HomeMy WebLinkAboutAgreement A-23-314 Amendment III to Agreement with MHS.pdf Agreement No. 23-314
1 AMENDMENT III TO AGREEMENT
2 THIS AMENDMENT (hereinafter "Amendment III") is made and entered into this 20th day of
3 June , 2023, by and between COUNTY OF FRESNO, a Political Subdivision of the State of
4 California, Fresno, California (hereinafter "COUNTY"), and MENTAL HEALTH SYSTEMS, INC., a
5 California non-profit corporation, whose address is 9465 Farnham Street, San Diego, California,
6 92123, (hereinafter "CONTRACTOR").
7 WITNESSETH:
8 WHEREAS, COUNTY and CONTRACTOR, entered into Agreement No. A-18-622, effective
9 November 1, 2018, as amended by Amendment No. 18-622-1, effective January 1, 2019, and as
10 amended by Amendment No. 18-622-2, effective July 1, 2022, hereinafter collectively referred to as
11 "Agreement", pursuant to which CONTRACTOR agreed to provide mental health and substance use
12 disorder (SUD) treatment services to youths incarcerated at the Fresno County Juvenile Justice
13 Campus (JJC), and SUD treatment services for youths and their families referred by Fresno County
14 Juvenile Drug Court, and SUD treatment services for youths released from the JJC; and
15 WHEREAS, Senate Bill (SB) 823 formalized juvenile justice realignment at the state level by
16 transferring responsibility of care, custody and supervision of youths whose case originated in juvenile
17 court to county juvenile facilities until they turn twenty-five (25) years of age; and
18 WHEREAS, CONTRACTOR is qualified and able to provide said services to all youth
19 incarcerated at JJC, and is willing to coordinate with COUNTY's Probation Department and its other
20 juvenile justice realignment providers for group interventions and related case management services;
21 and
22 WHEREAS, CONTRACTOR and COUNTY wish to extend the agreement three (3) months
23 with an optional three (3) month extension, and increase the maximum compensation for the
24 agreement to compensate CONTRACTOR for the extended term provided by this Amendment III. The
25 CONTRACTOR will no longer be providing services for Juvenile Drug Court and Post-Release
26 Outpatient Program Services for the extended term.
27 WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement regarding the
28 changes as stated below.
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1 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which
2 is hereby acknowledged, the COUNTY and CONTRACTOR agree as follows:
3 1. Juvenile Drug Court Services and Post-Release Outpatient Program Services will not
4 be provided for the extension terms provided by this Amendment III. The Section titled "JUVENILE
5 DRUG COURT SOW ILA)" on Page 12 through Page 16 of Revised Exhibit A-1 is deleted in its
6 entirety. The Section titled "POST RELEASE OUTPATIENT PROGRAM SERVICES (PROPS) (SOW
7 11.C)" on Page 29 through Page 35 of Revised Exhibit A-1 is deleted in its entirety.
8 2. That the following be added to Agreement No. 18-622, Section Two (2) "Term", on
9 Page Four (4), Line Twenty-One (21) after the sentence ending with the word "performance":
10 "The term of this Agreement shall be extended for an additional three (3) month period
11 beginning July 1, 2023 and shall terminate September 30, 2023. This Agreement may be extended for
12 an additional three (3) month period upon written approval of both parties at least thirty (30) days prior
13 to the first day of the extension period. The COUNTY's DBH Director or designee is authorized to sign
14 the written approval on behalf of COUNTY based on CONTRACTOR's satisfactory performance."
15 3. That Agreement No. 18-622, Section Four (4) "Compensation", on Page Six (5),
16 beginning Line Twenty-Six (26) with the word "JJC SAU" and ending on Page Six (6), Line Seventeen
17 (17) with the year "2023" be deleted and the following inserted in its place:
18 "JJC SAU — For claims submitted for SUD and Mental Health Services rendered to
19 incarcerated youth at the JJC SAU under this Agreement, COUNTY agrees to pay CONTRACTOR
20 and CONTRACTOR agrees to receive compensation based on CONTRACTOR's annual (or prorated)
21 cost for a maximum not to exceed Four Hundred Thousand and No/100 Dollars ($400,000.00) for the
22 first contract period ending June 30, 2019; and not to exceed a yearly maximum of Six Hundred
23 Thousand and No/100 Dollars ($600,000.00) for each subsequent twelve (12) month period, as set
24 forth in the Fiscal Year budgets, Exhibit F-1 and Exhibit F-2 to this Agreement. The maximum
25 compensation for period July 1, 2023 to September 30, 2023 is not to exceed One Hundred Fifty
26 Thousand and No/100 Dollars ($150,000.00), and not to exceed as One Hundred Fifty Thousand and
27 No/100 Dollars ($150,000.00) for the subsequent three (3) month period if performance standards are
28 met, as set forth in the budgets attached and incorporated as Exhibit F-5 and Exhibit F-6 to this
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1 Agreement.
2 New Horizons Program — For claims submitted for intensive SUD and Mental Health
3 Services rendered to incarcerated youth at the JJC New Horizons Program under this Agreement,
4 COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to receive compensation based
5 on CONTRACTOR's annual (or prorated) cost for a maximum not to exceed Four Hundred Thousand
6 and No/100 Dollars ($400,000.00) for the first contract period ending June 30, 2019; and not to exceed
7 a yearly maximum of Six Hundred Thousand and No/100 Dollars ($600,000.00) for each subsequent
8 twelve (12) month period, as set forth in the Fiscal Year budgets, Exhibit F-1 and Exhibit F-2 to this
9 Agreement. The maximum compensation for period July 1, 2023 to September 30, 2023 is not to
10 exceed Seventy-Five Thousand and No/100 Dollars ($75,000.00), and not to exceed Seventy-Five
11 Thousand and No/100 Dollars ($75,000.00) for the subsequent three (3) month period if performance
12 standards are met, as set forth in the budgets attached and incorporated as Exhibit F-7 to this
13 Agreement.
14 JDC and PROPS: For claims submitted under this Agreement for Court-ordered
15 outpatient SUD treatment services and outpatient services upon release from the SAU, COUNTY
16 agrees to pay CONTRACTOR and CONTRACTOR agrees to receive compensation in excess of the
17 amounts reimbursed by DMC and non-DMC based on CONTRACTOR's annual (or prorated) cost up
18 to a maximum of Seventy-Three Thousand, Three Hundred Thirty-Three and No/100 Dollars
19 ($73,333.00) for the first contract period ending June 30, 2019; and up to a maximum of One Hundred
20 Ten Thousand and No/100 Dollars ($110,000.00) for each subsequent twelve (12) month period, as
21 set forth in the Fiscal Year budgets, Exhibit F-4 to this Agreement.
22 In no event shall the total compensation for actual services performed under this
23 Agreement be in excess of Six Hundred Seventy-Three Thousand Three Hundred Thirty-Three and
24 No/Dollars ($673,333.00) for the period between November 1, 2018 and June 30, 2019. In no event
25 shall the total compensation for actual services performed under this Agreement be in excess of One
26 Million Ten Thousand and No/Dollars ($1,010,000.00) for each twelve-month period between July 1,
27 2019 through June 30, 2023. In no event shall the total compensation for actual services performed
28 under this Agreement be in excess of Two Hundred Twenty-Five Thousand and No/100 ($225,000.00)
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1 for the period between July 1, 2023 and September 30, 2023, and be in excess of Two Hundred
2 Twenty-Five Thousand and No/100 ($225,000.00) for the subsequent three month period between
3 October 1, 2023 and December 31, 2023."
4 4. That all references in the Agreement to "Exhibits F-1 through F-3" shall be deemed
5 references to "Exhibit F-1 et seq."
6 5. That the County Agreement 18-622, Section Fifteen (15), MODIFICATION, on Page
7 Twenty-One (21), beginning on Line Three (3) with the word "Any" and ending on Line Fifteen (15) with
8 the word "agreement" shall be deleted in its entirety and replaced with the following:
9 "Except as provided in Section Three (3), "TERMINATION," this Agreement may not be
10 modified, and no waiver is effective, except by written agreement signed by both parties. The
11 CONTRACTOR acknowledges that COUNTY employees have no authority to modify this Agreement
12 except as expressly provided in this Agreement.
13 A. Notwithstanding the above, non-material changes to services, staffing, and
14 responsibilities of the CONTRACTOR, as needed, to accommodate changes in the laws relating to
15 mental health and substance use disorder service requirements, may be made with the signed written
16 approval of COUNTY's DBH Director, or designee, and CONTRACTOR through an amendment
17 approved by COUNTY's County Counsel and the County's Auditor-Controller/Treasurer-Tax
18 Collector's Office. Said modifications shall not result in any change to the maximum compensation
19 amount payable to CONTRACTOR, as stated herein.
20 B. In addition, changes to line item and expense category subtotals, as set forth in
21 Exhibit F-1 et seq., that when added together during the term of the agreement do not exceed ten
22 percent (10%) of the total maximum compensation payable to CONTRACTOR, may be made with the
23 written approval of CONTRACTOR and COUNTY's DBH Director or designee. Said modifications shall
24 not result in any change to the maximum compensation amount payable to CONTRACTOR, as stated
25 herein."
26 6. That the County Agreement 18-622, Section Sixteen (16), INSURANCE, on Page
27 Twenty-One (21), beginning on Line Seventeen (17) with the word "Without" and ending on Page
28 Twenty-Three (23), Line 17 with the word "better" shall be deleted in its entirety and replaced with the
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1 following:
2 "CONTRACTOR shall comply with all the insurance requirements in Exhibit O to this
3 Agreement. Exhibit O is attached and incorporated by this reference."
4 6. That the County Agreement 18-622, Section Seventeen (17), HOLD HARMLESS, on
5 Page Twenty-Three (23), beginning on Line Nineteen (19) with the word "CONTRACTOR" and ending
6 on Line Twenty-Eight (28) shall be deleted it in its entirety and replaced with the following:
7 "A. The CONTRACTOR shall indemnify and hold harmless and defend the County
8 (including its officers, agents, employees, and volunteers) against all claims, demands, injuries,
9 damages, costs, expenses (including attorney fees and costs), fines, penalties, and liabilities of any
10 kind to the County, the CONTRACTOR, or any third party that arise from or relate to the performance
11 or failure to perform by the CONTRACTOR (or any of its officers, agents, subcontractors, or
12 employees) under this Agreement. The County may conduct or participate in its own defense without
13 affecting the CONTRACTOR's obligation to indemnify and hold harmless or defend the County.
14 B. This Section 17 survives the termination of this Agreement."
15 7. That the County Agreement 18-622, Section Twenty-Five (25), on Page 32, beginning
16 on Line Two (2) with the word "For" and ending on Page Thirty-Three, Line Fifteen (15) with the word
17 "notification" shall be deleted in its entirety and replaced with the following:
18 "CONTRACTOR shall comply with all the data security requirements in Exhibit P to this
19 Agreement. Exhibit P is attached and incorporated by this reference."
20 8. COUNTY and CONTRACTOR agree that this Amendment III is sufficient to amend the
21 Agreement and, that upon execution of this Amendment III, the Agreement, Amendment I, Amendment
22 ll, and this Amendment III together shall be considered the Agreement.
23 The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
24 covenants, conditions, and promises contained in the Agreement and not amended herein shall
25 remain in full force and effect. This Amendment III shall become effective July 1, 2023.
26
27
28
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I EXECUTED AND EFFECTIVE as of the date first above Set forth.
2
3 CONTRACTOR: COUNTY OF FRESNO
4 MENTAL HEALTH SYSTEMS. INC.
5 , QyQCCa&aj�=,,7F
JamBb C CAIIAghar 11 1 May 11"'Ut 14AI tD T:
g (Authorized Signature) Sal=uiro, hairman of the Board of
JarnEs C Callaghan Jr CE02Preaident Suphe County of Fresno
7
Print Name&Titte
8 ATTEST:
Bernice E.Seidel
9 Clerk of the Board of Supervisors
10 County of Fresno, State of California
11 By
12 Deputy
13
14
15
16 FOR ACCOUNTING USE ONLY:
17 Fund/Subclass: 0001/10000
Organization: 56302081 (SUD), 56302-235 (MH)
18 Account 7295
19
20
21
22
23
24
25
26
27
28
-6-
Exhibit F-5
JJC SUD(FF-SAU)
Mental Health Systems,Inc.
Fiscal Year(FY)2023-24(July-September 2023)
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Program Manager 0.20 $ 4,160 $ 4,160
1102 Administrative Assistant 0.25 3,250 3,250
1103 Vice President 0.07 2,257 2,257
1104 Program Analyst 0.07 1,313 1,313
1105 Compliance Specialist 0.07 1,165 1,165
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.66 $ 12,144 $ 12,144
Acct# Program Position FTE Admin Program Total
1116 Clinical Supervisor 0.01 $ 226 $ 226
1117 Supervising Counselor 1.00 13,520 13,520
1118 SLID Counselor 1.00 13,520 13,520
1119 Family Support Partner 0.50 6,240 6,240
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 2.51 $ 33,506 $ 33,506
Admin Program Total
Direct Personnel Salaries Subtotal 3.17 $ 12,144 $ 33,506 $ 45,650 $ 0.00
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement 486 1340 1826
1202 Worker's Compensation 73 200 273
1203 Health Insurance 2248 6202 8450
1204
1205 Life Insurance 12 34 46
1206 1 Other(specify) 01 0
Direct Employee Benefits Subtotal: $ 2,819 $ 7,777 $ 10,595
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - $ -
1302 FICA/MEDICARE 929 2,563 3,492
1303 SUI 182 503 685
1304 Other(specify) - - -
1305 Other(specify)
F5-1
Exhibit F-5
1306 10ther(specify) -1 0.00
Direct Payroll Taxes&Expenses Subtotal: 1 $ 1,111 $ 3,066 1 $ 41177
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 16,074 $ 44,349 $ 60,423
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
23% 23%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 250
2005 Education Support 128
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(specify)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL 1$ 378
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 348
3002 Printing/Postage 68
3003 Office,Household&Program Supplies 366
3004 Advertising
3005 Staff Development&Training 203
3006 Staff Mileage 125
3007 ISubscriptions&Memberships
3008 Vehicle Maintenance
3009 Staff Travel-Out of County 125
3010 Licenses/Software 1,210
3011 Other Business Services 1,774
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 4,219
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 jUtilities
4007 Minor equipment purchases and equipment repair/maintenance 142
4008 Vehicle Insurance
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL: $ 142
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 113
F5-2
Exhibit F-5
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 113
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate 9,726
Administrative Overhead
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes)
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 9,726
INDIRECT COST RATE 14.90%
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 jAssets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ -
TOTAL PROGRAM EXPENSES 1 $ 75,000
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services $
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Non-Billable
8010 Other(Specify)
Estimated Specialty Mental Health Services Billing Totals: 1 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Federal Financial Participation(FFP)
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 ISABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
F5-3
Exhibit F-5
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ 75,000
REALIGNMENT TOTAL $ 75,000
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees
8402 Client Insurance
8403 American Rescue Plan Act(ARPA)Grant
8404 Other Revenue
8405 Client Rent Income
OTHER REVENUE TOTAL $ -
TOTAL PROGRAM FUNDING SOURCES: $ 75,000
NET PROGRAM COST: $ 0
F5-4
Exhibit F-5
ASSISTED OUTPATIENT TREATMENT SERVICES
Mental Health Systems,Inc.
Fiscal Year(FY)2023-24(July-September 2023)
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled out
Position
Family Support Partner
Family Support Partner 18-622-1/New Horizons/DBH/Fresno County 0.50
Family Support Partner 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.50
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Clinical Supervisor
Clinical Supervisor 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.30
Clinical Supervisor 18-622-1/New Horizons/DBH/Fresno County 0.32
Clinical Supervisor 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.01
Clinical Supervisor A-16-360/FAA/DBH/Fresno County 0.10
Clinical Supervisor 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.05
Clinical Supervisor 762-2019/Kern ACTION/Kern 0.22
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Program Manager
Program Manager 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.27
Program Manager 18-622-1/New Horizons/DBH/Fresno County 0.15
Program Manager 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.20
Program Manager A-16-360/FAA/DBH/Fresno County 0.25
Program Manager 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.10
Program Manager Recovery Residence(Fresno) 0.03
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Administrative Assistant
Administrative Assistant 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.10
Administrative Assistant 18-622-1/New Horizons/DBH/Fresno County 0.07
Administrative Assistant 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.25
Administrative Assistant A-16-360/FAA/DBH/Fresno County 0.20
Administrative Assistant 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.20
Administrative Assistant KIND Center(Kings) 0.18
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Program Analyst
F5-5
Exhibit F-5
Program Analyst 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.07
Program Analyst 18-622-1/New Horizons/DBH/Fresno County 0.07
Program Analyst 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.07
Program Analyst 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.07
Program Analyst A-16-360/FAA/DBH/Fresno County 0.07
Program Analyst KIND Center(Kings) 0.07
Program Analyst Kings County Act(Kings) 0.07
Program Analyst 762-2019/Kern ACTION/Kern 0.07
Program Analyst 20-014/I1VIPACT MH/DBH/Fresno 0.07
Program Analyst 20-014/I1VIPACT SUD/DBH/Fresno 0.07
Program Analyst Eden House(County of Tulare) 0.09
Program Analyst 20-216/DART West/DBH/Fresno 0.07
Program Analyst FRC(San Diego) 0.07
Program Analyst 565056 TRC North Central(San Diego) 0.07
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Vice President
Vice President 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DD-SAU) 0.10
Vice President 18-622-1/New Horizons/DBH/Fresno County 0.07
Vice President 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.07
Vice President 20-014/I1VIPACT MH/DBH/Fresno 0.09
Vice President 20-014/I1VIPACT SUD/DBH/Fresno 0.01
Vice President Casa Aurora/CDCR 0.27
Vice President 20-216/DART West/DBH/Fresno 0.35
Vice President 762-2019/Kern ACTION/Kern 0.04
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Compliance Specialist
Compliance Specialist 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.17
Compliance Specialist 18-622-1/New Horizons/DBH/Fresno County 0.17
Compliance Specialist 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.07
Compliance Specialist 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.06
Compliance Specialist A-16-360/FAA/DBH/Fresno County 0.05
Compliance Specialist 20-014/I1VIPACT MH/DBH/Fresno 0.09
Compliance Specialist Fresno Triage/Fresno City 0.14
Compliance Specialist 19-258/Fresno Bridge/Fresno County 0.12
Compliance Specialist 18-692/Fresno First/DBH/Fresno County 0.13
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
F5-6
Exhibit F-5
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
F5-7
Exhibit F-5
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
F5-8
Exhibit F-5
ASSISTED OUTPATIENT TREATMENT SERVICES
Mental Health Systems,Inc.
Fiscal Year(FY)2023-24(July-September 2023) Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM I AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 60,423
Administrative Positions 12,144
1101 Program Manager 4,160 The Program Manager is responsible for the overall operation of the program.
1102 Administrative Assistant 3,250 This position provides clerical support for the program.The position consists of typical
administrative support duties and responsibilities such as typing,filing,answering
phones,preparing reports,and sorting mail.
1103 Vice President 2,257 The Vice President is responsible for the oversight and management responsibility of all
assigned programs operated by MHS in a designated region including contract
compliance,performance outcomes,administrative and clinical supervision,budgetary
compliance,financial performance,and community outreach.This position shares
allocations across several programs.
1104 Program Analyst 1,313 This position is responsible for analyzing contract cost and production data,
communicating irregularities,ensuring fiscal contract compliance,preparing and
submitting monthly contract billings,responding to audit requests,and other
program/contract related ad hoc reporting.Other duties include budget development,
budget analysis and review,preparing and reviewing contract billings,and contract
compliance for assigned contracts/programs.
1105 Compliance Specialist 1,165 The Compliance Specialist develops and maintains systems to ensure appropriate
documentation is completed within the program.The specialist also performs other
duties,as assigned by the Program Manager to ensure overall program compliance and
quality assurance within the program.The range of authority and decision making for
this position is limited to and consistent with MHS policy for administrative line staff.
1106 #REFI -
1107 #REFI -
1108 #REFI -
1109 #REFI -
1110 #REFI -
1111 #REFI -
1112 #REFI -
1113 #REFI -
1114 #REFI -
1115 I#REFI -
Program Positions 33,506
1116 Clinical Supervisor 226 The Clinical Supervisor is responsible for all program clinical supervision,clinical
assessment guidelines,clinical assessment guideline review,in-service training and
clinical consultation with staff.The range of authority and decision making for this
position is limited to and consistent with MHS Policy for Clinical Supervisor staff.
1117 Supervising Counselor 13,520 Acts as a supervising Substance Abuse Counselors interact with residents on a day-to-
day basis providing individual and group counseling.The Substance Abuse Counselors
provide residents with orientation,training,substance abuse recovery skills and
information,and leadership necessary to provide them with the ability to recover from
substance abuse addiction.
1118 SLID Counselor 13,520 The Substance Abuse Counselors interact with residents on a day-to-day basis providing
individual and group counseling.The Substance Abuse Counselors provide residents
with orientation,training,substance abuse recovery skills and information,and
leadership necessary to provide them with the ability to recover from substance abuse
addiction.
1119 Family Support Partner 6,240 The Family Support Specialist serves as a member of a multidisciplinary team and
shares practical and personal experience,knowledge and insight related to illness
management,life skills,and the lifelong process of recovery.The Family Support
Specialist actively promotes greater understanding of clients'points of view and
preferences.He or she maximizes client choice while also advocating on behalf of
clients when appropriate.The Family Support Specialist also fulfills duties related to
supportive counseling,rehabilitation,and collateral interactions with natural supports.
1120 #REFI -
1121
1122
1123
1124
1125
F5-9
Exhibit F-5
1126
1127
1128
1129
1130
1131
1132
1133
1134 0
Direct Employee Benefits 10,595
1201 Retirement 1,826 Calculated at 4%of direct salaries
1202 Worker's Compensation 273 Calculated at 0.60%of direct salaries based on the W/C Insurance Factors received for
FY 21/22
1203 Health Insurance 8,450 Currently budgeting 16.04%of Direct Salaries-this can be higher or lower depending on
individual employee actual elections on coverage.The budgeted percentage is based on
historial average trend.
1204 -
1205 Life Insurance 46 Budgeting at$0.61/pay period per FTE
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 4,177
1301 OASDI - Included with#1302
1302 FICA/MEDICARE 3,492 Social Security+Medicare Tax=7.65%of Direct Salaries
1303 SUI 685 Calculated at 1.5%of Direct Salaries based on historical average and updated factor
projections from insurance
1304 Other(specify) -
1305 Other(specify) -
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 378
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 250 Cost of providing clothing,food,hygiene,and similar support to clients.
2005 Education Support 128 cost of providing wraparound service care related to client educational goals and needs
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Other(specify) -
2012 Other(specify) -
2013 Other(specify) -
2014 Other(specify) -
2015 Other(specify) -
2016 Other(specify) -
3000:DIRECT OPERATING EXPENSES 4,219
3001 Telecommunications 348 Recurring costs of phone services,cell phones,laptop data/internet device,and internet
services.Also covers the monthly user fees for the MS Teams
3002 Printing/Postage 68 Covers the cost of brochures,business cards,employment announcements,other
program printing needs,postage and freight expenses.
3003 Office,Household&Program Supplies 366 Office supplies utilized for program operation,including paper,pens,pencils,folders,
staples,paper clips,printer cartridges,binders,folder tabs,client chart supplies.
Housekeeping supplies such as cleaning products,bathroom products,non stationary
paper goods,cleaning,and trash supplies.Recreational/occupational therapy supplies
used by clients for their treatment plan.
3004 Advertising -
3005 Staff Development&Training 203 Staff development/training costs include CPR and First Aid trainings for staff,MHS
course requirements(via Relias platform),and registrations for staff development and
trainings held in collaboration with the program's mission(Forensic Mental Health,
Evidence-based Trainings,etc.).
3006 Staff Mileage 125 In-County mileage reimbursements of staff(without clients)traveling to and from
events,meetings and trainings in conjunction with program operations and
responsibilities.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance -
3009 Staff Travel-Out of County 125 Out of county travel related to PM/VP traveling to San Diego for required training and
events
F5-10
Exhibit F-5
3010 Licenses/Software 1,210 Fresno County EHR system:Avatar expenses per user based on published County rates.
Welligent Licenses for 3rd party billing and outcomes tracking,Department Of Motor
Vehicles registration renewals.
IT related user(FTE)license and software expenses like Microsoft license,Cloud
Services,IT Threat Protection Services and other IT user licenses necessary for program
operations.Software expenses included here are for access to software platforms,not
for the acquistion or build out of software assets(RE:#7001).
3011 Other Business Services 1,774 Associated costs for hiring of new employees such as TB screenings,assessments,drug
screenings,background checks,and fingerprinting.When TB tests and drug tests are
required for current employess,those expenses would be included here.Also includes
the cost of movers,HIPPA shredding costs&client file storage retrieval costs,Monthly
user fees for Common Ground Software(for client support and treatment),payee
services,and other necessary and allowable costs for program operations that do not fit
clearly in other budgeted line items.
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 142
4001 Building Maintenance -
4002 Rent/Lease Building -
4003 Rent/Lease Equipment -
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities -
4007 Minor equipment purchases and equipment 142 Equipment repairs/maintenance that encompass the cost of a maintenance contract for
repair/maintenance the copier,monitoring of internet firewall,and the repair of other equipment not
covered by maintenance agreements such as computers,printers,and telephones.Also
covers the cost of maintenance and repair on the leased vehicles,not covered by the
lease agreement.
Minor equipment replacement of existing equipment that in the normal course of use is
worn out and either cannot be repaired or is not practical to have repaired and the
purchase of minor equipment necessary to program operations.
4008 Vehicle Insurance -
4009 Other(specify) -
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 113
5001 Consultant(Network&Data Management) -
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services(Specify) -
5004 Translation Services 113 Estimated cost of providing interpreters when there isn't a bilingual staff available.
Actual costs might come in higher depending on clients and their needs.
5005 Other(specify) -
5006 Other(specify) -
5007 Other(specify) -
5008 Other(specify) -
6000:INDIRECT EXPENSES 9,726
6001 Administrative Overhead 9,726 Indirect/administrative expense per Federally approved Indirect Rate of 14.9%.
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Specify): -
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(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 HIPAA -
7003 Furniture&Fixtures -
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify) -
7007 Other(specify) -
F5-11
Exhibit F-5
7008 Other(specify) -
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED
BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 75,000
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 75,000
BUDGET CHECK: TRUE
F5-12
Exhibit F-5
JJC SUD(FF-SAU)
Mental Health Systems,Inc.
Fiscal Year(FY)2023-24(October-December 2023)
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Program Manager 0.20 $ 4,160 $ 4,160
1102 Administrative Assistant 0.25 3,250 3,250
1103 Vice President 0.07 2,257 2,257
1104 Program Analyst 0.07 1,313 1,313
1105 Compliance Specialist 0.07 1,165 1,165
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.66 $ 12,144 $ 12,144
Acct# Program Position FTE Admin Program Total
1116 Clinical Supervisor 0.01 $ 226 $ 226
1117 Supervising Counselor 1.00 13,520 13,520
1118 SLID Counselor 1.00 13,520 13,520
1119 Family Support Partner 0.50 6,240 6,240
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 2.51 $ 33,506 $ 33,506
Admin Program Total
Direct Personnel Salaries Subtotal 3.17 $ 12,144 $ 33,506 $ 45,650 $ 0.00
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement 486 1340 1826
1202 Worker's Compensation 73 200 273
1203 Health Insurance 2248 6202 8450
1204
1205 Life Insurance 12 34 46
1206 1 Other(specify) 01 0
Direct Employee Benefits Subtotal: $ 2,819 $ 7,777 $ 10,595
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - $ -
1302 FICA/MEDICARE 929 2,563 3,492
1303 SUI 182 503 685
1304 Other(specify) - -
1305 Other(specify)
F5-13
Exhibit F-5
1306 10ther(specify) -1 0.00
Direct Payroll Taxes&Expenses Subtotal: 1 $ 1,111 $ 3,066 1 $ 41177
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 16,074 $ 44,349 $ 60,423
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
23% 23%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 250
2005 Education Support 128
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(specify)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL 1$ 378
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 348
3002 Printing/Postage 68
3003 Office,Household&Program Supplies 366
3004 Advertising
3005 Staff Development&Training 203
3006 Staff Mileage 125
3007 ISubscriptions&Memberships
3008 Vehicle Maintenance
3009 Staff Travel-Out of County 125
3010 Licenses/Software 1,210
3011 Other Business Services 1,774
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 4,219
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 jUtilities
4007 Minor equipment purchases and equipment repair/maintenance 142
4008 Vehicle Insurance
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:1$ 142
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 113
F5-14
Exhibit F-5
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 113
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate 9,726
Administrative Overhead
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes)
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 9,726
INDIRECT COST RATE 14.90%
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 jAssets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ -
TOTAL PROGRAM EXPENSES 1 $ 75,000
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services $
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Non-Billable
8010 Other(Specify)
Estimated Specialty Mental Health Services Billing Totals: 1 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Federal Financial Participation(FFP)
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 ISABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
F5-15
Exhibit F-5
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ 75,000
REALIGNMENT TOTAL $ 75,000
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees
8402 Client Insurance
8403 American Rescue Plan Act(ARPA)Grant
8404 Other Revenue
8405 Client Rent Income
OTHER REVENUE TOTAL $ -
TOTAL PROGRAM FUNDING SOURCES: $ 75,000
NET PROGRAM COST: $ 0
F5-16
Exhibit F-5
ASSISTED OUTPATIENT TREATMENT SERVICES
Mental Health Systems,Inc.
Fiscal Year(FY)2023-24(October-December 2023)
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled out
Position
Family Support Partner
Family Support Partner 18-622-1/New Horizons/DBH/Fresno County 0.50
Family Support Partner 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.50
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Clinical Supervisor
Clinical Supervisor 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.30
Clinical Supervisor 18-622-1/New Horizons/DBH/Fresno County 0.32
Clinical Supervisor 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.01
Clinical Supervisor A-16-360/FAA/DBH/Fresno County 0.10
Clinical Supervisor 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.05
Clinical Supervisor 762-2019/Kern ACTION/Kern 0.22
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Program Manager
Program Manager 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.27
Program Manager 18-622-1/New Horizons/DBH/Fresno County 0.15
Program Manager 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.20
Program Manager A-16-360/FAA/DBH/Fresno County 0.25
Program Manager 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.10
Program Manager Recovery Residence(Fresno) 0.03
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Administrative Assistant
Administrative Assistant 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.10
Administrative Assistant 18-622-1/New Horizons/DBH/Fresno County 0.07
Administrative Assistant 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.25
Administrative Assistant A-16-360/FAA/DBH/Fresno County 0.20
Administrative Assistant 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.20
Administrative Assistant KIND Center(Kings) 0.18
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Program Analyst
F5-17
Exhibit F-5
Program Analyst 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.07
Program Analyst 18-622-1/New Horizons/DBH/Fresno County 0.07
Program Analyst 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.07
Program Analyst 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.07
Program Analyst A-16-360/FAA/DBH/Fresno County 0.07
Program Analyst KIND Center(Kings) 0.07
Program Analyst Kings County Act(Kings) 0.07
Program Analyst 762-2019/Kern ACTION/Kern 0.07
Program Analyst 20-014/I1VIPACT MH/DBH/Fresno 0.07
Program Analyst 20-014/I1VIPACT SUD/DBH/Fresno 0.07
Program Analyst Eden House(County of Tulare) 0.09
Program Analyst 20-216/DART West/DBH/Fresno 0.07
Program Analyst FRC(San Diego) 0.07
Program Analyst 565056 TRC North Central(San Diego) 0.07
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Vice President
Vice President 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DD-SAU) 0.10
Vice President 18-622-1/New Horizons/DBH/Fresno County 0.07
Vice President 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.07
Vice President 20-014/I1VIPACT MH/DBH/Fresno 0.09
Vice President 20-014/I1VIPACT SUD/DBH/Fresno 0.01
Vice President Casa Aurora/CDCR 0.27
Vice President 20-216/DART West/DBH/Fresno 0.35
Vice President 762-2019/Kern ACTION/Kern 0.04
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Compliance Specialist
Compliance Specialist 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.17
Compliance Specialist 18-622-1/New Horizons/DBH/Fresno County 0.17
Compliance Specialist 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.07
Compliance Specialist 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.06
Compliance Specialist A-16-360/FAA/DBH/Fresno County 0.05
Compliance Specialist 20-014/I1VIPACT MH/DBH/Fresno 0.09
Compliance Specialist Fresno Triage/Fresno City 0.14
Compliance Specialist 19-258/Fresno Bridge/Fresno County 0.12
Compliance Specialist 18-692/Fresno First/DBH/Fresno County 0.13
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
F5-18
Exhibit F-5
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
F5-19
Exhibit F-5
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
F5-20
Exhibit F-5
ASSISTED OUTPATIENT TREATMENT SERVICES
Mental Health Systems,Inc.
Fiscal Year(FY)2023-24(October-December 2023) Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM I AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 60,423
Administrative Positions 12,144
1101 Program Manager 4,160 The Program Manager is responsible for the overall operation of the program.
1102 Administrative Assistant 3,250 This position provides clerical support for the program.The position consists of typical
administrative support duties and responsibilities such as typing,filing,answering
phones,preparing reports,and sorting mail.
1103 Vice President 2,257 The Vice President is responsible for the oversight and management responsibility of all
assigned programs operated by MHS in a designated region including contract
compliance,performance outcomes,administrative and clinical supervision,budgetary
compliance,financial performance,and community outreach.This position shares
allocations across several programs.
1104 Program Analyst 1,313 This position is responsible for analyzing contract cost and production data,
communicating irregularities,ensuring fiscal contract compliance,preparing and
submitting monthly contract billings,responding to audit requests,and other
program/contract related ad hoc reporting.Other duties include budget development,
budget analysis and review,preparing and reviewing contract billings,and contract
compliance for assigned contracts/programs.
1105 Compliance Specialist 1,165 The Compliance Specialist develops and maintains systems to ensure appropriate
documentation is completed within the program.The specialist also performs other
duties,as assigned by the Program Manager to ensure overall program compliance and
quality assurance within the program.The range of authority and decision making for
this position is limited to and consistent with MHS policy for administrative line staff.
1106 #REFI -
1107 #REFI -
1108 #REFI -
1109 #REFI -
1110 #REFI -
1111 #REFI -
1112 #REFI -
1113 #REFI -
1114 #REFI -
1115 I#REFI -
Program Positions 33,506
1116 Clinical Supervisor 226 The Clinical Supervisor is responsible for all program clinical supervision,clinical
assessment guidelines,clinical assessment guideline review,in-service training and
clinical consultation with staff.The range of authority and decision making for this
position is limited to and consistent with MHS Policy for Clinical Supervisor staff.
1117 Supervising Counselor 13,520 Acts as a supervising Substance Abuse Counselors interact with residents on a day-to-
day basis providing individual and group counseling.The Substance Abuse Counselors
provide residents with orientation,training,substance abuse recovery skills and
information,and leadership necessary to provide them with the ability to recover from
substance abuse addiction.
1118 SLID Counselor 13,520 The Substance Abuse Counselors interact with residents on a day-to-day basis providing
individual and group counseling.The Substance Abuse Counselors provide residents
with orientation,training,substance abuse recovery skills and information,and
leadership necessary to provide them with the ability to recover from substance abuse
addiction.
1119 Family Support Partner 6,240 The Family Support Specialist serves as a member of a multidisciplinary team and
shares practical and personal experience,knowledge and insight related to illness
management,life skills,and the lifelong process of recovery.The Family Support
Specialist actively promotes greater understanding of clients'points of view and
preferences.He or she maximizes client choice while also advocating on behalf of
clients when appropriate.The Family Support Specialist also fulfills duties related to
supportive counseling,rehabilitation,and collateral interactions with natural supports.
1120 #REFI -
1121
1122
1123
1124
1125
F5-21
Exhibit F-5
1126
1127
1128
1129
1130
1131
1132
1133
1134 0
Direct Employee Benefits 10,595
1201 Retirement 1,826 Calculated at 4%of direct salaries
1202 Worker's Compensation 273 Calculated at 0.60%of direct salaries based on the W/C Insurance Factors received for
FY 21/22
1203 Health Insurance 8,450 Currently budgeting 16.04%of Direct Salaries-this can be higher or lower depending on
individual employee actual elections on coverage.The budgeted percentage is based on
historial average trend.
1204 -
1205 Life Insurance 46 Budgeting at$0.61/pay period per FTE
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 4,177
1301 OASDI - Included with#1302
1302 FICA/MEDICARE 3,492 Social Security+Medicare Tax=7.65%of Direct Salaries
1303 SUI 685 Calculated at 1.5%of Direct Salaries based on historical average and updated factor
projections from insurance
1304 Other(specify) -
1305 Other(specify) -
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 378
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 250 Cost of providing clothing,food,hygiene,and similar support to clients.
2005 Education Support 128 cost of providing wraparound service care related to client educational goals and needs
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Other(specify) -
2012 Other(specify) -
2013 Other(specify) -
2014 Other(specify) -
2015 Other(specify) -
2016 Other(specify) -
3000:DIRECT OPERATING EXPENSES 4,219
3001 Telecommunications 348 Recurring costs of phone services,cell phones,laptop data/internet device,and internet
services.Also covers the monthly user fees for the MS Teams
3002 Printing/Postage 68 Covers the cost of brochures,business cards,employment announcements,other
program printing needs,postage and freight expenses.
3003 Office,Household&Program Supplies 366 Office supplies utilized for program operation,including paper,pens,pencils,folders,
staples,paper clips,printer cartridges,binders,folder tabs,client chart supplies.
Housekeeping supplies such as cleaning products,bathroom products,non stationary
paper goods,cleaning,and trash supplies.Recreational/occupational therapy supplies
used by clients for their treatment plan.
3004 Advertising -
3005 Staff Development&Training 203 Staff development/training costs include CPR and First Aid trainings for staff,MHS
course requirements(via Relias platform),and registrations for staff development and
trainings held in collaboration with the program's mission(Forensic Mental Health,
Evidence-based Trainings,etc.).
3006 Staff Mileage 125 In-County mileage reimbursements of staff(without clients)traveling to and from
events,meetings and trainings in conjunction with program operations and
responsibilities.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance -
3009 Staff Travel-Out of County 125 Out of county travel related to PM/VP traveling to San Diego for required training and
events
F5-22
Exhibit F-5
3010 Licenses/Software 1,210 Fresno County EHR system:Avatar expenses per user based on published County rates.
Welligent Licenses for 3rd party billing and outcomes tracking,Department Of Motor
Vehicles registration renewals.
IT related user(FTE)license and software expenses like Microsoft license,Cloud
Services,IT Threat Protection Services and other IT user licenses necessary for program
operations.Software expenses included here are for access to software platforms,not
for the acquistion or build out of software assets(RE:#7001).
3011 Other Business Services 1,774 Associated costs for hiring of new employees such as TB screenings,assessments,drug
screenings,background checks,and fingerprinting.When TB tests and drug tests are
required for current employess,those expenses would be included here.Also includes
the cost of movers,HIPPA shredding costs&client file storage retrieval costs,Monthly
user fees for Common Ground Software(for client support and treatment),payee
services,and other necessary and allowable costs for program operations that do not fit
clearly in other budgeted line items.
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 142
4001 Building Maintenance -
4002 Rent/Lease Building -
4003 Rent/Lease Equipment -
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities -
4007 Minor equipment purchases and equipment 142 Equipment repairs/maintenance that encompass the cost of a maintenance contract for
repair/maintenance the copier,monitoring of internet firewall,and the repair of other equipment not
covered by maintenance agreements such as computers,printers,and telephones.Also
covers the cost of maintenance and repair on the leased vehicles,not covered by the
lease agreement.
Minor equipment replacement of existing equipment that in the normal course of use is
worn out and either cannot be repaired or is not practical to have repaired and the
purchase of minor equipment necessary to program operations.
4008 Vehicle Insurance -
4009 Other(specify) -
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 113
5001 Consultant(Network&Data Management) -
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services(Specify) -
5004 Translation Services 113 Estimated cost of providing interpreters when there isn't a bilingual staff available.
Actual costs might come in higher depending on clients and their needs.
5005 Other(specify) -
5006 Other(specify) -
5007 Other(specify) -
5008 Other(specify) -
6000:INDIRECT EXPENSES 9,726
6001 Administrative Overhead 9,726 Indirect/administrative expense per Federally approved Indirect Rate of 14.9%.
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Specify): -
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(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 HIPAA -
7003 Furniture&Fixtures -
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify) -
7007 Other(specify) -
F5-23
Exhibit F-5
7008 Other(specify) -
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED
BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 75,000
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 75,000
BUDGET CHECK: TRUE
F5-24
Exhibit F-6
Floyd Farrow Behavioral Health Unit
Mental Health Systems,Inc.
Fiscal Year(FY)2023-2024(July-September 2023)
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Program Manager 0.27 $ 5,616 $ 5,616
1102 Administrative Assistant 0.10 1,300 1,300
1103 Vice President 0.10 3,224 3,224
1104 Program Analyst 0.07 1,313 1,313
1105 Compliance Specialist 0.17 2,829 2,829
1106 -
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.71 $ 14,281 $ 14,281
Acct# Program Position FTE Admin Program Total
1116 Clinical Supervisor 0.30 $ 6,778 $ 6,778
1117 Mental Health Clinician 1.00 15,600 15,600
1118 -
1119
1120 Intern 0.40
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 1.70 $ 22,378 $ 22,378
Admin Program Total
Direct Personnel Salaries Subtotal 2.41 $ 14,281 $ 22,378 $ 36,660 $ 0.00
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement 571 895 $ 1,466
1202 Worker's Compensation 85 134 219
1203 Health Insurance 2049 3211 5,261
1204
1205 Life Insurance 14 21 35
1206 1 Other(specify) 01 0
Direct Employee Benefits Subtotal: $ 2,720 $ 4,261 $ 6,981
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - $ -
1302 FICA/MEDICARE 1,093 1,712 2,804
1303 SUI 214 336 550
1304 Other(specify) - -
1305 Other(specify)
F6-1
Exhibit F-6
1306 10ther(specify) -1 0.00
Direct Payroll Taxes&Expenses Subtotal: $ 1,307 $ 2,048 $ 3,354
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 18,308 $ 28,687 $ 46,995
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin I Program
19% 19%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 2,000
2005 Education Support 3,000
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(specify)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 5,000
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 414
3002 Printing/Postage 43
3003 Office,Household&Program Supplies 2,162
3004 Advertising
3005 Staff Development&Training 526
3006 Staff Mileage 1,150
3007 ISubscriptions&Memberships
3008 Vehicle Maintenance
3009 Staff Travel-Out of County 525
3010 Licenses/Software 724
3011 Other Business Services 4,760
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 10,304
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 jUtilities
4007 Minor equipment purchases and equipment repair/maintenance 2,600
4008 Vehicle Insurance
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL: $ 2,600
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 375
F6-2
Exhibit F-6
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 375
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate 9,726
Administrative Overhead
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes)
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 9,726
INDIRECT COST RATE 14.90%
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 jAssets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ -
TOTAL PROGRAM EXPENSES 1 $ 75,000
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services $
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Non-Billable
8010 Other(Specify)
Estimated Specialty Mental Health Services Billing Totals: 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Federal Financial Participation(FFP)
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal 1 $
8102 ISABG 1 $
SUBSTANCE USE DISORDER FUNDS TOTAL $
F6-3
Exhibit F-6
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment 1 $ 75,000
REALIGNMENT TOTAL $ 75,000
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees
8402 Client Insurance
8403 American Rescue Plan Act(ARPA)Grant
8404 Other Revenue
8405 Client Rent Income
OTHER REVENUE TOTAL $ -
TOTAL PROGRAM FUNDING SOURCES: $ 75,000
NET PROGRAM COST: $ 0
F6-4
Exhibit F-6
ASSISTED OUTPATIENT TREATMENT SERVICES
Mental Health Systems,Inc.
Fiscal Year(FY)2023-24(July-September 2023)
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled out
Position
Family Support Partner
Family Support Partner 18-622-1/New Horizons/DBH/Fresno County 0.50
Family Support Partner 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.50
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Clinical Supervisor
Clinical Supervisor 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.30
Clinical Supervisor 18-622-1/New Horizons/DBH/Fresno County 0.32
Clinical Supervisor 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.01
Clinical Supervisor A-16-360/FAA/DBH/Fresno County 0.10
Clinical Supervisor 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.05
Clinical Supervisor 762-2019/Kern ACTION/Kern 0.22
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Program Manager
Program Manager 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.27
Program Manager 18-622-1/New Horizons/DBH/Fresno County 0.15
Program Manager 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.20
Program Manager A-16-360/FAA/DBH/Fresno County 0.25
Program Manager 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.10
Program Manager Recovery Residence(Fresno) 0.03
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Administrative Assistant
Administrative Assistant 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.10
Administrative Assistant 18-622-1/New Horizons/DBH/Fresno County 0.07
Administrative Assistant 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.25
Administrative Assistant A-16-360/FAA/DBH/Fresno County 0.20
Administrative Assistant 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.20
Administrative Assistant KIND Center(Kings) 0.18
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Program Analyst
F6-5
Exhibit F-6
Program Analyst 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.07
Program Analyst 18-622-1/New Horizons/DBH/Fresno County 0.07
Program Analyst 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.07
Program Analyst 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.07
Program Analyst A-16-360/FAA/DBH/Fresno County 0.07
Program Analyst KIND Center(Kings) 0.07
Program Analyst Kings County Act(Kings) 0.07
Program Analyst 762-2019/Kern ACTION/Kern 0.07
Program Analyst 20-014/I1VIPACT MH/DBH/Fresno 0.07
Program Analyst 20-014/I1VIPACT SUD/DBH/Fresno 0.07
Program Analyst Eden House(County of Tulare) 0.09
Program Analyst 20-216/DART West/DBH/Fresno 0.07
Program Analyst FRC(San Diego) 0.07
Program Analyst 565056 TRC North Central(San Diego) 0.07
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Vice President
Vice President 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DD-SAU) 0.10
Vice President 18-622-1/New Horizons/DBH/Fresno County 0.07
Vice President 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.07
Vice President 20-014/I1VIPACT MH/DBH/Fresno 0.09
Vice President 20-014/I1VIPACT SUD/DBH/Fresno 0.01
Vice President Casa Aurora/CDCR 0.27
Vice President 20-216/DART West/DBH/Fresno 0.35
Vice President 762-2019/Kern ACTION/Kern 0.04
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Compliance Specialist
Compliance Specialist 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.17
Compliance Specialist 18-622-1/New Horizons/DBH/Fresno County 0.17
Compliance Specialist 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.07
Compliance Specialist 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.06
Compliance Specialist A-16-360/FAA/DBH/Fresno County 0.05
Compliance Specialist 20-014/I1VIPACT MH/DBH/Fresno 0.09
Compliance Specialist Fresno Triage/Fresno City 0.14
Compliance Specialist 19-258/Fresno Bridge/Fresno County 0.12
Compliance Specialist 18-692/Fresno First/DBH/Fresno County 0.13
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
F6-6
Exhibit F-6
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
F6-7
Exhibit F-6
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
F6-8
Exhibit F-6
ASSISTED OUTPATIENT TREATMENT SERVICES
Mental Health Systems,Inc.
Fiscal Year(FY)2023-24(July-September 2023) Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 46,995
Administrative Positions 14,281
1101 Program Manager 5,616 The Program Manager is responsible for the overall operation of the program.
1102 Administrative Assistant 1,300 This position provides clerical support for the program.The position consists of typical
administrative support duties and responsibilities such as typing,filing,answering
phones,preparing reports,and sorting mail.
1103 Vice President 3,224 The Vice President is responsible for the oversight and management responsibility of all
assigned programs operated by MHS in a designated region including contract
compliance,performance outcomes,administrative and clinical supervision,budgetary
compliance,financial performance,and community outreach.This position shares
allocations across several programs.
1104 Program Analyst 1,313 This position is responsible for analyzing contract cost and production data,
communicating irregularities,ensuring fiscal contract compliance,preparing and
submitting monthly contract billings,responding to audit requests,and other
program/contract related ad hoc reporting.Other duties include budget development,
budget analysis and review,preparing and reviewing contract billings,and contract
compliance for assigned contracts/programs.
1105 Compliance Specialist 2,829 The Compliance Specialist develops and maintains systems to ensure appropriate
documentation is completed within the program.The specialist also performs other
duties,as assigned by the Program Manager to ensure overall program compliance and
quality assurance within the program.The range of authority and decision making for
this position is limited to and consistent with MHS policy for administrative line staff.
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 10 1 -
Program Positions 22,378
1116 Clinical Supervisor 6,778 The Clinical Supervisor is responsible for all program clinical supervision,clinical
assessment guidelines,clinical assessment guideline review,in-service training and
clinical consultation with staff.The range of authority and decision making for this
position is limited to and consistent with MHS Policy for Clinical Supervisor staff.
1117 Mental Health Clinician 15,600 The Clinician performs a range of psychotherapeutic and rehabilitative interventions,
including psychosocial assessment,individual and group counseling,crisis intervention
and limited case management duties as needed.In addition,the Clinician ensures
clients receive the full spectrum of services in a seamless manner and that they receive
the optimal level of care needed to maximize functioning and minimize the need for
higher levels of care.
1118 0
1119 0
1120 Intern - The Intern performs a range of psychotherapeutic and rehabilitative interventions,
including psychosocial assessment,individual and group counseling,crisis intervention
and limited case management duties for clients under the supervision of staff.
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
F6-9
Exhibit F-6
1133
1134 0 -
Direct Employee Benefits 6,981
1201 Retirement 1,466 Calculated at 4%of direct salaries
1202 Worker's Compensation 219 Calculated at 0.60%of direct salaries based on the W/C Insurance Factors received for
FY 21/22
1203 Health Insurance 5,261 Currently budgeting 16.04%of Direct Salaries-this can be higher or lower depending on
individual employee actual elections on coverage.The budgeted percentage is based on
historial average trend.
1204 -
1205 Life Insurance 35 Budgeting at$0.61/pay period per FTE
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 3,354
1301 OASDI - Included with#1302
1302 FICA/MEDICARE 2,804 Social Security+Medicare Tax=7.65%of Direct Salaries
1303 SUI 550 Calculated at 1.5%of Direct Salaries based on historical average and updated factor
projections from insurance
1304 Other(specify) -
1305 Other(specify) -
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 5,000
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 2,000 Cost of providing clothing,food,hygiene,and similar support to clients.
2005 Education Support 3,000 cost of providing wraparound service care related to client educational goals and needs
2006 Employment Support -
2007 Household Items for Clients
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Other(specify) -
2012 Other(specify) -
2013 Other(specify) -
2014 Other(specify) -
2015 Other(specify) -
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 10,304
3001 Telecommunications 414 Recurring costs of phone services,cell phones,laptop data/internet device,and internet
services.Also covers the monthly user fees for the MS Teams
3002 Printing/Postage 43 Covers the cost of brochures,business cards,employment announcements,other
program printing needs,postage and freight expenses.
3003 Office,Household&Program Supplies 2,162 Office supplies utilized for program operation,including paper,pens,pencils,folders,
staples,paper clips,printer cartridges,binders,folder tabs,client chart supplies.
Housekeeping supplies such as cleaning products,bathroom products,non stationary
paper goods,cleaning,and trash supplies.Recreational/occupational therapy supplies
used by clients for their treatment plan.
3004 Advertising -
3005 Staff Development&Training 526 Staff development/training costs include CPR and First Aid trainings for staff,MHS
course requirements(via Relias platform),and registrations for staff development and
trainings held in collaboration with the program's mission(Forensic Mental Health,
Evidence-based Trainings,etc.).
3006 Staff Mileage 1,150 In-County mileage reimbursements of staff(without clients)traveling to and from
events,meetings and trainings in conjunction with program operations and
responsibilities.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance -
3009 Staff Travel-Out of County 525 Out of county travel related to PM/VP traveling to San Diego for required training and
events
3010 Licenses/Software 724 Fresno County EHR system:Avatar expenses per user based on published County rates.
Welligent Licenses for 3rd party billing and outcomes tracking,Department Of Motor
Vehicles registration renewals.
IT related user(FTE)license and software expenses like Microsoft license,Cloud
Services,IT Threat Protection Services and other IT user licenses necessary for program
operations.Software expenses included here are for access to software platforms,not
for the acquistion or build out of software assets(RE:#7001).
F6-10
Exhibit F-6
3011 Other Business Services 4,760 Associated costs for hiring of new employees such as TB screenings,assessments,drug
screenings,background checks,and fingerprinting.When TB tests and drug tests are
required for current employess,those expenses would be included here.Also includes
the cost of movers,HIPPA shredding costs&client file storage retrieval costs,Monthly
user fees for Common Ground Software(for client support and treatment),payee
services,and other necessary and allowable costs for program operations that do not fit
clearly in other budgeted line items.
3012 Other(specify) -
4000:DIRECT FACILITIES&EQUIPMENT 2,600
4001 Building Maintenance -
4002 Rent/Lease Building -
4003 Rent/Lease Equipment -
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities -
4007 Minor equipment purchases and equipment 2,600 Equipment repairs/maintenance that encompass the cost of a maintenance contract for
repair/maintenance the copier,monitoring of internet firewall,and the repair of other equipment not
covered by maintenance agreements such as computers,printers,and telephones.Also
covers the cost of maintenance and repair on the leased vehicles,not covered by the
lease agreement.
Minor equipment replacement of existing equipment that in the normal course of use is
worn out and either cannot be repaired or is not practical to have repaired and the
purchase of minor equipment necessary to program operations.
4008 Vehicle Insurance -
4009 Other(specify) -
4010 Other(specify) -
5000:DIRECT SPECIAL EXPENSES 375
5001 Consultant(Network&Data Management) -
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services(Specify) -
5004 Translation Services 375 Estimated cost of providing interpreters when there isn't a bilingual staff available.
Actual costs might come in higher depending on clients and their needs.
5005 Other(specify) -
5006 Other(specify) -
5007 Other(specify) -
5008 Other(specify)
6000:INDIRECT EXPENSES 9,726
6001 Administrative Overhead 9,726 Indirect/administrative expense per Federally approved Indirect Rate of 14.9%.
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Specify): -
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(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 HIPAA -
7003 Furniture&Fixtures -
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify) -
7007 Other(specify) -
7008 1 Other(specify) -
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
FACCTIT LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED
BY THE RFP
F6-11
Exhibit F-6
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: 75,000
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 75,000
BUDGET CHECK: TRUE
F6-12
Exhibit F-6
Floyd Farrow Behavioral Health Unit
Mental Health Systems,Inc.
Fiscal Year(FY)2023-2024(October-December 2023)
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Program Manager 0.27 $ 5,616 $ 5,616
1102 Administrative Assistant 0.10 1,300 1,300
1103 Vice President 0.10 3,224 3,224
1104 Program Analyst 0.07 1,313 1,313
1105 Compliance Specialist 0.17 2,829 2,829
1106 -
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.71 $ 14,281 $ 14,281
Acct# Program Position FTE Admin Program Total
1116 Clinical Supervisor 0.30 $ 6,778 $ 6,778
1117 Mental Health Clinician 1.00 15,600 15,600
1118 -
1119
1120 Intern 0.40
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 1.70 $ 22,378 $ 22,378
Admin Program Total
Direct Personnel Salaries Subtotal 2.41 $ 14,281 $ 22,378 $ 36,660 $ 0.00
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement 571 895 $ 1,466
1202 Worker's Compensation 85 134 219
1203 Health Insurance 2049 3211 5,261
1204
1205 Life Insurance 14 21 35
1206 1 Other(specify) 01 0
Direct Employee Benefits Subtotal: $ 2,720 $ 4,261 $ 6,981
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - $ -
1302 FICA/MEDICARE 1,093 1,712 2,804
1303 SUI 214 336 550
1304 Other(specify) - -
1305 Other(specify)
F6-13
Exhibit F-6
1306 10ther(specify) -1 0.00
Direct Payroll Taxes&Expenses Subtotal: $ 1,307 $ 2,048 $ 3,354
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 18,308 $ 28,687 $ 46,995
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin I Program
19% 19%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 2,000
2005 Education Support 3,000
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(specify)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 5,000
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 414
3002 Printing/Postage 43
3003 Office,Household&Program Supplies 2,162
3004 Advertising
3005 Staff Development&Training 526
3006 Staff Mileage 1,150
3007 ISubscriptions&Memberships
3008 Vehicle Maintenance
3009 Staff Travel-Out of County 525
3010 Licenses/Software 724
3011 Other Business Services 4,760
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 10,304
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 jUtilities
4007 Minor equipment purchases and equipment repair/maintenance 2,600
4008 Vehicle Insurance
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL: $ 2,600
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 375
F6-14
Exhibit F-6
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 375
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate 9,726
Administrative Overhead
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes)
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 9,726
INDIRECT COST RATE 14.90%
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 jAssets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ -
TOTAL PROGRAM EXPENSES 1 $ 75,000
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services $
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Non-Billable
8010 Other(Specify)
Estimated Specialty Mental Health Services Billing Totals: 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Federal Financial Participation(FFP)
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal 1 $
8102 ISABG 1 $
SUBSTANCE USE DISORDER FUNDS TOTAL $
F6-15
Exhibit F-6
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment 1 $ 75,000
REALIGNMENT TOTAL $ 75,000
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees
8402 Client Insurance
8403 American Rescue Plan Act(ARPA)Grant
8404 Other Revenue
8405 Client Rent Income
OTHER REVENUE TOTAL $ -
TOTAL PROGRAM FUNDING SOURCES: $ 75,000
NET PROGRAM COST: $ 0
F6-16
Exhibit F-6
ASSISTED OUTPATIENT TREATMENT SERVICES
Mental Health Systems,Inc.
Fiscal Year(FY)2023-24(October-December 2023)
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled out
Position
Family Support Partner
Family Support Partner 18-622-1/New Horizons/DBH/Fresno County 0.50
Family Support Partner 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.50
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Clinical Supervisor
Clinical Supervisor 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.30
Clinical Supervisor 18-622-1/New Horizons/DBH/Fresno County 0.32
Clinical Supervisor 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.01
Clinical Supervisor A-16-360/FAA/DBH/Fresno County 0.10
Clinical Supervisor 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.05
Clinical Supervisor 762-2019/Kern ACTION/Kern 0.22
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Program Manager
Program Manager 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.27
Program Manager 18-622-1/New Horizons/DBH/Fresno County 0.15
Program Manager 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.20
Program Manager A-16-360/FAA/DBH/Fresno County 0.25
Program Manager 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.10
Program Manager Recovery Residence(Fresno) 0.03
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Administrative Assistant
Administrative Assistant 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.10
Administrative Assistant 18-622-1/New Horizons/DBH/Fresno County 0.07
Administrative Assistant 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.25
Administrative Assistant A-16-360/FAA/DBH/Fresno County 0.20
Administrative Assistant 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.20
Administrative Assistant KIND Center(Kings) 0.18
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Program Analyst
F6-17
Exhibit F-6
Program Analyst 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.07
Program Analyst 18-622-1/New Horizons/DBH/Fresno County 0.07
Program Analyst 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.07
Program Analyst 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.07
Program Analyst A-16-360/FAA/DBH/Fresno County 0.07
Program Analyst KIND Center(Kings) 0.07
Program Analyst Kings County Act(Kings) 0.07
Program Analyst 762-2019/Kern ACTION/Kern 0.07
Program Analyst 20-014/I1VIPACT MH/DBH/Fresno 0.07
Program Analyst 20-014/I1VIPACT SUD/DBH/Fresno 0.07
Program Analyst Eden House(County of Tulare) 0.09
Program Analyst 20-216/DART West/DBH/Fresno 0.07
Program Analyst FRC(San Diego) 0.07
Program Analyst 565056 TRC North Central(San Diego) 0.07
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Vice President
Vice President 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DD-SAU) 0.10
Vice President 18-622-1/New Horizons/DBH/Fresno County 0.07
Vice President 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.07
Vice President 20-014/I1VIPACT MH/DBH/Fresno 0.09
Vice President 20-014/I1VIPACT SUD/DBH/Fresno 0.01
Vice President Casa Aurora/CDCR 0.27
Vice President 20-216/DART West/DBH/Fresno 0.35
Vice President 762-2019/Kern ACTION/Kern 0.04
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Compliance Specialist
Compliance Specialist 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.17
Compliance Specialist 18-622-1/New Horizons/DBH/Fresno County 0.17
Compliance Specialist 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.07
Compliance Specialist 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.06
Compliance Specialist A-16-360/FAA/DBH/Fresno County 0.05
Compliance Specialist 20-014/I1VIPACT MH/DBH/Fresno 0.09
Compliance Specialist Fresno Triage/Fresno City 0.14
Compliance Specialist 19-258/Fresno Bridge/Fresno County 0.12
Compliance Specialist 18-692/Fresno First/DBH/Fresno County 0.13
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
F6-18
Exhibit F-6
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
F6-19
Exhibit F-6
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
F6-20
Exhibit F-6
ASSISTED OUTPATIENT TREATMENT SERVICES
Mental Health Systems,Inc.
Fiscal Year(FY)2023-24(October-December 2023) Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 46,995
Administrative Positions 14,281
1101 Program Manager 5,616 The Program Manager is responsible for the overall operation of the program.
1102 Administrative Assistant 1,300 This position provides clerical support for the program.The position consists of typical
administrative support duties and responsibilities such as typing,filing,answering
phones,preparing reports,and sorting mail.
1103 Vice President 3,224 The Vice President is responsible for the oversight and management responsibility of all
assigned programs operated by MHS in a designated region including contract
compliance,performance outcomes,administrative and clinical supervision,budgetary
compliance,financial performance,and community outreach.This position shares
allocations across several programs.
1104 Program Analyst 1,313 This position is responsible for analyzing contract cost and production data,
communicating irregularities,ensuring fiscal contract compliance,preparing and
submitting monthly contract billings,responding to audit requests,and other
program/contract related ad hoc reporting.Other duties include budget development,
budget analysis and review,preparing and reviewing contract billings,and contract
compliance for assigned contracts/programs.
1105 Compliance Specialist 2,829 The Compliance Specialist develops and maintains systems to ensure appropriate
documentation is completed within the program.The specialist also performs other
duties,as assigned by the Program Manager to ensure overall program compliance and
quality assurance within the program.The range of authority and decision making for
this position is limited to and consistent with MHS policy for administrative line staff.
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 10 1 -
Program Positions 22,378
1116 Clinical Supervisor 6,778 The Clinical Supervisor is responsible for all program clinical supervision,clinical
assessment guidelines,clinical assessment guideline review,in-service training and
clinical consultation with staff.The range of authority and decision making for this
position is limited to and consistent with MHS Policy for Clinical Supervisor staff.
1117 Mental Health Clinician 15,600 The Clinician performs a range of psychotherapeutic and rehabilitative interventions,
including psychosocial assessment,individual and group counseling,crisis intervention
and limited case management duties as needed.In addition,the Clinician ensures
clients receive the full spectrum of services in a seamless manner and that they receive
the optimal level of care needed to maximize functioning and minimize the need for
higher levels of care.
1118 0
1119 0
1120 Intern - The Intern performs a range of psychotherapeutic and rehabilitative interventions,
including psychosocial assessment,individual and group counseling,crisis intervention
and limited case management duties for clients under the supervision of staff.
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
F6-21
Exhibit F-6
1133
1134 0 -
Direct Employee Benefits 6,981
1201 Retirement 1,466 Calculated at 4%of direct salaries
1202 Worker's Compensation 219 Calculated at 0.60%of direct salaries based on the W/C Insurance Factors received for
FY 21/22
1203 Health Insurance 5,261 Currently budgeting 16.04%of Direct Salaries-this can be higher or lower depending on
individual employee actual elections on coverage.The budgeted percentage is based on
historial average trend.
1204 -
1205 Life Insurance 35 Budgeting at$0.61/pay period per FTE
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 3,354
1301 OASDI - Included with#1302
1302 FICA/MEDICARE 2,804 Social Security+Medicare Tax=7.65%of Direct Salaries
1303 SUI 550 Calculated at 1.5%of Direct Salaries based on historical average and updated factor
projections from insurance
1304 Other(specify) -
1305 Other(specify) -
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 5,000
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 2,000 Cost of providing clothing,food,hygiene,and similar support to clients.
2005 Education Support 3,000 cost of providing wraparound service care related to client educational goals and needs
2006 Employment Support -
2007 Household Items for Clients
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Other(specify) -
2012 Other(specify) -
2013 Other(specify) -
2014 Other(specify) -
2015 Other(specify) -
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 10,304
3001 Telecommunications 414 Recurring costs of phone services,cell phones,laptop data/internet device,and internet
services.Also covers the monthly user fees for the MS Teams
3002 Printing/Postage 43 Covers the cost of brochures,business cards,employment announcements,other
program printing needs,postage and freight expenses.
3003 Office,Household&Program Supplies 2,162 Office supplies utilized for program operation,including paper,pens,pencils,folders,
staples,paper clips,printer cartridges,binders,folder tabs,client chart supplies.
Housekeeping supplies such as cleaning products,bathroom products,non stationary
paper goods,cleaning,and trash supplies.Recreational/occupational therapy supplies
used by clients for their treatment plan.
3004 Advertising -
3005 Staff Development&Training 526 Staff development/training costs include CPR and First Aid trainings for staff,MHS
course requirements(via Relias platform),and registrations for staff development and
trainings held in collaboration with the program's mission(Forensic Mental Health,
Evidence-based Trainings,etc.).
3006 Staff Mileage 1,150 In-County mileage reimbursements of staff(without clients)traveling to and from
events,meetings and trainings in conjunction with program operations and
responsibilities.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance -
3009 Staff Travel-Out of County 525 Out of county travel related to PM/VP traveling to San Diego for required training and
events
3010 Licenses/Software 724 Fresno County EHR system:Avatar expenses per user based on published County rates.
Welligent Licenses for 3rd party billing and outcomes tracking,Department Of Motor
Vehicles registration renewals.
IT related user(FTE)license and software expenses like Microsoft license,Cloud
Services,IT Threat Protection Services and other IT user licenses necessary for program
operations.Software expenses included here are for access to software platforms,not
for the acquistion or build out of software assets(RE:#7001).
F6-22
Exhibit F-6
3011 Other Business Services 4,760 Associated costs for hiring of new employees such as TB screenings,assessments,drug
screenings,background checks,and fingerprinting.When TB tests and drug tests are
required for current employess,those expenses would be included here.Also includes
the cost of movers,HIPPA shredding costs&client file storage retrieval costs,Monthly
user fees for Common Ground Software(for client support and treatment),payee
services,and other necessary and allowable costs for program operations that do not fit
clearly in other budgeted line items.
3012 Other(specify) -
4000:DIRECT FACILITIES&EQUIPMENT 2,600
4001 Building Maintenance -
4002 Rent/Lease Building -
4003 Rent/Lease Equipment -
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities -
4007 Minor equipment purchases and equipment 2,600 Equipment repairs/maintenance that encompass the cost of a maintenance contract for
repair/maintenance the copier,monitoring of internet firewall,and the repair of other equipment not
covered by maintenance agreements such as computers,printers,and telephones.Also
covers the cost of maintenance and repair on the leased vehicles,not covered by the
lease agreement.
Minor equipment replacement of existing equipment that in the normal course of use is
worn out and either cannot be repaired or is not practical to have repaired and the
purchase of minor equipment necessary to program operations.
4008 Vehicle Insurance -
4009 Other(specify) -
4010 Other(specify) -
5000:DIRECT SPECIAL EXPENSES 375
5001 Consultant(Network&Data Management) -
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services(Specify) -
5004 Translation Services 375 Estimated cost of providing interpreters when there isn't a bilingual staff available.
Actual costs might come in higher depending on clients and their needs.
5005 Other(specify) -
5006 Other(specify) -
5007 Other(specify) -
5008 Other(specify)
6000:INDIRECT EXPENSES 9,726
6001 Administrative Overhead 9,726 Indirect/administrative expense per Federally approved Indirect Rate of 14.9%.
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Specify): -
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(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 HIPAA -
7003 Furniture&Fixtures -
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify) -
7007 Other(specify) -
7008 1 Other(specify) -
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
FACCTIT LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED
BY THE RFP
F6-23
Exhibit F-6
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: 75,000
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 75,000
BUDGET CHECK: TRUE
F6-24
Exhibit F-7
New Horizons
Mental Health Systems,Inc.
Fiscal Year(FY)2023-24(July-September 2023)
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Program Manager 0.15 $ 3,120 $ 3,120
1102 Administrative Assistant 0.07 910 910
1103 Vice President 0.07 2,257 2,257
1104 Program Analyst 0.07 1,313 1,313
1105 Compliance Specialist 0.17 2,829 2,829
1106
1107
1108
1109
1110
1111 -
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.53 $ 10,428 $ 10,428
Acct# Program Position FTE Admin Program Total
1116 Licensed Clinical Supervisor 0.32 $ 7,286 $ 7,286
1117 SLID Counselor 1.00 $ 13,520 13,520
1118 Family Support Specialist 0.50 $ 6,240 6,240
1119
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 1.82 $ 27,046 $ 27,046
Admin Program Total
Direct Personnel Salaries Subtotal 2.35 $ 10,428 $ 27,046 $ 37,474 $ 0.00
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement 417 1082 $ 1,499
1202 Worker's Compensation 62 162 224
1203 Health Insurance 1922 4984 6,906
1204
1205 Life Insurance 9 25 34
1206 1 Other(specify) 01 0
Direct Employee Benefits Subtotal: $ 2,411 $ 6,253 $ 8,663
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - $ -
1302 FICA/MEDICARE 798 2,069 2,867
1303 SUI 156 406 562
1304 Other(specify) - - -
1305 Other(specify)
F7-1
Exhibit F-7
1306 10ther(specify) -1 0.00
Direct Payroll Taxes&Expenses Subtotal: $ 954 $ 2,475 $ 3,429
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 13,793 $ 35,773 $ 49,566
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin I Program
23% 23%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care
2002 Client Housing Support
2003 Client Transportation&Support 288
2004 Clothing,Food,&Hygiene 1,250
2005 Education Support 750
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(specify)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 2,288
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 199
3002 Printing/Postage 243
3003 Office,Household&Program Supplies 1,345
3004 Advertising
3005 Staff Development&Training 402
3006 Staff Mileage 863
3007 ISubscriptions&Memberships
3008 Vehicle Maintenance
3009 Staff Travel-Out of County 1,150
3010 Licenses/Software 1,015
3011 Other Business Services 5,366
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 10,582
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 jUtilities
4007 Minor equipment purchases and equipment repair/maintenance 1,600
4008 Vehicle Insurance
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL: $ 1,600
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 1,238
F7-2
Exhibit F-7
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 1,238
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate 9,726
Administrative Overhead
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes)
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 9,726
INDIRECT COST RATE 14.90%
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 jAssets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ -
TOTAL PROGRAM EXPENSES 1 $ 75,0001 0.00
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services $
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Non-Billable
8010 Other(Specify)
Estimated Specialty Mental Health Services Billing Totals: 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Federal Financial Participation(FFP)
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal 1 $
8102 ISABG 1 $
SUBSTANCE USE DISORDER FUNDS TOTAL $
F7-3
Exhibit F-7
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment 1 $ 75,000
REALIGNMENT TOTAL $ 75,000
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees
8402 Client Insurance
8403 American Rescue Plan Act(ARPA)Grant
8404 Other Revenue
8405 Client Rent Income
OTHER REVENUE TOTAL $ -
TOTAL PROGRAM FUNDING SOURCES: $ 75,000
NET PROGRAM COST: $ 0
F7-4
Exhibit F-7
ASSISTED OUTPATIENT TREATMENT SERVICES
Mental Health Systems,Inc.
Fiscal Year(FY)2023-24(July-September 2023)
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled out
Position
Family Support Partner
Family Support Partner 18-622-1/New Horizons/DBH/Fresno County 0.50
Family Support Partner 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.50
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Clinical Supervisor
Clinical Supervisor 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.30
Clinical Supervisor 18-622-1/New Horizons/DBH/Fresno County 0.32
Clinical Supervisor 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.01
Clinical Supervisor A-16-360/FAA/DBH/Fresno County 0.10
Clinical Supervisor 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.05
Clinical Supervisor 762-2019/Kern ACTION/Kern 0.22
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Program Manager
Program Manager 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.27
Program Manager 18-622-1/New Horizons/DBH/Fresno County 0.15
Program Manager 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.20
Program Manager A-16-360/FAA/DBH/Fresno County 0.25
Program Manager 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.10
Program Manager Recovery Residence(Fresno) 0.03
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Administrative Assistant
Administrative Assistant 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.10
Administrative Assistant 18-622-1/New Horizons/DBH/Fresno County 0.07
Administrative Assistant 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.25
Administrative Assistant A-16-360/FAA/DBH/Fresno County 0.20
Administrative Assistant 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.20
Administrative Assistant KIND Center(Kings) 0.18
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Program Analyst
F7-5
Exhibit F-7
Program Analyst 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.07
Program Analyst 18-622-1/New Horizons/DBH/Fresno County 0.07
Program Analyst 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.07
Program Analyst 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.07
Program Analyst A-16-360/FAA/DBH/Fresno County 0.07
Program Analyst KIND Center(Kings) 0.07
Program Analyst Kings County Act(Kings) 0.07
Program Analyst 762-2019/Kern ACTION/Kern 0.07
Program Analyst 20-014/I1VIPACT MH/DBH/Fresno 0.07
Program Analyst 20-014/I1VIPACT SUD/DBH/Fresno 0.07
Program Analyst Eden House(County of Tulare) 0.09
Program Analyst 20-216/DART West/DBH/Fresno 0.07
Program Analyst FRC(San Diego) 0.07
Program Analyst 565056 TRC North Central(San Diego) 0.07
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Vice President
Vice President 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DD-SAU) 0.10
Vice President 18-622-1/New Horizons/DBH/Fresno County 0.07
Vice President 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.07
Vice President 20-014/I1VIPACT MH/DBH/Fresno 0.09
Vice President 20-014/I1VIPACT SUD/DBH/Fresno 0.01
Vice President Casa Aurora/CDCR 0.27
Vice President 20-216/DART West/DBH/Fresno 0.35
Vice President 762-2019/Kern ACTION/Kern 0.04
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Compliance Specialist
Compliance Specialist 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.17
Compliance Specialist 18-622-1/New Horizons/DBH/Fresno County 0.17
Compliance Specialist 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.07
Compliance Specialist 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.06
Compliance Specialist A-16-360/FAA/DBH/Fresno County 0.05
Compliance Specialist 20-014/I1VIPACT MH/DBH/Fresno 0.09
Compliance Specialist Fresno Triage/Fresno City 0.14
Compliance Specialist 19-258/Fresno Bridge/Fresno County 0.12
Compliance Specialist 18-692/Fresno First/DBH/Fresno County 0.13
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
F7-6
Exhibit F-7
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
F7-7
Exhibit F-7
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
F7-8
Exhibit F-7
ASSISTED OUTPATIENT TREATMENT SERVICES
Mental Health Systems,Inc.
Fiscal Year(FY)2023-24(July-September 2023) Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 49,566
Administrative Positions 10,428
1101 Program Manager 3,120 The Program Manager is responsible for the overall operation of the program.
1102 Administrative Assistant 910 This position provides clerical support for the program.The position consists of typical
administrative support duties and responsibilities such as typing,filing,answering
phones,preparing reports,and sorting mail.
1103 Vice President 2,257 The Vice President is responsible for the oversight and management responsibility of all
assigned programs operated by MHS in a designated region including contract
compliance,performance outcomes,administrative and clinical supervision,budgetary
compliance,financial performance,and community outreach.This position shares
allocations across several programs.
1104 Program Analyst 1,313 This position is responsible for analyzing contract cost and production data,
communicating irregularities,ensuring fiscal contract compliance,preparing and
submitting monthly contract billings,responding to audit requests,and other
program/contract related ad hoc reporting.Other duties include budget development,
budget analysis and review,preparing and reviewing contract billings,and contract
compliance for assigned contracts/programs.
1105 Compliance Specialist 2,829 The Compliance Specialist develops and maintains systems to ensure appropriate
documentation is completed within the program.The specialist also performs other
duties,as assigned by the Program Manager to ensure overall program compliance and
quality assurance within the program.The range of authority and decision making for
this position is limited to and consistent with MHS policy for administrative line staff.
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 10 1 -
Program Positions 27,046
1116 Licensed Clinical Supervisor 7,286 The Clinical Supervisor is responsible for all program clinical supervision,clinical
assessment guidelines,clinical assessment guideline review,in-service training and
clinical consultation with staff.The range of authority and decision making for this
position is limited to and consistent with MHS Policy for Clinical Supervisor staff.
1117 SLID Counselor 13,520 The Substance Abuse Counselors interact with residents on a day-to-day basis providing
individual and group counseling.The Substance Abuse Counselors provide residents
with orientation,training,substance abuse recovery skills and information,and
leadership necessary to provide them with the ability to recover from substance abuse
addiction.
1118 Family Support Specialist 6,240 The Family Peer Support Specialist utilizes his or her experiences as a recipient of
substance abuse and/or mental health services to enhance recovery efforts of clients.
He or she serves as a member of a multidisciplinary team and shares practical and
personal experience,knowledge and insight related to illness management,life skills,
and the lifelong process of recovery.The Family Peer Support Specialist actively
promotes greater understanding of clients'points of view and preferences.He or she
maximizes client choice while also advocating on behalf of clients when appropriate.
The Family Peer Support Specialist also fulfills duties related to supportive counseling,
rehabilitation,and collateral interactions with natural supports.
1119 0
1120 0
1121
1122
1123
1124
1125
1126
1127
F7-9
Exhibit F-7
1128
1129
1130
1131
1132
1133
1134 0 -
Direct Employee Benefits 8,663
1201 Retirement 1,499 Calculated at 4%of direct salaries
1202 Worker's Compensation 224 Calculated at 0.60%of direct salaries based on the W/C Insurance Factors received for
FY 21/22
1203 Health Insurance 6,906 Currently budgeting 16.0496of Direct Salaries-this can be higher or lower depending on
individual employee actual elections on coverage.The budgeted percentage is based on
historial average trend.
1204 -
1205 Life Insurance 34 Budgeting at$0.61/pay period per FTE
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 3,429
1301 OASDI - Included with#1302
1302 FICA/MEDICARE 2,867 Social Security+Medicare Tax=7.65%of Direct Salaries
1303 SUI 562 Calculated at 1.5%of Direct Salaries based on historical average and updated factor
projections from insurance
1304 Other(specify) -
1305 Other(specify) -
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 2,288
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation&Support 288 Cost of providing transportation supports to clients when appropriate
2004 Clothing,Food,&Hygiene 1,250 Cost of providing clothing,food,hygiene,and similar support to clients.
2005 Education Support 750 cost of providing wraparound service care related to client educational goals and needs
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Other(specify) -
2012 Other(specify) -
2013 Other(specify) -
2014 Other(specify) -
2015 Other(specify) -
2016 Other(specify) -
3000:DIRECT OPERATING EXPENSES 10,583
3001 Telecommunications 199 Recurring costs of phone services,cell phones,laptop data/internet device,and internet
services.Also covers the monthly user fees for the MS Teams
3002 Printing/Postage 243 Covers the cost of brochures,business cards,employment announcements,other
program printing needs,postage and freight expenses.
3003 Office,Household&Program Supplies 1,345 Office supplies utilized for program operation,including paper,pens,pencils,folders,
staples,paper clips,printer cartridges,binders,folder tabs,client chart supplies.
Housekeeping supplies such as cleaning products,bathroom products,non stationary
paper goods,cleaning,and trash supplies.Recreational/occupational therapy supplies
used by clients for their treatment plan.
3004 Advertising -
3005 Staff Development&Training 402 Staff development/training costs include CPR and First Aid trainings for staff,MHS
course requirements(via Relias platform),and registrations for staff development and
trainings held in collaboration with the program's mission(Forensic Mental Health,
Evidence-based Trainings,etc.).
3006 Staff Mileage 863 In-County mileage reimbursements of staff(without clients)traveling to and from
events,meetings and trainings in conjunction with program operations and
responsibilities.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance -
3009 Staff Travel-Out of County 1,150 Out of county travel related to PM/VP traveling to San Diego for required training and
events
F7-10
Exhibit F-7
3010 Licenses/Software 1,015 Fresno County EHR system:Avatar expenses per user based on published County rates.
Welligent Licenses for 3rd party billing and outcomes tracking,Department Of Motor
Vehicles registration renewals.
IT related user(FTE)license and software expenses like Microsoft license,Cloud
Services,IT Threat Protection Services and other IT user licenses necessary for program
operations.Software expenses included here are for access to software platforms,not
for the acquistion or build out of software assets(RE:#7001).
3011 Other Business Services 5,366 Associated costs for hiring of new employees such as TB screenings,assessments,drug
screenings,background checks,and fingerprinting.When TB tests and drug tests are
required for current employess,those expenses would be included here.Also includes
the cost of movers,HIPPA shredding costs&client file storage retrieval costs,Monthly
user fees for Common Ground Software(for client support and treatment),payee
services,and other necessary and allowable costs for program operations that do not fit
clearly in other budgeted line items.
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 1,600
4001 Building Maintenance -
4002 Rent/Lease Building -
4003 Rent/Lease Equipment -
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities -
4007 Minor equipment purchases and equipment 1,600 Equipment repairs/maintenance that encompass the cost of a maintenance contract for
repair/maintenance the copier,monitoring of internet firewall,and the repair of other equipment not
covered by maintenance agreements such as computers,printers,and telephones.Also
covers the cost of maintenance and repair on the leased vehicles,not covered by the
lease agreement.
Minor equipment replacement of existing equipment that in the normal course of use is
worn out and either cannot be repaired or is not practical to have repaired and the
purchase of minor equipment necessary to program operations.
4008 Vehicle Insurance -
4009 Other(specify) -
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 1,238
5001 Consultant(Network&Data Management) -
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services(Specify) -
5004 Translation Services 1,238 Estimated cost of providing interpreters when there isn't a bilingual staff available.
Actual costs might come in higher depending on clients and their needs.
5005 Other(specify) -
5006 Other(specify) -
5007 Other(specify) -
5008 Other(specify) -
6000:INDIRECT EXPENSES 9,726
6001 Administrative Overhead 9,726 Indirect/administrative expense per Federally approved Indirect Rate of 14.9%.
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Specify): -
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(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 HIPAA -
7003 Furniture&Fixtures -
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify) -
7007 Other(specify) -
F7-11
Exhibit F-7
7008 Other(specify) -
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED
BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 75,000
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 75,000
BUDGET CHECK: FALSE
F7-12
Exhibit F-7
New Horizons
Mental Health Systems,Inc.
Fiscal Year(FY)2023-24(October-December 2023)
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Program Manager 0.15 $ 3,120 $ 3,120
1102 Administrative Assistant 0.07 910 910
1103 Vice President 0.07 2,257 2,257
1104 Program Analyst 0.07 1,313 1,313
1105 Compliance Specialist 0.17 2,829 2,829
1106
1107
1108
1109
1110
1111 -
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.53 $ 10,428 $ 10,428
Acct# Program Position FTE Admin Program Total
1116 Licensed Clinical Supervisor 0.32 $ 7,286 $ 7,286
1117 SLID Counselor 1.00 $ 13,520 13,520
1118 Family Support Specialist 0.50 $ 6,240 6,240
1119
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 1.82 $ 27,046 $ 27,046
Admin Program Total
Direct Personnel Salaries Subtotal 2.35 $ 10,428 $ 27,046 $ 37,474 $ 0.00
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement 417 1082 $ 1,499
1202 Worker's Compensation 62 162 224
1203 Health Insurance 1922 4984 6,906
1204
1205 Life Insurance 9 25 34
1206 1 Other(specify) 01 0
Direct Employee Benefits Subtotal: $ 2,411 $ 6,253 $ 8,663
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - $ -
1302 FICA/MEDICARE 798 2,069 2,867
1303 SUI 156 406 562
1304 Other(specify) - - -
1305 Other(specify)
F7-13
Exhibit F-7
1306 10ther(specify) -1 0.00
Direct Payroll Taxes&Expenses Subtotal: $ 954 $ 2,475 $ 3,429
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 13,793 $ 35,773 $ 49,566
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin I Program
23% 23%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care
2002 Client Housing Support
2003 Client Transportation&Support 288
2004 Clothing,Food,&Hygiene 1,250
2005 Education Support 750
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(specify)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 2,288
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 199
3002 Printing/Postage 243
3003 Office,Household&Program Supplies 1,345
3004 Advertising
3005 Staff Development&Training 402
3006 Staff Mileage 863
3007 ISubscriptions&Memberships
3008 Vehicle Maintenance
3009 Staff Travel-Out of County 1,150
3010 Licenses/Software 1,015
3011 Other Business Services 5,366
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 10,582
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 jUtilities
4007 Minor equipment purchases and equipment repair/maintenance 1,600
4008 Vehicle Insurance
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL: $ 1,600
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 1,238
F7-14
Exhibit F-7
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 1,238
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate 9,726
Administrative Overhead
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes)
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 9,726
INDIRECT COST RATE 14.90%
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 jAssets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ -
TOTAL PROGRAM EXPENSES 1 $ 75,0001 0.00
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 Mental Health Services $
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Non-Billable
8010 Other(Specify)
Estimated Specialty Mental Health Services Billing Totals: 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Federal Financial Participation(FFP)
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal 1 $
8102 ISABG 1 $
SUBSTANCE USE DISORDER FUNDS TOTAL $
F7-15
Exhibit F-7
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment 1 $ 75,000
REALIGNMENT TOTAL $ 75,000
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees
8402 Client Insurance
8403 American Rescue Plan Act(ARPA)Grant
8404 Other Revenue
8405 Client Rent Income
OTHER REVENUE TOTAL $ -
TOTAL PROGRAM FUNDING SOURCES: $ 75,000
NET PROGRAM COST: $ 0
F7-16
Exhibit F-7
ASSISTED OUTPATIENT TREATMENT SERVICES
Mental Health Systems,Inc.
Fiscal Year(FY)2023-24(October-December 2023)
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled out
Position
Family Support Partner
Family Support Partner 18-622-1/New Horizons/DBH/Fresno County 0.50
Family Support Partner 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.50
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Clinical Supervisor
Clinical Supervisor 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.30
Clinical Supervisor 18-622-1/New Horizons/DBH/Fresno County 0.32
Clinical Supervisor 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.01
Clinical Supervisor A-16-360/FAA/DBH/Fresno County 0.10
Clinical Supervisor 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.05
Clinical Supervisor 762-2019/Kern ACTION/Kern 0.22
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Program Manager
Program Manager 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.27
Program Manager 18-622-1/New Horizons/DBH/Fresno County 0.15
Program Manager 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.20
Program Manager A-16-360/FAA/DBH/Fresno County 0.25
Program Manager 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.10
Program Manager Recovery Residence(Fresno) 0.03
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Administrative Assistant
Administrative Assistant 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.10
Administrative Assistant 18-622-1/New Horizons/DBH/Fresno County 0.07
Administrative Assistant 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.25
Administrative Assistant A-16-360/FAA/DBH/Fresno County 0.20
Administrative Assistant 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.20
Administrative Assistant KIND Center(Kings) 0.18
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Program Analyst
F7-17
Exhibit F-7
Program Analyst 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.07
Program Analyst 18-622-1/New Horizons/DBH/Fresno County 0.07
Program Analyst 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.07
Program Analyst 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.07
Program Analyst A-16-360/FAA/DBH/Fresno County 0.07
Program Analyst KIND Center(Kings) 0.07
Program Analyst Kings County Act(Kings) 0.07
Program Analyst 762-2019/Kern ACTION/Kern 0.07
Program Analyst 20-014/I1VIPACT MH/DBH/Fresno 0.07
Program Analyst 20-014/I1VIPACT SUD/DBH/Fresno 0.07
Program Analyst Eden House(County of Tulare) 0.09
Program Analyst 20-216/DART West/DBH/Fresno 0.07
Program Analyst FRC(San Diego) 0.07
Program Analyst 565056 TRC North Central(San Diego) 0.07
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Vice President
Vice President 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DD-SAU) 0.10
Vice President 18-622-1/New Horizons/DBH/Fresno County 0.07
Vice President 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.07
Vice President 20-014/I1VIPACT MH/DBH/Fresno 0.09
Vice President 20-014/I1VIPACT SUD/DBH/Fresno 0.01
Vice President Casa Aurora/CDCR 0.27
Vice President 20-216/DART West/DBH/Fresno 0.35
Vice President 762-2019/Kern ACTION/Kern 0.04
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Compliance Specialist
Compliance Specialist 18-622-1/JJC-MH(FF-SAU)/DBH/Fresno County(DID-SAU) 0.17
Compliance Specialist 18-622-1/New Horizons/DBH/Fresno County 0.17
Compliance Specialist 18-622-1/JJC-SUD(FF-SAU)/DBH/Fresno County 0.07
Compliance Specialist 18-622-1/FYA JDC PROPS/DBH/Fresno County 0.06
Compliance Specialist A-16-360/FAA/DBH/Fresno County 0.05
Compliance Specialist 20-014/I1VIPACT MH/DBH/Fresno 0.09
Compliance Specialist Fresno Triage/Fresno City 0.14
Compliance Specialist 19-258/Fresno Bridge/Fresno County 0.12
Compliance Specialist 18-692/Fresno First/DBH/Fresno County 0.13
Tota 1 1.00
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
F7-18
Exhibit F-7
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
Position Contract#/Name/Department/County FTE%
F7-19
Exhibit F-7
Tota I
Position Contract#/Name/Department/County FTE%
Tota I
F7-20
Exhibit F-7
ASSISTED OUTPATIENT TREATMENT SERVICES
Mental Health Systems,Inc.
Fiscal Year(FY)2023-24(October-December 2023) Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 49,566
Administrative Positions 10,428
1101 Program Manager 3,120 The Program Manager is responsible for the overall operation of the program.
1102 Administrative Assistant 910 This position provides clerical support for the program.The position consists of typical
administrative support duties and responsibilities such as typing,filing,answering
phones,preparing reports,and sorting mail.
1103 Vice President 2,257 The Vice President is responsible for the oversight and management responsibility of all
assigned programs operated by MHS in a designated region including contract
compliance,performance outcomes,administrative and clinical supervision,budgetary
compliance,financial performance,and community outreach.This position shares
allocations across several programs.
1104 Program Analyst 1,313 This position is responsible for analyzing contract cost and production data,
communicating irregularities,ensuring fiscal contract compliance,preparing and
submitting monthly contract billings,responding to audit requests,and other
program/contract related ad hoc reporting.Other duties include budget development,
budget analysis and review,preparing and reviewing contract billings,and contract
compliance for assigned contracts/programs.
1105 Compliance Specialist 2,829 The Compliance Specialist develops and maintains systems to ensure appropriate
documentation is completed within the program.The specialist also performs other
duties,as assigned by the Program Manager to ensure overall program compliance and
quality assurance within the program.The range of authority and decision making for
this position is limited to and consistent with MHS policy for administrative line staff.
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 10 1 -
Program Positions 27,046
1116 Licensed Clinical Supervisor 7,286 The Clinical Supervisor is responsible for all program clinical supervision,clinical
assessment guidelines,clinical assessment guideline review,in-service training and
clinical consultation with staff.The range of authority and decision making for this
position is limited to and consistent with MHS Policy for Clinical Supervisor staff.
1117 SLID Counselor 13,520 The Substance Abuse Counselors interact with residents on a day-to-day basis providing
individual and group counseling.The Substance Abuse Counselors provide residents
with orientation,training,substance abuse recovery skills and information,and
leadership necessary to provide them with the ability to recover from substance abuse
addiction.
1118 Family Support Specialist 6,240 The Family Peer Support Specialist utilizes his or her experiences as a recipient of
substance abuse and/or mental health services to enhance recovery efforts of clients.
He or she serves as a member of a multidisciplinary team and shares practical and
personal experience,knowledge and insight related to illness management,life skills,
and the lifelong process of recovery.The Family Peer Support Specialist actively
promotes greater understanding of clients'points of view and preferences.He or she
maximizes client choice while also advocating on behalf of clients when appropriate.
The Family Peer Support Specialist also fulfills duties related to supportive counseling,
rehabilitation,and collateral interactions with natural supports.
1119 0
1120 0
1121
1122
1123
1124
1125
1126
1127
F7-21
Exhibit F-7
1128
1129
1130
1131
1132
1133
1134 0 -
Direct Employee Benefits 8,663
1201 Retirement 1,499 Calculated at 4%of direct salaries
1202 Worker's Compensation 224 Calculated at 0.60%of direct salaries based on the W/C Insurance Factors received for
FY 21/22
1203 Health Insurance 6,906 Currently budgeting 16.0496of Direct Salaries-this can be higher or lower depending on
individual employee actual elections on coverage.The budgeted percentage is based on
historial average trend.
1204 -
1205 Life Insurance 34 Budgeting at$0.61/pay period per FTE
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 3,429
1301 OASDI - Included with#1302
1302 FICA/MEDICARE 2,867 Social Security+Medicare Tax=7.65%of Direct Salaries
1303 SUI 562 Calculated at 1.5%of Direct Salaries based on historical average and updated factor
projections from insurance
1304 Other(specify) -
1305 Other(specify) -
1306 Other(specify) -
2000:DIRECT CLIENT SUPPORT 2,288
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation&Support 288 Cost of providing transportation supports to clients when appropriate
2004 Clothing,Food,&Hygiene 1,250 Cost of providing clothing,food,hygiene,and similar support to clients.
2005 Education Support 750 cost of providing wraparound service care related to client educational goals and needs
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Other(specify) -
2012 Other(specify) -
2013 Other(specify) -
2014 Other(specify) -
2015 Other(specify) -
2016 Other(specify) -
3000:DIRECT OPERATING EXPENSES 10,583
3001 Telecommunications 199 Recurring costs of phone services,cell phones,laptop data/internet device,and internet
services.Also covers the monthly user fees for the MS Teams
3002 Printing/Postage 243 Covers the cost of brochures,business cards,employment announcements,other
program printing needs,postage and freight expenses.
3003 Office,Household&Program Supplies 1,345 Office supplies utilized for program operation,including paper,pens,pencils,folders,
staples,paper clips,printer cartridges,binders,folder tabs,client chart supplies.
Housekeeping supplies such as cleaning products,bathroom products,non stationary
paper goods,cleaning,and trash supplies.Recreational/occupational therapy supplies
used by clients for their treatment plan.
3004 Advertising -
3005 Staff Development&Training 402 Staff development/training costs include CPR and First Aid trainings for staff,MHS
course requirements(via Relias platform),and registrations for staff development and
trainings held in collaboration with the program's mission(Forensic Mental Health,
Evidence-based Trainings,etc.).
3006 Staff Mileage 863 In-County mileage reimbursements of staff(without clients)traveling to and from
events,meetings and trainings in conjunction with program operations and
responsibilities.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance -
3009 Staff Travel-Out of County 1,150 Out of county travel related to PM/VP traveling to San Diego for required training and
events
F7-22
Exhibit F-7
3010 Licenses/Software 1,015 Fresno County EHR system:Avatar expenses per user based on published County rates.
Welligent Licenses for 3rd party billing and outcomes tracking,Department Of Motor
Vehicles registration renewals.
IT related user(FTE)license and software expenses like Microsoft license,Cloud
Services,IT Threat Protection Services and other IT user licenses necessary for program
operations.Software expenses included here are for access to software platforms,not
for the acquistion or build out of software assets(RE:#7001).
3011 Other Business Services 5,366 Associated costs for hiring of new employees such as TB screenings,assessments,drug
screenings,background checks,and fingerprinting.When TB tests and drug tests are
required for current employess,those expenses would be included here.Also includes
the cost of movers,HIPPA shredding costs&client file storage retrieval costs,Monthly
user fees for Common Ground Software(for client support and treatment),payee
services,and other necessary and allowable costs for program operations that do not fit
clearly in other budgeted line items.
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 1,600
4001 Building Maintenance -
4002 Rent/Lease Building -
4003 Rent/Lease Equipment -
4004 Rent/Lease Vehicles -
4005 Security -
4006 Utilities -
4007 Minor equipment purchases and equipment 1,600 Equipment repairs/maintenance that encompass the cost of a maintenance contract for
repair/maintenance the copier,monitoring of internet firewall,and the repair of other equipment not
covered by maintenance agreements such as computers,printers,and telephones.Also
covers the cost of maintenance and repair on the leased vehicles,not covered by the
lease agreement.
Minor equipment replacement of existing equipment that in the normal course of use is
worn out and either cannot be repaired or is not practical to have repaired and the
purchase of minor equipment necessary to program operations.
4008 Vehicle Insurance -
4009 Other(specify) -
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 1,238
5001 Consultant(Network&Data Management) -
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services(Specify) -
5004 Translation Services 1,238 Estimated cost of providing interpreters when there isn't a bilingual staff available.
Actual costs might come in higher depending on clients and their needs.
5005 Other(specify) -
5006 Other(specify) -
5007 Other(specify) -
5008 Other(specify) -
6000:INDIRECT EXPENSES 9,726
6001 Administrative Overhead 9,726 Indirect/administrative expense per Federally approved Indirect Rate of 14.9%.
6002 Professional Liability Insurance -
6003 Accounting/Bookkeeping -
6004 External Audit -
6005 Insurance(Specify): -
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(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 HIPAA -
7003 Furniture&Fixtures -
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify) -
7007 Other(specify) -
F7-23
Exhibit F-7
7008 Other(specify) -
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL
ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED
BY THE RFP
8001 Mental Health Services
8002 Case Management
8003 Crisis Services
8004 Medication Support
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
8009 Other(Specify)
8010 Other(Specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 75,000
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 75,000
BUDGET CHECK: FALSE
F7-24
Exhibit O
Insurance Requirements
1. Required Policies
Without limiting the County's right to obtain indemnification from the Contractor or any third
parties, Contractor, at its sole expense, shall maintain in full force and effect the following
insurance policies throughout the term of this Agreement.
(A) Commercial General Liability. Commercial general liability insurance with limits of not
less than Two Million Dollars ($2,000,000) per occurrence and an annual aggregate of
Four Million Dollars ($4,000,000). This policy must be issued on a per occurrence basis.
Coverage must include products, completed operations, property damage, bodily injury,
personal injury, and advertising injury. The Contractor shall obtain an endorsement to
this policy naming the County of Fresno, its officers, agents, employees, and volunteers,
individually and collectively, as additional insureds, but only insofar as the operations
under this Agreement are concerned. Such coverage for additional insureds will apply as
primary insurance and any other insurance, or self-insurance, maintained by the County
is excess only and not contributing with insurance provided under the Contractor's
policy.
(B) Automobile Liability. Automobile liability insurance with limits of not less than One
Million Dollars ($1,000,000) per occurrence for bodily injury and for property damages.
Coverage must include any auto used in connection with this Agreement.
(C)Workers Compensation. Workers compensation insurance as required by the laws of
the State of California with statutory limits.
(D) Employer's Liability. Employer's liability insurance with limits of not less than One
Million Dollars ($1,000,000) per occurrence for bodily injury and for disease.
(E) Professional Liability. Professional liability insurance with limits of not less than One
Million Dollars ($1,000,000) per occurrence and an annual aggregate of Three Million
Dollars ($3,000,000). If this is a claims-made policy, then (1)the retroactive date must
be prior to the date on which services began under this Agreement; (2)the Contractor
shall maintain the policy and provide to the County annual evidence of insurance for not
less than five years after completion of services under this Agreement; and (3) if the
policy is canceled or not renewed, and not replaced with another claims-made policy
with a retroactive date prior to the date on which services begin under this Agreement,
then the Contractor shall purchase extended reporting coverage on its claims-made
policy for a minimum of five years after completion of services under this Agreement.
(F) Molestation Liability. Sexual abuse/ molestation liability insurance with limits of not
less than Two Million Dollars ($2,000,000) per occurrence, with an annual aggregate of
Four Million Dollars ($4,000,000). This policy must be issued on a per occurrence basis.
(G)Cyber Liability. Cyber liability insurance with limits of not less than Two Million Dollars
($2,000,000) per occurrence. Coverage must include claims involving Cyber Risks. The
cyber liability policy must be endorsed to cover the full replacement value of damage to,
alteration of, loss of, or destruction of intangible property (including but not limited to
information or data) that is in the care, custody, or control of the Contractor.
1
Exhibit O
Definition of Cyber Risks. "Cyber Risks" include but are not limited to (i) Security
Breach, which may include Disclosure of Personal Information to an Unauthorized Third
Party; (ii) data breach; (iii) breach of any of the Contractor's obligations under Exhibit P
of this Agreement; (iv) system failure; (v) data recovery; (vi) failure to timely disclose
data breach or Security Breach; (vii) failure to comply with privacy policy; (viii) payment
card liabilities and costs; (ix) infringement of intellectual property, including but not
limited to infringement of copyright, trademark, and trade dress; (x) invasion of privacy,
including release of private information; (xi) information theft; (xii) damage to or
destruction or alteration of electronic information; (xiii) cyber extortion; (xiv) extortion
related to the Contractor's obligations under this Agreement regarding electronic
information, including Personal Information; (xv)fraudulent instruction; (xvi) funds
transfer fraud; (xvii) telephone fraud; (xviii) network security; (xix) data breach response
costs, including Security Breach response costs; (xx) regulatory fines and penalties
related to the Contractor's obligations under this Agreement regarding electronic
information, including Personal Information; and (xxi) credit monitoring expenses.
2. Additional Requirements
(A) Verification of Coverage. Within 30 days after the Contractor signs this Agreement,
and at any time during the term of this Agreement as requested by the County's Risk
Manager or the County Administrative Office, the Contractor shall deliver, or cause its
broker or producer to deliver, to the County Risk Manager, at 2220 Tulare Street, 16th
Floor, Fresno, California 93721, or HRRiskManagement@fresnocountyca.gov, and by
mail or email to the person identified to receive notices under this Agreement,
certificates of insurance and endorsements for all of the coverages required under this
Agreement.
(i) Each insurance certificate must state that: (1) the insurance coverage has been
obtained and is in full force; (2) the County, its officers, agents, employees, and
volunteers are not responsible for any premiums on the policy; and (3) the
Contractor has waived its right to recover from the County, its officers, agents,
employees, and volunteers any amounts paid under any insurance policy
required by this Agreement and that waiver does not invalidate the insurance
policy.
(ii) The commercial general liability insurance certificate must also state, and include
an endorsement, that the County of Fresno, its officers, agents, employees, and
volunteers, individually and collectively, are additional insureds insofar as the
operations under this Agreement are concerned. The commercial general liability
insurance certificate must also state that the coverage shall apply as primary
insurance and any other insurance, or self-insurance, maintained by the County
shall be excess only and not contributing with insurance provided under the
Contractor's policy.
(iii) The automobile liability insurance certificate must state that the policy covers any
auto used in connection with this Agreement.
2
Exhibit O
(iv) The professional liability insurance certificate, if it is a claims-made policy, must
also state the retroactive date of the policy, which must be prior to the date on
which services began under this Agreement.
(v) The technology professional liability insurance certificate must also state that
coverage encompasses all of the Contractor's obligations under this Agreement,
including but not limited to claims involving Cyber Risks, as that term is defined in
this Agreement.
(vi) The cyber liability insurance certificate must also state that it is endorsed, and
include an endorsement, to cover the full replacement value of damage to,
alteration of, loss of, or destruction of intangible property (including but not limited
to information or data) that is in the care, custody, or control of the Contractor.
(B) Acceptability of Insurers. All insurance policies required under this Agreement must be
issued by admitted insurers licensed to do business in the State of California and
possessing at all times during the term of this Agreement an A.M. Best, Inc. rating of no
less than A: VI I.
(C) Notice of Cancellation or Change. For each insurance policy required under this
Agreement, the Contractor shall provide to the County, or ensure that the policy requires
the insurer to provide to the County, written notice of any cancellation or change in the
policy as required in this paragraph. For cancellation of the policy for nonpayment of
premium, the Contractor shall, or shall cause the insurer to, provide written notice to the
County not less than 10 days in advance of cancellation. For cancellation of the policy
for any other reason, and for any other change to the policy, the Contractor shall, or shall
cause the insurer to, provide written notice to the County not less than 30 days in
advance of cancellation or change. The County in its sole discretion may determine that
the failure of the Contractor or its insurer to timely provide a written notice required by
this paragraph is a breach of this Agreement.
(D) County's Entitlement to Greater Coverage. If the Contractor has or obtains insurance
with broader coverage, higher limits, or both, than what is required under this
Agreement, then the County requires and is entitled to the broader coverage, higher
limits, or both. To that end, the Contractor shall deliver, or cause its broker or producer
to deliver, to the County's Risk Manager certificates of insurance and endorsements for
all of the coverages that have such broader coverage, higher limits, or both, as required
under this Agreement.
(E) Waiver of Subrogation. The Contractor waives any right to recover from the County, its
officers, agents, employees, and volunteers any amounts paid under the policy of
worker's compensation insurance required by this Agreement. The Contractor is solely
responsible to obtain any policy endorsement that may be necessary to accomplish that
waiver, but the Contractor's waiver of subrogation under this paragraph is effective
whether or not the Contractor obtains such an endorsement.
(F) County's Remedy for Contractor's Failure to Maintain. If the Contractor fails to keep
in effect at all times any insurance coverage required under this Agreement, the County
may, in addition to any other remedies it may have, suspend or terminate this
Agreement upon the occurrence of that failure, or purchase such insurance coverage,
3
Exhibit O
and charge the cost of that coverage to the Contractor. The County may offset such
charges against any amounts owed by the County to the Contractor under this
Agreement.
(G)Subcontractors. The Contractor shall require and verify that all subcontractors used by
the Contractor to provide services under this Agreement maintain insurance meeting all
insurance requirements provided in this Agreement. This paragraph does not authorize
the Contractor to provide services under this Agreement using subcontractors.
4
Exhibit P
Data Security
1. Definitions
Capitalized terms used in this Exhibit P have the meanings set forth in this section 1.
(A) "Authorized Employees" means the Contractor's employees who have access to
Personal Information.
(B) "Authorized Persons" means: (i) any and all Authorized Employees; and (ii) any and all
of the Contractor's subcontractors, representatives, agents, outsourcers, and
consultants, and providers of professional services to the Contractor, who have access
to Personal Information and are bound by law or in writing by confidentiality obligations
sufficient to protect Personal Information in accordance with the terms of this Exhibit P.
(C)"Director" means the County's Director of the Department of Behavioral Health or his or
her designee.
(D)"Disclose" or any derivative of that word means to disclose, release, transfer,
disseminate, or otherwise provide access to or communicate all or any part of any
Personal Information orally, in writing, or by electronic or any other means to any person.
(E) "Person" means any natural person, corporation, partnership, limited liability company,
firm, or association.
(F) "Personal Information" means any and all information, including any data, provided, or
to which access is provided, to the Contractor by or upon the authorization of the
County, under this Agreement, including but not limited to vital records, that: (i) identifies,
describes, or relates to, or is associated with, or is capable of being used to identify,
describe, or relate to, or associate with, a person (including, without limitation, names,
physical descriptions, signatures, addresses, telephone numbers, e-mail addresses,
education, financial matters, employment history, and other unique identifiers, as well as
statements made by or attributable to the person); (ii) is used or is capable of being used
to authenticate a person (including, without limitation, employee identification numbers,
government-issued identification numbers, passwords or personal identification numbers
(PINs), financial account numbers, credit report information, answers to security
questions, and other personal identifiers); or (iii) is personal information within the
meaning of California Civil Code section 1798.3, subdivision (a), or 1798.80, subdivision
(e). Personal Information does not include publicly available information that is lawfully
made available to the general public from federal, state, or local government records.
(G)"Privacy Practices Complaint" means a complaint received by the County relating to
the Contractor's (or any Authorized Person's) privacy practices, or alleging a Security
Breach. Such complaint shall have sufficient detail to enable the Contractor to promptly
investigate and take remedial action under this Exhibit P.
(H) "Security Safeguards" means physical, technical, administrative or organizational
security procedures and practices put in place by the Contractor (or any Authorized
Persons) that relate to the protection of the security, confidentiality, value, or integrity of
Personal Information. Security Safeguards shall satisfy the minimal requirements set
forth in section 3(C) of this Exhibit P.
1
Exhibit P
(1) "Security Breach" means (i) any act or omission that compromises either the security,
confidentiality, value, or integrity of any Personal Information or the Security Safeguards,
or (ii) any unauthorized Use, Disclosure, or modification of, or any loss or destruction of,
or any corruption of or damage to, any Personal Information.
(J) "Use" or any derivative of that word means to receive, acquire, collect, apply,
manipulate, employ, process, transmit, disseminate, access, store, disclose, or dispose
of Personal Information.
2. Standard of Care
(A) The Contractor acknowledges that, in the course of its engagement by the County under
this Agreement, the Contractor, or any Authorized Persons, may Use Personal
Information only as permitted in this Agreement.
(B) The Contractor acknowledges that Personal Information is deemed to be confidential
information of, or owned by, the County (or persons from whom the County receives or
has received Personal Information) and is not confidential information of, or owned or by,
the Contractor, or any Authorized Persons. The Contractor further acknowledges that all
right, title, and interest in or to the Personal Information remains in the County (or
persons from whom the County receives or has received Personal Information)
regardless of the Contractor's, or any Authorized Person's, Use of that Personal
Information.
(C)The Contractor agrees and covenants in favor of the Country that the Contractor shall:
(i) keep and maintain all Personal Information in strict confidence, using such
degree of care under this section 2 as is reasonable and appropriate to avoid a
Security Breach;
(ii) Use Personal Information exclusively for the purposes for which the Personal
Information is made accessible to the Contractor pursuant to the terms of this
Exhibit P;
(iii) not Use, Disclose, sell, rent, license, or otherwise make available Personal
Information for the Contractor's own purposes or for the benefit of anyone other
than the County, without the County's express prior written consent, which the
County may give or withhold in its sole and absolute discretion; and
(iv) not, directly or indirectly, Disclose Personal Information to any person (an
"Unauthorized Third Party") other than Authorized Persons pursuant to this
Agreement, without the Director's express prior written consent.
(D) Notwithstanding the foregoing paragraph, in any case in which the Contractor believes it,
or any Authorized Person, is required to disclose Personal Information to government
regulatory authorities, or pursuant to a legal proceeding, or otherwise as may be
required by applicable law, Contractor shall (i) immediately notify the County of the
specific demand for, and legal authority for the disclosure, including providing County
with a copy of any notice, discovery demand, subpoena, or order, as applicable,
received by the Contractor, or any Authorized Person, from any government regulatory
authorities, or in relation to any legal proceeding, and (ii) promptly notify the County
2
Exhibit P
before such Personal Information is offered by the Contractor for such disclosure so that
the County may have sufficient time to obtain a court order or take any other action the
County may deem necessary to protect the Personal Information from such disclosure,
and the Contractor shall cooperate with the County to minimize the scope of such
disclosure of such Personal Information.
(E) The Contractor shall remain liable to the County for the actions and omissions of any
Unauthorized Third Party concerning its Use of such Personal Information as if they
were the Contractor's own actions and omissions.
3. Information Security
(A) The Contractor covenants, represents and warrants to the County that the Contractor's
Use of Personal Information under this Agreement does and will at all times comply with
all applicable federal, state, and local, privacy and data protection laws, as well as all
other applicable regulations and directives, including but not limited to California Civil
Code, Division 3, Part 4, Title 1.81 (beginning with section 1798.80), and the Song-
Beverly Credit Card Act of 1971 (California Civil Code, Division 3, Part 4, Title 1.3,
beginning with section 1747). If the Contractor Uses credit, debit or other payment
cardholder information, the Contractor shall at all times remain in compliance with the
Payment Card Industry Data Security Standard ("PCI DSS") requirements, including
remaining aware at all times of changes to the PCI DSS and promptly implementing and
maintaining all procedures and practices as may be necessary to remain in compliance
with the PCI DSS, in each case, at the Contractor's sole cost and expense.
(B) The Contractor covenants, represents and warrants to the County that, as of the
effective date of this Agreement, the Contractor has not received notice of any violation
of any privacy or data protection laws, as well as any other applicable regulations or
directives, and is not the subject of any pending legal action or investigation by, any
government regulatory authority regarding same.
(C)Without limiting the Contractor's obligations under section 3(A) of this Exhibit P, the
Contractor's (or Authorized Person's) Security Safeguards shall be no less rigorous than
accepted industry practices and, at a minimum, include the following:
(i) limiting Use of Personal Information strictly to the Contractor's and Authorized
Persons' technical and administrative personnel who are necessary for the
Contractor's, or Authorized Persons', Use of the Personal Information pursuant to
this Agreement;
(ii) ensuring that all of the Contractor's connectivity to County computing systems
will only be through the County's security gateways and firewalls, and only
through security procedures approved upon the express prior written consent of
the Director;
(iii) to the extent that they contain or provide access to Personal Information, (a)
securing business facilities, data centers, paper files, servers, back-up systems
and computing equipment, operating systems, and software applications,
including, but not limited to, all mobile devices and other equipment, operating
systems, and software applications with information storage capability; (b)
3
Exhibit P
employing adequate controls and data security measures, both internally and
externally, to protect (1) the Personal Information from potential loss or
misappropriation, or unauthorized Use, and (2) the County's operations from
disruption and abuse; (c) having and maintaining network, device application,
database and platform security; (d) maintaining authentication and access
controls within media, computing equipment, operating systems, and software
applications; and (e) installing and maintaining in all mobile, wireless, or
handheld devices a secure internet connection, having continuously updated
anti-virus software protection and a remote wipe feature always enabled, all of
which is subject to express prior written consent of the Director;
(iv) encrypting all Personal Information at advance encryption standards of Advanced
Encryption Standards (AES) of 128 bit or higher (a) stored on any mobile
devices, including but not limited to hard disks, portable storage devices, or
remote installation, or (b) transmitted over public or wireless networks (the
encrypted Personal Information must be subject to password or pass phrase, and
be stored on a secure server and transferred by means of a Virtual Private
Network (VPN) connection, or another type of secure connection, all of which is
subject to express prior written consent of the Director);
(v) strictly segregating Personal Information from all other information of the
Contractor, including any Authorized Person, or anyone with whom the
Contractor or any Authorized Person deals so that Personal Information is not
commingled with any other types of information;
(vi) having a patch management process including installation of all operating system
and software vendor security patches;
(vii) maintaining appropriate personnel security and integrity procedures and
practices, including, but not limited to, conducting background checks of
Authorized Employees consistent with applicable law; and
(viii) providing appropriate privacy and information security training to Authorized
Employees.
(D) During the term of each Authorized Employee's employment by the Contractor, the
Contractor shall cause such Authorized Employees to abide strictly by the Contractor's
obligations under this Exhibit P. The Contractor shall maintain a disciplinary process to
address any unauthorized Use of Personal Information by any Authorized Employees.
(E) The Contractor shall, in a secure manner, backup daily, or more frequently if it is the
Contractor's practice to do so more frequently, Personal Information received from the
County, and the County shall have immediate, real time access, at all times, to such
backups via a secure, remote access connection provided by the Contractor, through the
Internet.
(F) The Contractor shall provide the County with the name and contact information for each
Authorized Employee (including such Authorized Employee's work shift, and at least one
alternate Authorized Employee for each Authorized Employee during such work shift)
who shall serve as the County's primary security contact with the Contractor and shall be
4
Exhibit P
available to assist the County twenty-four (24) hours per day, seven (7) days per week
as a contact in resolving the Contractor's and any Authorized Persons' obligations
associated with a Security Breach or a Privacy Practices Complaint.
(G)The Contractor shall not knowingly include or authorize any Trojan Horse, back door,
time bomb, drop dead device, worm, virus, or other code of any kind that may disable,
erase, display any unauthorized message within, or otherwise impair any County
computing system, with or without the intent to cause harm.
4. Security Breach Procedures
(A) Immediately upon the Contractor's awareness or reasonable belief of a Security Breach,
the Contractor shall (i) notify the Director of the Security Breach, such notice to be given
first by telephone at the following telephone number: 559-600-5900, followed promptly
by email at the following email address: incidents@fresnocountyca.gov (which telephone
number and email address the County may update by providing notice to the
Contractor), and (ii) preserve all relevant evidence (and cause any affected Authorized
Person to preserve all relevant evidence) relating to the Security Breach. The notification
shall include, to the extent reasonably possible, the identification of each type and the
extent of Personal Information that has been, or is reasonably believed to have been,
breached, including but not limited to, compromised, or subjected to unauthorized Use,
Disclosure, or modification, or any loss or destruction, corruption, or damage.
(B) Immediately following the Contractor's notification to the County of a Security Breach, as
provided pursuant to section 4(A) of this Exhibit P, the Parties shall coordinate with each
other to investigate the Security Breach. The Contractor agrees to fully cooperate with
the County, including, without limitation:
(i) assisting the County in conducting any investigation;
(ii) providing the County with physical access to the facilities and operations
affected;
(iii) facilitating interviews with Authorized Persons and any of the Contractor's other
employees knowledgeable of the matter; and
(iv) making available all relevant records, logs, files, data reporting and other
materials required to comply with applicable law, regulation, industry standards,
or as otherwise reasonably required by the County.
To that end, the Contractor shall, with respect to a Security Breach, be solely
responsible, at its cost, for all notifications required by law and regulation, or deemed
reasonably necessary by the County, and the Contractor shall provide a written report of
the investigation and reporting required to the Director within 30 days after the
Contractor's discovery of the Security Breach.
(C) County shall promptly notify the Contractor of the Director's knowledge, or reasonable
belief, of any Privacy Practices Complaint, and upon the Contractor's receipt of that
notification, the Contractor shall promptly address such Privacy Practices Complaint,
including taking any corrective action under this Exhibit P, all at the Contractor's sole
expense, in accordance with applicable privacy rights, laws, regulations and standards.
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Exhibit P
In the event the Contractor discovers a Security Breach, the Contractor shall treat the
Privacy Practices Complaint as a Security Breach. Within 24 hours of the Contractor's
receipt of notification of such Privacy Practices Complaint, the Contractor shall notify the
County whether the matter is a Security Breach, or otherwise has been corrected and
the manner of correction, or determined not to require corrective action and the reason
for that determination.
(D)The Contractor shall take prompt corrective action to respond to and remedy any
Security Breach and take mitigating actions, including but not limiting to, preventing any
reoccurrence of the Security Breach and correcting any deficiency in Security
Safeguards as a result of such incident, all at the Contractor's sole expense, in
accordance with applicable privacy rights, laws, regulations and standards. The
Contractor shall reimburse the County for all reasonable costs incurred by the County in
responding to, and mitigating damages caused by, any Security Breach, including all
costs of the County incurred relation to any litigation or other action described section
4(E) of this Exhibit P.
(E) The Contractor agrees to cooperate, at its sole expense, with the County in any litigation
or other action to protect the County's rights relating to Personal Information, including
the rights of persons from whom the County receives Personal Information.
5. Oversight of Security Compliance
(A) The Contractor shall have and maintain a written information security policy that
specifies Security Safeguards appropriate to the size and complexity of the Contractor's
operations and the nature and scope of its activities.
(B) Upon the County's written request, to confirm the Contractor's compliance with this
Exhibit P, as well as any applicable laws, regulations and industry standards, the
Contractor grants the County or, upon the County's election, a third party on the
County's behalf, permission to perform an assessment, audit, examination or review of
all controls in the Contractor's physical and technical environment in relation to all
Personal Information that is Used by the Contractor pursuant to this Agreement. The
Contractor shall fully cooperate with such assessment, audit or examination, as
applicable, by providing the County or the third party on the County's behalf, access to
all Authorized Employees and other knowledgeable personnel, physical premises,
documentation, infrastructure and application software that is Used by the Contractor for
Personal Information pursuant to this Agreement. In addition, the Contractor shall
provide the County with the results of any audit by or on behalf of the Contractor that
assesses the effectiveness of the Contractor's information security program as relevant
to the security and confidentiality of Personal Information Used by the Contractor or
Authorized Persons during the course of this Agreement under this Exhibit P.
(C)The Contractor shall ensure that all Authorized Persons who Use Personal Information
agree to the same restrictions and conditions in this Exhibit P. that apply to the
Contractor with respect to such Personal Information by incorporating the relevant
provisions of these provisions into a valid and binding written agreement between the
Contractor and such Authorized Persons, or amending any written agreements to
provide same.
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Exhibit P
6. Return or Destruction of Personal Information. Upon the termination of this Agreement,
the Contractor shall, and shall instruct all Authorized Persons to, promptly return to the County
all Personal Information, whether in written, electronic or other form or media, in its possession
or the possession of such Authorized Persons, in a machine readable form used by the County
at the time of such return, or upon the express prior written consent of the Director, securely
destroy all such Personal Information, and certify in writing to the County that such Personal
Information have been returned to the County or disposed of securely, as applicable. If the
Contractor is authorized to dispose of any such Personal Information, as provided in this Exhibit
P, such certification shall state the date, time, and manner (including standard) of disposal and
by whom, specifying the title of the individual. The Contractor shall comply with all reasonable
directions provided by the Director with respect to the return or disposal of Personal Information
and copies of Personal Information. If return or disposal of such Personal Information or copies
of Personal Information is not feasible, the Contractor shall notify the County according,
specifying the reason, and continue to extend the protections of this Exhibit P to all such
Personal Information and copies of Personal Information. The Contractor shall not retain any
copy of any Personal Information after returning or disposing of Personal Information as
required by this section 6. The Contractor's obligations under this section 6 survive the
termination of this Agreement and apply to all Personal Information that the Contractor retains if
return or disposal is not feasible and to all Personal Information that the Contractor may later
discover.
7. Equitable Relief. The Contractor acknowledges that any breach of its covenants or
obligations set forth in this Exhibit P may cause the County irreparable harm for which monetary
damages would not be adequate compensation and agrees that, in the event of such breach or
threatened breach, the County is entitled to seek equitable relief, including a restraining order,
injunctive relief, specific performance and any other relief that may be available from any court,
in addition to any other remedy to which the County may be entitled at law or in equity. Such
remedies shall not be deemed to be exclusive but shall be in addition to all other remedies
available to the County at law or in equity or under this Agreement.
8. Indemnity. The Contractor shall defend, indemnify and hold harmless the County, its
officers, employees, and agents, (each, a "County Indemnitee") from and against any and all
infringement of intellectual property including, but not limited to infringement of copyright,
trademark, and trade dress, invasion of privacy, information theft, and extortion, unauthorized
Use, Disclosure, or modification of, or any loss or destruction of, or any corruption of or damage
to, Personal Information, Security Breach response and remedy costs, credit monitoring
expenses, forfeitures, losses, damages, liabilities, deficiencies, actions, judgments, interest,
awards, fines and penalties (including regulatory fines and penalties), costs or expenses of
whatever kind, including attorneys' fees and costs, the cost of enforcing any right to
indemnification or defense under this Exhibit P and the cost of pursuing any insurance
providers, arising out of or resulting from any third party claim or action against any County
Indemnitee in relation to the Contractor's, its officers, employees, or agents, or any Authorized
Employee's or Authorized Person's, performance or failure to perform under this Exhibit P or
arising out of or resulting from the Contractor's failure to comply with any of its obligations under
this section 8. The provisions of this section 8 do not apply to the acts or omissions of the
County. The provisions of this section 8 are cumulative to any other obligation of the Contractor
to, defend, indemnify, or hold harmless any County Indemnitee under this Agreement. The
provisions of this section 8 shall survive the termination of this Agreement.
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Exhibit P
9. Survival. The respective rights and obligations of the Contractor and the County as stated
in this Exhibit P shall survive the termination of this Agreement.
10. No Third Party Beneficiary. Nothing express or implied in the provisions of in this Exhibit P
is intended to confer, nor shall anything in this Exhibit P confer, upon any person other than the
County or the Contractor and their respective successors or assignees, any rights, remedies,
obligations or liabilities whatsoever.
11. No County Warranty. The County does not make any warranty or representation whether
any Personal Information in the Contractor's (or any Authorized Person's) possession or control,
or Use by the Contractor (or any Authorized Person), pursuant to the terms of this Agreement is
or will be secure from unauthorized Use, or a Security Breach or Privacy Practices Complaint.
8