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HomeMy WebLinkAboutAgenda - 06-18-2024; 8-w - Approval of Budget Amendment #11-B to Fund the Mobile Crisis Team Pilot (CARE) with Grant Funding Awarded to Alliance Healthcare 1 ORD-2024-019 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: June 18, 2024 Action Agenda Item No. 8-w SUBJECT: Approval of Budget Amendment #11-B to Fund the Mobile Crisis Team Pilot (CARE) with Grant Funding Awarded to Alliance Healthcare DEPARTMENTS: Emergency Services, Criminal Justice Resource ATTACHMENT(S): INFORMATION CONTACT: Survey Submitted to NC DHHS by Alliance Kirby Saunders, 919-245-6123 With Scope of Services and Funding Kim Woodward, 919-245-6133 Requested Caitlin Fenhagen, 919-245-2303 Email from Alliance Healthcare with Notice of Award Draft Agreement between Alliance Healthcare and Orange County Year-to-Date Budget Summary PURPOSE: To approve Budget Amendment #11-B to provide grant funding for the two-year Mobile Crisis Pilot: the Crisis Assistance, Response and Engagement (CARE) Team, in collaboration with Alliance Healthcare and the Town of Chapel Hill. BACKGROUND: Orange County in collaboration with the Chapel Hill Police Department, is conducting a two-year-long Mobile Crisis Pilot program with the mission to provide a more appropriate response to certain 911 calls. The Crisis Assistance, Response and Engagement (CARE) Team consists of a Crisis Counselor embedded in the 911 Call Center and a mobile team that includes a Crisis Counselor, an Emergency Medical Technician and a Peer Support Specialist. The unarmed Team will respond immediately in lieu of law enforcement to behavioral health and low level, non-violent offense 911 calls as designated by the Chapel Hill Police Department and the 911 Call Center. The program seeks to increase therapeutic interventions and direction to resources while ensuring the safest and best immediate response. The two-year Pilot phase will initially serve only Chapel Hill 911 calls and includes an evaluation of the Pilot being conducted by UNC's School of Government Criminal Justice Innovation Lab. The CARE Team was established in March 2024 and launched officially in collaboration with the 911 Call Center on May 6, 2024. Between the CARE Team's official start on May 6t" and June 3rd, the mobile team has responded to 213 events and 57 individuals who would have otherwise required a law enforcement response. The goal for the CARE Team is to be operational county- wide in Fiscal Year 2025-26 with the participation of all law enforcement agencies. The CARE team Fiscal Year 2023-24 funding was previously approved as a joint commitment between the County and the Town of Chapel Hill. Fiscal Year 2024-25 funding was recommended 2 by the Orange County Manager and the Chapel Hill Town Manager. Below is a break-down of the annual funding and start-up costs needed to support the Pilot: Mobile Crisis Pilot Operation Ex enses ANNUAL EXPENSES AMOUNT RESPONSIBLE PARTY EMT Salary and Benefits $75,173 Orange County 911 Call Center Crisis Counselor $86,388 Orange County Salary and Benefits Mobile Crisis Counselor $78,683 Chapel Hill Salary and Benefits Peer Support Specialist $58,700 Chapel Hill Salary and Benefits Training $5,000 Chapel Hill and Orange County Harm Reduction Supplies $20,000 Chapel Hill and Orange County Medical Supplies and Client $20,000 Chapel Hill and Orange County Needs Gas and Vehicle Maintenance $3,500 Chapel Hill and Orange County START UP COSTS AMOUNT Equipment $8,000 Chapel Hill and Orange County ($2,000/per team member) Vehicle Lease $10,000 Chapel Hill and Orange County Uniforms $2,000 Chapel Hill and Orange County ($500/per team member) UNC School of Government $50,000 Orange County and Chapel Hill Criminal Justice Innovation Lab Evaluation Annual Operating Costs $347,444 Start Up Costs (Equipment, Evaluation, $70,000 Uniforms,Vehicle expenses) In January 2024, Alliance Healthcare submitted a survey issued by North Carolina Department of Health and Human Services, Division of Mental Health, Developmental Disabilities, and Substance Use Services (NC DHHS DMH/DD/SUS) for crisis services projects in the LME-MCO catchment areas. NC DHHS was seeking information about crisis service projects that already existed, were in the design phase or planned future projects to help inform them of budget funding priorities. In collaboration with Orange County, Alliance Healthcare submitted a lengthy survey regarding the CARE Team proposal. 3 On May 6, 2024, Alliance Healthcare was notified that the NC DHHS (DMH/DD/SUS) was awarding funds to Alliance to support the Orange County Mobile Crisis Team Pilot as follows: FY 2023-24: Start-up costs of $142,000, and $87,500 in start-up operational staffing costs for a total of$229,500 in non-Unit Cost Reimbursement (UCR) funding. • Non-UCR funding will allow time to determine the level of potentially billable service, and ensure service delivery can work within the confines of Care Team criteria as designated by the Chapel Hill Police Department and 911 Call Center, as well as eligibility levels of service recipients. FY 2024-25: $350,000 annual operating costs. UCR vs. Non-UCR to be determined. Budget Amendment #11-B creates the following grant ordinance in the Multi-Year Grant Fund: DHHS CARE GRANT($579,500) - Project# 71501 Revenues for this project: Current FY 2023-24 FY 2023-24 FY 2023-24 Amendment Revised Grant Revenue $0 $579,500 $579,500 Total Project Funding $0 $579,500 $579,500 Appropriated for this project: Current FY 2023-24 FY 2023-24 FY 2023-24 Amendment Revised Expenditures $0 $579,500 $579,500 Total Costs $0 $579,500 $579,500 FINANCIAL IMPACT: This amendment increases the authorization in the multi-year grant fund by $579,500. SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goals are applicable to this item: • GOAL: FOSTER A COMMUNITY CULTURE THAT REJECTS OPPRESSION AND INEQUITY The fair treatment and meaningful involvement of all people regardless of race or color; religious or philosophical beliefs; sex, gender or sexual orientation; national origin or ethnic background; age; military service; disability; and familial, residential or economic status. • GOAL: ENSURE ECONOMIC SELF-SUFFICIENCY The creation and preservation of infrastructure, policies, programs and funding necessary for residents to provide shelter, food, clothing and medical care for themselves and their dependents. • GOAL: CREATE A SAFE COMMUNITY The reduction of risks from vehicle/traffic accidents, childhood and senior injuries, gang activity, substance use and domestic violence. This initiative seeks to promote and ensure a community network of basic human services and infrastructure that maintains, protects, and promotes the well-being of all County residents. 4 ENVIRONMENTAL IMPACT: There are no known Orange County Environmental Responsibility Goal impacts associated with this item at this time. RECOMMENDATION(S): The Manager recommends that the Board approve Budget Amendment #11-B to include $579,500 in a Multi-Year Grant Fund to support the start-up, operational and evaluation funding for the Mobile Crisis Team Pilot. The Town of Chapel Hill will invoice Orange County for payment of its share of the individual and joint expenses, and Orange County will provide copies of invoices, payroll and all expenses to Alliance Healthcare to ensure funds are being used for allowable expenses. The Manager also recommends that the Board approve the Draft Agreement for the Manager's signature subject to any modifications made by the County Attorney. 5 Instructions The Division of Mental Health/Developmental Disabilities/Substance Use Services (DMH/DD/SUS) is requesting information from LME-MCOs, via survey,to understand the landscape of crisis services along the crisis continuum including existing projects, projects in the design phase, and future project plans. Responses to the survey will be reviewed by DMH/DD/SUS staff and will help in identifying projects that align with DMH/DD/SUS's priorities, to inform how budget funding may be disbursed to provide project support. Example projects include, but are not limited to: • FBC or BHUC that has not started or is currently under construction • Repurposing of existing adult FBC capacity to support children • Expanding an existing facility's operational capacity or capital improvements • Standing up a new Mobile Crisis team • Support for innovative community-based crisis solutions Any projects that receive funding from DMH/DD/SUS will need to adhere to the following guidelines: • Individuals cannot be restricted from using a service just because they live in a different LME- MCO catchment area. • Services offered at facilities must have a clear no-eject/no-reject policy that will need to be reviewed and approved by DHHS. DMH/DD/SUS is especially interested in projects that are focused on providing services to children. Please complete the attached form and return to Elliot.Krause@dhhs.nc.gov no later than January 161n 2024. Please complete one form per proposal.There is no limit to the number of proposals an LME- MCO can submit. 1 6 Key Questions What is your proposal? • Examples include: FBC or BHUC that has not started or is currently under construction; Reserve existing adult FBC capacity for children; Repurpose non-FBC capacity as FBC capacity; Expand existing facility operational capacity/capital improvements; convert existing Tier 3 BHUC to Tier 4 BHUC; standing up a new Mobile Crisis response team; Innovative community- based crisis solutions Orange County Project 2: Orange County is in the process of starting a Mobile Crisis Pilot called the Crisis Assistance, Response and Engagement (CARE)Team.The CARE team is a joint collaboration between the county and the Chapel Hill Police Department and will launch in Winter/Spring 2024. In the 2-year pilot phase, it will only serve Chapel Hill, but with an Evaluation being conducted of the Pilot by UNC's School of Government Criminal Justice Innovation Lab,the goal is to launch it county-wide with all law enforcement agencies in in 2026.The CARE Team will be comprised of a 3 member mobile response team: a crisis counselor, a peer support specialist and an EMT. In addition, a crisis counselor embedded in the 911 Call Center will be the 41" member of the team.The unarmed team will respond immediately in lieu of law enforcement to behavioral health and low level, non-violent offense 911 calls as designated by the Chapel Hill Police Department and 911 Call Center.The mission is to provide a more appropriate response to certain 911 calls.This will also increase therapeutic interventions and direction to resources while ensuring the safest and best immediate response. Several counties within the Alliance region are re-evaluating the best way to deliver more impactful mobile crisis. This pilot will inform the direction for each of our counties and findings will be available to share with the State any interested county within the state. What populations would you serve? (specifically: ages, genders, populations—substance use, I/DD, SMI/SED,TBI, co-occurring) All individuals in Chapel Hill where a 911 call has been made that fits the CARE team criteria. There are no age, gender or residence restrictions for serving the person that is the subject of the call. What services will be offered? Mobile crisis response: EMT, Crisis Counselor and peer support services. Harm reduction education and supplies will be provided.Transportation and Referrals can be made to other services and supports. Follow up engagement will be included. The 911 Call Center Crisis Counselor will speak to individual callers as needed and assist with communication while crisis response is on the way. Where is/will be the facility/program located? 2 7 During the Pilot period,the team will be located in space provided by the Chapel Hill Police Department in Chapel Hill and the 911 Call Center counselor will be at the Call Center in Hillsborough, NC. Would the facility/services be open to individuals from all LME catchment areas? Yes, as long as the 911 call is made in Orange County. How much funding do you need and what will the funding go towards? Breakdown of funding proposal (i.e., staff, program implementation, supplies and materials). Annual Costs: Staff: EMT-$75,173 salary and benefits Peer Support Specialist-$48,500 salary and $10,20 benefits 911 Call Center Crisis Counselor-$71,365 salary and $15,023 benefits Crisis Counselor-$65,000 salary and $13,683 benefits Training: MHFA, CIT, de-escalation -$5,000 Supplies: Vehicle-$29,090 for purchase; $1,700/yr maintenance; $1,800/yr fuel Equipment(radios, laptops, software, cell phones, etc) -$1,000 per team member/year Materials (uniforms, medical supplies, client needs, etc) -$20,000 Harm Reduction supplies-$20,000 What is your timeline to begin services? The Pilot is expected to start operation in the next two months. Initial funding through June 30, 2024 for personnel, rental vehicle, and most of the necessary equipment and supplies has been secured from Chapel Hill and Orange County. Funding is needed for the program to operate as of 7/1/24 and beyond. Is any additional funding being used for this project? If yes,from whom? 3 8 As mentioned above,there is funding for the initial pilot implementation through 6/30/24. This is from the Town of Chapel Hill and Orange County Government. Additionally, the 2 year Evaluation by the School of Government is being paid in part by Orange County, Chapel Hill and grants obtained by the Lab. Are there restrictions within this funding? During the Pilot,the CARE Team is restricted to Chapel Hill crisis calls. After the Pilot is expanded, the CARE team will be available to all county crisis calls. 4 9 Additional Questions Who are your partners in the project? Town of Chapel Hill Chapel Hill Police Department and the Crisis Unit Orange County: Emergency Services and CJRD Alliance Health UNC SOG Criminal Justice Innovation Lab What is your method for selecting partners/providers? Application process Do you have land/place for the facility? (if applicable) Yes—CHPD providing for the Pilot What are your staffing resources? There is a dedicated working group that includes the Chapel Hill Police Department, the Crisis Unit, Emergency Services, the CJRD, the County Manager and UNC SOG Supervision of the staff for the Pilot will be provided by the CHPD Crisis Unit and EMS What are your anticipated annual operating costs for this proposal? Approximately$350,000/yr What is your sustainability plan? 5 10 County and town funding and Alliance MOE funding Has an LME committed to enhanced rates? (if applicable) Not at this time but will consider Do you have DHSR approval? (if applicable) N/A Do you foresee any barriers to implementation? No 6 11 Caitlin Fenhagen From: Sean Schreiber <SSchreiber@alliancehealthplan.org> Sent: Monday, May 6, 2024 4:41 PM To: Caitlin Fenhagen;Travis Myren Subject: [EXTERNAL MAIL!] unencrypt good news Good afternoon The state is funding the mobile response proposal. They are working on more announcements. The only change is that they cannot fund the purchase of a vehicle but funds could be used for leasing. Sean Get Outlook for iOS Email correspondence to and from this address is subject to North Carolina Public Records Law and may be disclosed to third parties by an authorized State Official. Unauthorized disclosure of juvenile, health, legally privileged, or otherwise confidential information, including confidential information in prohibited by law. If you have received this email in error, please notify the sender immediately and delete all records of this e-mail. Email correspondence to and from this address is subject to North Carolina Public Records Law and may be disclosed to third parties by an authorized State Official. Unauthorized disclosure of juvenile, health, legally privileged, or otherwise confidential information, including confidential information in prohibited by law. If you have received this email in error, please notify the sender immediately and delete all records of this e-mail. i 12 AGREEMENT BETWEEN ORANGE COUNTY AND ALLIANCE HEALTH THIS AGREEMENT is made and entered into June 1,2024,by and between the COUNTY OF ORANGE (hereinafter referred to as the "County") and ALLIANCE HEALTH, a political subdivision of the state of North Carolina and a Local Management Entity/Managed Care Organization as those term is defined in NCGS 122C-3 (hereinafter referred to as"Alliance") collectively referred to as the Parties. WITNESSETH: WHEREAS,Orange County in collaboration with the Chapel Hill Police Department,is conducting a two-year-long Mobile Crisis Pilot program with the mission to provide a more appropriate response to certain 911 calls. The Crisis Assistance, Response and Engagement(CARE)Team. (referred to herein as "Team.") The unarmed Team will respond immediately in lieu of law enforcement to behavioral health and low level, non-violent offense 911 calls as designated by the Chapel Hill Police Department and 911 Call Center. The program seeks to increase therapeutic interventions and direction to resources while ensuring the safest and best immediate response. in the; and WHEREAS,the two-year pilot phase will initially serve only Chapel Hill with an Evaluation of the Pilot being conducted by UNC's School of Government Criminal Justice Innovation Lab funded by the Town of Chapel Hill and Orange County Government. The goal is to launch the program with all law enforcement agencies county-wide in 2026. ; and WHEREAS, Alliance has agreed to provide funding for the program to operate as of June 1, 2024 and beyond. Several counties within the Alliance region are re-evaluating the best way to deliver more impactful mobile crisis. This pilot will inform the direction for each of our counties and findings will be available to share with the State any interested county within the state. NOW THEREFORE, for and in consideration of mutual covenants herein and the mutual benefits to result therefrom,the parties hereby agree as follows: SECTION 1. FUNDING. Alliance shall provide to the County funding in the amount of Two Hundred and Twenty-Nine Thousand Five Hundred Dollars for the remainder of FY 2024, and Three-Hundred and Fifty-Thousand Dollars for FY 2025. ($350,000.00) (hereinafter referred to as the "Funds") to support staffing of the Team,training,and additional equipment and supplies the 2024-2025 fiscal year.If the Funds are not exhausted by June 30, 2025, and the remaining funds are still available, the County may submit a written request to Alliance for approval to use the remaining balance for the fiscal year beginning July 1, 2026. SECTION 2.USE OF FUNDS. The Funds shall be used exclusively for Qualified Expenses of the Team program outlined in Attachment 1, Scope of Work and corresponding Budget provided to and approved by Alliance. The County shall promptly return, without the necessity of a request from Alliance, any portion of the Funds not used for such purpose.No substantial changes in the purposes,term or conditions may be made without a prior written amendment to this Agreement. In the event it is determined by Alliance,that 13 the County expended any amount of Funds in violation of the funding requirements or this Agreement,the County shall be required to return that amount of money to Alliance.The implementation of this Agreement and the VTC shall be carried out in strict compliance with all Federal, State, and local laws. SECTION 3. PAYMENT OF FUNDS. Alliance will reimburse the County for Qualified Expenses incurred. The County must submit a completed Alliance Non-UCR Invoice Template that lists Qualified Expenses and supporting documentation. Supporting documentation includes,but is not limited to,receipts of purchases, itemized invoices and other documentation on how the expense is related to the deliverable. If proper supporting documentation is not provided with the Invoice Template, further payments may be withheld. See Attachment 2: Alliance Non-UCR Invoice Template. a) Provider shall prepare and submit the Invoice for payment to: accountspayablenalliancehealthplan.org,unless otherwise directed by Alliance. b) Electronic reporting must be submitted in accordance with the privacy and security requirements set forth in Section 16—Confidentiality. c) All payments of Funds will be made via electronic funds transfer within 30 days of invoice approval. SECTION 4.TERM. The term of this Agreement shall begin June 1,2024,and end the earlier of June 30, 2025,or upon expenditure of all of the Funds. If the Funds are not completely expended by June 30,2025, then the Term of this Agreement shall automatically extend until all Funds have been exhausted. (the "Term" SECTION 5. TERMINATION. This Agreement may be terminated immediately, for cause, by the nonbreaching party notifying the breaching party in writing of a failure to perform the provisions of this Agreement. This Agreement may also be terminated immediately by Alliance if the Funds are no longer available to Alliance. The termination shall be effective upon receipt of the notice of termination. Upon such termination, the parties shall be entitled to such additional rights and remedies as may be allowed by relevant law. SECTION 6. REPORTING. Within 60 days from the end of the Term, unless otherwise agreed to, the County shall provide Alliance an end of year report detailing the overall utilization rate and utilization of the VTC program by participant county of residence and recidivism rates. SECTION 7.NO WARRANTY BY ALLIANCE: Alliance makes no warranty,either express or implied, that the Funds are or will be sufficient to pay all or any particular portion of the cost of the VTC program or permit the programs successful completion. SECTION 8. AMENDMENTS. This Agreement may be amended at any time upon mutual written agreement of Alliance and the County. SECTION 9. GOVERNING LAW. This Agreement shall be governed by and in accordance with the laws of the State of North Carolina. All actions relating in any way to this Agreement shall be brought in the General Court of Justice in the County of Wake and the State of North Carolina. SECTION 10.NO THIRD-PARTY BENEFICIARIES: This Agreement is not intended for the benefit of any third party. The rights and obligations contained herein belong exclusively to the parties hereto and shall not confer any rights or remedies upon any person or entity other than the parties hereto. SECTION 11. ENTIRE AGREEMENT This Agreement together with the agreements referenced in this Agreement, shall constitute the entire understanding between Alliance and the County and shall supersede 14 all prior understandings and agreements relating to the subject matter hereof. SECTION 12.SEVERABILITY. In the event any provision of this MOU is adjudged to be unenforceable or found invalid, such provision shall be stricken and the remaining provisions shall be valid and enforceable. SECTION 13. NOTICE. Any and all notices, designations, consents, offers, acceptances, or any other communications provided for herein shall be given in writing by registered or certified mail,return receipt requested, to the respective Parties at the addresses listed below, unless each party has notified the others of a different address by means of the notification formalities described in this paragraph. If to Alliance Health: Attention: Robert Robinson, CEO 5200 West Paramount Parkway Suite 200 Morrisville,North Carolina 27560 If to Orange County: Attention: , Orange County Manager ,North Carolina SECTION 14.AUDIT RIGHTS. For all Services being provided hereunder,Alliance shall have the right to inspect, examine, and make copies of any and all books, accounts, invoices, records and other writings relating to the performance of the Services identified in this contract. Audits shall take place at times and locations mutually agreed upon by both parties.Notwithstanding the foregoing,the County must make the materials to be audited available within two (2)weeks of the request for them. SECTION 15. NON-DISCRIMINATION - EQUITABLE TREATMENT OF PARTICIPANTS. The County shall not discriminate in their treatment of participants in the VTC program based on participants' health status, source of payment,cost of treatment or participation in a health benefit plan,genetic information,or ethnicity. Further, the County agrees that Lesbian, Gay, Bisexual, Transgender, or Questioning (LGBTQ) participants who obtain covered services shall not be subject to treatment or bias that does not affirm the member's identifying orientation. SECTION 16. CONFIDENTIALITY. The Parties hereto agree to comply with any and all applicable laws and regulations concerning the confidentiality of participant records, files, or communications in addition to the terms of this Agreement.All parties agree to secure privacy,confidentiality,and integrity of participant, employee, and administrative data. Electronic exchange of confidential information of any email, which will include invoices, customer billing information, and any other information regarding the service delivery of the customer,must be sent and received via encrypted methods. IN WITNESS WHEREOF, Alliance and County have authorized this Agreement to be executed and attested by their undersigned officers, to be effective from and after the date first written above. COUNTY OF ORANGE , County Manager Date 15 ALLIANCE HEALTH Robert Robinson, CEO or Designee Date This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act. Alliance Health Date 16 Attachment 1 —Scope of Work Name of Program/Services Orange County Crisis Assistance, Response and Engagement(CARE) Team Description of use of funds: The CARE team is a joint collaboration between the county and the Chapel Hill Police Department and will launch in Winter/Spring 2024. In the 2-year pilot phase, it will only serve Chapel Hill, but with an Evaluation being conducted of the Pilot by UNC's School of Government Criminal Justice Innovation Lab, the goal is to launch it county-wide with all law enforcement agencies in in 2026. The CARE Team will be comprised of a 3-member mobile response team: a crisis counselor, a peer support specialist and an EMT. In addition, a crisis counselor embedded in the 911 Call Center will be the 4tn member of the team. The mission is to provide a more appropriate response to certain 911 calls. This will also increase therapeutic interventions and direction to resources while ensuring the safest and best immediate response. Required Elements of the Program/Service The Care Team must: • Respond immediately in lieu of law enforcement to behavioral health and low level, non- violent offense 911 calls as designated by the Chapel Hill Police Department and 911 Call Center. • During the Pilot, the CARE Team is restricted to Chapel Hill crisis calls. • After the Pilot is expanded, the CARE team will be available to all county crisis calls that fit the CARE team criteria. • Crisis response must include an EMT, Crisis Counselor and peer support services. • Harm reduction education and supplies will be provided. • Transportation and Referrals can be made to other services and supports. • Follow up engagement will be included. Collaboration • Supervision of the staff for the Pilot will be provided by the Chapel Hill Police Department Crisis Unit and EMS Town of Chapel Hill • Orange County: Emergency Services and CJRD • Alliance Health • UNC School of Government Criminal Justice Innovation Lab Outcome Data In the 2-year pilot phase,program evaluation of the Pilot will be conducted by UNC's School of Government Criminal Justice Innovation Lab. Pilot data will be used to determine the comparative cost savings and utilization of resources as compared to Mobile Crisis Management billing in cases where that service could have occurred, as well as to identify barriers that would need to be overcome in service provision. The goal is to launch this program county-wide with all law enforcement agencies in in 2026. 17 Reporting Requirements The data collection is critical to UNC School of Government's Evaluation, as well as to Orange County and the Town of Chapel Hill. Regular data reports will be completed utilizing the Alliance Health Enhanced Mobile Crisis Report template. Finance: FY 2024: Start-up costs of$142,000, and$87,500 in start-up operational staffing costs for a total of$229,500 in non-UCR funding. • Non-UCR funding will allow time to determine the level of potentially billable service, and ensure service delivery can work within the confines of Care Team criteria as designated by the Chapel Hill Police Department and 911 Call Center, as well as eligibility levels of service recipients. FY 2025: $350,000 annual operating costs. UCR vs. Non-UCR to be determined. Attachment 2—Alliance Non-UCR Invoice Template Download the Alliance Non-UCR Invoice Template: httys://www.alliancehealthplan.ori!/resources/document-library/ Please reference the assigned Alliance Health Contract Number(see below)when submitting invoices. Contract Number: Start Date: June 1,2024 Completion Date: June 30, 2025, unless extended by Alliance. 18 Year-To-Date Budget Summary Fiscal Year 2023-24 Fund Budget Summary Grants Fund Original Budget Revenue $357,000 Interfund Transfer Revenue Fund Balance Appropiation Total Original Budget $357,000 Additional Revenue Received Through Budget Amendment#11-B (June 18th, 2024) Grant Funds $1,270,586 Non Grant Funds $29,000 Additional Interfund Transfer Revenue $23,750 Additional Fund Balance Appropriation Total Amended Budget $1,680,336 Dollar Change in 2023-24 Approved Budget $1,323,336 Change in 2023-24 Approved Budget 370.68% Authorized Full Time Equivalent Positions Original Approved Full Time Equivalent Positions (includes Permanent and Time Limited) Changes to Full Time Equivalent Positions Total Approved Full-Time-Equivalent Positions for Fiscal Year 2023-24 0.000