HomeMy WebLinkAboutAgreement A-21-111 with FCSS.pdfCOUNTY OF FRESNO
Fresno, CA
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AGREEMENT
THIS AGREEMENT (“Agreement”) is made and entered into this ___________day of
_____________, 2021, by and between the COUNTY OF FRESNO (“COUNTY”), a political subdivision
of the State of California, and FRESNO COUNTY SUPERINTENDENT OF SCHOOLS (“FCSS”), a
political subdivision of the State of California.
W I T N E S S E T H:
WHEREAS, COUNTY, through its Department of Behavioral Health (“DBH”) and FCSS
recognize the need to expand school based mental health treatment, prevention, and early intervention
services for youth aged 0-22 throughout Fresno County; and,
WHEREAS, historically, California’s public mental health system has focused solely on the
segment of the population with “serious mental illness;” and,
WHEREAS, engaging with youth early in their experience of mental health issues will decrease
the likelihood that mental illness becomes severe and disabling; and
WHEREAS, California’s public mental health system has had minimal, if any focus on
prevention or intervention; and,
WHEREAS, FCSS and DBH began partnering in 2011 to fill this gap and serve youth before
their mental illness became serious; and,
WHEREAS, FCSS and DBH formalized this partnership as the All 4 Youth Partnership in 2018;
and,
WHEREAS, in order to further the All 4 Youth Partnership, in February 2020, FCSS and DBH
jointly responded through DBH to a Request for Applications (“RFA”) from the State of California for
grants under the Mental Health Services Act of 2019 (“MHSSA”); and,
WHEREAS, the RFA is incorporated herein by reference as the MHSSA RFA and made part of
this Agreement as if attached hereto; and,
WHEREAS the State of California granted the RFA and awarded the All 4 Youth Partnership,
through DBH, six million dollars ($6,000,000.00) to be awarded over the time period of September 1,
2020 though and including August 31, 2024 (“MHSSA Grant”); and,
13th
April
Agreement No. 21-111
COUNTY OF FRESNO
Fresno, CA
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WHEREAS, DBH entered into a Standard Agreement (COUNTY Agreement 20-283) with the
State of California for the MHSSA Grant which was fully-executed on August 27, 2020 and approved by
the COUNTY Board of Supervisors on August 4, 2020 (“MHSOAC-MHSSA Agreement”); and,
WHEREAS, under the provisions of the RFA for the MHSSA Grant, DBH will pass the majority
of the funds through to FCSS; the Parties enter in to this Agreement; and,
WHEREAS, COUNTY, through its DBH, is a Mental Health Plan (MHP) as defined in Title 9 of
the California Code of Regulations, section 1810.226; and
WHEREAS, FCSS is qualified, has the staffing, facilities, support services, and is willing to
provide said expanded mental health services at school, home and community locations throughout
Fresno County, 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.The scope of work for this Agreement is contained in the MHSSA RFA jointly
drafted by DBH and FCSS and submitted by DBH to the State of California in response to the Mental
Health Services Oversight and Accountability Commission’s (“MHSOAC”) Request for Applications,
MHSSA_001 Addendum 2. The MHSSA RFA is incorporated by reference and made part of this
Agreement as if attached hereto. Additionally, a scope of work document is attached hereto as Exhibit
A.These documents are intended to be read in concert with each other. To the extent that any
perceived conflict exists between the MHSSA RFA and Exhibit A, the MHSSA RFA shall be the
controlling document.
B.The work contained in the MHSSA RFA and Exhibit A is aligned with the vision,
mission, and guiding principles of DBH, as further described in Exhibit C, “Fresno County Department
of Behavioral Health Guiding Principles of Care Delivery”, attached hereto and by this reference
incorporated herein and made part of this Agreement. FCSS shall also provide tracking tools and
measurements for access, effectiveness, efficiency, and client satisfaction indicators as required by the
Commission on Accreditation of Rehabilitation Facilities (CARF) standards and as further detailed in
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Exhibit A, Scope of Work. These tracking tools and measurements will be aligned with MHSOAC
requirements.
C. It is acknowledged by all parties hereto that DBH Contracts Division unit shall
monitor this Agreement.in accordance with Section Thirteen (13) below.
D. FCSS shall participate in monthly, or as needed, workgroup meetings with staff
from DBH to discuss and plan for the work being completed pursuant to the MHSSA RFA and Exhibit
A, including, service requirements, data reporting, training, policies and procedures, overall program
operations, pre-approval of budgetary expenditures related to staffing, sensitive items, and fixed assets,
and any problems or foreseeable problems that may arise. As already agreed to in the June 5, 2018 All
4 Youth Partnership Agreement (Agreement Number 18-308), FCSS also participates in other
COUNTY meetings, such as, but not limited to, QI meetings, provider meetings, and Behavioral Health
Board meetings.
E. It is mutually agreed by Parties to Agreement, that the program funded under this
Agreement has already been named/branded. Nevertheless, any additional print or media materials,
including program branding and program preferences shall be reviewed in partnership between FCSS
and DBH and approved by the Director, DBH or designee and FCSS. The program funded under this
Agreement via the MHSOAC shall be identified as a partnership between DBH and FCSS under the
terms and conditions of this Agreement.
2. TERM
The term of this Agreement shall be for a period of four (4) years, commencing on the 1st
day of September 1, 2020 through and including August 31, 2024. There are no options to extend this
Agreement as this is the term funded by the MHSOAC via the awarded MHSSA Grant.
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 State of California. Should sufficient
funds not be allocated, the services provided may be modified with approval from the MHSOAC, or this
Agreement terminated at any time by giving FCSS at least thirty (30) days advance written notice.
B. Breach of Contract – A Party may terminate this Agreement only upon the other
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Party’s material breach of one or more provisions of this Agreement; after the non-breaching Party has
given the breaching Party thirty (30) days advance written notice of the termination; an opportunity has
been provided within 30 days of the date on which the non-breaching Party received the breaching
Party’s notice, to cure the material breach and to notify the other Party in writing when such cure has
been completed; and, to discuss the intent to terminate this Agreement with MHSOAC. If the breaching
party has not cured the material breach upon expiration of the 30 days or any extension thereof agreed
upon by the Parties and MHSOAC agrees with the termination, this Agreement shall terminate effective
12:00 midnight on the 30th day or the last day of the extension (if any) without any further notice or
action by any Party.
C.Rights and Obligations Upon Termination – Upon termination of this Agreement,
COUNTY shall pay FCSS for all invoices and services that FCSS performs before the effective date of
termination of this Agreement. Such payment to be made within forty-five (45) days of the effective
date of termination of this Agreement and COUNTY’s receipt of FCSS’s invoice. The provisions of this
Subsection shall survive the termination of this Agreement.
D.Force Majeure – A Party is not liable for failing or delaying performance of its
obligations under this Agreement due to events that are beyond the Party’s reasonable control and
occurring without its fault or negligence, for example, acts of God such as epidemics or pandemics
(nationally, statewide, or locally declared), tornadoes, lightning, earthquakes, hurricanes, floods, or
other natural disasters (collectively “Force Majeure”), provided that the Party has promptly notified the
other Party in writing of the occurrence of the Force Majeure, except that a Force Majeure shall not
excuse COUNTY’s payment to FCSS of any portion of compensation that is due to FCSS.
4.COMPENSATION
COUNTY agrees to pay FCSS and FCSS agrees to receive compensation in
accordance with the Budgets set forth in Exhibit B as approved by MHSOAC and attached hereto and
by this reference incorporated herein and made part of this Agreement.
A.Maximum Contract Amount
The maximum amount for the period of September 1, 2020 through August 31, 2021
shall not exceed eight hundred sixty one thousand, eight hundred forty five and No/100 Dollars
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($861,845.00).
The maximum amount for the period of September 1, 2021 through August 31, 2022
shall not exceed two million seven hundred fifty one thousand, eight hundred forty five and No/100
Dollars ($2,751,845.00).
The maximum amount for the period of September 1, 2022 through August 31, 2023
shall not exceed one million one hundred seventy four thousand, nine hundred eighty two and No/100
Dollars ($1,174,982.00).
The maximum amount for the period of September 1, 2023 through August 31, 2024
shall not exceed one million two hundred eleven thousand, three hundred twenty eight and No/100
Dollars ($1,211,328.00).
In no event shall the maximum contract amount for all the services provided by the
FCSS under the terms and conditions of this Agreement be in excess of six million and no/100 Dollars
($6,000,000.00) during the total term of this Agreement.
B.Travel shall be reimbursed based on actual expenditures and mileage
reimbursement shall be at FCSS’s adopted rate per mile, not to exceed the Federal Internal Revenue
Services (IRS) published rate.
C.FCSS will be paid by COUNTY at the rate contained in Exhibit B for Family
Partner salaries and benefits. However, the Parties acknowledge that this is not the full amount that
FCSS is paying for the salaries and benefits of the Family Partners. Therefore, any payment of Family
Partner salary and benefits by FCSS in excess of the amount in Exhibit B shall be considered in-kind
contribution and take the place of any expected AB114 fund contribution described in the MHSSA RFA;
and, any private grant money obtained by FCSS as referenced in the MHSSA RFA shall be used
toward FCSS’s portion of the Family Partner salary and benefits—these funds shall not offset COUNTY
payments as provided for in Exhibit B.
D.It is understood that all expenses incidental to FCSS’s performance of services that
are not included in the budget at Exhibit B shall be borne by FCSS.
E.Payments shall be made by COUNTY to FCSS in arrears for services provided
during the preceding month, within forty-five (45) days after the date of receipt, including fifteen (15) days
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for approval of the invoice as provided for in Section Five (5), Paragraph (B), of this Agreement, by
COUNTY of the monthly invoicing as described in Section Five (5) of this Agreement. Payments shall be
made after receipt and verification of actual expenditures incurred by FCSS for monthly program costs, as
identified in Exhibit B, 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.
F.All final invoices and/or any final budget modification requests shall be submitted by
FCSS within sixty (60) days of August 31, 2024. 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
August 31, 2024. Any compensation which is not expended by FCSS pursuant to the terms and
conditions of this Agreement shall appropriately revert to grantor, the MHSOAC.
G.The services provided by FCSS 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 FCSS. 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 forty-five (45) days from the date funds are received by COUNTY from the
State.
H. FCSS must maintain financial records related to this Agreement for a period of ten
(10)years or until any dispute, audit or inspection is resolved, whichever is later.
5.INVOICING
A.FCSS shall invoice COUNTY in arrears by the tenth (10th) day of each month for
actual expenses incurred during the prior month electronically to: 1)
dbhinvoicereview@fresnocountyca.gov, 2) dbh-invoices@fresnocountyca.gov; and 3)
dbhcontractedservicesdivision@fresnocountyca.gov with a copy to the assigned DBH Staff Analyst.
Invoices shall be provided in the format requested by DBH at least thirty (30) days in advance of when the
invoice is due.
B.If an electronic health record system is needed for the implementation of this
Agreement, it shall be the same system utilized by FCSS under the June 5, 2018 All 4 Youth Partnership
Agreement (Agreement Number 18-308). If there are any fees related to the addition of the Family
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Partners provided for by this Agreement to the electronic health record system, the budget contained in
Exhibit B shall be revised according to the fee schedule as set forth in Exhibit D, “Electronic Health
Records Software Charges” attached hereto and incorporated herein by this reference and made part of
this Agreement, and presented to MHSOAC for approval. Once the revised budget is approved by
MHSOAC, if said electronic health record system is the COUNTY’s electronic health record system,
DBH shall invoice FCSS in arrears by the fifth (5th) day of each month for the prior month’s hosting fee, if
any, for the Family Partners’ access to the COUNTY’s electronic information system in accordance with
the fee schedule as set forth in Exhibit D. COUNTY shall also invoice FCSS annually for the annual
maintenance and licensing fee, if any, for access by the Family Partners to the COUNTY’s electronic
information system in accordance with the fee schedule as set forth in Exhibit D. COUNTY shall invoice
FCSS annually for the Reaching Recovery fee, if any, as applicable, for the Family Partners’ access to the
COUNTY’s electronic information system in accordance with the fee schedule as set forth in Exhibit D.
FCSS shall provide payment for these expenditures to DBH, Accounts Receivable, P.O. Box 712, Fresno,
CA 93717-0712, Attention: Business Office, within forty-five (45) days after the date of receipt by FCSS of
the invoicing provided by COUNTY.
C.At the discretion of DBH’s Director or designee, and within fifteen (15) days of the
receipt of an invoice from FCSS, if an invoice is incorrect or is otherwise not in proper form or substance as
provided for in Section Five (5) Paragraph (A) above, DBH Director or 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 FCSS. FCSS 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 is still not
corrected to DBH’s satisfaction, DBH’s Director or designee, may elect to terminate this Agreement for
cause, pursuant to the termination provisions stated in Section Three (3) of this Agreement. If DBH does
not provide the notice of incorrect or otherwise improper invoice within fifteen (15) days of receipt of the
invoice, DBH shall be obligated to pay that invoice as provided for in Sections Four (4) and Five (5) of this
Agreement and said invoice may not be the basis for termination of this Agreement.
D.Unallowable costs such as lobbying or political donations must be deducted from
the monthly invoice reimbursements.
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6.DISPUTE RESOLUTION
The Parties shall meet and confer in good faith to resolve any dispute between them
arising out of, resulting from, or relating to this Agreement, including any Claim or Loss for which a
Party seeks indemnity pursuant to Section Seven (7) of this Agreement and any dispute relating to this
Agreement that arises or occurs after the termination of this Agreement. During a dispute regarding
payment under this Agreement, COUNTY shall pay FCSS the portion of the compensation that is
undisputed and due to FCSS; if a disputed portion of the compensation is determined in a Final
Determination to be due to FCSS, COUNTY shall pay such amount to FCSS within forty-five (45) days
of the date of the Final Determination, unless a different date is stated in the Final Determination or in
an agreement executed by the Parties, in which case, COUNTY shall pay FCSS in accordance
therewith. Except for an action to preserve the status quo and/or prevent irreparable harm, a Party shall
not commence any cause of action, action, lawsuit, or proceeding arising out of, resulting from, or
relating to this Agreement until after the Party has complied with the provisions of this Section. The
provisions of this Section shall survive the termination of this Agreement.
7.INDEMNITY
Each Party’s indemnity, defense, and hold harmless obligations to the other Party under
or related to this Agreement shall be governed solely by this Article. A Party (“Indemnitor”) shall: (A)
indemnify and hold harmless the other Party (“Indemnitee”) to the full extent permitted by California
laws for any Loss sustained by Indemnitee or a Third Party only in proportion to Indemnitor’s liability
based on a Final Determination; and (B) defend and pay for all of Indemnitor’s attorney’s fees and
litigation costs related to any Claim or Loss without any right against or from the Indemnitee for
indemnity and/or hold harmless of such costs and fees, or any right for defense. A Party who intends to
seek or seeks indemnity and/or hold harmless for any Loss from the other Party shall notify the other
Party in writing and within a reasonable time after the Party knows or becomes aware of any Claim that
may or will result in a Loss, describing, if known or determinable, the pertinent circumstances, all
entities and persons involved, and the amount being claimed. A Party’s obligations under this Article
are not limited to or by any insurance that it maintains or the lack of insurance but apply to the full
extent permitted by California laws, and shall survive the termination of this Agreement. “Claim” means
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any claim, demand, lawsuit, cause of action, action, cross-complaint, cross-action, and/or proceeding
arising out of, resulting from, or relating to this Agreement where there has been no Final
Determination. “Loss” means any bodily injury, property damage, personal injury, advertising injury,
liability, loss, damage, judgment, expense, and/or cost (excluding attorney’s fees and litigation costs
that a Party or a Third Party incurred or paid related to a Loss or Claim) arising out of, resulting from, or
relating to this Agreement and for which there has been a Final Determination that a Party is or both
Parties are liable. “Third Party” means a person who or an entity that is not any of the following: (A) a
Party; (B) an owner, director, officer, employee, or agent of COUNTY; (C) an officer, employee, or
agent of FCSS; or (D) contracted with (whether directly or through a subcontract of any level) or
otherwise retained by a Party to act for or on the Party’s behalf. “Final Determination” means any
judgment, order, or decision, each a “Determination,” by a court of competent jurisdiction or a
governmental entity with jurisdiction to render the Determination where the Determination is not subject
to appeal or the period for an appeal has expired.
8.INDEPENDENT CONTRACTOR, ASSIGNMENT, AND TRANSFER
Each Party is an independent contractor, and it and its officers, employees, and agents
are not, and shall not represent themselves as, officers, employees, or agents of the other Party. This
Agreement does not and shall not be construed to create an employment or agency relationship,
partnership, or joint venture between the Parties. Each Party shall not assign or transfer any or all of its
obligations and/or rights under this Agreement, including by operation of law or change of control or
merger, without the other Party’s prior written consent, the Parties agree that this provision shall not
prohibit FCSS from contracting with one or more third parties to perform the Services required of FCSS
under this Agreement. If not already obtained as part of the RFA, FCSS shall obtain prior approval of
any subcontracts from DBH and the Parties will then obtain written approval from MHSOAC before
FCSS subcontracts any of the services delivered under this Agreement. Any subcontractor will be
subject to all applicable provisions of this Agreement, and all applicable State and Federal laws and
regulations. FCSS shall be held primarily responsible for the performance of any subcontractor. The
use of subcontractors by FCSS shall not entitle FCSS to any additional compensation than is provided
for under this Agreement. FCSS shall advise MHSOAC of any termination of a subcontract under this
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Agreement.
9.MODIFICATION
Any matters of this Agreement may be modified by the written consent of all the Parties
without, in any way, affecting the remainder. The Parties understand, acknowledge, and agree that some
or all changes to this Agreement may need to be approved by MHSOAC prior to memorializing them in an
amendment to this Agreement.
Notwithstanding the above, with MHSOAC approval, minor changes to services, staffing,
and responsibilities of FCSS, 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 DBH’s Director or
designee and FCSS through an amendment approved by COUNTY’s Counsel and the COUNTY’s
Auditor-Controller/Treasurer-Tax Collector’s Office.
In addition, with approval of the MHSOAC, changes to expense category (i.e., Salary &
Benefits, Facilities/Equipment, Operating, Financial Services, Special Expenses, Fixed Assets, etc.)
subtotals in the budgets, as set forth in Exhibit B, that do not exceed ten percent (10%) of the maximum
compensation payable to the FCSS, may be made with the written approval of COUNTY’s DBH
Director, or designee, and FCSS.
Modifications shall not result in any change to the maximum compensation amounts
payable to FCSS, as stated in this Agreement.
10.INSURANCE
Each Party, at its cost and throughout the term of this Agreement, shall maintain in effect
insurance or self-insurance providing coverage that complies, at a minimum, with the following
requirements, and shall provide written proof of such insurance to the other Party upon the other Party’s
request as follows:
A.Commercial General Liability
Commercial General Liability Insurance with limits of not less than Two Million
Dollars ($2,000,000.00) per occurrence and a general aggregate of Four Million
Dollars ($4,000,000.00). This policy shall be issued on a per occurrence basis
B.Automobile Liability
Commercial Automobile Liability Insurance covering at least non-owned and
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hired autos and, if there are any autos owned by the Party, then also covering
owned autos, with a combined single limit of not less than One Million Dollars
($1,000,000.00) per occurrence.
C.Professional Liability
If Parties employ licensed professional staff (e.g. Ph.D., R.N., L.C.S.W., M.F.T.)
in providing services, Professional Liability Insurance with limits of not less than
One Million Dollars ($1,000,000.00) per occurrence, Three Million Dollars
($3,000,000.00) annual aggregate. Parties agree that it shall maintain, at their
sole expense, in full force and effect for a period of three (3) years following the
termination of this Agreement, one or more policies of professional liability
insurance with limits of coverage as specified herein.
D.Worker's Compensation and Employer’s Liability
A policy of Worker's Compensation Insurance of not less than One Million Dollars
($1,000,000.00) or as may be required by California laws, whichever is greater;
and, employer’s liability insurance of not less than One Million Dollars
($1,000,000.00).
Each Party waives its right to recover from the other Party, its Board, officers,
agents, and employees, any amounts paid by the policy of worker’s compensation
insurance required by this Agreement. Each Party is solely responsible to obtain
any endorsement to such policy that may be necessary to accomplish such waiver
of subrogation, but the Party’s waiver of subrogation under this Paragraph is
effective whether or not the Party obtains such an endorsement.
E.Child Abuse/Molestation and Social Services Coverage
Either separate policies or an umbrella policy with endorsements covering
Molestation and Social Services Liability coverage or have a specific
endorsement on their General Commercial liability policy covering Molestation
and Social Services Liability. The policy limits for these policies shall be One
Million Dollars ($1,000,000.00) per occurrence with a Two Million Dollars
($2,000,000.00) annual aggregate. The policies are to be on a per occurrence
basis.
F.Cyber Liability
Cyber Liability Insurance, with limits not less than Two Million Dollars
($2,000,000.00) per occurrence or claim, Two Million Dollars ($2,000,000.00)
aggregate. Coverage shall be sufficiently broad to respond to duties and
obligations undertaken by FCSS in this agreement and shall include, but not be
limited to, claims involving infringement of intellectual property, including but not
limited to infringement of copyright, trademark, trade dress, invasion of privacy
violations, information theft, damage to or destruction 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.
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G.Additional Requirements Relating to Insurance
Endorsements to the Commercial General Liability insurance naming the other
Party, its boards, 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 the other Party, its
boards, officers, agents, and employees shall be excess only and not contributing
with insurance provided under the policies herein. This insurance shall not be
cancelled or changed without a minimum of thirty (30) days advance written notice
given to the other Party.
Within thirty (30) days from the date of Full Execution of this Agreement, the Parties shall
provide certificates of insurance and endorsements as stated above for all of the foregoing policies, as
required herein, to the other Party. FCSS shall send this proof of insurance to County of Fresno,
Department of Behavioral Health, 3133 N. Millbrook Ave, Fresno, California, 93703, Attention: Mental
Health Contracted Services Division or electronically to
dbhcontractedservicesdivision@fresnocountyca.gov with a copy to the assigned DBH’s Staff Analyst.
COUNTY shall send its proof to Trina Frazier, Assistant Superintendent of Student Services, at
tfrazier@fcoe.org with a copy to lwascher@fcoe.org.
In the event that either Party fails to keep in effect at all times insurance coverage as herein
provided, either Party may, in addition to other remedies it may have, suspend or terminate this Agreement
with cause in accordance with Section 3, Paragraph (B) above.
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 or equivalent self-insurance.
11.LICENSES/CERTIFICATES
Throughout each term of this Agreement, FCSS and FCSS’s staff shall maintain all
necessary licenses, permits, approvals, certificates, waivers, and exemptions necessary for the provision
of the services provided for in this Agreement and required by the laws and regulations of the United
States of America, State of California, the County of Fresno, and/or any other applicable governmental
agencies. FCSS 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, FCSS and FCSS’s staff shall comply with all applicable laws, rules or
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regulations, as may now exist or be hereafter changed regarding all necessary all necessary licenses,
permits, approvals, certificates, waivers, and exemption.
12.REPORTS
A.Outcome Reports
FCSS shall submit to DBH service outcome reports as required by MHSOAC, as
described in Exhibit A, and as required by DBH’s Policy and Procedure Guide PPG 1.2.7, “Performance
Outcome Measures” at Exhibit A-1 which is attached hereto and by this reference incorporated herein
and made part of this Agreement. Any additional outcome reporting shall be agreed upon in partnership
with DBH.
B.Staffing Reports
FCSS shall submit monthly staffing reports separate from those required by the
June 5, 2018 All 4 Youth Partnership Agreement (Agreement Number 18-308). These reports shall
identify all Family Partners providing services pursuant to this Agreement, ethnicity and language detail of
the Family Partners, and actual time of hours (FTE) worked by the Family Partners. Monthly staffing
reports shall be submitted by the tenth (10th) of each month for the prior month’s Family Partners to
dbhcontractedservicesdivision@fresnocountyca.gov with a copy to the assigned DBH Staff Analyst.
C.Additional Reports
In addition, FCSS shall submit to DBH by the tenth (10th) of each month all
monthly activity and budget reports for the preceding month. FCSS shall also furnish to COUNTY such
statements, records, reports, data, and other information as DBH may request pertaining to matters
covered by this Agreement in order for DBH to comply with the MHSOAC-MHSSA Agreement.
13.MONITORING
FCSS agrees to extend to COUNTY’s staff, DBH Director, and the MHSOAC or their
designees, the right to review and monitor records, services, or procedures, at any time, in regard to those
served under this Agreement, as well as the overall operation of FCSS’s performance related to this
Agreement so long as such review is permitted by law. Any review must be in accordance with the
partnership duties of DBH under the MHSSA RFP, DBH’s duties under the “MHSOAC-MHSSA
Agreement, or this Agreement.
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14.COMPLIANCE WITH APPLICABLE LAW AND GRANT
Each Party shall comply with all laws and related regulations applicable to its performance of this
Agreement, and all laws and related regulations for which it agrees to comply under this Agreement
(collectively and separately referred to as “Applicable Law” and shall include any amendment thereto
and laws and related regulations that are effective as of the Effective Date or that become effective
during the Agreement Term). Each Applicable Law is deemed inserted herein; however, if any conflict
or inconsistency exists between a provision in this Agreement and a provision in an Applicable Law, the
provision in this Agreement shall govern except where the provision in this Agreement is specifically
prohibited or void by the Applicable Law in which case the provision in the Applicable Law shall govern
to the extent provided in the Applicable Law. Each Party shall comply with the terms and conditions of
each grant (if any) that provides funding for this Agreement and all applicable laws, regulations, and
requirements.
15.COMPLIANCE WITH FRESNO COUNTY MENTAL HEALTH PLAN COMPLIANCE
PROGRAM CODE OF CONDUCT AND ETHICS
FCSS 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, FCSS shall have all of FCSS’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. FCSS 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. FCSS understands that the promotion of and adherence
to the Code of Conduct is an element in evaluating the performance of FCSS 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
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subcontractors shall attend the appropriate training within thirty (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.
16.COMPLIANCE WITH STATE MENTAL HEALTH REQUIREMENTS AND INCIDENT
REPORTING
FCSS 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. FCSS shall adhere to all State
requirements, including those identified in Exhibit F, “State Mental Health Requirements”, attached hereto
and by this reference incorporated herein and made part of this Agreement.
FCSS shall also file an incident report for all incidents involving consumers, following the
Protocol for Completion of Incident Report as described in Exhibit G, attached hereto and by this
reference incorporated herein and made part of this Agreement.
17.CONFIDENTIALITY
If any documents and/or information (for example and not as a limitation, employee or
student record) that is subject to nondisclosure or protection under federal and/or California laws
(collectively and separately “Confidential Material”) are provided to or created by a Party for or pursuant
to this Agreement, each Party shall: (A) not release, disseminate, publish, or disclose the Confidential
Material, except as required by law or a court order or as this Agreement may permit; (B) unless
specifically permitted by applicable laws, not use the Confidential Materials for any purpose not related
to a Party’s performance of this Agreement; (C) protect and secure the Confidential Material, including
Confidential Material saved or stored in an electronic form, to ensure that it is safe from theft, loss,
destruction, erasure, alteration, and unauthorized viewing, duplication, and use; (D) acknowledge that
any Confidential Material related to students shall be the property of and under the control of the Party
whose student it relates to, notwithstanding any use authorized under this Agreement or its status as
Work; and (E) not retain any Confidential Material related to a student of the other Party upon the
expiration of this Agreement, which shall be accomplished by either the return of or the destruction of
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such Confidential Material. The provisions of this Subsection shall survive the termination of this
Agreement.
18.FAMILY EDUCATIONAL RIGHTS AND PRIVACY ACT
FCSS considers and represents itself as an educational agency as defined in the Family
Education Rights and Privacy Act (“FERPA”), which is found in Title 20 of the United States Code section
1232g and Title 34 of the Code of Federal Regulations Part 99. FCSS is also a “school district” as defined
in California Education Code section 49061 and must comply with California’s pupil records laws as found
in California Education Code sections 49060 et seq. and title 5 of the California Code of Regulations
sections 430 et seq. As such, FCSS agrees to use and disclosure pupil records as required by law.
The Parties agree that COUNTY is a contractor and consultant within the meaning of
FERPA to whom FCSS has outsourced institutional services or functions that provide a legitimate
educational interest for sharing personally identifiable information (“PII”) from pupil records in order to
accomplish the functions, activities, or services provided for in this Agreement. The uses and
disclosures of PII may not be more expansive than those afforded to FCSS employees. COUNTY shall
comply with all rules and laws related to contractors and consultants under FERPA.
19.HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
A.The Parties to this Agreement shall be in strict conformance with all applicable
Federal and State of California laws and regulations, including but not limited to Sections 5328, 10850,
and 14100.2 et seq. of the Welfare and Institutions Code, Sections 2.1 and 431.300 et seq. of Title 42,
Code of Federal Regulations (“CFR”), Section 56 et seq. of the California Civil Code, Sections 11977
and 11812 of Title 22 of the California Code of Regulations, and the Health Insurance Portability and
Accountability Act (“HIPAA”), including but not limited to Section 1320d et seq. of Title 42, United States
Code (“USC”) and its implementing regulations, including, but not limited to Title 45, CFR, Sections
142, 160, 162, and 164, and The Health Information Technology for Economic and Clinical Health Act
(“HITECH”) regarding the confidentiality and security of patient information.
Except as otherwise provided in this Agreement, FCSS, as a Business Associate
of COUNTY, may use or disclose Protected Health Information (“PHI”) to perform functions, activities or
services for, or on behalf of COUNTY, as specified in this Agreement, provided that such use or
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disclosure shall not violate the HIPAA. The uses and disclosures of PHI may not be more expansive
than those applicable to COUNTY, as the “Covered Entity” under the HIPAA Privacy Rule (45 CFR
164.500 et seq), except as authorized for management, administrative or legal responsibilities of the
Business Associate.
B. FCSS shall protect, from unauthorized access, use, or disclosure of names and
other identifying information concerning persons receiving services pursuant to this Agreement, except
where permitted in order to carry out data aggregation purposes for health care operations. (45 CFR
Sections 164.504 (e)(2)(i), 164.504 (3)(2)(ii)(A), and 164.504 (e)(4)(i).) This pertains to any and all
persons receiving services pursuant to a COUNTY funded program. FCSS shall not use such
identifying information for any purpose other than carrying out FCSS’s obligations under this
Agreement.
C. FCSS shall not disclose any such identifying information to any person or entity,
except as otherwise specifically permitted by this Agreement, authorized by law, or authorized by the
client/patient.
D. For purposes of the above sections, identifying information shall include, but not
be limited to name, identifying number, symbol, or other identifying particular assigned to the individual,
such as finger or voice print, or a photograph.
E. FCSS shall provide access, at the request of COUNTY, and in the time and
manner designated by COUNTY, to PHI in a designated record set (as defined in 45 CFR Section
164.501), to an individual or to COUNTY in order to meet the requirements of 45 CFR Section164.524
regarding access by individuals to their PHI.
FCSS shall make any amendment(s) to PHI in a designated record set at the
request of COUNTY, and in the time and manner designated by COUNTY in accordance with 45 CFR
Section 164.526.
FCSS shall provide to COUNTY or to an individual, in a time and manner
designated by COUNTY, information collected in accordance with 45 CFR Section 164.528, to permit
COUNTY to respond to a request by the individual for an accounting of disclosures of PHI in
accordance with 45 CFR Section 164.528.
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F.FCSS shall report to COUNTY, in writing, any knowledge or reasonable belief
that there has been unauthorized access, viewing, use, disclosure, or breach of PHI not permitted by
this Agreement, and any breach of unsecured PHI of which it becomes aware, immediately and without
reasonable delay and in no case later than two (2) business days of discovery. Immediate notification
shall be made to COUNTY’s Information Security Officer and Privacy Officer and DBH’s HIPAA
Representative, within two (2) business days of discovery. The notification shall include, to the extent
possible, the identification of each individual whose unsecured PHI has been, or is reasonably believed
to have been, accessed, acquired, used, disclosed, or breached. FCSS shall take prompt corrective
action to cure any deficiencies and any action pertaining to such unauthorized disclosure required by
applicable Federal and State Laws and regulations. FCSS shall investigate such breach and is
responsible for all notifications required by law and regulation or deemed necessary by COUNTY and
shall provide a written report of the investigation and reporting required to COUNTY’s Information
Security Officer and Privacy Officer and DBH’s HIPAA Representative. This written investigation and
description of any reporting necessary shall be postmarked within the thirty (30) working days of the
discovery of the breach to the addresses below:
County of Fresno County of Fresno County of Fresno
Department of Behavioral Health Dept. of Public Health Information Technology Services
HIPAA Representative Privacy Officer Information Security Officer
(559) 600-6798 (559)600-6405 (559)600-5800
3147 N. Millbrook Ave (559)600-6439 333 W. Pontiac Way
Fresno, CA 93703 P.O1221 Fulton Mall Clovis, CA 93612
Fresno, CA 93775
G.FCSS shall make its internal practices, books, and records relating to the use
and disclosure of PHI received from COUNTY, or created or received by the FCSS on behalf of
COUNTY, available to the United States Department of Health and Human Services upon demand.
H.Safeguards
FCSS shall implement administrative, physical, and technical safeguards as
required by 45 CFR 164.308, 164.310, and 164.312 that reasonably and appropriately protect the
confidentiality, integrity, and availability of PHI, including electronic PHI, that it creates, receives,
maintains or transmits on behalf of COUNTY; and to prevent access, use or disclosure of PHI other
than as provided for by this Agreement. FCSS shall develop and maintain a written information privacy
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and security program that includes administrative, technical and physical safeguards appropriate to the
size and complexity of FCSS’s operations and the nature and scope of its activities. Upon COUNTY’s
request, FCSS shall provide COUNTY with information concerning such safeguards.
FCSS shall implement strong access controls and other security safeguards and
precautions in order to restrict logical and physical access to confidential, personal (e.g., PHI) or
sensitive data to authorized users only.
I.Mitigation of Harmful Effects
FCSS shall mitigate, to the extent practicable, any harmful effect that is known to
FCSS of an unauthorized access, viewing, use, disclosure, or breach of PHI by FCSS or its
subcontractors in violation of the requirements of these provisions.
J.Contractor’s Subcontractors
FCSS shall ensure that any of its subcontractors, if applicable, to whom FCSS
provides PHI received from or created or received by FCSS on behalf of COUNTY, agree to the same
restrictions and conditions that apply to FCSS with respect to such PHI; and to incorporate, when
applicable, the relevant provisions of these provisions into each subcontract or sub-award to such
subcontractors.
K.Effect of Termination
Upon termination or expiration of this Agreement for any reason, FCSS shall
return or destroy all PHI received from COUNTY (or created or received by FCSS on behalf of
COUNTY) that FCSS still maintains in any form, and shall retain no copies of such PHI. If return or
destruction of PHI is not feasible, it shall continue to extend the protections of these provisions to such
information, and limit further use of such PHI to those purposes that make the return or destruction of
such PHI infeasible. This provision shall apply to PHI that is in the possession of subcontractors or
agents, if applicable, of FCSS. If Contractor destroys the PHI data, a certification of date and time of
destruction shall be provided to the COUNTY by FCSS.
L.Interpretation
The terms and conditions in these provisions shall be interpreted as broadly as
necessary to implement and comply with HIPAA, the HIPAA regulations and applicable State laws. The
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parties agree that any ambiguity in the terms and conditions of these provisions shall be resolved in
favor of a meaning that complies and is consistent with HIPAA and the HIPAA regulations.
M.Regulatory References
A reference in the terms and conditions of these provisions to a section in the
HIPAA regulations means the section as in effect or as amended.
N.Survival
The respective rights and obligations of FCSS as stated in this Section shall
survive the termination or expiration of this Agreement.
20.DATA SECURITY
For the purpose of preventing the potential loss, misappropriation or inadvertent access,
viewing, use, or disclosure of COUNTY and/or FCSS data including sensitive or personal information
regarding those served under this Agreement; abuse of COUNTY and/or FCSS resources; and/or
disruption to COUNTY and/or FCSS operations, COUNTY and FCSS must employ adequate data security
measures to protect the confidential information provided to FCSS by COUNTY and to COUNTY by
FCSS.
A.Mobile, Wireless, or Handheld Devices
FCSS may not connect to COUNTY and COUNTY may not connect to FCSS
networks via mobile, wireless or handheld devices, unless the following conditions are met:
1)FCSS has received authorization to do so by COUNTY or COUNTY has
received authorization to do so from FCSS;
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.Computers or Computer Peripherals
FCSS may not bring FCSS-owned computers or computer peripherals into
COUNTY and COUNTY may not bring COUNTY-owned computers and computer peripherals into FCSS,
unless the following conditions are met:
1)FCSS has received authorization to do so by COUNTY or COUNTY has
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received authorization to do so from FCSS;
2) Data must be encrypted and stored on a secure server and transferred by
means of a virtual private network (“VPN”) connection, or another type of secure connection; and,
3) Said data must be encrypted.
C. FCSS may not store COUNTY’s and COUNTY may not store FCSS’s private,
confidential or sensitive data on any hard-disk drive, portable storage device, or remote storage installation
unless encrypted.
D. The Parties shall be responsible to employ strict controls to ensure the integrity and
security of confidential information and 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 data internally and externally.
E. Confidential information regarding those served under this Agreement 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.
F. Each Party is responsible to immediately notify the other Party of any violations,
breaches, or potential breaches of security related to the other Party’s confidential information, data
maintained in computer files, program documentation, data processing systems, data files, and data
processing equipment which stores or processes data internally or externally.
21. PROPERTY OF FCSS
As part of the scope of work contained in the MHSSA RFA and Exhibit A, FCSS will
establish four (4) new, school-adjacent Wellness Centers in areas of Fresno County with high need (e.g.
no accessible mental health services, low socio-economic status, lack of health care, and scarce
resources) and where the All 4 youth Partnership has been able to acquire facility space. These Wellness
Centers shall be the sole property of FCSS, including any insurance, maintenance, improvements, and
infrastructures therein. These Wellness Centers and all of the related infrastructure purchased pursuant to
this Agreement shall remain the sole property of FCSS upon termination or expiration of this Agreement.
The Wellness Centers will be funded pursuant to the MHSSA RFA and the budgets at Exhibit B. None of
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the property purchased pursuant to this Agreement shall belong to the COUNTY during or upon
termination or expiration of this Agreement.
FCSS property in the form of qualified fixed asset equipment and sensitive items purchased
under this Agreement shall be inventoried and logged by FCSS. This FCSS log/inventory may be
requested by DBH for the purposes of tracking expenditures under this Agreement up to one time per
month during the term of this Agreement. Sensitive items include, but are not limited to, computers,
copiers, televisions, and cameras that have a value of less than Five Thousand and No/100 Dollars
($5,000.00) but more than One Thousand and No/100 Dollars ($1,000.00) and/or are mobile and high risk
of theft or loss. This log/inventory shall include a report of any loss or theft of items that are contained in
the log/inventory.
22. NON-DISCRIMINATION
During the performance of this Agreement, FCSS and its subcontractors shall not deny the
contract’s benefits to any person on the basis of race, religious creed, color, national origin, ancestry,
physical disability, mental disability, medical condition, genetic information, marital status, sex, gender,
gender identity, gender expression, age, sexual orientation, or military and veteran status, nor shall they
discriminate unlawfully against any employee or applicant for employment because of race, religious
creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic
information, marital status, sex, gender identity, gender expression, age, sexual orientation, or military and
veteran status.
FCSS shall ensure that the evaluation and treatment of employees and applicants for
employment are free of such discrimination. FCSS and subcontractors shall comply with the provisions of
the Fair Employment and Housing Act (Gov. Code §12800 et seq.), the regulations promulgated
thereunder (Cal. Code Regs., tit. 2, §11000 et seq.), the provisions of Article 9.5, Chapter 1, Part 1,
Division 3, Title 2 of the Government Code (Gov. Code §11135-11139.5), and the regulations or standards
adopted by the MHSOAC to implement such article. FCSS shall permit access by representatives of the
Department of Fair Employment and Housing and the MHSOAC, upon reasonable notice at any time
during the normal business hours, but in no case less than twenty-four (24) hours’ notice, to such of its
books, records, accounts, and all other sources of information and its facilities as said department or
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agency shall require to ascertain compliance with this clause. FCSS and its subcontractors shall give
written notice of their obligations under this clause to labor organizations with which they have a collective
bargaining or other agreement. (See Cal. Code Regs., tit. 2, §11105.) FCSS shall include the non-
discrimination and compliance provisions of this clause in all subcontracts to perform work under this
Agreement.
23.CULTURAL COMPETENCY
As related to Cultural and Linguistic Competence:
A.FCSS shall not discriminate against beneficiaries based on race, color, national
origin, sex, disability, or religion. FCSS shall ensure that a limited and/or no English proficient
beneficiary is entitled to equal access and participation in the services provided for in this Agreement
through the provision of comprehensive and quality bilingual services pursuant to 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
1980.
B.FCSS shall ensure access and appropriate use of trained interpreters and
material translation services for all limited and/or no English proficient beneficiaries, including, but not
limited to, assessing the cultural and linguistic needs of the beneficiaries, training of staff on the policies
and procedures, and monitoring its language assistance program. FCSS shall ensure compliance of any
subcontracted providers with these requirements.
C. FCSS shall notify its beneficiaries that oral interpretation is available for any
language and written translation is available in prevalent languages and that auxiliary aids and services
are available upon request, at no cost and in a timely manner for limited and/or no English proficient
beneficiaries and/or beneficiaries with disabilities. FCSS shall avoid relying on an adult or minor child
accompanying the beneficiary to interpret or facilitate communication; however, if the beneficiary refuses
language assistance services, the FCSS must document the offer, refusal, and justification in the
beneficiary’s file.
D. FCSS shall ensure that employees, agents, subcontractors, and/or partners who
interpret or translate for a beneficiary or who directly communicate with a beneficiary in a language other
than English (1) have completed annual training provided by COUNTY at no cost to FCSS; (2) have
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demonstrated proficiency in the beneficiary’s native language; (3) can effectively communicate any
specialized terms and concepts specific to FCSS’s services; and, (4) adheres to generally accepted
interpreter ethics principles. As requested by COUNTY, FCSS shall identify all who interpret for, or provide
direct communication to, any program beneficiary in a language other than English and identify when the
FCSS last monitored the interpreter for language competence.
E.Pursuant to the June 5, 2018 All 4 Youth Partnership Agreement (Agreement
Number 18-308), FCSS has already submitted to COUNTY and received approval of FCSS’s plan to
address all fifteen (15) National Standards for Culturally and Linguistically Appropriate Service (CLAS), as
published by the Office of Minority Health. FCSS will continue to comply with the terms of the June 5,
2018 All 4 Youth Partnership Agreement (Agreement Number 18-308) as it pertains to the CLAS and as
set forth in Exhibit H, “National Standards on Culturally and Linguistically Appropriate Services,” attached
hereto and incorporated herein by reference and made part of this Agreement. As the CLAS standards
are updated, FCSS’s plan must be updated accordingly. As requested by COUNTY, FCSS shall be
responsible for conducting an annual CLAS self-assessment and providing the results of the self-
assessment to the COUNTY. The annual CLAS self-assessment instruments shall be reviewed by the
COUNTY and revised as necessary to meet the approval of the COUNTY.
F.Cultural competency training for FCSS staff should be substantively integrated into
training for the Family Partners. As requested by COUNTY, FCSS shall report on the completion of
cultural competency trainings for the Family Partners to ensure they are completing a minimum of one (1)
cultural competency training annually.
G.FCSS shall create and sustain a forum that includes staff at all agency levels to
discuss cultural competence. COUNTY encourages a representative from FCSS’s forum to attend
COUNTY’s Cultural Humility Committee.
24.ASSURANCES
In entering into this Agreement, FCSS certifies that neither they, nor any of their officers,
are currently excluded, suspended, debarred, or otherwise ineligible to participate in the Federal Health
Care Programs; that neither they, nor any of their officers, have been convicted of a criminal offense
related to the provision of health care items or services; nor have they, nor any of their officers, been
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reinstated to participate in the Federal Health Care Programs after a period of exclusion, suspension,
debarment, or ineligibility.
A.FCSS agrees that all potential new employees of FCSS or subcontractors of FCSS
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.
In the event the potential employee or subcontractor informs FCSS 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, that potential employee or subcontractor may not be hired or engaged to do work
under this Agreement.
B.FCSS 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 FCSS’s
compliance with the provisions of this Section.
25.TOOLKIT
The toolkit that will be developed pursuant to this Agreement shall belong to FCSS and DBH alike.
During the term of the Agreement, the Parties will jointly determine when and how it is shared with others
outside of this Agreement. Following the term of the Agreement, each Party may determine independently
when and how it is shared with credit to both Parties for authorship.
26.PUBLICITY PROHIBITION
None of the funds, materials, property or services provided directly or indirectly under this
Agreement shall be used for COUNTY’s or FCSS’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 the MHSSA RFA shall be allowed. Costs related to allowed publicity
are provided for in MHSSA RFA and Exhibit B.
27.COMPLAINTS AND GRIEVANCES
In accordance with Exhibit I, “Fresno County Mental Health Plan Grievances and Appeals
COUNTY OF FRESNO
Fresno, CA
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Process,” attached hereto and by this reference incorporated herein and made part of this Agreement,
FCSS shall log complaints and the disposition of all complaints from those served under this Agreement.
FCSS shall provide a copy of the detailed complaint log to COUNTY at monthly intervals by the tenth (10th)
day of the following month, in a format that is mutually agreed upon by DBH and FCSS. In addition, FCSS
shall provide details and attach documentation of each complaint with the log. FCSS shall post signs
informing those served under this Agreement of their right to file a complaint or grievance.
Should DBH decide to follow-up regarding any of the complaints contained in FCSS’s log,
FCSS shall cooperate in the follow-up process and provide any additional information and/or
documentation to DBH within ten (10) days of DBH’s request.
28.AUDITS AND INSPECTIONS
After reasonable notice to FCSS, FCSS shall, at any time during business hours and as
often as COUNTY may deem necessary, make available to COUNTY for examination all of its records and
data with respect to the matters covered by this Agreement. FCSS shall, upon request by COUNTY,
permit COUNTY to audit and inspect all such records and data necessary to ensure FCSS’s compliance
with the terms of this Agreement.
If this Agreement exceeds Ten Thousand and No/100 Dollars ($10,000.00), FCSS 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).
29.NOTICES
The persons having authority to give and receive notices under this Agreement and their addresses
include the following:
COUNTY FCSS
Director, Fresno County Assistant Superintendent of Student Department of Behavioral Health Services 1925 E. Dakota Ave Fresno County Superintendent of Schools Fresno, CA 93726 1111 Van Ness Avenue Fresno, CA 93721
All notices between COUNTY and FCSS 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
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Fresno, CA
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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 (3) COUNTY or FCSS business days, whichever date it later in time, 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 (1) COUNTY or FCSS business day, whichever date is later in
time, 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 or FCSS business hours, then such delivery shall be deemed to be
effective at the next beginning of a COUNTY or FCSS business day), provided that the sender maintains a
machine record of 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).
30.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.
31.ENTIRE AGREEMENT
This Agreement, including all Exhibits, and the MHSSA RFA constitutes the entire
agreement between FCSS 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 related to the MHSSA RFA unless expressly included in this
Agreement. This Agreement does not void, invalidate, change, or amend any other currently existing
written agreements with COUNTY and/or DBH.
Exhibit A Scope of Work
Exhibit A-1 PPG 1.2.7 Performance Outcomes Measures
COUNTY OF FRESNO
Fresno, CA
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Exhibit B Program Expenses and Budgets
Exhibit C DBH Guiding Principles of Care Delivery
Exhibit D Electronic Health Records Software Charges
Exhibit E FCMHP Compliance Program: Contractor Code of Conduct and
Ethics
Exhibit F State Mental Health Requirements
Exhibit G Protocol for Completion of Incident Report
Exhibit H National CLAS Standards
Exhibit I Fresno County MHP Grievances and Appeals Process
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1 IN WITNESS WHEREOF, the Parties hereto have executed this Agreement as of the day and
2 year first hereinabove written.
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FRESNO COUNTY SUPERINTENDENT
OF SCHOOLS
uperintendent of
Schools
Date: \3/Jq/&J ;
Mailing Address:
Fresno County Superintendent of Schools
1111 Van Ness Avenue
Fresno, CA, 93721
Contact/Phone: 559-265-3000
Fund/Subclass: 0001/10000
Account/Program: 7295/0
COUNTY OF F L SNO
By /I f'7.._._
sttv:landau,
Chairman of the Board of Supervisors of the
County of Fresno
Date: __ 4___;;.\_(3_\_~_~_\ __ _
ATTEST:
Bernice E. Seidel ,
Clerk of the Board of Supervisors
County of Fresno, State of Californ ia
By : ~~ C.,~
Depu
Date: J \ \~)~
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Organization/Cost Centers: 56302258 ($6,000,000)
FY 2020-21 $861,845, FY 2021-22 $2 ,751 ,845, FY 2022-23 $1,174,982
23 FY2023-24 $1 ,211 ,328
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Fresno, CA
Exhibit A
Page 1 of 15
Scope of Work
ORGANIZATION: Fresno County Superintendent of Schools (“FCSS”)
ADDRESS: 1111 Van Ness Avenue, Fresno, CA, 93721
SERVICES: School and Community Based Prevention and Early Intervention (“PEI”)
Services to Children/Youth (Ages 0-22), Families, and School Staff.
PROGRAM NAME: All 4 Youth – Wellness Center
CONTRACT TERM: September 1, 2020 – August 31, 2024
CONTRACT SITES: See Section VIII
CONTRACT AMOUNT: Grant Year Contract Maximum (MHSSA Funds)
2020-21 $861,845.00
2021-22 $2,751,845.00
2022-23 $1,174,982.00
2023-24 $1,211,328.00
Maximum Total Compensation (MHSSA Funds) All Four (4) Years:
$6,000,000.00
TELEPHONE: (559) 265-3049
CONTACT PERSON: Trina Frazier, Assistant Superintendent, Student Services
I.Abstract/Summary:
The MHSSA Grant was awarded pursuant to the Mental Health Student Services Act of 2019
(“MHSSA”). FCSS agrees to hire personnel or peer support to enhance the existing All 4 Youth
Partnership to expand access to mental health services for children and youth and to facilitate linkage
and access to ongoing and sustained services.
II.Target Population:
FCSS, in partnership with DBH shall address and further expand efforts to encourage comprehensive
self-care through promoting wellness to youth (ages 0-22), families, and school staff.
III.Detailed Scope of Work and Project Description:
The scope of work for this Agreement is contained in the RFA submitted by DBH in response to the
Mental Health Services Oversight and Accountability Commission’s (“MHSOAC”) Request for
Applications, MHSSA_001 Addendum 2. The MHSSA RFA is incorporated by reference and made part
of this Agreement as if attached hereto.
FCSS, in partnership with Fresno County Department of Behavioral Health (“DBH”), will allocate Mental
Health Student Services Act of 2019 (“MHSSA”) funding to expand prevention and early intervention
Exhibit A
Page 2 of 15
services, and increase treatment space for youth aged 0- 22 throughout Fresno County. Historically,
California’s public mental health system has focused solely on the population with “serious mental
illness.” Engaging with youth early in their experience of mental health issues will decrease the likelihood
that mental illness becomes severe and disabling.
Furthermore, the state’s public mental health system has had limited focus on prevention and early
intervention. FCSS and DBH began partnering in 2011 to fill this gap, intervene early and serve youth
before their mental illness developed into serious illness. In 2018, the existing partnership was
significantly expanded and transformed into the All 4 Youth Partnership.
FCSS and DBH will expand the current model of care provided through All 4 Youth to serve more youth
and their families through a strength-based, person-centered approach that focuses on prevention and
early intervention, and connects youth with needed therapeutic services through the existing All 4 Youth
program and the DBH network of care.
To serve individuals early in the pipeline, FCSS and DBH shall allocate MHSSA funds to establish four
new, school-adjacent Wellness Centers in areas of the county with high-need (e.g., no accessible mental
health services, low socio-economic status, lack of health care, and scarce resources) and where the All
4 Youth Partnership has been unable to acquire facility space for treatment services. FCSS and DBH will
aspire to address and further expand efforts to encourage comprehensive self-care through promoting
wellness at Centers where youth, families, and school staff can learn to connect, improve health and
well-being, find fulfillment, and access natural resources and supports.
Through the Wellness Centers, the FCSS will:
●Provide accessible information and host trainings to increase student, family, school staff, and
community knowledge about trauma and mental health;
●Provide mental health prevention, early intervention, and treatment services in accessible
locations including schools, the community, and at home;
●Promote mental health for all and reduce stigma around mental health to increase the
likelihood of accessing services;
●Provide strategies and training for comprehensive self-care for families, students, and school
staff; and
●Collaborate with schools and districts to extend the implementation of their Natural School
Mental Health Curriculum: Guidance and Best Practices for States, Districts, and Schools to
families and communities.
The Wellness Centers will be outfitted with space for meetings, trainings, workshops, and confidential
treatment space. Any clinical treatment or specialty mental health services provided in the Wellness
Centers will conform to and be incompliance with all applicable Fresno County Mental Health Plan, Medi-
Cal, State of California and Federal statutes and regulations relative to providing specialty mental
health services.
The Wellness Centers will be staffed with Family Partners who will provide culturally appropriate
outreach to youth as well as to parents, teachers and school staff, primary health care providers, and
others to recognize the early signs of mental illness. Overseen by the All 4 Youth Program Supervisors,
Family Partners will make referrals to the All 4 Youth program or other DBH network program, as
needed, for treatment to be provided in the Wellness Center or at the school, in the home, or a preferred
location within the community.
Exhibit A
Page 3 of 15
FCSS will recruit Family Partners from the local community with lived experience and one that reflects
the population being served to staff the Wellness Centers. As it relates to mental health, Lived
Experience is defined as the knowledge and understanding you get when you have lived through
something. These are individuals with mental illness, and family/friends supporting someone living with
mental illness. Family Partners will play a key role in reducing stigma associated with the diagnosis of a
mental illness or seeking mental health services. Each Family Partner will receive training and follow-up
support in evidence-based practices to provide outreach, prevention, early intervention, and service
referrals. Technical support and training will be provided from the contracted trainer (Crestwood
Behavioral Health, Inc. or as available). Existing All 4 Youth Program Supervisors will guide and monitor
the work of the Family Partners inclusive of triage and referrals of youth and their families. Additional
existing All 4 Youth staff will be provided at the Wellness Centers to appropriately support the Wellness
Center program and serve the youths, families, and community.
Family Partners will conduct outreach to parents and youth to engage, develop relationships, and
combat cultural distrust of medical and school professionals. They will also outreach to teachers and
school staff to provide information about prevention and early intervention; receive referrals from
parents, teachers, and other school staff; and refer youth to clinical mental health services at All 4 Youth
and other DBH programs. Following referral to the Wellness Center and assessment by an All 4 Youth
Clinician, the Family Partner will work under the direction of the FCSS Program Supervisor, and in
collaboration with the All 4 Youth Clinician and Specialists as appropriate, to develop an individual
service plan with the youth and caregiver that outlines goals and needed services. Family Partners will
refer youth to behavioral health and related services at the youth’s school, other County agencies, and
community-based providers, which may include: assistance applying for Medi-Cal, obtaining resources
for food, clothing and shelter, after-school programs, social skills classes, substance use disorder
services for youth and adults, employment supports, and other community- based services. The All 4
Youth Partnership will leverage its relationships with County Human Services departments (e.g., DBH,
Public Health, Social Services, and Probation), community-based organizations and collaboratives (e.g.,
Community Hospital, Cradle to Career Fresno, National Alliance for Mental Health [NAMI] Fresno,
Suicide Prevention Collaborative, and Valley Children’s Hospital) to link children and youth and their
families with needed services.
Family Partners will host community-based activities like Parent Cafés, meetings, and classes to build
trust, destigmatize mental illness, share information, and foster an understanding of the signs of mental
illness. Training and conversation topics will include the following (with other trainings added to address
emerging local needs):
● Trauma-informed Behavioral Health Services: This training will provide an overview of the
services available in the community, including the purpose of, and services provided by, All 4
Youth.
● Trauma-informed Parenting Practices: This training will review research related to childhood
trauma, evidence-based interventions, and suggestions on how parents can work with children
that are affected by trauma.
● Parent Training Programs: This training will provide an overview of the various parent training
programs available to help bolster the skills needed to manage children’s behavior calmly and
improve the quality of family life, including Parent-Child Interaction Therapy (PCIT), Parent
Management Training (PMT), Defiant Teens, and Positive Parenting Program.
● Understanding Trauma in the School Environment: This training will increase parent
understanding of trauma and how trauma affects the brain, safety and behavior in children, and
Exhibit A
Page 4 of 15
how Fresno schools are developing a range of tools to increase safety, address unsafe
behaviors, and promote connection to the school staff and grounds.
●Human Trafficking: California is one of the primary hotspots of human trafficking in the United
States, and this training will cover the roots of human trafficking, how to identify red flags that
someone may be a victim of trafficking, and the services available to victims of human trafficking.
●Gang Involvement: This training will include an overview of the risk factors that significantly
affect a young person’s chance for gang involvement, but will focus on the protective factors that
reduce the risk, including parental involvement and monitoring, family support, and
coping/interpersonal skills.
As trusted messengers with lived experience that mirrors those of the community they serve, Family
Partners will increase the likelihood of referrals by parents, timely follow-up with services, and increased
understanding and awareness of mental illness among the community.
With the approval of Senate Bill (SB) 803, Peer Support Specialist Certification Program Act of 2020,
peer professional staffs will be able to claim for specialty mental health services if they have and
maintain certain certifications. When Fresno County DBH’s regulations and policies are developed and
implemented, Family Partners will work towards attaining and maintaining certifications relevant to their
discipline, including but not limited to; adherence to code of ethics, curriculum and training requirements,
and passing a certification examination approved by DBH.
To contribute to a system-wide shift in the provision of mental health services for youth, the All 4 Youth
Partnership Steering Committee will develop a toolkit, Bridging Education and Mental Health: A
Toolkit Integrating School-based Services in California (working title), for establishing a partnership
between California Counties and their local education agency or office of education.
The toolkit will comprise the following topics:
●Initial planning;
●Staffing requirements;
●Job description development;
●Partnership agreement development;
●Budgeting;
●Governance structure;
●Policies and procedures;
●Meetings and trainings;
●District onboarding;
●Referral process;
●Establishing Hubs and site certification;
●Data collection and outcomes;
Exhibit A
Page 5 of 15
● Billing Medi-Cal;
● Telepsychiatry services and psychiatrist;
● How to address barriers;
● Marketing; and
● Consultation, site visits, and lessons learned.
The toolkit will also include editable forms and documents to aid counties’ efforts to establish
partnerships. Developed during the first 12 to 18 months of the agreement, the completed Bridging
Education and Mental Health toolkit will leverage FCSS’ and DBH’s nearly decade-long relationship to
create an actionable guide for counties looking to develop a similar model. The toolkit will provide a
framework and tangible structure for other counties to begin their work in helping education and mental
health services coordinate to reduce stigma and increase timely access to services within their
respective counties. The finalized electronic toolkit will be disbursed through the MHSOAC website,
accessible to MHSSA-funded emerging partnership counties as well as interested counties throughout
the state. Through the development of Bridging Education and Mental Health: A Toolkit Integrating
School-based Services in California, the All 4 Youth Partnership aims to contribute to the statewide body
of knowledge and build a future in which youth access the mental health services they need earlier.
Through these multipronged efforts, the All 4 Youth Partnership via The Wellness Centers hopes to
correct the misperceptions about and reduce the stigma around mental illness, leading to downstream
reductions in discrimination against people with mental illness.
Mental Health Services Oversight and Accountability Commission (MHSOAC) – MHSSA
In addition to the responsibilities of the project description above, FCSS shall follow all requirements of
the Mental Health Services Oversight and Accountability Commission’s Request for Application – Mental
Health Student Services Act 2019 (“RFA MHSSA_001 Addendum 2”), adhere to the proposed plan as
outlined in the submitted MHSSA Grant Application (as approved by the County of Fresno, Board of
Supervisors on March 24, 2020), and County Agreement 20-283 with MHSOAC-MHSSA (as approved
by the County of Fresno, Board of Supervisors on August 4, 2020).
IV. Contacts:
Direct all inquiries regarding this Agreement to the representatives listed below. Representatives may
be changed by written notice to the other party. Such notice shall be given within 30 days of the change.
County of Fresno Fresno County Superintendent of Schools
Department of Behavioral Health Trina Frazier, Assistant Superintendent of
Susan Holt, Deputy Director Student Services
1925 E. Dakota Avenue 1100 Van Ness Avenue
Fresno, CA 93726 Fresno, CA 93721
Phone: 559-600-9058 Phone: 559-265-3049
Fax: 559-600-7673 Fax: 559-265-3049
Email: sholt@fresnocountyca.gov Email: tfrazier@fcoe.org
V. Grant Cycle:
This Agreement is for a four-year grant cycle, with funds allocated to DBH by the State of California and
Exhibit A
Page 6 of 15
passed through to FCSS.
Funding is based on compliance with the MHSSA RFA requirements.
During the cycle of the grant, FCSS will participate with DBH in monthly check-in meetings with
MHSOAC staff either in-person, by phone, or some other agreed upon arrangement. The intent of these
meetings is for FCSS and DBH to provide a status of the programming, including, but not limited to
reporting requirements, hiring, spending, schedule, and any other relevant issues.
VI. Schedule of Services:
Services will be typically be provided during the normal business day of the campus where the Wellness
Center is located, Monday through Friday in accordance with the FCSS 8-hour work day and 12-month
employee work calendar. However, as appropriate, services will be provided by appointment during
non-traditional hours of operation, including holidays, evenings, and weekends. Any changes in regular
business hours for the Wellness Center will be posted on the door with a phone number that those
served under the Agreement can use to obtain assistance. Each of the Family Partners has a 199 day
work year and will rotate to fill the needed schedule of services, including non-traditional hours, within
that work year.
VII. Staffing:
FCSS’s proposed staffing is identified in the MHSSA RFA and Exhibit B and will include:
Family Partners will be hired with lived experience for each of FCSS’ sites. Service to be provided at
Wellness Centers, school sites, in the home, or other community setting.
• Four Family Partners will be hired in the first year; four more Family Partners will be hired by
June 30, 2021 (eight total); four more Family Partners will be hired by June 30, 2022 (12 total).
Leverage of the existing DBH contracted program in partnership with FCSS, the All 4 Youth Program will
be instrumental in successful implementation and coordination of Wellness Center services.
Existing contracted resources which will work in collaboration with the new Wellness Centers include:
• FCSS Program Supervisors (approximately 0.5 FTE total) will oversee the work of the Family
Partners inclusive of triage and referrals of youth and their families.
• All 4 Youth Clinicians (approximately 0.86 FTE total) will conduct mental health assessments and
related mental health services at the Wellness Centers, All 4 Youth Hubs, students’ homes or
other locations in the community.
• All 4 Youth, Youth Care Specialists (approximately 0.24 FTE total) and All 4 Youth Intervention
Specialists will provide support through the Wellness Centers, providing case management and
collateral services following mental health assessment, and supporting individual service plan
development with the Family Partners and Clinicians. Specialists will also provide ongoing
psychoeducation and skills-building activities at All 4 Youth Hubs.
• All 4 Youth School Psychologist (approximately 0.20 FTE total) will provide evidence-based,
trauma-informed trainings to school staff.
• Bilingual All 4 Youth Office Assistants (approximately 0.80 FTE total) will provide clerical support
Exhibit A
Page 7 of 15
including scheduling, printing, and materials distribution.
VIII.Service Locations
Each Wellness Center will be located on or adjacent to a school site to facilitate ease of accessing
services and will be placed strategically to reduce transportation barriers for youth and families from
across the 6,000 square mile county. During the first year of the four-year project period, the All 4 Youth
Partnership will adapt an existing FCSS location into a new Wellness Center and establish three new
modular buildings to be Wellness Centers in target locations throughout the County.
FY 2020-2021 –
Location: Fresno Pacific University
1717 Chestnut Ave, Portable A-2 Fresno, California 93702
FY 2021-2022 –
Location: In this fiscal year, the three other service sites will be developed strategically
within Fresno County. The process for selecting the Wellness Center locations are
dependent on the geographical regions of the County; locations where all the
families and districts can have increased ease of access to the Wellness Center;
willingness of a district to provide space on or adjacent to a school campus; and
high needs areas in terms of community and student stressors (i.e. poverty, high
suicide rates, homelessness, etc.)
Wellness Center sites and start dates may be adjusted during the term of this agreement by the written
approval of the Director DBH, or designee and FCSS.
IX.Service Start Dates:
The All 4 Youth Wellness Center Program will have a Ramp-Up period that will begin on September 1,
2020. The Ramp-Up period will consist of renovating the facility at Fresno Pacific University and
preparing it for the first Wellness Center. The Ramp-Up period will also consist of hiring and training the
Family Partners and may be extended as necessary to prepare for operations, with the approval of DBH.
Wellness Center services has been tentatively scheduled to begin operations in January 2021 following
the renovations of the first site.
Year 1: Calendar Year (CY) 2020-21 (September 1, 2020 to August 31, 2021)
1.Establish the first Wellness Center at Fresno Pacific University
2.Hire, train, and staff the Wellness Center with four (4) Family Partners
3.Initial Services are anticipated to start by January 1, 2021.
4.Develop the proposed toolkit, Bridging Education and Mental Health: A Toolkit Integrating
School-based Services in California (working title). In order to provide a professional product
to for redistribution and to appropriately brand the Wellness Center into the community, FCSS
and DBH will be sub-contracting with a professional marketing agency to assist with the
program’s toolkit composition and media campaigns.
Year 2: CY 2021-22 through CY 2023-24 (September to August)
Exhibit A
Page 8 of 15
1.Establish the remaining three (3) Wellness Centers across Fresno County.
2.Recruit and staff remaining Wellness Center; four (4) Family Partners for CY 2021-22, four (4)
Family Partners for CY 2022-23 and CY 2023-2024.
Family Partners and other mental health staff located at a specific site or hub may serve youths/students
in other sites/locations and other areas in the community as needed.
Youths/students located in a specific location may access services in other sites as needed. FCSS shall
work with DBH Director, or designee to ensure a smooth and efficient continuum of care for all
youths/students.
X.Cultural Competency:
A. FCSS shall provide the following as it relates to cultural competency services:
1.FCSS shall recruit and hire staff that have demonstrated experience working with the Latino,
African American, Southeast Asian, Native American, Punjabi, and other minority populations
and have knowledge about the culture of these targeted groups as well as other diverse
communities.
2.FCSS’s staff shall attend annual trainings on cultural competency, awareness, and diversity
as provided by FCSS. FCSS’s staff shall be appropriately trained in providing services in a
culturally sensitive manner.
3.FCSS’s staff shall attend civil rights training as provided by FCSS.
4.FCSS shall hire bilingual staff. At a minimum, FCSS shall hire staff competent in Spanish and
Hmong as these are the identified threshold languages in Fresno County. If bilingual staff is
not available and/or competent for hiring, translators/interpreters may be used with English-
speaking staff.
5.FCSS shall secure the services of trained translators/interpreters as may be necessary.
Translators/interpreters may prove invaluable for languages such as Cambodian, Russian,
Arabic, Armenian, Punjabi, and others. Translators/interpreters shall be appropriately trained
in providing services in a culturally sensitive manner.
6.FCSS shall provide services by placing importance on traditional values, beliefs and family
histories. Cultural values and traditions offer special strengths in treating clients and this
should help guide health care messages and wellness and recovery plans.
7.FCSS shall provide services within the most relevant and meaningful cultural, gender-
sensitive, and age-appropriate context for the target population.
8.FCSS shall develop plans to continually engage targeted populations.
9.FCSS shall recruit and hire client/family members. Regarding the recruitment of client/family
members, the FCSS will be able to consult with the COUNTY DBH.
10.FCSS shall distribute literature/informational brochures in appropriate languages and request
feedback as to how access to care could be improved for these culturally diverse
communities.
Exhibit A
Page 9 of 15
11.FCSS shall conduct an annual cultural competency self-assessment and provide the results
of said self-assessment to the COUNTY. The annual cultural competency self- assessment
instruments shall be reviewed by the COUNTY and revised as necessary to meet the
approval of the COUNTY. FCSS can create their own cultural competency self- assessment
tools or utilize instruments to be provided by COUNTY.
12.FCSS shall provide services throughout Fresno County in the community and home as
needed, to increase the frequency of clients obtaining needed services as some
children/families are reluctant to seek services at school sites.
13.FCSS shall promote system of care accountability for performance outcomes which enable
children and their families to live independently, work, maintain community supports, stay in
good health, and avoid substance abuse and incarceration.
14.FCSS shall develop individual services and supports plans which are flexible and open to
meet the unique needs of the targeted populations.
15.FCSS shall provide family support and the creation of family partnerships utilizing peer
support for families and parenting support.
16.FCSS shall establish culturally specific multidisciplinary treatment teams responsible for
assuring and providing needed services.
17.FCSS shall provide parenting groups that are conducted in the preferred language of the
participant client/families.
18.FCSS’s staff will be trained to keep an open mind and maintain non-judgmental interaction
with clients/families.
19.FCSS, when developing program services and service delivery approaches, shall seek to hire
and train staff and community stakeholders (i.e., consumers, family members, etc.) that are
providing services to consumers and families on appropriate methods and approaches to
delivering gender and age specific services.
20.FCSS’s hiring and contracting practices shall be based on local data and reflect the needs of
the population to be served.
21.FCSS shall attend the COUNTY’s Cultural Humility Committee monthly meetings, maintain its
own cultural competence oversight committee, and develop a cultural competency plan to
address and evaluate cultural competency issues.
22.COUNTY shall provide technical assistance and demographic data to FCSS in relation to
cultural competency planning.
23.FCSS shall train staff on best practice for utilizing interpreters to ensure effective
communication with monolingual consumers and families to assist in the delivery of
culturally/linguistically appropriate services.
XI.Care Coordination/Collaboration:
Through the Wellness Center site-based teams, local needs will be based on objective data.
When the data utilized by the Wellness Center teams indicates student and families may require
more intensive supports, the team will establish a coordinated seamless procedure for
Exhibit A
Page 10 of 15
comprehensive service delivery through FCSS’s specialty mental health treatment services as
well as other existing local resources. School staff is sometimes the first to identify barriers within
the students' families. All too often, the social and emotional barriers experienced by the family
may affect the student's ability to access education and quality mental health services. When the
data indicates the need for intensive mental health supports for the student and/or family, the
Wellness Center team will be able to integrate representatives from FCSS’ specialty mental
health treatment services as well as outside agencies who are working closely with the
family/student to create a person-centered action plan.
XII.County Responsibilities:
A. COUNTY shall:
1.Provide oversight, through its DBH Director, or designee, and collaborate with FCSS and
other COUNTY Departments and community agencies to help achieve State program goals
and outcomes. In addition to contract monitoring of program(s), oversight includes, but not
limited to, coordination with the State Department of Health Care Services in regard to
program administration and outcomes.
2.Assist FCSS 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 FCSS’s staff and will be available to the FCSS for ongoing consultation.
4.Gather outcome data from FCSS throughout each term of this Agreement. COUNTY DBH
staff shall notify the FCSS when its participation is required. The performance outcome
measurement process will not be limited to survey instruments but will also include, as
appropriate, client and staff interviews, chart reviews, and other methods of obtaining
required information.
5.Assist FCSS’s efforts towards cultural and linguistic competency by providing the following to
FCSS:
a.Technical assistance and training regarding cultural competency requirements.
b.Mandatory cultural competency training for FCSS personnel, at minimum once per year.
c.Technical assistance for translating information into COUNTY’s threshold languages
(Spanish and Hmong). Translation services and costs associated will be the responsibility
of the FCSS.
XIII.Performance Outcome Measures
FCSS, in collaboration with DBH, will complete and submit performance outcome reports as outlined in
the MHSSA RFA.
FCSS shall employ staff through the grant for MHSSA data gathering, submission of program
implementation and summary program evaluations to the MHSOAC. FCSS shall evaluate its MHSSA
Grant-funded program.
Evaluation activities are intended to provide FCSS, DBH, and the MHSOAC with data-related to program
Exhibit A
Page 11 of 15
impact and individual experience, and to demonstrate program effectiveness throughout the grant cycle.
It is intended that the results from the local evaluations will yield best practices for school-based mental
health partnerships, number of students serviced, demographics, data on linkage to ongoing mental
health services, and comparison data on negative outcomes of untreated mental health conditions (e.g.,
suicide, school failure, and out of home placement.)
FCSS, in partnership with DBH, shall collect relevant person identified-level data. If requested, FCSS, in
partnership with DBH, shall provide MHSOAC with access to all relevant person-identified level data
collected and maintained by FCSS and/or DBH.
FCSS shall also submit measurable outcomes on an annual basis, as identified in DBH’s Policy and
Procedure Guide (“PPG”) 1.2.7 Performance Outcomes Measures, attached hereto as Exhibit A-1.
Performance outcomes measures must be approved by the Department and satisfy all State and local
mandates. The Department will provide technical assistance and support in defining measurable
outcomes. All performance indicators will reflect the four domains identified by the Commission
Accreditation of Rehabilitation Facilities (CARF). The domains are Effectiveness, Efficiency, Access, and
Satisfaction. These are defined and listed below.
DBH collects data about the characteristics of the persons served and measures service delivery
performance indicators in each of the following CARF Domains: At minimum, one key performance
indicator will be identified for each of the four CARF domains listed below.
1.Effectiveness: A performance dimension that assesses the degree to which an intervention or
services have achieved the desired outcome/result/quality of care through measuring change over
time. The results achieved and outcomes observed are for persons served.
Examples of indicators include: Persons receives or maintains a job with or without benefits, or receive
supports needed to live in the community, increased function, activities, or participation, and
improvement of health, employment/earnings, or plan of care goal attainment.
Reduction in disciplinary interactions. Indicators - referrals, suspensions. Achievement of
treatment goals. Data sources: attendance, disciplinary data, GPA, PSC-35.
2.Efficiency: Relationship between results and resources used, such as time, money, and staff. The
demonstration of the relationship between results and the resources used to achieve them. A
performance dimension addressing the relationship between the outputs/results and the resources
used to deliver the service.
Examples of indicators include: Direct staff cost per person served, amount of time it takes to
achieve an outcome, gain in scores per days of service, service hours per person achieving
some positive outcome, total budget (actual cost) per person served, length of stay and direct
service hours of clinical and medical staff. Training modalities. Penetration rates.
3.Access: Organizations’ capacity to provide services of those who desire or need services.
Barriers or lack thereof for persons obtaining services. The ability of clients to receive the right
service at the right time. A performance dimension addressing the degree to which a person
needing services is able to access those services.
Exhibit A
Page 12 of 15
Examples of indicators include: Timeliness of program entry (From point of referral to 1st request for
service), ongoing wait times/wait lists, minimizing barriers to getting services, and no-
show/cancellation rates.
4.Satisfaction: Satisfaction Measures are usually orientated towards consumers, family, staff, and
stakeholders. The degree to which clients, the County and other stakeholders are satisfied with
services. A performance dimension that describes reports or ratings from persons served about
services received from an organization.
Examples of indicators include: Opinion of persons served or other key stakeholders in regards to
access, process, or outcome of services received, Consumer and/or Treatment Perception
Survey. Providers can develop their respective satisfaction survey for distribution which will require
County approval.
XIV.Data Collection
FCSS’s data collection and evaluation methods may include, but are not limited to, staff, participant, and
family interviews and/or case file reviews.
FCSS shall also conduct consumer satisfaction surveys to see if there is a strong correlation of the
efficacy of the evidence-based program with specific ethnicities and languages as well as to identify
gaps in meeting cultural needs of clients/families, if any.
FCSS shall ensure all program clients/families participate in the semi-annual State Consumer Perception
Survey (“CPS”). CPSs will be distributed to all clients/families to fill out and return to FCSS.
FCSS shall collect data regarding the ethnicity and language of each client/family receiving services as
well as following-up with culturally diverse clients/families for suggestions on how to improve the
programs and how to help make the programs more culturally relevant.
XV.Performance Goals
FCSS’s performance shall be evaluated jointly by DBH and FCSS utilizing the following performance
outcomes below:
Effectiveness
Goal/Objective 1: Create a healthy environment in which youth in Fresno County
can live and learn through increased awareness, reduced
stigma, and increased supports for mental illness.
Outcome 1: Prevention and early intervention efforts reduce the risk of
mental illness being ignored and/or untreated until it becomes
severe and disabling, sparks suicide or attempted suicide,
results in school failure or dropout, and/or leads to incarceration.
Exhibit A
Page 13 of 15
Measure 1: Pre-Post assessment following training on awareness, stigma
reduction, knowledge and identification of early warning signs and
supports for mental illness.
Goal/Objective 2: Create a toolkit to guide emerging partnerships on how to create
successful collaborations so that school based and mental
health services can be integrated and replicated across the state
of California.
Outcome 2: Design a toolkit by collecting and synthesizing components used
to establish partnership between DBH and FCSS.
Measure 2: Create “Bridging Education and Mental Health: A Toolkit
Integrating School Based Services in California” and promote to
counties using appropriate communication channels including
All4Youth Website and MHSOAC Website.
Efficiency
Goal/Objective: Reduce stigma around mental illness by increasing awareness
in the following populations: youth, families, community
members, school teachers and staff, primary care health care
providers, employers helping them understand early warning
signs of mental illness, how to refer children and youth to
Wellness Centers for services, and available resources and
supports.
Outcome: Youth, families, community members, school teachers and staff,
primary care health care providers, employers, and others
receive training on early warning signs of mental illness, how to
refer children and youth for services and available resources
and supports.
Measure: Number of Trainings provided at Wellness Centers and
demographics of those trained (youth, families, community
members, school teachers and staff, primary care health care
providers, employers).
Access
Goal/Objective: Expand accessible mental health services for youth and families
by establishing four Wellness Centers in targeted high- risk
locations throughout Fresno County.
Exhibit A
Page 14 of 15
Outcome: Identify high-need Wellness Center locations. One new
Wellness Center is adapted in year one and three new Wellness
Centers are constructed during the second year of the grant
period. Wellness Centers are located on or adjacent to school
campuses.
Measure: One Wellness Center developed and operational in year one.
Three new Wellness Centers are constructed during the second
year of grant period.
Satisfaction
Goal/Objective: School, community and families will have an overall satisfaction
with Wellness Center experience.
Outcome: School staff, community members and families will report
satisfaction with Wellness Center accessibility, finding the
Family Partners culturally and linguistically responsive, and
information shared helpful.
Measure: Wellness Center Satisfaction Survey
XVI.Reporting
FCSS, in partnership with DBH, shall provide information to MHSOAC on a quarterly basis and within 30
days after the end of each reporting period. FCSS understands that MHSOAC may modify the reporting
date to better fit in with FCSS’s and/or DBH’s normal month-end financial cycle. FCSS, in partnership
with DBH, shall submit the following reports to MHSOAC:
1.Hiring Report, which shall include the following:
a.List each type of personnel hired by FCSS and/or hired as a contractor related to
the MHSSA RFA. Identify which staff are FCSS staff and which are contractors.
b.List personnel at service locations/points of access. Access point location and
addresses must be identified. If an address is not possible, clearly identify the area
in which access point(s) will be.
2.Evaluation Data
FCSS, in partnership with DBH, shall provide MHSOAC with data based on specifications
and timelines defined by the MHSOAC.
3.Expenditure Information
FCSS, in partnership with DBH, shall provide MHSOAC all expenditure information in the
Annual Fiscal Report within 30 days of the end of the grant year.
Additional reports/outcomes may also be requested and provided as agreed upon by DBH and FCSS
and may at the request of the MHSOAC, based on among other things, identification of client/family
specific needs as well as State required/outcomes as needed.
Exhibit A
Page 15 of 15
XVII.Program Communication
FCSS shall increase awareness of and access and linkage to mental health services for youth and their
families and provide related information on the All 4 Youth Partnership website(s).
�co �� ii\ '6 �% 1s5�o/
PR"£;'
Section:
Effective Date:
Policy Title:
Department of Behavioral Health
Administration
os/30/2011
Performance Outcome Measures
Policy and Procedure Guide
PPG 1.2.7
Revised Date: os/30/2011
- ------· --- -------·· ------ -----·----···-·····-
Approved by: Dawan Utecht (Director of Behavioral Health), Francisco Escobedo (Sr. Staff Analyst - QA), Kannika
POLICY:
PURPOSE:
REFERENCE:
DEFINITIONS:
Toonnachat (Division Manager -Technology and Quality Management)
It is the policy of Fresno County Department of Behavioral Health and the
Fresno County Mental Health Plan (FCMHP) to ensure procedures for
developing performance measures which accurately reflect vital areas of
performance and provide for systematic, ongoing collection and analysis
of valid and reliable data. Data collection is not intended to be an
additional task for FCMHP programs/providers but rather embedded within
the various non-treatment, treatment and clinical documentation.
To determine the effectiveness and efficiency of services provided by
measuring performance outcomes/results achieved by the persons served
during service delivery or following service completion, delivery of service,
and of the individuals' satisfaction. This is a vital management tool used to
clarify goals, document the efforts toward achieving those goals, and thus
measure the benefit the service delivery to the persons served.
Performance measurement selection is part of the planning and
developing process design of the program. Performance measurement is
the ongoing monitoring and reporting of progress towards pre-established
objectives/goals.
California Code of Regulations, Title 9, Chapter 11, Section
1810.380(a)(1 ): State Oversight
DHCS Service, Administrative and Operational Requirements
Mental Health Services Act (MHSA}, California Code of Regulations, Title
9, Section 3320, 3200.050, and 3200.120
Commission on Accreditation of Rehabilitation Facilities (CARF)
1.Indicator: Qualitative or quantitative measure(s) that tell if the outcomes have been
accomplished. Indicators evaluate key performance in relation to objectives. It indicates
what the program is accomplishing and if the anticipated results are being achieved.
---�------·-------·----·-·--·---· ---· -·--------·---···--
MISSION STATEMENT
The Department of Behallioral Health Is dedicated to supporting the wellness of Individuals, families and communities In Fresno County who are affected by, or ore at risk
of, mental Illness and/or substance use disorders through cultivation of strengths toward promoting recollf!f)I In the least restrictive environment
Template Review Date 3/28/16
Exhibit A-1 Page 1 of 6
� co�-<V fi!' Department of Behavioral Health
� t> % 185��
Policy and Procedure Guide
PR�� Section: Administration Effective Date: 05/30/2017 PPG 1.2.7
Policy Title: Performance Outcome Measures
2.Intervention: A systematic plan of action consciously adapted in an attempt to address
and reduce the causes of failure or need to improve upon system.
3.Fresno County Mental Health Plan (FCMHP): Fresno County's contract with the State
Department of Health and Human Services that allows for the provision of specialty
mental health services. Services may be delivered by county-operated programs,
contracted organizational, or group providers.
4.Objective (Goal): Intended results or the impact of learning, programs, or activities.
5.Outcomes: Specific results or changes achieved as a consequence of the program or
intervention. Outcomes are connected to the objectives/goals identified by the program
or intervention.
PROCEDURE:
I.Each FCMHP program/provider shall engage in measurement of outcomes in order
to generate reliable and valid data on the effectiveness and efficiency of programs or
interventions. Programs/providers will establish/select objectives (goals), decide on
a methodology and timeline for the collection of data, and use an appropriate data
collection tool. This occurs during the program planning and development process.
Outcomes should be in alignment with the program/provider goals.
II.Outcomes should be measureable, obtainable, clear, accurately reflect the expected
result, and include specific time frames. Once the measures have been selected, it
is necessary to design a way to gather the information. For each service delivery
performance indicator, FCMHP program/provider shall determine: to whom the
indicator will be applied; who is responsible for collecting the data; the tool from
which data will be collected; and a performance target based on an industry
benchmark, or a benchmark set by the program/provider.
Ill. Performance measures are subject to review and approval by FCMHP
Administration.
IV.Performance measurement is the ongoing monitoring and reporting of progr ess
towards pre-established objectives/goals. Annually, each FCMHP program/provider
must measure service delivery performance in each of the areas/domains listed
below. Dependent on the program/provider service deliverables, exceptions must be
approved by the FCMHP Administration.
Exhibit A-1 Page 2 of 6
� � col<-<V-Department of Behavioral Health
�
� � Policy and Procedure Guide
� 185�0
�R£Y Section: Administration Effective Date: 05/30/2017 PPG 1.2.7
Policy Title: Performance Outcome Measures
a.Effectiveness of services -How well programs performed and the results
achieved. Effectiveness measures address the quality of care through
measuring change over time. Examples include but are not limited to: reduction
of hospitalization, reduction of symptoms, employment and housing status, and
reduction of recidivism rate and incidence of relapse.
b.Efficiency of services -The relationship between the outcomes and the
resources used. Examples include but are not limited to: service delivery cost per
service unit, length of stay, and direct service hours of clinical and medical staff.
c.Services access -Changes or improvements in the program/provider's capacity
and timeliness to provide services to those who request them. Examples include
but are not limited to: wait/length of time from first request/referral to first service
or subsequent appointment, convenience of service hours and locations, number
of clients served by program capacity, and no-show and cancellation rates.
d.Satisfaction and feedback from persons served and stakeholders-Changes or
increased positive/negative feedback regarding the experiences of the persons
served and others (families, referral sources, payors/guarantors, etc.).
Satisfaction measures are usually oriented toward clients, family members,
personnel, the community, and funding sources. Examples include but are not
limited to: did the organization/program focus on the recovery of the person
served, were grievances or concerns addressed, overall feelings of satisfa ction,
and satisfaction with physical facilities, fees, access, service effectiveness, and
efficiency.
V.Each FCMHP program/provider shall use the following templates to document the
defined goals, intervention(s), specific indicators, and outcomes.
1.FCMHP Outcome Report template (see Attachment A)
2.FCMHP Outcome Analysis template (see Attachment C)
Exhibit A-1 Page 3 of 6
Page 4 of 6Exhibit A-1Page4of6ExhibitA-1OUTCOMESREPORT-AttachmentAFRESNOCOUNTYMENTALHEALTHPLANPROGRAMINFORMATION:ProgramTitle:ProgramDescription:Provider:MHPWorkPlan:Clickheretoentertext.Chooseanitem.Chooseanitem.Chooseanitem.Clickheretoentertext.Chooseanitem.Chooseanitem.Clickheretoentertext.Clickheretoentertext.Clickheretoentertext.AgeGroupServed1:AgeGroupServed2:FundingSource1:FundingSource2:DatesOfOperation:ReportingPeriod:FundingSource3:OtherFunding:ADULTChooseanitem.Chooseanitem.Chooseanitem.FISCALINFORMATION:ProgramBudgetAmount:Clickheretoentertext.NumberofUniqueClientsServedDuringTimePeriod:NumberofServicesRenderedDuringTimePeriod:ActualCostPerClient:ProgramActualAmount:00Clickheretoentertext.0CONTRACTINFORMATION:ProgramType:ContractTerm:TypeofProgram:ForOther:RenewalDate:Clickheretoentertext.Clickheretoentertext.Clickheretoentertext.Chooseanitem.LevelofCareInformationAge18&Over:Chooseanitem.LevelofCareInformationAge0-17:TARGETPOPULATIONINFORMATION:TargetPopulation:yClickheretoentertext.RevisedMarch2017
Page 5 of 6Exhibit A-1ExhibitA-1Page5of6OUTCOMESREPORT-AttachmentAFRESNOCOUNTYMENTALHEALTHPLANi:CORECONCEPTS:•Communitycollaboration:individuals,families,agencies,andbusinessesworktogethertoaccomplishasharedvision.•Culturalcompetence:adoptingbehaviors,attitudesandpoliciesthatenableproviderstoworkeffectivelyincross-culturalsituations.•Individual/Family-Driven,Wellness/Recovery/Resiliency-FocusedServices:adultclientsandfamiliesofchildrenandyouthidentifyneedsandpreferencesthatresultinthemosteffectiveservicesandsupports.•Accesstounderservedcommunities:Historicallyunservedandunderservedcommunitiesarethosegroupsthateitherhavedocumentedlowlevelsofaccessand/oruseofmentalhealthservices,facebarrierstoparticipationinthepolicymakingprocessinpublicmentalhealth,havelowratesofinsurancecoverageformentalhealthcare,and/orhavebeenidentifiedasprioritiesformentalhealthservices.•Integratedserviceexperiences:servicesforclientsandfamiliesareseamless.Clientsandfamiliesdonothavetonegotiatewithmultipleagenciesandfundingsourcestomeettheirneeds.Pleaseselectcoreconceptsembeddedinservices/program:(Mayselectmorethanone)Pleasedescribehowtheselectedconcept(s)embedded:Chooseanitem.Clickheretoentertext.Chooseanitem.Chooseanitem.Chooseanitem.PROGRAMOUTCOME&GOALS-Mustincludeeachoftheseareas/domains:(1)Effectiveness,(2)Efficiency,(3)Access,(4)Satisfaction&FeedbackOfPersonsServed&StakeholderIncludethefollowingcomponentsfordocumentingeachgoal:(1)Indicator,(2)WhoApplied,(3)TimeofMeasure,(4)DataSource,(5)TargetGoalExpectancyClickheretoentertext.DEPARTMENTRECOMMENDATION(S):Clickheretoentertext.RevisedMarch2017
Page 6 of 6Exhibit A-1Page6of6ExhibitA-1FRESNOCOUNTYMENTALHEALTHPLANAttachmentCOutcomesAnalysisNameofProgram:Clickheretoentertext.WhatistheProgram/ContractGoals?Clickheretoentertext.TypeofProgram:Other,pleasespecifybelowOther:Clickheretoentertext.ProgramType:CLINICALINFORMATION:DoestheProgramUtilizeAnyoftheFollowing?(Mayselectmorethanone)EvidenceInformedPracticeBestPracticeEvidenceBasedPracticeOther:Clickheretoentertext.PleaseDescribe:Clickheretoentertext.OUTCOMESWhatOutcomeMeasuresAreBeingUsed?Clickheretoentertext.WhatOutcomeMeasures/FunctionalVariablesCouldBeAddedtoBetterExplaintheProgram'sEffectiveness?Clickheretoentertext.DescribetheProgram'sanalysis(i.e.havetheprogram/contractgoalsbeenmet?Numberserved,waitinglist,waittimes,budgettovolume,etc.):Clickheretoentertext.WhatBarriersPreventtheProgramfromAchievingBetterOutcomes?Clickheretoentertext.WhatChangestotheProgramWouldYouRecommendtoImprovetheoutcomes?Clickheretoentertext.ForCommitteeUseOnly:Recommendations:doincludeaconclusionandato-dolistwithactionitemsClickheretoentertext.
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Family Partner 4.00 140,442$ 140,442$
1102 - - -
1103 - - -
1104 - - -
1105 - - -
1106 - - -
1107 - - -
1108 - - -
1109 - - -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 4.00 -$ 140,442$ 140,442$
Employee Benefits
Acct #Admin Direct Total
1201 -$ 48,705$ 48,705$
1202 - 4,775 4,775
1203 - 42,020 42,020
1204 - - -
1205 - - -
1206 - - -
-$ 95,500$ 95,500$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ -$ -$
1302 - 11,123 11,123
1303 - 112 112
1304 - - -
1305 - - -
1306 - - -
-$ 11,235$ 11,235$
-$ 247,177$ 247,177$
Retirement
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
OASDI
FICA/MEDICARE
SUI
Other (specify)
Other (specify)
Employee Benefits Subtotal:
Description
Behavioral Health MHSSA Contract - 19MHSOACO52
Fresno County Superintendent of Schools
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
Page 1 of 28Exhibit B
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 -
2004 -
2005 -
2006 -
2007 -
2008 -
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
-$
3000: OPERATING EXPENSES
Acct #Amount
3001 -$
3002 -
3003 6,200
3004 13,152
3005 6,200
3006 18,000
3007 -
3008 -
3009 8,000
3010 -
3011 -
3012 -
51,552$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 -$
4002 -
4003 -
4004 -
4005 -
4006 -
4007
4008
4009 -
4010 -
-$
5000: SPECIAL EXPENSES
Other (specify)
Professional Services
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)
Building Maintenance
Line Item Description
Line Item Description
Line Item Description
DIRECT CLIENT CARE TOTAL
Other (specify)
Other (specify)
Advertising
FACILITIES/EQUIPMENT TOTAL:
Other (specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 2 of 28Exhibit B
Acct #Amount
5001
5002 -
5003 164,872
5004 -
5005 -
5006 -
5007 -
5008 -
164,872$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 61,672$
6002 176
6003 -
6004 -
6005 -
6006 -
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
61,848$
7000: FIXED ASSETS
Acct #Amount
7001 8,000$
7002 -
7003 10,000
7004 150,000
7005 -
7006 -
7007 168,396
7008 -
336,396$
Leasehold/Tenant/Building Improvements
Payroll Services
Line Item Description
External Audit
Other (specify)
Other (specify)
Other (specify)
Insurance (Specify):
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
Building Architect Fees (Phase 1 Construction)
Contractual/Consulting Services (Specify)
Translation Services
861,845$ TOTAL PROGRAM EXPENSES
Other Assets over $500 with Lifespan of 2 Years +
Other (specify)
Assets over $5,000/unit (Specify)
FIXED ASSETS EXPENSES TOTAL
Line Item Description
Professional Liability Insurance
Accounting/Bookkeeping
ADMINISTRATIVE EXPENSES TOTAL
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 3 of 28Exhibit B
Acct #Service Units Rate Amount
8001 Mental Health Services 0 - -$
8002 Case Management 0 - -
8003 Crisis Services 0 - -
8004 Medication Support 0 - -
8005 Collateral 0 - -
8006 Plan Development 0 - -
8007 Assessment 0 - -
8008 Rehabilitation 0 - -
0 -$
0%
-
0%-
-$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment -$
-$
Acct #MHSA Component Amount
8301 CSS - Community Services & Supports -$
8302 PEI - Prevention & Early Intervention -
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
-$
Acct #Amount
8401 Client Fees -$
8402 Client Insurance -
8403 -
8404 861,845
8405 -
861,845$
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)
MHSSA Contract
Other (Specify)
Line Item Description
8400 - OTHER REVENUE
TOTAL PROGRAM FUNDING SOURCES:861,845$
-$
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
Page 4 of 28Exhibit B
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 247,177
Employee Salaries 140,442
1101 Family Partner 140,442 These amounts refelect staff that are needed to perform the duties of specialty mental
health services and related activities. The All 4 Youth Partnership will hire twelve Full-
Time equivalent (FTE) for each Family Partners over the course of the grant cycle. These
positions will be gradually incorporated based on growing client and community needs.
A total of four full-time equivalent (FTE) will be hired in year one of the the grant cycle.
1102 0 -
1103 0 -
1104 0 -
1105 0 -
1106 0 -
1107 0 -
1108 0 -
1109 0 -
1110 0 -
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 95,500
1201 Retirement 48,705 Employee Benefits will be paid in a like manner as other employees of FCSS
1202 Worker's Compensation 4,775
1203 Health Insurance 42,020
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
Payroll Taxes & Expenses:11,235
1301 OASDI -
1302 FICA/MEDICARE 11,123 Payroll Taxes will be paid in a like manner as other employees of FCSS
1303 SUI 112
1304 Other (specify)-
1305 Other (specify)-
1306 Other (specify)-
2000: CLIENT SUPPORT -
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (specify)-
2012 Other (specify)-
2013 Other (specify)-
2014 Other (specify)-
2015 Other (specify)-
2016 Other (specify)-
3000: OPERATING EXPENSES 51,552
3001 Telecommunications -
3002 Printing/Postage -
Fresno County Superintendent of Schools
Behavioral Health MHSSA Contract - 19MHSOACO52
2020-21
PROGRAM EXPENSE
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 5 of 28Exhibit B
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
3003 Office, Household & Program Supplies 6,200 Reflects cost for office supplies, programming materials and other items essential for
job functions, such as paper, scissors, tape, hole-punch, pens, wastebaskets, envelopes,
paper clips, gloves, first aid supplies, kleenex etc.
3004 Advertising 13,152 Includes expenses for creating, planning, and handling advertising and other forms of
promotion and marketing for the program.
3005 Staff Development & Training 6,200 Reflect cost for Training and Development cohorts provided by Crestwood Behavioral
Health.
3006 Staff Mileage 18,000 Cost of staff mileage reimbursement per year for traveling to schools, Hubs, parent
homes or in the community in order to provide services.
3007 Subscriptions & Memberships -
3008 Vehicle Maintenance -
3009 Professional Services 8,000 This includes intangible technology costs for employees such as copier use, internet, and
cell phone reibursement.
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 0 -
4008 0 -
4009 Other (specify)-
4010 Other (specify)-
5000: SPECIAL EXPENSES 164,872
5001 Consultant (Network & Data Management)-
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)164,872 Cost for contracting a marketing/design firm to package the toolkit in eflectronic
format, and printing copies of toolkit for distribution. (The additional funds from the
Salary and Benefit offset was added to provide necessary contracted services to be
determined by management.)
5004 Translation Services -
5005 Other (specify)-
5006 Other (specify)-
5007 Other (specify)-
5008 Other (specify)-
6000: ADMINISTRATIVE EXPENSES 61,848
6001 Administrative Overhead 61,672 Cost of general management that consist of expenditures for adminstrative activities
necessary for the general operation of FCSS. The indirect cost rate is based on the CDE's
federally approved indirect cost plan for K-12 LEA and county offices of education.
6002 Professional Liability Insurance 176 Expense will be paid in the manner as other employees of FCSS, line is recorded by FCSS
as an operating expense.
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance (Specify):-
6006 Payroll Services -
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other (specify)-
6009 Other (specify)-
6010 Other (specify)-
6011 Other (specify)-
6012 Other (specify)-
7000: FIXED ASSETS 336,396
7001 Computer Equipment & Software 8,000 Reflect cost of Laptops for each new Family Partner
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 10,000 This reflect the cost of purchasing desks, couches, both stationary and portable tables,
chairs, bookcases, file cabinets and other usual and customary office equipment
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 6 of 28Exhibit B
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
7004 Leasehold/Tenant/Building Improvements 150,000 This reflect the cost of renovations of existing building owned by FCSS to serve as one of
the four Wellness Centers. The cost will be used for both hard and soft construction
cost.
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Building Architect Fees (Phase 1 Construction)168,396 This reflect the cost of phase 1 of construction during first year for the 3 modular
Wellness Centers. Cost will include Architect services, State and Local Agency(DSA, CA
Geo Survey, CDE, etc) fess and all cost associated with bidding for project.
7008 Other (specify)-
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:861,845
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:861,845
BUDGET CHECK:-
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROGRAM FUNDING SOURCES
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 7 of 28Exhibit B
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Family Partner 8.00 280,883$ 280,883$
1102 - - -
1103 - - -
1104 - - -
1105 - - -
1106 - - -
1107 - - -
1108 - - -
1109 - - -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 8.00 -$ 280,883$ 280,883$
Employee Benefits
Acct #Admin Direct Total
1201 -$ 97,410$ 97,410$
1202 - 9,550 9,550
1203 - 84,040 84,040
1204 - - -
1205 - - -
1206 - - -
-$ 191,000$ 191,000$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ -$ -$
1302 - 22,246 22,246
1303 - 225 225
1304 - - -
1305 - -
1306 - -
-$ 22,471$ 22,471$
-$ 494,354$ 494,354$
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)
Behavioral Health MHSSA Contract - 19MHSOACO52
Fresno County Superintindent of Schools
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
Page 8 of 28Exhibit B
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 -
2004 -
2005 -
2006 -
2007 -
2008 -
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
-$
3000: OPERATING EXPENSES
Acct #Amount
3001 -$
3002 -
3003 17,200
3004 10,378
3005 6,200
3006 36,000
3007 -
3008 -
3009 11,000
3010 -
3011 -
3012 -
80,778$
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
Professional Services
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)
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
Page 9 of 28Exhibit B
Acct #Amount
5001 -$
5002 -
5003 109,256
5004 -
5005 -
5006 -
5007 -
5008 -
109,256$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 92,522$
6002 381
6003 -
6004 -
6005 -
6006 -
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
92,903$
7000: FIXED ASSETS
Acct #Amount
7001 8,000$
7002 -
7003 30,000
7004 -
7005 -
7006 -
7007 1,936,554
7008 -
1,974,554$ FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 2,751,845$
Assets over $5,000/unit (Specify)
Building Construction _ New Construction
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 $500 with Lifespan of 2 Years +
ADMINISTRATIVE EXPENSES TOTAL
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
SPECIAL EXPENSES TOTAL:
Line Item Description
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Insurance (Specify):
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Translation Services
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 10 of 28Exhibit B
Acct #Service Units Rate Amount
8001 Mental Health Services 0 - -$
8002 Case Management 0 - -
8003 Crisis Services 0 - -
8004 Medication Support 0 - -
8005 Collateral 0 - -
8006 Plan Development 0 - -
8007 Assessment 0 - -
8008 Rehabilitation 0 - -
0 -$
0%
-
0%-
-$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment -$
-$
Acct #MHSA Component Amount
8301 CSS - Community Services & Supports -$
8302 PEI - Prevention & Early Intervention -
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
-$
Acct #Amount
8401 Client Fees -$
8402 Client Insurance -
8403
8404 2,751,845
8405 -
2,751,845$ OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:2,751,845$
NET PROGRAM COST: -$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Grants (Specify)
MHSSA CONTRACT
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
Page 11 of 28Exhibit B
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 494,354
Employee Salaries 280,883
1101 Family Partner 280,883 These amounts reflect staff that are needed to perform the duties of specialty mental
health services and related activities.The All 4 Youth Partnership will hire twelve Full-
Time equivalent (FTE) for each Family Partners over the course of the grant cycle.TThese
positions will be gradually incorporated based on growing client and community needs. A
total of four additional full-time equivalent (FTE) will be hired in year two of the the
grant cycle.
1102 0 -
1103 0 -
1104 0 -
1105 0 -
1106 0 -
1107 0 -
1108 0 -
1109 0 -
1110 0 -
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 191,000
1201 Retirement 97,410 Employee Benefits will be paid in a like manner as other employees of FCSS
1202 Worker's Compensation 9,550
1203 Health Insurance 84,040
1204 Other (Specify)-
1205 Other (Specify)-
1206 Other (Specify)-
Payroll Taxes & Expenses:22,471
1301 OASDI -
1302 FICA/MEDICARE 22,246 Payroll Taxes will be paid in a like manner as other employees of FCSS
1303 SUI 225
1304 Other (Specify)-
1305 Other (Specify)-
1306 Other (Specify)-
2000: CLIENT SUPPORT -
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (Specify)-
2012 Other (Specify)-
2013 Other (Specify)-
2014 Other (Specify)-
2015 Other (Specify)-
2016 Other (Specify)-
Behavioral Health MHSSA Contract - 19MHSOACO52
Fresno County Superintindent of Schools
2021-22
PROGRAM EXPENSE
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 12 of 28Exhibit B
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
3000: OPERATING EXPENSES 80,778
3001 Telecommunications -
3002 Printing/Postage -
3003 Office, Household & Program Supplies 17,200 Reflects cost for office supplies, programming materials and other items essential for job
functions, such as paper, scissors, tape, hole-punch, pens, wastebaskets, envelopes,
paper clips, gloves, first aid supplies, kleenex etc.
3004 Advertising 10,378 Includes expenses for creating, planning, and handling advertising and other forms of
promotion and marketing for the program.
3005 Staff Development & Training 6,200 Reflect cost for Training and Development cohorts provided by Crestwood Behavioral
Health.
3006 Staff Mileage 36,000 Cost of staff mileage reimbursement per year for traveling to schools, Hubs, parent
homes or in the community in order to provide services.
3007 Subscriptions & Memberships -
3008 Vehicle Maintenance -
3009 Professional Services 11,000 This includes intangible technology costs for employees such as copier use, internet, and
cell phone reibursement.
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 109,256
5001 Consultant (Network & Data Management)-
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)109,256 The additional funds from the Salary and Benefits offset was added to line to provide
necessary contracted services to be determined by management.
5004 Translation Services -
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 92,903
6001 Administrative Overhead 92,522 Cost of general management that consist of expenditures for adminstrative activities
necessary for the general operation of FCSS. The indirect cost rate is based on the CDE's
federally approved indirect cost plan for K-12 LEA and county offices of education.
6002 Professional Liability Insurance 381 Expense will be paid in the manner as other employees of FCSS, line is recorded by FCSS
as an operating expense.
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance (Specify):-
6006 Payroll Services -
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other (Specify)-
6009 Other (Specify)-
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify)-
7000: FIXED ASSETS 1,974,554
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 13 of 28Exhibit B
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
7001 Computer Equipment & Software 8,000 Reflect cost of Laptops for each new Family Partner
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures 30,000 This reflect the cost of purchasing desks, couches, both stationary and portable tables,
chairs, bookcases, file cabinets and other usual and customary office equipment
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Building Construction _ New Construction 1,936,554 This reflect the cost of phase 2 of construction during 2nd year for the 3 modular
Wellness Centers. Cost will include remaining Architect services, State and Local
Agency(DSA, CA Geo Survey, CDE, etc) fess and all cost over course of construction;
purchase of Modulars and Contractors cost.
7008 Other (Specify)-
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:2,751,845
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:2,751,845
BUDGET CHECK:-
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 14 of 28Exhibit B
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Family Partner 12.00 -$ 421,325$ 421,325$
1102 - - -
1103 - - -
1104 - - -
1105 - - -
1106 - - -
1107 - - -
1108 - - -
1109 - - -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - -
Personnel Salaries Subtotal 12.00 -$ 421,325$ 421,325$
Employee Benefits
Acct #Admin Direct Total
1201 -$ 146,115$ 146,115$
1202 - 14,325 14,325
1203 - 126,060 126,060
1204 - - -
1205 - - -
1206 - - -
-$ 286,500$ 286,500$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ -$ -$
1302 - 33,369 33,369
1303 - 337 337
1304 - - -
1305 - -
1306 - -
-$ 33,706$ 33,706$
-$ 741,531$ 741,531$
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)
Behavioral Health MHSSA Contract - 19MHSOACO52
Fresno County Superintendent of Schools
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
Page 15 of 28Exhibit B
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 -
2004 -
2005 -
2006 -
2007 -
2008 -
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
-$
3000: OPERATING EXPENSES
Acct #Amount
3001 -$
3002 -
3003 3,200
3004 -
3005 6,200
3006 54,000
3007 -
3008 -
3009 14,000
3010 -
3011 -
3012 -
77,400$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 5,760$
4002 -
4003 -
4004 -
4005 -
4006 -
4007 -
4008 -
4009 -
4010 -
5,760$
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
Professional Services
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)
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
Page 16 of 28Exhibit B
Acct #Amount
5001 -$
5002 -
5003 208,368
5004 -
5005 -
5006 -
5007 -
5008 -
208,368$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 133,341$
6002 582
6003 -
6004 -
6005 -
6006 -
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
133,923$
7000: FIXED ASSETS
Acct #Amount
7001 8,000$
7002 -
7003 -
7004 -
7005 -
7006 -
7007 -
7008 -
8,000$ FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 1,174,982$
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 $500 with Lifespan of 2 Years +
ADMINISTRATIVE EXPENSES TOTAL
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
SPECIAL EXPENSES TOTAL:
Line Item Description
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Insurance (Specify):
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Translation Services
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 17 of 28Exhibit B
Acct #Service Units Rate Amount
8001 Mental Health Services 0 - -$
8002 Case Management 0 - -
8003 Crisis Services 0 - -
8004 Medication Support 0 - -
8005 Collateral 0 - -
8006 Plan Development 0 - -
8007 Assessment 0 - -
8008 Rehabilitation 0 - -
0 -$
0%
-
0%-
-$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment -$
-$
Acct #MHSA Component Amount
8301 CSS - Community Services & Supports -$
8302 PEI - Prevention & Early Intervention -
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
-$
Acct #Amount
8401 Client Fees -$
8402 Client Insurance -
8403 -
8404 1,174,982
8405 -
1,174,982$ OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:1,174,982$
NET PROGRAM COST: -$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Grants (Specify)
MHSSA Contract
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
Page 18 of 28Exhibit B
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 741,531
Employee Salaries 421,325
1101 Family Partner 421,325 These amounts reflect staff that are needed to perform the duties of specialty mental
health services and related activities. The All 4 Youth Partnership will hire twelve Full-
Time equivalent (FTE) for each Family Partners over the course of the grant cycle. These
positions will be gradually incorporated based on growing client and community needs. A
total of four additional full-time equivalent (FTE) will be hired in year three of the the
grant cycle.
1102 0 -
1103 0 -
1104 0 -
1105 0 -
1106 0 -
1107 0 -
1108 0 -
1109 0 -
1110 0 -
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 286,500
1201 Retirement 146,115 Employee Benefits will be paid in a like manner as other employees of FCSS
1202 Worker's Compensation 14,325
1203 Health Insurance 126,060
1204 Other (Specify)-
1205 Other (Specify)-
1206 Other (Specify)-
Payroll Taxes & Expenses:33,706
1301 OASDI -
1302 FICA/MEDICARE 33,369 Payroll Taxes will be paid in a like manner as other employees of FCSS
1303 SUI 337
1304 Other (Specify)-
1305 Other (Specify)-
1306 Other (Specify)-
2000: CLIENT SUPPORT -
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (Specify)-
2012 Other (Specify)-
2013 Other (Specify)-
2014 Other (Specify)-
2015 Other (Specify)-
2016 Other (Specify)-
Behavioral Health MHSSA Contract - 19MHSOACO52
Fresno County Superintendent of Schools
2022-23
PROGRAM EXPENSE
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 19 of 28Exhibit B
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
3000: OPERATING EXPENSES 77,400
3001 Telecommunications -
3002 Printing/Postage -
3003 Office, Household & Program Supplies 3,200 Reflects cost for office supplies, programming materials and other items essential for job
functions, such as paper, scissors, tape, hole-punch, pens, wastebaskets, envelopes, paper
clips, gloves, first aid supplies, kleenex etc.
3004 Advertising -
3005 Staff Development & Training 6,200 Reflect cost for Training and Development cohorts provided by Crestwood Behavioral
Health.
3006 Staff Mileage 54,000 Cost of staff mileage reimbursement per year for traveling to schools, Hubs, parent
homes or in the community in order to provide services.
3007 Subscriptions & Memberships -
3008 Vehicle Maintenance -
3009 Professional Services 14,000 This includes intangible technology costs for employees such as copier use, internet, and
cell phone reibursement.
3010 Other (Specify)-
3011 Other (Specify)-
3012 Other (Specify)-
4000: FACILITIES & EQUIPMENT 5,760
4001 Building Maintenance 5,760 This includes building maintenance, security, and janitorial services and damages to any
of the building if caused by a client.
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 208,368
5001 Consultant (Network & Data Management)-
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)208,368 The additional funds from the Salary and Benefits offset was added to line to provide
necessary contracted services to be determined by management.
5004 Translation Services -
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 133,923
6001 Administrative Overhead 133,341 Cost of general management that consist of expenditures for adminstrative activities
necessary for the general operation of FCSS. The indirect cost rate is based on the CDE's
federally approved indirect cost plan for K-12 LEA and county offices of education.
6002 Professional Liability Insurance 582 Expense will be paid in the manner as other employees of FCSS, line is recorded by FCSS
as an operating expense.
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance (Specify):-
6006 Payroll Services -
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other (Specify)-
6009 Other (Specify)-
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify)-
7000: FIXED ASSETS 8,000
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 20 of 28Exhibit B
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
7001 Computer Equipment & Software 8,000 Reflect cost of Laptops for each new Family Partner
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 $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify)-
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:1,174,982
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:1,174,982
BUDGET CHECK:-
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 21 of 28Exhibit B
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Family Partner 12.00 -$ 421,325$ 421,325$
1102 - - -
1103 - - -
1104 - - -
1105 - - -
1106 - - -
1107 - - -
1108 - - -
1109 - - -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - -
Personnel Salaries Subtotal 12.00 -$ 421,325$ 421,325$
Employee Benefits
Acct #Admin Direct Total
1201 -$ 146,115$ 146,115$
1202 - 14,325 14,325
1203 - 126,060 126,060
1204 - - -
1205 - - -
1206 - - -
-$ 286,500$ 286,500$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ -$ -$
1302 - 33,369 33,369
1303 - 337 337
1304 - - -
1305 - - -
1306 - - -
-$ 33,706$ 33,706$
-$ 741,531$ 741,531$
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)
Behavioral Health MHSSA Contract - 19MHSOACO52
Fresno County Superintendent of Schools
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
Page 22 of 28Exhibit B
2000: CLIENT SUPPORT
Acct #Amount
2001 -$
2002 -
2003 -
2004 -
2005 -
2006 -
2007 -
2008 -
2009 -
2010 -
2011 -
2012 -
2013 -
2014 -
2015 -
2016 -
-$
3000: OPERATING EXPENSES
Acct #Amount
3001 -$
3002 -
3003 3,000
3004 -
3005 3,200
3006 54,000
3007 -
3008 -
3009 14,000
3010 -
3011 -
3012 -
74,200$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 5,760$
4002 -
4003 -
4004 -
4005 -
4006 -
4007 -
4008 -
4009 -
4010 -
5,760$
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
Professional Services
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)
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
Page 23 of 28Exhibit B
Acct #Amount
5001 -$
5002 -
5003 251,764
5004 -
5005 -
5006 -
5007 -
5008 -
251,764$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 137,465$
6002 608
6003 -
6004 -
6005 -
6006 -
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
138,073$
7000: FIXED ASSETS
Acct #Amount
7001 -$
7002 -
7003 -
7004 -
7005 -
7006 -
7007 -
7008 -
-$ FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 1,211,328$
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 $500 with Lifespan of 2 Years +
ADMINISTRATIVE EXPENSES TOTAL
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
SPECIAL EXPENSES TOTAL:
Line Item Description
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Insurance (Specify):
Line Item Description
Consultant (Network & Data Management)
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Translation Services
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 24 of 28Exhibit B
Acct #Service Units Rate Amount
8001 Mental Health Services 0 - -$
8002 Case Management 0 - -
8003 Crisis Services 0 - -
8004 Medication Support 0 - -
8005 Collateral 0 - -
8006 Plan Development 0 - -
8007 Assessment 0 - -
8008 Rehabilitation 0 - -
0 -$
0%
-
0%-
-$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment -$
-$
Acct #MHSA Component Amount
8301 CSS - Community Services & Supports -$
8302 PEI - Prevention & Early Intervention -
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
-$
Acct #Amount
8401 Client Fees -$
8402 Client Insurance -
8403 -
8404 1,211,328
8405 -
1,211,328$ OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:1,211,328$
NET PROGRAM COST: -$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Grants (Specify)
MHSSA Contract
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
Page 25 of 28Exhibit B
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 741,531
Employee Salaries 421,325
1101 Family Partner 421,325 These amounts reflect staff that are needed to perform the duties of specialty mental
health services and related activities. The All 4 Youth Partnership will hire twelve Full-
Time equivalent (FTE) for each Family Partners over the course of the grant cycle.
1102 0 -
1103 0 -
1104 0 -
1105 0 -
1106 0 -
1107 0 -
1108 0 -
1109 0 -
1110 0 -
1111 0 -
1112 0 -
1113 0 -
1114 0 -
1115 0 -
1116 0 -
1117 0 -
1118 0 -
1119 0 -
1120 0 -
Employee Benefits 286,500
1201 Retirement 146,115 Employee Benefits will be paid in a like manner as other employees of FCSS
1202 Worker's Compensation 14,325
1203 Health Insurance 126,060
1204 Other (Specify)-
1205 Other (Specify)-
1206 Other (Specify)-
Payroll Taxes & Expenses:33,706
1301 OASDI -
1302 FICA/MEDICARE 33,369 Payroll Taxes will be paid in a like manner as other employees of FCSS
1303 SUI 337
1304 Other (Specify)-
1305 Other (Specify)-
1306 Other (Specify)-
2000: CLIENT SUPPORT -
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation & Support -
2004 Clothing, Food, & Hygiene -
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies - Medical -
2010 Utility Vouchers -
2011 Other (Specify)-
2012 Other (Specify)-
2013 Other (Specify)-
2014 Other (Specify)-
2015 Other (Specify)-
2016 Other (Specify)-
3000: OPERATING EXPENSES 74,200
Behavioral Health MHSSA Contract - 19MHSOACO52
Fresno County Superintendent of Schools
2023-24
PROGRAM EXPENSE
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 26 of 28Exhibit B
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
3001 Telecommunications -
3002 Printing/Postage -
3003 Office, Household & Program Supplies 3,000 Reflects cost for office supplies, programming materials and other items essential for job
functions, such as paper, scissors, tape, hole-punch, pens, wastebaskets, envelopes, paper
clips, gloves, first aid supplies, kleenex etc.
3004 Advertising -
3005 Staff Development & Training 3,200 Reflect cost for Training and Development cohorts provided by Crestwood Behavioral
Health.
3006 Staff Mileage 54,000 Cost of staff mileage reimbursement per year for traveling to schools, Hubs, parent
homes or in the community in order to provide services.
3007 Subscriptions & Memberships -
3008 Vehicle Maintenance -
3009 Professional Services 14,000 This includes intangible technology costs for employees such as copier use, internet, and
cell phone reibursement.
3010 Other (Specify)-
3011 Other (Specify)-
3012 Other (Specify)-
4000: FACILITIES & EQUIPMENT 5,760
4001 Building Maintenance 5,760 This includes building maintenance, security, and janitorial services and damages to any
of the building if caused by a client.
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 251,764
5001 Consultant (Network & Data Management)-
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)251,764 The additional funds from the Salary and Benefits offset was added to line to provide
necessary contracted services to be determined by management.
5004 Translation Services -
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 138,073
6001 Administrative Overhead 137,465 Cost of general management that consist of expenditures for adminstrative activities
necessary for the general operation of FCSS. The indirect cost rate is based on the CDE's
federally approved indirect cost plan for K-12 LEA and county offices of education.
6002 Professional Liability Insurance 608 Expense will be paid in the manner as other employees of FCSS, line is recorded by FCSS
as an operating expense.
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance (Specify):-
6006 Payroll Services -
6007 Depreciation (Provider-Owned Equipment to
be Used for Program Purposes)
-
6008 Other (Specify)-
6009 Other (Specify)-
6010 Other (Specify)-
6011 Other (Specify)-
6012 Other (Specify)-
7000: FIXED ASSETS -
7001 Computer Equipment & Software -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 27 of 28Exhibit B
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
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
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:1,211,328
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:1,211,328
BUDGET CHECK:-
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 28 of 28Exhibit B
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 C
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 C
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 C
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 C
Page 4 of 4
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 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 F
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 F
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 F
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 F
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 F
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.
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 G
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 G
Page 2 of 9
Exhibit G
Page 3 of 9
Exhibit G
Page 3 of 9
4-0 £}6 ^esrKxJbK.JogkirwrH»9ef.com.|,ifiddenb/?L=98tp=l3tk-182bt,0c5cdcd5072bb1864cdt"c4d3d6>.-
ALogicManager
Incident Report
Please complete this form
*Client information
Name of Facility*
Select option
Name of Reporting Party *
Enter taut
A
Facility Address'
Enter to*'
A
Facility Phone Number"
Enter text
A
Mental Health or Substance Use Disorder Program?*
Select option
Client First Name'
Enter taxi
A
Client Last Name'
Eitier text
f ->C 6 *
Enter text
A
Client Date of Birth
mm/dd/yyyy
Client Address
Enter text
A
Client ID
Enter tut
A
Gender'
Select option
County of Origin"
Select option
*Summary
Subject o
EntertaKt
Incident (check alt that apply)*
Select optiofl[s)
If Other-specify |i.e.fire,poisoning,epidemic outbreaks,other catastrophes/events that jeopardize the welfare and safety of clients,staff and /or members of the com munlty ):
Enter text
A
Description of the incident"
Enter text
Similar to the paper version, multiple incident categories can be selected
Exhibit G
Page 4 of 9
Exhibit G
Page 4 of 9
Similar to the paper version,multiple incident categories can be selected
Enter (net
Incident (check ail that apply)'
Medical Emergency x Death of Client X |
Homiclde/Homkide Attempt
AWOL/Elopementfrorn locked facility
Violence/Abuse/Assault (toward others,client and/or property
Attempted Suicide (resulting in serious injury]
Injury (self-inflicted or by accident)
Medication Error
<-CO m fr«nodbhiogkirianag«r.com/fnt:icfents/?t-96iijri8ik-182be0c5cc3ctJ5072bbl664cdee4d3<f6e
Date of incident*
rnmkJd/yyyy
Time of Incident"
Enter text
A
Location of Incident*
A
Key People Directly Involved in Incident (witnesses,staff)*
Enter text
Did the injured Party seek Medical Attention?
Select option
Attach any additional details
&Add Fill?or Crop Flic Hsro
Reported By Name*
Enter text
A
Reported By Email'
Enter text
Reported On
10/30/2019
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 G
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 G
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 G
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 G
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 G
Page 9 of 9
1
National Standards for Culturally and Linguistically
Appropriate Services (CLAS) in Health and Health Care
The National CLAS Standards are intended to advance health equity, improve quality, and help
eliminate health care disparities by establishing a blueprint for health and health care organizations to:
Principal Standard:
1.Provide effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and
practices, preferred languages, health literacy, and other communication needs.
Governance, Leadership, and Workforce:
2.Advance and sustain organizational governance and leadership that promotes CLAS and health equity through policy, practices, and
allocated resources.
3.Recruit, promote, and support a culturally and linguistically diverse governance, leadership, and workforce that are responsive to the population in
the service area.
4.Educate and train governance, leadership, and workforce in culturally and linguistically appropriate policies and practices on an ongoing basis.
Communication and Language Assistance:
5.Offer language assistance to individuals who have limited English proficiency and/or other communication needs, at no cost to them, to facilitate
timely access to all health care and services.
6.Inform all individuals of the availability of language assistance services clearly and in their preferred language, verbally and in writing.
7.Ensure the competence of individuals providing language assistance, recognizing that the use of untrained individuals and/or minors as interpreters
should be avoided.
8.Provide easy-to-understand print and multimedia materials and signage in the languages commonly used by the populations in the service area.
Engagement, Continuous Improvement, and Accountability:
9.Establish culturally and linguistically appropriate goals, policies, and management accountability, and infuse them throughout the organization’s
planning and operations.
10.Conduct ongoing assessments of the organization’s CLAS-related activities and integrate CLAS-related measures into measurement and continuous
quality improvement activities.
11.Collect and maintain accurate and reliable demographic data to monitor and evaluate the impact of CLAS on health equity and outcomes and to
inform service delivery.
12.Conduct regular assessments of community health assets and needs and use the results to plan and implement services that respond to the
cultural and linguistic diversity of populations in the service area.
13.Partner with the community to design, implement, and evaluate policies, practices, and services to ensure cultural and linguistic appropriateness.
14.Create conflict and grievance resolution processes that are culturally and linguistically appropriate to identify, prevent, and resolve conflicts
or complaints.
15.Communicate the organization’s progress in implementing and sustaining CLAS to all stakeholders, constituents, and the general public.
Think Cultural Health
https://www.thinkculturalhealth.hhs.gov/
contact@thinkculturalhealth.hhs.gov
Exhibit H
Page 1 of 2
2
The Case for the National CLAS Standards
Health equity is the attainment of the highest level of health for all people.1 Currently, individuals across the United States from various cultural
backgrounds are unable to attain their highest level of health for several reasons, including the social determinants of health, or those conditions in which
individuals are born, grow, live, work, and age,2 such as socioeconomic status, education level, and the availability of health services.3
Though health inequities are directly related to the existence of historical and current discrimination
and social injustice, one of the most modifiable factors is the lack of culturally and linguistically
appropriate services, broadly defined as care and services that are respectful of and responsive to
the cultural and linguistic needs of all individuals.
Health inequities result in disparities that directly affect the quality of life for all individuals. Health
disparities adversely affect neighborhoods, communities, and the broader society, thus making
the issue not only an individual concern but also a public health concern. In the United States, it
has been estimated that the combined cost of health disparities and subsequent deaths due to
inadequate and/or inequitable care is $1.24 trillion.4
Culturally and linguistically appropriate services are increasingly recognized as effective in improving
the quality of care and services.5,6 By providing a structure to implement culturally and linguistically
appropriate services, the National CLAS Standards will improve an organization’s ability to address
health care disparities.
The National CLAS Standards align with the HHS Action Plan to Reduce Racial and Ethnic Health Disparities7 and the National Stakeholder Strategy for
Achieving Health Equity,8 which aim to promote health equity through providing clear plans and strategies to guide collaborative efforts that address racial
and ethnic health disparities across the country.
Similar to these initiatives, the National CLAS Standards are intended to advance health equity, improve quality, and help eliminate health care disparities
by providing a blueprint for individuals and health and health care organizations to implement culturally and linguistically appropriate services. Adoption of
these Standards will help advance better health and health care in the United States.
Of all the forms of
inequality, injustice in
health care is the most
shocking and inhumane.
— Dr. Martin Luther King, Jr.
Bibliography
1. U.S. Department of Health and Human Services, Office of Minority Health (2011). National Partnership for Action to End Health Disparities. Retrieved from http://minorityhealth.hhs.gov/npa
2. World Health Organization. (2012). Social determinants of health. Retrieved from http://www.who.int/social_determinants/en/
3. U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (2010). Healthy people 2020: Social determinants of health. Retrieved from http://www.
healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=39
4. LaVeist, T. A., Gaskin, D. J., & Richard, P. (2009). The economic burden of health inequalities in the United States. Retrieved from the Joint Center for Political and Economic Studies website: http://www.
jointcenter.org/sites/default/files/upload/research/files/The%20Economic%2 0Burden%20of%20Health%20Inequalities%20in%20the%20United%20States.pdf
5. Beach, M. C., Cooper, L. A., Robinson, K. A., Price, E. G., Gary, T. L., Jenckes, M. W., Powe, N.R. (2004). Strategies for improving minority healthcare quality. (AHRQ Publication No. 04-E008-02). Retrieved
from the Agency of Healthcare Research and Quality website: http://www.ahrq.gov/downloads/pub/evidence/pdf/minqual/minqual.pdf
6. Goode, T. D., Dunne, M. C., & Bronheim, S. M. (2006). The evidence base for cultural and linguistic competency in health care. (Commonwealth Fund Publication No. 962). Retrieved from The
Commonwealth Fund website: http://www.commonwealthfund.org/usr_doc/Goode_evidencebasecultlinguisticcomp_962.pdf
7. U.S. Department of Health and Human Services. (2011). HHS action plan to reduce racial and ethnic health disparities: A nation free of disparities in health and health care. Retrieved from http://
minorityhealth.hhs.gov/npa/files/Plans/HHS/HHS_Plan_complete.pdf
8. National Partnership for Action to End Health Disparities. (2011). National stakeholder strategy for achieving health equity. Retrieved from U.S. Department of Health and Human Services, Office of
Minority Health website: http://www.minorityhealth.hhs.gov/npa/templates/content.aspx?lvl=1&lvlid=33&ID=286
Think Cultural Health
https://www.thinkculturalhealth.hhs.gov/
contact@thinkculturalhealth.hhs.gov
Exhibit H
Page 2 of 2
Exhibit I
Page 1 of 2
FRESNO COUNTY MENTAL HEALTH PLAN
Grievances
Fresno County Mental Health Plan (MHP) provides beneficiaries with a grievance and
appeal process and an expedited appeal process to resolve grievances and disputes at
the earliest and the lowest possible level.
Title 9 of the California Code of Regulations requires that the MHP and its fee-for-service
providers give verbal and written information to Medi-Cal beneficiaries regarding the
following:
•How to access specialty mental health services
•How to file a grievance about services
•How to file for a State Fair Hearing
The MHP has developed a Consumer Guide, a beneficiary rights poster, a grievance
form, an appeal form, and Request for Change of Provider Form. All of these
beneficiary materials must be posted in prominent locations where Medi-Cal
beneficiaries receive outpatient specialty mental health services, including the waiting
rooms of providers’ offices of service.
Please note that all fee-for-service providers and contract agencies are required to give
the individuals served copies of all current beneficiary information annually at the time
their treatment plans are updated and at intake.
Beneficiaries have the right to use the grievance and/or appeal process without any
penalty, change in mental health services, or any form of retaliation. All Medi-Cal
beneficiaries can file an appeal or state hearing.
Grievances and appeals forms and self addressed envelopes must be available for
beneficiaries to pick up at all provider sites without having to make a verbal or written
request. Forms can be sent to the following address:
Fresno County Mental Health Plan
P.O. Box 45003
Fresno, CA 93718-9886
(800) 654-3937 (for more information)
(559) 488-3055 (TTY)
Provider Problem Resolution and Appeals Process
The MHP uses a simple, informal procedure in identifying and resolving provider
concerns and problems regarding payment authorization issues, other complaints and
concerns.
Informal provider problem resolution process – the provider may first speak to a Provider
Relations Specialist (PRS) regarding his or her complaint or concern.
Exhibit I
Page 2 of 2
The PRS will attempt to settle the complaint or concern with the provider. If the attempt
is unsuccessful and the provider chooses to forego the informal grievance process, the
provider will be advised to file a written complaint to the MHP address (listed above).
Formal provider appeal process – the provider has the right to access the provider
appeal process at any time before, during, or after the provider problem resolution
process has begun, when the complaint concerns a denied or modified request for MHP
payment authorization, or the process or payment of a provider’s claim to the MHP.
Payment authorization issues – the provider may appeal a denied or modified request
for payment authorization or a dispute with the MHP regarding the processing or
payment of a provider’s claim to the MHP. The written appeal must be submitted to the
MHP within 90 calendar days of the date of the receipt of the non-approval of payment.
The MHP shall have 60 calendar days from its receipt of the appeal to inform the
provider in writing of the decision, including a statement of the reasons for the decision
that addresses each issue raised by the provider, and any action required by the
provider to implement the decision.
If the appeal concerns a denial or modification of payment authorization request, the
MHP utilizes a Managed Care staff who was not involved in the initial denial or
modification decision to determine the appeal decision.
If the Managed Care staff reverses the appealed decision, the provider will be asked to
submit a revised request for payment within 30 calendar days of receipt of the decision
Other complaints – if there are other issues or complaints, which are not related to
payment authorization issues, providers are encouraged to send a letter of complaint to
the MHP. The provider will receive a written response from the MHP within 60 calendar
days of receipt of the complaint. The decision rendered buy the MHP is final.