Contract No QD1A9 Amendment 021

THIS AMENDMENT entered into between the State of Florida Department of Children and Families (DCF) hereinafter referred to as the Department and Central Florida Behavioral Health Network Inc hereinafter referred to as the Provider amends contract QDIA9

This amendment decreases the total contract amount by $5463795 as follows bull Fiscal Year 2012-13 Decreases fiscal year funding for the Veterans Grant by $5463795 The

Exhibit B Funding Detail 2012-2013 is updated to reflect this change

1 Page 6 Standard Contract paragraph 36 line I delete of an amount not to exceed $757 22284695 and replace with of an amount not to exceed $757 16820900

2 Page 60 Attachment I section C paragraph Ia delete last line and replace with the following

$75716820900 subject to the availability of funds as follows

3 Page 61 Attachment I section C paragraph la(2) delete table and replace with the following table

Fiscal Year Service Cost Maximum System of Care

Administrative Cost

Actual Administrative

Cost Reductions

Total Cost Per Year Projected Administrative

Cost Reductions

2010-2011 $ 111 99221100 $ 2557799700 $ 54344100 $ 13811364900 NA 2011-2012 $ 11447495200 $ 2255971000 $ 1291 38900 $ 13832605100 NA 2012-2013 $ 12243000316 $ 3718631044 TBD $ 15961631360 $ 224749800 2013-2014 $ 13638643304 $ 2424466466 TBD $ 16063109770 $ 536802200 2014-2015 $ 13787374402 $ 2260735368 TBD $ 16048109770 $ 156076200

Totals $ 62315734322 $ 13217603578 $ 183483000 $ 75716820900 $ 917628200

The Maximum System of Care Administrative Cost reflected in the table above includes $93964200 (noted as ME Admin_Prog Office in Exhibit B Funding Detail) that will be paid as part of the Managing Entity Administrative Cost This amount of contractual funding is funded through the Substance Abuse and Mental Health Program Offices administration for Region 33

4 Pages 86 to 101 Exhibit B Funding Detail last updated May 152013 are deleted and replaced as attached

This amendment shall begin on June 28 2013 or the date on which the amendment has been signed by both parties whichever is later

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

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

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

IN WITNESS THEREOF the parties hereto have caused this -----18--- page amendment to be executed by their officials thereunto du1y authorized

Contract No ODlA9 Amendment 021

PROVIDER Central Florida Behavioral Health State of Florida Department ofChildren and Network Inc Families

SIGNEDB~i_ NAME UV)uk +gtakJ

TITLE Regional Managing Director TITLE _ _~CLLfO~------DATE rQ -ze- I 3 DATE (o[)g( )ol~ FEDERAL ID 59-3467610

Exhibit B Funding Detail

2012-2013

---------- -------middot

- -------middot-middotmiddotmiddotmiddotmiddot ----middotmiddot---- -middotmiddotmiddotmiddot middot--- -middot--middotmiddot-middot---------- -middot middot-------middotmiddotmiddot-

Contract

Mental Health Adults Children ME Admin Provider Admin Total SYSTEM OF CARE ADMIN Emergency Stabilization $ 22 305 39287 $ 456244220 $ 1142 73939 $ 7 094 90904 $ 3510548349 $ 823764843 23 Recoveryamp Resiliency $ 5113597850 $ 647848240 $232366786 $ 1440736676 $ 7434549552 $ 1673103462 23

Total $ 7344137137 $ 1104092460 $ 346640725 $ 2150227580 $ 10945097901 $ 2496868305 23

ME Admin_Prog Office ~ bull ~ ~ uauu ~ ~ uauu ~ uuuu Total Mental Health $ 7344137137 $ 1104092460 $ 422543425 $ 2150227580 $ 11021000601 $ 2572771005 23

Substance Abuse Adults Children ME Admin Provider Admin Total SYSTEM OF CARE ADMIN Detox $ 607770563 $ 160811223 $ 31901322 $ 198065292 $ 998548400 $ 229966614 23 Treatment amp Aftercare $ 1619363468 $ 893416769 $ 103333304 $ 641564037 $ 3257677577 $ 744897341 23 Prevention $ 112233418 $ 401175280 $ 21215321 $ 131719264 $ 666343282 $ 152934584 23

middototal $ 2339367449 $ 1455403271 $ 156449947 $ 971348593 $ 4922569259 $ 1127798539 23

Central Florida Behavioral Health Network Inc 86 Contract No QD1A9 6282013

Exhibit B Funding Detail

2012-2013

---------- -------middot

- -------middot-middotmiddotmiddotmiddotmiddot ----middotmiddot---- -middotmiddotmiddotmiddot middot--- -middot--middotmiddot-middot---------- -middot middot-------middotmiddotmiddot-

Contract

Mental Health Adults Children ME Admin Provider Admin Total SYSTEM OF CARE ADMIN Emergency Stabilization $ 22 305 39287 $ 456244220 $ 1142 73939 $ 7 094 90904 $ 3510548349 $ 823764843 23 Recoveryamp Resiliency $ 5113597850 $ 647848240 $232366786 $ 1440736676 $ 7434549552 $ 1673103462 23

Total $ 7344137137 $ 1104092460 $ 346640725 $ 2150227580 $ 10945097901 $ 2496868305 23

ME Admin_Prog Office ~ bull ~ ~ uauu ~ ~ uauu ~ uuuu Total Mental Health $ 7344137137 $ 1104092460 $ 422543425 $ 2150227580 $ 11021000601 $ 2572771005 23

Substance Abuse Adults Children ME Admin Provider Admin Total SYSTEM OF CARE ADMIN Detox $ 607770563 $ 160811223 $ 31901322 $ 198065292 $ 998548400 $ 229966614 23 Treatment amp Aftercare $ 1619363468 $ 893416769 $ 103333304 $ 641564037 $ 3257677577 $ 744897341 23 Prevention $ 112233418 $ 401175280 $ 21215321 $ 131719264 $ 666343282 $ 152934584 23

middototal $ 2339367449 $ 1455403271 $ 156449947 $ 971348593 $ 4922569259 $ 1127798539 23

Central Florida Behavioral Health Network Inc 86 Contract No QD1A9 6282013

- ----

Exhibit 8 Funding Detail

2012-2013

~91~-~~~~~= ~GIiBl lorid-~~~a-i_l__ t-1~-~~-~_f-l~~~middotlltmiddot_ -middot--- -------- ________ i~~~~~~~-~-r_n~~l)= ___ ---middot- 1~__1_1~~-_QQ_ -~--------~~--~-~_I_C~9P~~ middotmiddotmiddotmiddot----------- ---- --middot- ---------~--- - ------- ----middotmiddot------middot--- _ -~ ~~~ctlvl_tx_____________________$ _9 15~-~~-~--- _ middot------- shy

-------~------middot --middot ~~i~iumi~~ioomiddotJ~-1~ 2012 ____ ______ ---middot- middot ----------------- --- --- middotmiddotmiddot--middotmiddot- -middotmiddotmiddot middotj-ast_Qate Upd~_~~~~-~-~jl___ _

ADULT

EMERGENCY STABILIZATION ACTIVITY- 502004 MENTAL HEALTH- BUDGET ENTITY -60910506

I A B c D E F G H r SYSTEM OF CARE ADMIN l

CATEGORYFUND [T~~-~NDING II ocA ---~ ME ADMIN lf PROVIDER 14 FUNDING AMOUNT

GJA-ADULT COMM MENTAL HEALTH middot100610 $-37707838- --middotmiddot --middot ------- shyADAMH Trust Fund TF (027005 rr=73~sect0llf AEss1 ]_ 143553~63

General Revenue (000326) ~Jl84800950 AESS1 $ 524759133-$ 1378~519 -~~=--==-rt=t~~1E~-===~=$ bull(17615600) AESS1 Amendment 16 - Exempt fromGeneral Revenue (000326) $- (176i56oo) 1 System of Care Admin

middot$-middotmiddot-82-99248 AESS1 _$_____1031549 AESS1

TSlF (122023) $ - -i~006C-=middot__=JIr_i_s~io5middot__-_-_ =--= Amendm h- -=~~J[fGR TF TSlFT $ 1031M9System of Care Admm

TS1F(122023) ) 41807019$ 2o77QOOoii SMHA1 $ 67~363~ smiddot_ j~-(~~3=-4t GA-BAKER ACT SERVICES-100611 General Revenue (000326) AESS1

General Revenue (000326) AESS1r_~84~=~~ l~-5969~-~~-~-~Jl~ 376middot~~~3~--middot_middot~---~j =~~~~~ [14~~~1 GIA-OUTPATIENT BAKER ACT SVCS PILOT -100612 General Revenue (000326) ~--- ---middotlmiddot AESS1 ~---middot -------middot==w--middot--middotmiddot ------ -~ F--middot-middotmiddotmiddot-------------~ middotmiddot- middot- __________ ----middotmiddot-middot--middot---middotmiddot------middot---------- shy~

TSTF (122023) AESS1

middot middot middot middot middot middot middot middot middot middot middot--ocx--rotaf----smiddot i9middotfsrso7~49 middot middot middot middotmiddotmiddot middot middots middot 949iiii67 middotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddots 5896maiimiddotmiddotmiddotmiddot middotmiddot middot middot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middot middot middot middot middot middot middot middot middot middot middot middotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddot $ middotif3os39iiif II A B C 0 E F G H I

1 1SYSTEM OF CARE ADMIN $ SERVICES

ME ADMIN Nelwottl Provider Network Provkter Budgeted Total Budgeted FUNDINGBaaeUnH I I ITatol 1TOTAL FUNDING Cost Admin I MEADIIIN$ II Admin I Admin$ I UnltCost Unlts AMOUNT( )Cost Center

03 Crisis Stabilization No TANF) rr-middot2~92306J [$262~J Unit bed-day

04 Crisis SupportEmergency [$ 75663254] [$347_] Unit staff hour ~~~~I~tz ~=--~~ts~ -~~l~~ ~~~=~09 Inpatient (No TANF) [t _1o5_9sect43il [$263 5sectJ Unit 24-hr day

Cost Center TotaibullU 2915150749 $94970366 $589641186 $2230539197

Difference from OCA Totals=$

Total System of Care Admin=l $ 684611552 I QDA 19s total System of Care Administrative cost for fiscal year 2012-2013 is $3719907963 This administrative cost includes $93964200 that is funded through the Substance Abuse and Mental Health Program Offices administration for Region 33

Amendment 21 reduces funding of $5463795 for the Veterans Grant for fiscal year 2012-2013

lt1gtEach cost centers Services Funding Amount Is calculated using the Budgeted Base Unit Cost (column B) and the Total Budgeted Units (column H)

~Reoresents the standard admin in the model rates Actual admin mav varv Please review adiust andor explain any differences between OCA totals and Cost Center totals

87 Contract No QD1A9 Central Florida Behavioral Health Network Inc 6282013

Exhibit B Funding Detail

2012-2013

~Q~lPl~~~~-=- f~Qr_a_FQifi_S~~~~~ t-J~_tr__fol_e~f15__1flp________ __ _--------- shy ___________ __________ -~~L~r~~rtl~_un~---- _______ rH11~~~-QQ _ ---middotshy -middot--middotmiddot--shy -----shy ---middot shy~~~~~~-g~_l_~~---middotmiddot -----middot--------------~-- _ ____ middot-------- shy ---------~----middot _____ i_~~L~-~~Y__________________ -------~--- ~~~~~7s~q________________ ____ -----------middot--shy --

~~visig_n_~~------ middot-------- shy ___ middot-- shy __ ------------ shy ______ -------- shy _ -middot------~~Da~l~~d_~~-ne 28--pound0J~ _ ------shy -------middot-middot-middotmiddot _____ ___________ shy

Orjg_inal Submission Date J~YJ 2012 i

CHILDREN

EMERGENCY STABILIZATION ACTIVITY -503001 MENTAL HEALTH -BUDGET ENTITY- 60910506

I A 8 c D E F G H I SYSTEM OF CARE ADMIN

cJ FUNDING

CATEGORYFUND TOTAL FUNDING ME ADMIN PROVIDER 14 AMOUNT

GIAmiddotCHILDRENS MENTAL HEALTH -100435

~------r--- -~ AOAMH Trust Fund TF (027005)

~-middotmiddotmiddot cEssimiddot 042242 $ 6470954

~_General Revenue (000326) 215~5~ CESS1 ~~~19 _______ shy $ 24462340 - middot middot-~= 3128142 FGTF- TiUe XXI (261015) 21487Q9 89001 3l96middot11________ rshy 432502 middot-shy 1646537 FGTF bull T~e XXI (261015) (24200) 89001 __t~si(~~~~===-= J~165282_4sect_=~--=~=~- ---shy ~~~~=ptfrom

(24200)

General Revenue (000326) ~5pound3XQQ SMHC1 _2~231[~~(

GA-BAKER ACT SERVICES- (1 04257) [l-357~~JQql] [ iEssi rr-5895--34----shy -~ [[ 719~[78 -~= ~ ] [1_27393568-General Revenue (000326)

OCAtOtafmiddot----$ smiddot953975zomiddot-- middotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddot r mo3552 middotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddot $ff9849iiia middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot f456244Bii II A 8 c D E F G H I

SYSTEM OF CARE ADMIN SERVICESmiddotshy Total Totol FUNDING

Base Unit ME ADMIN Network Provider Networit Provider Budgeted Unit middotmiddotshy AMOUNT(1)Cost Center TOTAL FUNDING Cool Admin ME ADMIN$ Admin$ Cost Units

03 Crisis Stabilization (No TANF) [$ 4~_992i5] [ $265ITJ cI242o-r=T134689ill C2o 12a6(o__t_middot $a_~61~tillLLisect 62TItBIQIJ r$ 3 183124 83 Unit bed--day

lLc~_ill Di~gJ C3242iimiddotT~2~illL ~1286 I-$3_62310551[1 ~~I 4i32raltn [$1~79~~[4704 Crisis SupportEmergency Unit staff hour

09 Inpatient (No TANF) I L J c=---- -r=---J c=----r------ H---r- J 1------ _____ _____ middot----shy ------shy ---shy ----shyUnit 24-hr day

Cost Center Total= $ 595397520 $19303572 $119849818 s456244130

Difference from OCA Totals= $ -Total System of Care Admin= $ 1 39153390

QDA 19s total System of Care Administrative cost for fiscal year 2012-2013 is $3719907963 This administrative cost includes $93964200 that is funded through the Substance Abuse and Mental Health Program Offices administration for Region 33

Amendment 21 reduces funding of $5463795 for the Veterans Grant for fiscal year 2012-2013

lt1JEach cost centers Services Funding Amount Is calculated using the Budgeted Base Unit Cost (column B) and the Total Budgeted Units (column H)

Represents the standard admin in the model rates Actual admin may vary

u Please review adjust andor explain any differences between OCA totals and Cost Center totals

88 Contract No 001A9Central Florida Behavioral Health Netwonlt Inc 6282013

Exhibit B Funding Detail

2012-2013

~9~~9-~~~~~t~ltUt~r~~ Be~~~~~~al H~~~_lt~N~e~~~~~ _______ middot--- -----middotmiddot 2~1-~~~~ Am~-~~ _____ _$_ ___7sect middot-~~~-~09-QO-middot--- __ ---middot---- ---- __ middotmiddotmiddotmiddot--middot middot-middot--middot ------------shy~~~~LQQ1A9____ ~----- ______ _

~evisio__-~---middot ______________ middotmiddot----- __________-_~~~_~t~_Juneiigtiii~ __ ~~~~~---~-=-~==-=---_--------- _____ Orialnal Submission Date July 1 2012

ADULT

PREVENTION SERVICES - 603006 SUBSTANCE ABUSE- BUDGET ENTITY- 60910604

I A B c D E F G H SYSTEM OF CARE ADMIN

SERVICES FUNDING

CATEGORYFUND TOTAL FUNDING w I ME ADMIN II PROVIDER 14 I r AMOUNT GA-COMM SUBSTANCE ABUSE SVCS -100618 Fr 64113~~ I PRVAS I

$133834259 PRVAS [L4f~t1~~=~-] Ef~~fa~~~==~~~-~~~-=J $ 4764000 PRVAS Amendment 17 - Exempt from

System of care Admin

$ 4912975 $ 102556443 $ 4764000

-----ocAmiddotmiddotrotar~ $ middot--145009amp00 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot s 454amp7amp2 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middot middots 2ii2m2o middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middot middot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot $ 12233418 II A B c D E F G H I

Budgeted BaseUnH

Cost Center TOTAL FUNDING Cost

16 Prevention [ $139s42567 I[$4i 89] Unit non-direct staff hour

17 PreventionIntervention - Day [~16~0331 [--$197Tl

SYSTEM OF CARE ADMIN SERVICES_ Total FUNDINGME ADMIN Networ1l Provider Total Buclgated

Admin ME ADMIN$ Admlo Admin s UnHCost Units AMOUNT(1)

[~~a4-~-~792~[_pound~~-86o_t- -~$2z1~~~~~i[~_ 5-145 R180~ ~middot~~~~~ 1 3242 $16751_5 r2o1286 _ $1o4oo49 r$ 2426_ 212986 $ 3959468

Unit 4-hr day 30 Information and Referral (No TANF) cmiddot----~

--middotshyc---J [- ---r---J___ _____ _______ II ----middot I -=-==~Jc==c-----~J 1

-

Unit staff hour

Cost Center Totals = $ 145009600 $4546762 $28229419 s 112233418

Difference from OCA Totals= s -Total System of Care Adminshy $ 327 76182

QDA 19s total System of Care Administrative cost for fiscal year 2012-2013 is $3719907963 This administrative cost includes $93964200 that Is funded through the Substance Abuse and Mental Health Program OffiCes administration for Region 33

Amendment 21 reduces funding of $5463795 for the Veterans Grant for fiscal year 2012-2013

(1)Each cost centers Services Funding Amount is calculated using the Budgeted Base Unit Cost (column B) and the Total Budgeted Units (column H)

Please review adjust andor explain any differences between OCA totals and Cost Center totals

89 Contract No 001 A9Central Florida Behavioral Health Network Inc 6282013

Exhibit B Funding Detail

2012-2013

~9~~9-~~~~~t~ltUt~r~~ Be~~~~~~al H~~~_lt~N~e~~~~~ _______ middot--- -----middotmiddot 2~1-~~~~ Am~-~~ _____ _$_ ___7sect middot-~~~-~09-QO-middot--- __ ---middot---- ---- __ middotmiddotmiddotmiddot--middot middot-middot--middot ------------shy~~~~LQQ1A9____ ~----- ______ _

~evisio__-~---middot ______________ middotmiddot----- __________-_~~~_~t~_Juneiigtiii~ __ ~~~~~---~-=-~==-=---_--------- _____ Orialnal Submission Date July 1 2012

ADULT

PREVENTION SERVICES - 603006 SUBSTANCE ABUSE- BUDGET ENTITY- 60910604

I A B c D E F G H SYSTEM OF CARE ADMIN

SERVICES FUNDING

CATEGORYFUND TOTAL FUNDING w I ME ADMIN II PROVIDER 14 I r AMOUNT GA-COMM SUBSTANCE ABUSE SVCS -100618 Fr 64113~~ I PRVAS I

$133834259 PRVAS [L4f~t1~~=~-] Ef~~fa~~~==~~~-~~~-=J $ 4764000 PRVAS Amendment 17 - Exempt from

System of care Admin

$ 4912975 $ 102556443 $ 4764000

-----ocAmiddotmiddotrotar~ $ middot--145009amp00 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot s 454amp7amp2 middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middot middots 2ii2m2o middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middot middot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot $ 12233418 II A B c D E F G H I

Budgeted BaseUnH

Cost Center TOTAL FUNDING Cost

16 Prevention [ $139s42567 I[$4i 89] Unit non-direct staff hour

17 PreventionIntervention - Day [~16~0331 [--$197Tl

SYSTEM OF CARE ADMIN SERVICES_ Total FUNDINGME ADMIN Networ1l Provider Total Buclgated

Admin ME ADMIN$ Admlo Admin s UnHCost Units AMOUNT(1)

[~~a4-~-~792~[_pound~~-86o_t- -~$2z1~~~~~i[~_ 5-145 R180~ ~middot~~~~~ 1 3242 $16751_5 r2o1286 _ $1o4oo49 r$ 2426_ 212986 $ 3959468

Unit 4-hr day 30 Information and Referral (No TANF) cmiddot----~

--middotshyc---J [- ---r---J___ _____ _______ II ----middot I -=-==~Jc==c-----~J 1

-

Unit staff hour

Cost Center Totals = $ 145009600 $4546762 $28229419 s 112233418

Difference from OCA Totals= s -Total System of Care Adminshy $ 327 76182

QDA 19s total System of Care Administrative cost for fiscal year 2012-2013 is $3719907963 This administrative cost includes $93964200 that Is funded through the Substance Abuse and Mental Health Program OffiCes administration for Region 33

Amendment 21 reduces funding of $5463795 for the Veterans Grant for fiscal year 2012-2013

(1)Each cost centers Services Funding Amount is calculated using the Budgeted Base Unit Cost (column B) and the Total Budgeted Units (column H)

Please review adjust andor explain any differences between OCA totals and Cost Center totals

89 Contract No 001 A9Central Florida Behavioral Health Network Inc 6282013

Exhibit B Funding Detail

2012-2013

~~_C~_l_f~IJ~I F~t_a__B_elayi_~~~-H~a_I_~-~~W9115- _nl middot-middot ___ -middot ~---- -middot ___ --middot- -~~~~~~~~t~~I _________ -~ __757 1~tpoundQ~-QQ

~f~t~~C5lD1~- -----middotmiddot----------middotmiddotmiddot--- __ ------middotmiddot- -----middotmiddot-middot --middotmiddot----- ________ ------------------- Total Apound1~l_____ _________ k ----~--2[~~~~~8_~----- ____________ _ ~~___~---middot -middotmiddot----middot-- ---------- ----------- -------middot-- --middot- ____ ------- a_t_~~_UP_d_l~__~~_28

_

~01___________ ------- middot------shyOriginal Submission Date Julv 1 2012

CHILDREN

PREVENTION SERVICES bull 602002 SUBSTANCE ABUSE- BUDGET ENTITY- 60910604

I A 8 c D E F G H SYSTEM OF CARE ADMIN

lf SERVICES FUNDINGcJ ME ADMIN PROVIDER 14CATEGORYFUND TOTAL FUNOING AMOUNT

GA-CHILDADOL SUBSTANCE ABUSE SVCS- 100420 ADAMH Trust Fund TF (027005) General Revenue (000326) ~~~~6~2~

General Revenue AOAMH TF _PPG Funding 189382 General Revenue (000326)

ocAtciiiii~ s s21333ampa2

PRVCS PRVCS r~~~~J~---~==--~-Jt~~~~F- -~----~=~~l=~~~~~~m ~~~~PRVCS SPJCS

namps68ssa middotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot siDl4a98i4 middot--s--4o1-17S2aomiddotmiddot II A 8 c D E F G H I

SYSTEM OF CARE ADMIN

Network ME ADMIN Provider Network Provider

Admin ME ADMIN$ Admin Admin$

SERVICESBudgeted Total Total FUNDINGBase Unit Budgeted Budgeted

AMOUNT(1)Cost Center TOTAl FUNDING Cost Unit Cost Units

16 Prevention ct5777_~~ rmiddotmiddot$3~In Ct2pound~~~r$146()_79~3_] L --~~f---Lmiddot=~Joo(i6am [$ bullf67T96Q296QJ Ln~s24s9i _()_ Unit non-direct staff hour

17 Preventionintervention- Day [$--63560598] [6496] r~_~-~middot=T-Q~c31J[--20128~o L~=Jf~1i~3J [L799UT~486fl [~ 4yenoo1JQ Unit 4-hr day

30 Information and Referral (No TANF) [-----] [--=J I __]___ J r- [- ----- -middot II ------ shy

Unit staff hour

Cost Center Totals=

otfference from OCA Totals=

$ 521333682

$ -$16668558 $103489844 $ 401175280

Total System of Care Adminbull $ 1 20158402 QDA 19s total System of Care Administrative cost for fiscal year 2012-2013 is $3719907963 This administrative cost Includes $93964200 that is funded through the Substance Abuse and Mental Health Program Offices administration for Region 33

Amendment 21 reduces funding of $5463795 for the Veterans Grant for fiscal year 2012-2013

(1)Each cost centers Services Funding Amount is calculated using the Budgeted Base Unit Cost (column B) and the Total Budgeted Units (column H)

Represents the standard admln in the model rates Actual admin may vary Please review adjust andor explain any differences between OCA totals and Cost Center totals

90 Contract No QD1A9 Central Florida Behavioral Health Network Inc 6282013

Exhibit B Funding Detail

2012-2013

~9~1Elt~__~e~t~__F~~~~-~~-h~vi~~ t_e_~tJJ1~55lC_ _ _-middotmiddot _

~O~l9f_1_~~--- -middotmiddot ---- -middotmiddot-middotmiddot-----middot--- -shy-----~ ______ ______t_i~on li ---------middot-

Oriainal Submission Date July 1 2012

TEpound~ntraC_~l~_lf~=- -middot- -middot 17J1sect8J~middot9Q __

___ ]T~~-~~vi~-----middot--middot---- ~----~---~Q_~ ~~~-p_qmiddot-----middot- middot---middot--middot-middotmiddot middot--middotmiddotmiddot------ --middot ---fs~ll~-~~lttllt_i_~~e~s 2o_~~- __ ~--middot---- -----middot-middotmiddotshy ______ -------------------middotshy

CHILDREN

DETOXIFICATION bull 602001 SUBSTANCE ABUSEmiddot BUDGET ENTITYmiddot 60910604

I

CATEGORYFUND

A

1TOTAL FUNDING

B c D E SYSTEM OF CARE ADMIN

II OCA I ME ADMIN PROVIDER 14

F G H

SERVICES FUNDING AMOUNT

GACHILOADOL SUBSTANCE ABUSE SVCS middot100420

ADAMH Trust Fund TF (027005) ~middot- ~=~ General Revenue (000326)bull -~---~R-~~1_5_sect~_9

General Revenue (000326) $ 14384700 TSTF (122023) ~t=-- 27451--2]

DTXCS DTXCS

DTXCS DTXCS

~ j~~=~=~~~--~]=-o-li_________ -shy -------middot --- -----------shy 1-f-_246l~JS _296835~~

tt~-- 1438~~ $ 21 0~sect)~

OCATOtaTmiddot middots 2omiddot54686~0irmiddot $ 6194940 _ $ 38462437 1608~11223middot

II A B C 0 E F G H I SYSTEM OF CARE ADMIN

Budgeted Network SERVICES

Cost Center Base Unit II ME ADMIN

TOTAL FUNDING II Cost Admin IME ADMIN $ Provider Network Provider FUNDING

Admin Admin$ AMOUNT1)

24 Substance Abuse Detoxification (No TANF)

Unit bed-day 32 Outpatient Detoxification (No TANF)

Unit 4--hrday 48 Clinical Supervision for Evidence--Based Practices

Unit contact hour

1s ~ ~ 2os4686oo II $21893 1r [ 1[ 1 [

II H

3~4~ 0(0 J-~~61-~~_40 J [ 201~~~0~ [_--$ 3846243711 s 36952L762i5Q _I[$ sosii2 g3J

~J ~ [[ ~middot--middotmiddotmiddotmiddotmiddot~middot 1 -II~ ~ ~~~middotmiddot _ - bullbull

~ I IL middotmiddot~ J I[ ~ ~~--~ ~~~middotmiddotII

- - - -shy -shy -shy middotshy

Cost Center Totals= $ 205468600 -shy - - ---l619494cshy $ 38462437 $ 160811223

-Difference from OCA Totals= $

Total Svstem of Care Admin= $ 44657377 QDA 19s total System of Care Administrative cost for fiscal year 2012-2013 is $3719907963 This administrative cost includes $93964200 that is funded through the Substance Abuse and Mental Health Program Offices administration for Region 33 Amendment 21 reduces funding of $5463795 for the Veterans Grant for fiscal year 2012-2013

(t)Each cost centers Services Funding Amount is calculated using the Budgeted Base Unit Cost (column B) and the Total Budgeted Units (column H)

Please review adjust andor explain any differences between OCA totals and Cost Center totals

I 1

6282013 Central Florida Behavioral Health Network Inc 91 Contract No QD1A9

Exhibit B Funding Detail

2012-2013

~a~~Y-~~e~-~~~X~~i~~--~~~ay~i-~_ra__leaJ~_N_~~~L~-----middot ____ middotTtl~ Con[~~-~~lr= _ -tJ1_~~~~9_0__ middotshy

c~__~_~~QQJ~~ middot- ____ ------ ______ middot-- _________j__o~~pound~Y__ __________________ __7939Z~~-QO__________________ ---- middot---------middotshy~-~~sect______________ -~- ----- ______i~~te UPI~_ed J__ne 28~~~~----- ____ -~ ---middot------middot- __ ---------- -------~_ Original Submission Date July 1 2012

ADULT

DETOXIFICATION bull 603005 SUBSTANCE ABUSE- BUDGET ENTITY- 60910604

I A B c D E F G H SYSTEM OF CARE ADMIN

CATEGORYFUND I TOTAL FUNDING II DCA II ME ADMIN II pROVIDER 14 I rFUNDING AMOUNT

GA-COMM SUBSTANCE ABUSE SVCS OTXAS DTXAS

Amendment 16 - Ellempt from System of care Adminr-~~~~~~~=~~~~=J t~~~~~~~-~--middot] ~~~~~=DTXAS

middot middot middot middot middot $ i57063a2 middotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddot s is96o2ass middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddot middotmiddotmiddot middotmiddotmiddot middotmiddotmiddotmiddot middot middot middot middot middot middot middot middot middot middot middot middot s ampo777osampf II B

Cost Center TOTAL FUNDING

Base Unit

Cost

c D E F G H I SYSTEM OF CARE ADMIN

Total SERVICES

ME ADMIN Network Provider Networit Provider Total Bucl(tetecl FUNDING

Admin ME ADMIN$ Admin Admin$ Unit Cost Unlls AMOUNT(t)

24 Substance Abuse Detoxification (No TANF) LL j7Qj69]QJ [~2J~2TI C 3242 -middotr $25023s23]C 2o1286 =-r=$1s53631oo][L 26991 I 28602751 [~_sltJ16JOL8T Unit bed-day

32 Outpatient Detoxification (No TANF) [T - middot-_ _Q629C]J ~Jjl] r- 324_2zI $6828 [~-_oi 86i_r=_g365il] [L-~~2 I 29oo~] IT=_161 ~n~ Unit 4--hr day

48 Clinical Supervision for Evidence-Based Practices I I II I _____J c _J c---= =r=-J 1 r=-==-~-=-- Unit contact hour

Cost Center Totals = $ 793079800 $25706382 $159602855 $ 607770563

Difference from OCA Totals=

Total System of Care Admin=

$ $

-1 85309237

QDA19s total System of Care Administrative cost for fiscal year 2012-2013 is $3719907963 This administrative cost includes $93964200 that is funded through the Substance Abuse and Mental Health Program Offices administration for Region 33

Amendment 21 reduces funding of $5463795 for the Veterans Grant for fiscal year 2012-2013

6282013 92 Contract No QD1A9Central Florida Behavioral Health Network Inc

I

Exhibit B Funding Detail

2012-2013

~a~~Y-~~e~-~~~X~~i~~--~~~ay~i-~_ra__leaJ~_N_~~~L~-----middot ____ middotTtl~ Con[~~-~~lr= _ -tJ1_~~~~9_0__ middotshy

c~__~_~~QQJ~~ middot- ____ ------ ______ middot-- _________j__o~~pound~Y__ __________________ __7939Z~~-QO__________________ ---- middot---------middotshy~-~~sect______________ -~- ----- ______i~~te UPI~_ed J__ne 28~~~~----- ____ -~ ---middot------middot- __ ---------- -------~_ Original Submission Date July 1 2012

ADULT

DETOXIFICATION bull 603005 SUBSTANCE ABUSE- BUDGET ENTITY- 60910604

I A B c D E F G H SYSTEM OF CARE ADMIN

CATEGORYFUND I TOTAL FUNDING II DCA II ME ADMIN II pROVIDER 14 I rFUNDING AMOUNT

GA-COMM SUBSTANCE ABUSE SVCS OTXAS DTXAS

Amendment 16 - Ellempt from System of care Adminr-~~~~~~~=~~~~=J t~~~~~~~-~--middot] ~~~~~=DTXAS

middot middot middot middot middot $ i57063a2 middotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddot s is96o2ass middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddot middotmiddotmiddot middotmiddotmiddot middotmiddotmiddotmiddot middot middot middot middot middot middot middot middot middot middot middot middot s ampo777osampf II B

Cost Center TOTAL FUNDING

Base Unit

Cost

c D E F G H I SYSTEM OF CARE ADMIN

Total SERVICES

ME ADMIN Network Provider Networit Provider Total Bucl(tetecl FUNDING

Admin ME ADMIN$ Admin Admin$ Unit Cost Unlls AMOUNT(t)

24 Substance Abuse Detoxification (No TANF) LL j7Qj69]QJ [~2J~2TI C 3242 -middotr $25023s23]C 2o1286 =-r=$1s53631oo][L 26991 I 28602751 [~_sltJ16JOL8T Unit bed-day

32 Outpatient Detoxification (No TANF) [T - middot-_ _Q629C]J ~Jjl] r- 324_2zI $6828 [~-_oi 86i_r=_g365il] [L-~~2 I 29oo~] IT=_161 ~n~ Unit 4--hr day

48 Clinical Supervision for Evidence-Based Practices I I II I _____J c _J c---= =r=-J 1 r=-==-~-=-- Unit contact hour

Cost Center Totals = $ 793079800 $25706382 $159602855 $ 607770563

Difference from OCA Totals=

Total System of Care Admin=

$ $

-1 85309237

QDA19s total System of Care Administrative cost for fiscal year 2012-2013 is $3719907963 This administrative cost includes $93964200 that is funded through the Substance Abuse and Mental Health Program Offices administration for Region 33

Amendment 21 reduces funding of $5463795 for the Veterans Grant for fiscal year 2012-2013

6282013 92 Contract No QD1A9Central Florida Behavioral Health Network Inc

I

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

-----------

Exhibit B Funding Detail

2012~2013

middot---- _____ ---------- bullAs~cy Na~= --~~11~ _F~~ri9_a_ ~~~yiora IE=~th -~-~~~~__l_npound______________ _ n i~~ar~~yen~~1-~U ~Jsect20~Q_O_ -- shy

~E~tl~tQQ~~ __ ------~ _--------middot-middotmiddotmiddot-- __________ ---------middotmiddotmiddot-- --~---~--- ---~--------middot_jP~IJ~poundiy~~ ---------- _____ ----~- $_2Ql~48~sectI_ _____ --middot-------- middot-middot- _____ --middot---middotshy

~~n L____________ -middot--- -------------------------- -----~-------- L~-~-a~~~~_11~__28 2Q~-- middot---------middot--middot----middot- -----middot--middot------- __ Original Submission Date July 1 2012 l

ADULT

TREATMENT amp AFTERCARE- 603007 SUBSTANCE ABUSE- BUDGET ENTITY- 60910604

L A B c 0 E F G H SYSTEM OF CARE ADMIN

SERVICES

FUNDING ME ADMIN PROVIDER 14 AMOUNTICATEGORYFUND TOTAL FUNDING cJ

GIA-COMM SUBSTANCE ABUSE SVCS- 100618 TRTAS

General Revenue 000326) ADAMH Trust Fund TF (027005) _f_~ 8_2~~I4T7

TRTAS 1_1~~is1E~--~-middot~~~-=~-- t_l~~[-~~~-~~----== -= H-~~~~~L_568741~~ Amendment 16 bull Exempt from

General Revenue 000326) $ 1478405 TRTAS $ 1478405 516015 -~----68Jl]43 TRTAS $ --_-s23~l-41- 2~-~~63 -~~-=~~~~~ - =_

System of Care AdmmTRTASGeneral Revenue Trust Funds _L~ (10446421J LJ()~442_~--2448s7T- ------middot-- shy27HIVAOAMH Trust Fund TF 027005)- 1___5~~~~sect1f-L ~ __5535800 ~ Amendment 16 middotExempt from- --middotmiddot- ----middot------ shy

AOAMH Trust Fund TF (027005) System of care Admin27HIV~ __ 374oo J ---~ 137~00-$ ~ 58819336$ 292218300 27WOM $ 9473717 $ 223925247

General Revenue (000326) AOAMH Trust Fund TF (027005) s- ---10499111 $~- 211332039TCO $ 340381 r 8o4541o

$ -- 134389789 $ 2765ltgt729$ 43_56917 $ 10298214339TCOWTTFTANF(401001) _$_ -~_991a$-~ ~---- ~Q_~~oOO $ - --~_2~-~-~~-- _if--~middot---- 23~f7 -19shyDPG06GR-Indigent Drug Pro MOE (000326t

Amendment 17 bull Exempt from System of care Admin

GR-Indigent Drug Pro MOE 000326) $ 1990100 OPG08

II J ___ 19901QO1-- -------~--------middot ~ ~--------~--middot middot---~----- -jf==-==-i$--~(4oi51s) Amendment 18 bull Exempt fromGR-Indlgent Drug Pro MOE (000326) DPG06

MAC04 FGTF- Screen lnterven Treat Pro (261015) FGTF- Medicaid Adm (261015)

58004h---~-____2r81oooo SPJASGeneral Revenue (000326) ~-t~~~~~~---~~~~=j~f0~7~~~-~-~~~~~- -~-~~~ =~~~~~M~ptfrom I~middot~~~~ SPJASGeneral Revenue (000326) - Pasco County Drug Initiative $ 1 00000000 L _________ _ __________j~--~-middotmiddot------- SystemofCareAdmin ----- shy

middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot ocAtotiir= s 2os48aun middotmiddotmiddot middotmiddot middotmiddot s 645JB4oomiddotmiddot middotmiddotmiddotmiddotmiddot oooliiitoiili middot middotmiddot middotrbullsi93swampa II A B C 0 E F G H I

middotmiddotshy ME ADMIN Admin

SYSTEM OF CARE ADMIN

ME ADMIN$ Network Provider J Network Provider

Admin I Admin$

Total

Total Budgeted I Bbull-UnltCost Units

SERVICES FUNDING

Base Unit 1AMOUNT( )TOTAL FUNDING CootCost Center

01 Assessment II=_447356EJ [_~] [~- 3lt12o~~ $145ii330 L___~oJ~~1L~ $---=~4-~amp0gt~ Unit contact hour

$-__120amp~sectl~02 Case Management rr1~1Q9~~J [$s~9IJ c=o~== Unit direct staff hour

04 Crisis SupportEmergency (j_~___-iir~SFIpound1 lJ355IJ c~-Jlo-~ ~-Unit staff hour

05 Day Care r_-___J r__-=_ middotmiddot ------~L=-middot----Unit 4-hr day

~=-~_76954~middot06 DayNight cLJQQ~(i~J [l4L~l c=)Opound--_Unit 4~hr day

$ 2_~722446 Unit direct staff hour

11 Intervention - Individual [$ 27o~s~ [JEiY~J [ ___-o -~~~ J~~99~7~

r---253155~8ill f$294oi] rmiddot middot-_-QO---- $82o731 r -- ~-soOQ662- --699-38 $--1939918712 Medical Services CNo TANF)

93 Contract No 001 A9Central Florida Behavioral Health Network Inc 62812013

-------

---

Exhibit B Funding Detail

2012-2013

~~~~~-l~9~~~~~l~~~~-~=-~=~=~~~~~~t~~~~~~~0 ~-~~-~~~--~-------~-~ ~~-~ --=middot-~==~ ~=--==i~=~~-~~~~~~~-~~---~~~-=~t~~~~-~~~-- -- middot------~~-~~-~~~~~~ ~lslo_L_____________ -----middot- __ --------------~------------middot ---yent D~~aT~_J~ne 282013 rmiddot------- ---middotr --------- shy

Unit contact hour 13 Methadone Maintenance f$310392~951 rmiddot$ae51 r ----oo---- middotr$1o00294middot r--middot ---o-- middot--Sii24i763 middotmiddot1 r -$1[65] 2914488

Unit Dose 14 Outpatient - Individual [ $ 1~IJ~J [tF~i_] L~__o- __ ~~230_jL~if middot=tmiddot$~~~~9_---]n 92120~433

Unit contact hour 15 Outreach [1 ___~-~secti35J L~i373J [ o----_ jl760B~- L= 2~=-- $iflciqE[(~ [[~~153 2oSlt)516j

Unit non-direct staff hour -------- ---------middot--shyUnit 4-hr day 1 18 Residential Levell 1$126377960 II $17822 0 $4097173 0_ $25438064 $ 21941 575990

-middot-middotmiddot-- shyl 23785238

r~~~~~4424s7

~---~~~[~shy$ 96842723

Unit 24--hr day Residential Levell Enhanced Rate Unit 24--hr day

19 Residential Level II Unit 24-hr day

Residential level II Enhanced Rate for Unit 24-hr day

20 Residential Level Ill Unit 24-hr day

21 Residential Level IV Unit 24-hr day Unit direct staff hour

28 Incidentals Unit

29 Aftercare Unit direct staff hour

30 Information and Referral (No TANF)

Unit staff hour 35 Outpatient~ Group

Unit contact hour 36 Room and Board wSupervision level I

Unit 24--hr day 37 Room and Board wSupervision Level II

Unit 24-hr day 38 Room and Board wSupervision Level Ill

Unit 24-hr day 42 Intervention - Group

Unit contact hour 43 Aftercare- Group

Unit contact hour 46 Recovery Support- Individual

Unit direct staff hour 47 Recovery Support- Group

Unitmiddot contact hour Prescription Drugs

Unit contact hour

~~~ ~middot-middot~middott~~ cc_c~~~~middot~ ~ [-] c--- shy ---lr---- shy ---- lr-----+--- 1---shy -shyL__________ --middot--- shy --------- shy ------ shy -f--------middot --shy middotmiddot-- shy

- shy $3451958 c=]io=- -~1-2~1-~2___ cr=m49r9465Tg rr-i59210Q_l]-1]6476f8ifl [$9131] [ obullt__

rr==Jii6s4J [~34ID c__Q_ $928969 [=--_---6~---r-- lsf6~Jq_~ nmiddotmiddot plusmn~ii4fstmi3- ~T f157s6o 1--- shy 1--------- shy ---- r-middot---- ---- shy

EL 19gsect)~] [~~-] c-middot-or---+-$5sect0~ [ o_--- _-$360363f [] 5000 38725~ ~= 152_087~

IT2486ipound~fl [1s2QJ [____o $8os999 L~Qr~ --1--~4194___ [C_~o3 388274 ~=~~

[L___ _sect167oill [f9]j] [_ 0 __1--illf~ C__o ~shy -~1oUQ~9__ [L_middot_- 2427 i12898 f-r___~~_294~~ n--9975~76IJ [Ji87rJ [_=Qlty___ -~323401L [-Jgtlo-=c=T~o789~-__ a 23oiil-i325ii35 fr __6440i48 c -----][--] - - shy middot------middot 1-------shy

------- -shy --- shy - - shy - shy 1-shy -- 1-------shyL _222191-2QJ l~ c=a --shy _F203laquoshy o 1-- $447]389__ c~~ -14043 158222 ~-026387 II 839joo~Qfl [yen48i] c-omiddot---= gi22ifi2 c-middot0shy --r---$16903966_ u_ 10441 80431g_ ~=64353~

nshy 3z414~1Il LFDTI rr- 28266~reg1 f]i3JiQJ

rr 2406~1n m2]I]

IJ - ~615204] Liii02=J

[L_1_ooooo606] [_-J

c--pI- $12i2961i c 6~--shy -shy $75309~=- cc_middot 1565 2390685 ~2ooro3~

L O --$91642 L=omiddot=-r--1~~97(~ [l middot16oo 176669 c-r--~~shy

[__--_-- obull_-= $786il89 r=-- oo___ J~~~x~r uJs49 1234586 1middot_~38554

c--~--+J~shy C_ o ___ __4149~-~---- [$_-____988 20865sectf I 15797_315

[ ____ o middot- shy ---middot C-middot_Qo-- -~-=-=-r_____ shy __ - shy T_1oooOOOoo-

Cost C8nter Totals I $ 2084888877 $ 64552424 $ 400972986 $ 1619363468

Difference from OCA Totalsbulll $

Total System of Care Admln=l $ 465525409 u-- __

QOA 19s total System of Care Administrative cost for fiscal year 2012-2013 is $3719907963 This administrative cost includes $93964200 that is funded through the Substance Abuse and Mental Health Program Offices administration for Region 33

Amendment 21 reduces funding of $5463795 for the Veterans Grant for fiscal year 2012~2013

Each cost centers Services Fundinl Amount is calculated usinQ the BudQeted Base Unit Cost (column B) and the Total BudQeted Units (column H)

Please review adjust andor explain any differences between OCA totals and Cost Center totals

Central Florida Behavioral Health Network Inc 94 Contract No QD1A9 6282013

Exhibit 8 Funding Detail

2012-2013

~_amp_e~~l-~a~~ pound~_ f2or~-~--~~~hllvioral H~alt)__fol~~r~ IJpound _~Total Con~~-~0-1~~ middotmiddotmiddot--- ---~-2~168~~9-~10------shy~on~~i5=~~~Q~~~-----~ ___ middot-middot-middotmiddot middotmiddot--- ___ -middot ___ ~--middot---- --middotmiddotmiddot-----middot-------- _______ l~l~~-~_______________1___~~~6434Q9____ ----middot------------middot-middot- ________ -------middot shy

__vision-~- middot--middot- _ ----middot-- _ -middot-----middot------- ______llastl~-~-lP_~ated Ju~~-~t-~_______________ ------------middot----- ----- shyOriginal Submission Date July 1 2012 1 $ 383454005

CHILDREN RECOVERY amp RESILIENCY- 503013

MENTAL HEALTHmiddot BUDGET ENTITY bull 60910506 I A B c 0 E F G H

SYSTEM OF CARE ADMIN

rFUNDING AMOUNT CATEGORYFUND ITOTALFUNDING II OCA II MEADMIN II PROVIDER14

GIACHILORENS MENTAL HEALTH -100435 ADAMH Trust Fund TF (027005) General Revenue (000326) General Revenue (000326)

261015 General Revenue -Children At Risk of ED (000326)

General Revenue -Children At Risk of ED (000326) FGTF-MIAMI-DADE Wrap Around Pro YR-1 (261015) General Revenue (000326) General Revenue 000326) System of Care System of Care Expansion Grant FGTF- Title XXI (261015

FGTF- 11tle XXI (261015)

GAfURCHASED RESIDENTIAL TREATMENT SERVICES GRIMCAID amp Non-MCAID MOE (000326) GRIMCAIO amp Non-MCAID MOE (000326)

GRPurch Res Treatment--Medicaid Svcs (000326)

GIAmiddotLAUNCH GRANT FGTF-Fiorida Project LAUNCH (261015)

FGTF-Rorida Project LAUNCH (261015)

IL

Cost Center

01 Assessment

OCA t0talmiddot~----$middot middot---a~386~4340tf $ 2678iii1 l 1640564~60

c bull 6478~48240

Coot ME ADMIN

Admin

0 E F

SYSTEM OF CARE ADMIN

Network Provider I Network Provider Admin Admin S

G

Total Budgeted Unit Cost

H

Total Budgeted

Uolts

SERVICES FUNDING

AMOUNT(1)

A B

Budgeted BaseUntt

TOTAL FUNDING

$ i 1885762 2612860~- $- 9107993

$ _$

t_lltl~-01

$ 49612300~ f (1i9584ool

-~M~Wgt P~--~ l-u-~gt-middot--middot--~ gtbull shy

-$--33196700

$ 365000

CRRS1 CRR$1 CRRS1

CRRS1 CARED

CARED GMDW1 SMHC2 SP5MA GCC13 GCC17 89013

89013

9PRNM

)~_RTS

GlA17

GLA17

rf~~-~~~~-=~~---- ~rl_~j~~t~~~-~ - --=~~-~= Amendment 16 bull Exempt from

------------------middot- SystemofCareAdmin1----shy --middot------ shy$ 1324607~ $ 7085253 -shy middot - - Amendment 17 bull Exempt from

$ 2133475 ( ~_1_ bull4f~a~ middot

bull SystemofCareAdmin

--middotmiddotmiddot -------------- shy

-------------------shy ----shy ------------------- shy

~ --~~-04__________ L -~~c43

3150 00 Amendment 19 -ME Admin

1~D-~o39middot---==-~ __ (-~9_62~------ -~---~=-~~ _ Amendment 17 bull Exempt from

___ ~------- __ middotmiddot------------middot-middot---middot-------- SvstemofCareAdmin

-=----____--_ =shy -=~-=--=-==~==_-=-tr Ii[91~sc=middot_ ~=~-~16~-~=-=-~=--=--- d-~~middotmiddot-

-- shy --- shy ----------- shy -----------shy - --------------- shy

-middot--------------- shy1----------- --- shy -----------------------shy

___- ------middot-- -shy -_~ -_--=-=--=1 18- shy

System of care Admin

--1~~~~~~~ $ _j_229830Q

$ 50427830 $ 26973563

- ---shy --shy -shy middot - middot middot

$___ ~Q_(Q_JQ

-----------middot -------- shy

$______ ~_19553_ $ 9685000

s -~~~1Jeaoi_

$ ____J_~J48_Qg

=~-~----~~ --~-~~~ __L____ -- shy ---middot - shy

~~-middot-~~19~7 oo=

$ f365000

95 Contract No QD1 A9Central Florida Behavioral Health Network Inc 6282013

Exhibit 8 Funding Detail

2012-2013

~1~-tral ~lori~aBhv~L~~~-N~~n9_-__ -~~ -~~ ~-- -=-=~~-~~~~~~~-~~u~~ _ ~~-ro~=~-_ ~- ~~-- -------- ____ _ __ ____ ~v~n~e~-- shy --- ----shy middot[~-~~i~~o8~3~J [=~i~J-~= ~~-==f~~~_j~~~~~~~~~f=-=~3-~~nrt _6r~l~4F~=~][i==-mT~~

Unit direct staff hour 06 DayNight $ 2759786 38119 $ 2114809

Unit 4-hr day --middot -~--- ------- ------ ---middot

08 In-Home and On Site 2204~11middot $ 11417622 Unit direct staff hour ------ ----middot- middot --- shy

11 Intervention - Individual Unit direct staff hour

12 Medical Services (NoTANF)

Unit contact hour 14 Outpatient - Individual _-__sect~980~sect

Unit contact hour 15 Outreach $ 20961931 0 16063010

Unit non-direct staff hour -------- ----middotmiddot-- ------ shy

17 PreventionIntervention- Day IT~=~5o83SiU [ $1605] [~0 -middot--==-=shy18 R~~~e~~~d~vell rrmiddot-middot2~9371sectQJ rn29[J (- 0-=-~~+--=--J 28 ln~~~~nses [_$___ 81720]I) CI4114] [-middot 6~~=

Unit each $50 spent 29 Aftercare -lndvdual [=--_-) [_-_~J [ ___ middot-middot

Unit direct staff hour 30 Information and Referral (No TANF) cr 2j~2238] C$28ijlJ

Unit staff hour 34 FACTTeams (No TANFI c=-J c=middotJ

Unit staff hour 35 Outpatient-Group II= B222sectll] I $1B7fJ middot--- 630092

Unit contact hour 44 CC5T-Indivdual [I~_middot1~25S~ CR1-15] C sectif__-~

Unit Staff Hour BNET (_32~~~765__qo] [~Qiif~ [- _ oo ==

Unit Contact Hour LAUNCH Grant [L_32a31700] [ $10000~] c-Jgt -~c-_ $0QQ] c-__0~=---jsect]QJ[I006o]J32BiLl [~--J28317jampJ

Unit Contact Hour System of Care Expansion Grant I$ 1ooooooo II $968501 I 315 II $3150oo II o II $ooo II $1ooooo I _1QQ_oo J I$ e6850oo I

Unit Contact Hour

CostCampIlterTotals= $ 838643400 middot$26738701 middot-middot--middotmiddot--middotmiddot $164056461 $ 647848239

Difference from OCA Totals= $

Total Svstem ofCareAdmlnc $ 190795160 QDA 19s total System of Care Administrative cost for fiscal year 2012-2013 is $3719907963 This administrative cost indudes $93964200 that is funded through the Substance Abuse and Mental Health Program Offices administration for Region 33

Amendment 21 reduces funding of $5463795 for the Veterans Grant for fiscal year 2012-2013

(1)Each cost centers Services Funding Amount is calculated using the Budgeted Base Unit Cost (column B) and the Total Budgeted Units (column H)

Please review adjust andor explain anv differences between OCA totals and Cost Center totals

96 Contract No QD1A9Central Florida Behavioral Health Network Inc 6282013

Exhibit B Funding Detail

2012-2013

~91~)_~~~~-= ~i~tFa ~Ilt) riclt~ ~~-~lt~_ilt)~I__~Jt_tl_~e-~~~ _I_~- _ ~----- ~~---------- _____ _ _ --middot-- __ TotaLCo~~act ~~--~ ----- -~~middot1~209Q_O

~~1~~_9Q1~iJ --~ ________ -------- _----middot----------~-- ___ ---- ~-~-------Tota~~~---------- $ 1727~09 -----shy~-eYJ~~t~--- ------------ ____ __ ~ __ ____ ------- --~ ___ ---middotmiddot _______ -----~last-~~-U~ab~i~l_e_~tl~~- ------ _____________ _ Original Submission Date Julv 1 2012

CHILDREN TREATMENT amp AFTERCAREmiddot 602003

SUBSTANCE ABUSEmiddot BUDGET ENTITYmiddot 60910604 I A B c 0 E F G H

I SYSTEM OF CARE ADMIN I r-5ERYICES

CATEGORYFUND ITOTAL FUNDING IGJ I ME ADMIN II PROVIDER 14 I IFUNDING AMOUNT GIA~HILDIAOOL SUBSTANCE ABUSE SVCS -100420 ADAMH Trust Fund TF (027005) $ 141222394 TRTCS ~=-~78430====--=- - ---- --shyGeneral Revenue (000326) J-_~900~31251 TRTCS ~_1S886~J~----middotmiddot--General Revenue (000326) $ (247 73000) TRTCS TSTF (122023)- rr1871~cqQ TRTCS I1o~~f5t==-~~~-~~

2010875 TRTCS0ampMTF (516015) $ 65193 SSBGTF (639022) L64s145ao TRTCS L~~iffi_[89 middot ~-~-_--

$ 2160600 TRTCSGeneral Revenue Trust Funds -- 77665 -middot--middotshy--- 2395600 27CHV WTTFTANF (401001) ADAMH Trust Fund TF (027005)

-~- 14431100 39TC1 ~--4S785i5-- middot----- ~~~1 ~~- 131778900 SPJCSGeneral Revenue (000326) ~ ~-_plusmn~72272 -~=---~

L~78628 __ _ADAMH Trust Fund TF (027005) L-21031100 SPJCS

-----------------oCAfotarT-f1727iifilOmiddot~-- $ 387549114 240617028 IL A B c D E F

SYSTEM OF CARE ADMIN

Budgeted

l--1 082 ~9-~__]q5082~

_ill77~t()()

--~43822191 _ 1sect40922 ~ _t _12g9649lt_

$ 2160600L __ 835735 $ 11058471 $--1 0098143 _$- ~_l67790

893416769 G H

SERVICES Total FUNDING

BaaeUnlt ME ADMIN I II NetworkProvkler I NetworkProvider IITotaiBudgetBdUnltl BudgetedCost Center AMOUNT(1)Admin ME ADMIN $ Admin Admin$ Cost UnitsTOTAL FUNDING II Cost

I_~6o~Qsect9_01 Assessment D~~3252~J l)~~J -middotsectgt65742 Unit contact hour

02 Case Management []_ ~ 495po21iJ nlaquo- n r_~_~~t~[ -middot---middot-+Unit direct staff hour

04 Crisis SupporVEmergency cr _46859fjsect] Q34su ~=]~08337 Unit staff hour

06 DayNight [J-_-~EsectIl [Js88j] r-IBDX59-~21lc~-Unit 4-hr day

07 Drop-lnSelf Help Centers (No-TAN F) L--==---JL--middot-middot-middot-- --- L _] middot--middotmiddot-- ____ ~ ______Unit facility day rJ l928_ig-~-J470~~7 L___UU 32~R08 In-Home and On Site L$_---gt339amp(~1 [jszx~J

Unit direct staff hour -middot------shy10 Intensive Case Management c-=--=J c~ _l ------------middot ----shy 1------shy

Unit direct staff hour 11 Intervention - Individual [$ 1 227914] L1FlifJ T-94ilamp~6B

Unit direct staff hour 12 Medical Services (NoTANF) ET~itl [$39I ~~~~-~ ~~~~78539 ~~==~~ -~~$~ ~~-~-~y~8~~ c-~2_~os

Unit contact hour ~---13 Methadone Maintenance (NoTANF) r--- J

~ ~-----~-- -middot---- -shy --~---middot

Unit dosage -middot - cmiddotmiddot- -middot-middotmiddot--middot --- middot-middot- -middot---middot middotmiddot--------r--middot--shy [_ lf48~[3~4 Unit contact hour

14 Outpatient- Individual Ct3Joa2~3aJ nn~J ~-4~-c~~q ____o ___ --~~ rJ11~~-- _--~ ~-BBq~+J_~T~

97 Contract No Q01A9Central Florida Behavioral Health Network Inc 6282013

I

Exhibit B Funding Detail

2012-2013

1~9~Y~N_m__ ~~rll fl~~~_f~~~~~~~-tI-~~Jh _N~~ork~Jn~o ___ __ _________________ middot------ _ Jo~-~t_~~ct_~II~~J__ ____ ~ ~t1~~~Q~99___ __ ______ _____________ middot-----------~middot

~~~poundttQQ1~~-~ _________ ~--------- _ ~----- _____ [E~_c~_IX ___________ ---------~-- _11J~~_IEQ9__ --middot----- _________ Revision 5

Ti---t~ A1_1_il_f15 OutreSCh ___ ----- ~~- middot-rs middot----rnl3s54rTmiddot----- o -~1~~~n~~~rrntsmiddot 2~tt----f1-1R R~1middotR1TTmiddoti-

0 $111953506 $ 401434063 Unit 24-hr day ~~--3 ----- -----===

Residential Level II Enhanced Rate for Unit 24-hr day

20 Residential Level ill c-=J rJ -------- -~=--= -==---= Unit 24-hr day

21 Residential Level IV rr-_j9209JIJ Cfl4~1 -__$5S2ltL39 ~z-53 c_Jf~2ifJ Unit 24-hr day 11---middot ---middot-l

22 Respite Services c~===J cJ -_-_~- r=plusmn==middotmiddot-f ----plusmn~it --middot---shyUnit contact hour 23 Sheltered Employment (No TANF) c-=-~J C_] -= __- ~- ~~E_~-_=~pound~plusmn=_-j f- __ --- =Jr--- ______Unit 4-hr day 25 Supported Employment -middot-- [ ____]

Unit direct staff hour 28 Incidentals rr~-=--109~772] [ $5000] L_Qy_-T $J~~c-=9~=- ---$220SBmL -- 5000 I 219Jd rr=83~j

Unit direct staff hour 27 TASC [(7J76ss~] [514t] _o_- - $iS6s~52 TI -63371 1227172 1tr 5ss91sectJD

Unit direct staff hour 29 Aftercare II-- 331i7i]6] [50QD r---o- 6 r

Unit r-z------

30 lnfonnation and Referral (No TANF) LLbulll9830( [$1991] Unit staff hour

35 Outpatient- Group [L__oo76532] [185[) Lg_~~~-- ____--2289 1750831 L Unit Contact Hour

38 Room and Board wSupervision Level 111 cs-l1_5735~~l 1 $8481] -r0441 110848 i- middot Unit 24-hr day -middotmiddot -- --J r--- [----------- ---- ------ ---shy

39 Short-term Residential Treatment [--middot---- L ____J --------middot- --------~ Unit BedmiddotDay

42 Intervention - Group crmiddotmiddotmiddots-(_2sifi4J L112osectJ -middotsw324g~ n 1478 347028 middot---~~~JiJ Unit contact hour

43 Aftercare - Group cr_-_sasu mTzJ Unit contact hour

46 Recovery Support- Individual [)_112 [$320i[j ~J-_~~-==r=l_ ~~ II

1 Unit contact hour rTotals = $ 172788700 s

Difference from OCA Totals= $ 000

Total Svstem of Care Admin= $ r1931 n ofmiddot cost for fiscal year 3 is $3719907963 This cost includes 0 that is funded through the e and Mental Health Program Offices

for Region 33

IAmendment 21 reduces funding of $5463795 for the Veterans Grant for fiscal year 2012middot2013

ji1)Each cost centers Services Funding Amount is calculated using the Budgeted Base Unit Cost (column B) and the Total Budgeted Units (column H)

Ibullbull Please bullt andor exolain anv middot s between sand Cost I

Unit direct staff hour 47 Recovery Support -Group cmiddot rshy J 1------1

Unit contact hour 48 Clinical Supervision for Evidence-Based Practices [ [ ___ __]

-j r-- -=~_jL_ l ___

Central Florida Behavioral Health Network Inc 98 Contract No QD1 A9 6282013

__ _

Exhibit B Funding Detail

2012-2013

~9~~fltllll~ ~~e_ntl__~~tria ~~h~i_~H~a~~-1_1-~~~~middot~___ middot-middot---middot _ Total Contract Amount $ 75716820900

fEntr~~ _9_9~~~- middot-- ~-~Jr~~~~=~~~i~~~=~=~~~~~~o~~~~~-~~~-~~ ___ ___IRevi~_n_~----- middot-middot--middotmiddot bull ___ --middot --------- ---------middot----------------middot-middot-middotmiddotmiddot Oriainal Submission Date Julv 1 2012

I

CATEGORYFUND

GAmiddotADULT COMM MENTAL HEALTH- 100610 ADAMH Trust Fund TF (027005) OampMTF (122023) 261015 General Revenue (000326)

General Revenue 000326)

General Revenue Trust Funds GRAGAPE Fam Ministry (000326) GRComm Forensic Beds-Adult Svc (000326)

GRComm Forensic Beds-MHC(SpecAppropriation 345)

GRComm Forensic Beds-Adult Svc (000326) ADAMH Trust Fund- FACT Admin (027005) General Revenue - FACT Admin (000326) FGTF -FMGPMA- Medicaid Admin (261015) General Revenue- FACT svcs (000326) FGTF -FGGGJD- Jail Diversion Pro (261015) FGTF -FGGGJD- Jail Diversion Pro (261015) FGTF-FGGGPT-Trans From Homelessness (261015) OampMTF (027005) General Revenue (000326) WTTFTANF (401001) Bob Janes Triage Center (000326)

FGTF-FMGPMA-Pre Admin Screen Rev MCAID (261015)

GA-INDIGENT PSYCH MEDICATION PRO General Revenue (000326t

General Revenue (000326t GIAaAKER ACT SERVICES -100611 General Revenue (000326)

ADULT RECOVERY amp RESIUENCY- 502018

MENTAL HEALTH- BUDGET ENTITY- 60910506 A B c D E F G H

SYSTEM OF CARE ADMIN

FUNDING TOTAL FUNDING AMOUNTME ADMIN PROVIDER 14cJ bull $13f63470______ -shy

4u4178604 ARRS1 $ 94413915 ARR51 l~-3060899 rf-~~~~~~ ~~-=~ __ --~--=- middot_j )~f~=~

$ 1124340$ 34680459 bullbull ARR51 ~-- 698067c___---- middot- -- $_ __2657544~ $ 3433780268 ARR51 $ 691170522 $2631286590t12J23-156___

---- ~--- Amendment16-Exemptfrom --middot---- shy

$ 147080774 ARR51 middot---~-----middot --middot-middot---middotmiddot-middot Svstem of Care Admin $ ~47080L_4_ Amendment 17- Exempt from

$ (2444594 ARRS1 SvstemofCareAdmin _$ _(2~plusmn~) ARM NO

$ 146406300 bull $ 29(69486l 47464i2CFBAS middotmiddotmiddotmiddotmiddotmiddotlr--1 $112f9oi28Amendment 16 - Exempt from - middotmiddot -- middot middot -- middot

System of Care Admin $ 88330000 i

$ 883 30000 CFBAS Amendment 17 middotExempt from -middotmiddot middotmiddot middotmiddotmiddot

System of Care Admin -~ (90~79J

$ 193301859 $ (90579 bull CFBAS

$ 38908881FTA19 $ 62lxi846 $ 148126132 $ 798580151 $ 25889968 $ middot1607426-85 _$ s j19At4~a

$ 13230968 $ 82146926$ 408111290 bull middotshy FTA19FTA19 $ 312733396 $ 356160000 bull _ FT519 $ 2)2923414

$ 34892600 $ 11546707 $ 71689879

$ 7023378GJDT1 $ 1131218

lmiddotr middot 26iJBoO

$ 5463795 $ (1099783)GJDT1 $ (177136) 1Amendment21 -~---~(41 ~tyeni~ ~6)I$ 94554300 GX018 $ 19032419 $____2456431 MHS18

$ 40500000

$ 3065450

$ 1313010 8152067 $ 31634923 $ 164819000 __ 39A18

SMHA2 $ 126299877$ 5343432 33175691Ill IIAmendment 14 Exempt frommiddotmiddotmiddots -middot 2soOOOo0$ 25000000 BJT13

System of Care Admin

9QPSR -----middot-middot---1lli-middotmiddotmiddotmiddotmiddot----------- -middotmiddot ------~

1

--middot--- -~ r---=~==-~==-=middot_middot_middot _----====~===-- ___=

ARRS1 jC16~~~ == C i279oI__-~ ==shy TIIifi2a536 Amendment17 - Exempt from

System ofGare Admin ~ __ _(~(0109$ ARRS1 [___ ---- middotmiddotmiddot- _bullJL ------middot-middot-- shyARRS1 _--__J

OCATotafmiddot $ middots5959001si middot S2osir2soasmiddotmiddot middot middotmiddotmiddotmiddotmiddotmiddot middotmiddot middotrmiddot127ampssoHir middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot middotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddotmiddot smiddotmiddotmiddotsmiddot3smiddots71L54f II B C D E F G H

SYSTEM OF CARE ADMIN SERVtcES Total Toul FUNDINGME ADMINBase Unit Network ProviderNetwoB Provider Budgeted Budgetsd

Cost Center AMOUNT(1)ct Admin ME ADMIN$ Admin$Admin Unit Cost Units

Central Florida Behavioral Health Network Inc 99 Contract No QD1A9 6282013

c--_qt- shy ~- [~middot-====

c~=== c===shy

0 1 $98966~m

r~-()ogo

r9oooz_

[_shy

[_-_~-

Exhibit B Funding Detail

2012-2013

$

cr-K~1(2sa4~J D~~~gi]

$ 9132450 $5881 0

__ $20805~ 201286

Total Contract Amount $ 75716820900~9_n_~~~l__~~nraFJc~~~eb~vEr~l_lli~~~~~~---~-c __________________ ----------------~---~- -~-=~-~~~-~=-=~-=-~~~-______ i~-~ s~~~~~~i1____ -- middot---------- ------------------------ --shy~~~~pound~9Q1f_fl middotmiddotmiddot--middot middot- -~ ---middotmiddotmiddot-middot ~------- --- ---shyRevision 5 middotLast D~~ated Jun~middot 2013 o1~sessmentmiddot---

Unit contact hour 02 Case Management

Unit direct staff hour 05 Dav Care

Unit 4-hr day 06 DayNight

Unit 4-hr day 07 Drop-lnSelf Help Centers (No-TANF) [_1__~1 126110~~ [~j]]

Unit facility day 08 In-Home and On Site LL~-~33676] 04~6QJ

Unit direct staff hour 10 Intensive Case Management [$ - __Hio122~~1J [Jsect~S~[)

Unit direct staff hour 11 Intervention - Individual rr~4QJ [-$55bullu

Unit direct staff hour 12 Medical Services (No TANF) Cf=-9692oobull~siJ l s21~1QJ

Unit contact hour 14 Outpatient- Individual CL 4410Zsectill c-$65581

Unit contact hour 15 Outreach c_r ~ 3302637~63] rnsect~ r~

Unit non--direct staff hour 16 Prevention LL- 2mo~~ [ $34~43-1

Unit non-direct staff hour 17 PreventionIntervention- Day c-==_--=~ r~~-J

Unit 4-hr day 18 Residential Levell (]_~~-~~i~J (j213]ij

Unit 24-hr day Residential Levell Enhanced Rate ---~-~------~JC ~J Unit 24-hr day

19 Residential Level II CC4~~il L~l~II Unit 24-hr day

Residential Level H Enhanced Rate for ~----__J c= _]Unit 24-hr day

20 Residential Level til ll_-==ws~gfl [$8(iD Unit 24-hr day

21 Residential Level IV lT 19971175~] [j)i9sJ Unit 24-hr day

22 Respite Services -=~=-~==] c _JUnit contact hour

23 Sheltered Employment (No TANF) r~ -_--_-___-__-_--] cJ Unit 4-hr day

25 Supported Employment n~~li~ obullgt7aJ Unit direct staff hour

26 Supportive HousingLiving ~-- 2612045741 [Ef[] Unit direct staff hour

28 Incidental Expenses [$- jj()I915a4] [150gtQJ Unit each $50 spent

29 Aftercare~ Individual [~~~ - 74067_[) [J~jj] Unit direct staff hour

30 Information and Referral (No TANF) u~=lsect-~735 [J2f3D Unit staff hour

34 FACT Teams (No TANF) CL3~_~99~fOltO rmbulln Unit staff hour

100 Contract No QD1A9Central Florida Behavioral Health Network Inc 6282013

Exhibit B Funding Detail

2012-2013

_l__2_5]_682Q9QQ_____ ~--

______ L 65~~9061~2________ middotmiddot----middot-middotshy _____ _________ _

Room and Board wSupervision Level Ill Unit 24-hr day

Short-term Residential Treatment Unit BedMDay

Mental Health Clubhouse Services Unit Clubhouse staff hour

Intervention M Group Unit contact hour

Aftercare M Group Unit contact hour

CCST-Individual Unit Staff Hour

CCST -Group Unit Contact Hour

L___lU-~~ -middot-1----middotMmiddot~middot~ L___ _ middotmiddot--- shy

$ 49821746 $8481

cr-689127JgtD a21rill [L~- ~~2~1~ [f~~]

[T _--jsect~il [m-ill

---middot----- [ _____]

000

c-o--ooY

cmiddotmiddotoao~~=shy

[oOO------shy[$shy 2768656] C$3Ti5J

c===J L_J c~-==~=-shy

c~--=

Amendment 21 reduces funding of $5463795 for the Veterans Grant for fiscal year 2012M2013

cost centers Services Funding Amount is calculated using the Budgeted Base Unit Cost (column B) and the Total Budgeted Units (column H)

38178125

Abuse

Central Florida Behavioral Health Network Inc 101 Contract No Q01A9 6282013