HomeMy WebLinkAboutAgreement A-19-277-1 with Providers of Child Welfare Mental Health Services.pdfCOUNTY OF FRESNO
Fresno, CA
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AMENDMENT I TO MASTER AGREEMENT
THIS AMENDMENT, hereinafter referred to as “Amendment I”, is made and entered into this
_____ day of _____________, 2021, by and between the COUNTY OF FRESNO, a Political
Subdivision of the State of California, hereinafter referred to as “COUNTY”, and each CONTRACTOR
listed in Exhibit A “List of Contractors”, attached hereto and by this reference incorporated herein, and
collectively hereinafter referred to as “CONTRACTORS”, and such additional CONTRACTOR(S) as
may, from time to time during the term of this Agreement, be added by County. Reference in this
Amendment to “parties” shall be understood to refer to COUNTY and each individual
CONTRACTOR, unless otherwise specified.
WHEREAS the parties entered into that certain Agreement, identified as COUNTY Agreement
No. A-19-277, effective the 1st day of July 2019, hereinafter referred to as “Agreement”, whereby
CONTRACTOR(S) agreed to provide outpatient specialty mental health, court-specific, and
community-based support services for children and youth involved in the Child Welfare (CWS)
system to COUNTY’s Department of Behavioral Health (DBH) and COUNTY’s Department of Social
Services (DSS); and
WHEREAS the number of referrals for the services provided under this Agreement have
increased beyond the capacity of the original three CONTRACTORS and it is necessary to add a
fourth CONTRACTOR – Turning Point of Central California and, therefore it was determined that this
Agreement would need to be amended to provide for the addition of this CONTRACTOR and
increase the maximum compensation payable; and
WHEREAS the parties now desire to amend the Agreement regarding changes as stated
below and restate the Agreement in its entirety.
NOW, THEREFORE, in consideration of their mutual promises, covenants and conditions,
hereinafter set forth, the sufficiency of which is hereby acknowledged, the parties agree as follows:
1.That the existing COUNTY Agreement No. A-19-277, Page Five (5), beginning with
Section Four (4) “COMPENSATION”, Line Seven (7), with the word “COUNTY” and ending on Page
Six (6), Line Seventeen (17), with the word “combined” be deleted and the following inserted in its
place:
13th April
Agreement A-19-277-1
COUNTY OF FRESNO
Fresno, CA
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“COUNTY agrees to pay CONTRACTOR(S) and CONTRACTOR(S) agree to receive
compensation in accordance with the budget(s) set forth in Revised Exhibit D-1, et seq., attached
hereto and by this reference incorporated herein and made part of this Agreement.
A.Maximum Contract Amount
For fiscal year (FY) July 1, 2019 through June 30, 2020, in no event shall the
maximum compensation amount under this Agreement exceed Sixteen Million and No/100 Dollars
($16,000,000.00) for all CONTRACTOR(S) combined.
For FY July 1, 2020 through June 30, 2021, in no event shall the maximum
compensation amount under this Agreement exceed Nineteen Million and No/100 Dollars
($19,000,000.00) for all CONTRACTOR(S) combined.
For FY July 1, 2021 through June 30, 2022, in no event shall the maximum
compensation amount under this Agreement exceed Twenty-Three Million Five Hundred Thousand
and No/100 Dollars ($23,500,000.00) for all CONTRACTOR(S) combined.
If this Agreement has been extended for an additional twelve (12) month
renewal period for FY July 1, 2022 through June 30, 2023, in no event shall the maximum
compensation amount under this Agreement exceed Twenty-Four Million and No/100 Dollars
($24,000,000.00) for all CONTRACTOR(S) combined.
If this Agreement has been extended for an additional twelve (12) month
renewal period for FY July 1, 2023 through June 30, 2024, in no event shall the maximum
compensation amount under this Agreement exceed Twenty-Four Million Five Hundred Thousand
and No/100 Dollars ($24,500,000.00) for all CONTRACTOR(S) combined.
The maximum amounts paid to each CONTRACTOR(S) identified in this
Agreement shall be as stated in the individual CONTRACTOR(S)’s “Revised Budget” documents
approved by the COUNTY’s DBH and DSS Directors, or their designees, and attached hereto as
Revised Exhibits D-1 et seq. and incorporated herein by this reference.
B.Maximum Compensation Amounts
In no event shall the total maximum compensation amount under this
Agreement for FY 2019-20, FY 2020-21, and FY 2021-22 combined exceed Fifty-Eight Million Five
COUNTY OF FRESNO
Fresno, CA
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Hundred Thousand and No/100 Dollars ($58,500,000.00) for all CONTRACTOR(S) combined.
If performance standards are met and this Agreement is extended for an
additional twelve (12) month term pursuant to Section Three (3) of this Agreement, then in no event
shall the total maximum compensation amount under this Agreement for FY 2019-20, FY 2020-21,
FY 2021-22, and FY 2022-23 combined exceed Eighty-Two Million Five Hundred Thousand and
No/100 Dollars ($82,500,000.00) for all CONTRACTOR(S) combined.
If performance standards are met and this Agreement is extended for an
additional twelve (12) month term pursuant to Section Three (3) of this Agreement, then in no event
shall the total maximum compensation amount under this Agreement for FY 2019-20, FY 2020-21,
FY 2021-22, FY 2022-23, and FY 2023-24 combined exceed One Hundred Seven Million and No/100
Dollars ($107,000,000.00) for all CONTRACTOR(S) combined.”
2.That the existing COUNTY Agreement No. A-19-277, Page Thirteen (13), beginning
with Line Seventeen (17) with the word “Notwithstanding” and ending on Page Thirteen (13), Line
Twenty-One (21), with the word “Office” be deleted and the following inserted in its place:
“Notwithstanding the above, changes to services, staffing, and responsibilities of the
CONTRACTOR(S), as needed, to accommodate changes in the laws relating to specialty mental
health treatment may be made with the signed written approval of COUNTY’s DBH Director, or his or
her designee, and CONTRACTOR(S) through an amendment approved by COUNTY’s County
Counsel and the COUNTY’s Auditor-Controller/Treasurer-Tax Collector’s Office.
It is acknowledged by all parties hereto that the dates of the ramp-up period(s) and of
the initial operating period(s), as well as necessary staffing identified within the Revised Exhibits D-1,
et. seq. may be adjusted due to unforeseen circumstances (e.g. delays in the location and
procurement of a facility, delays in staffing, fluctuations in referrals from DSS and caseloads,
pandemics, state declaration of a state of emergency, etc.).”
3.That all references in existing COUNTY Agreement No. A-19-277 to Exhibit A shall be
changed to read “Revised Exhibit A,” which is attached hereto and incorporated herein by this
reference.
COUNTY OF FRESNO
Fresno, CA
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4.That Exhibit B-4, which is attached hereto, is incorporated herein by this reference.
5.That all references in existing COUNTY Agreement No. A-19-277 to Exhibit D-1 et seq.
shall be changed to read “Revised Exhibit D-1 et seq.”
COUNTY and CONTRACTOR(S) agree that this Amendment is sufficient to amend the
Agreement and, that upon execution of this Amendment, the Agreement and this Amendment
together shall be considered the Agreement. The Agreement, as hereby amended, is ratified and
continued. Except as otherwise provided in this Amendment I, all other provisions of the Agreement
remain unchanged and in full force and effect. This Amendment I shall become effective upon
execution.
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1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment I to Agreement as
2 of the day and year first hereinabove written .
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Fund/Subclass :
Organization :
Account#:
EM
0001/10000
5630
7295
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COUNTY OF FRESNO:
By ;JL
Steven Brandau ,
Chairman of the Board of Supervisors
of the County of Fresno
ATTEST:
Bern ice E. Seidel ,
Clerk of the Board of Supervisors
County of Fresno , State of Californ ia
By d .NJ. ·, eLY
Deputy
PLEASE SEE ADDITIONAL
SIGNATURE PAGES ATTACHED
COUNTY OF FRESNO
Fresno , CA
PLEASE SEE ADDITIONAL
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Revised Exhibit A
CHILD WELFARE MENTAL HEALTH
MASTER AGREEMENT
LIST OF CONTRACTORS
1.CALIFORNIA PSYCHOLOGICAL INSTITUTE (Exhibit B-1; Revised Exhibit D-1)
1470 W. Herndon Avenue, Suite 300
Fresno, CA 93711
Phone #: (559) 256-2000
Contact for Notices: Administrative Director
2.CENTRAL STAR BEHAVIORAL HEALTH, INC. (Exhibit B-2; Revised Exhibit D-2)
1501 Hughes Way, Suite 150
Long Beach, CA 90810
Phone #: (310) 221-6336 ext, 125
Contact for Notices: Senior Vice President
3.UPLIFT FAMILY SERVICES (Exhibit B-3; Revised Exhibit D-3)
251 Llewellyn Avenue
Campbell, CA 95008
Phone #: (408) 379-3790
Contact for Notices: Executive Director
4.TURNING POINT OF CENTRAL CALIFORNIA (Exhibit B-4; Revised Exhibit D-4)
615 South Atwood Street
Visalia, CA 93277
Phone #: (559) 732-8086
Contact for Notices: Regional Director
Exhibit B-4
Page 1 of 17
CHILD WELFARE MENTAL HEALTH (CWMH)
SUMMARY OF SERVICES
ORGANIZATION: Turning Point of Central California, Inc.
ADDRESS: 615 South Atwood Street
Visalia, CA 93277
TELEPHONE: (559)732-8086
CONTACT PERSON: Ryan Banks, Regional Director
CONTRACT PERIOD: March 23, 2021 – June 30, 2022
with two (2) optional twelve (12) month renewals
CONTRACT AMOUNT: $1,230,816 (March 23, 2021 – June 30 30, 2021);
$5,291,301 (July 1, 2021 – June 30, 2022);
$5,427,403 (July 1, 2022 – June 30, 2023)
$5,533,905 (July 1, 2023 – June 30, 2024)
SUMMARY OF SERVICES:
Turning Point of Central California, Inc., henceforth referred to as CONTRACTOR, will
be responsible for providing medically necessary outpatient specialty mental health
services for children, youth, and their parents who meet medical necessity, as well as
court-specific services to children and families involved in Fresno County's Child
Welfare Services (CWS) system. The majority of outpatient specialty mental health
services, such as assessments, plan development, therapy, rehabilitation services,
crisis intervention, case management, intensive home-based services and intensive
care coordination are expected to be community-based and provided in the family's
home or in the community, whenever possible.
SCHEDULE OF SERVICES:
The CONTRACTOR's office(s) shall be open Monday through Friday, 8:00 am to 5:00
pm. Clinicians will be available to see clients and families for in-home and community-
based appointments during the day, weekend, and evening hours, up to 7:00 pm. Group
services will be provided during the day and evening hours, up to 7:00 pm, on a
scheduled basis, at CONTRACTOR's offices. The CONTRACTOR's office will be
located at a site in the metropolitan and/or rural community that offers public
transportation in close proximity, adequate parking, and a secure setting. In addition to
the Fresno metropolitan area, CONTRACTOR shall serve the rural areas of Fresno
County as needed. Any addition or change to the location of office-based services must
be approved by the COUNTY in advance of such a change.
TARGET POPULATION:
Exhibit B-4
Page 2 of 17
CONTRACTOR shall provide specialty mental health services to all referred children,
youth, parents, guardians, and foster parents involved with a child’s CWS case. The
target population includes children and youth as referred to in the Katie A. Settlement
Agreement as members of the “class” and “subclass.”
1.Katie A. “Class” is defined as children in California who:
A.Are in foster care or are at imminent risk of foster care placement, and
B.Have a mental illness or condition that has been documented or had an
assessment already conducted, and
C.Need individualized mental health services, including but not limited to,
mental health assessments, outpatient specialty mental health services,
case management services, family support, crisis intervention, and other
medically necessary services in the home or in a home-like setting, to treat
mental illness or condition.
Imminent Risk of foster care placement means that within the last 180 days a child has
been participating in voluntary family maintenance or family reunification services and/or
has been the subject of either a telephone call to the Child Protective Services hotline or
some other documented communication made to a local Child Protective Services agency
regarding suspicions of abuse, neglect or abandonment.
Members of this class include children living with their parents, relatives, or in any variety
of placements, such as group homes, short-term residential therapeutic programs
(STRTPs), or foster homes.
2.“Katie A. Subclass” is identified as children in California who:
A.Have an open CWS case; and
B.Are full-scope Medi-Cal (Title XIX) eligible; and
C.Meet the medical necessity criteria for Medi-Cal Outpatient Specialty Mental
Health Services (SMHS) as set forth in CCR, Title 9, Section 1830.205 or
Section 1830.210; and
D.Are currently in or being considered for a Wraparound program, Therapeutic
Foster Care, or specialized care rate due to behavioral health needs or
other intensive Early and Periodic Screening Diagnostic and Treatment
(EPSDT) services, including but not limited to Therapeutic Behavioral
Services or crisis stabilization/intervention; or
E.Are currently in or being considered for placement in a group home (Rate
Classification 10 or above) or STRTP, psychiatric hospital, 24-hour mental
health treatment facility (e.g., psychiatric inpatient hospital, community
Exhibit B-4
Page 3 of 17
residential treatment facility); or has experienced three (3) or more
placements within 24 months due to behavioral health needs.
I.CONTRACTOR SHALL BE RESPONSIBLE FOR THE FOLLOWING SERVICES:
A.Referrals and Engagement
1.CONTRACTOR will provide an array of outpatient specialty mental
health services to all referrals received from the Department of
Behavioral Health’s (DBH) CWMH Team. CONTRACTOR shall accept
the adequate number of referrals to meet CWMH demand and to cover
program costs. Referral priority is determined by the CWMH Team and
assessments should be completed within the following designated
timeframes:
a.Crisis Referrals – Three (3) days
b.Standard Referrals – Ten (10) days
c.Psychiatric Referrals – Fifteen (15) days
2.CONTRACTOR shall make every attempt to engage clients in service.
CONTRACTOR is expected to make at least four (4) contact attempts
(in-person or via phone), at minimum one (1) attempt each week, over
the course of thirty (30) days and then send a letter to the client if
CONTRACTOR is still unable to engage them in services.
CONTRACTOR must also maintain regular contact with DSS Social
Workers, Supervisors, and Program Managers if they are unable to
contact or engage a client. If still unable to reach client, CONTRACTOR
must submit a Notice of Action to Managed Care and the CWMH Team.
A Notice of Action is not required if the referral packet received by
CONTRACTOR is incomplete.
B.Outpatient Specialty Mental Health Services
1.CONTRACTOR shall provide the following specialty mental health
services for the appropriate duration, frequency, and intensity based
upon the needs of the individual receiving services, as determined to be
clinically appropriate by a licensed/waivered mental health clinician and
the fidelity of the therapeutic intervention provided. It is understood that
a child who meets the definition of “Katie A. Subclass” does not, in and
of itself, require a higher level or intensity of mental health treatment
absent a clinical determination by the treating mental health clinician:
a.Mental Health Assessments
Clinical analysis of the history and current status of a
beneficiary’s mental, emotional, or behavioral disorder;
relevant cultural issues and history; diagnosis; and use of
testing procedures. A comprehensive assessment shall be
Exhibit B-4
Page 4 of 17
completed by a designated licensed or registered/waivered
staff within thirty (30) days from the initial contact date. When
a person remains in continuous services, an update/re-
assessment shall be completed at least every two (2) years.
The clinician may complete a comprehensive assessment
instead of an update/re-assessment if it is determined to be
the more appropriate clinical decision for the person served.
Additionally, current State mandates require that the CANS-
50 and PSC-35 are part of the assessment at the beginning
of treatment and are administered every six (6) months and at
the end of treatment. These will be shared with the Child and
Family Team (CFT). If a current assessment has been
completed by another CFT team member, it will be accepted
in lieu of an assessment completed by the clinician.
b. Therapy
A therapeutic intervention that focuses primarily on symptom
reduction as a means to improve functional impairments.
Therapy may be delivered to an individual or group of
beneficiaries (see below) and may include family therapy at
which the beneficiary is present.
1)Individual
2)Collateral
3)Conjoint
4)Family therapy
5)Group therapy
i.Groups will be led by clinicians and supervised
by a licensed clinician. Larger groups may be
co-facilitated by two (2) unlicensed clinicians.
Licensed Clinical Supervisors will provide in-
vivo training, co-facilitation and supervision to
ensure group facilitation is high quality,
clinically effective, and appropriate.
c.Crisis Intervention
A service lasting less than 24 hours, to or on behalf of a
beneficiary, for a condition which requires more timely
response than a regularly scheduled visit. Activities may
include, but are not limited to, assessment, therapy and
service access to any significant support person in the
beneficiary’s life with the intent of improving or maintaining the
mental health status of the beneficiary.
d.Case Management
Any service that assists a beneficiary to access needed
medical, educational, social, prevocational, vocational,
rehabilitative, or other community service. Services may
Exhibit B-4
Page 5 of 17
include, but are not limited to, communication, coordination,
and referral to available resources. CONTRACTOR will be
responsible for monitoring service delivery to beneficiary by
third parties, beneficiary progress, and plan development.
e. Rehabilitation
Any activity that seeks to improve, maintain, or restore a
beneficiary’s functional, daily living, social, leisure, grooming,
personal hygiene, and meal preparation skills while also
providing access to support resources and medication
education.
f. Plan Development
The development of individual treatment plans, approval of
said treatment plans, and/or monitoring of a beneficiary’s
progress.
g. Medication Support
Any service that includes prescribing, administering,
dispensing, and monitoring psychiatric medications or
biologicals, which are necessary to alleviate the symptoms of
mental illness. Services may also include evaluation for the
need of medication, evaluation of clinical effectiveness and
side effects, obtaining informed consent, medication
education and plan development related to the delivery of the
service, and/or assessment of the beneficiary.
CONTRACTOR shall have a plan in place to ensure
medication support coverage, in the event that the
Psychiatrist is unavailable to provide services for an extended
period of time.
2. CONTRACTOR shall be responsible to provide and appropriately bill for
the following services for referred clients, including Katie A. Subclass
members, if medically necessary and provided within the California
Integrated Core Practice Model and Pathways to Mental Health Core
Practice Model, and in accordance with the “Medi-Cal Manual for
Intensive Care Coordination (ICC), Intensive Home-Based Services
(IHBS) & Therapeutic Foster Care (TFC) for Medi-Cal Beneficiaries”:
a. IHBS may include, but are not limited to:
1) Skill-based interventions for the remediation of behaviors
or improvement of symptoms;
2) Development of functional skills to improve self-care, self-
regulation, or other functional impairments by intervening
to decrease or replace non-functional behavior that
interferes with daily living tasks or the avoidance of
exploitation by others;
Exhibit B-4
Page 6 of 17
3)Development of skills or replacement behaviors that allow
the child/youth to fully participate in the teaming process
and service plans including but not limited to the treatment
plan and/or child welfare case plan;
4)Improvement in self-management of symptoms, including
self-administration of medications, as appropriate;
5)Education of the child/youth and/or their family or
caregiver(s) about how to manage the child/youth’s mental
health disorder or symptoms;
6)Support of the development, maintenance and use of
social networks, including the use of natural and
community resources;
7)Support to address behaviors that interfere with the
achievement of a stable and permanent family life;
8)Support to address behaviors that interfere with seeking
and maintaining a job, if applicable;
9)Support to address behaviors that interfere with a
child/youth’s success in achieving educational objectives.
b.IHBS can be provided by more than one (1) agency when
multiple agencies are serving a client. A minimum of 15% of
all services provided by CONTRACTOR must be IHBS. It is
expected that CONTRACTOR will provide IHBS, unless
clinical justification is provided. Clinical justification must be
documented in the client’s mental health record (this will be
reviewed and audited by the COUNTY).
c.CONTRACTOR is required to attend ICC meetings and any
teaming processes scheduled by other agencies, CWS, or by
the DBH CWMH Team to ensure coordination of all mental
health treatment services that may involve one (1) or more
provider agencies, no less than every ninety (90) days for the
child/youth.
d.ICC service components/activities include comprehensive
assessment and periodic reassessment, development and
periodic revision of the plan, referral, monitoring, follow-up
activities, and transition.
3.CONTRACTOR will be responsible for providing services in either an
office-based or community-based setting. The location of service
delivery will be determined based on the needs of the client, preference
of the client, and clinical appropriateness. Based on current data, clients
prefer or require that their services are provided in a community-based
setting. The expectation is that, at minimum, 70% of all
CONTRACTOR’s client services will be provided in the home or a
community-based setting. Location of service delivery should be
clinically justified and documented in the client record.
Exhibit B-4
Page 7 of 17
4. CONTRACTOR will be responsible to work cooperatively and
collaboratively with CWS staff, DBH staff, CWMH Team staff, and all
treatment providers, caregivers, and Foster Family Agencies to achieve
the individual and collective treatment goals. Providers are to support
the CWS case plan, communicate/resolve barriers to care, and provide
continuity and warm hand-offs whenever possible as individuals
transition from higher to lower or lower to higher levels of care within or
outside of Fresno County.
5. CONTRACTOR will be able to refer to other Fresno County Mental
Health Plan (MHP) providers, Managed Care Medi-Cal Health Plans,
and other community providers as may be appropriate and in
concurrence with the DBH CWMH Team. CONTRACTOR shall provide
case management services until client is properly linked with another
provider.
6. CONTRACTOR must use evidence-based practices (EBPs) found
effective in serving this target population. This includes the provision of
training, ongoing sustainability and fidelity to a core competency for
CONTRACTOR’s mental health clinicians. To date, CONTRACTOR
and COUNTY have agreed upon the provision of the following evidence-
based practices:
a. SafetySeeking Safety
b. Child Parent Psychotherapy (CPP)
c. Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT)
d. Motivational Interviewing (MI)
e. Eye Movement Desensitization and Reprocessing (EMDR)
f. Dialectical Behavioral Therapy (DBT)
Any additional evidence-based practices CONTRACTOR would like to
utilize will require review and consultation with COUNTY.
COUNTY requires CONTRACTOR to ensure their staff pursue
certification/accreditation in the agreed upon evidence-based practices,
as appropriate, during the first-year term, and demonstrate to COUNTY
that they are moving toward successful completion. CONTRACTOR is
required to explain in writing their plan to require/support staff in this
regard, and their expected timeframe for completion of the
certification/accreditation process within the first-year term.
C. Court-Specific Mental Health Services
1. CONTRACTOR will provide the following court-ordered mental health
services to children and families in CWS:
Exhibit B-4
Page 8 of 17
a.Court-Ordered Mental Health Assessments
Clinical analysis of the history and current status of an
individual’s mental, emotional, or behavioral disorder; relevant
cultural issues and history; diagnosis; and use of testing
procedures.
b.Psychological and Neuropsychological Evaluations
A structured, analytical interview with the individual (i.e.,
minor, parent, or guardian) which consists of a clinical
assessment, the use of testing instruments, a mental status
examination, and a clinical diagnosis (as defined/ruled out
using the ICD-10) that is performed only by a Licensed
Psychologist with at least five (5) years of postgraduate
experience. Services also include a review of CPS and
mental health services received to date and contact with
relevant others, as necessary. A second psychological or
neuropsychological evaluation may be ordered and must be
performed by a different Licensed Psychologist and
independent of the first evaluation.
c.Bonding Studies
A structured, forensic, analytic interview that includes a
mental health assessment (in order to define or rule out
clinical diagnosis using the ICD-10) for either parent(s) or
whomever has been identified by the court to participate in the
study, and the child(ren). The study includes assessment of
the interaction between the parent(s) and the child(ren) and
may include the use of testing instruments (as needed) to
more accurately gauge the strength of the bond between
parent and child. It may also include the current care
provider(s) or prospective adoptive parent(s) when ordered by
the court. These studies are to be performed only by a
Licensed Mental Health Clinician with appropriate experience
or a Waivered Psychologist working under a qualified
Licensed Psychologist. A qualified clinician will have
completed twenty (20) hours of training in Child Custody as
required by the California Board of Psychology (if the child is
0-36 months), training in the Marshak Interaction Method, and
training or experience in providing forensic evaluations for the
court.
d.Court Reports and Court Testimony
CONTRACTOR is responsible for any court reports and/or
necessary testimony.
1)Court Reports
Exhibit B-4
Page 9 of 17
Documented report of assessment and evaluation
findings, progress in treatment, recommendations for
treatment, and service plan regarding reunification,
maintenance and termination of parental rights, and
justification for recommendations. CONTRACTOR
shall provide the DBH CWMH Team with a copy of the
reports, for tracking purposes.
2) Court Testimony
On-site court testimony of assessment and evaluation
findings, treatment and service plan recommendations
regarding reunification, maintenance and termination
of parental rights, and justification for
recommendations.
D. Staffing
1. CONTRACTOR shall ensure staff are qualified in education, experience,
and clinical competencies.
2. CONTRACTOR shall maintain adequate staffing levels in relation to the
number of open client cases at any given point to ensure quality service.
CONTRACTOR shall not go over a 1:20 staffing ratio.
3. CONTRACTOR will ensure that Clinical Supervisors oversee the work
of the Clinicians, including oversight of documentation and claiming in
the electronic medical record. Clinical Supervisors who provide
mentorship to Clinicians shall be two (2) years post licensure and able
to provide Board of Behavioral Sciences (BBS) supervision.
4. CONTRACTOR’s Clinicians must be post-graduate and registered with
their local licensing board.
5. Assessments must be completed by Licensed Practitioners of the
Healing Arts (LPHA), which includes both licensed mental health
professionals and registered associates.
6. Interns, including graduate student interns, may be utilized by
CONTRACTOR to provide case management-type services, including
ICC and IHBS.
7. CONTRACTOR’s clinical staff are required to go through the
credentialing process through DBH’s Managed Care Division. Interns
are required to go through the non-credentialing application process
through DBH’s Managed Care Division.
8. If CONTRACTOR has other agreements with COUNTY to provide
specialty mental health treatment services, it will establish criteria and
Exhibit B-4
Page 10 of 17
protocols via a Child and Family Team (CFT) meeting, to ensure referral
to services are therapeutically appropriate, benefits the client and
caregiver, achieves the client’s treatment goals, supports the success of
the CWS case plan, and avoids any potential for perceived or actual
conflict of interest or self-referral.
9.CONTRACTOR shall have established clinical competency standards
when hiring direct service staff and a staff development and training
program. CONTRACTOR will provide appropriate training for all staff to
include but not limited to trauma-informed practice, EBPs utilized,
working with specialized populations such as Infant Mental Health (IMH)
and Commercially Sexually Exploited Children (CSEC), and co-
occurring competence to serve individuals with mental health and
substance use/abuse disorders.
E.Affordable Care Act and Medi-Cal Managed Care Plan requirements
1.CONTRACTOR understands that effective January 1, 2014, Medi-Cal
managed care health plans (MCHPs) are required to serve Medi-Cal
beneficiaries with mild to moderate impairment of mental, emotional,
or behavioral functioning resulting from a mental health condition
defined by the current Diagnostic and Statistical Manual. Outpatient
benefits available through MCHPs include:
a.Individual and group mental health evaluation and treatment
(psychotherapy)
b.Psychological testing, when clinically indicated to evaluate a
mental health condition;
c.Outpatient services for the purposes of monitoring drug
therapy;
d.Psychiatric consultation; and
e.Outpatient laboratory, drugs, supplies and supplements
(excluding medications as described in the forthcoming “Medi-
Cal Managed Care Plan Responsibilities for Outpatient
Mental Health Services and Coordination with County Mental
Health Plans”).
2.CONTRACTOR will comply with all requirements established by the
California Department of Health Care Services (DHCS), Fresno County
MHP, and Medi-Cal MCHPs for screening, referral, and coordination of
care for mild to moderate cases, when clinically appropriate.
F.Administrative Requirements
1.CONTRACTOR shall meet with COUNTY staff monthly, or as often as
needed, for monitoring of program services, client capacity, staffing
levels and to exchange pertinent operational information, resolve
problems, and coordinate services.
Exhibit B-4
Page 11 of 17
2. CONTRACTOR shall participate in a joint meeting with COUNTY staff
and other vendors for CWMH services on a quarterly basis, or as often
as needed, to discuss program trends and resolution of concerns and
problems across all vendors.
3. CONTRACTOR shall attend bi-monthly Mental Health Contracted
Provider Meetings held by DBH.
4. CONTRACTOR will complete and submit monthly activity reports in a
manner determined by DBH and DSS.
5. CONTRACTOR will provide annual Civil Rights training to their staff in
the first quarter of every calendar year and will provide relevant proof to
DBH and DSS by April 1, for each year of the contract.
G. Data and Reporting
1. CONTRACTOR shall maintain and provide the COUNTY with monthly
statistics on the number of individuals/families to include, but not limited
to:
a. Number of clients referred for mental health assessments;
average time between referral and contact with caregiver;
average time between referral and assessment; number of
assessments completed, number of missed/no-show
appointments, number that did not meet Medi-Cal medical
necessity criteria;
b. Number of clients referred for court-ordered services
including type of service, average time between referral
and contact with the caregiver to schedule the
appointment, average number of days between the
referral and the court-ordered service, number of
missed/no-show appointments;
c. Average wait time between assessment and first visit with
assigned therapist;
d. Average wait time between referral and provision of
medication evaluation;
e. Unique clients served; units and dollars of services billed,
average cost per client;
f. Number and reasons for discharge from care;
g. Number of active clients in ongoing treatment;
Exhibit B-4
Page 12 of 17
This information, in addition to the outcome measures to be developed,
will be provided to COUNTY on a monthly basis via an activity report
template developed by the COUNTY and due no later than the 10th of
each month.
2.Maintain case files on each individual/family, including, but not limited to
the following information:
a.Documentation of referrals to/from COUNTY, self-referrals,
and others;
b.Chronological record of individual and family services
provided including relevant contact dates, incidents, actions
taken, and results; and,
c.Case closure summary, indicating the reasons for closure and
the results of the services provided.
3.CONTRACTOR shall maintain secure case files with limited access only
to designated staff to ensure confidentiality.
4.CONTRACTOR shall submit a monthly staffing report, due no later than
the 10th of each month, detailing the total number of positions by
classification in the approved budget, number of staff hired (including
licensure, ethnicity, bilingual language capability, clinical
training/certification in EBPs), and number of vacancies.
II. COUNTY SHALL BE RESPONSIBLE FOR THE FOLLOWING:
A.Provide mental health service referrals to CONTRACTOR for children and
families involved in the CWS system.
B.Designate a contact person from DSS and DBH for CONTRACTOR to
communicate with, when necessary.
C.Meet with CONTRACTOR monthly, or as often as needed, to exchange pertinent
information, resolve problems, and work together to coordinate referrals and
services.
D.Support coordination of ICC meetings initially and no less than every ninety (90)
days for a child/youth.
E.Convene team meetings in alignment with the Continuum of Care Reform (CCR),
Child and Family Teaming, Senate Bill 163 Wraparound, and the Integrated Core
Practice models for which CONTRACTOR will be required to participate when
appropriate.
Exhibit B-4
Page 13 of 17
F. Provide education and training on CWS, practice models and Medi-Cal licensing,
documentation and billing requirements, as needed.
III. PERFORMANCE MEASUREMENTS
Overall Service Objective:
CONTRACTOR will adhere to the outcome measures developed by COUNTY and any
requirements established by the California Department of Social Services (CDSS) and
DHCS. County may adjust these outcome measurements, periodically, so as to best
measure the success of the program. These outcome measurements and indicators will
continue to be developed in conjunction with the CONTRACTOR, COUNTY, and the
State Departments.
Services provided by the CONTRACTOR will align and support the principles of Fresno
County’s child welfare practice model, the Katie A Settlement Agreement, as well as other
relevant laws, regulations, statutes, and effective operating principles required to provide
the services. Specialty mental health services will be integrated, timely, ongoing, and
uninterrupted in a family-focused, trauma-informed delivery model that supports the goals
of the client plan developed by COUNTY. Intensive home-based mental health services
are expected to provide children and families in the CWS system with effective treatment,
improve outcomes, promote wellness, aid in resiliency, and maintain family relationships
conducive to healthy emotional development.
Performance Outcomes and Measures:
Under the Katie A. Settlement Agreement and Implementation Plan, DHCS and CDSS
are collectively working to adopt statewide use of a data-informed system of
performance oversight, accountability, and communication that efficiently monitors,
measures, and evaluates access, quality, satisfaction, effectiveness, costs, and
outcomes at the individual, program, and system levels.
CONTRACTOR is required to submit measureable outcomes on a semi-annual basis,
as identified in the DBH’s Policy and Procedure Guide (PPG) 1.2.7 Performance
Outcomes Measures. Performance outcome measures must be approved by DBH and
satisfy all State and local mandates. DBH will provide technical assistance and support
in defining measureable outcomes. All performance indicators will reflect the four (4)
domains identified by the Commission Accreditation of Rehabilitation Facilities (CARF).
DBH collects data about the characteristics of the persons served and measures service
delivery performance indicators in each of the following CARF domains.
A. Effectiveness - A performance dimension that assesses the degree to which
an intervention or series have achieved the desired outcome/result/quality of
care through measuring change over time. The results achieved and outcomes
observed are for persons served.
Exhibit B-4
Page 14 of 17
B.Efficiency - Relationship between results and resources used, such as time,
money, and staff. The demonstration of the relationship between results and
the resources used to achieve them. A performance dimension addressing the
relationship between the outputs/results of the resources used to deliver the
service.
C.Access - Organizations’ capacity to provide services to those who desire or
need services. Barriers or lack thereof for persons obtaining services. The
ability of clients to receive the right service at the right time. A performance
dimension addressing the degree to which a person needing services is able
to access those services.
D.Satisfaction - Satisfaction measures are usually oriented towards clients,
family, staff, and stakeholders. The degree to which the clients, the COUNTY,
and other stakeholders are satisfied with services. A performance dimension
that describes reports or ratings from persons served about services received
from an organization.
DBH may adjust the performance and outcome measures periodically throughout the
duration of the Agreement, as needed, to best measure the program as determined by
COUNTY. CONTRACTOR must utilize a computerized tracking system with which
performance and outcome measures and other relevant client data, such as
demographics, will be maintained.
The outcome measures and indicators provided below represent COUNTY DBH and DSS
program goals to be achieved by the CONTRACTOR in addition to CONTRACTOR’s
developed outcomes.
A.Timeliness of Service – CONTRACTOR will respond to referrals within the
timeframes required by the Final Rule, in order to engage with the clients as
soon as possible.
1.Timely access to services from referral to assessment.
a.Crisis referrals: within three (3) days
b.Standard referrals: within ten (10) days
c.Psychiatric referrals: within fifteen (15) days
2.100% of all assessments will be signed/completed within thirty (30)
days.
3.Timely access to service from assessment to ongoing treatment
4.Timely access to services from referral to medication evaluation, when
appropriate
Exhibit B-4
Page 15 of 17
B.Access and Engagement – CONTRACTOR will ensure that clients have access
to treatment, that the client is actively involved in treatment, and that every
effort is made to aid the client in successfully completing treatment.
1.CONTRACTOR will provide services in a location determined by the
needs/preference of the client and clinical appropriateness. The
expectation is that 70% of client services will be provided in the home or
a community-based setting.
2.CONTRACTOR will track the number, type, and location of services per
client.
3.CONTRACTOR will actively provide ICC and IHBS services. The
expectation is that a minimum of fifteen percent (15%) of the
CONTRACTOR’s services will be IHBS.
4.Clinician attendance at 100% of teaming meetings.
5.CONTRACTOR will track the “no-show” and cancellation (by client or
provider) rates for treatment. The expectation is that the “no-show” and
cancellation rates will be ten percent (10%) or less.
6.CONTRACTOR will track the number and reasons for discharge. The
expectation is that there will be a low number of discharges due to “no-
shows” and a low number of discharges in which the client has not
successfully completed treatment.
7.Seventy percent (70%) of individuals with an open child welfare case will
successfully complete treatment.
C.Wellness, Recovery, and Resiliency Supports – a collaborative approach to
treatment strategies to aid in the successful completion of treatment,
reunification, and reduction in recidivism.
1.Improved Child Functioning
Improvement in relationships, behavior, and academic achievements,
as demonstrated through the tracking tools, CANS 50 and PSC-35,
implemented by the CONTRACTOR and caregivers, respectively.
2.Improved Family Functioning
Improvement in ability to provide for and maintain a safe and stable
environment for the child, as demonstrated through tracking tool, CANS
50, implemented by the CONTRACTOR.
3.Improved Parent Functioning
Exhibit B-4
Page 16 of 17
Improvement in relationships, behavior, and sustaining basic needs, as
demonstrated through tracking tool, CANS 50, implemented by the
CONTRACTOR.
4.Effectiveness of discharge planning as demonstrated by referral and
linkage to other COUNTY programs, community providers, and
community resources.
5.Placement, Stability, & Permanency
a.Number of placement changes while in treatment
b.Permanency status of clients
IV.Cultural Competency
In alignment with the County’s DBH Mental Health Services Act Three-Year Plan, Mental
Health Plan, and Cultural Competency Plan, CONTRACTOR shall provide culturally
competent and culturally responsive services. CONTRACTOR’s responsibilities shall
include:
A.Mental Health and Substance Use Disorder direct service providers must
complete eight (8) hours of annual cultural competency training. Training hours
may include completing culturally competent courses through DBH Learning
Management System or attending cultural awareness events. DBH will provide
opportunities and track completion of training hours through its Learning
Management System.
B.When providing interpretation services for DBH clients, CONTRACTOR must
utilize interpreters who have received annual training and have been monitored
for language competence. By July 1st of each year, CONTRACTOR shall
provide DBH with its current list of interpreters, which includes training dates
and monitoring results. CONTRACTOR shall not utilize any interpreter who
has not received annual training and/or has not demonstrated language
competence. CONTRACTOR shall have access to DBH approved translators
via DBH’s established protocol.
C.In order for DBH to ensure a cultural, racial/ethnic, and linguistic group of direct
service providers representative of the population needing services and being
served, CONTRACTOR shall complete and email the Monthly Staffing Report,
which includes gender, ethnicity, and bilingual language capacity by the tenth
(10th) of every month.
D.CONTRACTOR shall provide a plan to address cultural competency standards
as set forth in the National Standards on Culturally and Linguistically
Appropriate Services (CLAS).
Exhibit B-4
Page 17 of 17
E.CONTRACTOR shall provide services within the most relevant and meaningful
cultural, gender-sensitive, and age-appropriate context for the target
population.
F.CONTRACTOR shall distribute literature/information brochures in appropriate
languages and request feedback as to how access to care could be improved
for culturally diverse communities. Distributed information will be approved by
DBH and/or DSS designee and translated as needed via DBH protocols.
Revised Exhibit D-1
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Clinical Director 1.00 -$ 152,250$ 152,250$
1102 Licensed Clinicians 10.50 - 687,863 687,863
1103 Unlicensed Clinicians 12.00 - 745,836 745,836
1104 Client Care Coordinators 6.00 - 262,080 262,080
1105 COO 1.00 156,450 - 156,450
1106 Program Manager 1.00 69,888 - 69,888
1107 Office Manager 1.00 54,000 - 54,000
1108 QA/Outcomes Manager 1.00 54,705 - 54,705
1109 Controller 1.00 105,000 - 105,000
1110 Medical Billing/AR/AP 2.00 115,500 - 115,500
1111 Administrative Assistants 4.00 151,351 - 151,351
1112 Patient Services Representatives 2.50 81,900 - 81,900
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 43.00 788,794$ 1,848,029$ 2,636,823$
Employee Benefits
Acct #Admin Direct Total
1201 62,790$ 167,210$ 230,000$
1202 4,119 11,030 15,149
1203 106,744 233,256 340,000
1204 - - -
1205 - - -
1206 - - -
173,653$ 411,496$ 585,149$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 49,161$ 115,178$ 164,339$
1302 12,565$ 29,435$ 42,000
1303 12,803 5,859 18,662
1304 1,235 565 1,800
1305 - - -
1306 - - -
75,764$ 151,037$ 226,801$
1,038,211$ 2,410,562$ 3,448,773$
Child Welfare Mental Health Services
California Psychological Services
Fiscal Year (FY) 2019-20
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
Other (specify)
FUTA
Other (specify)
Other (specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 -
2004 -
2005 -
2006 -
2007 -
2008 -
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
-$
3000: OPERATING EXPENSES
Acct #Amount
3001 53,500$
3002 1,200
3003 10,000
3004 8,000
3005 Household Supplies 10,500
3006 Legal Notices/Advertising 6,150
3007 Staff Training/Registration 23,000
3008 Staff Mileage/Vehicle Maintenance 86,000
3009 Subscriptions & Memberships -
3010 Licenses and Taxes 4,475
3011 Food 5,000
3012 Program Supplies - Therapeutic 26,000
233,825$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 38,300$
4002 276,000
4003 1,962
4004 -
4005 -
4006 34,500
4007 27,900
4008 -
4009 -
4010 -
378,662$
5000: SPECIAL EXPENSES
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
Other (specify)
Other (specify)
Other (specify)
Other (specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (specify)
Other (specify)
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
Telecommunications
Postage
Printing/Reproduction
Office Supplies & Equipment
FACILITIES/EQUIPMENT TOTAL:
Security
Utilities
Janitorial
Other (specify)
Other (specify)
Other (specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
Acct #Amount
5001 45,000$
5002 35,000
5003 -
5004 7,000
5005 22,500
5006 202,800
5007 -
5008 -
312,300$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 180,814$
6002 -
6003 15,000
6004 14,340
6005 39,786
6006 16,500
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
266,440$
7000: FIXED ASSETS
Acct #Amount
7001 95,000$
7002 -
7003 15,000
7004 -
7005 -
7006 -
7007 -
7008 -
110,000$
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Translation Services
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
SPECIAL EXPENSES TOTAL:
Line Item Description
Psychologist
Psychiatrist
Other (specify)
Other (specify)
Liability Insurance
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
ADMINISTRATIVE EXPENSES TOTAL
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Other (specify)
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 4,750,000$
Assets over $5,000/unit (Specify)
Other (specify)
Other (specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
Acct #Service Units Rate Amount
8001 Mental Health Services 846,145 2.98 2,521,512$
8002 Case Management 165,001 2.12 349,802
8003 Crisis Services 2,000 4.07 8,140
8004 Medication Support 59,200 5.44 322,048
8005 Collateral 15,000 2.98 44,700
8006 Plan Development 15,750 2.98 46,935
8007 Assessment 122,500 2.98 365,050
8008 Rehabilitation 253,000 2.22 561,660
8009 Intensive Care Coordination 44,050 2.98 131,269
8010 Intensive Home-Based Services 68,550 2.98 204,279
1,591,196 4,555,395$
100%
4,555,395
50%2,277,698
2,277,698$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 2,277,697$
2,277,697$
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 23,323$
8402 Court Documentation -- 883 units; $65.00 per report 57,395$
8403 Mental Health Services (Individual/Family/Group Therapy) - 20,000 units; $2.98 per unit 59,600$
8404 Case Management - 4,000 units; $2.12 per unit 8,480$
8405 Crisis Services - 50 units; $4.07 per unit 204$
8406 Medication Support - 1,700 units; $5.44 per unit 9,248$
8407 Collateral - 500 units; $2.98 per unit 1,490$
8408 Plan Development - 225 units; $2.98 per unit 671$
8409 10,430$
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
Estimated Specialty Mental Health Services Billing Totals:
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
MHSA Program Name
Estimated % of Clients who are Medi-Cal Beneficiaries
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
Psychological Testing - 8,300 units; $2.81 per unit
MHSA TOTAL
8400 - OTHER REVENUE (DSS)
Line Item Description
Assessment - 3.500 units; $2.98 per unit
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
8410 15,540$
8411 4,470$
8412 3,755$
194,605$
Rehabilitation - 7,000 units; $2.22 per unit
Intensive Care Coordination - 1,500 units; $2.98 per unit
Intensive Home-Based Services - 1,260 units; $2.98 per unit
OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:4,750,000$
NET PROGRAM COST: -$
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 3,448,773
Employee Salaries 2,636,823
1101 Clinical Director 152,250 Is responsible for overseeing and developing an organization's clinical departments.
Manages and guides the clinical staff in order to make sure clients receive the best care
possible.(1 FTE)
1102 Licensed Clinician 687,863 Provide clinical services to children and adults under contract with Fresno County.
Supervise and support unlicensed clinicians. (10.5 FTE)
1103 Unlicensed Clinician 745,836 Provide clinical services under contract with Fresno county to children and adults. (12
FTE)
1104 Client Care Coordinators 262,080 Provide support to families currently being treated by a clinician. Provide linkage and
assistance as well as education and school support to children and families. (6 FTE)
1105 COO 156,450 Oversees all staff, HR, Recruitment and retention, Contract oversight and supervises
daily operations. (1 FTE)
1106 Program Manager 69,888 Organizes and coordinates staff and curriculum for groups, trainings and chart audit.
Responsible for Outcomes Reporting and monthly Activity reports. (1 FTE)
1107 Office Manager 54,000 Supervises administrative assistants and patient care coordinators, coordinates
schedules and time off. (1 FTE)
1108 QA/Outcomes Manager 54,705 Responsible for outcomes data input into Avatar. Outcome collections and processing
daily. Chart Review and Note review, internal audit and coordination of peer review.
Outcomes report tracking and preparation. (1 FTE)
1109 Controller 105,000 Responsible for all general accounting duties. Manages bank accounts, journal entries
and all general accounting needs, oversees billing, AR/AP, check reconciliation and
taxes. (1 FTE)
1110 Medical Billing/AR/AP 115,500 2 AP/AR clerks - Responsible for all medical billing and data drop, check deposit and bill
entry. (2 FTE)
1111 Administrative Assistants 151,351 Responsible for supporting staff, psychiatrist and managers. Do confirmation calls daily.
Send all correspondence out of office. (4 FTE)
1112 Patient Services Representatives 81,900 Responsible for supporting staff, psychiatrist and managers. Greet clients and schedule
appointments. Do confirmation calls daily. Send all correspondence out of office. (2.5
FTE)
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 585,149
1201 Retirement 230,000 A competitive benefits package consistent with industry standards in order to retain
quality employees
1202 Worker's Compensation 15,149 Workers Compensation
1203 Health Insurance 340,000 Health, Dental & Vision
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
Payroll Taxes & Expenses:226,801
1301 OASDI 164,339 Employer Social Security
1302 FICA/MEDICARE 42,000 Employer FICA / Medicare
1303 SUI 18,662 State Unemployment Insurance
1304 FUTA 1,800 Federal Unemployment Tax
1305 Other (specify)-
1306 Other (specify)-
2000: CLIENT SUPPORT -
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
Child Welfare Mental Health Services
California Psychological Services
Fiscal Year (FY) 2019-20
PROGRAM EXPENSE
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (specify)-
2012 Other (specify)-
2013 Other (specify)-
2014 Other (specify)-
2015 Other (specify)-
2016 Other (specify)-
3000: OPERATING EXPENSES 233,825
3001 Telecommunications 53,500 Expenses listed here include our cost for services related to telephone, internet, and
mobile phones .
3002 Postage 1,200 Stamps, and any related cost associated with mailing items through USPS or another
courier used to mail out all intake paperwork. Costs associated with document printing,
business cards, scanning, faxing, document destruction/shredding, legal pads,
brochures, office stationary, promotional items for clients such as fidget spinners, stress
balls etc.
3003 Printing/Reproduction 10,000 General office items required for basic office functioning, cleaning supplies and
household supplies, items directly related to services provided to clients, such as
learning materials, books, arts and craft supplies, games, toys, RxNT access for the
Psychiatrist, any Psych Testing materials, group supplies.
3004 Office Supplies & Equipment 8,000 Costs associated with promoting the business such as job postings, directory listings,
training postings, and any legal expenses incurred for business purposes.
3005 Household Supplies 10,500 Employees are provided the benefit at a rate of $200/ year, on any related training that
allows them the opportunity to better themselves so that they can offer our clients the
best services. Remaining funds are earmarked for identified trainings useful for this
work. CPP, law and ethics, DBT and cultural competency will be scheduled within 30
days of this contract start date.
3006 Legal Notices/Advertising 6,150 Employees who provide services in the field are provided mileage reimbursements at a
rate of $0.535/mile for the general upkeep and maintenance of their vehicles. Other
items included here may be expenses related to parking for meetings or court in areas
where parking garages must be used.
3007 Staff Training/Registration 23,000
3008 Staff Mileage/Vehicle Maintenance 86,000 increased due to staff getting vaccinated and beginning community based services
3009 Subscriptions & Memberships - Payments made to Federal, State, City or County for various tax purposes
3010 Licenses and Taxes 4,475 Food and beverage costs for the clientele such as coffee, creamer, sugar, tea, honey.
We also have snacks available in our kitchen for clients after each session. Cakes ,pizza
or cupcakes to celebrate client graduations. Water coolers.
3011 Food 5,000
3012 Program Supplies - Therapeutic 26,000
4000: FACILITIES & EQUIPMENT 378,662
4001 Building Maintenance 38,300 Items such as lawn maintenance, pest control, plumbing, HVAC, electrical, annual fire
inspections, trash service, and any other expenses revolving around the general
maintenance, safety and security of the common areas.
4002 Rent/Lease Building 276,000 10,000 sqft building. Lease with Gateway, LLC
4003 Rent/Lease Equipment 1,962 Monthly rental agreement with Derrell’s for a storage space used for documentation
retention.
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 34,500 Services provided to us such as water, sewer, gas and electric. Currently California
Psychological Institute contracts with PG&E, City of Fresno and Pinedale Public Utility.
4007 Janitorial 27,900 Cleaning cost for 10,000 sqft building.
4008 Other (specify)-
4009 Other (specify)-
4010 Other (specify)-
5000: SPECIAL EXPENSES 312,300
5001 Consultant (Network & Data Management)45,000 Costs associated with the repairs, service, and maintenance of our network and all
company devices.
5002 HMIS (Health Management Information
System)
35,000 Expenses related to the maintenance of our Electronic Health Record systems.
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services 7,000 Funds to utilize outside translation services.
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
5005 Psychologist 22,500 Per Diem cost associated with providing services to our clients for Psych Evals, Neuro
Psych Evals, etc.
5006 Psychiatrist 202,800 Costs associated with providing our clients with med services.
5007 Other (specify)-
5008 Other (specify)-
6000: ADMINISTRATIVE EXPENSES 266,440
6001 Administrative Overhead 180,814 Audit Cost/Expenses, Executive fees, Interest accrued on line of credit draw, IT
consulting, HIPPA compliance and clinical record audits, risk management and program
fidelity, recruiting and human resources support. Other items include our DMV and Live
scan identification/verification costs related to background checks.
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping 15,000 Expenses associated with utilizing an outside Accounting Firm for annual review of our
bookkeeping, compliance, and yearly tax filing.
6004 External Audit 14,340 Audited Financial Statements
6005 Liability Insurance 39,786 General Liability and malpractice insurance costs
6006 Payroll Services 16,500 Costs associated with utilizing an outside Payroll company for managing general payroll
reporting and compliance, Federal and State tax payments, employee direct deposit and
payroll checks, and issuing W2s.
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 110,000
7001 Computer Equipment & Software 95,000 Any costs associated with updates and/or replacements of our existing equipment such
as Printers, Software, Computers, Servers and server equipment, iPads,and Cell phones,
due to normal wear and use. New computers to be in HIPAA compliance with windows.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 15,000 Expenses related to the replacement of our larger ticket items in the office due to
normal wear and use such as children’s, office and waiting room furniture and
equipment, desks, chairs, storage furniture, telephone systems, etc.
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)-
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8008 Rehabilitation
8009 Intensive Care Coordination
8010 Intensive Home-Based Services
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:4,750,000
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:4,750,000
BUDGET CHECK:-
Estimated 253,000 units at $2.22 per unit
Estimated 2,000 units at $4.07 per unit
Estimated 59,200 units at $5.44 per unit
Estimated 15,000 units at $2.98 per unit
Estimated 15,750 units at $2.98 per unit
Estimated 122,500 units at $2.98 per unit
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Estimated 846,145 units at $2.98 per unit
Estimated 165,001 units at $2.22 per unit
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Clinical Director 1.00 -$ 160,000$ 160,000$
1102 Licensed Clinician 11.00 - 1,150,000 1,150,000
1103 Unlicensed Clinician 12.00 - 1,020,000 1,020,000
1104 Client Care Coordinators 8.00 - 480,000 480,000
1105 COO 1.00 151,500 - 151,500
1106 Program Manager 1.00 67,000 - 67,000
1107 Office Manager 1.00 65,000 - 65,000
1108 QA/Outcomes Manager 1.00 85,000 - 85,000
1109 Administrative Assistants/Patient services 7.50 233,251 - 233,251
1110 Medical Billing / AR / AP/Finance 3.00 240,000 - 240,000
1111 - -
1112 - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 46.50 841,751$ 2,810,000$ 3,651,751$
Employee Benefits
Acct #Admin Direct Total
1201 67,790$ 180,210$ 248,000$
1202 3,140 8,409 11,549
1203 106,744 233,256 340,000
1204 - - -
1205 - - -
1206 - - -
177,674$ 421,875$ 599,549$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 52,189$ 164,300$ 216,489$
1302 12,205$ 40,745$ 52,950
1303 13,888 6,293 20,181
1304 13,440 6,090 19,530
1305 - - -
1306 - - -
91,722$ 217,428$ 309,150$
1,111,147$ 3,449,303$ 4,560,450$
Child Welfare Mental Health
California Psychological Institute
Fiscal Year (FY) 2020-21
Description
Payroll Taxes & Expenses Subtotal:
Other (specify)
Other (specify)
EMPLOYEE SALARIES & BENEFITS TOTAL:
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Other (specify)
Employee Benefits Subtotal:
Description
Retirement/Incentive
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
OASDI
FICA/MEDICARE
SUI
FUTA
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
2000: CLIENT SUPPORT
Acct #Amount
2001
2002 -
2003 -
2004 -
2005 -
2006 -
2007 -
2008 -
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
-$
3000: OPERATING EXPENSES
Acct #Amount
3001 65,000$
3002 12,000
3003 90,000
3004 15,000
3005 65,000
3006 43,000
3007 -
3008 -
3009 5,975
3010 5,000
3011 -
3012 -
300,975$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 64,950$
4002 276,000
4003 1,962
4004 -
4005 -
4006 42,000
4007 38,451
4008 -
4009 -
4010 -
423,363$
5000: SPECIAL EXPENSES
Line Item Description
Line Item Description
Line Item Description
DIRECT CLIENT CARE TOTAL
Other (specify)
Other (specify)
Legal/Advertising
FACILITIES/EQUIPMENT TOTAL:
Food
Client Transportation & Support
Client Housing Support
Child Care
Other (specify)
Other (specify)
Clothing, Food, & Hygiene
Education Support
Household Items for Clients
Employment Support
Utility Vouchers
Program Supplies - Medical
Medication Supports
Rent/Lease Vehicles
Security
Janitorial
Other (specify)
Other (specify)
Other (specify)
Utilities
Other (specify)
Licenses and Taxes
Staff Mileage
Subscriptions & Memberships
Other (specify)
Other (specify)
Rent/Lease Equipment
Rent/Lease Building
Staff Development & Training
Vehicle Maintenance
Other (specify)
Office, Household & Program Supplies
Telecommunications
Printing/Postage
OPERATING EXPENSES TOTAL:
Building Maintenance
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
Acct #Amount
5001 55,000$
5002 35,000
5003 -
5004 10,000
5005 70,000
5006 300,000
5007 -
5008 -
470,000$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 438,590$
6002 -
6003 25,000
6004 12,000
6005 39,600
6006 18,000
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
533,190$
7000: FIXED ASSETS
Acct #Amount
7001 80,000$
7002 -
7003 25,000
7004 -
7005 -
7006 -
7007 -
7008 -
105,000$
Line Item Description
Professional Liability Insurance
Accounting/Bookkeeping
ADMINISTRATIVE EXPENSES TOTAL
6,392,978$ TOTAL PROGRAM EXPENSES
Other Assets over $500 with Lifespan of 2 Years +
Other (specify)
Assets over $5,000/unit (Specify)
FIXED ASSETS EXPENSES TOTAL
Consultant (Network & Data Management)
External Audit
SPECIAL EXPENSES TOTAL:
Contractual/Consulting Services (Specify)
Translation Services
HMIS (Health Management Information System)
Administrative Overhead
Leasehold/Tenant/Building Improvements
Payroll Services
Line Item Description
Line Item Description
Other (specify)
Other (specify)
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Insurance (Specify):Liability
Psychologist
Psychiatrist
Other (specify)
Other (specify)
Furniture & Fixtures
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
Acct #Service Units Rate Amount
8001 Mental Health Services 846,145 3.92 3,316,888$
8002 Case Management 166,501 3.10 516,153
8003 Crisis Services 500 3.92 1,960
8004 Medication Support 59,200 6.00 355,200
8005 Collateral 15,000 3.92 58,800
8006 Plan Development 15,750 3.92 61,740
8007 Assessment 122,500 3.92 480,200
8008 Rehabilitation 253,000 3.75 948,750
8009 IHBS 45,050 3.10 139,655
8010 ICC 68,550 3.92 268,716
1,592,196 6,148,063$
99%
6,086,582
50%3,043,291
3,043,291$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 3,104,772$
3,104,772$
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 32,536$
8402 Court Documentation -- 883 units; $65.00 per report 57,395
8403 Mental Health Services (Individual/Family/Group Therapy) - 20,000 units; $3.92 per unit 78,400
8404 Case Management - 4,000 units; $3.10 per unit 12,400
8405 Crisis Services - 50 units; $3.92 per unit 196
8406 Medication Support - 1,700 units; $6.00 per unit 10,200
8407 Collateral - 500 units; $3.92 per unit 1,960
8408 Plan Development - 225 units; $3.92 per unit 882
8409 13,720
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROGRAM FUNDING SOURCES
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) %
Line Item Description
8400 - OTHER REVENUE
SUBSTANCE USE DISORDER FUNDS TOTAL
MEDI-CAL FFP TOTAL
MHSA TOTAL
MHSA Program Name
Assessment - 3.500 units; $3.92 per unit
Line Item Description
Line Item Description
8100 - SUBSTANCE USE DISORDER FUNDS
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
Line Item Description
REALIGNMENT TOTAL
8200 - REALIGNMENT
Psychological Testing - 8,300 units; $3.92 per unit
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
8410 27,440
8411 5,880
8412 3,906
244,915$
NET PROGRAM COST:
TOTAL PROGRAM FUNDING SOURCES:6,392,978$
OTHER REVENUE TOTAL
Rehabilitation - 7,000 units; $3.92 per unit
Intensive Care Coordination - 1,500 units; $3.92 per unit
Intensive Home-Based Services - 1,260 units; $3.10 per unit
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 4,560,450
Employee Salaries 3,651,751
1101 Clinical Director 160,000 Is responsible for overseeing and developing an organization's clinical departments.
Manages and guides the clinical staff in order to make sure clients receive the best
care possible.(1 FTE)
1102 Licensed Clinician 1,150,000 Provide clinical services to children and adults under contract with Fresno County.
Supervise and support unlicensed clinicians. (10.5 FTE)
1103 Unlicensed Clinician 1,020,000 Provide clinical services under contract with Fresno county to children and adults. (12
FTE)
1104 Client Care Coordinators 480,000 Provide support to families currently being treated by a clinician. Provide linkage and
assistance as well as education and school support to children and families. (6 FTE)
1105 COO 151,500 Oversees all staff, HR, Recruitment and retention, Contract oversight and supervises
daily operations. (1 FTE)
1106 Program Manager 67,000 Organizes and coordinates staff and curriculum for groups, trainings and chart audit.
Responsible for Outcomes Reporting and monthly Activity reports. (1 FTE)
1107 Office Manager 65,000 Supervises administrative assistants and patient care coordinators, coordinates
schedules and time off. (1 FTE)
1108 QA/Outcomes Manager 85,000 Responsible for outcomes data input into Avatar. Outcome collections and processing
daily. Chart Review and Note review, internal audit and coordination of peer review.
Outcomes report tracking and preparation. (1 FTE)
1109 Administrative Assistants/Patient services 233,251 Responsible for supporting staff, psychiatrist and managers. Greet clients and
schedule appointments. Do confirmation calls daily. Send all correspondence out of
office. (7.5 FTE)
1110 Medical Billing / AR / AP/Finance 240,000 1 Controller, responsible for all general accounting duties. Manages bank accounts,
journal entries and all general accounting needs, oversees billing, AR/AP, check
reconciliation and taxes. 2 AP/AR clerks - Responsible for all medical billing and data
drop, check deposit and bill entry. (3 FTE)
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 599,549
1201 Retirement 248,000 A competitive benefits package consistent with industry standards in order to retain
quality employees
1202 Worker's Compensation 11,549 Workers Compensation
1203 Health Insurance 340,000 Health, Dental & Vision
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
Payroll Taxes & Expenses:309,150
1301 OASDI 216,489 Employer Social Security
1302 FICA/MEDICARE 52,950 Employer FICA / Medicare
1303 SUI 20,181 State Unemployment Insurance
1304 FUTA 19,530 Federal Unemployment Tax
1305 Other (specify)-
1306 Other (specify)-
2000: CLIENT SUPPORT -
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (specify)-
California Psychological Institute
Child Welfare Mental Health
Fiscal Year (FY) 2020-21
PROGRAM EXPENSE
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
2012 Other (specify)-
2013 Other (specify)-
2014 Other (specify)-
2015 Other (specify)-
2016 Other (specify)-
3000: OPERATING EXPENSES 300,975
3001 Telecommunications 65,000 Expenses listed here include our cost for services related to telephone, internet, and
mobile phones .
3002 Printing/Postage 12,000 Stamps, and any related cost associated with mailing items through USPS or another
courier used to mail out all intake paperwork. Costs associated with document
printing, business cards, scanning, faxing, document destruction/shredding, legal
pads, brochures, office stationary, promotional items for clients such as fidget
spinners, stress balls etc.
3003 Office, Household & Program Supplies 90,000 General office items required for basic office functioning, cleaning supplies and
household supplies, items directly related to services provided to clients, such as
learning materials, books, arts and craft supplies, games, toys, RxNT access for the
Psychiatrist, any Psych Testing materials, group supplies. Other items include our
DMV and Live scan identification/verification costs related to background checks.
3004 Legal/Advertising 15,000 Costs associated with promoting the business such as job postings, directory listings,
training postings, and any legal expenses incurred for business purposes.
3005 Staff Development & Training 65,000 Employees are provided the benefit at a rate of $200/ year, on any related training
that allows them the opportunity to better themselves so that they can offer our
clients the best services. Remaining funds are earmarked for identified trainings useful
for this work. CPP, law and ethics, DBT and cultural competency will be scheduled
within 30 days of this contract start date.
3006 Staff Mileage 43,000 Employees who provide services in the field are provided mileage reimbursements at
a rate of $0.535/mile for the general upkeep and maintenance of their vehicles. Other
items included here may be expenses related to parking for meetings or court in areas
where parking garages must be used.
3007 Subscriptions & Memberships -
3008 Vehicle Maintenance -
3009 Licenses and Taxes 5,975 Payments made to Federal, State, City or County for various tax purposes
3010 Food 5,000 Food and beverage costs for the clientele such as coffee, creamer, sugar, tea, honey.
We also have snacks available in our kitchen for clients after each session. Cakes ,pizza
or cupcakes to celebrate client graduations. Water coolers.
3011 Other (specify)-
3012 Other (specify)-
4000: FACILITIES & EQUIPMENT 423,363
4001 Building Maintenance 64,950 Items such as lawn maintenance, pest control, plumbing, HVAC, electrical, annual fire
inspections, trash service, and any other expenses revolving around the general
maintenance, safety and security of the common areas.
4002 Rent/Lease Building 276,000 10,000 sqft building. Lease with Gateway, LLC
4003 Rent/Lease Equipment 1,962 Monthly rental agreement with Derrell’s for a storage space used for documentation
retention.
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 42,000 Services provided to us such as water, sewer, gas and electric. Currently California
Psychological Institute contracts with PG&E, City of Fresno and Pinedale Public Utility.
4007 Janitorial 38,451 Cleaning cost for 10,000 sqft building.
4008 Other (specify)-
4009 Other (specify)-
4010 Other (specify)-
5000: SPECIAL EXPENSES 470,000
5001 Consultant (Network & Data Management)55,000 Costs associated with the repairs, service, and maintenance of our network and all
company devices.
5002 HMIS (Health Management Information
System)
35,000 Expenses related to the maintenance of our Electronic Health Record systems.
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services 10,000 Funds to utilize outside translation services.
5005 Psychologist 70,000 Per Diem cost associated with providing services to our clients for Psych Evals, Neuro
Psych Evals, etc.
5006 Psychiatrist 300,000 Costs associated with providing our clients with med services.
5007 Other (specify)-
5008 Other (specify)-
6000: ADMINISTRATIVE EXPENSES 533,190
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
6001 Administrative Overhead 438,590 Audit Cost/Expenses, Executive fees, Interest accrued on line of credit draw, IT
consulting, HIPPA compliance and clinical record audits, risk management and
program fidelity, recruiting and human resources support. Other items include our
DMV and Live scan identification/verification costs related to background checks.
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping 25,000 Expenses associated with utilizing an outside Accounting Firm for annual review of our
bookkeeping, compliance, and yearly tax filing.
6004 External Audit 12,000 Audited Financial Statements
6005 Insurance (Specify):Liability 39,600 General Liability and malpractice insurance costs
6006 Payroll Services 18,000 Costs associated with utilizing an outside Payroll company for managing general
payroll reporting and compliance, Federal and State tax payments, employee direct
deposit and payroll checks, and issuing W2s.
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 105,000
7001 Computer Equipment & Software 80,000 Any costs associated with updates and/or replacements of our existing equipment
such as Printers, Software, Computers, Servers and server equipment, iPads,and Cell
phones, due to normal wear and use. New computers to be in HIPAA compliance with
windows.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 25,000 Expenses related to the replacement of our larger ticket items in the office due to
normal wear and use such as children’s, office and waiting room furniture and
equipment, desks, chairs, storage furniture, telephone systems, etc.
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)-
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:6,392,978
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:6,392,978
BUDGET CHECK:-
Estimated 15,750 units at $3.92 per unit
Estimated 122,500 units at $3.92 per unit
Estimated 253,000 units at $3.92 per unit
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Estimated 846,145 units at $3.92 per unit
Estimated 165,001 units at $3.10 per unit
Estimated 2,000 units at $3.92 per unit
Estimated 59,200 units at $6.00 per unit
Estimated 15,000 units at $3.92 per unit
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROGRAM FUNDING SOURCES
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Clinical Director 1.00 -$ 163,200$ 163,200$
1102 Licensed Clinician 11.00 - 1,173,000 1,173,000
1103 Unlicensed Clinician 12.00 - 1,040,400 1,040,400
1104 Client Care Coordinators 8.00 - 489,600 489,600
1105 COO 1.00 154,530 - 154,530
1106 Program Manager 1.00 68,340 - 68,340
1107 Office Manager 1.00 66,300 - 66,300
1108 QA/Outcomes Manager 1.00 86,700 - 86,700
1109 Administrative Assistants/Patient services 7.50 237,916 - 237,916
1110 Medical Billing / AR / AP/Finance 3.00 244,800 - 244,800
1111 -
1112 -
1113 -
1114 -
1115 -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 46.50 858,586$ 2,866,200$ 3,724,786$
Employee Benefits
Acct #Admin Direct Total
1201 67,790$ 180,210$ 248,000$
1202 3,140$ 8,409$ 11,549
1203 106,744$ 233,256$ 340,000
1204 -$ -$ -
1205 -$ -$ -
1206 - - -
177,674$ 421,875$ 599,549$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 53,232$ 167,586$ 220,818$
1302 12,449$ 41,560$ 54,009
1303 13,888 6,293 20,181
1304 13,440 6,090 19,530
1305 - - -
1306 - - -
93,009$ 221,529$ 314,538$
1,129,269$ 3,509,604$ 4,638,873$
Child Welfare Mental Health
California Psychological Institute
Fiscal Year (FY) 2021-2022
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Other (Specify)
Other (Specify)
Other (Specify)
FUTA
Other (Specify)
Other (Specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
2000: CLIENT SUPPORT
Acct #Amount
2001 -
2002 -
2003 -
2004 -
2005 -
2006 -
2007 -
2008 -
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
-$
3000: OPERATING EXPENSES
Acct #Amount
3001 65,000
3002 12,000
3003 90,000
3004 10,000
3005 30,000
3006 43,000
3007 -
3008 -
3009 5,975
3010 5,000
3011 -
3012 -
260,975$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 64,950
4002 276,000
4003 1,962
4004 -
4005 -
4006 42,000
4007 38,451
4008 -
4009 -
4010 -
423,363$
5000: SPECIAL EXPENSES
Acct #Amount
5001 55,000
5002 35,000
5003 -
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (Specify)
Other (Specify)
Subscriptions & Memberships
Vehicle Maintenance
Licenses and Taxes
Food
Other (Specify)
Other (Specify)
Telecommunications
Printing/Postage
Office, Household & Program Supplies
Advertising
Staff Development & Training
Staff Mileage
Security
Utilities
Janitorial
Other (Specify)
Other (Specify)
Other (Specify)
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
5004 10,000
5005 70,000
5006 300,000
5007 -
5008 -
470,000$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 323,167
6002 -
6003 25,000
6004 12,000
6005 39,600
6006 18,000
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
417,767$
7000: FIXED ASSETS
Acct #Amount
7001 80,000
7002 -
7003 25,000
7004 -
7005 -
7006 -
7007 -
7008 -
105,000$
SPECIAL EXPENSES TOTAL:
Line Item Description
Psychologist
Psychiatrist
Other (Specify)
Other (Specify)
Insurance (Specify):Liability
Translation Services
ADMINISTRATIVE EXPENSES TOTAL
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 6,315,978$
Assets over $5,000/unit (Specify)
Other (Specify)
Other (Specify)
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
Acct #Service Units Rate Amount
8001 Mental Health Services 846,145 3.92 3,316,888$
8002 Case Management 166,501 3.10 516,153
8003 Crisis Services 500 3.92 1,960
8004 Medication Support 59,200 6.00 355,200
8005 Collateral 15,000 3.92 58,800
8006 Plan Development 15,750 3.92 61,740
8007 Assessment 122,500 3.92 480,200
8008 Rehabilitation 253,000 3.75 948,750
8009 IHBS 45,050 3.10 139,655
8010 ICC 68,550 3.92 268,716
1,592,196 6,148,063$
99%
6,086,582
50%3,043,291
3,043,291$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 3,027,772$
3,027,772$
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 32,536$
8402 Court Documentation -- 883 units; $65.00 per report 57,395
8403 Mental Health Services (Individual/Family/Group Therapy) - 20,000 units; $3.92 per unit 78,400
8404 Case Management - 4,000 units; $3.10 per unit 12,400
8405 Crisis Services - 50 units; $3.92 per unit 196
8406 Medication Support - 1,700 units; $6.00 per unit 10,200
8407 Collateral - 500 units; $3.92 per unit 1,960
8408 Plan Development - 225 units; $3.92 per unit 882
8409 13,720
8410 27,440
8411 5,880
8412 3,906
244,915$
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
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
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Psychological Testing - 8,300 units; $3.92 per unit
Assessment - 3.500 units; $3.92 per unit
Rehabilitation - 7,000 units; $3.92 per unit
Intensive Care Coordination - 1,500 units; $3.92 per unit
Intensive Home-Based Services - 1,260 units; $3.10 per unit
OTHER REVENUE TOTAL
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
TOTAL PROGRAM FUNDING SOURCES:6,315,978$
NET PROGRAM COST: -$
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 4,638,873
Employee Salaries 3,724,786
1101 Clinical Director 163,200 Is responsible for overseeing and developing an organization's clinical departments.
Manages and guides the clinical staff in order to make sure clients receive the best care
possible.(1 FTE)
1102 Licensed Clinician 1,173,000 Provide clinical services to children and adults under contract with Fresno County.
Supervise and support unlicensed clinicians. (10.5 FTE)
1103 Unlicensed Clinician 1,040,400 Provide clinical services under contract with Fresno county to children and adults. (12
FTE)
1104 Client Care Coordinators 489,600 Provide support to families currently being treated by a clinician. Provide linkage and
assistance as well as education and school support to children and families. (6 FTE)
1105 COO 154,530 Oversees all staff, HR, Recruitment and retention, Contract oversight and supervises
daily operations. (1 FTE)
1106 Program Manager 68,340 Organizes and coordinates staff and curriculum for groups, trainings and chart audit.
Responsible for Outcomes Reporting and monthly Activity reports. (1 FTE)
1107 Office Manager 66,300 Supervises administrative assistants and patient care coordinators, coordinates
schedules and time off. (1 FTE)
1108 QA/Outcomes Manager 86,700 Responsible for outcomes data input into Avatar. Outcome collections and processing
daily. Chart Review and Note review, internal audit and coordination of peer review.
Outcomes report tracking and preparation. (1 FTE)
1109 Administrative Assistants/Patient services 237,916 Responsible for supporting staff, psychiatrist and managers. Greet clients and schedule
appointments. Do confirmation calls daily. Send all correspondence out of office. (7.5
FTE)
1110 Medical Billing / AR / AP/Finance 244,800 1 Controller, responsible for all general accounting duties. Manages bank accounts,
journal entries and all general accounting needs, oversees billing, AR/AP, check
reconciliation and taxes. 2 AP/AR clerks - Responsible for all medical billing and data
drop, check deposit and bill entry. (3 FTE)
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 599,549
1201 Retirement 248,000 A competitive benefits package consistent with industry standards in order to retain
quality employees
1202 Worker's Compensation 11,549 Workers Compensation
1203 Health Insurance 340,000 Health, Dental & Vision
1204 Other (Specify)-
1205 Other (Specify)-
1206 Other (Specify)-
Payroll Taxes & Expenses:314,538
1301 OASDI 220,818 Employer Social Security
1302 FICA/MEDICARE 54,009 Employer FICA / Medicare
1303 SUI 20,181 State Unemployment Insurance
1304 FUTA 19,530 Federal Unemployment Tax
1305 Other (Specify)-
1306 Other (Specify)-
2000: CLIENT SUPPORT -
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
Child Welfare Mental Health
California Psychological Institute
Fiscal Year (FY) 2021-2022
PROGRAM EXPENSE
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
2010 Utility Vouchers -
2011 Other (Specify)-
2012 Other (Specify)-
2013 Other (Specify)-
2014 Other (Specify)-
2015 Other (Specify)-
2016 Other (Specify)-
3000: OPERATING EXPENSES 260,975
3001 Telecommunications 65,000 Expenses listed here include our cost for services related to telephone, internet, and
mobile phones .
3002 Printing/Postage 12,000 Stamps, and any related cost associated with mailing items through USPS or another
courier used to mail out all intake paperwork. Costs associated with document printing,
business cards, scanning, faxing, document destruction/shredding, legal pads,
brochures, office stationary, promotional items for clients such as fidget spinners, stress
balls etc.
3003 Office, Household & Program Supplies 90,000 General office items required for basic office functioning, cleaning supplies and
household supplies, items directly related to services provided to clients, such as
learning materials, books, arts and craft supplies, games, toys, RxNT access for the
Psychiatrist, any Psych Testing materials, group supplies. Other items include our DMV
and Live scan identification/verification costs related to background checks.
3004 Advertising 10,000 Costs associated with promoting the business such as job postings, directory listings,
training postings, and any legal expenses incurred for business purposes.
3005 Staff Development & Training 30,000 Employees are provided the benefit at a rate of $200/ year, on any related training that
allows them the opportunity to better themselves so that they can offer our clients the
best services. Remaining funds are earmarked for identified trainings useful for this
work. CPP, law and ethics, DBT and cultural competency will be scheduled within 30
days of this contract start date.
3006 Staff Mileage 43,000 Employees who provide services in the field are provided mileage reimbursements at a
rate of $0.535/mile for the general upkeep and maintenance of their vehicles. Other
items included here may be expenses related to parking for meetings or court in areas
where parking garages must be used.
3007 Subscriptions & Memberships - 0
3008 Vehicle Maintenance - 0
3009 Licenses and Taxes 5,975 Payments made to Federal, State, City or County for various tax purposes
3010 Food 5,000 Food and beverage costs for the clientele such as coffee, creamer, sugar, tea, honey. We
also have snacks available in our kitchen for clients after each session. Cakes ,pizza or
cupcakes to celebrate client graduations. Water coolers.
3011 Other (Specify)-
3012 Other (Specify)-
4000: FACILITIES & EQUIPMENT 423,363
4001 Building Maintenance 64,950 Items such as lawn maintenance, pest control, plumbing, HVAC, electrical, annual fire
inspections, trash service, and any other expenses revolving around the general
maintenance, safety and security of the common areas.
4002 Rent/Lease Building 276,000 10,000 sqft building. Lease with Gateway, LLC
4003 Rent/Lease Equipment 1,962 Monthly rental agreement with Derrell’s for a storage space used for documentation
retention.
4004 Rent/Lease Vehicles - 0
4005 Security - 0
4006 Utilities 42,000 Services provided to us such as water, sewer, gas and electric. Currently California
Psychological Institute contracts with PG&E, City of Fresno and Pinedale Public Utility.
4007 Janitorial 38,451 Cleaning cost for 10,000 sqft building.
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify)-
5000: SPECIAL EXPENSES 470,000
5001 Consultant (Network & Data Management)55,000 Costs associated with the repairs, service, and maintenance of our network and all
company devices.
5002 HMIS (Health Management Information
System)
35,000 Expenses related to the maintenance of our Electronic Health Record systems.
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services 10,000 Funds to utilize outside translation services.
5005 Psychologist 70,000 Per Diem cost associated with providing services to our clients for Psych Evals, Neuro
Psych Evals, etc.
5006 Psychiatrist 300,000 Costs associated with providing our clients with med services.
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
5007 Other (Specify)-
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 417,767
6001 Administrative Overhead 323,167 Audit Cost/Expenses, Executive fees, Interest accrued on line of credit draw, IT
consulting, HIPPA compliance and clinical record audits, risk management and program
fidelity, recruiting and human resources support. Other items include our DMV and Live
scan identification/verification costs related to background checks.
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping 25,000 Expenses associated with utilizing an outside Accounting Firm for annual review of our
bookkeeping, compliance, and yearly tax filing.
6004 External Audit 12,000 Audited Financial Statements
6005 Insurance (Specify):Liability 39,600 General Liability and malpractice insurance costs
6006 Payroll Services 18,000 Costs associated with utilizing an outside Payroll company for managing general payroll
reporting and compliance, Federal and State tax payments, employee direct deposit and
payroll checks, and issuing W2s.
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 105,000
7001 Computer Equipment & Software 80,000 Any costs associated with updates and/or replacements of our existing equipment such
as Printers, Software, Computers, Servers and server equipment, iPads,and Cell phones,
due to normal wear and use. New computers to be in HIPAA compliance with windows.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 25,000 Expenses related to the replacement of our larger ticket items in the office due to
normal wear and use such as children’s, office and waiting room furniture and
equipment, desks, chairs, storage furniture, telephone systems, etc.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify)-
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:6,315,978
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:6,315,978
BUDGET CHECK:-
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Clinical Director 1.00 -$ 166,464$ 166,464$
1102 Licensed Clinician 11.00 - 1,196,460 1,196,460
1103 Unlicensed Clinician 12.00 - 1,061,208 1,061,208
1104 Client Care Coordinators 8.00 - 499,392 499,392
1105 COO 1.00 157,621 - 157,621
1106 Program Manager 1.00 69,707 - 69,707
1107 Office Manager 1.00 67,626 - 67,626
1108 QA/Outcomes Manager 1.00 88,434 - 88,434
1109 Administrative Assistants/Patient services 7.50 242,674 - 242,674
1110 Medical Billing / AR / AP/Finance 3.00 249,696 - 249,696
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - -
Personnel Salaries Subtotal 46.50 875,758$ 2,923,524$ 3,799,282$
Employee Benefits
Acct #Admin Direct Total
1201 67,790 180,210 248,000$
1202 3,140 8,409 11,549
1203 106,744 233,256 340,000
1204 - - -
1205 - - -
1206 - - -
177,674$ 421,875$ 599,549$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 54,297$ 170,938$ 225,235$
1302 12,698$ 42,391$ 55,089
1303 13,888 6,293 20,181
1304 13,440 6,090 19,530
1305 - - -
1306 - - -
94,323$ 225,712$ 320,035$
1,147,755$ 3,571,111$ 4,718,866$
Child Welfare Mental Health
California Psychological Institute
Fiscal Year (FY) 2022-2023
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
Other (specify)
FUTA
Other (specify)
Other (specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
2000: CLIENT SUPPORT
Acct #Amount
2001 -
2002 -
2003 -
2004 -
2005 -
2006 -
2007 -
2008 -
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
-$
3000: OPERATING EXPENSES
Acct #Amount
3001 65,000
3002 12,000
3003 90,000
3004 10,000
3005 30,000
3006 43,000
3007 -
3008 -
3009 5,975
3010 5,000
3011 -
3012 -
260,975$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 50,000
4002 276,000
4003 1,962
4004 -
4005 -
4006 42,000
4007 38,451
4008 -
4009 -
4010 -
408,413$
5000: SPECIAL EXPENSES
Acct #Amount
5001 55,000
5002 35,000
5003 -
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (Specify)
Other (Specify)
Subscriptions & Memberships
Vehicle Maintenance
Licenses and Taxes
Food
Other (Specify)
Other (Specify)
Telecommunications
Printing/Postage
Office, Household & Program Supplies
Advertising
Staff Development & Training
Staff Mileage
Security
Utilities
Janitorial
Other (specify)
Other (Specify)
Other (Specify)
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
5004 10,000
5005 70,000
5006 300,000
5007 -
5008 -
470,000$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 298,124
6002 -
6003 25,000
6004 12,000
6005 39,600
6006 18,000
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
392,724$
7000: FIXED ASSETS
Acct #Amount
7001 20,000
7002 -
7003 15,000
7004 -
7005 -
7006 -
7007 -
7008 -
35,000$
SPECIAL EXPENSES TOTAL:
Line Item Description
Psychologist
Psychiatrist
Other (Specify)
Other (Specify)
Insurance (Specify):
Translation Services
ADMINISTRATIVE EXPENSES TOTAL
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
Other (Specify)
Other (Specify)
Assets over $5,000/unit (Specify)
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 6,285,978$
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
Acct #Service Units Rate Amount
8001 Mental Health Services 846,145 3.92 3,316,888$
8002 Case Management 166,501 3.10 516,153
8003 Crisis Services 500 3.92 1,960
8004 Medication Support 59,200 6.00 355,200
8005 Collateral 15,000 3.92 58,800
8006 Plan Development 15,750 3.92 61,740
8007 Assessment 122,500 3.92 480,200
8008 Rehabilitation 253,000 3.75 948,750
8009 IHBS 45,050 3.10 139,655
8010 ICC 68,550 3.92 268,716
1,592,196$ 6,148,063$
99%
6,086,582
50%3,043,291
3,043,291$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 2,997,772$
2,997,772$
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 32,536$
8402 Court Documentation -- 883 units; $65.00 per report 57,395
8403 Mental Health Services (Individual/Family/Group Therapy) - 20,000 units; $3.92 per unit 78,400
8404 Case Management - 4,000 units; $3.10 per unit 12,400
8405 Crisis Services - 50 units; $3.92 per unit 196
8406 Medication Support - 1,700 units; $6.00 per unit 10,200
8407 Collateral - 500 units; $3.92 per unit 1,960
8408 Plan Development - 225 units; $3.92 per unit 882
8409 13,720
8410 27,440
8411 5,880
8412 3,906
244,915$
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
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
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
OTHER REVENUE TOTAL
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Psychological Testing - 8,300 units; $3.92 per unit
Assessment - 3.500 units; $3.92 per unit
Rehabilitation - 7,000 units; $3.92 per unit
Intensive Care Coordination - 1,500 units; $3.92 per unit
Intensive Home-Based Services - 1,260 units; $3.10 per unit
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
TOTAL PROGRAM FUNDING SOURCES:6,285,978$
NET PROGRAM COST: -$
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 4,718,866
Employee Salaries 3,799,282
1101 Clinical Director 166,464 Is responsible for overseeing and developing an organization's clinical departments.
Manages and guides the clinical staff in order to make sure clients receive the best care
possible.(1 FTE)
1102 Licensed Clinician 1,196,460 Provide clinical services to children and adults under contract with Fresno County.
Supervise and support unlicensed clinicians. (10.5 FTE)
1103 Unlicensed Clinician 1,061,208 Provide clinical services under contract with Fresno county to children and adults. (12
FTE)
1104 Client Care Coordinators 499,392 Provide support to families currently being treated by a clinician. Provide linkage and
assistance as well as education and school support to children and families. (6 FTE)
1105 COO 157,621 Oversees all staff, HR, Recruitment and retention, Contract oversight and supervises
daily operations. (1 FTE)
1106 Program Manager 69,707 Organizes and coordinates staff and curriculum for groups, trainings and chart audit.
Responsible for Outcomes Reporting and monthly Activity reports. (1 FTE)
1107 Office Manager 67,626 Supervises administrative assistants and patient care coordinators, coordinates
schedules and time off. (1 FTE)
1108 QA/Outcomes Manager 88,434 Responsible for outcomes data input into Avatar. Outcome collections and processing
daily. Chart Review and Note review, internal audit and coordination of peer review.
Outcomes report tracking and preparation. (1 FTE)
1109 Administrative Assistants/Patient services 242,674 Responsible for supporting staff, psychiatrist and managers. Greet clients and schedule
appointments. Do confirmation calls daily. Send all correspondence out of office. (7.5
FTE)
1110 Medical Billing / AR / AP/Finance 249,696 1 Controller, responsible for all general accounting duties. Manages bank accounts,
journal entries and all general accounting needs, oversees billing, AR/AP, check
reconciliation and taxes. 2 AP/AR clerks - Responsible for all medical billing and data
drop, check deposit and bill entry. (3 FTE)
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 599,549
1201 Retirement 248,000 A competitive benefits package consistent with industry standards in order to retain
quality employees
1202 Worker's Compensation 11,549 Workers Compensation
1203 Health Insurance 340,000 Health, Dental & Vision
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
Payroll Taxes & Expenses:320,035
1301 OASDI 225,235 Employer Social Security
1302 FICA/MEDICARE 55,089 Employer FICA / Medicare
1303 SUI 20,181 State Unemployment Insurance
1304 FUTA 19,530 Federal Unemployment Tax
1305 Other (specify)-
1306 Other (specify)-
2000: CLIENT SUPPORT -
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
PROGRAM EXPENSE
Child Welfare Mental Health
California Psychological Institute
Fiscal Year (FY) 2022-2023
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
2010 Utility Vouchers -
2011 Other (Specify)-
2012 Other (Specify)-
2013 Other (Specify)-
2014 Other (Specify)-
2015 Other (Specify)-
2016 Other (Specify)-
3000: OPERATING EXPENSES 260,975
3001 Telecommunications 65,000 Expenses listed here include our cost for services related to telephone, internet, and
mobile phones .
3002 Printing/Postage 12,000 Stamps, and any related cost associated with mailing items through USPS or another
courier used to mail out all intake paperwork. Costs associated with document printing,
business cards, scanning, faxing, document destruction/shredding, legal pads,
brochures, office stationary, promotional items for clients such as fidget spinners, stress
balls etc.
3003 Office, Household & Program Supplies 90,000 General office items required for basic office functioning, cleaning supplies and
household supplies, items directly related to services provided to clients, such as
learning materials, books, arts and craft supplies, games, toys, RxNT access for the
Psychiatrist, any Psych Testing materials, group supplies. Other items include our DMV
and Live scan identification/verification costs related to background checks.
3004 Advertising 10,000 Costs associated with promoting the business such as job postings, directory listings,
training postings, and any legal expenses incurred for business purposes.
3005 Staff Development & Training 30,000 Employees are provided the benefit at a rate of $200/ year, on any related training that
allows them the opportunity to better themselves so that they can offer our clients the
best services. Remaining funds are earmarked for identified trainings useful for this
work. CPP, law and ethics, DBT and cultural competency will be scheduled within 30
days of this contract start date.
3006 Staff Mileage 43,000 Employees who provide services in the field are provided mileage reimbursements at a
rate of $0.535/mile for the general upkeep and maintenance of their vehicles. Other
items included here may be expenses related to parking for meetings or court in areas
where parking garages must be used.
3007 Subscriptions & Memberships - 0
3008 Vehicle Maintenance - 0
3009 Licenses and Taxes 5,975 Payments made to Federal, State, City or County for various tax purposes
3010 Food 5,000 Food and beverage costs for the clientele such as coffee, creamer, sugar, tea, honey. We
also have snacks available in our kitchen for clients after each session. Cakes ,pizza or
cupcakes to celebrate client graduations. Water coolers.
3011 Other (Specify)-
3012 Other (Specify)-
4000: FACILITIES & EQUIPMENT 408,413
4001 Building Maintenance 50,000 Items such as lawn maintenance, pest control, plumbing, HVAC, electrical, annual fire
inspections, trash service, and any other expenses revolving around the general
maintenance, safety and security of the common areas.
4002 Rent/Lease Building 276,000 10,000 sqft building. Lease with Gateway, LLC
4003 Rent/Lease Equipment 1,962 Monthly rental agreement with Derrell’s for a storage space used for documentation
retention.
4004 Rent/Lease Vehicles - 0
4005 Security - 0
4006 Utilities 42,000 Services provided to us such as water, sewer, gas and electric. Currently California
Psychological Institute contracts with PG&E, City of Fresno and Pinedale Public Utility.
4007 Janitorial 38,451 Cleaning cost for 10,000 sqft building.
4008 Other (specify)-
4009 Other (Specify)-
4010 Other (Specify)-
5000: SPECIAL EXPENSES 470,000
5001 Consultant (Network & Data Management)55,000 Costs associated with the repairs, service, and maintenance of our network and all
company devices.
5002 HMIS (Health Management Information
System)
35,000 Expenses related to the maintenance of our Electronic Health Record systems.
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services 10,000 Funds to utilize outside translation services.
5005 Psychologist 70,000 Per Diem cost associated with providing services to our clients for Psych Evals, Neuro
Psych Evals, etc.
5006 Psychiatrist 300,000 Costs associated with providing our clients with med services.
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
5007 Other (Specify)-
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 392,724
6001 Administrative Overhead 298,124 Audit Cost/Expenses, Executive fees, Interest accrued on line of credit draw, IT
consulting, HIPPA compliance and clinical record audits, risk management and program
fidelity, recruiting and human resources support. Other items include our DMV and Live
scan identification/verification costs related to background checks.
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping 25,000 Expenses associated with utilizing an outside Accounting Firm for annual review of our
bookkeeping, compliance, and yearly tax filing.
6004 External Audit 12,000 Audited Financial Statements
6005 Insurance (Specify):39,600 General Liability and malpractice insurance costs
6006 Payroll Services 18,000 Costs associated with utilizing an outside Payroll company for managing general payroll
reporting and compliance, Federal and State tax payments, employee direct deposit and
payroll checks, and issuing W2s.
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 35,000
7001 Computer Equipment & Software 20,000 Any costs associated with updates and/or replacements of our existing equipment such
as Printers, Software, Computers, Servers and server equipment, iPads,and Cell phones,
due to normal wear and use. New computers to be in HIPAA compliance with windows.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 15,000 Expenses related to the replacement of our larger ticket items in the office due to
normal wear and use such as children’s, office and waiting room furniture and
equipment, desks, chairs, storage furniture, telephone systems, etc.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify)-
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:6,285,978
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:6,285,978
BUDGET CHECK:-
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
PROGRAM FUNDING SOURCES
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Clinical Director 1.00 -$ 169,793 169,793$
1102 Licensed Clinician 11.00 - 1,220,389 1,220,389
1103 Unlicensed Clinician 12.00 - 1,082,432 1,082,432
1104 Client Care Coordinators 8.00 - 509,380 509,380
1105 COO 1.00 160,773 - 160,773
1106 Program Manager 1.00 71,101 - 71,101
1107 Office Manager 1.00 68,979 - 68,979
1108 QA/Outcomes Manager 1.00 90,203 - 90,203
1109 Administrative Assistants/Patient services 7.50 247,527 - 247,527
1110 Medical Billing / AR / AP/Finance 3.00 254,690 - 254,690
1111 - - -
1112 - - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 -$ -$ -
1119 0 - - - -
1120 - -
Personnel Salaries Subtotal 46.50 893,273$ 2,981,994$ 3,875,267$
Employee Benefits
Acct #Admin Direct Total
1201 67,790 180,210 248,000$
1202 3,140 8,409 11,549
1203 106,744 233,256 340,000
1204 - - -
1205 - - -
1206 - - -
177,674$ 421,875$ 599,549$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 55,383$ 174,356$ 229,739$
1302 12,952$ 43,239$ 56,191
1303 13,888 6,293 20,181
1304 13,440 6,090 19,530
1305 - - -
1306 - - -
95,663$ 229,978$ 325,641$
1,166,610$ 3,633,847$ 4,800,457$
Child Welfare Mental Health
California Psychological Institute
Fiscal Year (FY) 2023-2024
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Other (Specify)
Other (Specify)
Other (Specify)
FUTA
Other (Specify)
Other (Specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 -
2004 -
2005 -
2006 -
2007 -
2008 -
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
-$
3000: OPERATING EXPENSES
Acct #Amount
3001 65,000
3002 8,000
3003 83,518
3004 10,000
3005 25,000
3006 43,000
3007 -
3008 -
3009 5,975
3010 5,000
3011 -
3012 -
245,493$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 35,000$
4002 276,000$
4003 1,962$
4004 -$
4005 -$
4006 42,000$
4007 38,451$
4008 -$
4009 -$
4010 -
393,413$
5000: SPECIAL EXPENSES
Acct #Amount
5001 55,000$
5002 35,000$
5003 -$
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (Specify)
Other (Specify)
Subscriptions & Memberships
Vehicle Maintenance
licenses and Taxes
food
Other (Specify)
Other (Specify)
Telecommunications
Printing/Postage
Office, Household & Program Supplies
Advertising
Staff Development & Training
Staff Mileage
Security
Utilities
Janitorial
Other (Specify)
Other (Specify)
Other (Specify)
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
5004 5,000$
5005 70,000$
5006 300,000$
5007 -$
5008 -$
465,000$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 247,015$
6002 -$
6003 25,000$
6004 12,000$
6005 39,600$
6006 18,000$
6007 -$
6008 -$
6009 -$
6010 -$
6011 -$
6012 -
341,615$
7000: FIXED ASSETS
Acct #Amount
7001 30,000$
7002 -$
7003 10,000$
7004 -$
7005 -$
7006 -$
7007 -$
7008 -
40,000$
SPECIAL EXPENSES TOTAL:
Line Item Description
Psychologist
psychiatrist
Other (Specify)
Other (Specify)
Insurance (Specify):
Translation Services
ADMINISTRATIVE EXPENSES TOTAL
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
Assets over $5,000/unit (Specify)
Other (Specify)
Other (Specify)
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 6,285,978$
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
Acct #Service Units Rate Amount
8001 Mental Health Services 846,145 3.92 3,316,888$
8002 Case Management 166,501 3.10 516,153
8003 Crisis Services 500 3.92 1,960
8004 Medication Support 59,200 6.00 355,200
8005 Collateral 15,000 3.92 58,800
8006 Plan Development 15,750 3.92 61,740
8007 Assessment 122,500 3.92 480,200
8008 Rehabilitation 253,000 3.75 948,750
8009 IHBS 45,050 3.10 139,655
8010 ICC 68,550 3.92 268,716
1,592,196$ 6,148,063$
99%
6,086,582
50%3,043,291
3,043,291$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 2,997,772$
2,997,772$
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 32,536$
8402 Court Documentation -- 883 units; $65.00 per report 57,395
8403 Mental Health Services (Individual/Family/Group Therapy) - 20,000 units; $3.92 per unit 78,400
8404 Case Management - 4,000 units; $3.10 per unit 12,400
8405 Crisis Services - 50 units; $3.92 per unit 196
8406 Medication Support - 1,700 units; $6.00 per unit 10,200
8407 Collateral - 500 units; $3.92 per unit 1,960
8408 Plan Development - 225 units; $3.92 per unit 882
8409 13,720
8410 27,440
8411 5,880
8412 3,906
244,915$
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
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
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
OTHER REVENUE TOTAL
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Psychological Testing - 8,300 units; $3.92 per unit
Assessment - 3.500 units; $3.92 per unit
Rehabilitation - 7,000 units; $3.92 per unit
Intensive Care Coordination - 1,500 units; $3.92 per unit
Intensive Home-Based Services - 1,260 units; $3.10 per unit
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
TOTAL PROGRAM FUNDING SOURCES:6,285,978$
NET PROGRAM COST: -$
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 4,800,457
Employee Salaries 3,875,267
1101 Clinical Director 169,793 Is responsible for overseeing and developing an organization's clinical departments.
Manages and guides the clinical staff in order to make sure clients receive the best care
possible.(1 FTE)
1102 Licensed Clinician 1,220,389 Provide clinical services to children and adults under contract with Fresno County.
Supervise and support unlicensed clinicians. (10.5 FTE)
1103 Unlicensed Clinician 1,082,432 Provide clinical services under contract with Fresno county to children and adults. (12
FTE)
1104 Client Care Coordinators 509,380 Provide support to families currently being treated by a clinician. Provide linkage and
assistance as well as education and school support to children and families. (6 FTE)
1105 COO 160,773 Oversees all staff, HR, Recruitment and retention, Contract oversight and supervises daily
operations. (1 FTE)
1106 Program Manager 71,101 Organizes and coordinates staff and curriculum for groups, trainings and chart audit.
Responsible for Outcomes Reporting and monthly Activity reports. (1 FTE)
1107 Office Manager 68,979 Supervises administrative assistants and patient care coordinators, coordinates
schedules and time off. (1 FTE)
1108 QA/Outcomes Manager 90,203 Responsible for outcomes data input into Avatar. Outcome collections and processing
daily. Chart Review and Note review, internal audit and coordination of peer review.
Outcomes report tracking and preparation. (1 FTE)
1109 Administrative Assistants/Patient services 247,527 Responsible for supporting staff, psychiatrist and managers. Greet clients and schedule
appointments. Do confirmation calls daily. Send all correspondence out of office. (7.5
FTE)
1110 Medical Billing / AR / AP/Finance 254,690 1 Controller, responsible for all general accounting duties. Manages bank accounts,
journal entries and all general accounting needs, oversees billing, AR/AP, check
reconciliation and taxes. 2 AP/AR clerks - Responsible for all medical billing and data
drop, check deposit and bill entry. (3 FTE)
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 599,549
1201 Retirement 248,000 A competitive benefits package consistent with industry standards in order to retain
quality employees
1202 Worker's Compensation 11,549 Workers Compensation
1203 Health Insurance 340,000 Health, Dental & Vision
1204 Other (Specify)-
1205 Other (Specify)-
1206 Other (Specify)-
Payroll Taxes & Expenses:325,641
1301 OASDI 229,739 Employer Social Security
1302 FICA/MEDICARE 56,191 Employer FICA / Medicare
1303 SUI 20,181 State Unemployment Insurance
1304 FUTA 19,530 Federal Unemployment Tax
1305 Other (Specify)-
1306 Other (Specify)-
2000: CLIENT SUPPORT -
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
Child Welfare Mental Health
California Psychological Institute
Fiscal Year (FY) 2023-2024
PROGRAM EXPENSE
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
2010 Utility Vouchers -
2011 Other (Specify)-
2012 Other (Specify)-
2013 Other (Specify)-
2014 Other (Specify)-
2015 Other (Specify)-
2016 Other (Specify)-
3000: OPERATING EXPENSES 245,493
3001 Telecommunications 65,000 Expenses listed here include our cost for services related to telephone, internet, and
mobile phones .
3002 Printing/Postage 8,000 Stamps, and any related cost associated with mailing items through USPS or another
courier used to mail out all intake paperwork. Costs associated with document printing,
business cards, scanning, faxing, document destruction/shredding, legal pads, brochures,
office stationary, promotional items for clients such as fidget spinners, stress balls etc.
3003 Office, Household & Program Supplies 83,518 General office items required for basic office functioning, cleaning supplies and
household supplies, items directly related to services provided to clients, such as learning
materials, books, arts and craft supplies, games, toys, RxNT access for the Psychiatrist,
any Psych Testing materials, group supplies. Other items include our DMV and Live scan
identification/verification costs related to background checks.
3004 Advertising 10,000 Costs associated with promoting the business such as job postings, directory listings,
training postings, and any legal expenses incurred for business purposes.
3005 Staff Development & Training 25,000 Employees are provided the benefit at a rate of $200/ year, on any related training that
allows them the opportunity to better themselves so that they can offer our clients the
best services. Remaining funds are earmarked for identified trainings useful for this work.
CPP, law and ethics, DBT and cultural competency will be scheduled within 30 days of
this contract start date.
3006 Staff Mileage 43,000 Employees who provide services in the field are provided mileage reimbursements at a
rate of $0.535/mile for the general upkeep and maintenance of their vehicles. Other
items included here may be expenses related to parking for meetings or court in areas
where parking garages must be used.
3007 Subscriptions & Memberships - 0
3008 Vehicle Maintenance - 0
3009 licenses and Taxes 5,975 Payments made to Federal, State, City or County for various tax purposes
3010 food 5,000 Food and beverage costs for the clientele such as coffee, creamer, sugar, tea, honey. We
also have snacks available in our kitchen for clients after each session. Cakes ,pizza or
cupcakes to celebrate client graduations. Water coolers.
3011 Other (Specify)-
3012 Other (Specify)-
4000: FACILITIES & EQUIPMENT 393,413
4001 Building Maintenance 35,000 Items such as lawn maintenance, pest control, plumbing, HVAC, electrical, annual fire
inspections, trash service, and any other expenses revolving around the general
maintenance, safety and security of the common areas.
4002 Rent/Lease Building 276,000 10,000 sqft building. Lease with Gateway, LLC
4003 Rent/Lease Equipment 1,962 Monthly rental agreement with Derrell’s for a storage space used for documentation
retention.
4004 Rent/Lease Vehicles - 0
4005 Security - 0
4006 Utilities 42,000 Services provided to us such as water, sewer, gas and electric. Currently California
Psychological Institute contracts with PG&E, City of Fresno and Pinedale Public Utility.
4007 Janitorial 38,451 Cleaning cost for 10,000 sqft building.
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify)-
5000: SPECIAL EXPENSES 465,000
5001 Consultant (Network & Data Management)55,000 Costs associated with the repairs, service, and maintenance of our network and all
company devices.
5002 HMIS (Health Management Information
System)
35,000 Expenses related to the maintenance of our Electronic Health Record systems.
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services 5,000 Funds to utilize outside translation services.
5005 Psychologist 70,000 Per Diem cost associated with providing services to our clients for Psych Evals, Neuro
Psych Evals, etc.
5006 psychiatrist 300,000 Costs associated with providing our clients with med services.
5007 Other (Specify)-
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-1
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 341,615
6001 Administrative Overhead 247,015 Audit Cost/Expenses, Executive fees, Interest accrued on line of credit draw, IT
consulting, HIPPA compliance and clinical record audits, risk management and program
fidelity, recruiting and human resources support. Other items include our DMV and Live
scan identification/verification costs related to background checks.
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping 25,000 Expenses associated with utilizing an outside Accounting Firm for annual review of our
bookkeeping, compliance, and yearly tax filing.
6004 External Audit 12,000 Audited Financial Statements
6005 Insurance (Specify):39,600 General Liability and malpractice insurance costs
6006 Payroll Services 18,000 Costs associated with utilizing an outside Payroll company for managing general payroll
reporting and compliance, Federal and State tax payments, employee direct deposit and
payroll checks, and issuing W2s.
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 40,000
7001 Computer Equipment & Software 30,000 Any costs associated with updates and/or replacements of our existing equipment such
as Printers, Software, Computers, Servers and server equipment, iPads,and Cell phones,
due to normal wear and use. New computers to be in HIPAA compliance with windows.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 10,000 Expenses related to the replacement of our larger ticket items in the office due to normal
wear and use such as children’s, office and waiting room furniture and equipment, desks,
chairs, storage furniture, telephone systems, etc.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify)-
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:6,285,978
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:6,285,978
BUDGET CHECK:-
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-2
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Program Director 1.00 -$ 99,300$ 99,300$
1102 Case Manager 9.00 - 509,850 509,850
1103 Mental Health Specialists 21.00 - 1,448,129 1,448,129
1104 Clinical Supervisors 3.00 - 222,789 222,789
1105 Intake Coordinator 2.00 - 67,898 67,898
1106 LVN 0.50 - 26,780 26,780
1107 Administrator 0.25 29,175 - 29,175
1108 Quality Assurance Coordinator 0.40 21,218 - 21,218
1109 Quality Assurance Manager 0.40 27,583 - 27,583
1110 Training Coordinator 0.40 22,067 - 22,067
1111 Human Resource Coordinator 0.50 26,788 - 26,788
1112 Admin Clerk 1.50 54,631 - 54,631
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 39.95 181,462$ 2,374,746$ 2,556,207$
Employee Benefits
Acct #Admin Direct Total
1201 31,302$ 409,644$ 440,946$
1202 - - -
1203 - - -
1204 - - -
1205 - - -
1206 - - -
31,302$ 409,644$ 440,946$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 18,146$ 237,475$ 255,621$
1302 -$ -$ -
1303 - - -
1304 - - -
1305 - - -
1306 - - -
18,146$ 237,475$ 255,621$
230,910$ 3,021,865$ 3,252,774$
Other (specify)
Retirement/Workers Comp/Health Insurance
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Payroll Taxes
Other (specify)
Other (specify)
Other (specify)
Employee Benefits Subtotal:
Description
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Child Welfare Mental Health Services
Central Star Behavioral Health
Fiscal Year (FY) 2019-20
Description
Payroll Taxes & Expenses Subtotal:
Other (specify)
Other (specify)
EMPLOYEE SALARIES & BENEFITS TOTAL:
Revised Exhibit D-2
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 2,400
2004 -
2005 -
2006 -
2007 -
2008 -
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
2,400$
3000: OPERATING EXPENSES
Acct #Amount
3001 95,468$
3002 -
3003 -
3004 14,382
3005 Household Supplies -
3006 Legal Notices/Advertising -
3007 Staff Training/Registration 30,000
3008 Staff Mileage/Vehicle Maintenance 82,563
3009 Subscriptions & Memberships -
3010 Licenses and Taxes 15,000
3011 Food
3012 Program Supplies - Therapeutic -
3013 Other - Purchased Services 34,860
3014 Other - Centralized Services - program 125,435
397,708$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 22,800$
4002 73,080
4003 19,000
4004 -
4005 -
4006 15,000
4007 -
4008 -
4009 -
4010 -
129,880$
Client Housing Support
Child Care
Other (specify)
Other (specify)
Rent/Lease Vehicles
Security
Client Transportation & Support
Building Maintenance
Other (specify)
Utilities
Other (specify)
Other (specify)
Other (specify)
Rent/Lease Equipment
Rent/Lease Building
Other (specify)
Printing/Reproduction
Telephone
Postage
OPERATING EXPENSES TOTAL:
Employment Support
Utility Vouchers
Program Supplies - Medical
Medication Supports
FACILITIES/EQUIPMENT TOTAL:
Clothing, Food, & Hygiene
Education Support
Household Items for Clients
Other (specify)
Line Item Description
Line Item Description
Line Item Description
DIRECT CLIENT CARE TOTAL
Other (specify)
Other (specify)
Office Supplies & Equipment
Revised Exhibit D-2
5000: SPECIAL EXPENSES
Acct #Amount
5001 -$
5002 -
5003 -
5004 7,200
5005 186,000
5006 -
5007 -
5008 -
193,200$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 608,658$
6002 -
6003 90,000
6004 3,600
6005 18,896
6006 11,984
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
733,138$
7000: FIXED ASSETS
Acct #Amount
7001 37,901$
7002 -
7003 3,000
7004 -
7005 -
7006 -
7007 -
7008 -
40,901$
Line Item Description
Medication Supports
Other (specify)
Other (specify)
Other (specify)
SPECIAL EXPENSES TOTAL:
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Translation Services
Leasehold/Tenant/Building Improvements
Payroll Services
Administrative Overhead
Other (specify)
Other (specify)
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Computers & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Line Item Description
Other (specify)
ADMINISTRATIVE EXPENSES TOTAL
External Audit
Other (specify)
Other (specify)
Other (specify)
Liability Insurance
Consultant (Network & Data Management)
4,750,000$ TOTAL PROGRAM EXPENSES
Other Assets over $500 with Lifespan of 2 Years +
Other (specify)
Assets over $5,000/unit (Specify)
FIXED ASSETS EXPENSES TOTAL
Line Item Description
Professional Liability Insurance
Accounting/Bookkeeping
Revised Exhibit D-2
Acct #Service Units Rate Amount
8001 Mental Health Services 471,977 2.81 1,326,255$
8002 Case Management 340,015 2.17 737,833
8003 Crisis Intervention 2,654 4.17 11,067
8004 Medication Support 35,610 5.18 184,458
8005 Collateral 311,807 2.81 876,177
8006 Plan Development 32,822 2.81 92,229
8007 Assessment 49,233 2.81 138,344
8008 Rehabilitation 32,822 2.81 92,229
8009 Intensive Care Coordination 212,510 2.17 461,146
8010 Intensive Home-Based Services 246,163 2.81 691,719
1,735,613 4,611,457$
97%
4,473,113
50%2,236,557
2,236,556$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 2,236,558$
2,236,558$
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 44,583$
8402 Court Documentation, Reports -- 29,388 units; $2.81 per unit 82,580$
8403 Mental Health Services - 39,819 units; $2.81 per unit 111,891$
8404 Case Management - 14,853 units; $2.17 per unit 32,231$
8405 Crisis Intervention - 85 units; $4.17 per unit 354$
8406 Medication Support - 902 units; $5.81 per unit 5,241$
276,886$
Psychological Evaluations - 15,866 units; $2.81 per unit
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
Line Item Description
REALIGNMENT TOTAL
8200 - REALIGNMENT
MEDI-CAL FFP TOTAL
MHSA TOTAL
Line Item Description
Line Item Description
8100 - SUBSTANCE USE DISORDER FUNDS
PROGRAM FUNDING SOURCES
Estimated Specialty Mental Health Services Billing Totals:
Estimated % of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Federal Financial Participation (FFP) %
Line Item Description
8400 - OTHER REVENUE
TOTAL PROGRAM FUNDING SOURCES:4,750,000$
SUBSTANCE USE DISORDER FUNDS TOTAL
OTHER REVENUE TOTAL
MHSA Program Name
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Revised Exhibit D-2
NET PROGRAM COST: -$
Revised Exhibit D-2
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 3,252,774
Employee Salaries 2,556,207
1101 Program Director 99,300 This position oversees program management and maintains in compliance with
contract and legal requirements. (1.0 FTE)
1102 Case Manager 509,850 Will provide case management activities to assist individuals at risk or indicating
symptoms of mental health problems to ensure access to needed medical,
rehabilitative, and other needed services and resources. Case Manager will work to
identify and link individuals to resources and related supports, monitor service delivery
to ensure access to care. Case Manager will provide person-to-person case
management support to address barriers to treatment and will support individuals
connecting with appropriate mental health resources. Case Managers will provide
individualized attention, as well as services and supports as needed. (9.0 FTE)
1103 Mental Health Specialists 1,448,129 Provides initial and ongoing assessment, develops EPSDT plan. Provides individual and
family trauma-informed mental health services and therapy. Provides clinical support
and information to CFTs, as CFT and ICC team member. Documents and bills for
services, and completes outcomes information. (21.0 FTE)
1104 Clinical Supervisors 222,789 Under general direction, supervises specialty mental health services and the work of
license-eligible therapists in accordance with BBS requirements. May also provide
individual mental health services. (3.0 FTE)
1105 Intake Coordinator 67,898 Processes referrals, consent packets, and paperwork, etc. (2.0 FTE)
1106 LVN 26,780 Provides direct client care, including medications, and supervises nursing activities
performed by proessional and para-professional nursing personnel on the unit. (0.5
FTE)
1107 Administrator 29,175 Has a direct responsbility for the Community Services program and will report to
Regional Administrator, will ensure operational, clinical, and regulatory requirements
are met. He/She will directly supervise the Program Director. (0.25 FTE)
1108 Quality Assurance Coordinator 21,218 Responsible for utilization review and assisting in medical record management by
gathering and analyzing agency data and assisting in the agency's quality control,
quality assurance, and quality improvement efforts. (0.40 FTE)
1109 Quality Assurance Manager 27,583 Manages all Quality Assurance tasks for the program, which includes records
management, documentation and service audits for compliance to Medi-Cal and
internal requirements. (0.40 FTE)
1110 Training Coordinator 22,067 Assists in the development, coordination, delivery and administration of agency
training programs. (0.40 FTE)
1111 Human Resource Coordinator 26,788 Manages all human resource clerical and administrative tasks for the program staff.
This position is responsible for supporting the development of a positive working
environment to enhance agency success and reduce legal risk, as well as management
team support and consultation, employee relations, interpretation and administration
of HR policies and procedures, staff recruitment and selection, compensation, and
employee benefits etc. (0.50 FTE)
1112 Admin Clerk 54,631 Responsible for insuring the client record within EMR (Electronic Medical Record) is
maintained, physican orders are signed within the prescribed time period, clinical,
consultant and discharge documentation and appointments are scheduled, weekly
summary sheets are prepared, and also acts as the administrative support for the units.
(1.5 FTE)
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 440,946
1201 Retirement/Workers Comp/Health Insurance 440,946 17.25% of annual salaries
1202 Other (specify)-
1203 Other (specify)-
1204 Other (specify)-
Central Star Behavioral Health
Child Welfare Mental Health Services
Fiscal Year (FY) 2019-20
PROGRAM EXPENSE
Revised Exhibit D-2
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1205 Other (specify)-
1206 Other (specify)-
Payroll Taxes & Expenses:255,621
1301 Payroll Taxes 255,621 10% of annual salaries
1302 Other (specify)-
1303 Other (specify)-
1304 Other (specify)-
1305 Other (specify)-
1306 Other (specify)-
2000: CLIENT SUPPORT 2,400
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support 2,400 For client supplies and incentives based on $200 per month - this will cover food for
family meetigns and graduation celebrations
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (specify)-
2012 Other (specify)-
2013 Other (specify)-
2014 Other (specify)-
2015 Other (specify)-
2016 Other (specify)-
3000: OPERATING EXPENSES 397,708
3001 Telephone 95,468 For staff cell phone reimbursement ($60 per month for 35.5 staff and the director at
$100 per month). Included is $68,708 for landline, internet & phones which incldues
Wi-Fi for staff tablets.
3002 Postage -
3003 Printing/Reproduction -
3004 Office Supplies & Equipment 14,382 Based on $14,382 for office supplies for 39.95 FTEs
3005 Household Supplies -
3008 Staff Mileage/Vehicle Maintenance 82,563 Estimated staff travel reimbursement for client visits (IRS mileage rate @ .58/mile) and
for staff travel to training programs, which is based on our experience in administering
similar programs and locations. Based on our experience the 39.95 FTEs will travel
approximately 75 miles/FTE per week. Calculated @ $6,880/month.
3009 Subscriptions & Memberships - Comprised of on-going program required education, training and materials for staff and
training for DBT/AF-CBT/CBT practices. Calculated at $2,500 per month
3010 Licenses and Taxes 15,000 $15,000 for Property Taxes, business licenses, and Joint Commission fees.
3011 Food -
3012 Program Supplies - Therapeutic -
3013 Other - Purchased Services 34,860 Includes start up costs for recruitment of $1,740, on-going staff recruitment, document
shredding, water and coffee service, postage meter rental, security services and storage
facility of $33,120.
3014 Other - Centralized Services - program 125,435 Comprised of the SBHG corporate and regional support in the numerous areas
including support from the Senior Administrator as well as services provided for
Program Development and Evaluation (e.g. tracking and reporting outcomes, and
implementation of practices), Quality & Compliance (e.g. internal chart audits,
compliance audits, and TJC-readiness preparation), and Training (e.g. TIP and Core
Practice trainings provided company-wide). There is a significant cost advantage to all
the SBHG company programs in sharing these costs rather than building them into each
program. SBHG support provides oversight of all of our programs to ensure consistency
with our standards and policies and procedures. The cost of this support is shared by
all programs and is budgeted 3% of total expenses.
4000: FACILITIES & EQUIPMENT 129,880
4001 Building Maintenance 22,800 For janitorial services, repairs and maintenance, calculated at $1,900 per month for 12
months.
4002 Rent/Lease Building 73,080 Calculated at $1.50 per square foot per month for 4,350 square feet for 12 months.
Revised Exhibit D-2
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
4003 Rent/Lease Equipment 19,000 For copier lease, toner and maintenance for 12 months.
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 15,000 Electricity, Water, Gas. $1,250 per month for 12 months.
4007 Other (specify)-
4008 Other (specify)-
4009 Other (specify)-
4010 Other (specify)-
5000: SPECIAL EXPENSES 193,200
5001 Consultant (Network & Data Management)-
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services 7,200 Annual translation services
5005 Medication Supports 186,000 Includes Psychiatrist: $141,600 for 59 hours per month at $200 per hour and
Psychologist: $44,400 for 37 hours per month at $100 per hour.
5006 Other (specify)-
5007 Other (specify)-
5008 Other (specify)-
6000: ADMINISTRATIVE EXPENSES 733,138
6001 Administrative Overhead 608,658 Will not exceed 15% of total costs. $401,591 or 10% of total costs is an allocation from
Stars Behavioral Health Group. It covers operations administration, information
technology, human resources, communications, finance, and associated fringe benefits
and expenses. SBHG oversight ensures consistency with our quality standards and
policies and procedures. The cost is developed from allocating the SBHG costs among
all the programs within all the SBHG companies based on standard accounting
practices. This economy of scale results in a significant savings for all SBHG programs.
Rather than staffing each program for all necessary services above, the services are
performed by few employees and then shared among all SBHG programs. $207,067 or
5% of the total expenses is budgeted as SBHG operating income. Up to 5% of the total
expenses will be net income while maintaining total Administrative/Overhead expenses
under 15% of total funding.
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping 90,000 This program will be supported and greatly benefit from the experienced and
established local Starlight Community Services organization. There is a large cost
advantage to the program in being supported by Starlight CS in the areas of operatoins,
business office and billing functions. Without the support from an affiliated
organiation, the program would need to have dedicated staff for these functions.
Additionally any costs shared with this program will result in savings to the county
through lower costs for toher Central Star County Programs. The cost of this support is
budgeted at $7,500 per month which is consistent with other programs.
6004 External Audit 3,600 Annual audit fees
6005 Liability Insurance 18,896 For general liability, property and professional liability based on $473 per FTE.
6006 Payroll Services 11,984 Payroll processing fees based on $25 per month for 39.95 employees
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 40,901
7001 Computers & Software 37,901 For IT equipment, software and support.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 3,000 For minor office equipment, furniture.
7004 Leasehold/Tenant/Building Improvements -
Revised Exhibit D-2
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (specify)-
7008 Other (specify)-
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Intervention
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Intensive Care Coordination
8010 Intensive Home-Based Services
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:4,750,000
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:4,750,000
BUDGET CHECK:-
Estimated 246,163 units at $2.81 per unit
Estimated 212,510 units at $2.17 per unit
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Estimated 49,233 units at $2.81 per unit
Estimated 32,822 units at $2.81 per unit
PROGRAM FUNDING SOURCES
Estimated 32,822 units at $2.81 per unit
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Estimated 471,977 units at $2.81 per unit
Estimated 340,015 units at $2.17 per unit
Estimated 2,654 units at $4.17 per unit
Estimated 35,610 units at $5.18 per unit
Estimated 311,807 units at $2.81 per unit
Revised Exhibit D-2
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Program Director 1.00 -$ 101,286$ 101,286$
1102 Case Managers 8.00 - 520,000 520,000
1103 Mental Health Specialist 22.00 - 1,672,000 1,672,000
1104 Clinical Supervisors 3.00 - 270,000 270,000
1105 Intake Coordinators 1.00 - 34,628 34,628
1106 LVN 0.50 - 27,316 27,316
1107 Administrator 0.25 29,758 - 29,758
1108 Quality Assurance Coordinator 0.40 21,642 - 21,642
1109 Quality Assurance Manager 0.40 28,135 - 28,135
1110 Training Coordinator 0.40 22,508 - 22,508
1111 Human Resource Coordinator 0.50 27,323 - 27,323
1112 Admin Clerk 2.00 67,105 - 67,105
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 39.45 196,471$ 2,625,230$ 2,821,701$
Employee Benefits
Acct #Admin Direct Total
1201 5,305$ 70,881$ 76,186$
1202 5,894 78,757 84,651
1203 23,577 302,329 325,906
1204 - - -
1205 - - -
1206 - - -
34,776$ 451,967$ 486,743$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 12,181$ 162,764$ 174,945$
1302 2,849 38,066 40,915
1303 4,519 61,791 66,310
1304 - - -
1305 - - -
1306 - - -
19,549$ 262,621$ 282,170$
250,796$ 3,339,818$ 3,590,614$
Other (specify)
Other (specify)
Other (specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
Other (specify)
Child Welfare Mental Health Services
Central Star Behavioral Health
Fiscal Year (FY) 2020-21
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Employee Benefits Subtotal:
Description
OASDI
Revised Exhibit D-2
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 3,901
2004 -
2005 -
2006 -
2007 -
2008 110,400
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
114,301$
3000: OPERATING EXPENSES
Acct #Amount
3001 77,473$
3002 -
3003 17,902
3004 -
3005 8,004
3006 77,756
3007 -
3008 -
3009 39,480
3010 15,000
3011 -
3012 -
235,615$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 22,800$
4002 60,864
4003 13,226
4004 -
4005 -
4006 16,800
4007 -
4008 -
4009 -
4010 -
113,690$
5000: SPECIAL EXPENSES
Acct #Amount
5001 -$
5002 -
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Security
Utilities
Other (specify)
Other (specify)
Other (specify)
Other (specify)
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
Subscriptions & Memberships
Vehicle Maintenance
Other - Purchased Services
Other - Licenses and Taxes
Other (specify)
Other (specify)
Telecommunications
Printing/Postage
Office, Household & Program Supplies
Advertising
Staff Development & Training
Staff Mileage
Other (specify)
Other (specify)
Other (specify)
Other (specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (specify)
Other (specify)
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
Child Care
Revised Exhibit D-2
5003 -
5004 7,200
5005 -
5006 -
5007 -
5008 -
7,200$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 377,782$
6002 22,920
6003 90,000
6004 14,500
6005 -
6006 13,255
6007 -
6008 123,785
6009 -
6010 -
6011 -
6012 -
642,242$
7000: FIXED ASSETS
Acct #Amount
7001 46,338$
7002 -
7003 -
7004 -
7005 -
7006 -
7007 -
7008 -
46,338$ FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 4,750,000$
Assets over $5,000/unit (Specify)
Other (specify)
Other (specify)
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
ADMINISTRATIVE EXPENSES TOTAL
Other - Centralized Services - program
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
SPECIAL EXPENSES TOTAL:
Line Item Description
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Insurance (Specify)
Contractual/Consulting Services (Specify)
Translation Services
Revised Exhibit D-2
Acct #Service Units Rate Amount
8001 Mental Health Services 616,369 2.85 1,756,651$
8002 Case Management 543,119 2.20 1,194,861
8003 Crisis Services 2,957 4.17 12,332
8004 Medication Support 39,705 5.21 206,862
8005 Collateral 161,887 2.85 461,377
8006 Plan Development 46,550 2.85 132,668
8007 Assessment 54,361 2.85 154,928
8008 Rehabilitation 36,241 2.85 103,286
8009 ICC 130,837 2.20 287,842
8010 IHBS 145,652 2.85 415,108
1,777,677 4,725,914$
97%
4,584,137
50%2,292,068
2,292,068$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 2,046,412$
2,046,412$
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 Psychological Evaluations - $2.85 per unit; 20,509 units 58,452
8404 Court Documentation, Reports - $2.85 per unit; 41,019 units 116,904
8405 Non-MediCal Clients (Mental Health Services) - $2.85 per unit; 41,635 units 118,659
8406 Non-MediCal Clients (Case Management) - $2.20 per unit; 20,102 units 44,225
8407 Non-MediCal Clients (Crisis Intervention) - $4.17 per unit; 98 units 408
8408 Non-MediCal Clients (Medical Support) - $5.21 per unit; 1,306 units 6,804
8409 ICC - $2.20 per unit; 11,377 units 25,030
8410 IHBS - $2.85 per unit; 14,399 units 41,038
411,520$ OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:4,750,000$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
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
Revised Exhibit D-2
NET PROGRAM COST: -$
Revised Exhibit D-2
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 3,590,614
Employee Salaries 2,821,701
1101 Program Director 101,286 1.0 FTE, this position oversees program management and maintains in compliance with
contract and legal requirements.
1102 Case Managers 520,000 8.0 FTE, will provide case management activities to assist individuals at risk or indicating
symptoms of mental health problems to ensure access to needed medical, rehabilitative,
and other needed services and resources. Case Manager will work to identify and link
individuals to resources and related supports, monitor service delivery to ensure access
to care. Case Manager will provide person-to-person case management support to
address barriers to treatment and will support individuals connecting with appropriate
mental health resources. Case Managers will provide individualized attention, as well as
services and supports as needed.
1103 Mental Health Specialist 1,672,000 22 FTE's, provides initial and ongoing assessment; develops EPSDT plan. Provides
individual and family trauma-informed mental health services and therapy. Provides
clinical support and information to CFTs, as CFT and ICC team member. Documents and
bills for services, and completes outcomes information.
1104 Clinical Supervisors 270,000 3.0 FTE, under general direction, supervises Specialty Mental Health Services, and the
work of license-eligible therapists in accordance with BBS requirements. May also
provide individual mental health services.
1105 Intake Coordinators 34,628 1.0 FTE, processes referrals, consent packets, and paperwork, etc.
1106 LVN 27,316 0.50 FTE, provides direct client care including medications, and supervises nursing
activities performed by professional and para-professional nursing personnel on the unit.
1107 Administrator 29,758 .25 FTE, has a direct responsibility for the Community Service program and will report to
Regional Administrator, will ensure operational, clinical and regulatory requirements are
met. He/she will directly supervise the Program Director.
1108 Quality Assurance Coordinator 21,642 .40 FTE, is responsible for utilization review and assisting in medical record management
by gathering and analyzing agency data and assisting in the agency’s quality control,
quality assurance, and quality improvement efforts.
1109 Quality Assurance Manager 28,135 .40 FTE, manages all Quality Assurance tasks for the program, which includes records
management, documentation and service audits for compliance to Medi-Cal and internal
requirements.
1110 Training Coordinator 22,508 .40 FTE, assists in the development, coordination, delivery and administration of agency
training programs.
1111 Human Resource Coordinator 27,323 .50 FTE, manages all human resource clerical and administrative tasks for the program
staff. This position is responsible for supporting the development of a positive working
environment to enhance agency success and reduce legal risk, as well as management
team support and consultation, employee relations, interpretation and administration of
HR policies and procedures, staff recruitment and selection, compensation, and
employee benefits etc.
1112 Admin Clerk 67,105 2.0 FTE, is responsible for insuring the client record within EMR (Electronic Medical
Record) is maintained, physician orders are signed within the prescribed time period,
clinical, consultant and discharge documentation and appointments are scheduled,
weekly summary sheets are prepared, and also acts as the administrative support for the
units.
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 486,743
1201 Retirement 76,186 Annual ESOP Pension and 401k employer match, calculated at 2.7% of annual salaries
1202 Worker's Compensation 84,651 Worker Compensation calculated at 3% of annual salaries
1203 Health Insurance 325,906 Health Insurance is calculated at 12% of annual salaries
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
Child Welfare Mental Health Services
Central Star Behavioral Health
Fiscal Year (FY) 2020-21
PROGRAM EXPENSE
Revised Exhibit D-2
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
Payroll Taxes & Expenses:282,170
1301 OASDI 174,945 Calculated at 6.20% of annual salaries up to the annual IRS max
1302 FICA/MEDICARE 40,915 Calculated at 1.45% of annual salaries
1303 SUI 66,310 Calculate at the Company's rate of 6% up to $7,000 of annual wages per employee
1304 Other (specify)-
1305 Other (specify)-
1306 Other (specify)-
2000: CLIENT SUPPORT 114,301
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support 3,901 When transporting clients, funds used for gas refill.
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports 110,400 Includes Psychiatrist for 75 hours per month at $123 per hour.
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (specify)-
2012 Other (specify)-
2013 Other (specify)-
2014 Other (specify)-
2015 Other (specify)-
2016 Other (specify)-
3000: OPERATING EXPENSES 235,615
3001 Telecommunications 77,473 Staff cell phone reimbursement, contingent on headcount ($60 per month for staff and
the director at $100 per month) also landline, internet & phones which includes Wi-Fi for
staff tablets.
3002 Printing/Postage -
3003 Office, Household & Program Supplies 17,902 $15,402 For office supplies for 39.45 FTE's also including Covid related cleaning supplies
$2,500 for the year.
3004 Advertising -
3005 Staff Development & Training 8,004 Comprise of the on-going program required education, training and materials for staff
and training for DBT/ AF-CBT/ CBT practices.
3006 Staff Mileage 77,756 This is estimated staff travel reimbursement for client visits (IRS mileage rate @
.58/miles) and for staff travel to training programs, which is based on our experience in
administering similar programs and locations. Based on our experience the 39.45 FTEs
will travel 11,172 miles a month and get reimbursed Calculated @ $6,480/month.
3007 Subscriptions & Memberships -
3008 Vehicle Maintenance -
3009 Other - Purchased Services 39,480 Includes on-going staff recruitment, document shredding, water and coffee service,
postage meter rental, Security services and storage facility.
3010 Other - Licenses and Taxes 15,000 Property Taxes, business licenses and Joint Commission fees.
3011 Other (specify)-
3012 Other (specify)-
4000: FACILITIES & EQUIPMENT 113,690
4001 Building Maintenance 22,800 For janitorial services, repairs and maintenance, calculated at $1,900 per month for 12
months.
4002 Rent/Lease Building 60,864 Calculated at $1.17 per square foot per month for 4,350 square feet for 12 months.
4003 Rent/Lease Equipment 13,226 For copier lease, toner and maintenance for 12 months.
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 16,800 Electricity, Water, Gas, $1,400 per month for 12 months.
4007 Other (specify)-
4008 Other (specify)-
4009 Other (specify)-
4010 Other (specify)-
5000: SPECIAL EXPENSES 7,200
5001 Consultant (Network & Data Management)-
Revised Exhibit D-2
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services 7,200 For annual translation services.
5005 Other (specify)-
5006 Other (specify)-
5007 Other (specify)-
5008 Other (specify)-
6000: ADMINISTRATIVE EXPENSES 642,242
6001 Administrative Overhead 377,782 Will not exceed 15% of total costs. As 10% of total costs is an allocation from Stars
Behavioral Health Group. It covers operations administration, information technology,
human resources, communications, finance, and associated fringe benefits and expenses.
SBHG oversight ensures consistency with our quality standards and policies and
procedures. The cost is developed from allocating the SBHG costs among all the
programs within all the SBHG companies based on standard accounting practices. This
economy of scale results in a significant savings for all SBHG programs. Rather than
staffing each program for all necessary services above, the services are performed by
fewer employees and then shared among all SBHG programs. And 5% of the total
expenses is budgeted as SBHG operating income. Up to 5% of the total expenses will be
net income while maintaining total Administrative/Overhead expenses under 15% of
total funding.
6002 Professional Liability Insurance 22,920 For general liability, property and professional liability based on $581per FTE.
6003 Accounting/Bookkeeping 90,000 This program will be supported and greatly benefit from the experienced and
established local Starlight Community Services organization. There is a large cost
advantage to the program in being supported by Starlight CS in the areas of operations,
business office and billing functions. Without the support from an affiliated organization,
the program would need to have dedicated staff for these functions. Additionally any
costs shared with this program will result in savings to the county though lower costs for
other Central Star County Programs. The cost of this support is budgeted at $7,500 per
month which is consistent with other programs.
6004 External Audit 14,500 For annual audit fees.
6005 Insurance (Specify)-
6006 Payroll Services 13,255 For payroll processing fees based on $28 per month for 39.45 employees.
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other - Centralized Services - program 123,785 Is comprised of the SBHG corporate and regional support in the numerous areas
including support from the Senior Administrator as well as services provided for Program
Development and Evaluation (e.g., tracking and reporting outcomes, and implementation
of practices), Quality & Compliance (e.g., internal chart audits, compliance audits, and
TJC-readiness preparation), and Training (e.g., TIP and Core Practice trainings provided
company-wide). There is a significant cost advantage to all the SBHG company programs
in sharing these costs rather than building them into each program. SBHG support
provides oversight of all of our programs to ensure consistency with our standards and
policies and procedures. The cost of this support is shared by all programs and is
budgeted 3% of total expenses.
6009 Other (specify)-
6010 Other (specify)-
6011 Other (specify)-
6012 Other (specify)-
7000: FIXED ASSETS 46,338
7001 Computer Equipment & Software 46,338 For minor office equipment, furniture, IT equipment, software and support. Total $3,862
monthly, this estimate includes 15 laptops and 5 desktops.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures -
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (specify)-
7008 Other (specify)-
Revised Exhibit D-2
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 ICC
8010 IHBS
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:4,750,000
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:4,750,000
BUDGET CHECK:-
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Revised Exhibit D-2
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Program Director 1.00 -$ 104,325$ 104,325$
1102 Case Managers 8.00 - 535,600 535,600
1103 Mental Health Specialist 22.00 - 1,722,160 1,722,160
1104 Clinical Supervisors 4.00 - 370,800 370,800
1105 Intake Coordinators 1.00 - 35,667 35,667
1106 LVN 0.50 - 28,135 28,135
1107 Administrator 0.25 30,651 - 30,651
1108 Quality Assurance Coordinator 0.40 22,291 - 22,291
1109 Quality Assurance Manager 0.40 28,979 - 28,979
1110 Training Coordinator 0.40 23,183 - 23,183
1111 Human Resource Coordinator 0.50 28,143 - 28,143
1112 Admin Clerk 3.00 103,677 - 103,677
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - -
Personnel Salaries Subtotal 41.45 236,924$ 2,796,687$ 3,033,611$
Employee Benefits
Acct #Admin Direct Total
1201 6,397$ 75,511$ 81,908$
1202 7,108 83,901 91,009
1203 28,431 335,602 364,033
1204 - - -
1205 - - -
1206 - - -
41,936$ 495,014$ 536,950$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 14,689$ 173,395$ 188,084$
1302 3,435 40,552 43,987
1303 5,449 64,324 69,773
1304 - - -
1305 - - -
1306 - - -
23,573$ 278,271$ 301,844$
302,433$ 3,569,972$ 3,872,405$
Other (specify)
Other (specify)
Other (specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
Other (specify)
Child Welfare Mental Health Services
Central Star Behavioral Health
Fiscal Year (FY) 2021-22
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Employee Benefits Subtotal:
Description
OASDI
Revised Exhibit D-2
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 4,018
2004 -
2005 -
2006 -
2007 -
2008 113,712
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
117,730$
3000: OPERATING EXPENSES
Acct #Amount
3001 79,797$
3002 -
3003 18,889
3004 -
3005 68,244
3006 80,089
3007 -
3008 -
3009 40,664
3010 15,000
3011 -
3012 -
302,683$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 23,484$
4002 62,690
4003 13,623
4004 -
4005 -
4006 17,304
4007 -
4008 -
4009 -
4010 -
117,101$
5000: SPECIAL EXPENSES
Acct #Amount
5001 -$
5002 -
5003 -
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Security
Utilities
Other (specify)
Other (specify)
Other (specify)
Other (specify)
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
Subscriptions & Memberships
Vehicle Maintenance
Other - Purchased Services
Other- Licenses and Taxes
Other (specify)
Other (specify)
Telecommunications
Printing/Postage
Office, Household & Program Supplies
Advertising
Staff Development & Training
Staff Mileage
Other (specify)
Other (specify)
Other (specify)
Other (specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (specify)
Other (specify)
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
Child Care
Revised Exhibit D-2
5004 7,416
5005 -
5006 -
5007 -
5008 -
7,416$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 389,115$
6002 23,608
6003 92,700
6004 14,935
6005 -
6006 13,653
6007 -
6008 127,499
6009 -
6010 -
6011 -
6012 -
661,510$
7000: FIXED ASSETS
Acct #Amount
7001 47,728$
7002 -
7003 -
7004 -
7005 -
7006 -
7007 -
7008 -
47,728$ FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 5,126,573$
Other (specify)
Other (specify)
Assets over $5,000/unit (Specify)
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
ADMINISTRATIVE EXPENSES TOTAL
Other - Centralized Services - program
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
SPECIAL EXPENSES TOTAL:
Line Item Description
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Insurance (Specify)
Translation Services
Revised Exhibit D-2
Acct #Service Units Rate Amount
8001 Mental Health Services 616,833 2.94 1,810,715$
8002 Case Management 502,550 2.27 1,138,779
8003 Crisis Services 2,902 4.30 12,466
8004 Medication Support 38,948 5.37 209,009
8005 Collateral 270,288 2.94 793,429
8006 Plan Development 45,664 2.94 134,046
8007 Assessment 53,325 2.94 156,537
8008 Rehabilitation 35,550 2.94 104,358
8009 ICC 136,486 2.27 309,823
8010 IHBS 151,877 2.94 446,519
1,854,425 5,115,680$
97%
4,962,210
50%2,481,105
2,481,105$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 2,218,552$
2,218,552$
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 Psychological Evaluations - $2.94 per unit; 20,478 units 60,205
8404 Court Documentation, Reports - $2.94 per unit; 40,956 units 120,411
8405 Non-MediCal Clients (Mental Health Services) - $2.94 per unit; 41,555 units 122,172
8406 Non-MediCal Clients (Case Management) - $2.27 per unit; 20,085 units 45,593
8407 Non-MediCal Clients (Crisis Intervention) - $4.30 per unit; 98 units 421
8408 Non-MediCal Clients (Medical Support) - $5.37 per unit; 1,306 units 7,012
8409 ICC - $2.27 per unit; 11,868 units 26,941
8410 IHBS - $2.94 per unit; 15,021 units 44,161
426,916$ OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:5,126,573$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
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
Revised Exhibit D-2
NET PROGRAM COST: -$
Revised Exhibit D-2
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 3,872,405
Employee Salaries 3,033,611
1101 Program Director 104,325 1.0 FTE, this position oversees program management and maintains in compliance with
contract and legal requirements.
1102 Case Managers 535,600 8.0 FTE, will provide case management activities to assist individuals at risk or indicating
symptoms of mental health problems to ensure access to needed medical, rehabilitative,
and other needed services and resources. Case Manager will work to identify and link
individuals to resources and related supports, monitor service delivery to ensure access
to care. Case Manager will provide person-to-person case management support to
address barriers to treatment and will support individuals connecting with appropriate
mental health resources. Case Managers will provide individualized attention, as well as
services and supports as needed.
1103 Mental Health Specialist 1,722,160 22 FTE's, provides initial and ongoing assessment; develops EPSDT plan. Provides
individual and family trauma-informed mental health services and therapy. Provides
clinical support and information to CFTs, as CFT and ICC team member. Documents and
bills for services, and completes outcomes information.
1104 Clinical Supervisors 370,800 4.0 FTE, under general direction, supervises Specialty Mental Health Services, and the
work of license-eligible therapists in accordance with BBS requirements. May also provide
individual mental health services.
1105 Intake Coordinators 35,667 1.0 FTE, processes referrals, consent packets, and paperwork, etc.
1106 LVN 28,135 0.50 FTE, provides direct client care including medications, and supervises nursing
activities performed by professional and para-professional nursing personnel on the unit.
1107 Administrator 30,651 .25 FTE, has a direct responsibility for the Community Service program and will report to
Regional Administrator, will ensure operational, clinical and regulatory requirements are
met. He/she will directly supervise the Program Director.
1108 Quality Assurance Coordinator 22,291 .40 FTE, is responsible for utilization review and assisting in medical record management
by gathering and analyzing agency data and assisting in the agency’s quality control,
quality assurance, and quality improvement efforts.
1109 Quality Assurance Manager 28,979 .40 FTE, manages all Quality Assurance tasks for the program, which includes records
management, documentation and service audits for compliance to Medi-Cal and internal
requirements.
1110 Training Coordinator 23,183 .40 FTE, assists in the development, coordination, delivery and administration of agency
training programs.
1111 Human Resource Coordinator 28,143 .50 FTE, manages all human resource clerical and administrative tasks for the program
staff. This position is responsible for supporting the development of a positive working
environment to enhance agency success and reduce legal risk, as well as management
team support and consultation, employee relations, interpretation and administration of
HR policies and procedures, staff recruitment and selection, compensation, and
employee benefits etc.
1112 Admin Clerk 103,677 3.0 FTE, is responsible for insuring the client record within EMR (Electronic Medical
Record) is maintained, physician orders are signed within the prescribed time period,
clinical, consultant and discharge documentation and appointments are scheduled,
weekly summary sheets are prepared, and also acts as the administrative support for the
units.
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 536,950
1201 Retirement 81,908 Annual ESOP Pension and 401k employer match, calculated at 2.7% of annual salaries
1202 Worker's Compensation 91,009 Worker Compensation calculated at 3% of annual salaries
1203 Health Insurance 364,033 Health Insurance is calculated at 12% of annual salaries
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
Child Welfare Mental Health Services
Central Star Behavioral Health
Fiscal Year (FY) 2021-22
PROGRAM EXPENSE
Revised Exhibit D-2
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
Payroll Taxes & Expenses:301,844
1301 OASDI 188,084 Calculated at 6.20% of annual salaries up to the annual IRS max
1302 FICA/MEDICARE 43,987 Calculated at 1.45% of annual salaries
1303 SUI 69,773 Calculate at the Company's rate of 6% up to $7,000 of annual wages per employee
1304 Other (specify)-
1305 Other (specify)-
1306 Other (specify)-
2000: CLIENT SUPPORT 117,730
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support 4,018 When transporting clients, funds used for gas refill.
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports 113,712 Includes Psychiatrist: for 75 hours per month at $126 per hour.
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (specify)-
2012 Other (specify)-
2013 Other (specify)-
2014 Other (specify)-
2015 Other (specify)-
2016 Other (specify)-
3000: OPERATING EXPENSES 302,683
3001 Telecommunications 79,797 Staff cell phone reimbursement, contingent on headcount ($60 per month for staff and
the director at $100 per month) also landline, internet & phones which includes Wi-Fi for
staff tablets. Total $6,650 monthly.
3002 Printing/Postage -
3003 Office, Household & Program Supplies 18,889 For office supplies for 41.45 FTE's also including related cleaning supplies for the year.
Total $1,574 monthly.
3004 Advertising -
3005 Staff Development & Training 68,244 Comprise of the on-going program required education, training and materials for staff
and training for DBT/ AF-CBT/ CBT practices. Total $5,687 monthly.
3006 Staff Mileage 80,089 This is estimated staff travel reimbursement for client visits (IRS mileage rate @
.58/miles) and for staff travel to training programs, which is based on our experience in
administering similar programs and locations. Based on our experience the 41.45 FTEs
will travel 11,507 miles a month and get reimbursed Calculated @ $6,674/month.
3007 Subscriptions & Memberships -
3008 Vehicle Maintenance -
3009 Other - Purchased Services 40,664 Includes on-going staff recruitment, document shredding, water and coffee service,
postage meter rental, Security services and storage facility. Monthly - $3,389.
3010 Other- Licenses and Taxes 15,000 Property Taxes, business licenses and Joint Commission fees.
3011 Other (specify)-
3012 Other (specify)-
4000: FACILITIES & EQUIPMENT 117,101
4001 Building Maintenance 23,484 For janitorial services, repairs and maintenance, calculated at $1,957 per month for 12
months.
4002 Rent/Lease Building 62,690 Calculated at $1.20 per square foot per month for 4,350 square feet for 12 months.
4003 Rent/Lease Equipment 13,623 For copier lease, toner and maintenance for 12 months.
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 17,304 Electricity, Water, Gas, $1,442 per month for 12 months.
4007 Other (specify)-
4008 Other (specify)-
4009 Other (specify)-
4010 Other (specify)-
5000: SPECIAL EXPENSES 7,416
5001 Consultant (Network & Data Management)-
Revised Exhibit D-2
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services 7,416 For annual translation services. Total $618 monthly.
5005 Other (specify)-
5006 Other (specify)-
5007 Other (specify)-
5008 Other (specify)-
6000: ADMINISTRATIVE EXPENSES 661,510
6001 Administrative Overhead 389,115 Will not exceed 15% of total costs. As 10% of total costs is an allocation from Stars
Behavioral Health Group. It covers operations administration, information technology,
human resources, communications, finance, and associated fringe benefits and expenses.
SBHG oversight ensures consistency with our quality standards and policies and
procedures. The cost is developed from allocating the SBHG costs among all the
programs within all the SBHG companies based on standard accounting practices. This
economy of scale results in a significant savings for all SBHG programs. Rather than
staffing each program for all necessary services above, the services are performed by
fewer employees and then shared among all SBHG programs. And 5% of the total
expenses is budgeted as SBHG operating income. Up to 5% of the total expenses will be
net income while maintaining total Administrative/Overhead expenses under 15% of
total funding.
6002 Professional Liability Insurance 23,608 For general liability, property and professional liability based on $570per FTE.
6003 Accounting/Bookkeeping 92,700 This program will be supported and greatly benefit from the experienced and established
local Starlight Community Services organization. There is a large cost advantage to the
program in being supported by Starlight CS in the areas of operations, business office and
billing functions. Without the support from an affiliated organization, the program would
need to have dedicated staff for these functions. Additionally any costs shared with this
program will result in savings to the county though lower costs for other Central Star
County Programs. The cost of this support is budgeted at $7,725 per month which is
consistent with other programs.
6004 External Audit 14,935 For annual audit fees.
6005 Insurance (Specify)-
6006 Payroll Services 13,653 For payroll processing fees based on $27 per month for 41.45 employees.
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other - Centralized Services - program 127,499 Is comprised of the SBHG corporate and regional support in the numerous areas including
support from the Senior Administrator as well as services provided for Program
Development and Evaluation (e.g., tracking and reporting outcomes, and implementation
of practices), Quality & Compliance (e.g., internal chart audits, compliance audits, and TJC-
readiness preparation), and Training (e.g., TIP and Core Practice trainings provided
company-wide). There is a significant cost advantage to all the SBHG company programs
in sharing these costs rather than building them into each program. SBHG support
provides oversight of all of our programs to ensure consistency with our standards and
policies and procedures. The cost of this support is shared by all programs and is
budgeted 3% of total expenses.
6009 Other (specify)-
6010 Other (specify)-
6011 Other (specify)-
6012 Other (specify)-
7000: FIXED ASSETS 47,728
7001 Computer Equipment & Software 47,728 For minor office equipment, furniture, IT equipment, software and support. Total 3,977
monthly.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures -
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (specify)-
7008 Other (specify)-
Revised Exhibit D-2
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 ICC
8010 IHBS
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:5,126,573
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:5,126,573
BUDGET CHECK:-
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Revised Exhibit D-2
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Program Director 1.00 -$ 107,455$ 107,455$
1102 Case Managers 8.00 - 551,668 551,668
1103 Mental Health Specialist 22.00 - 1,773,825 1,773,825
1104 Clinical Supervisors 4.00 - 381,924 381,924
1105 Intake Coordinators 1.00 - 36,737 36,737
1106 LVN 0.50 - 28,979 28,979
1107 Administrator 0.25 31,571 - 31,571
1108 Quality Assurance Coordinator 0.40 22,960 - 22,960
1109 Quality Assurance Manager 0.40 29,848 - 29,848
1110 Training Coordinator 0.40 23,878 - 23,878
1111 Human Resource Coordinator 0.50 28,987 - 28,987
1112 Admin Clerk 3.00 106,787 - 106,787
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - -
Personnel Salaries Subtotal 41.45 244,031$ 2,880,588$ 3,124,619$
Employee Benefits
Acct #Admin Direct Total
1201 6,589$ 77,776$ 84,365$
1202 7,321 86,418 93,739
1203 29,284 345,671 374,955
1204 - - -
1205 - - -
1206 - - -
43,194$ 509,865$ 553,059$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 15,130$ 178,596$ 193,726$
1302 3,538 41,769 45,307
1303 5,613 66,254 71,867
1304 - - -
1305 - - -
1306 - - -
24,281$ 286,619$ 310,900$
311,506$ 3,677,072$ 3,988,578$
Other (specify)
Other (specify)
Other (specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
Other (specify)
Child Welfare Mental Health Services
Central Star Behavioral Health
Fiscal Year (FY) 2022-23
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Employee Benefits Subtotal:
Description
OASDI
Revised Exhibit D-2
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 4,139
2004 -
2005 -
2006 -
2007 -
2008 117,123
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
121,262$
3000: OPERATING EXPENSES
Acct #Amount
3001 82,191$
3002 -
3003 19,906
3004 -
3005 28,491
3006 82,492
3007 -
3008 -
3009 41,884
3010 15,000
3011 -
3012 -
269,964$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 24,189$
4002 64,571
4003 14,032
4004 -
4005 -
4006 17,823
4007 -
4008 -
4009 -
4010 -
120,615$
5000: SPECIAL EXPENSES
FACILITIES/EQUIPMENT TOTAL:
Security
Utilities
Other (specify)
Other (specify)
Other (specify)
Other (specify)
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
Subscriptions & Memberships
Vehicle Maintenance
Other - Purchased Services
Other - Licenses and Taxes
Other (specify)
Other (specify)
Telecommunications
Printing/Postage
Office, Household & Program Supplies
Advertising
Staff Development & Training
Staff Mileage
Other (specify)
Other (specify)
Other (specify)
Other (specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (specify)
Other (specify)
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
Child Care
Revised Exhibit D-2
Acct #Amount
5001 -$
5002 -
5003 -
5004 7,638
5005 -
5006 -
5007 -
5008 -
7,638$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 400,788$
6002 24,316
6003 95,481
6004 15,383
6005 -
6006 13,654
6007 -
6008 131,324
6009 -
6010 -
6011 -
6012 -
680,946$
7000: FIXED ASSETS
Acct #Amount
7001 49,160$
7002 -
7003 -
7004 -
7005 -
7006 -
7007 -
7008 -
49,160$ FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 5,238,163$
Assets over $5,000/unit (Specify)
Other (specify)
Other (specify)
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
ADMINISTRATIVE EXPENSES TOTAL
Other - Centralized Services - program
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
SPECIAL EXPENSES TOTAL:
Line Item Description
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Insurance (Specify)
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Translation Services
Revised Exhibit D-2
Acct #Service Units Rate Amount
8001 Mental Health Services 631,899 3.02 1,910,588$
8002 Case Management 465,551 2.33 1,086,587
8003 Crisis Services 2,847 4.42 12,596
8004 Medication Support 38,207 5.53 211,179
8005 Collateral 277,830 3.02 840,037
8006 Plan Development 44,794 3.02 135,437
8007 Assessment 52,310 3.02 158,162
8008 Rehabilitation 34,873 3.02 105,441
8009 ICC 134,938 2.33 314,406
8010 IHBS 150,155 3.02 453,468
1,833,403 5,227,900$
97%
5,071,063
50%2,535,531
2,535,531$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 2,263,955$
2,263,955$
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 Psychological Evaluations - $3.02 per unit; 20,534 units 62,012
8404 Court Documentation, Reports - $3.02 per unit; 41,067 units 124,023
8405 Non-MediCal Clients (Mental Health Services) - $3.02 per unit; 41,125 units 124,199
8406 Non-MediCal Clients (Case Management) - $2.33 per unit; 20,759 units 48,369
8407 Non-MediCal Clients (Crisis Intervention) - $4.42 per unit; 101 units 446
8408 Non-MediCal Clients (Medical Support) - $5.53 per unit; 1,345 units 7,439
8409 ICC - $2.33 per unit; 11,734 units 27,340
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
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
Revised Exhibit D-2
8410 IHBS - $3.02 per unit; 14,851 units 44,849
438,677$ OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:5,238,163$
NET PROGRAM COST: -$
Revised Exhibit D-2
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 3,988,578
Employee Salaries 3,124,619
1101 Program Director 107,455 1.0 FTE, this position oversees program management and maintains in compliance with
contract and legal requirements.
1102 Case Managers 551,668 8.0 FTE, will provide case management activities to assist individuals at risk or indicating
symptoms of mental health problems to ensure access to needed medical, rehabilitative,
and other needed services and resources. Case Manager will work to identify and link
individuals to resources and related supports, monitor service delivery to ensure access
to care. Case Manager will provide person-to-person case management support to
address barriers to treatment and will support individuals connecting with appropriate
mental health resources. Case Managers will provide individualized attention, as well as
services and supports as needed.
1103 Mental Health Specialist 1,773,825 22 FTE's, provides initial and ongoing assessment; develops EPSDT plan. Provides
individual and family trauma-informed mental health services and therapy. Provides
clinical support and information to CFTs, as CFT and ICC team member. Documents and
bills for services, and completes outcomes information.
1104 Clinical Supervisors 381,924 4.0 FTE, under general direction, supervises Specialty Mental Health Services, and the
work of license-eligible therapists in accordance with BBS requirements. May also provide
individual mental health services.
1105 Intake Coordinators 36,737 1.0 FTE, processes referrals, consent packets, and paperwork, etc.
1106 LVN 28,979 0.50 FTE, provides direct client care including medications, and supervises nursing
activities performed by professional and para-professional nursing personnel on the unit.
1107 Administrator 31,571 .25 FTE, has a direct responsibility for the Community Service program and will report to
Regional Administrator, will ensure operational, clinical and regulatory requirements are
met. He/she will directly supervise the Program Director.
1108 Quality Assurance Coordinator 22,960 .40 FTE, is responsible for utilization review and assisting in medical record management
by gathering and analyzing agency data and assisting in the agency’s quality control,
quality assurance, and quality improvement efforts.
1109 Quality Assurance Manager 29,848 .40 FTE, manages all Quality Assurance tasks for the program, which includes records
management, documentation and service audits for compliance to Medi-Cal and internal
requirements.
1110 Training Coordinator 23,878 .40 FTE, assists in the development, coordination, delivery and administration of agency
training programs.
1111 Human Resource Coordinator 28,987 .50 FTE, manages all human resource clerical and administrative tasks for the program
staff. This position is responsible for supporting the development of a positive working
environment to enhance agency success and reduce legal risk, as well as management
team support and consultation, employee relations, interpretation and administration of
HR policies and procedures, staff recruitment and selection, compensation, and
employee benefits etc.
1112 Admin Clerk 106,787 3.0 FTE, is responsible for insuring the client record within EMR (Electronic Medical
Record) is maintained, physician orders are signed within the prescribed time period,
clinical, consultant and discharge documentation and appointments are scheduled,
weekly summary sheets are prepared, and also acts as the administrative support for the
units.
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 553,059
1201 Retirement 84,365 Annual ESOP Pension and 401k employer match, calculated at 2.7% of annual salaries
1202 Worker's Compensation 93,739 Worker Compensation calculated at 3% of annual salaries
1203 Health Insurance 374,955 Health Insurance is calculated at 12% of annual salaries
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
Payroll Taxes & Expenses:310,900
Child Welfare Mental Health Services
Central Star Behavioral Health
Fiscal Year (FY) 2022-23
PROGRAM EXPENSE
Revised Exhibit D-2
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1301 OASDI 193,726 Calculated at 6.20% of annual salaries up to the annual IRS max
1302 FICA/MEDICARE 45,307 Calculated at 1.45% of annual salaries
1303 SUI 71,867 Calculate at the Company's rate of 6% up to $7,000 of annual wages per employee
1304 Other (specify)-
1305 Other (specify)-
1306 Other (specify)-
2000: CLIENT SUPPORT 121,262
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support 4,139 When transporting clients, funds used for gas refill.
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports 117,123 Includes Psychiatrist: for 75 hours per month at $130 per hour.
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (specify)-
2012 Other (specify)-
2013 Other (specify)-
2014 Other (specify)-
2015 Other (specify)-
2016 Other (specify)-
3000: OPERATING EXPENSES 269,964
3001 Telecommunications 82,191 Staff cell phone reimbursement, contingent on headcount ($60 per month for staff and
the director at $100 per month) also landline, internet & phones which includes Wi-Fi for
staff tablets. Total $6,849 monthly.
3002 Printing/Postage -
3003 Office, Household & Program Supplies 19,906 For office supplies for 41.45 FTE's also including related cleaning supplies for the year.
Total $1,659 monthly.
3004 Advertising -
3005 Staff Development & Training 28,491 Comprise of the on-going program required education, training and materials for staff
and training for DBT/ AF-CBT/ CBT practices. Total $2,374 monthly.
3006 Staff Mileage 82,492 This is estimated staff travel reimbursement for client visits (IRS mileage rate @ .58/miles)
and for staff travel to training programs, which is based on our experience in
administering similar programs and locations. Based on our experience the 41.45 FTEs
will travel 11,852 miles a month and get reimbursed Calculated @ $6,874/month.
3007 Subscriptions & Memberships -
3008 Vehicle Maintenance -
3009 Other - Purchased Services 41,884 Includes on-going staff recruitment, document shredding, water and coffee service,
postage meter rental, Security services and storage facility. Monthly - $3,490.
3010 Other - Licenses and Taxes 15,000 Property Taxes, business licenses and Joint Commission fees
3011 Other (specify)-
3012 Other (specify)-
4000: FACILITIES & EQUIPMENT 120,615
4001 Building Maintenance 24,189 For janitorial services, repairs and maintenance, calculated at $2,016 per month for 12
months.
4002 Rent/Lease Building 64,571 Calculated at $1.24 per square foot per month for 4,350 square feet for 12 months.
4003 Rent/Lease Equipment 14,032 For copier lease, toner and maintenance for 12 months.
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 17,823 Electricity, Water, Gas, $1,485 per month for 12 months.
4007 Other (specify)-
4008 Other (specify)-
4009 Other (specify)-
4010 Other (specify)-
5000: SPECIAL EXPENSES 7,638
5001 Consultant (Network & Data Management)-
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)-
Revised Exhibit D-2
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
5004 Translation Services 7,638 For annual translation services. Total $637 monthly.
5005 Other (specify)-
5006 Other (specify)-
5007 Other (specify)-
5008 Other (specify)-
6000: ADMINISTRATIVE EXPENSES 680,946
6001 Administrative Overhead 400,788 Will not exceed 15% of total costs. As 10% of total costs is an allocation from Stars
Behavioral Health Group. It covers operations administration, information technology,
human resources, communications, finance, and associated fringe benefits and expenses.
SBHG oversight ensures consistency with our quality standards and policies and
procedures. The cost is developed from allocating the SBHG costs among all the
programs within all the SBHG companies based on standard accounting practices. This
economy of scale results in a significant savings for all SBHG programs. Rather than
staffing each program for all necessary services above, the services are performed by
fewer employees and then shared among all SBHG programs. And 5% of the total
expenses is budgeted as SBHG operating income. Up to 5% of the total expenses will be
net income while maintaining total Administrative/Overhead expenses under 15% of total
funding.
6002 Professional Liability Insurance 24,316 For general liability, property and professional liability based on $587 per FTE.
6003 Accounting/Bookkeeping 95,481 This program will be supported and greatly benefit from the experienced and established
local Starlight Community Services organization. There is a large cost advantage to the
program in being supported by Starlight CS in the areas of operations, business office and
billing functions. Without the support from an affiliated organization, the program would
need to have dedicated staff for these functions. Additionally any costs shared with this
program will result in savings to the county though lower costs for other Central Star
County Programs. The cost of this support is budgeted at $7,957 per month which is
consistent with other programs.
6004 External Audit 15,383 For annual audit fees.
6005 Insurance (Specify)-
6006 Payroll Services 13,654 For payroll processing fees based on $27 per month for 41.45 employees.
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other - Centralized Services - program 131,324 Is comprised of the SBHG corporate and regional support in the numerous areas including
support from the Senior Administrator as well as services provided for Program
Development and Evaluation (e.g., tracking and reporting outcomes, and implementation
of practices), Quality & Compliance (e.g., internal chart audits, compliance audits, and TJC-
readiness preparation), and Training (e.g., TIP and Core Practice trainings provided
company-wide). There is a significant cost advantage to all the SBHG company programs
in sharing these costs rather than building them into each program. SBHG support
provides oversight of all of our programs to ensure consistency with our standards and
policies and procedures. The cost of this support is shared by all programs and is
budgeted 3% of total expenses.
6009 Other (specify)-
6010 Other (specify)-
6011 Other (specify)-
6012 Other (specify)-
7000: FIXED ASSETS 49,160
7001 Computer Equipment & Software 49,160 For minor office equipment, furniture, IT equipment, software and support. Total 4,097
monthly.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures -
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (specify)-
7008 Other (specify)-
ACCT #LINE ITEM
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Revised Exhibit D-2
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 ICC
8010 IHBS
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:5,238,163
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:5,238,163
BUDGET CHECK:-
Revised Exhibit D-2
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Program Director 1.00 -$ 110,679$ 110,679$
1102 Case Managers 8.00 - 568,218 568,218
1103 Mental Health Specialist 22.00 - 1,827,040 1,827,040
1104 Clinical Supervisors 4.00 - 393,382 393,382
1105 Intake Coordinators 1.00 - 37,839 37,839
1106 LVN 0.50 - 29,848 29,848
1107 Administrator 0.25 32,518 - 32,518
1108 Quality Assurance Coordinator 0.40 23,649 - 23,649
1109 Quality Assurance Manager 0.40 30,743 - 30,743
1110 Training Coordinator 0.40 24,594 - 24,594
1111 Human Resource Coordinator 0.50 29,857 - 29,857
1112 Admin Clerk 3.00 109,991 - 109,991
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 41.45 251,352$ 2,967,006$ 3,218,358$
Employee Benefits
Acct #Admin Direct Total
1201 6,787$ 80,109$ 86,896$
1202 7,541 89,010 96,551
1203 30,162 356,041 386,203
1204 - - -
1205 - - -
1206 - - -
44,490$ 525,160$ 569,650$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 15,584$ 183,954$ 199,538$
1302 3,645 43,022 46,667
1303 5,781 68,241 74,022
1304 - - -
1305 - - -
1306 - - -
25,010$ 295,217$ 320,227$
320,852$ 3,787,383$ 4,108,235$
Retirement
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
Other (specify)
Child Welfare Mental Health Services
Central Star Behavioral Health
Fiscal Year (FY) 2023-24
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Other (specify)
Other (specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Other (specify)
Revised Exhibit D-2
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 4,263
2004 -
2005 -
2006 -
2007 -
2008 120,637
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
124,900$
3000: OPERATING EXPENSES
Acct #Amount
3001 84,657$
3002 -
3003 20,953
3004 -
3005 38,746
3006 84,967
3007 -
3008 -
3009 43,151
3010 15,000
3011 -
3012 -
287,474$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 24,915$
4002 66,508
4003 14,453
4004 -
4005 -
4006 18,358
4007 -
4008 -
4009 -
4010 -
124,234$
5000: SPECIAL EXPENSES
Line Item Description
Child Care
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (specify)
Other (specify)
Other (specify)
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Household Items for Clients
Printing/Postage
Office, Household & Program Supplies
Advertising
Staff Development & Training
Staff Mileage
Subscriptions & Memberships
Other (specify)
Other (specify)
Other (specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Telecommunications
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
Security
Vehicle Maintenance
Other - Purchased Services
Other - Licenses and Taxes
Other (specify)
Other (specify)
OPERATING EXPENSES TOTAL:
Utilities
Other (specify)
Other (specify)
Other (specify)
Other (specify)
FACILITIES/EQUIPMENT TOTAL:
Revised Exhibit D-2
Acct #Amount
5001 -$
5002 -
5003 -
5004 7,867
5005 -
5006 -
5007 -
5008 -
7,867$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 412,812$
6002 25,045
6003 98,345
6004 15,844
6005 -
6006 14,064
6007 -
6008 135,264
6009 -
6010 -
6011 -
6012 -
701,374$
7000: FIXED ASSETS
Acct #Amount
7001 50,635$
7002 -
7003 -
7004 -
7005 -
7006 -
7007 -
7008 -
50,635$
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Translation Services
Other (specify)
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Insurance (Specify)
Payroll Services
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Other (specify)
Other (specify)
Other (specify)
SPECIAL EXPENSES TOTAL:
Line Item Description
Administrative Overhead
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
Other - Centralized Services - program
Other (specify)
Other (specify)
Other (specify)
Other (specify)
ADMINISTRATIVE EXPENSES TOTAL
Assets over $5,000/unit (Specify)
Other (specify)
Other (specify)
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 5,404,719$
Revised Exhibit D-2
Acct #Service Units Rate Amount
8001 Mental Health Services 600,653 3.11 1,870,597$
8002 Case Management 470,814 2.40 1,131,837
8003 Crisis Services 2,793 4.56 12,727
8004 Medication Support 37,479 5.69 213,371
8005 Collateral 305,415 3.11 951,144
8006 Plan Development 43,941 3.11 136,843
8007 Assessment 51,313 3.11 159,803
8008 Rehabilitation 34,209 3.11 106,536
8009 ICC 134,791 2.40 323,498
8010 IHBS 149,992 3.11 466,475
1,831,400 5,372,832$
97%
5,211,647
50%2,605,823
2,605,823$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 2,347,148$
2,347,148$
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 Psychological Evaluations - $3.11 per unit; 20,538 units 63,872
8404 Court Documentation, Reports - $3.11 per unit; 41,075 units 127,744
8405 Non-MediCal Clients (Mental Health Services) - $3.11 per unit; 41,133 127,925
8406 Non-MediCal Clients (Case Management) - $2.40 per unit; 20,758 units 49,820
8407 Non-MediCal Clients (Crisis Intervention) - $4.56 per unit; 101 units 460
8408 Non-MediCal Clients (Medical Support) - $5.69 per unit; 1,347 units 7,663
8409 ICC - $2.40 per unit; 11,721 units 28,130
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
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
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Revised Exhibit D-2
8410 IHBS - $3.11 per unit; 14,834 units 46,135
451,748$
NET PROGRAM COST: -$
OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:5,404,719$
Revised Exhibit D-2
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 4,108,235
Employee Salaries 3,218,358
1101 Program Director 110,679 1.0 FTE, this position oversees program management and maintains in compliance with
contract and legal requirements.
1102 Case Managers 568,218 8.0 FTE, will provide case management activities to assist individuals at risk or
indicating symptoms of mental health problems to ensure access to needed medical,
rehabilitative, and other needed services and resources. Case Manager will work to
identify and link individuals to resources and related supports, monitor service delivery
to ensure access to care. Case Manager will provide person-to-person case
management support to address barriers to treatment and will support individuals
connecting with appropriate mental health resources. Case Managers will provide
individualized attention, as well as services and supports as needed.
1103 Mental Health Specialist 1,827,040 22 FTE's, provides initial and ongoing assessment; develops EPSDT plan. Provides
individual and family trauma-informed mental health services and therapy. Provides
clinical support and information to CFTs, as CFT and ICC team member. Documents and
bills for services, and completes outcomes information.
1104 Clinical Supervisors 393,382 4.0 FTE, under general direction, supervises Specialty Mental Health Services, and the
work of license-eligible therapists in accordance with BBS requirements. May also
provide individual mental health services.
1105 Intake Coordinators 37,839 1.0 FTE, processes referrals, consent packets, and paperwork, etc.
1106 LVN 29,848 0.50 FTE, provides direct client care including medications, and supervises nursing
activities performed by professional and para-professional nursing personnel on the
unit.
1107 Administrator 32,518 .25 FTE, has a direct responsibility for the Community Service program and will report
to Regional Administrator, will ensure operational, clinical and regulatory requirements
are met. He/she will directly supervise the Program Director.
1108 Quality Assurance Coordinator 23,649 .40 FTE, is responsible for utilization review and assisting in medical record
management by gathering and analyzing agency data and assisting in the agency’s
quality control, quality assurance, and quality improvement efforts.
1109 Quality Assurance Manager 30,743 .40 FTE, manages all Quality Assurance tasks for the program, which includes records
management, documentation and service audits for compliance to Medi-Cal and
internal requirements.
1110 Training Coordinator 24,594 .40 FTE, assists in the development, coordination, delivery and administration of agency
training programs.
1111 Human Resource Coordinator 29,857 .50 FTE, manages all human resource clerical and administrative tasks for the program
staff. This position is responsible for supporting the development of a positive working
environment to enhance agency success and reduce legal risk, as well as management
team support and consultation, employee relations, interpretation and administration
of HR policies and procedures, staff recruitment and selection, compensation, and
employee benefits etc.
1112 Admin Clerk 109,991 3.0 FTE, is responsible for insuring the client record within EMR (Electronic Medical
Record) is maintained, physician orders are signed within the prescribed time period,
clinical, consultant and discharge documentation and appointments are scheduled,
weekly summary sheets are prepared, and also acts as the administrative support for
the units.
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 569,650
1201 Retirement 86,896 Annual ESOP Pension and 401k employer match, calculated at 2.7% of annual salaries
1202 Worker's Compensation 96,551 Worker Compensation calculated at 3% of annual salaries
1203 Health Insurance 386,203 Health Insurance is calculated at 12% of annual salaries
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
Child Welfare Mental Health Services
Central Star Behavioral Health
Fiscal Year (FY) 2023-24
PROGRAM EXPENSE
Revised Exhibit D-2
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
Payroll Taxes & Expenses:320,227
1301 OASDI 199,538 Calculated at 6.20% of annual salaries up to the annual IRS max
1302 FICA/MEDICARE 46,667 Calculated at 1.45% of annual salaries
1303 SUI 74,022 Calculate at the Company's rate of 6% up to $7,000 of annual wages per employee
1304 Other (specify)-
1305 Other (specify)-
1306 Other (specify)-
2000: CLIENT SUPPORT 124,900
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support 4,263 When transporting clients, funds used for gas refill.
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports 120,637 Includes Psychiatrist: for 75 hours per month at $134 per hour.
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (specify)-
2012 Other (specify)-
2013 Other (specify)-
2014 Other (specify)-
2015 Other (specify)-
2016 Other (specify)-
3000: OPERATING EXPENSES 287,474
3001 Telecommunications 84,657 Staff cell phone reimbursement, contingent on headcount ($60 per month for staff and
the director at $100 per month) also landline, internet & phones which includes Wi-Fi
for staff tablets. Total $7,055 monthly.
3002 Printing/Postage -
3003 Office, Household & Program Supplies 20,953 For office supplies for 41.45 FTE's also including related cleaning supplies for the year.
Total $1,746 monthly.
3004 Advertising -
3005 Staff Development & Training 38,746 Comprise of the on-going program required education, training and materials for staff
and training for DBT/ AF-CBT/ CBT practices. Total $3,229 monthly.
3006 Staff Mileage 84,967 This is estimated staff travel reimbursement for client visits (IRS mileage rate @
.58/miles) and for staff travel to training programs, which is based on our experience in
administering similar programs and locations. Based on our experience the 41.45 FTEs
will travel 12,208 miles a month and get reimbursed Calculated @ $7,081/month.
3007 Subscriptions & Memberships -
3008 Vehicle Maintenance -
3009 Other - Purchased Services 43,151 Includes on-going staff recruitment, document shredding, water and coffee service,
postage meter rental, Security services and storage facility. Monthly - $3,596.
3010 Other - Licenses and Taxes 15,000 Property Taxes, business licenses and Joint Commission fees
3011 Other (specify)-
3012 Other (specify)-
4000: FACILITIES & EQUIPMENT 124,234
4001 Building Maintenance 24,915 For janitorial services, repairs and maintenance, calculated at $2,076 per month for 12
months.
4002 Rent/Lease Building 66,508 Calculated at $1.27 per square foot per month for 4,350 square feet for 12 months.
4003 Rent/Lease Equipment 14,453 For copier lease, toner and maintenance for 12 months.
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 18,358 Electricity, Water, Gas, $1,530 per month for 12 months.
4007 Other (specify)-
4008 Other (specify)-
4009 Other (specify)-
4010 Other (specify)-
5000: SPECIAL EXPENSES 7,867
5001 Consultant (Network & Data Management)-
Revised Exhibit D-2
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services 7,867 For annual translation services. Total $656 monthly.
5005 Other (specify)-
5006 Other (specify)-
5007 Other (specify)-
5008 Other (specify)-
6000: ADMINISTRATIVE EXPENSES 701,374
6001 Administrative Overhead 412,812 Will not exceed 15% of total costs. As 10% of total costs is an allocation from Stars
Behavioral Health Group. It covers operations administration, information technology,
human resources, communications, finance, and associated fringe benefits and
expenses. SBHG oversight ensures consistency with our quality standards and policies
and procedures. The cost is developed from allocating the SBHG costs among all the
programs within all the SBHG companies based on standard accounting practices. This
economy of scale results in a significant savings for all SBHG programs. Rather than
staffing each program for all necessary services above, the services are performed by
fewer employees and then shared among all SBHG programs. And 5% of the total
expenses is budgeted as SBHG operating income. Up to 5% of the total expenses will be
net income while maintaining total Administrative/Overhead expenses under 15% of
total funding.
6002 Professional Liability Insurance 25,045 For general liability, property and professional liability based on $604 per FTE.
6003 Accounting/Bookkeeping 98,345 This program will be supported and greatly benefit from the experienced and
established local Starlight Community Services organization. There is a large cost
advantage to the program in being supported by Starlight CS in the areas of operations,
business office and billing functions. Without the support from an affiliated
organization, the program would need to have dedicated staff for these functions.
Additionally any costs shared with this program will result in savings to the county
though lower costs for other Central Star County Programs. The cost of this support is
budgeted at $8,195 per month which is consistent with other programs.
6004 External Audit 15,844 For annual audit fees.
6005 Insurance (Specify)-
6006 Payroll Services 14,064 For payroll processing fees based on $28 per month for 41.45 employees.
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other - Centralized Services - program 135,264 Is comprised of the SBHG corporate and regional support in the numerous areas
including support from the Senior Administrator as well as services provided for
Program Development and Evaluation (e.g., tracking and reporting outcomes, and
implementation of practices), Quality & Compliance (e.g., internal chart audits,
compliance audits, and TJC-readiness preparation), and Training (e.g., TIP and Core
Practice trainings provided company-wide). There is a significant cost advantage to all
the SBHG company programs in sharing these costs rather than building them into each
program. SBHG support provides oversight of all of our programs to ensure consistency
with our standards and policies and procedures. The cost of this support is shared by all
programs and is budgeted 3% of total expenses.
6009 Other (specify)-
6010 Other (specify)-
6011 Other (specify)-
6012 Other (specify)-
7000: FIXED ASSETS 50,635
7001 Computer Equipment & Software 50,635 For minor office equipment, furniture, IT equipment, software and support. Total 4,220
monthly.
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures -
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (specify)-
7008 Other (specify)-
Revised Exhibit D-2
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 ICC
8010 IHBS
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:5,404,719
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:5,404,719
BUDGET CHECK:-
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Revised Exhibit D-3
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Clinician I 18.00 -$ 958,441$ 958,441$
1102 Clinician II 5.00 - 300,142 300,142
1103 Family Specialist 4.00 - 132,193 132,193
1104 Clinical Program Manager 5.31 - 404,020 404,020
1105 Clinical Director 1.00 - 103,461 103,461
1106 Support Services Coordinator 2.00 - 91,342 91,342
1107 Administrative Assistant 1.68 70,111 - 70,111
1108 Regional Director 0.42 58,170 - 58,170
1109 Supervisor of Administrative Operations 0.42 25,320 - 25,320
1110 Customer Services 1.26 62,287 - 62,287
1111 Compliance - Health Information Technician 0.84 30,842 - 30,842
1112 Associate Director of Quality Support 0.42 34,559 - 34,559
1113 Health Information Manager 0.17 18,897 - 18,897
1114 Supervisor Physical Plan Operations 0.14 12,409 - 12,409
1115 Outcome - Research Specialist 0.57 48,324 - 48,324
1116 Training - Learning Partner 0.31 21,219 - 21,219
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 41.54 382,138$ 1,989,599$ 2,371,737$
Employee Benefits
Acct #Admin Direct Total
1201 15,286$ 79,584$ 94,870$
1202 7,643$ 39,792$ 47,435
1203 85,981$ 447,659$ 533,640
1204 - - -
1205 - - -
1206 - - -
108,910$ 567,035$ 675,945$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 23,693$ 123,355$ 147,048$
1302 5,541$ 28,849$ 34,390
1303 2,866$ 14,922$ 17,788
1304 - - -
1305 - - -
1306 - - -
32,100$ 167,126$ 199,226$
523,148$ 2,723,760$ 3,246,908$
Child Welfare Mental Health Services
Uplift Family Services
Fiscal Year (FY) 2019-20
Description
Payroll Taxes & Expenses Subtotal:
Other (specify)
Other (specify)
EMPLOYEE SALARIES & BENEFITS TOTAL:
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Other (specify)
Employee Benefits Subtotal:
Description
Retirement/Incentive
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
OASDI
FICA/MEDICARE
SUI
Other (specify)
Revised Exhibit D-3
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 -
2004 -
2005 -
2006 -
2007 -
2008 -
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
-$
3000: OPERATING EXPENSES
Acct #Amount
3001 55,933
3002 1,946
3003 -
3004 11,307
3005 Household Supplies -
3006 Legal Notices/Advertising -
3007 Staff Training/Registration 99,807
3008 Staff Travel and Mileage/Vehicle Maintenance 134,949
3009 Subscriptions & Memberships 4,829
3010 Licenses and Taxes -
3011 Food -
3012 Program Supplies - Therapeutic 6,000
314,771$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 2,127$
4002 221,578
4003 8,358
4004 -
4005 -
4006 -
4007 36,710
4008 -
4009 -
4010 -
268,773$
5000: SPECIAL EXPENSES
Line Item Description
Line Item Description
Line Item Description
DIRECT CLIENT CARE TOTAL
Other (specify)
Other (specify)
Office Supplies & Equipment
FACILITIES/EQUIPMENT TOTAL:
OPERATING EXPENSES TOTAL:
Equipment Purchase
Other (specify)
Other (specify)
Building Maintenance
Client Transportation & Support
Client Housing Support
Child Care
Other (specify)
Other (specify)
Clothing, Food, & Hygiene
Education Support
Household Items for Clients
Employment Support
Utility Vouchers
Program Supplies - Medical
Medication Supports
Other (specify)
Rent/Lease Equipment
Rent/Lease Building
Other (specify)
Printing/Reproduction
Telephone
Postage
Rent/Lease Vehicles
Security
Other (specify)
Utilities
Revised Exhibit D-3
Acct #Amount
5001 32,783$
5002 -
5003 82,400
5004 30,000
5005 -
5006 -
5007 -
5008 -
145,183$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 712,500$
6002 -
6003 -
6004 4,405
6005 54,551
6006 -
6007 2,909
6008 -
6009 -
6010 -
6011 -
6012 -
774,365$
7000: FIXED ASSETS
Acct #Amount
7001 -$
7002 -
7003 -
7004 -
7005 -
7006 -
7007 -
7008 -
-$
Line Item Description
Professional Liability Insurance
Accounting/Bookkeeping
ADMINISTRATIVE EXPENSES TOTAL
4,750,000$ TOTAL PROGRAM EXPENSES
Other Assets over $500 with Lifespan of 2 Years +
Other (specify)
Assets over $5,000/unit (Specify)
FIXED ASSETS EXPENSES TOTAL
SPECIAL EXPENSES TOTAL:
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Other (specify)
Contract Psychiatrist
Translation Services
Leasehold/Tenant/Building Improvements
Payroll Services
Line Item Description
External Audit
Other (specify)
Other (specify)
Other (specify)
Liability Insurance
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Furniture & Fixtures
Line Item Description
HMIS (Health Management Information System)
Administrative Overhead
Other (specify)
Other (specify)
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Consultant (Network & Data Management)
Revised Exhibit D-3
Acct #Service Units Rate Amount
8001 Mental Health Services 809,717 2.98 2,412,957$
8002 Case Management 77,859 2.32 180,633
8003 Crisis Services 15,571 4.38 68,201
8004 Medication Support 15,571 5.44 84,706
8005 Collateral 93,429 2.98 278,418
8006 Plan Development 31,143 2.32 72,252
8007 Assessment 124,573 2.98 371,228
8008 Rehabilitation 77,857 2.98 232,014
8009 Intensive Care Coordination 77,857 2.32 180,628
8010 Intensive Home-Based Services 233,574 2.98 696,051
1,557,151 4,577,087$
93%
4,275,000
50%2,137,500
2,137,500$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 2,137,500$
2,137,500$
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 102,120$
8402 Psychological Evaluations - 24,480 units; $2.89 per unit 70,747$
8403 Mental Health Services (Individual/Family/Group Therapy) - 52,721 units; $2.98 per unit 157,108$
8404 Case Management - 6,512 units; $2.32 per unit 15,107$
8405 Crisis Services - 690 units; $4.38 per unit 3,021$
8406 Medication Support - 555 units; $5.44 per unit 3,021$
8407 Collateral - 6,083 units; $2.98 per unit 18,128$
8408 Plan Development - 2,605 units; $2.32 per unit 6,043$
8409 24,171$
Court Documentation -- 1,380 units; $74.00 per report
Assessment - 8,111 units; $2.98 per unit
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROGRAM FUNDING SOURCES
Estimated Specialty Mental Health Services Billing Totals:
Estimated % of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Federal Financial Participation (FFP) %
Line Item Description
8400 - OTHER REVENUE (DSS)
SUBSTANCE USE DISORDER FUNDS TOTAL
MEDI-CAL FFP TOTAL
MHSA TOTAL
Line Item Description
Line Item Description
8100 - SUBSTANCE USE DISORDER FUNDS
MHSA Program Name
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
Line Item Description
REALIGNMENT TOTAL
8200 - REALIGNMENT
Revised Exhibit D-3
8410 15,107$
8411 15,107$
8412 45,320$
475,000$
NET PROGRAM COST:
Rehabilitation - 5,069 units; $2.98 per unit
Intensive Care Coordination - 6,512 units; $2.32 per unit
Intensive Home-Based Services - 15,208 units; $2.98 per unit
TOTAL PROGRAM FUNDING SOURCES:4,750,000$
-$
OTHER REVENUE TOTAL
Revised Exhibit D-3
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 3,246,908
Employee Salaries 2,371,737
1101 Clinician I 958,441 Master's Degree (MA/MS) and at least two years of experience working with youth,
young adults and families in a therapeutic environment is required. If unlicensed must
be a registered intern with the Board of Behavioral Sciences and receiving appropriate
clinical supervision. Provides psychotherapy and psychotherapeutic support to children
and families.
1102 Clinician II 300,142 Master's Degree (MA/MS) and at least two years of experience working with youth,
young adults and families in a therapeutic environment is required. If unlicensed must
be a registered intern with the Board of Behavioral Sciences and receiving appropriate
clinical supervision. Provides psychotherapy and psychotherapeutic support to children
and families. Applies advanced use of assessment information in development of the
treatment plan and applies information and resources to ensure quality care. Applies
advanced skill in acquisition and application of clinically related information to
effectively intervene with children and families. Understands and applies multi-modal
approaches and perspectives to therapeutic direction. Provides coaching and mentoring
of others in the implementation of Evidence Based Practices (EBPs). Leads problem
solving interaction and work with external customers. Maintains audit ready charts and
audits charts independently. Provides observations and feedback to supervisor in order
to monitor and/or modify programs or approaches. Actively participates in the
identification of team opportunities for improvement or identification of deficiencies
and in the development of strategies to address or bridge gaps. Leads Continuous
Quality Improvement (CQI) activities and project implementation. Required to meet
applicable productivity and documentation requirements.
1103 Family Specialist 132,193 Provides direct services to youth and families. Provides direct billable mental health
services, documents in alignment with MediCal regulations, and achieves set
productivity expectations. Engages and builds alignment and relationships with parents,
youth, and others in the normal course of working with the families. Utilizes strengths
of youth, families, and others to assist in the implementation and achievement of goals
and outcomes. Works with youth and family teams to support family driven, strength
based planning and interventions. Understands and takes advantage of therapeutic
opportunities in crisis situations. Conducts observations regarding specific target
behavior, track progress and modify plans with the family to support their intended
identified outcome. Assists teams in developing a hypothesis of function and underlying
unmet need in an effort to develop individualized, strength based strategies and
interventions that will result in positive behavior change. Engages caregiver, family
members, and other natural supports in building youth specific parenting responses
that support positive behavior change and overall family relationships. Works in the
community directly with youth and families to develop and implement safety and skill
refinement plans. Supports families in bridging to and or building on natural resources
and accessing community based program supports that will continue support over time.
Develops resources within the community to serve children and families. Assists youth
and family teams to meet specific service needs (ie: help develop strategy or resource
specific to an identified need) and monitor outcomes. Participates in family finding
team activities by identifying family finding need, obtaining authorizations, creating
teams, conducting searches and setting deadlines. Completes Connectedness Maps as
needed. Documents interactions and practices and maintain administrative
expectations in a timely manner. Meets and or exceeds all direct service expectations
and documentation requirements. Assists in developing program responses to needs
identified across a number of youth and families where natural community resources
are not available or appropriate. Builds on individual strengths, concerns, and needs
with balanced focus on the family as a unit. Facilitates and/or co-facilitates, supports,
and model participation in healthy group dynamics within various settings including
Uplift Family Services
Child Welfare Mental Health Services
Fiscal Year (FY) 2019-20
PROGRAM EXPENSE
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1104 Clinical Program Manager 404,020 Ensures effective coordination of services for youth and families with other providers,
both internal and external, by supporting the development of constructive relationships
and problem-solving barriers. Develops, interprets and ensures consistent
implementation of clinical program philosophy, objectives, standards, policies,
procedures and practices. Analyzes and integrates the use of outcome data to improve
clinical service delivery within assigned team. Ensures and monitors defined outcome
achievement for youth and families, as well as satisfaction levels for youth, families, and
referring workers and agencies. Initiates and participates in organizational quality
improvement efforts. Lead and/or delegate work groups to respond to program
development needs. Ensures compliance with all policy and procedures including
adherence to all licensing, quality, Information Technology (IT), Human Resources (HR),
compliance and regulatory standards. Leads and manages change. Proactively identifies
potential conflicts; leads parties to consensus and develops same skills in direct reports.
Manages to ensure fiscally viable programming. Ensures staff billable productivity and
other revenue related activities meet or exceed revenue forecasts. Ensures effective
quality clinical services delivery for assigned youth and families. Provides effective crisis
and risk prevention and management. Partners with county referring departments,
agencies and the community to ensure comprehensive care. Participates in staff
development; hires, coaches, mentors, supervises, conducts direct field observations,
trains, disciplines, and terminates. Ensures clinical documentation and quality assurance
meets both agency and payor standards, ensuring audit ready charts and continuous
quality improvement. Provides 24/7 availability as needed. Culturally responsive to
internal and external customers, and ensures family voice. Provides direct services to
families and children, as support to the direct service staff, to ensure smooth delivery of
service to assigned families and youth. Provides outreach to the community including
education about agency, program and general mental health and foster care topics.
Advocates for system change in relationship to agency service delivery philosophy.
Manages day-to-day operations including utilization of all administrative electronic
systems human and other resources Works collaboratively with managerial peers to 1105 Clinical Director 103,461 Master's degree (MA/MS). Must have appropriate license to practice as a Licensed
Clinical Social Worker or Marriage Family Therapist in the State of California. Must
meet the BBS requirements to provide clinical oversight and supervision with three to
ten years of experience in healthcare/psychology/behavioral/mental health. The Clinical
Director implements strategies to accomplish the agency annual priorities at the
program level. Directs and develops managers, ensures CPMS are competent and have
all tools necessary to lead teams.
1106 Support Services Coordinator 91,342 Bachelor’s degree required. (with emphasis in Psychology, social Work, Sociology or
related course work) Two years of experience in Mental Health field required.Four years
of experience in Mental Health field preferred. Knowledge of excel spreadsheets;
moderate computer literacy. Clinical skills relevant to intake services including: client
triage, understanding of legal/ethical issues, and risk management. Works within the
vision, mission, and philosophy of the agency, provides customerfriendly services to
internal and external customers. With limited supervision, sets up, coordinates and runs
parenting groups, trains new staff and coaches and supports existing staff in effectively
using therapeutic interventions with children and families and in meeting
documentation quality and timeliness expectations. Analyzes outcome data in
partnership with Outcomes and Evaluation to identify quality improvement activities.
Leads quality improvement activities from start to finish, including evaluation of the
effectiveness of the activities.
1107 Administrative Assistant 70,111 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
1108 Regional Director 58,170 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
1109 Supervisor of Administrative Operations 25,320 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
1110 Customer Services 62,287 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1111 Compliance - Health Information Technician 30,842 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
1112 Associate Director of Quality Support 34,559 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
1113 Health Information Manager 18,897 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
1114 Supervisor Physical Plan Operations 12,409 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
1115 Outcome - Research Specialist 48,324 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
1116 Training - Learning Partner 21,219 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 675,945
1201 Retirement/Incentive 94,870 Calculated at 4% of salaries.
1202 Worker's Compensation 47,435 Calculated at 2% of salaries.
1203 Health Insurance 533,640 Calculated at 22.5% of salaries.
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
Payroll Taxes & Expenses:199,226
1301 OASDI 147,048 Calculated at 6.2% of salaries.
1302 FICA/MEDICARE 34,390 Calculated at 1.45% of salaries.
1303 SUI 17,788 Calculated at 0.75% of salaries.
1304 Other (specify)-
1305 Other (specify)-
1306 Other (specify)-
2000: CLIENT SUPPORT -
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (specify)-
2012 Other (specify)-
2013 Other (specify)-
2014 Other (specify)-
2015 Other (specify)-
2016 Other (specify)-
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
3000: OPERATING EXPENSES 314,771
3001 Telephone 55,933 Cell phones, Land Lines, DSL, fax charges, phone system; wireless cards for laptop
computers enabling UFS to maintain a fully functional mobile work force to deliver in-
home/in the community services. Costs are allocated between programs on the basis of
payroll dollars and have been estimated based on historical trends.
3002 Postage 1,946 Postage, printing, US mail, GSO, Federal Express, UPS, postage machine refills, outside
reproduction costs, program specific brochures and flyers when reimbursable by the
program. Costs are allocated between programs on the basis of payroll dollars and have
been estimated based on historical trends.
3003 Printing/Reproduction -
3004 Office Supplies & Equipment 11,307 Office supplies and equipment include, but are not limited to: paper, pens, files,
staplers, break rooms supplies (e.g., coffee, paper cups, plastic utensils); subscriptions
to periodicals or newspapers, annual Agency dues and fees paid to accrediting agencies
and laptop replacement. Costs are allocated between programs on the basis of direct
labor dollars and have been estimated based on historical trends.
3005 Household Supplies -
3006 Legal Notices/Advertising -
3007 Staff Training/Registration 99,807 Includes training in the Evidence-Based Practices of Trauma-Focused Cognitive
Behavioral Therapy (TFCBT), Motivational Interviewing (MI), Cognitive Behavioral
Therapy (CBT), Child Parent Psychotherapy (CPP), and Dialectical Behavior Therapy
(DBT), organizational tools, team/organizational psychology, philosophy of client based
services, integration of roles/team dynamics, assessment and individualized treatment
planning, general services, organizing admissions and individualized treatment planning
associated with the EBPs. This includes train-the-trainer and any other program
development training needs. Trainings are inclusive of internal and external trainings,
and all costs, except mileage associated with training, including transportation, parking
room and board, meals, refreshments cost of the program, instructor fees and
materials/manuals are included. Also includes other mandatory trainings such as first
aid and CPR.
3008 Staff Travel and Mileage/Vehicle Maintenance 134,949 Includes travel costs such as air fare, lodging, and mileage reimbursement, which is paid
at the prevailing federal rate (currently $0.575 per mile) to program service staff and
program administrative staff. This also includes upkeep costs for vehicles.
3009 Subscriptions & Memberships 4,829 Includes subscriptions to periodicals, databases, software, and other subscription
services, as well as annual agency dues and fees. Costs are allocated between programs
on the basis of payroll dollars and have been estimated based on historical trends.
3010 Licenses and Taxes -
3011 Food -
3012 Program Supplies - Therapeutic 6,000 Includes those supplies utilized in the direct delivery of therapeutic services to clients.
Cost is estimated to be approximately $18.50 per direct care staff per month. Materials,
cash payments, outing costs, etc. used to motivate or reinforce desired behavior, as well
as materials required for use in Evidenced Based Practices
4000: FACILITIES & EQUIPMENT 268,773
4001 Building Maintenance 2,127 This includes common area maintenance on leased building charges,
maintenance/building repair charges, HVAC maintenance and repair, landscaping,
janitorial services, confidential paper shredding services, in-house or outside equipment
repair and labor. Costs are allocated between programs on the basis of payroll dollars
and have been estimated based on historical trends and the utilization of the Agency’s
office in Fresno.
4002 Rent/Lease Building 221,578 This includes building rent or depreciation, storage and file storage unit rental payments
and all the costs associated with storing and retrieving of client, personnel or other files
or records. Costs are allocated between programs on the basis of payroll dollars and
have been estimated based on historical trends and the utilization of the Agency’s new
office in Fresno.
4003 Rent/Lease Equipment 8,358 This includes rental payments for equipment including leased copiers, postage
machines, phone systems, laptops or other communication, office or facility equipment.
Costs are allocated between programs on the basis of payroll dollars and have been
estimated based on historical trends and the utilization of the Agency’s office in Fresno.
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities -
4007 Equipment Purchase 36,710 Equipment, parts and materials includes the purchase of non-capital assets. Sample
items include, but are not limited to, laptops, desktops, printers, calculators and fax
machines, as well as system user licenses. Costs are allocated between programs on the
basis of payroll dollars and estimated.
4008 Other (specify)-
4009 Other (specify)-
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
4010 Other (specify)-
5000: SPECIAL EXPENSES 145,183
5001 Consultant (Network & Data Management)32,783 The consultant will provide additional clinical supervision support for program staff.
This will also be used to hire a contract psychologist to provide court ordered
psychological testing and reports to the Court. Contract Psychologist estimated to cost
$200 per hour. The psychologist will be required to provide at least 20 hours per
month on average. This will also cover the cost of the psychological testing and scoring
materials.
5002 HMIS (Health Management Information
System)
-
5003 Contract Psychiatrist 82,400 This includes a contract Psychiatrist position estimated to cost $200 per hour. The
psychiatrist will be required to provide at least 20 hours per month, and will provide
psychiatric evaluations and medication support services. This also includes a Nurse
Practitioner, estimated to cost $125 per hour. The nurse practitioner will be required to
provide 2 hours per week and will provide additional psychiatric evaluations and
medication support services.
5004 Translation Services 30,000 To ensure the provision of culturally sensitive services including assurance of language
access, when there is not availability of bilingual staff interpreter/translation services
are used to support a culturally appropriate evaluation, diagnosis, treatment and
referral services.
5005 Other (specify)-
5006 Other (specify)-
5007 Other (specify)-
5008 Other (specify)-
6000: ADMINISTRATIVE EXPENSES 774,365
6001 Administrative Overhead 712,500 Represents the overhead of the Agency's general and administrative shared support
services such as finance, accounting, billing, human resources, clinical administration,
information technology, professional fees, HIPPA compliance and clinical record audits,
risk management and program fidelity, recruiting and human resources support, MIS
infrastructure & QI/UM department support and oversight as well as executive
management. Costs that cannot be specifically charged to a program are allocated to
programs on the basis of direct program salary costs prior to the addition of taxes and
benefits. Administrative Overhead has been budgeted at 15% of total program
expenses.
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit 4,405 Includes annual audit ensuring all financial records are relevant and accurate and in
compliance with state and federal laws and regulations. Audit costs are allocated
between programs on the basis of payroll dollars and have been estimated based on
historical costs.
6005 Liability Insurance 54,551 Includes general business liability and property coverage along with professional liability
insurance. Costs are allocated between programs on the basis of direct labor dollars and
estimated based on historical trends.
6006 Payroll Services -
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
2,909 Depreciation includes depreciation on leasehold improvements, office
furnitures/fixtures and equipment meeting amortization thresholds. Costs are allocated
between programs on the basis of payroll dollars and have been estimated based on
historical trends.
6008 Other (specify)-
6009 Other (specify)-
6010 Other (specify)-
6011 Other (specify)-
6012 Other (specify)-
7000: FIXED ASSETS -
7001 Computer Equipment & Software -
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
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)-
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Intensive Care Coordination
8010 Intensive Home-Based Services
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:4,750,000
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:4,750,000
BUDGET CHECK:-
Estimated77,857 units at $2.98 per unit
Estimated 77,857 units at $2.32 per unit
Estimated 233,574 units at $2.98 per unit
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Estimated 809,717 units at $2.98 per unit
Estimated 77,859 units at $2.32 per unit
Estimated 15,571 units at $4.38 per unit
Estimated 15,571 units at $5.44 per unit
Estimated 93,429 units at $2.98 per unit
Estimated 31,143 units at $2.32 per unit
Estimated 124,573 units at $2.98 per unit
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROGRAM FUNDING SOURCES
Revised Exhibit D-3
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Clinician I 18.00 -$ 1,424,538$ 1,424,538$
1102 Clinician II 5.00 - 439,675 439,675
1103 Family Specialist 4.00 - 137,061 137,061
1104 Clinical Program Manager 5.31 - 552,218 552,218
1105 Clinical Director 1.00 - 131,000 131,000
1106 Support Services Coordinator 1.00 - 44,351 44,351
1107 Doctors Assistant 0.40 - 15,282 15,282
1108 Customer Support Spec 1.00 - 54,814 54,814
1109 Administrative Assistant 0.89 43,776 - 43,776
1110 Regional Director 0.45 73,831 - 73,831
1111 Supervisor of Administrative Operations 0.45 26,648 - 26,648
1112 Customer Services 1.34 70,831 - 70,831
1113 Associate Director of Quality Support 0.45 48,577 - 48,577
1114 Health Information Manager 0.11 12,555 - 12,555
1115 Supervisor Physical Plant Operations 0.09 7,206 - 7,206
1116 Outcome - Research Specialist 0.55 48,139 - 48,139
1117 Training - Learning Partner 0.27 19,063 - 19,063
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 40.31 350,626$ 2,798,939$ 3,149,565$
Employee Benefits
Acct #Admin Direct Total
1201 14,025$ 111,958$ 125,983$
1202 7,013$ 55,979$ 62,992
1203 78,890$ 629,761$ 708,651
1204 - - -
1205 - - -
1206 - - -
99,929$ 797,698$ 897,627$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 21,739$ 173,534$ 195,273$
1302 5,084$ 40,585$ 45,669
1303 2,630$ 20,992$ 23,622
1304 - - -
1305 - - -
1306 - - -
29,453$ 235,111$ 264,564$
480,008$ 3,831,748$ 4,311,756$
Child Welfare Mental Health Services
Uplift Family Services
Fiscal Year (FY) 2020-21
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Revised Exhibit D-3
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 -
2004 -
2005 -
2006 -
2007 -
2008 -
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
-$
3000: OPERATING EXPENSES
Acct #Amount
3001 62,910$
3002 1,946
3003 6,000
3004 -
3005 58,000
3006 50,000
3007 4,829
3008 6,000
3009 5,799
3010 -
3011 -
3012 -
195,484$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 2,127$
4002 228,545
4003 4,600
4004 -
4005 -
4006 -
4007 25,000
4008 -
4009 -
4010 -
260,272$
5000: SPECIAL EXPENSES
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
Other (specify)
Other (specify)
Other (specify)
Other (specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (specify)
Other (specify)
Subscriptions & Memberships
Program Supplies - Therapeutic
Depreciation
Other (specify)
Other (specify)
Other (specify)
Telecommunications
Printing/Postage
Office Supplies & Equipment
Advertising
Staff Development & Training
Staff Travel and Mileage/Vehicle Maintenance
Security
Utilities
Equipment Purchase
Other (Specify)
Other (Specify)
Other (Specify)
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
FACILITIES/EQUIPMENT TOTAL:
Revised Exhibit D-3
Acct #Amount
5001 9,000$
5002 -
5003 127,260
5004 25,000
5005 -
5006 -
5007 -
5008 -
161,260$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 750,843$
6002 72,440
6003 -
6004 4,405
6005 -
6006 -
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
827,688$
7000: FIXED ASSETS
Acct #Amount
7001 -$
7002 -
7003 -
7004 -
7005 -
7006 -
7007 -
7008 -
-$
SPECIAL EXPENSES TOTAL:
Line Item Description
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Insurance (Specify):
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contract Psychiatrist
Translation Services
ADMINISTRATIVE EXPENSES TOTAL
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 5,756,460$
Assets over $5,000/unit (Specify)
Other (Specify)
Other (Specify)
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
Revised Exhibit D-3
Acct #Service Units Rate Amount
8001 Mental Health Services 830,936 3.58 2,976,193$
8002 Case Management 79,863 2.79 222,915
8003 Crisis Services 15,982 5.26 84,071
8004 Medication Support 15,982 6.54 104,504
8005 Collateral 95,894 3.58 343,467
8006 Plan Development 31,965 2.79 89,221
8007 Assessment 127,858 3.58 457,954
8008 Rehabilitation 79,911 3.58 286,220
8009 Intensive Care Coordination 79,959 2.79 223,183
8010 Intensive Home-Based Services 239,876 3.58 859,172
1,598,226 5,646,900$
93%
5,269,110
50%2,634,555
2,634,555$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 2,634,555$
2,634,555$
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 102,120$
8402 Psychological Evaluations - 24,480 units; $2.89 per unit 70,747$
8403 Mental Health Services (Individual/Family/Group Therapy) - 55,678 units; $3.58 per unit 199,423$
8404 Case Management - 6,867 units; $2.79 per unit 19,167$
8405 Crisis Services - 729 units; $5.26 per unit 3,836$
8406 Medication Support - 587 units; $6.54 per unit 3,836$
8407 Collateral - 6,425 units; $3.57 per unit 23,014$
8408 Plan Development - 2,748 units; $2.79 per unit 7,672$
8409 30,686$
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
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
MHSA TOTAL
8400 - OTHER REVENUE (DSS)
Line Item Description
Court Documentation -- 1,380 units; $74.00 per report
Assessment - 8,567 units; $3.58 per unit
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Revised Exhibit D-3
8410 19,179$ Rehabilitation - 5,355 units; $3.58 per unit
Revied Exhibit D-3
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 4,311,756
Employee Salaries 3,149,565
1101 Clinician I 1,424,538 Master's Degree (MA/MS) and at least two years of experience working with youth,
young adults and families in a therapeutic environment is required. If unlicensed must
be a registered intern with the Board of Behavioral Sciences and receiving appropriate
clinical supervision. Provides psychotherapy and psychotherapeutic support to children
and families.
1102 Clinician II 439,675 Master's Degree (MA/MS) and at least two years of experience working with youth,
young adults and families in a therapeutic environment is required. If unlicensed must
be a registered intern with the Board of Behavioral Sciences and receiving appropriate
clinical supervision. Provides psychotherapy and psychotherapeutic support to children
and families. Applies advanced use of assessment information in development of the
treatment plan and applies information and resources to ensure quality care. Applies
advanced skill in acquisition and application of clinically related information to effectively
intervene with children and families. Understands and applies multi-modal approaches
and perspectives to therapeutic direction. Provides coaching and mentoring of others in
the implementation of Evidence Based Practices (EBPs). Leads problem solving
interaction and work with external customers. Maintains audit ready charts and audits
charts independently. Provides observations and feedback to supervisor in order to
monitor and/or modify programs or approaches. Actively participates in the
identification of team opportunities for improvement or identification of deficiencies and
in the development of strategies to address or bridge gaps. Leads Continuous Quality
Improvement (CQI) activities and project implementation. Required to meet applicable
productivity and documentation requirements.
1103 Family Specialist 137,061 Provides direct services to youth and families. Provides direct billable mental health
services, documents in alignment with MediCal regulations, and achieves set productivity
expectations. Engages and builds alignment and relationships with parents, youth, and
others in the normal course of working with the families. Utilizes strengths of youth,
families, and others to assist in the implementation and achievement of goals and
outcomes. Works with youth and family teams to support family driven, strength based
planning and interventions. Understands and takes advantage of therapeutic
opportunities in crisis situations. Conducts observations regarding specific target
behavior, track progress and modify plans with the family to support their intended
identified outcome. Assists teams in developing a hypothesis of function and underlying
unmet need in an effort to develop individualized, strength based strategies and
interventions that will result in positive behavior change. Engages caregiver, family
members, and other natural supports in building youth specific parenting responses that
support positive behavior change and overall family relationships. Works in the
community directly with youth and families to develop and implement safety and skill
refinement plans. Supports families in bridging to and or building on natural resources
and accessing community based program supports that will continue support over time.
Develops resources within the community to serve children and families. Assists youth
and family teams to meet specific service needs (ie: help develop strategy or resource
specific to an identified need) and monitor outcomes. Participates in family finding team
activities by identifying family finding need, obtaining authorizations, creating teams,
conducting searches and setting deadlines. Completes Connectedness Maps as needed.
Documents interactions and practices and maintain administrative expectations in a
timely manner. Meets and or exceeds all direct service expectations and documentation
requirements. Assists in developing program responses to needs identified across a
number of youth and families where natural community resources are not available or
appropriate. Builds on individual strengths, concerns, and needs with balanced focus on
the family as a unit. Facilitates and/or co-facilitates, supports, and model participation in
h lth d i ithi i tti i l di f il h h l k
Child Welfare Mental Health Services
Uplift Family Services
Fiscal Year (FY) 2020-21
PROGRAM EXPENSE
Revied Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1104 Clinical Program Manager 552,218 Ensures effective coordination of services for youth and families with other providers,
both internal and external, by supporting the development of constructive relationships
and problem-solving barriers. Develops, interprets and ensures consistent
implementation of clinical program philosophy, objectives, standards, policies,
procedures and practices. Analyzes and integrates the use of outcome data to improve
clinical service delivery within assigned team. Ensures and monitors defined outcome
achievement for youth and families, as well as satisfaction levels for youth, families, and
referring workers and agencies. Initiates and participates in organizational quality
improvement efforts. Lead and/or delegate work groups to respond to program
development needs. Ensures compliance with all policy and procedures including
adherence to all licensing, quality, Information Technology (IT), Human Resources (HR),
compliance and regulatory standards. Leads and manages change. Proactively identifies
potential conflicts; leads parties to consensus and develops same skills in direct reports.
Manages to ensure fiscally viable programming. Ensures staff billable productivity and
other revenue related activities meet or exceed revenue forecasts. Ensures effective
quality clinical services delivery for assigned youth and families. Provides effective crisis
and risk prevention and management. Partners with county referring departments,
agencies and the community to ensure comprehensive care. Participates in staff
development; hires, coaches, mentors, supervises, conducts direct field observations,
trains, disciplines, and terminates. Ensures clinical documentation and quality assurance
meets both agency and payor standards, ensuring audit ready charts and continuous
quality improvement. Provides 24/7 availability as needed. Culturally responsive to
internal and external customers, and ensures family voice. Provides direct services to
families and children, as support to the direct service staff, to ensure smooth delivery of
service to assigned families and youth. Provides outreach to the community including
education about agency, program and general mental health and foster care topics.
Advocates for system change in relationship to agency service delivery philosophy.
Manages day-to-day operations including utilization of all administrative electronic
t h d th W k ll b ti l ith i l t1105Clinical Director 131,000 Master's degree (MA/MS). Must have appropriate license to practice as a Licensed
Clinical Social Worker or Marriage Family Therapist in the State of California. Must meet
the BBS requirements to provide clinical oversight and supervision with three to ten
years of experience in healthcare/psychology/behavioral/mental health. The Clinical
Director implements strategies to accomplish the agency annual priorities at the program
level. Directs and develops managers, ensures CPMS are competent and have all tools
necessary to lead teams.
1106 Support Services Coordinator 44,351 Bachelor’s degree required. (with emphasis in Psychology, social Work, Sociology or
related course work) Two years of experience in Mental Health field required.Four years
of experience in Mental Health field preferred. Knowledge of excel spreadsheets;
moderate computer literacy. Clinical skills relevant to intake services including: client
triage, understanding of legal/ethical issues, and risk management. Works within the
vision, mission, and philosophy of the agency, provides customerfriendly services to
internal and external customers. With limited supervision, sets up, coordinates and runs
parenting groups, trains new staff and coaches and supports existing staff in effectively
using therapeutic interventions with children and families and in meeting documentation
quality and timeliness expectations. Analyzes outcome data in partnership with
Outcomes and Evaluation to identify quality improvement activities.
Leads quality improvement activities from start to finish, including evaluation of the
effectiveness of the activities.
1107 Doctors Assistant 15,282 The Doctor’s assistant position directly supports the Psychiatrist and Nurse Practitioner in
all the administrative tasks related to medical support for clients. This position was
previously held by an Administrative Assistant; however requires a higher level of
education and expertise given the specialized nature of the medication support tasks.
1108 Customer Support Spec 54,814 The CSS II is the lead position for our intake coordinators. This position was added to
manage the newly added requirements of tracking all of the access data. This position
also handles additional billing tasks and requirements, as well as supports and trains the
other intake coordinators. This position also assists with data collection for the Monthly
Activity Report specific to the Hope contract.
1109 Administrative Assistant 43,776 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1110 Regional Director 73,831 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
Revied Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1111 Supervisor of Administrative Operations 26,648 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1112 Customer Services 70,831 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1113 Associate Director of Quality Support 48,577 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1114 Health Information Manager 12,555 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1115 Supervisor Physical Plant Operations 7,206 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1116 Outcome - Research Specialist 48,139 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1117 Training - Learning Partner 19,063 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 897,627
1201 Retirement 125,983 Calculated at 4% of salaries.
1202 Worker's Compensation 62,992 Calculated at 2% of salaries.
1203 Health Insurance 708,651 Calculated at 22.5% of salaries.
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
Payroll Taxes & Expenses:264,564
1301 OASDI 195,273 Calculated at 6.2% of salaries.
1302 FICA/MEDICARE 45,669 Calculated at 1.45% of salaries.
1303 SUI 23,622 Calculated at 0.75% of salaries.
1304 Other (specify)-
1305 Other (specify)-
1306 Other (specify)-
2000: CLIENT SUPPORT -
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (specify)-
2012 Other (specify)-
2013 Other (specify)-
2014 Other (specify)-
2015 Other (specify)-
Revied Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
2016 Other (specify)-
3000: OPERATING EXPENSES 195,484
3001 Telecommunications 62,910 Cell phones, Land Lines, DSL, fax charges, phone system; wireless cards for laptop
computers enabling UFS to maintain a fully functional mobile work force to deliver in-
home/in the community services. Costs are allocated between programs on the basis of
payroll dollars and have been estimated based on historical trends.
3002 Printing/Postage 1,946 Postage, printing, US mail, GSO, Federal Express, UPS, postage machine refills, outside
reproduction costs, program specific brochures and flyers when reimbursable by the
program. Costs are allocated between programs on the basis of payroll dollars and have
been estimated based on historical trends.
3003 Office Supplies & Equipment 6,000 Office supplies and equipment include, but are not limited to: paper, pens, files,
staplers, break rooms supplies (e.g., coffee, paper cups, plastic utensils); subscriptions to
periodicals or newspapers, annual Agency dues and fees paid to accrediting agencies and
laptop replacement. Costs are allocated between programs on the basis of direct labor
dollars and have been estimated based on historical trends.
3004 Advertising -
3005 Staff Development & Training 58,000 Includes training in the Evidence-Based Practices of Trauma-Focused Cognitive
Behavioral Therapy (TFCBT), Motivational Interviewing (MI), Cognitive Behavioral
Therapy (CBT), Child Parent Psychotherapy (CPP), and Dialectical Behavior Therapy (DBT),
organizational tools, team/organizational psychology, philosophy of client based services,
integration of roles/team dynamics, assessment and individualized treatment planning,
general services, organizing admissions and individualized treatment planning associated
with the EBPs. This includes train-the-trainer and any other program development
training needs. Trainings are inclusive of internal and external trainings, and all costs,
except mileage associated with training, including transportation, parking room and
board, meals, refreshments cost of the program, instructor fees and materials/manuals
are included. Also includes other mandatory trainings such as first aid and CPR.
3006 Staff Travel and Mileage/Vehicle Maintenance 50,000 Includes travel costs such as air fare, lodging, and mileage reimbursement, which is paid
at the prevailing federal rate (currently $0.575 per mile) to program service staff and
program administrative staff. This also includes upkeep costs for vehicles.
3007 Subscriptions & Memberships 4,829 Includes subscriptions to periodicals, databases, software, and other subscription
services, as well as annual agency dues and fees. Costs are allocated between programs
on the basis of payroll dollars and have been estimated based on historical trends.
3008 Program Supplies - Therapeutic 6,000 Includes those supplies utilized in the direct delivery of therapeutic services to clients.
Cost is estimated to be approximately $18.50 per direct care staff per month. Materials,
cash payments, outing costs, etc. used to motivate or reinforce desired behavior, as well
as materials required for use in Evidenced Based Practices
3009 Depreciation 5,799 Depreciation includes deprecation on leasehold improvements, office furniture/fixtures
and equipment meeting amortization thresholds. Costs are allocated between programs
on the basis of payroll dollars and have been estimated based on historical trends.
3010 Other (specify)-
3011 Other (specify)-
3012 Other (specify)-
4000: FACILITIES & EQUIPMENT 260,272
4001 Building Maintenance 2,127 This includes common area maintenance on leased building charges,
maintenance/building repair charges, HVAC maintenance and repair, landscaping,
janitorial services, confidential paper shredding services, in-house or outside equipment
repair and labor. Costs are allocated between programs on the basis of payroll dollars
and have been estimated based on historical trends and the utilization of the Agency’s
office in Fresno.
4002 Rent/Lease Building 228,545 This includes building rent or depreciation, storage and file storage unit rental payments
and all the costs associated with storing and retrieving of client, personnel or other files
or records. Costs are allocated between programs on the basis of payroll dollars and
have been estimated based on historical trends and the utilization of the Agency’s new
office in Fresno.
4003 Rent/Lease Equipment 4,600 This includes rental payments for equipment including leased copiers, postage machines,
phone systems, laptops or other communication, office or facility equipment. Costs are
allocated between programs on the basis of payroll dollars and have been estimated
based on historical trends and the utilization of the Agency’s office in Fresno.
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities -
Revied Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
4007 Equipment Purchase 25,000 Equipment, parts and materials includes the purchase of non-capital assets. Sample
items include, but are not limited to, laptops, desktops, printers, calculators and fax
machines, as well as system user licenses. Costs are allocated between programs on the
basis of payroll dollars and estimated.
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify)-
5000: SPECIAL EXPENSES 161,260
5001 Consultant (Network & Data Management)9,000 The consultant will provide additional clinical supervision support for program staff. This
will also be used to hire a contract psychologist to provide court ordered psychological
testing and reports to the Court. Contract Psychologist estimated to cost $200 per hour.
The psychologist will be required to provide at least 25 hours per month on average.
This will also cover the cost of the psychological testing and scoring materials.
5002 HMIS (Health Management Information
System)
-
5003 Contract Psychiatrist 127,260 This includes a contract Psychiatrist position estimated to cost $200 per hour. The
psychiatrist will be required to provide at least 35 hours per month, and will provide
psychiatric evaluations and medication support services. This also includes a Nurse
Practitioner, estimated to cost $125 per hour. The nurse practitioner will be required to
provide 6 hours per week and will provide additional psychiatric evaluations and
medication support services.
5004 Translation Services 25,000 To ensure the provision of culturally sensitive services including assurance of language
access, when there is not availability of bilingual staff interpreter/translation services are
used to support a culturally appropriate evaluation, diagnosis, treatment and referral
services.
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 827,688
6001 Administrative Overhead 750,843 Represents the overhead of the Agency's general and administrative shared support
services such as finance, accounting, billing, human resources, clinical administration,
information technology, professional fees, HIPPA compliance and clinical record audits,
risk management and program fidelity, recruiting and human resources support, MIS
infrastructure & QI/UM department support and oversight as well as executive
management. Costs that cannot be specifically charged to a program are allocated to
programs on the basis of direct program salary costs prior to the addition of taxes and
benefits. Administrative Overhead has been budgeted at 15% of total program expenses.
6002 Professional Liability Insurance 72,440 Includes general business liability and property coverage along with professional liability
insurance. Costs are allocated between programs on the basis of direct labor dollars and
estimated based on historical trends.
6003 Accounting/Bookkeeping -
6004 External Audit 4,405 Includes annual audit ensuring all financial records are relevant and accurate and in
compliance with state and federal laws and regulations. Audit costs are allocated
between programs on the basis of payroll dollars and have been estimated based on
historical costs.
6005 Insurance (Specify):-
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 -
7001 Computer Equipment & Software -
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
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)-
Revied Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
7008 Other (Specify)-
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Intensive Care Coordination
8010 Intensive Home-Based Services
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:5,756,460
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:5,756,460
BUDGET CHECK:-
Estimated 15,982 units at $5.39 per unit
Estimated 15,982 units at $6.70 per unit
Estimated 95,894 units at $3.67 per unit
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Estimated 830,936 units at $3.67 per unit
Estimated 79,863 units at $2.86 per unit
Estimated 31,965 units at $2.86 per unit
Estimated 127.858 units at $3.67 per unit
Estimated 79,911 units at $3.67 per unit
Estimated 79,959 units at $2.86 per unit
Estimated 239,876 units at $3.67 per unit
Revised Exhibit D-3
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Clinician I 18.00 -$ 1,467,274$ 1,467,274$
1102 Clinician II 5.00 - 452,865 452,865
1103 Family Specialist 4.00 - 141,173 141,173
1104 Clinical Program Manager 5.31 - 568,785 568,785
1105 Clinical Director 1.00 - 134,930 134,930
1106 Support Services Coordinator 1.00 - 45,682 45,682
1107 Doctors Assistant 0.40 - 15,740 15,740
1108 Customer Support Spec 1.00 - 56,458 56,458
1109 Administrative Assistant 0.89 45,089 - 45,089
1110 Regional Director 0.45 76,046 - 76,046
1111 Supervisor of Administrative Operations 0.45 27,447 - 27,447
1112 Customer Services 1.34 72,956 - 72,956
1113 Associate Director of Quality Support 0.45 50,034 - 50,034
1114 Health Information Manager 0.11 12,932 - 12,932
1115 Supervisor Physical Plant Operations 0.09 7,423 - 7,423
1116 Outcome - Research Specialist 0.55 49,583 - 49,583
1117 Training - Learning Partner 0.27 19,635 - 19,635
1118 - - -
1119 - - -
1120 - -
Personnel Salaries Subtotal 40.31 361,145$ 2,882,907$ 3,244,052$
Employee Benefits
Acct #Admin Direct Total
1201 14,446$ 115,316$ 129,762$
1202 7,223$ 57,658$ 64,881
1203 81,257$ 648,654$ 729,911
1204 - - -
1205 - - -
1206 - - -
102,927$ 821,629$ 924,556$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 22,391$ 178,740$ 201,131$
1302 5,237$ 41,802$ 47,039
1303 2,709$ 21,622$ 24,331
1304 - - -
1305 - - -
1306 - - -
30,337$ 242,164$ 272,501$
494,410$ 3,946,701$ 4,441,109$
Child Welfare Mental Health Services
Uplift Family Services
Fiscal Year (FY) 2021-22
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Other (Specify)
Other (specify)
Other (specify)
Other (Specify)
Other (Specify)
Other (Specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Revised Exhibit D-3
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 -
2004 -
2005 -
2006 -
2007 -
2008 -
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
-$
3000: OPERATING EXPENSES
Acct #Amount
3001 64,797$
3002 1,946
3003 6,000
3004 -
3005 102,648
3006 103,000
3007 4,829
3008 6,000
3009 5,799
3010 -
3011 -
3012 -
295,019$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 2,233$
4002 228,545
4003 4,830
4004 -
4005 -
4006 -
4007 25,000
4008 -
4009 -
4010 -
260,608$
5000: SPECIAL EXPENSES
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
Other (specify)
Other (specify)
Other (specify)
Other (specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (specify)
Other (specify)
Subscriptions & Memberships
Program Supplies - Therapeutic
Depreciation
Other (Specify)
Other (Specify)
Other (Specify)
Telecommunications
Printing/Postage
Office Supplies & Equipment
Advertising
Staff Development & Training
Staff Travel and Mileage/Vehicle Maintenance
Security
Utilities
Equipment Purchase
Other (Specify)
Other (Specify)
Other (Specify)
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
FACILITIES/EQUIPMENT TOTAL:
Revised Exhibit D-3
Acct #Amount
5001 16,000$
5002 -
5003 141,078
5004 25,000
5005 -
5006 -
5007 -
5008 -
182,078$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 789,714$
6002 81,101
6003 -
6004 4,846
6005 -
6006 -
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
875,661$
7000: FIXED ASSETS
Acct #Amount
7001 -$
7002 -
7003 -
7004 -
7005 -
7006 -
7007 -
7008 -
-$
SPECIAL EXPENSES TOTAL:
Line Item Description
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Insurance (Specify):
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contract Psychiatrist
Translation Services
ADMINISTRATIVE EXPENSES TOTAL
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 6,054,475$
Other (Specify)
Other (Specify)
Assets over $5,000/unit (Specify)
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
Revised Exhibit D-3
Acct #Service Units Rate Amount
8001 Mental Health Services 853,326 3.68 3,140,042$
8002 Case Management 82,013 2.87 235,347
8003 Crisis Services 16,413 5.41 88,752
8004 Medication Support 16,413 6.72 110,219
8005 Collateral 98,479 3.68 362,380
8006 Plan Development 32,826 2.87 94,199
8007 Assessment 131,305 3.68 483,172
8008 Rehabilitation 82,065 3.68 301,980
8009 Intensive Care Coordination 82,117 2.87 235,646
8010 Intensive Home-Based Services 246,351 3.68 906,515
1,641,308 5,958,251$
93%
5,554,454
50%2,777,227
2,777,227$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 2,777,227$
2,777,227$
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 102,120$
8402 Psychological Evaluations - 24,480 units; $2.89 per unit 70,747$
8403 Mental Health Services (Individual/Family/Group Therapy) - 56,378 units; $3.68 per unit 207,458$
8404 Case Management - 6,948 units; $2.87 per unit 19,939$
8405 Crisis Services - 738 units; $5.41 per unit 3,990$
8406 Medication Support - 594 units; $6.72 per unit 3,990$
8407 Collateral - 6,506 units; $3.68 per unit 23,942$
8408 Plan Development - 2,781 units; $2.87 per unit 7,981$
8409 31,923$
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
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
MHSA TOTAL
8400 - OTHER REVENUE (DSS)
Line Item Description
Court Documentation -- 1,380 units; $74.00 per report
Assessment - 8,675 units; $3.68 per unit
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Revised Exhibit D-3
8410 19,951$ Rehabilitation - 5,422 units; $3.68 per unit
Revised Exhibit D-3
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 4,441,109
Employee Salaries 3,244,052
1101 Clinician I 1,467,274 Master's Degree (MA/MS) and at least two years of experience working with youth,
young adults and families in a therapeutic environment is required. If unlicensed must
be a registered intern with the Board of Behavioral Sciences and receiving appropriate
clinical supervision. Provides psychotherapy and psychotherapeutic support to children
and families.
1102 Clinician II 452,865 Master's Degree (MA/MS) and at least two years of experience working with youth,
young adults and families in a therapeutic environment is required. If unlicensed must
be a registered intern with the Board of Behavioral Sciences and receiving appropriate
clinical supervision. Provides psychotherapy and psychotherapeutic support to children
and families. Applies advanced use of assessment information in development of the
treatment plan and applies information and resources to ensure quality care. Applies
advanced skill in acquisition and application of clinically related information to effectively
intervene with children and families. Understands and applies multi-modal approaches
and perspectives to therapeutic direction. Provides coaching and mentoring of others in
the implementation of Evidence Based Practices (EBPs). Leads problem solving
interaction and work with external customers. Maintains audit ready charts and audits
charts independently. Provides observations and feedback to supervisor in order to
monitor and/or modify programs or approaches. Actively participates in the identification
of team opportunities for improvement or identification of deficiencies and in the
development of strategies to address or bridge gaps. Leads Continuous Quality
Improvement (CQI) activities and project implementation. Required to meet applicable
productivity and documentation requirements.
1103 Family Specialist 141,173 Provides direct services to youth and families. Provides direct billable mental health
services, documents in alignment with MediCal regulations, and achieves set productivity
expectations. Engages and builds alignment and relationships with parents, youth, and
others in the normal course of working with the families. Utilizes strengths of youth,
families, and others to assist in the implementation and achievement of goals and
outcomes. Works with youth and family teams to support family driven, strength based
planning and interventions. Understands and takes advantage of therapeutic
opportunities in crisis situations. Conducts observations regarding specific target
behavior, track progress and modify plans with the family to support their intended
identified outcome. Assists teams in developing a hypothesis of function and underlying
unmet need in an effort to develop individualized, strength based strategies and
interventions that will result in positive behavior change. Engages caregiver, family
members, and other natural supports in building youth specific parenting responses that
support positive behavior change and overall family relationships. Works in the
community directly with youth and families to develop and implement safety and skill
refinement plans. Supports families in bridging to and or building on natural resources
and accessing community based program supports that will continue support over time.
Develops resources within the community to serve children and families. Assists youth
and family teams to meet specific service needs (ie: help develop strategy or resource
specific to an identified need) and monitor outcomes. Participates in family finding team
activities by identifying family finding need, obtaining authorizations, creating teams,
conducting searches and setting deadlines. Completes Connectedness Maps as needed.
Documents interactions and practices and maintain administrative expectations in a
timely manner. Meets and or exceeds all direct service expectations and documentation
requirements. Assists in developing program responses to needs identified across a
number of youth and families where natural community resources are not available or
appropriate. Builds on individual strengths, concerns, and needs with balanced focus on
the family as a unit. Facilitates and/or co-facilitates, supports, and model participation in
h lth d i ithi i tti i l di f il h h l k
Child Welfare Mental Health Services
Uplift Family Services
Fiscal Year (FY) 2021-22
PROGRAM EXPENSE
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1104 Clinical Program Manager 568,785 Ensures effective coordination of services for youth and families with other providers,
both internal and external, by supporting the development of constructive relationships
and problem-solving barriers. Develops, interprets and ensures consistent
implementation of clinical program philosophy, objectives, standards, policies,
procedures and practices. Analyzes and integrates the use of outcome data to improve
clinical service delivery within assigned team. Ensures and monitors defined outcome
achievement for youth and families, as well as satisfaction levels for youth, families, and
referring workers and agencies. Initiates and participates in organizational quality
improvement efforts. Lead and/or delegate work groups to respond to program
development needs. Ensures compliance with all policy and procedures including
adherence to all licensing, quality, Information Technology (IT), Human Resources (HR),
compliance and regulatory standards. Leads and manages change. Proactively identifies
potential conflicts; leads parties to consensus and develops same skills in direct reports.
Manages to ensure fiscally viable programming. Ensures staff billable productivity and
other revenue related activities meet or exceed revenue forecasts. Ensures effective
quality clinical services delivery for assigned youth and families. Provides effective crisis
and risk prevention and management. Partners with county referring departments,
agencies and the community to ensure comprehensive care. Participates in staff
development; hires, coaches, mentors, supervises, conducts direct field observations,
trains, disciplines, and terminates. Ensures clinical documentation and quality assurance
meets both agency and payor standards, ensuring audit ready charts and continuous
quality improvement. Provides 24/7 availability as needed. Culturally responsive to
internal and external customers, and ensures family voice. Provides direct services to
families and children, as support to the direct service staff, to ensure smooth delivery of
service to assigned families and youth. Provides outreach to the community including
education about agency, program and general mental health and foster care topics.
Advocates for system change in relationship to agency service delivery philosophy.
Manages day-to-day operations including utilization of all administrative electronic
t h d th W k ll b ti l ith i l t1105Clinical Director 134,930 Master's degree (MA/MS). Must have appropriate license to practice as a Licensed
Clinical Social Worker or Marriage Family Therapist in the State of California. Must meet
the BBS requirements to provide clinical oversight and supervision with three to ten
years of experience in healthcare/psychology/behavioral/mental health. The Clinical
Director implements strategies to accomplish the agency annual priorities at the program
level. Directs and develops managers, ensures CPMS are competent and have all tools
necessary to lead teams.
1106 Support Services Coordinator 45,682 Bachelor’s degree required. (with emphasis in Psychology, social Work, Sociology or
related course work) Two years of experience in Mental Health field required.Four years
of experience in Mental Health field preferred. Knowledge of excel spreadsheets;
moderate computer literacy. Clinical skills relevant to intake services including: client
triage, understanding of legal/ethical issues, and risk management. Works within the
vision, mission, and philosophy of the agency, provides customerfriendly services to
internal and external customers. With limited supervision, sets up, coordinates and runs
parenting groups, trains new staff and coaches and supports existing staff in effectively
using therapeutic interventions with children and families and in meeting documentation
quality and timeliness expectations. Analyzes outcome data in partnership with
Outcomes and Evaluation to identify quality improvement activities.
Leads quality improvement activities from start to finish, including evaluation of the
effectiveness of the activities.
1107 Doctors Assistant 15,740 The Doctor’s assistant position directly supports the Psychiatrist and Nurse Practitioner in
all the administrative tasks related to medical support for clients. This position was
previously held by an Administrative Assistant; however requires a higher level of
education and expertise given the specialized nature of the medication support tasks.
1108 Customer Support Spec 56,458 The CSS II is the lead position for our intake coordinators. This position was added to
manage the newly added requirements of tracking all of the access data. This position
also handles additional billing tasks and requirements, as well as supports and trains the
other intake coordinators. This position also assists with data collection for the Monthly
Activity Report specific to the Hope contract.
1109 Administrative Assistant 45,089 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1110 Regional Director 76,046 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1111 Supervisor of Administrative Operations 27,447 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1112 Customer Services 72,956 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1113 Associate Director of Quality Support 50,034 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1114 Health Information Manager 12,932 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1115 Supervisor Physical Plant Operations 7,423 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1116 Outcome - Research Specialist 49,583 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1117 Training - Learning Partner 19,635 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 924,556
1201 Retirement 129,762 Calculated at 4% of salaries.
1202 Worker's Compensation 64,881 Calculated at 2% of salaries.
1203 Health Insurance 729,911 Calculated at 22.5% of salaries.
1204 Other (Specify)-
1205 Other (specify)-
1206 Other (specify)-
Payroll Taxes & Expenses:272,501
1301 OASDI 201,131 Calculated at 6.2% of salaries.
1302 FICA/MEDICARE 47,039 Calculated at 1.45% of salaries.
1303 SUI 24,331 Calculated at 0.75% of salaries.
1304 Other (Specify)-
1305 Other (Specify)-
1306 Other (Specify)-
2000: CLIENT SUPPORT -
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (specify)-
2012 Other (specify)-
2013 Other (specify)-
2014 Other (specify)-
2015 Other (specify)-
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
2016 Other (specify)-
3000: OPERATING EXPENSES 295,019
3001 Telecommunications 64,797 Cell phones, Land Lines, DSL, fax charges, phone system; wireless cards for laptop
computers enabling UFS to maintain a fully functional mobile work force to deliver in-
home/in the community services. Costs are allocated between programs on the basis of
payroll dollars and have been estimated based on historical trends.
3002 Printing/Postage 1,946 Postage, printing, US mail, GSO, Federal Express, UPS, postage machine refills, outside
reproduction costs, program specific brochures and flyers when reimbursable by the
program. Costs are allocated between programs on the basis of payroll dollars and have
been estimated based on historical trends.
3003 Office Supplies & Equipment 6,000 Office supplies and equipment include, but are not limited to: paper, pens, files, staplers,
break rooms supplies (e.g., coffee, paper cups, plastic utensils); subscriptions to
periodicals or newspapers, annual Agency dues and fees paid to accrediting agencies and
laptop replacement. Costs are allocated between programs on the basis of direct labor
dollars and have been estimated based on historical trends.
3004 Advertising -
3005 Staff Development & Training 102,648 Includes training in the Evidence-Based Practices of Trauma-Focused Cognitive Behavioral
Therapy (TFCBT), Motivational Interviewing (MI), Cognitive Behavioral Therapy (CBT),
Child Parent Psychotherapy (CPP), and Dialectical Behavior Therapy (DBT), organizational
tools, team/organizational psychology, philosophy of client based services, integration of
roles/team dynamics, assessment and individualized treatment planning, general
services, organizing admissions and individualized treatment planning associated with the
EBPs. This includes train-the-trainer and any other program development training needs.
Trainings are inclusive of internal and external trainings, and all costs, except mileage
associated with training, including transportation, parking room and board, meals,
refreshments cost of the program, instructor fees and materials/manuals are included.
Also includes other mandatory trainings such as first aid and CPR.
3006 Staff Travel and Mileage/Vehicle Maintenance 103,000 Includes travel costs such as air fare, lodging, and mileage reimbursement, which is paid
at the prevailing federal rate (currently $0.575 per mile) to program service staff and
program administrative staff. This also includes upkeep costs for vehicles.
3007 Subscriptions & Memberships 4,829 Includes subscriptions to periodicals, databases, software, and other subscription
services, as well as annual agency dues and fees. Costs are allocated between programs
on the basis of payroll dollars and have been estimated based on historical trends.
3008 Program Supplies - Therapeutic 6,000 Includes those supplies utilized in the direct delivery of therapeutic services to clients.
Cost is estimated to be approximately $18.50 per direct care staff per month. Materials,
cash payments, outing costs, etc. used to motivate or reinforce desired behavior, as well
as materials required for use in Evidenced Based Practices
3009 Depreciation 5,799 Depreciation includes deprecation on leasehold improvements, office furniture/fixtures
and equipment meeting amortization thresholds. Costs are allocated between programs
on the basis of payroll dollars and have been estimated based on historical trends.
3010 Other (Specify)-
3011 Other (Specify)-
3012 Other (Specify)-
4000: FACILITIES & EQUIPMENT 260,608
4001 Building Maintenance 2,233 This includes common area maintenance on leased building charges,
maintenance/building repair charges, HVAC maintenance and repair, landscaping,
janitorial services, confidential paper shredding services, in-house or outside equipment
repair and labor. Costs are allocated between programs on the basis of payroll dollars
and have been estimated based on historical trends and the utilization of the Agency’s
office in Fresno.
4002 Rent/Lease Building 228,545 This includes building rent or depreciation, storage and file storage unit rental payments
and all the costs associated with storing and retrieving of client, personnel or other files
or records. Costs are allocated between programs on the basis of payroll dollars and have
been estimated based on historical trends and the utilization of the Agency’s new office
in Fresno.
4003 Rent/Lease Equipment 4,830 This includes rental payments for equipment including leased copiers, postage machines,
phone systems, laptops or other communication, office or facility equipment. Costs are
allocated between programs on the basis of payroll dollars and have been estimated
based on historical trends and the utilization of the Agency’s office in Fresno.
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities -
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
4007 Equipment Purchase 25,000 Equipment, parts and materials includes the purchase of non-capital assets. Sample items
include, but are not limited to, laptops, desktops, printers, calculators and fax machines,
as well as system user licenses. Costs are allocated between programs on the basis of
payroll dollars and estimated.
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify)-
5000: SPECIAL EXPENSES 182,078
5001 Consultant (Network & Data Management)16,000 The consultant will provide additional clinical supervision support for program staff. This
will also be used to hire a contract psychologist to provide court ordered psychological
testing and reports to the Court. Contract Psychologist estimated to cost $200 per hour.
The psychologist will be required to provide at least 25 hours per month on average. This
will also cover the cost of the psychological testing and scoring materials.
5002 HMIS (Health Management Information
System)
-
5003 Contract Psychiatrist 141,078 This includes a contract Psychiatrist position estimated to cost $206 per hour. The
psychiatrist will be required to provide at least 35 hours per month, and will provide
psychiatric evaluations and medication support services. This also includes a Nurse
Practitioner, estimated to cost $125 per hour. The nurse practitioner will be required to
provide 6 hours per week and will provide additional psychiatric evaluations and
medication support services.
5004 Translation Services 25,000 To ensure the provision of culturally sensitive services including assurance of language
access, when there is not availability of bilingual staff interpreter/translation services are
used to support a culturally appropriate evaluation, diagnosis, treatment and referral
services.
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 875,661
6001 Administrative Overhead 789,714 Represents the overhead of the Agency's general and administrative shared support
services such as finance, accounting, billing, human resources, clinical administration,
information technology, professional fees, HIPPA compliance and clinical record audits,
risk management and program fidelity, recruiting and human resources support, MIS
infrastructure & QI/UM department support and oversight as well as executive
management. Costs that cannot be specifically charged to a program are allocated to
programs on the basis of direct program salary costs prior to the addition of taxes and
benefits. Administrative Overhead has been budgeted at 15% of total program expenses.
6002 Professional Liability Insurance 81,101 Includes general business liability and property coverage along with professional liability
insurance. Costs are allocated between programs on the basis of direct labor dollars and
estimated based on historical trends.
6003 Accounting/Bookkeeping -
6004 External Audit 4,846 Includes annual audit ensuring all financial records are relevant and accurate and in
compliance with state and federal laws and regulations. Audit costs are allocated
between programs on the basis of payroll dollars and have been estimated based on
historical costs.
6005 Insurance (Specify):-
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 -
7001 Computer Equipment & Software -
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
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)-
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
7008 Other (Specify)-
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Intensive Care Coordination
8010 Intensive Home-Based Services
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:6,054,475
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:6,054,475
BUDGET CHECK:-
Estimated 82,117 units at $2.94 per unit
Estimated 246,351 units at $3.77 per unit
Estimated 16,413 units at $6.88 per unit
Estimated 98,479 units at $3.77 per unit
Estimated 32,826 units at $2.94 per unit
Estimated 131,305 units at $3.77 per unit
Estimated 82,065 units at $3.77 per unit
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Estimated 853,326 units at $3.77 per unit
Estimated 82,013 units at $2.94 per unit
Estimated 16,413 units at $5.54 per unit
PROGRAM FUNDING SOURCES
Revised Exhibit D-3
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Clinician I 18.00 -$ 1,511,292$ 1,511,292$
1102 Clinician II 5.00 - 466,451 466,451
1103 Family Specialist 4.00 - 145,408 145,408
1104 Clinical Program Manager 5.31 - 585,849 585,849
1105 Clinical Director 1.00 - 138,978 138,978
1106 Support Services Coordinator 1.00 - 47,052 47,052
1107 Doctors Assistant 0.40 - 16,212 16,212
1108 Customer Support Spec 1.00 - 58,152 58,152
1109 Administrative Assistant 0.89 46,442 - 46,442
1110 Regional Director 0.45 78,327 - 78,327
1111 Supervisor of Administrative Operations 0.45 28,270 - 28,270
1112 Customer Services 1.34 75,145 - 75,145
1113 Associate Director of Quality Support 0.45 51,535 - 51,535
1114 Health Information Manager 0.11 13,320 - 13,320
1115 Supervisor Physical Plant Operations 0.09 7,646 - 7,646
1116 Outcome - Research Specialist 0.55 51,070 - 51,070
1117 Training - Learning Partner 0.27 20,224 - 20,224
1118 - - -
1119 - - -
1120 - -
Personnel Salaries Subtotal 40.31 371,979$ 2,969,394$ 3,341,373$
Employee Benefits
Acct #Admin Direct Total
1201 14,880$ 118,776$ 133,656$
1202 7,440$ 59,388$ 66,828
1203 83,695$ 668,114$ 751,809
1204 - - -
1205 - - -
1206 - - -
106,015$ 846,278$ 952,293$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 23,063$ 184,102$ 207,165$
1302 5,394$ 43,056$ 48,450
1303 2,790$ 22,271$ 25,061
1304 - - -
1305 - - -
1306 - - -
31,247$ 249,429$ 280,676$
509,241$ 4,065,101$ 4,574,342$
Child Welfare Mental Health Services
Uplift Family Services
Fiscal Year (FY) 2022-23
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Revised Exhibit D-3
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 -
2004 -
2005 -
2006 -
2007 -
2008 -
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
-$
3000: OPERATING EXPENSES
Acct #Amount
3001 66,741$
3002 1,946
3003 6,000
3004 -
3005 102,648
3006 106,090
3007 4,829
3008 6,000
3009 5,799
3010 -
3011 -
3012 -
300,053$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 2,345$
4002 228,545
4003 5,072
4004 -
4005 -
4006 -
4007 36,710
4008 -
4009 -
4010 -
272,672$
5000: SPECIAL EXPENSES
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
Other (specify)
Other (specify)
Other (specify)
Other (specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (specify)
Other (specify)
Subscriptions & Memberships
Program Supplies - Therapeutic
Depreciation
Other (Specify)
Other (Specify)
Other (Specify)
Telecommunications
Printing/Postage
Office Supplies & Equipment
Advertising
Staff Development & Training
Staff Travel and Mileage/Vehicle Maintenance
Security
Utilities
Equipment Purchase
Other (Specify)
Other (Specify)
Other (Specify)
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
FACILITIES/EQUIPMENT TOTAL:
Revised Exhibit D-3
Acct #Amount
5001 16,000$
5002 -
5003 145,310
5004 25,000
5005 -
5006 -
5007 -
5008 -
186,310$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 813,336$
6002 83,534
6003 -
6004 5,330
6005 -
6006 -
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
902,200$
7000: FIXED ASSETS
Acct #Amount
7001 -$
7002 -
7003 -
7004 -
7005 -
7006 -
7007 -
7008 -
-$
SPECIAL EXPENSES TOTAL:
Line Item Description
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Insurance (Specify):
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contract Psychiatrist
Translation Services
ADMINISTRATIVE EXPENSES TOTAL
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
Assets over $5,000/unit (Specify)
Other (Specify)
Other (Specify)
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 6,235,577$
Revised Exhibit D-3
Acct #Service Units Rate Amount
8001 Mental Health Services 876,320 3.70 3,238,772$
8002 Case Management 84,228 2.88 242,302
8003 Crisis Services 16,855 5.42 91,386
8004 Medication Support 16,855 6.74 113,576
8005 Collateral 101,131 3.70 373,768
8006 Plan Development 33,710 2.88 96,975
8007 Assessment 134,841 3.70 498,356
8008 Rehabilitation 84,276 3.70 311,474
8009 Intensive Care Coordination 84,324 2.88 242,578
8010 Intensive Home-Based Services 252,973 3.70 934,957
1,685,513 6,144,144$
93%
5,722,556
50%2,861,278
2,861,278$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 2,861,278$
2,861,278$
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 102,120$
8402 Psychological Evaluations - 24,480 units; $2.89 per unit 70,747$
8403 Mental Health Services (Individual/Family/Group Therapy) - 58,363 units; $3.70 per unit 215,702$
8404 Case Management - 7,207 units; $2.88 per unit 20,732$
8405 Crisis Services - 765 units; $5.42 per unit 4,149$
8406 Medication Support - 616 units; $6.74 per unit 4,149$
8407 Collateral - 6,735 units; $3.70 per unit 24,893$
8408 Plan Development - 2,884 units; $2.88 per unit 8,298$
Estimated Specialty Mental Health Services Billing Totals:
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
MHSA Program Name
Estimated % of Clients who are Medi-Cal Beneficiaries
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
Court Documentation -- 1,380 units; $74.00 per report
MHSA TOTAL
8400 - OTHER REVENUE (DSS)
Line Item Description
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
Revised Exhibit D-3
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 4,574,342
Employee Salaries 3,341,373
1101 Clinician I 1,511,292 Master's Degree (MA/MS) and at least two years of experience working with youth,
young adults and families in a therapeutic environment is required. If unlicensed must be
a registered intern with the Board of Behavioral Sciences and receiving appropriate
clinical supervision. Provides psychotherapy and psychotherapeutic support to children
and families.
1102 Clinician II 466,451 Master's Degree (MA/MS) and at least two years of experience working with youth,
young adults and families in a therapeutic environment is required. If unlicensed must be
a registered intern with the Board of Behavioral Sciences and receiving appropriate
clinical supervision. Provides psychotherapy and psychotherapeutic support to children
and families. Applies advanced use of assessment information in development of the
treatment plan and applies information and resources to ensure quality care. Applies
advanced skill in acquisition and application of clinically related information to effectively
intervene with children and families. Understands and applies multi-modal approaches
and perspectives to therapeutic direction. Provides coaching and mentoring of others in
the implementation of Evidence Based Practices (EBPs). Leads problem solving interaction
and work with external customers. Maintains audit ready charts and audits charts
independently. Provides observations and feedback to supervisor in order to monitor
and/or modify programs or approaches. Actively participates in the identification of team
opportunities for improvement or identification of deficiencies and in the development of
strategies to address or bridge gaps. Leads Continuous Quality Improvement (CQI)
activities and project implementation. Required to meet applicable productivity and
documentation requirements.
1103 Family Specialist 145,408 Provides direct services to youth and families. Provides direct billable mental health
services, documents in alignment with MediCal regulations, and achieves set productivity
expectations. Engages and builds alignment and relationships with parents, youth, and
others in the normal course of working with the families. Utilizes strengths of youth,
families, and others to assist in the implementation and achievement of goals and
outcomes. Works with youth and family teams to support family driven, strength based
planning and interventions. Understands and takes advantage of therapeutic
opportunities in crisis situations. Conducts observations regarding specific target
behavior, track progress and modify plans with the family to support their intended
identified outcome. Assists teams in developing a hypothesis of function and underlying
unmet need in an effort to develop individualized, strength based strategies and
interventions that will result in positive behavior change. Engages caregiver, family
members, and other natural supports in building youth specific parenting responses that
support positive behavior change and overall family relationships. Works in the
community directly with youth and families to develop and implement safety and skill
refinement plans. Supports families in bridging to and or building on natural resources
and accessing community based program supports that will continue support over time.
Develops resources within the community to serve children and families. Assists youth
and family teams to meet specific service needs (ie: help develop strategy or resource
specific to an identified need) and monitor outcomes. Participates in family finding team
activities by identifying family finding need, obtaining authorizations, creating teams,
conducting searches and setting deadlines. Completes Connectedness Maps as needed.
Documents interactions and practices and maintain administrative expectations in a
timely manner. Meets and or exceeds all direct service expectations and documentation
requirements. Assists in developing program responses to needs identified across a
number of youth and families where natural community resources are not available or
appropriate. Builds on individual strengths, concerns, and needs with balanced focus on
the family as a unit. Facilitates and/or co-facilitates, supports, and model participation in
h lth d i ithi i tti i l di f il h h l k
Child Welfare Mental Health Services
Uplift Family Services
Fiscal Year (FY) 2022-23
PROGRAM EXPENSE
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1104 Clinical Program Manager 585,849 Ensures effective coordination of services for youth and families with other providers,
both internal and external, by supporting the development of constructive relationships
and problem-solving barriers. Develops, interprets and ensures consistent
implementation of clinical program philosophy, objectives, standards, policies,
procedures and practices. Analyzes and integrates the use of outcome data to improve
clinical service delivery within assigned team. Ensures and monitors defined outcome
achievement for youth and families, as well as satisfaction levels for youth, families, and
referring workers and agencies. Initiates and participates in organizational quality
improvement efforts. Lead and/or delegate work groups to respond to program
development needs. Ensures compliance with all policy and procedures including
adherence to all licensing, quality, Information Technology (IT), Human Resources (HR),
compliance and regulatory standards. Leads and manages change. Proactively identifies
potential conflicts; leads parties to consensus and develops same skills in direct reports.
Manages to ensure fiscally viable programming. Ensures staff billable productivity and
other revenue related activities meet or exceed revenue forecasts. Ensures effective
quality clinical services delivery for assigned youth and families. Provides effective crisis
and risk prevention and management. Partners with county referring departments,
agencies and the community to ensure comprehensive care. Participates in staff
development; hires, coaches, mentors, supervises, conducts direct field observations,
trains, disciplines, and terminates. Ensures clinical documentation and quality assurance
meets both agency and payor standards, ensuring audit ready charts and continuous
quality improvement. Provides 24/7 availability as needed. Culturally responsive to
internal and external customers, and ensures family voice. Provides direct services to
families and children, as support to the direct service staff, to ensure smooth delivery of
service to assigned families and youth. Provides outreach to the community including
education about agency, program and general mental health and foster care topics.
Advocates for system change in relationship to agency service delivery philosophy.
Manages day-to-day operations including utilization of all administrative electronic
t h d th W k ll b ti l ith i l t 1105 Clinical Director 138,978 Master's degree (MA/MS). Must have appropriate license to practice as a Licensed Clinical
Social Worker or Marriage Family Therapist in the State of California. Must meet the BBS
requirements to provide clinical oversight and supervision with three to ten years of
experience in healthcare/psychology/behavioral/mental health. The Clinical Director
implements strategies to accomplish the agency annual priorities at the program level.
Directs and develops managers, ensures CPMS are competent and have all tools
necessary to lead teams.
1106 Support Services Coordinator 47,052 Bachelor’s degree required. (with emphasis in Psychology, social Work, Sociology or
related course work) Two years of experience in Mental Health field required.Four years
of experience in Mental Health field preferred. Knowledge of excel spreadsheets;
moderate computer literacy. Clinical skills relevant to intake services including: client
triage, understanding of legal/ethical issues, and risk management. Works within the
vision, mission, and philosophy of the agency, provides customerfriendly services to
internal and external customers. With limited supervision, sets up, coordinates and runs
parenting groups, trains new staff and coaches and supports existing staff in effectively
using therapeutic interventions with children and families and in meeting documentation
quality and timeliness expectations. Analyzes outcome data in partnership with
Outcomes and Evaluation to identify quality improvement activities.
Leads quality improvement activities from start to finish, including evaluation of the
effectiveness of the activities.
1107 Doctors Assistant 16,212 The Doctor’s assistant position directly supports the Psychiatrist and Nurse Practitioner in
all the administrative tasks related to medical support for clients. This position was
previously held by an Administrative Assistant; however requires a higher level of
education and expertise given the specialized nature of the medication support tasks.
1108 Customer Support Spec 58,152 The CSS II is the lead position for our intake coordinators. This position was added to
manage the newly added requirements of tracking all of the access data. This position
also handles additional billing tasks and requirements, as well as supports and trains the
other intake coordinators. This position also assists with data collection for the Monthly
Activity Report specific to the Hope contract.
1109 Administrative Assistant 46,442 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1110 Regional Director 78,327 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1111 Supervisor of Administrative Operations 28,270 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1112 Customer Services 75,145 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1113 Associate Director of Quality Support 51,535 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1114 Health Information Manager 13,320 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1115 Supervisor Physical Plant Operations 7,646 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1116 Outcome - Research Specialist 51,070 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1117 Training - Learning Partner 20,224 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages by
program for this region’s programs.
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 952,293
1201 Retirement 133,656 Calculated at 4% of salaries.
1202 Worker's Compensation 66,828 Calculated at 2% of salaries.
1203 Health Insurance 751,809 Calculated at 22.5% of salaries.
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
Payroll Taxes & Expenses:280,676
1301 OASDI 207,165 Calculated at 6.2% of salaries.
1302 FICA/MEDICARE 48,450 Calculated at 1.45% of salaries.
1303 SUI 25,061 Calculated at 0.75% of salaries.
1304 Other (specify)-
1305 Other (specify)-
1306 Other (specify)-
2000: CLIENT SUPPORT -
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (specify)-
2012 Other (specify)-
2013 Other (specify)-
2014 Other (specify)-
2015 Other (specify)-
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
2016 Other (specify)-
3000: OPERATING EXPENSES 300,053
3001 Telecommunications 66,741 Cell phones, Land Lines, DSL, fax charges, phone system; wireless cards for laptop
computers enabling UFS to maintain a fully functional mobile work force to deliver in-
home/in the community services. Costs are allocated between programs on the basis of
payroll dollars and have been estimated based on historical trends.
3002 Printing/Postage 1,946 Postage, printing, US mail, GSO, Federal Express, UPS, postage machine refills, outside
reproduction costs, program specific brochures and flyers when reimbursable by the
program. Costs are allocated between programs on the basis of payroll dollars and have
been estimated based on historical trends.
3003 Office Supplies & Equipment 6,000 Office supplies and equipment include, but are not limited to: paper, pens, files, staplers,
break rooms supplies (e.g., coffee, paper cups, plastic utensils); subscriptions to
periodicals or newspapers, annual Agency dues and fees paid to accrediting agencies and
laptop replacement. Costs are allocated between programs on the basis of direct labor
dollars and have been estimated based on historical trends.
3004 Advertising -
3005 Staff Development & Training 102,648 Includes training in the Evidence-Based Practices of Trauma-Focused Cognitive Behavioral
Therapy (TFCBT), Motivational Interviewing (MI), Cognitive Behavioral Therapy (CBT),
Child Parent Psychotherapy (CPP), and Dialectical Behavior Therapy (DBT), organizational
tools, team/organizational psychology, philosophy of client based services, integration of
roles/team dynamics, assessment and individualized treatment planning, general
services, organizing admissions and individualized treatment planning associated with the
EBPs. This includes train-the-trainer and any other program development training needs.
Trainings are inclusive of internal and external trainings, and all costs, except mileage
associated with training, including transportation, parking room and board, meals,
refreshments cost of the program, instructor fees and materials/manuals are included.
Also includes other mandatory trainings such as first aid and CPR.
3006 Staff Travel and Mileage/Vehicle Maintenance 106,090 Includes travel costs such as air fare, lodging, and mileage reimbursement, which is paid
at the prevailing federal rate (currently $0.575 per mile) to program service staff and
program administrative staff. This also includes upkeep costs for vehicles.
3007 Subscriptions & Memberships 4,829 Includes subscriptions to periodicals, databases, software, and other subscription
services, as well as annual agency dues and fees. Costs are allocated between programs
on the basis of payroll dollars and have been estimated based on historical trends.
3008 Program Supplies - Therapeutic 6,000 Includes those supplies utilized in the direct delivery of therapeutic services to clients.
Cost is estimated to be approximately $18.50 per direct care staff per month. Materials,
cash payments, outing costs, etc. used to motivate or reinforce desired behavior, as well
as materials required for use in Evidenced Based Practices
3009 Depreciation 5,799 Depreciation includes deprecation on leasehold improvements, office furniture/fixtures
and equipment meeting amortization thresholds. Costs are allocated between programs
on the basis of payroll dollars and have been estimated based on historical trends.
3010 Other (Specify)-
3011 Other (Specify)-
3012 Other (Specify)-
4000: FACILITIES & EQUIPMENT 272,672
4001 Building Maintenance 2,345 This includes common area maintenance on leased building charges,
maintenance/building repair charges, HVAC maintenance and repair, landscaping,
janitorial services, confidential paper shredding services, in-house or outside equipment
repair and labor. Costs are allocated between programs on the basis of payroll dollars and
have been estimated based on historical trends and the utilization of the Agency’s office
in Fresno.
4002 Rent/Lease Building 228,545 This includes building rent or depreciation, storage and file storage unit rental payments
and all the costs associated with storing and retrieving of client, personnel or other files
or records. Costs are allocated between programs on the basis of payroll dollars and have
been estimated based on historical trends and the utilization of the Agency’s new office
in Fresno.
4003 Rent/Lease Equipment 5,072 This includes rental payments for equipment including leased copiers, postage machines,
phone systems, laptops or other communication, office or facility equipment. Costs are
allocated between programs on the basis of payroll dollars and have been estimated
based on historical trends and the utilization of the Agency’s office in Fresno.
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities -
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
4007 Equipment Purchase 36,710 Equipment, parts and materials includes the purchase of non-capital assets. Sample items
include, but are not limited to, laptops, desktops, printers, calculators and fax machines,
as well as system user licenses. Costs are allocated between programs on the basis of
payroll dollars and estimated.
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify)-
5000: SPECIAL EXPENSES 186,310
5001 Consultant (Network & Data Management)16,000 The consultant will provide additional clinical supervision support for program staff. This
will also be used to hire a contract psychologist to provide court ordered psychological
testing and reports to the Court. Contract Psychologist estimated to cost $212 per hour.
The psychologist will be required to provide at least 25 hours per month on average. This
will also cover the cost of the psychological testing and scoring materials.
5002 HMIS (Health Management Information
System)
-
5003 Contract Psychiatrist 145,310 This includes a contract Psychiatrist position estimated to cost $212 per hour. The
psychiatrist will be required to provide at least 35 hours per month, and will provide
psychiatric evaluations and medication support services. This also includes a Nurse
Practitioner, estimated to cost $125 per hour. The nurse practitioner will be required to
provide 6 hours per week and will provide additional psychiatric evaluations and
medication support services.
5004 Translation Services 25,000 To ensure the provision of culturally sensitive services including assurance of language
access, when there is not availability of bilingual staff interpreter/translation services are
used to support a culturally appropriate evaluation, diagnosis, treatment and referral
services.
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 902,200
6001 Administrative Overhead 813,336 Represents the overhead of the Agency's general and administrative shared support
services such as finance, accounting, billing, human resources, clinical administration,
information technology, professional fees, HIPPA compliance and clinical record audits,
risk management and program fidelity, recruiting and human resources support, MIS
infrastructure & QI/UM department support and oversight as well as executive
management. Costs that cannot be specifically charged to a program are allocated to
programs on the basis of direct program salary costs prior to the addition of taxes and
benefits. Administrative Overhead has been budgeted at 15% of total program expenses.
6002 Professional Liability Insurance 83,534 Includes general business liability and property coverage along with professional liability
insurance. Costs are allocated between programs on the basis of direct labor dollars and
estimated based on historical trends.
6003 Accounting/Bookkeeping -
6004 External Audit 5,330 Includes annual audit ensuring all financial records are relevant and accurate and in
compliance with state and federal laws and regulations. Audit costs are allocated
between programs on the basis of payroll dollars and have been estimated based on
historical costs.
6005 Insurance (Specify):-
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 -
7001 Computer Equipment & Software -
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
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)-
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
7008 Other (Specify)-
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Intensive Care Coordination
8010 Intensive Home-Based Services
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:6,235,577
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:6,235,577
BUDGET CHECK:-
Estimated 84,276 units at $3.79 per unit
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Estimated 84,324 units at $2.95 per unit
Estimated 252,973 units at $3.79 per unit
Estimated 16,855 units at $5.56 per unit
Estimated 16,855 units at $6.91 per unit
Estimated 101,131 units at $3.79 per unit
Estimated 33,710 units at $2.95 per unit
Estimated 134,841 units at $3.79 per unit
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Estimated 876,320 units at $3.79 per unit
Estimated 84,228 units at $2.95 per unit
Revised Exhibit D-3
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Clinician I 18.00 -$ 1,556,631$ 1,556,631$
1102 Clinician II 5.00 - 480,445 480,445
1103 Family Specialist 4.00 - 149,770 149,770
1104 Clinical Program Manager 5.31 - 603,424 603,424
1105 Clinical Director 1.00 - 143,147 143,147
1106 Support Services Coordinator 1.00 - 48,464 48,464
1107 Doctors Assistant 0.40 - 16,698 16,698
1108 Customer Support Spec 1.00 - 59,897 59,897
1109 Administrative Assistant 0.89 47,835 - 47,835
1110 Regional Director 0.45 80,677 - 80,677
1111 Supervisor of Administrative Operations 0.45 29,118 - 29,118
1112 Customer Services 1.34 77,399 - 77,399
1113 Associate Director of Quality Support 0.45 53,081 - 53,081
1114 Health Information Manager 0.11 13,720 - 13,720
1115 Supervisor Physical Plant Operations 0.09 7,875 - 7,875
1116 Outcome - Research Specialist 0.55 52,602 - 52,602
1117 Training - Learning Partner 0.27 20,831 - 20,831
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 40.31 383,138$ 3,058,476$ 3,441,614$
Employee Benefits
Acct #Admin Direct Total
1201 15,326$ 122,339$ 137,665$
1202 7,663$ 61,170$ 68,833
1203 86,206$ 688,157$ 774,363
1204 - - -
1205 - - -
1206 - - -
109,195$ 871,666$ 980,861$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 23,755$ 189,625$ 213,380$
1302 5,556$ 44,348$ 49,904
1303 2,874$ 22,939$ 25,813
1304 - - -
1305 - - -
1306 - - -
32,185$ 256,912$ 289,097$
524,518$ 4,187,054$ 4,711,572$
Other (specify)
Other (specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Other (specify)
Retirement
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
Other (specify)
Child Welfare Mental Health Services
Uplift Family Services
Fiscal Year (FY) 2023-24
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Revised Exhibit D-3
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 -
2004 -
2005 -
2006 -
2007 -
2008 -
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
-$
3000: OPERATING EXPENSES
Acct #Amount
3001 68,743$
3002 1,946
3003 6,000
3004 -
3005 102,648
3006 109,273
3007 4,829
3008 6,000
3009 5,799
3010 -
3011 -
3012 -
305,238$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 2,462$
4002 228,545
4003 5,326
4004 -
4005 -
4006 -
4007 36,710
4008 -
4009 -
4010 -
273,043$
5000: SPECIAL EXPENSES
Utilities
Equipment Purchase
Other (Specify)
Other (Specify)
Other (Specify)
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
Security
Program Supplies - Therapeutic
Depreciation
Other (Specify)
Other (Specify)
Other (Specify)
OPERATING EXPENSES TOTAL:
Printing/Postage
Office Supplies & Equipment
Advertising
Staff Development & Training
Staff Travel and Mileage/Vehicle Maintenance
Subscriptions & Memberships
Other (specify)
Other (specify)
Other (specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Telecommunications
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (specify)
Other (specify)
Other (specify)
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Household Items for Clients
Line Item Description
Child Care
Revised Exhibit D-3
Acct #Amount
5001 16,000$
5002 -
5003 149,669
5004 25,000
5005 -
5006 -
5007 -
5008 -
190,669$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 835,864$
6002 86,040
6003 -
6004 5,863
6005 -
6006 -
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
927,767$
7000: FIXED ASSETS
Acct #Amount
7001 -$
7002 -
7003 -
7004 -
7005 -
7006 -
7007 -
7008 -
-$
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
ADMINISTRATIVE EXPENSES TOTAL
Assets over $5,000/unit (Specify)
Other (Specify)
Other (Specify)
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 6,408,290$
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Insurance (Specify):
Payroll Services
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Other (Specify)
Other (Specify)
Other (Specify)
SPECIAL EXPENSES TOTAL:
Line Item Description
Administrative Overhead
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contract Psychiatrist
Translation Services
Other (Specify)
Revised Exhibit D-3
Acct #Service Units Rate Amount
8001 Mental Health Services 899,904 3.70 3,332,880$
8002 Case Management 86,495 2.88 248,687
8003 Crisis Services 17,309 5.43 93,965
8004 Medication Support 17,309 6.74 116,740
8005 Collateral 103,852 3.70 384,626
8006 Plan Development 34,617 2.88 99,529
8007 Assessment 138,469 3.70 512,833
8008 Rehabilitation 86,543 3.70 320,520
8009 Intensive Care Coordination 86,591 2.88 248,963
8010 Intensive Home-Based Services 259,774 3.70 962,098
1,730,863 6,320,841$
93%
5,881,930
50%2,940,965
2,940,965$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 2,940,965$
2,940,965$
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 102,120$
8402 Psychological Evaluations - 24,480 units; $2.89 per unit 70,747$
8403 Mental Health Services (Individual/Family/Group Therapy) - 60,525 units; $3.70 per unit 224,161$
8404 Case Management - 7,494 units; $2.88 per unit 21,545$
8405 Crisis Services - 794 units; $5.43 per unit 4,312$
8406 Medication Support - 639 units; $6.74 per unit 4,312$
8407 Collateral - 6,985 units; $3.70 per unit 25,869$
8408 Plan Development - 2,999 units; $2.88 per unit 8,623$
Court Documentation -- 1,380 units; $74.00 per report
MHSA TOTAL
8400 - OTHER REVENUE (DSS)
Line Item Description
MHSA Program Name
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Estimated % of Clients who are Medi-Cal Beneficiaries
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
Estimated Specialty Mental Health Services Billing Totals:
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
Revised Exhibit D-3
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 4,711,572
Employee Salaries 3,441,614
1101 Clinician I 1,556,631 Master's Degree (MA/MS) and at least two years of experience working with youth,
young adults and families in a therapeutic environment is required. If unlicensed must
be a registered intern with the Board of Behavioral Sciences and receiving appropriate
clinical supervision. Provides psychotherapy and psychotherapeutic support to children
and families.
1102 Clinician II 480,445 Master's Degree (MA/MS) and at least two years of experience working with youth,
young adults and families in a therapeutic environment is required. If unlicensed must
be a registered intern with the Board of Behavioral Sciences and receiving appropriate
clinical supervision. Provides psychotherapy and psychotherapeutic support to children
and families. Applies advanced use of assessment information in development of the
treatment plan and applies information and resources to ensure quality care. Applies
advanced skill in acquisition and application of clinically related information to
effectively intervene with children and families. Understands and applies multi-modal
approaches and perspectives to therapeutic direction. Provides coaching and mentoring
of others in the implementation of Evidence Based Practices (EBPs). Leads problem
solving interaction and work with external customers. Maintains audit ready charts and
audits charts independently. Provides observations and feedback to supervisor in order
to monitor and/or modify programs or approaches. Actively participates in the
identification of team opportunities for improvement or identification of deficiencies
and in the development of strategies to address or bridge gaps. Leads Continuous
Quality Improvement (CQI) activities and project implementation. Required to meet
applicable productivity and documentation requirements.
1103 Family Specialist 149,770 Provides direct services to youth and families. Provides direct billable mental health
services, documents in alignment with MediCal regulations, and achieves set
productivity expectations. Engages and builds alignment and relationships with parents,
youth, and others in the normal course of working with the families. Utilizes strengths
of youth, families, and others to assist in the implementation and achievement of goals
and outcomes. Works with youth and family teams to support family driven, strength
based planning and interventions. Understands and takes advantage of therapeutic
opportunities in crisis situations. Conducts observations regarding specific target
behavior, track progress and modify plans with the family to support their intended
identified outcome. Assists teams in developing a hypothesis of function and underlying
unmet need in an effort to develop individualized, strength based strategies and
interventions that will result in positive behavior change. Engages caregiver, family
members, and other natural supports in building youth specific parenting responses
that support positive behavior change and overall family relationships. Works in the
community directly with youth and families to develop and implement safety and skill
refinement plans. Supports families in bridging to and or building on natural resources
and accessing community based program supports that will continue support over time.
Develops resources within the community to serve children and families. Assists youth
and family teams to meet specific service needs (ie: help develop strategy or resource
specific to an identified need) and monitor outcomes. Participates in family finding
team activities by identifying family finding need, obtaining authorizations, creating
teams, conducting searches and setting deadlines. Completes Connectedness Maps as
needed. Documents interactions and practices and maintain administrative
expectations in a timely manner. Meets and or exceeds all direct service expectations
and documentation requirements. Assists in developing program responses to needs
identified across a number of youth and families where natural community resources
are not available or appropriate. Builds on individual strengths, concerns, and needs
with balanced focus on the family as a unit. Facilitates and/or co-facilitates, supports,
and model participation in healthy group dynamics within various settings including
Child Welfare Mental Health Services
Uplift Family Services
Fiscal Year (FY) 2023-24
PROGRAM EXPENSE
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1104 Clinical Program Manager 603,424 Ensures effective coordination of services for youth and families with other providers,
both internal and external, by supporting the development of constructive relationships
and problem-solving barriers. Develops, interprets and ensures consistent
implementation of clinical program philosophy, objectives, standards, policies,
procedures and practices. Analyzes and integrates the use of outcome data to improve
clinical service delivery within assigned team. Ensures and monitors defined outcome
achievement for youth and families, as well as satisfaction levels for youth, families, and
referring workers and agencies. Initiates and participates in organizational quality
improvement efforts. Lead and/or delegate work groups to respond to program
development needs. Ensures compliance with all policy and procedures including
adherence to all licensing, quality, Information Technology (IT), Human Resources (HR),
compliance and regulatory standards. Leads and manages change. Proactively identifies
potential conflicts; leads parties to consensus and develops same skills in direct reports.
Manages to ensure fiscally viable programming. Ensures staff billable productivity and
other revenue related activities meet or exceed revenue forecasts. Ensures effective
quality clinical services delivery for assigned youth and families. Provides effective crisis
and risk prevention and management. Partners with county referring departments,
agencies and the community to ensure comprehensive care. Participates in staff
development; hires, coaches, mentors, supervises, conducts direct field observations,
trains, disciplines, and terminates. Ensures clinical documentation and quality assurance
meets both agency and payor standards, ensuring audit ready charts and continuous
quality improvement. Provides 24/7 availability as needed. Culturally responsive to
internal and external customers, and ensures family voice. Provides direct services to
families and children, as support to the direct service staff, to ensure smooth delivery of
service to assigned families and youth. Provides outreach to the community including
education about agency, program and general mental health and foster care topics.
Advocates for system change in relationship to agency service delivery philosophy.
Manages day-to-day operations including utilization of all administrative electronic
systems human and other resources Works collaboratively with managerial peers to 1105 Clinical Director 143,147 Master's degree (MA/MS). Must have appropriate license to practice as a Licensed
Clinical Social Worker or Marriage Family Therapist in the State of California. Must
meet the BBS requirements to provide clinical oversight and supervision with three to
ten years of experience in healthcare/psychology/behavioral/mental health. The Clinical
Director implements strategies to accomplish the agency annual priorities at the
program level. Directs and develops managers, ensures CPMS are competent and have
all tools necessary to lead teams.
1106 Support Services Coordinator 48,464 Bachelor’s degree required. (with emphasis in Psychology, social Work, Sociology or
related course work) Two years of experience in Mental Health field required.Four years
of experience in Mental Health field preferred. Knowledge of excel spreadsheets;
moderate computer literacy. Clinical skills relevant to intake services including: client
triage, understanding of legal/ethical issues, and risk management. Works within the
vision, mission, and philosophy of the agency, provides customerfriendly services to
internal and external customers. With limited supervision, sets up, coordinates and runs
parenting groups, trains new staff and coaches and supports existing staff in effectively
using therapeutic interventions with children and families and in meeting
documentation quality and timeliness expectations. Analyzes outcome data in
partnership with Outcomes and Evaluation to identify quality improvement activities.
Leads quality improvement activities from start to finish, including evaluation of the
effectiveness of the activities.
1107 Doctors Assistant 16,698 The Doctor’s assistant position directly supports the Psychiatrist and Nurse Practitioner
in all the administrative tasks related to medical support for clients. This position was
previously held by an Administrative Assistant; however requires a higher level of
education and expertise given the specialized nature of the medication support tasks.
1108 Customer Support Spec 59,897 The CSS II is the lead position for our intake coordinators. This position was added to
manage the newly added requirements of tracking all of the access data. This position
also handles additional billing tasks and requirements, as well as supports and trains the
other intake coordinators. This position also assists with data collection for the Monthly
Activity Report specific to the Hope contract.
1109 Administrative Assistant 47,835 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
1110 Regional Director 80,677 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1111 Supervisor of Administrative Operations 29,118 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
1112 Customer Services 77,399 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
1113 Associate Director of Quality Support 53,081 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
1114 Health Information Manager 13,720 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
1115 Supervisor Physical Plant Operations 7,875 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
1116 Outcome - Research Specialist 52,602 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
1117 Training - Learning Partner 20,831 These positions are shared direct program costs that provide direct clinical, operational
support, quality, compliance and outcomes support and management and supervision
support, to produce required program outcomes to all programs in this region.
Approximately 45% of cost is allocated to this program using the basis of direct wages
by program for this region’s programs.
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 980,861
1201 Retirement 137,665 Calculated at 4% of salaries.
1202 Worker's Compensation 68,833 Calculated at 2% of salaries.
1203 Health Insurance 774,363 Calculated at 22.5% of salaries.
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
Payroll Taxes & Expenses:289,097
1301 OASDI 213,380 Calculated at 6.2% of salaries.
1302 FICA/MEDICARE 49,904 Calculated at 1.45% of salaries.
1303 SUI 25,813 Calculated at 0.75% of salaries.
1304 Other (specify)-
1305 Other (specify)-
1306 Other (specify)-
2000: CLIENT SUPPORT -
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (specify)-
2012 Other (specify)-
2013 Other (specify)-
2014 Other (specify)-
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
2015 Other (specify)-
2016 Other (specify)-
3000: OPERATING EXPENSES 305,238
3001 Telecommunications 68,743 Cell phones, Land Lines, DSL, fax charges, phone system; wireless cards for laptop
computers enabling UFS to maintain a fully functional mobile work force to deliver in-
home/in the community services. Costs are allocated between programs on the basis of
payroll dollars and have been estimated based on historical trends.
3002 Printing/Postage 1,946 Postage, printing, US mail, GSO, Federal Express, UPS, postage machine refills, outside
reproduction costs, program specific brochures and flyers when reimbursable by the
program. Costs are allocated between programs on the basis of payroll dollars and have
been estimated based on historical trends.
3003 Office Supplies & Equipment 6,000 Office supplies and equipment include, but are not limited to: paper, pens, files,
staplers, break rooms supplies (e.g., coffee, paper cups, plastic utensils); subscriptions
to periodicals or newspapers, annual Agency dues and fees paid to accrediting agencies
and laptop replacement. Costs are allocated between programs on the basis of direct
labor dollars and have been estimated based on historical trends.
3004 Advertising -
3005 Staff Development & Training 102,648 Includes training in the Evidence-Based Practices of Trauma-Focused Cognitive
Behavioral Therapy (TFCBT), Motivational Interviewing (MI), Cognitive Behavioral
Therapy (CBT), Child Parent Psychotherapy (CPP), and Dialectical Behavior Therapy
(DBT), organizational tools, team/organizational psychology, philosophy of client based
services, integration of roles/team dynamics, assessment and individualized treatment
planning, general services, organizing admissions and individualized treatment planning
associated with the EBPs. This includes train-the-trainer and any other program
development training needs. Trainings are inclusive of internal and external trainings,
and all costs, except mileage associated with training, including transportation, parking
room and board, meals, refreshments cost of the program, instructor fees and
materials/manuals are included. Also includes other mandatory trainings such as first
aid and CPR.
3006 Staff Travel and Mileage/Vehicle Maintenance 109,273 Includes travel costs such as air fare, lodging, and mileage reimbursement, which is paid
at the prevailing federal rate (currently $0.575 per mile) to program service staff and
program administrative staff. This also includes upkeep costs for vehicles.
3007 Subscriptions & Memberships 4,829 Includes subscriptions to periodicals, databases, software, and other subscription
services, as well as annual agency dues and fees. Costs are allocated between programs
on the basis of payroll dollars and have been estimated based on historical trends.
3008 Program Supplies - Therapeutic 6,000 Includes those supplies utilized in the direct delivery of therapeutic services to clients.
Cost is estimated to be approximately $18.50 per direct care staff per month. Materials,
cash payments, outing costs, etc. used to motivate or reinforce desired behavior, as well
as materials required for use in Evidenced Based Practices
3009 Depreciation 5,799 Depreciation includes deprecation on leasehold improvements, office furniture/fixtures
and equipment meeting amortization thresholds. Costs are allocated between programs
on the basis of payroll dollars and have been estimated based on historical trends.
3010 Other (Specify)-
3011 Other (Specify)-
3012 Other (Specify)-
4000: FACILITIES & EQUIPMENT 273,043
4001 Building Maintenance 2,462 This includes common area maintenance on leased building charges,
maintenance/building repair charges, HVAC maintenance and repair, landscaping,
janitorial services, confidential paper shredding services, in-house or outside equipment
repair and labor. Costs are allocated between programs on the basis of payroll dollars
and have been estimated based on historical trends and the utilization of the Agency’s
office in Fresno.
4002 Rent/Lease Building 228,545 This includes building rent or depreciation, storage and file storage unit rental payments
and all the costs associated with storing and retrieving of client, personnel or other files
or records. Costs are allocated between programs on the basis of payroll dollars and
have been estimated based on historical trends and the utilization of the Agency’s new
office in Fresno.
4003 Rent/Lease Equipment 5,326 This includes rental payments for equipment including leased copiers, postage
machines, phone systems, laptops or other communication, office or facility equipment.
Costs are allocated between programs on the basis of payroll dollars and have been
estimated based on historical trends and the utilization of the Agency’s office in Fresno.
4004 Rent/Lease Vehicles -
4005 Security -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
4006 Utilities -
4007 Equipment Purchase 36,710 Equipment, parts and materials includes the purchase of non-capital assets. Sample
items include, but are not limited to, laptops, desktops, printers, calculators and fax
machines, as well as system user licenses. Costs are allocated between programs on the
basis of payroll dollars and estimated.
4008 Other (Specify)-
4009 Other (Specify)-
4010 Other (Specify)-
5000: SPECIAL EXPENSES 190,669
5001 Consultant (Network & Data Management)16,000 The consultant will provide additional clinical supervision support for program staff.
This will also be used to hire a contract psychologist to provide court ordered
psychological testing and reports to the Court. Contract Psychologist estimated to cost
$219 per hour. The psychologist will be required to provide at least 25 hours per
month on average. This will also cover the cost of the psychological testing and scoring
materials.
5002 HMIS (Health Management Information
System)
-
5003 Contract Psychiatrist 149,669 This includes a contract Psychiatrist position estimated to cost $219 per hour. The
psychiatrist will be required to provide at least 35 hours per month, and will provide
psychiatric evaluations and medication support services. This also includes a Nurse
Practitioner, estimated to cost $125 per hour. The nurse practitioner will be required to
provide 6 hours per week and will provide additional psychiatric evaluations and
medication support services.
5004 Translation Services 25,000 To ensure the provision of culturally sensitive services including assurance of language
access, when there is not availability of bilingual staff interpreter/translation services
are used to support a culturally appropriate evaluation, diagnosis, treatment and
referral services.
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 927,767
6001 Administrative Overhead 835,864 Represents the overhead of the Agency's general and administrative shared support
services such as finance, accounting, billing, human resources, clinical administration,
information technology, professional fees, HIPPA compliance and clinical record audits,
risk management and program fidelity, recruiting and human resources support, MIS
infrastructure & QI/UM department support and oversight as well as executive
management. Costs that cannot be specifically charged to a program are allocated to
programs on the basis of direct program salary costs prior to the addition of taxes and
benefits. Administrative Overhead has been budgeted at 15% of total program
expenses.
6002 Professional Liability Insurance 86,040 Includes general business liability and property coverage along with professional liability
insurance. Costs are allocated between programs on the basis of direct labor dollars and
estimated based on historical trends.
6003 Accounting/Bookkeeping -
6004 External Audit 5,863 Includes annual audit ensuring all financial records are relevant and accurate and in
compliance with state and federal laws and regulations. Audit costs are allocated
between programs on the basis of payroll dollars and have been estimated based on
historical costs.
6005 Insurance (Specify):-
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 -
7001 Computer Equipment & Software -
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures -
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-3
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify)-
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Intensive Care Coordination
8010 Intensive Home-Based Services
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:6,408,290
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:6,408,290
BUDGET CHECK:-
Estimated 34,617 units at $2.95 per unit
Estimated 138,469 units at $3.80 per unit
Estimated 86,543 units at $3.89 per unit
Estimated 86,591 units at $2.95 per unit
Estimated 259,774 units at $3.80 per unit
Estimated 17,309 units at $5.57 per unit
Estimated 17,309 units at $6.92 per unit
Estimated 103,852 units at $3.80 per unit
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Estimated 899,904 units at $3.80 per unit
Estimated 86,495 units at $2.95 per unit
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-4
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 PROGRAM DIRECTOR 1.00 -$ 23,820$ 23,820$
1102 ASST. PROGRAM DIRECTOR 1.00 - 19,253 19,253
1103 ADMINISTRATIVE ASSISTANT 1.00 - 6,084 6,084
1104 LEAD MENTAL HEALTH PROFESSIONAL 1.00 - 7,390 7,390
1105 LIC. MENTAL HEALTH PROFESSIONAL 5.00 - 64,400 64,400
1106 UNLIC. MENTAL HEALTH PROFESSIONAL 15.00 - 174,960 174,960
1107 MENTAL HEALTH REHAB SPECIALIST 8.00 - 46,136 46,136
1108 NURSE 1.00 - 5,899 5,899
1109 RECORDS TECHNICIAN 2.00 - 8,418 8,418
1110 SECRETARY 2.00 - 7,172 7,172
1111 PSC SUPERVISOR 1.00 - 9,312 9,312
1112 INTAKE SPECIALIST 2.00 - 8,679 8,679
1113 DEPUTY REGIONAL DIRECTOR 1.00 - 21,896 21,896
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 41.00 -$ 403,419$ 403,419$
Employee Benefits
Acct #Admin Direct Total
1201 -$ 6,051$ 6,051$
1202 - 10,307 10,307
1203 - 27,615 27,615
1204 - 2,168 2,168
1205 - 40,342 40,342
1206 - 247 247
-$ 86,730$ 86,730$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ 5,648$ 5,648$
1302 - 30,862 30,862
1303 - 5,083 5,083
1304 - - -
1305 - - -
1306 - - -
-$ 41,593$ 41,593$
-$ 531,742$ 531,742$
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Dental Insurance
Accrued Paid Leave
Other Benefits (Employee Assistance)
Child Welfare Mental Health
Turning Point of Central California, Inc.
Fiscal Year (FY 2020-21) Ramp-up Start April 1st through June 30th
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 -
2004 -
2005 -
2006 -
2007 -
2008 -
2009 15,000
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
15,000$
3000: OPERATING EXPENSES
Acct #Amount
3001 50,000$
3002 8,200
3003 27,763
3004 -
3005 91,900
3006 500
3007 820
3008 3,352
3009 -
3010 2,000
3011 5,000
3012 -
189,535$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 1,000$
4002 37,500
4003 230
4004 11,213
4005 1,658
4006 6,375
4007 1,020
4008 2,800
4009 -
4010 -
61,796$
5000: SPECIAL EXPENSES
Utilities
Equipment Maintenance
Janitorial Services and Supplies
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
Security
Vehicle Maintenance
Miscellaneous Travel
Licensing
Recruitment
OPERATING EXPENSES TOTAL:
Printing/Postage
Office, Household & Program Supplies
Advertising
Staff Development & Training
Staff Mileage
Subscriptions & Memberships
DIRECT CLIENT CARE TOTAL
Line Item Description
Telecommunications
Medication Supports
Program Supplies - Medical
Utility Vouchers
Client Activities / Recreation
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Household Items for Clients
Line Item Description
Child Care
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
Acct #Amount
5001 21,625$
5002 -
5003 -
5004 -
5005 34,402
5006 -
5007 -
5008 -
56,027$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 160,541$
6002 -
6003 -
6004 -
6005 1,300
6006 3,594
6007 281
6008 -
6009 -
6010 -
6011 -
6012 -
165,716$
7000: FIXED ASSETS
Acct #Amount
7001 111,000$
7002 20,000
7003 80,000
7004 -
7005 -
7006 -
7007 -
7008 -
211,000$
Assets over $5,000/unit (Specify)
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 1,230,816$
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
ADMINISTRATIVE EXPENSES TOTAL
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Liability Insurance
Payroll Services
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Other: O/S Counselor
Other: O/S Psychiatrist
Other: O/S Consultant
SPECIAL EXPENSES TOTAL:
Line Item Description
Administrative Overhead
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Translation Services
Other: O/S Building Maintenance and Repair
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
Acct #Service Units Rate Amount
8001 Mental Health Services 0 - -$
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 1,230,816$
1,230,816$
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 -
8405 -
-$
NET PROGRAM COST: -$
Grants (Specify)
Other (Specify)
Other (Specify)
OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:1,230,816$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
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
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 531,742
Employee Salaries 403,419
1101 PROGRAM DIRECTOR 23,820 The Program Director oversees the program and the hiring, training and supervising of
staff. Rate of pay for this postion is $58.04 per hour. Yearly salary for this position is
$120720. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based
on class/step, some might be less and some might be more, all according to the
person's experience and education when they come to work for Turning Point. This
position is budgeted during ramp up for 13 weeks
1102 ASST. PROGRAM DIRECTOR 19,253 The Assitant Program Director will supervise staff and assist the Program Director. Rate
of pay for this postion is $50.21 per hour. Yearly salary for this position is $104,432.
There is an 8% reduction in salaries for accrued paid leave. When a staff takes leave, the
program is not charged since it's already been accrued. Positions are based on
class/step, some might be less and some might be more, all according to the person's
experience and education when they come to work for Turning Point. This position is
budgeted budgeted during ramp up for 12 weeks
1103 ADMINISTRATIVE ASSISTANT 6,084 The administrative assistant will oversee the support staff and will help with all support
staff duties. Rate of pay for this postion is $23.68 per hour. Yearly salary for this
position is $49,257. There is an 8% reduction in salaries for accrued paid leave. When a
staff takes leave, the program is not charged since it's already been accrued. Positions
are based on class/step, some might be less and some might be more, all according to
the person's experience and education when they come to work for Turning Point. This
positon s budged during ramp up for 8 weeks
1104 LEAD MENTAL HEALTH PROFESSIONAL 7,390 Provides mental health assessment, assessing for Medical Necessity, assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual
and group therapy as client requests, while also providing program support to assist
clients in crisis. Will also act as the lead to help with supervision of the other Mental
Health Professionals. Rate of pay for this postion is $48.57 per hour. Yearly salary for
this position is $101,021. There is an 8% reduction in salaries for accrued paid leave.
When a staff takes leave, the program is not charged since it's already been accrued.
Positions are based on class/step, some might be less and some might be more, all
according to the person's experience and education when they come to work for
Turning Point. This positions is budgeted during ramp up for 9 weeks
1105 LIC. MENTAL HEALTH PROFESSIONAL 64,400 Provides mental health assessment, assessing for Medical Necessity, assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual
and group therapy as client requests, while also providing program support to assist
clients in crisis. Rate of pay for this postion is $46.23 per hour. Yearly salary for this
position is $96,149. There is an 8% reduction in salaries for accrued paid leave. When a
staff takes leave, the program is not charged since it's already been accrued. Positions
are based on class/step, some might be less and some might be more, all according to
the person's experience and education when they come to work for Turning Point.
These positions are budgeted during ramp up for 8 weeks
1106 UNLIC. MENTAL HEALTH PROFESSIONAL 174,960 Provides mental health assessment, assessing for Medical Necessity, assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual
and group therapy as client requests, while also providing program support to assist
clients in crisis. Rate of pay for this postion is $41.86 per hour. Yearly salary for this
position is $87.076. There is an 8% reduction in salaries for accrued paid leave. When a
staff takes leave, the program is not charged since it's already been accrued. Positions
are based on class/step, some might be less and some might be more, all according to
the person's experience and education when they come to work for Turning Point.
These positions are budgeted during ramp up for 8 weeks
1107 MENTAL HEALTH REHAB SPECIALIST 46,136 Mental Health Rehab Specialist will carry a caseload while also specializing in linking and
providing services to those interested in engagement in employment and education
services. Rate of pay for this postion is $24.36 per hour. Yearly salary for this position is
$50666. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based
on class/step, some might be less and some might be more, all according to the
person's experience and education when they come to work for Turning Point. These
positions are budgeted during ramp up for 7 weeks
Child Welfare Mental Health
Turning Point of Central California, Inc.
Year (FY 2020-21) Ramp-up Start April 1st through June 30th
PROGRAM EXPENSE
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-4
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1108 NURSE 5,899 The nurse will provide direct nursing support to the clients as well as education to the
Treatment team, to the clients, and to families of clients (as appropriate) in man areas,
with special attention given to the role of psychotropic medications. Rate of pay for this
postion is $27.40 per hour. Yearly salary for this position is $56983. There is an 8%
reduction in salaries for accrued paid leave. When a staff takes leave, the program is not
charged since it's already been accrued. Positions are based on class/step, some might
be less and some might be more, all according to the person's experience and education
when they come to work for Turning Point. This position is budgeted during ramp up for
7 weeks
1109 RECORDS TECHNICIAN 8,418 The Records Technician will keep track of the Medical Records and will do the billing for
the program. Rate of pay for this postion is $21.59 per hour. Yearly salary for this
position is $44908. There is an 8% reduction in salaries for accrued paid leave. When a
staff takes leave, the program is not charged since it's already been accrued. Positions
are based on class/step, some might be less and some might be more, all according to
the person's experience and education when they come to work for Turning Point. Thes
positions are budgeted during ramp up for 6 weeks
1110 SECRETARY 7,172 Provides direct services to the program by data entry, phone calls, checking in clients,
etc. Rate of pay for this postion is $18.04 per hour. Yearly salary for this position is
$37518. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based
on class/step, some might be less and some might be more, all according to the
person's experience and education when they come to work for Turning Point. These
positions are budgeted for ramp up for 6 weeks
1111 PSC SUPERVISOR 9,312 Provides supervision to all Mental Health Specialists to ensure client care, maintain
compliance with Turning Point policies and procedures. Supervisor also assisting in
training new staff and reporting to the Assistant Program Director. Rate of pay for this
postion is $33.43 per hour. Yearly salary for this position is $69,542. There is an 8%
reduction in salaries for accrued paid leave. When a staff takes leave, the program is not
charged since it's already been accrued. Positions are based on class/step, some might
be less and some might be more, all according to the person's experience and education
when they come to work for Turning Point. This position is budgeted during ramp up
for 8 weeks
1112 INTAKE SPECIALIST 8,679 The Intake Specialist is responsible to the Program Director under the supervision of the
Team Leader and processes all referrals related to Children's Mental Health services.
These services include completing all new admissions in a timely manner with the goal
of opening new client's for mental health services. Rate of pay for this postion is
between $21.18 per hour. Yearly salary for this position is $45369. There is an 8%
reduction in salaries for accrued paid leave. When a staff takes leave, the program is not
charged since it's already been accrued. Positions are based on class/step, some might
be less and some might be more, all according to the person's experience and education
when they come to work for Turning Point. This position is budgeted during ramp up
for 6 weeks
1113 DEPUTY REGIONAL DIRECTOR 21,896 The Regional Director will be a direct charge during ramp up since this is a bigger
program and will need their assistance, after 10 weeks during ramp up the Regional
Director will be allocated between CWS and other programs. The Regional Director
makes $65.45 per hour.
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 86,730
1201 Retirement 6,051 Cost of Agency contribution to employee retirement plans. This is based on 3% of the
whole salary. During Ramp up it's a bit less as some of the employees are new and some
are exisiting. This is an estimate.
1202 Worker's Compensation 10,307 Cost of workers compensation insurance. This is based on 2.555% of the whole salary.
1203 Health Insurance 27,615 Agency cost for health insurance; health plans vary on what the employee chooses. This
is the range per employer cost from $399.15 per month to $1299.24 per month. An
average of $8000.00 per year was used. Pro rated for ramp up with half of being
exisiting employees, could be more or less
1204 Dental Insurance 2,168 Agency cost for dental and vision insurance at $628.00 per year.
1205 Accrued Paid Leave 40,342 The monetary value of staff paid leave hours as they accrue on a monthly basis.
1206 Other Benefits (Employee Assistance)247 Employee assistance program
Payroll Taxes & Expenses:41,593
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-4
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1301 OASDI 5,648 Employer pays 1.40% of employee's full salary.
1302 FICA/MEDICARE 30,862 Employer portion of F.I.C.A. taxes charged to the Agency by the InternalRevenue
Service. F.I.C.A. is comprised of "Old-Age, Survivors, and Disability Insurance" (OASDI),
plus "Hospital Insurance" (Medicare). 7.65% of full salary.
1303 SUI 5,083 Employer portion of S.U.I. taxes charged to the Agency by the various states in which
wages are paid. Employer pays 1.26% of all wages.
1304 0 -
1305 0 -
1306 0 -
2000: CLIENT SUPPORT 15,000
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical 15,000 Cost of medical supplies to be used by staff or clients at the program location to meet
program objective. Such items are to remain at the program location and not sent home
with the client. Such items include, but are not limited to first aid kits, blood pressure
monitor, latex gloves, syringes, hazard disposal service, etc.
2010 Utility Vouchers -
2011 Client Activities / Recreation -
2012 0 -
2013 0 -
2014 0 -
2015 0 -
2016 0 -
3000: OPERATING EXPENSES 189,535
3001 Telecommunications 50,000 Cost of electronic communications. (Examples: internet, phone, fax, cell phones, etc.)
3002 Printing/Postage 8,200 Cost of custom copying/printing charges (Examples: letterhead, business forms,
business cards, flyers, brochures, signs, etc.) and Postage and elivery, including delivery
by the USPS, UPS, FEDEX and other courier services
3003 Office, Household & Program Supplies 27,763 Cost of items normally used in an office setting. (Examples: pens, pencils, paper tablets,
paper clips, notepads, staples, non-electric staplers/hole punchers/calculators, and
other items normally used in an office setting.) House Supplies, Cost of supplies used by
staff during their scheduled work hours. These items are normally used to operate the
building at the program location. These items are to remain at program location and not
sent home with client. (Examples: paper towels, toilet paper, cleaning supplies),
Program Supplies, Cost of any items normally used by clients to meet program
objectives while receiving services. These items are to remain at the program location
and not sent home with the client. Such items include, but are not limited to video
tapes, printed handouts, desk reference books, research material, curriculum, puzzles,
board games, therapeutic/meditative supplies and other items that are specifically
designed and used to accomplish program goals.
3004 Advertising -
3005 Staff Development & Training 91,900 Cost of employee training courses and materials.
3006 Staff Mileage 500 Cost of employee mileage reimbursement paid in accordance with FPM section 1005.
3007 Subscriptions & Memberships 820 Cost of membership dues and subscriptions. (Examples: magazine, newspaper,
memberships, etc.)
3008 Vehicle Maintenance 3,352 Cost of vehicle maintenance. Including cost of parts, supplies and labor associated with
maintenance and repair of vehicles used by Agency programs. Cost of gas in Vehicles
and Insurance
3009 Miscellaneous Travel - Staff going out of town for educational purposes and having some Miscellaneous Travel
3010 Licensing 2,000 Business licenses and other licenses that might be needed
3011 Recruitment 5,000 Costs of Live Scans, DMV printouts, ads for recruiting staff and other tests that might
happen for the purposes of employment such as Covid testing
3012 0 -
4000: FACILITIES & EQUIPMENT 61,796
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-4
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
4001 Building Maintenance 1,000 Cost of Agency building repairs and maintenance. (Examples: electrical work, A/C and
heating, hood cleaning, plumbing, etc.) This account should not be used if a specific
outside labor contractor is doing an identifiable project.
4002 Rent/Lease Building 37,500 Cost of rent/lease payments made for building leases from outside sources.
4003 Rent/Lease Equipment 230 Cost of rent/lease payments made for furniture and equipment leases.
4004 Rent/Lease Vehicles 11,213 Rental cost of vehicles and lease of agency vehicles.
4005 Security 1,658 Cost of installation, maintenance and monthly service fees for building alarms and other
security measures. (Examples: security/surveillance equipment, service and installation,
safes, etc.)
4006 Utilities 6,375 Cost of service for power, gas, water, sewer, garbage, etc.
4007 Equipment Maintenance 1,020 Cost of equipment and furniture repair and maintenance. (Examples: high capacity
copier/printer/scanner, replacement parts such as hard drive, laptop battery,
monitor/printer/phone cord, drum, power strip, surge protector, video card, etc.)
4008 Janitorial Services and Supplies 2,800 This will be for Janitorial Services and Supplies needed
4009 0 -
4010 0 -
5000: SPECIAL EXPENSES 56,027
5001 Consultant (Network & Data Management)21,625 Start up to drop lines and set up the network needed for the office
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services -
5005 Other: O/S Building Maintenance and Repair 34,402 Any build out the new facility might need, we aren't sure of the costs but this is about
average.
5006 Other: O/S Counselor -
5007 Other: O/S Psychiatrist -
5008 Other: O/S Consultant -
6000: ADMINISTRATIVE EXPENSES 165,716
6001 Administrative Overhead 160,541 Support of our corperate and regional offices such as processing invoices, payroll, cost
reports, etc.
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Liability Insurance 1,300 Insurance for doing business
6006 Payroll Services 3,594 This is our Ultipro timekeeping / HR system
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
281 This account should be charged for the depreciation expense of the Agency's tangible
assets.
6008 0 -
6009 0 -
6010 0 -
6011 0 -
6012 -
7000: FIXED ASSETS 211,000
7001 Computer Equipment & Software 111,000 Computers, mice, keyboards, laptops, docking stations and monitors for 40 staff
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
20,000 Cell phones for non exempt employees to use during work hours
7003 Furniture & Fixtures 80,000 Desks, chairs, wall hangings, etc.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 0 -
7008 0 -
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
PROGRAM FUNDING SOURCES
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-4
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:1,230,816
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:1,230,816
BUDGET CHECK:-
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-4
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 PROGRAM DIRECTOR 1.00 -$ 111,063$ 111,063$
1102 ASST. PROGRAM DIRECTOR 1.00 - 96,078 96,078
1103 ADMINISTRATIVE ASSISTANT 1.00 - 45,317 45,317
1104 LEAD MENTAL HEALTH PROFESSIONAL 1.00 - 92,940 92,940
1105 LIC. MENTAL HEALTH PROFESSIONAL 5.00 - 442,290 442,290
1106 UNLIC. MENTAL HEALTH PROFESSIONAL 15.00 - 1,201,650 1,201,650
1107 MENTAL HEALTH REHAB SPECIALIST 8.00 - 372,904 372,904
1108 NURSE 1.00 - 52,425 52,425
1109 RECORDS TECHNICIAN 2.00 - 82,632 82,632
1110 SECRETARY 2.00 - 69,034 69,034
1111 PSC SUPERVISOR 1.00 - 67,229 67,229
1112 INTAKE SPECIALIST 2.00 - 83,480 83,480
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 40.00 -$ 2,717,042$ 2,717,042$
Employee Benefits
Acct #Admin Direct Total
1201 -$ 88,599$ 88,599$
1202 - 75,457 75,457
1203 - 320,000 320,000
1204 - 25,120 25,120
1205 - 295,329 295,329
1206 - 918 918
-$ 805,423$ 805,423$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ 41,346$ 41,346$
1302 - 225,927 225,927
1303 - 37,211 37,211
1304 - - -
1305 - -
1306 - -
-$ 304,484$ 304,484$
-$ 3,826,949$ 3,826,949$
Child Welfare Mental Health
Turning Point of Central California, Inc.
Fiscal Year (FY 2021-22)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Dental Insurance
Accrued Paid Leave
Other Benefits (Employee Assistance)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 -
2004 -
2005 -
2006 -
2007 -
2008 -
2009 3,040
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
3,040$
3000: OPERATING EXPENSES
Acct #Amount
3001 30,600$
3002 8,160
3003 14,790
3004 -
3005 48,960
3006 12,240
3007 8,160
3008 32,558
3009 -
3010 -
3011 556
3012 5,100
161,124$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 2,000$
4002 151,250
4003 1,440
4004 44,850
4005 1,530
4006 25,500
4007 4,080
4008 12,000
4009 -
4010 -
242,650$
5000: SPECIAL EXPENSES
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Client Activities / Recreation
Subscriptions & Memberships
Vehicle Maintenance
Other:
Other:
Licensing
Recruitment
Telecommunications
Printing/Postage
Office, Household & Program Supplies
Advertising
Staff Development & Training
Staff Mileage
Security
Utilities
Equipment Maintenance
Janitorial Services and Supplies
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
FACILITIES/EQUIPMENT TOTAL:
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
Acct #Amount
5001 -$
5002 38,000
5003 -
5004 2,346
5005 -
5006 15,912
5007 254,592
5008 24,725
335,575$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 690,170$
6002 -
6003 -
6004 3,876
6005 6,120
6006 10,781
6007 1,122
6008 -
6009 -
6010 -
6011 -
6012 -
712,069$
7000: FIXED ASSETS
Acct #Amount
7001 6,630$
7002 -
7003 3,264
7004 -
7005 -
7006 -
7007 -
7008 -
9,894$
SPECIAL EXPENSES TOTAL:
Line Item Description
Other: O/S Building Maintenance and Repair
Other: O/S Counselor
Other: O/S Psychiatrist
Other: O/S Consultant
Liability Insurance
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Translation Services
ADMINISTRATIVE EXPENSES TOTAL
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
Assets over $5,000/unit (Specify)
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 5,291,301$
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
Acct #Service Units Rate Amount
8001 Mental Health Services 744,430 4.10 3,052,163$
8002 Case Management 67,472 3.00 202,416
8003 Crisis Services 7,981 5.50 43,896
8004 Medication Support 87,702 6.10 534,982
8005 Collateral 154,504 4.10 633,466
8006 Plan Development 42,138 4.10 172,766
8007 Assessment 252,825 4.10 1,036,583
8008 Rehabilitation 189,642 4.10 777,532
8009 ICC 18,013 3.00 54,039
8010 IHBS 28,031 3.00 84,093
1,592,738 6,591,935$
90%
5,932,742
50%2,966,371
2,966,371$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 2,076,770$
2,076,770$
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 185,336
8404 DSS: Case Management and ICC Services (2623 at $3.00 per unit)7,869
8405 DSS: Crisis Services (0 units at $5.50 per unit)
8406 DSS: Medication Support (385 units at $6.10 per unit)2,349
8407 DSS: Psychological Evaluations (11321 Units $4.10 per unit) 46,416
8408 DSS: Court Services (200 units at $4.10)820
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
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
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
DSS: Therapy, Collateral, Plan Development, and Rehabilitation (45204 units at $4.10 per
unit)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
8409 DSS: ICC Services (700 at $3.00 per unit)2,101
8410 DSS: IHBS Services (1090 at $3.00 per unit)3,269
248,160$ OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:5,291,301$
NET PROGRAM COST: -$
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 3,826,949
Employee Salaries 2,717,042
1101 PROGRAM DIRECTOR 111,063 The Program Director oversees the program and the hiring, training and supervising of
staff. Rate of pay for this postion is $58.04 per hour. Yearly salary for this position is
$120720. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based on
class/step, some might be less and some might be more, all according to the person's
experience and education when they come to work for Turning Point. The yearly amount
didn't change from previous year
1102 ASST. PROGRAM DIRECTOR 96,078 The Asssitant Program Director will supervise staff and assist the Program Director. Rate
of pay for this postion is $50.21 per hour. Yearly salary for this position is $104432. There
is an 8% reduction in salaries for accrued paid leave. When a staff takes leave, the
program is not charged since it's already been accrued. Positions are based on class/step,
some might be less and some might be more, all according to the person's experience and
education when they come to work for Turning Point.
1103 ADMINISTRATIVE ASSISTANT 45,317 The administrative assistant will oversee the support staff and will help with all support
staff duties. Rate of pay for this postion is $23.68 per hour. Yearly salary for this position
is $49257. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based on
class/step, some might be less and some might be more, all according to the person's
experience and education when they come to work for Turning Point.
1104 LEAD MENTAL HEALTH PROFESSIONAL 92,940 Provides mental health assessment, assessing for Medical Necessity, assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual and
group therapy as client requests, while also providing program support to assist clients in
crisis. Will also act as the lead to help with supervision of the other Mental Health
Professionals. Rate of pay for this postion is $48.57 per hour. Yearly salary for this
position is $101021. There is an 8% reduction in salaries for accrued paid leave. When a
staff takes leave, the program is not charged since it's already been accrued. Positions are
based on class/step, some might be less and some might be more, all according to the
person's experience and education when they come to work for Turning Point.
1105 LIC. MENTAL HEALTH PROFESSIONAL 442,290 Provides mental health assessment, assessing for Medical Necessity, assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual and
group therapy as client requests, while also providing program support to assist clients in
crisis. Rate of pay for this postion is $46.23 per hour. Yearly salary for this position is
$96149. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based on
class/step, some might be less and some might be more, all according to the person's
experience and education when they come to work for Turning Point.
1106 UNLIC. MENTAL HEALTH PROFESSIONAL 1,201,650 Provides mental health assessment, assessing for Medical Necessity, assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual and
group therapy as client requests, while also providing program support to assist clients in
crisis. Rate of pay for this postion is $41.86 per hour. Yearly salary for this position is
$87076. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based on
class/step, some might be less and some might be more, all according to the person's
experience and education when they come to work for Turning Point.
1107 MENTAL HEALTH REHAB SPECIALIST 372,904 Mental Health Rehab Specialist will carry a caseload while also specializing in linking and
providing services to those interested in engagement in employment and education
services. Rate of pay for this postion is $24.36 per hour. Yearly salary for this position is
$50666. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based on
class/step, some might be less and some might be more, all according to the person's
experience and education when they come to work for Turning Point.
1108 NURSE 52,425 The nurse will provide direct nursing support to the clietns as well ad education to the
Treatment team, to the clients, and to families of clients (as appropriate) in man areas,
with special attention given to the role of psychotropic medications. Rate of pay for this
postion is $27.40 per hour. Yearly salary for this position is $56983. There is an 8%
reduction in salaries for accrued paid leave. When a staff takes leave, the program is not
charged since it's already been accrued. Positions are based on class/step, some might be
less and some might be more, all according to the person's experience and education
when they come to work for Turning Point.
Child Welfare Mental Health
Turning Point of Central California, Inc.
Fiscal Year (FY 2021-22)
PROGRAM EXPENSE
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-4
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1109 RECORDS TECHNICIAN 82,632 The Records Technician will keep track of the Medical Records and will do the billing for
the program. Rate of pay for this postion is $21.59 per hour. Yearly salary for this
position is $44908. There is an 8% reduction in salaries for accrued paid leave. When a
staff takes leave, the program is not charged since it's already been accrued. Positions are
based on class/step, some might be less and some might be more, all according to the
person's experience and education when they come to work for Turning Point.
1110 SECRETARY 69,034 Provides direct services to the program by data entry, phone calls, checking in clients, etc.
Rate of pay for this postion is $18.04 per hour. Yearly salary for this position is $37518.
There is an 8% reduction in salaries for accrued paid leave. When a staff takes leave, the
program is not charged since it's already been accrued. Positions are based on class/step,
some might be less and some might be more, all according to the person's experience and
education when they come to work for Turning Point.
1111 PSC SUPERVISOR 67,229 Provides supervision to all Mental Health Specialists to ensure client care, maintain
compliance with Turning Point policies and procedures. Supervisor also assisting in
training new staff and reporting to the Assistant Program Director. Rate of pay for this
postion is $35.13 per hour. Yearly salary for this position is $73075. There is an 8%
reduction in salaries for accrued paid leave. When a staff takes leave, the program is not
charged since it's already been accrued. Positions are based on class/step, some might be
less and some might be more, all according to the person's experience and education
when they come to work for Turning Point.
1112 INTAKE SPECIALIST 83,480 The Intake Specialist is responsible to the Program Director under the supervision of the
Team Leader and processes all referrals related to Children's Mental Health services.
These services include completing all new admissions in a timely manner with the goal of
opening new client's for mental health services. Rate of pay for this postion is $21.18.
Yearly salary for this position is betweem $45369. There is an 8% reduction in salaries for
accrued paid leave. When a staff takes leave, the program is not charged since it's already
been accrued. Positions are based on class/step, some might be less and some might be
more, all according to the person's experience and education when they come to work for
Turning Point.
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 805,423
1201 Retirement 88,599 Cost of Agency contribution to employee retirement plans. This is based on 3% of the
whole salary.
1202 Worker's Compensation 75,457 Cost of workers compensation insurance. This is based on 2.555% of the whole salary.
1203 Health Insurance 320,000 Agency cost for health insurance; health plans vary on what the employee chooses. This is
the range per employer cost from $399.15 per month to $1299.24 per month. An average
of $8000.00 per year was used. Pro rated for ramp up with half of being exisiting
employees, could be more or less
1204 Dental Insurance 25,120 Agency cost for dental and vision insurance at $628.00 per year.
1205 Accrued Paid Leave 295,329 The monetary value of staff paid leave hours as they accrue on a monthly basis.
1206 Other Benefits (Employee Assistance)918 Employee assistance program
Payroll Taxes & Expenses:304,484
1301 OASDI 41,346 Employer pays 1.40% of employee's full salary.
1302 FICA/MEDICARE 225,927 Employer portion of F.I.C.A. taxes charged to the Agency by the InternalRevenue Service.
F.I.C.A. is comprised of "Old-Age, Survivors, and Disability Insurance" (OASDI), plus
"Hospital Insurance" (Medicare). 7.65% of full salary.
1303 SUI 37,211 Employer portion of S.U.I. taxes charged to the Agency by the various states in which
wages are paid. Employer pays 1.26% of all wages.
1304 0 -
1305 0 -
1306 0 -
2000: CLIENT SUPPORT 3,040
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-4
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical 3,040 Cost of medical supplies to be used by staff or clients at the program location to meet
program objective. Such items are to remain at the program location and not sent home
with the client. Such items include, but are not limited to first aid kits, blood pressure
monitor, latex gloves, syringes, hazard disposal service, etc.
2010 Utility Vouchers -
2011 Client Activities / Recreation -
2012 0 -
2013 0 -
2014 0 -
2015 0 -
2016 0 -
3000: OPERATING EXPENSES 161,124
3001 Telecommunications 30,600 Cost of electronic communications. (Examples: internet, phone, fax, cell phones, etc.)
3002 Printing/Postage 8,160 Cost of custom copying/printing charges (Examples: letterhead, business forms, business
cards, flyers, brochures, signs, etc.) and Postage and elivery, including delivery by the
USPS, UPS, FEDEX and other courier services
3003 Office, Household & Program Supplies 14,790 Cost of items normally used in an office setting. (Examples: pens, pencils, paper tablets,
paper clips, notepads, staples, non-electric staplers/hole punchers/calculators, and other
items normally used in an office setting.) House Supplies, Cost of supplies used by staff
during their scheduled work hours. These items are normally used to operate the building
at the program location. These items are to remain at program location and not sent
home with client. (Examples: paper towels, toilet paper, cleaning supplies), Program
Supplies, Cost of any items normally used by clients to meet program objectives while
receiving services. These items are to remain at the program location and not sent home
with the client. Such items include, but are not limited to video tapes, printed handouts,
desk reference books, research material, curriculum, puzzles, board games,
therapeutic/meditative supplies and other items that are specifically designed and used
to accomplish program goals.
3004 Advertising -
3005 Staff Development & Training 48,960 Cost of employee training courses and materials.
3006 Staff Mileage 12,240 Cost of employee mileage reimbursement paid in accordance with FPM section 1005.
3007 Subscriptions & Memberships 8,160 Cost of membership dues and subscriptions. (Examples: magazine, newspaper,
memberships, etc.)
3008 Vehicle Maintenance 32,558 Cost of vehicle maintenance. Including cost of parts, supplies and labor associated with
maintenance and repair of vehicles used by Agency programs. Cost of gas in Vehicles and
Insurance
3009 Other: -
3010 Other: -
3011 Licensing 556 Business licenses and other licenses that might be needed
3012 Recruitment 5,100 Costs of Live Scans, DMV printouts, ads for recruiting staff and other tests that might
happen for the purposes of employment
4000: FACILITIES & EQUIPMENT 242,650
4001 Building Maintenance 2,000 Cost of Agency building repairs and maintenance. (Examples: electrical work, A/C and
heating, hood cleaning, plumbing, etc.) This account should not be used if a specific
outside labor contractor is doing an identifiable project.
4002 Rent/Lease Building 151,250 Cost of rent/lease payments made for building leases from outside sources.
4003 Rent/Lease Equipment 1,440 Cost of rent/lease payments made for furniture and equipment leases.
4004 Rent/Lease Vehicles 44,850 Rental cost of vehicles and lease of agency vehicles.
4005 Security 1,530 Cost of installation, maintenance and monthly service fees for building alarms and other
security measures. (Examples: security/surveillance equipment, service and installation,
safes, etc.)
4006 Utilities 25,500 Cost of service for power, gas, water, sewer, garbage, etc.
4007 Equipment Maintenance 4,080 Cost of equipment and furniture repair and maintenance. (Examples: high capacity
copier/printer/scanner, replacement parts such as hard drive, laptop battery,
monitor/printer/phone cord, drum, power strip, surge protector, video card, etc.)
4008 Janitorial Services and Supplies 12,000 This will be for Janitorial Services and Supplies needed
4009 0 -
4010 0 -
5000: SPECIAL EXPENSES 335,575
5001 Consultant (Network & Data Management)-
5002 HMIS (Health Management Information
System)
38,000 Avatar costs
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-4
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services 2,346 Paid to outside vendors for translation / interpreter services
5005 Other: O/S Building Maintenance and Repair -
5006 Other: O/S Counselor 15,912 These accounts are assigned to record various professional services provided by
contracted Counselor working as independent agents.
5007 Other: O/S Psychiatrist 254,592 These accounts are assigned to record various professional services provided by
contracted Psychiatrist working as independent agents.
5008 Other: O/S Consultant 24,725 These accounts are assigned to record various professional services provided by
contracted Consultant working as independent agents.
6000: ADMINISTRATIVE EXPENSES 712,069
6001 Administrative Overhead 690,170 Support of our cooperate and regional offices such as processing invoices, payroll, cost
reports, etc.
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit 3,876 Cost of outside audit fees
6005 Liability Insurance 6,120 Insurance for doing business
6006 Payroll Services 10,781 This is our Ultipro timekeeping / HR system
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
1,122 This account should be charged for the depreciation expense of the Agency's tangible
assets.
6008 0 -
6009 0 -
6010 0 -
6011 0 -
6012 0 -
7000: FIXED ASSETS 9,894
7001 Computer Equipment & Software 6,630 Computer and software as needed for the program
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 3,264 Chairs or other furniture as needed for the program
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 0 -
7008 0 -
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 ICC
8010 IHBS
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:5,291,301
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:5,291,301
BUDGET CHECK:-
28,031 units at $3.00 per unit
42,138 units at $4.10 per unit
252,825 units at $4.10 per unit
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
744,430 units at $4.10 per unit
67,472 units at $3.00 per unit
7,981 units at $5.50 per unit
87,702 units at $6.10 per unit
154,504 units at $4.10 per unit
189,642 units at $4.10 per unit
18,013 units at $3.00 per unit
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-4
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 PROGRAM DIRECTOR 1.00 -$ 114,375$ 114,375$
1102 ASST. PROGRAM DIRECTOR 1.00 - 98,960 98,960
1103 ADMINISTRATIVE ASSISTANT 1.00 - 46,677 46,677
1104 LEAD MENTAL HEALTH PROFESSIONAL 1.00 - 95,728 95,728
1105 LIC. MENTAL HEALTH PROFESSIONAL 5.00 - 455,559 455,559
1106 UNLIC. MENTAL HEALTH PROFESSIONAL 15.00 - 1,237,700 1,237,700
1107 MENTAL HEALTH REHAB SPECIALIST 8.00 - 384,091 384,091
1108 NURSE 1.00 - 53,998 53,998
1109 RECORDS TECHNICIAN 2.00 - 85,111 85,111
1110 SECRETARY 2.00 - 71,105 71,105
1111 PSC SUPERVISOR 1.00 - 69,246 69,246
1112 INTAKE SPECIALIST 2.00 - 85,984 85,984
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - -
Personnel Salaries Subtotal 40.00 -$ 2,798,534$ 2,798,534$
Employee Benefits
Acct #Admin Direct Total
1201 -$ 90,371$ 90,371$
1202 - 76,966 76,966
1203 - 326,400 326,400
1204 - 25,622 25,622
1205 - 301,236 301,236
1206 - 953 953
-$ 821,548$ 821,548$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ 42,173$ 42,173$
1302 - 230,445 230,445
1303 - 37,956 37,956
1304 - - -
1305 - -
1306 - -
-$ 310,574$ 310,574$
-$ 3,930,656$ 3,930,656$
Child Welfare Mental Health
Turning Point of Central California, Inc.
Fiscal Year (FY 2022-23)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Dental Insurance
Accrued Paid Leave
Other Benefits (Employee Assistance)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 -
2004 -
2005 -
2006 -
2007 -
2008 -
2009 3,081
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
3,081$
3000: OPERATING EXPENSES
Acct #Amount
3001 31,212$
3002 8,324
3003 15,086
3004 -
3005 49,938
3006 12,485
3007 8,324
3008 33,209
3009 -
3010 -
3011 550
3012 5,202
164,330$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 2,000$
4002 154,275
4003 1,800
4004 44,850
4005 1,561
4006 26,010
4007 4,162
4008 12,240
4009 -
4010 -
246,898$
5000: SPECIAL EXPENSES
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Client Activities / Recreation
Subscriptions & Memberships
Vehicle Maintenance
Other:
Other:
Licensing
Recruitment
Telecommunications
Printing/Postage
Office, Household & Program Supplies
Advertising
Staff Development & Training
Staff Mileage
Security
Utilities
Equipment Maintenance
Janitorial Services and Supplies
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
FACILITIES/EQUIPMENT TOTAL:
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
Acct #Amount
5001 -$
5002 38,777
5003 -
5004 2,393
5005 -
5006 16,230
5007 259,684
5008 25,219
342,303$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 707,922$
6002 -
6003 -
6004 3,954
6005 6,242
6006 10,781
6007 1,144
6008 -
6009 -
6010 -
6011 -
6012 -
730,043$
7000: FIXED ASSETS
Acct #Amount
7001 6,763$
7002 -
7003 3,329
7004 -
7005 -
7006 -
7007 -
7008 -
10,092$
SPECIAL EXPENSES TOTAL:
Line Item Description
Other: O/S Building Maintenance and Repair
Other: O/S Counselor
Other: O/S Psychiatrist
Other: O/S Consultant
Liability Insurance
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Translation Services
ADMINISTRATIVE EXPENSES TOTAL
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
Assets over $5,000/unit (Specify)
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 5,427,403$
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
Acct #Service Units Rate Amount
8001 Mental Health Services 744,430 4.18 3,111,717$
8002 Case Management 67,472 3.06 206,464
8003 Crisis Services 7,981 5.61 44,773
8004 Medication Support 87,702 6.22 545,506
8005 Collateral 154,504 4.18 645,827
8006 Plan Development 42,138 4.18 176,137
8007 Assessment 252,825 4.18 1,056,809
8008 Rehabilitation 196,642 4.18 821,964
8009 ICC 18,013 3.06 55,120
8010 IHBS 28,031 3.06 85,775
1,599,738 6,750,092$
90%
6,075,083
50%3,037,541
3,037,541$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 2,136,853$
2,136,853$
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 188,953
8404 DSS: Case Management (2623 at $3.06 per unit)8,026
8405 DSS: Crisis Services (0 units at $5.61 per unit)
8406 DSS: Medication Support (385 units at $6.22 per unit)2,395
8407 DSS: Psychological Evaluations (11321 Units $4.18 per unit) 47,322
8408 DSS: Court Services (200 units at $4.18)836
8409 DSS: ICC Services (700 units at $3.06 per unit)2,142
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
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
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
DSS: Therapy, IHBS, Collateral, Plan Development, and Rehabilitation (45204 units at $4.18
per unit)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
8410 DSS: IHBS Services (1090 units at $3.06 per unit)3,335
253,009$ OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:5,427,403$
NET PROGRAM COST: -$
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 3,930,656
Employee Salaries 2,798,534
1101 PROGRAM DIRECTOR 114,375 The Program Director oversees the program and the hiring, training and supervising of
staff. Rate of pay for this postion is $59.20 per hour. Yearly salary for this position is
$123134. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based on
class/step, some might be less and some might be more, all according to the person's
experience and education when they come to work for Turning Point. 2% Increase over
previous year for all positions
1102 ASST. PROGRAM DIRECTOR 98,960 The Assitant Program Director will supervise staff and assist the Program Director. Rate of
pay for this postion is $51.21 per hour. Yearly salary for this position is $106521. There is
an 8% reduction in salaries for accrued paid leave. When a staff takes leave, the program
is not charged since it's already been accrued. Positions are based on class/step, some
might be less and some might be more, all according to the person's experience and
education when they come to work for Turning Point. 2 percent increase over previous
year
1103 ADMINISTRATIVE ASSISTANT 46,677 The administrative assistant will oversee the support staff and will help with all support
staff duties. Rate of pay for this postion is $24.15 per hour. Yearly salary for this position
is $50242. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based on
class/step, some might be less and some might be more, all according to the person's
experience and education when they come to work for Turning Point. 2% increase from
previous year
1104 LEAD MENTAL HEALTH PROFESSIONAL 95,728 Provides mental health assessment, assessing for Medical Necessity, assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual and
group therapy as client requests, while also providing program support to assist clients in
crisis. Will also act as the lead to help with supervision of the other Mental Health
Professionals. Rate of pay for this postion is $49.54 per hour. Yearly salary for this
position is $103041. There is an 8% reduction in salaries for accrued paid leave. When a
staff takes leave, the program is not charged since it's already been accrued. Positions are
based on class/step, some might be less and some might be more, all according to the
person's experience and education when they come to work for Turning Point. 2%
increase from previous year
1105 LIC. MENTAL HEALTH PROFESSIONAL 455,559 Provides mental health assessment, assessing for Medical Necessity, assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual and
group therapy as client requests, while also providing program support to assist clients in
crisis. Rate of pay for this postion is $47.15 per hour. Yearly salary for this position is
$98072. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based on
class/step, some might be less and some might be more, all according to the person's
experience and education when they come to work for Turning Point. 2% increase from
previous year's budget
1106 UNLIC. MENTAL HEALTH PROFESSIONAL 1,237,700 Provides mental health assessment, assessing for Medical Necessity, assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual and
group therapy as client requests, while also providing program support to assist clients in
crisis. Rate of pay for this postion is $42.70 per hour. Yearly salary for this position is
$88818. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based on
class/step, some might be less and some might be more, all according to the person's
experience and education when they come to work for Turning Point. 2% increase from
previous year's budget
1107 MENTAL HEALTH REHAB SPECIALIST 384,091 Mental Health Rehab Specialist will carry a caseload while also specializing in linking and
providing services to those interested in engagement in employment and education
services. Rate of pay for this postion is $24.85 per hour. Yearly salary for this position is
$51,679. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based on
class/step, some might be less and some might be more, all according to the person's
experience and education when they come to work for Turning Point. 2% increase based
on previous year's budget
Child Welfare Mental Health
Turning Point of Central California, Inc.
Fiscal Year (FY 2022-23)
PROGRAM EXPENSE
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-4
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1108 NURSE 53,998 The nurse will provide direct nursing support to the clietns as well ad education to the
Treatment team, to the clients, and to families of clients (as appropriate) in man areas,
with special attention given to the role of psychotropic medications. Rate of pay for this
postion is $27.94 per hour. Yearly salary for this position is $58123. There is an 8%
reduction in salaries for accrued paid leave. When a staff takes leave, the program is not
charged since it's already been accrued. Positions are based on class/step, some might be
less and some might be more, all according to the person's experience and education
when they come to work for Turning Point. 2% increase based on previous years budget
1109 RECORDS TECHNICIAN 85,111 The Records Technician will keep track of the Medical Records and will do the billing for
the program. Rate of pay for this postion is $22.02 per hour. Yearly salary for this position
is $45806. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based on
class/step, some might be less and some might be more, all according to the person's
experience and education when they come to work for Turning Point. 2% increase from
previous year's budget
1110 SECRETARY 71,105 Provides direct services to the program by data entry, phone calls, checking in clients, etc.
Rate of pay for this postion is $18.40 per hour. Yearly salary for this position is $38268.
There is an 8% reduction in salaries for accrued paid leave. When a staff takes leave, the
program is not charged since it's already been accrued. Positions are based on class/step,
some might be less and some might be more, all according to the person's experience and
education when they come to work for Turning Point. 2% increase from previous year's
budget
1111 PSC SUPERVISOR 69,246 Provides supervision to all Mental Health Specialists to ensure client care, maintain
compliance with Turning Point policies and procedures. Supervisor also assisting in
training new staff and reporting to the Assistant Program Director. Rate of pay for this
postion is $35.83 per hour. Yearly salary for this position is $74537. There is an 8%
reduction in salaries for accrued paid leave. When a staff takes leave, the program is not
charged since it's already been accrued. Positions are based on class/step, some might be
less and some might be more, all according to the person's experience and education
when they come to work for Turning Point. 2% increase based on previous year's budget
1112 INTAKE SPECIALIST 85,984 The Intake Specialist is responsible to the Program Director under the supervision of the
Team Leader and processes all referrals related to Children's Mental Health services.
These services include completing all new admissions in a timely manner with the goal of
opening new client's for mental health services. Rate of pay for this postion is between
$22.25 per hour. Yearly salary for this position is betweem $46276. There is an 8%
reduction in salaries for accrued paid leave. When a staff takes leave, the program is not
charged since it's already been accrued. Positions are based on class/step, some might be
less and some might be more, all according to the person's experience and education
when they come to work for Turning Point.
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 821,548
1201 Retirement 90,371 Cost of Agency contribution to employee retirement plans. This is based on 3% of the
whole salary.
1202 Worker's Compensation 76,966 Cost of workers compensation insurance. This is based on 2.555% of the whole salary.
1203 Health Insurance 326,400 Agency cost for health insurance; health plans vary on what the employee chooses. This is
the range per employer cost from $399.15 per month to $1299.24 per month. An average
of $8000.00 per year was used. Pro rated for ramp up with half of being exisiting
employees, could be more or less
1204 Dental Insurance 25,622 Agency cost for dental and vision insurance at $628.00 per year.
1205 Accrued Paid Leave 301,236 The monetary value of staff paid leave hours as they accrue on a monthly basis.
1206 Other Benefits (Employee Assistance)953 Employee assistance program
Payroll Taxes & Expenses:310,574
1301 OASDI 42,173 Employer pays 1.40% of employee's full salary.
1302 FICA/MEDICARE 230,445 Employer portion of F.I.C.A. taxes charged to the Agency by the InternalRevenue Service.
F.I.C.A. is comprised of "Old-Age, Survivors, and Disability Insurance" (OASDI), plus
"Hospital Insurance" (Medicare). 7.65% of full salary.
1303 SUI 37,956 Employer portion of S.U.I. taxes charged to the Agency by the various states in which
wages are paid. Employer pays 1.26% of all wages.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-4
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1304 0 -
1305 0 -
1306 0 -
2000: CLIENT SUPPORT 3,081
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical 3,081 Cost of medical supplies to be used by staff or clients at the program location to meet
program objective. Such items are to remain at the program location and not sent home
with the client. Such items include, but are not limited to first aid kits, blood pressure
monitor, latex gloves, syringes, hazard disposal service, etc.
2010 Utility Vouchers -
2011 Client Activities / Recreation -
2012 0 -
2013 0 -
2014 0 -
2015 0 -
2016 0 -
3000: OPERATING EXPENSES 164,330
3001 Telecommunications 31,212 Cost of electronic communications. (Examples: internet, phone, fax, cell phones, etc.)
3002 Printing/Postage 8,324 Cost of custom copying/printing charges (Examples: letterhead, business forms, business
cards, flyers, brochures, signs, etc.) and Postage and elivery, including delivery by the
USPS, UPS, FEDEX and other courier services
3003 Office, Household & Program Supplies 15,086 Cost of items normally used in an office setting. (Examples: pens, pencils, paper tablets,
paper clips, notepads, staples, non-electric staplers/hole punchers/calculators, and other
items normally used in an office setting.) House Supplies, Cost of supplies used by staff
during their scheduled work hours. These items are normally used to operate the building
at the program location. These items are to remain at program location and not sent
home with client. (Examples: paper towels, toilet paper, cleaning supplies), Program
Supplies, Cost of any items normally used by clients to meet program objectives while
receiving services. These items are to remain at the program location and not sent home
with the client. Such items include, but are not limited to video tapes, printed handouts,
desk reference books, research material, curriculum, puzzles, board games,
therapeutic/meditative supplies and other items that are specifically designed and used to
accomplish program goals.
3004 Advertising -
3005 Staff Development & Training 49,938 Cost of employee training courses and materials.
3006 Staff Mileage 12,485 Cost of employee mileage reimbursement paid in accordance with FPM section 1005.
3007 Subscriptions & Memberships 8,324 Cost of membership dues and subscriptions. (Examples: magazine, newspaper,
memberships, etc.)
3008 Vehicle Maintenance 33,209 Cost of vehicle maintenance. Including cost of parts, supplies and labor associated with
maintenance and repair of vehicles used by Agency programs. Cost of gas in Vehicles and
Insurance
3009 Other: -
3010 Other: -
3011 Licensing 550 Business licenses and other licenses that might be needed
3012 Recruitment 5,202 Costs of Live Scans, DMV printouts, ads for recruiting staff and other tests that might
happen for the purposes of employment
4000: FACILITIES & EQUIPMENT 246,898
4001 Building Maintenance 2,000 Cost of Agency building repairs and maintenance. (Examples: electrical work, A/C and
heating, hood cleaning, plumbing, etc.) This account should not be used if a specific
outside labor contractor is doing an identifiable project.
4002 Rent/Lease Building 154,275 Cost of rent/lease payments made for building leases from outside sources.
4003 Rent/Lease Equipment 1,800 Cost of rent/lease payments made for furniture and equipment leases.
4004 Rent/Lease Vehicles 44,850 Rental cost of vehicles and lease of agency vehicles.
4005 Security 1,561 Cost of installation, maintenance and monthly service fees for building alarms and other
security measures. (Examples: security/surveillance equipment, service and installation,
safes, etc.)
4006 Utilities 26,010 Cost of service for power, gas, water, sewer, garbage, etc.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-4
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
4007 Equipment Maintenance 4,162 Cost of equipment and furniture repair and maintenance. (Examples: high capacity
copier/printer/scanner, replacement parts such as hard drive, laptop battery,
monitor/printer/phone cord, drum, power strip, surge protector, video card, etc.)
4008 Janitorial Services and Supplies 12,240 This will be for Janitorial Services and Supplies needed
4009 0 -
4010 0 -
5000: SPECIAL EXPENSES 342,303
5001 Consultant (Network & Data Management)-
5002 HMIS (Health Management Information
System)
38,777 Avatar costs
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services 2,393 Paid to outside vendors for translation / interpreter services
5005 Other: O/S Building Maintenance and Repair -
5006 Other: O/S Counselor 16,230 These accounts are assigned to record various professional services provided by
contracted Counselor working as independent agents.
5007 Other: O/S Psychiatrist 259,684 These accounts are assigned to record various professional services provided by
contracted Psychiatrist working as independent agents.
5008 Other: O/S Consultant 25,219 These accounts are assigned to record various professional services provided by
contracted Consultant working as independent agents.
6000: ADMINISTRATIVE EXPENSES 730,043
6001 Administrative Overhead 707,922 Support of our cooperate and regional offices such as processing invoices, payroll, cost
reports, etc.
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit 3,954 Cost of outside audit fees
6005 Liability Insurance 6,242 Insurance for doing business
6006 Payroll Services 10,781 This is our Ultipro timekeeping / HR system
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
1,144 This account should be charged for the depreciation expense of the Agency's tangible
assets.
6008 0 -
6009 0 -
6010 0 -
6011 0 -
6012 0 -
7000: FIXED ASSETS 10,092
7001 Computer Equipment & Software 6,763 Computer and software as needed for the program
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 3,329 Chairs or other furniture as needed for the program
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 0 -
7008 0 -
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 ICC
8010 IHBS
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:5,427,403
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:5,427,403
BUDGET CHECK:-
67,472 units at $3.06 per unit
196,642 units at $4.18 per unit
18,013 units $3.06 per unit
28,031 units at $3.06 pe runit
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
744,430 units at $4.18 per unit
7,981 units at $5.61 per unit
87,702 units at $6.22 per unit
154,504 units at $4.18 per unit
42,138 units at $4.18 oer unit
252,825 units at $4.18 per unit
PROGRAM FUNDING SOURCES
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-4
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 PROGRAM DIRECTOR 1.00 -$ 116,682$ 116,682$
1102 ASST. PROGRAM DIRECTOR 1.00 - 100,940 100,940
1103 ADMINISTRATIVE ASSISTANT 1.00 - 47,610 47,610
1104 LEAD MENTAL HEALTH PROFESSIONAL 1.00 - 97,643 97,643
1105 LIC. MENTAL HEALTH PROFESSIONAL 5.00 - 464,670 464,670
1106 UNLIC. MENTAL HEALTH PROFESSIONAL 15.00 - 1,262,453 1,262,453
1107 MENTAL HEALTH REHAB SPECIALIST 8.00 - 391,773 391,773
1108 NURSE 1.00 - 55,078 55,078
1109 RECORDS TECHNICIAN 2.00 - 86,813 86,813
1110 SECRETARY 2.00 - 72,527 72,527
1111 PSC SUPERVISOR 1.00 - 70,631 70,631
1112 INTAKE SPECIALIST 2.00 - 87,704 87,704
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - -
Personnel Salaries Subtotal 40.00 -$ 2,854,524$ 2,854,524$
Employee Benefits
Acct #Admin Direct Total
1201 -$ 92,178$ 92,178$
1202 - 78,505 78,505
1203 - 332,928 332,928
1204 - 26,134 26,134
1205 - 307,260 307,260
1206 - 986 986
-$ 837,991$ 837,991$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ 43,016$ 43,016$
1302 - 235,054 235,054
1303 - 38,715 38,715
1304 - - -
1305 - - -
1306 - - -
-$ 316,785$ 316,785$
-$ 4,009,300$ 4,009,300$
Child Welfare Mental Health
Turning Point of Central California, Inc.
Fiscal Year (FY 2023-24)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Dental Insurance
Accrued Paid Leave
Other Benefits (Employee Assistance)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 -
2004 -
2005 -
2006 -
2007 -
2008 -
2009 3,122
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
3,122$
3000: OPERATING EXPENSES
Acct #Amount
3001 31,836$
3002 8,489
3003 15,387
3004 -
3005 50,937
3006 12,734
3007 8,490
3008 33,874
3009 -
3010 -
3011 614
3012 5,306
167,667$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 6,028$
4002 157,361
4003 955
4004 44,850
4005 1,592
4006 26,530
4007 4,245
4008 12,485
4009 -
4010 -
254,046$
5000: SPECIAL EXPENSES
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Client Activities / Recreation
Subscriptions & Memberships
Vehicle Maintenance
Other:
Other:
Licensing
Recruitment
Telecommunications
Printing/Postage
Office, Household & Program Supplies
Advertising
Staff Development & Training
Staff Mileage
Security
Utilities
Equipment Maintenance
Janitorial Services and Supplies
Other (Specify)
Other (Specify)
OPERATING EXPENSES TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
FACILITIES/EQUIPMENT TOTAL:
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
Acct #Amount
5001 -$
5002 35,500
5003 -
5004 2,441
5005 -
5006 16,555
5007 264,878
5008 25,724
345,098$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 721,814$
6002 -
6003 -
6004 4,033
6005 6,367
6006 10,996
6007 1,167
6008 -
6009 -
6010 -
6011 -
6012 -
744,377$
7000: FIXED ASSETS
Acct #Amount
7001 6,898$
7002 -
7003 3,396
7004 -
7005 -
7006 -
7007 -
7008 -
10,294$
SPECIAL EXPENSES TOTAL:
Line Item Description
Other: O/S Building Maintenance and Repair
Other: O/S Counselor
Other: O/S Psychiatrist
Other: O/S Consultant
Liability Insurance
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Translation Services
ADMINISTRATIVE EXPENSES TOTAL
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
Assets over $5,000/unit (Specify)
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 5,533,905$
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
Acct #Service Units Rate Amount
8001 Mental Health Services 744,430 4.26 3,171,272$
8002 Case Management 67,472 3.12 210,513
8003 Crisis Services 7,981 5.72 45,651
8004 Medication Support 87,702 6.34 556,031
8005 Collateral 154,504 4.26 658,187
8006 Plan Development 42,138 4.26 179,508
8007 Assessment 252,825 4.26 1,077,035
8008 Rehabilitation 196,642 4.26 837,695
8009 ICC 18,013 3.12 56,201
8010 IHBS 28,031 3.12 87,457
1,599,738 6,879,548$
90%
6,191,593
50%3,095,797
3,095,797$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 2,180,250$
2,180,250$
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 192,569
8404 DSS: Case Management (2623 at $3.12 per unit)8,184
8405 DSS: Crisis Services (0 units at $5.72 per unit)
8406 DSS: Medication Support (385 units at $6.34 per unit)2,441
8407 DSS: Psychological Evaluations (11321 Units $4.26 per unit) 48,227
8408 DSS: Court Services (200 units at $4.26)852
8409 DSS: ICC Services (700 units at $3.12 per unit)2,184
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
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
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
DSS: Therapy, IHBS, Collateral, Plan Development, and Rehabilitation (45204 units at $4.26
per unit)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
8410 DSS: IHBS Services (1090 units at $3.12 per unit)3,401
257,858$ OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:5,533,905$
NET PROGRAM COST: -$
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit D-4
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 4,009,300
Employee Salaries 2,854,524
1101 PROGRAM DIRECTOR 116,682 The Program Director oversees the program and the hiring, training and supervising of
staff. Rate of pay for this postion is $60.38 per hour. Yearly salary for this position is
$125597. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based on
class/step, some might be less and some might be more, all according to the person's
experience and education when they come to work for Turning Point. 2% increase from
previous year.
1102 ASST. PROGRAM DIRECTOR 100,940 The Asssitant Program Director will supervise staff and assist the Program Director. Rate
of pay for this postion is $52.24 per hour. Yearly salary for this position is $108651. There
is an 8% reduction in salaries for accrued paid leave. When a staff takes leave, the
program is not charged since it's already been accrued. Positions are based on class/step,
some might be less and some might be more, all according to the person's experience and
education when they come to work for Turning Point. 2% increase from previous year
1103 ADMINISTRATIVE ASSISTANT 47,610 The administrative assistant will oversee the support staff and will help with all support
staff duties. Rate of pay for this postion is $24.64 per hour. Yearly salary for this position
is $51247. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based on
class/step, some might be less and some might be more, all according to the person's
experience and education when they come to work for Turning Point. 2% increase from
previous year
1104 LEAD MENTAL HEALTH PROFESSIONAL 97,643 Provides mental health assessment, assessing for Medical Necessity, assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual and
group therapy as client requests, while also providing program support to assist clients in
crisis. Will also act as the lead to help with supervision of the other Mental Health
Professionals. Rate of pay for this postion is $50.53 per hour. Yearly salary for this
position is $105102. There is an 8% reduction in salaries for accrued paid leave. When a
staff takes leave, the program is not charged since it's already been accrued. Positions are
based on class/step, some might be less and some might be more, all according to the
person's experience and education when they come to work for Turning Point. 2%
increase from previous year.
1105 LIC. MENTAL HEALTH PROFESSIONAL 464,670 Provides mental health assessment, assessing for Medical Necessity, assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual and
group therapy as client requests, while also providing program support to assist clients in
crisis. Rate of pay for this postion is $48.09 per hour. Yearly salary for this position is
$100033. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based on
class/step, some might be less and some might be more, all according to the person's
experience and education when they come to work for Turning Point. 2% increase from
previous year.
1106 UNLIC. MENTAL HEALTH PROFESSIONAL 1,262,453 Provides mental health assessment, assessing for Medical Necessity, assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual and
group therapy as client requests, while also providing program support to assist clients in
crisis. Rate of pay for this postion is $43.55 per hour. Yearly salary for this position is
$90594. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based on
class/step, some might be less and some might be more, all according to the person's
experience and education when they come to work for Turning Point. 2% increase from
previous year
1107 MENTAL HEALTH REHAB SPECIALIST 391,773 Mental Health Rehab Specialist will carry a caseload while also specializing in linking and
providing services to those interested in engagement in employment and education
services. Rate of pay for this postion is $25.34 per hour. Yearly salary for this position is
$52713. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based on
class/step, some might be less and some might be more, all according to the person's
experience and education when they come to work for Turning Point. 2% increase from
previous year
Child Welfare Mental Health
Turning Point of Central California, Inc.
Fiscal Year (FY 2023-24)
PROGRAM EXPENSE
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-4
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1108 NURSE 55,078 The nurse will provide direct nursing support to the clietns as well ad education to the
Treatment team, to the clients, and to families of clients (as appropriate) in man areas,
with special attention given to the role of psychotropic medications. Rate of pay for this
postion is $28.50 per hour. Yearly salary for this position is $59285. There is an 8%
reduction in salaries for accrued paid leave. When a staff takes leave, the program is not
charged since it's already been accrued. Positions are based on class/step, some might be
less and some might be more, all according to the person's experience and education
when they come to work for Turning Point. 2% increase from previous year
1109 RECORDS TECHNICIAN 86,813 The Records Technician will keep track of the Medical Records and will do the billing for
the program. Rate of pay for this postion is $22.46 per hour. Yearly salary for this position
is $46722. There is an 8% reduction in salaries for accrued paid leave. When a staff takes
leave, the program is not charged since it's already been accrued. Positions are based on
class/step, some might be less and some might be more, all according to the person's
experience and education when they come to work for Turning Point.2% increase from
previous year
1110 SECRETARY 72,527 Provides direct services to the program by data entry, phone calls, checking in clients, etc.
Rate of pay for this postion is $18.77 per hour. Yearly salary for this position is $39,034.
There is an 8% reduction in salaries for accrued paid leave. When a staff takes leave, the
program is not charged since it's already been accrued. Positions are based on class/step,
some might be less and some might be more, all according to the person's experience and
education when they come to work for Turning Point. 2% increase from previous year
1111 PSC SUPERVISOR 70,631 Provides supervision to all Mental Health Specialists to ensure client care, maintain
compliance with Turning Point policies and procedures. Supervisor also assisting in
training new staff and reporting to the Assistant Program Director. Rate of pay for this
postion is $36.55 per hour. Yearly salary for this position is $76,027. There is an 8%
reduction in salaries for accrued paid leave. When a staff takes leave, the program is not
charged since it's already been accrued. Positions are based on class/step, some might be
less and some might be more, all according to the person's experience and education
when they come to work for Turning Point. 2% increase from previous year
1112 INTAKE SPECIALIST 87,704 The Intake Specialist is responsible to the Program Director under the supervision of the
Team Leader and processes all referrals related to Children's Mental Health services.
These services include completing all new admissions in a timely manner with the goal of
opening new client's for mental health services. Rate of pay for this postion is $22.69 per
hour. Yearly salary for this position is $47202. There is an 8% reduction in salaries for
accrued paid leave. When a staff takes leave, the program is not charged since it's already
been accrued. Positions are based on class/step, some might be less and some might be
more, all according to the person's experience and education when they come to work for
Turning Point. 2% increase from previous year
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 837,991
1201 Retirement 92,178 Cost of Agency contribution to employee retirement plans. This is based on 3% of the
whole salary.
1202 Worker's Compensation 78,505 Cost of workers compensation insurance. This is based on 2.555% of the whole salary.
1203 Health Insurance 332,928 Agency cost for health insurance; health plans vary on what the employee chooses. This is
the range per employer cost from $399.15 per month to $1299.24 per month. An average
of $8000.00 per year was used. Pro rated for ramp up with half of being exisiting
employees, could be more or less
1204 Dental Insurance 26,134 Agency cost for dental and vision insurance at $628.00 per year.
1205 Accrued Paid Leave 307,260 The monetary value of staff paid leave hours as they accrue on a monthly basis.
1206 Other Benefits (Employee Assistance)986 Employee assistance program
Payroll Taxes & Expenses:316,785
1301 OASDI 43,016 Employer pays 1.40% of employee's full salary.
1302 FICA/MEDICARE 235,054 Employer portion of F.I.C.A. taxes charged to the Agency by the InternalRevenue Service.
F.I.C.A. is comprised of "Old-Age, Survivors, and Disability Insurance" (OASDI), plus
"Hospital Insurance" (Medicare). 7.65% of full salary.
1303 SUI 38,715 Employer portion of S.U.I. taxes charged to the Agency by the various states in which
wages are paid. Employer pays 1.26% of all wages.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-4
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1304 0 -
1305 0 -
1306 0 -
2000: CLIENT SUPPORT 3,122
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical 3,122 Cost of medical supplies to be used by staff or clients at the program location to meet
program objective. Such items are to remain at the program location and not sent home
with the client. Such items include, but are not limited to first aid kits, blood pressure
monitor, latex gloves, syringes, hazard disposal service, etc.
2010 Utility Vouchers -
2011 Client Activities / Recreation -
2012 0 -
2013 0 -
2014 0 -
2015 0 -
2016 0 -
3000: OPERATING EXPENSES 167,667
3001 Telecommunications 31,836 Cost of electronic communications. (Examples: internet, phone, fax, cell phones, etc.)
3002 Printing/Postage 8,489 Cost of custom copying/printing charges (Examples: letterhead, business forms, business
cards, flyers, brochures, signs, etc.) and Postage and elivery, including delivery by the
USPS, UPS, FEDEX and other courier services
3003 Office, Household & Program Supplies 15,387 Cost of items normally used in an office setting. (Examples: pens, pencils, paper tablets,
paper clips, notepads, staples, non-electric staplers/hole punchers/calculators, and other
items normally used in an office setting.) House Supplies, Cost of supplies used by staff
during their scheduled work hours. These items are normally used to operate the building
at the program location. These items are to remain at program location and not sent
home with client. (Examples: paper towels, toilet paper, cleaning supplies), Program
Supplies, Cost of any items normally used by clients to meet program objectives while
receiving services. These items are to remain at the program location and not sent home
with the client. Such items include, but are not limited to video tapes, printed handouts,
desk reference books, research material, curriculum, puzzles, board games,
therapeutic/meditative supplies and other items that are specifically designed and used to
accomplish program goals.
3004 Advertising -
3005 Staff Development & Training 50,937 Cost of employee training courses and materials.
3006 Staff Mileage 12,734 Cost of employee mileage reimbursement paid in accordance with FPM section 1005.
3007 Subscriptions & Memberships 8,490 Cost of membership dues and subscriptions. (Examples: magazine, newspaper,
memberships, etc.)
3008 Vehicle Maintenance 33,874 Cost of vehicle maintenance. Including cost of parts, supplies and labor associated with
maintenance and repair of vehicles used by Agency programs. Cost of gas in Vehicles and
Insurance
3009 Other: -
3010 Other: -
3011 Licensing 614 Business licenses and other licenses that might be needed
3012 Recruitment 5,306 Costs of Live Scans, DMV printouts, ads for recruiting staff and other tests that might
happen for the purposes of employment
4000: FACILITIES & EQUIPMENT 254,046
4001 Building Maintenance 6,028 Cost of Agency building repairs and maintenance. (Examples: electrical work, A/C and
heating, hood cleaning, plumbing, etc.) This account should not be used if a specific
outside labor contractor is doing an identifiable project.
4002 Rent/Lease Building 157,361 Cost of rent/lease payments made for building leases from outside sources.
4003 Rent/Lease Equipment 955 Cost of rent/lease payments made for furniture and equipment leases.
4004 Rent/Lease Vehicles 44,850 Rental cost of vehicles and lease of agency vehicles.
4005 Security 1,592 Cost of installation, maintenance and monthly service fees for building alarms and other
security measures. (Examples: security/surveillance equipment, service and installation,
safes, etc.)
4006 Utilities 26,530 Cost of service for power, gas, water, sewer, garbage, etc.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit D-4
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
4007 Equipment Maintenance 4,245 Cost of equipment and furniture repair and maintenance. (Examples: high capacity
copier/printer/scanner, replacement parts such as hard drive, laptop battery,
monitor/printer/phone cord, drum, power strip, surge protector, video card, etc.)
4008 Janitorial Services and Supplies 12,485 This will be for Janitorial Services and Supplies needed
4009 Other (Specify)-
4010 Other (Specify)-
5000: SPECIAL EXPENSES 345,098
5001 Consultant (Network & Data Management)-
5002 HMIS (Health Management Information
System)
35,500 Avatar costs
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services 2,441 Paid to outside vendors for translation / interpreter services
5005 Other: O/S Building Maintenance and Repair -
5006 Other: O/S Counselor 16,555 These accounts are assigned to record various professional services provided by
contracted Counselor working as independent agents.
5007 Other: O/S Psychiatrist 264,878 These accounts are assigned to record various professional services provided by
contracted Psychiatrist working as independent agents.
5008 Other: O/S Consultant 25,724 These accounts are assigned to record various professional services provided by
contracted Consultant working as independent agents.
6000: ADMINISTRATIVE EXPENSES 744,377
6001 Administrative Overhead 721,814 Support of our cooperate and regional offices such as processing invoices, payroll, cost
reports, etc.
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit 4,033 Cost of outside audit fees
6005 Liability Insurance 6,367 Insurance for doing business
6006 Payroll Services 10,996 This is our Ultipro timekeeping / HR system
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
1,167 This account should be charged for the depreciation expense of the Agency's tangible
assets.
6008 0 -
6009 0 -
6010 0 -
6011 0 -
6012 0 -
7000: FIXED ASSETS 10,294
7001 Computer Equipment & Software 6,898 Computer and software as needed for the program
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 3,396 Chairs or other furniture as needed for the program
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 0 -
7008 0 -
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 ICC
8010 IHBS
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:5,533,905
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:5,533,905
BUDGET CHECK:-
87,702 units at $6.34 per unit
154,504 units at $4.26 per unit
42,138 units at $4.26 per unit
252,825 units at $4.26 per unit
18,013 units at $3.12 per unit
28,031 units at $3.12 per unit
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
744,430 units at $4.26 per unit
67,472 units at $3.12 per unit
196,642 units at $4.26 per unit
7,981 at $5.72 per unit
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020