Common use of RESTRICTIONS ON GRANT EXPENDITURE PURSUANT Clause in Contracts

RESTRICTIONS ON GRANT EXPENDITURE PURSUANT. TO 45 CFR § 96.135 1. The Grantee cannot expend SAPT Block Grant funds to provide inpatient hospital substance abuse services, except in cases when each of the following conditions is met: a. The individual cannot be effectively treated in a community-based, nonhospital, residential treatment program. b. The daily rate of payment provided to the hospital for providing the services does not exceed the comparable daily rate provided by a community-based, nonhospital, residential treatment program. c. A physician makes a determination that the following conditions have been met: i. The primary diagnosis of the individual is substance abuse, and the physician certifies that fact. ii. The individual cannot be safely treated in a community-based, nonhospital, residential treatment program. iii. The service can reasonably be expected to improve the person’s condition or level of functioning. iv. The hospital-based substance abuse Contractor follows national standards of substance abuse professional practice d. The service is provided only to the extent that it is medically necessary (e.g., only for those days that the patient cannot be safely treated in a residential, community- based program) 2. Further, the Grantee cannot expend SAPT Block Grant funds to: a. Purchase or improve land; purchase, construct, or permanently improve (other than minor remodeling) any building or other facility; or purchase major medical equipment. b. Satisfy any requirement for the expenditure of non-federal funds as a condition for the receipt of federal funds. c. Provide financial assistance to any entity other than a public or nonprofit private entity. d. Make payments to intended recipients of health services. e. Provide individuals with hypodermic needles or syringes. f. Provide treatment services in penal or correctional institutions of the State