Loading...
Agenda 08/13/2024 Item #16F11 (Ratify purchase agreement between Central Florida Behavioral Health Network, Inc. participate in the Coordinated Opiod Recovery Network of Addiction Care Program)08/13/2024 EXECUTIVE SUMMARY Recommendation to approve and ratify a purchase agreement between Central Florida Behavioral Health Network, Inc., and Collier County Board of County Commissioners in the amount of $145,833, to participate in the Coordinated Opioid Recovery Network of Addiction Care program in which funding will be used toward preventing and treating substance abuse in Collier County and authorize necessary Budget Amendments. OBJECTIVE: To utilize Coordinated Opioid Recovery Network (CORE) funding to disrupt the opioid epidemic through point of care and medication-assisted treatment (MAT) with emphasis on the continuity of care in accordance with the County’s strategic objectives to support access to health, wellness, and human services. CONSIDERATION: The CORE program, piloted by the State of Florida to address substance abuse and recovery to disrupt the opioid epidemic, is managed by Central Florida Behavioral Health Network (CFBHN) through the Department of Children and Families (DCF). In November 2023, Collier County was named as a CORE recipient by DCF. Collier County EMS will work to support the CORE objectives through a sustained system of care to manage the complex medical needs of our patients. On April 23, 2024, the Board approved a purchase agreement for the first round of CORE funding (Item 16.F.2) in the amount of $163,170, ending on June 30, 2024. The new proposed agreement for the second round of funding (PK290) has an effective date of July 1, 2024 in the amount of $145,833. The agreement is currently set to terminate when CFBHN’s agreement with DCF expires on December 31, 2024, however, CFBHN will be awarded a new bid from DCF in August that could extend the term of this agreement. EMS will provide MAT at the point of care in compliance with standing orders addressing immediate needs and connecting patients with resources to support recovery. EMS has plans to deploy the following scope of work: a) Ensure around the clock access to initial treatment, ensuring the highest level of care. b) Ensure continuity of care and access to resources designed to support unrestricted treatment and access to peer services. c) Purchase and supply Narcan. d) Distribute flyers created for community awareness of CORE program to include resource contact numbers. e) Purchase additional NarcBoxes and necessary subscriptions for secure narcotics storage fulfilling our fleet of ambulances to each house one NarcBox. f) Implement ImageTrend Field™ Add-on software for tracking, reporting, and analysis on community paramedicine and mobile integrated healthcare (CP/MIH) projects. g) Purchase of EKG machine for CORE patient health monitoring EMS will continue to evaluate outcomes and adjust accordingly to ensure the continued effectiveness of the program. This program will work in conjunction with the Collier County Sheriff’s Office (CCSO) Behavioral Health Bureau, Collier Health Services Federally Qualified Health Center and David Lawrence Center. Collaboration with these agencies will ensure that individuals receive a higher level of care and have access to clinic providers. Community and Human Services Division will assist EMS staff with providing administrative support associated with the grant administration and will utilize the administrative funds set aside to support staff cost. The agreement will support the required purchases of software, equipment, medical supplies and the EMS Division will utilize best procurement methods to procure items to include informal quoting, cooperative agreements, and waivers. FISCAL IMPACT: Budget amendments are necessary to recognize and appropriate CFBHN revenue within the EMS Grant Fund (4053), Project 33919 in the amount of $145,833, Funding is reimbursed at a prorated amount 16.F.11 Packet Pg. 1631 08/13/2024 each month, provided that EMS meets the stated deliverables. CHS administrative support is budgeted in the amount of $13,121, There is no match requirement associated with this agreement. GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated with this item. LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for Board approval. - CJS RECOMMENDATION: Approve and ratify a purchase agreement between Central Florida Behavioral Health Network, Inc., and Collier County Board of County Commissioners in the amount of $145,833, to participate in the Coordinated Opioid Recovery Network of Addiction Care in which funding will be used toward preventing and treating substance abuse in Collier County and authorize necessary Budget Amendments. Prepared By: Cherie DuBock, Accounting Supervisor, EMS ATTACHMENT(S) 1. Guidance 41 - CORE_ (PDF) 2. CORE Purchase Agreement PK290 FY24-25 certified (PDF) 3. Master Contract FY23-24 Amendment 101 6-27-2024 (PDF) 16.F.11 Packet Pg. 1632 08/13/2024 COLLIER COUNTY Board of County Commissioners Item Number: 16.F.11 Doc ID: 29414 Item Summary: Recommendation to approve and ratify a purchase agreement between Central Florida Behavioral Health Network, Inc., and Collier County Board of County Commissioners in the amount of $145,833, to participate in the Coordinated Opioid Recovery Network of Addiction Care program in which funding will be used toward preventing and treating substance abuse in Collier County and authorize necessary Budget Amendments. Meeting Date: 08/13/2024 Prepared by: Title: – Emergency Medical Services Name: Cherie DuBock 07/11/2024 2:19 PM Submitted by: Title: – Emergency Medical Services Name: Bruce Gastineau 07/11/2024 2:19 PM Approved By: Review: Emergency Medical Services Bruce Gastineau EMS Chief Review Completed 07/11/2024 4:07 PM Emergency Management Michael Choate Executive Director Review Completed 07/12/2024 9:12 AM Community & Human Services Tami Bailey Other Reviewer Completed 07/16/2024 10:24 AM Community & Human Services Carolyn Noble Other Reviewer Completed 07/16/2024 10:58 AM Grants Joanna Partyniewicz Level 2 Grants Review Completed 07/16/2024 11:38 AM Community & Human Services Kristi Sonntag Other Reviewer Completed 07/17/2024 12:27 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 07/17/2024 2:05 PM Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Completed 07/17/2024 2:58 PM Office of Management and Budget Agnieszka Chudy OMB Reviewer Completed 07/17/2024 3:16 PM Grants Therese Stanley OMB Reviewer Completed 08/02/2024 2:08 PM County Manager's Office Amy Patterson Level 4 County Manager Review Completed 08/07/2024 11:57 AM Board of County Commissioners Geoffrey Willig Meeting Pending 08/13/2024 9:00 AM 16.F.11 Packet Pg. 1633 Program Guidance for Managing Entity Contracts Effective October 1, 2023 Guidance # 41 Coordinated Opioid Recovery (CORE) Network of Addiction Care Contract Reference: Contract Exhibit A. Administration C-1.23 Authority: Section 394.9082, F.S. C-1.2.3.25 Frequency: Data submission every other week I. Purpose This document provides direction and guidance for administration, implementation, and management of Florida’s Coordinated Opioid Recovery (CORE) Network of Addiction Care. This document outlines the purpose, policy, and competencies intended to ensure that funds are used effectively to combat opioid use disorder in Florida, in accordance with state and federal laws and regulations. To ensure the implementation and administration of this project, the Managing Entity shall require that Network Service Providers, Emergency Medical Providers, and Emergency Departments participating in a CORE project to continue with service delivery and reporting as previously required during FY 22/23. The Managing Entity shall not make any changes or variations from fidelity to the structure, implementation, and data collection of the CORE model as stated in this document. II. Program Requirements 1. Provide a 24/7 access point where an individual can access medication assisted treatment (MAT), including weekends. 2. Ensure a clinic provider is available to receive individuals in need of services from the 24/7 access point, and that first responders can provide MAT until the individual can be seen in the clinic. 3. Provide treatment for co-morbid alcohol and benzodiazepine use disorders. 4. Ensure individuals receiving services have access to higher levels of care if needed, including outpatient detox. 5. Ensure the availability of clinical experts in addiction medicine, including licensed therapists in outpatient services and access to primary care for all individuals served. 6. Perform necessary lab work on all individuals to identify any infectious diseases. 7. Ensure individuals served have access to psychiatric care at the providers clinic or in the community. 8. Ensure availability of peer support staff to assist in navigating the CORE network and other supportive services needed. 9. Ensure care coordination is available based on an individual's need. 10. Ensure access to a variety of MAT, including buprenorphine (Buprenorphine) and Vivitrol, and referrals for methadone, if appropriate. 11. Capacity to continue prescribing MAT as long as the prescriber determines the medication is clinically beneficial, without any arbitrary limits on length of care. 12. Approach to dosing MAT that considers the specific circumstances and use pattern of the individual. 13. Availability to test biological specimens (e.g., urine, blood, hair) for fentanyl at the 24/7 access point and the receiving clinic. 16.F.11.b Packet Pg. 1634 Attachment: Guidance 41 - CORE_ (29414 : CORE Grant Purchase Agreement) 2 14. Network Service Providers, Emergency Medical Providers, and Hospital Emergency Departments shall use the established clinic intake process. 15. Network Service Providers, Emergency Medical Providers, and Hospital Emergency Departments shall use the established protocol for induction on buprenorphine. 16. Naloxone kits shall be available to individuals without specific conditional requirements. 17. Provide access to group and individual therapy and recovery support groups facilitated by recovery peer specialists, where appropriate. 18. Procedures to address phases of treatment. 19. Ability to provide care to pregnant and parenting women. 20. Consistent monitoring of outcome measures and data including the use of the Brief Addiction Monitoring (BAM) tool and reporting as outlined in Section VIII of this document. III. Eligibility The CORE model prioritizes adults aged 18 or older who experience any of the following: 1. A confirmed or suspected opioid overdose requiring naloxone administration. 2. Signs and symptoms of severe opioid withdrawal. 3. Acute opioid withdrawal as a chief complaint. 4. Individuals seeking support for opioid use disorder (OUD) at any county CORE partner location. IV. CORE Program Model The CORE model establishes a recovery-oriented continuum of care and support for those seeking treatment and recovery support services for OUD. This comprehensive approach expands every aspect of overdose response and treats all primary and secondary impacts of substance use disorder (SUD). The CORE model disrupts the revolving door of addiction and overdose by providing primary care and peer navigators within the emergency department and immediately connecting individuals to sustainable overall health care. Department approval is required before implementing any variation of the CORE model. The model includes the following tiered approach: 1. Rescue Response 2. Stabilization/ Assessment 3. Long-term Treatment 4. Recovery Supports V. CORE Sustainability Sustaining CORE projects in all counties will require blending and braiding from various funding sources at different levels. All participating counties will be required to submit a CORE Sustainability Plan. 16.F.11.b Packet Pg. 1635 Attachment: Guidance 41 - CORE_ (29414 : CORE Grant Purchase Agreement) 3 VI. Managing Entity Responsibilities To ensure consistent statewide implementation and administration of CORE, the Managing Entity shall ensure all program requirements as outlined in section II, are met through subcontracts with Network Service Providers. The Managing Entity shall implement the CORE program model in accordance with the outlined programmatic standards and in accordance with Florida’s Opioid Abatement requirements. The Managing Entity shall expend the funds on approved purposes only. The Statewide Council on Opioid Abatement may pass additional measures and requirements that the Department and Managing Entities must follow when evaluating compliance, performance, and implementation. The CORE model program standards are as follows: 1. Rescue Response a. Individual in need of services is treated by first responders (fire rescue/ Emergency Medical Services (EMS) personnel). b. Treatment includes use of specialized EMS protocols for overdose and acute withdrawal. 2. Stabilization/Assessment a. Individual receives treatment in an emergency department (ED) with an addiction stabilization center. b. Treatment options include medication-assisted treatment, which entails, at a minimum, the ability to induct individuals on buprenorphine and issue a prescription for buprenorphine that lasts until their initial appointment with a community-based provider prior to being released from the ED. c. Individual is assessed and treated for emergent unmet health needs. d. Specialty-trained medical staff recommend the care best suited for the individual and a peer navigator facilitates a warm hand off to the long-term treatment provider. 3. Long-Term Treatment a. Individual receives long-term-care and wrap around support. b. Individual is treated by a team of licensed and certified professionals that specialize in treating addiction. c. Services may include long-term management of medication-assisted treatment, therapy, psychiatric services, individualized care coordination, pharmacy services, and links to other health services. d. Individuals shall receive services to address any identified social service needs. 4. Recovery Support a. Certified Recovery Peer Specialists utilize direct lived experience with SUD and recovery to reduce stigma and increase engagement into services. b. Certified Recovery Peer Specialists facilitate warm hand-offs to treatment and recovery community organizations. 5. Training a. Ensure clinical and systems training are provided to counties to promote use of evidence-based delivery of each component. Training topics should be developed based on need in counties. 16.F.11.b Packet Pg. 1636 Attachment: Guidance 41 - CORE_ (29414 : CORE Grant Purchase Agreement) 4 Effective no later than October 1, 2023, Managing Entities in areas with an existing CORE program shall execute contracts or purchase orders with the pre-existing contracted partners for the implementation of the CORE Network of Addiction Care. The Department will identify the next 17 counties to establish a CORE program for implementation in FY 23/24. VII. Network Service Provider and System Partner Responsibilities Network Service Providers, Emergency Departments, and Emergency Medical Services shall identify staff to be responsible for activities required through the CORE partnership. Network Service Providers and system partners including EDs and EMS shall implement a system of care, known as CORE, and shall provide eligible individuals with treatment that includes use of specialized protocols for overdose and acute withdrawal and provide MAT. CORE partners shall work together identifying a point of contact, preferably the peer specialist, to provide warm hand-offs as the individual transitions to different services. Network Service Providers and system partners including EDs and EMS shall complete online CORE training available on the CORE website and any other training required by the Department. 1. Emergency Medical Service - Emergency Medical Service partners shall: a. Implement use of the EMS Pre-Hospital Buprenorphine-Naloxone Induction for Opioid Use Disorder. b. Hire and train staff on using appropriate equipment, medication, and protocols. 2. Emergency Department- Emergency Departments shall: a. Implement use of specialized protocols for overdose and acute withdrawal and provide medication assisted treatment. 3. Network Service Providers/Receiving Clinics- Network Service Providers/Receiving Clinics shall: a. Implement CORE model services and supports to provide treatment that includes use of specialized protocols for overdose and acute withdrawal and medication assisted treatment. b. Hire and train staff on the established protocols, medication assisted treatment and the use of the brief addiction monitoring tool (BAM) in accordance with protocols. VIII. Data and Reporting 1. Data Collection Opioid settlement funds will be used to implement CORE. A required component of the state’s opioid settlement is to use an evidence-based data collection process to analyze the effectiveness of substance use abatement. The opioid settlement states that the State and Local Governments shall receive and report expenditures, service utilization data, demographic information, and national outcome measures in a similar fashion as required by the 42.U.S.C. s. 300x and 42 U.S.C. s. 300x-21. a. Managing Entities shall ensure that all CORE partners comply with the required data collection process. b. Data collection should be based on standardized procedures to ensure consistency and accuracy across all service providers. c. To evaluate the effectiveness of substance use abatement, the data collection process should include tracking and measuring key outcome indicators related to opioid use disorder treatment, such as retention rates, reduction in overdose incidents, and improvements in overall well-being. 16.F.11.b Packet Pg. 1637 Attachment: Guidance 41 - CORE_ (29414 : CORE Grant Purchase Agreement) 5 2. Data Management And Privacy a. All data collected should be stored in a secure and centralized database, accessible only to authorized personnel, to facilitate accurate reporting and analysis. b. Regular data audits should be conducted to ensure data integrity and identify any discrepancies or errors for timely correction. 3. Reporting Mechanism and Format All CORE partners are required to continue reporting CORE data into the ClearPoint system in the established format. 4. Data Analysis and Utilization a. The Department and Managing Entity shall collaborate in analyzing the collected data to assess the impact and effectiveness of the CORE program. b. Data analysis should be used to identify potential areas of improvement, refine program strategies, and inform evidence-based decision-making to enhance the overall effectiveness of the CORE program. 16.F.11.b Packet Pg. 1638 Attachment: Guidance 41 - CORE_ (29414 : CORE Grant Purchase Agreement) Purchase Agreement #PK290 Between Central Florida Behavioral Health Network, Inc. And Collier County Board of County Commissioners P a g e | 1 #PK290 THIS AGREEMENT “Agreement” is entered into by and between CENTRAL FLORIDA BEHAVIORAL HEALTH NETWORK, INC., hereinafter referred to as the “Managing Entity” and Collier County Board of County Commissioners (BOCC), hereinafter referred to as the “Contractor”, (Company and Contractor shall be jointly referred to herein as the “Parties”). FOR AND IN CONSIDERATION of the mutual undertakings and agreements hereinafter set forth, the Parties agree as follows: 1. General Description The Department of Children and Families (DCF) requires that CFBHN enter into agreements with organizations under the Coordinated Opioid Recovery (CORE) Network of Addiction Care and in accordance with the Florida Opioid Allocation and Statewide Response Agreement, executed November 15, 2021. Per DCF, “According to the Florida Opioid Allocation and Statewide Response Agreement between Local Governments and the Office of the Attorney General, opioid settlement funds may only be used for approved purposes, which include, but are not limited to, all of the opioid- related prevention, treatment, and recovery support services and opioid abatement strategies listed in Schedule A (Core Strategies) and Schedule B (Approved Uses) from Florida Opioid Allocation and Statewide Response Agreement. Local Governments may choose from the approved uses in Schedule B, but priority must be given to the core strategies in Schedule A.” The Florida Opioid Allocation and Statewide Response Agreement, along with the accompanying schedules, can be found on the following website: https://nationalopioidsettlement.com/states/florida/. 2. Scope of Work The Contractor shall perform duties and activities in accordance with Guidance 41 – Coordinated Opioid Recovery Network of Addiction Care (CORE Network). 3. Method of Payment a. This is a fixed price Agreement. CFBHN shall pay the Contractor in accordance with the conditions of this Agreement, a prorated amount each month, for a total amount not to exceed $145,833, subject to the availability of funds. b. The Contractor shall request payment within ten (10) days after the first day of the month following services through the Carisk Portal. c. CFBHN may require any other information from the Contractor that it deems necessary to verify performance of the Contractor under the Purchase Agreement. d. CFBHN reserves the right to request supporting documentation at any time after the invoice has been submitted. 4. Contract Deliverables a. Monthly Expenditure Report – due by the 20th of the month following services. b. Receipt of Opioid Settlement funds is an express acknowledgement of the obligation to report data on services funded by the Settlement. Recipients shall provide data to the Department of Children and Families (Department) through the Opioid Data Management System (ODMS) as prescribed by the Department. Opioid Settlement funding is contingent upon satisfactory data reporting. c. All deliverables and related tasks must be completed 100% as specified. Failure to satisfactorily 16.F.11.c Packet Pg. 1639 Attachment: CORE Purchase Agreement PK290 FY24-25 certified (29414 : CORE Grant Purchase Agreement) P a g e | 2 #PK290 complete or submit a deliverable in the time and manner specified may result in a corrective action plan, withholding of payment, or issuance of financial sanctions or penalties. 5. Vendor Information a. ANNUAL APPROPRIATIONS: Managing Entity’s obligation to pay under this contract is contingent upon an annual appropriation by the legislature. b. FEDERAL LAW: i. The Contractor shall comply with the applicable provisions of Federal law and regulations including, but not limited to, 2 CFR, Part 200, and other applicable regulations. ii. If this Agreement contains $10,000 or more of Federal Funds, the Contractor 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. iii. If this Agreement contains over $150,000 of Federal Funds, the Contractor 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.) and as applicable, Executive Order 11738, as amended and where applicable, and Environmental Protection Agency regulations (2 CFR, Part 1500), as applicable. The Contractor shall report any violations of the above to the Department. The Contractor agrees to include these requirements in this subsection (iii) in each subcontract exceeding $150,000 financed in whole or in part with Federal assistance. iv. No Federal Funds received in connection with this Agreement may be used by the Contractor, or agent acting for the Contractor, or subcontractor to influence legislation or appropriations pending before the Congress or any State legislature. If this Agreement contains Federal funding in excess of $100,000, the Contractor must, prior to contract execution, complete the Certification Regarding Lobbying form. 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 Agreement. v. If this Agreement provides services to children up to age 18, the Contractor shall comply with the Pro-Children Act of 1994 (20 U.S.C. § 6081), as is applicable. Failure to comply with the applicable 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. vi. If the Contractor is a federal subrecipient or pass-through entity, then the Contractor and its subcontractors who are federal subrecipients or pass-through entities are subject to the following: A contract award (see 2 CFR § 180.220) must not be made to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines in 2 CFR, Part 180 that implement Executive Orders 12549 and 12689, “Debarment and Suspension.” SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. vii. If the Contractor is a federal subrecipient or pass through entity, the Contractor and its subcontractors who are federal subrecipients or pass-through entities, must determine whether or not its subcontracts are being awarded to a “contractor” or a “subre cipient,” as those terms are defined in 2 CFR, Part 200. If a Contractor’s subcontractor is determined to be a 16.F.11.c Packet Pg. 1640 Attachment: CORE Purchase Agreement PK290 FY24-25 certified (29414 : CORE Grant Purchase Agreement) P a g e | 3 #PK290 subrecipient, the Contractor must ensure the subcontractor adheres to all the applicable requirements in 2 CFR, Part 200. c. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT: The Contractor shall, where applicable, comply with the Health Insurance Portability and Accountability Act (42 U.S.C. 1320d.) as well as all regulations promulgated thereunder (45 CFR Parts 160, 162, and 164). d. INDEMNIFICATION: The Contractor shall be fully liable for the actions of its agents, employees, partners, or subcontractors and shall fully indemnify, defend, and hold harmless Managing Entity, the Department, and their officers, agents, and employees, from suits, actions, damages, and costs of every name and description, including attorneys’ fees, costs, and expenses arising from or relating to an alleged act or omission by the Contractor, its agents, employees, partners, or subcontractors, provided however that the Contractor shall not indemnify for that portion of any loss or damages proximately caused by the negligent act or omission of Managing Entity or the Department. Further, the Contractor shall, without exception, indemnify and hold harmless Managing Entity and the Department, and their employees from any liability of any nature or kind whatsoever, including attorneys’ fees, costs, and expenses arising out of, relating to, or involving any claim associated with any trademark, copyrighted, patented, or unpatented invention, process, trade secret, or intellectual property right, information technology used or accessed by the Contractor, or article manufactured or used by the Contractor, its officers, agents, or Contractors in the performance of this Agreement or delivered to Managing Entity or the Department for the use of Managing Entity or the Department, its employees, agents, or contractors. Further, the Contractor shall protect, defend, and indemnify, including attorneys' fees, costs, and expenses, Managing Entity and the Department for any and all claims and litigation (including litigation initiated by Managing Entity or the Department) arising from or relating to Contractor's claim that a document contains proprietary or trade secret information that is exempt from disclosure or the scope of the Contractor’s redaction. The Contractor’s inability to evaluate liability or its evaluation of liability shall not excuse its duty to defend and indemnify after receipt of notice. Only an adjudication or judgment after the highest appeal is exhausted finding Managing Entity or the Department negligent shall excuse the provider of performance under this provision, in which case Managing Entity or the Department shall have no obligation to reimburse the Contractor for the cost of their defense. If the Contractor 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 law and without waiving the limits of sovereign immunity. e. INDEPENDENT CONTRACTOR: In performing its obligations under this Agreement, the Contractor shall at all times be acting in the capacity of an independent contractor and not as an officer, employee, or agent of Managing Entity or the Department. Neither the Contractor nor any of its agents, employees, Contractors, or assignees shall represent to others that it is an agent of or has the authority to bind Managing Entity or the Department by virtue of this Agreement. f. INSURANCE: The Contractor shall obtain and provide proof to the Managing Entity of comprehensive general liability insurance coverage (broad form coverage), specifically including premises, fire, and legal liability to cover Contractor and all of its employees. The limits of the Contractor's coverage shall be no less than $300,000 per occurrence with a minimal annual aggregate of no less than $1,000,000. The Managing Entity and 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 16.F.11.c Packet Pg. 1641 Attachment: CORE Purchase Agreement PK290 FY24-25 certified (29414 : CORE Grant Purchase Agreement) P a g e | 4 #PK290 of any deductible on any policy shall be the sole responsibility of the Contractor. All such insurance policies of the Contractor 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 Managing Entity and the Department as additional insured parties under the policy. All such insurance policies of the Contractor shall be primary to and not contributory with any similar insurance carried by the Mana ging Entity. The Contractor 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. The Contractor shall use its best good faith efforts to cause the insurers issuing all such liability insurance to use a policy form with additional insured provisions naming the Managing Entity and the Department as an additional insured or a form of additional insured endorsement that is acceptable to the Managing Entity in the reasonable exercise of its judgment. Proof of insurance shall preferably be in the form of an Association for Cooperative Operations Research and Development (ACORD) certificate of insurance. All such current insurance certificates will be submitted to the Contract Manager, prior to expiration, as insurance policies are renewed each year. g. LAW AND VENUE: This Agreement is executed and entered in the State of Florida and will be construed, performed, and enforced in all respects in accordance with Florida law, excluding Florida provisions for conflict of laws, and applicable Federal law. Venue for any action regarding this Agreement shall be in Hillsborough County, Florida. h. MONITORING: The Contractor shall permit all persons who are duly authorized by Managing Entity or the Department to inspect and copy any records, papers, documents, facilities, goods, and services of the Contractor which are relevant to this Agreement, and to interview any clients, employees, and subcontractor employees of the Contractor to assure Managing Entity of the satisfactory performance of the terms and conditions of this Agreement. i. PUBLIC ENTITY CRIMES: Chapter 287.133(2)(a) states: A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to a public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in s.287.017 for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor list. j. PUBLIC RECORDS: The Contractor 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 Contractor in conjunction with this Agreement except those public records which are made confidential by law and must be protected from disclosure. It is expressly understood that the Contractor’s failure to comply with this provision shall constitute an immediate breach of this Agreement for which Managing Entity may unilaterally terminate this Agreement. The Contractor shall retain all client records, financial records, supporting documents, statistical records, and any other documents (including electronic storage media) pertinent to this Agreement for a period of six (6) years after completion of this Agreement or longer when required by law. In the event an audit is required by this Agreement, 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 Agreement. k. SCRUTINIZED COMPANIES: The Contractor shall refrain from any of the prohibited business activities 16.F.11.c Packet Pg. 1642 Attachment: CORE Purchase Agreement PK290 FY24-25 certified (29414 : CORE Grant Purchase Agreement) P a g e | 5 #PK290 with the Governments of Sudan and Iran as described in Section 215.473, F.S. Pursuant to Section 287.135(5), F.S., Managing Entity will immediately terminate this Agreement for cause if the Contractor is found to have submitted a false certification or if the Contractor 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 Agreement. Managing Entity will terminate this Agreement at any time the Contractor is found to have been placed on the Scrutinized Companies that Boycott Israel List or is engaged in a boycott of Israel. l. SPONSORSHIP AND PUBLICITY: The Contractor and partners shall, in publicizing, advertising, or describing the sponsorship of the program, state: “Sponsored by Collier County BOCC, Central Florida Behavioral Health Network, Inc., 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” and “Central Florida Behavioral Health Network, Inc.” shall appear in the same size letters or type as the name of the organization. m. TERMINATION: Termination at Will. Either party may terminate this Subcontract upon at least thirty (30) days prior written notice to the other party. In a termination at will by a party, the other party shall not be liable for costs of termination or damages incurred by the party giving notice of termination at will or by any of its subcontractors. In a termination at will by a party, the party giving notice of termination at will shall not be liable for costs of termination or damages incurred by the other party or by any of its subcontractors. i. Termination for Lack of Funds. Managing Entity may terminate this Agreement upon at least twenty-four (24) hours prior written notice to Contractor if Managing Entity has not received funds from the Department for the services for which Contractor is requesting payment or for any services to be provided under this Agreement. ii. Termination for Cause. Upon the Managing Entity’s knowledge of a material breach by Contractor, Managing Entity shall either: 1. Provide an opportunity for Contractor to cure the breach or end the violation and terminate the Agreement or discontinue access to PHI if Contractor does not cure the breach or end the violation within the time specified by Managing Entity; 2. Immediately terminate this Agreement or discontinue access to PHI if Contractor breached a material term of this Agreement and does not end the violation; or 3. If neither termination nor cure is feasible, Managing Entity shall report the violation to the Department of Children and Families and Secretary of the Department of Health and Human Services. iii. Additional Breaches. Breaches by Contractor include the following items: If Contractor is suspended or becomes disqualified from providing the services, found to be negligent or to have caused harm to a qualified individual, or otherwise is subject to disciplinary action which materially adversely affects the Contractor's ability to perform the services under this Agreement. If Contractor (or its officers or directors) is convicted of or pleads guilty, no contest, or otherwise admits to any crime involving a morally corrupt act or practice or any felony offense. If the Contractor makes an assignment for the benefit of creditors, files a voluntary petition in bankruptcy, is adjudicated bankrupt or insolvent or has entered against it an order for any relief in any bankruptcy or insolvency proceeding or has an involuntary petition in bankruptcy 16.F.11.c Packet Pg. 1643 Attachment: CORE Purchase Agreement PK290 FY24-25 certified (29414 : CORE Grant Purchase Agreement) P a g e | 6 #PK290 or similar proceeding filed against it which has not been dismissed within one hundred twenty (120) days after the commencement thereof. If Contractor commits any other material breach of this Agreement. iv. Immediate Termination. Managing Entity shall immediately terminate this Agreement for cause, if any time during the lifetime of the Agreement, the Contractor is: 1. Found to have submitted a false certification under s. 287.135, F.S., or 2. Is placed on the Scrutinized Companies with Activities in Sudan List or 3. Is placed on the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or 4. Is placed on the Scrutinized Companies that Boycott Israel List or is engaged in a boycott of Israel. v. Remedies for Breach. In addition to all other remedies included in this Agreement, Contractor shall, at a minimum, be liable to Managing Entity for all foreseeable damages Managing Entity incurs as a result of Contractor’s violation or breach of this Agreement. This includes without limitation any costs incurred to remediate defects in Contractor’s services and/or the additional expenses to complete Contractor’s services beyond the amounts agreed to in this Agreement, after Contractor has had a reasonable opportunity to remediate and/or complete its services as otherwise set for in this Agreement. All remedies provided for in this Agreement may be exercised individually or in combination with any other remedy available hereunder or under applicable laws, rules and regulations. The exercise of any remedy shall not preclude or in any way be deemed to waive any other remedy. On and after any event of default, Managing Entity shall have the right to exercise its legal and equitable remedies, including without limitation, the right to terminate this Agreement for cause or to seek specific performance of all or any part of this Agreement. In addition, Managing Entity shall have the right (but no obligation) to cure (or cause to be cured) on behalf of Contractor any event of default. Contractor shall pay to Managing Entity on demand all costs and expenses incurred by Managing Entity in effecting such cure, with interest thereon from the date of incurrence at the maximum rate then permitted by law. Managing Entity shall have the right to offset from any amounts due to Contractor under this Agreement or any other agreement between Managing Entity and Contractor all damages, losses, costs or expenses incurred by Managing Entity as a result of such event of default and any liquidated damages, if any, due from Contractor pursuant to the terms of this Agreement or any other agreement. Contractor shall be liable to Managing Entity for any sanctions or penalties specifically established by law and applicable to Contractor regarding the services in this Agreement. Managing Entity shall provide such sanctions and penalties as appropriate. vi. Lapsed Insurance. Any lapse in mandatory insurance coverage voids this Agreement until coverage is restored and proof of insurance coverage is provided to restore the ability to bill for services. Any services provided during the lapse period are invalid and cannot be invoiced to Managing Entity. 16.F.11.c Packet Pg. 1644 Attachment: CORE Purchase Agreement PK290 FY24-25 certified (29414 : CORE Grant Purchase Agreement) P a g e | 7 #PK290 n. USE OF FUNDS FOR LOBBYING PROHIBITED: The Contractor agrees to comply with the provisions of Section 216.347, Florida Statutes, which the expenditure of contract funds for the purpose of lobbying the Legislature or a state agency. 6. Term and Termination This Agreement shall begin on July 1, 2024. Unless terminated earlier, per Section 5.m. Termination, this Agreement shall be coterminous with the Florida Department of Children and Families contract #QD1A9. All remedies including indemnification in Section 5.d. Indemnification shall survive termination of this Agreement. THE PARTIES HERETO by and through their duly authorized representatives, whose signatures appear below, have caused this Agreement to be executed. MANAGING ENTITY CONTRACTOR Central Florida Behavioral Health Network, Inc. Collier County Board of County Commissioners Signature: Signature: Print: Print: Title: Title: Date: Date: 16.F.11.c Packet Pg. 1645 Attachment: CORE Purchase Agreement PK290 FY24-25 certified (29414 : CORE Grant Purchase Agreement) DocuSign Envelope ID: 8C68CC60-A0E1-44E6-A81B-376525BF5EB0 16.F.11.d Packet Pg. 1646 Attachment: Master Contract FY23-24 Amendment 101 6-27-2024 (29414 : CORE Grant Purchase Agreement) DocuSign Envelope ID: 8C68CC60-A0E1-44E6-A81B-376525BF5EB0 16.F.11.d Packet Pg. 1647 Attachment: Master Contract FY23-24 Amendment 101 6-27-2024 (29414 : CORE Grant Purchase Agreement) 2415 North Monroe Street, Suite 400, Tallahassee, Florida 32303-4190 Mission: Work in Partnership with Local Communities to Protect the Vulnerable, Promote Strong and Economically Self-Sufficient Families, and Advance Personal and Family Recovery and Resiliency Ron DeSantis Governor Shevaun L. Harris Secretary State of Florida Department of Children and Families APPROVAL MEMORANDUM DATE: June 6, 2024 TO: Shevaun L. Harris, Secretary FROM: Amy D. Hammett, Interim Contract Manager SUBJECT: Approval Memorandum – Amendment 101, contract QD1A9, Central Florida Behavioral Health Network, Inc. (CFBHN) ROUTING: Approver Signature Date Programmatic Approval Levels Melissa Leslie, SAMH Director/Contract Manager Supervisor Lisa Kirkland-Osteen Interim Chief of Contracts, SAMH William Hardin SAMH Policy and Services Director Deputy Assistant Secretary Vacant Administrative Approval Levels Aman Punwani Office of Budget Services Office of Information Technology N/A Quality Office N/A Danette Brewer Office of Contracted Client Services Michael Greif Office of General Counsel Executive Approval Levels Erica Floyd Thomas Assistant Secretary of SAMH Casey Penn Deputy Secretary Molly McKinstry Chief of Staff Shevaun L. Harris Secretary Note: When building the approval flow, if an approver’s signature is not required, insert N/A. Routing should occur in consecutive order as it appears, beginning with the Programmatic Approval Levels. 6.13.24 6/14/24 6.14.24 Amanda Regis for William Hardin 6/14/2024 06/17/2024 6.19.24 6/19/2024 DocuSign Envelope ID: 8C68CC60-A0E1-44E6-A81B-376525BF5EB0 16.F.11.d Packet Pg. 1648 Attachment: Master Contract FY23-24 Amendment 101 6-27-2024 (29414 : CORE Grant Purchase Agreement) PMT-30 2 Rev. November 1, 2023 CONTRACT INFORMATION Contract/Solicitation No. QD1A9 Contract Manager or Procurement Officer Amy Hammett Provider Name Central Florida Behavioral Health Network, Inc. (CFBHN) Contract Term 7/01/2010 – 12/31/2024 Method of Procurement Exempt PROGRAM BUDGET Contract Amount $2,804,621,477.60 Amendment Amount $109,984,437.50 State FY Funds $201,857,958 Fed FY Funds $113,329,943 Total Amended Contract Amount $2,914,605,915.10 SERVICES PROVIDED: The Department of Children and Families has contracted with Central Florida Behavioral Health Network, Inc., the Managing Entity (ME) that is responsible for the development, implementation, administration, and monitoring of the behavioral health Safety Net that provides a comprehensive array of behavioral health services to individuals pursuant to section 394.674, Florida Statutes. REASON FOR AMENDMENT: The Office of Substance Abuse and Mental Health - SunCoast Region - is seeking approval to amend Contract QD1A9 with CFBHN. Amendment #101: •Revises the Schedule of Funds, dated 6/19/2024, by adding $1,333,694.00, to the contract. Budget amendments include: SOR grant adjustments: •Decreases the SOR II Year no cost extension and SOR III Year 1 by reverting any unspent budget. •Increases the SOR III Year 2 to include funds received in the SOR III Year 1 carryover. CORe County adjustment – decreases the allocation based on a revised funding methodology developed for new CORe counties. •In addition to the schedule of funds, this amendment increases the total contract amount reserved for FY 2024-25 by $108,650,743.50, based on recurring amount in the in the Schedule of Funds dated 6/19/2024. •Revises the due date to implement specific appropriations no later than July 31, 2024. •Adds financial consequence language to Section E-5 KEY PROVISIONS: CFBHN is tasked with planning, coordinating, and subcontracting for the delivery of community mental health and substance abuse services; improving access to care and promote service continuity; and DocuSign Envelope ID: 8C68CC60-A0E1-44E6-A81B-376525BF5EB0 16.F.11.d Packet Pg. 1649 Attachment: Master Contract FY23-24 Amendment 101 6-27-2024 (29414 : CORE Grant Purchase Agreement) PMT-30 3 Rev. November 1, 2023 support efficient and effective delivery of services. Changes related to this Amendment require CFBHN to: •Revises the Schedule of Funds, dated 6/19/2024, by adding $1,333,694.00, to the contract. •In addition to the schedule of funds, adds the FY 2024-25 amount of $108,650,743.50, which allows for a two-month advance requested by the Managing Entity on July 1, 2024. •Revises the due date to implement specific appropriations no later than July 31, 2024, in Section E-1, Table 3. •Adds financial consequence language to Section E-5, allowing for the Department to begin applying a financial penalty of $500 per day beginning August 1, if the Member Project contracts are not executed by July 31, 2024. Financial penalties incurred will be reduced from the Managing Entities Administrative Cost. ATTACHMENTS: •Contract Amendment #101 •Secretary’s Brief •EOG Approval – email advising the external budget amendment was approved on 6/3/2024. PROVIDER INFORMATION Only required when routing contract executions and amendments. Provider Name Central Florida Behavioral Health Network, Inc. Provider FEID # F593467610001 Provider FY End June 30 Provider UEI# (if applicable) UJ8XDM8JPFM5 Provider Contract Manager Name Carrie Hartes Provider Contract Manager Email Address CarrieHartes@cfbhn.org Provider Signatory Name Julie Patel Provider Signatory Email Address JPatel@CFBHN.org REVENUE INFORMATION Only required when routing contract executions or amendments that change the information below. Federal Subrecipient vs. Contractor Determination Subrecipient Assistance Listing Number (ALN) 93.104, 93.150, 93.243, 93.558, 93.767, 93.778, 93.788, 93.958, 93.959, 93.982, 97.032 Florida Single Audit Act Determination Recipient/Subrecipient Code of State Financial Assistance (CSFA) Nos. 60.114, 60.153, 60.155, 60.163 DocuSign Envelope ID: 8C68CC60-A0E1-44E6-A81B-376525BF5EB0 16.F.11.d Packet Pg. 1650 Attachment: Master Contract FY23-24 Amendment 101 6-27-2024 (29414 : CORE Grant Purchase Agreement) FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES CONTRACT NO. QD1A9 AMENDMENT NO. 101 CF-1127 1 v.23.2 This Amendment shall be effective June 5, 2024, or the last party signature date, whichever is later. The above referenced Contract is hereby amended as follows: 1. The following item(s) were last addressed in the noted Amendments: Amendment #0074: 4 Amendment #0097: 3, 8 Amendment #0099: 2, 5-7 2. In 1.1, $2,804,621,477.60 is replaced by $2,914,605,915.10. 3. The highlighted portions below amend Section E-1, Table 3. The non-highlighted portions are for contextual purposes only and are unaffected by this amendment. Implementation of General Appropriations Act: The Managing Entity shall meet 100% of the following requirements: E-1.7. Implementation of Specific Appropriations demonstrated by executed contracts with Network Service Providers no later than July 31, 2024; and E-1.8 Submission of all plans, pursuant to Exhibit C3 by September 30. Failure to meet the standard shall be considered nonperformance pursuant to Section E-5. 4. Section E-5 is amended to add: E-5.3 Failure to execute 100% of subcontracts per Section E-1.7 annually by July 31, 2024, will initiate financial penalties. E-5.3.1 Notwithstanding the provisions of Section 6.1, beginning August 1, the Department shall apply a financial penalty of $500 per day per unexecuted subcontract for every day each applicable subcontract remains unexecuted. E-5.3.2 Any financial penalties incurred pursuant to this section shall generate a reduction in payment associated with the Managing Entity Operational Cost - ME Administrative Cost Other Cost Accumulator identified in Exhibit F1. E-5.3.3 The Department, in its sole discretion, may waive financial consequences for extenuating circumstances. 5. The highlighted portions below amend F-1.2, Table 7. The non-highlighted portions are for contextual purposes only and are unaffected by this amendment. Table 7 – Contract Funding State Fiscal Year Managing Entity Operational Cost Direct Services Cost Supplemental DBH Funds Total Value of Contract 2010-2011 $4,608,694.00 $133,504,955.00 $138,113,649.00 2011-2012 $4,208,694.00 $134,117,357.00 $138,326,051.00 2012-2013 $5,968,897.00 $153,647,416.60 $159,616,313.60 2013-2014 $5,847,518.00 $157,652,135.00 $163,499,653.00 2014-2015 $5,777,518.00 $159,058,680.00 $164,836,198.00 2015-2016 $5,935,904.00 $170,650,884.00 $176,586,788.00 2016-2017 $6,142,411.00 $177,315,485.00 $183,457,896.00 DocuSign Envelope ID: 8C68CC60-A0E1-44E6-A81B-376525BF5EB0 16.F.11.d Packet Pg. 1651 Attachment: Master Contract FY23-24 Amendment 101 6-27-2024 (29414 : CORE Grant Purchase Agreement) CONTRACT NO. QD1A9 AMENDMENT NO. 101 CF-1127 2 v.23.2 2017-2018 $6,137,179.00 $186,731,521.00 $1,518,256.00 $194,386,956.00 2018-2019 $6,360,328.00 $201,934,050.00 $255,166.00 $208,549,544.00 2019-2020 $7,114,457.00 $206,502,544.00 $213,617,001.00 2020-2021 $7,095,569.00 $211,513,720.00 $218,609,289.00 2021-2022 $7,790,517.00 $239,217,305.00 $247,007,822.00 2022-2023 $8,640,092.00 $271,035,018.00 $4,485,000.00 $284,160,110.00 2023-2024 $8,207,130.00 $303,517,966.00 $3,462,805.00 $315,187,901.00 2024-2025 $3,219,194.00 $105,431,549.50 $108,650,743.50 Total $93,054,102.00 $2,811,830,586.10 $9,721,227.00 $2,914,605,915.10 6. Exhibit F1 is replaced by the attached Exhibit F1. 7. The highlighted portions below amend F2-1, Table 8. The non-highlighted portions are for contextual purposes only and are unaffected by this amendment. Table 8 - Schedule of Payments for Fiscal Year 2023-24 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 Funding Amendments After This Payment Initial Advance $204,408,409.00 $ 34,068,068.16 $ 170,340,340.84 7/1/2023 N/A $ 78,163,234.00 Supp Advance $ 78,163,234.00 $ 13,027,205.66 $ 65,136,028.34 7/31/2023 NA Total Advance $282,571,643.00 $ 47,095,273.82 $ 235,476,369.18 Jul-23 $235,476,369.18 $ 19,623,030.76 $ 215,853,338.42 8/20/2023 July Aug-23 $215,853,338.42 $ 19,623,030.76 $ 196,230,307.66 9/20/2023 August Sep-23 $196,230,307.66 $ 19,623,030.76 $ 176,607,276.90 10/20/2024 September Oct-23 $176,607,276.90 $ 19,623,030.76 $ 156,984,246.14 11/20/2024 October $ 18,471,715.00 Nov-23 $175,455,961.14 $ 21,931,995.14 $ 153,523,966.00 12/20/2024 November Dec-23 $153,523,966.00 $ 21,931,995.14 $ 131,591,970.86 1/20/2024 December $ 9,348,044.00 Jan-24 $140,940,014.86 $ 23,490,002.47 $ 117,450,012.39 2/20/2024 January Feb-24 $117,450,012.39 $ 23,490,002.47 $ 93,960,009.92 3/20/2024 February Mar-24 $ 93,960,009.92 $ 23,490,002.48 $ 70,470,007.44 4/20/2024 March Apr-24 $ 70,470,007.44 $ 23,490,002.48 $ 46,980,004.96 5/20/2024 April May-24 $ 46,980,004.96 $ 23,490,002.48 $ 23,490,002.48 6/20/2024 May $ 1,333,694.00 Jun-24 $ 24,823,696.48 $ 24,823,696.48 $ - 7/20/2024 June Total FY Payments $ 311,725,096.00 Supplemental Disaster Behavioral Health (DBH) Funds $ 3,462,805.00 $ 20,000.00 Total FY Contract Funding $ 315,187,901.00 DocuSign Envelope ID: 8C68CC60-A0E1-44E6-A81B-376525BF5EB0 16.F.11.d Packet Pg. 1652 Attachment: Master Contract FY23-24 Amendment 101 6-27-2024 (29414 : CORE Grant Purchase Agreement) CONTRACT NO. QD1A9 AMENDMENT NO. 101 CF-1127 3 v.23.2 8. In F2-2, the text is replaced by: Table 9 specifies the schedule of payments for the next fiscal year of this Contract, exclusive of Supplemental Disaster Behavioral Health payments as specified in Section F-8. 9. All provisions in the Contract and any attachments thereto in conflict with this Amendment are 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 made a part of the Contract. IN WITNESS THEREOF, the parties hereto have caused this Amendment executed by their undersigned officials as duly authorized. PROVIDER: Central Florida Behavioral Health Network, Inc. DEPARTMENT OF CHILDREN AND FAMILIES Signature: Signature: Name: Name: Title: Title: Date: Date: 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 Funding Amendments After This Payment Initial Advance $ 108,650,743.50 $ 36,216,914.50 $ 72,433,829.00 7/1/2024 N/A Supp Advance -$ $ - $ - 7/31/2024 NA Total Advance 108,650,743.50$ $ 36,216,914.50 $ 72,433,829.00 Jul-24 72,433,829.00$ 12,072,304.83$ $ 60,361,524.17 8/20/2024 July Aug-24 60,361,524.17$ 12,072,304.83$ $ 48,289,219.34 9/20/2024 August Sep-24 48,289,219.34$ 12,072,304.83$ $ 36,216,914.51 10/20/2024 September Oct-24 36,216,914.51$ 12,072,304.83$ $ 24,144,609.68 11/20/2024 October Nov-24 24,144,609.68$ 12,072,304.84$ $ 12,072,304.84 12/20/2024 November Dec-24 12,072,304.84$ 12,072,304.84$ $ - 1/20/2025 December Total FY Contract Funding 108,650,743.50$ Table 9 - Schedule of Payments for Fiscal Year 2024-25 DocuSign Envelope ID: 8C68CC60-A0E1-44E6-A81B-376525BF5EB0 CFO Julie Patel 6/27/2024 | 2:00 PM CDT 6/27/2024 | 3:03 PM EDT Secretary Shevaun L. Harris 16.F.11.d Packet Pg. 1653 Attachment: Master Contract FY23-24 Amendment 101 6-27-2024 (29414 : CORE Grant Purchase Agreement) CONTRACT NO. QD1A9 AMENDMENT NO. 101 CF-1127 4 v.23.2 Other Cost Accumulators Title Line # GAA Category Other Cost Accumulators (OCA) Federal State Total The Amount of Non-Recurring Funds included in Total Amount ME Administrative Cost 373/386 100610/106220 MHS00 59,745 6,208,643 6,268,388 ME MH Broward Stepping Up Jail Diversion Operational 378 100778 MHBJO - - - ME Care Coordination MHBG Supplemental 2 Federal Budget Period: 9/1/2021 - 9/30/2025 383 105153 MHCM3 600,000 - 600,000 600,000 ME MH Individual Placement & Support Train-BG Supplemental 2 Federal Budget Period: 9/1/2021 - 9/30/2025 383 105153 MHIP2 - - - ME FL System of Care - Admin - Year 2 378 100778 MHSCB - - - ME FL System of Care - Admin - Year 3 378 100778 MHSA3 - - - ME Care Coordination 378 100778 MHSCD - 170,000 170,000 ME Operational MHBG Supplemental 2 Federal Budget Period: 9/1/2021 - 9/30/2025 383 105153 MHSM2 130,569 - 130,569 130,569 ME Operational SAPT Supplemental 2 Federal Budget Period: 9/1/2021 - 9/30/2025 383 105153 MHSS2 269,609 - 269,609 269,609 ME SA McKinsey Settlement - ME Care Coordination 380A 102400 MS923 - 308,234 308,234 308,234 ME State Opioid Response Disc Grant Admin - Year 4 386 106220 MSSA4 36,299 - 36,299 36,299 ME State Opioid Response Disc Grant Admin - Year 5 386 106220 MSSA5 - - - - ME State Opioid Response Disc Grant Admin - Year 6 386 106220 MSSA6 424,031 - 424,031 424,031 Total Operational Cost 1,520,253 6,686,877 8,207,130 1,768,742 ME Mental Health Services & Support 373/374/3 77/378 100610/100611/ 100777/100778 MH000 12,251,552 68,392,946 80,644,498 1,779,881 ME MH Services MHBG Supplemental 2 Federal Budget Period: 9/1/2021 - 9/30/2025 383 105153 MHARP 3,790,158 - 3,790,158 3,790,158 ME Early Intervention Services-Psychotic Disorders 373 100610 MH026 750,000 - 750,000 ME BSCA Early Intervention SVC-Psychotic Disorders 373 100610 MH26B 74,175 - 74,175 74,175 ME MH Citrus Health Network 373 100610 MH094 - - - ME MH BSCA 988 Suicide and Crisis Lifeline 373 100610 MHCBS 676,924 - 676,924 676,924 ME MH Forensic Transitional Beds 373 100610 MHFMH - 700,800 700,800 ME MH State Funded Federal Excluded Services 373/374 100610/100611 MHSFP - - - ME MH Transitional Beds for MH Institution 373 100610 MHTMH - - - Total Mental Health Core Services Funding 17,542,809 69,093,746 86,636,555 6,321,138 ME MH 988 State and Territory Improvement Grant 373 100610 MH981 1,283,069 - 1,283,069 1,283,069 ME MH 988 Implementation Fed Discretionary Grant 373 100610 MH98G 839,556 - 839,556 453,381 ME FL SOC Expansion & Sustain Project -Year 2 373 100610 MHSC2 - - - ME FL SOC Expansion & Sustain Project -Year 3 373 100610 MHSC3 - - - Total Mental Health Discretionary Grants Funding 2,122,625 - 2,122,625 1,736,450 ME Stewart-Marchman Behavioral Healthcare 387 108850 MH011 - - - ME MH Personal Enrichment MH CSU 378 100778 MH016 - 950,000 950,000 950,000 ME SFBN Involuntary Outpatient Services Pilot Project 378 100778 MH021 - - - ME Directions for Living 378 100778 MH027 - 670,000 670,000 670,000 ME David Lawrence Center 378 100778 MH031 - 279,112 279,112 279,112 ME Veterans and Families Pilot Program 378 100778 MH032 - 485,000 485,000 485,000 ME MH UF Health Center for Psychiatry 378 100778 MH034 - - - ME MH LifeStream Central Receiving System-Citrus County 378 100778 MH035 - - - ME Fort Myers Salvation Army 378 100778 MH037 - 400,000 400,000 400,000 ME MH NW Behavioral Hlth SVCS‐Training Trauma Now 378 100778 MH048 - - - ME MH Okaloosa/Walton MH & SA Pretrial Diversion Project 378 100778 MH051 - - - ME Veterans Alternative Retreat Program 378 100778 MH060 - 375,000 375,000 375,000 ME MH Starting Point Behavioral Health Care Project Talks 378 100778 MH063 - - - ME Peace River Center Sheriffs Outreach Program 378 100778 MH066 - 850,000 850,000 850,000 ME MH Indian River-MHA-Walk In Counseling Center 378 100778 MH068 - - - ME MH Marion CO Law Enforcement CO Respond Program 378 100778 MH069 - - - ME MH Faulk Center Behind the Mask MH Services 378 100778 MH070 - - - ME Clay Behavioral Health-Crisis Prevention 378 100778 MH089 - - - ME MH Forensic Residential Stepdown 378 100778 MH100 - 1,839,600 1,839,600 1,839,600 ME MH AGAPE Network Community Reentry 378 100778 MH101 - - - ME MH Alpert Jewish Family Services Disabilities 378 100778 MH102 - - - ME MH Peace River Center IT and Cyber Security 378 100778 MH103 - 821,516 821,516 821,516 ME MH Ruth Norman Rales Jewish Family SVCS Psych 378 100778 MH104 - - - ME MH Center for Child Counseling MH Services 378 100778 MH105 - - - ME MH Centerstone Sarasota Comp TRTMT Court 378 100778 MH106 - 200,000 200,000 200,000 ME MH Centerstone Manatee Receiving System 378 100778 MH107 - 159,946 159,946 159,946 Exhibit F1 - ME Schedule of Funds Central Florida Behavioral Health - Contract# QD1A9 FY 2023-24 Use Designation - As of 06/19/2024 Managing Entity Operational Cost Direct Services Cost Mental Health Core Services Funding Mental Health Discretionary Grants Funding Mental Health Proviso Projects Funding DocuSign Envelope ID: 8C68CC60-A0E1-44E6-A81B-376525BF5EB0 16.F.11.d Packet Pg. 1654 Attachment: Master Contract FY23-24 Amendment 101 6-27-2024 (29414 : CORE Grant Purchase Agreement) CONTRACT NO. QD1A9 AMENDMENT NO. 101 CF-1127 5 v.23.2 ME MH CFBHN Hillsborough Short Term Residential 378 100778 MH108 - 1,584,000 1,584,000 1,584,000 ME Charlotte Behavioral Health Central Recv Fac 378 100778 MH109 - 1,390,635 1,390,635 1,390,635 ME MH El-Beth-El Development Center Youth Crime 378 100778 MH111 - - - ME MH Joe DiMaggio Child Hospital At-Risk Youth 378 100778 MH114 - - - ME MH Life Builders of Treasure Coast 378 100778 MH115 - - - ME MH Lifetime Counseling CTR Behavioral Health 378 100778 MH116 - - - ME MH LJD Jewish Family Community Services 378 100778 MH117 - - - ME MH Association of Central FL MH SVCS Uninsured 378 100778 MH118 - - - ME MH Miami Dade Homeless Trust Proj Lazarus 378 100778 MH119 - - - ME MH Nami Jacksonville Family & Peer Support 378 100778 MH120 - - - ME MH Nami Sarasota & Manatee family Peer Nav 378 100778 MH121 - 250,000 250,000 250,000 ME MH Nonies Place Child Therapy CTR Escambia 378 100778 MH122 - - - ME MH Project Lift Treatment and Workforce Dev 378 100778 MH124 - - - ME MH Citrus Health network ACS 378 100778 MH128 - - - ME Hillsborough CSU 378 100778 MH819 - 2,045,110 2,045,110 2,045,110 Aspire Health Partners Veterans National Guard MH Services 378 100778 MHASP - 500,000 500,000 500,000 ME MH Broward Stepping Up Jail Diversion 378 100778 MHBJD - - - ME MH Flagler Brave Program 378 100778 MHBRV - - - ME MH Connect Familias MH Youth Screen 378 100778 MHCFY - - - ME MH Eagles Haven Wellness Center 378 100778 MHEHW - - - ME MH FL Recovery Schools Tampa Bay 378 100778 MHFRS - 100,000 100,000 100,000 ME MH Alpert Jewish Family Support Line 378 100778 MHFSL - - - ME MH First Step Sarasota CSU & Detox Center 378 100778 MHFSS - 200,000 200,000 200,000 ME MH Here Tomorrow Outpatient MH Services 378 100778 MHHTO - - - ME MH JCS Miami Dade Monroe Crisis Line 378 100778 MHJCL - - - ME MH Jewish Family Services Collaboration 378 100778 MHJFS - - - ME MH LMC Forensic Multidisciplinary Team 378 100778 MHLFH - - - ME MH Life Management Center Functional Family Therapy Team 378 100778 MHLFT - - - ME Renaissance Manor 378 100778 MHRM5 - 1,500,000 1,500,000 1,500,000 ME LifeStream Center 378 100778 MHS50 - - - ME MH Senior MH Wellness $ Crisis Response Line 378 100778 MHSWL - 500,000 500,000 500,000 ME MH Centerstone Trauma Recovery Center 378 100778 MHTRM - 750,000 750,000 750,000 Total Mental Health Proviso Projects Funding - 15,849,919 15,849,919 15,849,919 ME MH Purchase of Residential Treatment Services for Emotionally Disturbed Children and Youth 381 102780 MH071 - - - ME MH Community Forensic Beds 373 100610 MH072 - 3,017,722 3,017,722 ME MH Indigent Psychiatric Medication Program 380 101350 MH076 - 1,391,156 1,391,156 ME MH BNET (Behavioral Health Network) 373 100610 MH0BN 1,668,707 - 1,668,707 ME MH Care Coordination Direct Client Services 373 100610 MH0CN - 1,505,653 1,505,653 ME Community Forensic Multidisciplinary Teams 373 100610 MH0FH - 1,956,000 1,956,000 ME FACT Medicaid Ineligible 387 108850 MH0FT 1,757,316 11,471,997 13,229,313 ME MH PATH Grant 373 100610 MH0PG 1,306,405 - 1,306,405 ME MH Temporary Assistance for Needy Families (TANF) 373 100610 MH0TB 2,422,222 - 2,422,222 ME Expanding 211 Call Vol & Coordination Initiative 373 100610 MH211 - 750,000 750,000 ME MH Early Intervention Services MHBG Supplemental 2 Federal Budget Period: 9/1/2021 - 9/30/2025 383 105153 MH262 1,500,000 - 1,500,000 1,500,000 ME MH 988 Implementation Federal Budget Period: 9/1/2021 - 9/30/2025 383 105153 MH988 2,171,052 - 2,171,052 2,171,052 ME MH Alpert Family Services - Mental Health First Aid Coalition 378 100778 MHAJF - - - ME MH Community Action Treatment (CAT) Teams 372/373 100425/100610 MHCAT 1,500,000 10,125,000 11,625,000 ME Core Crisis Set Aside MHBG Supplemental 2 Federal Budget Period: 9/1/2021 - 9/30/2025 383 105153 MHCC2 588,402 - 588,402 588,402 ME MH Forensic Community Diversion MHBG Supplemental 2 Federal Budget Period: 9/1/2021 - 9/30/2025 383 105153 MHCJ4 492,500 - 492,500 492,500 ME Disability Rights Florida Mental Health 373 100610 MHDRF - 235,200 235,200 139,200 ME MH Evidence Based Practice Team 373 100610 MHEBP - 1,800,000 1,800,000 ME MH Early Diversion of Forensic Individuals 373 100610 MHEDT - 92,800 92,800 ME MH Supported Employment Services 373 100610 MHEMP - 1,050,000 1,050,000 ME MH Mobile Crisis Teams 373 100610 MHMCT 999,677 7,369,633 8,369,310 87,882 MH ME Other Multidisciplinary Team 373 100610 MHMDT - 1,867,420 1,867,420 ME Suicide Prevention MHBG Supplemental 2 Federal Budget Period: 9/1/2021 - 9/30/2025 383 105153 MHPV2 300,000 - 300,000 300,000 ME MH Residential Stability Coordination MHBG Supplemental 2 Federal Budget Period: 9/1/2021 - 9/30/2025 383 105153 MHRE2 133,750 - 133,750 133,750 ME Centralized Receiving Systems 376 100621 MHSCR - 7,021,645 7,021,645 ME Sunrise / Sunset Beds Pilot 378 100610 MHSUN - - - ME MH Telehealth Behavioral Health Services 378 100778 MHTLH - 755,553 755,553 ME Transitions Vouchers Mental Health 373 100610 MHTRV - 370,216 370,216 27,412 Total Mental Health Targeted Services Funding 14,840,031 50,779,995 65,620,026 5,440,198 Subtotal Mental Health 34,505,465 135,723,660 170,229,125 29,347,705 Mental Health Targeted Services Funding DocuSign Envelope ID: 8C68CC60-A0E1-44E6-A81B-376525BF5EB0 16.F.11.d Packet Pg. 1655 Attachment: Master Contract FY23-24 Amendment 101 6-27-2024 (29414 : CORE Grant Purchase Agreement) CONTRACT NO. QD1A9 AMENDMENT NO. 101 CF-1127 6 v.23.2 ME Substance Abuse Services and Support 375/377 100618/100777 MS000 22,957,073 20,035,084 42,992,157 1,771,504 ME SA Services SAPT Supplemental 2 Federal Budget Period: 9/1/2021 - 9/30/2025 383 105153 MSARP 10,594,073 - 10,594,073 10,594,073 ME SA HIV Services 375 100618 MS023 1,706,946 - 1,706,946 132,797 ME SA Prevention Services 375 100618 MS025 6,827,786 - 6,827,786 531,187 ME SA Cove Behavioral Health 375 100618 MS095 - 100,000 100,000 ME Here's Help 375 100618 MS903 - - - ME SA St. Johns County Sheriff's Office-Detox Program 375 100618 MS907 - - - ME SA State Funded Federal Excluded Services 375 100618 MSSFP - - - Total Core Services Funding 42,085,878 20,135,084 62,220,962 13,029,561 ME SA Prevention Partnership Program 375 100618 MS0PP 1,188,789 - 1,188,789 ME State Opioid Response Disc - Rec Comm Org - Year 4 375 100618 MSRC4 75,404 - 75,404 75,404 ME State Opioid Response Disc - Rec Comm Org - Year 5 375 100618 MSRC5 21,369 - 21,369 21,369 ME State Opioid Response Disc - Rec Comm Org - Year 6 375 100618 MSRC6 968,750 - 968,750 968,750 ME State Opioid Response SVCS-MAT - Year 4 375 100618 MSSM4 1,136,192 - 1,136,192 1,136,192 ME State Opioid Response SVCS-MAT - Year 5 375 100618 MSSM5 2,883,388 - 2,883,388 2,883,388 ME State Opioid Response SVCS-MAT - Year 6 375 100618 MSSM6 18,032,964 - 18,032,964 18,032,964 ME State Opioid Response Disc Grant SVCS-Prevention - Year 4 375 100618 MSSP4 139,392 - 139,392 139,392 ME State Opioid Response Disc Grant SVCS-Prevention - Year 5 375 100618 MSSP5 110,651 - 110,651 110,651 ME State Opioid Response Disc Grant SVCS-Prevention - Year 6 375 100618 MSSP6 1,213,750 - 1,213,750 1,213,750 Total Discretionary Grants Funding 25,770,649 - 25,770,649 24,581,860 ME SA Aware Recovery Care Rural Florida 378 100778 MS100 - - - ME SA Live Tampa Bay Bridges Not Barriers Pilot 378 100778 MS101 - 595,253 595,253 595,253 ME SA Recovery Connection Central FL Help People 378 100778 MS105 - - - ME Memorial Healthcare-Medication Assisted Treatment Program 378 100778 MS912 - - - ME SA Gateway Community Services-Saving Lives Project 378 100778 MS916 - - - ME Specialized Treatment, Education and Prevention Services-Women's Residential Treatment 378 100778 MS917 - - - ME SA St. Johns Epic Recovery Center-Women's Residential Bed 378 100778 MS918 - - - ME SA Here's Help-Juvenile Resident Treatment Expansion 378 100778 MS921 - - - ME MS Broward Health-Integrated Medication Assisted Treatment 378 100778 MS922 - - - ME SA Change Everything Init. Opioid Crisis Pilot 378 100778 MSCEI - - - ME SA Seminole County Sheriff Opioid ARC Partnership 378 100778 MSCS0 - - - ME SA Long Acting Inject Buprenorphine Pilot PGM 378 100778 MSLAB - - - Total Proviso Projects Funding - 595,253 595,253 595,253 ME Expanded SA Services for Pregnant Women, Mothers and Their Families 375 100618 MS081 - 2,031,425 2,031,425 ME SA Family Intensive Treatment (FIT) 375 100618 MS091 - 5,933,984 5,933,984 ME SA Care Coordination Direct Client Services 375 100618 MS0CN - 478,136 478,136 ME SA Temporary Assistance for Needy Families (TANF) 375 100618 MS0TB 1,660,362 - 1,660,362 ME Primary Prevention SAPT Supplemental 2 Federal Budget Period: 9/1/2021 - 9/30/2025 383 105153 MS252 2,913,320 - 2,913,320 2,913,320 ME McKinsey Settlement-SA Services 380A 102400 MS925 - 1,475,041 1,475,041 1,475,041 ME SA Community Based Services 375 100618 MSCBS - 3,859,885 3,859,885 ME NES/SEN Care Coordination SAPT Supplemental 2 Federal Budget Period: 9/1/2021 - 9/30/2025 383 105153 MSCS3 600,000 - 600,000 600,000 ME Opioid TF Coord Opioid Recovery Care 375 100618 MSOCR - 6,925,000 6,925,000 6,925,000 ME Opioid TF Hospital Bridge Programs 375 100618 MSOHB - 1,140,020 1,140,020 570,011 ME Opioid TF Non-Qualified Counties 375 100618 MSONQ - 7,228,021 7,228,021 7,228,021 ME Opioid TF Peer Supports and Recovery Comm Org 375 100618 MSOPR - 3,705,068 3,705,068 3,135,058 ME Opioid TF Treatment and Recovery 375 100618 MSOTR - 5,700,104 5,700,104 1,425,026 ME SA Prevention Partnership Program SAPT Supplemental 2 Federal Budget Period: 9/1/2021 - 9/30/2025 383 105153 MSPP2 161,211 - 161,211 161,211 ME Suicide Prevention SAPT Supplemental 2 Federal Budget Period: 9/1/2021 - 9/30/2025 383 105153 MSPV2 200,000 - 200,000 200,000 ME Transitions Vouchers Substance Abuse 375 100618 MSTRV - 240,400 240,400 17,800 ME Transitional Vouchers SAPT Supplemental 2 Federal Budget Period: 9/1/2021 - 9/30/2025 383 105153 MSTV2 450,000 - 450,000 450,000 Total Targeted Services Funding 5,984,893 38,717,084 44,701,977 25,100,488 Subtotal Substance Abuse 73,841,420 59,447,421 133,288,841 63,307,162 Total All Fund Sources 109,867,138 201,857,958 311,725,096 94,423,609 ME Hurricane Idalia Crisis Counseling ISP 373 100610 MHHID 20,000 - 20,000 20,000 ME Hurricane Idalia Crisis Counseling RSP 373 100610 MHHRS - - - ME Hurricane Ian Crisis Counseling RSP 373 100610 MHRSP 3,384,055 - 3,384,055 3,384,055 ME HQ Hurricane IAN Crisis Counsel RSP Services Operational 386 106220 MHSIR 58,750 - 58,750 58,750 Total DBH Response Funds 3,462,805 - 3,462,805 3,462,805 Total FY Contract Amount 113,329,943 201,857,958 315,187,901 97,886,414 Substance Abuse Core Services Substance Abuse Discretionary Grants Substance Abuse Proviso Projects Substance Abuse Targeted Services Supplemental Disaster Behavioral Health (DBH) Response Funds DocuSign Envelope ID: 8C68CC60-A0E1-44E6-A81B-376525BF5EB0 16.F.11.d Packet Pg. 1656 Attachment: Master Contract FY23-24 Amendment 101 6-27-2024 (29414 : CORE Grant Purchase Agreement)