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Docusign Envelope ID 21C8916C-D962-408A-8F21-2960D56OB7D7 NDMENT 3 <br />AMENDED AND RESTATED <br />FY2026 AND FY2027 COMMUNITY SERVICES PERFORMANCE CONTRACT <br />MASTER AGREEMENT AND SUPPLEMENTAL DOCUMENTS <br />Portsmouth Department of Behavioral Healthcare Services <br />Contract No. P1636.778.3 <br />Other Performance Contract Document Attachments <br />®Exhibit A: Resources and Services (Only available through the electronic reporting application provided by <br />the Department) <br />®Exhibit B: Continuous Quality Improvement (CQI) Process and CSB Performance Measures <br />®Exhibit C: PHI Data Sharing and Use Agreement (Repurposed effective July 1, 20125) <br />OExhibit D: Individual CSB Performance Measures (Provided separately as needed by the Department) <br />®Exhibit E: Performance Contract Schedule and Process <br />®Exhibit F: Federal Grant Requirements <br />®Exhibit F(B): Single Audit Exemption Form (Template Document provided by Department) <br />®Exhibit G: Community Services Boards Master Programs Services Requirements <br />®Exhibit H: Regional Local Inpatient Purchase of Services (LIPOS) Requirements <br />®Exhibit 1: INTENTIONALLY LEFT BLANK FOR FUTURE USE <br />®Exhibit J: Certified Preadmission Screening Clinicians Requirements <br />®Exhibit K: State Hospital Census Management Admission and Discharge Requirements <br />®Exhibit L: List of Acronyms (See Table of Contents) <br />®Exhibit M: Department of Justice Settlement Agreement <br />®Addendum I: Administrative Requirements and Processes and Procedures <br />®Addendum II: Partnership Agreement <br />®Addendum III: INTENTIONALLY LEFT BLANK FOR FUTURE USE <br />Page 3 of 27 <br />