HomeMy WebLinkAboutAgreement A-18-687-1 Functional Family Therapy Program.pdfCOUNTY OF FRESNO
Fresno, CA
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AMENDMENT I TO AGREEMENT
THIS AMENDMENT, hereinafter referred to as “Amendment I”, is made and entered into this
_____ day of _____________, 2021, by and between the COUNTY OF FRESNO, a Political
Subdivision of the State of California, hereinafter referred to as “COUNTY”, and COMPREHENSIVE
YOUTH SERVICES OF FRESNO, INC., a California Non-Profit Corporation, whose business address
is 4545 N West Avenue, Fresno, CA 93705, hereinafter referred to as “CONTRACTOR” (collectively
the “parties”).
WHEREAS the parties entered into that certain Agreement, identified as COUNTY Agreement
No. A-18-687, effective the 1st day of January 2019, hereinafter referred to as “Agreement”, whereby
CONTRACTOR agreed to operate a Mental Health Services Act (MHSA) funded Functional Family
Therapy (FFT) Program to deliver certain Prevention and Early Intervention (PEI) mental health and
community services; and
WHEREAS the parties now desire to amend the Agreement regarding changes as stated
below and restate the Agreement in its entirety.
NOW, THEREFORE, in consideration of their mutual promises, covenants and conditions,
hereinafter set forth, the sufficiency of which is hereby acknowledged, the parties agree as follows:
1.That the existing COUNTY Agreement No. A-18-687, Page Four (4), beginning with
Section Four (4) “COMPENSATION”, Line Nine (9), with the word “COUNTY” and ending on Page
Six (6), Line Six (6) with the word “Agreement” be deleted and the following inserted in its place:
“COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to receive
compensation in accordance with the budget set forth in Revised Exhibit B, “Budget”, 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 January 1,
2019 through June 30, 2019 shall not exceed One Million Fifty Thousand Nine Hundred Eighty-Three
and No/100 Dollars ($1,051,983.00). It is understood by CONTRACTOR and COUNTY that the total
of Mental Health Services Act (MHSA) Prevention and Early Intervention (PEI) funds payable under
this Agreement to CONTRACTOR shall not exceed Three Hundred Thirty-Six Thousand Five
Agreement No. 18-687-1
8th June
COUNTY OF FRESNO
Fresno, CA
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Hundred Three and No/100 Dollars ($336,503.00). It is also understood by CONTRACTOR and
COUNTY that CONTRACTOR is estimated to generate a total of Seven Hundred Fifteen Thousand
Four Hundred Eighty and No/100 Dollars ($715,480.00) in Medi-Cal under this Agreement to offset
CONTRACTOR program costs as set forth in Revised Exhibit B.
The maximum amount payable to CONTRACTOR for the period of July 1, 2019
through June 30, 2020 shall not exceed Two Million Ninety-Six Thousand Two Hundred and No/100
Dollars ($2,096,200.00). It is understood by CONTRACTOR and COUNTY that the total of MHSA
PEI funds payable under this Agreement to CONTRACTOR shall not exceed Six Hundred Seventy-
Three Thousand Five and No/100 Dollars ($673,005.00). It is also understood by CONTRACTOR
and COUNTY that CONTRACTOR is estimated to generate a total of One Million Four Hundred
Twenty-Three Thousand One Hundred Ninety Five and No/100 Dollars ($1,423,195.00) in Medi-Cal
under this Agreement to offset CONTRACTOR program costs as set forth in Revised Exhibit B.
The maximum amount payable to CONTRACTOR for the period of July 1, 2020
through June 30, 2021 shall not exceed Two Million Six Hundred Thirteen Thousand Eight Hundred
Eighty-Two and No/100 Dollars ($2,613,882.00). It is understood by CONTRACTOR and COUNTY
that the total of MHSA PEI funds payable under this Agreement to CONTRACTOR shall not exceed
Six Hundred Seventy-Three Thousand Five and No/100 Dollars ($673,005.00). It is also understood
by CONTRACTOR and COUNTY that CONTRACTOR is estimated to generate a total of One Million
Nine Hundred Forty Thousand Eight Hundred Seventy-Seven and No/100 Dollars ($1,940,877.00) in
Medi-Cal under this Agreement to offset CONTRACTOR program costs as set forth in Revised Exhibit
B.
If this Agreement is extended pursuant to Paragraph 2, the maximum amount
payable to CONTRACTOR for the period of July 1, 2021 through June 30, 2022 shall not exceed Two
Million Six Hundred Eighty-Six Thousand Eight Hundred Seventy-Seven and No/100 Dollars
($2,686,877.00). It is understood by CONTRACTOR and COUNTY that the total of MHSA PEI funds
payable under this Agreement to CONTRACTOR shall not exceed Six Hundred Seventy-Three
Thousand Five and No/100 Dollars ($673,005.00). It is also understood by CONTRACTOR and
COUNTY that CONTRACTOR is estimated to generate a total of Two Million Thirteen Thousand Eight
COUNTY OF FRESNO
Fresno, CA
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Hundred Seventy-Two and No/100 Dollars ($2,013,872.00) in Medi-Cal under this Agreement to
offset CONTRACTOR program costs as set forth in Revised Exhibit B.
If this Agreement is extended pursuant to Paragraph 2, the maximum amount
payable to CONTRACTOR for the period of July 1, 2022 through June 30, 2023 shall not exceed Two
Million Seven Hundred Forty-Eight Thousand Twenty-Six and No/100 Dollars ($2,748,026.00). It is
understood by CONTRACTOR and COUNTY that the total of MHSA PEI funds payable under this
Agreement to CONTRACTOR shall not exceed Six Hundred Seventy-Three Thousand Five and
No/100 Dollars ($673,005.00). It is also understood by CONTRACTOR and COUNTY that
CONTRACTOR is estimated to generate a total of Two Million Seventy-Five Thousand Twenty-One
and No/100 Dollars ($2,075,021.00) in Medi-Cal under this Agreement to offset CONTRACTOR
program costs as set forth in Revised Exhibit B.
In no event shall the maximum contract amount, for the full contract term of
January 1, 2019 through June 30, 2023 (if extended for the two (2) additional years pursuant to
Paragraph 2), for all the services provided by CONTRACTOR to COUNTY under the terms and
conditions of this Agreement be in excess of Eleven Million One Hundred Ninety-Six Thousand Nine
Hundred Sixty-Eight and No/100 Dollars ($11,196,968.00) 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.”
2. That the existing COUNTY Agreement No. A-18-687, Page Twelve (12), beginning with
Section Nine (9) “HOLD-HARMLESS”, Line Twenty-Two (22), with the word “CONTRACTOR” and
ending on Page Thirteen (13), Line Three (3) with the word, “CONTRACTOR” be deleted and the
following inserted in its place:
“CONTRACTOR agrees to indemnify, save, hold harmless, and at COUNTY’s request,
defend the COUNTY, it’s officers, agents, and employees from any and all costs and expenses
(including attorney’s fees and 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
COUNTY OF FRESNO
Fresno, CA
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attorney’s fees and 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, its officers, agents, or employees under this Agreement.
CONTRACTOR agrees to indemnify COUNTY for Federal, State of California and/or
local audit exceptions resulting from noncompliance herein on the part of the CONTRACTOR.”
3.That the existing COUNTY Agreement No. A-18-687, Page Thirteen (13), beginning
with Section Ten (10), Subsection B “Automobile Liability”, Line Thirteen (13) with the word
“Insurance” and ending on Page Thirteen (13), Line Seventeen (17) word, “Agreement” be deleted
and the following inserted in its place:
“Comprehensive Automobile Liability insurance with limits of not less than One million
Dollars ($1,000,000.00) per accident for bodily injury and for property damages. Coverage should
include any auto used in connection with this Agreement.”
4.That the existing COUNTY Agreement No. A-18-687, Page Fourteen (14), Section Ten
(10), Subsection I “Waiver of Subrogation” be deleted in its entirety and the following inserted in its
place:
“I. Additional Requirements Relating to Insurance
CONTRACTOR hereby waives its right to recover from COUNTY, its officers,
agents, and employees any amounts paid by the policy of worker’s compensation insurance required
by this Agreement. CONTRACTOR is solely responsible to obtain any endorsement to such policy
that may be necessary to accomplish such waiver of subrogation, but CONTRACTOR’s waiver of
subrogation under this paragraph is effective whether or not CONTRACTOR obtains such an
endorsement.”
5.That all references in existing COUNTY Agreement No. A-18-687 to Exhibit B shall be
changed to read “Revised Exhibit B,” which is attached hereto and incorporated herein by this
reference.
COUNTY and CONTRACTOR agree that this Amendment is sufficient to amend the
Agreement and, that upon execution of this Amendment, the Agreement and this Amendment
together shall be considered the Agreement. The Agreement, as hereby amended, is ratified and
COUNTY OF FRESNO
Fresno, CA
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continued. Except as otherwise provided in this Amendment I, all other provisions of the Agreement
remain unchanged and in full force and effect. This Amendment I shall become effective upon
execution.
IN WITNESS WHEREOF, the parties hereto have executed this Amendment I to Agreement as
of the day and year first hereinabove written.
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Fund/Subclass :
Organization :
Account#:
0001/10000
5630
7295
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COUNTY OF FRESNO:
By //k-
Stev~n Brandau ,
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 d,4 ~
Deputy
PLEASE SEE ADDITIONAL
SIGNATURE PAGES ATTACHED
COUNTY OF FRESNO
Fresno , CA
FTE %Admin Direct Total
0001 FFT Team Site Supervisors 2.00 -$ 94,837$ 94,837$
0002 Clinical Director 0.40 -$ 22,530$ 22,530$
0003 Clinical Oversight/Peer Review 0.30 -$ 20,269$ 20,269$
0004 Community Mental Health Specialists 14.00 -$ 353,316$ 353,316$
0005 Care Managers/Parent Partner 4.00 -$ 84,997$ 84,997$
0006 Finance Dir/HR Mgr/Finance & Clerical Support Varies 18,152$ 37,738$ 55,890$
SALARY TOTAL 18,152$ 613,687$ 631,839$
0030 OASDI -$ -$ -$
0031 FICA/MEDICARE 1,389$ 46,948$ 48,337$
0032 SUI 341$ 9,442$ 9,783$
PAYROLL TAX TOTAL 1,730$ 56,390$ 58,120$
0040 Retirement 811$ 27,318$ 28,129$
0041 Workers Compensation 186$ 7,491$ 7,677$
0042 2,030$ 85,953$ 87,983$
EMPLOYEE BENEFITS TOTAL 3,027$ 120,762$ 123,789$
813,748$
1010 Rent/Lease Building 64,949$
1011 Rent/Lease Equipment 20,592$
1012 Utilities 17,825$
1013 Building Maintenance 8,096$
1014 Equipment purchase -$
FACILITY/EQUIPMENT TOTAL 111,462$
FACILITIES/EQUIPMENT EXPENSES:
FUNCTIONAL FAMILY THERAPY SERVICES
COMPREHENSIVE YOUTH SERVICES OF FRESNO, INC.
6 months: January 1, 2019 - June 30, 2019
Budget Categories -Total Proposed Budget
Line Item Description (Must be itemized)
PERSONNEL SALARIES:
PAYROLL TAXES:
EMPLOYEE BENEFITS:
Health Insurance (medical, vision, life, dental)
SALARY & BENEFITS GRAND TOTAL
Revised Exhibit B
1060 Telephone 10,378$
1061 Answering Service -$
1062 Postage -$
1063 Printing/Reproduction 300$
1064 Publications -$
1065 Legal Notices/Advertising -$
1066 Office Supplies & Equipment 12,851$
1067 Household Supplies -$
1068 Food 1,200$
1069 Program Supplies - Therapeutic 5,000$
1070 Program Supplies - Medical -$
1071 Transportation of Clients -$
1072 Staff Mileage/vehicle maintenance 24,713$
1073 Staff Travel (Out of County)8,240$
1074 Staff Training/Registration 23,711$
1075 Lodging 8,250$
1076 Other - (Identify)-$
1077 Other - (Identify)-$
OPERATING EXPENSES TOTAL 94,643$
1080 Accounting/Bookkeeping -$
1081 External Audit 2,926$
1082 Liability Insurance -$
1083 Administrative Overhead 8,197$
1084 Payroll Services 2,880$
1085 Professional Liability Insurance -$
FINANCIAL SERVICES TOTAL 14,003$
1090 Consultant 2,632$
1091 Translation Services 1,000$
1092 Medication Supports 375$
SPECIAL EXPENSES TOTAL 4,007$
1190 Computers & Software -$
1191 Furniture & Fixtures -$
1192 Other - Leased Automobile 2,520$
FIXED ASSETS TOTAL 2,520$
OPERATING EXPENSES:
FINANCIAL SERVICES EXPENSES:
SPECIAL EXPENSES (Consultant/Etc.):
FIXED ASSETS:
Revised Exhibit B
2000 Client Housing Support Expenditures (SFC 70)-$
2001 Client Housing Operating Expenditures (SFC 71)-$
2002.1 Clothing, Food & Hygiene (SFC 72)8,000$
2002.2 Client Transportation & Support (SFC 72)1,000$
2002.3 Education Support (SFC 72)1,800$
2002.4 Employment Support (SFC 72)800$
2002.5 Respite Care (SFC 72)-$
2002.6 Household Items -$
2002.7 Utility Vouchers (SFC 72)-$
2002.8 Child Care (SFC 72)-$
11,600$
TOTAL PROGRAM EXPENSES 1,051,983$
Units of Service Rate $ Amount
3000 167,843 $2.84 476,674$
3100 Case Management 38,657 $2.21 85,432$
3200 Crisis Services 440 $4.23 1,861$
3300 Medication Support - $4.82 -$
3400 Collateral 10,224 $2.84 29,036$
3500 Plan Development 1,942 $2.84 5,515$
3600 Assessment 38,648 $2.84 109,760$
3700 Rehabilitation 2,536 $2.84 7,202$
260,290 715,480$
Estimated % of Clients that are Medi-Cal Beneficiaries 100%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 715,480$
Federal M/Cal Share of Cost % (Federal Financial Participation-FFP) 50.00%357,740$
State M/Cal Share of Cost % (BH Realignment/EPSDT) 50.00%357,740$
MEDI-CAL REVENUE TOTAL 715,480$
4100 Other - (Identify)-$
4200 Other - (Identify)-$
4300 Other - (Identify)-$
OTHER REVENUE TOTAL -$
5000 Prevention & Early Intervention (PEI) Funds 336,503$
5100 Community Services & Supports (CSS) Funds -$
5200 Innovation (INN) Funds -$
5300 Workforce Education & Training (WET) Funds -$
MHSA FUNDS TOTAL 336,503$
1,051,983$ TOTAL PROGRAM REVENUE
NON MEDI-CAL CLIENT SUPPORT EXPENSES:
NON MEDI-CAL CLIENT SUPPORT TOTAL
MEDI-CAL REVENUE:
Mental Health Services (Individual/Family/Group Therapy)
Estimated Specialty Mental Health Services Billing Totals
OTHER REVENUE:
MENTAL HEALTH SERVICES ACT (MHSA) REVENUE:
Revised Exhibit B
FTE %Admin Direct Total
0001 FFT Team Site Supervisors 2.00 -$ 203,609$ 203,609$
0002 Clinical Director 0.32 -$ 38,416$ 38,416$
0003 Clinical Oversight/Peer Review 0.30 -$ 43,668$ 43,668$
0004 Community Mental Health Specialists 14.00 -$ 736,276$ 736,276$
0005 Care Managers/Parent Partner 4.00 -$ 164,309$ 164,309$
0006 Finance Dir/HR Mgr/Finance & Clerical Support Varies 43,372$ 70,971$ 114,343$
SALARY TOTAL 43,372$ 1,257,249$ 1,300,621$
0030 OASDI -$ -$ -$
0031 FICA/MEDICARE 3,317$ 96,183$ 99,500$
0032 SUI 435$ 11,293$ 11,728$
PAYROLL TAX TOTAL 3,752$ 107,476$ 111,228$
0040 Retirement 2,172$ 62,874$ 65,046$
0041 Workers Compensation 441$ 15,360$ 15,801$
0042 4,780$ 171,998$ 176,778$
EMPLOYEE BENEFITS TOTAL 7,393$ 250,232$ 257,625$
1,669,474$
1010 Rent/Lease Building 120,728$
1011 Rent/Lease Equipment 27,108$
1012 Utilities 27,802$
1013 Building Maintenance 14,567$
1014 Equipment purchase -$
FACILITY/EQUIPMENT TOTAL 190,205$
FACILITIES/EQUIPMENT EXPENSES:
FUNCTIONAL FAMILY THERAPY SERVICES
COMPREHENSIVE YOUTH SERVICES OF FRESNO, INC.
FY 2019 - 2020
Budget Categories -Total Proposed Budget
Line Item Description (Must be itemized)
PERSONNEL SALARIES:
PAYROLL TAXES:
EMPLOYEE BENEFITS:
Health Insurance (medical, vision, life, dental)
SALARY & BENEFITS GRAND TOTAL
Revised Exhibit B
1060 Telephone 25,994$
1061 Answering Service -$
1062 Postage -$
1063 Printing/Reproduction 300$
1064 Publications -$
1065 Legal Notices/Advertising -$
1066 Office Supplies & Equipment 17,408$
1067 Household Supplies -$
1068 Food 1,200$
1069 Program Supplies - Therapeutic 6,000$
1070 Program Supplies - Medical -$
1071 Transportation of Clients -$
1072 Staff Mileage/vehicle maintenance 48,761$
1073 Staff Travel (Out of County)9,440$
1074 Staff Training/Registration 40,066$
1075 Lodging 8,660$
1076 Other - (Identify)-$
1077 Other - (Identify)-$
OPERATING EXPENSES TOTAL 157,829$
1080 Accounting/Bookkeeping -$
1081 External Audit 8,477$
1082 Liability Insurance -$
1083 Administrative Overhead 7,174$
1084 Payroll Services 4,696$
1085 Professional Liability Insurance 9,977$
FINANCIAL SERVICES TOTAL 30,324$
1090 Consultant 19,318$
1091 Translation Services 2,000$
1092 Medication Supports 750$
SPECIAL EXPENSES TOTAL 22,068$
1190 Computers & Software -$
1191 Furniture & Fixtures -$
1192 Other - Leased Automobile 6,300$
FIXED ASSETS TOTAL 6,300$
OPERATING EXPENSES:
FINANCIAL SERVICES EXPENSES:
SPECIAL EXPENSES (Consultant/Etc.):
FIXED ASSETS:
Revised Exhibit B
2000 Client Housing Support Expenditures (SFC 70)-$
2001 Client Housing Operating Expenditures (SFC 71)-$
2002.1 Clothing, Food & Hygiene (SFC 72)12,000$
2002.2 Client Transportation & Support (SFC 72)3,500$
2002.3 Education Support (SFC 72)3,000$
2002.4 Employment Support (SFC 72)1,500$
2002.5 Respite Care (SFC 72)-$
2002.6 Household Items -$
2002.7 Utility Vouchers (SFC 72)-$
2002.8 Child Care (SFC 72)-$
20,000$
TOTAL PROGRAM EXPENSES 2,096,200$
Units of Service Rate $ Amount
3000 333,866 $2.84 948,179$
3100 Case Management 76,890 $2.21 169,927$
3200 Crisis Services 876 $4.23 3,705$
3300 Medication Support - $4.82 -$
3400 Collateral 20,338 $2.84 57,760$
3500 Plan Development 3,863 $2.84 10,971$
3600 Assessment 76,876 $2.84 218,328$
3700 Rehabilitation 5,044 $2.84 14,325$
517,753 1,423,195$
Estimated % of Clients that are Medi-Cal Beneficiaries 100%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 1,423,195$
Federal M/Cal Share of Cost % (Federal Financial Participation-FFP) 50.00%711,598$
State M/Cal Share of Cost % (BH Realignment/EPSDT) 50.00%711,598$
MEDI-CAL REVENUE TOTAL 1,423,195$
4100 Other - (Identify)-$
4200 Other - (Identify)-$
4300 Other - (Identify)-$
OTHER REVENUE TOTAL -$
5000 Prevention & Early Intervention (PEI) Funds 673,005$
5100 Community Services & Supports (CSS) Funds -$
5200 Innovation (INN) Funds -$
5300 Workforce Education & Training (WET) Funds -$
MHSA FUNDS TOTAL 673,005$
2,096,200$ TOTAL PROGRAM REVENUE
NON MEDI-CAL CLIENT SUPPORT EXPENSES:
NON MEDI-CAL CLIENT SUPPORT TOTAL
MEDI-CAL REVENUE:
Mental Health Services (Individual/Family/Group Therapy)
Estimated Specialty Mental Health Services Billing Totals
OTHER REVENUE:
MENTAL HEALTH SERVICES ACT (MHSA) REVENUE:
Revised Exhibit B
Revised Exhibit B
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 FFT Team Site Supervisors 2.00 -$ 223,150$ 223,150$
1102 Clinical Director 0.32 - 42,184 42,184
1103 Clinical Oversight/Peer Review 0.30 - 47,961 47,961
1104 Community Mental Health Specialists 14.00 - 1,138,235 1,138,235
1105 Care Managers/Parent Partner 4.00 - 192,019 192,019
1106 Finance Dir/HR Mgr/Finance & Clerical
Support 2.00 48,516 79,370 127,886
1107 - - -
1108 - - -
1109 - - -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 22.62 48,516$ 1,722,919$ 1,771,435$
Employee Benefits
Acct #Admin Direct Total
1201 2,429$ 86,161$ 88,590$
1202 493 21,145 21,638
1203 4,942 177,811 182,753
1204 - - -
1205 - - -
1206 - - -
7,864$ 285,117$ 292,981$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ -$ -$
1302 3,712 131,803 135,515
1303 489 12,702 13,191
1304 - - -
1305 - - -
1306 - - -
4,201$ 144,505$ 148,706$
60,581$ 2,152,541$ 2,213,122$
Retirement
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
OASDI
FICA/MEDICARE
SUI
Other (specify)
Other (specify)
Employee Benefits Subtotal:
Description
FUNCTIONAL FAMILY THERAPY SERVICES
COMPREHENSIVE YOUTH SERVICES OF FRESNO, INC.
Fiscal Year (FY) 2020-2021
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
Revised Exhibit B
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 3,500
2004 12,000
2005 3,000
2006 1,500
2007 -
2008 750
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
20,750$
3000: OPERATING EXPENSES
Acct #Amount
3001 26,267$
3002 300
3003 18,130
3004 -
3005 15,593
3006 48,766
3007 -
3008 -
3009 6,000
3010 5,565
3011 5,550
3012 1,200
127,371$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 14,120$
4002 123,899
4003 27,504
4004 6,300
4005 -
4006 28,372
4007 -
4008 -
4009 -
4010 -
200,195$
5000: SPECIAL EXPENSES
Acct #Amount
Other (specify)
Other - Program Supplies - Therapeutic
Staff Mileage/Vehicle Maintenance
Subscriptions & Memberships
Other - Lodging
Other - Food
Rent/Lease Equipment
Rent/Lease Building
Staff Training/Registration
Vehicle Maintenance
Other (specify)
Office, Household & Program Supplies
Telephone
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 - Equipment Purchase
Other (specify)
Other (specify)
Building Maintenance
Line Item Description
Line Item Description
Line Item Description
Line Item Description
DIRECT CLIENT CARE TOTAL
Other (specify)
Other (specify)
Advertising
FACILITIES/EQUIPMENT TOTAL:
Other - Staff Travel (Out of County)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
5001 19,372$
5002 -
5003 -
5004 2,000
5005 -
5006 -
5007 -
5008 -
21,372$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 7,305$
6002 10,198
6003 -
6004 8,732
6005 -
6006 4,837
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
31,072$
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 - 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
SPECIAL EXPENSES TOTAL:
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Other (specify)
Contractual/Consulting Services (Specify)
Translation Services
2,613,882$ TOTAL PROGRAM EXPENSES
Other Assets over $500 with Lifespan of 2 Years +
Other (specify)
Assets over $5,000/unit (Specify)
FIXED ASSETS EXPENSES TOTAL
Professional Liability Insurance
Accounting/Bookkeeping
ADMINISTRATIVE EXPENSES TOTAL
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Acct #Service Units Rate Amount
8001 Mental Health Services (Individual/Family/Group Therapy)342,117 3.78 1,293,202$
8002 Case Management 78,790 2.94 231,643
8003 Crisis Services 898 5.55 4,984
8004 Medication Support 0 6.89 -
8005 Collateral 20,840 3.78 78,775
8006 Plan Development 3,958 3.78 14,961
8007 Assessment 78,776 3.78 297,773
8008 Rehabilitation 5,169 3.78 19,539
530,548 1,940,877$
100%
1,940,877
100%1,940,877
1,940,877$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment (0)$
(0)$
Acct #MHSA Component Amount
8301 CSS - Community Services & Supports -$
8302 PEI - Prevention & Early Intervention 673,005
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
673,005$
Acct #Amount
8401 Client Fees -$
8402 Client Insurance -
8403 -
8404 -
8405 -
-$
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
Functional Family Therapy
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) %
Other (Specify)
Other (Specify)
Other (Specify)
Line Item Description
8400 - OTHER REVENUE
TOTAL PROGRAM FUNDING SOURCES:2,613,882$
-$
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
Revised Exhibit B
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 2,213,122
Employee Salaries 1,771,435
1101 FFT Team Site Supervisors 223,150 FFT Team Site Supervisors - 2.00 FTE Program Administrators will provide
programmatic oversite and direct clinical supervision of all programmatic staff. They
will also provide direct therapeutic services to clients.
1102 Clinical Director 42,184 Clinical Director -- The Clinical Director, 32% FTE, will provide broad oversite of the
program as well as direct supervision of FFT staff.
1103 Clinical Oversight/Peer Review 47,961 Clinical Oversight/Peer Review - 30% FTE of Licensed, Lead Therapists & CYS's
Executive Director (also a nationally-trained FFT site supervisor) will provide
programmatic oversight and case review.
1104 Community Mental Health Specialists 1,138,235 Community Mental Health Specialists - 14.00 Full-time Community Mental Health
Specialists, trained in the FFT model, have been assigned to the program. They will
provide services in the client/family’s home, in a community setting or at CYS’s clinical
facilities in Fresno County, based upon the desires and comfort level of the individual
client/family.
1105 Care Managers/Parent Partner 192,019 Care Managers/Parent Partner - 4.00 FTE have been allocated to FFT Care
Managers/Parent Partners who provides case management services to clients and
their families. They work closely with the Community Mental Health Specialists to
monitor the clients’ progress, link the client/family to community resources, offer
advocacy assistance, and provide rehabilitation and collateral services.
1106 Finance Dir/HR Mgr/Finance & Clerical
Support
127,886 Finance Department, Clerical & Human Resources - A portion of the salaries of
administrative personnel have been allocated to provide administrative, financial and
clerical support for the program. Some administrative personnel will provide direct
service support by assisting in Medi-Cal billing, client recordkeeping, and data
management via our client electronic health records system.
Finance DIrector - 0.15 FTE
HR Director - 0.10 FTE
FInance & Billing Staff - 1.50 FTE
Clerical - 0.25 FTE
1107 0 -
1108 0 -
1109 0 -
1110 0 -
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 292,981
1201 Retirement 88,590 Retirement -- After one year of employment, a Retirement match is paid at 5% of the
plan participant’s salary or their elected contribution, whichever is less. Total
employee benefits are less than the 20% required maximum of total salaries.
1202 Worker's Compensation 21,638 Finance Department, Clerical & Human Resources - A portion of the salaries of
administrative personnel have been allocated to provide administrative, financial and
clerical support for the program. Some administrative personnel will provide direct
service support by assisting in Medi-Cal billing, client recordkeeping, and data
management via our client electronic health records system.
1203 Health Insurance 182,753 Health Insurance - CYS pays 100% of medical insurance for staff working 40 hours per
week. Benefits are pro-rated for staff working a minimum of 30 hours per week, as
required by Federal law.
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
Payroll Taxes & Expenses:148,706
COMPREHENSIVE YOUTH SERVICES OF FRESNO, INC.
FUNCTIONAL FAMILY THERAPY SERVICES
Fiscal Year (FY) 2020-2021
PROGRAM EXPENSE
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1301 OASDI -
1302 FICA/MEDICARE 135,515
1303 SUI 13,191
1304 Other (specify)-
1305 Other (specify)-
1306 Other (specify)-
2000: CLIENT SUPPORT 20,750
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support 3,500
2004 Clothing, Food, & Hygiene 12,000
2005 Education Support 3,000
2006 Employment Support 1,500
2007 Household Items for Clients -
2008 Medication Supports 750 Medication Supports is used to support clients who need assistance with doctor's
visits, eyeglasses, dental, etc.
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (specify)-
2012 Other (specify)-
2013 Other (specify)-
2014 Other (specify)-
2015 Other (specify)-
2016 Other (specify)-
3000: OPERATING EXPENSES 127,371
3001 Telephone 26,267 A pro-rata share (23.00%) of telephone and internet services at CYS facilities as well as
cell phones for staff to receive client calls.
3002 Printing/Postage 300 Informational Publications are for program and therapeutic information to supply to
clients.
3003 Office, Household & Program Supplies 18,130 Office supplies are used by direct service and admin staff in support of the program.
3004 Advertising -
3005 Staff Training/Registration 15,593 CYS Sponsored Training is budgeted for outside facilitators to train staff on topics
including law and ethics, cultural competency, sexual harassment and workplace
safety. Also including in Training are fees paid to the state organization (CIBHS) who
trains staff & supervisors in the FFT evidence-based system.
3006 Staff Mileage/Vehicle Maintenance 48,766 Staff mileage will be reimbursed to staff at the current, published IRS rate and used for
home visits, partner meetings, etc. Vehicle Maintenance will be used for fuel and
required maintenance on the leased automobile wholly used in the program.
3007 Subscriptions & Memberships -
3008 Vehicle Maintenance -
3009 Other - Program Supplies - Therapeutic 6,000 Therapeutic Program Supplies are for measurement tools, client supplies & incentives
and therapeutic supplies.
3010 Other - Staff Travel (Out of County)5,565 Staff Travel (Out of County) and Lodging has been allocated for those staff trainings
and meetings required by the FFT model.
3011 Other - Lodging 5,550 Staff Travel (Out of County) and Lodging has been allocated for those staff trainings
and meetings required by the FFT model.
3012 Other - Food 1,200 The Food line item is for food purchases made by staff for the client's benefit.
4000: FACILITIES & EQUIPMENT 200,195
CYS pays all legally mandated taxes, including FICA and California Unemployment
Insurance.
The supports are for clients, family members, and caregivers including cash payments,
vouchers, goods, services, items necessary for daily living (such as food, clothing,
hygiene, etc.), and transportation. This does not include housing supports and capital
expenditures or the salaries and benefits of staff used to provide client flexible
supports. CYS adheres to a strict internal control procedure regarding gift cards: all gift
cards purchased are logged in by CYS fiscal staff, allocated to programmatic staff, then
signed out by the clients. All gift cards are locked in bolted safes at the main office,
with restricted access to only a few staff, until needed.
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
4001 Building Maintenance 14,120 Based on the pro-rata share of salaries for staff housed at CYS rented offices/facilities.
The pro-rata share is calculated at 39.00% of total space costs.
4002 Rent/Lease Building 123,899 Based on the pro-rata share of salaries for staff housed at CYS rented offices/facilities.
The pro-rata share is calculated at 39.00% of total space costs.
4003 Rent/Lease Equipment 27,504 Leasing of equipment, plus repairs and maintenance of copiers and computers, is
calculated at 26.50% of total agency expense.
4004 Rent/Lease Vehicles 6,300 Leased Automobile - CYS will obtain a leased vehicle to be driven by CYS staff for client
home visits.
4005 Security -
4006 Utilities 28,372 Based on the pro-rata share of salaries for staff housed at CYS rented offices/facilities.
The pro-rata share is calculated at 39.00% of total space costs.
4007 Other - Equipment Purchase -
4008 Other (specify)-
4009 Other (specify)-
4010 Other (specify)-
5000: SPECIAL EXPENSES 21,372
5001 Consultant 19,372 Consultant fees have been allotted for legal assistance and for programmatic
consultations mandated by the FFT model.
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services 2,000 Translation services are budgeted for those clients who cannot be served by the
language capabilities of staff, including those who are deaf or hard of hearing.
5005 Other (specify)-
5006 Other (specify)-
5007 Other (specify)-
5008 Other (specify)-
6000: ADMINISTRATIVE EXPENSES 31,072
6001 Administrative Overhead 7,305
6002 Professional Liability Insurance 10,198
6003 Accounting/Bookkeeping -
6004 External Audit 8,732
6005 Insurance - Liability -
6006 Payroll Services 4,837
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 $5,000/unit (Specify)-
7007 Other (specify)-
7008 Other (specify)-
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROGRAM FUNDING SOURCES
A pro-rata share of our required annual independent audit and tax return preparation
is allocated based on a percentage of total salaries (23.00%). A share of the Human
Resources Consultant CYS contracts with for all human resource needs is included, as
well as Payroll Processing Services at the same percentage allocation. A percentage of
the agency's general and professional liability insurance is also included at the same
rate.
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
ACCT #LINE ITEM
8001 Mental Health Services
(Individual/Family/Group Therapy)
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:2,613,882
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:2,613,882
BUDGET CHECK:-
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE
RATES AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 FFT Team Site Supervisors 2.00 -$ 228,568$ 228,568$
1102 Clinical Director 0.32 - 43,181 43,181
1103 Clinical Oversight/Peer Review 0.30 - 49,122 49,122
1104 Community Mental Health Specialists 14.00 - 1,165,909 1,165,909
1105 Care Managers/Parent Partner 4.00 - 197,102 197,102
1106 Finance Dir/HR Mgr/Finance & Clerical
Support 2.00 49,681 81,337 131,018
1107 - - -
1108 - - -
1109 - - -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 22.62 49,681$ 1,765,219$ 1,814,900$
Employee Benefits
Acct #Admin Direct Total
1201 2,486$ 88,273$ 90,759$
1202 504 21,660 22,164
1203 5,166 185,893 191,059
1204 - - -
1205 - - -
1206 - - -
8,156$ 295,826$ 303,982$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ -$ -$
1302 3,800 135,038 138,838
1303 455 11,769 12,224
1304 - - -
1305 - - -
1306 - - -
4,255$ 146,807$ 151,062$
62,092$ 2,207,852$ 2,269,944$
Other (specify)
Other (specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Other (specify)
Retirement
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
Other (specify)
FUNCTIONAL FAMILY THERAPY SERVICES
COMPREHENSIVE YOUTH SERVICES OF FRESNO, INC.
Fiscal Year (FY) 2021-2022
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 3,500
2004 12,000
2005 3,000
2006 1,500
2007 -
2008 750
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
20,750$
3000: OPERATING EXPENSES
Acct #Amount
3001 26,547$
3002 300
3003 17,825
3004 -
3005 23,770
3006 48,771
3007 -
3008 -
3009 6,000
3010 6,690
3011 7,050
3012 1,200
138,153$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 14,421$
4002 127,166
4003 27,913
4004 6,300
4005 -
4006 28,960
4007 -
4008 -
4009 -
4010 -
204,760$
5000: SPECIAL EXPENSES
Acct #AmountLine Item Description
Utilities
Other - Equipment Purchase
Other (specify)
Other (specify)
Other (specify)
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
Security
Vehicle Maintenance
Other - Program Supplies - Therapeutic
Other - Staff Travel (Out of County)
Other - Lodging
Other - Food
OPERATING EXPENSES TOTAL:
Printing/Postage
Office, Household & Program Supplies
Advertising
Staff Training/Registration
Staff Mileage/Vehicle Maintenance
Subscriptions & Memberships
Other (specify)
Other (specify)
Other (specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Telephone
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (specify)
Other (specify)
Other (specify)
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Household Items for Clients
Line Item Description
Child Care
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
5001 19,429$
5002 -
5003 -
5004 2,000
5005 -
5006 -
5007 -
5008 -
21,429$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 7,439$
6002 10,426
6003 -
6004 8,994
6005 -
6006 4,982
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
31,841$
7000: FIXED ASSETS
Acct #Amount
7001 -$
7002 -
7003 -
7004 -
7005 -
7006 -
7007 -
7008 -
-$
Assets over $5,000/unit (Specify)
Other (specify)
Other (specify)
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 2,686,877$
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Other (specify)
ADMINISTRATIVE EXPENSES TOTAL
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Insurance - Liability
Payroll Services
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Other (specify)
Other (specify)
Other (specify)
SPECIAL EXPENSES TOTAL:
Line Item Description
Administrative Overhead
Consultant
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Translation Services
Other (specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Acct #Service Units Rate Amount
8001 Mental Health Services (Individual/Family/Group Therapy)354,985 3.78 1,341,843$
8002 Case Management 81,754 2.94 240,357
8003 Crisis Services 931 5.55 5,167
8004 Medication Support 0 6.89 -
8005 Collateral 21,624 3.78 81,739
8006 Plan Development 4,107 3.78 15,524
8007 Assessment 81,738 3.78 308,970
8008 Rehabilitation 5,363 3.78 20,272
550,502 2,013,872$
100%
2,013,872
100%2,013,872
2,013,872$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment (0)$
(0)$
Acct #MHSA Component Amount
8301 CSS - Community Services & Supports -$
8302 PEI - Prevention & Early Intervention 673,005
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
673,005$
Acct #Amount
8401 Client Fees -$
8402 Client Insurance -
8403 -
8404 -
8405 -
-$
NET PROGRAM COST: -$
Other (Specify)
Other (Specify)
Other (Specify)
OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:2,686,877$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Functional Family Therapy
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
Estimated Specialty Mental Health Services Billing Totals:
Estimated % of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 2,269,944
Employee Salaries 1,814,900
1101 FFT Team Site Supervisors 228,568 FFT Team Site Supervisors - 2.00 FTE Program Administrators will provide
programmatic oversite and direct clinical supervision of all programmatic staff. They
will also provide direct therapeutic services to clients.
1102 Clinical Director 43,181 Clinical Director -- The Clinical Director, 32% FTE, will provide broad oversite of the
program as well as direct supervision of FFT staff.
1103 Clinical Oversight/Peer Review 49,122 Clinical Oversight/Peer Review - 30% FTE of Licensed, Lead Therapists & CYS's
Executive Director (also a nationally-trained FFT site supervisor) will provide
programmatic oversight and case review.
1104 Community Mental Health Specialists 1,165,909 Community Mental Health Specialists - 14.00 Full-time Community Mental Health
Specialists, trained in the FFT model, have been assigned to the program. They will
provide services in the client/family’s home, in a community setting or at CYS’s
clinical facilities in Fresno County, based upon the desires and comfort level of the
individual client/family.
1105 Care Managers/Parent Partner 197,102 Care Managers/Parent Partner - 4.00 FTE have been allocated to FFT Care
Managers/Parent Partners who provides case management services to clients and
their families. They work closely with the Community Mental Health Specialists to
monitor the clients’ progress, link the client/family to community resources, offer
advocacy assistance, and provide rehabilitation and collateral services.
1106 Finance Dir/HR Mgr/Finance & Clerical
Support
131,018 Finance Department, Clerical & Human Resources - A portion of the salaries of
administrative personnel have been allocated to provide administrative, financial
and clerical support for the program. Some administrative personnel will provide
direct service support by assisting in Medi-Cal billing, client recordkeeping, and data
management via our client electronic health records system.
Finance DIrector - 0.15 FTE
HR Director - 0.10 FTE
FInance & Billing Staff - 1.50 FTE
Clerical - 0.25 FTE
1107 0 2
1108 0 -
1109 0 -
1110 0 -
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 303,982
1201 Retirement 90,759 Retirement -- After one year of employment, a Retirement match is paid at 5% of
the plan participant’s salary or their elected contribution, whichever is less. Total
employee benefits are less than the 20% required maximum of total salaries.
1202 Worker's Compensation 22,164 Finance Department, Clerical & Human Resources - A portion of the salaries of
administrative personnel have been allocated to provide administrative, financial
and clerical support for the program. Some administrative personnel will provide
direct service support by assisting in Medi-Cal billing, client recordkeeping, and data
management via our client electronic health records system.
1203 Health Insurance 191,059 Health Insurance - CYS pays 100% of medical insurance for staff working 40 hours
per week. Benefits are pro-rated for staff working a minimum of 30 hours per week,
as required by Federal law.
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
Payroll Taxes & Expenses:151,062
1301 OASDI -
1302 FICA/MEDICARE 138,838
1303 SUI 12,224
FUNCTIONAL FAMILY THERAPY SERVICES
COMPREHENSIVE YOUTH SERVICES OF FRESNO, INC.
Fiscal Year (FY) 2021-2022
PROGRAM EXPENSE
CYS pays all legally mandated taxes, including FICA and California Unemployment
Insurance.
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1304 Other (specify)-
1305 Other (specify)-
1306 Other (specify)-
2000: CLIENT SUPPORT 20,750
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support 3,500
2004 Clothing, Food, & Hygiene 12,000
2005 Education Support 3,000
2006 Employment Support 1,500
2007 Household Items for Clients -
2008 Medication Supports 750 Medication Supports is used to support clients who need assistance with doctor's
visits, eyeglasses, dental, etc.
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (specify)-
2012 Other (specify)-
2013 Other (specify)-
2014 Other (specify)-
2015 Other (specify)-
2016 Other (specify)-
3000: OPERATING EXPENSES 138,153
3001 Telephone 26,547 A pro-rata share (23.00%) of telephone and internet services at CYS facilities as well
as cell phones for staff to receive client calls.
3002 Printing/Postage 300 Informational Publications are for program and therapeutic information to supply to
clients.
3003 Office, Household & Program Supplies 17,825 Office supplies are used by direct service and admin staff in support of the program.
3004 Advertising -
3005 Staff Training/Registration 23,770 CYS Sponsored Training is budgeted for outside facilitators to train staff on topics
including law and ethics, cultural competency, sexual harassment and workplace
safety. Also including in Training are fees paid to the state organization (CIBHS) who
trains staff & supervisors in the FFT evidence-based system.
3006 Staff Mileage/Vehicle Maintenance 48,771 Staff mileage will be reimbursed to staff at the current, published IRS rate and used
for home visits, partner meetings, etc. Vehicle Maintenance will be used for fuel
and required maintenance on the leased automobile wholly used in the program.
3007 Subscriptions & Memberships -
3008 Vehicle Maintenance -
3009 Other - Program Supplies - Therapeutic 6,000 Therapeutic Program Supplies are for measurement tools, client supplies &
incentives and therapeutic supplies.
3010 Other - Staff Travel (Out of County)6,690 Staff Travel (Out of County) and Lodging has been allocated for those staff trainings
and meetings required by the FFT model.
3011 Other - Lodging 7,050 Staff Travel (Out of County) and Lodging has been allocated for those staff trainings
and meetings required by the FFT model.
3012 Other - Food 1,200 The Food line item is for food purchases made by staff for the client's benefit.
4000: FACILITIES & EQUIPMENT 204,760
4001 Building Maintenance 14,421 Based on the pro-rata share of salaries for staff housed at CYS rented
offices/facilities. The pro-rata share is calculated at 39.00% of total space costs.
4002 Rent/Lease Building 127,166 Based on the pro-rata share of salaries for staff housed at CYS rented
offices/facilities. The pro-rata share is calculated at 39.00% of total space costs.
4003 Rent/Lease Equipment 27,913 Leasing of equipment, plus repairs and maintenance of copiers and computers, is
calculated at 26.50% of total agency expense.
4004 Rent/Lease Vehicles 6,300 Leased Automobile - CYS will obtain a leased vehicle to be driven by CYS staff for
client home visits.
The supports are for clients, family members, and caregivers including cash
payments, vouchers, goods, services, items necessary for daily living (such as food,
clothing, hygiene, etc.), and transportation. This does not include housing supports
and capital expenditures or the salaries and benefits of staff used to provide client
flexible supports. CYS adheres to a strict internal control procedure regarding gift
cards: all gift cards purchased are logged in by CYS fiscal staff, allocated to
programmatic staff, then signed out by the clients. All gift cards are locked in bolted
safes at the main office, with restricted access to only a few staff, until needed.
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
4005 Security -
4006 Utilities 28,960 Based on the pro-rata share of salaries for staff housed at CYS rented
offices/facilities. The pro-rata share is calculated at 39.00% of total space costs.
4007 Other - Equipment Purchase -
4008 Other (specify)-
4009 Other (specify)-
4010 Other (specify)-
5000: SPECIAL EXPENSES 21,429
5001 Consultant 19,429 Consultant fees have been allotted for legal assistance and for programmatic
consultations mandated by the FFT model.
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services 2,000 Translation services are budgeted for those clients who cannot be served by the
language capabilities of staff, including those who are deaf or hard of hearing.
5005 Other (specify)-
5006 Other (specify)-
5007 Other (specify)-
5008 Other (specify)-
6000: ADMINISTRATIVE EXPENSES 31,841
6001 Administrative Overhead 7,439
6002 Professional Liability Insurance 10,426
6003 Accounting/Bookkeeping -
6004 External Audit 8,994
6005 Insurance - Liability -
6006 Payroll Services 4,982
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 $5,000/unit (Specify)-
7007 Other (specify)-
7008 Other (specify)-
ACCT #LINE ITEM
8001 Mental Health Services
(Individual/Family/Group Therapy)
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:2,686,877
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:2,686,877
A pro-rata share of our required annual independent audit and tax return
preparation is allocated based on a percentage of total salaries (23.00%). A share of
the Human Resources Consultant CYS contracts with for all human resource needs is
included, as well as Payroll Processing Services at the same percentage allocation. A
percentage of the agency's general and professional liability insurance is also
included at the same rate.
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE
RATES AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
BUDGET CHECK:-
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 FFT Team Site Supervisors 2.00 -$ 235,927$ 235,927$
1102 Clinical Director 0.32 - 44,336 44,336
1103 Clinical Oversight/Peer Review 0.30 - 50,538 50,538
1104 Community Mental Health Specialists 14.00 - 1,201,298 1,201,298
1105 Care Managers/Parent Partner 4.00 - 203,012 203,012
1106 Finance Dir/HR Mgr/Finance & Clerical
Support 2.00 51,147 83,778 134,925
1107 - - -
1108 - - -
1109 - - -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 22.62 51,147$ 1,818,889$ 1,870,036$
Employee Benefits
Acct #Admin Direct Total
1201 2,559$ 90,956$ 93,515$
1202 519 22,320 22,839
1203 5,345 192,357 197,702
1204 - - -
1205 - - -
1206 - - -
8,423$ 305,633$ 314,056$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ -$ -$
1302 3,913 139,146 143,059
1303 509 13,179 13,688
1304 - - -
1305 - - -
1306 - - -
4,422$ 152,325$ 156,747$
63,992$ 2,276,847$ 2,340,839$
Other (specify)
Other (specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Other (specify)
Retirement
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
Other (specify)
FUNCTIONAL FAMILY THERAPY SERVICES
COMPREHENSIVE YOUTH SERVICES OF FRESNO, INC.
Fiscal Year (FY) 2022-2023
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 3,500
2004 12,000
2005 3,000
2006 1,500
2007 -
2008 750
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
20,750$
3000: OPERATING EXPENSES
Acct #Amount
3001 26,837$
3002 300
3003 18,026
3004 -
3005 12,648
3006 48,776
3007 -
3008 -
3009 6,000
3010 4,015
3011 4,350
3012 1,200
122,152$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 15,433$
4002 130,531
4003 28,334
4004 6,300
4005 -
4006 29,565
4007 -
4008 -
4009 -
4010 -
210,163$
5000: SPECIAL EXPENSES
Acct #AmountLine Item Description
Utilities
Other - Equipment Purchase
Other (specify)
Other (specify)
Other (specify)
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Building Maintenance
Rent/Lease Building
Rent/Lease Equipment
Rent/Lease Vehicles
Security
Vehicle Maintenance
Other - Program Supplies - Therapeutic
Other - Staff Travel (Out of County)
Other - Lodging
Other - Food
OPERATING EXPENSES TOTAL:
Printing/Postage
Office, Household & Program Supplies
Advertising
Staff Training/Registration
Staff Mileage/Vehicle Maintenance
Subscriptions & Memberships
Other (specify)
Other (specify)
Other (specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Telephone
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (specify)
Other (specify)
Other (specify)
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Household Items for Clients
Line Item Description
Child Care
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
5001 19,486$
5002 -
5003 -
5004 2,000
5005 -
5006 -
5007 -
5008 -
21,486$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 7,579$
6002 10,661
6003 -
6004 9,264
6005 -
6006 5,132
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
32,636$
7000: FIXED ASSETS
Acct #Amount
7001 -$
7002 -
7003 -
7004 -
7005 -
7006 -
7007 -
7008 -
-$
Assets over $5,000/unit (Specify)
Other (specify)
Other (specify)
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 2,748,026$
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Other (specify)
ADMINISTRATIVE EXPENSES TOTAL
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Insurance - Liability
Payroll Services
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Other (specify)
Other (specify)
Other (specify)
SPECIAL EXPENSES TOTAL:
Line Item Description
Administrative Overhead
Consultant
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Translation Services
Other (specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Acct #Service Units Rate Amount
8001 Mental Health Services (Individual/Family/Group Therapy)365,762 3.78 1,382,580$
8002 Case Management 84,236 2.94 247,654
8003 Crisis Services 960 5.55 5,328
8004 Medication Support 0 6.89 -
8005 Collateral 22,281 3.78 84,222
8006 Plan Development 4,232 3.78 15,997
8007 Assessment 84,220 3.78 318,352
8008 Rehabilitation 5,526 3.78 20,888
567,217 2,075,021$
100%
2,075,021
100%2,075,021
2,075,021$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment (0)$
(0)$
Acct #MHSA Component Amount
8301 CSS - Community Services & Supports -$
8302 PEI - Prevention & Early Intervention 673,005
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
673,005$
Acct #Amount
8401 Client Fees -$
8402 Client Insurance -
8403 -
8404 -
8405 -
-$
NET PROGRAM COST: -$
Other (Specify)
Other (Specify)
Other (Specify)
OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:2,748,026$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Functional Family Therapy
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
Estimated Specialty Mental Health Services Billing Totals:
Estimated % of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 2,340,839
Employee Salaries 1,870,036
1101 FFT Team Site Supervisors 235,927 FFT Team Site Supervisors - 2.00 FTE Program Administrators will provide
programmatic oversite and direct clinical supervision of all programmatic staff. They
will also provide direct therapeutic services to clients.
1102 Clinical Director 44,336 Clinical Director -- The Clinical Director, 32% FTE, will provide broad oversite of the
program as well as direct supervision of FFT staff.
1103 Clinical Oversight/Peer Review 50,538 Clinical Oversight/Peer Review - 30% FTE of Licensed, Lead Therapists & CYS's
Executive Director (also a nationally-trained FFT site supervisor) will provide
programmatic oversight and case review.
1104 Community Mental Health Specialists 1,201,298 Community Mental Health Specialists - 14.00 Full-time Community Mental Health
Specialists, trained in the FFT model, have been assigned to the program. They will
provide services in the client/family’s home, in a community setting or at CYS’s
clinical facilities in Fresno County, based upon the desires and comfort level of the
individual client/family.
1105 Care Managers/Parent Partner 203,012 Care Managers/Parent Partner - 4.00 FTE have been allocated to FFT Care
Managers/Parent Partners who provides case management services to clients and
their families. They work closely with the Community Mental Health Specialists to
monitor the clients’ progress, link the client/family to community resources, offer
advocacy assistance, and provide rehabilitation and collateral services.
1106 Finance Dir/HR Mgr/Finance & Clerical
Support
134,925 Finance Department, Clerical & Human Resources - A portion of the salaries of
administrative personnel have been allocated to provide administrative, financial
and clerical support for the program. Some administrative personnel will provide
direct service support by assisting in Medi-Cal billing, client recordkeeping, and data
management via our client electronic health records system.
Finance DIrector - 0.15 FTE
HR Director - 0.10 FTE
FInance & Billing Staff - 1.50 FTE
Clerical - 0.25 FTE
1107 0 2
1108 0 -
1109 0 -
1110 0 -
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 314,056
1201 Retirement 93,515 Retirement -- After one year of employment, a Retirement match is paid at 5% of
the plan participant’s salary or their elected contribution, whichever is less. Total
employee benefits are less than the 20% required maximum of total salaries.
1202 Worker's Compensation 22,839 Finance Department, Clerical & Human Resources - A portion of the salaries of
administrative personnel have been allocated to provide administrative, financial
and clerical support for the program. Some administrative personnel will provide
direct service support by assisting in Medi-Cal billing, client recordkeeping, and data
management via our client electronic health records system.
1203 Health Insurance 197,702 Health Insurance - CYS pays 100% of medical insurance for staff working 40 hours
per week. Benefits are pro-rated for staff working a minimum of 30 hours per week,
as required by Federal law.
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
Payroll Taxes & Expenses:156,747
1301 OASDI -
1302 FICA/MEDICARE 143,059
1303 SUI 13,688
FUNCTIONAL FAMILY THERAPY SERVICES
COMPREHENSIVE YOUTH SERVICES OF FRESNO, INC.
Fiscal Year (FY) 2022-2023
PROGRAM EXPENSE
CYS pays all legally mandated taxes, including FICA and California Unemployment
Insurance.
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
1304 Other (specify)-
1305 Other (specify)-
1306 Other (specify)-
2000: CLIENT SUPPORT 20,750
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support 3,500
2004 Clothing, Food, & Hygiene 12,000
2005 Education Support 3,000
2006 Employment Support 1,500
2007 Household Items for Clients -
2008 Medication Supports 750 Medication Supports is used to support clients who need assistance with doctor's
visits, eyeglasses, dental, etc.
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (specify)-
2012 Other (specify)-
2013 Other (specify)-
2014 Other (specify)-
2015 Other (specify)-
2016 Other (specify)-
3000: OPERATING EXPENSES 122,152
3001 Telephone 26,837 A pro-rata share (23.00%) of telephone and internet services at CYS facilities as well
as cell phones for staff to receive client calls.
3002 Printing/Postage 300 Informational Publications are for program and therapeutic information to supply to
clients.
3003 Office, Household & Program Supplies 18,026 Office supplies are used by direct service and admin staff in support of the program.
3004 Advertising -
3005 Staff Training/Registration 12,648 CYS Sponsored Training is budgeted for outside facilitators to train staff on topics
including law and ethics, cultural competency, sexual harassment and workplace
safety. Also including in Training are fees paid to the state organization (CIBHS) who
trains staff & supervisors in the FFT evidence-based system.
3006 Staff Mileage/Vehicle Maintenance 48,776 Staff mileage will be reimbursed to staff at the current, published IRS rate and used
for home visits, partner meetings, etc. Vehicle Maintenance will be used for fuel
and required maintenance on the leased automobile wholly used in the program.
3007 Subscriptions & Memberships -
3008 Vehicle Maintenance -
3009 Other - Program Supplies - Therapeutic 6,000 Therapeutic Program Supplies are for measurement tools, client supplies &
incentives and therapeutic supplies.
3010 Other - Staff Travel (Out of County)4,015 Staff Travel (Out of County) and Lodging has been allocated for those staff trainings
and meetings required by the FFT model.
3011 Other - Lodging 4,350 Staff Travel (Out of County) and Lodging has been allocated for those staff trainings
and meetings required by the FFT model.
3012 Other - Food 1,200 The Food line item is for food purchases made by staff for the client's benefit.
4000: FACILITIES & EQUIPMENT 210,163
4001 Building Maintenance 15,433 Based on the pro-rata share of salaries for staff housed at CYS rented
offices/facilities. The pro-rata share is calculated at 39.00% of total space costs.
4002 Rent/Lease Building 130,531 Based on the pro-rata share of salaries for staff housed at CYS rented
offices/facilities. The pro-rata share is calculated at 39.00% of total space costs.
4003 Rent/Lease Equipment 28,334 Leasing of equipment, plus repairs and maintenance of copiers and computers, is
calculated at 26.50% of total agency expense.
4004 Rent/Lease Vehicles 6,300 Leased Automobile - CYS will obtain a leased vehicle to be driven by CYS staff for
client home visits.
The supports are for clients, family members, and caregivers including cash
payments, vouchers, goods, services, items necessary for daily living (such as food,
clothing, hygiene, etc.), and transportation. This does not include housing supports
and capital expenditures or the salaries and benefits of staff used to provide client
flexible supports. CYS adheres to a strict internal control procedure regarding gift
cards: all gift cards purchased are logged in by CYS fiscal staff, allocated to
programmatic staff, then signed out by the clients. All gift cards are locked in bolted
safes at the main office, with restricted access to only a few staff, until needed.
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
4005 Security -
4006 Utilities 29,565 Based on the pro-rata share of salaries for staff housed at CYS rented
offices/facilities. The pro-rata share is calculated at 39.00% of total space costs.
4007 Other - Equipment Purchase -
4008 Other (specify)-
4009 Other (specify)-
4010 Other (specify)-
5000: SPECIAL EXPENSES 21,486
5001 Consultant 19,486 Consultant fees have been allotted for legal assistance and for programmatic
consultations mandated by the FFT model.
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services 2,000 Translation services are budgeted for those clients who cannot be served by the
language capabilities of staff, including those who are deaf or hard of hearing.
5005 Other (specify)-
5006 Other (specify)-
5007 Other (specify)-
5008 Other (specify)-
6000: ADMINISTRATIVE EXPENSES 32,636
6001 Administrative Overhead 7,579
6002 Professional Liability Insurance 10,661
6003 Accounting/Bookkeeping -
6004 External Audit 9,264
6005 Insurance - Liability -
6006 Payroll Services 5,132
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)-
ACCT #LINE ITEM
8001 Mental Health Services
(Individual/Family/Group Therapy)
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:2,748,026
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:2,748,026
A pro-rata share of our required annual independent audit and tax return
preparation is allocated based on a percentage of total salaries (23.00%). A share of
the Human Resources Consultant CYS contracts with for all human resource needs is
included, as well as Payroll Processing Services at the same percentage allocation. A
percentage of the agency's general and professional liability insurance is also
included at the same rate.
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE
RATES AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
BUDGET CHECK:-
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020