Common use of ADDITIONAL GRANT INFORMATION Clause in Contracts

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 No. HHS000663700092 Health and Human Services Commission El Dorado Texas Community Service Center Xxxxx Xxxxxx Name: Xxxxxxx X. Xxxxxx Assoc. Commissioner IDD/BH Title: Administrative Director Date of execution: _July 20, 2020 Date of execution: July 20, 2020 The following attachments to System Agency Contract No. HHS000663700092 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

ADDITIONAL GRANT INFORMATION. Grantee Data Universal Numbering System (DUNS) Number: 807391511 Federal Award Identification Number (XXXX): B08TI083054-01 NU50CK000501 Catalog of Federal Domestic Assistance (CFDA) Name and Number (list all that apply): Epidemiology and Laboratory Capacity for Infectious Diseases (ELC) – 93.323 Federal Award Date: 10/01/2019 April 23, 2020 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 Centers for Disease Control and Prevention Treatment (SAPT), 93.959 State Opioid Response (SOR), 93.788 Awarding Official Contact Information: Xxxxxx XxxxxxxXxxxxxx Xxxxxxxx-Xxxx, Grants Management OfficerOfficer 0000 Xxxxxxx Xxxx – Mailstop TV2 Atlanta, Point of Contact is Xxxxx Xxxx, Grants Specialist, Contact NumberGA 00000-0000 Phone: (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 0000 Signature Page Follows Signature Page for System Agency Contract No. HHS000663700092 Health and Human Services Commission El Dorado Texas Community Service Center Xxxxx HHS000812700041 System Agency Grantee Signature Signature Xxxxxx Name: Xxxxxxx X. Xxxxxx Assoc. Associate Commissioner IDD/BH Title: Administrative Director Date of executionExecution: _July 20October 28, 2020 2021 Xxxxx Xxxxxxxx City Manager Date of executionExecution: July 20October 28, 2020 2021 The following attachments to System Agency Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS000812700041 are 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 - Budget Attachment C General Affirmations Attachment D - Uniform Terms and Conditions-Grantee Version 2.16.1 Conditions - Grant Attachment D - HHS Additional Provisions – Grant Funding Attachment E Special Conditions Version 1.2 - Federal Assurances Non-Construction Attachment F Federal Assurances and certifications - Certification Regarding Lobbying Attachment G - FFATA Attachment H - HHS 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 - Security and any addendum Attachment X Xxxxxxx’s proposal for Solicitation No. HHS0006637 Privacy Inquiry (SPI) Attachments Follow ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORKWORK I. GRANTEE RESPONSIBILITIES Grantee will perform activities as submitted in their DSHS-approved budget for this specific funding contract period. Only activities listed below are approved for this funding and any additional activities not listed in the approved budget must be submitted for DSHS consideration and approval. The activities for this contract funding period are as follows:

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): B08TI083054-01 NU62PS92459 Federal Award Date: 10/01/2019 12/11/2018 Name of Federal Awarding Agency: Department of Health Centers for Disease Control and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) Prevention CFDA Name and Number: Substance Abuse and Prevention Treatment (SAPT), 93.959 State Opioid Response (SOR), 93.788 93.940 Awarding Official Contact Information: Xxxxxx X. Xxxxx, M.B.A Lead Grants Management Specialist Centers for Disease Control and Prevention Infectious Diseases Services Branch 0000 Xxxxxxxxxx Xxxx, XX X-00 Xxxxxxx, Grants Management Officer, Point of Contact is Xxxxx Xxxx, Grants Specialist, Contact NumberXX 00000 Telephone: (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 0000 Signature Page for System Agency Contract NoFollows CONTRACT NO. HHS000663700092 Health and Human Services Commission El Dorado Texas Community Service Center Xxxxx Xxxxxx HHS000077800019 Name: Xxxxxxx X. Xxxxxx Assoc. Commissioner IDD/BH Xxxxx Xxxxx DSHS GRANTEE Name: Xxxxxxxx Xxxx Title: Administrative Director Deputy Commissioner Title: CEO Date of execution: _July 20November 22, 2020 2019 Date of execution: July 20November 18, 2020 2019 The following attachments to System Agency Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS000077800019 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 - Budget Attachment C General Affirmations Attachment D - HHSC Uniform Terms and Conditions-Grantee Version 2.16.1 Conditions – Grant Attachment D – Supplemental Conditions Attachment E Special Conditions Version 1.2 Attachment F - Federal Assurances and certifications Lobbying Form Attachment F - FFATA Certification Attachments Follow The following attachments to System Agency Contract No. HHS000077800019 are hereby incorporated by reference, as if physically attached: Attachment G – Data Use Agreement Version 8.5 (DUA) Attachment G-1 DUA Security and Privacy Inquiry 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 HHS0000778 Attachment X XxxxxxxI - Grantee’s proposal for Solicitation No. HHS0006637 Attachments Follow Response ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORKWORK I. GENERAL REQUIREMENTS FOR ALL GRANTEES All activities conducted under this Contract will support the goals and objectives of the National HIV/STD Strategy and the Texas HIV Plan. The goals of the Texas HIV Plan are to increase HIV awareness among members of the public, community leaders, and policy makers, increase access to HIV prevention efforts for communities and groups at highest risk, successfully diagnose all HIV infections, increase timely linkage to HIV-related treatment for those newly diagnosed with HIV, increase continuous participation in systems of treatment among people living with HIV, and increase viral suppression among people living with HIV. Grantees for ALL activities funded under this award will:

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 HHSC Contract No. HHS000663700092 HHS000663700278 Health and Human Services Commission El Dorado Texas Community Service Center Phoenix Houses of Texas, Inc. Name: Xxxxx Xxxxxx Name: Xxxxxxx X. Xxxx Xxxxxx Title: Assoc. Commissioner IDD/BH Title: Administrative Director President & CEO Date of execution: _July 20August 13, 2020 Date of execution: July 20August 13, 2020 The following attachments to System Agency HHSC Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS000663700278 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

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 No. HHS000663700092 HHS000663700141 Health and Human Services Commission El Dorado Texas Community Service Center Austin Recovery Inc. Name: Xxxxx Xxxxxx Name: Xxxxxxx X. Xxxxxx Xxxxx Xxxxxxxx Title: Assoc. Commissioner IDD/BH Title: Administrative Director CEO Date of execution: _July August 20, 2020 Date of execution: July 20August 17, 2020 The following attachments to System Agency Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS000663700141 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.

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 No. HHS000663700092 HHS000663700090 Health and Human Services Commission El Dorado Texas Community Service Center Dallas Sigma Counseling Services, Inc. Xxxxx Xxxxxx Ita Name: Xxxxxxx X. Xxxxxx Assoc. Xxxx Associate Commissioner IDD/BH Title: Administrative Director CEO Date of execution: _July 20, 2020 Date of execution: July 20, 2020 The following attachments to System Agency Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS000663700090 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.

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): B08TI083054B08TI08354-01 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 No. HHS000663700092 HHS000663700125 Health and Human Services Commission El Dorado Texas Bluebonnet Trails Community Service MHMR Center Xxxxx Xxxxxx Name: Xxxxxxx X. Xxxxxx Assoc. Commissioner IDD/BH Xxxxxx Xxxxxxxxxx Name: Title: Administrative :Executive Director Date of execution: _July 2017, 2020 Date of execution: July 2017, 2020 The following attachments to System Agency Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS000663700125 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

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): B08TI083054B08TI010051-01 18 Federal Award Date: 10/01/2019 10/01/2017 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 Follows Signature Page for System Agency Contract No. HHS000663700092 HHS000130500014 Health and Human Services Commission El Dorado Texas Community Service Center Aliviane, Inc. Xxxxx Xxxxxx Name: Xxxxxxx X. Name: Xxxxxx Xxxxx Title: _Assoc. Commissioner IDD/BH Title: Administrative Director Date of execution: _July 20April 2, 2020 Title: Chief Executive Officer Date of execution: July 20April 1, 2020 The following attachments Documents are Hereby Attached to System Agency Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS000130500014: 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 Budget Attachment C General Affirmations Attachment D Uniform Terms and Conditions-Grantee Version 2.16.1 Conditions 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 K Indirect Cost Rate Agreement The Following Documents are Hereby incorporated by Reference to System Agency Contract No. HHS000130500014 Attachment I System Agency Solicitation No. HHS0006637 HHS0001305 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 HHS0001305 Attachments Follow ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORKWORK (SOW)

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 No. HHS000663700092 HHS000663700196 Health and Human Services Commission El Dorado Texas Community Service Nexus Recovery Center Xxxxx Xxxxxx Name: Xxxxxxx X. Xxxxxx Assoc. Commissioner IDD/BH Title: Administrative Director Date of execution: _July 2021, 2020 Title: Executive Director/CEO Date of execution: July 2021, 2020 The following attachments to System Agency Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS000663700196 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.

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): B08TI083054-01 NU62PS92459 Federal Award Date: 10/01/2019 12/11/2018 Name of Federal Awarding Agency: Department of Health Centers for Disease Control and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) Prevention CFDA Name and Number: Substance Abuse and Prevention Treatment (SAPT), 93.959 State Opioid Response (SOR), 93.788 93.940 Awarding Official Contact Information: Xxxxxx X. Xxxxx, M.B.A Lead Grants Management Specialist Centers for Disease Control and Prevention Infectious Diseases Services Branch 0000 Xxxxxxxxxx Xxxx, XX X-00 Xxxxxxx, Grants Management Officer, Point of Contact is Xxxxx Xxxx, Grants Specialist, Contact NumberXX 00000 Telephone: (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: 0000 Signature Page Follows Department of Health and Human Services (HHS), Substance Abuse and Mental State Health Services Administration (SAMHSA) CFDA Name and Number: State Opioid Response, 93.788 Awarding Official Contact InformationCONTRACT NO. HHS000077800014 DSHS GRANTEE Name: 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. HHS000663700092 Health and Human Services Commission El Dorado Texas Community Service Center Xxxxx Xxxxxx Name: Xxxxxxx X. Xxxxxx Assoc. Commissioner IDD/BH Xxxxx Xxxxxxxxxx Title: Administrative Associate Commissioner Title: Executive Director Date of execution: _July 20November 1, 2020 2019 Date of execution: July 20November 1, 2020 2019 The following attachments to System Agency Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS000077800014 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 - Budget Attachment C General Affirmations Attachment D - HHSC Uniform Terms and Conditions-Grantee Version 2.16.1 Conditions – Grant Attachment D – Supplemental Conditions Attachment E Special Conditions Version 1.2 Attachment F - Federal Assurances and certifications Lobbying Form Attachment F - FFATA Certification Attachments Follow The following attachments to System Agency Contract No. HHS000077800014 are hereby incorporated by reference, as if physically attached: Attachment G – Data Use Agreement Version 8.5 (DUA) Attachment G-1 – DUA Security and Privacy Inquiry 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 HHS0000778 Attachment X XxxxxxxI - Grantee’s proposal for Solicitation No. HHS0006637 Attachments Follow Response ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORKWORK I. GENERAL REQUIREMENTS FOR ALL GRANTEES All activities conducted under this Contract will support the goals and objectives of the National HIV/STD Strategy and the Texas HIV Plan. The goals of the Texas HIV Plan are to increase HIV awareness among members of the public, community leaders, and policy makers, increase access to HIV prevention efforts for communities and groups at highest risk, successfully diagnose all HIV infections, increase timely linkage to HIV-related treatment for those newly diagnosed with HIV, increase continuous participation in systems of treatment among people living with HIV, and increase viral suppression among people living with HIV. Grantees for ALL activities funded under this award will:

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 No. HHS000663700092 HHS000779500003 Health and Human Services Commission El Dorado Texas Community Service Center City of Lubbock Xxxxx Ita Associate Commissioner Xxxxxx Name: Xxxxxxx X. Xxxxxx Assoc. Commissioner IDD/BH Title: Administrative Director Xxxx Mayor Date of execution: _July 20August 15, 2020 Date of execution: July 20August 14, 2020 The following attachments Documents are Hereby Attached to System Agency Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS000779500003: 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 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, located at the following link: 448 Title 25 Part 1 xxxxx://xxxxxx.xxx.xxxxx.xx.xx/public/readtac$ext.ViewTAC?tac_view=4&ti=25&pt=1&ch=448 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.

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 HHSC Contract No. HHS000663700092 HHS000663700179 Health and Human Services Commission El Dorado Texas Community Service Center Serving Children and Adults in Need, Inc. Xxxxx Xxxxxx Name: Xxxxxxx X. Xxxxxx Assoc. Commissioner IDD/BH Title: Administrative Director Xxxxx Xxxxxxx Chief Executive Officer Date of execution: _July 2022, 2020 Date of execution: July 2022, 2020 The following attachments to System Agency HHSC Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS000663700179 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

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 HHSC Contract No. HHS000663700092 HHS000663700097 Health and Human Services Commission El Dorado Texas Community Service Center for Success and Independence, Inc. Xxxxx Xxxxxx Name: Xxxxxxx X. Xxxxxx Assoc. Commissioner IDD/BH Title: Administrative Director Date of execution: _July 2024, 2020 Xxxxxx Xxxxx Chief Executive Officer Date of execution: July 2023, 2020 The following attachments to System Agency HHSC Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS000663700097 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

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 No. HHS000663700092 HHS000663700051 Health and Human Services Commission El Dorado Texas Community Service The Montrose Center Xxxxx Xxxxxx Name: Ita Associate Commissioner Xxx X. Xxxxxxx X. Xxxxxx Assoc. Commissioner IDD/BH Title: Administrative Executive Director Date of execution: _July 20, 2020 Date of execution: July 2017, 2020 The following attachments to System Agency Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS000663700051 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.

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 HHSC Contract No. HHS000663700092 HHS000663700105 Health and Human Services Commission El Dorado Texas Community Service Center Longview Wellness Center, Inc. Xxxxx Xxxxxx Name: Xxxxxxx X. Xxxxxx Assoc. Commissioner IDD/BH Title: Administrative Director Xxxx Xxxxx Chief Executive Officer Date of execution: _July 20, 2020 Date of execution: July 20, 2020 The following attachments to System Agency HHSC Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS000663700105 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

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 No. HHS000663700092 HHS000663700008 Health and Human Services Commission El Dorado Texas Community Service Center The Turning Point, Inc. Xxxxx Xxxxxx Name: Xxxxxxx X. Xxxxxx Assoc. Commissioner IDD/BH Title: Administrative Director Date of execution: _July 2023, 2020 Xxxxx Xxxxxxxx Executive Director Date of execution: July 20, 2020 The following attachments to System Agency Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS000663700008 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.

ADDITIONAL GRANT INFORMATION. Grantee Data Universal Numbering System (DUNS) Number: 58213893 Federal Award Identification Number (XXXX): B08TI083054B08TI083478-01 Catalog of Federal Domestic Assistance (CFDA) Name and Number (list all that apply): • Name – Number 93.959 Federal Award Date: 10/01/2019 02/02/2021 Federal Award Period: 10/01/2020-09/30/2022 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) Management Specialist Center for Substance Abuse Treatment xxxxx.xxxx@xxxxxx.xxx.xxx 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 0000 Signature Page Follows Signature Page for System Agency Contract No. HHS000663700092 Health and Human Services Commission El Dorado Texas Community Service Center HHS001081400001 HEALTH AND HUMAN SERVICES CITY OF LUBBOCK COMMISSION Xxxxx Xxxxxx Name: Xxxxxxx X. Xxxxxx Assoc. Commissioner IDD/BH Title: Administrative Director SG Date of executionExecution: _July 20September 11, 2020 2021 Xxxxxx Xxxx Mayor Date of executionExecution: July 20September 8, 2020 2021 The following attachments to System Agency Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS001081400001 are incorporated by reference: ATTACHMENT A - GENERAL STATEMENT OF WORK ATTACHMENT A-1 - YOUTH PREVENTION STATEMENT OF WORK ATTACHMENT A-2 - COMMUNITY COALITION PARTNERSHIP STATEMENT OF WORK ATTACHMENT A-3 - PREVENTION RESOURCE CENTERS STATEMENT OF WORK ATTACHMENT B – FISCAL REQUIREMENTS ATTACHMENT B-1 - APPROVED CATEGORICAL BUDGET ATTACHMENT C – DELIVERABLES & PERFORMANCE MEASURES ATTACHMENT D – HHSC UNIFORM TERMS & CONDITIONS GRANT V 2.16.1 ATTACHMENT E-- CONTRACT AFFIRMATIONS ATTACHMENT F -- HHSC ADDITIONAL PROVISIONS VERSION 1.0, SEPTEMBER 2021 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 G – Federal Assurances and certifications Attachment G H– Data Use Agreement Version 8.5 Attachment H Fiscal I—Federal Funding Accountability funding accountability and Transparency Act transparency act (FFATAffata) 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 GENERAL STATEMENT OF WORK

ADDITIONAL GRANT INFORMATION. Federal Award Identification Number (XXXX): B08TI083054-01 NU62PS92459 Federal Award Date: 10/01/2019 12/11/2018 Name of Federal Awarding Agency: Department of Health Centers for Disease Control and Human Services (HHS), Substance Abuse and Mental Health Services Administration (SAMHSA) Prevention CFDA Name and Number: Substance Abuse and Prevention Treatment (SAPT), 93.959 State Opioid Response (SOR), 93.788 93.940 Awarding Official Contact Information: Xxxxxx X. Xxxxx, M.B.A Lead Grants Management Specialist Centers for Disease Control and Prevention Infectious Diseases Services Branch 0000 Xxxxxxxxxx Xxxx, XX X-00 Xxxxxxx, Grants Management Officer, Point of Contact is Xxxxx Xxxx, Grants Specialist, Contact NumberXX 00000 Telephone: (000) 000-0000, Facsimile0000 Signature Page Follows CONTRACT NO. HHS000077800010 DSHS GRANTEE Name: (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 InformationXxxxxxxx Xxxx Name: 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. HHS000663700092 Health and Human Services Commission El Dorado Texas Community Service Center Xxxxx Xxxxxx Name: Xxxxxxx X. Xxxxxx Assoc. Commissioner IDD/BH Title: Administrative Director Deputy Commissioner Title: Sr. Director, Sponsored Programs Date of execution: _July 20November 11, 2020 2019 Date of execution: July 20November 7, 2020 2019 The following attachments to System Agency Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS000077800010 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 - Budget Attachment C General Affirmations Attachment D - HHSC Uniform Terms and Conditions-Grantee Version 2.16.1 Conditions – Grant Attachment D – Supplemental Conditions Attachment E Special Conditions Version 1.2 Attachment F - Federal Assurances and certifications Lobbying Form Attachment F - FFATA Certification Attachment G - Data Use Agreement Version 8.5 (DUA) Attachments Follow The following attachments to System Agency Contract No. HHS000077800010 are hereby incorporated by reference, as if physically attached: Attachment G-1 – DUA Security and Privacy Inquiry 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 HHS0000778 Attachment X XxxxxxxI - Grantee’s proposal for Solicitation No. HHS0006637 Attachments Follow Response ATTACHMENT A MEDICATION ASSISTED TREATMENT STATEMENT OF WORKWORK I. GENERAL REQUIREMENTS FOR ALL GRANTEES All activities conducted under this Contract will support the goals and objectives of the National HIV/STD Strategy and the Texas HIV Plan. The goals of the Texas HIV Plan are to increase HIV awareness among members of the public, community leaders, and policy makers, increase access to HIV prevention efforts for communities and groups at highest risk, successfully diagnose all HIV infections, increase timely linkage to HIV-related treatment for those newly diagnosed with HIV, increase continuous participation in systems of treatment among people living with HIV, and increase viral suppression among people living with HIV. Grantees for ALL activities funded under this award will:

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 No. HHS000663700092 HHS000663700081 Health and Human Services Commission El Dorado Texas Community Service Center Bee Cave Recovery Xxxxx Xxxxxx Name: Xxxxxxx X. Xxxxxx Assoc. Ita Associate Commissioner IDD/BH Title: Administrative Director Date of execution: _July 20, 2020 Xxxxx Xxxxxxxx Executive Director Date of execution: July 20, 2020 The following attachments to System Agency Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS000663700081 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.

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 No. HHS000663700092 HHS000663700038 Health and Human Services Commission El Dorado Texas Community Service Center Turtle Creek Manor, Inc. Xxxxx Xxxxxx Name: Xxxxxxx X. Xxxxxx Assoc. Ita Associate Commissioner IDD/BH Title: Administrative Director Date of execution: _July 20, 2020 Date of execution: July 2022, 2020 Name: Xxxx X. Xxxxxxxxx Title: Pres./CEO Date of execution: July 22, 2020 The following attachments to System Agency Contract No. HHS000663700092 ARE HEREBY INCORPORATED BY REFERENCEHHS000663700038 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