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Home My WebLink AboutInterlocal Agreements - 2023.11.16 - 40896 AGENDA ITEM: Amendment #3 to the Interlocal Agreement with the Oakland Community Health Network for Substance Use Disorder Prevention Services DEPARTMENT: Health & Human Services MEETING: Board of Commissioners DATE: Thursday, November 16, 2023 9:30 AM - Click to View Agenda ITEM SUMMARY SHEET COMMITTEE REPORT TO BOARD Resolution #2023-3503 Motion to approve Amendment #3 to the Interlocal Agreement between the County of Oakland and the Oakland Community Health Network in the amount of $219,991, which consists of $199,992 in grant funding and a local in-kind match of $19,999; authorize the Chair of the Board of Commissioners to execute the grant amendment; further, amend the FY 2024 budget as detailed in the attached Schedule A. ITEM CATEGORY SPONSORED BY Grant Penny Luebs INTRODUCTION AND BACKGROUND Oakland County has received Amendment #3 to the Interlocal Agreement from the Oakland Community Health Network (OCHN), to reflect updated work plan objectives for substance-use disorder prevention services for the period October 1, 2023 through September 30, 2024. Amendment #3 includes Health Education SUD Prevention Services funding in the amount of $219,991, which consists of $199,992 in grant funding and a local in-kind match of $19,999. The $19,999 local in-kind match is budgeted within the Health Division General Fund, which includes salaries, printing, educational supplies, telephone communications and IT operations. Amendment #3 also includes American Rescue Plan Act grant funding in the amount of $20,000, with no grant match required. 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). Amendment #3 to the Interlocal Agreement has completed the Grant Review Process in accordance with the Grants Policy. POLICY ANALYSIS The original agreement for the Substance Use Disorder Prevention services with Oakland Community Health Network was approved via MR #2021-502 on December 9, 2021. The amendment #1 was approved by the Administration on May 27,2022 because it was under 15 percent variance from the current award and did not require personnel changes. The amendment #2 was approved via MR #2022-419 on December 8, 2022. The acceptance of this grant does not obligate the County to any future commitment and continuation of the Special Revenue positions in the grant is contingent upon future levels of grant funding. BUDGET AMENDMENT REQUIRED: Yes Committee members can contact Michael Andrews, Policy and Fiscal Analysis Supervisor at 248.425.5572 or andrewsmb@oakgov.com, or the department contact persons listed for additional information. CONTACT Leigh-Anne Stafford, Director Health & Human Services ITEM REVIEW TRACKING Aaron Snover, Board of Commissioners Created/Initiated - 11/16/2023 AGENDA DEADLINE: 11/16/2023 9:30 AM ATTACHMENTS 1. Grant Review Sign-Off 2. 2022-0215-SUDP #3 OCHD 3. PH&S - Health_Substance Use Disorder Prevention (SUDP) #3_Sch.A COMMITTEE TRACKING 2023-11-07 Public Health & Safety - Forward to Finance 2023-11-08 Finance - Recommend to Board 2023-11-16 Full Board - Adopt Motioned by: Commissioner Yolanda Smith Charles Seconded by: Commissioner Philip Weipert Yes: David Woodward, Michael Spisz, Michael Gingell, Penny Luebs, Karen Joliat, Kristen Nelson, Christine Long, Robert Hoffman, Philip Weipert, Gwen Markham, Angela Powell, Marcia Gershenson, Janet Jackson, William Miller III, Yolanda Smith Charles, Brendan Johnson, Ajay Raman (17) No: None (0) Abstain: None (0) Absent: Charles Cavell (1) Passed GRANT REVIEW SIGN-OFF – Health & Human Services/Health GRANT NAME: FY2024 Oakland County Health Network FUNDING AGENCY: Oakland Community Health Network DEPARTMENT CONTACT PERSON: Stacey Sledge 248-452-2151 STATUS: Grant Acceptance (Greater than $10,000) DATE: 10/26/2023 Please be advised that 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) should be placed on the next agenda(s) of the appropriate Board of Commissioners’ committee(s) for grant acceptance by Board resolution. DEPARTMENT REVIEW Management and Budget: Approved. Sheryl Johnson (10/19/2023) Human Resources: Approved by Human Resources. Continues 2 positions with no changes. HR action not needed. – Heather Mason (10/19/2023) Risk Management: Approved. No County liability insurance requirements. Robert Erlenbeck (10/23/2023) Corporation Counsel: CC conducted a legal review of the provided 3rd Amended Interlocal Agreement. CC finds no unresolved legal issues. CC confirmed with the requesting department that the agreement has been fully reviewed, there are no issues or questions, and the dept. can comply with all terms. – Heather Lewis (10/25/2023) OAKLAND COUNTY INTERLOCAL AGREEMENT BETWEEN OAKLAND COUNTY AND OAKLAND COMMUNITY HEALTH NETWORK FOR Substance Use Disorder Prevention Services 2022-0215-SUDP #3 The Parties, Oakland County ("County") and Oakland Community Health Network ("OCHN"), agree and acknowledge that the purpose of this Amendment is to modify as provided herein and otherwise continue the present contractual relationship between the Parties as described in their current Substance Use Disorder Prevention Services, ("Contract"). In consideration of the mutual promises, representations, assurances, agreements, and provisions in the Contract and this Amendment, the adequacy of which is hereby acknowledged by the Parties, the Parties agree to amend the Contract as follows: 1.The Parties acknowledge and agree to FY24 Exhibit I: Financial and Reporting Obligations, as attached hereto. 2.The Parties acknowledge and agree to FY24 Exhibit II: Scope of Services, as attached hereto. 3.The Parties acknowledge and agree to Attachment B – Management by Objectives in Exhibit IV, as attached hereto. 4.The Parties acknowledge and agree to Attachment C – Purchase of Services Polices for Providers of Prevention Services FY24 in Exhibit IV, as attached hereto. Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 1 of 72 For and in consideration of the mutual assurances, promises, acknowledgments, warrants, representations and agreements set forth in the Contract and this Amendment, and for other good and valuable consideration, the receipt and adequacy of which is hereby acknowledged, the undersigned hereby execute this Amendment on behalf of the OCHN and County and by doing so legally obligate and bind the OCHN and County to the terms and conditions of the Contract and this Amendment: OAKLAND COMMUNITY HEALTH NETWORK: BY: ________________________________ DATE: _______________________ Adam Jenovai, Chief Operating Officer / Deputy Executive Director BY: ________________________________ DATE: _______________________ Patrick Franklin, Interim Chief Financial Officer THE COUNTY OF OAKLAND BY:________________________________ DATE:_______________________ David Woodward, Chairperson, Oakland County Board of Commissioners Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 2 of 72 OAKLAND COUNTY INTERLOCAL AGREEMENT BETWEEN OAKLAND COUNTY AND OAKLAND COMMUNITY HEALTH NETWORK EXHIBIT I: Financial 1 and Reporting Obligations Health Education SUD Prevention Services October 1, 2023 – September 30, 2024 Description Budget FY24 Travel 2,655.00 Supplies & Materials 3,153.00 Contractual 186,698.00 Other 27,485.00 OCHN Funding 199,992 Local Match 19,999 Total Budget – Health Education 219,991 American Rescue Plan Act Grant (ARPA) October 1, 2023 – September 30, 2024 Description Budget FY24 Travel 663.00 Supplies & Materials 3,650.00 Contractual 14,409.00 Other 1,278.00 Total Budget 20,000.00 The County shall submit an invoice to the OCHN 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. 1 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 B1 MI SAPT, award phase 2022. Title SAPT Block Grant sub-recipient relationship, non-research and development project. Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 3 of 72 OAKLAND COUNTY INTERLOCAL AGREEMENT BETWEEN OAKLAND COUNTY AND OAKLAND COMMUNITY HEALTH NETWORK EXHIBIT II: Scope of Services 1. SUPPORTS AND SERVICES 1.1. The County shall assure for the provision of services for eligible individuals pursuant to the Contract and this Scope of Services. 1.2. Federal Award Project Description: Support projects for the development and implementation of prevention activities directed to the diseases of alcohol and drug abuse. 1.3. 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. 2. ADMINISTRATIVE RESPONSIBILITIES 2.1. 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. 2.2. 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. 2.3. 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 other early intervention programs that are essential to positive outcomes to our community. Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 4 of 72 2.4. Customer Services: 2.4.1. 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. 2.4.2. 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 funding. 2.4.3. 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. 2.5. Recipient Rights: 2.5.1. 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: 2.5.1.1. A summary of all recipient rights guaranteed by the Public Health Code; 2.5.1.2. Post the MDDHS/Office of Recipient Rights (ORR) Reporting Requirements poster for staff; 2.6. 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. 3. DATA MANAGEMENT 3.1. 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. 3.2. The County shall implement tools to prevent unauthorized access and virus protection to its internal transaction and office system using planning, management, and system monitoring tools. 3.3. The Parties agree that when transmitting information electronically the national ANSI and HIPAA compliant standards shall be utilized. Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 5 of 72 American Rescue Plan Act Funding (ARPA) – FY23 The purpose of the ARPA Evidenced-Based Prevention Program (EBP) Project is to increase the capacity of the Oakland Community Health Network (OCHN) provider system to effectively impact an identified special population from our needs assessment that is at risk for all substance and mental health (LGBTQIA+) at an individual level. OCHN prevention providers received training in the following EBP, Prime for Life. Michigan Model for Health is a comprehensive and evidence-based health education curriculum for Pre-K through 12th grade utilizing skill-based instruction. It teaches students the knowledge and skills they need to build and maintain healthy behaviors and lifestyles. Age-appropriate and sequential lessons are used to focus on serious health challenges that students may face. 1. Eligibility Requirements • The County is a current provider or registered vendor of OCHN • The County staff have experience in interacting with families and teens with knowledge of social emotional needs of youth. 2. Scope of Service • Grantee has attended a provided training in the program outlined above. • Grantees agree to provide a minimum total of 80 outputs for the program for FY24. o Engage in education and recruitment activities in partnership with Oakland Schools to implement Michigan Model for Health Curriculum modules (Alcohol, Tobacco, Other Drugs, and Social, Emotional Learning) Particular emphasis in recruiting will be placed on high-risk geographic areas utilizing information dissemination. At least 15 outputs per quarter will be obtained for a total of 60 outputs. o Implement a minimum of 1 Michigan Model for Health in Alcohol, Tobacco, and Other Drugs (ATOD) series in Oakland County Middle Schools. Each ATOD series includes ten lessons that address drug and alcohol use. All lessons are approximately 45 minutes in length. Elementary MMH ATOD unit implementation will be considered upon request. A minimum total of 8 outputs o Implement a minimum of 1 Michigan Model for Health Social Emotional Health (SHE) series in Oakland County middle schools. Each SHE series includes 15 lessons that address drug and alcohol use. All lessons are approximately 45 minutes in length. Elementary MMH SEL unit implementation will be considered upon request. A minimum total of 12 outputs. • Grantee will submit an invoice (ATTACHMENT B 2) for ARPA EBP funded activity that may include registration cost, travel expenses, and curriculum materials and facilitator charges. Invoices specific to the ARPA EBP grant (separate from the SAPT invoice) are sent electronically to Janet Selberg, selbergJ@oaklandchn.org with cc. to Rachel Rhodes, rhodesr@oaklandchn.org • The grantee will provide OCHN with proof of training attendance in the form of a certificate, sign-in sheet or other document with supervisor signature. Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 6 of 72 • Grantee agrees to a site visit and programmatic review. • Grantee agrees to monthly reporting for data gathering purposes. 3. Obligations of OCHN • OCHN, in collaboration with MDHHS, will provide technical assistance to The County upon request • OCHN will reimburse The County for registration cost, mileage, curriculum and other educational materials necessary to conducting the programs including facilitation charges as outlined in ATTACHMENT B2 of this amendment. 4. Outcomes/ Deliverables • Provide the OCHN with a participant sign-in sheet with time and date noted for all sessions of the program • Provide an invoice for ARPA-EBP implementation expenses to OCHN as noted above by the 10th day of the month following the service month utilizing the Budget Summary & Billing Pages provided with this agreement (ATTACHMENT B2)- and as delineated in the Scope of Service • Provide OCHN with outcome evaluation using the tool provided by the program developers. • Enter group information into the Michigan Prevention Database System (MPDS). 5. Technical Assistance Provided by the SUD Prevention Coordinator, Rachel Rhodes- rhodesr@oaklandchn.org or 248.452-9850 Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 7 of 72 OAKLAND COUNTY INTERLOCAL AGREEMENT BETWEEN OAKLAND COUNTY AND OAKLAND COMMUNITY HEALTH NETWORK EXHIBIT IV: Attachments ATTACHMENT B Management by Objective Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 8 of 72 Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 9 of 72 Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 10 of 72 Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 11 of 72 Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 12 of 72 1 Oakland Community Health Network PREVENTION PROVIDER MANUAL FY 2024 Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 13 of 72 2 Index Section One ATTACHMENT A- Budget and Billing Section Two ATTACHMENT B- Management by Objective Section Three Attachment C- Contract Requirements Section Four ATTACHMENTS C2-C3 Reporting Forms Section Five Applicable OCHN Policies Section Six Common Acronyms Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 14 of 72 3 INTRODUCTION Welcome to Oakland Community Health Network’s (OCHN) Prevention Provider Network. OCHN is pleased to be partnering with SUD prevention service providers that offer an array of services throughout OCHN’s county region. This document is the Prevention Provider Manual. This manual is intended to act as a guidance document for all OCHN-funded Prevention Providers to offer information and technical assistance regarding requirements associated with the roles and responsibilities of contracted providers. It includes guidelines, requirements, and policies. Each year it will be reviewed and updated as necessitated by federal, state or OCHN requirements. This is a reference attachment to your contract for OCHN services and may be revised accordingly in response to changes in contract requirements and/or OCHN policies and procedures. OCHN will notify providers of effective changes. OCHN recognizes that each agency of the prevention provider network is unique as are their services, programs, and activities. Questions on any matters not covered in the manual may be directed to the Prevention Coordinator identified below: Rachel Rhodes, LMSW-C, CPC SUD Prevention Coordinator Oakland Community Health Network 5055 Corporate Drive Troy, MI 48098 PH: 248-452-9850 rhodesr@oaklandchn.org Website: www.oaklandchn.org Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 15 of 72 4 OVERVIEW The Oakland Community Health Network (OCHN) serves as the Prepaid Inpatient Health Plan (PIHP) region under contract with Michigan Department of Health and Human Services (MDHHS) for region 8. OCHN is responsible for delivering substance use prevention, treatment, and recovery services within Oakland County’s 55+ cities, villages, and townships. The OCHN is under contract with the Michigan Department of Health and Human Services (MDHHS), utilizing public funding under the Substance Abuse Prevention and Treatment Block Grant (SAPT-BG), State Opioid Response Grant (SOR), American Rescue Plan Act Funding (ARPA), and other Grants, managing substance use related services throughout the county region. As one of the 10 PIHPs in Michigan, OCHN has provider network management obligations including but not limited to, assurance of overall federal, state, and other compliance mandates, regional service array adequacy, and ensuring provider competency expectations are met in both professional enhancement and service delivery areas. The OCHN SUD Prevention Services operates with a Request for Proposal (RFP) process. The RFP provides interested agencies, institutions, and organizations with necessary information to prepare and submit proposals for the provision of substance use disorders prevention services. Total funds anticipated to be available for the period of October 1 through September 30. The funding totals not to exceed amount are anticipated; actual funding may vary dependent on changes in the Substance Abuse Prevention and Treatment Block Grant Allocation. The SUD Prevention RFP timeline is on a three-year rotation. Contracts are renewed annually if the provider adheres to state and OCHN guidelines. Providers are responsible for understanding, demonstrated through service delivery, the content pertinent to the scope of work identified in the contract. OCHN will make every effort to inform SUD Providers about policy, procedure, or other requirement change(s). OCHN’s governing Board of Directors (BOD) includes representation from the region of Oakland County. The BOD has policy and fiduciary responsibilities for all contracts with MDHHS including SUD administration and services. Additionally, and as required by statute, the OCHN PIHP region has an SUD Oversight Policy Board (OPB), whose members represent the region. The OPB is an advisory to the BOD and serves as the authority for approving use of Public Act 2 Funds. OCHN welcomes the opportunity to enhance SUD partnerships and appreciates feedback regarding SUD services. Please contact OCHN SUD Director and Prevention Coordinator to share knowledge, concerns, and/or expertise. Prevention Overview and Service System Behavioral health refers to a “state of emotional/mental being and/or choices and actions that affect health and wellness” (SAMHSA, 2014). Individuals engage in behavior and make choices that affect their wellness, including whether or not to use alcohol, tobacco, or other drugs. Communities can also impact choices and actions that Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 16 of 72 5 affect wellness, such as imposing and enforcing laws that restrict youth access to alcohol and assuring that all pregnant women have access to prenatal care. Behavioral health problems include substance abuse or misuse, alcohol and drug addiction, mental health and substance use disorders, serious psychological distress, and suicide. The term behavioral health can also be used to describe the service systems surrounding the promotion of mental health, the prevention and treatment of mental and substance use disorders, and recovery support. The Continuum of Care The Institute of Medicine’s continuum of care is a classification system that presents the scope of behavioral health services: promotion of health, prevention of illness/disorder, and maintenance/recovery. Promotion involves interventions (e.g., programs, practices, or environmental strategies) that enable people to increase control over, and to improve, their health. As such, interventions that promote health occur independently as well as throughout the continuum of care as part of prevention, treatment, and maintenance/recovery. Prevention focuses on interventions that occur prior to the onset of a disorder and which are intended to prevent the occurrence of the disorder or reduce risk for the disorder. Prevention is about striving to optimize well-being. Preventive interventions, according to the Institute of Medicine, can be designed to address three levels of risk: universal, selective, and indicated. Universal prevention interventions focus on the general public or a population subgroup that have not been identified on the basis of risk. Selective interventions focus on individuals or subgroups of the population whose risk of developing behavioral health disorders is significantly higher than average. Indicated interventions focus on high-risk individuals who are identified as having minimal but detectable signs or symptoms that foreshadow behavioral health disorders, but who do not meet diagnostic levels at the current time. Treatment interventions include case identification and standard forms of treatment (e.g., detoxification, outpatient treatment, in-patient treatment, medication-assisted treatment). Maintenance includes interventions that focus on compliance with long-term treatment to reduce relapse and recurrence and aftercare, including rehabilitation and recovery support. Recovery is a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential. Risk and Protective Factors Many factors influence the likelihood that an individual will develop a substance use related behavioral health problem. Effective prevention focuses on reducing the factors that put people Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 17 of 72 6 at risk of substance use and strengthening those factors that protect people from the problem. According to the National Research Council and Institute of Medicine’s 2009 report, Preventing Mental, Emotional, and Behavioral Disorders among Young People: Progress and Possibilities, risk factors are certain biological, psychological, family, community, or cultural characteristics that precede and are associated with a higher likelihood of behavioral health problems. Protective factors are characteristics at the individual, family, or community level that are associated with a lower likelihood of problem outcomes. Multiple Contexts Individuals have certain biological and psychological characteristics that make them vulnerable to, or resilient in the face of, potential health problems. Risk factors at the individual level include genetic predisposition to addiction or exposure to alcohol prenatally; protective factors might include positive self-image, self-control, or social competence. Families risk factors include child abuse and maltreatment, inadequate supervision, and parents who use drugs and alcohol or who suffer from mental illness; a protective factor would be parental involvement. Communities risk factors include neighborhood poverty and violence; protective factors might include the availability of faith-based resources and afterschool activities. Society risk factors can include norms and laws favorable to substance use, as well as racism and a lack of economic opportunity; protective factors include policies limiting availability of substances or laws protecting marginalized populations, such as LGBTQIA+ youth. Strategic Prevention Framework (SFP) Research and experience have shown that prevention must begin with an understanding of these complex behavioral health problems within their complex environmental contexts; only then can communities establish and implement effective plans to address substance misuse. The Substance Abuse Mental Health Services Administration (SAMHSA) developed the Strategic Prevention Framework (SPF). The five steps and two guiding principles of the SPF offer prevention planners a comprehensive approach to understanding and addressing substance misuse and related behavioral health problems facing their states and communities. Assessment is the first step in the process, and it identifies local prevention needs based on data (e.g., What is the problem?) Capacity is addressing ways to build local resources and readiness to address prevention needs (e.g., What do you have to work with?) Planning is finding out what works to address prevention needs and how to do it well (e.g., What should you do and how should you do it?). Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 18 of 72 7 Implementation is about delivering evidence-based programs and practices as intended (e.g., how can you put your plan into action?) Evaluation examines the process and outcomes of programs and practices (e.g., is your plan succeeding?). The SPF is also guided by two cross-cutting principles that should be integrated into each of the steps that comprise it: Cultural Competence is the ability of an individual or organization to understand and interact effectively with people who have different values, lifestyles, and traditions based on their distinctive heritage and social relationships. Sustainability is the process of building an adaptive and effective system that achieves and maintains desired long-term results. References SAMHSA’s Center for the Application of Prevention Technologies (2015). Substance Abuse Prevention Skills Training (SAPST). http://captus.samhsa.gov/ Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 19 of 72 8 Section One ATTACHMENT A: BUDGET SUMMARY & BILLING PAGES Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 20 of 72 9 A provider’s ATTACHMENT A- Budget Summary & Billing Pages is the contract form that serves as both the ANNUAL BUDGET for the program and the BILLING PAGES or invoice for monthly expenses. As the ANNUAL BUDGET it answers the questions: • What is my total allotment or grant amount from OCHN? • What is the amount of local funding that my agency is contributing to implementing the service (agencies are required to contribute 10% of the grant amount…examples might be office space, copying, etc. • How have the monies been distributed under each Category (Travel, Supplies and Materials, Contractual, Other) and the Line Items within the Categories of the Budget. As the BILLING PAGES this same document is an Excel form with formulas that as you complete entering the amounts in the detail pages (Line Items) the Summary Page will automatically populate, and the monthly bill is complete. The bill must be sent electronically to Rachel Rhodes, rhodesr@oaklandchn.org with cc: to Janet Selberg selbergj@oaklandchn.org. The deadline for invoice submission is the 10th of the month following the service month being billed. If the 10th falls on a weekend the invoice is due the following business day. A Budget Amendment may be requested by the provider if they wish to adjust their budget due to unforeseen circumstances. A budget amendment is required if the amount being moved between categories is over 15% of the category or $2,000 whichever is greater. See Attachment C and call the Prevention Coordinator who will initiate the amendment process. Follow any other requested procedures in completing the amendment as procedures are subject to change. The template may change slightly from varying funding sources, such as, SAPT, SOR, ARPA, etc. Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 21 of 72 10 SUD BUDGET & BILLING PAGES GUIDANCE DOCUMENT FY 24 Please employ the following guidelines to complete the accompanying Budget and Billing Pages Form for FY 2023. The list below consists of examples of the types of expenditures or “Items” to include in each Category. (TRAVEL is an example of a “Category”. MILEAGE is an example of an “Item” within that Category). TRAVEL Mileage Conference Registration Meals & Lodging Air Travel Parking SUPPLIES & MATERIALS Printing Office Supplies Education Supplies & Materials (i.e., CDs, DVD’s) Training Materials Postage Activity Materials Recreational & Crafts Materials Copier Charges Use for all consumable items and equipment items costing less than $5,000. CONTRACTUAL Wages: list each position with the annual # of hours worked for the grant and rate per hour. Fringe Benefits: may be listed on the bill as one total. Eligible for inclusion is • FICA (to figure take 7.65% of salary amount or .0765) • Retirement • Worker’s Compensation • Life Insurance • Health/dental/optical insurance • Unemployment Attachment A Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 22 of 72 11 OAKLAND COMMUNITY HEALTH NETWORK Prevention Billing Summary FY 2024 Monthly Expenses Annual Budget Agency Name: Month/Yr FY Description Current Month Travel $ - Supplies & Materials $ - Contractual $ - Other $ - Total Expenditures Source of Funds I certify that I am authorized to sign on behalf $ - of the local agency and that this is a true and correct statement of expenditures and collections for the report period. Appropriate documentation is available and will be maintained for the required period to support costs and receipts reported. Local Match $ - OCHN Funding $ - Signature Title Date Total Expenditures by Funding Source $ - X Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 23 of 72 OAKLAND COMMUNITY HEALTH NETWORK Prevention Budget/Billing Form FY: 2024 Date: Agency: Reporting Period: (for monthly invoice) Travel Total X Funding Sources X For mileage expense indicate # of miles and rate per mile. Amount Local Match OCCMHA Funding $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - TOTALS $ - $ - $ - Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 24 of 72 OAKLAND COMMUNITY HEALTH NETWORK Prevention Budget/Billing Form FY: 2024 Date: Agency: Reporting Period: (for monthly invoice) Supplies & Materials Total X Funding Sources X Amount Local Match OCCMHA Funding $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - TOTALS $ - $ - $ - Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 25 of 72 OAKLAND COMMUNITY HEALTH NEWTORK Prevention Budget/Billing Form FY: 2024 Date: Agency: Reporting Period: (for monthly invoice) Contractual Total X Funding Sources X Amount Local Match OCCMHA Funding $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - Fringe Benefit Total $ - TOTALS $ - $ - $ - Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 26 of 72 OAKLAND COMMUNITY HEALTH NETWORK Prevention Budget/Billing Form FY: 2024 Date: Agency: Reporting Period: (for monthly invoice) Other Total X Funding Sources X Amount Local Match OCCMHA Funding $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - $ - TOTALS $ - $ - $ - Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 27 of 72 Section Two ATTACHMENT B: MANAGEMENT BY OBJECTIVE Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 28 of 72 Management By Objective The Management by Objective Form (MBO) is basically your “work plan” and is contained in the prevention provider’s contract. The MBO outlines in detail the prevention program, service or activity that the provider has agreed to deliver within an identified time period. It contains the agreed upon performance requirements or time units (outputs) attached to the service as well as outlines the deliverables (outcomes) to OCHN. Outputs are defined as one hour of “face time” with an audience you are attempting to impact. An example would be implementing one class of a program like Life Skills Training to an audience of 4th graders for one hour. Providers are required to complete a monthly and End-of Year Report on achieving progress toward meeting the goals outlined in the MBO. See Section Four on Required Forms. The Prevention Coordinator should have supplied you, as the OCHN Prevention Director with a copy of your agency’s MBO contract form at the beginning of the contract year…the Prevention Coordinator will send you a copy upon request. Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 29 of 72 ATTACHMENT B SAMPLE OAKLAND COMMUNITY HEALTH NETWORK Substance Use Disorder Services Management by Objective Form FY 24 Program Name: Date Prepared: ____________ Agency/Organization: Prepared By: Program Goal: Specific Activity and Objective (s) (Number consecutively and use separate page for each Prevention Activity) Estimated Total Recipients (12 months) Number of Direct Service Hours (outputs) P = Planned / A = Delivered 1st Qtr. 2nd Qtr. 3rd Qtr. 4th Qtr. TOTAL P A P A P A P A P A #1 Describe the prevention service including: (a) the activity itself (ex: number of series of a program, number of classes in the series, duration of the class; (b) describe the target population: age, gender, ethnicity, and/or relevant risk factors; (c) the expected outcome in measurable terms (ex. an increase of 10% in perception of risk associated with the use of ATOD); (d) how the outcome or change will be measured (ex. pre/posttest, documentation of behavior change.) 0 0 Strategy: (list) Sub Total 0 0 0 0 0 0 0 0 0 0 A = Alternative Total C = Community-Based E = Education N = Information dissemination P = Problem ID & Referral V = Environmental Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 30 of 72 Section Three Contract Requirements: ATTACHMENT C Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 31 of 72 ATTACHMENT C ATTACHMENT C outlines all contractual requirements for OCHN- funded prevention providers including licensing, certification, reporting and financial deadlines, disclaimers and funding statements and the entry of implementation data. A Program Review is conducted annually by the OCHN Prevention Coordinator in which the provider is required to document compliance with Attachment C. Inability to do so may result in a request for the submission of a Corrective Action Plan. Failure to meet the requirements of the corrective action plan within the assigned time frame may result in the termination of the contract. An on-site visit to the provider’s program, service or activity is also completed by the Prevention Coordinator to assure participant safety, facilitator competence, etc. OCHN provides ongoing technical assistance (TA) throughout the year with the goal of successful grant implementation for OCHN prevention providers. For TA contact the OCHN Prevention Coordinator. Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 32 of 72 ATTACHMENT C OAKLAND COMMUNITY HEALTH NETWORK (OCHN) SUBSTANCE USE DISORDER SERVICES PURCHASE OF SERVICE POLICIES For PROVIDERS OF PREVENTION SERVICES FY 2024 Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 33 of 72 TABLE OF CONTENTS I. BUDGETS ......................................................................................................................... 2 Prevention Budget .............................................................................................................. 2 Program Local Match ........................................................................................................ 2 II. BILLING AND PAYMENT ................................................................................................ 2 Prevention Billing Summary Form .................................................................................... 2 Billing Summary Page ....................................................................................................... 2 Bill Due Date ..................................................................................................................... 2 Reimbursements ................................................................................................................. 2 Performance Requirement ................................................................................................. 2 III. AMENDMENTS AND ALLOCATIONS ............................................................................ 2 Request an amendment ...................................................................................................... 2 Budget amendment ............................................................................................................. 2 Request for Amendment Form ......................................................................................... 2-3 IV. DATA, REPORTING AND RECORD RETENTION…………………………… ……...3 Evidence-Based Services Prevention Management by Objectives (MBO) ........................ 3 Reimbursement ................................................................................................................... 3 Reporting Requirements ..................................................................................................... 3 Electronic Submission ........................................................................................................ 4 Records Retention .............................................................................................................. 4 V. AGENCY AND STAFF REQUIREMENTS ............................................................................. 4 License and Prevention Credential Requirements ............................................................. 4 Criminal Background Checks ............................................................................................ 4 Prevention Directors Meeting ……………………………………………………………………4 VI. CULTURAL COMPETENCY & TRAININGS ...................................................... ….4-5 Cultural Competency Plan ..…………………………………………………………………….5 Trauma-Informed Training ...…………………………………………………………………....5 Communicable Disease Training ..………………………………………………………………5 VII. CONFIDENTIALITY…………………………………………………………………………….5-6 VIII. CHOICE POLICY AND PROCEDURE………………….………………………...……….5 The Federal Register........................................................................................................... 5 Charitable Choice Regulations .......................................................................................... 6 IX. REQUIRED DISCLAIMERS........................................................................................ 6 Funding Sources Statement ................................................................................................. 6 Recipient Rights Statement ................................................................................................. 6 OCHN Logo Requirements ................................................................................................ 6 X. OCHN PREVENTION REVIEW……………………………………………………….6 Programmatic and On-Site Reviews .................................................................................. 7 Bi-annual Financial Review .............................................................................................. 8 Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 34 of 72 7 FY 2023/2024 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. C. 90% of prevention expenditures are expected to be directed to programs which are implemented as a result of an evidence-based decision-making process. 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 10th 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. III. Amendments and Adjustments to Allocations A. A program can request an amendment at any time up to the OCHN amendment deadline of May 10, 2024. Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 35 of 72 8 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-3) must be completed and approved by OCHN before requested changes can be implemented. In order to move 15% or $2,000 (whichever is greater) from one budget category to another, it is necessary to complete the Request for Amendment Form, including a detailed explanation of the changes and updated budget summary and billing pages – (email to Megan Phillips at phillipsm@oaklandchn.org 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 comments/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) (http://mpds.sudpds.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 10th 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 Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 36 of 72 9 Document) must be met in order to receive full reimbursement of costs, up to the contracted amount. E. OCHN grantees must submit a monthly 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@oaklandchn.org). F. OCHN grantees must incorporate tobacco prevention activities into their programming. A report of tobacco prevention activities must be completed annually, using the Tobacco Activity Report Form (Attachment C-3) – and submitted with the monthly and End-of-Year Reports (e-mail to rhodesr@oaklandchn.org). G. All forms and reports must be submitted in electronic form. Failure to submit required 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, MDHHS, and/or LARA, all agencies must possess or have in possession by October 1, 2023, a current State of Michigan substance use prevention license (CAIT, Community Change, Alternatives, and Information & Training). http://www.michigan.gov/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. The Prevention Provider Organization shall conduct periodically an assessment of the services offered in order to determine appropriate staffing levels and qualifications. The assessment shall identify the services offered by the organization, staff required to provide such services, licensing and credentialing requirements for the staff identified, and the level of staffing needed. a. The Prevention Provider organization shall ensure that SUDPS activities and services are provided by qualified workers who: i. Hold a current and valid SUD Prevention Certification issued by MCBAP (such as CPS, CPC), CHES or equivalent qualification; or Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 37 of 72 10 ii. Have a current/valid Development Plan approved by MCBAP that is supervised by a CPS or CPC. b. Exceptions to staff Prevention Certification requirements: individuals identified as Specifically Focused Prevention Staff i. Specifically Focused Prevention Staff are individuals trained and qualified to deliver one specific evidence-based program/service, on a limited basis and who perform their focused function under the supervision and responsibility of a Certified Prevention Professional. c. Focused ongoing person-to-person SUD Prevention activities delivered by a designated non-staff person or volunteer are carried out under the supervision and responsibility of a designated Certified Prevention Professional (ex. Delivery of Peer- to-Peer Services; Family-focused program; retailer activities; coalition services provided by volunteers, etc.) 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. E. All providers are expected to attend at least 80% of the scheduled Prevention Directors meetings. If the Prevention Director is not able to attend, please make arrangements for someone from the staff at your organization to attend or inform the OCHN SUD Prevention Coordinator and SUD Team prior to the meeting. F. For all Synar and Coverage Study guidelines please refer to the Policy 30.0 Synar DYTUR- Procedures. G. There is a protocol for all media campaigns utilizing SAPT, SOR, and any discretionary funds. Please refer to the Policy 31.0 Media Campaign Procedures. VI. Cultural Competency, Trauma Informed Approach to Prevention, & Communicable Disease 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 diverse cultural backgrounds and Limited English Proficiency (LEP) and 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. C. Agencies must document staff training in cultural competency within the period of Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 38 of 72 11 the contract. The training must include basic information on cultural competence for providers of behavioral health services, helps learners identify how culture affects the perception of others, describe the importance of understanding our own and other’s culture and values and how they affect the quality of services for those we serve. D. Agencies must document staff training in communicable disease within the period of the contract. The training must include identify transmission methods, symptoms and treatments for communicable diseases, describe communicable disease prevention methods, recognize risk factors that increase risk exposure, and identify connections between communicable disease and substance use. E. Agencies must document staff training in any of the required and updated trainings that OCHN requests to be in compliance with MDHHS, LARA, and SAMHSA requirements. 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 forms which do not directly identify particular individuals. Providers must submit a copy of their confidentiality policy to OCHN and be able to document it at their annual program review. 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, Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 39 of 72 12 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 less than the value of the services you would have received from 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 and MDHHS/SUGE 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 an 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 program 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. All OCHN grantees/prevention providers will need to receive at least 80% on the program review and site visit to be in compliance with contract requirements. If a provider organization receives lower than 80% on the program review, the organization will be placed on a Performance Improvement Plan (PIP), formally known as a Corrective Action Plan (CAP). 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: Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 40 of 72 13 • 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@oaklandchn.org or (248)452-9850. Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 41 of 72 ATTACHMENT C-1 REQUEST FOR AMENDMENT OAKLAND COMMUNITY HEALTH NETWORK Substance Use Disorder Services Agency: Amending Budget: Date Requested: Requested by: Purpose of Amendment: Expenditures Current Budget Proposed Budget Increase/Decrease Travel Supplies/Materials Contractual Other TOTAL EXPENDITURES Source of Funds Local Match OCCMHA Funding TOTAL FUNDING  Approved  Not Approved Pended: Date Signature Date Comments: Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 42 of 72 Section Four PROVIDER FORMS: ATTACHMENTS C2-C3 Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 43 of 72 ATTACHMENT C-2 Agency Name OAKLAND COMMUNITY HEALTH NETWORK Substance Use Disorder Services End-of-Year Prevention Program Report  End of Year – Due October 11, 2024 Note: The mid-year report should reflect activity from October through March. The end-of-year report should contain a summation of activity for the entire year. Simply type your responses beneath each question. 1) Describe your service population for the reporting period. Indicate how successful you were in recruiting your target population. It is not necessary to provide exact numbers…however, please describe what risk categories you intended to target and if different from your original plan- describe the actual population served. What impact did this change have on program/service delivery or outcomes? 2) Refer to your MBO (Management By Objective) form and comment on any services that were not provided as planned (explain either why you were not able to complete the activity and/or why you did something different from the original plan.) Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 44 of 72 ATTACHMENT C-2 3) Describe your program’s overall process evaluation method(s) and the results of your evaluation. (In a process evaluation items commonly include recruitment procedures and retention rate; number of participants; participants’ risk for substance use; staff processing of program activity; participant comments or results of satisfaction surveys.) Describe any ways in which your process evaluation results will be used to improve the program in the future. 4) Outcome Evaluation: Complete the Attached Outcome Tables for each service/activity listed on your MBO Form. State your measurable indicator(s) 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 if using multiple tables.) For activities/services 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. For Alliance of Coalition for Healthy Communities (ACHC) ONLY: In replacement of the Outcome Tables at end- of-year, the ACHC is required to submit an MPDS summary of activity by ACHC staff and by individual coalition and as well as complete #s 1, 2, 3 and 5 of this report form. The end-of-year Report includes delivery of an Annual Report by the end of the calendar year. 5) Provide supporting documentation. • Actual data used to calculate outcome results and a description of how the results were determined • Program flyers or letters used to recruit participants • Outline or brief description of the program or curriculum • A copy of evaluation instruments • Letters of support or news articles generated by the program Call or email Rachel Rhodes for assistance in collecting, calculating, analyzing and reporting data. Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 45 of 72 ATTACHMENT C-2 OAKLAND COMMUNITY HEALTH NETWORK Substance Use Disorder Services Prevention Activities FY 2024 Outcomes Table # Example Program Name: Example Group Designation: MBO Activity Target Population Indicator Statement Outcome Results OCHN Use Only # Hispanic parents living in Hispanic parents who the Pontiac and Auburn participate in the Love & Auburn Hill Elem Group #1 Hills areas Logic Program (3 hours (a) 15% ▲ per week for 8 weeks) will (b) 12% ▲ 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. Comments: 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. Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 46 of 72 ATTACHMENT C-2 OAKLAND COMMUNITY HEALTH NETWORK Substance Use Disorder Services Prevention Activities FY 2024 Outcomes Table # 1 Program Name: Group Designation: MBO Activity Target Population Indicator Statement Outcome Results OCHN Use Only # Comments: 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 results. Attach supporting data/spreadsheets to table or at end of report. Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 47 of 72 ATTACHMENT C-2 OAKLAND COMMUNITY HEALTH NETWORK Substance Use Disorder Services Prevention Activities FY 2024 Outcomes Table # 2 Program Name: Group Designation: MBO Activity Target Population Indicator Statement Outcome Results OCHN Use Only # Comments: 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 results. Attach supporting data/spreadsheets to table or at end of report. Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 48 of 72 OAKLAND COMMUNITY HEALTH NETWORK Substance Use Disorder Services PROGRAM TOBACCO ACTIVITY REPORT FY 2024  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 Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 49 of 72 Prevention Monthly Report & MPDS Verification Reporting Period: Month/Year Agency Name: Total # Outputs Total # of units: Total # of activities: Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 50 of 72 Please answer the following questions in its entirety and in detail. 1. During this reporting period, how many youth (unduplicated) were served? 2. During this reporting period, how many adults (unduplicated) were served? 3. During this reporting period, what were the successes that your organization experienced in implementing programming? Briefly describe the programming that was implemented this month. 4. During the reporting period, were there any barriers that your organization experienced in implementing programming? If so, please explain. How have those barriers impacted you reaching projected outputs? 5. What fidelity measures are you implementing with the EBP’s? Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 51 of 72 TOBACCO ACTIVITY REPORT FY 24 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____________ Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 52 of 72 ARPA Prevention Monthly Report & MPDS Verification Reporting Period: Month/Year Agency Name: Total # Outputs Total # of units: Total # of activities: Please answer the following questions in its entirety and in detail. Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 53 of 72 1. During this reporting period, how many people (unduplicated) were served? 2. During this reporting period, what were the successes that your organization experienced in implementing programming? Briefly describe the programming that was implemented this month. 3. During the reporting period, were there any barriers that your organization experienced in implementing programming? If so, please explain. How have those barriers impacted you reaching projected outputs? 4. During the reporting period have you secured any new partners or have any staff/facilitators been hired to implement Prevention EBP’s for this funding source? 5. What fidelity measures are you implementing with the EBP’s? Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 54 of 72 Additional Reporting Forms Attachment 2-B ARPA Monthly Report Attachment 2-C SOR EBP Monthly Report Attachment 2-D SOR Naloxone OEND Monthly Report Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 55 of 72 Section Five Applicable OCHN Policies Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 56 of 72 Prevention Policies SU 3.2 Charitable Choice SU 6.2 Confidentiality of Records SU 7.2 Cultural Competency Plan- OCHN SU 14.2 Program Monitoring, Management Staff, Site Visit Reports SU 18.2 Recipient Rights SU 26.1 Limited English Proficiency SU 28.1 Policy Substance Use Prevention Synar DYTUR Guidelines Protocol SU 31.0 Policy Substance Use Prevention and Treatment Media Campaign Protocol SU 32.1 SUD Prevention Trainings-Trauma & Communicable Disease SU 33.1 Data Recording Reporting Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 57 of 72 Section Six SUD Prevention Acronyms Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 58 of 72 SUBSTANCE USE DISORDER (SUD) ACRONYMS ATOD Alcohol Tobacco and Other Drugs BAC Blood Alcohol Content BHDDS Behavioral Health and Developmental Disability Services CADCA Community Anti-Drug Coalitions of America DARE Drug Abuse Resistance Education DAWN Drug Abuse Warning Network DEA Drug Enforcement Agency DFC Drug Free Community DUI Driving Under the Influence DYP Do Your Part EBP Evidence-Based Prevention FAN Families Against Narcotics LST Life Skills Training MADD MAT Mothers Against Drunk Driving Medically Assisted Treatment MBO Management by Objective MI Motivational Interviewing MDHHS Michigan Department of Health and Human Services MiPHY Michigan Profile for Healthy Youth NA Needs Assessment NREPP National Registry for Evidence-Based Programs and Practices OCHN Oakland Community Health Network OCCMHA Oakland County Mental Health Authority (old name of OCHN) OJJDP Office of Juvenile Justice and Delinquency Prevention Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 59 of 72 ACRONYMS continued… ONDCP National Office of Drug Control Policy OROSC Office of Recovery Oriented Systems of Care PIHP Pre-paid Inpatient Health Plan RFP Request for Proposal SAMHSA Substance Abuse & Mental Health Administration SAPT SFP Substance Abuse Prevention and Treatment (Block Grant) Strengthening Families Program SBIRT Screening Brief Intervention and Referral to Treatment SPF Strategic Prevention Framework (planning model) SUD SUGE Substance Use Disorder Substance Use and Gambling Epidemiology TA Technical Assistance Tx Treatment Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 60 of 72 Amending Budget: Expenditures Proposed Budget Increase/Decrease Travel 0 Supplies/Materials 0 Contractual 0 Other 0 TOTAL EXPENDITURES 0 0 Source of Funds Local Match 0 OCHN Funding 0 TOTAL FUNDING 0 0  Approved  Not Approved Pended: Date Comments: Signature Date 0 ATTACHMENT C-1 0 Current Budget REQUEST FOR AMENDMENT OAKLAND COMMUNITY HEALTH NETWORK Substance Use Disorder Services Agency: Date Requested: Requested by: Purpose of Amendment: Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 61 of 72 Prevention Monthly Report & MPDS Verification Reporting Period: Month/Year Agency Name: Total # Outputs Total # of units: Total # of activities: Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 62 of 72 Please answer the following questions in its entirety and in detail. 1. During this reporting period, how many youth (unduplicated) were served? 2. During this reporting period, how many adults (unduplicated) were served? 3. During this reporting period, what were the successes that your organization experienced in implementing programming? Briefly describe the programming that was implemented this month. 4. During the reporting period, were there any barriers that your organization experienced in implementing programming? If so, please explain. How have those barriers impacted you reaching projected outputs? 5. What fidelity measures are you implementing with the EBP’s? Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 63 of 72 ARPA Prevention Monthly Report & MPDS Verification Reporting Period: Month/Year Agency Name: Total # Outputs Total # of units: Total # of activities: Please answer the following questions in its entirety and in detail. Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 64 of 72 1. During this reporting period, how many people (unduplicated) were served? 2. During this reporting period, what were the successes that your organization experienced in implementing programming? Briefly describe the programming that was implemented this month. 3. During the reporting period, were there any barriers that your organization experienced in implementing programming? If so, please explain. How have those barriers impacted you reaching projected outputs? 4. During the reporting period have you secured any new partners or have any staff/facilitators been hired to implement Prevention EBP’s for this funding source? 5. What fidelity measures are you implementing with the EBP’s? Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 65 of 72 TOBACCO ACTIVITY REPORT FY 24 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____________ Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 66 of 72 ATTACHMENT C-2 OCHN Contract Prev ATTACHMENT C-3 FY 2023/2024 Agency Name: OAKLAND COMMUNITY HEALTH NETWORK Substance Use Disorder Services End-of-Year Prevention Program Report  End of Year – Due October 11, 2024 Note: The End-of-Year report should contain a summation of activity for the entire year (October-September). Simply type your responses beneath each question. 1) Describe your service population for the reporting period. Indicate how successful you were in recruiting your target population. It is not necessary to provide exact numbers…however, please describe what risk categories you intended to target and if different from your original plan- describe the actual population served. What impact did this change, if any- have on program/service delivery or outcomes? 2) Refer to your MBO (Management By Objective) form and comment on any services that were not provided as planned (explain either why you were not able to complete the activity and/or why you did something different from the original plan.) Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 67 of 72 ATTACHMENT C-2 OCHN Contract Prev ATTACHMENT C-3 FY 2023/2024 3) Describe your program’s overall process evaluation method(s) and the results of your evaluation. (In a 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 ways in which your process evaluation results will be used to improve the program in the future. 4) Outcome Evaluation: Complete the Attached Outcome Tables for each service/activity listed on your MBO Form. State your measurable indicator(s) from the MBO Form 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 if using multiple tables.) For activities/services 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. • Actual data used to calculate outcome results and a description of how the results were determined • Program flyers or letters used to recruit participants • Outline or brief description of the program or curriculum • A copy of evaluation instruments • Letters of support or news articles generated by the program Call or email Rachel Rhodes at rhodesr@oaklandchn.org for assistance in collecting, calculating, analyzing and reporting data. OAKLAND COMMUNITY HEALTH NETWORK Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 68 of 72 ATTACHMENT C-2 OCHN Contract Prev ATTACHMENT C-3 FY 2023/2024 Substance Use Disorder Services Prevention Activities FY 2022/2023 Outcomes Table # Example Program Name: Example Group Designation: MBO Activity Target Population Indicator Statement Outcome Results OCHN Use Only #____ Hispanic parents living in the Pontiac and Auburn Hills areas Hispanic parents who participate in the Love & Logic Program (3 hours per week 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. Auburn Hill Elem Group #1 (a) 15% ▲ (b) 12% ▲ Comments: 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. OAKLAND COMMUNITY HEALTH NETWORK Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 69 of 72 ATTACHMENT C-2 OCHN Contract Prev ATTACHMENT C-3 FY 2023/2024 Substance Use Disorder Services Prevention Activities FY 2022/2023 Outcomes Table # 1 Program Name: Group Designation: MBO Activity Target Population Indicator Statement Outcome Results OCHN Use Only #____ Comments: 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 as you deem necessary to accurately report results. Attach supporting data/spreadsheets to table or at end of report. Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 70 of 72 ATTACHMENT C-2 OCHN Contract Prev ATTACHMENT C-3 FY 2023/2024 OAKLAND COMMUNITY HEALTH NETWORK Substance Use Disorder Services Prevention Activities FY 2022/2023 Outcomes Table # 2 Program Name: Group Designation: MBO Activity Target Population Indicator Statement Outcome Results OCHN Use Only #____ Comments: 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 results. Attach supporting data/spreadsheets to table or at end of report. Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 71 of 72 OCHN Prevention Contract ATTACHMENT C-3 Tobacco Act Report FY 2023/2024 ATTACHMENT C-3B OAKLAND COMMUNITY HEALTH NETWORK Substance Use Disorder Services AGENCY NAME_____________________________________________________ TOBACCO ACTIVITY REPORT FY 2023/2024  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____________ Oakland Community Health Network Amendment Number 3 of Contract Number 2022-0215-SUDP Page 72 of 72 Oakland County, Michigan HEALTH AND HUMAN SERVICES DEPARTMENT/HEALTH DIVISION - SUBSTANCE USE DISORDER PREVENTION (SUDP) AMENDMENT #3 Schedule "A" DETAIL R/E Fund Name Division Name Fund # (FND)Cost Center (CCN) # Account # (RC/SC) Program # (PRG)Grant ID (GRN) # Project ID # (PROJ) Region (REG) Budget Fund Affiliate (BFA) Ledger Account Summary Account Title FY 2024 Amendment FY 2025 Amendment FY 2026 Amendment R Human Services Grants Health FND11007 CCN1060261 RC610313 PRG134795 GRN-1004298 610000 Federal Operating Grants $199,992 $-$- Total Revenues $199,992 $-$- E Human Services Grants Health FND11007 CCN1060261 SC730373 PRG134795 GRN-1004298 730000 Contracted Services $176,717 $-$- E Human Services Grants Health FND11007 CCN1060261 SC732018 PRG134795 GRN-1004298 730000 Travel and Conferences 3,322 E Human Services Grants Health FND11007 CCN1060261 SC750294 PRG134795 GRN-1004298 750000 Material and Supplies 19,953 -- Total Expenditures $199,992 $-$- R Human Services Grants Health FND11007 CCN1060261 RC610313 PRG134795 GRN-1004298 610000 Federal Operating Grants $20,000 $-$- Total Revenues $20,000 $-$- E Human Services Grants Health FND11007 CCN1060261 SC730373 PRG134795 GRN-1004298 730000 Contracted Services $16,741 $-$- E Human Services Grants Health FND11007 CCN1060261 SC730926 PRG134795 GRN-1004298 730000 Indirect Costs $851 E Human Services Grants Health FND11007 CCN1060261 SC732018 PRG134795 GRN-1004298 730000 Travel and Conferences 658 E Human Services Grants Health FND11007 CCN1060261 SC750294 PRG134795 GRN-1004298 750000 Material and Supplies 1,750 -- Total Expenditures $20,000 $-$- January 8, 2024 Michigan Department of State Office of the Great Seal Richard H. Austin Building, 1st Floor 430 W. Allegan Lansing, MI 48918 Dear Office of the Great Seal: On November 16, 2023 the Board of Commissioners for Oakland County entered into an agreement per RPT #2023-3503 – Health and Human Services – Amendment #3 to the Interlocal Agreement between Oakland County and Oakland Community Health Network for Substance Use Disorder Prevention Services. As required by Urban Cooperation Act 7 of 1967 - MCL 124.510(4), a copy of the signed agreement with the County of Oakland and the Oakland Community Health Network, and the authorizing Board of Commissioners Resolution are enclosed for filing by your office. Send confirmation of receipt of this agreement to: Mr. Joseph Rozell, Director of Elections Oakland County Clerk/Register of Deeds County Service Center, Building #14 East 1200 N. Telegraph Rd. Pontiac, MI 48341 (Please include our Miscellaneous Resolution number on the confirmation of receipt letter for filing purposes.) Contact our office at (248) 858-0564 if you have any questions regarding this matter. Sincerely, COUNTY OF OAKLAND Joseph J. Rozell, CERA Director of Elections Cc: Donna Dyer, Corporation Counsel, Oakland County Erika Munoz-Flores, Corporation Counsel, Oakland County Stacey Sledge, Business Manager, Oakland County Health Department Adam Jenovai, COO, Oakland Community Health Network Enclosures