Department of Children and Families and

Central Florida Behavioral Health Network Inc

Amendment 61

THIS AMENDMENT is entered into between the State of Florida Department of Children and Families hereinafter referred to as the Department and Central Florida Behavioral Health Network Inc herein referred to as the Provider amends contract QD1A9

This amendment bull Establishes two new OCAs to allow the ME to correctly report expenditures related to the care

coordination lump sum funding bull Updates Exhibit C3 ME Required Reports Plans and Functional Task bull and Updates Exhibit F1 Schedule of Funds

1 Pages 62 through 65a Exhibit C3 ME Required Reports Plans and Functional Tasks are hereby deleted in their entirety and pages 62-65a are inserted in lieu thereof and attached hereto

2 Page 75 Exhibit F1 ME Schedule of Funds FY 2017-2018 Use Designation-As of 11032017 is deleted and replaced with page 75 Exhibit F1 ME Schedule of Funds FY 2017-18 Use DesignationshyAs of 12182017 as attached

1

This amendment shall begin on January 5or the date on which the amendment has been signed by both parties whichever is later

All provisions in the contract and any attachments thereto in conflict with this amendment shall be and are hereby changed to conform to this amendment

All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the contract

This amendment and all its attachments are hereby made a part of the contract

IN WITNESS THEREOF the parties hereto have caused this _8__ page amendment to be executed by their officials thereunto duly authorized

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

SIGNED SIGNED

NAME NAME

TITLE Interim Regional Managing DirectorTITLE

DATE DATE P-51 )ltb FEDERAL ID 59-3467610

2

------

January 3 2018

EXHIBIT C3 - ME REQUIRED REPORTS PLANS AND FUNCTIONAL TASKS

All Requirements in Table 2 must be submitted to the Contract Manager electronically and be uploaded to the MEs secure web-based document vault

Table 2- Reauired Submissions

r Se~io~~ Requirement Required by I Frequency Due No Later Than _j

~---1 Required Reports and Plans IC3-1 --------------------------------middotJ Provider Tangible Property Inventory Section 8-72 l Initial i Initial within 30 days of execution Template 1 Guidance 2 _ _ andAnnually I__ --~nual July_3_1__

Regional planning_d_o_c_um_en_t_s--------middot _ J Section C-1 12 __j As Need~- _l_ As Needed

Triennial Needs Assessment __ I Section C-11 3 j-~~~~~~~6 October 31201620192022

Managing Entity Annual Business Operations Plan s f A 11_j 10

c1 1 6 J 9July 31Template 4 _ _____ _ --~~ ~-middot middot __ nnua Y

Plan for Reintegrating Discharge-Ready Individuals ____ _j Section C-117 I Annua_lt_ _ __ _ __July 15 __

~~~~c~rnsi~on Pia~- ___ _ _ ____j ___ Section C-~~8 __ j___ ~ce - ___j Within 90 days of execution

-~ I Annually September 1En~a~cement Plan _____- middot ~ection C-1112 ~gin ni~g 201 I__J _

d t PI Secti Initial and Initialwithin 60 days of executionI jC C C 1 2 2are oor ma 10n an ______ ____ on middot middot_middot_ middot--- _ Ann ~aJ~pdate Annual Update July~ __ Fraud and Abuse PeY e_ltio~rotocol _ __ _____ ___ j Section C-11 4 _ J __ _Once __j_ Within 6Q_day~ 2_f execution

Initial within 60 days of execution~ua~ty_Assuran__~ P~~n _ _ _ _ J___ ~ction C-13 ~ A~~~~~~~~~ te N t k S middot M middott middot PI I S t C 14 1 I Initial and

e wor erv1ce om onng ~ middot-middot- ec 1on bull __ j __Annual Upd~

Information Technology Plan ----- ----- __ __ _j_ Section C-1 56 I Once

Procurement Policy _______ __ __j Section C-225 __] _ __ithin 90 days of execution_ W =--------middot Net~ork Serv~ce Providers EOGIOPB Return on Investment J Sectionc23_ _

2 1 J Annually___ As Directed by EOG

-~ected Estimates

~~~Service Providers EOGIOPB~ctual Retur~on Investment J Section c2_3_2 ~ ___j___a~~rter ly _j As Directed by EOG

Annual Update August 31

___ ----w __ Within 60 days of execution

Reviewed annuall

CF Standard Integrated Contract 2016 62 Contract No QD1A9

This amendment shall begin on January 5or the date on which the amendment has been signed by both parties whichever is later

All provisions in the contract and any attachments thereto in conflict with this amendment shall be and are hereby changed to conform to this amendment

All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the contract

This amendment and all its attachments are hereby made a part of the contract

IN WITNESS THEREOF the parties hereto have caused this _8__ page amendment to be executed by their officials thereunto duly authorized

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

SIGNED SIGNED

NAME NAME

TITLE Interim Regional Managing DirectorTITLE

DATE DATE P-51 )ltb FEDERAL ID 59-3467610

2

------

January 3 2018

EXHIBIT C3 - ME REQUIRED REPORTS PLANS AND FUNCTIONAL TASKS

All Requirements in Table 2 must be submitted to the Contract Manager electronically and be uploaded to the MEs secure web-based document vault

Table 2- Reauired Submissions

r Se~io~~ Requirement Required by I Frequency Due No Later Than _j

~---1 Required Reports and Plans IC3-1 --------------------------------middotJ Provider Tangible Property Inventory Section 8-72 l Initial i Initial within 30 days of execution Template 1 Guidance 2 _ _ andAnnually I__ --~nual July_3_1__

Regional planning_d_o_c_um_en_t_s--------middot _ J Section C-1 12 __j As Need~- _l_ As Needed

Triennial Needs Assessment __ I Section C-11 3 j-~~~~~~~6 October 31201620192022

Managing Entity Annual Business Operations Plan s f A 11_j 10

c1 1 6 J 9July 31Template 4 _ _____ _ --~~ ~-middot middot __ nnua Y

Plan for Reintegrating Discharge-Ready Individuals ____ _j Section C-117 I Annua_lt_ _ __ _ __July 15 __

~~~~c~rnsi~on Pia~- ___ _ _ ____j ___ Section C-~~8 __ j___ ~ce - ___j Within 90 days of execution

-~ I Annually September 1En~a~cement Plan _____- middot ~ection C-1112 ~gin ni~g 201 I__J _

d t PI Secti Initial and Initialwithin 60 days of executionI jC C C 1 2 2are oor ma 10n an ______ ____ on middot middot_middot_ middot--- _ Ann ~aJ~pdate Annual Update July~ __ Fraud and Abuse PeY e_ltio~rotocol _ __ _____ ___ j Section C-11 4 _ J __ _Once __j_ Within 6Q_day~ 2_f execution

Initial within 60 days of execution~ua~ty_Assuran__~ P~~n _ _ _ _ J___ ~ction C-13 ~ A~~~~~~~~~ te N t k S middot M middott middot PI I S t C 14 1 I Initial and

e wor erv1ce om onng ~ middot-middot- ec 1on bull __ j __Annual Upd~

Information Technology Plan ----- ----- __ __ _j_ Section C-1 56 I Once

Procurement Policy _______ __ __j Section C-225 __] _ __ithin 90 days of execution_ W =--------middot Net~ork Serv~ce Providers EOGIOPB Return on Investment J Sectionc23_ _

2 1 J Annually___ As Directed by EOG

-~ected Estimates

~~~Service Providers EOGIOPB~ctual Retur~on Investment J Section c2_3_2 ~ ___j___a~~rter ly _j As Directed by EOG

Annual Update August 31

___ ----w __ Within 60 days of execution

Reviewed annuall

CF Standard Integrated Contract 2016 62 Contract No QD1A9

------

January 3 2018

EXHIBIT C3 - ME REQUIRED REPORTS PLANS AND FUNCTIONAL TASKS

All Requirements in Table 2 must be submitted to the Contract Manager electronically and be uploaded to the MEs secure web-based document vault

Table 2- Reauired Submissions

r Se~io~~ Requirement Required by I Frequency Due No Later Than _j

~---1 Required Reports and Plans IC3-1 --------------------------------middotJ Provider Tangible Property Inventory Section 8-72 l Initial i Initial within 30 days of execution Template 1 Guidance 2 _ _ andAnnually I__ --~nual July_3_1__

Regional planning_d_o_c_um_en_t_s--------middot _ J Section C-1 12 __j As Need~- _l_ As Needed

Triennial Needs Assessment __ I Section C-11 3 j-~~~~~~~6 October 31201620192022

Managing Entity Annual Business Operations Plan s f A 11_j 10

c1 1 6 J 9July 31Template 4 _ _____ _ --~~ ~-middot middot __ nnua Y

Plan for Reintegrating Discharge-Ready Individuals ____ _j Section C-117 I Annua_lt_ _ __ _ __July 15 __

~~~~c~rnsi~on Pia~- ___ _ _ ____j ___ Section C-~~8 __ j___ ~ce - ___j Within 90 days of execution

-~ I Annually September 1En~a~cement Plan _____- middot ~ection C-1112 ~gin ni~g 201 I__J _

d t PI Secti Initial and Initialwithin 60 days of executionI jC C C 1 2 2are oor ma 10n an ______ ____ on middot middot_middot_ middot--- _ Ann ~aJ~pdate Annual Update July~ __ Fraud and Abuse PeY e_ltio~rotocol _ __ _____ ___ j Section C-11 4 _ J __ _Once __j_ Within 6Q_day~ 2_f execution

Initial within 60 days of execution~ua~ty_Assuran__~ P~~n _ _ _ _ J___ ~ction C-13 ~ A~~~~~~~~~ te N t k S middot M middott middot PI I S t C 14 1 I Initial and

e wor erv1ce om onng ~ middot-middot- ec 1on bull __ j __Annual Upd~

Information Technology Plan ----- ----- __ __ _j_ Section C-1 56 I Once

Procurement Policy _______ __ __j Section C-225 __] _ __ithin 90 days of execution_ W =--------middot Net~ork Serv~ce Providers EOGIOPB Return on Investment J Sectionc23_ _

2 1 J Annually___ As Directed by EOG

-~ected Estimates

~~~Service Providers EOGIOPB~ctual Retur~on Investment J Section c2_3_2 ~ ___j___a~~rter ly _j As Directed by EOG

Annual Update August 31

___ ----w __ Within 60 days of execution

Reviewed annuall

CF Standard Integrated Contract 2016 62 Contract No QD1A9

January 3 2018

Ta~le 2-_Required Submissions J I

Secion Requirement J Required by I Frequency Due No Later Than __I

Conditional Release Report I Guidance 6 J Monthly 51h of each month II

Template22 ____ _____ __ ______

Forensic Diversion Report l G middotd _j M thl I 51h f h th6Template 23 _ _____ middotmiddot-- ______ ~~ ance _ on y 1_ ___ o eac mon

1 ALF-LMH Annual Plan _j G middotd I A 1 i D be 1Template 5 u1 ance 8 nnua ecem r

--- ------- - _j__ -National Voters Registration Act Quarterly Report J_ _ Guidance 5 I Quarter1t___j _J_anuary QApril__9 July 1Q October 10~

C3-2 I Required Financial Forms and Documents

I Managing Entity Operating and Capital Budget I Template Form CF-MH 1042 perch 65E-14 FAC Section C-243 As Needed 30 days after any amendment to Exhibit F1I

I _ - -----I ------ _J

1 ~~~~~~g ntity Fixed Payment lnvoic Advance ~ayment) __j Sections f2_2 and F-3~~ J_middot-middot-Annually ~ ___ July 11 1 Interest remittance and documentation of interest on advances -~-_J __ Section F-23 J Quarterly _j __ _ _ As Needed

-~~~1~g1~ntity Monthly Fixed ~~~me~~ ~~~-~ice _______j Section F-31 1_ _j SAMH Managing Entity Monthly Progress Report J Sections F-3__2and F-3_ I M~nthly and 2Qih of month following service delivery

1 3Template 11 _ _ _ _ __ _ _ ------- FY Fmal Annually FY FinalAugust 15

SAMH Managing Entity Monthly Expenditure Report j s t F-3 1 3 I Template 12 ec Ion middot middot -- --- ---middot- middot- - - j_ - -- _____J

SAMH Managing Entity Monthly Carry Forward Expenditure Report I S f F-3 1 4 _j M thl l 20th of month following servicedelivery Template 13 _ _____ j_ eclon ~----- --middot ~-- FYFinai AufJ_ust 15 ____ J

Initial andI I Initial Within 30 days of executionAnnual UpdateCost Allocation Plan Annual Update August 31 Section F-4 andTemplate 14 Revisions Within 20 days of notifying theRevisions as Departmentj _____jneeded-- -------------- ___--------

Managing Entity Spending Plan for Carry Forward Report Section F-52 Annually 1 Within 30 days of confirmation of approved 1I I Template 15 - ------~ amount from the Department _ ___

CF Standard Integrated Contract 2016 63 Contract No 001 A9

---

January 3 2018

r---- -middot--------- - middot -- - ------ ---------middot Table 2- Required Submissions ---- ______j

Secion J Requirement I Required by _____ Due No Later Than II Frequency

The earlier of 180 days after the end of the providersJ Att h t 1 j Annually andFinancial and Compliance Audit fiscal year orac men As needed

30 days after the MEs receipt of the audit report __l

~---middot-- middot- --~-- ---middot -- ----- - -_I BNet Statement of Program Co~t Guidance 12 I__ AnnuaiiL____j __ Sept~~ber 1 _ _ __I C3-3 I Req~red Data Submission and Performance Reporting -----middot- J

February 15 ISubstance Abuse and Mental Health Block Grant Report I Section 81 -42 I Semi-annually Template 2 _j _____ _ August15 I

iNarrative Report for the SAMH Block Grant J s tmiddot 81 4 3 _j A 11 middot May30Templatel _ _ ecton middot middot ___n~~-~ -- _j __ _

Monthly Data Submission to SAMH Data System Section C-1 542 J Monthly 181h of each month --- j

----middot Within 60 days after initial record

Submission of Corrected Records to SAMH Data System ___I Section C-~~4 _ j__A~needed submission

Data required by Federal or State Grant Awards Jl Se r c1 5 15 1 As needed As established by Grantor timeframesOther than Sections C3-3 7and C3-~ 8 below_ __ c ton__middot ~ __

i Quarterly as I October 20January 204 6Quarterly Report -middot_ _ ___ _ _ _ _ j sectton C-2 middot I scheduled_____ middot _ _ ___ April 20 August 15

Conditional Release Data ____ _ _ __j Guidance 7 CFOP 155-1 ~ J __ ~onthly___j ___ _ _ 151h of each month

Family Intensive Treatment (FIT) Report J Guidance 18 I Monthly 201h of each month Template 17 _ _ ____ __ _ _ _j __ ~ ___ Wo_e_ls Special Funding Data Reportin9__ _____ __] Guidance 26 __j __ Monthly ~ 181h of each month

Transitional Voucher Incidental Summary_ _______] Guidance 29 __j Monthly ___j _ ___201h of ealt~mon th _ _j

Monthly Care Coordination Report _j Guidance 4 l Month 20th of month fllowing service delivery Temvlate 21 Y middot- ~~ FY Ftnal August 15 ___)

CF Standard Integrated Contract 2016 64 Contract No QD1 A9

- ----------

------ -------

-- -

_ _ _

------

------- ---

January 3 2018

Table 2- Required Submissions ___j

~ Requirement~C3 4 I _Required Contract Forms and Documents 1

I Proof of InsuranceI1

I - - ---- __ __________ 1 Employment Screening Affidavit 1 _____ _ __

Securi~reement---__________ Form

Civil Rights Compliance Checklist CF Form 946

Emergency Preparedness Plan

C3-5 I Functional Tasks -~nd__D_e_a_d_lin_e_s___________

Notification of Network Service Provider performance that may interrupt service delivery or involve media coverag~--- _ __ _

1~cident R~ort Submission to IRA~_~anagement amp Oversight

1 ~e~g~~~ CC_Providers_ _ ____

Staffing Changes- CEO COO CFO ____ Staff Designations

bull Staff Member responsible for providing immediate response bull Consumer Affairs Representative bull Facility Representative bull Network Service Provider Affairs Ombudsman bull Data Officer

I_)_

I

bull Lead Housing Cooc__tc--------------_~ rd ina or

I Re~u i re~ Frequenc~_j Due No Later Than J

I ____I

Section 45J I Annually- and and A d d

Section A-42 s nee e ------~middot------

I

I j

Section 4142 Annually

Section 553 I Annually

Section 713 Initial

CFOP 60-16 and Annually

45 CFR Part 80

Initial andSection 92 Annual Update

I 2 ections 413 and C-1 36 Imiddot-

] _ _ Section C-17~~ J

S r c I10 1 3 3 ec n middot middot

Section C-212 ______J _

Section C-214

Initial upon execution Annual March 31 and

As needed Within 30 days of a modification of terms--- - July 1or

Anniversary of Previous Annual Affidavit if _ ____ later

I

As needed ______

Once and As needed _

As needed

Initial and

Annual Update

------- J

Upon execution Updated annuall~ _

Initial Within 30 days of execution 1

Thereafter July 15 _j Initial Within 30 days of execution

Annual Update every 12 months after ~cc~ ptance of Initial

Within 48 hours

_ _ Upon discovery of an incidenl _ J Initial Within 60 days of execution

~s neede~ ~~~~ 109ays o_ny chan~

Within 5 b ~~ines s days of a~y ~h an~e _ J

Initial upon execution Annual Update July 1

________j

CF Standard Integrated Contract 2016 65 Contract No QD1 A9

January 3 2018

---------middot--------- ----middotmiddot----_____ __jTable 2- Required Submissions-----------shy

Secion I Requirement Required by _j Frequency J Due No Later Than J Initial Within 60 days of assignmentEstablish amp maintain internet-based electronic vault for access Sections C-226 and Once andJ

As Needed All new documents within 10contract-related documents C-242 As needed _ ___ __ _____Eusiness d~~------------ --- ----- middotmiddot- ----

CF Standard Integrated Contract 2016 65a Contract No Q01 A9

January 3 2018

Exhibi t F1 ME Schedulo of Funds Centra l Flofida Behavioral Health - Contact Q01A9

FY 2017-18 U se Deslanatlc n -As of 1211 112017

Othu- CoMOthur CoMt Accurnulatora Title Fbullderal Stato Total

Accumulatoramp J 1 Enll t y Admin oolltfgtl ow obulltbull M HSOO bulllt~bull roo S lt 78 5 7 St6

M E Mntnl Huollh Svoom o f Ca- bullHOSK ~~c~ ~ ME H e Cooedl nutio- M HSHG 226611 1 middot~ ME Calte I MHSCC Mentaol H

IME Montul Huilh Soc amp Suppon ~ 88461 4 80 76 1Mfl

fME-CH_ C =odlnolnn (MAn t a O HeAlth M HOOC

t 5653 1 _653

ltE BeMOltAI

MHOC

MH011

I M E Forobullbullc T laquoONimenl Secbullbull MH012

ME MH UCF-PTSO Clln o~ Ia Florida Voterano gtnd MH013

IME MH soonlno Poont MH014 middot 000 010 (K)(I

ME MH P nnltMAI MH CS

Me MHJ iot ~and httdrampnbull s c o lthbull Suncoao MH015 ~ 500000 )()()0 bullno 0lt1lt

M E MH John Hockinbull A ll Childonmiddotbull HobullrgtoiAI

ltH016

300000 000

M E MH enobullr middot Mobilamp Ace Tbullum

MHC MHCt9 100000 000 oro

IME Eanv s~ middot Povcholtl c D looltdMnJ

ME MH NAOwon o l F lorida lnOontood I H ealth PltDltmbullm bull H022

M H028

IME 1000 bull Olt 00( bull

ltE Od HWoHnC H CAniAltbullBOhAOi H omlth S oltC AB

MH027 MH03 1 100000 1 IOOC

0 00IME Vvt and Fmbullhu o Pllu t PrDQrom MHO 485()_()Q_ i OOC -~ 165000 _ooo 00(

I M E Florida

AE Fnlaquo Mvw~ SNI-oono Army-BehHora Health Sec MHOXf

500 000 bull00ltMHObullamp ooc I ME Sowcoallzbulld ToampAltmbullnt Euuchon and Pr-nllon Secs M H050

ME Voonrnnbull - Rel ovK Progrbullm MHOamp( _OQO 250 ooc IME Northsidoo Ment al HoHilh C ntbullbull

250000

MH06 27500( 000 0(~ MH07IME P urchase ol Toal m nt seces 01bull ultIKOd hild and Yout bulln~~- ~ i2o3

IME- -ltnunit Fn~ i c Bedo ~17 722 301 722

IME Ftoltlda Anbullotl Communlh T-omampn l fFAcn

MHC 2_ ltH073 tt 29 sobull 17 04 1023

IME lnubullaoont Poychlatnc Moolcalfon Pro 57bull7bull29

MH076 t 39 1 156 391 Me c ao--oo~ Hh c MH08D

ME C illtubull HQ8 1th Ntiiwoltk MHOD4 ___

I ME -bullbullom Goluvn Cenlelt MHOD6

I ME Cn MH8 t 9 250 000 o OOC

I ME MH middot Actoon Tatmamp nt CA Teambull MHC A _1gt_lt( _QQt _5~ 00lt IME Drtnndo cbull Counbullollna Sec

IME O lonbltlll v R l ltgth ts Florida M ntl Hootolth MHORF 720000 720 000

Ai M-gt I SltgtCe bull MHE M P l75()0~ ltpound MH Fooenolc Toanoollonal Oudk 681 760

I ME T~ns i tooogt Vouc~ Men t ol Hbullalth

MHfMH ~ ltHTRV 400986 400

I M e MH Tltilnbull ollooal Bodbull lno MH lnbullot utiO MHTMH I ME L lfesm Cont a MHSIO --=-I M E =bullnt all~ed Rocel~nltgt Faclllh 20lt1809 180 589 tAR

IOe dian B oho -~ MHSMD

IME FL SOC Ebulloanoigtn and bull Pooco MHESP 00(

IME MH Stat Funova F o lt Poort i bullo8 QO(

MHSFP _00~ 1 695

I M E c ltHRM5 ~ IME CciM of Cnno c VoiiKAe MHS51 IME Ooc l s of =~lt Cnbullbullbull Stamptgto MHS52

I M E c l eo ol n Gvbulloobullvehuotrlc c s cbull Mo-lS_1gt_ I ME PATH MHOPG I M E tonda Youth Toanoiloon or AdulthOod MHOTA ~ t03--=-I ME MH F Youth T oano illon t o AdulthOOd middot Ybullabull 4 MHTAbull 748

Tomooltarv A N-dy Fangtillobull TANF MHOTB 2 422 222 2 422 I ME T1ll gtOQ Ohold-no Health lnowancbull Proaltam I Henltlgt N otwon MHOBN bQLt_~ _d_ ~ 1 5 962 IME Gltant Oount y I FA poundS MHOFA

ME - Fltgt-nc Teambull Hoooitbull l o1-1on MHOFH 652000 ME Oounl s PoegtOCI _aunch MHOPL 13

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M E Abuau Scao and Suooort MSOOO -- ~ -- 14middot60_4 10 0 OOu ME are Abusegt

_2~ 89 399_ _4 -~ i 1A _478 136478 ~

Mpound H IV Secea MS023 1 56060 1 160

IME Scltoo MS025 6 2 1 140

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2 03 425 2031 25 fME F omllv lnhonol Tnowtment CF _M ()~ bull 333984 IME A-- Ndy famiii8A r A N F M SOTB

___ ~ ~ USI50362 660

IME Sdot scwbull l o o J~oome Golden Cnt eo MSOJG

[ME Dnolto Abuae ToeHtment fOACCOI I S095 1000001QO Q_()Q_ [ME Hwoebulli HoiP 15003

M E SA MHmo r lal Rbulloionol H oaoltkl middot M a 1bullbullnbulll Addition ToHalme n t Poog MS904

ME SA gtoi~d Abu o o Polot Pooli middotPalm o a~h M S_91)i_ _ ME s Addlclion R Peebull P ilot Pmarnngt 15908 500000 M E St JoMa Count bull S~nflo Orftce Oet ox Poocmm M S9C

ME SA N ww Horgtlto SAMH rronomunl Prolecl MS908 ME F PannogtNi-na lnr s cCftMa ISOFS 70 000 70 M E F Pannerohl o fo r Succ H Obulltgtltftl P ilot MSOFH

Ml PnnnAlta h op GltMO (PPC MSOPP 1 t88769 ___ ME S tatw E O utcom e bull LOC31 MSOWL 36 70 36 70 ME F Tnoaeled RBsoonltamp Oooold MSOPH tSC OOO 00 01)0

M lt FL Ro (--to l h Oooltgtltd MA MS 00lt1

bullbull middot ~0) t4h I ME FL Roltoogtnlte oo thw Ooiolltl Cd M SOPS

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70000 mllOCgt I ME SA St~to FundltOd For P rono M SSFP

I ME TIO-vw- Abuao lliiiill ~~

280383 280 363___

Abu ua~~IT~o~~middotau~~middot~~~und~~SO~LUoC~middotmiddot~middot------------------------------------------- =~~~~~t~~~~tE~~~~~t==s-___ ~~~~~~-~ -__1_02 bullbull 554 2~

MHHIP 7771 7 7778447 f1rt l

777 847 7T78A7 777 amp47

50 531 220 1 33800286 183421506 tG 332 0A1

MHHMI

Integrated Contract 2016 75 Contract No QD1A9

- ----------

------ -------

-- -

_ _ _

------

------- ---

January 3 2018

Table 2- Required Submissions ___j

~ Requirement~C3 4 I _Required Contract Forms and Documents 1

I Proof of InsuranceI1

I - - ---- __ __________ 1 Employment Screening Affidavit 1 _____ _ __

Securi~reement---__________ Form

Civil Rights Compliance Checklist CF Form 946

Emergency Preparedness Plan

C3-5 I Functional Tasks -~nd__D_e_a_d_lin_e_s___________

Notification of Network Service Provider performance that may interrupt service delivery or involve media coverag~--- _ __ _

1~cident R~ort Submission to IRA~_~anagement amp Oversight

1 ~e~g~~~ CC_Providers_ _ ____

Staffing Changes- CEO COO CFO ____ Staff Designations

bull Staff Member responsible for providing immediate response bull Consumer Affairs Representative bull Facility Representative bull Network Service Provider Affairs Ombudsman bull Data Officer

I_)_

I

bull Lead Housing Cooc__tc--------------_~ rd ina or

I Re~u i re~ Frequenc~_j Due No Later Than J

I ____I

Section 45J I Annually- and and A d d

Section A-42 s nee e ------~middot------

I

I j

Section 4142 Annually

Section 553 I Annually

Section 713 Initial

CFOP 60-16 and Annually

45 CFR Part 80

Initial andSection 92 Annual Update

I 2 ections 413 and C-1 36 Imiddot-

] _ _ Section C-17~~ J

S r c I10 1 3 3 ec n middot middot

Section C-212 ______J _

Section C-214

Initial upon execution Annual March 31 and

As needed Within 30 days of a modification of terms--- - July 1or

Anniversary of Previous Annual Affidavit if _ ____ later

I

As needed ______

Once and As needed _

As needed

Initial and

Annual Update

------- J

Upon execution Updated annuall~ _

Initial Within 30 days of execution 1

Thereafter July 15 _j Initial Within 30 days of execution

Annual Update every 12 months after ~cc~ ptance of Initial

Within 48 hours

_ _ Upon discovery of an incidenl _ J Initial Within 60 days of execution

~s neede~ ~~~~ 109ays o_ny chan~

Within 5 b ~~ines s days of a~y ~h an~e _ J

Initial upon execution Annual Update July 1

________j

CF Standard Integrated Contract 2016 65 Contract No QD1 A9

January 3 2018

---------middot--------- ----middotmiddot----_____ __jTable 2- Required Submissions-----------shy

Secion I Requirement Required by _j Frequency J Due No Later Than J Initial Within 60 days of assignmentEstablish amp maintain internet-based electronic vault for access Sections C-226 and Once andJ

As Needed All new documents within 10contract-related documents C-242 As needed _ ___ __ _____Eusiness d~~------------ --- ----- middotmiddot- ----

CF Standard Integrated Contract 2016 65a Contract No Q01 A9

January 3 2018

Exhibi t F1 ME Schedulo of Funds Centra l Flofida Behavioral Health - Contact Q01A9

FY 2017-18 U se Deslanatlc n -As of 1211 112017

Othu- CoMOthur CoMt Accurnulatora Title Fbullderal Stato Total

Accumulatoramp J 1 Enll t y Admin oolltfgtl ow obulltbull M HSOO bulllt~bull roo S lt 78 5 7 St6

M E Mntnl Huollh Svoom o f Ca- bullHOSK ~~c~ ~ ME H e Cooedl nutio- M HSHG 226611 1 middot~ ME Calte I MHSCC Mentaol H

IME Montul Huilh Soc amp Suppon ~ 88461 4 80 76 1Mfl

fME-CH_ C =odlnolnn (MAn t a O HeAlth M HOOC

t 5653 1 _653

ltE BeMOltAI

MHOC

MH011

I M E Forobullbullc T laquoONimenl Secbullbull MH012

ME MH UCF-PTSO Clln o~ Ia Florida Voterano gtnd MH013

IME MH soonlno Poont MH014 middot 000 010 (K)(I

ME MH P nnltMAI MH CS

Me MHJ iot ~and httdrampnbull s c o lthbull Suncoao MH015 ~ 500000 )()()0 bullno 0lt1lt

M E MH John Hockinbull A ll Childonmiddotbull HobullrgtoiAI

ltH016

300000 000

M E MH enobullr middot Mobilamp Ace Tbullum

MHC MHCt9 100000 000 oro

IME Eanv s~ middot Povcholtl c D looltdMnJ

ME MH NAOwon o l F lorida lnOontood I H ealth PltDltmbullm bull H022

M H028

IME 1000 bull Olt 00( bull

ltE Od HWoHnC H CAniAltbullBOhAOi H omlth S oltC AB

MH027 MH03 1 100000 1 IOOC

0 00IME Vvt and Fmbullhu o Pllu t PrDQrom MHO 485()_()Q_ i OOC -~ 165000 _ooo 00(

I M E Florida

AE Fnlaquo Mvw~ SNI-oono Army-BehHora Health Sec MHOXf

500 000 bull00ltMHObullamp ooc I ME Sowcoallzbulld ToampAltmbullnt Euuchon and Pr-nllon Secs M H050

ME Voonrnnbull - Rel ovK Progrbullm MHOamp( _OQO 250 ooc IME Northsidoo Ment al HoHilh C ntbullbull

250000

MH06 27500( 000 0(~ MH07IME P urchase ol Toal m nt seces 01bull ultIKOd hild and Yout bulln~~- ~ i2o3

IME- -ltnunit Fn~ i c Bedo ~17 722 301 722

IME Ftoltlda Anbullotl Communlh T-omampn l fFAcn

MHC 2_ ltH073 tt 29 sobull 17 04 1023

IME lnubullaoont Poychlatnc Moolcalfon Pro 57bull7bull29

MH076 t 39 1 156 391 Me c ao--oo~ Hh c MH08D

ME C illtubull HQ8 1th Ntiiwoltk MHOD4 ___

I ME -bullbullom Goluvn Cenlelt MHOD6

I ME Cn MH8 t 9 250 000 o OOC

I ME MH middot Actoon Tatmamp nt CA Teambull MHC A _1gt_lt( _QQt _5~ 00lt IME Drtnndo cbull Counbullollna Sec

IME O lonbltlll v R l ltgth ts Florida M ntl Hootolth MHORF 720000 720 000

Ai M-gt I SltgtCe bull MHE M P l75()0~ ltpound MH Fooenolc Toanoollonal Oudk 681 760

I ME T~ns i tooogt Vouc~ Men t ol Hbullalth

MHfMH ~ ltHTRV 400986 400

I M e MH Tltilnbull ollooal Bodbull lno MH lnbullot utiO MHTMH I ME L lfesm Cont a MHSIO --=-I M E =bullnt all~ed Rocel~nltgt Faclllh 20lt1809 180 589 tAR

IOe dian B oho -~ MHSMD

IME FL SOC Ebulloanoigtn and bull Pooco MHESP 00(

IME MH Stat Funova F o lt Poort i bullo8 QO(

MHSFP _00~ 1 695

I M E c ltHRM5 ~ IME CciM of Cnno c VoiiKAe MHS51 IME Ooc l s of =~lt Cnbullbullbull Stamptgto MHS52

I M E c l eo ol n Gvbulloobullvehuotrlc c s cbull Mo-lS_1gt_ I ME PATH MHOPG I M E tonda Youth Toanoiloon or AdulthOod MHOTA ~ t03--=-I ME MH F Youth T oano illon t o AdulthOOd middot Ybullabull 4 MHTAbull 748

Tomooltarv A N-dy Fangtillobull TANF MHOTB 2 422 222 2 422 I ME T1ll gtOQ Ohold-no Health lnowancbull Proaltam I Henltlgt N otwon MHOBN bQLt_~ _d_ ~ 1 5 962 IME Gltant Oount y I FA poundS MHOFA

ME - Fltgt-nc Teambull Hoooitbull l o1-1on MHOFH 652000 ME Oounl s PoegtOCI _aunch MHOPL 13

a _ bull

M E Abuau Scao and Suooort MSOOO -- ~ -- 14middot60_4 10 0 OOu ME are Abusegt

_2~ 89 399_ _4 -~ i 1A _478 136478 ~

Mpound H IV Secea MS023 1 56060 1 160

IME Scltoo MS025 6 2 1 140

I ~J~upnolon ol Substance Abubullbull S ecebull lor Pr~gn~nt Womn ~n~ their M S08

s 2 bull1 8 bull o

2 03 425 2031 25 fME F omllv lnhonol Tnowtment CF _M ()~ bull 333984 IME A-- Ndy famiii8A r A N F M SOTB

___ ~ ~ USI50362 660

IME Sdot scwbull l o o J~oome Golden Cnt eo MSOJG

[ME Dnolto Abuae ToeHtment fOACCOI I S095 1000001QO Q_()Q_ [ME Hwoebulli HoiP 15003

M E SA MHmo r lal Rbulloionol H oaoltkl middot M a 1bullbullnbulll Addition ToHalme n t Poog MS904

ME SA gtoi~d Abu o o Polot Pooli middotPalm o a~h M S_91)i_ _ ME s Addlclion R Peebull P ilot Pmarnngt 15908 500000 M E St JoMa Count bull S~nflo Orftce Oet ox Poocmm M S9C

ME SA N ww Horgtlto SAMH rronomunl Prolecl MS908 ME F PannogtNi-na lnr s cCftMa ISOFS 70 000 70 M E F Pannerohl o fo r Succ H Obulltgtltftl P ilot MSOFH

Ml PnnnAlta h op GltMO (PPC MSOPP 1 t88769 ___ ME S tatw E O utcom e bull LOC31 MSOWL 36 70 36 70 ME F Tnoaeled RBsoonltamp Oooold MSOPH tSC OOO 00 01)0

M lt FL Ro (--to l h Oooltgtltd MA MS 00lt1

bullbull middot ~0) t4h I ME FL Roltoogtnlte oo thw Ooiolltl Cd M SOPS

__1_bull ~lt

70000 mllOCgt I ME SA St~to FundltOd For P rono M SSFP

I ME TIO-vw- Abuao lliiiill ~~

280383 280 363___

Abu ua~~IT~o~~middotau~~middot~~~und~~SO~LUoC~middotmiddot~middot------------------------------------------- =~~~~~t~~~~tE~~~~~t==s-___ ~~~~~~-~ -__1_02 bullbull 554 2~

MHHIP 7771 7 7778447 f1rt l

777 847 7T78A7 777 amp47

50 531 220 1 33800286 183421506 tG 332 0A1

MHHMI

Integrated Contract 2016 75 Contract No QD1A9

January 3 2018

---------middot--------- ----middotmiddot----_____ __jTable 2- Required Submissions-----------shy

Secion I Requirement Required by _j Frequency J Due No Later Than J Initial Within 60 days of assignmentEstablish amp maintain internet-based electronic vault for access Sections C-226 and Once andJ

As Needed All new documents within 10contract-related documents C-242 As needed _ ___ __ _____Eusiness d~~------------ --- ----- middotmiddot- ----

CF Standard Integrated Contract 2016 65a Contract No Q01 A9

January 3 2018

Exhibi t F1 ME Schedulo of Funds Centra l Flofida Behavioral Health - Contact Q01A9

FY 2017-18 U se Deslanatlc n -As of 1211 112017

Othu- CoMOthur CoMt Accurnulatora Title Fbullderal Stato Total

Accumulatoramp J 1 Enll t y Admin oolltfgtl ow obulltbull M HSOO bulllt~bull roo S lt 78 5 7 St6

M E Mntnl Huollh Svoom o f Ca- bullHOSK ~~c~ ~ ME H e Cooedl nutio- M HSHG 226611 1 middot~ ME Calte I MHSCC Mentaol H

IME Montul Huilh Soc amp Suppon ~ 88461 4 80 76 1Mfl

fME-CH_ C =odlnolnn (MAn t a O HeAlth M HOOC

t 5653 1 _653

ltE BeMOltAI

MHOC

MH011

I M E Forobullbullc T laquoONimenl Secbullbull MH012

ME MH UCF-PTSO Clln o~ Ia Florida Voterano gtnd MH013

IME MH soonlno Poont MH014 middot 000 010 (K)(I

ME MH P nnltMAI MH CS

Me MHJ iot ~and httdrampnbull s c o lthbull Suncoao MH015 ~ 500000 )()()0 bullno 0lt1lt

M E MH John Hockinbull A ll Childonmiddotbull HobullrgtoiAI

ltH016

300000 000

M E MH enobullr middot Mobilamp Ace Tbullum

MHC MHCt9 100000 000 oro

IME Eanv s~ middot Povcholtl c D looltdMnJ

ME MH NAOwon o l F lorida lnOontood I H ealth PltDltmbullm bull H022

M H028

IME 1000 bull Olt 00( bull

ltE Od HWoHnC H CAniAltbullBOhAOi H omlth S oltC AB

MH027 MH03 1 100000 1 IOOC

0 00IME Vvt and Fmbullhu o Pllu t PrDQrom MHO 485()_()Q_ i OOC -~ 165000 _ooo 00(

I M E Florida

AE Fnlaquo Mvw~ SNI-oono Army-BehHora Health Sec MHOXf

500 000 bull00ltMHObullamp ooc I ME Sowcoallzbulld ToampAltmbullnt Euuchon and Pr-nllon Secs M H050

ME Voonrnnbull - Rel ovK Progrbullm MHOamp( _OQO 250 ooc IME Northsidoo Ment al HoHilh C ntbullbull

250000

MH06 27500( 000 0(~ MH07IME P urchase ol Toal m nt seces 01bull ultIKOd hild and Yout bulln~~- ~ i2o3

IME- -ltnunit Fn~ i c Bedo ~17 722 301 722

IME Ftoltlda Anbullotl Communlh T-omampn l fFAcn

MHC 2_ ltH073 tt 29 sobull 17 04 1023

IME lnubullaoont Poychlatnc Moolcalfon Pro 57bull7bull29

MH076 t 39 1 156 391 Me c ao--oo~ Hh c MH08D

ME C illtubull HQ8 1th Ntiiwoltk MHOD4 ___

I ME -bullbullom Goluvn Cenlelt MHOD6

I ME Cn MH8 t 9 250 000 o OOC

I ME MH middot Actoon Tatmamp nt CA Teambull MHC A _1gt_lt( _QQt _5~ 00lt IME Drtnndo cbull Counbullollna Sec

IME O lonbltlll v R l ltgth ts Florida M ntl Hootolth MHORF 720000 720 000

Ai M-gt I SltgtCe bull MHE M P l75()0~ ltpound MH Fooenolc Toanoollonal Oudk 681 760

I ME T~ns i tooogt Vouc~ Men t ol Hbullalth

MHfMH ~ ltHTRV 400986 400

I M e MH Tltilnbull ollooal Bodbull lno MH lnbullot utiO MHTMH I ME L lfesm Cont a MHSIO --=-I M E =bullnt all~ed Rocel~nltgt Faclllh 20lt1809 180 589 tAR

IOe dian B oho -~ MHSMD

IME FL SOC Ebulloanoigtn and bull Pooco MHESP 00(

IME MH Stat Funova F o lt Poort i bullo8 QO(

MHSFP _00~ 1 695

I M E c ltHRM5 ~ IME CciM of Cnno c VoiiKAe MHS51 IME Ooc l s of =~lt Cnbullbullbull Stamptgto MHS52

I M E c l eo ol n Gvbulloobullvehuotrlc c s cbull Mo-lS_1gt_ I ME PATH MHOPG I M E tonda Youth Toanoiloon or AdulthOod MHOTA ~ t03--=-I ME MH F Youth T oano illon t o AdulthOOd middot Ybullabull 4 MHTAbull 748

Tomooltarv A N-dy Fangtillobull TANF MHOTB 2 422 222 2 422 I ME T1ll gtOQ Ohold-no Health lnowancbull Proaltam I Henltlgt N otwon MHOBN bQLt_~ _d_ ~ 1 5 962 IME Gltant Oount y I FA poundS MHOFA

ME - Fltgt-nc Teambull Hoooitbull l o1-1on MHOFH 652000 ME Oounl s PoegtOCI _aunch MHOPL 13

a _ bull

M E Abuau Scao and Suooort MSOOO -- ~ -- 14middot60_4 10 0 OOu ME are Abusegt

_2~ 89 399_ _4 -~ i 1A _478 136478 ~

Mpound H IV Secea MS023 1 56060 1 160

IME Scltoo MS025 6 2 1 140

I ~J~upnolon ol Substance Abubullbull S ecebull lor Pr~gn~nt Womn ~n~ their M S08

s 2 bull1 8 bull o

2 03 425 2031 25 fME F omllv lnhonol Tnowtment CF _M ()~ bull 333984 IME A-- Ndy famiii8A r A N F M SOTB

___ ~ ~ USI50362 660

IME Sdot scwbull l o o J~oome Golden Cnt eo MSOJG

[ME Dnolto Abuae ToeHtment fOACCOI I S095 1000001QO Q_()Q_ [ME Hwoebulli HoiP 15003

M E SA MHmo r lal Rbulloionol H oaoltkl middot M a 1bullbullnbulll Addition ToHalme n t Poog MS904

ME SA gtoi~d Abu o o Polot Pooli middotPalm o a~h M S_91)i_ _ ME s Addlclion R Peebull P ilot Pmarnngt 15908 500000 M E St JoMa Count bull S~nflo Orftce Oet ox Poocmm M S9C

ME SA N ww Horgtlto SAMH rronomunl Prolecl MS908 ME F PannogtNi-na lnr s cCftMa ISOFS 70 000 70 M E F Pannerohl o fo r Succ H Obulltgtltftl P ilot MSOFH

Ml PnnnAlta h op GltMO (PPC MSOPP 1 t88769 ___ ME S tatw E O utcom e bull LOC31 MSOWL 36 70 36 70 ME F Tnoaeled RBsoonltamp Oooold MSOPH tSC OOO 00 01)0

M lt FL Ro (--to l h Oooltgtltd MA MS 00lt1

bullbull middot ~0) t4h I ME FL Roltoogtnlte oo thw Ooiolltl Cd M SOPS

__1_bull ~lt

70000 mllOCgt I ME SA St~to FundltOd For P rono M SSFP

I ME TIO-vw- Abuao lliiiill ~~

280383 280 363___

Abu ua~~IT~o~~middotau~~middot~~~und~~SO~LUoC~middotmiddot~middot------------------------------------------- =~~~~~t~~~~tE~~~~~t==s-___ ~~~~~~-~ -__1_02 bullbull 554 2~

MHHIP 7771 7 7778447 f1rt l

777 847 7T78A7 777 amp47

50 531 220 1 33800286 183421506 tG 332 0A1

MHHMI

Integrated Contract 2016 75 Contract No QD1A9

January 3 2018

Exhibi t F1 ME Schedulo of Funds Centra l Flofida Behavioral Health - Contact Q01A9

FY 2017-18 U se Deslanatlc n -As of 1211 112017

Othu- CoMOthur CoMt Accurnulatora Title Fbullderal Stato Total

Accumulatoramp J 1 Enll t y Admin oolltfgtl ow obulltbull M HSOO bulllt~bull roo S lt 78 5 7 St6

M E Mntnl Huollh Svoom o f Ca- bullHOSK ~~c~ ~ ME H e Cooedl nutio- M HSHG 226611 1 middot~ ME Calte I MHSCC Mentaol H

IME Montul Huilh Soc amp Suppon ~ 88461 4 80 76 1Mfl

fME-CH_ C =odlnolnn (MAn t a O HeAlth M HOOC

t 5653 1 _653

ltE BeMOltAI

MHOC

MH011

I M E Forobullbullc T laquoONimenl Secbullbull MH012

ME MH UCF-PTSO Clln o~ Ia Florida Voterano gtnd MH013

IME MH soonlno Poont MH014 middot 000 010 (K)(I

ME MH P nnltMAI MH CS

Me MHJ iot ~and httdrampnbull s c o lthbull Suncoao MH015 ~ 500000 )()()0 bullno 0lt1lt

M E MH John Hockinbull A ll Childonmiddotbull HobullrgtoiAI

ltH016

300000 000

M E MH enobullr middot Mobilamp Ace Tbullum

MHC MHCt9 100000 000 oro

IME Eanv s~ middot Povcholtl c D looltdMnJ

ME MH NAOwon o l F lorida lnOontood I H ealth PltDltmbullm bull H022

M H028

IME 1000 bull Olt 00( bull

ltE Od HWoHnC H CAniAltbullBOhAOi H omlth S oltC AB

MH027 MH03 1 100000 1 IOOC

0 00IME Vvt and Fmbullhu o Pllu t PrDQrom MHO 485()_()Q_ i OOC -~ 165000 _ooo 00(

I M E Florida

AE Fnlaquo Mvw~ SNI-oono Army-BehHora Health Sec MHOXf

500 000 bull00ltMHObullamp ooc I ME Sowcoallzbulld ToampAltmbullnt Euuchon and Pr-nllon Secs M H050

ME Voonrnnbull - Rel ovK Progrbullm MHOamp( _OQO 250 ooc IME Northsidoo Ment al HoHilh C ntbullbull

250000

MH06 27500( 000 0(~ MH07IME P urchase ol Toal m nt seces 01bull ultIKOd hild and Yout bulln~~- ~ i2o3

IME- -ltnunit Fn~ i c Bedo ~17 722 301 722

IME Ftoltlda Anbullotl Communlh T-omampn l fFAcn

MHC 2_ ltH073 tt 29 sobull 17 04 1023

IME lnubullaoont Poychlatnc Moolcalfon Pro 57bull7bull29

MH076 t 39 1 156 391 Me c ao--oo~ Hh c MH08D

ME C illtubull HQ8 1th Ntiiwoltk MHOD4 ___

I ME -bullbullom Goluvn Cenlelt MHOD6

I ME Cn MH8 t 9 250 000 o OOC

I ME MH middot Actoon Tatmamp nt CA Teambull MHC A _1gt_lt( _QQt _5~ 00lt IME Drtnndo cbull Counbullollna Sec

IME O lonbltlll v R l ltgth ts Florida M ntl Hootolth MHORF 720000 720 000

Ai M-gt I SltgtCe bull MHE M P l75()0~ ltpound MH Fooenolc Toanoollonal Oudk 681 760

I ME T~ns i tooogt Vouc~ Men t ol Hbullalth

MHfMH ~ ltHTRV 400986 400

I M e MH Tltilnbull ollooal Bodbull lno MH lnbullot utiO MHTMH I ME L lfesm Cont a MHSIO --=-I M E =bullnt all~ed Rocel~nltgt Faclllh 20lt1809 180 589 tAR

IOe dian B oho -~ MHSMD

IME FL SOC Ebulloanoigtn and bull Pooco MHESP 00(

IME MH Stat Funova F o lt Poort i bullo8 QO(

MHSFP _00~ 1 695

I M E c ltHRM5 ~ IME CciM of Cnno c VoiiKAe MHS51 IME Ooc l s of =~lt Cnbullbullbull Stamptgto MHS52

I M E c l eo ol n Gvbulloobullvehuotrlc c s cbull Mo-lS_1gt_ I ME PATH MHOPG I M E tonda Youth Toanoiloon or AdulthOod MHOTA ~ t03--=-I ME MH F Youth T oano illon t o AdulthOOd middot Ybullabull 4 MHTAbull 748

Tomooltarv A N-dy Fangtillobull TANF MHOTB 2 422 222 2 422 I ME T1ll gtOQ Ohold-no Health lnowancbull Proaltam I Henltlgt N otwon MHOBN bQLt_~ _d_ ~ 1 5 962 IME Gltant Oount y I FA poundS MHOFA

ME - Fltgt-nc Teambull Hoooitbull l o1-1on MHOFH 652000 ME Oounl s PoegtOCI _aunch MHOPL 13

a _ bull

M E Abuau Scao and Suooort MSOOO -- ~ -- 14middot60_4 10 0 OOu ME are Abusegt

_2~ 89 399_ _4 -~ i 1A _478 136478 ~

Mpound H IV Secea MS023 1 56060 1 160

IME Scltoo MS025 6 2 1 140

I ~J~upnolon ol Substance Abubullbull S ecebull lor Pr~gn~nt Womn ~n~ their M S08

s 2 bull1 8 bull o

2 03 425 2031 25 fME F omllv lnhonol Tnowtment CF _M ()~ bull 333984 IME A-- Ndy famiii8A r A N F M SOTB

___ ~ ~ USI50362 660

IME Sdot scwbull l o o J~oome Golden Cnt eo MSOJG

[ME Dnolto Abuae ToeHtment fOACCOI I S095 1000001QO Q_()Q_ [ME Hwoebulli HoiP 15003

M E SA MHmo r lal Rbulloionol H oaoltkl middot M a 1bullbullnbulll Addition ToHalme n t Poog MS904

ME SA gtoi~d Abu o o Polot Pooli middotPalm o a~h M S_91)i_ _ ME s Addlclion R Peebull P ilot Pmarnngt 15908 500000 M E St JoMa Count bull S~nflo Orftce Oet ox Poocmm M S9C

ME SA N ww Horgtlto SAMH rronomunl Prolecl MS908 ME F PannogtNi-na lnr s cCftMa ISOFS 70 000 70 M E F Pannerohl o fo r Succ H Obulltgtltftl P ilot MSOFH

Ml PnnnAlta h op GltMO (PPC MSOPP 1 t88769 ___ ME S tatw E O utcom e bull LOC31 MSOWL 36 70 36 70 ME F Tnoaeled RBsoonltamp Oooold MSOPH tSC OOO 00 01)0

M lt FL Ro (--to l h Oooltgtltd MA MS 00lt1

bullbull middot ~0) t4h I ME FL Roltoogtnlte oo thw Ooiolltl Cd M SOPS

__1_bull ~lt

70000 mllOCgt I ME SA St~to FundltOd For P rono M SSFP

I ME TIO-vw- Abuao lliiiill ~~

280383 280 363___

Abu ua~~IT~o~~middotau~~middot~~~und~~SO~LUoC~middotmiddot~middot------------------------------------------- =~~~~~t~~~~tE~~~~~t==s-___ ~~~~~~-~ -__1_02 bullbull 554 2~

MHHIP 7771 7 7778447 f1rt l

777 847 7T78A7 777 amp47

50 531 220 1 33800286 183421506 tG 332 0A1

MHHMI

Integrated Contract 2016 75 Contract No QD1A9