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HomeMy WebLinkAboutResolution - 2023-R0439 - HHSC Contract No. HHS000779500006, COPSD - 09/12/2023Resolution No. 2023-R0439 Item No. 5.34 September 12, 2023 RESOLUTION BE IT IZESOLVED BY THE CITY COUNCIL OF TI IE CITY OF LUBBOCK: TI IAT the acts of the Mayor of thc City of Lubbock in executing, on behalf of the City of Lubbock, Amendment No. 2 to the Health and IIuman Services Commission Contract No. HHS000779500006, under the Co-occun•ing Psychiatric and Substance Use Disorders (COPSD) Grant Program, by and between the City of Lubbock and the State of Texas' IIealth and Human Services Commission, and all related documents are hereby ratificd in full. Said Amendment is attached hereto and incorporated in this resolution as if fully set forth herein and shall be included in the minutes of the City Council. Passed by the City Council on _ September 12, 2023 APPROV�D AS TO CONT�N1': Bill I erton, Deputy '' y anager �77Z�lif � : �C�fO��T�ir� Rachael roster, As is�{�ant City Attorney RGS.HI�SC Contract No. HI-IS000779500006 COPSD Amcndmcnt No.2 Ratification 8.25.23 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29E06F Resolution No. 2023-RO439 HEALTH AND HUMAN SERVICES COMMISSION CONTRACT No. HHS000779500006 AMENDMENT No. 2 The HEALTH AND HUMAN SERVICES COMMISSION ("HHSC" or "System Agency") and CITY OF LUBBOCK ("Grantee"), collectively referred to as the "Parties" to that certain Co-occurring Psychiatric and Substance Use Disorders (COPSD) Contract effective 2/1/2022, and denominated HHSC Contract No. HHS000779500006 ("Contract'), as amended, now desire to further amend the Contract. WHEREAS, HHSC desires to revise Attachment A, Statement of Work, and Attachment B, Program Services and Unit Rates. NOW, THEREFORE, the Parties amend and modify the Contract as follows: 1. ATTACHMENT A, REVISED STATEMENT OF WORK is deleted in its entirety and replaced with ATTACHMENT A, STATEMENT OF WORK (AUGUST 2023). 2. ATTACHMENT B, PROGRAM SERVICES AND UNIT RATES OCTOBER 2022, is deleted in its entirety and replaced with ATTACHMENT B, PROGRAM SERVICES AND UNIT RATES (AUGUST 2023). 3. ATTACHMENT H, FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM is attached to this Amendment and made part of the Contract for all purposes. Grantee is required to complete the Certification to meet the federal requirement. 4. The U.S. Health and Services Commission, Substance Abuse and Mental Health Services Administration (SAMHSA) revised the name of the Substance Abuse Prevention and Treatment Block Grant (SABG) or (SAPT), assistance listing number 93.959. All references in the Contract to SABG/SAPT are replaced with the following name: Substance Use Prevention, Treatment and Recovery Services (SUPTRS) Block Grant. 5. This Amendment No. 2 shall be effective on August 31, 2023. 6. Except as amended and modified by this Amendment No. 2, all terms and conditions of the Contract, as previously amended, shall remain in full force and effect. 7. Any further revisions to the Contract shall be by written agreement of the Parties. SIGNATURE PAGE FOLLOWS HHSC Solicitation No: HHS0007795 HHSC Contract No. HHS000779500006 Amendment No. 2 Page 1 of 2 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29EO6F SIGNATURE PAGE FOR AMENDMENT No. 2 HHSC CONTRACT No. HHS000779500006 HEALTH AND HUMAN SERVICES COMMISSION DocuSigned by: B : CFbj ,Yi& SWouA, y F7QF1QR7A71R4An Roderick swan Associate commissioner CDocuSigned by: � SWMA, E79F19B7A7184AD Date of Signature: CITY OF LUBBOCK DocuSigned by: [firs Pa'IA.�, B\7. 37610FE32C7148D... Tray Payne Mayor DocuSigned by: 48D Date of Signature: The Following Documents are Attached and Incorporated as Part of the Contract: ATTACHMENT A: STATEMENT OF WORK (AUGUST 2023) ATTACHMENT B: PROGRAM SERVICES AND UNIT RATES (AUGUST 2023) ATTACHMENT H: FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM HHSC Solicitation No: HHS0007795 HHSC Contract No. HHS000779500006 Amendment No. 2 Page 2 of 2 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29EO6F ATTACHMENT A: STATEMENT OF WORK (AUGUST 2023) SECTION I: PIJRPOSE To provide adjunct services to clients with co-occurring psychiatric and substance use disorders (COPSD), emphasizing integrated services for both mental health needs and substance use disorders. TARGET POPULATION Texas residents who meet Client Eligibility criteria for System Agency -funded services as stated in the Substance Use Disorder (SUD) Program Guide https://hhs.texas.gov/doing-business- hhs/provider-portals/behavioral-health-services-providers/substance-use-disorder-service- providers SECTION II: SERVICE REQUIREMENTS: Grantee shall: A. Administrative Requirements 1. Comply with all applicable Texas Administrative Code (TAC) rules adopted by the System Agency related to SUD treatment. 2. Document all specified required activities and services in the Clinical Management of Behavioral Health Services (CMBHS) system. Documents that require client or staff signature shall be maintained according to TAC requirements and made available to System Agency for review upon request. 3. Provide age -appropriate medical and psychological therapeutic services designed to treat an individual's substance use disorder and promote recovery. 4. In addition to TAC and SUD Program Guide required Policies and Procedures, Grantee shall develop and implement organizational policies and procedures for the following: i. A marketing plan to engage local referral sources and provide information to these sources regarding the availability of substance use disorder treatment, mental health services, and the Client Eligibility criteria for admissions; ii. All marketing materials published shall include Priority Populations for Treatment Programs admissions; iii. Client Retention in services, including protocols for addressing clients absent from treatment and policies defining treatment non-compliance; and iv. All policies and procedures shall be provided to System Agency upon request. 5. Grantee may provide services in Grantee's facility, at the client's home, or other locations where confidentiality can be maintained. 6. Grantee shall ensure that services are provided in addition to, and not as a replacement for other services. 7. Grantee's COPSD specialist -to -client ratios shall not exceed 1:20. 8. Grantee shall bill only hours that Grantee's COPSD specialist spends in face-to-face, HHSC Solicitation No. HHS0007795 HHSC Contract No. HHS000779500006 Amendment No. 2 1 DocuSign Envelope ID: C0974882-8F744A20-87A8-62CBAA29E06F one-on-one counseling or case management sessions with a client and shall not bill for more than three hours per day, per client. 9. Actively attend and share representative knowledge about Grantee's system and services at the Outreach, Screening, Assessment, and Referrals (OSAR) quarterly regional collaborative meetings. 10. Ensure compliance with Client Eligibility requirements to include: Texas residence eligibility, financial eligibility and clinical eligibility as specified in SUD Program Guide. 11. Grantee will develop a local agreement with Department of Family and Protective Services (DFPS) local offices to address referral process, coordination of services, and sharing of information as allowed per the consent and agreement form. 12. Adhere to Memorandum of Understanding requirements as stated in the SUD Program Guide. 13. In addition, when there are multiple System Agency -funded COPSD Grantees in the same Region, Grantee shall maintain MOUs with the other COPSD Grantees to ensure that COPSD services are available to all clients of System Agency -funded mental health and SUD treatment providers. B. Service Delivery Grantee shall: 1. Ensure that services to adult and youth clients, as defined in the SUD Program Guide, are age -appropriate and are provided by staff within their scope of practice. 2. Provide all services in a culturally, linguistically, and developmentally appropriate manner for clients, families, and/or significant others. 3. Develop a policy and procedure and have them available for system agency review on staff training to ensure that information is gathered from clients in a respectful, non- threatening, and culturally competent manner. 4. Adhere to TAC rules related to Access to Services for COPSD, Additional Requirements for COPSD Programs and, Specialty Competencies of Staff Providing Services to Clients with COPSD. 5. Conduct and document a full substance use disorder and mental health assessment (separate or integrated) within three individual service days of admission to services unless completed prior to admission. If the assessment identifies a potential mental health or substance use disorder problem, Grantee shall offer the client appropriate mental health and/or substance use disorder services either internally or through referral. Mental health treatment shall be provided by a facility or qualified person authorized to provide such services. 6. Document in CMBHS on the client's treatment plan both mental health problems and SUD problems with a goal, objectives and strategies documented for each problem. 7. Adhere to TAC related to Treatment Planning of Services to Clients with COPSD. HHSC Solicitation No. HHS0007795 HHSC Contract No. HHS000779500006 Amendment No. 2 2 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29E06F 8. Document in CMBHS the treatment plan within five (5) service days of admission. HHSC Solicitation No. HHS0007795 HHSC Contract No. HHS000779500006 Amendment No. 2 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29E06F 9. At a minimum, Grantee shall conduct a treatment plan review every three months. 10. Provide and document in CMBHS services that assist in client stabilization, including Motivational Interviewing, referrals, case management and other counseling as indicated by the treatment plan based on the clinical assessment. 11. Address both psychiatric and substance use disorders simultaneously and assist clients in obtaining available services they need and choose, including self-help groups. Services shall be provided within established practice guidelines for this population. 12. Provide individual counseling and case management as indicated below: i. Individual Counseling comprises counseling methods from qualified staff that assist clients in processing feelings in the area of gaining access to and remaining engaged in substance use disorder or mental health services or obtaining access to both. ii. Case Management comprises services that assist and support the client in developing skills to gain access to needed medical, social, educational, and other services essential to meeting basic human needs. 13. Provide a minimum of one hour per week of documented service in CMBHS to each client. 14. In those instances where the client is receiving multiple services from various other providers in the community, Grantee shall make reasonable efforts to collaborate with these providers to avoid duplication of services specifically from the mental health and substance use disorder fields. 15. Adhere to Texas Administrative Code, regarding Client Rights including Client Bill of Rights, Client Grievances, and Abuse, Neglect, and Exploitation. 16. Provide overdose prevention and reversal education to all clients. 17. Specific overdose prevention activities shall be conducted with clients with opioid use disorders and those clients that use drugs intravenously. Grantee will directly provide or refer to community support services for overdose prevention and reversal education to all identified at risk clients prior to discharge. Grantee will document all overdose prevention and reversal education in CMBHS. 18. Ensure access to adequate and appropriate medical and psychosocial tobacco cessation treatment as follow: i. Assess all clients for tobacco use and clients seeking to cut back or quit. ii. If the client indicates wanting assistance with cutting back or quitting, the client will be referred to appropriate tobacco cessation treatment. 19. Document the client -specific information that supports the reason for discharge listed on the discharge report. A Qualified Credentialed Counselor (QCC) shall sign the discharge summary. A client's treatment is considered successfully completed, if both of the following criteria are met: i. Client has completed the clinically recommended number of treatment units (either initially projected or modified with clinical justification) as indicated in CMBHS. ii. All problems on the treatment plan have been addressed. Grantee shall use the Treatment Plan component of CMBHS to create a final and completed treatment plan version. HHSC Solicitation No. HHS0007795 HHSC Contract No. HHS000779500006 Amendment No. 2 4 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29EO6F iii. Problems designated as "treat" or "case manage" status shall have all objectives resolved prior to successful discharge. iv. Problems that have been "referred" shall have associated documented referrals in CMBHS. V. Problems with "deferred" status shall be re -assessed. Upon successful discharge, all deferred problems shall be resolved, either through referral, withdrawal, treatment, or case management with clinical justification reflected in CMBHS, through the Progress Note and Treatment Plan Review Components. vi. "Withdrawn" problems shall have clinical justification reflected in CMBHS, through the Progress Note and Treatment Plan Review Components. 20. Document in CMBHS all Referrals and Referral Follow-ups. Mental health referrals must be documented and followed up. 21. Grantee shall report the Daily Capacity Management Report Monday through Friday in (CMBHS) by 11:00 a.m. Central Time. For example: Monday's daily attendance may be reported on Tuesday and Friday's attendance may be reported on the following Monday. 22. Grantee will adhere to Wait List requirements. The Waiting List is for individuals who cannot enter services within one week of request. i. Upon determining the appropriate level of care, Grantee will make a waiting list entry in CMBHS that details the service type the individual is waiting for and the priority population designation of the individual. ii. Arrange for appropriate services in another treatment facility or provide access to interim services as indicated within 48 hours when efforts to refer to other appropriate services are exhausted. iii. Have a written policy on waiting list management that defines why and how individuals are removed from the waiting list for any purpose other than admission to treatment. iv. Ensure eligible individuals who cannot be admitted within one week of requesting services must be placed on the CMBHS waiting list. V. Upon admission, treatment Contractor will close the waiting list entry, indicating the date of admission as the waiting list end date. vi. Ensure, either directly or through referral, that individuals waiting for admission receive interim services as required by SAMHSA Block Grant requirements. vii. Document weekly contact with all individuals on its waiting list viii. Notify Substance Use Disorder (Substance Use Disorder(c4,hhs.texas. gov) or System Agency Program Specialist for assistance to ensure immediate admission to priority populations other appropriate services and proper coordination when appropriate. SECTION III: STAFF COMPETENCY AND REQUIREMENTS Grantee shall ensure the following: A. All personnel shall receive the training and supervision necessary to ensure HHSC Solicitation No. HHS0007795 HHSC Contract No. HHS000779500006 Amendment No. 2 5 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29E06F compliance with System Agency rules, provision of appropriate and individualized treatment, and protection of client rights, health, safety, and welfare. B. All COPSD staff shall have at minimum two hours of training annually on working with persons in the target population. C. Adhere to TAC related to Specialty Competencies of Staff Providing Services to Clients with COPSD. Ensure that all COPSD staff have access to additional training annually that allows staff to maintain up-to-date competencies through governing or supervisory boards for the respective disciplines. Additional training can be found at National Association for Alcoholism and Drug Abuse Counselors (NAADAC) website. https://www.naadac.orgleducation D. Ensure that all direct care staff receive a copy of the service requirements within this statement of work. E. Individuals responsible for planning, directing, or supervising treatment services shall be QCCs. F. Grantee shall have a clinical program director known as "Program Director" with at least two years of post- QCC licensure experience providing substance use disorder treatment. Substance use disorder counseling shall be provided by a QCC. All counselor interns shall work under the direct supervision of a QCC. G. Within 90 days of hire and prior to providing service delivery, clinical staff shall have specific documented training in the following: l . Motivational Enhancement Therapy or motivational interviewing techniques; 2. Trauma Informed Care; 3. Cultural Competency; 4. Harm Reduction Trainings; 5. Health Insurance Portability and Accountability Act (HIPAA) and 42 Code of Federal Regulations (CFR) Part 2 training 6. State of Texas co-occurring psychiatric and substance use disorder (COPSD) training located at the following website www.centralizedtraining.com H. Ensure all direct care staff complete annual education on HIPAA and 42 CFR Part 2 training. I. Licensed Chemical Dependency Counselors shall recognize the limitations of the licensee's ability and shall not provide services outside the licensee's scope of practice or licensure or use techniques that exceed the person's license authorization or professional competence. J. Individual counseling shall be provided by a Licensed Practitioner of the Healing Arts or a QCC. A QCC shall practice within their scope of practice. As outlined in the 25 TAC Chapter 140, Subchapter I § 140.400. K. Ensure that a Licensed Professional Counselor Intern (LPC-I), Licensed Marriage and Family Therapist Associate (LMFT-A) and Licensed Master Social Worker(LMSW) intending to obtain their LCSW (Licensed Clinical Social Worker) in the State of Texas, may provide a mental health diagnosis and COPSD mental health counseling as long as the following criteria is met: 1. Confirmation that LPC-I, LMFT-A and LMSW are registered with each of the respective licensing boards with a board -approved supervisor and will ensure HHSC Solicitation No. IT]TS0007795 HHSC Contract No. HHS000779500006 Amendment No. 2 6 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29E06F that LPC-I, LMFT-A and LMSW are under supervision when providing counseling under the Contract. 2. An LPC-I may provide individual COPSD counseling services. Refer to 22 TAC, Chapter 681, Subchapter B. 3. A LMSW may practice clinical social work in an agency employment setting under clinical supervision, under a board -approved supervision plan, or under contract with an agency when under a board -approved clinical supervision plan. The LMSW under a board supervision plan may provide individual COPSD counseling services under the Contract. Refer to 22 TAC, Chapter 781. 4. An LMFT-A may provide individual COPSD counseling services. Refer to 22 TAC, §801.42. L. Case Management shall be provided face-to-face and one-on-one by: 1. An individual who has been credentialed by the LMHA as a QMHP; or, 2. An individual who: i. has a bachelor's degree from an accredited college or university with a major in psychology, social work, medicine, nursing, rehabilitation, counseling, sociology, human growth and development, physician assistant, gerontology, special education, educational psychology, early childhood education, or early childhood intervention, or ii. is a registered nurse. M. Grantee shall train COPSD staff responsible for providing direct services using Substance Abuse Mental Health Services Administration (SAMHSA) Treatment Improvement Protocol (TIP) — Comprehensive Case Management to as a guideline. https:Hstore.samhsa.gov//product/TIP-27-Comprehensive-Case- Management-for-Substance-Abuse-Treatment/SMA 15-4215 N. Grantee shall develop a post -training test and provide certificates of completion, both of which will confirm that COPSD staff demonstrate competency in the following areas: 1. Knowledge of the location and types of local community resources; 2. Making referrals in the community in which the client resides; 3. Development of person -centered treatment plans; 4. Discharge planning; 5. Documentation of service delivery; and 6. Ensuring services are culturally, linguistically, and developmentally appropriate. A. Grantee shall submit required reports of monitoring activities to System Agency by the applicable due date outlined below. The following reports must be submitted to System Agency through, CMBHS, another HHSC submission system, or by email to the SUD Mailbox, SUD.ContractsOhhs.texas. gov., by the required due date and HHSC Solicitation No. HHS0007795 HHSC Contract No. HHS000779500006 Amendment No. 2 7 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29EO6F report name described in Table 1: Submission Requirements. HHSC Solicitation No. HHS0007795 HHSC Contract No. HHS000779500006 Amendment No. 2 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29EO6F B. Reports submitted to the SUD Mailbox shall utilize the following naming convention in the email subject line: [FY for Deliverable] Deliverable [Name of Deliverable] SA/COPSD [Contract No.] C. Grantee is required to maintain access to CMBHS for the term of this contract. D. Grantee shall submit all documents listed in Table 1 by the Due Date stated. E. Grantee will note that if the due date is on a weekend or holiday, the due date isthe following business day. F. Grantee shall submit a quarterly match report, which documents Grantee's compliance to contribute five percent match. The report is due on the 15th of the month, following the closure of the state quarter. G. Grantee shall submit annual Contract Closeout documentation each fiscal yearwith a final contract closeout due by 45 days after contract end date. H. Grantee shall submit a CMBHS Security Attestation Form on or before September 151h and March 15`h, each fiscal year. I. Grantee's duty to submit documents will survive the termination or expiration ofthis Contract. J. System Agency will monitor Grantee's performance of the requirements in Attachment A and Attachment B, and compliance with the Contract's terms and conditions. Table 1: Submission Requirements Requirement Deliverable Due Date Submission System (Report Name) Section IV Quarterly Match Each FY. SUD Mailbox: Report Quarterl^ SUD.Contracts@hhs.texas.gov Q 1: December 15th Q2: March 15th Q3: June 15th Q4: September 15th Section IV FY Closeout Each FY: SUD Mailbox: documents October 151h SUD.Contracts@hhs.texas.gov Section IV Final Closeout By 45 days after SUD Mailbox: documents contract end date. SUD.Contracts@hhs.texas.gov HHSC Solicitation No. HHS0007795 HHSC Contract No. HHS000779500006 Amendment No. 2 9 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29EO6F Section V CMBHS Each FY: SUD Mailbox: Security Attestation September 15th & SUD.Contracts@hhs.texas.gov Form and list of March 151h authorized users SECTION V: CLINICAL MANAGEMENT FOR BEHAVIORAL HEAj,TH SERVICES (CMBHS) SYSTEM MINIMUM REQUIREMENTS Grantee Shall: A. Designate a Security Administrator and a back-up Security Administrator. The Security Administrator is required to implement and maintain a system for management of user accounts/user roles to ensure that all the CMBHS user accounts are current. B. Establish and maintain a security policy that ensures adequate system security and protection of confidential information. C. Notify the CMBHS Help -desk within 10 business days of any change to the designated Security Administrator or the back-up Security Administrator. D. Ensure that access to CMBHS is restricted to only authorized users. Grantee shall, within 24 hours, remove access to users who are no longer authorized to have access to secure data. E. In addition to CMBHS Helpdesk notification, Grantee shall submit a signed CMBHS Security Attestation Form and a list of Grantee's employees and contracted laborers authorized to have access to secure data. The CMBHS Security Attestation Form shall be submitted electronically on or before the 151h day of September and March 151h, each fiscal year. F. Attend System Agency training on CMBHS documentation. HHSC Solicitation No. HHS0007795 HHSC Contract No. HHS000779500006 Amendment No. 2 10 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29EO6F ATTACHMENT B PROGRAM SERVICES & UNIT RATES (AUGUST 2023) A. Contract is funded with the United States Health and Human Services (HHS), the Substance Abuse and Mental Health Services Administration (SAMSHA), Substance Use Prevention Treatment Recovery Services (SUPTRS) Block Grant, Assistance Listing Number (ALN) 93.959 and System Agency General Revenue. B. Compliance is required with the following provisions of Code of Federal Regulation (CFR): 1. SUPTRS Block Grant: 45 CFR Part 96, Subpart C, link: 45 CFR Part 96. 2. Federal Uniform Grant Guidance for Title 2, Grants and Agreements, Subtitle A. Office of Management and Budget Guidance for Grant and Agreements, Chapter II Office of Management and Budget Guidance, Part 200 Uniform Administrative Requirements Cost Principles, and Audit Requirements for Federal Awards, link:_ https://www.ecfr.gov/current/title-2/subtitle-A/ch+96apter-II. For additional guidance regarding the Federal Uniform Grant Guidance please see also:- https://www.hhs.texas.izov/business/grants/federal-uniform- rg ant-y,uidance C. Compliance is required with Texas Grant Management Standards, located at Texas Comptroller of Public Accounts, link: https:Hcomptroller.texas.gov/purchasing/ rg ant- mana ement/ D. Funding 1. System Agency's share of total reimbursements is not to exceed $318,800.00 for the period of February 01, 2022 through August 31, 2025, as further specified and allocated by fiscal year (FY) in Article IV, Budget of the Contract Signature Document. 2. The required Grantee match for the same period is $15,940.00. Grantee is required to contribute five (5%) matching of funds. All funding from the SUPTRS Supplemental funding (HR133 and/or COVID-19) do not require the matching of funds and is excluded from the match calculations. E. Claims and Payment Requirements: 1. Grantee shall submit claims in CMBHS after services are rendered; no later than monthly. 2. After the closure of each fiscal year, System Agency shall conduct contract close-out activities. Grantee shall ensure all claims for each state fiscal year (September — August) are submitted in CMBHS by October 15". Claims submitted after October 151h may be HHSC Solicitation NoHHS0007795 HHSC Contract No. HHS000779500006 Amendment No. 2 1 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29E06F denied. All claims for September service period of the current fiscal year must be submitted by October 15th. Claims submitted after this date may be denied due to the grant budget period being closed. 4. System Agency may request additional supportive documentation to support the claims. All requests for additional information shall be provided by the deadline requested F. Except as indicated by the CMBHS financial eligibility assessment, Grantee shall accept reimbursement or payment from System Agency as payment in full for services or goods provided to clients or participants; and Grantee shall not seek additional reimbursement or payment for services or goods, to include benefits received from federal, state, or local sources, from clients or participants. G. Budget Program Adjustment (BPA) Requirements Grantee may request revisions to the approved service group distribution of funds budgeted in the Service Type/Numbers Served/Capacity/Funding Amounts Chart, by completing a Budget Program Adjustment (BPA) Form and submitting to the System Agency Contract Manager and the SUD Mailbox at SUD.Contracts@hhs.texas.gov. 2. System Agency will review the request to determine if the request is allowable under the RFA, if applicable, and if the request is approved or denied. The estimated timeline for System Agency to review and provide written communication on the results of the BPA request is 30 days from receiving an accepted form. Any revisions to the distribution of funds will result in revised numbers served and/or capacity requirements. 3. Each Fiscal Year (FY), the deadlines to submit a BPA is March 1 St. H. Any unexpended balance associated with any other System Agency Contract may not be applied to this System Agency Contract. I. System Agency funded capacity is defined as the stated number of clients who will be concurrently served as determined by this Contract. I Service Unit Rates The unit rates for the service charts referenced in Section N of this Attachment are located at the System Agency Substance Use Disorder Service Provider's webpage, under Forms, document name: Treatment Rate Sheet, the link to the webpage is below. All unit rates are subject to change and contingent on available funding. https:Hhhs.texas. gov/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers HHSC Solicitation NoHHS0007795 HHSC Contract No. HHS000779500006 Amendment No. 2 2 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29E06F If the link to the webpage and/or location of the applicable unit rate document changes, System Agency will provide Grantee notice through a broadcast message via email. 2. If unit rates are adjusted in accordance with Section J.1. of this Attachment., System Agency will provide Grantee notice through a broadcast message via email. All broadcast messages will be maintained in Grantees Contract file, and document the following: a. Treatment Program/Service Type unit rate adjustments; b. Treatment Program/Service Type unit rate adjustments effective date; c. Treatment Program/Service Type method for receiving payments for the unit rate adjustment, in accordance with Section J.3. of this Attachment. There may be a delay between the effective date of the rate adjustment and those updated rates being reflected in CMBHS. In the event of a difference in the posted adjusted rate and the rate in CMBHS, the posted rate controls and payment will be adjusted as described in Section J.4. of this Attachment. 4. The System Agency effective date of the rate adjustment will determine the method(s) to implement the unit rate adjustment, as follows: a. During the fiscal year close-out, System Agency may conduct reconciliation to extract paid claims data for services provided by Grantee during the unit rate adjustment approval period. System Agency may calculate the difference between Grantee's payment utilizing the unit rate in CMBHS versus the revised unit rate. System Agency will thereafter issue Grantee a final reconciliation payment for the difference between the two service unit rates. Grantee's fiscal year payment may not exceed the total fiscal year allocation set forth in Contract Signature Document, Section IV and/or Amendments documenting revisions to FY allocations. b. System Agency may revise the service unit rates in CMBHS to ensure all service claims during the approved service period may be reimbursed at the revised rate. c. System Agency reserves the right to utilize different method(s) to process unit rate adjustments. d. Method(s) used to process unit rate adjustments will be described in the broadcast message in Section J.1. of this Attachment. K. Clinic numbers must be approved by the System Agency Contract Manager before billing can occur. The Clinic Change Request Form is located at the System Agency Substance Use Disorder Service Provider's webpage, under Forms, document name: Clinic Request Form, the link to the webpage is below: https:Hhhs.texas.izov/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers. L. Service Types with no associated amount will be paid from the preceding Service Type with an associated amount. HHSC Solicitation NoHHS0007795 HHSC Contract No. HHS000779500006 Amendment No. 2 3 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29E06F M. Reimbursement of Allowable Costs for State Fiscal Year 2022 and State Fiscal Year 2023: Grantees may be eligible to receive additional payments for fiscal years 2022 and 2023 for COVID 19-related costs incurred for covered services that were not included under the fee -for service payment reimbursement mechanism. Additional payments will only be made upon written approval from System Agency. The agency does not guarantee the additional payments will cover all COVID 19-related costs. In no event will the total amount paid to any Grantee exceed the contract values as specified in Article IV, Budget, of the Contract Signature Document for the associated fiscal year. At its sole discretion, System Agency will determine additional payment amounts by applying inflationary and/or market adjustment factors, such as the Consumer Price Index. Additional payments will be based on Grantee's actual claim services provided and submitted to System Agency for reimbursement through CMBHS no later than October 15th of each fiscal year. Additional payments shall comply with applicable provisions within Title 2 of the Code of Federal Regulations, Part 200 (Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards), and Title 45 of the Code of Federal Regulations Part 96 (Block Grants), and the Texas Grant Management Standards (TxGMS). Additional payments will be made at the sole discretion of System Agency and are subject to availability of funds. N. The Service Types, Numbers Served, Capacity, and Funding Amounts in the table below are approved by System Agency. Grantee shall perform the required services set forth in Attachment A of this Contract in accordance with the following cost categories: HHSC Solicitation NoHHS0007795 HHSC Contract No. HHS000779500006 Amendment No. 2 4 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29E06F SERVICE TYPE/NUMBERS SERVED/CAPACITY/FUNDING AMOUNTS Fiscal Year 2023 Service Chart Number Service Type Served Capacity Amount Co-occurring Psychiatric & Substance 70 8 $79,700.00 Abuse Disorders COPSD Co-occurring Psychiatric & Substance Abuse Disorders COPSD - Adult Co-occurring Psychiatric & Substance Abuse Disorders COPSD - Youth Fiscal Year 2024 Service Chart Number Service Type Served Capacity Amount Co-occurring Psychiatric & Substance 70 8 $79,700.00 Abuse Disorders COPSD Co-occurring Psychiatric & Substance Abuse Disorders (COPSD) - Adult Co-occurring Psychiatric & Substance Abuse Disorders COPSD - Youth Fiscal Year 2025 Service Chart Number Service Type Served Capacity Amount Co-occurring Psychiatric & Substance 70 8 $79,700.00 Abuse Disorders (COPSD Co-occurring Psychiatric & Substance Abuse Disorders COPSD - Adult Co-occurring Psychiatric & Substance Abuse Disorders COPSD - Youth HHSC Solicitation NoHHS0007795 HHSC Contract No. HHS000779500006 Amendment No. 2 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29E06F TEXAS Form 8040-A August 2022-E `V Health and Human Services Federal Funding Accountability and Transparency Act (FFATA) Certification Form The certifications enumerated below represent material facts upon which HHSC relies when reporting information to the federal government required under federal law. If HHSC later determines that the contractor knowingly rendered an erroneous certification, HHSC may pursue all available remedies in accordance with Texas and U.S. laws. The signer further agrees that they will provide immediate written notice to HHSC if at any time they learn that any of the certifications provided for below were erroneous when submitted or have since become erroneous by reason of changed circumstances. Note: If the signer cannot certify all of the statements contained in this section, they must provide written notice to HHSC detailing which of the below statements they cannot certify and why. Did your organization have a gross income, from all sources, of less than $300,000 in your previous tax year? Q Yes — Skip questions A, B and C and continue to section D. ® No — Answer questions A and B. A. Certification Regarding Percent of Annual Gross from Federal Awards Did your organization receive 80% or more of its annual gross revenue from federal awards during the preceding fiscal year? Q Yes ® No — Skip question C. B. Certification Regarding Amount of Annual Gross from Federal Awards Did your organization receive $25 million or more in annual gross revenues from federal awards in the preceding fiscal year? ® Yes Q No — Skip question C. If your answer is Yes to both questions A and B, you must answer question C. If your answer is No to either question A or B, skip question C and continue to section D. C. Certification Regarding Public Access to Compensation Information Does the public have access to information about the highly compensated officers/senior executives in your business or organization (including parent organization, all branches and all affiliates worldwide) through periodic reports filed under Section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d)) or Section 6104 of the Internal Revenue Code of 1986? e Yes Q No — Provide the names and total compensation of the top five highly compensated officers/senior executives. Name of Officer or Senior Executive Total Compensation 1. 2. 3. 4. 5. D. Signatures As the duly authorized representative (signer) of the contractor, I hereby certify that the statements made by me in this certification form are true, complete and correct to the best of my knowledge. EDoouSlgned by: �� P � August 28, 2023 i781 FF92cl146D... Signature of Authorized Representative Date Printed Name of Authorized Representative imayor Title of Authorized Representative Tray Payne Legal Name of Contractor I Unique Entity Identifier City of Lubbock Applicable HHSC Contract No.(s): DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29EO6F TEXAS o PCS 515 CONTRACT ROUTING AND APPROVAL REQUEST Health and Human LLGoServices Section 1: Contract Information New Contract Number ❑ HHS000779500006 Amendment Number 2 New Work Order Number ❑ Amendment Number ❑ Contractor Legal Business Name: CITY OF LUBBOCK Total Contract Value (Including Renewals) $334,740.00 Note: Contract value is defined as the estimated dollar amount that the agency may be obligated to pay pursuant to the contract and all executed and proposed amendments, extensions and renewals of the contract. Requesting Agency/Program HHSC MSS-SUDCMU Contract Manager Name Cristina Bunyard Contract Manager Email cristina.bunyard@hhs.texas.gov Contract Manager Phone N/A Purchaser/Buyer Name ApprovalsSection 2: CAPPS approversThis section contains all contract -specific required approvers listed in Section 2 must include contracts. All contract -specific approvers, exceptfor Financials. CAPPS approvals must occur in Purchaser/Buyer Email Purchaser/Buyer Phone Program... the contract manager, program staff, and legal approval; legal approval may be provided byernailfor boderplate template the contract signatory who will review and approve in DocuSign, Must be listed in this section to approve the contract in the order listed below.CAPPS Is this a legal approved boilerplate template? ® Yes ❑ No If "Yes" attach Proof of Approval Approver Title Approver Name Approver E-mail Address 1. Contract Analyst ICristina Bunyard cristina.bunyard@hhs.texas.gov 2. Contract Administration M Angela Perkins Fngela.perkins@hhs.texas.gov 3• Legal FFescenmeyer,Megan Megan.FescenmeyerO1@hhs.texas.gov 4. 5. 6. 7. 8. [ 9. —_ 10. 11. Effective 10/23/2017 - 1 - Revised 01/13/2022 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29E06F TEXAS o PCS 515 CONTRACT ROUTING AND APPROVAL REQUEST Health and Human U.0 Services DocuSign Routing Path Begins Section 3: Internal Required DocuSign Review and Approvals In addition to the approvals in Section 2 the following approvers are needed consistent with the chart below. HHSC Contracts Approver Name E-mail Address Chief Financial Officer Trey Wood Trey.Wood@hhs.texas.gov System Contracting Director Andy Marker Edward.Marker@hhs.texas.gov 17. Chief Financial Officer Trey Wood Trey.Wood@hhs.texas.gov System Contracting Director Andy Marker Edward. Marker@hhs.texas.gov Office of Chief Counsel Karen Ray Karen.Ray@hhs.texas.gov 01G Contracts A110,000,000upto$i Approver Name E-mail Address Chief Financial Officer Trey Wood Trey.Wood@hhs.texas.gov Chief Financial Officer Trey Wood Trey.Wood@hhs.texas.gov System Contracting Director Andy Marker Edward. Marker@hhs.texas.gov Office of Chief Counsel Karen Ray Karen. Ray@hhs.texas.gov DSHS Contracts 0i0 000 Approver Name E-mail Address System Contracting Director Andy Marker Edward.Marker@hhs.texas.gov DSHS General Counsel Cynthia Hernandez Cynthia.Hernandez3@hhs.texas.gov System Contracting Director Andy Marker Edward. Marker@hhs.texas.gov Office of Chief Counsel Karen Ray Karen. Ray@hhs.texas.gov Effective 10/23/2017 .2. Revised 01/13/2022 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29EO6F TEXAS o PCS 515 CONTRACT ROUTING AND APPROVAL REQUEST Health and Human U.I& Services SectionDocuSign Signatories Signatory Name E-mail Address Contractor Signature Authority Tray Payne TrayPayne@mylubbock.us Additional Contractor Signature Authority* Contractor Signature cc Gloria Diaz gdiaz@mylubbock.us HHS Signature Authority Swan,Roderick Roderick.Swan@hhs.texas.gov HHS Signature Authority cc FSA Mailbox SUD.Contracts@hhs.texas.gov General Inbox cc Cristina Bunyard Fcristina.bunyard@hhs.texas.gov * If adding an additional contractor signature authority, please provide instructions on which documents need to be completed by this individual. Please cc: Katherine Wells at: kwells@mylubbock.us Effective 10/23/2017 - 3 - Revised 01/13/2022 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29E06F TEXAS `o PCS S1 S CONTRACT ROUTING AND APPROVAL REQUEST `� Health and Human U.0 Services INSTRUCTIONS PURPOSE To direct HHS contracts, work orders, amendments, renewals, and extensions through the routing and approval process. WHEN TO PREPARE THIS FORM This form shall be completed for any document requiring CAPPS Financials approval routing and for DocuSign contract signature routing. Program area shall adhere to any HHS Circular-046 requirements to complete the form prior to submission to Procurement and Contracting Services Quality Assurance ("PCS QA"). PROCEDURE TO COMPLETE PCS 515 Section 1: To be completed by Program. This section contains necessary contract information. Section 2: To be completed by Program. This section contains all contract -specific approvers as designated by Program. These individuals will be inserted into the CAPPS Financials approval process. The minimum required approvers listed in Section 2 must include the contract manager, program staff, and legal approval. All contract -specific approvers, except for the contract signatory who will review and approve in DocuSign, must be listed in this section to approve the contract in CAPPS Financials. CAPPS approvals must occur in the order listed in Section 2. DocuSign Routing Path Begins Section 3: Required Approvals. This section contains all required Office of Chief Counsel and Chief Financial Officer approvals based on contract value. Section 4: To be completed by Program. This section shall contain all required contract signatory information. These individuals will be inserted into the DocuSign routing path. Effective 10/23/2017 - 4 - Revised 01/13/2022 DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29EO6F Contracts w > Create Contracts and Documents • > Contract Entry OPACL-Eo weicome 00000232016 logged on FSPRD Document Approval Status SetlD HHSTX Supplier CITY OF LUBBOCK Review/Edit Approvers Contract Document Approval :Approved Contract Document Approval Contract ID HHS000779500006 ViewlHide Comments Approved Approved Bunyard,Cristina Ansald Perlcins,Angela C ve filontrad ManagerlBuyer Inserted Approver W02P23-11:37 AAA D&Tl2d23 - 9:58 Pill Comment History Submit for ApprovaI Return to Document Management DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29E06F From: Ford.Laura (HHSC) To: Driscoll.James (HHSC); Perkins.Angela (HHSC) Cc: Cruz.Lisa (HHSC): Moore.Mary (HHSC/DSHS): Molenaar.Jennifer (H Zarrella. Danielle (HHSC); HHSC SUD Contracts Subject: Legal Approval: BP 06 COPSD Date: Thursday, July 13, 2023 1:04:55 PM Attachments: 3. Attach B Program Services Unit Rates System Contractina Edit t. COPSD Signature Page - Remove funds7.10.23 System Contracti 1. COPSD Signature Paae - No funding chanae57.10.23 System Cor 5. Attachment H. FFATA (8).Ddf image001.Dna Hello James and Angela Please find the legally approved boilerplate for COPSD. Please let me know if there are any questions. Thanks Laura Ford I Director Substance Use Disorder Contract Management Unit Behavioral Health Contract Operations Work cell: 806.252.4683 Email: laura.fordahhs.texas.gov TEXAS Health and Human Services If you are an entity interested in doing business with the state, please direct your inquiry to the Electronic State Business Daily (ESBD) to search for funding opportunities with HHSC using the following link: http://www.txsmarthuy.com/sp Confidentiality Statement: The contents of this e-mail message and any attachments are confidential and are intended solely for addressee. The information may also be legally privileged. This transmission is sent in trust, for the sole purpose of delivery to the intended recipient. If you have received this transmission in error, any use, reproduction or dissemination of this transmission is strictly prohibited. If you are not the intended recipient, please immediately notify the sender by reply e-mail or phone and delete this message and its contents (including attachments). From: Fescenmeyer, Megan (HHSC) <Megan.Fescenmeyer0l@hhs.texas.gov> Sent: Wednesday, July 12, 2023 2:08 PM To: Ford,Laura (HHSC) <Laura.Ford@hhs.texas.gov> Cc: Zarrella,Danielle (HHSC)<Danielle.Zarrella@hhs.texas.gov>; Molenaar,Jennifer (HHSC/DSHS) <Jennifer.Molenaar@hhs.texas.gov>; HHSC SLID Contracts <SUD.Contracts@hhs.texas.gov> Subject: RE: For Review and Approval by 7/12/23: BP Status Inquiry: Boilerplate 06 CCPSD Hi Laura and all, DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29E06F Please find attached approved packet by myself and my leadership. The sig docs and budget have been revised. No changes to the SOW. Let me know if there are any questions. Friendly reminder that so long as there no changes to the approved boilerplate content, you do not need to send to me for approval in CAPPS FIN for each individual amendment. Thanks, Megan From: Ford,Laura (HHSC) <Laura.Ford(@hhs.texas.gov> Sent: Monday, July 10, 2023 11:54 PM To: Fescenmeyer,Megan (HHSC) <Megan. Fescenmeyer0l(@hhs.texas.gov> Cc: Zarrella, Danielle (HHSC) <Danielle.Zarrella(@hhs.texas.gov>; Molenaar,Jennifer (HHSC/DSHS) <Jennifer.Molenaar(@hhs.texas.gov>; HHSC SUD Contracts <SUD.Contracts(@hhs.texas.gov> Subject: For Review and Approval by 7/12/23: BP Status Inquiry: Boilerplate 06 COPSD Importance: High Hello Megan Please find attached all documents as part of the boilerplate(BP) submission for your review and approval. Please find change from BP submission on 5/16/23 regarding Attachment E-1 Supplemental Terms and Conditions as no revision will be needed as part of the boilerplate. The Amendment Sign Page for No funding Changes and Remove funds have been revised to remove the revision to Attachment E-1 indicated by strikeouts. Respectfully request review and approval of the boilerplate for COPSD by 7/12/23. Please let me know if previous review had been completed on the boilerplate documents as I could not locate email noting your review but perhaps I was not included in the email or missed the email. Please let me know if there are any questions or anything else that is needed for this request. Thank You, Laura Ford I Director Substance Use Disorder Contract Management Unit Behavioral Health Contract Operations Work cell: 806.252.4683 Email: laura.ford(t�hhs.texas.gov DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29E06F TEXAS �V Health and Human Services If you are an entity interested in doing business with the state, please direct your inquiry to the Electronic State Business Daily (ESBD) to search for funding opportunities with HHSC using the following link: httg://www.txsmarthuy.com/so Confidentiality Statement: The contents of this e-mail message and any attachments are confidential and are intended solely for addressee. The information may also be legally privileged. This transmission is sent in trust, for the sole purpose of delivery to the intended recipient. If you have received this transmission in error, any use, reproduction or dissemination of this transmission is strictly prohibited. If you are not the intended recipient, please immediately notify the sender by reply e-mail or phone and delete this message and its contents (including attachments). From: Zarrella,Danielle (HHSC) <Danielle.Zarrella(@hhs.texas.gov> Sent: Saturday, July 8, 2023 8:42 AM To: Ford Laura (HHSC) <Laura.Ford(@hhs.texas.gov>; Fescenmeyer, Megan (HHSC) <Megan.Fescenmeyer0ll@ hhs.texas.gov> Cc: Molenaar,Jennifer (HHSC/DSHS) <Jennifer.Molenaar(@hhs.texas.gov>; HHSC SUD Contracts <SUQ.Contracts(@hhs.texas.gov> Subject: RE: BP Status Inquiry: Boilerplate 06 COPSD Good Morning Megan, Following up on this request. I am the assigned CM for the COPSD Boiler Plate. Please send your comments/edits to me once your review is complete. Thank you! DANIELLE ZARRELLA, CTCM I Contract Manager Substance Use Disorder Contract Management Unit Behavioral Health Services 909 West 45th St. I Austin, Texas 78751 Email: Danielle.Zarrella(@hhs.texas.gov TEXAS Qiy Health and Human Services Confidentiality Statement: The contents of this e-mail message and any attachments are confidential and are intended solely for addressee. The information may also be legally privileged. This transmission is sent in trust, for the sole purpose of delivery to the intended recipient. If you have received this transmission in error, any use, reproduction or dissemination of this transmission is strictly prohibited. If you are not the intended recipient, please immediately notify the sender by reply e- mail or phone and delete this message and its contents (including attachments). DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29EO6F From: Ford,Laura (HHSC) <Laura.Ford(@hhs.texas.gov> Sent: Sunday, July 2, 2023 9:54 PM To: Fescenmeyer, Megan (HHSC) <Megan. Fescenmeyer0ltahhs.texas.gov> Cc: Zarrella,Danielle (HHSC) <Danielle.ZarrellaPhhs.texas.gov>; Molenaar,Jennifer (HHSC/DSHS) <Jennifer.Molenaarl@hhs.texas.gov>; HHSC SUD Contracts <SUQ.Contracts(@hhs.texas.gov> Subject: BP Status Inquiry: Boilerplate 06 COPSD Importance: High Hello Megan Just wanted to touch base on review and approval of the boilerplate submitted on 5/16/23 by Nicole Acclis, Director. Nicole completed the submission yet she is out on extended leave and is this boilerplate is now assigned to Danielle Zarella, Contract Manager. . Boilerplate 06 COPSD Please let us know if there are any questions or anything that is needed on our end. Thanks, Laura Ford I Director Substance Use Disorder Contract Management Unit Behavioral Health Contract Operations Work cell: 806.252.4683 Email: laura.ford@hhs.texas.gov TEXAS Health and Human Services If you are an entity interested in doing business with the state, please direct your inquiry to the Electronic State Business Daily (ESBD) to search for funding opportunities with HHSC using the following link: http://www.txsmarthuy.com/sg Confidentiality Statement: The contents of this e-mail message and any attachments are confidential and are intended solely for addressee. The information may also be legally privileged. This transmission is sent in trust, for the sole purpose of delivery to the intended recipient. If you have received this transmission in error, any use, reproduction or dissemination of this transmission is strictly prohibited. If you are not the intended recipient, please immediately notify the sender by reply e-mail or phone and delete this message and its contents (including attachments). DocuSign Envelope ID: C0974882-8F74-4A20-87A8-62CBAA29E06F Certificate Of Completion Envelopeld: C09748828F744A2087A862CBAA29EO6F Subject: Amending $334,740.00; HHS000779500006; CITY OF LUBBOCK A-2 ; HHSC MSS-SUDCMU Procurement Number: Source Envelope: Document Pages: 28 Signatures: 5 Certificate Pages: 2 Initials: 0 AutoNav: Enabled Envelopeld Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) Record Tracking Status: Original 8/4/2023 3:19:33 PM Security Appliance Status: Connected Storage Appliance Status: Connected Signer Events Tray Payne TrayPayne@mylubbock.us Mayor City of Lubbock Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Roderick Swan roderick.swan@hhs.texas.gov Associate Commissioner Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Editor Delivery Events Agent Delivery Events Intermediary Delivery Events Certified Delivery Events Holder: Texas Health and Human Services Commission PCS_DocuSign@hhsc. state.tx. us Pool: FedRamp Pool: Texas Health and Human Services Commission Signature ED—Sig-d by: 1�3r7V lFE3z�laD Signature Adoption: Pre -selected Style Using IP Address: 208.84.91.41 DoeuSignM by: E O�F,19B A7 SWcUn, E79F 19BTA718dAD Signature Adoption: Pre -selected Style Using IP Address: 72.179.41.247 Signature Status Status Status Status Carbon Copy Events Status SA Mailbox SUD.Contracts@hhs.texas.gov COPIED Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: DocuSign Status: Completed Envelope Originator: Texas Health and Human Services Commission 1100 W. 49th St. Austin, TX 78756 PCS—DocuSign@hhsc.state.tx.us IP Address: 168.60.145.83 Location: DocuSign Location: DocuSign Timestamp Sent: 8/4/2023 3:40:30 PM Resent: 8/24/2023 10:49:00 PM Viewed: 8/25/2023 2:25:25 PM Signed: 8/28/2023 8:53:46 AM Sent: 8/28/2023 8:53:48 AM Viewed: 8/28/2023 8:58:19 AM Signed: 8/28/2023 8:58:55 AM Timestamp Timestamp Timestamp Timestamp Timestamp Timestamp Sent: 8/4/2023 3:40:30 PM Viewed: 8/21/2023 9:00:18 PM Carbon Copy Events Status Timestamp Not Offered via DocuSign Cristina Bunyard cristina.bunyard@hhs.texas.gov Contract Specialist IV Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign COPIED Katherine Wells COPIED kwells@mylubbock.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Megan Miller COPIED mmiller@mylubbock.us Security Level: Email, Account Authentication (None) Electronic Record and Signature Disclosure: Not Offered via DocuSign Sent: 8/4/2023 3:40:29 PM Viewed: 8/28/2023 9:43:54 AM Sent: 8/24/2023 10:48:53 PM Viewed: 8/25/2023 6:11:01 AM Sent: 8/24/2023 10:48:53 PM Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 8/4/2023 3:40:30 PM Envelope Updated Security Checked 8/24/2023 10:48:52 PM Envelope Updated Security Checked 8/24/2023 10:48:52 PM Envelope Updated Security Checked 8/24/2023 10:48:52 PM Certified Delivered Security Checked 8/28/2023 8:58:19 AM Signing Complete Security Checked 8/28/2023 8:58:55 AM Completed Security Checked 8/28/2023 8:58:55 AM Payment Events Status Timestamps