6636 Amendment Manit Cty.pdf

This document is Amendment Number 1 to Contract Number 410036-V18-ELB6636-ING-1, executed on April 24, 2018, between the Wisconsin Department of Corrections (DOC) and Manitowoc County Human Services Department (MCHSD) as the service provider. The amendment modifies the original contract for Vivitrol Program services that was initially established for the period from January 3, 2018, through June 30, 2018.

The contract provides comprehensive substance abuse treatment services for clients under DOC community supervision in Manitowoc County, with a maximum of ten participants per contract year. Services include psychiatric evaluations, medication management, Vivitrol injections, urine drug screenings, bio-psychosocial assessments, group and individual counseling, and family therapy. The amendment specifically modifies the intensive outpatient program to "3 hours 3 times per week + 1 hour 1 on 1 per week," adds a new fee of $165.00 for "1 Hour Psychiatric Time," and replaces HFMBH references with MCHSD in the contract terms. The psychiatric time component is purchased at one hour per week, and participants must comply with MCHSD policies regarding program completion and discharge procedures.