HomeMy WebLinkAboutAgreement A-23-453 Amendment I.pdf Agreement No. 23-453
1 AMENDMENT ITO AGREEMENT
2 THIS AMENDMENT, hereinafter referred to as Amendment I, is made and entered into this
3 5t" day of September , 2023 by and between the COUNTY OF FRESNO, a Political Subdivision of
4 the State of California hereinafter referred to as "COUNTY", and each Contractor listed in Revised
5 Exhibit A, "Recovery Residences Services Vendor List," attached hereto and by this reference
6 incorporated herein, collectively herein after referred to as "CONTRACTOR", and such additional
7 CONTRACTOR as may, from time to time during the term of this Agreement, be added by COUNTY.
8 Reference in this Agreement to "party" or "parties" shall be understood to refer to COUNTY and each
9 CONTRACTOR, unless otherwise specified.
10 WITNESSETH
11 WHEREAS, the parties entered into that certain Agreement, identified as COUNTY Agreement
12 No. 20-217 effective June 9, 2020; and
13 WHEREAS, COUNTY is authorized through its Intergovernmental Agreement with the California
14 Department of Health Care Services, hereinafter referred to as State or DHCS, to subcontract for
15 Recovery Residence services in Fresno County; and
16 WHEREAS, CONTRACTOR(S) agree to provide recovery residence services required by the
17 COUNTY, pursuant to the terms and conditions of this Agreement; and
18 WHEREAS the COUNTY desires to amend Agreement No. 20-217 to remove CONTRACTOR
19 Turning Point of Central California, Inc. from the Recovery Residence Services Vendor List through the
20 remaining term of this Agreement; and
21 WHEREAS the COUNTY desires to amend Agreement No. 20-217 to add perinatal Recovery
22 Residence Services by CONTRACTOR Mental Health Systems (MHS), Inc. dba Turn Behavioral Health
23 Services, previously referred to in this Agreement as Mental Health Systems, through the remaining
24 term of this Agreement; and
25 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which is
26 hereby acknowledged, the parties agree as follows:
27 1. All references to "Exhibit A" in the Agreement shall be deemed references to "Revised
28 Exhibit A." Revised Exhibit A is attached and incorporated by this reference.
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1 2. All references to "Exhibit B" in the Agreement shall be deemed references to "Revised
2 Exhibit B". Revised Exhibit B is attached and incorporated by this reference.
3 3. All references to "Exhibit G" in the Agreement shall be deemed references to "Revised
4 Exhibit G". Revised Exhibit G is attached and incorporated by this reference.
5 4. Section 5, Line 13 on Page 5 through Line 20 beginning with the word "In" and ending
6 with the word "Dollars" is deleted and replaced with the following:
7 "In no event shall the total compensation for actual services performed under this
8 Agreement be in excess of One Million, Four Hundred Fifty-Seven Thousand, Seven Hundred Ninety-
9 Five and No/100 Dollars ($1,457,795.00)for the period from July 1, 2023, through June 30, 2024.
10 In no event shall the total compensation for actual services performed under this
11 Agreement be in excess of One Million, Four Hundred Ninety-Two Thousand, Three Hundred Fifty-Four
12 and 21/100 Dollars ($1,492,354.21)for the period from July 1, 2024, through June 30, 2025.
13 In no event shall the total compensation for the term of this Agreement exceed Five
14 Million, Nine Hundred Fifty Thousand, One Hundred Forty-Nine and 21/100 Dollars ($5,950,149.21)."
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5. Section 1, Line 3 on Page 2 through Line 12 beginning with the word "CONTRACTOR"
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and ending with the word "herein" is deleted and replaced with the following:
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"C. CONTRACTOR shall provide recovery residence services as described in Exhibit
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B to this Agreement titled "Recovery Residence Scope of Work," Exhibit C to this Agreement title
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"National Association of Recovery Residences (NARR) Recovery Residences Levels of Support," levels
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I (peer-run) and level II (monitored). Recovery residence services shall be delivered in accordance with
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Exhibit D to this Agreement titled "Fresno County Department of Behavioral Health Recovery Residence
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Standards and Guidelines", and Exhibit E to this Agreement titled "Fresno County Department of
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Behavioral Health Recovery Residence Code of Ethics." Recovery residence services shall be delivered
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in accordance with Exhibit F to this Agreement titled "Fresno County Department of Behavioral Health's
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Guiding Principles of Care Delivery." Perinatal Recovery services shall be delivered by MHS in
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accordance with Exhibit Q to this Agreement titled "DHCS Perinatal Practice Guidelines", attached
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hereto and by this reference incorporated herein."
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1 6. Section 6, Line 6 through Line 9 on Page 8 beginning with the word "CONTRACTOR"
2 and ending with the word "analyst" is deleted and replaced with the following:
3 "A. CONTRACTOR shall invoice COUNTY by the twentieth (20th) of each month for
4 actual services rendered in the previous month in accordance with the established rates in Exhibit G.
5 Invoices shall be submitted via e-mail to the assigned staff analyst and to
6 DBHinvoicereview@fresnocountyca.gov or as directed by the assigned staff analyst."
7 7. Section 17, Line 5 through Line 14 of Page 18 beginning with the word "CONTRACTOR"
8 and ending with the word "CONTRACTOR" is deleted and replaced with the following:
9 "17.1 Indemnity and Defense
10 Indemnity. The CONTRACTOR shall indemnify and hold harmless and defend the
11 COUNTY (including its officers, agents, employees, and volunteers) against all claims, demands,
12 injuries, damages, costs, expenses (including attorney fees and costs), fines, penalties, and liabilities of
13 any kind to the COUNTY, the CONTRACTOR, or any third party that arise from or relate to the
14 performance or failure to perform by the CONTRACTOR (or any of its officers, agents, subcontractors,
15 or employees) under this Agreement. The COUNTY may conduct or participate in its own defense
16 without affecting the CONTRACTOR's obligation to indemnify and hold harmless or defend the
17 COUNTY.
18 17.2 Survival. This Article 17 survives the termination of this Agreement."
19 8. Section 15, Line 7 through Line 16 on Page 15 beginning with the word "Any" and ending
20 with the word "Auditor" is deleted and replaced with the following:
21 "Modification. This Agreement may not be modified, and no waiver is effective, except
22 by written agreement signed by both parties. The Contractor acknowledges that County employees
23 have no authority to modify this Agreement except as expressly provided in this Agreement.
24 (A) Notwithstanding the above, changes to services, staffing, and responsibilities of
25 the Contractor, as needed, to accommodate changes in the laws relating to SUD treatment, may be
26 made with the signed written approval of County's DBH Director, or designee, and Contractor through
27 an amendment approved by County's County Counsel and the County's Auditor-Controller/Treasurer-
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1 Tax Collector's Office. Said modifications shall not result in any change to the maximum compensation
2 amount payable to Contractor, as stated herein.
3 (B) In addition, changes to service rates on Revised Exhibit G that do not exceed
4 three percent (3%) of the approved rate, or that are needed to accommodate state-mandated rate
5 increases, may be made with the written approval of the DBH Director, or designee. These rate changes
6 may not add or alter any other terms or conditions of the Agreement. Said modifications shall not result
7 in any change to the maximum compensation amount payable to Contractor, as stated herein."
8 9. When both parties have signed this Amendment No. 1, the Agreement and this
9 Amendment No. 1 together constitute the Agreement.
10 10. Authorized Signature. The CONTRACTOR represents and warrants to the COUNTY
11 that:
12 a. The CONTRACTOR is duly authorized and empowered to sign and perform its
13 obligations under this Amendment.
14 b. The individual signing this Amendment on behalf of the CONTRACTOR is duly
15 authorized to do so and his or her signature on this Amendment legally binds the CONTRACTOR to the
16 terms of this Amendment.
17 11. Electronic Signature. The parties agree that this Amendment may be executed by
18 electronic signature as provided in this section.
19 a. An "electronic signature" means any symbol or process intended by an individual
20 signing this Amendment to represent their signature, including but not limited to (1) a digital signature;
21 (2) a faxed version of an original handwritten signature; or (3) an electronically scanned and transmitted
22 (for example by PDF document) version of an original handwritten signature.
23 b. Each electronic signature affixed or attached to this Amendment (1) is deemed
24 equivalent to a valid original handwritten signature of the person signing this Amendment for all
25 purposes, including but not limited to evidentiary proof in any administrative or judicial proceeding, and
26 (2) has the same force and effect as the valid original handwritten signature of that person.
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1 C. The provisions of this section satisfy the requirements of Civil Code section
2 1633.5, subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part 2, Title
3 2.5, beginning with section 1633.1).
4 d. Each party using a digital signature represents that it has undertaken and
5 satisfied the requirements of Government Code section 16.5, subdivision (a), paragraphs (1) through
6 (5), and agrees that each other party may rely upon that representation.
7 e. This Amendment is not conditioned upon the parties conducting the transactions
8 under it by electronic means and either party may sign this Amendment with an original handwritten
9 signature.
10 12. Counterparts. This Amendment may be signed in counterparts, each of which is an
11 original, and all of which together constitute this Amendment.
12 13. The parties agree that upon execution of this Amendment I, Agreement No. 20-217 is
13 further revised, updated, and amended to remove CONTRACTOR Turning Point of Central California,
14 Inc.
15 14. The Agreement, as hereby amended, is ratified, and continued. All provisions, terms,
16 covenants, conditions, and promises contained in the Agreement not amended by herein shall remain in
17 full force and effect. This Amendment I shall be effective upon execution.
18 [SIGNATURE PAGE FOLLOWS]
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1 The parties are signing this Amendment I on the date stated in the introductory clause.
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3 CONTRACTOR(S): COUNTY OF FRESNO
4 PLEASE SEE SIGNATURE
5 PAGES ATTACHED
6 Sal ui t ro, C airman of the Board of
Sup sors o the COUNTY of Fresno
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Attest:
8 Bernice E. Seidel
9 Clerk of the Board of Supervisors
COUNTY of Fresno, State of California
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11 By: _
Deputy
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13 For accounting use only:
14 Org No.: 56302081
Account No.: 7295/0
15 Fund No.: 0001
Subclass No.: 10000
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1 The parties are signing this Amendment I to Agreement No. 20-217 effective upon execution.
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3 Mental Health Systems, Inc.
4 j-dweJ C Caugahai 6Z
5 James C Callaghan Jr(Aug 17,2 3 14:12 PDT)
James C. Callaghan, Jr., President& CEO
6 9465 Farnham Street
San Diego, CA 92123
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9 Date Signed: Aug 17,2023
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1 The parties are signing this Amendment I to Agreement No. 20-217 effective upon execution.
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3 Westcare California Inc.
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Shawn A. Jenki s COO
6 1900 N. Gateway Blvd Suite 100
Fresno, CA 93727
7 Resolution WCCA 2023-02
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9 Date Signed: 8/17/23
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Revised Exhibit A
Recovery Residences Services Vendor List
Vendor Name Contact Information Remit To: Program Location
Program Director: Dayatra Latin 1900 N. Address:
Westcare Email: Dayatra.latin@westcare.com Gateway Men: 1388 E. Bulldog
California, Inc. Phone: 559-712-7119 Blvd Fresno, Lane Fresno, CA 93710
CA 93727 Women: 4605 E. Liberty
Ave. Fresno CA 93702
Mental Health Program Director: Deanna Kivett 2550 W Clinton Address:
Systems, Inc. Email: dkivett@turnbhs.org Ave Fresno, CA 2550 W Clinton Ave Fresno,
Phone: 559-264-7521 93705 CA 93705
Revised Exhibit B
FRESNO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH
RECOVERY RESIDENCE AND PERINATAL RECOVERY RESIDENCE
SCOPE OF WORK ALCOHOL AND DRUG-FREE HOUSING
CONTRACT BUDGET
FY 20-21 $1,000,000.00
FY 21-22 $1,000,000.00
FY 22-23 $1,000,000.00
FY 23-24 $1,457,795.00
FY 24-25 $1,492,354.21
TOTAL: $5,950,149.21
INTRODUCTION
The County of Fresno, Department of Behavioral Health (DBH) makes Recovery Residence
(RR) and Prenatal Recovery Residence available to adult female, adult males, adult
pregnant and parenting females who are concurrently enrolled in a County-contracted
Outpatient SUD treatment program or receiving medically necessary SUD recovery services.
The following scope of work outlines the services provided by the RR and Perinatal RR
programs, with the understanding that any references to perinatal services within this
document are specific to the contractor, Mental Health Systems (MHS), Inc.
Contracted RR providers ("Contractor") shall offer quality alcohol and drug-free housing in
accordance with this scope of work and the DBH Guidelines for Recovery
Residences/Transitional Housing. RR's are a supportive service to the substance use
disorder (SUD) treatment continuum; therefore, Contractors that offer RR must be flexible
with partnering and coordinating with treatment providers and other services which are part
of the SUD treatment continuum.
Contractors must and meet or exceed Level One (1) NARR standards as described in Exhibit
C of this Agreement.
Screening for other adults and older youth must include:
• Criminal Background (violence/sexual crimes)
• Mothers with drug free requirements to keep custody
• History of past abuse (physical, sexual, verbal, and emotional) towards children
• History of violence without criminal background
The term "recovery residences" (RR) shall be deemed synonymous with sober living
environment (SLE) and transitional housing (TH) for the purposes of this scope of work.
TARGET POPULATION
The target population adult female, adult males, adult parenting males or females, and
pregnant females who are residents of Fresno County that meet one of the following criteria:
Page I 1
Revised Exhibit B
• The prospective resident has an intake appointment scheduled with a County-contracted
outpatient SUD treatment provider (must be within 10 days of admission into the RR and
confirmed by RR house manager or equivalent);
• The prospective resident must have a substance use diagnosis and be concurrently
enrolled in a County-contracted outpatient SUD treatment program;
• The prospective resident successfully completed a County-contracted outpatient SUD
treatment program (please see "the reimbursement" section of the scope of work for
additional details); or
• The prospective resident is receiving medically necessary recovery services.
Screening for other adults and older youth must include:
• Criminal Background (violence/sexual crimes)
• Mothers/Fathers with drug free requirements to keep custody.
• History of past abuse (physical, sexual, verbal, and emotional) towards children
• History of violence without criminal background
SERVICE EXPECTATIONS
Contractor must conform with all state and local laws, be a nonprofit agency, and adhere to
the Fresno County DBH Guidelines for Recovery Residences/Transitional Housing (Exhibit
D).
Recovery Residence services must be in conformity and compliance with: (1) all local zoning
and occupancy ordinances; (2) the County Master Agreement, which includes County
policies and procedures; (3) 2 CFR part 225 "Cost Principles for State, Local and Indian
Tribal;" Governments;" (4) 2 CFR Part 230 "Cost Principles/or Non-Profit Organizations and
(5) Cultural and Linguistically Appropriate Services (CLAS) standards.
Contractors must maintain a current fire clearance to operate a Recovery Residence and
comply with all occupancy ordinances and procedures.
Contractor must maintain a complete daily census of all residents and all statistical
information required by Fresno County DBH, including but not limited to: (1) date participant
began residing at the RR; (2) date outpatient treatment program and/or recovery services
began and were completed; (3) date of County-approved RR extension(s); and (4) date of
resident exit from RR. Refer to the Fresno County DBH Guidelines for Recovery
Residences/Transitional Housing for additional documentation and reporting requirements.
Contractor must submit the census monthly with the RR invoice. In addition, the program
must maintain complete records of services and provide all data necessary for reporting to
the State of California, referral sources and the County, including wait list information.
Contractors are required to notify DBH within 24 hours of new admissions. DBH will review
the request and approve or deny the admission in a timely manner based on community
needs and availability of resources. Contractors will also be required to notify DBH within 24
hours of any discharges.
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Revised Exhibit B
SERVICES TO BE PROVIDED
A recovery residence will provide housing that is a monitored sober living home. The house
manager will need to be on site when residents are at the facility. In addition, it is expected
that random drug testing will be given to clients monthly. The house manager must also
confirm that the residents are involved in a recovery outpatient program.
Women/Men/Parents
Parents in treatment with children. Ideally the parent and the child have case plans and
receive services. Parenting support and parenting skills provided. Some children and other
family members may be excluded.
Women and/or men in the recovery residences with children will need access or be linked to
the following:
• Outreach and engagement
• Screening
• Detoxification
• Crisis intervention
• Assessment
• Treatment planning
• Case management
• Substance abuse counseling and education
• Trauma services
• Medical care
• Pharmacotherapy/Medication assisted treatment
• Mental health services
• Drug monitoring
• Continuing care
• Clinical support services for women/men to assist clients in maintaining their recovery.
Additional Services
• Life skills
• Parenting and child development education
• Family programs
• Educational remediation and support
• Employment readiness services
• Linkages with legal and child welfare systems
• Housing support
• Advocacy
• Recovery community support services
Children
Children will need to be linked with therapeutic, health, developmental, and other services to
address specific delays and conditions. Infants born exposed to drugs experience
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Revised Exhibit B
withdrawal and will need the appropriate medical services to address symptoms that may
include fussiness, trembling, poor eating and sleeping.
Clinical treatment services for children include:
• Screening
• Case management
• Intake
• Case planning
• Assessment
• Substance abuse education and
• Medical care and services prevention
• Residential care (in residential mental health and trauma services settings)
• Therapeutic childcare and development
Children's clinical support services include:
• Onsite or nearby childcare
• Recreational services
• Mental health and remediation
• Educational services
• Advocacy
• Prevention services
• Recovery community support services
REFERRALS, INTAKE AND ADIMSSION
Since RR facilities offer supportive services to clients concurrently participating in an
outpatient program or actively receiving medically necessary recovery services, clients may
either seek this service on their own or be referred by their treatment program. If the RR
cannot accommodate an intake and admission appointment within three (3) days of initial
contact, the Contractor is required to facilitate an alternative DBH-contracted RR provider
and document these efforts. If all DBH-contracted RR facilities are at capacity, the Contractor
originally contacted must place the individual on their waitlist.
Perinatai Admission Priority
Perinatal services, as described in the Agreement, this Exhibit B, and Exhibit Q, shall be
provided by Contractor MHS only.
Among women with a SUD, pregnant women require more urgent treatment services due to
the harmful effects of substance use on the fetus.
Contractors serving pregnant and parenting women shall provide preference to pregnant
women. Specifically, priority must be given to pregnant women who are seeking or referred
to treatment in the following order:
i. Pregnant injecting drug users;
ii. Pregnant substance users;
iii. Injection drug users; and
iv. All others.
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Revised Exhibit B
CONTRACTOR STAFFING
Men and Women Program:
Contractors are required to operate in accordance with the Fresno County DBH Recovery
Residence Standards & Guidelines. The Contractor must demonstrate they're operating, at
minimum, in a manner that's consistent with these standards, which require at least one
compensated house manager position who must be accessible on an on-call basis 24 hours
a day, 7 days a week. The house manager cannot be a current resident receiving services
from the RR.
The minimum qualifications for the house manager are as follows:
• At least two years of sobriety (if in recovery);
• Have CPR certification;
• Trained in crisis intervention; and
• Trained in cultural competence, including but not limited to ethnicity, race, religious
beliefs, gender identity and sexual orientation.
Perinatal Program:
• Daycare
o One person to be licensed to provide childcare.
■ Parents may be able to work under that license.
o A separate controlled area where a person can supervise the children.
o Can subcontract this service to a licensed daycare.
• Case management
o Additional case management services may need to be considered for children's
needs.
• Screening Children
o Older children (older teens) may have their own issues and will need specific
case management.
• Schools
o Program will need to link and provide resources to enroll school age children at
school.
• Family Units
o Fathers and Mothers
■ Will be allowed to live together.
Other Staffing Requirements:
Staff must not have been convicted of an arson offense or been convicted of a sex offense
for which the person is required to register as a sex offender under PC section 290. No
person shall have been convicted of any violent felony which involves doing bodily harm to
another person. No person shall be on parole or probation. No person shall participate in
criminal activities of a criminal street gang and/or prison gang and no person shall have prior
employment history of improper conduct, including but not limited to forging or falsifying
documents or drug tests, sexual assault or sexual harassment, or inappropriate behavior
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Revised Exhibit B
with staff or residents at another treatment facility.
PROGRAM MONITORING
At minimum, the Department of Health Care Services (DHCS) and Fresno County DBH will
conduct site reviews on at least an annual basis. In the event services are deemed to be
recoupable as a result of these site reviews, recoupment will be made at the established day
rate.
PERFORMANCE OBJECTIVES
The Contractor is expected to meet the following performance objectives by the time of
discharge.
Contractor must provide an effective recovery residence to residents as measured by
the Fresno County DBH provider manual. The expectation is that 85% of residents
successfully discharged shall have obtained one of the following outcomes by
discharge:
1. Employment
2. Be enrolled in school
3. Participating in regular volunteer activities
The Staff shall provide linkage to at least 85% of residents to stable housing upon completion of
recovery residence.
OUTCOMES AND REPORTING REQUIREMENTS
To determine effectiveness and efficiency of services provided, DBH will measure
performance outcomes and/or results achieved. Contractors will be required to submit
measurable outcomes on an annual basis, as identified in the Department of Behavioral
Health Policy and Procedure Guide (PPG) 1.2.7 Performance Outcomes Measures (see
Exhibit X). Performance outcomes measures must be approved by DBH and satisfy all state
and local mandates. DBH will provide technical assistance and support in defining
measurable outcomes.
Contractors are required to submit all data and information required by the County, State,
and/or Federal government. At a minimum, Contractors are required to submit the following:
• Monthly waitlist;
• Cost reports;
• Monthly invoice and back-up documentation;
• Outcomes data.
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Revised Exhibit B
LENGTH OF TREATMENT/REIMBURSEMENT
RR facilities shall provide alcohol and drug-free support for the maintenance of a clean and
sober lifestyle. Fresno County recognizes that individuals residing in RR facilities need
adequate time to re-establish their lives in recovery but are expected to actively work towards
becoming self-sufficient. To allow for adequate recovery time and to encourage the resident's
autonomy, DBH will implement a systematic reduction of reimbursement for RR services.
The minimum length of stay in a recovery residence shall be one (1) day and the maximum
length shall not exceed 365 days. The County of Fresno will reimburse costs of RR services
according to the following schedule:
From Day Through Day County Resident's Share of
Reimbursement Cost
1 180 100% 0%
181 210 75% 25%
211* 365 50% 50%
Treatment Com letion** 365 25% 75%
*Residents who have prior DBH approval for a 30-day extension beyond 210 days, and
continue to be engaged in treatment, are responsible to pay 50% of the rate. The County will
reimburse costs at 50% of the rate for day 211 through the approved extension period(s), not
to exceed 365 days. To qualify for continued reimbursement, Contractor must request
extensions, in 30-day increments, one (1)week prior to the expiration of the initial 210 days
and no less than one (1) week prior to the end of each 30-day extension period.
**With prior DBH approval, residents who successfully complete their outpatient treatment
episode can obtain additional extensions, in 30-day increments, at the 25% County
reimbursement rate, not to exceed a total of 365 days from the original admission date if the
program meets the following requirements:
An extension request must be approved by County no less than one (1)week prior to
Outpatient treatment completion; and
The individual in a recovery residence must have a successful completion for the Outpatient
treatment program, as defined by ADP Bulletin 10-04, "Criteria for Discharging Treatment
Clients using the CalOMS-Tx Completion Discharge Statuses", as Code 1 or Code 2.
Residents without an approved extension will be eligible for County reimbursement for no
more than one (1) day after the participant's completion of their outpatient treatment episode.
Residents who remain in the facility beyond the County-funded period must pay 100% of the
daily rate.
The Contractor shall submit the request for extension to the assigned DBH Contracts
Division - SUD Analyst via email at: DBHlnvoiceReview@fresnocountyca.gov.
Contractors will be required to submit monthly cost reconciliation reports of actual
expenditures as well as a general ledger and selected line item supporting documentation as
described in SUD services bulletin 17-03 available at:
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Revised Exhibit B
https://www.fresnocou ntyca.gov/files/sharedassets/county/vision-files/files/51111-costs-
reference-manual-revised-2020-12-02.pdf. Documentation must be sufficient in detail to
demonstrate that the costs are allowable, allocable, reasonable, and appropriate for the
services provided.
FACILITY REQUIREMENTS
The Contractor shall maintain a facility that meets the following minimum requirements:
The Contractor shall be certified by the Fresno County Department of Behavioral Health.
The Contractor must maintain regularly scheduled service hours, seven days a week, 24
hours per day throughout the year. The site must be clean, safe, sanitary and in good
repair at all times and must include an alcohol drug-free environment for residents, safe
sleeping quarters, a separate bed for each resident, which may include a crib or a
bassinet, closet and dresser space, clean linen in good condition, including lightweight,
warm blankets, top and bottom sheets, pillowcases, mattress pads, bath towels and
wash cloths. The facility must include a minimum of adequate bathing, hand washing
and toilet facilities, lounge area, dining area with adequate seating, a laundry facility and
laundry supplies at no cost to the resident and toilet articles appropriate to the health
and grooming needs of the individual.
The Contractor must be a Department of Behavioral Health approved facility prior to
commencement of services.
DBH BRANDING AND COMMUNICATIONS REQUIREMENTS
DBH standardized expectations for branding and communication for all Department of
Behavioral Health programs, inclusive of programs operated by agencies contracted to
deliver services on behalf of, and in partnership with, the Department. All decisions regarding
DBH funded program naming, program branding, program marketing, program signage,
program website/webpage, program brochures, program promotional materials and similar
communications shall require advanced approval by the Department. When branding and
communication standards are finalized, the Department will communicate them to all
contracted partner agencies.
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Revised Exhibit G
Cost Per Bed Day Slot Recovery
Residence Daily Rate(Budget)
January 1,2020 through June 30,2025
WESTCARE
Men and Women Program
Budget July 1,2020-June 30,2021 July 1,2021-June 30,2022 July 1,2022-June 30,2023 July 1,2023-June 30,2024 July 1,2024-June 30,2025
County Contract(DBH) $711,691.00 $732,422.00 $763,025.00 $795,392.00 $829,951.21
Client Fees $12,403.00 $12,403.00 $12,403.00 $12,403.00 $12,403.00
Total $724,094.001 $744,825.001 $775,428.001 $807,795.001 $842,354.21
Units Served 25258.00 25258.00 25258.00 25258.00 25258.00
Fresno County Daily Rate $28,18F $29.001 $30.211 $31.491 $32.86
Mental Health Systems
Womens Program
Budget July 1,2020-June 30,2021 July 1,2021-June 30,2022 July 1,2022-June 30,2023 July 1,2023-June 30,2024 July 1,2024-June 30,2025
County Contract(DBH) $223,868.00 $224,999.00 $230,362.00 $235,648.00 $241,099.00
Client Fees $0.00 $0.00 $0.00 $0.00 $0.00
Total $223,868.001 $224,999.001 $230,362.001 $235,648.001 $241,099.00
Units Served 3650.00 3650.00 3650.00 3650.00 3650.00
Fresno County Daily Rate $49.001 $49.001 $50.101 $51.231 $52.40
Mental Health System
Perinatal Program
Budget July 1,2020-June 30,2021 July 1,2021-June 30,2022 July 1,2022-June 30,2023 July 1,2023-June 30,2024 July 1,2024-June 30,2025
County Contract(DBH) $0.00 $0.00 $0.00 $394,352.00 $408,901.00
Startup Costs $20,000.00 $0.00
Client Fees $0.00 $0.00 $0.00 $0.00 $0.00
Total $0.001 $0.001 $0.001 $414,352.001 $408,901.00
Units Served 8 8
Fresno County Daily Rate
Studios $0.001 $0.001 $0.001 $85.62 $87.58
1-bedrooms $0.001 $0.001 $0.001 $120.001 $122.74
2-bedrooms $0.001 $0.001 $0.001 $154.391 $157.92
Exhibit Q
DHCS Perinatal Guidelines
Perinatal Contractors shall follow all guidelines set forth by DHCS. See DHCS
Perinatal Guidelines: PPG FY 18-19 FINAL (ca.gov)