Contract No. Q.Q.L12 Amendrnenl # 036

THIS AMENDMENT, entered into between the State of Florida, Department of Children and Families (DC F), hereinafter referred to as the "Department," and Central Florida Behavioral Health Network, Inc, hereinafter referred to as the "Provider," amends contract #QD1A9,

This amendment: • modifies the language of Exhibit F, Region-Specific Provisions, • deletes the requirement of Incorporated Document 31 , SAMH Other Funds Source Report and • modifies the language of Attachment III.

1. Page 39, Attachment I, Section C., paragraph 6.b., is deleted in its entirety.

2. Page 49, Attachment I, Section F., item 31 ., Incorporated Document 31, SAMH Other Funds Source Report is deleted in its entirety.

3. Pages 63 - 63c, Attachment I, Exhibit F, Region-Specific Provisions, are deleted and are replaced with pages 63 - 63c, Exhibit F, Region-Specific Provisions, Amendment 36.

4. Pages 111 - 113, Attachment III, are deleted and are replaced with pages 111 - 113, Attachment III , Amendment 36.

This amendment shall begin on March 15, 2015 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 _-",8,--_ page amendment to be executed by their officials thereunto duly authorized.

PROVIDER: Central Florida Behavioral Health State of Florida Department of Children and

NAME:

Families '

SIGNED BY: ~~ NAME: Lisa Mayrose

TITLE: TITLE: Regional Managing Director

DATE: 5/,.;2../ } -:;-j

DATE: () .flIt 'J--If~-FEDERAL 10 59-3467610

QD1A9 - October 1, 2014 Exhibit F Region-Specific Provisions

Amendment 36

A_ Pursuant to the terms of Attachment I, Section B.3.b., the Managing Entity shall subcontract for the legislatively appropriated program-specific funds listed in Table A 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.

B. 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:

Year

1. A description of the service purchased with the specific appropriation; 2. The payment methodology and rate applied to the service; 3. Output and outcome performance measures applied to the service; and 4. The reporting requirements implemented to ensure regular and ad hoc status updates to the Department.

Table A - Program-Specific Fund Summary

Specific Provider Amount

Appropriation FY14·15 351 BayCare Behavioral Health, Inc. S 150,000.00

351 Northside Mental Health Center S 150,000.00 371 Drug Abuse Comprehensive Coordinating Office S 250,000.00 372 Pasco Sheriff's Office $ 300,000.00 372 Pregnant and Post-Partum Women Funding $2,031,425.00

Allocated to the following providers and amounts

1 Baycare Behavioral Hea lth 2 Cha rlotte Behavioral Health

Care

3 Coastal Behavioral Amounts for Healthcare providers will be

4 David Lawrence Cente r specified in a report 5 Drug Abuse Comprehensive submitted with the

Coordinating Office Final Fiscal Year

6 First Step of Sarasota Invoice.

7 Manatee Glens Corporation

8 Operation PAR 9 Success 4 Kids 10 SalusCare

11 Tampa Crossroads 12 Tri -County Human Services

Total $2,O3l,425.00 372 Family Intensive Treatment (FIT) funding, allocated to the following amounts

for services in the designated locations. The Managing Entity shall designate a service provider for this loca t ion in accordance with Section e.6. of this Exhibit.

1. Polk County $ 373,996.00

2. Pasco County $1,044,513.00

3. Charlotte County S 234,540.00

4. Lee County $ 640,935.00 63

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C. Pursuant to the FY14·15 General Appropriations Act, Ch. 2014-51, Laws of Fla., the Managing Entity shall implement the following:

1. Specific Appropriation 351- BayCare Behavioral Health, Inc. During Fiscal Year 2014·2015, from the funds in Specific Appropriation 351, the nonrecurring sum of $150,000.00 from the General Revenue Fund is provided to BayCare Behavioral Health for Veterans.

2. Specific Appropriation 351- Northside Mental Health Center During Fiscal Year 2014-2015, from the funds in Specific Appropriation 351, the nonrecurring sum of $150,000.00 from the General Revenue Fund is provided to Northside Mental Health Center for residential treatment services.

3. Specific Appropriation 371- Drug Abuse Comprehensive Coordinating Office From the funds provided in Specific Appropriation 371, $250,000.00 from the General Revenue Fund shall continue to be provided to the Drug Abuse Comprehensive Coordinating Office (DACCO).

4. Specific Appropriation 372 - Pasco Sherriff's Office. From the funds in Specific Appropriation 372, the nonrecurring sum of $300,000 from the General Revenue Fund is provided for the Strengthen Our Communities Substance Abuse Prevention Program.

5. Specific Appropriation 372 - Pregnant and Post-Partum Women Funding From the funds in Specific Appropriation 372, the recurring sum of $2,031,425.00 from the General Revenue fund is provided 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.

The Managing Entity shall subcontract with the Network Service Providers for this funding as listed in Table A. 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 372 - Pregnant and Post-Partum Women Funding. These anticipated carry forward funds will also be included on Incorporated Document 27: Managing Entity Carry Forward Expenditure Report.

This will allow the Managing Entity the flexibility of managing these funds for full utilization within the array of the named providers.

6. Specific Appropriation 372 - Family Intensive Treatment Funding From the funds in Specific Appropriation 372, the recurring sum of $2,356,388.00 from the General Revenue Fund is provided 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.

a. The Managing Entity shall designate a Network Service Provider to deliver the FIT model for each location specified above and shall subcontract with the provider to implement this proviso appropriation by August 30, 2014.

63a

b. The Managing Entity shall subcontract with the Network Service Providers providing FIT model services for the full amount of funding specified in Table A 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.

c. 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 Incorporated Document 32: FIT Model Guidelines and Requirements, which is hereby incorporated by reference.

7. The managing entity shall ensure each Network Service Provider reports the following performance metries:

a. Number of clients served, b. Number of adults served, c. Number of children served, d. Number of clients admitted in a residential treatment center, e. Type of services provided to the clients, and f. Number of clients discharged.

D. Notwithstanding the provisions of Attachment I and the above Region Specific Provisions, the Managing Entity and the Department agree that the following additional provisions are of specific importance to the community the Managing Entity serves, and will be undertaken inclusive of the obligations of Attachment I and this exhibit.

1. Central Florida Behavioral Health Network (CFBHN) will increase the number of clients served within its provider network by Supported Employment Programs by 10% during Fiscal Year 2013· 2014 as compared to the number served within its provider network by Supported Employment Programs during Fiscal Year 2012·2013. The number of clients served by Supported Employment Programs during Fiscal Year 2013·2014 as compared to Fiscal Year 2012·2013 will be reported to the Suncaast Region Substance Abuse and Mental Health Program Office no later than August 30, 2014.

2. CFBHN will increase the number of clients served within its provider network by Supported Housing Programs by 10% during Fiscal Year 2013·2014 as compared to the number served within its provider network by Supported Housing Programs during Fiscal Year 2012·2013. The number of clients served by Supported Housing Programs during Fiscal Year 2013·2014 as compared to Fiscal Year 2012·2013 will be reported to the Suncoast Region Substance Abuse and Mental Health Program Office no later than August 30, 2014.

3. CFBHN will shift the focus of its Utilization Management Program to a Care Coordination Model focusing on clients who have a history of receiving high cost intensive services. The goal of this Care Coordination approach will be to decrease the frequency and duration of high cost intensive services delivered to these clients through improved service integration and best practice service delivery models. CFBHN will revise its current Utilization Management Plan to reflect this shift. The revised Utilization Management Plan is due to the Suncoast Region Substance Abuse and Mental Health Program Office no later than 30 days after this contract exhibit takes effect.

4. CFBHN will develop a position paper on the viability of alternative payment methodologies such as case rates, capitation rates and/or vouchering for service systems. This paper will make recommendations as to the best alternative payment methodologies and discuss how these approaches may be implemented within their system of care. This position paper is due to the Suncoast Region Substance Abuse and Mental Health Program Office no later than October 31, 2014.

63b

5 CFBHN contracts with Family Intervention Specialist or Motivational Support Specialist I FIS or MSS) providers will set the standard for the first treatment service for FIS or MSS clients to be within 7 days of received referral by the FIS or MSS provider. CFBHN will monitor FIS or MSS providers according to this standard. CFBHN may take into account during the monitoring for this standard whether or not FIS or MSS clients refuse services or if the provider cannot contact clients when monitoring for this standard .

6. CFBHN contracts with Family Intervention Specialist or Motivational Support Specialist I FIS or MSS ) prov iders will set the standard for FIS or MSS home visits to be at least 1 time a month and as needed. CFBHN will monitor FIS or MSS providers according to this standard. CFBHN may take into account during the monitoring for this standard whether or not, FlS or MSS clients refuse home visits and whether or not the FIS or MSS provider can locate clients.

63c

A IT ACHMENT 111 Amendment 36

The administration orresollrces awarded by the Department orChildren & Families to the provider may be subject 10 audits as described in this :!ttilchrnent.

MONITORING

In addition to reviews of audits conducted in accordance with OMS Circular A~ 133 and Section 215.97. F,S., as revised , the depanment may monitor or conduct oversight reviews to evaluate compliance with cOlltract, management and prograrnm.uic requirements. Such monitoring or other oversight procedures may include. hut flot be limited to, on·site visits by department staff, limited scope audits as defined by OMS Circular A-133, as revised. or other procedures. By enterin~ into this agreement, the recipient agrees 10 comply and cooperate with any moniloring procedures deemed appropriate by the departmenl. In the event the department determines that a limited scope audit of the recipient is appropriate, the recipient agrees 10 comply with any additional instruclions provided by the depanmelll regarding such audit The recipient further agrees 10 comply and cooperate wilh any inspec1ions, reviews. investigalions. or audils deemed necessary by the department's inspector genernJ, the state's Chief Financial Oflicer or the Auditor General.

AUDITS

PART I.: FEDERAL REQUIREMENTS

rhls part is applicable if the recipient is a State or local government or., non~profit organization 3S defined ill OMS Circular A· 133.0..0;; revi sed.

In Ihe event Ihe recipienl expends $500,000 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 OMS C ircular A-133. as revised. 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 lhan S500 .. 000 in Federal awards during its fiscal year, the recipient agrees to provide certification to the Department's Single Audit Unit and its contmct manager that a single audit was not required. In detennining the Fedeml awards expended during its fiscal year. the recipient shall consider all sources of Federal awards, including Federal resources received from the Department of C hildren & Families, Federnl government (direct). other state 3gencies, and other non~state entities. TIle detemlination of amounts of Federal awards expended shou ld be in accordance with guidelines established by OMB Circular A-133, as revised. An audit orthe recipient cnnciucled hy the Auditor General in accordance with the provisions of OMB Circular A· 133. as revised, willillcel the requirements of this part. In connection with the above audit requirements. the rccipielH shall fulfill the requiremenLo;; relative to 3uditee responsibilities as proyided in Subpart C ofOMB Circular A~ 133. 3S revised.

The s,c:hedulc of expenditures should disclose the expenditures by contrnct number for each COlltract' with the department in effect during the audit period. The financial statements should disclose whether or 1101

the mUlching requirement was met for each applicable contnlcL All questioned c-osts and liabilities due the department shall be fully di sc losed in the audit report package with reference to the specific COllt'ra.ct number.

Single Audit Infom13tion for Recipients of Recovery ACI Funds:

(3) To maximia the transparency and accountability offunds authorized under the American Recovery anti Reinvestment Act of2009 (Pub. L. 111 -5) (Recovery Act) as required by Congress and in accordance with 2: CFR 215 .2 1 "Unifonn Administrative Requirements lor Grants and Agreements" and OMU Circular A-

III

102 Common Rules provisions, recipients agree to maintain records that identify adequntely the source and application of Recovery Act funds. OMB Circular A- 102 is available at hUp://www.whitehouse.gov/omb/circularslaI02/3102 .html .

(b) For recipients coY,'red by (he Single Audit Act Amendments or 1996 and OMI:! CirclIlar A 133. " Audits of States, Local Governments, and Non-Profit Organizations;' recipients agree to scpanucly identify the expenditures for Federal awards under the Recovery Act on the Schedule of Expenditures of Fedcrul A"ard, (SUA) and the Data Collection Form (SF- SAC) required by OMB CirclIlar A- 133. OMI3 Circular A- 13J is available at httpJ/www.whitehouse.gov/omb/circularslaI33/aI33.hunl.111is shall be accomplished by ideOlifying expenditures for Federal awards made under the RCl:overy Act separately on the SEF A. and as separate rows under Item 9 of Pan ilion me SF- SAC by efDA number. and inclus ion of the pre fi x " ARRA~" in identifying the name of the Federal program on the SEFA and as the first characters III Item 9d of Part ilion the SF- SAC.

(c) Recipients agree 10 separately identify to each subrecipient, and document at the time of subaward and at the time o f disbursement of funds , the Federal award number. CFDA number. and amount of Recovery Act funds. When a recipient awards Recovery Act funds for an existing program. the information furnished to subrecipients shall distinguish the subawards of incremental Recovery Act funds from regular subawards under the existing program.

Cd) Recipients agree to require their subrecipients to include on their SEFA information (0 specifically idelllify Recovery Act funding similar to the requirements for the recipient SEFA described above. This inlormation is needed to allow the recipient to properly monitor subrecipient expenditure of ARRA funds as \ ... ·cll as overs ight by the Federal awardin~ agencies, Offices of Inspector General and the Government Accountability Omce.

PART II: STATE REQUIREMENTS

This pun is applicable jf the recipient is a nonst'ate cntity as defined by Section 215 .97(2). Florida Statutes.

In the event the recipient expends $500,000 or more in slate tinancial assistnnce during its fiscal year, the rec ipient must have a State single or project-specific audit conductetl in accordance with Section 215. en, "Iorida Statures; applicable rules of the Department of Financial Services; and Chapters 10.550 (local govcmmcllIil l cnllti~s) ur 10.650 (nonprofit and for~pmfit orguflI7..ations), Rules of the Auuitor General. The recipient agrees to provide a copy orltle single audit to the Depa"mem's Single Audit Unit and its contract manager. In the event the recipient expends less than $500.000 in State financial assistance during irs fi scal yenr, the recipient agrees to provide certification to the Department' s Single Audit Unit and its contract manager thilt a single audit was not required . In detennining the stale financial assistance expended during its liscal year, the recipient shall consider all sources ofstnte financial assistance. including state financial as!'i istancC' received from the Department of Children & Families. other state agencies. and other nons tate entities. State financial assistance does not include Federal direct or pass-through aWllrds and re500urces received by a nOllstate entity for Federal program matching requirements .

In connection with the audit requirements addressed in the preceding paragraph, the recipient shall ensure that Ihe audit complies with the requirements ofStction 215.97(8). Florida Statutes. This includes suhmis!l ion of u financial reponing package as defined by Section 215.97(2). Florida StBtutes. Bnd Chapters 10.550 or 10.650. Rules of the Audil'orGcncml.

The schedule (I f expenditures should disclose the expenditures by contnlct number for each contract with th ~ depanment in efleet 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 s hall be fully disclosed in the audit report package with reference to the specific contract number.

112

PART H I: REPORT SUBMISSION

Ally reports, management letters, or other information required to be submitted to the dcpanmcnt pursuant to this agreement shall be submitted within 180 days aIler the cnd of the provider's fiscal year or within 30 days orthe recipient 's receipt of the audit repon, whichever occurs first, direct ly to each of the followin g unless otherwise required by Florida Statutes;

A. Contract manager for this contract (I copy)

B. Department of Children & Families ( I electronic copy and managcmenllellcr, if issued )

Otlict'". of the Inspector Gl"nera l Single Audit Unit Building 5. Room 237 1317 Winewood Boulevard Tallahassee, FL 32399-0700

Email address:Single.Audit@ myflfantilies.com

C. Repoliing packages for audits conducted in accordance with OMS Circular A-133, as revised, and required by Part I of this agreement shal1 be submitted, when required by Section .320(d). OMB Circular A-I)}, as revised. by or 0 11 behalf of the recipient llllill.Y to the Federal Audit Clearinghouse using (he Federal Audit Clearinghouse's Internet Dum Entry System at;

hltn:llha rvesler .census.gov/fac/collcct/ddcindcx.html and other Federal agencies and pass-through ent ities in accordance wi th Sections .320(e) and (t). OMB Circular A-D3. as revised.

D. Copies of reporting packages required by Part II of th is agreement shall be submitted by or on behalf of the recipient directly to the following address:

Auditor General I.(leal Govemment Audilv342 CI.ude Pepper Building, Room 401 I I I West Madison Slreet Tallahassee. Florid(} 32399- 1450

Email address;flaudgenJocalgovt@aud.state. f1 .us

Pnwiders, when submitting audit report packages to the department for audits done in accordance with OMB Circular A-IJ] or Chapters 10.550 (toea I governmental en tit ies) or 10.650 (nonprotit 01' for~profit

organizations). Rules of the Auditor General. should include, \\-'hen availab le, correspondence from the auditor indicating the date the audit report package was del ivered to them. When such correspondence is not available , the date that the audit repon package was de livered by the auditor to the provider must be indicated in correspondence submitted to the department in accordance with Chapter 10.55 8(3) or Chapter 10.657(2). Rules of the Auditor Genentl.

PART IV: R ECORD RET ENTION

The recipient shall retain sufficient records demonst rating its cClInpliance with the terms of this agl'cernent for a period of s ix years from the date the audit report is issued and shall allow the department or its d~signee. Chief Financial Officer or Auditor General access to slich records upon requesl. The recipient ~ha [J ensure that audit working papers are made avai lable to the department or its designee, Chief Financial Oflicer or Auditor Genera l upon request for a period of three years from the date the audit report is issued, unh::ss extended in writing by the department.

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