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Home My WebLink About065828 - General - Contract - City Manager's Office, Homeless Strategies DivisionCSC No. Page 1 of3 CITY OF FORT WORTH Memorandum of Understanding This Memorandum of Understanding (MOU) is agreed and entered into by the Neighborhood Services Department of the City of Fort Worth (hereinafter "NSD") and the Homeless Strategies Division of the City Manager's Office ("HSD"), herein referred to collectively as the "Parties." RECITALS WHEREAS, the State of Texas and certain political subdivisions, through their elected representatives and counsel, seek to hold entities responsible for the opioid use and distribution within the State of Texas and share a common desire to abate and alleviate the impacts of the opioid epidemic throughout the state; WHEREAS, through the adoption of Resolution 5499-11-2021 on November 9, 2021, City Council joined the opioid settlement negotiated by the Texas Attorney General, affirmed its support for the adoption and approval of the Texas Opioid Abatement Fund Council and Settlement Allocation Term Sheet, and found that there is a substantial need for repayment of opioid-related expenditures and payment to abate opioid-related harms in and about Fort Worth; WHEREAS, the City received the first settlement payment from the Opioid Abatement Fund Council in the amount of $665,760.73 and approved use of the funds in April 2023 (Mayor & Council Communication (M&C) 23-0255); and the City has continued to receive opioid settlement payments, including a second payment of $129,518.88 received April 16, 2024, and a third payment of $631,860.97 received April 10, 2025, all deposited into City Project No. 104782; WHEREAS, on April 28, 2026, City Council approved M&C 26-0318, authorizing the allocation of Texas Opioid Settlement Funds in the amount of $236,625.00 to the Homeless Strategies Division to increase the High ImpACT services contract with My Health, My Resources of Tarrant County (MHMR) to provide substance abuse counseling and medication services for individuals experiencing opioid addiction; WHEREAS, the City's Neighborhood Services Department has been designated as the lead department to oversee allocation and use of these funds; WHEREAS, the Homeless Strategies Division provides services to populations disproportionately impacted by opioid use disorder, including individuals experiencing homelessness, and agrees to cooperate with the Neighborhood Services Department to ensure compliance with the Texas Opioid Abatement Fund Council and Settlement Allocation Term Sheet. NOW, THEREFORE, the Parties understand and agree as follows: GENERAL PROVISIONS OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Neighborhood Services Department and Homeless Strategies Division MOU Interventions of Opioid Use CSC No. Page 2 of 3 1. This MOU will become effective April 28, 2026 and will remain in effect through April 28, 2028, or until all allocated funds have been expended, whichever occurs first, unless amended by mutual written agreement of the Parties. 2. Amendments, modifications, or alterations of the terms of this MOU shall be in writing, dated subsequent to the date hereof, and duly executed by the parties hereto. 3. This MOU includes the following attached Exhibits: EXHIBIT "B" — Program Summary EXHIBIT "C" — Budget EXHIBIT "D" — Reimbursement Forms 4. NSD will provide up to $236,625.00 of OPIOID Funds ("Funds") to HSD under the terms and conditions of this MOU, as authorized by M&C 26-0318 (April 28, 2026). These Funds are to be used to increase the existing MHMR contract (City Secretary Contract No. 64551) to provide substance abuse counseling and medication -assisted treatment (MAT) for individuals experiencing opioid addiction who are enrolled in the High ImpACT program. Payment of Funds will be on a reimbursement basis. Reimbursement Requests will be submitted monthly to NSD and must be received by the 15th day of the month following the month expenses were paid by HSD. 5. The Funds will be utilized by HSD to support the High ImpACT program, administered by My Health, My Resources of Tarrant County (MHMR), to provide substance abuse counseling, MAT, and wraparound services for individuals experiencing opioid use disorder and homelessness. The services to be provided are further described in Exhibit «B 6. HSD agrees to provide NSD with the following on a monthly basis, (a) monthly expenditure reports including account numbers used; (b) updates on remaining allocation balance and projected spending pace; (c) a description of program activities and how funds are being used during the reporting period; (d) data on the number of individuals served and outcomes where applicable. 7. HSD agrees that its use of Funds must be in compliance with the Texas Opioid Abatement Fund Council and Settlement Allocation Term Sheet and List of Opioid Remediation Uses, supplied by the Texas Attorney General, attached as Exhibit "A" and "E." In the event there are material changes made to the Term Sheet and or List of Opioid Remediation Uses by the Texas Attorney General, HSD agrees to abide by those changes in order to ensure compliance. 8. HSD agrees that it will keep a proper accounting of how all Funds are spent. HSD agrees to supply NSD with proper reimbursement forms and documentation, including Exhibits —"D„ 9. NSD reserves the right to reallocate Funds, or a portion of the Funds that is at -risk of not being expended, and to reallocate such Funds in accordance with applicable requirements and City policies. If spending significantly slows or stalls, NSD may request a written justification from HSD prior to determining whether reallocation is necessary. Neighborhood Services Department and Homeless Strategies Division MOU — Interventions of Opioid Use ACCEPTED AND AGREED: acey pmas(Sep acey i nomas Director, Neighborhood Services Department UIdlain4u�'aalle() 16, 2026 16:09:37 CDT) Assistant City Manager, City Manager's Office CSC No. Page 3 of 3 TTEST BY: an 4F FORr°naA eo°°" '�• as a° o aaR nEop5�4a i ette Goodall ity Secretary cc: Keisha Light, Assistant Director, Neighborhood Services Department cc: Kacey Thomas, Director, Neighborhood Services Department OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Neighborhood Services Department and Homeless Strategies Division MOU — Interventions of Opioid Use CITY MANAGER'S OFFICE - HOMELESS EXHIBIT "B" STRATEGIES High ImpACT Program PROGRAM SUMMARY PROGRAM SUMMARY (Texas Opioid Abatement Fund Council TOAFC) April 28, 2026 to April 28, 2028 $236,625.00 PERIOD AMOUNT Capitalized terms not defined herein shall have meanings assigned them in the Contract. PROGRAM: The High ImpACT Program addresses the intersection of severe mental illness and unsheltered homelessness by providing intensive medical, psychiatric, and housing stabilization services to individuals experiencing homelessness. Referrals come primarily through neighborhood patrol officers using criteria of living unsheltered in one of seven target areas and either experiencing unsheltered homelessness over two years or suspected of having severe mental illness. Opioid Settlement funds will support services for thirty (30) High ImpACT participants who are experiencing or recovering from opioid use disorder. Funding will provide comprehensive wrap- around services including recovery services for those with occuring substance use disorder and mental health conditions. These wrap -around services included funded team positions such as physician assistant (medical), advanced practitioner (psychiatric), licensed chemical dependency counselor or equivalent, therapist and housing case managers. Funding will also cover medicines for clients with opioid addiction and those in recovery from opioid addiction over a two-year period. By integrating opioid use disorder treatment into the existing High ImpACT model, the program will increase access to specialized substance abuse services, improve participant outcomes, and enhance public health and safety throughout the City of Fort Worth. PROGRAM GOALS: Increase access to substance use disorder treatment and recovery services for High ImpACT clients. Provide specialized counseling and recovery support through a Licensed Chemical Dependency Counselor or equivalent position. Expand access to medications used to treat opioid addiction and support long -tern recovery. INTERVENTIONS OF OPIOID USE EXHIBIT "B" — PROGRAM SUMMARY Page 1 EXHIBIT "C" - BUDGET Grant Budget Total PROGRAM PERSONNEL Advanced Practice Provider - Psychiatric Tenant Support Specialist Rehabilitation Case managers (2) Housing Specialists (4) Licensed Chemical Dependency Counselor or equilivant Network Director of Housing $151,440.00 $958,184.00 SUPPLIES AND SERVICES Mileage Cell phones Computer fees Client expenses Office supplies software building overhead vehicle expenses training indirect expenses (up to 15%) $85,185.00 $547,446.00 BUDGET TOTAL $236,635.00 $1,505,630.00 Page 1 The following tables were created for the purpose of preparing, negotiating, and determining the cost reasonableness and cost allocation methodology used by the Homeless Strategies Division (HSD) for the line -item budget represented on the first page of this EXHIBIT "C" — Budget. The information reflected in the tables shall be considered part of the terms and conditions of this Memorandum of Understanding (MOU). HSD shall coordinate with and obtain written concurrence from the Neighborhood Services Department (NSD) before making changes to any line item in the Budget, as outlined in Section 8 of the General Provisions of this MOU. The deadline to make changes to EXHIBIT "C" — Budget is SALARY DETAIL -PROGRAM PERSONNEL Position Title Annual Salary Est. Percent to Grant Amount to Grant TOTAL $ - FRINGE DETAIL -PROGRAM PERSONNEL Percent of Payroll Amount Est. Percent to Grant Amount to Grant TOTAL $ - $ - SUPPLIES AND SERVICES Total Budget Est. Percent to Grant Amount to Grant TOTAL $ - $ - MISCELLANEOUS Total Budget Est. Percent to Grant Amount to Grant TOTAL $ - $ - FACILITY AND UTILITIES Total Budget Est. Percent to Grant Amount to Grant TOTAL $ - $ - LEGAL, FINANCIAL AND INSURANCE Total Budget Est. Percent to Grant Amount to Grant Fidelity Bond or Equivalent Directors and Officers General Commercial Liability Prof Fees TOTAL $ - DIRECT ASSISTANCE Total Budget Est. Percent to Grant Amount to Grant Audit/IT/Legal Volunteer Recruitment, Misc. TOTAL $ - CITY OF FORT WORTH Oploid Setlement Fund Allocagon— MAC 2803181 High ImpACT Program (MHMR of Tarrant County) Purpose This ExMbd is whee HSCIMHMR documents the tepntting shucturefot opicid setgemenl-funded serrices undeth. High lmpACTpmgrem, cwrslaent with whet was discussed in cot July21, 2026 meeting and priorconversetions. What we're looking for Based on our conversations. pieaseoonfirm the repoding structure on the "Recoiling Simcture'tab (cllent listlnumber oftimes seen and percentege-based Invoicing), and add a sheet to this workbook with the sotua monthly attestation tempide your team will use and submit. Monthly invoicing Separate town this Edtibk: please continue emaling invoices to Tommie Hickman as you receive them each month, earned can baffled with the mat Oahe program's supporting documentation. No separate invoking template is needed at this time.. Reference MAC 260318 (Taus Opiod Settlement Fund allocations). Program / Department: Homeless Strategies Division / MHMR High ImpACT Legend: Yellow cells = please confirm or complete. Reporting System Used Please confirm: manual attestation form (no dedicated case management software for opioid-specific reporting). Confirming and attaching attestation. Client/Patient Identifier Will use client names Method Outcome Tracking Approach Please confirm: monthly attestation — total High ImpACT clients served, number receiving opioid-related services, percentage of invoice billable to opioid funds.- Confirmed Reporting Frequency Invoicing Method L Please confirm: monthly. Confirmed - there is also a quarterly report. Please confirm: percentage -based; invoices emailed to Tommia Hickman as received. Confirmed. Please add an additional sheet to this workbook (tab at the bottom) containing the actual template/report format your team will complete and submit each month, consistent with what you described above. invoice Attestation Invoice Reporting During the month of _, the High ImpACT team served a total of __ clients with psychiatric, medical and housing services and supports. Of those clients, clients received services related to maintaining their recovery from opioids, services supporting entering recovery services or medicines to assist with treatment for opioid use disorder. Percentage_ of __ or % of invoice can be billed to opioid settlement funds. Name and Signature of medical or psychiatric professional attesting to number of clients served with opioid use disorder Name and Signature of High Im„pAC,T Program Manager attesting to number of clients served with opioid use disorder Clients in Motel Clients No Contact Quarterly Reporting Quarterly Measures Progress- Quarter 1(Oct-Des) Progress -Quarter 2 (Jan - Mar) Progress- Quarter 3 (Apr -15P s- Quarter 4 (JoSept)- Due Jan 15, 2026 Due Apr 15,2026 Due July 15,2026 Due Oct 15, 2026 At least 70% of those offered housing accept housing After one year of entering houisn& M least 70% are still housed (can be in a different unit, but must be housed) FORT WORTH® City Secretary's Office Contract Routing & Transmittal Slip Contractor's Name: City Manager's Office, Homeless Strategies Division Subject of the Agreement: MOU for the Texas Opioid Settlement Funds, High ImpACT Program M&C Approved by the Council? * Yes 0 No ❑ If so, the M&C must be attached to the contract. Is this an Amendment to an Existing contract? Yes ❑ No 0 If so, provide the original contract number and the amendment number. Is the Contract "Permanent"? *Yes ❑ No 0 If unsure, see back page for permanent contract listing. Is this entire contract Confidential? *Yes ❑ No 0 If only specific information is Confidential, please list what information is Confidential and the page it is located. Effective Date: April 28, 2026 If different from the approval date. Expiration Date: April 28, 2028 If applicable. Is a 1295 Form required? * Yes ❑ No 21 *If so, please ensure it is attached to the approving M&C or attached to the contract. Project Number: If applicable. *Did you include a Text field on the contract to add the City Secretary Contract (CSC) number? Yes 0 No 0 Contracts need to be routed for CSO processing in the following order: 1. Christian Chavez (Approver) 2. Jannette S. Goodall (Signer) 3. Allison Tidwell (Form Filler) *Indicates the information is required and if the information is not provided, the contract will be returned to the department. M&C Review Page 1 of 3 r_I CITY COUNCIL AGEND Create New From This M&C Official site of the City of Fort Worth, Texas FORT WORTH REFERENCE **M&C 26- 19INTERVENTIONS OF OPIOID DATE: 4/28/2026 NO.: 0318 LOG NAME: USE FUNDING ALLOCATIONS 2026 CODE: G TYPE: CONSENT PUBLIC NO HEARING: SUBJECT: (ALL) Approve the Allocation of Texas Opioid Settlement Funds in the Amount Up to $648,136.56 to the City of Fort Worth Fire Department, the City of Fort Worth Homeless Strategies Division, and the City of Fort Worth Neighborhood Services Department; Authorize the Use of Interest Earnings in an Amount Up to $75,000.00, and Adopt Appropriation Ordinance RECOMMENDATION: It is recommended that the City Council: 1. Approve the allocation of Texas Opioid Settlement Funds to implement opioid mitigation activities for the City of Fort Worth Fire Department in the amount of $410,204.00; the City of Fort Worth Homeless Strategies Division to increase the High ImpACT services contract with My Health, My Resources of Tarrant County in the amount of $236,625.00; and to the City of Fort Worth Neighborhood Services Department in the amount of $1,307.56 for administrative costs, 2. Authorize the use of interest earnings in an amount up to $75,000.00, all subject to receipt of interest earned from the award, 3. Authorize execution of an amendment to City Secretary Contract 64551 with My Health, My Resources of Tarrant County to increase funding by $236,625.00, to be spread over the remainder of Fiscal Year 2026, Fiscal Year 2027, and a portion of Fiscal Year 2028; 4. Adopt the attached appropriation ordinance increasing receipts and appropriations in the Grants Operating Other Fund for the Texas Opioid Abatement Fund project in an amount up to $75,000.00 (City Project No. 104782); and 5. Authorize the City Manager or his designee to administer and allocate the funds to the departments for eligible opioid mitigation activities in accordance with the Texas Opioid Settlement requirements and City policies. DISCUSSION: The purpose of the Mayor and Council Communication (M&C) is to approve the allocation of Texas Opioid Settlement Funds to implement opioid mitigation activities for the City of Fort Worth Fire Department, the City of Fort Worth Homeless Strategies Division and to the City of Fort Worth Neighborhood Services Department. Through the adoption of Resolution 5499-11-2021 on November 9, 2021, the City Council approved the City of Fort Worth (City) joining the opioid settlement negotiated by the Texas Attorney General, affirmed its support for the Texas Opioid Abatement Fund Council and Settlement Allocation Term Sheet, and recognized the need for resources to address opioid-related harms in the City of Fort Worth. On March 1, 2023, the City received its first opioid settlement payment from the Texas Opioid Abatement Fund Council in the amount of $665,760.73. On April 11, 2023, M&C 23-0255 approved the use of these funds and designated the Neighborhood Services Department as the lead department to oversee the allocation and administration of the opioid settlement funds. The settlement program is expected to last approximately 18 years, and the City anticipates receiving an http://apps.cfwnet.org/council_packet/mc_review.asp?ID=34361 &councildate=4/2 8/2026 5/28/2026 M&C Review Page 2 of 3 estimated total of nearly $2.6 million from the initial settlement and nearly $2 million from a subsequent settlement. On April 16, 2024, the City received its second settlement payment in the amount of $129,518.88. On April 10, 2025, the City received its third settlement payment in the amount of $631,860.97. These funds were deposited into the Grants Operating Other Fund for allowable expenses related to opioid remediation activities as defined by the Texas Opioid Abatement Fund Council for the Texas Opioid Abatement Fund project (City Project No. 104782). Staff recommends allocating these funds to support opioid mitigation activities administered by City departments as outlined below: RECOMMENDED DEPARTMENT PROGRAM PROGRAM DESCRIPTION FUNDING AMOUNT Supports overdose response through peer support Peer Support, services, expanded Expanded medication -assisted treatment Treatment Access, on advanced life support and Community ambulances, and community Engagement outreach to improve recovery and reduce opioid related harm. CITY MANAGER'S OFFICE - HOMELESS STRATEGIES NEIGHBORHOOD SERVICES High ImpACT Admin Expenses Supports the High ImpACT program by providing substance abuse counseling and medications for individuals experiencing opioid addiction who are High ImpACT clients. Supports administrative expenses for the Neighborhood Services Department to oversee and manage opioid settlement - funded programs and activities. I TOTAL II $648,136.56 The High ImpACT program addresses the intersection of severe mental illness and unsheltered homelessness by providing mobile psychiatric services and housing assistance and is managed by My Health, My Resources of Tarrant County (MHMR). On March 19, 2024, City Council approved M&C 24-0200 to fund the first five months of the 17 -month High ImpACT Pilot Program in the amount of $1,096,847.00. On December 10, 2024, City Council approved M&C 24-1032 allocating $2,178,304.00 to fund the remaining 12 months of the pilot program. On August 12, 2025, City Council approved M&C 25-0658 authorizing the execution of a $1,269,005.00 contract with MHMR, along with contracts with Acclaim Health and Partnership Home, to continue the program in Fiscal Year 2026 with options to renew through Fiscal Years 2027, 2028, and 2029. The City Manager's Office Homeless Strategies Division will utilize the opioid settlement funds allocated through this M&C to increase the MHMR contract through a two-year agreement spanning three fiscal years to provide substance use counseling and medication services for individuals experiencing opioid addiction who are enrolled in the High ImpACT program. http://apps.cfwnet.org/council_packet/mc_review.asp?ID=34361 &councildate=4/2 8/2026 5/28/2026 M&C Review Page 3 of 3 In addition, interest earnings associated with the Texas Opioid Abatement Fund project have accrued and continue to accrue. Currently, $15,240.10 in interest earnings have been recorded, with additional estimated interest earnings expected to be received. This M&C authorizes the use of interest earnings in an amount up to $75,000.00, subject to receipt of interest earned, and adopts an appropriation ordinance to increase receipts and appropriations in the Grants Operating Other Fund for the Texas Opioid Abatement Fund project (City Project No. 104782). The departments will implement eligible opioid remediation activities and establish program timelines necessary to carry out program goals in accordance with the Texas Opioid Settlement requirements and City policies. Awarded funds should be spent within a 24 -month timeframe. The City was notified that a fourth distribution from the Texas Opioid Abatement Fund is forthcoming; however, the amount and timing of the distribution have not been confirmed. Staff will monitor the receipt of these funds and will return to City Council with a future M&C to appropriate and allocate the funds in accordance with applicable requirements. The programs will be available in ALL COUNCIL DISTRICTS. FISCAL INFORMATION/CERTIFICATION: The Director of Finance certifies that upon approval of the above recommendations and adoption of the attached appropriation ordinance, funds will be available in the current operating budget in the Grants Operating Other Fund and that funds are available in the current operating budget, as previously appropriated, in the Grants Operating Other Fund for the TX Opioid Abatement Fund project to support the opioid mitigation activities and execute the contract. Prior to any expenditure being incurred, the Neighborhood Services Department has the responsibility to validate the availability of funds. TO Fund Department Account Project Program Activity Budget Reference # Amount ID ID Year (Chartfield 2) OM Fund Department Account Project Program Activity Budget Reference # Amount ID ID Year (Chartfield 2) Submitted for City Manager's Office by: Dana Burghdoff (8018) Originating Department Head: Kacey Thomas (8187) Additional Information Contact: Keisha Light (5749) ATTACHMENTS 19INTERVENTIONS OF OPIOID USE FUNDING ALLOCATIONS 2026 funds avail.docx (CFW Internal) FID TABLE -Opioid 104782R.xlsx (CFW Internal) ORD.APP 19INTERVENTIONS OF OPIOID USE FUNDING ALLOCATIONS 2026 AO26(R5) (1).docx (Public) RESOLUTION 5499-11-2021.PDF (Public) http://apps.cfwnet.org/council_packet/mc_review.asp?ID=34361 &councildate=4/2 8/2026 5/28/2026