HomeMy WebLinkAboutResolutions - 2021.12.09 - 35116fro'AKLANDFr�
C 0 U I Y MIC.HIGAN
BOARD OF COMMISSIONERS
December 9, 2021
MISCELLANEOUS RESOLUTION #21-502
Sponsored By: Penny Luebs
IN RE: Health & Human Services - Health Division - Grant Acceptance FY 2022 Interlocal Agreement
between Oakland County and Oakland Community Health Network for Substance Use Disorder
Prevention Services
Chairperson and Members of the Board:
WHEREAS Oakland County has received an Interlocal Agreement from the Oakland Community Health
Network (OC'HN). to reflect updated -work plan objectives for substance use disorder prevention services; and
WHEREAS the existing agreement was adopted by the Board of Commissioners on September'_18, 2011, via
Miscellaneous Resolution (MR) #17267, and amended via MR #18237 on Ame 3. 2018, via MR 419072 on
April 2, 2019. and via MR #20641 on December 7, 2020 : and
WHEREAS the Fiscal Year (FY) 2022 grant program total is $220,491, -which consists of S 199.992 in grant
funding and a local in -kind match of $20,499; and
WHEREAS the S20,499 local in -kind match is budgeted -within the Health Division General Fund, which
includes salaries, printing, educational supplies, telephone communications and IT operations; and
IV4TIEREAS the agreement with OCHN includes programming -which focuses on providing evidence -based
substance use prevention through the tobacco and vaping program CATCH My Breath to youth, the Michigan
Department of Health & Human Services vaping and tobacco prevention presentation to adults who interact
with youth. Staff will also implement the Screening, Brief Intervention. and Referral to Treatment (SBIRT) to
screen OCHD clinic clients for alcohol, tobacco, and other drug use and refer to treatment. Staff will also
provide technical assistance and education to the older adult population to improve safe medication disposal
awareness and opportunity; and
WHEREAS the funding is sufficient to continue two (2) Special Revenue (SR) Full -Time Eligible (FTE )
Public Health Educator III positions (#1060261-00960 and #1060261-07497) within the Health Division for FY
2022; and
WHEREAS the FY 2022 Interlocal Agreement is effective October 1, 2021 and will remain in effect until
terminated by either of the parties; and
WHEREAS this Interlocal Agreement has completed the Grant Review Process in accordance with the Grants
Policy approved by the Board of Commissioners at their January 21, 2021 nneetmg.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners liereby approves
the FY 2022 Interlocal Agreement between the County of Oakland and the Oakland Community Health
Network for Substance Use Disorder Prevention Services.
BE IT FURTHER RESOLVED to continue two (2) SR FTE Public Health Educator III positions (#1060261-
00960 and #1060261-07497) within the Health Division.
BE IT FURTHER RESOLVED that the Chairperson of the Board of Corninissioners is authorized to execute
the Aniendinent and to approve any extensions or changes, within fifteen percent (15%) of the original award.
which aa'P enncictent with the original agryen,enr as �
BE IT FURTHER RESOLVED that acceptance of this grant does not obligate the County to any future
connuitnient and continuation of the Special Revenue positions in the grant is contingent upon fitture levels of
grant funding,
BE IT FURTHER RESOLVED the Special Revenue budget is amended per the attached Schedule A to reflect
the FY 2022 grant award of $199.992.
Chairperson, the following Comnussioners are sponsoring the foregoing Resolution: Penny Luebs.
62rdDate: December 09, 2021
David Woodward, Commissioner
Date: December 15, 2021
Hilarie Chambers. Deputy County Executive Il
E
Date: December 15, 2021
Lisa Brown, County Clerk t Register of Deeds
COMMITTEE TRACKING
2021-11-30 Public Health & Safety - recommend to Board
2021-12-09 Full Board
VOTE TRACKING
Motioned by Conunissioner William Miller III seconded by Conunissioner Robert Hoffman to adopt the
attached Grant Acceptance: FY 2022 Interlocal Agreement between Oakland County and Oakland Coumtunit_v
Health Netvork for Substance Use Disorder Prevention Services.
Yes: David Woodward, Michael Gingell, Michael Spisz. Karen Joliat, Kristen Nelson. Eileen Kowall,
Christine Long, Philip Weipert, Gwen Markham. Angela Powell. Thomas Kuhn. Chuck Moss. Marcia
Gershenson, William Miller III, Yolanda Snuth Charles. Charles Cavell. Penny Luebs, Janet Jackson. Gary
McGillivray, Robert Hoffman, Adam Kochenderfer (21)
No: None (0)
Abstain: None (0)
Absent: (0)
The Motion Passed.
ATTACHMENTS
1. Grant Review Sign -Off
2. 2022-0215-SUDP - Interlocal Agreement
3. PH&S FY2022 OCHN Substance Use Disorder Sch.A
STATE OF MICHIGAN)
COUNTY OF OAKLAND)
I, Lisa Brown, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and
accurate copy of a resolution adopted by the Oakland County Board of Commissioners on December 9, 2021,
with the original record thereof now remaining in my office.
In Testimony Whereof, I have hereunto set my hand and affixed the seal of the Circuit Court at Pontiac,
Michigan on Thursday, December 9, 2021.
Lisa Brown, Oakland County, Clerk / Register of'Deeds
GRANT REVIEW SIGN -OFF — Health & Human Services/Health
GRANT NAME: Interlocal Agreement between Oakland County and Oakland Community Health Network for
Substance Use Disorder Prevention Services
FUNDING AGENCY: Oakland Community Health Network
DEPARTMENT CONTACT PERSON: Raquel Lewis
STATUS: Grant Acceptance (Greater than $10,000)
DATE: 11/09/2021
Please be advised the captioned grant materials have completed internal grant review. Below are the returned comments.
The Board of Commissioners' liaison committee resolution and grant acceptance package (which should include this sign -
off email and the grant agreement/contract with related documentation) may be requested to be placed on the agenda(s) of
the appropriate Board of Commissioners' committee(s) for grant acceptance by Board resolution.
DEPARTMENT REVIEW
Management and Budget:
Approved by M & B — Lynn Sonkiss 11/6/2021.
Draft resolution to be updated for the applicable budgetary information/amendment.
Human Resources:
Approved by Human Resources. Heather Mason 11/9/21
Continues 2 positions with no changes, therefore HR action is not needed.
Risk Management:
Approved by Risk Management. R.E. 11/08/2021.
Corporation Counsel:
Approve with a modification to the draft resolution. Language from a previous resolution was left in and not changed to
comport with the services in this one. I recommend the following is removed:
"WHEREAS the agreement with OCHN includes providing Botvin LifeSkills® Training Program, Botvin Parenting
Program, Botvin Transitions Program, and Safe Dates Program to elementary, middle school and high school children;
young adults and parents, which requires a sole source purchasing contract for curriculum with Princeton Health Press;
and"
And replaced with something like this: "Whereas the agreement with OCHN includes programming which focuses on
providing evidence -based substance use prevention through the tobacco and vaping program CATCH My Breath to
youth, the Michigan Department of Health & Human Services vaping and tobacco prevention presentation to adults who
interact with youth. Staff will also implement the Screening, Brief Intervention, and Referralto Treatment (SBIRT) to
screen OCHD clinic clients for alcohol, tobacco, and other drug use and refer to treatment. Staff will also provide
technical assistance and education to the older adult population to improve safe medication disposal awareness and
opportunity. "
It appears that language from a prior resolution regarding services provided was left in this draft and not replaced with
the correct services information. —Heather Lewis 11/9/2021
[revised draft M.R. per recommendation]
From: Sonkiss. Lynn C
T_: kr.., , Br...:, .. B i d, ..� . S;� , a,: . J..
MrBroom Diana E. J=rlanheck. Robert Carl
Cc: Adnglu-Inner. Firm: Conforti. Holly M; Elgrably. Kim K; Guzzv. Scott N; Jen, Kyle Isaac, Joss, Edward P;
Matthews. Hailev: Powers. Andrea; Sanrhez Krishna I ; Stir. Julie; Snover. Aaron G.; Srooi. Connie L;
Stolzenfeld. Tracy; Strinnfaunw InAnn; Ward, Chris; Winter. Barbara; Worthington, Pamela L; Zhou. Jenny
Subject: RE: GRANT REVIEW FORM - Health and Human Services/Health Division - Substance Use Disorder Prevention
Services 2022-021S-SUDP - Acceptance (Greater than $10,000)
Date: Saturday, November 6, 2021 11:28:57 PM
Attachments: GRANT RFVIFW FORM - Health and Human iINVirPgHealth Division - Suhstanre Ike Disnrder Prevention Sarvires
a022-0215-1;11DP - Arrentanre !Greater than C00001,msg
Approved by M & B—11/6/2021.
Draft resolution to be updated for the applicable budgetary Information/amendment.
Thank you,
Lynn Sonkiss
Fiscal Services Officer
Oakland County, Michigan
Phone 248.858,0940
Fax 248.858.9724
sonkiW @nakpov rom
From: Keyes -Bowie, Tifanny B <keyesbowiet@oakgov.com>
Sent: Thursday, November 04, 2021 5:08 PM
To: Lewis, Raquel <lewisra@oakgov.com>; Smith, Stacey <smithsd@oakgov.com>; Nelson, lawun
<nelsonjaw@oakgov.com>; Corporate Counsel <corpcounsel@oakgov.com>; Mason, Heather L
<masonh@oakgov.com>; McBroom, Diana E. <mcbroomd@oakgov.Com>; Erlenbeck, Robert Carl
<erlenbeckr@oakgov.com>; Sonkiss, Lynn C <sonkissl@oakgov.com>
Cc: Adoglu-Jones, Ebru <adoglu-jonese@oakgov.com>; Conforti, Holly M <confortih@oakgov.com>;
Elgrably, Kim K <elgrablyk@oakgov.com>; Guzzy, Scott N <guzzys@oakgov.com>; Jen, Kyle Isaac
<jenk@oakgov.com>; Joss, Edward P <josse@oakgov.com>; Matthews, Halley
<matthewshd@oakgov.com>; Powers, Andrea <powersa@oakgov.com>; Sanchez, Kristina L
<sanchezk@oakgov.com>; Shih, Julie <shihj@oakgov.com>; Keyes -Bowie, Tifanny B
<keyesbowiet@oakgov.com>; Snover, Aaron G. <snovera@oakgov.com>; Srogi, Connie L
<srogic@oakgov.com>; Stolzenfeld, Tracy <stolzenfeldt@oakgov.com>; Stringfellow, JoAnn
<stringfellowj@oakgov.com>; Ward, Chris <wardcc@oakgov.com>; Winter, Barbara
<wlnterb@oakgov.com>; Worthington, Pamela L <worthingtonp@oakgov.com>; Zhou, Jenny
<zhouj@oakgov.com>
Subject: GRANT REVIEW FORM - Health and Human Services/Health Division - Substance Use
Disorder Prevention Services 2022-0215-SUDP - Acceptance (Greater than $10,000)
Please Note: Miscellaneous Resolution is subject to review by Human Resources and Fiscal
Services for personnel changes and/or budget amendment.
GRANT REVIEW FORM
From: Mason, Heather L
Erlenheck. Robert Carl; Sonkiss, Lynn C ,
Cc: Adocilu-Jones, Ebru; Conforti, Holly M; Elarably. Kim K; Guzzy. Scott N; Jen. Kyle Isaac; Joss. Edward P;
Matthewg. Hailev: Powers, Andrea; Sanrha7. KriSfina I - Shih. Julie; Snover, Aaron G.; Srooi. Connie L;
Stnbanfeld. Trarw Stringfellow. JOAnn; Ward. Chris; Winter, Barbara; Worthington, Pamela L; Zhou, Jenny
Subject: RE: GRANT REVIEW FORM - Health and Human Services/Health Division - Substance Use Disorder Prevention
Services 2022-0215-SUDP - Acceptance (Greater than $10,000)
Date: Tuesday, November 9, 2021 7:42:04 AM
Approved by Human Resources.
Continues 2 positions with no changes, therefore HR action is not needed.
Heather L. Mason
Supervisor Human Resources
Oakland County Human Resources
L. Brooks Patterson Building- 2100 Pontiac Lake Road, Waterford MI 48328
P: 248.858.25811 C: 248,568,2738 1 F: 248,975.9742
masnnhib)nakenv corn I www oakPnv cnmhohs
Schedule: M,W,F onslte. T, Th remote.
From: Keyes -Bowie, Tifanny B <keyesbowiet@oakgov.com>
Sent: Thursday, November 4, 2021 5:08 PM
To: Lewis, Raquel <lewisra@oakgov.com>; Smith, Stacey <smithsd@oakgov.com>; Nelson, Jawun
<nelsonjaw@oakgov.com>; Corporate Counsel <corpcounsel@oakgov.com>; Mason, Heather L
<masonIn@oakgov.com>; McBroom, Diana E. <mcbroomd@oakgov.com>; Erlenbeck, Robert Carl
<erlenbeckr@oakgov.com>; Sonkiss, Lynn C <sonkissl@oakgov.com>
Cc: Adoglu-Jones, Ebru <adoglu-jonese@oakgov.com>; Conforti, Holly M <confortih@oakgov.com>;
Elgrably, Kim K <elgrablyk@oakgov.com>; Guzzy, Scott N <guzzys@oakgov.com>; Jen, Kyle Isaac
<jenk@oakgov.com>; Joss, Edward P <josse@oakgov.com>; Matthews, Hailey
<matthewshd@oakgov.com>; Powers, Andrea <powersa@oakgov.com>; Sanchez, Kristina L
<sanchezk@oakgov.com>; Shih, Julie <shihj@oakgov.com>; Keyes -Bowie, Tifanny B
<keyesbowiet@oakgov.com>; Snover, Aaron G. <snovera@oakgov.com>; Srogi, Connie L
<srogic@oakgov.com>; Stolzenfeld, Tracy <stolzenfeldt@oakgov.com>; Stringfellow, JoAnn
<stringfellowj@oakgov.com>; Ward, Chris <wardcc@oakgov.com>; Winter, Barbara
<winterb@oakgov.com>; Worthington, Pamela L <worthingtonp@oakgov.com>; Zhou, Jenny
<zhouj@oakgov.com>
Subject: GRANT REVIEW FORM - Health and Human Services/Health Division - Substance Use
Disorder Prevention Services 2022-0215-SUDP - Acceptance (Greater than $10,000)
Please Note: Miscellaneous Resolution is subject to review by Human Resources and Fiscal
Services for personnel changes and/or budget amendment.
GRANT REVIEW FORM
From: Frlenherk Rohart Carl
Cc: MrBronm Diana F.
Subject: Substance Use Disorder Prevention Services 2022-0215-SUDP
Date: Monday, November 6, 2021 2:26:01 PM
Attachments: 2022-0215-SUDP - Interlocal Aareement odf
PHS OCHN Sub Use Disorder MR dor
Approved by Risk Management. R.E. 11/08/2021.
GRANT REVIEW FORM
TO: REVIEW DEPARTMENTS— Lynn Sonkiss — Heather Mason — Diana McBroom — Sharon
Cullen
RE: GRANT CONTRACT REVIEW RESPONSE — Health and Human Services/Health Division,
Substance Use Disorder Prevention Services 2022-0215-SUDP - ACCEPTANCE
Grant Acceptance Announcement Date: 10/26/21
Grantor Amendment Submission Due Date: N/A
Attached to this email please find the grant document(s) to be reviewed. Please provide your
review stating your APPROVAL, APPROVAL WITH MODIFICATION, or DISAPPROVAL, with
supporting comments, via reply (to all) of this email.
Time Frame for Returned Comments: November 9, 2021
GRANT INFORMATION
Date: November 4, 2021
Operating Department: Health and Human Services/Health Division
Department Contact: Raquel Lewis
Contact Phone: 858-5254
Document Identification Number: 2022-0215-SUDP
REVIEW STATUS: Acceptance (Greater than $10,000)
Funding Period: October 1, 2021 through September 30, 2022
Original source of funding: Oakland Community Health Network
Will you issue a sub award or contract: No
New Facility/Additional Office Space Needs: None
IT Resources (New Computer Hardware / Software Needs or Purchases): None
Funding Continuation/New: Continuation, new funding cycle for up to 3 years
Prior Year Total Funding: $218,833
New Grant Funded Positions Request: N/A
From: 1_ewis. Heather Louisg
10: Neves-oumo Tumvrco, 5
Mrarnom. Diana E.: Erlenheck. Robert Carl; Sonkiss. Lynn C
Cc: Adoglu-]ones. FbrO: Confetti. Holly M; Elarably. Kim K; Gu7zv, Scott N; Jan. Kyle as ; Joss. Edward P;
Mattheyrs. Hallow Powers. Andrea; 5.onrhez. Kd5tga I ; Shin. Julie; SnPver, Aargn G,: Sroai. Connie L;
Stolzenfeld. Tracy; Strinafellow. ]oAnn; Ward. Chris; Winter. Barbara; Worthington. Pamela I ; Zhou. _Jenny;
Grafton. Holly L.
Subject: RE: GRANT REVIEW FORM - Health and Human Services/Health Division - Substance Use Disorder Prevention
Services 2022-0215-SUDP - Acceptance (Greater than $10,000)
Date: Tuesday, November 9, 2021 10:20:24 AM
Approve with a modification to the draft resolution. Language from a previous resolution was left in
and not changed to comport with the services in this one. I recommend the following is removed:
"WHEREAS the agreement with OCHN includes providing Botvin LifeSkills° Training Program, Botvin
Parenting Program, Botvin Transitions Program, and Safe Dates Program to elementary, middle
school and high school children; young adults and parents, which requires a sole source purchasing
contract for curriculum with Princeton Health Press; and"
And replaced with something like this: "Whereas the agreement with OCHN Includes programming
which focuses on providing evidence -based substance use prevention through the tobacco and
vaping program CATCH My Breath to youth, the Michigan Department of Health & Human Services
vaping and tobacco prevention presentation to adults who interact with youth. Staff will also
implement the Screening, Brief Intervention, and Referral to Treatment (SBIRT) to screen OCHD
clinic clients for alcohol, tobacco, and other drug use and refer to treatment. Staff will also provide
technical assistance and education to the older adult population to improve safe medication
disposal awareness and opportunity. "
It appears that language from a prior resolution regarding services provided was left in this draft
and not replaced with the correct services information.
4O'AKL .
COUNTY MICHIGAK
Heather L. Lewis
Senior Assistant Corporation Counsel
Oakland County Corporation Counsel
1200 N. Telegraph Road, Bldg. 14 East
Courthouse West Wing Extension, 3rd Floor
Pontiac, MI 48341
Phone Number: (734) 516.1885*
Fax Number: (248) 858.1003
E-mail: Jewishaa oakoov.com
PTME: Hours -Monday 9-5; Wednesday and Friday: 3-5pm; Thursday: 9-5
/ generally work remotely and the best way to reach me is by email. Thank you.
This e-mail is intended only for those persons to whom it is specifically addressed. It is confidential and is protected by the attorney -client
privilege and work product doctrine. This privilege belongs to the County of Oakland, and individual addressees are not authorized to
waive or modify this privilege in any way. Individuals are advised that any dissemination, reproduction or unauthorized review of this
information by persons other than those listed above may constitute a waiver of this privilege and is therefore prohibited If you have
received this message in error, please notify the sender immediately. If you have any questions, please contact the Department of
Corporation Counsel at (248) 858-0550. Thank you for your cooperation.
VAliLA1NL l.V U1N 1 Y 11N I LKLVI,AL A1TKEENIL1N 1
BETWEEN
117,1114 11_\0a Ifi11J0SI11'/
OAKLAND COMMUNITY HEALTH NETWORK
2022-0215-SUDP
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This Agreement ("Agreement") is made and entered into between the County of Oakland,
("County") (DUNS # 136200362), a Michigan Constitutional and Municipal Corporation, a
political subdivision of the state of Michigan, and the designated Coordinating Agency per MCL
333.6201 et seq., whose address is 1200 North Telegraph, Pontiac, Michigan 48341 and the
OAKLAND COMMUNITY HEALTH NETWORK (hereafter "OCHN"), a Michigan Statutory
Public Governmental Entity (MCL 330.1100a(12), Federal Employer I.D. #38-3437521), created
pursuant to the Michigan Mental Health Code (P.A. 1974, No. 258, MCL 330.1100, et seq.,
hereafter "Mental Health Code"), whose address is 5505 Corporate Drive., Troy, MI 48098. In this
Agreement, either the OC14N or the County may also be referred to individually as a "Party" or
jointly as the "Parties."
PURPOSE OF AGREEMENT,. The OCHN is seeking to purchase services or provide funds for
programs to Oakland County. The Parties agrees, subject to the terms and conditions set forth in
this Agreement, to provide funds and/or services as described in Exhibits I and Exhibit II.
The Parties are authorized to enter into this Agreement pursuant to P.A. 1967, No. 7 (MCL 124.501
et seq.).
In consideration of the mutual promises, obligations, representations, and assurances in this
Agreement, the Parties agree as follows:
1. DEFINITIONS. In addition to any other defined terms in this Agreement (e.g.,
"Agreement," "County," "Mental Health Code," ..00HN," "Party," or "Parties," etc.), the
Parties agree that for all purposes, and as used throughout this Agreement, the following
words and expressions used throughout this Agreement, whether used in the singular or
plural, within or without quotation marks, or possessive or nonpossessive, shall be defined,
and interpreted as follows:
1.1. Agreement Documents mean the following documents, which this Contract includes
and incorporates:
1.1.1. Exhibit I: Financial Obligations
1.1.2. Exhibit II: Scope of Services
OCHN Contract 42022-0215-SUDP Page 1 of 37
1.1.3. Exhibit III: Business Associate Agreement, requirements for contracts
Involving the Health Insurance Portability and Accountability Act, if
applicable
1.1.4. Exhibit IV: Attachments Band C
1.2. Claims means any loss; complaint; demand for relief or damages; lawsuit; cause of
action; proceeding; judgment; penalty; costs or other liability of any kind which is
imposed on, incurred by, or asserted against the County or for which the County may
become legally or contractually obligated to pay or defend against, whether
commenced or threatened, including, but not limited to, reimbursement for reasonable
attorney fees, mediation, facilitation, arbitration fees, witness fees, court costs,
investigation expenses, litigation expenses, or amounts paid in settlement.
1.3. OCHN as defined on the first page of this Agreement and shall be further defined to
include any and all "CMH Agents" as defined herein.
L4. OCHN Aeent shall be defined to include, any and all OCHN Contractor(s)'
employees, officers, directors, board members, concurrent board members, managers,
departments, divisions, trustees, volunteers, licensees, concessionaires, subcontractors,
vendors, subsidiaries, joint ventures or partners, and/or any such OCHN Contractor(s)'
successors or predecessors and any such successors' or predecessors' employees
(whether such persons act or acted in their personal, representative or official
capacities), and/or any and all persons acting by, through, under, or in concert with any
OCHN Contractor(s) "OCHN Agency" shall also include any person who was a OCHN
Agent any time during the term of this Agreement but, for any reason, is no longer
employed, appointed, or serving as a OCHN Agent, without limitation, any and all
employees, officers, directors, members, managers, departments, and divisions of the
OCHN (whether such persons act or acted in their personal, representative or official
capacities but shall NOT include the County or "Concurrent Board Member" as defined
herein.
1.5. Concurrent Board Member shall be defined as any Oakland County Commissioner
who is also serving as a member of the Oakland Community Health Network Board.
1.6. Coon As this term maybe used in this Agreement, "County" shall be further defined
to include any and all "County Agents," as defined herein.
1.7. County Aiient shall be defined as any and all elected officials, appointed officials,
directors, board members, council members, commissioners, authorities, other boards,
committees, commissions, employees, third -party contractors, departments, divisions,
volunteers, representatives, and/or any such persons' successors (weather such persons
act or acted in their personal representative or official capacities), and/or "County
Agents" shall also include any person who was a County Agent any time during the
term of this Agreement but, for any reason, is no longer employed, appointed, or elected
and serving as an County Agent, and shall include the any "Concurrent Board
Member."
1.8. Day shall be defined as any calendar day, which shall always begin at 12:00:00 a.m.
and end at 11:59:59 p.m.
OCHN Contract #2022-0215-SUDP Page 2 of 37
�. CvuiNTY-SERVICES FOR THE OuR . Subject to the terms ana conarttons in tms
Agreement, and except as otherwise provided by law, the County shall provide those services
for the OCHN as described in Exhibit II and Exhibit IV attached to this Agreement and hereby
incorporated and made part of this Agreement. The Parties intend, agree, and acknowledge
that no services, other than those services described in this Agreement, shall or are otherwise
required to be provided by the County for or to the OCHN. Additional services may be
contracted by mutual agreement between the Parties.
3. OCHN PAYMENT OBLIGATION FOR COUNTY SERVICES.
3.1. Subject to the terms and conditions of this Agreement the OCHN agrees to pay to the
County on a monthly basis the dollar amount described in Exhibit I. This amount shall
be paid to the County within the thirty days of the OCHN receiving the expenditure
report from the County, via a wire transfer to a bank account designated by the County.
3.2. The Parties agree that the dollar Amount in Exhibit I is subject to change. The OCHN
will notify the County via a written notice at least 30 days in advance of any such
change, and the notice shall detail the change in the dollar amount. Furthermore, if the
dollar amount described in Exhibit I should change either by increase or decrease the
level of services provided by the County will change accordingly to match that increase
or decrease in funds. At no time will the County be required to perform services for
which it will not be paid or reimbursed.
3.3. Notwithstanding any references in the Exhibits to this Agreement, the Parties agree that
any and all references to "capitation," "Per Eligible Per Month (PEPM) payments,"
"shared -risk," "risk" of any sort, or any maximum payment obligation shall be
completely void and without any effect in interpreting this Agreement.
3.4. Unless there is a termination as provided for herein, the OCHN's obligations set forth
in this Section, shall be absolute and unconditional and shall not be affected by the
occurrence of either Party's default of any term or condition of this Agreement, nor
shall any other occurrence or event relieve, limit, or impair the obligation of the OCHN
to pay any such amount due to the County.
3.5. In the event that any amount due and owing from the OCHN is not paid to the County
as otherwise required in this Agreement, the OCHN agrees that the County may, at its
sole option, recover any and all such amounts determined by the County to be then due
and owing by the OCHN by and through any combination of reduced payments, set-
off, and/or withholding of any OCHN funds then in the possession of the County that
would otherwise have been paid to the OCHN by the County pursuant to the Mental
Health Code and/or any prior County funding commitment.
3.6. This Section shall not be interpreted as prohibiting, limiting or preventing the Parties
from mutually recognizing and agreeing that any amount invoiced by and/or received
or paid to the County in connection with this Agreement was in error and voluntarily
agreeing to correct same.
3.7. The Contract Amount per the Exhibit I for the applicable fiscal year represents a Not
To Exceed Amount (NTE) and is the maximum financial obligation of the OCHN to
the County for that fiscal year. If the Contractor projects their expenses will exceed
the NTE the County will submit to OCHN in writing a request for additional funds as
OCHN Contract #2022-0215-SUDP Page 3 of 37
soon as projections indicate a potential overage but no later tnan September 30th of the
current fiscal year. Upon this notification the County and OCHN will discuss potential
adjustments to the NTE.
3.8. Cost Settlement & Audit: For each fiscal year (October 1 through September 30), cost
settlement will be based on a comparison of the Exhibit I categorical amounts, as
amended by OCHN, to the County's actual, allowable, net expenses incurred and
reported for the period.
4. ASSURANCES AND WARRANTIES.
4.1. The OCHN agrees to comply with the provisions of any and all laws relating to
nondiscrimination and conflict of interest with governmental employees and,
specifically, any County Agent. The OCHN warrants to avoid any conflict of interest,
whether real or perceived.
4.2. Any and all County services set forth in this Agreement are provided on an "as -in" and
"as -available" basis, without any warranty of any kind, to the maximum extent
permitted by applicable law. The County hereby expressly further disclaims any and
all warranties, of any kind, whether express or implied, including, without limitation,
any implied warranties of merchantability, fitness for a particular purpose, non -
infringement, and/or that any County services under this Agreement will meet any
OCHN's needs or requirements, will be uninterrupted, timely, secure, error or risk
free/or that any deficiencies in any County service. The entire risk arising out of the
use of any and all County services herein remains at all times, with the OCHN to the
maximum extent permitted by law.
5. NO INDEMNIFICATION.
5.1. Each Party shall be responsible for any Claims made against that Party and for the acts
of its Employees or Agents.
5.2. In any Claim that may arise from the performance of this Agreement, each Party shall
seek its own legal representation and bear the costs associated with such representation
including any attorney fees.
5.3. Except as otherwise provided in this Agreement, neither Party shall have any right
under any legal principle to be indemnified by the other Party or any of its employees
or Agents in connection with any Claim.
5.4. This Agreement does not, and is not intended to, impair, divest, delegate or contravene
any constitutional, statutory, and/or other legal right, privilege, power, obligation, duty
or immunity of the Parties. Nothing in this Agreement shall be construed as a waiver
of governmental immunity for either Party.
6. LIMITS AND EXCLUSIONS ON COUNTY SERVICES.
6.1. In no event and under no circumstances in connection with or as a result of this
Agreement shall the County be liable to the OCHN, or any other person, for any
consequential, incidental, direct, indirect, special punitive, or other similar damages
whatsoever (including, without limitation, damages for loss of business, profits,
business interruption, or any other pecuniary loss or business detriment) arising out of
this Agreement for any County services hereunder or any OCHN use or inability to use
OCHN Contract #2022-0215-SUDP Page 4 of 37
any l ounty services, even it me county nas peen aciviseu of the possmiiity of sucn
damages.
NO IMPLIED WAIVER. Except as otherwise expressly provided for in this Agreement:
7.1. Absent a written waiver, no act, failure, or delay by a Party to pursue or enforce any
rights or remedies under this Agreement shall constitute a waiver of those rights with
regard to any existing or subsequent breach of this Agreement.
7.2. No waiver of any term, condition, or provision of this Agreement, whether by conduct
or otherwise, in one or more instances, shall be deemed or construed as a continuing
waiver of any term, condition, or provision of this Agreement.
7.3. No waiver by either Party shall subsequently affect its right to require strict
performance of this Agreement.
MONITORING.
8.1. The OCHN will perform regular monitoring and reporting on the County's
performance and the County agrees to cooperate with the monitoring.
8.2. The OCHN shall complete on -site reviews and/or audits of the County at least
annually and has the right to investigate alleged compliance violations by the County.
8.3. The OCHN shall prepare a report summarizing the findings from the on -site review
and/or audit and shall forward a copy of the report to the County within 60 days of
completion of the review and/or audit.
9. AUDITING. The County agrees that financial records will be available upon request for
review or audit by OC14N or other appropriate officials.
10. AGREEMENT INTERPRETATION. The Parties agree that performance under this
Agreement will be conducted in compliance with all federal, Michigan, and local laws and
regulations. This Agreement is made and entered into in the County of Oakland and in the
State of Michigan. The language of all parts of this Agreement is intended to and under all
circumstances to be construed as a whole according to its fair meaning and not construed
strictly for or against any Party.
11. EFFECTIVE DATE AND DURATION OF THE AGREEMENT.
11.1. The Parties agree that this Agreement, and/or any subsequent amendments thereto,
shall not become effective prior to the approval by the Oakland County Board of
Commissioners and the OCHN. The approval and terms of this Agreement, and/or any
possible subsequent amendments thereto, shall be entered in the official minutes and
proceedings of the Oakland County Board of Commissioners and the OCHN Board
and shall also be filed with the office of the Clerk of the County.
11.2. The Parties further agree that this Agreement, and/or any subsequent amendments
thereto, shall not become effective prior to the filing of this Agreement, and/or any
possible subsequent amendments with the Michigan Secretary of State (MCL 124.510).
11.3. This Agreement shall remain in effect until it is cancelled or terminated by either of
the Parties as provided herein.
OCHN Contract #2022-0215-SUDP Page 5 of 37
12. INDEPENDENT CON'I'RAC'I OR. 1ne i-arties agree tnat at au times and for aii purposes
under the terms of this Agreement, the County's and/or any and all County Agents' legal status
and relationship to the OCHN shall be that of an Independent Contractor. Except as expressly
provided herein, each Party will be solely responsible for the acts of its own employees,
agents, and servants during the term of this Agreement. No liability, right or benefits arising
out of an employer/employee relationship, either express or implied, shall arise or accrue to
either Party as a result of this Agreement.
13. TERMINATION OR CANCELLATION OF AGREEMENT. Either Party may terminate
and/or cancel this Agreement upon ninety (90) Days written notice to the other Party. The
effective date of termination and/or cancellation shall be clearly stated in the written notice.
Termination of this Agreement does not release any Party from any obligations that Party has
pursuant to any law.
13.1. The Parties agree and acknowledge that either Party's decision to terminate and/or
cancel this Agreement, or any one or more individual County Services identified
herein, shall not relieve the OCHN or any OCHN payment obligation for any County
Services rendered prior to the effective date of any termination or cancellation of this
Agreement. The provisions of this Subsection shall survive the termination,
cancellation, and/or expiration of this Agreement.
14, DISCRIMINATION. The Parties shall not discriminate against their employees, agents,
applicants for employment, or another person or entities with respect to hire, tenure, terms,
conditions, and privileges of employment, or any matter directly or indirectly related to
employment in violation of any federal, state or local law.
15. RECORD RETENTION. The Parties agrees to maintain records in accordance with state
law. All records relative to this Agreement shall be available at any reasonable time for
examination or audit by personnel authorized by OCHN or law.
16. CORPORATE COMPLIANCE. The County shall have a Corporate Compliance Plan
and/or Policy. The Plan shall advance the prevention of fraud, abuse and waste providing
health care and to detect misconduct or wrongdoing. The OCHN shall monitor the
implementation of the Plan. The County shall investigate any reported allegations of fraud
and abuse related to the purchase of services funded through this Agreement. The County
shall notify the OC14N within 48 hours of becoming aware of any such allegation(s). The
County shall also notify the OCHN of the outcome of the investigation completed by the
County.
17. DELEGATION/SUBCONTRACT/ASSIGNMENT. Neither Party shall delegate,
subcontract, and/or assign any obligations or rights under this Agreement without the prior
written consent of the other Party.
18. FORCE MAJEURE. Each Party shall be excused from any obligations under this
Agreement during the time and to the extent that a Party is prevented from performing due to
causes beyond the Party's control, including, but not limited to, an act of God, war, fire, strike,
labor disputes, civil disturbances, reduction of power source, or any other circumstances
beyond the reasonable control of the affected Party. Reasonable notice shall be given to the
other party of any such event.
OCHN Contract #2022-0215-SUDP Page 6 of 37
19. SEVERATKIAi Y. if a court of competent jurisdiction finds a term, or condition, or this
Agreement to be illegal or invalid, then the term, or condition, shall be deemed severed from
this Agreement. All other terms, conditions, and provisions of this Agreement shall remain
in full force.
20. CAPTIONS. The section and subsection numbers, captions, and any index to such sections
and subsections contained in this Agreement are intended for the convenience of the reader
and are not intended to have any substantive meaning. The numbers, captions, and indexes
shall not be interpreted or be considered as part of this Agreement. Any use of the singular
or plural number, any reference to the male, female, or neuter genders, and any possessive or
nonpossessive use in this Agreement shall be deemed the appropriate plurality, gender or
possession as the context requires.
21. NOTICES. Notices given under this Agreement shall be in writing and shall be personally
delivered, sent by express delivery service, certified mail, or first class U.S. mail postage
prepaid, and addressed to the person listed below. Notice will be deemed given on the date
when one of the following first occur: (1) the date of actual receipt; (2) the next business day
when notice is sent express delivery service or personal delivery; or (3) three days after
mailing first class or certified U.S. mail.
21.1. If Notice is sent to the County, it shall be addressed and sent to: 1200 North Telegraph,
Pontiac, Michigan 48341.
21.2. If Notice is sent to the OCHN, it shall be addressed and sent to: 5505 Corporate Drive,
Troy, Michigan 48098.
21.3. Either Party may change the address and/or individual to which Notice is sent by
notifying the other Party in writing of the change.
22. GOVERNING LAW. This Agreement shall be governed, interpreted, and enforced by the
laws of the State of Michigan without giving effect to its conflict of law principles.
23. JURISDICTION AND VENUE. Except as otherwise required by law or court rule, any
action brought to enforce, interpret, or decide any Claim(s) arising under or related to this
Agreement shall be brought in the Sixth Judicial Circuit Court of the State of Michigan, the
50th District Court of the State of Michigan, or the United States District Court for the Eastern
District of Michigan, Southern Division, as dictated by the applicable jurisdiction of the court.
Except as otherwise required by law or court rule, venue is proper in the courts set forth
above. The choice of forum set forth above shall not be deemed to preclude the enforcement
of any judgment obtained in such forum or taking action under this Agreement to enforce
such judgment in any appropriate jurisdiction.
24. AGREEMENT MODIFICATIONS OR AMENDMENTS. Any modifications,
amendments, rescissions, waivers, or releases to this Agreement must be in writing and
executed by both Parties. The Parties agree that no such modification, rescission, waiver,
release or amendment of any provision of this Agreement shall become effective against the
County unless signed for by the Oakland County Board of Commissioners. The Parties further
agree that this Agreement shall not be changed, supplemented, or amended, in any manner,
except as provided for herein, and no other act, verbal representation, document, usage or
custom shall be deemed to amend or modify this Agreement in any manner.
OCHN Contract #2022-0215-SUDP Page 7 of 37
25. ENTIRE AGREEMENT. This Agreement sets torth the entire agreement oetween me
Parties along with the Agreement Documents. In entering into this Agreement, OCHN
acknowledges that it has not relied upon any prior or contemporaneous agreement,
representation, warranty, or other statement by the County and/or any County Agent that is
not expressly set forth in this Agreement, and that any and all such possible, perceived or
prior agreements, representations, understandings, statements, negotiations, understandings
and undertakings, whether written or oral, in any way concerning or related to the subject
matter of this Agreement are fully and completely superseded by this Agreement.
25.1. If there is a contradicting term or condition in any Exhibit to this Agreement, the
Agreement controls.
25.2. It is further agreed that the terms and conditions of this Agreement are contractual and
binding and are not mere recitals. The Parties acknowledge that this Agreement
contains certain limitations and disclaimers of liability.
Oakland Community Health Network:
BY:
i
Callana 011ie,
Chief Legal Officer
Anya Eliassen,
Chief Financial Officer
The County of Oakland
DATE:
DATE:
BY: DATE:
David Woodward,
Chairperson, Oakland County Board of Commissioners
OCHN Contract #2022-0215-SUDP Page 8 of 37
L/A1CLAAD L;IJUIN 1 Y LN 1 hKLLX AL ALYM L1V11LA 1
BETWEEN
OAKLAND COUNTY
AND
OAKLAND COMMUNITY HEALTH NETWORK
EXHIBIT 1: Financial' and Reporting Obligations
Health Education SUD Prevention Services
October 1, 2021— September 30, 2022
Description
Budget
FY22 Travel
1,060
Supplies & Materials
2,310
Contractual
191,196
Other
25,925
OCHN Funding
199,992
Local Match
20,499
Total Budget
220,491
The County shall submit an invoice to the OC14N on a monthly basis, which shall itemize all
amounts due and or owing by OCHN. The monthly invoice must reflect total actual program
expenditures by category. The invoices shall be submitted in a form and format agreed upon by
the Parties.
' Some or all of the funds provided by OCHN are federal funds. Department of Health and Human
Services/Substance Abuse and Mental Health Services Administration (SAMHSA), CFDA NO. 93.959, Block Grant
for Prevention and Treatment of Substance Abuse. Grant NO. 13 B I MI SAPT, award phase 2022. Title SAPT
Block Grant sub -recipient relationship, non -research and development project.
OCHN Contract #2022-0215-SUDP Page 9 of 37
OAKLAND COUN I Y IN 1 LICLOUAL AU"LIVIL1N I
BETWEEN
OAKLAND COUNTY
AND
OAKLAND COMMUNITY HEALTH NETWORK
EXHIBIT 11: Scope of Services
I. SUPPORTS AND SERVICES:
A. The County shall assure for the provision of services for eligible individuals
pursuant to the Contract and this Scope of Services.
B. Federal Award Project Description: Support projects for the development and
implementation of prevention activities directed to the diseases of alcohol and drug
abuse.
C. The County agrees to provide Health Education Substance Use Prevention Services
and will comply with the Management by Objective requirements in Attachment B
and the terms and conditions in Attachment C.
IL ADMINISTRATIVE RESPONSIBILITIES
A. Required Staff Training(s): The County understands that various federal and state
rules and regulations impose specific training requirements on the Parties. The
County agrees that its entire staff will receive all required training(s) as applicable.
The County also agrees to document the completion of applicable training in the
personnel file of each staff.
B. Cultural Competency: The County must assure meaningful service for persons with
diverse cultural backgrounds (including, but not limited to religious, ethnical,
geographical, geriatric, socioeconomic, and/or disability). The County shall assess
the population(s) it serves, collaborating with other community agencies (e.g.,
Council on Aging) and training staff on any identified cultural issues.
C. Relationship with Other Providers (Contractors): The County when practicable shall
collaborate with agencies in the community to the benefit of the consumer. Such
agencies include but are not limited to hospitals, intermediate school district, local
schools, faith based organizations, courts, law enforcement, community corrections,
substance abuse, Indian Health Services and Tribal Health Centers, Early On and
OCHN Contract #2022-0215-SUDP Page 10 of 37
other early intervention programs tnat are essential to positive outcomes to our
community.
D. Customer Services:
Orientation: The County will provide orientation to newly enrolled
Consumers. Orientation will include information about benefits and
services provided by Oakland County's Office of Substance Abuse Services.
The County will acknowledge receipt of support and for Federal and State
funds from the Michigan Department of Health and Human Services
(MDHHS) and/or Oakland Community Health Network (OCHN) in any
articles or publications that are produced utilizing any such finding.
Grievance: The County will have a policy, procedures and a process to
document the number and nature of grievances and complaints brought to
the County.
E. Recipient Rights:
The County will, and will require its subcontractors to, at every service site,
make readily available to all employees and staff, and if applicable, will post
in a conspicuous place and/or make available, the following:
a. A summary of all recipient rights guaranteed by the Public Health Code;
b. Post the MDDHS/Office of Recipient Rights (ORR) Reporting
Requirements poster for staff,
F. Service Cost Tables Reporting: The County agrees to cooperate with and
participate in OCHN's cost integrity process. The County agrees to develop and
submit to OCHN Service Cost Tables upon request by the OCHN. The County
agrees that the rates it establishes for all procedures listed in the Service Cost Table
are based on actual costs and are representative of current costs incurred and paid
by the County.
III. DATA MANAGEMENT:
A. As to the extent provided for by law the OCHN is the owner of all data
related to consumers pursuant to this agreement including all data entered
into the County's management information system(s), such as, all eligibility
and demographic data, utilization data, claims data, and any other service,
administrative or financial information that has passed through the OCHN's
or the County's operation that resides with the County. Notwithstanding the
foregoing, the County is not precluded from maintaining and utilizing the
data identified in this section in support of the services provided to the
consumer and internal County operations.
OCHN Contract #2022-0215-SUDP Page 11 of 37
B. 1'he County span implement tools to prevent unautnonzea access ana virus
protection to its internal transaction and office system using planning,
management, and system monitoring tools.
C. The Parties agree that when transmitting information electronically the
national ANSI and HIPAA compliant standards shall be utilized.
OCHN Contract #2022-0215-SUDP Page 12 of 37
OAKLAND COUNTY INTERLOCAL AGREEMENT
BETWEEN
OAKLAND COUNTY
OAKLAND COMMUNITY HEALTH NETWORK
EXHIBIT III
BUSINESS ASSOCIATE AGREEMENT
(Health Insurance Portability and Accountability Act Requirements)
Exhibit II is a Business Associate Agreement between Contractor ("Business Associate") and the
County ("Covered Entity"). This Exhibit is incorporated into the Contract and shall be
hereinafter referred to as "Agreement." The purpose of this Agreement is to facilitate
compliance with the Privacy and Security Rules and to facilitate compliance with HIPAA and
the HITECH Amendment to HIPAA.
1. DEFINITIONS. The following terms have the meanings set forth below for purposes of
the Agreement, unless the context clearly indicates another meaning. Terms used but not
otherwise defined in this Agreement have the same meaning as those terms in the Privacy
Rule.
1.1 Business Associate. "Business Associate" means the Contractor.
1.2 CFR. "CFR" means the Code of Federal Regulations.
1.3 Contract. "Contract' means the document with the Purchasing Contract
Number:
1.4 Contractor. "Contractor" means the entity or individual defined in the Contract
and listed on the first page of this Contract.
1.5 Covered Entitv. "Covered Entity" means the County of Oakland as defined in
the Contract.
1.6 Designated Record Set. "Designated Record Set' is defined in 45 CFR 164.501.
1.7 Electronic Health Record. "Electronic Health Record" means an electronic
record of health -related information on an individual that is created, gathered,
managed, and consulted by authorized health care clinicians and staff.
1.8 HIPAA. "HIPAA" means the Health Insurance Portability and Accountability
Act of 1996.
1.9 HITECH Amendment. "HITECH Amendment' means the changes to HIPAA
made by the Health Information Technology for Economic and Clinical Health
Act.
OCHN Contract #2022-0215-SUDP Page 13 of 37
1.10 Individual. "Individual' is defined in 45 CFR 160.103 and includes a person who
qualifies as a personal representative in 45 CFR 164.502(g).
1.11 Privacy Rule. "Privacy Rule" means the privacy rule or triFP A as set forth in the
Standards for Privacy of Individually Identifiable Health Information at 45 CFR
part 160 and part 164, subparts A and E.
1.12 Protected Health Information. "Protected Health Information" or "PHl' is
defined in 45 CFR 160.103, limited to the information created or received by
Business Associate from or on behalf of Covered Entity.
1.13 Required By Law. "Required By Law" is defined in 45 CFR 164.103.
1.14 Secretary. "Secretary" means the Secretary of the Department of Health and
Human Services or his or her designee.
1.15 Security Incident. "Security Incident' is defined in 45 CFR 164.304.
1.16 Security Rule. "Security Rule" means the security standards and implementation
specifications at 45 CFR part 160 and part 164, subpart C.
2. OBLIGATIONS AND ACTIVITIES OF BUSINESS ASSOCIATE. Business
Associate agrees to perform the obligations and activities described in this Section.
2.1 Business Associate understands that pursuant to the HITECH Amendment, it is
subject to the HIPAA Privacy and Security Rules in a similar manner as the rules
apply to Covered Entity. As a result, Business Associate shall take all actions
necessary to comply with the HIPAA Privacy and Security Rules for business
associates as revised by the HITECH Amendment, including, but not limited to,
the following: (a) Business Associate shall appoint a HIPAA privacy officer and
a HIPAA security officer; (b) Business Associate shall establish policies and
procedures to ensure compliance with the Privacy and Security Rules; (c)
Business Associate shall train its workforce regarding the Privacy and Security
Rules; (d) Business Associate shall enter into a privacy/security agreement with
Covered Entity; (e) Business Associate shall enter into privacy/security
agreements with its subcontractors that perform functions relating to Covered
Entity involving PHI; and (f) Business Associate shall conduct a security risk
analysis.
2.2 Business Associate shall not to use or disclose PHI other than as permitted or
required by this Agreement or as required by law.
2.3 Business Associate shall use appropriate safeguards to prevent use or disclosure
of the PHI. Business Associate shall implement administrative, physical, and
technical safeguards (including written policies and procedures) that reasonably
and appropriately protect the confidentiality, integrity, and availability of PHI that
it creates, receives, maintains, or transmits on behalf of Covered Entity as
required by the Security Rule.
2.4 Business Associate shall mitigate, to the extent practicable, any harmful effect
that is known to Business Associate of a use or disclosure of PHI by Business
Associate in violation of law or this Agreement.
OCHN Contract #2022-0215-SUDP Page 14 of 37
2.5 Business Associate shall report to Covered Entity any known Security Incident or
any known use or disclosure of PHI not permitted by this Agreement.
2.6 Effective the date this Agreement is signed, if liner, tusiness Associate shail do
the following in connection with the breach notification requirements of the
HITECH Amendment:
2.6.1 If Business Associate discovers a breach of unsecured PHI, as those terms
are defined by 45 CFR 164.402, Business Associate shall notify Covered
Entity without unreasonable delay but no later than ten (10) calendar days
after discovery. For this purpose, "discovery" means the first day on
which the breach is known to Business Associate or should have been
known by exercising reasonable diligence. Business Associate shall be
deemed to have knowledge of a breach if the breach is known or should
have been known by exercising reasonable diligence, to any person, other
than the person committing the breach, who is an employee, officer,
subcontractor, or other agent of Business Associate. The notification to
Covered Entity shall include the following: (a) identification of each
individual whose unsecured PHI has been breached or has reasonably
believed to have been breached and (b) any other available information in
Business Associate's possession that the Covered Entity is required to
include in the individual notice contemplated by 45 CFR 164.404.
2.6.2 Notwithstanding the immediate preceding subsection, Business Associate
shall assume the individual notice obligation specified in 45 CFR 164.404
on behalf of Covered Entity where a breach of unsecured PHI was
committed by Business Associate or its employee, officer, subcontractor,
or other agent of Business Associate or is within the unique knowledge of
Business Associate as opposed to Covered Entity. In such case, Business
Associate shall prepare the notice and shall provide it to Covered Entity
for review and approval at least five (5) calendar days before it is required
to be sent to the affected individual(s). Covered Entity shall promptly
review the notice and shall not unreasonably withhold its approval.
2.6.3 Where a breach of unsecured PHI involves more than five hundred (500)
individuals and was committed by the Business Associate or its employee,
officer, subcontractor, or other agent or is within the unique knowledge of
Business Associate as opposed to Covered Entity, Business Associate
shall provide notice to the media pursuant to 45 CFR 164.406. Business
Associate shall prepare the notice and shall provide it to Covered Entity
for review and approval at least five (5) calendar days before it is required
to be sent to the media. Covered Entity shall promptly review the notice
and shall not unreasonably withhold its approval.
2.6.4 Business Associate shall maintain a log of breaches of unsecured PHI with
respect to Covered Entity and shall submit the log to Covered Entity
within thirty (30) calendar days following the end of each calendar year,
so that the Covered Entity may report breaches to the Secretary in
accordance with 45 CFR 164.408. This requirement shall take effect with
respect to breaches occurring on or after September 23, 2009.
OCHN Contract #2022-0215-SUDP Page 15 of 37
2.7 Business Associate shall ensure that any agent or subcontractor to whom it
provides PHI, received from Covered Entity or created or received by Business
Associate on behalf of Covered Entity, agrees in writing to the same restrictions
and conditions that apply to Business Associate with respect to such information.
Business Associate shall ensure that any such agent or subcontractor implements
reasonable and appropriate safeguards to protect Covered Entity's PHI.
2.8 Business Associate shall provide reasonable access, at the written request of
Covered Entity, to PHI in a Designated Record Set to Covered Entity or, as
directed in writing by Covered Entity, to an Individual in order to meet the
requirements under 45 CFR 164.524.
2.9 Business Associate shall make any amendment(s) to PHI in a Designated Record
Set that the Covered Entity directs in writing or agrees to pursuant to 45 CFR
164.526,
2.10 Following receipt of a written request by Covered Entity, Business Associate shall
make internal practices, books, and records reasonably available to the Secretary
in order to determine Covered Entity's compliance with the Privacy Rule. The
afore mentioned materials include policies and procedures and PHI relating to the
use and disclosure of PHI received from Covered Entity or created or received by
Business Associate on behalf of Covered Entity.
2.11 Business Associate shall document disclosures of PHI and information related to
such disclosures, to permit Covered Entity to respond to a request by an
Individual for: (a) an accounting of disclosures of PHI in accordance with 45
CFR 164.528 or (b) effective January 1, 2011 or such later effective date
prescribed by regulations issued by the U.S. Department of Health and Human
Services, an accounting of disclosures PHI from an Electronic Health Record in
accordance with the HITECH Amendment.
2.12 Following receipt of a written request by Covered Entity, Business Associate shall
provide to Covered Entity or an Individual information collected in accordance
with Section 2 to permit Covered Entity to respond to a request by an Individual
for: (a) an accounting of disclosures of PHI in accordance with 45 CFR 164.528
or (b) effective as of January 1, 2011 or such later effective date prescribed by
regulations issued by the U.S. Department of Health and Human Services, an
accounting of disclosures of Protected Health Information from an Electronic
Health Record in accordance with the HITECH Amendment.
3. PERMITTED USES AND DISCLOSURES BY BUSINESS ASSOCIATE. Business
Associate may use and disclose PHI as set forth in this Section.
3.1 Except as otherwise limited in this Agreement, Business Associate may use or
disclose PHI to perform functions, activities, or services for or on behalf of
Covered Entity as specified in the underlying service agreement between Covered
Entity and Business Associate, provided that such use or disclosure shall not
violate the Privacy Rule if done by Covered Entity or the minimum necessary
policies and procedures of the Covered Entity. If no underlying service
agreement exists between Covered Entity and Business Associate, Business
Associate may use or disclose PHI to perform functions, activities, or services for
or on behalf of Covered Entity for the purposes of payment, treatment, or health
OCHN Contract 42022-0215-SUDP Page 16 of 37
care operations as those terms are defined in the Privacy Rule, provided that such
use or disclosure shall not violate the Privacy Rule if done by Covered Entity or
the minimum necessary policies and procedures of the Covered Entity.
3.2 Except as otherwise limited in this Agreement, Business Associate may use PHI
for the proper management and administration of the Business Associate or to
carry out the legal responsibilities of the Business Associate.
3.3 Except as otherwise limited in this Agreement, Business Associate may disclose
PHI for the proper management and administration of the Business Associate or
to carry out the legal responsibilities of the Business Associate, provided that
disclosures are Required by Law or Business Associate obtains reasonable
assurances in writing from the person to whom the information is disclosed that:
(a) the disclosed PHI will remain confidential and will be used or further
disclosed only as Required by Law or for the purpose for which it was disclosed
to the person and (b) the person notifies the Business Associate of any known
instances in which the confidentiality of the information has been breached.
3.4 Except as otherwise limited in this Agreement, Business Associate may use PHI
to provide data aggregation services to Covered Entity as permitted by 45 CFR
164.504(e)(2)(i)(B).
3.5 Business Associate may use PHI to report violations of law to appropriate federal
and state authorities, consistent with 45 CFR 164.5020)(1).
4. OBLIGATIONS OF COVERED ENTITY.
4.1 Covered Entity shall notify Business Associate of any limitation(s) of Covered
Entity in its notice of privacy practices in accordance with 45 CFR 164.520, to the
extent that such limitation may affect Business Associate's use or disclosure of
PHI.
4.2 Covered Entity shall notify Business Associate of any changes in or revocation of
permission by an Individual to use or disclose PHI, to the extent that such changes
may affect Business Associate's use or disclosure of PHI.
4.3 Covered Entity shall use appropriate safeguards to maintain and ensure the
confidentiality, privacy and security of PHI transmitted to Business Associate
pursuant to this Agreement, the Contract, and the Privacy Rule, until such PHI is
received by Business Associate, pursuant to any specifications set forth in any
attachment to the Contract.
4.4 Covered Entity shall manage all users of the services including its qualified
access, password restrictions, inactivity timeouts, downloads, and its ability to
download and otherwise process PHI.
4.5 The Parties acknowledge that Covered Entity owns and controls its data.
4.6 Covered Entity shall provide Business Associate with a copy of its notice of
privacy practices produced in accordance with 45 CFR Section 164.520, as well
as any subsequent changes or limitation(s) to such notice, to the extent such
changes or limitations may effect Business Associate's use or disclosure of PHI.
Covered Entity shall provide Business Associate with any changes in or
OCHN Contract #2022-0215-SUDP Page 17 of 37
revocation of permission to use or disclose PHI, to the extent the changes or
revocation may affect Business Associate's permitted or required uses or
disclosures. To the extent that the changes or revocations may affect Business
Associate's permitted use or disclosure of PHI, Covered Entity shall notity
Business Associate of any restriction on the use or disclosure of PHI that Covered
Entity has agreed to in accordance with 45 CFR Section 164.522. Covered Entity
may effectuate any and all such notices of non -private information via posting on
Covered Entity's web site.
5. EFFECT OF TERMINATION.
5.1 Except as provided in Section 5, upon termination of this Agreement or the
Contract, for any reason, Business Associate shall return or destroy (at Covered
Entity's request) all PHI received from Covered Entity or created or received by
Business Associate on behalf of Covered Entity. This provision shall apply to
PHI that is in the possession of subcontractors or agents of Business Associate.
Business Associate shall retain no copies of PHI.
5.2 If Business Associate determines that returning or destroying the PHI is
infeasible, Business Associate shall provide to Covered Entity written notification
of the conditions that make return or destruction infeasible. Upon receipt of
written notification that return or destruction of PHI is infeasible, Business
Associate shall extend the protections of this Agreement to such PHI and shall
limit further uses and disclosures of such PHI to those purposes that make the
return or destruction infeasible, for so long as Business Associate maintains such
PHI, which shall be for a period of at least six (6) years.
6 MISCELLANEOUS.
6.1 This Agreement is effective when the Contract is executed or when Business
Associate becomes a Business Associate of Covered Entity and both Parties sign
this Agreement, if later. However, certain provisions have special effective
dates, as set forth herein or as set forth in HIPAA or the HITECH Amendment.
6.2 Reuulatory References. A reference in this Agreement to a section in the Privacy
Rule or Security Rule means the section as in effect or as amended.
6.3 Amendment. The Parties agree to take action to amend this Agreement as
necessary for Covered Entity to comply with the Privacy and Security
requirements of HIPAA. If the Business Associate refuses to sign such an
amendment, this Agreement shall automatically terminate.
6.4 Survival. The respective rights and obligations of Business Associate and
Covered Entity under this Agreement shall survive the termination of this
Agreement and/or the Contract.
OCHN Contract #2022-0215-SUDP Page 18 of 37
OAKLAND COUNTY INTERLOCAL AGREEMENT
BETWEEN
OAKLAND COUNTY
F-1011.
OAKLAND COMMUNITY HEALTH NETWORK
A„iWWW ildil 1 di "I I i"iII 1 : :111Y111i JILl "p1,J 111I III 11II 11duWle„U ill 11IJI J I 11I.I ,I J JI,esunl I I I � I I I Id IN IiI IIIli 11 l dI 1I.IIuhJWLLtld 11 1 111IJJ'I'll 11" 1 11 d1bill 1 :1111 IIL11111 ill 11 1111M I 41J a I I : I L pl 1 11NJuJ4.
EXHIBIT IV: Attachments
ATTACHMENT B
Management by Objective
Oakland Community Health Network/Substance Use Disorder Services
Management by Objective
FY 2022
Program Name SLID Prevention- Health Education Date Prepared 9/17/2021
Agency/Organization, Oakland County Health Division
Prepared By_ Hanna Cassise
Program Goal
To delay the onsed prevent the use of alcohol, tobacco and other drugs by youth in Oakland County
with particular emphasis on high risk populations
Specific Activity and Objective (s)
(Number consecutively and use separate page for each
Prevention Activity)
Activity ##1 Implement a minimum of 2000 Screening, Brief
Intervention and Referral to Treatment (SHIRT) sessions in I
two OCHD clinics and through the "mobiletharm reduction" I
location to adults 21+, Each assessment is approximately 5-I
20 minutes in duration depending on the intervention
needed Outcomes=the number of screenings completed. I
I
I
I
I
I
Strategy: (list)
A = Alternative
C = Community -Based
E = Education
N = Information dissemination
P = Problem ID & Referral
V = Environmental
Estimated I Number of Direct Service Hours (outputs)
Total P = f lar ned I A = Delivered
Recipients 1 1st Qtr, 2nd Qtr. 3rd Qtr. 4th Qtr, TOTAL
(12 months) 1 P A P A P A P A P, A
400 130 130 140 4001 0
Sub Total
Total
0 0 130 0 130 0 140 0
OJ 0
OJ 0
OJ 0
01 0
01 0
0 0
01 0
of 0
OJ 0
01 0
of 0
1001 0
OCHN Contract #2022-0215-SUDP Page 19 of 37
Oakland Community Health Network/Substance Use Disorder Services
Management by Objective
�y naoo
Program Name:
BUD Prevention- Health Education Date Prepared 9/17/2021
Agency/Organization:
Oakland County Health Division
Prepared By.
Hanna Cassise
Program Goal:
To delay the onset/ prevent the use of alcohol, tobacco and other drugs by youth in Oakland
County with particular emphasis on high risk populations
Specific Activity and Objective (s)
(Number consecutively and use separate page for
each Prevention Activity)
Activity #2: Promote and provide technical assistance
to prescription and over -the counter drug disposal
efforts; act as a resouce to the general community
and other service agencies, particularly with an
interest In Oakland County senior population and
caretakers Outcomes to be reported: number of face
to face and phone consultations, number of disposal
sites where assistance was provided. presentations,
policy changestcreations, communication
pieces/strategies. etc.
Stratepy:(list)
A = Alternative
C = Community -Based
E = Education
N = Information dissemination
P = Problem ID & Referral
V - Environmental
Estimated
I Number of Direct Service Hours (outputs)
Total
P = Planned / A =
Delivered
Recipients
11st Qtr 2nd Olt. 3rd Qtr.
4th Qtr
TOTAL
(12 months)
A P
I P A P A
P I A
P A
I
1 15� 15� 15
151
60 0
0 0
11
01
0
0
0
0
0
01
0
of
o
01
0
0
0
0
0
0
0
001
Sub Total
1t5ol
1511 0
15
0
15 0
600
Total
q
OCHN Contract #2022-0215-SUDP Page 20 of 37
Program Name'
Agency)Organization
Prepared By -
Program Goal.
Oakland Community Health Network/Substance Use Disorder Services
Management by Objective
FY 2022
SUD Prevention Health Education
Oakland County Health Division
Hanna Cassise
Date Prepared9/17/2021
To delay the onset/ prevent the use of alcohol, tobacco and other drugs by youth in Oakland County
with particular emphasis on high risk populations
Specific Activity and Objective (s)
Estimated
Total
(Number consecutively and use separate page for each
Recipients
Prevention Activity)
(12 months)
Activity #3 Implement a minimum of 10 CATCH MY Breath
series t3 series with Multicultural la Familia and 2 series
with Children's Village). The program will also be available
for other community organizations and schools upon
request. For each grade level, the CATCH MY Breath
course has four lessons that are approximately 30 to 40
minutes long. A 5% (five percent) increase is expected in
the overall group score from pre to post testing.
Number of Direct Service Hours (outputs)
P = Planned / A = Delivered
1st Qtr 2nd Qtr 3rd Qtr 4th Qtv ' TO
P A P A P (A PJA P
6 6 6 6 24
0
I
Strategy. (hst) Sub Total 6
A = Alternative Total
C = Community -Based
E = Education
N = Information dissemination
P = Problem ID & Referral
V = Environmental
I
I
0 6 o s o sl
01 0
0) 0
0� 0
0 0
0J 0
01 0
0 0
0' 0
0 0
0 0
24 0
0
OCHN Contract #2022-0215-SUDP Page 21 of 37
Program Name:
Agency/Organization:
Prepared By:
Program Goal.
Oakland Community Health Network/Substance Use Disorder Services
Management by Objective
FY 2022
SUD Prevention- Health Education
Oakland County Health Division
Hanna Cassise
Date Prepared 9/17/2021
To delay the onset/ prevent the use of alcohol, tobacco and other drugs by youth in Oakland County
with particular emphasis on high risk populations
Specific Activity and Objective ts) Estimated
(Number consecutively and use separate page for each Total
Prevention Activity) Recipients
(12 months)
Activity #4 Implement 50 MDHHS Vaping Prevention
Education presentations to teachers and parents. The
presentation will be delivered in a virtual format via Zoom
and also in -person depending on request. Each session is
approximately 1 hour long Outcomes to be provided
include the results of surveys.
Strategy: (list)
A = Alternative
C = Community -Based
E = Education
N = Information dissemination
P = Problem 10 & Referral
V = Environmental
Number of Direct Service Hours (outputs)
P = Plarned / A = Delivered
1st Qtr. 2nd Qtr. 3rd Qtr, 4th Qtr. TOTAL
A I P A P I A P I A
13
12
12
13I
5C
C
C
Sub Total 13 01 12, 0 121 01 131 0
Total
OCHN Contract #2022-0215-SUDP Page 22 of 37
Oakland Community Health Network/Substance Use Disorder Services
Management by Objective
FY 2022
Program Name: SUD Prevention- Health Education Date Prepared: 9/1712021
Agency/Organization. Oakland County Health Division
Prepared By: Hanna Cassise
Program Goal:
To delay the onset/ prevent the use of alcohol, tobacco and other drugs by youth in
Oakland County with particular emphasis on high risk populations
Specific Activity and Objective (s) 117stimate
(Number consecutively and use Id Total
separate page for each Prevention lRecipien
Activity #5 Engage in education and
recruitment activities with personnel in I
schools, youth -serving agencies, and I
other community organizations in order I
to implement CATCH My Breath, and I
MDHHS Vaping Presentation, In I
addition, recruitment of stakeholders and I
locations to provide technical assistance I
for safe drug disposal. Particular I
emphasis in recruiting will be placed on I
high -risk geographic areas. I
Strategy: (list) Sub Total
A = Alternative Total
C = Community -Based
E = Education
N a Information dissemination
P = Problem ID & Referral
V = Environmental
Number of Direct Service Hours (outputs)
1st Qtr. 2nd Qtr. 3rd Qtr. 4th Qtr. TOTAL
P A P j A P A P A P I A
13 12 12 13 50
OI 0 0
0 0
0 0
01 0
0J 0
of 0
01 0
01 0
13 0 121 0 12
01 0
of o
01 0
0, 13 0 50 0
Total Outputs: 584
OCHN Contract #2022-0215-SUDP Page 23 of 37
ATTA31 IIAENT C —
V.
W.
X.
OAKLAND COMMUNITY HEALTH NETWORK (OCHN)
SUBSTANCE USE DISORDER SERVICES
PURCHASE OF SERVICE POLICIES
For
PROVIDERS OF PREVENTION SERVICES
FY 2022
OCHN Contract 42022-0215-SUDP Page 24 of 37
TABLE OF UOIN'I'EiN'I'S
I. BUDGETS........................................................................................................................... 2
PreventionBudget.............................................................................................................. 2
ProgramLocal Match........................................................................................................ 2
II. BILLING AND PAYMENT ...............................
Prevention Billing Summary Form .................
Billing Summary Page ....................................
BillDue Date ..................................................
Reimbursements ..............................................
Performance Requirement ..............................
III. AMENDMENTS AND ALLOCATIONS...............................................................................2
Requestan amendment......................................................................................................2
Budgetamendment............................................................................................................. 2
Request for Amendment Form............................................................................................ 2
IV. DATA, REPORTING AND RECORD RETENTION............................................3
Evidence -Based Services Prevention Management by Objectives (MBO) ........................ 3
Reimbursement................................................................................................................... 3
ReportingRequirements..................................................................................................... 3
ElectronicSubmission........................................................................................................ 3
RecordsRetention.............................................................................................................. 4
V. AGENCY AND STAFF REQUIREMENTS ................................................................................ 4
License and Prevention Credential Requirements............................................................. 4
CriminalBackground Checks............................................................................................ 4
VI. CULTURAL COMPETENCY.......................................................................................4
VII. CONFIDENTIALITY..........................................................................................5
VIII. CHOICE POLICY AND PROCEDURE..............................................................5
TheFederal Registerr........................................................................................................... 5
Charitable Choice Regulations.......................................................................................... 5
IX. REQUIRED DISCLAIMERS.........................................................................................6
Funding Sources Statement................................................................................................. 6
RecipientRights Statement.........................................................................-1.1............... .... 6
OCHNLogo Requirements ................................................................................................6
X. OCHN PREVENTION REVIEW................................................................6
Programmatic and On -Site Reviews.................................................................................. 6
Bi-annual Financial Review.............................................................................................. 6
OCHN Contract #2022-0215-SUDP Page 25 of 37
FY 2021/2022
OCHN Prevention Program Policies and Procedures
I. Budget
A. Prevention programs will submit an annual budget for OCHN-administered funds that
include revenue sources for total substance use disorder prevention programming using
the following forms: Prevention Budget/ Billing Summary and Budget/Billing Pages
(Attachment A.)
B. Programs will provide a 10% local match for all OCHN funding and submit as part of
budget.
II. Billing and Payment
A. The Prevention Billing Summary Form along with the Prevention Budget Billing Pages
are the source document for billing the OCHN for actual expenditures related to
prevention services provided each month.
B. Payment for services will be based on actual expenses incurred for service delivery. The
Billing Summary page must include the total amount expended for each category
(Travel, Supplies & Materials, Contractual, and Other) for the invoiced month, as well as a
breakout by funding source (i.e. OCHN funds and/or Local Match) The Billing Pages
must contain the monthly charges by line item in each category as identified in the
original budget.
C. Bills are due to OCHN no later than ten (10) days after the close of each service month;
those received after the 1 Oth may not be processed for payment until the following month.
D. Reimbursements will be based on the understanding that a certain level of performance,
measured by outputs (face-to-face, direct service hours engaged with the service
population, or activities outlined in the Prevention Guidance provided by OROSC and
approved by Prevention Coordinator - ATTACHMENT B) must be met in order to
receive full reimbursement of costs up to the contracted amount at the end of the contract
year.
E. For this agreement, the performance requirement is defined as 100% of the OCHN-
funded share of the Total Expenditure amount.
HI. Amendments and Adjustments to Allocations
A. A program can request an amendment at any time up to the OCHN amendment
deadline of May 13, 2021.
B. A budget amendment with revised budget pages is required when there is a
change in a budget category over $2,000 or 15% of the category, whichever constitutes the
greater amount. The deviation allowance does not authorize new categories or line items
within the category.
C. Request for Amendment Form (Attachment C-1) must be completed and approved by OCHN
before requested changes can be implemented. In order to move 15% or $2,000 (whichever is
OCHN PREP CONTRACTEA TTACHMENT C FY 202112022
greater) from one budget category to another, it is necessary to compiete the Request foi
Amendment Form, including a detailed explanation of the changes and updated budget
summary and billing pages — (email to Christina Nicholas at nicholasc(a,oaklandchn.ora or
by mail to her attention at 5505 Corporate Dr., Troy, MI 48098. For questions call
248.452.9850). You will receive a determination of approval, disapproval or pending status
within 10 business days or continents/questions if further clarification is required.
IV. Data, Reporting & Record Keeping
A. Prevention contractors must provide evidence -based prevention services (as defined in the
Research -based Prevention Protocol of their proposal).
B. A Prevention Management by Objectives (MBO) Form (Attachment B) describing
specific measurable objectives and assigned number of outputs for each is submitted as
part of the contract and will be reviewed for compliance during the contract year.
C. All OCHN-funded program grantees are required to participate in the collection of State -
required prevention data elements by utilizing the Michigan Prevention Data System
(MPDS) (httn:Himids.sudnds.com), a web -based system- including but not limited to:
• Number of direct hours (defined as face to face or output hours)
• Collection of strategies employed (Information Dissemination, Education,
Community -Based, Problem Identification and Referral, Environmental, or
Alternative)
• Population code
• Service population, type and domain
• Service population demographics
• Evidence -based practice
• Funding source
• Program Intervention Name
Outputs delivered during the invoiced month must be entered into the Michigan Data
Prevention System (MPDS) by the 101h of the month following the service month, for on -
time reimbursement.
D. Reimbursement is based on the understanding that a certain level of performance,
measured by outputs (face-to-face, direct service hours engaged with the target
population, or approved activities outlined in Prevention Guidance Document) must be
met in order to receive full reimbursement of costs, up to the contracted amount.
E. OCHN grantees must submit a Mid -Year and End -of -Year Prevention Program Report
(Attachment C-2) that includes a narrative, data outcome tables and process evaluation
results for all programs/services - no later than ten (10) days following the end of the
reporting period (e-mail to rhodesr(a),oaklandchn.orE).
F. OCHN grantees must incorporate tobacco prevention activities into their programming. A
report of tobacco prevention activities must be completed biannually, using the Tobacco
Activity Report Form (Attachment C-3) — and submitted with the Mid -Year and End -of -
Year Reports (e-mail to rhodesr(a),oaklandchn.ore).
G. All forms and reports must be submitted in electronic form. Failure to submit required
OCHNPREP CONTRACTS.4 TTACHMENT C FY 202//2022
reports in a timely manner to OCHN will result in withholding of payment for services.
H. Program documents related to OCHN-funded prevention services must be retained for a
period of seven (7) years in addition to the present contract year. After a period of three
(3) years post -program completion, providers may store documents electronically.
V. Agency and Staff Requirements
A. All agencies receiving OCHN-administered prevention funds must possess/demonstrate
expertise in substance use prevention. Unless Prevention Programs have been approved by
the Prevention Coordinator, all agencies must possess or have in possession by October 1,
2021, a current State of Michigan substance use prevention license (CAIT, Community
Change, Alternatives, and Information & Training). bttn://www.rnichiean.uov/lara/
B. During the period covered by this contract, the provider agency that directly employs or
contracts with the OCHN to provide prevention services is responsible for verifying that
staff who have been employed for a year or more are credentialed or have development
plans and verifying the ongoing certification status of employees. This includes
verification of the credential(s), monitoring staff development plans, and compliance with
continuing education requirements.
C. As a condition of the contract, Prevention Professionals (commonly described as Program
or Prevention Coordinators, Prevention Specialist, or Consultants i.e., those responsible
for the planning, coordination and/or oversight of program implementation) must be
certified by the Michigan Certification Board for Addiction Professional (MCBAP) as one
of the following:
• Certified Prevention Specialist M (CPS-M)
• Certified Prevention Specialist R (CPS-R)
• Certified Prevention Consultant M (CPC-M)
• Certified Prevention Consultant R (CPC-R)
• Certified Health Educator Specialist (CHES)
OR
Must file a certification "Development Plan" with Michigan Certification Board for
Addiction Professionals (MCBAP) within sixty (60) days of the contract start date.
Information on filing a Development Plan may be found at www.mcbau.corn. Failure to
comply with credentialing requirement may result in termination of the contract.
D. All providers must conduct yearly criminal background checks on all employees (and
potential employees) employed in programs funded by the OCHN, as a condition of
employment.
VI. Cultural Competency and a Trauma Informed Approach to Prevention
A. Providers must submit a cultural competency plan to the OCHN, addressing the following
elements and be able to document same at their annual program review:
• The program must identify and assess the cultural needs of potential and active
clients based on population served
• The program must identify how access to services is facilitated for persons with
OCHN PREP CONTRACTS ATTACHMENT C Fr 202/2022
diverse cultural backgrounds and Limited English Proficiency (LEE) anu hearing
impairment
The program must identify standards for the recruitment and hiring of culturally
competent staff members
The program must document cultural competency training for provider staff upon
hire and bi-annually (every two years) thereafter for all staff
B. Agencies must document staff training in a trauma -informed approach to Prevention
within the period of the contract. The training must include: an understanding of the
critical nature of trauma in the development of SUD; an understanding of the dimensions
of resiliency; building community capacity and learning strategies to change community
conditions to support individuals, families and communities affected by trauma/adverse
experiences.
VII. Confidentiality
The provider will comply with all Federal requirements contained in 42 CFR, Part 2,
Confidentiality of Alcohol and Drug Abuse Patient Records, Final Rule, June 9, 1987, as well as
any information about alcohol and other drug use obtained by a "program" (42 CFR2.11),
(42CFR2.12b). Information may be disclosed in summary, statistical or other form which does not
directly identify particular individuals.
VIII. Charitable Choice Policy and Procedure
A. The Federal Register (45 CFR part 96) contains federal Charitable Choice SAPT block grant
regulations that apply to prevention and treatment providers/programs. The regulations
require: (1) that the designation of religious (faith -based) organizations as such be based
on the organization's self -identification as religious (or faith -based) and (2) that a program
beneficiary receiving services from such an organization who objects to the religious
character of a program has a right to notice, referral and alternative services which meet
standards of timeliness, capacity, accessibility, and equivalency — and ensuring contact to
this alternative provider.
B. The program is required to comply with all applicable requirements of the Charitable Choice
regulations. If the program identifies itself as a religious or faith -based organization, it
must provide the federally mandated model notice to all clients. Providers who are faith -
based must notify participants of their right by providing the following model notice:
No provider of substance abuse services receiving Federal funds
from the U.S. Substance Abuse and Mental Health Services
Administration, including this organization, may discriminate
against you on the basis of religion, a religious belief, a refusal to
hold a religious belief, or a refusal to actively participate in a
religious practice.
If you object to the religious character of this organization, Federal
law gives you the right to a referral to another provider of substance
abuse services. The referral, and your receipt of alternative services,
must occur within a reasonable period of time after you request
them. The alternative provider must be accessible to you and have
the capacity to provide substance abuse services. The services
provided to you by the alternative provider must be of a value not
OCHN PREP CONTRACTS ATTACHMENT C FY 202112022
less than the value of the services you would have received trout this
organization.
IX. Required Statement of Funding Sources and Statement of Recipient Rights
Prevention programs that maintain records that include both the recipient's name and information
regarding his or her substance use, shall provide the recipient with a summary of recipient rights
protected by state or federal laws and promulgated rules. Any program announcement, brochure,
or other written communication that describes the program's substance abuse prevention services
shall state the following:
Recipients of substance abuse prevention services have rights protected by state and
federal laws and promulgated rules". For information contact the OCHN Substance
Use Disorder Services, Recipient Rights Coordinator Sherrie Cook, 5505 Corporate
Dr., Troy, MI 48098 or call 248.858.1210
Providers must assure that any program reports, articles and publications that result from
information gathered through the use of state, federal or county funds acknowledge receipt of that
support from the OCHN and/or the appropriate federal agencies by use of the following statement:
Federal, State, and/or County Funding has been provided through the Oakland
Community Health Network Substance Use Disorder Services to support the project
costs.
In addition to the disclaimer above, the promotion of any program, activity, training, or meeting
funded in whole or in part by the OCHN must contain the OCHN logo.
X. Programmatic and Financial Review
OCHN grantees are subject to an annual site review as well as annual scheduled program review
by the OCHN Service Network Analyst. The site review affords OCHN an opportunity to
experience the staff and program in action. The nroaram review looks at compliance with
contractual requirements: licensing requirements, progress toward meeting output and outcome
goals, process and outcome evaluation, certification and background checks on employees,
timeliness and accuracy of billing and reporting, etc.
Grantees are also subject to a complete financial review on a bi-annual basis by the OCHN Fiscal
Analyst. The objectives of the financial review are:
• Verify the reported expenditures have supporting documentation and were allowable
expenses
• Determine whether an agency's internal controls are adequate to provide reasonable
assurance that funds are managed in compliance with applicable laws and regulations
and/or provisions of the contract
• Confirm the billing was consistent with the contract budget
• Review the agency's financial audit to determine if there were any significant audit
findings
Prevention contract questions may be addressed to Rachel Rhodes, Prevention Coordinator for OCHN:
rhodesr(a)oaklandchn.ore or(248)452-9850.
OCHN PREY CONTRACTS ATTACHAfENT C Fp20211202 2
Agency:
Amending Budget:
Purpose of Amendment:
REQUEST FOR AMENDMENT
OAKLAND COMMUNITY HEALTH NETWORK
Substance Use Disorder Services
Date Requested by:
Requested:
Expenditures Current Proposed Budget
Budget
Travel
Supplies/Materials
Contractual
Other
TOTAL EXPENDITURES 0 0 0
Source of Funds
Local Match
OCHN Funding
TOTAL FUNDING 0 0 0
❑ Approved ❑ Not Approved Pended:
Date Comments:
Signature Date
ATTACHMENT C-1
Increase/Decrease
0
0
OCHNPREV CONTRACTSA TTACHAIENT C FY 202112022
ATTAC H4IENT C
O.AEMA- TTD C'OSMUNT11 Y HEALTH NETWORK
Subirance Use Disorder Semices
Mid-1'enr,End-aJ-fear
Prevention Program Report
0 "Mid-Y ear - Due Aptil 11, 2022
0 End of Year - Due October M 2022
6ote; The Mid -Year Report should reflect actisity from October thru Nfarch. The End -of --Year report should
outain a summation of acthits• for the entire vear. Simply ts»e vour responses beneath each Question.
Describe your service population for the reporting period. Indicate hour; successful you ivere in recruiting your
target population. It is not necessary to provide exactnumbers. -however, please describe wliat risk categories you
intended to target and if different from your original plan- describe the actual population see, ed, What impact did
this change, if any- have on progFanvservice delivery or outcomes"
2) Refer to vour MBO aMimeement By Ob+ective3 form and comment on any services that were not provided as
pLwrted (explain either why you were not able to complete the actixity and?or why you did something different
from the original plan-)
OCHN PREP CONTRACTS ATTACIIMENT C F)' 202//2022
.ITLICIiAWNT (_
3) Describe your program's overall ,process evaluation method(s) and the results of vour evaluatian. (Ina process
evaluation items commonly include recruitment procedures and retention rate; number of participants; staff
processing of program activity, participant comments or results of satisfaction surveys_) Describe any n uys in
which your process evaluation results will be used to improve the program in the firture.
4) Outcome Evaluation. Complete the Attached Outcome Tables for each serviceractiiity listed on your 1400 Form.
State your measurable indicator(g) from the MBO Fora and provide supporting data to show if the outcome was
achieved. Use as many tables as you need to present results in an organized and logical manner (please number of
using multiple tables.) For activitieslservices that are implemented as series at multiple locations - you may choose
to state outcomes by grade, school, city, etc. but the provider must include a table with an overall result for a
particular program.
5) Provide supporting documentation.
• Achial data usad to calculate outcome results and a description of ou the results we? 6 det&mfned
• Programfyers or &afters used to reentltporticipants
9 fhrtline or brig description of theprogram or ctrrriculnm
A copy of evaluation irtstr um ants
Letters ofsupport or news articles ggnerated btu the program
Call or entail Rachel Rhodes at rhodesrrWonklandchn.oru for assistance in collecting. catcniating, onctlrrirrg and
reporting data.
OCHN PREI'CONTRACTS ATTACHMENT C FY 2021,�1022
.Yli34 Ril1L.t1 L-�
OAKLAND COMMUNITY HEALTH NETWORK
Substance Use disorder Services
Prevention Activities I Y 202112022
Outcomes Table # Example
Program Name: xamnte
M1BO Target Population
Activity
# Hispanic parents living in
the Pontiac and Auburn
Hills areas
Comments:
Group designation:
Indicator Statement
Hispanic parents who
participate in the Love &
Logic Program (3 hours
per ,seek for 8 weeks) will
experience (a) 7%
increase in positive
parenting attitudes and
interaction with their
children and (b) a 10%
increase in knowledge of
positive parenting
techniques as measured
by the Love & Logic Pre
Post Test that
accompanies the
program.
Outcome Results
Auburn Hill Elem Group #1
(a) 15% A
(b) 12% 4
OCHN
Use
Onto
Please Note: For activities?services that are implemented in series at multiple locations — you may choose to state
outcomes by grade. school location, city, etc., but please also include a table with an overall result. Copy and create
as many tables as you deem necessary to accurately report your results. Attach supporting data?spreadsheets to
table or at end of report,
OCHN PREFCONTRACTS ATTACHMENT C FF 20212022
iTTACMIENr1 f'
OAKLAND COMMUNITY HEALTH NETWORK
Substance Use Disorder Services
Prevention Activities FY 202112022
Outcomes Table # 1
Program Name: Group Designation:
OCHd
NIBO Target Population Indicator Statement Outcome Results Use
Activity Only
Comments:
Please Note: For activitiesfsery ices that are implemented in series at multiple locations - you may choose to
state outcomes by grade, school location, city, etc., but please also include a table with an overall result. Copy
and create as many tables as you deem necessary as you deem necessary to accurately report results. Attach
supporting datalspreadsheets to table or at end of report.
OCHN PREFCONTRACTSATTACHWNT C FY 202112022
OAKLAND COMMUNITY HEALTH NETWORK
Substance Use Disorder Services
Prevention Activities FY 202112022
Outcomes Table # 2
Program Name: Group Designation—
MBO
Activity
Commeents:
Target Population Indicator Statement Outcome Results
ATTACHMENT C3
OCHN
Use
Only
Please Note: For activitieslservices that are implemented in series at multiple locations — you may choose to
state outcomes by grade, school location, city. etc., but please also include a table with an overall result. Copy
and create as many tables as you deem necessary to accurately report results. Attach supporting
data+spreadsheets to table or at end of report.
OCHN PREP CONTRACTS ATTACHMENT C FP 2021/2022
ATTACHMENT C-3
AGENCY NAME
OAKLAND COMMUNITY HEALTH NETWORK
Substance Use Disorder Services
TOBACCO ACTIVITY REPORT FY 2021/2022
❑ 6 Month ❑ Year End
Instructions: Please briefly describe any tobacco use prevention activities your group or organization has
undertaken in the past six-month reporting period in each of the following strategies:
Information Dissemination
Specific topic of information
Description of population distributed to
Estimated Outputs
Education
Type of format (class, series of classes, video, speaker, skills training, etc.)
Description of audience
Estimated outputs
Community -Based Activity (Describe activity: examples may include assessing community needs
regarding tobacco use; accessing services and funding for tobacco use prevention; providing trainings on
tobacco use prevention, etc.)
Estimated outputs
Environmental Strategies (Describe activity: examples include any activity undertaken to change
the physical, legal, economic, and social processes of a community that are associated with tobacco use,
i.e., establishing tobacco free policies, preventing underage sale of tobacco products to minors, vendor
education, changing codes, ordinances, or regulations regarding sale and use.)
Estimated outputs
OCHNPRET' CONTRAC'TSATTAC'HMENT C FY 202112022
Oakland County, Michigan
Health and Human Services - Health Division - Substance Use Disorder Prevention
Schedule "A" DETAIL
Fund
R/E I Fund Name Division Name Fund # I Division # I Affiliate I Program # I Account# I Account Title
HEALTH M )PH OSAS FUND 1#282491
GRANT: GH0000001133, Bud Ref 2022 Activity GLB Analysis-GLB
R Health MDPH OSAS Health Substance Abuse
E He31th MDPH OSAS Heallh Substance Abuse
E Health MDPH OSAS Health Substance Abuse
E Health MDPH OSAS Health Substance Abuse
FY 2022 FY 2023 FY 2024
Amendment Amendment Amendment
28249
1060261
134795
610313
Fedeml OpemSng Grants
$ 199,992 - -
Total Revenue
$ 199,992 -
28249
1060261
134795
702010
Salaries Regular
116,579 - -
28249
1060261
134795
722740
Fringe Benefits
67,112 - -
28249
1060261
134795
730926
Indirect Costs
16.301 - -
Total Expenditures 1 $ 199,992