Okaloosa County BOCC — October 7, 2014 — AH105 OKALOOSA BCC amendment #7 renewal Fully Executed — reading text

mental health service event records which have matching mental health initial (purpose 1) admission records in the Substance Abuse and Mental Health Information System will be at least(SAMHIS) (M0759) (Target - 95%) ll. Substance Abuse Contracted Services Required Performance Output Standards for Each Target (Include all clients paid for Hd this SAMH contract only, Contract funding includes SAMH, TANF, PTS, Local Match, and Title XXI payments.) *Please explain in the comment section below if a target population is indicated in the section below, but there is no corresponding outcome standard for that population. 1. Adults with Substance Abuse Problems a. Number of Adults Served (M0063)/(SA063) 2. Children with Substance Abuse Problems a. Number of Children Served (M0052)/(SA052) 3. Adults At-Risk of Substance Abuse Problems- (Non GAA) a. Number of Adults participating in Prevention Services (M0785)(SA785) b. Number of Adults participating in Level 1 Prevention Programs (M0767)/(SA767) c. Number of Adults participating in Level 2 Prevention Programs (M0768)/(SA768) d. Number of adults participating in Level 1 Prevention Programs who complete 75 percent of the program’s schedule of activities (M0769)/(SA769) e. Number of adults participating in Level 2 Prevention Programs who complete 75 percent of the program’s schedule of activities (M0770)/((SA770) 4. Children At-Risk of Substance Abuse Problems- (Non GAA a. Number of children participating in Prevention Services (M0762)/(SA762) b. Number of children participating in Level 1 Prevention Programs (M0761)/(SA761) c. Number of children participating in Level 2 Prevention Programs(M0695)/(SA695) d. Number of children participating in Level 1 Prevention Programs who complete 75 percent of the program’s schedule of activities (M0763)/((SA763) e. Number of children participating in Level 2 Prevention Programs who complete 75 percent of the program’s schedule of activities (M0764)(SA764) A. Required Performance Outcome Standards for Each Target Population *Please explain in the comment section below if there is an Outcome Standard but there is no corresponding target population indicated. 1. Adults with Substance Abuse Problems a. Percent of adults who successfully complete substance abuse treatment services will be at least (M0755)/SA755) - (Statewide Target - 50%) b. Percent change in clients who are employed from admission to discharge will be at least (M0753)/(SA753) (Statewide Target - 20%) c. Percent of adults who live in a stable housing environment at the time of discharge will be at least (M0756)/SA756) - (Statewide Target - 80%) d. Percent change in the number of adults arrested 30 days prior to admission versus 30 days prior to discharge (M0754/SA754) (Statewide Target - 35%) N/A N/A N/A Minimum Numbers to be Served N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Minimum Contract Standard N/A N/A N/A N/A Performance Contract SAMH Services Program Exhibit D Substance Abuse and Mental Health Required Performance Outcomes and Outputs 2014-2015 Provider Name: Okaloosa County Board of County Commissioners. Contract #: AH105_ Date: 9/1/14 Revision #: __ 2. Adults At-Risk of Substance Abuse Problems - (Non GAA) (Statewide Target for each 50%) a. Percent of adults participating in Level 1 Prevention Programs who complete 75 percent of the program’s schedule of activities will be at least (M0771)/(SA771) N/A b. Percent of adults participating in Level 2 Prevention Programs who complete 75 percent of the program’s schedule of activities will be at least (M0772)(SA772) N/A 3. Children with Substance Abuse Problems a. Percent of children who successfully complete substance abuse treatment services will be at least (SA725)/M0725) - (Statewide Target - 55%) N/A b. Percent of children who live in a stable housing environment will be at least (M0752)/SA752) - (Statewide Target - 85%) N/A c. Percent change in the number of children arrested 30 days prior to admission versus 30 days prior to discharge will be at least (M0751/SA751) - (Statewide Target - 20%) N/A 4. Children At-Risk of Substance Abuse Problems - (Non GAA) (Statewide Target for each 50%) a. Percent of children participating in Level 1 Prevention Programs who complete 75 percent of the program’s schedule of activities will be at least (M0765)/(SA765) N/A b. Percent of children participating in Level 2 Prevention Programs who complete 75 percent of the program’s schedule of activities will be at least (M0766)/(SA766) N/A 5. Data Submission for Prevention Program Tool (Non GAA) a. Percent of approved Prevention Descriptions completed within 30 days of contract execution. (Statewide Target 50%) N/A B. Required Internal Measures 1. Data Submission Outcomes for Substance Abuse a. Percent of persons receiving state-contracted substance abuse service event records which have matching substance abuse initial (purpose 1) admission records in the Substance Abuse and Mental Health Information System will be at least(SAMHIS) (M0758) (Target 95%) N/A Ill. Comments / Explanations *There should be a number, or N/A inserted for each target or outcome in the sections above. ‘Please explain if a target population is indicated but there is no corresponding outcome standard for that population, or if there is an Outcome Standard but there is no corresponding target population indicated. This contract is for the provision of Drug Court, Mental Health Court Case Management, and Forensic and Pre- Trial Services in Okaloosa County. Qualifications for services provided under this contract are determined within the judicial system in cooperation with the Court, Department of Corrections, Pretrial Diversion, Office of State Attorney, and the Public Defender’s Office. There are no Outcome Standards in Adult Mental Health that relate to the services provided in this contract. Data on clients served in each program are reported and tracked on a monthly basis. EXHIBITG FY 14/15 FUNDING FOR SERVICES TO BE PROVIDED Provider Name : Okaloosa County Board of County Commissioners Amendment #07 Contract # AH105 Monthly SAMH Services 10/1/2014 Drug Court Case Manager Imonthx9 |$ 2,276.00 | $ 20,484.00 | 10/1/14-6/30/15 Forensic Mental Health Specialist 1monthx9 |$ 4,079.00 | $ 36,711.00 10/1/14-6/30/15 Mental Health Court Case Manager |1monthx9 | $ 3,923.00 | $ 35,307.00 | 10/1/14-6/30/15 MH Pretrail Officer 1monthx9 |$ 3,093.00 | $ 27,837.00 10/1/14-6/30/15 total for 10/1/14 to 6/30/15 $ 13,371.00 | $ 120,339.00 10/1/14-6/30/15 08/29/14 Exhibit F Performance Contract SAMH Services Program Minimum Service Requirements The provider and its subcontractors shall be knowledgeable of and fully 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: |. PROGRAMMATIC AUTHORITY (FEDERAL) A. Mental Health 42 U.S.C. 300x to 300x-9 (Block Grant for community Mental Health Services) http://Awww4.law.cornell.edu/uscode/42/ch6AschXVIIpB. html B. Substance Abuse Prevention and Treatment Block Grant (SAPTBG) 42 U.S.C. 290kk, et seq. (Limitation on use of funds for certain purposes) http://www4.law.cornell.edu/uscode/html/uscode42/usc_sec_42 0000029 0-- kkO00-.html 42 U.S.C. 300x-21 to 300x-35 and 300x-51 to 300x-66(SA Treatment & Prevention Block Grants) http:/Awww4.law.cornell.edu/uscode/html/uscode42/usc_sup_01 42 10 6 A_20 XVII 30 B 40 ii.html 42 CFR, Part 54 (Charitable choice) http://www.access.gpo.gov/nara/cfr/waisidx 03/42cfr54_03.html 45 CFR 96.120 — 137 (SA Treatment & Prevention Block Grants) http://www.access.gpo.gov/nara/cfr/waisidx_03/45cfr96_03.html Restrictions on expenditures of SAPTBG 45 CFR 96.135 http://www.access.qpo.gov/nara/cfr/waisidx_01/45cfr96_01.html C. Substance Abuse-Confidentiality 42 CFR, Part 2 http:/Awww.access.qpo.gov/nara/cfr/waisidx_03/42cfr2_03.html D. Health Insurance Portability and Accountability Act (HIPAA) 45 CFR 164 http:/Avww.access.qpo.gov/nara/cfr/waisidx_03/45cfr164_03.html Rev.07/01/2014 Exhibit F PSMAI No. HC__ OCBOCC Page 1 Contract No. AH105 08/29/14 Exhibit F Performance Contract SAMH Services Program E. Social Security Income for the Aged, Blind and Disabled 20 CFR 416 http:/Awww.access.qpo.gov/nara/cfr/waisidx_03/20cfr416_03.html F. Endorsement and Payment of Checks Drawn on the United States Treasury 31 CFR 240 relating to SSA http://Awww.access.gpo.gov/nara/cfr/waisidx_03/31cfr240_03.html G. Temporary Assistance to Needy Families (TANF) Part A, Title IV of the Social Security Act 45 CFR, Part 260 http://www.access.gpo.gov/nara/cfr/waisidx_03/45cfr260_03.html Section 414.1585, F.S. http://www.leg.state.fl.us/statutes/index.cfm?App mode=Display Statute&Search String=&URL=0400-0499/0414/Sections/0414.1585.html H. Positive Alternatives to Homelessness (PATH) Public Health Services Act, Title V, Part C, Section 521, as amended 42 U.S.C. 290cc-21 et. seq. http://www.law.cornell.edu/uscode/html/uscode42/usc_sup 01 42 10 6A 20 Ill -A_30_C.html Stewart B. McKinney Homeless Assistance Amendments Act of 1990, Public Law 101-645 http://www4.law.cornell.edu/usc-cgi/get_external.cgi?type=pubL&target=101-645 42 CFR, Part 54 http:/Avww.access.gpo.gov/nara/cfr/waisidx_03/42cfr54_03.html I. Americans with Disabilities Act of 1990 42 U.S.C. 12101 et seq. http://www.law.cornell.edu/uscode/html/uscode42/usc_sec 42 00012101----000- -html Il. FLORIDA STATUTES All State of Florida Statutes can be found at the following website: http://www.leg.state.fl.us/statutes/index.cfm?Mode=ViewStatutes&Subme nu=1 Rev.07/01/2014 Exhibit F PSMAI No. HC__ OCBOCC Page 2 Contract No. AH105 Chapter 39, F.S. Chapter 119, F.S. Chapter 402, F.S. Chapter 435, F.S. Chapter 490, F.S. Chapter 491, F.S. Chapter 1002, F.S. Section 402.3057, F.S. Section 414.295, F.S. Exhibit F Performance Contract SAMH Services Program A. Child Welfare and Community Based Care Proceedings Relating to Children Public Records Health and Human Services; Miscellaneous Provisions Employment Screening Psychological Services Clinical, Counseling and Psychotherapy services Student and Parental Rights and Educational Choices Persons not required to be refingerprinted or rescreened Temporary Cash Assistance; Public Records Exemptions . Substance Abuse and Mental Health Services Chapter 381, F.S. Chapter 386, F.S. Chapter 395, F.S. Chapter 394, F.S. Chapter 397, F.S. Chapter 400, F.S. Chapter 435, F.S. Chapter 458, F.S. Chapter 459, F.S. Chapter 464, F.S. Chapter 465, F.S. Chapter 490, F.S. Chapter 491, F.S. Chapter 499, F.S. Chapter 553, F.S. Chapter 893, F.S. Public Health General Provisions Particular Conditions Affecting Public Health Hospital Licensing and Regulation Mental Health Substance Abuse Services Nursing Home and Related Health Care Facilities Employment Screening Medical Practice Osteopathic Medicine Nursing Pharmacy Psychological Services Clinical, Counseling and Psychotherapy Services Drug, Cosmetic and Household Products Building Construction Standards Drug Abuse Prevention and Control Section 409.906(8), F.S. Optional Medicaid — Community Mental Health Services C. Developmental Disabilities Chapter 393, F.S. Developmental Disabilities D. Adult Protective Services Chapter 415, F.S. Adult Protective Services E. Forensics Chapter, F.S.916, F.S. Chapter 985, F.S. Rev.07/01/2014 Exhibit F OCBOCC Page 3 Mentally Deficient and Mentally III Defendants. Juvenile Justice; Interstate Compact on Juveniles PSMAI No. HC__ Contract No. AH105 08/29/14 Exhibit F Performance Contract SAMH Services Program Section 985.19, F.S. Incompetency in Juvenile Delinquency Cases Section 985.24, F.S. Interstate Compact on Juveniles; Use of detention; prohibitions; F. Florida Assertive Community Treatment (FACT) General Appropriations Act