Subparagraph III. A. is hereby amended by deleting that subparagraph in its entirety, and replacing it with a new Subparagraph III.A. to read as follows:
Subparagraph III. B.1 of Exhibit A to the Agreement is amended to read as follows:
a. CONTRACTOR shall provide two (2) to 4 FTE of Psychiatry Residents per year to 16 serve adult clients of mental health services who are living with serious and persistent mental illnesses, 17 and enrolled as clients in ADMINISTRATOR’S AOABH Outpatient clinics Each FTE will provide 100 18 DSH to clients per month.
Subparagraph III. A. of Exhibit A to the Agreement is amended to read as follows: 23 “A. COUNTY shall pay CONTRACTOR monthly, in arrears, for Period One, Period Two, and 24 Period Three at the provisional amount of $552,223 per month, and for Period Four at the provisional 25 amount of $307,161. All payments are interim payments only, and subject to final settlement in 26 accordance with the Cost Report Paragraph of the Agreement for which CONTRACTOR shall be 27 reimbursed for the actual cost of providing the services, which may include Indirect Administrative 28 Costs, as identified in Subparagraph II.A. of this Exhibit A to the Agreement; provided, however, the 29 total of such payments does not exceed the Maximum Obligation for each period as stated in the 30 Referenced Contract Provisions of the Agreement and, provided further, CONTRACTOR’s costs are 31 reimbursable pursuant to COUNTY, state, and/or federal regulations. ADMINISTRATOR may, at its 32 discretion, pay supplemental invoices for any month for which the provisional amount specified above 33 has not been fully paid.” 34 // 35 // 36 // 37 // X:\CONTRACTS - 2016 -\2016-2019\BH\BHOP PCS - FIRST AMEND FY 16-19 KL.DOC PCS04BHK119 PATHWAYS COMMUNITY SERVICES, LLC 1 5. Subparagraph VI.J.1-7 of Exhibit A to the Agreement is amended to read as follows: 2 “J. WORKLOAD STANDARDS – CONTRACTOR understands and agrees that at any given time 3 the standards referenced below are minimum standards, and shall make every effort to exceed these 4 minimums:
5 1. One
(1) DSH shall be equal to six (60) minutes of direct Client service.
6 2. For Period One, CONTRACTOR shall provide a minimum of twenty thousand three 7 hundred and ninety (20,390) billable DSH, with a minimum of two hundred and ten (210) hours of 8 medication support services, and twenty thousand one hundred and eighty (20,180) hours of other 9 mental health, case management, and/or crisis intervention or TBS services as identified in the Services 10 Paragraph of this Exhibit A to the Agreement.
11 3. For Periods Two and Three, annually, CONTRACTOR shall provide a minimum of fifty- 12 eight thousand eight hundred thirty-six (58,836) billable DSH, with a minimum of six hundred thirty-six 13 (636) hours of medication support services, and fifty-eight thousand two hundred (58,200) hours of 14 other mental health, case management, and/or crisis intervention or TBS services as identified in the 15 Services Paragraph of this Exhibit A to the Agreement.
16 4. For Period Four, C...
Subparagraph III. A. of Exhibit A to the Agreement is amended to read as follows: 25 26 “A. COUNTY shall pay CONTRACTOR monthly, in arrears, for Period One and Period Two at the 27 provisional amount of $987,943 per month, for Period Three at the provisional amount of $1,021,102 28 per month, and for Period Four at the provisional amount of $200,747. All payments are interim 29 payments only, and subject to final settlement in accordance with the Cost Report Paragraph of the 30 Agreement for which CONTRACTOR shall be reimbursed for the actual cost of providing the services, 31 which may include Indirect Administrative Costs, as identified in Subparagraph II.A. of this Exhibit A to 32 the Agreement; provided, however, the total of such payments does not exceed the Maximum Obligation 33 for each period as stated in the Referenced Contract Provisions of the Agreement and, provided further, 34 CONTRACTOR’s costs are reimbursable pursuant to COUNTY, state, and/or federal regulations. 35 ADMINISTRATOR may, at its discretion, pay supplemental invoices for any month for which the 36 provisional amount specified above has not been fully paid.” 37 //
Subparagraph III. A. of Exhibit A to the Agreement is amended to read as follows:
A. COUNTY shall pay CONTRACTOR in accordance with the Payments Paragraph in this 12 Exhibit A to the Agreement and the following budgets, which are set forth for informational purposes 13 only and may be adjusted by mutual agreement, in writing, by ADMINISTRATOR and PERIOD ONE PERIOD TWO PERIOD THREE TOTAL ADMINISTRATIVE COST Salaries $ 48,629 $ 48,629 $ 48,629 $ 145,887 Benefits 10,212 10,212 10,212 30,636 Services and Supplies 15,529 15,529 15,529 46,587 Indirect Costs 176,989 196,158 196,158 569,305 SUBTOTAL ADMINISTRATIVE COST $ 251,359 $ 270,528 $ 270,528 $ 792,415 PROGRAM COST Salaries $1,153,685 $1,408,540 $1,408,540 $ 3,970,765 Benefits 242,274 295,794 295,794 833,862 Services and Supplies 287,563 362,576 362,576 1,012,715 SUBTOTAL PROGRAM COST $1,683,522 $2,066,910 $2,066,910 $ 5,817,342 Mental Health Claims $3,423,078 $3,423,078 $3,423,078 $10,269,234 TOTAL GROSS COST $5,357,959 $5,760,516 $5,760,516 $16,878,991 // // 14 CONTRACTOR. 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 REVENUE FFP $2,411,082 $2,411,082 $2,411,082 $7,233,246 EPSDT 267,898 267,898 267,898 803,694 SAPT 0 402,557 402,557 905,114 Discretionary 2,678,979 2,678,979 2,678,979 8,036,931 TOTAL REVENUE $5,357,959 $5,760,516 $5,760,516 $16,878,991 TOTAL MAXIMUM OBLIGATION $5,357,959 $5,760,516 $5,760,516 $16,878,991” 1 2 3 4 5 6 7 8 9 10
Subparagraph III. A. of Exhibit A to the Agreement is amended as follows: 8 “A. COUNTY shall pay CONTRACTOR monthly, in arrears, at the provisional amount of $83,333 per month for Period One and $125,000 per month for Period Two and Period Three.
Subparagraph III. C. is hereby amended by deleting the last sentence of that subparagraph and replacing it with the following:
