Health and Human Services Sample Contracts

HEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO. HHS000663700259
Health and Human Services • May 1st, 2023

The Health and Human Services Commission (HHSC) and Central Plains Center MHMR (Grantee), each a Party and collectively the Parties to that certain Treatment for Youth (TRY) services agreement denominated HHSC Contract No. HHS000663700259, effective September 1, 2020 (the Contract), now want to amend the Contract.

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HEALTH AND HUMAN SERVICES COMMISSION HHSC CONTRACT NO. HHS000874100004
Health and Human Services • June 10th, 2022 • Texas

The Health and Human Services Commission (“HHSC” or “System Agency”) and Brazos Valley Council of Governments (“Grantee” or “Contractor”), each a “Party” and collectively the “Parties” to HHSC Contract No. HHS000874100004 effective October 1, 2020 (the “Contract”), now want to amend their agreement under the Older Americans Act.

HEALTH AND HUMAN SERVICES
Health and Human Services • January 2nd, 2024 • Texas

For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation).

TEXAS HEALTH AND HUMAN SERVICES CONTRACT UNDER THE
Health and Human Services • February 11th, 2024 • Texas

This Contract is authorized by and in compliance with the provisions of Title 40, Part 2, Chapter 107, Subchapter D, Texas Administrative Code and Chapter 531, Texas Government Code.

HEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO. 529-17-0023-00026
Health and Human Services • November 26th, 2021

The Health and Human Services Commission ("HHSC" or "System Agency") and Northeast Texas Public Health District ("Contractor" or "Grantee"), (each a “Party” and collectively the “Parties”) desire to amend the above referenced contract (“Contract”) with the terms and conditions contained herein (“Amendment”).

HEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO. HHS000231500007
Health and Human Services • September 9th, 2022

Whereas, HHSC has made available an additional $1,198.00 to expand training and technical assistance activities covered under the grant; and

Contract Number HHS0014340XXXXX
Health and Human Services • August 23rd, 2023

For purposes of these Contract Affirmations, HHS includes both the Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS). System Agency refers to HHSC, DSHS, or both, that will be a party to this Contract. These Contract Affirmations apply to all Contractors and Grantees (referred to as “Contractor”) regardless of their business form (e.g., individual, partnership, corporation).

HEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO. HHS000187100001
Health and Human Services • April 16th, 2023

The Health and Human Services Commission (“HHSC” or “System Agency”) and Denton County MHMR Center (“Grantee”), each a “Party” and collectively the “Parties,” to that certain Mental Health First Aid (“MHFA”) Grant contract effective September 1, 2018 and denominated HHSC Contract No. HHS000187100001 (the “Contract”), as amended, now desire to further amend the Contract.

HEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO. HHS000188100001
Health and Human Services • June 10th, 2022

The Health and Human Services Commission (“HHSC” or “System Agency”) and Texas Panhandle MHMR (“Grantee”), each a “Party” and collectively the “Parties,” to that certain Mental Health First Aid (“MHFA”) Grant contract effective September 1, 2018 and denominated HHSC Contract No. HHS000188100001 (the “Contract”), as amended, now desire to further amend the Contract.

HEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO. HHSC 539-16-0014-00001 AMENDMENT NO. 6
Health and Human Services • May 1st, 2021

The Health and Human Services Commission (“HHSC”) and City of Houston (“Contractor”), who are collectively referred to in this Amendment as the “Parties,” to that certain Older American Act (“OAA”) services contract effective October 1, 2015, and formally denominated DADS Contract No. 539-16-0014-00001 (the “Contract”), as amended, now want to further amend the Contract.

HEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO. 529-18-0011-00015
Health and Human Services • July 22nd, 2021

(“Grantee”), who are collectively referred to herein as the “Parties,” to that certain grant contract effective September 1, 2017 and denominated HHSC Contract No. 529-18-0011-00015, now desire to amend the Contract.

SETTLEMENT CONFERENCE FACILITATION AGREEMENT OF PARTICIPATION
Health and Human Services • May 30th, 2019

Please submit this agreement, along with your completed SCF Request Spreadsheet, to OMHA_SCFAppeals@cms.hhs.gov . Handwritten signatures are required for this form. If you are an individual with a disability that would prevent you from entering a handwritten signature, please use the accessible version of the Settlement Conference Facilitation Agreement of Participation available on the OMHA website at www.hhs.gov/omha .

HEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO. HHS000663700049
Health and Human Services • December 2nd, 2023

The Health and Human Services Commission (HHSC) and Serving Children and Adults in Need, Inc. (Grantee), each a Party and collectively the Parties to that certain Treatment for Adult (TRA) services agreement denominated HHSC Contract No. HHS000663700049, effective September 1, 2020 (the Contract), now want to amend the Contract.

HEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO. HHS000179800001
Health and Human Services • September 18th, 2022

The Health and Human Services Commission (“HHSC” or “System Agency”) and Anderson Cherokee Community Enrichment Services (ACCESS) (“Grantee”), each a “Party” and collectively the “Parties,” to that certain Mental Health First Aid (“MHFA”) Grant contract effective September 1, 2018 and denominated HHSC Contract No. HHS000179800001 (the “Contract”), as amended, now desire to further amend the Contract.

HEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO. 529-16-0102-00016
Health and Human Services • February 11th, 2021

The Health and Human Services Commission ("HHSC" or "System Agency") and Su Clinica Familiar ("Contractor" or "Grantee"), (each a “Party” and collectively the “Parties”) desire to amend the above referenced contract (“Contract”) with the terms and conditions contained herein (“Amendment”).

Addendum to Settlement Conference Facilitation Confidentiality Agreement
Health and Human Services • September 7th, 2021

This signature page is an addendum to the attached Settlement Conference Facilitation Confidentiality Agreement (Agreement). The undersigned agree to the terms stated in the attached Agreement.

Health Workforce Research Center Cooperative Agreement Program
Health and Human Services • March 29th, 2018

MODIFIED 3/30/2018 – update to incorporate new SAM.gov registration requirements (page 25) and enactment of the Consolidated Appropriations Act, 2018 (pages 22 and 25).

HEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO. HHS000779500005
Health and Human Services • October 24th, 2021 • Texas
HEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO. 2017-049617-001A AMENDMENT NO. 1
Health and Human Services • November 5th, 2022

The Health and Human Services Commission (“HHSC” or “System Agency”) and UT Health Science Center at San Antonio (“Contractor”) parties to Centralized Training Infrastructure for Evidence-Based Practices contract effective September 1, 2016 and denominated HHSC Contract No. 2017-049617-001 (“Contract”), now desire to amend the Contract. This Amendment will be denominated as Contract No. 2017-049617-001A.

Health and Human Services Commission Contract No. HHS000734600013
Health and Human Services • September 29th, 2022 • Texas
HEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO. HHS000134400016
Health and Human Services • May 15th, 2023 • Texas

The Health and Human Services Commission (System Agency) and Permian Basin Community Centers for MHMR d\b\a PermiaCare (“Grantee”), collectively the Parties, to the Mental Health Grant Program for Justice-Involved Individuals (“SB292”) contract established under Senate Bill 292, 85th Legislature Regular Session 2017, effective February 27, 2019, and denominated HHSC Contract No. HHS000134400016 (the “Contract”), now want to further amend the Contract.

CONTRACT NO. 2016-049446-001 AMENDMENT NO. 4
Health and Human Services • October 12th, 2022

The Health and Human Services Commission (“HHSC”) and Austin-Travis County MHMR dba Integral Care (“Grantee”), who are collectively referred to herein as the “Parties” to that certain Mental Health Coordinated Specialty Care (“CSC”) grant contract effective June 1, 2016, and denominated HHSC Contract No. 2016-049446-001 (the “Contract”), as amended, now desire to further amend the Contract.

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HEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO. HHS000954600001
Health and Human Services • September 9th, 2021 • Texas

The HEALTH AND HUMAN SERVICES COMMISSION (“System Agency”), an administrative agency within the executive branch of the state of Texas, and MTC MEDICAL, LLC (“Contractor”), having its principal office at 500 North Marketplace Drive, Centerville, UT 84014, (each a “Party” and collectively the “Parties”), enter into the following agreement (“Contract”) for the provision of mental health services and psychiatric care to residents civilly committed to the Texas Civil Commitment Center (“TCCC”) located at 2600 S Sunset Ave, Littlefield, TX 79339 (the “Services”).

Health and Human Services Commission Contract No. 2016-049452-001A Amendment No. 1
Health and Human Services • May 27th, 2023

The Health and Human Services Commission (“HHSC” or “System Agency”) and Texas Panhandle MHMR (“Grantee”) parties to this Mental Health Coordinated Specialty Care Interlocal contract effective June 1, 2016 and denominated HHSC Contract No. 2016-049452- 001, now desire to amend the Contract.

Health and Human Services Commission Contract No. 2017-049813-001A Amendment No. 1
Health and Human Services • May 21st, 2022

The Health and Human Services Commission (“HHSC” or “System Agency”) and Dallas County MHMR Center (“Grantee”) parties to this Mental Health Coordinated Specialty Care Interlocal contract effective October 1, 2016 and denominated HHSC Contract No. 2017-049813-001, now desire to amend the Contract.

Privacy Act Notice is on the Second Page)
Health and Human Services • December 27th, 2018

IDENTIFICATION DCCPR USE ONLY NAME (Last, First, Middle Initial) GRADE/RANK DATE REC’D. PHS SERIAL NUMBER ORGANIZATION DUTY PHONE NUMBER E MAIL

Privacy Act Notice is on the Second Page)
Health and Human Services • December 6th, 2018

IDENTIFICATION DCCPR USE ONLY NAME (Last, First, Middle Initial) GRADE/RANK DATE REC’D. PHS SERIAL NUMBER ORGANIZATION DUTY PHONE NUMBER E MAIL

HHSC CONTRACT NO. HHS000229300001)
Health and Human Services • November 20th, 2021

The Health and Human Services Commission (“System Agency”) and Skillful Living Center, Inc (“Grantee”), collectively referred to as the “Parties” to that certain Sexual Risk Avoidance Education contract dated October 1, 2019, and denominated as HHSC Contract No. HHS000229300001 (the “Contract”), as previously amended, now desire to further amend the Contract.

HHSC CONTRACT NO. HHS000541100002
Health and Human Services • January 27th, 2023

The Health and Human Services Commission (“HHSC”) and Deep East Texas Council of Governments (“Grantee”), who are collectively referred to herein as the “Parties” to that certain Contract for Aging and Disability Resource Center (“ADRC”) services effective September 1, 2019 and denominated HHSC Contract No. HHS000541100002 (the “Contract”), as amended, now want to further amend the Contract.

HHSC CONTRACT NO. HHS000541100003 AMENDMENT NO. 4
Health and Human Services • October 23rd, 2021

The Health and Human Services Commission (“HHSC”) and Sabine Valley Regional MHMR dba Community Healthcore (“Grantee”), Parties to the Contract for Aging and Disability Resource Center (“ADRC”) services denominated HHSC Contract No. HHS000541100003 effective September 1, 2019 (the “Contract”), now want to amend the Contract further.

HEALTH AND HUMAN SERVICES COMMISSION- DISABILITY DETERMINATION SERVICES CONTRACT NO. HHS000193400027
Health and Human Services • January 28th, 2022 • Texas

The terms and conditions of these Special Conditions are incorporated into and made a part of the Contract. Capitalized items used in these Special Conditions and not otherwise defined have the meanings assigned to them in HHSC Uniform Terms and Conditions –Vendor- Version 2.15

HEALTH AND HUMAN SERVICES COMMISSION HHSC CONTRACT NO. HHS000874100006
Health and Human Services • May 5th, 2023

The Health and Human Services Commission (“HHSC” or “System Agency”) and Central Texas Council of Governments (“Grantee” or “Contractor”), each a “Party” and collectively the “Parties” to HHSC Contract No. HHS000874100006 effective October 1, 2020 (the “Contract”), now want to amend the Contract further.

HEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO. HHS000562000001
Health and Human Services • November 11th, 2020

The Health and Human Services Commission (HHSC) and University of Texas Health Science Center at San Antonio (Grantee), collectively the “Parties,” to that certain Office Based Treatment (“SA/OBT”) grant program contract effective September 1, 2019 (the “Contract”), now want to amend the Contract.

EXTRAMURAL TRAINING AGREEMENT (SCHOLARSHIPS, GRANTS, FELLOWSHIPS)
Health and Human Services • January 18th, 2017

Paragraph A. I understand the Department of Health and Human Services (HHS) policy prohibits acceptance of contributions to salary, from whatever source, by active-duty officers of the Public Health Service Commissioned Corps (Corps), unless the contributions are accepted to the benefit of the Government and are deposited to the Miscellaneous Receipts of the Treasury of the United States. Further, with regard to the training I am to receive, I have read and agree to the following

AMENDMENT NO. 3
Health and Human Services • September 8th, 2022

The Health and Human Services Commission (“HHSC”) and Panhandle Regional Planning Commission (“Contractor”), collectively referred to in this amendment as the “Parties,” to that certain Older American Acts Contract effective October 1, 2015, and denominated HHSC Contract No. 539-16-0001-00001 (the “Contract”), as amended, now want to further amend the Contract.

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