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Home My WebLink AboutAgreement A-23-036 Amendment to Agreement with Turning Point.pdf Agreement No. 23-036 1 AMENDMENT NO. 1 TO AGREEMENT 2 This Amendment No. 1 to Service Agreement ("Amendment No. 22-264) is dated 3 January 24, 2023 and is between the COUNTY OF FRESNO, a Political Subdivision of 4 the State of California, hereinafter referred to as "COUNTY", and TURNING POINT OF 5 CENTRAL CALIFORNIA, INC., a California non-profit 501 (c) (3) corporation, whose address is 6 P.O. Box 7447, Visalia, CA 93290, hereinafter referred to as "CONTRACTOR" (collectively the 7 parties). 8 WHEREAS, the parties entered into that certain Agreement, identified as COUNTY 9 Agreement No. 22-264, effective June 21, 2022, whereby CONTRACTOR agreed to provide 10 substance use disorder (SUD) and mental health outpatient, full service partnership, and 11 assertive community treatment services under California Assembly Bill (AB) 109 Public Safety 12 Realignment and the Post-Release Community Supervision Act of 2011; and mental health 13 diversion under AB 1810, California Senate Bill (SB) 317 and Penal Code 1001.36; and 14 WHEREAS, COUNTY is authorized through its Intergovernmental Agreement with the 15 California State Department of Health Care Services, hereinafter referred to as State or DHCS, 16 to subcontract for Drug Medi-Cal services (DMC) in Fresno County; and 17 WHEREAS, COUNTY is authorized to contract with privately operated agencies for the 18 provision of alcohol and other drug treatment services, pursuant to Title 9, Division 4 of the 19 California Code of Regulations and Division 10.5 (commencing with Section 11750) of the 20 California Health and Safety Code; and 21 WHEREAS, COUNTY, through its DBH, is a Mental Health Plan (MHP) as defined in 22 Title 9 of the California Code of Regulations, Section 1810.226; and 23 WHEREAS, CONTRACTOR is certified by the State to provide services required by the 24 COUNTY, pursuant to the terms and conditions of this Agreement; and 25 WHEREAS, CONTRACTOR is qualified and willing to operate a forensic behavioral 26 health program pursuant with said services to the terms and conditions of this Agreement; and 27 28 1 1 WHEREAS, the COUNTY has received grant funds for, and wishes CONTRACTOR to 2 provide Whole Person Care Like navigation and linkage services in conjunction with other 3 services provided pursuant to Agreement No. 22-264. 4 NOW, THEREFORE, the parties agree to amend the Agreement as follows: 5 1. That in existing COUNTY Agreement No. 22-264, all references to "Exhibit A" shall be 6 deemed references to "Exhibit A and Exhibit A-1." Exhibit A-1 is the Whole Person Care Like 7 Scope of Work, and is attached hereto and incorporated herein by this reference. 8 2. That in existing COUNTY Agreement No. 22-264, all references to "Exhibit D" shall be 9 deemed references to "Exhibit D and Exhibit D-1." Exhibit D-1 is the Whole Person Care Like 10 Budget, and is attached hereto and incorporated herein by this reference. 11 3. That the COUNTY Agreement No. 22-264, Section Four (4) "COMPENSATION", on 12 Page Six (6), beginning on Line Seventeen (17)with the word "The" and ending on Page Seven 13 (7), Line Nine (9) with the word "Agreement' be deleted and that the following inserted in its 14 place: 15 "The maximum amount to be paid to CONTRACTOR by COUNTY under this Agreement 16 for the operating period of July 1, 2022 through June 30, 2023, shall not exceed Five Million, 17 Three Hundred Eighty-Six Thousand, Four Hundred Seventy-Four and No/100 Dollars 18 ($5,386,474.00). 19 The maximum amount to be paid to CONTRACTOR by COUNTY under this Agreement 20 for the operating period of July 1, 2023 through June 30, 2024, shall not exceed Five Million, 21 Five Hundred Seventy-Nine Thousand, Five Hundred Thirty-Four and No/100 Dollars 22 ($5,579,534.00). 23 The maximum amount to be paid to CONTRACTOR by COUNTY under this Agreement 24 for the operating period of July 1, 2024 through June 30, 2025, shall not exceed Five Million, 25 Six Hundred Eighty-Three Thousand, Eight Hundred Thirty-Six and No/100 Dollars 26 ($5,683,836.00). 27 The maximum amount to be paid to CONTRACTOR by COUNTY under this Agreement 28 for the operating period of July 1, 2025 through June 30, 2026, shall not exceed Five Million, 2 1 Four Hundred Fourteen Thousand, Six Hundred Eighty-Three and No/100 Dollars 2 ($5,414,683.00). 3 The maximum amount to be paid to CONTRACTOR by COUNTY under this Agreement 4 for the twelve (12) month period, (July 1, 2026 through June 30, 2027), shall not exceed Five 5 Million, Five Hundred Twelve Thousand, Seven Hundred Forty-Five and No/100 Dollars 6 ($5,512,745.00). 7 In no event shall compensation for services performed under this Agreement be in 8 excess of Twenty-Seven Million, Five Hundred Seventy-Seven Thousand, Two Hundred 9 Seventy-Three and No/100 Dollars ($27,577,272.00) during the term of this Agreement." 10 The Agreement, as hereby amended, effective January 24, 2023, is ratified and 11 continued. All provisions, terms, covenants, conditions, and promises contained in the 12 Agreement and not amended herein shall remain in full force and effect. 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 3 1 IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day 2 and year first hereinabove written. 3 4 CONTRACTOR: COUNTY OF FRESNO 5 TURNING POINT OF CENTRAL CALIFORNIA, INC. 6 By: ,n7,"„"6" 7 A. 8 S I Q nt o, Raymond Banks C an t Board of Supervisors of Print Name: Y 9 the County of Fresno 10 11 Title:Chief Executive Officer Chairman of Board, or President 12 or any Vice President ATTEST: 13 BERNICE E. SEIDEL Clerk of the Board of Supervisors 14 County of Fresno, State of California By: 1A4 15 16 Will Goodall g Print Name: y - 17 Deputy 18 Title: Chief Financial Officer 19 Secretary of Corporation, or any Assistant Secretary, or 20 Chief Financial Officer, or any Assistant Treasurer 21 MAILING ADDRESS: 22 23 615 S. Atwood St. Visalia, CA 93277 24 Phone No.: (559) 732-8086 Contact: Sharon Ross, COO 25 26 FOR ACCOUNTING USE ONLY: 27 Fund/Subclass: 0001/10000 ORG No.: 56302081 (DMC); 56302070(A13109 OP/FSP/ACT); 56304784(MHSA OP); 56304525(MHSA FSP/ACT);56302362(WPCL) 28 Account: 7295/0 4 Exhibit A-1 Page 1 of 10 Whole Person Care-Like Pilot SCOPE OF WORK I. PROJECT DESCRIPTION California's Whole Person Care-Like (WPCL) Pilot program coordinates physical health, behavioral health, and social services in a person-centered manner with the goal of improved beneficiary health and well-being. Low-income populations are more likely to experience a multitude of physical health, behavioral health, and social needs, requiring individuals to seek care across multiple and fragmented systems. The need for a Whole Person Care approach arose due to unmet social, behavioral health, and physical health needs within vulnerable populations, and from the existing fragmentation of organization and financing of current health and human services systems. In December 2019, the County of Fresno (COUNTY) applied for one-time funding in the amount of$894,377.20 made possible by the 2019-20 Governor's Budget to initiate WPCL capacity with the intention of utilizing the funds for administrative and programmatic activities specific to high- risk populations, specifically individuals who are experiencing homelessness who have mental illness and/or two or more chronic health conditions. CONTRACTOR shall include, at a minimum, the following services in utilization of this funding: • System Navigation • Short-term care coordination • Intensive care management • Linkage to housing services and supports • Homeless prevention/intervention The CONTRACTOR shall provide system navigation to a target population of Penal Code, section 1203 probationers (PC 1203), and Mandatory Supervision (MS) defendants, or as recommended by COUNTY, who meet the following criteria: • Have a mental health diagnosis and chronic physical health condition; • Are homeless, or at-risk of homelessness; • Have a term of formal probation or MS upon release; And have a scheduled release date within 60-90 days of referral. The WPCL component is new to the Forensic Behavioral Health — Continuum of Care program and involves many partners. Processes are being developed and expected to change to improve service delivery. CONTRACTOR shall be flexible and is welcomed to propose improvements and communicate concerns to the COUNTY. II. SERVICES START DATE In the first 60 days, the CONTRACTOR shall complete a series of tasks and deliverables outlined in the Training and Education Start-Up Timeline summarized as follows: Anticipated Timeline 1. FEB 2023 — MAR 2023—Training and Education Start-up A. First 30 days- Recruitment and Infrastructure Enhancements Exhibit A-1 Page 2 of 10 • Purchase infrastructure enhancements (e.g., laptops, equipment, etc.). • Post job openings and begin recruitment/staff orientation by Fresno County Mental Health Plan (FCMHP). • Collaborate with COUNTY and community partners to review existing information management systems, including Homeless Management Information System (HMIS) and Fresno Community Health Improvement Partnership (FCHIP)'s community health worker network system. Work with CalAIM Managed Care Plan justice-involved Enhanced Care Management (ECM) services and supports. • Begin to develop screening and data/outcome tracking tools. • Coordinate and facilitate meetings with justice partners to develop referral process. B. First 45 days- Coordinate Outreach Trainings • Finalize printed flyers and brochures in portable document format (PDF)for hardcopy and/or electronic distribution. • Finalize individual referral processes. C. First 60 days- Engage Community Partners • Distribute updated flyers and brochures reflecting system navigation and referral process. 2. MAR 2023 — FEB 2025— Services A. See "Description of Services" section in following sections 3. MAR 2025—JUN 2025— Evaluation and Report Writing A. See "Outcomes" section in following sections CONTRACTOR and Department of Behavioral Health (DBH) shall remain in constant communication with regards to capacity based on funding streams, as well as the need to modify the start-up period earlier or later than anticipated. Initial services are anticipated to start on March 1, 2023, or later as applicable. III. TARGET POPULATION The target population shall include adults 18 years or older being released from Fresno County Jail (Jail) on PC 1203 probation and MS defendants who meet the following criteria: • Have a mental health diagnosis and chronic physical health condition; • Are homeless, or at-risk of homelessness; • Have a term of formal probation or MS upon release; and, • Have a scheduled release date within 60-90 days of referral. Individuals shall be referred for the WPCL navigation program through screening and review by the Probation Department, the Jail health service provider, DBH, and the CONTRACTOR. IV. LOCATION OF SERVICES Exhibit A-1 Page 3 of 10 WPCL services shall be provided in the community setting where the individual is located. This shall include delivering services while the individual is incarcerated at the Jail. Services are expected to be provided at locations that are most convenient for individuals. Telehealth services shall be available, if preferred by the person served, or if there is a public health order to discontinue face-to-face services. V. HOURS OF OPERATION Hours of operation should meet the needs of the population to be served. At minimum, services shall be available eight (8) hours a day, five (5) days a week. CONTRACTOR shall make adjustments for unique needs as necessary. VI. DESCRIPTION OF SERVICES The intended benefit of creating the WPCL Pilot program is to establish a navigation system to meet the physical health, behavioral health, social, and housing needs of individuals reentering the community after incarceration. 1. Behavioral Health A. CONTRACTOR shall ensure that all services are: • Values-driven, strengths based, individual-driven, and co-occurring capable; • Culturally and linguistically competent; • Age, culture, gender, and language appropriate; • Include accommodations for individuals with physical disability(ies); • Include close and constant communication and collaboration between CONTRACTOR , the criminal justice system (including the Courts, Public Defender and Probation Department); and, • Include evidence-based practices (EBPs) appropriate for the target population. B. Methods for service coordination and communication between program and other service providers shall be developed and implemented consistent with FCMHP confidentiality rules. C. CONTRACTOR shall maintain up to date caseload record of all individuals enrolled in services, and provide individual, programmatic, and other demographic information to DBH. D. CONTRACTOR shall utilize the Substance Abuse and Mental Health Services Administration (SAMHSA) Risk-Needs-Responsivity (RNR) model to inform and determine level of services to correctly link individuals to services based on their level of needs and risk factors. 2. System Navigation Services CONTRACTOR shall initiate and facilitate outreach and engagement to WPCL-eligible individuals after the Probation Department, DBH, Jail service provider, and CONTRACTOR reviews their case for appropriate services. Individual may be in custody or subject to early/unplanned release at time of referral. Exhibit A-1 Page 4 of 10 A. CONTRACTOR shall apply for a Jail Pass for access to the Jail B. Services shall include and are not limited to the following: • Jail visits to build first-hand familiarity and coordination with the corresponding Jail personnel and understand Jail procedures around visitation; • Face-to-face interviews with the suitable candidates for WPCL; • Building rapport and therapeutic alliance with individuals; • Screening assessments of the primary and priority needs of the individual, as well as strengths and potential natural sources including established family and social supports; • Sharing information and collaboration between the WPCL team so that preparations can be made in advance to assist in planning and arranging the preliminary release arrangement. This would include, at a minimum, basic assessment data about the individual's symptoms, needs, medications, housing status, etc.; • Engagement— Maintaining contact with the individual while waiting for release. Warm handoff to appropriate mental health and physical health providers; • System Navigation a. Coordinate post release transportation. Individual shall first be transported to the program for a face-to-face meeting where they shall review screening and linkage plan with the navigation team if one has been completed, or complete one if needed; b. Education regarding behavioral health rights; and, c. Linkage to mental health, physical health, and housing needs. 3. Housing Housing services are vital to provide stability, reduce hospital/Jail returns, and allow for recovery and the building of resiliency. The CONTRACTOR shall offer linkages for a variety of housing options for persons served including crisis housing, transitional or low-barrier housing, recovery residence, residential drug treatment, board and care homes, and room and board homes. 4. Other Collaborative Relationships The CONTRACTOR shall establish and maintain collaborative relationships with agencies and individuals who have frequent contact with adult that are hospitalized, experiencing homelessness, or incarcerated. Examples of collaborative relationships include but are not limited to local law enforcement agencies, Veterans Administration, Marjorie Mason Center, Fresno County Human Services Departments, Faith-Based Organizations, acute psychiatric facilities, schools, community centers, etc. There may be a need for a Memorandum of Understanding (MOU) or Data Use Agreement between the CONTRACTOR and one or more of the community partners if data is to be shared and collected. Health Insurance Portability and Accountability Act (HIPAA) regulations must always be considered and adhered to when discussing protected health information (PHI) with another agency. 5. County Responsibilities A. Provide oversight and collaborate with CONTRACTOR and other County Departments and community agencies to help achieve program goals and outcomes. In addition to contract monitoring of program(s), oversight includes, but is not limited Exhibit A-1 Page 5 of 10 to, coordination with the State Department of Health Care Services (DHCS) in regard to program administration and outcomes. B. Assist CONTRACTOR in making linkages to the appropriate level of care within the behavioral health system of care to ensure continuity of care. This shall be accomplished through regularly scheduled meetings as well as formal and informal consultation. C. Participate in evaluating the progress of the overall program and the efficiency of collaboration with the CONTRACTOR staff and shall be available to CONTRACTOR for ongoing consultation. D. Receive and analyze statistical outcome data from CONTRACTOR throughout the term of contract monthly. DBH shall notify the CONTRACTOR when additional participation is required. The performance outcome measurement process shall not be limited to survey instruments but shall also include, as appropriate, individual and staff interviews, chart reviews, and other methods of obtaining required information. E. Recognize that cultural competence is a goal toward which professionals, agencies, and systems should strive. Becoming culturally competent is a developmental process and incorporates at all levels the importance of culture, the assessment of cross-cultural relations, vigilance towards the dynamics that result from cultural differences, the expansion of cultural knowledge, and the adaptation of services to meet culturally-unique needs. Offering those services in a manner that fails to achieve its intended result due to cultural and linguistic barriers is not cost effective. To assist the CONTRACTOR's efforts towards cultural and linguistic competency, County shall provide the following at no cost to CONTRACTOR: • Mandatory cultural competency training including sexual orientation and sensitivity training for CONTRACTOR personnel, at minimum once per year. County shall provide mandatory training regarding the special needs of this diverse population and shall be included in the cultural competence training(s) if CONTRACTOR does not have a similar training in place. Sexual orientation and sensitivity to gender differences is a basic cultural competence principle and shall be included in the cultural competency training. Literature suggests that the mental health needs of lesbian, gay, bisexual, transgender (LGBT) individuals may be at increased risk for mental disorders and mental health problems due to exposure to societal stressors such as stigmatization, prejudice, and anti-gay violence. Social support may be critical for this population. Access to care may be limited due to concerns about providers' sensitivity to differences in sexual orientation. • Assistance to CONTRACTOR in locating appropriate providers who can translate behavioral health and substance use disorder services information into County's threshold languages (English, Spanish, and Hmong). Translation services and costs associated shall be the responsibility of the CONTRACTOR. VII. STAFFING The staffing plan should be clear and concise and allow for full implementation of all items described in the program. It is expected that the WPCL team shall complete the services and Exhibit A-1 Page 6 of 10 linkages as identified above. CONTRACTOR shall be knowledgeable of cultural sensitivity/competency and well versed in community resources. Staff work schedules shall be responsive to person served needs and shall permit staff to be available at times/locations that are convenient for the person served and/or respond to family members' concerns. There is no mental health treatment currently offered or anticipated at this program. The staffing plan should include Case Managers, supervision of Case Managers, and additional positions as needed to ensure full implementation of the program. The staffing ratio shall be 1:30 for Case Managers hired for the WPCL team, with a capacity of 60 individuals at any given time. VIII. PEER SUPPORT RESOURCES The CONTRACTOR recognizes the value of the use of individual directed peer-to-peer support networks. As part of an individual's recovery, a variety of peer activities are made available for persons served. WPCL team shall employ peer support staff who have lived mental health /criminal justice involvement/substance use disorder experience and has a heart to give back as part of the WPCL team. IX. AVERAGE CLIENT LENGTH OF STAY The services to be provided by the WPCL system navigation program are to be short term- lasting less than 90 days- and focused on providing persons served with access to health and social services that promote health, financial, and social well-being in the community. The CONTRACTOR is expected to provide case management services for individuals until they have been successfully linked to appropriate services and have begun attending appointments. X. REPORTING CONTRACTOR shall comply with the following reporting requirements: 1. WPCL Reporting A. CONTRACTOR provide all necessary data to allow DBH to capture all WPCL data for services provided and to meet all DHCS reporting requirements. Data to be collected shall include, but not be limited to, the following: • General: a. Service refusal rates for all linkage areas: physical health, mental health, substance use disorder and housing; b. Number of needs assessments/screenings administered; c. Number of persons released with health insurance coverage (reactivated Medicaid, private insurance, etc.); d. Rate of linkage to services; • Physical Health: a. What is the primary chronic physical health condition (diabetes, hypertension, heart condition, etc.); b. Number of linkages to primary care; c. Average number of days between release from incarceration and contact with primary care physician; and, Exhibit A-1 Page 7 of 10 d. Number of individuals who were referred to doctor appointments and didn't go. • Mental Health and Substance Use Disorder: a. What is the primary mental health diagnosis; b. Number and percentage of persons with substance use disorders; c. Number and percentage of persons who kept their first appointments; and, d. Number and percentage of persons released with psychotropic medications. • Housing: a. Number of persons discharged to homelessness, a shelter, or unknown address; b. Number of persons enrolled in the Homeless Management Information System (HMIS) program; c. Number of individuals linked to temporary or permanent housing; d. Number of individuals linked to housing in the Metro area; and e. Number of individuals linked to housing in the Rural area. 2. CONTRACTOR shall comply with all reporting requests made by DBH. Reporting requirements are subject to change as the program develops. 3. The COUNTY will submit an evaluation and summary within 90 days after the full expenditure of WPCL funding. The report will demonstrate the disposition of funds, types of services provided, and number of individuals who received services related to this one-time funding. CONTRACTOR shall assist in the writing of this report by providing data and review on the pilot program. XI. 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. 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. Performance outcome measures shall be tracked on an ongoing basis and used to update the COUNTY monthly (by the loth of the month following the report period). In addition, performance outcome measures are reported to the COUNTY annually in accumulative reports for overall program and contract evaluation. CONTRACTOR shall 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. The following items listed below represent program goals to be achieved by CONTRACTOR. The program's success shall be based on the number of goals it can achieve, resulting from performance outcomes. CONTRACTOR shall utilize a computerized tracking system with which outcome measures and other relevant individual data, such as demographics, shall be maintained. CONTRACTOR shall collect data about the characteristics of the individuals served and measure service delivery performance indicators in the four Commission on Accreditation of Exhibit A-1 Page 8 of 10 Rehabilitation Facilities (CARF) domains, 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- a. Linkage Objectives/Achievements Indicator: Percentage of individuals that were linked to each part of their case plan and attended 75% or more of their first appointments. ii. Who Applied: A sample of individuals served by the program. iii. Time of Measure: Fiscal Year iv. Data Source: Provider v. Target Goal Expectancy: A minimum of 95% of individuals who complete a screening shall complete at least 75% of treatment plan goals. b. Successful Completion Indicator: Percentage of individuals that complete a screening or leave with satisfactory progress. ii. Who Applied: Individuals that participated in system navigation services provided by the program. iii. Time of Measure: Fiscal Year iv. Data Source: Discharge Summaries and Post treatment surveys v. Target Goal Expectancy: A minimum of 70% of individuals served shall successfully complete a screening or leave before completion with satisfactory progress. 2. Efficiency- a. Cost per Individual Costs include all staffing and overhead costs associated with operation of the program. Indicator: Total program costs compared to the number of unique individuals served. Who Applied: Individuals served by the program. iii. Time of Measure: Fiscal Year iv. Data Source: Provider Data Tool and Financial Records v. Target Goal Expectancy: To keep within departmental budgeted costs for the program. 3. Access- a. Length of time from referral to first outreach session offered Indicator: Percentage of individuals offered an outreach session within 10 business days of their referral. ii. Who Applied: A sample of individuals referred to the program. iii. Time of Measure: Fiscal Year iv. Data Source: Provider v. Target Goal Expectancy: 70% of referred individuals shall be offered their first outreach session within 10 business days of their referral. b. Length of time from Jail release to first mental health referral offered vi. Indicator: Percentage of individuals offered a mental health referral within 10 business days of their Jail release. vii. Who Applied: A sample of individuals referred to the program. viii. Time of Measure: Fiscal Year Exhibit A-1 Page 9 of 10 ix. Data Source: Provider x. Target Goal Expectancy: 70% of referred individuals shall be offered their first mental health referral within 10 business days of their Jail release. c. Length of time from Jail release to first substance use disorder referral offered Indicator: Percentage of individuals offered a substance use disorder referral within 10 business days of their Jail release. xii. Who Applied: A sample of individuals referred to the program. xiii Time of Measure: Fiscal Year xiv. Data Source: Provider xv. Target Goal Expectancy: 70% of referred individuals shall be offered their first substance use disorder referral within 10 business days of their Jail release. d. Length of time from Jail release to first physical health appointment offered i. Indicator: Percentage of individuals offered their first physical health appointment within 10 business days of Jail release. ii. Who Applied: A sample of individuals referred to the program. iii. Time of Measure: Fiscal Year iv. Data Source: Provider v. Target Goal Expectancy: 70% of individuals shall be offered a physical health appointment within 10 business days of Jail release. e. Length of time from Jail release to the first housing linkage offered Indicator: Percentage of individuals offered their first housing linkage within 10 business days of their Jail release. ii. Who Applied: A sample of individuals referred to the program. iii. Time of Measure: Fiscal Year iv. Data Source: Avatar EHR v_. Target Goal Expectancy: A minimum of 70% of individuals shall be offered their first housing linkage within 10 business days of their Jail release. f. Psychiatric Hospitalizations/Incarcerations Indicator: Percentage of individuals that experience zero psychiatric hospitalizations or incarcerations. ii. Who Applied: Individuals that received system navigation services. Time of Measure: Fiscal Year iv. Data Source: Provider V. Target Goal Expectances 95% of individuals receiving system navigation services shall experience zero psychiatric hospitalizations or incarcerations. g. Physical Hospitalizations Indicator: Percentage of individuals that experience zero physical hospitalizations. vii. Who Applied: Individuals that received system navigation services. viii. Time of Measure: Fiscal Year ix. Data Source: Provider x. Target Goal Expectancy: 95% of individuals receiving system navigation services shall experience zero physical hospitalizations. 4. Satisfaction & Feedback of Persons Served & Stakeholders- Satisfaction Measures are usually orientated towards persons served, family, staff, and stakeholders. The degree to which persons served, the COUNTY and other stakeholders are Exhibit A-1 Page 10 of 10 satisfied with services. A performance dimension that describes reports of ratings from persons served about services received from an organization Objective: To gauge satisfaction of stakeholders and collect data for service planning and quality improvement. Indicator: Average percent of stakeholders who complete the survey and response was 'Agree' or 'Strongly Agree' for the following domains: General Satisfaction, Perception of Access, Perception of Quality and Appropriateness, Perception of Treatment Participation, Perception of Outcomes of Services, Perception of Functioning, and Perception of Social Connectedness. iii. Who Applied: Individuals who completed the survey in June. iv. Time of Measure: Surveys were completed in June. v_. Data Source: Provider Stakeholder Survey data vi. Target Goal Expectancy: The program would like to see a majority of stakeholders satisfied for each domain. Exhibit D-1 1 of 26 Turining Point of Central California, Inc. Whole Person Care Like Fiscal Year (Start-up)January 24, 2023 -June 30, 2023 PROGRAM EXPENSES 1000: DIRECT SALARIES& BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 $ - 1102 Secretary 0.25 5,169 5,169 1103 Program Bookkeeper 0.05 1,108 1,108 1104 - - 1105 - - 1106 - - 1107 - - 1108 - - 1109 - - 1110 - - 1111 - - 1112 - - 1113 - - 1114 - - 1115 - - Direct Personnel Admin Salaries Subtotal 0.30 $ 6,277 $ 6,277 Acct# Program Position FTE Admin Program Total 1116 Case Manager 2.00 $ 50,223 $ 50,223 1117 Supervising Personal Services Coordinator 0.25 8,671 8,671 1118 Program Director 0.25 12,285 12,285 1119 - - 1120 - - 1121 - - 1122 - - 1123 - - 1124 - - 1125 - - 1126 - - 1127 - - 1128 - - 1129 - - 1130 - - 1131 - - 1132 - - 1133 - - 1134 - I - Direct Personnel Program Salaries Subtotal 2.50 $ 71,179 $ 71,179 Admin Program Total Direct Personnel Salaries Subtotall 2.80 $ 6,277 $ 71,179 $ 77,456 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 209 $ 2,405 $ 2,614 1202 Worker's Compensation 110 1,263 1,373 1203 Health/Dental/Other Insurance 1,296 10,809 12,105 1204 Other (Accrued Paid Leave) 697 8,017 8,714 1205 Other (specify) - - - 1206 Other (specify) - - - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 2 of 26 Direct Employee Benefits Subtotal: $ 2,312 $ 22,494 $ 24,806 Direct Payroll Taxes & Expenses: Acct# Description Admin Program Total 1301 OASDI $ 101 $ 1,162 $ 1,263 1302 FICA/MEDICARE 436 5,011 5,447 1303 SUI 102 1,170 1,272 1304 Other (specify) - - F - 1305 Other (specify) - - - 1306 Other (specify) - - - Direct Payroll Taxes& Expenses Subtotal: $ 639 $ 7,343 $ 7,982 DIRECT EMPLOYEE SALARIES& BENEFITS TOTAL: Admin Program Total $ 9,228 $ 101,016 $ 110,244 DIRECT EMPLOYEE SALARIES & BENEFITS PERCENTAGE: Admin Program 8%1 92% 2000: DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support - 2003 Client Transportation & Support 1,000 2004 Clothing, Food, & Hygiene 1,900 2005 Education Support 1,000 2006 Employment Support 800 2007 Household Items for Clients - 2008 Medication Supports 2,000 2009 Program Supplies - Medical 275 2010 Utility& Rental Security Deposits 600 2011 Other (Client Personal Needs) 800 2012 Other (O&E Client Needs) 800 2013 10ther (Client Physical Exams) 250 2014 Other (Client Activities) - 2015 Other (specify) - 2016 Other (specify) - DIRECT CLIENT CARE TOTAL $ 9,425 3000: DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 750 3002 Printing/Postage 400 3003 Office, Household & Program Supplies 2,550 3004 Advertising - 3005 Staff Development &Training 1,500 3006 Staff Mileage 400 3007 Subscriptions & Memberships 75 3008 lVehicle Maintenance 350 3009 Other (Vehicle Insurance/Fuel) 5,437 3010 Other (Recruitment) 500 3011 Other (Staff Meetings/Employee Relations) 300 3012 Other (Miscellaneous Expense - COVID Supplies) 650 DIRECT OPERATING EXPENSES TOTAL: $ 12,912 4000: DIRECT FACILITIES& EQUIPMENT Acct# Line Item Description Amount 4001 IBuilding Maintenance $ 862 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 3 of 26 4002 Rent/Lease Building 2,750 4003 Rent/Lease Equipment 75 4004 Rent/Lease Vehicles 5,000 4005 Security 100 4006 jUtilities 1,125 4007 Other (Insurance) 350 4008 Other (Equipment Maintenance) 75 4009 Other (specify) - 4010 Other (specify) - DIRECT FACILITIES/EQUIPMENT TOTAL: $ 10,337 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 500 5005 Other (HRIS & PR Processing) 500 5006 Other (Audit) 75 5007 Other (specify) - 5008 1 Other (specify) - DIRECT SPECIAL EXPENSES TOTAL: $ 1,075 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 10ther (Admin, HR, Fiscal, IT, Executive, Regional Supports) 23,332 6010 Other (specify) - 6011 Other (specify) - 6012 Other (specify) - 6013 Other (specify) - INDIRECT EXPENSES TOTAL $ 23,332 INDIRECT COST RATE 15.00% 7000: DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment & Software $ 50 7002 Copiers, Cell Phones,Tablets, Devices to Contain HIPAA Data - 7003 Furniture & Fixtures 4,000 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years + - 7006 Assets over$5,000/unit (Specify) - 7007 Other (Expendable Equipment) 7,500 7008 Other (Specify) - FIXED ASSETS EXPENSES TOTAL $ 11,550 TOTAL PROGRAM EXPENSES 1 $ 178,875 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 4 of 26 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 lRehabilitation 0 - - 8009 Other (Specify) 0 - - 8010 1 Other (Specify) 0 - - Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated % of Clients who are Medi-Cal Beneficiaries 0% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation (FFP) % 1 0% - 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 1CFTN - Capital Facilities &Technology - MHSA TOTAL $ - 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants (Specify) - 8404 Other (WPCL) 178,875 8405 Other (Specify) - OTHER REVENUE TOTAL $ 178,875 TOTAL PROGRAM FUNDING SOURCES: $ 178,875 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 5 of 26 Turining Point of Central California, Inc. Whole Person Care Like Fiscal Year (Start-up)January 24, 2023 -June 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 Program Director 22-264/FSC FSP/Fresno 0.38 WPCL 0.25 Jail Diversion 0.38 Total 1.00 Position Contract#/Name/Department/County FTE Supervising Personal Services Coordinator 22-264/FSC FSP/Fresno 0.38 WPCL 0.25 Jail Diversion 0.38 Total 1.00 Position Contract#/Name/Department/County FTE Secretary 22-264/FSC FSP/Fresno 0.75 WPCL 0.25 Total 1.00 Position Contract#/Name/Department/County FTE Program Bookkeeper WPCL 0.05 FSC OP 0.40 22-264/FSC FSP/Fresno 0.50 Jail Diversion 0.05 Total 1.00 Position Contract#/Name/Department/County FTE Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 6 of 26 Turining Point of Central California, Inc. Whole Person Care Like Fiscal Year (Start-up) January 24, 2023 - June 30, 2023 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000: DIRECT SALARIES & BENEFITS 110,244 Administrative Positions 6,277 1101 0 - 1102 Secretary 5,169 General secretarial and front desk receptionist duties including: Answering the telephone, greeting clients/guests, notifying staff when clients arrive for scheduled appointments, preparing forms to be sent to the administrative office, and performing general office duties. 1103 Program Bookkeeper 1,108 The Program Bookkeeper will be assisting the clients with their client fees for their portion of rent if necessary and keeping track of all the incoming and outgoing of petty cash as needed. Allocation to Jail Diversion only pertains to Start-up. 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 71,179 1116 Case Manager 50,223 The Case Managers provide services which will assist individuals in gaining access to needed medical, social, housing, economic, educational and other services as directed by the Program Director and Supervising PSC. The case manager will carry a caseload assisting in linking those who recently were released from jail for any and all services needed in the community. This position does not provide funding source documentation, nor is providing rehab services, only linkages. 1117 Supervising Personal Services Coordinator 8,671 Provides supervision to all Case Managers to ensure client care, maintain compliance with Turning Point policies and procedures. Supervisor also assisting in training new staff and reporting to the Program Director. Allocation to Jail Diversion only pertains to Start-up. 1118 Program Director 12,285 The Program Director currently oversees the program, hiring,training and supervising staff.Allocation to Jail Diversion only pertains to Start-up. 1119 0 - 1120 0 - 1121 0 - 1122 0 - 1123 0 - 1124 0 - 1125 0 - 1126 0 - 1127 0 - 1128 0 - 1129 0 - 1130 0 - 1131 0 - 1132 0 - 1133 0 - 1134 0 - Direct Employee Benefits 1201 Retirement 2,614 Cost of Agency contribution to employee retirement plans. 1202 Worker's Compensation 1,373 Cost of workers compensation insurance. 1203 Health/Dental/Other Insurance 12,105 Agency cost for health, dental, and other insurance 1204 Other(Accrued Paid Leave) 8,714 The monetary valueof staff Paid Leave hours as they accrue on a monthly basis. 1205 Other(specify) - 1206 Other(specify) - Direct Payroll Taxes & Expenses: 7,982 1301 OASDI 1,263 Employer pays 1.40%of employee's full salary. 1302 FICA/MEDICARE 5,447 Employer portion of F.I.C.A.taxes charged to the Agency by the InternalRevenue Service. F.I.C.A. is comprised of"Old-Age, Survivors, and Disability Insurance" (OASDI), plus "Hospital Insurance" (Medicare). 1303 SUI 1,272 Employer portion of S.U.I.taxes charged to the Agency by the various states in which wages are paid. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 7 of 26 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1304 Other(specify) - 1305 Other(specify) - 1306 Other (specify) - 2000: DIRECT CLIENT SUPPORT 9,425 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation &Support 1,000 Cost for client transportation. (Examples: bus tokens/passes,taxi, other public transportation, bicycles, etc.) 2004 Clothing, Food, & Hygiene 1,900 Cost of client hygiene supplies and non-work related clothing. Cost of food for a particular client to be consumed while off site of program location. Cost of food and drink to be consumed by the residents/clients at the program location. This includes the food items stored at outpatient facilities that are not purchased for any particular client, may be used for outpatient programs while on site. 2005 Education Support 1,000 Cost of course fees and educational materials distributed to clients and prospective clients. Including court ordered educational class. 2006 Employment Support 800 Cost of course fees and educational materials distributed to clients and prospective clients. Including court ordered educational class. 2007 Household Items for Clients - 2008 Medication Supports 2,000 Cost of medical supplies or treatment/medical expense for a specific client. (Examples: co-pays*, prescription/lab work not covered by insurance, over-the-counter medications*, first aid kit/supplies for client's use at home, etc.) *if allowable per contract 2009 Program Supplies- Medical 275 Cost of medical supplies to be used by staff or clients at the program location to meet program objective. Such items are to remain at the program location and not sent home with the client. Such items include, but are not limited to first aid kits, blood pressure monitor, latex gloves, syringes, hazard disposal service, over-the-counter medication*, etc. *if allowable per contract. 2010 Utility& Rental Security Deposits 600 Cost of client utility bills and/or security deposits. 2011 Other(Client Personal Needs) 800 Cost of supplying clients with necessary personal items not detailed in other other accounts. 2012 Other(0&E Client Needs) 800 Cost related to services and supplies used during outreach and engagement events/activities. 2013 Other(Client Physical Exams) 250 Cost of client admission physical examinations and TB testing. 2014 Other(Client Activities) - 2015 Other(specify) - 2016 Other (specify) - 3000: DIRECT OPERATING EXPENSES 12,912 3001 Telecommunications 750 Cost of electronic communications. (Examples: internet, phone, fax, cell phones, etc.) 3002 Printing/Postage 400 Cost of custom copying/printing charges (Examples: letterhead, business forms, business cards,flyers, brochures, signs, etc.) and Postage and elivery, including delivery by the USPS, UPS, FEDEX and other courier services 3003 Office, Household & Program Supplies 2,550 Cost of items normally used in an office setting. Cost of any items normally used by clients to meet program objectives while receiving services. These items are to remain at the program location and not sent home with the client. Cost of supplies used by staff during their scheduled work hours. These items are normally used to operate the building at the program location. These items are to remain at program location and not sent home with client. Cost of items generally used by all at program's location. 3004 Advertising - 3005 Staff Development&Training 1,500 Cost of employee training courses and materials. 3006 Staff Mileage 400 Cost of employee mileage reimbursement paid in accordance with FPM section 1005. 3007 Subscriptions& Memberships 75 Cost of membership dues and subscriptions. (Examples: magazine, newspaper, memberships, etc.) 3008 Vehicle Maintenance 350 Cost of vehicle maintenance. Including cost of parts, supplies and labor associated with maintenance and repair of vehicles used by Agency programs. Cost in obtaining and renewing licenses and permits. 3009 Other(Vehicle Insurance/Fuel) 5,437 Cost for vehicle insurance and gas. 3010 Other (Recruitment) 500 Costs of Live Scans, DMV printouts, ads for recruiting staff and other tests that might happen for the purposes of employment 3011 Other (Staff Meetings/Employee Relations) 300 Cost relating to improvement of working conditions, employer/employee relations and employee morale. Cost of room rental and supplies necessary for staff mettings. 3012 Other(Miscellaneous Expense-COVID Supplies) 650 Cost not more appropriately assigned to another account. 4000: DIRECT FACILITIES& EQUIPMENT 10,337 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 8 of 26 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 4001 Building Maintenance 862 Cost of Agency building repairs and maintenance. (Examples: electrical work, A/C and heating, hood cleaning, plumbing, etc.)This account should not be used if a specific outside labor contractor is doing an identifiable project. 4002 Rent/Lease Building 2,750 Cost of rent/lease payments made for building leases from outside sources. 4003 Rent/Lease Equipment 75 4004 Rent/Lease Vehicles 5,000 Rental cost of vehicles and lease of agency vehicles. 4005 Security 100 Cost of installation, maintenance and monthly service fees for building alarms and other security measures. (Examples: security/surveillance equipment, service and installation, safes, etc.) 4006 Utilities 1,125 Cost of service for power,gas,water, sewer, garbage, etc. 4007 Other(Insurance) 350 Cost of insurance for general liability. 4008 Other(Equipment Maintenance) 75 Cost of rent/leasepayments made for furniture and equipment leases from outside sources.(Examples: high capacity copier/printer/scanner, washer/dryer, vending machine, furniture, water cooler, postage meter, etc.) 4009 Other(specify) - 4010 Other (specify) - 5000: DIRECT SPECIAL EXPENSES 1,07S 5001 Consultant(Network& Data Management) - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) - 5004 Translation Services 500 Paid to an outside vendor for translation/interpreter services 5005 Other(HRIS& PR Processing) 500 HRIS costs. 5006 Other(Audit) 75 Cost of outside audit fees. 5007 Other(specify) - 5008 Other (specify) - 6000: INDIRECT EXPENSES 23,332 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(Admin, HR, Fiscal, IT, Executive, Regional 23,332 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 Other (specify) - 7000: DIRECT FIXED ASSETS 11,550 7001 Computer Equipment&Software 50 Cost of computer software and computer support 7002 Copiers, Cell Phones,Tablets, Devices to Contain HIPAA - 7003 Furniture& Fixtures 4,000 Cost of small, inexpensive Agency property with a normal useful life generally less than one year or a value that is minor or insignificant, typically items with a total cost of less than $2000 per item. 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 Assets over$5,000/unit(Specify) - 7007 Other(Expendable Equipment) 7,500 Cost of purchasing office equipment that has a cost less than $2000 per item. 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 Other(Specify) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 9 of 26 PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 178,875 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 178,875 BUDGET CHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 10 of 26 Turining Point of Central California, Inc. Whole Person Care Like Fiscal Year (1)July 1, 2023 -June 30, 2024 PROGRAM EXPENSES 1000: DIRECT SALARIES& BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 $ - $ - 1102 Secretary 0.25 10,447 10,447 1103 Program Bookkeeper 0.05 2,330 2,330 1104 - - 1105 - - 1106 - - 1107 - - 1108 - - 1109 - - 1110 - - 1111 - - 1112 - - 1113 - - 1114 - - 1115 - - Direct Personnel Admin Salaries Subtotal 0.30 $ 12,777 $ 12,777 Acct# Program Position FTE Admin Program Total 1116 Case Manager 2.00 $ 100,446 $ 100,446 1117 Supervising Personal Services Coordinator 0.25 18,231 18,231 1118 Peer Support 1.00 39,349 39,349 1119 Program Director 0.13 14,989 14,989 1120 - - 1121 - - 1122 - - 1123 - - 1124 - - 1125 - - 1126 - - 1127 - - 1128 - - 1129 - - 1130 - - 1131 - - 1132 - - 1133 - - 1134 - - Direct Personnel Program Salaries Subtotall 3.38 1 $ 173,015 1 $ 173,015 Admin Program Total Direct Personnel Salaries Subtotal 7 3.68 $ 12,777 $ 173,015 $ 185,792 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 426 $ 5,800 $ 6,226 1202 Worker's Compensation 224 3,044 3,268 1203 Health/Dental/Other Insurance 2,593 29,177 31,770 1204 Other (Accrued Paid Leave) 1,420 19,332 20,752 1205 Other (specify) - - 1206 Other (specify) - - - Direct Employee Benefits Subtotal: $ 4,663 $ 57,353 $ 62,016 Direct Payroll Taxes& Expenses: Acct# Description Admin Program Total 1301 OASDI $ 206 $ 2,803 $ 3,009 1302 FICA/MEDICARE 887 12,082 12,969 1303 SUI 207 2,822 3,029 1304 Other (specify) - - - 1305 Other (specify) - - - 1306 Other (specify) - - - Direct Payroll Taxes& Expenses Subtotal: $ 1,300 $ 17,707 $ 19,007 DIRECT EMPLOYEE SALARIES& BENEFITS TOTAL: Admin Program Total $ 18,740 $ 248,075 $ 266,815 DIRECT EMPLOYEE SALARIES& BENEFITS PERCENTAGE: Admin Program 7%1 93% 2000: DIRECT CLIENT SUPPORT Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 11 of 26 Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support - 2003 Client Transportation &Support 1,000 2004 Clothing, Food, & Hygiene 1,900 2005 Education Support 1,000 2006 Employment Support 800 2007 Household Items for Clients - 2008 Medication Supports 2,000 2009 Program Supplies- Medical 275 2010 Utility & Rental Security Deposits 800 2011 Other (Client Personal Needs) 800 2012 Other (O&E Client Needs) 1,000 2013 Other (Client Physical Exams) 250 2014 Other (Client Activities) - 2015 Other (specify) - 2016 Other (specify) - DIRECT CLIENT CARE TOTAL $ 9,825 3000: DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 750 3002 Printing/Postage 150 3003 Office, Household & Program Supplies 650 3004 Advertising - 3005 Staff Development &Training 500 3006 Staff Mileage 413 3007 Subscriptions & Memberships 100 3008 lVehicle Maintenance 1,250 3009 Other (Vehicle Insurance/Fuel) 9,200 3010 Other (Recruitment) 350 3011 Other (Staff Meetings/Employee Relations) 350 3012 Other (Miscellaneous Expense-COVID Supplies) 534 DIRECT OPERATING EXPENSES TOTAL: $ 14,247 4000: DIRECT FACILITIES& EQUIPMENT Acct# Line Item Description Amount 4001 Building Maintenance $ 750 4002 Rent/Lease Building 5,200 4003 Rent/Lease Equipment 150 4004 Rent/Lease Vehicles 9,600 4005 Security 100 4006 Utilities 2,500 4007 Other (Insurance) 500 4008 Other (Equipment Maintenance) 150 4009 Other (specify) - 4010 Other (specify) - DIRECT FACILITIES/EQUIPMENT TOTAL: $ 18,950 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 500 5005 Other(HRIS & PR Processing) 300 5006 Other (Audit) 150 5007 Other (specify) - 5008 1 Other (specify) - DIRECT SPECIAL EXPENSES TOTAL: $ 950 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 10ther (Admin, HR, Fiscal, IT, Executive, Regional Supports) 46,664 6010 1 Other (specify) - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 12 of 26 6011 Other (specify) - 6012 10ther (specify) - 6013 10ther (specify) - INDIRECT EXPENSES TOTAL $ 46,664 INDIRECT COST RATE 15.00% 7000: DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 100 7002 Copiers, Cell Phones,Tablets, Devices to Contain HIPAA Data - 7003 Furniture & Fixtures 100 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 Assets over$5,000/unit (Specify) - 7007 Other (Expendable Equipment) 100 7008 Other (specify) - FIXED ASSETS EXPENSES TOTAL $ 300 TOTAL PROGRAM EXPENSES $ 357,751 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 lRehabilitation 0 - - 8009 Other (Specify) 0 - I - 8010 Other (Specify) 0 - I - Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated %of Clients who are Medi-Cal Beneficiaries 0% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation (FFP) % 1 0% - 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 1 WET-Workforce Education &Training - 8305 jCFTN -Capital Facilities &Technology - MHSA TOTAL $ - 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants (Specify) - 8404 Other(WPCL) 357,751 8405 Other (Specify) - OTHER REVENUE TOTAL $ 357,751 TOTAL PROGRAM FUNDING SOURCES: $ 357,751 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 13 of 26 Turining Point of Central California, Inc. Whole Person Care Like Fiscal Year (1)July 1, 2023 -June 30, 2024 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 Program Director 22-264/FSC FSP/Fresno 0.88 WPCL 0.13 Total 1.00 Position Contract#/Name/Department/County FTE Supervising Personal Services Coordinator 22-264/FSC FSP/Fresno 0.75 WPCL 0.25 Total 1.00 Position Contract#/Name/Department/County FTE Secretary 22-264/FSC FSP/Fresno 0.75 WPCL 0.25 Total 1.00 Position Contract#/Name/Department/County FTE Program Bookkeeper WPCL 0.05 22-264/FSC FSP/Fresno 0.50 FSC OP 0.45 Total 1.00 Position Contract#/Name/Department/County FTE Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 14 of 26 Turining Point of Central California, Inc. Whole Person Care Like Fiscal Year (1) July 1, 2023 - June 30, 2024 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000: DIRECT SALARIES & BENEFITS 266,815 Administrative Positions 12,777 1101 0 - 1102 Secretary 10,447 General secretarial and front desk receptionist duties including: Answering the telephone, greeting clients/guests, notifying staff when clients arrive for scheduled appointments, preparing forms to be sent to the administrative office, and performing general office duties. Assumed increase for FY 22-23 & 23-24. 1103 Program Bookkeeper 2,330 The Program Bookkeeper will be assisting the clients with their client fees for their portion of rent if necessary and keeping track of all the incoming and outgoing of petty cash as needed. Assumed increase for FY 22-23 & 23-24. 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 173,015 1116 Case Manager 100,446 The Case Managers provide services which will assist individuals in gaining access to needed medical, social, housing, economic, educational and other services as directed by the Program Director and Supervising PSC. The case manager will carry a caseload assisting in linking those who recently were released from jail for any and all services needed in the community. This position does not provide funding source documentation, nor is providing rehab services, only linkages. 1117 Supervising Personal Services Coordinator 18,231 Provides supervision to all Case Managers to ensure client care, maintain compliance with Turning Point policies and procedures. Supervisor also assisting in training new staff and reporting to the Program Director. Assumed increase for FY 22-23 & 23-24. 1118 Peer Support 39,349 Serves as a client advocate and provides information and peer support to clients throughout their recovery process. 1119 Program Director 14,989 The Program Director currently oversees the program, hiring,training and supervising staff. Assumed increase for FY 22-23 &23-24. Based on internal salary analysis, this position is in need of a salary increase due to clinical supervision of the program and requirement of BBS licensure. 1120 0 - 1121 0 - 1122 0 - 1123 0 - 1124 0 - 1125 0 - 1126 0 - 1127 0 - 1128 0 - 1129 0 - 1130 0 - 1131 0 - 1132 0 - 1133 0 - 1134 0 - Direct Employee Benefits 62,016 1201 Retirement 6,226 Cost of Agency contribution to employee retirement plans. 1202 Worker's Compensation 3,268 Cost of workers compensation insurance. 1203 Health/Dental/Other Insurance 31,770 Agency cost for health, dental, and other insurance 1204 Other (Accrued Paid Leave) 20,752 The monetary valueof staff Paid Leave hours as they accrue on a monthly basis. 1205 Other(specify) - 1206 1 Other (specify) - Direct Payroll Taxes& Expenses: 19,007 1301 OASDI 3,009 Employer pays 1.40%of employee's full salary. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 15 of 26 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1302 FICA/MEDICARE 12,969 Employer portion of F.I.C.A.taxes charged to the Agency by the InternalRevenue Service. F.I.C.A. is comprised of"Old-Age, Survivors, and Disability Insurance" (OASDI), plus "Hospital Insurance" (Medicare). 1303 SUI 3,029 Employer portion of S.U.I.taxes charged to the Agency by the various states in which wages are paid. 1304 Other(specify) - 1305 Other(specify) - 1306 Other (specify) - 2000: DIRECT CLIENT SUPPORT 9,825 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation &Support 1,000 Cost for client transportation. (Examples: bus tokens/passes,taxi, other public transportation, bicycles, etc.) 2004 Clothing, Food, & Hygiene 1,900 Cost of client hygiene supplies and non-work related clothing. Cost of food for a particular client to be consumed while off site of program location. Cost of food and drink to be consumed by the residents/clients at the program location. This includes the food items stored at outpatient facilities that are not purchased for any particular client, may be used for outpatient programs while on site. 2005 Education Support 1,000 Cost of course fees and educational materials distributed to clients and prospective clients. Including court ordered educational class. 2006 Employment Support 800 Cost of course fees and educational materials distributed to clients and prospective clients. Including court ordered educational class. 2007 Household Items for Clients - 2008 Medication Supports 2,000 Cost of medical supplies or treatment/medical expense for a specific client. (Examples: co-pays*, prescription/lab work not covered by insurance, over-the-counter medications*, first aid kit/supplies for client's use at home, etc.) *if allowable per contract 2009 Program Supplies- Medical 275 Cost of medical supplies to be used by staff or clients at the program location to meet program objective. Such items are to remain at the program location and not sent home with the client. Such items include, but are not limited to first aid kits, blood pressure monitor, latex gloves, syringes, hazard disposal service, over-the-counter medication*, etc. *if allowable per contract. 2010 Utility& Rental Security Deposits 800 Cost of client utility bills and/or security deposits. 2011 Other(Client Personal Needs) 800 Cost of supplying clients with necessary personal items not detailed in other other accounts. 2012 Other (O&E Client Needs) 1,000 Cost related to services and supplies used during outreach and engagement events/activities. 2013 Other(Client Physical Exams) 250 Cost of client admission physical examinations and TB testing. 2014 Other(Client Activities) - 2015 Other(specify) - 2016 Other (specify) - 3000: DIRECT OPERATING EXPENSES 14,247 3001 Telecommunications 750 Cost of electronic communications. (Examples: internet, phone, fax, cell phones, etc.) 3002 Printing/Postage 150 Cost of custom copying/printing charges (Examples: letterhead, business forms, business cards,flyers, brochures, signs, etc.) and Postage and elivery, including delivery by the USPS, UPS, FEDEX and other courier services 3003 Office, Household & Program Supplies 650 Cost of items normally used in an office setting. Cost of any items normally used by clients to meet program objectives while receiving services. These items are to remain at the program location and not sent home with the client. Cost of supplies used by staff during their scheduled work hours. These items are normally used to operate the building at the program location. These items are to remain at program location and not sent home with client. Cost of items generally used by all at program's location. 3004 Advertising - 3005 Staff Development&Training 500 Cost of employee training courses and materials. 3006 Staff Mileage 413 Cost of employee mileage reimbursement paid in accordance with FPM section 1005. 3007 Subscriptions& Memberships 100 Cost of membership dues and subscriptions. (Examples: magazine, newspaper, memberships, etc.) 3008 Vehicle Maintenance 1,250 Cost of vehicle maintenance. Including cost of parts, supplies and labor associated with maintenance and repair of vehicles used by Agency programs. Cost in obtaining and renewing licenses and permits. 3009 Other(Vehicle Insurance/Fuel) 9,200 Cost for vehicle insurance and gas. 3010 Other(Recruitment) 350 Costs of Live Scans, DMV printouts, ads for recruiting staff and other tests that might happen for the purposes of employment 3011 Other(Staff Meetings/Employee Relations) 350 Cost relating to improvement of working conditions, employer/employee relations and employee morale. Cost of room rental and supplies necessary for staff mettings. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 16 of 26 PROGRAM EXPENSE ACCT# LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 3012 Other (Miscellaneous Expense - COVID Supplies) 534 Cost not more appropriately assigned to another account. 4000: DIRECT FACILITIES& EQUIPMENT 18,950 4001 Building Maintenance 750 Cost of Agency building repairs and maintenance. (Examples: electrical work,A/C and heating, hood cleaning, plumbing, etc.)This account should not be used if a specific outside labor contractor is doing an identifiable project. 4002 Rent/Lease Building 5,200 Cost of rent/lease payments made for building leases from outside sources. 4003 Rent/Lease Equipment 150 0 4004 Rent/Lease Vehicles 9,600 Rental cost of vehicles and lease of agency vehicles. 4005 Security 100 Cost of installation, maintenance and monthly service fees for building alarms and other security measures. (Examples: security/surveillance equipment, service and installation, safes, etc.) 4006 Utilities 2,500 Cost of service for power,gas,water, sewer, garbage, etc. 4007 Other(Insurance) 500 Cost of insurance for general liability. 4008 Other(Equipment Maintenance) 150 Cost of rent/leasepayments made for furniture and equipment leases from outside sources.(Examples: high capacity copier/printer/scanner, washer/dryer,vending machine, furniture, water cooler, postage meter, etc.) 4009 Other(specify) - 4010 Other(specify) - 5000: DIRECT SPECIAL EXPENSES 950 5001 Consultant (Network& Data Management) - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) - 5004 Translation Services 500 Paid to an outside vendor for translation/interpreter services 5005 Other(HRIS& PR Processing) 300 HRIS costs. 5006 Other(Audit) 150 Cost of outside audit fees. 5007 Other(specify) - 5008 Other (specify) - 6000: INDIRECT EXPENSES 46,664 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(Admin, HR, Fiscal, IT, Executive, Regional 46,664 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 Other (specify) - 7000: DIRECT FIXED ASSETS 300 7001 Computer Equipment&Software 100 Cost of computer software and computer support 7002 Copiers, Cell Phones,Tablets, Devices to Contain HIPAA - 7003 Furniture & Fixtures 100 Cost of small, inexpensive Agency property with a normal useful life generally less than one year or a value that is minor or insignificant, typically items with a total cost of less than $2000 per item. 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 Assets over$5,000/unit(Specify) - 7007 Other(Expendable Equipment) 100 Cost of purchasing office equipment that has a cost less than $2000 per item. 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 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 17 of 26 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 8008 Rehabilitation 8009 Other (Specify) 8010 Other (Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 357,751 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 357,751 BUDGET CHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 18 of 26 Turining Point of Central California, Inc. Whole Person Care Like Fiscal Year (2)July 1, 2024-June 30, 2025 PROGRAM EXPENSES 1000: DIRECT SALARIES& BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 $ - $ - 1102 Secretary 0.25 10,447 10,447 1103 Program Bookkeeper 0.05 2,330 2,330 1104 - - 1105 - - 1106 - - 1107 - - 1108 - - 1109 - - 1110 - - 1111 - - 1112 - - 1113 - - 1114 - - 1115 - - Direct Personnel Admin Salaries Subtotal 0.300 $ 12,777 $ 12,777 Acct# Program Position FTE Admin Program Total 1116 Case Manager 2.00 $ 100,446 $ 100,446 1117 Supervising Personal Services Coordinator 0.25 18,231 18,231 1118 Peer Support 1.00 39,349 39,349 1119 Prorgram Director 0.13 14,989 14,989 1120 - - 1121 - - 1122 - - 1123 - - 1124 - - 1125 - - 1126 - - 1127 - - 1128 - - 1129 - - 1130 - - 1131 - - 1132 - - 1133 - - 1134 - - Direct Personnel Program Salaries Subtotal 3.38 $ 173,015 $ 173,015 Admin Program Total Direct Personnel Salaries Subtotal 3.68 $ 12,777 $ 173,015 $ 185,792 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 426 $ 5,800 $ 6,226 1202 Worker's Compensation 224 3,044 3,268 1203 Health/Dental/Other Insurance 2,593 29,177 31,770 1204 10ther(Accrued Paid Leave) 1,420 19,332 20,752 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 19 of 26 1205 Other(specify) - 1206 Other(specify) - Direct Employee Benefits Subtotal: $ 4,663 $ 57,353 $ 62,016 Direct Payroll Taxes& Expenses: Acct# Description Admin Program Total 1301 OASDI $ 206 $ 2,803 $ 3,009 1302 FICA/MEDICARE 887 12,082 12,969 1303 SUI 207 2,822 3,029 1304 Other(specify) - - - 1305 Other(specify) - - - 1306 Other(specify) - - - Direct Payroll Taxes& Expenses Subtotal: $ 1,300 $ 17,707 $ 19,007 DIRECT EMPLOYEE SALARIES& BENEFITS TOTAL: Admin Program Total $ 18,740 $ 248,075 $ 266,815 DIRECT EMPLOYEE SALARIES& BENEFITS PERCENTAGE: Admin Program 771 93% 2000: DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support - 2003 Client Transportation &Support 1,000 2004 Clothing, Food, & Hygiene 1,900 2005 Education Support 1,000 2006 Employment Support 800 2007 Household Items for Clients - 2008 Medication Supports 2,000 2009 Program Supplies- Medical 275 2010 Utility& Rental Security Deposits 800 2011 Other(Client Personal Needs) 800 2012 Other(O&E Client Needs) 1,000 2013 Other(Client Physical Exams) 250 2014 Other(Client Activities) - 2015 Other(specify) - 2016 Other(specify) - DIRECT CLIENT CARE TOTAL $ 9,825 3000: DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 750 3002 Printing/Postage 150 3003 Office, Household & Program Supplies 650 3004 Advertising - 3005 Staff Development&Training 500 3006 Staff Mileage 413 3007 Subscriptions & Memberships 100 3008 lVehicle Maintenance 11250 3009 Other(Vehicle Insurance/Fuel) 9,200 3010 Other(Recruitment) 350 3011 Other(Staff Meetings/Employee Relations) 350 3012 Other(Miscellaneous Expense-COVID Supplies) 534 DIRECT OPERATING EXPENSES TOTAL: $ 14,247 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 20 of 26 4000: DIRECT FACILITIES& EQUIPMENT Acct# Line Item Description Amount 4001 Building Maintenance $ 750 4002 Rent/Lease Building 51200 4003 Rent/Lease Equipment 150 4004 Rent/Lease Vehicles 9,600 4005 Security 100 4006 Utilities 2,500 4007 Other(Insurance) 500 4008 Other(Equipment Maintenance) 150 4009 Other(specify) - 4010 Other(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL: $ 18,950 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 500 5005 Other(HRIS & PR Processing) 300 5006 Other(Audit) 150 5007 Other(specify) - 5008 1 Other(specify) - DIRECT SPECIAL EXPENSES TOTAL: $ 950 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(Admin, HR, Fiscal, IT, Executive, Regional Supports) 46,664 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 Other(specify) - INDIRECT EXPENSES TOTAL $ 46,664 INDIRECT COST RATE 15.00% 7000: DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment &Software $ 100 7002 Copiers, Cell Phones,Tablets, Devices to Contain HIPAA Data - 7003 Furniture & Fixtures 100 7004 1 Leasehold/Tenant/Building Improvements - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 21 of 26 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 Assets over$5,000/unit (Specify) - 7007 Other(Expendable Equipment) 100 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ 300 TOTAL PROGRAM EXPENSES $ 357,751 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 - I - 8010 Other(Specify) 1 0 - - Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated %of Clients who are Medi-Cal Beneficiaries 0% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation (FFP) % 1 0% - 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 IWET-Workforce Education &Training I - 8305 JCFTN - Capital Facilities &Technology - MHSA TOTAL $ - 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants (Specify) - 8404 1 Other(WPCL) $ 357,751 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 22 of 26 8405 Other(Specify) - OTHER REVENUE TOTAL $ 357,751 TOTAL PROGRAM FUNDING SOURCES: $ 357,751 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 23 of 26 Turining Point of Central California, Inc. Whole Person Care Like Fiscal Year (2)July 1, 2024 -June 30, 2025 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 Program Director 22-264/FSC FSP/Fresno 0.88 WPCL 0.13 Total 1.00 Position Contract#/Name/Department/County FTE Supervising Personal Services Coordinator 22-264/FSC FSP/Fresno 0.75 WPCL 0.25 Total 1.00 Position Contract#/Name/Department/County FTE Secretary 22-264/FSC FSP/Fresno 0.75 WPCL 0.25 Total 1.00 Position Contract#/Name/Department/County FTE Program Bookkeeper WPCL 0.05 22-264/FSC FSP/Fresno 0.50 FSC OP 0.45 Total 1.00 Position Contract#/Name/Department/County FTE Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 24 of 26 Turining Point of Central California, Inc. Whole Person Care Like Fiscal Year (2) July 1, 2024 - June 30, 2025 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000: DIRECT SALARIES & BENEFITS 266,815 Administrative Positions 12,777 1101 0 - 1102 Secretary 10,447 General secretarial and front desk receptionist duties including: Answering the telephone, greeting clients/guests, notifying staff when clients arrive for scheduled appointments, preparing forms to be sent to the administrative office, and performing general office duties. Assumed increase for FY 22-23 & 23-24. 1103 Program Bookkeeper 2,330 The Program Bookkeeper will be assisting the clients with their client fees for their portion of rent if necessary and keeping track of all the incoming and outgoing of petty cash as needed. Assumed increase for FY 22-23 & 23-24. 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 173,015 1116 Case Manager 100,446 The Case Managers provide services which will assist individuals in gaining access to needed medical, social, housing, economic, educational and other services as directed by the Program Director and Supervising PSC. The case manager will carry a caseload assisting in linking those who recently were released from jail for any and all services needed in the community. This position does not provide funding source documentation, nor is providing rehab services, only linkages. 1117 Supervising Personal Services Coordinator 18,231 Provides supervision to all Case Managers to ensure client care, maintain compliance with Turning Point policies and procedures. Supervisor also assisting in training new staff and reporting to the Program Director. Assumed increase for FY 22-23 & 23-24. Based on internal salary analysis, this position is in need of a salary increase due to clinical supervision of the program and requirement of BBS licensure. 1118 Peer Support 39,349 Serves as a client advocate and provides information and peer support to clients throughout their recovery process. 1119 Prorgram Director 14,989 The Program Director currently oversees the program, hiring,training and supervising staff. Assumed increase for FY 22-23 &23-24. 1120 0 - 1121 0 - 1122 0 - 1123 0 - 1124 0 - 1125 0 - 1126 0 - 1127 0 - 1128 0 - 1129 0 - 1130 0 - 1131 0 - 1132 0 - 1133 0 - 1134 0 - Direct Employee Benefits 62,016 1201 Retirement 6,226 Cost of Agency contribution to employee retirement plans. 1202 Worker's Compensation 3,268 Cost of workers compensation insurance. 1203 Health/Dental/Other Insurance 31,770 Agency cost for health, dental, and other insurance 1204 Other(Accrued Paid Leave) 20,752 The monetary valueof staff Paid Leave hours as they accrue on a monthly basis. 1205 Other(specify) - 1206 Other(specify) - Direct Payroll Taxes & Expenses: 19,007 1301 OASDI 3,009 Employer pays 1.40%of employee's full salary. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 25 of 26 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1302 FICA/MEDICARE 12,969 Employer portion of F.I.C.A. taxes charged to the Agency by the InternalRevenue Service. F.I.C.A. is comprised of"Old-Age, Survivors, and Disability Insurance" (OASDI), plus "Hospital Insurance" (Medicare). 1303 SUI 3,029 Employer portion of S.U.I.taxes charged to the Agency by the various states in which wages are paid. 1304 Other(specify) - 0 1305 Other(specify) - 1306 Other (specify) - 2000: DIRECT CLIENT SUPPORT 9,825 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation &Support 1,000 Cost for client transportation. (Examples: bus tokens/passes,taxi,other public 2004 Clothing, Food, & Hygiene 1,900 Cost of client hygiene supplies and non-work related clothing. Cost of food for a 2005 Education Support 1,000 Cost of course fees and educational materials distributed to clients and prospective 2006 Employment Support 800 Cost of course fees and educational materials distributed to clients and prospective 2007 Household Items for Clients - 0 2008 Medication Supports 2,000 Cost of medical supplies or treatment/medical expense for a specific client. (Examples: 2009 Program Supplies- Medical 275 Cost of medical supplies to be used by staff or clients at the program location to meet 2010 Utility& Rental Security Deposits 800 Cost of client utility bills and/or security deposits. 2011 Other(Client Personal Needs) 800 Cost of supplying clients with necessary personal items not detailed in other other 2012 Other(O&E Client Needs) 1,000 Cost related to services and supplies used during outreach and engagement 2013 Other(Client Physical Exams) 250 Cost of client admission physical examinations and TB testing. 2014 Other(Client Activities) - 2015 Other(specify) - 2016 Other (specify) - 3000: DIRECT OPERATING EXPENSES 14,247 3001 Telecommunications 750 Cost of electronic communications. (Examples: internet, phone,fax, cell phones, etc.) 3002 Printing/Postage 150 Cost of custom copying/printing charges (Examples: letterhead, business forms, business cards,flyers, brochures, signs, etc.) and Postage and elivery, including delivery by the USPS, UPS, FEDEX and other courier services 3003 Office, Household & Program Supplies 650 Cost of items normally used in an office setting. Cost of any items normally used by 3004 Advertising - 0 3005 Staff Development&Training 500 Cost of employee training courses and materials. 3006 Staff Mileage 413 Cost of employee mileage reimbursement paid in accordance with FPM section 1005. 3007 Subscriptions&Memberships 100 Cost of membership dues and subscriptions. (Examples: magazine, newspaper, 3008 Vehicle Maintenance 1,250 Cost of vehicle maintenance. Including cost of parts,supplies and labor associated with 3009 Other(Vehicle Insurance/Fuel) 9,200 Cost for vehicle insurance and gas. 3010 Other(Recruitment) 350 Costs of Live Scans, DMV printouts, ads for recruiting staff and other tests that might 3011 Other(Staff Meetings/Employee Relations) 350 Cost relating to improvement of working conditions, employer/employee relations and 3012 Other (Miscellaneous Expense-COVID Supplies) 534 Cost not more appropriately assigned to another account. 4000: DIRECT FACILITIES& EQUIPMENT 18,950 4001 Building Maintenance 750 Cost of Agency building repairs and maintenance. (Examples: electrical work, A/C and heating, hood cleaning, plumbing, etc.)This account should not be used if a specific outside labor contractor is doing an identifiable project. 4002 Rent/Lease Building 5,200 Cost of rent/lease payments made for building leases from outside sources. 4003 Rent/Lease Equipment 150 0 4004 Rent/Lease Vehicles 9,600 Rental cost of vehicles and lease of agency vehicles. 4005 Security 100 Cost of installation, maintenance and monthly service fees for building alarms and other security measures. (Examples: security/surveillance equipment, service and installation, safes, etc.) 4006 Utilities 2,500 Cost of service for power,gas, water, sewer,garbage, etc. 4007 Other(Insurance) 500 Cost of insurance for general liability. 4008 Other(Equipment Maintenance) 150 Cost of rent/leasepayments made for furniture and equipment leases from outside 4009 Other(specify) - 4010 Other(specify) - 5000: DIRECT SPECIAL EXPENSES 950 5001 Consultant(Network& Data Management) - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) - 5004 Translation Services 500 Paid to an outside vendor for translation/interpreter services 5005 Other(HRIS& PR Processing) 300 HRIS costs. 5006 Other(Audit) 150 Cost of outside audit fees. 5007 Other(specify) - 5008 Other (specify) - 6000: INDIRECT EXPENSES 46,664 6001 Use this line and only this line for approved indirect - 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit D-1 26 of 26 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 6004 External Audit - 6005 Insurance (Specify): - 6006 Payroll Services - 6007 1 Depreciation (Provider-Owned Equipment to be Used - 6008 Personnel (Indirect Salaries& Benefits) - 6009 Other(Admin, HR, Fiscal, IT, Executive, Regional 46,664 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 1 Other (specify) - 7000: DIRECT FIXED ASSETS 300 7001 Computer Equipment&Software 100 Cost of computer software and computer support 7002 Copiers, Cell Phones,Tablets, Devices to Contain HIPAA - 0 7003 Furniture& Fixtures 100 Cost of small, inexpensive Agency property with a normal useful life generally less than 7004 Leasehold/Tenant/Building Improvements - 0 7005 Other Assets over$500 with Lifespan of 2 Years+ - 0 7006 Assets over$5,000/unit(Specify) - 0 7007 Other(Expendable Equipment) 100 Cost of purchasing office equipment that has a cost less than $2000 per item. 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: 357,751 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 357,751 0 BUDGET CHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020