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Home My WebLink AboutAgreement A-23-267 Amendment to Master Agreement for MAP Point Operators.pdf Agreement No. 23-267 1 AMENDMENT III TO AGREEMENT 2 THIS AMENDMENT, hereinafter referred to as Amendment III, is made and entered into this 20th 3 day of June , 2023, by and between the COUNTY OF FRESNO, a Political Subdivision of the 4 State of California, hereinafter referred to as "COUNTY", and each CONTRACTOR listed in Revised 5 Exhibit A-II "List of Contractors", and collectively hereinafter referred to as "CONTRACTORS". Reference 6 in this Agreement to party or"parties" shall be understood to refer to COUNTY and each individual 7 CONTRACTOR(S), unless otherwise specified. 8 WHEREAS, the parties entered into that certain Agreement, identified as COUNTY Agreement No. 9 17-006, effective January 10, 2017 and Amendment I, identified as COUNTY Agreement No. 17-006-I, 10 effective June 22, 2021 and Amendment II, identified as COUNTY Agreement No. 22-252, effective June 11 21, 2022, collectively referred to as the "Agreement,"whereby CONTRACTORS agreed to operate Multi- 12 Agency Access Program (MAP) points to provide an integrated screening process connecting individuals 13 and families facing mental health, substance use disorder, physical health, housing/homelessness, social 14 service, and other related challenges to support services agencies, to COUNTY's Department of 15 Behavioral Health; and 16 WHEREAS, CONTRACTOR Kings View has updated its Fiscal Year 2022/2023 and Fiscal Year 17 2023/2024 budgets and the parties now desire to amend the Agreement to memorialize these changes 18 as stated below. 19 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which is 20 hereby acknowledged, the parties agree as follows: 21 1. That all references in the existing Agreement No. 22-252 to "Revised Exhibit C-II" shall be 22 deemed references to"Revised Exhibit C-III", which is attached and incorporated by this reference. 23 2. Pursuant to Section 36 of COUNTY Agreement No. A-17-006, this Third Amendment is 24 hereby executed by the COUNTY and CONTRACTOR Kings View without notice to or approval of any 25 of the other CONTRACTORS to COUNTY Agreement No. A-17-006, as amended. CONTRACTOR 26 hereby agrees to all terms of the Agreement, as amended, and agree to be bound by the terms of the 27 Agreement, as amended. CONTRACTOR hereby acknowledges that they have received a complete 28 copy of the Agreement, as amended. 1 1 3. The parties agree that this Amendment III is sufficient to amend the Agreement; and that 2 upon execution of the Agreement, Amendment I, Amendment II, and Amendment II I together shall be 3 considered the Agreement. 4 4. The Agreement, as hereby amended, is ratified and continued. All provisions, terms, 5 covenants, conditions, and promises contained in the Agreement and not amended herein shall remain in 6 full force and effect. This Amendment III shall be effective retroactively to March 1, 2023. 7 N 8 N 9 N 10 N 11 N 12 N 13 N 14 N 15 N 16 N 17 N 18 N 19 N 20 N 21 N 22 N 23 N 24 N 25 N 26 N 27 N 28 N 2 1 IN WITNESS WHEREOF, the parties hereto have executed this Amendment III to 2 Agreement as of the date first above set forth. 3 4 5 Please see attached signatures COUNTY OF FRESNO 6 7 Sal Qui t ro 8 Chairman of the Board of Supervisors of 9 the County of Fresno 10 11 12 13 ATTEST: 14 Bernice E. Seidel Clerk of the Board of Supervisors 15 County of Fresno, State of California 16 17 By: — Deputy 18 19 20 21 22 23 24 FOR ACCOUNTING USE ONLY: Fund/Subclass: 0001/10000 25 ORG No.: 56304768 Account No.: 7295/0 26 27 28 3 ii DocuSign Envelope ID:6BFF140E-43B6-4F9D-8C72-64E47B95FF1A 1 KINGS VIEW 2 DocuSigned by: 3 By: AN Amanda Nugent Divine 5 Print Name: 6 Title: CEO 7 Chairman of Board, or President or any Vice President 8 9 Date: 5/2/2023 10 11 DocuSigned by: 12 1'+?a:�a�E <,,..# 13 By: �25D9 D��elOR 14 Print Name: Michael Kosareff 15 16 Title: CFO 17 Secretary(of Corporation), or any Assistant Secretary, or Chief Financial Officer or any Assistant Treasurer 18 19 Date: 5/5/2023 20 21 22 Mailing Address: 7058 N. West Avenue#178 23 Fresno, CA 93711 24 Phone No.: (559) 256-4474 Ext. 4007 25 Contact: Darrell Hamilton 26 27 28 1 — COUNTY OF FRESNO Fresno,CA Revised Exhibit C-III Page 1 of 46 Multi-Agency Access Program (MAP) Kings View Fiscal Year(FY)2022-23 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Executive Director 0.03 $ 5,407 $ 5,407 1102 Regional Director 0.113 13,632 13,632 1103 Accountant 0.01 733 733 1104 Quality Improvement Analyst 0.07 4,039 4,039 1105 1106 1107 1108 1109 1110 1111 1112 1113 1114 1115 Direct Personnel Admin Salaries Subtotal 0.22 $ 23,811 $ 23,811 Acct# Program Position FTE Admin Program Total 1116 Map Point Services Manager 1.00 $ 69,826 $ 69,826 1117 Navigators 2.00 66,765 66,765 1118 1119 1120 1121 1122 1123 1124 1125 1126 1127 1128 1129 1130 1131 1132 1133 1134 Direct Personnel Program Salaries Subtotal 3.00 $ 136,591 $ 136,591 Admin Program Total Direct Personnel Salaries Subtotal 3.22 $ 23,811 $ 136,591 $ 160,492 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 238 $ 1,366 $ 1,604 1202 Worker's Compensation 378 2,172 2,550 1203 Health Insurance 905 5,190 6,095 1204 Other(specify) - - 1205 Other(specify) - - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 2 of 46 1206 Other(specify) Direct Employee Benefits Subtotal:1 $ 1,521 $ 8,728 $ 10,249 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ - $ - 1302 FICA/MEDICARE 1,822 10,449 12,271 1303 SUI 95 547 642 1304 Other(specify) 1305 Other(specify) 1306 Other(specify) Direct Payroll Taxes&Expenses Subtotal: $ 1,917 $ 10,996 $ 12,913 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 27,249 $ 156,315 $ 183,564 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 15% 85% 2000: DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ 2002 Client Housing Support 2003 Client Transportation&Support - 2004 Clothing,Food,&Hygiene 750 2005 Education Support - 2006 Employment Support 2007 Household Items for Clients 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Vouchers 2011 Other(specify) 2012 Other(specify) 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 1 Other(specify) DIRECT CLIENT CARE TOTAL $ 750 3000: DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 7,344 3002 Printing/Postage 150 3003 Office,Household&Program Supplies 355 3004 Advertising 3005 Staff Development&Training 80 3006 Staff Mileage 100 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 24,523 3009 Other(Staff Recruitment) 450 3010 Other(Insurance) 9,950 3011 Other(specify) - 3012 Other(specify) DIRECT OPERATING EXPENSES TOTAL: $ 42,952 4000:DIRECT FACILITIES&EQUIPMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 3 of 46 Acct# Line Item Description Amount 4001 Building Maintenance $ 1,385 4002 Rent/Lease Building 15,600 4003 Rent/Lease Equipment 2,080 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities 9,100 4007 Other(specify) - 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) DIRECT FACILITIES/EQUIPMENT TOTAL: $ 28,165 5000: DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ 11,314 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 Other(specify) - DIRECT SPECIAL EXPENSES TOTAL: $ 11,314 6000: INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ Administrative Overhead 6002 Professional Liability Insurance 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify): 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) 2,004 6008 Personnel(Indirect Salaries&Benefits) - 6009 Other(Administrative&General Fees) 29,684 6010 Other(specify) - 6011 Other(specify) 6012 Other(specify) 6013 1 Other(specify) - INDIRECT EXPENSES TOTAL $ 31,688 INDIRECT COST RATE 11.83% 7000: DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 1,099 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) Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 4 of 46 7008 Other(specify) FIXED ASSETS EXPENSES TOTAL $ 1,099 TOTAL PROGRAM EXPENSES $ 299,532 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description Service Units Rate Amount 8001 Mental Health Services 0 $ 8002 Case Management 0 8003 Crisis Services 0 8004 Medication Support 0 8005 Collateral 0 8006 Plan Development 0 8007 Assessment 0 8008 Rehabilitation 0 8009 Other(Specify) 0 8010 Other(Specify) 0 Estimated Specialty Mental Health Services Billing Totals: 0 $ Estimated%of Clients who are Medi-Cal Beneficiaries 0% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation (FFP)% 1 0% MEDI-CAL FFP TOTAL $ 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ 8102 SABG $ SUBSTANCE USE DISORDER FUNDS TOTAL $ 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ 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 299,532 8303 INN-Innovations - 8304 WET-Workforce Education&Training 8305 JCFTN-Capital Facilities&Technology MHSA TOTAL $ 299,532 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: $ 299,532 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 5 of 46 Multi-Agency Access Program (MAP) Kings View Fiscal Year(FY)2022-23 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 Executive Director PATH SMHS/Fresno 0.04 PATH OEL/Fresno 0.04 PATH STARS/Fresno 0.05 Blue Sky/Fresno 0.05 Rural Crisis Intervention/Fresno 0.03 Metro CIT/Fresno 0.02 Map Point/Fresno 0.03 FURS/Fresno 0.03 Suicide Prevention Follow-up Call/Fresno 0.01 CVSPH 0.07 Shasta 0.09 Tulare 0.26 Madera 0.06 Admin 0.20 Kings 0.02 Total 1.00 Position Contract#/Name/Department/County FTE Regional Director PATH SMHS/Fresno 0.085 PATH OEL/Fresno 0.080 PATH STARS/Fresno 0.090 Blue Sky/Fresno 0.110 Rural Crisis Intervention/Fresno 0.160 Metro CIT/Fresno 0.250 Map Point/Fresno 0.113 FURS/Fresno 0.030 Suicide Prevention Follow-up Call/Fresno 0.010 CVSPH 0.032 Madera 0.040 Total 1.00 Position Contract#/Name/Department/County FTE Accountant Map Point/Fresno 0.01 Kings 0.88 Finance Department 0.11 Revised Exhibit C-III Page 6 of 46 Total 1.00 Position Contract#/Name/Department/County FTE Quality Improvement Analyst PATH SMHS/Fresno 0.05 PATH OEL/Fresno 0.05 PATH STARS/Fresno 0.07 Blue Sky/Fresno 0.12 Rural Crisis Intervention/Fresno 0.25 CCMU-Rural CIT/Fresno 0.11 CCMU-Metro CIT/Fresno 0.11 Metro CIT/Fresno 0.12 Map Point/Fresno 0.07 FURS/Fresno 0.03 Quality& Performance Improvement Deparment 0.02 Total 1.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Multi-Agency Access Program (MAP) Kings View Revised Exhibit C-III Fiscal Year(FY)2022-23 Budget Narrative Page 7 of 46 PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 183,564 Administrative Positions 23,811 1101 Executive Director 1,411 Position will provide agency specific staff oversight and represent and maintain the collaborative relationship between agencies.FTE was updated and cost based current estimated time working with the program. 1102 Regional Director 13,632 This position will assist Executive Director with staff oversight and representing and maintaining the collaborative relationship between agencies.FTE was updated and cost based current estimated time working with the program,increase support due to vacancies through out the year. 1103 Accountant 733 Prepares and provides budget guidance,monthly invoicing and other fiscal services. 1104 Quality Improvement Analyst 4,039 This position will perform a wide range of duties to support data collection, management,and reporting needs for all collaborative partnerships.Reduced annual amount due to vacancy this fiscal year.Using cost savings to reallocate to operating expenses. 1105 0 1106 0 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 0 Program Positions 136,592 1116 Map Point Services Manager 69,826 This position will oversee the Multi Agency Access Program locations to ensure operations are running smoothly and in compliance with the contract requirements. 1117 Navigators 66,765 Navigators will provide screenings to clients and based on that information link the client to services they may need.Navigators will also collaborate with other agencies and be well versed in community resources.Reduced annual amount due to vacancy this fiscal year.Using cost savings to reallocate to other expenses. 1118 0 1119 0 1120 0 1121 0 1122 0 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 10 - Direct Employee Benefits 10,249 1201 Retirement 1,604 Cost of 401K;estimated at 1%from total salaries.Annual budgets are budgeted anitcipating all staff will sign up for benefits.Cost savings due to usage and vacancies through out the year.Using cost savings to reallocate to other expenses. 1202 Worker's Compensation 2,550 Workers Comp Insurance;estimated at 1.59%from total salaries.Cost savings due to vacancies. 1203 Health Insurance 6,095 Cost of Medical,Vision,Dental,Life and Long Term Disability Insurance;estimated at 3.8%from total salaries.Annual budgets are budgeted anitcipating all staff will sign up for benefits.Cost savings due to usage and vacancies through out the year.Using cost savings to reallocate to other expenses. 1204 Other(specify) 1205 Other(specify) 1206 Other(specify) Direct Payroll Taxes&Expenses: 12,913 1301 OASDI 1302 FICA/MEDICARE 12,271 Cost of FICA/Medicare;estimated at 7.65%from total salaries.Cost savings due to vacancies through out the year.Using cost savings to reallocate to other expenses. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-III Page 8 of 46 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1303 SUI 642 Cost of SUI;estimated at.40%from total salaries.Cost savings due to vacancies through out the year.Using cost savings to reallocate to other expenses. 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) - 2000:DIRECT CLIENT SUPPORT 750 2001 Child Care - 2002 Client Housing Support 2003 Client Transportation&Support - 2004 Clothing,Food,&Hygiene 750 Expenses that support clients with clothing,food,water,blankets,and hygiene supplies.Also,includes miscellaneous client support items such as pet food,groceries, DMV identification,and birth certificates. 2005 Education Support - 2006 Employment Support 2007 Household Items for Clients 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Vouchers 2011 Other(specify) 2012 Other(specify) 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 Other s ecif 3000:DIRECT OPERATING EXPENSES 42,952 3001 Telecommunications 7,344 Cost of landline telephone services,cell phones service,data connectivity.Previous budget was based on estimates,this increase was updated based on actual trends due to inflation. 3002 Printing/Postage 150 Business cards or other special printing in bulk that is less cost effective to outsource rather than utilization of a copier. 3003 Office,Household&Program Supplies 355 Includes desk supplies&minor equipment used by staff in the course of providing services.Increase due to anticipated program needs and inflation. 3004 Advertising - 3005 Staff Development&Training 80 Minor cost for continuation of staff development and training. 3006 Staff Mileage 100 Reimbursements to staff for personal vehicle use when company vehicle is not available and require to provide services or other program needs,paid at IRS rate.Any travel transportation fees,such as parking fees. 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 24,523 Auto repairs&maintenance required to maintain 1 vehicle and 2 vans for client transportation and program needs,such as oil changes and car washes.Also includes, yearly cost of GPS vehicle tracking service,fuel,and DVM fees.Increased cost due to trends and high fuel expenses due to inflation.We have had high maintenance,one time expenses in current FY. 3009 Other(Staff Recruitment) 450 Thorough background check and drug testing.Increasing due to 2 current vacancies. 3010 Other(Insurance) 9,950 Moved from indirect expense categories to direct operating expenses.This cost is direct expense to program for general,professional liability,personal property, accidental,and auto insurance.Previous budget was based on estimates,this increase was updated based on actual trends due to inflation. 3011 Other(specify) 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 28,165 4001 Building Maintenance 1,385 Shared expenses for service agreements such as copier maintenance,janitorial services,security alarm.Also includes business licenses&taxes,facility supplies,minor building repairs and maintenance to facility. 4002 Rent/Lease Building 15,600 Building space in Selma.Kings View staff will operate at sites provided free of charge such as churches in rural communities.Increased based on actuals. 4003 Rent/Lease Equipment 2,080 Annual cost for copier lease.Previous budget was based on estimates,this increase was updated based on actual trends due to inflation. 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities 9,100 The annual cost of gas and electric costs. 4007 Other(specify) - 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) - 5000:DIRECT SPECIAL EXPENSES 11,314 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-III Page 9 of 46 PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 5001 Consultant(Network&Data Management) 11,314 Kings View Information Technology Department(KVIT)will provide hardware and software support successful data collection.Information services and management consisting of managed internet service provider,network and desktop management, project management,technology procurement,telecommunication management, strategic technology planning,system documentation,application/data hosting,access to data/documents/application 24/7. After hours support via email and phone 24/7. 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 1 Other(specify) 6000:INDIRECT EXPENSES 31,688 6001 Administrative Overhead - 6002 Professional Liability Insurance 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify): 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used 2,004 Anticipated depreciation cost of 1 vehicle and 2 vans. 6008 Personnel(Indirect Salaries&Benefits) - 6009 Other(Administrative&General Fees) 29,684 Moved expense from line item 6001 in previous fiscal year to 6009 in this year due to rate not being an approved indirect rate.Expenses to this line item ranges from salaries and benefits to operating expenses such as rent,utilities&supplies generated by corporate management,fiscal services,payroll,human resources,accounts payable and other administrative functions supporting program based on our Cost Allocation Plan. 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 Other(specify) 7000:DIRECT FIXED ASSETS 1,099 7001 Computer Equipment&Software 1,099 Software needs to support staff and replacement of 1 computer. 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA - 7003 Furniture&Fixtures 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) 7007 Other(specify) 7008 1 Other(specify) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 1 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 299,532 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 299,532 BUDGET CHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-III Page 10 of 46 MAP POINT Kings View Fiscal Year(FY)2023-24 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Executive Director 0.02 $ 3,713 $ 3,713 1102 Regional Director 0.08 9,941 9,941 1103 Accountant 0.05 3,400 3,400 1104 Quality Improvement Analyst 0.07 4,853 4,853 1105 - 1106 - 1107 - 1108 - 1109 - 1110 - 1111 - 1112 - 1113 - 1114 - 1115 - Direct Personnel Admin Salaries Subtotal 0.22 $ 21,907 $ 21,907 Acct# Program Position FTE Admin Program Total 1116 Map Point Services Manager 1.00 $ 64,000 $ 64,000 1117 Navigators 1.70 72,832 72,832 1118 - - 1119 - - 1120 - - 1121 - 1122 - 1123 - - 1124 - - 1125 - - 1126 - - 1127 - - 1128 - - 1129 - - 1130 - - 1131 - - 1132 - - 1133 - - 1134 - - Direct Personnel Program Salaries Subtotal 2.70 $ 136,832 $ 136,832 Admin Program Total Direct Personnel Salaries Subtotall 2.92 1 $ 21,907 1 $ 136,832 1 $ 158,739 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 228 $ 1,423 $ 1,651 1202 Worker's Compensation 348 2,176 2,524 1203 Health Insurance 1,783 11,138 12,921 1204 Other(specify) - - - 1205 Other(specify) - - - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 11 of 46 1206 10ther(specify) - - - Direct Employee Benefits Subtotal: $ 2,359 $ 14,737 $ 17,096 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ - $ - 1302 FICA/MEDICARE 1,676 10,467 12,143 1303 SUI 127 794 921 1304 Other(specify) - - - 1305 10ther(specify) - - 1306 Other(specify) - - - Direct Payroll Taxes&Expenses Subtotal: $ 1,803 $ 11,261 $ 13,064 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 26,069 $ 162,830 $ 188,899 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 14% 86% 2000: DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support - 2003 Client Transportation&Support 2004 Clothing, Food,&Hygiene 750 2005 Education Support - 2006 Employment Support 2007 Household Items for Clients 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Vouchers 2011 Other(specify) 2012 Other(specify) 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) - 2016 Other(specify) - DIRECT CLIENT CARE TOTAL $ 750 3000: DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 7,344 3002 Printing/Postage 200 3003 Office, Household&Program Supplies 324 3004 Advertising - 3005 Staff Development&Training 80 3006 Staff Mileage 100 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 20,029 3009 Other(Staff Recruitment) 450 3010 Other(Insurance) 9,950 3011 Other(specify) 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL:1 $ 38,477 4000: DIRECT FACILITIES&EQUIPMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 12 of 46 Acct# Line Item Description Amount 4001 Building Maintenance $ 1,385 4002 Rent/Lease Building 15,600 4003 Rent/Lease Equipment 2,080 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities 9,100 4007 Other(specify) - 4008 Other(specify) 4009 Other(specify) - 4010 10ther(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL: $ 28,165 5000: DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ 11,313 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) - 5004 Translation Services - 5005 Other(specify) - 5006 Other(specify) 5007 Other(specify) - 5008 Other(specify) - DIRECT SPECIAL EXPENSES TOTAL: $ 11,313 6000: INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ - Administrative Overhead 6002 Professional Liability Insurance 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify): - 6006 Payroll Services - 6007 Depreciation(Provider-OwnedEquipment to be Usedfor Program Purposes) 2,004 6008 Personnel(Indirect Salaries&Benefits) - 6009 Other(Administrative&General Fees) 29,684 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 1 Other(specify) - INDIRECT EXPENSES TOTAL $ 31,688 INDIRECT COST RATE 11.83% 7000: DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ 240 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) - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 13 of 46 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ 240 TOTAL PROGRAM EXPENSES $ 299,532 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description Service Units Rate Amount 8001 Mental Health Services 0 - $ - 8002 Case Management 0 - - 8003 Crisis Services 0 - - 8004 Medication Support 0 - - 8005 Collateral 0 - - 8006 Plan Development 0 - - 8007 Assessment 0 - - 8008 Rehabilitation 0 - - 8009 Other(Specify) 0 - - 8010 Other(Specify) 0 - I - Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated%of Clients who are Medi-Cal Beneficiaries 0% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation(FFP)% 0% MEDI-CAL FFP TOTAL $ - 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 SABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ - 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ 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 299,532 8303 INN-Innovations - 8304 WET-Workforce Education&Training - 8305 JCFTN-Capital Facilities&Technology - MHSA TOTAL $ 299,532 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ 8402 Client Insurance 8403 Grants(Specify) 8404 Other(Specify) 8405 10ther(Specify) OTHER REVENUE TOTAL $ - TOTAL PROGRAM FUNDING SOURCES: $ 299,532 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 14 of 46 Multi-Agency Access Program (MAP) Kings View 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 Executive Director PATH SMHS/Fresno 0.04 PATH OEL/Fresno 0.04 PATH STARS/Fresno 0.03 Blue Sky/Fresno 0.05 Rural Crisis Intervention/Fresno 0.03 Metro CIT/Fresno 0.02 Map Point/Fresno 0.02 FURS/Fresno 0.03 Suicide Prevention Follow-up Call/Fresno 0.01 CVSPH 0.07 Shasta 0.09 Tulare 0.23 Madera 0.06 Kings 0.17 Administrative Department 0.11 Total 1.00 Position Contract#/Name/Department/County FTE Regional Director PATH SMHS/Fresno 0.085 PATH OEL/Fresno 0.080 PATH STARS/Fresno 0.070 Blue Sky/Fresno 0.110 Rural Crisis Intervention/Fresno 0.160 Metro CIT/Fresno 0.250 Map Point/Fresno 0.080 FURS/Fresno 0.030 Suicide Prevention Follow-up Call/Fresno 0.010 CVSPH 0.065 Madera 0.060 Total 1.00 Position Contract#/Name/Department/County FTE Accountant Map Point/Fresno 0.05 Kings 0.84 Finance Department 0.11 Total 1.00 Revised Exhibit C-III Page 15 of 46 Position Contract#/Name/Department/County FTE Quality Improvement Data Analyst PATH SMHS/Fresno 0.05 PATH OEL/Fresno 0.05 PATH STARS/Fresno 0.06 Blue Sky/Fresno 0.12 Rural Crisis Intervention/Fresno 0.25 Metro CIT/Fresno 0.12 Map Point/Fresno 0.07 FURS/Fresno 0.03 Shasta 0.20 Quality& Performance Improvement Deparment 0.05 Total 1.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Revised Exhibit C-III MAP POINT Page 16 of 46 Kings View Fiscal Year(FY)2023-24 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 188,899 Administrative Positions 21,907 1101 Executive Director 3,713 Position will provide agency specific staff oversight and represent and maintain the collaborative relationship between agencies.FTE was updated based current estimated time working with the program and anticipating that program will be fully staffed in this FY.Increase of 3%from previous years rate for cost of living increase and employee retention.Inflation in FY2022 was at 7.1%and expected to increase per Consumer Price Index. 1102 ='Budget FY2'!Cll 9,941 This position will assist Executive Director with staff oversight and representing and maintaining the collaborative relationship between agencies.FTE was updated based current estimated time working with the program and decrease from previous year anticipating program will be fully staffed.Increase of 3%from previous years rate for cost of living increase and employee retention.Inflation in FY2022 was at 7.1%and expected to increase per Consumer Price Index. 1103 Accountant 3,400 Prepares and provides budget guidance,monthly invoicing and other fiscal services. Increasing FTE total from.01 to.05 based on trends with similar size programs and experience working with program in the past.Overall reduction from approved hourly rate due vacancy and expected staff changes. 1104 Quality Improvement Analyst 4,853 This position will perform a wide range of duties to support data collection, management,and reporting needs for all collaborative partnerships. Increase of 3% from original approved rate for cost of living increase and employee retention.Inflation in FY2022 was at 7.1%and expected to increase per Consumer Price Index. 1105 0 1106 0 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 0 Program Positions 136,832 1116 Map Point Services Manager 64,000 This position will oversee the Multi Agency Access Program locations to ensure operations are running smoothly and in compliance with the contract requirements. Due to funds available and no bottom line increase to this FY,we are reducing annual cost for current vacancy. 1117 Navigators 72,832 Navigators will provide screenings to clients and based on that information link the client to services they may need.Navigators will also collaborate with other agencies and be well versed in community resources.Reduced annual FTE from previous year at 2FTE to 1.70FTE due to funds available and no bottom line increase to this FY.One position will be full FTE and the other will be reduced from 40 to 32 hours per week. 1118 0 1119 0 1120 0 1121 0 1122 0 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 10 Direct Employee Benefits 17,096 1201 Retirement 1,651 Cost of 401K;estimated at 1.04%from total salaries. 1202 Worker's Compensation 2,524 Workers Comp Insurance;estimated at 1.59%from total salaries. Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020 Revised Exhibit C-III Page 17 of 46 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1203 Health Insurance 12,921 Cost of Medical,Vision,Dental,Life and Long Term Disability Insurance;estimated at 8.14%from total salaries. 1204 Other(specify) - 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: 13,064 1301 OAS D I - 1302 FICA/MEDICARE 12,143 Cost of FICA/Medicare;estimated at 7.65%from total salaries. 1303 SUI 921 Cost of SUI;estimated at.58%from total salaries. 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) - 2000:DIRECT CLIENT SUPPORT 750 2001 Child Care - 2002 Client Housing Support 2003 Client Transportation&Support - 2004 Clothing,Food,&Hygiene 750 Expenses that support clients with clothing,food,water,blankets,and hygiene supplies.Also,includes miscellaneous client support items such as pet food,groceries, DMV identification,and birth certificates. 2005 Education Support 2006 Employment Support 2007 Household Items for Clients 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Vouchers 2011 Other(specify) 2012 Other(specify) 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 1 Other(specify) 3000:DIRECT OPERATING EXPENSES 38,477 3001 Telecommunications 7,344 Cost of landline telephone services,cell phones service,data connectivity. 3002 Printing/Postage 200 Business cards or other special printing in bulk that is less cost effective to outsource rather than utilization of a copier. 3003 Office,Household&Program Supplies 324 Includes desk supplies&minor equipment used by staff in the course of providing services. 3004 Advertising - 3005 Staff Development&Training 80 Minor cost for continuation of staff development and training. 3006 Staff Mileage 100 Reimbursements to staff for personal vehicle use when company vehicle is not available and require to provide services or other program needs,paid at IRS rate.Any travel transportation fees,such as parking fees. 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 20,029 Auto repairs&maintenance required to maintain 1 vehicle and 2 vans for client transportation and program needs,such as oil changes and car washes.Also includes, yearly cost of GPS vehicle tracking service,fuel,and DVM fees.Decrease from previous year proposed amendment amount due to not anticipating one time expense repairs that occurred in FY2023. 3009 Other(Staff Recruitment) 450 Thorough background check and drug testing. 3010 Other(Insurance) 9,950 Moved from indirect expense categories to direct operating expenses.This cost is direct expense to program for general,professional liability,personal property, accidental,and auto insurance. 3011 Other(specify) - 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 28,165 4001 Building Maintenance 1,385 Shared expenses for service agreements such as copier maintenance,janitorial services,security alarm.Also includes business licenses&taxes,facility supplies,minor building repairs and maintenance to facility. 4002 Rent/Lease Building 15,600 Building space in Selma.Kings View staff will operate at sites provided free of charge such as churches in rural communities. 4003 Rent/Lease Equipment 2,080 Annual cost for copier lease. 4004 Rent/Lease Vehicles 4005 Security - 4006 Utilities 9,100 The annual cost of gas and electric costs. 4007 Other(specify) - 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES 11,313 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020 Revised Exhibit C-III Page 18 of 46 PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 5001 Consultant(Network&Data Management) 11,313 Kings View Information Technology Department(KVIT)will provide hardware and software support successful data collection.Information services and management consisting of managed internet service provider,network and desktop management, project management,technology procurement,telecommunication management, strategic technology planning,system documentation,application/data hosting,access to data/documents/application 24/7. After hours support via email and phone 24/7. 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 Other(specify) 6000:INDIRECT EXPENSES 31,688 6001 Administrative Overhead - 6002 Professional Liability Insurance 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify): 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used 2,004 Anticipated depreciation cost of 1 vehicle and 2 vans. 6008 Personnel(Indirect Salaries&Benefits) - 6009 Other(Administrative&General Fees) 29,684 Moved expense from line item 6001 in previous fiscal year to 6009 in this year due to rate not being an approved indirect rate.Expenses to this line item ranges from salaries and benefits to operating expenses such as rent,utilities&supplies generated by corporate management,fiscal services,payroll,human resources,accounts payable and other administrative functions supporting program based on our Cost Allocation Plan. 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 Other(specify) 7000:DIRECT FIXED ASSETS 240 7001 Computer Equipment&Software 240 Software needs to support staff. 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA - 7003 Furniture&Fixtures 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) 7007 Other(specify) 7008 1 Other(specify) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 299,532 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 299,532 BUDGET CHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2f7/2020 Revised Exhibit C-III Page 19 of 46 Multi-Agency Access Program(MAP) Poverello House Fiscal Year(FY)2022-23 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Map Point Resource Coordinator 0.25 $ 12,740 $ 12,740 1102 1103 1104 1105 1106 1107 1108 1109 - 1110 - - 1111 - 1112 - - 1113 - 1114 - - 1115 - Direct Personnel Admin Salaries Subtotal 0.25 $ 12,740 $ 12,740 Acct# Program Position FTE Admin Program Total 1116 Map Point Resource Coordinator 0.75 $ 38,220 $ 38,220 1117 Transporter 1.00 33,280 33,280 1118 Transporter 1.00 33,280 33,280 1119 Navigator 1.00 37,440 37,440 1120 Navigator 1.00 37,440 37,440 1121 Navigator 1.00 37,440 37,440 1122 Rural Navigator 1.00 37,440 37,440 1123 - 1124 - - 1125 - 1126 - - 1127 - 1128 - - 1129 - 1130 - - 1131 - 1132 - - 1133 - 1134 - - Direct Personnel Program Salaries Subtotal 6.75 $ 254,540 $ 254,540 Admin Program Total Direct Personnel Salaries Subtotall 7.00 1 $ 12,740 1 $ 254,540 1 $ 267,280 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 192 $ 3,822 $ 4,014 1202 Worker's Compensation 126 2,546 2,672 1203 Health Insurance 1,500 40,500 42,000 1204 Other(specify) - - - 1205 10ther(specify) - - Revised Exhibit C-III Page 20 of 46 1206 10ther(specify) - - - Direct Employee Benefits Subtotal:1 $ 1,818 $ 46,868 $ 48,686 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ - $ - 1302 FICA/MEDICARE 974 19,472 20,446 1303 SUI 126 2,546 2,672 1304 Other(specify) - - 1305 10ther(specify) - - - 1306 10ther(specify) - - Direct Payroll Taxes&Expenses Subtotal: $ 1,100 $ 22,018 $ 23,118 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 15,658 $ 323,426 $ 339,084 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 5%1 950 2000: DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support - 2003 Client Transportation&Support 2,500 2004 Clothing, Food,&Hygiene - 2005 Education Support - 2006 Employment Support - 2007 Household Items for Clients - 2008 Medication Supports - 2009 Program Supplies-Medical - 2010 Utility Vouchers - 2011 Other(specify) - 2012 Other(specify) - 2013 Other(specify) - 2014 Other(specify) - 2015 10ther(specify) - 2016 10ther(specify) - DIRECT CLIENT CARE TOTAL $ 2,500 3000: DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 8,000 3002 Printing/Postage - 3003 Office,Household&Program Supplies 4,000 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 2,000 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance - 3009 Other(specify) - 3010 Other(specify) - 3011 Other(specify) - 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 14,000 4000:DIRECT FACILITIES&EQUIPMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 21 of 46 Acct# Line Item Description Amount 4001 Building Maintenance $ 1,000 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 2,400 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities - 4007 Other(specify) - 4008 Other(specify) - 4009 Other(specify) - 4010 10ther(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 3,400 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) - 5004 Translation Services - 5005 Other(specify) - 5006 Other(specify) - 5007 Other(specify) - 5008 Other(specify) - DIRECT SPECIAL EXPENSES TOTAL: $ - 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ - Administrative Overhead 6002 Professional Liability Insurance 1,200 6003 Accounting/Bookkeeping 2,400 6004 External Audit - 6005 Insurance(Specify): - 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) 17,673 6009 Other(specify) - 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 10ther(specify) - INDIRECT EXPENSES TOTAL $ 21,273 INDIRECT COST RATE 5.93% 7000: DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ - 7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data - 7003 Furniture&Fixtures - 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ d- Fresno 7006 Assets over$5,000/unit(Specify) 7007 Other(specify)County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 22 of 46 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ - TOTAL PROGRAM EXPENSES $ 380,257 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description Service Units Rate Amount 8001 Mental Health Services 0 - $ 8002 Case Management 0 - - 8003 Crisis Services 0 - 8004 Medication Support 0 - - 8005 Collateral 0 - 8006 Plan Development 0 - - 8007 Assessment 0 - 8008 Rehabilitation 0 - - 8009 Other(Specify) 0 - 8010 Other(Specify) 0 - - Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated%of Clients who are Medi-Cal Beneficiaries 07. Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation(FFP)% 1 0% - MEDI-CAL FFP TOTAL $ - 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 SABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ - 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ 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 380,257 8303 INN-Innovations - 8304 WET Workforce Education&Training - 8305 JCFTN-Capital Facilities&Technology - MHSA TOTAL $ 380,257 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants(Specify) - 8404 Other(Specify) - 8405 10ther(Specify) - OTHER REVENUE TOTAL $ - TOTAL PROGRAM FUNDING SOURCES: $ 380,257 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 23 of 46 Multi-Agency Access Program(MAP) Poverello House Fiscal Year(FY)2022-23 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 339,084 Administrative Positions 12,740 1101 Map Point Resource Coordinator 12,740 Oversee the program staff and make sure program objectives are met. 1102 0 - 1103 0 1104 0 1105 0 1106 0 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 10 - Program Positions 254,540 1116 Map Point Resource Coordinator 38,220 Oversee the program staff and make sure program objectives are met and provide direct services to clients when necessary. 1117 Transporter 33,280 Transport clients to and from Poverello House to receive services and to other appts. 1118 Transporter 33,280 Transport clients to and from Poverello House to receive services and to other appts. 1119 Navigator 37,440 Administer the Community Tool to the client and dervelop a linkage plan. 1120 Navigator 37,440 Administer the Community Tool to the client and dervelop a linkage plan. 1121 Navigator 37,440 Administer the Community Tool to the client and dervelop a linkage plan. 1122 Rural Navigator 37,440 Administer the Community Tool to the client and dervelop a linkage plan. 1123 0 - 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 Direct Employee Benefits 48,686 1201 Retirement 4,014 3%of total gross wages with 50%participation. 1202 Worker's Compensation 2,672 1%of gross wages 1203 Health Insurance 42,000 Average of$500 per FTE x 12 months 1204 Other(specify) - 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: 23,118 1301 OASDI - 1302 FICA/MEDICARE 20,446 Gross Wages x 7.65% 1303 SUI 2,672 1%of gross wages 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) - 2000:DIRECT CLIENT SUPPORT 2,500 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation&Support 2,500 Bus Tokens for client transportation 2004 Clothing,Food,&Hygiene - 2005 Education Support 2006 Employment Support 2007 Household Items for Clients 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Vouchers 2011 Other(specify) 2012 Other(specify) Fresno County Department of Behavioral Heahh Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-III Page 24 of 46 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 Other(specify) 3000:DIRECT OPERATING EXPENSES 14,000 3001 Telecommunications 8,000 $3600 for land lines,$2400 for cell phones for mappoint staff,$2,000 for data lines/MiFi Services. 3002 Printing/Postage - 3003 Office,Household&Program Supplies 4,000 All program supplies no office supplies 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 2,000 Mileage for staff and vehicle maintenance for Poverello House Vans used for client transportation. 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 3009 Other(specify) 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 3,400 4001 Building Maintenance 1,000 General maintenance on Mappoint building 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 2,400 Copier lease for copy machine used by mappoint staff. 4004 Rent/Lease Vehicles 4005 Security - 4006 Utilities 4007 Other(specify) 4008 Other(specify) 4009 Other(specify) 4010 1 Other(specify) 5000:DIRECT SPECIAL EXPENSES 5001 Consultant(Network&Data Management) 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 1 Other(specify) 6000:INDIRECT EXPENSES 21,273 6001 Administrative Overhead - 6002 Professional Liability Insurance 1,200 Liability insurance allocated to mappoint program to cover mappoint staff. 6003 Accounting/Bookkeeping 2,400 Accounting/bookkeeping provided for mappoint specific accounting duties,i.e.posting expenses,monthly invoicing. 6004 External Audit - 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) 17,673 Administrative salaries and benefits such as CEO and Chief Programs Officer not allocated to program as direct costs. 6009 Other(specify) - 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 1 Other(specify) 7000:DIRECT FIXED ASSETS 7001 Computer Equipment&Software 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA 7003 Furniture&Fixtures 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) 7007 Other(specify) 7008 1 Other(specify) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Fresno County Depattrnent of Behavioral Heahh Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-III Page 25 of 46 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8 002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 380,257 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 380,257 BUDGET CHECK: - Fresno County Depannient ofBehaviotal Heahh Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-III Page 26 of 46 Multi-Agency Access Program(MAP) Poverello House Fiscal Year(FY)2023-24 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Map Point Resource Coordinator 0.25 $ 12,740 $ 12,740 1102 - - 1103 - 1104 - - 1105 - - 1106 - - 1107 - - 1108 - - 1109 - 1110 - - 1111 - 1112 - - 1113 - 1114 - - 1115 - Direct Personnel Admin Salaries Subtotal 0.25 $ 12,740 $ 12,740 Acct# Program Position FTE Admin Program Total 1116 Map Point Resource Coordinator 0.75 $ 38,220 $ 38,220 1117 Transporter 1.00 33,280 33,280 1118 Transporter 1.00 33,280 33,280 1119 Navigator 1.00 37,440 37,440 1120 Navigator 1.00 37,440 37,440 1121 Navigator 1.00 37,440 37,440 1122 Rural Navigator 1.00 37,440 37,440 1123 - - 1124 - - 1125 - 1126 - - 1127 - 1128 - - 1129 - 1130 - - 1131 - 1132 - - 1133 - 1134 - - Direct Personnel Program Salaries Subtotal 6.75 $ 254,540 $ 254,540 Admin Program Total Direct Personnel Salaries Subtotall 7.00 1 $ 12,740 1 $ 254,540 1 $ 267,280 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 192 $ 3,822 $ 4,014 1202 Worker's Compensation 126 2,546 2,672 1203 Health Insurance 1,500 40,500 42,000 1204 Other(specify) - - - 1205 10ther(specify) - - - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 27 of 46 1206 10ther(specify) - - - Direct Employee Benefits Subtotal:1 $ 1,818 $ 46,868 $ 48,686 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ - $ - 1302 FICA/MEDICARE 974 19,472 20,446 1303 SUI 126 2,546 2,672 1304 Other(specify) - - 1305 10ther(specify) - - - 1306 10ther(specify) - - Direct Payroll Taxes&Expenses Subtotal: $ 1,100 $ 22,018 $ 23,118 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 15,658 $ 323,426 $ 339,084 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 5%1 95% 2000: DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support - 2003 Client Transportation&Support 2,500 2004 Clothing, Food,&Hygiene - 2005 Education Support - 2006 Employment Support - 2007 Household Items for Clients - 2008 Medication Supports - 2009 Program Supplies-Medical - 2010 Utility Vouchers - 2011 Other(specify) - 2012 Other(specify) - 2013 Other(specify) - 2014 Other(specify) - 2015 10ther(specify) - 2016 10ther(specify) - DIRECT CLIENT CARE TOTAL $ 2,500 3000: DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 8,000 3002 Printing/Postage - 3003 Office,Household&Program Supplies 4,000 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 2,000 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance - 3009 Other(specify) - 3010 Other(specify) - 3011 Other(specify) - 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 14,000 4000:DIRECT FACILITIES&EQUIPMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 28 of 46 Acct# Line Item Description Amount 4001 Building Maintenance $ 1,000 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 2,400 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities - 4007 Other(specify) - 4008 Other(specify) - 4009 Other(specify) - 4010 10ther(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 3,400 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) - 5004 Translation Services - 5005 Other(specify) - 5006 Other(specify) - 5007 Other(specify) - 5008 Other(specify) - DIRECT SPECIAL EXPENSES TOTAL: $ - 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ - Administrative Overhead 6002 Professional Liability Insurance 1,200 6003 Accounting/Bookkeeping 2,400 6004 External Audit - 6005 Insurance(Specify): - 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) 17,673 6009 Other(specify) - 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 10ther(specify) - INDIRECT EXPENSES TOTAL $ 21,273 INDIRECT COST RATE 5.93% 7000: DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ - 7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data - 7003 Furniture&Fixtures - 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 Assets over$5,000/unit(Specify) - 7007 Other(specify) - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 29 of 46 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ - TOTAL PROGRAM EXPENSES $ 380,257 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description Service Units Rate Amount 8001 Mental Health Services 0 - $ 8002 Case Management 0 - - 8003 Crisis Services 0 - 8004 Medication Support 0 - - 8005 Collateral 0 - 8006 Plan Development 0 - - 8007 Assessment 0 - 8008 Rehabilitation 0 - - 8009 Other(Specify) 0 - 8010 Other(Specify) 0 - - Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated%of Clients who are Medi-Cal Beneficiaries 07. Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation(FFP)% 0% - MEDI-CAL FFP TOTAL $ - 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 SABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ - 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ 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 380,257 8303 INN-Innovations - 8304 WET Workforce Education&Training - 8305 JCFTN-Capital Facilities&Technology - MHSA TOTAL $ 380,257 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants(Specify) - 8404 Other(Specify) - 8405 10ther(Specify) - OTHER REVENUE TOTAL $ - TOTAL PROGRAM FUNDING SOURCES: $ 380,257 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 30 of 46 Multi-Agency Access Program(MAP) Poverello House Fiscal Year(FY)2023-24 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 339,084 Administrative Positions 12,740 1101 Map Point Resource Coordinator 12,740 Oversee the program staff and make sure program objectives are met. 1102 0 - 1103 0 1104 0 1105 0 1106 0 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 10 - Program Positions 254,540 1116 Map Point Resource Coordinator 38,220 Oversee the program staff and make sure program objectives are met and provide direct services to clients when necessary. 1117 Transporter 33,280 Transport clients to and from Poverello House to receive services and to other appts. 1118 Transporter 33,280 Transport clients to and from Poverello House to receive services and to other appts. 1119 Navigator 37,440 Administer the Community Tool to the client and dervelop a linkage plan. 1120 Navigator 37,440 Administer the Community Tool to the client and dervelop a linkage plan. 1121 Navigator 37,440 Administer the Community Tool to the client and dervelop a linkage plan. 1122 Rural Navigator 37,440 Administer the Community Tool to the client and dervelop a linkage plan. 1123 0 - 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 O Direct Employee Benefits 48,686 1201 Retirement 4,014 3%of total gross wages with 50%participation. 1202 Worker's Compensation 2,672 1%of gross wages 1203 Health Insurance 42,000 Average of$500 per FTE x 12 months 1204 Other(specify) - 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: 23,118 1301 OASDI - 1302 FICA/MEDICARE 20,446 Gross Wages x 7.65% 1303 SUI 2,672 1%of gross wages 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) - 2000:DIRECT CLIENT SUPPORT 2,500 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation&Support 2,500 Bus Tokens for client transportation 2004 Clothing,Food,&Hygiene - 2005 Education Support 2006 Employment Support 2007 Household Items for Clients 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Vouchers 2011 Other(specify) 2012 Other(specify) Fresno County Department of Behavioral Heahh Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-III Page 31 of 46 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 Other(specify) 3000:DIRECT OPERATING EXPENSES 14,000 3001 Telecommunications 8,000 $3600 for land lines,$2400 for cell phones for mappoint staff,$2,000 for data lines/MiFi Services. 3002 Printing/Postage - 3003 Office,Household&Program Supplies 4,000 All program supplies no office supplies 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 2,000 Mileage for staff and vehicle maintenance for Poverello House Vans used for client transportation. 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 3009 Other(specify) 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 3,400 4001 Building Maintenance 1,000 General maintenance on Mappoint building 4002 Rent/Lease Building - 4003 Rent/Lease Equipment 2,400 Copier lease for copy machine used by mappoint staff. 4004 Rent/Lease Vehicles 4005 Security - 4006 Utilities 4007 Other(specify) 4008 Other(specify) 4009 Other(specify) 4010 1 Other(specify) 5000:DIRECT SPECIAL EXPENSES 5001 Consultant(Network&Data Management) 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 1 Other(specify) 6000:INDIRECT EXPENSES 21,273 6001 Administrative Overhead - 6002 Professional Liability Insurance 1,200 Liability insurance allocated to mappoint program to cover mappoint staff. 6003 Accounting/Bookkeeping 2,400 Accounting/bookkeeping provided for mappoint specific accounting duties,i.e.posting expenses,monthly invoicing. 6004 External Audit - 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) 17,673 Administrative salaries and benefits such as CEO and Chief Programs Officer not allocated to program as direct costs. 6009 Other(specify) - 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 1 Other(specify) 7000:DIRECT FIXED ASSETS 7001 Computer Equipment&Software 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA 7003 Furniture&Fixtures 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) 7007 Other(specify) 7008 1 Other(specify) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Fresno County Departrnent of Behavioral fleahh Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-III Page 32 of 46 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8 002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 380,257 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 380,257 BUDGET CHECK: - Fresno County Depannient ofBehaviotal Heahh Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-III Page 33 of 46 Multi-Agency Access Program(MAP) Centro La Familia Advocacy Services Fiscal Year(FY)2022-23 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Department Manager 0.45 $ 24,750 $ 24,750 1102 - - 1103 - 1104 - - 1105 - 1106 - - 1107 - 1108 - - 1109 - - 1110 - - 1111 - - 1112 - - 1113 - - 1114 - - 1115 - - Direct Personnel Admin Salaries Subtotal 0.45 $ 24,750 $ 24,750 Acct# Program Position FTE Admin Program Total 1116 Navigator 1.00 $ 40,950 $ 40,950 1117 Navigator 1.00 40,950 40,950 1118 Navigator 1.00 40,950 40,950 1119 - 1120 - - 1121 - 1122 - - 1123 - 1124 - - 1125 - 1126 - - 1127 - - 1128 - - 1129 - - 1130 - - 1131 - - 1132 - - 1133 - - 1134 - - Direct Personnel Program Salaries Subtotal 3.00 $ 122,850 $ 122,850 Admin Program Total Direct Personnel Salaries Subtotall 3.45 1 $ 24,750 1 $ 122,850 1 $ 147,600 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 743 $ 3,685 $ 4,428 1202 Worker's Compensation 334 1,659 1,993 1203 Health Insurance 4,131 27,540 31,671 1204 Other(specify) - - - 1205 10ther(specify) - - Revised Exhibit C-III Page 34 of 46 1206 10ther(specify) - - - Direct Employee Benefits Subtotal:1 $ 5,208 $ 32,884 1 $ 38,092 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ - $ - 1302 FICA/MEDICARE 1,893 9,398 11,291 1303 SUI 195 1,302 1,497 1304 Other(specify) - - 1305 10ther(specify) - - - 1306 10ther(specify) - - Direct Payroll Taxes&Expenses Subtotal: $ 2,088 $ 10,700 $ 12,788 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 32,046 $ 166,434 $ 198,480 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 16% 84% 2000: DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support - 2003 Client Transportation&Support - 2004 Clothing, Food,&Hygiene - 2005 Education Support - 2006 Employment Support - 2007 Household Items for Clients 3,000 2008 Medication Supports - 2009 Program Supplies-Medical - 2010 Utility Vouchers - 2011 Other(specify) - 2012 Other(specify) - 2013 Other(specify) - 2014 Other(specify) - 2015 10ther(specify) - 2016 10ther(specify) - DIRECT CLIENT CARE TOTAL $ 3,000 3000: DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ - 3002 Printing/Postage - 3003 Office,Household&Program Supplies 1,344 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 4,536 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance - 3009 Cell Phones 762 3010 Data Lines/Wifi Services/Landlines(VOIP) 672 3011 Other(specify) - 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 7,314 4000:DIRECT FACILITIES&EQUIPMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 35 of 46 Acct# Line Item Description Amount 4001 Building Maintenance $ - 4002 Rent/Lease Building 1,680 4003 Rent/Lease Equipment 672 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities 1,344 4007 Other(specify) - 4008 Other(specify) - 4009 Other(specify) - 4010 10ther(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 3,696 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) - 5004 Translation Services - 5005 Other(specify) - 5006 Other(specify) - 5007 Other(specify) - 5008 Other(specify) - DIRECT SPECIAL EXPENSES TOTAL: $ - 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ - Administrative Overhead 6002 Professional Liability Insurance 672 6003 Accounting/Bookkeeping 2,000 6004 External Audit 500 6005 Insurance(Specify): - 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) 4,549 6009 Other(specify) - 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 10ther(specify) - INDIRECT EXPENSES TOTAL $ 7,721 INDIRECT COST RATE 3.63% 7000: DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ - 7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data - 7003 Furniture&Fixtures - 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 Assets over$5,000/unit(Specify) - 7007 Other(specify) - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 36 of 46 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ - TOTAL PROGRAM EXPENSES $ 220,211 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description Service Units Rate Amount 8001 Mental Health Services 0 - $ 8002 Case Management 0 - - 8003 Crisis Services 0 - 8004 Medication Support 0 - - 8005 Collateral 0 - 8006 Plan Development 0 - - 8007 Assessment 0 - 8008 Rehabilitation 0 - - 8009 Other(Specify) 0 - 8010 Other(Specify) 0 - Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated%of Clients who are Medi-Cal Beneficiaries 07. Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation(FFP)% 1 0% - MEDI-CAL FFP TOTAL $ - 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 SABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ - 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment 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 220,211 8303 INN-Innovations - 8304 WET Workforce Education&Training - 8305 JCFTN-Capital Facilities&Technology - MHSA TOTAL $ 220,211 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants(Specify) - 8404 Other(Specify) - 8405 10ther(Specify) - OTHER REVENUE TOTAL $ - TOTAL PROGRAM FUNDING SOURCES: $ 220,211 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 37 of 46 Multi-Agency Access Program(MAP) Centro La Familia Advocacy Services Fiscal Year(FY)2022-23 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 198,480 Administrative Positions 24,750 1101 Department Manager 24,750 Will provide staff and program oversight.Wil represent and maintain the collaborative relationship between the three agencies.Calculated at.45 of yearly income 1102 0 - 1103 0 1104 0 1105 0 1106 0 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 0 Program Positions 122,850 1116 Navigator 40,950 Assit clients with MAP Point Services,administer the Community Screening Tool and the VI-SPDAT to clients and assist with linkages.Calculated at$21/hour x 1950 hours 1117 Navigator 40,950 Assit clients with MAP Point Services,administer the Community Screening Tool and the VI-SPDAT to clients and assist with linkages.Calculated at$21/hour x 1950 hours 1118 Navigator 40,950 Assit clients with MAP Point Services,administer the Community Screening Tool and the VI-SPDAT to clients and assist with linkages.Calculated at$21/hour x 1950 hours 1119 0 - 1120 0 1121 0 1122 0 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 Direct Employee Benefits 38,092 1201 Retirement 4,428 Calculated at 3.45 FTE at 3%of salary rates 1202 Worker's Compensation 1,993 Budgeted based on current salary expenses. 1203 Health Insurance 31,671 Calculated at blended staff rate for project funded staff. 1204 Other(specify) - 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: 12,788 1301 OASDI - 1302 FICA/MEDICARE 11,291 Calculated at 7.65%per salary dollar. 1303 SUI 1,497 Budgeted based on current salary expenses. 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) - 2000:DIRECT CLIENT SUPPORT 3,000 2001 Child Care - 2002 Client Housing Support 2003 Client Transportation&Support 2004 Clothing,Food,&Hygiene 2005 Education Support 2006 Employment Support - 2007 Household Items for Clients 3,000 Supplies provided to clients in need of household items. Fresno County Department of Behavioral Fleahh Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-III Page 38 of 46 PROGRAM EXPENSE ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 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:DIRECT OPERATING EXPENSES 7,314 3001 Telecommunications - 3002 Printing/Postage - 3003 Office,Household&Program Supplies 1,344 Office Supplies such as desktop items,ink and paper calcuated at$112 per month 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 4,536 Calculated at.585 Federal Milage Rate x 216 miles per month x 3 staff members x 12 months.Charging less for budget availability. 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 3009 Cell Phones 762 Calculated at$40 per month for 3.45 FTE staff,charging less for budget availability. 3010 Data Lines/Wifi Services/Landlines(VOIP) 672 Calculated at$100 per month for 3.45 FTE staff,charging less for budget availability. 3011 Other(specify) - 3012 1 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 3,696 4001 Building Maintenance - 4002 Rent/Lease Building 1,680 Calculated at.85 per square foot for 3.45 FTE staff x 12 months,charging less for budget availability. 4003 Rent/Lease Equipment 672 Calculated at$100 per month x 12 months,charging less for budget availability. 4004 Rent/Lease Vehicles 4005 Security - 4006 Utilities 1,344 Calculated at$200 per month for 3.45 FTE staff x 12 months,charging less for budget availability. 4007 Other(specify) - 4008 Other(specify) 4009 Other(specify) 4010 1 Other(specify) 5000:DIRECT SPECIAL EXPENSES 5001 Consultant(Network&Data Management) 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 1 Other(specify) 6000:INDIRECT EXPENSES 7,721 6001 Administrative Overhead - 6002 Professional Liability Insurance 672 Includes general liability,professional liability and auto insurance. 6003 Accounting/Bookkeeping 2,000 Charged at 4%of$7,500 monthly cost.Charging less for budget availability 6004 External Audit 500 Charged at 4%of 13,000 annual cost.Charging less for budget availability 6005 Insurance(Specify): - 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) 4,549 Covers a small portion of administrative time(HR,Directors,etc) 6009 Other(specify) - 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 1 Other(specify) 7000:DIRECT FIXED ASSETS 7001 Computer Equipment&Software 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA 7003 Furniture&Fixtures 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) 7007 Other(specify) 7008 1 Other(specify) Fresno County Department ofBehavioral Heahh Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-III Page 39 of 46 PROGRAM EXPENSE ACCT# LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 1 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 220,211 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 220,211 BUDGET CHECK: - Fresno County apamnent of Behavioral Flealth Contract Budget Nametive Revised 2n/2020 Revised Exhibit C-III Page 40 of 46 Multi-Agency Access Program(MAP) Centro La Familia Advocacy Services Fiscal Year(FY)2023-24 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Department Manager 0.45 $ 24,750 $ 24,750 1102 - - 1103 - - 1104 - - 1105 - - 1106 - 1107 - - 1108 - 1109 - - 1110 - 1111 - - 1112 - 1113 - 1114 - 1115 - - Direct Personnel Admin Salaries Subtotal 0.45 $ 24,750 $ 24,750 Acct# Program Position FTE Admin Program Total 1116 Navigator 1.00 $ 40,950 $ 40,950 1117 Navigator 1.00 40,950 40,950 1118 Navigator 1.00 40,950 40,950 1119 - - 1120 - 1121 - - 1122 - 1123 - - 1124 - 1125 - - 1126 - 1127 - - 1128 - 1129 - - 1130 - 1131 - - 1132 - 1133 - - 1134 - Direct Personnel Program Salaries Subtotall 3.00 $ 122,850 $ 122,850 Admin Program Total Direct Personnel Salaries Subtotal 3.45 $ 24,750 $ 122,850 $ 147,600 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 743 $ 3,685 $ 4,428 1202 Worker's Compensation 334 1,659 1,993 1203 Health Insurance 4,131 27,540 31,671 1204 Other(specify) - - - 1205 10ther(specify) - - - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 41 of 46 1206 10ther(specify) - - - Direct Employee Benefits Subtotal:1 $ 5,208 $ 32,884 1 $ 38,092 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ - $ - 1302 FICA/MEDICARE 1,893 9,398 11,291 1303 SUI 195 1,302 1,497 1304 Other(specify) - - - 1305 10ther(specify) - - 1306 10ther(specify) - - - Direct Payroll Taxes&Expenses Subtotal: $ 2,088 $ 10,700 $ 12,788 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 32,046 $ 166,434 $ 198,480 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 16% 84% 2000: DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support - 2003 Client Transportation&Support - 2004 Clothing, Food,&Hygiene - 2005 Education Support - 2006 Employment Support - 2007 Household Items for Clients 3,000 2008 Medication Supports - 2009 Program Supplies-Medical - 2010 Utility Vouchers - 2011 Other(specify) - 2012 Other(specify) - 2013 Other(specify) - 2014 Other(specify) - 2015 10ther(specify) - 2016 10ther(specify) - DIRECT CLIENT CARE TOTAL $ 3,000 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ - 3002 Printing/Postage - 3003 Office,Household&Program Supplies 1,344 3004 Advertising 3005 Staff Development&Training 3006 Staff Mileage 4,536 3007 Subscriptions&Memberships 3008 Vehicle Maintenance 3009 Cell Phones 762 3010 Data Lines/WiFi Services/Landlines(VOIP) 672 3011 Other(specify) - 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 7,314 4000: DIRECT FACILITIES&EQUIPMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 42 of 46 Acct# Line Item Description Amount 4001 Building Maintenance $ - 4002 Rent/Lease Building 1,680 4003 Rent/Lease Equipment 672 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities 1,344 4007 Other(specify) - 4008 Other(specify) - 4009 Other(specify) - 4010 10ther(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 3,696 5000:DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) - 5004 Translation Services - 5005 Other(specify) - 5006 Other(specify) - 5007 Other(specify) - 5008 Other(specify) - DIRECT SPECIAL EXPENSES TOTAL: $ - 6000:INDIRECT EXPENSES Acct# Line Item Description Amount Administrative Overhead 6001 Use this line and only this line for approved indirect cost rate $ - Administrative Overhead 6002 Professional Liability Insurance 672 6003 Accounting/Bookkeeping 2,000 6004 External Audit 500 6005 Insurance(Specify): - 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) 4,549 6009 Other(specify) - 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 10ther(specify) - INDIRECT EXPENSES TOTAL 1 $ 7,721 INDIRECT COST RATE 3.63% 7000: DIRECT FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ - 7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data - 7003 Furniture&Fixtures - 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 Assets over$5,000/unit(Specify) - 7007 Other(specify) - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 43 of 46 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ - TOTAL PROGRAM EXPENSES $ 220,211 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description Service Units Rate Amount 8001 Mental Health Services 0 - $ - 8002 Case Management 0 - - 8003 Crisis Services 0 - - 8004 Medication Support 0 - - 8005 Collateral 0 - - 8006 Plan Development 0 - 8007 Assessment 0 - - 8008 Rehabilitation 0 - 8009 Other(Specify) 0 - 8010 Other(Specify) 0 - Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated%of Clients who are Medi-Cal Beneficiaries 0% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries Federal Financial Participation(FFP)% 0% MEDI-CAL FFP TOTAL $ - 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 SABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ - 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ - 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 220,211 8303 INN-Innovations - 8304 WET-Workforce Education&Training - 8305 JCFTN-Capital Facilities&Technology - MHSA TOTAL $ 220,211 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants(Specify) - 8404 Other(Specify) - 8405 10ther(Specify) - OTHER REVENUE TOTAL $ - TOTAL PROGRAM FUNDING SOURCES: $ 220,211 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit C-III Page 44 of 46 Multi-Agency Access Program(MAP) Centro La Familia Advocacy Services Fiscal Year(FY)2023-24 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 198,480 Administrative Positions 24,750 1101 Program Manager 24,750 Will provide staff and program oversight.Wil represent and maintain the collaborative relationship between the three agencies.Calculated at.45 of yearly income 1102 0 - 1103 0 1104 0 1105 0 1106 0 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 0 Program Positions 122,850 1116 Navigator 40,950 Assit clients with MAP Point Services,administer the Community Screening Tool and the VI-SPDAT to clients and assist with linkages.Calculated at$21/hour x 1950 hours 1117 Navigator 40,950 Assit clients with MAP Point Services,administer the Community Screening Tool and the VI-SPDAT to clients and assist with linkages.Calculated at$21/hour x 1950 hours 1118 Navigator 40,950 Assit clients with MAP Point Services,administer the Community Screening Tool and the VI-SPDAT to clients and assist with linkages.Calculated at$21/hour x 1950 hours 1119 0 - 1120 0 1121 0 1122 0 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 Direct Employee Benefits 38,092 1201 Retirement 4,428 Calculated at 3.45 FTE at 3%of salary rates 1202 Worker's Compensation 1,993 Budgeted based on current salary expenses. 1203 Health Insurance 31,671 Calculated at blended staff rate for project funded staff. 1204 Other(specify) - 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: 12,788 1301 OASDI - 1302 FICA/MEDICARE 11,291 Calculated at 7.65%per salary dollar. 1303 SUI 1,497 Budgeted based on current salary expenses. 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) - 2000:DIRECT CLIENT SUPPORT 3,000 2001 Child Care - 2002 Client Housing Support 2003 Client Transportation&Support 2004 Clothing,Food,&Hygiene 2005 Education Support 2006 Employment Support - 2007 Household Items for Clients 3,000 Supplies provided to clients in need of household items. Fresno County Department of Behavioral Fleahh Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-III Page 45 of 46 PROGRAM EXPENSE ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 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:DIRECT OPERATING EXPENSES 7,314 3001 Telecommunications - 3002 Printing/Postage - 3003 Office,Household&Program Supplies 1,344 Office Supplies such as desktop items,ink and paper calcuated at$112 per month 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 4,536 Calculated at.585 Federal Milage Rate x 216 miles per month x 3 staff members x 12 months.Charging less for budget availability. 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 3009 Cell Phones 762 Calculated at$40 per month for 3.45 FTE staff,charging less for budget availability. 3010 Data Lines/WiFi Services/Landlines(VOIP) 672 Calculated at$100 per month for 3.45 FTE staff,charging less for budget availability. 3011 Other(specify) - 3012 1 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 3,696 4001 Building Maintenance - 4002 Rent/Lease Building 1,680 Calculated at.85 per square foot for 3.45 FTE staff x 12 months,charging less for budget availability. 4003 Rent/Lease Equipment 672 Calculated at$100 per month x 12 months,charging less for budget availability. 4004 Rent/Lease Vehicles 4005 Security - 4006 Utilities 1,344 Calculated at$200 per month for 3.45 FTE staff x 12 months,charging less for budget availability. 4007 Other(specify) - 4008 Other(specify) 4009 Other(specify) 4010 1 Other(specify) 5000:DIRECT SPECIAL EXPENSES 5001 Consultant(Network&Data Management) 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 1 Other(specify) 6000:INDIRECT EXPENSES 7,721 6001 Administrative Overhead - 6002 Professional Liability Insurance 672 Includes general liability,professional liability and auto insurance. 6003 Accounting/Bookkeeping 2,000 Charged at 4%of$7,500 monthly cost.Charging less for budget availability 6004 External Audit 500 Charged at 4%of 13,000 annual cost.Charging less for budget availability 6005 Insurance(Specify): - 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used 6008 Personnel(Indirect Salaries&Benefits) 4,549 Covers a small portion of administrative time(HR,Directors,etc) 6009 Other(specify) - 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 6013 1 Other(specify) 7000:DIRECT FIXED ASSETS 7001 Computer Equipment&Software 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA 7003 Furniture&Fixtures 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) 7007 Other(specify) 7008 1 Other(specify) Fresno County Department ofBehavioral Heahh Contract Budget Narrative Revised 2/7/2020 Revised Exhibit C-III Page 46 of 46 PROGRAM EXPENSE ACCT# LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 1 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 220,211 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 220,211 BUDGET CHECK: - Fresno County aparunent of Behavioral Flealth Contract Budget Nametive Revised 2n/2020