ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 Federal Award Date: 09/30/2018 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. Browne, Grants Specialist, Contact Number: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORK
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700004 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSSWINNCOMM HOLDINGS LLC Xxxxx Ita Xxxx X. Xxxxxxx Name: Associate Commissioner Title: Owner Date of execution: _July 24, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH 2020 Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2024, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700004 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): B08TI083054-01 Federal Award Date: 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: Substance Abuse and Prevention Treatment (SAPT), 93.959 State Opioid Response (SOR), 93.788 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is Xxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: Xxxxx.Xxxx@xxxxxx.xxx.xxx Federal Award Identification Number (XXXX): H79TI081729 Federal Award Date: 09/30/2018 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. Browne, Grants Specialist, Contact Number: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NOSignature Page for System Agency Contract No. HHS000663700001 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSHHS000663700135 Health and Human Services Commission Aliviane, INC. Inc. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Xxxxxx Xxxxx Xxxxxx Xxxxx Date of execution: _July 20, 2020 Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NOThe following attachments to System Agency Contract No. HHS000663700001 HHS000663700135 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT Attachment A STATEMENT OF WORK ATTACHMENT Statement of Work Attachment A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT Statement of Work Supplemental Attachment A-2 Substance Abuse Prevention and Treatment (SAPT) Block Grant Contract Supplemental Attachment B PROGRAM SERVICES Program Services & UNIT RATES ATTACHMENT Unit Rates Attachment C GENERAL AFFIRMATIONS ATTACHMENT General Affirmations Attachment D UNIFORM TERMS AND CONDITIONSUniform Terms and Conditions-GRANTEE VERSION Grantee Version 2.16.1 ATTACHMENT Attachment E SPECIAL CONDITIONS VERSION Special Conditions Version 1.2 ATTACHMENT Attachment F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT Federal Assurances and certifications Attachment G DATA USE AGREEMENT VERSION Data Use Agreement Version 8.5 ATTACHMENT Attachment H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT Fiscal Federal Funding Accountability and Transparency Act (FFATA) FORM ATTACHMENT Form Attachment I SYSTEM AGENCY SOLICITATION NOSystem Agency Solicitation No. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT including any clarifications or modifications made in response to questions submitted During posting and any addendum Attachment X XXXXXXX’S PROPOSAL FOR SOLICITATION NOXxxxxxx’s proposal for Solicitation No. HHS0006637 ATTACHMENTS FOLLOW Attachments Follow ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORK
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700054 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSYSLETA DEL SUR PUEBLO Xxxxx Ita Name: Xxxxxxx Xxxxxx Associate Commissioner Title: Governor Date of execution: _July 21, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH 2020 Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2021, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700054 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK CO-OCCURRING PSYCHIATRIC AND SUBSTANCE USE DISORDERS
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700242 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. CENIKOR FOUNDATION Name: Xxxxx Xxxxxx Name: Xxxx Xxxxxx Title: Assoc. Commissioner IDD/BH Title: President/CEO Date of execution: _July 23, 2020 Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2023, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700242 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700221 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSXXXXXX XXXXXX COUNTY MHMR CENTER Name: Xxxxx Ita Name: Xxxxx Xxxxx Title: Associate Commissioner Title: CEO Date of execution: _July 22, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH 2020 Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2022, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700221 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700059 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSALPHA HOME, INC. Name: Xxxxx Xxxxxx Name: Xxxxxxxx Xxxxxxxx Title: Assoc. Commissioner IDD/BH Title: CEO Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700059 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700268 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSHOMEWARD BOUND, INC. Xxxxx Ita Associate Commissioner Xxxxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of executionName: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Title: Executive Director Date of execution: July 20_August 4, 2020 Date of execution: August 4, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700268 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK CO-OCCURRING PSYCHIATRIC AND SUBSTANCE USE DISORDERS
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700028 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSAZLEWAY, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: _July 2021, 2020 Xxxxxxx X. Xxxxxx Administrative Executive Director Date of execution: July 2021, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700028 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR YOUTH SECTION I: PURPOSE
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700111 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSPLAINVIEW SERENITY CENTER, INC. Xxxxx Ita Associate Commissioner Dr. Xxxx Xxxxxx Assoc. Commissioner IDD/BH CEO Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700111 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK CO-OCCURRING PSYCHIATRIC AND SUBSTANCE USE DISORDERS
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700142 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. GULF COAST CENTER Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Name: Xxxxxxx Xxxxxx Title: CEO Date of execution: August 2, 2020 Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2029, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700142 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 Federal Award Date: 09/30/2018 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. Browne, Grants Specialist, Contact Number: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700078 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSALTERNATIVE OPIATE TREATMENT PROGRAM, INC. LLC Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Xxxxxxxxx Xxxxxx Owner Date of execution: July 20_August 17, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20August 17, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700078 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORK
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700158 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSCHRISTIAN FARMS-TREEHOUSE, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Xxxxx Xxxxxxx Executive Director Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700158 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700202 HEALTH AND HUMAN SERVICES COMMISSION NORTH TEXAS AMERICAN MEDICAL CONSULTANTSADDICTION COUNSELING & EDUCATION, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxx Xxxxxx Administrative Name: Title:Executive Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700202 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700275 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSPHOENIX HOUSES OF TEXAS, INC. Name: Xxxxx Xxxxxx Name: Xxxx Xxxxxx Title: Assoc. Commissioner IDD/BH Title: President & CEO Date of execution: July 20_August 12, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20August 12, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700275 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR YOUTH SECTION I: PURPOSE
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700162 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSUNLIMITED VISIONS AFTERCARE, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Xxxxx CEO Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700162 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700169 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. SABINE VALLEY REGIONAL MHMR CENTER Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of executionName: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Xxxxx Xxxxx Title: Executive Director Date of execution: July 20_August 4, 2020 Date of execution: August 4, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700169 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT GOV’T ENTITY VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700137 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSALPHA HOME, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Name: Xxxxxxxx Xxxxxxxx Title: CEO Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HHS000663700137 HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR FEMALES SECTION I: PURPOSE Grantee shall provide Substance Use Disorder Treatment Services for one (1) or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700131 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSFORT BEND REGIONAL COUNCIL ON SUBSTANCE ABUSE, INC. Xxxxx Xxxxxx Assoc. Ita Associate Commissioner IDD/BH Date of execution: July 20, 2020 Xxxxxxx X. Xxxx Xxxxxx Administrative Director CEO Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700131 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK CO-OCCURRING PSYCHIATRIC AND SUBSTANCE USE DISORDERS
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700251 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. CENIKOR FOUNDATION Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Name: Xxxx Xxxxxx Title: President/CEO Date of execution: July 2023, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2023, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HHS000663700251 HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR FEMALES SECTION I: PURPOSE Grantee shall provide Substance Use Disorder Treatment Services for one (1) or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700210 HEALTH AND HUMAN SERVICES COMMISSION VOLUNTEERS OF AMERICA TEXAS AMERICAN MEDICAL CONSULTANTS, INC. Name: Xxxxx Ita Name: Xxxxxx Assoc. Xxxx Title: Associate Commissioner IDD/BH Title: CEO Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700210 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK CO-OCCURRING PSYCHIATRIC AND SUBSTANCE USE DISORDERS
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700277 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSPHOENIX HOUSES OF TEXAS, INC. Name: Xxxxx Xxxxxx Name: Xxxx Xxxxxx Title: Assoc. Commissioner IDD/BH Title: President & CEO Date of execution: July 20_August 12, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20August 12, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700277 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR YOUTH SECTION I: PURPOSE
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700240 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSALIVIANE, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Xxxxxx Xxxxx Name: Title: Xxxxxx Xxxxx Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HHS000663700240 HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR FEMALES SECTION I: PURPOSE Grantee shall provide Substance Use Disorder Treatment Services for one (1) or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700044 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSCLEAN INVESTMENTS INC Name: Xxxxx Ita Name: Xxxxx Xxxxx Title: Associate Commissioner Title : Director Date of execution: _July 27, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH 2020 Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2027, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700044 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700174 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. MHMR OF TARRANT COUNTY Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Xxxxx Xxxxxxx Xxxxx Xxxxxxx, CEO Date of execution: July 2029, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2029, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HHS000663700174 HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR FEMALES SECTION I: PURPOSE Grantee shall provide Substance Use Disorder Treatment Services for one (1) or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000779500005 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. CITY OF LUBBOCK Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Name: Title: Xxx Xxxx Mayor Date of execution: July 2030, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2030, 2020 THE FOLLOWING ATTACHMENTS DOCUMENTS ARE HEREBY ATTACHED TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HEREBY INCORPORATED BY REFERENCEHHS000779500005: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORKWORK I. PURPOSE To provide adjunct services to clients with co-occurring psychiatric and substance use disorders (COPSD), emphasizing integrated treatment for both mental health needs and substance use disorders.
Appears in 1 contract
Samples: Health and Human Services
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI08354-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700211 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSBLUEBONNET TRAILS COMMUNITY MHMR CENTER Name: Xxxxx Ita Name: Xxxxxx Xxxxxxxxxx Title: Associate Commissioner Title: Executive Director Date of execution: _July 20, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH 2020 Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2017, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700211 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 GOVERNMENT ENTITY ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK CO-OCCURRING PSYCHIATRIC AND SUBSTANCE USE DISORDERS
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700228 HEALTH AND HUMAN SERVICES COMMISSION VOLUNTEERS OF AMERICA TEXAS AMERICAN MEDICAL CONSULTANTS, INC. Xxxxx Xxxxxx Assoc. Ita Associate Commissioner IDD/BH Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Xxxx CEO Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700228 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700246 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. CENIKOR FOUNDATION Xxxxx Xxxxxx Name: Xxxx Xxxxxx Assoc. Commissioner IDD/BH Title: President/CEO Date of execution: July 20August 13, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20August 13, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700246 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700011 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. RECOVERY RESOURCE COUNCIL Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: _July 2021, 2020 Xxxxxxx X. Xxxxxx Administrative Director Xxxx Xxxxxxxxxxx Chief Executive Officer Date of execution: July 2021, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700011 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI08354-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700010 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSCENIKOR FOUNDATION Name: Xxxxx Ita Name: Xxxx Xxxxxx Title: _Associate Commissioner Title: President/CEO Date of execution: _July 23, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH 2020 Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2023, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700010 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK CO-OCCURRING PSYCHIATRIC AND SUBSTANCE USE DISORDERS
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 Federal Award Date: 09/30/2018 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. Browne, Grants Specialist, Contact Number: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700003 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSCROSSROADS TREATMENT CENTERS OF FORT WORTH, INC. PLLC Xxxxx Xxxxxx Name: Xxxxx Xxxxxxxxxxxx Assoc. Commissioner IDD/BH Title: CFO Date of execution: July 20August 14, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20August 14, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700003 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORK
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx Xxxxx Xxxxxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700189 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. Xxxxx Xxxxxx THE GULF COAST CENTER Assoc. Commissioner IDD/BH Date of execution: _July 2029, 2020 Xxxxxxx X. Xxxxxx Administrative Director CEO Date of execution: July 2029, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HHS000663700189 HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR FEMALES SECTION I: PURPOSE Grantee shall provide Substance Use Disorder Treatment Services for one (1) or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700073 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSCAREER & RECOVERY RESOURCES, INC. Name: Xxxxx Xxxxxx Name: Xxxxx Xxxxx Title: Assoc. Commissioner IDD/BH Title: CEO Date of execution: _July 20, 2020 Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2019, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700073 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700190 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSCENTER FOR HEALTH CARE SERVICES, INCBEXAR CO. MHMR By: By: Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: July 2028, 2020 Xxxxxxx X. XxXxxxx Xxxxxx Administrative Director President/CEO Date of execution: July 2028, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700190 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT GOV’T ENTITY VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700035 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. ABILENE REGIONAL MHMR CENTER Name: Xxxxx Xxxxxx Assoc. Ita Name: Xxxxx Xxxxx Title: Associate Commissioner IDD/BH Title: CEO Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700035 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT GOV’T ENTITY VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700012 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSXXXX XXXX HOME, INC. INC Xxxxx Ita Associate Commissioner Name: Title: Xxxxxx Assoc. Commissioner IDD/BH Xxxxx Chief Executive Officer Date of execution: _July 22, 2020 Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2022, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700012 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000779500002 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. CITY OF LUBBOCK Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Name: Xxxxxx Xxxx Title: Mayor Date of execution: July 20_August 8, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20August 5, 2020 THE FOLLOWING ATTACHMENTS DOCUMENTS ARE HEREBY ATTACHED TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HEREBY INCORPORATED BY REFERENCEHHS000779500002: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL CONTRACT AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORKWORK I. PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) 448 Title 25 Part 1 located at the following link: xxxxx://xxxxxx.xxx.xxxxx.xx.xx/public/readtac$ext.ViewTAC?tac_view=4&ti=25&pt=1&ch=448 requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider- portals/behavioral-health-services-providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: Health and Human Services
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700208 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. MHMR OF TARRANT COUNTY Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Xxxxx Xxxxxxx Chief Executive Officer Date of execution: July 20August 6, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20August 3, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700208 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR YOUTH SECTION I: PURPOSE
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700188 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSAUSTIN RECOVERY, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Xxxxx Xxxxxxxx Name: Title: CEO Date of execution: _July 31, 2020 Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2031, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HHS000663700188 HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR FEMALES SECTION I: PURPOSE Grantee shall provide Substance Use Disorder Treatment Services for one (1) or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Grantee Data Universal Numbering System (DUNS) Number: 078377909 Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx XxxxxxxXxxxx Xxxxxx, Grants Management OfficerProgram Official, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOLLOWS SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000779800004 HEALTH AND HUMAN SERVICES COMMISSION NORTH TEXAS AMERICAN MEDICAL CONSULTANTS, INC. BEHAVIORAL HEALTH AUTHORITY _ _ _ Xxxxx Xxxxxx Xxxxx Xxxxx Name: Assoc. Commissioner IDD/BH Title: CEO August 31, 2020 Date of executionsignature: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of executionsignature: July 20August 31, 2020 THE FOLLOWING ATTACHMENTS DOCUMENTS ARE ATTACHED TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000779800004 AND THEIR TERMS ARE HEREBY INCORPORATED INTO THE CONTRACT BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENT ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL CONTRACT AFFIRMATIONS VERSION 1.6, NOVEMBER 7, 2019 ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 2.16.1, MARCH 26, 2019 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 GOVERNMENTAL ENTITY VERSION, OCTOBER 23, 2019 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK CO-OCCURRING PSYCHIATRIC AND SUBSTANCE USE DISORDERS
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700223 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSNEXUS RECOVERY CENTER, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Xxxxxxx Xxxxxx Executive Director/CEO Date of execution: July 2024, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2023, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700223 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR YOUTH SECTION I: PURPOSE
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700149 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSCAREER & RECOVERY RESOURCES, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Name: Xxxxx Xxxxx Title: CEO Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2019, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HHS000663700149 HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR FEMALES SECTION I: PURPOSE Grantee shall provide Substance Use Disorder Treatment Services for one (1) or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700214 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSHuman Services of Southeast Texas, INC. DBA Spindletop MHMR Xxxxx Xxxxxx Assoc. Ita Associate Commissioner IDD/BH Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Xxxxx Xxxxx CEO Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HHS000663700214 HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW FOLLOWS ATTACHMENT A MEDICATION ASSISTED TREATMENT A-1 STATEMENT OF WORKWORK SUPPLEMENTAL
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700276 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSPHOENIX HOUSES OF TEXAS, INC. Xxxxx Xxxxxx Name: Xxxx Xxxxxx Assoc. Commissioner IDD/BH Title: President & CEO Date of execution: July 20_August 11, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20August 10, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700276 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR YOUTH SECTION I: PURPOSE
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700041 HEALTH AND HUMAN SERVICES COMMISSION VOLUNTEERS OF AMERICA TEXAS AMERICAN MEDICAL CONSULTANTS, INC. Xxxxx Xxxxxx Assoc. Ita Ange1a King Associate Commissioner IDD/BH CEO Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July Ju1y 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700041 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK CO-OCCURRING PSYCHIATRIC AND SUBSTANCE USE DISORDERS
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700168 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSPLAINVIEW SERENITY CENTER, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: _July 20, 2020 Xxxxxxx X. Xxxx Xxxxxx Administrative Director CEO Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700168 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700265 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSHOMEWARD BOUND, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: July 20_August 11, 2020 Xxxxxxx X. Xxxxxx Administrative Executive Director Date of execution: July 20August 11, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700265 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/behavioral-health-provider-resources/utilization-management-guidelines-manual, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700197 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSCHRISTIAN FARMS-TREEHOUSE, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Xxxxx Xxxxxxx Executive Director Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HHS000663700197 HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR FEMALES SECTION I: PURPOSE Grantee shall provide Substance Use Disorder Treatment Services for one (1) or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700130 HEALTH AND HUMAN SERVICES COMMISSION SOUTH TEXAS AMERICAN MEDICAL CONSULTANTSRURAL HEALTH SERVICES, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Xxxxxxx Xxxxxx CEO Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700130 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR YOUTH SECTION I: PURPOSE
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): B08TI083054-01 Federal Award Date: 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: Substance Abuse and Prevention Treatment (SAPT), 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is Xxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: Xxxxx.Xxxx@xxxxxx.xxx.xxx Federal Award Identification Number (XXXX): H79TI081729 Federal Award Date: 09/30/2018 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. Browne, Grants Specialist, Contact Number: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700161 HEALTH AND HUMAN SERVICES COMMISSION EL DORADO TEXAS AMERICAN MEDICAL CONSULTANTS, INC. COMMUNITY SERVICE CENTER Xxxxx Xxxxxx Name: Xxxxxxx X. Xxxxxx Assoc. Commissioner IDD/BH Date of executionTitle: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2017, 2020 Date of execution: July 17, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700161 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORK
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700201 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. CENIKOR FOUNDATION Name:Xxxxx Ita Name: Xxxx Xxxxxx Assoc. Title: Associate Commissioner IDDTitle: President/BH CEO Date of execution: July 2024, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2024, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700201 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK CO-OCCURRING PSYCHIATRIC AND SUBSTANCE USE DISORDERS
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700148 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. THE COUNCIL ON RECOVERY Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: _July 20, 2020 Name: Xxxxxxx X. Xxxxxx Administrative Director Title:President and CEO Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700148 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700254 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. CENIKOR FOUNDATION Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: July 2024, 2020 Xxxxxxx X. Xxxx Xxxxxx Administrative Director President/CEO Date of execution: July 2024, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700254 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR YOUTH SECTION I: PURPOSE
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 Federal Award Date: 09/30/2018 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. Browne, Grants Specialist, Contact Number: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700084 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSADDICTION SERVICES, INC. LLC Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Xxxxxxx Xxxxxx Clinical Director Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700084 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORK
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700043 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSXXXXXXX XXXXXX, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: _July 2022, 2020 Xxxxxxx X. Xxxxxx Administrative Xxxxxxx-Xxxxxxx Executive Director Date of execution: July 2022, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700043 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR YOUTH SECTION I: PURPOSE
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700218 HEALTH AND HUMAN SERVICES COMMISSION HEART OF TEXAS AMERICAN MEDICAL CONSULTANTS, INC. REGION MHMR CENTER Xxxxx Ita Associate Commissioner Xxxxxx Assoc. Commissioner IDD/BH Xxxxxxxx Chief Executive Officer Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HHS000663700218 HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR FEMALES SECTION I: PURPOSE Grantee shall provide Substance Use Disorder Treatment Services for one (1) or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700203 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSPLAINVIEW SERENITY CENTER, INC. Name: Xxxxx Xxxxxx Name: Dr. Xxxx Xxxxxx Title: Assoc. Commissioner IDD/BH Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Title: CEO Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HHS000663700203 HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR FEMALES SECTION I: PURPOSE Grantee shall provide Substance Use Disorder Treatment Services for one (1) or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700120 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, TURTLE CREEK MANOR INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Xxxx X. Xxxxxxxxx Pres./CEO Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700120 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700195 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. XXXXX XXXXXX Xxxxx Ita Associate Commissioner Xxxxx Xxxxxx Assoc. Commissioner IDDClinical Director/BH Owner Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2018, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700195 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR YOUTH SECTION I: PURPOSE
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 Federal Award Date: 09/30/2018 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. Browne, Grants Specialist, Contact Number: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700138 HEALTH AND HUMAN SERVICES COMMISSION SOUTH TEXAS AMERICAN MEDICAL CONSULTANTS, SUBSTANCE ABUSE RECOVERY SERVICES INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: _July 2024, 2020 Xxxxxxx X. Xxxxxx Administrative Director Xxxxx Xxx CEO Date of execution: July 2023, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700138 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORK
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid ResponseSubstance Abuse and Prevention Treatment (SAPT), 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700080 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSWTCR ABILENE, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: _July 2021, 2020 Xxxxxxx X. Xxxx Xxxxxx Administrative Director MD President Date of execution: July 2021, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700080 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORK
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700056 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. Human Services of Southeast Texas dba Spindletop MHMR Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Xxxxx Xxxxx CEO Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700056 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK CO-OCCURRING PSYCHIATRIC AND SUBSTANCE USE DISORDERS
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700108 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSABODE TREATMENT, INC. Name: Xxxxx Xxxxxx AssocIta Name: XxXxxxxx Xxxx, Xx. Title: Associate Commissioner IDD/BH Title: President & Chief Executive Officer Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700108 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700235 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. CENIKOR FOUNDATION Name: Xxxxx Xxxxxx Name: Xxxx Xxxxxx Title: Assoc. Commissioner IDD/BH Title: President/CEO Date of execution: July 2021, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2021, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700235 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700016 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. LONGVIEW WELLNESS Xxxxx Xxxxxx Assoc. Ita Xxxx Xxxxx Name: Associate Commissioner IDD/BH Title: Chief Executive Officer Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2017, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700016 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700259 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. CENTRAL PLAINS CENTER MHMR Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Xxxxxx Xxxx CEO Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700259 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR YOUTH SECTION I: PURPOSE
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700060 HEALTH AND HUMAN SERVICES COMMISSION SOUTH TEXAS AMERICAN MEDICAL CONSULTANTSSUBSTANCE ABUSE RECOVERY SERVICES, INC. Xxxxx Xxxxxx Assoc. Ita Associate Commissioner IDD/BH Xxxxx Xxx Name: Title: CEO Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700060 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK CO-OCCURRING PSYCHIATRIC AND SUBSTANCE USE DISORDERS
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700045 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. BLUEBONNET TRAILS COMMUNITY MHMR CENTER Name: Xxxxx Xxxxxx Name: Xxxxxx Xxxxxxxxxx Title: Assoc. Commissioner IDD/BH Title: Executive Director Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700045 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT GOV’T ENTITY VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700079 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. COMMUNITY SUPERVISION ALTERNATIVES LLC Xxxxx Ita Associate Commissioner Xxxxxx Assoc. Commissioner IDD/BH XxXxXxxx Managing Partner Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HHS000663700079 HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR FEMALES SECTION I: PURPOSE Grantee shall provide Substance Use Disorder Treatment Services for one (1) or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700132 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSYSLETA DEL SUR PUEBLO Xxxxx Ita Associate Commissioner Xxxxxxx Xxxxxx Governor Date of execution: _July 21, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH 2020 Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2021, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700132 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700253 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. CENIKOR FOUNDATION Name: Xxxxx Xxxxxx Name: Xxxx Xxxxxx Title: Assoc. Commissioner IDD/BH Title: President/CEO Date of execution: _July 24, 2020 Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 2024, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HHS000663700253 HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR FEMALES SECTION I: PURPOSE Grantee shall provide Substance Use Disorder Treatment Services for one (1) or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700083 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. LIBERTY LODGE Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Xxxxxxxx Xxxxx Executive Director Date of execution: July 2019, 2020 Date of execution: July 19, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700083 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700159 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSDALLAS SIGMA COUNSELING SERVICES, INC. _ _ Xxxxx Xxxxxx Assoc. Ita Associate Commissioner IDD/BH Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Xxxx CEO Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HHS000663700159 HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR FEMALES SECTION I: PURPOSE Grantee shall provide Substance Use Disorder Treatment Services for one (1) or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 Federal Award Date: 09/30/2018 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. Browne, Grants Specialist, Contact Number: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700018 HEALTH AND HUMAN SERVICES COMMISSION WEST TEXAS AMERICAN MEDICAL CONSULTANTSCOUNSELING AND REHABILITATION OF TEMPLE, INC. DBA WTCR TEMPLE, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: _July 2021, 2020 Xxxxxxx X. Xxxx Xxxxxx Administrative Director MD President Date of execution: July 2021, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700018 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORK
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700193 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. THE COUNCIL ON RECOVERY Xxxxx Xxxxxx Xxxxxxx X. Xxxxxx Assoc. Commissioner IDD/BH Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director President and CEO Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HHS000663700193 HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR FEMALES SECTION I: PURPOSE Grantee shall provide Substance Use Disorder Treatment Services for one (1) or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700099 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSTHE TURNING POINT, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Xxxxx Xxxxxxxx Executive Director Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HHS000663700099 HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR FEMALES SECTION I: PURPOSE Grantee shall provide Substance Use Disorder Treatment Services for one (1) or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700279 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSSERVING CHILDREN AND ADULTS IN NEED, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: July 20_August 13, 2020 Name: Xxxxx Xxxxxxx X. Xxxxxx Administrative Director Title: Chief Executive Officer Date of execution: July 20August 12, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700279 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK CO-OCCURRING PSYCHIATRIC AND SUBSTANCE USE DISORDERS
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700098 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSUNLIMITED VISIONS AFTERCARE, INC. INC Xxxxx Xxxxxx Name: Xxxxxxx Xxxxx Assoc. Commissioner IDD/BH Title: CEO Date of execution: July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700098 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR YOUTH SECTION I: PURPOSE
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700129 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSSERVING CHILDREN AND ADULTS IN NEED, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Xxxxx Xxxxxxx Chief Executive Officer Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 ARE HHS000663700129 HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR FEMALES SECTION I: PURPOSE Grantee shall provide Substance Use Disorder Treatment Services for one (1) or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 6 NU58DP006501-01-01 Federal Award Date: 09/30/2018 01/31/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse Centers for Disease Control and Mental Health Services Administration (SAMHSA) Prevention CFDA Name and Number: State Opioid Response, 93.788 93.439 Awarding Official Contact Information: Xxxxxxxxx Xxxxxx Xxxxxxxat xxx0@xxx.xxx DUNS: 196616478 And, Grants Management Officer, Point Federal Award Identification Number (XXXX): 6 B04MC32573-01-01 Federal Award Date: 01/08/2019 Name of Contact is XxXxxxxx X. Browne, Grants Specialist, Contact Federal Awarding Agency: U.S. Department of Health and Human Services Health Resources and Services Administration System Agency Contract No. HHS000455600001 Page 2 of 4 v. 02.01.2016 CFDA Name and Number: 93.994 Awarding Official Contact Information: Xxxxx Xxxxxxxxx at Xxxxxxxxxx@xxxx.xxx DUNS: 196616478 VIII, MODIFICATIONS TO UNIFORM TERMS AND CONDITIONS Sections 9.2 (000relating to Insurance) 000-0000and 9.5(A) and (B) (relating to Indemnity) of Attachment C, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Uniform Terms and Conditions, do not apply to this Contract. SIGNATURE PAGE FOLLOWS SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000455600001 DEPARTMENT OF STATE HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH GRANTEE Xxxx X. Xxxxxxx Chief Operating Officer X.X. Xxxxxxxx City Manager Date of execution: July 20_August 31, 2020 Xxxxxxx X. Xxxxxx Administrative Director 2019 Date of execution: July 20August 30, 2020 2019 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000455600001 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A - STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL AND ACTIVITY PLAN ATTACHMENT B PROGRAM SERVICES & UNIT RATES - BUDGET ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D - UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 CONDITIONS ATTACHMENT D - CONTRACT AFFIRMATIONS ATTACHMENT E - SUPPLEMENTAL & SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F - FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO- FFATA CERTIFICATION v. 02.01.2016 System Agency Contract No. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW HHS000455600001 Page 4 of 4 ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORKWORK LACTATION SUPPORT CENTER SERVICES
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI08354-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700245 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSALIVIANE, INC. Xxxxx Xxxxxx Assoc. Ita Associate Commissioner IDD/BH Date of execution: _July 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Xxxxx Name: Title: Xxxxxx Xxxxx Date of execution: July 20, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY HHSC CONTRACT NO. HHS000663700001 HHS000663700245 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY HHSC SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR YOUTH SECTION I: PURPOSE
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 B08TI083054-01 Federal Award Date: 09/30/2018 10/01/2019 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 93.959 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. BrowneXxxxx Xxxx, Grants Specialist, Contact Number: (000) 000-0000, Facsimile: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx Xxxxx.Xxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700232 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTS, INC. THE WOMEN’S HOME Xxxxx Xxxxxx Assoc. Commissioner IDD/BH Date of execution: July 20_August 15, 2020 Xxxxxxx X. Xxxx Xxxxxx Administrative Director CEO Date of execution: July 20August 7, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700232 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT A-2 SUBSTANCE ABUSE PREVENTION AND TREATMENT (SAPT) BLOCK GRANT CONTRACT SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT A: STATEMENT OF WORKWORK TREATMENT FOR ADULTS SECTION I: PURPOSE Grantee shall provide substance use disorder treatment services to the target population at one or more of the following service types/levels of care. The below service types/levels of care are based on Texas Administrative Code (TAC) requirements, as referenced in the Substance Use Disorder (SUD) Utilization Management (UM) Guidelines, located at the following link: xxxxx://xxx.xxxxx.xxx/doing-business-hhs/provider-portals/behavioral-health-services- providers/substance-use-disorder-service-providers, and American Society of Addiction Medicine (ASAM) criteria located at the following link: xxx.xxxx.xxx, which is a collection of objective guidelines that give clinicians a standardized approach to admission and treatment planning.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 Federal Award Date: 09/30/2018 Name of Federal Awarding Agency: Department of Health and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 Awarding Official Contact Information: Xxxxxx Xxxxxxx, Grants Management Officer, Point of Contact is XxXxxxxx X. Browne, Grants Specialist, Contact Number: (000) 000-0000, Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700087 HEALTH AND HUMAN SERVICES COMMISSION TEXAS AMERICAN MEDICAL CONSULTANTSADULT REHABILITATION SERVICES, INC. Name: Xxxxx Xxxxxx Name: Xxxxx X. Xxxxx Title: Assoc. Commissioner IDD/BH Title: Sponsor Date of execution: July _August 20, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of execution: July 20August 17, 2020 THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000663700087 ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D UNIFORM TERMS AND CONDITIONS-GRANTEE VERSION 2.16.1 ATTACHMENT E SPECIAL CONDITIONS VERSION 1.2 ATTACHMENT F FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORK
Appears in 1 contract
Samples: contracts.hhs.texas.gov
ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): H79TI081729 6 B04MC33869-01-01 Federal Award Date: 09/30/2018 12/17/2019 Name of Federal Awarding Agency: U.S. Department of Health and Human Services (HHS)Services, Substance Abuse Health Resources and Mental Health Services Administration (SAMHSAHRSA) CFDA Name and Number: State Opioid Response, 93.788 93.994 Awarding Official Contact Information: Xxxxxx XxxxxxxProgram Contact: Xxxxx Xxxxxxxxx XXXX/DSCH/Dallas 0000 Xxxxx Xx. Dallas, Grants Management Officer, Point of Contact is XxXxxxxx X. Browne, Grants Specialist, Contact NumberTX 75202-5433 Email: xxxxxxxxxx@xxxx.xxx Phone: (000) 000-00000000 Fax: (000) 000-0000 Division of Grants Management Operations: Xxxxxxx Xxxxxx MailStop Code: 10N 176D OFAM 5600 Fishers Ln. Rockville, MD 20852-1750 Email: xxxxxxxx.xxxxxx@xxxxxx.xxx.xxx xxxxxxx@xxxx.xxx Phone: (000) 000-0000 Fax: (000) 000-0000 SIGNATURE PAGE FOLLOWS SIGNATURE PAGE FOR SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000790300001 DEPARTMENT OF STATE HEALTH AND HUMAN SERVICES COMMISSION THE UNIVERSITY OF TEXAS AMERICAN MEDICAL CONSULTANTSAT AUSTIN S g S g Printed Name: Xxxxx Xxxx, INC. Xxxxx Xxxxxx Assoc. Commissioner IDD/BH M.D Printed Name: Xxxx X. Xxxxxxxxxx Title: _Associate Commissioner, Community HealthTIimtlep: rAosvseimsteant Director, OSP Date of executionsignature: July 20August 24, 2020 Xxxxxxx X. Xxxxxx Administrative Director Date of executionsignature: July 20August 24, 2020 THE FOLLOWING ATTACHMENTS DOCUMENTS ARE ATTACHED TO SYSTEM AGENCY CONTRACT NO. HHS000663700001 HHS000790300001 AND ARE HEREBY INCORPORATED BY REFERENCE: ATTACHMENT A -- STATEMENT OF WORK ATTACHMENT A-1 STATEMENT OF WORK SUPPLEMENTAL ATTACHMENT B PROGRAM SERVICES & UNIT RATES -- BUDGET ATTACHMENT C GENERAL AFFIRMATIONS ATTACHMENT D -- UNIFORM TERMS AND CONDITIONS-CONDITIONS – GRANTEE VERSION 2.16.1 2.16.1, MARCH 26, 2019 ATTACHMENT D – UT SYSTEM SUPPLEMENTAL CONDITIONS V.1.1 MARCH 2020 ATTACHMENT E – UT SYSTEM SPECIAL CONDITIONS VERSION 1.2 V.03.2017 ATTACHMENT F -- FEDERAL ASSURANCES AND CERTIFICATIONS ATTACHMENT G DATA USE AGREEMENT VERSION 8.5 ATTACHMENT H FISCAL FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) FORM ATTACHMENT I SYSTEM AGENCY SOLICITATION NO. HHS0006637 INCLUDING ANY CLARIFICATIONS OR MODIFICATIONS MADE IN RESPONSE TO QUESTIONS SUBMITTED DURING POSTING AND ANY ADDENDUM ATTACHMENT X XXXXXXX’S PROPOSAL FOR SOLICITATION NO. HHS0006637 G-- FFATA ATTACHMENTS FOLLOW ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORKWORK HELP ME GROW TEXAS PROGRAM I. PURPOSE Xxxxxxx will lead efforts as the external system evaluator of the Help Me Grow Texas Cohort and Help Me Grow North Texas initiative, with the goal of developing a three-year strategic plan to guide state efforts to support the expansion of effective early childhood systems in Texas communities. Help Me Grow is an evidence-based national system model that promotes collaboration among child-serving sectors to build a more efficient and effective system that promotes the optimal health development of young children. Effective early childhood state systems ensure that state policies align with effective community practices, promote and provide implementation support for evidence-base practices, create funding mechanisms that reduce inefficiencies, work to identify system gaps, and develop or revise programs that enhance access and outcomes.
Appears in 1 contract
Samples: contracts.hhs.texas.gov
