HomeMy WebLinkAboutAgreement A-23-077 Amendment I to Master Agreement.pdf Agreement No. 23-077
1 AMENDMENT I TO AGREEMENT
2 This First Amendment to Agreement (AGT# 18-599) ("Amendment I") is made and
3 entered into this 28t" day of February , 2023 ("Effective Date"), by and between the
4 COUNTY OF FRESNO, a political subdivision of the State of California ("COUNTY"), and
5 each CONTRACTOR, listed be in Exhibit A "List of Contractors", attached hereto and
6 incorporated herein by reference, and collectively hereinafter referred to as
7 "CONTRACTORS". Reference in this Agreement to party or"parties" shall be understood to
8 refer to COUNTY and each individual CONTRACTORS(S), unless otherwise specified.
9 WITNESSETH
10 WHEREAS, on October 23, 2018, COUNTY and CONTRACTORS entered into that
11 certain Agreement, identified as County Agreement#18-599 (the "Agreement"), effective
12 October 1, 2018, for culturally competent and linguistically accessible specialty mental health
13 services for target cultural/ethnic/linguistic unserved and/or underserved populations with
14 serious emotional disturbance (SED) and/or serious mental illness (SMI) in Fresno County;
15 and
16 WHEREAS, COUNTY and CONTRACTORS now desire to modify the budgets of the
17 Agreement while maintaining the total compensation payable.
18 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy
19 of which is hereby acknowledged, the Parties agree as follows:
20 1. That all references in the Agreement to Exhibit B-1 shall be deemed references to
21 "Revised Exhibit B-1". Exhibit B-1 of the Agreement is deleted in its entirety and replaced
22 with "Revised Exhibit B-1," attached hereto and incorporated herein by this reference.
23 2. That all references in the Agreement to Exhibit E-1 shall be deemed references to
24 "Revised Exhibit E-1". Exhibit E-1 of the Agreement is deleted in its entirety and replaced
25 with "Revised Exhibit E-1," attached hereto and incorporated herein by this reference.
26 3. The parties agree that this Amendment may be executed by electronic signature as
27 provided in this section. An "electronic signature" means any symbol or process intended by
28 an individual signing this Amendment to represent their signature, including but not limited to
COUNTY OF FRESNO
Fresno,California 1
1 (1) a digital signature; (2) a faxed version of an original handwritten signature; or (3) an
2 electronically scanned and transmitted (for example by PDF document) of a handwritten
3 signature. Each electronic signature affixed or attached to this Amendment (1) is deemed
4 equivalent to a valid original handwritten signature of the person signing this Amendment for
5 all purposes, including but not limited to evidentiary proof in any administrative or judicial
6 proceeding, and (2) has the same force and effect as the valid original handwritten signature
7 of that person. The provisions of this section satisfy the requirements of Civil Code section
8 1633.5, subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part
9 2, Title 2.5, beginning with section 1633.1). Each party using a digital signature represents
10 that it has undertaken and satisfied the requirements of Government Code section 16.5,
11 subdivision (a), paragraphs (1) through (5), and agrees that each other party may rely upon
12 that representation. This Amendment is not conditioned upon the parties conducting the
13 transactions under it by electronic means and either party may sign this Amendment with an
14 original handwritten signature.
15 The Parties agree that this Amendment I is sufficient to amend the Agreement, and
16 that upon execution of this Amendment I, the Agreement and this Amendment I together,
17 shall be considered the Agreement.
18 The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
19 covenants, conditions, and promises contained in the Agreement and not amended herein
20 shall remain in full force.
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COUNTY OF FRESNO
Fresno,California 2
1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment I as of
2 the day and year hereinabove written.
3
CONTRACTOR: COUNTY:
4 THE FRESNO CENTER COUNTY OF FRESNO
5 �cG
6 BY:
Sa u n ro hairman of the Board of
7 Supervisors of the County of Fresno
Print Name:Pao Yang
8
Title:President and CEO
9 Chairman of Board, or President
Or any Vice President ATTEST:
10 Bernice E. Seidel
11 Clerk of the Board of Supervisors
County of Fresno, State of California
12 BY
13 Print Name: Jensen Vang By: � �_ --
14 Title: Chief Financial Officer
15 Secretary of Corporation, or
Any Assistant Secretary, or
16 Chief Financial Officer, or
Any Assistant Treasurer
17
18
19 MAILING ADDRESS:
20 The Fresno Center
4879 E. Kings Canyon Road
21 Fresno, CA 93727
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COUNTY OF FRESNO
Fresno,California 3
REVISED EXHIBIT B-1
Page 1 of 11
MENTAL HEALTH SERVICES ACT COMMUNITY SERVICES AND SUPPORTS
CULTURAL SPECIFIC SERVICES
SCOPE OF WORK
CONTRACTOR: The Fresno Center
CONTACT: Pao Yang, Executive Director
pyang@fresnocenter.org
SITE ADDRESS: 4879 E. Kings Canyon Road, Fresno, Ca 93727
SERVICES: Cultural Specific Services (Living Well Center)
CONTRACT TERM: October 1, 2018 - June 30, 2021 and Two (2) Possible Twelve-Month
Renewal Options
ORGANIZATION: 56304524 (OP/ICM Services); 56304540 (FSP Services)
Total MHSA FFP
FUNDING
ALLOCATIONS Start Up Services
& REVENUES: Oct. 1, 2018 to Dec. 30, 2018 $419,004 $419,004 $0
OP/ICM Services
Oct. 1, 2018 to Jun. 30, 2019 $1,077,943 $878,676 $199,267
FY 2019-20 $1,465,173 $1,085,322 $379,851
FY 2020-21 $1,499,069 $1,119,218 $379,851
FY 2021-22 $1,535,354 $1,155,503 $379,851
FY 2022-23 $1,483,186 $1,103,335 $379,851
Total: $7,060,725 $5,342,054 $1,718,671
FSP Services
Jan. 1, 2019 to Jun. 30, 2019 $178,377 $134,204 $44,173
FY 2019-20 $347,306 $258,960 $88,346
FY 2020-21 $356,110 $267,764 $88,346
FY 2021-22 $363,791 $275,445 $88,346
FY 2022-23 $467,025 $378,679 $88,346
Total: $1,712,609 $1,315,052 $397,557
Total Maximum Compensation: $9,192,338 $7,076,110 $2,116,228
PROJECT DESCRIPTION
The Fresno Center shall utilize culturally and linguistically capable, qualified mental health
practitioners to provide three levels of care, outpatient (OP), intensive case management (ICM),
and Full Service Partnership (FSP) services, to the Southeast Asian (SEA) community, particularly
those of Hmong, Laotian, Vietnamese or Cambodian descent, through the "Living Well Center"
(LWC). Program services are designed to serve SEA individuals that have serious emotional
disturbances (SED) or serious mental illness (SMI), and are in need of on-going community-based
services. The Fresno Center will use SEA non-licensed/waivered mental health clinicians, under
clinical direction and oversight by licensed clinicians, to increase capacity of persons served and
REVISED EXHIBIT B-1
Page 2 of 11
the volume of specialty mental health services to the SEA population. The LWC shall primarily
serve Fresno County Medi-Cal-eligible children, adults and older adults with mental health
treatment focusing on individuals with SED or SMI, and having problems coping with the
assimilation process. The mental health services shall be provided in appropriate SEA languages
accordingly to serve targeted population.
All referrals to The Fresno Center for FSP services shall be approved by COUNTY's Department of
Behavioral Health (DBH) Urgent Care Wellness Center.
In addition, The Fresno Center shall maintain a clinical supervision/training program for SEA
graduate, post-graduate, doctoral and post-doctoral students. The goal of the program is to
increase the number of licensed mental health professionals of SEA descent whose bi-lingual and
bi-cultural capacity will allow greater accessibility to mental health services for those who are of
Hmong, Laotian, Vietnamese or Cambodian descent.
TARGET POPULATION
Participation for LWC is on a voluntary basis. The target population to be served annually shall be
250 child/youth (ages 0-18), adult (ages 19-64) and older adult (ages 65 & older) individuals, at
any given time, who are of SEA descent and are in need of culturally competent, linguistically
accessible mental health services.
A minimum caseload consisting of 220 SEA persons served shall be enrolled in the
outpatient/intensive case management component throughout each twelve (12) month period of
this Agreement.
A minimum caseload consisting of 30 SEA persons served shall be enrolled in the FSP component
throughout each twelve (12) month period of this Agreement.
LOCATION OF SERVICES
The current physical site for the LWC is centrally located in an area that is known as "Ban
Vinai/Asian Village", where many Southeast Asians live and shop. Additionally, there are
accessible public transit bus routes and plenty of open parking spaces.
LWC services may be expanded to include service delivery in the home, community, school or
other community-based settings, as some individuals and families are reluctant to seek services
from traditional mental health settings, or if other barriers like transportation and childcare become
barriers. This expansion in terms of location of services may also include telehealth, mobile
services, and co-location in natural supports and gathering places for the SEA population. These
locations will be determined in collaboration with the person served and treating clinician, and with
approval of the program director.
DESCRIPTION OF SERVICES
The Fresno Center shall:
A. Utilize a one-time start-up cost for building the new Living Well Center expansion,
inclusive of space development of a 4,200 square feet area to accommodate increased
staff and persons served, furniture and fixtures, server and computers, and a vehicle, as
well as funding for staff to be trained in FSP services. The Fresno Center shall include in
any contracts for work on the expansion of the Living Well Center a provision requiring
REVISED EXHIBIT B-1
Page 3 of 11
the builder or contractor to comply with any and all laws applicable to the work, including
any prevailing wage laws, should they apply.
B. Create, maintain and further develop a specialty mental health service site that utilizes
innovative approaches to building community trust within the SEA population, while
providing a clinical training program for qualified participants.
C. Train existing health care providers on mental health issues and how they may be
masked as physical health care complaints and symptoms, and on appropriate methods
for making referrals for mental health services within the cultural context of the person
served.
Specific to the delivery of Outpatient/intensive Case Management Specialty Mental Health
Services, The Fresno Center shall:
A. Increase the numbers of persons served with new and innovative education, outreach
and outpatient/intensive case management specialty mental health services specific to
the Fresno County SEA community in a manner that overcomes mental health stigma,
and supports and promotes wellness and recovery.
B. Provide outpatient/intensive case management specialty mental health services with a
focus on:
1. Innovative engagement and culturally specific services that address traditional
barriers to mental health access and engagement by the SEA population;
2. Assisting individuals to deal with cultural issues of assimilation and developing a
plan for the future;
3. Individuals who are reluctant to seek mental health treatment in a traditional setting;
and
4. Individuals who are Medi-Cal eligible and/or have difficulty accessing care.
C. Provide clinical mental health services driven by culturally sensitive approaches that may
include, but are not limited to:
1. Domestic violence education and increased awareness to associated mental health
issues;
2. Issues related to parenting and family impacts when there is associated gang
violence; and
3. The impact of mental health issues to addictive behaviors that include gambling and
substance use.
D. Provide services that specifically address stigma and discrimination within the SEA
population, in an effort to better engage the community in the treatment of and recovery
from mental illness.
E. Treatment will be provided in a culturally competent manner to enhance individual self-
esteem and self-determination.
REVISED EXHIBIT B-1
Page 4 of 11
F. Provide individualized care plans that address specific cultural issues specific to age and
gender.
G. Emphasize family-driven services.
H. Utilize a variety of treatment approaches, including but not limited to:
1. Language and ethnic specific individual, family and group therapy;
2. Women's groups dealing with past and present trauma lead by female mental health
clinicians;
3. Other mental health groups that are gender specific, only involving mental health
professionals of the same gender; and
4. Family therapy with focus on youth/adolescents or transition age youth (ages 16-
24), enforcing the cultural importance of the family and the historic role of parents.
I. Provide mental health services in a culturally appropriate manner that respects gender
roles, the role of family members; respect for birth order and age within a cultural context;
and the ability to communicate in the individuals' native language.
J. Provide culturally sensitive environment/location that has community support and is not
directly related or co-located with traditional COUNTY mental health program services.
K. Increase opportunity for service provision without the use of an interpreter, thus
increasing trust and engagement within the treatment relationship.
L. Mental health services provided by clinicians with similar cultural backgrounds to better
understand and support treatment needs.
M. Provide mental health services that may focus on issues such as stigma, domestic
violence, gang affiliation and violence, exposure to trauma, addictive behaviors in an
effort to specifically address barriers to wellness and recovery that are met by the SEA
population.
N. Employ staff that are representative of SEA population and are qualified to recognize
symptoms being addressed that include, but are not limited to: trauma leading to
migration, change to socio-economic status, change in roles based on age and gender
due to `norms' in cultural where relocated.
O. Use and/or recognition of traditional healing practices.
P. Take into consideration the following during the initial assessment:
1. Sexual orientation of the person served;
2. Gender roles within the SEA culture, with sensitivity toward female and male
interactions with others outside of their families in a cultural context;
REVISED EXHIBIT B-1
Page 5 of 11
3. Age within the SEA community with preference given to people who are the most
senior;
4. Birth order also plays a significant role in terms of family interactions with older
sibling taking priority over younger siblings;
5. Culturally defined role designations and attitudes are often a source of conflict as
second generation children began assimilating into mainstream Western culture;
Q. Provide outreach to SEA persons to be served and their family members through
networks of community leaders and through collaborative relationship with Federally
Qualified Health Center (FQHC) outpatient clinic(s). Provide and document referrals and
linkages to necessary physical health care providers.
R. Focus on recovery principles to make the persons served more self-reliant and resilient.
S. Establish a collaborative with existing community-based organizations, community
leaders and faith-based organizations in the SEA community.
T. Establish a process with primary care providers to generate referrals for mental health
services.
U. Utilize the Southeast Asian Cross Cultural Counseling Model (SEA CCCM) to increase
child/youths' knowledge and capacity, gradually improve their condition, stabilize them,
and then ultimately help them to have a balanced and satisfactory life.
1. Cognitive Behavioral Therapy(CBT) Component. Counselors and clinicians will
help SEA children/youth to identify and replace unhealthy thinking/beliefs, and avoid
engaging in miserable and negative thoughts and behaviors.
2. Positive Psychology Component. Counselors and clinicians will help the SEA
children/youths to focus on positive emotions, thoughts, and wellness. For example
being grateful, having hope, having happiness, having inspiration, practicing
wellness, empowering self and having inner peace.
3. Skills Building Component. Counselors and peer support will teach SEA
children/youths about assertiveness, effective communication, working effectively
with others, problem solving skills, and relaxation techniques.
4. Cultural Strengths Component. SEA youths will be able to use their own cultural
values, practices, and beliefs to help them cope with their daily life changes. Focus
in on showing respect (Filial Piety!), practicing fairness (Relationship!), having
compassion (i.e. exchanging knowledge/labor, having empathy & kindness, doing
good deeds, and maintaining continuity with relatives and neighbors) (Happiness!),
cultural identity, and celebrating their culture (A Sense of Belonging!). These are
emphasis and practiced as they come to session everywhere by staff, clinicians and
counselors.
Specific to the delivery of Full Service Partnership Services, The Fresno Center shall:
A. Support the individual needs of the person served, using "whatever it takes" to help move
them out of high risk and low engagement behavior into engagement and self-care.
REVISED EXHIBIT B-1
Page 6 of 11
B. Document cultural practices and behaviors that resemble closely to hospitalization and
ER utilization such as increased use of alternative healing practices, shaman, and herbal
medicines.
C. Meet individuals on the streets, in their homes, at community centers, in hospitals and
clinics, and anywhere the person served might be, or at unconventional times, in order to
provide services "where the person served is at".
D. Provide the following, but not limited to:
1. 24/7 Crisis Response
2. Daily Program Rehabilitation/Support
3. Intensive Case Management
4. Social/Recreational Activities
5. Assessment/Treatment Planning
6. Individual Therapy
7. Educational Groups
8. Peer Support Groups
9. Psycho-pharmalogical Treatment
10. Housing Support
11. Hospitalization Support
12. Probation/Court Engagement
E. Provide transportation assistance, such as helping to purchase bus passes so individuals
can access services, go to school or seek employment.
F. Advocacy, such as negotiating with medical providers to get individuals seen more quickly
to minimize distress in the waiting room.
G. Community integration activities, such as facilitating self-care.
H. Housing related activities, such as supporting the individual through the housing process
with help assembling written documentation, making reminder calls, accompany
individuals to housing program interviews, writing letters of support or purchasing furniture
for individuals' homes to make it more comfortable for them.
I. Support assistance and services to seek and participate in cultural activities and
REVISED EXHIBIT B-1
Page 7 of 11
events, and alternative healing and practices within the community.
Specific to Clinical Supervision Program, The Fresno Center shall:
A. Facilitate the training/supervision of new SEA mental health professionals by providing a
supervised clinical environment where the new SEA professional may gain valuable field
experience under the terms and conditions of this Agreement.
B. Provide a clinical training site that will provide qualified and supervised training to SEA
post-master associates, to secure required hours necessary for completion of the State
licensing examination and for SEA graduate students to fulfill degree requirements in the
field of mental health or social work.
C. Keep records of student participation, including entrance into program, progress within,
and departure/completion of the program.
D. All direct services provided within this project shall be provided by licensed mental health
professionals, post-master degree associates or by students as part of their graduate
training program. Services provided will include assessment and mental health services
(individual, family, and group therapy) as designed by an individual-driven wellness and
recovery treatment plan that addresses personal goals.
E. Increase the number of student interns to successfully enter and complete the clinical
training program and obtain required licensure.
F. Provide clinical training environment, licensed oversight and documentation of required
hours of clinical training for all individuals within the clinical training program (associates,
graduate students, post-graduate students, waivered/registered staff, non-licensed staff),
at no additional cost to COUNTY.
STAFFING LEVEL
The Fresno Center shall provide 18.45 full time equivalent (FTE) staff, as identified in Exhibit E-1,
dedicated to the Living Well Center to provide the OP/ICM (15.27 FTE) and FSP (3.18 FTE)
services as well as to supervise, manage and support the clinical training program.
HOURS OF OPERATION
The Living Well Center will operate from Monday through Saturday; Monday through Friday from 8
AM to 6 PM and Saturday from 8 AM to 12 PM. On-call services will be available 24 hours/7 days
a week for individuals in the FSP component.
PROGRAM OBJECTIVES AND OUTCOMES
The Fresno Center will utilize a computerized tracking system with which outcome measures and
other relevant individual data, such as demographics, will be maintained.
Efficiency
Service delivery cost per service unit, length of stay in the program, and direct service hours of
clinical and medical staff. These can be calculated internally on a monthly basis.
REVISED EXHIBIT B-1
Page 8 of 11
Effectiveness
Outcomes in following tables address the quality of service and care provided to the persons
served. Reduction in Homelessness, Incarceration, probation attendance, hospitalization,
psychiatric hospitalization, increase in employment and improvement in education.
Access
Timeliness of program entry (from first request for service to first service), ongoing wait
times/wait lists, minimizing barriers to getting services, convenience of service hours and
locations, and number of persons served. These can be captured internally on a monthly
basis.
Satisfaction and Feedback from Persons Served and Stakeholders
Individuals are informed at intake of the protocol and procedure to address grievances and
concerns. These are places where they can share their thoughts and opinion of the services.
The Fresno Center will also take part in completing the State semi-annual Consumer
Perception Surveys. No show/cancellation rates and services to first scheduled appointment
after first assessment can measure engagement and satisfaction of persons served.
Outcome Measures Indicators Frequency Level of
q y Care/Program
Service timeliness is 10 business days Average length of time from Monthly OP/ICM/FSP
from the initial service request to first first request for service to
service for Outpatient and 15 for first clinical
psychiatry appointment. assessment/outpatient
service or psychiatry.
Increase access to outpatient/intensive Number of persons served Monthly OP/ICM
case management specialty mental per month that are treated;
health services from 120 SEA persons track the preferred
served to 220 persons served in the languages of the mental
preferred language of the person health services that are
served. provided to each SEA
individual.
Evidence of improved access to mental Number/Percentage of Monthly OP/ICM/FSP
health services of all persons engaged individuals being
linked/engaged to services
(i.e., PCP,
Medi-Cal, SSI).
Within 30 days of an individual's Number of individuals with Monthly OP/ICM/FSP
enrollment in the program, provide plan of care created with 30
evidence of a plan of care developed in days.
the individual's preferred language,
approved, authorized and signed by the
individual.
Within 180 days of being enrolled in the Number of persons served Monthly ICM/FSP
program, 100% of individuals who did receiving SSI.
not have SSI will have completed
applications to receive SSI. The Fresno
REVISED EXHIBIT B-1
Page 9 of 11
Center will provide this data to
COUNTY on a monthly basis by the 10tn
of each month regarding SSI status.
Within six months of being enrolled in Number of persons served Bi-annually OP/ICM/FSP
the program, 100% of persons served with linkages services to a
will have documented linkages to a Primary Care Physician.
Primary Care Physician.
Individuals receiving services shall have Number of persons served, Monthly FSP
zero (0) days of homelessness after enrolled and received
being enrolled in the program, unless services, that were
the individual declined housing homeless at intake, during,
assistance. The Fresno Center will or after engaging in
notify COUNTY of individual's decline services.
and document accordingly. The Fresno
Center must have clear documentation
of efforts to house persons served in
appropriate setting.
90% of those receiving services will not Number of persons served, Annual FSP
access higher level of care. enrolled and received
services, that have not
required a higher level of
care.
90% of those receiving services will Number of persons served Annual OP/ICM
become more physically active through actively participating in on
participating in healthy walking and physical types of activities.
exercising and other therapeutic arts
and crafts activities.
75% of those engaged in services will Number of persons served Annual OP/ICM
show stabled or improvement in their who self-reported their
well-being. condition stabilized or
improved. Number of
persons served that show
decrease on the Hmong
Adaptive Beck Depression
Inventory Scale.
90% reduction in days of in-patient Number of FSP persons Annual FSP
psychiatric hospitalizations for persons served that were not in in-
served after being enrolled in FSP patient psychiatric hospital.
compared to the year before being
enrolled in the FSP.
Within 30 days enrollment in the FSP, Number of FSP persons Monthly FSP
100% of persons served will have served with individualized
participated in forming their service plan.
individualized service plan.
Increase the number of mental health Number of hours Annual Clinical
professionals of SEA descent qualified accumulated by students Supervision
for licensure through hours earned. A and by the number of Program
minimum of four (4) student interns students that obtain valid
shall enter and complete, or show California licensure in their
satisfactory progress towards respective field that have
completion of, required clinical hours or completed the required
REVISED EXHIBIT B-1
Page 10 of 11
completion of the intern program. hours within the clinical
training/supervision
program.
FSP Outcomes Measurement Method Data Source
ChildlYouth
Indicator 1 — Living situation: homeless or shelter; FSP: Change over time CANS
justice system placement
Indicator 2— Education attendance; suspensions; FSP: Change overtime CANS
expulsions
Indicator 3 — Legal status; moved out of home; FSP: Change overtime CANS
reunited
Indicator 4 — Number of emergency room FSP: Change overtime CANS
visits; physical health and mental health
Indicator 5 - Self rating on improvement in FSP: Point in time MHSIP
functioning (symptoms, housing situation,
school or work, social situations, relations
with family, dealing with crises, control over
life, dealing with problems)
Adult
Indicator 1 — Living situation: homeless or shelter; FSP: Change over time Chart/File
justice system placement; independent;
number of moves; hospitalization
Indicator 2 — Employment, if applicable FSP: Change over time Chart/File
Indicator 3 — Number of arrests FSP: Change overtime Chart/File
Indicator 4 — Number of emergency room FSP: Change over time Chart/File
visits; physical health and mental health
Indicator 5— Self rating on improvement in FSP: Point in time MHSIP/
functioning (symptoms, housing situation, Reaching
school or work, social situations, relations recovery
with family, dealing with crises, control over
life, dealing with problems)
Older Adult
Indicator 1 — Living situation: homeless or FSP: Change over time Chart/File
shelter; number of moves; hospitalization
Indicator 2 — Number of emergency room FSP: Change over time Chart/File
visits; physical health and mental health
Indicator 3 —Activities of daily living FSP: Change overtime Chart/File
Indicator 4 — Instrumental activities of daily living FSP: Change overtime Chart/File
REVISED EXHIBIT B-1
Page 11 of 11
Indicator 5— Self rating on improvement in FSP: Point in time MHSIP/
functioning (symptoms, housing situation, Reaching
school or work, social situations, relations Recovery
with family, dealing with crises, control over
life, dealing with problems)
DELIVERABLES
Due by the 10th of Each Month:
1. Completed Activity Log for prior month activities and Caseload Report.
2. Invoice for payment reflecting expenses and revenues for the prior month. With
each invoice, The Fresno Center must clearly identify, explain and verify line items
expenditures and must clarify expenses/revenues that are not consistent with the
term of use/earnings.
3. Staffing report— identifying staff name, title/classification, hire date, certification
date, licensure and expiration date, bilingual status, and full-time status/hours.
Due as Requested and/or Necessary:
1. All printed material (flyers, brochures, banners, etc.) and media outreach associated
with the program must include the COUNTY's logo and/or state that the program is
funded by the COUNTY, and must be approved by DBH Director or designee prior
to use/circulation.
2. Miscellaneous reports as requested by COUNTY, DBH Director or designee,
Behavioral Health Board, State, or other auditing and/or reporting entity.
Page 1 of 88 Revised Exhibit E-1
Living Well Center-OP/ICM
The Fresno Center
Fiscal Year(FY)2018-19
PROGRAM EXPENSES
1000: DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Program Director 0.85 $ 60,565 $ 60,565
1102 Medical Director/Psychiatrist 0.10 18,751 18,751
1103 Clinical Supervisor 0.20 13,500 13,500
1104 - -
1105
1106
1107
1108
1109 -
1110 -
1111 -
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 1.15 $ 92,816 $ 92,816
Acct# Program Position FTE Admin Program Total
1116 Unlicensed Psychologist 0.60 $ 33,750 $ 33,750
1117 Clinical Psychologist 0.05 3,900 3,900
1118 Licensed Clinical 0.05 2,730 2,730
1119 Senior Rehab Counselor 0.90 38,475 38,475
1120 Nonlicensed Clinical II 4.28 182,970 182,970
1121 Nonlicensed Clinical 1 2.70 101,258 101,258
1122 Personal Coordinator Service/CM II 0.70 23,102 23,102
1123 Personal Coordinator Service/CM 1 2.14 60,996 60,996
1124 Medical Biller 0.90 30,375 30,375
1125 Peer Specialist 1.80 40,500 40,500
1126 - -
1127
1128
1129
1130
1131 -
1132 -
1133 -
1134
Direct Personnel Program Salaries Subtotal 14.12 $ 518,056 $ 518,056
Admin Program Total
Direct Personnel Salaries Subtotal 15.27 $ 92,816 $ 518,056 $ 610,872
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 18,326 $ 18,326
1202 Worker's Compensation 15,272 15,272
1203 Health Insurance 68,715 68,715
1204 Other(specify) -
1205 10ther(specify) -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 2 of 88 Revised Exhibit E-1
1206 10ther(specify)
Direct Employee Benefits Subtotal: $ $ 102,313 $ 102,313
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ $ 37,874 $ 37,874
1302 FICA/MEDICARE 8,858 8,858
1303 SUI 7,269 7,269
1304 Other(specify) - -
1305 Other(specify) -
1306 10ther(specify)
Direct Payroll Taxes&Expenses Subtotal: $ $ 54,001 $ 54,001
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 92,816 $ 674,370 $ 767,186
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
12% 88%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ 1,875
2002 Client Housing Support -
2003 Client Transportation&Support -
2004 Clothing, Food,&Hygiene 750
2005 Education Support 1,875
2006 Employment Support -
2007 Household Items for Clients 750
2008 Medication Supports -
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Client Housing Support Expenditures 750
2012 Client Flexible Support Expenditures Support 3,000
2013 Other(specify) -
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 9,000
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 5,229
3002 Printing/Postage 2,652
3003 Office, Household&Program Supplies 7,470
3004 Advertising 2,490
3005 Staff Development&Training 3,750
3006 Staff Mileage 7,830
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance -
3009 Program Supplies-Therapeutic 7,655
3010 IT Support&Upgrades 8,715
3011 Other(specify) -
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 45,791
4000:DIRECT FACILITIES&EQUIPMENT
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Pa e 3 of 88 Revised Exhibit E-1
Acct# Line Item Description Amount
4001 Building Maintenance $ 13,073
4002 Rent/Lease Building 62,061
4003 Rent/Lease Equipment 6,350
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 8,591
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 90,075
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services -
5005 Stipend 1,245
5006 Nurse 1,500
5007 Pain Specialist 1,500
5008 Alternative Healer 1,500
DIRECT SPECIAL EXPENSES TOTAL: $ 5,745
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ 140,601
Administrative Overhead
6002 Professional Liability Insurance 3,113
6003 Accounting/Bookkeeping -
6004 External Audit 11,205
6005 Insurance(Specify): 3,735
6006 Payroll Services 1,494
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 10ther(specify)
INDIRECT EXPENSES TOTAL $ 160,148
INDIRECT COST RATE 17.45%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 4 of 88 Revised Exhibit E-1
FIXED ASSETS EXPENSES TOTAL $ -
TOTAL PROGRAM EXPENSES $ 1,077,945
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 18,225 2.61 $ 47,567
8002 Case Management 22,500 2.02 45,450
8003 Crisis Services 150 3.88 582
8004 Medication Support 6,000 4.82 28,920
8005 Collateral 375 2.61 979
8006 Plan Development 4,219 2.61 11,012
8007 Assessment 16,875 2.61 44,044
8008 Rehabilitation 101,250 2.61 264,263
8009 Other(Specify) 0 - -
8010 Other(Specify) 0
Estimated Specialty Mental Health Services Billing Totals: 1 169,5941 $ 442,816
Estimated%of Clients who are Medi-Cal Beneficiaries 90%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 398,534
Federal Financial Participation(FFP)% 1 50% 199,267
MEDI-CAL FFP TOTAL $ 199,267
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 $ 2
REALIGNMENT TOTAL $ 2
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 878,676
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 JCFTN-Capital Facilities&Technology
MHSA TOTAL $ 878,676
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance
8403 Grants(Specify)
8404 Other(Specify)
8405 1 Other(Specify)
OTHER REVENUE TOTAL $
TOTAL PROGRAM FUNDING SOURCES: $ 1,057,945
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 5 of 88 Revised Exhibit E-1
Living Well Center-OP/ICM
The Fresno Center
Fiscal Year(FY)2018-19 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 767,186
Administrative Positions 92,816
2101 Program Director 60,565 1 Program Director @$7,917/mon.x 9 months x 0.85 FTE=$60,565.The Program
Director will oversee the overall development and management of the Living Well
Center and its staff.
1102 Medical Director/Psychiatrist 18,751 1 Medical Director/Psychiatrist @$20,834/mon.x 9 months x 0.10 FTE=$18,751.The
Medical Director/Psychiatrist will works closely with primary medical providers,
psychologist(s),behavioral healthchnicians,counselors and care coordinators to meet
the clinical and non-clinical health needs Southeast Asian persons served at the Living
Well Center.Duties may include but not limited to conducting psychiatric evaluation as
needed and be available on-call and if need by telehealth as necessary;conduct
mental status examinations and pharmacological evaluations,prescribe psychotic
medications,teach clients about side effects and monitor response to prescribed
medications.
1103 Clinical Supervisor 13,500 1 Clinical Supervisor @$7,500/mon.x 9 months x 0.20 FTE=$13,500.The Clinical
Supervisor will assist in the management of the LWC program,supervise clinic staff,
student interns and be responsible for the day to day functioning of the LWC clinical
services,including the provision of master's and/or doctoral level field training
experience for practicum and intern students.
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 10
1111 0
1112 0
1113 0
1114 0
1115 0 -
Program Positions 518,056
1116 Unlicensed Psychologist 33,750 1 Unlicensed Psychologist @$6,250/mon.x 9 months x 0.60 FTE_$33,750.A licensed
or licensed eligible clinical psychologist who is bilingual and bicultural in any of the
Southeast Asian languages to provide psychotherapy and clinical assessments.Also,
the psychologist will assist in the development and implementation of various
culturally and linguistic techniques,assessment,and methods in the program.
1117 Clinical Psychologist 3,900 1 Clinical psychologist @$8,667/mon.x 9 months x.05 FTE=$3,900.The licensed
clinician will assist the clinical supervisor in providing supervision for the clinic staff,
student interns,and assist in the day to day functioning of the LWC clinical services,
including the provision of master's and/or doctoral level field training experience for
practicum and intern students
1118 Licensed Clinical 2,730 1 Licensed Clinical I @$6,067/mon.x 9 months x.05 FTE=$2,730.The licensed
clinician will assist the clinical supervisor in providing supervision for the clinic staff,
student interns,and assist in the day to day functioning of the LWC clinical services,
including the provision of master's and/or doctoral level field training experience for
practicum and intern students.
1119 Senior Rehab Counselor 38,475 1 Senior Rehab.Counselor @ 4,750/mon.x 9 months x.90 FTE=$38,475.Under the
supervision of licensed personnel,provides professional cultural and linguistic
rehabilitiation mental health services,which includes individual and group rehab
therapy.Assist in performing assessments,case management,and performs related
work as required.
1120 Nonlicensed Clinical II 182,970 4.75 Nonlicensed Clinical II @$4,750/mon.x 9 months x.90 FTE=$182,970.The
Mental Health Unlicensed Clinician II is under immediate supervision,receives training
and clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and counseling sessions;
and performs related work as required.
1121 Nonlicensed Clinical 1 101,258 3 Nonlicensed Clinical I @$4,167/mon.x 9 months x 0.90 FT=$101,258.The Mental
Health Unlicensed Clinician I is under immediate supervision,receives training and
clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and counseling sessions;
and performs related work as required
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 21712020
Page 6 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1122 Personal Coordinator Service/CM II 23,102 1 Personal Coordinator Service/Case Manager II @$3,667/mon.x 9 months x.70 FTE=
$23,102.This position is responsible for managing as assigned caseload of clients
having long-term mental illness and for assessing client needs,developing,
implementing and reviewing service plans,and working with other community
resources in meeting/achieving client service needs.Also helps in developing and
coordinating activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
1123 Personal Coordinator Service/CM 1 60,996 3.10Personal Coordinator Service/Case Manager I @$3,167/mon.x 9 months x 0.31
FTE=$60,996.This position is responsible for managing as assigned caseload of clients
having long-term mental illness and for assessing client needs,developing,
implementing and reviewing service plans,and working with other community
resources in meeting/achieving client service needs.Also helps in developing and
coordinating activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
1124 Medical Biller 30,375 1 Medical Biller @$3,750/mon.x 9 months x 0.90 FTE=$30,375.The Medical Biller
will be work closely with Case Manager and clinicians to ensure that all billing are
entered in a timely manager.Managing monthly billable units and revenues.Work
with Program Director to make sure billable goals are met.
1125 Peer Specialist 40,500 2 Peer Specialists @$2,500/mon.x 9 months x 0.90 FTE=$40,500.The Peer Specialist
will be responsible for monitoring,informing,supporting,assisting,and empowering
consumers and their family/caregivers who directly or indirectly receive behavioral
health services;facilitating peer-to-peer assistance as a part of a team setting;
conducting outreach to consumers,families/caregivers and the community;and acting
in a liaison role between consumers,families/caregivers and community service
providers.
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits
1201 Retirement 18,326 Retirement cost is estimated @ 3%x total salary=$18,326 annually
1202 Worker's Compensation 15,272 Workers Compensation cost is estimated @ 2.5%x total salary=$15,272 annually
1203 Health Insurance 68,715 Health Insurance(medical,vision,life,and dental)cost are estimated @$500/staff x
15.27 FTE x 9 months=$68,715
1204 Other(specify) -
1205 Other(specify)
1206 1 Other(specify)
Direct Payroll Taxes&Expenses: 54,001
1301 OASDI 37,874 OASDI cost is estimated @ 6.2%x total salary=$37,874 annually
1302 FICA/MEDICARE 8,858 FICA/MEDICARE cost is estimated @ 1.45%x total salary=$8,858 annually
1303 SUI 7,269 SUI cost is estimated @ 1st$7,000 x 6.8%x 15.27 FTE=$7,269 annually
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 9,000
2001 Child Care 1,875 To provide childcare supports to clients and their family to help clients meets
treatment goals.Estimated @ 2,500 annually.9 months cost=$1,875
2002 Client Housing Support -
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 750 To provide supports to clients,which may include food vouchers and other items
necessary for daily living(such as,clothing,hygiene,etc.).Estimated @$1,000
annually.9 months cost=$750
2005 Education Support 1,875 To provide educational support to clients,which may include transportation to and
from school,school materials,tuitions,and other school resources and/or activities
expenses.Estimated at$2,500.9 months cost=$1,875
2006 Employment Support -
2007 Household Items for Clients 750 To provide supports for clients with household items need.Estimated at$1,000.9
months cost=$750
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 7 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2011 Client Housing Support Expenditures 750 For cost of providing housing supports.including housing subsidies for permanent,
transitional and temporary housing:master leases;motel and other housing vouchers
and shelters;rental security deposits:first and last month rental payments;and
eviction prevention and other fiscal housing supports.Estimated @$1,000 annually.9
months cost=$750
2012 Client Flexible Support Expenditures Support 3,000 To provide supports to clients and their caregivers,may include vouchers,goods,
services,and other family support services.Also maybe use for personal/community
integration to assist clients in achieving their treatment goals and in supporting their
integration into the larger community.Items may include,but are not limited to
socialization and recreational activities.This funding may also be used for medical,
dental and optical care,prescriptions,and laboratory tests when the client does not
have insurance to pay for such care.Estimated @$4,000 annually.9 months cost=
$3,000
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 45,791
3001 Telecommunications 5,229 Telephone(include local,long distance,cell phone,and internet services)cost is
estimated @$700/month x 9 months x 83%=$5,229
3002 Printing/Postage 2,652 In-house printing,business cards,flyers and brochures,etc.cost are estimated @
$325/month x 9 months x 83%=$2,428.Postage&Delivery cost are estimated @
$30/month x 9 months x 83%=$224
3003 Office,Household&Program Supplies 7,470 General office supplies cost is estimated @$1,000/month x 9 months x 83%=$7,470
3004 Advertising 2,490 Marketing on ethnic magazines and radio stations and TV station cost is estimated
$4,000 annually x83%=$2,490
3005 Staff Development&Training 3,750 Staff Training/Conference for staff cost is estimated @$5,000 annually x.83%x 9
months=$3,750
3006 Staff Mileage 7,830 Local travel for staff to attend meeting/trainings and maintenance for gas,vehicle
maintenance,registrations,and insurance for 3 cars @$12,579 annually x 83%x 9
months=$7,830
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance
3009 Program Supplies-Therapeutic 7,655 Supplies and materials for individual activity cost is estimated @$1,024.75/month x 9
months x 83%=7655
3010 IT Support&Upgrades 8,715 IT Support services cost is estimated$14,000 annually x 83%x 9 months=$8,715
3011 Other(specify) -
3012 1 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 90,075
4001 Building Maintenance 13,073 Building Maintenance includes janitorial services,pest control,material,AC services,
and other maintenance cost are estimated @$1,750/month x 9 months x 83%=
$13,073
4002 Rent/Lease Building 62,061 Office Lease cost are estimated @ 6,700 sq.ft.@$1.24/sq.ft.x 9 months x 83%=
$62,061
4003 Rent/Lease Equipment 6,350 Lease copy machines cost are estimated @$850/month x 9 months x 83%=$6,350
4004 Rent/Lease Vehicles
4005 Security -
4006 Utilities 8,591 Utilities cost are estimated$1,400/month x 9 months annually x 83%=$8,591
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify) -
5000:DIRECT SPECIAL EXPENSES 5,745
5001 Consultant(Network&Data Management) -
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services -
5005 Stipend 1,245 To train 2 graduate students in mental health work force
5006 Nurse 1,500
5007 Pain Specialist 1,500
5008 Alternative Healer 1,500 Traditional alternative Healer to support consumers with spiritual wellness and
recovering practices and methods
6000:INDIRECT EXPENSES 160,148
6001 Administrative Overhead 140,601 Administration Overhead includes salaries and benefits for the Executive Director,
6002 Professional Liability Insurance 3,113 Professional Liability Insurance cost is estimated at$5,000 annually x 83%x 9
months=$3,113
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 8 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6003 Accounting/Bookkeeping
6004 External Audit 11,205 External Audit perform by Price Paige&Company cost is estimated$18,000 annually x
83%x 9 months=$11,205
6005 Insurance(Specify): 3,735 General liability insurance cost is estimated @$6,000 annually x 83%x 9 months=
$3,735
6006 Payroll Services 1,494 Outside payroll services cost is estimated$2,400 annually @ 83%x 9 months=$1,494
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 1 Other(specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS
REQUIRED BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,077,945
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,077,945
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 9 of 88 Revised Exhibit E-1
Living Well Center-OP/ICM
The Fresno Center
Fiscal Year(FY)2019-20
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Program Director 0.85 $ 83,181 $ 83,181
1102 Medical Director/Psychiatrist 0.10 25,751 25,751
1103 Clinical Supervisor 0.20 18,540 18,540
1104 -
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 1.15 $ 127,472 $ 127,472
Acct a Program Position FTE Admin Program Total
1116 Unlicensed Psychologist 0.60 $ 46,354 $ 46,354
1117 Clinical Psychologist 0.05 5,356 5,356
1118 Licensed Clinical 0.05 3,708 3,708
1119 Senior Rehab Counselor 0.90 52,844 52,844
1120 Nonlicensed Clinical II 4.28 251,304 251,304
1121 Nonlicensed Clinical 1 2.70 139,061 139,061
1122 Personal Coordinator Service/CM II 0.70 31,756 31,756
1123 Personal Coordinator Service/CM 1 2.14 83,768 83,768
1124 Medical Biller 0.90 41,720 41,720
1125 Peer Specialist 1.80 55,620 55,620
1126 -
1127 -
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 14.12 $ 711,491 $ 711,491
Admin Program Total
Direct Personnel Salaries Subtotal 15.27 $ 127,472 $ 711,491 $ 838,963
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ - $ 25,169 $ 25,169
1202 Worker's Compensation 20,974 20,974
1203 Health Insurance 91,620 91,620
1204 Other(specify) - -
1205 Other(specify)
1206 1 Other(specify)
Direct Employee Benefits Subtotal: $ - $ 137,763 $ 137,763
Direct Payroll Taxes&Expenses:
Acct p Description Admin Program Total
1301 OASDI $ $ 52,016 $ 52,016
1302 FICA/MEDICARE 12,165 12,165
1303 SUI 7,269 7,269
1304 Other(specify) -
1305 Other(specify) -
1306 1 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ - $ 71,450 $ 71,450
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 127,472 $ 920,704 $ 1,o48,v6
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
12% 88%
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 10 of 88 Revised Exhibit E-1
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ 2,500
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 1,000
2005 Education Support 2,500
2006 1 Employment Support -
2007 Household Items for Clients 1,000
2008 Medication Supports -
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Client Housing Support Expenditures 1,000
2012 Client FlexibleSupport Expenditures 3,000
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 11,000
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 6,972
3002 Printing/Postage 3,536
3003 Office,Household&Program Supplies 9,960
3004 Advertising 3,320
3005 Staff Development&Training 5,000
3006 IStaff Mileage 10,441
3007 Subscriptions&Memberships
3008 Vehicle Maintenance -
3009 Program Supplies-Therapeutic 10,216
3010 IT Support&Upgrades 11,623
3011 Other(specify) -
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 61,068
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 17,430
4002 Rent/Lease Building 82,748
4003 Rent/Lease Equipment 8,466
4004 Rent/Lease Vehicles -
4005 Security -
4006 jUtilities 11,454
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENTTOTAL: $ 120,098
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services -
5005 Stipend 1,660
5006 1 Nurse 2,000
5007 Pain Specialist 2,000
5008 JAIternate Healer 2,000
DIRECT SPECIAL EXPENSES TOTAL: $ 7,660
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ 191,110
Administrative Overhead
6002 Professional Liability Insurance 4,150
6003 Accounting/Bookkeeping -
6004 External Audit 14,940
6005 Insurance(Specify): 4,980
6006 Payroll Services 1,992
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes) -
6008 Personnel(indirect Salaries&Benefits) -
6009 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 11 of 88 Revised Exhibit E-1
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 217,172
INDIRECT COST RATE 17.40%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $
TOTAL PROGRAM EXPENSES $ 1,465,174
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 243,000 2.61 $ 634,230
8002 Case Management 30,000 2.02 60,600
8003 Crisis Services 200 3.88 776
8004 Medication Support 8,000 4.82 38,560
8005 Collateral 500 2.61 1,305
8006 Plan Development 5,6251 2.61 1 14,681
8007 Assessment 22,500 2.61 58,725
8008 Rehabilitation 13,500 2.61 35,235
8009 Other(Specify) 0 - -
8010 Other(Specify) 0 -
Estimated Specialty Mental Health Services Billing Totals: 1 323,3251 $ 844,112
Estimated%of Clients who are Medi-Cal Beneficiaries 90%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 759,701
Federal Financial Participation(FFP)% 1 50% 379,851
MEDI-CAL FFP TOTAL $ 379,851
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 1 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ 1
REALIGNMENT TOTAL $ 1
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 1,085,322
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology -
MHSA TOTAL $ 1,085,322
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Clientlnsurance
8403 Grants(Specify)
8404 Other(Specify)
8405 Other(Specify)
OTHER REVENUE TOTALI$
TOTAL PROGRAM FUNDING SOURCES: $ 1,465,174
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 12 of 88 Revised Exhibit E-1
Living Well Center-OP/ICM
The Fresno Center
Fiscal Year(FY)2019-20 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 1,048,176
Administrative Positions 127,472
2101 Program Director 83,181 1 Program Director @$8,155/mon.x 12 months x 0.85 FTE=$83,181.The Program
Director will oversee the overall development and management of the Living Well
Center and its staff.
1102 Medical Director/Psychiatrist 25,751 1 Medical Director/Psychiatrist @$21,459/mon.x 12 months x 0.10 FTE=$25,751.
The Medical Director/Psychiatrist will works closely with primary medical providers,
psychologist(s),behavioral healthchnicians,counselors and care coordinators to meet
the clinical and non-clinical health needs Southeast Asian persons served at the Living
Well Center.Duties may include but not limited to conducting psychiatric evaluation as
needed and be available on-call and if need by telehealth as necessary;conduct
mental status examinations and pharmacological evaluations,prescribe psychotic
medications,teach clients about side effects and monitor response to prescribed
medications.
1103 Clinical Supervisor 18,540 1 Clinical Supervisor @$7,725/mon.x 12 months x.20 FTE=$18,540.The Clinical
Supervisor will assist in the management of the LWC program,supervise clinic staff,
student interns and be responsible for the day to day functioning of the LWC clinical
services,including the provision of master's and/or doctoral level field training
experience for practicum and intern students.
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 10
1111 0
1112 0
1113 0
1114 0
1115 0 -
Program Positions 711,491
1116 Unlicensed Psychologist 46,354 1 Unlicensed Psychologist @$6,438/mon.x 12 months x 0.60 FTE_$46,354.A
licensed or licensed eligible clinical psychologist who is bilingual and bicultural in any of
the Southeast Asian languages to provide psychotherapy and clinical assessments.
Also,the psychologist will assist in the development and implementation of various
culturally and linguistic techniques,assessment,and methods in the program.
1117 Clinical Psychologist 5,356 1 Clinical psychologist @$8,927/mon.x 12 months x.05 FTE=$5,356.The licensed
clinician will assist the clinical supervisor in providing supervision for the clinic staff,
student interns,and assist in the day to day functioning of the LWC clinical services,
including the provision of master's and/or doctoral level field training experience for
practicum and intern students
1118 Licensed Clinical 3,708 1 Licensed Clinical I @$6,180/mon.x 12 months x.05 FTE=$3,708.The licensed
clinician will assist the clinical supervisor in providing supervision for the clinic staff,
student interns,and assist in the day to day functioning of the LWC clinical services,
including the provision of master's and/or doctoral level field training experience for
practicum and intern students.
1119 Senior Rehab Counselor 52,844 Senior Rehab.Counselor @$4,893/mon.x 12 months x.90 FTE=$52,844.Under the
supervision of licensed personnel,provides professional cultural and linguistic
rehabilitiation mental health services,which includes individual and group rehab
therapy.Assist in performing assessments,case management,and performs related
work as required.
1120 Nonlicensed Clinical II 251,304 4.75 Nonlicensed Clinical II @$4,893/mon.x 12 months x 0.90 FTE=$251,304.The
Mental Health Unlicensed Clinician II is under immediate supervision,receives training
and clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and counseling sessions;
and performs related work as required.
1121 Nonlicensed Clinical 1 139,061 3 Nonlicensed Clinical I @$4,292/mon.x 12 months x 0.90 FTE=$139,061.The Mental
Health Unlicensed Clinician I is under immediate supervision,receives training and
clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and counseling sessions;
and performs related work as required
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 13 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1122 Personal Coordinator Service/CM II 31,756 1 Personal Coordinator Service/Case Manager II @$3,780/mon.x 12 months x 0.70
FTE=$31,756.This position is responsible for managing as assigned caseload of clients
having long-term mental illness and for assessing client needs,developing,
implementing and reviewing service plans,and working with other community
resources in meeting/achieving client service needs.Also helps in developing and
coordinating activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
1123 Personal Coordinator Service/CM 1 83,768 3.10 Personal Coordinator Service/Case Manager I @$3,262/mon.x 12 months 0.69
FTE=$83,768.This position is responsible for managing as assigned caseload of clients
having long-term mental illness and for assessing client needs,developing,
implementing and reviewing service plans,and working with other community
resources in meeting/achieving client service needs.Also helps in developing and
coordinating activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
1124 Medical Biller 41,720 1 Medical Biller @$3,863/mon.x 12 months x 0.90 FTE=$41,720.The Medical Biller
will be work closely with Case Manager and clinicians to ensure that all billing are
entered in a timely manager.Managing monthly billable units and revenues.Work
with Program Director to make sure billable goals are met.
1125 Peer Specialist 55,620 2 Peer Specialists @$2,575/mon.x 12 months x 0.90 FTE=$55,620The Peer Specialist
will be responsible for monitoring,informing,supporting,assisting,and empowering
consumers and their family/caregivers who directly or indirectly receive behavioral
health services;facilitating peer-to-peer assistance as a part of a team setting;
conducting outreach to consumers,families/caregivers and the community;and acting
in a liaison role between consumers,families/caregivers and community service
providers.
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits 137,763
1201 Retirement 25,169 Retirement cost is estimated @ 3%x total salary=$25,169 annually
1202 Worker's Compensation 20,974 Workers Compensation cost is estimated @ 2.5%x total salary=$20,974 annually
1203 Health Insurance 91,620 Health Insurance(medical,vision,life,and dental)cost are estimated @$500/staff x
15.27 FTE x 12 months=$91,620 annually
1204 Other(specify) -
1205 Other(specify)
1206 1 Other(specify) -
Direct Payroll Taxes&Expenses: 71,450
1301 OASDI 52,016 OASDI cost is estimated @ 6.2%x total salary=$52,016 annually
1302 FICA/MEDICARE 12,165 FICA/MEDICARE cost is estimated @ 1.45%x total salary=$12,165 annually
1303 SUI 7,269 SUI cost is estimated @ 1st$7,000 x 6.8%x 15.27 FTE=$7,269 annually
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 11,000
2001 Child Care 2,500 To provide childcare supports to clients and their family to help clients meets
treatment goals.Estimated @$2,500 annually
2002 Client Housing Support -
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 1,000 To provide supports to clients,which may include food vouchers and other items
necessary for daily living(such as,clothing,hygiene,etc.).Estimated @$1,000
annually.
2005 Education Support 2,500 To provide educational support to clients,which may include transportation to and
from school,school materials,tuitions,and other school resources and/or activities
expenses.Estimated at$2,500.
2006 Employment Support -
2007 Household Items for Clients 1,000 To provide supports for clients with household items need.Estimated at$1,000
2008 Medication Supports -
2009 Program Supplies-Medical
2010 Utility Vouchers
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 14 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCi# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2011 Client Housing Support Expenditures 1,000 For cost of providing housing supports.including housing subsidies for permanent,
transitional and temporary housing:master leases;motel and other housing vouchers
and shelters;rental security deposits:first and last month rental payments;and
eviction prevention and other fiscal housing supports.Estimated @$1,000 annually.
2012 Client FlexibleSupport Expenditures 3,000 To provide supports to clients and their caregivers,may include vouchers,goods,
services,and other family support services.Also maybe use for personal/community
integration to assist clients in achieving their treatment goals and in supporting their
integration into the larger community.Items may include,but are not limited to
socialization and recreational activities.This funding may also be used for medical,
dental and optical care,prescriptions,and laboratory tests when the client does not
have insurance to pay for such care.Estimated @$3,000 annually
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 61,068
3001 Telecommunications 6,972 Telephone(include local,long distance,cell phone,and internet services)cost is
estimated @$700/month x 12 months @ 83%=$6,972
3002 Printing/Postage 3,536 In-house printing,business cards,flyers and brochures,etc.cost are estimated @
$325/month x 12 months @ 83%=$3,237.Postage&Delivery cost are estimated @
$30/month x 12 months @ 83%=$299
3003 Office,Household&Program Supplies 9,960 General office supplies cost is estimated @$1,000/month x 12 months x 83%=$9,960
3004 Advertising 3,320 Marketing on ethnic magazines and radio stations and TV station cost is estimated
$4,000 annually x83%=$3,320
3005 Staff Development&Training 5,000 Staff Training/Conference for staff cost is estimated @$5,000 annually
3006 Staff Mileage 10,441 Local travel for staff to attend meeting/trainings and maintenance for gas,vehicle
maintenance,registrations,and insurance for 3 cars @$12,580 annually x 83%=
$10,441
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance
3009 Program Supplies-Therapeutic 10,216 Supplies and materials for individual activity cost is estimated @$1,025.7/month x 12
months x 83%=10216
3010 IT Support&Upgrades 11,623 IT Support services cost is estimated @$14,000 annually x 83%=$11,623
3011 Other(specify) -
3012 1 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 120,098
4001 Building Maintenance 17,430 Building Maintenance includes janitorial services,pest control,material,AC services,
and other maintenance cost are estimated @$1,750/month x 12 months x 83%=
$17,430
4002 Rent/Lease Building 82,748 Office Lease cost are estimated @ 6,700 sq.ft.@$1.24/sq.ft..x 12 months x 83%=
$82,748
4003 Rent/Lease Equipment 8,466 Lease copy machines cost are estimated @$850/month x 12 months x 83%=$8,466
4004 Rent/Lease Vehicles
4005 Security -
4006 Utilities 11,454 Utilities cost is estimated annually at$13,800 x 83%=$11,454
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 7,660
5001 Consultant(Network&Data Management) -
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services
5005 Stipend 1,660 To train 2 graduate students in mental health work force @$500 per semester for 2
semesters x 2 @$2,000 annually at 83%=$1,660
5006 Nurse 2,000 Nurse consultant with medication supports and education,and to assist psychiatrist in
the administration of medication and treatment of patients as needed.Estimated
annually at$2,000
5007 Pain Specialist 2,000 Pain specialist to support psychiatrist and staff on chronic pain symptom
managements and medication consultation of pain medications.Estimated annually
$2,000
5008 Alternate Healer 2,000 Traditional alternative Healer to support consumers with spiritual wellness and
recovering practices and methods.Estimated annually at$2,000
6000:INDIRECT EXPENSES 217,172
6001 Administrative Overhead 191,110 Administration Overhead includes salaries and benefits for the Executive Director,
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 15 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCi# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6002 Professional Liability Insurance 4,150 Professional Liability Insurance cost is estimated at$5,000 annually x 83%=$4,150
6003 Accounting/Bookkeeping -
6004 External Audit 14,940 External Audit perform by Price Paige&Company cost is estimated$18,000 annually x
83%=$14,940.
6005 Insurance(Specify): 4,980 General liability insurance cost is estimated$6,000 annually x 83%=$4,980
6006 Payroll Services 1,992 Outside payroll services cost is estimated @$2,400 annually x 83%=$1,992
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 1 Other(specify)
7000:DIRECT FIXED ASSETS
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 1 Other(specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS
REQUIRED BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,465,174
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,465,174
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 16 of 88 Revised Exhibit E-1
Living Well Center-OP/ICM
The Fresno Center
Fiscal Year(FY)2020-21
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Program Director 0.85 $ 85,676 $ 85,676
1102 Medical Director/Psychiatrist 0.10 26,523 26,523
1103 Clinical Supervisor 0.20 19,096 19,096
1104 - -
1105 -
1106 -
1107 -
1108 -
1109 -
1110
1111
1112
1113 -
1114 -
1115 -
Direct Personnel Admin Salaries Subtotal 1.15 $ 131,295 $ 131,295
Acct# Program Position FTE Admin Program Total
1116 Unlicensed Psychologist 0.60 $ 47,744 $ 47,744
1117 Clinical Psychologist 0.05 5,517 5,517
1118 Licensed Clinical 0.05 3,819 3,819
1119 Senior Rehab Counselor 0.90 54,430 54,430
1120 Nonlicensed Clinical II 4.28 258,844 258,844
1121 Nonlicensed Clinical 1 2.70 143,233 143,233
1122 Personal Coordinator Service/CM II 0.70 32,708 32,708
1123 Personal Coordinator Service/CM 1 2.14 86,281 86,281
1124 Medical Biller 0.90 42,972 42,972
1125 Peer Specialist 1.80 57,289 57,289
1126 - -
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 14.12 $ 732,837 $ 732,837
Admin Program Total
Direct Personnel Salaries Subtotal 15.27 $ 131,295 $ 732,837 $ 864,132
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ - $ 25,924 $ 25,924
1202 Worker's Compensation 21,603 21,603
1203 Health Insurance 91,620 91,620
1204 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 17 of 88 Revised Exhibit E-1
1205 Other(specify)
1206 Other(specify)
Direct Employee Benefits Subtotal: $ - $ 139,147 $ 139,147
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ 53,576 $ 53,576
1302 FICA/MEDICARE - 12,530 12,530
1303 SUI - 7,269 7,269
1304 Other(specify) - -
1305 Other(specify) - -
1306 Other(specify) - -
Direct Payroll Taxes&Expenses Subtotal: $ - $ 73,375 $ 73,375
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 131,295 $ 945,359 $ 1,076,654
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
12% 88%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ 2,500
2002 Client Housing Support -
2003 Client Transportation&Support -
2004 Clothing, Food,&Hygiene 1,000
2005 Education Support 2,500
2006 Employment Support -
2007 Household Items for Clients 1,000
2008 Medication Supports -
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Client Housing Support Expenditures 1,171
2012 Client Flexible Support Expenditures 3,000
2013 Other(specify) -
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 11,171
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 6,972
3002 Printing/Postage 3,536
3003 Office, Household &Program Supplies 9,960
3004 Advertising 3,320
3005 Staff Development&Training 5,000
3006 Staff Mileage 10,441
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance -
3009 Program Supplies-Therapeutic 11,046
3010 IT Support&Upgrades 11,620
3011 Other(specify) -
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 61,895
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 18 of 88 Revised Exhibit E-1
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 17,430
4002 Rent/Lease Building 82,748
4003 Rent/Lease Equipment 8,466
4004 1 Rent/Lease Vehicles
4005 Security 11,454
4006 Utilities -
4007 Other(specify)
4008 Other(specify) -
4009 Other(specify) -
4010 1 Other(specify)
DIRECT FACILITIES/EQUIPMENTTOTAL: $ 120,098
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ -
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services -
5005 Stipend 1,660
5006 Nurse 2,000
5007 Pain Specialist 2,000
5008 Alternate Healer 2,000
DIRECT SPECIAL EXPENSES TOTAL: $ 7,660
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ 195,531
Administrative Overhead
6002 Professional Liability Insurance 4,150
6003 Accounting/Bookkeeping -
6004 External Audit 14,940
6005 Insurance(Specify): 4,980
6006 Payroll Services 1,992
6007 Depreciation(Provider-Owned Equipment to be Usedfor Progrom Purposes) -
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify) -
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 221,593
INDIRECT COST RATE 17.35%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Pa e 19 of 88 Revised Exhibit E-1
7005 1 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ -
TOTAL PROGRAM EXPENSES $ 1,499,071
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 243,000 2.61 $ 634,230
8002 Case Management 30,000 2.02 60,600
8003 Crisis Services 200 3.88 776
8004 Medication Support 8,000 4.82 38,560
8005 Collateral 500 2.61 1,305
8006 Plan Development 5,625 2.61 14,681
8007 Assessment 22,500 2.61 58,725
8008 Rehabilitation 13,500 2.61 35,235
8009 Other(Specify) 0 - -
8010 Other(Specify) 0 -
Estimated Specialty Mental Health Services Billing Totals: 1 323,3251 $ 844,112
Estimated%of Clients who are Medi-Cal Beneficiaries 90%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 759,701
Federal Financial Participation(FFP)% 1 50% 379,851
MEDI-CAL FFP TOTAL $ 379,851
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 $ 2
REALIGNMENT TOTAL $ 2
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 1,119,218
8302 PEI-Prevention &Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 1 CFTN-Capital Facilities&Technology
MHSA TOTAL $ 1,119,218
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance
8403 Grants(Specify) -
8404 Other(Specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Pa e 20 of 88 Revised Exhibit E-1
8405 10ther(Specify)
OTHER REVENUE TOTAL $ -
TOTAL PROGRAM FUNDING SOURCES: $ 1,499,071
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 21 of 88 Revised Exhibit E-1
Living Well Center-OP/ICM
The Fresno Center
Fiscal Year(FY)2020-21 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 1,076,654
Administrative Positions 131,295
1101 Program Director 85,676 1 Program Director @$8,400/mon.x 12 months x 0.85 FTE=$85,676.The Program
1102 Medical Director/Psychiatrist 26,523 1 Medical Director/Psychiatrist @$22,103/mon.x 12 months x 0.10 FTE=$26,523.
The Medical Director/Psychiatrist will works closely with primary medical providers,
psychologist(s),behavioral healthclinicians,counselors and care coordinators to meet
the clinical and non-clinical health needs Southeast Asian persons served at the Living
Well Center.Duties may include but not limited to conducting psychiatric evaluation as
needed and be available on-call and if need by telehealth as necessary;conduct
mental status examinations and pharmacological evaluations,prescribe psychotic
medications,teach clients about side effects and monitor response to prescribed
medications.
1103 Clinical Supervisor 19,096 1 Clinical Supervisor @$7,957/mon.x 12 months x 0.20 FTE=$19,096.The Clinical
Supervisor will assist in the management of the LWC program,supervise clinic staff,
student interns and be responsible for the day to day functioning of the LWC clinical
services,including the provision of master's and/or doctoral level field training
experience for practicum and intern students.
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 10
Program Positions 732,837
1116 Unlicensed Psychologist 47,744 1 Unlicensed Psychologist @$6,631/mon.x 12 months x 0.60 FTE_$47,444.A
licensed or licensed eligible clinical psychologist who is bilingual and bicultural in any of
the Southeast Asian languages to provide psychotherapy and clinical assessments.
Also,the psychologist will assist in the development and implementation of various
culturally and linguistic techniques,assessment,and methods in the program.
1117 Clinical Psychologist 5,517 1 Clinical psychologist @$9,195/mon.x 12 months x.05 FTE=$5,517.The licensed
clinician will assist the clinical supervisor in providing supervision for the clinic staff,
student interns,and assist in the day to day functioning of the LWC clinical services,
including the provision of master's and/or doctoral level field training experience for
practicum and intern students
1118 Licensed Clinical 3,819 1 Licensed Clinical I @$6,366/mon.x 12 months x.05 FTE=$3,819.The licensed
clinician will assist the clinical supervisor in providing supervision for the clinic staff,
student interns,and assist in the day to day functioning of the LWC clinical services,
including the provision of master's and/or doctoral level field training experience for
practicum and intern students.
1119 Senior Rehab Counselor 54,430 1 Senior Rehab.Counselor @$5,040/mon.x 12 months x.90 FTE=$54,430.Under the
supervision of licensed personnel,provides professional cultural and linguistic
rehabilitiation mental health services,which includes individual and group rehab
therapy.Assist in performing assessments,case management,and performs related
work as required.
1120 Nonlicensed Clinical II 258,844 4.75Nonlicensed Clinical II @$5,040/mon.x 12 months x 0.90 FTE=$258,844.The
Mental Health Unlicensed Clinician II is under immediate supervision,receives training
and clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and counseling sessions;
and performs related work as required.
1121 Nonlicensed Clinical 1 143,233 3 Nonlicensed Clinical I @$4,421/mon.x 12 months x.90 FT=$143,233.The Mental
Health Unlicensed Clinician I is under immediate supervision,receives training and
clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and counseling sessions;
and performs related work as required
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 21712020
Page 22 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1122 Personal Coordinator Service/CM II 32,708 1 Personal Coordinator Service/Case Manager II @$3,894/mon.x 12 months x 0.70
FTE=$32,708.This position is responsible for managing as assigned caseload of clients
having long-term mental illness and for assessing client needs,developing,
implementing and reviewing service plans,and working with other community
resources in meeting/achieving client service needs.Also helps in developing and
coordinating activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
1123 Personal Coordinator Service/CM 1 86,281 3.10 Personal Coordinator Service/Case Manager I @$3,360/mon.x 12 months x 0.31
FTE=$86,281.This position is responsible for managing as assigned caseload of clients
having long-term mental illness and for assessing client needs,developing,
implementing and reviewing service plans,and working with other community
resources in meeting/achieving client service needs.Also helps in developing and
coordinating activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
1124 Medical Biller 42,972 1 Medical Biller @$3,979/mon.x 12 months x 0.90 FTE=$42,972.The Medical Biller
will be work closely with Case Manager and clinicians to ensure that all billing are
entered in a timely manager.Managing monthly billable units and revenues.Work
with Program Director to make sure billable goals are met.
1125 Peer Specialist 57,289 2 Peer Specialists @$2,652/mon.x 12 months x 0.90 FTE=$57,289.The Peer
Specialist will be responsible for monitoring,informing,supporting,assisting,and
empowering consumers and their family/caregivers who directly or indirectly receive
behavioral health services;facilitating peer-to-peer assistance as a part of a team
setting;conducting outreach to consumers,families/caregivers and the community;
and acting in a liaison role between consumers,families/caregivers and community
service providers.
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 10
Direct Employee Benefits 139,147
1201 Retirement 25,924 Retirement cost is estimated @ 3%x total salary=$25,924 annually
1202 Worker's Compensation 21,603 Workers Compensation cost is estimated @ 2.5%x total salary=$21,603 annually
1203 Health Insurance 91,620 Health Insurance(medical,vision,life,and dental)cost are estimated @$500/staff x
15.27 FTE x 12 months=$91,620 annually
1204 Other(specify) -
1205 Other(specify)
1206 1 Other(specify) -
Direct Payroll Taxes&Expenses: 73,375
1301 OASDI 53,576 OASDI cost is estimated @ 6.2%x total salary=$53,576 annually
1302 FICA/MEDICARE 12,530 FICA/MEDICARE cost is estimated @ 1.45%x total salary=$12,530 annually
1303 SUI 7,269 SUI cost is estimated @ 1st$7,000 x 6.8%x 15.27 FTE=$7,269 annually
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 11,171
2001 Child Care 2,500 To provide childcare supports to clients and their family to help clients meets
treatment goals.Estimated @$2,500 annually
2002 Client Housing Support -
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 1,000 To provide supports to clients,which may include food vouchers and other items
2005 Education Support 2,500 To provide educational support to clients,which may include transportation to and
2006 Employment Support -
2007 Household Items for Clients 1,000 To provide supports for clients with household items need.Estimated at$1,000
2008 Medication Supports -
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Client Housing Support Expenditures 1,171 For cost of providing housing supports.including housing subsidies for permanent,
2012 Client Flexible Support Expenditures 3,000 To provide supports to clients and their caregivers,may include vouchers,goods,
2013 Other(specify) -
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 23 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
3000:DIRECT OPERATING EXPENSES 61,895
3001 Telecommunications 6,972 Telephone(include local,long distance,cell phone,and internet services)cost is
estimated @$700/month x 12 months x 83%=$6,972
3002 Printing/Postage 3,536 In-house printing,business cards,flyers and brochures,etc.cost are estimated @
$325/month x 12 months x 83%=$3,237.Postage&Delivery cost are estimated @
$30/month x 12 months x 83%=$299
3003 Office,Household&Program Supplies 9,960 General office supplies cost is estimated @$1,000/month x 12 months x 83%=$9,960
3004 Advertising 3,320 Marketing on ethnic magazines and radio stations and TV station cost is estimated
3005 Staff Development&Training 5,000 Staff Training/Conference for staff cost is estimated annually @$5,000
3006 Staff Mileage 10,441 Local travel for staff to attend meeting/trainings and maintenance for gas,vehicle
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance
3009 Program Supplies-Therapeutic 11,046 Supplies and materials for individual activity cost is estimated @$1,109/month x 12
3010 IT Support&Upgrades 11,620 IT Support services cost is estimated @$14,000 annually x 83%=$11,620
3011 Other(specify) -
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 120,098
4001 Building Maintenance 17,430 Building Maintenance includes janitorial services,pest control,material,AC services,
and other maintenance cost are estimated @$1,750/month x 12 months x 83%=
$17,430
4002 Rent/Lease Building 82,748 Office Lease cost are estimated @ 6,700 sq.ft.@$1.24/sq.ft..x 12 months x 83%=
$82,748
4003 Rent/Lease Equipment 8,466 Lease copy machines cost are estimated @$850/month x 12 months x 83%=$8,466
4004 Rent/Lease Vehicles
4005 Security 11,454 Utilities cost is estimated annually at$13,800 x 83%=$11,454
4006 Utilities -
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 7,660
5001 Consultant(Network&Data Management) -
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services
5005 Stipend 1,660 To train 2 graduate students in mental health work force @ 500 per semester for 2
5006 Nurse 2,000 Nurse consultant with medication supports and education,and to assist psychiatrist in
5007 Pain Specialist 2,000 Pain specialist to support psychiatrist and staff on chronic pain symptom
5008 Alternate Healer 2,OOL Traditional alternative Healer to support consumers with spiritual wellness and
6000:INDIRECT EXPENSES 221,593
6001 Use this line and only this line for approved indirect 195,531 Administration Overhead includes salaries and benefits for the Executive Director,
6002 Professional Liability Insurance 4,150 Professional Liability Insurance cost is estimated at$5,000 annually x 83%=$4,150.
6003 Accounting/Bookkeeping -
6004 External Audit 14,940 External Audit perform by Price Paige&Company cost is estimated$18,00 annually x
6005 Insurance(Specify): 4,980 General liability insurance cost is estimated$6,000 annually x 83%=$4,980
6006 Payroll Services 1,992 Outside payroll services cost is estimated$2,400 annually x 83%=$1,992
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
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
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 24 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,499,071
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,499,071 0
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 25 of 88 Revised Exhibit E-1
Living Well Center OP/ICM
The Fresno Center
Fiscal Year(FY)2021-22
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Program Director 0.85 $ 88,247 $ 88,247
1102 Medical Director/Psychiatrist 0.10 27,319 27,319
1103 Clinical Supervisor 0.20 19,669 19,669
1104 -
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 1.15 $ 135,235 $ 135,235
Acct a Program Position FTE Admin Program Total
1116 Unlicensed Psychologist 0.60 $ 49,177 $ 49,177
1117 Clinical Psychologist 0.05 5,682 5,682
1118 Licensed Clinical 0.05 3,934 3,934
1119 Senior Rehab Counselor 0.90 56,062 56,062
1120 Nonlicensed Clinical II 4.28 266,607 266,607
1121 Nonlicensed Clinical 1 2.70 147,529 147,529
1122 Personal Coordinator Service/CM II 0.70 33,689 33,689
1123 Personal Coordinator Service/CM 1 2.14 88,869 88,869
1124 Medical Biller 0.90 44,261 44,261
1125 Peer Specialist 1.80 59,007 59,007
1126 - -
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 14.12 $ 754,817 $ 754,817
Admin Program Total
Direct Personnel Salaries Subtotal 15.27 $ 135,235 $ 754,817 $ 890,052
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ - $ 26,702 $ 26,702
1202 Worker's Compensation 22,251 22,251
1203 Health Insurance 91,620 91,620
1204 Other(specify) - -
1205 Other(specify)
1206 1 Other(specify)
Direct Employee Benefits Subtotal: $ - $ 140,573 $ 140,573
Direct Payroll Taxes&Expenses:
Acct p Description Admin Program Total
1301 OASDI $ $ 55,183 $ 55,183
1302 FICA/MEDICARE 12,906 12,906
1303 SUI 7,269 7,269
1304 Other(specify) -
1305 Other(specify) -
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ - $ 75,358 $ 75,358
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 135,235 $ 970,748 $ 1,105,983
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
12% 88%
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 26 of 88 Revised Exhibit E-1
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ 2,500
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 1,000
2005 Education Support 2,500
2006 1 Employment Support -
2007 Household Items for Clients 1,000
2008 Medication Supports -
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Client Housing Support Expenditures 1,643
2012 Client Flexible Support Expenditure 4,750
2013 Other(specify) -
2014 Other(specify)
2015 Other(specify)
2016 Other(specify) -
DIRECT CLIENT CARE TOTAL $ 13,393
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 6,972
3002 Printing/Postage 3,536
3003 Office,Household&Program Supplies 9,960
3004 Advertising 3,320
3005 Staff Development&Training 5,000
3006 IStaff Mileage 10,441
3007 Subscriptions&Memberships
3008 Vehicle Maintenance -
3009 Program Supplies-Therapeutics 11,046
3010 IT Support&Upgrades 11,620
3011 Other(specify) -
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 61,895
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 17,430
4002 Rent/Lease Building 82,748
4003 Rent/Lease Equipment 8,466
4004 Rent/Lease Vehicles -
4005 Security -
4006 jUtilities 11,454
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENTTOTAL: $ 120,098
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services -
5005 Stipend 1,660
5006 1 Nurse 2,000
5007 Pain Specialist 2,000
5008 JAIternate Healer 2,000
DIRECT SPECIAL EXPENSES TOTAL: $ 7,660
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ 200,264
Administrative Overhead
6002 Professional Liability Insurance 4,150
6003 Accounting/Bookkeeping -
6004 External Audit 14,940
6005 Insurance(Specify): 4,980
6006 Payroll Services 1,992
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes) -
6008 Personnel(indirect Salaries&Benefits) -
6009 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 27 of 88 Revised Exhibit E-1
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 226,326
INDIRECT COST RATE 17.29%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $
TOTAL PROGRAM EXPENSES $ 1,535,355
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 243,000 2.61 $ 634,230
8002 Case Management 30,000 2.02 60,600
8003 Crisis Services 200 3.88 776
8004 Medication Support 8,000 4.82 38,560
8005 Collateral 500 2.61 1,305
8006 Plan Development 5,6251 2.61 1 14,681
8007 Assessment 22,500 2.61 58,725
8008 Rehabilitation 13,500 2.61 35,235
8009 Other(Specify) 0 - -
8010 Other(Specify) 0 -
Estimated Specialty Mental Health Services Billing Totals: 1 323,3251 $ 844,112
Estimated%of Clients who are Medi-Cal Beneficiaries 90%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 759,701
Federal Financial Participation(FFP)% 1 50% 379,851
MEDI-CAL FFP TOTAL $ 379,851
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 1 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ 1
REALIGNMENT TOTAL $ 1
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 1,155,503
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology -
MHSA TOTAL $ 1,155,503
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Clientlnsurance
8403 Grants(Specify)
8404 Other(Specify)
8405 Other(Specify)
OTHER REVENUE TOTALI$
TOTAL PROGRAM FUNDING SOURCES: $ 1,535,355
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 28 of 88 Revised Exhibit E-1
Living Well Center OP/ICM
The Fresno Center
Fiscal Year(FY)2021-22 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 1,105,983
Administrative Positions 135,235
2101 Program Director 88,247 1 Program Director @$8,652/mon.x 12 months x 0.85 FTE=$88,247.The Program
Director will oversee the overall development and management of the Living Well
Center and its staff.
1102 Medical Director/Psychiatrist 27,319 1 Medical Director/Psychiatrist @$22,766/mon.x 12 months x 0.10 FTE=$27,319.
The Medical Director/Psychiatrist will works closely with primary medical providers,
psychologist(s),behavioral healthchnicians,counselors and care coordinators to meet
the clinical and non-clinical health needs Southeast Asian persons served at the Living
Well Center.Duties may include but not limited to conducting psychiatric evaluation as
needed and be available on-call and if need by telehealth as necessary;conduct
mental status examinations and pharmacological evaluations,prescribe psychotic
medications,teach clients about side effects and monitor response to prescribed
medications.
1103 Clinical Supervisor 19,669 1 Clinical Supervisor @$8,195/mon.x 12 months x 0.20 FTE=$19,669.The Clinical
Supervisor will assist in the management of the LWC program,supervise clinic staff,
student interns and be responsible for the day to day functioning of the LWC clinical
services,including the provision of master's and/or doctoral level field training
experience for practicum and intern students.
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 10
1111 0
1112 0
1113 0
1114 0
1115 0 -
Program Positions 754,817
1116 Unlicensed Psychologist 49,177 1 Unlicensed Psychologist @$6,830/mon.x 12 months x 0.60 FTE_$49,177A licensed
or licensed eligible clinical psychologist who is bilingual and bicultural in any of the
Southeast Asian languages to provide psychotherapy and clinical assessments.Also,
the psychologist will assist in the development and implementation of various
culturally and linguistic techniques,assessment,and methods in the program.
1117 Clinical Psychologist 5,682 1 Clinical psychologist @$9,470/mon.x 12 months x.05 FTE=$5,682.The licensed
clinician will assist the clinical supervisor in providing supervision for the clinic staff,
student interns,and assist in the day to day functioning of the LWC clinical services,
including the provision of master's and/or doctoral level field training experience for
practicum and intern students
1118 Licensed Clinical 3,934 1 Licensed Clinical I @$6,S57/mon.x 12 months x.05 FTE=$3,934The licensed
clinician will assist the clinical supervisor in providing supervision for the clinic staff,
student interns,and assist in the day to day functioning of the LWC clinical services,
including the provision of master's and/or doctoral level field training experience for
practicum and intern students.
1119 Senior Rehab Counselor 56,062 1 Senior Rehab.Counselor @$5,191/mon.x 12 months x.90 FTE=$56,062.Under the
supervision of licensed personnel,provides professional cultural and linguistic
rehabilitiation mental health services,which includes individual and group rehab
therapy.Assist in performing assessments,case management,and performs related
work as required.
1120 Nonlicensed Clinical II 266,607 4.75 Nonlicensed Clinical II @$5,191/mon.x 12 months x 0.90 FTE=$266,707.The
Mental Health Unlicensed Clinician II is under immediate supervision,receives training
and clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and counseling sessions;
and performs related work as required.
1121 Nonlicensed Clinical 1 147,529 3 Nonlicensed Clinical I @$4,553/mon.x 12 months x 0.90 FT=$147,529.The Mental
Health Unlicensed Clinician I is under immediate supervision,receives training and
clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and counseling sessions;
and performs related work as required
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 21712020
Page 29 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCi# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1122 Personal Coordinator Service/CM II 33,689 1 Personal Coordinator Service/Case Manager II @$4,011/mon.x 12months x 0.70
FTE=$33,689.This position is responsible for managing as assigned caseload of clients
having long-term mental illness and for assessing client needs,developing,
implementing and reviewing service plans,and working with other community
resources in meeting/achieving client service needs.Also helps in developing and
coordinating activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
1123 Personal Coordinator Service/CM 1 88,869 3.10 Personal Coordinator Service/Case Manager I @$3,461/mon.x 12 months x 0.69
FTE=$88,869.This position is responsible for managing as assigned caseload of clients
having long-term mental illness and for assessing client needs,developing,
implementing and reviewing service plans,and working with other community
resources in meeting/achieving client service needs.Also helps in developing and
coordinating activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
1124 Medical Biller 44,261 1 Medical Biller @$4,098/mon.x 12 months x 0.90 FTE=$44,261.The Medical Biller
will be work closely with Case Manager and clinicians to ensure that all billing are
entered in a timely manager.Managing monthly billable units and revenues.Work
with Program Director to make sure billable goals are met.
1125 Peer Specialist 59,007 2 Peer Specialists @$2,732/mon.x 12 months x 0.90 FTE=$59,007.The Peer
Specialist will be responsible for monitoring,informing,supporting,assisting,and
empowering consumers and their family/caregivers who directly or indirectly receive
behavioral health services;facilitating peer-to-peer assistance as a part of a team
setting;conducting outreach to consumers,families/caregivers and the community;
and acting in a liaison role between consumers,families/caregivers and community
service providers.
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits 140,573
1201 Retirement 26,702 Retirement cost is estimated @ 3%x total salary=$26,702 annually
1202 Worker's Compensation 22,251 Workers Compensation cost is estimated @ 2.5%x total salary=$22,251 annually
1203 Health Insurance 91,620 Health Insurance(medical,vision,life,and dental)cost are estimated @$500/staff x
15.27 FTE x 12 months=$91,620 annually.
1204 Other(specify) -
1205 Other(specify)
1206 1 Other(specify) -
Direct Payroll Taxes&Expenses: 75,358
1301 OASDI 5S,183 OASDI cost is estimated @ 6.2%x total salary=$55,183 annually
1302 FICA/MEDICARE 12,906 FICA/MEDICARE cost is estimated @ 1.45%x total salary=$12,906 annually
1303 SUI 7,269 SUI cost is estimated @ 1st$7,000 x 6.8%x 15.27 FTE=$7,269 annually
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 13,393
2001 Child Care 2,500 To provide childcare supports to clients and their family to help clients meets
treatment goals.Estimated @$2,500 annually
2002 Client Housing Support -
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 1,000 To provide supports to clients,which may include food vouchers and other items
necessary for daily living(such as,clothing,hygiene,etc.).Estimated @$1,000 annually
2005 Education Support 2,500 To provide educational support to clients,which may include transportation to and
from school,school materials,tuitions,and other school resources and/or activities
expenses.Estimated at$2,500
2006 Employment Support -
2007 Household Items for Clients 1,000 To provide supports for clients with household items need.Estimated at$1,000
2008 Medication Supports -
2009 Program Supplies-Medical
2010 Utility Vouchers
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 30 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2011 Client Housing Support Expenditures 1,643 For cost of providing housing supports.including housing subsidies for permanent,
transitional and temporary housing:master leases;motel and other housing vouchers
and shelters;rental security deposits:first and last month rental payments;and
eviction prevention and other fiscal housing supports.Estimated @$1,643 annually
2012 Client Flexible Support Expenditure 4,750 To provide supports to clients and their caregivers,may include cash payments,
vouchers,goods,services,and other family support services.Also maybe use for
personal/community integration to assist clients in achieving their treatment goals and
in supporting their integration into the larger community.Items may include,but are
not limited to socialization and recreational activities.This funding may also be used
for medical,dental and optical care,prescriptions,and laboratory tests when the client
does not have insurance to pay for such care.Estimated @$4,750 annually
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 61,895
3001 Telecommunications 6,972 Telephone(include local,long distance,cell phone,and internet services)cost is
estimated @$700/month x 12 months x 83%=$6,972
3002 Printing/Postage 3,536 In-house printing,business cards,flyers and brochures,etc.cost are estimated @
$325/month x 12 months x 83%=$3,237.Postage&Delivery cost are estimated @
$30/month x 12 months x 83%=$299
3003 Office,Household&Program Supplies 9,960 General office supplies cost is estimated @$1,000/month x 12 months @ 83%=$9,960
annually
3004 Advertising 3,320 Marketing on ethnic magazines and radio stations and TV station cost is estimated
annually x83%=$3,320
3005 Staff Development&Training 5,000 Staff Training/Conference for staff cost is estimated annually @$5,000
3006 Staff Mileage 10,441 Local travel for staff to attend meeting/trainings and maintenance for gas,vehicle
maintenance,registrations,and insurance for 3 cars @$12,580 annually x 83%=
$10,441
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance
3009 Program Supplies-Therapeutics 11,046 Supplies and materials for individual activity cost is estimated @$1,109/month x 12
months @ 83%=$11,046 annually
3010 IT Support&Upgrades 11,620 IT Support services cost is estimated @$14,000 annually x 83%=$11,620
3011 Other(specify) -
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 120,098
4001 Building Maintenance 17,430 Building Maintenance includes janitorial services,pest control,material,AC services,
and other maintenance cost are estimated @$1,750/month x 12 months x 83%=
$17,430
4002 Rent/Lease Building 82,748 Office Lease cost are estimated @ 6,700 sq.ft.@$1.24/sq.ft..x 12 months x 83%=
$82,748
4003 Rent/Lease Equipment 8,466 Lease copy machines cost are estimated @$850/month x 12 months x 83%=$8,466
4004 Rent/Lease Vehicles
4005 Security -
4006 Utilities 11,454 Utilities cost is estimated annually at$13,800 x 83%=$11,454
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 7,660
5001 Consultant(Network&Data Management) -
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services
5005 Stipend 1,660 To train 2 graduate students in mental health work force @ 500 per semester for 2
semesters x 2 @$2,000 annually at 83%=$1,660
5006 Nurse 2,000 Nurse consultant with medication supports and education,and to assist psychiatrist in
the administration of medication and treatment of patients as needed.Estimated
annually at$2,000
5007 Pain Specialist 2,000 Pain specialist to support psychiatrist and staff on chronic pain symptom
managements and medication consultation of pain medications.Estimated annually
$2,000
5008 Alternate Healer 2,000 Traditional alternative Healer to support consumers with spiritual wellness and
recovering practices and methods.Estimated annually at$2,000
6000:INDIRECT EXPENSES 226,326
6001 Administrative Overhead 200,264 Administration Overhead includes salaries and benefits for the Executive Director,
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 31 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCi# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6002 Professional Liability Insurance 4,150 Professional Liability Insurance cost is estimated at$5,000 annually x 83%=$4,150
6003 Accounting/Bookkeeping -
6004 External Audit 14,940 External Audit perform by Price Paige&Company cost is estimated @$18,000
annually x 83%=$14,940
6005 Insurance(Specify): 4,980 General liability insurance cost is estimated@$6,000 annually x 83%$4,980
6006 Payroll Services 1,992 Outside payroll services cost is estimated @2,400 annually x 83%=$1,992
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 1 Other(specify)
7000:DIRECT FIXED ASSETS
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 1 Other(specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS
REQUIRED BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,535,355
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,535,355
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 32 of 88 Revised Exhibit E-1
Living Well Center OP/ICM
The Fresno Center
Fiscal Year(FY)2022-23
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Program Director 0.25 $ 31,763 $ 31,763
1102 Medical Director/Psychiatrist 0.15 45,000 45,000
1103 Clinical Director 0.50 50,393 50,393
1104 - -
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.90 $ 127,156 $ 127,156
Acct a Program Position FTE Admin Program Total
1116 Licensed Psychologist 0.00 $ - $ -
1117 Licensed Clinical Supervisor 0.15 $ 12,663 12,663
1118 Licensed Clinician 0.75 57,938 57,938
1119 Rehab Supervisor 0.77 51,552 51,552
1120 Nonlicensed Clinical II 1.80 115,506 115,506
1121 Nonlicensed Clinical 1 4.55 271,566 271,566
1122 Personal Coordinator Services/CM II 1.00 49,562 49,562
1123 Personal Coordinator Services/CM 1 2.00 83,059 83,059
1124 Medical Biller/CM 1.00 50,665 50,665
1125 Peer Specialist 1.00 36,421 36,421
1126 Case Management/Peer Specialist 0.10 4,153 4,153
1127 TBD-LVN 0.00 - -
1128 Psychiatrist-TBD 0.00
1129 PSC/CM I Temp 0.00
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 13.12 $ 733,085 $ 733,085
Admin Program Total
Direct Personnel Salaries Subtotal 14.02 $ 127,156 $ 733,085 $ 860,241
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ - $ 20,122 $ 20,122
1202 Worker's Compensation 12,048 12,048
1203 Health Insurance 76,163 76,163
1204 Other(specify) - -
1205 Other(specify)
1206 1 Other(specify)
Direct Employee Benefits Subtotal: $ $ 108,333 $ 108,333
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ $ -
1302 FICA/MEDICARE 65,808 65,808
1303 SUI 6,215 6,215
1304 Unemployment Insurance
1305 Other(specify) - -
1306 1 Other(specify) -
Direct Payroll Taxes&Expenses Subtotal: $ - $ 72,023 $ 72,023
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 127,156 $ 913,441 $ 1,040,597
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
12% 88%
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 33 of 88 Revised Exhibit E-1
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 1,643
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 6,200
2005 Education Support 1,000
2006 1 Employment Support -
2007 Household Items for Clients 2,000
2008 Medication Supports -
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Client Flexible Support Expenditure Support 8,685
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 19,528
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 11,500
3002 Printing/Postage 299
3003 Office,Household&Program Supplies 10,624
3004 Advertising -
3005 Staff Development&Training 1,932
3006 IStaff Mileage 11,978
3007 Subscriptions&Memberships
3008 Vehicle Maintenance -
3009 Printing/Reproduction 3,237
3010 Program Supplies-Thereapeutic 10,962
3011 IT Support&Upgrade 12,948
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 63,480
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 17,430
4002 Rent/Lease Building 82,748
4003 Rent/Lease Equipment 8,466
4004 Rent/Lease Vehicles -
4005 Security -
4006 jUtilities 11,454
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENTTOTAL: $ 120,098
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services -
5005 Stipend 6,000
5006 JAIternative Healer 2,000
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 8,000
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ 205,423
Administrative Overhead
6002 Professional Liability Insurance 4,150
6003 Accounting/Bookkeeping 3,000
6004 External Audit 11,940
6005 Insurance(Specify): 4,980
6006 Payroll Services 1,992
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes) -
6008 Personnel(indirect Salaries&Benefits) -
6009 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 34 of 88 Revised Exhibit E-1
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 231,485
INDIRECT COST RATE 18.49%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $
TOTAL PROGRAM EXPENSES $ 1,483,188
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 243,000 2.61 $ 634,230
8002 Case Management 30,000 2.02 60,600
8003 Crisis Services 200 3.88 776
8004 Medication Support 8,000 4.82 38,560
8005 Collateral 500 2.61 1,305
8006 Plan Development 5,6251 2.61 1 14,681
8007 Assessment 22,500 2.61 58,725
8008 Rehabilitation 13,500 2.61 35,235
8009 Other(Specify) 0 - -
8010 Other(Specify) 0 -
Estimated Specialty Mental Health Services Billing Totals: 1 323,3251 $ 844,112
Estimated%of Clients who are Medi-Cal Beneficiaries 90%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 759,701
Federal Financial Participation(FFP)% 1 50% 379,851
MEDI-CAL FFP TOTAL $ 379,851
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 1 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ 0
REALIGNMENT TOTAL $ 0
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 1,103,337
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology -
MHSA TOTAL $ 1,103,337
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Clientlnsurance
8403 Grants(Specify)
8404 Other(Specify)
8405 Other(Specify)
OTHER REVENUE TOTALI$
TOTAL PROGRAM FUNDING SOURCES: $ 1,483,188
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 35 of 88 Revised Exhibit E-1
Living Well Center OP/ICM
The Fresno Center
Fiscal Year(FY)2022-23 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 1,040,597
Administrative Positions 127,156
2101 Program Director 31,763 .25 Program Director @$10,587.50/mon.x 12 months x 0.25 FTE=$31,763.The
Program Director will oversee the overall development and management of the Living
Wells Project and its staff.
1102 Medical Director/Psychiatrist 45,000 .40 Medical Director/Psychiatrist @$25,000/mon.x 12 months x 0.15 FTE=$45,000.
The Medical Director/Psychiatrist will works closely with consumers'primary medical
providers,psychologist(s),behavioral health clinicians,counselors and care
coordinators to meet the clinical and non-clinical health
needs Southeast Asian consumers at the Living Well Program.Duties may include but
not limited to conducting psychiatric evaluation,as needed and be available on-call
and if need by telehealth as necessary;conduct mental status examinations and
pharmacological evaluations,prescribe psychotic medications,teach clients about side
effects and monitor response to prescribed medications.
1103 Clinical Director 50,393 1 Clinical Director @$8,398.80/mon.x 12 months x.50 FTE_$50,393.The Clinical
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 733,085
1116 Licensed Psychologist -
1117 Licensed Clinical Supervisor 12,663 .15 Licensed Clinical Supervisor @$7,034.99/mon x 12 months x.15 FTE_$12,663.
The Clinical Supervisor primarily conducts assessment,group and individual therapy,
and provide supervision and training to unlicensed clinical staff,student interns,and
other nonclinical staff. As well,she/he will also assist in the management of the LWC
day to day operation.
1118 Licensed Clinician 57,938 .75 Licensed Clinical @$6,437.50/mon.x 12 months x.75 FTE=$57,938.The licensed
clinician will assist the clinical supervisor in providing supervision for the clinic staff,
student interns,and assist in the day to day functioning of the LWP clinical services,
including the provision of master's and/or doctoral level field training experience for
practicum and intern students.
1119 Rehab Supervisor 51,552 1 Rehab Supervisor @$5,579.17/mon.x 12 months x.77 FTE=$51,552.Under the
supervision of license personnel,provides professional cultural and linguistic
rehabilitation mental health services,which includes individual and group rehab
therapy.Assist in performing assessments,case management,and performs related
work as required.
1120 Nonlicensed Clinical II 115,506 2 Nonlicensed Clinical II @$5,347.50/mon.x 12 months x 1.80 FTE=$115,506.The
Mental Health Unlicensed Clinician II is under immediate supervision,receives training
and clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and counseling sessions;
and performs related work as required
1121 Nonlicensed Clinical 1 271,566 5.25 Nonlicensed Clinical I @$4,973.74/mon.x 12 months x 4.55 FT=$271,566.The
Mental Health Unlicensed Clinician I is under immediate supervision,receives training
and clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and
counseling sessions;and performs related work as required
1122 Personal Coordinator Services/CM II 49,562 3 Personal Coordinator Service/Case Manager II @$4,130.17/mon.x 12months x 1
FTE=$49,562.This position is responsible for managing an assigned caseload of clients
having long-term mental illness and for assessing client needs,developing,
implementing and reviewing service plans,and working with other community
resources in meeting/achieving client service needs.Also helps in developing and
coordinating activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 21712020
Page 36 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCi# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1123 Personal Coordinator Services/CM 1 83,059 3 Personal Coordinator Service/Case Manager I @$3,460.80/mon.x 12 months x 2 FTE
=$83,059.This position is responsible for managing an assigned caseload of clients
having long-term mental illness and for assessing client needs,developing,
implementing and reviewing service plans,and working with other community
resources in meeting/achieving client service needs.Also helps in developing and
coordinating activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
1124 Medical Biller/CM 50,665 1 Medical Biller @$4,222.30/mon.x 12 months x 1 FTE=$50,556.The Medical Biller
will be work closely with Case Manager and clinicians to ensure that all billing are
entered in a timely manager.Managing monthly billable units and revenues.Work
with Program Director to make sure billable goals are met.
1125 Peer Specialist 36,421 1 Peer Specialists @$3,020.09/mon.x 12 months x 1 FTE=$36,421.The Peer
Specialist will be responsible for monitoring,informing,supporting,assisting,and
empowering consumers and their family/caregivers who directly or indirectly receive
behavioral health services;facilitating peer-to-peer assistance as a part of a team
setting;conducting outreach to consumers,families/caregivers and the community;
and acting in a liaison role between consumers,families/caregivers and community
service providers.
1126 Case Management/Peer Specialist 4,153 .10 Case Management/Peer Specialist @$3,460.67/mon.x 12 months x.10 FTE_
$4,153.The Case Manager/Peer Specialist will be responsible for managing an
assigned caseload of clients having long-term mental illness and for assessing client
needs,developing,implementing and reviewing service plans,and working with other
community resources in meeting/achieving client service needs.Also helps in
developing and coordinating activities,programs and resources which directly support
consumers and family/caregivers in achieving wellness and recovery oriented goals
and acting in a liaison role between consumers,families/caregivers and community
service providers.
1127 TBD-LVN
1128 Psychiatrist-TBD
1129 PSC/CM I Temp
1130 0
1131 0
1132 0
1133 0
1134 10
Direct Employee Benefits 108,333
1201 Retirement 20,122 Retirement cost is estimated @ 3%x total salary=$20,122 annually.
1202 Worker's Compensation 12,048 Workers Compensation cost is estimated @ 1.40%x total salary=$22,919 annually.
1203 Health Insurance 76,163 Health Insurance(medical,vision,life,and dental)cost are estimated @$443.22/staff
x14.32 FTE x12
months=$76,163 annually.
1204 Other(specify) -
1205 Other(specify)
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 72,023
1301 OASDI -
1302 FICA/MEDICARE 65,808 FICA MEDICARE cost is estimated @ 7.65%x total salary=$65,808 annually
1303 SUI 6,215 SUI cost is estimated @ 1st$7,000 x 6.8%x 14.32 FTE=$6,215 annually.
1304 Unemployment Insurance -
1305 Other(specify)
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 19,528
2001 Child Care -
2002 Client Housing Support 1,643 Client Housing Support Expenditures(SFC 70)
For cost of providing housing supports.including housing subsidies for permanent,
transitional and temporary housing:master leases;motel and other housing vouchers
and shelters;rental security deposits:first and last month rental payments;and
eviction prevention and other fiscal housing supports.Estimated @$1,643 annually.
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 6,200 Clothing,Food&Hygiene(SFC 72)
To provide supports to clients,which may include food vouchers and other items
necessary for daily living(such as,clothing,hygiene,etc.).Estimated @$6,200
annually.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 37 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2005 Education Support 1,000 Educational Support(SFC 72)
To provide educational support to clients,which may include transportation to and
from school,school materials,tuitions,and other school resources and/or activities
expenses.Estimated at$1,000.
2006 Employment Support -
2007 Household Items for Clients 2,000 Household Items(SFC 72)
To provide supports for clients with household items need.Estimated at$2,000
2008 Medication Supports -
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Client Flexible Support Expenditure Support 8,685 Client Flexible Support Expenditures Support(SFC 72)
To provide supports to clients and their caregivers,may include vouchers,goods,
services,and other family support services.Also maybe use for personal/community
integration to assist clients in achieving their treatment goals and in supporting their
integration into the larger community.Items may include,but are not limited to
socialization and recreational activities.This funding may also be used for medical,
dental and optical care,prescriptions,and laboratory tests when the client does not
have insurance to pay for such care.Estimated @$8,685 annually
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 63,480
3001 Telecommunications 11,500 Telephone
Telephone(include local,long distance,cell phone,and internet services), Internet
cost,and installment fees is estimated @ $958.33/month x 12 months=$11,500
3002 Printing/Postage 299 Postage
Postage&Delivery cost are estimated @$24.92/month x 12 months=$299
3003 Office,Household&Program Supplies 10,624 Office Supplies&Equipment-Includes:general office supplies,toner,papers,office
decor,water service,sanitizing material,background checks,costs are estimated @
$885.33/mon.x 12 months=$10,624.
3004 Advertising -
3005 Staff Development&Training 1,932 Conference/Training supplies and registration for staff,Membership fees,and staff
registration license renewal estimated at$161/mon.x 12 months=$1,932.
3006 Staff Mileage 11,978 Mileage reimbursement for local travel for staff to pick-up clients,home visit,and
attend meeting/trainings,maintenance for gas,vehicle maintenance,registrations,and
insurance for 3 cars estimated @$998.19/mon.x 12 months=$11,978.Mileage
reimbursement rate is base off from the IRS rate.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance
3009 Printing/Reproduction 3,237 Printing/Reproduction:in-house printing,flyers,handouts,workshop information,
binding,brochures,etc.,estimates @269.71/mon.x 12 months=$3,237.
3010 Program Supplies-Thereapeutic 10,962 Program Supplies-Therapeutic Supplies-will be used to carry out activities for family,
group,and individual.Supplies may include but are not limited to:Wellness kits,arts
and craft supplies,etc.estimated @913.50/mon.x 12 months=$10,962.
3011 IT Support&Upgrade 12,948 IT Support&Upgrades
IT Support services,upgrades cost is estimated @$1,079/month x 12 months=
$12,948.
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 120,098
4001 Building Maintenance 17,430 Building Maintenance includes janitorial services,pest control,material,AC services,
and other maintenance cost are estimated @$1,452.50/month x 12 months=$17,430.
4002 Rent/Lease Building 82,748 Office Lease cost are estimated @ 6,700 sq.ft.@$1.24/sq.ft.x 12 months x 83%=
$82,748
4003 Rent/Lease Equipment 8,466 Lease copy machines cost are estimated @$705.50/month x 12 months=$8,466.
4004 Rent/Lease Vehicles
4005 Security -
4006 Utilities 11,454 Utilities cost is estimated @$954.50/month x 12 months=$11,454.
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 38 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT F DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
5000:DIRECT SPECIAL EXPENSES 8,000
5001 Consultant(Network&Data Management)
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services -
5005 Stipend 6,000 To train 6 graduate students in mental health work force @ 500 per semester for 2
semesters x 6 students=$6,000
5006 Alternative Healer 2,000 Traditional alternative Healer to support consumers with spiritual wellness and
recovering practices and methods.Estimated annually at$2,000
5007 Other(specify)
5008 1 Other(specify)
6000:INDIRECT EXPENSES 231,485
6001 Administrative Overhead 205,423 Administration Overhead includes salaries and benefits for the Executive Director,
6002 Professional Liability Insurance 4,150 Professional Liability Insurance cost is estimated at$345.84/month x 12 months=
$4,150
6003 Accounting/Bookkeeping 3,000 External Accounting/Bookkeeping consultant estimated at$3,000 annual
6004 External Audit 11,940 External Audit perform byconsultant cost is estimated annually @$11,940
6005 Insurance(Specify): 4,980 General liability insurance cost is estimated at$415/month x 12 months=$4,980.
6006 Payroll Services 1,992 Outside payroll services and fees cost is estimated$166/month x 12 months=$1,992.
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 1 Other(specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS
REQUIRED BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,483,188
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,483,188
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 39 of 88 Revised Exhibit E-1
PROGRAM NAME
Provider Name
Fiscal Year(FY)2022-2023
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Program Director 18-599/LWC OPICM/DBH/Fresno 0.25
Total 0.25
Position Contract#/Name/Department/County FTE
Medical Director/Psychiatrist 18-599/LWC_OPICM/DBH/Fresno 0.15
18-599/LWC_FSP/DBH/Fresno 0.25
Total 0.40
Position Contract#/Name/Department/County FTE
Clinical Director 18-599/LWC_OPICM/DBH/Fresno 0.50
18-599/LWC FSP/DBH/Fresno 0.50
Total 1.00
Position Contract#/Name/Department/County FTE
Licensed Clinical Supervisor 18-599/LWC OPICM/DBH/Fresno 0.15
Total 0.15
Position Contract#/Name/Department/County FTE
Rehab Supervisor 18-599/LWC_OPICM/DBH/Fresno 0.77
18-599/LWC FSP/DBH/Fresno 0.23
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 40 of 88 Revised Exhibit E-1
Total 1.00
Position Contract#/Name/Department/County FTE
Nonlicensed Clinical II#1 18-599/LWC_OPICM/DBH/Fresno 0.90
18-599/LWC_FSP/DBH/Fresno 0.10
Total 1.00
Position Contract#/Name/Department/County FTE
Nonlicensed Clinical II#2 18-599/LWC_OPICM/DBH/Fresno 0.90
18-599/LWC_FSP/DBH/Fresno 0.10
Total 1.00
Position Contract#/Name/Department/County FTE
Nonlicensed Clinical 1#1 18-599/LWC_OPICM/DBH/Fresno 0.90
18-599/LWC_FSP/DBH/Fresno 0.10
Total 1.00
Position Contract#/Name/Department/County FTE
Nonlicensed Clinical 1#2 18-599/LWC_OPICM/DBH/Fresno 0.90
18-599/LWC FSP/DBH/Fresno 0.10
Total 1.00
Position Contract#/Name/Department/County FTE
Nonlicensed Clinical 1#3 18-599/LWC_OPICM/DBH/Fresno 0.90
18-599/LWC_FSP/DBH/Fresno 0.10
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 41 of 88 Revised Exhibit E-1
Total 1.00
Position Contract#/Name/Department/County FTE
Nonlicensed Clinical 1#4 18-599/LWC_OPICM/DBH/Fresno 0.90
18-599/LWC_FSP/DBH/Fresno 0.10
Total 1.00
Position Contract#/Name/Department/County FTE
Nonlicensed Clinical 1#5 18-599/LWC_OPICM/DBH/Fresno 0.25
Total 0.25
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
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 42 of 88 Revised Exhibit E-1
Living Well Center-FSP
The Fresno Center
Fiscal Year(FY)2018-19(Start-up October 1-December 31,2018)
PROGRAM EXPENSES
1000: DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Program Director 0.10 $ 2,375 $ 2,375
1102 Medical Director/Psychiatrist 0.10 6,250 6,250
1103 Clinical Supervisor 0.05 1,125 1,125
1104 - -
1105
1106 -
1107 -
1108 -
1109 -
1110 -
1111 -
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.25 $ 9,750 $ 9,750
Acct# Program Position FTE Admin Program Total
1116 Unlicensed Psychologist 0.40 $ 7,500 $ 7,500
1117 Clinical Psychologist 0.05 1,300 1,300
1118 Licensed Clinical 0.05 910 910
1119 Senior Rehab Counselor 0.10 1,425 1,425
1120 Nonlicensed Clinical II 0.47 6,698 6,698
1121 Nonlicensed Clinical 1 0.30 3,750 3,750
1122 Personal Coordinator Service/CM II 0.30 3,300 3,300
1123 Personal Coordinator Service/CM 1 0.96 9,121 9,121
1124 Medical Biller 0.10 1,125 1,125
1125 Peer Specialist 0.20 1,500 1,500
1126 - -
1127
1128
1129
1130 -
1131 -
1132 -
1133
1134
Direct Personnel Program Salaries Subtotal 2.93 $ 36,629 $ 36,629
Admin Program Total
Direct Personnel Salaries Subtotal 3.18 $ 9,750 $ 36,629 $ 46,379
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 1,391 $ 1,391
1202 Worker's Compensation 1,159 1,159
1203 Health Insurance 4,770 4,770
1204 Other(specify) -
1205 10ther(specify) -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 43 of 88 Revised Exhibit E-1
1206 10ther(specify)
Direct Employee Benefits Subtotal: $ $ 7,320 $ 7,320
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ $ 2,876 $ 2,876
1302 FICA/MEDICARE 673 673
1303 SUI 1,514 1,514
1304 Other(specify) - -
1305 Other(specify) -
1306 10ther(specify)
Direct Payroll Taxes&Expenses Subtotal: $ $ 5,063 $ 5,063
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 9,750 $ 49,012 $ 58,762
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
17% 83%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support
2003 Client Transportation&Support
2004 Clothing, Food,&Hygiene
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Client Housing Support Expenditures
2012 Client Flexible Support Expenditures Support
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ -
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 357
3002 Printing/Postage 15
3003 Office, Household&Program Supplies 43
3004 Advertising 170
3005 Staff Development&Training -
3006 Staff Mileage 535
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance -
3009 Printing/Reproduction 166
3010 Program Supplies-Therapeutic
3011 IT Support&Upgrades 595
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 1,881
4000:DIRECT FACILITIES&EQUIPMENT
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Pa e 44 of 88 Revised Exhibit E-1
Acct# Line Item Description Amount
4001 Building Maintenance $ 893
4002 Rent/Lease Building 4,237
4003 Rent/Lease Equipment 434
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 714
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:1 $ 6,278
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Stipend
5006 Nurse
5007 Pain Specialist
5008 Alternate Healer
DIRECT SPECIAL EXPENSES TOTAL: $ -
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ 54,653
Administrative Overhead
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping -
6004 External Audit 765
6005 Insurance(Specify): 255
6006 Payroll Services 102
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 10ther(specify)
INDIRECT EXPENSES TOTAL $ 55,775
INDIRECT COST RATE 15.36%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 10,000
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 65,000
7004 Leasehold/Tenant/Building Improvements 181,310
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify) -
7007 Vehicles 40,000
7008 Other(specify) -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 45 of 88 Revised Exhibit E-1
FIXED ASSETS EXPENSES TOTAL $ 296,310
TOTAL PROGRAM EXPENSES $ 419,006
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 0 2.61 $
8002 Case Management 0 2.02
8003 Crisis Services 0 3.88
8004 Medication Support 0 4.82
8005 Collateral 0 2.61
8006 Plan Development 0 2.61
8007 Assessment 0 2.61
8008 Rehabilitation 0 2.61
8009 Other(Specify) 0 -
8010 Other(Specify) 0
Estimated Specialty Mental Health Services Billing Totals: 0 $ -
Estimated%of Clients who are Medi-Cal Beneficiaries 977.
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Federal Financial Participation(FFP)% 1 50%
MEDI-CAL FFP TOTAL $ J
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 $ 2
REALIGNMENT TOTAL $ 2
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 419,004
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 jCFTN-Capital Facilities&Technology
MHSA TOTAL $ 419,004
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Clientlnsurance
8403 Grants(Specify)
8404 Other(Specify)
8405 10ther(Specify)
OTHER REVENUE TOTAL $ -
TOTAL PROGRAM FUNDING SOURCES: $ 419,006
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 46 of 88 Revised Exhibit E-1
Living Well Center-FSP
The Fresno Center
Fiscal Year(FY)2018-19(Start-up October 1-December 31,2018)
PROGRAM EXPENSE
ACR ft LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS
Administrative Positions
1101 Program Director $ 2,375 1 Program Director @$7,917/mon.x 3 months x 0.10 FTE=$2,375.The Program Director will oversee the overall development and
management of the Living Well Center and its staff.
1102 Medical Director/Psychiatrist
1 Medical Director/Psychiatrist @$20,834/mon x3 months x 0.10 FTE=$6,250.The Medical Director/Psychiatrist will works closely with
6,250 primary medical providers,psychologist(s),behavioral health clinicians,counselors and care coordinators to meet the clinical and non-clinical
health needs Southeast Asian persons served at the Living Well Center Duties may include but not limited to conducting psychiatric evaluation
as needed and be available on-call and if need by telehealth as necessary;conduct mental status examinations and pharmacological
evaluations,prescribe psychotic medications,teach clients about side effects and monitor response to prescribed medications.
1103 Clinical Supervisor
1 Clinical Supervisor @$7,500/mon.x 3 months x 0.05 FTE=$1,125.The Clinical Supervisor will assist in the management of the LWC program,
1,125 supervise clinic staff,student interns and be responsible forthe dayto day functioning ofthe LWC clinical services,including the provision of
master's and/or doctoral level field training experience for practicum and intern students.
Program Positions
1116 Unlicensed Psychologist
1 Unlicensed Psychologist @$6,250/mon.x 3 months x 0.40 FTE=$7,500.A licensed or licensed eligible clinical psychologist who is bilingual
$ 7,500 and bicultural in any of the Southeast Asian languages to provide psychotherapy and clinical assessments Also,the psychologist will assist in
the development and implementation of various culturally and linguistic techniques,assessment,and methods in the program.
1117 Clinical Psychologist 1,300 providing supervision for the clinic staff,student interns,and assist in the day to day functioning of the LWC clinical services,including
1118 Licensed Clinical 910 supervision for the clinic staff,student interns,and assist in the day to day functioning of the LWC clinical services,including the
1119 Senior Rehab Counselor
1,425 1 Senior Rehab.Counselor @$4,750/mon.x 3 months x.10 FTE=$1,425.Under the supervision of licensed personnel,provides
professional cultural and linguistic rehabilitiation mental health services,which includes individual and group rehab therapy.Assist in
performing assessments,case management,and performs related work as required.
1120 Nonlicensed Clinical II
4.75 Nonlicensed Clinical II @$4,750/mon.x 3 months x 0.10 FTE=$6,698.The Mental Health Unlicensed Clinician II is under immediate
6,698 supervision,receives training and clinical supervision in providing professional cultural and linguistic mental health services;conducts or assists
in conducting assessments;case management;rehabilitation;individual,group,marital,and family therapy and counseling sessions;and
performs related work as required.
1121 Nonlicensed Clinical
3 Nonlicensed Clinical I @$4,167/mon.x 3 months x 0.1 FTE=$3,750.The Mental Health Unlicensed Clinician I is under immediate supervision,
3,750 receives training and clinical supervision in providing professional cultural and linguistic mental health services;conducts or assists in
onducting assessments;case management;rehabilitation;individual,group,marital,and family therapy and counseling sessions;and
performs related work as required.
1122 Personal Service Coodinator/CM II
1 Personal Coordinator Service/Case Manager II @$3,667/mon.x 3 months x.30 FTE=$3,300.This position is responsible for managing an
3,300 assigned caseload of clients having long-term mental illness and for assessing client needs,developing,implementing and reviewing service
plans,and working with other community resources in meetmg/achievmg client service needs.Also helps m developing and coordinating
activities,programs and resources which directly support consumers and family/caregivers in achieving wellness and recovery oriented goals.
1123 Personal Service Coodinator/CM 1
2 10 Personal Coordinator Service/Case Manager I @$3,167/mon.x 3 months 0.31 FTE=$9,121.This position is responsible for managing an
9,121 assigned case load ot'dients having long-term mental illness and for assessing client needs,developing,implementing and reviewing service
plans,and working with other community resources in meeting/achieving client service needs.Also helps in developing and coordinating
activities,programs and resources which directly support consumers and family/caregivers in achieving wellness and recovery oriented goals.
1124 Medical Biller 1 Medical Biller @$3,750/mon.x 3 months x 0.10 FTE=$1,125.The Medical Biller will be work closely with Case Manager and clinicians to
1,125 ensure that all billing are entered in a timely manager.Managing monthly billable units and revenues.Work with Program Director to make
sure billable goals are met.
1125 Peer Specialist
2 Peer Specialists @$2,500/mon x 3 months x 010 FTE=$1,500 The Peer Specialist will be responsible for monitoring,informing,supporting,
1,500 assisting,and empowering consumers and their family/caregivers who directly or indirectly receive behavioral health services;facilitating peer-
to-peer assistance as a part of a team setting;conducting outreach to consumers,families/caregivers and the community;and acting in a
liaison role between consumers,families/caregivers and community service providers.
Direct Employee Benefits
1201 Retirement $ 1,391 Retirement cost is estimated@3%x total salary=$1,391 annually
1202 Workers Compensation 1,159 Workers Compensation cost is estimated @ 2.5%x total salay=$1,159 annually
1203 4,770
Health Insurance Health Insurance(medical,vision,life,and dental)cost are estimated @$500/staff x 3.18 FTE x 3 months=$4,770 annually
Direct Payroll Taxes and Expenses
1301 OASDI $ 2,876 OASDI cost,s estimated @ 6.2%x total salary=$2,876 annually
1302 FICA/Med-re 673 FICA/MEDICARE cost is estimated @ 1.45%x total salary=$673 annually
1303 SUI 1,514 SUl cost is estimated @ Ist$7,000 x 6.8%x 3.18 FTE=$1,514 annually
2000:Direct Client Support
2004 Clothing,Food,Hygiene $ -
2005 Education Support
2007 Household items for Clients -
2010 Utility Vouchers
2011 Client Housing Support Expenditures
2012 Client Flexible Support Expenditures Support -
3000:Direct Operating Expenses
3001 Telecommunications $ 357 Telephone(include local,long distance,cell phone,and internet services)cost is estimated @$700/month x 3 months x 17%=$357
3002 Printing/Postage 15 Postage&Delivery cost are estimated @$30/month x 3 months x 17%=$15
3003 Office Supplies 43 General office supplies cost is estimated @$1,000/month x 3 months x 17%=$43
3004 Advertising 170 Marketing on ethnic magazines and radio stations and TV station cost is estimated$4,000 annually x17%x 3 months=$170
Local travel for staff to attend meeting/trainings and maintenance for gas,vehicle maintenance,registrations,and insurance for 3 cars @
3006 Staff Mileage 535 $12,576/month x 3 months x17%=$535
3009 Printing/Reproduction 166 In-house printing,business cards,flyers and brochures,etc cost are estimated @$325/month x 3 months x 17%=$166
3010 Program Supplies-Therapeutic 595 IT Support services cost is estimated @$14,ODO annually x 17%x3 months=$595
3011 IT Support
4000:Direct Facilities and Equipment
Building Maintenance includes janitorial services,pest control,material,AC services,and other maitenance cost are estimated @
4001 Building Maintenance $ 893 $1,750/month x 3 months xl7%=$893
4002 Rent/Lease Building 4,237 Office Lease cost are estimated @ 6,700 sq.ft @$1.24/sq.ft.x 3 months @ 17%=$4,237
4003 Rent/Lease Equipment 434 Lease copy machines cost are estimated @$850/month x 3 months x 17%=$434
4006 Utilities 714 Utilities cost is estimated annually at$1,400/month x 3 months annually @ 17%=$714
Page 47 of 88 Revised Exhibit E-1
5000:Direct Special Expenses
5005 Stipend -
5006 Nurse -
5007 Pain Specialist -
5008 Alternate Healer -
6000:Indirect Expenses
Administration Overhead includes salaries and benefits for the Executive Director,Chief Development Officer,Human Resource
$ 54,653 Generalist,Program Assistants,Office Manager,Bookkeeper,and the Secretary/Receptionist to support program staff cost is estimated @
6001 Administrative Overhead $53,796 annually
6002 Professional Liability Insurance -
6004 External Audit 765 External Audit perform by Price Paige&Company cost is estimated @$18,000 annually x 17%x3 months=$765
6005 Insurance(Specify) 255 General liability insurance cost is estimated @$6,000 annually x 17%x3 months=$255
6006 Payroll Services 102 Outside payroll services cost is estimated @$2,400 annually x 17%x 3 months=$102
7000:Direct Fixed Assets
7001 Computer Equipment&Software $ 10,000 Purchasefivenew computers for staff and l server estimated cost@$10,000 for 1st year only
7003 Furniture&Fixtures 65,000 purchase new desks,chairs,office fumtures,for new expansion office,etc estimated cost @$65,000 annually for 1st year only
7004 Building Expansion 181,310 A one-time office build out expansion of a 4,200 sq feet area for 18 FfE to implement expansion of service(ICM,FSP and youth)Estimated cost
at$181,310
7007 Vehicles 40,000 1 time purchase of passenger vans for transporting consumers @$40,000 for 1st year only
Total Program Expenses From Budget Narrative $ 419,006
Total Program Expenses From Budget Template 419,006
Budget Check $
Page 48 of 88 Revised Exhibit E-1
Living Well Center-FSP
The Fresno Center
Fiscal Year(FY)2018-19(January 1-June 30,2019)
PROGRAM EXPENSES
1000: DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Program Director 0.10 $ 4,750 $ 4,750
1102 Medical Director/Psychiatrist 0.10 12,500 12,500
1103 Clinical Supervisor 0.05 2,250 2,250
1104 - -
1105
1106
1107 -
1108 -
1109 -
1110 -
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.25 $ 19,500 $ 19,500
Acct# Program Position FTE Admin Program Total
1116 Unlicensed Psychologist 0.40 $ 15,000 $ 15,000
1117 Clinical Psychologist 0.05 2,600 2,600
1118 Licensed Clinical 0.05 1,820 1,820
1119 Senior Rehab Counselor 0.10 2,850 2,850
1120 Nonlicensed Clinical II 0.47 13,395 13,395
1121 Nonlicensed Clinical 1 0.30 7,501 7,501
1122 Personal Coordinator Service/CM II 0.30 6,601 6,601
1123 Personal Coordinator Service/CM 1 0.96 18,242 18,242
1124 Medical Biller 0.10 2,250 2,250
1125 Peer Specialist 0.20 3,000 3,000
1126 - -
1127
1128
1129
1130 -
1131 -
1132 -
1133
1134
Direct Personnel Program Salaries Subtotal 2.93 $ 73,259 $ 73,259
Admin Program Total
Direct Personnel Salaries Subtotal 3.18 $ 19,500 $ 73,259 $ 92,759
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 2,783 $ 2,783
1202 Worker's Compensation 2,319 2,319
1203 Health Insurance 9,540 9,540
1204 Other(specify) -
1205 10ther(specify) -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 49 of 88 Revised Exhibit E-1
1206 10ther(specify)
Direct Employee Benefits Subtotal: $ $ 14,642 $ 14,642
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ $ 5,751 $ 5,751
1302 FICA/MEDICARE 1,345 1,345
1303 SUI 1,680 1,680
1304 Other(specify) - -
1305 Other(specify) -
1306 10ther(specify)
Direct Payroll Taxes&Expenses Subtotal: $ $ 8,776 $ 8,776
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 19,500 $ 96,677 $ 116,177
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
17% 83%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing, Food,&Hygiene 1,800
2005 Education Support 2,500
2006 Employment Support -
2007 Household Items for Clients 1,500
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers 2,500
2011 Client Housing Support Expenditures 2,000
2012 Client Flexible Support Expenditures Support 3,000
2013 Other(specify) -
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 13,300
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 714
3002 Printing/Postage 31
3003 Office, Household&Program Supplies 1,020
3004 Advertising 340
3005 Staff Development&Training -
3006 Staff Mileage 1,069
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance -
3009 Printing/Reproduction 332
3010 Program Supplies-Therapeutic 1,045
3011 IT Support&Upgrades 1,190
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 5,741
4000:DIRECT FACILITIES&EQUIPMENT
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Pa e 50 of 88 Revised Exhibit E-1
Acct# Line Item Description Amount
4001 Building Maintenance $ 1,785
4002 Rent/Lease Building 8,474
4003 Rent/Lease Equipment 867
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 1,428
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL: $ 12,554
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services -
5005 Stipend 170
5006 Nurse 1,500
5007 Pain Specialist 1,500
5008 Alternate Healer 1,500
DIRECT SPECIAL EXPENSES TOTAL: $ 4,670
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ 23,267
Administrative Overhead
6002 Professional Liability Insurance 425
6003 Accounting/Bookkeeping -
6004 External Audit 1,530
6005 Insurance(Specify): 510
6006 Payroll Services 204
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 10ther(specify)
INDIRECT EXPENSES TOTAL $ 25,936
INDIRECT COST RATE 17.01%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 51 of 88 Revised Exhibit E-1
FIXED ASSETS EXPENSES TOTAL $ -
TOTAL PROGRAM EXPENSES $ 178,378
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 13,500 2.61 $ 35,235
8002 Case Management 10,000 2.02 20,200
8003 Crisis Services 400 3.88 1,552
8004 Medication Support 3,500 4.82 16,870
8005 Collateral 250 2.61 653
8006 Plan Development 313 2.61 817
8007 Assessment 1,250 2.61 3,263
8008 Rehabilitation 7,500 2.61 19,575
8009 Other(Specify) 0 -
8010 Other(Specify) 0
Estimated Specialty Mental Health Services Billing Totals: 136,7131 $ 98,164
Estimated%of Clients who are Medi-Cal Beneficiaries 90%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 88,348
Federal Financial Participation(FFP)% 1 50% 44,174
MEDI-CAL FFP TOTAL $ 44,174
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 $ 0
REALIGNMENT TOTAL $ 0
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 134,204
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 jCFTN-Capital Facilities&Technology
MHSA TOTAL $ 134,204
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Clientlnsurance
8403 Grants(Specify)
8404 Other(Specify)
8405 1 Other(Specify)
OTHER REVENUE TOTAL $
TOTAL PROGRAM FUNDING SOURCES: $ 158,378
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 52 of 88 Revised Exhibit E-1
Living Well Center-FSP
The Fresno Center
Fiscal Year(FY)2018-19(January 1-June 30,2019) Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 116,177
Administrative Positions 19,500
2101 Program Director 4,750 1 Program Director @$7,917/mon.x 6 months x 0.10 FTE=$4,750.The Program
Director will oversee the overall development and management of the Living Well
Center and its staff.
1102 Medical Director/Psychiatrist 12,500 1 Medical Director/Psychiatrist @$20,834/mon.x 6 months x 0.10 FTE=$12,500.The
Medical Director/Psychiatrist will works closely with primary medical providers,
psychologist(s),behavioral healthchnicians,counselors and care coordinators to meet
the clinical and non-clinical health needs Southeast Asian persons served at the Living
Well Center.Duties may include but not limited to conducting psychiatric evaluation as
needed and be available on-call and if need by telehealth as necessary;conduct
mental status examinations and pharmacological evaluations,prescribe psychotic
medications,teach clients about side effects and monitor response to prescribed
medications.
1103 Clinical Supervisor 2,250 1 Clinical Supervisor @7,500/mon.x 6 months x 0.05 FTE=$2,250.The Clinical
Supervisor will assist in the management of the LWC program,supervise clinic staff,
student interns and be responsible for the day to day functioning of the LWC clinical
services,including the provision of master's and/or doctoral level field training
experience for practicum and intern students.
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 10
1111 0
1112 0
1113 0
1114 0
1115 0 -
Program Positions 73,259
1116 Unlicensed Psychologist 15,000 1 Unlicensed Psychologist @$6,250/mon.x 6 months x0.40 FTE_$15,000.A licensed
or licensed eligible clinical psychologist who is bilingual and bicultural in any of the
Southeast Asian languages to provide psychotherapy and clinical assessments.Also,
the psychologist will assist in the development and implementation of various
culturally and linguistic techniques,assessment,and methods in the program.
1117 Clinical Psychologist 2,600 1 Clinical Psychologist @$8,667/mon.x 6 months x 0.05 FTE=$2,600.The licensed
clinician will assist the clinical supervisor in providing supervision for the clinic staff,
student interns,and assist in the day to day functioning of the LWC clinical services,
including the provision of master's and/or doctoral level field training experience for
practicum and intern students
1118 Licensed Clinical 1,820 1 Licensed Clinical I @$6,067/mon.x 6 months x 0.05 FTE=$1,820.The licensed
clinician will assist the clinical supervisor in providing supervision for the clinic staff,
student interns,and assist in the day to day functioning of the LWC clinical services,
including the provision of master's and/or doctoral level field training experience for
practicum and intern students.
1119 Senior Rehab Counselor 2,850 Senior Rehab.Counselor @$4,750/mon.x 6 months x 0.10 FTE=$2,850.Under the
supervision of licensed personnel,provides professional cultural and linguistic
rehabilitiation mental health services,which includes individual and group rehab
therapy.Assist in performing assessments,case management,and performs related
work as required.
1120 Nonlicensed Clinical II 13,395 4.75 Nonlicensed Clinical II @$4,750/mon.x 6 months x 0.10 FTE=$13,395.The
Mental Health Unlicensed Clinician II is under immediate supervision,receives training
and clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and counseling sessions;
and performs related work as required.
1121 Nonlicensed Clinical 1 7,501 3 Nonlicensed Clinical I @$4,167/mon.x 6 months x 0.10 FTE=$7,501.The Mental
Health Unlicensed Clinician I is under immediate supervision,receives training and
clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and counseling sessions;
and performs related work as required
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 21712020
Page 53 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCi# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1122 Personal Coordinator Service/CM II 6,601 1 Personal Coordinator/Case Manager II @$3,667/mon.x 6 months x 0.30 FTE=
$6,601.This position is responsible for managing as assigned caseload of clients having
long-term mental illness and for assessing client needs,developing,implementing and
reviewing service plans,and working with other community resources in
meeting/achieving client service needs.Also helps in developing and coordinating
activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
1123 Personal Coordinator Service/CM 1 18,242 3.10 Peronsal Coordinator/Case Manager I @$3,167/mon.x 6 months x 0.31 FTE_
$18,242.This position is responsible for managing as assigned caseload of clients
having long-term mental illness and for assessing client needs,developing,
implementing and reviewing service plans,and working with other community
resources in meeting/achieving client service needs.Also helps in developing and
coordinating activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
1124 Medical Biller 2,250 1 Medical Biller @$3,750/mon.x 6 months x 0.10 FTE=$2,250.The Medical Biller will
be work closely with Case Manager and clinicians to ensure that all billing are entered
in a timely manager.Managing monthly billable units and revenues.Work with
Program Director to make sure billable goals are met.
1125 Peer Specialist 3,000 2 Peer Specialists @$2,500/mon.x 6 months x 0.10 FTE=$3,000.The Peer Specialist
will be responsible for monitoring,informing,supporting,assisting,and empowering
consumers and their family/caregivers who directly or indirectly receive behavioral
health services;facilitating peer-to-peer assistance as a part of a team setting;
conducting outreach to consumers,families/caregivers and the community;and acting
in a liaison role between consumers,families/caregivers and community service
providers.
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits
1201 Retirement 2,783 Retirement cost is estimated @ 3%x total salary=$2,783 annually
1202 Worker's Compensation 2,319 Workers Compensation cost is estimated @ 2.5%x total salary=$2,319 annually
1203 Health Insurance 9,540 Health Insurance(medical,vision,life,and dental)cost are estimated @$500/staff x
3.18 x 6 months=$9,540 annually.
1204 Other(specify) -
1205 Other(specify)
1206 1 Other(specify)
Direct Payroll Taxes&Expenses: 8,776
1301 OASDI 5,751 OASDI cost is estimated @ 6.2%x total salary=$5,751 annually.
1302 FICA/MEDICARE 1,345 FICA/MEDICARE cost is estimated @ 1.45%xtotal salary=$1,345 annually.
1303 SUI 1,680 SUI cost is estimated @ 1st$7,000 x 6.8%x 3.18 FTE=$1,680 annually
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 13,300
2001 Child Care -
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 1,800 To provide supports to clients,which may include food vouchers and other items
necessary for daily living(such as,clothing,hygiene,etc.Estimated @$3,000
biannually.
2005 Education Support 2,500 To provide educational support to clients,which may include transportation to and
from school,school materials,tuitions,and other school resources and/or activities
expenses.Estimated at$2,500.
2006 Employment Support -
2007 Household Items for Clients 1,500 To provide supports for clients with household items need.Estimated at$1,500
biannually
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers 2,500 To provide supports to clients with helping utilities problems.Estimated @$2,500
biannually
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 54 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2011 Client Housing Support Expenditures 2,000 For cost of providing housing supports.including housing subsidies for permanent,
transitional and temporary housing:master leases;motel and other housing vouchers
and shelters;rental security deposits:first and last month rental payments;and
eviction prevention and other fiscal housing supports.Estimated @$2,000 biannually
2012 Client Flexible Support Expenditures Support 3,000 To provide supports to clients and their caregivers,may include vouchers,goods,
services,and other
family support services.Also maybe use for personal/community integration to assist
clients in achieving
their treatment goals and in supporting their integration into the larger community.
Items may include,but
are not limited to socialization and recreational activities.This funding may also be
used for medical,
dental and optical care,prescriptions,and laboratory tests when the client does not
have insurance to
pay for such care.Estimated @$2,500 biannually
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 5,741
3001 Telecommunications 714 Telephone(include local,long distance,cell phone,and internet services)cost is
estimated @$700/month x 6 months x 17%=$714 annually
3002 Printing/Postage 31 Postage&Delivery cost are estimated @$30/month x 6 months x 17%=$31 annually
3003 Office,Household&Program Supplies 1,020 General office supplies cost is estimated @$1,000/month x 6 months x 17%=$1,020
annually
3004 Advertising 340 Marketing on ethnic magazines and radio stations and TV station cost is estimated
$2,000 annually @17%x 6 months=$340
3005 Staff Development&Training -
3006 Staff Mileage 1,069 Local travel for staff to attend meeting/trainings and maintenance for gas,vehicle
maintenance,registrations,and insurance for 3 cars$12,576 annually x 17%x 6
months=$1,069.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance
3009 Printing/Reproduction 332 In-house printing,business cards,flyers and brochures,etc.cost are estimated @
$325/month x 6 months x 17%=$332 annually
3010 Program Supplies-Therapeutic 1,045 Supplies and materials for individual activity cost is estimated @$1,025/month x 6
months x 17%=$1,045 annually.
3011 IT Support&Upgrades 1,190 IT Support services cost is estimated @$14,000 annually x 17%x 6 months=$1,190
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 12,554
4001 Building Maintenance 1,785 Building Maintenance includes janitorial services,pest control,material,AC services,
and other maintenance cost are estimated @$1,750/month x 6 months x 17%=$1,785
4002 Rent/Lease Building 8,474 Office Lease cost are estimated @ 6,700 sq.ft.@$1.24/sq.ft...x 6 months x 17%=
$8,474
4003 Rent/Lease Equipment 867 Lease copy machines cost are estimated @$850/month x 6 months x 17%=$867
4004 Rent/Lease Vehicles
4005 Security -
4006 Utilities 1,428 Utilities cost is estimated annually at$1,400/month x 6 months x 17%=$1,428
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 4,670
5001 Consultant(Network&Data Management) -
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services -
5005 Stipend 170 To train 2 graduate students in mental health work force @ 500 per semester for 2
semesters x 2 @
$2,000 annually x 17%=$340.6 months costs=$170
5006 Nurse 1,500 Nurse consultant with medication supports and education,and to assist psychiatrist in
the administration of medication and treatment of patients as needed.Estimated
biannually at$1,500
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 55 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
5007 Pain Specialist 1,500 Pain specialist to support psychiatrist and staff on chronic pain symptom
managements and medication consultation of pain medications.Estimated biannually
$1,500.
5008 Alternate Healer 1,500 Traditional alternative Healer to support consumers with spiritual wellness and
recovering practices and methods.Estimated biannually at$1,500.
6000:INDIRECT EXPENSES 25,936
6001 Administrative Overhead 23,267 Administration Overhead includes salaries and benefits for the Executive Director,
6002 Professional Liability Insurance 425 Professional Liability Insurance cost is estimated at$5,000 annually @ 17%x 6
months=$425.
6003 Accounting/Bookkeeping -
6004 External Audit 1,530 External Audit perform by Price Paige&Company cost is estimated$18,000 annually x
17%x 6 months=$1,530
6005 Insurance(Specify): 510 General liability insurance cost is estimated @$6,000 annually x 17%x 6 months=
$510
6006 Payroll Services 204 Outside payroll services cost is estimated @$2,400 annually @ 17%x 6 months=$204
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 1 Other(specify)
7000:DIRECT FIXED ASSETS
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 1 Other(specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS
REQUIRED BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 178,378
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 178,378
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 56 of 88 Revised Exhibit E-1
Living Well Center-FSP
The Fresno Center
Fiscal Year(FY)2019-20
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Program Director 0.10 $ 9,786 $ 9,786
1102 Medical Director/Psychiatrist 0.10 25,751 25,751
1103 Clinical Supervisor 0.05 4,635 4,635
1104 -
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.25 $ 40,172 $ 40,172
Acct a Program Position FTE Admin Program Total
1116 Unlicensed Psychologist 0.40 $ 30,902 $ 30,902
1117 Clinical Psychologist 0.05 5,356 5,356
1118 Licensed Clinical 0.05 3,708 3,708
1119 Senior Rehab Counselor 0.10 5,872 5,872
1120 Nonlicensed Clinical II 0.47 27,597 27,597
1121 Nonlicensed Clinical 1 0.30 15,451 15,451
1122 Personal Coordinator Service/CM II 0.30 13,610 13,610
1123 Personal Coordinator Service/CM 1 0.96 37,578 37,578
1124 Medical Biller 0.10 4,636 4,636
1125 Peer Specialist 0.20 6,180 6,180
1126 - -
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 2.93 $ 150,890 $ 150,890
Admin Program Total
Direct Personnel Salaries Subtotal 3.18 $ 40,172 $ 150,890 $ 191,062
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ - $ 5,732 $ 5,732
1202 Worker's Compensation 4,777 4,777
1203 Health Insurance 19,080 19,080
1204 Other(specify) - -
1205 Other(specify)
1206 1 Other(specify)
Direct Employee Benefits Subtotal: $ $ 29,589 $ 29,589
Direct Payroll Taxes&Expenses:
Acct p Description Admin Program Total
1301 OASDI $ $ 11,846 $ 11,846
1302 FICA/MEDICARE 2,770 2,770
1303 SUI 1,680 1,680
1304 Other(specify) -
1305 Other(specify) -
1306 1 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ $ 16,296 $ 16,296
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 40,172 $ 196,775 $ 236,947
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
17% 83%
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 57 of 88 Revised Exhibit E-1
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 1,800
2005 Education Support 2,500
2006 1 Employment Support -
2007 Household Items for Clients 1,500
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers 2,500
2011 Client Housing Support Expenditures 4,000
2012 Client Flexible Support Expenditures 2,000
2013 Other(specify) -
2014 Other(specify)
2015 Other(specify)
2016 Other(specify) -
DIRECT CLIENT CARE TOTAL $ 14,300
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 1,428
3002 Printing/Postage 724
3003 Office,Household&Program Supplies 2,040
3004 Advertising 680
3005 Staff Development&Training -
3006 IStaff Mileage 2,138
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance -
3009 Program Supplies-Therapeutic 2,092
3010 IT Support&Upgrades 2,380
3011 Other(specify) -
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 11,482
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 3,570
4002 Rent/Lease Building 16,948
4003 Rent/Lease Equipment 1,734
4004 Rent/Lease Vehicles -
4005 Security -
4006 jUtilities 2,346
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENTTOTAL: $ 24,598
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services -
5005 Stipend 340
5006 Nurse 3,000
5007 Pain Specialist 3,000
5008 JAIternate Healer 3,000
DIRECT SPECIAL EXPENSES TOTAL: $ 9,340
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ 45,301
Administrative Overhead
6002 Professional Liability Insurance 850
6003 Accounting/Bookkeeping -
6004 External Audit 3,060
6005 Insurance(Specify): 1,020
6006 Payroll Services 408
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes) -
6008 Personnel(indirect Salaries&Benefits) -
6009 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020
Page 58 of 88 Revised Exhibit E-1
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 50,639
INDIRECT COST RATE 17.07%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $
TOTAL PROGRAM EXPENSES $ 347,306
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 27,000 2.61 $ 70,470
8002 Case Management 20,000 2.02 40,400
8003 Crisis Services 800 3.88 3,104
8004 Medication Support 7,000 4.82 33,740
8005 Collateral 500 2.61 1,305
8006 Plan Development 6251 2.61 1 1,631
8007 Assessment 2,500 2.61 6,525
8008 Rehabilitation 15,000 2.61 39,150
8009 Other(Specify) 0 - -
8010 Other(Specify) 0 -
Estimated Specialty Mental Health Services Billing Totals: 1 73,4251 $ 196,325
Estimated%of Clients who are Medi-Cal Beneficiaries 90%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 176,693
Federal Financial Participation(FFP)% 1 5091. 88,346
MEDI-CAL FFP TOTAL $ 88,346
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 Realignment $ (0)
REALIGNMENT TOTAL $ (0)
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 258,960
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology -
MHSA TOTAL $ 258,960
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Clientlnsurance
8403 Grants(Specify)
8404 Other(Specify)
8405 Other(Specify)
OTHER REVENUE TOTAL $
TOTAL PROGRAM FUNDING SOURCES: $ 347,306
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 59 of 88 Revised Exhibit E-1
Living Well Center-FSP
The Fresno Center
Fiscal Year(FY)2019-20 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 236,947
Administrative Positions 40,172
2101 Program Director 9,786 1 Program Director @$8,155/mon.x 12 months x 0.10 FTE=$9,786.The Program
Director will oversee the overall development and management of the Living Well
Center and its staff.
1102 Medical Director/Psychiatrist 25,751 1 Medical Director/Psychiatrist @$21,459/mon.x 12 months x 0.10 FTE=$25,751.
The Medical Director/Psychiatrist will works closely with primary medical providers,
psychologist(s),behavioral healthchnicians,counselors and care coordinators to meet
the clinical and non-clinical health needs Southeast Asian persons served at the Living
Well Center.Duties may include but not limited to conducting psychiatric evaluation as
needed and be available on-call and if need by telehealth as necessary;conduct
mental status examinations and pharmacological evaluations,prescribe psychotic
medications,teach clients about side effects and monitor response to prescribed
medications.
1103 Clinical Supervisor 4,635 1 Clinical Supervisor @$7,725/mon.x 12 months x.05 FTE=$4,635.The Clinical
Supervisor will assist in the management of the LWC program,supervise clinic staff,
student interns and be responsible for the day to day functioning of the LWC clinical
services,including the provision of master's and/or doctoral level field training
experience for practicum and intern students.
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 10
1111 0
1112 0
1113 0
1114 0
1115 0 -
Program Positions 150,890
1116 Unlicensed Psychologist 30,902 1 Unlicensed Psychologist @$6,438/mon.x 12 months x 0.40 FTE_$30,902.A
licensed or licensed eligible clinical psychologist who is bilingual and bicultural in any of
the Southeast Asian languages to provide psychotherapy and clinical assessments.
Also,the psychologist will assist in the development and implementation of various
culturally and linguistic techniques,assessment,and methods in the program.
1117 Clinical Psychologist 5,356 1 Clinical psychologist @$8,927/mon.x 12 months x.05 FTE=$5,356.The licensed
clinician will assist the clinical supervisor in providing supervision for the clinic staff,
student interns,and assist in the day to day functioning of the LWC clinical services,
including the provision of master's and/or doctoral level field training experience for
practicum and intern students
1118 Licensed Clinical 3,708 1 Licensed Clinical I @$6,180/mon.x 12 months x.05 FTE=$3,708.The licensed
clinician will assist the clinical supervisor in providing supervision for the clinic staff,
student interns,and assist in the day to day functioning of the LWC clinical services,
including the provision of master's and/or doctoral level field training experience for
practicum and intern students.
1119 Senior Rehab Counselor 5,872 Senior Rehab.Counselor @$4,893/mon.x 12 months x.10 FTE=$5,872.Under the
supervision of licensed personnel,provides professional cultural and linguistic
rehabilitiation mental health services,which includes individual and group rehab
therapy.Assist in performing assessments,case management,and performs related
work as required.
1120 Nonlicensed Clinical II 27,597 4.75 No licensed Clinical II @$4,893/mon.x 12 months x 0.10 FTE=$27,597.The
Mental Health Unlicensed Clinician II is under immediate supervision,receives training
and clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and counseling sessions;
and performs related work as required.
1121 Nonlicensed Clinical I 15,4S1 3 No licensed Clinical I @$4,375/mon.x 12 months x 0.10 FTE=$48,451.The Mental
Health Unlicensed Clinician I is under immediate supervision,receives training and
clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and counseling sessions;
and performs related work as required
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020
Page 60 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1122 Personal Coordinator Service/CM II 13,610 1 Personal Coordinator Service/Case Manager II @$3,780/mon.x 12 months x.30
FTE=$13,610.This position is responsible for managing as assigned caseload of clients
having long-term mental illness and for assessing client needs,developing,
implementing and reviewing service plans,and working with other community
resources in meeting/achieving client service needs.Also helps in developing and
coordinating activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
1123 Personal Coordinator Service/CM 1 37,578 3.10 Personal Coordinator Service/Case Manager I @$3,262/mon.x 12 months 0.31
FTE=$37,578.This position is responsible for managing as assigned caseload of clients
having long-term mental illness and for assessing client needs,developing,
implementing and reviewing service plans,and working with other community
resources in meeting/achieving client service needs.Also helps in developing and
coordinating activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
1124 Medical Biller 4,636 1 Medical Biller @$3,863/mon.x 12 months x 0.10 FTE=$4,636.The Medical Biller
will be work closely with Case Manager and clinicians to ensure that all billing are
entered in a timely manager.Managing monthly billable units and revenues.Work
with Program Director to make sure billable goals are met.
1125 Peer Specialist 6,180 2 Peer Specialists @$2,575/mon.x 12 months x 0.10 FTE=$6,180.The Peer Specialist
will be responsible for monitoring,informing,supporting,assisting,and empowering
consumers and their family/caregivers who directly or indirectly receive behavioral
health services;facilitating peer-to-peer assistance as a part of a team setting;
conducting outreach to consumers,families/caregivers and the community;and acting
in a liaison role between consumers,families/caregivers and community service
providers.
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits 29,589
1201 Retirement 5,732 Retirement cost is estimated @ 3%x total salary=$5,732 annually
1202 Worker's Compensation 4,777 Workers Compensation cost is estimated @ 2.5%x total salary=$4,777 annually
1203 Health Insurance 19,080 Health Insurance(medical,vision,life,and dental)cost are estimated @$500/staff x
3.18 FTE x 12 months=$19,080 annually
1204 Other(specify) -
1205 Other(specify)
1206 1 Other(specify) -
Direct Payroll Taxes&Expenses: 16,296
1301 OASDI 11,846 OASDI cost is estimated @ 6.2%x total salary=$11,846 annually
1302 FICA/MEDICARE 2,770 FICA/MEDICARE cost is estimated @ 1.45%x total salary=$2,770 annually
1303 SUI 1,680 SUI cost is estimated @ 1st$7,000 x 6.8%x 3.18 FTE=$1,680 annually
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 14,300
2001 Child Care -
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 1,800 To provide supports to clients,which may include food vouchers and other items
necessary for daily living(such as,clothing,hygiene,etc.).Estimated @$1,800 annually
2005 Education Support 2,500 To provide educational support to clients,which may include transportation to and
from school,school materials,tuitions,and other school resources and/or activities
expenses.Estimated at$2,500
2006 Employment Support -
2007 Household Items for Clients 1,500 To provide supports for clients with household items need.Estimated at$1,500
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers 2,500 To provide supports to clients with helping utilities problems.Estimated @ 2,500
annually
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020
Page 61 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2011 Client Housing Support Expenditures 4,000 For cost of providing housing supports.including housing subsidies for permanent,
transitional and temporary housing:master leases;motel and other housing vouchers
and shelters;rental security deposits:first and last month rental payments;and
eviction prevention and other fiscal housing supports.Estimated @$4,000 annually.
2012 Client Flexible Support Expenditures 2,000 To provide supports to clients and their caregivers,may include cash payments,
vouchers,goods,services,and other family support services.Also maybe use for
personal/community integration to assist clients in achieving their treatment goals and
in supporting their integration into the larger community.Items may include,but are
not limited to socialization and recreational activities.This funding may also be used
for medical,dental and optical care,prescriptions,and laboratory tests when the client
does not have insurance to pay for such care.Estimated @$2,000 annually
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 11,482
3001 Telecommunications 1,428 Telephone(include local,long distance,cell phone,and internet services)cost is
estimated @$700/month x 12 months @ 17%=$1,428 annually
3002 Printing/Postage 724 In-house printing,business cards,flyers and brochures,etc.cost are estimated @
$325/month x 12 months @ 17%=$663 annually.Postage&Delivery cost are
estimated @$30/month x 12 months @ 17%=$61 annually
3003 Office,Household&Program Supplies 2,040 General office supplies cost is estimated @$12,000 annually @ 17%=$2,040 annually
3004 Advertising 680 Marketing on ethnic magazines and radio stations and TV station cost is estimated
annually @17%=$680
3005 Staff Development&Training -
3006 Staff Mileage 2,138 Local travel for staff to attend meeting/trainings and maintenance for gas,vehicle
maintenance,registrations,and insurance for 3 cars @$12,579 x 17%=$2,138
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance
3009 Program Supplies-Therapeutic 2,092 Supplies and materials for individual activity cost is estimated @$1,025.5/month x 12
months @ 17%=$2,092 annually
3010 IT Support&Upgrades 2,380 IT Support services cost is estimated @$14,000 annually x 17%x 12 months=$2,380
3011 Other(specify) -
3012 1 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 24,598
4001 Building Maintenance 3,570 Building Maintenance includes janitorial services,pest control,material,AC services,
and other maintenance cost are estimated @$1,750/month x 12 months @$21,000
annually @ 17%=$3,570
4002 Rent/Lease Building 16,948 Office Lease cost are estimated @ 6,700 sq.ft.@$1.24/sq.ft...x 12 months @
$99,696,annually @17%=16,948
4003 Rent/Lease Equipment 1,734 Lease copy machines cost are estimated @$850/month x 12 months at$10,200
annually @ 17%=1734
4004 Rent/Lease Vehicles
4005 Security -
4006 Utilities 2,346 Utilities cost is estimated annually at$13,800 @ 17%=$2,346
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 9,340
5001 Consultant(Network&Data Management) -
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services -
5005 Stipend 340 To train 2 graduate students in mental health work force @ 500 per semester for 2
semesters x 2 @
$2,000 annually x 17%=$340.
5006 Nurse 3,000 Nurse consultant with medication supports and education,and to assist psychiatrist in
the administration of medication and treatment of patients as needed.Estimated
annually at$3,000
5007 Pain Specialist 3,000 Pain specialist to support psychiatrist and staff on chronic pain symptom
managements and medication consultation of pain medications.Estimated annually
$3,000
5008 Alternate Healer 3,000 Traditional alternative Healer to support consumers with spiritual wellness and
recovering practices and methods.Estimated annually at$3,000
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 21712020
Page 62 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6000:INDIRECT EXPENSES 50,639
6001 Administrative Overhead 45,301 Administration Overhead includes salaries and benefits for the Executive Director,
6002 Professional Liability Insurance 850 Professional Liability Insurance cost is estimated @$5,000 annually x 17%=$850
6003 Accounting/Bookkeeping -
6004 External Audit 3,060 External Audit perform by Price Paige&Company cost is estimated @$18,000
annually @17%=$3,060
6005 Insurance(Specify): 1,020 General liability insurance cost is estimated @$6,000 annually x 17%$1,020
6006 Payroll Services 408 Outside payroll services cost is estimated @$2,400 annually x 17%=$408
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 1 Other(specify)
7000:DIRECT FIXED ASSETS
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 1 Other(specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS
REQUIRED BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 1 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 347,306
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 347,306
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 63 of 88 Revised Exhibit E-1
Living Well Center-FSP
The Fresno Center
Fiscal Year(FY)2020-21
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Program Director 0.10 $ 10,080 $ 10,080
1102 Medical Director/Psychiatrist 0.10 26,523 26,523
1103 Clinical Supervisor 0.05 4,774 4,774
1104 - -
1105 -
1106 -
1107 -
1108 -
1109 -
1110
1111
1112
1113 -
1114 -
1115 -
Direct Personnel Admin Salaries Subtotal 0.25 $ 41,377 $ 41,377
Acct# Program Position FTE Admin Program Total
1116 Unlicensed Psychologist 0.40 $ 31,829 $ 31,829
1117 Clinical Psychologist 0.05 5,517 5,517
1118 Licensed Clinical 0.05 3,819 3,819
1119 Senior Rehab Counselor 0.10 6,048 6,048
1120 Nonlicensed Clinical II 0.47 28,424 28,424
1121 Nonlicensed Clinical 1 0.30 15,915 15,915
1122 Personal Coordinator Service/CM II 0.30 14,018 14,018
1123 Personal Coordinator Service/CM 1 0.96 38,705 38,705
1124 Medical Biller 0.10 4,775 4,775
1125 Peer Specialist 0.20 6,365 6,365
1126 - -
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 2.93 $ 155,415 $ 155,415
Admin Program Total
Direct Personnel Salaries Subtotal 3.18 $ 41,377 $ 155,415 $ 196,792
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ - $ 5,904 $ 5,904
1202 Worker's Compensation 4,920 4,920
1203 Health Insurance 19,080 19,080
1204 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 64 of 88 Revised Exhibit E-1
1205 Other(specify)
1206 Other(specify)
Direct Employee Benefits Subtotal: $ - $ 29,904 $ 29,904
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ 12,201 $ 12,201
1302 FICA/MEDICARE - 2,853 2,853
1303 SUI - 1,680 1,680
1304 Other(specify) - -
1305 Other(specify) - -
1306 Other(specify) - -
Direct Payroll Taxes&Expenses Subtotal: $ - $ 16,734 $ 16,734
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 41,377 $ 202,053 $ 243,430
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
17% 83%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing, Food,&Hygiene 1,800
2005 Education Support 2,500
2006 Employment Support -
2007 Household Items for Clients 1,500
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers 2,500
2011 Client Housing Support Expenditures 4,500
2012 Client Flexible Support Expenditures 2,500
2013 Other(specify) -
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 15,300
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 1,428
3002 Printing/Postage 724
3003 Office, Household &Program Supplies 2,040
3004 Advertising 680
3005 Staff Development&Training -
3006 Staff Mileage 2,138
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance -
3009 Program Supplies-Therapeutic 2,262
3010 IT Support&Upgrades 2,380
3011 Other(specify) -
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 11,652
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 65 of 88 Revised Exhibit E-1
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 3,570
4002 Rent/Lease Building 16,948
4003 Rent/Lease Equipment 1,734
4004 1 Rent/Lease Vehicles
4005 Security -
4006 Utilities 2,346
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 1 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 24,598
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ -
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services -
5005 Stipend 340
5006 Nurse 3,000
5007 Pain Specialist 3,000
5008 Alternate Healer 3,000
DIRECT SPECIAL EXPENSES TOTAL: $ 9,340
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ 46,449
Administrative Overhead
6002 Professional Liability Insurance 850
6003 Accounting/Bookkeeping -
6004 External Audit 3,060
6005 Insurance(Specify): 1,020
6006 Payroll Services 408
6007 Depreciation(Provider-Owned Equipment to be Usedfor Progrom Purposes) -
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify) -
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 51,787
INDIRECT COST RATE 17.02%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Pa e 66 of 88 Revised Exhibit E-1
7005 1 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ -
TOTAL PROGRAM EXPENSES $ 356,107
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 27,000 2.61 $ 70,470
8002 Case Management 20,000 2.02 40,400
8003 Crisis Services 800 3.88 3,104
8004 Medication Support 7,000 4.82 33,740
8005 Collateral 500 2.61 1,305
8006 Plan Development 625 2.61 1,631
8007 Assessment 2,500 2.61 6,525
8008 Rehabilitation 15,000 2.61 39,150
8009 Other(Specify) 0 - -
8010 Other(Specify) 0 -
Estimated Specialty Mental Health Services Billing Totals: 173,4251 $ 196,325
Estimated%of Clients who are Medi-Cal Beneficiaries 90%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 176,693
Federal Financial Participation(FFP)% 1 50%
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 $ 88,343
REALIGNMENT TOTAL $ 88,343
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 267,764
8302 PEI-Prevention &Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 1 CFTN-Capital Facilities&Technology
MHSA TOTAL $ 267,764
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance
8403 Grants(Specify) -
8404 Other(Specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Pa e 67 of 88 Revised Exhibit E-1
8405 10ther(Specify)
OTHER REVENUE TOTAL $ -
TOTAL PROGRAM FUNDING SOURCES: $ 356,107
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 68 of 88 Revised Exhibit E-1
Living Well Center-FSP
The Fresno Center
Fiscal Year(FY)2020-21 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 243,430
Administrative Positions 41,377
1101 Program Director 10,080 Program Director @$8,400/mon.x 12 months x 0.10 FTE=$10,800.The Program
1102 Medical Director/Psychiatrist 26,523 Medical Director/Psychiatrist @$22,103/mon.x 12 months x 0.10 FTE=$26,523.The
Medical Director/Psychiatrist will works closely with primary medical providers,
psychologist(s),behavioral healthchnicians,counselors and care coordinators to meet
the clinical and non-clinical health needs Southeast Asian persons served at the Living
Well Center.Duties may include but not limited to conducting psychiatric evaluation as
needed and be available on-call and if need by telehealth as necessary;conduct
mental status examinations and pharmacological evaluations,prescribe psychotic
medications,teach clients about side effects and monitor response to prescribed
medications.
1103 Clinical Supervisor 4,774 Clinical Supervisor @$7,957/mon.x 12 months x 0.05 FTE=$4,774.The Clinical
Supervisor will assist in the management of the LWC program,supervise clinic staff,
student interns and be responsible for the day to day functioning of the LWC clinical
services,including the provision of master's and/or doctoral level field training
experience for practicum and intern students.
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 10
Program Positions 155,415
1116 Unlicensed Psychologist 31,829 Unlicensed Psychologist @$6,631/mon.x 12 months x 0.40 FTE_$31,829.A licensed
or licensed eligible clinical psychologist who is bilingual and bicultural in any of the
Southeast Asian languages to provide psychotherapy and clinical assessments.Also,
the psychologist will assist in the development and implementation of various
culturally and linguistic techniques,assessment,and methods in the program.
1117 Clinical Psychologist 5,517 Clinical psychologist @$9,195/mon.x 12 months x.05 FTE=$5,517.The licensed
clinician will assist the clinical supervisor in providing supervision for the clinic staff,
student interns,and assist in the day to day functioning of the LWC clinical services,
including the provision of master's and/or doctoral level field training experience for
practicum and intern students
1118 Licensed Clinical 3,819 Licensed Clinical I @$6,366/mon.x 12 months x.05 FTE=$3,819.The licensed
clinician will assist the clinical supervisor in providing supervision for the clinic staff,
student interns,and assist in the day to day functioning of the LWC clinical services,
including the provision of master's and/or doctoral level field training experience for
practicum and intern students.
1119 Senior Rehab Counselor 6,048 1 Senior Rehab.Counselor @$5,040/mon.x 12 months x.10 FTE=$6,048.Under the
supervision of licensed personnel,provides professional cultural and linguistic
rehabilitiation mental health services,which includes individual and group rehab
therapy.Assist in performing assessments,case management,and performs related
work as required.
1120 Nonlicensed Clinical II 28,424 4.75Nonlicensed Clinical II @$5,040/mon.x 12 months x 0.10 FTE=$28,424.The
Mental Health Unlicensed Clinician II is under immediate supervision,receives training
and clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and counseling sessions;
and performs related work as required.
1121 Nonlicensed Clinical 1 15,915 3 Nonlicensed Clinical I @$4,862/mon.x 12 months x.10 FT=$15,915.The Mental
Health Unlicensed Clinician I is under immediate supervision,receives training and
clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and counseling sessions;
and performs related work as required
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 21712020
Page 69 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1122 Personal Coordinator Service/CM II 14,018 1 Personal Coordinator Service/Case Manager II @$3,890/mon.x 12 months x 0.30
FTE=$14,018.This position is responsible for managing as assigned caseload of clients
having long-term mental illness and for assessing client needs,developing,
implementing and reviewing service plans,and working with other community
resources in meeting/achieving client service needs.Also helps in developing and
coordinating activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
1123 Personal Coordinator Service/CM 1 38,705 3.10 Personal Coordinator Service/Case Manager I @$3,360/mon.x 12 months x 0.31
FTE=$38,705.This position is responsible for managing as assigned caseload of clients
having long-term mental illness and for assessing client needs,developing,
implementing and reviewing service plans,and working with other community
resources in meeting/achieving client service needs.Also helps in developing and
coordinating activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
1124 Medical Biller 4,775 1 Medical Biller @$3,979/mon.x 12 months x 0.10 FTE=$4,775.The Medical Biller
will be work closely with Case Manager and clinicians to ensure that all billing are
entered in a timely manager.Managing monthly billable units and revenues.Work
with Program Director to make sure billable goals are met.
1125 Peer Specialist 6,365 2 Peer Specialists @$2,652/mon.x 12 months x 0.10 FTE=$6,365.The Peer Specialist
will be responsible for monitoring,informing,supporting,assisting,and empowering
consumers and their family/caregivers who directly or indirectly receive behavioral
health services;facilitating peer-to-peer assistance as a part of a team setting;
conducting outreach to consumers,families/caregivers and the community;and acting
in a liaison role between consumers,families/caregivers and community service
providers.
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 10
Direct Employee Benefits 29,904
1201 Retirement 5,904 Retirement cost is estimated @ 3%x total salary=$5,904 annually
1202 Worker's Compensation 4,920 Workers Compensation cost is estimated @ 2.5%x total salary=$4,920 annually
1203 Health Insurance 19,080 Health Insurance(medical,vision,life,and dental)cost are estimated @$500/staff x
3.18 FTE x 12 months=$19,080 annually
1204 Other(specify) -
1205 Other(specify)
1206 1 Other(specify) -
Direct Payroll Taxes&Expenses: 16,734
1301 OASDI 12,201 OASDI cost is estimated @ 6.2%x total salary=$12,201 annually
1302 FICA/MEDICARE 2,853 FICA/MEDICARE cost is estimated @ 1.45%x total salary=$2,853 annually
1303 SUI 1,680 SUI cost is estimated @ 1st$7,000 x 6.8%x 3.18 FTE=$1,680 annually
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 15,300
2001 Child Care -
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 1,800 To provide supports to clients,which may include food vouchers and other items
2005 Education Support 2,500 To provide educational support to clients,which may include transportation to and
2006 Employment Support -
2007 Household Items for Clients 1,500 To provide supports for clients with household items need.Estimated at$1,500
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers 2,500 To provide supports to clients with helping utilities problems.Estimated @ 2,500
2011 Client Housing Support Expenditures 4,500 For cost of providing housing supports.including housing subsidies for permanent,
2012 Client Flexible Support Expenditures 2,500 To provide supports to clients and their caregivers,may include cash payments,
2013 Other(specify) -
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 70 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
3000:DIRECT OPERATING EXPENSES 11,652
3001 Telecommunications 1,428 Telephone(include local,long distance,cell phone,and internet services)cost is
estimated @$700/month x 12 months x 17%=$1,428 annually
3002 Printing/Postage 724 In-house printing,business cards,flyers and brochures,etc.cost are estimated @
$325/month x 12 months x 17%=$663 annually.Postage&Delivery cost are
estimated @$30/month x 12 months x 17%=$61 annually
3003 Office,Household&Program Supplies 2,040 General office supplies cost is estimated @$12,000 annually x 17%=$2,040
3004 Advertising 680 Marketing on ethnic magazines and radio stations and TV station cost is estimated @
3005 Staff Development&Training -
3006 Staff Mileage 2,138 Local travel for staff to attend meeting/trainings and maintenance for gas,vehicle
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance
3009 Program Supplies-Therapeutic 2,262 Supplies and materials for individual activity cost is estimated @$1,108.80/month x 12
3010 IT Support&Upgrades 2,380 IT Support services cost is estimated @$14,000 annually x 17%=$2,380
3011 Other(specify) -
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 24,598
4001 Building Maintenance 3,570 Building Maintenance includes janitorial services,pest control,material,AC services,
and other maintenance cost are estimated @$1,750/month x 12 months x 17%=
$3,570
4002 Rent/Lease Building 16,948 Office Lease cost are estimated @ 6,700 sq.ft.@$1.24/sq.ft..x 12 months x 17%=
$16,948
4003 Rent/Lease Equipment 1,734 Lease copy machines cost are estimated @$850/month x 12 months x 17%=$1,734
4004 Rent/Lease Vehicles
4005 Security -
4006 Utilities 2,346 Utilities cost is estimated annually @$13,800 @ 17%=$2,346
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 9,340
5001 Consultant(Network&Data Management) -
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services
5005 Stipend 340 To train 2 graduate students in mental health work force @ 500 per semester for 2
5006 Nurse 3,000 Nurse consultant with medication supports and education,and to assist psychiatrist in
5007 Pain Specialist 3,000 Pain specialist to support psychiatrist and staff on chronic pain symptom
5008 Alternate Healer 3,OOL Traditional alternative Healer to support consumers with spiritual wellness and
6000:INDIRECT EXPENSES 51,787
6001 Use this line and only this line for approved indirect 46,449 Administration Overhead includes salaries and benefits for the Executive Director,
6002 Professional Liability Insurance 850 Professional Liability Insurance cost is estimated at$5,000 annually x 17%=$850
6003 Accounting/Bookkeeping -
6004 External Audit 3,060 External Audit perform by Price Paige&Company cost is estimated @$18,000 annually
6005 Insurance(Specify): 1,020 General liability insurance cost is estimated @$6,000 annually x 17%=$1,020
6006 Payroll Services 408 Outside payroll services cost is estimated @$2,400 annually x 17%=$408
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
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
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 71 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 356,107
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 356,107 0
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 72 of 88 Revised Exhibit E-1
Living Well Center-FSP
The Fresno Center
Fiscal Year(FY)2021-22
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Program Director 0.10 $ 10,382 $ 10,382
1102 Medical Director/Psychiatrist 0.10 27,319 27,319
1103 Clinical Supervisor 0.05 4,917 4,917
1104 -
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.25 $ 42,618 $ 42,618
Acct a Program Position FTE Admin Program Total
1116 Unlicensed Psychologist 0.40 $ 32,784 $ 32,784
1117 Clinical Psychologist 0.05 5,682 5,682
1118 Licensed Clinical 0.05 3,934 3,934
1119 Senior Rehab Counselor 0.10 6,229 6,229
1120 Nonlicensed Clinical II 0.47 29,277 29,277
1121 Nonlicensed Clinical 1 0.30 16,392 16,392
1122 Personal Coordinator Service/CM II 0.30 14,438 14,438
1123 Personal Coordinator Service/CM 1 0.96 39,866 39,866
1124 Medical Biller 0.10 4,918 4,918
1125 Peer Specialist 0.20 6,556 6,556
1126 - -
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 2.93 $ 160,076 $ 160,076
Admin Program Total
Direct Personnel Salaries Subtotal 3.18 $ 42,618 $ 160,076 $ 202,694
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ - $ 6,081 $ 6,081
1202 Worker's Compensation 5,067 5,067
1203 Health Insurance 19,080 19,080
1204 Other(specify) - -
1205 Other(specify)
1206 1 Other(specify)
Direct Employee Benefits Subtotal: $ $ 30,228 $ 30,228
Direct Payroll Taxes&Expenses:
Acct p Description Admin Program Total
1301 OASDI $ $ 12,567 $ 12,567
1302 FICA/MEDICARE 2,939 2,939
1303 SUI 1,680 1,680
1304 Other(specify) -
1305 Other(specify) -
1306 1 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ - $ 17,186 $ 17,186
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 42,618 $ 207,490 $ 250,108
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
17% 83%
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 73 of 88 Revised Exhibit E-1
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 1,800
2005 Education Support 2,500
2006 1 Employment Support -
2007 Household Items for Clients 1,500
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers 2,500
2011 Client Housing Support Expenditures 5,000
2012 Client Flexible Support Expenditures 2,000
2013 Other(specify) -
2014 Other(specify)
2015 Other(specify)
2016 Other(specify) -
DIRECT CLIENT CARE TOTAL $ 15,300
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 1,428
3002 Printing/Postage 724
3003 Office,Household&Program Supplies 2,040
3004 Advertising 680
3005 Staff Development&Training -
3006 IStaff Mileage 2,138
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance -
3009 Program Supplies-Therapeutics 2,262
3010 IT Support&Upgrades 2,380
3011 Other(specify) -
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 11,652
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 3,570
4002 Rent/Lease Building 16,948
4003 Rent/Lease Equipment 1,734
4004 Rent/Lease Vehicles -
4005 Security -
4006 jUtilities 2,346
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENTTOTAL: $ 24,598
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services -
5005 Stipend 340
5006 Nurse 3,000
5007 Pain Specialist 3,000
5008 JAIternate Healer 3,000
DIRECT SPECIAL EXPENSES TOTAL: $ 9,340
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ 47,451
Administrative Overhead
6002 Professional Liability Insurance 850
6003 Accounting/Bookkeeping -
6004 External Audit 3,060
6005 Insurance(Specify): 1,020
6006 Payroll Services 408
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes) -
6008 Personnel(indirect Salaries&Benefits) -
6009 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 74 of 88 Revised Exhibit E-1
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 52,789
INDIRECT COST RATE 16.97%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $
TOTAL PROGRAM EXPENSES1 $ 363,787
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 27,000 2.61 $ 70,470
8002 Case Management 20,000 2.02 40,400
8003 Crisis Services 800 3.88 3,104
8004 Medication Support 7,000 4.82 33,740
8005 Collateral 500 2.61 1,305
8006 Plan Development 6251 2.61 1 1,631
8007 Assessment 2,500 2.61 6,525
8008 Rehabilitation 15,000 2.61 39,150
8009 Other(Specify) 0 - -
8010 Other(Specify) 0 -
Estimated Specialty Mental Health Services Billing Totals: 1 73,4251 $ 196,325
Estimated%of Clients who are Medi-Cal Beneficiaries 90%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 176,693
Federal Financial Participation(FFP)% 1 5091. 88,346
MEDI-CAL FFP TOTAL $ 88,346
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 Realignment $ (4)
REALIGNMENT TOTAL $ (4)
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 275,445
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology -
MHSA TOTAL $ 275,445
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Clientlnsurance
8403 Grants(Specify)
8404 Other(Specify)
8405 Other(Specify)
OTHER REVENUE TOTAL $
TOTAL PROGRAM FUNDING SOURCES: $ 363,787
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 75 of 88 Revised Exhibit E-1
Living Well Center-FSP
The Fresno Center
Fiscal Year(FY)2021-22 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 250,108
Administrative Positions 42,618
2101 Program Director 10,382 1 Program Director @$8,652/mon.x 12 months x 0.17 FTE=$10,382.The Program
Director will oversee the overall development and management of the Living Well
Center and its staff.
1102 Medical Director/Psychiatrist 27,319 1 Medical Director/Psychiatrist @$22,766/mon.x 12 months x 0.10 FTE=$27,319.
The Medical Director/Psychiatrist will works closely with primary medical providers,
psychologist(s),behavioral healthchnicians,counselors and care coordinators to meet
the clinical and non-clinical health needs Southeast Asian persons served at the Living
Well Center.Duties may include but not limited to conducting psychiatric evaluation as
needed and be available on-call and if need by telehealth as necessary;conduct
mental status examinations and pharmacological evaluations,prescribe psychotic
medications,teach clients about side effects and monitor response to prescribed
medications.
1103 Clinical Supervisor 4,917 1 Clinical Supervisor @$8,195/mon.x 12 months x 0.05 FTE=$4,917.The Clinical
Supervisor will assist in the management of the LWC program,supervise clinic staff,
student interns and be responsible for the day to day functioning of the LWC clinical
services,including the provision of master's and/or doctoral level field training
experience for practicum and intern students.
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 10
1111 0
1112 0
1113 0
1114 0
1115 0 -
Program Positions 160,076
1116 Unlicensed Psychologist 32,784 1 Unlicensed Psychologist @$6,830/mon.x 12 months x 0.40 FTE_$32,784.A
licensed or licensed eligible clinical psychologist who is bilingual and bicultural in any of
the Southeast Asian languages to provide psychotherapy and clinical assessments.
Also,the psychologist will assist in the development and implementation of various
culturally and linguistic techniques,assessment,and methods in the program.
1117 Clinical Psychologist 5,682 1 Clinical psychologist @$9,471/mon.x 12 months x.05 FTE=$5,682.The licensed
clinician will assist the clinical supervisor in providing supervision for the clinic staff,
student interns,and assist in the day to day functioning of the LWC clinical services,
including the provision of master's and/or doctoral level field training experience for
practicum and intern students
1118 Licensed Clinical 3,934 1 Licensed Clinical I @$6,S57/mon.x 12 months x.05 FTE=$3,934.The licensed
clinician will assist the clinical supervisor in providing supervision for the clinic staff,
student interns,and assist in the day to day functioning of the LWC clinical services,
including the provision of master's and/or doctoral level field training experience for
practicum and intern students.
1119 Senior Rehab Counselor 6,229 1 Senior Rehab.Counselor @$5,191/mon.x 12 months x.10 FTE=$6,229.Under the
supervision of licensed personnel,provides professional cultural and linguistic
rehabilitiation mental health services,which includes individual and group rehab
therapy.Assist in performing assessments,case management,and performs related
work as required.
1120 Nonlicensed Clinical II 29,277 4.75 Nonlicensed Clinical II @$5,191/mon.x 12 months x 0.10 FTE=$29,277.The
Mental Health Unlicensed Clinician II is under immediate supervision,receives training
and clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and counseling sessions;
and performs related work as required.
1121 Nonlicensed Clinical 1 16,392 3 Nonlicensed Clinical I @$5,008/mon.x 12 months x 0.10 FT=$16,392.The Mental
Health Unlicensed Clinician I is under immediate supervision,receives training and
clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and counseling sessions;
and performs related work as required
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 76 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCi# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1122 Personal Coordinator Service/CM II 14,438 1 Personal Coordinator Service/Case Manager II @$4,007/mon.x 12months x.30
FTE=$14,438.This position is responsible for managing as assigned caseload of clients
having long-term mental illness and for assessing client needs,developing,
implementing and reviewing service plans,and working with other community
resources in meeting/achieving client service needs.Also helps in developing and
coordinating activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
1123 Personal Coordinator Service/CM 1 39,866 3.10 Personal Coordinator Service/Case Manager I @$3,461/mon.x 12 months x 0.10
FTE=$39,866.This position is responsible for managing as assigned caseload of clients
having long-term mental illness and for assessing client needs,developing,
implementing and reviewing service plans,and working with other community
resources in meeting/achieving client service needs.Also helps in developing and
coordinating activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
1124 Medical Biller 4,918 1 Medical Biller @$4,098/mon.x 12 months x 0.10 FTE=$4,918.The Medical Biller
will be work closely with Case Manager and clinicians to ensure that all billing are
entered in a timely manager.Managing monthly billable units and revenues.Work
with Program Director to make sure billable goals are met.
1125 Peer Specialist 6,556 2 Peer Specialists @$2,732/mon.x 12 months x 0.10 FTE=$6,556.The Peer Specialist
will be responsible for monitoring,informing,supporting,assisting,and empowering
consumers and their family/caregivers who directly or indirectly receive behavioral
health services;facilitating peer-to-peer assistance as a part of a team setting;
conducting outreach to consumers,families/caregivers and the community;and acting
in a liaison role between consumers,families/caregivers and community service
providers.
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits 30,228
1201 Retirement 6,081 Retirement cost is estimated @ 3%x total salary=$6,081 annually
1202 Worker's Compensation 5,067 Workers Compensation cost is estimated @ 2.5%x total salary=$5067 annually
1203 Health Insurance 19,080 Health Insurance(medical,vision,life,and dental)cost are estimated @$500/staff x
3.18 FTE x 12 months=$19,080 annually
1204 Other(specify) -
1205 Other(specify)
1206 1 Other(specify) -
Direct Payroll Taxes&Expenses: 17,186
1301 OASDI 12,567 OASDI cost is estimated @ 6.2%x total salary=$12,567 annually
1302 FICA/MEDICARE 2,939 FICA/MEDICARE cost is estimated @ 1.45%x total salary=$2,939 annually
1303 SUI 1,680 SUI cost is estimated @ 1st$7,000 x 6.8%x 3.18 FTE=$1,680 annually
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 15,300
2001 Child Care -
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 1,800 To provide supports to clients,which may include food vouchers and other items
necessary for daily living(such as,clothing,hygiene,etc.).Estimated @$1,800 annually
2005 Education Support 2,500 To provide educational support to clients,which may include transportation to and
from school,school materials,tuitions,and other school resources and/or activities
expenses.Estimated at$2,500
2006 Employment Support -
2007 Household Items for Clients 1,500 To provide supports for clients with household items need.Estimated at$1,500
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers 2,500 To provide supports to clients with helping utilities problems.Estimated @$2,500
annually
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 77 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2011 Client Housing Support Expenditures 5,000 For cost of providing housing supports.including housing subsidies for permanent,
transitional and temporary housing:master leases;motel and other housing vouchers
and shelters;rental security deposits:first and last month rental payments;and
eviction prevention and other fiscal housing supports.Estimated @$5,000 annually.
2012 Client Flexible Support Expenditures 2,000 To provide supports to clients and their caregivers,may include cash payments,
vouchers,goods,services,and other family support services.Also maybe use for
personal/community integration to assist clients in achieving their treatment goals and
in supporting their integration into the larger community.Items may include,but are
not limited to socialization and recreational activities.This funding may also be used
for medical,dental and optical care,prescriptions,and laboratory tests when the client
does not have insurance to pay for such care.Estimated @$2,000 annually
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 11,652
3001 Telecommunications 1,428 Telephone(include local,long distance,cell phone,and internet services)cost is
estimated @$700/month x 12 months x 17%=$1,428 annually.
3002 Printing/Postage 724 In-house printing,business cards,flyers and brochures,etc.cost are estimated @
$325/month x 12 months x 17%=$663 annually.Postage&Delivery cost are
estimated @$30/month x 12 months x 17%=$61 annually
3003 Office,Household&Program Supplies 2,040 General office supplies cost is estimated @$12,000 annually x 17%=$2,040 annually
3004 Advertising 680 Marketing on ethnic magazines and radio stations and TV station cost is estimated
$4,000 annually x17%=$680.
3005 Staff Development&Training -
3006 Staff Mileage 2,138 Local travel for staff to attend meeting/trainings and maintenance for gas,vehicle
maintenance,registrations,and insurance for 3 cars @$12,579 x 17%=$2,138.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance
3009 Program Supplies-Therapeutics 2,262 Supplies and materials for individual activity cost is estimated @$1,108.80/month x 12
months x 17%=$2,262 annually.
3010 IT Support&Upgrades 2,380 IT Support services cost is estimated @$14,000 annually x 17%=$2,380
3011 Other(specify) -
3012 1 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 24,598
4001 Building Maintenance 3,570 Building Maintenance includes janitorial services,pest control,material,AC services,
and other maintenance cost are estimated @$1,750/month x 12 months x 17%=
$3,570
4002 Rent/Lease Building 16,948 Office Lease cost are estimated @ 6,700 sq.ft.@$1.24/sq.ft...x 12 months x 17%=
$16,948
4003 Rent/Lease Equipment 1,734 Lease copy machines cost are estimated @$850/month x 12 months x 17%=$1,734
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 2,346 Utilities cost is estimated annually at$13,800 x 17%=$2,346
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 1 Other(specify)
5000:DIRECT SPECIAL EXPENSES 9,340
5001 Consultant(Network&Data Management) -
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services
5005 Stipend 340 To train 2 graduate students in mental health work force @ 500 per semester for 2
semesters x 2 @
$2,000 annually x 17%=$340.
5006 Nurse 3,000 Nurse consultant with medication supports and education,and to assist psychiatrist in
the administration of medication and treatment of patients as needed.Estimated
annually at$3,000
5007 Pain Specialist 3,000 Pain specialist to support psychiatrist and staff on chronic pain symptom
managements and medication consultation of pain medications.Estimated annually
$3,000
5008 Alternate Healer 3,000 Traditional alternative Healer to support consumers with spiritual wellness and
recovering practices and methods.Estimated annually at$3,000
6000:INDIRECT EXPENSES 52,789
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 21712020
Page 78 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCi# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6001 Administrative Overhead 47,451 Administration Overhead includes salaries and benefits for the Executive Director,
6002 Professional Liability Insurance 850 Professional Liability Insurance cost is estimated @$5,000 annually x 17%=$850
6003 Accounting/Bookkeeping -
6004 External Audit 3,060 External Audit perform by Price Paige&Company cost is estimated$18,000 annually x
17%=$3,060
6005 Insurance(Specify): 1,020 General liability insurance cost is estimated$6,000 annually x 17%=$1,020.
6006 Payroll Services 408 Outside payroll services cost is estimated$2,400 annually x 17%=$408.
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 1 Other(specify)
7000:DIRECT FIXED ASSETS
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 1 Other(specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS
REQUIRED BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 1 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 363,787
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 363,787
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 79 of 88 Revised Exhibit E-1
Living Well Center FSP
The Fresno Center
Fiscal Year(FY)2022-23
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Program Director 0.00 $ -
1102 Medical Director/Psychiatrist 0.25 75,000 75,000
1103 Clinical Director 0.50 50,393 50,393
1104 - -
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.75 $ 125,393 $ 125,393
Acct# Program Position FTE Admin Program Total
1116 Licensed Psychologist 0.00 $ $ -
1117 Clinical Supervisor 0.05
1118 Licensed Clinician 0.05 -
1119 Rehab Supervisor 0.23 15,399 1 15,399
1120 Nonlicensed Clinical II 0.20 12,834 12,834
1121 lNonlicensed Clinical 1 0.40 22,292 22,292
1122 ersonal Coordinator Services/CM II 2.00 95,322 95,322
1123 ersonal Coordinator Services/CM 1 0.96 - -
1124 Medical Biller/CM 0.10
1125 Peer Specialist 0.20 - -
1126 BD-LVN 0.10 5,200 5,200
1127 sychiatrist TBD 0.05 12,500 12,500
1128 - -
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 4.34 $ 163,547 $ 163,547
Admin Program Total
Direct Personnel Salaries Subtotal 5.09 $ 125,393 $ 163,547 $ 288,940
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ $ 4,424 $ 4,424
1202 Worker's Compensation 3,785 3,785
1203 Health Insurance 17,933 17,933
1204 Other(specify) - -
1205 Other(specify)
1206 Other(specify)
Direct Employee Benefits Subtotal: $ $ 26,142 $ 26,142
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ $ -
1302 FICA/MEDICARE 22,104 22,104
1303 SUI 1,619 1,619
1304 Other(specify) - -
1305 Other(specify)
1306 Other(specify) - -
Direct Payroll Taxes&Expenses Subtotal: $ - $ 23,723 $ 23,723
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 125,393 $ 213,412 $ 338,805
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7I2020
Page 80 of 88 Revised Exhibit E-1
37% 63%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 30,000
2003 Client Transportation&Support
2004 Clothing,Food,&Hygiene 2,500
2005 Education Support
2006 1 Employment Support -
2007 Household Items for Clients 1,500
2008 Medication Supports -
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Client Flexible Support Expenditure Support 4,000
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 38,000
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 2,670
3002 Postage 61
3003 Office,Household&Program Supplies 2,540
3004 Advertising -
3005 Staff Development&Training -
3006 Staff Mileage 2,138
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance -
3009 Program Supplies-Therapeutic 1,269
3010 IT Support&Upgrades 2,707
3011 Printing/Reproduction 659
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 12,044
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 3,570
4002 Rent/Lease Building 16,948
4003 Rent/Lease Equipment 1,020
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities 2,346
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 Other(specify) -
DIRECT FACILITIES/EQUIPMENT TOTAL:j$ 23,884
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(specify)
5006 1 Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ 48,952
Administrative Overhead
6002 Professional Liability Insurance 850
6003 Accounting/Bookkeeping 680
6004 External Audit 1,020
6005 Insurance(Specify): 1,700
6006 Payroll Services 1,088
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes) -
6008 Personnel(indirect Salaries&Benefits) -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 81 of 88 Revised Exhibit E-1
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 54,290
INDIRECT COST RATE 13.15%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 l Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ -
TOTAL PROGRAM EXPENSES $ 467,023
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services 27,000 2.61 $ 70,470
8002 Case Management 20,000 2.02 40,400
8003 Crisis Services 800 3.88 3,104
8004 Medication Support 7,000 4.82 33,740
8005 Collateral 500 2.61 1,305
8006 Plan Development 6251 2.61 1,631
8007 Assessment 2,500 2.61 6,525
8008 Rehabilitation 15,000 2.61 39,150
8009 Other(Specify) 0 - -
8010 Other(Specify) 0 -
Estimated Specialty Mental Health Services Billing Totals: 1 73,4251 $ 196,325
Estimated%of Clients who are Medi-Cal Beneficiaries 90%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 176,693
Federal Financial Participation(FFP)%1 50% 88,346
MEDI-CAL FFP TOTAL $ 88,346
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 $ (0)
REALIGNMENT TOTAL $ (0)
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ 378,677
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology -
MHSA TOTAL $ 378,677
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance
8403 Grants(Specify)
8404 Other(Specify)
8405 Other(Specify)
OTHER REVENUE TOTAL $ -
TOTAL PROGRAM FUNDING SOURCES: $ 467,023
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 82 of 88 Revised Exhibit E-1
PROGRAM NAME
Provider Name
Fiscal Year(FY)####-##
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
Total 0.00
Position Contract#/Name/Department/County FTE
Medical Director/Psychiatrist 18-599/LWC_OPICM/DBH/Fresno 0.15
18-599/LWC_FSP/DBH/Fresno 0.25
Total 0.40
Position Contract#/Name/Department/County FTE
Clinical Director 18-599/LWC_OPICM/DBH/Fresno 0.50
18-599/LWC FSP/DBH/Fresno 0.50
Total 1.00
Position Contract#/Name/Department/County FTE
Rehab Supervisor 18-599/LWC_OPICM/DBH/Fresno 0.77
18-599/LWC_FSP/DBH/Fresno 0.23
Total 1.00
Position Contract#/Name/Department/County FTE
Nonlicensed Clinical II#1 18-599/LWC_OPICM/DBH/Fresno 0.90
18-599/LWC FSP/DBH/Fresno 0.10
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 83 of 88 Revised Exhibit E-1
Total 1.00
Position Contract#/Name/Department/County FTE
Nonlicensed Clinical II#2 18-599/LWC_OPICM/DBH/Fresno 0.90
18-599/LWC_FSP/DBH/Fresno 0.10
Total 1.00
Position Contract#/Name/Department/County FTE
Nonlicensed Clinical 1#1 18-599/LWC_OPICM/DBH/Fresno 0.90
18-599/LWC FSP/DBH/Fresno 0.10
Total 1.00
Position Contract#/Name/Department/County FTE
Nonlicensed Clinical 1#2 18-599/LWC_OPICM/DBH/Fresno 0.90
18-599/LWC_FSP/DBH/Fresno 0.10
Total 1.00
Position Contract#/Name/Department/County FTE
Nonlicensed Clinical 1#3 18-599/LWC_OPICM/DBH/Fresno 0.90
18-599/LWC_FSP/DBH/Fresno 0.10
Total 1.00
Position Contract#/Name/Department/County FTE
Nonlicensed Clinical 1#4 18-599/LWC_OPICM/DBH/Fresno 0.90
18-599/LWC_FSP/DBH/Fresno 0.10
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 84 of 88 Revised Exhibit E-1
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
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 85 of 88 Revised Exhibit E-1
Living Well Center FSP
The Fresno Center
Fiscal Year(FY)2022-23 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 338,805
Administrative Positions 125,393
1101 Program Director -
1102 Medical Director/Psychiatrist 75,000 .40 Medical Director/Psychiatrist @$25,000/mon.x 12 months x 0.25 FTE=$75,000.
The Medical Director/Psychiatrist will works closely with primary medical providers,
psychologist(s),behavioral healthchnicians,counselors and care coordinators to meet
the clinical and non-clinical health needs Southeast Asian persons served at the Living
Well Center.Duties may include but not limited to conducting psychiatric evaluation as
needed and be available on-call and if need by telehealth as necessary;conduct
mental status examinations and pharmacological evaluations,prescribe psychotic
medications,teach clients about side effects and monitor response to prescribed
medications.
1103 Clinical Director 50,393 1 Clinical Director @$8,398.80/mon.x 12 months x.50 FTE=$50,393.The Clinical
Supervisor will assist in the management of the LWC program,supervise clinic staff,
student interns and be responsible for the day to day functioning of the LWC clinical
services,including the provision of master's and/or doctoral level field training
experience for practicum and intern students.
1104
1105 0
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 163,547
1116 Licensed Psychologist -
1117 Clinical Supervisor
1118 Licensed Clinician -
1119 Rehab Supervisor 15,399 1 Rehab Supervisor @$5,579.17/mon.x 12 months x.23 FTE=$15,399.Under the
supervision of license personnel,provides professional cultural and linguistic
rehabilitation mental health services,which includes individual and group rehab
therapy.Assist in performing assessments,case management,and performs related
work as required.
1120 Nonlicensed Clinical II 12,834 2 Nonlicensed Clinical II @$5,347.50/mon.x 12 months x.20 FTE=$12,834.The
Mental Health Unlicensed Clinician II is under immediate supervision,receives training
and clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and counseling sessions;
and performs related work as required
1121 Nonlicensed Clinical 1 22,292 5.25 Nonlicensed Clinical I @$4,644.17/mon.x 12 months x.40 FTE=$22,292.The
Mental Health Unlicensed Clinician I is under immediate supervision,receives training
and clinical supervision in providing professional cultural and linguistic mental health
services;conducts or assists in conducting assessments;case management;
rehabilitation;individual,group,marital,and family therapy and
counseling sessions;and performs related work as required
1122 Personal Coordinator 95,322 3 Personal Coordinator Service/Case Manager II @$3,971.75/mon.x 12months x 2
Services/CM II FTE=$95,322.This position is responsible for managing an assigned caseload of clients
having long-term mental illness and for assessing client needs,developing,
implementing and reviewing service plans,and working with other community
resources in meeting/achieving client service needs.Also helps in developing and
coordinating activities,programs and resources which directly support consumers and
family/caregivers in achieving wellness and recovery oriented goals.
1123 Personal Coordinator
1124 Medical Biller/CM
1125 Peer Specialist -
1126 TBD-LVN 5,200 .10 Licensed Vocational Nurse @$4,333.34/mon x 12 months x.10 FTE=$5,200.The
licensed Vocational Nurse/Registered Nurse assists with medication support like
medication education and injections and administration;psychiatry
appointments and taking vitals;do follow up communication,tracking and
documentation for labs and prescriptions.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020
Page 86 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1127 Psychiatrist-TBD 12,500 0.05 Licensed Psychiatrist @$20,833.34/mon.x 12 months x.05 FTE=$12,500.The
licensed Psychiatrist duties may include but not limited to conducting psychiatric
evaluation,as needed and be available on-call and if need by telehealth as necessary;
conduct mental status examinations and pharmacological evaluations,prescribe
psychotic medications,teach clients about side effects and monitor response to
prescribed medications.
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 10
Direct Employee Benefits 26,142
1201 Retirement 4,424 Retirement cost is estimated @ 3%x total salary=$4,424 annually.
1202 Worker's Compensation 3,785 Workers Compensation cost is estimated @3,785 annually
1203 Health Insurance 17,933 Health Insurance(medical,vision,life,and dental)cost are estimated @$400.65/staff
x3.73 FTE x12
months=$17,933 annually.
1204 Other(specify)
1205 Other(specify)
1206 1 Other(specify)
Direct Payroll Taxes&Expenses: 23,723
1301 OASDI -
1302 FICA/MEDICARE 22,104 FICA/MEDICARE cost is estimated @ 7.65%x total salary=$22,104 annually
1303 SUI 1,619 SUI cost is estimated @ 1st$7,000 x 6.8%x 3.73 FTE=$1,619 annually.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 38,000
2001 Child Care -
2002 Client Housing Support 30,000 Client Housing Support Expenditures(SFC 70)
For cost of providing housing supports.including housing subsidies for permanent,
transitional and temporary housing:master leases;motel and other housing vouchers
and shelters;rental security deposits:first and last month rental payments;and
eviction prevention and other fiscal housing supports.
Estimated @$30,000 annually.
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 2,500 Clothing,Food&Hygiene(SFC 72)
To provide supports to clients,which may include food vouchers and other items
necessary for daily living(such as,clothing,hygiene,etc.).Estimated @$2,500 annually
2005 Education Support -
2006 Employment Support -
2007 Household Items for Clients 1,500 Household Items(SFC 72)
To provide supports for clients with household items need.Estimated at$1,500
2008 Medication Supports -
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Client Flexible Support Expenditure Support 4,000 Client Flexible Support Expenditures Support(SFC 72)
To provide supports to clients and their caregivers,may include vouchers,goods,
services,and other family support services.Also maybe use for personal/community
integration to assist clients in achieving their treatment goals and in supporting their
integration into the larger community.Items may include,but are not limited to
socialization and recreational activities.This funding may also be used for medical,
dental and optical care,prescriptions,and laboratory tests when the client does not
have insurance to pay for such care.Estimated @$4,000 annually
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 22,044
3001 Telecommunications 2,670 Telephone
Telephone(include local,long distance,cell phone,and internet services), Internet
cost,and installment fees is estimated @ $222.50/month x 12 months=$2,670.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f712020
Page 87 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCT# LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
3002 Postage 61 Postage
Postage&Delivery cost are estimated @$5.08/month x 12 months=$61
3003 Office,Household&Program Supplies 2,540 Office Supplies&Equipment-Includes:general office supplies,toner,papers,office
decor,water service,sanitizing material,background checks,costs are estimated @
$211.67/mon.x 12 months=$2,540.
3004 Advertising -
3005 Staff Development&Training -
3006 Staff Mileage 2,138 Mileage reimbursement for local travel for staff to pick-up clients,home visit,and
attend meeting/trainings,maintenance for gas,vehicle maintenance,registrations,and
insurance for 3 cars estimated @$178.17/mon.x 12 months=$2,138.Mileage
reimbursement rate is base off from the IRS rate.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance
3009 Program Supplies-Therapeutic 1,269 Program Supplies-Therapeutic Supplies-will be used to carry out activities for family,
group,and individual.Supplies may include but are not limited to:Wellness kits,arts
and craft supplies,etc.estimated @105.75/mon.x 12 months=$1,269.
3010 IT Support&Upgrades 2,707 IT Support&Upgrades
IT Support services,upgrades cost is estimated @$225.56/month x 12 months=
$2,707.
3011 Printing/Reproduction 659 Printing/Reproduction:in-house printing,flyers,handouts,workshop information,
binding,brochures,etc.,estimates @55.25/mon.x 12 months=$663.
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 23,884
4001 Building Maintenance 3,570 Building Maintenance includes janitorial services,pest control,material,AC services,
and other maintenance cost are estimated @$297.50/month x 12 months=$3,570.
4002 Rent/Lease Building 16,948 Office Lease cost are estimated @ 6,700 sq.ft.@$1.24/sq.ft.x 12 months x 17%=
$16,948
4003 Rent/Lease Equipment 1,020 Lease copy machines cost are estimated @$705.50/month x 12 months=$1020..
4004 Rent/Lease Vehicles
4005 Security -
4006 Utilities 2,346 Utilities cost is estimated @$195.50/month x 12 months=$2,346.
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES -
5001 Consultant(Network&Data Management)
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
6000:INDIRECT EXPENSES 54,290
6001 Administrative Overhead 48,952 Administration Overhead includes salaries and benefits for the Executive Director,
6002 Professional Liability Insurance 850 Professional Liability Insurance cost is estimated at$70.83/month x 12 months=$850
6003 Accounting/Bookkeeping 680 External Accounting/Bookkeeping consultant estimated at$680 annual
6004 External Audit 1,020 External Audit perform byconsultant cost is estimated annually @$1,020
6005 Insurance(Specify): 1,700 General liability insurance cost is estimated at$141.67/month x 12 months=$1,700.
6006 Payroll Services 1,088 Outside payroll services and fees cost is estimated$90.67/month x 12 months=
$1,088.
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 1 Other(specify)
7000:DIRECT FIXED ASSETS -
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain
7003 Furniture&Fixtures
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217I2020
Page 88 of 88 Revised Exhibit E-1
PROGRAM EXPENSE
ACCi# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
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: 467,023
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 467,023
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020