HomeMy WebLinkAbout2025-053AMENDMENT # 001
THIS AMENDMENT, entered into between Southeast Florida Behavioral Health
Network, Inc., (SEFBHN) hereinafter referred to as the "Managing Entity" and the Indian
River County Board of County Commissioners, hereinafter referred to as the
"Provider," amends agreement number AGR75.
The purpose of this amendment is to formalize an agreement between the Indian River
County Board of County Commissioners (IRCBOCC) and Southeast Florida Behavioral
Health Network, Inc. (SEFBHN) which reflects the IRCBOCC has requested SEFBHN to
administer the Non -Qualified County services for a 5% fee, effective July 1, 2024.
FY 23/24 remains $1,641,140.00; FY 24/25 will become $1,131,341.00; and, the new
agreement value will become $2,772,481.00.
1. Pages 1-6, Service Agreement, are hereby deleted in their entirety. Revised Pages
1-7, SEFBHN Contract, are hereby inserted in lieu thereof, and attached hereto.
2. Pages 7-34, Attachment A, Scope of Services, are hereby deleted in their entirety.
Revised 8-36, Attachment A, Scope of Services, are hereby inserted in lieu thereof,
and attached hereto.
3. Page 37, Attachment B, List of Non -Qualified County Providers, is hereby added
and attached hereto.
4. All changes shall begin on July 1, 2024.
IN WITNESS THEREOF, the parties hereto have caused this 2 page amendment to be
executed by their undersigned officials as duly authorized.
Signed by:
Name:
Title:
Indian River County Board of Southeast Florida Behavioral Health
County Commissioners ti"cOt��M�ss�o�✓ Network, Inc.
Chairman
Date: February 25, 2025
2/26/2025
Chief Executive Officer
The parties agree that any future amendment(s) replacing this page will not affect the
above execution.
Federal Tax ID # (or SSN): 59-6000674
ATTEST: Ryan Butler,
Clerk Court and Cotroller
By:a JzA"
eputy Clerk
APPROVED AS TO FORM
AND LEGAL SUFFICIENCY
BY Vry .
ANNIFERVW. SHULER
OUNTY ATTORNEY
Provider FY Ending Date: 06/30
SEFBHN CONTRACT
AMENDED AND
RESTATED SERVICE
AGREEMENT
This Amended and Restated Service Agreement, AGR75, between Southeast Florida
Behavioral Health Network, Inc., hereinafter referred to as SEFBHN, and the Indian River
County Board of County Commissioners, hereinafter referred to as the County, shall be
effective July 1, 2023 until September 30, 2025.
WHEREAS, the parties entered into a Service Agreement that was effective on July
1, 2023 to allocate opioid class action settlement funding for local services for individuals
struggling with opioid addiction; and
WHEREAS, the County would like SEFBHN to manage and distribute the opioid
settlement funds to Service Providers and the County has agreed that SEFBHN should be
compensated for this service pursuant to a 5% administrative fee on the opioid settlement
funds that are awarded to the County; and
WHEREAS, the parties would like to amend and clarify their roles and responsibilities
and have agreed to enter into this Amended and Restated Services Agreement for that
purpose.
NOW, THEREFORE, the parties agree as follows:
A. Scope of Work to be Performed
The scope of work will encompass the following areas and activities:
The County has received funding for services to assist individuals struggling with opioid
addiction. SEFBHN has agreed to manage these funds for a 5% administrative fee and
distribute them to qualified Service Providers.
B. Tasks
The services for substance use disorders are further described in Attachment A, Scope
of Service, herein incorporated by reference.
1. Budget and Compensation
a. Fiscal Year 23/24
The County has been awarded $1,641,140.00 for Fiscal Year 2023/2024, for
services rendered asdescribed in Attachment A, Scope of Service. These funds
will be released by SEFBHN to Service Providers on a cost reimbursement basis
as approved and split between CORE Services funding and for Non -Qualified
County Services funding, as further described on the Statement of Funding,
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Indian River County Board of County
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herein incorporated by reference.
Service Providers must submit an invoice to SEFBHN that includes a purpose and
description of the services performed. The Service Provider shall only invoice for
services that are specified in Attachment A, Scope of Service and have been
delivered during the agreement period.
b. Fiscal Year 24/25
The County will be awarded $1,131,341.00 for Fiscal Year 2024/2025, for
services rendered asdescribed in Attachment A, Scope of Service. These funds
will be released by SEFBHN to Service Providers on a cost reimbursement basis
as approved and split between CORE Services funding and for Non -Qualified
County Services funding, as further described on the Statement of Funding,
herein incorporated by reference.
(1) CORE Services
The County has been awarded $1,050,000.00 for Fiscal Year 2024/2025, for
services rendered as described in Attachment A, Scope of Service. These
funds will be released by SEFBHN to Service Providers on a cost
reimbursement basis for CORE Services funding, as further described on the
Statement of Funding, herein incorporated by reference.
(2) Non -Qualified Services
The County has been awarded $81,341.00 for Fiscal Year 2024/2025, for
services rendered as described in Attachment A, Scope of Service. These
funds will be retained by SEFBHN for the administration of the Non -Qualified
County Services funding, as further described on the Statement of Funding,
herein incorporated by reference.
The County was awarded $1,626,814.00 for Fiscal Year 2024/2025 to oversee
services purchased with non-qualified counties funding (OCAs: MSONQ and
MSONQ Carry Forward). However, the County has requested Southeast
Florida Behavioral Health Network, Inc. (SEFBHN) manage these funds for a
5% administrative fee, which has been agreed to by both parties. As such,
Southeast Florida Behavioral Health Network, Inc. will reallocate
$1,545,473.00 for the agencies specified in Attachment B, List of Non -
Qualified County Providers, herein incorporated by reference. The
remaining 5%, $81,341.00, will be allocated to SEFBHN for its administrative
fee as agreed.
Service Providers shall submit an invoice to SEFBHN and include purpose
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and description of the services performed. The Service Provider shall only
invoice for services that are specified in Attachment A, Scope of Service
and have been delivered during the agreement period. Properly completed
and approved cost reimbursement invoices are due by the 10th of each
month. Payments will be released thereafter.
2. Data Collection
a. Opioid Settlement (OS) providers will be required to report data directly to the
Department through the Florida Opioid Implementation and Financial Reporting
System (OIFRS) system. The planned OS data to be collected will include:
diagnosis(es), demographics, financial, and service provided.
SEFBHN's obligation to pay under this Agreement is contingent on the availability
of funding for this project being received from the State of Florida through the
Opioid Settlement against the three largest pharmaceutical distributors,
McKesson, Cardinal Health and AmerisourceBergen ("Distributors"), and one
manufacturer, Janssen Pharmaceuticals, Inc., and its parent company Johnson &
Johnson (collectively, "Janssen"). Neither the County nor the Service
Providers will have a right of action against SEFBHN or the State as a result of lack
of sufficient funding. If funds become unavailable, provisions of termination will
apply.
b. Coordinated Opioid Recovery (CORE) Network of Addiction Care
This agreement will require compliance with the Department of Children and
Families' Guidance Document 41, Coordinated Opioid Recovery (CORE)
Network of Addiction Care, herein incorporated by reference. The current
incorporated guidance document is effective as of October 1, 2023 and, any
updates to the guidance document will also be incorporated.
C. Governing Law and Compliance
1. Governing Law
The validity, enforceability, and interpretation of this Agreement, including the
Attachments, shall be determined and governed by the laws of the State of Florida,
as well as applicable federal laws. The Parties agree that jurisdiction for any dispute,
action, claim or alternative dispute resolution proceeding regarding this Agreement
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shall reside in Martin County, Florida.
2. Florida Regulatory Governance
This Agreement, the Attachments and the performance thereof, are subject to the
requirements and regulations promulgated by and specific verbiage required by
DCF.
3. Corporate Compliance
During the term of this Agreement, each Party shall: (i) ensure that it is duly
organized, validly existing and in good standing under the laws of Florida; (ii) maintain
all requisite federal, state and local authority, permits and licenses necessary or
appropriate to operate and to carry out its obligations under this Agreement; (iii)
monitor its performance of administrative functions on an ongoing basis to ensure
compliance with applicable DCF performance standards and guidelines; and (iv)
notwithstanding any term or provision in this Agreement to the contrary, remain
ultimately responsible for assuring that it is operating in accordance with all applicable
federal, state and local laws, rules, regulations and ordinances.
D. General Provisions
1. Notwithstanding anything in this Agreement to the contrary, the Parties acknowledge
and agree that each Party is subject to the Florida Public Records Act under the Florida
Contract and under Chapter 119, Florida Statutes. Nonetheless, in the event that a
Party becomes legally compelled to disclose any of the Confidential Proprietary
Information (the "Compelled Party"), the Compelled Party will provide the other Party
with prompt notice thereof so that the other Party may seek a protective order or other
appropriate remedy. In the event that such protective order or other remedy is not
obtained by the other Party, the Compelled Party will furnish or cause to be furnished
only that minimum portion of the Confidential Proprietary Information which the
Compelled Party is legally required to furnish.
2 Public Records
a. SEFBHN and County shall comply with the provisions of Chapter 119, Fla. Stat.
(Public Records Law), in connection with this Agreement and shall provide access
to public records in accordance with §119.0701, Fla. Stat. and more specifically
Provider shall:
b. Keep and maintain public records required by the County to perform the
Agreement.
c. Upon request from the County's custodian of public records, provide the County
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with a copy of the requested records or allow the records to be inspected or copied
within a reasonable time at a cost that does not exceed the cost provided in
Chapter 119, Fla. Stat. or as otherwise provided by law.
d. Ensure that public records that are exempt or confidential and exempt from public
records disclosure requirements are not disclosed except as authorized by law
for the duration of the Agreement term and following completion of the Agreement
if SEFBHN does not transfer the records to the County.
e. Upon completion of the Agreement, transfer, at no cost, to the County all public
records in possession of SEFBHN or keep and maintain public records required
by the County to perform the Agreement. If the SEFBHN transfers all public
records to the County upon completion of the Agreement, the SEFBHN shall
destroy any duplicate public records that are exempt or confidential and exempt
from public records disclosure requirements. If the SEFBHN keeps and maintains
public records upon completion of the Agreement, the SEFBHN shall meet all
applicable requirements for retaining public records. All records stored
electronically must be provided to the County, upon request from the County's
custodian of public records, in a format that is compatible with the information
technology systems of the County.
f. Chapter 119
(3) IF SEFBHN HAS QUESTIONS REGARDING THE APPLICATION OF
CHAPTER 119, FLORIDA STATUTES, TO THE SEFBHN'S DUTY TO
PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT,
CONTACT THE CUSTODIAN OF PUBLIC RECORDS, MS. TAREE
GLANVILLE, AT (772) 226-1424, TGLANVILLE@INDIANRIVER.GOV, 1801
27TH STREET, VERO BEACH, FL 32960.
(4) IF THE COUNTY HAS QUESTIONS REGARDING THE APPLICATION OR
CHAPTER 119, F.S., TO THE PROVIDER'S DUTY TO PROVIDE PUBLIC
RECORDS RELATING TO THIS AGREEMENT, CONTACT THE
CUSTODIAN OF PUBLIC RECORDS, MS. MELISSA MCINTURFF AT (561)
203-2485, OR BY EMAIL AT MELISSA.MCINTURFF(&-SEFBHN.ORG, OR
BY MAIL AT: SEFBHN, 8895 N MILITARY ROAD, SUITE E-102, PALM
BEACH GARDENS, FL 33410.
g. Failure to comply with the requirements of this Article shall be deemed a default
as defined under the terms of this Agreement and constitute grounds for
termination.
3. Severability
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The illegality, unenforceability or ineffectiveness of any provision of this Agreement
shall not affect the legality, enforceability or effectiveness of any other provision of
this Agreement. If any provision of this Agreement, or the application thereof shall,
for any reason and to any extent, be deemed invalid or unenforceable, neither the
remainder of this Agreement, nor the application of the provision to other persons,
entities or circumstances, nor any other instrument referred to in this Agreement shall
be affected thereby, but instead shall be enforced to the maximum extent permitted
by law.
4. The following Attachments are incorporated into this Agreement by reference:
a. Attachment A: Scope of Services
b. Statement of Funding
S Authority to Bind
By signature below, each signatory represents and warrants that such person is duly -
authorized to enter into this Agreement on the respective Party's behalf, and is duly
authorized to bind such Party to the terms applicable to each.
6. Typewritten or Handwritten Provisions
Typewritten or handwritten provisions that are inserted, in this Agreement or attached
to this Agreement as addenda or riders shall not be valid unless such provisions are
initialed by both signatories to this Agreement.
7. Counterparts: Facsimile Execution and Captions
This Agreement may be executed and delivered: (a) in any number of counterparts,
each of which will be deemed an original, but all of which together will constitute one
and the same instrument; and/or (b) by facsimile, in which case the instruments so
executed and delivered shall be binding and effective for all purposes; and/or (c) by
email communication to the parties identified in the Notice section. The captions in
this Agreement are for reference purposes only and shall not affect the meaning of
terms and provisions herein.
& Entire Agreement
This Agreement, including the Attachments A and B hereto, contains all the terms and
conditions agreed upon by the parties regarding the subject matter of this Agreement.
Any prior agreements, promises, negotiations or representations of or between the
Parties, either oral or written, relating to the subject matter of this Agreement, which
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are not expressly set forth in this Agreement are null and void and of no further force
or effect.
IN WITNESS WHEREOF, the authorized representatives of the Parties hereto have executed
this Agreement to be effective as of the Effective Date.
Signed by
Name:
Title:
INDIAN RIVER COUNTY BOARD SOUTHEAST FLORIDA
OF COUNTY COMMISSIONERS BEHAVIORAL HEALTH
NETWORK, INC.
ORIGINAL ON FILE ORIGINAL ON FILE
JoseiDh Flescher
Chairman
Ann M. Berner
Chief Executive Officer
Date: ORIGINAL ON FILE ORIGINAL ON FILE
The parties agree that any future amendment(s) replacing this page will not affect the
above execution.
Federal Tax ID # (or SSN): 59-6000674 Provider FY Ending Date: 06/30
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Attachment A
Scope of Services
A. Florida Statewide Response for Opioid Abatement
The "Children and Families Operating Procedure on Florida Statewide Response for
Opioid Abatement," is herein incorporated by reference and should be followed as per
the most recent effective date available. At the time of this Agreement's execution, this
document is still in draft form. When available, it will be shared from Southeast Florida
Behavioral Health Network, Inc. staff.
B. Core Strategies
Non -Qualified Counties shall choose from the abatement strategies listed in the Core Strategies -
Abatement Strategies section below. However, priority shall be given to the following core
abatement strategies ("Core Strategies.")
1. Naloxone or another FDA -approved drug to reverse opioid overdoses.
a. Expand training for first responders, schools, community support groups
and families.
b. Increase distribution to individuals who are uninsured or whose insurance
does not cover the needed service.
2. Medication -Assisted Treatment ("MAT") Distribution and other opioid -related
treatment
a. Increase distribution of MAT to non -Medicaid eligible or uninsured
individuals.
b. Provide education to school-based and youth -focused programs that
discourage or prevent misuse.
c. Provide MAT education and awareness training to healthcare providers,
EMTs, law enforcement, and other first responders; and
d. Treatment and Recovery Support Services such as residential and
inpatient treatment, intensive outpatient treatment, outpatient therapy or
counseling, and recovery housing that allow or integrate medication with
other support services.
3. Pregnant & Postpartum Women
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a. Expand Screening, Brief Intervention, and Referral to Treatment ("SBIRT")
services to non -Medicaid eligible or uninsured pregnant women.
b. Expand comprehensive evidence -based treatment and recovery services,
including MAT, for women with co-occurring Opioid Use Disorder ("OUD")
and other Substance Use Disorder ("SUD")/Mental Health disorders for
uninsured individuals for up to 12 months postpartum; and
c. Provide comprehensive wrap-around services to individuals with Opioid
Use Disorder (OUD) including housing, transportation, job
placement/training, and childcare.
4. Expanding Treatment for Neonatal Abstinence Syndrome
a. Expand comprehensive evidence -based and recovery support for NAS
babies;
b. Expand services for better continuum of care with infant -need dyad; and
c. Expand long-term treatment and services for medical monitoring of NAS
babies and their families.
5. Expansion of Warm Hand-off Programs and Recovery Services
a. Expand services such as navigators and on-call teams to begin MAT in
hospital emergency departments;
b. Expand warm hand-off services to transition to recovery services;
c. Broaden scope of recovery services to include co-occurring SUD or mental
health conditions.
d. Provide comprehensive wrap-around services to individuals in recovery
including housing, transportation, job placement/training, and childcare;
and
e. Hire additional social workers or other behavioral health workers to
facilitate expansions above.
6. Treatment for Incarcerated Population
a. Provide evidence -based treatment and recovery support including MAT for
persons with OUD and co-occurring SUD/MH disorders within and
transitioning out of the criminal justice system; and
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b. Increase funding for jails to provide treatment to inmates with OUD.
7. Prevention Programs
a. Funding for media campaigns to prevent opioid use (similar to the FDA's
"Real Cost" campaign to prevent youth from misusing tobacco).
b. Funding for evidence -based prevention programs in schools.;
c. Funding for medical provider education and outreach regarding best
prescribing practices for opioids consistent with the 2016 CDC guidelines,
including providers at hospitals (academic detailing);
d. Funding for community drug disposal programs; and
e. Funding and training for first responders to participate in pre -arrest
diversion programs, post overdose response teams, or similar strategies
that connect at -risk individuals to behavioral health services and
supports.
8. Expanding Syringe Service Programs
Provide comprehensive syringe services programs with more wrap-around
services including linkage to OUD treatment, access to sterile syringes, and
linkage to care and treatment of infectious diseases.
9. Evidence -based data collection and research analyzing the effectiveness of
the abatement strategies within the State.
10. Core Strategies — Abatement Strategies
a. Approved Uses — Part One: Treatment
(1) Treat Opioid Use Disorder (OUD)
Support treatment of Opioid Use Disorder (OUD) and any co-occurring
Substance Use Disorder or Mental Health (SUD/MH) conditions through
evidence -based or evidence -informed programs or strategies that may
include, but are not limited to, the following:
(a) Expand availability of treatment for OUD and any co-occurring
SUD/MH conditions, including all forms of Medication -Assisted
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Treatment (MAT) approved by the U.S. Food and Drug
Administration.
(b) Support and reimburse evidence -based services that adhere to the
American Society of Addiction Medicine (ASAM) continuum of care
for OUD and any co-occurring SUD/MH conditions.
(c) Expand telehealth to increase access to treatment for OUD and any
co-occurring SUD/MH conditions, including MAT, as well as
counseling, psychiatric support, and other treatment and recovery
support services.
(d) Improve oversight of Opioid Treatment Programs (OTPs) to assure
evidence -based or evidence informed practices such as adequate
methadone dosing and low threshold approaches to treatment.
(e) Support mobile intervention, treatment, and recovery services,
offered by qualified professionals and service providers, such as
peer recovery coaches, for persons with OUD and any co-occurring
SUD/MH conditions and for persons who have experienced an
opioid overdose.
(f) Treatment of trauma for individuals with OUD (e.g., violence, sexual
assault, human trafficking, or adverse childhood experiences) and
family members (e.g., surviving family members after an overdose
or overdose fatality), and training of health care personnel to
identify and address such trauma.
(g) Support evidence -based withdrawal management services for
people with OUD and any cooccurring mental health conditions.
(h) Training on MAT for health care providers, first responders,
students, or other supporting professionals, such as peer recovery
coaches or recovery outreach specialists, including tele mentoring
to assist community-based providers in rural or underserved
areas.
(i) Support workforce development for addiction professionals who
work with persons with OUD and any co-occurring SUD/MH
conditions.
(j) Fellowships for addiction medicine specialists for direct patient
care, instructors, and clinical research for treatments.
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(k) Scholarships and supports for behavioral health practitioners or
workers involved in addressing OUD and any co-occurring SUD or
mental health conditions, including but not limited to training,
scholarships, fellowships, loan repayment programs, or other
incentives for providers to work in rural or underserved areas.
(1) Provide funding and training for clinicians to obtain a waiver under
the federal Drug Addiction Treatment Act of 2000 (DATA 2000) to
prescribe MAT for OUD and provide technical assistance and
professional support to clinicians who have obtained a DATA 2000
waiver.
I. Dissemination of web -based training curricula, such as the
American Academy of Addiction Psychiatry's Provider
Clinical Support Service -Opioids web -based training
curriculum and motivational interviewing.
11. Development and dissemination of new curricula, such as the
American Academy of Addiction Psychiatry's Provider
Clinical Support Service for Medication -Assisted Treatment.
(2) Support to People in Treatment and Recovery
Support people in treatment for or recovery from OUD and any co-occurring
SUD/MH conditions through evidence -based or evidence -informed programs or
strategies that may include, but are not limited to, the following:
(a) Provide comprehensive wrap-around services to individuals with
OUD and any co-occurring SUD/MH conditions, including housing,
transportation, education, job placement, job training, or childcare.
(b) Provide the full continuum of care of treatment and recovery
services for OUD and any co-occurring SUD/MH conditions,
including supportive housing, peer support services and
counseling, community navigators, case management, and
connections to community-based services.
(c) Provide counseling, peer -support, recovery case management and
residential treatment with access to medications for those who need
it to persons with OUD and any co-occurring SUD/MH conditions.
(d) Provide access to housing for people with OUD and any co-
occurring SUD/MH conditions, including supportive housing,
recovery housing, housing assistance programs, training for
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housing providers, or recovery housing programs that allow or
integrate FDA -approved medication with other support services.
(e) Provide community support services, including social and legal
services, to assist in deinstitutionalizing persons with OUD and any
co-occurring SUD/MH conditions.
(f) Support or expand peer -recovery centers, which may include
support groups, social events, computer access, or other services
for persons with OUD and any co-occurring SUD/MH conditions.
(g) Provide or support transportation to treatment or recovery programs or
services for persons with OUD and any co-occurring SUD/MH
conditions.
(h) Provide employment training or educational services for persons in
treatment for or recovery from OUD and any co-occurring SUD/MH
conditions.
(i) Identify successful recovery programs such as physician, pilot, and
college recovery programs, and provide support and technical
assistance to increase the number and capacity of high-quality
programs to help those in recovery.
(j) Engage non -profits, faith -based communities, and community
coalitions to support people in treatment and recovery and to
support family members in their efforts to support the person with
OUD in the family.
(k) Training and development of procedures for government staff to
appropriately interact and provide social and other services to
individuals with or in recovery from OUD, including reducing
stigma.
(1) Support stigma reduction efforts regarding treatment and support
for persons with OUD, including reducing the stigma on effective
treatment.
(m) Create or support culturally appropriate services and programs for
persons with OUD and any cooccurring SUD/MH conditions,
including new Americans.
(n) Create and/or support recovery high schools.
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(o) Hire or train behavioral health workers to provide or expand any of
the services or supports listed above.
(3) Connect People who Need Help to the Help they Need (Connections to
Care)
Provide connections to care for people who have — or at risk of developing — OUD
and any cooccurring SUD/MH conditions through evidence -based or evidence -
informed programs or strategies that may include, but are not limited to, the
following:
(a) Ensure that health care providers are screening for OUD and other
risk factors and know how to appropriately counsel and treat (or
refer if necessary) a patient for OUD treatment.
(b) Fund Screening, Brief Intervention and Referral to Treatment
(SBIRT) programs to reduce the transition from use to disorders,
including SBIRT services to pregnant women who are uninsured or
not eligible for Medicaid.
(c) Provide training and long-term implementation of SBIRT in key
systems (health, schools, colleges, criminal justice, and probation),
with a focus on youth and young adults when transition from
misuse to opioid disorder is common.
(d) Purchase automated versions of SBIRT and support ongoing costs
of the technology.
(e) Expand services such as navigators and on-call teams to begin MAT
in hospital emergency departments.
(f) Training for emergency room personnel treating opioid overdose
patients on post -discharge planning, including community referrals
for MAT, recovery case management or support services.
(g) Support hospital programs that transition persons with OUD and
any co-occurring SUD/MH conditions, or persons who have
experienced an opioid overdose, into clinically appropriate follow-
up care through a bridge clinic or similar approach.
(h) Support crisis stabilization centers that serve as an alternative to
hospital emergency departments for persons with OUD and any co-
occurring SUD/MH conditions or persons that have experienced an
opioid overdose.
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(1) Support the work of Emergency
support specialists, to connect
appropriate services following ai
related adverse event.
Medical Systems, including peer
individuals to treatment or other
i opioid overdose or other opioid
(j) Provide funding for peer support specialists or recovery coaches in
emergency departments, detox facilities, recovery centers,
recovery housing, or similar settings; offer services, supports, or
connections to care to persons with OUD and any co-occurring
SUD/MH conditions or to persons who have experienced an opioid
overdose.
(k) Expand warm hand-off services to transition to recovery services.
(1) Create or support school-based contacts that parents can engage with to
seek immediate treatment services for their child; and support
prevention, intervention, treatment, and recovery programs focused
on young people.
(m) Develop and support best practices on addressing OUD in the
workplace.
(n) Support assistance programs for health care providers with OUD.
(o) Engage non -profits and the faith community as a system to support
outreach for treatment.
(p) Support centralized call centers that provide information and
connections to appropriate services and supports for persons with
OUD and any co-occurring SUD/MH conditions.
(4) Address the Needs of Criminal -Justice -Involved Persons
Address the needs of persons with OUD and any co-occurring SUD/MH conditions
who are involved in, are at risk of becoming involved in, or are transitioning out of
the criminal justice system through evidence -based or evidence -informed programs
or strategies that may include, but are not limited to, the following:
(a) Support pre -arrest or pre -arraignment diversion and deflection
strategies for persons with OUD and any co-occurring SUD/MH
conditions, including established strategies such as:
I. Self -referral strategies such as the Angel Programs or the
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Police Assisted Addiction Recovery
Il. Initiative (PAARI).
III. Active outreach strategies such as the Drug Abuse Response
Team (DART) model.
IV. "Naloxone Plus" strategies, which work to ensure that
individuals who have received naloxone to reverse the effects
of an overdose are then linked to treatment programs or other
appropriate services.
V. Officer prevention strategies, such as the Law Enforcement
Assisted Diversion (LEAD) model.
VI. Officer intervention strategies such as the Leon County,
Florida Adult Civil Citation Network, or the Chicago Westside
Narcotics Diversion to Treatment Initiative; or
VII. Co -responder and/or alternative responder models to
address OUD-related 911 calls with greater SUD expertise.
(b) Support pre-trial services that connect individuals with OUD and
any co-occurring SUD/MH conditions to evidence -informed
treatment, including MAT, and related services.
(c) Support treatment and recovery courts that provide evidence -based
options for persons with OUD and any co-occurring SUD/MH
conditions.
(d) Provide evidence -informed treatment, including MAT, recovery
support, harm reduction, or other appropriate services to
individuals with OUD and any co-occurring SUD/MH conditions who
are incarcerated in jail or prison.
(e) Provide evidence -informed treatment, including MAT, recovery
support, harm reduction, or other appropriate services to
individuals with OUD and any co-occurring SUD/MH conditions who
are leaving jail or prison have recently left jail or prison, are on
probation or parole, are under community corrections supervision,
or are in re-entry programs or facilities.
(f) Support critical time interventions (CTI), particularly for individuals
living with dual -diagnosis OUD/serious mental illness, and services
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for individuals who face immediate risks and service needs and
risks upon release from correctional settings.
(g) Provide training on best practices for addressing the needs of
criminal -justice -involved persons with OUD and any co-occurring
SUD/MH conditions to law enforcement, correctional, or judicial
personnel or to providers of treatment, recovery, harm reduction,
case management, or other services offered in connection with any
of the strategies described in this section.
(5) Address the Needs of Pregnant Women and their Families, Including
Babies with Neonatal Abstinence Syndrome
Address the needs of pregnant or parenting women with OUD and any co-occurring
SUD/MH conditions, and the needs of their families, including babies with neonatal
abstinence syndrome (NAS), through evidence -based or evidence -informed
programs or strategies that may include, but are not limited to, the following:
(a) Support evidence -based or evidence -informed treatment, including
MAT, recovery services and supports, and prevention services for
pregnant women — or women who could become pregnant — who
have OUD and any co-occurring SUD/MH conditions, and other
measures to educate and provide support to families affected by
Neonatal Abstinence Syndrome.
(b) Expand comprehensive evidence -based treatment and recovery
services, including MAT, for uninsured women with OUD and any
co-occurring SUD/MH conditions for up to 12 months postpartum.
(c) Training for obstetricians or other healthcare personnel that work
with pregnant women and their families regarding treatment of OUD
and any co-occurring SUD/MH conditions.
(d) Expand comprehensive evidence -based treatment and recovery
support for NAS babies; expand services for better continuum of
care with infant -need dyad; expand long-term treatment and
services for medical monitoring of NAS babies and their families.
(e) Provide training to health care providers who work with pregnant or
parenting women on best practices for compliance with federal
requirements that children born with Neonatal Abstinence
Syndrome get referred to appropriate services and receive a plan of
safe care.
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(f) Child and family supports for parenting women with OUD and any
co-occurring SUD/MH conditions.
(g) Enhanced family supports and childcare services for parents with
OUD and any co-occurring SUD/MH conditions.
(h) Provide enhanced support for children and family members
suffering trauma as a result of addiction in the family; and offer
trauma -informed behavioral health treatment for adverse childhood
events.
(i) Offer home-based wrap-around services to persons with OUD and
any co-occurring SUD/MH conditions, including but not limited to
parent skills training.
(j) Support for Children's Services — Fund additional positions and
services, including supportive housing and other residential
services, relating to children being removed from the home and/or
placed in foster care due to custodial opioid use.
b. Approved Uses — Part Two: Prevention
(1) Prevent Over -prescribing and Ensure Appropriate Prescribing and
Dispensing of Opioids
Support efforts to prevent over -prescribing and ensure appropriate
prescribing and dispensing of opioids through evidence -based or
evidence -informed programs or strategies that may include, but are not
limited to, the following:
(a) Fund medical provider education and outreach regarding best
prescribing practices for opioids consistent with Guidelines for
Prescribing Opioids for Chronic Pain from the U.S. Centers for
Disease Control and Prevention, including providers at hospitals
(academic detailing).
(b) Training for health care providers regarding safe and responsible
opioid prescribing, dosing, and tapering patients off opioids.
(c) Continuing Medical Education (CME) on appropriate prescribing of
opioids.
(d) Support for non -opioid pain treatment alternatives, including
training providers to offer or refer to multi -modal, evidence -
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informed treatment of pain.
(e) Support enhancements or improvements to Prescription Drug
Monitoring Programs (PDMPs), including but not limited to
improvements that:
I. Increase the number of prescribers using PDMPs.
II. Improve point -of -care decision-making by increasing the
quantity, quality, or format of data available to prescribers
using PDMPs, by improving the interface that prescribers use
to access PDMP data, or both; or
III. Enable states to use PDMP data in support of surveillance or
intervention strategies, including MAT referrals and follow-up
for individuals identified within PDMP data as likely to
experience OUD in a manner that complies with all relevant
privacy and security laws and rules.
(f) Ensuring PDMPs incorporate available overdose/naloxone
deployment data, including the United States Department of
Transportation's Emergency Medical Technician overdose
database in a manner that complies with all relevant privacy and
security laws and rules.
(g) Increase electronic prescribing to prevent diversion or forgery.
(h) Educate Dispensers on appropriate opioid dispensing.
(2) Prevent Misuse of Opioids
Support efforts to discourage or prevent misuse of opioids through evidence -based or
evidence informed programs or strategies that may include, but are not limited to, the
following:
(a) Fund media campaigns to prevent opioid misuse.
(b) Corrective advertising or affirmative public education campaigns
based on evidence.
(c) Public education relating to drug disposal.
(d) Drug take -back disposal or destruction programs.
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(e) Fund community anti-drug coalitions that engage in drug
prevention efforts.
(f) Support community coalitions in implementing evidence -informed
prevention, such as reduced social access and physical access,
stigma reduction — including staffing, educational campaigns,
support for people in treatment or recovery, or training of coalitions
in evidence -informed implementation, including the Strategic
Prevention Framework developed by the U.S. Substance Abuse and
Mental Health Services Administration (SAMHSA).
(g) Engage non -profits and faith -based communities as systems to
support prevention.
(h) Fund evidence -based prevention programs in schools or evidence -
informed school and community education programs and
campaigns for students, families, school employees, school athletic
programs, parent -teacher and student associations, and others.
(i) School-based or youth -focused programs or strategies that have
demonstrated effectiveness in preventing drug misuse and seem
likely to be effective in preventing the uptake and use of opioids.
(j) Create of support community-based education or intervention
services for families, youth, and adolescents at risk for OUD and
any co-occurring SUD/MH conditions.
I. Support evidence -informed programs or curricula to address
mental health needs of young people who may be at risk of
misusing opioids or other drugs, including emotional
modulation and resilience skills.
II. Support greater access to mental health services and
supports for young people, including services and supports
provided by school nurses, behavioral health workers or
other school staff, to address mental health needs in young
people that (when not properly addressed) increase the risk
of opioid or other drug misuse.
(3) Prevent Overdose Deaths and Other Harms (Harm Reduction)
Support efforts to prevent or reduce overdose deaths or other opioid -related harms
through evidence based or evidence -informed programs or strategies that may
include, but are not limited to, the following:
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(a) Increase availability and distribution of naloxone and other drugs
that treat overdoses for first responders, overdose patients,
individuals with OUD and their friends and family members,
individuals at high risk of overdose, schools, community navigators
and outreach workers, persons being released from jail or prison,
or other members of the general public.
(b) Public health entities provide free naloxone to anyone in the
community.
(c) Training and education regarding naloxone and other drugs that
treat overdoses for first responders, overdose patients, patients
taking opioids, families, schools, community support groups, and
other members of the general public.
(d) Enable school nurses and other school staff to respond to opioid
overdoses, and provide them with naloxone, training, and support.
(e) Expand, improve, or develop data tracking software and
applications for overdoses/naloxone revivals.
(f) Public education relating to emergency responses to overdoses.
(g) Public education relating to immunity and Good Samaritan laws.
(h) Educate first responders regarding the existence and operation of
immunity and Good Samaritan laws.
(i) Syringe service programs and other evidence -informed programs
to reduce harms associated with intravenous drug use, including
supplies, staffing, space, peer support services, referrals to
treatment, fentanyl checking, connections to care, and the full range
of harm reduction and treatment services provided by these
programs.
(j) Expand access to testing and treatment for infectious diseases
such as HIV and Hepatitis C resulting from intravenous opioid use.
(k) Support mobile units that offer or provide referrals to harm
reduction services, treatment, recovery supports, health care, or
other appropriate services to persons that use opioids or persons
with OUD and any co-occurring SUD/MH conditions.
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(1) Provide training in harm reduction strategies to health care
providers, students, peer recovery coaches, recovery outreach
specialists, or other professionals that provide care to persons who
use opioids or persons with OUD and any co-occurring SUD/MH
conditions.
(m) Support screening for fentanyl in routine clinical toxicology
testing.
c. Approved Uses — Part Three: Other Strategies
(1) First Responders
In addition to items in previous sections relating to first responders, support the
following:
(a) Educate law enforcement or other first responders regarding
appropriate practices and precautions when dealing with fentanyl
or other drugs.
(b) Provision of wellness and support services for first responders and
others who experience secondary trauma associated with opioid -
related emergency events.
(2) Leadership, Planning and Coordination
Support efforts to provide leadership, planning, coordination,
facilitation, training, and technical assistance to abate the opioid
epidemic through activities, programs, or strategies that may include,
but are not limited to, the following:
(a) Statewide, regional, local, or community regional planning to
identify root causes of addiction and overdose, goals for reducing
harms related to the opioid epidemic, and areas and populations
with the greatest needs for treatment intervention services; to
support training and technical assistance; or to support other
strategies to abate the opioid epidemic described in this opioid
abatement strategy list.
(b) A dashboard to share reports, recommendations, or plans to spend
opioid settlement funds; to show how opioid settlement funds have
been spent; to report program or strategy outcomes; or to track,
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share, or visualize key opioid -related or
and supports as identified through
regional, local, or community processes.
health-related indicators
collaborative statewide,
(c) Invest in infrastructure or staffing at government or not-for-profit
agencies to support collaborative, cross -system coordination with
the purpose of preventing overprescribing, opioid misuse, or opioid
overdoses, treating those with OUD and any co-occurring SUD/MH
conditions, supporting them in treatment or recovery, connecting
them to care, or implementing other strategies to abate the opioid
epidemic described in this opioid abatement strategy list.
(d) Provide resources to staff government oversight and management
of opioid abatement programs.
(3) Training
In addition to the training referred to throughout this document, support training to
abate the opioid epidemic through activities, programs, or strategies that may include,
but are not limited to, the following:
(a) Provide funding for staff training or networking programs and
services to improve the capability of government, community, and
not-for-profit entities to abate the opioid crisis.
(b) Support infrastructure and staffing for collaborative cross -system
coordination to prevent opioid misuse, prevent overdoses, and treat
those with OUD and any co-occurring SUD/MH conditions, or
implement other strategies to abate the opioid epidemic described
in this opioid abatement strategy list (e.g., health care, primary care,
pharmacies, PDMPs, etc.).
(4) Research
Support opioid abatement research that may include, but is not limited to, the
following:
(a) Monitoring, surveillance, data collection, and evaluation of
programs and strategies described in this opioid abatement
strategy list.
(b) Research non -opioid treatment of chronic pain.
(c) Research on improved service delivery for modalities such as
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SBIRT that demonstrate promising but mixed results in populations
vulnerable to opioid use disorders.
(d) Research on novel harm reduction and prevention efforts such as
the provision of fentanyl test strips.
(e) Research on innovative supply-side enforcement efforts such as
improved detection of mail -based delivery of synthetic opioids.
(f) Expanded research on swift/certain/fair models to reduce and deter
opioid misuse within criminal justice populations that build upon
promising approaches used to address other substances (e.g.,
Hawaii HOPE and Dakota 24/7).
(g) Epidemiological surveillance of OUD-related behaviors in critical
populations including individuals entering the criminal justice
system, including but not limited to approaches modeled on the
Arrestee Drug Abuse Monitoring (ADAM) system.
(h) Qualitative and quantitative research regarding public health risks
and harm reduction opportunities within illicit drug markets,
including surveys of market participants who sell or distribute illicit
opioids.
(i) Geospatial analysis of access barriers to MAT and their association
with treatment engagement and treatment outcomes.
C. Covered Services as defined in Florida Administrative Code 65E-14.021
The covered services and project codes listed below are based on those eligible to
access MSONQ, MSOCR, and their Carryforward OCAs as per the DCF FASAMS
Pamphlet 155-2 with a last revision date of 12/4/24, herein incorporated by reference.
If the OCA associated with this program changes, or the list of eligible services are
changed, Southeast Florida Behavioral Health Network, Inc. staff will inform the
Indian River County Board of County Commissioners in an email which will include
a the DCF FASAMS Pamphlet 155-2 and a revised Statement of Funding, herein
incorporated by reference, if applicable.
1. Funding is currently available for the Non -Qualified County programs under
MSONQ, the current Other Cost Accumulator (OCA), associated with this
Agreement for ME Opioid TF Non -Qualified Counties funding.
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2. Funding is currently available for the CORE programs under MSOCR, the current
Other Cost Accumulator (OCA), associated with this Agreement for ME Opioid
TF Coord
Opioid Recovery Care funding.
D. Covered Services as defined in Florida Administrative Code 65E-14.021
For simplicity MSOCR will include MSOCR and MSOCR Carry Forward and, MSONQ will
include MSONQ and MSONQ Carry Forward.
1. 1 — Assessment (Eligible OCAs: MSOCR, MSONQ)
This Covered Service includes the systematic collection and integrated review of
individual -specific data, such as examinations and evaluations. This data is gathered,
analyzed, monitored and documented to develop the person's individualized plan of
care and to monitor recovery. Assessment specifically includes efforts to identify the
person's key medical and psychological needs, competency to consent to treatment,
history of mental illness or substance use and indicators of co-occurring conditions, as
well as clinically significant neurological deficits, traumatic brain injury, organicity,
physical disability, developmental disability, need for assistive devices, physical or
sexual abuse, and trauma.
2. 2 — Case Management (Eligible OCAs: MSOCR)
Case management services consist of activities that identify the recipient's needs, plan
services, link the service system with the person, coordinate the various system
components, monitor service delivery, and evaluate the effect of the services received.
This covered service shall include clinical supervision provided to a service provider's
personnel by a professional qualified by degree, licensure, certification, or specialized
training in the implementation of this service.
3. 3 — Crisis Stabilization (Eligible OCAs: MSONQ)
These acute care services, offered twenty-four hours per day, seven days per week,
provide brief, intensive mental health residential treatment services. These services
meet the needs of individuals who are experiencing an acute crisis and who, in the
absence of a suitable alternative, would require hospitalization.
4. 4 — Crisis Support/Emergency (Eligible OCAs: MSOCR, MSONQ)
This non-residential care is generally available twenty-four hours per day, seven days
per week, or some other specific time period, to intervene in a crisis or provide
emergency care. Examples include: crisis/emergency screening, mobile response,
telephone or telehealth crisis support, and emergency walk-in.
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5. 5 — Day Care (Eligible OCAs: MSONQ)
Day care services, in a non-residential group setting, provide for the care of children of
persons who are participating in mental health or substance use treatment services. In
a residential setting, day care services provide for the residential and care -related costs
of a child living with a parent receiving residential services. This covered service must
be provided in conjunction with another Covered Service provided to a person 18 years
of age or older.
6. 6 — Day Treatment (Eligible OCAs: MSOCR, MSONQ)
Day Treatment services provide a structured schedule of non-residential interventions
to assist individuals to attain skills and behaviors needed to function successfully in
living, learning, work, and social environments. Activities emphasize rehabilitation,
treatment, activities of daily living, and education services, using multidisciplinary
teams to provide integrated programs of academic, therapeutic, and family services.
For mental health programs, day treatment services must be provided for four or more
consecutive hours per day. Substance abuse programs must follow the standards set
forth in Rules 65D-30.0081 and 65D-30.009, F.A.C.
7. 8 — In -Home and On -Site (Eligible OCAS: MSOCR, MSONQ)
Therapeutic services and supports, including early childhood mental health
consultation, are rendered for individuals and their families in non -provider settings
such as nursing homes, assisted living facilities, residences, schools, detention
centers, commitment settings, foster homes, daycare centers, and other community
settings.
8. 9 — Inpatient (Eligible OCAs: MSONQ)
Inpatient services provided in psychiatric units within hospitals licensed as general
hospitals and psychiatric hospitals under Chapter 395, F.S. They provide intensive
treatment and stabilization to persons exhibiting behaviors that may result in harm to
self or others due to mental illness or co-occurring mental illness and substance use
disorder.
9. 10 — Intensive Case Management (Eligible OCAs: MSOCR)
These services are typically offered to persons who are being discharged from an acute
care setting, and need more professional care, and have contingency needs to remain
in a less restrictive setting. The services include the same components as case
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management as described in subparagraph (4)(d)1., of this rule, but are provided at a
higher intensity and frequency, and with lower caseloads per case manager sufficient
to meet the needs of the individuals in treatment.
10.11 — Intervention — Individual and 42 — Intervention — Group (Eligible OCAs:
MSOCR, MSONQ)
Intervention services focus on reducing risk factors generally associated with the
progression of substance misuse and mental health problems. Intervention is
accomplished through early identification of persons at risk, performing basic individual
assessments, and providing supportive services, which emphasize short-term
counseling and referral. These services are targeted toward individuals and families.
This covered service shall include clinical supervision provided to a service provider's
personnel by a professional qualified by degree, licensure, certification, or specialized
training in the implementation of this service.
11.12 — Medical Services (Eligible OCAs: MSOCR, MSONQ)
Medical services provide primary psychiatric care, therapy, and medication
administration provided by an individual licensed under the state of Florida to provide
the specific service rendered. Medical services improve the functioning or prevent
further deterioration of persons with mental health or substance abuse problems,
including mental status assessment. Medical services are usually provided on a regular
schedule, with arrangements for non-scheduled visits during times of increased stress
or crisis.
12.13 — Medication Assisted Treatment (Eligible OCAs: MSOCR, MSONQ)
This Covered Service provides for the delivery of medications for the treatment of
substance use disorders which are prescribed by a licensed health care professional.
Services must be based upon a clinical assessment, and treatment and support
services must be available for and offered to individuals receiving medications to
support their ongoing recovery.
13.14 — Outpatient — Individual and 35 — Outpatient — Group (Eligible OCAs: MSOCR,
MSONQ)
Outpatient services provide clinical interventions to improve the functioning or prevent
further deterioration of persons with mental health and/or substance abuse use
disorders. These services are usually provided on a regularly scheduled basis by
appointment, with arrangements made for non-scheduled visits during times of
increased stress or crisis. Outpatient services may be provided to an individual or in a
group setting. The maximum number of individuals allowed in a group session is 15.
This covered service shall include clinical supervision provided to a service provider's
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personnel by a professional qualified by degree, licensure, certification, or specialized
training in the implementation of this service.
14.15 — Outreach (Eligible OCAs: MSOCR, MSONQ)
Outreach services are provided through a formal program to both individuals and the
community. Community services include education, identification, and linkage with
high-risk groups. Outreach services for individuals: encourage, educate, and engage
prospective individuals who show an indication of substance misuse and mental health
problems or needs. Individual enrollment is not included in Outreach services.
15.18 — Residential Level I (Eligible OCAs: MSONQ)
These licensed services provide a structured, live-in, non -hospital setting with
supervision on a twenty-four hours per day, seven days per week basis. For adult
mental health, Residential Treatment Facilities Level IA and IB, as defined in Rule 65E-
4.016, F.A.C., are reported under this Covered Service. For children with serious
emotional disturbances, Level 1 services are the most intensive and restrictive level of
residential therapeutic intervention provided in a non -hospital or non -crisis stabilization
setting. Residential Treatment Centers, as defined in Rule 65E-9.002, F.A.C. are
reported under this Covered Service. For substance use treatment, Residential Level
1, as defined in Rule 65D-30.007, F.A.C., provides a range of assessment, treatment,
rehabilitation, and ancillary services in an intensive therapeutic environment, with an
emphasis on treatment, and may include formal school and adult education programs.
16.19 — Residential Level II (Eligible OCAs: MSONQ)
Level II facilities are licensed, structured rehabilitation -oriented group facilities that have
twenty-four hours per day, seven days per week, supervision. Level II facilities house persons
who have significant deficits in independent living skills and need extensive support and
supervision. For adults with a mental illness, Residential Treatment Facilities Level II, as
defined in Rule 65E-4.016, F.A.C., are reported under this Covered Service. For children
with serious emotional disturbances, Level II services provide intensive therapeutic
behavioral and treatment interventions. Therapeutic Foster Homes are reported under
this Covered Service. For substance use treatment, Level II, as defined in Rule 65D-
30.007, F.A.C., services provide a range of assessment, treatment, rehabilitation, and
ancillary services in a less intensive therapeutic environment with an emphasis on
rehabilitation and may include formal school and adult educational programs.
17.20 — Residential Level III (Eligible OCAs: MSONQ)
These licensed facilities provide twenty-four hours per day, seven days per week
supervised residential alternatives to persons who have developed a moderate
functional capacity for independent living. For adults with a mental illness, Residential
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Treatment Facilities Level III, as defined in Rule 65E-4.016, F.A.C., are reported under
this Covered Service. For substance use treatment, Level III, as defined in Rule 65D-
30.007, F.A.C., provides a range of assessment, rehabilitation, treatment and ancillary
services on a long-term, continuing care basis where, depending upon the
characteristics of the individuals served, the emphasis is on rehabilitation or treatment.
18.21 — Residential Level IV (Eligible OCAs: MSONQ)
This type of facility may have less than twenty-four hours per day, seven days per week
on -premise supervision. It is primarily a support service and, as such, treatment
services are not included in this Covered Service, although such treatment services
may be provided as needed through other Covered Services. Level IV includes satellite
apartments, satellite group homes, and therapeutic foster homes. For adults with a
mental illness, Residential Treatment Facilities Level IV, as defined in paragraph 65E-
4.016, F.A.C., are reported under this Covered Service. For substance use treatment,
Level IV, as defined in Rule 65D-30.007, F.A.C., provides a range of assessment,
rehabilitation, treatment, and ancillary services on a long-term, continuing care basis
where, depending upon the characteristics of the individuals served, the emphasis is
on rehabilitation or treatment.
19.22 — Respite Services (Eligible OCAs: MSOCR, MSONQ)
Respite care services support the family or other primary care giver by providing time-
limited, temporary relief, including overnight stays, from the ongoing responsibility of
care giving.
20.24 — Substance Abuse Inpatient Detoxification (Eligible OCAs: MSOCR, MSONQ)
These programs utilize medical and clinical procedures to assist adults, and adolescents with
substance use disorders in their efforts to withdraw from the physical effects of substance use.
Residential detoxification and addiction receiving facilities provide emergency screening,
evaluation, short-term stabilization, and treatment in a medically supervised.
21.25 — Supportive Employment (Eligible OCAs: MSOCR, MSONQ)
Supported employment is an evidence -based approach that assists individuals with
gaining competitive integrated employment. Supported employment can be a team -
based approach and focuses on the full range of community jobs that match the job
seeker's strengths and preferences. Job supports are individualized and include: job
development, job placement, and long-term job coaching.
22.26 — Supported Housing/Living (Eligible OCAs: MSOCR, MSONQ)
Supported housing/living is an evidence -based approach to assist persons with
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substance use and mental illness in the selection of permanent housing of their choice.
These services also provide the necessary supports to transition into independent
community living and assure continued successful living in the community. For children
with mental health challenges, supported living services are a process which assist
adolescents in selecting and maintaining housing arrangements and provides services,
such as training in independent living skills, to assure successful transition to
independent living or with roommates in the community. For substance use treatment,
services provide for the housing and monitoring of recipients who are participating in
non-residential services, recipients who have completed or are completing substance
use treatment, and those recipients who need assistance and support in independent
or supervised living within a "live-in" environment.
23.27 — Treatment Alternative for Safer Community (Eligible OCAs: MSOCR,
MSONQ)
TASC provides for identification, screening, court liaison, referral and tracking of
persons in the criminal justice system with a history of substance use or addiction.
24.28 — Incidental Expenses (Eligible OCAs: MSOCR, MSONQ)
This Covered Service reports temporary expenses incurred to facilitate continuing
treatment and community stabilization when no other resources are available. All
incidental expenses shall be authorized by the Managing Entity. Allowable purchases
under this Covered Service includes: transportation, childcare, housing assistance
clothing, educational services, vocational services, medical care, housing subsidies,
pharmaceuticals and other incidentals as approved by the Department or Managing
Entity.
25.29 — Aftercare — Individual and 43 — Aftercare — Group (Eligible OCAs: MSONQ)
Aftercare activities occur after a treatment level of care is completed and include
activities such as supportive counseling, life skills training, and relapse prevention for
individuals with mental illness or substance use disorders to assist in their ongoing
recovery. Aftercare services help individuals, families, and pro -social support systems
reinforce a healthy living environment.
26.30 — Information and Referral (Eligible OCAs: MSOCR, MSONQ)
These services maintain information about resources in the community, link people
who need assistance with appropriate service providers, and provide information about
agencies and organizations that offer services. The information and referral process is
comprised of: being readily available for contact by the individual, assisting the
individual with determining which resources are needed, providing referral to
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appropriate resources, and following up to ensure the individual's needs have been
met, where appropriate.
27.32 — Substance Abuse Outpatient Detoxification (Eligible OCAs: MSONQ)
These services utilize medication or a psychosocial counseling regimen that assists
recipients in their efforts to withdraw from the physiological and psychological effects
of addictive substances.
28.36 — Room and Board with Supervision Level I (Eligible OCAS: MSONQ)
This Covered Service solely provides for room and board with supervision on a twenty-
four hours per day, seven days per week basis. It corresponds to Residential Level I
as defined in F.A.C. 65E-14.021.
29.37 — Room and Board with Supervision Level II (Eligible OCAs: MSONQ)
This Covered Service solely provides for room and board with supervision on a twenty-
four hours per day, seven days per week basis. It corresponds to Residential Level II
as defined in F.A.C. 65E-14.021. This Covered Service is not applicable for provider
facilities which meet the definition of an Institute for Mental Disease as defined by Title
42 CFR, Part 435.1010.
30.38 — Room and Board with Supervision Level III (Eligible OCAs: MSONQ)
This Covered Service solely provides for room and board with supervision on a twenty-
four hours per day, seven days per week basis. It corresponds to Residential Level III
as defined in F.A.C. 65E-14.021.
31.39 — Short-term Residential Treatment (Eligible OCAs: MSONQ)
These individualized, stabilizing acute and immediately sub -acute care services
provide short and intermediate duration intensive mental health residential services on
a twenty-four hours per day, seven days per week basis, as provided for in Rule
Chapter 65E-12, F.A.C. These services shall meet the needs of individuals who are
experiencing an acute or immediately sub -acute crisis and who, in the absence of a
suitable alternative, would require hospitalization.
32.40 — Mental Health Clubhouse Services (Eligible OCAs: MSONQ)
Structured, evidence -based services both strengthen and/or regain the individual's
interpersonal skills, provide psycho -social support, develop the environmental supports
necessary to help the individual thrive in the community and meet employment and
other life goals, and promote recovery from mental illness. Services are typically
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AGREEMENT
provided in a community-based program with trained staff and members working as
teams to address the individual's life goals and to perform the tasks necessary for the
operations of the program. The emphasis is on a holistic approach focusing on the
individual's strengths and abilities while challenging the individual to pursue those life
goals. This service would include, but not be limited to, clubhouses certified under the
International Center for Clubhouse Development. This covered service may not be
provided to a person less than 18 years old.
33.44 — Comprehensive Community Service Team — Individual and 45 —
Comprehensive Community Service Team - Group (Eligible OCAs: MSONQ)
This Covered Service is a bundled service package designed to provide short-term
assistance and guide individuals to rebuild skills in identified roles in their environment
through the engagement of natural supports, treatment services, and assistance of
multiple agencies when indicated. Services provided under Comprehensive
Community Service Teams may not be simultaneously reported to another Covered
Service. Allowable bundled activities include the following Covered Services as defined
in subsection (4) of F.A.C. 65E-14.021: Aftercare, Assessment, Care Coordination,
Case Management, Information and Referral, In-home/Onsite, Intensive Case
Management, Intervention, Outpatient, Outreach, Prevention — Indicated, Recovery
Support, Supported Employment, and Supportive Housing.
34.46 — Recovery Support — Individual and 47 — Recovery Support - Group (Eligible
OCAs: MSOCR, MSONQ)
This Covered Service is comprised of nonclinical activities that assist
individuals and families in recovering from substance use and mental health
conditions. Activities include social support, linkage to and coordination among
service providers, life skills training, recovery planning, coaching, education on
mental illness and substance use disorders, assisting individuals using digital
therapeutics approved by the United States Food and Drug Administration, and
other supports that facilitate increasing recovery capital and wellness
contributing to an improved quality of life. Recovery capital is the personal,
family, social, community resources and natural supports that promote
recovery. These activities may be provided prior to, during, and after treatment.
These services support and coach an adult or child and family to regain or
develop skills to live, work and learn successfully in the community. This
Covered Service shall include supervision provided to a service provider's
personnel by a professional qualified by degree, licensure, certification, or
specialized training in the implementation of this service, or by a certified peer
specialist who has at least 2 years of fill -time experience as a peer specialist at
a licensed behavioral health organization. This Covered Service must be
provided by a Certified Recovery Peer Specialist pursuant to Section 397.417,
F.S. These services exclude twelve -step programs such as Alcoholics Anonymous and
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Narcotics Anonymous.
35.48 — Prevention - Indicated (Eligible OCAs: MSONQ)
Indicated prevention services are provided to at -risk individuals who are identified as
having minimal but detectable signs or symptoms foreshadowing mental health or
substance use disorders. Target recipients of indicated prevention services are at -risk
individuals who do not meet clinical criteria for mental health or substance use
disorders. Indicated prevention services preclude, forestall, or impede the development
of mental health or substance use disorders. These services shall address the following
specific prevention strategies, as defined in rule 65D-30.013, F.A.C.: education,
alternative and problem identification and referral services.
36.49 — Prevention - Selective (Eligible OCAs: MSONQ)
Selective prevention services are provided to a population subgroup whose risk of
developing mental health or substance use disorders is higher than average. Target
recipients of selective prevention services do not meet clinical criteria for mental health
or substance use disorders. Selective prevention services preclude, forestall, or
impede the development of mental health or substance use disorders. These services
shall address the following specific prevention strategies, as defined in Rule 65D-
30.013, F.A.C.: information dissemination, education, alternatives, and problem
identification and referral services.
37.50 — Prevention — Universal Direct (Eligible OCAs: MSONQ)
Universal direct prevention services are provided to the general public or a whole
population that has not been identified on the basis of individual risk. These
services preclude, forestall, or impede the development of mental health or
substance use disorders. Universal direct services directly serve an identifiable
group of participants who have not been identified on the basis of individual risk.
This includes interventions involving interpersonal and ongoing or repeated
contact such as curricula, programs, and classes. These services shall address the
following specific prevention strategies, as defined in rule 65D-30.013, F.A.C.:
information dissemination, education, alternatives, or problem identification and referral
services.
38.51 — Prevention — Universal Indirect (Eligible OCAS: MSONQ)
Universal indirect prevention services are provided to the general public or a whole
population that has not been identified on the basis of individual risk. These services
preclude, forestall, or impede the development of mental health or substance use
disorders. Universal indirect services support population -based programs and
environmental strategies such as changing laws and policies. These services can
Service Agreement 33 Agreement No.: AGR75-001
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include programs and policies implemented by coalitions. These services can also
include meetings and events related to the design and implementation of components
of the strategic prevention framework, including needs assessments, logic models, and
comprehensive community action plans. These services shall address the following
specific prevention strategies, as defined in Rule 65D-30.013, F.A.C.: information
dissemination, education, community-based processes, and environmental strategies.
39.52 — Care Coordination (Eligible OCAs: MSOCR, MSONQ)
Care Coordination is a time-limited service that assists individuals with behavioral
health conditions who are not effectively engaged with case management or other
behavioral health services and supports for a successful transition to appropriate levels
of care. Once engagement in the necessary community-based services is verified, care
coordination services are terminated.
40.53 — HIV Early Intervention Services (Eligible OCAs: MSOCR)
This Covered Service is a bundled service package to provide Human
Immunodeficiency Virus (HIV) Early Intervention Services in accordance with 65D-
30.004, F.A.C. Allowable HIV Early Intervention Services may include one or any
combination of the following activities: pretest counseling; posttest counseling; tests to
confirm the presence of HIV; tests to diagnose the extent of the deficiency in the
immune system; tests to provide information on appropriate therapeutic measures for
preventing and treating the deterioration of the immune system and conditions arising
from HIV, including tests for hepatitis C (when provided to individuals with HIV);
therapeutic measures for preventing and treating the deterioration of the immune
system and conditions arising from HIV; and, linkages to diagnostic tests, therapeutic
measures, and HIV specific support services.
41.54 — Room and Board with Supervision Level IV (Eligible OCAs: MSONQ)
This Covered Service solely provides for room and board with supervision on a twenty-
four hours per day, seven days per week basis. It corresponds to Respite Services as
defined in F.A.C. 65E-14.021.
E. Project Codes
1. A2 — FIT Team (Eligible OCAs: MSONQ)
Bundled rate expenditures for Family Intensive Treatment teams. Allowable covered
services within the bundled rate must be reported in FASAMS as the actual covered
Service Agreement 34 Agreement No.: AGR75-001
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service (i.e., case management, medical services, etc.)
2. A3 — Central Receiving System (Eligible OCAs: MSONQ)
Bundled rate expenditures for Central Receiving System grants. Allowable covered
services within the bundled rate must be reported in FASAMS as the actual covered
service (i.e., case management, medical services, etc.)
3. A4 — Care Coordination (Eligible OCAs: MSONQ)
Bundled rate expenditures for Care Coordination. Allowable covered services within
the bundled rate must be reported in FASAMS as the actual covered service (i.e., case
management, incidentals, etc.
4. A8 — Local Diversion Forensic Project (Eligible OCAs: MSONQ)
Bundled rate expenditures for Outpatient Forensic Mental Health Services as
described in Guidance 6 of the ME contract. Allowable covered services within the
bundled rate must be reported in FASAMS as the actual covered service (i.e., case
management, medical services, etc.)
5. 61 — Network Evaluation and Development (Eligible OCAs: MSOCR, MSONQ)
Allowable expenditures of network service provider funding necessary to evaluate,
develop, or expand the capacity of the regional network of care. This includes fidelity
monitoring, independent quality assessment, workforce development, training, and
related initiatives
6. B3 — Cost Reimbursement (Eligible OCAs: MSOCR, MSONQ)
Expenditures paid on an actual cost reimbursement method of payment, as defined in
rule 65E-14.019, F.A.C., for necessary staffing, supplies and related expenditures to
establish operational start-up capacity for new programs or services. Allowable
costs are limited to those expenditures directly related to new services; to service
contracts when required by statute, grant or funding source; or to specific fixed capital
outlay projects appropriated by the legislature.
7. 137 - Wraparound (Eligible OCAs: MSONQ)
Bundled rate expenditures for Wraparound. This project code should only be used
when implementing the evidence -based Wraparound approach to care management,
as defined by the National Wraparound Initiative (https://nwi.pdx.edu/). Expenditures
for Wraparound may be billed as case management, CCST, or a bundled rate to
include allowable covered services of assessment, case management, recovery
Service Agreement 35 Agreement No.: AGR75-001
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support, CCST, medical, incidentals, and in-home/on-site.
8. CO — Other Bundled Projects (Eligible OCAS: MSOCR, MSONQ)
Bundled rate expenditures for local community behavioral health initiatives not
otherwise reportable under other project codes.
9. C1 — Sustainability Payment for Emergency Response (Eligible OCAs: MSONQ)
Lump sum payments to support provider sustainability during declared public
emergencies. This code may only be used once per OCA per Provider each month to
report the difference between the Total YTD ME General Ledger payments to the
provider and the Total YTD Actual Payable reported for all other Covered Service and
Project Codes for that OCA.
Service Agreement 36 Agreement No.: AGR75-001
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Attachment B
List of Non -Qualified County Providers
The following providers are to receive Non -Qualified County funding:
A. Indian River County Mental Health Collaborative, Inc.
B. Indian River County Sheriff's Office
C. 19th Judicial Circuit Problem -Solving Courts
D. Treasure Coast Homeless Council
E. Substance Abuse Council of Indian River County, Inc. (also known as Thrive IRC,
Inc.)
F. If needed, others will be added to this list if agreed to by both parties.
Service Agreement 37 Agreement No.: AGR75-001
Indian River County Board of County
Commissioners
STATEMENT OF FUNDING
Provider Name: Indian River County Board of County commissioners
Contract Number: AGR75 (06/01/2024-06/30/2025)
Circuit 19 (Amendment 001)
OCA
Program
Type
Fund
Code
FUNDING DETAIL
Circuit Description
FY23/24
Start Dates 6/1/2024
End Dates 6/30/2024
FY24/25
7/1/2024
6/30/2025
MSOCR
SA
DCF
19 ME Opioid TF Coord Opioid Recovery Care
$ 625,000.00
$ 425,000.0
FY23/24
MSOCR
SA
DCF
19 ME Opioid TF Coord Opioid Recovery Care
CARRY FORWARD $ -
$ 625,000.0
MSONQ
SA
DCF
19 ME Opioid TF Non -Qualified Counties
$ 1,016,140.00
$ 81,341.0
TOTAL
SA
SA
DCF
1,641,140.00
1,131,341.009
$ 1.00
COVERED SERVICE RATES
Covered
program
Fund
FY23/24
FV24/25
Service/Project
Circuit
Description and Current Year Eligible OCAS
Codes
Type
Code
B3
SA
DCF
19
Cost Reimbursement MSOCR MSONQ
$ 1.00
$ 1.00
MSOCR-CR