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Item F42
County of Monroe, The Flonda Keys Commissioner David Rice 9400 Overseas Highway, Ste. 210 Marathon Airport Terminal Building Marathon, FL 33050 PH.: 305 - 289 -6000 EM: rice- david6i ,monroecounty -fl.sov Office EM: boccdis4(a()monroecounty -fl.Qov BOARD OF COUNTY COMMISSIONERS Mayor Heather Carruthers District 3 Mayor Pro Tern George Neugent, District 2 Danny L. Kolhage, District 1 David Rice, District 4 Sylvia J. Murphy, District 5 Interoffice Memorandum o RE: NOTICE OF VOTING CONFLICT Per Florida $'tatute 112.3143, I hereby disclose by written memorandum that I will abstain from the vote on certain issues that are brought before the Monroe County Board of Commissioners with entities that I am involved with. I will abstain from the vote on issues concerning the following entities: Guidance Care Center, Inc., a private, not - for - profit entity, which receives some of its operational funding from the County, as I currently sit on the Board of Directors of the Care Center. I am also a member of the Board of the Historic Florida Keys Foundation, Inc. item(s): At the November 22, 2016 BOCC meeting, I will abstain from the vote on W42, F43, G1, G2 Copy of agenda excerpt listing the referenced item(s) is attached for documentation. C:) Date: November 15, 2016 To: Amy Heavilin, Clerk of the Court N County Clerk's Office -n From: Commissioner David Rice, District 4 RE: NOTICE OF VOTING CONFLICT Per Florida $'tatute 112.3143, I hereby disclose by written memorandum that I will abstain from the vote on certain issues that are brought before the Monroe County Board of Commissioners with entities that I am involved with. I will abstain from the vote on issues concerning the following entities: Guidance Care Center, Inc., a private, not - for - profit entity, which receives some of its operational funding from the County, as I currently sit on the Board of Directors of the Care Center. I am also a member of the Board of the Historic Florida Keys Foundation, Inc. item(s): At the November 22, 2016 BOCC meeting, I will abstain from the vote on W42, F43, G1, G2 Copy of agenda excerpt listing the referenced item(s) is attached for documentation. BOARD OF COUNTY COMMISSIONERS County of Monroe A Mayor Heather Carruthers, District 3 f T$ne Florida Keys (, S �� Mayor Pro Tern George Neugent, District 2 t� ) ��` �� �' Danny L. Kolhage, District 1 David Rice, District 4 Sylvia J. Murphy, District 5 County Commission Meeting November 22, 2016 Agenda Item Number: F.42 Agenda Item Summary #2360 BULK ITEM: Yes DEPARTMENT: Budget and Finance TIME APPROXIMATE: STAFF CONTACT: Laura DeLoach (305)292 -4482 No AGENDA ITEM WORDING: 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. ITEM BACKGROUND: When the FY2017 SAMH agreement with Guidance /Care Center was approved the KH225 and five amendments to the KH225 were inadvertently not included. PREVIOUS RELEVANT BOCC ACTION: On October 19, 2016 (Agenda Item Summary 42231, C.38) the BOCC approved an agreement for local match for state funding to Guidance /Care Center for Substance Abuse, Mental Health services (SAMH) for FY2017 pursuant to FS 394.76. CONTRACT /AGREEMENT CHANGES: Additions to Attachment D. STAFF RECOMMENDATION: Approval DOCUMENTATION: GCC SAMH FY17 - Amendment 1-FINAL FINANCIAL IMPACT: Effective Date: October 1, 2016 Expiration Date: September 30, 2017 Total Dollar Value of Contract: N/A Total Cost to County: N/A Current Year Portion: N/A Budgeted: N/A Source of Funds: N/A CPI: N/A Indirect Costs: N/A Estimated Ongoing Costs Not Included in above dollar amounts: N/A Revenue Producing: N/A Grant: N/A County Match: N/A Insurance Required: N/A Additional Details: N/A If yes, amount: No REVIEWED BY: Tina Boan Christine Limbert Maria Slavik Kathy Peters Board of County Commissioners Completed 11/07/2016 3:23 PM Completed 11/07/2016 4:48 PM Completed 11/08/2016 8:09 AM Completed 11/08/2016 11:26 AM Pending 11/22/2016 9:00 AM AMENDMENT 1 TO AGREEMENT This Amendment 1 to the Agreement is made and entered into this 22n 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 FYI 7-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. (SEAL) BOARD OF COUNTY COMMISSIONERS ATTEST: AMY HEAVILIN, CLERK OF MONROE COUNTY, FLORIDA By By Deputy Clerk Mayor /Chairman W 6CHRISTMHEM. LIMBERT-SARROWS ATTORNEY Date r' Guidance Care Center -SAMH Contract FYI 7 Amendment i; 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 FYI 7-Amendment 1; page 3 Contract No. KH225 Client Services ® Non - Client ❑ CFDA No. 93.959 Subrecipient ® Vendor ❑ CSFA No. Federal Funds ® State Funds 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: 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: 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: Zip Code: Phone: 305 - 856 -7542 Ext: E -mail: szuckerman@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: Phone: 305 - 856 -7542 Ext: E -mail: szuckerman@sfbhn.org 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: Zip Code: Phone: 786 - 257 -5180 Ext: E- mail: lourice.khouryomyflfamilies.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. r , a a CF Standard Integrated Contract 2016 r 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. r" a a a CF Standard Integrated Contract 2016 z 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. r ; a a a 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. a a a 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 orjudgment 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 a a a 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 r a a a 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/ig/rptfraudl.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 r" a a a CF Standard Integrated Contract 2016 Contract No. KH225 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 Providerwhich 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. r" a a a CF Standard Integrated Contract 2016 s Contract No. KH225 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. a a a CF Standard Integrated Contract 2016 9 Contract No. KH225 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 DCFCustodianoMY FLFAMILIES.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. a a a CF Standard Integrated Contract 2016 10 Contract No. KH225 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. a a a CF Standard Integrated Contract 2016 a Contract No. KH225 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. r ; a a a CF Standard Integrated Contract 2016 12 Contract No. KH225 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 r" a a a CF Standard Integrated Contract 2016 13 Contract No. KH225 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. a a a CF Standard Integrated Contract 2016 14 Contract No. KH225 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 51h 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. a a a 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 11 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: Print/Type Name: John W. Dow Title: President and Chief Executive Officer Date: Signature: Print/Type Name: Bronwyn Stanford Title: Regional Managing Director 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 r" a a CF Standard Integrated Contract 2016 16 Contract No. KH225 The Remainder of this Page Intentionally Left Blank. r" a? a? 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, C1, 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 CF Standard 18 Contract No. KH225 Integrated Contract 2016 r" a a July 1, 2016 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: http: / /www. myflfamilies.com/ service - programs /substance - abuse /managi ng- 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 19 Contract No. KH225 Integrated Contract 2016 r" a a 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. i 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 20 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- 4.2.10AII 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 21 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. <<< The remainder of this page is intentionally left blank. >>> CF Standard 22 Contract No. KH225 Integrated Contract 2016 r" a a July 1, 2016 EXHIBIT Al — PROGRAM AND SERVICE SPECIFIC TERMS Al -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. Al -4 Continuous Quality Improvement (CQI) 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. Al -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. Al -8 Evidence -Based Practice (EBP) As defined by Guidance 1 — Evidence -Based Guidelines. Al -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 Individuals) 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. Al -12 Local Match Pursuant to s. 394.74(2)(b), F.S., and s. 394.76, F.S. Al -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. Al -14 Mental Health Services CF Standard 23 Contract No. KH225 Integrated Contract 2016 r" a a July 1, 2016 As defined by s. 394.67(15), F.S. Al-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: A11-15.1 Prevention and early intervention; Al -15.2 Emergency care; Al -15.3 Acute care; Al -15.4 Residential treatment; Al -15.5 Outpatient treatment; Al -15.6 Rehabilitation; Al -15.7 Supportive intervention; Al -15.8 Recovery support; and Al -15.9 Consumer support services. Al -16 Operational Costs The allowable expenses incurred by a Managing Entity in performing its contracted functions and delivering its contracted services. Al -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. Al -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. Al -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. Al -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 24 Contract No. KH225 Integrated Contract 2016 r a a 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. Al -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. Al -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. Al -25 Substance Abuse Services Has the same meaning as "substance abuse programs and services" pursuant to s. 397.331(1)(b), F.S. Al -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. Al -28 Wait List A master list for the Network, maintained by a Managing Entity that shows: A11-28.1 The number of individuals waiting for access to the recommended service or program; A11-28.2 The length of time each individual has been on the waiting list; and A11-28.3 The interim services provided to the individual. <<< The remainder of this page is intentionally left blank. >>> CF Standard 25 Contract No. KH225 Integrated Contract 2016 r" a a 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)) CF Standard 26 Contract No. KH225 Integrated Contract 2016 r a a a 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 2 CFR Part 175 A2 -2 Florida Statutes A2 -2.1 Child Welfare and Community Based Care Ch. 39, F.S. Proceedings Relating to Children CF Standard 26 Contract No. KH225 Integrated Contract 2016 r a a a 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 A Ch. 381, F.S. Ch. 386, F.S. Ch. 394, F.S. Ch. 395, F.S. Ch. 397, F.S. Ch. 400, F.S. Ch. 414, F.S. Ch. 435, F.S. Ch. 458, F.S. Ch. 459, F.S. Ch. 464, F.S. 3use and Mental Health Services Public Health: General Provisions Particular Conditions Affecting Public Health Mental Health Hospital Licensing and Regulation Substance Abuse Services Nursing Home and Related Health Care Facilities Family Self- Sufficiency Employment Screening Medical Practice Osteopathic Medicine 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. A2 -2.5 Forensics Ch. 916, F.S. Ch. 985, F.S. S. 985.19, F.S. S. 985.24, F.S. Adult Protective Services Mentally Deficient and Mentally III Defendants Juvenile Justice; Interstate Compact on Juveniles Incompetency in Juvenile Delinquency Cases Interstate Compact on Juveniles; Use of detention; prohibitions CF Standard 27 Contract No. KH225 Integrated Contract 2016 r' a a a 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 orjudicial 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 A24 MISCELLANEOUS A24.1 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 CF Standard 28 Contract No. KH225 Integrated Contract 2016 r" a a a July 1, 2016 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 <<< The remainder of this page is intentionally left blank. >>> CF Standard 29 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 Department's 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 CF Standard 30 Contract No. KH225 Integrated Contract 2016 a a July 1, 2016 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. CF Standard 31 Contract No. KH225 Integrated Contract 2016 r' a a July 1, 2016 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)(1)(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. <<< The remainder of this page is intentionally left blank. >>> CF Standard 32 Contract No. KH225 Integrated Contract 2016 r" a a July 1, 2016 EXHIBIT B1— FEDERAL BLOCK GRANT REQUIREMENTS 131 -1 Purpose 131 -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. 131 -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. 131 -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. 131 -2 Managing Entity Requirements 131 -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). 131 -2.2 Pursuant to 45 C.F.R. s. 96.122, the Managing Entity shall report expenditures for: 131 -2.2.1 Planning, 131 -2.2.2 Coordination, 131 -2.2.3 Needs assessment, 131 -2.2.4 Quality assurance, 131 -2.2.5 Training of counselors, 131 -2.2.6 Program development, 131 -2.2.7 Research and development, and 131 -2.2.8 Development of information systems. 131 -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: 131 -2.3.1 Of the SAPT block grant: 131- 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. 131 -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. CF Standard 33 Contract No. KH225 Integrated Contract 2016 r' a a July 1, 2016 131 -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." 131 -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. 131 -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. 131 -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. 131 -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. 131 -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. 131 -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. 131- 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. 131- 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. 131- 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. 131- 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. CF Standard 34 Contract No. KH225 Integrated Contract 2016 r' a a July 1, 2016 131- 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. 131 -3 Monitoring 131 -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. 131 -3.2 The Managing Entity shall: 131 -3.2.1 As a component of Network Service Provider monitoring, include oversight of the block grant requirements; 131 -3.2.2 Develop and utilize standardized monitoring tools; 131 -3.2.3 Provide the Department with access to the monitoring reports, via the electronic vault; and 131 -3.2.4 Develop and utilize the monitoring reports to create corrective action plans for Network Service Providers, where necessary. 1314 Reporting 1314.1 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: 131 -4.1.1 Training and technical assistance; 131 -4.1.2 Access to treatment for injection drug users, including capacity reports; 131 -4.1.3 Follow -up actions taken in response to findings from peer review activities; 131 -4.1.4 Priority access to treatment for pregnant women; 131 -4.1.5 Wait list management for injection drug users and pregnant women; 131 -4.1.6 Compliance with charitable choice provisions; 131 -4.1.7 Monitoring; and 131 -4.1.8 Continuous quality improvement. 1314.2 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. 1314.3 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. 131 -5 Elements to be included in subcontracts with Network Service Providers 131 -5.1 The Managing Entity shall ensure that the following are included in contracts with appropriate Network Service Providers: 131 -5.1.1 Requirements to ensure compliance with the SAMHSA Charitable Choice provisions and the implementing regulations of 42 C.F.R. s. 54a; CF Standard 35 Contract No. KH225 Integrated Contract 2016 r" a a July 1, 2016 131 -5.1.2 Requirements to ensure that Network Service Providers that receive block grant funds comply with 42 C.F.R. Part 2; 131 -5.1.3 Provisions to monitor block grant requirements, and activities; 131 -5.1.4 Sufficient detail in a Network Service Provider invoice to capture, report, and test the validity of expenditures and service utilization; 131 -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. 131 -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; 131 -5.1.7 An invoice that includes the minimum data elements to satisfy the Department's application and reporting requirements; and 131 -5.1.8 Compliance with state or federal requests for information related to the block grant. 131 -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." <<< The remainder of this page is intentionally left blank. >>> r" a? a? CF Standard 36 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. CF Standard 37 Contract No. KH225 Integrated Contract 2016 r' a a 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: CF Standard 38 Contract No. KH225 Integrated Contract 2016 r' a a 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 39 Contract No. KH225 Integrated Contract 2016 r' a a 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 40 Contract No. KH225 Integrated Contract 2016 r' a a 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 41 Contract No. KH225 Integrated Contract 2016 r' a a July 1, 2016 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- 1.4.1.1 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 42 Contract No. KH225 Integrated Contract 2016 C -1.3.9 Coordination with other Providers and Entities 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: a a July 1, 2016 C- 1.4.1.4.1 General Contr, C- 1.4.1.4.1.1 C- 1.4.1.4.1.2 C- 1.4.1.4.1.3 C- 1.4.1.4.1.4 C- 1.4.1.4.1.5 C- 1.4.1.4.1.6 C- 1.4.1.4.1.7 C- 1.4.1.4.1.8 C- 1.4.1.4.1.9 C- 1.4.1.4.1.10 ict monitoring that will include: Fiscal stability, Records, Corrective Action Plan review, Audits, Accounting System, Insurance, Sponsorship, Publicity, Lobbying, 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 43 Contract No. KH225 Integrated Contract 2016 r ; a a a 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 -1.5 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. 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 44 Contract No. KH225 Integrated Contract 2016 r' a a 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 -1.6 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(l 0), F.S., according to the timeframes established therein, using a file transfer protocol process or a web portal developed by the Managing Entity. 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 45 Contract No. KH225 Integrated Contract 2016 a a 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 lccptoolkiYgettingstarted.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 46 Contract No. KH225 Integrated Contract 2016 r" a a 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 47 Contract No. KH225 Integrated Contract 2016 a a 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 131; 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 48 Contract No. KH225 Integrated Contract 2016 a a 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 49 Contract No. KH225 Integrated Contract 2016 r" a a July 1, 2016 C -2.4 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. 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)(4), 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 131; 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 50 Contract No. KH225 Integrated Contract 2016 r" a a 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 C -2.7.3 An application for an NPI may be submitted online at: https: / /nppes.cros.hhs.gov/ NPPES /StaticForward.do ?forward= static.npistaq 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.fdh state.fl. us /medicaid /hi paa C- 2.7.3.2 The National Plan and Provider Enumeration System (NPPES): CF Standard 51 Contract No. KH225 Integrated Contract 2016 r' a a 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. <<< The remainder of this page is intentionally left blank. >>> r" a? a? CF Standard 52 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: C14.1 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. C14.2 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 r" a a July 1, 2016 restrictive but longer -stay alternative to acute hospitalization. C14.3 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. C14.4 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.org /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 r` a 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 "EOGIOPB" 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. r" a a CF Standard 55 Contract No. KH225 Integrated Contract 2016 July 1, 2016 Table 1- Program- Specific Fund Summary Year Specific Appropriation Provider Amount 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 South /WestCare Foundation $150,000.00 Miami Coalition for a Drug -Free Community $150,000.00 FY17 -18 HOPE for Miami $150,000.00 Switchboard of Miami, Inc. $150,000.00 FY15 -16 377H Citrus Health Network $455,000.00 EOG /OPB 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 EOG /OPB Camillus House $200,000.00 EOG /OPB 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 r a a CF Standard 56 Contract No. KH225 Integrated Contract 2016 July 1, 2016 Table 1- Program- Specific Fund Summary Year Specific Provider Amount Appropriation FY16 -17 385 Here's Help, Inc. $500,000.00 EOGIOPB 388 Camillus House $200,000.00 EOGIOPB Miami -Dade Homeless Trust $187,794.00 EOGIOPB C24 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: C24.1 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. r" a , 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, CD 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 r' a a CF Standard 59 Contract No. KH225 Integrated Contract 2016 N Y N Q H N T Ln N N 2 O z v c O U .J • C„fl 0 N cc C c L U cv a C C y � c j L N U U — O N C O C O C O C O !, c O c) L O c c) O O 0 cc X U X t X X M U >' U CN N co o N x i N o N a N o N o N cu Xi c N Xi Q L a> >+ > N a M LO o > i o> Q > o o ° Q o v cu cu (1) >, -0 �. -0 >, a >, 21, O cu � o � � _0 O- Q- -0 Q- Q- _ � � ca z c0 c c Q O o in (D c o c c° o .� o c � !E Q CF) c iE !E c co c��� co CF) ca o Q C Q _ N E E E O O T ti CN a cu c a >. 0) cu CU � ca � ca � C) a O c Q a) z co .� � c � c � O � .� � — � O � � — � O c cu Q> Q Q c Q :. c :. c L; c c c Q O LL. cu w — Q — Q — Q -0 -0 V) C O N y E T N N co CO I— 00 N N V CO L C) N N N N N M V LC) C - U O U O O L j O O U O O U C-4 O CN U L • � 0 - 9 O O O O O O O O O O O .- .- .- .- .- O O (n N N N N N O N N O N N a) U U co co CO co co co co N w B cc C d E N d C d E = O y O > C a=i a a o E c a = y O O 0 CD CD y = cm L d = C C O_ T d d E E m y = d d d d a Q O V y y <O O Om r- m = <O d 7 = m a a a a N .- a a a a o T O W O c d cm y Q f0 = O _ f0 = N d d = V d ++ d d y + c m •y d = d •L V O d u E •L •y d v •L _ _ = H ++ cm V) V) a �° c c w o c 05 M U w o' z 5 a za Z. 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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 SAM 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 64 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 -5. achievement of the following quarterly milestones. Each fiscal year, the Managing Entity shall monitor a minimum of: L 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 131 -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 nonperformance pursuant to 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 -2 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 — Netwo Serv Prov 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 housing 90% environment Percent of adults in forensic involvement who live in stable housing environment MH743 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 prior 15% to discharge 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 of 94% discharge Children's Mental Health MHO12 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 of 65% functioning 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 housing 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 Percent change in the number of children arrested 30 days prior to admission versus 30 days 48% SA751 20% prior to discharge SA752 Percent of children with substance abuse who live in a stable housing environment at the time of 93% discharge CF Standard 66 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 13,273 Persons Served For Fiscal Year 2016 -2017 3,495 Program Service Category FY Target 2,683 188 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 Adult Substance Abuse Detoxification Women's Specific Services Injecting Drug Users Residential Care Outpatient Care Children's Substance Abuse Detoxification Prevention 13,273 824 3,495 566 105 2,683 188 1,659 E -4 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 67 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 68 Contract No. KH225 Integrated Contract 2016 July 12016 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 Operational Cost Direct Services Cost 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 $59,184,297.25 $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 69 Contract No. KH225 Integrated Contract 2016 July 12016 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 70 Contract No. KH225 Integrated Contract 2016 July 12016 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 I I 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 71 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 10101!2010 Performance Contract SAMH Services Program. Provider Name S tl Fl cL B 1 1H ]tC h 1 h..... ......... ......£ C nn t# JhFI ME - STAL HEALTH FFNWJN.0 DETAIL s ,,.........a Rc, Budget Entitc 60910502 - .adult Mental Health OCA. AMOUNT Budget Entity 60910503 - C17dreu'.s Mental Health OCA. A—NIOU \T 502004 -EA ERGEN'CY STABILIZATION' 503001- EAIE.RGENCY STABILIZATION' GrA- ADLT,T CONlIs3. IIIENTAL HEALTH (100610) G A- CHILDRE`.'S \fEN -J L HEALTH (100415's ?D- 3 .P.1H Tn€.st Ftuad* 1900 4 AD LIIIH T—t F€ ncl* I90C 1 Geueial Revenue TSTF 191\4E4 S-197,592 Geueial Re,- e 191\1El $74302 TF (,& cCD TF C itru. Health C 4U GGR R SPSC H ggg S4 _000 # FGTF - Title Y7R S9QV I 523 152 F11nTS dy Eu c; TieaunentCh \4atxatee SP503 GR Slaaatee GLens Ckuld Baker .Act p ........ SP53- 1 .. ............. GR C 0oper CSU SP516 f GR C had C t 1 ,ii Be 1 of Sern: ices SP540 f GR F—1 y Euaetgency Tre b— it- Phzellas SP52 7 GR CU Dtsnict OS SP54 1 GR Al I - 1 CSU L SP549 1 GR ytax€on-C t vs IIIH- Cfiddietx CSLT SP5`�0 1 n F' nril, Eu gency Tee t it Sarasota p .. - - - -- SP553 1 ......... ........_ - eeral Re, en— Gn p ................................... SP5EB 1 GR [ream U CS Lake. Stuuter SP559 f,,,,,,,, ......... FGTF -Title IS'B T3'OO f ......... 430 ........ GR Ruth Cooper CSIS -Lee SP560 GR Senrinole County CSU SPS61 - t5` Center SPS 1 p GRAPALACHEE SHRT- TERM RM RES1D FAC ... SPAC9 f ..... GSA - BALKER ACT SERVICES (1006111 G: A- C'.HILDRE \'S BAKER ACT (1042 7 ) Ge —I Revenue 19NIE4 h6119298 _ General Rex enue 19NIE1 SI102826 TSTF Adult Eixxerg Baker Act Setti$ces- Henaandn. Pasca SP59 1 f Getxeral Re,-- f SP5S 1 1 - .......a Ernergeurr -StabiIlizationTotnl= 51, G ©TTPATILNT UAISER ACT SERVICES PILOT (10061- General Revenue 191\1E 4 � 3 n ......... Emet-genic } Stabilization Total = ..............................# fi7,722,702 502018- IZECOVERY & RESILIENCY 50301,1-RECOVERY 3 RESILIIFN'CY GrA- ADLT,T CONIN1. F4ENTAL HEALTH (100610) G A- CHILDRE`.'S \fEN -J L HEALTH (100435) ?De.1xfH T r F ad* 19015 f 586 601 AD e.MH T€ - t E nd* 1901 f 5893 180 -. AD e.2vfH T r Had FAC T 19619 5242 643_ �a Gen—al Revenue 19M1 S_I,925,909 Gexetal Rev enue TSTF _ 19NIIS 58,871 -224 GR ISLE 32Nf7 _ General Reveuue,tFGTF 9QPSR 1 f FGTF -Title k'=H S9Q1 1 f 178 928 GR'AGAPE FAM MINISTRY AFRF-NID f 5600 040 GR RTC Nnu iledicaid Eligible 9PRN f .. 522 401 WITF T-3NF 39AIS 7 Sl 540 818 GR Hencletsou IIIH Center Biovvard SP50C 7 p FGTF ADA_IIH GR C— Forensic Bede -Adult Sv c C FB AS f D2 388 045 AD z',NIH TF Infant cC Yotuig Special Project SP53 3 f FUTF PATH GX014 f §4 - Federal Csants FT G &1D1T1 f 5515,000 GR TSTFiFGTF -FACT Ad.— FTA1J 1 p b2 018 696 a ...................... GR E -`LC'T Svcs FT519 I f f 0&-NITFi'FGTF'Cor. NIH Sis C chit— T -NEFSH R4HS1S GAPURCHASED RESIDEPdTLAL. G R LPPRIE 1 5 t47 94 [ TREATNIENT SERVICES {102 7 404 GR C—t Cottages in the Pines SP50 GRRTC Non'1ledlcad Eli 9PR11NI 531 986 l GR TSTF ITaF— Deu h C elxtet Oraix e SP504 GRRuch Res IT- ftnent Rledicaid Svcs 9PRTS s s GRCI 1 tt C n C \IH C r p SP50 1 GR Sl r T R F E A T t H'll. 1 oiciigli SP511 Ge 1 R s TSTF D C lens CNIH Ctr SP51 S236,250 C: A-PL RCHASEi THERA SVGS CHILD (1005003 GRDF D d H I ssTi—t SP51 1 f _ 5132105 General Rev enue 19NICB GR C ill — Life Ce n t Dade SP551 5187,500_ GR FACT Tea Bay. Gulf SP55 GR RFiaixxi Belxaetaral Hltlx Cir- Uu(vsured Dade SP55 s 1 f 5187 40 GR Vie z'illage- Cauapaneros En Recug -Dade SP555 522.040 CAMILLUS BEHAVIOR HLTH TRT CTR SP5CB f 3 FAM EMERG TRMT CTR iB CIRCUIT ...... STIFF ....., .a JUV CO-OCCUR ADDTNS Dade /BrawardlMonroe r ..... SPJCJ ...., ... GRNEbV HORIZON'S CENTER SPN119 J GIA- LVDIGENT PSYCH _ \[EDICATIO\ PROGR P -N1 i101350) Geverl Revenue 191vS1S � S8 496 GSA- B-AIiER ACT SERV'IC'ES (100611) General Revenue 19V118 Reeos & Resiliency Total = S19,277,429 Reeos y & Resilienrp Total = S4,85L004 TOTAL. ADULT CO'%VtL _JH— 527,000,131 TOTAL C'MLDRE \'S IE 'ST- L HEALTH — S6,389,812 Cotnmcuxity Mental Health Black Grans , t' CF Standard 73 Contract No. KH225 Integrated Contract 2016 July 1, 2016 EXHIBIT F1 - ME SCHEDULE OF FUNDS Exhibit F1 -1.2 - ME Funding Detail South Florida Behavioral Health Network, Inc. - Contract# KH225 FY 2010 -11 Use Designation (9 months) - Substance Abuse - As of Amendment #0002 SITBSTA'_'s C'E ABUSE ProviderNazne ornh Florida Behavioral Health P: erec-oxL_Lxe- C ntractK ICH_ Reris � F1'2010 -i1 (9 h4os) Budget Eur:t 60910603 - Achdt Snbrtauce kbrxse OC_3 A1101 -T Budget Eutin 60910602- Child', Substzuce _kbuse 0cA ?_\4Q1lT 603005- DETOYIF[C'iTIO2." GfA-C., E SUBSTANCE ABUSE SVCS '100618) SAMH Ad— (CPS Rc EXP) Tt_ 6020D1 TOtiIFIC_aiIO\"rkRF G:A- C=D fADOL SUBSTANCE ABUSE SVCS (160420) "3.351 .SAPTBG 2700 ASA Ali-. (6 -855) coral o 2]061 04 GRT U co ert➢emeur. Tnur Fvuxc S GR A— Derac 2]ME� ADDEX ) SH6 1 f a 5£55 ] GRT b o5ea1 nxenv TrusrFwx< 1. GRClvld Dewx '_7h�1 fH ©EX 531 OS "' 486 ] l Detesificar:uu Total= 8'j 77i 2'72" Detorificatiou Total= 5676.90 603006- PRE4'E'M1 "i]O \` SER \]C ES G:A -COMNI SFJ65TANCE ABUSE SVCS' -euc,£ (1006 €S) �-§ 600"i 602 ©02- PRE.VE'VTIOER CES GiA- CFPQ.D /ADOL SUBSTA c. ABUSE SVCS L1004?O) * -`• r G. ernA Rec ADAMH $cuss Faui Pmceari a�ercreee -" 27NIE6 2]PR6 i,._ 5 ➢454691 S Pr esi - SIGre1DAM - Ga Rev-enane 2"]F 27h4Ero 30_t A13 M T- F uui- Pce�essrio es *' 27PR2 I 51 68_»4 ? Pr - Parn. si Y Services .. 271? 3 -- $594,974 GR C1Id. Presen s. c3 RVi Gaxeral Res -enue GR'. ". aan Nlan(miass Tnur. Cir.- D12 SP 513 SP64 .......'..." Pxeieutiou Ser.iees Tntal= 5201469 P.. S Total = 33- 196_ * *` -� 60300 ? -UR AS 1T G AFi"E RC :aRE G.AL'CN SUBSTANCE ABUSE SVCS (100618) 602E1Oi_'[ ;i1fE_'1' R AFTERC:. Rr GA- C=D tADOL 5`1JB ST_ANCE ABUSE SVCS L100420) SAPTBG 270G7 _ 5 37 363 ( SAPTBG 270G3 ... . ADAMI Adu>uvsnari.-e Exyaxditurea 27AD] ADAlvfe'3 T Fund Adanuxi-¢rn ice. -e Expeudinves 2"IAD3 330 E9 AD.=1ISR3TF 1ntt Dn g U ^”' „ 2IHI� ;_ „... 590' - 508 ' ADAMFI T , Fund 27C iIi .. 3 " S GRTSTF133cMTF ADS TEFLF r Vvomnx `�' 271 7 e 27Vr'O'rI 5i 6 fi9ifi 'S1��4)' L/ ( GRTSTFfQ3cMTFtCSR ATF Sl]IT'F TA NF 27ME3 1 39TC1 ._._._._ § 8 4904 $ Odd f '',. i9TCO 5919 GRi"i' 4A14, rc re -ctd3C CHTRT t' _b] Truer Fuud S SBG C'assu11. Li£ C'enrer AD'FRT J , BS'631 „5),�ad4' __' 4� =�? .,.y ADAM1I Tnvar Passed HV AD AMH Tnssr laved Raors.ili'iaags 27C}R 1 P 1 ..... . ... .. ..,,,,. 3 X61 -Dade G. 1Re DPGO& 1...� 5�3 J6� 3 ! GRrAdat.T Dru tL_ D vaosed Guts -DI1 SP606 $375, FEDERAL GFA T FUND 11 1 GRTtee Co.npaa. P SP605 $l9 40 l ADAMiHTF Sr d`vLnrchv. C -Dl- SP61A 11 11 ' 7 GR AD"h?I3T'.F Il. - gPlroce SP6I0 AD.Mg3TF -Ne. H 13 1Di Deis SP611 _„ 861 X00 J ADA!`5613T -Adol sc Res. SA Tx Facihr,. SP611 ' _,_ _. ADAMHTF- Addiction Tnmr. Ser,rce: SP61 1 _. ...... ) GR Pmleci W D32 SP644 .......7 ADAMI3TF-Nea B g - Pr g Rarewa SP61 7 `j GR - H R- 7 AD.4h1HTF -C'o - B la HhC. SP6I8 573 6Bb '1 c / : NT h SP646 ADAMHTF -EZi R Ia ADAMI3TF -Pa saee Cu aS. 4fiercare Rojec SP619 9P6�� �'� w...,.,... .>w.« . GR Da 46 se C prei�easi..e or Ofc d C CiRHaes Hely S 7 t SP691 O 000 3 ADAMF3TF -Em -Wait Lose Rcdaa�Pcojec, SP613 ADAIvII3TF -Prof ect wVaes 1P614 f GR`AGAPE GR Region GVon><-ss'm AGAPE 53 BJ 09j c ' d GR.`:C`ucics of Care - czmcd B SP6a2 GR'Centin for Dare Free Limns SP669 7 ... . ...".".".".". ..I GR'Ceaxier f- Dn e Free Lising - BreV and SP670 itearmeurRkLrercare iot:al= 3£0965 -34& ireanueurfikLtercare Tucal= 938]6938 TOT TOT kL -DULT SUB. ABUSE = ,D89 iOT SL. CHILD'-.151'B.. ABU— = 1 GFZAS 1 TOTAL XLL PROGR, IS = S?2.,912,z30 MATCH C ALC`ULAIIONS APPLYC'ABLE TO COI.TRAC'3 nr s PraJeri fb onal an FU S NOT a gL' G fdA4 H. ,, SIro 60?61. - TOTAL FUNDS REQL� GMATCH= 5 )C tuldr M I H 11 B F ,_... _,_,_, _,_,_ . MH L F BI k Cn .151 1,,.,., 5669 391 i LOCAL PrL4TCH REQUIP.ED = 5.:33._ :1 Dn Ab e e• ... .�. ........ ..... !' _ 59 �8] 94 "i ADDITIONAL LOCAL MATCK ... ? FACT _. ......... .... .......... .....'" .._, 5 4 3 S ... ..�aY7J,i?6'.d`/J GREW -ID TOTAL LOCAL MATCH = 5 38 �1 Yf5Y'" A" Y" i• 9" i`P:YY�"Y�C5`C�E"C2�Yt1'F7L'3" C: 5i1F'1"C`FY = not xnciuded in the bodv of elxe Fu ding Detail -. - 4_IIH Adr�lxisn'a r \ - ER =) AMH Adraxm '. �on {6.85 °l0) 1 54.6]2 12$_496 ABA Advunists'a Yon {. rec5) 310D ABA Adn isrx'ation (GAN ne -tune only 50009 CMH Adtninistra¢ioa (N11) 287.212 CMH Achnuvsftalion (6.35%) 11,563 SAMH Ad— (CPS Rc EXP) Tt_ 355,821 CSA Ad {6.81 %) "3.351 CSA Ad' 44,786 ASA Ali-. (6 -855) coral 8151(551 ,540..452 Haitian Eme rgeucs Resyouse -a:ut? 1H0 '00031]-01 (OC.1: CC 11U) Network Provider Three Mos. Subcontractor: New Horizons CMHC $466,580.00 Admmietra[ion $17.470.00 To[aE $484,050.00 el - Out of State 2,540 Phone 1,350 Social Marketing 28,929 .erapy 88,000 1 Miller, PHD 50,047 ing - Wraparound 31,822. ES Launch '0,000 na. Re suction(SOC.1 Mktg) '3,766 ling - USF SOC PR 30,000 Logic Model 5,000 Administration 50,000 T'o[al 630,698 12.16r2010 A 11 nade to . as anus aeeoaurs ro roll n. er rh L used br ➢tigers from the fu si i6. ee mouths of ehe co g ed b. the Dei.arnneue Sit 1- 3 r CSA- 2�PR2, f44 irol is added iu <Sk -C H i luli ropros id 1 edrlHrtoual Pe e.e d .enr s, 1 ri msslc (ibis bgt'i a ueeded ra fnud nduxru in ehe nest E1 "I 3$4,$91 is ndded to i14H- 191[18 imx uadditimaxal l -tune oul} se s. hi.�. bndgee iro. needed tm d lIF admin la she aese FY ". "- - - - .tiger SS a. eeded re food glee \IE adauiu LU the next Fl" Th a rial allu .a u o£C £reads Cmr tie \iE na.as .ua refauore L elger dh d 1 have bee. a Ided ro 1fE) : ha..s amend cna. errs 1— ea tor. s rnm as 1-62011 510,000 :.s added s d ac 1 Set+. ices ( 1) for FACES auuu 1 yo.roerseur annual eel rioual. coufereuce. S13,s66 is added to Cmutra creel Set+. ices ( 1) for Stigma Reduc r:ou and sxareoess p-g., 52',332 is heiaag . rechrced froau 89Q13 based ou nao 1. d .mdea ur:lizatiou of the Buer ca Pacilr}. - . 3t ?H 2011 5484,00 is added for i3sourk allocztiou :u OC`k: CCHll) FL' 2010 -2011. for the S11HiSa Hait Fmergeuc Resnouse G. our annlicroriou for Iureszued:are See -vices 513,800 i .added i. C \QT (99QI3) fo roll o. er the Deyartseut's first flaraa ter b.] CF r' 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 P" f' ;"- """o F.AlIH ns rng,Sin Provid w Name vi'T . ....... .. ' " Cvq tract 9 H ME H EALT H FU11 NO!Nr, DETAIL Revision 4 Budget Entity 60910506 - Adult Mental Hoallir OCA AMOUNT Budget Entity 66910506 - ChlEdran's Mental Heattl OCA AMOUNT 502004-EMEROENCY STABILIZATION 563401 - EMERGENCY STABILIZATION WA-ADULT COMM- MENTAL HEALTH (109616) GIA-CHILDREN'S MENTAL HEALTH (1040435) ADANIH Trust Fund TF +027005)' AE S S 1 ADA Trust Fund TF 027005 MH CES51 5715 745 .e nera4 Revenue (000�i2l'i AESS I _$311j)14 jj,j'36'?jj I General Revenue 00032��l C. 4435 285 TSTF (122023)L AESSI $13779 FGTF - Title XXI (N10153 6'9007 $30,662 e G nera'Revenue (0003M' SNIHAI $455,006 1 Genera! Re venue ,000325l" SIAHC I GIA-SAKER ACT SERVICES (100611) Genera Revenue l000325)' A rz TSTF (1 }" AESS� MA-DUTPATIENT BAKER ACT SVCS PILOT J1006'l2.) GIA-CHILDREN'S BAKER ACT (104257) General R venue (0003263 AESS1 G.—I Revenue =0326' }' CESS1 $9 .4 _ 89.21 8 TSTF 112202:17 AESS1 Emergency StabfflzatEon Total = $9.995.186 Emerganey Stabilization Total = $2,050.310 592018-RECOVERY & RESILIENCY 5(13(113-RECOVERY & RESILIENCY GiA.ADULT COMM- MENTAL HEALTH (100610) aA-cmu_oRFws MENTAL HEALTH (100435) ADAMH Trust Fund 7F (027005) ARKS' _$1,3011,929 - 1 11 ADAMH Trust Fund 7F (027CO5 )' CRRS1 $1,406531 TS7F (1 ARRS1 General Revenue (60013251' CRRS1 V .249.965 FGTF i251915) ARR, _ 53 6 2,1 60 FGTF i251Ga153 CRRSI $725417 Generai Revenue (900326) ARRSI $11,074,459 Genera! Revenue - Children At Risk of ED (000326 1 CARED $100,000 GRjACAPrz Pam rdimSinj ((7003251' ARtar"ID I `1'_7F- Wrap Around Pro YR- 1 �251015l Gi.iDwi 5952 483 GRrCom '" Forensic Beds-AdulI Svc )800326 CFBAS $3,147.327 General Redenue i000326l' SMHC2 M ADAH Trust Fund - FACT Adman 10270051 FTA 1 "$476.187 General Revenue 1000326: SF General Revenue - FACT AcIrmn (0 FTA 19 Ijj GR-Jv Restor lincollp To Pfo(OG0325)' 32NO3 FGTF -FMGPMA - Med,d Adorn 12570751 FTA19 $876,576 FGTF - Tffl. XXI i;26 10 1 5j 8130 13 GenEr& Revenue - FACT Stics (000326) FTS19 $7632Q9 { FGTF -FGGGJD - Jail Dlvs?slo.+ Pro (261D15 GJDT1 I F G fans From Homel (2 � 1 I 7 F-FGGGPT-T a r1X 0 I i� wa Recovery 8 Resiliency Total $5,595,051 O�CAATF i0270057 IJHSIC General Revenue (0003267 SMHA2 WT TANF (40100!) 39AI5 i S2,05 412 General Revenue i0003267 LPPME $1.800.000 FGTF - Haitian. Grant [2610157 CCKII GR -Pre Ad in Screen Rev MCAID Aor'7(000328) 9opsp FGTF-FMGPMA-Pre Adin— Screen Rev MCAND c26 I D15 ... 90PSR . . ................... G7A-IND4GrNT PSYCH MEDICATION PRO (101350) WA-PURCHASED RESIDENTIAL ,-,, General Revenue (DCO32' ARR31 $113,991 TREATMENT SERVICES (102780) GR;r,lCAID&?4on-F,10A!Dr, =0-326(' 9PRNr,:1 GRIPurch Rea Treatment - Medicaid Svcs 10003261 QrPRTS GIA-BAKER ACT SERVICES (100611) GOA-PURCHASE;THERA SVCS CHILD (100800) General Revenue (00 ARRF1 General Revenue i000321p' 19MC5 Recovery & Resiliency Total c 526,099,066 Recovery & Resiliency Total = $360,285 TOTAL ADULT COMM- MH = _$38,1194.252 TOTAL CHILDREN'S MENTAL HEALTH = $8,106,646 TOTAL A LL MH P ROG RAM $44,2110.1198 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!09/2011 Fen o...e ConEiacl SAMH Services Program Ding Agn-- Irt -trts i III I — A - 1 Items not included in the body of the Funding Detail: CAIFI V, ap—o.nti k;—( €G3IDV%I Cat: 10043-100777 1007781 SUBSTANCE ABUSE PersonnellConsulting.. FUNDING DETAIL ^A]UNIIN Provider N.— South Fonda Behaysomal Health Nzt, Contra t# Project Dvxector Revisron # (00(15 I FY 2011-2012 Budget Entity 60910604 - Adult Substance Abuse OCA AMOUNT Budget Entity 60910604 - Children's Subs OCA AMOUNT 603005- DETOXIFICATtON ABA A t uistrution 5 602001- DETOXIFICATIOWARF C'.ullu 1 R. Lineui".t' C rdinalor GlA -COMM SUBSTANCE ABUSE SVCS (100618) CNIH A h i,t GIA - CHILD /ADOL SUBSTANCE ABUSE S1 (100420) 401,071:00 ADAMH T t F end TF (027005)"`" DTXAS $450,842 ADAMH T t F and TF (027005)"" DTXAS $400 7 E4le[31 Revenge (000326) "" DTXAS $317 4'23 G_' ral R enue (1)0032&)" DTXAS $ -088 9$b f 5 448,248.00 Trai... $pedal, TSTF ( 122023) "" DTXCS 27, Detoxiil —ton Total = $768,365 Detaxi {1,cation Total = $502,546 603006- PREVENTION SERVICES 3 602002- PREVENTION SERVICES GIA -COMM SUBSTANCE ABUSE SVCS (100618) GIA- CHILDIADOL SUBSTANCE ABUSE SVCS 1{00420) 5 General Revenue (000328) " PR�VAS $1 954 ADAMHT tF Fund TF(027405)'^' PRIVC8 $3731926 ADAMH Trust Fund TF (027005) -- PRI VAS $249 SO General R e ( 000326 $"" PRNCS $049'157 FlI E— g <4 R-p se Growl 41H07SA [0(I031-01 (OCA; CC ......... ......••. General Revenue (000328)•• S.P.ACS S Prevention Services Total = $261 462 Prevention Services Total = $4,081,083 603007- TREATMENT & AFTERCARE 3o,000.00 602003- TREATMENT & AFTERCARE GIA -COMM SUBSTANCE ABUSE SVCS (100618) 80,400.00 GA- CHILDIADOL SUBSTANCE ABUSE SVCS (100420) ADAMH T t F Ind TF (027005)'"'" TRTAS $-0 842 807 ADAMH T t F and TF (027005)' TRTCS $550 635 General R ue @00328) "" TRTAS $4 842 72 G neral R nue (000328$ "" TRTCS $2 404 854,E a &tt TF 951 075) TRAAS $290 810 TSTF (122023) — TRTCS $260 788 ADAMHT tF nd TF (D27005) 27HIV $120347 O &MTF (511015)^ TRTCS $8610( S 37,520.00 L SSE �L3(639022) TRTCS $705 B80f ADAMH T t F nd TF 02700., — -" ( ) 27WOA7 52 002 958 ADAM ( H T t Fund TF 02700' ) `` "' 27CHV $44 743 I G S ( 1111 ) 39TC0 72770 6 'TTF TAN F [4R700T) 39TU1 $770718] WTTF 40104($ 3 "Goo $1 61430 O Aral R e }"" SP.ICS $f 32 205 GR 9ndtye T O g P MOE 000321) "" ""It DPGUB $18 452 4 d TF ( AOA{v1H Trust Fund TF {027405)' " "' SPJGS $292 795 3 FGTF - FL A € R (2C1015) FATR6 ATF (021060) "' SP.ACS t FGTF - Mededd Atl (261015) MAC04 ........f FGTF - Sc q 1 , T at P- (261015) S13004 General R (000326) SPJAS $303, T ADI Trust Fund TF (027005)""` SPJAS X30 20§ Treatment & Aftercare Total = :$14,619,140 Treatment & Aftercare Total = $4977,008 TOTAL ADULT SUB. ABUSE = 515,648,967 TOTAL CHILDfADOL SUB. ABUSE _ $9,S60, 637 TOTAL ALL SA PROGRAMS= $25.609,604 GRAND TOTAL ALL PROGRAMS = $69.810,502 FUNDS N OT REQUIRING MATCH: D ft t 1 t B dg t S1T` 200 000 1 _ TOTAL FUNDS REQUIRING MATCH - $26,895,488 tCH § dry t f $ f 277 E43 $➢ 9613 626 LOCAL MATCH REQUIRED = $8:965,(63 FACT T earn- ��� 54 793.160 "£ ..� AD OITIONAL LOCAL MATCH GRAND TOTAL LOCAL MATCH = $8:565,163 �C3Y"�iL�rJN - IJS ��� fi��'t)F:1}�� )^i1.5T�}) I •••• $4'd,9tb,6 Ding Agn-- Irt -trts i III I — A - 1 Items not included in the body of the Funding Detail: CAIFI V, ap—o.nti k;—( €G3IDV%I Cat: 10043-100777 1007781 PersonnellConsulting.. ^A]UNIIN Project Dvxector S 112,500.00 AI'T Adati Ad--t-ti— S 544,684.00 S,— L.vansmt S Io0,9o0.o0 ABA A t uistrution 5 426,00(0 C'.ullu 1 R. Lineui".t' C rdinalor 5 37,500.00 CNIH A h i,t 5 401,071:00 Tc,F 1 Assistance Coord. S 48,431.00 SANIH A I 7 iistrvti,- FOPS & EXP) Tr. S 374,508:00 Y'oeult SttF�pnrt 5 16900.00 C'NA.AI ' 5 448,248.00 Trai... $pedal, S 27, ANA Achn- i —trat- 5 1,087 Covscrlaveint S 3 S Tot.] 5 3,331,565.00 Trace] -Chit of State S 16,386.00 C cut rac6I,d Sery ices FlI E— g <4 R-p se Growl 41H07SA [0(I031-01 (OCA; CC HIT) Spettn P _ us 1 E Alil,A —n) S .375;000.00 Network Provider 12 Months FIL S—ig➢ M1:te (1<•1.E:.. Villa - ) 5 3o,000.00 E Th.erapg 5 80,400.00 Sub cone motor: New Horizons CMHC 51,669,23 8.00 Traiexi - M7 (Iv9ichaeal Iv9i ➢ ➢er S 8,160.00 Traiexi ra'A- prrou-1(?ulic) 5 9,000.00 Stiguta Reduction (Social Nfkaro) S 30,000.00 GAP( S 37,520.00 T-.,1,,—. S 10,000.00 ASlministratilon s 57,389.06 Adianistration $ 102,341.00 Total S ➢,726:627.00 1 1TOtal 1,043,197 CF Standard 76 Contract No. KH225 Integrated Contract 2016 July 1, 2016 EXHIBIT F1 - ME SCHEDULE OF FUNDS Exhibit F1 -3.1 - ME Funding Detail South Florida Behavioral Health Network, Inc. - Contract# KH225 t Y zu I & I S use Ueslanatlon - As or Hmenament Yuuuu Agency Name: South Florida Behavioral Health Network, Inc. Contract # KH225 Revision # 0009 Last Date Updated: 11/02/2012 ,,,,,,,,,,,,,,,,,,, Original Submission Date: ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, C D E Total Contract Amount: $371,823,533.75 Total FY 2012 -2013 Amount: $73,710,611.00 .,,,,,,,,,.,,,,,,,,,,,,,,,,,,,, ,.,,,,,,,.,,,,,,,,,,,,,,.,,,,,, SMHA1 000% SYSTEM OF CARE ADMIN MENTAL HEALTH - BUDGET ENTITY $ 395,850.00 G/A -BAKER ACT SERVICES - 100611 Mental Health Adults Children Contracted Svcs ME Admin Provider Admin 7otalAdmm. SYSTEM OF CARE ADMIN Emergency Stabilization $ 9,101,330.00 $ 2,019,648.00 ` * PROVIDER 14% $ 511,000.00 $ 1,445,727.14 $ 1,956,727.14 TSTF (122023)* Recovery & Resiliancy $ 27,797,831.00 $ 5,195,752.00 $ 128,070.00 $ 1,322,925.00 $ 4,289,165.79 $ 5,612,090.79 $ 111,420.90 BNET Services $ 115,145.00 $ 1,292,317.00 AESS1 General Revenue (000326) $ TSTF (122023)* 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 $ $ $ 26,675.94 $ 7;492;082:55 Substance Abuse Adults Children ME Admin Provider Admin Total: SYSTEM OF CARE ADMIN 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: $?53,156,405.00 1 $ 18;817,821.00 $ 1,736;385.00 1 $ 3,465,665.00 1 $ 9,188,648.17 $ 12,654,313.17 $ $ Total AOB $ 73,710,611.00 ADULT EMERGENCY STABILIZATION ACTIVITY - 502004 MFMTAI MFAI TM - RI Inr%PT FMTITV - AAQ1nrAA I. A B C D E G H I SMHA1 000% SYSTEM OF CARE ADMIN MENTAL HEALTH - BUDGET ENTITY $ 395,850.00 G/A -BAKER ACT SERVICES - 100611 A B C D E F G H I SERVICES FUNDING CATEGORY /FUND SYSTEM OF CARE ADMIN TOTAL FUNDING OCA AESS1 ME ADMIN % ` * PROVIDER 14% AMOUNT G/A -ADULT COMM. MENTAL HEALTH - 100610 6,972,824 79 TSTF (122023)* SERVICES FUNDING ADAMH Trust Fund TF (027005)* AESS1 $ 128,070.00 1 AESS1 0.00% 3% 1 $ 111,420.90 General Revenue (000326)* $ 115,145.00 CESS1 AESS1 General Revenue (000326) 13% TSTF (122023)* $ 100,176.15 $ 13 778.00 °. AE 0 00 % 13 % TSTF (122023) $ 11 986.86 General Revenue (000326)* $ 455,000.00 SMHA1 000% 13% MENTAL HEALTH - BUDGET ENTITY $ 395,850.00 G/A -BAKER ACT SERVICES - 100611 A B C D E F G H I General Revenue (000326)* SYSTEM OF CARE ADMIN $ 8,504,482.00 1 AESS1 5.011% I 13% $ 6,972,824 79 TSTF (122023)* SERVICES FUNDING I AESS1 MEADMIN % *PROVIDER 14% G /A- OUTPATIENT BAKER ACT SVCS PILOT - 100612 AMOUNT $ 115,145.00 CESS1 General Revenue (000326) 13% AESS1 $ 100,176.15 $ 435,285.00 CESS1 19.53% TSTF (122023) 13% AESS1 $ 30,662.00 89Q01 0.00% 13% OCA Total '= $ 9,109;330.00 $ 26,675.94 $ 7;492;082:55 I. CATEGORYIFUND GIA-CHILDREN'S MENTAL HEALTH - 100435 4DAMH Trust Fund TF (027005)* General Revenue (000326)* FGTF - Title XXI (261015) General Revenue (000326)* GIA-BAKER ACT SERVICES- (104257) General Revenue (000326)* General Revenue (639022)* CF Standard Integrated Contract 2016 CHILDREN EMERGENCY STABILIZATION ACTIVITY - 503001 MENTAL HEALTH - BUDGET ENTITY - 60910506 A B C D E F G H I SYSTEM OF CARE ADMIN SERVICES FUNDING '.. TOTAL FUNDING OCA MEADMIN % *PROVIDER 14% AMOUNT $ 115,145.00 CESS1 0.00% 13% $ 100,176.15 $ 435,285.00 CESS1 19.53% 13% $ 293,686.79 $ 30,662.00 89Q01 0.00% 13% $ 26,675.94 SMHC1 $ 1,181,063.001 CESS1 0.00% I 13% I k $ 1,250,694.85 0 1 1 $ 288155 00 CESS1 0.00% 13% $ 2,050,310.00 $ 1,698,758.54 77 Contract No. KH225 J I ry 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 C D E SYSTEM OF CARE ADMIN I E F G H I SYSTEM OF CARE ADMIN SYSTEM OF CARE ADMIN SYSTEM OF CARE ADMIN TOTAL FUNDING p0A L j * PROVIDER SERVICES '.: CATEGORY /FUND * PROVIDER SERVO CATEGORY /FUND FUNDING AMOUNT TOTALFUNDING OCA MEAOMIN% ME ADMIN % * PROVIDER 14% G /A -COMM SUBSTANCE ABUSE SVCS FUNDING / MM SUBSTANCE ABUSE SVCS - 100618 I $ 347,439 48 TOTALFUNDING OCA MEADMIN% * PROVIDER14% 475,950 00 DTXAS 5.25% Revenue (000326) ** G /A- CHILD /ADOL SUBSTANCE ABUSE SVCS - 100420 $ 11 953 00 j PRVAS 0.00% 13% DTXAS 9.03% $ 10 Trust Fund TF (027005) * * ** $ $ 249,509.00 PRVAS 1 0.00% __ 13% _ 3,148,907.41 $ 217 CHILDREN PREVENTION SERVICES - 602002 SUBSTANCE ABUSE- BUDGET ENTITY - 60910604 I. A B C D E F G H I E F G H I SYSTEM OF CARE ADMIN SYSTEM OF CARE ADMIN SYSTEM OF CARE ADMIN TOTAL FUNDING p0A L j * PROVIDER SERVICES '.: CATEGORY /FUND * PROVIDER SERVICES FUNDING'. CATEGORY /FUND FUNDING AMOUNT TOTALFUNDING OCA MEAOMIN% 14% AMOUNT G /A -COMM SUBSTANCE ABUSE SVCS SERVICES FUNDING CATEGORY /FUND I $ 347,439 48 TOTALFUNDING OCA MEADMIN% * PROVIDER14% 475,950 00 DTXAS 5.25% AMOUNT G /A- CHILD /ADOL SUBSTANCE ABUSE SVCS - 100420 $ 403,367 63 General Revenue (000326) ** $ 348,935 00 DTXAS 9.03% 13% AAMH Trust * * ** $ -- 3 OCA Total= $f 824,885.00 6.62% 13% 3,148,907.41 Ge Revenue (000326)7005) 398 4 00 PR VCS 12 38% 13% ___ -- ___ -- -- 13% $ 1,386,748.48 ___ -- - $ 29 344 28 General Revenue (000326) ** 13% SPJCS FATR6 ADAMH Trust Fund TF (027005) * * ** _ SPJCS SB004 OCA Total— $S` 4,114,880.00 _ -$ _ -- 352,098.00 -- SPJAS $ 3,446,251.70? ADULT DETOXIFICATION - 603005 rF ARIICF_ RIIr1RFT FNTITY _ I. A B C D E F G H I A B A B C D E F G H I SYSTEM OF CARE ADMIN SYSTEM OF CARE ADMIN TOTAL FUNDING p0A L j * PROVIDER SERVICES '.: CATEGORY /FUND * PROVIDER SERVICES FUNDING'. CATEGORY /FUND FUNDING AMOUNT TOTALFUNDING OCA MEAOMIN% 14% AMOUNT G /A -COMM SUBSTANCE ABUSE SVCS 408,464 00 DTXCS 1.94% I 13% I $ 347,439 48 Seneral Revenue (000326) ** $ ADAMH Trust Fund TF (027005) * * ** $ 475,950 00 DTXAS 5.25% 1 3 % 13% $ 403,367 63 General Revenue (000326) ** $ 348,935 00 DTXAS 9.03% 13% $ 272,064 62 OCA Total= $f 824,885.00 6.62% 13% $ 675,432.24 CATEGORY /FUND G /A -COMM SUBSTANCE ABUSE SVCS - 100618 ADAMH Trust Fund TF (027005) * * ** General Revenue (000326) ** O&M Trust Fund (516015) ADAMH Trust Fund TF (027005) * * ** ADAMH Trust Fund TF (027005) * * ** General Revenue (000326) WTTF TANF (401001) GR- Indigent Drug Pro MOE (000326) ** FGTF - FL Acess to Rev (261015) FGTF - Medicaid Adm (261015) FGTF - Screen Interven Treat Pro (261015) General Revenue (000326) ** ADAMH Trust Fund TF (027005) * * ** 7:.00I CF Standard Integrated Contract 2016 ADULT CHILDREN DETOXIFICATION - 602001 SUBSTANCE ABUSE- BUDGET ENTITY - 60910604 SUBSTANCE ABUSE- BUDGET ENTITY - 60910604 I. A B A B C D E F G H I SYSTEM OF CARE ADMIN SYSTEM OF CARE ADMIN TOTAL FUNDING p0A L j * PROVIDER SERVICES '.: CATEGORY /FUND ___ -- 9.98% -- TOTALFUNDING OCA MEAOMIN% I4 9 /6 FUNDING AMOUNT G /A- CHILD /ADOL SUBSTANCE ABUSE SVCS - 100420 TRTAS 4.00% 13% 4DAMH Trust Fund TF (027005) * * ** $ 408,464 00 DTXCS 1.94% I 13% I $ 347,439 48 Seneral Revenue (000326) ** $ 503,528 00 DTXCS 2.8 % 13% $ 423,517 40 TSTF (122023) ** $ 1 1 1 1 13,293 00 DTXCS 2.21% 13% 1 1 $ 11,271 13 $ 1,035,545.21 OCA Total= $ 925.285.00 27WOM $ 782.228:01 CATEGORY /FUND G /A -COMM SUBSTANCE ABUSE SVCS - 100618 ADAMH Trust Fund TF (027005) * * ** General Revenue (000326) ** O&M Trust Fund (516015) ADAMH Trust Fund TF (027005) * * ** ADAMH Trust Fund TF (027005) * * ** General Revenue (000326) WTTF TANF (401001) GR- Indigent Drug Pro MOE (000326) ** FGTF - FL Acess to Rev (261015) FGTF - Medicaid Adm (261015) FGTF - Screen Interven Treat Pro (261015) General Revenue (000326) ** ADAMH Trust Fund TF (027005) * * ** 7:.00I CF Standard Integrated Contract 2016 ADULT TREATMENT & AFTERCARE - 603007 SUBSTANCE ABUSE- BUDGET ENTITY - 60910604 A B C D E F G I SYSTEM OF CARE ADMIN TOTAL FUNDING p0A ME ADMIN% * PROVIDER I4% AMOUNT _ -$ 4,632,226.00 TRTAS ___ -- 9.98% -- ___ -- 13% ___ -- -- $ -- 3,567,740.47 - $ 4,204,970.00 TRTAS 4.00% 13% $ 3,490,125.10 $ 310,014.00 TRTAS 4.26% 13% $ 256,505.58 $ 1,292,009.00 27HIV 6.85% 13% $ 1,035,545.21 _ -$ 2,214,715.00 27WOM ___ -- 6.85% -- ___ -- 13% ___ -- -- $ _ -- 1,775,094.07 - $ 136,756.00 39TCO 6.62% 13% $ 109,924.47 $ 1,750,503.00 _ -$ ___ -- 39TCO 7.78% ___ -- -- 13% ___ -- ___ -- -- $ 1,386,748.48 ___ -- - 19,704.00 _. DPG08 6.86% 13% $ 15,790.79 FATR6 MAC04 SB004 _ -$ _ -- 352,098.00 -- SPJAS ___ -- 0.00% -- ___ -- 13% ___ -- -- $ ___ -- 306,325.26 - _ -$ _ -- 257,902.00 -- SPJAS ___ -- 0.00% 13% _ $ 224,374.74 - 615 ;170,897:00:. - 612,168,17437: p 78 Contract No. KH225 r" a' a ■ 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 & AFTERCARE - 602003 CATEGORY /FUND - - 0.53% - - 3 /A- CHILD /ADOL SUBSTANCE ABUSE SVCS - 100420 \DAMN Trust Fund TF (027005)**** $ 570,320.00 - 3eneral Revenue (000326)`* $ 3,137,919.00 - FSTF (122023)`* $ 282,718.00 )&MTF (516015)`* $ 8,610.00 3SBGTF (639022)`* $ 114,065.00 - \DAMN Trust Fund TF (027005) * * ** $ 48,034.00 NTTF TANF (401001) $ 183,273.00 - 3eneral Revenue (000326) ** $ 632,205.00 \DAMN Trust Fund TF(027005) * * ** $ 292,795.00 - \TF (021060)`* $ 27CHV - OCATotal.= $ x':5,269,939.00 TRTCS - - - 0.53% - - -- - 13% - - -- $ $ TRTCS - - - 9.60% - - -- - 13% - - -- $ $ TRTCS - - 7.64% - - -- 13% - - -- $ $ TRTCS - - - -- - - -- - 13% - - -- $ $ TRTCS - - - -- - - -- - 13% - - -- $ $ 27CHV - - -6.85% _ - -- - 13% ___ -- $ $ 39TC1 - - - 6.85% - - -- - 13% - - -- $ $ SPJCS - - - 0.00% - - -- - 13% - - -- $ $ SPJCS - - - 0.00% - - -- - 13% - - -- $ $ SPJCS ADULT RECOVERY & RESILIENCY - 502018 A B CF Standai CATEGORY /FUND TOTAL. FUNDING OCA G/A -ADULT COMM. MENTAL HEALTH- 100610 ADAMH Trust Fund TF (027005) $ 1,193 031 00� ARRS1 O &MTF (027005) ARRS1 General Revenue (000326) $ 13,147,362.00 ARRS1 GR/AGAPE Fam Ministry (000326)* $ 800,000.00 AFMMD GR/Comm Forensic Beds -Adult S� (000326) $ 3,154,522.00 CFBAS ADAMH Trust Fund- FACT Admin (027005) $ 408,398.00 FTA19 General Revenue- FACT Admn (000326) $ 1,729,346.00 FTA19 FGTF - FMGPMA - Medicaid Admn (261015) $ 862,236.00 FTA19 General Revenue- FACT suns (000326) $ 763,200.00 FTS19 FGTF - FGGGJD - Jail Diversion Pro (261015) GJDT1 FGTF — FGGGPT -Trans From Homelessness (261015) $ 528,927.00 GX018 General Revenue- $ 1,596,282.00 LPPME O &MTF (027005) MHS18 General Revenue (000326) $ 1,295,000.00 SMHA2 WTTF TANF (401001) $ 2,205,536.00 39A18 GR -Pre Admin Screen Rev MCAT D ADM(000326) 9C PSR FGTF - FMGPMA -Pre Admin Screen Rev MCAID (261015) 9C PSR G /A- INDIGENT PSYCH MEDICATION PRO General Revenue (000326)* $ 113 ARRS1 C D E F G H I SYSTEM OF CARE ADMIN ME ADMIN " "/o " PROVIDER 14% AMOUNT 13% $ 981 13% ____ _ $ 10,813,705.25 13% ____ _ $ 658,000.00 13% ____ _ $ 2,594,594.35 13% ____ _ $ 335,907.36 13% ____ _ $ 1,422,387.09 13% ____ _ $ 709,189.11 13% ____ _ $ 627,732.00 13% 13% ____ _ $ 435,042.46 13% ____ _ $ 1,312,941.95 13% 13% ____ _ $ 1,065,137.50 13% ____ _ $ 1,814,053.36 13% 1 1_$_ 93757.60 (ER ACT SERVICES - 100611 Revenue (000326)* I ARRS1 CATEGORY /FUND G /A-CHILDREN'S MENTAL HEALTH - 100435 ADAMH Trust Fund TF (027005)* General Revenue (000326)* SSBG (639022) General Revenue - Children At Risk of ED (000326) FGTF- MIAMI -DADE Wrap Around Pro YR -1 (261015) General Revenue (000326)* General Revenue (000326) GR -JV Restor Incomp To Pro(000326)* FGTF - Title XXI (261015) G /A-PURCHASED RESIDENTIAL TREATMENT SERVICES GR/MCAID & Non -MCAID MOE (000326)* GR/Purch Res Treatment - Medicaid Svcs (000326) G /A-PURCHASE /THERA SVCS CHILD General Revenue (000326)* OCA:Total A Integrated Contract 2016 A B C D E F G SYSTEM OF CARE ADMIN TOTAL FUNDING OCA : MEADMIN% * PROVIDER I4% CHILDREN RECOVERY & RESILIENCY - 503013 MENTAL HEALTH- BUDGET ENTITY - 60910506 A B C D E F G H I SYSTEM OF CARE ADMIN ES :OCA ME ADMIN % ' PRO1.1DER14% FUNDING AM OUNT $ _ 1 CRRS1 18.35% _ 13% $ 1 $ 1,963,170.00 CRRS1 13% $ 1,707,957.90 $ - - -- 227,673.00 CRRS1 - - -- - - -- - - -- 13% - - -- - $ 198 $____ 100,000.00 CARED 13% $ 87 $____ 952,483.00 GMDW1 0.00% 13% $ 82866021 SMHC2 SP5MA 32NO3 $____ 1,261,655.00 89Q13 0.00% 13% $ 1,09763985 $ 229 9PRNM 0.00% 13% _ $ 199 9PRTS 19MCB $ ::6,457,407 ?? $ (5,301,855) Contract No. KH225 C D E F G H I SYSTEM OF CARE ADMIN ME ADMIN " "/o " PROVIDER 14% AMOUNT 13% $ 981 13% ____ _ $ 10,813,705.25 13% ____ _ $ 658,000.00 13% ____ _ $ 2,594,594.35 13% ____ _ $ 335,907.36 13% ____ _ $ 1,422,387.09 13% ____ _ $ 709,189.11 13% ____ _ $ 627,732.00 13% 13% ____ _ $ 435,042.46 13% ____ _ $ 1,312,941.95 13% 13% ____ _ $ 1,065,137.50 13% ____ _ $ 1,814,053.36 13% 1 1_$_ 93757.60 (ER ACT SERVICES - 100611 Revenue (000326)* I ARRS1 CATEGORY /FUND G /A-CHILDREN'S MENTAL HEALTH - 100435 ADAMH Trust Fund TF (027005)* General Revenue (000326)* SSBG (639022) General Revenue - Children At Risk of ED (000326) FGTF- MIAMI -DADE Wrap Around Pro YR -1 (261015) General Revenue (000326)* General Revenue (000326) GR -JV Restor Incomp To Pro(000326)* FGTF - Title XXI (261015) G /A-PURCHASED RESIDENTIAL TREATMENT SERVICES GR/MCAID & Non -MCAID MOE (000326)* GR/Purch Res Treatment - Medicaid Svcs (000326) G /A-PURCHASE /THERA SVCS CHILD General Revenue (000326)* OCA:Total A Integrated Contract 2016 A B C D E F G SYSTEM OF CARE ADMIN TOTAL FUNDING OCA : MEADMIN% * PROVIDER I4% CHILDREN RECOVERY & RESILIENCY - 503013 MENTAL HEALTH- BUDGET ENTITY - 60910506 A B C D E F G H I SYSTEM OF CARE ADMIN ES :OCA ME ADMIN % ' PRO1.1DER14% FUNDING AM OUNT $ _ 1 CRRS1 18.35% _ 13% $ 1 $ 1,963,170.00 CRRS1 13% $ 1,707,957.90 $ - - -- 227,673.00 CRRS1 - - -- - - -- - - -- 13% - - -- - $ 198 $____ 100,000.00 CARED 13% $ 87 $____ 952,483.00 GMDW1 0.00% 13% $ 82866021 SMHC2 SP5MA 32NO3 $____ 1,261,655.00 89Q13 0.00% 13% $ 1,09763985 $ 229 9PRNM 0.00% 13% _ $ 199 9PRTS 19MCB $ ::6,457,407 ?? $ (5,301,855) Contract No. KH225 13% 1 1_$_ 93757.60 (ER ACT SERVICES - 100611 Revenue (000326)* I ARRS1 CATEGORY /FUND G /A-CHILDREN'S MENTAL HEALTH - 100435 ADAMH Trust Fund TF (027005)* General Revenue (000326)* SSBG (639022) General Revenue - Children At Risk of ED (000326) FGTF- MIAMI -DADE Wrap Around Pro YR -1 (261015) General Revenue (000326)* General Revenue (000326) GR -JV Restor Incomp To Pro(000326)* FGTF - Title XXI (261015) G /A-PURCHASED RESIDENTIAL TREATMENT SERVICES GR/MCAID & Non -MCAID MOE (000326)* GR/Purch Res Treatment - Medicaid Svcs (000326) G /A-PURCHASE /THERA SVCS CHILD General Revenue (000326)* OCA:Total A Integrated Contract 2016 A B C D E F G SYSTEM OF CARE ADMIN TOTAL FUNDING OCA : MEADMIN% * PROVIDER I4% CHILDREN RECOVERY & RESILIENCY - 503013 MENTAL HEALTH- BUDGET ENTITY - 60910506 A B C D E F G H I SYSTEM OF CARE ADMIN ES :OCA ME ADMIN % ' PRO1.1DER14% FUNDING AM OUNT $ _ 1 CRRS1 18.35% _ 13% $ 1 $ 1,963,170.00 CRRS1 13% $ 1,707,957.90 $ - - -- 227,673.00 CRRS1 - - -- - - -- - - -- 13% - - -- - $ 198 $____ 100,000.00 CARED 13% $ 87 $____ 952,483.00 GMDW1 0.00% 13% $ 82866021 SMHC2 SP5MA 32NO3 $____ 1,261,655.00 89Q13 0.00% 13% $ 1,09763985 $ 229 9PRNM 0.00% 13% _ $ 199 9PRTS 19MCB $ ::6,457,407 ?? $ (5,301,855) Contract No. KH225 Contract No. KH225 July 1, 2016 EXHIBIT F1 - ME SCHEDULE OF FUNDS EXHIBIT F14 - ME Schedule of Funds South Florida Behavioral Health Network, Inc. - Contract# KH225 FY 2013-14 Use Designation - As of 41912014 Technical Adjustment 06, v2 Section A Other Cost Accumulators Federal State Total ME Operational Cost Section A — Subtotal Section B ME Services & Supports Provider Activity - Adult Mental Health MHAOO 1.927,178 22,819,212 24,746,390 ME Services & Supports Provider Activity - Children's Mental Health MHCOD 1,419,438 4,625,960 6,045,398 ME Services & S Provider Activity - Adult Substance Abuse MSAOO 8.795075 5.760,752 14,555,827 ME Services & S pports Provider Activity - Children's Substance Abuse MSCOO 2,871,388 5.513,277 8.384.665 Subtotal Section B 15,013,079 38,7*19,201 53332,280 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 MHA70 - 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) 1,300,959 - 1,300,959 Children's Mental Health Projects _MHATB 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 MHCMD 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 Sheriffs 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 (TAN F) MSCTB 103.100 - 103.100 Subtotal Section C 8,553.396 13,325,220 24,878,616 Total All Fund Sources 23,566,475 1 52,044,421 75,610,876 Block Grant Set Aside Targets Community Mental Health Block Grant Thresholds for Federal Spending Children's Mental Health 6.002.960 Substance Abuse Prevention and Treatment Block Grant Prevention — 20% of award 3.066,942 HiV - 5% of award 766,736 Thresholds for State Spending Women's set aside 1.336.942 `Federal spending thresholds based on Block Grant notice of award amounts MHi$27,835,065 SA 5109,551,627 'State spending thresholds based on the actual SAMH expenditures from FFY 1994, which is no less than $9,327,217 'Children's Mentaf Health spending thresholds based on the actual SAMH expenditures from FFY 1994, which is no less than $39,659772 CF Standard 80 Contract No. KH225 Integrated Contract 2016 a. 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 41812015 Amendment 110020 Other Gust Accumulators Title '1�i`.,' Other Cost Accumulators Federal i State Total ME Services & Supports Provider Activity - Adult Mental Health MHAD0 1,285,644 26 099,025 27,384 669 Evidence Based Prevention and Treatment Approaches MHA26 - - Communty Forensic Beds MHA72 - 3,154,522 3,154,522 Florida Assertive Community Treatment (FACT) MHA73 1 2,509 851 3,763 062 Indigent Psychiatric Medication Program NIHA76 - 113,991 113.991 Baycare Behavioral Health - Vets MHA86 - Guidance Care Center- Key West MHA88 100,000 100,000 Clay Behavioral Health Center MHA89 - Northside Mental Health Center MHA90 Palm Beach Mental Health/ Substance Abuse Treatment PAHA92 Camillus House Mental Healtht Substance Abuse Treatment- Homeless P 1HA93 25,000 25,000 Citrus Health Net vork RtHA94 - 455,000 455,000 Grants PATH MHAPC 503,605 - 503,605 Temporary Assistance for Needy Families (TANF) ,.., ,, .. .,. \ .,. 1., {... t, t.. ,s( ,,_ t. f. r _.r t ,.,r,.1 , �. 1� Av»_ t£ , 1 v t , � l 4 t._, 1 )r _ { ,t £ ltl a }} }7,t }7,,, , ;£ ,_; � A' �. {t rt { } 1 .iv J 1)lsi} 4. ).t -- ' ' � _ — ti�,.�1�1tk �3.� #,, ��t,r ,,. t1V,.� „�,tf �h111S,_ }�4�,.�� t.,, .�1,��1 „a,�z��ttu1���'=t(t�ft�t��l t ��, I4IHATB _. 2. , # } { , } If , t ! a,.,�,,,,f,7,,,th�;�t�rlllt, {if��,f.,. �ltt,�,�tjtl�s 1,300,959 1 r . t, t r T } 11s. ,,,{ iht �s� .>t,�.,.,v.,��t },�111hh1�tt1) s .._ i r ,r �} r_.,,tt ,.t�,. � l s�f,3lisy,,,, 1,300,959 t., ), t �i } ME Services & Supports Provider Activity - Children's Mental Health MH`COO 1,345,197 4.731,349 6.076 546 Purchase of Residential Treatment Services for Emotionally Disturbed Children and Youth MHC71 - 342,970 342 Daycare Behavioral Health- Children NHC87 - - Tstle 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 MHCM,D 1,541,673 1 Grants Project Launch � 11't1 1 f ' t$ r l t . �(I r t,, ���,P�ERr1rvPL� ,i�, n+T.::��R,��„SW4 }J �I ,ii£ �t,.. .1x i }S t, .. 1, � \�� }� }�...v:;��t � #��1� ,(, vt;, �l4�A,. 111 1,.,, ��f} r������� {2r•1���2��1r• {� }���2r; i��uS4 MHCPL {l �l \�...( I,zi�,. ,�. tl #� (,,, ✓r�e1� , },)�tr,{ �)._,l� {A \1 t) {�t tti# ,,. �a��� „i }�.,,,, .� }1`, {, }���)11�1 ?� „t.��.�t.✓��,,. 1,�7 It. �l(. 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 1,812723 Strengthen Our Communities MSA85 Family Intensrv'e Treatment (FIT) MSA91 633,190 63-3,190 Ternporary Assistance for Needy Families (TANF) ¢. _'"�k���?`�r MSATB 955 - t ( (` -,t. t ( _4. }_.,, 1t {d , i, { „rs1C��v„t,�£ 955.917 3, v� „i,,tt1 }loll „�t1, ME Services & Supports Provider Actwity Children's Substance Abuse MSC00 1 5,782.405 6,913, 957 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) fv1SCPP 820,788 820,788 Temporary Assistance for Needy Families (TANF) Total All Fund Sources MSCTB 103,100 23,186,876 1 52,4196,393 103 100 1 75,685,269 Children's Mental Health SED Requirement Children's Mental Health SECT Target (Expenditures in MHCb1, MHC09., & MHC18 are eligible cost to meet this requirement) 4,427,937 r' a a? "Children's Mental Health spending thresholds based can 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-K8E SCHEDULE OFFUNDS EXHIBIT F1'8-K8E Schedule 8fFunds South Florida Behavioral Health Network, Inc. 'CUntr8Ct#KH225 FY 2015 Use Designation 'A5Uf5/11/2O18 Amendment 110025 Other Cost Accumulators Title Other Cost Federal 1 State Total HIV Services Accumulators 869,289 - 869,289 Prevention Services MS025 3,477,156 - 3,477,156 Managing Entity Administrative Costs MHSOO 232,199 3,233,465 3,465,664 families MS081 - 1,812,723 1,812,723 ME Crisis Stabilization Services MHOCS 21,429 633,190 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 First Step of Sarasota MS902 - - ME Services & Supports Provider Activity - Mental Health MHOOO 4,233,170 29,703,175 33,936,345 Prevention Partnership Grant (PPG) MSOPP 820,788 - 820,788 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 MHO89 - - Camillus House Mental Health/Substance Abuse Treatment - Homeless MH093 200,000 200,000 Citrus Health Network MH094 455,000 455,000 Crisis Center of Tampa Bay MHO97 ME Saluscare Center MHO98 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 (TAN F) 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 ME Services & Supports Provider Activity - Substance Abuse MS000 12,377,077 12,063,156 1 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 (TAN F) MSOTB 1,004,123 - 1,004,123 ME Special Services for Jerome Golden Center MSDJG - - Drug Abuse Comprehensive Coordinating Treatment (DACCO) MS095 First Step of Sarasota MS902 - - Here's Help MS903 - 200,000 20 1 Prevention Partnership Grant (PPG) MSOPP 820,788 - 820,788 �i�28,318,196 Total All Fund Sources 54,301,237 1 82,619 4 1 -1 CF Standard 82 Contract No. NH225 Integrated Contract 2O18 | � ^ � � � 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. >>> r" a? a? 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. >>> r" a? a? 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. >>> r" a? a? 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. >>> r" a? a? 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 Services FY Contract Balance Prior to Payment Fixed Payment Amount FY Contract Balance after this payment Invoice Packet Due Date Progress and Expenditure 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 r" a? a? 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 Services FY Contract Balance Prior to Payment Fixed Payment Amount FY Contract Balance after this Payment Invoice Packet Due Date Progress and Expenditure 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. a a CF Standard 88 Contract No. KH225 Integrated Contract 2016 July 1, 2016 ATTACHMENT 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. I n the event the recipient expends $500,000 ($750, 000 for fiscal years beginning on or after December 26, 2074) 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 less than $500,000 ($750,000 for fiscal years beginning on or after December 26, 2074) 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. df 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 CF Standard 89 Contract No. KH225 Integrated Contract 2016 July 1, 2016 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: sinale.auditQmyflfamilies.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 .gov /fac /collecUddeindex.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 r" a a CF Standard 90 Contract No. KH225 Integrated Contract 2016 July 1, 2016 Email address: flaudgen localpovt aQaud.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. r" a? a? CF 1120, Effective April 2016, (CF- 1120 -1516) CF Standard 91 Contract No. KH225 Integrated Contract 2016 July 1, 2016 ATTACHMENT 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. 13204 -5 and 13204 -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; r' a a CF Standard 92 Contract No. KH225 Integrated Contract 2016 July 1, 2016 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. r" a a CF Standard 93 Contract No. KH225 Integrated Contract 2016 July 1, 2016 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. CF Standard 94 Contract No. KH225 Integrated Contract 2016 r a a July 1, 2016 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) r" a a CF Standard 95 Contract No. KH225 Integrated Contract 2016 July 1, 2016 1 i Ft[a go Iifiwk I 7 CERTIFICATION REGARDING LOBBYING 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. CF Standard 96 Contract No. KH225 Integrated Contract 2016 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 CR 127 1 South Florida Behavioral Effective July 2015 Health Network, Inc. (CF- 1127 -1516) a a Amendment #0023 Contract # KH225 April 1, 2016 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: 4. Page 30, Attachment I (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 CR 127 2 South Florida Behavioral Effective July 2015 Health Network, Inc. (CF- 1127 -1516) a a Amendment #0023 Contract # KH225 April 1, 2016 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 Operational Cost Direct Service Cost 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) $2,683,244.00 $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: r 11 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 02126/2016), 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 CR 127 3 South Florida Behavioral Effective July 2015 Health Network, Inc. (CF- 1127 -1516) a a 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 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. 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. WIN P resident y Chief Executive Offic ; FE DERAL i 59-3380599 R egional-Mana g in g , o DA TE: 3 / 1 3 1 CF1127 Effective July 2015 (CF- 1127 -1516) South Florida Behavioral Health Network, Inc. r" a? a? Amendment #0023 Revised ME Schedule of Funds South Florida Behavioral Health Network, Inc. - Contract# KH225 FY 2015 -16 Use Designation - As of 02/26/2016 Revis Other Cost Other Cost Accumulators Title Federal State Total Accumulators girtsY �5' t r "e" ASS , t , 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 nN 1 r. t tm 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 O 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 - - ;t I` *," r:;�ir�r�t"��, . eal ?rrd f 'r3 � � J 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 I 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 & aii`bet ' �� Total All Fund Sources 28,545,465 54,230,149 82,775,614 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 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 3/23/16, 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 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 #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) 1— r" a a 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 less 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 Operational Cost Direct Service Cost 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) $2,683,244.00 $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) 1— r" , , Amendment #0024 Contract # KH225 May 2, 2016 This amendment shall begin on M 2 . 201 ® , 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. ST AT E O FLORID DE MA F t ■ ! t Presi a nd Chief Executive Officer DATE: FEDER ! ' Re gional Manag D irect o r r DA TE: .2 �/ a., L' r" a? a? CF1127 Effective July 2015 (CF -9127 -1516) South Florida Behavioral Health Network, Inc. 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 Accumulators Title Other Cost I Federal I State I Total Accumulators Managing Entity Administrative Costs MHS00 1 232,199 3,233,465 3,465,664 ME Data Management Support MS092 - - - MECrisisStabilizationServices MHOCS 21,429 - 21,429 ME Mental Health System of Care MHOSK - - - ME Housing Coordination MHSHG 15,314 47,253 62,567 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 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 (TAN F) MHOTB 797,249 - 797,249 Title XXI Children's Health Insurance Program (Behavioral Health Network) MHOBN 1 716,426 106,289 1 822,715 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 ME Services & Supports Provider Activity - Substance Abuse MS000 12,377,077 12,063,156 24,440,233 HIVServices 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 (TAN F) 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 (PP Total All Fund Sources MSOPP 820,788 28,387,134 - 54 820,788 82,614,741 Revised Page 55 CF1127 4 South Florida Behavioral Effective July 2015 Health Network, Inc. (CF- 1127 -1516) r- r" a a ■i a Contract # KH225 June 1, 2016 2. Page 30, Attachment I (dated 07/0112015), Section C. 1, as previously amended on Pagei of Amendment #0024, is hereby amended to read: 1. Payment Clause 9 - 1 1 ' eauie oT runas 7:11 De arnenaeu inio inis contracca, anu in I 11T1111 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 • funds, as outlined below: State Fiscal Year Alanaging Entity 1 r i Total Value of 0iierational Cost Contract #4 WITTE too us Im $73,710,611.00 2013-2014 $3,432,260.00 M 2014-2015 $866,416-00 $20,678,261.75 R1 WaTZE I= 2016-2017 2017-2018 $3,674,793.00_JWU� #I 2018-2019 2019- 020 $3,674,793.00 WY=RXU =tx- $771 1 3. Page 55, Exhibit E-3, ME Schedule of Funds (dated 04/1112016), as previously amend on Page 2 of Amendment #0024, is hereby deleted in its entirety and Page 55, Revis Exhibit E-3, ME Schedule of Funds (dated 05111/2016), is inserted in lieu thereof a a CF 1127 2 South Florida Behavioral Effective July 2015 Health Network, Inc. (CF-1127-1516) 1-1 Amendment #0025 Contract # KH225 June 1, 2016 THEREOF, IN WITNESS - parties hereto have . . a -xecuted by their officials thereunto . r" a? a? CF1127 3 South Florida Behavioral Effective July 2015 Health Network, Inc. (CF -1127 -1516) r- First Step of Sarasota MbVUz Here's Hel Prevention Partnership Grant PPG OP Rimhtntal qmihs&anna Musa 113, 91 I 113 "MAI 111 WIN 1 1 1 11111 1 11M ME a Purchase of Residential Treatment Children and Youth MH071 Communq Forensic Beds a T to maw LIM i No F OW MHOPG MHOTA F Iwo i MSOOD HIV Services MSO Prevention Services - P — rojects Expansion of Substanoe Abuse Services for Pregnant Women and their affected families Family Intensive Treatment (FIT) MS091 ....... ME Special Services for Jerome Golden Center First Step of Sarasota MbVUz Here's Hel Prevention Partnership Grant PPG OP Rimhtntal qmihs&anna Musa 113, 91 I 113 M Revised Page 5 CF1127 4 Effective July 2015 (CF- 1127 -1516) South Florida Behavioral Health Network, Inc. a a T i i , I M Revised Page 5 CF1127 4 Effective July 2015 (CF- 1127 -1516) South Florida Behavioral Health Network, Inc. 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 II -III 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 512014), 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. a a CF1127 1 South Florida Behavioral Effective July 2015 Health Network, Inc. (CF- 1127 -1516) Amendment #0026 Contract # KH22 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 WITNE -0 r THEREOF, the parties hereto have caused this ninety-eight (98) page amendment to be executl by their officials thereunto duly authorized. DATE: TITLE: Regional Managing Director DATE: __ 4z y zle � _ CF11 127 2 South Florida Behavioral Effective July 2015 Health Network, 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 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, 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 II -III 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 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 #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) I 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 Fiscal Year Managing Entity Operational Cost Direct Service Cost 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 _�_ $ _ 35,592,8211.37 $735,925,423.63 $771,518,245.00 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. CR 127 2 South Florida Behavioral Effective July 2015 Health Network, Inc. (CF- 1127 -1516) I Amendment #0027 Contract # KH225 June 22, 2016 i ljoil LITE FUZAR01 irle I I'M MIA L-22 K211:1 VA 41JAL-11 11;j I Le [go a tom tw.16M 6. Page 82, Exhibit FI-6, ME Schedule of Funds (dated 05/11/2016), as previously amended on Page I of Amendment #0026, with an effective date of July 1, 2016, is hereby deleted in its entirety and replaced with Page 82 Exhibit F11-6, ME Schedule of Funds (dated 06/07/2016), which is inserted in lieu thereof and attached hereto. TITLE: President and Chief Executive Officer TITLE: Regional Managing Director DATE: DATE: �EDERAL ID NUMBER: 59-3380599 GF1 127 3 South Florida Behavioral Effective J 201 Health Network, Inc. (CF- 1127 -1516) 1-- Table 6 Contract Funding State Fiscal Year Managing Entity Direct Services Total Value of Contract Operational Cost cost $75,911,891 00 $73,710,611.00, 134 2019-21020 $79,225,954.00 $82,900,747.00 $73-5,925,423.63 $771,518,245.00 6. Page 82, Exhibit FI-6, ME Schedule of Funds (dated 05/11/2016), as previously amended on Page I of Amendment #0026, with an effective date of July 1, 2016, is hereby deleted in its entirety and replaced with Page 82 Exhibit F11-6, ME Schedule of Funds (dated 06/07/2016), which is inserted in lieu thereof and attached hereto. TITLE: President and Chief Executive Officer TITLE: Regional Managing Director DATE: DATE: �EDERAL ID NUMBER: 59-3380599 GF1 127 3 South Florida Behavioral Effective J 201 Health Network, Inc. (CF- 1127 -1516) 1-- Amendment #0027 Contract # KH225 June 22, 2016 Revised Exhibit E -3 ME Schedule of Funds South Florida Behavioral Health Network, Inc. - Contract# KH225 rr use vesignation -As or uniun.zu Other Cost Accumulators Title Other Cost Federal State Total Accumulators Managing Entity Administrative Costs MHS00 232,199 3,233,465 3,465,664 ME Data Management Support MS092 - - - ME Crisis Stabilization Services MHOCS 21,429 - 21,429 ME Mental Health System of Care MHOSK - - - ME Housing Coordination MHSHG 15,314 47,253 62,567 ME Care Coo rdination IVleiti$al a MHSCD 1,004,123 73,630 73,63 ��'` ME Services & Supports Provider Activity - Mental Health MH000 4,233,170 29,703,175 33,936,345 ME Early Intervention Svs - P schotic 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 MHO94 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 - - 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 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) I \ Total All Fund Sources MSOPP 820,788 1 i }t ,sy 28,343,196 1 54,301,237 820,788 82,644,433 Revised Page 55 a a a CF1127 4 South Florida Behavioral Effective July 2015 Health Network, Inc. (CF- 1127 -1516) Amendment #0027 *: 1: 11: 3111IS0i4MIS]:1:1 Bill 4 *612111�oil Contract # KH225 June 22, 2016 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 Revised Page 82 CF1127 5 South Florida Behavioral Effective July 2015 Health Network, Inc. (CF- 1127 -1516) a a a Other Cost Other Cost Accumulators Title Federal State Total Accumulators AdLtO' "er' tr fj,'.,, 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 Coordin MHSCD 73,630 73,63 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 MHO94 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 - - ltt \,,.v, °, s .,;s ti ,i'bf'�, \,..., - 1 \I� ,?y�`•',ti�,t \� �t : ,,�`,3(� „i� \: '� t ?f�;h\ ), ���`11s \,. .', } i, i, i, yY1,, i „1£ ,�,..t� �, °-� ;;.' t ',- . >>d'1 , ,,ti 3�'i „ti a ,�.,ti „ti a , ,f >i t,y`', ,'r �. 2 ,� 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 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 I - 200,000 1 200,000 Prevention Partnership Grant PP MSOPP 820,788 - 820,788 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) a a a