HomeMy WebLinkAboutAgreement A-13-394.1 with FCNA.pdf12345678910111213141516171819202122232425262728AMENDMENTITOAGREEMENTTHISAMENDMENT,hereinafterreferredtoasAmendmentI,ismadeandenteredintothisdayof,2016,byandbetweentheCOUNTYOFFRESNO,aPoliticalSubdivisionoftheStateofCalifornia,hereinafterreferredtoas“COUNTY”,andFRESNOCENTERFORNEWAMERICANS,aprivate,Non-Profit,501(c)(3),Corporation,whoseaddressis4879E.KingsCanyonRoad,Fresno,CA93727,hereinafterreferredtoas“CONTRACTOR”(collectivelythe“parties”).WHEREAS,thepartiesenteredintothatcertainAgreement,identifiedasCOUNTYAgreementNo.,A-13-394,effectiveJuly1,2013wherebyCONTRACTORagreedtoprovideculturallycompetentandlinguisticallyaccessibleoutpatientspecialtymentalhealthservicesfortheadultandolderadultSouthEastAsian(SEA)populationsinFresnoCountyasidentifiedintheinitialCommunityServicesandSupports(CSS)planningprocessfortheMentalHealthServicesAct(MHSA)funding;andasspecifiedinAgreement13-394andintheAmendmentherein,aspartofFresnoCounty’sCommunitySupportiveServicesPlan;andWHEREAS,thepartiesdesiretoamendtheAgreementregardingtheCompensation,revised“ScopeofWork,”andBudgettotheAgreement;andNOW,THEREFORE,inconsiderationoftheirmutualpromises,covenantsandconditions,hereinaftersetforth,thesufficiencyofwhichisacknowledged,thepartiesagreeasfollows:1.ThattheexistingCOUNTYAgreement13-394PageFive(5),Linefourteen(14),beginningwiththeword“The”andendingonPageFive(5),LineSeventeen(17)withtheword’’term”bedeletedandthefollowinginsertedinitsplace:“InnoeventshallservicesperformedunderthisAgreementfortheperiodJuly1,2013throughJune30,2018beinexcessofTwoMillionEightHundredSeventy-FiveThousandandSixHundredandFiveDollarsNo/100($2,875,605).FortheperiodJuly1,2013throughJune30,2016,themaximumcompensationforservicesrenderedbyCONTRACTORunderthisagreementshallnotexceedFourHundredNinety-FiveThousandOneHundredandTwenty-OneandNo/100Dollars($495,121)peryear.InnoeventshallservicesperformedunderthisAgreement,northetotalmaximum-l-COUNTYOFFRESNOFresno,CA
12345678910111213141516171819202122232425262728compensationoffundspaidbyCOUNTYtoCONTRACTOR,fortheperiodJuly1,2016throughJune30,2018exceedSixHundredNinety-FiveThousandOneHundredandTwenty-OneandNo/100Dollars($695,121)peryear.”2.Thatallreferencesto“ExhibitB”inexistingCOUNTYAgreement13-394andshallbechangedtoread“RevisedExhibitB-1”,acopyofwhichisattachedheretoandincorporatedhereinbythisreference.3.Thatallreferencesto“ExhibitC”inexistingCOUNTYAgreement13-394shallbechangedtoread“RevisedExhibitC-1”,acopyofwhichisattachedheretoandincorporatedhereinbythisreference.4.COUNTYandCONTRACTORagreethatthisAmendmentIissufficienttoamendAgreementNo.13-394andtogetherwiththeAmendmentshallbeconsideredtheAgreement.5.TheAgreement,asherebyamended,isratifiedandcontinued.Allprovisions,terms,covenants,conditionsandpromisescontainedintheAgreementandnotamendedhereinshallremaininfullforceandeffect.ThisAmendmentIshallbecomeeffectiveJuly1,2016.////////////////////////////-2-COUNTYOFFRESNOFresno,CA
1 IN ~SS WHEREOF, the parties heretQ have executed this Amendment l to Agreement ~s of the
2 day an~ year first hereinabove written.
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4 ATTEST:
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CONTRACTOR:
FRESNo · CKNtER· FOR
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Title: .f?v ~ s~ ~
i 2 Cilairman of the Bo.ard, or
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President or any Vice President
By (l.d;j; ~ .. ~~
Print Natne; »1 T/t 'I fd Y ll. IJ f1
Ti+le: [A 6. A~ V ({ -~ /L
Secretary (of Corporatiorij, pr
.any As~i.stant Secretary, or
€bief Financial ·ofticer, or
any Assistant Treasurer
Mailing Address:
Fresno Center .for New Americans
4879 E. King$ Canyon .Road
Fresno, CA 93727
PhQne No .. : (559) 255-8395
C'OUNTY OF FRESNO
By ~~.~
Chattman, Board of Superv1sor$
Date.:
BERNICE E. SEIDEL, Clerk
Board of Supervisors·
By Sus<Mc tlsho,p 1 ~--4C ~
Date: :r (,)Jy>..(L d...\, <1D \( q
PLEASE SEE ADDITIONAL
SIGNATURE -PAGE ATTACHED
- 3 -COONTY OF FRESNO
Fresno, GA
12345678910111213141516171819202122232425262728APPROVEDASTOLEGALFORM:DANIELC.CEDERBORG,COUNTYCOUNSELByt6APPROVEDASTOACCOUNTINGFORM:VICKICROW,C.P.A.,AUDITOR-CONTROLLER/TREASURER-TAXCOLLECTORREVIEWEDANDRECOMMENDEDFORAPPROVAL:DawanUtecht,MentalHealthDirector/PublicGuardianDepartmentofBehavioralHealthFund/Subclass:0001/10000Organization:56304524Account/Program:7295/0FY13/14$495,121FY14/15$495,121FY15/16$495,121FY16/17$695,121FY17/18$695.121TOTAL$2,875,605-4-COUNTYOFFRESNOFresno,CA
Revised Exhibit B - 1
Page 1 of 6
Mental Health Services Act (MHSA)
Cultural/Ethnic/Linguistic Qualified
Organizational Provider for Outpatient Specialty Mental Health Services
Scope of Work
PROVIDER: Fresno Center for New Americans (FCNA)
CONTACT: Executive Director Lue N. Yang
(559) 255-8395; luenyang@fresnocenter.com
SITE ADDRESS: 4879 East Kings Canyon Road, Fresno Ca 93727
SERVICES: Culturally Competent and Linguistically Accessible Outpatient Specialty
Mental Health Services (Living Well Program)
CONTRACT July 1, 2013 – June 30, 2018
TERM:
ORGANIZATION: 56304524
Total MHSA FFP
ANNUAL Fiscal Year 2013 – 14 495,121 278,297 216,824
ALLOCATIONS Fiscal Year 2014 – 15 495,121 278,297 216,824
& REVENUES: Fiscal Year 2015 – 16 495,121 278,297 216,824
Fiscal Year 2016 – 17 695,121 478,297 216,824
Fiscal Year 2017 – 18 695,121 478,297 216,824
Total for All 5 Terms: $ 2,875,605 $1,791,485 $ 1,084,120
TARGET POPULATION
Participation for PROVIDER’s program is on a voluntary basis. The target population to be served
under this Agreement shall be 120 adults (ages 18-59) and older adults (age 59 & older), who are of
Southeast Asian (SEA) descent and are in need of culturally competent, linguistically accessible
mental health services.
A minimum caseload consisting of 120 SEA clients shall be enrolled in the Cultural Specific
Services program throughout each twelve (12) month period of this Agreement.
PROJECT DESCRIPTION
This Agreement shall designate Fresno Center for New Americans (FCNA) as an organizational
provider within the Fresno County Mental Health Plan. FCNA shall utilize culturally and
linguistically capable and qualified mental health practitioners to provide outpatient specialty
mental health services to 120 SEA non-seriously mentally ill clients within Fresno County through
FCNA’s “Living Well Program” (LWP). FCNA will use SEA non-licensed/waivered mental health
clinicians, under clinical direction and oversight by FCNA’s licensed clinicians to increase client
capacity and the volume of outpatient services to SEA clients.
Revised Exhibit B - 1
Page 2 of 6
The LWP shall serve both Medi-Cal and non-Medi-Cal adults and older adults with mental health
treatment focusing on individuals experiencing anxiety, depression and having problems coping
with the assimilation process. The outpatient mental health services shall be provided in traditional
SEA languages.
In addition, FCNA shall maintain a clinical supervision/training program for SEA post-master
interns and graduate students. The goal of the program is to increase the number of licensed mental
health professionals of SEA descent whose bi-lingual and bi-cultural capacity will allow greater
accessibility to mental health services for those who are of Hmong, Laotian, Vietnamese or
Cambodian descent. All referrals to FCNA for services shall be approved by COUNTY’s Mental
Health Director or designee.
STAFFING LEVEL
FCNA shall provide 8.7 full time equivalent (FTE) staff, as identified in Revised Exhibit C,
dedicated to the MHSA program to provide the outpatient specialty mental health services as well
as to supervise, manage and support the clinical training program.
FCNA’s RESPONSIBILITIES
FCNA shall:
A. Create, maintain and further develop a mental health service site that utilizes innovative
approaches to building community trust within the SEA population, while providing a
clinical training program for qualified participants as further detailed in the Agreement.
B. Train existing health care providers on mental health issues and how they may be masked
as physical health care complaints and symptoms, and on appropriate methods for making
referrals for mental health services within the clients’ cultural context.
Specific to the Delivery of Outpatient Specialty Mental Health Services, FCNA shall:
A. Increase the numbers of clients provided with new and innovative education, outreach and
outpatient specialty mental health services specific to the Fresno County SEA community
in a means that overcomes the mental health stigma and supports and promotes wellness
and recovery.
B. Provide outpatient specialty mental health services with a focus on:
1. Innovative engagement and culturally specific services that address traditional
barriers to mental health access and engagement by the SEA population;
2. Assisting clients who deal with cultural issues of assimilation and developing a plan
for the future;
3. Clients who are reluctant to seek mental health treatment in a traditional setting; and
4. Clients who are not Medi-Cal eligible and/or have difficulty accessing care.
Revised Exhibit B - 1
Page 3 of 6
C. Provide clinical mental health services driven by culturally sensitive approaches that may
include, but are not limited to:
1. Domestic violence education and increased awareness to associated mental health
issues;
2. Issues related to parenting and family impacts when there is associated gang
violence; and
3. The impact of mental health issues to addictive behaviors that include gambling.
D. Provide services that specifically address stigma and discrimination within the SEA
population, in an effort to better engage the community in the treatment of and recovery
from mental illness
E. Treatment will be provided in a culturally competent manner to enhance individual’s self-
esteem and self-determination.
F. Provide individualized care plans that address specific cultural issues specific to age and
gender.
G. Emphasize family-driven services.
H. Utilize a variety of treatment approaches, including but not limited to:
1. Language and ethnic specific individual, family and group therapy;
2. Women’s groups dealing with past and present trauma lead by female mental health
clinicians;
3. Other mental health groups that are gender specific, only involving mental health
professionals of the same gender; and
4. Family therapy with a focus on transition age adults (18 to 24), enforcing the cultural
importance of the family and the historic role of parents.
I. Provide mental health services in a culturally appropriate manner that respects gender
roles, the role of family members; respect for birth order and age within a cultural context;
and the ability to communicate in the clients’ native language.
J. Provide culturally sensitive environment/location that has community support and is not
directly related or co-located with traditional COUNTY mental health program services.
K. Increase opportunity for service provision without the use of an interpreter, thus increasing
trust and engagement within the treatment relationship.
Revised Exhibit B - 1
Page 4 of 6
L. Mental health services provided by clinicians with similar cultural backgrounds to better
understand and support treatment needs.
M. Provide mental health services that may focus on issues such as stigma, domestic violence,
gang affiliation and violence, exposure to trauma, addictive behaviors in an effort to
specifically address barriers to wellness and recovery that are met by the SEA population.
N. Employ staff that are representative of SEA population and are qualified to recognize
symptoms being addressed that include, but are not limited to: trauma leading to
migration, change to socio-economic status, change in roles based on age and gender due
to ‘norms’ in cultural where relocated.
O. Use and/or recognition of traditional healing practices.
P. Take into consideration the following during the initial assessment:
1. Client’s sexual orientation;
2. Gender roles within the SEA culture, with sensitivity toward females and males
interaction with others outside of their families in a cultural context;
3. Age within the SEA community with preference given to people who are the most
senior;
4. Birth order also plays a significant role in terms of family interactions with older
sibling taking priority over younger siblings;
5. Culturally defined role designations and attitudes are often a source of conflict as
second generation children began assimilating into mainstream Western culture;
Q. Provide outreach to SEA clients and family members through networks of community
leaders and through collaborative relationship with a Federally Qualified Health Center
(FQHC) outpatient clinic(s). Providing and documenting referrals and linkages to
necessary physical health care providers.
R. Focus on recovery principles to make the clients more self-reliant and resilient;
S. Establish a collaborative with existing community based organizations, community leaders
and faith based organizations in the SEA community.
T. Establish a process with primary care providers to generate referrals for mental health
services.
Specific to Clinical Supervision Program, FCNA shall:
A. Facilitate the training/supervision of new SEA mental health professionals by providing a
supervised clinical environment where the new SEA professional may gain valuable field
experience under the terms and conditions of this Agreement.
Revised Exhibit B - 1
Page 5 of 6
B. Provide a clinical training site that will provide qualified and supervised training to SEA
post-master interns, to secure required hours necessary for completion of the State
licensing examination and for SEA graduate students to fulfill degree requirements in the
field of mental health or social work.
C. Keep records of student participation, including entrance into program, progress within,
and departure/completion of the program.
D. All direct services provided within this project shall be provided by licensed mental health
professionals, post-master degree interns or by students as part of their graduate training
program. Services provided will include assessment and mental health services
(individual, family, conjoint, and group therapy) as designed by a client-driven wellness
and recovery treatment plan that addresses personal goals.
E. Increase the number of student interns who successfully enter and complete the clinical
training program and obtain required licensure.
F. Provide clinical training environment, licensed oversight and documentation of required
hours of clinical training for all individuals within the clinical training program (interns,
graduate students, post-graduate students, waivered/registered staff, non-licensed staff), at
no additional cost to COUNTY.
G. Provide four (4) $1,000 stipends per fiscal year to compensate bilingual and bicultural
SEA graduate students who successfully complete the clinical training program in the
LWP.
DELIVERABLES
Due by the 10th of Each Month:
1. Completed Activity Log - for prior month activities.
2. Invoice for payment - reflecting expenses and revenues for the prior month. With
each invoice, FCNA must clearly identify, explain and verify line items that vary
(increase or decrease) by more than 10% from prior month, and must clarify
expenses/revenues that are not consistent with the term of use/earnings; and
3. Staffing report – identify staff name, employee ID number, hire date, certification
date, licensure and expiration date, and full-time status/hours.
Due Semi-Annually by the 20th of the Month Following the Report Period:
1. Accumulative Semi-Annual Summary Report of services provided with measurable
outcomes. Any projected outcomes must be clearly identified and explained,
including a plan to achieve projected outcomes.
Revised Exhibit B - 1
Page 6 of 6
Due as Requested and/or Necessary:
1. All printed material (flyers, brochures, banners, etc) associated with MHSA must
include the Fresno County Logo and must be approved by DBH Director prior to
use/circulation.
2. Misc. reports as requested by COUNTY, DBH Director or his/her designee, Mental
Health Board, State, or other auditing and/or reporting entity.
OUTCOMES
The provider will utilize a computerized tracking system with which outcome measures and
other relevant client data, such as demographics, will be maintained.
A. Increase access to outpatient specialty mental health services from 95 SEA clients to 120
clients monthly during the term of this Agreement and in the preferred language of the
client. This shall be measured by the number of clients per month that are treated by FCNA
and tracking the preferred languages of the mental health services that are provided to each
SEA client.
B. Increase number of mental health professionals of SEA descent qualified for licensure
through hours earned within FCNA’s clinical training/supervision program. During each of
the five (5) annual terms of this Agreement, a minimum of four (4) student interns shall enter
and complete, or show satisfactory progress towards completion of, required clinical hours or
completion of the intern program. This shall be measured by the number of hours
accumulated by students and by the number of students that obtain valid California licensure
in their respective field that have completed the required hours within FCNA’s clinical
training/supervision program.
C. Evidence of improved access of services for all clients engaged in program.
D. Within 30 days of a client’s enrollment in program, provide evidence of a plan of care
developed in the clients’ preferred language, approved, authorized and signed by the client.
E. Within 90 days of being enrolled in the program, 100% of clients who did not have SSI will
have completed applications to receive SSI. FCNA program will provide this data to MHSA
on a monthly basis by the 10th of each month regarding SSI status.
F. Within six months of being enrolled in the program, 100% of clients will have documented
linkages to a Primary Care Physician.
G. Those clients engaged in services shall have zero (0) days of homelessness after being
enrolled in the program, unless client declined housing assistance. FCNA will notify MHSA
manager or designee of client’s decline and document accordingly. FCNA must have clear
documentation of efforts to house clients in appropriate setting.
H. 90% of those engaged in services will not access higher level of care.
REVISEDEXHIBITC-1July1,2016toJune30,2017BudgetCategories-TotalProposedBudgetLineItemDescription(Mustbeitemized)FTE%Admin.DirectTotalPERSONNELSALARIES:0001ProgramDirector@100%FTEx75K1.0075,00075,00000021ClinicalSupervisor@100%FTEx$65K1.0065,00065,00000031Non-LicensedclinicianI@100%FTE@$44K1.0044,00044,00000041Non-licensedclinicianI@25%FTE@$44K0.2511,00011,00000051SeniorRehabCounselor@100%FTEx$48K0.9545,60045,60000061RehabCounselor@100%FTE@$42K1.0042,00042,00000071RehabCounselor@100%FTE@$42K1.0042,00042,00000081CaseManagerlll/billerIII@100%FTEx$36K1.0036,00036,00000091PeerSupportSpecialist@100%FTEx$28K1.0028,00028,00000101PeerSupportSpecialist@50%FTEx28K0.5014,000$14,000$0$0SALARYTOTAL8.70$0$402,600$402,600PAYROLLTAXES:0030FICA@7.65%xsalarytotal$30,799$30,7990031SUI@6.2%on1st$7,000/staffx8.70FTE$3,776$3,7760032FUI@.6%on1st$7,000/staffx8.70FTE$365$365PAYROLLTAXTOTAL$0$34,940$34,940EMPLOYEEBENEFITS:0040RetirementPlan@3%$12,078$12,0780041WorkersCompensation$8,052$8,0520042HealthInsurance$49,068$49,068EMPLOYEEBENEFITSTOTAL$0$69,198$69,198SALARY&BENEFITSGRANDTOTAL$506,738FACILITIES/EQUIPMENTEXPENSES:1010Rent/LeaseBuilding$36,5001011Rent/LeaseEquipment$5,4001012Utilities$5,4001013BuildingMaintenance$3,6001014Equipmentpurchase$0FACILITY/EQUIPMENTTOTAL$50,900Page1of6
REVISEDEXHIBITC-1July1,2016toJune30,2017OPERATINGEXPENSES:1060Telephone$5,4001061AnsweringService$01062Postage$2501063Printing/Reproduction$1,5001064Publications$01065LegalNotices/Advertising$01066OfficeSupplies&Equipment$5,2821067HouseholdSupplies$01068Food$01069ProgramSupplies-Therapeutic$3,0001070ProgramSupplies-Medical$01071TransportationofClients$01072StaffMileage/vehiclemaintenance$1,3501073StaffTravel(OutofCounty)$01074StaffTraining/Registration$01075Lodging$01076LicensingRenewal$3001077ITSupport&Upgrades$4,800OPERATINGEXPENSESTOTAL$21,882FINANCIALSERVICESEXPENSES:1080Accounting/Bookkeeping$01081ExternalAudit$8,0001082LiabilityInsurance$2,5001083AdministrativeOverhead$75,8221084PayrollServices$1,0801085ProfessionalLiabilityInsurance$3,000FINANCIALSERVICESTOTAL$90,402SPECIALEXPENSES(ConsultantyEtc.):1090Consultant$2,5001091Stipend$4,0001092MedicationSupports$0SPECIALEXPENSESTOTAL$6,500FIXEDASSETS:1190Computers&Software$5,0001191Furniture&Fixtures$01192Other$01193Other$0FIXEDASSETSTOTAL$5,000Page2of6
REVISEDEXHIBITC-1July1,2016toJune30,2017NONMEDI-CALCLIENTSUPPORTEXPENSES:2000ClientHousingSupportExpenditures(SFC70)$1,0002001ClientHousingOperatingExpenditures(SFC71)$02002.1Clothing,Food&Hygiene(SFC72)$2,6992002.2ClientTransportation&Support(SFC72)$10,0002002.3EducationSupport(SFC72)$02002.4EmploymentSupport(SFC72)$02002.5RespiteCare(SFC72)$02002.6HouseholdItems$02002.7UtilityVouchers(SFC72)$02002.8ChildCare(SFC72)$0NONMEDI-CALCLIENTSUPPORTTOTAL$13,699TOTALPROGRAMEXPENSES$695,121MEDI-CALREVENUE:ServiceRate$Amount3000MentalHealthServices(Individual/Family/GroupTherapy)109,145$2.61$284,8683100CaseManagement11,893$2.02$24,0243200CrisisServices0$3.88$03300MedicationSupport0$4.82$03400Collateral200$2.61$5223500PlanDevelopment1,350$2.61$3,5243600Assessment1,350$2.61$3,5243700Rehabilitation63,360$2.61$165,370EstimatedMedi-CalBillingTotals187,298$481,831Estimated%ofFederalFinancialParticipationReimbursemerI50.00%$240,915Estimated%ofClientsServedthatwillbeMedi-CalEligibls90.00%MEDI-CALREVENUETOTAL$216,824OTHERREVENUE:4000ClientRents$04100Other$0OTHERREVENUETOTAL$0MHSAFUNDS:5000CSSFunds5100$478,297MHSAFUNDSTOTAL$478,297TOTALPROGRAMREVENUE$695,121Page3of6
REVISEDEXHIBITC-1July1,2017toJune30,2018BudgetCategories-TotalProposedBudgetLineItemDescription(Mustbeitemized)FTE%Admin.DirectTotalPERSONNELSALARIES:0001ProgramDirector@100%FTEx75K1.0075,00075,00000021ClinicalSupervisor@100%FTEx$65K1.0065,00065,00000031Non-LicensedclinicianI@100%FTE@$44K1.0044,00044,00000041Non-licensedclinicianI@25%FTE@$44K0.2511,00011,00000051SeniorRehabCounselor@100%FTEx$48K0.9545,60045,60000061RehabCounselor@100%FTE@$42K1.0042,00042,00000071RehabCounselor@100%FTE@$42K1.0042,00042,00000081CaseManagerlll/billerIII@100%FTEx$36K1.0036,00036,00000091PeerSupportSpecialist@100%FTEx$28K1.0028,00028,00000101PeerSupportSpecialist@50%FTx28K0.5014,000$14,000$0$0SALARYTOTAL8.70$0$402,600$402,600PAYROLLTAXES:0030FICA@7.65%xsalarytotal$30,799$30,7990031SUI@6.2%on1st$7.000/staffx8.45FTE$3,776$3,7760032FUI@.6%on1st$7,000/staffx8.45FTE$365$365PAYROLLTAXTOTAL$0$34,940$34,940EMPLOYEEBENEFITS:0040RetirementPlan@3%$12,078$12,0780041WorkersCompensation$8,052$8,0520042HealthInsurance$49,068$49,068EMPLOYEEBENEFITSTOTALSO$69,198$69,198SALARY&BENEFITSGRANDTOTAL$506,738FACILITIES/EQUIPMENTEXPENSES:1010Rent/LeaseBuilding$36,5001011Rent/LeaseEquipment$5,4001012Utilities$5,4001013BuildingMaintenance$3,6001014Equipmentpurchase$0FACILITY/EQUIPMENTTOTAL$50,900Page4of6
REVISEDEXHIBITC-1OPERATINGEXPENSES:1060Telephone$5,4001061AnsweringService$01062Postage$2501063Printing/Reproduction$1,5001064Publications$01065LegalNotices/Advertising$01066OfficeSupplies&Equipment$5,2821067HouseholdSupplies$01068Food$01069ProgramSupplies-Therapeutic$3,0001070ProgramSupplies-Medical$01071TransportationofClients$01072StaffMileage/vehiclemaintenance$1,3501073StaffTravel(OutofCounty)$01074StaffTraining/Registration$01075Lodging$01076LicensingRenewal$3001077ITSupport&Upgrades$4,800OPERATINGEXPENSESTOTAL$21,882FINANCIALSERVICESEXPENSES:1080Accounting/Bookkeeping$01081ExternalAudit$8,0001082LiabilityInsurance$2,5001083AdministrativeOverhead$75,8221084PayrollServices$1,0801085ProfessionalLiabilityInsurance$3,000FINANCIALSERVICESTOTAL$90,402SPECIALEXPENSES(Consultant/Etc.):1090Consultant$2,5001091Stipend$4,0001092MedicationSupports$0SPECIALEXPENSESTOTAL$6,500FIXEDASSETS:1190Computers&Software$5,0001191Furniture&Fixtures$01192Other$01193Other$0FIXEDASSETSTOTAL$5,000Page5of6
REVISEDEXHIBITC-1NONMEDI-CALCLIENTSUPPORTEXPENSES:2000ClientHousingSupportExpenditures(SFC70)$1,0002001ClientHousingOperatingExpenditures(SFC71)$02002.1Clothing,Food&Hygiene(SFC72)$2,6992002.2ClientTransportation&Support(SFC72)$10,0002002.3EducationSupport(SFC72)$02002.4EmploymentSupport(SFC72)$02002.5RespiteCare(SFC72)$02002.6HouseholdItems$02002.7UtilityVouchers(SFC72)$02002.8ChildCare(SFC72)$0NONMEDI-CALCLIENTSUPPORTTOTAL$13,699TOTALPROGRAMEXPENSES$695,121MEDI-CALREVENUE:ServiceRate$Amount3000MentalHealthServices(Individual/Family/GroupTherapy)109,145$2.61$284,8683100CaseManagement11,893$2.02$24,0243200CrisisServices0$3.88$03300MedicationSupport0$4.82$03400Collateral200$2.61$5223500PlanDevelopment1,350$2.61$3,5243600Assessment1,350$2.61$3,5243700Rehabilitation63,360$2.61$165,370EstimatedMedi-CalBillingTotals187,298$481,831Estimated%ofFederalFinancialParticipationReimbursemerI50.00%$240,915Estimated%ofClientsServedthatwillbeMedi-CalEligibli90.00%MEDI-CALREVENUETOTAL$216,824OTHERREVENUE:4000ClientRents$04100Other$0OTHERREVENUETOTAL$0MHSAFUNDS:5000CSSFunds5100$478,297MHSAFUNDSTOTAL$478,297TOTALPROGRAMREVENUE$695,121Page6of6