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Home My WebLink AboutAgreement A-22-252 with MAP Point Operators.pdf Agreement No. 22-252 1 AMENDMENT II TO AGREEMENT 2 THIS AMENDMENT, hereinafter referred to as Amendment II, is made and entered into this 21s' 3 day of June , 2022, by and between the COUNTY OF FRESNO, a Political Subdivision of the 4 State of California, hereinafter referred to as "COUNTY", and each CONTRACTOR to be listed in 5 Revised Exhibit A-II "List of Contractors" attached hereto and incorporated herein by reference, and 6 collectively hereinafter referred to as "CONTRACTOR(S)". Reference in this Agreement to party or 7 "parties" shall be understood to refer to COUNTY and each individual CONTRACTOR(S), unless 8 otherwise specified. 9 WHEREAS, the parties entered into that certain Agreement, identified as COUNTY Agreement No. 10 17-006, effective January 10, 2017 and Amendment I, identified as COUNTY Agreement No. 17-006-1 11 dated June 22, 2021, collectively referred to as the "Agreement," whereby CONTRACTORS agreed to 12 operate Multi-Agency Access Program (MAP) points to provide an integrated screening process 13 connecting individuals and families facing mental health, substance use disorder, physical health, 14 housing/homelessness, social service, and other related challenges to supportive service agencies, to 15 COUNTY's Department of Behavioral Health (DBH); and 16 WHEREAS, the parties now desire to amend the Agreement regarding changes as stated below 17 and restate the Agreement in its entirety. 18 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which is 19 hereby acknowledged, the parties agree as follows: 20 1. That the following be added to existing COUNTY Agreement No. 17-006-I, Section One (1) 21 on Page One (1), Line Twenty-Two (22) after the number"2022". 22 "The term of this Agreement shall be extended for an additional twelve (12) month period 23 beginning on July 1, 2022 and shall terminate on June 30, 2023. The Agreement may be extended for an 24 additional twelve (12) month period beginning on July 2, 2023 through June 30, 2024 with written notice 25 of renewal given by COUNTY's DBH Director, or designee, not later than sixty (60) days prior to the close 26 of the current Agreement term." 27 HI 28 HI 1 1 2. That the existing County Agreement No. 17-006-I, Section Two (2) on Page One (1), 2 beginning on Line Twenty-Seven (27)with the word "The" and ending on Page Two (2) on Line Seventeen 3 (17)with the word "combined" be replaced in its entirety as follows: 4 "The maximum compensation amount under this agreement for January 10, 2017 5 through June 30, 2017 and each Fiscal Year of: July 1, 2017 through June 30, 2018; July 1, 2018 through 6 June 30, 2019; July 1, 2019 through June 30, 2020; and July 1, 2020 through June 30, 2021; shall not 7 exceed One Million Five Hundred Thousand and No/100 Dollars ($1,500,000.00)for all CONTRACTORS 8 combined. The maximum compensation amount under this agreement for Fiscal Year July 1, 2021 9 through June 30, 2022 shall not exceed One Million and No/100 Dollars ($1,000,000.00)for all 10 CONTRACTORS combined. The maximum compensation amount under this agreement for Fiscal Year 11 July 1, 2022 through June 30, 2023 and Fiscal year July 1, 2023 through June 30, 2024 shall not exceed 12 Nine Hundred Thousand and No/100 Dollars ($900,000.00)for all CONTRACTORS combined for each 13 fiscal year. 14 The maximum amounts paid to each CONTRACTOR identified in this Agreement 15 shall be as stated in the individual CONTRACTOR(S)'s "Budget" documents approved by COUNTY's 16 DBH Director or designee, attached hereto as Revised Exhibit C-1I and incorporated herein by this 17 reference. 18 In no event shall the maximum compensation amount under this Agreement for 19 January 10, 2017 through June 30, 2024 exceed Ten Million Three Hundred Thousand and No/100 20 Dollars ($10,300,000.00) or proration thereof for all CONTRACTOR(S) combined." 21 3. That all references in the existing Agreement to "Exhibit A" and "Revised Exhibit A" shall be 22 changed to read "Revised Exhibit A-II", which is attached hereto and incorporated herein by this 23 reference. 24 4. That all references in existing COUNTY Agreement No. 17-006-1 to "Revised Exhibit B" 25 shall be changed to read "Revised Exhibit B-11", which is attached hereto and incorporated herein by 26 this reference. 27 5. That all references in the existing Agreement to "Revised Exhibit B-1" shall be changed to 28 read "Revised Exhibit B-1-11", which is attached hereto and incorporated herein by this reference. 2 1 6. That all references in the Agreement to "Revised Exhibit C" and Revised Exhibit C-1 shall 2 be changed to read "Revised Exhibit C-II", which is attached hereto and incorporated herein by this 3 reference. 4 7. The parties agree that this Amendment II is sufficient to amend the Agreement; and that 5 upon execution of this Amendment II, the Agreement, Amendment I, and Amendment II together shall be 6 considered the Agreement. 7 8. The parties agree that this Amendment may be executed by electronic signature as 8 provided in this section. An "electronic signature" means any symbol or process intended by an 9 individual signing this Amendment to represent their signature, including but not limited to (1) a digital 10 signature; (2) a faxed version of an original handwritten signature; or (3) an electronically scanned and 11 transmitted (for example by PDF document) of a handwritten signature. Each electronic signature 12 affixed or attached to this Amendment (1) is deemed equivalent to a valid original handwritten 13 signature of the person signing this Amendment for all purposes, including but not limited to 14 evidentiary proof in any administrative or judicial proceeding, and (2) has the same force and effect as 15 the valid original handwritten signature of that person. The provisions of this section satisfy the 16 requirements of Civil Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act 17 (Civil Code, Division 3, Part 2, Title 2.5, beginning with section 1633.1). Each party using a digital 18 signature represents that it has undertaken and satisfied the requirements of Government Code 19 section 16.5, subdivision (a), paragraphs (1) through (5), and agrees that each other party may rely 20 upon that representation. This Amendment is not conditioned upon the parties conducting the 21 transactions under it by electronic means and either party may sign this Amendment with an original 22 handwritten signature. 23 9. The Agreement, as hereby amended, is ratified and continued. All provisions, terms, 24 covenants, conditions, and promises contained in the Agreement and not amended herein shall remain in 25 full force and effect. This Amendment II shall be effective July 1, 2022. 26 N 27 N 28 N 3 1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment II to 2 Agreement as of the date first above set forth. 3 4 5 Please see attached signatures COUNTY OF FRESNO 6 7 _ y Brian Pacheco, 8 Chairman of the Board of Supervisors of 9 the County of Fresno 10 11 12 13 ATTEST: 14 Bernice E. Seidel Clerk of the Board of Supervisors 15 County of Fresno, State of California 16 17 Deputy 18 19 20 21 22 23 24 25 FOR ACCOUNTING USE ONLY: Fund/Subclass: 0001/10000 26 ORG No.: 56304768 Account No.: 7295/0 27 28 4 Revised Exhibit A-II Page 1 of 1 MULTI-AGENCY ACCESS PROGRAM (MAP) POINT OPERATORS LIST OF CONTRACTORS 1. Kings View 7058 N. West Avenue, Suite 178 Fresno, CA 93711 Contact: Amanda Nugent Divine, PhD, Chief Executive Officer David Polunas, Executive Director of Behavioral Health 2. Poverello House 412 F Street Fresno, CA 93706 (559) 498-6988 Contact: Zachary D. Darrah, Chief Executive Officer Sara Mirhadi, Chief Program Officer 3. Centro La Familia Advocacy Services, Inc. 302 Fresno Street, Suite 102 Fresno, CA 93706 (559) 237-2961 Contact: Margarita A. Rocha, Executive Director Alma Aguilar, Program Manager ii DocuSign Envelope ID: F35482D7-5AB6-4BC3-9208-D662E12AB20F 1 CONTRACTOR: KINGS VIEW 2 By: FDocuSigned by: ANFH�F73914E)5 4 5 Print Name: Amanda Nugent Divine 6 Title: CEO 7 Chairman of the Board, or President, or 8 any Vice President 9 DocuSigned by: 10 By: 11 12 Print Name: Michael Kosareff 13 Title: CFO 14 Secretary (of Corporation), or any Assistant Secretary, or Chief Financial 15 Officer, or any Assistant Treasurer 16 Date: 6/6/2022 17 18 19 20 Mailing Address: 7058 N. West Avenue #178 21 Fresno, CA 93711 22 Phone No.: (559) 256-4474 Ext. 4007 23 Contact: Darrell Hamilton 24 25 26 27 28 1 CONTRACTOR: POVERELLO HOUSE 2 3 By: 4 5 Print Name: _�� L� �, ,�4✓��2' � 6 Title: 7 Chairman of the Board, or President, or 8 any Vice President 9 10 By: ✓2�2 o 11 12 Print Name: 13 Title: 14 Secretary (of Corporation), or any Assistant Secretary, or Chief Financial 15 Officer, or any Assistant Treasurer 16 Date: AV 17 18 19 20 Mailinb Address: 21 412 F Street Fresno, CA 93706 22 23 Phone No.: (559) 960-4429 Contact: Sara Mirhadi 24 25 26 27 28 1 CONTRACTOR: CENTRO LA FAMILIA ADVOCACY 2 SERVICES 3 4 By: �,k-)z4�J 5 Print Name: Robert Solis 6 7 Title: Chairman of the Board 8 Chairman of the Board, or President, or any Vice President 9 10 11 By: 12 Print Name: Marc Young 13 14 Title: Accountant Secretary(of Corporation), or any 15 Assistant Secretary, or Chief Financial 16 Officer, or any Assistant Treasurer 17 Date: 6-2-2022 18 19 20 Mailing Address: 21 302 Fresno Street, Suite 102 Fresno, CA 93706 22 Phone No.: (559) 237-2961 23 Contact: Margarita Rocha 24 25 26 27 28 Revised Exhibit B-1-II Page 1 of 9 MAP POINT COLLABORATIVE (KINGS VIEW, POVERELLO HOUSE AND CENTRO LA FAMILIA) SCOPE OF WORK CONTRACT SERVICES: Operation of Multi-Agency Access Program (MAP) Points CONTRACT TERM: January 10, 2016 — June 30, 2019 (Base); July 1, 2019 — June 30, 2020 (Optional Renewal); July 1, 2020 — June 30, 2021 (Optional Renewal); July 1, 2021 — June 30, 2022 (Amendment 1); July 1, 2022 — June 30, 2023 (Amendment II); and July 1, 2023 — June 30, 2024 (Amendment 11 Optional Renewal) CONTRACT MAXIMUM: $7,500,000 FY 2016-21 $1,000,000 FY 2021-22 $900,000 FY 2022-23 $900,000 FY 2023-24 NOTE: The information, expectations and requirements contained in this Exhibit B-1 are specific to the MAP Point Collaborative and shall be considered in addition to Exhibit B and the Kings View proposal submitted in response to Request for Proposal No. 952-5468. I. PROGRAM OVERVIEW Kings View and its partners Centro La Familia Advocacy Services and Poverello House (collectively known as the MAP Point Collaborative) propose to provide clients with a MAP single point of entry for residents of Fresno County to access linkage to multiple behavioral, social and health services to promote their wellness and recovery. Although additional sites may be added, the present proposal includes eight MAP sites in the collaborative plus a mobile food truck that will serve clients as well. The MAP Point Collaborative will use Motivational Interviewing and evidence-based practices to engage the client in completing the Community Screening Tool and develop linkage plan goals. All services will be provided with a respectful approach to each client's ethnicity, gender and belief system. The MAP Point Collaborative is an experienced team of three partners: Kings View, Centro La Familia Advocacy Services (CLFA), and Poverello House. Together this team has developed a proposal to serve Fresno County through eight fixed sites and a mobile truck. The project includes three sites in urban Fresno and five rural sites, plus mobile unit stops. The project plan draws upon the experience of the Poverello House at its current MAP Point at Pov program, enhanced by the experience of Kings View and Centro La Familia Advocacy Services in serving the target populations. The MAP Point Collaborative proposes to serve all clients who come to one of the MAP points, and to leverage partner resources to create community awareness of MAP services. Partners developed conservative estimates of initial duplicated contacts based on their experience at each of these sites. Revised Exhibit B-1-II Page 2 of 9 • Poverello House, 412 F Street, Fresno • Mobile Unit/Food Truck (initially operating 4 days/week); initial stops include Mendota, Firebaugh, Huron, Orange Cove, San Joaquin, Calwa, Parlier, Del Ray, Riverdale, and Sanger • Kings View, 2045 Grant Street, Selma • Centro La Familia Advocacy Services o Main CLFA office: 302 Fresno Street, Fresno o Mendota Community Center: 195 Smoot Ave, Mendota o Carmen Meza Center: 838 O St, Firebaugh o Huron Family Learning Center: 36602 Central Ave, Huron o EDA Community Center: 633 Sixth Street, Orange Cove Kings View, Centro La Familia Advocacy Services, and Poverello House will draw upon shared and unique resources to provide a continuum of services and connections to MAP clients at each of the MAP locations. For example, substance abuse treatment will be provided by Kings View or other appropriate community partners, including West Care. Clients needing mental health treatment will be linked to Kings View, or other appropriate community resources. Poverello House will link and provide services including emergency services (e.g., food, shelter, clothing) and limited medical services. Domestic violence intervention will be addressed by Poverello or Centro La Familia Advocacy Services; all organizations will assist clients in health insurance, food stamps, and other enrollments they are equipped to provide. The MAP partners all have stable and sustained organizational histories in the San Joaquin Valley, which allows them to leverage resources as a group under a single Collaborative Program Manager who will coordinate services and connections. In addition, the MAP Resource Coordinator will actively seek appropriate resources throughout Fresno County and share this information with all MAP partners to ensure that all sites have complete and current service provider information. The chart below shows services currently provided and to be leveraged by each of the partner agencies and by Community Regional Medical Center's Ambulatory Care Center. Services Poverello Kings View CLFA MAP Program administration X Emergency shelter X Housing services X Substance abuse treatment X X Medical services X Employment services X X Mental health treatment X X X DBH on site Legal services (Immigration) X Meal service X Food resource X Domestic violence intervention X X General assistance X X X Health insurance enrollment X X X Parent education X Youth skills X Dental X Revised Exhibit B-1-II Page 3 of 9 The MAP Collaborative Program Manager provides administrative and operational oversight and support, and the Resource Coordinator will identify and develop community resources for client linkage. Navigators at each site will screen clients using the Community Screening Tool and other relevant tools (e.g., the VI-SPDAT) and link or facilitate client linkage following the warm hand-off model. Transporters will drive clients to services via eight-passenger vans or automobiles to be leased for this project. Materials will be available in all three Fresno County threshold languages (English, Spanish and Hmong), and all sites will provide access to interpreters for clients and families. If an interpreter is not available, Language Line will be used to provide interpretation. The project will develop a data system designed to facilitate the data collection and reporting requirements of this project. The system will be designed with the assistance of Bitwise Industries leveraging the experience of that company with Fresno County data system design. II. SERVICES A. Screening provided MAP Point Collaborative partner navigators will provide a screening for each client to document and understand their individual needs and motivation to be linked with services. Navigators will: • Use Motivational Interviewing (MI) to identify and understand the client's fundamental needs, values and goals to stimulate change. • Develop a service or linkage plan for the client or family and monitor success in connecting to assessments or services identified in the screening. • Meet individually with the client or family when necessary to provide support and assistance towards achieving service and/or linkage plan goals. • Make linkages and appointments with appropriate service providers including housing, mental health and social services. Clients will be considered linked with a referral service when connection with that service provider is confirmed. • Maintain client files through use of a database to be developed by technology firm Bitwise Industries, in coordination with Kings View IT staff and based on program requirements. • Provide transportation for clients to identified resource agencies and/or to initial scheduled appointment with identified service providers, as necessary. Transportation will be provided through tokens for public transport or by two MAP transporters in leased vans, as reflected in the project budget. B. Client assistance in obtaining documents MAP Point Collaborative Navigators will assist clients at all sites in obtaining necessary documents such as state identification card, social security card, birth certificate, immigration- related documents (passport, green card), and others that are needed to link to appropriate services such as public benefits, housing, and/or health insurance enrollment. MAP Navigators will provide clients information on how to obtain additional resources such as transportation, food and any immediate medical resources. Revised Exhibit B-1-II Page 4 of 9 C. Linking clients to appropriate services based on initial screening The MAP Point Collaborative Navigators at all sites will be responsible for linking clients to the appropriate services based on their screening and linkage plan. MAP Navigators will provide information to clients about necessary documents, and assist in completing applications that are available to the MAP staff, and provide transportation as needed to county services such CalFresh, CaIWORKs, and TANF, as well as to services that fit into each agency's relevant programs. Navigators will also assist clients in linking clients in the same way to low-income housing options, landlords, primary medical care, faith-based support systems, and in some cases with their families. In many cases, the MAP partners will directly provide those services, consistent with each agency's mission. Methods for service coordination and communication between program and other service providers will be developed and implemented in alignment with Fresno County Mental Health Plan (MHP) confidentiality rules. Coordination is crucial in Fresno County's large catchment area because services are spread out and low-income residents of rural communities have very little access to services without necessary transportation. D. Service provider coordination/collaboration The MAP Point Collaborative Navigators at all sites will work collaboratively with the Program Manager and other service providers to monitor client success, identify areas for growth and challenges with program linkage, and will ultimately ensure a warm hand-off between client and service providers. The MAP Collaborative Program Manager will provide overall program coordination and monitoring; a MAP Resource Coordinator will develop and manage linkage resources to meet the needs of clients. Potential resources include government agencies such as Department of Behavioral Health, Department of Social Services, Department of Motor Vehicles, Housing Authority, and community-based organization programs. E. Maintaining agency relationships The MAP Point Collaborative Program Manager, MAP Resource Coordinator, and other staff as appropriate will maintain relationships with referring and supporting agencies and represent agencies at various community meetings as requested. The purpose of this position is to coordinate and develop resources appropriate to the needs identified through the project. In addition to the MAP Collaborative Program Manager's role of program oversight and contract compliance, the Program Manager will also establish regular collaborative meetings, and facilitate those meetings to support the collaborative and community relationships. Each of the participating agencies is already fully engaged in relevant agency relationships F. Evidence based practices in screening and serving clients The MAP Point Collaborative will use evidence-based practices in screening and serving clients. The use of proven methodologies, with an evidence basis, allows for interactions with the clients to be more complete and productive. There are numerous evidence-based methodologies for these purposes that can be incorporated into the process depending on the situation and need. Some of the key evidence-based practices that will be used are described below. Revised Exhibit B-1-II Page 5 of 9 • Collaborative Navigators will use the evidence-based practice of Motivational Interviewing, a clinical approach that helps people with mental health and substance-use disorders and other chronic conditions such as diabetes, cardiovascular conditions, and asthma make positive behavioral changes to support better health. The approach upholds four principles—expressing empathy and avoiding arguing, developing discrepancy, rolling with resistance, and supporting self-efficacy (a client's belief s/he can successfully make a change). Kings View staff are already trained in Motivational Interviewing. For project staff who are not yet trained, Motivational Interviewing classes are available online. All MAP staff will be trained in Motivational Interviewing, with support provided by collaborative partners. • Another evidence-based practice to be used by the MAP Point Collaborative is the Wellness Recovery Action Plan or WRAP', a self-designed prevention and wellness process used extensively by health care and mental health systems to address physical, mental health and life issues, and will be used at MAP Point Collaborative sites to engage the client in completing the Community Screening Tool and develop linkage plan goals. WRAP has been studied extensively in rigorous research projects and is listed in the National Registry of Evidence-based Programs and Practices. All MAP services will be provided with a respectful approach to each client's ethnicity, gender and belief system. G. Utilizing standardized MAP Point Community Screening Tool MAP Point Collaborative staff will use the standardized MAP Point Community Screening Tool and stay current with any future revisions to this tool. In addition, the MAP Point Program Manager and Navigators will participate in future development of screening tools as requested. While primary screening staff will be the Navigators, training will be provided to all appropriate staff. III. STAFFING To allow for full implementation of all items described in the program, the staffing plan proposed for the Map Point Collaborative sites will be as follows: • 1.0 FTE MAP Collaborative Program Manager will oversee the Multi-Agency Access Program locations to ensure operations are running smoothly and in compliance with contract requirements including records management, security, communications, transportation services and staff sharing. Qualifications include a Master's Degree in behavioral health or related field or equivalent with at least two years of experience as a manager in a case management environment, while working with the severely mentally ill (SMI), and/or co-occurring clients as well as experience in developing linkages for a wide variety of needs and coordinating case management type services for the homeless and indigent populations. • 1.0 FTE MAP Resource Coordinator will be responsible for cultivating resources and linkages for MAP personnel to ensure clients are linked to the "right services, the first time." Linkages to include: housing resources, physical and mental health services, substance abuse treatment services, domestic violence education and support groups, immigration services for undocumented clients, vocational assessment, education and training, parenting, school based counseling and support groups, wellness and recovery activities. Qualifications include Bachelor's Degree in related field. Revised Exhibit B-1-II Page 6 of 9 • 9.0 FTE Navigators among eight fixed sites and one mobile unit (see program budget for specific assignments) will administer the Community Screening Tool and/or VI-SPDAT to the client and facilitate linkages to indicated services and faith-based supports. Navigators will work collaboratively with other service components and programs in the MAP system. Navigators will be knowledgeable of cultural sensitivity/competency and well versed in community resources. Navigators will be responsible for case management to ensure proper linkages occur. The Navigators will be placed at the main MAP site at Poverello House, the Kings View site in Selma as well as the Centro La Familia sites at 302 Fresno Street, Community Regional Medical Center, and in the cities of Mendota, Firebaugh, Huron and Orange Cove. Navigators are required to have a Bachelor's Degree in a related field. 2.0 FTE Transporters, using program vehicles, will transport clients to appointments, designated treatment programs, health care services, social services, government offices and faith-based services in the community as necessary to fulfill the clients' linkage plan goals. Transporters are required to have and Associate's degree or equivalent with experience working with severely mentally ill and/or co-occurring environment. Transporters must also have a basic knowledge of common mental health diagnoses. Additional training may be provided, for example Mental Health First Aid training, which is offered by Fresno County as well as American Ambulance. As lead agency, Kings View will employ the overall project staff: the MAP Collaborative Program Manager, Resource Coordinator and Navigator for the Selma site. Each partner will directly employ Navigators for its sites. Although the core elements of job duties are consistent among all program staff, each agency may add expectations specific to their agency. Staff work schedules will be responsive to client needs and permit staff to be available at times and locations that are convenient for the client and respond to family members' concerns. The MAP Point Collaborative has identified sites for the MAP points that are well known to the community, used by the target population, and are already trusted sources of assistance. MAP Point Collaborative staff will be bilingual, multi-culturally aware and sensitive to gender differences so that a trust and respect can be established with clients. All MAP Point Collaborative staff will receive initial cultural humility training and then once per year thereafter. All partners are fully committed to providing culturally competent services, and acknowledge the California Department of Mental Health's Cultural Competence Plan CCPR Modification (2010), which serves to operationalize cultural competence at the contractor level. Whenever feasible, MAP staff will be hired from the cultural, linguistic and ethnic backgrounds of the target population. In addition, Kings View reaches out to members of the community who might not know how to engage in the treatment of mental health issues. Unserved and underserved clients may not understand how to seek services and/or they may have stigma associated with reaching out for mental health services. Having staff who are the same cultural and linguistic make up as the clients makes it easier for clients to feel welcomed and comfortable in seeking mental health services and continue to receive needed services. All partners regularly attend cultural competency trainings, including those sponsored by the County of Fresno. All MAP Point Collaborative staff will also be trained in Mental Health First Aid. IV. PERFORMANCE MEASURES/PROGRAM OUTCOMES Revised Exhibit B-1-II Page 7 of 9 A. Goals and objectives, projected number of clients The overall goals of the MAP Point project are as follows: 1. Provide clients with a single point of entry in urban and rural communities where people may access health and social services that promote their health, financial and social well-being in the community. 2. Support the client's resiliency and sustainability through appropriate linkages. 3. Using best practices, engage the client in completing the Community Screening Tool and other appropriate tools to assist in development of their linkage plan goals. 4. Respect each client's ethnicity, gender and belief system by utilizing cultural humility in all interactions. The estimates below were developed using some base assumptions: 1) the same individuals may come to a MAP point more than once, and will be reflected in the number of duplicated contacts; 2) the linkage needs for individuals may change over time; and 3) information on survey tools may change or become more complete over time as clients provide additional information or their situation changes. Using the duplicated contacts as a starting point, the following methodology was used to project the number of unique clients, number of surveys completed, and the number of linkages made. Please note that although these are conservative estimates, they are based on the experience of MAP Point at Pov. One of the lessons learned at MAP Point at Pov is that it is important to develop a rapport/trust with a client to obtain accurate answers to survey questions. This might be achieved in one visit or at a second visit at MAP Point at Pov, which found that 74% of clients return for follow-up visits and that completion of the VI-DSPAT (a shorter assessment than the draft Community Screening Tool) requires between 15 and 30 minutes, depending on the experience of the interviewer and the individual. Another lesson learned is that often a client comes in for one need but may have an emergency situation that takes priority. For example, a client may come in for housing assistance but need immediate referral to mental health services and/or medical services. At times a client has to be stabilized before they can complete an assessment. These factors are especially true if a client and/or a family have been homeless for a while. The Collaborative recognizes while many clients served will not be homeless, similar factors may influence the number of surveys completed. Based on the current experience of MAP Point at Pov, the collaborative determined that a conservative estimate was most appropriate at this time. 1. Unique clients are estimated to represent 40% of the duplicated contacts. 2. Survey completion in Year 1 is projected at 60% of unique clients, 65% in Year 2 and 70% for Years 3-5. 3. Successful linkage will be completed for 60% of initial contacts. 4. Services will increase by 10% each year. Revised Exhibit B-1-II Page 8 of 9 Survey Contacts Unique completion Linkage (Duplicated) clients (of unique clients) (of contacts) Year 1 22,800 9,120 5,472 13,680 Year 2 25,080 10,032 6,019 15,048 Year 3 27,588 11,036 6,622 16,553 Year 30,346 12,138 7,283 18,208 Year 5 33,381 13,354 8,019 20,029 TOTAL 139,195 55,680 33,415 83,518 B. Performance outcome measurement tools The table above delineates the conservatively-projected service numbers for all five years of the MAP. These data will be collected, analyzed and reported through the system to be developed by Kings View's IT and CFO, in consultation with Bitwise Industries. This collaboration is already being discussed, and work will begin immediately upon award. While it is hoped that electronic data collection will begin upon program launch (anticipated two months post-award notice), if the instrument is not completed, partners will manually track all data based on information to be collected. In addition to the outcomes measuring tool, the Community Screening Tool, the VI-SPDAT and other appropriate tools will be used to assess client needs. C. Measure of effectiveness The MAP Point Collaborative has identified potential outcomes and analyses in its Work Plan. Specific outcomes are proposed, but should not be considered comprehensive or complete. It is anticipated that measures will be adjusted in coordination with the County upon contract execution. Preliminary measures include the following: Key Performance Indicators Other Indicators Unique Client Contacts Number of Men Served Total Clients Contacts Number of Women Served Number of Survey Completed Number of Children Served Number of Linkages Provided Linkages by Urban Location Linkages by Rural Location Linkage Types Number Vehicle Miles Driven Emergency Room Visits Number of Outreach Events Number of Client Transports Other indicators to be determined Number of Client Housing Linkages Number of referrals to PEI Wellness Programs Total Client Linkages by Zip Code Other linkage types to be determined As noted, the MAP Point Collaborative will work with Bitwise Industries to develop an appropriate data tool for this MAP project. The tool will be designed to collect all data specified above, including number of client contacts, number of screening tools completed, number of unique/unduplicated clients, number of clients with multiple contacts, average number of contacts per client within the time period (year), number of clients with multiple referrals/linkage to same or same type of agency, referrals/linkages by agency and agency type. Numbers reflect: Revised Exhibit B-1-II Page 9 of 9 • 10% increase in clients and services each year • 60% rate of successful linkages per client visit • 60% of unique clients will complete the survey in Year 1; 65% of clients will complete the survey in Year 2; 70% of clients will complete the survey in Years 3 through 5 A client satisfaction survey appropriate for the MAP services will be developed, and the survey distributed to clients with responses recorded in the database for analysis. Revised Exhibit B-II Page 1 of 7 MENTAL HEALTH SERVICES ACT PREVENTION AND EARLY INTERVENTION MULTI-AGENCY ACCESS PROGRAM POINT Program Overview CONTRACT SERVICES: Operation of Multi-Agency Access Program (MAP) Points CONTRACT TERM: January 10, 2016 — June 30, 2019 (Base); July 1, 2019 — June 30, 2020 (Optional Renewal); July 1, 2020 — June 30, 2021 (Optional Renewal); July 1, 2021 — June 30, 2022 (Amendment 1); July 1, 2022 — June 30, 2023 (Amendment 11); and July 1, 2023 — June 30, 2024 (Amendment 11 Optional Renewal) CONTRACTORS: See Revised Exhibit A-11 CONTRACT MAXIMUM: $7,500,000 FY 2016-21 $1,000,000 FY 2021-22 $900,000 FY 2022-23 $900,000 FY 2023-24 CONTRACTOR AWARDS: See Exhibits C-11, et seq. for individual Provider Awards SERVICE POPULATIONS: Underserved and unserved groups within Fresno County 1. MAP POINT PROGRAM OVERVIEW County of Fresno on behalf of the Department of Behavioral Health (DBH), Mental Health Services Act (MHSA), Prevention and Early Intervention (PEI), has developed a Master Agreement for the operation of Multi-Agency Access Program (MAP) Point services for underserved and unserved culturally diverse populations in Fresno County. PEI Program Intent and Goals- The intent of the PEI program is to provide funds for MAP Point services to be delivered in community settings to all age groups in a culturally, linguistically and age- appropriate manner. The goals of the PEI component of the MHSA shall be integrated into the MAP Point program and shall be promoted through: community collaboration; cultural and linguistic competency; and services that are individual/family driven, wellness and recovery focused, integrated and performance outcomes based. Revised Exhibit B-II Page 2 of 7 MAP Point Program Intent and Goals— DBH seeks to streamline access processes to ensure that all individuals in need of behavioral health care have a timely, personal, relevant, clear and understandable path to care. By integrating behavioral health into other systems such as physical health settings, justice settings including courts and probation, schools, and other service delivery organizations, DBH can significantly increase access to care and improve the total health and wellness in the community. A MAP provides an integrated screening process which connects individuals facing mental health, substance use disorder, physical health, or housing challenges to supportive services matching individuals and families to the right resources at the right time in the right location. This is accomplished through an established and formalized screening process, collaboration of service providers, leveraging existing community resources, eliminating barriers and assisting clients' access to supportive services. The purpose of this program is to provide multiple MAP Points at optimal strategic and geographic locations that have dense client flow to target underserved and unserved populations with critical access needs. Each MAP Point Provider will be an access point and use a common screening process to serve individuals where they are. Each Provider will work within a centralized or coordinated system for linkages to further assessments and/or services for all persons who participate in the screening. Goals of the program include less utilization of more costly crisis services, and minimization or avoidance of more severe outcomes such as substance use disorder, hospitalization or incarceration. Funding Use — PEI guidelines stipulated by the California Department of Health Care Services specifically limit how PEI funds may be used. The funding for MAP Point services is to provide for salaries and benefits of staff, training, consumer incentives, planning and operational costs, lease space, technology, transportation needs, and other acceptable expenses that carry out the intent of this project. Providers' individual funding allocations are identified and detailed in Exhibits C-II et seq. Prevention in mental health involves reducing risk factors or stressors, building protective factors and skills and increasing support. Prevention promotes positive cognitive, social and emotional development and encourages a state of well being that allows the individual to function well in challenging circumstances. MAP Points will assist the clients in reducing negative outcomes that may serve as a risk factor to developing potentially serious mental illness by screening for biological, behavioral and socio-economic needs and linking to appropriate service providers. Revised Exhibit B-II Page 3 of 7 Early intervention is directed toward individuals and families for whom a short-duration (up to one year), relatively low-intensity intervention is appropriate to measurably improve a mental health problem or concern very early in its manifestation, thereby avoiding the need for more extensive mental health treatment or services; or prevent a mental health problem from getting worse. MAP Points will not be providing direct treatment services, but will track any linkages to early intervention programs. MAP Points will be primarily a program to improve timely access to mental health services to underserved populations with inherent strategies to provide prevention, outreach, access and linkage, and stigma and discrimination reduction. Target populations are underserved and unserved, who lack protective factors such as knowledge of the system of care and access to mental health services or have stigma associated with reaching out for mental health services. Outreach for Increasing Recognition of Early Signs of Mental Illness— Outreach serves to introduce and educate the community on mental health and related services available within the community, and in Fresno County in general. Connections made shall help to build a trusted presence within the community and thereby encourage future contacts, follow-ups, and linkages to service information and/or delivery. MAP Points will be located in settings where service populations are, whether in their own communities, places they frequent or have a connection. These settings as well as the mental health domain of the screening tool will provide opportunity to identify early signs of mental illness. Access and Linkage —The MAP integrated screening process will be able to screen clients for mental health needs and link to further assessment to determine appropriate care and/or treatment. Stigma and Discrimination Reduction - MAP Points will provide culturally-competent services. Staff with same cultural and linguistic make up of clients will make it easier for clients to feel welcomed and comfortable in seeking mental health services and continue to receive needed services. Services and Performance Measures - Under the provision of the MHSA PEI component, the County's Department of Behavioral Health receives funding to expand, develop and create successful PEI programs for children, transitional aged youth, adults, and older adults in a culturally, ethically, and linguistically competent approach for underserved and unserved populations. MAP Point Program Providers' culturally specific approaches to these services, and their performance measures and outcome goals are identified and detailed in Exhibits B-1-II et seq. Performance measures are further addressed in Section Four (4) of this document. Revised Exhibit B-II Page 4 of 7 Service Populations - Target areas include optimal strategic and geographic locations that have a high volume of client flow/interaction that can target underserved and un-served populations with critical access needs. These areas can be in metropolitan and rural locations, law enforcement agencies, critical access points such as hospitals, service agencies, educational settings, or any other location that meets the intent of MAP Point project. Target populations include unserved or underserved groups within Fresno County; examples include, but are not limited to, cultural populations, lesbian/gay/bi-sexual/transgender/questioning (LGBTQ) community, Veterans, homeless and geographically isolated groups. MAP Point services, while targeting specific unserved and underserved groups, must extend services to all age groups, populations, cultures and must be able to link to all appropriate services as needed. There should be no exclusion criteria. Service populations are identified for each MAP Point Provider in Exhibit A-II and Exhibits B-1-II et seq. Collaborations— MAP Point Providers shall work in collaboration with existing partners, including but not limited to the existing MAP Point at Pov, local schools and district offices, faith-based organizations, primary care centers, various health offices, natural gathering sites, social services offices and local law enforcement offices. In addition, collaborations and partnerships shall be encouraged with all other community stakeholders and service providers, including but not limited to: private, profit/non-profit, government, faith-based, cultural-specific community resource/service providers, and advisory boards and commissions. Providers will be required to participate in MAP Community Work Groups and encouraged to participate in Community Conversations, Fresno-Madera Continuum of Care and other local planning organizations, initiatives, activities and assessments. Master Agreement Additions- Organizations seeking to be included in this Master Agreement, or seeking to provide additional services to underserved and un-served target/service populations, funded through MHSA PEI, must submit a written proposal to Fresno County Department of Behavioral Health, Attention: MAP Point Contract Analyst, 3133 N. Millbrook Avenue, Fresno, CA 93703. The proposal must be prepared and submitted for review and approval in accordance to, and in proper response to, the Request for Proposal (RFP) #952-5468 issued by Fresno County Purchasing Division on April 8, 2016. Proposals received must be approved by DBH Director and/or designee for addition to Master Agreement. II. MAP POINT SERVICES Revised Exhibit B-II Page 5 of 7 A. Provide screening for each client in order to understand their individual needs and motivation to be linked with services. Specific services shall include: • Use Motivational Interviewing (MI) to identify client's fundamental values and goals to stimulate change. • Develop a service or linkage plan for the client or family and monitor their success in connecting to assessments or services identified in the screening. • Meet individually with client or family when necessary to provide support and assistance towards achieving service or linkage plan goals. • Make linkages and appointments with appropriate service providers. A linkage is considered achieved when a client is confirmed to be connected with a service provider, not simply referred. • Maintain client files. • Transportation of clients to identified resource agencies and/or to initial scheduled appointment with identified service providers, as necessary. B. Assist clients in obtaining necessary documents such as State Identification Card, Social Security Card, Birth Certificate, etc. needed to link to appropriate services and support clients in developing an understanding how to utilize community supports in an ongoing fashion (such as public transportation system, community food banks, etc.). C. Be responsible for linking clients to the appropriate services based upon initial screening and linkage plan. Services to which clients may be linked range from mental health, substance use disorder, physical health, housing, social and/or other services. Methods for service coordination and communication between program and other service providers shall be developed and implemented consistent with Fresno County Mental Health Plan (MHP) confidentiality rules. • Should read-only access to the County's electronic health record system (currently Avatar) be provided in order to assist in determining client's prior involvement in the County's Mental Health Plan system of services and ensure continuum of care, understand that fees for access may apply and are expected to become part of the Provider's operational costs as identified and detailed in Exhibits C-II et seq. D. Work collaboratively with the MAP Community Coordinator and other service providers to monitor client success, areas for growth and challenges with program linkage. Ensure a warm handoff between client and service providers. Revised Exhibit B-II Page 6 of 7 E. Maintain relationships with referring and supporting agencies and represent agencies at various community meetings as requested. Participate in all scheduled MAP Point community meetings. Attend scheduled meetings and presentations with referral agencies. F. Utilize evidence based practices in screening and serving clients. Ensure on-going training of staff regarding evidence based practices and knowledge of relevant mental health/illness topics. G. Utilize the standardized MAP Community Screening Tool and stay current in practice with any future revisions to this tool and provide appropriate feedback. Participate in training needed on the tool itself or supporting data systems used. • Any costs associated with use of data systems supporting the MAP Community Screening Tool or VI-SPDAT or other systems as required and/or developed by the MAP Community Group are to become part of Provider's operational costs as identified and detailed in Exhibits C-II et seq. • Entry of data and case relevant information into MAP Community Screening Tool data system and/or other required systems. III. STAFFING The staffing plan should be clear and concise and allow for full implementation of all items described in the program. It is expected that MAP Point Navigator(s) shall complete the services and linkages as identified above. In addition, the Navigator shall work collaboratively with other service components and programs in the MAP system. Navigators shall be knowledgeable of cultural sensitivity/competency and well versed in community resources. Staff work schedules shall be responsive to client needs and shall permit staff to be available at times/locations that are convenient for the client and/or respond to family members' concerns. There is no mental health treatment currently offered or anticipated at MAP Points. As such, specific licensures related to behavioral health are not required. The staffing plan should include MAP Point Navigators, supervision of MAP Point Navigators, and additional positions as needed to ensure full implementation of the program. IV. PERFORMANCE OUTCOME MEASURES All Providers shall comply with all project monitoring and compliance protocols, procedures, data collection methods, and reporting requirements requested by the County. Providers shall use Revised Exhibit B-II Page 7 of 7 performance outcome measures for evaluating program and system effectiveness to ensure services and service delivery strategies are positively impacting the service population. In addition, these measures shall be used to ensure MAP Point services are in alignment with MHSA guiding principles which are inclusive of: an integrated service experience; community collaboration; cultural competence; client/family driven service; and wellness, resilience, and recovery focused services. MHSA PEI reporting requirements include but are not limited to the following: number of referrals/linkages of members of underserved populations to a prevention program, early intervention program, and/or treatment beyond early onset; number of persons who followed through on the referral and engaged in services (linkage may be defined as having participated at least once in the program to which person was referred); and timeliness of care, the interval between referral and engagement in services. Performance outcome measures shall be tracked on an ongoing basis and used to update the County monthly (by the 10t" of the month following the report period) regarding MAP Point services. In addition, performance outcome measures are reported to the County annually in accumulative reports for overall program and contract evaluation. Providers will utilize standardized forms and tools so that data shall be collected in the same way for each MAP Point location and population it may serve. Forms and tools used to gather and report data reflecting services provided, populations served, and impact of those services are to be developed by the County and Providers. Providers will work closely with the County to analyze the data and make necessary adjustments to service delivery and reporting requirements before the start of each new fiscal year. Providers' specific performance measures and outcome goals are identified and detailed in Exhibit B-1-II et seq. Measurable outcomes may be reviewed for input and approval by a designated Department of Behavioral Health work group upon contract execution and adjusted as needed each new fiscal year. The purpose of this review process is to ensure a comprehensive system wide approach to the evaluation of programs through an effective outcome reporting process. Revised Exhibit C-II Page 1 of 46 Multi-Agency Access Program (MAP) Kings View Fiscal Year(FY)2022-23 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Executive Director 0.01 $ 1,802 $ 1,802 1102 Regional Director 0.05 6,032 6,032 1103 Accountant 0.01 733 733 1104 Quality Improvement Analyst 0.07 4,712 4,712 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 0.14 $ 13,279 $ 13,279 Acct# Program Position FTE Admin Program Total 1116 Map Point Services Manager 1.00 $ 69,826 $ 69,826 1117 Navigators 2.00 84,796 84,796 1118 - - 1119 1120 1121 1122 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 Direct Personnel Program Salaries Subtotal 3.00 $ 154,622 $ 154,622 Admin Program Total Direct Personnel Salaries Subtotal 3.14 $ 13,279 $ 154,622 $ 167,901 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 140 $ 1,606 $ 1,746 1202 Worker's Compensation 214 2,456 2,670 1203 Health Insurance 1,144 13,161 14,305 1204 Other(specify) - - 1205 10ther(specify) 1206 10ther(specify) I - - Revised Exhibit C-II Page 2 of 46 Direct Employee Benefits Subtotal: $ 1,498 $ 17,223 $ 18,721 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ - $ - 1302 FICA/MEDICARE 1,028 11,816 12,844 1303 SUI 78 896 974 1304 Other(specify) - - - 1305 10ther(specify) 1306 10ther(specify) Direct Payroll Taxes&Expenses Subtotal: $ 1,106 $ 12,712 $ 13,818 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 15,883 $ 184,557 $ 200,440 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 8% 92% 2000:DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ 2002 Client Housing Support - 2003 Client Transportation&Support 2,004 2004 Clothing, Food,&Hygiene 750 2005 jEclucation 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) DIRECT CLIENT CARE TOTAL $ 2,754 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 5,344 3002 Printing/Postage 150 3003 Office,Household&Program Supplies 225 3004 Advertising - 3005 IStaff Development&Training 80 3006 Staff Mileage 100 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 13,248 3009 Other(Staff Recruitment) 150 3010 Other(specify) - 3011 Other(specify) 3012 10ther(specify) DIRECT OPERATING EXPENSES TOTAL: $ 19,297 4000:DIRECT FACILITIES&EQUIPMENT Acct# I Line Item Description Amount 4001 IBuilding Maintenance $ 1,385 Fresno County Departrnent of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 3 of 46 4002 Rent/Lease Building 15,503 4003 Rent/Lease Equipment 1,765 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities 9,100 4007 Other(specify) - 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) DIRECT FACILITIES/EQUIPMENT TOTAL: $ 27,753 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ 11,314 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) DIRECT SPECIAL EXPENSES TOTAL: $ 11,314 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ 29,684 Administrative Overhead 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping 6004 External Audit - 6005 Insurance(Specify):Professional Liability Insurance 2,357 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be UsedforProgram Purposes) 6008 Personnel(Indirect Salaries&Benefits) - 6009 Insurance(Liability) 5,693 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 10ther(specify) INDIRECT EXPENSES TOTAL $ 37,734 INDIRECT COST RATE 14.41% 7000:DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 240 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) - FIXED ASSETS EXPENSES TOTAL $ 240 TOTAL PROGRAM EXPENSES $ 299,532 Fresno County apartment of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 4 of 46 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description Service Units Rate Amount 8001 Mental Health Services 0 $ 8002 Case Management 0 8003 Crisis Services 0 8004 Medication Support 0 8005 lCollateral 0 8006 Plan Development 0 8007 lAssessment 0 8008 Rehabilitation 0 8009 Other(Specify) 0 8010 Other(Specify) 0 Estimated Specialty Mental Health Services Billing Totals: 0 $ Estimated%of Clients who are Medi-Cal Beneficiaries 0% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation(FFP)% 1 0% ME DI-CAL FFP TOTAL $ 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ 8102 SABG $ SUBSTANCE USE DISORDER FUNDS TOTAL $ 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ REALIGNMENT TOTAL $ - 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ 8302 PEI-Prevention&Early Intervention 299,532 8303 INN-Innovations 8304 WET-Workforce Education&Training 8305 CFTN-Capital Facilities&Technology MHSA TOTAL $ 299,532 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ 8402 Client Insurance 8403 Grants(Specify) 8404 Other(Specify) 8405 Other(Specify) OTHER REVENUE TOTAL $ TOTAL PROGRAM FUNDING SOURCES: Fs 299,532 NET PROGRAM COST: $ Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 5 of 46 Multi-Agency Access Program (MAP) Kings View Fiscal Year (FY) 2022-2023 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position Contract#/Name/Department/County FTE Executive Director PATH SMHS/Fresno 0.01 PATH OEL/Fresno 0.01 PATH MOP/Fresno 0.03 Blue Sky/Fresno 0.05 Suicide Follow up 0.01 Rural Triage West/Fresno - Metro CIT/Fresno 0.02 Map Point/Fresno 0.01 Kings 0.23 CVSPH/California State,Tualre, Calaveras,Tuolum 0.17 Admin 0.02 Shasta 0.09 Tulare 0.26 Madera 0.06 Rural Triage 0.03 Total 1.00 Position Contract#/Name/Department/County FTE Regional Director PATH SMHS/Fresno 0.06 PATH OEL/Fresno 0.01 PATH MOP/Fresno 0.06 Blue Sky/Fresno 0.11 Rural Triage East/Fresno - Rural Triage West/Fresno - Metro CIT/Fresno 0.25 Map Point/Fresno 0.05 CVSPH/California State,Tualre, Calaveras,Tuolum 0.22 Rural Triage 0.12 Madera 0.11 Suicide Follow Up 1 0.01 Total 1.00 Position Contract#/Name/Department/County FTE Accountant Kings 0.88 Corporate 0.11 Map Point/Fresno 0.01 Revised Exhibt C-II Page 6 of 46 Total 1.00 Position Contract#/Name/Department/County FTE Quality Assurance PATH SMHS/Fresno 0.02 PATH OEL/Fresno 0.05 PATH MOP/Fresno 0.05 Blue Sky/Fresno 0.12 Rural Triage East/Fresno Rural Triage West/Fresno Metro CIT/Fresno 0.12 Map Point/Fresno 0.07 Shasta 0.04 Rural Triage 0.25 Kings 0.27 QA Dept 0.01 Total 1.00 Revised Exhibit C-II Page 7 of 46 Multi-Agency Access Program(MAP) Kings View Fiscal Year(FY)2022-23 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 200,440 Administrative Positions 13,279 1101 Executive Director 1,802 Position will provide agency specific staff oversight and represent and maintain the collaborative relationship between agencies. 1102 Regional Director 6,032 This position will assist Executive Director with staff oversight and representing and maintaining the collaborative relationship between agencies. 1103 Accountant 733 Prepares and provides budget guidance,monthly invoicing and other fiscal services. 1104 Quality Imporvement Analyst 4,712 This position will perform a wide range of duties to support data collection, management,and reporting needs for all collaborative partnerships. 1105 0 - 1106 0 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 O Program Positions 154,622 1116 Map Point Service Manager 69,826 This position will oversee the Multi Agency Access Program locations to ensure operations are running smoothly and in compliance with the contract requirements. This position is budgeted for 12 months in year one. 1117 Navigators 84,796 Navigators will provide screenings to clients and based on that information link the client to services they may need.Navigators will also collaborate with other agencies and be well versed in community resources. 1118 0 - 1119 0 1120 0 1121 0 1122 0 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 Direct Employee Benefits 18,721 1201 Retirement 1,746 1202 Worker's Compensation 2,670 1203 Health Insurance 14,305 1204 Other(specify) - 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: 13,818 1301 OASDI - 1302 FICA/MEDICARE 12,844 1303 SUI 974 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) - 2000:DIRECT CLIENT SUPPORT 2,754 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation&Support 2,004 Anticipated depreciation cost of 1 vehicle and 2 vans. 2004 Clothing,Food,&Hygiene 750 Expenses that support clients with clothing,food,water,blankets,and hygiene supplies.Also,includes miscellaneous client support items such as pet food,groceries, DMV identification,and birth certificates. 2005 Education Support - 2006 Employment Support Fresno County Department ofBehavioral fleahh Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-II Page 8 of 46 PROGRAM EXPENSE ACCT#J LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 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 1 Other(specify) 3000:DIRECT OPERATING EXPENSES 19,297 3001 Telecommunications 5,344 Cost of landline telephone services,cell phones service,data connectivity. 3002 Printing/Postage 150 Business cards or other special printing in bulk that is less cost effective to outsource rather than utilization of a copier. 3003 Office,Household&Program Supplies 225 Includes desk supplies&minor equipment used by staff in the course of providing services. 3004 Advertising - 3005 Staff Development&Training 80 Minor cost for continuation of staff development and training. 3006 Staff Mileage 100 Reimbursements to staff for personal vehicle use when Kings View owned vehicles are not available and required to provide services or other program needs,paid at IRS rate. Any travel transportation fees,such as parking fees. 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 13,248 Auto repairs&maintenance required to maintain 1 vehicle and 2 vans for client transportation and program needs,such as oil changes and car washes.Also includes, yearly cost of GPS vehicle tracking service,fuel,and DVM fees. 3009 Other(Staff Recruitment) 150 Thorough background check and drug testing. 3010 Other(specify) - 3011 Other(specify) 3012 1 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 27,753 4001 Building Maintenance 1,385 The annual cost of minor building repairs,facility supplies,and copier maintenance. 4002 Rent/Lease Building 15,503 Building space in Selma.Kings View staff will operate at sites provided free of charge such as churches in rural communities. 4003 Rent/Lease Equipment 1,765 Annual cost for copier lease. 4004 Rent/Lease Vehicles 4005 Security - 4006 Utilities 9,100 The annual cost of gas and electric costs. 4007 Other(specify) - 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES 11,314 5001 Consultant(Network&Data Management) 11,314 Kings View Information Technology Department(KVIT)will provide hardware and software support successful data collection.Information services and management consisting of managed internet service provider,network and desktop management, project management,technology procurement,telecommunication management, strategic technology planning,system documentation,application/data hosting,access to data/documents/application 24/7. After hours support via email and phone 24/7. 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 1 Other(specify) 6000:INDIRECT EXPENSES 37,734 6001 Administrative Overhead 29,684 Expenses provides corporate management,fiscal services,payroll,human resources, 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping 6004 External Audit - 6005 Insurance(Specify):Professional Liability Insurance 2,357 Cost general and professional liability insurance. 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) - 6009 Insurance(Liability) 5,693 Cost of personal property,accidental and auto insurance. 6010 Other(specify) - 6011 Other(specify) 6012 Other(specify) 6013 1 Other(specify) Fresno County Departrnent of Behavioral Fleahh Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-II Page 9 of 46 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 7000:DIRECT FIXED ASSETS 240 7001 Computer Equipment&Software 240 Software needs to support staff. 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA - 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 1 Other(specify) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 1 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 299,532 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 299,532 BUDGET CHECK: - Fresno County Department ofBehavioral Heahh Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-II Page 10 of 46 Multi-Agency Access Program(MAP) Kings View Fiscal Year(FY)2023-24 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Executive Director 0.01 $ 1,802 $ 1,802 1102 Regional Director 0.05 6,032 6,032 1103 Accountant 0.01 733 733 1104 Quality Improvement Analyst 0.07 4,712 4,712 1105 - 1106 - - 1107 - - 1108 - - 1109 - - 1110 - - 1111 - 1112 - - 1113 - 1114 - - 1115 - Direct Personnel Admin Salaries Subtotal 0.14 $ 13,279 $ 13,279 Acct# Program Position FTE Admin Program Total 1116 Map Point Services Manager 1.00 $ 69,826 $ 69,826 1117 Navigators 2.00 84,796 84,796 1118 - - 1119 - 1120 - - 1121 - 1122 - - 1123 - 1124 - - 1125 - 1126 - - 1127 - - 1128 - - 1129 - - 1130 - - 1131 - 1132 - - 1133 - 1134 - - Direct Personnel Program Salaries Subtotal 3.00 $ 154,622 $ 154,622 Admin Program Total Direct Personnel Salaries Subtotall 3.14 1 $ 13,279 1 $ 154,622 1 $ 167,991 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 140 $ 1,606 $ 1,746 1202 Worker's Compensation 214 2,456 2,670 1203 Health Insurance 1,144 13,161 14,305 1204 Other(specify) - - - 1205 10ther(specify) - - - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 11 of 46 1206 10ther(specify) - - - Direct Employee Benefits Subtotal:1 $ 1,498 $ 17,223 $ 18,721 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ - $ - 1302 FICA/MEDICARE 1,028 11,816 12,844 1303 SUI 78 896 974 1304 Other(specify) - - 1305 10ther(specify) - - - 1306 10ther(specify) - - Direct Payroll Taxes&Expenses Subtotal: $ 1,106 $ 12,712 $ 13,818 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 15,883 $ 184,557 $ 200,440 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 8% 92% 2000: DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support - 2003 Client Transportation&Support 2,004 2004 Clothing, Food,&Hygiene 750 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 10ther(specify) - 2016 10ther(specify) - DIRECT CLIENT CARE TOTAL $ 2,754 3000: DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 5,344 3002 Printing/Postage 150 3003 Office,Household&Program Supplies 225 3004 Advertising - 3005 Staff Development&Training 80 3006 Staff Mileage 100 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 13,248 3009 Other(Staff Recruitment) 150 3010 Other(specify) - 3011 Other(specify) - 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 19,297 4000:DIRECT FACILITIES&EQUIPMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 12 of 46 Acct# Line Item Description Amount 4001 Building Maintenance $ 1,385 4002 Rent/Lease Building 15,503 4003 Rent/Lease Equipment 1,765 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities 9,100 4007 Other(specify) - 4008 Other(specify) - 4009 Other(specify) - 4010 10ther(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 27,753 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ 11,314 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) - DIRECT SPECIAL EXPENSES TOTAL:1 $ 11,314 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ 29,684 Administrative Overhead 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping - 6004 External Audit - 6005 Insurance(Specify): Professional Liability Insurance 2,357 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) 6008 Personnel(Indirect Salaries&Benefits) - 6009 Insurance(Liability) 5,693 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 10ther(specify) - INDIRECT EXPENSES TOTAL $ 37,734 INDIRECT COST RATE 14.41% 7000: DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 240 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) - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 13 of 46 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ 240 TOTAL PROGRAM EXPENSES $ 299,532 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description 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 - - 8009 Other(Specify) 0 - 8010 Other(Specify) 0 - - Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated%of Clients who are Medi-Cal Beneficiaries 07. Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation(FFP)% 1 0% - MEDI-CAL FFP TOTAL $ - 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 SABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ - 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ REALIGNMENT TOTAL $ - 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ - 8302 PEI-Prevention&Early Intervention 299,532 8303 INN-Innovations - 8304 WET Workforce Education&Training - 8305 JCFTN-Capital Facilities&Technology - MHSA TOTAL $ 299,532 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants(Specify) - 8404 Other(Specify) - 8405 10ther(Specify) - OTHER REVENUE TOTAL $ - TOTAL PROGRAM FUNDING SOURCES: $ 299,532 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 14 of 46 Multi-Agency Access Program (MAP) Kings View Fiscal Year (FY) 2023-24 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position Contract#/Name/Department/County FTE Executive Director PATH SMHS/Fresno 0.01 PATH OEL/Fresno 0.01 PATH MOP/Fresno 0.03 Blue Sky/Fresno 0.05 Suicide Follow up 0.01 Rural Triage West/Fresno - Metro CIT/Fresno 0.02 Map Point/Fresno 0.01 Kings 0.23 CVSPH/California State,Tualre, Calaveras, Tuolum 0.17 Admin 0.02 Shasta 0.09 Tulare 0.26 Madera 0.06 Rural Triage 0.03 Total 1.00 Position Contract#/Name/Department/County FTE Regional Director PATH SMHS/Fresno 0.06 PATH OEL/Fresno 0.01 PATH MOP/Fresno 0.06 Blue Sky/Fresno 0.11 Rural Triage East/Fresno - Rural Triage West/Fresno - Metro CIT/Fresno 0.25 Map Point/Fresno 0.02 CVSPH/California State,Tualre, Calaveras, Tuolum 0.22 Rural Triage 0.12 Madera 0.14 Suicide Follow Up 1 0.01 Total 1.00 Position Contract#/Name/Department/County FTE Accountant Kings 0.88 Corporate 0.11 Map Point/Fresno 0.01 Revised Exhibit C-II Page 15 of 46 Total 1.00 Position Contract#/Name/Department/County FTE Quality Assurance PATH SMHS/Fresno 0.02 PATH OEL/Fresno 0.05 PATH MOP/Fresno 0.05 Blue Sky/Fresno 0.12 Rural Triage East/Fresno Rural Triage West/Fresno Metro CIT/Fresno 0.12 Map Point/Fresno 0.07 Shasta 0.04 Rural Triage 0.25 Kings 0.27 QA Dept 0.01 Total 1.00 Revised Exhibit C-II Page 16 of 46 Multi-Agency Access Program(MAP) Kings View Fiscal Year(FY)2023-24 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 200,440 Administrative Positions 13,279 1101 Executive Director 1,802 Position will provide agency specific staff oversight and represent and maintain the collaborative relationship between agencies. 1102 Regional Director 6,032 This position will assist Executive Director with staff oversight and representing and maintaining the collaborative relationship between agencies. 1103 Accountant 733 Prepares and provides budget guidance,monthly invoicing and other fiscal services. 1104 Quality Imporvement Analyst 4,712 This position will perform a wide range of duties to support data collection, management,and reporting needs for all collaborative partnerships. 1105 0 - 1106 0 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 0 Program Positions 154,622 1116 Map Point Service Manager 69,826 This position will oversee the Multi Agency Access Program locations to ensure operations are running smoothly and in compliance with the contract requirements. This position is budgeted for 12 months in year one. 1117 Navigators 84,796 Navigators will provide screenings to clients and based on that information link the client to services they may need.Navigators will also collaborate with other agencies and be well versed in community resources. 1118 0 - 1119 0 1120 0 1121 0 1122 0 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 Direct Employee Benefits 18,721 1201 Retirement 1,746 1202 Worker's Compensation 2,670 1203 Health Insurance 14,305 1204 Other(specify) - 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: 13,818 1301 OASDI - 1302 FICA/MEDICARE 12,844 1303 SUI 974 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) - 2000:DIRECT CLIENT SUPPORT 2,754 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation&Support 2,004 2004 Clothing,Food,&Hygiene 750 Expenses that support clients with clothing,food,water,blankets,and hygiene supplies.Also,includes miscellaneous client support items such as pet food,groceries, DMV identification,and birth certificates. 2005 Education Support - 2006 Employment Support Fresno County Department ofBehavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-II Page 17 of 46 PROGRAM EXPENSE ACCT#J LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 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 1 Other(specify) 3000:DIRECT OPERATING EXPENSES 19,297 3001 Telecommunications 5,344 Cost of landline telephone services,cell phones service,data connectivity. 3002 Printing/Postage 150 Business cards or other special printing in bulk that is less cost effective to outsource rather than utilization of a copier. 3003 Office,Household&Program Supplies 225 Includes desk supplies&minor equipment used by staff in the course of providing services. 3004 Advertising - 3005 Staff Development&Training 80 Minor cost for continuation of staff development and training. 3006 Staff Mileage 100 Reimbursements to staff for personal vehicle use when Kings View owned vehicle not available and required to provide services or other program needs,paid at IRS rate. Any travel transportation fees,such as parking fees. 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 13,248 Auto repairs&maintenance required to maintain 1 vehicle and 2 vans for client transportation and program needs,such as oil changes and car washes.Also includes, yearly cost of GPS vehicle tracking service,fuel,and DVM fees. 3009 Other(Staff Recruitment) 150 Thorough background check and drug testing. 3010 Other(specify) - 3011 Other(specify) 3012 1 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 27,753 4001 Building Maintenance 1,385 The annual cost of minor building repairs,facility supplies,and copier maintenance. 4002 Rent/Lease Building 15,503 Building space in Selma.Kings View staff will operate at sites provided free of charge such as churches in rural communities. 4003 Rent/Lease Equipment 1,765 Annual cost for copier lease. 4004 Rent/Lease Vehicles 4005 Security - 4006 Utilities 9,100 The annual cost of gas and electric costs. 4007 Other(specify) - 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES 11,314 5001 Consultant(Network&Data Management) 11,314 Kings View Information Technology Department(KVIT)will provide hardware and software support successful data collection.Information services and management consisting of managed internet service provider,network and desktop management, project management,technology procurement,telecommunication management, strategic technology planning,system documentation,application/data hosting,access to data/documents/application 24/7. After hours support via email and phone 24/7. 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 1 Other(specify) 6000:INDIRECT EXPENSES 37,734 6001 Administrative Overhead 29,684 Expenses provides corporate management,fiscal services,payroll,human resources, 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping 6004 External Audit - 6005 Insurance(Specify):Professional Liability Insurance 2,357 Cost general and professional liability insurance. 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used Anticipated depreciation cost of 1 vehicle and 2 vans. 6008 Personnel(Indirect Salaries&Benefits) 6009 Insurance(Liability) 5,693 Cost of personal property,accidental and auto insurance. 6010 Other(specify) - 6011 Other(specify) 6012 Other(specify) 6013 1 Other(specify) Fresno County Departrnent of Behavioral Heahh Contract Budget Narrative Revised 2/7/2020 Revised Exhihit C-II Pagc 18 of 46 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 7000:DIRECT FIXED ASSETS 240 7001 Computer Equipment&Software 240 Software needs to support staff. 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA - 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 1 Other(specify) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 1 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 299,532 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 299,532 BUDGET CHECK: - Fresno County Department ofBehavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-II Page 19 of 46 Multi-Agency Access Program(MAP) Poverello House Fiscal Year(FY)2022-23 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Map Point Resource Coordinator 0.25 $ 12,740 $ 12,740 1102 1103 1104 1105 1106 1107 1108 1109 - 1110 - - 1111 - 1112 - - 1113 - 1114 - - 1115 - Direct Personnel Admin Salaries Subtotal 0.25 $ 12,740 $ 12,740 Acct# Program Position FTE Admin Program Total 1116 Map Point Resource Coordinator 0.75 $ 38,220 $ 38,220 1117 Transporter 1.00 33,280 33,280 1118 Transporter 1.00 33,280 33,280 1119 Navigator 1.00 37,440 37,440 1120 Navigator 1.00 37,440 37,440 1121 Navigator 1.00 37,440 37,440 1122 Rural Navigator 1.00 37,440 37,440 1123 - 1124 - - 1125 - 1126 - - 1127 - 1128 - - 1129 - 1130 - - 1131 - 1132 - - 1133 - 1134 - - Direct Personnel Program Salaries Subtotal 6.75 $ 254,540 $ 254,540 Admin Program Total Direct Personnel Salaries Subtotall 7.00 1 $ 12,740 1 $ 254,540 1 $ 267,280 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 192 $ 3,822 $ 4,014 1202 Worker's Compensation 126 2,546 2,672 1203 Health Insurance 1,500 40,500 42,000 1204 Other(specify) - - - 1205 10ther(specify) - - Revised Exhibit C-II Page 20 of 46 1206 10ther(specify) - - - Direct Employee Benefits Subtotal:1 $ 1,818 $ 46,868 $ 48,686 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ - $ - 1302 FICA/MEDICARE 974 19,472 20,446 1303 SUI 126 2,546 2,672 1304 Other(specify) - - 1305 10ther(specify) - - - 1306 10ther(specify) - - Direct Payroll Taxes&Expenses Subtotal: $ 1,100 $ 22,018 $ 23,118 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 15,658 $ 323,426 $ 339,084 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 5%1 950 2000: DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support - 2003 Client Transportation&Support 2,500 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 10ther(specify) - 2016 10ther(specify) - DIRECT CLIENT CARE TOTAL $ 2,500 3000: DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 8,000 3002 Printing/Postage - 3003 Office,Household&Program Supplies 4,000 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 2,000 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance - 3009 Other(specify) - 3010 Other(specify) - 3011 Other(specify) - 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 14,000 4000:DIRECT FACILITIES&EQUIPMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 21 of 46 Acct# Line Item Description Amount 4001 Building Maintenance $ 1,000 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 2,400 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities - 4007 Other(specify) - 4008 Other(specify) - 4009 Other(specify) - 4010 10ther(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 3,400 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 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) - DIRECT SPECIAL EXPENSES TOTAL: $ - 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ - Administrative Overhead 6002 Professional Liability Insurance 1,200 6003 Accounting/Bookkeeping 2,400 6004 External Audit - 6005 Insurance(Specify): - 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) 17,673 6009 Other(specify) - 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 10ther(specify) - INDIRECT EXPENSES TOTAL $ 21,273 INDIRECT COST RATE 5.93% 7000: DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ - 7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data - 7003 Furniture&Fixtures - 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ d- Fresno 7006 Assets over$5,000/unit(Specify) 7007 Other(specify)County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 22 of 46 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ - TOTAL PROGRAM EXPENSES $ 380,257 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description 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 - - 8009 Other(Specify) 0 - 8010 Other(Specify) 0 - - Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated%of Clients who are Medi-Cal Beneficiaries 07. Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation(FFP)% 1 0% - MEDI-CAL FFP TOTAL $ - 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 SABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ - 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ REALIGNMENT TOTAL $ - 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ - 8302 PEI-Prevention&Early Intervention 380,257 8303 INN-Innovations - 8304 WET Workforce Education&Training - 8305 JCFTN-Capital Facilities&Technology - MHSA TOTAL $ 380,257 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants(Specify) - 8404 Other(Specify) - 8405 10ther(Specify) - OTHER REVENUE TOTAL $ - TOTAL PROGRAM FUNDING SOURCES: $ 380,257 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 23 of 46 Multi-Agency Access Program(MAP) Poverello House Fiscal Year(FY)2022-23 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 339,084 Administrative Positions 12,740 1101 Map Point Resource Coordinator 12,740 Oversee the program staff and make sure program objectives are met. 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 10 - Program Positions 254,540 1116 Map Point Resource Coordinator 38,220 Oversee the program staff and make sure program objectives are met and provide direct services to clients when necessary. 1117 Transporter 33,280 Transport clients to and from Poverello House to receive services and to other appts. 1118 Transporter 33,280 Transport clients to and from Poverello House to receive services and to other appts. 1119 Navigator 37,440 Administer the Community Tool to the client and dervelop a linkage plan. 1120 Navigator 37,440 Administer the Community Tool to the client and dervelop a linkage plan. 1121 Navigator 37,440 Administer the Community Tool to the client and dervelop a linkage plan. 1122 Rural Navigator 37,440 Administer the Community Tool to the client and dervelop a linkage plan. 1123 0 - 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 O Direct Employee Benefits 48,686 1201 Retirement 4,014 3%of total gross wages with 50%participation. 1202 Worker's Compensation 2,672 1%of gross wages 1203 Health Insurance 42,000 Average of$500 per FTE x 12 months 1204 Other(specify) - 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: 23,118 1301 OASDI - 1302 FICA/MEDICARE 20,446 Gross Wages x 7.65% 1303 SUI 2,672 1%of gross wages 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) - 2000:DIRECT CLIENT SUPPORT 2,500 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation&Support 2,500 Bus Tokens for client transportation 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) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-II Page 24 of 46 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 Other(specify) 3000:DIRECT OPERATING EXPENSES 14,000 3001 Telecommunications 8,000 $3600 for land lines,$2400 for cell phones for mappoint staff,$2,000 for data lines/MiFi Services. 3002 Printing/Postage - 3003 Office,Household&Program Supplies 4,000 All program supplies no office supplies 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 2,000 Mileage for staff and vehicle maintenance for Poverello House Vans used for client transportation. 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 3009 Other(specify) 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 3,400 4001 Building Maintenance 1,000 General maintenance on Mappoint building 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 2,400 Copier lease for copy machine used by mappoint staff. 4004 Rent/Lease Vehicles 4005 Security - 4006 Utilities 4007 Other(specify) 4008 Other(specify) 4009 Other(specify) 4010 1 Other(specify) 5000:DIRECT 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 1 Other(specify) 6000:INDIRECT EXPENSES 21,273 6001 Administrative Overhead - 6002 Professional Liability Insurance 1,200 Liability insurance allocated to mappoint program to cover mappoint staff. 6003 Accounting/Bookkeeping 2,400 Accounting/bookkeeping provided for mappoint specific accounting duties,i.e.posting expenses,monthly invoicing. 6004 External Audit - 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) 17,673 Administrative salaries and benefits such as CEO and Chief Programs Officer not allocated to program as direct costs. 6009 Other(specify) - 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 1 Other(specify) 7000:DIRECT FIXED ASSETS 7001 Computer Equipment&Software 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA 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 1 Other(specify) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Fresno County Departrnent of Behavioral fleahh Contract Budget Narrative Revised 2/7/2020 Revised Exhihit C-II Page 25 of 46 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8 002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 380,257 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 380,257 BUDGET CHECK: - Fresno County Department ofBehavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-II Page 26 of 46 Multi-Agency Access Program(MAP) Poverello House Fiscal Year(FY)2023-24 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Map Point Resource Coordinator 0.25 $ 12,740 $ 12,740 1102 - - 1103 - 1104 - - 1105 - - 1106 - - 1107 - - 1108 - - 1109 - 1110 - - 1111 - 1112 - - 1113 - 1114 - - 1115 - Direct Personnel Admin Salaries Subtotal 0.25 $ 12,740 $ 12,740 Acct# Program Position FTE Admin Program Total 1116 Map Point Resource Coordinator 0.75 $ 38,220 $ 38,220 1117 Transporter 1.00 33,280 33,280 1118 Transporter 1.00 33,280 33,280 1119 Navigator 1.00 37,440 37,440 1120 Navigator 1.00 37,440 37,440 1121 Navigator 1.00 37,440 37,440 1122 Rural Navigator 1.00 37,440 37,440 1123 - - 1124 - - 1125 - 1126 - - 1127 - 1128 - - 1129 - 1130 - - 1131 - 1132 - - 1133 - 1134 - - Direct Personnel Program Salaries Subtotal 6.75 $ 254,540 $ 254,540 Admin Program Total Direct Personnel Salaries Subtotall 7.00 1 $ 12,740 1 $ 254,540 1 $ 267,280 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 192 $ 3,822 $ 4,014 1202 Worker's Compensation 126 2,546 2,672 1203 Health Insurance 1,500 40,500 42,000 1204 Other(specify) - - - 1205 10ther(specify) - - - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 27 of 46 1206 10ther(specify) - - - Direct Employee Benefits Subtotal:1 $ 1,818 $ 46,868 $ 48,686 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ - $ - 1302 FICA/MEDICARE 974 19,472 20,446 1303 SUI 126 2,546 2,672 1304 Other(specify) - - 1305 10ther(specify) - - - 1306 10ther(specify) - - Direct Payroll Taxes&Expenses Subtotal: $ 1,100 $ 22,018 $ 23,118 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 15,658 $ 323,426 $ 339,084 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 5%1 95% 2000: DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support - 2003 Client Transportation&Support 2,500 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 10ther(specify) - 2016 10ther(specify) - DIRECT CLIENT CARE TOTAL $ 2,500 3000: DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 8,000 3002 Printing/Postage - 3003 Office,Household&Program Supplies 4,000 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 2,000 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance - 3009 Other(specify) - 3010 Other(specify) - 3011 Other(specify) - 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 14,000 4000:DIRECT FACILITIES&EQUIPMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 28 of 46 Acct# Line Item Description Amount 4001 Building Maintenance $ 1,000 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 2,400 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities - 4007 Other(specify) - 4008 Other(specify) - 4009 Other(specify) - 4010 10ther(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 3,400 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 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) - DIRECT SPECIAL EXPENSES TOTAL: $ - 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ - Administrative Overhead 6002 Professional Liability Insurance 1,200 6003 Accounting/Bookkeeping 2,400 6004 External Audit - 6005 Insurance(Specify): - 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) 17,673 6009 Other(specify) - 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 10ther(specify) - INDIRECT EXPENSES TOTAL $ 21,273 INDIRECT COST RATE 5.93% 7000: DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ - 7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data - 7003 Furniture&Fixtures - 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 Assets over$5,000/unit(Specify) - 7007 Other(specify) - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 29 of 46 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ - TOTAL PROGRAM EXPENSES $ 380,257 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description 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 - - 8009 Other(Specify) 0 - 8010 Other(Specify) 0 - - Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated%of Clients who are Medi-Cal Beneficiaries 07. Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation(FFP)% 0% - MEDI-CAL FFP TOTAL $ - 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 SABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ - 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ REALIGNMENT TOTAL $ - 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ - 8302 PEI-Prevention&Early Intervention 380,257 8303 INN-Innovations - 8304 WET Workforce Education&Training - 8305 JCFTN-Capital Facilities&Technology - MHSA TOTAL $ 380,257 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants(Specify) - 8404 Other(Specify) - 8405 10ther(Specify) - OTHER REVENUE TOTAL $ - TOTAL PROGRAM FUNDING SOURCES: $ 380,257 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 30 of 46 Multi-Agency Access Program(MAP) Poverello House Fiscal Year(FY)2023-24 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 339,084 Administrative Positions 12,740 1101 Map Point Resource Coordinator 12,740 Oversee the program staff and make sure program objectives are met. 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 10 - Program Positions 254,540 1116 Map Point Resource Coordinator 38,220 Oversee the program staff and make sure program objectives are met and provide direct services to clients when necessary. 1117 Transporter 33,280 Transport clients to and from Poverello House to receive services and to other appts. 1118 Transporter 33,280 Transport clients to and from Poverello House to receive services and to other appts. 1119 Navigator 37,440 Administer the Community Tool to the client and dervelop a linkage plan. 1120 Navigator 37,440 Administer the Community Tool to the client and dervelop a linkage plan. 1121 Navigator 37,440 Administer the Community Tool to the client and dervelop a linkage plan. 1122 Rural Navigator 37,440 Administer the Community Tool to the client and dervelop a linkage plan. 1123 0 - 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 O Direct Employee Benefits 48,686 1201 Retirement 4,014 3%of total gross wages with 50%participation. 1202 Worker's Compensation 2,672 1%of gross wages 1203 Health Insurance 42,000 Average of$500 per FTE x 12 months 1204 Other(specify) - 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: 23,118 1301 OASDI - 1302 FICA/MEDICARE 20,446 Gross Wages x 7.65% 1303 SUI 2,672 1%of gross wages 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) - 2000:DIRECT CLIENT SUPPORT 2,500 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation&Support 2,500 Bus Tokens for client transportation 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) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-II Page 31 of 46 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 Other(specify) 3000:DIRECT OPERATING EXPENSES 14,000 3001 Telecommunications 8,000 $3600 for land lines,$2400 for cell phones for mappoint staff,$2,000 for data lines/MiFi Services. 3002 Printing/Postage - 3003 Office,Household&Program Supplies 4,000 All program supplies no office supplies 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 2,000 Mileage for staff and vehicle maintenance for Poverello House Vans used for client transportation. 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 3009 Other(specify) 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 3,400 4001 Building Maintenance 1,000 General maintenance on Mappoint building 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 2,400 Copier lease for copy machine used by mappoint staff. 4004 Rent/Lease Vehicles 4005 Security - 4006 Utilities 4007 Other(specify) 4008 Other(specify) 4009 Other(specify) 4010 1 Other(specify) 5000:DIRECT 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 1 Other(specify) 6000:INDIRECT EXPENSES 21,273 6001 Administrative Overhead - 6002 Professional Liability Insurance 1,200 Liability insurance allocated to mappoint program to cover mappoint staff. 6003 Accounting/Bookkeeping 2,400 Accounting/bookkeeping provided for mappoint specific accounting duties,i.e.posting expenses,monthly invoicing. 6004 External Audit - 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) 17,673 Administrative salaries and benefits such as CEO and Chief Programs Officer not allocated to program as direct costs. 6009 Other(specify) - 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 1 Other(specify) 7000:DIRECT FIXED ASSETS 7001 Computer Equipment&Software 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA 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 1 Other(specify) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Fresno County Departrnent of Behavioral fleahh Contract Budget Narrative Revised 2/7/2020 Revised Exhihit C-II Pagc 32 of 46 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8 002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 380,257 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 380,257 BUDGET CHECK: - Fresno County Department ofBehavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-II Page 33 of 46 Multi-Agency Access Program(MAP) Centro La Familia Advocacy Services Fiscal Year(FY)2022-23 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Department Manager 0.45 $ 24,750 $ 24,750 1102 - - 1103 - 1104 - - 1105 - 1106 - - 1107 - 1108 - - 1109 - - 1110 - - 1111 - - 1112 - - 1113 - - 1114 - - 1115 - - Direct Personnel Admin Salaries Subtotal 0.45 $ 24,750 $ 24,750 Acct# Program Position FTE Admin Program Total 1116 Navigator 1.00 $ 40,950 $ 40,950 1117 Navigator 1.00 40,950 40,950 1118 Navigator 1.00 40,950 40,950 1119 - 1120 - - 1121 - 1122 - - 1123 - 1124 - - 1125 - 1126 - - 1127 - - 1128 - - 1129 - - 1130 - - 1131 - - 1132 - - 1133 - - 1134 - - Direct Personnel Program Salaries Subtotal 3.00 $ 122,850 $ 122,850 Admin Program Total Direct Personnel Salaries Subtotall 3.45 1 $ 24,750 1 $ 122,850 1 $ 147,600 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 743 $ 3,685 $ 4,428 1202 Worker's Compensation 334 1,659 1,993 1203 Health Insurance 4,131 27,540 31,671 1204 Other(specify) - - - 1205 10ther(specify) - - Revised Exhibit C-II Page 34 of 46 1206 10ther(specify) - - - Direct Employee Benefits Subtotal:1 $ 5,208 $ 32,884 1 $ 38,092 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ - $ - 1302 FICA/MEDICARE 1,893 9,398 11,291 1303 SUI 195 1,302 1,497 1304 Other(specify) - - 1305 10ther(specify) - - - 1306 10ther(specify) - - Direct Payroll Taxes&Expenses Subtotal: $ 2,088 $ 10,700 $ 12,788 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 32,046 $ 166,434 $ 198,480 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 16% 84% 2000: DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 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 3,000 2008 Medication Supports - 2009 Program Supplies-Medical - 2010 Utility Vouchers - 2011 Other(specify) - 2012 Other(specify) - 2013 Other(specify) - 2014 Other(specify) - 2015 10ther(specify) - 2016 10ther(specify) - DIRECT CLIENT CARE TOTAL $ 3,000 3000: DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ - 3002 Printing/Postage - 3003 Office,Household&Program Supplies 1,344 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 4,536 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance - 3009 Cell Phones 762 3010 Data Lines/Wifi Services/Landlines(VOIP) 672 3011 Other(specify) - 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 7,314 4000:DIRECT FACILITIES&EQUIPMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 35 of 46 Acct# Line Item Description Amount 4001 Building Maintenance $ - 4002 Rent/Lease Building 1,680 4003 Rent/Lease Equipment 672 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities 1,344 4007 Other(specify) - 4008 Other(specify) - 4009 Other(specify) - 4010 10ther(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 3,696 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 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) - DIRECT SPECIAL EXPENSES TOTAL: $ - 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ - Administrative Overhead 6002 Professional Liability Insurance 672 6003 Accounting/Bookkeeping 2,000 6004 External Audit 500 6005 Insurance(Specify): - 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) 4,549 6009 Other(specify) - 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 10ther(specify) - INDIRECT EXPENSES TOTAL $ 7,721 INDIRECT COST RATE 3.63% 7000: DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ - 7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data - 7003 Furniture&Fixtures - 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 Assets over$5,000/unit(Specify) - 7007 Other(specify) - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 36 of 46 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ - TOTAL PROGRAM EXPENSES $ 220,211 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description 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 - - 8009 Other(Specify) 0 - 8010 Other(Specify) 0 - Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated%of Clients who are Medi-Cal Beneficiaries 07. Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation(FFP)% 1 0% - MEDI-CAL FFP TOTAL $ - 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 SABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ - 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment REALIGNMENT TOTAL $ - 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ - 8302 PEI-Prevention&Early Intervention 220,211 8303 INN-Innovations - 8304 WET Workforce Education&Training - 8305 JCFTN-Capital Facilities&Technology - MHSA TOTAL $ 220,211 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants(Specify) - 8404 Other(Specify) - 8405 10ther(Specify) - OTHER REVENUE TOTAL $ - TOTAL PROGRAM FUNDING SOURCES: $ 220,211 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 37 of 46 Multi-Agency Access Program(MAP) Centro La Familia Advocacy Services Fiscal Year(FY)2022-23 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 198,480 Administrative Positions 24,750 1101 Department Manager 24,750 Will provide staff and program oversight.Wil represent and maintain the collaborative relationship between the three agencies.Calculated at.45 of yearly income 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 Program Positions 122,850 1116 Navigator 40,950 Assit clients with MAP Point Services,administer the Community Screening Tool and the VI-SPDAT to clients and assist with linkages.Calculated at$21/hour x 1950 hours 1117 Navigator 40,950 Assit clients with MAP Point Services,administer the Community Screening Tool and the VI-SPDAT to clients and assist with linkages.Calculated at$21/hour x 1950 hours 1118 Navigator 40,950 Assit clients with MAP Point Services,administer the Community Screening Tool and the VI-SPDAT to clients and assist with linkages.Calculated at$21/hour x 1950 hours 1119 0 - 1120 0 1121 0 1122 0 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 Direct Employee Benefits 38,092 1201 Retirement 4,428 Calculated at 3.45 FTE at 3%of salary rates 1202 Worker's Compensation 1,993 Budgeted based on current salary expenses. 1203 Health Insurance 31,671 Calculated at blended staff rate for project funded staff. 1204 Other(specify) - 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: 12,788 1301 OASDI - 1302 FICA/MEDICARE 11,291 Calculated at 7.65%per salary dollar. 1303 SUI 1,497 Budgeted based on current salary expenses. 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) - 2000:DIRECT CLIENT SUPPORT 3,000 2001 Child Care - 2002 Client Housing Support 2003 Client Transportation&Support 2004 Clothing,Food,&Hygiene 2005 Education Support 2006 Employment Support - 2007 Household Items for Clients 3,000 Supplies provided to clients in need of household items. Fresno County Department of Behavioral Fleahh Contract Budget Mnative Revised 2/7/2020 Revised Exhibit C-II Page 38 of 46 PROGRAM EXPENSE ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 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 1 Other(specify) 3000:DIRECT OPERATING EXPENSES 7,314 3001 Telecommunications - 3002 Printing/Postage - 3003 Office,Household&Program Supplies 1,344 Office Supplies such as desktop items,ink and paper calcuated at$112 per month 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 4,536 Calculated at.585 Federal Milage Rate x 216 miles per month x 3 staff members x 12 months.Charging less for budget availability. 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 3009 Cell Phones 762 Calculated at$40 per month for 3.45 FTE staff,charging less for budget availability. 3010 Data Lines/Wifi Services/Landlines(VOIP) 672 Calculated at$100 per month for 3.45 FTE staff,charging less for budget availability. 3011 Other(specify) - 3012 1 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 3,696 4001 Building Maintenance - 4002 Rent/Lease Building 1,680 Calculated at.85 per square foot for 3.45 FTE staff x 12 months,charging less for budget availability. 4003 Rent/Lease Equipment 672 Calculated at$100 per month x 12 months,charging less for budget availability. 4004 Rent/Lease Vehicles 4005 Security - 4006 Utilities 1,344 Calculated at$200 per month for 3.45 FTE staff x 12 months,charging less for budget availability. 4007 Other(specify) - 4008 Other(specify) 4009 Other(specify) 4010 1 Other(specify) 5000:DIRECT 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 1 Other(specify) 6000:INDIRECT EXPENSES 7,721 6001 Administrative Overhead - 6002 Professional Liability Insurance 672 Includes general liability,professional liability and auto insurance. 6003 Accounting/Bookkeeping 2,000 Charged at 4%of$7,500 monthly cost.Charging less for budget availability 6004 External Audit 500 Charged at 4%of 13,000 annual cost.Charging less for budget availability 6005 Insurance(Specify): - 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) 4,549 Covers a small portion of administrative time(HR,Directors,etc) 6009 Other(specify) - 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 1 Other(specify) 7000:DIRECT FIXED ASSETS 7001 Computer Equipment&Software 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA 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 1 Other(specify) Fresno County Department ofBehavioral Heahh Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-II Page 39 of 46 PROGRAM EXPENSE ACCT# LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 1 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 220,211 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 220,211 BUDGET CHECK: - Fresno County apamnent of Behavioral Flealth Contract Budget Narn tive Revised 2n/2020 Revised Exhibit C-II Page 40 of 46 Multi-Agency Access Program(MAP) Centro La Familia Advocacy Services Fiscal Year(FY)2023-24 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Department Manager 0.45 $ 24,750 $ 24,750 1102 - - 1103 - - 1104 - - 1105 - - 1106 - 1107 - - 1108 - 1109 - - 1110 - 1111 - - 1112 - 1113 - 1114 - 1115 - - Direct Personnel Admin Salaries Subtotal 0.45 $ 24,750 $ 24,750 Acct# Program Position FTE Admin Program Total 1116 Navigator 1.00 $ 40,950 $ 40,950 1117 Navigator 1.00 40,950 40,950 1118 Navigator 1.00 40,950 40,950 1119 - - 1120 - 1121 - - 1122 - 1123 - - 1124 - 1125 - - 1126 - 1127 - - 1128 - - 1129 - - 1130 - - 1131 - - 1132 - - 1133 - - 1134 - Direct Personnel Program Salaries Subtotall 3.00 $ 122,850 $ 122,850 Admin Program Total Direct Personnel Salaries Subtotal 3.45 $ 24,750 $ 122,850 $ 147,600 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 743 $ 3,685 $ 4,428 1202 Worker's Compensation 334 1,659 1,993 1203 Health Insurance 4,131 27,540 31,671 1204 Other(specify) - - - 1205 10ther(specify) - - - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 41 of 46 1206 10ther(specify) - - - Direct Employee Benefits Subtotal:1 $ 5,208 $ 32,884 1 $ 38,092 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ - $ - 1302 FICA/MEDICARE 1,893 9,398 11,291 1303 SUI 195 1,302 1,497 1304 Other(specify) - - - 1305 10ther(specify) - - 1306 10ther(specify) - - - Direct Payroll Taxes&Expenses Subtotal: $ 2,088 $ 10,700 $ 12,788 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 32,046 $ 166,434 $ 198,480 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 16% 84% 2000: DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 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 3,000 2008 Medication Supports - 2009 Program Supplies-Medical - 2010 Utility Vouchers - 2011 Other(specify) - 2012 Other(specify) - 2013 Other(specify) - 2014 Other(specify) - 2015 10ther(specify) - 2016 10ther(specify) - DIRECT CLIENT CARE TOTAL $ 3,000 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ - 3002 Printing/Postage - 3003 Office,Household&Program Supplies 1,344 3004 Advertising 3005 Staff Development&Training 3006 Staff Mileage 4,536 3007 Subscriptions&Memberships 3008 Vehicle Maintenance 3009 Cell Phones 762 3010 Data Lines/WiFi Services/Landlines(VOIP) 672 3011 Other(specify) - 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 7,314 4000: DIRECT FACILITIES&EQUIPMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 42 of 46 Acct# Line Item Description Amount 4001 Building Maintenance $ - 4002 Rent/Lease Building 1,680 4003 Rent/Lease Equipment 672 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities 1,344 4007 Other(specify) - 4008 Other(specify) - 4009 Other(specify) - 4010 10ther(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 3,696 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 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) - DIRECT SPECIAL EXPENSES TOTAL: $ - 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ - Administrative Overhead 6002 Professional Liability Insurance 672 6003 Accounting/Bookkeeping 2,000 6004 External Audit 500 6005 Insurance(Specify): - 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) 4,549 6009 Other(specify) - 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 10ther(specify) - INDIRECT EXPENSES TOTAL 1 $ 7,721 INDIRECT COST RATE 3.63% 7000: DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ - 7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data - 7003 Furniture&Fixtures - 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 Assets over$5,000/unit(Specify) - 7007 Other(specify) - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 43 of 46 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ - TOTAL PROGRAM EXPENSES $ 220,211 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description 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 - 8009 Other(Specify) 0 - 8010 Other(Specify) 0 - Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated%of Clients who are Medi-Cal Beneficiaries 0% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries Federal Financial Participation(FFP)% 0% MEDI-CAL FFP TOTAL $ - 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 SABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ - 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ - REALIGNMENT TOTAL $ - 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ - 8302 PEI-Prevention&Early Intervention 220,211 8303 INN-Innovations - 8304 WET-Workforce Education&Training - 8305 JCFTN-Capital Facilities&Technology - MHSA TOTAL $ 220,211 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants(Specify) - 8404 Other(Specify) - 8405 10ther(Specify) - OTHER REVENUE TOTAL $ - TOTAL PROGRAM FUNDING SOURCES: $ 220,211 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-II Page 44 of 46 Multi-Agency Access Program(MAP) Centro La Familia Advocacy Services Fiscal Year(FY)2023-24 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 198,480 Administrative Positions 24,750 1101 Program Manager 24,750 Will provide staff and program oversight.Wil represent and maintain the collaborative relationship between the three agencies.Calculated at.45 of yearly income 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 Program Positions 122,850 1116 Navigator 40,950 Assit clients with MAP Point Services,administer the Community Screening Tool and the VI-SPDAT to clients and assist with linkages.Calculated at$21/hour x 1950 hours 1117 Navigator 40,950 Assit clients with MAP Point Services,administer the Community Screening Tool and the VI-SPDAT to clients and assist with linkages.Calculated at$21/hour x 1950 hours 1118 Navigator 40,950 Assit clients with MAP Point Services,administer the Community Screening Tool and the VI-SPDAT to clients and assist with linkages.Calculated at$21/hour x 1950 hours 1119 0 - 1120 0 1121 0 1122 0 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 Direct Employee Benefits 38,092 1201 Retirement 4,428 Calculated at 3.45 FTE at 3%of salary rates 1202 Worker's Compensation 1,993 Budgeted based on current salary expenses. 1203 Health Insurance 31,671 Calculated at blended staff rate for project funded staff. 1204 Other(specify) - 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: 12,788 1301 OASDI - 1302 FICA/MEDICARE 11,291 Calculated at 7.65%per salary dollar. 1303 SUI 1,497 Budgeted based on current salary expenses. 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) - 2000:DIRECT CLIENT SUPPORT 3,000 2001 Child Care - 2002 Client Housing Support 2003 Client Transportation&Support 2004 Clothing,Food,&Hygiene 2005 Education Support 2006 Employment Support - 2007 Household Items for Clients 3,000 Supplies provided to clients in need of household items. Fresno County Department of Behavioral Fleahh Contract Budget Mnative Revised 2/7/2020 Revised Exhibit C-II Page 45 of 46 PROGRAM EXPENSE ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 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 1 Other(specify) 3000:DIRECT OPERATING EXPENSES 7,314 3001 Telecommunications - 3002 Printing/Postage - 3003 Office,Household&Program Supplies 1,344 Office Supplies such as desktop items,ink and paper calcuated at$112 per month 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 4,536 Calculated at.585 Federal Milage Rate x 216 miles per month x 3 staff members x 12 months.Charging less for budget availability. 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 3009 Cell Phones 762 Calculated at$40 per month for 3.45 FTE staff,charging less for budget availability. 3010 Data Lines/WiFi Services/Landlines(VOIP) 672 Calculated at$100 per month for 3.45 FTE staff,charging less for budget availability. 3011 Other(specify) - 3012 1 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 3,696 4001 Building Maintenance - 4002 Rent/Lease Building 1,680 Calculated at.85 per square foot for 3.45 FTE staff x 12 months,charging less for budget availability. 4003 Rent/Lease Equipment 672 Calculated at$100 per month x 12 months,charging less for budget availability. 4004 Rent/Lease Vehicles 4005 Security - 4006 Utilities 1,344 Calculated at$200 per month for 3.45 FTE staff x 12 months,charging less for budget availability. 4007 Other(specify) - 4008 Other(specify) 4009 Other(specify) 4010 1 Other(specify) 5000:DIRECT 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 1 Other(specify) 6000:INDIRECT EXPENSES 7,721 6001 Administrative Overhead - 6002 Professional Liability Insurance 672 Includes general liability,professional liability and auto insurance. 6003 Accounting/Bookkeeping 2,000 Charged at 4%of$7,500 monthly cost.Charging less for budget availability 6004 External Audit 500 Charged at 4%of 13,000 annual cost.Charging less for budget availability 6005 Insurance(Specify): - 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) 4,549 Covers a small portion of administrative time(HR,Directors,etc) 6009 Other(specify) - 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 1 Other(specify) 7000:DIRECT FIXED ASSETS 7001 Computer Equipment&Software 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA 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 1 Other(specify) Fresno County Department ofBehavioral Heahh Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-II Page 46 of 46 PROGRAM EXPENSE ACCT# LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 1 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 220,211 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 220,211 BUDGET CHECK: - Fresno County apamnent of Behavioral Flealth Contract Budget Narn tive Revised 2n/2020