Department written verification supporting both the determination and existence of such insurance
coverage and shall furnish verification of renewal or replacement thereof prior to the expiration or cancellation. The Department reserves
the right to require additional insurance as specified in this Contract.
4.6. Notice of Legal Actions
The Provider shall notify the Department of potential or actual legal actions taken against the Provider related to services provided through
this Contract or that may impact the Provider's ability to deliver the contractual services, or that may adversely impact the Department.
The Department's Contract Manager will be notified within ten (10) days of Provider becoming aware of such actions or potential actions
or from the day of the legal filing, whichever comes first.
4.7. Intellectual Property
It is agreed that all intellectual property, inventions, written or electronically created materials, including manuals, presentations, films, or
other copyrightable materials, arising in relation to Provider's performance under this Contract, and the performance of all of its officers,
CF Standard
Integrated Contract 2016 5 Contract No. KH225
agents and subcontractors in relation to this Contract, are works for hire for the benefit of the Department, fully compensated for by the
contract amount, and that neither the Provider nor any of its officers, agents nor subcontractors may claim any interest in any intellectual
property rights accruing under or in connection with the performance of this Contract. It is specifically agreed that the Department shall
have exclusive rights to all data processing software falling within the terms of section 119.084, F.S., which arises or is developed in the
course of or as a result of work or services performed under this Contract, or in any way connected herewith. Notwithstanding the
foregoing provision, if the Provider is a university and a member of the State University System of Florida, then section 1004.23, F.S.,
shall apply.
4.7.1. If the Provider uses or delivers to the Department for its use or the use of its employees, agents or contractors, any design,
device, or materials covered by letters, patent, or copyright, it is mutually agreed and understood that, except as to those items
specifically listed in Exhibit A as having specific limitations, the compensation paid pursuant to this Contract includes all royalties or
costs arising from the use of such design, device, or materials in any way involved in the work contemplated by this Contract. For
purposes of this provision, the term "use" shall include use by the Provider during the term of this Contract and use by the Department
its employees, agents or contractors during the term of this Contract and perpetually thereafter.
4.7.2. All applicable subcontracts shall include a provision that the Federal awarding agency reserves all patent rights with respect
to any discovery or invention that arises or is developed in the course of or under the subcontract. Notwithstanding the foregoing
provision, if the Provider or one of its subcontractors is a university and a member of the State University System of Florida, then
section 1004.23, F.S., shall apply, but the Department shall retain a perpetual, fully -paid, nonexclusive license for its use and the
use of its contractors of any resulting patented, copyrighted or trademarked work products.
4.8. Transition Activities
Continuity of service is critical when service under this Contract ends and service commences under a new contract. Accordingly, when
service will continue through another provider upon the expiration or earlier termination of this Contract, the Provider shall, without
additional compensation, complete all actions necessary to smoothly transition service to the new provider. This includes but is not limited
to the transfer of relevant data and files, as well as property funded or provided pursuant to this Contract. The Provider shall be required
to support an orderly transition to the next provider no later than the expiration or earlier termination of this Contract and shall support
the requirements for transition as specified in a Department- approved Transition Plan, which shall be developed jointly with the new
provider in consultation with the Department.
4.9. Real Property
Any State funds provided for the purchase of or improvements to real property are contingent upon the Provider granting to the State a
security interest in the property at least to the amount of the State funds provided for at least five (5) years from the date of purchase or
the completion of the improvements or as further required by law. As a condition of receipt of State funding for this purpose, the Provider
agrees that, if it disposes of the property before the Department's interest is vacated, the Provider will refund the proportionate share of
the State's initial investment, as adjusted by depreciation.
4.10. Publicity
Without limitation, the Provider and its employees, agents, and representatives will not, without prior Departmental written consent in
each instance, use in advertising, publicity or any other promotional endeavor any State mark, the name of the State's mark, the name
of the State or any State agency or affiliate or any officer or employee of the State, or any State program or service, or represent, directly
or indirectly, that any product or service provided by the Provider has been approved or endorsed by the State, or refer to the existence
of this Contract in press releases, advertising or materials distributed to the Provider's prospective customers.
4.11. Sponsorship
As required by section 286.25, F.S., if the Provider is a non - governmental organization which sponsors a program financed wholly or in
part by State funds, including any funds obtained through this Contract, it shall, in publicizing, advertising, or describing the sponsorship
of the program state: "Sponsored by (Provider's name) and the State of Florida, Department of Children and Families ". If the sponsorship
reference is in written material, the words "State of Florida, Department of Children and Families" shall appear in at least the same size
letters or type as the name of the organization.
4.12. Employee Gifts
The Provider agrees that it will not offer to give or give any gift to any Department employee during the service performance period of
this Contract and for a period of two years thereafter. In addition to any other remedies available to the Department, any violation of this
provision will result in referral of the Provider's name and description of the violation of this term to the Department of Management
CF Standard
Integrated Contract 2016 6 Contract No. KH225
Services for the potential inclusion of the Provider's name on the suspended vendors list for an appropriate period. The Provider will
ensure that its subcontractors, if any, comply with these provisions.
4.13. Mandatory Reporting Requirements
The Provider and any subcontractor must comply with and inform its employees of the following mandatory reporting requirements. Each
employee of the Provider, and of any subcontractor, providing services in connection with this Contract who has any knowledge of a
reportable incident shall report such incident as follows: 1) reportable incidents that may involve an immediate or impending impact on
the health or safety of a client shall be immediately reported to the Contract Manager; and 2) other reportable incidents shall be reported
to the Department's Office of Inspector General through the Internet at http: / /www.dcf. state .fl.us /admin /iq /rptfraud1.shtml or by completing
a Notification /Investigation Request (Form CF 1934) and emailing the request to the Office of Inspector General at
IG.Complaints @myflfamilies.com. The Provider and subcontractor may also mail the completed form to the Office of Inspector General,
1317 Winewood Boulevard, Building 5, 2nd Floor, Tallahassee, Florida, 32399 -0700; or via fax at (850) 488 -1428. A reportable incident
is defined in Children and Families Operating Procedure (CFOP) 180 -4, which can be obtained from the Contract Manager.
4.14. Employment Screening
4.14.1. The Provider shall ensure that all staff utilized by the Provider and its subcontractors that are required by Florida law to be
screened in accordance with chapter 435, F.S., are of good moral character and meet the Level 2 Employment Screening standards
specified by sections 435.04, 110.1127, and subsection 39.001(2), F.S., as a condition of initial and continued employment that shall
include but not be limited to:
4.14.1.1. Employment history checks;
4.14.1.2. Fingerprinting for all criminal record checks;
4.14.1.3. Statewide criminal and juvenile delinquency records checks through the Florida Department of Law Enforcement
(FDLE);
4.14.1.4. Federal criminal records checks from the Federal Bureau of Investigation via the Florida Department of Law
Enforcement; and
4.14.1.5. Security background investigation, which may include local criminal record checks through local law enforcement
agencies.
4.14.1.6. Attestation by each employee, subject to penalty of perjury, to meeting the requirements for qualifying for
employment pursuant to chapter 435 and agreeing to inform the employer immediately if arrested for any of the disqualifying
offenses while employed by the employer.
4.14.2. The Provider shall sign an affidavit each State fiscal year for the term of the contract stating that all required staff have been
screened or the Provider is awaiting the results of screening.
4.14.3. The Department requires, as applicable, the use of the Officer of Inspector General's Request for Reference Check form
(CF 774), which states: "As part of the screening of an applicant being considered for appointment to a career service, selected
exempt service, senior management, or OPS position with the Department of Children and Families or a Contract Provider Agency,
a check with the Office of Inspector General (IG) is required to determine if the individual is or has been a subject of an investigation
with the IG's Office. The request will only be made on the individual that is being recommended to be hired for the position if that
individual has previously worked for the Department or a Contract Provider, or if that individual is being promoted, transferred or
demoted within the Department or Agency."
4.15. Human Subject Research
The Provider shall comply with the requirements of CFOP 215 -8 for any activity under this Contract involving human subject research
within the scope of 45 Code of Federal Regulations (CFR), Part 46, and 42 United States Code (U.S.C.) §§ 289, et seq., and may not
commence such activity until review and approval by the Department's Human Protections Review Committee and a duly constituted
Institutional Review Board.
4.16. Coordination of Contracted Services
Section 287.0575, F.S., mandates various duties and responsibilities for certain State agencies and their contracted service providers,
and requires the following Florida health and human services agencies to coordinate their monitoring of contracted services: Department
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of Children and Families, Agency for Persons with Disabilities, Department of Health, Department of Elderly Affairs, and Department of
Veterans Affairs, where applicable.
In accordance with section 287.0575(2), F.S., each contract service provider that has more than one contract with one or more of the five
Florida health and human services agencies must provide a comprehensive list of their health and human services contracts to their
respective Contract Manager(s). The list must include the following information:
4.16.1. Name of each contracting State agency and the applicable office or program issuing the contract.
4.16.2. Name of each contracting State agency and the applicable office or program issuing the contract.
4.16.3. Identifying name and number of the contract.
4.16.4. Starting and ending date of each contract.
4.16.5. Amount of each contract.
4.16.6. A brief description of the purpose of the contract and the types of services provided under each contract.
4.16.7. Name and contact information of each Contract Manager.
5. RECORDS, AUDITS AND DATA SECURITY
5.1. Records, Retention, Audits, Inspections and Investigations
5.1.1. The Provider shall establish and maintain books, records and documents (including electronic storage media) sufficient to
reflect all income and expenditures of funds provided by the Department under this Contract.
5.1.2. Retention of all client records, financial records, supporting documents, statistical records, and any other documents
(including electronic storage media) pertinent to this Contract shall be maintained by the Provider during the term of this Contract
and retained for a period of six (6) years after completion of the Contract or longer when required by law. In the event an audit is
required under this Contract, records shall be retained for a minimum period of six (6) years after the audit report is issued or until
resolution of any audit findings or litigation based on the terms of this Contract, at no additional cost to the Department.
5.1.3. Upon demand, at no additional cost to the Department, the Provider will facilitate the duplication and transfer of any records
or documents during the term of this Contract and the required retention period in Section 5.1.2.
5.1.4. These records shall be made available at all reasonable times for inspection, review, copying, or audit by Federal, State,
or other personnel duly authorized by the Department.
5.1.5. At all reasonable times for as long as records are maintained, persons duly authorized by the Department and Federal
auditors, pursuant to 2 CFR § 200.336, shall be allowed full access to and the right to examine any of the Provider's contracts and
related records and documents, regardless of the form in which kept.
5.1.6. A financial and compliance audit shall be provided to the Department as specified in this Contract and in Attachment 1.
5.1.7. The Provider shall comply and cooperate immediately with any inspections, reviews, investigations, or audits deemed
necessary by The Office of the Inspector General (section 20.055, F.S.).
5.1.8. No record may be withheld nor may the Provider attempt to limit the scope of any of the foregoing inspections, reviews,
copying, transfers or audits based on any claim that any record is exempt from public inspection or is confidential, proprietary or
trade secret in nature; provided, however, that this provision does not limit any exemption to public inspection or copying to any such
record.
5.2. Inspections and Corrective Action
The Provider shall permit all persons who are duly authorized by the Department to inspect and copy any records, papers, documents,
facilities, goods and services of the Provider which are relevant to this Contract, and to interview any clients, employees and subcontractor
employees of the Provider to assure the Department of the satisfactory performance of the terms and conditions of this Contract.
Following such review, the Department will deliver to the Provider a written report of its findings, and may direct the development, by the
Provider, of a corrective action plan where appropriate. The Provider hereby agrees to timely correct all deficiencies identified in the
Department's written report. This provision will not limit the Department's termination rights under Section 6.2.4.
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5.3. Provider's Confidential and Exempt Information
5.3.1. By executing this Contract, the Provider acknowledges that, having been provided an opportunity to review all provisions
hereof, all provisions of this Contract not specifically identified in writing by the Provider prior to execution hereof as "confidential" or
"exempt" will be posted by the Department on the public website maintained by the Department of Financial Services pursuant to
section 215.985, F.S. The Provider agrees that, upon written request of the Department, it shall promptly provide to the Department
a written statement of the basis for the exemption applicable to each provision identified by the Provider as "confidential" or "exempt ",
including the statutory citation to an exemption created or afforded by statute, and state with particularity the reasons for the
conclusion that the provision is exempt or confidential.
5.3.2. Any claim by Provider of trade secret (proprietary) confidentiality for any information contained in Provider's documents
(reports, deliverables or workpapers, etc., in paper or electronic form) submitted to the Department in connection with this Contract
will be waived, unless the claimed confidential information is submitted in accordance with the following standards:
5.3.2.1. The Provider must clearly label any portion of the documents, data, or records submitted that it considers exempt
from public inspection or disclosure pursuant to Florida's Public Records Law as trade secret. The labeling will include a
justification citing specific statutes and facts that authorize exemption of the information from public disclosure. If different
exemptions are claimed to be applicable to different portions of the protected information, the Provider shall include
information correlating the nature of the claims to the particular protected information.
5.3.2.2. The Department, when required to comply with a public records request including documents submitted by the
Provider, may require the Provider to expeditiously submit redacted copies of documents marked as trade secret in
accordance with Section 5.3.2.a. Accompanying the submission shall be an updated version of the justification under Section
5.3.2.a., correlated specifically to redacted information, either confirming that the statutory and factual basis originally asserted
remain unchanged or indicating any changes affecting the basis for the asserted exemption from public inspection or
disclosure. The redacted copy must exclude or obliterate only those exact portions that are claimed to be trade secret. If the
Provider fails to promptly submit a redacted copy, the Department is authorized to produce the records sought without any
redaction of proprietary or trade secret information.
The Provider shall be responsible for defending its claim that each and every portion of the redactions of trade secret information
are exempt from inspection and copying under Florida's Public Records Law.
5.4. Health Insurance Portability and Accountability Act
❑ The Provider certifies that neither it nor its subcontractors will have access to, receive or provide Protected Health Information
within the meaning of the Health Insurance Portability and Accountability Act (42 United States Code (U.S.C.) § 1320d.) and the
regulations promulgated thereunder (45 CFR Parts 160, 162, and 164) incidental to performance of this Contract.
® In compliance with 45 CFR § 164.504(e), the Provider shall comply with the provisions of Attachment 2 to this Contract,
governing the safeguarding, use and disclosure of Protected Health Information created, received, maintained, or transmitted by the
Provider or its subcontractors incidental to the Provider's performance of this Contract.
5.5. Data Security
The Provider shall comply with the following data security requirements whenever the Provider or its subcontractors have access to
Department data systems or maintain any client or other confidential information in electronic form:
5.5.1. An appropriately skilled individual shall be identified by the Provider to function as its Data Security Officer. The Data
Security Officer shall act as the liaison to the Department's security staff and will maintain an appropriate level of data security for
the information the Provider is collecting or using in the performance of this Contract. An appropriate level of security includes
approving and tracking all Provider employees that request or have access to any Departmental data system or information. The
Data Security Officer will ensure that user access to the data system or information has been removed from all terminated Provider
employees.
5.5.2. The Provider shall provide the latest Departmental security awareness training to its staff who have access to departmental
information.
5.5.3. All Provider employees who have access to Departmental information shall comply with, and be provided a copy of CFOP
50 -2, and shall sign the DCF Security Agreement form CF 0114 annually. A copy of CF 0114 may be obtained from the Contract
Manager.
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5.5.4. The Provider shall make every effort to protect and avoid unauthorized release of any personal or confidential information
by ensuring both data and mobile storage devices are encrypted as prescribed in CFOP 50 -2. If encryption of these devices is not
possible, then the Provider shall assure that unencrypted personal and confidential Departmental data will not be stored on
unencrypted storage devices.
5.5.5. The Provider agrees to notify the Contract Manager as soon as possible, but no later than five (5) business days following
the determination of any breach or potential breach of personal and confidential Departmental data.
5.5.6. The Provider shall at its own cost provide notice to affected parties no later than forty -five (45) days following the
determination of any potential breach of personal or confidential Departmental data as provided in section 501.171, F.S. The Provider
shall also at its own cost implement measures deemed appropriate by the Department to avoid or mitigate potential injury to any
person due to a breach or potential breach of personal and confidential Departmental data.
5.5.7. The Provider shall cause each of its subcontractors having access to Department data systems or maintaining any client
or other confidential information in electronic form to comply with the provisions of Section 5.5 and the term "Provider" shall be
deemed to mean the subcontractor for such purposes.
5.6. Public Records
5.6.1. The Provider shall allow public access to all documents, papers, letters, or other public records as defined in subsection
119.011(12), F.S. as prescribed by subsection 119.07(1) F.S., made or received by the Provider in conjunction with this Contract
except that public records which are made confidential by law must be protected from disclosure. As required by section
287.058(1)(c), F.S., it is expressly understood that the Provider's failure to comply with this provision shall constitute an immediate
breach of contract for which the Department may unilaterally terminate this Contract.
5.6.2. As required by section 119.0701, F.S., to the extent that the Provider is acting on behalf of the Department within the
meaning of section 119.011(2), F.S., the Provider shall:
5.6.2.1. Keep and maintain public records that ordinarily and necessarily would be required by the Department in order to
perform the service.
5.6.2.2. Upon request from the Department's custodian of public records, provide to the Department a copy of requested
records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost
provided in Chapter 119, F.S., or as otherwise provided by law.
5.6.2.3. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements
are not disclosed except as authorized by law for the duration of the contract term and following completion of the contract if
the Provider does not transfer the records to the Department.
5.6.2.4. Upon completion of the contract, transfer, at no cost, to the Department all public records in possession of the
Provider or keep and maintain public records required by the Department to perform the service. If the Provider transfers all
public records to the Department upon completion of the contract, the Provider shall destroy any duplicate public records that
are exempt or confidential and exempt from public records disclosure requirements. If the Provider keeps and maintains public
records upon completion of the contract, the Provider shall meet all applicable requirements for retaining public records. All
records stored electronically must be provided to the Department, upon request from the Department's custodian of public
records, in a format that is compatible with the information technology systems of the Department.
5.6.3. IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OR CHAPTER
119, F.S., TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS
CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT 850 - 487 -1111, OR BY EMAIL
AT DCFCustodian MYFLFAMILIES.COM, OR BY MAIL AT: DEPARTMENT OF CHILDREN AND
FAMILIES, 1317 WINEWOOD BLVD., TALLAHASSEE, FL 32399.
6. PENALTIES, TERMINATION AND DISPUTE RESOLUTION
6.1. Financial Penalties for Failure to Take Corrective Action
6.1.1. In accordance with the provisions of section 402.73(1), F.S., and Rule 65- 29.001, F.A.C., corrective action plans may be
required for noncompliance, nonperformance, or unacceptable performance under this Contract. Penalties may be imposed for
failures to implement or to make acceptable progress on such corrective action plans.
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6.1.2. The increments of penalty imposition that shall apply, unless the Department determines that extenuating circumstances
exist, shall be based upon the severity of the noncompliance, nonperformance, or unacceptable performance that generated the
need for corrective action plan. The penalty, if imposed, shall not exceed ten percent (10 %) of the total contract payments during the
period in which the corrective action plan has not been implemented or in which acceptable progress toward implementation has not
been made. Noncompliance that is determined to have a direct effect on client health and safety shall result in the imposition of a
ten percent (10 %) penalty of the total contract payments during the period in which the corrective action plan has not been
implemented or in which acceptable progress toward implementation has not been made.
6.1.3. Noncompliance involving the provision of service not having a direct effect on client health and safety shall result in the
imposition of a five percent (5 %) penalty. Noncompliance as a result of unacceptable performance of administrative tasks shall result
in the imposition of a two percent (2 %) penalty.
6.1.4. The deadline for payment shall be as stated in the Order imposing the financial penalties. In the event of nonpayment the
Department may deduct the amount of the penalty from invoices submitted by the Provider.
6.2. Termination
6.2.1. In accordance with Section 22 of PUR 1000 Form, this Contract may be terminated by the Department without cause upon
no less than thirty (30) calendar days' notice in writing to the Provider unless a sooner time is mutually agreed upon in writing.
6.2.2. This Contract may be terminated by the Provider upon no less than thirty (30) calendar days' notice in writing to the
Department unless a sooner time is mutually agreed upon in writing.
6.2.3. In the event funds for payment pursuant to this Contract become unavailable, the Department may terminate this Contract
upon no less than twenty -four (24) hours' notice in writing to the Provider. The Department shall be the final authority as to the
availability and adequacy of funds.
6.2.4. In the event the Provider fails to fully comply with the terms and conditions of this Contract, the Department may terminate
the Contract upon no less than twenty -four (24) hours' (excluding Saturday, Sunday, and Holidays) notice in writing to the Provider.
Such notice may be issued without providing an opportunity for cure if it specifies the nature of the noncompliance and states that
provision for cure would adversely affect the interests of the State or is not permitted by law or regulation. Otherwise, notice of
termination will be issued after the Provider's failure to fully cure such noncompliance within the time specified in a written notice of
noncompliance issued by the Department specifying the nature of the noncompliance and the actions required to cure such
noncompliance. In addition, the Department may employ the default provisions in Rule 60A- 1.006(3), F.A.C., but is not required to
do so in order to terminate the Contract. The Department's failure to demand performance of any provision of this Contract shall not
be deemed a waiver of such performance. The Department's waiver of any one breach of any provision of this Contract shall not be
deemed to be a waiver of any other breach and neither event shall be construed to be a modification of the terms and conditions of
this Contract. The provisions herein do not limit the Department's right to remedies at law or in equity.
6.2.5. Failure to have performed any contractual obligations under any other contract with the Department in a manner satisfactory
to the Department will be a sufficient cause for termination. To be terminated under this provision, the Provider must have: (1)
previously failed to satisfactorily perform in a contract with the Department, been notified by the Department of the unsatisfactory
performance, and failed to timely correct the unsatisfactory performance to the satisfaction of the Department; or (2) had a contract
terminated by the Department for cause. Termination shall be upon no less than twenty -four (24) hours' notice in writing to the
Provider.
6.2.6. In the event of termination under Sections 6.2.1 or 6.2.3, the Provider will be compensated for any work satisfactorily
completed through the date of termination or an earlier date of suspension of work per Section 21 of the PUR 1000.
6.2.7. If this Contract is for an amount of $1 Million or more, the Department may terminate this Contract at any time the Provider
is found to have submitted a false certification under section 287.135, F.S., or has been placed on the Scrutinized Companies with
Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List.
6.3. Dispute Resolution
6.3.1. Any dispute concerning performance of this Contract or payment hereunder shall be decided by the Department, which
shall be reduced to writing and a copy of the decision shall be provided to the Provider by the Contract Manager. The decision shall
be final and conclusive unless within twenty -one (21) calendar days from the date of receipt of the Department's decision, the
Provider delivers to the Contract Manager a petition for alternative dispute resolution.
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6.3.2. After receipt of a petition for alternative dispute resolution the Department and the Provider shall attempt to amicably resolve
the dispute through negotiations. Timely delivery of a petition for alternative dispute resolution and completion of the negotiation
process shall be a condition precedent to any legal action by the Provider concerning this Contract.
6.3.3. After timely delivery of a petition for alternative dispute resolution, the parties may employ any dispute resolution procedures
described in the exhibits or other attachments, or mutually agree to an alternative binding or nonbinding dispute resolution process,
the terms of which shall be reduced to writing and executed by both parties.
6.3.4. Completion of such agreed process shall be deemed to satisfy the requirement for completion of the negotiation process.
6.3.5. This section shall not limit the parties' rights of termination under Section 6.2.
6.3.6. All notices provided by the Department under Section 6 shall be in writing on paper, physically sent to the person identified
in Section 1.2.3 by U.S. Postal Service or any other delivery service that provides verification of delivery, or by hand delivery. All
notices provide by the Provider under Section 6 shall be in writing on paper, physically sent to the person identified in Section 1.2.4
by U.S. Postal Service or any other delivery service that provides verification of delivery, or by hand delivery.
7. OTHER TERMS
7.1. Governing Law and Venue
This Contract is executed and entered into in the State of Florida, and shall be construed, performed and enforced in all respects in
accordance with Florida law, without regard to Florida provisions for conflict of laws. Courts of competent jurisdiction in Florida shall have
exclusive jurisdiction in any action regarding this Contract and venue shall be in Leon County, Florida. Unless otherwise provided in any
other provision or amendment hereof, any amendment, extension or renewal (when authorized) may be executed in counterparts as
provided in Section 46 of the PUR 1000 Form.
7.2. No Other Terms
There are no provisions, terms, conditions, or obligations other than those contained herein, and this Contract shall supersede all previous
communications, representations, or agreements, either verbal or written between the parties.
7.3. Severability of Terms
If any term or provision of this Contract is legally determined unlawful or unenforceable, the remainder of the Contract shall remain in full
force and effect and such term or provision shall be stricken.
7.4. Survival of Terms
The parties agree that, unless a provision of this Contract, its attachments or incorporated documents expressly states otherwise as to
itself or a named provision, all provisions of this Contract concerning obligations of the Provider and remedies available to the Department
are intended to survive the ending date or an earlier termination of this Contract. The Provider's performance pursuant to such surviving
provisions shall be without further payment, as the contract payments received during the term of this Contract are consideration for such
performance.
7.5. Modifications
Modifications of provisions of this Contract shall be valid only when they have been reduced to writing and duly signed by both parties.
The rate of payment and the total dollar amount may be adjusted retroactively to reflect price level increases and changes in the rate of
payment when these have been established through the appropriations process and subsequently identified in the Department's
operating budget.
7.6. Anticompetitive Agreements
The Provider will not offer, enter into nor enforce any formal or informal agreement with any person, firm or entity under which the parties
agree to refrain from competing for any future service contract or limit in any manner the ability of either party to obtain employment by
or provide services to the Department or a provider of services to the Department.
7.7. Communications
Except where otherwise provided in this Contract, communications between the parties regarding this Contract may be by any
commercially reasonable means. Where this Contract calls for communication in writing, such communication includes email, and
attachments thereto are deemed received when the email is received.
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7.8. Accreditation
The Department is committed to ensuring provision of the highest quality services to the persons we serve. Accordingly, the Department
has expectations that where accreditation is generally accepted nationwide as a clear indicator of quality service, the majority of the
Department's providers will either be accredited, have a plan to meet national accreditation standards, or will initiate a plan within a
reasonable period of time.
7.9. Transitioning Young Adults
The Provider understands the Department's interest in assisting young adults aging out of the dependency system. The Department
encourages Provider participation with the local Community -Based Care Lead Agency Independent Living Program to offer gainful
employment to youth in foster care and young adults transitioning from the foster care system.
7.10. DEO and Workforce Florida
The Provider understands that the Department, the Department of Economic Opportunity, and Workforce Florida, Inc., have jointly
implemented an initiative to empower recipients in the Temporary Assistance to Needy Families Program to enter and remain in gainful
employment. The Department encourages Provider participation with the Department of Economic Opportunity and Workforce Florida.
7.11. Purchases by Other Agencies
The Department of Management Services may approve this Contract as an alternate contract source pursuant to Rule 60A- 1.047, Florida
Administrative Code, if requested by another agency. Other State agencies may purchase from the resulting contract, provided that the
Department of Management Services has determined that the contract's use is cost - effective and in the best interest of the State. Upon
such approval, the Provider may, at its discretion, sell these commodities or services to additional agencies, upon the terms and
conditions contained herein.
7.12. Unauthorized Aliens
Unauthorized aliens shall not be employed. Employment of unauthorized aliens shall be cause for unilateral cancellation of this Contract
by the Department for violation of section 274A(e) of the Immigration and Nationality Act (8 U.S.C. § 1324 a) and section 101 of the
Immigration Reform and Control Act of 1986. The Provider and its subcontractors will enroll in and use the E- verify system established
by the U.S. Department of Homeland Security to verify the employment eligibility of its employees and its subcontractors' employees
performing under this Contract. Employee assigned to the contract means all persons employed or assigned (including subcontractors)
by the Provider or a subcontractor during the contract term to perform work pursuant to this contract within the United States and its
territories.
7.13. Civil Rights Requirements
In accordance with Title VII of the Civil Rights Act of 1964, the Americans with Disabilities Act of 1990, or the Florida Civil Rights Act of
1992, as applicable the Provider shall not discriminate against any employee (or applicant for employment) in the performance of this
Contract because of race, color, religion, sex, national origin, disability, age, or marital status. Further, the Provider agrees not to
discriminate against any applicant, client, or employee in service delivery or benefits in connection with any of its programs and activities
in accordance with 45 CFR, Parts 80, 83, 84, 90, and 91, Title VI of the Civil Rights Act of 1964, or the Florida Civil Rights Act of 1992,
as applicable and CFOP 60 -16. These requirements shall apply to all contractors, subcontractors, subgrantees or others with whom it
arranges to provide services or benefits to clients or employees in connection with its programs and activities. If employing fifteen or
more employees, the Provider shall complete the Civil Rights Compliance Checklist, CF Form 946 within thirty (30) days of execution of
this Contract and annually thereafter in accordance with CFOP 60 -16 and 45 CFR, Part 80.
7.14. Use of Funds for Lobbying Prohibited
The Provider shall comply with the provisions of sections 11.062 and 216.347, F.S., which prohibit the expenditure of contract funds for
the purpose of lobbying the Legislature, judicial branch, or a State agency.
7.15. Public Entity Crime and Discriminatory Contractors
Pursuant to sections 287.133 and 287.134, F.S., the following restrictions are placed on the ability of persons placed on the convicted
vendor list or the discriminatory vendor list. When a person or affiliate has been placed on the convicted vendor list following a conviction
for a public entity crime, or an entity or affiliate has been placed on the discriminatory vendor list, such person, entity or affiliate may not
submit a bid, proposal, or reply on a contract to provide any goods or services to a public entity; may not submit a bid, proposal, or reply
on a contract with a public entity for the construction or the repair of a public building or public work; may not submit bids, proposals, or
replies on leases of real property to a public entity; may not be awarded or perform work as a contractor, supplier, subcontractor, or
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consultant under a contract with any public entity; and may not transact business with any public entity; provided, however, that the
prohibition on persons or affiliates placed on the convicted vendor shall be limited to business in excess of the threshold amount provided
in section 287.017, F.S., for CATEGORY TWO for a period of thirty -six (36) months from the date of being placed on the convicted vendor
list.
7.16. Whistleblower's Act Requirements
In accordance with subsection 112.3187, F.S., the Provider and its subcontractors shall not retaliate against an employee for reporting
violations of law, rule, or regulation that creates substantial and specific danger to the public's health, safety, or welfare to an appropriate
agency. Furthermore, agencies or independent contractors shall not retaliate against any person who discloses information to an
appropriate agency alleging improper use of governmental office, gross waste of funds, or any other abuse or gross neglect of duty on
the part of an agency, public officer, or employee. The Provider and any subcontractor shall inform its employees that they and other
persons may file a complaint with the Office of Chief Inspector General, Agency Inspector General, the Florida Commission on Human
Relations or the Whistle- blower's Hotline number at 1- 800 - 543 -5353.
7.17. PRIDE
Articles which are the subject of or are required to carry out this Contract shall be purchased from Prison Rehabilitative Industries and
Diversified Enterprises, Inc., (PRIDE) identified under Chapter 946, F.S., in the same manner and under the procedures set forth in
subsections 946.515(2) and (4), F.S. For purposes of this Contract, the Provider shall be deemed to be substituted for the Department
insofar as dealings with PRIDE. This clause is not applicable to subcontractors unless otherwise required by law. An abbreviated list of
products /services available from PRIDE may be obtained by contacting PRIDE, (800) 643 -8459.
7.18. Recycled Products
The Provider shall procure any recycled products or materials, which are the subject of or are required to carry out this Contract, in
accordance with the provisions of sections 403.7065, F.S.
8. FEDERAL FUNDS APPLICABILITY
The terms in this section apply if the box for Federal Funds is checked at the beginning of this contract.
8.1. Federal Law
8.1.1. The Provider shall comply with the provisions of Federal law and regulations including, but not limited to, 2 CFR, Part 200,
and other applicable regulations.
8.1.2. If this Contract contains $10,000 or more of Federal Funds, the Provider shall comply with Executive Order 11246, Equal
Employment Opportunity, as amended by Executive Order 11375 and others, and as supplemented in Department of Labor
regulation 41 CFR, Part 60 if applicable.
8.1.3. If this Contract contains over $100,000 of Federal Funds, the Provider shall comply with all applicable standards, orders,
or regulations issued under section 306 of the Clean Air Act, as amended (42 U.S.C. § 7401 et seq.), section 508 of the Federal
Water Pollution Control Act, as amended (33 U.S.C. § 1251 et seq.), Executive Order 11738, as amended and where applicable,
and Environmental Protection Agency regulations (2 CFR, Part 1500). The Provider shall report any violations of the above to the
Department.
8.1.4. No Federal Funds received in connection with this Contract may be used by the Provider, or agent acting for the Provider,
or subcontractor to influence legislation or appropriations pending before the Congress or any State legislature. If this Contract
contains Federal funding in excess of $100,000, the Provider must, prior to contract execution, complete the Certification Regarding
Lobbying form, Attachment 3. If a Disclosure of Lobbying Activities form, Standard Form LLL, is required, it may be obtained from
the Contract Manager. All disclosure forms as required by the Certification Regarding Lobbying form must be completed and returned
to the Contract Manager, prior to payment under this Contract.
8.1.5. If this Contract provides services to children up to age 18, the Provider shall comply with the Pro - Children Act of 1994 (20
U.S.C. § 6081). Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to
$1,000 for each violation or the imposition of an administrative compliance order on the responsible entity, or both.
8.2. Federal Funding Accountability and Transparency Act (FFATA)
The FFATA Act of 2006 is an act of Congress that requires the full disclosure to the public of all entities or organizations receiving federal
funds.
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8.2.1. The Provider will complete and sign the FFATA Certification of Executive Compensation Reporting Requirements form (CF
1111 or successor) if this Contract includes $30,000 or more in Federal Funds (as determined over its entire term). The Provider
shall also report the total compensation of its five most highly paid executives if it also receives in excess of 80% of its annual gross
revenues from Federal Funds and receives more than $25 million in total federal funding.
8.2.2. The Digital Accountability and Transparency Act (DATA) 2014 is an expansion of the FFATA Act of 2006, the purpose is
for further transparency by establishing government -wide data identifiers and standardized reporting formats to recipient and sub -
recipients.
8.3. Federal Whistleblower Requirements
Pursuant to Section 11(c) of the OSH Act of 1970 and the subsequent federal laws expanding the act, the Provider is prohibited from
discriminating against employees for exercising their rights under the OSH Act. Details of the OSH act can be found at this website:
http:// www .whistleblowers.gov /index.html.
9. CLIENT SERVICES APPLICABILITY
The terms in this section apply if the box for Client Services is checked at the beginning of this contract.
9.1. Client Risk Prevention
If services to clients are to be provided under this contract, the Provider and any subcontractors shall, in accordance with the client risk
prevention system, report those reportable situations listed in CFOP 215 -6 in the manner prescribed in CFOP 215 -6. The Provider shall
immediately report any knowledge or reasonable suspicion of abuse, neglect, or exploitation of a child, aged person, or disabled adult to
the Florida Abuse Hotline on the statewide toll -free telephone number (1- 800- 96ABUSE). As required by Chapters 39 and 415, F.S., this
provision is binding upon both the Provider and its employees.
9.2. Emergency Preparedness Plan
If the tasks to be performed pursuant to this contract include the physical care or supervision of clients, the Provider shall, within thirty
(30) days of the execution of this contract, submit to the Contract Manager an emergency preparedness plan which shall include
provisions for records protection, alternative accommodations for clients in substitute care, supplies, and a recovery plan that will allow
the Provider to continue functioning in compliance with the executed contract in the event of an actual emergency. For the purpose of
disaster planning, the term "supervision" includes a child who is under the jurisdiction of a dependency court. Children may remain in
their homes, be placed in a non - licensed relative /non - relative home, or be placed in a licensed foster care setting. No later than twelve
months following the Department's original acceptance of a plan and every twelve (12) months thereafter, the Provider shall submit a
written certification that it has reviewed its plan, along with any modifications to the plan, or a statement that no modifications were found
necessary. The Department agrees to respond in writing within thirty (30) days of receipt of the original or updated plan, accepting,
rejecting, or requesting modifications. In the event of an emergency, the Department may exercise oversight authority over such Provider
in order to assume implementation of agreed emergency relief provisions.
9.3. Emergency Support to the Deaf or Hard -of- Hearing
9.3.1. The Provider and its subcontractors shall comply with section 504 of the Rehabilitation Act of 1973, 29 U.S.C. 794, as
implemented by 45 CFR Part 84 (hereinafter referred to as Section 504), the Americans with Disabilities Act of 1990, 42 U.S.C. §
12131, as implemented by 28 CFR Part 35 (hereinafter referred to as ADA), and the Children and Families Operating Procedure
(CFOP) 60 -10, Chapter 4, entitled Auxiliary Aids and Services for the Deaf or Hard -of- Hearing.
9.3.2. If the Provider or any of its subcontractors employs 15 or more employees, the Provider shall designate a Single- Point -of-
Contact (one per firm) to ensure effective communication with deaf or hard -of- hearing customers or companions in accordance with
Section 504 of the ADA, and CFOP 60 -10, Chapter 4. The Provider's Single- Point -of- Contact and that of its Subcontractors will
process the compliance data into the Department's HHS Compliance reporting Database by the 5th business day of the month,
covering the previous month's reporting, and forward confirmation of submission to the Contract Manager. The name and contact
information for the Provider's Single- Point -of- Contact shall be furnished to the Department's Grant or Contract Manager within
fourteen (14) calendar days of the effective date of this requirement.
9.3.3. The Provider shall, within thirty (30) days of the effective date of this requirement, contractually require that its
subcontractors comply with Section 504, the ADA, and CFOP 60 -10, Chapter 4. A Single- Point -of- Contact shall be required for each
subcontractor that employs 15 or more employees. This Single- Point -of- Contact will ensure effective communication with deaf or
hard -of- hearing customers or companions in accordance with Section 504 and the ADA and coordinate activities and reports with
the Provider's Single- Point -of- Contact.
CF Standard
Integrated Contract 2016 15 Contract No. KH225
9.3.4. The Single- Point -of- Contact shall ensure that employees are aware of the requirements, roles & responsibilities, and
contact points associated with compliance with Section 504, the ADA, and CFOP 60 -10, Chapter 4. Further, employees of providers
and their subcontractors with fifteen (15) or more employees shall attest in writing that they are familiar with the requirements of
Section 504, the ADA, and CFOP 60 -10, Chapter 4. This attestation shall be maintained in the employee's personnel file.
9.3.5. The Provider's Single- Point -of- Contact will ensure that conspicuous Notices which provide information about the availability
of appropriate auxiliary aids and services at no -cost to the deaf or hard -of- hearing customers or companions are posted near where
people enter or are admitted within the agent locations. Such Notices must be posted immediately by The Provider and its
subcontractors. The approved Notice is available at: http://www.myflfamilies.com/ about -us /services- deaf - and - hard - hearing /dcf-
posters.
9.3.6. The Provider and its subcontractors shall document the customer's or companion's preferred method of communication
and any requested auxiliary aids /services provided in the customer's record. Documentation, with supporting justification, must also
be made if any request was not honored. The Provider shall distribute Customer Feedback forms to customers or companions, and
provide assistance in completing the forms as requested by the customer or companion.
9.3.7. If customers or companions are referred to other agencies, the Provider must ensure that the receiving agency is notified
of the customer's or companion's preferred method of communication and any auxiliary aids /service needs.
9.3.8. The Department requires each contract/subcontract provider agency's direct service employees to complete training on
serving our Customers who are Deaf or Hard -of- Hearing and sign the Attestation of Understanding. Direct service employees
performing under this Contract will also print their certificate of completion, attach it to their Attestation of Understanding, and maintain
them in their personnel file.
9.4. Confidential Client and Other Information
Except as provided in this Contract, the Provider shall not use or disclose but shall protect and maintain the confidentiality of any client
information and any other information made confidential by Florida law or Federal laws or regulations that is obtained or accessed by the
Provider or its subcontractors incidental to performance under this Contract.
9.4.1. Client and Other Confidential Information. State laws providing for the confidentiality of client and other information include
but are not limited to sections 39.0132, 39.00145, 39.202, 39.809, 39.908, 63.162,. 63.165, 383.412, 394.4615, 397.501, 409.821,
409.175, 410.037, 410.605, 414.295, 415.107, 415.295, 741.3165 and 916.107, F.S.
9.4.2. Federal laws and regulations to the same effect include section 471(a)(8) of the Social Security Act, section
106(b)(2)(A)(viii) of the Child Abuse Prevention and Treatment Act, 7 U.S.C. § 2020(e)(8), 42 U.S.C. § 602 and 2 CFR § 200.303
and 2 CFR § 200.337, 7 CFR § 272.1(c), 42 CFR §§ 2.1 -2.3, 42 CFR § 431.300 -306, 45 CFR § 205.
9.4.3. A summary of Florida Statutes providing for confidentiality of this and other information are found in Part II of the Attorney
General's Government in the Sunshine Manual, as revised from time -to -time.
By signing this Contract, the parties agree that they have read and agree to the entire Contract, as described in Section 1.4.
IN WITNESS THEREOF, the parties hereto have caused this 96 page Contract to be executed by their undersigned officials as duly
authorized.
PROVIDER: South Florida Behavioral Health Network, FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES
Inc.
Signature: Signature:
Print/Type Print/Type
Name: John W. Dow Name: Bronwyn Stanford
Title: President and Chief Executive Officer Title: Regional Managing Director
Date: Date:
The parties agree that any future amendment(s) replacing this page will not affect the above execution.
Federal Tax ID # (or SSN): 59- 3380599 Provider Fiscal Year Ending Date: 06/30.
CF Standard
Integrated Contract 2016 16 Contract No. KH225
The Remainder of this Page Intentionally Left Blank.
CF Standard
Integrated Contract 2016 17 Contract No. KH225
July 1, 2016
EXHIBIT A — SPECIAL PROVISIONS
The following provisions supplement or modify the provisions of Items 1 through 9, as provided herein:
A -1 ENGAGEMENT, TERM AND CONTRACT DOCUMENT
A -1.1 Contract Document
In addition to the provisions of Section 1.4., the following documents, or the latest revisions thereof, are
incorporated herein and made a part of this Contract.
A -1.1.1 Additional Contract Exhibits
Exhibits Al, A2, B1, 01, C2, C3, F1 and F2
A -1.1.2 Guidance Documents
Guidance 1 - Evidence -Based Guidelines
Guidance 2 - Tangible Property Requirements
Guidance 3 - Managing Entity Expiration, Termination and Transition Planning Requirements
Guidance 4 - Care Coordination
Guidance 5 - Residential Mental Health Treatment for Children and Adolescents
Guidance 6 - Outpatient Forensic Mental Health Services
Guidance 7 - Forensic and Civil Treatment Facility Admission and Discharge Processes
Guidance 8 - Assisted Living Facilities with Limited Mental Health (ALF -LMH) Licensure
Guidance 9 - Supplemental Security Income /Social Security Disability Insurance (SSI /SSDI)
Outreach Access, and Recovery (SOAR)
Guidance 10 - Prevention Services
Guidance 11 - Juvenile Incompetent to Proceed (JITP)
Guidance 12 - Behavioral Health Network (BNet) Guidelines and Requirements
Guidance 13 - Indigent Drug Program (IDP)
Guidance 14 - Prevention Partnership Grants (PPG)
Guidance 15 - Projects for Assistance in Transition from Homelessness (PATH)
Guidance 16 - Florida Assertive Community Treatment (FACT) Handbook
Guidance 17 - Temporary Assistance for Needy Families (TANF) Funding Guidance
Guidance 18 - Family Intensive Treatment (FIT) Model Guidelines and Requirements
Guidance 19 - Integration with Child Welfare
Guidance 20 - Local Review Team
Guidance 21 - Housing Coordination
Guidance 22 - Federal Grant Financial Management Requirements
Guidance 23 - Crisis Counseling Program
Guidance 24 - Performance Outcomes Measurement Manual
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Guidance 25 - National Voter Registration Act Guidance
Guidance 26 - Women's Special Funding, Substance Abuse Services for Pregnant Women
and Mothers
Guidance 27 — Central Receiving Systems Grant
Guidance 28 — Forensic Multidisciplinary Team
Guidance 29 — Transitional Voucher
A -1.1.3 Templates
Template 1 - Provider Tangible Property Inventory Form
Template 2 - Managing Entity Substance Abuse and Mental Health Block Grant Reporting
Template Overview and Instructions
Template 3 - Narrative Report for the Substance Abuse and Mental Health Block Grant
Template 4 - Managing Entity Annual Business Operations Plan
Template 5 - ALF -LMH Forms
Template 6 - BNet Participant Forms
Template 7 - BNet Alternative Service Forms
Template 8 - Family Intensive Treatment Services Monthly Progress Report
Template 9 - Local Match Calculation Form
Template 10 - Managing Entity Monthly Fixed Payment Invoice
Template 11 - Managing Entity Monthly Progress Report
Template 12 - Managing Entity Monthly Expenditure Report
Template 13 - Managing Entity Monthly Carry Forward Expenditure Report
Template 14 - Cost Allocation Plan
Template 15 - Managing Entity Spending Plan for Carry Forward Report
Template 16 - Women's Special Funding Reporting Template
A -1.1.4 Unless otherwise specified in this Contract, all documents incorporated by reference may be
located at the following Department webpage location:
htto: / /www.myflfamilies.com /service - programs/ substance - abuse /managing- entities
Copies of these documents may also be obtained from the Department, 1317 Winewood Boulevard,
Tallahassee, FL, 32399 -0700.
A -1.2 Program Specific Terms
In addition to the provisions of Section 1.4.1., the definitions in Exhibit Al apply to this Contract.
A -2 STATEMENT OF WORK
There are no additional provisions to this section of the Contract.
A -3 PAYMENT, INVOICE AND RELATED TERMS
There are no additional provisions to this section of the Contract.
A -4 GENERAL TERMS AND CONDITIONS GOVERNING PERFORMANCE
CF Standard 1 9 Contract No. KH225
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July 1, 2016
A -4.1 Notwithstanding the terms of Section 4.3., the Managing Entity may subcontract with Network Service
Providers without advance approval in writing by the Department.
A -4.2 Insurance
In addition to the provisions of Section 4.5., the following Special Insurance Provisions shall apply to this
Contract. In the event of any inconsistency between the requirements of this section and the requirements of
Section 4.5., the provisions of this section shall prevail and control.
A -4.2.1 The Managing Entity shall notify the Contract Manager within 30 calendar days if there is a
modification to the terms of insurance including but not limited to, cancellation or modification to policy
limits.
A -4.2.2 The Managing Entity acknowledges that, as an independent contractor, the Managing Entity and its
Network Service Providers at all tiers are not covered by the State of Florida Risk Management Trust Fund
for liability created by s. 284.30, F.S.
A -4.2.3 The Managing Entity shall obtain and provide proof to the Department of comprehensive
general liability insurance coverage (broad form coverage), specifically including premises, fire and
legal liability to cover managing the Managing Entity and all of its employees. The limits of Managing
Entity's coverage shall be no less than $300,000 per occurrence with a minimal annual aggregate of no
less than $1,000,000.
A -4.2.4 The Managing Entity shall cause all Network Service Providers, at all tiers, who the Managing
Entity reasonably determines to present a risk of significant loss to the Managing Entity or the
Department, to obtain and provide proof to Managing Entity and the Department of comprehensive
general liability insurance coverage (broad form coverage), specifically including premises, fire and
legal liability covering the Network Service Provider and all of its employees. The limits of coverage for
the Managing Entity's Network Service Providers, at all tiers, shall be in such amounts as the Managing
Entity reasonably determines to be sufficient to cover the risk of loss.
A -4.2.5 If any officer, employee, or agent of the Managing Entity operates a motor vehicle in the
course of the performance of its duties under this contract, the Managing Entity shall obtain and provide
proof to the Department of comprehensive automobile liability insurance coverage. The limits of the
Managing Entity's coverage shall be no less than $300,000 per occurrence with a minimal annual
aggregate of no less than $1,000,000.
A -4.2.6 If any officer, employee, or agent of any Network Service Provider, at all tiers, operates a
motor vehicle in the course of the performance of the duties of the Network Service Provider, the
Managing Entity shall cause the Network Service Provider to obtain and provide proof to the Managing
Entity and the Department of comprehensive automobile liability insurance coverage with the same
limits.
A -4.2.7 The Managing Entity shall obtain and provide proof to the Department of professional liability
insurance coverage, including errors and omissions coverage, to cover the Managing Entity and all of
its employees. If any officer, employee, or agent of the Managing Entity administers any prescription
drug or medication or controlled substance in the course of the performance of the duties of the
Managing Entity under this contract, the professional liability coverage shall include medical malpractice
liability and errors and omissions coverage, to cover the Managing Entity and all of its employees. The
limits of the coverage shall be no less than $300,000 per occurrence with a minimal annual aggregate
of no less than $1,000,000.
A -4.2.8 If any officer, employee, or agent of the Network Service Provider, at all tiers, provides any
professional services or provides or administers any prescription drug or medication or controlled
substance in the course of the performance of the duties of the Network Service Provider, the Managing
Entity shall cause the Network Service Provider, at all tiers, to obtain and provide proof to
CF Standard 2 0 Contract No. KH225
Integrated Contract 2016
July 1, 2016
the Managing Entity and the Department of professional liability insurance coverage, including medical
malpractice liability and errors and omissions coverage, to cover all Network Service Provider
employees with the same limits.
A -4.2.9 The Department shall be exempt from, and in no way liable for, any sums of money that may
represent a deductible or self- insured retention under any such insurance. The payment of any
deductible on any policy shall be the sole responsibility of the Managing Entity, or Network Service
Provider purchasing the insurance.
A- 4.2.10 All such insurance policies of the Managing Entity and its Network Service Providers, at all
tiers, shall be provided by insurers licensed or eligible to do and that are doing business in the State of
Florida. Each insurer must have a minimum rating of "A" by A. M. Best or an equivalent rating by a
similar insurance rating firm, and shall name the Department as an additional insured under the policy
or policies. The Managing Entity shall use its best good faith efforts to cause the insurers issuing all
such general, automobile, and professional liability insurance to use a policy form with additional
insured provisions naming the Department as an additional insured or a form of additional insured
endorsement that is acceptable to the Department in the reasonable exercise of its judgment.
A- 4.2.11 All such insurance proposed by the Managing Entity shall be submitted to and confirmed by
the Contract Manager annually by March 31.
A -5 RECORDS, AUDITS AND DATA SECURITY
A -5.1 Inspections and Corrective Action
In addition to the terms of Section 5.2., the following requirements shall apply to this Contract.
A -5.1.1 The Managing Entity shall be monitored in accordance with s. 402.7305, F.S., and CFOP 75 -8,
Policies and Procedures of Contract Oversight. The Managing Entity shall comply with any requests
made by the Department as part of the conduct of such monitoring. At no cost to the Department, the
Managing Entity shall provide complete access to all programmatic, administrative, management,
budget and financial information related to services provided under this contract.
A -5.1.2 The Department will provide a written report to the Managing Entity within 30 days of the
monitoring team's exit. If the report indicates corrective action is necessary, the Managing Entity shall
provide a proposed corrective action plan for the Department's approval, except in the case of threat to
life or safety of Individuals Served, in which case the Managing Entity shall take immediate action to
ameliorate the threat and associated causes.
A -5.1.3 The Managing Entity shall cooperate at all times with the Department to conduct these reviews
and shall provide all documentation requested by the reviewers in a timely manner at its administrative
office or other location, as determined by the Department.
A -6 PENALTIES, TERMINATION AND DISPUTE RESOLUTION
A -6.1 Termination
The provisions of Section 6.2.1. and Section 6.2.2. are hereby modified and superseded as follows. The
remaining clauses of Section 6 remain in effect.
A -6.1.1 Notwithstanding the provisions of Section 6.2.1., in accordance with Section 22 of PUR 1000
Form, this Contract may be terminated by the Department without cause upon no less than 180
calendar days' notice in writing to the Provider unless a sooner time is mutually agreed upon in writing.
A -6.1.2 Notwithstanding the provisions of Section 6.2.2., this Contract may be terminated by the
Provider upon no less than 180 calendar days' notice in writing to the Department unless a sooner time
is mutually agreed upon in writing.
CF Standard 2 1 Contract No. KH225
Integrated Contract 2016
July 1, 2016
A -6.2 Dispute Resolution
In addition to the terms of Section 6.3., the following Dispute Resolution terms shall apply to this Contract:
A -6.2.1 The parties agree to cooperate in resolving any differences in interpreting the contract. Within
five working days of the execution of this contract, each party shall designate one person with the
requisite authority to act as its representative for dispute resolution purposes. Each party shall notify the
other party of the person's name and business address and telephone number. Within five working days
from delivery to the designated representative of the other party of a written request for dispute
resolution, the representatives will conduct a face -to -face meeting to resolve the disagreement
amicably. If the representatives are unable to reach a mutually satisfactory resolution, either
representative may request referral of the issue to the Managing Entity's Chief Executive Officer (CEO)
and the Department's Regional Managing Director (RMD). Upon referral to this second step, the
respective parties shall confer in an attempt to resolve the issue.
A -6.2.2 If the CEO and RMD are unable to resolve the issue within 10 days, the parties' appointed
representatives shall meet within 10 working days and select a third representative. These three
representatives shall meet within 10 working days to seek resolution of the dispute. If the
representatives' good faith efforts to resolve the dispute fail, the representatives shall make written
recommendations to the Secretary who will work with both parties to resolve the dispute. The parties
reserve all their rights and remedies under Florida law. Venue for any court action will be in Leon
County, Florida.
A -7 OTHER TERMS
A -7.1 The Managing Entity shall comply with all applicable federal and state laws and regulations and all
policies, directives and guidelines published by the Department. In the event the Department amends any
policies, directives, or guidelines after contract execution, the Department will provide electronic notice to the
Managing Entity.
A -7.2 Exhibit A2 contains additional state and federal laws, rules, and regulations applicable to performance
under this Contract.
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CF Standard 2 2 Contract No. KH225
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July 1, 2016
EXHIBIT Al — PROGRAM AND SERVICE SPECIFIC TERMS
A1-1 Behavioral Health Network (BNet)
A statewide network of Behavioral Health Service providers which serve children with mental health or substance use
disorders who are ineligible for Medicaid and are determined eligible for Title XXI of the United States Public Health
Services Act.
A1-2 Behavioral Health Services
As defined by s. 394.9082(2)(a), F.S.
A1.3 Block Grants
The Community Mental Health Block Grant (CMHBG), pursuant to 42 U.S.C. s. 300x, et seq.; and the Substance
Abuse Prevention and Treatment Block Grant (SAPTBG), pursuant to 42 U.S.C. s. 300x -21, et seq.
A1.4 Continuous Quality Improvement (COI)
An ongoing, systematic process of internal and external improvements in service provision and administrative
functions, taking into account both in process and end of process indicators, in order to meet the valid requirements
of Individuals Served.
A1-5 Coordinated System of Care
As defined by s. 394.9082(2)(b), F.S.
A1 -6 Electronic Health Record (EHR)
As defined by s. 408.051(2)(a), F.S.
A1-7 Electronic Vault
An information technology system, provided by the Managing Entity, designed to store, manage, and track electronic
versions of original and scanned documents, and to provide remote document access to regional and Headquarters
Department staff.
A1-8 Evidence -Based Practice (EBP)
As defined by Guidance 1— Evidence -Based Guidelines.
A1-9 Indigent Psychiatric Medication Program known as the Indigent Drug Program (IDP)
Behavioral Health Services provided pursuant to s. 394.676, F.S.
Al -10 Individual(s) Served
An individual who receives substance abuse or mental health services, the cost of which is paid, either in part or
whole, by Department appropriated funds or local match (matching).
Al -11 Juvenile Incompetent to Proceed (JITP)
"Child," "juvenile" or "youth" as defined by s. 985.03(7), F.S., deemed incompetent to proceed for accused crimes as
pursuant to s. 985.19, F.S.
A1-12 Local Match
Pursuant to s. 394.74(2)(b), F.S., and s. 394.76, F.S.
A1-13 Managing Entity
As defined by s. 394.9082(2)(e), F.S. Throughout this Contract, the term Managing Entity is synonymous with the
definition of Provider in the Department's Standard Integrated Contract.
A1-14 Mental Health Services
CF Standard 2 3 Contract No. KH225
Integrated Contract 2016
July 1, 2016
As defined by s. 394.67(15), F.S.
A1.15 Network Service Provider(s)
A direct service agency providing Substance Abuse or Mental Health Services that is under contract with a Managing
Entity, and referred to collectively as the "Network." The Network shall consist of a comprehensive array of
Behavioral Health Services and programs that are designed to meet the local need, are accessible and responsive to
the needs of Individuals Served, their families, and community stakeholders, and include the following elements:
A1-15.1 Prevention and early intervention;
A1-15.2 Emergency care;
A1-15.3 Acute care;
A1-15.4 Residential treatment;
A1-15.5 Outpatient treatment;
A1-15.6 Rehabilitation;
A1-15.7 Supportive intervention;
A1-15.8 Recovery support; and
A1-15.9 Consumer support services.
A1-16 Operational Costs
The allowable expenses incurred by a Managing Entity in performing its contracted functions and delivering its
contracted services.
A1-17 Projects for Assistance in Transition from Homelessness (PATH)
A federal grant to support homeless individuals with mental illnesses, who may also have co- occurring substance
abuse and mental health treatment needs.
A1.18 Risk Assessment
A process for evaluating the threat of damage, loss, liability, or other negative occurrence caused by external or
internal vulnerabilities that may be avoided through pre - emptive action. An effective Risk Assessment prioritizes the
extent and degree of appropriate monitoring activities.
A1-19 Safety Net
The publicly funded Behavioral Health Services and providers that have either historically received or currently
receive funding appropriated to the Department by the General Appropriations Act (GAA). The Safety Net is intended
to provide funding to Network Service Providers for expenditures that would otherwise be uncompensated costs for
services provided to individuals in need of services.
Al -20 Stakeholders
Individuals or groups with an interest in the provision of treatment or prevention services to individuals with substance
use, mental health, and co- occurring disorders in the county(ies) specified in Section B -3.1. This includes, but is not
limited to, the key community constituents included in s. 394.9082, F.S.
A1-21 State Mental Health Treatment Facilities
State Mental Health Treatment Facilities serving adults who have been committed for intensive inpatient treatment by
a circuit court and pursuant to Chapter 394, F.S. or Chapter 916, F.S.
CF Standard 2 4 Contract No. KH225
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July 1, 2016
Al -22 Statewide Inpatient Psychiatric Programs (SIPP)
Medicaid - funded services to children under age 18 provided in a residential treatment center or hospital, licensed by
the Agency for Health Care Administration (AHCA), which provides diagnostic and active treatment services in a
secure setting. SIPP providers must be under contract with AHCA and provide these services in accordance with
Chapter 394, F.S., Chapter 408, F.S., and Chapter 409, F.S., and Rule 65E- 9.008(4), F.A.C.
A1-23 Submit
Unless otherwise specified, the term "Submit" as used in this Contract shall be construed to mean submission of a
contractual requirement to the Department's Contract Manager, subject to the provisions of Section C- 2.4.7.
A1-24 Substance Abuse and Mental Health Data System (SAMH Data System)
The Department's web -based data system for reporting substance abuse and mental health services, including the
Substance Abuse and Mental Health Information System (SAMHIS) or any replacement system identified by the
Department for the reporting of data by the Managing Entity and all Network Service Providers in accordance with
this contract.
A1-25 Substance Abuse Services
Has the same meaning as "substance abuse programs and services" pursuant to s. 397.331(1)(b), F.S.
A1-26 Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) Outreach,
Access, and Recovery (SOAR)
A Substance Abuse and Mental Health Services Administration (SAMHSA) technical assistance initiative designed to
help individuals increase earlier access to SSI and SSDI through improved approval rates on initial Social Security
applications by providing training, technical assistance, and strategic planning to Network Service Providers.
Al -27 Temporary Assistance to Needy Families (TANF)
As defined by 42 U.S.C. ss. 601, et seq., and Chapter 414, F.S.
A1-28 Wait List
A master list for the Network, maintained by a Managing Entity that shows:
A1-28.1 The number of individuals waiting for access to the recommended service or program;
A1-28.2 The length of time each individual has been on the waiting list; and
A1-28.3 The interim services provided to the individual.
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CF Standard 2 5 Contract No. KH225
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July 1, 2016
EXHIBIT A2 — SAMH PROGRAMMATIC STATE AND FEDERAL LAWS, RULES, AND REGULATIONS
The provider and its subcontractors shall comply with all applicable state and federal laws, rules and regulations, as
amended from time to time, that affect the subject areas of the contract. Authorities include but are not limited to the
following:
A2-1 Federal Authority
A2-1.1 Block Grants Regarding Mental Health and Substance Abuse
42 U.S. C. ss. 300x, et seq.
42 U.S.C. ss. 300x -21 et seq.
42 C.F.R. pt. 54
45 C.F.R. pt. 96
A2-1.2 Restrictions on expenditure of grant
45 C.F.R. s. 96.135
A2 -1.3 Confidentiality Of Alcohol And Drug Abuse Patient Records
42 C.F.R., pt. 2
A2-1.4 Security and Privacy (related to the Health Insurance Portability and Accountability Act
(HIPAA))
45 C.F.R. pt. 164
A2 -1.5 Social Security Income for the Aged, Blind and Disabled
20 C.F.R. pt. 416
A2 -1.6 Indorsement and Payment of Checks Drawn on the United States Treasury
31 C.F.R. pt. 240
A2 -1.7 Temporary Assistance to Needy Families (TANF)
42 U.S.C. ss. 601, et seq.
45 C.F.R., pt. 260
A2-1.8 Projects for Assistance in Transition from Homelessness (PATH)
42 U.S. C. s. 290cc -21 et seq.
42 C.F.R., pt. 54
A2.1.9 Americans with Disabilities Act of 1990
42 U.S. C. ss. 12101 et seq.
A2 -1.10 Trafficking Victims Protection Act of 2000
22 U.S.C. 7104
2CFRPart175
A2-2 Florida Statutes
A2 -2.1 Child Welfare and Community Based Care
Ch. 39, F.S. Proceedings Relating to Children
CF Standard 2 6 Contract No. KH225
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July 1, 2016
Ch. 119, F.S. Public Records
Ch. 402, F.S. Health and Human Services: Miscellaneous Provisions
Ch. 435, F.S. Employment Screening
Ch. 490, F.S. Psychological Services
Ch. 491, F.S. Clinical, Counseling and Psychotherapy Services
Ch. 1002, F.S. Student and Parental Rights and Educational Choices
A2 -2.2 Substance Abuse and Mental Health Services
Ch. 381, F.S. Public Health: General Provisions
Ch. 386, F.S. Particular Conditions Affecting Public Health
Ch. 394, F.S. Mental Health
Ch. 395, F.S. Hospital Licensing and Regulation
Ch. 397, F.S. Substance Abuse Services
Ch. 400, F.S. Nursing Home and Related Health Care Facilities
Ch. 414, F.S. Family Self- Sufficiency
Ch. 435, F.S. Employment Screening
Ch. 458, F.S. Medical Practice
Ch. 459, F.S. Osteopathic Medicine
Ch. 464, F.S. Nursing
Ch. 465, F.S. Pharmacy
Ch. 490, F.S. Psychological Services
Ch. 491, F.S. Clinical, Counseling, and Psychotherapy Services
Ch. 499, F.S. Florida Drug and Cosmetic Act
Ch. 553, F,S. Building Construction Standards
Ch. 893, F.S. Drug Abuse Prevention and Control
S. 409.906(8), F.S. Optional Medicaid Services — Community Mental Health Services
A2-2.3 Developmental Disabilities
Ch. 393, F.S. Developmental Disabilities
A2-2.4 Adult Protective Services
Ch. 415, F.S. Adult Protective Services
A2 -2.5 Forensics
Ch. 916, F.S. Mentally Deficient and Mentally III Defendants
Ch. 985, F.S. Juvenile Justice; Interstate Compact on Juveniles
S. 985.19, F.S. Incompetency in Juvenile Delinquency Cases
S. 985.24, F.S. Interstate Compact on Juveniles; Use of detention; prohibitions
CF Standard 2 7 Contract No. KH225
Integrated Contract 2016
July 1, 2016
A2-2.6 State Administrative Procedures and Services
Ch. 120, F.S. Administrative Procedures Act
Ch. 287, F.S. Procurement of Personal Property and Services
Ch. 815, F.S. Computer - Related Crimes
Ch. 817, F.S. Fraudulent Practices
S. 112.061, F.S. Per diem and travel expenses of public officers, employees, and
authorized persons
S. 112.3185, F.S. Additional standards for state agency employees
S. 215.422, F.S. Payments, warrants, and invoices; processing time limits; dispute
resolution; agency or judicial branch compliance
S. 216.181(16)(b), F.S. Advanced funds for program startup or contracted services
A2-3 Florida Administrative Code (Rules)
A2 -3.1 Child Welfare and Community Based Care
Ch. 65C -13, F.A.C. Foster Care Licensing
Ch. 65C -14, F.A.C. Group Care
Ch. 65C -15, F.A.C. Child - Placing Agencies
A2 -3.2 Substance Abuse and Mental Health Services
Ch. 65D -30, F.A.C. Substance Abuse Services Office
Ch. 65E -4, F.A.C. Community Mental Health Regulation
Ch. 65E -5, F.A.C. Mental Health Act Regulation
Ch. 65E -10, F.A.C. Psychotic and Emotionally Disturbed Children - Purchase of Residential
Services Rules
Ch. 65E -11, F.A.C. Behavioral Health Services
Ch. 65E -12, F.A.C. Public Mental Health Crisis Stabilization Units and Short Term
Residential Treatment Programs
Ch. 65E -14, F.A.C. Community Substance Abuse and Mental Health Services - Financial
Rules
Ch. 65E -20, F.A.C. Forensic Client Services Act Regulation
Ch. 65E -26, F.A.C. Substance Abuse and Mental Health Priority Populations and Services
A2.3.3 Financial Penalties
Ch. 65 -29, F.A.C. Penalties on Service Providers
A2-4 MISCELLANEOUS
A2 -4.1 Department of Children and Families Operating Procedures
CFOP 155 -10 / 175 -40 Services for Children with Mental Health and Any Co- Occurring
Substance Abuse or Developmental Disability Treatment Needs in Out -
of -Home Care Placements
CFOP 155 -11 Title XXI Behavioral Health Network
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CFOP 155 -47 Processing Referrals From The Department Of Corrections
CFOP 215 -6 Incident Reporting and Analysis System (IRAS)
A2.4.2 Standards applicable to Cost Principles, Audits, Financial Assistance and Administrative
Requirements
S. 215.97, F.S. Florida Single Audit Act
S. 215.971, F.S. Agreements funded with federal or state assistance
Comptroller's Memorandum No. 03 (1999 -2000)
Florida Single Audit Act Implementation
CFO's Memorandum No. 03 (2014 - 2015)
Compliance Requirements for Agreements
2 CFR, Part 200 Uniform Administrative Requirements, Cost Principles, and Audit
Requirements for Federal Awards, available at
https://federalregister.gov/a/2013-30465
2 CFR, Part 300.1 Adoption of 2 CFR Part 200
45 C.F.R., pt. 75 Uniform Administration Requirements, Cost Principles, and Audit
Requirements for HHS Awards
A2 -4.3 Data Collection and Reporting Requirements
S. 394.74(3)(e), F.S. Data Submission
S. 394.9082, F.S. Behavioral health managing entities
S. 397.321(3)(c), F.S. Data collection & dissemination system
S. 394.77, F.S. Uniform management information, accounting, and reporting systems
for providers
DCF PAM 155 -2 Mental Health and Substance Abuse Measurement and Data
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CF Standard 2 9 Contract No. KH225
Integrated Contract 2016
July 1, 2016
EXHIBIT B — SCOPE OF WORK
B -1 Scope of Service
The Managing Entity shall be responsible for the planning, coordination, and subcontracting of the Provider Network,
as defined by s. 394.9082(2)(f), F.S., thereby providing a comprehensive array of Behavioral Health Services to
individuals, including emergency, acute care, residential, outpatient, recovery support, consumer support and
prevention services.
B -2 Major Contract Goals
The Department is contracting with the Managing Entity, pursuant to s. 394.9082, F.S., to plan, coordinate, and
subcontract for the delivery of community mental health and substance abuse services; to improve access to care
and promote service continuity; and to support efficient and effective delivery of services.
B -3 Service Area and Locations
B -3.1 The Managing Entity shall subcontract for services within the following counties: Miami -Dade and Monroe,
B -3.2 When needed, the Managing Entity may subcontract for residential services related to the
Purchase of Residential Treatment Services (PRTS) for emotionally disturbed children and youth in additional
Florida counties, subject to advance written approval of each subcontractor by the Department.
B -3.3 The Managing Entity shall maintain an administrative office within the service area defined in Section B -3.1,
and shall subcontract with Network Services Providers operating within the same area.
B -3.4 The Managing Entity shall notify the Department's Contract Manager, in writing, at least 10 calendar
days prior to any changes in locations where services are being provided.
B -3.5 The Managing Entity shall notify the Department in writing a minimum of 30 days prior to making
changes in location that will affect the Department's ability to contact the Managing Entity by telephone or
facsimile transmission.
B -4 Individuals to Be Served
The Managing Entity shall contract with Network Service Providers for Behavioral Health Services provided to
individuals as detailed in Section B -5. Contracts with Network Service Providers shall include compliance with the
Departments requirements for Individuals Served.
B-5 Client Eligibility
Behavioral Health services shall be provided to persons pursuant to s. 394.674, F.S., including those individuals who
have been identified as requiring priority by state or federal law. These identified priorities include, but are not limited
to, the categories in Sections B -5.1 through B -5.10. Persons in Sections B -5.1 through B -5.2 are specifically
identified as persons to be given immediate priority over those in any other sections.
B -5.1 Pursuant to 45 C.F.R. s. 96.131, priority admission to pregnant women and women with dependent
children by Network Service Providers receiving SAPT Block Grant funding;
B -5.2 Pursuant to 45 C.F.R. s. 96.126, compliance with interim services, for injection drug users, by
Network Service Providers receiving SAPT Block Grant funding and treating injection drug users;
B -5.3 Priority for services to families with children that have been determined to require substance abuse and
mental health services by child protective investigators and also meet the target populations in Sections B -5.3.1 or
B- 5.3.2. Such priority shall be limited to individuals that are not enrolled in Medicaid or another insurance program,
or require services that are not paid by another payor source:
B -5.3.1 Parents or caregivers in need of adult mental health services pursuant to s. 394.674(1)(a)2.,
F.S., based upon the emotional crisis experienced from the potential removal of children; or
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B -5.3.2 Parents or caregivers in need of adult substance abuse services pursuant to s.
394.674(1)(c)3., F.S., based on the risk to the children due to a substance use disorder.
B -5.4 Individuals who reside in civil and forensic State Mental Health Treatment Facilities and individuals
who are at risk of being admitted into a civil or forensic State Mental Health Treatment Facility pursuant to s.
394.4573, F.S.;
B -5.5 Individuals who are voluntarily admitted, involuntarily examined, or placed under Part I, Chapter 394,
F.S.;
B -5.6 Individuals who are involuntarily admitted under Part V, Chapter 397, F.S.;
B -5.7 Residents of assisted living facilities as required in ss. 394.4574 and 429.075, F.S.;
B -5.8 Children referred for residential placement in compliance with Ch. 65E- 9.008(4), F.A.C.; and
B -5.9 Inmates approaching the End of Sentence pursuant to Children and Families Operating Procedure
(CFOP) 155-47: "Processing Referrals from the Department of Corrections."
B -5.10 In the event of a Presidential Major Disaster Declaration, Crisis Counseling Program (CCP) services
shall be contracted for according to the terms and conditions of any CCP grant award approved by
representatives of the Federal Emergency Management Agency (FEMA) and the Substance Abuse and
Mental Health Services Administration (SAMHSA).
B -6 Client Determination
B -6.1 The Managing Entity may delegate determinations to the Network Service Providers, subject to the
provisions of Section B -6.4.
B -6.2 In no circumstances shall an individual's county of residence be a factor that denies access to
service.
B -6.3 The Managing Entity shall require each Network Service Provider submit a monthly attestation
attached to an invoice to the Managing Entity, declaring that, at the time of submission, no other funding
source was known for the invoiced services.
B -6.4 The Department, in accordance with state law, is exclusively responsible for defining Individuals
Served for services provided through this Contract. In the event of a dispute, the determination made by the
Department is final and binding on all parties.
B -7 Equipment
B -7.1 The Managing Entity and all Network Service Providers shall supply all equipment necessary to
provide services and fulfill the terms and conditions of this Contract, including but not limited to; computers,
telephones, copier, and fax machines, supplies and maintenance, and necessary office supplies.
B -7.2 The Managing Entity shall ensure that Network Service Providers comply with requirements in the
Guidance 2 — Tangible Property Requirements and document compliance through the submission of
Template 1— Provider Tangible Property Inventory Form.
B -8 Contract Limits
B -8.1 The Department's obligation to pay for services provided under this Contract is expressly limited by
the availability of funds and subject to annual appropriations by the Legislature.
B -8.2 The Managing Entity is expressly prohibited from authorizing or incurring indebtedness on behalf of
the Department.
B -8.3 The Managing Entity is expressly prohibited from utilizing accounting practices or redirecting funds to
circumvent legislative intent.
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B -8.4 Services shall only be provided within the service area outlined in Section B -3.1.
B -8.5 Pursuant to PHS Act §1931(a)(I)(E) and 1916(a)(5) and 45 CFR §96.135(a)(5), the Managing Entity
may not enter into subcontracts with a for - profit entity using Block Grant funds or state funds identified as
Block Grant Maintenance of Effort unless the for - profit entity subcontract is solely for providing goods and
services for the Managing Entity's own use in meeting its obligations under this Contract. A subcontract with a
for - profit entity may not provide for services meeting the definition of a "subaward" as defined in 2 CFR
§200.92.
B -8.6 The Managing Entity shall not subcontract development, implementation, administrative, or
monitoring responsibilities without prior written approval from the Department.
B -8.7 The Managing Entity shall not subcontract for Behavioral Health Services with any person or entity
which:
B -8.7.1 Is barred, suspended, or otherwise prohibited from doing business with any government
entity, or has been barred, suspended, or otherwise prohibited from doing business with any
government entity in accordance with s. 287.133, F.S.;
B -8.7.2 Is under investigation or indictment for criminal conduct, or has been convicted of any crime
which would adversely reflect on its ability to provide services, or which adversely reflects its ability to
properly handle public funds;
B -8.7.3 Has had a contract terminated by the Department for failure to satisfactorily perform or for
cause;
B -8.7.4 Has failed to implement a corrective action plan approved by the Department or any other
governmental entity, after having received due notice; or
B -8.7.5 Has had any prohibited business activity with the Governments of Sudan and Iran as
described in s. 215.473, F.S. Pursuant to s. 287.135(5), F.S., the Managing Entity shall immediately
terminate the subcontract for cause if the Network Service Provider is found to have submitted a false
certification or if the Provider is placed on the Scrutinized Companies with Activities in Sudan List or
the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List during the term of
the subcontract.
B -8.8 The Managing Entity agrees that services funded by this Contract other than those set out in this
Contract, will be provided only upon receipt of a written authorization from the Contract Manager. The
Department has final authority to make any and all determinations that affect the health, safety, and well -being of
the people of the State of Florida.
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CF Standard 3 2 Contract No. KH225
Integrated Contract 2016
July 1, 2016
EXHIBIT B1 — FEDERAL BLOCK GRANT REQUIREMENTS
B1-1 Purpose
B1 -1.1 The purpose of this document is to outline the expectations of the Department for the Managing
Entity, in relation to the federal Community Mental Health (CMH) block grant, as authorized by 42 U.S.C. s.
300x, and Substance Abuse Prevention and Treatment (SAPT) block grant, as authorized by 42 U.S.C. s.
300x -21.
B1 -1.2 Managing Entity Assurance
The Managing Entity shall assume the responsibility of implementation, administration, and monitoring of the
CMH and SAPT block grants, and the associated maintenance of effort requirements.
B1 -1.3 The Managing Entity shall ensure that the Department is able to meet the assurances required of the
State to the federal government in 45 C.F.R. s. 96.123, to be eligible to receive block grant funding.
B1-1.4 The Managing Entity shall be responsible for the implementation, administration, monitoring, and
compliance with the requirements of the Block Grants. The Department will provide technical assistance to the
Managing Entity. The Managing Entity agrees that failure to comply with the requirements of these federal
Block Grants represents a material breach of this contract, and shall subject the Managing Entity to
performance deficiencies and financial consequences as specified in Section 3.4.
B1 -2 Managing Entity Requirements
B1 -2.1 The Managing Entity shall report expenditures, service utilization data, demographic information, and
national outcome measures as required by the Catalog of Federal Domestic Assistance (CFDA).
B1-2.2 Pursuant to 45 C.F.R. s. 96.122, the Managing Entity shall report expenditures for :
B1-2.2.1 Planning,
B1-2.2.2 Coordination,
B1 -2.2.3 Needs assessment,
B1-2.2.4 Quality assurance,
B1.2.2.5 Training of counselors,
B1 -2.2.6 Program development,
B1-2.2.7 Research and development, and
B1 -2.2.8 Development of information systems.
B1-2.3 The Managing Entity shall be responsible for ensuring that the Department can report the following
allocations in accord with the requirements set by federal law:
B1 -2.3.1 Of the SAPT block grant:
B1-2.3.1.1 Pursuant to 45 C.F.R. s. 96.124(b), not less than the amount specified in
Exhibit F1 for "Substance Abuse Prevention Services" on primary prevention services for
those who do not require treatment;
B1- 2.3.1.2 Pursuant to 42 U.S.C. s. 300x -24, not less than the amount specified in
Exhibit F1 for "HIV Services" on HIV Early Intervention Services.
B1 -2.3.2 Of State funds appropriated to substance abuse treatment for adults, pursuant to 45
C.F.R. s. 96.124(c), not less than the amount specified in Exhibit F1 for "Projects Expansion of
Substance Abuse Services for Pregnant Women and their affected families" on services for pregnant
women, and women with dependent children.
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July 1, 2016
B1 -2.3.3 Of the CMH block grant, not less than the amount specified in Exhibit F1 for ME "Early
Intervention Services for SMI & Pysch Disorder."
B1 -2.3.4 Pursuant to 45 C.F.R. s. 96.131, the Managing Entity shall ensure that subcontractors that
receive SAPT block grant funding prioritize treatment services for pregnant women. This shall
include:
B1-2.3.4.1 The development, implementation, and administration of an electronic
waitlist to ensure that a pregnant woman that requires treatment services shall be a
priority for admission, within 48 hours of seeking treatment. If the clinically appropriate
services cannot be provided for the pregnant woman, interim services shall be provided
not later than 48 hours after the woman seeks treatment services.
B1- 2.3.4.2 The capacity to track and report the type of service, number of pregnant
women served, and amount of services purchased by federal and state sources.
B1. 2.3.4.3 Policies and procedures relating to treatment services for pregnant women
and, where appropriate, ensure that families are able to remain together when parents
require treatment.
B1 -2.3.5 Pursuant to 45 C.F.R. s. 96.126, the Managing Entity shall maintain an electronic waitlist
for the sub - contractors that receive SAPT block grant funding and serve injection drug users, and
ensure the implementation of the 14/120 day requirement of 45 C.F.R. s. 96.126(b), and provide
interim services until such time as the clinically appropriate level of treatment can be provided to the
individual.
B1-2.3.5.1 Outreach services shall be provided, pursuant to 45 C.F.R. s. 96.126(e), and
documented so as to demonstrate the provision of these services.
B1. 2.3.5.2 The Managing Entity shall maintain a report of the Network Service
Providers that reach 90% capacity, and the monitoring procedures to ensure that this
occurs.
B1 -2.3.6 Pursuant to 45 C.F.R. s. 96.125, the Managing Entity shall prepare and implement a
comprehensive primary prevention program that uses a variety of strategies.
B1-2.3.7 Pursuant to 45 C.F.R. s. 95.127, the Managing Entity shall ensure the provision of
tuberculosis services, in compliance with Ch. 65D- 30.004(9). F.A.C.
B1 -2.3.8 Pursuant to 45 C.F.R. s. 96.126 and s. 96.128, the Managing Entity shall ensure the
provision of early intervention services for HIV and in compliance with Ch. 65D- 30.004(9), F.A.C.
B1 -2.3.9 Pursuant to 45 C.F.R. s. 96.123(a)(7) and s. 96.132(b), the Managing Entity shall ensure
that subcontracted Network Service Providers receive continuing education, and this shall be
documented to demonstrate the provision of said education.
61. 2.3.10 Pursuant to 45 C.F.R. s. 96.132(a), the Managing Entity shall develop and implement a
process for improving referrals to treatment.
B1. 2.3.11 The Managing Entity shall ensure that each year, an evaluation of the procedures and
activities undertaken to comply with the block grant requirements shall be completed.
B1- 2.3.12 The Managing Entity shall ensure that each year, an assessment of need is undertaken
that complies with the requirements of 45 C.F.R. s. 96.133, and 42 U.S.C. s. 300x -1 for adults with a
serious mental illness, and children with serious emotional disturbances.
B1-2.3.13 The Managing Entity shall ensure that block grant funding is not expended on the
restricted activities pursuant to 45 C.F.R. s. 96.135, and 42 U.S.C. s. 300x -5.
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July 1, 2016
B1- 2.3.14 Pursuant to 42 U.S.C. s. 300x -3, the Managing Entity shall collaborate with the
Department to ensure that members of the planning council are able to undertake their statutory
duties. This will include the participation of the Council member at the Managing Entity Board
meetings.
B1 -3 Monitoring
B1 -3.1 The Managing Entity shall develop, and implement a monitoring process that will demonstrate
oversight and corrective action in the case of non - compliance, for all Network Service Providers that receive
block grant funds.
B1 -3.2 The Managing Entity shall:
B1 -3.2.1 As a component of Network Service Provider monitoring, include oversight of the block
grant requirements;
B1 -3.2.2 Develop and utilize standardized monitoring tools;
B1-3.2.3 Provide the Department with access to the monitoring reports, via the electronic vault; and
B1 -3.2.4 Develop and utilize the monitoring reports to create corrective action plans for Network
Service Providers, where necessary.
B1 -4 Reporting
B1 -4.1 To demonstrate compliance with the requirements of the SAPT and CMH block grants, the Managing
Entity shall, on a quarterly basis report on the following activities:
B1 -4.1.1 Training and technical assistance;
B1 -4.1.2 Access to treatment for injection drug users, including capacity reports;
B1 -4.1.3 Follow -up actions taken in response to findings from peer review activities;
B1-4.1.4 Priority access to treatment for pregnant women;
B1 -4.1.5 Wait list management for injection drug users and pregnant women;
B1 -4.1.6 Compliance with charitable choice provisions;
B1 -4.1.7 Monitoring; and
B1 -4.1.8 Continuous quality improvement.
B1 -4.2 To meet the reporting requirements of the State to the federal government, the Managing Entity shall
complete and submit Template 2 — Managing Entity Substance Abuse and Mental Health Block Grant
Reporting Template Overview and Instructions by February 15 and August 15 of each year. This shall be
accompanied by a certification of accuracy, from the Chief Executive Officer and Chief Financial Officer, or
equivalent positions.
B1 -4.3 To meet the reporting requirements of the State to the federal government, the Managing Entity shall
complete and submit Template 3 — Narrative Report for the Substance Abuse and Mental Health Block
Grant by May 30 of each year.
B1 -5 Elements to be included in subcontracts with Network Service Providers
B1-5.1 The Managing Entity shall ensure that the following are included in contracts with appropriate
Network Service Providers:
B1.5.1.1 Requirements to ensure compliance with the SAMHSA Charitable Choice provisions and
the implementing regulations of 42 C.F.R. s. 54a;
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July 1, 2016
B1 -5.1.2 Requirements to ensure that Network Service Providers that receive block grant funds
comply with 42 C.F.R. Part 2;
B1 -5.1.3 Provisions to monitor block grant requirements, and activities;
B1 -5.1.4 Sufficient detail in a Network Service Provider invoice to capture, report, and test the
validity of expenditures and service utilization;
B1 -5.1.5 For Network Service Providers that receive CMH block grant funding, and have been
designated as a prevention provider for the purposes of H.R. Res. 3547, 113th Cong. (2014)
(enacted), compliance with federal requirements.
B1 -5.1.6 For Network Service Providers that receive SAPT block grant funding for the purpose of
primary prevention, compliance with 45 C.F.R. s. 96.125;
B1-5.1.7 An invoice that includes the minimum data elements to satisfy the Department's
application and reporting requirements; and
B1 -5.1.8 Compliance with state or federal requests for information related to the block grant.
B1-5.1.9 In accordance with 45 C.F.R. s. 96.131(b), a requirement that providers that receive Block
Grant funds and that serve injection drug users publicize the following notice: "This program receives
federal Substance Abuse Prevention and Treatment Block Grant funds and serves people who inject
drugs. This program is therefore federally required to give preference in admitting people into
treatment as follows: 1. Pregnant injecting drug users; 2. Pregnant drug users; 3. People who inject
drugs; and 4. All others."
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CF Standard 3 6 Contract No. KH225
Integrated Contract 2016
July 1, 2016
EXHIBIT C — TASK LIST
C -1 Service Tasks
The Managing Entity shall perform all functions necessary for the proper development, implementation,
administration, and monitoring of a behavioral health Safety Net, including, but not limited to, the following functions:
C -1.1 Development and Planning Function
C•1.1.1 The Managing Entity shall develop and manage a comprehensive Network of qualified
subcontracted Network Service Providers that:
C•1.1.1.1 Promotes recovery and resiliency;
C- 1.1.1.2 Promotes the development and effective implementation of a coordinated
system of care;
C- 1.1.1.3 Provides an optimal array of services to meet identified community Behavioral
Health Service needs;
C- 1.1.1.4 Manages and allocates available funds in compliance with federal and state
laws, rule and regulations; and
C- 1.1.1.5 Is accessible and responsive to individuals, families, and community
Stakeholders.
C -1.1.2 The Managing Entity shall participate in community, circuit, regional and state planning in
accordance with s. 394.9082, F.S., and shall submit regional planning documents to enable the
Department to comply with the following statutory requirements:
C- 1.1.2.1 Section 394.4574(3), F.S.;
C- 1.1.2.2 Section 394.461(4)(a) -(c), F.S.;
C- 1.1.2.3 Section 394.745, F.S.;
C- 1.1.2.4 Section 394.75, F.S.;
C- 1.1.2.5 The Long Range Program Plan for the Department;
C- 1.1.2.6 The Annual Business Plan for the Department;
C- 1.1.2.7 Regional operational plans to assist in the development and implementation
of the Strategic Plan for the Department; and
C- 1.1.2.8 Any ad -hoc plans requested by the Department.
C -1.1.3 Effective July 1, 2016, the Managing Entity shall conduct a community behavioral health
care needs assessment every three years, to be submitted to the Department no later than October
31 of each applicable year. At a minimum, the assessment shall consider:
C- 1.1.3.1 The extent to which each designated receiving system within the Managing
Entity service location functions as a "no- wrong -door model," as defined by s. 394.4573,
F.S.;
C- 1.1.3.2 The availability of treatment and recovery services that use recovery- oriented
and peer - involved approaches;
C- 1.1.3.3 The availability of less- restrictive services; and
C- 1.1.3.4 The use of evidence - informed practices.
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July 1, 2016
C -1.1.4 County Planning
The Managing Entity shall provide assistance to each county specified in Section B -3.1 to develop a
designated receiving system pursuant to s. 394.4573, F.S. and a transportation plan pursuant to s.
394.462, F.S.
C -1.1.5 Federal Planning
The Managing Entity shall collect and provide data and program information to the Department for
the completion of Block Grant application, plans, and reports.
C -1.1.6 No later than July 31, of each year, the Managing Entity shall submit an annual business
plan, developed with community Stakeholder input, to the Department, that shall outline the
operational plan for the present fiscal year, and a future plan for the next fiscal year to assist in the
development of the Department's legislative budget request. This plan shall be completed using
Template 4 — Managing Entity Annual Business Operations Plan. The annual business plan shall
outline:
C- 1.1.6.1 Governance and administration;
C- 1.1.6.2 Provider relations and development;
C- 1.1.6.3 Service management;
C- 1.1.6.4 Customer service and consumer affairs;
C- 1.1.6.5 Projected community need; and
C- 1.1.6.6 Anticipated service targets.
C -1.1.7 Annually, no later than July 15, the Managing Entity shall develop, implement and submit
a plan for reintegrating individuals ready for discharge from the State Mental Health Facilities, to a
less restrictive level of care. The Managing Entity may submit an update to a previously accepted
plan to comply with this requirement.
C -1.1.8 Within 90 days of execution, the Managing Entity shall submit, a record transition plan to
be implemented in the case of contract termination or non - renewal by either party, in accordance with
Guidance 3 — Managing Entity Expiration, Termination and Transition Planning Requirements.
C -1.1.9 The Department will review the proposed policies, procedures, and plans required to be
submitted by the Managing Entity. The Department will respond in writing indicating approval or
noting any deficiencies within 30 business days from the date of receipt. Once approved by the
Department, the Managing Entity's policies and procedures may be amended provided that they
conform to state and federal laws, state rules, and federal regulations.
C- 1.1.10 The Managing Entity shall make available and communicate all plans, policies,
procedures, and manuals to the Managing Entity staff, Network Service Providers, Individuals
Served, and Stakeholders, as applicable.
C- 1.1.11 Resource Development
The Managing Entity shall, where appropriate, develop additional resources by pursuing third -party
payments for services, applying for grants, assisting providers in securing local matching funds and in-
kind services, and employing other methods needed to ensure that services are available and
accessible.
C- 1.1.12 Enhancement Plan
Annually on September 1, effective as of 2017, the Managing Entity shall submit an Enhancement
Plan for Department approval. The Enhancement Plan shall:
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July 1, 2016
C- 1.1.12.1 Identify a minimum of three and a maximum of five priority needs for services
in the geographic area;
C- 1.1.12.2 Provide a detailed description of the Managing Entity's strategies for
enhancing services to address each priority need;
C- 1.1.12.3 Include an implementation plan for each strategy which specifies actions
steps and identifies responsible parties; delineates specific services to be purchased and
the projected cost of those services; projects the number of individuals to be served and
estimates the benefits of the services; and
C- 1.1.12.4 Be based upon a planning process which includes consumers and their
families, community -based care lead agencies, local governments, law enforcement
agencies, service providers, community partners and other stakeholders.
C -1.2 Implementation Function
C -1.2.1 The Managing Entity shall maintain a comprehensive Network that provides an adequate
and reasonable array of services in terms of geographic distribution to meet the service needs of
individuals without excessive time and travel requirements.
C -1.2.2 Care Coordination
C- 1.2.2.1 Within 60 days of execution, the Managing Entity shall submit a care
coordination plan for Department approval prior to implementation. The Managing Entity
shall update the care coordination plan annually, no later than July 15. The plan shall, at
minimum, address the following areas:
C- 1.2.2.1.1 Specify methods that will be used to reduce, manage, and
eliminate Waitlists for services;
C- 1.2.2.1.2 Promote increased planning, use, and delivery of services to
individuals, including those with co- occurring substance abuse and mental
health disorders;
C- 1.2.2.1.3 Promote access to clinically appropriate services by ensuring
the use of screening, assessment, and placement tools designed to identify
an appropriate level and intensity of care for an individual;
C- 1.2.2.1.4 Promote the use of service outcome data to achieve desired
outcomes;
C- 1.2.2.1.5 Promote coordination of behavioral health care with primary
care;
C- 1.2.2.1.6 Include a methodology to ensure that people are served at the
clinically indicated least restrictive level of care and are diverted from higher
levels of care when appropriate; and
C- 1.2.2.1.7 Monitor and implement system changes to promote
effectiveness.
C- 1.2.2.2 In addition, pursuant to s. 394.9082(3)(c), F.S., the Managing Entity shall
provide care coordination activities, as specified in Guidance 4 — Care Coordination,
designed to improve outcomes among individuals in the following priority populations:
C- 1.2.2.2.1 Persons with a Serious Mental Illness (SMI) awaiting
placement in a civil SMHTF or awaiting discharge from a SMHTF back to the
community.
CF Standard 3 9 Contract No. KH225
Integrated Contract 2016
July 1, 2016
C- 1.2.2.2.2 Adults with three (3) or more acute care admissions (CSU,
Detoxification, and inpatient) within 180 days.
C -1.3 Administration Function
C -1.3.1 The Managing Entity shall collaborate with and accept input from Stakeholders to
administer services and shall operate in a transparent manner, providing public access to
information, notice of meetings and opportunities for participation in Managing Entity decision -
making.
C -1.3.2 The Managing Entity shall ensure the administration of the Network includes the following
programmatic standards:
C- 1.3.2.1 Guidance 5 — Residential Mental Health Treatment for Children and
Adolescents;
C- 1.3.2.2 Guidance 6 — Outpatient Forensic Mental Health Services;
C- 1.3.2.3 Guidance 7— Forensic and Civil Treatment Facility Admission and
Discharge Processes;
C- 1.3.2.4 The Managing Entity shall facilitate Limited Mental Health Assisted Living
Facility (LMH -ALF) training pursuant to Rule 58A- 5.0191, F.A.C., and the additional
guidance in Guidance 8 — Assisted Living Facilities with Limited Mental Health (ALF -
LMH) Licensure;
C- 1.3.2.5 The Managing Entity shall promote the SSI /SSDI Outreach, Access, and
Recovery (SOAR) initiative with appropriate Network Service Providers in conjunction with
the Department. Programmatic guidance is provided in Guidance 9 — Supplemental
Security Income /Social Security Disability Insurance (SSI /SSDI) Outreach, Access,
and Recovery (SOAR) and the recommended forms provided in Template 5 — ALF -LMH
Forms;
C- 1.3.2.6 Guidance 10 — Prevention Services;
C- 1.3.2.7 Guidance 11— Juvenile Incompetent to Proceed (JITP);
C- 1.3.2.8 Guidance 12 — Behavioral Health Network (BNet) Guidelines and
Requirements and the required forms provided in Template 6 — Behavioral Health
Network Forms;
C- 1.3.2.9 Guidance 13 — Indigent Psychiatric Medication Program, known as the
Indigent Drug Program (IDP);
C- 1.3.2.10 The Managing Entity shall be responsible for contracting, and providing
oversight of the Prevention Partnership Grants, pursuant to s. 397.99, F.S. The Managing
Entity shall require that all Network Service Providers receiving PPG funding complete the
Evidence -Based Self- Assessment Survey annually and shall comply with the
requirements in Guidance 14 — Prevention Partnership Grants (PPG);
C- 1.3.2.11 Guidance 15 — Projects for Assistance in Transition from Homelessness
(PATH);
C- 1.3.2.12 Guidance 16 — Florida Assertive Community Treatment (FACT)
Handbook;
C- 1.3.2.13 The Managing Entity must comply with the applicable obligations under 42
U.S.C., ss. 601, et. seq. The Managing Entity agrees that TANF funds shall be expended
CF Standard 4 0 Contract No. KH225
Integrated Contract 2016
July 1, 2016
for TANF participants as outlined in Guidance 17 — Temporary Assistance for Needy
Families (TANF) Funding Guidance;
C- 1.3.2.14 To ensure the implementation and administration of the Family Intensive
Treatment (FIT) team model complies with the Department's programmatic standards, the
Managing Entity shall require any Network Service Providers providing FIT model services
adhere to the staffing, service delivery and reporting requirements of Guidance 18 —
Family Intensive Treatment (FIT) Model Guidelines and Requirements; and
C- 1.3.2.15 The Managing Entity shall implement the Transitional Voucher project
according to the specifications in Guidance 29 — Transitional Voucher.
C -1.3.3 The Managing Entity shall notify the Department within 48 hours of conditions related to
Network Service Provider performance that may interrupt the continuity of service delivery or involve
media coverage.
C -1.3.4 The Managing Entity shall develop a fraud and abuse prevention protocol within 60 days
of execution that complies with all state and federal requirements applicable to this contract. This
plan shall be approved by the Department prior to implementation.
C -1.3.5 Quality Management
C- 1.3.5.1 The Managing Entity shall establish a quality management process to identify
and address opportunities for improvement of operations for both Network Service
Providers and the Managing Entity.
C- 1.3.5.2 The Managing Entity shall submit a quality assurance plan documenting the
process within 60 days of execution and annually no later than August 31. This plan shall
be approved by the Department prior to implementation. For the purposes of this contract,
quality assurance functions includes, but is not limited to:
C- 1.3.5.2.1 Periodic external review activities conducted by the
Department and the Managing Entity to assure that the agreed upon level of
service is achieved and maintained by the Managing Entity and its Network
Service Providers; and
C- 1.3.5.2.2 Assessing compliance with contract requirements, state and
federal law and associated administrative rules, regulations, operating
procedures, validating quality improvement systems and findings.
C- 1.3.5.3 As applicable, the Managing Entity shall actively participate in the
Department's local and statewide processes for quality assurance and quality
improvement.
C -1.3.6 The Managing Entity shall be responsible, upon discovery of an incident involving a client
whose services are paid for in whole or in part by the Managing Entity, for the management and
oversight of incident reporting in accordance with the CFOP 215 -6, Incident Reporting and Analysis
System (IRAS).
C -1.3.7 The Managing Entity shall cooperate with the Department when investigations are
conducted regarding a regulatory complaint relevant to a licensed facility operated by one of the
Managing Entity's Network Service Providers.
C -1.3.8 The Managing Entity shall integrate the Department's current initiatives, new state and
federal requirements, and policy initiatives into its operations.
CF Standard 4 1 Contract No. KH225
Integrated Contract 2016
July 1, 2016
C -1.3.9 Coordination with other Providers and Entities
C- 1.3.9.1 The Managing Entity shall coordinate with the Community Based Care lead
agency, or agencies, as appropriate, to further the child welfare role of the Department,
pursuant to s. 409.996(12), F.S and to integrate behavioral health services with the child
welfare system. Such coordination shall be in accordance with Guidance 19 —
Integration with Child Welfare.
C- 1.3.9.2 The Managing Entity shall collaborate with and encourage increased
coordination between Network Service Providers and the child welfare system, law
enforcement agencies, the criminal justice system, the juvenile justice system, the
Medicaid program, offices of the public defender, offices of criminal conflict and offices of
the civil regional counsel within the geographic area.
C- 1.3.9.3 Collaboration with the criminal justice system and the juvenile justice system,
including the Department of Juvenile Justice, shall develop strategies and alternatives for
diverting individuals from the criminal justice system to the civil system. Such diversion
shall apply to persons with mental illness, substance use or co- occurring disorders.
C- 1.3.9.4 The Managing Entity shall coordinate with the judicial system to:
C- 1.3.9.4.1 Develop specific written procedures and agreements that
maximize the use of involuntary outpatient services, reduce involuntary
inpatient treatment and increase diversion from the criminal and juvenile
justice systems; and
C- 1.3.9.4.2 Provide effective and timely services covered through this
contract that address the substance abuse and mental health needs of
children and parents in the child welfare system and the juvenile justice
system.
C- 1.3.9.5 The Managing Entity shall participate in the interagency team meetings
created as a result of the Interagency Agreement for child- serving agencies in accordance
with Guidance 20 — Local Review Team.
C- 1.3.9.6 The Managing Entity Shall provide the housing coordination function specified
in Guidance 21— Housing Coordination, with Network Service Providers and local
housing and homelessness stakeholders, and the Local Community Providers of Services
identified at the Department's Office on Homelessness webpage at
http: / /www.myflfamilies.com /service- programs /homelessness /lead- agencies.
C -1.4 Monitoring Function
C -1.4.1 Within 30 days after execution and annually thereafter no later than July 31, the Managing
Entity shall submit a Network Service Provider Management Plan for Department approval. The plan
shall include:
C- 1.4.1.1 A Risk Assessment to develop an annual monitoring schedule.
C- 1.4.1.2 A statistically valid sampling methodology to ensure that Network Service
Providers have an onsite monitoring by the Managing Entity at least once every three
years, if accredited.
C- 1.4.1.3 The monitoring schedule shall distinguish between onsite monitoring and
desk reviews.
C- 1.4.1.4 The development of policies, procedures, and tools for the scope of
monitoring, which shall include:
CF Standard 4 2 Contract No. KH225
Integrated Contract 2016
July 1, 2016
C- 1.4.1.4.1 General Contract monitoring that will include:
C- 1.4.1.4.1.1 Fiscal stability,
C- 1.4.1.4.1.2 Records,
C- 1.4.1.4.1.3 Corrective Action Plan review,
C- 1.4.1.4.1.4 Audits,
C- 1.4.1.4.1.5 Accounting System,
C- 1.4.1.4.1.6 Insurance,
C- 1.4.1.4.1.7 Sponsorship,
C- 1.4.1.4.1.8 Publicity,
C- 1.4.1.4.1.9 Lobbying,
C- 1.4.1.4.1.10 Client Risk and Incident Reporting,
C- 1.4.1.4.1.11 Intellectual Property Rights,
C- 1.4.1.4.1.12 Data Security,
C- 1.4.1.4.1.13 Confidentiality of Client Information,
C- 1.4.1.4.1.14 Assignments and Subcontracts, and
C- 1.4.1.4.1.15 Grievance Procedures.
C- 1.4.1.4.2 Program monitoring that will include:
C- 1.4.1.4.2.1 Scope of service,
C- 1.4.1.4.2.2 Service tasks,
C- 1.4.1.4.2.3 Staffing requirements,
C- 1.4.1.4.2.4 Deliverables,
C- 1.4.1.4.2.5 Data validation,
C- 1.4.1.4.2.6 Performance specifications,
C- 1.4.1.4.2.7 Network Service Provider responsibilities, and
C- 1.4.1.4.2.8 Method of payment.
C- 1.4.1.4.3 Background Screening monitoring that will include:
C- 1.4.1.4.3.1 Level 1 and 2 screening,
C- 1.4.1.4.3.2 Screening exemptions or exclusions, and
C- 1.4.1.4.3.3 Attestations.
C- 1.4.1.4.4 Policies and procedures that comply with s. 394.9082(5)(q),
F.S.
C -1.4.2 The Managing Entity shall monitor Network Service Providers, in compliance with s.
402.7306, F.S., and CFOP 75 -8. Monitoring shall include, but is not limited to:
C- 1.4.2.1 Compliance with federal and state confidentiality laws;
CF Standard 4 3 Contract No. KH225
Integrated Contract 2016
July 1, 2016
C- 1.4.2.2 Compliance with the requirements and restrictions of the Block Grant funds,
and accompanying maintenance of efforts requirements;
C- 1.4.2.3 State and federal grant programs;
C- 1.4.2.4 Compliance with specific appropriations, or GAA directed projects;
C- 1.4.2.5 Compliance with TANF;
C- 1.4.2.6 Compliance with the provisions of ch. 65E -14, F.A.C.; and
C- 1.4.2.7 A sample of case management records to verify that services identified in
community living support plans for residents of Assisted Living Facilities with Limited
Mental Health Licenses are provided pursuant to s. 394.4574, F.S.
C -1.4.3 The Managing Entity shall make available to the Department, the results of both planned
and ad hoc monitoring, by uploading to the electronic vault within 30 days of completion.
C -1.5 Data Collection, Reporting, and Analysis Function
C -1.5.1 The Managing Entity shall implement shared data systems necessary for the delivery of
coordinated care and integrated services, the assessment of Managing Entity performance and
Network Service Provider performance and the reporting of outcomes and costs of services.
C -1.5.2 The Managing Entity shall develop and implement policies and procedures that protect
and maintain the confidentiality of sensitive information of Individuals Served.
C -1.5.3 The Managing Entity shall require accurate and timely data entry required from Network
Service Providers for performance outcomes measurement, in accordance with PAM 155 -2, and
s. 394.74(3)(e), F.S. The data must:
C- 1.5.3.1 Enable expenditures to be tracked by program, fund type, and service;
C- 1.5.3.2 Capture service utilization by type and recipient; and
C- 1.5.3.3 Document quality of care, access to services, and outcomes for each
Individual Served within the Network.
C -1.5.4 The Managing Entity shall electronically submit all data, as specified in PAM 155 -2, to the
SAMH Data System by the 18th of each month.
C -1.5.5 The Department will provide a monthly records acceptance and rejection report to the
Managing Entity. The Managing Entity shall correct 95% of rejected records within 60 days after each
report is issued.
C -1.5.6 Within 60 days of execution, the Managing Entity shall submit an information technology
plan for Department approval prior to implementation. This plan shall be reviewed annually for
progress. The plan shall demonstrate that the Managing Entity's data system shall be able to meet
the following minimum requirements:
C- 1.5.6.1 The exchange of screening and assessment results among Network Service
Providers to better coordinate care as outlined in the current Information Technology Plan;
C- 1.5.6.2 Automated referral and electronic consent for release of confidential
information within and between Network Service Providers;
C- 1.5.6.3 Integrated processes for tracking and coordinating intake, admission,
discharge and follow -up throughout the Network;
C- 1.5.6.4 Electronic reconciliation of invoices submitted to the Department, including
reconciliation of the amount of funding and services specified in this contract;
CF Standard 4 4 Contract No. KH225
Integrated Contract 2016
July 1, 2016
C- 1.5.6.5 Electronic reconciliation of the Managing Entity's audit report and data
information system for Individuals Served;
C- 1.5.6.6 Automated processes for state and federal data analysis and reporting; and
C- 1.5.6.7 Compliance with federal and state laws, and regulations pertaining to security
and privacy of protected health information.
C -1.5.7 The Managing Entity shall provide Department approved Regional and Headquarters staff
with access to its data system for Department funded clients and services.
C -1.5.8 The Managing Entity shall provide data system training and training products for
Department approved staff.
C -1.5.9 The Managing Entity shall create and maintain accurate and complete Network Service
Provider information for its Network in the Data System. The Managing Entity shall require that
changes or updates to Network Service Provider records in the SAMH Data System are made within
30 days of a known change.
C- 1.5.10 The Managing Entity shall be responsible for maintaining all SAMH Data System access
data accounts for persons affiliated with its Network.
C- 1.5.11 The Managing Entity shall participate in statewide data activities, including standing
Department SAMH data conference calls or meetings. When possible, the Managing Entity shall
make arrangements for the Managing Entity data officer or designee to attend policy or strategic
meetings in person.
C- 1.5.12 The Managing Entity's delegated data officer shall participate in the Department's SAMH
data training. The Managing Entity shall be responsible for training other required Managing Entity
staff and affiliated personnel on accessing and using SAMH data systems.
C- 1.5.13 The Managing Entity shall verify that data submitted is consistent with the data maintained
locally by Network Service Providers in their Individuals Served files.
C- 1.5.14 The Managing Entity shall review the Department's file upload history in the SAMH Data
System to determine the number of records accepted, updated, and rejected. Based on this review,
the Managing Entity shall correct the erroneous records for resubmission in the SAMH Data System
within 60 days after submission.
C- 1.5.15 The Managing Entity shall require that all data collection required as a result of Federal
and State grant awards is submitted to the appropriate parties and completed within the timeframes
established by the grantor. The Department will provide technical assistance to the Managing Entity.
C- 1.5.16 The Managing Entity shall require public receiving facilities, detoxification facilities and
addictions receiving facilities within its Network Service Providers to collect and submit the acute care
service utilization data specified in s. 394.9082(10), F.S., according to the timeframes established
therein, using a file transfer protocol process or a web portal developed by the Managing Entity.
C -1.6 Fiscal Responsibility Function
C -1.6.1 The Managing Entity shall comply with Guidance 22 — Federal Grant Financial
Management Requirements.
C -1.6.2 The Managing Entity's financial management and accounting system must have the
capability to generate financial reports detailing by fund source, individual recipient utilization, and
cost, which, at a minimum, will meet federal requirements for the Block Grants.
C -1.6.3 The Managing Entity shall ensure that it budgets and accounts for revenues and
expenditures in compliance with Ch. 65E -14, F.A.C.
CF Standard 4 5 Contract No. KH225
Integrated Contract 2016
July 1, 2016
C -1.6.4 Direct and indirect costs eligible for payment from Department funds are expenses directly
incurred by the Managing Entity to manage Behavioral Health Services under and pursuant to this
contract and in accordance with:
C- 1.6.4.1 2 CFR Part 200 — Uniform Administrative Requirements, Cost Principles, and
Audit Requirements for Federal Awards;
C- 1.6.4.2 2 CFR Part 300.1 — Adoption of 2 CFR Part 200;
C- 1.6.4.3 45 CFR Part 75 — Uniform Administrative Requirements, Cost Principles, and
Audit Requirements for HHS Awards; and
C- 1.6.4.4 The Reference Guide for State Expenditures, which is incorporated herein by
reference and may be located at: www. myfloridacfo .com /aadir /reference_guide /.
C -1.6.5 Managing Entity operational and indirect costs shall not include any Network Service
Provider indirect costs.
C -1.7 Disaster Planning and Response Function
C -1.7.1 Planning
The Managing Entity shall cooperate with the Department to develop a regional disaster plan that
reflects the Managing Entity's planned involvement with community based disaster management
agencies. The regional disaster plan shall include, but not be limited to, pre- disaster records
protection; alternative suitable accommodations and supplies for Individuals Served in residential
settings during a disaster or emergency; and post- disaster recovery efforts which allow for post -
disaster continuity of services.
C -1.7.2 Response
The Managing Entity shall be responsible for providing the FEMA CCP services in the event of a
qualifying declared major disaster.
C- 1.7.2.1 The Managing Entity shall designate a CCP Network Service Provider for
each county within the Managing Entity's service area and provide a comprehensive list of
said Network Service Providers to the Department's Disaster Behavioral Health
Coordinator within 60 days of execution and within 10 days of any changes to the
designated Network Service Provider.
C- 1.7.2.2 At the direction of the Department's Disaster Behavioral Health Coordinator,
the Managing Entity shall implement CCP services through the designated CCP Network
Service Provider according to the terms and conditions of any CCP grant award approved
by representatives of FEMA and SAMHSA, using the CCP contract template, provided in
Guidance 23 — Crisis Counseling Program.
C- 1.7.2.3 The Managing Entity shall ensure compliance with the FEMA CCP Guidance,
which is incorporated herein by reference and may be located at:
http:// mediawww. samhsa. gov/ DTAC- CCPToolkit/ introdtac /ccptoolkit/gettingstarted.htm
C -1.8 Additional Region - Specific Tasks
The Managing Entity shall comply with the additional region- specific tasks specified in Exhibit C1.
CF Standard 4 6 Contract No. KH225
Integrated Contract 2016
July 1, 2016
C -2 Administrative Tasks
C -2.1 Staffing
C -2.1.1 The Managing Entity shall comply with their staffing plan contained in the Department -
approved SAMH Projected Operating and Capital Budget submitted using Form CF -MH 1042, in
accordance with Rule 65E- 14.021, F.A.C.
C -2.1.2 The Managing Entity shall, within five business days, submit written notification to the
Contract Manager if any of the following positions are to be changed and identify the individual and
qualifications of the successor:
C- 2.1.2.1 Chief Executive Officer (CEO);
C- 2.1.2.2 Chief Operations Officer (COO); or
C- 2.1.2.3 Chief Financial Officer (CFO).
C -2.1.3 The structure and membership of Managing Entity's Board of Directors shall comply with
s. 394.9082(4), F.S., and ch. 617, F.S.
C -2.1.4 The Managing Entity shall nominate a member of their staff to perform the following
functions:
C- 2.1.4.1 A member of the Managing Entity staff that is available to the Department for
providing an immediate response 24 hours a day, seven days a week.
C- 2.1.4.2 A member of the Managing Entity staff to be a Consumer Affairs
Representative, or equivalent title. The name of and contact information for this person
shall be submitted to the Department at execution and annually on or before July 1.
C- 2.1.4.3 A member of the Managing Entity staff to serve as the Facilities
Representative, or equivalent title as point of contact for reintegrating individuals that are
ready for discharge from State Mental Health Treatment Facilities. The name and contact
information of this person shall be submitted to the Department at execution and updated
annually no later than July 1.
C- 2.1.4.4 A member of the Managing Entity staff to serve as the Network Service
Provider Affairs Ombudsman, or equivalent title. This position shall be the first point of
contact for Network - Managing Entity questions, concerns, and disputes. The name and
contact information of this person shall be submitted to the Department at execution and
updated annually no later than July 1.
C- 2.1.4.5 A member of the Managing Entity or a subcontractor staff to serve as a Data
Officer to participate in statewide data activities.
C- 2.1.4.6 A member of the Managing Entity staff to serve as a Full -Time Equivalent
(FTE) Lead Housing Coordinator, in compliance with the provisions of Guidance 21 —
Housing Coordination.
C -2.2 Subcontracting
C -2.2.1 The Managing Entity shall subcontract with Network Service Providers to provide
community -based Behavioral Health Services, as authorized in ss. 394.74 and 394.9082, F.S.,
subject to the provisions of Section 4.3.
C -2.2.2 Additional Program Specific Funds
C- 2.2.2.1 The Managing Entity shall incorporate into subcontracts any additional
program- specific funds appropriated by the Legislature for services, as specified in
CF Standard 4 7 Contract No. KH225
Integrated Contract 2016
July 1, 2016
Exhibit C2. Any increases will be documented through an amendment to this Contract,
resulting in a current fiscal year funding and corresponding service increase. Such
increase in services must be supported by additional deliverables as outlined in the
amendment.
C- 2.2.2.2 The Managing Entity shall collaborate with the Department to amend into this
Contract all applicable requirements of any appropriations, awards, initiatives, or federal
grants received by the Department.
C -2.2.3 All subcontracts with Network Service Providers shall include, at a minimum:
C- 2.2.3.1 The applicable terms and conditions of this contract;
C- 2.2.3.2 Provisions to require compliance with:
C- 2.2.3.2.1 Exhibit B1;
C- 2.2.3.2.2 2 CFR Part 200 — Uniform Administrative Requirements, Cost
Principles, and Audit Requirements for Federal Awards;
C- 2.2.3.2.3 2 CFR Part 300.1 — Adoption of 2 CFR Part 200;
C- 2.2.3.2.4 45 CFR Part 75 — Uniform Administrative Requirements, Cost
Principles, and Audit Requirements for HHS Awards;
C•2.2.3.2.5 the Reference Guide for State Expenditures;
C- 2.2.3.2.6 Chapter 65E -14, F.A.C.;
C- 2.2.3.2.7 Block Grant requirements, including maintenance of effort;
C- 2.2.3.2.8 State and federal grant requirements;
C- 2.2.3.2.9 TANF requirements, if applicable; and
C- 2.2.3.2.10 Department policies related to the delivery of service.
C- 2.2.3.3 Clearly identifiable deliverables and performance measures that set minimum
acceptable levels of service;
C- 2.2.3.4 The outcome measures established pursuant to Section E -2. The
methodology and algorithms to be used in determining performance are outlined in
Guidance 24— Performance Outcomes Measurement Manual; and
C- 2.2.3.5 The National Voter Registration Act (NVRA) of 1993, Pub. L. 103 -31 (1993),
ss. 97.021 and 97.058, F.S., and ch. 1S-2.048, F.A.C., in accordance with Guidance 25 —
National Voter Registration Act Guidance.
C -2.2.4 The Managing Entity shall conduct cost analyses for each subcontract and all supporting
documentation shall be retained in the Managing Entity's contract file for the respective Network
Service Provider.
C -2.2.5 Subject to the limitations of Florida law, the Managing Entity shall develop a procurement
policy that will outline the processes used to publicize opportunities to join the Network and evaluate
Network Service Providers for continued participation in the Network. The procurement policy shall
be approved by the Department prior to implementation and made publically available on the
Managing Entity's website. This policy shall comply with state and federal expectations for grantees,
and the effective use of public funding. This policy shall be submitted within 90 days of execution,
and must be approved by the Department prior to implementation.
CF Standard 4 8 Contract No. KH225
Integrated Contract 2016
July 1, 2016
C -2.2.6 The Managing Entity shall make all subcontract documents available in an Electronic
Vault. The Managing Entity shall ensure that all documents are clearly legible and those not requiring
an original signature are uploaded in their original formats. All contracts initially assigned to the
Managing Entity must be uploaded to the Electronic Vault within 60 days of assignment to the
Managing Entity. All new contracts or changes to existing contracts shall be uploaded within 10
business days of contract execution.
C -2.2.7 Files of Individuals Served
The Managing Entity shall require that Network Service Providers maintain all current and
subsequent medical records and clinical files of Individuals Served. In the event a Network Service
Provider program closes, the Managing Entity shall:
C- 2.2.7.1 Maintain all inactive records documenting services provided with SAMH
funds in compliance with the records retentions requirements of Section 5.; and
C- 2.2.7.2 Coordinate the transition of active records documenting services provided
with SAMH funds to a successor Network Service Provider for the program, as identified
by the Managing Entity, in compliance with any service transition requirements in the
terminated subcontract or a transition plan developed in coordination with the successor
Network Service Provider.
C -2.2.8 Satisfaction Survey for Individuals Served
The Managing Entity shall ensure all Network Service Providers conduct satisfaction surveys of
Individuals Served pursuant to PAM 155 -2.
C -2.2.9 Third Party Billing
The Managing Entity shall adhere to the following guidelines for payment of services billed by
Network Service Providers:
C- 2.2.9.1 Department funds may not reimburse services provided to:
C- 2.2.9.1.1 Individuals who have third party insurance coverage when the
services provided are paid under the insurance plan; or
C- 2.2.9.1.2 Medicaid enrollees or recipients of another publically funded
health benefits assistance program, when the services provided are paid by
said program.
C- 2.2.9.2 Department funds may reimburse services provided to:
C- 2.2.9.2.1 Individuals who have lost coverage through Medicaid, or any
other publically funded health benefits assistance program coverage for any
reason during the period of non - coverage; or
C- 2.2.9.2.2 Individuals who have a net family income less than 150
percent of the Federal Poverty Income Guidelines, subject to the sliding fee
scale requirements in Rule 65E- 14.018 F.A.C.
C- 2.2.9.3 The Managing Entity shall ensure that Medicaid funds will be accounted for
separately from funds for this Contract at both the Network Service Provider and
Managing Entity levels. This includes services such as SIPP and FACT.
C -2.3 Records and Documentation
C -2.3.1 The Managing Entity shall protect the confidentiality of all records in its possession and
ensure that all Network Service Providers protect confidential records from disclosure and protect the
confidentiality of Individuals Served in accordance with federal and state law.
CF Standard 4 9 Contract No. KH225
Integrated Contract 2016
July 1, 2016
C -2.3.2 The Managing Entity shall notify the Department of any requests made for public records
within 10 business days of receipt of the request and shall assume all financial responsibility for
records requests, records storage, and retrieval costs.
C -2.3.3 The Managing Entity shall maintain adequate documentation of the provision of all tasks,
deliverables and expenditures related to its operations.
C -2.3.4 The Managing Entity shall monitor the maintenance of Network Service Providers
documentation of the provision of all services, sufficient to provide an audit trail.
C -2.4 Reports
C -2.4.1 The Managing Entity shall demonstrate acceptable performance of the administrative
functions and progress towards meeting behavioral health service delivery targets by submitting all
required documentation specified in Exhibit C3 by the dates specified therein.
C -2.4.2 The Managing Entity shall make all requested documentation available in the Electronic
Vault. All reports and plans or changes to existing reports and plans shall be uploaded within 10
business days of the change or Department approval, when approval of a plan is required.
C -2.4.3 Within 30 days after each fiscal year's Exhibit F1 is amended into this Contract and prior
to the start of a Network Service Provider's contract or subcontract period, the Managing Entity shall:
C- 2.4.3.1 Submit a revised Form CF -MH 1042, pursuant to Rule 65E- 14.021(5)(d),
F.A.C.; and
C- 2.4.3.2 Review, approve and submit all Network Service Provider forms required
pursuant to Rule 65E- 14.021(5)(e), F.A.C., and submit to the Department in the Electronic
Vault.
C -2.4.4 The Managing Entity shall require that all Network Service Providers comply with
Attachment 3.
C -2.4.5 Local Match
The Managing Entity shall ensure that Network Service Providers annually complete and submit the
Department- approved Template 9— Local Match Calculation Form.
C -2.4.6 Quarterly Report
The Managing Entity shall submit a report detailing its quarterly activities and performance, no later
than October 20, January 20, April 20 and August 15. The report shall contain the following minimum
elements:
C- 2.4.6.1 Exhibit B1;
C- 2.4.6.2 Overview of necessary adjustments to required plans, including justification
for proposed changes, identification of barriers or anticipated barriers to achieving stated
goals, and proposed strategies to mitigate the impact of said barriers on the Network;
C- 2.4.6.3 Network management including:
C- 2.4.6.3.1 New subcontracts, or amendments to existing subcontracts
with Network Service Providers;
C- 2.4.6.3.2 Collaborative strategies and activities with the Department or
Stakeholders; and
C- 2.4.6.3.3 Adverse fiscal impact of proposed Network changes and
recommendations for resolution.
CF Standard 5 0 Contract No. KH225
Integrated Contract 2016
July 1, 2016
C- 2.4.6.4 Network Service Provider performance including:
C- 2.4.6.4.1 Monitoring and review results, including reports and corrective action
plans or other necessary follow -up actions; and
C- 2.4.6.4.2 Performance measures.
C- 2.4.6.5 Implementation of specific appropriations, or grant funds.
C- 2.4.6.6 Any adverse finding or report against a Network Service Provider by any
regulatory or law enforcement entity.
C -2.4.7 Where this Contract requires the delivery of reports to the Department, mere receipt by
the Department shall not be construed to mean or imply acceptance of those reports. It is specifically
intended by the parties that acceptance of required reports shall require a separate act in writing
within 15 days of receipt of the report by the Department. The Department reserves the right to reject
reports as incomplete, inadequate, or unacceptable according to the parameters set forth in this
contract, and must notice the Managing Entity electronically within 15 days of receipt of the report by
the Department. The Department may allow additional time within which the Managing Entity may
remedy the objections noted by the Department or the Department may, after having given the
Managing Entity a reasonable opportunity to complete, make adequate, or acceptable, such reports,
declare the contract to be in default.
C -2.5 Preference to Florida -Based Businesses
The Managing Entity shall maximize the use of state residents, state products, and other Florida -based
businesses in fulfilling its contractual duties under this contract.
C -2.6 Use of Department's Operating Procedures
The Managing Entity shall use the Department's Operating Procedures until its agency procedures are
approved by the Department for implementation. In the event of differing interpretation, the parties agree to
meet for resolution. The Managing Entity shall have its operating procedures approved within 180 days of
contract execution. The Department agrees to review proposed operating procedures submitted by the
Managing Entity and will respond in writing with comments, or will approve within 30 working days from the
day of receipt. Once approved by the Department, the Managing Entity's operating procedures may be
amended without further Departmental review provided that they conform to state and federal laws and
regulations.
C -2.7 National Provider Identifier (NPI)
C -2.7.1 All health care providers, including Managing Entities and Network Service Providers, are
eligible to be assigned a Health Insurance Portability and Accountability Act (HIPAA) National
Provider Identifier (NPI). However, health care providers who are covered entities (which includes all
state - contracted community SAMH providers and State Treatment Facilities) must obtain and use
NPIs.
C -2.7.2 An application for an NPI may be submitted online at:
https: / /nppes.cros. hhs.00v /NPPES /StaticForward.do ?forward = static. npistart
C -2.7.3 Additional information can be obtained from one of the following websites:
C- 2.7.3.1 The Florida Medicaid Health Insurance Portability and Accountability Act:
http://www.fdhc.state.fl.us/medicaid/hipaa
C- 2.7.3.2 The National Plan and Provider Enumeration System ( NPPES):
https://nppes.cros.hhs.gov/NPPES/Welcome.do
CF Standard 5 1 Contract No. KH225
Integrated Contract 2016
July 1, 2016
C- 2.7.3.3 The CMS NPI:
http:// www. cros .hhs.gov /NationalProvldentStand
C -3 Standard Contract Requirements
The Provider will perform all acts required by Sections 4, 5, 7, 8 and 9 of this Contract.
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CF Standard 5 2 Contract No. KH225
Integrated Contract 2016
July 1, 2016
EXHIBIT C1 — ADDITIONAL REGION- SPECIFIC TASKS
C1 -1 The Miami -Dade County FACES Wraparound Project Expansion
C1 -1.1 Effective July 1, 2013, the Substance Abuse and Mental Health Services Administration (SAMHSA)
awarded the Miami -Dade County FACES Wraparound Project Expansion in support of expanding the current
FACES initiative to include 225 transitioning youth ages 18 -21 who entered the mental health system prior to the
age of 18.
C1 -1.2 The Department assigns the funding, subcontracting, reporting, monitoring, and evaluation
responsibilities of this grant to the Provider.
C1-1.3 The Provider shall ensure compliance with the terms and conditions specified in the grant award, hereby
incorporated by reference herein, federal and state law, Department standards, and this Contract.
C1 -1.4 The Provider will be responsible for invoice documentation, verification of service delivery, and
compliance monitoring.
C1 -1.5 The Provider will manage all aspects of the award under the direction of the Substance Abuse and
Mental Health Program Office.
C1-2 Motivational Support Program (MSP)
In addition to the requirements in Section C -1.3.9 and Guidance 19 — Integration with Child Welfare, the Managing
Entity shall contract with a community Network Service Provider to operationalize the current MSP protocol for the purpose
of enhancing the integration across the behavioral health and child welfare systems. The Managing Entity shall ensure the
implementation and efficiency of the MSP protocol and report monthly progress to the Regional SAMH Program Office.
This protocol is agreed upon with the Department, the Provider, the Community -Based Care organization (CBC), and the
contracted Network Service Provider.
C1 -3 Community Action Team (CAT) Program
The Managing Entity, in collaboration with the Department, shall enter into a Memorandum of Understanding (MOU) with
each of the Community Action Team (CAT) providers within sixty (60) calendar days of contract execution. The MOU will
operationalize the referral process between the Managing Entity and the CAT programs, including but not limited to
identifying youths that meet the specified criteria for referral to the program specified in the Department's contract with CAT
providers.
C1 -4 Statewide Forensic Beds
For the following programs, the Managing Entity shall make services available through its Network Service Providers to
eligible consumers on conditional release from other Circuits at:
C1 -4.1 Public Health Trust/Jackson Health System — Miami -Dade Forensic Alternative Center ( MDFAC)
Up to six (6) beds shall be available to Broward residents who meet MDFAC's Eligibility Criteria, which is
incorporated by reference. MDFAC is a locked and staff secured facility intended to serve adult forensic
consumers charged with second or third degree felonies who are committed to the department under Sections
916.13 and 916.15, F.S. These consumers have been found by a circuit court to be incompetent to proceed due
to a serious mental illness or not guilty by reason of insanity and who do not have a significant history of violence.
C1 -4.2 Citrus Health Network, Inc.
Eight (8) statewide residential beds in the Safe Transition and Access to Recovery (STAR) Program shall be
available to eligible consumers on conditional release in need of forensic mental health services placed by the
Managing Entity pursuant to FRCrP 3.219(b), 3.217(b) and F.S. 916.17. The STAR Program provides intensive,
short-term treatment to individuals who are temporarily in need of a structured therapeutic setting in a less
CF Standard 53 Contract No. KH225
Integrated Contract 2016
July 1, 2016
restrictive but longer -stay alternative to acute hospitalization.
C1 -4.3 Passageway Residence of Dade County, Inc.
Fourteen (14) statewide residential level 2 beds shall be available to eligible consumers on conditional release
who are in need of forensic mental health services placed by the Managing Entity. Statewide admission to
Passageway Residence of Dade County, Inc. is for individuals committed to the Florida Department of Children
and Families, in accordance with the provisions of Florida Statutes Chapter 916, Forensic Services Act and
released pursuant to FRCrP 3.219(b), 3.217(b) and F.S. 916.17.
C1 -4.4 Psychosocial Rehabilitation Center dba Fellowship House
Four (4) statewide residential level 2 beds shall be available to eligible consumers on conditional release who are
in need of forensic mental health services placed by the Managing Entity pursuant to FRCrP 3.219(b), 3.217(b)
and F.S. 916.17.
C1 -5 Regionally Necessary Services
C1 -5.1 The terms of Section B -3.1 notwithstanding, the Managing Entity may subcontract with Citrus Health
Network, Inc. in Broward County for Statewide Inpatient Psychiatric Program (SIPP) placements and Short -Term
Residential Treatment (SRT) services to children.
C1 -5.2 The terms of Section B -3.1 notwithstanding, the Managing Entity Forensic Team shall provide outreach
services to individuals residing in the following State Hospitals and counties:
C1 -5.2.1 Florida State Hospital, Gadsden County
C1 -5.2.2 North Florida Evaluation and Treatment Center, Alachua County
C1 -5.2.3 Northeast Florida State Hospital, Baker County
C1 -5.2.4 Treasure Coast Forensic Treatment Center, Martin County
C1 -5.2.5 South Florida State Hospital, Broward County
C1 -5.2.6 South Florida Evaluation and Treatment Center, Miami -Dade County
C1 - 6 NAVIGATE Program — Evidence - Based Treatment for First Episode Psychosis (FEP)
Pursuant to the CMHBG set -aside requirements for programs showing strong evidence of effectiveness and targeting
first episode psychosis, the Managing Entity shall:
C1 -6.1 Subcontract for the implementation of the First Episode Psychosis program to serve a minimum of 75
individuals annually;
C1 - 6.2 Based the program design upon the NAVIGATE Team Members' Guide, available at
https : / /raiseetp.orq /StudyManuals /Team %20Guide %20Manual.pdf, hereby incorporated herein by reference;
C1.6.3 Submit a copy of the subcontract with the selected provider to the Department, including the subcontract
rate and the rate negotiation methodology;
C1 -6.4 Develop a work plan outlining the implementation of the program and ongoing monitoring of the program
for fidelity with the Navigate Team Members' Guide; and
C1 -6.5 Submit a quarterly services report using a template to be provided by the Department.
CF Standard 54 Contract No. KH225
Integrated Contract 2016
July 1, 2016
EXHIBIT C2 — REGION- SPECIFIC APPROPRIATIONS
C2 -1 Pursuant to the terms of Section C- 2.2.2.1, the Managing Entity shall subcontract for the legislatively
appropriated program- specific funds listed in Table 1 with each specified Network Service Provider. Each subcontract shall
require the Network Service Provider to use these funds only for the legislatively specified service and to report the unique
numbers of persons served or services provided with these funds as distinct reporting elements within the subcontract
report requirements.
C2.2 The Managing Entity shall provide the Department with a copy of the executed subcontract document for each
program- specific fund no later than 30 days after this exhibit is incorporated into the Managing Entity's contract. The
subcontract document shall include:
C2.2.1 A description of the service purchased with the specific appropriation;
C2 -2.2 The payment methodology and rate applied to the service;
C2 -2.3 Output and outcome performance measures applied to the service; and
C2 -2.4 The reporting requirements implemented to ensure regular and ad hoc status updates to the Department.
C2-3 At a minimum, the managing entity shall ensure each Network Service Provider:
C2 -3.1 Reports the following performance metrics in the format specified by the Department:
C2.3.1.1 Number of clients served,
C2 -3.1.2 Number of adults served,
C2 -3.1.3 Number of children served,
C2 -3.1.4 Number of clients admitted in a residential treatment center,
C2.3.1.5 Type of services provided to the clients, and
C2 -3.1.6 Number of clients discharged.
C2 -3.2 For any specific appropriation identified with the acronym "EOG /OPB" in Table 1:
C2 -3.2.1 Provides an initial projected estimate of positive return on investment the state may receive
by providing the funding on or before July 15, each Fiscal Year. The Managing Entity shall provide a
copy of each providers projected estimate to the Department no later than July 20, each Fiscal Year; and
C2 -3.2.2 Provides a report 15 days after the completion of each fiscal quarter documenting the actual
return on investment achieved and describing the methodology by which the return on investment
amount was determined. The Managing Entity shall provide a copy of each providers report on return on
investment to the Department no later than 20 days after the completion of each fiscal quarter.
CF Standard 55 Contract No. KH225
Integrated Contract 2016
July 1, 2016
Table 1- Program - Specific Fund Summary
Year Specific Provider Amount
Appropriation
FY14 -15 351 Citrus Health Network $ 455,000.00
Camillus House $ 25,000.00
Guidance Care Center of Key West $ 100,000.00
372 Pregnant and Post - Partum Women Funding $1,812,723.00
Allocated to the following providers and amounts
1. South Florida Jail Ministries, Inc.: $970,841.00
2. The Village South, Inc.: $841,882.00
FY14.15 372 Family Intensive Treatment (FIT) funding, allocated to the following amounts for services in the
designated locations.
1. Miami -Dade County — Liberty City, specifically limited $483,871.00
to address child welfare cases referred from zip codes
33147 and 33142
2. Monroe County $149,317.00
FY15.16 PPG Solicitation Guidance Care Center, Inc. $150,000.00
through LHZ03 Village SouthlWestCare Foundation $150,000.00
FY17.18 Miami Coalition for a Drug -Free Community $150,000.00
HOPE for Miami $150,000.00
Switchboard of Miami, Inc. $150,000.00
FY15.16 377H Citrus Health Network $455,000.00
EOGIOPB
377J Pregnant Women, Mothers, and Affected Families Funding, $1,812,723.00
Allocated to the following providers
1. South Florida Jail Ministries, Inc. Amounts for providers will be
2. The Village South, Inc. specified in a report submitted
with the Final Fiscal Year
Invoice
Family Intensive Treatment (FIT) funding, allocated to the following amounts for services in the
designated locations.
EOG /OPB
1. Miami -Dade County — Liberty City, specifically limited $483,871.00
to address child welfare cases referred from zip codes
33147 and 33142
2. Monroe County $149,317.00
Here's Help, Inc. $200,000.00
EOGIOPB
Camillus House $200,000.00
EOGIOPB
FY16.17 383 Community Forensic Multidisciplinary Team (FMDT) $652,000.00
Miami -Dade County — Provider TBD
385 Pregnant Women, Mothers, and Affected Families Funding, $1,812,723.00
Allocated to the following providers
1. South Florida Jail Ministries, Inc.
2. The Village South, Inc. ).
Family Intensive Treatment (FIT) funding
EOG /OPB
1. Miami -Dade County $483,871.00
2. Monroe County $149,317.00
CF Standard 56 Contract No. KH225
Integrated Contract 2016
July 1, 2016
Table 1- Program - Specific Fund Summary
Year Specific Provider Amount
Appropriation
FY16 - 385 Here's Help, Inc. $500,000.00
EOGIOPB
388 Camillus House $200,000.00
EOGIOPB
Miami - Dade Homeless Trust $187,794.00
EOGIOPB
C2 -4 Fiscal Year 2014-15 Appropriations
Pursuant to the FY14 -15 General Appropriations Act, Ch. 2014 -51, Laws of Fla., the Managing Entity shall implement the
following:
C2 -4.1 Specific Appropriation 372 - Pregnant and Post - Partum Women Funding
From Specific Appropriation 372, recurring General Revenue for the expansion of substance abuse services for
pregnant women and their affected families. These services shall include the expansion of residential treatment,
outpatient treatment with housing support, outreach, detoxification, child care and post - partum case management
supporting both the mother and child consistent with recommendations from the Statewide Task Force on
Prescription Drug Abuse and Newborns. Priority for services shall be given to counties with greatest need and
available treatment capacity.
C2-5 Prevention Partnership Grants
Pursuant to Guidance 14 - Prevention Partnership Grants and the Notice of Award for the PPG procurement RFA #LHZ03,
the Managing Entity shall execute 3 year subcontracts with Network Service Providers for the annual amounts detailed in Table
1 for the implementation of the PPG program.
C2 -5.1 The Managing Entity shall negotiate PPG services within the scope of work detailed in the Network Service
Provider's application.
C2 -5.2 The Subcontract shall incorporate the specifications and elements detailed in the RFA, including but not
limited to objectives, measures, and reporting.
C2 -5.3 The Subcontract shall incorporate funding as detailed in Table 1 for reasonable, allowable, and necessary
expenditures required to perform PPG services.
C2-5.4 The Subcontract shall require the Network Service Provider to enter all prevention data into the
Department's Performance Based Prevention System (PBPS).
C2 -6 Fiscal Year 2015 -16 Appropriations
Pursuant to the FY15 -16 General Appropriations Act, Ch. 2015 -232, Laws of Fla., the Managing Entity shall implement the
following:
C2 -6.1 Specific Appropriation 377H - Citrus Health Network
From the funds in Specific Appropriation 377H, General Revenue shall continue to be provided to the Citrus Health
Network for behavioral health services.
CF Standard 57 Contract No. KH225
Integrated Contract 2016
July 1, 2016
C2 -6.2 Specific Appropriation 377J — Pregnant Women, Mothers, and Affected Families Funding
C2 -6.2.1 From the funds in Specific Appropriation 377J, recurring General Revenue for the expansion of
substance abuse services for pregnant women and their affected families. These services shall include the
expansion of residential treatment, outpatient treatment with housing support, outreach, detoxification, child
care and post -partum case management supporting both the mother and child consistent with
recommendations from the Statewide Task Force on Prescription Drug Abuse and Newborns. Priority for
services shall be given to counties with greatest need and available treatment capacity.
C2-6.2.2 The Managing Entity shall subcontract with the Network Service Providers for this funding as
listed in Table 1. These subcontracts shall be executed and managed in accordance with Guidance 26 —
Women's Special Funding. With the submission of the Final Fiscal Year Invoice, the Managing Entity will
submit a report that details for each provider the sub contractual amount, actual amount paid, and total units
purchased. This report shall also contain the total of any anticipated carry forward funds of Specific
Appropriation 377J — Pregnant and Post -Partum Women Funding. These anticipated carry forward funds
will also be included on Template 13 — Managing Entity Carry Forward Expenditure Report.
C2 -6.3 Specific Appropriation 377J — Family Intensive Treatment Funding
C2 -6.3.1 From the funds in Specific Appropriation 377J, General Revenue Fund to implement the Family
Intensive Treatment (FIT) team model that is designed to provide intensive team - based, family - focused,
comprehensive services to families in the child welfare system with parental substance abuse. Treatment
shall be available and provided in accordance with the indicated level of care required and providers shall
meet program specifications. Funds shall be targeted to select communities with high rates of child abuse
cases located in the Department of Children and Families' Central, Northeast, Southern, and SunCoast
regions.
C2.6.3.2 The Family Intensive Treatment (FIT) team model is designed to provide intensive team - based,
family- focused, comprehensive services to families in the child welfare system with parental substance
abuse. Treatment shall be available and provided in accordance with the indicated level of care required
and providers shall meet program specifications. Funds shall be targeted to select communities with high
rates of child abuse cases. The Managing Entity shall designate Network Service Providers to deliver the
FIT model for each location specified above and shall subcontract with the provider to implement this
proviso appropriation by July 31, 2015.
C2 -6.3.3 The Managing Entity shall subcontract with the Network Service Providers providing FIT model
services for the full amount of funding specified in Table 1 and shall not reduce payment to these providers
for any operational costs, including behavioral health fees, of the Managing Entity associated with the
administration of the subcontracts.
C2.6.3.4 To ensure the implementation and administration of the FIT team model complies with the
Department's programmatic standards, the Managing Entity shall require Network Service Providers
providing FIT model services adhere to the staffing, service delivery and reporting requirements of
Guidance 18 — Family Intensive Treatment (FIT) Model Guidelines and Requirements, which is hereby
incorporated by reference.
C2-6.4 Specific Appropriation 377J — Here's Help, Inc.
From the funds in Specific Appropriation 377J, General Revenue shall continue to be provided to Here's Help, Inc.
CF Standard 58 Contract No. KH225
Integrated Contract 2016
July 1, 2016
C2 -6.5 Specific Appropriation 377M — Camillus House
From the funds in Specific Appropriation 377M, nonrecurring General Revenue is provided to Camillus House for
behavioral health services.
C2 -7 Fiscal Year 2016 -17 Appropriations
Pursuant to the FY16 -17 General Appropriations Act, Ch. 2016 -66, Laws of Fla., the Managing Entity shall implement the
following:
C2-7.1 Specific Appropriation 383 — Forensic Multidisciplinary Team (FMDT)
From the funds in Specific Appropriation 383, recurring General Revenue Fund is provided for the creation of a pilot
community Forensic Multidisciplinary Team designed to divert individuals from secure forensic commitment by
providing community -based services. To implement this pilot proviso project, the Managing Entity shall subcontract
with a qualified Network Service Provider in the location specified in Table 1 to provide services according to the
provisions of Guidance 28 — Forensic Multidisciplinary Team.
C2 -7.2 Specific Appropriation 385 — Women's Special Funding
From the funds in Specific Appropriation 385, General Revenue for the expansion of substance abuse services for
pregnant women, mothers, and their affected families. These subcontracts shall be executed and managed in
accordance with Guidance 26 — Women's Special Funding. These services shall include the expansion of
residential treatment, outpatient treatment with housing support, outreach, detoxification, child care and post - partum
case management supporting both the mother and child consistent with recommendations from the Statewide Task
Force on Prescription Drug Abuse and Newborns. Priority for services shall be given to counties with the greatest
need and available treatment capacity.
C2 -7.3 Specific Appropriation 385 — Family Intensive Treatment Funding
From the funds in Specific Appropriation 385, General Revenue to implement the Family Intensive Treatment (FIT)
team model that is designed to provide intensive team - based, family- focused, comprehensive services to families in
the child welfare system with parental substance abuse. These subcontracts shall be executed and managed in
accordance with Guidance 18 — Family Intensive Treatment (FIT) Model Guidelines and Requirements.
Treatment shall be available and provided in accordance with the indicated level of care required and providers shall
meet program specifications. Funds shall be targeted to select communities with high rates of child abuse cases.
C2 -7.4 Specific Appropriation 385 — Family Intensive Treatment Funding
From the funds in Specific Appropriation 385, the recurring sum of $200,000 and the nonrecurring sum of $300,000
from the General Revenue Fund shall be provided to Here's Help, Inc.
C2-7.5 Specific Appropriation 388 Projects
From the funds in Specific Appropriation 388, nonrecurring General Revenue is provided for the following projects:
C2 -7.5.1 Camillus House - Behavioral Health Services
C2-7.5.2 Miami -Dade Homeless Trust - Crisis Outpatient Bed Program
CF Standard 59 Contract No. KH225
Integrated Contract 2016
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July 1, 2016
EXHIBIT D — DELIVERABLES
D -1 Service Unit
A service unit is one month of the Managing Entity's performance of the functions specified in Exhibits C, C1 and C2
and the delivery of Behavioral Health Services detailed in Template 11— Managing Entity Monthly Progress
Report.
D -2 General Performance Specifications
The Managing Entity shall be solely and uniquely responsible for the satisfactory performance of the tasks described
in this Contract. By execution of this Contract, the Managing Entity assumes responsibility for the tasks, activities,
and deliverables described herein; and warrants that it fully understands all relevant factors affecting accomplishment
of the tasks, activities, and deliverables; and agrees to be fully accountable for the performance thereof whether
performed by the Managing Entity or its Network Service Providers.
D -3 Performance Measures for Acceptance of Deliverables
D -3.1 To obtain approval of deliverables and services for payment:
D -3.1.1 The Managing Entity must document monthly progress toward compliance with the
performance outcome targets specified in Section E -1; and
D -3.1.2 The Managing Entity must document the Network's monthly progress toward the annual
fiscal year service output measure targets in Section E -3.
D -3.2 The Managing Entity is responsible and accountable for meeting all performance outcomes
measure targets. The Managing Entity shall manage and oversee the collection of data from Network
Service Providers in order to assure that targets are met, as a Network.
D -3.3 The performance measure targets shall be subject to periodic review by the Department and
adjustments to the targets or the measures may be recommended as a part of Template 4 — Managing
Entity Annual Business Operations Plan.
D -3.4 The Managing Entity agrees that the SAMH Data System will be the source for all data used to
determine compliance with performance measures. Performance of Network Service Providers shall be
monitored and tracked by the Managing Entity. The Managing Entity shall provide applicable technical
assistance to Network Service Providers and initiate corrective actions, as required, and will report to the
Department.
D -4 Performance Measurement Terms
PAM 155 -2 provides the definitions of the data elements used for various performance measures and contains
policies and procedures for submitting the required data into the SAMH Data System.
D -5 Performance Measurement Methodology
The methodology and algorithms to be used in assessing the Managing Entity's performance are outlined in
Guidance 24— Performance Outcomes Measurement Manual.
CF Standard 6 4 Contract No. KH225
Integrated Contract 2016
July 1, 2016
EXHIBIT E — MINIMUM PERFORMANCE MEASURES
E -1 To demonstrate delivery of the Service Tasks detailed in Section C -1, the Managing Entity shall meet the
annual performance measures in Table 3.
Table 3 — Managing Entity Performance Measures
Measure Description Consequence
Systemic Monitoring: The Managing Entity shall complete on -site monitoring, in accordance Failure to meet the standard
with Section C -1.4 of no less than twenty percent of all Network Service Providers each fiscal shall be considered
year. Completion of monitoring includes the release of a final monitoring report to the Network nonperformance pursuant to
Service Provider. Progress towards attainment of this measure shall be demonstrated by the Section E -
achievement of the following quarterly milestones. Each fiscal year, the Managing Entity shall
monitor a minimum of:
E - 1.1 3% of its individual Network Service Providers, by September 30;
E - 1.2 7% of its Network Service Providers by December 31;
E - 1.3 15% of its Network Service Providers by March 31; and
E•1.4 20% of its Network Service Providers by June 30.
Network Service Provider Compliance: A minimum of 95% of the Managing Entity's Network Failure to meet the standard
Service Providers shall demonstrate compliance with the following measure annually. Progress shall be considered
towards attainment of this measure shall be demonstrated by the monthly submission of nonperformance pursuant to
Template 11 Managing Entity Monthly Progress Report. Section E - 5.
E - 1.5 A minimum 85% of the applicable Network Service Provider Measures established in
Table 4 at the target levels for the Network Service Provider established in the subcontract.
Block Grant Implementation: The Managing Entity shall ensure 100% of the cumulative Failure to meet the standard
annual Network Service Provider expenses comply with the Block Grants and maintenance of shall be considered
effort allocation standards established in Section 81.2.3. Progress towards attainment of this nonperformance pursuant to
measure shall be demonstrated by the achievement of quarterly milestones for each fiscal Section E -5 and shall
year. Of the annual amount for each specified fund source appropriated to the Managing require payback of
Entity, the following minimum percentages of each fund's amount shall be documented as deficiency by the Managing
expended in compliance with the applicable allocation standard: Entity.
E - 1.6 A minimum of 50% expended by December 31;
E - 1.7 A minimum of 100% by June 30.
Implementation of General Appropriations Act: The Managing Entity shall meet 100% of the Failure to meet the standard
following requirements, by September 30: shall be considered
E - 1.8 Implementation of Specific Appropriations, demonstrated by contracts with Network ec performance pursuant to
S
Service Providers; and Section E -5.
E -1.9 Submission of all plans, pursuant to Exhibit C3.
CF Standard 65 Contract No. KH225
Integrated Contract 2016
July 1, 2016
E - To comply with the subcontract content requirements of Section C -2.2, the Managing Entity shall incorporate
the Network Service Provider Measures in Table 4 into each Network Service Provider subcontract, as appropriate to
the services and target populations in each subcontract. The Managing Entity is not required to apply the Network
Targets to each individual subcontract. Rather, the Managing Entity shall establish specific targets for each measure
in each subcontract, sufficient to ensure the Network cumulatively reaches the specified Network Targets.
Table 4 — Network Service Provider Measures
Target Population and Measure Description Network
Target
Adult Community Mental Health
MH003 Average annual days worked for pay for adults with severe and persistent mental illness 40
MH703 Percent of adults with serious mental illness who are competitively employed 24%
MH742 Percent of adults with severe and persistent mental illnesses who live in stable housin o
environment 90 /o
MH743 Percent of adults in forensic involvement who live in stable housing environment 67%
MH744 Percent of adults in mental health crisis who live in stable housing environment 86%
Adult Substance Abuse
SA058 Percentage change in clients who are employed from admission to discharge 10%
SA754 Percent change in the number of adults arrested 30 days prior to admission versus 30 days prio o
to discharge 15 /o
SA755 Percent of adults who successfully complete substance abuse treatment services 51%
SA756 Percent of adults with substance abuse who live in a stable housing environment at the time o o
discharge 94 /o
Children's Mental Health
MH012 Percent of school days seriously emotionally disturbed (SED) children attended 86%
MH377 Percent of children with emotional disturbances (ED) who improve their level of functioning 64%
MH378 Percent of children with serious emotional disturbances (SED) who improve their level o o
functioning 65 /a
MH778 Percent of children with emotional disturbance (ED) who live in a stable housing environment 95%
MH779 Percent of children with serious emotional disturbance (SED) who live in a stable housin 93%
environment
MH780 Percent of children at risk of emotional disturbance (ED) who live in a stable housing environment 96%
Children's Substance Abuse
SA725 Percent of children who successfully complete substance abuse treatment services 48%
SA751 Percent change in the number of children arrested 30 days prior to admission versus 30 days a
prior to discharge 20 /a
SA752 Percent of children with substance abuse who live in a stable housing environment at the time o o
discharge 93 /o
CF Standard 6 6 Contract No. KH225
Integrated Contract 2016
July 1, 2016
E -3 To demonstrate delivery of the Service Tasks detailed in Section C -1, and the subcontract content
requirements of Section C -2.3, the Managing Entity shall ensure the Network cumulatively reaches the annual output
measures in Table 5.
Table 5 — Network Service Provider Output Measures
Persons Served For Fiscal Year 2016.2017
Program Service Category FY Target
Residential Care 877
Outpatient Care 6,626
Adult Mental Health Crisis Care 6,843
State Hospital Discharges TBD
Peer Support Services 304
Residential Care 13
Outpatient Care 2,411
Children's Mental Health
Crisis Care 1,368
SIPP Discharge TBD
Residential Care 1,670
Outpatient Care 13,273
Adult Substance Abuse Detoxification 824
Women's Specific Services 3,495
Injecting Drug Users 566
Residential Care 105
Outpatient Care 2,683
Children's Substance Abuse
Detoxification 188
Prevention 1,659
E - If the Managing Entity fails to perform in accordance with this Contract, or fails to perform the minimum level of
service required by this Contract, the Department will apply financial consequences provided for in Section E -5. The
parties agree that the financial consequences provided for under Section E -5 constitute financial consequences
under ss. 287.058(1)(h); and 215.971(1)(c), F.S. The foregoing does not limit additional financial consequences,
which may include but are not limited to refusing payment, withholding payment until deficiency is cured, tendering
partial payments, applying payment adjustments for additional financial consequences to the extent that this Contract
so provides, or termination pursuant to the terms of Section 6.2, and requisition of services from an alternate source.
Any payment made in reliance on the Managing Entity's evidence of performance, which evidence is subsequently
determined to be erroneous, will be immediately due as an overpayment in accordance with Section 3.4, to the
extent of such error.
E -5 Corrective Action for Performance Deficiencies
E - 5.1 By execution of this Contract, the Managing Entity hereby acknowledges and agrees that its
performance under the Contract must meet the standards set forth above and will be bound by the conditions
CF Standard 6 7 Contract No. KH225
Integrated Contract 2016
July 1, 2016
set forth in this Contract. If performance deficiencies are not resolved to the satisfaction of the Department
within the prescribed time, and if no extenuating circumstances can be documented by the Managing Entity to
the Department's satisfaction, the Department may terminate the contract. The Department has the exclusive
authority to determine whether there are extenuating or mitigating circumstances.
E -5.2 In accordance with the provisions of s. 402.73(1), F.S., and Rule 65- 29.001, F.A.C., corrective action
may be required for noncompliance, nonperformance, or unacceptable performance under this Contract.
Financial consequences may be imposed for failure to implement or to make acceptable progress on such
corrective action.
«< The remainder of this page is intentionally left blank. >>>
CF Standard 6 8 Contract No. KH225
Integrated Contract 2016
July 1 2016
EXHIBIT F — METHOD OF PAYMENT
F -1 Funding
F -1.1 This advance fixed price, fixed payment Contract is comprised of federal and state funds, subject
to reconciliation. Exhibit F1 identifies the type and amount of funding provided. At the beginning of each
fiscal year, the Exhibit F1 will be amended into this Contract, and the total Contract amount in Table 6 will
be adjusted accordingly.
F -1.2 The contract total dollar amount shall not exceed the amount specified in Section 1.1, subject to
the availability of funds, as specified in Table 6.
Table 6 - Contract Funding
State Fiscal Year Managing Entity Direct Services Total Value of
Operational Cost Cost Contract
2010 -2011 (9 months) $3,399,627.00 $52,952,530.00 $56,352,157.00
2011 -2012 $3,491,295.00 $72,420,596.00 $75,911,891.00
2012 -2013 $3,465,665.00 $70,244,946.00 $73,710,611.00
2013 -2014 $3,432,250.00 $72,178,646.00 $75,610,896.00
2014 -2015 $3,481,522.37 $72,203,746.63 $75,685,269.00
2015 -2016 (3 months) $866,416.00 $19,811,845.75 $20,678,261.75
2015 -2016 (9 months) $2,756,874.00 $59,184,297.25 $61,941,171.25
2016 -2017 $3,674,793.00 $79,225,954.00 $82,900,747.00
2017 -2018 $3,674,793.00 $79,225,954.00 $82,900,747.00
2018 -2019 $3,674,793.00 $79,225,954.00 $82,900,747.00
2019 -2020 $3,674,793.00 $79,225,954.00 $82,900,747.00
Total $35,592,821.37 $735,900,423.63 $771,493,245.00
F -2 Payment
F -2.1 The Department will pay the Managing Entity an operational cost for the management of the
Network in accordance with the terms and conditions of this Contract. The direct service cost is defined as
the annual value of the Contract less the operational cost of the Managing Entity.
F -2.2 In accordance with s. 394.9082, F.S., the Department will pay the Managing Entity a two -month
advance at the beginning of each fiscal year. Thereafter, the Managing Entity shall request monthly fixed
payments equal to the fiscal year contract balance divided by the number of months remaining in the fiscal
year. The advance and payment amounts for each fiscal year are specified in Exhibit F2. The payment
request may be subject to financial consequences, pursuant to Section E -5.2.
F -2.3 The Managing Entity shall temporarily invest surplus advance funds in an insured interest bearing
account, in accordance with s. 216.181(16)(b), F.S. The Managing Entity shall remit to the Department, on a
quarterly basis, any interest earned on advance funds via check. The Managing Entity must submit
documentation from the financial entity where said funds are invested, evidencing the Annual Percentage
Rate and actual interest income for each month.
F -2.4 The Managing Entity shall expend any advance in accordance with the General Appropriations Act.
F -2.5 The Managing Entity shall request payment in accordance with Section F -3.
F -3 Invoice Requirements
F -3.1 In accordance with Exhibit F2, the Managing Entity shall:
CF Standard 6 9 Contract No. KH225
Integrated Contract 2016
July 1 2016
F -3.1.1 Request payment monthly through the submission of a properly completed Template 10 —
Managing Entity Monthly Fixed Payment Invoice;
F -3.1.2 Submit a properly completed Template 11— Managing Entity Monthly Progress
Report, for the month that payment is requested;
F -3.1.3 Submit a properly completed Template 12 — Managing Entity Monthly Expenditure
Report, detailing actual costs incurred by the Managing Entity for the month that payment is
requested. The SAMH Managing Entity Monthly Expenditure Report shall be certified by an
authorized representative; and
F -3.1.4 Submit a properly completed Template 13 — Managing Entity Monthly Carry Forward
Expenditure Report, detailing the expenditure of approved carry forward funds, until said funds
are fully expended.
F -3.2 Failure to submit the properly completed required documentation shall cause payment to be
delayed until such documentation is received. Submission and approval of the elements in Sections F -3.1.1
and F -3.1.2 for the invoice period and submission and approval of the elements in Sections F -3.1.3 and
F -3.1.4 for the prior invoice period shall be considered the deliverables necessary for payment.
F -3.3 Within five business days of receipt of a properly completed invoice and Template 11— Managing
Entity Monthly Progress Report, the Contract Manager will either approve the invoice for payment or
notify the Managing Entity in writing of any deficiencies that must be corrected by the Managing Entity
before resubmission of the invoice.
F -3.4 The Department and the state's Chief Financial Officer reserve the right to request supporting
documentation at any time, prior to the authorization of payment.
F -4 Cost Allocation Plan
F -4.1 The Managing Entity shall submit an initial Template 14 — Cost Allocation Plan within 30 days of
execution and a revised Cost Allocation Plan to the Contract Manager annually by August 31, unless
otherwise extended in writing by the Department.
F -4.2 The Department will review the Cost Allocation Plan and provide any comments within 15 days of
submission. Revisions required by the Department shall be submitted by the date of the payment request for
September. Failure to have an approved Cost Allocation Plan by September 20, unless extended in writing
by the Department, will result in no further payment being made to the Managing Entity until the Department
approves the Cost Allocation Plan.
F -4.3 The Managing Entity shall submit a revised Cost Allocation Plan whenever the Managing Entity:
F -4.3.1 Experiences a change in the type of funding it receives, whether under this Contract or an
outside funding source; for example, when a new OCA is added, when a new outside funding
source contributes to the Managing Entity's operational revenue or when an existing funding
source is discontinued;
F -4.3.2 Makes internal organizational changes that affect the cost allocation methodology; or
F -4.3.3 Makes any changes in the allocation of costs relative to funds provided under this
Contract and other outside sources.
F -4.4 The Managing Entity may request to amend or revise their Cost Allocation Plan at any time during
the state fiscal year, in writing to the Contract Manager. The Managing Entity shall submit the amended or
revised Cost Allocation Plan within 20 days of providing written notification. The Department will review and
provide written comments within 15 days of submission. The Managing Entity must submit a revised Cost
Allocation Plan addressing any revisions required by the Department, within 15 days of the date of the
Department's written response.
CF Standard 7 0 Contract No. KH225
Integrated Contract 2016
July 1 2016
F -5 Carry Forward Funding
F -5.1 In accordance with s. 394.9082, F.S., the Managing Entity may carry forward documented
unexpended state funds from one fiscal year to the next fiscal year, unless the following fiscal year falls
outside the contract period, subject to the following conditions:
F -5.1.1 Any funds carried forward shall be expended in accordance with the General
Appropriations Act in effect when the funds were allocated to the Managing Entity;
F -5.1.2 The cumulative amount carried forward may not exceed eight percent of the contract total.
Any unexpended state funds in excess of eight percent must be returned to the Department;
F -5.1.3 The funds carried forward may not be used in any way that would create increased
recurring future obligations, and such funds may not be used for any type of program or service
that is not currently authorized by this contract; and
F -5.1.4 Any unexpended funds that remain at the end of the contract period shall be returned to
the Department.
F -5.2 Within 30 days after receiving confirmation of the approved carried forward amount from the
Department, The Managing Entity shall submit a properly completed Template 15 — Managing Entity
Spending Plan for Carry Forward Report.
F -6 Allowable Costs
F -6.1 All costs associated with performance of the services contemplated by this contract must be both
reasonable and necessary and in compliance with the cost principles pursuant to 2 CFR Part 200 — Uniform
Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards - Subpart E, 45 CFR
Part 75 - Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards -
Subpart E, The Reference Guide for State Expenditures, and Ch. 65E -14, F.A.C.
F -6.2 None of the funds provided under the following grants may be used to pay the salary of an individual at
a rate in excess of Level II of the Executive Schedule: Block Grants for Community Mental Health Services,
Substance Abuse Prevention and Treatment Block Grant, Projects for Assistance in Transition from
Homelessness, Project Launch, Florida Youth Transition to Adulthood; and Florida Children's Mental Health
System of Care Expansion Implementation Project.
F -6.3 Any compensation paid for an expenditure subsequently disallowed as a result of the Managing
Entity's or any Network Service Providers' non - compliance with state or federal funding regulations shall be
repaid to the Department upon discovery.
F -6.4 Invoices must be dated, signed by an authorized representative of the Managing Entity and
submitted in accordance with the submission schedule in this contract, with appropriate service utilization
and Individuals Served data accepted into the SAMH Data System, in accordance with PAM 155 -2.
F -6.5 The Managing Entity is expressly prohibited from expending funds specified as "Direct Services
Costs" in Table 6, for anything other than a subcontract with a Network Service Provider.
F -7 Financial Reconciliation
F -7.1 The Managing Entity shall submit reports that reflect the Managing Entity's actual operational cost
and the actual service cost of the Network in accordance with Exhibit F2. The Managing Entity shall submit
a final Managing Entity Monthly Expenditure Report annually no later than August 15. Payment for the final
month of the fiscal year and carry forward shall not be approved until final reconciliation has been completed
by the Department.
F -7.2 The Department will reconcile actual expenditures reported to the funds disbursed to the Managing
Entity based on the properly completed Managing Entity Monthly Expenditure Reports and the Managing
Entity Monthly Carry Forward Expenditure Reports, according to the following schedule:
CF Standard 7 1 Contract No. KH225
Integrated Contract 2016
July 1, 2016
F -7.3 Quarterly, after September, 30, December 31, March 31, and June 30 each state fiscal
year during desk reviews; and
F -7.4 Annually, after June 30 each state fiscal year during year end reconciliation.
F -7.5 Any funds disbursed to the Managing Entity that are not expended or were determined to have
been expended for unallowable costs shall be considered overpayment to the Managing Entity. The
Department shall recoup such overpayments pursuant to Section 3.5. In the event an overpayment is
identified after the end of a fiscal year and no further invoice is due, the Managing Entity shall remit the
overpayment to the Department via check.
«< The remainder of this page is intentionally left blank. »>
CF Standard 72
Contract No. KH225
Integrated Contract 2016
July 1, 2016
EXHIBIT F1 — ME SCHEDULE OF FUNDS
Exhibit F1-1.1 — ME Funding Detail
South Florida Behavioral Health Network, Inc. - Contract# KH225
FY 2010-11 Use Designation (9 months) — Mental Health - As of Amendment #0002
10/01/2010
Pedorrtance Contract
SAMH Services Program
MENTAL HEALTH
EI1TIN DETAIL
Provider Name (South Florida Behavioral Health Network. Inc. I Contract 0 (KH225 I Recision 8 10(X12 1 IFY 2010-11 (9 Moa)I
Budget Entity 60910502 - Adult Mental Health OCA AMOUNT Budget Entity 60910503 - Children's Mental Health OCA AMOUNT
502004- EMERGENCY STABILIZATION 505001- EMERGENCY STABILIZATION
GSA -ADULT CONL\1. MENTAL HEALTH (100610) GA {CHILDREN'S MENTAL HEALTH (100435)
ADAMH Trust Fund• 19004 S550,812 ADAMH Taut Fund. 190C1 8328.488
General RevenueiTSTF 19ME4 ____ S597,592 _
F.' General Revenue I9MEI __ 874.302
GRTS TG CD TF Citrus Health CSU SP5CH 5455,000 FGTF - Title ICU 89Q01 823,162 —�
GRFamily Emergency Treatment Ctr- Manatee SP503 GR Manatee Glenn Child Baker At SP532
GR•Cooper CSU SP516 GRChld Comprehensive Behavioral Services SP540
GRFarnily Emergency Treatment - Pinellas SP525 GRCSL; District 08 SP542
GR Apalachee CSU -Leon SP549 GR.:Marion -Citrus MII-I- Children CSU SP550
GR/Family Emergency Trearmenu- Sarasota SP553 General Reyetlne SPSEB
GR Lifeslream CSU- Lake.Smnter SP559 FGTF -Title IVB W002 810,030
GRRuth Cooper CSU -Lee SP56O
• GRSerni note County CSU SP561
TSTEOrange County Receiving Center 3P572
GRAPALACHEE SHRT - TERM RESID FAC SPAC9
&A-BAKER ACT SERVICES (100611) GA- CHILDREN"S BAKER ACT (104257)
General Revenue 19ME4 56,119.298 General Revenue 19MEI 51,102.826
TSTF;Adndt Emerg Baker Act Services- Hemarxio- Pasco SP592 General Revenue ' 99581
Emergence Stabilization Total = S1.538.808
GA- OUTPATIENT BAKER ACT SERVICES PILOT (100612)
General Revenue 19ME4 1 I
Emergency Stabilization Total = S7,722,702
502018 - RECOVERY & RESILIENCY 503013 - RECOVERY & RESILIENCY
GA- ADULT CORLM. MENTAL HEALTH (100610) GIA- CHILDREN'S MENTAL HEALTH 000435)
ADAMH Trust Ftmd+ 19018 5826,601 ADAMH Trust Fund. 19C13 5893,180 '
ADAMH Tnut Fund-FACT 19019 8242.643 General Revenue 19M13 51,925,909
General Reverne-TSTF 19M18 58,871,224 GRTSTF 32NO3
General Revenue/FGTF 9QPSR FGTF -Title ?C1I 89Q13 51,178 .928
GR/AGAPE FAM MINISTRY AFMLID 8600,000 GR/RTC Non- Medicaid Eligible 9PRN $22,001
R 111 TANF 39AIS 81,540.818 GRHenderson 5IH Center- Broward SP506
FGTF;ADAMILGR Forensic Beds -Adult Svc CFBAS 82.388,045 ADAMH TF/hnf t & Yotmg Special Project SP533
FGTF PATH GXO18 5409,048 Federal Grams FT GMDWI S515,000
GRTSTF.'FGTF - FACT Admin FTA19 52.018,696
GR/TACT Svcs FTS19 5578,556
O &MTE. FGTF:Com MH Srvs Contract -NEFSH MHSIS GiA- PURCHASED RESIDENTIAL
G.R. LPPME 8747.947 TREATMENT SERVICES (102
GRCotut Cottages in the Pines SP502 GRRTC Non- Nledicad Eligible 9PRNM 5315,986
GR TSTF; Wayne Deusch Center - Orange SP504 G•Ruth Res Treatment - Medicaid Svcs 9PRTS
GRCharlotte County CMH Center SP
GRShorl -Tenn Residential Treat - Hillsborough SP511
Generl Revenue;TSTF•Doug Gardens C'5IH Ctr SP512 8236,250 GA- PURCHASE THERA SVCS CHILD (100800)
GRMiiauu -Dade Homeless Trust SP513 8132,108 General Revenue 19•C'B I I
GRCamilhrs Life Center -Dade SP551 5187 500
GR•FACT Team -Bay_ Gulf SP552
ORMimui Behavioral HIM Ctr- Uuinirued Dade SP555 S187,500
GRThe Village- Campaneros En Recup -Dade SP558 S225,000
CAMILLUS BEHAVIOR HLTH TRT CTR SP5CB
FAM EMERG TRMT CTR 19 CIRCUIT SP5FE
JUV CO-OCCUR ADDTNS Dade /Broward9Monroe SPJC9
GR/NEW HORIZON'S CENTER SPNH9
GA- INDIGENT PSYCH MEDICATION PROGRAM (101350)
Generl Revenue 19M18 1 585.496 1
GA -BAKER ACT SERVICES (100611)
General Revenue 19M18 I I
Recovery & Re.rillencv Total = 819,277,429 Recovery & Resiliency Total = 84,851,004
TOTAL ADL; LT COSTAL MR = 527.000,131 -__ TOTAL CHILDREN'S MENTAL HEALTH — 86,389,812
Community Mental Health Block Gram
CF Standard 73
Contract No. KH225
Integrated Contract 2016
July 1, 2016
EXHIBIT F1 — ME SCHEDULE OF FUNDS
Exhibit F1 -1.2 — ME Funding Detail
South Florida Behavioral Health Network, Inc. - Contract# KH225
FY 2010 -11 Use Designation (9 months) — Substance Abuse - As of Amendment #0002
10001/2010
SSW Sess Prows
SUBSTANCE ABUSE
FL'?\DLOG DETAIL
Provoke Name 'Sal l Fiorrds Beha,naal Halt Ne,a...I. b c. I Contract P 1101225 -- - --- - I Rmoao a 10002 —__ - IFY 2010-11 (9 Mw)
Budget Eadty 609/0603 - ,Walt 5abstaece Abase OCA AMOUNT Budget Eadts 60910602 - C64drea'. Substance Abaw IX'A ,,MOUNT
603005- DETOXIFICATION 602001- DETOXIFICATtON ;ARF
GA -COMM SUBSTANCE ABUSE SVCS (100618) G'A.CIm. •'ADOL SUBSTANCE ABUSE SVCS (100420)
SAPSBG ;7005 SAPl'BO 27001
GR d n
Tobacco Sediment Toro tu 7I X GRT 5enlement Trust Etna 2 -- 1313)137
GRAdult Detmz
Detoxification Total = 0R/Child Asox D 404615�ia. T,l IX
603006-PREVENTION SERVICES
602002-PREVENTION SERVICES
GA-COMM .emr TANCE ABUSE SVCS (100618) GA- CIOLO,ADOL SUBSTANCE ABUSE SVCS (100420)
279236 360.000 Prevents., 5er.ic s - S1G:ADAMH'F '
I• -' --
ADAMH Tom Fund Prevention Sams ••• 27036 — S145.4699 General Re..,... 27102 Xi
ADAMH Trust Fund-Prevention S.,-n..s ••• 27032 91.768.574
Prevention Parmerdop Services "' 27PR,3 - 8584.874
GRC1vld Premium. Svcs CHPRV 3906107
Gaul 0.,.,,,, SP613
GRSteaat Marcluan Tim.. 69, - 012 SP643
Prevention Services Total = 5205.469 Pre anion Seabees Tota1= $3.259.655
603007-TREATMENT & AFTERCARE 602003-TREATMENT & AFTERCARE
GSA A-
SUBSTANCE ABUSE SVCS ( 100618) GCHILSADOL SUBSTANCE ABUSE SVCS (100420)
27007 S5.237.363 SAPrBC 27003
ADAMHTF A &.mmao,e Expendioaes 27AD7 ADAMH Tom Ea Ad.amama.i, Ezpenditmes 77AD3 530.892
ADAMHTF Intravenous Drug Usage ••• 2711V 0902.608 ADAMS( Tun Fa 27C'UV
GR/TSTEO&MIF 27154E7 81658.936 GRTSTFO&MTF•CASATE 27E4E3 52874.904
ADAMHTF Sinkers to Women ••• 27WOM $1.547,217 WI TANF 391C1 31'9.034
WUIF TAI"T 391C0 1980.514 GR/fx & Aftercare - cble
TowFood
tl H 2 533,157
1167.445 ADAM Trost F.ud HIV 2]63( 533356
SS 6u BGTF;Camd Life Center - Dade . S631 - ADAMH ins. .m
Fd -Roots t Wa ms 50602 2
0.,..,1 9."s'r see 00008 S13.765 GRAdol. To D6BY Diagnosed Girls - Dl l SP606 3375000
FEDERAL GRANTS TRUST FUND 50604 G•Tb Compass O m SP610 2193305
ADAMIf6F Stewed Man Co-. moo 53414 ADAr -TE- R be s ,s 3, s. Place SP610
ADAMHTF New H trm Tram n Dual vl Dugan SP616 267_500 AD ADAMFfiF W,, Ad. ,o crc ®, Re SA A Tx Fact., SP611 --
ADAMIRF p.m
Addaca Screw. • 51+616 GR1•rolm ant -D12 SP644
44
em _ es Prog Hawn SP617 G /Wsonna Houw-R23 50645
ADAMHTF Cocoa ave-Be,a. nth Ca S18 9135.000 R 09/0. .56 ,,. OT1ERSANFANT 50646
ADAMHTF River Reasons Services. Inc 506P6 GR/Dau
19 - Adne C,mlael eno„te Cad Oft 50647
ADANDITF Passage Wry Aftercare Proie, SP622 GRHerea Help 53092 3150 000
ADAMHTF Fmerg Wait Ls. Rel.c. Projen SP623 367,500
ADAMHTT Bor. Warn SP624
GRAOAPE AGAPE 5187.500
GRR. -n Regaon Women's SA SP65I
GR'Co,les of Cate- Breyerd SP652 --
0RCentm for pug Flee Lax SP669
GR'Center for pap Free Lag - Brevad 50670
•
T..atmens & Aftercare Total = 910 965 348 Treatrsea, & Aftercare Tna1 = S3.870938
TOTAL 6101,0 ADOL SUB- ABL9E = 57,815,498
TOTAL ADULT sta. ABUSE = 513,74 7,089
•
GRAND TOTAL ALL. PROGRAMS = 552,952,530
0
MA1C11 CALL USA LIONS APPLICABLE TO GUA I RAC 1
RINDS NOT REQUtRP:G MATCH
.snuman,1163. p Protects TOTAL FUNDS RE01.182`40 MATCH = 522,615,65 2
CLrldren' 'e Mewl Health Base Fund=
.9 • LOCAL MATCH REQUIRED = S7 5. 1
=NM
ADDITIONAL LOCAL MATCH = 1 - -3 � — I
o • • . • ,f. = CiRA \'D TOTAL LOCAL MATCH = 87 538.5$1
- ispewhenee maw he SWaa.,. Alms Presteis N Sass Se.. G.... .
••• W6sam. A6a.e Preve.m W Treas.* Oak Cram- isaiat Agrees. - RESTRICTIONS APPLY
C \tll 3L'+pn..d Grant (GNIDWT
](ems not Included In the Doti)' of the Funding Detail: - +>
Personne4CanutMlnp Nine Mon.
05183 Administration (NEW). 254,67 Nicole 84,375
A6416 Administration (6.8551) 128.496 Lynn 75,000
ABA Adtt lmS6atiou (New) 319,500 Miriam 20,319
ABA Administration (GAIN-one -time only) 50,000 TA - VAC 15,000
CMH Adrn (New) 287,212 Maria Elena Fernandez 9,000 •
CMH Administration (6.85 %) 11.563 Maria Villa, 3,000
SAMH Adam. (009 & EXP) Tr 355,821
CSA Admen (6.85 %) 2 FOF 2,540
CSA Admen (NEW) 44,786 Trawl -Out of State 2,540
ASA Adtnin (6 855) 815,051 Cell Phone 1,360
Tora1 2,540,452 FIU - Social Marketing 28,929
E Therapy 88,000
Haiti. Emergency Response Grant a 1160753100417 -01 COCA: CCTD1) Mlehunt MIN , PHD 60,047
Network PrOrlder Three Moe. Training - Wraparound 31,822
FACES Launch 10,000
Subcwdractor:New Horizons CMHC 2466.580.00 Stigma Reductlon(Soci.l Mktg) 13,7118
Training - USF SOC PR 30,000
USF Lepic Model 5,000
Win 30,000
John Mayo 22,800
Translation 60,000
Acknlnlstratlon 917 70 -00
08.3 r'r . .050.00
12//620/0 Adiosimens are .rude m various wan.. roll o... the lapsed budgets from the first dame months of the cataracts managed by the Department,
$31.270 is added Y CSA -27PRL 149,321 h added in CSA- CHPR5' to provided animal Paveetlon services. )-time only ( This by is seeded to fund admb la the next Fl
SAM 1s added l AMB -19111 bet *WSW Y 1.tit anti services This badges n aced.., SW ME admix is t next 0'50
$56,500 is added te ABA -19AIA Mr ad443eul 1 -time 43 sewers, This badger Is neea re feud Me 31E Mmb la the new F1'
529.071 is Md. in C8s - 191[13 fm addIdeaal 1 - time wry services This ledger is needed to fund the ME ad nis in the veer TV
The initial allocation of (MB funds for the ME was 10scemate(.,n,, budget should have been added m ME) ; this ameodmen corrects this error.
1.6 -2011 510,000 is added m Contracted Ser.iee. (COIDWT) for FACES annual empowerment anal educational con/1am.
513,766 is added to Contracted Services (GVIDW t) for Seems Rednthet and Aaaare.eas campaigns
927,332 is being reduced Iry 89Q13 bated u projected 0udernti ixati,a of the Bait capac9nt-
3.'.2011 5404.050 is added for (3mse6 allocation in OCA: CCH11) FE 2010 -2011 for the SAMRS\ Haiti Euergeaty Response Grant Application for Intermediate 5er.ices
513,800 is added is C3111 (89013) to roll over the Depanmen's St st..arter balance.
CF Standard 74 - Contract No. KH225
Integrated Contract 2016
July 1, 2016
EXHIBIT F1— ME SCHEDULE OF FUNDS
Exhibit F1-2.1 — ME Funding Detail
South Florida Behavioral Health Network, Inc. - Contract# KH225
FY 2011 -12 Use Designation — Mental Health - As of Amendment #0005
07.131 2011
Performance Contract
S 361 Services Program
MENTAL HEALTH
FUNDING DETAIL
Provider Name !Soot) Flom BehavlOral Heath I Contract 5 ,KH225 I Revision 5 10005 ( (Fr n1140)21
Midget [Miry 80310506 -Adult Menial /Meet OCA AMOUNT Budget Entity 80910508 - 064141ren'a Mental Hemet OCA AMOUNT
502004 - EMERGENCY STABRIZATION 503001- EMERGENCY STAEIUZATION
G /A.ADULT COMM. MENTAL HEALTH (100610) 0U-CHILDREN'S MENTAL HEALTH (100435)
ADAMH Trust Fund TF (027005 AESS1 0311.014 ADAMH Trust Fund TF (0270051 CESSI 0115.145
General Revenue (000326Y AESS1 51.136,911 General Revenue (000326' CESS1 i 5435285
TSTF (122023) AESSI $13,779 FGTF - Title XXI 1261015) 99001 1 $30,662
General Revenue (000326) SMHAI L 5455,000 General Revenue (000326)' 3MHC1
GIA -EAKER ACT SERVICES (100611)
General Revenue (000326) AESS1 $8,078,482 1
TSTF (122023)' AESS1
G /A.OUTPATIENT RAKER ACT SVCS PILOT (100612) GIA.CHILDREN'S BAKER ACT (104257)
General Revenue (000326) AESS1 I 1 General Revenue (0003261' CE881 _ 11,449,2111
TSTF(122023) AESS1
Emergency Stabilization Total a 09,995,11M
Emergency Stabilization Total a 12.050.310
502018- RECOVERY a RESIUENCY 505013- RECOVERY 6 RESILIENCY
O /A.ADULT COMM. MENTAL HEALTH (100010) G/A.CHILOREN's MENTAL HEALTH (100435)
ADAMH Trust Fund TF (027005) ARR51 91,308,020 ADAMH Trust Fund TF (027005)' CRRSI $1,408,531
TSTF (122023)' ARR5 0302.160 Genera) Revenue (000326) CRRSI 51,249.965
FGTF (261015) ARRS1 5110.061 FGTF (261015) CRRSI 1725.417
General Revenue (000326) ARRSI $11,874,459 General Revenue - ChOWen At 6)50 of ED (000326) CARED 5100,000
OR/AGAPE Fern Ministry (000326)' AFMMD 5800.000 FGTP- MIAMI.OADE Wrap Around Pro YR -1 (261015) 13MDW1 1052.483
GR/Comm Forensic Beds -Adult Sve (000326) CFBAS 63,147,327 General Revenue (000326)' SMHC2
ADAMH Trust Fund - FACT Admen (0270061 FTA19 1415.197 General Revenue (000336) SP5MA
General Revenue - FACT Admen (000326) FTA19 - 51,708.223 - J c2
GRV Reston In 321403 '
FGTF- FMGPAM en - Medicaid Adm {26/015} FTA19 _ $676,370 FGTF - Tale X %I (261015) T5 Pro(000326p
015) 69011 3 I 81,261,655
General Revenue - FACT ayes (000326) FT519 ___0_7_63.200 _
FGTF - F000.1O - Jab Diversion Pro (261015) 0.1021
FGTF- FGGOPT -Trans From Homelessness (261015) 0 %018 5529,927 Recovery & Resiliency Total is 55,606,051
065476 (027005) 64H315 '
General Revenue (000326) SMHA2 11.295,000
WTTF TANF (401001) 39AI8 52,054,412
General Revenue (0003261 LPPME 51.000.000
POTF -Haitian Gram (261015) CCH11 `
OR -Pro Admen Screen Rev MCA1D ADM(000326) 9OP5R _
FGTF - FMGPMA -Pre Adrmn Screen Rev MCA)D (261015 9OPSR
G /A.INDIOENT PSYCH MEDICATION PRO (101350) GM-PURCHASED RESIDENTIAL.
General Revenue (000326)' ARR51 I 5113,991 I TREATMENT SERVICES (102780)
GR/MCAID f Non -MCAID MOE (000326)' 9PRNM 1380.285
GRiPurch Res Treatment - Medicaid Svcs (000326) 9PRTS E _
O/A -BAKER ACT SERVICES (100511) _ . _ _ _ GlA- PURCHASE/THERA SVCS CHILD 100800
General Revenue (000326) ARRSt ( )
General Revenue (0003261 79MCQ
Recovery & Resiliency Total a 525.099.066 Recovery & Resiliency Total a 1360,285
TOTAL ADULT COMM. MH a $30.094,252 TOTAL CHILDREN'S MENTAL HEALTH s $8,106,646
TOTAL ALL MH PROGRAMS o 044.200.898
•Cu,mavar Mawr hid. auct Oral
CF Standard 75 Contract No. KH225
Integrated Contract 2016
July 1, 2016
EXHIBIT F1— ME SCHEDULE OF FUNDS
Exhibit F1 -2.2 — ME Funding Detail
South Florida Behavioral Health Network, Inc. - Contract# KH225
FY 2011 -12 Use Designation — Substance Abuse - As of Amendment #0005
07/012011
59 aloe Contract
SAMH Services Program
SUBSTANCE ABUSE
FUNDING DETAIL
Provider Name [SON. Florida Behavioral Health Net, I Contact 6 1104225 I Revision it 10005 1 (11 1011 - 1011
Budget Entity 60910604 - Adult Substance Abuse OCA AMOUNT Budget Entity 60910604 - Children's Subs OCA AMOUNT
603005- DETOXIFICATION 602001-DETOXIFICATION/ART
G/A -COMM SUBSTANCE ABUSE SVCS (100618) G)A- CHILD /ADOL SUBSTANCE ABUSE 5 ( 100420 )
ADAMH Trust Fund TF (027005) "" DTXAS 0450,942 ADAMH Test Fond TF (027005) "" DTXCS - -- - 5400 560
General Revenue (000326)" DTXAS - - -- 0317A23 General Revenue (000326)" OTXCS 88,988
TSTF (122023)" DTXCS 11111111111111111ff.I:S3ie
Detoxification Total - 6768,365
Detoxification Total - 5902,546
603006- PREVENTION SERVICES 602002 - PREVENTION SERVICES
WA -COMM SUBSTANCE ABUSE SVCS (100619) G /A- CHILD/ADOL SUBSTANCE ABUSE SVCS (100420)
General Revenue (000326)11 PRNAS 011,953 ADAMH Trust Fund TF (027005)•••• PRNCS 03 731,926
ADAMH Trust Fund TF (027005) "'• PRNAS ( 0249,500 General Revenue (000326) PRNCS 349,157
General Revenue (000326)" SPJCS
Prevention Services Total - 5261A62 Prevention Services Total : 54,081,083
603007- TREATMENT E AFTERCARE 602003- TREATMENT & AFTERCARE
G/A -COMM SUBSTANCE ABUSE SVCS (100618) GIA- CHILDIADOL SUBSTANCE ABUSE SVCS 1100420)
ADAMH Tntat Fund IF (027005) TRTAS 04,842,801 ADAMH Trust Fund TF (027005) - "' TRTCS 8556,635
General Revenue (000326) TRTAS 53,042,729 General Revenue (000326) TRTCS 12,304,854
0651 11 15190 51 50145 029681 TSTF (122023) TRTCS £260768
ADAMH Tnst Fund TF (027005) "" 27HN 31,20 476 O&MTF (516015)" TRTCS 18
SSBG (639022) TRTCS 0705,680
ADAMH Trust Fund TF (027005) " 27WOM 02062958 ADAMH Trust Fund TF (021005) "" 21CIiV S443'43
General Revenue (000326) 39TC0 0127;705 WTTF TANF (401001) 39TC1 5170/18
WTTF TANF (401001) 39TC0 01.614,302 General Revenue (000326)
GR- Indigent 318,353 ADAMH Tmst F
ent Drug Pro MOE (000326)•• DPG06 SPJCS 6292,7
Fund TF (027005) "" SPJCS 6292,795
FGTF - FL Aces to n Rev 1 )5) FAO ATE (021060)" SPJCS
FGTF -Medic - aid Aden (2610810155) MAG04
1071 - Screen Interven Treat Pro (261015) SB004
General Revenue (000326)" SPJAS 0303,701
ADAMH Tnst Fund TF (027005)•"• SPJAS 0306,299
Treatment 8 Aftercare Total - 014 619.140 Treatment & Aftercare Total - 54,977,008
•
TOTAL ADULT SUB_ ABUSE - 613,648.967 TOTAL CHILD /ADOL SUB. ABUSE - 39,960,637
TOTAL ALL 5A PROGRAMS - S25.609.604
GRAND TOTAL ALL PROGRAMS - 069.810,602
MA I t,H CALCULA I IONS APPLICABLE 11.3 009 I RAC 1
_ NOT REQUIRING MATCH
n Tfu _______
6eltonak aon Budget 516200.000 TOTAL FUNDS REQUIRING MATCH = 020,896,408
CMH Budget
Block Gr.nl Allocation y j LOCAL MATCH REQUIRED = $6,985.183
rAZrTTeams �91YI80iDI7 ADDITIONAL LOCAL MATCH =I
Drug les
Abuse Servc
D
■ 0 141 1 0105 901 REQUIRING MA3 CH = GRAND TOTAL LOCAL MATCH = f6.966.t83
•• Eyerneae 0501. ne Substance Muse Prevention ant Treatment Nock Grant engene
SWsizmoe Aare Preve.on am Treatment Peace Gal - F n0lr9 Agreement - RESTRIGnOINS APPLY
Items not included in the body of the Funding Detail: ICMH Wraparound Grant (GMDSVI Cat: 100435.100777
Personnel /Consulting
,5 1/MINISTRATION Project Director 5 112,500.00
AMH Administration 5 544,684.00 State Liaison 5 100,000.00
ABA Adlninistratiom 5 426,000.00 Cuingal & Linguistic Coordinator 5 37,500.00
ChIH Adruinistratiou S 401,071.00 Technical Assistance Cooed. 5 48,431.00
SAMH Adminnisrrarion (OP5 & EX?) Tr. S 374,508.00 Youth Support . 16,000.00
CSA Administrator S 498,248.00 Training Specialse $ 27,359.00
ASA Adnunuustratior 5 1,087,034.00 Consultant 5 3,000.00
5 -
Iob1 5 3,331565.00 Travel -Out of Stale $ 16,386.00
Contracted Senices
Haitian Lm.rz-ec, R.,t om. Gr..,t 01/10 (OCA: C c911) Specrnun Programs (Evaluation) S 375,000.00
Network Provider 12 Months EIL Social Mktg (M. E. Villar) S 30,000.00
E- Therapy 5 80,000.00
Subcontractor:New Horizons CMHC 51,669,23 9.00 Training MI (Michaea) Miller $ 8,160.00
Training Wraparound (Judie) S 9,000.00
Stimna Reduction (Social Mktng) 5 30,000.00
GAIL) S 37,520.00
Translation 9 10,000.00
Administration S 57,389.00 (Administration $ 102,341.00
1 Total 5 1726, 627.00 !Total - 1,043,197
•
CF Standard 76
Integrated Contract 2016 Contract No. KH225
July 1, 2016
EXHIBIT F1 — ME SCHEDULE OF FUNDS
Exhibit F1.3.1 — ME Funding Detail
South Florida Behavioral Health Network, Inc. - Contract# KH225
FY 2012 -13 Use Designation - As of Amendment #0009
Agency Name: South Florida Behavioral Health Network, Inc. i Total Contract Amount: 8371,823,533.76
Contract # KH225 _ ;Total FY 2012.2013 Amount: $73,710,611.00
Revision #0009
Last Date Updated: 11/02/2012
Original Submission Date: — ________
Mental Health Adults Children Contracted Svcs ME Admin Provider Adnin Tom! Admin: SYSTEM OF CARE ADMIN
Emergency Stabilization $ 9,101,330.00 $ 2,019,648.00 $ 511,000.00 $ 1,445,727.14 $ 1,956,727.14
Recovery & Resiliency $ 27,797,831.00 $ 5,195,752.00 $ 1,322,925.00 $ 4,289,165.79 $ 5,612,090.79
BNETSeMces $ 1,292,317.00
Contracted Services $ - $ - 1557479 $ 329,703.00 $ - $ 329,703.00
Total: $ 36,899,161.00 $ 8,507,717.00 $ 1,557,479.00 $ 2,163,628.00 $ 5,734,892.93 $ 7,898,520.93 $ - $ -
Substance Abuse Adults Children ME Admin Prodder Admin Total: SYSTEM OF CARE ADMN
Detox $ 824,885.00 $ 925,285.00 $ 79,258.00 $ 227,522.10 $ 306,780.10
Treatment& Aftercare $ 15,170,897.00 $ 5,269,939.00 $ 910,078.00 $ 2,657,308.68 $ 3,567,386.68
Prevention $ 261,462.00 $ 4,114,880.00 $ 133,795.00 $ 568,924.46 $ 702,719.46
Contracted Services $ - $ 178,906.00 $ 178,906.00 $ 178,906.00
Total: $ 16,257,244.00 $ 10,310,104.00 $ 178,906.00 $ 1,302,037.00 $ 3,453,755.24 $ 4,755,792.24 $ - $ -
Total Contract Amounts: I $ 63,156,405.00 I $ 18,817,821.00 I $ 1,736,385.00 1 8 3,486,666.00 I $ 9,188,648.17 1 $ 12,664,313.17 I $ - I $ -
Total AOB $ 73,710,611.00
ADULT
EMERGENCY STABILIZATION ACTIVITY - 502004
MENTAL HEALTH - BUDGET ENTITY - 60910606
I. A B C D E G H 1
SYSTEM OF CARE ADMIN
SERVICES FUNDING
CATEGORY/FUND TOTAL FUNDING OCA ME ADMIN % * PROVIDER 14% AMOUNT
GIA -ADULT COIVM MENTAL HEALTH - 100610
ADAMH Trust Fund TF (027005)' $ 128,070 00 AESS1 0 00% 13% $ 111,420.90
General Revenue (000326)' AESS1 TSTF (122023)' $ 13,778 00 AESS1 0.00% 13% $ 11 986.86
- - - – — -- -- 9 General
Revenue (000326)' $ 455,000 00 SMHA1 0.00% 13% $ 395,850.00__
G/A ACT SERVICES - 100611
General Revenue (000326)' $ 8 504 482_00 HESS 1 5.01 % 13
$ 8,972,824.79
TSTF (122023)' L ___ AESSI - - -- _____
GIA OUTPATIENT BAKER ACT SVCS PILOT - 100612 __
General Revenue (000326) AESS1 __,
TSTF (122023) AESS1 - - -
OCA Total ■ $ 9,101,330.00
$ 7,492,082.66
CHILDREN
EMERGENCY STABILIZATION ACTIVITY - 503001
MENTAL HEALTH - BUDGET ENTITY - 60910506
I. A B C D E F G 11 I
SYSTEM OF CARE ADMIN
SERVICES M FUNDING
CATEGORY /FUND TOTAL FUNDING OCA ME ADMIN % * PROVIDER 14% AMOUNT
G /A- CHILDREN'S MENTAL HEALTH - 100435
ADAMH Trust Fund TF (027005)` $ 115 145.00 CESSI 0.00% 13% $ 100,176.15
General Revenue (000326)` $ 435 285.00 CESS1 19.53% 13% r $ 293,686.79
FGTF - Title XXI (261015) ° °
( ) $ 30662.00 89Q01 0.00% 13/° $ 26,675.94
General Revenue (000326)' SMHC1
GIA -BAKER ACT SERVICES- (104257)
General Revenue (000326)' $ 1,181,063.00 CESSI � 0.00/ 1 13%
General Revenue (639022)' L$ 288,155.00 CESS1 0.00% 13% $ 1,250,694.85
�. $ 250,694.85
OCA Total a $ 2,050,310.00
5 1,698,758.54
CF Standard 77 Contract No. KH225
Integrated Contract 2016
•
July 1, 2016
EXHIBIT F1 — ME SCHEDULE OF FUNDS
Exhibit F1 -3.2 — ME Funding Detail
South Florida Behavioral Health Network, Inc. - Contract# KH225
FY 2012-13 Use Designation - As of Amendment #0009
ADULT
PREVENTION SERVICES - 603006
SUBSTANCE ABUSE- BUDGET ENTITY - 60910604
I. A B C D E F G H I
SYSTEM OF CARE ADMIN
CATEGORY /FUND TOTAL FUNDING OCA ME ADMIN % * SERVICES
PROVIDER 14% FUNDING AMOUNT
G /A -COMM SUBSTANCE ABUSE SVCS - 100618 $ General ADAMH Revenue Trust Fund f $ 249 509.00 1 PRVAS f 0.00% J [ _, _13% I [ $ _ 21/
OCA Total = $ 261,462.00 $ 227,471.94
CHILDREN
PREVENTION SERVICES - 602002
SUBSTANCE ABUSE- BUDGET ENTITY - 60910604
I. A B C D E F G H I
SYSTEM OF CARE ADMIN
* SERVICES FUNDING
CATEGORY /FUND TOTAL FUNDING
OCA ME ADMINX PROMDER14% AMOUNT
•
G /A- CHILD/ADOL SUBSTANCE ABUSE SVCS - 100420
ADAMH Trust Fund TF (027005)•^• $ 3,716 402 00 PRVCS 2.27% 13% $ 3,148 907 41
_..
General Revenue (000326)•• $ 398,478.00 PRVCS 12.38% 13% $ 297,344.28
General Revenue (000326)• SPJCS I I
ADAMH Trust Fund TF (027005)•'•• SPJCS
OCA Total = $ 4,114,880.00 $ 3,446,251.70
ADULT .
DETOXIFICATION - 603005
SUBSTANCE ABUSE- BUDGET ENTITY - 60910604
I. A B C D E F G H I
SYSTEM OF CARE ADMIN
SERVICES FUNDING •
CATEGORY /FUND TOTAL FUNDING OCA ME ADMIN % * PROVIDER 14% AMOUNT
GIA - COMM SUBSTANCE ABUSE SVCS _
ADAMH Trust Fund TF (027005)•••' $ � 475 950 00 DTXAS 1 5.25 % 1 3 % _ $ 403,36272 064.7.63 62
General Revenue (000326)•• $ 348 935.00 DTXAS 9.03% j 13%
�
-
OCA Total = $ 824,886.00 $ 676,432.24
CHILDREN
DETOXIFICATION - 602001
SUBSTANCE ABUSE- BUDGET ENTITY - 60910604
I. A B C D E F G H I .
SYSTEM OF CARE ADMIN
SERVICES
CATEGORY /FUND TOTAL FUNDING OCA ME ADMIN % * PROVIDER 14% FUNDNG AMOUNT
G /A- CHILD /ADOL SUBSTANCE ABUSE SVCS - 100420
ADAMH Trust Fund TF (027005)•••• $ 408,464.00 DTXCS 1 .94% 13% _ $ 347,439.48
General Revenue (000326) $ 503,528.00 DTXCS 2.89% 13% $ 423,517.40
TSTF (122023) $ 13,293.00 DTXCS 2.21% 13% _ $ 11 271 13
OCA Total = $ 925,285.00 $ 782,228.01
ADULT
TREATMENT & AFTERCARE - 603007
SUBSTANCE ABUSE- BUDGET ENTITY • 80910604
L A B C D E F G I
SYSTEM OF CARE ADMIN
BERWCESFOaO(NG
CATEGORY /FUND TOTAL FUNDING OCA MEADMIN% — PROVIDER 14% AMOUNT
G/A -COMM SUBSTANCE ABUSE SVCS • 100618
•
ADAMH Trust Fund TF (027005)•••• $ 4,632 226.00 TRTAS 9.98% 13% $ 3,567,740.47
General Revenue (000326)•• $ 4,204 970.00 TRTAS 4.00% 13% $ 3,490 125.10
O&M Trust Fund (516015) $ 310,014.00 TRTAS 4.26% 13% $ 256,505.58
_. .. _ 5 , 545 __
ADAMH Trust Fund TF (027005)••• $ 1,292 009 00 27HIV 6.85% 13% $ 1,035,545.21
ADAMH Trust Fund TF (027005)'• - • $ 2,214 715 00 27WOM 6.85% 13% $ 1,775,094.07
General Revenue (000326) $ 136,756.00 39TC0 6.62% 13% $ 109,924.47_
WTTF TANF (401001) $ 1,750,503.00 39TC0 7.78 % 13% $ 1,386 748 -48
•
GR- Indigent Drug Pro MOE (000326)'• _ $ 19 704.00 DPG08 6,86% 13% $ 15,790,79
FGTF - FL Acess to Rev (261015) FAT R6 — -- --
FGTF - medicaid Adm (261015) MAC04
FGTF - Screen Interven Treat Pro (261015) SB004 --
General Revenue (000326) $ 35209800 SPJAS 000 % 13% �---- - - - - --
$ 306,325 26
ADAMH Trust Fund TF (027005)••'• $ 257,902.00 SPJAS 0.00% - 13% _ -- $ 224,374.74
OCA Total = $ 15,170,897.00 $ 12,168,174.17
CF Standard 78 Contract No. KH225
Integrated Contract 2016
July 1, 2016
•
EXHIBIT F1— ME SCHEDULE OF FUNDS
Exhibit F1.3.3— ME Funding Detail
South Florida Behavioral Health Network, Inc. - Contract# KH225
FY 2012 -13 Use Designation - As of Amendment #0009
CHILDREN
TREATMENT 8. AFTERCARE - 602003
SUBSTANCE ABUSE- BUDGET ENTITY - 60910604
1. A B C D E F G 1
SYSTEM OF CARE ADMIN
f SERVICES FUNDING
CATEGORY /FUND TOTAL FUNDING
OCA ME ADMIN % PROVIDER 14% AMOUNT
G /A- CHILD /ADOL SUBSTANCE ABUSE SVCS - 100420
ADAMH Trust Fund W (027005) "' • $ 570 320.00 TRTCS 0.53% 13% $ 493 155.70
General Revenue (000326)" $ 3,137,919.00 TRTCS L 9.60% 13% $ 2,428,749.31
TSTF (122023)'• $ 282 718.00 TRTCS 7.64% % 13% $ 224,365.00
08MTF (516015)•• $ 6610.00 TRTCS 13% $ 7,490.70_
SSBGTF (639022)" $ 114,065.00 TRTCS 13% - -$ 99,23655
ADAMH Trust Fund TF °
027005 •• 6.85% - -
( ) $ 48 034.00 27CHV 13 % $ 38,499.25
WTTF TANF (401001) $ 183 273.00 39TC1 6.85% 13% $.__ -- 146,893.31
General Revenue (000326)•• $ 632205.00 SPJCS 0.00% 131 $ 550,018
ADAMH Trusl Fund TF (027005) "'• $ 292,795.00 SPJCS 0.00% _ -- 13 %_____ .._$__._ - - -" 254,731.65
A1F (021060)- SPJCS
.._ _..._...._..
OCA Total = 6 5,269,939.00 $ 4,243,139.83
ADULT
RECOVERY & RESIUENCY - 602018
MENTAL HEALTH- BUDGET ENTITY - 60910506
I. A B C D E F G H I
SYSTEM OF CARE ADMIN
CATEGORY /FUND TOTAL FUNDING OCA ME AOMIN% SERVICES FUNDING * PROVIDER I4% AMOUNT
G/A -ADULT COMM MENTAL HEALTH- 100610
ADAMH Trust Fund TF 027005 - - - - -- --- - - - - 26 -
( ) $ 1193031.00. ARRS1 13%
_ ARRS1 -- - $ 981,26800
08MTF (027005)
$
General Revenue (000326) $ 13 147 362.00 ARRS1 13% $ 10,813,70525
GR/AGAPE Fam Ministry - - _ -- - - -- - -- --
rY ( 000326 ) ' $ 800 000.00 AFMMD 13% $ 658,000 00
GR/COmm Forensic Beds -Adu1 Sw (000326) $ 3,154,522.00 CFBAS 13% $ -- 2,594,594.35 •
ADAMH Trust Fund - FACT Adrdn (027005) $ _ 408 398.00 _ FTA19 13% - -- - - - ' - -- - -- --
$ 422,387.09
General Revenue -FACT Admn (000326) $ �1,729,346.00 FTA19 13% $ - " -
1,422,387.09
FGTF - FMGPMA - Medicaid Admin (261015) $ 86223600 FTA19 -- -- - - - ._._
13% $ $ 627,732 01
General Revenue - FACT sws (000326) $ 763,200.00 FT 619 13% $ 627,732.00
FGTF - FGGGJD - Jail Diversion Pro (261015) .. _ GJDT1 13% . -
FGTF- FGGGPT -Trans From Homelessness (261015) $ 528 927.00 GX018 - - _ - - _ - --- -- ----
13% $ 332,942.95 •
General Revenue - $ 1 596 282.00 LPPME 13% $ 1 312,941.95 .
08MTF (027005) MHS18
13%
General Revenue (000326) $ 1,295,000.00 SMHA2 13% _ - $ 1,065,137.50
WTTF TAPF (401001) $ 2,205,536.00 39A18 13% $ 1,814,053.36
GR -Pre Admn Screen Rev MCAID ADM (000326) 9QPSR - - - - - -
FGTF- FMGPMA -Pre Admn Screen Rev MCAID (261015) 9QPSR
C /A - INDIGENT PSYCH MEDICATION PRO _... ....._ _...... _ - .. - -. ..... - . _.._.. _.__.. __.
General Rewnue(000326)• [5 _, 113,99100 1 ARRS1 [ ,., 1[ 13% I $ 93,757.60
G/A -BAKER ACT SERVICES - 100611 - -- -- - - - --
General Revenue (000326)• 1 ... 1 ARRS1 [ -_.. l - ._ __.._
Total
OCA Tas $ 27,797,831.00 l 6 22,863,716.00
CHILDREN
RECOVERY & RESILIENCY - 503013
MENTAL HEALTH- BUDGET ENTITY - 60910506
1' A B C D E F G H 1
SYSTEM OF CARE ADMIN
SERVICES
CATEGORY /FUND TOTAL FUNDING OCA ME ADMIN % * PROVIDER 14% FUNDING AMOUNT
G /A- CHILDREN'S MENTAL HEALTH - 100436
ADAMH Trust Fund TF (027005)' $ 1,722,555.00 CRRS 1 l 18.35% 1 13% $ 1,182,534.01
General Revenue (000326)' $ 1,96317000 CRRS1 13% - $ 1,707,957.90
SSBG 639022)
( $ 227,673.00 CRRS1 13% _ $ 199 8,075.51
General Revenue - Children At Risk of ED (000326) $ 100 000 00 CARED
13% $ 87,000
FGTF- MIAMI -DADE Wrap Around Pro YR -1 (261015) $ 952,48300 00 GMDWt 0.00% 13% _ $ 828,660 21 -
General Revenue (000326)` SMHC2
General Revenue (000326) _.... SP5MA _..... _. ___. ........ _ _.._
GR -JV Restor Incomp To Pro(000326)' 32NO3- "- - - - - --
- Title XXI (261015) $ 1,261,655.00 89013 0.00% 13% $ 1,097,639.85
G /A- PURCHASED RESIDENTIAL - -
___.
TREATMENT SERVICES $_ 2 29 8 00 I 9PRNM 0.00% 13% $ j gg,gg7 77 •
GR/MCAID & Non -MCAID MOE (000326)• 9PRTS
GR/Purch Res Treatment- Medicaid Svcs (000326) - -- __ "" "-_ -- - --
G /A- PURCHASE/THERA SVCS CHILD _ - --
General Revenue (000326)• I _ _ j 19MCB
OCA Total s $ 6,457,407 $ 5,301,855
CF Standard 79 Contract No. KH225
Integrated Contract 2016
July 1, 2016
EXHIBIT Fl —ME SCHEDULE OF FUNDS
EXHIBIT F1.4—ME Schedule of Funds
South Florida Behavioral Health Network, Inc. -Contract#KH225
FY 2013-14 Use Designation •As of 4/9/2014
Technical Adjustment 06, v2
Section A Other Cost Federal State Total
Accumulators
ME Operational Cost -
Subtotal Section A
Section B
ME Services&Supports Provider Activity-Adult Mental Health rv1ltA 3d 1,927,178 22 613,212 24 746 390
ME Services&Supports Provider Activity-Children's Mental Health MHCOO 1,419,438 4,625,960 6,045,398
ME Services&Supports Provider Activity-Adult Substance Abuse MSA00 8,795,075 5,760,752 14.555,827
ME Services&Supports Provider Activity-Children's Substance Abuse MSC00 2.871,388 5.513.277 8,384.665
Subtotal Section B 15.013,079 38,719,201 53,732,280
Section C
Adult Mental Health Projects MHA70 - 3,346,282 3,346,282
Community Forensic Beds MHA72 - 3.154,522 3,154,522
Florida Assertive Community Treatment(FACT)-Administration MHA73 1,239,149 2.523.913 3,763,062
Florida Assertive Community Treatment(FACT)-Services MHA74 - -
Indigent Psychiatric Medication Program MHA76 - 113,991 113,991
Projects Clay Behavioral Center Community Crisis Prevention Team MHA79 - -
Grants Jail Diversion and Trauma Recovery MHAJD -
Grants PATH MHAPG 472,427 29,117 501,544
Adult Mental Health Temporary Assistance for Needy Families(TANF) MHATB 1.300,959 - 1,300,959
Children's Mental Health Projects MHC70 -
Purchase of Residential Treatment Services for Emotionally Disturbed Children and
Youth MHC71 - 161,385 161,385
Children at Risk of Emotional Disturbance MHC77 - -
Title XXI Children's Health Insurance Program MHCBN 879,281 358,655 1,237,936
Grant Miami-Dade Wraparound FACES MHCFA 937.000 - 937,000
Grants Miami-Dade County Wraparound MHCMO 1,819,713 1,819,713
Grants Project Launch MHCPL - -
Grants System of Care MHCSK - -
Adult Substance Abuse Projects MSA70 - 610,000 610,000
Projects Expansion of Substance Abuse Services for Pregnant Women and their
affected families MSA81 - 1,625,596 1,625,596
Projects St.Johns County Sheriff's Office MSA82 -
Adult Substance Abuse Temporary Assistance for Needy Families(TANF) MSATB 980.979 76,759 1,057,738
Children's Substance Abuse Projects MSC70 - 925,000 925,000
Projects Informed Families of Florida MSC80 - 400,000 400,000
Prevention Partnership Grant(PPG) MSCPP 820,788 - 820.788
Children's Substance Abuse Temporary Assistance for Needy Families(TANF) MSCTB 103,100 - 103.100
Subtotal Section C = 8,553,396 13.325,220 21,878,616
Total All Fund Sources 23.566,475 52.044,421 75.610,896
Block Grant Set Aside Targets
Community Mental Health Block Grant
Thresholds for Federal Spending
Children's Mental Health I 6,002,960
Substance Abuse Prevention and Treatment Block Grant
Thresholds for Federal Spending
Prevention-20%of award 3,066,942
HIV-5%of award 766.736
Thresholds for State Spending
Women's set aside I 1.336,942
'Federal spending thresholds based on Block Grant notice of award amounts MH:$27,835,065 SA:$109,951,627
'State spending thresholds based on the actual SAMH expenditures from FFY 1994,which is no less than$9,327,217
'Children's Mental Health spending thresholds based on the actual SAMH expenditures from FFY 1994,which is no less than$39,659,772
CF Standard 80 Contract No. KH225
Integrated Contract 2016
July 1,2016
EXHIBIT F1 -ME SCHEDULE OF FUNDS
EXHIBIT F1.5-ME Schedule of Funds
South Florida Behavioral Health Network, Inc. -Contract#KH225
FY 2014-15 Use Designation -As of 4/8/2015
Amendment#0020
Other Cost Accumulators Title Other Cost Federal State Total
Accumulators
ME Services&Supports Provider Activity-Adult Mental Health MHAOO 1.285,644 26,099,025 27,384.669
Evidence Based Prevention and Treatment Approaches MHA26 - -
Community Forensic Beds MHA72 - 3,154.522 3,154,522
Flonda Assertive Community Treatment(FACT) MHA73 1,253,211 2,509,851 3,763,062
Indigent Psychiatric Medication Program MHA76 - 113,991 113,991
Baycare Behavioral Health-Vets MHA86 - -
Guidance Care Center-Key West MHA88 - 100,000 100,000
Clay Behavioral Health Center MHAS9 - -
Northside Mental Health Center MHA90 - -
Palm Beach Mental Health/Substance Abuse Treatment MHA92 - -
Camillus House Mental Health/Substance Abuse Treatment-Homeless MHA93 - 25,000 25,000
Citrus Health Network MHA94 - 455,000 455,000
Grants PATH MHAPG 503,605 - 503,605
Temporary Assistance for Needy Families(TANF) MHATB 1,300,959 - 1.300.959
, 4,343,419 32,457,389 36,800,898
ME Services&Supports Provider Activity-Children's Mental Health MHCOO 1,345,197 4.731,349 6,076.546
Purchase of Residential Treatment Services for Emotionally Disturbed Children and
Youth MHC71 - 342,970 342,970
Baycare Behavioral Health-Children MHC87 - -
Title XXI Children's Health Insurance Program(Behavioral Health Network) MHCBN 707,376 287,624 995,000
Grant Miami-Dade Wraparound FACES MHCFA 937,000 - 937,000
Grants Miami-Dade County Wraparound MHCMD 1,541,678 - 1,541,678
Grants Project Launch MHCPL - -
ME Services&Supports Provider Activity-Adult Substance Abuse MSA00 8,000,460 6,448.743 14,449,203
HIV Services MSA23 615,894 - 615,894
Prevention Services MSA25 261,882 - 261,882
Projects Expansion of Substance Abuse Services for Pregnant Women and their
affected families MSA81 - 1,812,723 1,812,723
Strengthen Our Communities MSA85 - -
Family Intensive Treatment(FIT) MSA91 - 633,190 633,190
Temporary Assistance for Needy Fam =_s -A':r- MHATB ,-l:91' - 955,917
t:"1. otal Sub . --t 1•r€7_T-.Adult 9,834.153 :.894, '` -#-" ,
Substance Abuse-Children
ME Services&Supports Provider Activity-Children's Substance Abuse MSC00 1,130,752 5,782,405 6,913,157
HIV Services MSC23 44,743 - 44,743
Prevention Services MSC25 2,380,670 - 2,380 670
Drug Abuse Comprehensive Coordinating Treatment(DACCO) MSC95 - -
Prevention Partnership Grant(PPG) MSCPP 820,788 - 820,788
Temporary Assistance for Needy Families(TANF) MSCTB 103,100 - 103,100
Total All Fund Sources 23.188,876 52.496,393 75,685,269
Children's Mental Health SED Requirement
Children's Mental Health SED Target
(Expenditures in MHC01,MHC09,&MHC18 are eligible cost to meet this
requirement) 4,427,937
'Children's Mental Health spending thresholds based on the actual SAMH expenditures from FFY 1994,which is no less than$39,659,772
CF Standard 81
Contract No. KH225
Integrated Contract 2016
July 1,2016
EXHIBIT Fl -ME SCHEDULE OF FUNDS
EXHIBIT F1.6-ME Schedule of Funds
South Florida Behavioral Health Network, Inc. -Contract#KH225
FY 2015-16 Use Designation -As of 5/11/2016
Amendment#0025
Other Cost Accumulators Title Other Cost Federal State Total
Accumulators
Managing Entity Administrative Costs MHS00 232,199 3,233,465 3,465,664
ME Data Management Support MS092 - - -
ME Crisis Stabilization Services MHOCS 21,429 - 21,429
ME Mental Health System of Care MHOSK - - -
ME Housing Coordination MHSHG 15,314 47,253 62,567
ME Care Coordination MHSCD - 73,630 73,630
ME Services&Supports Provider Activity-Mental Health MH000 4,233,170 29,703,175 33,936,345
ME Early Intervention Sys-Pyschotic Disorders MH026 - - -
Purchase of Residential Treatment Services for Emotionally Disturbed Children and Youth MH071 - 342,970 342,970
Community Forensic Beds MH072 - 3,027,332 3,027,332
Florida Assertive Community Treatment(FACT) MH073 1,164,515 2,289,063 3,453,578
Indigent Psychiatric Medication Program MH076 - 113,991 113,991
Clay Behavioral Health Center MH089 - - -
Camillus House Mental Health/Substance Abuse Treatment-Homeless MH093 - 200,000 200,000
Citrus Health Network MH094 - 455,000 455,000
Jerome Golden Center MH096 - - -
Crisis Center of Tampa Bay MH097 - - -
ME Saluscare Center MH098 - -
Gracepoint Center MH819 - - -
Lifestream Center MHS50 - - -
ME Centralized Receiving Facilities MHSCR - - -
Meridian Behavioral Healthcare MHSMB - - -
Renaissance Center MHRM5 - - -
Circles of Care-Cedar Village MHS51 - - -
Circles of Care-Crisis Stabilization MHS52 - - -
Grants PATH MHOPG 467,611 - 467,611
Florida Youth Transition of Adulthood MHOTA - - -
Temporary Assistance for Needy Families(TANF) MHOTB 830,149 - 830,149
Title XXI Children's Health Insurance Program(Behavioral Health Network) MHOBN 716,426 106,289 822,715
Grant Miami-Dade County Wraparound FACES MHOFA 1,600,000 - 1,600,000
Grants Miami-Dade County Wraparound MHOMD 488,950 - 488,950
Grants Project Launch MHOPL - - -
ME Services&Supports Provider Activity-Substance Abuse MS000 12,377,077 12,063,156 24,440,233
HIV Services MS023 869,289 - 869,289
Prevention Services MS025 3,477,156 - 3,477,156
Projects Expansion of Substance Abuse Services for Pregnant Women and their affected
families MS081 - 1,812,723 1,812,723
Family Intensive Treatment(FIT) MS091 - 633,190 633,190
Temporary Assistance for Needy Families(TANF) MHOTB 1,004,123 - 1,004,123
ME Special Services for Jerome Golden Center MSOJG - - -
Drug Abuse Comprehensive Coordinating Treatment(DACCO) MS095 - - -
First Step of Sarasota MS902 - - -
Here's Help MS903 - 200,000 200,000
Prevention Partnership Grant(PPG) MSOPP 820,788 - 820,788
Total All Fund Sources 28,318,196 54,301,237 82,619,433
CF Standard 82 Contract No. KH225
Integrated Contract 2016
July 1, 2016
EXHIBIT F1 — ME SCHEDULE OF FUNDS
EXHIBIT F1-7 — ME Schedule of Funds
South Florida Behavioral Health Network, Inc. - Contract# KH225
FY 2016 -17 Use Designation - As of
«< The remainder of this page is intentionally left blank. >>>
CF Standard 83 Contract No. KH225
Integrated Contract 2016
July 1, 2016
EXHIBIT F1 — ME SCHEDULE OF FUNDS
EXHIBIT F1-8 — ME Schedule of Funds
South Florida Behavioral Health Network, Inc. - Contract# KH225
FY 2017 -18 Use Designation - As of
«< The remainder of this page is intentionally left blank. »>
CF Standard 84 Contract No. KH225
Integrated Contract 2016
July 1, 2016
EXHIBIT F1 — ME SCHEDULE OF FUNDS
EXHIBIT F1 -9 — ME Schedule of Funds
South Florida Behavioral Health Network, Inc. - Contract# KH225
FY 2018 -19 Use Designation - As of
«< The remainder of this page is intentionally left blank. »>
CF Standard 85 Contract No. KH225
Integrated Contract 2016
July 1, 2016
EXHIBIT F1 — ME SCHEDULE OF FUNDS
EXHIBIT F1 -10 — ME Schedule of Funds
South Florida Behavioral Health Network, Inc. - Contract# KH225
FY 2019 -20 Use Designation - As of
«< The remainder of this page is intentionally left blank. »>
CF Standard 86 Contract No. KH225
Integrated Contract 2016
July 1, 2016
EXHIBIT F2 — SCHEDULE OF PAYMENTS
F2.1 Table 7 specifies the schedule of payments for the current fiscal year of this Contract.
Table 7 - Schedule of Payments for Fiscal Year 2016.17
Month of FY Contract Fixed Payment FY Contract Invoice Packet Progress and
Services Balance Prior to Amount Balance after this Due Date Expenditure
Payment Payment Report Period
Annual Advance $82,900,747.00 $13,816,791.17 $69,083,955.83 7/1/2016 N/A
Jul -16 $69,083,955.83 $5,756,996.32 $63,326,959.51 8/20/2016 July
Aug -16 $63,326,959.51 $5,756,996.32 $57,569,963.19 9/20/2016 August
Sep -16 $57,569,963.19 $5,756,996.32 $51,812,966.88 10/20/2016 September
Oct -16 $51,812,966.88 $5,756,996.32 $46,055,970.56 11/20/2016 October
Nov -16 $46,055,970.56 $5,756,996.32 $40,298,974.24 12/20/2016 November
Dec -16 $40,298,974.24 $5,756,996.32 $34,541,977.92 1/20/2017 December
Jan -17 $34,541,977.92 $5,756,996.32 $28,784,981.60 2/20/2017 January
Feb -17 $28,784,981.60 $5,756,996.32 $23,027,985.28 3/20/2017 February
Mar -17 $23,027,985.28 $5,756,996.32 $17,270,988.96 4/20/2017 March
Apr -17 $17,270,988.96 $5,756,996.32 $11,513,992.64 5/20/2017 April
May -17 $11,513,992.64 $5,756,996.32 $5,756,996.32 6/20/2017 May
Jun -17 $5,756,996.32 $5,756,996.32 $0.00 8/15/2017 June
Total FY Payments $82,900,747.00
CF Standard 87 Contract No. KH225
Integrated Contract 2016
July 1, 2016
F2 -2 Table 8 details the schedule of payments for the next Fiscal Year of this Contract.
Table 8 - Schedule of Payments for Fiscal Year 2017-18
Month of FY Contract Fixed Payment FY Contract Invoice Packet Progress and
Services Balance Prior to Amount Balance after this Due Date Expenditure
Payment Payment Report Period
Annual Advance $82,900,747.00 $13,816,791.17 $69,083,955.83 7/1/2017 N/A
Jul -17 $69,083,955.83 $5,756,996.32 $63,326,959.51 8/20/2017 July
Aug -17 $63,326,959.51 $5,756,996.32 $57,569,963.19 9/20/2017 August
Sep -17 $57,569,963.19 $5,756,996.32 $51,812,966.88 10/20/2017 September
Oct -17 $51,812,966.88 $5,756,996.32 $46,055,970.56 11/20/2017 October
Nov -17 $46,055,970.56 $5,756,996.32 $40,298,974.24 12/20/2017 November
Dec -17 $40,298,974.24 $5,756,996.32 $34,541,977.92 1/20/2018 December
Jan -18 $34,541,977.92 $5,756,996.32 $28,784,981.60 2/20/2018 January
Feb -18 $28,784,981.60 $5,756,996.32 $23,027,985.28 3/20/2018 February
Mar -18 $23,027,985.28 $5,756,996.32 $17,270,988.96 4/20/2018 March
Apr -18 $17,270,988.96 $5,756,996.32 $11,513,992.64 5/20/2018 April
May -18 $11,513,992.64 $5,756,996.32 $5,756,996.32 6/20/2018 May
Jun -18 $5,756,996.32 $5,756,996.32 $0.00 8/15/2018 June
Total FY Payments $82,900,747.00
F2.3 The Department shall amend into this Contract additional Schedules of Payments for any remaining fiscal
years annually following the expiration of Table 7.
CF Standard 88
Contract No. KH225
Integrated Contract 2016
July 1, 2016
ATTACHMENT 1
The administration of resources awarded by the Department of Children & Families to the provider may be subject to
audits as described in this attachment.
MONITORING
In addition to reviews of audits conducted in accordance with 2 Code of Federal Regulations (CFR) §§ 200.500- 200.521
and § 215.97, F.S., as revised, the Department may monitor or conduct oversight reviews to evaluate compliance with
contract, management and programmatic requirements. Such monitoring or other oversight procedures may include, but
not be limited to, on -site visits by Department staff, agreed -upon procedures engagements as described in 2 CFR §
200.425 or other procedures. By entering into this agreement, the recipient agrees to comply and cooperate with any
monitoring procedures deemed appropriate by the Department. In the event the Department determines that a limited
scope audit of the recipient is appropriate, the recipient agrees to comply with any additional instructions provided by the
Department regarding such audit. The recipient further agrees to comply and cooperate with any inspections, reviews,
investigations, or audits deemed necessary by the Department's inspector general, the state's Chief Financial Officer or
the Auditor General.
AUDITS
PART I: FEDERAL REQUIREMENTS
This part is applicable if the recipient is a State or local government or a non - profit organization as defined in 2 CFR §§
200.500- 200.521.
In the event the recipient expends $500,00000[1 50,000 for fiscal years beginning on or after 0 ecember 26, 2014) or more
in Federal awards during its fiscal year, the recipient must have a single or program- specific audit conducted in
accordance with the provisions of 2 CFR §§ 200.500- 200.521. The recipient agrees to provide a copy of the single audit to
the Department's Single Audit Unit and its contract manager. In the event the recipient expends Tess than $500,000
00 9 50,000 for fiscal years beginning on or after 0 ecember 26, 2014) in Federal awards during its fiscal year, the recipient
agrees to provide certification to the Department's Single Audit Unit and its contract manager that a single audit was not
required. In determining the Federal awards expended during its fiscal year, the recipient shall consider all sources of
Federal awards, including Federal resources received from the Department of Children & Families, Federal government
(direct), other state agencies, and other non -state entities. The determination of amounts of Federal awards expended
should be in accordance with guidelines established by 2 CFR §§ 200.500- 200.521. An audit of the recipient conducted by
the Auditor General in accordance with the provisions of 2 CFR Part 200 §§ 200.500- 200.521 will meet the requirements of
this part. In connection with the above audit requirements, the recipient shall fulfill the requirements relative to auditee
responsibilities as provided in 2 CFR § 200.508.
The schedule of expenditures should disclose the expenditures by contract number for each contract with the Department
in effect during the audit period. The financial statements should disclose whether or not the matching requirement was
met for each applicable contract. All questioned costs and liabilities due the Department shall be fully disclosed in the audit
report package with reference to the specific contract number.
PART II: STATE REQUIREMENTS
This part is applicable if the recipient is a nonstate entity as defined by Section 215.97(2), Florida Statutes.
In the event the recipient expends $500,000 or more in state financial assistance during its fiscal year, the recipient must
have a State single or project- specific audit conducted in accordance with Section 215.97, Florida Statutes; applicable
rules of the Department of Financial Services; and Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and
for- profit organizations), Rules of the Auditor General. The recipient agrees to provide a copy of the single audit to the
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Department's Single Audit Unit and its contract manager. In the event the recipient expends less than $500,000 in State
financial assistance during its fiscal year, the recipient agrees to provide certification to the Department's Single Audit Unit
and its contract manager that a single audit was not required. In determining the state financial assistance expended
during its fiscal year, the recipient shall consider all sources of state financial assistance, including state financial
assistance received from the Department of Children & Families, other state agencies, and other nonstate entities. State
financial assistance does not include Federal direct or pass- through awards and resources received by a nonstate entity
for Federal program matching requirements.
In connection with the audit requirements addressed in the preceding paragraph, the recipient shall ensure that the audit
complies with the requirements of Section 215.97(8), Florida Statutes. This includes submission of a financial reporting
package as defined by Section 215.97(2), Florida Statutes, and Chapters 10.550 or 10.650, Rules of the Auditor General.
The schedule of expenditures should disclose the expenditures by contract number for each contract with the Department
in effect during the audit period. The financial statements should disclose whether or not the matching requirement was
met for each applicable contract. All questioned costs and liabilities due the Department shall be fully disclosed in the audit
report package with reference to the specific contract number.
PART III: REPORT SUBMISSION
Any reports, management letters, or other information required to be submitted to the Department pursuant to this
agreement shall be submitted within 180 days after the end of the provider's fiscal year or within 30 (federal) or 45 (State)
days of the recipient's receipt of the audit report, whichever occurs first, directly to each of the following unless otherwise
required by Florida Statutes:
A. Contract manager for this contract (1 copy)
B. Department of Children & Families (1 electronic copy and management letter, if issued )
Office of the Inspector General
Single Audit Unit
Building 5, Room 237
1317 Winewood Boulevard
Tallahassee, FL 32399 -0700
Email address: single.audit(a,myflfamilies.com
C. Reporting packages for audits conducted in accordance with 2 CFR Part 200 §§ 200.500- 200.521, and required
by Part I of this agreement shall be submitted, when required by § 200.512 (d) by or on behalf of the recipient directly
to the Federal Audit Clearinghouse using the Federal Audit Clearinghouse's Internet Data Entry System at:
http: // harvester. census .qov /fac /collect/ddeindex.html
and other Federal agencies and pass- through entities in accordance with 2 CFR § 200.512.
D. Copies of reporting packages required by Part II of this agreement shall be submitted by or on behalf of the
recipient directly to the following address:
Auditor General
Local Government Audits /342
Claude Pepper Building, Room 401
111 West Madison Street
Tallahassee, Florida 32399 -1450
CF Standard 90 Contract No. KH225
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Email address: flaudgen localgovt(a.aud.state.fl.us
Providers, when submitting audit report packages to the Department for audits done in accordance with 2 CFR §§
200.500- 200.521, or Chapters 10.550 (local governmental entities) or 10.650 (nonprofit or for - profit organizations), Rules
of the Auditor General, should include, when available, correspondence from the auditor indicating the date the audit report
package was delivered to them. When such correspondence is not available, the date that the audit report package was
delivered by the auditor to the provider must be indicated in correspondence submitted to the Department in accordance
with Chapter 10.558(3) or Chapter 10.657(2), Rules of the Auditor General.
PART IV: RECORD RETENTION
The recipient shall retain sufficient records demonstrating its compliance with the terms of this agreement for a period of
six years from the date the audit report is issued and shall allow the Department or its designee, Chief Financial Officer or
Auditor General access to such records upon request. The recipient shall ensure that audit working papers are made
available to the Department or its designee, Chief Financial Officer or Auditor General upon request for a period of three
years from the date the audit report is issued, unless extended in writing by the Department.
CF 1120, Effective April 2016, (CF- 1120.1516)
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ATTACHMENT 2
This Attachment contains the terms and conditions governing the Provider's access to and use of Protected
Health Information and provides the permissible uses and disclosures of protected health information by the
Provider, also called "Business Associate."
Section 1. Definitions
1.1 Catch -all definitions:
The following terms used in this Attachment shall have the same meaning as those terms in the HIPAA Rules:
Breach, Data Aggregation, Designated Record Set, Disclosure, Health Care Operations, Individual, Minimum
Necessary, Notice of Privacy Practices, Protected Health Information, Required by Law, Security Incident,
Subcontractor, Unsecured Protected Health Information, and Use.
1.2 Specific definitions:
1.2.1 "Business Associate" shall generally have the same meaning as the term "business associate" at 45
CFR § 160.103, and for purposes of this Attachment shall specifically refer to the Provider.
1.2.2 "Covered Entity" shall generally have the same meaning as the term "covered entity" at 45 CFR §
160.103, and for purposes of this Attachment shall refer to the Department.
1.2.3. " HIPAA Rules" shall mean the Privacy, Security, Breach Notification, and
Enforcement Rules at 45 CFR Part 160 and Part 164.
1.2.4. "Subcontractor" shall generally have the same meaning as the term "subcontractor" at 45 CFR §
160.103 and is defined as an individual to whom a business associate delegates a function , activity,
service , other than in the capacity of a member of the workforce of such business associate.
Section 2. Obligations and Activities of Business Associate
2.1 Business Associate agrees to:
2.1.1 Not use or disclose protected health information other than as permitted or required by this Attachment
or as required by law;
2.1.2 Use appropriate administrative safeguards as set forth at 45 CFR § 164.308, physical safeguards as
set forth at 45 CFR § 164.310, and technical safeguards as set forth at 45 CFR § 164.312; including,
policies and procedures regarding the protection of PHI and /or ePHI set forth at 45 CFR § 164.316
and the provisions of training on such policies and procedures to applicable employees, independent
contractors, and volunteers, that reasonably and appropriately protect the confidentiality, integrity, and
availability of the PHI and /or ePHI that the Provider creates, receives, maintains or transmits on behalf
of the Department;
2.1.3 Acknowledge that (a) the foregoing safeguards, policies and procedures requirements shall apply to
the Business Associate in the same manner that such requirements apply to the Department, and (b)
the Business Associate's and their Subcontractors are directly liable under the civil and criminal
enforcement provisions set forth at Section 13404 of the HITECH Act and section 45 CFR §§ 164.500
and 164.502(E) of the Privacy Rule (42 U.S.C. 1320d -5 and 1320d -6), as amended, for failure to
comply with the safeguards, policies and procedures requirements and any guidance issued by the
Secretary of Health and Human Services with respect to such requirements;
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2.1.4 Report to covered entity any use or disclosure of protected health information not provided for by this
Attachment of which it becomes aware, including breaches of unsecured protected health information
as required at 45 CFR § 164.410, and any security incident of which it becomes aware;
2.1.5 Notify the Department's Security Officer, Privacy Officer and the Contract Manager as soon as
possible, but no later than five (5) business days following the determination of any breach or potential
breach of personal and confidential departmental data;
2.1.6 Notify the Privacy Officer and Contract Manager within (24) hours of notification by the US Department
of Health and Human Services of any investigations, compliance reviews or inquiries by the US
Department of Health and Human Services concerning violations of HIPAA (Privacy, Security Breach).
2.1.7 Provide any additional information requested by the Department for purposes of investigating and
responding to a breach;
2.1.8 Provide at Business Associate's own cost notice to affected parties no later than 45 days following the
determination of any potential breach of personal or confidential departmental data as provided in
section 501.171, F.S.;
2.1.9 Implement at Business Associate's own cost measures deemed appropriate by the Department to
avoid or mitigate potential injury to any person due to a breach or potential breach of personal and
confidential departmental data;
2.1.10 Take immediate steps to limit or avoid the recurrence of any security breach and take any other action
pertaining to such unauthorized access or disclosure required by applicable federal and state laws and
regulations regardless of any actions taken by the Department ;
2.1.11 In accordance with 45 CFR §§ 164.502(e)(1)(ii) and 164.308(b)(2), if applicable, ensure that any
subcontractors that create, receive, maintain, or transmit protected health information on behalf of the
business associate agree to the same restrictions, conditions, and requirements that apply to the
business associate with respect to such information. Business Associate's must attain satisfactory
assurance in the form of a written contract or other written agreement with their business associate's
or subcontractor's that meets the applicable requirements of 164.504(e)(2) that the Business
Associate or Subcontractor will appropriately safeguard the information. For prior contracts or other
arrangements, the provider shall provide written certification that its implementation complies with the
terms of 45 CFR § 164.532(d);
2.1.12 Make available protected health information in a designated record set to covered entity as necessary
to satisfy covered entity's obligations under 45 CFR § 164.524;
2.1.13 Make any amendment(s) to protected health information in a designated record set as directed or
agreed to by the covered entity pursuant to 45 CFR § 164.526, or take other measures as necessary
to satisfy covered entity's obligations under 45 CFR § 164.526;
2.1.14 Maintain and make available the information required to provide an accounting of disclosures to the
covered entity as necessary to satisfy covered entity's obligations under 45 CFR § 164.528;
2.1.15 To the extent the business associate is to carry out one or more of covered entity's obligation(s) under
Subpart E of 45 CFR Part 164, comply with the requirements of Subpart E that apply to the covered
entity in the performance of such obligation(s); and
2.1.16 Make its internal practices, books, and records available to the Secretary of the U.S. Department of
Health and Human Services for purposes of determining compliance with the HIPAA Rules.
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Section 3. Permitted Uses and Disclosures by Business Associate
3.1 The Business associate may only use or disclose protected health information covered under this Attachment as
listed below:
3.1.1 The Business Associate may use and disclose the Department's PHI and /or ePHI received or created
by Business Associate (or its agents and subcontractors) in performing its obligations pursuant to this
Attachment.
3.1.2 The Business Associate may use the Department's PHI and /or ePHI received or created by Business
Associate (or its agents and subcontractors) for archival purposes.
3.1.3 The Business Associate may use PHI and /or ePHI created or received in its capacity as a Business
Associate of the Department for the proper management and administration of the Business
Associate, if such use is necessary (a) for the proper management and administration of Business
Associate or (b) to carry out the legal responsibilities of Business Associate.
3.1.4 The Business Associate may disclose PHI and /or ePHI created or received in its capacity as a
Business Associate of the Department for the proper management and administration of the Business
Associate if (a) the disclosure is required by law or (b) the Business Associate (1) obtains reasonable
assurances from the person to whom the PHI and /or ePHI is disclosed that it will be held confidentially
and used or further disclosed only as required by law or for the purpose for which it was disclosed to
the person and (2) the person agrees to notify the Business Associate of any instances of which it
becomes aware in which the confidentiality and security of the PHI and /or ePHI has been breached.
3.1.5 The Business Associate may aggregate the PHI and /or ePHI created or received pursuant this
Attachment with the PHI and /or ePHI of other covered entities that Business Associate has in its
possession through its capacity as a Business Associate of such covered entities for the purpose of
providing the Department of Children and Families with data analyses relating to the health care
operations of the Department (as defined in 45 C.F.R. § 164.501).
3.1.6 The Business Associate may de- identify any and all PHI and /or ePHI received or created pursuant to
this Attachment, provided that the de- identification process conforms to the requirements of 45 CFR §
164.514(b).
3.1.7 Follow guidance in the HIPAA Rule regarding marketing, fundraising and research located at Sections
45 CFR § 164.501, 45 CFR § 164.508 and 45 CFR § 164.514.
Section 4. Provisions for Covered Entity to Inform Business Associate of Privacy Practices and Restrictions
4.1 Covered entity shall notify business associate of any limitation(s) in the notice of privacy practices of covered
entity under 45 CFR § 164.520, to the extent that such limitation may affect business associate's use or
disclosure of protected health information.
4.2 Covered entity shall notify business associate of any changes in, or revocation of, the permission by an
individual to use or disclose his or her protected health information, to the extent that such changes may affect
business associate's use or disclosure of protected health information.
4.3 Covered entity shall notify business associate of any restriction on the use or disclosure of protected health
information that covered entity has agreed to or is required to abide by under 45 CFR § 164.522, to the extent
that such restriction may affect business associate's use or disclosure of protected health information.
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Section 5. Termination
5.1 Termination for Cause
5.1.1 Upon the Department's knowledge of a material breach by the Business Associate, the Department
shall either:
5.1.1.1 Provide an opportunity for the Business Associate to cure the breach or end the violation and
terminate the Agreement or discontinue access to PHI if the Business Associate does not
cure the breach or end the violation within the time specified by the Department of Children
and Families;
5.1.1.2 Immediately terminate this Agreement or discontinue access to PHI if the Business
Associate has breached a material term of this Attachment and does not end the violation;
or
5.1.1.3 If neither termination nor cure is feasible, the Department shall report the violation to the
Secretary of the Department of Health and Human Services.
5.2 Obligations of Business Associate Upon Termination
5.2.1 Upon termination of this Attachment for any reason, business associate, with respect to protected
health information received from covered entity, or created, maintained, or received by business
associate on behalf of covered entity, shall:
5.2.1.1 Retain only that protected health information which is necessary for Business Associate to
continue its proper management and administration or to carry out its legal responsibilities;
5.2.1.2 Return to covered entity, or other entity as specified by the Department or, if permission is
granted by the Department, destroy the remaining protected health information that the
Business Associate still maintains in any form;
5.2.1.3 Continue to use appropriate safeguards and comply with Subpart C of 45 CFR Part 164
with respect to electronic protected health information to prevent use or disclosure of the
protected health information, other than as provided for in this Section, for as long as
Business Associate retains the protected health information;
5.2.1.4 Not use or disclose the protected health information retained by Business Associate other
than for the purposes for which such protected health information was retained and subject
to the same conditions set out at paragraphs 3.1.3 and 3.1.4 above under "Permitted Uses
and Disclosures By Business Associate" which applied prior to termination; and
5.2.1.5 Return to covered entity, or other entity as specified by the Department or, if permission is
granted by the Department, destroy the protected health information retained by business
associate when it is no longer needed by business associate for its proper management
and administration or to carry out its legal responsibilities.
5.2.1.6 The obligations of business associate under this Section shall survive the termination of
this Attachment.
Section 6. Miscellaneous
6.1 A regulatory reference in this Attachment to a section in the HIPAA Rules means the section as in effect or as
amended.
6.2 The Parties agree to take such action as is necessary to amend this Attachment from time to time as is necessary
for compliance with the requirements of the HIPAA Rules and any other applicable law.
6.3 Any ambiguity in this Attachment shall be interpreted to permit compliance with the HIPAA Rules.
(April 2016)
CF Standard 95 Contract No. KH225
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ATTACHMENT 3
CERTIFICATION REGARDING LOBBYING
CERTIFICATION FOR CONTRACTS, GRANTS, LOANS AND COOPERATIVE AGREEMENTS
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for
influencing or attempting to influence an officer or an employee of any agency, a member of congress, an officer or
employee of congress, or an employee of a member of congress in connection with the awarding of any federal contract,
the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the
extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative
agreement.
(2) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or
attempting to influence an officer or employee of any agency, a member of congress, an officer or employee of congress,
or an employee of a member of congress in connection with this federal contract, grant, loan, or cooperative agreement,
the undersigned shall complete and submit Standard Form -LLL, "Disclosure Form to Report Lobbying," in accordance with
its instructions.
(3) The undersigned shall require that the language of this certification be included in the award documents for all
subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans and cooperative agreements)
and that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was made
or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed
by section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil
penalty of not less than $10,000 and not more than $100,000 for each such failure.
Signature: Date: /3
Applic. '•n or Contract ID Number: K .1-' '
Name of Authorized Individual Application or Contractor: JO '*-1• p4W 1 SO tATti ?t..GQ -I pfd gett-tcl IDW6s tr
kst — TES 14sTwDRK - , INC.
Address of Organization: 12O C OR9O'R -ATE C.en4T - TWA NI E S'Te 4 loo
*a►i ►'‘ �F"tr. 312to
CF1123
Effective July 2015
(CF- 1123 -1516)
CF Standard 96
Contract No. KH225
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Amendment #0023 Contract # KH225
April 1, 2016
THIS AMENDMENT, entered into between the State of Florida, Department of Children and
Families, hereinafter referred to as the "Department," and South Florida Behavioral Health
Network, Inc., hereinafter referred to as the "Provider," amends Contract # KH225.
Amendment #0017, executed 08/20/2014, aligns funding with the Approved Operating Budget for
FY14 -15 and amends Exhibit E -2 with the Schedule of Funds (SOF) dated 07/23/2014 with the
addition of $633,190.00 for Family Intensive Treatment (FIT) and its Incorporated Document.
Amendment #0018, executed 09/30/2014, amends Exhibit E -2 with the SOF dated 09/12/2014
which reduces FY14 -15 contract amount by $56,034.00 in Other Cost Accumulator MHAPG —
Projects for Assistance in Transition from Homelessness.
Amendment #0019, executed 01/23/2015, reduces FY14 -15 SOF by $364,976.00 and reflects
approved budget amendment B -0126 which transferred general revenue and TANF funds
between Contract # KH225 and JH343.
Amendment #0020, executed 04/30/2015, amends Exhibit E -3 with SOF dated 04/08/2015 which
reduces Behavioral Health Network, OCA MHCBN, by $15, 630.00 as a result of statewide budget
amendment B -0207.
Amendment #0021, executed 06/12/2015, amends existing contract to incorporate the approved
Managing Entity Attachment I and Exhibits for FY 15 -16. No budgetary impact.
Amendment #0022, executed 09/30/2015, renewed contract # KH225 until June 30, 2020 for a
total dollar amount of $770,836,059.00.
The purpose of this Amendment #0023 is to add language related to the staff and responsibility
of the Housing Coordinator for the Managing Entity and amend Exhibit E -3, Schedule of Funds
dated 02/26/2016 for FY2015 -2016 to add $62,567 to the current fiscal year as a result of the
statewide Housing Initiative as outlined in the new Incorporated Document 37: Housing
Coordination. The annualized amount for this Housing Coordination function is $187,700 and will
be reflected in the operational cost of each remaining year of the contract. Therefore, the total
value of the contract has been increased by $813,367, resulting in a new total contract amount of
$771,649,426. It is noted that a technical adjustment, moving $21,429 (MHOCS) out of direct
service to operational cost as reflected on the SOF dated 2/16/2016 is made through this
amendment.
In addition, Incorporated Document 38: Substance Abuse Services for Pregnant Women and
Mothers, has been added to provide direction for the implementation, administration, and
management of Women's Special Funding.
As a result, the Standard Contract; Attachment I; Exhibit E -3, ME Schedule of Funds and Exhibit
F, Region Specific Exhibit are amended.
1. Page 1, Standard Contract (dated 05/2014), Section 3 is hereby amended to read:
3. Payment for Service. The Department shall pay for contracted services performed by
the Provider during the service performance period of this Contract according to the
terms and conditions of this contract of an amount not to exceed $771,649,426.00 or the
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Amendment #0023 Contract # KH225
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rate schedule, subject to availability of funds and the Department's determination of
satisfactory performance of all terms by the Provider. The State of Florida's performance
and obligation to pay under this Contract is contingent upon an annual appropriation by
the Legislature. Any costs or services paid for under any other contract or from any other
source are not eligible for payment under this Contract.
2. Page 24, Attachment I (dated 07/01/2015), Section B. 2.c.(6), is hereby added to read:
Section B. Manner of Service Provision
2. Staffing.
c. The Managing Entity shall nominate a member of their staff to
perform the following functions:
(6) A member of the Managing Entity staff to serve as one FTE
Housing Coordinator, in compliance with the provisions of
Incorporated Document 37 - Housing Coordination, which is
incorporated herein by reference.
3. Page 29, Attachment I (dated 07/01/2015), Section B. 6.b.(5), is hereby added to read:
Section B. Manner of Service Provision
6. Managing Entity Responsibilities
b. Coordination with other Providers /Entities
(5) The Managing Entity shall provide the housing coordination
function specified in Incorporated Document 37 - Housing
Coordination with Network Service Providers, local housing and
homelessness stakeholders, and the Local Community Providers of
Services identified at the Department's Office on Homelessness
webpage at:
http: / /www.mvflfamilies.com/ service- Drocirams /homelessness/lead- aUencies
4. Page 30, Attachment 1 (dated 07/01/2015), Section C. 1 is hereby amended to read:
Section C. Method of Payment
1. Payment Clause
a. This advance fixed price, fixed payment contract is comprised of
federal and state funds, subject to reconciliation. Exhibit E, ME Schedule
of Funds identifies the type and amount of funding provided. At the
beginning of each fiscal year, the Exhibit E, ME Schedule of Funds will
be amended into this contract, and the total contract amount will be
adjusted accordingly.
b. The Department will pay the Managing Entity an operational cost
for the management of the Network in accordance with the terms and
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Amendment #0023 Contract # KH225
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conditions of this contract. The direct service cost is defined as the annual
value of the contract less the operational cost of the Managing Entity.
c. The contract total dollar amount shall not exceed $771,649,426.00,
subject to the availability of funds, as outlined below:
Table 1: Contract Funding
State Fiscal Year Managing Entity Direct Service Cost Total Value of Contract
Operational Cost
2010 -2011 (9 months) $3,399,627.00 $52,952,530.00 $56,352,157.00
2011 -2012 $3,491,295.00 $72,420,596.00 $75,911,891.00
2012 -2013 $3,465,665.00 $70,244,946.00 $73,710,611.00
2013 -2014 $3,432,250.00 $72,178,646.00 $75,610,896.00
2014 -2015 $3,481,522.37 $72,203,746.63 $75,685,269.00
2015 -2016 (3 months) $866,416.00 $19,811,845.75 $20,678,261.75
2015 -2016 (9 months) $2,683,244.00 $59,414,108.25 $62,097,352.25
2016 -2017 $3,674,793.00 $79,225,954.00 $82,900,747.00
2017 -2018 $3,674,793.00 $79,225,954.00 $82,900,747.00
2018 -2019 $3,674,793.00 $79,225,954.00 $82,900,747.00
2019 -2020 $3,674,793.00 $79,225,954.00 $82,900,747.00
Total $35,519,191.37 $736,130,234.63 $771,649,426.00
5. Page 39, Attachment I (dated 07/01/2015), Section F (36 -38) is hereby added to read:
36. Incorporated Document 36. Not Applicable
37. Incorporated Document 37. Housing Coordination
38. Incorporated Document 38. Women's Special Funding
The Incorporated Documents are located on the following Department website:
htta: / /www.mvflfamilies.com/ service- aroarams/ substance - abuse /managing- entities/2015- contract -docs
6. Page 55, Exhibit E -3, ME Schedule of Funds (dated 08/19/2015), as previously amended
on Page 3 of Amendment #0022, is hereby deleted in its entirety and Page 55, Revised
Exhibit E -3, ME Schedule of Funds (dated 02/26/2016), is inserted in lieu thereof and
attached hereto.
7. Page 59, Exhibit F, Region -Specific Provisions, Paragraph F.2., as previously amended
on Page 3 of Amendment #0022, is hereby amended to read:
2. Specific Appropriation 377J — Pregnant Women, Mothers, and Affected Families
Funding
From the funds in Specific Appropriation 377J, the recurring sum of $1,812,723.00 from
the General Revenue fund is provided for the expansion of substance abuse services for
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Amendment #0023 Contract # KH225
April 1, 2016
pregnant women and their affected families. These services shall include the expansion
of residential treatment, outpatient treatment with housing support, outreach,
detoxification, child care and postpartum case management supporting both the mother
and child consistent with recommendations from the Statewide Task Force on Prescription
Drug Abuse and Newboms. Priority for services shall be given to counties with greatest
need and available treatment capacity.
The Managing Entity shall subcontract with the Network Service Providers for this funding
as listed In Table A. These subcontracts shall be executed and managed in accordance
with Incorporated Document 38 — Women's Special Funding. With the submission of
the Final Fiscal Year Invoice, the Managing Entity will submit a report that details for each
provider the sub contractual amount, actual amount paid, and total units purchased. This
report shall also contain the total of any anticipated carry forward funds of Specific
Appropriation 377J. These anticipated carry forward funds will also be included on
Incorporated Document 27: Managing Entity Carry Forward Expenditure Report.
This amendment shall begin on April 1, 2016 or the date on which the amendment has been
signed by both parties, whichever is later.
All provisions in the contract and any attachments thereto in conflict with this amendment shall be
and are hereby changed to conform with this amendment.
All provisions not in conflict with this amendment are still in effect and are to be performed at the
level specified in the contract.
This amendment and all its attachments are hereby made a part of the contract.
IN WITNESS THEREOF, the parties hereto have caused this five (5) page amendment to be
executed by their officials thereunto duly authorized.
PROVIDER STATE OF FLORIDA
SOUTH FLORIDA BEH IORAL HEALTH DEPARTMENT OF CHILDREN D F ILIES
NETWORK, INC. ) /
/ ' l AJ ' SIGNED BY: 1
SIGNED BY: i T sp.
NAME: Dow NAME: Bronwyn Stanford
TITLE: President and Chief Executive Officer TITLE: Regional Managing Director
DATE: „3 /7 /‘ DATE: 3 /J3/it.
FEDERAL ID NUMBER: 59- 3380599
CF1127 4 South Florida Behavicral
Effective July 2015 Health Network, Inc.
(CF- 1127 -1516)
Amendment#0023 Revised Exhibit E-3
Revised ME Schedule of Funds
South Florida Behavioral Health Network,Inc.-Contract#KH225
FY 2015-16 Use Designation-As of 02/26/2016
Other Cost Accumulators Title Other Cost Federal State Total
Accumulators
Managing Entity Administrative Costs MHS00 232,199 3,233,465 3,465,664
ME Data Management Support MS092 - - -
ME Crisis Stabilization Services MHOCS 21,429 - 21,429
ME Mental Health System of Care MHOSK - - -
ME Housing Coordination MHSHG 15,314 47,253 62,567
Mental
ME Services&Supports Provider Activity-Mental Health MH000 4,233,170 29,703,175 33,936,345
ME Early Intervention Services for SMI&Pysch Disorder MH026 - - -
Purchase of Residential Treatment Services for Emotionally Disturbed Children and Youth MH071 - 342,970 342,970
Community Forensic Beds MH072 - 3,027,332 3,027,332
Florida Assertive Community Treatment(FACT) MH073 1,164,515 2,289,063 3,453,578
Indigent Psychiatric Medication Program MH076 - 113,991 113,991
Clay Behavioral Health Center MH089 - - -
Camillus House Mental Health/Substance Abuse Treatment-Homeless MH093 - 200,000 200,000
Citrus Health Network MH094 - 455,000 455,000
Jerome Golden Center MH096 - - -
Crisis Center of Tampa Bay MH097 - - -
ME Saluscare Center MH098 - - -
Gracepoint Center MH819 - - -
Lifestream Center MHS50 - - -
Meridian Behavioral Healthcare MHSMB - - -
Renaissance Center MHRM5 - - -
Circles of Care-Cedar Village MHS51 - - -
Circles of Care-Crisis Stabilization MHS52 - - -
Grants PATH MHOPG 467,611 - 467,611
Florida Youth Transition of Adulthood MHOTA - - -
Temporary Assistance for Needy Families(TANF) MHOTB 797,249 - 797,249
Title XXI Children's Health Insurance Program(Behavioral Health Network) MHOBN 874,757 108,831 983,588
Grant Miami-Dade County Wraparound FACES MHOFA 1,600,000 - 1,600,000
Grants Miami-Dade County Wraparound MHOMD 764,788 - 764,788
Grants Project Launch MHOPL - - -
Subtotal Mental Health 11111111111. 9,902,090 36,240,362 46,142,452
Substance Abuse
ME Services&Supports Provider Activity-Substance Abuse MS000 12,377,077 12,063,156 24,440,233
HIV Services MS023 869,289 - 869,289
Prevention Services MS025 3,477,156 - 3,477,156
Projects Expansion of Substance Abuse Services for Pregnant Women and their affected
families MS081 - 1,812,723 1,812,723
Family Intensive Treatment(FIT) MS091 - 633,190 633,190
Temporary Assistance for Needy Families(TANF) MSOTB 830,123 - 830,123
ME Special Services for Jerome Golden Center MSOJG - - -
Drug Abuse Comprehensive Coordinating Treatment(DACCO) MS095 - - -
First Step of Sarasota MS902 - - -
Here's Help MS903 - 200,000 200,000
Prevention Partnership Grant(PPG) MSOPP 820,788 - 820,788
Subtotal Substance Abuse 18,374,433 14,709,069 33,083402
Total All Fund Sources 28,545,465 54,230,149 82,775,614
Revised Contract KH225
South Florida Behavioral Health Network,Inc. Page 55
Amendment #0024 Contract # KH225
May 2, 2016
THIS AMENDMENT, entered into between the State of Florida, Department of Children and
Families, hereinafter referred to as the "Department," and South Florida Behavioral Health
Network, Inc., hereinafter referred to as the "Provider," amends Contract # KH225.
Amendment #0018, executed 09/30/2014, amended Exhibit E -2 with the SOF dated 09/12/2014,
reduced FY14 -15 contract amount by $56,034.00 in Other Cost Accumulator MHAPG — Projects
for Assistance in Transition from Homelessness.
Amendment #0019, executed 01/23/2015, reduced FY14 -15 SOF by $364,976.00 and reflected
approved budget amendment B -0126, which transferred general revenue and TANF funds
between Contract #KH225 and #JH343.
Amendment #0020, executed 04/30/2015, amended Exhibit E -3 with SOF dated 04/08/2015,
which reduced Behavioral Health Network, OCA MHCBN, by $15,630.00 as a result of statewide
budget amendment B -0207.
Amendment #0021, executed 06/12/2015, amended existing contract to incorporate the approved
Managing Entity Attachment 1 and Exhibits for FY15 -16. No budgetary impact.
Amendment #0022, executed 09/30/2015, renewed contract # KH225 until June 30, 2020 for a
total dollar amount of $770,836,059.00.
Amendment #0023, executed 3/23/16, added language related to the staff and responsibility of
the ME Housing Coordinator and amended Exhibit E -3, Schedule of Funds dated 02/26/2016,
which added $62,567.00 to the current fiscal year. In addition, $187,700.00 was added to each
subsequent remaining fiscal year of the contract as a result of the statewide Housing Initiative.
The purpose of this Amendment #0024 to Contract KH225 is to amend Exhibit E -3 with the
Schedule of Funds, dated 04/11/2016 for FY2015 -2016. This Schedule of Funds includes a
$160,873.00 reduction to the current fiscal year as a result of approved budget amendment
B -0203. The reduction is made in direct service costs to the Behavioral Health Network (BNet)
Other Cost Accumulator (OCA) MHOBN. This statewide budget amendment transferred BNet
budget authority to unfunded budget to align with projected expenditures. Based on the December
2015 Social Services Estimating Conference Report, the overall KidCare caseload projections
are lower than previously estimated and therefore, has resulted in a decrease in the behavioral
health projected expenditures.
As a result, the Standard Contract; Attachment 1; and Exhibit E -3, ME Schedule of Funds are
amended.
1. Page 1, Standard Contract (dated 05/2014), Section 3, as previously amended on Page
1 of Amendment #0023, is hereby amended to read:
3. Payment for Service. The Department shall pay for contracted services performed by
the Provider during the service performance period of this Contract according to the
terms and conditions of this contract of an amount not to exceed $771,488,553.00 or the
rate schedule, subject to availability of funds and the Department's determination of
satisfactory performance of all terms by the Provider. The State of Florida's performance
and obligation to pay under this Contract is contingent upon an annual appropriation by
CF1127 1 South Florida Behavioral
Effective July 2015 Health Network, Inc.
(CF- 1127 -1516)
Amendment #0024 Contract # KH225
May 2, 2016
the Legislature. Any costs or services paid for under any other contract or from any other
source are not eligible for payment under this Contract.
2. Page 30, Attachment I (dated 07/01/2015), Section C. 1, as previously amended on Page
2 of Amendment #0023, is hereby amended to read:
Section C. Method of Payment
1. Payment Clause
a. This advance fixed price, fixed payment contract is comprised of federal and state
funds, subject to reconciliation. Exhibit E, ME Schedule of Funds identifies the type
and amount of funding provided. At the beginning of each fiscal year, the Exhibit E, ME
Schedule of Funds will be amended into this contract, and the total contract amount
will be adjusted accordingly.
b. The Department will pay the Managing Entity an operational cost for the
management of the Network in accordance with the terms and conditions of this contract.
The direct service cost is defined as the annual value of the contract Tess the operational
cost of the Managing Entity.
c. The contract total dollar amount shall not exceed $771.488.553.00, subject to the
availability of funds, as outlined below:
Table 1: Contract Funding
State Fiscal Year Managing Entity pint Samos Cosh Total Value of
Operational Cosh Contract
2010 -2011 (9 months) $3,399,627.00 $52,952,530.00 $56,352,157.00
2011 -2012 $3,491,295.00 $72,420,596.00 $75,911,891.00
2012 -2013 $3,465,665.00 $70,244,946.00 $73,710,611.00
2013 -2014 $3,432,250.00 $72,178,646.00 $75,610,896.00
2014 -2015 $3,481,522.37 $72,203,746.63 $75,685,269.00
2015 -2016 (3 months) $866,416.00 $19,811,845.75 $20,678,261.75
2015 -2016 (9 months) $2,683,244.00 $59,253,235.25 $61,936,479.25
2016 -2017 $3,674,793.00 $79,225,954.00 $82,900,747.00
2017 -2018 $3,674,793.00 $79,225,954.00 $82,900,747.00
2018 -2019 $3,674,793.00 $79,225,954.00 $82,900,747.00
2019 -2020 $3,674,793.00 $79,225,954.00 $82,900,747.00
Total $35,519,191.37 $735,969,361.63 $771,488,553.00
3. Page 55, Exhibit E -3, ME Schedule of Funds (dated 02/26/2016), as previously amended
on Page 3 of Amendment #0023, is hereby deleted in its entirety and Page 55, Revised
Exhibit E -3, ME Schedule of Funds (dated 04/11/2016), is inserted in lieu thereof and
attached hereto.
CF1127 2 South Florida Behavioral
Effective July 2015 Health Network, Inc.
(CF- 1127 -1516)
Amendment #0024 Contract # KH225
May 2, 2016
This amendment shall begin on May 2, 2016 or the date on which the amendment has been
signed by both parties, whichever is later.
All provisions in the contract and any attachments thereto in conflict with this amendment shall
be and are hereby changed to conform with this amendment.
All provisions not in conflict with this amendment are still in effect and are to be performed at the
level specified in the contract.
This amendment and all its attachments are hereby made a part of the contract.
IN WITNESS THEREOF, the parties hereto have caused this four (4) page amendment to be
executed by their officials thereunto duly authorized.
PROVIDER STATE OF FLORIDA
SOUTH FLORIDA BEHAVIORAL HEALTH DEPARTMENT OF CHILDREN AN I FAMILIES
NETWORK, INC. e
SIGNED BY: , -ate - cap — SIGNED BY: � • A _
NAME: - oh . Dow NAME: Bronwvn Stanford
TITLE: President and Chief Executive Officer TITLE: Regional Managina Director
DATE: �?fr/2 DATE: y / o2 f 3 d
FEDERAL ID NUMBER: 59- 3380599
CF1127 3 South Florida Behavioral
Effective July 2015 Health Network, Inc
(CF- 1127 -1516)
Amendment#0024 Contract#KH225
May 2, 2016
Revised Exhibit E-3
Revised ME Schedule of Funds
South Florida Behavioral Health Network, Inc. - Contract# KH225
FY 2015-16 Use Designation -As of 04/11/2016
Other Cost Federal State Total
Other Cost Accumulators Title Accumulators
Administrative Costs
Managing Entity Administrative Costs MHS00 232,199 3,233,465 3,465,664
ME Data Management Support MS092 - - -
ME Crisis Stabilization Services MHOCS 21.429 - 21,429
ME Mental Health System of Care MHOSK - - -
ME Housing Coordination MHSHG 15,314 47,253 62,567
Mental Health
ME Services&Supports Provider Activity-Mental Health MH000 4,233,170 29,703,175 33,936,345
ME Early Intervention Svs-Pyschotic Disorders MH026 - - -
Purchase of Residential Treatment Services for Emotionally Disturbed Children and Youth MH071 - 342,970 342,970
Community Forensic Beds MH072 - 3,027,332 3,027,332
Florida Assertive Community Treatment(FACT) MH073 1,164,515 2,289,063 3,453,578
Indigent Psychiatric Medication Program MH076 - 113,991 113,991
Clay Behavioral Health Center MH089 - - -
Camillus House Mental Health/Substance Abuse Treatment-Homeless MH093 - 200,000 200,000
Citrus Health Network MH094 - 455,000 455,000
Jerome Golden Center MH096 - - -
Crisis Center of Tampa Bay MH097 - - -
ME Saluscare Center MH096 - - -
Gracepoint Center MH819 - - -
Lifestream Center MHS50 - - -
Meridian Behavioral Healthcare MHSMB - - -
Renaissance Center MHRMS - - -
Circles of Care-Cedar Village MHS51 - - -
Circles of Care-Crisis Stabilization MHS52 - - -
Grants PATH MHOPG 467,611 - 467,611
Florida Youth Transition of Adulthood MHOTA - - -
Temporary Assistance for Needy Families(TANF) MHOTB 797,249 - 797,249
Title XXI Children's Health Insurance Program(Behavioral Health Network) MHOBN 716,426 106,289 822,715
Grant Miami-Dade County Wraparound FACES MHOFA 1,600,000 - 1,600,000
Grants Miami-Dade County Wraparound MHOMD 764,788 - 764,788
Grants Project Launch MHOPL - - -
Subtotal Mental Health 9,743,7591 38,237,820 45,981,579
Substance Abuse
ME Services&Supports Provider Activity-Substance Abuse MS000 12,377,077 12,063,156 24,440,233
HIV Services MS023 869,289 - 869,289
Prevention Services MS025 3,477,156 - 3,477,156
Projects Expansion of Substance Abuse Services for Pregnant Women and their affected
families MS081 - 1,812,723 1,812,723
Family Intensive Treatment(FIT) MS091 - 633,190 633,190
Temporary Assistance for Needy Families(TANF) MSOTB 830,123 - 830,123
ME Special Services for Jerome Golden Center MSOJG - - -
Drug Abuse Comprehensive Coordinating Treatment(DACCO) MS095 - - -
First Step of Sarasota MS902 - - -
Here's Help MS903 - 200,000 200,000
Prevention Partnership Grant(PPG) MSOPP 820,788 - 820,788
Subtotal Substance Abuse 18,374,433 14,709,069 33,083,502
Total All Fund Sources 28,387,134 I 54,227,607 82,614,741
Revised
Page 55
CF1127 4 South Florida Behavioral
Effective July 2015 Health Network, Inc.
(CF-1127-1516)
Amendment #0025 Contract #104225
June 1,2016
THIS AMENDMENT, entered into between the State of Florida, Department of Children and
Families, hereinafter referred to as the "Department," and South Florida Behavioral Health
Network, Inc., hereinafter referred to as the "Provider," amends Contract # KH225.
Amendment #0019, executed 01/23/2015, reduced FY14 -15 Schedule of Funds (SOF) by
$364,976.00 and reflected approved budget amendment B-0126, which transferred general revenue
and TANF funds between Contract #KH225 and #JH343.
Amendment #0020, executed 04/30 /2015, amended Exhibit E-3 with SOF dated 04/08/2015, which
reduced Behavioral Health Network, OCA MHCBN, by $15,630.00 as a result of statewide budget
amendment B-0207.
Amendment #0021, executed 06/12/2015, amended existing contract to incorporate the approved
Managing Entity Attachment land Exhibits for FY15 -16. No budgetary impact.
Amendment #0022, executed 09/30/2015, renewed contract # KH225 until June 30, 2020 for a total
dollar amount of $770,836,059.00.
Amendment #0023, executed 3/23/2016, added language related to the staff and responsibility of
the ME Housing Coordinator and amended Exhibit E-3, SOF dated 02/26/2016, which added
$62,567.00 to the current fiscal year. In addition, $187,700.00 was added to each subsequent
remaining fiscal year of the contract as a result of the statewide Housing Initiative.
Amendment #0024, executed 4/26/2016, reduced the Behavioral Health Network (BNet) - OCA
MHOBN by $160,873.00. Amended in the SOF dated 4/11/16.
The purpose of this Amendment #0025 to Contract #KH225 Is to amend Exhibit E-3 with the
Schedule of Funds dated 5/11/2016. This SOF indudes the following funding changes:
• Addiction of the ME Care Coordination, OCA MHSCD, In the amount of $73,630. This is added
to the ME Operational Cost for the year (Budget Amendment B-0216);
• Transferred Temporary Assistance Needy Family (TANF) budget In the amount of $206,900
($174,000 from OCA MSOTB and $32,900 from OCA MHOTB) from Central Florida Cares Health
System to the Provider to continue to provide services to individuals that meet TANF eligibiliity.
This is added to direct service (Budget Amendment 8- 0238);
• Transferred budget authority to unfunded to align the FY15 -16 AOB with the grant balance for
the Miami -Dade County Wraparound Project, OCA MHOMD. This is reduced from direct service.
(Budget Amendment B-0239).
As a result, the Standard Contract Attachment I; and Exhibit E -3, ME Schedule of Funds are
amended.
1. Page 1, Standard Contract (dated 05/2014), Section 3, as previously amended on Page 1
of Amendment #0024, Is hereby amended to read:
3 . Payment for Service. The Department shall pay for contracted services performed by the
Provider during the service performance period of this Contract according to the terms and
conditions of this contract of an amount not to exceed 5771.4®3.243.00 or the rate
schedule, subject to availability of funds and the Department's determination of satisfactory
performance of all terms by the Provider. The State of Florida's performance and obligation
to pay under this Contract is contingent upon an annual appropriation by the Legislature.
Any costs or services paid for under any other contract or from any other source are not
eligible for payment under this Contract.
CF1127 1 South Florida Behavioral
Effect's July 2015 Health Network Inc.
(CF-1127-1516)
Amendment #0025 Contract # KH225
June 1, 2016
2. Page 30, Attachment I (dated 07101/2015), Section C. 1, as previously amended on Page 2
of Amendment #0024, is hereby amended to read:
Section C. Method of Payment
1. Payment Clause
a. This advance fixed price, fixed payment contract is comprised of federal and state
funds, subject to reconciliation. Exhibit E, ME Schedule of Funds identifies the type and
amount of funding provided. At the beginning of each fiscal year, the Exhibit E, ME
Schedule of Funds will be amended into this contract, and the total contract amount will
be adjusted accordingly.
b. The Department will pay the Managing Entity an operational cost for the management
of the Network in accordance with the terms and conditions of this contract. The direct
service cost is defined as the annual value of the contract less the operational cost of the
Managing Entity.
c. The contract total dollar amount shall not exceed $771.493.245.00, subject to the
availability of funds, as outlined below
Table 1: Contract Funding
State Fiscal Year II Cost Direct Service Tat Contract of
2010 - 2011(9 months) $3,399, 627.00 $52,952,530.00 $56,352,157.00
2011- 2012 $3,491,295.00 $72,420,596.00 $75,911,891.00
2012 -2013 $3,465,665.00 $70,244,946.00 $73,710,611.00
2013- 2014 $3,432,250.00 $72,178,646.00 $75,610,896.00
2014 -2015 $3,481,522.37 $72,203,746.63 $75,685,269.00 _
2015 -2016 (3 months) $866,416.00 $19,811,845.75 $20,678,261.75
2015 -2016 (9 months) $2,756, 874.00 $59,184,297.25 $61,941,171.25
2016-2017 $3, 674, 793.00 $79,225,954.00 $82,900,747.00
2017 - 2018 $3,674,793.00 $79,225,954.00 ' $82,900,747.00
2018 -2019 $3, 674, 793.00 $79,225,954.00 $82,900,747.00
2019-2020 $3, 674, 793.00 $79,225,954.00 $82,900,747.00
Total $35,592,821.37 $735,900,423.63 8771,493,245.00
3. Page 55, Exhibit E-3, ME Schedule of Funds (dated 04111/2016), as previously amended
on Page 2 of Amendment #0024, Is hereby deleted In its entirety and Page 55, Revised
Exhibit E-3, ME Schedule of Funds (dated 05/1112016), is Inserted In lieu thereof and
attached hereto.
CF1127 2 South Florida Behavioral
Effeclve July 2015 Heellh Network, Mc.
(CF- 1127 - 1510)
Amendment #0025 Contract # KH225
June 1,2016
This amendment shall begin on June 1.2016 or the date on which the amendment has been signed
by both parties, whichever is later.
All provisions in the contract and any attachments thereto in conflict with this amendment shall be
and are hereby changed to conform with this amendment.
All provisions not in conflict with this amendment are still in effect and are to be performed at the
level specified in the contract.
This amendment and all its attachments are hereby made a part of the contract.
IN WITNESS THEREOF, the parties hereto have caused this four (4) page amendment to be
executed by their officials thereunto duly authorized.
PROVIDER STATE OF FLORIDA
SOUTH FLORIDA BEHAVIORAL HEALTH DEPARTMENT OF CHILDREN AND FAMILIES
NETWORK, INC.
SIGNED BY: �:� t - � �� r' SIGNED • f
NAME: J• . Dow NAME: B • ij tanford
TITLE: President and Chief Executive Officer TITLE: Regional Manaaina Director
DATE: ,ZettS DATE: 5/1! HD
FEDERAL ID NUMBER: 59- 3380599
CF1127 3 South Florida Behavioral
Effective July 2015 Health Network, Inc.
(CF -1127 -1516)
Amendment#0025 Contract#KH225
June 1,2016
Revised Exhibit E-3
Revised ME Schedule of Funds
South Florida Behavioral Health Network, Inc.-Contract#KH225
FY 2015-16 Use Designation-As of 05/11/2016
Other Coat Federal State Total
Other Cost Accumulators Title Accumulators
. :` _ •.."�_.... . ..W. . . . ...�.L .;ter .,,':... .-. •� ... 465 3 465,864
MHS00 232,199 3,233,
Managing Entity Administrative Costs MS092 _ -
ME Data Management Support MHOCSS 21,429- - 21,429
ME Crisis Stabilization Services MHOSK -
ME Mental Health System of Care .
ME Housing_Coordination MHSHG 15,314 47,253 62,567
ME Care Coordination _ MHSCD - 73 630 73630
_
v ME Services&Supports Provi MH000 4,233,170 29703,175 33,936,345der Activity-Mental Health MH026 - -
ME Early Intervention Svs-Pyschotic Disorders
Purchase of Residential Treatment Services for Emotionally Disturbed MH071 -
Community Forensic Beds 342,970 342,970
Children and YouthMH072 - 3,027,332 3,027,332
Florida Assertive Community Treatment(FACT) MH073 1,164,515_ 2,289,063 3,453,578
Indigent Psychiatric Medication Program MH076 - 113,991 113,991
Clay Behavioral Health Center MH089 -_ -
Camillus House Mental Health/Substance Abuse Treatment-Homeless MH093 - 200,000 200,000
Citrus Health Network MH094 - 455,000 455,000
Jerome Golden Center MH096 - - -
-
Crisis Center of Tampa Bay MH097 - - -
ME Saluscare Center MH098 - - -
Gracepoint Center MH819 - - . -
Llfestream Center MHS50 - -
ME Centralized Receiving Facilities MHSCR - - . -
Meridian Behavioral Healthcare MHSMB - -
Renaissance Center MHRM5 - - -
-
Circles of Care-Cedar Village MHS51 - , -
Circles of Care-Crisis Stabilization MHS52 -
Grants PATH MHOPG 467,811 - 467,611
Florida Youth Transition of Adulthood MHOTA - ,
-
Temporary Assistance for Needy Families(TANF) MHOTB 830,149 -
830,149
Title XXI Children's Health Insurance Program(Behavioral Health Network) MHOBN 716,426 106,289 822,715
Grant Miami-Dade County Wraparound FACES MHOFA _ 1,600,000 - 1,800,000
Grants Miami-Dade County Wraparound MHOMD 488,950 - 488,950
Project Launch MHOPL -
'`' S1�btotat Mental Health Subs. ��f ,50O,'821 36,231,82 -4$,1*141
ME Services&Supports Provider Activity- tance Abuse y�MS000 12,377,077 12,063,156 l 24,440,233
HIV Services MS023 869,289 - 889,289
Prevention Services MS025 3,477,156 3,477,156
Projects Expansion of Substance Abuse Services for Pregnant Women MS081 - 1,812,723 1,812,723
and their affected families
Family Intensive Treatment(FIT) MS091 - 633,190 633,190
Temporary Assistance for Needy Families(TANF) MHOTB 1,004,123 1,004,123
ME Special Services for Jerome Golden Center MSOJG - -
-
Drug Abuse Comprehensive Coordinating Treatment(DACCO) MS095 - -
First Step of Sarasota MS902 - - -
Here's Help MS903 200,000 200,000
Prevention Partnership Grant(PPG) MSOPP 820,788 820,788
-
Subtotal Substance Abuse 18,545,433 14.709,089 33,257L502
Total All Fund Sources 28,318,196 54,301,237 82,610,433
Revised
Page 55
CF1127 4 South Florida Behavioral
Effective July 2015 Health Network,Inc.
(CF-1127-1516)
Amendment #0026 Contract # KH225
July 1, 2016
THIS AMENDMENT, entered into between the State of Florida, Department of Children and
Families, hereinafter referred to as the "Department," and South Florida Behavioral Health
Network, Inc., hereinafter referred to as the "Provider," amends Contract # KH225.
Amendment #0020, executed 04/30/2015, amended Exhibit E -3 with SOF dated 04 /08/2015, which
reduced Behavioral Health Network, OCA MHCBN, by $15,630.00 as a result of statewide budget
amendment B -0207.
Amendment #0021, executed 06/12/2015, amended existing contract to incorporate the approved
Managing Entity Attachment I and Exhibits for FY15 -16. No budgetary impact.
Amendment #0022, executed 09/30/2015, renewed contract # KH225 until June 30, 2020 for a total
dollar amount of $770,836,059.00.
Amendment #0023, executed 3/23/2016, added language related to the staff and responsibility of the
ME Housing Coordinator and amended Exhibit E -3, SOF dated 02/26/2016, which added $62,567.00
to the current fiscal year. In addition, $187,700.00 was added to each subsequent remaining fiscal
year of the contract as a result of the statewide Housing Initiative.
Amendment #0024, executed 4/26/2016, reduced the Behavioral Health Network (BNet) - OCA
MHOBN by $160,873.00. Amended in the SOF dated 4/11/16.
Amendment #0025, executed 5/31/2016, amended Exhibit E -3 with the SOF dated 5/11/2016.
Funding changes included the addition of ME Care Coordination, the addition of TANF funds, and a
reduction to the Miami -Dade County Wraparound Project.
The purpose of this Amendment #0026 is to restate contract documents and replace the Standard
Contract dated 5/2014, HC11 Managing Entity Attachment I, Exhibits A- F, and Attachments 11-111 with
the CF Standard Integrated Contract 2016, Exhibits A — F, and Attachments 1 — 3. There is no
budgetary impact as a result of this amendment.
1. Pages 1 — 9, Standard Contract (dated 5/2014), are hereby deleted in its entirety and Pages
1 —17, CF Standard Integrated Contract 2016, are inserted in lieu thereof and attached hereto.
2. The replacement of Page 8 of the CF Standard Contract 06 /2010 does not affect the original
execution of this Contract.
3. Pages 10 — 62, Attachment I (dated 07/01/2015) and Exhibits A — F, are hereby deleted in its
entirety and Pages 18 — 88, CF Standard Integrated 2016 Contract, Exhibits A — F, are inserted
in lieu thereof and attached hereto.
4. Pages 63 - 71, Attachments II — IV, are hereby deleted in its entirety and Pages 89 — 96,
CF Standard Integrated Contract 2016, Attachments 1 — 3, are inserted in lieu thereof and
attached hereto.
This amendment shall begin on July 1, 2016 or the date on which the amendment has been signed
by both parties, whichever is later.
All provisions in the contract and any attachments thereto in conflict with this amendment shall be and
are hereby changed to conform with this amendment.
CFI127 1 South Florida Behavioral
Effective July 2015 Health Network, Inc.
(CF- 1127 -1516)
Amendment #0026 Contract # KH225
July 1, 2016
All provisions not in conflict with this amendment are still in effect and are to be performed at the level
specified in the contract.
This amendment and all its attachments are hereby made a part of the contract. IN WITNESS
THEREOF, the parties hereto have caused this ninety -eight (98) page amendment to be executed
by their officials thereunto duly authorized.
PROVIDER STATE OF FLORIDA
SOUTH FLORIDA BEHAVIORAL HEALTH DEPARTMEN • F CHILDREN ND FAMILIES
NETWORK, INC.
SIGNED BY: ,4 SIGNED BY: b..-
►..�_� _
NAME: , o . Dow NAME: Bronwvn Stanford
TITLE: President and Chief Executive Officer TITLE: Regional Mannino Director
DATE: X77//6 DATE: ‘i /3 /l1
FEDERAL ID NUMBER: 59- 3380599
CF1127 2 South Florida Behavioral
Effective July 2015 Health Networic, Inc.
(CF -1127 -1516)
Amendment #0027 Contract # KH225
June 22, 2016
THIS AMENDMENT, entered into between the State of Florida, Department of Children and
Families, hereinafter referred to as the "Department," and South Florida Behavioral Health
Network, Inc., hereinafter referred to as the "Provider," amends Contract # KH225.
Amendment #0021, executed 06/12/2015, amended existing contract to incorporate the approved
Managing Entity Attachment 1 and Exhibits for FY15 -16. No budgetary impact.
Amendment #0022, executed 09/30/2015, renewed contract # KH225 until June 30, 2020 for a total
dollar amount of $770,836,059.00.
Amendment #0023, executed 3/23/2016, added language related to the staff and responsibility of
the ME Housing Coordinator and amended Exhibit E -3, Schedule of Funds (SOF) dated 02/26/2016,
which added $62,567.00 to the current fiscal year. In addition, $187,700.00 was added to each
subsequent remaining fiscal year of the contract as a result of the statewide Housing Initiative.
Amendment #0024, executed 4/26/2016, reduced the Behavioral Health Network (BNet) - OCA
MHOBN by $160,873.00. Amended in the SOF dated 4/11/16.
Amendment #0025, executed 5/31/2016, amended Exhibit E -3 with the SOF dated 5/11/2016. This
added the ME Care Coordination function, added TANF, and reduced the Miami -Dade County
Wraparound Project.
Amendment #0026, executed 6/13/2016 restated contract documents and replaced the Standard
Contract dated 5/2014, HC11 Managing Entity Attachment I, Exhibits A- F, and Attachments 11 -111
with the CF Standard Integrated Contract 2016, Exhibits A — F, and Attachments 1 — 3, with an
effective date of July 1, 2016.
The purpose of this Amendment #0027 is to amend Exhibit E -3 with the Schedule of Funds dated
6/07/2016. This Schedule of Funds adds $25,000.00 to Projects for Assistance in Transition from
Homelessness (PATH) other cost accumulator MHOPG, in direct services, as a result of a statewide
budget amendment B -0258 for use in fiscal year 2015 -2016. It has been confirmed by the Provider
that Guidance Care /Center Inc. has produced excess units of services and has the capacity to utilize
these funds. In addition, this amendment will update corresponding funding changes related to
FY2015 -16 in contract amount, funding table, and Schedule of Funds within the restatement
Amendment #0026 that is effective July 1, 2016.
As a result, the Standard Contract; Attachment 1; and Exhibit E -3, ME Schedule of Funds are
amended.
1. Page 1, Standard Contract (dated 05/2014), Section 3, as previously amended on Page 1
of Amendment #0025, is hereby amended to read:
3. Payment for Service. The Department shall pay for contracted services performed by the
Provider during the service performance period of this Contract according to the terms and
conditions of this contract of an amount not to exceed $771,518.245.00 or the rate
schedule, subject to availability of funds and the Department's determination of satisfactory
performance of all terms by the Provider. The State of Florida's performance and obligation
to pay under this Contract is contingent upon an annual appropriation by the Legislature.
Any costs or services paid for under any other contract or from any other source are not
eligible for payment under this Contract.
CF1127 1 South Florida Behavioral
Effective July 2015 Health Network, Inc.
(CF- 1127 -1516)
Amendment #0027 Contract # KH225
June 22, 2016
2. Page 30, Attachment I (dated 07/01/2015), Section C. 1, as previously amended on Page 2
of Amendment #0025, is hereby amended to read:
Section C. Method of Payment
1. Payment Clause
a. This advance fixed price, fixed payment contract is comprised of federal and state
funds, subject to reconciliation. Exhibit E, ME Schedule of Funds identifies the type and
amount of funding provided. At the beginning of each fiscal year, the Exhibit E, ME
Schedule of Funds will be amended into this contract, and the total contract amount will
be adjusted accordingly.
b. The Department will pay the Managing Entity an operational cost for the management
of the Network in accordance with the terms and conditions of this contract. The direct
service cost is defined as the annual value of the contract less the operational cost of the
Managing Entity.
c. The contract total dollar amount shall not exceed $771.518,245.00, subject to the
availability of funds, as outlined below:
Table 1: Contract Funding
State Racal Year O k on Direct Service Coat Total Value of Contract
2010 -2011 (9 months) $3,399,627.00 $52,952,530.00 $56,352,157.00
2011 -2012 $3,491,295.00 $72,420,596.00 $75,911,891.00
2012 -2013 $3,465,665.00 $70,244,946.00 $73,710,611.00
2013 -2014 $3,432,250.00 $72,178,646.00 $75,610,896.00
2014 -2015 $3,481,522.37 $72,203,746.63 $75,685,269.00
2015 -2016 (3 months) $866,416.00 $19,811,845.75 $20,678,261.75
2015 -2016 (9 months) $2,756,874.00 $59,209,297.25 $61,966,171.25
2016 -2017 $3,674,793.00 $79,225,954.00 $82,900,747.00
2017 -2018 $3,674,793.00 $79,225,954.00 $82,900,747.00
2018 -2019 $3,674,793.00 $79,225,954.00 $82,900,747.00
2019 -2020 $3,674,793.00 $79,225,954.00 $82,900,747.00
Total $35,592,821.37 $735,925,423.63 6771,518,245.00
3. Page 55, Exhibit E-3, ME Schedule of Funds (dated 05/11/2016), as previously amended
on Page 2 of Amendment #0025, is hereby deleted in its entirety and Page 55, Revised
Exhibit E -3, ME Schedule of Funds (dated 06/07/2016), is inserted in lieu thereof and
attached hereto.
4. Page 1, CF Standard Integrated Contract 2016, Section 1, Paragraph 1.1. as previously
amended on Page 1 of Amendment #0026, with an effective date of July 1, 2016, is hereby
amended to read:
1.1 Purpose and Contract Amount
The Department is engaging the Provider for the purpose of serving as a Regional
Managing Entity, pursuant to s. 394.9082, F.S, to manage the day - to-day operational
delivery of behavioral health services through an organized system of care, pursuant
to state and federal law, within the annual appropriation, as further described in Section
2, payable as provided in Section 3, in an amount not to exceed $771,518,245.00.
CF1127 2 South Florida Behavioral
Effective July 2015 Health Network, Inc.
(CF -1127 -1516)
Amendment #0027 Contract # KH225
June 22, 2016
5. Page 69, Exhibit F, Method of Payment, Section F -1.2, as previously amended on Page 1
of Amendment #0026, with an effective date of July 1, 2016, is hereby amended to read:
Table 6 - Contract Funding
State Fiscal year Managing Entity Direct Services Total Value of Contract
Operational Cost Cost
2010-2011 (9 months) $3, 399, 627.00 $52,952,530.00 $56,352,157.00
2011- 2012 $3,491,295.00 $72,420,596.00 $75,911,891.00
2012- 2013 $3,465,665.00 $70,244,946.00 $73,710,611.00
2013- 2014 $3,432,250.00 $72,178,646.00 $75,610,896.00
2014-2015 $3,481,522.37 $72,203,746.63 $75,685,269.00
2015 -2016 (3 months) $866,416.00 $19,811,845.75 $20,678,261.75
2015 -2016 (9 months) $2,756,874.00 $59,209,297.25 $61,966,171.25
2016 -2017 $3,674,793.00 $79,225,954.00 $82,900,747.00
2017 -2018 $3,674,793.00 $79,225,954.00 $82,900,747.00
2018 -2019 $3,674,793.00 $79,225,954.00 $82,900,747.00
2019 -2020 $3,674,793.00 $79,225,954.00 $82,900,747.00
Total $35,592, 821.37 $735,925,423.63 $771,518,245.00
6. Page 82, Exhibit F14, ME Schedule of Funds (dated 0511112016), as previously amended
on Page 1 of Amendment #0026, with an effective date of July 1, 2016, is hereby deleted
in its entirety and replaced with Page 82 Exhibit F1-6, ME Schedule of Funds (dated
06107/2016), which Is inserted In Ileu thereof and attached hereto.
This amendment shall begin on June 22, 2016 or the date on which the amendment has been signed
by both parties, whichever is later.
All provisions in the contract and any attachments thereto in conflict with this amendment shall be
and are hereby changed to conform with this amendment.
All provisions not in conflict with this amendment are still in effect and are to be performed at the
level specified in the contract.
This amendment and all its attachments are hereby made a part of the contract.
IN WITNESS THEREOF, the parties hereto have caused this five (5) page amendment to be
executed by their officials thereunto duly authorized.
PROVIDER STATE OF FLORIDA
SOUTH FLORIDA BEHAVIORAL HEALTH DEPARTMENT OF CHILDREN AND FAMILIES
NETWORK, INC.
SIGNED BY: . ,� o��-- SIGNED BY: .i, iLc
NAME: J •jTi1T" . Dow NAME: Bronwvn Stanford
TITLE: President and Chief Executive Officer TITLE: Regional Managing Director
DATE: DATE: G a (t:
FEDERAL ID NUMBER: 59- 3380599 ``
CF1127 3 South Florida Behavioral
Effective July 2015 Health Network, Inc.
(CF- 1127 -1516)
Amendment#0027 Contract#KH225
June 22, 2016
Revised Exhibit E-3
ME Schedule of Funds
South Florida Behavioral Health Network, Inc. -Contract#KH225
FY 2015-16 Use Designation-As of 06/07/2016
Other Cost Accumulators Title Other Cost Federal State Total
Accumulators
ME Operational Costs
Managing Entity Administrative Costs MHS00 232,199 3,233,465 3,465,664
ME Data Management Support MS092 - - -
ME Crisis Stabilization Services MHOCS 21,429 - 21,429
ME Mental Health System of Care MHOSK - - -
ME Housing Coordination MHSHG 15,314 47,253 62,567
ME Care Coordination _ MHSCD - 73,630 73,630
Mental Health
ME Services&Supports Provider Activity-Mental Health MH000 4,233,170 29,703,175 33,936,345
ME Early Intervention Svs-Pyschotic Disorders MH026 - - -
Purchase of Residential Treatment Services for Emotionally Disturbed Children and Youth MH071 - 342,970 342,970
Community Forensic Beds MH072 - 3,027,332 3,027,332
Florida Assertive Community Treatment(FACT) MH073 1,164,515 2,289,063 3,453,578
Indigent Psychiatric Medication Program MH076 - 113,991 113,991
Clay Behavioral Health Center MH089 - - -
Camillus House Mental Health/Substance Abuse Treatment-Homeless MH093 - 200,000 200,000
Citrus Health Network MH094 - 455,000 455,000
Jerome Golden Center MH096 - - -
Crisis Center of Tampa Bay MH097 - - -
ME Saluscare Center MH098 - - -
Gracepoint Center MH819 - - -
Lifestream Center MHS50 - - -
ME Centralized Receiving Facilities MHSCR - - -
Meridian Behavioral Healthcare MHSMB - - -
Renaissance Center MHRM5 - - -
Circles of Care-Cedar Village MHS51 - - -
Circles of Care-Crisis Stabilization MHS52 - - -
Grants PATH MHOPG 492,611 - 492,611
Florida Youth Transition of Adulthood MHOTA - - -
Temporary Assistance for Needy Families(TANF) MHOTB 830,149 - 830,149
Title XXI Children's Health Insurance Program(Behavioral Health Network) MHOBN 716,426 106,289 822,715
Grant Miami-Dade County Wraparound FACES MHOFA 1,600,000 - 1,600,000
Grants Miami-Dade County Wraparound MHOMD 488,950 - 488,950
Grants Project Launch MHOPL - - -
Subtotal Mental Health 9,525,821 36,237,820 45,7113,S41
Substance Abuse
ME Services&Supports Provider Activity-Substance Abuse l MS000 12,377,077 12,063,156 24,440,233
HIV Services MS023 869,289 - 869,289
Prevention Services MS025 3,477,156 - 3,477,156
Projects Expansion of Substance Abuse Services for Pregnant Women and their affected
families MS081 - 1,812,723 1,812,723
Family Intensive Treatment(FIT) MS091 - 633,190 633.190
Temporary Assistance for Needy Families(TANF) MSOTB 1,004,123 - 1,004,123
ME Special Services for Jerome Golden Center MSOJG - - -
Drug Abuse Comprehensive Coordinating Treatment(DACCO) MS095 - - -
First Step of Sarasota MS902 - - -
Here's Help MS903 - 200,000 200,000
Prevention Partnership Grant(PPG) MSOPP 820,788 - 820,788
Subtotal Substance Abuse 18,548,433 14,709,06Y 33,257,502
Total All Fund Sources 28,343,196 54,301,237 82,644,433
Revised
Page 55
CF1127 4 South Florida Behavioral
Effective July 2015 Health Network,Inc.
(CF-1127-1516)
Amendment#0027 Contract#KH225
June 22, 2016
EXHIBIT Fl -ME SCHEDULE OF FUNDS
Exhibit F1-6 • ME Schedule of Funds
South Florida Behavioral Health Network, Inc. -Contract#KH225
FY 2015-16 Use Designation-As of 06/07/2016
Other Cost Accumulators Title Other Cost Federal State Total
Accumulators
ME Operational Costs
Managing Entity Administrative Costs MHS00 232,199 3,233,465 3,465,664
ME Data Management Support MS092 - - -
ME Crisis Stabilization Services MHOCS 21,429 - 21,429
ME Mental Health System of Care MHOSK - - -
ME Housing Coordination MHSHG 15,314 47,253 62,567
ME Care Coordination MHSCD - 73,630 73,630
Mental Health
ME Services&Supports Provider Activity-Mental Health MH000 4,233,170 29,703,175 33,936,345
ME Early Intervention Sys-Pyschotic Disorders MH026 - - -
Purchase of Residential Treatment Services for Emotionally Disturbed Children and Youth MH071 - 342,970 342,970
Community Forensic Beds MH072 - 3,027,332 3,027,332
Florida Assertive Community Treatment(FACT) MH073 1,164,515 2,289,063 3,453,578
Indigent Psychiatric Medication Program MH076 - 113,991 113,991
Clay Behavioral Health Center MH089 - - -
Camillus House Mental Health/Substance Abuse Treatment-Homeless MH093 - 200,000 200,000
Citrus Health Network MH094 - 455,000 455,000
Jerome Golden Center MH096 - - -
Crisis Center of Tampa Bay MH097 - - -
ME Saluscare Center MH098 - - -
Gracepoint Center MH819 - - -
Lifestream Center MHS50 - - -
ME Centralized Receiving Facilities MHSCR - - -
Meridian Behavioral Healthcare MHSMB - - -
Renaissance Center MHRM5 - - -
Circles of Care-Cedar Village MHS51 - - -
Circles of Care-Crisis Stabilization MHS52 - - -
Grants PATH MHOPG 492,611 - 492,611
Florida Youth Transition of Adulthood MHOTA - - -
Temporary Assistance for Needy Families(TANF) MHOTB 830,149 - 830,149
Title XXI Children's Health Insurance Program(Behavioral Health Network) MHOBN 716,426 106,289 822,715
Grant Miami-Dade County Wraparound FACES MHOFA 1,600,000 - 1,600,000
Grants Miami-Dade County Wraparound MHOMD 488,950 - 488,950
Grants Project Launch MHOPL - - -
Subtotal Mental Health 9,525,821 38,237,820 45,763,841
Sqbetance Abuse
ME Services&Supports Provider Activity-Substance Abuse MS000 12,377,077 12,063,156 24,440,233
HIV Services MS023 869,289 - 869,289
Prevention Services MS025 3,477,156 - 3,477,156
Projects Evansion of Substance Abuse Services for Pregnant Women and their affected
families MS081 - 1,812,723 1,812,723
Family Intensive Treatment(FIT) MS091 - 633,190 633,190
Temporary Assistance for Needy Families(TANF) MSOTB 1,004,123 - 1,004,123
ME Special Services for Jerome Golden Center MSOJG - - -
Drug Abuse Comprehensive Coordinating Treatment(DACCO) MS095 - - -
First Step of Sarasota MS902 - - -
Here's Help MS903 - 200,000 200,000
Prevention Partnership Grant(PPG) MSOPP 820,788 - 820,788
Subtotal Substance Abuse M 18,548,433 14,709,069 31.257,502
Total All Fund Sources 28,343,196 54,301,237 82,644,433
Revised
Page 82
CF1127 5 South Florida Behavioral
Effective July 2015 Health Network,Inc.
(CF-1127-1516)