HomeMy WebLinkAboutResolutions - 1983.02.03 - 11505MISCELLANEOUS RESOLUTION # 83006 February 3, 1983
BY: FINANCE COMMITTEE, DR. G. WILLIAM CADDELL, CHAIRPERSON
IN RE: SUBSTANCE ABUSE GRANT ACCEPTANCE - OCTOBER 1, 1982 THROUGH
SEPTEMBER 30, 1983
TO THE OAKLAND COUNTY BOARD OF COMMISSIONERS
Mr. Chairperson, Ladies and Gentlemen:
WHEREAS Miscellaneous Resolution #8145 requires the Finance Committee to
review acceptance of all grants that vary less than ten (10) percent from the
original grant application; and
WHEREAS Miscellaneous Resolution #82322 approved the grant application to
the Michigan Department of Public Health, Office of Substance Abuse Services in
the amount of $1,516,382 for the period October 1, 1982 through September 30, 1983;
and
WHEREAS the grant award is in the amount of $1,516,382, which is 100% funded
from the Michigan Department of Public Health, Office of Substance Abuse Services;
and
WHEREAS acceptance of this grant does not obligate the County to any further
commitment.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners
authorize and accept the Substance Abuse Grant in the amount of $1,516,382.
BE IT FURTHER RESOLVED that the Chairperson of the Oakland County Board of
Commissioners be and is hereby authorized to execute said grant contract.
BE IT FURTHER RESOLVED that the Chairperson of this Board is hereby authorized
to approve minor changes and grant extensions, not to exceed a ten percent variance,
which are consistent with the grant as approved.
BE IT FURTHER RESOLVED that this grant contract has been reviewed and approved
as to form by the Office of Corporation Counsel.
Mr. Chairperson, on behalf of the Finance Committee, I move the adoption of
the foregoing resolution.
FINANCE COMMITTEE
HERE
Da
APPROVE THE FOREGOING RESOWTION
,ttZurei, he
70TAL 51,516,382 51,516,382
$1,516,382 $1,516,382 MDPH-OSAS
FINACIAL ANALYSIS .
FIIPETANTE ARTIST PROGM
CC1IPARI5•APPLICATION
OCTDBER 1, 195.1 1983
Variance
Favorable/
Application Award (Onfrab1') Program
William Deaumont Hospital
Catholic Social Services
Family & Childrene' Services
Farmington Area Advisory Council
Providence Hospital _
Step One Services (A.E.S.E.P.)
Step One Services (T.A.S.C.)
Medical Resource
St. Joseph Mercy Hospital
(Substance Abuse Services)
Resident's Awareness Program, Inc.
Sub-Total
25,969
125,846
221,718
45,774
40,569
82,673
83,855
75,852
107,181
300,000
$1,009,437
$ 25,969
125,846
122,718
45,774
40,569
82,673
83,855
75,852
, 107,181
300,000
$1,009,437
Special Projects
Alcohol Enforcement Trng. Project $ 8,500 $ 8,500
Para-Driver Education Project 7,500 7,500
Prenatal Information/Training 2,500 2,500
Residential Treatment Services 60,000 60,000
School Health Curriculum Project 121,148 121,148
Senior Citizens Project 10,000 10,000
Needs Assessment & Special
Needs Projects 40,594 40,594
Subacute Detoxification Serv. 132,700 132,700
Sub-Total $ 382,942 • • $ 382,842
Special Projects Admin. $ 73,395 $ 73,395
Substance Abuse Control Admin. . 44,290 44,290
Oakland County Indirect Cost. 6,318 6,318
Source of Funding
FY 82/83
COORDINATING AGENCY
CONTRACT NO.
AGREEMENT BETWEEN THE
MICHIGANr DEPARTMENT OF PUBLIC HEALTH
OFFICE OF SUBSTANCE ABUSE SERVICES
AND
OAKLAND COUNTY: HEALTH DIVISION, SUBSTANCE ABUSE CONTRO L
FOR THE TREATMENT AND PREVENTION OF SUBSTANCE ABUSE
1. This agreement is entered into under the authority granted by Act 368 of the Public
Acts of 1978 between the Michigan Department of Public Health, Office of Substance
Abuse Services, hereafter called the MDPH-OSA, and Oakland County Health Division,
Substance Abuse Control , hereafter called the local coordinating agency.
2. PURPOSE
To allocate substance abuse grant funds in the agreed upon amount which will be
used to help reduce and prevent the incidence of 'drug and alcohol abuse and
dependency and provide comprehensive prevention and treatment services to the
substance abusing population and those affected by such abuse.
3. OBJECTIVES
The objectiVes -under this agreement are to address the specific substance abuse -
problems by providing the indicated service activities to the specified target
populations as delineated in the approved 1982/83 Annual Action Plan request
for funds and the MIS Agency and Program Plans for this local coordinating agency
as modified by necessary budgetary adjustments reflected in the attached budget
summary. All subcontractual agreements of the local coordinating agency includin!
the budget cost detail schedules are an integral requirement of and a part of
this agreement and they must be finalized and submitted within a 45 day period
subsequent to receiving the executed agency agreement from MDPH-OSAS. The sub-
. contractual agreements including budget detail must be approved by MDPH-OSAS in
writing.
4. PROGRAM REPORTING AND EVVUATION
A. The Comprehensive Substance Abuse Program will be evaluated quantitatively
and qualitatively as described in the narrative submitted by the local
coordinating agency and approved by the MDPH :OSAS as part of the Annual
Action Plan and/or request for funds. The responsibility for the evalua-
tion of the program rests with the local coordinating agency in cooperation
with the Office of Substance Abuse Services in accordance with the guidelines
issued by MDPH-OSAS.
B. The local coordinating agency will be required to submit MIS reports and
r client statistical data and reports as prescribed in Attachment "A": The local
coordinating agency will be required to submit program data of subcontractors
at such times and on such forms as may be prescribed by M•RH-OSAS including -
MIS data and the Treatment Outcome Evaluation System data and OSAS Client
Admission forms. These data are submitted through a data consortium or
directly td OSAS.
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° C. Other data, forms and reports for evaluation will be required by MDPH-OSAS
from the local coordinating agency and subcontractors in accordance with the
timetable for implementation of the -MDPH-OSAS evaluation systems.
5 Pr-GRAM BUDGET AND AGRFEMENT_AMOnT .
The total budget, under the terms of this agreement, shall be 82,709. 654
consisting of $468,581 - local funding, S .-0- -other misoellaneo
funding, $724,691 . fees and collections, and not more than 81,516,382
state funding. The=total budget amount must be supported by a completed and
signed Program Budget Summary, cost detail schedules, and other supporting docu-
mentation as determined necessary by MDPH-CSAS, which are hereby made part of
thi's agreement. The local coordinating agency program budget approved by
MDPH-OSAS shall reflect local match in accordance with the requirements of .
the Match Rules promulgated by MDPfi-OSAS.
B. Fees and collections earned by the subcontractors of this agreement are
.proportionately earned by local and state funding sources and are generally
applied as a first source of funding. Fees and collections received in excess
of the amounts budgeted and _needed for proportionate reimbursement requirements
under this or any amended agreement for the same period may be used for program
enhancement if an amendment is executed or .may be carried forward into_ the next
agreement period. The excess amount of fees and collections carried forward
into the next agreement period will be applied in its entirety as the first
source offunding. •The carried forward fees and collections amount must be
_identified and properly recorded on the Financial Status Report. -
C. In the event fees and collections do not materialize in the amount anticipated
in each subcontract of this agreement, state and local funding sources shall
share proportionately in the cost incurred under this atreement, after applica-
tion of all other sources of funding, up to the maximum amount stated in the sub-
contract agreement and made part of this agreement. Changes in any cf the
funding amounts or sources during the agreement period, will require an agree-
ment amendment which shall be executed by MDPH-OSAS and the local coordinating
agency.
D. A deviation allowance increasing a budget category by $300 or 15%, whichever is
greater, is permissible without written approval of Mi'aPH-OSAS, so long as such
increases are offset by decreases in other catEgoriPs. The deviation is
_ applicable to the categories within the administrative budet and eatporiEs
within each subcontract. However, MDPH-OSAS funding transfers between sub-
contractors under this agreement would require subcontractual amendments •
'(petween local coordinating agency and service provider) and written notifica-
tion to MDPH-OSAS since proportionate reimbursement for the subcontracts would be
affected. Any modifications or deviation increases in excess of the provisions
described including any adjustmint to the total amount of this agreement must
be made in writing and an amendment executed by V:DPH-OSAS and the local coor-
dinating agency before any modifications can he implemented.
E. Funds allocated in this agreement for alcohol contractual services may only be
used for alcohol services.
F. No funds budgeted in this agreement will be used to acquire additional staff
positions or equipment items without prior written approval by MDPH-OSAS.
A.
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G. State administered funds which are approved under this agreement, shall
not be utilized to supplant local funds.
H. This agreement is conditionally,approved subject to the availability of
• funds.
6. REPORTING AND PAYMENT PROCEDURES
A. Financial Status Reports shall be prepared and submitted to MDPH-OSAS
(Operations Division) and must be received on a. monthly basis not later
- than 20 days after the close of each calendar month. The monthly Financial
Status Report shall be used by the MDPH-OSAS to reimburse the local coordinat-
ing agency for costs incurred in the operation of the program in accordance
with the terms of this agreement.
B. The local coordinating agency is to include in the Financial Status Reports,
the expenditure information for only those subcontracts whose MIS, Treatment
Outcome Evaluation System Data, Client Admissions Forms, Treatment follow-up
status reports, and Financial Status Reports are complete, up to and in-
. cluding the most recent reporting period or as otherwise specifically
agreed to in writing by MOPH-OSAS. All subcontracts made by the local -
coordinating agency shall contain provisions for enforcement of this pro-
vision. Financial Status Reports not submitted in accordance with this
provision will be returned to the local coordinating agency.
C. The monthly Financial Status Reports must reflect total actual expenditures
of the local coordinating agency's administrative budget and of the sub-
contractors regardless of the source of funds. MDPH-OSAS participation in
the cost of the agreement will be based upon the total actual program expendi-
tures. less non-matchable expenditures and will be reimbursed on a proportionate
. basis as determined from the approved program budget. (See OSAS Financial
Management Reference Manual -- Section III-3-12).
D. An operating advance may be provided by MDPH-OSAS to the local coordinating
agency to assist in initiating the program. The monthly Financial Status
Report will be utilized to replenish the operating advance on a regular
recurring basis.
E. Any unobligated balance of state funds on hand at the local coordinating
agency or its subcontractors at the end of the agreement period will be
.returned by the local coordinating agency to MDPH-OSAS.
-
F. Agreement amendment requests will not be considered for approval if the
NDPH-OSAS has not received the local coordinating agency's Financial Status
Report for each preceding month. •
G. All substance abuse service providers, according to Section 6231 of Act 368
of the Public Acts of 1978, are to be licensed. Payments will be denied to
the local coordinating agency for any costs incurred by a service provider
not licensed or not granted a license waiver by the OSAS Administrator,
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7. RESPONSIBILITIES - LOCAL COORDINATING AGENCY
The local coordinating agency in accordance with the purposes, objectives and
methodology to be employed in this agreement and the functions and requirements
cited in Act No. 358 of Public Acts of 1978 shall:
A. Have a local advisory council consisting of representatives of public and
private treatment and prevention programs and private individuals in
accordance with guidelines established by the administrator of MDPH-OSAS.
B. Develop comprehensive plans for substance abuse treatment and rehabilitation
services and prevention services consistent with guidelines established by
the MDPH-OSAS including an annual budget request to MDPH-OSAS for use of
state 'administered funds for its city, county, or region for substance abuse
treatment and rehabilitation services and prevention services in accordance
with guidelines established by the administrator of MDPH-OSAS.
C. Review.and comment to the MDPH-OSAS on applications for licenses submitted by
local treatment, rehabilitation and prevention organizations.
D. Provide technical assistance for local substance abuse service organizations.
E. Collect and transfer data and financial information from local organizations
to the MDPH-OSAS.
F. Make contracts necessary and incidental to the performance of the agency's
functions. The contracts mayIbe made with public or private agencies,
organizations, associations, and individuals to provide substance abuse
treatment and rehabilitation services and 'prevention. services.
G. Annually evaluate and assess substance abuse services in the city, county,
or region in accordance with guidelines established by the administrator
(Attachment A) and coordinate treatment client follow-up in accordance
with the procedures established for the Treatment Evaluation System.
H. Provide those units of service included in the attached "Budget and Output
Summary' forms of the agreement.
1. Operate the.programs and services in accordance with the approved budgets
attached.
3. Provide administrative and evaluation services as required.
K. Report all revenues received in-the course of operation.for those services
supported in whole or part by MDRH-OSAS.
Maintain adequate program and fiscal records and files including source
documentation to support program activities and expenditures made under
the terms of this agreement.
M. Provide the MDPH-OSAS with copies of all subcontractual agreements with
Program Budget-Cost Detail Schedules within 45 days of receipt of the fully
executed FY 1932/83 prime contract agreement.
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N. Provide MDPH-OSAS with a written notice to subcontract with a new service
provider 30 days prior to the start of the subcontract agreement.
0. Provide program statistical information as required by MDPH-OSAS in accordance
with Attachment A and the MDPH-OSAS Evaluation Systems Policies and Procedures,
P. Work cooperatively with the staff of the MOPH-OSAS and provide access to
authorized representatives of MOPH-OSAS to all records, files, and documents
related to this-agreement.
Q. Comply with federal, state, and local regulations governing substance abuse
programs.
R. Hold harmless the MDPH-OSAS and its employees from any liability for any loss
or damage to any person or property arising out of or in any way related to the
services performed under this agreement.
S. Agree to secure maximum reimbursement from all third party sources (Medicaid,
Blue Cross-Blue Shield, and all other private insurances, etc.).
T. Perform periodic site visits to subcontractors funded under this agreement in
accordance with the guidelines issued by the MOPH-OSAS to insure compliance with
the requirements of the agreement and provide necessary technical assistance in
fiscal and programmatic areas to meet the needs of subcontractors.
U. Provide copies of any audits performed of the local coordinating agency or of
subcontractors to the MDPH-OSAS.
V. Perform the duties outlines in the MDPH-OSAS Licensing Rules, Part 3, Recipient
Rights as part of the local coordinating agency's overall responsibility to
administer, coordinate and evaluate substance abuse services in the region.
W. Require that the subcontractors under this agreement participate in the cre-
dentialing initiative sponsored by OSAS.
X. Insure that as part of the Rehabilitation Act of 1973, Section 504, no otheicE
qualified handicapped individual in the United States , . shall, solely by
reason of his handicap be excluded from participating in, be denied the benE;Alts
.421f, or be subjected to discrimination under any,program or activity receiving
federal/state financial assistance.
Y. Obtain and maintain copies of all lease agreements pertaining to the sub-
contracts under this agreement and review the reasonableness of the lease
cost and approve any contingency funds on an annual basis.
YY. Have an appeals procedure as part of its bylaws or charter to outline the right
. of any individual or subcontractor to appeal which shall be consistent with
its governing board's policies and procedures and guidelires established by °SAS.
2. Assure compliance with all other responsibilities noted in Attachment(s)
October 1, 1982 through
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RESPONSIBILITIES - MDPH-OSAS
The MDPH-OSAS, under the terms of this agreement, shall.:
A. Provide appropriate proaram and administrative technical assistance and
consultation.
B. Assist in training program staff and local coordinating agency staff.
C. Provide payment proportionately, in accordance with this agreement, in an amount
not to exceed $1,516,382based upon appropriate reports, records and documentation
maintained by the local coordinating agency and/or its subcontractors.
D. Provide guidelines for data required for evaluation and proper reporting of
financial and program activities information.
E. Provide necessary reporting forms required by the MDPN-OSAS for the operation
of the program.
F. Provide fiscal auditing as required.
G. Perform site visits to the local coordinating agency to review the agency per-
formance as required and including organization structure and personnel system,
treatment program management, data collection, reporting and evaluation manage-
ment, fiscal management and recipient rights implementation.
9. ASSURANCES
The local coordinating agency assures that it will comply with the provisions
of the State of Michigan assurances document signed by the responsible officer
of the agency as part of the request for funding and made a part of this agree-
ment.
d. AGREEMENT PERIOD
This agreement is in full force and effect from
September 30, 1983
This agreement may be terminated by either party by giving 60 day written notice
to the other party stating the reasons for termination and effective date or,
upon failure of either party to carry out the terms of the agreement by giving
10 day written notice stating cause and effective date. -Upon such termination,
any funds not authorized for use shall be returned to the MOPH-OSAS. Any changes
to this agreement shall be valid only if made in writing and accepted by all
parties to this agreement.
Signature Title Date
Signature Title Date
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i. SPECIAL CERTIFICATION
. The individual or officer signing this agreement certifies by his/her signature
that he/she is authorized to sign this agreement on behalf of the responsible
governing board, official, or agency; that all terms of the agreement. will be
appropriately adhered to; and that records and detailed documentation for the
project or program identifi:ed in this agreement will be maintained for a period
of not less than three (3) years from the date of the submission of the final
expenditure report or until audit findings have been resolved.
FOR THE LOCAL COORDINATING AGENCY
FOR THE MICHIGAN DEPARTMENT OF PUBLIC HEALTH
OFFICE OF SUBSTANCE ABUSE SERVICES
Administrator
Recommended by: Operations Division,
Signature
Acting Division Chief
Title Date
Program Agency (composi
x
ATTACHMENT A Page 1 of 3
REPORTING PROCEDURES
A. The service program and agency have to complete and submit by service category the
following reports to the Operations Piyision, Office of Substance Abuse Services
(Annually and with Amendments as applicable).
Planning Forms
1. Services Summary (AAP-1)
2. Program Planning Forms OS 101) X X
3. Staff Planning Worksheet (MIS 101A) X
4, Direct Staff Hours, Total Staff Hours and Units of Service
Planning Worksheet (MIS 1018) X
5, Program Planning Expenditure Allocation Worksheet
(MIS 101C) X
6. Shell Corp. Expenditure Allocation Worksheet (MIS 101D) X
7. GAIT MBO Planning/Reporting Form (MIS 103) Optional*
8. MBO Planning Form for Organizational Development •
(MIS 102) Optional*
9. Explanations of Changes and Variances (AAP-3) X
Service programs and agency must submit by service category the following reports to
the Office of Substance Abuse Services mofinlyiquarterly .:
Reporting Forms - Program Agency (compos
Monthly
1. Agency Summary Report Coversheet (MIS 200)
2. Totals Report (MIS 201) X
3. Agency Control Report (MIS 204)
4. Expenditure Balance Worksheet (MIS 205)-
Quarterly
5. Management Quarterly Report (MIS 400) when
applicable on a program basis X X
6. Organizational Development MBO Reporting (MIS 202) If Applicable*
7. CAIT MBO Planning/Reporting (MIS 103) If Applicable*
The service program/agency will not be reimbursed when the MIS reports are received after
the 20th of the reporting month. Financial Status Reports will not be processed until the
next month; and only then if complete and accurate MIS reports and client data for that
month have been received by the Office. The program and coordinating agency quarterly
management reports (MIS 400) are due by the 30th of the month following the end of the
quarter, as are the Quarterly Treatment Follow-up Status Reports. Failure to meet report-
ing schedules for these reports will also result in withholding reimbursement.
r:r1,m.-Inctr.afinn r1,-nirtc
x
ATTACHMENT A (continued)
Page 2 of 3
EVALUATION/REPORTING REQUIREMENTS AND PROCEDURES
The Office of Substance Abuse Services (OSAS)'has implemented a client treatment evaluation
system which contains certain required data items and procedures. Required treatment
evaluation data items and procedures may be met by the participation of a coordinating
agency and its respective treatment service subcontracts in either a regional Data
Consortia (an automated data colleotionand evaluation system which •eet both state
local evaluation needs) or by participation in the OSAS Treatment Outcome Evaluation
tern with its forms and procedures. .
All coordinating agencies (and their respective treatment service subcontractors) are
required to participate in either one of the Data Consortia (Areawide Data Evaluation
System or the Southeast Data Compact) or provide OSAS with client data through thP
OSAS Treatment Outcome Evaluation System. Treatment services include those provided
in inpatient, residential (including Approved Service Programs) and outpatient service
categories.
Treatment Reporting
Treatment programs receiving funding are required to submit the following client data or
its equivalent in the Data Consortia System:
Treatment Outcome Evaluation System Admission Form (for each client)
Treatment Outcome Evaluation System Discharge Form (for each client)
Treatment Client Follow-Up . Reporting
During the completion of phase-in of the complete Treatment Outcome Evaluation System, .
.---ordinating agencies (and their respective programs) may have different reporting
i uirements for Treatment Client Follow-up data collection. Each coordinating agency
v articipating in a Data Consortia is required to conduct client follow-up according to
methods and procedures contained in the "Client Follow-up Training Manual" and sampling
rates and procedures applicable to the coordinating agency and program. Each such
coordinating agency is required to submit to the Office a Quarterly Treatment Follow-up
Status Report for the agency and each of its treatment subcontractors. The Quarterly
Treatment Status Reports are due at OSAS on the 30th of the month following each quarter.
Each coordinating agency not currently involved in Data Consortia -follow-up activity
will receive notification from the Office as to the.necessary start -up date for treatment
client follow-up during FY 82/33.
Casefinding Reporting
. Until such time as OSAS has finalized the design of the Casefinding Evaluation System,
OSAS will continue to require that all substance abuse casefinding _programs (Screening,
Assessment, Referral and Follow-up (SARF)) report client admissions data either through
the Data Consortia or on the Temporary OSAS Client Admission Tom.
Client Reporting Schedules/Due Dates
treatment client reporting (both through Data Consdrtia . computer tapes and
:rough the OSAS data collection forms (Treatment Outcome Evaluation System) are due
at OSAS ., LED Division, on or before_ the 20th of the following month.
All SARF client reporting (on computer tape through a Data Consortia or on the Temporary
OSAS Client Admissions Form) is due at OSAS, LED Division, on or before the 20th of
the following month.
ATTACHMENT A (continued)
Page 3 of 3
All Quarterly Client Follow-up Status Reports are due at OSAS, LED Division, on the
30th of the month following the end of the quarter.
Procedural Variations Within Data Consortia
Coordinating agencies participating in Data Consortia are expected to conform to -
all OSAS approved data collection methods, policies and procedures for operation
of Data Consortia systems ds contained in Data Consortia data collection, data
entry and systems manuals and procedures. Coordinating agencies are also expected
to conform to policies contained in the document Data Consortia Submission Pro- r
cedure for Client Admission and Discharge Information." (September 1950)
Coordinating agencies desiring to vary from established and approved procedures
are responsible for developing appropriate documentation and for obtaining prior
approval for such variations from the Office. Questions and concerns in this
area should be addressed to the Chief of the Licensing. Evaluation and Data Ser-
vices Division,
Program Closures and Reporting_
Subcontractors under this agreement which are discontinuing as licensed service -
providers must notify the OSAS Licensing Section at least 30 days in advance of
the proposed closure date. The coordinating agency when discontinuing funding
to a subcontractor must notify the Office 30 days in advance of the date and
must insure that all clients reported as active on the TOES system are discharged
or transferred to another service provider and are reported as such
VI. STATE OF MICHIGAN ASSURANCES
In submitting this request fbr funding, the Oakland .County Health Division, Sub. Abuse Contra
(applicant) gives assurance that the programs or facilities conducted with the
assistance of funds granted through the Office of Substance Abuse Services will 1)L-
•in accord with each of the stipulations appearing below,
The applicant gives assurances:
A. That it will comply with Title VI of the United States Civil Rights Act of 1964
(42 USC. 200d; 78.252) and the Regulations of the U.S. Department of Health
and Human Services issued thereunder, Section 504 of the Rehabilitation Act of
1973, and the Rules of the Michigan Civil Rights Commission which states that:
In carrying out this program, no person shall be arbitrarily excluded from
participation, denied any benefit, or be subjected to any discrimination on
the basis of race, creed, color, age, national origin, religion, sex, or marital
status (except where a bona fide occupational qualification exists). This polio
of non-discrimination shall also apply to otherwise qualified handicapped
individuals. The applicant HERESY GIVES ASSURANCE THAT it will immediately take
any measures necessary to effectuate this agreement<
B. That these facilities, programs and services will be available and responsive to
all members of the population whose substance abuse causes physical, psycholcc,ic
or social harm to themselves and/u, endangers the health, safety or welfare of
others. And that this definition includes any individual who appears to have a
high risk of being dependent on alcohol or other drugs.
C. That these facilities, programs ard services will be so located as to be readily
accessible to the population to be served.
D. That these facilities, programs and Services will be so publicized as to be
generally known to the population to be.servcd.
E. That funds made available through the Office of 'Substance Abuse Services will not
be made available to public or private general hospitals which refuse - solely
on the basis of an individual's substance abuse or substance dependence - admission
or treatment to substance abusers suffering from emergency medical conditions.
F. That any person eligible for treatment will be eligible for all services in
this request.
G. That no individual shall be made the subject of any physiological or psychological
research which is carried out in whole or in part unless such individual explicitly
agrees in writing to become a subject of such research.
H. That all facilities, programs and services shall comply with provisions for
confidentiality of case records contained in P.A. 368, Part 61, Sections 6111
and 6112 and 6113.
I. That, where conditions of funding require the submission of .a .Substarce Abuse
Plan, the applicant shall concurrently publicize for at least one day, notice
of the fact that submission has occurred and that the Substance Abuse Plan is
available for review throughout the period of funding.
r,pc);-Lry'n
-2- •ASSURANCES
That this assurance is. given in consideration of and for the purpose of obtain-
ing any and all funds. extended after the date hereof to the applicant by the
State of Michigan. The applicant recognizes and agrees that such State financial
assistance will be extended in reliance on the representations and an,rociints
made in this assurance, and that the State of Michigan shall have the right to
seek judicial enforcement of this assurance. This assurance is bindino for the
period of funding on the applicant, its successors, transferees, and assignees.
The applicant hereby certifies that the statements made in the applicationare
correct to the best of his/her knowledge and belief, and that the person whose sine
ture appears below is the authorized representative of the applicant.
:GAL NAME OF APPLICANT 1 NAME AND TITLE OF R---SPOSIE;Li7. OFFICER
(Type or Print)
DATE 1 SIGNATURE OF RESPONSIBLE OFFICER
MDPH/OSAS/OP
5/15/81
&It f". P-4 f' P77;, 97, r777777 (.7,1 D
F I N-110
4/7.4.
Pdge_11
-n CD-CiR B,),1g4t P0,01
-,--ol-en ,ive Substance Abuse Services 0-1-82-T 0 9 -30 -83 10/32
Le,,,i A,,,
Oakland Coun ' Health Division, Sub. Abuse Control
_..._._ - - - --
A G R E E MI E N.T BUDGET I LOCAL. BUDGET _ —
CATEGORY TOTAL CURRENT YEAR SUBSEQUENT CURRENT SUBSECUFi NT
BUDGET PORTION YEAR -PORT ;ON i YEAR 19_ YEAR
-------
I &:,,Iiiiies & Wages 160,359_ _
:_.
2 Frini:i;e. Benefit.s. 47,198
3 Travel 7,034
4 SuppIies & Materials 11 212 _______, ........_
F 5 Coiat.racti.3:_,1 (Sub-Con -tracts) 2,084,898
61 Equipment 0
,P.'="re`z. ental &Leases 400 ....
I
I Cowunications 2,100 *Selection of gubcontractors ,ard develop r i •
Other Expenses-Speciai finalized. I I Proigcts) 382,942 1
B TOTAL DIRECT 2,696,143
1 indirect Costs:IN,er IQ •tr,1 clet .
S'i,J. (1-9-N 13,511
101 TOTAL EXPENDITURES 2,709,654
11 ILess: Fees & ColectIons 724,691 I
12 1 FUNDS REQUIRED 1,984,953
FUND SOURCES 1
3 Szate Agreement 1,516,332
tate Formuia
11
Li PHS 314(d)
—
• 16 M &CH .
-
17 Federal
_
18 Local 468,581
19i Other .,.,,,„
20 TOTAL FUNDING
t 1,984,963
CERTIFICATION: 1 certify that 1 am .authorized to sign on behalf of the local agency -. This budget represents cost
necastry for the administration and operation of the prog- ram, Adequate documentation and records wilf be maintained
to support all required program expenditures.
NAME: TITLE:_ DATE:
POSITION DESC 'RIPTION
Health Division Director
'Substance Abuse Program Analyt
;School Health Educator
School Health Educator
iClerk HI
C I erk1 I I
I "
ISuhstane Abuse Control Sup.
-listrator, Mahage7ent Sen.,
6. i 5
't•
$160,359
'7 U G'' Th! 0 .\-; p A fi
'rcylo --h-ve Substance Abuse Services
C000 Sa:r
l0182 T 9 -30 -83
--
O1
0
1771 i ? 0 . , ,_2,: I ri . .0:
Oakland County Health Division, Suh, Abuse Control
STAEFNCAAc
Tout Direct Time (i7^,,u-,.1
• D:R-C I MAN YEARS One Man Year (hours)
Program Arilmii -iis;traion Support Time
TOTAL MAN YEARS REQUIRED
I ; SUPPORT MAN YEARS
Yr2-2,77,
YE-Lirs
POSITIONS x ANNUAL -_:: TOTAL
REQUIRED SALARY I SALARY
.05 $69,019 $ 3,45i . CF
.70_ . 32,1;99 3,250 CF
1.00 32,898 32,898 CF
1,00 27,973 27,979 'SF
7.00 30,173 30,173 CF
1,00 30,.173 30,173 1 SF
1.00 15,539 1,5,599 CF
1.00 16,836 . 16,836 SF
COMMENTS
COST T SCHEDULE 3 Page of p M'OPH
Ni 15
2i7 4
Co<3 Doto
ol-one —7
Bud _ X
10-1-82 T.9-30-83
Fur., h;.ed
ud ;;-.
10
FitSvU,X0 ,1
Is:4,1)4 r. I 1
160,359
47,198
7,034
11,212
2,500
400
2,100
PrnyAm
Comprehensive Substance Abuse Services
-+GENcy
:,nd County Health Division, Sub. Abuse Contrc
ITEM
TOTAL
SU 0-CAT:H.,.
CAT E5
TOTAL
DESCRIPTION QUANT:TY
Oakland County Health Division, Substance
Abuse Control
1200 N. Telegraph Road
Pontiac, MI 43053
Salaries & Wages
Health Division Director @ $69,019
Administrator, Management Service 0 $32,499
Substance Abuse Control Sup.
Substance Abuse Program Analyst
School Health Educator 0 $30,173
.Clerk III
-erk III
Total Salaries & Wages
.05
.10
1
1
2
1
3,451 .
3,250
32,898
27,979
60,346
15,599
16,836
Fringe Benefits
Workman's Compensation (difference due to variances in .10
Hospitalization individual rates for salaries) 5.22
Life Insurance .40
Retirement 14.76
Social Security 6.70 .
Salary Continuation Insurance ..14 . .
- Unemployment Insurance .74 _ .
Dental-- 1.10
Total Fringe Benefits
Travel
Mileage at 254 per mile, approx. 14,136 miles
Registration, Meals and Lodging
Total Travel
'plies and Materials
Lducational Materials
Office Supplies
Printing
Total Supplies and Materials
Other Expenses
I Rental and Leases
Equipment - Water Cooler at $33 per month
Comm:Jnication Costs
Postage
Total Other Expenses
609
8,362
641
23,669
10,744
225
1,182
-1,766
3,534
3 '°0
4,712
2,500
4,000
r.." n. (74,T,77 r .7,- I 4 i 2,6=1 ;•-•-• `szo., ;- :9 bP H
1 15
?/
Page 4 of 13
02TO Prap,rod
10/8 2.
u rn r
SUEI-CAY
CATE/3:.
*Indirect - 138 of CA salaries ($160,359) - 3 months 198
6.9% of CA salaries ($160,359) - 9 months 198
Total Indirect
Total CA Administration
Local
OSAS
•
Special Category:
er Expenses (special projects)**
1 -3,511 .
13,511
241,314
117,311
124,003
DESCRIPTION OUANT1TY 1 ITEM
TOTAL
121,148
10,000
7,500
2,500
8,500
132,700
60,000
40,594
382,942
382,942
Coc.!e
OrIvirtt
eucict 7,1
• Comprehensive Substance Abuse Services
LocALAGENcy
Oakland County Health Division, Sub. Abuse contr
Elud-ptt Pgrloti
10-1-82 Th9-30-83
Rnvi
Budgit!
Prevention Projects
School Health Education Project (attached)
Senior Citizen Project (attached)
Drivers' Education Project (attached)
Prenatal Information Training (attached)
Alcohol Enforcement and Training Project (attached)
• County Wide Treatment Projects
Subacute Detoxification services (attached)
Residential Treatment Services (attached)
Special Needs Projects. (attached)
Special Projects Total
OS AS
*Rates and amounts budgeted for Indirect have not been
•-•==rnve-i. Approval will be withhe ld until such time as
program subrjts appro7)riaLe docntaton and
receives specific approval from MPH-OSAS.
**Preliminary Information for special projects follows.
i
17,500 .
52,448
40,00
1
17,5
•
7 i • -
2,000
500
9
n
2,5O0
Page E 13
ovr 110-1-22 sr.'" 9-30-3L g-2-C 2
- Substance Abuse Control - s
rid Cr)Intv t n •
1 1
• 7:7
QUANTITY 11-En
TOTAL
ESCR
Administration (continued)
Prevention Projects
ELEM ENTARY SCHOOL HEALTH EDUCATION PROJECT
(SubEd-ntractors to 5e named-laterT7
Salaries and Waaes
Substitute teachers 0 $50/day x 5O days
TOTAL SALARIES AND WAGES
Suplies and aterials
Educational materials
Printing
92,z7 TOTAL SUPPLIES AND MATERIALS
Other Expenses
Constl:tant Services:
Workshop trainer:, 3100/day x 13.5 days - 1,359
Teacher-trainers f±: S100/0y x 36 days (local) 3,609
Travel Costs - Wor kshop Trainers
Air Fares 2 0 5550/ea. : 1,1C3
Rental Car 1 0 5-130/wk
. 150
Meals .and lodginc 3 S50/day x10 days . . - 500
Other:
- •
.
I I Test Development/printing 500
• Evaluation-process P .4O/ea. x 10,000 4,M0
TOTAL OTHER EXPENSES
Subtotal
SUTTOTAL - CSS.
• ENATAL SUBSTANCE ABUSE INFORMATION AND TRAIftING
7r= —7
Oubcontractors te ..be named later)
- Suoplies and Materials
Educational materials • Printing
TOTAL SUPPLIES AND MATERIALS
Subtotal • SUBTOTAL - °SAS . .
NO TE: All executed subcofliracts uilI he for.-farded to
MPH/05AS as they become available.
Page
I 1 4 r-'1 ,
Cacf. — T
110_1 _.,-•;7 n n
‘r' Substance Abuse Control 06::;,12-1 L 8
-lakland Dr!Intv Plth Division
-
DESCRIPTION
Administration (continued)
Prevention Projects
TOl
SENIOR CITIZEN' SUBSTANCE ABUSE INFORMATION AND
.—TRATMH6 PUub
(S7,711=atf-OT —ff, be named later)
SuroliPs-and Materials
Education materials .
Printing •
TOTAL SUPPLIES AND MATERIALS
'Other Expenses
Consultant Services:
•Consumer/Provider presentations 0 $15/hr. x 500 hrs.
TOTAL OTHER EXPENSES
SuhtotAl
'SUBTOTAL 1, OSAS
2,250
250
2
7,5C
7,571
1°
in
DRIVERS EDUCATION TRAINING PROJECT
(Subcontractors to be par,led later5
Salaries and 1?;rages
Substitute t'eachers 0 HO/day x 100 days 5,000
TOTAL SALARIES AND WAGES
oplieS and Materials
icationni materials
Printing
1 7,nn
200 .
TOTAL SUPPLIES AND MATERIALS I 1,700
Other Expenses
• Other:
Evaluation/Computerized testing
(pre-post analysis & printouts) 0 40(;t/ea x 2000 test!
TOTAL OTHER EXPENSES
Subtotal
SUBTOTAL -- HAS
NOTE: All exncuted subrotracts Will be forardPd to
MDPH/OSAS as they become available. .
7,500 7
_.--*
cj ri at,
.10-1-2 9
[—]
Zu rn-•
P R a -i A '.() EiCT - - CO 3 T 1 L
Page 7 of 13
CrThm`nSi".'=n 9 !Iktie
. • Su bs tance Abuse Control - -
CA DESCilIPTION
Administration (continued)
Special Projects •
ALCOHOL ENFORCEMENT TRAINING PROJECT
QUANT;TY 1TE
TO T
Supplies and Materials
Office supplies and materials
TOTAL SUPPLIES AND MATERIALS
Other- Expenses
Consultant'Services:
IConsultants and instructors $14/hT , x.350 hrs. 4,900
Consultant - travel x 4,000 miles 1 800
Consultant - meals and lodging 655
er:
_Evaluation (pre/post testing 8 pre/post arrest
rate analysis)
1,F,0
494
.TOTAL OTHER EXPENSES
Subtotal •
• SUBTOTAL - OSAS
NOTE: The Traffic improvement Association of Oakland
has been identified as the subcontractor for this
project. An executed subcontract will be for-
warded to HDPH/OSAS along with any other reiu -ired
documentation.
DESC MPT 30N OL1ANT CY IiEI I CA !
TOTAL
Administration (continued)
Countv Wick' Treatment Projects
Subacute Detoxification Services
The identification and approval of a subcontractor
will take . place following the review of proposals
received pursuant to our RFP Process. .All-required
program and budget detail will be sent to OSAS
following that process.
Subtotal
Subtotal CSAS
132,700
13 " ' 7C
Code
County health Division, Sub, Abuse Control
0,$0:r1,1 Y
rOil
0-1-82 9-30-83
D.ce
rehensive Substance Abuse Services
60,007)
60,000
40 7°1:
12
PROG•i) BUDGET — COST DETAIL. S CHEDULE
'5
Residential Treatment Services :60,000
The same aforementioned process wil be followed.
All required pro.JraJ; and budget detail will be sent
to OSAS following. the RFP Process,
Subtotal
Subtotal OSAS
Special t.leeds-Projedt(s)
'Following the completion of a comprehensive needs '.
assessment, currently being conducted, all request
information -;l11 be forwarded to OSAS.
Subtotal
Subtotal OSAS
Page 9 of 12
P"0DL',m
1 Dir. Ser.
Service Category Hrs. U of S
1,740 1,044 I 43,413 SARF
L2 7 2
State
1,044 43,413
Total
TOTAL
Local
17ñ1 25,969 43,413
TOTAL
Local State
.10,920 5,784 I 264
Total
264,035
Service OatP-corv
Outpatient
Dir. Ser.
Hr's. I U of s
10,920 1 5,784 264,
22,757 125,846
Fees
115,432
Service Category
Outpatient
Dir. Ser.1
. Firs,. U of S
4,020
Fix no nd
1,`":2 OflO 1 7,584
Other ! Fees
61,286
TOTAL
Local
7,084
State
121,718
4,020
Total
133,oca
183,000
_ Federal
COORDINATING AGENCY/0SP Oakland County
CONTRACT BUDGET & OUTPUT '%8Y
ALCOHOI/DRUS/PREVRNTIO/SUMTANCF ABUSE
William Beaumont Hospital
3601 West 13 Mile Road
Royal Oak, MI 48072
Licen5e No: 630110
MIS Category: SARF
Fedral ! Other 1 Fees
Catholic Social Services
1424 East Eleven Mile Road
Royal Oak, MI 48067
License No: 630003
MIS Category: Outpatient
. Federal
Family & Children Services
50 Wayne Street
Pontiac, Mi 48358
License No: 630015 -
MIS Category: Outpatient
Other
Total
Service Category
State
Dir. Ser.
Hrs.
9,000 Inr1
9,000 15,400 1233,232
4,25_0 82,673 233,227
Dir. Serj
Service Category I Hrs. [ U of S
4,104 t 2,052 SARF 3,85!5
Federal 1 Other Loca1 ----1 State
83,855
Total
83,355
Fees
Total State
COORDINATING AUNCY/DSP Oakland County Pag 10_
rnNTRACT BUDGET & OUTPUT SUMAU
I'JHOL;DRUG/PREVENTION/SUBSTANCE ABUSE PP.OGRm
72
Step. One Services-Alcohol
Highway Safety
1200 North Telegraph Road
Pontiac, MI 48053
License No: 630069
MIS Category: SARF
Other 1 Fees
146,304
Step One Services-TASC
1200 North Telegraph Road
Pontiac, MI 48053
License Na: 630069
MIS Category: SARF
Federal
TOTAL 4,104 2,052
Service Category
Dir. Seri 1
Hrs. I U of S EYE:erd
Federal Other 1 Fees
TOTAL
Local
Page 11 of 13
autp_atiut
TOTAL
Local
43,910
3.960 2,496
3,960 2,490
State I Total
75,852 i 119,762
9
L I
T
TOTAL
Local
4,884 1 283
4,884 12p,
Total
7,512
State
Outpatient 17,512
40,569 283,390
Fees Other
3,432 223,324
Total •
228,329
5,724. TOTAL
Local State
Service Catecory
Dir, Ser.
Hrs.
5,724
U of S ExpenH -
3,432 1 228,324
36,300 107,181
Fees Other
COOP INATING AGFNCY/DSP Oakland_County
CONTRACT BUDGET & OUTPUT—G.UMYAU
"-r:OHOLIDRUIVPREVENTIOWSDSTACE ABUSE PROGR$TJ
Medical Resource Center
21700 Northwestern Hishway, Suite 1057
Southfield, NI 40075
License No: 630.098
MIS Categery: Outpatient
Other i Fees
I Dir. Ser..1
Service Category Hrs. U of c
Fecleral
Providence Hospital
Department of Substance Abuse
16001 West Nine Mile Read
P.O. Box 2048
Southfield, MI 48037
License No: 630051
MIS Category: Outpatient
Federal 4
242,821
!bir. SerJ
Service Category Hrs, 1 U of S 1 ..:.e,
St. Joseph Mercy Hospital
Outpatient Psychiatric . Clinic/Sub. Abuse
900 Woodward Avenue
POntiac, MI 48053
License No: 630042
MIS Category: Outpatient
Federal
84,848
Page _12 nnnn•n•
Dir. Sen.
Hrs..
;116
U of S
5,064 2 32 ,5 00
Service Category
Outpatient
Other 1 Fees
54,OCO I 132,726
5,064
Total
232,500
Federal
32,5on
45,774
TOTAL 10,116
Local State
Federal Other ! Fees
TOTAL
Local Total State
COORDINATING AGENCY/DSO Oakland County
(7-.TR 5 CT BUDGET & OUTPUT SUMAY
MCL/DRUC/PRFVENTION/SUBSTANCE ABUSE PROOPAY__
Farmington Area Advisory Council, Inc.
23450 Middlebelt Road
Farmington Hills, MI 48.024
License No: 630017
MIS Category: Outpatient •
Resident's ANareness Program, Inc.
1435 North Oakland Boulevard
Pontiac, MI 43054
License No: 630034
MIS Category: Residential, Outpatient Qtpatient
Residential
Service Cat,,gorv
Federal Other
TOTAL
Local
L.. 93,383
7,596
1 9,468
State
300,000
14,772 I 366,312
LOOS ! 47,054
15,780 413,376
Total
413,323
I Dlr. Ser:
Service CatPoo- Hrs. U of S Exceed
1 Dir. Ser. 1
Service Category 1 Hrs. 1 U of S E.xrard
Service Category
Dir. Ser.
Hrs. n-• CX of
TOTAL
Other 1 Fees Local 1 State Total
TOTAL
Other 1 Fees 1 .Local Federal
COORDfNATING AUNCY/DSP Oakland County
CONTRACT BUDGET & SU UAGY
ALCOHOL/DRUG/RP,EVENTIOWSUBSTANCE ABUSE PROGRAM
Page _13 of 13
Special Projects $382,942 - Selection
of subcontractors and development of
subcontracts for special projects are
to be finalized.
Federal Other 1 Fees Local i State 1 Total
Federal
Service Category
Dir. Sr.
Hrs. U of S Exp,.2nd
LYW/D. AL County Clerk/Register oF r
#83006 February 3, 1983
Moved by Caddell supported by Perinoff the resolution be adopted.
AYES: Olsen, Perinoff, Pernick, Rewold, Wilcox, Aaron, Caddell, Calandro,
Doyon, Foley, Fortino, Gosling, Jackson, R. Kuhn, S. Kuhn, Lanni, Law, McDonald,
McPherson, Moffitt, Moore. (20
NAYS: None. (0)
A sufficient majority having voted therefor, the resolution was adopted.
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
I, Lynn D. Allen, Clerk of the County of Oakland and having a seal,
do hereby certify that I have compared the annexed copy of
Miscellaneous Resolution #83006 adopted by the Oakland County Board of Commissioners
heir meeting held on February 3, 1983
with the original record thc2rcof now re_maining in my officio, and
that it is a true and correct transcript therefrom, and of the
whole thereof.
In Testimony Whereof, I have hereunto set my hand and affixed the
seal of said County at Pontiac, Michigan
this 3rd day of „ February 1983
1.),?_Dutv Clrk.