HomeMy WebLinkAboutAgreement A-22-540 Amendment II to gt w Central Star Behavioral Health.pdf Agreement No. 22-540
1 AMENDMENT II TO AGREEMENT
2 THIS AMENDMENT, hereinafter referred to as "Amendment II", is made and entered into this
3 29'h day of November 2022, by and between the COUNTY OF FRESNO, a Political
4 Subdivision of the State of California, hereinafter referred to as "COUNTY", and CENTRAL STAR
5 BEHAVIORAL HEALTH, INC., a for-profit corporation, whose address is 1501 Hughes Way, Suite
6 150, Long Beach, CA 90810, hereinafter referred to as "CONTRACTOR" (collectively the "parties").
7 WHEREAS the parties entered into that certain Agreement, identified as COUNTY Agreement
8 No. A-17-580, effective December 1, 2017, and the Amendment I to said Agreement No. A-17-580-1,
9 effective April 28, 2020, hereinafter collectively referred to as "Agreement", whereby CONTRACTOR
10 agreed to provide certain crisis residential treatment (CRT) services to COUNTY's Department of
11 Behavioral Health (DBH); and
12 WHEREAS, CONTRACTOR is in need of additional funding for an additional 3.54 full time
13 equivalent (FTE) direct care staff (therapists, licensed vocational nurses, and recovery counselors) as
14 well as an overall additional 0.68 FTE position for administrative staff (human resources, training,
15 quality assurance) to manage the complex CRT services within a 24/7 facility (including related
16 benefits and payroll taxes for said staff); and
17 WHEREAS, CONTRACTOR determined an increase in salary for direct care positions was
18 necessary for staff retention; and
19 WHEREAS the parties now desire to amend the Agreement regarding changes as stated
20 below and restate the Agreement in its entirety.
21 NOW, THEREFORE, in consideration of their mutual promises, covenants and conditions,
22 hereinafter set forth, the sufficiency of which is hereby acknowledged, the parties agree as follows:
23 1. That the existing COUNTY Agreement, as set forth in the original Agreement No. A-17-
24 580, Page Four (4), beginning with Paragraph Four (4), Line Seventeen (17) with the heading 'A.
25 COMPENSATION" and ending on Page Five (5), Line Seventeen (17) with the word "Agreement" be
26 deleted and the following inserted in its place:
27 'A. COMPENSATION
28 COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to receive
1 - COUNTY OF FRESNO
Fresno, CA
I compensation in accordance with the Budget set forth in Revised Exhibit B, attached hereto and by
2 this reference incorporated herein and made part of this Agreement.
3 A. Maximum Contract Amount
4 The maximum amount for the ramp-up period (December 1, 2017
5 through April 30, 2018) shall not exceed Four Hundred Thirty-Five Thousand, Nine Hundred Fourteen
6 and No/100 Dollars ($435,914).
7 The maximum amount for the initial operational period of May 1, 2018
8 through June 30, 2018 shall not exceed Three Hundred Thirty-Nine Thousand, Two Hundred Eighty-
9 Two and No/100 Dollars ($339,282.00).
10 The maximum amount for the period of July 1, 2018 through June 30,
11 2019 shall not exceed Two Million, Sixty-Five Thousand, Six Hundred Eight and No/100 Dollars
12 ($2,065,608.00).
13 The maximum amount for the period of July 1, 2019 through June 30,
14 2020 shall not exceed Two Million, One Hundred Twenty-One Thousand, Four Hundred Fifty-Three
15 and No/100 Dollars ($2,121,453.00).
16 The maximum amount for the period of July 1, 2020 through June 30,
17 2021 shall not exceed Two Million, One Hundred Seventy-Four Thousand, Eight Hundred Eighty-Nine
18 and No/100 Dollars ($2,174,889.00).
19 The maximum amount for the period of July 1, 2021 through June 30,
20 2022 shall not exceed Two Million, Two Hundred Thirty-Four Thousand, Eight Hundred Ninety-Five
21 and No/100 Dollars ($2,234,895.00).
22 The maximum amount for the period of July 1, 2022 through June 30,
23 2023 shall not exceed Two Million, Four Hundred Seventy-Two Thousand, Nine Hundred Fifty-Seven
24 and No/100 Dollars ($2,472,957.00).
25 In no event shall the maximum contract amount for all the services
26 provided by the CONTRACTOR to COUNTY under the terms and conditions of this Agreement be in
27 excess of Eleven Million, Eight Hundred Forty-Four Thousand, Nine Hundred Ninety-Eight and No/100
28 Dollars ($11,844,998.00) during the total term of this Agreement."
- 2 - COUNTY OF FRESNO
Fresno, CA
1 2. Except as otherwise provided in this Amendment II, all other provisions of the
2 Agreement remain unchanged and in full force and effect. This Amendment II shall become effective
3 upon execution.
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- 3 - COUNTY OF FRESNO
Fresno, CA
1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment II to Agreement
2 as of the day and year first hereinabove written.
3
CONTRACTOR: COUNTY OF FRESNO:
4 CENTRAL STAR BEHAVIORAL
5 HEALTH, INC.
By By
7 Brian Pacheco,
Chairman of the Board of Supervisors
8 o
Print Name: Kent Dunlap f the County of Fresno
9
Title: President and Chief Executive Officer
10 Chairman of the Board, or
11 President, or any Vice President ATTEST:
12 Date: 11/4/2022 BERNICE E. SEIDEL,
Clerk of the Board of Supervisors
13 County of Fresno, State of California
14
15 By By_
Deputy
16 Print Name:
17 Title:
Secretary (of Corporation), or
18 any Assistant Secretary, or
Chief Financial Officer, or
19 any Assistant Treasurer
20 Date:
21
22 Mailing Address:
1501 Hughes Way, Suite 150
23 Long Beach, CA 90810
Phone#: (310) 221-6336
24 Contact: Kent Dunlap
25 Fund/Subclass: 0001/10000
26 Organization: 56302117
Account#: 7295
27
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- 4 - COUNTY OF FRESNO
Fresno, CA
CRISIS RESIDENTIAL TREATMENT(CRT)
Central Stars Behavioral Health,Inc.
Fiscal Year(FY)2022-23(12/1/2022 to 6/30/2023)
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
r
Administrator 0.37 $ 60,000 $ 60,000
HR Manager 0.13 20,792 20,792
HRCoordinator/Assistant/TalentAcquisition 0.13 24,000 24,000
Administrative Service Coordinator 0.13 9,500 9,500
Training Manager 0.13 12,000 12,000
Training Coordinator 0.13 14,257 14,257
1107 QA Manager 0.29 19,009 19,009
1108 QA Coordinator/Assistant 0.37 10,500 10,500
1109 Clerk/Clerk Unit/EMR 1.00 42,771 42,771
1110 - -
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 2.68 $ 212,829 $ 212,829
Acct# Program Position FTE Admin Program Total
1116 Program Director/Manager 1.00 $ 97,103 $ 97,103
1117 Program Coordinator 1.00 80,000 80,000
1118 Resource Specialist 1.00 36,712 36,712
1119 MHS Thera pist/Special ist 2.50 83,837 83,837
1120 Household Counselor/Coach 3.00 86,485 86,485
1121 Peer Counselor/Peer Mentor 1.50 39,207 39,207
1122 1 Recovery Counselor 6.00 180,735 180,735
1123 LVN/LPT 4.60 283,877 283,877
1124 -
1125 -
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 20.60 $ 887,956 $ 887,956
Admin Program Total
Direct Personnel Salaries Subtotal 23.28 $ 212,829 $ 887,956 $ 1,100,785
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 2,477 $ 19,860 $ 22,337
1202 Worker's Compensation 3,716 29,789 33,505
1203 Health Insurance 14,863 119,156 134,019
1204 401K Match 258 1,986 2,244
1205 Life AD&D 37 496 533
1206 1 Other(specify) - -
Direct Employee Benefits Subtotal: $ 21,351 $ 171,287 $ 192,638
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ 1,355 $ 64,458 $ 65,813
1302 FICA/MEDICARE 1,816 15,074 16,890
1303 SUI 2,944 24,431 27,375
1304 Other(specify) - - -
1305 Other(specify)
1306 1 Other(specify) -
Direct Payroll Taxes&Expenses Subtotal: $ 6,115 $ 103,963 $ 110,078
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 240,295 $ 1,163,206 $ 1,403,501
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin I Program
17.12%1 82.88%
2000:DIRECT CLIENT SUPPORT
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Acct# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support
2003 Client Transportation&Support 3,500
2004 Client Support,Clothing,Food,&Hygiene 115,812
2005 Education Support -
2006 1 Employment Support -
2007 Household Items for Clients 1,349
2008 Medication Supports -
2009 Program Supplies-Medical 50,331
2010 Utility Vouchers -
2011 Translation services -
2012 Laundry services 2,500
2013 Nutritionist Services 4,115
2014 Medical Waste Disposal 4,146
2015 Client Activities 7,200
2016
DIRECT CLIENT CARE TOTAL $ 188,953
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 57,035
3002 Printing/Postage 14,903
3003 Office,Household&Program Supplies 48,478
3004 Advertising -
3005 Staff Development&Training 6,770
3006 Staff Mileage 2,500
3007 Subscriptions&Memberships 1,273
3008 Vehicle Maintenance 10,738
3009 Recruiting 7,000
3010 Business License 3,699
3011 Liability Insurance 20,029
3012
DIRECT OPERATING EXPENSES TOTAL: $ 172,425
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 25,000
4002 Rent/Lease Building 4,392
4003 Rent/Lease Equipment -
4004 Rent/Lease Vehicles
4005 Security -
4006 Utilities 58,000
4007 Depreciation 5,752
4008 Other(Janitorial)
4009 Other(Property Taxes)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL: $ 93,144
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Psychiatric) 103,800
5004 Translation Services 1,337
5005 Centralized Serivices Program 96,432
5006 1 Other(specify) -
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 201,569
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 7,641
6005 Insurance(Specify):
6006 Payroll Services -
6007 Depreciation(Provider0-d!Equipment to be Usedfor Program Purposes) -
6008 Personnel(indirect Salaries&Benefits) -
6009 Other(specify)
6010 Centralized Fiscal services(5%) 105,000
6011 Centralized Services Administration 263,453
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 316,111
INDIRECT COST RATE 17.94%
7000:DIRECT FIXED ASSETS
Acct k Line Item Description Amount
7001 Computer Equipment&Software $ 30,000
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 7,261
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 jAssets over$5,000/unit(Specify)
7007 Other(Minor Equipment)
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ 37,261
TOTAL PROGRAM EXPENSES $ 2,472,957
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct k 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 lAssessment 0
8008 1 Rehabilitation 0 -
8009 jAclult Crisis Residential(Mode 05/SFC 40-49) 4,513 399.43 1,802,628
8010 1 Medication Support(Mode 15/SFC 60-69) 1 118,642 5.65 670,329
Estimated Specialty Mental Health Services Billing Totals: 1 123,1551 $ 2,472,957
Estimated%of Clients who are Medi-Cal Beneficiaries 90%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 2,225,661
Federal Financial Participation(FFP)% 1 50% 1,112,830
MEDI-CAL FFP TOTAL $ 1,112,830
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 ISABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ 1,052,165
REALIGNMENT TOTAL $ 1,052,165
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acctff MHSAComponent 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
MHSATOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Clientlnsurance
8403 Grants(Specify)ARPA Funding 78,446
8404 Other(Non-insured) 114,758
8405 Other(Private Insurance) 114,758
OTHER REVENUE TOTAL $ 307,962
TOTAL PROGRAM FUNDING SOURCES: $ 2,472,957
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
CRISIS RESIDENTIAL TREATMENT(CRT)
Central Stars Behavioral Health,Inc.
Fiscal Year(FY)2022-23(12/1/2022 to 6/30/2023)
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%
Administrator A-17-580/Solane Ruiz,LCSW,CRT/Fresno 0.37
A-20-238/Solane Ruiz,LCSW,PHF/Fresno 0.73
Total 1.10
Position Contract#/Name/Department/County FTE%
HR Manager A-17-580/Jacqueline Foster/CRT/Fresno 0.13
A-20-238/Jacqueline Foster/PHF/Fresno 0.18
A-19-277/Jacqueline Foster/CWMHS/Fresno 0.19
A-18-576/Jacqueline Foster/TAY/Fresno 0.08
A-18-233/Jacqueline Foster/WRAP/Fresno 0.19
Jacqueline Foster/CRU/Merced 0.13
Jacqueline Foster/CSU/Merced
Jacqueline Foster/CBHST/Stanislaus 0.10
Total 1.00
Position Contract#/Name/Department/County FTE%
HR Coordinator/Assistant/Talent Acquisition A-17-580/Heather Stefanelli Vilahuer/CRT/Fresno 0.13
A-20-238/HeatherStefanelli Vila huer/PHF/Fresno 0.18
19-277/HeatherStefanelli Vila huer/CWMHS/Fres 0.19
A-18-576/Heather Stefanelli Vilahuer/TAY/Fresno 0.08
-18-2330/Heather Stefanelli Vilahuer/WRAP/Fresr 0.19
Heather Stefanelli Vila huer/CRU/Merced 0.13
Heather Stefanelli Vilahuer/CSU/Merced
Heather Stefanelli Vila huerr/CBHST/Stanislaus 0.10
Total 1.00
Position Contract#/Name/Department/County FTE%
Administrative Service Coordinator A-17-580/Alex Vargas/CRT/Fresno 0.13
A-17-580/Alex Vargas/PHF/Fresno 0.18
A-17-580/Alex Vargas/CWMHS/Fresno 0.19
A-17-580/Alex Vargas/TAY/Fresno 0.08
A-17-580/Alex Vargas/WRAP/Fresno 0.19
Alex Vargas/CRU/Merced 0.13
Alex Vargas/CSU/Merced
Alex Vargas/CBHST/Stanislaus 0.10
Total 1.00
Position Contract#/Name/Department/County FTE%
Training Manager A-17-580/Wendy Davis/CRT/Fresno 0.13
A-17-580/Wendy Davis/PHF/Fresno 0.18
A-17-580/Wendy Davis/CWMHS/Fresno 0.19
A-17-580/Wendy Davis/TAY/Fresno 0.08
A-17-580/Wendy Davis/WRAP/Fresno 0.19
Wendy Davis/CRU/Merced 0.13
Wendy Davis/CSU/Merced
Wendy Davis/CBHST/Stanislaus 0.10
Total 1.00
Position Contract#/Name/Department/County FTE%
Training Coordinator A-17-580/Rebecca Rosario/CRT/Fresno 0.13
A-17-580/Rebecca Rosa rio/PHF/Fresno 0.18
A-17-580/Rebecca Rosario/CWMHS/Fresno 0.19
A-17-580/Rebecca Rosario/TAY/Fresno 0.08
A-17-580/Rebecca Rosario/WRAP/Fresno 0.19
Rebecca Rosario/CRU/Merced 0.13
Rebecca Rosario/CSU/Merced
Rebecca Rosa rio/CB HST/Sta n isla us 0.10
Total 1.00
Position Contract#/Name/Department/County FTE%
CIA Manager A-17-580/Samantha Perryman,LPT/CRT/Fresno 0.29
A-20-238/Samantha Perryman/PHF/Fresno 0.49
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Samantha Perryman/CRU/Merced 0.22
Samantha Perryman/CSU/Merced
Total 1.00
Position Contract#/Name/Department/County FTE
QA Coordinator/Assistant A-17-580/Vacant/CRT/Fresno 0.37
A-20-238/Vacant/PHF/Fresno 0.63
Total 1.00
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
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Total 0.00
Position Contract n/Name/Department/County FTE
Total 0.00
Position Contract n/Name/Department/County FTE
Total 0.00
Position Contract n/Name/Department/County FTE
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
CRISIS RESIDENTIAL TREATMENT(CRT)
Central Stars Behavioral Health,Inc.
Fiscal Year(FY)2022-23(12/1/2022 to 6/30/2023) Budget Narrative
PROGRAM EXPENSE
ACCT#j LINE ITEM I AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 1,403,501
Administrative Positions 212,829
1101 Administrator 60,000 These positions form part of the program operations support staff.The cost is shared
by all programs and is allocated to each program based on each program's wages.
Without this support from an affiliated organization,the program would need to have
dedicated staff for these functions.Additionally,any costs shared with this program
will result in savings to the County through lower costs for the other Central Star
Merced County programs.
1102 HR Manager 20,792 These positions form part of the program operations support staff.The cost is shared
by all programs and is allocated to each program based on each program's wages.
Without this support from an affiliated organization,the program would need to have
dedicated staff for these functions.Additionally,any costs shared with this program
will result in savings to the County through lower costs for the other Central Star
Merced County programs.
1103 HR Coordinator/Assistant/Talent Acquisition 24,000 These positions form part of the program operations support staff.The cost is shared
by all programs and is allocated to each program based on each program's wages.
Without this support from an affiliated organization,the program would need to have
dedicated staff for these functions.Additionally,any costs shared with this program
will result in savings to the County through lower costs for the other Central Star
Merced County programs.
1104 Administrative Service Coordinator 9,500 These positions form part of the program operations support staff.The cost is shared
by all programs and is allocated to each program based on each program's wages.
Without this support from an affiliated organization,the program would need to have
dedicated staff for these functions.Additionally,any costs shared with this program
will result in savings to the County through lower costs for the other Central Star
Merced County programs.
1105 Training Manager 12,000 These positions form part of the program operations support staff.The cost is shared
by all programs and is allocated to each program based on each program's wages.
Without this support from an affiliated organization,the program would need to have
dedicated staff for these functions.Additionally,any costs shared with this program
will result in savings to the County through lower costs for the other Central Star
Merced County programs.
1106 Training Coordinator 14,257 These positions form part of the program operations support staff.The cost is shared
by all programs and is allocated to each program based on each program's wages.
Without this support from an affiliated organization,the program would need to have
dedicated staff for these functions.Additionally,any costs shared with this program
will result in savings to the County through lower costs for the other Central Star
Merced County programs.
1107 CA Manager 19,009 These positions form part of the program operations support staff.The cost is shared
by all programs and is allocated to each program based on each program's wages.
Without this support from an affiliated organization,the program would need to have
dedicated staff for these functions.Additionally,any costs shared with this program
will result in savings to the County through lower costs for the other Central Star
Merced County programs.
1108 CA Coordinator/Assistant 10,500 These positions form part of the program operations support staff.The cost is shared
by all programs and is allocated to each program based on each program's wages.
Without this support from an affiliated organization,the program would need to have
dedicated staff for these functions.Additionally,any costs shared with this program
will result in savings to the County through lower costs for the other Central Star
Merced County programs.
1109 Clerk/Clerk Unit/EMR 42,771 The Clerk will be a receptionist,order supplies,perform clerical tasks for the director,
managers and supervisors and maintain medical record for audits.
1110 0 -
1111 0
1112 0
1113 0
1114 0
1115 10
Program Positions 887,956
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1116 Program Director/Manager 97,103 Program director provides supervision of mental health and other support staff and has
responsibility for planning and oversight of CRT program services delivery.Acts as a
resource for therapists on issues related to treatment on specific cases or types of
cases,review treatment plans and therapeutic techniques utilized,ensure that
therapists provide treatment within the scope of licensure.
1117 Program Coordinator 80,000 The CRT Program Coordinator assists the CRT Program Manager in directing the
activities of assigned non-licensed personnel who provide direct client care services to
residents of the Central Star Crisis Resident Treatment Facility on a 24-hour 7 day a
week basis.
1118 Resource Specialist 36,712 Resource Specialists helps coordinate and develop community resources for all
participants,including housing,vocational,educational services,transportation and
other social support services.
1119 MHS Therapist/Specialist 83,837 The MH Specialists has primary responsibility as clinical therapist and serves as the
primary point of contact for case management.Will assess residents at start of
treatment;develop and maintain CRT;and lead residents towards the fulfillment of
CRT.Will coordinate the care and lead treatment based on each resident's choice;
collect all documentation needed to develop CRTs with residents and support people;
provide treatment using EBPs,e.g.,individual/group services,crisis intervention,family
therapy,case management,and family support.
1120 Household Counselor/Coach 86,485 The Household coaches act as a"single point of responsibility"for residents for skill
development such as cooking,cleaning or other home related tasks.The Household
Coaches are available as appropriate to resident needs,providing residents with
individualized attention,and offering intensive services and support when needed.
Household coaches does not supervise staff,but will work directly with residents based
on their care plan or needs.
1121 Peer Counselor/Peer Mentor 39,207 The Peer Counselors help consumers explore options given their available resources
and formulate problem-solving plans.They also serve as informal counselors,offering
consumers the opportunity to discuss issues surrounding relationships,feelings,
attitudes,personal goals and individual rights.Sometimes Peer Counselors help people
learn independent living skills such as money management or various household skills.
1122 Recovery Counselor 180,735 The Recovery Counselors are para-professional treatment team members who are
responsible for providing direct care to meet the physical and psychosocial needs of
the clients through direct and indirect physical and verbal interaction.Duties are
performed under direct supervision of the Program Manager,or designee in most
cases,but some tasks are accomplished independently.Recovery Counselors are peers
and individuals with lived experiences.Are also responsible for working with families to
provide support and education,and advocacy.Attends team meetings and participates
in development of CRT.
1123 LVN/LPT 283,877 The Clinical Supervisor has primary responsibility for supervising,managing and
coordinating the oversight of programs.The Clinical Supervisor has oversight
responsibility for the LVN,Mental Health Specialist,and Peer Counselor. He/she acts
as liaison with external agencies and functions on teams with other clinical&support
staff.Functions as a key management team member in all administrative and program
duties.
1124 0 The LVN's will maintain professional standards for medical management,including
providing nursing assessments,dispensing of medication,and monitoring of side
effects.Provide direct care including medications and assessments,and manage
confidential health information.Essential responsibilities include completing resident
medication intake/preparation for psychiatric care/evaluations and coordinating with
psychiatric provider;evaluating residents for potential medication side effects and
reporting to psychiatric provider;coordinating resident care by maintaining direct
contact with psychiatric provider;and ensuring medication administration protocols
are met.
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 10
Direct Employee Benefits 192,638
1201 IRetirement 1 22,337 JEmployee Benefit
1202 Worker's Compensation 33,505 Employee Benefit
1203 Health Insurance 134,019 Employee Benefit
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1204 401K Match 2,244 Employee Benefit
1205 Life AD&D 533 Employee Benefit
1206 Other(specify)
Direct Payroll Taxes&Expenses: 110,078
1301 OASDI 65,813 Payroll Taxes
1302 FICA/MEDICARE 16,890 Payroll Taxes
1303 SUI 27,375 Payroll Taxes
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 188,953
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation&Support 3,500 Transportation for clients to various community social resources and support.
2004 Client Support,Clothing,Food,&Hygiene 115,812 Annual cost of food,water,clothing,toiletries,and hygiene products for clients.
Birthcertificate,DMV IDs,and different County and State documents as needed.
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients 1,349 Cleaning supplies for client rooms,bathrooms,kitchen and office
2008 Medication Supports -
2009 Program Supplies-Medical 50,331 Annual cost for RX meds w/o medical reimbursement and medical supplies(OTC meds,
first aid supplies)
2010 Utility Vouchers -
2011 Translation services -
2012 Laundry services 2,500 Laundry services for large items that cannot be done in on-site laundry
2013 Nutritionist Services 4,115 Consultant services to maintain healthy dietary requirements of clients
2014 Medical Waste Disposal 4,146 Stericyle services
2015 Client Activities 7,200 Client therapeutic supplies
2016 0 -
3000:DIRECT OPERATING EXPENSES 172,425
3001 Telecommunications 57,035 This is the cost of telephone,cable,internet services,budgeted at an average of
$860/mo.based on our experience.Included is$700 reimbursement of$60/month for
employee phone/internet reimbursement.
3002 Printing/Postage 14,903 This category includes copier lease cost,overages,and toner,the cost has been
budgeted based on our current lease which works out to be$1,122/month.
3003 Office,Household&Program Supplies 48,478 Office and Kitchen supplies
3004 Advertising -
3005 Staff Development&Training 6,770 This cost comprises the on-going program-required education,training,and materials
for the new staff.
3006 Staff Mileage 2,500 Staff travel mileage reimbursement,vehicle gas reimbursement
3007 Subscriptions&Memberships 1,273 Cable/Netflix
3008 Vehicle Maintenance 10,738 Vehicle maintenance
3009 Recruiting 7,000 This is the cost of recruitment and hiring to cover for staff turnover over the course of
the program.
3010 Business License 3,699 Includes business license,Bulletin Board System,The Joint Commission,and property
taxes.
3011 Liability Insurance 20,029 Practice and property liability insurance per employee per year
3012 10
4000:DIRECT FACILITIES&EQUIPMENT 93,144
4001 Building Maintenance 25,000 County's building allocated maintenance cost per County Contract
4002 Rent/Lease Building 4,392 Shared Admnistration staff building lease allocation
4003 Rent/Lease Equipment -
4004 Rent/Lease Vehicles
4005 Security -
4006 Utilities 58,000 County's building allocated utilities cost per County Contract
4007 Depreciation 5,752 Vehicle depreciation
4008 Other(Janitorial) -
4009 Other(Property Taxes)
4010 1 Other(specify)
5000:DIRECT SPECIAL EXPENSES 201,569
5001 Consultant(Network&Data Management) -
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Psychiatric) 103,800 Two months of medication and behavioral support in conjunction with Nurse
Practitioner
5004 Translation Services 1,337 Client translation fees as needed.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
5005 Centralized Serivices Program 96,432 This cost is comprised of the SBHG corporate and regional support in areas including
Program Development and Evaluation,Quality&Compliance,and Training.The cost of
this support is allocated to all programs utilizing standard accounting practices and is
budgeted at 6.32%of total program salaries.
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
6000:INDIRECT EXPENSES 376,104
6001 Administrative Overhead -
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping -
6004 External Audit 7,641 Required external CPA firm audit
6005 Insurance(Specify): -
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify) -
6010 Centralized Fiscal services(5%) 105,000 As a profit provider,Central Star has no ability to do fund raising to offset unallowable
costs such as income taxes as well as denials and other unreimbursed services.This line
item provides a cushion to mitigate this exposure.Calculated at 5%of total program
expenses less Client support expenses and Centralized services-Administrative
6011 Centralized Services Administration 263,463 Allocation from Stars Behavioral Health Group.It covers operations administration,
information technology,human resources,communications,finance,and associated
fringe benefits and expenses.SBHG oversight ensures consistency with our quality
standards and policies and procedures.The cost is developed from allocating the SBHG
costs among all the programs within all the SBHG companies based on standard
accounting practices.This economy of scale results in a significant savings for all SBHG
programs.Rather than staffing each program for all necessary services above,the
services are performed by fewer employees and then shared among all SBHG
programs.$121,032 or 5%of the total expenses is budgeted as SBHG operating
income.5%of the total expenses is budgeted as net income.These net income funds
support a prudent reserve,ability to offset unreimbursed costs,and adds value to
SBHG's employee benefit of its Employee Stock Ownership Program(ESOP).
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS 37,261
7001 Computer Equipment&Software 30,000 Replacement cost for hardware,annual software licenses,cost of maintenance of
current equipment
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 7,261 Cost of minor equipment an other appliances as needed
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(Minor Equipment)
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 Adult Crisis Residential(Mode 05/SFC 40-49)
8010 Medication Support(Mode 15/SFC 60-69)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 2,472,957
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 2,472,957
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020