CBO Master Contracts Archives



FY 22/23 Standard Documents for FY 22-23 Exhibit A Attachments Exhibit A: Table of Contents (Template) Exhibit A-1: Standard Requirements for Mental Health (MH) Contracts Exhibit A-1: Standard Requirements for Substance Use Disorder (SUD) Contracts Exhibit A-2: CBO Lobbying Restrictions & Disclosure Certification (Master Contracts Only - See Exhibit G for Services-As-Needed Contracts) Attachment 1: Certification Regarding Lobbying – Certification form Attachment 2: Certification Regarding Lobbying – Disclosure form Exhibit A-3: SUD Qualified Service Organization Agreement (Master Contracts Only - See Exhibit H for Services-As-Needed Contracts) Exhibit A – Program Requirements (Exhibit A-P) for Mental Health Contracts Exhibit A-P: Adult Outpatient Therapy Exhibit A-P: CalWORKs Exhibit A-P: Child Level I Exhibit A-P: Child/Youth Outpatient Exhibit A-P: Counseling-Enriched Special Day Class (CESDC) Exhibit A-P: Crisis Residential Exhibit A-P: Custom Exhibit A-P: Eating Disorder Exhibit A-P: Family Partner Exhibit A-P: FSP – Transition-Age Youth, Adult and Older Adult Exhibit A-P: Full Service Partnership (FSP) – Child Exhibit A-P: Housing Navigation Exhibit A-P: Housing Support Program (HSP) Exhibit A-P: In-Home Outreach Team (IHOT) Exhibit A-P: Integrated Behavioral Health Care Coordination (IBH) Exhibit A-P: Interim Housing Exhibit A-P: IPS Exhibit A-P: Katie A., ICC and IHBS Exhibit A-P: Language ACCESS Exhibit A-P: Permanent Supportive Housing (PSH) Exhibit A-P: Promoting Access to Health (PATH) Exhibit A-P: School-Based Behavioral Health (SBBH) Exhibit A-P: Service Team Exhibit A-P: Short-Term Residential Therapeutic Program (STRTP) Exhibit A-P: Substitute Payee Exhibit A-P: Therapeutic Behavioral Services (TBS) Exhibit A-P: Underserved Ethnic and Language Populations (UELP) Exhibit A-P: Wellness Centers Exhibit A – Program Requirements (Exhibit A-P) for Substance Use Disorder (SUD) Contracts Exhibit A-P: Opioid Treatment Exhibit A-P: Outpatient and Intensive Outpatient Treatment Exhibit A-P: Primary Prevention (Older Adult) Exhibit A-P: Primary Prevention (Youth) Exhibit A-P: Recovery Residence Exhibit A-P: Residential Treatment Exhibit B: Payment Terms and Conditions MH Exhibit B: Terms and Conditions of Payment MH FSP Exhibit B: Terms and Conditions of Payment SAN HSP Exhibit B: Terms and Conditions of Payment SAN MH Exhibit B: (No Data) Terms and Conditions of Payment SAN MH Exhibit B: (with Data) Terms and Conditions of Payment SUD Exhibit B: Terms and Conditions of Payment FY 20/21
Announcements Contracts Unit FY 21-22 Spring Provider Presentation The ACBH Contracts Unit held its Annual Spring Provider Meeting virtually this year. Recordings of both the Mental Health (MH) and Substance Use Disorder (SUD) presentations which includes important ACBH updates, contract renewal document changes and compliance reminders are available for your viewing. The MH recorded presentation is now available here: FY 21-22 Spring Provider Presentation – MH The SUD recorded presentation is now available here: FY 21-22 Spring Provider Presentation – SUD Additionally, the PDF presentations, the questions and answers submitted during both presentations, Quality Assurance (QA) handouts, and the Privacy/Security handout are available to download. Mental Health PDF presentation Substance Use Disorder PDF presentation Questions & Answers QA Office Provider Resources handout QA Medi-Cal Site Certification handout QA COVID-19 Site Cert Memo QA COVID-19 Waiver Site Cert Insert QA NPI Instructions Privacy Security requirements handouts Contract Requirements FY 20/21 Forms & Documents by Category Exhibit A Table of Contents (Template) Exhibit A-P: Adult Outpatient Therapy Exhibit A-P: CalWORKs Exhibit A-P: Child/Youth Outpatient Exhibit A-P: Counseling-Enriched Special Day Class (CESDC) Exhibit A-P: Eating Disorder Exhibit A-P: Crisis Residential Exhibit A-P: Full Service Partnership (FSP) – Child Exhibit A-P: FSP – Transition-Age Youth, Adult and Older Adult Exhibit A-P: Housing Navigation Exhibit A-P: Housing Support Program (HSP) Exhibit A-P: In-Home Outreach Team (IHOT) Exhibit A-P: Integrated Behavioral Health Care Coordination (IBH) Exhibit A-P: Interim Housing Exhibit A-P: Language ACCESS Exhibit A-P: Permanent Supportive Housing (PSH) Exhibit A-P: Promoting Access to Health (PATH) Exhibit A-P: School-Based Behavioral Health (SBBH) Exhibit A-P: Service Team Exhibit A-P: Short-Term Residential Therapeutic Program (STRTP) – In-County Exhibit A-P: Short-Term Residential Therapeutic Program (STRTP) – Out-of-County Exhibit A-P: Therapeutic Behavioral Services (TBS) Exhibit A-P: Underserved Ethnic and Language Populations (UELP) Exhibit A-P: Wellness Centers Exhibit A-P: Outpatient and Intensive Outpatient Treatment Exhibit A-P: Primary Prevention (Older Adult) Exhibit A-P: Primary Prevention (Youth) Exhibit A-P: Recovery Residence Exhibit A-P: Residential Treatment FY 19/20 Provider Resources Psychological Testing Memo - 3/2/2020 Protocol Memo - 6/8/2015 Substance Use Disorder (SUD) Drug Medi-Cal (DMC) Organized Delivery System (ODS) - Amendment 2 Agreement No. 17-94062 A02executed 12-6-2019 Forms & Documents by Category Exhibit A-1: Mental Health Additional Terms and Conditions FY 19-20 Exhibit A-1: Substance Use Disorder (SUD) Additional Terms and Conditions FY 19-20 Exhibit A-3: Mental Health QA Addendum for Medi-Cal Treatment Programs (Master Contracts Only – See Exhibit H for Services-As-Needed Contracts) FY 19-20 MH Exhibit B: Terms and Conditions of Payment FY 19-20 SUD Exhibit B: Terms and Conditions of Payment, Opioid Treatment Programs (OTP) FY 19-20 SUD Exhibit B: Terms and Conditions of Payment, Other SUD FY 19-20 Announcements Contracts Unit FY 20-21 Spring Provider Presentation Due to the COVID-19 pandemic and the Health Officer’s and California Governor’s “Shelter in Place” order and social distancing, the ACBH Contracts Unit had to postpone its Annual Spring Provider Meeting. In lieu of the meeting, the Contracts Unit along with other internal partner units, prepared and recorded the FY 20-21 Spring Provider Presentation which includes important ACBH updates, contract renewal document changes and compliance reminders. The presentation is now available here: FY 20-21 Spring Provider Presentation As you listen to the presentation, you can click on the Table of Contents and References page, to guide you through the slides and references which are applicable to Mental Health and/or Substance Use Disorder Services contracts. Questions may be submitted to the Contracts@acgov.org mailbox between now and June 26, 2020. Please include “Spring Provider Questions” in the subject line. We will post answers to all of the questions received no later than Monday, July 6, 2020. In addition, you may contact your Contract Managers for any questions. ACBH Responses To FY 20-21 Spring Provider Online Presentation Questions The Contracts Unit is sharing responses to questions from the FY 20-21 Spring Provider Online Presentation. The questions and responses are available here. ACBH Responses to FY 20-21 Spring Provider Presentation FY 18/19 Provider Resources Substance Use Disorder (SUD) Drug Medi-Cal (DMC) Organized Delivery System (ODS): Final Agreement No. 17-94062 executed 5-30-2018 Contract - Agreement No. 18-95233 07-01-2018 to 06-30-2021 FY 17/18 Network Office Changes to BHCS Contracting for FY 2017-18 Meetings Thank you to everyone who was able to attend the Changes to BHCS Contracting for FY 2017-18 meetings on Wednesday, February 1st, Friday, February 3rd and Monday, February 6th. For those of you who were not able to attend, the agenda and presentation are provided in the links below. These meetings were developed to discuss the provider contract payment redesign for providers that bill to Medi-Cal. We are taking this step to prepare for the future with a focus on access and quality. Changes to BHCS Contracting FY 2017-18 Agenda Changes to BHCS Contracting FY 2017-18 Presentation CBO Signature Authorization Contact Information Memo Provider Resources National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care - 2013 Substance Use Disorder (SUD) Drug Medi-Cal (DMC) Organized Delivery System (ODS) - Amendment 1 Agreement No. 17-94062 executed 3-22-2019 SUD Prevention and Treatment Block Grant (SABG): Contract - Amendment 1 Agreement No. 17-94118 A01 executed 12-31-2018 SUD Prevention and Treatment Block Grant (SABG): Contract - Amendment 2 Agreement No. 17-94118 A02 executed 1-3-2018 SUD Prevention and Treatment Block Grant (SABG): Contract - Agreement No. 17-94118 A01 fully 12-26-2017 Forms & Documents Providers Contact Information FY 16/17 Provider Resources Crisis Admission Data: FY 16-17 Mental Health Client Engagement Data FY 16-17 Mental Health Version 1 Version 2 SAVE THE DATE Network Office Provider Meeting Changes to BHCS Contracting for FY 2017/2018 (Open link to each topic for more details) Medi-Cal & Other Funding Streams in your Contracts: Wednesday, February 1, 2017 10AM – 12PM or Monday February 6, 2017 2PM – 4PM Medi-Cal/EPSDT Only Funding Streams in your Contracts: Friday, February 3, 2017 2PM – 4PM or Monday February 6, 2017 2PM – 4PM No Medi-Cal Funding in your Contracts: Friday, February 3, 2017 10AM – 12PM or Monday February 6, 2017 2PM – 4PM Mental Health Services – Monday, March 20, 2017 2:00pm to 4:00pm or Friday, April 21, 2017 2:00pm to 4:00pm Substance Use Disorder Services - Monday, April 17, 2017 1:00pm to 3:00pm Cost Report Below are electronic copies of the notices and FY 15/16 Cost Report forms from the State; a link to OMB 122 Principles for Non Profits, and a link to the DHCS Website. Executive Directors and Fiscal Staff should review these documents carefully, as policies and procedures currently in effect may need to be revised or strengthened in relation to direct and indirect costs. The State may start to give more guidance and or information on this and Behavioral Health Care Services’ Network Office will pass the information along as we get it. However, it’s your agency’s responsibility to properly allocate and assign costs. We hope this helps you get started becoming more informed about the upcoming changes. If you have questions or input please contact your assigned Fiscal Contract Manager (FCM). The FCM will answer your questions to the extent possible, and/or pass them along to management for future/further consideration or action. CA 15-013 Approved Package FY 2015-16 Cost Report Instructions Cost Report Form and Worksheets https://www.whitehouse.gov/omb/circulars_a122_2004/ http://www.dhcs.ca.gov/formsandpubs/Pages/Information-Notices-2015.aspx FY 15/16 Provider Resources Client Engagement Data FY 15-16 Mental Health Cost Report CA 15-013 Approved Package FY 2015-16 Cost Report Instructions Cost Report Form and Worksheets https://www.whitehouse.gov/omb/circulars_a122_2004/ http://www.dhcs.ca.gov/formsandpubs/Pages/Information-Notices-2015.aspx FY 2014-15 Cost Reports Due: September 18, 2015 Click the link below to view the PowerPoint slides from the September 10, 2015 Cost Report Q&A Session: FY 14/15 Cost Report Q&A Unaccompanied Youth – Alameda County Alameda County November 12, 2015 Update February 4, 2016 Update Crisis Admission Data: FY 15-16 Mental Health Unaccompanied Youth – Alameda County: Letter to Providers BHCS ANNUAL ASSESSMENT: HOUSING/LIVING SITUATION AND CO-OCCURRING INFORMED PRACTICE The BHCS Annual Assessment: Housing/Living Situation and Co-Occurring Informed Practice is due no later than July 10th of each fiscal year. Below you will find the documents that explain which housing and co-occurring practices meet this contract requirement. Please contact your assigned Program Contract Manager for more information. FAQs about BHCS Annual Assessment Preview Copy: BHCS Annual Assessment (survey monkey) The FY 2015-16 Exhibit A Attachments are now available. Please see Contract Renewal Documents on the Forms & Documents page. FY 14/15 Notices and Letters AOD & MH Provider Deadline August 1, 2014 InSyst Data Input Deadline 080414 Out-of-County Provider Deadline July 11, 2014 (Providers who do not enter their own InSyst Data) InSyst Data Input Deadline OOC 071114 BHCS ANNUAL ASSESSMENT: HOUSING/LIVING SITUATION AND CO-OCCURRING INFORMED PRACTICE The BHCS Annual Assessment: Housing/Living Situation and Co-Occurring Informed Practice is due no later than July 10th of each fiscal year. Below you will find the documents that explain which housing and co-occurring practices meet this contract requirement. FAQs about BHCS Annual Assessment Preview Copy: BHCS Annual Assessment FY (survey monkey) Housing/Living Situation Contract Expectations (one page) Co-Occurring Informed Practice Contract Expectations (one page) FY 13/14 Information Sessions Network Office Spring Provider Meetings FY14/15 FY14/15 Contract Renewal Season! These informational meetings will address the FY14/15 contracting process as well as upcoming changes to contracts. We strongly recommend that a program and fiscal representative from your organization attend. A flyer for each contracting unit (AOD & MH) is below. AOD FY14-15 Network Office Spring Provider Meeting Flyer_AOD AOD Agenda BHCS Network Spring Provider Mtg 2014 AOD Presentation Exhibit A Language Changes Summary-AOD MH FY14-15 Network Office Spring Provider Meeting Flyer_MH MH Agenda BHCS Network Spring Provider Mtg 2014 MH Presentation Exhibit A Language Changes Summary-MH FY 13/14 Updating Contractor Contact Information The Network Office is pleased to announce that for FY 13-14, provider contact information will be collected electronically. We have established a secure online form that takes only a few minutes to complete. The content of this form is almost identical to the Contact Update Sheet previously used for FY 12-13; the additional item we are requesting is the required information about your organization’s Board of Directors. We ask that one person from each organization complete this form by visiting https://networkoffice.wufoo.com/forms/alameda-county-bhcs-annual-contact-update. A confirmation and a copy of the completed information will be sent your organization’s Executive Director’s email. If your organization’s Executive Director does not receive the confirmation email, please make sure to remove no-reply@wufoo.com from your junk/spam inbox. Moving forward, we hope to use more tools like this to improve the way we do business.