HomeMy WebLinkAboutAgreement A-21-111-1 with FCSS.pdfAgreement No. 21-111 -1
1 AMENDMENT I TO AGREEMENT NO. 21-111
2 THIS AMENDMENT , hereinafter referred to as "Amendment I", is made and entered into this
3 24th day of August , 2021 , by and between the COUNTY OF FRESNO , a political subdivision of the
4 State of California , hereinafter referred to as "COUNTY ", and FRESNO COUNTY SUPERINTENDENT
5 OF SCHOOLS, a political subdivision of the State of California , hereinafter referred to as "FCSS ".
6 WITNESS ETH
7 WHEREAS , the Parties entered into that certain Agreement , identified as COUNTY Agreement
8 No . 21-111 , effective September 1, 2020, hereinafter referred to as "Agreement ", wherein FCSS
9 agreed to expand and provide school-based prevention and early intervention services for youth aged
1 O 0-22 , their families , and schools staff by developing and implementing four Wellness Centers and
11 hiring Peer/Family Partners who will provide culturally appropriate outreach throughout Fresno County
12 to youth as well as to parents, teachers and school staff, pr imary care providers , and others to
13 recognize the signs of mental illness. In addition, in Agreement, COUNTY 'S Department of Behavioral
14 Health ("DBH ") and FCSS are collaborating in developing an on boarding toolkit for the Mental Health
15 Services Oversight and Accountability Commission ("MHSOAC") as part of the Mental Health Student
16 Services Act ("MHSSA") application proposal ; and ,
17 WHEREAS , the MHSOAC has requested an extension to the implementation and operation of
18 the awarded MHSSA grant application programs ; and
19 WHEREAS , COUNTY , through DBH , and FCSS are willing to extend the term for an additional
20 year as necessary to implement and operate the services of the program , which includes amendments
21 to the years in which the program budget is spent , but does not increase the total budget over the
22 allotted $6 ,000,000 .00 ; and
23 WHEREAS , the Parties desire to amend Agreemen t as stated below . The remainder of
24 Agreement remains in place and unchanged .
25 NOW, THEREFORE, the Parties agree to amend the Agreement as follows:
26 1 . Agreement Section Two (2) "TERM ," on Page Three (3), Line Twenty-One (21) through
27 Page Three (3), Line Twenty-Two (22), starting with the word "There " and ending with the word "Grant"
28 is deleted in its entirety replaced with the following :
-1 -COUNTY OF FRESNO
Fresno , CA
- 2 - COUNTY OF FRESNO
Fresno, CA
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“This Agreement may be extended for a fifth year beginning September 1, 2024 with
written approval of all Parties and submitted no later than July 31, 2024 to the MHSOAC with an
accompanying projected budget for the fifth fiscal year. All Parties will await the MHSOAC’s decisions
before proceeding with operating a fifth fiscal year under this Agreement.”
2. Agreement Section Four (4) “COMPENSATION”, on Page Four (4), Line Twenty-Three
(23) through Page Five (5), Line Thirteen (13), starting with the word “COUNTY” and ending with the
word “(Agreement)” be deleted and the following inserted in its place:
“COUNTY agrees to pay FCSS and FCSS agrees to receive compensation in
accordance with the Budgets set forth in Revised Exhibit B once they are 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 one million five hundred twenty thousand, six hundred seventy-two and no/100 Dollars
($1,520,672.00).
The maximum amount for the period of September 1, 2021 through August 31, 2022
shall not exceed two million six hundred fifty-four thousand, five hundred eighty-four and no/100 Dollars
($2,654,584.00).
The maximum amount for the period of September 1, 2022 through August 31, 2023
shall not exceed nine hundred thirteen thousand, nine hundred ninety-five and no/100 Dollars
($913,995.00).
The maximum amount for the period of September 1, 2023 through August 31, 2024
shall not exceed nine hundred ten thousand, seven hundred forty-nine and no/100 Dollars
($910,749.00).
If there are any unspent funds after August 31, 2024 and performance standards are
met and this Agreement is extended beginning September 1, 2024 for a fifth year through August 31,
2024, the maximum amount shall not exceed the unspent balance from the prior fiscal years and shall
be approved by the MHSOAC as provided for in Section Two (2) of this Agreement.
- 3 - COUNTY OF FRESNO
Fresno, CA
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In no event shall the maximum contract amount for all the services provided by 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.”
3. Agreement Section Four (4) “COMPENSATION,” on Page Six (6), Line Seven (7), after
the number “2024,” and on Page Six (6), Line Nine (9), after the number “2024,” add the following:
“or following the final month of service for which payment is claimed, whichever is later in
time.”
4. Agreement, Exhibit A, Section III “Detailed Scope of Work and Project Description,” on
Page 5 of 15, under the heading Mental Health Services Oversight and Accountability Commission
(MHSOAC) – MHSSA, beginning with the word “In” and ending with the number “2020).” be deleted
and the following inserted in its place:
“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), as amended
by County Agreement 20-283-1 with MHSOAC-MHSSA (as approved by the County of Fresno Board
of Supervisors on August 24,2021).”
5. All references in the existing Agreement to “Exhibit B” shall be changed to read “Revised
Exhibit B,” attached hereto and incorporated herein by this reference.
6. COUNTY and FCSS agree that this Amendment I is sufficient to amend the Agreement
and that upon execution of this Amendment I, the Agreement and Amendment I together shall be
considered the Agreement.
The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
covenants, conditions, and promises contained in the Agreement that are not amended herein, shall
remain unchanged and in full force and effect. This Amendment I shall become effective upon
execution by all Parties.
IN WITNESS WHEREOF, the Parties hereto have executed th is Amendment I as of the day and
2 year first hereinabove written .
3
FRESNO COUNTY SUPERINTENDENT
4 O F SCHOOLS
5
6 By:_:~~~~------
7 y Superintendent of
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Date : ~ bJ 2..02.-\
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16 Mailing Address:
17 Fresno County Superintendent of Schools
1111 Van Ness Avenue
18 Fresno , CA, 93721
Contact/Phone: 559-2 65-3000
19
20 Fund/Subclass : 0001/10000
Account/Program : 7295/0
COUNTYOF~
Steve Brandau,
Chairman of the Board of Supervisors of the
County of Fresno
Date : ~ L J "f 1 ~O'J..1
ATTEST:
Bernice E . Se idel ,
Clerk of the Board of Supervisors
County of Fresno, State of Ca lifornia
By: &M' I ~ tf
Deputy
21 Organization/Cost Centers: 56302258 ($6 ,000 ,000)
22 FY 2020-21 $1,520 ,672 , FY 2021-22 $2 ,654 ,584 , FY 2022-23 $913 ,995
FY 2023-24 $910,749
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.4 . COU NTY OF FRES NO
Fresno, CA
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Family Partner 4.00 140,442$ 140,442$
1102 Family Partner 0.64 - 23,407 23,407
1103 - - -
1104 - - -
1105 - - -
1106 - - -
1107 - - -
1108 - - -
1109 - - -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 4.64 -$ 163,849$ 163,849$
Employee Benefits
Acct #Admin Direct Total
1201 -$ 57,364$ 57,364$
1202 - 5,624 5,624
1203 - 49,490 49,490
1204 - - -
1205 - - -
1206 - - -
-$ 112,478$ 112,478$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ -$ -$
1302 - 12,977 12,977
1303 - 131 131
1304 - - -
1305 - - -
1306 - - -
-$ 13,108$ 13,108$
-$ 289,435$ 289,435$
2000: CLIENT SUPPORT
Behavioral Health MHSSA Contract - 19MHSOACO52
Fresno County Superintendent of Schools
Grant Year (GY) 1 (2020 - 21)
Description
Payroll Taxes & Expenses Subtotal:
Other (specify)
Other (specify)
EMPLOYEE SALARIES & BENEFITS TOTAL:
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Other (specify)
Employee Benefits Subtotal:
Description
Retirement
Worker's Compensation
Health Insurance
Other (specify)
Other (specify)
OASDI
FICA/MEDICARE
SUI
Other (specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Page 1 of 28
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 19,822
3004 13,152
3005 6,200
3006 18,000
3007 -
3008 -
3009 11,000
3010 -
3011 -
3012 -
68,174$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 -$
4002 -
4003 -
4004 -
4005 -
4006 -
4007
4008
4009 -
4010 -
-$
5000: SPECIAL EXPENSES
Acct #Amount
5001
Line Item Description
Line Item Description
Line Item Description
Line Item Description
DIRECT CLIENT CARE TOTAL
Other (specify)
Other (specify)
Advertising
FACILITIES/EQUIPMENT TOTAL:
Other (specify)
OPERATING EXPENSES TOTAL:
Other (specify)
Building Maintenance
Client Transportation & Support
Client Housing Support
Child Care
Other (specify)
Other (specify)
Clothing, Food, & Hygiene
Education Support
Household Items for Clients
Employment Support
Utility Vouchers
Program Supplies - Medical
Medication Supports
Rent/Lease Vehicles
Security
Other (specify)
Utilities
Consultant (Network & Data Management)
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
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Page 2 of 28
5002 -
5003 126,584
5004 -
5005 -
5006 -
5007 -
5008 -
126,584$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 43,907$
6002 176
6003 -
6004 -
6005 -
6006 -
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
44,083$
7000: FIXED ASSETS
Acct #Amount
7001 8,000$
7002 -
7003 30,000
7004 14,385
7005 -
7006 -
7007 168,396
7008 771,615
992,396$
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%
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Professional Liability Insurance
Accounting/Bookkeeping
ADMINISTRATIVE EXPENSES TOTAL
PROGRAM FUNDING SOURCES
1,520,672$ TOTAL PROGRAM EXPENSES
Other Assets over $500 with Lifespan of 2 Years +
Estimated Specialty Mental Health Services Billing Totals:
Estimated % of Clients who are Medi-Cal Beneficiaries
Building Construction (Phase 2 Construction)
Assets over $5,000/unit (Specify)
FIXED ASSETS EXPENSES TOTAL
SPECIAL EXPENSES TOTAL:
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Building Architect Fees (Phase 1 Construction)
Contractual/Consulting Services (Specify)
Translation Services
Leasehold/Tenant/Building Improvements
Payroll Services
Line Item Description
External Audit
Other (specify)
Other (specify)
Other (specify)
Insurance (Specify):
Other (specify)
Other (specify)
Other (specify)
Other (specify)
Furniture & Fixtures
Line Item Description
HMIS (Health Management Information System)
Administrative Overhead
Other (specify)
Other (specify)
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Page 3 of 28
-
0%-
-$
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 1,520,672
8405 -
1,520,672$
NET PROGRAM COST:
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:1,520,672$
-$
SUBSTANCE USE DISORDER FUNDS TOTAL
MEDI-CAL FFP TOTAL
MHSA TOTAL
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
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Page 4 of 28
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 289,435
Employee Salaries 163,849
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 Family Partner 23,407
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 112,478
1201 Retirement 57,364 Employee Benefits will be paid in a like manner as other employees of FCSS
1202 Worker's Compensation 5,624
1203 Health Insurance 49,490
1204 Other (specify)-
1205 Other (specify)-
1206 Other (specify)-
Payroll Taxes & Expenses:13,108
1301 OASDI -
1302 FICA/MEDICARE 12,977 Payroll Taxes will be paid in a like manner as other employees of FCSS
1303 SUI 131
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 68,174
3001 Telecommunications -
3002 Printing/Postage -
Fresno County Superintendent of Schools
Behavioral Health MHSSA Contract - 19MHSOACO52
Grant Year (GY) 1 (2020 - 21)
PROGRAM EXPENSE
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit B
Page 5 of 28
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
3003 Office, Household & Program Supplies 19,822 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 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 0 -
4008 0 -
4009 Other (specify)-
4010 Other (specify)-
5000: SPECIAL EXPENSES 126,584
5001 Consultant (Network & Data Management)-
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)126,584 Cost for contracting a marketing/design firm to package the toolkit in eflectronic
format, and printing copies of toolkit for distribution.
5004 Translation Services -
5005 Other (specify)-
5006 Other (specify)-
5007 Other (specify)-
5008 Other (specify)-
6000: ADMINISTRATIVE EXPENSES 44,083
6001 Administrative Overhead 43,907 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 992,396
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 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
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit B
Page 6 of 28
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
7004 Leasehold/Tenant/Building Improvements 14,385 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 $5,000/unit (Specify)-
7007 Building Architect Fees (Phase 1 Construction)168,396 This reflect the cost of phase 1 of construction during first year for the 3 modular
Wellness Centers. Cost will include Architect services, State and Local Agency(DSA, CA
Geo Survey, CDE, etc) fess and all cost associated with bidding for project.
7008 Building Construction (Phase 2 Construction)771,615 This reflect the cost of phase 2 of construction during 1st year for 1 of the 3 modular
Wellness Centers. Cost will include remaining Architect services, State and Local
Agency(DSA, CA Geo Survey, CDE, etc) fess and all cost over course of construction;
purchase of Modulars and Contractors cost.
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:1,520,672
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:1,520,672
BUDGET CHECK:-
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROGRAM FUNDING SOURCES
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit B
Page 7 of 28
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Family Partner 8.00 280,960$ 280,960$
1102 Family Partner 0.64 - 23,407 23,407
1103 - - -
1104 - - -
1105 - - -
1106 - - -
1107 - - -
1108 - - -
1109 - - -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotal 8.64 -$ 304,367$ 304,367$
Employee Benefits
Acct #Admin Direct Total
1201 -$ 106,025$ 106,025$
1202 - 10,348 10,348
1203 - 91,067 91,067
1204 - - -
1205 - - -
1206 - - -
-$ 207,440$ 207,440$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ -$ -$
1302 - 24,106 24,106
1303 - 243 243
1304 - - -
1305 - -
1306 - -
-$ 24,349$ 24,349$
-$ 536,156$ 536,156$
2000: CLIENT SUPPORT
Behavioral Health MHSSA Contract - 19MHSOACO52
Fresno County Superintindent of Schools
Grant Year (GY) 2 (2021 - 22)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Page 8 of 28
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 19,619
3004 10,378
3005 6,200
3006 36,000
3007 -
3008 -
3009 17,000
3010 -
3011 -
3012 -
89,197$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 -$
4002 -
4003 -
4004 -
4005 -
4006 -
4007 -
4008 -
4009 -
4010 -
-$
5000: SPECIAL EXPENSES
Acct #Amount
5001 -$
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (Specify)
Other (Specify)
Subscriptions & Memberships
Vehicle Maintenance
Professional Services
Other (Specify)
Other (Specify)
Other (Specify)
Telecommunications
Printing/Postage
Office, Household & Program Supplies
Advertising
Staff Development & Training
Staff Mileage
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
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Consultant (Network & Data Management)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Page 9 of 28
5002 -
5003
5004 -
5005 -
5006 -
5007 -
5008 -
-$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 54,296$
6002 381
6003 -
6004 -
6005 -
6006 -
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
54,677$
7000: FIXED ASSETS
Acct #Amount
7001 8,000$
7002 -
7003 30,000
7004 -
7005 -
7006 -
7007 1,936,554
7008 -
1,974,554$
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%
SPECIAL EXPENSES TOTAL:
Line Item Description
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Insurance (Specify):
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Translation Services
ADMINISTRATIVE EXPENSES TOTAL
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
Assets over $5,000/unit (Specify)
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 $500 with Lifespan of 2 Years +
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
Estimated Specialty Mental Health Services Billing Totals:
Estimated % of Clients who are Medi-Cal Beneficiaries
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 2,654,584$
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Page 10 of 28
-
0%-
-$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 2,654,584$
2,654,584$
Acct #MHSA Component Amount
8301 CSS - Community Services & Supports -$
8302 PEI - Prevention & Early Intervention -
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
-$
Acct #Amount
8401 Client Fees -$
8402 Client Insurance -
8403
8404
8405 -
-$
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:2,654,584$
NET PROGRAM COST: -$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Grants (Specify)
MHSSA CONTRACT
Other (Specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Page 11 of 28
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 536,156
Employee Salaries 304,367
1101 Family Partner 280,960 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 Family Partner 23,407
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 207,440
1201 Retirement 106,025 Employee Benefits will be paid in a like manner as other employees of FCSS
1202 Worker's Compensation 10,348
1203 Health Insurance 91,067
1204 Other (Specify)-
1205 Other (Specify)-
1206 Other (Specify)-
Payroll Taxes & Expenses:24,349
1301 OASDI -
1302 FICA/MEDICARE 24,106 Payroll Taxes will be paid in a like manner as other employees of FCSS
1303 SUI 243
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
Grant Year (GY) 2 (2021 - 22)
PROGRAM EXPENSE
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit B
Page 12 of 28
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
3000: OPERATING EXPENSES 89,197
3001 Telecommunications -
3002 Printing/Postage -
3003 Office, Household & Program Supplies 19,619 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 17,000 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 -
5001 Consultant (Network & Data Management)-
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services -
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 54,677
6001 Administrative Overhead 54,296 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
7001 Computer Equipment & Software 8,000 Reflect cost of Laptops for each new Family Partner
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit B
Page 13 of 28
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 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 $5,000/unit (Specify)-
7007 Building Construction _ New Construction 1,936,554 This reflect the cost of phase 2 of construction during 2nd year for the 2 modular
Wellness Centers. Cost will include remaining Architect services, State and Local
Agency(DSA, CA Geo Survey, CDE, etc) fess and all cost over course of construction;
purchase of Modulars and Contractors cost.
7008 Other (Specify)-
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:2,654,584
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:2,654,584
BUDGET CHECK:-
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit B
Page 14 of 28
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Family Partner 12.00 -$ 421,320$ 421,320$
1102 - - -
1103 - - -
1104 - - -
1105 - - -
1106 - - -
1107 - - -
1108 - - -
1109 - - -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - -
Personnel Salaries Subtotal 12.00 -$ 421,320$ 421,320$
Employee Benefits
Acct #Admin Direct Total
1201 -$ 144,513$ 144,513$
1202 - 14,325 14,325
1203 - 126,060 126,060
1204 - - -
1205 - - -
1206 - - -
-$ 284,898$ 284,898$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ -$ -$
1302 - 33,369 33,369
1303 - 337 337
1304 - - -
1305 - -
1306 - -
-$ 33,706$ 33,706$
-$ 739,924$ 739,924$
2000: CLIENT SUPPORT
Behavioral Health MHSSA Contract - 19MHSOACO52
Fresno County Superintendent of Schools
Grant Year (GY) 3 (2022 - 23)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Page 15 of 28
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 7,417
3004 -
3005 6,200
3006 54,000
3007 -
3008 -
3009 23,000
3010 -
3011 -
3012 -
90,617$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 5,760$
4002 -
4003 -
4004 -
4005 -
4006 -
4007 -
4008 -
4009 -
4010 -
5,760$
5000: SPECIAL EXPENSES
Acct #Amount
5001 -$
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (Specify)
Other (Specify)
Subscriptions & Memberships
Vehicle Maintenance
Professional Services
Other (Specify)
Other (Specify)
Other (Specify)
Telecommunications
Printing/Postage
Office, Household & Program Supplies
Advertising
Staff Development & Training
Staff Mileage
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
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Consultant (Network & Data Management)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Page 16 of 28
5002 -
5003
5004 -
5005 -
5006 -
5007 -
5008 -
-$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 69,112$
6002 582
6003 -
6004 -
6005 -
6006 -
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
69,694$
7000: FIXED ASSETS
Acct #Amount
7001 8,000$
7002 -
7003 -
7004 -
7005 -
7006 -
7007 -
7008 -
8,000$
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%
SPECIAL EXPENSES TOTAL:
Line Item Description
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Insurance (Specify):
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Translation Services
ADMINISTRATIVE EXPENSES TOTAL
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
Other (Specify)
Other (Specify)
Assets over $5,000/unit (Specify)
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
Estimated Specialty Mental Health Services Billing Totals:
Estimated % of Clients who are Medi-Cal Beneficiaries
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 913,995$
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Page 17 of 28
-
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 913,995
8405 -
913,995$
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:913,995$
NET PROGRAM COST: -$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Grants (Specify)
MHSSA Contract
Other (Specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Page 18 of 28
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 739,924
Employee Salaries 421,320
1101 Family Partner 421,320 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 284,898
1201 Retirement 144,513 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)-
PROGRAM EXPENSE
Behavioral Health MHSSA Contract - 19MHSOACO52
Fresno County Superintendent of Schools
Grant Year (GY) 3 (2022 - 23)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit B
Page 19 of 28
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
3000: OPERATING EXPENSES 90,617
3001 Telecommunications -
3002 Printing/Postage -
3003 Office, Household & Program Supplies 7,417 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 23,000 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 -
5001 Consultant (Network & Data Management)-
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services -
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 69,694
6001 Administrative Overhead 69,112 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
7001 Computer Equipment & Software 8,000 Reflect cost of Laptops for each new Family Partner
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit B
Page 20 of 28
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 $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify)-
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:913,995
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:913,995
BUDGET CHECK:-
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES) USED IN DETERMINING MEDI-CAL SERVICE RATES
AND/OR SERVICE UNITS, IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
PROGRAM FUNDING SOURCES
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit B
Page 21 of 28
Employee Salaries
Acct #Position FTE Admin Direct Total
1101 Family Partner 12.00 -$ 421,320$ 421,320$
1102 - - -
1103 - - -
1104 - - -
1105 - - -
1106 - - -
1107 - - -
1108 - - -
1109 - - -
1110 - - -
1111 - - -
1112 - - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - -
Personnel Salaries Subtotal 12.00 -$ 421,320$ 421,320$
Employee Benefits
Acct #Admin Direct Total
1201 -$ 144,513$ 144,513$
1202 - 14,325 14,325
1203 - 126,060 126,060
1204 - - -
1205 - - -
1206 - - -
-$ 284,898$ 284,898$
Payroll Taxes & Expenses:
Acct #Admin Direct Total
1301 -$ -$ -$
1302 - 33,369 33,369
1303 - 337 337
1304 - - -
1305 - - -
1306 - - -
-$ 33,706$ 33,706$
-$ 739,924$ 739,924$
2000: CLIENT SUPPORT
Behavioral Health MHSSA Contract - 19MHSOACO52
Fresno County Superintendent of Schools
Grant Year (GY) 4 (2023 - 24)
PROGRAM EXPENSES
1000: SALARIES & BENEFITS
Description
Employee Benefits Subtotal:
Description
OASDI
FICA/MEDICARE
SUI
Retirement
Worker's Compensation
Health Insurance
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Payroll Taxes & Expenses Subtotal:
EMPLOYEE SALARIES & BENEFITS TOTAL:
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Page 22 of 28
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 15,418
3004 -
3005 3,200
3006 54,000
3007 -
3008 -
3009 23,000
3010 -
3011 -
3012 -
95,618$
4000: FACILITIES & EQUIPMENT
Acct #Amount
4001 5,760$
4002 -
4003 -
4004 -
4005 -
4006 -
4007 -
4008 -
4009 -
4010 -
5,760$
5000: SPECIAL EXPENSES
Acct #Amount
5001 -$
Child Care
Client Housing Support
Client Transportation & Support
Clothing, Food, & Hygiene
Education Support
Employment Support
Line Item Description
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
DIRECT CLIENT CARE TOTAL
Line Item Description
Household Items for Clients
Medication Supports
Program Supplies - Medical
Utility Vouchers
Other (Specify)
Other (Specify)
Subscriptions & Memberships
Vehicle Maintenance
Professional Services
Other (Specify)
Other (Specify)
Other (Specify)
Telecommunications
Printing/Postage
Office, Household & Program Supplies
Advertising
Staff Development & Training
Staff Mileage
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
FACILITIES/EQUIPMENT TOTAL:
Line Item Description
Consultant (Network & Data Management)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Page 23 of 28
5002 -
5003
5004 -
5005 -
5006 -
5007 -
5008 -
-$
6000: ADMINISTRATIVE EXPENSES
Acct #Amount
6001 68,865$
6002 582
6003 -
6004 -
6005 -
6006 -
6007 -
6008 -
6009 -
6010 -
6011 -
6012 -
69,447$
7000: FIXED ASSETS
Acct #Amount
7001 -$
7002 -
7003 -
7004 -
7005 -
7006 -
7007 -
7008 -
-$
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%
SPECIAL EXPENSES TOTAL:
Line Item Description
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Insurance (Specify):
HMIS (Health Management Information System)
Contractual/Consulting Services (Specify)
Translation Services
ADMINISTRATIVE EXPENSES TOTAL
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Other (Specify)
Administrative Overhead
Professional Liability Insurance
Accounting/Bookkeeping
External Audit
Depreciation (Provider-Owned Equipment to be Used for Program Purposes)
Payroll Services
Assets over $5,000/unit (Specify)
Other (Specify)
Other (Specify)
Line Item Description
Computer Equipment & Software
Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data
Furniture & Fixtures
Leasehold/Tenant/Building Improvements
Other Assets over $500 with Lifespan of 2 Years +
PROGRAM FUNDING SOURCES
8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION)
Line Item Description
Estimated Specialty Mental Health Services Billing Totals:
Estimated % of Clients who are Medi-Cal Beneficiaries
FIXED ASSETS EXPENSES TOTAL
TOTAL PROGRAM EXPENSES 910,749$
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Page 24 of 28
-
0%-
-$
Acct #Amount
8101 Drug Medi-Cal -$
8102 SABG -$
-$
Acct #Amount
8201 Realignment 910,749$
910,749$
Acct #MHSA Component Amount
8301 CSS - Community Services & Supports -$
8302 PEI - Prevention & Early Intervention -
8303 INN - Innovations -
8304 WET - Workforce Education & Training -
8305 CFTN - Capital Facilities & Technology -
-$
Acct #Amount
8401 Client Fees -$
8402 Client Insurance -
8403 -
8404
8405 -
-$
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Line Item Description
REALIGNMENT TOTAL
8300 - MENTAL HEALTH SERVICE ACT (MHSA)
MHSA Program Name
Federal Financial Participation (FFP) %
MEDI-CAL FFP TOTAL
8100 - SUBSTANCE USE DISORDER FUNDS
Line Item Description
SUBSTANCE USE DISORDER FUNDS TOTAL
8200 - REALIGNMENT
OTHER REVENUE TOTAL
TOTAL PROGRAM FUNDING SOURCES:910,749$
NET PROGRAM COST: -$
MHSA TOTAL
8400 - OTHER REVENUE
Line Item Description
Grants (Specify)
MHSSA Contract
Other (Specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B
Page 25 of 28
Budget Narrative
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000: SALARIES & BENEFITS 739,924
Employee Salaries 421,320
1101 Family Partner 421,320 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 284,898
1201 Retirement 144,513 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 95,618
3001 Telecommunications -
Behavioral Health MHSSA Contract - 19MHSOACO52
Fresno County Superintendent of Schools
Grant Year (GY) 4 (2023 - 24)
PROGRAM EXPENSE
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit B
Page 26 of 28
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
3002 Printing/Postage -
3003 Office, Household & Program Supplies 15,418 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 23,000 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 -
5001 Consultant (Network & Data Management)-
5002 HMIS (Health Management Information
System)
-
5003 Contractual/Consulting Services (Specify)-
5004 Translation Services -
5005 Other (Specify)-
5006 Other (Specify)-
5007 Other (Specify)-
5008 Other (Specify)-
6000: ADMINISTRATIVE EXPENSES 69,447
6001 Administrative Overhead 68,865 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 -
7001 Computer Equipment & Software -
7002 Copiers, Cell Phones, Tablets, Devices to
Contain HIPAA Data
-
7003 Furniture & Fixtures -
7004 Leasehold/Tenant/Building Improvements -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit B
Page 27 of 28
ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
PROGRAM EXPENSE
7005 Other Assets over $500 with Lifespan of 2
Years +
-
7006 Assets over $5,000/unit (Specify)-
7007 Other (Specify)-
7008 Other (Specify)-
ACCT #LINE ITEM
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:910,749
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:910,749
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
Revised Exhibit B
Page 28 of 28