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Program Guidance for Contract DeliverablesIncorporated Document 5

Department of Children and Families’SAMH FUNDING RESOURCE GUIDE

Requirement: N/A

Frequency: Ongoing

Due Date: N/A

Description:

Please note that this document is intended as a helpful resource guide. However, information and resources related to funding restrictions for Substance Abuse and Mental Health (SAMH) Services are not limited to the contents of this document.

I. SAMH OCA’S AND FUNDING GUIDELINES A. MENTAL HEALTH SERVICES

Budget Entity 60910506 Adult Community Mental Health (1301080000) Children’s Community Mental Health (1301090000) Executive Leadership/Support Services (1602000000)

OCA: CFBASCOMM FORENSIC BEDS - ADULT SVC

STATE PROGRAM: ADULT/COMM/MENTAL/HEALTH(1301080000)

G/A-COMM MENTAL HLTH SVS (100610)

COVERED COSTS: Costs of providing treatment and training services under the provision of Chapter 916 of the Florida Statutes, and diverting individuals from the forensic system to the mental health treatment systemRECIPIENTS: Individuals who have been charged with a felony and have been found to be incompetent to proceed or not guilty by reason of insanity due to their mental illness and are committed to the Department of Children and Families (DCF); and individuals who have been charged with a misdemeanor and are believed to be at risk of moving further into the criminal justice system due to their mental illness.AUTHORIZED SERVICES: Residential services, mental health courts, and wraparound services/incidentals. Community forensic treatment includes, but is not limited to, admission, assessment, evaluation, treatment and various individualized services including competency restoration training. Provides mental health treatment and support services to restore competency so individuals may continue with the legal proceedings, while maintaining a level of mental health stability, and provide community- based treatment aimed at diverting individuals from the forensic system to the mental health treatment system.FUNDING: 100% State funded, no match is required, and there are no budget restrictions.

OCA: GJDT1JAIL DIVERSION AND TRAUMA RECOVERY



COVERED COSTS: Include, but is not limited to implementing the Jail Diversion Programs for the Substance Abuse and Mental Health Services – Projects of Regional and National Significance (PRNS) five year grant.RECIPIENTS: Persons, especially Veterans, with mental illnesses in the criminal justice system.

AUTHORIZED SERVICES: Administrative and general program costs in the Regions/Circuits associated with the Jail Diversion and Trauma Recovers (JDTR) project. Provided to redesign and transform a system of care to ensure ready access to effective services and minimize the unnecessary involvement of people, especially veterans, with mental illnesses in the criminal justice system.

FUNDING: This BE/OCA combination is funded through the Substance Abuse and Mental Health Services-PRNS Grant.

1Prepared by: SAMH Program Office

Last Update: September 5, 2013


OCA: 19MCBCOMM SUP CHILD-CMHGG-MOE-CBC

STATE PROGRAM: CHILD/COMM/MENTAL/HEALTH(1301090000)

CONTRACTED SERVICES (100777)

COVERED COSTS: Provide community wraparound services and supports that are not Medicaid reimbursable to children with severe emotional disturbance as defined pursuant to Section 1912 © of the Public Health Services Act, as amended by Public Law 102-321.

RECIPIENTS: Eligible children include those from birth to eighteen that have, or at any time during the past year had,a diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria specified within the DC 0-3 R, the DSM-IV or their ICD-9 equivalent (and subsequent versions) and functional impairment which substantially interferes with or limits the child's role or functioning in family, school or community activities, or would have met functional criteria above during the referenced year without the benefit of treatment or other supports. Additionally, these children are victims of abuseor neglect and are in out-of-home care, or are at high risk for placement in out-of-home care.AUTHORIZED SERVICES: Expenditure of these funds for services and supports must be in accordance with the Community Mental Health Block Grant guidelines, may be used in nontraditional ways to meet client treatment needs and must be solely used for direct community based services and supports that benefit the eligible child. The non-Medicaid reimbursable community wraparound services and supports must be included as part of the child's treatment goals in the child's mental health treatment plan, as defined in s. 394.496, or child welfare case plan, as described in s. 39.6011 and s. 39.6012, F.S.FUNDING: This BE/OCA combination is counted as the Community Mental Health Block Grant's Maintenance of Effort and must be 100% State funded.

OCA: CRRS1CHILDREN'S RECOVERY & RESILIENCY SERVICES


G/A-CHILD MENTAL HEALTH SV (100435)

COVERED COSTS: Maintenance of Effort (MOE) and Community Mental Health Block Grant costs for community-based services and supports for children and adolescents with severe emotional disturbance, emotional disturbance or those at risk of developing emotional disturbance and assist them to live successfully in the community.RECIPIENTS: Children and adolescents with severe emotional disturbance, emotional disturbance or those at risk of developing emotional disturbance.

AUTHORIZED SERVICES: Community-based services and supports include, but are not limited to, assessment, outpatient treatment, in-home or on-site community-based services and supports that are individualized and developmentally appropriate. Provided to enable children and adolescents with severe emotional disturbance, emotional disturbance or those at risk of developing emotional disturbance and assist them to live successfully in the community.

FUNDING: A portion of the costs associated with this BE/OCA combination are State funded and used for the Community Mental Health Block Grant(CMHBG) Maintenance of Effort(MOE) and a portion are directly charged to the CMHBG.




OCA: BSECFCOMM PRJ-BEAVER ST ENTERPRISE CNT-FRSHMINISTRIES

STATE PROGRAM: Executive Leadership/Support Services (1602000000)


COVERED COSTS: A state-funded project at the Beaver Street Enterprise Center (BSEC).RECIPIENTS: Clients in the economically distressed urban core of Jacksonville, Florida, where levels of poverty and unemployment are greater than state and national rates. AUTHORIZED SERVICES: BSEC provides technical assistance to clients in the form of micro-lending, mentoring, training, peer sessions, access to networks and referrals so that fledging companies can grow to be scalable, free-standing entities upon graduation from the Center. The mission of BSEC is to attract new industries, create jobs and launch new businesses into the broader business community. FUNDING: This BE/OCA combination is counted as the Community Mental Health Block Grant's Maintenance of Effort and must be 100% State funded.100% State funded, no match is required, and there are no budget restrictions.

OCA: GCC17FL CHILDREN'S MH SOC EXPANSION IMPLEMENTATION



COVERED COSTS: The administrative and general program costs in the Regions/Circuits associated with mental health counseling.RECIPIENTS: Recipients of Children’s mental health counseling program.

AUTHORIZED SERVICES: SAMH Services-Projects of Regional and National Significance (PRNS) to support Children’s Mental Health services.

FUNDING: This BE/OCA combination is funded through the Substance Abuse and Mental Health Services-PRNS Grant. The match of 25% is being certified by the local providers.

OCA: GX001PATH - ADMINISTRATION



COVERED COSTS Administrative and general program costs in the Regions/Circuits that are incurred under the Projects for Assistance in Transition from Homelessness (PATH) Grant and are associated with mental health counseling.RECIPIENTS: Individuals who are suffering from serious mental illness or serious mental illness and substance abuse; and are homeless or at imminent risk of becoming homeless.AUTHORIZED SERVICES: Mental health counseling and other associated services to support the Path Grant services.FUNDING Costs associated with this BE/OCA combination are directly charged to the PATH Grant. The match of 26.99% is being certified by the local providers.

OCA: GLA17FL PROJECT LAUNCH



COVERED COSTS: This BE/OCA combination captures the administrative and general program costs in the Regions/Circuits associated with mental health counseling.

RECIPIENTS: Young children from birth to 8 years

AUTHORIZED SERVICES: Services to promote the wellness of young children from birth to 8 years by addressing the gaps in existing prevention and targeted intervention services and to strengthen the partnership between state and local agencies serving young children and their families. The Florida (FL) LAUNCH Project enhances the partnership between the Department of Children and Families (DCF), Department of Health, and service providers in Pinellas County, FL. The project is aimed at preventing youth substance abuse and mental, emotional, and behavioral disorders by improving family function and the quality of the parent-child relationship through parent training and skill building and selective interventions for young children.FUNDING: This BE/OCA combination is funded through the Substance Abuse and Mental Health Services-PRNS Grant.




B. MENTAL HEALTH SERVICES– SPECIAL PROJECTSBudget Entity 60910506

Children’s Community Mental Health (1301090000)

OCA: SP800MANATEE GLENS


CHILDRENS ACTIONS TEAMS MENTAL HEALTH (100425)

COVERED COSTS: This BE/OCA combination captures the Maintenance of Effort (MOE) costs of the Manatee Glens Children’s Mental Health Community Action Team (CAT) Program.RECIPIENTS: Eligible children and youth.AUTHORIZED SERVICES Treatment and aftercare services include residential care (24-hours/7 days per week), day/night outpatient, assessment, recovery support, intervention, outreach and case management, outpatient services, maintenanceand assessment. Aftercare includes structured provided to those who have completed an episode of treatment and who arein need of continued observation and support to maintain recovery. Principle services in all levels counseling, treatment planning and various ancillary services, such as, formal school and adult education. FUNDING: Counted as the Community Mental Health Block Grant's Maintenance of Effort and must be 100% State funded.

OCA: SP801CIRCLES OF CARE



COVERED COSTS: This BE/OCA combination captures the Maintenance of Effort (MOE) costs of the Circle of Care Children’s Mental Health Community Action Team (CAT) Program.RECIPIENTS: Eligible children and youth.AUTHORIZED SERVICES Treatment and aftercare services include residential care (24-hours/7 days per week), day/night outpatient, assessment, recovery support, intervention, outreach and case management, outpatient services, maintenanceand assessment. Aftercare includes structured provided to those who have completed an episode of treatment and who arein need of continued observation and support to maintain recovery. Principle services in all levels counseling, treatment planning and various ancillary services, such as, formal school and adult education. FUNDING: Counted as the Community Mental Health Block Grant's Maintenance of Effort and must be 100% State funded.

OCA: SP802LIFE MANAGEMENT



COVERED COSTS: This BE/OCA combination captures the Maintenance of Effort (MOE) costs of the Line Management Children’s Mental Health Community Action Team (CAT) Program.RECIPIENTS: Eligible children and youth.AUTHORIZED SERVICES Treatment and aftercare services include residential care (24-hours/7 days per week), day/night outpatient, assessment, recovery support, intervention, outreach and case management, outpatient services, maintenanceand assessment. Aftercare includes structured provided to those who have completed an episode of treatment and who arein need of continued observation and support to maintain recovery. Principle services in all levels counseling, treatment planning and various ancillary services, such as, formal school and adult education. FUNDING: Counted as the Community Mental Health Block Grant's Maintenance of Effort and must be 100% State funded.

OCA: SP803DAVID LAWRENCE CENTER



COVERED COSTS: This BE/OCA combination captures the Maintenance of Effort (MOE) costs of the David Lawrence Center Children’s Mental Health Community Action Team (CAT) Program.RECIPIENTS: Eligible children and youth.AUTHORIZED SERVICES Treatment and aftercare services include residential care (24-hours/7 days per week), day/night outpatient, assessment, recovery support, intervention, outreach and case management, outpatient services, maintenanceand assessment. Aftercare includes structured provided to those who have completed an episode of treatment and who arein need of continued observation and support to maintain recovery. Principle services in all levels counseling, treatment planning and various ancillary services, such as, formal school and adult education. FUNDING: Counted as the Community Mental Health Block Grant's Maintenance of Effort and must be 100% State funded.




OCA: SP804CHILD GUIDANCE CENTER



COVERED COSTS: This BE/OCA combination captures the Maintenance of Effort (MOE) costs of the Child Guidance Center Children’s Mental Health Community Action Team (CAT) Program.RECIPIENTS: Eligible children and youth.AUTHORIZED SERVICES Treatment and aftercare services include residential care (24-hours/7 days per week), day/night outpatient, assessment, recovery support, intervention, outreach and case management, outpatient services, maintenanceand assessment. Aftercare includes structured provided to those who have completed an episode of treatment and who arein need of continued observation and support to maintain recovery. Principle services in all levels counseling, treatment planning and various ancillary services, such as, formal school and adult education. FUNDING: Counted as the Community Mental Health Block Grant's Maintenance of Effort and must be 100% State funded.

OCA: SP805INSTITUTE FOR CHILD & FAMILY HEALTH



COVERED COSTS: This BE/OCA combination captures the Maintenance of Effort (MOE) costs of the Institute For Child and Family Health Children’s Mental Health Community Action Team (CAT) Program.RECIPIENTS: Eligible children and youth.AUTHORIZED SERVICES Treatment and aftercare services include residential care (24-hours/7 days per week), day/night outpatient, assessment, recovery support, intervention, outreach and case management, outpatient services, maintenanceand assessment. Aftercare includes structured provided to those who have completed an episode of treatment and who arein need of continued observation and support to maintain recovery. Principle services in all levels counseling, treatment planning and various ancillary services, such as, formal school and adult education. FUNDING: Counted as the Community Mental Health Block Grant's Maintenance of Effort and must be 100% State funded.

OCA: SP806MENTAL HEALTH CARE



COVERED COSTS: This BE/OCA combination captures the Maintenance of Effort (MOE) costs of the Mental Health Care Children’s Mental Health Community Action Team (CAT) Program.RECIPIENTS: Eligible children and youth.AUTHORIZED SERVICES Treatment and aftercare services include residential care (24-hours/7 days per week), day/night outpatient, assessment, recovery support, intervention, outreach and case management, outpatient services, maintenanceand assessment. Aftercare includes structured provided to those who have completed an episode of treatment and who arein need of continued observation and support to maintain recovery. Principle services in all levels counseling, treatment planning and various ancillary services, such as, formal school and adult education. FUNDING: Counted as the Community Mental Health Block Grant's Maintenance of Effort and must be 100% State funded.

OCA: SP807PERSONAL ENRICHMENT MH SERVICES



COVERED COSTS: This BE/OCA combination captures the Maintenance of Effort (MOE) costs of the Personal Enrichment Children’s Mental Health Community Action Team (CAT) Program.RECIPIENTS: Eligible children and youth.AUTHORIZED SERVICES Treatment and aftercare services include residential care (24-hours/7 days per week), day/night outpatient, assessment, recovery support, intervention, outreach and case management, outpatient services, maintenanceand assessment. Aftercare includes structured provided to those who have completed an episode of treatment and who arein need of continued observation and support to maintain recovery. Principle services in all levels counseling, treatment planning and various ancillary services, such as, formal school and adult education. FUNDING: Counted as the Community Mental Health Block Grant's Maintenance of Effort and must be 100% State funded.




OCA: SP808PEACE RIVER



COVERED COSTS: This BE/OCA combination captures the Maintenance of Effort (MOE) costs of the Peace River Children’s Mental Health Community Action Team (CAT) Program.RECIPIENTS: Eligible children and youth.AUTHORIZED SERVICES Treatment and aftercare services include residential care (24-hours/7 days per week), day/night outpatient, assessment, recovery support, intervention, outreach and case management, outpatient services, maintenanceand assessment. Aftercare includes structured provided to those who have completed an episode of treatment and who arein need of continued observation and support to maintain recovery. Principle services in all levels counseling, treatment planning and various ancillary services, such as, formal school and adult education. FUNDING: Counted as the Community Mental Health Block Grant's Maintenance of Effort and must be 100% State funded.

OCA: SP809LEE MENTAL HEALTH, INC



COVERED COSTS: This BE/OCA combination captures the Maintenance of Effort (MOE) costs of the Lee Mental Health Children’s Mental Health Community Action Team (CAT) Program.RECIPIENTS: Eligible children and youth.AUTHORIZED SERVICES Treatment and aftercare services include residential care (24-hours/7 days per week), day/night outpatient, assessment, recovery support, intervention, outreach and case management, outpatient services, maintenanceand assessment. Aftercare includes structured provided to those who have completed an episode of treatment and who arein need of continued observation and support to maintain recovery. Principle services in all levels counseling, treatment planning and various ancillary services, such as, formal school and adult education. FUNDING: Counted as the Community Mental Health Block Grant's Maintenance of Effort and must be 100% State funded.

C. MENTAL HEALTH SERVICES - MANAGING ENTITIESBudget Entity 60910506

Adult Community Mental Health (1301080000) Children’s Community Mental Health (1301090000)

OCA: MHA00ME SVCS & SUP PROV ACTIVITY - AMH

STATE PROGRAM: ADULT/COMM/MENTAL/HEALTH (1301080000)

G/A-COMM MENTAL HLTH SVS (100610)G/A-BAKER ACT SERVICES (100611)G/A-CONTRACTED SERVICES (100778)

COVERED COSTS: This BE/OCA combination is used for budgetary purposes only.RECIPIENTS: NAAUTHORIZED SERVICES This OCA is not used for expenditures, revenue or encumbrances.FUNDING: Funds for this budgetary OCA consists of General Revenue, Tobacco Settlement Trust Funds, Community Mental Health Block Grant (CMHBG), and Temporary Assistance for Needy Families (TANF) Block Grant. This BE/OCA combination has no matching requirement.

OCA: MHA70ME PROJECTS – AMH

STATE PROGRAM: ADULT/COMM/MENTAL/HEALTH (1301080000)

G/A-COMM MENTAL HLTH SVS (100610)G/A-OUTPATIENT BAKER ACT (100612)

COVERED COSTS: Captures allowable costs of adult mental health projects funded by the Legislature in the General Appropriations Act workpapers. RECIPIENTS: Adult with severe and persistent mental illness, with acute crisis episode and with forensic involvement.AUTHORIZED SERVICES community-based treatment; rehabilitation; supportive services; assistance in acquiring, maintaining, and monitoring needed housing; social support; vocational training; treatment related to symptoms or disabilities associated with mental illnesses, crisis supports, and treatment provided in crisis stabilization units; short-term residential treatment programs; mobile crisis services; and outpatient crisis intervention and outreach / referral. FUNDING: 100% State funded and has no matching requirement.




OCA: MHA72ME COMM FORENSIC BEDS – AMH



COVERED COSTS: Allowable costs for community forensic beds. RECIPIENTS: Individuals charged with a felony and found incompetent to proceed (ITP) or not guilty by reason of insanity (NGI) due to their mental illness and committed to the Department of Children and Families under the provision of Chapter 916, Florida Statutes; and individuals charged with a misdemeanor and believed to be at risk of moving further into the criminal justice system due to their mental illness. AUTHORIZED SERVICES: Community-based treatment and training services aimed at diverting individuals from the forensic system to the mental health treatment system to reduce commitments to the Department of Children and Families under the provision of Chapter 916, Florida Statutes. Includes, but is not limited to, residential services, mental health courts, and wraparound services / incidentals. Community forensic beds (secure or non-secure) and treatment includes, but is not limited to admission, assessment, evaluation, treatment and individualized services including competency restoration training. Excludes inpatient hospital services licensed under Chapter 395 or state mental health treatment facility.FUNDING: 100% State funded with Unrestricted Cash and has no matching requirement.

OCA: MHA73ME FACT ADMIN – AMH



COVERED COSTS: Salaries and expenses for the operation of the Florida Assertive Community Treatment (FACT) program.RECIPIENTS: FACT clients

AUTHORIZED SERVICES: Operation of FACT.

FUNDING: This BE/OCA combination will be allocated to the Medicaid Administration Grant and the Community Mental Health Block Grant Maintenance of Effort based on the percentage of Medicaid eligible enrollees. The Community Mental Health Block Grant is allocated based on available funds. It is funded through: State funds, the Community Mental Health Block Grant and has no matching requirement.

OCA: MHA74ME FACT ENHANCEMENTS – AMH



COVERED COSTS: Allowable enhancement funding for the Florida Assertive Community Treatment (FACT) program. Providers will maintain records of actual expenditures for these items and repay the Department for any unspent funds.RECIPIENTS: FACT clients AUTHORIZED SERVICES: Used to increase or maintain a person's independence and integration into their community. For example, funding may be used for housing related costs, pharmaceuticals, tangible items needed for employment or other meaningful activity or specialized treatment not provided by the FACT team (nor paid by any other means). Providers will be paid a fixed amount per client enrolled each month for these items.FUNDING: 100% State funded and used to meet the Community Mental Health Block Grant's Maintenance of Effort.

OCA: MHA76ME INDIG PSYCH MED PROG – AMH


G/A-INDIGENT PSYCH MED PRG (101350)

COVERED COSTS: The Indigent Psychiatric Drug Program (IDP), including dispending fees for individuals who cannot afford themRECIPIENTS: Identified contracted providers may use the IDPAUTHORIZED SERVICES: Assists adults with serious mental illnesses and person's with co-occurring substance use problems and mental illness who meet the federal guidelines for an indigent person. IDP may be used to order additional psychotropic medications from the IDP warehouse or a pharmacy of choice (for urgent needs). IDP providers are required to actively participate in patient assistance programs (PAP) for medication offered by pharmaceutical manufacturers. Medications from PAP must be exhausted before use of IDP is permitted. FUNDING: 100% State funded and used to meet the Community Mental Health Block Grant's Maintenance of Effort. No matching.




OCA: MHA79ME CLAY BEHAV CRISIS PREVENT TEAM – AMH

STATE PROGRAM: ADULT/COMM/MENTAL /HEALTH (1301080000)


COVERED COSTS: Allowable costs of the Clay Behavioral Health Center Community Crisis Prevention Team, which was appropriated in line 354 of State Fiscal Year 2013-2014 General Appropriations Act.RECIPIENTS: Adults with mental illness. AUTHORIZED SERVICES: Operation of the Clay Behavioral Health Center Community Crisis Prevention Team.

FUNDING: 100% State funded and used to meet the Community Mental Health Block Grant's Maintenance of Effort. No matching.

OCA: MHAJDJAIL DIVERSION AND TRAUMA RECOVERY



COVERED COSTS: Includes, but is not limited to implementing the Jail Diversion Programs for the Substance Abuse and Mental Health Services – Projects of Regional and National Significance (PRNS) five year grant.RECIPIENTS: Persons, especially Veterans, with mental illnesses in the criminal justice system.AUTHORIZED SERVICES: Administrative and general program costs associated with the Jail Diversion and Trauma Recovers (JDTR) project. Provided to redesign and transform a system of care to ensure ready access to effective services and minimize the unnecessary involvement of people, especially veterans, with mental illnesses in the criminal justice system.FUNDING: This BE/OCA combination is funded through the Substance Abuse and Mental Health Services-PRNS Grant.

OCA: MHAOPME OPERATIONAL COSTS – AMH



COVERED COSTS: Operational costs of the Managing Entity, as it relates to the administration of the system of care for Adult Mental Health.RECIPIENTS: N/AAUTHORIZED SERVICES: Operation of the Managing Entity.FUNDING: 100% State funded and used to meet the Community Mental Health Block Grant's Maintenance of Effort. No matching. This amount is limited to the amount provided by contract.

OCA: MHAPGME PATH GRANT – AMH



COVERED COSTS: Allowable administrative and general program costs in the Regions / Circuits that are incurred under the Projects for Assistance in Transition from Homelessness (PATH) Grant.RECIPIENTS: Individuals who are suffering from serious mental illness or serious mental illness and substance abuse; and are homeless or at imminent risk of becoming homeless.AUTHORIZED SERVICES: Outreach; Screening and diagnostic treatment; habilitation and rehabilitation; community mental health services; alcohol or drug treatment; staff training, including the training of individuals who work in shelters, mental health clinics, substance abuse programs, and other sites where homeless individuals require services; case management services; assistance in obtaining income support services, including housing assistance, food stamps, and supplemental security income benefits; referral for other appropriate services representative payee services in accordance with Section 1631(a)(2) of the Social Security Act if the eligible homeless individual is receiving aid under Title XVI of such act and if the applicant is designated by the Secretary to provide such services; supportive and supervisory services in residential settings; referrals for primary health services, job training; and educational services. Continued below.




OCA: MHAPG - continuedME PATH GRANT – AMH


G/A-COMM MENTAL HLTH SVS (100610)AUTHORIZED SERVICES cont: Relevant housing services (subject to Section 522(h)(1); including minor renovation, expansion, and repair of housing, planning of housing, technical assistance in applying for housing and assistance, improving the coordination of housing services; security deposits, matching individuals with appropriate housing situation, and one-time rental payments to prevent eviction.FUNDING: Costs associated with this BE/OCA combinations are directly charged to the PATH Grant, and requires a 25% in-kind or cash match.

OCA: MHASFME FIXED PAYMENT - AMH



COVERED COSTS: Adult Mental Health Fixed Payment for the Managing Entity providers.RECIPIENTS: Managing EntitiesAUTHORIZED SERVICES: Managing Entity services

FUNDING: Once the actual invoice is received a journal transfer (JT) will be processed to transfer the expenditures to the appropriate expenditure OCA's.

OCA: MHATBME TANF – AMH



COVERED COSTS: Allowable costs for eligible adult mental health services for Temporary Assistance for Needy Families (TANF) eligible participants.RECIPIENTS: TANF eligible participantsAUTHORIZED SERVICES: To provide interim services for TANF eligible participants who would either be required to wait on a list for treatment, or have no other method of payment. Priority is given to families with child welfare involvement. These non-medical services must be in-line with the Federal TANF Legislative Goals, TANF Florida State Plan (in accordance with Florida Statute 414.1585). Eligible services include; aftercare, assessment, case management, crisis support / emergency, day care, day-night,incidental expenses, in-home / on-site, intensive case management, intervention, outpatient, outreach, prevention, residential levels I through IV, room and board with supervision, supported employment, supported housing / living (non-rent) and Treatment Alternative to Street Crime (TASC). Community Support Services include, but are not limited to, income supports, social supports, housing supports and vocational supports.FUNDING: TANF is the last payer for services. This BE/OCA combination is funded through the TANF Block Grant and no match is required.

OCA: MHC00ME SVCS & SUP PROV ACTIVITY – CMH

STATE PROGRAM: CHILD/COMM/MENTAL/HEALTH (1301090000)

G/A-CHILD MENTAL HEALTH SV (100435)G/A-CONTRACTED SERVICES (100778)G/A-CHILDREN'S BAKER ACT (104257)

COVERED COSTS: This BE/OCA combination is used for budgetary purposes only. This OCA is not used for expenditures, revenue or encumbrances.RECIPIENTS: N/AAUTHORIZED SERVICES: N/AFUNDING: Funds for this budgetary OCA consist of General Revenue and Community Mental Health Block Grant (CMHBG).




OCA: MHC70ME PROJECTS – CMH


G/A-CHILD MENTAL HEALTH (SV100435)

COVERED COSTS: This BE/OCA combination captures the allowable costs of children's mental health projects funded by the Florida Legislature in the General Appropriations Act workpapers. RECIPIENTS: Children and adolescents with severe emotional disturbance, emotional disturbance or those at risk of developing emotional disturbanceAUTHORIZED SERVICES: Community-based services and supports to help children and adolescents remain successfully in the community in the least restrictive setting possible. Authorized services include, but are not limited to, assessment, outpatient treatment, in-home or on-site community-based services and supports that are individualized and developmentally appropriate, as well as crisis support and treatment provided in crisis stabilization units, services from mobile crisis, outpatient crisis intervention and outreach / referral.FUNDING: 100% State funded and has no matching requirement

OCA: MHC71PRTS FOR EMOT. DISTURB CHILDREN/YOUTH – CMH


G/A-PRTS EMO DIS CHI/YOUTH (102780)

COVERED COSTS: This BE/OCA combination captures the state funded portion of expenditures for residential care service active, under Title XIX-Medicaid, related to the Purchase of Residential Treatment Services (PRTS) for emotionally disturbed children and youth. RECIPIENTS: Emotionally disturbed children and youthAUTHORIZED SERVICES: Various residential treatment center providers, throughout the State, serve children with serious emotional disturbances with Level I services. Level I services are the most intensive and restrictive level of residential therapeutic intervention. FUNDING: This BE/OCA combination is 100% State funded and has no matching requirement. This OCA records the transfer of the state's matching share of expenditures to the Agency for Health Care Administration (AHCA). The Payment process is as follows: 1. The residential treatment center providers will submit claims to the AHCA for processing and payment. 2. A monthly request for a journal transfer is prepared by AHCA and submitted to the Department of Children and Families (DCF) for the state matching share ofexpenditures. AHCA will draw the applicable federal earnings via separate report to the federal government. 3. The DCF program office will review and approve AHCA's journal transfer request for the state portion of the costs and transmit the approval to the Financial Support Office for the appropriate transfer of funds to AHCA.




OCA: MHCBNME BNET – CMH



COVERED COSTS: This BE/OCA combination captures the allowable Behavioral Health Network expenditures for the services provided under the Florida Statewide Child Health Insurance Program that will assist children and their families to live successfully in the community. RECIPIENTS: Children and their families AUTHORIZED SERVICES: These services include, but are not limited to, supported housing, supported living, crisis support and treatment provided in crisis stabilization units and inpatient facilities. These services provide immediate support to children with a serious emotional disturbance in acute emotional distress. Continued to the right

OCA: MHCBN - continuedME BNET – CMH



AUTHORIZED SERVICES: These services enable children with serious emotional disturbance to live in a stable setting, function appropriately, attend school and stay out of the Juvenile Justice System. In accordance with an interagency agreement with the Department of Health (DOH), the Department of Children and Families (DCF) is authorized to establish the scope of behavioral health services, clinical guidelines for referral, service standards, performance-based measures and practice guidelines. To deliver the services, DCF will create a Behavorial Health Specialty Network comprised of member providers throughout the state.FUNDING: Reimbursed 100% by the Agency for Health Care Administration (AHCA); therefore, no match is required.

OCA: MHCMDME MIAMI-DADE WRAPAROUND GRANT – CMH


G/A-CHILD MENTAL HEALTH SV (100435)G/A-CONTRACTED SERVICES (100777)

COVERED COSTS: Allowable administrative and general program costs in the Regions/Circuits associated with the "Miami-Dade Wraparound Project" (MDWP), which include, but are not limited to implementing the MDWP for the Comprehensive Community Mental Health Services for Children with SED six year grantRECIPIENTS: Children with SEDAUTHORIZED SERVICES: MDWP is a collaborative effort to enhance, expand and strengthen the existing community-based family and youth mental health services in Miami-Dade County, in order to better serve adolescents who have serious emotional disturbance (SED) and a co-occurring substance diagnosis andtheir families or caretakers in Miami-Dade County, Florida. FUNDING: This BE/OCA combination is funded through the Comprehensive Community Mental Health Services for Children with SED Grant and the match of 76.13% is being certified by the local providers.

OCA: MHCOPME OPERATIONAL COSTS – CMH



COVERED COSTS: This BE/OCA combination captures the allowable operational costs of the Managing Entity, as it relates to the administration of the system of care for Children's Mental Health. RECIPIENTS: N/AAUTHORIZED SERVICES: Managing Entity servicesFUNDING: This BE/OCA combination is funded 100% with state general revenue funds, is limited to what is provided in the contract, and has no matching requirement.




OCA: MHCPLME PROJ LAUNCH GRANT – CMH


G/A-CONTRACTED SERVICES (100778)

COVERED COSTS: Administrative and general program costs in the Regions / Circuits associated with mental health counseling. RECIPIENTS: Young children from birth to 8AUTHORIZED SERVICES: These services address the gaps in existing prevention and targeted intervention services and strengthen the partnership between state and local agencies serving young children and their families. The Florida (FL) LAUNCH Project enhances the partnership between the Department of Children and Families (DCF), Department of Health (DOH), and service providers in Pinellas County, FL. The project is aimed at preventing youth substance use and mental, emotional and behavioral disorders by improving family function and the quality of the parent-child relationship through parenting training and skill building and selective intervention for young children.FUNDING: This BE/OCA combination is funded through the Substance Abuse and Mental Health Services-PRNS Grant and has no matching requirement.

OCA: MHCSFME FIXED PAYMENT – CMH



COVERED COSTS: This BE/OCA combination captures the Children's Mental Health Fixed Payment for the Managing Entity providers. RECIPIENTS: Managing EntitiesAUTHORIZED SERVICES: Managing Entity servicesFUNDING: Once the actual invoice is received a journal transfer (JT) will be processed to transfer the expenditures to the appropriate expenditure OCA's.

OCA: MHCSKME CMH SYSTEM OF CARE



COVERED COSTS: This BE/OCA combination captures the administrative and general program costs in the Regions/Circuits associated with mental health counseling for the managing entity. RECIPIENTS: ChildrenAUTHORIZED SERVICES: Costs include, but are not limited to the Substance Abuse and Mental Health Services-Projects of Regional and National Significance (PRNS) four year Grant.FUNDING: This BE/OCA combination is funded through the Substance Abuse and Mental Health Services-PRNS Grant. The match of 25% is being certified by the local providers.




D. SUBSTANCE ABUSE SERVICES Budget Entity 60910604

CHILDREN SUBSTANCE ABUSE (1201020000) ADULT SUBSTANCE ABUSE (1201030000) EXECUTIVE LEADERSHIP & SUPPORT SERVICES (1602000000)

OCA: FATR7FL ACCESS TO RECOVERY-SA- REGIONS

STATE PROGRAM: EXECUTIVE LEADERSHIP & SUPPORT SERVICES (1602000000)


COVERED COSTS: This BE/OCA combination captures the administrative costs to implement the Access to Recovery Voucher Grant Program. RECIPIENTS: Veterans AUTHORIZED SERVICES: The purpose of this program is to purchase substance abuse treatment services through licensed treatment and certified recovery support providers in the community.FUNDING: This BE/OCA combination is 100% funded by the Federal Government; therefore, no match is required.Cost associated with this BE/OCA combination are directly charged to the Florida Access to Recovery Grant.

OCA: SAMHRSAMH - REGION ADMIN & PROGRAM STAFF

STATE PROGRAM: EXECUTIVE LEADERSHIP & SUPPORT SERVICES (1602000000)


COVERED COSTS: This BE/OCA combination captures circuit/regional salaries and expenditures of the administrative staff within the Substance Abuse and Mental Health Program Office (SAMHPO) that do not have mental health institutional entities. RECIPIENTS: SAMHPOAUTHORIZED SERVICES: The SAMHPO in the circuit/regions are responsible for the supervision and coordination of the direct service staff and/or the provider contractors.FUNDING: There are no match requirements for the BE/OCA combination. All state funds are designated as Maintenance of Effort for the Community Mental Health and Substance Abuse Prevention and Treatment Block Grants. Costs associated with this BE/OCA are allocated based on clients served in the Adult and Children’s Community Mental Health and Substance Abuse Prevention and Treatment programs. Client served data is reported monthly into the Substance Abuse and Mental Health Information System (SAMHIS). SAMHIS allows for client level priority population identification and the tracking of services provided under a valid Florida Department of Children and Families contract. Reports are generated that aggregate the distinct count of persons served by program area (e.g., Adult/Child MH, Adult/Child SAPT).




E. SUBSTANCE ABUSE SERVICES - MANAGING ENTITIESBudget Entity 60910604

CHILDREN SUBSTANCE ABUSE (1201020000) ADULT SUBSTANCE ABUSE (1201030000) EXECUTIVE LEADERSHIP & SUPPORT SERVICES (1602000000)

OCA: MSA00ME SVCS & SUP PROV ACTIVITY - ASA

STATE PROGRAM: ADULT SUBSTANCE ABUSE (1201030000)

G/A-COM SUB ABUSE SVCS (100618)

COVERED COSTS: This BE/OCA combination is used for budgetary purposes only.RECIPIENTS: NAAUTHORIZED SERVICES This OCA is not used for expenditures, revenue or encumbrances.FUNDING: Funds for this budgetary OCA consist of General Revenue, Tabacco Settlement Trust Funds, Substance Abuse Prevention and Treatment Block Grant (SAPTBG), Temporary Assistance for Needy Families (TANF) Block Grant, and Operations and Maintenance Trust funds. This BE/OCA combination has no matching requirement.

OCA: MSA70ME PROJECTS – ASA


G/A-COM SUB ABUSE SVCS (100618)G/A-CONTRACTED SERVICES (100777)

COVERED COSTS: Allowable costs of adult substance abuse projects funded by the Legislature in the General Appropriations Act workpapers. RECIPIENTS: Adults AUTHORIZED SERVICES Treatment services include, but are not limited to, non-residential, residential, crisis stabilization and a range of community based services designed to advance substance abuse recovery; and exclude inpatient hospitalization for adult substance abuse.FUNDING: Funded with state funds and no matching required.OCA: MSA81

ME EXP OF SA SVCS FOR PREG WOM & THEIR FAM – ASA


G/A-COM SUB ABUSE SVCS (100618)G/A-CONTRACTED SERVICES (100777)

COVERED COSTS: This BE/OCA combination captures the allowable costs associated with the expansion of substance abuse services for pregnant women and their affected families, which was appropriated in line 375 of the State Fiscal Year 2013-2014 General Appropriation Act. RECIPIENTS: Pregnant women and their affected familiesAUTHORIZED SERVICES: Provided for the expansion of substance abuse services for pregnant women and their affected families. These services shall include the expansion of residential treatment, outpatient treatment with housing support, and post-partum case management supporting both the mother and child consistent with recommendations from the Statewide Task Force on Prescription Drug Abuse and Newborns made in the February, 2013 report. Priority for services shall be given to counties with greatest need and available treatment. FUNDING: These are nonrecurring funds from the General Revenue fund. This BE/OCA combination has no matching requirement. Costs associated with this BE/OCA combination are directly charged to the Substance Abuse Prevention and Treatment (SAPTBG) Block Grant Maintenance of Effort (MOE).

OCA: MSA82ME ST JOHNS SHERRIF'S OFFICE – ASA



COVERED COSTS: This BE/OCA combination captures the allowable costs associated with the St. Johns Sheriff's Office which was appropriated in line 375 of the State Fiscal Year 2013-2014 General Appropriations Act.

RECIPIENTS: AdultsAUTHORIZED SERVICES: John's Sheriff's Office substance abuse detoxification program

FUNDING: These are nonrecurring funds from the General Revenue fund. This BE/OCA combination is funded with state funds. Costs associated with this BE/OCA combination are directly charged to the Substance Abuse Prevention and Treatment (SAPTBG) Block Grant Maintenance of Effort (MOE). This BE/OCA combination has no matching requirement.




OCA: MSAOPME OPERATIONAL COSTS – ASA



COVERED COSTS: Allowable operation costs of the Managing Entity, as it relates to the administration of the system of care for Adult Substance Abuse RECIPIENTS: N/AAUTHORIZED SERVICES: Operation of the Managing Entity.FUNDING: 100% funding from State general revenue funds; is limited to the amount provided by contract with no matching requirement.

OCA: MSC00ME SVCS & SUP PROV ACTIVITY – CSA

STATE PROGRAM: CHILDREN SUBSTANCE ABUSE (1201020000)

G/A-CHLD/ADOS SUB ABSE SVC (100420)G/A-CONTRACTED SERVICES (100777)

COVERED COSTS: This BE/OCA combination is used for budgetary purposes only.RECIPIENTS: N/AAUTHORIZED SERVICES: This OCA is not used for expenditures, revenue or encumbrances.FUNDING: No matching requirement.

MSC70ME PROJECTS – CSA


G/A-CHLD/ADOS SUB ABSE SVC (100420)

COVERED COSTS: Allowable costs of children and youth substance abuse projects funded by the Florida Legislature in the General Appropriations Act workpapers. RECIPIENTS: ChildrenAUTHORIZED SERVICES: Treatment and aftercare services include, but are not limited to, residential care (24-hours, 7 days per week), day/night outpatient, assessment, recovery support, intervention, outreach, case management, outpatient services, maintenance and assessment. Aftercare includes structure provided to those who have continued observation and support to maintain recovery. Principle services in alllevels of counseling, treatment planning and ancillary services, such as formal school and adult education. FUNDING: 100% funded with state funds with no matching requirement.

OCA: MSC80ME INFORMED FAMILIES – CSA



COVERED COSTS: This BE/OCA combination captures the costs associated with Informed Families of Florida, which was provided in proviso language in line 374 of the State Fiscal Year 2013-2014 General Appropriations Act. RECIPIENTS: ChildrenAUTHORIZED SERVICES: Provides a statewide program for the prevention of child and adolescent substance abuse.FUNDING: This BE/OCA combination is funded with state funds. Costs associated with this BE/OCA combination are directly charged to the Substance Abuse Prevention and Treatment (SAPTBG) Block Grant Maintenance of Effort (MOE). This BE/OCA combination has no matching requirement.

OCA: MSCOPME OPERATIONAL COSTS – CSA



COVERED COSTS: Allowable operational costs of the Managing Entity, for the administration of Children's Substance Abuse system of care. RECIPIENTS: N/AAUTHORIZED SERVICES: Operation of the Managing Entity.FUNDING: 100% with state general revenue funds and is directly charged to the Substance Abuse Prevention and Treatment Block Grant (SAPTBG) Maintenance of Effort requirement. This amount is limited to the amount provided by contract and has no matching requirement.

OCA: MSCPPME PREV SVCS GRANT – CSA



COVERED COSTS: Allowable, eligible costs of Substance Abuse Prevention and Treatment Block Grant (SAPTBG) relating to the Prevention Partnership ProgramRECIPIENTS: ChildrenAUTHORIZED SERVICES: Prevention services are based on a partnership between community service providers and schools and are directed toward children and youth who do not require treatment.FUNDING: This BE/OCA combination is funded with SAPTBG funds though the U.S. Department of Health and Human Services, and has no matching requirement.




II. SAPT BLOCK GRANT - NOT FOR PROFIT/FOR PROFIT

SAPT – BLOCK GRANT FINANCIAL ASSISTANCE (SUBGRANT) TO PUBLIC OR NON-PROFIT ENTITY:

SAPT (CFDA 93.959) Compliance Requirement for Activities Allowed or Unallowed: Grants funds may not be used to provide financial assistance (i.e., a subgrant) to any entity other than a public or non-profit entity. A State is not precluded from entering into a contract for services, since payments under such a contract are not financial assistance to the contractor (42 USC 300x-31(a); 45 CFR section 96.135(a) (5)).

The OMB Circular No. A-133 Audit of States, Local Governments, and Non-Profit Organizations provides guidance in determining whether payments constitute a Federal award (financial assistance) or a payment for goods and services. In Section 210 Subrecipient and vendor determinations, paragraphs (b) and (c) are the core to in determining what constitutes a Federal award (financial assistance) or a payment for goods and services.

(b) Federal award. Characteristics indicative of Federal award (financial assistance) received by a subrecipient (sub-contractor) are when the organization (provider):

(1) Determines who is eligible to receive what Federal financial assistance; (determines eligibility of clients)

(2) Has its performance measured against whether the objectives of the Federal program are met; ( performance measures in the sub-contract, enters data in DCF data system for accountability)

(3) Has responsibility for programmatic decision making;

(4) Has responsibility for adherence to applicable Federal program compliance requirements:

(5) Uses the Federal funds to carry out a program of the program compliance as compared to providing goods or services for the program. (program compliance = a subcontract for SAMH units of service)

(c) Payment for goods and services. Characteristics indicative of a payment for goods and services received by a vender (sub-contractor –can be for profit) are when the organization (provider):

(1) Provides the goods and services within normal business operations

(2) Provides similar goods or services to many different purchasers;

(3)Operates in a competitive environment;

(4)Provides goods and services that are ancillary to the operation of the program;

(5) Is not subject to compliance requirements of the federal program.

In Conclusion: Once DCF has contracted SAPT Block Grant Funds to a non-for-profit provider and the non-for profit provider is asking for approval to sub-contract the SAPT Block Grant Funds. You would need to determine if paragraph (b) or (c) above apply to the sub-contract.

For assistance in making the determination please refer to OMB Circular No. A-133, Section 210 Subrecipient and vendor determinations, paragraphs (d) (e) and (f).

If you need assistance please contact the Substance Abuse and Mental Health Program at (850) 487-2920 or (850) 488-8304.




III. SAPT BLOCK GRANT – SERVICE REQUIREMENTS

SUBSTANCE ABUSE PREVENTION AND TREATMENT BLOCK GRANT REQUIREMENTS:

Organizations who are contracted with DCF for substance abuse prevention and treatment services and are funded in whole or part with Substance Abuse Prevention and Treatment (SAPT) Block Grant funds are required to comply with subparts I and II of Part B of Title XIX of the Public Health Service Act, sections 42 U.S.C. 300x-21 et seq and with all applicable sections of the Health and Human Services (HHS) Block Grant regulations (45 CFR Part 96.120-137). The following Other Cost Accumulators (OCAs) are designated for funds set-aside from SAPT Block Grant for SAPT Block Grant listed prevention and treatment services:

Prevention Services PRVAS, PRVCS

Pregnant Women and Women with

Dependent Children Services MSA00

HIV Early Intervention Services MSC00, MSA00

Interim Services TRTAS, TRTCS

Outreach Services MSA0P, MSA00, MSCOP, MSCOO

PREVENTION SERVICES

OCA code--PRVCS for Children’s Substance Abuse Prevention ServicesOCA code--PRVAS for Adult Substance Abuse Prevention Services

Prevention services are defined as programs for individuals who do not require treatment for substance abuse and, which educate and counsel participants and community leaders on strategies and activities to prevent and reduce substance use and abuse. In carrying out prevention programs, priority will be given to those populations that are at risk of developing a pattern of substance abuse. The organization shall carryout community-based strategies for prevention of substance abuse, including strategies to discourage the use of alcohol and tobacco products by minors. The six SAPT defined strategies are; Information Dissemination, Education, Alternative strategies, Problem Identification & Referral, Community Based Processes, and Environmental strategies. (See DCF Pamphlet 155-2 for the definitions of the six strategies.)

When reporting service event data refer to the DCF Pamphlet 155-2 for cost center, procedure code, and modifier information and instructions.

SERVICES FOR PREGNANT WOMEN AND WOMEN WITH DEPENDENT CHILDREN

OCA code – 27WOM

Funds are allocated to support substance abuse treatment services that are designed for pregnant women and women with dependent children as per 45 CFR 96.124 and 96.131. This requirement includes women who are attempting to regain custody of their children. Organizations funded to provide such programs will treat the family as a unit and therefore will admit both women and their children into treatment services, if appropriate. When billing for services for women placed in such programs refer to DCF Pamphlet 155-2 for cost center, procedure code, and modifier information and instructions.




In addition, the organization must provide, or arrange for, the following services (when such services are directly paid for or furnished by the organization , the organization must report such service events using the cost center and procedure codes as specified in DCF Pamphlet 155-2 for service event definitions).

Primary Medical Care for women, including Prenatal Care

Primary Pediatric Care for the children, including Immunizations Care

Gender specific substance abuse treatment and other therapeutic services, which may address issues of relationships, parenting, sexual and physical abuse and parenting care.

Therapeutic interventions for the children in custody of the women who are in treatment which may, among other things, address their developmental needs and issues of sexual and physical abuse and neglect care.

To help assure access to the above services, the provider will also provide, or arrange for, as necessary:

Case management services

Transportation services

Childcare services

Additional requirements:

1. Providers must assure that funds used for the health care services above are used as the “payment of last resort.”

2. Pregnant women shall be given preference for admission to treatment facilities.

3. If an admission cannot be made within 48 hours then Interim Services must be made available until such time as treatment becomes available.

4. The availability of treatment services for pregnant women must be publicized by the provider either through public service announcements, information dissemination or other outreach efforts.

HIV EARLY INTERVENTION SERVICES

OCA code--27HIV for Adult Substance Abuse Treatment Services

OCA code—27CHV for Children Substance Abuse Treatment Services

Refer to F.A.C. 65E-14 and DCF Pamphlet 155-2 for cost center definition and service definition respectively.

Fund are allocated to support HIV Early Intervention Services as per 45 CFR 96.128. Organizations funded to provide such services are required to establish linkages with comprehensive community resource networks of related health and social service organizations. The organization shall make available these services at the sites at which the individuals are undergoing treatment for substance abuse.

Appropriate pretest counseling for HIV and AIDS

Testing individuals with respect to such disease, including tests to confirm the presence of the disease, tests to diagnose the extent of the deficiency in the immune system, and tests to provide information on appropriate therapeutic measures for preventing and treating the deterioration of the immune system and for preventing and treating conditions arising from the disease

Appropriate post-test counseling




Providing the therapeutic measures for preventing and treating the deterioration of the immune system and for preventing and treating conditions arising from the disease

When billing for HIV services refer to DCF Pamphlet 155-2 for cost center, procedure code, and modifier information and instructions.

INTERIM SERVICES

OCA—TRTAS, TRTCS 27HIV, 27CHV, 27WOM

Interim services are required to be provided to pregnant women and injection drug users when treatment services cannot be made available within the times required (see “Preference for Admissions to Treatment” below). 45 CFR 96.121 defines interim services as services that are provided while an individual is waiting to be admitted to treatment. At a minimum, interim services include the following:

HIV/TB screening, counseling and referral for treatment.

Education about the risks of needle-sharing.

Education about the risks of transmission to sexual partners and infants.

Steps that can be taken to ensure that HIV and TB transmission does not occur.

When billing for the above services refer to DCF Pamphlet 155-2 for cost center, procedure code, and modifier information and instructions.

OUTREACH TO INTRAVENOUS DRUG USERS

OCA Code—DTXAS, DTXCS

Refer to F.A.C 65E-14 and DCF Pamphlet 155-2 of for cost center definition and service definition respectively.

45 CFR 96.126 requires providers that treat intravenous drug users to provide outreach to encourage intravenous drug users to undergo treatment. Organizations providing outreach services must comply with the following:

Have written procedures for the selection, training and supervision of outreach workers;

Procedures and methods for contact and follow-up with high risk abusers, their associates and neighborhood residents;

Provide educational materials that promote awareness about the relationship between injecting drug use and communicable diseases (HIV);

Employ strategies to prevent HIV transmission among substance abusers and to encourage the entry of intravenous drug users into treatment.

When billing for the above services refer to DCF Pamphlet 155-2 for cost center, procedure code, and modifier information and instructions.



Program Guidance for Contract DeliverablesIncorporated Document 5PREFERENCE FOR ADMISSION TO TREATMENT

45 CFR 96.126 and 96.131 requires the organization to give preference for admission to treatment to pregnant women and injection drug users. Programs serving pregnant women and injecting drug users shall be given preference for treatment admission in the following order:

Pregnant women, with women who are injecting drugs given first priority, must be admitted within 48 hours. If no service is available either at the provider’s program or at another program in the geographic area, the contractor must notify the State Region DCF/SAMH office. If a treatment placement cannot be made, the pregnant woman must be provided with Interim Services as defined above to include a referral for prenatal care;

Injecting drug users must be admitted within 14 days or, if no services are available, must be provided with Interim Services, as defined above.

Pregnant and intravenous drug users who are receiving interim services while waiting for a treatment opening shall be given priority for admission as openings become available. In no event shall the waiting period for treatment exceed 120 days.

OTHER REQUIREMENTS

Per 45 CFR 96.135 organizations are prohibited from expending funds allocated under this contract to provide individuals with hypodermic needles or syringes and to comply with all restrictions concerning expenditure of grant monies as provided by law.

Funds under this grant may be used to support substance abuse treatment services for individuals with a co-occurring mental disorder as long as the funds allocated are used to support substance abuse prevention and treatment services and can be tracked for accounting purposes to the specific substance abuse activity.

Organizations receiving funds under this grant are required to participate in the State’s Peer Review process to assess the quality, appropriateness, and efficacy of treatment services provided to individuals under this contract.

45 CFR 96.127 requires providers of substance abuse treatment services to make available, either directly or by arrangement with others, tuberculosis services to include counseling, testing and referral for evaluation and treatment.

All substance abuse activities supported by this grant are subject to audit and monitoring for compliance with the requirements contained in 45 CFR Part 96.

Reimbursement for SAPT Block Grant Services will be made based on the units of service provided under the eligible cost centers. Actual service events must be able to be reconciled to contract reimbursements at the end of the contract year. The services must also be able to be documented in program/client records and in applicable staff time logs or other types of payment vouchers.



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