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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. 21 1H 22 1H 23 1H 24 1H 25 1H 26 1H 27 1H 28 1H 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 22 23 24 25 26 27 28 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