Loading...
HomeMy WebLinkAboutAgreement A-15-257-4 with Kings View Corp..pdfAgreement No . 15-257-4 AMENDMENT IV TO AGREEMENT THIS AMENDMENT , hereinafter referred to as "Amendment IV", is made and entered into this ~day of August , 2020 , by and between COUNTY OF FRESNO , a Political Subdivision of the State of California , Fresno , California , hereinafter referred to as "COUNTY ", and KINGS VIEW CORPORATION , a California Non-profit , 501 (c) (3) Corporation , whose address is 7170 N. Financial Drive , Suite 1100 , Fresno , California 93720 , hereinafter referred to as "CONTRACTOR " (collectively as the "parties "). WHEREAS , the parties entered into that certain Agreement , identified as COUNTY Agreement No . A-15-257 , effective July 1, 2015 , as amended by COUNTY Amendment No . 15-257-1 , effective June 6, 2017, COUNTY Amendment No . 15-257-2 , effective October 22 , 2019 , and COUNTY Amendment No . 15-257-3, effective April 28 , 2020 , hereinafter collectively referred to as COUNTY Agreement No . 15-257 , whereby CONTRACTOR agreed to operate a Projects for Assistance in Transition from Homelessness (PATH) program to deliver integrated mental health and supportive housing services to adults who are homeless, or who are at imminent risk of becoming homeless , and have a serious mental illness and/or co-occurring disorder , in an effort to enable this population to live in the community and to avoid homelessness, hospitalization , and/or jail detention ; WHEREAS , the parties desire to amend the Agreement regarding changes as stated below and restate the Agreement in its entirety. NOW, THEREFORE , for good and valuable consideration , the receipt and adequacy of which is hereby acknowledged , COUNTY and CONTRACTOR agree as follows : 1. That in the existing COUNTY Agreement No . 15-257 , all references to "Revised Exhibit A-1 " shall be replaced with the text "Revised Exhibit A-2 ". Revised Exhibit A-2 is attached hereto and incorporated herein by this reference . 2 . That in the existing COUNTY Agreement No . 15-257 , all references to "Revised Exhibit B-1 " shall be replaced with the text "Re-revised Exhibit B-1." Re-revised Exhibit B-1 is attached hereto and incorporated herein by this reference . In addition , Exhibit B-3 is added to reflect CDBG-CV monies to be pa id for the Mobile Outreach Project. Exhibit B-3 is attached hereto and incorporated -1 - - 2 - herein by this reference. 3. That the COUNTY Agreement No. 15-257, as set forth in Amendment III , at Section Five (5) related to “COMPENSATION”, on Page Two (2), beginning on Line Nineteen (19) with the words “The” and ending on Page Three (3), Line One (1) with the number “($4,298,824.00)” be deleted and replaced with the following: “The maximum amount of compensation paid to CONTRACTOR by COUNTY through the PATH Grant, including County Match/MHSA funds shall not exceed Five Hundred-Ninety Thousand, One Hundred Eighty-Two and No/100 Dollars (590,182.00) during the twelve month period of July 1, 2019 through June 30, 2020. The maximum amount of compensation paid to CONTRACTOR by COUNTY through the Homeless Mentally Ill Outreach and Treatment (HMIOT) Grant shall not exceed Six Hundred Twenty-Nine Thousand and No/100 Dollars ($629,000) through the eleven (11) month period of October 1, 2019 through August 31, 2020 for the implementation and operational costs of the Rural Mobile Outreach Program. The maximum amount of compensation paid to CONTRACTOR by COUNTY through the PATH Grant, including County Match/MHSA funds, Homeless Housing, Assistance and Prevention (HHAP) Grant, and Community Development Block Grant (CDBG-CV) shall not exceed One Million, Fifty-Eight Thousand, Seven Hundred-Nine and No/100 Dollars ($1,058,709) during the twelve (12) month period of July 1, 2020 through June 30, 2021, with the understanding that Two Hundred Seventy-Nine Thousand, Six Hundred Thirteen and No/100 Dollars ($279,613) will be used for the implementation and operational costs of the Mobile Outreach Project, with Sixty Thousand, Seven Hundred Eighty-Seven and No/100 Dollars ($60,787) specifically designated for mobile outreach efforts in the City of Reedley. In no event shall total maximum compensation for this Agreement paid to CONTRACTOR by COUNTY exceed Four Million, Five Hundred Seventy-Eight Thousand, Four Hundred Thirty-Seven and No/100 Dollars ($4,578,437).” That the following be inserted in COUNTY Agreement No. 15-257, as set forth in Amendment III, at Section Eight (8) “REPORTS”, on Page Four (5), Line Sixteen (16) after the word “discretion”: “H. CDBG-CV Report – COUNTY is responsible for providing a report to U.S. - 3 - Housing and Urban Development (HUD) which will describe and evaluate the Mobile Outreach Project for essential planning purposes, maintain program accountability and program monitoring. CONTRACTOR shall submit to COUNTY’s DBH service outcome reports as reasonably requested by COUNTY’s DBH. Outcome reports and outcome requirements are subject to change at COUNTY’s DBH discretion.” COUNTY and CONTRACTOR agree that this Amendment IV is sufficient to amend the Agreement and, that upon execution of this Amendment IV, the Agreement, Amendment I, Amendment II, Amendment III, and Amendment IV together shall be considered the Agreement. The Agreement, as hereby amended, is ratified and continued. All provisions, terms, covenants, conditions and promises contained in the Agreement and not amended herein shall remain in full force and effect. This Amendment IV shall be retroactively effective June 30, 2020. /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// /// IN WITNESS WHEREOF, the parties hereto have executed this Amendment IV to COUNTY Agreement No . 15-257 as of the day and year first hereinabove written . COUNTY OF FRESNO ~~~~~~~ {:t_O £_ ;,,--4 A , ~~ ) Ernest Buddy Menees, Chdma n ofthe Amanda Nugent Divine Print Name Chief Executive Officer Title (Chairman of Board, or President, or m'~L~ (Authorized Signature) Harry Parisi Print Name Interim Chief Financial Officer Title (Secretary of Corporation, or Chief Financial Officer/Treasurer, or any Assistant Secretary or Treasurer) Mailing Address : Kings View Behavioral Health 7170 North Financial Avenue, Su ite 110 Fresno, CA 93720 Phone No .: (559) 256-0100 Contact: Amanda Nugent-Di vine , CEO For Accounting Use Only : Fund/Subclass : 0001/10000 Organization : 56302493 AccounUProgram : 7295/0 FUNDS OEL FY 2015-16 : $410,777 $530,000 FY 2016-17 : $410 ,777 $590,182 FY 2017-18 : $410 ,777 $590,182 SMHS Board of Supervisors of the County of Fresno ATTEST: Bernice E. Seidel Clerk of the Board of Supervisors County of Fresno , State of California CDBG-CV FUNDS $119,223 $0 $179,405 $0 $179,405 $0 - 4 - - 5 - FY 2018-19: $590,182 $410,777 $179,405 $0 FY 2019-20: $590,182 $410,777 $179,405 $0 FY 2020-21: $1,058,709 $594,309 $184,787 $279,613 HMIOT FUNDS 10/22/19 – 8/31/20 $629,000 TOTAL FUNDS OEL SMHS CDBG-CV HMIOT $4,578,437 $2,648,194 $1,021,630 $279,613 $629,000 Revised Exhibit A-2 Page 1 of 8 PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS (PATH) PROGRAM Scope of Work ORGANIZATION: Kings View Corporation ADDRESS: 7170 N. Financial Dr, Ste 110, Fresno, CA 93720 SITE ADDRESS: 4910 E. Ashlan Ave, Ste 118, Fresno, CA 93726 SERVICES: Mental Health, Outreach, Case Management and Supportive Housing Services HOURS OF OPERATION: 8am to 5pm, Monday through Friday REGIONAL DIRECTOR: Virginia Sparks, LMFT CONTRACT PERIOD: July 1, 2015 – June 30, 2021 CONTRACT AMOUNT: $530,000 FY 2015-16 $590,182 FY 2016-17 $590,182 FY 2017-18 $590,182 FY 2018-19 $590,182 FY 2019-20 $629,000 $1,058,709 October 22, 2019 – August 31, 2020 (HMIOT) FY 2020-21 TARGET POPULATION: Participation in the PATH Program is on a client voluntary basis. The target population to be served under this Agreement are adult clients (18 year and older) who are suffering from serious mental illness and/or co-occurring substance use disorders, and are homeless or at imminent risk of becoming homeless. PROJECT DESCRIPTION: With funding through the Stewart B. McKinney Homeless Assistance Amendments Act of 1990, which authorizes a Federal grant program (Projects for Assistance in Transition from Homelessness (PATH)) to address the needs of people who are homeless and have serious mental illnesses and/or co-occurring disorders, Kings View is able to provide a PATH program for said target population. Kings View PATH program delivers services to clients who are suffering from serious mental illness and substance use disorders and are homeless or at imminent risk of becoming homeless. The goal of the PATH program is to enable clients to live in the community and to avoid homelessness, hospitalization and/or jail detention. The PATH program is comprised of two main components: 1) PATH – Outreach, Engagement, and Linkage Services (OEL); 2) PATH – Specialty Mental Health Treatment Services (SMHS). With the Homeless Mentally Ill Outreach and Treatment (HMIOT) funding opportunity available as a result of SB 840 (chapter 29, Statutes of 2018), a one-time grant in FY 2019-20, the program can commit to combatting homelessness and improving outreach and treatment for those with serious mental illness in Fresno County’s communities. In FY 2019-20, a third component was created with the HMIOT funding, the 3) PATH – Homeless Mentally Ill Outreach Treatment Program (HMIOT). For FY 2020-21, the PATH program will be utilizing the Homeless Housing, Assistance and Prevention Program (HHAP) one-time grant funding authorized by AB 101 (Committee on Budget, Chapter 159, Statutes of 2019) to continue the HMIOT service goals by combining the mobile outreach unit(s) with the OEL outreach unit(s) to create an enhanced PATH - OEL program for FY 2020-21. The Community Development Block Grant (CDBG-CV) one-time grant funding under the Coronavirus Aid, Relief, and Economic Securities (CARES) Act, awarded by Housing and Urban Development (HUD) and administered by the Fresno County Revised Exhibit A-2 Page 2 of 8 Department of Public Works,will further advance mobile outreach service goals for FY 2020-21. During FY 2020- 21, an additional component is created, the 4) PATH – Mobile Outreach Project, which focuses on addressing needs brought about by COVID-19 for individuals experiencing homelessness. Kings View’s role is to provide outreach, engagement, and linkage services to 350 clients per year, of which 200 will be enrolled in the PATH-OEL where they will receive case management, linkage, consultation, peer support services, supportive interim or bridge housing services. For clients enrolled in ongoing mental health treatment (30 clients at any given time) in PATH-SMHS, clients will receive intensive mental health treatment, case management, linkage, consultation, peer support services, and supportive housing services (housing to a maximum of 10 at any given time). In PATH – HMIOT, mobile outreach tactics will be utilized in the county to reach individuals in need of mental health services and linkages to other programs. Service goals are to help stabilize and transition clients into other County or community mental health programs. In the PATH – Mobile Outreach Project, individuals experiencing homelessness will receive COVID-19 education, referrals to medical services, linkage to treatment or telemedicine, and housing services. Kings View will implement COVID-19 screening, education, assessment, and linkage capabilities in the field. The PATH program is a vital resource to the community as it seeks to reduce and end chronic homelessness. The PATH program will serve as a front door for clients into continuum of care services and mainstream mental health, primary health care and the substance abuse services system. . Kings View shall provide: a partnership in which they commit to “meet the client where they are” in order to assist the enrolled clients in achieving their personal recovery and wellness goals. The Program will collaborate with other agencies for the provision of non-direct mental health services (Federal Qualified Health Clinics (FQHC), Public Guardian, Fresno County etc.). Services will incorporate safety, emergency and crisis procedures in the field and in the organization’s offices, personal services coordination, psychiatric services in the areas of medication, prescription, administration, monitoring and documentation, mental health services, linkage services, supportive housing services, and mobile outreach services. COUNTY’S administrative staff shall monitor and oversee program outcomes and coordinate reporting requirements. King View’s RESPONSIBILITY: 1 Provide two main program components. Additional components are implemented for FY 2019-20 and FY 2020-21. One component will consist of an outreach/linkage program, where clients are enrolled and linked to other services based on the needs of the client. The second component is mental health treatment services on an ongoing basis (up to 30 clients at any given time) inclusive of supportive housing services (up to 10 clients). In FY 2019-20, an additional component is a mobile outreach effort to identify clients in need of linkage and mental health services in the rural and unincorporated parts of the County. For FY 20-21, the mobile outreach effort will be added to the OEL component to expand the already operating outreach efforts. An additional component will be added for FY 20-21, further providing mobile outreach services, including COVID-19 education and screening, to rural and unincorporated communities. 2 Provide a partnership in which the service provider commits to “meet the client where they are” in order to assist the enrolled clients in achieving their personal recovery and wellness goals. 3 Collaborate with other agencies for provision of non-direct mental health services (FQHC, Public Guardian, etc.). These services are particularly needed to reach people with co-occurring chronic or medical conditions. Linkage must be provided for clients to the full range of services. 4 For clients enrolled in the mental health treatment component of the homeless program; a client’s Plan of Care must include and identify at least, the client’s current symptoms, treatment goals, and interventions. 5 Provide appropriate and measurable outcomes as requested upon, State Quarterly Performance Reports, and PATH annual report. Revised Exhibit A-2 Page 3 of 8 I.Kings View PATH program will provide the following staffing components: A. PATH outreach coordinator staff shall be available to provide crisis assessment and intervention, including telephone and face-to-face contact during working hours. Response to crisis shall be rapid and flexible. Coordinators shall collaborate with facilities and designated staff to provide emergency placement should crisis housing, short-term care and inpatient treatment (voluntary or involuntary) be needed. The vendor’s staff shall provide support to the maximum extent possible, including accompanying the client to the County’s Urgent Wellness Center and remain with the client during the assessment. B.The PATH - SMHS program will provide services for up to 30 clients in an ongoing basis. Services include; mental health individual/group therapy, case management linkage, referrals, education in the areas of medication prescription, administration, monitoring and documentation. In addition, the program shall: •Assess each client’s mental illness symptoms and behavior and prescribe appropriate medication as necessary. Medication for clients who do not have a third-party payor will be provided medication via Kings View’s PATH program selected vendor and/or other resources such as samples, coupons and cost will be the responsibility of Kings View. •Regularly review and document the client’s mental illness symptoms as well as his/her response to the prescribed medications; •Educate the client and family members on the purpose of medication and any side effects; and •Monitor, treat and document any medication side effects. C.The PATH - SMHS program’s client to staff ratio will be no more than 15 clients to each staff. A ratio of 1:15: or one staff serves no more than fifteen clients. D.The FY 2019-20 PATH – HMIOT program will employ multiple mobile outreach teams (with the option of some employees being subcontracted through partner agencies) with assessment and linkage capabilities. These teams will provide outreach to individuals with serious mental illness who are also experiencing homelessness and have not engaged in services. The teams will provide outreach, build rapport, develop trust, and engage individuals in services. E.The FY 2020-21 PATH – Mobile Outreach Project will employ a team, including two outreach workers, to reach adults in need of housing service sand linkage to other programs, with a focus on those needing COVID-19 education, referrals to medical services, linkage to treatment or telemedicine, and housing. Kings View will implement COVID-19 screening, education, assessment, and linkage capabilities in the field. F.Evaluate the staff’s competency for performance purposes and establish medication policies and procedures which identify processes to administer medications to clients and train other staff and family members regarding medication education, medication delivery, medication side effects, observation of self administration of medication and medication monitoring. G.Assess and document the client’s mental illness symptoms and behavior in response to medication and monitor for medication side-effects during the provision of observed self-administration and during ongoing face-to-face contacts. H.Staff shall employ harm reduction and motivational interviewing techniques and principles. I.Kings View program staff shall reflect the target population culturally (cultural, linguistic, ethnic, age, gender, sexual orientation) and other social characteristics of the community which the program serves. Revised Exhibit A-2 Page 4 of 8 II.PATH program shall employ the following strategies: A.Integrate physical and mental health services in collaboration with primary care physicians. B.Collaborate with community law enforcement, probation and courts. C.Provide education for clients and family and/or to other caregivers as appropriate to maximize individual choice about the nature of medications, the expected benefits and the potential side effects as well as alternatives to medications. D.Provide culturally competent evidence-based or promising clinical services that are integrated with overall service planning, supportive housing, and employment support, and/or education goals. E.Provide outreach to clients in both the metropolitan and rural areas to reach out to at minimum 350 homeless mentally ill adults, of which, 200 shall be enrolled for outreach services. F.Kings View Program Administrative staff will participate in the Fresno/Madera Continuum of Care (FMCoC) as a member, COUNTY staff will provide technical assistance if needed. G.The Program will participate and utilize the Homeless Management Information System (HMIS) to enter client data. Through the FMCoC, the program will participate in accessing the HMIS to enroll all clients onto the HMIS which is currently overseen by the Housing Authorities of the City and County of Fresno. H.Incorporate the Supplemental Security Income/Social Security Disability Income (SSI/SSDI), SSI/SSDI Outreach, Access. And Recovery (SOAR) as part of the case management services. SOAR provides the program the tools to expedite access to Social Security disability benefits that result in improved housing and treatment outcomes. I.Utilize various engagement tools in rural outreach programs such as personal protective equipment, disinfectant supplies, clothing, food, shoes, blankets, bus passes, hygiene kits etc. and address barriers to engagement such as transportation, pet care, property storage, etc. J.The HMIOT program will collect data from each consumer contacted that will inform future program focus to reflect the needs of the individuals being served. III. The PATH program shall provide the following specific services as it relates to mental health treatment services: A. Program will provide an outreach component, engaging homeless mentally ill and/or those at risk of homelessness and provide appropriate linkage/referral as needed. Within the Outreach component, the program will enroll at minimum 200 clients within a twelve-month period. B. Program will provide a mental health treatment component, in which referrals will be approved by the Department of Behavioral Health. The mental health treatment component will service up to 30 adult clients at any given time, on an ongoing basis throughout the contract term who are seriously mentally ill and who are homeless, or at risk of being homeless and/or have a co-occurring disorder. C.Rural outreach will provide engagement with individuals in unincorporated parts of the county who have not received services. Services will include but are not limited to: COVID-19 education, COVID-19 screening, assessment, case management, crisis intervention, housing, medication support, referrals and linkages. D.CONTRACTOR shall have the flexibility to increase service intensity to a client in response to a client’s needs. Staff shall have the capacity to provide as many contacts as needed to clients experiencing significant problems in daily living. E.Implement mental health service strategies to reduce the number of days a client experiences hospitalization, incarceration and homelessness. Revised Exhibit A-2 Page 5 of 8 F.Provider shall operate a multidisciplinary treatment team including licensed/unlicensed mental health professionals, case managers, peer support specialists and other specialists to support client needs in reaching their goals. G.Staff will be available to provide symptom assessment, personal service coordination and supportive counseling to assist clients to cope with and gain mastery of symptoms and disabilities due to mental illness and/or substance abuse. These services shall include, but not be limited to, the following: •Ongoing assessment of the client’s mental illness symptoms and response to treatment; •Education of the client regarding their mental illness and the effects (including side effects) of prescribed medications; •Symptom management efforts directed to help the client identify the symptoms and their occurrence patterns and development of methods (internal, behavioral, adaptive) to lessen their effects; and •Provision, both on a planned and on an “as needed” basis, of such psychological support as is necessary to help clients accomplish their personal goals and to cope with the stresses of day-to- day living. H.Provide training and instruction, including individual support, problem solving, skill development, modeling and supervision, in home and community settings, to teach the client to: •Carry out personal hygiene tasks; •Perform household chores, including housekeeping, cooking, laundry and shopping; •Develop or improve money management skills; •Use community transportation; •Providing training and assistance to clients in locating, securing, maintaining and financing safe, clean and affordable housing which is appropriate to their levels of functioning; and •Providing training and instruction, including individual support, problem solving, skill development, modeling and supervision, in home and community settings. I.Provide treatment services that are appropriate as it relates to age, culture, gender and language services and when possible accommodations for physical disability/ies to clients. J.Assign a case manager (Personal Services Coordinator) within 24 hours of accepting the case and the development of a tentative client centered Plan of Care to meet the client’s needs. K.Ensure that the team members are able to have on hand, in their possession, during regular working hours (and when appropriate) an adequate amount of petty cash with which to make emergency purchases of food, shelter, clothing, prescriptions, transportation, or other items and services as needed for clients. This may include security deposits, rent subsidy, and other items needed by clients. Kings View shall provide policies and procedures as to the handling of petty cash. L.Provide frequent contacts, with clients where they live or are most comfortable, in order to assist them in accessing behavioral and physical health care, financial, education, vocational, rehabilitative, or other needed community services, especially as these services relate to meeting the client’s mental health and housing needs. M.Link clients to appropriate social services, legal advocacy and other representation, provide transportation as necessary and serve as a “representative payee” or refer client to other payee services for client’s SSI/SSD benefits. N.Develop and support the client’s participation in recreational and social activities and positive social relationships and activities in a community setting. Staff shall provide support and help individual clients to establish positive social relationships and activities in community settings. Such services shall include, but not to be limited to, assisting clients in: Revised Exhibit A-2 Page 6 of 8 •Developing social skills and, where needed, the skills to develop meaningful personal relationships; •Planning appropriate and productive use of leisure time including familiarizing clients with available social and recreational opportunities and increasing their use of these activities; •Interacting with landlords, neighbors and others effectively and appropriately; •Developing assertiveness and self-esteem; and •Using existing self-help centers, self-help groups and other social, church and recreational groups to combat isolation and withdrawal experienced by many persons coping with serious and persistent mental illness. O.Provide alcohol, tobacco and drug abuse services as needed. This will include, but is not limited to, individual and group interventions to assist clients in: •Identifying alcohol, tobacco and drug abuse effects and patterns; •Recognizing the interactive effects of alcohol, tobacco and drug use, psychiatric symptoms, and psychotropic medications; •Developing motivation for decreasing alcohol, tobacco and drug use; •Developing coping skills and alternatives to minimize alcohol, tobacco and drug use; •Achieving periods of abstinence and stability; •Attending appropriate recovery or self-help meetings; and •Achieving an alcohol and drug free lifestyle, if at all possible. P.Provide information, in an educational format, on the use of alcohol, tobacco, prescribed medications, and other drugs of abuse and the impact that chemicals have on the ability to function in major life areas. Information shall also include eating disorders, gambling, overspending, sexual and other addictions, as appropriate. Q. Make appropriate referrals and linkages to addiction services that are beyond that of the Homeless program to individuals with coexisting alcohol, tobacco, drug abuse and other addictive symptoms. R.Minimize client involvement with the criminal justice system, with services to include, but not be limited to: •Helping the client identify precipitants to the client’s criminal involvement; •Providing necessary treatment, support and education to help eliminate any unlawful activities or criminal involvement that may be a consequence of the client’s mental illness; and •Collaborating with police, court personnel and jail/prison officials and psychiatric staff to ensure appropriate use of legal and mental health services. S.Assist client, family and other members of the client’s social network to relate in a positive and supportive manner through such means as: •Education about the client’s illness and their role in the therapeutic process; •Supportive counseling; •Intervention to resolve conflict; •Referral, as appropriate, of the family to therapy, self-help and other family support services; and •Provision to the client’s other support systems with education and information about serious mental illnesses and treatment services and supports. T. Coordinate services with other community mental health and non-mental health providers, as well as other medical professionals. Methods for service coordination and communication between program and other service providers serving the same clients shall be developed and implemented consistent with Fresno County confidentiality rules. U.Initiate voluntary commitment, should there be a need; program staff shall work with County staff within the Adult Services Division. County staff will sign the involuntary commitment papers. Revised Exhibit A-2 Page 7 of 8 V.Provide appropriate client data, as required and requested by PATH grant, HMIOT grant, HHAP grant, CDBG-CV grant, State, and County, such data reports include quarterly performance reports, Behavioral Health Board annual update reports and quarterly reports, inclusive of demographics, caseload, and measurable outcomes. W.Provide assistance and advocacy in obtaining available public assistance benefits, general relief, SSI/SSDI and accessing needed behavioral health and physical health care for clients. X.Provide whatever direct assistance is reasonable and necessary to ensure that the client obtains the basic necessities of daily life, including transportation. Program shall have vehicles available to staff to transport clients to appointments and social group activities. Bus token/passes will be made available by the vendor to encourage and empower client to utilize public transportation to their scheduled appointments. Y.Ensure billable Mental Health Specialty Services meet any/all County, State, and Federal regulations including any utilization review and quality assurance standards. IV.The PATH program will provide specific services as it relates to housing: Success in the community is critically enhanced by obtaining and retaining housing. Clients enrolled into the PATH program, for ongoing treatment services, will receive supported independent housing opportunities and support services (minimum of 10) who accept housing. The program will empower clients to take an active role in the recovery process and provide housing options and maintain clients in independent living by providing needed services, accessing resources and encouraging clients to be independent, productive and responsible. The program will be responsible to negotiate and establish relationships with apartment owners/landlords and/or utilize alternative housing resources such as MHSA Housing Program residential facilities, Housing Authority programs such as the Shelter Plus Care vouchers, and other available housing programs within the community. A.The vendor shall provide whatever direct assistance is reasonable and necessary to ensure that the client obtains the basic necessities of daily life, including but not limited to: •Safe, clean, affordable housing; •Food and clothing; •Appropriate financial support, which may include housing deposits, Supplemental Security Income, Social Security Disability Insurance, General Relief, and money management services. B.Program shall have rapid access to client assistance funds for purchase of furniture, and other items needed by clients. C.Ensure clients maintain their respective housing and utilize supportive housing resources by providing supportive and independent housing, as appropriate. D.Assist clients in coordinating rents, leases, general relief and work with housing owners/landlords. Program staff shall send written notice to owners/landlords of housing facilities that explains the financial responsibility program and the client (tenant) for payment of rent and utilities within 24 hours or the following business day. E. A completed client rental agreement shall document the amount of rent and the minimum utility expense that a client is required to pay. Program staff shall also provide a monthly receipt to client of the payment received and collected. Revised Exhibit A-2 Page 8 of 8 COUNTY RESPONSIBILITIES: 1.Provide oversight of the PATH program. In addition to contract monitoring of program, oversight includes, but is not limited to, coordination with the State Department of Health Care Services, Projects for Assistance in Transition from Homelessness (PATH) program in regard to program administration and outcomes. The PATH program administrative staff will meet with the Department liaison on a monthly basis to discuss program client issues, concerns, measurable outcomes and reports, and any other items. 2.Assist the CONTRACTOR in making linkages with the total mental health system. This will be accomplished through regularly scheduled meetings as well as formal and informal consultation 3.Participate in evaluating the progress of the overall program and the efficiency of collaboration with the program administrative staff and will be available to the contractor for ongoing consultation. 4.Receive and analyze statistical data outcome information throughout the term of contract. DBH will notify the program when additional participation is required. The performance outcome measurement process will not be limited to survey instruments but will also include, as appropriate, client and staff interviews, chart reviews, and other methods of obtaining required information. 5.Recognize that cultural competence is a goal toward which professionals, agencies, and systems should strive. Becoming culturally competent is a developmental process and incorporates at all levels the importance of culture, the assessment of cross-cultural relations, vigilance towards the dynamics that result from cultural differences, the expansion of cultural knowledge, and the adaptation of services to meet culturally-unique needs. Offering those services in a manner that fails to achieve its intended result due to cultural and linguistic barriers is not cost effective. County will assist program towards cultural and linguistic competency, DBH shall provide the following at no cost to vendor(s): A.Technical assistance regarding cultural competency requirements and sexual orientation training. B.Mandatory cultural competency training including sexual orientation and sensitivity training for program personnel, at minimum once per year. County will provide mandatory training regarding the special needs of this diverse population and will be included in the cultural competence training(s). Sexual orientation and sensitivity to gender differences is a basic cultural competence principle and shall be included in the cultural competency training. Literature suggests that the mental health needs of lesbian, gay, bisexual, and transgender (LGBT) individuals may be at increased risk for mental disorders and mental health problems due to exposure to societal stressors such as stigmatization, prejudice and anti-gay violence. Social support may be critical for this population. C.Technical assistance for CONTRACTOR in translating behavioral health and substance abuse services information into DBH’s threshold languages (Spanish, Laotian, Cambodian and Hmong). Translation services and costs associated will be the responsibility of the vendor. Re-Revised Exhibit B-1 Page 1 of 12 OEL FTE % SMHS FTE % OEL Admin OEL SMHS Admin SMHS Total PERSONNEL SALARIES: 0001 Program Direction 0.01 0.01 $0 0002 Clinical Supervisor 0.64 0.16 $0 0003 Case Managers 1.45 0.35 $0 0004 Outreach Engagement Linkage (OEL)1.40 $0 0005 Administrative Specialist 0.80 0.20 $0 0006 $0 0007 $0 $0 SALARY TOTAL 4.30 0.72 $217,305 PAYROLL TAXES: 0031 FICA/MEDICARE $0 0032 SUI $0 0033 Workers Compensation $0 PAYROLL TAX TOTAL $25,067 EMPLOYEE BENEFITS: 0041 Retirement $0 0042 Health Insurance (medical, vision, life, dental)$0 EMPLOYEE BENEFITS TOTAL $42,267 SALARY & BENEFITS GRAND TOTAL $284,639 FACILITIES/EQUIPMENT EXPENSES: 1010 Rent/Lease Building 19,200 5,520 $24,720 1011 Rent/Lease Equipment 2,400 775 $3,175 1012 Utilities 3,200 1,400 $4,600 1013 Building Maintenance 4,250 1,200 $5,450 1015 Rent/Lease Vehicles 10,380 2,520 $12,900 FACILITY/EQUIPMENT TOTAL $39,430 $11,415 $50,845 OPERATING EXPENSES: 1060 Telephone 5,426 1,553 $6,979 1062 Postage 120 30 $150 1066 Office Supplies & Equipment 6,484 1,620 $8,104 1069 Program Supplies - Therapeutic 800 200 $1,000 1072 Staff Mileage/vehicle maintenance 3,860 1,000 $4,860 1076 Other - Program Supplies - Outreach 3,200 8 $3,208 1077 Other - Staff Recruitment/Background Checks 800 200 $1,000 OPERATING EXPENSES TOTAL $20,690 $4,611 $25,301 Projects for Assistance Transitions from Homelessness (PATH) Kings View Corporation FISCAL YEAR 2015 - 2016 Budget Categories -Total Proposed Budget $6,815 Total Line Item Description (Must be itemized) $177,769 $39,536 $20,359 $4,708 $35,452 $233,580 $51,059 OEL SMHS Re-Revised Exhibit B-1 Page 2 of 12 FINANCIAL SERVICES EXPENSES: 1082 Liability Insurance 5,195 1,053 $6,248 1083 Administrative Overhead 23,492 18,310 $41,802 1085 Professional Liability Insurance 2,713 287 $3,000 FINANCIAL SERVICES TOTAL $31,400 $19,650 $51,050 SPECIAL EXPENSES (Consultant/Etc.): 1090 Consultant (network & data management)8,337 10,163 $18,500 1091 HMIS - - $0 0005 Psychiatric Services 23,050 - $23,050 1092 Medication Supports 500 - $500 1093 Other - One Time Emergency Housing 4,000 $4,000 SPECIAL EXPENSES TOTAL $35,887 $10,163 $46,050 FIXED ASSETS: 1190 Computers & Software 4,213 452 $4,665 FIXED ASSETS TOTAL $4,213 $452 $4,665 NON MEDI-CAL CLIENT SUPPORT EXPENSES: 2000 Client Housing Support Expenditures (SFC 70)31,077 21,873 $52,950 2002.1 Clothing, Food & Hygiene (SFC 72)2,500 $2,500 2002.2 Client Transportation & Support (SFC 72)11,000 $11,000 2002.3 Education Support (SFC 72)500 $500 2002.4 Employment Support (SFC 72)500 $500 NON MEDI-CAL CLIENT SUPPORT TOTAL $45,577 $21,873 $67,450 TOTAL PROGRAM EXPENSES $410,777 $119,223 $530,000 77.51%22.49% MEDI-CAL REVENUE: Units of Service Rate $ Amount $ Amount Total 3000 Mental Health Services 0 $2.61 - $0 3100 Case Management 29,341 $2.04 59,856 $59,856 3200 Crisis Services 0 $0.00 - $0 3300 Medication Support 3,789 $4.82 18,263 $18,263 3400 Collateral 0 $2.61 - $0 3500 Plan Development 1,590 $2.61 4,150 $4,150 3600 Assessment 1,263 $2.61 3,296 $3,296 3700 Rehabilitation 41,285 $2.61 107,754 $107,754 Estimated Medi-Cal Billing Totals 77,268 $0 $193,319 $193,319 Estimated % of Federal Financial Participation Reimbursement 50.00%$96,659 $96,659 Estimated % of Clients Served that will be Medi-Cal Eligible 88.69% MEDI-CAL REVENUE TOTAL $0 $85,727 $85,727 OTHER REVENUE: 4000 Other - PATH 306,519 $306,519 4100 Other - Client Reimbursements 12,000 $12,000 OTHER REVENUE TOTAL $306,519 $12,000 $318,519 MHSA FUNDS: 5100 Community Services & Supports Funds 104,258 21,496 $125,754 MHSA FUNDS TOTAL $104,258 $21,496 $125,754 TOTAL PROGRAM REVENUE 410,777 119,223 $530,000 $0 OEL SMHS Total Re-Revised Exhibit B-1 Page 3 of 12 OEL FTE % SMHS FTE % OEL Admin OEL SMHS Admin SMHS Total PERSONNEL SALARIES: 0001 Program Direction 0.045 0.005 7,550 1,250 $8,800 0002 Program Manager 0.60 0.06 63,000 6,300 $69,300 0003 Case Managers 1.20 0.80 50,856 33,904 $84,760 0004 Outreach Engagement Linkage (OEL)2.00 65,208 $65,208 0005 Financial Analyst 0.07 0.0010 3,128 49 $3,177 0006 Administrative Support 0.26 0.08 10,275 3,162 $13,437 0007 Operations Manager 0.04 0.00 2,410 62 $2,472 $0 SALARY TOTAL 4.21 0.95 $247,154 PAYROLL TAXES: 0031 FICA/MEDICARE 1,210 14,276 250 3,172 $18,908 0032 SUI 158 1,866 33 414 $2,471 0033 Workers Compensation 395 4,666 82 1,036 $6,179 PAYROLL TAX TOTAL $27,558 EMPLOYEE BENEFITS: 0041 Retirement 201 2,370 42 526 $3,139 0042 Health Insurance (medical, vision, life, dental)2,578 30,418 534 6,757 $40,287 EMPLOYEE BENEFITS TOTAL $43,426 SALARY & BENEFITS GRAND TOTAL $318,138 FACILITIES/EQUIPMENT EXPENSES: 1010 Rent/Lease Building 20,290 4,454 $24,744 1011 Rent/Lease Equipment 1,920 1,280 $3,200 1012 Utilities 2,952 648 $3,600 1013 Building Maintenance 4,264 936 $5,200 1015 Rent/Lease Vehicles 9,490 3,510 $13,000 FACILITY/EQUIPMENT TOTAL $38,916 $10,828 $49,744 OPERATING EXPENSES: 1060 Telephone 5,340 3,560 $8,900 1062 Postage 120 30 $150 1066 Office Supplies & Equipment 5,940 1,593 $7,533 1069 Program Supplies - Therapeutic 1,000 $1,000 1072 Staff Mileage/vehicle maintenance 3,650 1,350 $5,000 1076 Other - Program Supplies - Outreach 4,000 $4,000 1077 Other - Staff Recruitment/Background Checks 800 200 $1,000 OPERATING EXPENSES TOTAL $19,850 $7,733 $27,583 FINANCIAL SERVICES EXPENSES: TotalSMHSOEL $4,987$22,571 $44,727$202,427 Projects for Assistance Transitions from Homelessness (PATH) $260,565 $7,859$35,567 Kings View Corporation FISCAL YEAR 2016 - 2017 Budget Categories -Total Proposed Budget Line Item Description (Must be itemized) $57,573 Re-Revised Exhibit B-1 Page 4 of 12 1082 Liability Insurance 2,880 2,020 $4,900 1083 Administrative Overhead 37,342 16,310 $53,652 1085 Professional Liability Insurance 2,884 721 $3,605 FINANCIAL SERVICES TOTAL $43,106 $19,051 $62,157 SPECIAL EXPENSES (Consultant/Etc.): 1090 Consultant (network & data management)12,680 2,880 $15,560 1091 HMIS 1,500 $1,500 0005 Psychiatric Services 30,000 $30,000 1092 Medication Supports 250 $250 1093 Other - One Time Emergency Housing 10,000 $10,000 SPECIAL EXPENSES TOTAL $24,180 $33,130 $57,310 FIXED ASSETS: 1190 Computers & Software 9,660 2,090 $11,750 FIXED ASSETS TOTAL $9,660 $2,090 $11,750 NON MEDI-CAL CLIENT SUPPORT EXPENSES: 2000 Client Housing Support Expenditures (SFC 70)49,000 $49,000 2002.1 Clothing, Food & Hygiene (SFC 72)2,500 $2,500 2002.2 Client Transportation & Support (SFC 72)11,000 $11,000 2002.3 Education Support (SFC 72)500 $500 2002.4 Employment Support (SFC 72)500 $500 NON MEDI-CAL CLIENT SUPPORT TOTAL $14,500 $49,000 $63,500 TOTAL PROGRAM EXPENSES $410,777 $179,405 $590,182 69.60%30.40% MEDI-CAL REVENUE: Units of Service Rate $ Amount $ Amount Total 3000 Mental Health Services 2101 4.50 9,455 $9,455 3100 Case Management 8,651 $3.75 32,441 $32,441 3200 Crisis Services 200 $6.75 1,350 $1,350 3300 Medication Support 3,100 $8.00 24,800 $24,800 3400 Collateral 2,100 $4.50 9,450 $9,450 3500 Plan Development 4,201 $4.50 18,905 $18,905 3600 Assessment 4,200 $4.50 18,900 $18,900 3700 Rehabilitation 4,200 $4.50 18,900 $18,900 Estimated Medi-Cal Billing Totals 26,652 $0 $134,200 $134,200 Estimated % of Federal Financial Participation Reimbursement 75.00%$100,649 $100,649 Estimated % of Clients Served that will be Medi-Cal Eligible 100.00% MEDI-CAL REVENUE TOTAL $0 $100,649 $100,649 OTHER REVENUE: 4000 Other - PATH 307,403 $307,403 4100 Other - Client Reimbursements 9,000 $9,000 OTHER REVENUE TOTAL $307,403 $9,000 $316,403 MHSA FUNDS: 5100 Community Services & Supports Funds 103,374 69,756 $173,130 MHSA FUNDS TOTAL $103,374 $69,756 $173,130 TOTAL PROGRAM REVENUE 410,777 179,405 $590,182 TotalSMHSOEL Re-Revised Exhibit B-1 Page 5 of 12 Budget Categories -Total Proposed Budget Line Item Description (Must be itemized) OEL FTE % SMHS FTE % OEL Admin OEL SMHS Admin SMHS Total PERSONNEL SALARIES: 0001 Program Direction 0.043 0.007 7,777 1,288 $9,065 0002 Program Manager 0.57 0.057 61,800 6,180 $67,980 0003 Case Managers 1.20 0.80 52,382 34,921 $87,303 0004 Outreach Engagement Linkage (OEL)2.00 67,164 $67,164 0005 Financial Analyst 0.07 0.0010 3,222 50 $3,272 Administrative Support 0.26 0.08 10,583 3,257 $13,840 Operations Manager 0.04 0.00 2,482 64 $2,546 0006 Administrative Support $0 0007 Title $0 SALARY TOTAL 4.18 0.95 $205,410 $45,760 $251,170 PAYROLL TAXES: 0031 FICA/MEDICARE 1,246 14,468 239 3,262 $19,215 0032 SUI 163 1,891 31 427 $2,512 0033 Workers Compensation 407 4,728 84 1,060 $6,279 PAYROLL TAX TOTAL $22,903 $5,103 $28,006 EMPLOYEE BENEFITS: 0041 Retirement 207 2,402 43 538 $3,190 0042 Health Insurance (medical, vision, life, dental)2,606 30,260 539 6,783 $40,188 EMPLOYEE BENEFITS TOTAL $35,475 $7,903 $43,378 SALARY & BENEFITS GRAND TOTAL $263,788 $58,766 $322,554 OEL SMHS Total FACILITIES/EQUIPMENT EXPENSES: 1010 Rent/Lease Building 21,052 4,148 $25,200 1011 Rent/Lease Equipment 2,706 594 $3,300 1012 Utilities 3,280 820 $4,100 1013 Building Maintenance 4,510 1,034 $5,544 1015 Rent/Lease Vehicles 10,840 4,010 $14,850 FACILITY/EQUIPMENT TOTAL $42,388 $10,606 $52,994 OPERATING EXPENSES: 1060 Telephone 5,280 3,660 $8,940 1062 Postage 100 30 $130 1066 Office Supplies & Equipment 6,016 1,737 $7,753 1069 Program Supplies - Therapeutic 1,200 $1,200 1072 Staff Mileage/vehicle maintenance 3,650 1,250 $4,900 1076 Other - Program Supplies - Outreach 4,409 $4,409 1077 Other - Staff Recruitment/Background Checks 800 200 $1,000 OPERATING EXPENSES TOTAL $20,255 $8,077 $28,332 Projects for Assistance Transitions from Homelessness (PATH) Kings View Corporation FISCAL YEAR 2017 - 2018 Re-Revised Exhibit B-1 Page 6 of 12 FINANCIAL SERVICES EXPENSES: 1082 Liability Insurance 3,650 1,350 $5,000 1083 Administrative Overhead 37,342 16,310 $53,652 1085 Professional Liability Insurance 3,034 666 $3,700 FINANCIAL SERVICES TOTAL $44,026 $18,326 $62,352 SPECIAL EXPENSES (Consultant/Etc.): 1090 Consultant (network & data management)13,120 2,880 $16,000 1091 HMIS 1,500 $1,500 1091 Psychiatric Services 30,000 $30,000 1092 Medication Supports 250 $250 1093 Other - One Time Emergency Housing 10,000 $10,000 SPECIAL EXPENSES TOTAL $24,620 $33,130 $57,750 FIXED ASSETS: 1190 Computers & Software 1,200 500 $1,700 FIXED ASSETS TOTAL $1,200 $500 $1,700 NON MEDI-CAL CLIENT SUPPORT EXPENSES: 2000 Client Housing Support Expenditures (SFC 70)50,000 $50,000 2002.1 Clothing, Food & Hygiene (SFC 72)2,500 $2,500 2002.2 Client Transportation & Support (SFC 72)11,000 $11,000 2002.3 Education Support (SFC 72)500 $500 2002.4 Employment Support (SFC 72)500 $500 NON MEDI-CAL CLIENT SUPPORT TOTAL $14,500 $50,000 $64,500 TOTAL PROGRAM EXPENSES $410,777 $179,405 $590,182 69.60%30.40% OEL SMHS Total MEDI-CAL REVENUE: Units of Service Rate $ Amount $ Amount Total 3000 Mental Health Services 2101 4.50 9,455 $9,455 3100 Case Management 8,651 $3.75 32,441 $32,441 3200 Crisis Services 200 $6.75 1,350 $1,350 3300 Medication Support 3,100 $8.00 24,800 $24,800 3400 Collateral 2,100 $4.50 9,450 $9,450 3500 Plan Development 4,201 $4.50 18,905 $18,905 3600 Assessment 4,200 $4.50 18,900 $18,900 3700 Rehabilitation 4,200 $4.50 18,900 $18,900 Estimated Medi-Cal Billing Totals 26,652 $0 $134,200 $134,200 Estimated % of Federal Financial Participation Reimbursement 75.00%$100,649 $100,649 Estimated % of Clients Served that will be Medi-Cal Eligible 100.00% MEDI-CAL REVENUE TOTAL $0 $100,649 $100,649 OTHER REVENUE: 4000 Other - PATH 308,000 $308,000 4100 Other - Client Reimbursements 9,000 $9,000 OTHER REVENUE TOTAL $308,000 $9,000 $317,000 MHSA FUNDS: 5100 Community Services & Supports Funds 102,777 69,756 $172,533 MHSA FUNDS TOTAL $102,777 $69,756 $172,533 TOTAL PROGRAM REVENUE 410,777 179,405 $590,182 Re-Revised Exhibit B-1 Page 7 of 12 Total Proposed Budget OEL FTE % SMHS FTE %OEL Admin OEL SMHS Admin SMHS Total PERSONNEL SALARIES: 0001 Program Direction 0.028 0.003 5410 627 $6,037 0002 Program Manager 0.50 0.047 57500 5400 $62,900 0003 Case Managers 1.20 0.80 55572 37047 $92,619 0004 Outreach Engagement Linkage (OEL)2.00 70217 $70,217 0005 Financial Analyst 0.07 0.0010 3419 54 $3,473 Administrative Support 0.26 0.08 11227 3456 $14,683 0006 Operations Manager 0.04 0.00 2633 68 $2,701 SALARY TOTAL 4.09 0.93 $252,630 PAYROLL TAXES: 0031 FICA/MEDICARE 1322 14462 3569 $19,353 0032 SUI 173 1887 467 $2,527 0033 Workers Compensation 7515 1396 $8,911 PAYROLL TAX TOTAL $30,791 EMPLOYEE BENEFITS: 0041 Retirement 219 2,397 823 $3,439 0042 Health Insurance (medical, vision, life, dental)2,678 26,249 4,000 $32,927 EMPLOYEE BENEFITS TOTAL $36,366 SALARY & BENEFITS GRAND TOTAL $319,787 FACILITIES/EQUIPMENT EXPENSES: 1010 Rent/Lease Building 27,156 3,810 $30,966 1011 Rent/Lease Equipment 2,706 594 $3,300 1012 Utilities 6,254 820 $7,074 1013 Building Maintenance 4,510 1,034 $5,544 1015 Rent/Lease Vehicles 11,810 4,010 $15,820 FACILITY/EQUIPMENT TOTAL $52,436 $10,268 $62,704 OPERATING EXPENSES: 1060 Telephone 5,977 3,660 $9,637 1062 Postage 100 30 $130 1066 Office Supplies & Equipment 4,288 1,464 $5,752 1069 Program Supplies - Therapeutic 1,200 $1,200 1072 Staff Mileage/Vehicle Maintenance 4,884 2,918 $7,802 1076 Other - Program Supplies - Outreach 2,400 $2,400 1077 Other - Staff Recruitment/Background Checks 800 200 $1,000 OPERATING EXPENSES TOTAL $18,449 $9,472 $27,921 FINANCIAL SERVICES EXPENSES: 1082 Liability Insurance 6,732 1,596 $8,328 1083 Administrative Overhead 41,900 17,580 $59,480 1085 Professional Liability Insurance 6,048 781 $6,829 FINANCIAL SERVICES TOTAL $54,680 $19,957 $74,637 SPECIAL EXPENSES (Consultant/Etc.): 1090 Consultant (network & data management)2,000 1,880 $3,880 1091 HMIS 1,500 $1,500 1091 Psychiatrist 32,112 $32,112 1092 Medication Supports 250 $250 1093 Other - One Time Emergency Housing 7,532 $7,532 SPECIAL EXPENSES TOTAL $11,032 $34,242 $45,274 FIXED ASSETS: 1190 Computers & Software 1,400 400 $1,800 FIXED ASSETS TOTAL $1,400 $400 $1,800 NON MEDI-CAL CLIENT SUPPORT EXPENSES: 2000 Client Housing Support Expenditures (SFC 70)48,159 $48,159 2002.1 Clothing, Food & Hygiene (SFC 72)2,500 $2,500 2002.2 Client Transportation & Support (SFC 72)6,400 $6,400 2002.3 Education Support (SFC 72)500 $500 2002.4 Employment Support (SFC 72)500 $500 NON MEDI-CAL CLIENT SUPPORT TOTAL $9,900 $48,159 $58,059 TOTAL PROGRAM EXPENSES $410,777 $179,405 $590,182 69.60%30.40% Budget Categories - Line Item Description (Must be itemized) Projects for Assistance Transitions from Homelessness(PATH) Kings View Corporation FISCAL YEAR 2019 - 2020 $205,978 $46,652 $25,359 $5,432 $31,543 $4,823 Total $262,880 $56,907 OEL SMHS Re-Revised Exhibit B-1 Page 8 of 12 MEDI-CAL REVENUE: Units of Service Rate $ Amount $ Amount Total 3000 Mental Health Services 2101 4.50 9,455 $9,455 3100 Case Management 8,651 $3.75 32,441 $32,441 3200 Crisis Services 200 $6.75 1,350 $1,350 3300 Medication Support 3,100 $8.00 24,800 $24,800 3400 Collateral 2,100 $4.50 9,450 $9,450 3500 Plan Development 4,201 $4.50 18,905 $18,905 3600 Assessment 4,200 $4.50 18,900 $18,900 3700 Rehabilitation 4,200 $4.50 18,900 $18,900 Estimated Medi-Cal Billing Totals 26,652 $0 $134,200 $134,200 Estimated % of Federal Financial Participation Reimbursement 75.00%$100,649 $100,649 Estimated % of Clients Served that will be Medi-Cal Eligible 100.00% MEDI-CAL REVENUE TOTAL $0 $100,649 $100,649 OTHER REVENUE: 4000 Other - PATH 308,000 $308,000 4100 Other - Client Reimbursements 9,000 $9,000 OTHER REVENUE TOTAL $308,000 $9,000 $317,000 MHSA FUNDS: 5100 Community Services & Supports Funds 102,777 69,756 $172,533 MHSA FUNDS TOTAL $102,777 $69,756 $172,533 TOTAL PROGRAM REVENUE $410,777 $179,405 $590,182 TotalOELSMHS Re-Revised Exhibit B-1 Page 9 of 12 Employee Salaries Acct #Position FTE Admin Direct Total 1101 Program Manager 0.15 -$ 11,706$ 11,706$ 1102 Outreach Workers 1.00 - 23,986 23,986 1103 Financial Analyst 0.01 - 408 408 1104 Administrative Support 0.11 - 10,812 10,812 1105 - - - 1106 - - - 1107 - - - 1108 - - - 1109 - - - 1110 - - - 1111 - - - 1112 - - - 1113 - - - 1114 - - - 1115 - - - 1116 - - - 1117 - - - 1118 - - - 1119 - - - 1120 - - - Personnel Salaries Subtotal 1.27 -$ 46,912$ 46,912$ Employee Benefits Acct #Admin Direct Total 1201 -$ 916$ 916$ 1202 - - 1203 - 2,263 2,263 1204 - - - 1205 - - - 1206 - - - -$ 3,179$ 3,179$ Payroll Taxes & Expenses: Acct #Admin Direct Total 1301 -$ -$ -$ 1302 - 3,524 3,524 1303 - 352 352 1304 - - - 1305 - - - 1306 - - - -$ 3,876$ 3,876$ -$ 53,967$ 53,967$ PATH Program-HMIOT Kings View Corporation October 22, 2019 - August 31, 2020 Description Payroll Taxes & Expenses Subtotal: Other (Specify) Other (Specify) EMPLOYEE SALARIES & BENEFITS TOTAL: Other (Specify) Other (Specify) PROGRAM EXPENSES 1000: SALARIES & BENEFITS Retirement Worker's Compensation Health Insurance (medical, vision, life, dental) Other (Specify) Other (Specify) OASDI FICA/MEDICARE SUI Employee Benefits Subtotal: Description Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Re-Revised Exhibit B-1 Page 10 of 12 2000: CLIENT SUPPORT Acct #Amount 2001 -$ 2002 30,700 2003 7,500 2004 20,000 2005 3,000 2006 5,000 2007 - 2008 - 2009 - 2010 - 2011 - 2012 - 2013 - 2014 - 2015 - 2016 - 66,200$ 3000: OPERATING EXPENSES Acct #Amount 3001 3,948$ 3002 - 3003 7,500 3004 - 3005 - 3006 3007 - 3008 1,832 3009 25,170 3010 100 3011 145,293 3012 - 183,843$ 4000: FACILITIES & EQUIPMENT Acct #Amount 4001 3,360$ 4002 8,500 4003 1,100 4004 4005 - 4006 3,520 4007 217,700 4008 300 4009 - 4010 - 234,480$ 5000: SPECIAL EXPENSES Acct #Amount Security Utilities Rent/Lease Equipment Other (Purchase of 3 Vans and 1 Shower-Trailer) Other (Equipment Repairs & Maintenance) Other (Specify) Other (Specify) Staff Mileage/Vehicle Maintenance Line Item Description Line Item Description Line Item Description Line Item Description DIRECT CLIENT CARE TOTAL Other (Specify) Advertising Rent/Lease Building Building Maintenance Education Support Other (Program Supplies Outreach) Staff Development & Training Child Care Rent/Lease Vehicles Client Transportation & Support Client Housing Support Other (Specify) Other (Specify) FACILITIES/EQUIPMENT TOTAL: OPERATING EXPENSES TOTAL: Other (Staff Recruitment/Background Checks) Other (Outside Services Staffing) Other (Communications Software) Telephone Printing/Postage Staff Mileage Subscriptions & Memberships Clothing, Food, & Hygiene Other (Specify) Other (Specify) Office Supplies & Equipment Utility Vouchers Program Supplies - Medical Medication Supports Household Items for Clients Employment Support Other (Specify) Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Re-Revised Exhibit B-1Page 11 of 12 5001 15,000$ 5002 - 5003 - 5004 - 5005 - 5006 - 5007 - 5008 - 15,000$ 6000: ADMINISTRATIVE EXPENSES Acct #Amount 6001 56,610$ 6002 3,000 6003 - 6004 - 6005 8,800 6006 - 6007 - 6008 - 6009 - 6010 - 6011 - 6012 - 68,410$ 7000: FIXED ASSETS Acct #Amount 7001 3,600$ 7002 - 7003 3,500 7004 - 7005 - 7006 - 7007 - 7008 - 7,100$ Other (Specify) Other (Specify) Other (Specify) Other (Specify) Assets over $5,000/unit (Specify) Other (Specify) Other (Specify) Line Item Description Administrative Overhead Other (Specify) Other (Specify) Other (Specify) Other (Specify) HMIS (Health Management Information System) Professional Liability Insurance Accounting/Bookkeeping Line Item Description Contractual/Consulting Services (Specify) Translation Services 629,000$ TOTAL PROGRAM EXPENSES FIXED ASSETS EXPENSES TOTAL ADMINISTRATIVE EXPENSES TOTAL SPECIAL EXPENSES TOTAL: Depreciation (Provider-Owned Equipment to be Used for Program Purposes) External Audit Computer Equipment & Software Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data Furniture & Fixtures Leasehold/Tenant/Building Improvements Insurance (Liability): Other (Specify) Other Assets over $500 with Lifespan of 2 Years + Consultant (Network & Data Management) Payroll Services Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Re-Revised Exhibit B-1 Page 12 of 12 Acct #Service Units Rate Amount 8001 Mental Health Services 0 - -$ 8002 Case Management 0 - - 8003 Crisis Services 0 - - 8004 Medication Support 0 - - 8005 Collateral 0 - - 8006 Plan Development 0 - - 8007 Assessment 0 - - 8008 Rehabilitation 0 - - 0 -$ 0% - 0%- -$ Acct #Amount 8101 Drug Medi-Cal -$ 8102 SABG -$ -$ Acct #Amount 8201 Realignment -$ -$ Acct #MHSA Component Amount 8301 CSS - Community Services & Supports -$ 8302 PEI - Prevention & Early Intervention - 8303 INN - Innovations - 8304 WET - Workforce Education & Training - 8305 CFTN - Capital Facilities & Technology - -$ Acct #Amount 8401 Client Fees -$ 8402 Client Insurance - 8403 - 8404 629,000 8405 - 629,000$ Grants (Specify) Other (HHAP) Other (Specify) 8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION) Estimated Specialty Mental Health Services Billing Totals: Estimated % of Clients who are Medi-Cal Beneficiaries Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries Federal Financial Participation (FFP) % MHSA Program Name 8300 - MENTAL HEALTH SERVICE ACT (MHSA) Line Item Description REALIGNMENT TOTAL NET PROGRAM COST: PROGRAM FUNDING SOURCES TOTAL PROGRAM FUNDING SOURCES:629,000$ -$ SUBSTANCE USE DISORDER FUNDS TOTAL MEDI-CAL FFP TOTAL MHSA TOTAL Line Item Description Line Item Description 8100 - SUBSTANCE USE DISORDER FUNDS OTHER REVENUE TOTAL Line Item Description 8400 - OTHER REVENUE 8200 - REALIGNMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit B-3 Page 1 of 7 Employee Salaries Acct #Position FTE Admin Direct Total 1101 Regional Director 0.03 4,496$ 4,496$ 1102 Program Manager 0.03 4,682 4,682 1103 Outreach Workers 2.00 - 90,464 90,464 1104 Program Oversight 0.02 - 5,370 5,370 1105 Staff Accountant 0.02 - 1,256 1,256 1106 - - - 1107 - - - 1108 - - - 1109 - - - 1110 - - - 1111 - - - 1112 - - - 1113 - - - 1114 - - - 1115 - - - 1116 - - - 1117 - - - 1118 - - - 1119 - - - 1120 - - - Personnel Salaries Subtotal 2.10 -$ 106,268$ 106,268$ Employee Benefits Acct #Admin Direct Total 1201 -$ 2,125$ 2,125$ 1202 - 3,169 3,169 1203 - 15,013 15,013 1204 - - 1205 - - 1206 - - -$ 20,307$ 20,307$ Payroll Taxes & Expenses: Acct #Admin Direct Total 1301 -$ -$ -$ 1302 - 7,706 7,706 1303 - 797 797 1304 - - 1305 - - - 1306 - - - -$ 8,503$ 8,503$ -$ 135,078$ 135,078$ Employee Benefits Subtotal: Description 1000: SALARIES & BENEFITS Retirement Worker's Compensation Health Insurance Other (specify) Other (specify) OASDI FICA/MEDICARE SUI PROGRAM EXPENSES Other (specify) Other (Specify) EMPLOYEE SALARIES & BENEFITS TOTAL: Other (specify) Other (Specify) Mobile Outreach Project Kings View Corporation Fiscal Year (FY 2020-21) Description Payroll Taxes & Expenses Subtotal: Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit B-3 Page 2 of 7 2000: CLIENT SUPPORT Acct #Amount 2001 -$ 2002 12,000 2003 2,700 2004 Clothing, Food, & Hygiene 2,500 2005 Education Support - 2006 Employment Support - 2007 Household Items for Clients - 2008 Medication Supports - 2009 Program Supplies - Medical - 2010 Utility Vouchers - 2011 Other (Client Support-Reedley)55,011 2012 - 2013 - 2014 - 2015 - 2016 - 72,211$ 3000: OPERATING EXPENSES Acct #Amount 3001 5,089$ 3002 500 3003 6,500 3004 - 3005 450 3006 1,500 3007 3008 7,000 3009 3010 3011 3012 21,039$ 4000: FACILITIES & EQUIPMENT Acct #Amount 4001 510$ 4002 1,740 4003 300 4004 4005 4006 2,040 4007 4008 - 4009 - 4010 - 4,590$ 5000: SPECIAL EXPENSES Acct #Amount Staff Mileage Subscriptions & Memberships Other (Specify) Other (Specify) Office, Household & Program Supplies Other (Specify) Other (specify) Other (specify) Other (specify) Telecommunications Printing/Postage FACILITIES/EQUIPMENT TOTAL: OPERATING EXPENSES TOTAL: Advertising Rent/Lease Building Building Maintenance Other (specify) Staff Development & Training Child Care Rent/Lease Vehicles Client Transportation & Support Client Housing Support Other (Specify) Other (Specify) Security Utilities Rent/Lease Equipment Other (Specify) Other (Specify) Other (Specify) Other (Specify) Vehicle Maintenance Line Item Description Line Item Description Line Item Description Line Item Description DIRECT CLIENT CARE TOTAL Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit B-3 Page 3 of 7 5001 7,370$ 5002 - 5003 - 5004 - 5005 - 5006 - 5007 - 5008 - 7,370$ 6000: ADMINISTRATIVE EXPENSES Acct #Amount 6001 26,570$ 6002 3,600 6003 - 6004 - 6005 3,245 6006 - 6007 - 6008 - 6009 - 6010 - 6011 - 6012 - 33,415$ 7000: FIXED ASSETS Acct #Amount 7001 4,250$ 7002 1,660 7003 - 7004 - 7005 - 7006 - 7007 - 7008 - 5,910$ Payroll Services Computer Equipment & Software Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data Furniture & Fixtures Leasehold/Tenant/Building Improvements Insurance other Other (Specify) Other Assets over $500 with Lifespan of 2 Years + Consultant (Network & Data Management) 279,613$ TOTAL PROGRAM EXPENSES FIXED ASSETS EXPENSES TOTAL ADMINISTRATIVE EXPENSES TOTAL SPECIAL EXPENSES TOTAL: Depreciation (Provider-Owned Equipment to be Used for Program Purposes) External Audit Professional Liability Insurance Accounting/Bookkeeping Line Item Description Other (Specify) Other (Specify) Administrative Overhead Other (Specify) Other (Specify) Other (Specify) Other (Specify) Other (Specify) Other (Specify) Other (Specify) Other (Specify) Other (Specify) Assets over $5,000/unit (Specify) Other (Specify) Other (Specify) Line Item Description Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit B-3 Page 4 of 7 Acct #Service Units Rate Amount 8001 Mental Health Services 0 - -$ 8002 Case Management 0 - - 8003 Crisis Services 0 - - 8004 Medication Support 0 - - 8005 Collateral 0 - - 8006 Plan Development 0 - - 8007 Assessment 0 - - 8008 Rehabilitation 0 - - 0 -$ 0% - 0%- -$ Acct #Amount 8101 Drug Medi-Cal -$ 8102 SABG -$ -$ Acct #Amount 8201 Realignment -$ -$ Acct #MHSA Component Amount 8301 CSS - Community Services & Supports -$ 8302 PEI - Prevention & Early Intervention - 8303 INN - Innovations - 8304 WET - Workforce Education & Training - 8305 CFTN - Capital Facilities & Technology - -$ Acct #Amount 8401 Client Fees -$ 8402 Client Insurance - 8403 - 8404 279,613 8405 - 279,613$ 8200 - REALIGNMENT NET PROGRAM COST: PROGRAM FUNDING SOURCES TOTAL PROGRAM FUNDING SOURCES:279,613$ -$ SUBSTANCE USE DISORDER FUNDS TOTAL MEDI-CAL FFP TOTAL MHSA TOTAL Line Item Description Line Item Description 8100 - SUBSTANCE USE DISORDER FUNDS OTHER REVENUE TOTAL Line Item Description 8400 - OTHER REVENUE Grants (Specify) Other (CDBG-CV) Other (Specify) 8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION) Estimated Specialty Mental Health Services Billing Totals: Estimated % of Clients who are Medi-Cal Beneficiaries Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries Federal Financial Participation (FFP) % MHSA Program Name 8300 - MENTAL HEALTH SERVICE ACT (MHSA) Line Item Description REALIGNMENT TOTAL Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit B-3 Page 5 of 7 Budget Narrative ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000: SALARIES & BENEFITS 135,078 Employee Salaries 106,268 1101 Regional Director 4,496 Provides direction for all staff and program management. 1102 Program Manager 4,682 Provides program and clinical direction maintains collaorative relationships with other entities and agencies. 1103 Outreach Workers 90,464 Provides outreach and engagement services, provide linkage to needed services. 1104 Program Oversight 5,370 Positions will provide agency specific staff oversight and represent and maintain the collaborative relationship between agencies. Provide program management and direction. Ensures operations are running smoothly and in compliance with contract requirements. 1105 Staff Accountant 1,256 Provides budget guidance, montly invoicing and other fiscal services. 1106 0 - 1107 0 - 1108 0 - 1109 0 - 1110 0 - 1111 0 - 1112 0 - 1113 0 - 1114 0 - 1115 0 - 1116 0 - 1117 0 - 1118 0 - 1119 0 - 1120 0 - Employee Benefits 20,307 1201 Retirement 2,125 Yearly cost of 401K 1202 Worker's Compensation 3,169 Yearly cost of Workers Comp insurance 1203 Health Insurance 15,013 Cost of Medical, Vision, Dental, Life and Long Term Disability Insurance 1204 Other (specify)- 1205 Other (specify)- 1206 Other (specify)- Payroll Taxes & Expenses:8,503 1301 OASDI - 1302 FICA/MEDICARE 7,706 Cost of FICA/Medicare 1303 SUI 797 Cost of SUI 1304 Other (specify)- 1305 Other (Specify)- 1306 Other (Specify)- 2000: CLIENT SUPPORT 72,211 2001 Child Care - 2002 Client Housing Support 12,000 Support clients with rent, security deposits, board and care, emergency housing such as hotels/motels, groceries and household supplies. 2003 Client Transportation & Support 2,700 Provides bus passes, bus tokens or any transportaion assistance for clients, such as purchase of bicycle, taxi service or gas. 2004 Clothing, Food, & Hygiene 2,500 Cost of direct client assistance with clothing, food,hygiene supplies, & pet care. 2005 Education Support - 2006 Employment Support - 2007 Household Items for Clients - 2008 Medication Supports - 2009 Program Supplies - Medical - 2010 Utility Vouchers - 2011 Other (Client Support-Reedley)55,011 Direct Reedley client support with housing, clothing, food, hygiene and transportation. Kings View Corporation Mobile Outreach Project Fiscal Year (FY 2020-21) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit B-3 Page 6 of 7 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2012 Other (Specify)- 2013 Other (Specify)- 2014 Other (Specify)- 2015 Other (Specify)- 2016 Other (Specify)- 3000: OPERATING EXPENSES 21,039 3001 Telecommunications 5,089 Cost of telephone services, cell phones service, data connectivity. 3002 Printing/Postage 500 Aniticapting courier services and postage nesessary for program. Business cards and other special printing in bulk that is less cost effective to outsource rather than utilization of a copier. 3003 Office, Household & Program Supplies 6,500 Includes all supplies used by staff in the course of providing services and program outreach supplies. 3004 Advertising - 3005 Staff Development & Training 450 Staff recruitment fees such as background checks and drug testing. 3006 Staff Mileage 1,500 Reimbusements for staff for personal vehicle use when lease vehicle is not available and require to provide services or other program needs, paid at IRS rate. Incluedes any travel transporation fees, such as parking fees. 3007 Subscriptions & Memberships - 3008 Vehicle Maintenance 7,000 Minor auto repairs & maintenance required to maintain 1 van for client transportation and program needs, such as oil changes and car washes. Cost of GPS, vehicle tracking service, and auto fuel. 3009 Other (specify)- 3010 Other (specify)- 3011 Other (specify)- 3012 Other (specify)- 4000: FACILITIES & EQUIPMENT 4,590 4001 Building Maintenance 510 Estimate cost for shared copier maintenance & minor building repairs & maintenance. 4002 Rent/Lease Building 1,740 Shared cost of blue sky building lease. 4003 Rent/Lease Equipment 300 Estimate cost for shared copier lease. 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities 2,040 Estimate shared cost for gas & electric, water & sewer. 4007 Other (Specify)- 4008 Other (Specify)- 4009 Other (Specify)- 4010 Other (Specify)- 5000: SPECIAL EXPENSES 7,370 5001 Consultant (Network & Data Management)7,370 Kings View Information Technology Department (KVIT) will provide hardware and software support for successful data collection. A database will be designed for this program. KVIT will procure equipment, software & other services from approved & authorized vendors. Provide online, onsite, or phone-based emergency support- 24/7 from the KVIT Help Desk. 5002 Other (Specify)- 5003 Other (Specify)- 5004 Other (Specify)- 5005 Other (Specify)- 5006 Other (Specify)- 5007 Other (Specify)- 5008 Other (Specify)- 6000: ADMINISTRATIVE EXPENSES 33,415 6001 Administrative Overhead 26,570 Expenses provides program management, fiscal services, payroll, human resources, accounts payable and other administrative functions. 6002 Professional Liability Insurance 3,600 Cost general and professional liablity insurance. 6003 Accounting/Bookkeeping - 6004 External Audit - 6005 Insurance other 3,245 Cost of personal property, accidental and auto insurance. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit B-3 Page 7 of 7 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 6006 Payroll Services - 6007 Depreciation (Provider-Owned Equipment to be Used for Program Purposes) - 6008 Other (Specify)- 6009 Other (Specify)- 6010 Other (Specify)- 6011 Other (Specify)- 6012 Other (Specify)- 7000: FIXED ASSETS 5,910 7001 Computer Equipment & Software 4,250 The cost of 1 desktop computer, a printer, computer software, & Duo Factor licensing. 7002 Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data 1,660 The cost of 2 cell phones and any additional minor equipment needed for the program. 7003 Furniture & Fixtures - 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over $500 with Lifespan of 2 Years + - 7006 Assets over $5,000/unit (Specify)- 7007 Other (Specify)- 7008 Other (Specify)- TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:279,613 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:279,613 - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020