HomeMy WebLinkAbout32063AGT. # 13-331-1
1 AMENDMENT I TO SUBSTANCE ABUSE TREATMENT SERVICES MASTER
2 AGREEMENT
3 THIS AMENDMENT I TO AGREEMENT, hereinafter referred to as Amendment I, is made
4 and entered into this j4h day of~~ , 2015, by and between the COUNTY OF
5 FRESNO, a Political Subdivision of the State of California, hereinafter referred to as "COUNTY" and
6 each contractor listed in Revised Exhibit A, attached hereto and by this reference incorporated herein,
7 collectively hereinafter referred to as "CONTRACTORS", and such additional contractors as may,
8 from time to time during the term of this Agreement, be added by COUNTY.
9 WHEREAS, the parties entered into that certain Agreement, identified as Agreement No. 13-
10 331, effective July 1, 2013, whereby CONTRACTORS agreed to provide substance abuse services for
11 CalWORKs (California Work Opportunity and Responsibility to Kids) and Child Welfare Services
12 (CWS) clients for DSS (Department of Social Services); and
13 WHEREAS, the parties desire to amend the Agreement regarding changes as stated below and
14 restate the Agreement in its entirety.
15 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy ofwhich
16 is hereby acknowledged, COUNTY and CONTRACTORS agree as follows:
17 1. That existing Agreement No. 13-331, Section Three (3), Page Three (3), beginning on
18 Line Twelve (12) with letter "C", and ending with Section Five (5), on Page Four (4), Line Twenty-
19 Four (24) with the word "received." be deleted and the following inserted in its place:
2 0 "C. Without Cause -Under circumstances other than those set forth above, this
21 Agreement may be terminated by COUNTY or COUNTY's DSS or designee upon the giving of thirty
2 2 (30) days advance written notice of an intention to terminate to CONTRACTOR. Written notice of
2 3 termination given by a CONTRACTOR to the COUNTY shall only be effective as to the Agreement
2 4 in relation to that CONTRACTOR and shall have no effect on the Agreement with respect to all other
2 5 CONTRACTORS. Likewise, written notice of termination given by the COUNTY or COUNTY'S
2 6 DSS Director or designee shall only be effective as to the Agreement in relation to the
2 7 CONTRACTOR to whom the notice is addressed and shall have no effect on the Agreement with
2 8 respect to all other CONTRACTORS.
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4.COMPENSATION
COUNTY agrees to pay CONTRACTORS,and CONTRACTORS agree to receive
compensation,on a fee-for-service basis and CONTRACTORS agree to receive compensation on a
fee-for-service basis. The COUNTY shall have the right to demand of the CONTRACTORS the
repayment to the COUNTY of any funds disbursed to the CONTRACTORS under this Agreement,
which in the judgment of the COUNTY were not expended in accordance with the terms of this
Agreement.The CONTRACTORS shall promptly refund any such funds upon demand.In no event
shall actual services performed under this Agreement by all CONTRACTORS collectively be in
excess of Three Million and No/100 Dollars ($3,000,000.00)for the period of July 1, 2013 through
June 30, 2014. For the period of July 1, 2014 through June 30, 2015, in no event shall maximum
compensation for services performed under this Agreement be in excess of Three Million Two
Hundred and Fifty Thousand and No/100 Dollars ($3,250,000.00).For the period of July 1, 2015
through June 30,2016,in no event shall maximum compensation for services performed under this
Agreement be in excess of Three Million Five Hundred Fifty Thousand and No/100 Dollars
($3,550,000.00).The cumulative total of this Agreement shall not be in excess of Nine Million Eight
Hundred Thousand and No/100 Dollars ($9,800,000.00).DSS shall reimburse up to the maximum
rates identified in Revised Exhibit C,attached hereto and by this reference incorporated herein,for
each type of service.
It is understood that all expenses incidental to CONTRACTORS'performance of
services under this Agreement shall be borne by CONTRACTORS.
5.INVOICING
CONTRACTORS shall invoice COUNTY'S DSS in arrears by the tenth (10th)of each
month for services rendered in the previous month to:DSSInvoices@co.fresno.ca.us.Payments by
COUNTY'S DSS shall be in arrears,for actual services provided during the preceding month,within
forty-five (45) days after receipt,verification and approval of CONTRACTOR'S invoices by
COUNTY'S DSS. A service plan and/or progress report shall accompany the invoice,reflecting
services supported by the invoiced expenditures and be in a format and in such detail acceptable to
COUNTY'S DSS.No reimbursement for services shall be made until invoices,service plans and/or
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progress reports are received by COUNTY'S DSS.CONTRACTORS who are Drug Medi-Cal
certified shall be required to invoice Medi-Cal for eligible services for DSS clients,prior to submitting
invoice to COUNTY'S DSS.If CONTRACTOR should fail to comply with any provision of this
Agreement,COUNTY shall be relieved of its obligation for further compensation.
At the discretion of COUNTY'S DSS Director or designee,if an invoice is incorrect or
is otherwise not in proper form or detail,COUNTY'S DSS Director or designee shall have the right to
withhold payment as to only that portion of the invoice that is incorrect or improper after five (5) days
prior written notice or email correspondence to CONTRACTORS.CONTRACTORS agree to
continue to provide services for a period of ninety (90) days after written or email notification of an
incorrect or improper invoice.If after the ninety (90) day period the invoice(s)is still not corrected to
COUNTY'S DSS satisfaction,COUNTY or COUNTY'S DSS Director or designee may elect to
terminate this Agreement,pursuant to the termination provisions stated in Paragraph Three (3)of this
Agreement.All final claims shall be submitted by CONTRACTOR within sixty (60) days following
the month of actual service for which payment is claimed.No payment for services shall be made by
COUNTY'S DSS on claims submitted beyond sixty (60)days following the month of actual service
for which payment except where CONTRACTOR'S attempt to invoice Medi-Cal prior to the
COUNTY'S DSS is delayed by the Medi-Cal approval and denial process."
2.That existing Agreement No.13-331,Page Ten (10),Section Thirteen (13),beginning
on Line Twelve (12)with number "13.CONFIDENTIALITY"and ending on Page Twelve (12),Line
Seventeen (17)with the word "Agreement"be deleted and the following inserted in its place:
"13.MEDI-CAL PRIVACY
All services performed by CONTRACTOR under this Agreement shall be in strict
conformance with all applicable Federal,State of California,and/or local laws and regulations relating
to confidentiality including,but not limited to:California Welfare and Institutions Code Sections
10850 and 14100.2;the CDSS Manual of Policies and Procedures,Division 19-0000;the California
Department of Health Care Services (DHCS)Medi-Cal Eligibility Procedures Manual,Section 2H;
and the Medi-Cal Data Privacy and Security Agreement between the California DHCS and the County
of Fresno,Agreement No.A-14-075,by this reference incorporated herein, to assure that all
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applications and records concerning program recipients shall be kept confidential and shall not be
opened to examination,publicized,disclosed,or used for any purpose not directly connected with
administration of the program.Agreement No.A-14-075 is available upon request or can be viewed
at:http://www.co.fresno.ca.us/MediCalPrivacy/.CONTRACTOR shall inform all of its employees,
agents, officers,subcontractors,Board of Directors members or partners of this provision;and that any
person knowingly and intentionally violating this provision is guilty of a misdemeanor."
3.That existing Agreement No.13-331,Page Sixteen (16),Section Twenty-Three (23),
beginning on Line Ten (10)with number "23.DATA SECURITY"and ending with Section Twenty-
Four (24), on Page Seventeen (17),Line Twenty-Six (26) with the word "regulations"be deleted and
the following inserted in its place:
"23.DATA SECURITY
For the purpose of preventing the potential loss,misappropriation or inadvertent
disclosure of COUNTY data including sensitive or personal client information;abuse of COUNTY
resources;and/or disruption to COUNTY operations,individuals and/or agencies that enter into a
contractual relationship with COUNTY for the purpose of providing services under this Agreement
must employ adequate data security measures to protect the confidential information provided to
CONTRACTOR by COUNTY,including but not limited to the following:
A.Contractor-Owned Mobile/Wireless/Handheld Devices may not be
connected to COUNTY networks via personally owned mobile,wireless or handheld devices,except
when authorized by COUNTY for telecommuting and then only if virus protection software currency
agreements are in place,and if a secure connection is used.
B.Contractor-Owned Computers or Computer Peripherals may not brought
into COUNTY for use,including and not limited to mobile storage devices,without prior authorization
from COUNTY'S Chief Information Officer or her designee.Data must be stored on a secure server
approved by COUNTY and transferred by means of a VPN (Virtual Private Network)connection,or
another type of secure connection of this type if any data is approved to be transferred.
C.County-Owned Computer Equipment -CONTRACTOR or anyone
having an employment relationship with COUNTY may not use COUNTY computers or computer
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peripherals on non-COUNTY premises without prior authorization from COUNTY'S Chief Information
Officer or her designee.
D.CONTRACTOR may not store COUNTY's private,confidential or
sensitive data on any hard-disk drive.
E.CONTRACTOR is responsible to employ strict controls to insure the
integrity and security of COUNTY'S confidential information and to prevent unauthorized access to
data maintained in computer files,program documentation,data processing systems,data files and data
processing equipment which stores or processes COUNTY data internally and externally.
F.Confidential client information transmitted to one party by the other by
means of electronic transmissions must be encrypted according to Advanced Encryption Standards
(AES)of 128 BIT or higher.Additionally,a password or pass phrase must be utilized.
G.CONTRACTOR is responsible to immediately notify COUNTY of any
breaches or potential breaches of security related to COUNTY'S confidential information,data
maintained in computer files,program documentation,data processing systems,data files and data
processing equipment which stores or processes COUNTY data internally or externally.
H. In the event of a breach of security related to COUNTY'S confidential
client information provided to CONTRACTOR,COUNTY will manage the response to the incident,
however,CONTRACTOR will be responsible to issue any notification to affected individuals as
required by law or as deemed necessary by COUNTY in its sole discretion.CONTRACTOR will be
responsible for all costs incurred as a result of providing the required notification.When no longer
needed,all Medi-Cal Personally Identifiable Information,as defined in the Medi-Cal Data Privacy and
Security Agreement between the California DHCS and the County of Fresno,Agreement No.A-14-
075, whether stored in print or electronic format, must be destroyed or disposed of through confidential
means, as described in Agreement A-14-075.Agreement No.A-14-075,is available upon request or
can be viewed at:http://www.co.fresno.ca.us/MediCalPrivacy/.
I. The requirements in this Data Security provision shall apply to
CONTRACTOR'S subcontractors,if any
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24.NON-DISCRIMINATION
During the performance of this Agreement CONTRACTOR shall not unlawfully
discriminate against any employee or applicant for employment,or recipient of services,because of
ethnic group identification,gender,gender identity,gender expression,sexual orientation,color,
physical disability,mental disability,medical condition,national origin,race,ancestry,marital status,
religion,or religious creed,pursuant to all applicable State of California and Federal statutes and
regulations."
4.That existing Agreement No.13-331,Page Eighteen (18),Section Twenty-Eight (28),
beginning on Line Twenty-Four (24)with number "28.ADDITIONS/DELETIONS OF
CONTRACTORS"and ending on Page Nineteen (19)Line Six (6)with the word "Agreement"be
deleted and the following inserted in its place:
"28.ADDITIONS/DELETIONS OF CONTRACTORS
COUNTY'S DSS Director or designee,on behalf of the COUNTY,reserves the right at
any time during the term of this Agreement to add new contractors to those identified in Revised
Exhibit A.CONTRACTORS shall meet pre-qualification requirements identified in Revised RFP
No.952-5054,prior to being added to this Agreement.It is understood that any such additions shall not
affect compensation paid to the other CONTRACTORS,and therefore such additions may be made by
COUNTY'S DSS Director or designee without notice to or approval of other CONTRACTORS under
this Agreement.These same provisions shall apply to the deletion of any CONTRACTOR identified in
Revised Exhibit A,except that deletions shall be by mutual written agreement between COUNTY'S
DSS Director or designee and the particular CONTRACTOR to be deleted,or shall be in accordance
with the provisions of Paragraph Three (3)of this Agreement."
5.That existing Agreement No. 13-33,Page Twenty (20),Section Thirty-Three (33),
beginning on Line Three (3)with number "33.COMPLIANCE WITH STATE AND FEDERAL
REQUIREMENTS"and ending with Section Thirty-Four (34),on Line Fifteen (15)with the number
"8546.7"be deleted and the following inserted in its place:
"33.COMPLIANCE WITH STATE AND FEDERAL REQUIREMENTS
CONTRACTORS shall adhere to all State of California and Federal and State
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requirements. CONTRACTORS recognize that COUNTY operates several of its alcohol and drug
programs with the use of Federal funds, and that the use of these funds imposes certain requirements on
COUNTY and its subcontractors.
34.AUDITS AND INSPECTIONS
CONTRACTOR shall at any time during business hours, and as often as COUNTY may
deem necessary, make available to COUNTY for examination all of its records and data with respect to
the matters covered by this Agreement.CONTRACTOR shall, upon request by COUNTY, permit
COUNTY to audit and inspect all such records and data necessary to ensure CONTRACTOR'S
compliance with the terms of this Agreement.
If this Agreement exceeds Ten Thousand and No/100 Dollars ($10,000.00),
CONTRACTOR shall be subject to the examination and audit of the State of California Auditor
General for a period of three (3) years after final payment under contract (California Government Code
section 8546.7).
In addition,CONTRACTOR shall cooperate and participate with COUNTY'S fiscal
review process and comply with all final determinations rendered by the COUNTY'S fiscal review
process.If COUNTY reaches an adverse decision regarding CONTRACTOR'S services to consumers,
it may result in the disallowance of payment for services rendered;or in additional controls to the
delivery of services, or in the termination of this Agreement,at the discretion of COUNTY'S DSS
Director or designee.If as a result of COUNTY'S fiscal review process a disallowance is discovered
due to CONTRACTOR'S deficiency,CONTRACTOR shall be financially liable for the amount
previously paid by COUNTY to CONTRACTOR and this disallowance will be adjusted from
CONTRACTOR'S future payments, at the discretion of COUNTY'S DSS Director or designee. In
addition,COUNTY shall have the sole discretion in the determination of fiscal review outcomes,
decisions and actions."
6.That the following section shall be added to Page 20 of existing Agreement No.13-331,
beginning on line 16.
"35.HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
A. The parties to this Agreement shall be in strict conformance with all applicable
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Federal and State of California laws and regulations,including but not limited to Sections 5328,
10850,and 14100.2 etseq.of the Welfare and Institutions Code, Sections 2.1 and 431.300 etseq.of
Title 42, Code of Federal Regulations (CFR), Section 56 etseq.of the California Civil Code, Sections
11977 and 11812 of Title 22 of the California Code of Regulations,and the Health Insurance
Portabilityand Accountability Act (HIPAA),including but not limited to Section 1320 D et seq.of
Title 42, United States Code (USC) and its implementing regulations, including, but not limited to
Title 45, CFR, Sections 142, 160,162,and 164, The Health Information Technology for Economic
and Clinical Health Act (HITECH)regarding the confidentiality and security of patient information,
and the Genetic Information Nondiscrimination Act (GINA)of 2008 regarding the confidentiality of
genetic information.
Except as otherwise provided in this Agreement,CONTRACTOR,as a Business
Associate of COUNTY, may use or disclose Protected Health Information (PHI) to perform functions,
activities or services for or on behalf of COUNTY, as specified in this Agreement, provided that such
use or disclosure shall not violate the Health Insurance Portability and Accountability Act (HIPAA),
USC 1320d etseq.The uses and disclosures of PHI may not be more expansive than those applicable
to COUNTY, as the "Covered Entity" under the HIPAA Privacy Rule (45 CFR 164.500 etseq.),
except as authorized for management,administrative or legal responsibilities of the Business
Associate.
B.CONTRACTOR,including its subcontractors and employees,shall protect,
from unauthorized access,use, or disclosure of names and other identifying information,including
genetic information,concerning persons receiving services pursuant to this Agreement,except where
permitted in order to carry out data aggregation purposes for health care operations [45 CFR Sections
164.504 (e)(2)(i),164.504 (3)(2)(ii)(A),and 164.504 (e)(4)(i)] This pertains to any and all persons
receiving services pursuant to a COUNTY funded program.This requirement applies to electronic
PHI.CONTRACTOR shall not use such identifying information or genetic information for any
purpose other than carrying out CONTRACTOR'S obligations under this Agreement.
C.CONTRACTOR,including its subcontractors and employees,shall not disclose
any such identifying information or genetic information to any person or entity,except as otherwise
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specifically permitted by this Agreement,authorized by Subpart E of 45 CFR Part 164 or other law,
required by the Secretary,or authorized by the client/patient in writing.In using or disclosing PHI
that is permitted by this Agreement or authorized by law,CONTRACTOR shall make reasonable
efforts to limit PHI to the minimum necessary to accomplish intended purpose of use,disclosure or
request.
D.For purposes of the above sections,identifying information shall include,but
not be limited to name, identifying number,symbol,or other identifying particular assigned to the
individual,such as finger or voice print, or photograph.
E. For purposes of the above sections,genetic information shall include genetic
tests of family members of an individual or individual,manifestation of disease or disorder of family
members of an individual,or any request for or receipt of,genetic services by individual or family
members.Family member means a dependent or any person who is first,second,third,or fourth
degree relative.
F.CONTRACTOR shall provide access,at the request of COUNTY,and in the
time and manner designated by COUNTY,to PHI in a designated record set (as defined in 45 CFR
Section 164.501),to an individual or to COUNTY in order to meet the requirements of 45 CFR
Section 164.524 regarding access by individuals to their PHI.With respect to individual requests,
access shall be provided within thirty (30)days from request.Access may be extended if
CONTRACTOR cannot provide access and provides individual with the reasons for the delay and the
date when access may be granted.PHI shall be provided in the form and format requested by the
individual or COUNTY.
CONTRACTOR shall make any amendment(s)to PHI in a designated record
set at the request of COUNTY or individual,and in the time and manner designated by COUNTY in
accordance with 45 CFR Section 164.526.
CONTRACTOR shall provide to COUNTY or to an individual,in a time and
manner designated by COUNTY,information collected in accordance with 45 CFR Section 164.528,
to permit COUNTY to respond to a request by the individual for an accounting of disclosures of PHI
in accordance with 45 CFR Section 164.528.
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G.CONTRACTOR shall report to COUNTY,in writing, any knowledge or
reasonable belief that there has been unauthorized access,viewing,use,disclosure,security incident,
or breach of unsecured PHI not permitted by this Agreement of which it becomes aware,immediately
and without reasonable delay and in no case later than two (2)business days of discovery.Immediate
notification shall be made to COUNTY'S Information Security Officer and Privacy Officer and
COUNTY'S DPH HIPAA Representative,within two (2)business days of discovery.The notification
shall include,to the extent possible,the identification of each individual whose unsecured PHI has
been, or is reasonably believed to have been,accessed,acquired,used,disclosed,or breached.
CONTRACTOR shall take prompt corrective action to cure any deficiencies and any action pertaining
to such unauthorized disclosure required by applicable Federal and State Laws and regulations.
CONTRACTOR shall investigate such breach and is responsible for all notifications required by law
and regulation or deemed necessary by COUNTY and shall provide a written report of the
investigation and reporting required to COUNTY'S Information Security Officer and Privacy Officer
and COUNTY'S DPH HIPAA Representative.This written investigation and description of any
reporting necessary shall be postmarked within the thirty (30) working days of the discovery of the
breach to the addresses below:
County of Fresno County of Fresno County of Fresno
Dept.of Public Health Dept.of Public Health Information Technology Services
HIPAA Representative Privacy Officer Information Security Officer
(559)600-6439 (559)600-6405 (559)600-5800
P.O.Box 11867 P.O.Box 11867 2048 N.Fine Street
Fresno,CA 93775 Fresno,CA 93775 Fresno,CA 93727
H.CONTRACTOR shall make its internal practices,books,and records relating to
the use and disclosure of PHI received from COUNTY,or created or received by the CONTRACTOR
on behalf of COUNTY,in compliance with HIPAA's Privacy Rule,including,but not limited to the
requirements set forth in Title 45, CFR, Sections 160 and 164.CONTRACTOR shall make its
internal practices, books, and records relating to the use and disclosure of PHI received from
COUNTY,or created or received by the CONTRACTOR on behalf of COUNTY,available to the
United States Department of Health and Human Services (Secretary) upon demand.
CONTRACTOR shall cooperate with the compliance and investigation reviews conducted by the
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Secretary.PHI access to the Secretary must be provided during the CONTRACTOR'S normal
business hours,however,upon exigent circumstances access at any time must be granted. Upon the
Secretary's compliance or investigation review,if PHI is unavailable to CONTRACTOR and in
possession of a Subcontractor,it must certify efforts to obtain the information to the Secretary.
I.Safeguards
CONTRACTOR shall implement administrative,physical,and technical
safeguards as required by the HIPAA Security Rule,Subpart C of 45 CFR 164,that reasonably and
appropriately protect the confidentiality,integrity,and availability of PHI,including electronic PHI,
that it creates,receives,maintains or transmits on behalf of COUNTY and to prevent unauthorized
access, viewing, use,disclosure,or breach of PHI other than as provided for by this Agreement.
CONTRACTOR shall conduct an accurate and thorough assessment of the potential risks and
vulnerabilities to the confidential,integrity and availability of electronic PHI.CONTRACTOR shall
develop and maintain a written information privacy and security program that includes administrative,
technical and physical safeguards appropriate to the size and complexity of CONTRACTOR'S
operations and the nature and scope of its activities.Upon COUNTY'S request,CONTRACTOR shall
provide COUNTY with information concerning such safeguards.
CONTRACTOR shall implement strong access controls and other security
safeguards and precautions in order to restrict logical and physical access to confidential,personal
(e.g.,PHI)or sensitive data to authorized users only.Said safeguards and precautions shall include
the following administrative and technical password controls for all systems used to process or store
confidential,personal,or sensitive data:
1.Passwords must not be:
a.Shared or written down where they are accessible or
recognizable by anyone else;such as taped to computer screens,stored under keyboards,or visible in
a work area;
b. A dictionary word;or
c.Stored in clear text
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2.Passwords must be:
a. Eight (8)characters or more in length;
b.Changed every ninety (90) days;
c.Changed immediately if revealed or compromised;and
d. Composed of characters from at least three (3)of the following
four (4) groups from the standard keyboard:
1)Upper case letters (A-Z);
2)Lowercase letters (a-z);
3) Arabic numerals (0 through 9); and
4)Non-alphanumeric characters (punctuation symbols).
CONTRACTOR shall implement the following security controls on each
workstation or portable computing device (e.g., laptop computer)containing confidential,
personal,or sensitive data:
1.Network-based firewall and/or personal firewall;
2.Continuously updated anti-virus software;and
3. Patch management process including installation of all operating
system/software vendor security patches.
CONTRACTOR shall utilize a commercial encryption solution that has
received FIPS 140-2 validation to encrypt all confidential,personal,or sensitive data stored on
portable electronic media (including,but not limited to,compact disks and thumb drives) and on
portable computing devices (including,but not limited to, laptop and notebook computers).
CONTRACTOR shall not transmit confidential,personal,or sensitive data via
e-mail or other internet transport protocol unless the data is encrypted by a solution that has been
validated by the National Institute of Standards and Technology (NIST)as conforming to the
Advanced Encryption Standard (AES)Algorithm.CONTRACTOR must apply appropriate sanctions
against its employees who fail to comply with these safeguards.CONTRACTOR must adopt
procedures for terminating access to PHI when employment of employee ends.
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J.Mitigation of Harmful Effects
CONTRACTOR shall mitigate,to the extent practicable,any harmful effect that
is suspected or known to CONTRACTOR of an unauthorized access, viewing, use, disclosure, or
breach of PHI by CONTRACTOR or its subcontractors in violation of the requirements of these
provisions.CONTRACTOR must document suspected or known harmful effects and the outcome.
K.CONTRACTOR'S Subcontractors
CONTRACTOR shall ensure that any of its contractors, including
subcontractors,if applicable,to whom CONTRACTOR provides PHI received from or created or
received by CONTRACTOR on behalf of COUNTY, agree to the same restrictions, safeguards, and
conditions that apply to CONTRACTOR with respect to such PHI and to incorporate, when
applicable,the relevant provisions of these provisions into each subcontract or sub-award to such
agents or subcontractors..
L.Employee Training and Discipline
CONTRACTOR shall train and use reasonable measures to ensure compliance
with the requirements of these provisions by employees who assist in the performance of functions or
activities on behalf of COUNTY under this Agreement and use or disclose PHI and discipline such
employees who intentionally violate any provisions of these provisions,including termination of
employment.
M.Termination for Cause
Upon COUNTY'S knowledge of a material breach of these provisions by
CONTRACTOR,COUNTY shall either:
1.Provide an opportunity for CONTRACTOR to cure the breach or end
the violation and terminate this Agreement if CONTRACTOR does not cure the breach or end the
violation within the time specified by COUNTY;or
2.Immediately terminate this Agreement if CONTRACTOR has breached
a material term of these provisions and cure is not possible.
3.If neither cure nor termination is feasible,the COUNTY'S Privacy
Officer shall report the violation to the Secretary of the U.S.Department of Health and Human
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Services.
N. Judicial or Administrative Proceedings
COUNTY may terminate this Agreement in accordance with the terms and
conditions of this Agreementas writtenhereinabove,if: (1) CONTRACTORis foundguiltyin a
criminalproceedingfor a violationof the HIPAAPrivacyor SecurityLawsor the HITECHAct; or (2)
a finding or stipulationthat the CONTRACTORhas violateda privacy or security standardor
requirement of the HITECH Act, HIPAA or other security or privacy laws in an administrative or civil
proceeding in which the CONTRACTOR is a party.
O.Effect of Termination
Upon termination or expiration of this Agreement for any reason,
CONTRACTOR shall return or destroy all PHI received from COUNTY (or created or received by
CONTRACTOR on behalf of COUNTY) that CONTRACTOR still maintains in any form, and shall
retain no copies of such PHI.If return or destruction of PHI is not feasible,it shall continue to extend
the protections of these provisions to such information,and limit further use of such PHI to those
purposes that make the return or destruction of such PHI infeasible. This provision shall apply to PHI
that is in the possession of subcontractors or agents,if applicable,of CONTRACTOR.If
CONTRACTOR destroys the PHI data,a certification of date and time of destruction shall be
provided to the COUNTY by CONTRACTOR.
P.Disclaimer
COUNTY makes no warranty or representation that compliance by
CONTRACTOR with these provisions,the HITECH Act,HIPAA or the HIPAA regulations will be
adequate or satisfactory for CONTRACTOR'S own purposes or that any information in
CONTRACTOR'S possession or control,or transmitted or received by CONTRACTOR,is or will be
secure from unauthorized access,viewing,use,disclosure,or breach.CONTRACTOR is solely
responsible for all decisions made by CONTRACTOR regarding the safeguarding of PHI.
Q.Amendment
The parties acknowledge that Federal and State laws relating to electronic data
security and privacy are rapidly evolving and that amendment of these provisions may be required to
-14 -COUNTY OF FRESNO
Fresno,CA
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provide for procedures to ensure compliance with such developments.The parties specifically agree
to take such action as is necessary to amend this agreement in order to implement the standards and
requirements of HIPAA,the HIPAA regulations,the HITECH Act and other applicable laws relating
to the security or privacy of PHI.COUNTY may terminate this Agreement upon thirty (30) days
written notice in the event that CONTRACTOR does not enter into an amendment providing
assurances regarding the safeguarding of PHI that COUNTY in its sole discretion,deems sufficient to
satisfy the standards and requirements of HIPAA,the HIPAA regulations and the HITECH Act.
R.No Third-Party Beneficiaries
Nothing express or implied in the terms and conditions of these provisions is
intended to confer,nor shall anything herein confer,upon any person other than COUNTY or
CONTRACTOR and their respective successors or assignees,any rights,remedies,obligations or
liabilities whatsoever.
S.Interpretation
The terms and conditions in these provisions shall be interpreted as broadly as
necessary to implement and comply with HIPAA,the HIPAA regulations and applicable State laws.
The parties agree that any ambiguity in the terms and conditions of these provisions shall be resolved
in favor of a meaning that complies and is consistent with HIPAA and the HIPAA regulations.
T.Regulatory References
A reference in the terms and conditions of these provisions to a section in the HIPAA regulations
means the section as in effect or as amended.
U.Survival
The respective rights and obligations of CONTRACTOR as stated in this
Section shall survive the termination or expiration of this Agreement.
V. No Waiver of Obligations
No change,waiver or discharge of any liability or obligation hereunder on any
one or more occasions shall be deemed a waiver of performance of any continuing or other obligation,
or shall prohibit enforcement of any obligation on any other occasion."
///
15 -COUNTY OF FRESNO
Fresno,CA
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7. Section 35. NOTICES through Section 38. ENTIRE AGREEMENT be renumbered as
Section 36 through 39.
8. Thatall references to ExhibitA inexisting COUNTY AgreementNo.13-331 shallbe
changed to read "Revised Exhibit A",attached hereto.
9. Thatall references to ExhibitB inexisting COUNTY Agreement No.13-331 shallbe
changed to read "Revised Exhibit B",attached hereto.
10.Thatall references to ExhibitC inexisting COUNTY Agreement No.13-331 shallbe
changed to read "Revised Exhibit C",attached hereto.
11.COUNTY and CONTRACTOR agree that this Amendment I is sufficient to amend
COUNTY Agreement No.13-331 and,that upon execution ofthis Amendment I,the original
Agreement and Amendment I together shall be considered the Agreement.
The Agreement,as hereby amended,isratifiedand continued.All provisions,terms,covenants,
conditions and promises contained in the Agreement and not amended herein shall remain in full force
and effect. This Amendment I shall become effective July 1,2014.
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-16 -COUNTY OF FRESNO
Fresno,CA
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IN WITNESS WHEREOF, the parties hereto have executed this Amendment I to Agreement as
of the day and year first hereinabove written.
ATTEST:
CONTRACTORS:
SEE ATTACHED SIGNATURE PAGES
-17 -
COUNTY OF FRESNO:
By~~~~~----~~~~~~
Chairman, Board of Supervisors
BERNICE E. SEIDEL, Clerk
Board of Supervisors
Byri~L&.~
PLEASE SEE ADDITIONAL
SIGNATURE PAGE ATTACHED
COUNTY OF FRESNO
Fresno, CA
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APPROVED AS TO LEGAL FORM:
DANIEL C.CEDERBORG,COUNTY COUNSEL
APPROVED AS TO ACCOUNTIN0/FORM:
VIGKI CROW,C.P.A.,AublJ0l(-CONTROLLER/
TREASURER-TAX COLLECTOR
By QjA fCce^
REVIEWED AND RECOMMENDED FOR
APPROVAL:
Derfinc E.Neira,Director
Department W Social Services
Fund/Subclass:
Organization:
Account/Program:
Fund/Subclass:
Organization:
Account/Program:
0001/10000
56107001
7870/0
0001/10000
56107441
7870/0
7/1/2013-
6/30/2014
7/1/2014 -
6/30/2015
7/1/2015 -
6/30/2016
$3,000,000 $3,250,000 $3,550,000
DEN:pw
-IE COUNTY OF FRESNO
Fresno,CA
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19 -COUNTY OF FRESNO
F'resno,CA
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CONTRACTOR:
A.LUJAN RECOVERY PROGRAMS,INC.
By
Print Name:A ndfcgLg /Jioci J"(3 -
Title:C CO
Chairman of the Board,or
President,or any Vice President
or Owner,or Director
Print Name:H^WV 9?<W)fr^
Title:QjFO
Secretary (of Corporation),or any Assistant
Secretary,or Chief Financial Officer,or
Chief Accountant,or any Assistant Treasurer
Date:44[^
Mailing Address:
P.O.Box 840
San Martin,CA 95046
Phone:(559)322-1010
Email:andy(ia),aluiantx.com
Attention:Andres Lujan,Jr.,Chief Executive Officer
TREATMENT TYPE:SOBER LIVING
20 -COUNTY OF FRESNO
Fresno,CA
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21 -COUNTY OF FRESNO
Fresno,CA
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CONTRACTOR:
ASI COUNSELING AND PROFESSIONAL SERVICES,INC.
By /L^gg«^^s,^\,cz^c*/*•>
(7 0 0 2f
Print Name:fZa ca^/,o J^^^cMl>
Title:fjg g;J^^/^>/ter Vear-
Chairman of the/Board,or
President,or any Vice President
or Owner,or Director
Date:^-Ar
Print Name:V(-CllL WQ tAifi^J
Title:(MmnfTitiiSiinr
Secretary (of Corporation),or any Assistant
Secretary,or Chief Financial Officer,or
Chief Accountant,or any Assistant Treasurer
Date:3 /zLSr//S~2./ZLS-//.
Mailing Address:
2005 N.Wishon Avenue
Fresno,CA 93704
Phone:(559)499-1011
Email:asifresnoOJ,sbcgIobal.net
Attention:Rogelio Sanchez,MSW,Chief Executive Officer
TREATMENT TYPE:OUTPATIENT
CONTINUING CARE
DAY HABILITATIVE (INTENSIVE OUTPATIENT)
-22 -COUNTY OF FRESNO
Fresno,CA
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Secretary of Corporation,or
13 Any Assistant Secretary,or
Chief Financial Officer,or
Any Assistant Treasurer
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Provider:CENTRAL CALIFORNIA RECOVERY,INC.
BV:r^LCXjg-,
Print Name:^hL£u)UI 77b"
Chairman of Board,or President
Or any Vice President
Title:
Date:0--(\-/
By:4&ju£>o+^/?Ut^^
Print Name:&fi^/MLA S_i 6^)L:ie.
Title:>^Se C-/igj7/a^_<h¥-
Date:^-Jjt^lX
• -COUNTY OF FRESNO
Fresno,CA
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CONTRACTOR:
COMPREHENSIVE ADDICTION PROGRAMS
By-
Print Name:P^T*-^fctA
Date:
Chairman of the Board, or
President, or any Vice President
or Owner,or Director
3JM *Z<?,£
ecretary (of Corporation), or any >Vssistant
Secretary,or Chief Financial Officer,or
Chief Accountant, or any Assistant Treasurer
Date:^>/^>/^L<Dl5
Mailing Address:
2445 W. Whites Bridge Avenue
Fresno,CA 93706
Phone: (559)264-5096
Email:mroth@caprehab.org
Attention:Michael Roth,Executive Director
TREATMENT TYPES:MEN'S RESIDENTIAL
WOMEN'S RESIDENTIAL
CONTINUING CARE
NON-MEDICAL RESIDENTIAL DETOXIFICATION (SOCIAL
MODEL RESIDENTIAL DETOXIFICATION SERVICES)
SOBER LIVING
24 -COUNTY OF FRESNO
Fresno,CA
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CONTRACTOR:
DELTA CARE,INC.
By £
Print Name:K-))Ar tr^^t/^K^M.
Title:€xec~tTiu'e P(P£CTog_
Chairman of the Board,or
President,or any Vice President
or Owner,or Director
Date:*>r y%ltSr4
By \\y^^K5./Wm^i
Print Name:W\A UiN J ^A A<^«/V A
Title:^CcycV^v^H
Secretary (of Corporation),or any Assistant
Secretary,or Chief Financial Officer,or
Chief Accountant,or any Assistant Treasurer
Date:02.\\H\\^
Mailing Address:
4705 N.Sonora Avenue,Suite 113
Fresno,CA 93722
Phone:(559)276-7558
Email:deltacareinc@yahoo.com
Attention:Rita Enunwa,Executive Director
TREATMENT TYPES:OUTPATIENT
DAY HABDJTATIVE (INTENSIVE OUTPATIENT)
CONTINUING CARE
25 -COUNTY OF FRESNO
Fresno,CA
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CONTRACTOR:
DUNAMIS,INC.
Print Name:Qfi.{*Hhido G\\{c^CVC
Title:Q tO
Chairman of the Board,or
President,or any Vice President
or Owner,or Director
Date:3 -D j 'K
Print Name:<Sl®A(&A?WlP j^Le-O
06dTitle:
Date:
Secretary (of Corporation),or any Assistant
Secretary,or Chief Financial Officer,or
Chief Accountant,or any Assistant Treasurer
v/pv/zr
Mailing Address:
4991 E.McKinley,Suite 113
Fresno,CA 93727
Phone:(281)782-5887
Email:orlandogillam@aol.com
Attention:Orlando Gillam,Chief Executive Officer
TREATMENT TYPES:OUTPATffiNT
DAY HABILITATIVE (INTENSIVE OUTPATffiNT)
CONTINUING CARE
SOBER LIVING
SOBER LIVING WITH CHILDREN
-26 -COUNTY OF FRESNO
Fresno,CA
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CONTRACTOR:
FRESNO NEW CONNECTIONS
By -ri?M,Cfrfr?ifcf?/&?<A-
Print Name:A^/^tSAist.-rAat
Title:TT^;drsi 1~
Chairman of the Board,or
President,or any Vice President
or Owner,or Director
Date:^~^?-/jT
Secretary (of Corporation),or any Assistant
Secretary,or Chief Financial Officer,or
Chief Accountant,or any Assistant Treasurer
Date:,^/2S//j
Mailing Address:
4411 N.Cedar Ave.Suite 108
Fresno,CA 93726
Phone:(559)248-1548
Email:ncaodl(g),sbcglobal.net
Attention:Loren French,Executive Director
TREATMENT TYPES:OUTPATIENT
DAY HABILITATIVE (INTENSIVE OUTPATIENT)
CONTINUING CARE
27 -COUNTY OF FRESNO
Fresno,CA
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CONTRACTOR:
KING OF KINGS COMMUNITY CENTER
Print Name:
Title:Chairman of the Board
Chairman of the Board,or
President,or any Vice President
or Owner,or Director
Date:^-jy-J^r
By^^
Print Name:Willie Lewis
jjtje.Secretary of the Board
Secretary (of Corporation), or any Assistant
Secretary,or Chief Financial Officer,or
Chief Accountant,or any Assistant Treasurer
Date '•^-^y-varvjT
Mailing Address:
2302 Martin Luther King, Jr.Boulevard
Fresno,CA 93706-4135
Phone:(559)442-0400
Email:Adminkokl@netzero.net
Attention:Robert Singleton,Director
TREATMENT TYPES:OUTPATffiNT
DAY HABILITATIVE (INTENSIVE OUTPATKNT)
MEN'S RESIDENTIAL
CONTINUING CARE
SOBER LIVING
28 COUNTY OF FRESNO
Fresno,CA
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CONTRACTOR:
KINGS VIEW CORPORATION
By„=^
Print Name://^f^/V^^g/^
Title:^g
Chairman of the Board,or
President,or any Vice President
or Owner,or Director
Print Name
Title:
Secretary (of Corporation),or any Assistant
Secretary,or Chief Financial Officer,or
Chief Accountant,or any Assistant Treasurer
Date:
«^/Lr
Mailing Address:
4111 N.Golden State Blvd
Fresno,CA 93722
Phone:(559)277-9880
Email:csmith@kingsview.org
Attention:Candie Smith,Executive Director
TREATMENT TYPE:OUTPATIENT
29 COUNTY OF FRESNO
Fresno,CA
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CONTRACTOR:
MEDMARK TREATMENT CENTERS-FRESNO WEST,INC
:bflyvd U--Wk/k,Print Name:
Title:Vr££,(denJr
Chairman of the Board,or
President, or any Vice President
or Owner,or Director
Date:
:Tr^uUd VyCWAmairttn
Titter f>lut\a(\
Secretary (ofColoration),or any Assistant
Secretary, or Chief Financial Officer, or
Chief Accountant,or any Assistant Treasurer
Date:
Mailing Address:
410 E.Corporate Drive, Suite 220
Lewisville,TX 75057
Phone:(214)379-3301
Email:dwhite(S),medmark.com
Attention:David E.White,President
TREATMENT TYPES:NARCOTIC REPLACEMENT THERAPY
MEDICAL DETOXIFICATION (OUTPATIENT)
30 -COUNTYOF FRESNO
I'Vcsno,CA
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CONTRACTOR:
MENTAL HEALTH SYSTEMS
FRESNO FIRST PROGRAM
Print Name:
Title:
tmiiipw)
irman ofthe Board,or JChairman
President,or any Vice President
or Owner,or Director
Date:^J^)^ulS
By (i HI-
Print Name:um&si
Title:
cretarv (of Corporation),or any AssistSecretary(of Corporation), or any Assistant
Secretary, or Chief Financial Officer, or
Chief Accountant,or any Assistant Treasurer
Date:ityb \U\1
Mailing Address:
9465 Farnham Street
San Diego,CA 92123
Phone:(858)573-2600
Email:kbond@mhsinc.org
Attention: Kimberly Bond, M.F.T., President and Chief Executive Officer
TREATMENT TYPES:WOMEN'S RESDDENTIAL
RESIDENTIAL WITH CHILDREN
OUTPATD2NT
31 -COUNTY OF FRESNO
Fresno,CA
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CONTRACTOR:
PANACEA SERVICES,INC.
By^
Print Name:^V.'W/)CovoC^a^
Title:*r^«^A-
Chairman of the Board,or
President,or any Vice President
or Owner,or Director
Date:">-*-'\f~
By /yf/OyJ^/O^^,dg:^
Print Name:14J*yh*/(/t4/^^«tV 9A
Title:^>^c^^JtZj/*^
Secretary (of Corporation), or any Assistant
Secretary,or Chief Financial Officer, or
Chief Accountant, or any Assistant Treasurer
Date:3 /j//.f
Mailing Address:
3152 N.Millbrook,Suite D/E
Fresno,CA 93703
Phone:(559)241-0364
Email:panaoeacdp^y^np SSS \*^«\(Q ?'V*Ace^5cr.if<:»S .o^
Attention: Phillip Cowings,Chief Executive Officer
TREATMENT TYPES:OUTPATIENT
DAY HABILITATIVE (INTENSIVE OUTPATIENT)
MEN'S RESIDENTIAL
WOMEN'S RESIDENTIAL
CONTINUING CARE
SOBER LIVING
32 -COUNTY OF FRESNO
Fresno,CA
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CONTRACTOR:
PROMESA BEHAVIORAL HEALTH
Print Name:MlCHfe t £tfi M/IMOU £L
Title:faHg/pgA/f
Chairman of the Board,or
President,or any Vice President
or Owner,or Director
Date:2~/$-3.Q/<r
Print Name:£V<?ci
Title:
jratiSecretary(of Corporation),or any Assistant
Secretary,or Chief Financial Officer,or
Chief Accountant,or any Assistant Treasurer
Date:3 -)£-3(flZ
Mailing Address:
7475 N.Palm Ave.,Suite 107
Fresno,CA 93711
Phone: (559)439-5437
Email:lweigant@promesabehavioral.org
Attention: Lisa Weigant,Chief Executive Officer
TREATMENT TYPES:OUTPATffiNT
CONTINUING CARE
33 -COUNTY OF FRESNO
Fresno,CA
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CONTRACTOR:
SPIRIT OF WOMAN OF CALIFORNIA,INC.
Print Name:JA./V\<=«>
CkTitle:\.JA(*J
Date:
Chairman of the Board,or
President,or any Vice President
or Owner,or Director
fcs/'Sr
Print Name:f~n<\r MK n ni—£-/_j>r^tr\CL r^
Title: _
Secretary (of Ccffatoration),or any Assistant
Secretary,or Chief Financial Officer,or
Chief Accountant,or any Assistant Treasurer
Date:2/^/lA
Mailing Address:
327 West Belmont Ave.
Fresno,CA 93728
Phone:(559)233-4353
Attention:Audrey Riley,Executive Director
TREATMENT TYPES:RESIDENTIAL WITH CHILDREN
WOMEN'S RESIDENTIAL
CONTINUING CARE
SOBER LIVING
SOBER LIVING WITH CHILDREN
34 -COUNTY OF FRESNO
Fresno,CA
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CONTRACTOR:
TEMPERANCE LIVING HOMES ALCOHOL AND DRUG RECOVERY PROGRAM
Print Name:nrr jAtJa Om (TJT--
Titie:PirccV0^"
Chairman of the Board,or
President,or any Vice President
or Owner,or Director
Date:g/gs/th>
Print Name pA^Hne^uiS
Title:x^D
Secretary (of Corporation),or any Assistant
Secretary, or Chief Financial Officer, or
Chief Accountant,or any Assistant Treasurer
Date:M^\f)
Mailing Address:
4026 E.Gettysburg
Fresno,CA 93726
Phone:(559)347-4819
Email:bsmith@s-mandassociates.biz
Attention:Brenda Smith,Co-Owner
TREATMENT TYPES:MEN'S RESIDENTIAL
WOMEN'S RESH)ENTIAL
RESIDENTIAL WITH CHILDREN
CONTINUING CARE
SOBER LIVING
SOBER LIVING WITH CHILDREN
3 5 COUNTY OF FRESNO
Fresno,CA
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CONTRACTOR:
THE LIGHT-HOUSE RECOVERY PROGRAM
Print Name:\J \\P-\y[L\J jOfr
Title:
Chairman of the Board,or
President, or any Vice President
or Owner,or Director
Date:^jII [*£
e /J4x^kJ^2~-
Print Name:ft#lP£U4.U./JU *^S
Title:
Date:
Secretary (of Corpo/ation),or any Assistant
Secretary,or Chief Financial Officer,or
Chief Accountant,or any Assistant Treasurer
^//7//^
Mailing Address:
P.O.Box 16461
Fresno,CA 93755
Phone:(559)222-4824
Email:Theli ght-house(o),sbc global .net
Attention:Pete Untalon,Chairman of the Board
TREATMENT TYPES:SOBER LIVING
SOBER LIVING WITH CHILDREN
36 -COUNTY OF FRESNO
Fresno,CA
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CONTRACTOR:
TRANSITIONS CHILDREN'S SERVICES
By JJlLL •^^
Print Name:Po*^V«^(\i\<\t^
Title:C60
Chairman of the Board,or
President,or any Vice President
or Owner,or Director
Date:-//?//<
Print Name:t/p£/.M/HZr/tf£2~
Title:Cf Q
Secretary (of Corporation),or any Assistant
Secretary,or Chief Financial Officer,or
Chief Accountant,or any Assistant Treasurer
Date:*/t7/f5
Mailing Address:
1945 N.Helm Ave.,Suite 101
Fresno,CA 93727
Phone:(559)222-5437
Email:bvananne(a),transitionschildrenservices.org
Attention:Brian Van Anne,MSW,Chief Executive Officer
TREATMENT TYPE:CONTINUING CARE
37 -COUNTY OF FRESNO
Fresno,CA
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CONTRACTOR:
TURNING POINT OF CENTRAL CALDTORNIA,INC.
Print Name:<,~T~.^
Title:
Date:
By.
c&o
Chairman of the Board,or
President,or any Vice President
or Owner,or Director
'/'Z/*C
/ZL^A^
Print Name:/%,****•/y/«/
Title:C/1*
Secretary (of Corporation), or any Assistant
Secretary,or Chief Financial Officer,or
Chief Accountant, or any Assistant Treasurer
Date:>-//S//C
Mailing Address:
P.O.Box 7447
Visalia,CA 93290-7447
Phone:(559)732-8086
Email:tpoccredl(Slaol.com
Attention:J.JeffFly,Chief Executive Officer
TREATMENT TYPES:OUTPATIENT
MEN'S RESIDENTIAL
WOMEN'S RESIDENTIAL
CONTINUING CARE
SOBER LIVING
38 COUNTY OF FRESNO
Fresno,CA
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CONTRACTOR:
UNIVERSAL HEALTH NETWORK AND SYSTEMS,INC.
By.A
Print Name:01 1V6R £ZjEM uO 0 ^^
Title:P^bG>t-A*A bl<^€£T6R
Chairman of the Board, or
President, or any Vice President
or Owner,or Director
Date:^J »3|13
"DUdfori
Print iame:^r^n^QU^r4e
fiaoyjjDod2
rs.
Title
Secreiary(of Corporation)
Secretary, or Chief Financial Officer, or
Chief Accountant,or any AssistantTreasurer
ion),or any AssistanH''^y
Date:
Mailing Address:
625 E.Keats Avenue
Fresno,CA 93710-7000
Phone:(559)252-5150
Email:hcalthnetwork@nctzero.net
Attention:Oliver Ezenwugo,MA,MFTI,Executive Program Director
TREATMENT TYPES:MEN'S RESIDENTIAL
WOMEN'S RESIDENTIAL
OUTPATIENT
CONTINUING CARE
DAY HABILITATIVE OUTPATIENT
ofxm
3 9 COUNTY OF FRESNO
Fresno,CA
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CONTRACTOR:
WESTCARE CALIFORNIA,INC.
By v^jhfiu^A'-
Print Name:fitryQuirvMV-rfcaWnrV
Title:
Date:
£*.VP
Chairman of the Board,or
President,or any Vice President
or Owner,or Director
me:CTl M -BANK/A
Assistant
Secretary,or Chief Financial Officer,or
Chief Accountant,or any Assistant Treasurer
Secretary (of Corporation),or any Assis
Date:f)3--£S^)Ql£
Mailing Address:
P.O.Box 12107
Fresno,CA 93776
Phone:(559)237-3420
Email:Maurice.lee(@westcare.com
Attention:Maurice Lee,Senior Vice President
TREATMENT TYPES:OUTPATIENT
MEN'S RESIDENTIAL
WOMEN'S RESIDENTIAL
RESIDENTIAL WITH CHILDREN
CONTINUING CARE
NON-MEDICAL DETOXIFICATION
SOBER LIVING
SOBER LIVING WITH CHILDREN
-40 -COUNTY OF'FRESNO
Fresno,CA
DSS Contracted Substance Abuse Treatment Vendors Revised Exhibit A
Pagel of 8
Department of Social Services
Contracted Substance Abuse Treatment Vendors
1. A. Lujan Recovery Programs,Inc.
Attention:Andres Lujan, Jr.,Chief Executive Officer
P.O.Box 840
San Martin,CA 95046
Phone:(559)322-1010
Email:andy@aluiantx.com
Website:http://aluiansoberlivinghomes.com
Services provided and number of slots available for DSS clients:
o Sober Living - 40
Drug Medi-Cal Certified:n/a, Sober Living only facility
CA Dept.of Alcohol and Drug Programs Certified:n/a, Sober Living only facility
Percent of treatment staff certified by CA Dept.of Alcohol and Drug Programs:n/a
2. ASI Counseling &Professional Services,INC.
Attention:Rogelio Sanchez,MSW
2005 N.Wishon Ave.
Fresno Ca 93704
Phone:(559)499-1011
Email:asifresno@sbcglobal.net
Website:http://www.asiway.ca
Services provided and number of slots available for DSS clients:
o Outpatient-120
o Continuing Care -120
o Day Habilitative (Intensive Outpatient)-120
3.Central California Recovery,Inc.
Attention:Dale White,President
1100 W.Shaw Ave.,#122
Fresno,CA 93711
Phone:(559)681-1947
Email:assessment training research@,yahoo.com
Website:not available
Services provided and number of slots available for DSS clients:
o Outpatient-167
Drug Medi-Cal Certified:Yes
CA Dept.of Alcohol and Drug Programs Certified:Yes
Percent of treatment staff certified by CA Dept.of Alcohol and Drug Programs:50%
4.Comprehensive Addiction Programs
Attention:Juanita Fiorello,Executive Director
DSS Contracted Substance Abuse Treatment Vendors Revised Exhibit A
Page 2 of 8
2445 W.Whites Bridge Avenue
Fresno,CA 93706
Phone:(559)264-5096
Email:jfiorello(a>caprehab.org
Website:http://caprehab.org
Services provided and number of slots available for DSS clients:
o Men's Residential -27
o Women's Residential -20
o Continuing Care -10
o Non-medical Residential Detoxification -15
o Sober Living - 7
Drug Medi-Cal Certified:No
CA Dept.of Alcohol and Drug Programs Certified:Yes
Percent of treatment staff certified by CA Dept.of Alcohol and Drug Programs:100%
Delta Care,Inc.
Attention:Rita Enunwa,Executive Director
4705 N.Sonora Avenue,Suite 113
Fresno,CA 93722
Phone:(559)276-7558
Email:deltacareinc@yahoo.com
Website:not available
Services provided and number of slots available for DSS clients:
o Outpatient - 65
o Day Habilitative (Intensive Outpatient)- 25
o Continuing Care - 25
Drug Medi-Cal Certified:Yes
CA Dept.of Alcohol and Drug Programs Certified:Yes
Percent of treatment staff certified by CA Dept.of Alcohol and Drug Programs:80%
Dunamis,Inc.
Attention:Orlando Gillam,Chief Executive Officer
4991 E.McKinley Ave.,Suite 113
Fresno,CA 93727
Phone:(281)782-5887
Email:orlandogillam(q),aol.com
Website:http://Dunamis-Mhs.org
Services provided and number of slots available for DSS clients:
o Outpatient -200
o Day Habilitative (Intensive Outpatient)- 200
o Continuing Care - 200
o Sober Living - 36
o Sober Living with Children - 36
DSS Contracted Substance Abuse Treatment Vendors Revised Exhibit A
Page 3 of 8
o Adolescent programs: Yes, including Adolescent Outpatient, Adolescent Intensive
Outpatient and Adolescent Continuing Care
Drug Medi-Cal Certified:Yes
CA Dept.of Alcohol and Drug Programs Certified:Yes
Percent of treatment staff certified by CA Dept.of Alcohol and Drug Programs: 50%
7.Fresno New Connections
Attention:Loren French,Executive Director
4411 N.Cedar Ave.,Suite 108
Fresno,CA 93726
Phone:(559)248-1548
Email:ncaodl(Sisbcglobal.net
Website:not available
Services provided and number of slots available for DSS clients:
o Outpatient - 35
o Day Habilitative (Intensive Outpatient)- 30
o Continuing Care - 35
o Adolescent programs:Yes,including Adolescent Outpatient,Adolescent Intensive
Outpatient and Adolescent Continuing Care
Drug Medi-Cal Certified:Yes
CA Dept.of Alcohol and Drug Programs Certified:Yes
Percent of treatment staff certified by CA Dept.of Alcohol and Drug Programs: 98%
8.King of Kings Community Center
Attention:Rudy Jackson,Chairman of the Board
2302 Martin Luther King, Jr.Boulevard
Fresno,CA 93706-4135
Phone:(559)442-0400
Email:Adminkokl (Sjnetzero.net
Website:http://kingfresno.org
Services provided and number of slots available for DSS clients:
o Outpatient-120
o Day Habilitative (Intensive Outpatient)- 60
o Men's Residential -40
o Continuing Care -220
o Sober Living-12
Drug Medi-Cal Certified:Yes
CA Dept.of Alcohol and Drug Programs Certified:Yes
Percent of treatment staff certified by CA Dept.of Alcohol and Drug Programs:100%
9.Kings View Corporation
Attention:Candie Smith,Executive Director
41 UN.Golden State Blvd
DSS Contracted Substance Abuse Treatment Vendors Revised Exhibit A
Page 4 of 8
Fresno,CA 93722
Phone:(559)277-9880
Email:csmith@kingsview.org
Website:http://www.kingsview.org/
Services provided and number of slots available for DSS clients:
o Outpatient - 20
Drug Medi-Cal Certified:Yes
CA Dept.of Alcohol and Drug Programs Certified: Yes
Percentof treatmentstaffcertifiedbyCA Dept.of Alcohol and Drug Programs:100%
10.MedMark Treatment Centers-Fresno West, Inc.
Attention:David E.White,President
410 E.Corporate Drive,Suite 220
Lewisville,TX 75057
Phone:(214)379-3301
Email:dwhite@medmark.com
Services provided and number of slots available for DSS clients:
o Medical Detoxification (Outpatient)- 300
o Narcotic Replacement Therapy - 300
Drug Medi-Cal Certified:Yes
CA Dept.of Alcohol and Drug Programs Certified:Yes
Percent of treatment staff certified by CA Dept.of Alcohol and Drug Programs:100%
11.Mental Health Systems
Fresno First Program
Attention:Kimberly Bond,M.F.T.,President and Chief Executive Officer
9465 Farnham Street
San Diego,CA 92123
Phone:(858)573-2600
Email:kbond@mhsinc.org
Website:http://Mhsinc.org
Services provided and number of slots available for DSS clients:
o Women's Residential -45
o Residential with Children -45
o Outpatient-110
Drug Medi-Cal Certified:Yes
CA Dept.of Alcohol and Drug Programs Certified:Yes
Percent of treatment staff certified by CA Dept.of Alcohol and Drug Programs: 73%
12.Panacea Services,Inc.
Attention:Phillip Cowings,Chief Executive Officer
3152 N.Millbrook,Suite D/E
DSS Contracted Substance Abuse Treatment Vendors Revised Exhibit A
Page 5 of 8
Fresno,CA 93703
Phone:(559)241-0364
Email:phil@panaceaservices.net
Website:not available
Services provided and number of slots available for DSS clients:
o Outpatient-100
o Day Habilitative (Intensive Outpatient)- 50
o Men's Residential - 6
o Women's Residential - 6
o Continuing Care -100
o Sober Living -18
Drug Medi-Cal Certified:Yes
CA Dept.of Alcohol and Drug Programs Certified:Yes
Percent of treatment staff certified by CA Dept.of Alcohol and Drug Programs: 30%
13.Promesa Behavioral Health
Attention:Lisa Weigant,Chief Executive Officer
7475 N.Palm Ave.,Suite 107
Fresno,CA 93711
Phone:(559)439-5437
Email: 1wei gant@prome sabehavioral .org
Website:http://promesabehavioral.org
Services provided and number of slots available for DSS clients:
o Outpatient-100
o Continuing Care - 200
Drug Medi-Cal Certified:Yes
CA Dept.of Alcohol and Drug Programs Certified:Yes
Percent of treatment staff certified by CA Dept.of Alcohol and Drug Programs:80%
14.Spirit of Woman of California,Inc.
Attention:Audrey Riley,Executive Director
327 West Belmont Ave.
Fresno,CA 93728
Phone:(559)233-4353
Email:sofwadmin@earthlink.net
Website:http://spiritofwomanfresno.org
Services provided and number of slots available for DSS clients:
o Residential with Children -50
o Women's Residential -50
o Continuing Care - 30
o Sober Living - 9
o Sober Living with Children - 8
Drug Medi-Cal Certified:No
DSS Contracted Substance Abuse Treatment Vendors Revised Exhibit A
Page 6 of 8
CA Dept.of Alcohol and Drug Programs Certified:Yes
Percent of treatment staff certified by CA Dept.of Alcohol and Drug Programs:50%
15.Temperance Living Homes Alcohol and Drug Recovery Program
Attention:Brenda Smith,Co-Owner
4026 E.Gettysburg
Fresno,CA 93726
Phone:(559)347-4819
Email:bsmith@s-mandassociates.biz
Website:not available
Services provided and number of slots available for DSS clients:
o Men's Residential -12
o Women's Residential -12
o Residential with Children - 4
o Continuing Care - 24
o Sober Living-12
o Sober Living with Children -12
o Adolescent programs:Yes,Youth Residential with a capacity of 4 individuals
Drug Medi-Cal Certified:No
CA Dept.of Alcohol and Drug Programs Certified:No,application pending.
Percent of treatment staff certified by CA Dept.of Alcohol and Drug Programs:33%
16.The Light-House Recovery Program
Attention:Pete Untalon,Chairman of the Board
P.O.Box 16461
Fresno,CA 93755
Phone:(559)222-4824
Email:Thelight-house@sbcglobal.net
Website:http://thelight-house.net
Services provided and number of slots available for DSS clients:
o Sober Living - 2
o Sober Living with Children-8
Drug Medi-Cal Certified:No
CA Dept.of Alcohol and Drug Programs Certified:No,application pending.
Percent of treatment staff certified by CA Dept.of Alcohol and Drug Programs:50%
17.Transitions Children's Services
Attention:Brian Van Anne,MSW,Chief Executive Officer
1945 N.Helm Ave.,Suite 101
Fresno,CA 93727
Phone:(559)222-5437
Email:bvananne@transitionschildrensservices.org
Website:http://transitionschildrensservices.org
DSS Contracted Substance Abuse Treatment Vendors Revised Exhibit A
Page 7 of 8
Services provided and number of slots available for DSS clients:
o Continuing Care - 30
o Children and Adolescent program: Yes, ages 0-17
Drug Medi-Cal Certified:No,application pending
CA Dept.of Alcohol and Drug Programs Certified:No,application pending.
Percent of treatment staff certified by CA Dept.of Alcohol and Drug Programs: 0%
18.Turning Point of Central California,Inc.
Attention:J.Jeff Fly,Chief Executive Officer
P.O.Box 7447
Visalia,CA 93290-7447
Phone:(559)732-8086
Email:tpoccredl (5laol.com
Website:http://tpocc.org
Services provided and number of slots available for DSS clients:
o Outpatient - 60
o Men's Residential -20
o Women's Residential -20
o Continuing Care - 40
o Sober Living - 20
Drug Medi-Cal Certified:No
CA Dept.of Alcohol and Drug Programs Certified:Yes
Percent of treatment staff certified by CA Dept.of Alcohol and Drug Programs:100%
19.Universal Health Network and Systems,Inc.
Attention:Oliver Ezenwugo,MA,MFTI,Executive Program Director
625 E.Keats Avenue
Fresno,CA 93710-7000
Phone:(559)252-5150
Email:healthnetwork@netzero.net
Website:http://universalhealthnetwork.org
Services provided and number of slots available for DSS clients:
o Men's Residential - 6
o Women's Residential - 6
o Outpatient - 25
o Continuing Care - 25
o Day Habilitative (Intensive Outpatient)- 25
Drug Medi-Cal Certified:No
CA Dept.of Alcohol and Drug Programs Certified:Yes
Percent of treatment staff certified by CA Dept.of Alcohol and Drug Programs:100%
20.WestCare California,Inc.
Attention:Maurice Lee,Senior Vice President
DSS Contracted Substance Abuse Treatment Vendors Revised Exhibit A
Page 8 of 8
P.O.Box 12107
Fresno,CA 93776
Phone:(559)237-3420
Email:Maurice.lee@westcare.com
Website:http://westcare.com
Services provided and number of slots available for DSS clients:
o Outpatient - 90
o Men's Residential -30
o Women's Residential -20
o Residential with Children-21
o Continuing Care - 60
o Non-medical Detoxification - 1
o Sober Living-16
o Sober Living with Children - 8
Drug Medi-Cal Certified:Yes
CA Dept.of Alcohol and Drug Programs Certified:Yes
Percent of treatment staff certified by CA Dept.of Alcohol and Drug Programs:54%
SUMMARY OF SERVICES
Services:Substance Abuse Treatment
Contract Period:July 1,2013 - June 30,2016
Revised Exhibit B
Page 1 of 5
SUMMARY OF SERVICES:The County of Fresno Department of Social Services (DSS)has
established this master agreement with qualified substance abuse providers for the following services:
Non-Medical Residential Detoxification (Social Model Residential Detoxification)
Medical Detoxification
Outpatient Treatment
Day Habilitative Treatment (Intensive Outpatient)
Men's Residential Treatment
Women's Residential Treatment
Residential with Children Treatment
Sober Living
Sober Living with Children
Continuing Care
Narcotic Replacement Therapy
DSS's goal is to assist clients with their recovery which will provide a step towards self-sufficiency
and improve the safety,permanency and well-being of families involved with Child Welfare Services.
Each year, DSS spends approximately $3.5 million dollars on the above substance abuse services.
Service type definitions are provided in the Appendix of this Revised Exhibit B.
DSS will only assign referrals to vendors listed on this master agreement.Referrals will be made on a
fee-for-service with no guarantee of referrals to any vendor.Vendors are fully responsible for the cost
of their program.DSS will pay up to the maximum rates listed in Revised Exhibit C. The rates paid by
DSS for substance abuse treatment services shall be all-inclusive,meaning no additional fees will be
paid by DSS for books, class materials,workshops,drug tests,classes,supervised visits, food,
transportation,etc.
Providers will provide a full continuum of care and abide by Title 42 CFR Part 2 -Confidentiality of
Alcohol and Drug Abuse Patient Data regulations.
TARGETED POPULATION:The target population for this program is CalWORKs and Child
Welfare clients referred from the Department who have been identified as needing substance abuse
treatment services.
SCHEDULE OF PARTICIPATION:Treatment duration will be determined by the County's
Substance Abuse Specialists.
I.THE CONTRACTOR SHALL PROVIDE THE FOLLOWING SERVICES:
Revised Exhibit B
Page 2 of 5
A.Vendors shall provide substance abuse treatment services to DSS clients based on the service
plan provided by the County Substance Abuse Specialist. Vendors shall accept updated service
plans prepared by DSS staff.
B. Servicesprovided under this agreementwill be deliveredat a site(s) located in FresnoCountyfor
alcohol and other drug abusing/dependent male and female residents of Fresno County. Services
shall comply with the State of California Alcohol and Drug Programs (ADP) License March
2004 and Certification Standards located at:
http://www.adp.ca.gov/Licensing/pdf/Alcohol andorOtherDrug ProgramCertification Stand
ards.pdf
C. Vendors shall meet all of the requirements identified in Revised RFP 952-5054 and perform all
services stated in their response to Revised RFP 952-5054.
D. The length of time from treatment referral to intake will be 2-3 business days from the time of
the referral or the same day if possible.
E. Providers must notify the DSS case manager or the REACH Team by email or phone within one
(1)business day of a client's missed appointment.
F.Vendors shall provide each client with an individualized treatment plan and email an encrypted
copy to the County case manager at SWSASreferrals@co.fresno.ca.us and
CWSReferrals@co.fresno.ca.us.Symptoms should be monitored and progress towards the
client's treatment goals should be documented. In cases where there is a lack of satisfactory
progress, a staffing with the County case manager may need to be requested.
G.Vendors must notify County staff of any client absences within 24 hours by email unless the
absence is due to a court hearing.Notifications should be emailed to
CWSReferrals@co.fresno.ca.us and SWSASreferrals@co.fresno.ca.us.
H.All DSS cases:Two (2)consecutive client absences ora third (3rd)unexcused absence will
require the provider to request a staffing with the County staff that made the referral and the
liaison.The staffing must be requested within one (1)business day of the third (3rd)absence.
Child Welfare staffings:refer to attendance and or suspected drug use and email DSS at
CWSReferrals@co.fresno.ca.us.CalWORKs staffings: refer to attendance and or suspected drug
use and email the REACH mailbox at SWSASreferrals@co.fresno.ca.us.
I.Residential Treatment:must provide two (2)random urinalysis tests per month. Program
participants must be monitored when providing a sample.The DSS Child Welfare Social
Worker and/or Substance Abuse Specialist must be notified of all positive drug tests.If a positive
test is found,the client is to be transported to Avertest located at 2113 Merced St.,Fresno CA to
be retested.
J.Outpatient,Day Habilitative and Continuing Care for Child Welfare clients:if the provider
suspects drug use, they must contact DSS and the client will be referred to Avertest for drug
testing.
K.Outpatient,Day Habilitative and Continuing Care for CalWORKs clients:vendors shall provide
a minimum of two (2)random urinalysis tests per month.
L.Drug testing provided by the vendor will be included as part of treatment at no additional cost to
DSS.
M.Treatment staff should be certified or working towards certification by the State of California.
Treatment staff working towards certification should have their case work reviewed by certified
staff.
N.Vendor shall assign a primary case manager and complete an individualized treatment plan for
each client within 14 calendar days from intake.DSS staff will review the treatment plan and
provide feedback to the vendor as needed.
Revised Exhibit B
Page 3 of 5
O.Arrange and coordinate comprehensive services to support the client's participation in treatment.
Monitor and evaluate the client's progress and changes in service needs.Report client progress
or lack of progress on a monthly basis to the assigned DSS case manager.Include monthly
progress reports with the DSS service plans when billing.Invoices must include exact dates of
service in order to be paid.Collaborate with DSS staff to ensure that the client's treatment plan
is not in conflict with other activities in the Welfare-to-Work (WTW)plan and still meets the
client's treatment goals.Facilitate collaboration and joint case conferencing between supportive
service providers including mental health,alcohol &other drug treatment service providers as
well as with WTW staff.
P.Return phone calls to DSS case manager on the same business day and no later than two (2)
business days.
Q.Walk-in clients referred to the contractor shall have a screening completed with an appropriate
service plan. On late afternoons including Fridays,contractor shall have staff available to assist
the client until needs are met (e.g.counseling,crisis intervention,emergency housing,etc.). DSS
staff must approve services for walk-in clients and in some cases the client may be transferred to
a different treatment program depending on the County's assessment and needs of the client.
R.If the vendor is completing an ASI, it must include the patient placement criteria utilizing ASAM
(American Society of Addiction Medicine)standards.
S.Communicate treatment plan goals with the DSS staff by email or in person on a monthly basis
or as often as requested.Review DSS client/family case synopsis when providing services in
order to holistically manage each case and provide individualized prevention,intervention and
treatment.Serve as an expert to DSS staff regarding ways of addressing family, social,
economic and environmental factors.Perinatal treatment programs must evaluate for pre-partum
and post-partum depression (e.g.Edinburgh Postpartum Depression Scale) in their evaluation
process for pregnant clients or for new mothers until their child's first birthday when necessary.
T. In most cases,vendors will provide DSS with statistical data within three (3)business days from
the date of request. Statistical data including client progress, outcomes and client satisfaction
surveys will be collected on an ongoing basis by the vendor so that the collective data can be
pulled regularly for purposes of reporting to DSS. Vendors shall provide clients with client
satisfaction surveys at 45-day intervals and share these with DSS staff upon request.
U. Vendors shall also report any State of California certification or license status changes to DSS
within three (3)business days.Vendors will provide DSS with copies of compliance reviews
received by the State of California and County of Fresno.
V.Vendors shall meet with DSS to resolve any treatment issues as needed.Vendors shall prepare
agendasand minutes for contractmeetingswith DSS. Agendasshall be emailedto DSS staffat
least five (5) working days before the meeting date and minutes shall be emailed to DSS staff
within five (5)working days after the meeting.
W. Vendors shall provide high quality services to clients and refer clients to additional services as
needed in order to provide a continuum of care.Referrals to additional services will be made in
cooperation with DSS staff.
II.COUNTY SHALL BE RESPONSIBLE FOR THE FOLLOWING:
A.Assess DSS clients for substance abuse treatment needs and make appropriate referrals to the
vendor.
B.Communicate the goals of the case plan to the vendor.
C. Monitor the client's progress and provide assistance to the client as needed.
D. Provide program support to the vendor by assigning a program liaison (e.g. Job Specialist, Social
Worker or Substance Abuse Specialist)to work with the client and the vendor.
E.Meet with the vendor when needed to resolve any issues.
Appendix -Service Type Definitions
Revised Exhibit B
Page 4 of 5
(1)Outpatient Services:A nonresidential alcohol and/or other drug service in which a participant is
provided a minimum of two (2)counseling sessions (either individual or group counseling
sessions)per 30-day period.Program services to include but not limited to assessment,
individualized case management and counseling education.Non-medical detoxification services
may be provided.Outpatient treatment gives the individual an opportunity to interact in a real
world environment while benefiting from a peer-oriented,structured therapeutic program.
Outpatient services are designed to provide an alcohol and drug free environment with structure
and supervision to further a participant's ability to improve his/her level of functioning.Vendors
will comply with the department's coordinated case plan to ensure that the client is meeting both
the Child Welfare and CalWORKs requirements for Welfare-to-Work,Voluntary Family
Maintenance or Family Reunification.Length of treatment will be 90-180 days.
(2)Day Habilitative (Intensive Outpatient):Day Habilitative is sometimes referred to as Intensive
Outpatient.Day Habilitative is a nonresidential alcohol and/or other drug service that is
provided to participants at least three (3) hours per day and at least three (3) days per week. Day
Habilitative treatment is designed to provide an alcohol and drug free environment with structure
and supervision to further a participant's ability to improve his/her level of functioning.Day
Habilitative services include counseling and rehabilitation services.Detoxification services may
be provided.Clients participate in scheduled,formalized services.Length of treatment will be
90-180 days.
(3)Men's Residential:Services are provided to residents at a program which is maintained and
operated to provide 24-hour,residential,nonmedical,alcoholism or other drug addiction
recovery or treatment services.Program services to include but not limited to,addressing
addiction and related issues,managing stressors,developing meaningful links to needed services,
and ultimately building a foundation for lasting recovery.Services must include:individual,
group and family therapy,case management,treatment planning and counseling.Detoxification
services may be provided.Vendors will comply with the department's coordinated case plan to
ensure that the client is meeting both the Child Welfare and CalWORKs requirements for
Welfare-to-Work,Voluntary Family Maintenance or Family Reunification.Length of treatment
will be 90-180 days.
(4)Women's Residential:Services are provided to residents at a program which is maintained and
operated to provide 24-hour, residential, nonmedical, alcoholism or other drug addiction
recovery or treatment services.Program services to include but not limited to,addressing
addiction and related issues,managing stressors,developing meaningful links to needed services,
and ultimately building a foundation for lasting recovery. Services should be gender-specific
and include:individual,group and family therapy,case management,treatment planning and
counseling.Detoxification services may be provided.Vendors will comply with the
department's coordinated case plan to ensure that the client is meeting both the Child Welfare
and CalWORKs requirements for Welfare-to-Work,Voluntary Family Maintenance or Family
Reunification.Length of treatment will be 90-180 days.
(5)Residential with Children:Services are provided to residents and their children at a program
which is maintained and operated to provide 24-hour,residential,nonmedical,alcoholism or
other drug addiction recovery or treatment services. Program services to include but not limited
to, addressing addiction and related issues, managing stressors, developing meaningful links to
needed services,and ultimately building a foundation for lasting recovery.Services should be
Revised Exhibit B
Page 5 of 5
gender-specific and include: individual, group and family therapy, case management, treatment
planning, counseling, perinatal services and parenting skills. Vendors will be responsible for
providing therapeutic childcare, assisting with meals, transportation, medication, and attending
to the needs of children in residence with the parent being treated.Detoxification services may
be provided.Vendors will comply with the department's coordinated case plan to ensure that the
client is meeting both the Child Welfare and CalWORKs requirements for Welfare-to-Work,
Voluntary Family Maintenance or Family Reunification.Length of treatment will be 90-180
days.
(6)Continuing Care Services:Program services to include but not limited to assessment,
individualized case management and counseling education. The continuing care phase of
treatment refers to treatment that occurs after the patient completes the rehabilitation phase of
treatment.Services usually include weekly two (2)hour group therapy sessions where clients
discuss daily life in recovery from substance abuse. Vendors will comply with the department's
coordinated case plan to ensure that the client is meeting both the Child Welfare and CalWORKs
requirements for Welfare-to-Work,Voluntary Family Maintenance or Family Reunification.
Length of treatment will be 90-180 days.
(7) Medical Detoxification Services: The services are provided to assist participants during the
process in which alcohol and/or other drugs are metabolized in the body to eliminate their toxic
physiological and psychological effects.These services should be provided in a medical
residential or nonresidential setting.Detoxification services should cover the following
substances:alcohol,benzodiazepines (i.e.Valium,Xanax)and opiate based drugs including
heroin and prescription painkillers such as Oxycontin,Vicodin,Hydrocodone,etc. (up to 14
days).
(8)Non-medical Residential Detoxification Services (Social Model Residential Detoxification
Services):The services are provided to assist participants during the process in which alcohol
and/or other drugs are metabolized in the body to eliminate their toxic physiological and
psychological effects.These services are provided in a non-medical residential setting (up to 21
days).Mild detoxification medications may be used,but not prescribed on site.Social Model
Recovery (12 step)is the typical intervention.
(9)Sober Living:Sober Living services are provided to clients to help them transition back to a
normal living situation.A safe and structured gender-specific living environment is provided for
people in early recovery from addiction.Sober Living is an arrangement where the person
shares the residence with other people in early recovery.Sober Living promotes individual
recovery by providing an environment that allows residents to develop individual recovery
programs and become self-supporting.Sober Living may also include services for parents and
their children to further establish family resilience.
(10)Narcotic Replacement Therapy:Narcotic Replacement Therapy (i.e.Suboxone treatment,
Methadone treatment)reduces and/or eliminates the use of illicit opiates and allows patients to
improve their health and social productivity.The principal effects of narcotic replacement
therapy are to relieve narcotic craving,suppress the abstinence syndrome,and block the euphoric
effects associated with opiates.
Additional information on the above service descriptions can be found at
http://www.adp.ca.gov/Licensing/pdf/Alcohol andor OtherDrugProgram CertificationStandards.pd
f.
Revised Exhibit C
Fee for Service Rates
Substance Abuse Treatment Services Maximum Rates by Modality
Contract Period:July 1,2013 through June 30, 2016
Service Estimated Cost (multiple vendors)Description
Substance Abuse Services
FY 2013-14:$3,000,000
FY 2014-15:$3,250,000
FY 2015-16:$3,550,000
Substance Abuse Services for DSS
CalWORKs and/or Child Welfare
Clients
DSS shall reimburse contractors for actual services rendered up to the following maximum rates as identified below for
each type of substance abuse treatment service:
Service Type
1.Non-Medical Residential Detoxification Services (up to 21 days)
2.Medical Detoxification Services (up to 14 days)
3.Outpatient Treatment
4. Day Habilitative Treatment (Intensive Outpatient)
5.Men's Residential
6.Women's Residential
7.Residential with Children
8.Continuing Care Services
9.Sober Living
10.Sober Living with Children
11.Narcotic Replacement Therapy
Maximum Rate Per Day
FY 2013-14 FY 2014-15 FY 2015-16
$78.28 $80.63 $83.05
S 412.00 S 424.36 S 437.09
S 32.96 s 33.95 S 34.97
$32.96 $33.95 s 34.97
s 78.28 s 80.63 s 83.05
s 78.28 s 80.63 s 83.05
$83.43 s 85.93 s 88.51
$32.96 $33.95 s 34.97
$26.78 s 27.58 $28.41
s 31.93 $32.89 $33.87
s 12.36 s 12.73 s 13.11
*AI1 invoices must be submitted for payment no later than 60 days after the last day of the month of
actual service.