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Exhibits:

Incorporated Documents:

Incorporated Document 1 – LSF Glossary of Contract Terms – FY 21-22

Incorporated Document 2 – Evidence Based Practice Guidelines – FY 21-22

Incorporated Document 3 – State and Federal Laws, Rules, Regulations – FY 21-22

Incorporated Document 4 – Auxilliary Aids for Deaf and Hard of Hearing – FY 21-22

Incorporated Document 5 – SAMH Funding Resource Guide – FY 21-22

Incorporated Document 6 – SIPP – FY 21-22

Incorporated Document 7 – Outpatient Forensic MH Services – FY 21-22 rev. 10.01.21

Incorporated Document 8 – SMHTF Admission and Discharge Processes – FY 21-22

Incorporated Document 9 – LMH-ALF Monitoring – FY 21-22

Incorporated Document 10 – SOAR – FY 21-22

Incorporated Document 11 – Expiration Termination Transition Planning – FY 21-22

Incorporated Document 12 – Crisis Counseling Program – FY 20-21

Incorporated Document 13 – Tangible Property Reqs – FY 21-22

Incorporated Document 14 – Performance Outcomes Manual – FY 21-22

Incorporated Document 15 – Prevention Services and Prevention Partnership Grants (PPG) – FY 21-22 rev. 09.01.21

Incorporated Document 16 – Integration with Child Welfare – FY 21-22

Incorporated Document 16 – Integration with CW – CW Integration Manual – FY 21-22

Incorporated Document 17 – SDC – FY 21-22

Incorporated Document 18 – BNET – FY 21-22

Incorporated Document 19 – Financial Management Requirements – FY 21-22

Incorporated Document 20 – FACT – FY 21-22 rev. 110121

Incorporated Document 20 – FACT Monthly Referral Report – FY 21-22

Incorporated Document 20 – Outcome Measure Data Collection Tool – FY 21-22

Incorporated Document 20 – Transitional Voucher – FACT Monthly Report FY 21-22

Incorporated Document 21 – TANF – FY 21-22

Incorporated Document 22 – Crisis Respite Services – FY 21-22

Incorporated Document 23 – Womens Special Funding SA Services for PWM – FY 21-22

Incorporated Document 24 – PATH – FY 21-22

Incorporated Document 24 – PATH – FY 21-22 – Monthly LSF Homeless HU Search and Update List

Incorporated Document 24 – PATH – FY 21-22 – PATH Incidental Expenses Summary Rep

Incorporated Document 24 – PATH – FY 21-22 – PATH Quarterly Housed Report

Incorporated Document 25 – IDP – FY 21-22

Incorporated Document 25 – IDP – IDP Report – FY 21-22

Incorporated Document 26 – HIV Early Intervention Services – FY 21-22

Incorporated Document 27 – National Voter Registration Act – FY 21-22

Incorporated Document 28 – FIT – FY 21-22 rev. 09.01.21

Incorporated Document 28 – FIT Continued Enrollment Staffing Form – FY 21-22

Incorporated Document 29 – Seclusion and Restraint Reporting – FY 20-21

Incorporated Document 30 – Children’s Mental Health Care Coordination Program – FY 21-22

Incorporated Document 30 – FSPT Montly POS Template-Appendix K – FY 21-22

Incorporated Document 31 – Care Coordination – FY 21-22

Incorporated Document 31 – Care Coordination Spreadsheet – FY 21-22 rev. 10.01.21

Incorporated Document 31 & 40 – CCSU Care Coordination Report

Incorporated Document 31 & 40 – SEN Prevention Program Report

Incorporated Document 32 – Suicide Prevention Best Practices – formerly STR – FY 20-21

Incorporated Document 33 – Central Receiving System – FY 20-21

Incorporated Document 33 – Central Receiving System – CRS Performance Measures Report – FY 20-21

Incorporated Document 34 – Transitional Voucher – FY 21-22 – Rev. 11.4.2021

Incorporated Document 34 – Transitional Voucher – EXH A – Trans Vouch Pur Req (Fillable) – FY 21-22

Incorporated Document 34 – Transitional Voucher – EXH B – Grad Asses Scale (Fillable) – FY 20-21

Incorporated Document 34 – Transitional Voucher – Appendix 1 -Transitional Voucher Incidental Expenses 11.4.21

Incorporated Document 35 – State Opioid Response (SOR) – FY 21-22

Incorporated Document 35 – SOR – RCO Monthly Report – FY 21-22

Florida SOR Guidance 1.7.21

Florida SOR Q & A 1.7.21

Incorporated Document 36 – Recovery Management Practices – FY 21-22

Incorporated Document 37 – Supported Employment – FY 21-22 – rev. 100121

Incorporated Document 37 – Supported Employment – Supp Emp Tracking Sheet – FY 21-22

Incorporated Document 38 – Juvenile Incompetent to Proceed (JITP) – FY 21-22

Incorporated Document 38 – Juvenile Incompetent to Proceed (JITP) – JITP Tracker – FY 21-22

Incorporated Document 39 – Co-Responder Program (CoR) – FY 20-21

Incorporated Document 39 – Co-Responder Program (CoR) Report FY 21-22

Incorporated Document 40 – CARES Act – FY 21-22

Incorporated Document 40 – CARES Act – Jail-Based Forensic Diversion Program Report

Incorporated Document 41 – School Telehealth Proviso

Incorporated Document 42 – Community Action Treatment (CAT) Team – FY 21-22

Incorporated Document 42 – CAT Authorization Form – FY 21-22

Incorporated Document 43 – Mobile Response Team (MRT) – FY 21-22 – Rev. 11.01.2021

Incorporated Document 43 – Mobile Response Team (MRT) Report – FY 21-22 rev. 092021

Incorporated Document 44 – Forensic Multi-Disciplinary Team (FMT) FY 21-22

Incorporated Document 44 – Forensic Multi-Disciplinary Team (FMT) – Template 25 FMT – LSFHS Version FY 21-22

Incorporated Document 45 – Supported Housing FY 21-22

Incorporated Document 46 – Coordinated Specialty Care for ESMI – First Episode Psychosis FY 21-22 – pending

Incorporated Document 47 – Clubhouse FY 21-22

Special Attachments:

*Network Service Provider Attachments for specific/special programs are incorporated in the appropriate contracts and not included here. Requests to view the Attachments can be made to LSF Health Systems.

Reporting Templates:

Early Psychosis Intervention and Care – Exhibit A – FY 21-22

HBSAS – FBT – Monthly Report Template

SMHTF Transitional Program Report FY 21-22

Transitional Beds – Exhibit A-C – FY 21-22

MANAGING ENTITY (ME) AND THE FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES (DCF) CONTRACT:

The components of the contract between the ME, Lutheran Services Florida, and DCF can be found here for the appropriate fiscal year:
http://www.myflfamilies.com/service-programs/samh/managing-entities/




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