HomeMy WebLinkAboutFinal Executed Amendment I-SOS.pdf Agreement No. 23-302
1 AMENDMENT I TO 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 WESTCARE
5 CALIFORNIA, INC., a California Non-profit corporation, whose address is PO Box 12107, Fresno,
6 California, 93776, hereinafter referred to as "CONTRACTOR" (collectively the "parties").
7 WHEREAS the parties entered into that certain Agreement, identified as COUNTY Agreement
8 No. 18-686, effective December 11, 2018, hereinafter referred to as "Agreement", whereby
9 CONTRACTOR agreed to provide supervised after hours/overnight stay services, linkage, targeted
10 case management, assessments and other specialty mental health services for adults referred from
11 local hospital emergency departments and California Welfare and Institutions Code 5150 facilities;
12 and
13 WHEREAS the Agreement is being extended for two additional years through this Amendment
14 due to the Department of Health Care Service's implementation of California Advancing and
15 Innovating Medi-Cal (CalAIM);
16 WHEREAS the parties now desire to amend the Agreement regarding changes as stated
17 below.
18 NOW, THEREFORE, in consideration of their mutual promises, covenants and conditions,
19 hereinafter set forth, the sufficiency of which is hereby acknowledged, the parties agree as follows:
20 1. That the existing COUNTY Agreement No. 18-686, section two (2), "SERVICES" shall
21 be revised by adding the following at Page three (3), Line twenty-seven (27), after the word
22 "Agreement.":
23 "K. The Contractor shall comply with all applicable regulations regarding the
24 Department of Health Care Services' implementation of California Advancing and Innovating Medi-Cal
25 (CalAIM)."
26 2. That the existing COUNTY Agreement No. 18-686, section three (3), "TERM" shall be
27 revised by adding the following at Page four(4), Line six (6), after the word "performance.":
28 "This Agreement shall be extended for an additional twelve (12) month period beginning
1 - COUNTY OF FRESNO
Fresno, CA
1 July 1, 2023 through June 30, 2024. This agreement may be extended for no more than a one-year
2 period only upon written approval of both parties at least 30 days before the first day of the one-year
3 extension period. The COUNTY's DBH Director or designee is authorized to sign the written approval
4 on behalf of the COUNTY based on the CONTRACTOR(s)'s satisfactory performance. The extension
5 of this Agreement by the COUNTY is not a waiver or compromise of any default or breach of this
6 Agreement by the CONTRACTOR(s) existing at the time of the extension whether or not known to the
7 COUNTY."
8 3. That the existing COUNTY Agreement No. 18-686, page six (6), Section four (4), line
9 five (5) beginning with the word "In", and ending on page six (6), line thirteen (13) with the number
10 "$1,436,162" be deleted and the following inserted in its place:
11 "The maximum amount payable to CONTRACTOR for the period July 1, 2023 through
12 June 30, 2024 shall not exceed One Million One Hundred Forty-One Thousand Four Hundred Forty
13 and No/100 ($1,141,440.00). If the Agreement is extended for an additional one-year period, the
14 maximum amount payable to the CONTRACTOR for the period July 1, 2024 through June 30, 2025
15 shall not exceed One Million One Hundred Forty-One Thousand Four Hundred Forty and No/100
16 ($1,141,440.00).
17 In no event shall the maximum contract amount for the full contract term from January
18 1, 2019 through June 30, 2025, for all services provided by CONTRACTOR to County under the terms
19 and conditions of this Agreement be in excess of Seven Million Seven Hundred Thirty-Five Thousand
20 Three Hundred Sixty-Nine and No/100 ($7,735,369)."
21 4. That all references to Exhibit B shall be deemed references to Revised Exhibit B.
22 Revised Exhibit B is attached and incorporated by this reference.
23 5. That the existing COUNTY Agreement No. 18-686, page six (6), Section four (4), line
24 twenty-four (24) beginning with the word "Travel", and ending on page six (6), line twenty-six (26) with
25 the word "rate" be deleted in its entirety.
26 6. That the existing COUNTY Agreement No. 18-686, section five (5), Page eight (8), Line
2 7 Twenty-four (24), starting with the word "If' and ending on page nine (9), line nine (9) with the word
28 "COUNTY" be deleted in its entirety.
- 2 - COUNTY OF FRESNO
Fresno, CA
1 7. That the existing COUNTY Agreement No. 18-686, page twelve (12), Section seven (7),
2 line twenty-five (25) beginning with the word "Any", and ending on page thirteen (13), line twelve (12)
3 with the word "Agreement" be deleted and the following inserted in its place:
4 "Except as provided in Section 3, "Termination", this Agreement may not be modified,
5 and no waiver is effective, except by written agreement signed by both parties. The CONTRACTOR
6 acknowledges that COUNTY employees have no authority to modify this Agreement except as
7 expressly provided in this Agreement.
8 Notwithstanding the above, non-material changes to services, staffing, and
9 responsibilities of the CONTRACTOR, as needed, to accommodate changes in the laws relating to
10 service requirements and specialty mental health treatment, may be made with the signed written
11 approval of COUNTY's DBH Director, or designee, and CONTRACTOR through an amendment
12 approved by COUNTY's County Counsel and the COUNTY's Auditor-Controller/Treasurer-Tax
13 Collector's Office. Said modifications shall not result in any change to the maximum compensation
14 amount payable to CONTRACTOR, as stated herein.
15 In addition, changes to line items and expense category subtotals, as set forth in Exhibit
16 B that when added together during the term of the agreement do not exceed ten percent (10%) of the
17 total maximum compensation payable to CONTRACTOR, may be made with the written approval of
18 CONTRACTOR and COUNTY's DBH Director or designee. These modifications shall not result in any
19 change to the maximum compensation amount payable to CONTRACTOR, as stated herein."
20 8. The parties agree that this Amendment may be executed by electronic signature as
21 provided in this section.
22 a. An "electronic signature" means any symbol or process intended by an
23 individual signing this Amendment to represent their signature, including but not limited
24 to (1) a digital signature; (2) a faxed version of an original handwritten signature; or (3)
25 an electronically scanned and transmitted (for example by PDF document) version of an
26 original handwritten signature.
27 b. Each electronic signature affixed or attached to this Amendment (1) is deemed
28 equivalent to a valid original handwritten signature of the person signing this
- 3 - COUNTY OF FRESNO
Fresno, CA
1 Amendment for all purposes, including but not limited to evidentiary proof in any
2 administrative or judicial proceeding, and (2) has the same force and effect as the valid
3 original handwritten signature of that person.
4 c. The provisions of this section satisfy the requirements of Civil Code section
5 1633.5, subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division
6 3, Part 2, Title 2.5, beginning with section 1633.1).
7 d. Each party using a digital signature represents that it has undertaken and
8 satisfied the requirements of Government Code section 16.5, subdivision (a),
9 paragraphs (1) through (5), and agrees that each other party may rely upon that
10 representation.
11 e. This Amendment is not conditioned upon the parties conducting the transactions
12 under it by electronic means and either party may sign this Amendment with an original
13 handwritten signature.
14 9. COUNTY and CONTRACTOR agree that this Amendment I is sufficient to amend the
15 Agreement, and that upon execution of this Amendment I, the Agreement and Amendment I together
16 shall be considered the Agreement.
17 The Agreement as amended by this Amendment I is ratified and continued. Except as
18 otherwise provided in this Amendment I, all other provisions of the Agreement remain unchanged and
19 in full force and effect. This Amendment I shall become effective July 1, 2023.
20
21
22
23 ///
24 ///
25 ///
26 ///
27 ///
28 ///
- 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
9 The parties are signing this Agreement on the date stated in the introductory clause.
5 WESTCARE CALIFORNIA, INC. COUNTY OF FRESNO
6
7
Chairman 6f Board, o sident Q i ero, Chairman of the Board of
1900 N Gateway Blv ite 101
8 Sup NcL&hf the County of Fresno
9 Fresno, CA 93727 Attest:
Bernice E. Seidel
10 Clerk of the Board of Supervisors
1 County of Fresno, State of California
1
12 By:
13 Deputy
For accounting use only:
14
Org No.:56304782
15 Account No.:7295
Fund No.:0001
16 Subclass No.:10000
17
18
19
20
21
22
23
24
25
26
27
28
- 5 - COUNTY OF FRESNO
Fresno, CA
Exhibit A
Page 1 of 5
Overnight Stay
Facility
Scope of Work
ORGANIZATION: WestCare California, Inc.
SITE ADDRESS: 2772 S. Martin Luther King Blvd, Fresno, CA 93706 (Overnight Stay
Facility)
3636 N. First Street Suite#123, Fresno, CA 93726 (Outpatient
Facility)
SERVICES: Overnight stay services,clinical response services,peersupport
services, crisis intervention and assessments, discharge
services,transportation and linkage to appropriate mental health
programs.
SCHEDULE OF SERVICES:
CONTRACTOR'S staff shall be available to provide Overnight Stay Facilityservicesto
individuals seven days a week,24 hours aday.
Contractor shall provide services on eleven (11)County observed holidays in each calendar
yearas follows:
New Year's Day
Martin Luther King, Jr. Holiday
President's Day
Cesar Chavez Day
Memorial Day
Independence Day
Labor Day
Veterans Day
Thanksgiving Day
Day after Thanksgiving Day
Christmas Day
TARGET POPULATION:
Adults and older adults receiving services from emergency departments/5150 facilities who are in
crisis but do not require a 5150 hold. The program will provide services client referred from local
emergency departments and 5150 facilities including but not limited to: Fresno Community
Regional Medical Center(CRMC), St. Agnes, Clovis Community Regional Medical Center and
Exodus Crisis Stabilization Center.
Exhibit A
Page 2 of 5
PROJECT DESCRIPTION:
The overnight stay program will provide individuals who present at the ED in crisis, but do not
require a 5150 hold the opportunity to be voluntarily discharged to the care of SOS where they
may spend the night, receive a meal, a shower, a place to sleep, and be assessed and linked
the following day to an appropriate mental health or co-occurring treatment service. The
program will also provide mental health assessment, crisis intervention, targeted case
management, bridge medication support and other short-term, specialty mental health
services delivered by qualified staff with the goal to increase engagement, address symptoms
and bridge the gap while the consumer awaits admission to other services in the community.
This will reduce ED recidivism and lengths of stay in the emergency department or crisis
stabilization unit. Individuals may stay at the SOS facility for up to four nights consecutively
when necessary to enhance the probability that a successful linkage will occur. Because at
least 80% of individuals of the population to be served are homeless, this opportunity for a
longer stay may enable housing to be secured as well as mental health service linkage. When
individuals are housed first, the likelihood of initiating and staying with treatment services is
enhanced, they are less likely to be lost to follow-up and the opportunity to build a helpful
therapeutic alliance is strengthened. The SOS program is an established bridge and
permanent supportive housing provider in Fresno County and has long- term and ongoing
partnerships with housing providers including Fresno Housing Authority and Turning Point.
CONTRACTOR'S RESPONSIBILITIES:
CONTRACTOR shall:
1. Provide services to individuals discharged from local hospital Emergency Department's
(ED)/designated 5150 facilities as requested by the County. The CONTRACTOR may
expand to provide services to other agencies in the County of Fresno as needed or if
requested to do so by COUNTY, Department of Behavioral Health (DB-1).
2. Transport individuals referred by local ED/5150 facilities to the overnight stay facility.
Response time to the ED is expected to be less than 30 minutes from referral call from ED.
Individuals are transported as necessary 24 hours per day, 7 days per week, including
holidays. Individuals will additionally be transported by staff to the Outpatient Center every
morning for assessment and other services. SOS case managers are expected to facilitate
linkage services of all kinds by accompanying the consumer in a program vehicle to various
necessary appointments, including navigation of the mental health system in order to
support engagement and followthrough.
3. Provide overnight stay and linkage to appropriate levels of care the following business
day. Services can be anywhere from 24 hours up to four nights if a client arrives at the
facility on a Friday of a holiday weekend and linkage cannot be provided until regular
business hours are resumed. The overnight stay shall be between the hours of 8pm-
8am; however, the hours of 8am to 8pm will be used for linkage, targeted case
management, assessments and other mental health services as needed.
4. Engage individuals at the EDs where they have been admitted.
5. Be notified by ED staff or County's CPRS staff assigned at the ED of the pending discharge of a
Exhibit A
Page 3 of 5
consumer.
6. Encourage individual to accept the offer to stay overnight and be provided
transportation and assistance to outpatient services the following day, or the following
business day when applicable.
7. Provide supervision of individuals who are being discharged from the emergency
department/designated 5150 facility. Provide for the basic care of individuals i.e.:food,
bedding, shower/bath, medication supervision,etc.
8. Maintain staffing including, but not be limited to: program supervisor, clinician, case
manager, peer support specialist, personal service coordinator, data/program assistant
and medical director.
9. Ensure that the safety of the community, consumer and staff are a priority.
10. Have a process in place for each individual who utilizes the overnight-stay facility to
ensure the individual is actively participating in services. CONTRACTOR will make
telephone contacts with each participant's service provider once a week for up to 45
days. Individuals who are not keeping appointments or following through on referrals
will be contacted directly, twice weekly at a minimum. Individuals who drop out will be
located and motivational interviewing techniques will be used to encourage their return
to their treatment program. CONTRACTOR will contact participants at least once a
month until the individual has consistently participated in an outpatient program for 3
months and is functioning at a lower level of care
11. Ensure service delivery is culturally sensitive and appropriate for individuals and their
families
12. Provide family support services through Peer Support Specialists and Linkage
Specialists to aid in the recovery of the individual as well as to educate and engage the
whole family.
COUNTY RESPONSIBILITIES:
COUNTY shall:
1. Provide program and budget oversight through the County Department of Behavioral Health
(DBH), Contracted Services Division to the CONTRACTOR'S Overnight Stay Facility. In
addition to contract monitoring of the program, oversight includes, but not limited to,
coordination with the State Department of Mental Health, Mental Health Services Act in
regard to program administration and outcomes.
2. Participate in evaluating the progress of the overall program and the efficiency of
collaboration with the CONTRACTOR staff and be available to the CONTRACTOR for
ongoing consultation.
3. Receive and analyze statistical data outcome information from vendor throughout the term
Exhibit A
Page 4 of 5
of contract on a monthly basis. DBH will notify the vendor when additional participation is
required. The performance outcome measurement process will not be limited to survey
instruments but may also include, as appropriate, consumer and staff interviews, chart
reviews, and other methods of obtaining required information.
4. Recognize that cultural competency is a goal toward which professionals, agencies, and
systems should strive. Becoming culturally competent is a developmental process and
incorporates at all levels the importance of culture, the assessment of cross-cultural
relations, vigilance towards the dynamics that result from cultural differences, the
expansion of cultural knowledge, and the adaptation of services to meet culturally-unique
needs. Offering those services in a manner that fails to achieve its intended result due to
cultural and linguistic barriers is not cost effective. To assist the vendor efforts towards
cultural and linguistic competency, DBH shall provide the following at no cost to
CONTRACTOR):
A. Technical assistance and mandatory cultural competency training including sexual
orientation and sensitivity training for vendor personnel, at minimum once per year.
County will provide mandatory training regarding the special needs of this diverse
population. Sexual orientation and sensitivity to gender differences is a basic cultural
competence principle and shall be included in the cultural competency training.
Literature suggests that the mental health needs of lesbian, gay, bisexual, transgender
(LGBT) individuals may be at increased risk for mental disorders and mental health
problems due to exposure to societal stressors such as stigmatization,prejudice, and
anti-gay violence. Social support may be critical for this population. Access to care
may be limited due to concerns about providers' sensitivity to differences in sexual
orientation.
B. Technical assistance for vendor in translating behavioral health and substance abuse
services information into DBH's threshold languages (Spanish, Laotian, Cambodian and
Hmong). Translation services and costs associated will be the responsibility of the
vendor.
PROGRAM OUTCOMES
At minimum, one performance indicator will be identified for each of the four CARF domains
listed below.
a. Access to care: The ability of clients to receive the right service at the right time. Examples
include:
1. Timeliness of bridging prescriptions
2. Timeliness of identifying clients with a serious mental illness
3. Timeliness between client referral for assessment and completion of assessment;
assessment to first treatment service; and, first treatment service to nextfollow-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:
Exhibit A
Page 5 of 5
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 client's
release
5. Effectiveness of transportation coordination, upon release
c. Efficiency: The demonstration of the relationship between results and the resources used to
achieve them.
Examples include:
1. Cost per client
2. Number of units of services per FTE bydiscipline
3. Number of clients served per general population
4. Comparison of numbers served against industry standards
d. Satisfaction and Compliance: The degree to which clients, County, and other stakeholders
are satisfied with theservices.
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
Page 1 of 14
Revised Exhibit B
Supervised Overnight Stay
WestCare California, Inc.
Fiscal Year(FY) 2023-2024
PROGRAM EXPENSES
1000:SALARIES&BENEFITS
Employee Salaries
Acct# Position FTE Admin Direct Total
1101 Program Supervisor 1.00 $ 56,700 $ 56,700
1102 Case Manager 3.00 123,600 123,600
1103 Peer Support Specialists/Driver 5.00 156,000 156,000
1104 Personal Service Coordinators 4.00 133,120 133,120
1105 Data/Program Assistant 1.50 48,360 48,360
1106 Medical Director 0.17 33,270 33,270
1107 LCSW(Mental Health Clinician) 2.00 - 116,000 116,000
1108 Temp Help/Overtime 0.00 - 850 850
1109 - -
1110 - -
1111 - -
1112 - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotall 16.67 1 $ - $ 667,900 $ 667,900
Employee Benefits
Acct# Description Admin Direct Total
1201 Retirement $ 20,037 $ 20,037
1202 Worker's Compensation 46,486 46,486
1203 Health Insurance 44,749 44,749
1204 Other(Specify) - - -
1205 10ther(Specify) - - -
1206 10ther(Specify) - - -
Employee Benefits Subtotal: $ - $ 111,272 $ 111,272
Payroll Taxes&Expenses:
Acct# Description Admin Direct Total
1301 OASDI $ -
1302 FICA/MEDICARE 43,681 43,681
1303 SUI 11,354 11,354
1304 1 Employee Training Tax -
1305 10ther(Specify) - - -
1306 10ther(Specify) - - -
Payroll Taxes&Expenses Subtotal: $ - $ 55,035 $ 55,035
EMPLOYEE SALARIES&BENEFITS TOTAL: $ - $ 834,207 r$ 834,207
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 2 of 14
Revised Exhibit B
2000:CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support -
2003 Client Transportation &Support 3,000
2004 lClothing, Food,& Hygiene 15,000
2005 Education Support
2006 Employment Support
2007 Household Items for Clients 1,000
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Specify)
2012 Other(Specify) -
2013 Other(Specify) -
2014 10ther(Specify) -
2015 10ther(Specify) -
2016 Other(Specify) -
DIRECT CLIENT CARE TOTAL $ 19,000
3000:OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 13,200
3002 Printing/Postage 136
3003 Office Supplies&Equipment 6,000
3004 lAdvertising
3005 Staff Training/Registration 500
3006 Staff Mileage/Vehicle Maintenance 8,000
3007 Subscriptions& Memberships
3008 Program Supplies-Medical 1,000
3009 Transportation of Clients 250
3010 Required Inurance Coverages
3011 Household Supplies 5,000
3012 Food 250
OPERATING EXPENSES TOTAL:1 $ 34,336
4000: FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 2,900
4002 Rent/Lease Building 52,600
4003 Rent/Lease Equipment 29,300
4004 1 Rent/Lease Vehicles
4005 Security
4006 Utilities 20,000
4007 Other(Specify) -
4008 Other(Specify) -
4009 10ther(Specify) -
4010 10ther(Specify) -
FACILITIES/EQUIPMENT TOTAL: $ 104,800
5000:SPECIAL EXPENSES
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 3 of 14
Revised Exhibit B
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management)
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services CFO
5004 ITranslation Services 500
5005 Administrative Overhead
5006 Other(Specify)
5007 Other(Specify) -
5008 Other(Specify) -
SPECIAL EXPENSES TOTAL: $ 500
6000:ADMINISTRATIVE EXPENSES
Acct# Line Item Description Amount
6001 Administrative Overhead $ 143,797
6002 Professional Liability Insurance 4,800
6003 Accounting/Bookkeeping
6004 1 External Audit
6005 Insurance(Specify):
6006 Payroll Services
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 $ 148,597
7000: FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software
7002 Copiers, Cell Phones,Tablets, Devices to Contain HIPAA Data
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify) -
7007 Other(Specify) J-
TOTAL 7008 Other(Specify) FIXED ASSETS EXPENSES TOTAL $PROGRAM EXPENSES 1 $ 1,141,440
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 4 of 14
Revised Exhibit B
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 Specalist -
8003 Peer Recovery Specalist -
8004 Medication Support -
8005 Collateral -
8006 Plan Development -
8007 Assessment -
8008 Rehabilitation -
Estimated Specialty Mental Health Services Billing Totals: 0 $ 671,889
Estimated%of Clients who are Medi-Cal Beneficiaries 90%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 604,700
Federal Financial Participation (FFP)% 1 50% 302,350
MEDI-CAL FFP TOTAL $ 302,350
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $ -
8102 SABG $ -
SUBSTANCE USE DISORDER FUNDS TOTAL $ -
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ -
REALIGNMENT TOTAL $ -
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ -
8302 PEI -Prevention & Early Intervention 839,090
8303 INN -Innovations -
8304 IWET-Workforce Education &Training I -
8305 jCFTN-Capital Facilities&Technology -
MHSA TOTAL r$ 839,090
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance -
8403 Grants(Specify) -
8404 10ther(Specify) I -
8405 10ther(Specify) I -
OTHER REVENUE TOTAL $ -
TOTAL PROGRAM FUNDING SOURCES: 1 $ 1,141,440
NET PROGRAM COST: $ (0)
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Revised Exhibit B Page 5 of 14
Supervised Overnight Stay
WestCare California,Inc.
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 834,207
Employee Salaries 667,900
1101 Program Supervisor 56,700
1102 Case Manager 123,600
1103 Peer Support Specialists/Driver 156,000
1104 Personal Service Coordinators 133,120
1105 Data/Program Assistant 48,360
1106 Medical Director 33,270
1107 LCSW(Mental Health Clinician) 116,000
1108 Temp Help/Overtime 850
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
1116 0
1117 0
1118 0
1119 0
1120 0
Employee Benefits 111,272
1201 Retirement 20,037 3%match to employee contribution
1202 Worker's Compensation 46,486 Workers Compensation expense based on employee classification
1203 Health Insurance 44,749 Employer health care cost
1204 Other(Specify)
1205 Other(Specify)
1206 Other(Specify) -
Payroll Taxes&Expenses: 55,035
1301 OASDI -
1302 FICA/MEDICARE 43,681 FICA/MEDICARE for employee salaries
1303 SUI 11,354 SUI for employee salaries
1304 Employee Training Tax
1305 Other(Specify)
1306 Other(Specify) -
2000:CLIENT SUPPORT 19,000
2001 Child Care
2002 Client Housing Support
2003 Client Transportation&Support 3,000 Bus passes and gas for transporting clients
2004 Clothing,Food,&Hygiene 15,000 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 1,000
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 1 Other(Specify)
3000:OPERATING EXPENSES 34,336
3001 Telecommunications 13,200 Cost of cellphones,landline,and internet
3002 Printing/Postage 136 Includes business cards and postage
3003 Office Supplies&Equipment 6,000 Includes office supplies,cleaning supplies,program supplies,and staff PPE
3004 Advertising
3005 Staff Training/Registration 500 Includes Pro-ACT,Motivational Interviewing,and other trauma informed training
3006 Staff Mileage/Vehicle Maintenance 8,000 Mileage reimbursment for staff travel,ongoing maintenance including oil changes,tires,
damage repair
3007 Subscriptions&Memberships
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 6 of 14
Revised Exhibit B
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
3008 Program Supplies-Medical 1,000 Medical supplies for clients including presciption costs,over the counter medications,and
PPE
3009 Transportation of Clients 250 Auto insurance for program vehicle
3010 Required Inurance Coverages - All insurances required by Fresno County Contract specific to The Lodge
3011 Household Supplies 5,000
3012 Food 250 food for client snacks/meals
4000:FACILITIES&EQUIPMENT 104,800
4001 Building Maintenance 2,900 Minor repairs and maintenance to facility
4002 Rent/Lease Building 52,600 Monthly rent for The Lodge
4003 Rent/Lease Equipment 29,300 Rent of equipement for program use
4004 Rent/Lease Vehicles - Monthly lease expense
4005 Security - 24/7 security patrol
4006 Utilities 20,000 Includes PGE and garbage
4007 Other(Specify)
4008 Other(Specify)
4009 Other(Specify)
4010 I Other S eci
5000:SPECIAL EXPENSES 500
5001 Consultant(Network&Data Management) IT consulting services
5002 HMIS(Health Management Information
System)
5003 Contractual/Consulting Services CFO
5004 Translation Services 500 Translation services when bilingual staff are not avaliable
5005 Administrative Overhead -
5006 Other(Specify)
5007 Other(Specify)
5008 1 Other(Specify)
6000:ADMINISTRATIVE EXPENSES 148,597
6001 Administrative Overhead 143,797 10%De Minimis
6002 Professional Liability Insurance 4,800
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
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
7001 Computer Equipment&Software Replacement expense of staff computers and camera system for security
7002 Copiers,Cell Phones,Tablets,Devices to Replacement expense of HIPAA compliant devices including iPads for research collection
Contain HIPAA Data
7003 Furniture&Fixtures 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 LPHA
8002 Mental Health Rehab Specalist
8003 Peer Recovery Specalist
8004 Medication Support
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 7 of 14
Revised Exhibit B
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
8005 Collateral
8006 Plan Development
8007 Assessment
8008 Rehabilitation
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,141,440
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,141,440
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2I7I2020
Page 8 of 14
Revised Exhibit B
Supervised Overnight Stay
WestCare California, Inc.
Fiscal Year(FY) 2024-2025
PROGRAM EXPENSES
1000:SALARIES&BENEFITS
Employee Salaries
Acct# Position FTE Admin Direct Total
1101 Program Supervisor 1.00 $ 56,700 $ 56,700
1102 Case Manager 3.00 123,600 123,600
1103 Peer Support Specialists/Driver 5.00 156,000 156,000
1104 Personal Service Coordinators 4.00 133,120 133,120
1105 Data/Program Assistant 1.50 48,360 48,360
1106 Medical Director 0.17 33,270 33,270
1107 LCSW(Mental Health Clinician) 2.00 - 116,000 116,000
1108 Temp Help/Overtime 0.00 - 850 850
1109 - -
1110 - -
1111 - -
1112 - -
1113 - - -
1114 - - -
1115 - - -
1116 - - -
1117 - - -
1118 - - -
1119 - - -
1120 - - -
Personnel Salaries Subtotall 16.67 1 $ - $ 667,900 $ 667,900
Employee Benefits
Acct# Description Admin Direct Total
1201 Retirement $ 20,037 $ 20,037
1202 Worker's Compensation 46,486 46,486
1203 Health Insurance 44,749 44,749
1204 Other(Specify) - - -
1205 10ther(Specify) - - -
1206 10ther(Specify) - -
Employee Benefits Subtotal: $ - $ 111,272 $ 111,272
Payroll Taxes&Expenses:
Acct# Description Admin Direct Total
1301 OASDI
1302 FICA/MEDICARE 43,681
1303 SUI 11,354
1304 1 Employee Training Tax -
1305 10ther(Specify) - - -
1306 10ther(Specify) - - -
Payroll Taxes&Expenses Subtotal: $ - $ - $ 55,035
EMPLOYEE SALARIES&BENEFITS TOTAL: $ - $ 779,172 r$ 834,207
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 9 of 14
Revised Exhibit B
2000:CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support -
2003 Client Transportation &Support 3,000
2004 lClothing, Food,& Hygiene 15,000
2005 Education Support
2006 Employment Support
2007 Household Items for Clients 1,000
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Specify)
2012 Other(Specify) -
2013 Other(Specify) -
2014 10ther(Specify) -
2015 10ther(Specify) -
2016 Other(Specify) -
DIRECT CLIENT CARE TOTAL $ 19,000
3000:OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 13,200
3002 Printing/Postage 136
3003 Office Supplies&Equipment 6,000
3004 lAdvertising
3005 Staff Training/Registration 500
3006 Staff Mileage/Vehicle Maintenance 8,000
3007 Subscriptions& Memberships
3008 Program Supplies-Medical 1,000
3009 Transportation of Clients 250
3010 Required Inurance Coverages
3011 Household Supplies 5,000
3012 Food 250
OPERATING EXPENSES TOTAL:1 $ 34,336
4000: FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 2,900
4002 Rent/Lease Building 52,600
4003 Rent/Lease Equipment 29,300
4004 1 Rent/Lease Vehicles
4005 Security
4006 Utilities 20,000
4007 Other(Specify) -
4008 Other(Specify) -
4009 10ther(Specify) -
4010 10ther(Specify) -
FACILITIES/EQUIPMENT TOTAL: $ 104,800
5000:SPECIAL EXPENSES
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 10 of 14
Revised Exhibit B
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management)
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services CFO
5004 ITranslation Services 500
5005 Administrative Overhead
5006 Other(Specify)
5007 Other(Specify) -
5008 Other(Specify) -
SPECIAL EXPENSES TOTAL: $ 500
6000:ADMINISTRATIVE EXPENSES
Acct# Line Item Description Amount
6001 Administrative Overhead $ 143,797
6002 Professional Liability Insurance 4,800
6003 Accounting/Bookkeeping
6004 1 External Audit
6005 Insurance(Specify):
6006 Payroll Services
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 $ 148,597
7000: 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 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) J-
TOTAL 7008 Other(Specify) FIXED ASSETS EXPENSES TOTAL $PROGRAM EXPENSES 1 $ 1,141,440
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 11 of 14
Revised Exhibit B
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 $ 671,889
Estimated %of Clients who are Medi-Cal Beneficiaries 90%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 604,700
Federal Financial Participation (FFP)% 1 50% 302,350
MEDI-CAL FFP TOTAL $ 302,350
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $ -
8102 SABG $ -
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ (0)
REALIGNMENT TOTAL $ (0)
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name I Amount
8301 CSS-Community Services&Supports $ -
8302 PEI -Prevention & Early Intervention 839,090
8303 INN -Innovations -
8304 WET-Workforce Education &Training -
8305 ICFTN -Capital Facilities&Technology I I -
MHSA TOTAL $ 839,090
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: $ 1,141,440
NET PROGRAM COST: $ -
Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020
Page 12 of 14
Revised Exhibit B
Supervised Overnight Stay
WestCare California,Inc.
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 834,207
Employee Salaries 667,900
1101 Program Supervisor 56,700
1102 Case Manager 123,600
1103 Peer Support Specialists/Driver 156,000
1104 Personal Service Coordinators 133,120
1105 Data/Program Assistant 48,360
1106 Medical Director 33,270
1107 LCSW(Mental Health Clinician) 116,000
1108 Temp Help/Overtime 850
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
1116 0
1117 0
1118 0
1119 0
1120 0
Employee Benefits 111,272
1201 Retirement 20,037 3%match to employee contribution
1202 Worker's Compensation 46,486 Workers Compensation expense based on employee classification
1203 Health Insurance 44,749 Employer health care cost
1204 Other(Specify)
1205 Other(Specify)
1206 Other(Specify) I -
Payroll Taxes&Expenses: 55,035
1301 OASDI -
1302 FICA/MEDICARE 43,681 FICA/MEDICARE for employee salaries
1303 SUI 11,354 SUI for employee salaries
1304 Employee Training Tax
1305 Other(Specify)
1306 Other(Specify) -
2000:CLIENT SUPPORT 19,000
2001 Child Care -
2002 Client Housing Support
2003 Client Transportation&Support 3,000 Bus passes and gas for transporting clients
2004 Clothing,Food,&Hygiene 15,000 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 1,000
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 1 Other(Specify)
3000:OPERATING EXPENSES 34,336
3001 Telecommunications 13,200 Cost of cellphones,landline,and internet
3002 Printing/Postage 136 Includes business cards and postage
3003 Office Supplies&Equipment 6,000 Includes office supplies,cleaning supplies,program supplies,and staff PPE
3004 Advertising
3005 Staff Train ing/Registration 500 Includes Pro-ACT,Motivational Interviewing,and other trauma informed training
3006 Staff Mileage/Vehicle Maintenance 8,000 Mileage reimbursment for staff travel,ongoing maintenance including oil changes,tires,
damage repair
3007 Subscriptions&Memberships
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Page 13 of 14
Revised Exhibit B
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
3008 Program Supplies-Medical 1,000 Medical supplies for clients including presciption costs,over the counter medications,
and PPE
3009 Transportation of Clients 250 Auto insurance for program vehicle
3010 Required Inurance Coverages - All insurances required by Fresno County Contract specific to The Lodge
3011 Household Supplies 5,000
3012 Food 250 food for client snacks/meals
4000:FACILITIES&EQUIPMENT 104,800
4001 Building Maintenance 2,900 Minor repairs and maintenance to facility
4002 Rent/Lease Building 52,600 Monthly rent for The Lodge
4003 Rent/Lease Equipment 29,300 Rent of equipement for program use
4004 Rent/Lease Vehicles - Monthly lease expense
4005 Security - 24/7 security patrol
4006 Utilities 20,000 Includes PGE and garbage
4007 Other(Specify)
4008 Other(Specify)
4009 Other(Specify)
4010 Other(Specify)
5000:SPECIAL EXPENSES 500
5001 Consultant(Network&Data Management) IT consulting services
5002 HMIS(Health Management Information
System)
5003 Contractual/Consulting Services CFO
5004 Translation Services 500 Translation services when bilingual staff are not avaliable
5005 Administrative Overhead -
5006 Other(Specify)
5007 Other(Specify)
5008 1 Other(Specify)
6000:ADMINISTRATIVE EXPENSES 148,597
6001 Administrative Overhead 143,797 10%De Minimis
6002 Professional Liability Insurance 4,800
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
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
7001 Computer Equipment&Software Replacement expense of staff computers and camera system for security
7002 Copiers,Cell Phones,Tablets,Devices to Replacement expense of HIPAA compliant devices including iPads for research collection
Contain HIPAA Data
7003 Furniture&Fixtures 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 14 of 14
Revised Exhibit B
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
8008 0
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,141,440
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,141,440
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2I7I2020