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SERVICE AGREEMENT <br />C. Covered Services as defined in Florida Administrative Code 65E-14.021 <br />The covered services and project codes listed below are based on those eligible to access <br />MSONQ as per the DCF FASAMS Pamphlet 155-2 with a last revision date of 2/23/24, <br />herein incorporated by reference. If the OCA associated with this program changes, or <br />the list of eligible services are changed, Southeast Florida Behavioral Health Network, Inc. <br />staff will inform the Martin County Board of County Commissioners in an email which will <br />include a the DCF FASAMS Pamphlet 155-2 and a revised Statement of Funding, herein <br />incorporated by reference, if applicable. <br />1. Funding is currently available for the Non -Qualified County programs under MSONQ, <br />the current Other Cost Accumulator (OCA), associated with this Agreement for ME <br />Opioid TF Non -Qualified Counties funding. <br />2. Funding is currently available for the CORE programs under MSOCR, the current Other <br />Cost Accumulator (OCA), associated with this Agreement for ME Opioid TF Coord <br />Opioid Recovery Care funding. <br />D. Covered Services as defined in Florida Administrative Code 65E-14.021 <br />1. 1 — Assessment (Eligible OCAs: MSOCR, MSONQ) <br />This Covered Service includes the systematic collection and integrated review of <br />individual -specific data, such as examinations and evaluations. This data is gathered, <br />analyzed, monitored and documented to develop the person's individualized plan of <br />care and to monitor recovery. Assessment specifically includes efforts to identify the <br />person's key medical and psychological needs, competency to consent to treatment, <br />history of mental illness or substance use and indicators of co-occurring conditions, as <br />well as clinically significant neurological deficits, traumatic brain injury, organicity, <br />physical disability, developmental disability, need for assistive devices, physical or <br />sexual abuse, and trauma. <br />2. 2 — Case Management (Eligible OCAs: MSOCR) <br />Case management services consist of activities that identify the recipient's needs, plan <br />services, link the service system with the person, coordinate the various system <br />components, monitor service delivery, and evaluate the effect of the services received. <br />This covered service shall include clinical supervision provided to a service provider's <br />personnel by a professional qualified by degree, licensure, certification, or specialized <br />training in the implementation of this service. <br />3. 3 — Crisis Stabilization (Eligible OCAs: MSONQ) <br />Service Agreement 23 Agreement No.: AGR75 <br />Indian River County Board of County <br />Commissioners <br />