HomeMy WebLinkAboutAgreement A-15-461-1 with CPI.pdfAgreement No. 15-461-1
1 AMENDMENT I TO AGREEMENT
2 THIS AMENDMENT, here ina fte r referred to as "Amendment I", is made and entered in to
3 this 16th day of_--..:.:M=a=y ___ , 2017, by and between the COUNTY OF FRESNO, a Political
4 Subdivision of the State of Ca lifo rn ia, hereinafter referred to as "COUNTY", and CALIFORNIA
5 PSYCHOLOGICAL INSTITUTE, a private Corporatio n, whose address is 1470 W . He rnd o n
6 Avenue, Suite 300, Fres no , Cali forn ia 937 11 , hereinafter referred to as "CONTRACTOR"
7 (co llecti vely as th e "parties").
8 WHEREAS, the parties entered into that certain Agreement, identified as COUNTY Agreement
9 No. 15-461 , effective October I , 2015, whereby CONTRACTOR agreed to provide outpatient
1 0 s pecialty mental health , court-s pec ific, and community s upport servi ces for children and youths
11 inv o lved in th e C hild Welfare Services (CWS) system ; a nd
12 WHEREAS, the parties desire t o amend COUNTY Agreement No. 15-461, regarding cha n ges
13 as stated bel ow and re state the Agreement in it s entirety.
1 4 NOW, THEREFORE, fo r good and valuable consideration, the receipt and adequacy of which
15 is hereby acknowledged , the parties agree to amend the Agreement as fo ll ows:
16 I. That the existing COUNTY Agreeme n t No. 15 -461 , Page Th ree (3), beginning with
17 Line Twenty-Fo ur (24), with the word "COUNTY" and e ndin g on Page Five (5), Line Fourteen (14 )
18 with the word "CONTRACTOR" be del eted a nd the following in serte d in its place:
19 "COUNTY agrees to pay CONTRACTOR an d CONTRACTOR agrees to receive
20 co mpensati o n based o n ra tes per service modali ty in accordance with the budget set forth in Revised
21 Exh ibit B, attached hereto a nd by thi s reference incorporated he rein and made part of thi s Agreement.
22 COUNTY agrees to reimburse CONTRACTO R on a monthly basis, based o n units per serv ice.
2 3 Payment s ha ll be ma de upo n certifi catio n or other proof satisfact ory to COUNTY that se rv ices have
2 4 actuall y been pe rfo rmed b y CONTRACTOR as s pecified in thi s Agreement.
2 5 The m ax imum contract a mou nt for the period of October I , 20 15 through June 30, 20 16
2 6 s ha ll no t exceed Two Milli o n Two Hundred Fifty Thousand and Noll 00 D o ll a r s ($2,2 50,000.00), as
27 identified in Revised Ex hibit B.
2 8 For the peri od of October I, 20 15 through June 30, 2016, it is unde r stood by
-1 -COUNTY OF FRESNO
Fresno, CA
COUNTY OF FRESNO
Fresno, CA
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CONTRACTOR and COUNTY that CONTRACTOR estimates to generate Two Million Two
Hundred Fifty Thousand and No/100 Dollars ($2,250,000.00) in revenue, including Two Million Fifty
Thousand and No/100 Dollars ($2,050,000.00) in Medi-Cal revenue and Two Hundred Thousand and
No/100 Dollars ($200,000) in Social Services revenue to offset CONTRACTOR’S program costs, as
set forth in Revised Exhibit B.
The maximum contract amount for the period of July 1, 2016 through June 30, 2017
shall not exceed Three Million Four Hundred Thousand and No/100 Dollars ($3,400,000.00), as
identified in Revised Exhibit B.
For the period of July 1, 2016 through June 30, 2017, it is understood by
CONTRACTOR and COUNTY that CONTRACTOR estimates to generate Three Million Four
Hundred Thousand and No/100 Dollars ($3,400,000.00) in revenue, including Three Million Three
Hundred Eighteen Thousand One Hundred Eighty-One and No/100 Dollars ($3,318,181.00) in Medi-
Cal revenue and Eighty-One Thousand Eight Hundred Nineteen and No/100 Dollars ($81,819.00) in
Social Services revenue to offset CONTRACTOR’S program costs, as set forth in Revised Exhibit B.
The maximum contract amount for the period of July 1, 2017 through June 30, 2018
shall not exceed Four Million and No/100 Dollars ($4,000,000.00), as identified in Revised Exhibit B.
For the period of July 1, 2017 through June 30, 2018, it is understood by
CONTRACTOR and COUNTY that CONTRACTOR estimates to generate Four Million and No/100
Dollars ($4,000,000.00) in revenue, including Three Million Nine Hundred Forty-Three Thousand
Eight Hundred Forty and No/100 Dollars ($3,943,840.00) in Medi-Cal revenue and Fifty-Six
Thousand One Hundred Sixty and No/100 Dollars ($56,160.00) in Social Services revenue to offset
CONTRACTOR’S program costs, as set forth in Revised Exhibit B.
The maximum contract amount for the period of July 1, 2018 through June 30, 2019
shall not exceed Four Million and No/100 Dollars ($4,000,000.00), as identified in Revised Exhibit B.
For the period of July 1, 2018 through June 30, 2019, it is understood by
CONTRACTOR and COUNTY that CONTRACTOR estimates to generate Four Million and No/100
Dollars ($4,000,000.00) in revenue, including Three Million Nine Hundred Forty-Three Thousand
Eight Hundred Forty and No/100 Dollars ($3,943,840.00) in Medi-Cal revenue and Fifty-Six
COUNTY OF FRESNO
Fresno, CA
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Thousand One Hundred Sixty and No/100 Dollars ($56,160.00) in Social Services revenue to offset
CONTRACTOR’S program costs, as set forth in Revised Exhibit B.
In no event shall the total maximum compensation for actual services performed under
this Agreement be in excess of Thirteen Million Six Hundred Fifty Thousand and No/100 Dollars
($13,650,000.00). It is understood that all expenses incidental to CONTRACTOR’s performance of
services under this Agreement shall be borne by CONTRACTOR.”
2. That all references in existing COUNTY Agreement No. 15-461 to Exhibit B shall be
changed to read “Revised Exhibit B,” where appropriate, attached hereto and incorporated herein by
reference.
COUNTY and CONTRACTOR agree that this Amendment I is sufficient to amend the
Agreement; and that upon execution of this Amendment I, the Agreement and Amendment I together
shall be considered the Agreement.
The Agreement, as hereby amended, is ratified and continued. All provisions, terms,
covenants, conditions and promises contained in the Agreement, and not amended herein, shall remain
in full force and effect. This Amendment I shall become effective retroactive to April 1, 2017.
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IN WITNESS WHEREOF, the parties hereto have executed this Amendment I to COUNTY
Agreement No. 15-461 as of the day and year first hereinabove written.
CONTRACTOR:
CALIFORNIA PSYCHOLOGICAL
INSTITUTE
By~~
Print Name: v....\ OwVIPJ. l
Title: C...£ 0
Chairman of Board, or
President, or any Vice Pres ident
By~l~
Print Name: 01\\ &\A-(.\\-(.. ~Itt
Title: Sec.vL--h:t~
Secretary (of Corporat ), or
any Assistant Secretary, or
Chief Financial Officer, or
any Assistant Treasurer
Mailing Address:
1470 W. Herndon Avenue, Suite 300
Fresno, Ca. 93 711
Phone: (559) 256-2000
Contact: Administrative Director
COUNTY OF FRESNO
A_~~ By ____________________ __
Chairman, Board of Supervisors
Date : 5-\Ln-V'J
BERNICE E . SEIDEL, Clerk
Board of Supervisors
PLEASE SEE ADDITIONAL
SIGNATURE PAGE A IT ACHED
-4 -COUNTY OF FRESNO
Fresno , CA
Revised Exhibit B
Page:1 of 11
FTE %Admin.Direct Total
PERSONNEL SALARIES:
0001 Clinical Director 1.00 $93,150 $93,150
0002 Psychiatrist 0.40 $109,200 $109,200
0003 Clinicians (Licensed)5.00 $284,625 $284,625
0004 Psychologist 0.50 $56,250 $56,250
0005 Clinicians( Interns)6.00 $290,250 $290,250
0006 Rehab Specialist 8.00 $241,200 $241,200
0007 Case Management/Dr. Assistant 2.00 $68,925 $68,925
0008 Support Staff/Admin 7.00 $337,500 $337,500
SALARY TOTAL 29.90 $337,500 $1,143,600 $1,481,100
PAYROLL TAXES:
0030 OASDI $85,058
0031 FICA/MEDICARE $19,893
0032 U.I./FUTA $9,946
PAYROLL TAX TOTAL $0 $0 $114,897
EMPLOYEE BENEFITS:
0040 Retirement/Incentive $44,997
1170 Workers Compensation $9,750
0041 $131,250
EMPLOYEE BENEFITS TOTAL $0 $0 $185,997
SALARY & BENEFITS GRAND TOTAL $1,781,994
FACILITIES/EQUIPMENT EXPENSES:
1010 Rent/Lease Building $199,556
1030 Rent/Lease Equipment $750
1050 Utilities $22,500
1052 Janitorial $22,500
1051 Maintenance (facility)$7,500
FACILITY/EQUIPMENT TOTAL $252,806
OPERATING EXPENSES:
1060 $19,575
1062 $1,125
1070 $4,500
1071 $270
1072 $4,125
1080 $12,375
1090 $6,750
1100 $7,125
1120 $6,375
1121 $2,250
1130 $375
1140 $63,356
1141 $6,000
Line Item Description (Must be itemized)
Child Welfare Mental Health Services
California Psychological Institute
October 1, 2015 to June 30, 2016
Budget Categories - Total Proposed Budget
Transportation of Clients
Staff Mileage/Vehicle Maintenance
Staff Training/Registration
Health Insurance (medical vision, life, dental)
Telephone/Internet
Postage
Printing/Reproduction
Publications
Office Supplies & Equipment
Food
Program Supplies
Program Supplies - Psych Testing
Legal Notices/Advertising
Household Supplies
Revised Exhibit B
Page:2 of 11
Child Welfare Mental Health Services
California Psychological Institute
October 1, 2015 to June 30, 2016
Budget Categories - Total Proposed Budget1075 $0
1076 Licenses/Taxes $3,750
OPERATING EXPENSES TOTAL $137,951
FINANCIAL SERVICES EXPENSES:
1160 Accounting/Bookkeeping $5,625
1171 Liability Insurance $18,000
1072 Payroll Processing $17,250
FINANCIAL SERVICES TOTAL $40,875
SPECIAL EXPENSES (Consultant/Etc.):
1153 Consultant (network & data management)$11,250
1180 Translation Services $375
1085 Electronic Health Record $15,750
SPECIAL EXPENSES TOTAL $27,375
FIXED ASSETS:
2001 Computers & Software $5,250
2002 Furniture & Fixtures $3,750
FIXED ASSETS TOTAL $9,000
TOTAL PROGRAM EXPENSES $2,250,000
DIRECT SERVICE REVENUE:
Vol/Units of
Svc Rate $ Amt.
3000 Mental Health Services 611,168 $2.61 $1,595,148
(Assessment, Plan of Care, Individual/Family/Group Therapy, Rehab)
3100 Case Management, Linkage/Brokerage 228,437 $2.02 $461,443
3200 Crisis Intervention 1,200 $3.88 $4,656
3300 Medication Support 18,000 $4.82 $86,760
3400 Collateral 16,500 $2.61 $43,065
3700 ICC 150 $2.02 $303
3800 IHBS 150 $2.02 $303
DIRECT SERVICE REVENUE TOTAL 875,605 $2,191,678
$1,025,000
$820,000
$205,000
$2,050,000
Cost Per Unit $2.50
OTHER REVENUE:
3600 Psychological evaluation 15,750 2.61$ $41,108
3500 Court Documentation, Report, Appearance 53 59.41$ $3,119
4000 Bonding Studies 5,400 2.61$ $14,094
4100 Non Medi-Cal contribution $141,679
OTHER REVENUE/SOCIAL SERVICES TOTAL $200,000
TOTAL PROGRAM REVENUE $2,250,000
Lodging
Medi-cal Revenue - 50% FFP
Medi-cal Revenue - 40% EPSDT
Medi-cal Revenue - 10% CGF
Medi-cal Revenue
Revised Exhibit B
Page:3 of 11
FTE %Admin.Direct Total
PERSONNEL SALARIES:
0001 Clinical Director 1.00 $120,000 $120,000
0002 Psychiatrist 0.60 $125,000 $125,000
0003 Clinicians (Licensed)5.50 $368,550 $368,550
0004 Psychologist 0.50 $21,945 $21,945
0005 Clinicians( Interns)15.00 $667,960 $667,960
0006 Case Management /Rehab 10.00 $319,752 $319,752
0007 Support Staff/Admin 10.00 $559,251 $559,251
SALARY TOTAL 42.60 $559,251 $1,623,207 $2,182,458
PAYROLL TAXES:
0030 OASDI $127,562
0031 FICA/MEDICARE $29,833
0032 U.I./FUTA $14,917
PAYROLL TAX TOTAL $0 $0 $172,312
EMPLOYEE BENEFITS:
0040 Retirement/Incentive $169,575
1170 Workers Compensation $25,000
0041 $176,000
EMPLOYEE BENEFITS TOTAL $0 $0 $370,575
SALARY & BENEFITS GRAND TOTAL $2,725,345
FACILITIES/EQUIPMENT EXPENSES:
1010 Rent/Lease Building $266,075
1030 Rent/Lease Equipment $1,890
1050 Utilities $32,000
1052 Janitorial $30,000
1051 Maintenance (facility)$20,000
FACILITY/EQUIPMENT TOTAL $349,965
OPERATING EXPENSES:
1060 $32,000
1062 $1,500
1070 $5,000
1071 $0
1072 $27,000
1080 Office Supplies & Equipment $18,000
1090 $11,000
1100 Food $8,500
1120 Program Supplies $6,000
1121 Program Supplies - Psych Testing $4,500
1130 $500
1140 $60,000
1141 $15,000
1075 $0Lodging
Staff Training/Registration
Health Insurance (medical vision, life, dental)
Telephone/Internet
Postage
Printing/Reproduction
Publications
Legal Notices/Advertising
Household Supplies
Transportation of Clients
Staff Mileage/Vehicle Maintenance
Line Item Description (Must be itemized)
Child Welfare Mental Health Services
California Psychological Institute
July 1, 2016 to June 30, 2017
Budget Categories - Total Proposed Budget
Revised Exhibit B
Page:4 of 11
Child Welfare Mental Health Services
California Psychological Institute
July 1, 2016 to June 30, 2017
Budget Categories - Total Proposed Budget1076Licenses/Taxes $5,000
OPERATING EXPENSES TOTAL $194,000
FINANCIAL SERVICES EXPENSES:
1160 Accounting/Bookkeeping $5,000
1171 Liability Insurance $24,000
1072 Payroll Processing $10,050
FINANCIAL SERVICES TOTAL $39,050
SPECIAL EXPENSES (Consultant/Etc.):
1153 Consultant (network & data management)$15,000
1180 Translation Services $4,050
1085 Electronic Health Record $21,000
SPECIAL EXPENSES TOTAL $40,050
FIXED ASSETS:
2001 Computers & Software $30,000
2002 Furniture & Fixtures $21,590
FIXED ASSETS TOTAL $51,590
TOTAL PROGRAM EXPENSES $3,400,000
DIRECT SERVICE REVENUE:
Vol/Units of
Svc Rate $ Amt.
3000 Mental Health Services 975,220 $2.61 $2,545,324
(Assessment, Plan of Care, Individual/Family/Group Therapy, Rehab)
3100 Case Management, Linkage/Brokerage 175,798 $2.02 $355,112
3200 Crisis Intervention 600 $3.88 $2,328
3300 Medication Support 37,061 $4.82 $178,634
3400 Collateral 30,000 $2.61 $78,300
3700 ICC 42,403 $2.02 $85,654
3800 IHBS 36,054 $2.02 $72,829
DIRECT SERVICE REVENUE TOTAL 1,297,136 $3,318,181
$1,659,091
$1,327,273
$331,818
$3,318,181
Cost Per Unit $2.56
Social Services Revenue $81,819
Medi-cal Revenue - 50% FFP
Medi-cal Revenue - 40% EPSDT
Medi-cal Revenue - 10% CGF
Medi-cal Revenue
Revised Exhibit B
Page:5 of 11
Child Welfare Mental Health Services
California Psychological Institute
July 1, 2016 to June 30, 2017
Budget Categories - Total Proposed BudgetOTHER REVENUE:
3600 Psychological evaluation 9,000 2.61$ $23,490
3500 Court Documentation, Report, Appearance 850 59.41$ $50,499
4000 Bonding Studies 3,000 2.61$ $7,830
OTHER REVENUE/SOCIAL SERVICES TOTAL $81,819
TOTAL PROGRAM REVENUE $3,400,000
Revised Exhibit B
Page: 6 of 11
FTE %Admin.Direct Total
PERSONNEL SALARIES:
0001 Clinical Director 1.00 $125,000 $125,000
0002 Psychiatrist 0.60 $160,524 $160,524
0003 Clinicians (Licensed)6.00 $468,915 $468,915
0004 Psychologist 0.50 $30,000 $30,000
0005 Clinicians( Interns)15.00 $840,458 $840,458
0006 Case Management /Rehab 10.00 $464,373 $464,373
0007 Support Staff/Admin 10.00 $633,400 $633,400
SALARY TOTAL 43.10 $633,400 $2,089,270 $2,722,670
PAYROLL TAXES:
0030 OASDI $158,853
0031 FICA/MEDICARE $37,151
0032 U.I./FUTA $18,576
PAYROLL TAX TOTAL $0 $0 $214,580
EMPLOYEE BENEFITS:
0040 Retirement/Incentive $169,837
1170 Workers Compensation $25,000
0041 $212,838
EMPLOYEE BENEFITS TOTAL $0 $0 $407,675
SALARY & BENEFITS GRAND TOTAL $3,344,925
FACILITIES/EQUIPMENT EXPENSES:
1010 Rent/Lease Building $266,075
1030 Rent/Lease Equipment $1,000
1050 Utilities $32,000
1052 Janitorial $30,000
1051 Maintenance (facility)$20,000
FACILITY/EQUIPMENT TOTAL $349,075
OPERATING EXPENSES:
1060 $32,000
1062 $1,500
1070 $7,500
1071 $0
1072 $13,000
1080 Office Supplies & Equipment $18,000
1090 $11,000
1100 Food $8,500
1120 Program Supplies $15,000
1121 Program Supplies - Psych Testing $3,000
1130 $500
1140 $65,000
1141 $15,000
1075 $0
Line Item Description (Must be itemized)
Child Welfare Mental Health Services
California Psychological Institute
July 1, 2017 to June 30, 2018
Budget Categories - Total Proposed Budget
Staff Training/Registration
Health Insurance (medical vision, life, dental)
Telephone/Internet
Postage
Printing/Reproduction
Publications
Legal Notices/Advertising
Household Supplies
Transportation of Clients
Staff Mileage/Vehicle Maintenance
Lodging
Revised Exhibit B
Page: 7 of 11
Child Welfare Mental Health Services
California Psychological Institute
July 1, 2017 to June 30, 2018
Budget Categories - Total Proposed Budget1076Licenses/Taxes $5,000
OPERATING EXPENSES TOTAL $195,000
FINANCIAL SERVICES EXPENSES:
1160 Accounting/Bookkeeping $5,000
1171 Liability Insurance $29,000
1072 Payroll Processing $12,000
FINANCIAL SERVICES TOTAL $46,000
SPECIAL EXPENSES (Consultant/Etc.):
1153 Consultant (network & data management)$15,000
1180 Translation Services $5,000
1085 Electronic Health Record $25,000
SPECIAL EXPENSES TOTAL $45,000
FIXED ASSETS:
2001 Computers & Software $10,000
2002 Furniture & Fixtures $10,000
FIXED ASSETS TOTAL $20,000
TOTAL PROGRAM EXPENSES $4,000,000
DIRECT SERVICE REVENUE:
Vol/Units of
Svc Rate $ Amt.
3000 Mental Health Services 1,289,997 $2.61 $3,366,891
(Assessment, Plan of Care, Individual/Family/Group Therapy, Rehab)
3100 Case Management, Linkage/Brokerage 151,374 $2.02 $305,776
3200 Crisis Intervention 660 $3.88 $2,561
3300 Medication Support 24,644 $4.82 $118,782
3400 Collateral 14,415 $2.61 $37,623
3700 ICC 32,359 $2.02 $65,365
3800 IHBS 23,189 $2.02 $46,842
DIRECT SERVICE REVENUE TOTAL 1,536,637 $3,943,840
$1,971,920
$1,577,536
$394,384
$3,943,840
Cost Per Unit $2.57
Social Services Revenue $56,160
Medi-cal Revenue - 50% FFP
Medi-cal Revenue - 40% EPSDT
Medi-cal Revenue - 10% CGF
Medi-cal Revenue
Revised Exhibit B
Page: 8 of 11
Child Welfare Mental Health Services
California Psychological Institute
July 1, 2017 to June 30, 2018
Budget Categories - Total Proposed BudgetOTHER REVENUE:
3600 Psychological evaluation 3,848 2.61$ $10,043
3500 Court Documentation, Report, Appearance 660 59.41$ $39,211
4000 Bonding Studies 2,646 2.61$ $6,906
OTHER REVENUE/SOCIAL SERVICES TOTAL $56,160
TOTAL PROGRAM REVENUE $4,000,000
Revised Exhibit B
Page: 9 of 11
FTE %Admin.Direct Total
PERSONNEL SALARIES:
0001 Clinical Director 1.00 $125,000 $125,000
0002 Psychiatrist 0.60 $160,524 $160,524
0003 Clinicians (Licensed)6.00 $468,915 $468,915
0004 Psychologist 0.50 $30,000 $30,000
0005 Clinicians( Interns)15.00 $840,458 $840,458
0006 Case Management /Rehab 10.00 $464,373 $464,373
0007 Support Staff/Admin 10.00 $633,400 $633,400
SALARY TOTAL 43.10 $633,400 $2,089,270 $2,722,670
PAYROLL TAXES:
0030 OASDI $158,853
0031 FICA/MEDICARE $37,151
0032 U.I./FUTA $18,576
PAYROLL TAX TOTAL $0 $0 $214,580
EMPLOYEE BENEFITS:
0040 Retirement/Incentive $169,837
1170 Workers Compensation $25,000
0041 $212,838
EMPLOYEE BENEFITS TOTAL $0 $0 $407,675
SALARY & BENEFITS GRAND TOTAL $3,344,925
FACILITIES/EQUIPMENT EXPENSES:
1010 Rent/Lease Building $266,075
1030 Rent/Lease Equipment $1,000
1050 Utilities $32,000
1052 Janitorial $30,000
1051 Maintenance (facility)$20,000
FACILITY/EQUIPMENT TOTAL $349,075
OPERATING EXPENSES:
1060 $32,000
1062 $1,500
1070 $7,500
1071 $0
1072 $13,000
1080 Office Supplies & Equipment $18,000
1090 $11,000
1100 Food $8,500
1120 Program Supplies $15,000
1121 Program Supplies - Psych Testing $3,000
1130 $500
1140 $65,000
1141 $15,000
1075 $0Lodging
Staff Training/Registration
Health Insurance (medical vision, life, dental)
Telephone/Internet
Postage
Printing/Reproduction
Publications
Legal Notices/Advertising
Household Supplies
Transportation of Clients
Staff Mileage/Vehicle Maintenance
Line Item Description (Must be itemized)
Child Welfare Mental Health Services
California Psychological Institute
July 1, 2018 to June 30, 2019
Budget Categories - Total Proposed Budget
Revised Exhibit B
Page: 10 of 11
Child Welfare Mental Health Services
California Psychological Institute
July 1, 2018 to June 30, 2019
Budget Categories - Total Proposed Budget1076Licenses/Taxes $5,000
OPERATING EXPENSES TOTAL $195,000
FINANCIAL SERVICES EXPENSES:
1160 Accounting/Bookkeeping $5,000
1171 Liability Insurance $29,000
1072 Payroll Processing $12,000
FINANCIAL SERVICES TOTAL $46,000
SPECIAL EXPENSES (Consultant/Etc.):
1153 Consultant (network & data management)$15,000
1180 Translation Services $5,000
1085 Electronic Health Record $25,000
SPECIAL EXPENSES TOTAL $45,000
FIXED ASSETS:
2001 Computers & Software $10,000
2002 Furniture & Fixtures $10,000
FIXED ASSETS TOTAL $20,000
TOTAL PROGRAM EXPENSES $4,000,000
DIRECT SERVICE REVENUE:
Vol/Units of
Svc Rate $ Amt.
3000 Mental Health Services 1,289,997 $2.61 $3,366,891
(Assessment, Plan of Care, Individual/Family/Group Therapy, Rehab)
3100 Case Management, Linkage/Brokerage 151,374 $2.02 $305,776
3200 Crisis Intervention 660 $3.88 $2,561
3300 Medication Support 24,644 $4.82 $118,782
3400 Collateral 14,415 $2.61 $37,623
3700 ICC 32,359 $2.02 $65,365
3800 IHBS 23,189 $2.02 $46,842
DIRECT SERVICE REVENUE TOTAL 1,536,637 $3,943,840
$1,971,920
$1,577,536
$394,384
$3,943,840
Cost Per Unit $2.57
Social Services Revenue $56,160
Medi-cal Revenue - 50% FFP
Medi-cal Revenue - 40% EPSDT
Medi-cal Revenue - 10% CGF
Medi-cal Revenue
Revised Exhibit B
Page: 11 of 11
Child Welfare Mental Health Services
California Psychological Institute
July 1, 2018 to June 30, 2019
Budget Categories - Total Proposed BudgetOTHER REVENUE:
3600 Psychological evaluation 3,848 2.61$ $10,043
3500 Court Documentation, Report, Appearance 660 59.41$ $39,211
4000 Bonding Studies 2,646 2.61$ $6,906
4100 Non Medi-Cal contribution $0
OTHER REVENUE/SOCIAL SERVICES TOTAL $56,160
TOTAL PROGRAM REVENUE $4,000,000