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HomeMy WebLinkAboutAgreement A-21-083 with Exodus Recovery.pdf1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 AGREEMENT THIS AGREEMENT 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, EXODUS RECOVERY, INC. a for-profit California S-Corporation, whose address is 9808 Venice Blvd, Suite 700 Culver City, CA, 90232, hereinafter referred to as “CONTRACTOR,” collectively, “the parties.” W I T N E S S E T H: WHEREAS, COUNTY, through its Department of Behavioral Health (DBH), is in need of a qualified agency to provide Housing Supportive Services and Specialty Mental Health Services to tenants living in No Place Like Home (NPLH) developments. WHEREAS, COUNTY, through its Department of Behavioral Health (DBH), is a Mental Health Plan (MHP) as defined in Title 9 of the California Code of Regulations (C.C.R.), section 1810.226; and WHEREAS, CONTRACTOR is qualified and willing to operate said Housing Supportive Services and Specialty Mental Health Services pursuant to the terms and conditions of this Agreement. NOW, THEREFORE, in consideration of their mutual covenants and conditions, the parties hereto agree as follows: 1.SERVICES A.CONTRACTOR shall perform all services and fulfill all responsibilities as set forth in Exhibit A, attached hereto and by this reference incorporated herein and made part of this Agreement. B.CONTRACTOR shall also perform all services and fulfill all responsibilities as specified in COUNTY’s Request for Proposal (RFP) No. 20-060 dated June 9, 2020, Addendum No. One (1) to COUNTY’s RFP No. 20-060 dated June 24, 2020, and Addendum No. Two (2) to COUNTY’s RFP No. 20-060 dated June 25, 2020 (collectively referred to herein as “the Revised RFP”) and CONTRACTOR’s response to said Revised RFP dated July 16, 2020 all incorporated herein by reference and made part of this Agreement. In the event of any inconsistency among these documents, the inconsistency shall be resolved by giving precedence in the following order of priority: 1) to this Agreement, including all Exhibits; 2) to the Revised RFP; and 3) to the Response to the Revised RFP. A copy of COUNTY’s Revised RFP No. 20-060 and CONTRACTOR’s response thereto shall be retained 23rd March Agreement No. 21-083 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 and made available during the term of this Agreement by COUNTY’s DBH Contracts Division. C.CONTRACTOR shall provide Housing Supportive Services and Specialty Mental Health Services at Villages at Paragon in accordance with the vision, mission, and guiding principles of the COUNTY’s DBH, as further described in Exhibit B “Guiding Principles of Care Delivery”, attached hereto and by this reference incorporated herein and made part of this Agreement. Additional sites may be added through a written amendment of this Agreement. D.It is acknowledged by all parties hereto that COUNTY's DBH shall monitor the services provided by CONTRACTOR, in accordance with Section Fourteen (14) of this Agreement. E.CONTRACTOR shall participate in monthly, or as needed, workgroup meetings consisting of staff from COUNTY's DBH to discuss service requirements, data reporting, training, policies and procedures, overall program operations and any problems or foreseeable problems that may arise. 2.TERM This Agreement shall become effective on the 1st day of April 2021 and shall terminate on the 30th day of June 2023. This Agreement may be extended for two (2) additional twelve (12) month periods upon the written approval of both parties not later than sixty (60) days prior to the close of the then current Agreement term. The COUNTY’s DBH Director or his or her designee is authorized to execute such written approval on behalf of COUNTY based on CONTRCTOR’s satisfactory performance. 3.TERMINATION A.Non-Allocation of Funds - The terms of this Agreement, and the services to be provided thereunder, are contingent on the approval of funds by the appropriating government agency. Should sufficient funds not be allocated, the services provided may be modified, or this Agreement terminated at any time by giving CONTRACTOR thirty (30) days advance written notice. B.Breach of Contract - COUNTY may immediately suspend or terminate this Agreement in whole or in part, where in the determination of COUNTY there is: 1)An illegal or improper use of funds; 2)A failure to comply with any term of this Agreement; 3)A substantially incorrect or incomplete report submitted to COUNTY; 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 4)Improperly performed service. In no event shall any payment by COUNTY constitute a waiver by COUNTY of any breach of this Agreement or any default which may then exist on the part of CONTRACTOR. Neither shall such payment impair or prejudice any remedy available to COUNTY with respect to the breach or default. The COUNTY shall have the right to demand of the CONTRACTOR the repayment to the COUNTY of any funds disbursed to CONTRACTOR under this Agreement, which in the judgment of COUNTY were not expended in accordance with the terms of this Agreement. The CONTRACTOR shall promptly refund any such funds upon demand or at COUNTY’s option such repayment shall be deducted from future payments owing to CONTRACTOR under this Agreement. C.Without Cause - Under circumstances other than those set forth above, this Agreement may be terminated by CONTRACTOR or COUNTY or COUNTY’s DBH Director, or designee, upon the giving of sixty (60) days advance written notice of an intention to terminate. 4.COMPENSATION COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to receive compensation in accordance with the budget set forth in Exhibit C, attached hereto and by this reference incorporated herein and made part of this Agreement. A.Maximum Contract Amount The maximum amount payable to CONTRACTOR for the period of April 1, 2021 through June 30, 2021 shall not exceed Ninety-Three Thousand One Hundred Ninety-Two and No/100 Dollars ($93,192.00). The maximum amount payable to CONTRACTOR for the period of July 1, 2021 through June 30, 2022 shall not exceed Two Hundred Eighty-One Thousand Seven Hundred Sixty-Two and No/100 Dollars ($281,762.00). The maximum amount payable to CONTRACTOR for the period of July 1, 2022 through June 30, 2023 shall not exceed Two Hundred Eighty-One Thousand Seven Hundred Sixty-Two and No/100 Dollars ($281,762.00). The maximum amount payable to CONTRACTOR for the period of July 1, 2023 through June 30, 2024 shall not exceed Two Hundred Eighty-Seven Thousand Four Hundred Fifty-Three 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 and No/100 Dollars ($287,453.00). The maximum amount payable to CONTRACTOR for the period of July 1, 2024 through June 30, 2025 shall not exceed Three Hundred Thousand Three Hundred Eighty-Seven and No/100 Dollars ($300,387.00). In no event shall the maximum contract amount for all the services provided by the CONTRACTOR to COUNTY under the terms and conditions of this Agreement be in excess of One Million Two Hundred Forty-Four Thousand Five Hundred Fifty-Six and No/100 Dollars ($1,244,556.00) during the total term of this Agreement. Payment shall be made upon certification or other proof satisfactory to COUNTY’s DBH that services have actually been performed by CONTRACTOR as specified in this Agreement. B.If CONTRACTOR fails to generate the Medi-Cal revenue and/or client fee reimbursement amounts set forth in Exhibit C, the COUNTY shall not be obligated to pay the difference between these estimated amounts and the actual amounts generated. It is further understood by COUNTY and CONTRACTOR that any Medi-Cal revenue and/or client fee reimbursements above the amounts stated herein will be used to directly offset the COUNTY’s contribution of COUNTY funds identified in Exhibit C. The offset of funds will also be clearly identified in monthly invoices received from CONTRACTOR as further described in Section Five (5) of this Agreement. Travel shall be reimbursed based on actual expenditures and mileage reimbursement shall be at CONTRACTOR’s adopted rate per mile, not to exceed the Federal Internal Revenue Services (IRS) published rate. C.It is understood that all expenses incidental to CONTRACTOR’s performance of services under this Agreement shall be borne by CONTRACTOR. If CONTRACTOR fails to comply with any provision of this Agreement, COUNTY shall be relieved of its obligation for further compensation. D.Payments shall be made by COUNTY to CONTRACTOR in arrears, for services provided during the preceding month, within forty-five (45) days after the date of receipt and approval by COUNTY of the monthly invoicing as described in Section Five (5) herein. Payments shall be made after receipt and verification of actual expenditures incurred by CONTRACTOR for monthly program costs, as 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 identified in Exhibit C, in the performance of this Agreement and shall be documented to COUNTY on a monthly basis by the tenth (10th) of the month following the month of said expenditures. The parties acknowledge that the CONTRACTOR will be performing hiring, training, and credentialing of staff, and the COUNTY will be performing additional staff credentialing to ensure compliance with State and Federal regulations. E. COUNTY shall not be obligated to make any payments under this Agreement if the request for payment is received by COUNTY more than sixty (60) days after this Agreement has terminated or expired. All final invoices shall be submitted by CONTRACTOR within sixty (60) days following the final month of service for which payment is claimed. No action shall be taken by COUNTY on invoices submitted beyond the sixty (60) day closeout period. Any compensation which is not expended by CONTRACTOR pursuant to the terms and conditions of this Agreement shall automatically revert to COUNTY. F. The services provided by CONTRACTOR under this Agreement are funded in whole or in part by the State of California. In the event that funding for these services is delayed by the State Controller, COUNTY may defer payments to CONTRACTOR. The amount of the deferred payment shall not exceed the amount of funding delayed by the State Controller to the COUNTY. The period of time of the deferral by COUNTY shall not exceed the period of time of the State Controller’s delay of payment to COUNTY plus forty-five (45) days. G. CONTRACTOR shall be held financially liable for any and all future disallowances/audit exceptions due to CONTRACTOR’s deficiency discovered through the State audit process and COUNTY utilization review during the course of this Agreement. At COUNTY’s election, the disallowed amount will be remitted within forty-five (45) days to COUNTY upon notification or shall be withheld from subsequent payments to CONTRACTOR. CONTRACTOR shall not receive reimbursement for any units of services rendered that are disallowed or denied by the Fresno County Mental Health Plan (Mental Health Plan) utilization review process or through the State Department of Health Care Services (DHCS) cost report audit settlement process for Medi-Cal eligible clients. Notwithstanding the above, COUNTY must notify CONTRACTOR prior to any State audit process and/or COUNTY utilization review. 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 To the extent allowable by law, CONTRACTOR shall have the right to be present during each phase of any State audit process and/or COUNTY utilization review and shall be provided all documentation related to each phase of any State audit process and/or COUNTY utilization review. Additionally, prior to any disallowances/audit exceptions becoming final, CONTRACTOR shall be given at least 10 business days to respond to such proposed disallowances/audit exceptions. H.It is understood by CONTRACTOR and COUNTY that this Agreement is funded with mental health funds to serve adult individuals with Severely Mentally Ill (SMI) disorders and children/youth with Seriously Emotionally Disturbed (SED) disorders, many of whom have co-occurring substance use disorders. It is further understood by CONTRACTOR and COUNTY that funds shall be used to support appropriately integrated and documented treatment services for co-occurring mental health and substance use disorders. 5.INVOICING A.CONTRACTOR shall invoice COUNTY in arrears by the tenth (10th) day of each month for the prior month’s actual services rendered to DBH-Invoices@co.fresno.ca.us. After CONTRACTOR renders service to referred clients, CONTRACTOR will invoice COUNTY for payment, certify the expenditure, and submit electronic claiming data into COUNTY’s electronic information system for all clients, including those eligible for Medi-Cal as well as those that are not eligible for Medi-Cal, including contracted cost per unit and actual cost per unit. COUNTY must pay CONTRACTOR before submitting a claim to DHCS for Federal reimbursement for Medi-Cal eligible clients. B.At the discretion of COUNTY’s DBH Director, or his or her designee, if an invoice is incorrect or is otherwise not in proper form or substance, COUNTY’s DBH Director, or his or her designee, shall have the right to withhold payment as to only that portion of the invoice that is incorrect or improper after five (5) days prior notice to CONTRACTOR. CONTRACTOR agrees to continue to provide services for a period of ninety (90) days after notification of an incorrect or improper invoice. If after the ninety (90) day period, the invoice(s) is still not corrected to COUNTY DBH’s satisfaction, COUNTY’s DBH Director, or his or her designee, may elect to terminate this Agreement, pursuant to the termination provisions stated in Section Three (3) of this Agreement. In addition, for invoices received sixty (60) days after the expiration of each term of this Agreement or termination of this Agreement, at the discretion of COUNTY’s DBH 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Director, or his or her designee, COUNTY’s DBH shall have the right to deny payment of any additional invoices received. C. Monthly invoices shall include a client roster, identifying volume reported by payer group clients served (including third party payer of services) by month and year-to-date, including percentages. D. CONTRACTOR shall submit to the COUNTY by the tenth (10th) of each month a detailed general ledger (GL), itemizing costs incurred in the previous month. Failure to submit GL reports and supporting documentation shall be deemed sufficient cause for COUNTY to withhold payments until there is compliance, as further described in Section Five (5) herein. E. CONTRACTOR will remit annually within ninety (90) days from June 30, a schedule to provide the required information on published charges for all authorized direct specialty mental health services. The published charge listing will serve as a source document to determine the CONTRACTOR’s usual and customary charge prevalent in the public mental health sector that is used to bill the general public, insurers or other non-Medi-Cal third party payers during the course of business operations. F. CONTRACTOR shall submit monthly staffing reports that identify all direct service and support staff, applicable licensure/certifications, and full time hours worked to be used as a tracking tool to determine if CONTRACTOR’s program is staffed according to the services provided under this Agreement. G. If CONTRACTOR chooses to utilize the COUNTY’s electronic health record system as their own full electronic health records system, COUNTY’s DBH shall invoice CONTRACTOR in arrears by the fifth (5th) day of each month for the prior month’s hosting fee for access to the COUNTY’s electronic information system in accordance with the fee schedule as set forth in Exhibit D, “Electronic Health Records Software Charges” attached hereto and incorporated herein by reference. COUNTY shall invoice CONTRACTOR annually for the annual maintenance and licensing fee for access to the COUNTY’s electronic information system in accordance with the fee schedule as set forth in Exhibit D. COUNTY shall invoice CONTRACTOR annually for the Reaching Recovery fee for access to the COUNTY’s electronic information system in accordance with the fee schedule as set forth in Exhibit D. CONTRACTOR shall provide payment for these expenditures to COUNTY’s Fresno 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 County Department of Behavioral Health, Accounts Receivable, P.O. Box 712, Fresno, CA 93717-0712, Attention: Business Office, within forty-five (45) days after the date of receipt by CONTRACTOR of the invoicing provided by COUNTY. H.CONTRACTOR must maintain financial records for a period of ten (10) years or until any dispute, audit or inspection is resolved, whichever is later. CONTRACTOR will be responsible for any disallowances related to inadequate documentation. I.CONTRACTOR is responsible for collection and managing of data in a manner to be determined by DHCS and the COUNTY’s Mental Health Plan in accordance with applicable rules and regulations. COUNTY’s electronic information system is a critical source of information for purposes of monitoring service volume and obtaining reimbursement. J.CONTRACTOR shall submit service data into COUNTY’s electronic information system according to COUNTY’s DBH documentation standards to allow the COUNTY to bill Medi-Cal, and any other third-party source, for services and meet State and Federal reporting requirements. K.CONTRACTOR must comply with all laws and regulations governing the Federal Medicare program, including, but not limited to: 1) the requirement of the Medicare Act, 42 U.S.C. section 1395 et seq; and 2) the regulations and rules promulgated by the Federal Centers for Medicare and Medicaid Services as they relate to participation, coverage and claiming reimbursement. CONTRACTOR will be responsible for compliance as of the effective date of each Federal, State or local law or regulation specified. L.If a client has dual coverage, such as other health coverage (OHC) or Federal Medicare, the CONTRACTOR will be responsible for billing the carrier and obtaining a payment/denial or have validation of claiming with no response ninety (90) days after the claim was mailed before the service can be entered into the COUNTY’s electronic information system. CONTRACTOR must report all third party collections for Medicare, third party or client pay or private pay in each monthly invoice and in the annual cost report that is required to be submitted. A copy of explanation of benefits or CMS 1500 form is required as documentation. CONTRACTOR must report all revenue collected from OHC, third-party, client-pay or private-pay in each monthly invoice and in the cost report that is required to be submitted. 9 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 CONTRACTOR shall submit monthly invoices for reimbursement that equal the amount due CONTRACTOR less any funding sources not eligible for Federal and State reimbursement. M.Data entry shall be the responsibility of the CONTRACTOR. COUNTY shall monitor the volume of services and cost of services entered into the COUNTY’s electronic information system. Any and all audit exceptions resulting from the provision and reporting of specialty mental health services by CONTRACTOR shall be the sole responsibility of the CONTRACTOR. CONTRACTOR will comply with all applicable policies, procedures, directives and guidelines regarding the use of COUNTY’s electronic information system. N.Medi-Cal Certification and Mental Health Plan Compliance CONTRACTOR shall comply with any and all requests and directives associated with COUNTY maintaining State Medi-Cal site certification. CONTRACTOR shall provide specialty mental health services in accordance with the COUNTY’s Mental Health Plan. CONTRACTOR must comply with the “Fresno County Mental Health Plan Compliance Program and Code of Conduct” set forth in Exhibit E, attached hereto and incorporated herein by reference and made part of this Agreement. CONTRACTOR shall comply with any and all requests associated with any State/Federal reviews or audits. CONTRACTOR may provide direct specialty mental health services using pre- licensed staff as long as the individual is approved as a provider by the Mental Health Plan, is supervised by licensed staff, works within his/her scope and only delivers allowable direct specialty mental health services. It is understood that each service is subject to audit for compliance with Federal and State regulations, and that COUNTY may be making payments in advance of said review. In the event that a service is disapproved, COUNTY may, at its sole discretion, withhold compensation or set off from other payments due the amount of said disapproved services. CONTRACTOR shall be responsible for audit exceptions to ineligible dates of services or incorrect application of utilization review requirements. 6.INDEPENDENT CONTRACTOR In performance of the work, duties, and obligations assumed by CONTRACTOR under this Agreement, it is mutually understood and agreed that CONTRACTOR, including any and all of CONTRACTOR’s officers, agents, and employees will at all times be acting and performing as an independent contractor, and shall act in an independent capacity and not as an officer, agent, servant, 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 employee, joint venturer, partner, or associate of COUNTY. Furthermore, COUNTY shall have no right to control or supervise or direct the manner or method by which CONTRACTOR shall perform its work and function. However, COUNTY shall retain the right to administer this Agreement so as to verify that CONTRACTOR is performing their obligations in accordance with the terms and conditions thereof. CONTRACTOR and COUNTY shall comply with all applicable provisions of law and the rules and regulations, if any, of governmental authorities having jurisdiction over matters the subject thereof. Because of its status as an independent contractor, CONTRACTOR shall have absolutely no right to employment rights and benefits available to COUNTY employees. CONTRACTOR shall be solely liable and responsible for providing to, or on behalf of, its employees all legally-required employee benefits. In addition, CONTRACTOR shall be solely responsible and save COUNTY harmless from all matters relating to payment of CONTRACTOR’s employees, including compliance with Social Security, withholding, and all other regulations governing such matters. It is acknowledged that during the term of this Agreement, CONTRACTOR may be providing services to others unrelated to COUNTY or to this Agreement. 7.MODIFICATION Any matters of this Agreement may be modified from time to time by the written consent of all the parties without, in any way, affecting the remainder. Notwithstanding the above, changes to services, staffing, and responsibilities of the CONTRACTOR, as needed, to accommodate changes in the laws relating to mental health treatment, as set forth in Exhibit A, may be made with the signed written approval of COUNTY’s DBH Director or his or her designee and CONTRACTOR through an amendment approved by COUNTY’s County Counsel and the COUNTY’s Auditor-Controller’s Office. In addition, changes to expense category (i.e., Salary & Benefits, Facilities/Equipment, Operating, Financial Services, Special Expenses, Fixed Assets, etc.) subtotals in the budgets, and changes to the volume of units of services/types of service units to be provided as set forth in Exhibit C, that do not exceed 10% of the maximum compensation payable to the CONTRACTOR may be made with the written approval of COUNTY’s DBH Director, or his or her designee. Said modifications shall not 11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 result in any change to the annual maximum compensation amount payable to CONTRACTOR, as stated in this Agreement. 8.NON-ASSIGNMENT No party shall assign, transfer or subcontract this Agreement nor their rights or duties under this Agreement without the prior written consent of COUNTY. 9.HOLD-HARMLESS CONTRACTOR agrees to indemnify, save, hold harmless, and at COUNTY's request, defend COUNTY, its officers, agents and employees from any and all costs and expenses, including attorney fees and court costs, damages, liabilities, claims and losses occurring or resulting to COUNTY in connection with the performance, or failure to perform, by CONTRACTOR, its officers, agents or employees under this Agreement, and from any and all costs and expenses, including attorney fees and court costs, damages, liabilities, claims and losses occurring or resulting to any person, firm or corporation who may be injured or damaged by the performance, or failure to perform, of CONTRACTOR, their officers, agents or employees under this Agreement. CONTRACTOR agrees to indemnify COUNTY for Federal and/or State of California audit exceptions resulting from noncompliance herein on the part of CONTRACTOR. 10.INSURANCE Without limiting COUNTY's right to obtain indemnification from CONTRACTOR or any third parties, CONTRACTOR, at its sole expense, shall maintain in full force and affect the following insurance policies throughout the term of this Agreement: A.Commercial General Liability Commercial General Liability Insurance with limits of not less than Two MillionDollars ($2,000,000) per occurrence and an annual aggregate of Five MillionDollars ($5,000,000). This policy shall be issued on a per occurrence basis.COUNTY may require specific coverage including completed operations, productliability, contractual liability, Explosion, Collapse, and Underground (XCU), firelegal liability or any other liability insurance deemed necessary because of thenature of the Agreement. B.Automobile Liability Insurance Services Office Form Number CA 0001 covering, Code 1 (any auto),or if Consultant has no owned autos, Code 8 (hired) and 9 (non-owned).with 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 limits of not less than) One Million Dollars ($1,000,000) per accident for bodily injury and property damage. C.Real and Property Insurance CONTRACTOR shall maintain a policy of insurance for all risk personal propertycoverage which shall be endorsed naming the County of Fresno as an additionalloss payee. The personal property coverage shall be in an amount that will coverthe total of the COUNTY purchase and owned property, at a minimum, asdiscussed in Section Twenty (21) of this Agreement. All Risk Property Insurance CONTRACTOR will provide property coverage for the full replacement value of the COUNTY’S personal property in possession of CONTRACTOR and/or used in the execution of this Agreement. COUNTY will be identified on an appropriate certificate of insurance as the certificate holder and will be named as an Additional Loss Payee on the Property Insurance Policy. D.Professional Liability Professional Liability Insurance with limits of not less than One Million Dollars($1,000,000) per occurrence, Three Million Dollars ($3,000,000) annualaggregate. CONTRACTOR agrees that it shall maintain, at its sole expense, infull force and effect for a period of three (3) years following the termination of thisAgreement, one or more policies of professional liability insurance with limits ofcoverage as specified herein. E.Child Abuse/Molestation and Social Services Coverage CONTRACTOR shall have either separate policies or an umbrella policy withendorsements covering Child Abuse/Molestation and Social Services Liabilitycoverage or have a specific endorsement on their General Commercial liabilitypolicy covering Child Abuse/Molestation and Social Services Liability. The policylimits for these policies shall be One Million Dollars ($1,000,000) per occurrencewith a Two Million Dollars ($2,000,000) annual aggregate. The policies are to beon a per occurrence basis. F.Worker's Compensation A policy of Worker's Compensation Insurance as may be required by theCalifornia Labor Code. G.Cyber Liability Cyber Liability Insurance, with limits not less than $2,000,000 per occurrence orclaim, $2,000,000 aggregate. Coverage shall be sufficiently broad to respond toduties and obligations undertaken by CONTRACTOR in this agreement and shallinclude, but not be limited to, claims involving infringement of intellectualproperty, including but not limited to infringement of copyright, trademark, tradedress, invasion of privacy violations, information theft, damage to or destruction 13 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 of electronic information, release of private information, alteration of electronic information, extortion and network security. The policy shall provide coverage for breach response costs as well as regulatory fines and penalties as well as credit monitoring expenses with limits sufficient to respond to these obligations. H.Waiver of Subrogation CONTRACTOR hereby grants to COUNTY a waiver of any right to subrogationwhich any insurer of said CONTRACTOR may acquire against the COUNTY byvirtue of the payment of any loss under insurance. CONTRACTOR agrees toobtain any endorsement that may be necessary to affect this waiver ofsubrogation, but this provision applies regardless of whether or not the COUNTYhas received a waiver of subrogation endorsement from the insurer. CONTRACTOR shall obtain endorsements to the Commercial General Liability insurance naming the County of Fresno, its officers, agents, and employees, individually and collectively, as additional insured, but only insofar as the operations under this Agreement are concerned. Such coverage for additional insured shall apply as primary insurance and any other insurance, or self-insurance, maintained by COUNTY, its officers, agents and employees shall be excess only and not contributing with insurance provided under CONTRACTOR’s policies herein. This insurance shall not be cancelled or changed without a minimum of thirty (30) days advance written notice given to COUNTY. Within thirty (30) days from the date CONTRACTOR signs this Agreement, CONTRACTOR shall provide certificates of insurance and endorsements as stated above for all of the foregoing policies, as required herein, to the County of Fresno, Department of Behavioral Health, 3133 N. Millbrook Ave, Fresno, California, 93703, Attention: Contracts Division, stating that such insurance coverages have been obtained and are in full force; that the County of Fresno, its officers, agents and employees will not be responsible for any premiums on the policies; that such Commercial General Liability insurance names the County of Fresno, its officers, agents and employees, individually and collectively, as additional insured, but only insofar as the operations under this Agreement are concerned; that such coverage for additional insured shall apply as primary insurance and any other insurance, or self- insurance, maintained by COUNTY, its officers, agents and employees, shall be excess only and not contributing with insurance provided under CONTRACTOR’s policies herein; and that this insurance shall not be cancelled or changed without a minimum of thirty (30) days advance, written notice given to COUNTY. 14 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 In the event CONTRACTOR fails to keep in effect at all times insurance coverage as herein provided, COUNTY may, in addition to other remedies it may have, suspend or terminate this Agreement upon the occurrence of such event. All policies shall be with admitted insurers licensed to do business in the State of California. Insurance purchased shall be from companies possessing a current A.M. Best, Inc. rating of A FSC VII or better. 11. LICENSES/CERTIFICATES Throughout each term of this Agreement, CONTRACTOR and CONTRACTOR’s staff shall maintain all necessary licenses, permits, approvals, certificates, waivers and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States of America, State of California, the County of Fresno, and any other applicable governmental agencies. CONTRACTOR shall notify COUNTY immediately in writing of its inability to obtain or maintain such licenses, permits, approvals, certificates, waivers and exemptions irrespective of the pendency of any appeal related thereto. Additionally, CONTRACTOR and CONTRACTOR’s staff shall comply with all applicable laws, rules or regulations, as may now exist or be hereafter changed. 12. RECORDS CONTRACTOR shall maintain records in accordance with Exhibit F, "Documentation Standards for Client Records", attached hereto and by this reference incorporated herein and made part of this Agreement. COUNTY shall be allowed to review all records of services provided, including the goals and objectives of the treatment plan, and how the therapy provided is achieving the goals and objectives. 13. REPORTS 1. Outcome Reports CONTRACTOR shall submit to COUNTY’s DBH service outcome reports as reasonably requested by COUNTY’s DBH. Outcome reports and outcome requirements are subject to change at COUNTY’s DBH discretion. 2. Additional Reports CONTRACTOR shall also furnish to COUNTY such statements, records, reports, data, and other information as COUNTY’s DBH may reasonably request pertaining to matters covered by 15 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 this Agreement. In the event that CONTRACTOR fails to provide such reports or other information required hereunder, it shall be deemed sufficient cause for COUNTY to withhold monthly payments until there is compliance. In addition, CONTRACTOR shall provide written notification and explanation to COUNTY within five (5) days of any funds received from another source to conduct the same services covered by this Agreement. 3.Cost Report CONTRACTOR shall provide financial data to identify all direct and indirect costs incurred by the CONTRACTOR for all services delivered under this Agreement. All Cost Reports must be prepared in accordance with Generally Accepted Accounting Principles (GAAP) and Welfare and Institutions Code §§ 5651(a)(4), 5664(a), 5705(b)(3) and 5718(c). Unallowable costs such as lobbying or political donations must be deducted on the cost report and monthly invoice reimbursements. 4.Settlements with State Department of Health Care Services (DHCS) During the term of this Agreement and thereafter, COUNTY and CONTRACTOR agree to settle dollar amounts disallowed or settled in accordance with DHCS audit settlement findings related to the reimbursement provided under this Agreement. CONTRACTOR will participate in the several phases of settlements between COUNTY/CONTRACTOR and DHCS. The phases of initial cost reporting for settlement according to State reconciliation of records for paid Medi-Cal services and audit settlement are: State DHCS audit 1) initial cost reporting - after an internal review by COUNTY, the COUNTY files the cost report with State DHCS on behalf of the CONTRACTOR’s legal entity for the fiscal year; 2) Settlement –State reconciliation of records for paid Medi-Cal services, approximately 18 to 36 months following the State close of the fiscal year, DHCS will send notice for any settlement under this provision to the COUNTY; 3) Audit Settlement-State DHCS audit. After final reconciliation and settlement DHCS may conduct a review of medical records, cost report along with support documents submitted to COUNTY in initial submission to determine accuracy and may disallow costs and/or units of services. COUNTY may choose to appeal and therefore reserves the right to defer payback settlement with CONTRACTOR until resolution of the appeal. DHCS Audits will follow Federal Medicaid procedures for managing overpayments. If at the end of the Audit Settlement, the COUNTY determines that it overpaid the CONTRACTOR, it will require the CONTRACTOR to repay the Medi-Cal related overpayment back to the 16 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 COUNTY. Funds owed to COUNTY will be due within forty-five (45) days of notification by the COUNTY, or COUNTY shall withhold future payments until all excess funds have been recouped by means of an offset against any payments then or thereafter owing to COUNTY under this or any other Agreement between the COUNTY and CONTRACTOR. 14. MONITORING CONTRACTOR agrees to extend to COUNTY’s staff, COUNTY’s DBH Director and the State Department of Health Care Services, or their designees, the right to review and monitor records, services or procedures, at any time, in regard to clients, as well as the overall operation of CONTRACTOR’s performance, in order to ensure compliance with the terms and conditions of this Agreement. 15. REFERENCES TO LAWS AND RULES In the event any law, regulation, or policy referred to in this Agreement is amended during the term thereof, the parties hereto agree to comply with the amended provision as of the effective date of such amendment. 16. COMPLIANCE WITH STATE REQUIREMENTS CONTRACTOR recognizes that COUNTY operates its mental health programs under an agreement with the State of California Department Health Care Services, and that under said agreement the State imposes certain requirements on COUNTY and its subcontractors. CONTRACTOR shall adhere to all State requirements, including those identified in Exhibit G “State Mental Health Requirements”, attached hereto and by this reference incorporated herein and made part of this Agreement. CONTRACTOR shall also file an incident report for all incidents involving clients, following the Protocol and using the Worksheet identified in Exhibit G, attached hereto and by this reference incorporated herein and made part of this Agreement or a protocol and worksheet presented by CONTRACTOR that is accepted by COUNTY’s DBH Director or his or her designee. 17. COMPLIANCE WITH STATE MEDI-CAL REQUIREMENTS CONTRACTOR shall inform every client of their rights under the COUNTY's Mental Health Plan as described in Exhibit H, attached hereto and by this reference incorporated herein and made part of 17 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 this Agreement. 18.CONFIDENTIALITY All services performed by CONTRACTOR under this Agreement shall be in strict conformance with all applicable Federal, State of California and/or local laws and regulations relating to confidentiality. 19.HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT COUNTY and CONTRACTOR each consider and represent themselves as covered entities as defined by the U.S. Health Insurance Portability and Accountability Act of 1996, Public Law 104- 191 (HIPAA) and agree to use and disclose Protected Health Information (PHI) as required by law. COUNTY and CONTRACTOR acknowledge that the exchange of PHI between them is only for treatment, payment, and health care operations. COUNTY and CONTRACTOR intend to protect the privacy and provide for the security of PHI pursuant to the Agreement in compliance with HIPAA, the Health Information Technology for Economic and Clinical Health Act, Public Law 111-005 (HITECH), and regulations promulgated thereunder by the U.S. Department of Health and Human Services (HIPAA Regulations) and other applicable laws. As part of the HIPAA Regulations, the Privacy Rule and the Security Rule require CONTRACTOR to enter into a contract containing specific requirements prior to the disclosure of PHI, as set forth in, but not limited to, Title 45, Sections 164.314(a), 164.502(e) and 164.504€ of the Code of Federal Regulations. 20.DATA SECURITY For the purpose of preventing the potential loss, misappropriation or inadvertent access, viewing, use or disclosure of COUNTY data including sensitive or personal client information; abuse of COUNTY resources; and/or disruption to COUNTY operations, individuals and/or agencies that enter into a contractual relationship with the COUNTY for the purpose of providing services under this Agreement must employ adequate data security measures to protect the confidential information provided to CONTRACTOR by the COUNTY, including but not limited to the following: A.CONTRACTOR-Owned Mobile, Wireless, or Handheld Devices CONTRACTOR may not connect to COUNTY networks via personally-owned 18 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 mobile, wireless or handheld devices, unless the following conditions are met: 1)CONTRACTOR has received authorization by COUNTY for telecommuting purposes; 2)Current virus protection software is in place; 3)Mobile device has the remote wipe feature enabled; and 4)A secure connection is used. B.CONTRACTOR-Owned Computers or Computer Peripherals CONTRACTOR may not bring CONTRACTOR-owned computers or computer peripherals into the COUNTY for use without prior authorization from the COUNTY’s Chief Information Officer, and/or his or her designee(s), including but not limited to mobile storage devices. If data is approved to be transferred, data must be stored on a secure server approved by the COUNTY and transferred by means of a Virtual Private Network (VPN) connection, or another type of secure connection. Said data must be encrypted. C. COUNTY-Owned Computer Equipment CONTRACTOR may not use COUNTY computers or computer peripherals on non- COUNTY premises without prior authorization from the COUNTY’s Chief Information Officer, and/or his or her designee(s). D.CONTRACTOR may not store COUNTY’s private, confidential or sensitive data on any hard-disk drive, portable storage device, or remote storage installation unless encrypted. E.CONTRACTOR shall be responsible to employ strict controls to ensure the integrity and security of COUNTY’s confidential information and to prevent unauthorized access, viewing, use or disclosure of data maintained in computer files, program documentation, data processing systems, data files and data processing equipment which stores or processes COUNTY data internally and externally. F.Confidential client information transmitted to one party by the other by means of electronic transmissions must be encrypted according to Advanced Encryption Standards (AES) of 128 BIT or higher. Additionally, a password or pass phrase must be utilized. G.CONTRACTOR is responsible to immediately notify COUNTY of any violations, breaches or potential breaches of security related to COUNTY’s confidential information, data maintained 19 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 in computer files, program documentation, data processing systems, data files and data processing equipment which stores or processes COUNTY data internally or externally. H.COUNTY shall provide oversight to CONTRACTOR’s response to all incidents arising from a possible breach of security related to COUNTY’s confidential client information provided to CONTRACTOR. CONTRACTOR will be responsible to issue any notification to affected individuals as required by law or as deemed necessary by COUNTY in its sole discretion. CONTRACTOR will be responsible for all costs incurred as a result of providing the required notification. 21.PROPERTY OF COUNTY A.COUNTY and CONTRACTOR recognize that fixed assets are tangible and intangible property obtained or controlled under COUNTY’s Mental Health Plan for use in operational capacity and will benefit COUNTY for a period more than one year. Depreciation of the qualified items will be on a straight-line basis. For COUNTY purposes, fixed assets must fulfill three qualifications: 1.Asset must have life span of over one year. 2.The asset is not a repair part 3.The asset must be valued at or greater than the capitalization thresholds for the asset type Asset type Threshold •land $0 •buildings and improvements $100,000 •infrastructure $100,000 •be tangible $5,000 o equipmentovehicles •or intangible asset $100,000 o Internally generated softwareoPurchased softwareoEasementsoPatents •and capital lease $5,000 Qualified fixed asset equipment is to be reported and approved by COUNTY. If it is 20 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 approved and identified as an asset it will be tagged with a COUNTY program number. A Fixed asset log will be maintained by COUNTY’s Asset Management System and annual inventoried until the asset is fully depreciated. During the terms of this Agreement, CONTRACTOR’s fixed assets may be inventoried in comparison to COUNTY’s DBH Asset Inventory System. B.Certain purchases less than Five Thousand and No/100 Dollars ($5,000.00) but more than $1,000, with over one year life span, and are mobile and high risk of theft or loss are sensitive assets. Such sensitive items are not limited to computers, copiers, televisions, cameras and other sensitive items as determined by COUNTY’s DBH Director or his or her designee. CONTRACTOR maintains a tracking system on the items and are not required to be capitalize or depreciated. The items are subject to annual inventory for compliance. C.Assets shall be retained by COUNTY, as COUNTY property, in the event this Agreement is terminated or upon expiration of this Agreement. CONTRACTOR agrees to participate in an annual inventory of all COUNTY fixed and inventoried assets. Upon termination or expiration of this Agreement CONTRACTOR shall be physically present when fixed and inventoried assets are returned to COUNTY possession. CONTRACTOR is responsible for returning to COUNTY all COUNTY owned undepreciated fixed and inventoried assets, or the monetary value of said assets if unable to produce the assets at the expiration or termination of this Agreement. CONTRACTOR further agrees to the following: 1.To maintain all items of equipment in good working order and condition, normal wear and tear is expected; 2.To label all items of equipment with COUNTY assigned program number, to perform periodic inventories as required by COUNTY and to maintain an inventory list showing where and how the equipment is being used, in accordance with procedures developed by COUNTY. All such lists shall be submitted to COUNTY within ten (10) days of any request therefore; and 3.To report in writing to COUNTY immediately after discovery, the lost or theft of any items of equipment. For stolen items, the local law enforcement agency must be contacted and a copy of the police report submitted to COUNTY. D.The purchase of any equipment by CONTRACTOR with funds provided hereunder 21 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 shall require the prior written approval of COUNTY’s DBH, shall fulfill the provisions of this Agreement as appropriate, and must be directly related to CONTRACTOR’s services or activity under the terms of this Agreement. COUNTY’s DBH may refuse reimbursement for any costs resulting from equipment purchased, which are incurred by CONTRACTOR, if prior written approval has not been obtained from COUNTY. E. CONTRACTOR must obtain prior written approval from COUNTY’s DBH whenever there is any modification or change in the use of any property acquired or improved, in whole or in part, using funds under this Agreement. If any real or personal property acquired or improved with said funds identified herein is sold and/or is utilized by CONTRACTOR for a use which does not qualify under this Agreement, CONTRACTOR shall reimburse COUNTY in an amount equal to the current fair market value of the property, less any portion thereof attributable to expenditures of funds not provided under this Agreement. These requirements shall continue in effect for the life of the property. In the event this Agreement expires, or terminates, the requirements for this Section shall remain in effect for activities or property funded with said funds, unless action is taken by the State government to relieve COUNTY of these obligations 22. NON-DISCRIMINATION During the performance of this Agreement, CONTRACTOR shall not unlawfully discriminate against any employee or applicant for employment, or recipient of services, because of race, religion, color, national origin, ancestry, physical handicap, medical condition, marital status, age or gender, pursuant to all applicable State and Federal statutes and regulations. 23. CULTURAL COMPETENCY As related to Cultural and Linguistic Competence, CONTRACTOR shall comply with: A. Title 6 of the Civil Rights Act of 1964 (42 U.S.C. section 2000d, and 45 C.F.R. Part 80) and Executive Order 12250 of 1979 which prohibits recipients of federal financial assistance from discriminating against persons based on race, color, national origin, sex, disability or religion. This is interpreted to mean that a limited English proficient (LEP) individual is entitled to equal access and participation in federally funded programs through the provision of comprehensive and quality bilingual services. 22 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 B.Policies and procedures for ensuring access and appropriate use of trained interpreters and material translation services for all LEP clients, including, but not limited to, assessing the cultural and linguistic needs of its clients, training of staff on the policies and procedures, and monitoring its language assistance program. The CONTRACTOR’s procedures must include ensuring compliance of any sub-contracted providers with these requirements. C. CONTRACTOR shall not use minors as interpreters. D. CONTRACTOR shall provide and pay for interpreting and translation services to persons participating in CONTRACTOR’s services who have limited or no English language proficiency, including services to persons who are deaf or blind. Interpreter and translation services shall be provided as necessary to allow such participants meaningful access to the programs, services and benefits provided by CONTRACTOR. Interpreter and translation services, including translation of CONTRACTOR’s “vital documents” (those documents that contain information that is critical for accessing CONTRACTOR’s services or are required by law) shall be provided to participants at no cost to the participant. CONTRACTOR shall ensure that any employees, agents, subcontractors, or partners who interpret or translate for a program participant, or who directly communicate with a program participant in a language other than English, demonstrate proficiency in the participant's language and can effectively communicate any specialized terms and concepts peculiar to CONTRACTOR’s services. E.In compliance with the State mandated Culturally and Linguistically Appropriate standards as published by the Office of Minority Health, CONTRACTOR must submit to COUNTY for approval, within sixty (60) days from date of contract execution, CONTRACTOR’s plan to address all fifteen (15) national cultural competency standards as set forth in the “National Standards on Culturally and Linguistically Appropriate Services (CLAS)”. COUNTY’s annual on-site review of CONTRACTOR shall include collection of documentation to ensure all national standards are implemented. As the national competency standards are updated, CONTRACTOR’s plan must be updated accordingly. Cultural competency training for CONTRACTOR’s staff should be substantively integrated into health professions education and training at all levels, both academic and functional, including core curriculum, professional licensure, and continuing professional development programs. CONTRACTOR on a monthly basis shall provide COUNTY DBH a monthly monitoring tool/report that shows all CONTRACTOR’s staff cultural 23 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 competency trainings completed. 24.AMERICANS WITH DISABILITIES ACT CONTRACTOR agrees to ensure that deliverables developed and produced, pursuant to this Agreement shall comply with the accessibility requirements of Section 508 of the Rehabilitation Act and the Americans with Disabilities Act of 1973 as amended (29 U.S.C. § 794 (d)), and regulations implementing that Act as set forth in Part 1194 of Title 36 of the Code of Federal Regulations. In 1998, Congress amended the Rehabilitation Act of 1973 to require Federal agencies to make their electronic and information technology (EIT) accessible to people with disabilities. California Government Code section 11135 codifies section 508 of the Act requiring accessibility of electronic and information technology. 25.TAX EQUITY AND FISCAL RESPONSIBILITY ACT To the extent necessary to prevent disallowance of reimbursement under section 1861(v)(1) (I) of the Social Security Act, (42 U.S.C. § 1395x, subd. (v)(1)[I]), until the expiration of four (4) years after the furnishing of services under this Agreement, CONTRACTOR shall make available, upon written request to the Secretary of the United States Department of Health and Human Services, or upon request to the Comptroller General of the United States General Accounting Office, or any of their duly authorized representatives, a copy of this Agreement and such books, documents, and records as are necessary to certify the nature and extent of the costs of these services provided by CONTRACTOR under this Agreement. CONTRACTOR further agrees that in the event CONTRACTOR carries out any of its duties under this Agreement through a subcontract, with a value or cost of Ten Thousand and No/100 Dollars ($10,000.00) or more over a twelve (12) month period, with a related organization, such Agreement shall contain a clause to the effect that until the expiration of four (4) years after the furnishing of such services pursuant to such subcontract, the related organizations shall make available, upon written request to the Secretary of the United States Department of Health and Human Services, or upon request to the Comptroller General of the United States General Accounting Office, or any of their duly authorized representatives, a copy of such subcontract and such books, documents, and records of such organization as are necessary to verify the nature and extent of such costs. 26.SINGLE AUDIT CLAUSE A.If CONTRACTOR expends Seven Hundred Fifty Thousand Dollars ($750,000.00) 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 or more in Federal and Federal flow-through monies, CONTRACTOR agrees to conduct an annual audit in accordance with the requirements of the Single Audit Standards as set forth in Office of Management and Budget (OMB) Circular A-133. CONTRACTOR shall submit said audit and management letter to COUNTY. The audit must include a statement of findings or a statement that there were no findings. If there were negative findings, CONTRACTOR must include a corrective action plan signed by an authorized individual. CONTRACTOR agrees to take action to correct any material non-compliance or weakness found as a result of such audit. Such audit shall be delivered to COUNTY’s DBH Business Office, for review within nine (9) months of the end of any fiscal year in which funds were expended and/or received for the program. Failure to perform the requisite audit functions as required by this Agreement may result in COUNTY performing the necessary audit tasks, or at COUNTY’s option, contracting with a public accountant to perform said audit, or, may result in the inability of COUNTY to enter into future agreements with CONTRACTOR. All audit costs related to this Agreement are the sole responsibility of CONTRACTOR. B.A single audit report is not applicable if CONTRACTOR’s Federal contracts do not exceed the Seven Hundred Fifty Thousand Dollars ($750,000.00) requirement or CONTRACTOR’s only funding is through Drug related Medi-Cal. If a single audit is not applicable, a program audit must be performed and a program audit report with management letter shall be submitted by CONTRACTOR to COUNTY as a minimum requirement to attest to CONTRACTOR’s solvency. Said audit report shall be delivered to COUNTY’s DBH Business Office, for review no later than nine (9) months after the close of the fiscal year in which the funds supplied through this Agreement are expended. Failure to comply with this Act may result in COUNTY performing the necessary audit tasks or contracting with a qualified accountant to perform said audit. All audit costs related to this Agreement are the sole responsibility of CONTRACTOR who agrees to take corrective action to eliminate any material noncompliance or weakness found as a result of such audit. Audit work performed by COUNTY under this paragraph shall be billed to the CONTRACTOR at COUNTY cost, as determined by COUNTY’s Auditor- Controller/Treasurer-Tax Collector. C.CONTRACTOR shall make available all records and accounts for inspection by COUNTY, the State of California, if applicable, the Comptroller General of the United States, the Federal 25 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Grantor Agency, or any of their duly authorized representatives, at all reasonable times for a period of at least three (3) years following final payment under this Agreement or the closure of all other pending matters, whichever is later. 27.COMPLIANCE CONTRACTOR agrees to comply with the COUNTY’s Contractor Code of Conduct and Ethics and the COUNTY’s Compliance Program in accordance with Exhibit E, attached hereto and incorporated herein by reference and made part of this Agreement. Within thirty (30) days of entering into this Agreement with the COUNTY, CONTRACTOR shall have all of CONTRACTOR’s employees, agents and subcontractors providing services under this Agreement certify in writing, that he or she has received, read, understood, and shall abide by the Contractor Code of Conduct and Ethics. CONTRACTOR shall ensure that within thirty (30) days of hire, all new employees, agents and subcontractors providing services under this Agreement shall certify in writing that he or she has received, read, understood, and shall abide by the Contractor Code of Conduct and Ethics. CONTRACTOR understands that the promotion of and adherence to the Code of Conduct is an element in evaluating the performance of CONTRACTOR and its employees, agents and subcontractors. Within thirty (30) days of entering into this Agreement, and annually thereafter, all employees, agents and subcontractors providing services under this Agreement shall complete general compliance training and appropriate employees, agents and subcontractors shall complete documentation and billing or billing/reimbursement training. All new employees, agents and subcontractors shall attend the appropriate training within 30 days of hire. Each individual who is required to attend training shall certify in writing that he or she has received the required training. The certification shall specify the type of training received and the date received. The certification shall be provided to the COUNTY’s Compliance Officer at 3133 N. Millbrook, Fresno, California 93703. CONTRACTOR agrees to reimburse COUNTY for the entire cost of any penalty imposed upon COUNTY by the Federal Government as a result of CONTRACTOR’s violation of the terms of this Agreement. 28.ASSURANCES In entering into this Agreement, CONTRACTOR certifies that neither it, nor any of its officers, are currently excluded, suspended, debarred, or otherwise ineligible to participate in the Federal 26 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Health Care Programs; that neither it, nor any of its officers, have been convicted of a criminal offense related to the provision of health care items or services; nor has it, or any of its officers, been reinstated to participate in the Federal Health Care Programs after a period of exclusion, suspension, debarment, or ineligibility. If COUNTY learns, subsequent to entering into a contract, that CONTRACTOR is ineligible on these grounds, COUNTY will remove CONTRACTOR from responsibility for, or involvement with, COUNTY’s business operations related to the Federal Health Care Programs and shall remove such CONTRACTOR from any position in which CONTRACTOR’s compensation, or the items or services rendered, ordered or prescribed by CONTRACTOR may be paid in whole or part, directly or indirectly, by Federal Health Care Programs or otherwise with Federal Funds at least until such time as CONTRACTOR is reinstated into participation in the Federal Health Care Programs. A.If COUNTY has notice that either CONTRACTOR, or its officers, has been charged with a criminal offense related to any Federal Health Care Program, or is proposed for exclusion during the term of any contract, CONTRACTOR and COUNTY shall take all appropriate actions to ensure the accuracy of any claims submitted to any Federal Health Care Program. At its discretion given such circumstances, COUNTY may request that CONTRACTOR cease providing services until resolution of the charges or the proposed exclusion. B.CONTRACTOR agrees that all potential new employees of CONTRACTOR or subcontractors of CONTRACTOR who, in each case, are expected to perform professional services under this Agreement, will be queried as to whether (1) they are now or ever have been excluded, suspended, debarred, or otherwise ineligible to participate in the Federal Health Care Programs; (2) they have been convicted of a criminal offense related to the provision of health care items or services; and or (3) they have been reinstated to participate in the Federal Health Care Programs after a period of exclusion, suspension, debarment, or ineligibility. 1.In the event the potential employee or subcontractor informs CONTRACTOR that he or she is excluded, suspended, debarred or otherwise ineligible, or has been convicted of a criminal offense relating to the provision of health care services, and CONTRACTOR hires or engages such potential employee or subcontractor, CONTRACTOR will ensure that said employee or subcontractor does no work, either directly or indirectly relating to services provided to COUNTY. 27 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 2. Notwithstanding the above, COUNTY at its discretion may terminate this Agreement in accordance with Section Three (3) of this Agreement, or require adequate assurance (as defined by COUNTY) that no excluded, suspended or otherwise ineligible employee or subcontractor of CONTRACTOR will perform work, either directly or indirectly, relating to services provided to COUNTY. Such demand for adequate assurance shall be effective upon a time frame to be determined by COUNTY to protect the interests of COUNTY consumers. C. CONTRACTOR shall verify (by asking the applicable employees and subcontractors) that all current employees and existing subcontractors who, in each case, are expected to perform professional services under this Agreement (1) are not currently excluded, suspended, debarred, or otherwise ineligible to participate in the Federal Health Care Programs; (2) have not been convicted of a criminal offense related to the provision of health care items or services; and (3) have not been reinstated to participate in the Federal Health Care Program after a period of exclusion, suspension, debarment, or ineligibility. In the event any existing employee or subcontractor informs CONTRACTOR that he or she is excluded, suspended, debarred or otherwise ineligible to participate in the Federal Health Care Programs, or has been convicted of a criminal offense relating to the provision of health care services, CONTRACTOR will ensure that said employee or subcontractor does no work, either direct or indirect, relating to services provided to COUNTY. 1. CONTRACTOR agrees to notify COUNTY immediately during the term of this Agreement whenever CONTRACTOR learns that an employee or subcontractor who, in each case, is providing professional services under this Agreement is excluded, suspended, debarred or otherwise ineligible to participate in the Federal Health Care Programs, or is convicted of a criminal offense relating to the provision of health care services. 2. Notwithstanding the above, COUNTY at its discretion may terminate this Agreement in accordance with Section 3 of this Agreement, or require adequate assurance (as defined by COUNTY) that no excluded, suspended or otherwise ineligible employee or subcontractor of CONTRACTOR will perform work, either directly or indirectly, relating to services provided to COUNTY. Such demand for adequate assurance shall be effective upon a time frame to be determined by COUNTY to protect the interests of COUNTY consumers. 28 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 D.CONTRACTOR agrees to cooperate fully with any reasonable requests for information from COUNTY which may be necessary to complete any internal or external audits relating to CONTRACTOR’s compliance with the provisions of this Section. E.CONTRACTOR agrees to reimburse COUNTY for the entire cost of any penalty imposed upon COUNTY by the Federal Government as a result of CONTRACTOR’s violation of CONTRACTOR’s obligations as described in this Section. 29.PUBLICITY PROHIBITION None of the funds, materials, property or services provided directly or indirectly under this Agreement shall be used for CONTRACTOR’s advertising, fundraising, or publicity (i.e., purchasing of tickets/tables, silent auction donations, etc.) for the purpose of self-promotion. Notwithstanding the above, publicity of the services described in Section One (1) of this Agreement shall be allowed as necessary to raise public awareness about the availability of such specific services when approved in advance by COUNTY’s DBH Director or his or her designee and at a cost to be provided in Exhibit C for such items as written/printed materials, the use of media (i.e., radio, television, newspapers) and any other related expense(s). 30.COMPLAINTS CONTRACTOR shall log complaints and the disposition of all complaints from a client or a client's family. CONTRACTOR shall provide a copy of the detailed complaint log entries concerning COUNTY-sponsored clients to COUNTY at monthly intervals by the tenth (l 0th) day of the following month, in a format that is mutually agreed upon. In addition, CONTRACTOR shall provide details and attach documentation of each complaint with the log. CONTRACTOR shall post signs informing clients of their right to file a complaint or grievance. CONTRACTOR shall notify COUNTY of all incidents reportable to State licensing bodies that affect COUNTY clients within twenty-four (24) hours of receipt of a complaint. Within ten (10) days after each incident or complaint affecting COUNTY clients, CONTRACTOR shall provide COUNTY with information relevant to the complaint, investigative details of the complaint, the complaint and CONTRACTOR's disposition of, or corrective action taken to resolve the complaint. In addition, CONTRACTOR shall inform every client of their rights as set forth in Exhibit I. CONTRACTOR shall file an incident report for all incidents involving clients, following the protocol and 29 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 using the worksheet identified in Exhibit I and incorporated herein by reference and made part of this Agreement. 31.DISCLOSURE OF OWNERSHIP AND/OR CONTROL INTEREST INFORMATION This provision is only applicable if CONTRACTOR is a disclosing entity, fiscal agent, or managed care entity as defined in Code of Federal Regulations (C.F.R), Title 42 § 455.101 455.104, and 455.106(a)(1),(2). In accordance with C.F.R., Title 42 §§ 455.101, 455.104, 455.105 and 455.106(a)(1),(2), the following information must be disclosed by CONTRACTOR by completing Exhibit J, “Disclosure of Ownership and Control Interest Statement”, attached hereto and by this reference incorporated herein and made part of this Agreement. CONTRACTOR shall submit this form to the COUNTY’s DBH within thirty (30)days of the effective date of this Agreement. Additionally, CONTRACTOR shall report any changes to this information within thirty-five (35) days of occurrence by completing Exhibit J, “Disclosure of Ownership and Control Interest Statement.” Submissions shall be scanned pdf copies and are to be sent via email to DBHAdministration@co.fresno.ca.us attention: Contracts Administration. 32.DISCLOSURE – CRIMINAL HISTORY AND CIVIL ACTIONS CONTRACTOR is required to disclose if any of the following conditions apply to them, their owners, officers, corporate managers and partners (hereinafter collectively referred to as “CONTRACTOR”): A.Within the three-year period preceding the Agreement award, they have been convicted of, or had a civil judgment rendered against them for: 1.Fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; 2.Violation of a federal or state antitrust statute; 3.Embezzlement, theft, forgery, bribery, falsification, or destruction of records; or 4.False statements or receipt of stolen property. B.Within a three-year period preceding their Agreement award, they have had a public transaction (federal, state, or local) terminated for cause or default. 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Disclosure of the above information will not automatically eliminate CONTRACTOR from further business consideration. The information will be considered as part of the determination of whether to continue and/or renew this Agreement and any additional information or explanation that a CONTRACTOR elects to submit with the disclosed information will be considered. If it is later determined that the CONTRACTOR failed to disclose required information, any contract awarded to such CONTRACTOR may be immediately voided and terminated for material failure to comply with the terms and conditions of the award. CONTRACTOR must sign a “Certification Regarding Debarment, Suspension, and Other Responsibility Matters- Primary Covered Transactions” in the form set forth in Exhibit K, attached hereto and by this reference incorporated herein and made part of this Agreement. Additionally, CONTRACTOR must immediately advise the COUNTY’s DBH in writing if, during the term of this Agreement: (1) CONTRACTOR becomes suspended, debarred, excluded or ineligible for participation in federal or state funded programs or from receiving federal funds as listed in the excluded parties’ list system (http://www.epls.gov); or (2) any of the above listed conditions become applicable to CONTRACTOR. CONTRACTOR shall indemnify, defend and hold the COUNTY harmless for any loss or damage resulting from a conviction, debarment, exclusion, ineligibility or other matter listed in the signed Certification Regarding Debarment, Suspension, and Other Responsibility Matters. 33.DISCLOSURE OF SELF-DEALING TRANSACTIONS This provision is only applicable if the CONTRACTOR is operating as a corporation (a for- profit or non-profit corporation) or if during the term of this Agreement, the CONTRACTOR changes its status to operate as a corporation. Members of the CONTRACTOR’s Board of Directors shall disclose any self-dealing transactions that they are a party to while CONTRACTOR is providing goods or performing services under this Agreement. A self-dealing transaction shall mean a transaction to which the CONTRACTOR is a party and in which one or more of its directors has a material financial interest. Members of the Board of Directors shall disclose any self-dealing transactions that they are a party to by completing and signing a Self-Dealing Transaction Disclosure Form, attached hereto as Exhibit L and incorporated herein by reference and made part of this Agreement, and submitting it to the COUNTY prior to commencing with 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 the self-dealing transaction or immediately thereafter. 34.AUDITS AND INSPECTIONS The CONTRACTOR shall at any time during business hours, and as often as the COUNTY may deem necessary, make available to the COUNTY for examination all of its records and data with respect to the matters covered by this Agreement. The CONTRACTOR shall, upon request by the COUNTY, permit the COUNTY to audit and inspect all such records and data necessary to ensure CONTRACTOR’s compliance with the terms of this Agreement. If this Agreement exceeds Ten Thousand and No/100 Dollars ($10,000.00), CONTRACTOR shall be subject to the examination and audit of the State Auditor General for a period of three (3) years after final payment under contract (California Government Code section 8546.7). 35.NOTICES The persons having authority to give and receive notices under this Agreement and their addresses include the following: COUNTY CONTRACTOR Director, Fresno County Chief Executive Officer Department of Behavioral Health Exodus Recovery 1925 E. Dakota Ave 9808 Venice Blvd, Suite 700 Fresno, CA 93726 Culver City, CA, 90232 All notices between the COUNTY and CONTRACTOR provided for or permitted under this Agreement must be in writing and delivered either by personal service, by first-class United States mail, by an overnight commercial courier service, or by telephonic facsimile transmission. A notice delivered by personal service is effective upon service to the recipient. A notice delivered by first-class United States mail is effective three COUNTY business days after deposit in the United States mail, postage prepaid, addressed to the recipient. A notice delivered by an overnight commercial courier service is effective one COUNTY business day after deposit with the overnight commercial courier service, delivery fees prepaid, with delivery instructions given for next day delivery, addressed to the recipient. A notice delivered by telephonic facsimile is effective when transmission to the recipient is completed (but, if such transmission is completed outside of COUNTY business hours, then such delivery shall be deemed to be effective at the next beginning of a COUNTY business day), provided that the sender maintains a machine record of 32 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 the completed transmission. For all claims arising out of or related to this Agreement, nothing in this section establishes, waives, or modifies any claims presentation requirements or procedures provided by law, including but not limited to the Government Claims Act (Division 3.6 of Title 1 of the Government Code, beginning with section 810). 36.GOVERNING LAW Venue for any action arising out of or related to the Agreement shall only be in Fresno County, California. The rights and obligations of the parties and all interpretation and performance of this Agreement shall be governed in all respects by the laws of the State of California. 37.ENTIRE AGREEMENT This Agreement, including all Exhibits, constitutes the entire agreement between CONTRACTOR and COUNTY with respect to the subject matter hereof and supersedes all previous agreement negotiations, proposals, commitments, writings, advertisements, publications, and understandings of any nature whatsoever unless expressly included in this Agreement. /// /// /// /// /// /// /// /// /// /// /// /// /// /// 1 2 3 4 5 U<-.:2t-~~::.-......:::::::.~:..:;z 6 7 8 g ceo 10 ~ 11 ¼ 1~ CI-._{ C.a zoL?L 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Mailing Address COUNTY OF FRESNO Stev Br ndau , Chairman of the Board of Supervisors of the County of Fresno ATTEST: Bernice E. Seidel Clerk of the Board of Supervisors County of Fresno , State of California By : _ _cLl)o : . c_., tr Deputy 33 Exhibit A Page 1 of 5 HOUSING SUPPORTIVE SERVICES SCOPE OF WORK ORGANIZATION: Exodus Recovery, Inc. ADDRESS: 9808 Venice Blvd Suite 700 Culver City, CA 90232 SITE ADDRESS: 4411 E Kings Canyon Rd Fresno, CA 93702 Bldg 319 SERVICES: Housing Supportive Services PROJECT DIRECTOR: Luana Murphy, President/CEO PHONE NUMBER: (310) 945-3350 CONTRACT PERIOD: April 1, 2021 – June 30, 2023, with two optional one- year renewals CONTRACT AMOUNT: $93,192 FY 2020-21 $281,762 FY 2021-22 $281,762 FY 2022-23 $287,453 FY 2023-24 $300,387 FY 2024-25 I. LOCATION OF SERVICES: CONTRACTOR shall provide housing supportive service at Villages at Paragon. Additional sites may be added upon mutual written agreement of both parties. II. TARGET POPULATION: Individuals targeted for housing will be homeless individuals considered to be Chronically Homeless, Homeless, or At Risk of becoming Chronically Homeless, living with complex and long-term social and mental health conditions. Each individual’s history of homelessness and lived experience will require an individualized approach to assessment of strengths, needs and goals. Many of these individuals live with a severe mental illness or a severe emotional disturbance and/or co-occurring substance use disorder and are at high risk of severe health complications, including death, if they remain disconnected from housing, health services, and the community. Also included in the target population are adults who are transitioning from institutions. Such institutions include places of custody for justice-involved individuals such as jail, prison, and juvenile detention centers. Institutions also include places of institutional behavioral health care including a state hospital, psychiatric health facility, psychiatric or behavioral health hospital or unit, hospital emergency room, institute for mental disease, mental health rehabilitation center, skilled nursing facility, developmental center, residential treatment program, residential care facility, community crisis center, board and care facility, or foster care setting. Exhibit A Page 2 of 5 III. CONTRACTOR’S RESPONSIBILITIES: CONTRACTOR must make participation in supportive services by tenants voluntary. Access to or continued occupancy in housing cannot be conditioned on participation in services or on sobriety CONTRACTOR shall make available supportive services necessary to support tenants in remaining housed based on tenant need. Key supportive services will utilize the Critical Time Intervention (CTI) Model to make available support to tenants living with serious mental illness. Available supportive services will include, but may not be limited to the following: 1. Case management and coordination/provision of supportive services; 2. On-going assessment of needs and response to services; 3. Education to tenants regarding their individual behavioral health condition(s); 4. Behavioral health management efforts directed to assist tenants to manage their wellness, create plans of action, and to identify personal patterns in order to maximize results of their recovery services and supports; 5. Coordination of services, including linkages to primary health care, mental health care, substance abuse services, and peer support; 6. Coordination and securing appropriate permanent housing; 7. Engagement of family and other supportive individuals; 8. Team support building to include tenant council, recreational activities, social activities, and positive relationship building; 9. Psychological supports to help tenants accomplish personal goals and to develop strategies to deal with challenges; 10. Benefits counseling and advocacy to assist tenants in accessing and securing any benefits of which they made be eligible, including Medi-Cal enrollment and Social Security benefits (SSI/SSP); 11. Life-skills development services and support to include: personal care and hygiene, housekeeping, nutritional meal preparation, grocery shopping, money- management, and how to access and use public transportation; 12. Clinical support services including assistance with accessing, understanding, and utilizing all aspects of an individualized treatment plan, including but not limited to medication services, case management, therapy, psychiatric rehabilitation, and peer support. Exhibit A Page 3 of 5 IV. CULTURAL AND LINGUISTIC COMPETENCE REQUIREMENTS: CONTRACTOR shall: 1. Ensure compliance with Title 6 of the Civil Rights Act of 1964 (42 U.S.C. Section 2000d, and 45 C.F.R. Part 80) and Executive Order 12250 of 1979 which prohibits recipients of Federal financial assistance from discriminating against persons based on race, color, national origin, sex, disability or religion. This is interpreted to mean that a limited English proficient (LEP) individual is entitled to equal access and participation in federally funded programs through the provision of comprehensive and quality bilingual services. 2. Create and maintain policies and procedures for ensuring access and appropriate use of trained interpreters and material translation services for all LEP consumers, including, but not limited to, assessing the cultural and linguistic needs of its clients, training of staff on the policies and procedures, and monitoring its language assistance program. The CONTRACTOR's procedures must include ensuring compliance of any sub-contracted providers with these requirements. 3. Ensure that minors shall not be used as interpreters. 4. Conduct and submit to County an annual cultural and linguistic needs assessment to promote the provision and utilization of appropriate services for its diverse client population. The needs assessment report shall include findings and a plan outlining the proposed services to be improved or implemented as a result of the assessment findings, with special attention to addressing cultural and linguistic barriers and reducing racial, ethnic, language, abilities, gender, and age disparities. 5. Develop internal systems to meet the cultural and linguistic needs of the CONTRACTOR's client census including the incorporation of cultural competency in the CONTRACTOR's mission; establishing and maintaining a process to evaluate and determine the need for special - administrative, clinical, welcoming, billing, etc. - initiatives related to cultural competency. 6. Develop recruitment and retention initiatives to establish contracted program staffing that is reflective and responsive to the needs of the program and target population. 7. Establish designated staff person to coordinate and facilitate the integration of cultural competency guidelines and attend the Fresno County Department of Behavioral Health Cultural Competency Committee monthly meetings. The designated person will provide an array of communication tools to distribute information to staff relating to cultural competency issues. 8. Keep abreast of evidence-based and best practices in cultural competency in mental health care and treatment to ensure that the CONTRACTOR maintains Exhibit A Page 4 of 5 current information and an external perspective in its policies. The CONTRACTOR shall evaluate the effectiveness of strategies and programs in improving the health status of cultural-defined populations. 9. Ensure that an assessment of a client’s sexual orientation is included in the bio- psychosocial intake process. CONTRACTOR's staff shall assume that the population served may not be in heterosexual relationships. Gender sensitivity and sexual orientation must be covered in annual training. 10. Utilize existing community supports, referrals to transgender support groups, etc., when appropriate. 11. Report its efforts to evaluate cultural and linguistic activities as part of the CONTRACTOR's ongoing quality improvement efforts in the monthly activities report. Reported information may include clients’ complaints and grievances, results from client satisfaction surveys, and utilization and other clinical data that may reveal health disparities as a result of cultural and linguistic barriers. V. TRAINING REQUIREMENTS: CONTRACTOR shall: 1. Attend annual Cultural Competence training. 2. Attend annual Compliance, Billing and Documentation training. 3. Attend other required trainings provided by the County. VI. COUNTY RESPONSIBILITIES: COUNTY shall: 1. Identify and determine homeless individuals having the highest health risk and the most need of housing specifically, those individuals defined as Chronically Homeless, Homeless or At-Risk of Chronic Homelessness utilizing the Fresno Madera Continuum of Care (FMCoC) the Coordinated Entry System (CES). 2. Assist the CONTRACTOR in making linkages with the total mental health system. This will be accomplished through regularly scheduled meetings as well as formal and informal consultation. 3. Participate in evaluating the progress of the overall program and the efficiency of collaboration with the vendor staff and will be available to the contractor for ongoing consultation. 4. Receive and analyze statistical data outcome information from CONTRACTOR throughout the term of contract on a monthly basis. DBH will notify the vendor when additional participation is required. The performance outcome measurement process will not be limited to survey instruments but will also include, as appropriate, client and staff interviews, chart reviews, and other Exhibit A Page 5 of 5 methods of obtaining required information. 5. Recognize that cultural competence is a goal toward which professionals, agencies, and systems should strive. Becoming culturally competent is a developmental process and incorporates at all levels the importance of culture, the assessment of cross-cultural relations, vigilance towards the dynamics that result from cultural differences, the expansion of cultural knowledge, and the adaptation of services to meet culturally-unique needs. Offering those services in a manner that fails to achieve its intended result due to cultural and linguistic barriers is not cost effective. To assist the CONTRACTOR'S efforts towards cultural and linguistic competency, DBH shall provide the following at no cost to vendor(s): a. Technical assistance to CONTRACTOR regarding cultural competency requirements and sexual orientation training. b. Technical assistance for CONTRACTOR in translating behavioral health and substance abuse services information into DBH's threshold languages (Spanish and Hmong). Translation services and costs associated will be the responsibility of the vendor. Fresno County Department of Behavioral Health Guiding Principles of Care Delivery 1 rev 01-02-2020 DBH VISION: Health and well-being for our community. DBH MISSION: DBH, in partnership with our diverse community, is dedicated to providing quality, culturally responsive, behavioral health services to promote wellness, recovery, and resiliency for individuals and families in our community. DBH GOALS: Quadruple Aim •Deliver quality care •Maximize resources while focusing on efficiency •Provide an excellent care experience •Promote workforce well-being GUIDING PRINCIPLES OF CARE DELIVERY: The DBH 11 principles of care delivery define and guide a system that strives for excellence in the provision of behavioral health services where the values of wellness, resiliency, and recovery are central to the development of programs, services, and workforce. The principles provide the clinical framework that influences decision-making on all aspects of care delivery including program design and implementation, service delivery, training of the workforce, allocation of resources, and measurement of outcomes. 1.Principle One - Timely Access & Integrated Services o Individuals and families are connected with services in a manner that is streamlined, effective, and seamless o Collaborative care coordination occurs across agencies, plans for care are integrated, and whole person care considers all life domains such as health, education, employment, housing, and spirituality o Barriers to access and treatment are identified and addressed o Excellent customer service ensures individuals and families are transitioned from one point of care to another without disruption of care Exhibit B Page 1 of 4 Fresno County Department of Behavioral Health Guiding Principles of Care Delivery 2 rev 01-02-2020 2.Principle Two - Strengths-based o Positive change occurs within the context of genuine trusting relationships o Individuals, families, and communities are resourceful and resilient in the way they solve problems o Hope and optimism is created through identification of, and focus on, the unique abilities of individuals and families 3.Principle Three - Person-driven and Family-driven o Self-determination and self-direction are the foundations for recovery o Individuals and families optimize their autonomy and independence by leading the process, including the identification of strengths, needs, and preferences o Providers contribute clinical expertise, provide options, and support individuals and families in informed decision making, developing goals and objectives, and identifying pathways to recovery o Individuals and families partner with their provider in determining the services and supports that would be most effective and helpful and they exercise choice in the services and supports they receive 4.Principle Four - Inclusive of Natural Supports o The person served identifies and defines family and other natural supports to be included in care o Individuals and families speak for themselves o Natural support systems are vital to successful recovery and the maintaining of ongoing wellness; these supports include personal associations and relationships typically developed in the community that enhance a person’s quality of life o Providers assist individuals and families in developing and utilizing natural supports. 5.Principle Five - Clinical Significance and Evidence Based Practices (EBP) o Services are effective, resulting in a noticeable change in daily life that is measurable. o Clinical practice is informed by best available research evidence, best clinical expertise, and values and preferences of those we serve o Other clinically significant interventions such as innovative, promising, and emerging practices are embraced Exhibit B Page 2 of 4 Fresno County Department of Behavioral Health Guiding Principles of Care Delivery 3 rev 01-02-2020 6.Principle Six - Culturally Responsive o Values, traditions, and beliefs specific to an individual’s or family’s culture(s) are valued and referenced in the path of wellness, resilience, and recovery o Services are culturally grounded, congruent, and personalized to reflect the unique cultural experience of each individual and family o Providers exhibit the highest level of cultural humility and sensitivity to the self- identified culture(s) of the person or family served in striving to achieve the greatest competency in care delivery 7.Principle Seven - Trauma-informed and Trauma-responsive o The widespread impacts of all types of trauma are recognized and the various potential paths for recovery from trauma are understood o Signs and symptoms of trauma in individuals, families, staff, and others are recognized and persons receive trauma-informed responses o Physical, psychological and emotional safety for individuals, families, and providers is emphasized 8.Principle Eight - Co-occurring Capable o Services are reflective of whole-person care; providers understand the influence of bio-psycho-social factors and the interactions between physical health, mental health, and substance use disorders o Treatment of substance use disorders and mental health disorders are integrated; a provider or team may deliver treatment for mental health and substance use disorders at the same time 9.Principle Nine - Stages of Change, Motivation, and Harm Reduction o Interventions are motivation-based and adapted to the person’s stage of change o Progression though stages of change are supported through positive working relationships and alliances that are motivating o Providers support individuals and families to develop strategies aimed at reducing negative outcomes of substance misuse though a harm reduction approach o Each individual defines their own recovery and recovers at their own pace when provided with sufficient time and support Exhibit B Page 3 of 4 Fresno County Department of Behavioral Health Guiding Principles of Care Delivery 4 rev 01-02-2020 10.Principle Ten - Continuous Quality Improvement and Outcomes-Driven o Individual and program outcomes are collected and evaluated for quality and efficacy o Strategies are implemented to achieve a system of continuous quality improvement and improved performance outcomes o Providers participate in ongoing professional development activities needed for proficiency in practice and implementation of treatment models 11.Principle Eleven - Health and Wellness Promotion, Illness and Harm Prevention, and Stigma Reduction o The rights of all people are respected o Behavioral health is recognized as integral to individual and community well-being o Promotion of health and wellness is interwoven throughout all aspects of DBH services o Specific strategies to prevent illness and harm are implemented at the individual, family, program, and community levels o Stigma is actively reduced by promoting awareness, accountability, and positive change in attitudes, beliefs, practices, and policies within all systems o The vision of health and well-being for our community is continually addressed through collaborations between providers, individuals, families, and community members Exhibit B Page 4 of 4 Employee Salaries Acct #Position FTE Admin Direct Total 1101 Program Director 0.13 5,417$ 5,417$ 1102 LMHP Team Lead 0.38 2,810 5,621 8,431 1103 Program Nurse 0.25 - 4,507 4,507 1104 Nurse Practitioner (see line 5003)0.06 - - - 1105 Supervising Psychiatrist (see line 5003)0.00 - - - 1106 Care Manager 0.51 - 8,486 8,486 1107 Peer Advocate 0.25 - 2,600 2,600 1108 CTI Specialist 0.51 - 8,486 8,486 1109 Care Manager/SUD 0.25 - 4,160 4,160 1110 Data Specialist 0.13 1,622 - 1,622 1111 Program Support Assistant 0.13 1,532 - 1,532 1112 - - - 1113 - - - 1114 - - - 1115 - - - 1116 - - - 1117 - - - 1118 - - - 1119 - - - 1120 - - - Personnel Salaries Subtotal 2.60 11,382$ 33,860$ 45,242$ Employee Benefits Acct #Admin Direct Total 1201 455$ 1,354$ 1,810$ 1202 683 2,032 2,715 1203 911 2,709 3,619 1204 - - - 1205 - - - 1206 - - - 2,049$ 6,095$ 8,144$ Payroll Taxes & Expenses: Acct #Admin Direct Total 1301 171$ 508$ 679$ 1302 825 2,455 3,280 1303 171 508 679 1304 - - - 1305 - - - 1306 - - - 1,167$ 3,471$ 4,637$ 14,597$ 43,426$ 58,023$ Retirement Worker's Compensation Health Insurance Other (specify) Other (specify) OASDI FICA/MEDICARE SUI Other (specify) Other (specify) Employee Benefits Subtotal: Description PROGRAM NAME Exodus Recovery, Inc -Villages at Paragon Housing Supportive Services Fiscal Year (FY 2020-21) Description Payroll Taxes & Expenses Subtotal: Other (specify) Other (specify) EMPLOYEE SALARIES & BENEFITS TOTAL: PROGRAM EXPENSES 1000: SALARIES & BENEFITS Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit C Page 1 of 30 2000: CLIENT SUPPORT Acct #Amount 2001 -$ 2002 - 2003 - 2004 - 2005 - 2006 - 2007 13,500 2008 - 2009 - 2010 - 2011 333 2012 - 2013 - 2014 - 2015 - 2016 - 13,833$ 3000: OPERATING EXPENSES Acct #Amount 3001 260$ 3002 - 3003 262 3004 - 3005 - 3006 1,876 3007 - 3008 - 3009 - 3010 - 3011 - 3012 - 2,398$ 4000: FACILITIES & EQUIPMENT Acct #Amount 4001 -$ 4002 - 4003 - 4004 - 4005 - 4006 - 4007 - 4008 - 4009 - 4010 - -$ 5000: SPECIAL EXPENSES Other (specify) Other (specify) 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 Rent/Lease Vehicles Security Other (specify) Utilities 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 OPERATING EXPENSES TOTAL: Other (specify) Other (specify) Other (specify) Building Maintenance Line Item Description Line Item Description Line Item Description DIRECT CLIENT CARE TOTAL Other (specify) Other (specify): Recreational Supplies Advertising FACILITIES/EQUIPMENT TOTAL: Other (specify) Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit C Page 2 of 30 Acct #Amount 5001 1,733$ 5002 - 5003 4,784 5004 - 5005 - 5006 - 5007 - 5008 - 6,517$ 6000: ADMINISTRATIVE EXPENSES Acct #Amount 6001 12,155$ 6002 - 6003 - 6004 - 6005 266 6006 - 6007 - 6008 - 6009 - 6010 - 6011 - 6012 - 12,421$ 7000: FIXED ASSETS Acct #Amount 7001 -$ 7002 - 7003 - 7004 - 7005 - 7006 - 7007 - 7008 - -$ Leasehold/Tenant/Building Improvements Payroll Services Line Item Description External Audit Other (specify) Other (specify) Other (specify) Insurance (Specify): Professional Liability 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) SPECIAL EXPENSES TOTAL: Computer Equipment & Software Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data Other (specify) Contractual/Consulting Services (Specify) Translation Services 93,192$ TOTAL PROGRAM EXPENSES Other Assets over $500 with Lifespan of 2 Years + Other (specify) Assets over $5,000/unit (Specify) FIXED ASSETS EXPENSES TOTAL Line Item Description Professional Liability Insurance Accounting/Bookkeeping ADMINISTRATIVE EXPENSES TOTAL Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit C Page 3 of 30 Acct #Service Units Rate Amount 8001 Mental Health Services 716 3.92 2,807$ 8002 Case Management 3,779 3.04 11,488 8003 Crisis Services 391 5.96 2,330 8004 Medication Support 2,357 7.40 17,442 8005 Collateral 386 3.92 1,513 8006 Plan Development 143 3.92 561 8007 Assessment 56 3.92 220 8008 Rehabilitation 6,495 3.92 25,460 14,323 61,821$ 59% 36,165 53%19,204 19,204$ Acct #Amount 8101 Drug Medi-Cal -$ 8102 SABG -$ -$ Acct #Amount 8201 Realignment -$ -$ Acct #MHSA Component Amount 8301 CSS - Community Services & Supports 49,417$ 8302 PEI - Prevention & Early Intervention - 8303 INN - Innovations - 8304 WET - Workforce Education & Training - 8305 CFTN - Capital Facilities & Technology - 49,417$ Acct #Amount 8401 Client Fees -$ 8402 Client Insurance - 8403 8404 24,571 8405 - 24,571$ MEDI-CAL FFP TOTAL MHSA TOTAL Line Item Description Line Item Description 8100 - SUBSTANCE USE DISORDER FUNDS OTHER REVENUE TOTAL MHSA Program Name 8300 - MENTAL HEALTH SERVICE ACT (MHSA) Line Item Description REALIGNMENT TOTAL 8200 - REALIGNMENT NET PROGRAM COST: 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) % Grants (Specify) Fresno Housing Authority Supportive Service Commitment Other (Specify) Line Item Description 8400 - OTHER REVENUE TOTAL PROGRAM FUNDING SOURCES:93,192$ 0$ SUBSTANCE USE DISORDER FUNDS TOTAL 8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION) Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit C Page 4 of 30 Budget Narrative ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000: SALARIES & BENEFITS 58,023 Employee Salaries 45,242 1101 Program Director 5,417 Directing all of the program clinical aspects 1102 LMHP Team Lead 8,431 Support, guide, supervise as team lead and provide assessments & treatment 1103 Program Nurse 4,507 Screening, assessments, health education, crisis intervention, medication svcs 1104 Nurse Practitioner (see line 5003)- Assessments, crisis intervention, medication services 1105 Supervising Psychiatrist (see line 5003)- Supervises NP and provides case consulation as needed 1106 Care Manager 8,486 Performs strength/needs assessment, ongoing care coordination 1107 Peer Advocate 2,600 Initial client engagement and improved tenant engagement 1108 CTI Specialist 8,486 Assisting clients transitioning from homelessness to permanent tenancy 1109 Care Manager/SUD 4,160 Provide SU counseling and services 1110 Data Specialist 1,622 Data entry, billing, productivity reports 1111 Program Support Assistant 1,532 Data collection, maintains administrative and medical records 1112 0 - 1113 0 - 1114 0 - 1115 0 - 1116 0 - 1117 0 - 1118 0 - 1119 0 - 1120 0 - Employee Benefits 8,144 1201 Retirement 1,810 Match up to 4% 1202 Worker's Compensation 2,715 Current rate 1203 Health Insurance 3,619 Medical, dental, vision benefits 1204 Other (specify)- 1205 Other (specify)- 1206 Other (specify)- Payroll Taxes & Expenses:4,637 1301 OASDI 679 Current rate 1302 FICA/MEDICARE 3,280 Current rate 1303 SUI 679 Current rate 1304 Other (specify)- 1305 Other (specify)- 1306 Other (specify)- 2000: CLIENT SUPPORT 13,833 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 13,500 Client emergency fund, tenant supports 2008 Medication Supports - 2009 Program Supplies - Medical - 2010 Utility Vouchers - 2011 Other (specify): Recreational Supplies 333 Recreational activity supplies 2012 Other (specify)- 2013 Other (specify)- 2014 Other (specify)- 2015 Other (specify)- 2016 Other (specify)- 3000: OPERATING EXPENSES 2,398 3001 Telecommunications 260 Phone and data services 3002 Printing/Postage - 3003 Office, Household & Program Supplies 262 Standard Office Supplies: paper, pens, paper clips, etc. Exodus Recovery, Inc -Villages at Paragon Housing Supportive Services PROGRAM NAME Fiscal Year (FY 2020-21) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit C Page 5 of 30 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 3004 Advertising - 3005 Staff Development & Training - 3006 Staff Mileage 1,876 Based up current IRS rate ($.58) est. 20 miles per day per FTE 3007 Subscriptions & Memberships - 3008 Vehicle Maintenance - 3009 Other (specify)- 3010 Other (specify)- 3011 Other (specify)- 3012 Other (specify)- 4000: FACILITIES & EQUIPMENT - 4001 Building Maintenance - 4002 Rent/Lease Building - 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities - 4007 Other (specify)- 4008 Other (specify)- 4009 Other (specify)- 4010 Other (specify)- 5000: SPECIAL EXPENSES 6,517 5001 Consultant (Network & Data Management)1,733 Copier, printers, computers and network equipment 5002 HMIS (Health Management Information System) - 5003 Contractual/Consulting Services (Specify)4,784 Nurse Practitioner and Supervising Psychiatrist 5004 Translation Services - 5005 Other (specify)- 5006 Other (specify)- 5007 Other (specify)- 5008 Other (specify)- 6000: ADMINISTRATIVE EXPENSES 12,421 6001 Administrative Overhead 12,155 15% Indirect 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping - 6004 External Audit - 6005 Insurance (Specify): Professional Liability 266 Pursuant to contractual requirements 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 $5,000/unit (Specify)- 7007 Other (specify)- 7008 Other (specify)- TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:93,192 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:93,192 - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit C Page 6 of 30 Employee Salaries Acct #Position FTE Admin Direct Total 1101 Program Director 0.13 16,739$ -$ 16,739$ 1102 LMHP Team Lead 0.38 8,684 17,368 26,052 1103 Program Nurse 0.25 - 13,926 13,926 1104 Nurse Practitioner (see line 5003)0.06 - - - 1105 Supervising Psychiatrist (see line 5003)0.00 - - - 1106 Care Manager 0.51 - 26,223 26,223 1107 Peer Advocate 0.25 - 8,034 8,034 1108 CTI Specialist 0.51 - 26,223 26,223 1109 Care Manager/SUD 0.25 - 12,854 12,854 1110 Data Specialist 0.13 5,013 - 5,013 1111 Program Support Assistant 0.13 4,735 - 4,735 1112 - - - 1113 - - - 1114 - - - 1115 - - - 1116 - - - 1117 - - - 1118 - - - 1119 - - - 1120 - - - Personnel Salaries Subtotal 2.60 35,170$ 104,628$ 139,798$ Employee Benefits Acct #Admin Direct Total 1201 1,407$ 4,185$ 5,592$ 1202 2,110 6,278 8,388 1203 2,814 8,370 11,184 1204 - - - 1205 - - - 1206 - - - 6,331$ 18,833$ 25,164$ Payroll Taxes & Expenses: Acct #Admin Direct Total 1301 528$ 1,569$ 2,097$ 1302 2,550 7,586 10,135 1303 528 1,569 2,097 1304 - - - 1305 - - 1306 - - 3,605$ 10,724$ 14,329$ 45,106$ 134,185$ 179,291$ 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) PROGRAM NAME Exodus Recovery, Inc -Villages at Paragon Housing Supportive Services Fiscal Year (FY 2021-22) PROGRAM EXPENSES 1000: SALARIES & BENEFITS Description Employee Benefits Subtotal: Description OASDI Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit C Page 7 of 30 2000: CLIENT SUPPORT Acct #Amount 2001 -$ 2002 - 2003 - 2004 - 2005 - 2006 - 2007 40,500 2008 - 2009 - 2010 - 2011 1,000 2012 - 2013 - 2014 - 2015 - 2016 - 41,500$ 3000: OPERATING EXPENSES Acct #Amount 3001 780$ 3002 - 3003 787 3004 - 3005 - 3006 1,876 3007 - 3008 - 3009 - 3010 - 3011 - 3012 - 3,443$ 4000: FACILITIES & EQUIPMENT Acct #Amount 4001 -$ 4002 - 4003 - 4004 - 4005 - 4006 - 4007 - 4008 - 4009 - 4010 - -$ 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 (Specify) Other (Specify) 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): Recreational Supplies Other (Specify) Client Housing Support Client Transportation & Support Clothing, Food, & Hygiene Education Support Employment Support Line Item Description Child Care Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit C Page 8 of 30 Acct #Amount 5001 5,200$ 5002 - 5003 14,783 5004 - 5005 - 5006 - 5007 - 5008 - 19,983$ 6000: ADMINISTRATIVE EXPENSES Acct #Amount 6001 36,752$ 6002 - 6003 - 6004 - 6005 793 6006 - 6007 - 6008 - 6009 - 6010 - 6011 - 6012 - 37,545$ 7000: FIXED ASSETS Acct #Amount 7001 -$ 7002 - 7003 - 7004 - 7005 - 7006 - 7007 - 7008 - -$ FIXED ASSETS EXPENSES TOTAL TOTAL PROGRAM EXPENSES 281,762$ 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 $500 with Lifespan of 2 Years + ADMINISTRATIVE EXPENSES TOTAL Other (Specify) Other (Specify) Other (Specify) Other (Specify) Other (Specify) Administrative Overhead Professional Liability Insurance Accounting/Bookkeeping External Audit Depreciation (Provider-Owned Equipment to be Used for Program Purposes) Payroll Services SPECIAL EXPENSES TOTAL: Line Item Description Other (Specify) Other (Specify) Other (Specify) Other (Specify) Insurance (Specify): Professional Liability Line Item Description Consultant (Network & Data Management) HMIS (Health Management Information System) Contractual/Consulting Services (Specify) Translation Services Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit C Page 9 of 30 Acct #Service Units Rate Amount 8001 Mental Health Services 2,149 3.92 8,424$ 8002 Case Management 11,337 3.04 34,464 8003 Crisis Services 1,173 5.96 6,991 8004 Medication Support 7,070 7.40 52,318 8005 Collateral 1,159 3.92 4,543 8006 Plan Development 429 3.92 1,682 8007 Assessment 169 3.92 662 8008 Rehabilitation 19,485 3.92 76,381 42,971 185,466$ 59% 108,498 53%57,612 57,612$ Acct #Amount 8101 Drug Medi-Cal -$ 8102 SABG -$ -$ Acct #Amount 8201 Realignment (0)$ (0)$ Acct #MHSA Component Amount 8301 CSS - Community Services & Supports 125,866$ 8302 PEI - Prevention & Early Intervention - 8303 INN - Innovations - 8304 WET - Workforce Education & Training - 8305 CFTN - Capital Facilities & Technology - 125,866$ Acct #Amount 8401 Client Fees -$ 8402 Client Insurance - 8403 8404 98,284 8405 - 98,284$ OTHER REVENUE TOTAL TOTAL PROGRAM FUNDING SOURCES:281,762$ NET PROGRAM COST: -$ MHSA TOTAL 8400 - OTHER REVENUE Line Item Description Grants (Specify) Fresno Housing Authority Supportive Services Commitment Other (Specify) 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 Exhibit C Page 10 of 30 Budget Narrative ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000: SALARIES & BENEFITS 179,291 Employee Salaries 139,798 1101 Program Director 16,739 Directing all of the program clinical aspects 1102 LMHP Team Lead 26,052 Support, guide, supervise as team lead and provide assessments & treatment 1103 Program Nurse 13,926 Screening, assessments, health education, crisis intervention, medication svcs 1104 Nurse Practitioner (see line 5003)- Assessments, crisis intervention, medication services 1105 Supervising Psychiatrist (see line 5003)- Supervises NP and provides case consulation as needed 1106 Care Manager 26,223 Performs strength/needs assessment, ongoing care coordination 1107 Peer Advocate 8,034 Initial client engagement and improved tenant engagement 1108 CTI Specialist 26,223 Assisting clients transitioning from homelessness to permanent tenancy 1109 Care Manager/SUD 12,854 Provide SU counseling and services 1110 Data Specialist 5,013 Data entry, billing, productivity reports 1111 Program Support Assistant 4,735 Data collection, maintains administrative and medical records 1112 0 - 1113 0 - 1114 0 - 1115 0 - 1116 0 - 1117 0 - 1118 0 - 1119 0 - 1120 0 - Employee Benefits 25,164 1201 Retirement 5,592 Match up to 4% 1202 Worker's Compensation 8,388 Current rate 1203 Health Insurance 11,184 Medical, dental, vision benefits 1204 Other (Specify)- 1205 Other (Specify)- 1206 Other (Specify)- Payroll Taxes & Expenses:14,329 1301 OASDI 2,097 Current rate 1302 FICA/MEDICARE 10,135 Current rate 1303 SUI 2,097 Current rate 1304 Other (Specify)- 1305 Other (Specify)- 1306 Other (Specify)- 2000: CLIENT SUPPORT 41,500 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 40,500 Client emergency fund, tenant supports 2008 Medication Supports - 2009 Program Supplies - Medical - 2010 Utility Vouchers - 2011 Other (specify): Recreational Supplies 1,000 Recreational activity supplies 2012 Other (Specify)- 2013 Other (Specify)- 2014 Other (Specify)- 2015 Other (Specify)- 2016 Other (Specify)- 3000: OPERATING EXPENSES 3,443 3001 Telecommunications 780 Phone and data services 3002 Printing/Postage - 3003 Office, Household & Program Supplies 787 Standard Office Supplies: paper, pens, paper clips, etc. PROGRAM NAME Exodus Recovery, Inc -Villages at Paragon Housing Supportive Services Fiscal Year (FY 2021-22) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit C Page 11 of 30 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 3004 Advertising - 3005 Staff Development & Training - 3006 Staff Mileage 1,876 Based up current IRS rate ($.58) est. 20 miles per day per FTE 3007 Subscriptions & Memberships - 3008 Vehicle Maintenance - 3009 Other (Specify)- 3010 Other (Specify)- 3011 Other (Specify)- 3012 Other (Specify)- 4000: FACILITIES & EQUIPMENT - 4001 Building Maintenance - 4002 Rent/Lease Building - 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities - 4007 Other (Specify)- 4008 Other (Specify)- 4009 Other (Specify)- 4010 Other (Specify)- 5000: SPECIAL EXPENSES 19,983 5001 Consultant (Network & Data Management)5,200 Copier, printers, computers and network equipment 5002 HMIS (Health Management Information System) - 5003 Contractual/Consulting Services (Specify)14,783 Nurse Practitioner and Supervising Psychiatrist 5004 Translation Services - 5005 Other (Specify)- 5006 Other (Specify)- 5007 Other (Specify)- 5008 Other (Specify)- 6000: ADMINISTRATIVE EXPENSES 37,545 6001 Administrative Overhead 36,752 15% Indirect 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping - 6004 External Audit - 6005 Insurance (Specify): Professional Liability 793 Pursuant to contractual requirements 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 $5,000/unit (Specify)- 7007 Other (Specify)- 7008 Other (Specify)- TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:281,762 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:281,762 - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit C Page 12 of 30 Employee Salaries Acct #Position FTE Admin Direct Total 1101 Program Director 0.13 17,241$ -$ 17,241$ 1102 LMHP Team Lead 0.38 8,944 17,889 26,833 1103 Program Nurse 0.25 - 14,343 14,343 1104 Nurse Practitioner (see line 5003)0.06 - - - 1105 Supervising Psychiatrist (see line 5003)0.00 - - - 1106 Care Manager 0.51 - 27,010 27,010 1107 Peer Advocate 0.25 - 8,275 8,275 1108 CTI Specialist 0.51 - 27,010 27,010 1109 Care Manager/SUD 0.25 - 13,240 13,240 1110 Data Specialist 0.13 5,164 - 5,164 1111 Program Support Assistant 0.13 4,877 - 4,877 1112 - - - 1113 - - - 1114 - - - 1115 - - - 1116 - - - 1117 - - - 1118 - - - 1119 - - - 1120 - - Personnel Salaries Subtotal 2.60 36,225$ 107,767$ 143,992$ Employee Benefits Acct #Admin Direct Total 1201 1,449$ 4,311$ 5,760$ 1202 2,174 6,466 8,640 1203 2,898 8,621 11,519 1204 - - - 1205 - - - 1206 - - - 6,521$ 19,398$ 25,919$ Payroll Taxes & Expenses: Acct #Admin Direct Total 1301 543$ 1,616$ 2,160$ 1302 2,626 7,813 10,439 1303 543 1,616 2,160 1304 - - - 1305 - - 1306 - - 3,713$ 11,046$ 14,759$ 46,459$ 138,211$ 184,670$ 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) PROGRAM NAME Exodus Recovery, Inc -Villages at Paragon Housing Supportive Services Fiscal Year (FY 2022-23) PROGRAM EXPENSES 1000: SALARIES & BENEFITS Description Employee Benefits Subtotal: Description OASDI Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit C Page 13 of 30 2000: CLIENT SUPPORT Acct #Amount 2001 -$ 2002 - 2003 - 2004 - 2005 - 2006 - 2007 40,500 2008 - 2009 - 2010 - 2011 1,000 2012 - 2013 - 2014 - 2015 - 2016 - 41,500$ 3000: OPERATING EXPENSES Acct #Amount 3001 780$ 3002 - 3003 787 3004 - 3005 - 3006 1,876 3007 - 3008 - 3009 - 3010 - 3011 - 3012 - 3,443$ 4000: FACILITIES & EQUIPMENT Acct #Amount 4001 -$ 4002 - 4003 - 4004 - 4005 - 4006 - 4007 - 4008 - 4009 - 4010 - -$ 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 (Specify) Other (Specify) 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): Recreational Supplies Other (Specify) Client Housing Support Client Transportation & Support Clothing, Food, & Hygiene Education Support Employment Support Line Item Description Child Care Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit C Page 14 of 30 Acct #Amount 5001 5,200$ 5002 - 5003 14,783 5004 - 5005 - 5006 - 5007 - 5008 - 19,983$ 6000: ADMINISTRATIVE EXPENSES Acct #Amount 6001 31,386$ 6002 - 6003 - 6004 - 6005 780 6006 - 6007 - 6008 - 6009 - 6010 - 6011 - 6012 - 32,166$ 7000: FIXED ASSETS Acct #Amount 7001 -$ 7002 - 7003 - 7004 - 7005 - 7006 - 7007 - 7008 - -$ FIXED ASSETS EXPENSES TOTAL TOTAL PROGRAM EXPENSES 281,762$ 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 $500 with Lifespan of 2 Years + ADMINISTRATIVE EXPENSES TOTAL Other (Specify) Other (Specify) Other (Specify) Other (Specify) Other (Specify) Administrative Overhead Professional Liability Insurance Accounting/Bookkeeping External Audit Depreciation (Provider-Owned Equipment to be Used for Program Purposes) Payroll Services SPECIAL EXPENSES TOTAL: Line Item Description Other (Specify) Other (Specify) Other (Specify) Other (Specify) Insurance (Specify): Professional Liability Line Item Description Consultant (Network & Data Management) HMIS (Health Management Information System) Contractual/Consulting Services (Specify) Translation Services Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit C Page 15 of 30 Acct #Service Units Rate Amount 8001 Mental Health Services 2,149 3.92 8,424$ 8002 Case Management 11,337 3.04 34,464 8003 Crisis Services 1,173 5.96 6,991 8004 Medication Support 7,070 7.40 52,318 8005 Collateral 1,159 3.92 4,543 8006 Plan Development 429 3.92 1,682 8007 Assessment 169 3.92 662 8008 Rehabilitation 19,485 3.92 76,381 42,971 185,466$ 59% 108,498 53%57,612 57,612$ Acct #Amount 8101 Drug Medi-Cal -$ 8102 SABG -$ -$ Acct #Amount 8201 Realignment 0$ 0$ Acct #MHSA Component Amount 8301 CSS - Community Services & Supports 125,865$ 8302 PEI - Prevention & Early Intervention - 8303 INN - Innovations - 8304 WET - Workforce Education & Training - 8305 CFTN - Capital Facilities & Technology - 125,865$ Acct #Amount 8401 Client Fees -$ 8402 Client Insurance - 8403 - 8404 98,284 8405 - 98,284$ OTHER REVENUE TOTAL TOTAL PROGRAM FUNDING SOURCES:281,762$ NET PROGRAM COST: -$ MHSA TOTAL 8400 - OTHER REVENUE Line Item Description Grants (Specify) Fresno Housing Authority Supportive Services Commitment Other (Specify) 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 Exhibit C Page 16 of 30 Budget Narrative ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000: SALARIES & BENEFITS 184,670 Employee Salaries 143,992 1101 Program Director 17,241 Directing all of the program clinical aspects 1102 LMHP Team Lead 26,833 Support, guide, supervise as team lead and provide assessments & treatment 1103 Program Nurse 14,343 Screening, assessments, health education, crisis intervention, medication svcs 1104 Nurse Practitioner (see line 5003)- Assessments, crisis intervention, medication services 1105 Supervising Psychiatrist (see line 5003)- Supervises NP and provides case consulation as needed 1106 Care Manager 27,010 Performs strength/needs assessment, ongoing care coordination 1107 Peer Advocate 8,275 Initial client engagement and improved tenant engagement 1108 CTI Specialist 27,010 Assisting clients transitioning from homelessness to permanent tenancy 1109 Care Manager/SUD 13,240 Provide SU counseling and services 1110 Data Specialist 5,164 Data entry, billing, productivity reports 1111 Program Support Assistant 4,877 Data collection, maintains administrative and medical records 1112 0 - 1113 0 - 1114 0 - 1115 0 - 1116 0 - 1117 0 - 1118 0 - 1119 0 - 1120 0 - Employee Benefits 25,919 1201 Retirement 5,760 Match up to 4% 1202 Worker's Compensation 8,640 Current rate 1203 Health Insurance 11,519 Medical, dental, vision benefits 1204 Other (Specify)- 1205 Other (Specify)- 1206 Other (Specify)- Payroll Taxes & Expenses:14,759 1301 OASDI 2,160 Current rate 1302 FICA/MEDICARE 10,439 Current rate 1303 SUI 2,160 Current rate 1304 Other (Specify)- 1305 Other (Specify)- 1306 Other (Specify)- 2000: CLIENT SUPPORT 41,500 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 40,500 Client emergency fund, tenant supports 2008 Medication Supports - 2009 Program Supplies - Medical - 2010 Utility Vouchers - 2011 Other (specify): Recreational Supplies 1,000 Recreational activity supplies 2012 Other (Specify)- 2013 Other (Specify)- 2014 Other (Specify)- 2015 Other (Specify)- 2016 Other (Specify)- 3000: OPERATING EXPENSES 3,443 3001 Telecommunications 780 Phone and data services 3002 Printing/Postage - 3003 Office, Household & Program Supplies 787 Standard Office Supplies: paper, pens, paper clips, etc. PROGRAM NAME Exodus Recovery, Inc -Villages at Paragon Housing Supportive Services Fiscal Year (FY 2022-23) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit C Page 17 of 30 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 3004 Advertising - 3005 Staff Development & Training - 3006 Staff Mileage 1,876 Based up current IRS rate ($.58) est. 20 miles per day per FTE 3007 Subscriptions & Memberships - 3008 Vehicle Maintenance - 3009 Other (Specify)- 3010 Other (Specify)- 3011 Other (Specify)- 3012 Other (Specify)- 4000: FACILITIES & EQUIPMENT - 4001 Building Maintenance - 4002 Rent/Lease Building - 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities - 4007 Other (Specify)- 4008 Other (Specify)- 4009 Other (Specify)- 4010 Other (Specify)- 5000: SPECIAL EXPENSES 19,983 5001 Consultant (Network & Data Management)5,200 Copier, printers, computers and network equipment 5002 HMIS (Health Management Information System) - 5003 Contractual/Consulting Services (Specify)14,783 Nurse Practitioner and Supervising Psychiatrist 5004 Translation Services - 5005 Other (Specify)- 5006 Other (Specify)- 5007 Other (Specify)- 5008 Other (Specify)- 6000: ADMINISTRATIVE EXPENSES 32,166 6001 Administrative Overhead 31,386 15% Indirect 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping - 6004 External Audit - 6005 Insurance (Specify): Professional Liability 780 Pursuant to contractual requirements 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 $5,000/unit (Specify)- 7007 Other (Specify)- 7008 Other (Specify)- TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:281,762 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:281,762 - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit C Page 18 of 30 Employee Salaries Acct #Position FTE Admin Direct Total 1101 Program Director 0.13 17,758$ -$ 17,758$ 1102 LMHP Team Lead 0.38 9,213 18,425 27,638 1103 Program Nurse 0.25 - 14,774 14,774 1104 Nurse Practitioner (see line 5003)0.06 - - - 1105 Supervising Psychiatrist (see line 5003)0.00 - - - 1106 Care Manager 0.51 - 27,820 27,820 1107 Peer Advocate 0.25 - 8,523 8,523 1108 CTI Specialist 0.51 - 27,820 27,820 1109 Care Manager/SUD 0.25 - 13,637 13,637 1110 Data Specialist 0.13 5,319 - 5,319 1111 Program Support Assistant 0.13 5,023 - 5,023 1112 - - - 1113 - - - 1114 - - - 1115 - - - 1116 - - - 1117 - - - 1118 - - - 1119 - - - 1120 - - Personnel Salaries Subtotal 2.60 37,312$ 111,000$ 148,312$ Employee Benefits Acct #Admin Direct Total 1201 1,492$ 4,440$ 5,932$ 1202 2,239 6,660 8,899 1203 2,985 8,880 11,865 1204 - - - 1205 - - - 1206 - - - 6,716$ 19,980$ 26,696$ Payroll Taxes & Expenses: Acct #Admin Direct Total 1301 560$ 1,665$ 2,225$ 1302 2,705 8,047 10,753 1303 560 1,665 2,225 1304 - - - 1305 - - - 1306 - - - 3,825$ 11,377$ 15,202$ 47,853$ 142,357$ 190,210$ 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) PROGRAM NAME Exodus Recovery, Inc -Villages at Paragon Housing Supportive Services Fiscal Year (FY 2023-24) PROGRAM EXPENSES 1000: SALARIES & BENEFITS Description Employee Benefits Subtotal: Description OASDI Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit C Page 19 of 30 2000: CLIENT SUPPORT Acct #Amount 2001 -$ 2002 - 2003 - 2004 - 2005 - 2006 - 2007 40,500 2008 - 2009 - 2010 - 2011 1,000 2012 - 2013 - 2014 - 2015 - 2016 - 41,500$ 3000: OPERATING EXPENSES Acct #Amount 3001 780$ 3002 - 3003 787 3004 - 3005 - 3006 1,876 3007 - 3008 - 3009 - 3010 - 3011 - 3012 - 3,443$ 4000: FACILITIES & EQUIPMENT Acct #Amount 4001 -$ 4002 - 4003 - 4004 - 4005 - 4006 - 4007 - 4008 - 4009 - 4010 - -$ 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 (Specify) Other (Specify) 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): Recreational Supplies Other (Specify) Client Housing Support Client Transportation & Support Clothing, Food, & Hygiene Education Support Employment Support Line Item Description Child Care Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit C Page 20 of 30 Acct #Amount 5001 5,200$ 5002 - 5003 14,352 5004 - 5005 - 5006 - 5007 - 5008 - 19,552$ 6000: ADMINISTRATIVE EXPENSES Acct #Amount 6001 31,968$ 6002 - 6003 - 6004 - 6005 780 6006 - 6007 - 6008 - 6009 - 6010 - 6011 - 6012 - 32,748$ 7000: FIXED ASSETS Acct #Amount 7001 -$ 7002 - 7003 - 7004 - 7005 - 7006 - 7007 - 7008 - -$ FIXED ASSETS EXPENSES TOTAL TOTAL PROGRAM EXPENSES 287,453$ 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 $500 with Lifespan of 2 Years + ADMINISTRATIVE EXPENSES TOTAL Other (Specify) Other (Specify) Other (Specify) Other (Specify) Other (Specify) Administrative Overhead Professional Liability Insurance Accounting/Bookkeeping External Audit Depreciation (Provider-Owned Equipment to be Used for Program Purposes) Payroll Services SPECIAL EXPENSES TOTAL: Line Item Description Other (Specify) Other (Specify) Other (Specify) Other (Specify) Insurance (Specify): Professional Liability Line Item Description Consultant (Network & Data Management) HMIS (Health Management Information System) Contractual/Consulting Services (Specify) Translation Services Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit C Page 21 of 30 Acct #Service Units Rate Amount 8001 Mental Health Services 2,149 3.92 8,424$ 8002 Case Management 11,337 3.04 34,464 8003 Crisis Services 1,173 5.96 6,991 8004 Medication Support 7,070 7.40 52,318 8005 Collateral 1,159 3.92 4,543 8006 Plan Development 429 3.92 1,682 8007 Assessment 169 3.92 662 8008 Rehabilitation 19,485 3.92 76,381 42,971 185,466$ 59% 108,498 53%57,612 57,612$ Acct #Amount 8101 Drug Medi-Cal -$ 8102 SABG -$ -$ Acct #Amount 8201 Realignment 0$ 0$ Acct #MHSA Component Amount 8301 CSS - Community Services & Supports 131,556$ 8302 PEI - Prevention & Early Intervention - 8303 INN - Innovations - 8304 WET - Workforce Education & Training - 8305 CFTN - Capital Facilities & Technology - 131,556$ Acct #Amount 8401 Client Fees -$ 8402 Client Insurance - 8403 - 8404 98,284 8405 - 98,284$ OTHER REVENUE TOTAL TOTAL PROGRAM FUNDING SOURCES:287,453$ NET PROGRAM COST: -$ MHSA TOTAL 8400 - OTHER REVENUE Line Item Description Grants (Specify) Fresno Housing Authority Supportive Serv ices Commitment Other (Specify) 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 Exhibit C Page 22 of 30 Budget Narrative ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000: SALARIES & BENEFITS 190,210 Employee Salaries 148,312 1101 Program Director 17,758 Directing all of the program clinical aspects 1102 LMHP Team Lead 27,638 Support, guide, supervise as team lead and provide assessments & treatment 1103 Program Nurse 14,774 Screening, assessments, health education, crisis intervention, medication svcs 1104 Nurse Practitioner (see line 5003)- Assessments, crisis intervention, medication services 1105 Supervising Psychiatrist (see line 5003)- Supervises NP and provides case consulation as needed 1106 Care Manager 27,820 Performs strength/needs assessment, ongoing care coordination 1107 Peer Advocate 8,523 Initial client engagement and improved tenant engagement 1108 CTI Specialist 27,820 Assisting clients transitioning from homelessness to permanent tenancy 1109 Care Manager/SUD 13,637 Provide SU counseling and services 1110 Data Specialist 5,319 Data entry, billing, productivity reports 1111 Program Support Assistant 5,023 Data collection, maintains administrative and medical records 1112 0 - 1113 0 - 1114 0 - 1115 0 - 1116 0 - 1117 0 - 1118 0 - 1119 0 - 1120 0 - Employee Benefits 26,696 1201 Retirement 5,932 Match up to 4% 1202 Worker's Compensation 8,899 Current rate 1203 Health Insurance 11,865 Medical, dental, vision benefits 1204 Other (Specify)- 1205 Other (Specify)- 1206 Other (Specify)- Payroll Taxes & Expenses:15,202 1301 OASDI 2,225 Current rate 1302 FICA/MEDICARE 10,753 Current rate 1303 SUI 2,225 Current rate 1304 Other (Specify)- 1305 Other (Specify)- 1306 Other (Specify)- 2000: CLIENT SUPPORT 41,500 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 40,500 Client emergency fund, tenant supports 2008 Medication Supports - 2009 Program Supplies - Medical - 2010 Utility Vouchers - 2011 Other (specify): Recreational Supplies 1,000 Recreational activity supplies 2012 Other (Specify)- 2013 Other (Specify)- 2014 Other (Specify)- 2015 Other (Specify)- 2016 Other (Specify)- 3000: OPERATING EXPENSES 3,443 3001 Telecommunications 780 Phone and data services 3002 Printing/Postage - 3003 Office, Household & Program Supplies 787 Standard Office Supplies: paper, pens, paper clips, etc. PROGRAM NAME Exodus Recovery, Inc -Villages at Paragon Housing Supportive Services Fiscal Year (FY 2023-24) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit C Page 23 of 30 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 3004 Advertising - 3005 Staff Development & Training - 3006 Staff Mileage 1,876 Based up current IRS rate ($.58) est. 20 miles per day per FTE 3007 Subscriptions & Memberships - 3008 Vehicle Maintenance - 3009 Other (Specify)- 3010 Other (Specify)- 3011 Other (Specify)- 3012 Other (Specify)- 4000: FACILITIES & EQUIPMENT - 4001 Building Maintenance - 4002 Rent/Lease Building - 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities - 4007 Other (Specify)- 4008 Other (Specify)- 4009 Other (Specify)- 4010 Other (Specify)- 5000: SPECIAL EXPENSES 19,552 5001 Consultant (Network & Data Management)5,200 Copier, printers, computers and network equipment 5002 HMIS (Health Management Information System) - 5003 Contractual/Consulting Services (Specify)14,352 Nurse Practitioner and Supervising Psychiatrist 5004 Translation Services - 5005 Other (Specify)- 5006 Other (Specify)- 5007 Other (Specify)- 5008 Other (Specify)- 6000: ADMINISTRATIVE EXPENSES 32,748 6001 Administrative Overhead 31,968 15% Indirect 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping - 6004 External Audit - 6005 Insurance (Specify): Professional Liability 780 Pursuant to contractual requirements 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 $5,000/unit (Specify)- 7007 Other (Specify)- 7008 Other (Specify)- TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:287,453 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:287,453 - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit C Page 24 of 30 Employee Salaries Acct #Position FTE Admin Direct Total 1101 Program Director 0.13 18,291$ -$ 18,291$ 1102 LMHP Team Lead 0.38 9,489 18,978 28,467 1103 Program Nurse 0.25 - 15,217 15,217 1104 Nurse Practitioner (see line 5003)0.06 - - - 1105 Supervising Psychiatrist (see line 5003)0.00 - - - 1106 Care Manager 0.51 - 28,655 28,655 1107 Peer Advocate 0.25 - 8,779 8,779 1108 CTI Specialist 0.51 - 28,655 28,655 1109 Care Manager/SUD 0.25 - 14,046 14,046 1110 Data Specialist 0.13 5,478 - 5,478 1111 Program Support Assistant 0.13 5,174 - 5,174 1112 - - - 1113 - - - 1114 - - - 1115 - - - 1116 - - - 1117 - - - 1118 - - - 1119 - - - 1120 - - - Personnel Salaries Subtotal 2.60 38,432$ 114,329$ 152,761$ Employee Benefits Acct #Admin Direct Total 1201 1,537$ 4,573$ 6,110$ 1202 2,306 6,860 9,166 1203 3,075 9,146 12,221 1204 - - - 1205 - - - 1206 - - - 6,918$ 20,579$ 27,497$ Payroll Taxes & Expenses: Acct #Admin Direct Total 1301 576$ 1,715$ 2,291$ 1302 2,786 8,289 11,075 1303 576 1,715 2,291 1304 - - - 1305 - - 1306 - - 3,939$ 11,719$ 15,658$ 49,289$ 146,628$ 195,916$ 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) PROGRAM NAME Exodus Recovery, Inc -Villages at Paragon Housing Supportive Services Fiscal Year (FY 2024-25) PROGRAM EXPENSES 1000: SALARIES & BENEFITS Description Employee Benefits Subtotal: Description OASDI Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit C Page 25 of 30 2000: CLIENT SUPPORT Acct #Amount 2001 -$ 2002 - 2003 - 2004 - 2005 - 2006 - 2007 40,500 2008 - 2009 - 2010 - 2011 1,000 2012 - 2013 - 2014 - 2015 - 2016 - 41,500$ 3000: OPERATING EXPENSES Acct #Amount 3001 780$ 3002 - 3003 787 3004 - 3005 - 3006 1,876 3007 - 3008 - 3009 - 3010 - 3011 - 3012 - 3,443$ 4000: FACILITIES & EQUIPMENT Acct #Amount 4001 -$ 4002 - 4003 - 4004 - 4005 - 4006 - 4007 - 4008 - 4009 - 4010 - -$ 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 (Specify) Other (Specify) 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): Recreational Supplies Other (Specify) Client Housing Support Client Transportation & Support Clothing, Food, & Hygiene Education Support Employment Support Line Item Description Child Care Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit C Page 26 of 30 Acct #Amount 5001 5,200$ 5002 - 5003 14,352 5004 - 5005 - 5006 - 5007 - 5008 - 19,552$ 6000: ADMINISTRATIVE EXPENSES Acct #Amount 6001 39,181$ 6002 - 6003 - 6004 - 6005 795 6006 - 6007 - 6008 - 6009 - 6010 - 6011 - 6012 - 39,976$ 7000: FIXED ASSETS Acct #Amount 7001 -$ 7002 - 7003 - 7004 - 7005 - 7006 - 7007 - 7008 - -$ FIXED ASSETS EXPENSES TOTAL TOTAL PROGRAM EXPENSES 300,387$ 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 $500 with Lifespan of 2 Years + ADMINISTRATIVE EXPENSES TOTAL Other (Specify) Other (Specify) Other (Specify) Other (Specify) Other (Specify) Administrative Overhead Professional Liability Insurance Accounting/Bookkeeping External Audit Depreciation (Provider-Owned Equipment to be Used for Program Purposes) Payroll Services SPECIAL EXPENSES TOTAL: Line Item Description Other (Specify) Other (Specify) Other (Specify) Other (Specify) Insurance (Specify): Professional Liability Line Item Description Consultant (Network & Data Management) HMIS (Health Management Information System) Contractual/Consulting Services (Specify) Translation Services Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit C Page 27 of 30 Acct #Service Units Rate Amount 8001 Mental Health Services 2,149 3.92 8,424$ 8002 Case Management 11,337 3.04 34,464 8003 Crisis Services 1,173 5.96 6,991 8004 Medication Support 7,070 7.40 52,318 8005 Collateral 1,159 3.92 4,543 8006 Plan Development 429 3.92 1,682 8007 Assessment 169 3.92 662 8008 Rehabilitation 19,485 3.92 76,381 42,971 185,466$ 59% 108,498 53%57,612 57,612$ Acct #Amount 8101 Drug Medi-Cal -$ 8102 SABG -$ -$ Acct #Amount 8201 Realignment (0)$ (0)$ Acct #MHSA Component Amount 8301 CSS - Community Services & Supports 144,491$ 8302 PEI - Prevention & Early Intervention - 8303 INN - Innovations - 8304 WET - Workforce Education & Training - 8305 CFTN - Capital Facilities & Technology - 144,491$ Acct #Amount 8401 Client Fees -$ 8402 Client Insurance - 8403 - 8404 98,284 8405 - 98,284$ OTHER REVENUE TOTAL TOTAL PROGRAM FUNDING SOURCES:300,387$ NET PROGRAM COST: -$ MHSA TOTAL 8400 - OTHER REVENUE Line Item Description Grants (Specify) Fresno Housing Authority Supportive Services Commitment Other (Specify) 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 Exhibit C Page 28 of 30 Budget Narrative ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000: SALARIES & BENEFITS 195,916 Employee Salaries 152,761 1101 Program Director 18,291 Directing all of the program clinical aspects 1102 LMHP Team Lead 28,467 Support, guide, supervise as team lead and provide assessments & treatment 1103 Program Nurse 15,217 Screening, assessments, health education, crisis intervention, medication svcs 1104 Nurse Practitioner (see line 5003)- Assessments, crisis intervention, medication services 1105 Supervising Psychiatrist (see line 5003)- Supervises NP and provides case consulation as needed 1106 Care Manager 28,655 Performs strength/needs assessment, ongoing care coordination 1107 Peer Advocate 8,779 Initial client engagement and improved tenant engagement 1108 CTI Specialist 28,655 Assisting clients transitioning from homelessness to permanent tenancy 1109 Care Manager/SUD 14,046 Provide SU counseling and services 1110 Data Specialist 5,478 Data entry, billing, productivity reports 1111 Program Support Assistant 5,174 Data collection, maintains administrative and medical records 1112 0 - 1113 0 - 1114 0 - 1115 0 - 1116 0 - 1117 0 - 1118 0 - 1119 0 - 1120 0 - Employee Benefits 27,497 1201 Retirement 6,110 Match up to 4% 1202 Worker's Compensation 9,166 Current rate 1203 Health Insurance 12,221 Medical, dental, vision benefits 1204 Other (Specify)- 1205 Other (Specify)- 1206 Other (Specify)- Payroll Taxes & Expenses:15,658 1301 OASDI 2,291 Current rate 1302 FICA/MEDICARE 11,075 Current rate 1303 SUI 2,291 Current rate 1304 Other (Specify)- 1305 Other (Specify)- 1306 Other (Specify)- 2000: CLIENT SUPPORT 41,500 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 40,500 Client emergency fund, tenant supports 2008 Medication Supports - 2009 Program Supplies - Medical - 2010 Utility Vouchers - 2011 Other (specify): Recreational Supplies 1,000 Recreational activity supplies 2012 Other (Specify)- 2013 Other (Specify)- 2014 Other (Specify)- 2015 Other (Specify)- 2016 Other (Specify)- 3000: OPERATING EXPENSES 3,443 3001 Telecommunications 780 Phone and data services 3002 Printing/Postage - 3003 Office, Household & Program Supplies 787 Standard Office Supplies: paper, pens, paper clips, etc. PROGRAM NAME Exodus Recovery, Inc -Villages at Paragon Housing Supportive Services Fiscal Year (FY 2024-25) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit C Page 29 of 30 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 3004 Advertising - 3005 Staff Development & Training - 3006 Staff Mileage 1,876 Based up current IRS rate ($.58) est. 20 miles per day per FTE 3007 Subscriptions & Memberships - 3008 Vehicle Maintenance - 3009 Other (Specify)- 3010 Other (Specify)- 3011 Other (Specify)- 3012 Other (Specify)- 4000: FACILITIES & EQUIPMENT - 4001 Building Maintenance - 4002 Rent/Lease Building - 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities - 4007 Other (Specify)- 4008 Other (Specify)- 4009 Other (Specify)- 4010 Other (Specify)- 5000: SPECIAL EXPENSES 19,552 5001 Consultant (Network & Data Management)5,200 Copier, printers, computers and network equipment 5002 HMIS (Health Management Information System) - 5003 Contractual/Consulting Services (Specify)14,352 Nurse Practitioner and Supervising Psychiatrist 5004 Translation Services - 5005 Other (Specify)- 5006 Other (Specify)- 5007 Other (Specify)- 5008 Other (Specify)- 6000: ADMINISTRATIVE EXPENSES 39,976 6001 Administrative Overhead 39,181 15% Indirect 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping - 6004 External Audit - 6005 Insurance (Specify): Professional Liability 795 Pursuant to contractual requirements 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)- 7008 Other (Specify)- TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:300,387 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:300,387 - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit C Page 30 of 30 Exhibit D Page 1 of 1 ELECTRONIC HEALTH RECORD SOFTWARE CHARGES CONTRACTOR understands that COUNTY utilizes NetSmart’s Avatar for its Electronic Health Records Management. CONTRACTOR agrees to reimburse COUNTY for all user license fees for accessing NetSmart’s Avatar, as set forth below. Description FY 2020-21 FY 2021-22 FY 2022-23 FY 2023-24 FY 2024-25 General Users Avatar Named User Hosting (per active user per month; every Avatar “active” log on ID is a named user) $37.00 $37.00 $37.00 $37.00 $37.00 Avatar Named User Maintenance* (per active user per month) $14.85 $15.30 $15.76 $16.23 $16.72 Cloud Hosting- Perceptive Disaster Recovery (per active user per month) $4.66 $4.66 $4.66 $4.66 $4.66 eRx Users Full Suite Prescriber (per active user per month; applicable to an active Prescriber user) $104.00 $104.00 $104.00 $104.00 $104.00 ePrescribing Controlled Substances Tokens (per active user per month; applicable to an active Prescriber user of Controlled Substances) $8.00 $8.00 $8.00 $8.00 $8.00 Non-Prescribing User (per active user per month; applicable to an active Non- Prescriber user) $13.00 $13.00 $13.00 $13.00 $13.00 Reaching Recovery Users Reaching Recovery (per adult client/person served per year; applicable to adult treatment programs except contracted triage/CI, CSU or PHF) $10.00 $10.00 $10.00 $10.00 $10.00 ProviderConnect Users Individual Subscription (per user per month; applicable to provider-user whose claims are reviewed and posted by Managed Care) $41.25 $41.25 $41.25 $41.25 $41.25 Should CONTRACTOR choose not to utilize NetSmart’s Avatar for its Electronic Health Records management, CONTRACTOR will be responsible for obtaining its own system for Electronic Health Records management. ______________________________________________________________________________________________________________________ *Annual Maintenance increases by 3% each FY on July 1st and may be subject to change pending the COUNTY’s agreement terms with NetSmart. Exhibit E Page 1 of 3 FRESNO COUNTY MENTAL HEALTH COMPLIANCE PROGRAM CONTRACTOR CODE OF CONDUCT AND ETHICS Fresno County is firmly committed to full compliance with all applicable laws, regulations, rules and guidelines that apply to the provision and payment of mental health services. Mental health contractors and the manner in which they conduct themselves are a vital part of this commitment. Fresno County has established this Contractor Code of Conduct and Ethics with which contractor and its employees and subcontractors shall comply. CONTRACTOR(S) shall require its employees and subcontractors to attend a compliance training that will be provided by Fresno County. After completion of this training, CONTRACTOR(S), CONTRACTOR(S)’ employees and subcontractors must sign the Contractor Acknowledgment and Agreement form and return this form to the Compliance Officer or designee. Contractor and its employees and subcontractor shall: 1.Comply with all applicable laws, regulations, rules or guidelines when providing and billing for mental health services. 2.Conduct themselves honestly, fairly, courteously and with a high degree of integrity in their professional dealing related to their contract with the COUNTY and avoid any conduct that could reasonably be expected to reflect adversely upon the integrity of the COUNTY. 3.Treat COUNTY employees, consumers, and other mental health contractors fairly and with respect. 4.NOT engage in any activity in violation of the COUNTY’s Compliance Program, nor engage in any other conduct which violates any applicable law, regulation, rule or guideline 5.Take precautions to ensure that claims are prepared and submitted accurately, timely and are consistent with all applicable laws, regulations, rules or guidelines. 6.Ensure that no false, fraudulent, inaccurate or fictitious claims for payment or reimbursement of any kind are submitted. Exhibit E Page 2 of 3 7.Bill only for eligible services actually rendered and fully documented. Use billing codes that accurately describe the services provided. 8.Act promptly to investigate and correct problems if errors in claims or billing are discovered. 9.Promptly report to the Compliance Officer any suspected violation(s) of this Code of Conduct and Ethics by COUNTY employees or other mental health contractors, or report any activity that they believe may violate the standards of the Compliance Program, or any other applicable law, regulation, rule or guideline. Fresno County prohibits retaliation against any person making a report. Any person engaging in any form of retaliation will be subject to disciplinary or other appropriate action by the COUNTY. CONTRACTOR(S) may report anonymously. 10.Consult with the Compliance Officer if you have any questions or are uncertain of any Compliance Program standard or any other applicable law, regulation, rule or guideline. 11.Immediately notify the Compliance Officer if they become or may become an Ineligible person and therefore excluded from participation in the Federal Health Care Programs. Exhibit E Page 3 of 3 Fresno County Mental Health Compliance Program Contractor Acknowledgment and Agreement I hereby acknowledge that I have received, read and understand the Contractor Code of Conduct and Ethics. I herby acknowledge that I have received training and information on the Fresno County Mental Health Compliance Program and understand the contents thereof. I further agree to abide by the Contractor Code of Conduct and Ethics, and all Compliance Program requirements as they apply to my responsibilities as a mental health contractor for Fresno County. I understand and accept my responsibilities under this Agreement. I further understand that any violation of the Contractor Code of Conduct and Ethics or the Compliance Program is a violation of County policy and may also be a violation of applicable laws, regulations, rules or guidelines. I further understand that violation of the Contractor Code of Conduct and Ethics or the Compliance Program may result in termination of my agreement with Fresno County. I further understand that Fresno County will report me to the appropriate Federal or State agency. For Individual Providers Name (print): _____________________________________ Discipline: Psychiatrist Psychologist LCSW LMFT Signature: _______________________________ Date: ___/____/___ For Group or Organizational Providers Group/Org. Name (print): ______________________________________ Employee Name (print): _______________________________________ Discipline: Psychiatrist Psychologist LCSW LMFT Other:_________________________________________________ Job Title (if different from Discipline): ___________________________ Signature: _______________________________ Date: ___/____/___ Exhibit F Page 1 of 3 DOCUMENTATION STANDARDS FOR CLIENT RECORDS The documentation standards are described below under key topics related to client care. All standards must be addressed in the client record; however, there is no requirement that the record have a specific document or section addressing these topics. All medical records shall be maintained for a minimum of 10 years from the date of the end of the Agreement. A.Assessments 1. The following areas will be included as appropriate as a part of a comprehensive client record. •Relevant physical health conditions reported by the client will be prominently identified and updated as appropriate. •Presenting problems and relevant conditions affecting the client’s physical health and mental health status will be documented, for example: living situation, daily activities, and social support. •Documentation will describe client’s strengths in achieving client plan goals. •Special status situations that present a risk to clients or others will be prominently documented and updated as appropriate. •Documentations will include medications that have been described by mental health plan physicians, dosage of each medication, dates of initial prescriptions and refills, and documentations of informed consent for medications. •Client self report of allergies and adverse reactions to medications, or lack of known allergies/sensitivities will be clearly documented. •A mental health history will be documented, including: previous treatment dates, providers, therapeutic interventions and responses, sources of clinical data, relevant family information and relevant results of relevant lab tests and consultations reports. •For children and adolescents, pre-natal and perinatal events and complete developmental history will be documented. •Documentations will include past and present use of tobacco, alcohol, and caffeine, as well as illicit, prescribed and over-the-counter drugs. •A relevant mental status examination will be documented. •A DSM-5 diagnosis, or a diagnosis from the most current ICD, will be documented, consistent with the presenting problems, history mental status evaluation and/or other assessment data. Exhibit F Page 2 of 3 2.Timeliness/Frequency Standard for Assessment •An assessment will be completed at intake and updated as needed to document changes in the client’s condition. •Client conditions will be assessed at least annually and, in most cases, at more frequent intervals. B.Client Plans 1.Client plans will: •have specific observable and/or specific quantifiable goals •identify the proposed type(s) of intervention •have a proposed duration of intervention(s) •be signed (or electronic equivalent) by: the person providing the service(s), or a person representing a team or program providing services, or a person representing the MHP providing services when the client plan is used to establish that the services are provided under the direction of an approved category of staff, and if the below staff are not the approved category, a physician a licensed/ “waivered” psychologist a licensed/ “associate” social worker a licensed/ registered/marriage and family therapist or a registered nurse •In addition, Client plans will be consistent with the diagnosis, and the focus of intervention will be consistent with the client plan goals, and there will be documentation of the client’s participation in and agreement with the plan. Examples of the documentation include, but are not limited to, reference to the client’s participation and agreement in the body of the plan, client signature on the plan, or a description of the client’s participation and agreement in progress notes. Exhibit F Page 3 of 3 Client signature on the plan will be used as the means by which the CONTRACTOR documents the participation of the client. When the client’s signature is required on the client plan and the client refuses or is unavailable for signature, the client plan will include a written explanation of the refusal or unavailability. •The CONTRACTOR will give a copy of the client plan to the client on request. 2.Timeliness/Frequency of Client Plan: •Will be updated at least annually. •The CONTRACTOR(S) will establish standards for timeliness and frequency for the individual elements of the client plan described in item 1. C.Progress Notes 1.Items that must be contained in the client record related to the client’s progress in treatment include: •The client record will provide timely documentation of relevant aspects of client care. •Mental health staff/practitioners will use client records to document client encounters, including relevant clinical decisions and interventions. •All entries in the client record will include the signature of the person providing the service (or electronic equivalent); the person’s professional degree, licensure or job title; and the relevant identification number, if applicable. •All entries will include the date services were provided. •The record will be legible. •The client record will document follow-up care, or as appropriate, a discharge summary. 2.Timeliness/Frequency of Progress Notes: •Progress notes shall be documented at the frequency by type of service indicated below: a.Every Service Contact •Mental Health Services •Medication Support Services •Crisis Intervention Exhibit G Page 1 of 6 STATE MENTAL HEALTH REQUIREMENTS 1.CONTROL REQUIREMENTS The COUNTY and its subcontractors shall provide services in accordance with all applicable Federal and State statutes and regulations. 2.PROFESSIONAL LICENSURE All (professional level) persons employed by the COUNTY Mental Health Program (directly or through contract) providing Short-Doyle/Medi-Cal services have met applicable professional licensure requirements pursuant to Business and Professions and Welfare and Institutions Codes. 3.CONFIDENTIALITY CONTRACTOR shall conform to and COUNTY shall monitor compliance with all State of California and Federal statutes and regulations regarding confidentiality, including but not limited to confidentiality of information requirements at 42, Code of Federal Regulations sections 2.1 et seq; California Welfare and Institutions Code, sections 14100.2, 11977, 11812, 5328; Division 10.5 and 10.6 of the California Health and Safety Code; Title 22, California Code of Regulations, section 51009; and Division 1, Part 2.6, Chapters 1-7 of the California Civil Code. 4.NON-DISCRIMINATION A.Eligibility for Services CONTRACTOR shall prepare and make available to COUNTY and to the public all eligibility requirements to participate in the program plan set forth in the Agreement. No person shall, because of ethnic group identification, age, gender, color, disability, medical condition, national origin, race, ancestry, marital status, religion, religious creed, political belief or sexual preference be excluded from participation, be denied benefits of, or be subject to discrimination under any program or activity receiving Federal or State of California assistance. B.Employment Opportunity CONTRACTOR shall comply with COUNTY policy, and the Equal Employment Opportunity Commission guidelines, which forbids discrimination against any person on the grounds of race, color, national origin, sex, religion, age, disability status, or sexual preference in employment practices. Such practices include retirement, recruitment advertising, hiring, layoff, termination, upgrading, demotion, transfer, rates of pay or other forms of compensation, use of facilities, and other terms and conditions of employment. Exhibit G Page 2 of 6 C.Suspension of Compensation If an allegation of discrimination occurs, COUNTY may withhold all further funds, until CONTRACTOR can show clear and convincing evidence to the satisfaction of COUNTY that funds provided under this Agreement were not used in connection with the alleged discrimination. D.Nepotism Except by consent of COUNTY’s Department of Behavioral Health Director, or designee, no person shall be employed by CONTRACTOR who is related by blood or marriage to, or who is a member of the Board of Directors or an officer of CONTRACTOR. 5.PATIENTS' RIGHTS CONTRACTOR shall comply with applicable laws and regulations, including but not limited to, laws, regulations, and State policies relating to patients' rights. STATE CONTRACTOR CERTIFICATION CLAUSES 1.STATEMENT OF COMPLIANCE: CONTRACTOR has, unless exempted, complied with the non-discrimination program requirements. (Gov. Code§ 12990 (a-f) and CCR, Title 2, Section 111 02) (Not applicable to public entities.) 2.DRUG-FREE WORKPLACE REQUIREMENTS: CONTRACTOR will comply with the requirements of the Drug-Free Workplace Act of 1990 and will provide a drug-free workplace by taking the following actions: a.Publish a statement notifying employees that unlawful manufacture, distribution, dispensation, possession or use of a controlled substance is prohibited and specifying actions to be taken against employees for violations. b.Establish a Drug-Free Awareness Program to inform employees about: 1)the dangers of drug abuse in the workplace; 2)the person's or organization's policy of maintaining a drug-free workplace; 3)any available counseling, rehabilitation and employee assistance programs; and, 4)penalties that may be imposed upon employees for drug abuse violations. c.Every employee who works on this Agreement will: 1)receive a copy of the company's drug-free workplace policy statement; and, 2)agree to abide by the terms of the company's statement as a condition of employment on this Agreement. Failure to comply with these requirements may result in suspension of payments under this Agreement or termination of this Agreement or both and Exhibit G Page 3 of 6 CONTRACTOR may be ineligible for award of any future State agreements if the department determines that any of the following has occurred: the CONTRACTOR has made false certification, or violated the certification by failing to carry out the requirements as noted above. (Gov. Code §8350 et seq.) 3.NATIONAL LABOR RELATIONS BOARD CERTIFICATION: CONTRACTOR certifies that no more than one (1) final unappealable finding of contempt of court by a Federal court has been issued against CONTRACTOR within the immediately preceding two (2) year period because of CONTRACTOR’s failure to comply with an order of a Federal court, which orders CONTRACTOR to comply with an order of the National Labor Relations Board. (Pub. Contract Code §10296) (Not applicable to public entities.) 4.CONTRACTS FOR LEGAL SERVICES $50,000 OR MORE- PRO BONO REQUIREMENT: CONTRACTOR hereby certifies that CONTRACTOR will comply with the requirements of Section 6072 of the Business and Professions Code, effective January 1, 2003. CONTRACTOR agrees to make a good faith effort to provide a minimum number of hours of pro bono legal services during each year of the contract equal to the lessor of 30 multiplied by the number of full time attorneys in the firm’s offices in the State, with the number of hours prorated on an actual day basis for any contract period of less than a full year or 10% of its contract with the State. Failure to make a good faith effort may be cause for non-renewal of a state contract for legal services, and may be taken into account when determining the award of future contracts with the State for legal services. 5.EXPATRIATE CORPORATIONS: CONTRACTOR hereby declares that it is not an expatriate corporation or subsidiary of an expatriate corporation within the meaning of Public Contract Code Section 10286 and 10286.1, and is eligible to contract with the State of California. 6.SWEATFREE CODE OF CONDUCT: a.All CONTRACTORS contracting for the procurement or laundering of apparel, garments or corresponding accessories, or the procurement of equipment, materials, or supplies, other than procurement related to a public works contract, declare under penalty of perjury that no apparel, garments or corresponding accessories, equipment, materials, or supplies furnished to the state pursuant to the contract have been laundered or produced in whole or in part by sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor, or with the benefit of sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor. CONTRACTOR further declares under penalty of perjury that they adhere to the Sweatfree Code of Conduct as set forth on the California Department of Industrial Relations website located at www.dir.ca.gov, and Public Contract Code Section 6108. Exhibit G Page 4 of 6 b.CONTRACTOR agrees to cooperate fully in providing reasonable access to the CONTRACTOR’s records, documents, agents or employees, or premises if reasonably required by authorized officials of the contracting agency, the Department of Industrial Relations, or the Department of Justice to determine the contractor’s compliance with the requirements under paragraph (a). 7.DOMESTIC PARTNERS: For contracts of $100,000 or more, CONTRACTOR certifies that CONTRACTOR is in compliance with Public Contract Code Section 10295.3. 8.GENDER IDENTITY: For contracts of $100,000 or more, CONTRACTOR certifies that CONTRACTOR is in compliance with Public Contract Code Section 10295.35. DOING BUSINESS WITH THE STATE OF CALIFORNIA The following laws apply to persons or entities doing business with the State of California. 1.CONFLICT OF INTEREST: CONTRACTOR needs to be aware of the following provisions regarding current or former state employees. If CONTRACTOR has any questions on the status of any person rendering services or involved with this Agreement, the awarding agency must be contacted immediately for clarification. Current State Employees (Pub. Contract Code §10410): a). No officer or employee shall engage in any employment, activity or enterprise from which the officer or employee receives compensation or has a financial interest and which is sponsored or funded by any state agency, unless the employment, activity or enterprise is required as a condition of regular state employment. b). No officer or employee shall contract on his or her own behalf as an independent contractor with any state agency to provide goods or services. Former State Employees (Pub. Contract Code §10411): a). For the two (2) year period from the date he or she left state employment, no former state officer or employee may enter into a contract in which he or she engaged in any of the negotiations, transactions, planning, arrangements or any part of the decision-making process relevant to the contract while employed in any capacity by any state agency. b). For the twelve (12) month period from the date he or she left state employment, no former state officer or employee may enter into a contract with any state agency if he or she was employed by that state agency in a policy-making position in the same general subject area as Exhibit G Page 5 of 6 the proposed contract within the twelve (12) month period prior to his or her leaving state service. If CONTRACTOR violates any provisions of above paragraphs, such action by CONTRACTOR shall render this Agreement void. (Pub. Contract Code §10420) Members of boards and commissions are exempt from this section if they do not receive payment other than payment of each meeting of the board or commission, payment for preparatory time and payment for per diem. (Pub. Contract Code §10430 (e)) 2.LABOR CODE/WORKERS' COMPENSATION: CONTRACTOR needs to be aware of the provisions which require every employer to be insured against liability for Worker's Compensation or to undertake self-insurance in accordance with the provisions, and CONTRACTOR affirms to comply with such provisions before commencing the performance of the work of this Agreement. (Labor Code Section 3700) 3.AMERICANS WITH DISABILITIES ACT: CONTRACTOR assures the State that it complies with the Americans with Disabilities Act (ADA) of 1990, which prohibits discrimination on the basis of disability, as well as all applicable regulations and guidelines issued pursuant to the ADA. (42 U.S.C. 12101 et seq.) 4.CONTRACTOR NAME CHANGE: An amendment is required to change the CONTRACTOR’s name as listed on this Agreement. Upon receipt of legal documentation of the name change the State will process the amendment. Payment of invoices presented with a new name cannot be paid prior to approval of said amendment. 5.CORPORATE QUALIFICATIONS TO DO BUSINESS IN CALIFORNIA: a.When agreements are to be performed in the state by corporations, the contracting agencies will be verifying that the CONTRACTOR is currently qualified to do business in California in order to ensure that all obligations due to the state are fulfilled. b."Doing business" is defined in R&TC Section 23101 as actively engaging in any transaction for the purpose of financial or pecuniary gain or profit. Although there are some statutory exceptions to taxation, rarely will a corporate contractor performing within the state not be subject to the franchise tax. c.Both domestic and foreign corporations (those incorporated outside of California) must be in good standing in order to be qualified to do business in California. Agencies will determine whether a corporation is in good standing by calling the Office of the Secretary of State. 6.RESOLUTION: A county, city, district, or other local public body must provide the State with a copy of a resolution, order, motion, or ordinance of the local governing body, which by law has authority to enter into an agreement, authorizing execution of the agreement. Exhibit G Page 6 of 6 7.AIR OR WATER POLLUTION VIOLATION: Under the State laws, the CONTRACTOR shall not be: (1) in violation of any order or resolution not subject to review promulgated by the State Air Resources Board or an air pollution control district; (2) subject to cease and desist order not subject to review issued pursuant to Section 13301 of the Water Code for violation of waste discharge requirements or discharge prohibitions; or (3) finally determined to be in violation of provisions of federal law relating to air or water pollution. 8.PAYEE DATA RECORD FORM STD. 204: This form must be completed by all contractors that are not another state agency or other governmental entity. 9.INSPECTION and Audit of Records and access to Facilities. The State, CMS, the Office of the Inspector General, the Comptroller General, and their designees may, at any time, inspect and audit any records or documents of CONTRACTOR or its subcontractors, and may, at any time, inspect the premises, physical facilities, and equipment where Medicaid-related activities or work is conducted. The right to audit under this section exists for ten (10)years from the final date of the contract period or from the date of completion of any audit, whichever is later. Federal database checks. Consistent with the requirements at § 455.436 of this chapter, the State must confirm the identity and determine the exclusion status of CONTRACTOR, any subcontractor, as well as any person with an ownership or control interest, or who is an agent or managing employee of CONTRACTOR through routine checks of Federal databases. This includes the Social Security Administration's Death Master File, the National Plan and Provider Enumeration System (NPPES), the List of Excluded Individuals/Entities (LEIE), the System for Award Management (SAM), and any other databases as the State or Secretary may prescribe. These databases must be consulted upon contracting and no less frequently than monthly thereafter. If the State finds a party that is excluded, it must promptly notify the CONTRACTOR and take action consistent with § 438.610(c). The State must ensure that CONTRACTOR with which the State contracts under this part is not located outside of the United States and that no claims paid by a CONTRACTOR to a network provider, out-of-network provider, subcontractor or financial institution located outside of the U.S. are considered in the development of actuarially sound capitation rates. Exhibit H Page 1 of 2 COMPLIANCE WITH STATE MEDI-CAL REQUIREMENTS CONTRACTOR shall be required to maintain organizational provider certification by the host county. A copy of this renewal certificate must be furnished to COUNTY within thirty (30) days of receipt of certificate from host county. The CONTRACTOR must meet Medi-Cal organization provider standards as stated below. It is acknowledged that all references to Organizational Provider and/or Provider below shall refer to the CONTRACTOR. Medi-Cal Organizational Provider Standards 1.The organizational provider possesses the necessary license to operate, if applicable, and any required certification. 2.The space owned, leased or operated by the provider and used for services or staff meets local fire codes. 3.The physical plant of any site owned, leased, or operated by the provider and used for services or staff is clean, sanitary and in good repair. 4.The organizational provider establishes and implements maintenance policies for any site owned, leased, or operated by the provider and used for services or staff to ensure the safety and well-being of beneficiaries and staff. 5.The organizational provider has a current administrative manual which includes: personnel policies and procedures, general operating procedures, service delivery policies, and procedures for reporting unusual occurrences relating to health and safety issues. 6.The organizational provider maintains client records in a manner that meets applicable state and federal standards. 7.The organization provider has staffing adequate to allow the COUNTY to claim federal financial participation for the services the Provider delivers to beneficiaries, as described in Division 1, Chapter 11, Subchapter 4 of Title 9, CCR, when applicable. 8.The organizational provider has as head of service a licensed mental health professional or other appropriate individual as described in Title 9, CCR, Sections 622 through 630. 9.For organizational providers that provide or store medications, the provider stores and dispenses medications in compliance with all pertinent state and federal standards. In particular: A.All drugs obtained by prescription are labeled in compliance with federal and state laws. Prescription labels are altered only by persons legally authorized to do so. B.Drugs intended for external use only or food stuffs are stored separately from drugs for internal use. C.All drugs are stored at proper temperatures, room temperature drugs at 59-86 degrees F and refrigerated drugs at 36-46 degrees F. Exhibit H Page 2 of 2 D.Drugs are stored in a locked area with access limited to those medical personnel authorized to prescribe, dispense or administer medication. E.Drugs are not retained after the expiration date. IM multi-dose vials are dated and initialed when opened. F.A drug log is maintained to ensure the provider disposes of expired, contaminated, deteriorated and abandoned drugs in a manner consistent with state and federal laws. G.Policies and procedures are in place for dispensing, administering and storing medications. 10. The COUNTY may accept the host county’s site certification and reserves the right to conduct an on-site certification review at least every three years. The COUNTY may also conduct additional certification reviews when: •The provider makes major staffing changes. •The provider makes organizational and/or corporate structure changes (example: conversion from a non-profit status). •The provider adds day treatment or medication support services when medications shall be administered or dispensed from the provider site. •There are significant changes in the physical plant of the provider site (some physical plant changes could require a new fire clearance). •There is change of ownership or location. •There are complaints against the provider. •There are unusual events, accidents, or injuries requiring medical treatment for clients, staff or members of the community. INCIDENT REPORTING PROTOCOL FOR COMPLETION OF INCIDENT REPORT The Incident Report must be completed for all incidents involving individuals served through DBH’s current incident reporting portal, Logic Manager, at https://fresnodbh.logicmanager.com/incidents/?t=9&p=1&k=182be0c5cdcd5072bb1864cdee 4d3d6e •The reporting portal is available 24 hours a day, every day. •Any employee of the CONTRACTOR can submit an incident using the reporting portal at any time. No login is required. •The designated administrator of the CONTRACTOR can add information to the follow up section of the report after submission. •When an employee submits an incident within 24 hours from the time of the incident or first knowledge of the incident, the CONTRACTOR’s designated administrator, the assigned contract analyst and the Incident Reporting email inbox will be notified immediately via email from the Logic Manager system that there is a new incident to review. •Meeting the 24 hour incident reporting requirements will be easier as there are no signatures to collect. •The user guide attached identifies the reporting process and the reviewer process, and is subject to updates based on DBH’s selected incident reporting portal system. Questions about incident reporting, how to use the incident reporting portal, or designating/changing the name of the administrator who will review incidents for the CONTRACTOR should be emailed to DBHIncidentReporting@fresnocountyca.gov and the assigned contract analyst. Exhibit I Page 1 of 9 INCIDENT REVIEWER ROLE – User Guide Fresno County Department of Behavioral Health (DBH) requires all of its county-operated and contracted providers (through the Mental Health Plan (MHP) and Substance Use Disorder (SUD) services) to complete a written report of any incidents compromising the health and safety of persons served, employees, or community members. Yes! Incident reports will now be made through an on online reporting portal hosted by Logic Manager. It’s an easier way for any employee to report an incident at any time. A few highlights: •No supervisor signature is immediately required. •Additional information can be added to the report by the program supervisor/manager without having to resubmit the incident. •When an incident is submitted, the assigned contract analyst, program supervisor/manager, clinical supervisor and the DBHIncidentReporting mailbox automatically receives an email notification of a new incident and can log in any time to review the incident. Everything that was on the original paper/electronic form matches the online form. •Do away with submitting a paper version with a signature. •This online submission allows for timely action for the health and safety of the persons-served, as well as compliance with state reporting timelines when necessary. As an Incident Reviewer, the responsibility is to: •Log in to Logic Manager and review incident submitted within 48 hours of notification of incident. •Review incident for clarity, missing information and add in additional information deemed appropriate. •Notify DBHIncidentReporting@fresnocountyca.gov if there is additional information to be report after initial submission •Contact DBHIncidentReporting@fresnocountyca.gov if there are any concerns, questions or comments with Logic Manager or incident reporting. Below is the link to report incidents https://fresnodbh.logicmanager.com/incidents/?t=9&p=1&k=182be0c5cdcd5072bb1864cdee4d3d6e The link will take employees to the reporting screen to begin incident submission: Mental Health Plan (MHP) and Substance Use Disorder (SUD) services Incident Reporting System Exhibit I Page 2 of 9 Exhibit I Page 3 of 9 Similar to the paper version, multiple incident categories can be selected Exhibit I Page 4 of 9 As another bonus feature, either drag files (such as a copy of a UOR, additional statements/document) or click on Add File to upload a file. Similar to the paper version, multiple Action Taken categories can be selected. When done entering all the information, simply click submit. Any fields that have a red asterisk, require information and will prevent submission of the form if left blank. A “Thank you for your submission” statement will pop up if an incident is successfully submitted. Click “Reload the Form” to submit another incident. Exhibit I Page 5 of 9 A Notification email will be received when a new incident is reported, or a new comment has been made regarding an incident. Click on “Open this incident in Logic Manager” and the Logic Manager login screen will show. Enter in email address and password. First time users will be prompted to set up a password. Exhibit I Page 6 of 9 Once logged in, the main screen will show reviewer task (incidents to review). Click on analyst/supervisor follow up to view the incident. This screen below will then pop up. There are 5 tabs to navigate through. Client information will show the client and facility information. No edits can be made to this section. The next tab is Summary: No edits can be made to this section. Exhibit I Page 7 of 9 The next tab is Follow up: This section can be edited. Add to the areas below or make corrections to these fields. Be sure to click SAVE when edits are made. Then Cancel to Exit out of the incident. The next tab is Documents: View and add attachments to the incident. Be sure to click SAVE when adding documents. Then Cancel to Exit out of the incident. If all tasks are followed up with and the incident no longer needs further review/information, click SUBMIT. Once submitted, the incident will be removed from the task list and no further edits can be made. Notice the SUBMIT button is on every tab. If further information needs to be included, email DBHIncidentReporting@fresnocountyca.gov Exhibit I Page 8 of 9 To get back to the home view, click on the Logic Manager icon at any time. Any incidents that still need review will show on this screen, click on the next incident and start the review process again. Exhibit I Page 9 of 9 Exhibit J Page 1 of 2 DISCLOSURE OF OWNERSHIP AND CONTROL INTEREST STATEMENT I.Identifying Information Name of entity D/B/A Address (number, street) City State ZIP code CLIA number Taxpayer ID number (EIN) Telephone number ( ) II.Answer the following questions by checking “Yes” or “No.” If any of the questions are answered “Yes,” list names and addresses of individuals or corporations under “Remarks” on page 2. Identify each item number to be continued. A.Are there any individuals or organizations having a direct or indirect ownership or control interest of five percent or more in the institution, organizations, or agency that have been convicted of a criminal offense related to the involvement of such persons or organizations in any of the programs established YES NO by Titles XVIII, XIX, or XX? ......................................................................................................................... ❒ ❒ B.Are there any directors, officers, agents, or managing employees of the institution, agency, or organization who have ever been convicted of a criminal offense related to their involvement in such programs established by Titles XVIII, XIX, or XX? ...................................................................................... ❒ ❒ C.Are there any individuals currently employed by the institution, agency, or organization in a managerial, accounting, auditing, or similar capacity who were employed by the institution’s, organization’s, or agency’s fiscal intermediary or carrier within the previous 12 months? (Title XVIII providers only) ........... ❒ ❒ III.A. List names, addresses for individuals, or the EIN for organizations having direct or indirect ownership or a controlling interest in the entity. (See instructions for definition of ownership and controlling interest.) List any additional names and addresses under “Remarks” on page 2. If more than one individual is reported and any of these persons are related to each other, this must be reported under “Remarks.” NAME ADDRESS EIN B.Type of entity: ❒ Sole proprietorship ❒Partnership ❒Corporation❒Unincorporated Associations ❒Other (specify) C.If the disclosing entity is a corporation, list names, addresses of the directors, and EINs for corporations under “Remarks.” D.Are any owners of the disclosing entity also owners of other Medicare/Medicaid facilities? (Example: sole proprietor, partnership, or members of Board of Directors) If yes, list names, addresses of individuals, and provider numbers. .......................................................................................................... ❒ ❒ NAME ADDRESS PROVIDER NUMBER Exhibit J Page 2 of 2 YES NO IV. A. Has there been a change in ownership or control within the last year? ....................................................... ❒ ❒ If yes, give date. B. Do you anticipate any change of ownership or control within the year?....................................................... ❒ ❒ If yes, when? C. Do you anticipate filing for bankruptcy within the year?................................................................................ ❒ ❒ If yes, when? V.Is the facility operated by a management company or leased in whole or part by another organization?.......... ❒ ❒ If yes, give date of change in operations. VI.Has there been a change in Administrator, Director of Nursing, or Medical Director within the last year?......... ❒ ❒ VII. A. Is this facility chain affiliated? ...................................................................................................................... ❒ ❒ (If yes, list name, address of corporation, and EIN.) Name EIN Address (number, name) City State ZIP code B.If the answer to question VII.A. is NO, was the facility ever affiliated with a chain? (If yes, list name, address of corporation, and EIN.) Name EIN Address (number, name) City State ZIP code Whoever knowingly and willfully makes or causes to be made a false statement or representation of this statement, may be prosecuted under applicable federal or state laws. In addition, knowingly and willfully failing to fully and accurately disclose the information requested may result in denial of a request to participate or where the entity already participates, a termination of its agreement or contract with the agency, as appropriate. Name of authorized representative (typed) Title Signature Date Remarks Exhibit K Page 1 of 2 CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS--PRIMARY COVERED TRANSACTIONS INSTRUCTIONS FOR CERTIFICATION 1.By signing and submitting this proposal, the prospective primary participant is providing the certification set out below. 2.The inability of a person to provide the certification required below will not necessarily result in denial of participation in this covered transaction. The prospective participant shall submit an explanation of why it cannot provide the certification set out below. The certification or explanation will be considered in connection with the department or agency's determination whether to enter into this transaction. However, failure of the prospective primary participant to furnish a certification or an explanation shall disqualify such person from participation in this transaction. 3.The certification in this clause is a material representation of fact upon which reliance was placed when the department or agency determined to enter into this transaction. If it is later determined that the prospective primary participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause or default. 4.The prospective primary participant shall provide immediate written notice to the department or agency to which this proposal is submitted if at any time the prospective primary participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 5.The terms covered transaction, debarred, suspended, ineligible, participant, person, primary covered transaction, principal, proposal, and voluntarily excluded, as used in this clause, have the meanings set out in the Definitions and Coverage sections of the rules implementing Executive Order 12549. You may contact the department or agency to which this proposal is being submitted for assistance in obtaining a copy of those regulations. 6. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. CERTIFICATION (1)The prospective primary participant certifies to the best of its knowledge and belief, that it, its owners, officers, corporate managers and partners: (a)Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any Federal department or agency; (b)Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; Exhibit K Page 2 of 2 (c)Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State or local) terminated for cause or default. (2)Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. Signature: Date: (Printed Name & Title) (Name of Agency or Company) Exhibit L Page 1 of 2 SELF-DEALING TRANSACTION DISCLOSURE FORM In order to conduct business with the County of Fresno (hereinafter referred to as “COUNTY”), members of a CONTRACTOR’s board of directors (hereinafter referred to as “County Contractor”), must disclose any self-dealing transactions that they are a party to while providing goods, performing services, or both for the COUNTY. A self-dealing transaction is defined below: “A self-dealing transaction means a transaction to which the corporation is a party and in which one or more of its directors has a material financial interest” The definition above will be utilized for purposes of completing this disclosure form. INSTRUCTIONS (1)Enter board member’s name, job title (if applicable), and date this disclosure is being made. (2)Enter the board member’s company/agency name and address. (3)Describe in detail the nature of the self-dealing transaction that is being disclosed to the COUNTY. At a minimum, include a description of the following: a.The name of the agency/company with which the corporation has the transaction; and b.The nature of the material financial interest in the corporation’s transaction that the board member has. (4)Describe in detail why the self-dealing transaction is appropriate based on applicable provisions of the Corporations Code. (5)Form must be signed by the board member that is involved in the self-dealing transaction described in Sections (3) and (4). Exhibit L Page 2 of 2 (1) Company Board Member Information: Name: Date: Job Title: (2) Company/Agency Name and Address: (3) Disclosure (Please describe the nature of the self-dealing transaction you are a party to): (4)Explain why this self-dealing transaction is consistent with the requirements of Corporations Code 5233 (a): (5) Authorized Signature Signature: Date: