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HomeMy WebLinkAboutAgreement A-22-422 Amendment with Kings View Rural CIT.pdf ii DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A Agreement No. 22-422 1 AMENDMENT I TO AGREEMENT 2 3 THIS AMENDMENT, hereinafter referred to as"Amendment I", is made and entered into this 4 20th day of September , 2022, by and between the COUNTY OF FRESNO, a Political Subdivision 5 of the State of California, hereinafter referred to as "COUNTY", and KINGS VIEW, a private non-profit 6 501(c)(3) California organization, whose address is 7170 N. Financial Drive, Suite 110, Fresno, CA 93720, 7 hereinafter referred to as "CONTRACTOR" (collectively the "parties"). 8 WITNESSETH: 9 WHEREAS, COUNTY, through its Department of Behavioral Health (DBH), the Mental Health 10 Services Act (MHSA) Prevention and Early Intervention (PEI) component and input from the MHSA 11 community stakeholder process, recognizes the need to provide crisis intervention team (CIT) services to 12 individuals experiencing a behavioral health crisis in the rural areas of Fresno County; and 13 WHEREAS, COUNTY, through its DBH, is a Mental Health Plan (MHP) as defined in Title 9 of 14 the California Code of Regulations (C.C.R.), Section 1810.226; and 15 WHEREAS, CONTRACTOR is qualified and willing to provide said services pursuant to the 16 terms and conditions of this Agreement; and 17 WHEREAS, the COUNTY, through its DBH, has received additional grant funds for, and wishes 18 CONTRACTOR to employ additional case management staff to provide post-crisis follow-up services in 19 conjunction with other services provided pursuant to Agreement No. 22-266. 20 NOW, THEREFORE, in consideration of the mutual covenants, terms and conditions herein 21 contained, the parties hereto agree as follows: 22 1. That in existing County Agreement No. 22-266, all references to "Exhibit C" shall be 23 replaced with the text "Exhibit C and Exhibit C-2". Exhibit C-2 is attached hereto and incorporated 24 herein by this reference. 25 2. That in existing County Agreement No. 22-266, all references to "Exhibit A" shall be 26 replaced with the text "Exhibit A and Exhibit A-2". Exhibit A-2 is attached hereto and incorporated herein 27 by this reference. 28 3. That COUNTY Agreement No. 22-266, Section One (1) "SERVICES", Subsection D, Page -1- ii DocuSign Envelope ID: 52471 E7A-61 B3-4540-BC76-0106CCAF9C4A 1 Two (2) beginning on Line Nine (9) with the word "This" and ending on Page Two (2), Line Thirteen (13) 2 after the word "requested" be deleted and the following inserted in its place: 3 "D. This Agreement provides for CIT services in the rural areas of Fresno County. 4 CONTRACTOR shall collect, maintain and report all data for Rural CIT services by the East and West 5 regions of Fresno County, independent of one another, including but not limited to: Medi-Cal billing, 6 other insurance billing, and reports; staff schedules and reports; performance measures; monthly 7 invoices and general ledgers; Crisis Care Mobile Units (CCMU) grant reports; and other data as 8 requested." 9 4. That COUNTY Agreement No. 22-266, Section Four (4) "COMPENSATION", 10 Subsection A, Page Five (5) beginning on Line Eleven (11) with the word "COUNTY" and ending on 11 Page Six (6), Line One (1) after the word "compensation" be deleted and the following inserted in its 12 place: 13 "A. COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to receive 14 compensation for actual expenditures incurred in accordance with the CONTRACTOR's "budget" 15 documents approved by the COUNTY's DBH Director or designee and attached hereto as Exhibit C "Cost 16 Proposal and Narrative" and Exhibit C-2 "Crisis Care Mobile Units Grant Budget" and incorporated herein 17 by this reference. 18 The maximum amount payable to CONTRACTOR for the period of July 1, 2022 19 through June 30, 2023 shall not exceed Two Million, Nine Hundred and Fifteen Thousand, Seven Hundred 20 and Sixty-Nine, and No/100 Dollars ($2,915,769.00). 21 The maximum amount payable to CONTRACTOR for the period of July 1, 2023 22 through June 30, 2024 shall not exceed Two Million, Eight Hundred and Sixty Thousand, Seven Hundred 23 and Twelve, and No/100 Dollars ($2,860,712.00). 24 The maximum amount payable to CONTRACTOR for the period of July 1, 2024 25 through June 30, 2025 shall not exceed Two Million, Eight Hundred and Sixty-Two Thousand, Seven 26 Hundred and Fifty-Seven, and No/100 Dollars ($2,862,757.00). 27 In no event shall compensation paid for services performed under this Agreement be 28 in excess of Eight Million, Six Hundred and Thirty-Nine Thousand, Two Hundred and Thirty-Eight, and -2- ii DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A 1 No/100 Dollars ($8,639,238.00) during the term of this Agreement. 2 It is understood that all expenses incidental to CONTRACTOR'S performance of 3 services under this Agreement shall be borne by CONTRACTOR. If CONTRACTOR fails to comply with 4 any provision of this Agreement, COUNTY shall be relieved of its obligation for further compensation." 5 5. COUNTY and CONTRACTOR agree that this Amendment I is sufficient to amend the 6 Agreement; and that upon execution of this Amendment I, the Agreement and Amendment I shall be 7 considered the Agreement. 8 6. The Agreement, as hereby amended, is ratified and continued. All provisions, terms, 9 covenants, condition and promises contained in the Agreement, and not amended herein, shall remain in 10 full force and effective. This Amendment I shall be effective upon execution. 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 -3- ii DocuSign Envelope ID:52471E7A-61B34540-BC76-0106CCAF9C4A 1 IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year 2 first hereinabove written. 3 4 CONTRACTOR: COUNTY OF FRESNO 5 Kings V' ocusigned by. 6 BY: 4— 0j, 7 Brian Pacheco, Chairman of the Board of g Print Name: Amanda Nugent Divine Supervisors of the County of Fresno 9 10 Title: CEO 11 Chair of the Board, or President or any Vice President ATTEST: 12 Bernice E. Seidel o�,sbd.d by: Clerk of the Board of Supervisors 13 1w ..d County of Fresno, State of California 14 By. 15 Mich 16 Print Name: Michael Kosareff By 17 Title: CFO Deputy 18 Secretary of Corporation, or 19 any Assistant Secretary, or Chief Financial Officer, or 20 any Assistant Treasurer 21 FOR ACCOUNTING USE ONLY: 22 Fund: 0001 Subclass: 10000 23 Org: 56304766 Account: 7295 24 Program Budget CCMU Grant Budget Total 25 FY 2022-23: $2,833,225.00 $82,544.00 $2,915,769.00 FY 2023-24: $2,850,944.00 $9,768.00 $2,860,712.00 26 FY 2024-25: $2,862,757.00 $0.00 $2,862,757.00 27 Total: $8,546,926.00 $92,312.00 $8,639,238.00 28 -4- DocuSign Envelope ID: 52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Exhibit A-2 Page 1 of 5 Crisis Care Mobile Units (CCMU) Grant SCOPE OF WORK CONTRACTOR: Kings View PROGRAMS: Rural Crisis Intervention Team (Metro CIT) SITE ADDRESS: 4910 E. Ashlan Ave. Ste. 118, Fresno, CA 93726 PROJECT TERM: September 20, 2022 — June 30, 2024 I. PROJECT DESCRIPTION DHCS utilized $150 million in funding received from the Behavioral Health Continuum Infrastructure Program and $55 million in funding received from the Substance Abuse and Mental Health Services Administration through the Coronavirus Response and Relief Appropriations Act to solicit applications from county or city behavioral health agencies to support and expand behavioral health mobile crisis and non-crisis services. The County of Fresno Department of Behavioral Health (DBH) included $92,312 in grant funding to add case management staff to the Rural CIT program. The goal of the CCMU grant project is to expand crisis intervention team (CIT) services to youth twenty-five (25) years of age and younger by adding dedicated case management staff to follow up on every CIT encounter with this population. Services are provided by interagency coordination between behavioral health clinicians, case managers and community-based organizations to link these individuals to behavioral health services and other supports identified by the behavioral health clinician during the CIT encounter(s). II. SERVICES START DATE Contractor shall begin recruiting for case management staff effective September 20, 2022. III. TARGET POPULATION The target population to be served by the case managers funded through the CCMU grant project shall be every youth twenty-five (25) years of age or younger after a CIT encounter with contractor's CIT clinician. Although this population must be prioritized, the case management staff may conduct post-crisis follow-up with other individuals if time permits. Based on CIT services provided in FY 2021-22, the added case management staff will provide an estimated 2,400 services per fiscal year to 1,350 youth. Youth twenty-five (25) years old and younger make up approximately 50% of individuals served by the CIT programs and accounts for about 50% of CIT services provided. DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A Exhibit A-2 Page 2 of 5 Contractor shall provide culturally and linguistically appropriate services that will meet the needs of the youth population of Fresno County. IV. LOCATION OF SERVICES Post-crisis follow-up services are to be provided face-to-face, over the phone, using video or via United States mail as appropriate and in accordance with DBH's Guiding Principles of Care Delivery. V. DESCRIPTION OF SERVICES Services are provided by interagency coordination between behavioral health clinicians, case managers and community-based organizations to link these individuals to behavioral health services and other supports identified by the behavioral health clinician during the CIT encounter(s). A case manager must be assigned to each individual within twenty-four (24) hours of the crisis encounter. Case management services will be culturally responsive, strengths-based, trauma-informed and recovery-oriented. These services will be continuously evaluated by the County and Contractor. The Contractor must adapt to meet the geographically dispersed needs of those living in rural and metropolitan Fresno County, the communities' needs as crisis services and demands fluctuate, and as Fresno County identifies more appropriate CIT models that improve service delivery. Case management services must be community-based; incorporate stigma reduction and suicide prevention; and comprehensive of recovery practices and community engagement during the course of service delivery. A. Documentation and Billing 1 . Contractor will use Fresno County DBH's electronic health record (EHR) and billing system (currently Avatar), and business management platform (currently Domo) to conduct data analysis. 2. Contractor must complete all documentation within 24 hours of service delivery, including but not limited to: access forms, client referral forms and progress notes. In addition, all related documents need to be uploaded within the same timeframe. 3. Contractor must adhere to the documentation standards established in DBH's Clinical Documentation and Billing Manual for Specialty Mental Health Services, DBH Policy and Procedure Guides (PPG) 2.1.9 "Assessments" and DBH PPG 4.4.6 "Documentation Standards for Progress Notes" as well as any future amendments to these documents. 4. Contractor shall utilize collaborative documentation with the person served whenever it is clinically indicated. Staff must adhere to DBH's collaborative documentation standards, which may include training courses offered by DBH. B. Care Coordination and Community Collaboration 1 . Contractor shall participate in care coordination activities with DBH, law enforcement and other community agencies. 2. Contractor agrees to coordinate with the Family Urgent Response System in Fresno County and utilize this program as a resource for qualified individuals. DocuSign Envelope ID: 52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Exhibit A-2 Page 3 of 5 3. Comprehensive knowledge of community resources is essential for case management staff to refer persons served to appropriate services. Contractor must make all attempts to ensure program staff are aware of applicable community resources and how to refer to these programs. 4. If the person served is linked to a DBH program, Contractor will notify the service provider as soon as practicable. This Scope of Work provides an outline of desired services and should not be considered all- inclusive. VI. STAFFING LEVELS The Rural CIT program will employ one (1) case manager. DBH is working to establish a standard productivity rate for contracted providers. Once determined, the awarded vendor must be prepared to capture, evaluate, report staff productivity, and make necessary program adjustments to meet the requirements. VII. HOURS OF OPERATION Case management services shall be provided from 8:00am - 5:00pm, Monday through Friday. VIIII. PERFORMANCE AND OUTCOME MEASUREMENTS Contractor shall comply with all project monitoring and compliance protocols, procedures, data collection methods, and reporting requirements requested by the County. Additionally, the Contractor is required to complete CCMU grant reports as requested (see Attachment 1 for data metrics). County and Contractor shall use 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 the program is in alignment with MHSA guiding principles which are inclusive of: an integrated service experience; community collaboration; cultural competence; individual/family driven service; and wellness, resilience, and recovery-focused services. Performance outcome measures shall be tracked on an ongoing basis and used to update the County as requested. In addition, performance outcome measures are reported to the County annually in accumulative reports for overall program and contract evaluation. 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 Contractor. Contractor 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 and at appropriate intervals during the fiscal year. Measurable outcomes may be reviewed for input and approval by a designated DBH work group upon contract execution and adjusted as needed each new fiscal year. The purpose of DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A Exhibit A-2 Page 4 of 5 this review process is to ensure a comprehensive system-wide approach to the evaluation of programs through an effective outcome reporting process. The following items listed below represent program goals to be achieved by Contractor. The program's success will be based on the number of goals it can achieve, resulting from performance outcomes. Contractor will utilize a computerized tracking system with which outcome measures and other relevant individual data, such as demographics, will be maintained. Contractor will collect data about the characteristics of the individuals served and measure service delivery performance indicators in the four Commission on Accreditation of Rehabilitation Facilities (CARF) domains listed below, with at least one performance indicator for each of the four domains. Contractor shall submit annual outcomes on a report template to be provided by the County for each level of care provided. 1. Effectiveness 2. Efficiency 3. Access 4. Satisfaction & Feedback of Persons Served & Stakeholders Additional Reporting Requirements Contractor will be responsible for meeting with DBH on a monthly basis, or more often as agreed upon between DBH and Contractor, for contract and performance monitoring. Contractor will be required to submit monthly reports to the County that will include, but not be limited to: dollars billed for Medi-Cal, DSH, CCMU and MHSA (non-Medi-Cal or non-Medi-Cal services) persons served; actual expenses; the number of persons served/anticipated to be served; wait lists; utilization of services by persons served; and staff composition. These reports will be due within 30 days after the last day of the previous month or payments may be delayed. DBH requires the following data reporting, which must be submitted to the Department by the loth of each month, unless otherwise indicated. The reporting period is typically the prior month in which services were provided. The following funding, staffing, services and data must be collected, maintained and reported by the established deadlines. Reporting templates and requirements are subject to change based on State and Federal regulations, funding guidelines and efforts to improve service delivery. A. Invoices must be submitted each month and shall include expenses and revenues from the prior month. B. The Monthly Staffing Report shall be submitted each month and must include each program staff member, their title, full-time equivalent, salary and other information as deemed appropriate by DBH. C. CCMU grant reports must be submitted at least quarterly, but more frequently as needed. D. Annual Performance Outcome Measures reports shall be completed at least annually and submitted to DBH as requested. County staff will notify the awarded vendor when its agency's participation is required. The performance outcome measurement report process will include survey instruments, person served and staff interviews, chart reviews, and other methods of obtaining necessary information as appropriate. E. The awarded vendor will be required to provide culturally and linguistically appropriate services DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A Exhibit A-2 Page 5 of 5 that align with the National Standards for Culturally and Linguistically Appropriate Services and DBH PPG 1.5.1 Culturally and Linguistically Appropriate Services as well as any updates to these standards. The program will be required to report staff training related to cultural competency as requested by DBH. VIII. COUNTY RESPONSIBILITIES: A. The County will make available the expertise of County identified Peer Support and Family Advocate(s) as informational resources for the awarded vendor. These resources may have designated hours of contact for each rural community or clinician for the purpose of training, material development and ongoing support. B. Provide oversight, support, technical assistance and ongoing monitoring of the CCMU grant project through an assigned Contract Analyst and Utilization Review Specialist. C. Provide consultation on a regular basis by facilitating monthly provider meetings between DBH and the awarded vendor. D. Assist the Contractor in analyzing program-generated data to identify system barriers, memorialize program strengths and improve outcomes. E. Provide support in establishing and maintaining working relationships between the Contractor and community-based organizations. F. Offer training opportunities as funding allows. DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Attachment 1 DHCS CRISIS CARE MOBILE UNITS PROGRAM CCMU Implementation Grantees Quarterly Report Narrative Summary QUARTER BEGIN DATE: QUARTER END DATE: GRANTEE ID: PROGRAM NAME: NAME OF PERSON SUBMITTING FORM: EMAIL OF PERSON SUBMITTING FORM: DATE SUBMITTED: Narrative Questions: 1. Provide a brief(up to 50 words) executive summary of your project and accomplishments this quarter. 2. For each area of activity in your statement of work for this quarter, provide a description of major activities or accomplishments that occurred during the reporting period. a. Activities/Deliverables i. Equipment/Property ii. Activities/Deliverables That Build the CCMU Infrastructure 1. Vehicle-related Costs for the CCMU 2. Field Communications for CCMU 3. Dispatch of CCMU Teams 4. Trainings 5. Coordination and Planning Activities with Local and Regional Organizations and/or to Manage Multiple CCMUs 6. Developing Peer Supports within Crisis Services 7. Marketing for CCMU Services 8. Data Collection, Analysis, and Quarterly Reporting for CCMU DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Attachment 1 iii. Direct Services 3. What challenges or barriers are you encountering and, if applicable, possible resolutions in implementing your plan? 4. Are there any staffing or program changes this quarter? ❑Yes ❑ No—If yes, please explain your answer. 5. Have you purchased any equipment/property this quarter? ❑Yes ❑ No—If yes, what is status? 6. Do you have any pending or new TA requests? (Check one) ❑ Yes, request in process ❑Yes, new request❑ No—If a new request, please describe here: Quarterly Report Data Questions CCMU PROGRAM STATUS: 1. How many total CCMU teams do you currently have? 1a. Have new teams started this quarter? ❑Yes ❑ No 1b. If yes, how many new teams started this quarter? 2. Do CCMU teams serve all zip codes in your jurisdiction? ❑Yes ❑ No 2a. If no, what zip codes are served? 2b. If no, what zip codes are not served? 2c. Are there zip codes where new services began this quarter? ❑ Yes ❑ No 3. Are CCMU services available 24/7? ❑ Yes ❑ No 3a. If no, what are the hours of operation? 3b. If no, how many hours a week are CCMU services available? 4. How many total hours of CCMU services were available this quarter? (all hours for all teams) 5. What is the makeup of your CCMU teams? Please indicate how many of each type of team in the table below. Staffing Number of teams One clinician and one peer One clinician and one para-professional (e.g., bachelor level) Two clinicians DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A Attachment 1 One clinician and one case manager One clinician and one EMT or other health provider Other: If other, please describe: ABOUT CCMU INQUIRIES RESULTING IN DISPATCH 1. For each zip code in your jurisdiction, provide,for the reporting quarter,the number of calls/requests received, resulting in dispatch, and resulting in CCMU services. Zip Code Number of calls/ Number of calls/ Number of dispatches requests to CCMU requests resulting in resulting in CCMU dispatch services Zip code not known TOTAL 2. For each referral source, indicate how many calls were received, resulted in dispatch, and resulted in CCMU services,for the reporting quarter. Referral source initiating Number of calls/ Number of calls/ Number of call/request to CCMU requests to CCMU requests resulting dispatches resulting in dispatch in CCMU services Crisis line/suicide hotline/988 DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A Attachment 1 911 211 FURS Law enforcement Medical/health provider Criminal justice referral Business Homeless service provider Community member Family/friend Self-referral Other Source not available Total 3. Reasons for dispatch and behavioral health conditions. 3.a. For each listed primary reason for dispatch, indicate how many calls were received, resulted in dispatch, and resulted in CCMU services,for the reporting quarter. Primary reason for dispatch Number of calls/ Number of calls/ Number of requests to CCMU requests resulting in dispatches resulting dispatch in CCMU services Possible risk of harm to self or suicide risk Possible risk of harm to others Significant decompensation or inability to care for self Possible substance use, intoxication, or overdose risk DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Attachment 1 Welfare check(individual receiving BH Services) Welfare check-other Significant agitation or bizarre behavior Otherreason Unknown reason Total 3.b. For each listed behavioral health condition, indicate how many calls were received, resulted in dispatch, and resulted in CCMU services,for the reporting quarter. 3b. Which best describes Number of calls/ Number of calls/ Number of the behavioral health requests to CCMU requests resulting in dispatches resulting condition? dispatch in CCMU services Substance misuse/SUD MH/SMI or SED COD Unknown Total 4.Please indicate the number of calls, by response time,that did not result in dispatch, that resulted in dispatch but no CCMU services,that resulted in dispatch and CCMU services, and that resulted in dispatch,total, for the reporting quarter. Response Time Mean Response Time in Minutes (all calls over quarter) Median Response Time in Minutes (all calls over quarter) Dispatch status Number of Calls and Response Time Windows DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A Attachment 1 < 1 > 1 hours >2 hours >4 hours > 24 hours unknown hour < 2 hours <4 hours < 24 hours Dispatch, no CCMU services Dispatch, CCMU services Total calls resulting in dispatch 5. For the dispatches that did not result in CCMU services, how many were due to each of the following reasons,for the specified quarter? Reason Number of Calls Individual not found Individual refused services Situation resolved in community prior to CCMU arrival Law enforcement responded first and declined CCMU participation Emergency health responded first and declined CCMU participation Another reason (please describe and provide number) Unknown If another reason, please describe and provide number(s): NON-DISPATCHED CCMU CALLS 6a. Does your CCMU team provide crisis services in the community without a dispatch (e.g.,through mobile outreach or walk-in)? ❑ Yes ❑ No If yes, complete the following tables. 6b. If yes, please indicate the number of unduplicated individuals seen,for the specified quarter, without a dispatch (include services with CCMU metrics). DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Attachment 1 6b. Reason for CCMU services Number of unduplicated individuals seen without dispatch Possible risk of harm to self or suicide risk Possible risk of harm to others Significant decompensation or inability to care for self Significant agitation or bizarre behavior Substance use: intoxication or overdose risk School referral Welfare check(individual receiving BH services) Welfare check(other) Otherreason Unknown Total (may not add up exactly) 6c. Which of the following best describes the Number of unduplicated individuals behavioral health reason for crisis services seen without dispatch Substance misuse/Substance Use Disorder(SUD) Mental health (MH)/Serious Mental Illness (SMI) or Serious Emotional Disturbance (SED) Co-occurring(COD) Unknown Total DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A Attachment 1 CCMU SERVICES AND RESOLUTION 1. What CCMU services were delivered during the reporting quarter? Type of CCMU service Number of individuals Percent of individuals receiving this service receiving this service this quarter. Total number of CCMU service 100% recipients Triage/screening onsite Clinical assessment by MH professional De-escalation Support for family/friends Coordination with medical services Coordination with behavioral health services Crisis and safety planning 5150/5185 Administered Naloxone Other(please describe and indicate number and percent) If other, please describe and list the number and percentage of each other service: 2. How were CCMU services resolved during the reporting quarter? Resolution of CCMU services Number of individuals with Percentage of individuals CCMU resolved in this way resolved in this way DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Attachment 1 Total number of CCMU service N/A recipients De-escalated onsite (no resources/referrals) De-escalated onsite with referrals/ warm handoff Transported to community behavioral health Transported to medical care Detained 5150 or 5185 hold (involuntarily taken to hospital) Detained by law enforcement Unresolved Other(please describe) If other, please describe and list the number and percentage of each other service: 3. Complete tables below for more information on the types of agencies referred or transported to as described in question 2 above. 3a. Referrals and Warm Handoffs Name of agency Type of agency Zip Code Number of warm handoffs/referrals 3b. When individuals are transported to agencies (medical or behavioral health) Name of agency Type of agency Zip Code Number of warm handoffs/referrals DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A Attachment 1 4. Follow Up Services Services received Number of individuals Percent of individuals receiving CCMU services who received each of the following: Any CCMU services Any follow-up care Follow-up care within 48 hours Engaged in at least one service at the time of follow-up Other(please describe and indicate number and percent) If other, please describe and list the number and percentage of each other service: CCMU SERVICES— DIAGNOSES AND DEMOGRAPHICS 1. Please indicate the primary diagnosis of individuals receiving CCMU services,for the specified quarter, by count and as a percentage of individuals receiving CCMU services. DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Attachment 1 Primary diagnosis Total number of individuals Percentage of individuals receiving CCMU services who served receiving CCMU have this diagnosis services who have this diagnosis Psychosis Substance use disorder Adjustment disorder Bipolar disorder Depressive disorder (including MDD) Anxiety disorder (including PTSD) Schizoaffective disorder Schizophrenia Neurodevelopmental disorder Severely Emotionally Disturbed (SED) Unspecified mental disorder No diagnosis Other Unknown Total 2. Enter the number and percentage of individuals served,for the reporting quarter, by race/ethnicity. Race/Ethnicity Number receiving services As a percent of individuals receiving services American Indian/Alaska Native Asian or Asian American DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A Attachment 1 Black/African American Native Hawaiian/Pacific Islander Latinx/Chicanx/Hispanic More than one race White Other (please describe) Unknown Tota I If"something else (not listed here)," please describe and list number: 3. Enter the number and percentage of individuals served,for the reporting quarter, by primary language. Primary language Number receiving services Percent of individuals served who speak: English Spanish Mandarin Cantonese Tagalog(including Filipino) Vietnamese Korean Armenian Farsi Arabic Other(please identify and provide numbers) Unknown DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Attachment 1 Total If"something else (not listed here)," please describe and list number: 4. Enter the number and percentage of individuals receiving CCMU services,for the reporting quarter, by gender. Gender Number As a percentage of receiving individuals receiving services services Male Female Non-binary/other Unknown Total 5. How many individuals served during the reporting quarter were pregnant? 6. Enter the number and percent of all individuals receiving CCMU services, for the reporting quarter, by age group. Age Number receiving services As a percentage of individuals receiving services < 12 12-17 18-24 25-44 45-64 65+ Unknown DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Attachment 1 Total 6a. Provide the living arrangements for individuals under 18 receiving CCMU services, for the reporting quarter, by number and as a percentage of individuals under 18 receiving services. Living situation Number receiving services Percent of individuals aged <18 served who: Lives with a parent/guardian Does not live with a parent/guardian Unknown Total 7. Enter the number and percentage of individuals receiving CCMU services, for the reporting quarter, by sexual orientation. Sexual orientation Number receiving Percent of individuals served services who are: Asexual Bisexual/pansexual Gay Heterosexual/straight Lesbian Queer Two-Spirit Something else (not listed here; please describe and provide number and percentage) Unknown Total DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Attachment 1 If"Something else (not listed here)," please describe and list number: 8. Enter the number and percentage of individuals receiving CCMU services, for the reporting quarter, by military status. Military status Number receiving Percent of individuals served who are: services Active military Military family Non-military Veteran Unknown Total 9. Enter the number and percentage of individuals receiving CCMU services, by insurance status. Insurance status Number receiving Percent of individual services served who have: Medi-Cal enrolled Medi-Cal expired or in- process Medicare Other health insurance No health insurance Unknown Total 10. Enter the number and percentage of individuals receiving CCMU services, for the reporting quarter, by housing status: DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Attachment 1 Housing status Number receiving "Percent of individuals services served who are: Unhoused, unsheltered Unhoused, sheltered At risk of homeless Stably housed Other Unknown Total 11. Enter the number and percentage of individuals receiving CCMU services,for the reporting quarter, by previous experience with behavioral health care. Previous behavioral health experience Number Percent of receiving individuals services served who: Never received behavioral health services before Receive or have received SMI/SED services (Full-Service Partnerships or other SMI services) Receive or have received SUD services Have received some counseling or health/community based mental health services in the past Other(please describe) Unknown Total If"Other" please describe and list number: DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Attachment 1 OTHER ORGANIZATIONAL AND INFRASTRUCTURE RELATED ITEMS 1. Staffing Please provide the following information about the staffing of your CCMU program. Position FTEs working on FTEs currently Unduplicated count of Vacant positions CCMU paid by CCMU staff working on CCMU in CCMU (regardless of program (regardless of hours or program (by funding source) funding source) FTE) Clinicians Peer staff Other direct service staff Management and administrative staff Other If"Other" please describe: 2. Outreach Enter the total number of outreach materials developed and distributed by your organization during the reporting quarter. Outreach materials are any materials developed to reach providers,the community or other project stakeholders.This could include flyers, newsletters, social media posts, billboard, email blasts, podcasts, PSAs, advertisements etc. 3a. Number of outreach materials developed this quarter: 3b. Number of outreach materials distributed this quarter: 3c. Enter the number of unique outreach materials developed, during the reporting quarter, in each of the languages below. If a material is in more than one language, include it under each relevant language. Language Number of products developed English Spanish DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A Attachment 1 Mandarin Cantonese Tagalog (including Filipino) Vietnamese Korean Armenian Farsi Arabic Other (please list) If"Other" please list: 3d. Enter the number of visitors to the CCMU website (if applicable) during the reporting quarter: 3e. Enter the total number of in-person or virtual community events held by or attended by your organization for purpose of awareness/outreach, during the reporting quarter, and the total number of attendees across all events of each type: Outreach Event Type Number of events Total number of attendees Community events held Community events attended 3f. Who was the audience for your outreach activities during the reporting quarter? (Check all that apply.) ❑ People who use drugs ❑ People with mental health conditions DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A Attachment 1 ❑ People who have never accessed behavioral health care before ❑ Family members of individuals with SUD/SMI ❑ Native American/Tribal/Urban Indian populations ❑ Black/African American populations ❑ Latino/a/x specific populations ❑ Southeast Asian populations ❑ LGBTQ2SIA+ ❑ Individuals experiencing homelessness ❑ Youth (under 18) ❑ TAY(18-24) ❑ Veterans ❑ Immigrants without documentation ❑ People involved with the justice system ❑ Pregnant and post-partum persons ❑ Other(please list) 3. Collaboration 3a. Enter the total number of each of the following types of agencies with whom your CCMU program currently collaborates with: Organization type Total number of current Total number of current referral relationships MOUs Peer-run organizations SUD treatment centers Mental health treatment centers Hospitals Law enforcement agencies Schools/educational institutions Homeless service providers DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A Attachment 1 Other (please list and indicate numbers) If"Other" please describe and list number of relationships: 3b. How are you collaborating with each of the stakeholder groups in the development and implementation of CCMU? Stakeholder group Brief description of involvement in planning and implementation of CCMU this quarter Individuals with lived experience of MH/SUD Family members Crisis and suicide hotlines 911 dispatch First responders Law enforcement Tribal representatives DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A Attachment 1 College/university Schools (k-12) Housing/homeless services Health care SUD services MH services Business community Other city/county govt Other community agencies DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A Attachment 1 Other 4. Trainings 4a. Enter the total number of trainings made available to staff of the CCMU and community partners, for the reporting quarter, by training type. Training type/topic Number of in- Total number Number of Total number person attended virtual attended trainings trainings POST-approved Crisis Intervention Training Other crisis intervention training De-escalation techniques (e.g., management of agitation and verbal de- escalation) Understanding SMI and MH crisis response Understanding SUD and crisis response (including Naloxone training) Suicide risk assessment and intervention (and MH First Aid) Cultural humility and culturally responsive services Trauma-informed care Working with youth/TAY and SED DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A Attachment 1 Safety and self-care for field workers Other evidence-based practices(e.g., harm reduction, structured brief interventions) Collaboration or administrative excellence Accessing mobile crisis services Other(please list) 4b. Enter the total number of individuals trained (in 5a), by job category, during the reporting quarter: Job category Total number of individuals trained Clinician Peer Other behavioral health provider Administrator/manager Administrative support Law enforcement Other system partner Other(please list) Unknown Total DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Crisis Care Mobile Units(CCMU)Grant Funds Kings View Rural CIT Fiscal Year(FY)2022-23 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 QI Data Analyst 0.11 $ 7,550 $ 7,550 1102 - - 1103 1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 0.11 $ 7,550 $ 7,550 Acct# Program Position FTE Admin Program Total 1116 Case Manager 1.00 $ 42,545 $ 42,545 1117 - - 1118 1119 1120 1121 1122 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 Direct Personnel Program Salaries Subtotall 1.00 1 $ 42,545 1 $ 42,545 Admin Program Total Direct Personnel Salaries Subtotall 1.11 1 $ 7,550 1 $ 42,545 1 $ 50,095 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 93 $ 523 $ 616 1202 Worker's Compensation 140 791 931 1203 Health Insurance 896 5,047 5,943 1204 Other(specify) - 1205 10ther(specify) - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A 1206 10ther(specify) - Direct Employee Benefits Subtotal: $ 1,129 $ 6,361 $ 7,490 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ - $ - 1302 FICA/MEDICARE 578 3,255 3,833 1303 SUI 30 170 200 1304 Other(specify) - 1305 10ther(specify) - 1306 10ther(specify) - Direct Payroll Taxes&Expenses Subtotal: $ 608 $ 3,425 $ 4,033 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 9,287 $ 52,331 $ 61,618 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 15%1 85% 2000:DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ 2002 Client Housing Support 2003 Client Transportation&Support - 2004 Clothing, Food,&Hygiene 1,500 2005 Education Support - 2006 Employment Support 2007 Household Items for Clients 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Vouchers - 2011 Other(Program Supplies) 500 2012 Other(specify) - 2013 Other(specify) 2014 Other(specify) 2015 10ther(specify) 2016 10ther(specify) DIRECT CLIENT CARE TOTAL $ 2,000 3000: DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 780 3002 Printing/Postage 3003 Office, Household&Program Supplies 3004 Advertising 3005 Staff Development&Training 3006 Staff Mileage 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 5,049 3009 Other(specify) - 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) DIRECT OPERATING EXPENSES TOTAL:1 $ 5,829 4000: DIRECT FACILITIES&EQUIPMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Acct# Line Item Description Amount 4001 Building Maintenance $ 4002 Rent/Lease Building 4003 Rent/Lease Equipment 4004 Rent/Lease Vehicles 3,428 4005 Security - 4006 Utilities 4007 Other(specify) 4008 Other(specify) 4009 Other(specify) 4010 10ther(specify) DIRECT FACILITIES/EQUIPMENT TOTAL: $ 3,428 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 6003 Accounting/Bookkeeping 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) - 6009 Other(Administrative Overhead) 7,569 6010 Other(specify) - 6011 Other(specify) 6012 Other(specify) 6013 10ther(specify) INDIRECT EXPENSES TOTAL $ 7,569 INDIRECT COST RATE 10.10% 7000: DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 2,100 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) I Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 DocuSign Envelope ID: 52471 E7A-61 B3-4540-BC76-0106CCAF9C4A 70pg Other(specify) FIXED ASSETS EXPENSES TOTAL $ 2,100 TOTAL PROGRAM EXPENSES $ 82,544 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 8303 INN-Innovations 8304 WET-Workforce Education&Training 8305 CFTN -Capital Facilities&Technology MHSA TOTAL $ 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ 8402 Client Insurance - 8403 Grants(Crisis Care Mobile Units) 82,544 8404 Other(Specify) - 8405 Other(Specify) OTHER REVENUE TOTAL $ 82 544 TOTAL PROGRAM FUNDING SOURCES: $ 82,544 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A Crisis Care Mobile Units (CCMU) Grant Funds Kings View Rural CIT Fiscal Year (FY) 2022-23 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 QI Data Analyst PATH SMHS/Fresno 0.02 PATH/OEL Fresno 0.05 PATH MOP/Fresno 0.05 Blue Sky/Fresno 0.12 Rural CIT/Fresno 0.14 Rural CIT-CCMU/Fresno 0.11 Metro CIT/Fresno 0.01 Metro CIT-CCMU/Fresno 0.11 Map Point/Fresno 0.07 FURS/Fresno 0.03 Shasta 0.04 Kings 0.24 Quality& Performance Improvement Depart. 0.01 Total 1.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Crisis Care Mobile Units(CCMU)Grant Funds Kings View Rural CIT Fiscal Year(FY)2022-23 Budget Narrative PROGRAM EXPENSE ACCT#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 61,618 Administrative Positions 7,550 1101 Cll Data Analyst 7,550 This position will perform a wide range of duties to support data collection, management,and reporting needs required for CCMU grant. 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 42,545 1116 Case Manager 42,545 Provides post-crisis case management and care coordination activites. 1117 0 - 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 10 - Direct Employee Benefits 7,490 1201 Retirement 616 Cost of 401K 1202 Worker's Compensation 931 Workers'compensation insurance 1203 Health Insurance 5,943 Cost of medical,vision,dental,life and long-term disability insurance. 1204 Other(specify) - 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: 4,033 1301 OASDI - 1302 FICA/MEDICARE 3,833 Cost of FICA/Medicare 1303 SUI 200 Cost of SUI 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 2,000 2001 Child Care - 2002 Client Housing Support 2003 Client Transportation&Support - 2004 Clothing,Food,&Hygiene 1,500 Includes program supplies that support clients with items such as,clothing,snacks, drinks,blankets,and hygiene supplies.Clothing items consist of the following:Shirts, pants,shorts,shoes,underwear,outerwear(jackets,beanies,gloves,socks,etc.)and any other wearable items to protect clients from the weather elements. 2005 Education Support 2006 Employment Support 2007 Household Items for Clients 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Vouchers - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 DocuSign Envelope ID: 52471 E7A-61 B3-4540-BC76-0106CCAF9C4A PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2011 Other(Program Supplies) 500 Includes therapeutic supplies that can be used to assist in focus enhancement and emotional regulation.Additional benefits include distraction,anxiety reduction, soothing of sensitive sensory nerves,reducing agitation,and restoring an individual's sense of control.These items include stress relief sensory items such as pop-its,stress balls,fidget spinners,coloring books/crayons,etc. 2012 Other(specify) 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 1 Others ecif 3000:DIRECT OPERATING EXPENSES 5,829 3001 Telecommunications 780 Cost of a cell phone,cell phones service,data connectivity. 3002 Printing/Postage - 3003 Office Household&Program Supplies 3004 Advertising 3005 Staff Develo ment&Training 3006 Staff Mileage 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 5,049 Minor auto repairs&maintenance required to maintain 1 leased vehicle for client transportation and program needs.Includes expenses such as oil changes,car washes, vehicle tracking service,auto fuel,and DMV fees. 3009 Other(specify) 3010 Other(specify) 3011 Other(specify) 3012 1 Others ecif 4000:DIRECT FACILITIES&EQUIPMENT 3,428 4001 Building Maintenance - 4002 Rent Lease Building 4003 Rent Lease Equipment - 4004 Rent/Lease Vehicles 3,428 Cost of 1 leased vehicles to allow case management staff to conduct post-crisis follow- up services in person and transport persons served,as appropriate. 4005 Security - 4006 Utilities 4007 Other(specify) 4008 Other(specify) 4009 Other(specify) 4010 Others ecif 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 7,569 6001 Administrative Overhead - 6002 Professional Liability Insurance 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) - 6009 Other(Administrative Overhead) 7,569 Expense provides corporate management,fiscal services,payroll,human resources, accounts payable and other administrative functions. 6010 Other(specify) - 6011 Other(specify) 6012 Other(specify) 6013 1 Other(specify) 7000:DIRECT FIXED ASSETS 2,100 7001 Computer Equipment&Software 2,100 Purchase of 1 computer for case management staff and estimated software needs to support staff. 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA - 7003 Furniture&Fixtures 7004 Leasehold/Tenant/Building Improvements Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2I7I2020 DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 Assets over$5,000/unit(Specify) - 7007 Other(specify) - 7008 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: 82,544 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 82,544 BUDGET CHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Crisis Care Mobile Units(CCMU)Grant Funds Kings View Rural CIT Fiscal Year(FY)2023-24 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 QI Data Analyst 0.11 $ 7,928 $ 7,928 1102 - - 1103 1104 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 0.11 $ 7,928 $ 7,928 Acct# Program Position FTE Admin Program Total 1116 $ 1117 1118 1119 1120 1121 1122 1123 1124 1125 - 1126 1127 1128 1129 - 1130 1131 1132 - 1133 1134 Direct Personnel Program Salaries Subtotall 0.00 1 $ $ Admin Program Total Direct Personnel Salaries Subtotall 0.11 1 $ 7,928 1 $ - $ 7,928 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 96 $ 96 1202 Worker's Compensation 151 151 1203 Health Insurance 955 955 1204 Other(specify) 1205 10ther(specify) - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A 1206 10ther(specify) - Direct Employee Benefits Subtotal: $ 1,202 $ - $ 1,202 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ - $ 1302 FICA/MEDICARE 606 606 1303 SUI 32 32 1304 Other(specify) - 1305 10ther(specify) - 1306 10ther(specify) - Direct Payroll Taxes&Expenses Subtotal: $ 638 $ - $ 638 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 9,768 $ - $ 9,768 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 100%1 0. 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 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Vouchers 2011 Other(Program Supplies) 2012 Other(specify) 2013 Other(specify) 2014 Other(specify) 2015 10ther(specify) 2016 10ther(specify) DIRECT CLIENT CARE TOTAL $ 3000: DIRECT OPERATING EXPENSES Acct# Line Item Description 3001 Telecommunications 3002 Printing/Postage 3003 Office,Household&Program Supplies 3004 Advertising 3005 Staff Development&Training 3006 Staff Mileage 3007 Subscriptions&Memberships 3008 Vehicle Maintenance 3009 Other(specify) 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) DIRECT OPERATING EXPENSES TOTAL: $ - 4000: DIRECT FACILITIES&EQUIPMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Acct# Line Item Description Amount 4001 Building Maintenance $ 4002 Rent/Lease Building 4003 Rent/Lease Equipment 4004 Rent/Lease Vehicles 4005 Security 4006 Utilities 4007 Other(specify) 4008 Other(specify) 4009 Other(specify) 4010 10ther(specify) DIRECT FACILITIES/EQUIPMENT TOTAL: $ 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 6003 Accounting/Bookkeeping 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) 6009 Other(Administrative Overhead) 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 10ther(specify) INDIRECT EXPENSES TOTAL $ INDIRECT COST RATE 0.00% 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 DocuSign Envelope ID: 52471 E7A-61 B3-4540-BC76-0106CCAF9C4A 7008 Other(specify) FIXED ASSETS EXPENSES TOTAL $ TOTAL PROGRAM EXPENSES $ 9,768 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 p 8009 Other(Specify) 0 8010 Other(Specify) 0 Estimated Specialty Mental Health Services Billing Totals: p $ 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% 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 8303 INN-Innovations 8304 WET-Workforce Education&Training 8305 CFTN-Capital Facilities&Technology MHSA TOTAL $ 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ 8402 Client Insurance - 8403 Grants(Crisis Care Mobile Units) 9,768 8404 Other(Specify) - 8405 Other(Specify) OTHER REVENUE TOTAL $ g 768 TOTAL PROGRAM FUNDING SOURCES: $ 9,768 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 DocuSign Envelope ID:52471 E7A-61 133-4540-13C76-0106CCAF9C4A Crisis Care Mobile Units (CCMU) Grant Funds Kings View Rural CIT 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 QI Data Analyst PATH SMHS/Fresno 0.02 PATH/OEL Fresno 0.05 PATH MOP/Fresno 0.05 Blue Sky/Fresno 0.12 Rural CIT/Fresno 0.14 Rural CIT-CCMU/Fresno 0.11 Metro CIT/Fresno 0.01 Metro CIT-CCMU/Fresno 0.11 Map Point/Fresno 0.07 FURS/Fresno 0.03 Shasta 0.04 Kings 0.24 Quality& Performance Improvement Depart. 0.01 Total 1.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 DocuSign Envelope ID: 52471 E7A-61 B3-4540-BC76-0106CCAF9C4A Crisis Care Mobile Units(CCMU)Grant Funds Kings View Rural CIT Fiscal Year(FY)2023-24 Budget Narrative PROGRAM EXPENSE ACCT#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 9,768 Administrative Positions 7,928 1101 CII Data Analyst 7,928 This position will perform a wide range of duties to support data collection, management,and reporting needs required for CCMU grant. 1102 0 - 1103 0 1104 0 1105 0 1106 0 1107 p 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 10 Program Positions 1116 0 1117 0 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 10 Direct Employee Benefits 1,202 1201 Retirement 96 Cost of 401K 1202 Worker's Compensation 151 Workers'compensation insurance 1203 Health Insurance 955 Cost of medical,vision,dental,life and long-term disability insurance. 1204 Other(specify) 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: 638 1301 OASDI - 1302 FICA/MEDICARE 606 Cost of FICA/Medicare 1303 SUI 32 Cost of SUI 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 2001 Child Care 2002 Client Housing Support 2003 Client Transportation&Support 2004 Clothing,Food,&Hygiene 2005 Education Support 2006 Employment Support 2007 Household Items for Clients 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Vouchers 2011 Other(Program Supplies) 2012 Other(specify) 2013 Other(specify) 2014 Other(specify) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2I7I2020 DocuSign Envelope ID: 52471 E7A-61 B3-4540-BC76-0106CCAF9C4A PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2015 Others ecif 2016 1 Others ecif 3000:DIRECT OPERATING EXPENSES - 3001 Telecommunications 3002 Printing/Postage 3003 Office Household&Program Supplies 3004 Advertising 3005 Staff Develo ment&Training 3006 Staff Mileage 3007 Subscriptions&Memberships 3008 Vehicle Maintenance 3009 Other(specify) 3010 Other(specify) 3011 Other(specify) 3012 1 (sDecifvl ecif 4000:DIRECT FACILITIES&EQUIPMENT 4001 Building Maintenance 4002 Rent/Lease Building 4003 Rent/Lease Equipment 4004 Rent/Lease Vehicles 4005 Security 4006 Utilities 4007 Other(specify) 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES - 5001 1 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 6001 Administrative Overhead 6002 Professional Liability Insurance 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) 6009 Other(Administrative Overhead) 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) 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 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2I7I2020 DocuSign Envelope ID:52471 E7A-61 B3-4540-BC76-0106CCAF9C4A PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 9,768 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 9,768 BUDGET CHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020