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Appendix D--Excerpts From a State of Colorado Contract: Sample Substance Abuse Prevention and Treatment (SAPT) Block Grant Contract Language

The following language from a State of Colorado contract illustrates contract language for services purchased using Federal Substance Abuse Prevention and Treatment (SAPT) Block Grant funds.

4. It is understood and agreed by the parties that the target populations to be served under this contract, in order of priority for State and Federal funds paid to the Contractor, are as follows:

1. Injecting drug users.



2. Pregnant women.



3. Women (parents) with dependent children.



4. Drug dependent persons with HIV (human immunodeficiency virus) or TB(tuberculosis).



5. Recipients of State Aid to the Needy Disabled who are disabled because of alcohol or drug addiction, and current and former SSI/SSDI benefit recipients who are similarly disabled, in accordance with CRS 26-2-106(6)(a).



6. Persons involuntarily committed to treatment under Sections 25-1-311 and 25-1-1107, CRS 1973, as amended. Such persons shall be placed in the type of service specified by the State, for the period of time specified in the court order.



7. Families and children referred by child welfare agencies who are class members of the Child Welfare Lawsuit Settlement Agreement ("David Littman vs. State of Colorado" Civil Action 94-M-1417), i.e., child welfare program areas 4, 5, and 6 who are abused and neglected and who meet the criteria for being at imminent risk of out of home placement.



8. Minors/adolescents adjudicated as delinquents, youth committed or detained by DYC and youth in pre-adjudicated programs such as diversion, programs established under CRS 19-2-Part 16 (Senate Bill 94) and Juvenile TASC.



9. Alcohol and drug abusing convicted felons.



10. Persons with both substance abuse and mental illness diagnoses.



11. Persons convicted of DUI (driving under the influence) offenses and sentenced to Level II education and treatment under CRS 42-4-1301(10) who are indigent under the most recent Income Eligibility Guidelines issued by the Colorado Supreme Court.

This listing is not intended to prevent the Contractor from assuring, or providing, service to other individuals and groups as may be proposed in Exhibit B, so long as the funds provided through this contract are used to serve the above priority populations first, and in the order of priority for services given. In addition, services to handicapped persons, as defined in the Americans with Disabilities Act of 1990, including vision- and hearing-impaired individuals, must be provided either directly or through adequate referral and follow through procedures. . . .

14. In consideration of Federal Substance Abuse Prevention and Treatment Block Grant funds provided under this contract, the Contractor shall assure that the following activities and priorities are carried out within the substate area network:

1. Accept and give priority for admission to pregnant women, and provide a completed referral or interim services when admission within 24 hours is not possible. Referrals should be to accessible programs, preferably Special Connections or Specialized Women's Services providers. Interim services may include ad hoc counseling, case management, and support groups, and must include a referral for prenatal care and counseling on the effects of alcohol and drug use on the fetus. If these activities cannot be completed within 48 hours of the original request for treatment a contract provider must engage the Contractor, acting as MSO, to jointly develop and implement a service plan for the woman. If such plan cannot be implemented within the substate area, the Contractor shall contact the Alcohol and Drug Division for assistance.
2. Provide screening to clients to determine risk of HIV disease, together with such other early intervention services as may be required by regulation or specified by the State.
3. Provide counseling to all clients about tuberculosis, and make available such other tuberculosis services as may be required by regulation or specified by the State.
4. Provide continuing education in clinical care to the employees of the Contractor or any subcontractor who provide the services specified in paragraph 3 of this contract.
5. Develop and implement . . . specially designed services for pregnant women, post-partum women, and women with dependent children, including the following services:
   1. Primary medical care for women, referral for prenatal care, and while the women are receiving such services, child care.
   2. Primary pediatric care, and immunization, for their children.
   3. Gender-specific substance abuse treatment and other therapeutic interventions for women which may address issues of relationships, sexual and physical abuse and parenting and child care while the women are receiving these services.
   4. Therapeutic interventions for children in custody of women in treatment (may include meeting their developmental needs, dealing with issues of sexual and physical abuse and neglect).
   5. Case management and transportation to ensure that women and their children have access to the above services.
6. Accept and give priority for admission to injecting drug users, assure such admission no later than 14 days after treatment is requested or, if this is not possible due to lack of capacity, provide interim services within 48 hours of initial contact for persons awaiting admission. Notwithstanding the provision of interim services, the Contractor must assure that every such client seeking treatment is admitted within 120 days after treatment is requested. The Contractor must also provide State approved outreach activities to encourage injecting drug users in need of treatment to undergo treatment. . . .

Block Grant Prohibitions

30. In accordance with requirements of Public Law 102-321, the Contractor agrees that any Federal block funds provided under this contract may not be used:

1. To provide inpatient hospital services except as provided in applicable Federal law;
2. To make cash payments to intended recipients of health services;
3. To purchase or improve land; purchase, construct, or permanently improve (other than minor remodeling) any building or other facility; or purchase major medical equipment;
4. To satisfy any requirement for the expenditure of non-Federal funds as a condition for the receipt of Federal funds;
5. To provide financial assistance to any entity other than a public or non-profit private entity;
6. To provide individuals with hypodermic needles or syringes so that such individuals may use illegal drugs, unless a demonstration needle exchange program is approved by the Surgeon General of the Public Health Service; or
7. To make payment for any service to the extent that payment has been made, or can reasonably be expected to be made, under any Federal or State health benefits program including Medicare and Medicaid, Title IVA-EA, or under any insurance policy, prepaid health services plan, or State compensation plan.

Last Updated 11-7-02