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

parties. There are no provisions, terms, conditions, or obligations other than those contained herein, and this subcontract shall supersede all previous communications, representations, or agreements, either verbal or written between the parties. If any term or provision of this subcontract is legally determined unlawful or unenforceable, the remainder of the subcontract shall remain in full force and effect and such term or provision shall be stricken. By signing this subcontract, the parties agree that they have read and agree to the entire subcontract, as described above. IN WITNESS THEREOF, the parties hereto have caused this subcontract to be executed by their undersigned officials as duly authorized, OKALOOSA COUNTY BOARD OF BIG BEND COMMUNITY BASED CARE, COUNTY COMMISSIONERS INC | pe a Signature: Poh hi dK Signature: Lan, C4 ye a i) Cit yet Name: Charles K. Windes, Jr. Name: Mike Watkins Title: Chairman Okaloosa County Board of Title:_Chief Executive Officer County Commissioners Date: Yae/ed Date: G |2 G Jt 22 9/12/14 Contract #AH105 08/25/14 ATTACHMENT | A. Services To Be Provided 1. Definition of Terms a. Contract Terms Contract terms used in this document can be found in the Florida Department of Children and Families Glossary of Contract Terms, which is incorporated herein by reference and will be provided by the contract manager. b. Program/Service Specific Terms (1) “Assessment Instrument” means a tool used for collection of detailed information concerning an individual’s substance abuse, emotional and physical health, social roles, and other areas that may reflect the severity of the individual's abuse of alcohol or drugs, as a basis for identifying an appropriate treatment regimen. (2) “Client” (synonymous with recipients of services) means any individual who is receiving services in any substance abuse or mental health program whose cost of care is paid, in part or in whole, by BBCBC, Medicaid, Medicaid capitated managed care entities, or local match. (3) “Clinician” means a substance abuse or mental health professional that provides one or more of the following services: assessment; individual, group, or family counseling services; or case management. (4) “Community-Based” means mental health and/or substance abuse services provided outside a state mental health facility or inpatient settings, such as psychiatric residential treatment facilities for children. (5) “Continuous Quality Improvement’ —means the systematic on-going process of improving performance, both in process and end of process indicators, in order to meet the individual service recipient's valid requirements. (6) “Culturally Competent Services” means acknowledging and incorporating variances in normative acceptable behaviors, beliefs and values in determining an individual’s mental wellness/illness and incorporating those variances into assessments and treatment that promotes recovery. (7) “DCF PAM 155-2" means the Department of Children & Families, Pamphlet 155-2 - Mental Health and Substance Abuse Measurement and Data- latest revised edition thereof means a document promulgated by the Okaloosa County Board of County Commissioners Page 8 Contract No.AH105 08/25/14 department that contains required data-reporting elements for substance abuse and mental health services, and which can be found at: http://www.def.state.fl.us/programs/samh/pubs_reports.shtml , and is incorporated herein by reference. (8) “Evidence-Based” means those practices that are based on accepted practices in the profession and are supported by research, field recognition, or published practice guidelines. (9) "Payor class" means Medicare, Medicare HMO, Medicaid, Medicaid HMO, private-pay health insurance, private-pay health maintenance organization, private preferred provider organization, the Department of Children and Family Services, other government programs, self-pay patients, and charity care. (10) “Program Description” means the document the provider prepares and submits to BBCBC/PSYCHCARE for approval prior to the start of the contract period, which provides a detailed description of the services to be provided under the contract pursuant to Rule 65E-14.021, F.A.C. It includes but is not limited to the provider's organizational profile, a detailed description of each program and cost center funded in the contract, the geographic service area, service capacity, staffing information, and client and target population to be served. (11) “Protected Health Information” (PHI) means any information whether oral or recorded in any form or medium that is created or received by a health care provider, health plan, public health authority, employer, life insurer, school or university, or health care clearinghouse; and relates to the past, present, or future physical or mental health or condition of an individual; the provision of health care to an individual; or the past, present, or future payment for the provision of health care to an individual. (12) “SAMH” means the Substance Abuse and Mental Health Programs within BBCBC. 2. General Description a. General Statement The services provided under this contract are community-based substance abuse and mental health services for adults and/or children, as authorized in s. 394.74, Florida Statutes (F.S.). b. Authority Okaloosa County Board of County Commissioners Page 9 Contract No.AH105 08/25/14 The authority to contract is provided by ss. 20.19, 39.001(2), 39.001(4), 394.457(3), 397.305(2), and 397.321(5), F.S. c. Scope of Service (1) The services and programs specified in this contract will be available in the following counties: Okaloosa County d. Major Program Goals (1) The intent of the Substance Abuse and Mental Health Programs is to promote and improve the behavioral health of the citizens of the state by making substance abuse and mental health prevention, treatment and support services available through a community-based system of care. 3. Clients to be Served See Exhibit A, Clients to be Served B. Manner of Service Provision 1. Service Tasks a. Task List (1) The provider shall use the Florida Supplement to the American Society of Addiction Medicine Patient Placement Criteria, Second Edition (ASAM PPC- 2) revised effective July 10, 2006, or the latest revised edition thereof, for assessing and placing clients receiving substance abuse treatment services which can be obtained at: http://www.asam.org/PatientPlacementCriteria.html . (2) Based on client needs, the provider agrees to provide appropriate services from the list of approved programs/activities described in Exhibit G, Services to be Provided, and the description of such services specified in the Program Description as required by Rule 65E-14.021, F.A.C. (3) The provider shall establish a grievance procedure that applicants for, and recipients of, services may use to present grievances to the governing authority of the provider regarding services being provided under this contract. (4) If the provider provides medication management services, the provider shall ensure that clients discharged from state mental health treatment facilities will be maintained on the medication that was prescribed for them by Okaloosa County Board of County Commissioners Page 10 Contract No.AH105 08/25/14 the facility at discharge pursuant to s. 394.676, F.S. Maintenance includes performing required lab tests, providing the medication, and providing appropriate physician oversight. (5) The provider shall serve the number of persons indicated in Exhibit D, Substance Abuse and Mental Health Required Performance Outcomes and Outputs within the activities specified on Exhibit G, Services to be Provided. (6) The provider shall deliver services described Exhibit G, Services to be Provided according to the Program Description that is on file and incorporated herein by reference. (7) The provider shall comply with CFOP 215-8, Oversight Of Human Subject Research And Institutional Review Board Designation. The policy and guidance can be found at: http://www.def.state.fl.us/admin/publications/humanResearch.shtml. Approval from the department is mandatory for all research conducted by any department employee, contracted organization or individual, or any public or private vendor, even if the aforementioned has their own Institutional Review Board which has granted approval. (8) The provider shall execute a Memorandum of Understanding (MOU) with the appropriate Federally Qualified Health Center within ninety (90) days of the effective date of this contract or of an amendment adding this requirement to an existing contract. The MOU shall be submitted to BBCBC/PSYCHCARE upon completion. The MOU provides for integration of primary care services to the medically underserved. (9) The provider will shall demonstrate efforts to initiate and support local county implementation of the Medicaid Substance Abuse Local Match Program in order to expand community service capacity through draw down of Federal funding. (10) All providers of substance abuse and mental health services shall comply with TITLE VI OF THE CIVIL RIGHTS ACT OF 1964, Title 42, Chapter 21, Subchapter V to ensure that the following Culturally Competent Care Provisions are integrated throughout the continuum of care for all individuals served: (a) Ensure that all consumers have access to care from staff in an understandable and respectful manner that is compatible with the consumer's cultural beliefs, practices and preferred language; (b) Ensure that strategies are implemented in the recruitment, retention and promotion of a diverse staff at all levels of care and throughout the Okaloosa County Board of County Commissioners Page 11 Contract No.AH105 08/25/14 leadership of the organization; and (c) Ensure that staff receive ongoing education and training in culturally competency across all disciplines resulting in appropriate service delivery. b. Task Limits The provider shall only perform services upon receipt of a written authorization from the contract manager, unless otherwise authorized in this agreement. Such services shall be performed in accordance with applicable rules, statutes, and licensing standards. 2. Staffing Requirements a. Staffing Levels The provider shall maintain staffing levels in compliance with applicable rules, statutes, and licensing standards. See Exhibit F, Minimum Service Requirements. b. Professional Qualifications (1) The provider shall comply with applicable rules, statutes, and licensing standards with regard to professional qualifications. See Exhibit F, Minimum Service Requirements. (2) The provider shall provide employment screening for all mental health personnel and all owners, directors, and chief financial officers of service providers using the standards for Level Il screening set forth in Chapter 435, and s. 408.809 F.S., except as otherwise specified in s. 394.4572(1)(b)-(c), F.S. For the purposes of this contract, “Mental health personnel’ includes all program directors, professional clinicians, staff members, and volunteers working in public or private mental health programs and facilities who have direct contact with individuals held for examination or admitted for mental health treatment. Additionally, the provider shall provide employment screening for substance abuse personnel using the standards set forth in Chapter 397, F.S. This includes all owners, directors, and chief financial officers of service providers and all service provider personnel who have direct contact with children receiving services or with adults who are developmentally disabled receiving services. c. Staffing Changes The provider shall notify BBCBC/PSYCHCARE, in writing, at least ten (10) calendar days prior to staffing changes regarding the positions of Chief Executive Okaloosa County Board of County Commissioners Page 12 Contract No.AH105 08/25/14 Officer, Chief Operating Officer and Chief Financial