Common use of COST SETTLEMENT Clause in Contracts

COST SETTLEMENT. A. If the Contractor provides mental health services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and ▇▇▇▇▇-▇▇▇▇▇/Medi-Cal cost report instructions. This Cost Report is due to the County no later than October 31 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director. B. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report. C. This Cost Report is subject to examination and audit by County, State and/or Federal government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations. D. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings. E. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable. F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor. G. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C. H. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement.

COST SETTLEMENT. A. If the Contractor provides mental health alcohol and drug services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Alcohol and Drug Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and ▇▇▇▇▇-▇▇▇▇▇/Medi-Cal cost report instructions. This Cost Report is due to the County no later than October 31 September 30 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director. B. The Cost Report calculates the Cost per unit as the lowest of Actual Cost, Published Charge, and County Maximum Allowance (CMA) or approved Negotiated Rate. If actual cost is MORE than the CMA, the contractor will incur a loss, and if the CMA is LESS than the cost, then the amount of any excess payment beyond cost must be returned to the County when cost settlement occurs. C. In the event that Contractor’s per unit rates in the Cost Report are less that the rates paid by County, County may cost settle with Contractor. In the event of cost settlement, the County shall invoice Contractor for repayment upon County’s final review of the annual Cost Report. Contractor shall remit payment to County within 45 days of invoice, unless an alternate repayment agreement is structured in writing and approved by the Health and Human Services Agency Director. D. Contractor will be subject to Federal, State, or local audits at any time. Contractor and County will each be responsible for any audit errors or omissions on their part. The annual State Department of Health Care Services/Federal Audit may not occur until five years after close of fiscal year and not besettled until all Audit appeals are completed/closed. E. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report. C. F. Contractor shall provide the Certified Audited Financial Reports to the County as specified in Exhibit D, Section V. G. This Cost Report is subject to examination and audit by CountyFederal, State and/or Federal State, or local government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations. D. H. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings. E. I. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable. F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor. G. J. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C. H. K. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement. A. The purpose of this Business Associate Agreement Addendum (“this Addendum”) to comply with the Health Insurance Portability and Accountability Act of 1996, Public Law 104 -191 (“HIPAA”), the HIPAA Omnibus Rule, 45 CFR Parts 160 and 164, the Health Information Technology for Economic and Clinical Health Act, Public Law 111-005 (“the HITECH Act”), regulations promulgated thereunder by the U.S. Department of Health and Human Services (the “HIPAA Regulations”) and other applicable privacy and security laws, including the Federal Confidentiality of Substance Abuse Disorder Patient Records laws and regulations, 42 USC §290dd-2 and 42 CFR Part 2.

COST SETTLEMENT. A. If the Contractor provides mental health services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and ▇▇▇▇▇-▇▇▇▇▇/Medi-Cal cost report instructions. This Cost Report is due to the County no later than October 31 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director. B. The Cost Report calculates the Cost per unit as the lowest of Actual Cost, Published Charge, and County Maximum Allowance (CMA) or approved Negotiated Rate. If actual cost is MORE than the CMA, the contractor will incur a loss, and if the CMA is LESS than the cost, then the amount of excess payment beyond cost must be returned to the County when cost settlement occurs. C. In the event that Contractor’s per unit rates in the Cost Report are less that the rates paid by County, County may cost settle with Contractor. In the event of cost settlement, the County shall invoice Contractor for repayment upon County’s final review of the annual Cost Report. Contractor shall remit payment to County within 45 days of invoice, unless an alternate repayment agreement is structured in writing and approved by the Health and Human Services Agency Director. D. Contractor will be subject to Federal, State, or local audits at any time. Contractor and County will each be responsible for any audit errors or omissions on their part. The annual State Department of Health Care Services/Federal Audit may not occur until five years after close of fiscal year and not besettled until all Audit appeals are completed/closed. E. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report. C. F. Contractor shall provide the Certified Audited Financial Reports to the County as specified in Exhibit D, Section V. G. This Cost Report is subject to examination and audit by CountyFederal, State and/or Federal State, or local government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations. D. H. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings. E. I. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable. F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor. G. J. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C. H. K. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement. A. The purpose of this Business Associate Agreement Addendum (“this Addendum”) to comply with the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191 (“HIPAA”), the HIPAA Omnibus Rule, 45 CFR Parts 160 and 164, the Health Information Technology for Economic and Clinical Health Act, Public Law 111-005 (“the HITECH Act”), and regulations promulgated thereunder by the U.S. Department of Health and Human Services (the “HIPAA Regulations”) and other applicable privacy and security laws.

COST SETTLEMENT. A. If the Contractor provides mental health services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and ▇▇▇▇▇-▇▇▇▇▇/Medi-Cal cost report instructions. This Cost Report is due to the County no later than October 31 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director. B. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report. C. This Cost Report is subject to examination and audit by County, State and/or Federal government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations. D. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings. E. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable. F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor. G. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C.B. H. County shall determine the final compensation to the Contractor based on the final audited 1 EXHIBIT D-Contract Budget Provider xxxxxx Scope of Service ####, xxxxxxxx 2 FY2010/2011 3 Annual Budget# of budget month> 12.00 EXPENDITURE Treatment Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement.Personnel Salaries Actual Averaged for Per Month mmm/yyyy 0.00 Year- to- Date Balance 7 8

COST SETTLEMENT. A. If the Contractor provides mental health alcohol and drug services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Alcohol and Drug Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and ▇▇▇▇▇-▇▇▇▇▇/Medi-Cal cost report instructions. This Cost Report is due to the County no later than October 31 September 30 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director. B. The Cost Report calculates the Cost per unit as the lowest of Actual Cost, Published Charge, and County Maximum Allowance (CMA) or approved Negotiated Rate. If actual cost is MORE than the CMA, the contractor will incur a loss, and if the CMA is LESS than the cost, then the amount of any excess payment beyond cost must be returned to the County when cost settlement occurs. C. In the event that Contractor’s per unit rates in the Cost Report are less that the rates paid by County, County may cost settle with Contractor. In the event of cost settlement, the County shall invoice Contractor for repayment upon County’s final review of the annual Cost Report. Contractor shall remit payment to County within 45 days of invoice, unless an alternate repayment agreement is structured in writing and approved by the Health and Human Services Agency Director. D. Contractor will be subject to Federal, State, or local audits at any time. Contractor and County will each be responsible for any audit errors or omissions on their part. The annual State Department of Health Care Services/Federal Audit may not occur until five years after close of fiscal year and not besettled until all Audit appeals are completed/closed. E. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements financial F. Contractor shall provide the Certified Audited Financial Reports to the County along with the completed Cost Report.as specified in Exhibit D, Section V. C. G. This Cost Report is subject to examination and audit by CountyFederal, State and/or Federal State, or local government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations. D. H. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings. E. I. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable. F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor. G. J. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C. H. K. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement. A. The purpose of this Business Associate Agreement Addendum (“this Addendum”) to comply with the Health Insurance Portability and Accountability Act of 1996, Public Law 104 -191 (“HIPAA”), the HIPAA Omnibus Rule, 45 CFR Parts 160 and 164, the Health Information Technology for Economic and Clinical Health Act, Public Law 111-005 (“the HITECH Act”), regulations promulgated thereunder by the U.S. Department of Health and Human Services (the “HIPAA Regulations”) and other applicable privacy and security laws, including the Federal Confidentiality of Substance Abuse Disorder Patient Records laws and regulations, 42 USC §290dd-2 and 42 CFR Part 2.

COST SETTLEMENT. A. If the Contractor provides mental health services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and ▇▇▇▇▇-▇▇▇▇▇/Medi-Cal cost report instructions. This Cost Report is due to the County no later than October 31 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director. B. The Cost Report calculates the Cost per unit as the lowest of Actual Cost, Published Charge, and County Maximum Allowance (CMA) or approved Negotiated Rate. If actual cost is MORE than the CMA, the contractor will incur a loss, and if the CMA is LESS than the cost, then the amount of excess payment beyond cost must be returned to the County when cost settlement occurs. C. In the event that Contractor’s per unit rates in the Cost Report are less that the rates paid by County, County may cost settle with Contractor. In the event of cost settlement, the County D. Contractor will be subject to Federal, State, or local audits at any time. Contractor and County will each be responsible for any audit errors or omissions on their part. The annual State Department of Health Care Services/Federal Audit may not occur until five years after close of fiscal year and not be settled until all Audit appeals are completed/closed. E. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report. C. F. Contractor shall provide the Certified Audited Financial Reports to the County as specified in Exhibit D, Section V. G. This Cost Report is subject to examination and audit by CountyFederal, State and/or Federal State, or local government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations. D. H. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings. E. I. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable. F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor. G. J. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C. H. K. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement.. COMMUNICARE HEALTH CENTERS Latino Outreach TOTAL EXPENSES - 166,875 225,500 225,500 COMMUNICARE HEALTH CENTERS SMARTY TOTAL EXPENSES - 19,883

COST SETTLEMENT. A. If the Contractor provides mental health services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and ▇▇▇▇▇-▇▇▇▇▇/Medi-Cal cost report instructions. This Cost Report is due to the County no later than October 31 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director. B. The Cost Report calculates the Cost per unit as the lowest of Actual Cost, Published Charge, and County Maximum Allowance (CMA) or approved Negotiated Rate. If actual cost is MORE than the Negotiated Rate, the contractor will incur a loss, and if the Negotiated Rate is LESS than the cost, then the amount of excess payment beyond cost must be returned to the County when cost settlement occurs. C. In the event that Contractor’s per unit rates in the Cost Report are less that the rates paid by County, County may cost settle with Contractor. In the event of cost settlement, the County shall invoice Contractor for repayment upon County’s final review of the annual Cost Report. Contractor shall remit payment to County within 45 days of invoice, unless an alternate repayment agreement is structured in writing and approved by the Health and Human Services Agency Director. D. Contractor will be subject to Medi-Cal or County Fiscal or Quality Assurance audits at any time. Contractor and County will each be responsible for any audit errors or omissions on their part. The annual State Department of Health Care Services/Federal Audit may not occur until five years after close of fiscal year and not be settled until all Audit appeals are completed/closed. Final Audit findings must be paid by County or Contractor within 60 days of final Audit report or as otherwise agreed. E. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report. C. F. Contractor shall provide the Certified Audited Financial Reports to the County as specified in Exhibit D, Section V. G. This Cost Report is subject to examination and audit by County, State and/or Federal government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations. D. H. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings. E. I. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable. F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor. G. J. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C. H. K. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement. 1.1 Total number of Yolo County Medi-Cal beneficiaries served annually 1.2 Total number of bed days utilized by Yolo County Medi-Cal beneficiaries 1.3 Average length of stay for Yolo County Medi-Cal beneficiaries per year 2.1 Percentage Yolo County Medi-Cal beneficiaries who returned to the community within six (6) months of admission to Vista Pacifica 2.2 Percentage of Yolo County Medi-Cal beneficiaries who returned to the community within one (1) year of admission to Vista Pacifica 3.1 Percentage of Yolo County Medi-Cal beneficiaries discharged from Vista Pacifica who were discharged to a lower level of care

COST SETTLEMENT. A. If the Contractor provides mental health services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County B. The Cost Report calculates the Cost per unit as the lowest of Actual Cost, Published Charge, and County fiscal year Maximum Allowance (CMA) or approved Negotiated Rate. If cost is MORE than the Negotiated Rate, the contractor will incur a loss, and if the Negotiated Rate is LESS than the cost, then the amount of July 1 through June 30, in a form satisfactory excess payment beyond cost must be returned to the Director County. C. A Cost Report Settlement will be completed by County within a reasonable timeline and as prescribed by will be based on a comparison of the State allowed Medi-Cal reimbursement or other authorized non-billable services per unit in the Cost Reporting Data Collection Manual and ▇▇▇▇▇-▇▇▇▇▇/MediReport compared to the payment per unit paid by the County. Payment will be required by County or Contractor within 60 days of Settlement or as otherwise mutually agreed. D. Contractor will be subject to Medi-Cal cost or County Fiscal or Quality Assurance audits at any time. Contractor and County will each be responsible for any audit errors or omissions on their part. The annual State Department of Health Care Services/Federal Audit may not occur until five years after close of fiscal year and not be settled until all Audit appeals are completed/closed. Final Audit findings must be paid by County or Contractor within 60 days of final Audit report instructions. This Cost Report is due to the County no later than October 31 unless or as otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Directoragreed. B. E. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report. C. F. Contractor shall provide the Certified Audited Financial Reports to the County as specified in Exhibit D, Section V. G. This Cost Report is subject to examination and audit by County, State and/or Federal government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations. D. H. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings. E. I. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable.amount F. J. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor. G. K. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C. H. L. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement.

COST SETTLEMENT. A. If the Contractor provides mental health services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and ▇▇▇▇▇-▇▇▇▇▇/Medi-Cal cost report instructions. This Cost Report is due to the County no later than October 31 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director. B. The Cost Report calculates the Cost per unit as the lowest of Actual Cost, Published Charge, and County Maximum Allowance (CMA) or approved Negotiated Rate. If actual cost is MORE than the CMA, the contractor will incur a loss, and if the CMA is LESS than the cost, then the amount of excess payment beyond cost must be returned to the County when cost settlement occurs. C. In the event that Contractor’s per unit rates in the Cost Report are less that the rates paid by County, County may cost settle with Contractor. In the event of cost settlement, the County shall invoice Contractor for repayment upon County’s final review of the annual Cost Report. Contractor shall remit payment to County within 45 days of invoice, unless an alternate repayment agreement is structured in writing and approved by the Health and Human Services Agency Director. D. Contractor will be subject to Federal, State, or local audits at any time. Contractor and E. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report. C. F. Contractor shall provide the Certified Audited Financial Reports to the County as specified in Exhibit D, Section V. G. This Cost Report is subject to examination and audit by CountyFederal, State and/or Federal State, or local government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations. D. H. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings. E. I. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable. F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor. G. J. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C. H. K. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement.

COST SETTLEMENT. A. If the Contractor provides mental health services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and ▇▇▇▇▇-▇▇▇▇▇/Medi-Cal cost report instructions. This Cost Report is due to the County no later than October 31 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director. B. The Cost Report calculates the Cost per unit as the lowest of Actual Cost, Published Charge, and County Maximum Allowance (CMA) or approved Negotiated Rate. If actual cost is MORE than the CMA, the contractor will incur a loss, and if the CMA is LESS than C. In the event that Contractor’s per unit rates in the Cost Report are less that the rates paid by County, County may cost settle with Contractor. In the event of cost settlement, the County shall invoice Contractor for repayment upon County’s final review of the annual Cost Report. Contractor shall remit payment to County within 45 days of invoice, unless an alternate repayment agreement is structured in writing and approved by the Health and Human Services Agency Director. D. Contractor will be subject to Federal, State, or local audits at any time. Contractor and County will each be responsible for any audit errors or omissions on their part. The annual State Department of Health Care Services/Federal Audit may not occur until five years after close of fiscal year and not be settled until all Audit appeals are completed/closed. E. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report. C. F. Contractor shall provide the Certified Audited Financial Reports to the County as specified in Exhibit C, Section IV. G. This Cost Report is subject to examination and audit by CountyFederal, State and/or Federal State, or local government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations. D. H. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings. E. I. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable. F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor. G. J. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C. H. K. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement.. Help Me Grow Yolo First 5 Yolo ▇▇▇▇ ▇▇▇▇▇▇▇▇, Executive Director

COST SETTLEMENT. A. If the Contractor provides mental health services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and ▇▇▇▇▇-▇▇▇▇▇/Medi-Cal cost report instructions. This Cost Report is due to the County no later than October 31 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director. B. The Cost Report calculates the Cost per unit as the lowest of Actual Cost, Published Charge, and County Maximum Allowance (CMA) or approved Negotiated Rate. If actual cost is MORE than the CMA, the contractor will incur a loss, and if the CMA is LESS than the cost, then the amount of excess payment beyond cost must be returned to the County when cost settlement occurs. C. In the event that Contractor’s per unit rates in the Cost Report are less that the rates paid by County, County may cost settle with Contractor. In the event of cost settlement, the County shall invoice Contractor for repayment upon County’s final review of the annual Cost Report. Contractor shall remit payment to County within 45 days of invoice, unless an alternate repayment agreement is structured in writing and approved by the Health and Human Services Agency Director. D. Contractor will be subject to Federal, State, or local audits at any time. Contractor and County will each be responsible for any audit errors or omissions on their part. The annual State Department of Health Care Services/Federal Audit may not occur until five years after close of fiscal year and not besettled until all Audit appeals are completed/closed. E. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report. C. F. Contractor shall provide the Certified Audited Financial Reports to the County as specified in Exhibit D, Section V. G. This Cost Report is subject to examination and audit by CountyFederal, State and/or Federal State, or local government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations.this D. H. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings. E. I. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable. F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor. G. J. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C. H. K. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement. After-Hours Assessment & ACCESS Line Services June 2018 EXPENDITURE BUDGET Staff Training Cost Salaries Subtotal Staff Training Costs 51,087 Operating Subtotal Operating Costs 7,650 TOTAL EXPENDITURE 58,737 YOLO ACCESS LINE 24/7 FY1819 Total Budget Monthly Average Budget EXPENDITURE Personnel Subtotal Personnel 515,368 42,947 Operating Subtotal Operating 46,810 3,901 Direct to Clients Subtotal Direct to Clients 0 0 Total Treatment Cost 562,178 46,848 Non Treatment Costs Subtotal Non Treatment Cost 11,066 922 TOTAL EXPENDITURE 573,244 47,770 Personnel Details Position Budget FTE ▇▇▇ & ▇▇▇ YOLO LAW ENFORCEMENT RESPONSE FY1819 Total Budget Monthly Average Budget EXPENDITURE Personnel Subtotal Personnel 68,934 5,745 Operating Subtotal Operating 8,377 698 Direct to Clients Subtotal Direct to Clients 0 0 Total Treatment Cost 77,311 6,443 Non Treatment Costs Subtotal Non Treatment Cost 11,517 960 TOTAL EXPENDITURE 88,828 7,402 Personnel Details Position Title Budget FTE ▇▇▇ & Ben YOLO ED RESPONSE FY1819 Total Budget Monthly Average Budget EXPENDITURE Personnel Subtotal Personnel 68,934 5,745 Operating Subtotal Operating 8,377 698 Direct to Clients Subtotal Direct to Clients 0 0 Total Treatment Cost 77,311 6,443 Non Treatment Costs Subtotal Non Treatment Cost 11,517 960 TOTAL EXPENDITURE 88,828 7,402 Personnel Details Position Title Budget FTE ▇▇▇ & ▇▇▇ A. The purpose of this Business Associate Agreement Addendum (“this Addendum”) to comply with the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191 (“HIPAA”), the HIPAA Omnibus Rule, 45 C.F.R Parts 160 and 164, the Health Information Technology for Economic and Clinical Health Act, Public Law 111-005 (“the HITECH Act”), regulations promulgated thereunder by the U.S. Department of Health and Human Services (the “HIPAA Regulations”) and other applicable privacy and security laws, including the Federal Confidentiality of Substance Abuse Disorder Patient Records laws and regulations, 42 USC §290dd-2 and 42 C.F.R Part 2.

COST SETTLEMENT. A. If the Contractor provides mental health services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and ▇▇▇▇▇-▇▇▇▇▇/Medi-Cal cost report instructions. This Cost Report is due to the County no later than October 31 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director. B. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report.. Contractor shall provide the Certified Audited Financial Reports to the County as specified in Exhibit D, Section V. C. This Cost Report is subject to examination and audit by County, State and/or Federal government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations. D. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings. E. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable. F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor. G. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C. H. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement.. Contract maximum is based on the following estimated project budget: Scope of Service : Children & Youth Full Service Partnership Contract #: 2016-0126 FY 2015/2016 Salaries 130,042 16,255 Benefits 42,461 5,308 Operating Expenses 48,986 6,123 Client Services 250 31 Indirect Admin Costs (Non Treatment/Program) 28,261 3,533 County Contract 250,000 31,250 Personnel Details Position Title Budget FTE Director of Program Services 0.02 Budget ▇▇▇ & Ben1,637 Program Director 0.10 6,456 Clinical Director 0.10 5,358 Quality Manager 0.10 4,473 Therapist 2.00 67,925 Family Coordinator 1.00 51,813 Family Advocate 0.80 23,645 Program Support 0.25 6,756 Physician 0.02 4,440 Scope of Service : Children & Youth Full Service Partnership Contract #: 2016-0126 FY 2016/2017 Salaries 210,604 17,550 Benefits 67,386 5,616 Operating Expenses 51,682 4,307 Client Services 500 42 Indirect Admin Costs (Non Treatment/Program) 44,828 3,736 County Contract 375,000 31,250 Personnel Details Position Title Budget FTE Director of Program Services 0.02 Budget ▇▇▇ & Ben2,455 Program Director 0.10 9,684 Clinical Director 0.10 8,032 Quality Manager 0.10 6,684 Therapist 2.00 116,443 Family Coordinator 1.00 77,720 Family Advocate 0.80 35,468 Program Support 0.25 10,134 Physician 0.02 11,369 Assessment $2.75/minute Plan Development $2.75/minute Psychotherapy (30 Min) $2.75/minute Psychotherapy (45 Min) $2.75/minute Psychotherapy (60 Min) $2.75/minute Group Therapy $2.75/minute Targeted Case Management $2.13/minute Rehabilitation/ADL $2.75/minute Group Rehabilitation $2.75/minute Collateral $2.75/minute Crisis Intervention $2.75/minute Katie A-Intensive Care Coordination $2.13/minute Katie A-Intensive Home Based Services $2.13/minute E&M New Patient Office Visit: Level 1 Minimal Complexity $4.29/minute E&M New Patient Office Visit: ▇▇▇▇▇ ▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇ $4.29/minute E&M New Patient Office Visit: ▇▇▇▇▇ ▇ ▇▇▇ ▇▇▇▇▇▇▇▇ $4.29/minute E&M New Patient Office Visit: ▇▇▇▇▇ ▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ $4.29/minute E&M New Patient Office Visit: ▇▇▇▇▇ ▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇ $4.29/minute E&M Established Patient Office Visit: Level 1 Minimal Complexity $4.29/minute E&M Established Patient Office Visit: ▇▇▇▇▇ ▇ ▇▇▇▇▇ ▇▇▇▇▇▇▇ $4.29/minute E&M Established Patient Office Visit: ▇▇▇▇▇ ▇ ▇▇▇ ▇▇▇▇▇▇▇▇ $4.29/minute E&M Established Patient Office Visit: ▇▇▇▇▇ ▇ ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇▇ $4.29/minute E&M Established ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ ▇▇▇▇▇, ▇▇▇▇▇ ▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇ $4.29minute Medication Support-RN/LVN/LPT $4.29/minute Minimum productivity expectations for Medi-Cal/Billable units are: 1. Therapist #1 65% 2. Therapist #2 65% 3. Family Coordinator 65%

COST SETTLEMENT. A. If the Contractor provides mental health services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and ▇▇▇▇▇-▇▇▇▇▇/Medi-Cal cost report instructions. This Cost Report is due to the County no later than October 31 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director. B. The Cost Report calculates the Cost per unit as the lowest of Actual Cost, Published Charge, and County Maximum Allowance (CMA) or approved Negotiated Rate. If actual cost is MORE than the CMA, the contractor will incur a loss, and if the CMA is LESS than the cost, then the amount of excess payment beyond cost must be returned to the County when cost settlement occurs. C. In the event that Contractor’s per unit rates in the Cost Report are less that the rates paid by County, County may cost settle with Contractor. In the event of cost settlement, the County shall invoice Contractor for repayment upon County’s final review of the annual Cost Report. Contractor shall remit payment to County within 45 days of invoice, unless an alternate repayment agreement is structured in writing and approved by the Health and Human Services Agency Director. D. Contractor will be subject to Federal, State, or local audits at any time. Contractor and County will each be responsible for any audit errors or omissions on their part. The annual State Department of Health Care Services/Federal Audit may not occur until five years after close of fiscal year and not besettled until all Audit appeals are completed/closed. E. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report. C. F. Contractor shall provide the Certified Audited Financial Reports to the County as specified in Exhibit D, Section V. G. This Cost Report is subject to examination and audit by CountyFederal, State and/or Federal State, or local government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations. D. H. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings. E. I. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable. F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor. G. J. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C. H. K. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement. MH Navigation Center Fiscal Year 17/18 Budget FTEs 2 Month Budget Personnel Expenses A. The purpose of this Business Associate Agreement Addendum (“this Addendum”) to comply with the Health Insurance Portability and Accountability Act of 1996, Public Law 104-191 (“HIPAA”), the HIPAA Omnibus Rule, 45 CFR Parts 160 and 164, the Health Information Technology for Economic and Clinical Health Act, Public Law 111-005 (“the HITECH Act”), regulations promulgated thereunder by the U.S. Department of Health and Human Services (the “HIPAA Regulations”) and other applicable privacy and security laws, including the Federal Confidentiality of Substance Abuse Disorder Patient Records laws and regulations, 42 USC §290dd-2 and 42 CFR Part 2.

COST SETTLEMENT. A. If the Contractor provides mental health alcohol and drug services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Alcohol and Drug Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and ▇▇▇▇▇-▇▇▇▇▇/Medi-Cal cost report instructions. This Cost Report is due to the County no later than October 31 September 30 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director. B. The Cost Report calculates the Cost per unit as the lowest of Actual Cost, Published Charge, and County Maximum Allowance (CMA) or approved Negotiated Rate. If actual cost is MORE than the CMA, the contractor will incur a loss, and if the CMA is LESS than the cost, then the amount of any excess payment beyond cost must be returned to the County when cost settlement occurs. C. In the event that Contractor’s per unit rates in the Cost Report are less that the rates paid by County, County may cost settle with Contractor. In the event of cost settlement, the County shall invoice Contractor for repayment upon County’s final review of the annual Cost Report. Contractor shall remit payment to County within 45 days of invoice, unless an alternate repayment agreement is structured in writing and approved by the Health and Human Services Agency Director. D. Contractor will be subject to Federal, State, or local audits at any time. Contractor E. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report. C. F. Contractor shall provide the Certified Audited Financial Reports to the County as specified in Exhibit D, Section V. G. This Cost Report is subject to examination and audit by CountyFederal, State and/or Federal State, or local government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations. D. H. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings. E. I. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable. F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor. G. J. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C. H. K. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement. A. The purpose of this Business Associate Agreement Addendum (“this Addendum”) to comply with the Health Insurance Portability and Accountability Act of 1996, Public Law 104 -191 (“HIPAA”), the HIPAA Omnibus Rule, 45 CFR Parts 160 and 164, the Health Information Technology for Economic and Clinical Health Act, Public Law 111-005 (“the HITECH Act”), regulations promulgated thereunder by the U.S. Department of Health and Human Services (the “HIPAA Regulations”) and other applicable privacy and security laws, including the Federal Confidentiality of Substance Abuse Disorder Patient Records laws and regulations, 42 USC §290dd-2 and 42 CFR Part 2.

COST SETTLEMENT. A. If the Contractor provides mental health services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and ▇▇▇▇▇-▇▇▇▇▇/Medi-Cal cost report instructions. This Cost Report is due to the County no later than October 31 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director. B. The Cost Report calculates the Cost per unit as the lowest of Actual Cost, Published Charge, and County Maximum Allowance (CMA) or approved Negotiated Rate. If cost is MORE than the Negotiated Rate, the contractor will incur a loss, and if the Negotiated Rate is LESS than the cost, then the amount of excess payment beyond cost must be returned to the County. C. A Cost Report Settlement will be completed by County within a reasonable timeline and will be based on a comparison of the allowed Medi-Cal reimbursement or other authorized non-billable services per unit in the Cost Report compared to the payment per unit paid by the County. Payment will be required by County or Contractor within 60 days of Settlement or as otherwise mutually agreed. D. Contractor will be subject to Medi-Cal or County Fiscal or Quality Assurance E. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report. C. F. Contractor shall provide the Certified Audited Financial Reports to the County as specified in Exhibit D, Section V. G. This Cost Report is subject to examination and audit by County, State and/or Federal government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations. D. H. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings. E. I. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable. F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor. G. J. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C. H. K. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement.

COST SETTLEMENT. A. If the Contractor provides mental health alcohol and drug services as defined in CCR Title 9 (whether Medi-Cal or non-Medi-Cal), Contractor shall provide County a Certified Annual Mental Health Alcohol and Drug Cost Report. Contractor shall certify and submit a Cost Report covering the preceding County fiscal year of July 1 through June 30, in a form satisfactory to the Director and as prescribed by the State in the Cost Reporting Data Collection Manual and ▇▇▇▇▇-▇▇▇▇▇/Medi-/Medi- Cal cost report instructions. This Cost Report is due to the County no later than October 31 September 30 unless otherwise specified by the Director. In the event that this Agreement expires or is terminated on a date other than June 30, Contractor shall provide County such a Cost Report, covering the preceding period of July 1 through the date of expiration or termination no later than forty-five (45) days after the date of expiration or termination unless otherwise specified by the Director. B. Contractor may use unaudited financial statements as the basis of cost information for completion of the Cost Report. Contractor will forward a copy of the unaudited financial statements to County along with the completed Cost Report. C. This Cost Report is subject to examination and audit by County, State and/or Federal government, and their authorized representatives, to determine its compliance with this Agreement and any applicable laws and regulations. D. County shall inform Contractor of any audit finding relevant to the Contractor. Contractor and County shall take any necessary actions to respond to, correct, and resolve the audit findings. E. Should the County, State and/or Federal government, and their authorized representatives, disallow any paid goods and/or services, or determine that Contractor has misspent funds, or been overpaid based on the requirements of this Agreement and applicable laws and regulations, County shall demand repayment from Contractor for any amount determined disallowable. F. Should the County, State and/or Federal government, and their authorized representatives, determine that Contractor’s actual expenses for goods and/or services provided under this Agreement are more than the compensation paid to Contractor by County, County shall reimburse the Contractor. G. Method of repayment, either due from the County to Contractor or vice versa, is detailed in Exhibit C. H. County shall determine the final compensation to the Contractor based on the final audited Cost Report at the actual rate and the total compensation shall not exceed the maximum payable set forth Section III of this Agreement.