DESIGNATED CONTRACT MONITOR Clause Samples

DESIGNATED CONTRACT MONITOR. SELPA Associate Superintendent will meet as needed with Aspiranet Management to oversee implementation of the contract, discuss contract issues, evaluate contract usage and effectiveness, discuss possible expansion of COEDS program, and make recommendations for contract modifications as needed and agreed upon by both the Contract Monitor and the Aspiranet COEDS.

DESIGNATED CONTRACT MONITOR. ▇▇▇▇▇, Substance Use Disorder Services Manager Substance Use Disorder Administrator Monterey County Behavioral Health 1270 ▇▇▇▇▇▇▇▇▇ ▇▇. Salinas, CA 93906 (▇▇▇) ▇▇▇-▇▇▇▇ PROGRAM 5: DRUG AND ALCOHOL INTERVENTION SERVICES FOR YOUTH PROGRAM (DAISY) At-risk Monterey County youth and their families are the population of focus. Services are available for substance-abusing, pre-delinquent youth (including status offenders, pre-court, probation without wardship, first time offenders, etc.) who are primarily in grades 7 – 12 through the Drug and Alcohol Intervention Services for Youth program (DAISY).

DESIGNATED CONTRACT MONITOR. ▇▇▇▇▇▇ ▇. Quiton, PsyD Behavioral Health Service Manager II Psychologist, Lic # PSY 23371 Monterey County Behavioral Health Bureau ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇ ▇▇▇▇, ▇▇▇▇▇▇▇▇ ▇▇▇, ▇▇▇▇▇ ▇▇▇ Salinas, CA 93906 (▇▇▇) ▇▇▇-▇▇▇▇ (The remainder of this page is left intentionally blank) Provisional Rate and Negotiated Rate

DESIGNATED CONTRACT MONITOR. ▇▇▇▇▇ ▇▇▇▇▇▇▇▇▇, LMFT Behavioral Health Services Manager II Monterey County Health Department Behavioral Health Bureau ▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇. Salinas, CA 93906 (▇▇▇) ▇▇▇-▇▇▇▇

DESIGNATED CONTRACT MONITOR. ▇▇▇ ▇. ▇▇▇▇▇-▇▇▇▇▇▇▇, Psy.D. BH Services Manager–Children’s Services Family Assessment Support and Treatment Programs ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇ Salinas, CA 93901 Phone: ▇▇▇-▇▇▇-▇▇▇▇ DocuSign Envelope ID: 14DCA470-F8DC-44DC-AE58-1560FF501E6F DocuSign Envelope ID: 190E2CE9-A269-4977-8BC7-94A06A5BEB62 DocuSign Envelope ID: 2218FC72-59A8-4390-8C39-5D8DB6D35557

DESIGNATED CONTRACT MONITOR. ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇, ▇▇▇. D. Deputy Director, Children’s Services Training Director, Doctoral Psychology Practicum/Internship Program Monterey County Behavioral Health Bureau ▇▇▇-▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ Salinas, CA ▇▇▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ DocuSign Envelope ID: 14DCA470-F8DC-44DC-AE58-1560FF501E6F DocuSign Envelope ID: 190E2CE9-A269-4977-8BC7-94A06A5BEB62 DocuSign Envelope ID: 2218FC72-59A8-4390-8C39-5D8DB6D35557

DESIGNATED CONTRACT MONITOR. ▇▇▇▇▇ House Departmental Information Systems Manager County of Monterey, Health Department ▇▇▇▇ ▇▇▇▇▇▇▇▇▇ ▇▇▇▇ Salinas, CA 93906 (▇▇▇) ▇▇▇-▇▇▇▇ (▇▇▇) ▇▇▇-▇▇▇▇ Fax This Business Associate Agreement (“Agreement”), effective July 1, 2021 (“Effective Date”), is entered into by and among the County of Monterey, a political subdivision of the State of California, on behalf of the Health Department (“Covered Entity”) and Fivebase, LLC (“Business Associate”) (each a “Party” and collectively the “Parties”). Business Associate provides certain services for Covered Entity (“Services”) that involve the use and disclosure of Protected Health Information that is created or received by Business Associate from or on behalf of Covered Entity (“PHI”). The Parties are committed to complying with the Standards for Privacy of Individually Identifiable Health Information, 45 C.F.R. Part 160 and Part 164, Subparts A and E as amended from time to time (the “Privacy Rule”), and with the Security Standards, 45 C.F.R. Part 160 and Part 164, Subpart C as amended from time to time (the “Security Rule”), under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), as amended by the Health Information Technology for Economic and Clinical Health Act and its implementing regulations (“HITECH”). Business Associate acknowledges that, pursuant to HITECH, 45 C.F.R. §§ 164.308 (administrative safeguards), 164.310 (physical safeguards), 164.312 (technical safeguards), 164.316 (policies and procedures and documentation requirements) and 164.502 et. seq. apply to Business Associate in the same manner that such sections apply to Covered Entity. The additional requirements of Title XIII of HITECH contained in Public Law 111-005 that relate to privacy and security and that are made applicable with respect to covered entities shall also be applicable to Business Associate. The Parties are also committed to complying with the California Confidentiality of Medical Information Act, Ca. Civil Code §§ 56 et seq. (“CMIA”), where applicable. Business Associate acknowledges that the CMIA prohibits Business Associate from further disclosing the PHI it receives from Covered Entity where such disclosure would be violative of the CMIA. The Parties are also committed to complying with applicable requirements of the Red Flag Rules issued pursuant to the Fair and Accurate Credit Transactions Act of 2003 (“Red Flag Rules”). This Agreement sets forth the terms and conditions pursuant to which PHI,...

DESIGNATED CONTRACT MONITOR. ▇▇▇ ▇▇▇▇▇, Deputy Director, BH Children’s Services ▇▇▇-▇ ▇▇▇▇▇▇ ▇▇▇▇▇▇ Salinas, CA 93901 (▇▇▇) ▇▇▇-▇▇▇▇ Door to Hope ▇▇▇ ▇▇▇▇▇▇ ▇▇. ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ II. SERVICE DESCRIPTION: NUEVA ▇▇▇▇▇▇▇▇▇ PROGRAM A. PROGRAM NARRATIVE

DESIGNATED CONTRACT MONITOR. ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ Behavioral Health Services Manager II Monterey County Health Department Behavioral Health Bureau ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇ Marina, CA 93933 Telephone: (▇▇▇) ▇▇▇-▇▇▇▇ Email: ▇▇▇▇▇▇▇▇@▇▇.▇▇▇▇▇▇▇▇.▇▇.▇▇ DocuSign Envelope ID: 2617A776-42D3-44D9-9D67-B510F3740326 I. PAYMENT TYPES