HomeMy WebLinkAboutFinal Executed Amendment I-The Lodge.pdf Agreement No. 23-299
1 AMENDMENT ITO AGREEMENT
2 THIS AMENDMENT, hereinafter referred to as "Amendment I", is made and entered into this
3 20th day of June , 2023, by and between the COUNTY OF FRESNO, a Political
4 Subdivision of the State of California, hereinafter referred to as "COUNTY", and RH COMMUNITY
5 BUILDERS LP, a limited California partnership, whose address is 352 Bedford Ave., Suite 110,
6 Fresno, California, 93711, hereinafter referred to as "CONTRACTOR" (collectively the "parties").
7 WHEREAS the parties entered into that certain Agreement, identified as COUNTY Agreement
8 No. 20-492, effective October 20, 2020, hereinafter referred to as "Agreement", whereby
9 CONTRACTOR agreed to provide short-term lodging driven by peer-support services to individuals
10 who have a severe mental illness (SMI), are currently homeless, or at risk of homelessness, are
11 eligible for services, and have not previously engaged in ongoing outpatient behavioral health
12 services, and;
13 WHEREAS changes to the Agreement are necessary due the State of California's Department
14 of Health Care Services' implementation of California Advancing and Innovating Medi-Cal (CalAIM);
15 WHEREAS the parties now desire to amend the Agreement regarding changes as stated
16 below and restate the Agreement in its entirety.
17 NOW, THEREFORE, in consideration of their mutual promises, covenants and conditions,
18 hereinafter set forth, the sufficiency of which is hereby acknowledged, the parties agree as follows:
19 1. That the existing COUNTY Agreement No. 20-492, section one (1), "SERVICES" shall
20 be revised by adding the following at Page two (2), Line twenty-three (23), after the word "designee.":
21 "I. The CONTRACTOR shall comply with all applicable regulations regarding the
22 Department of Health Care Services' implementation of CaIAIM."
23 2. That the existing COUNTY Agreement No. 20-492, section two (2), "TERM" shall be
24 revised by adding the following at Page three (3), Line three (3), after the word "term.":
25 "This Agreement shall be extended for an additional twelve (12) month period beginning
26 July 1, 2023 through June 30, 2024. The term of this Agreement may be extended for no more than a
27 one-year period only upon written approval of both parties at least 30 days before the first day of the
28 one-year extension period. The COUNTY's DBH Director or designee is authorized to sign the written
1 - COUNTY OF FRESNO
Fresno, CA
I approval on behalf of the COUNTY based on the CONTRACTOR(s)'s satisfactory performance. The
2 extension of this Agreement by the COUNTY is not a waiver or compromise of any default or breach of
3 this Agreement by the CONTRACTOR(s) existing at the time of the extension whether or not known to
4 the COUNTY."
5 3. That the existing COUNTY Agreement No. 20-492, page four (4), Section four (4), line
6 twenty-three (23) beginning with the word "In", and ending on page four (4), line twenty-six (26) with
7 the word "Agreement" be deleted and the following inserted in its place:
8 "The maximum amount payable to CONTRACTOR for the period of July 1, 2023
9 through June 30, 2024 shall not exceed One Million Seven Hundred Twenty-Nine Thousand Two
10 Hundred Twenty-Five and No/100 Dollars ($1,729,225.00). It is understood by CONTRACTOR and
11 COUNTY that the total Mental Health Services Act (MHSA) funds payable under this agreement to
12 CONTRACTOR shall not exceed One Million Five Hundred Thousand and No/100 Dollars
13 ($1,333,333.00). It is also understood by CONTRACTOR and COUNTY that CONTRACTOR is
14 estimated to generate a cumulative total of Three Hundred Ninety-Five Thousand Eight Hundred
15 Ninety-Two and No/100 Dollars ($395,892.00.00) in Medi-Cal Federal Financial Participation (FFP) for
16 services under this Agreement.
17 The maximum amount payable to CONTRACTOR for the period of July 1, 2024 through
18 June 30, 2025 shall not exceed One Million Seven Hundred Twenty-Nine Thousand Two Hundred
19 Twenty-Five and No/100 Dollars ($1,729,225.00). It is understood by CONTRACTOR and COUNTY
20 that the total Mental Health Services Act (MHSA) funds payable under this agreement to
21 CONTRACTOR shall not exceed One Million Five Hundred Thousand and No/100 Dollars
22 ($1,333,333.00). It is also understood by CONTRACTOR and COUNTY that CONTRACTOR is
23 estimated to generate a cumulative total of Three Hundred Ninety-Five Thousand Eight Hundred
24 Ninety-Two and No/100 Dollars ($395,892.00) in Medi-Cal Federal Financial Participation (FFP) for
25 services under this Agreement.
26 In no event shall the maximum contract amount for all services provided by
27 CONTRACTOR to COUNTY under the terms and conditions of this Agreement be in excess of Eight
28 Million One Hundred Thirty-Seven Thousand Six Hundred Sixty-Six and No/100 ($8,137,666.00)."
- 2 - COUNTY OF FRESNO
Fresno, CA
1 4. That the existing COUNTY Agreement No. 20-492, page six (6), Section four (4), line
2 three (3) beginning with the word "CONTRACTOR", and ending on page six (6), line sixteen (16)with
3 the word "exceptions" be deleted and the following inserted in its place:
4 "CONTRACTOR shall be held financially liable for any and all future disallowances/audit
5 exceptions that become final and due to CONTRACTOR's deficiency discovered through the State audit
6 process and COUNTY utilization review during the course of this Agreement. At COUNTY's election, the
7 disallowed amount will be remitted within forty-five (45) days to COUNTY upon notification or shall be
8 withheld from subsequent payments to CONTRACTOR. CONTRACTOR shall not receive
9 reimbursement for any units of services rendered that are disallowed or denied by the Fresno County
10 Mental Health Plan (Mental Health Plan) utilization review process or through the State Department of
11 Health Care Services (DHCS) audit and review process, cost report audit settlement process if applicable
12 for Medi-Cal eligible beneficiaries. Notwithstanding the above, COUNTY must notify CONTRACTOR prior
13 to any State audit process and/or COUNTY utilization review. To the extent allowable by law,
14 CONTRACTOR shall have the right to be present during each phase of any State audit process and/or
15 COUNTY utilization review and shall be provided all documentation related to each phase of any State
16 audit process and/or COUNTY utilization review. Additionally, prior to any disallowances/audit exceptions
17 becoming final, CONTRACTOR shall be given at least 10 business days to respond to such proposed
18 disallowances/audit exceptions."
19 5. That the existing COUNTY Agreement No. 20-492, page seven (7), Section five (5), line
20 eight (8) beginning with the word "If", and ending on page seven (7), line seventeen (17) with the word
21 "COUNTY" be deleted in its entirety.
22 6. That the existing COUNTY Agreement No. 20-492, page eleven (11), Section seven
23 (7), line four (4) beginning with the word "Any", and ending on page eleven (11), line sixteen (16) with
24 the word "Agreement" be deleted and the following inserted in its place:
25 "Except as provided in Section 3, "Termination", this Agreement may not be modified,
26 and no waiver is effective, except by written agreement signed by both parties. The CONTRACTOR
27 acknowledges that COUNTY employees have no authority to modify this Agreement except as
28 expressly provided in this Agreement.
- 3 - COUNTY OF FRESNO
Fresno, CA
I (A) Notwithstanding the above, non-material changes to services, staffing, and
2 responsibilities of the CONTRACTOR, as needed, to accommodate changes in the laws
3 relating to service requirements and specialty mental health treatment, may be made with the
4 signed written approval of COUNTY's DBH Director, or designee, and CONTRACTOR through
5 an amendment approved by COUNTY's County Counsel and the COUNTY's Auditor-
6 Controller/Treasurer-Tax Collector's Office. Said modifications shall not result in any change to
7 the maximum compensation amount payable to CONTRACTOR, as stated herein.
8 (B) In addition, changes to line items and expense category subtotals, as set forth in Exhibit
9 B, that when added together during the term of the agreement do not exceed ten percent
10 (10%) of the total maximum compensation payable to CONTRACTOR, may be made with the
11 written approval of CONTRACTOR and COUNTY'S DBH Director, or designee. Said
12 modifications shall not result in any change to the maximum compensation amount payable to
13 CONTRACTOR, as stated herein.
14 7. That all references in existing COUNTY Agreement No. 20-492 to "Exhibit A," shall be
15 deemed references to "Revised Exhibit A-1," attached and incorporated by reference.
16 8. When both parties have signed this Amendment I, the Agreement and this Amendment
17 I together constitute the Agreement.
18 9. Except as otherwise provided in this Amendment I, all other provisions of the
19 Agreement remain unchanged and in full force and effect. This Amendment I shall become effective
20 July 1, 2023.
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27 1H
28 1H
- 4 - COUNTY OF FRESNO
Fresno, CA
1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment I to Agreement as
2 of the day and year first hereinabove written.
3
4 The parties are signing this Agreement on the date stated in the introductory clause.
5 RH COMMUNITY BUILDERS LP COUNTY OF FRESNO
6
7 _
Chairm n of Boar , or President Sal uint o, hairman of the Board of
352 W Bedford Ave Suite 110
8 Supervisor the County of Fresno
9 Fresno, CA 93711
10
11
12 Attest:
Bernice E. Seidel
13 Clerk of the Board of Supervisors
County of Fresno, State of California
14
15 By:
Deputy
16
For accounting use only:
17
Fund/Subclass: 0001/10000
18 Org No.: 5630
19 Account No.: 7295
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- 5 - COUNTY OF FRESNO
Fresno, CA
Exhibit A-1
Page 1 of 5
SHORT TERM LODGING DRIVEN BY PEER-SUPPORT SERVICES
SCOPE OF WORK
ORGANIZATION: RH Community Builders
ADDRESS: 352 Bedford Ave. Suite 110, Fresno, CA. 93711
SERVICE ADDRESS: 1040 N. Pleasant Ave. Fresno, CA. 93728
INTRODUCTION
RH Community Builders (RHCB)will provide short-term lodging services to individuals with severe
mental illness who are experiencing or at risk of homelessness.The intent of these services is to gain
insight through a pilot research project on what can enhance and increase engagement of individuals
who are homeless or at risk for homelessness, with the onset of an early or severe mental illness and
who are not engaging in care due to being in the precontemplation stage of change.
TARGET POPULATION
The target population shall be adults 18 years and older living with a Severe Mental Illness (SMI) and/or
Co-Occurring Disorder (mental health and substance use disorder) who are in the precontemplation
stage of change to engage in the behavioral health system and also experiencing homelessness or are at
risk of becoming homeless.The program will not be open to referrals from organizations serving Fresno
County's much larger homeless population, nor is this program geared towards families. Rather,the
target population would be persons who meet all of the following specific criteria:
1. Have an SMI
2. Homeless or at-risk of homelessness
3. Not engaged in behavioral health outpatient services(may have accessed care through the
emergency department, hospitals and/or jails)
4. Eligible for Fresno County Department of Behavioral Health (DBH) services
PROJECT DESCRIPTION
The Lodge will provide high quality, individualized services that aim to help clients identify what their
needs are, seek support, and grow in their desire for change.The program will integrate Trauma
Informed principles including empowering clients, providing peer support, and creating a safe
environment. With a dignity first approach, individuals will provide a significant voice in their treatment
planning and will feel empowered to voice their preference for services.
The program will provide short-term lodging driven by peer support services for 30 beds. Services will be
provided to individuals that are referred through a Fresno County approved referral source such as the
Emergency Room, Crisis Intervention Team, or Psychiatric Hospital. All individuals will be immediately
Exhibit A-1
Page 2of5
enrolled in The Lodge and within 72 hours and a Peer Support Specialist will engage the individual to do
an additional assessment to gain a better understanding of the individual's needs and barriers.
Intake to The Lodge will be brief and only gather basic information to allow individuals to settle in
before additional assessments are conducted.The Peer Support Specialist will begin building rapport
with the individual and encourage the individual to begin attending supports that are most appropriate
for their needs. Peer support staff to be trained to use motivational interviewing as a primary
engagement tool.
Individuals will be rapidly accepted into The Lodge after a brief screening to ensure they meet criteria
for the program.The Lodge will operate under low-barrier standards, meaning referred individual's may
still be active in addiction, but will not be permitted to bring illegal drugs or alcohol into the facility.
Staff will be trained to search individual's belongings upon entry and allow individuals to surrender any
drugs, alcohol, or weapons without penalty. Individual's will be permitted to bring their personal
belongings into the facility and RHCB will provide a secure location for other belongings such as camping
gear,trailers, or excessive belongings.
At the time of arrival, individuals and the staff will complete an inventory form of which a copy will be
provided to the individual and placed in the individual's file. Individuals will not be penalized for
surrendering illegal drugs or weapons, but such items will not be returned. Illegal drugs, weapons, and
alcohol will be logged into a destruction log and immediately disposed of properly by a member of the
Management Team.
Once an individual's belongings have been searched, staff will assist the individual with getting settled
into their bed. All bedroom areas will have access to showers. Individuals will have access to no cost
laundry facilities and offered hygiene supplies and clothing if needed. RHCB understands that individuals
may enter The Lodge immediately after crisis and may need time to rest and become comfortable.
Individuals will not be pressured to immediately engage if they are not ready and individuals will drive
the pace of their treatment throughout their stay at The Lodge.
The Lodge will be well equipped with all needed supplies including hygiene product, clothes, and other
basic necessities to ensure that individuals feel their physiological needs are met.The Lodge will offer
three full meals per day with snacks available between meals.
RHCB will operate The Lodge with a Housing First model based on the philosophy that safe and stable
housing will be the entry point to services, not the reward for entry into services. RHCB fully embraces
the principles of Housing First including harm reduction where individuals do not have to be clean and
sober to enter housing and individuals are not required to participate in scheduled services such as
groups or individual meetings during their stay. RHCB will seek to remove as many barriers as possible to
make it possible for individuals to receive services.The Lodge will accept referred individuals to "come
as you are", including with their pets and belongings. RHCB will work with individuals to keep their pets
with them while in services and provide kennels for pets along with ample storage space for individuals
to secure their belongings.
Sobriety will not be a condition of entry into The Lodge and staff will be trained to recognize when an
individual is under the influence or going through withdrawal.All staff will be trained on emergency
protocols and when emergency medical personal should be contacted. Narcan will be available as
Exhibit A-1
Page 3 of 5
needed and all staff will be trained in administering Narcan as well as the safety protocols to follow after
administration. Narcan will be stored and secured in the Medication Cabinet and also in common areas
to allow easy access. Individuals will be encouraged to participate in recovery services such as Narcotics
Anonymous (NA) and Alcoholics Anonymous (AA) if substance use disorder treatment is a needed.
Clients will also be linked to residential or outpatient substance use disorder treatment through Fresno
County if they express a desire for treatment.The Peer Support Specialists and Case Managers will be
fully trained on how to access treatment services and be available to support individuals in accessing
services. RHCB will provide transportation to and from treatment if services become an active piece of
the individual's treatment plan.
The length of stay is 90 days.The anticipated average individual length of stay in the Lodge shall be in
accordance with each individual's assessed needs, but not exceed 90 days.
The Lodge will aim to not only link, but fully engage, individuals into additional services. Individuals will
become engaged into the Coordinated Entry System (CES) to ensure individuals become eligible for
housing programs. Individuals will be considered successfully discharged when they have been accepted
and engaged by an ongoing service provider.
STAFFING
Staff providing direct services to individuals includes the following:
• Peer Support Specialists
• Case Managers
• Clinicians
RHCB will also support the program with interns who are currently pursuing degrees in Alcohol and Drug
Counseling and Social Work to provide additional resources to the individuals served.The Lodge will also
be supported by a Kitchen Manager, Driver, and Janitor.The Lodge will be staffed 24/7 by Peer Support
Specialists and will have bilingual staff available 24/7.All staff will also be trained on accessing the
Language Line to provide translation services, if needed. At a minimum,The Lodge will be staffed at a
ratio of 1:10 for direct staff to individuals served and at many times,there will be a ratio of 1:7.5 staff to
individuals served.
REPORTING REQUIREMENTS AND OUTCOME MONITORING
Throughout the process of services, RHCB will provide regular updates to DBH summarizing how the
goals and objectives were met through the provision of services. RHCB shall actively participate with
DBH and any outside consultants for performance monitoring and reporting requirements.At minimum,
one performance indicator will be identified for each of the four Commission on Accreditation of
Rehabilitation Facilities (CARF) domains listed below.
A. Access to care:The ability of individuals to receive the right service at the right time.
Examples include:
1. 1. Timeliness of bridging prescriptions
Exhibit A-1
Page 4 of 5
2. Timeliness of identifying clients with a serious mental illness
3. Timeliness between individual referral for assessment and completion of
assessment; assessment to first treatment service; and,first treatment service
to next follow-up.
4. Timeliness of subsequent follow-up visits
5. Timeliness of response to sick call/health service requests
B. Effectiveness: Objective results achieved through health care services. Examples include:
1. Effectiveness of crisis interventions
2. Effectiveness of treatment interventions (medical and behavioral health
indicators)
3. Effectiveness of discharge planning (such as percentage of clients successfully
linked to County programs, community providers, and/or other community
resources after release)
4. Timely continuity of verified community prescriptions for medication(s), upon
individual's release
5. Effectiveness of transportation coordination, upon release
C. E icienc :The demonstration of the relationship between results and the resources used to
achieve them. Examples include:
1. Cost per individual served
2. Number of units of services per FTE by discipline
3. Number of individuals served per general population
4. Comparison of numbers served against industry standards
D. Satisfaction and Compliance:The degree to which individuals, County, and other
stakeholders are satisfied with the services. Examples include:
1. Audits and other performance and utilization reviews of health care services
and compliance with agreement terms and conditions
2. Surveys of persons served,family members, other health care providers,
and other stakeholders
The following items listed below represent program goals to be achieved by RHCB.
Effectiveness:
1. 85%of individuals will successfully engage in outpatient mental health or substance abuse treatment.
2.The number of unique visits to the Crisis Stabilization Unit for each individual served will be reduced
by 75%.
3.The number of unique visits to the Emergency room will be reduced by 85%for each individual
served.
Exhibit A-1
Page 5 of 5
Efficiency:
1. RHCB will establish a baseline cost per individual served in the initial partial year.
2. RHCB will reduce cost per individual served annually thereafter.
Access:
1. Wait time from admission into the Lodge to initial peer assessment by RHCB will be 72 hours or less.
2. Once an individual has moved from the "pre-contemplative" stage and determined that they are
interested in seeking mental-health services, a mental-health assessment by RHCB will be done within
48 hours.
Satisfaction:
1. 85%of individuals served will report "Satisfied" or"Very Satisfied"with services on RHCB's individuals
served exit survey.
2. 85%of the families of individuals served that are actively involved in the lives of individuals served
will rate "Significant" or"Critical" in response to Importance of The Lodge in your loved one accessing
ongoing services.
During the term of this Agreement, additional data collection opportunities may be identified and
implemented to support the Mental Health Services Act (MHSA) Innovation Component research
aspects of The Lodge program.
DBH and RHCB will review additional outcomes, MHSA requirements and CARF standards to establish
any further agreed upon outcomes to be tracked. RHCB will actively collaborate with a third-party
consultant to develop and refine data collection and reporting processes in order to ensure compliance
with MHSA Innovation Component requirements.
ADDITIONAL PERFORMANCE MONITORING REQUIREMENTS
RHCB shall:
1. Be required to comply with any requirements as related to performance outcomes, quality of life
and/or customer satisfaction as a Medi-Cal Organizational Provider, as described in Exhibit K.
2. Be required to comply with all State regulations regarding State Performance Outcomes
measurement requirements and participate in the outcomes measurement process as required by DBH.
3. Participate in performance outcomes throughout each term of this Agreement. DBH will notify RHCB
when its participation is required.The performance outcome measurement process will not be limited
to survey instruments but will also include, as appropriate, individual and staff interviews, chart reviews,
and other methods of obtaining needed information.
Page 1 of 16
Exhibit B
The Lodge
RH Community Builders
Fiscal Year(FY) 2023-2024
PROGRAM EXPENSES
1000:SALARIES&BENEFITS
Employee Salaries
Acct# Position FTE Admin Direct Total
1101 Director 0.30 $ 34,321 $ - $ 34,321
1102 Program Manager 1.00 57,000 17,883 74,883
1103 Clinical Supervisor 1.00 60,000 27,363 87,363
1104 Peer Supervisor 1.00 39,127 17,000 56,127
1105 Office Manager 1.00 43,682 - 43,682
1106 Bookkeeper 0.25 15,600 15,600
1107 Peer Support Specalist 1 3.00 - 109,204 109,204
1108 Peer Support Specalist 11 4.00 - 153,925 153,925
1109 lClinician 2.00 - 137,285 137,285
1110 Case Manager 2.00 - 95,683 95,683
1111 Overnight Security Monitor 1.50 - 53,042 53,042
1112 Janitor/Driver 1.00 - 37,441 37,441
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotall 18.05 1 $ 234,130 1 $ 664,426 1 $ 898,556
Employee Benefits
Acct# Description Admin Direct Total
1201 Retirement $ 2,500 $ 5,002 $ 7,502
1202 Worker's Compensation 14,800 47,398 62,198
1203 Health Insurance 18,795 96,512 115,307
1204 Other(Specify) - I - I -
1205 10ther(Specify) - - -
1206 10ther(Specify) - - -
Employee Benefits Subtotal: $ 36,095 $ 148,912 $ 185,007
Payroll Taxes&Expenses:
Acct# Description Admin Direct Total
1301 OASDI $ 12,678 $ 41,228 $ 53,906
1302 FICA/MEDICARE 15,643 50,869 66,512
1303 SUI 6,952 22,609 29,561
1304 1 Employee Training Tax -
1305 10ther(Specify) - - -
1306 10ther(Specify) - - -
Payroll Taxes&Expenses Subtotal: $ 35,273 $ 114,706 $ 149,979
EMPLOYEE SALARIES&BENEFITS TOTAL: $ 305,498 $ 928,044 $ 1,233,542
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 2 of 16
2000:CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support -
2003 Client Transportation &Support 11,580
2004 lClothing, Food,& Hygiene 63,225
2005 Education Support
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies-Medical 2,400
2010 Utility Vouchers
2011 Other(Specify) -
2012 Other(Specify) -
2013 Other(Specify) -
2014 10ther(Specify) -
2015 10ther(Specify) -
2016 10ther(Specify) I -
DIRECT CLIENT CARE TOTAL $ 77,205
3000:OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 5,000
3002 Printing/Postage 2,000
3003 Office, Household & Program Supplies 20,010
3004 lAdvertising -
3005 Staff Development&Training 3,900
3006 Staff Mileage 4,860
3007 Subscriptions& Memberships -
3008 Vehicle Maintenance 1,200
3009 Auto Insurance 8,400
3010 Required Inurance Coverages
3011 Other(Specify) -
3012 Other(Specify) -
OPERATING EXPENSES TOTAL: $ 45,370
4000: FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 9,024
4002 Rent/Lease Building 144,000
4003 Rent/Lease Equipment 4,200
4004 1 Rent/Lease Vehicles 6,000
4005 Security 3,600
4006 Utilities 32,400
4007 Other(Specify) -
4008 Other(Specify) -
4009 10ther(Specify) -
4010 10ther(Specify) -
FACILITIES/EQUIPMENT TOTAL: $ 199,224
5000:SPECIAL EXPENSES
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 3 of 16
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 2,077
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services CFO -
5004 ITranslation Services 4,500
5005 Other(Specify) -
5006 Other(Specify) -
5007 Other(Specify) -
5008 Other(Specify) -
SPECIAL EXPENSES TOTAL:1 $ 6,577
6000:ADMINISTRATIVE EXPENSES
Acct# Line Item Description Amount
6001 Administrative Overhead $ 116,685
6002 Professional Liability Insurance 24,500
6003 Accounting/Bookkeeping 2,500
6004 1 External Audit 12,000
6005 Insurance(Specify):
6006 Payroll Services 1,673
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes)
6008 Other(Specify) -
6009 Other(Specify) -
6010 Other(Specify) -
6011 Other(Specify) -
6012 Other(Specify) -
ADMINISTRATIVE EXPENSES TOTAL $ 157,358
7000: FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 2,449
7002 Copiers, Cell Phones,Tablets, Devices to Contain HIPAA Data 1,500
7003 Furniture&Fixtures 6,000
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify) -
7007 Other(Specify) -
7008 Other(Specify) I -
FIXED ASSETS EXPENSES TOTAL $ 9,949
TOTAL PROGRAM EXPENSES $ 1,729,225
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 4 of 16
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 $ -
8002 -
8003 -
8004 -
8005 -
8006 -
8007
8008 -
Estimated Specialty Mental Health Services Billing Totals: $ 527,856
Estimated %of Clients who are Medi-Cal Beneficiaries 75%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 395,892
Federal Financial Participation (FFP)% 100% 395,892
MEDI-CAL FFP TOTAL $ 395,892
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description I Amount
8101 Drug Medi-Cal $ -
8102 SABG $ -
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name I Amount
8301 CSS-Community Services&Supports $ -
8302 PEI -Prevention & Early Intervention -
8303 INN -Innovations 1,333,333
8304 WET-Workforce Education &Training -
8305 ICFTN -Capital Facilities&Technology I I -
MHSA TOTAL $ 1,333,333
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance -
8403 Grants(Specify) -
8404 Other(Specify) -
8405 1 Other(Specify) -
OTHER REVENUE TOTAL $ -
TOTAL PROGRAM FUNDING SOURCES: $ 1,729,225
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 5 of 16
The Lodge
RH Community Builders
Fiscal Year(FY)2023-24
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE%
Director The Lodge/DBH/Fresno County 30.00
CalAIM/ECM/Anthem 35.00
CalAIM/CS/Anthem 35.00
Total 100.00
Position Contract p/Name/Department/County FTE%
Fiscal Analyst The Lodge/DBH/Fresno County 0.25
Landlord Engagement/DSS/Fresno 0.25
CalAIM/ECM/Anthem 0.25
CalAIM/CS/Anthem 0.25
Total 1.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract p/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract p/Name/Department/County FTE%
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 6 of 16
The Lodge
RH Community Builders
Fiscal Year(FY)2023-2024 Budget Narrative
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:SALARIES&BENEFITS 1,233,542
Employee Salaries 898,556
1101 Director 34,321 .30 FTE,responsible for overall management of the operations,budget,and compliance
1102 Program Manager 74,883 1 FTE responsible for day to day management,staff management,compliance with
contract
1103 Clinical Supervisor 87,363 1 FTE responsible for clinical oversight of the program
1104 Peer Supervisor 56,127 1 FTE responsible for peer oversight of the program
1105 Office Manager 43,682 1 FTE responsible for all admin operations including billing,
1106 Bookkeeper 15,600 .25 FTE responsible for program
1107 Peer Support Specalist 1 109,204 3 FTE peer support entry level,providing day to day engagement
1108 Peer Support Specalist 11 153,925 4 FTE peer support senior level,providing day to day engagement
1109 Clinician 137,285 2 FTE unlicensed clinician providing clinical services
1110 Case Manager 95,683 2 FTE case managers providing linking and engagement
1111 Overnight Security Monitor 53,042 1.5 FTE providing overnight monitoring of the property
1112 Janitor/Driver 37,441 1 FTE providing transportation to clients and cleaning of the site
1113 0
1114 0
1115 0
1116 0
1117 0
1118 0
1119 0
1120 0
Employee Benefits 185,007
1201 Retirement 7,502 3%match to employee contribution
1202 Worker's Compensation 62,198 Workers Compensation expense based on employee classification
1203 Health Insurance 115,307 Employer health care cost
1204 Other(Specify)
1205 Other(Specify)
1206 Other(Specify) -
Payroll Taxes&Expenses: 149,979
1301 OASDI 53,906 OASDI for employee salaries
1302 FICA/MEDICARE 66,512 FICA/MEDICARE for employee salaries
1303 SUI 29,561 SUI for employee salaries
1304 Employee Training Tax - ETT for employee salaries
1305 Other(Specify)
1306 Other(Specify) -
2000:CLIENT SUPPORT 77,205
2001 Child Care
2002 Client Housing Support
2003 Client Transportation&Support 11,580 Bus passes and gas for transporting clients
2004 Clothing,Food,&Hygiene 63,225 Includes client food,basic client items including but not limited to clothing and hygiene
products
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients -
2008 Medication Supports
2009 Program Supplies-Medical 2,400 Medical supplies for clients including presciption costs,over the counter medications,and
PPE
2010 Utility Vouchers
2011 Other(Specify)
2012 Other(Specify)
2013 Other(Specify)
2014 Other(Specify)
2015 Other(Specify)
2016 Other(Specify)
3000:OPERATING EXPENSES 45,370
3001 Telecommunications 5,000 Cost of cellphones,landline,and internet
3002 Printing/Postage 2,000 Includes business cards and postage
3003 Office,Household&Program Supplies 20,010 Includes office supplies,cleaning supplies,program supplies,and staff PPE
3 004 Advertising - Includes staff uniform costs
3005 Staff Development&Training 3,900 Includes Pro-ACT,Motivational Interviewing,and other trauma informed training
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 7 of 16
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
3006 Staff Mileage 4,860 Mileage reimbursment for staff travel
3007 Subscriptions&Memberships
3008 Vehicle Maintenance 1,200 Ongoing maintenance including oil changes,tires,and damage repair
3009 Auto Insurance 8,400 Auto insurance for program vehicle
3010 Required Inurance Coverages - All insurances required by Fresno County Contract specific to The Lodge
3011 Other(Specify)
3012 Other(Specify)
4000:FACILITIES&EQUIPMENT 199,224
4001 Building Maintenance 9,024 Minor repairs and maintenance to facility
4002 Rent/Lease Building 144,000 Monthly rent for The Lodge
4003 Rent/Lease Equipment 4,200 Rent of equipement for program use
4004 Rent/Lease Vehicles 6,000 Monthly lease expense
4005 Security 3,600 24/7 security patrol
4006 Utilities 32,400 Includes PGE and garbage
4007 Other(Specify)
4008 Other(Specify)
4009 Other(Specify)
4010 1 Oth.r Ir—iful
5000:SPECIAL EXPENSES 6,577
5001 Consultant(Network&Data Management) 2,077 IT consulting services
5002 HMIS(Health Management Information -
System)
5003 Contractual/Consulting Services CFO - Consultation with outsources CFO
5004 Translation Services 4,500 Translation services when bilingual staff are not avaliable
5005 Other(Specify)
5006 Other(Specify)
5007 Other(Specify)
5008 Other(Specify)
6000:ADMINISTRATIVE EXPENSES 157,358
6001 Administrative Overhead 116,685 10%De Minimis
6002 Professional Liability Insurance 24,500
6003 Accounting/Bookkeeping 2,500
6004 External Audit 12,000
6005 Insurance(Specify):
6006 Payroll Services 1,673
6007 Depreciation(Provider-Owned Equipment to -
be Used for Program Purposes)
6008 Other(Specify)
6009 Other(Specify)
6010 Other(Specify)
6011 Other(Specify)
6012 1 Other(Specify)
7000:FIXED ASSETS 9,949
7001 Computer Equipment&Software 2,449 Replacement expense of staff computers and camera system for security
7002 Copiers,Cell Phones,Tablets,Devices to 1,500 Replacement expense of HIPAA compliant devices including Wads for research collection
Contain HIPAA Data
7003 Furniture&Fixtures 6,000 Replacement expense desks,common area furniture,and bed replacemetns
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 I Other(Specify)
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL SERVICE RATES
ACCT# LINE ITEM AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
8001 0
8002 0
8003 0
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 8 of 16
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
8004 0
8005 0
8006 0
8007 0
8008 0
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,729,22S
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,729,225
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 21712020
Page 9of16
The Lodge
RH Community Builders
Fiscal Year(FY) 2024-2025
PROGRAM EXPENSES
1000:SALARIES&BENEFITS
Employee Salaries
Acct# Position FTE Admin Direct Total
1101 Director 0.30 $ 34,321 $ - $ 34,321
1102 Program Manager 1.00 57,000 17,883 74,883
1103 Clinical Supervisor 1.00 60,000 27,363 87,363
1104 Peer Supervisor 1.00 39,127 17,000 56,127
1105 Office Manager 1.00 43,682 - 43,682
1106 Bookkeeper 0.25 15,600 15,600
1107 Peer Support Specalist 1 3.00 - 109,204 109,204
1108 Peer Support Specalist 11 4.00 - 153,925 153,925
1109 lClinician 2.00 - 137,285 137,285
1110 Case Manager 2.00 - 95,683 95,683
1111 Overnight Security Monitor 1.50 - 53,042 53,042
1112 Janitor/Driver 1.00 - 37,441 37,441
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotall 18.05 1 $ 234,130 1 $ 664,426 1 $ 898,556
Employee Benefits
Acct# Description Admin Direct Total
1201 Retirement $ 2,500 $ 5,002 $ 7,502
1202 Worker's Compensation 14,800 47,398 62,198
1203 Health Insurance 18,795 96,512 115,307
1204 Other(Specify) - I - I -
1205 10ther(Specify) - - -
1206 10ther(Specify) - -
Employee Benefits Subtotal: $ 36,095 $ 148,912 $ 185,007
Payroll Taxes&Expenses:
Acct# Description Admin Direct Total
1301 OASDI $ 12,678 $ 41,228 $ 53,906
1302 FICA/MEDICARE 15,643 50,869 66,512
1303 SUI 6,952 22,609 29,561
1304 1 Employee Training Tax -
1305 10ther(Specify) - - -
1306 10ther(Specify) - - -
Payroll Taxes&Expenses Subtotal: $ 35,273 $ 114,706 $ 149,979
EMPLOYEE SALARIES&BENEFITS TOTAL: $ 305,498 $ 928,044 $ 1,233,542
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 10 of 16
2000:CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support -
2003 Client Transportation &Support 11,580
2004 lClothing, Food,& Hygiene 63,225
2005 Education Support
2006 Employment Support -
2007 Household Items for Clients -
2008 Medication Supports -
2009 Program Supplies-Medical 2,400
2010 Utility Vouchers
2011 Other(Specify) -
2012 Other(Specify) -
2013 Other(Specify) -
2014 10ther(Specify) -
2015 10ther(Specify) -
2016 10ther(Specify) I -
DIRECT CLIENT CARE TOTAL $ 77,205
3000:OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 5,000
3002 Printing/Postage 2,000
3003 Office, Household & Program Supplies 20,010
3004 lAdvertising -
3005 Staff Development&Training 3,900
3006 Staff Mileage 4,860
3007 Subscriptions& Memberships -
3008 Vehicle Maintenance 1,200
3009 lVechile Insurance 8,400
3010 Required Inurance Coverages
3011 Other(Specify) -
3012 Other(Specify) -
OPERATING EXPENSES TOTAL: $ 45,370
4000: FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 9,024
4002 Rent/Lease Building 144,000
4003 Rent/Lease Equipment 4,200
4004 1 Rent/Lease Vehicles 6,000
4005 Security 3,600
4006 Utilities 32,400
4007 Other(Specify) -
4008 Other(Specify) -
4009 10ther(Specify) -
4010 10ther(Specify) -
FACILITIES/EQUIPMENT TOTAL: $ 199,224
5000:SPECIAL EXPENSES
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 11 of 16
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 2,077
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services CFO -
5004 ITranslation Services 4,500
5005 Other(Specify) -
5006 Other(Specify) -
5007 Other(Specify) -
5008 Other(Specify) -
SPECIAL EXPENSES TOTAL:1 $ 6,577
6000:ADMINISTRATIVE EXPENSES
Acct# Line Item Description Amount
6001 Administrative Overhead $ 116,685
6002 Professional Liability Insurance 24,500
6003 Accounting/Bookkeeping 2,500
6004 1 External Audit 12,000
6005 Insurance(Specify):
6006 Payroll Services 1,673
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes)
6008 Other(Specify) -
6009 Other(Specify) -
6010 Other(Specify) -
6011 Other(Specify) -
6012 Other(Specify) -
ADMINISTRATIVE EXPENSES TOTAL $ 157,358
7000: FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 2,449
7002 Copiers, Cell Phones,Tablets, Devices to Contain HIPAA Data 1,500
7003 Furniture&Fixtures 6,000
7004 1 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify) -
7007 Other(Specify) -
7008 Other(Specify) I -
FIXED ASSETS EXPENSES TOTAL $ 9,949
TOTAL PROGRAM EXPENSES $ 1,729,225
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 12 of 16
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Service Units Rate Amount
8001 LPHA
8002 Mental Health Rehab Specialist
8003 Peer Recovery Specalist
8004
8005
8006
8007
8008
Estimated Specialty Mental Health Services Billing Totals: 0 $ 527,856
Estimated %of Clients who are Medi-Cal Beneficiaries 75%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 395,892
Federal Financial Participation (FFP)% 100% 395,892
MEDI-CAL FFP TOTAL $ 395,892
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description I Amount
8101 Drug Medi-Cal $ -
8102 SABG $ -
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name I Amount
8301 CSS-Community Services&Supports $ -
8302 PEI -Prevention & Early Intervention -
8303 INN -Innovations 1,333,333
8304 WET-Workforce Education &Training -
8305 ICFTN -Capital Facilities&Technology I I -
MHSA TOTAL $ 1,333,333
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance -
8403 Grants(Specify) -
8404 Other(Specify) -
8405 1 Other(Specify) -
OTHER REVENUE TOTAL $ -
TOTAL PROGRAM FUNDING SOURCES: $ 1,729,225
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 13 of 16
The Lodge
RH Community Builders
Fiscal Year(FY)2024-25
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE%
Director The Lodge/DBH/Fresno County 30.00
CalAIM/ECM/Anthem 35.00
CalAIM/CS/Anthem 35.00
Total 100.00
Position Contract p/Name/Department/County FTE%
Fiscal Analyst The Lodge/DBH/Fresno County 0.25
Landlord Engagement/DSS/Fresno 0.25
CalAIM/ECM/Anthem 0.25
CalAIM/CS/Anthem 0.25
Total 1.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract p/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract p/Name/Department/County FTE%
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 14 of 16
The Lodge
RH Community Builders
Fiscal Year(FY)2024-2025 Budget Narrative
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:SALARIES&BENEFITS 1,233,542
Employee Salaries 898,556
1101 Director 34,321 .30 FTE,responsible for overall management of the operations,budget,and compliance
1102 Program Manager 74,883 1 FTE responsible for day to day management,staff management,compliance with
contract
1103 Clinical Supervisor 87,363 1 FTE responsible for clinical oversight of the program
1104 Peer Supervisor 56,127 1 FTE responsible for peer oversight of the program
1105 Office Manager 43,682 1 FTE responsible for all admin operations including billing,
1106 Bookkeeper 15,600 .25 FTE responsible for program
1107 Peer Support Specalist 1 109,204 3 FTE peer support entry level,providing day to day engagement
1108 Peer Support Specalist 11 153,925 4 FTE peer support senior level,providing day to day engagement
1109 Clinician 137,285 2 FTE unlicensed clinician providing clinical services
1110 Case Manager 95,683 2 FTE case managers providing linking and engagement
1111 Overnight Security Monitor 53,042 1.5 FTE providing overnight monitoring of the property
1112 Janitor/Driver 37,441 1 FTE providing transportation to clients and cleaning of the site
1113 0
1114 0
1115 0
1116 0
1117 0
1118 0
1119 0
1120 0
Employee Benefits 185,007
1201 Retirement 7,502 3%match to employee contribution
1202 Worker's Compensation 62,198 Workers Compensation expense based on employee classification
1203 Health Insurance 115,307 Employer health care cost
1204 Other(Specify)
1205 Other(Specify)
1206 Other(Specify) -
Payroll Taxes&Expenses: 149,979
1301 OASDI 53,906 OASDI for employee salaries
1302 FICA/MEDICARE 66,512 FICA/MEDICARE for employee salaries
1303 SUI 29,561 SUI for employee salaries
1304 Employee Training Tax - ETT for employee salaries
1305 Other(Specify)
1306 Other(Specify) -
2000:CLIENT SUPPORT 77,205
2001 Child Care
2002 Client Housing Support
2003 Client Transportation&Support 11,580 Bus passes and gas for transporting clients
2004 Clothing,Food,&Hygiene 63,225 Includes client food,basic client items including but not limited to clothing and hygiene
products
2005 Education Support
2006 Employment Support
2007 Household Items for Clients -
2008 Medication Supports
2009 Program Supplies-Medical 2,400 Medical supplies for clients including presciption costs,over the counter medications,
and PPE
2010 Utility Vouchers
2011 Other(Specify)
2012 Other(Specify)
2013 Other(Specify)
2014 Other(Specify)
2015 Other(Specify)
2016 Other(Specify)
3000:OPERATING EXPENSES 45,370
3001 Telecommunications 5,000 Cost of cellphones,landline,and internet
3002 Printing/Postage 2,000 Includes business cards and postage
3003 Office,Household&Program Supplies 20,010 Includes office supplies,cleaning supplies,program supplies,and staff PPE
3004 Advertising - Includes staff uniform costs
3005 Staff Development&Training 3,900 Includes Pro-ACT,Motivational Interviewing,and other trauma informed training
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 15 of 16
PROGRAM EXPENSE
ACCT# LINE ITEM 78,400
DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
3006 Staff Mileage Mileage reimbursment for staff travel
3007 Subscriptions&Memberships
3008 Vehicle Maintenance Ongoing maintenance including oil changes,tires,and damage repair
3009 Vechile Insurance Auto insurance for program vehicle
3010 Required Inurance Coverages All insurances required by Fresno County Contract specific to The Lodge
3011 Other(Specify)
3012 1 Other(Specify)
4000:FACILITIES&EQUIPMENT 199,224
4001 Building Maintenance 9,024 Minor repairs and maintenance to facility
4002 Rent/Lease Building 144,000 Monthly rent for The Lodge
4003 Rent/Lease Equipment 4,200 Rent of equipement for program use
4004 Rent/Lease Vehicles 6,000 Monthly lease expense
4005 Security 3,600 24/7 security patrol
4006 Utilities 32,400 Includes PGE and garbage
4007 Other(Specify)
4008 Other(Specify)
4009 Other(Specify)
4010 Other(Specify)
5000:SPECIAL EXPENSES 6,577
5001 Consultant(Network&Data Management) 2,077 IT consulting services
5002 HMIS(Health Management Information -
System)
5003 Contractual/Consulting Services CFO - Consultation with outsources CFO
5004 Translation Services 4,500 Translation services when bilingual staff are not avaliable
5005 Other(Specify)
5006 Other(Specify)
5007 Other(Specify)
5008 Other(Specify)
6000:ADMINISTRATIVE EXPENSES 157,358
6001 Administrative Overhead 116,685 10%De Minimis
6002 Professional Liability Insurance 24,500
6003 Accounting/Bookkeeping 2,500
6004 External Audit 12,000
6005 Insurance(Specify):
6006 Payroll Services 1,673
6007 Depreciation(Provider-Owned Equipment to -
be Used for Program Purposes)
6008 Other(Specify)
6009 Other(Specify)
6010 Other(Specify)
6011 Other(Specify)
6012 1 Other(Specify)
7000:FIXED ASSETS 9,949
7001 Computer Equipment&Software 2,449 Replacement expense of staff computers and camera system for security
7002 Copiers,Cell Phones,Tablets,Devices to 1,500 Replacement expense of HIPAA compliant devices including iPads for research collection
Contain HIPAA Data
7003 Furniture&Fixtures 6,000 Replacement expense desks,common area furniture,and bed replacemetns
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 SERVICE RATES
ACCT# LINE ITEM AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP.
8001 LPHA
8002 Mental Health Rehab Specialist
8003 Peer Recovery Specalist
8004 0
8005 0
8006 0
8007 0
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 16 of 16
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
8008 0
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,729,225
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,729,225
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2I7I2020