HomeMy WebLinkAboutAgreement A-15-462-1 with Uplift.pdfAgreement No . 15-462-1
1 AMENDMENT I TO AGREEMENT
2 THIS AMENDMENT, hereinafter referred to as "Amendment 1", is made and entered into
3 this ..1Q1h_ day of __ =M,_ay.__ __ , 2017, by and between the COUNTY OF FRESNO, a Political
4 Subdivision ofthe State of California, hereinafter referred to as "COUNTY", and UPLIFT FAMILY
5 SERVICES, a private Corporation, whose address is 251 Llewellyn Avenue, Campbell, California
6 95008-1940, hereinafter referred to as "CONTRACTOR" (collectively as the "parties").
7 WHEREAS, the parties entered into that certain Agreement, identified as COUNTY Agreement
8 No. 15-462, effective October I , 2015 , whereby CONTRACTOR agreed to provide outpatient
9 specialty mental health, court-specific, and community support services for children and youths
10 invo lved in the Child Welfare Services (CWS) sy stem; and
11 WHEREAS, the parties desire to amend COUNTY Agreement No. 15-462, regarding changes
1 2 as stated below and restate the Agreement in its entirety.
13 NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which
14 is hereby acknowledged, the parties agree to amend the Agreement as follows:
15 I. That the exi sting COUNTY Agreement No. 15-462 , Page Three (3), beginning with
16 Line Twenty-Four (24), with the word "COUNTY" and ending on Page Five (5), Line Fourteen (14)
17 with the word "CONTRACTOR" be deleted and the following inserted in its place:
18 "COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to receive
19 compensation based on rates per service modality in accordance with the budget set forth in Revised
2 0 Exhibit 8 , attached hereto and by this reference inco rporated herein and made part of this Agreement.
21 COUNTY agrees to reimburse CONTRACTOR on a monthly basis, based on units per service.
2 2 Payment shall be made upon certification or o ther proof satisfactory to COUNTY that services have
2 3 actually been performed by CONTRACTOR as specified in this Agreement.
2 4 The maximum contract amount under this Agreement for the Ramp Up period (October
2 5 I , 2015 through November 30, 20 15) shall no t exceed Two Hundred Sixty-Nine Thousand Two
2 6 Hundred Ninety-One and Noll 00 Dollars ($269,291.00), as identified in Revised Exhibit B.
2 7 The maximum contract amount for the pe riod of December I , 2015 through June 30,
28 2016 shall not exceed One Million Seven Hundred Sixteen Thousand Five Hundred Fifty and Noll 00
-1 -COUNTY OF FRESNO
Fresno , CA
COUNTY OF FRESNO
Fresno, CA
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Dollars ($1,716,550.00), as identified in Revised Exhibit B.
For the period of October 1, 2015 through June 30, 2016, it is understood by
CONTRACTOR and COUNTY that CONTRACTOR estimates to generate One Million Seven
Hundred Sixteen Thousand Five Hundred Fifty and No/100 Dollars ($1,716,550.00) in revenue,
including One Million Five Hundred Forty-Four Thousand Eight Hundred Ninety-Five and No/100
Dollars ($1,544,895.00) in Medi-Cal revenue and One Hundred Seventy-One Thousand Six Hundred
Fifty-Five and No/100 Dollars ($171,655.00) 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, 2016 through June 30, 2017
shall not exceed Three Million and No/100 Dollars ($3,000,000.00), 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 and No/100
Dollars ($3,000,000) in revenue, including Two Million Seven Hundred Thousand and No/100 Dollars
($2,700,000.00) in Medi-Cal revenue and Three Hundred Thousand and No/100 Dollars
($300,000.00) 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 Six Hundred Thousand and No/100
Dollars ($3,600,000.00) in Medi-Cal revenue and Four Hundred Thousand and No/100 Dollars
($400,000.00) 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
COUNTY OF FRESNO
Fresno, CA
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CONTRACTOR and COUNTY that CONTRACTOR estimates to generate Four Million and No/100
Dollars ($4,000,000.00) in revenue, including Three Million Six Hundred Thousand and No/100
Dollars ($3,600,000.00) in Medi-Cal revenue and Four Hundred Thousand and No/100 Dollars
($400,000.00) 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 Twelve Million Nine Hundred Eighty-Five Thousand Eight Hundred
Forty-One and No/100 Dollars ($12,985,841.00). 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. 15-462 to Exhibit A shall be
changed to read “Revised Exhibit A,” where appropriate, attached hereto and incorporated herein by
reference.
3. That all references in existing COUNTY Agreement No. 15-462 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. 15-462 as of the day and year first hereinabove written.
CONTRACTOR: COUNTY OF FRESNO
UPLIFT FAMILY SERVICES
\:\/.
By _____ ~~~---------------
Print Name: ~~I~ 1.\ --~~~----------
/L~L By ______________________ __
Chainnan, Board of Supervisors
8 Title: \> ! { ~ ~ \.~ V\ \-
~~~~~--~----------
Date: 5 -lLo-\)
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C hairman o fBoard, or
President, or any Vice President
Title: ---~(_.:.7~~ __ t·_; -:--:----
Secretary (of Corporation), or
any Assistant Secretary, or
Chieffinancial Officer, or
any Assistant Treasurer
Mailing Address:
251 Llewellyn Avenue
Campbell, Ca. 95008-1940
Phone: (310)22l-6336x.l25
Contact: Senior Vice President
BERNICE E. SEIDEL, Clerk
Board of Supervisors
PLEASE SEE ADDITIONAL
SIGNATURE PAGE ATTACHED
-4 -COUNTY Or FRES NO
Freeno, CA
Revised Exhibit A
Page 1 of 10
MENTAL HEALTH SERVICES FOR CHILDREN IN CHILD WELFARE
SUMMARY OF SERVICES
ORGANIZATION: EMQ Families First
ADDRESS: 251 Llewellyn Avenue
Campbell, CA 95008-1940
TELEPHONE: (408) 379-3790
CONTACT PERSON: Marilyn Bamford, Executive Director, Central Region
CONTRACT PERIOD: October 1, 2015 – June 30, 2019
CONTRACT AMOUNT: $1,985,841 (October 1, 2015 – June 30, 2016);
$3,000,000 (July 1, 2016 – June 30, 2017);
$4,000,000 (July 1, 2017 – June 30, 2018);
$4,000,000 (July 1, 2018 – June 30, 2019)
SUMMARY OF SERVICES:
EMQ Families First, henceforth referred to as CONTRACTOR, will be responsible for
providing medically necessary outpatient specialty mental health services for children and
youth with serious emotional disturbance(s) and parents with a serious mental illness and
court-specific services to children and families in Fresno County’s Child Welfare Services
(CWS) system. The majority of outpatient mental health services, such as assessments,
plan development, therapy, rehabilitation services, crisis intervention, case management,
intensive home based services and intensive care coordination are expected to be
community-based and provided in the family’s home or in the community when possible.
For those services provided in the office, CONTRACTOR will work closely with the
caregiver to identify and assist, whenever possible, with any barriers to receiving care
(i.e., lack of public/private transportation, scheduling of appointment days/hours, etc.).
SCHEDULE OF SERVICES:
The CONTRACTOR’S office(s) shall be open Monday through Friday, 8am-5pm.
Clinicians will be available to see clients and families for in-home appointments during
the day, weekend, and evening hours, up to 8:00 pm. Group services will be provided
during the day and evening hours, up to 8:00 pm, on a scheduled basis, at
CONTRACTOR’S offices. The CONTRACTOR’s office will be located at a site in the
metropolitan or rural community that offers public transportation in close proximity,
adequate parking, and in a secure setting. In addition to the Fresno metropolitan area,
CONTRACTOR has agreed to serve the rural areas of Fresno County as needed. Any
addition or change to the location of office-based services must be approved by the
COUNTY in advance of such a change.
Revised Exhibit A
Page 2 of 10
TARGET POPULATION:
CONTRACTOR shall provide mental health services to all referred children, youth,
parents, guardians, and foster parents involved with a child’s CWS case. The target
population includes children and youth as referred to in the Katie A. Settlement
Agreement as members of the “class” and “subclass.”
1. Katie A. “Class” is defined as children in California who:
A. Are in foster care or are at imminent risk of foster care placement, and
B. Have a mental illness or condition that has been documented, or would
have been documented had an assessment been conducted, and
C. Need individualized mental health services, including but not limited to,
professionally acceptable assessments, behavioral support, case
management, family support, crisis support, therapeutic foster care, and
other medically necessary services in the home or in a home-like setting, to
treat mental illness or condition.
Imminent Risk of foster care placement means that within the last 180 days, the child has
been participating in voluntary family maintenance services; voluntary family reunification
placements; and/or has been the subject of a referral/report to the Child Protective
Services system regarding suspicions of abuse, neglect or abandonment.
Members of this class include children living with their parents, relatives, or in any variety
of placements, such as group homes or foster homes.
2. Katie A. “Subclass” is identified as children in California who:
A. Have an open child welfare service case; and
B. Are full-scope Medi-Cal (Title XIX) eligible; and
C. Meet the medical necessity criteria for Medi-Cal Outpatient Specialty Mental
Health Services (SMHS) as set forth in CCR, Title 9, Section 1830.205 or
Section 1830.210; and
D. Currently in or being considered for wraparound, therapeutic foster care,
specialized care rate due to behavioral health needs or other intensive Early
and Periodic Screening Diagnostic and Treatment (EPSDT) services,
including but not limited to therapeutic behavioral services or crisis
stabilization/intervention, or
E. Currently in or being considered for placement in a group home (Rate
Classification 10 or above), a psychiatric hospital or 24-hour mental health
treatment facility (e.g., psychiatric inpatient hospital, community residential
Revised Exhibit A
Page 3 of 10
treatment facility); or has experienced three or more placements within 24
months due to behavioral health needs
I. CONTRACTOR SHALL BE RESPONSIBLE FOR THE FOLLOWING SERVICES:
A. Outpatient Specialty Mental Health Services
1. CONTRACTOR will provide the following array of outpatient specialty
mental health services for the duration, frequency and intensity based
upon the individual needs of children and families in CWS and
determined to be clinically appropriate as determined by a
licensed/waivered mental health clinician. It is understood that a child
who meets the definition of “Katie A. Subclass” does not, in and of itself,
require a higher level or intensity of mental health treatment absent a
clinical determination by the treating mental health clinician:
a. Mental Health Assessments
Clinical analysis of the history and current status of a
beneficiary’s mental, emotional, or behavioral disorder;
relevant cultural issues and history; diagnosis; and use of
testing procedures.
b. Therapy
1. A therapeutic intervention that focuses primarily on
symptom reduction as a means to improve functional
impairments. Therapy may be delivered to an individual or
group of beneficiaries (see below) and may include family
therapy at which the beneficiary is present.
a. Individual
b. Collateral
c. Conjoint
d. Family therapy
e. Group therapy
i. Groups will be led by clinicians and
supervised by a licensed clinician. Larger
groups may be co-facilitated by two
unlicensed clinicians. Licensed Clinical
Supervisors will provide in-vivo training, co-
facilitation and supervision to ensure group
facilitation is high quality, clinically effective,
and appropriate.
c. Crisis Intervention
A service lasting less than 24 hours, to or on behalf of a
beneficiary for a condition which requires more timely
response than a regularly scheduled visit. Activities may
include, but are not limited to assessment, therapy and
service access to any significant support person in the
beneficiary’s life with the intent of improving or maintaining
the mental health status of the beneficiary.
Revised Exhibit A
Page 4 of 10
d. Case Management
Any service that assists a beneficiary to access needed
medical, educational, social, prevocational, vocational,
rehabilitative, or other community service. Services may
include, but are not limited to, communication,
coordination, and referral to available resources.
CONTRACTOR will be responsible for monitoring service
delivery to beneficiary by third parties, beneficiary
progress and plan development.
e. Rehabilitation
Any activity that seeks to improve, maintain, or restore a
beneficiary’s functional, daily living, social, leisure,
grooming, personal hygiene, and meal preparation skills
while also providing access to support resources and
medication education.
f. Plan Development
The development of client plans, approval of client plans,
or monitoring of a beneficiary’s progress.
g. Medication Support
Any service that includes prescribing, administering,
dispensing and monitoring psychiatric medications or
biologicals which are necessary to alleviate the symptoms
of mental illness. Services may also include evaluation for
the need of medication, evaluation of clinical effectiveness
and side effects, obtaining informed consent, medication
education and plan development related to the delivery of
the service and/or assessment of the beneficiary.
2. CONTRACTOR shall be responsible to provide and appropriately bill for
Katie A. Subclass members if medically necessary and provided within
the CAPP and Katie A. Core Practice Model and in accordance with the
“Medi-Cal Manual for Intensive Care Coordination (ICC), Intensive
Home Based Services (IHBS) & Therapeutic Foster Care (TFC) for Katie
A. Subclass Members”:
a. Intensive Home Based Services (IHBS) may include, but are
not limited to:
1. Skill-based interventions for the remediation of behaviors
or improvement of symptoms,
2. Development of functional skills to improve self-care, self-
regulation, or other functional impairments by intervening
to decrease or replace non-functional behavior that
interferes with daily living tasks or the avoidance of
exploitation by others
3. Development of skills or replacement behaviors that allow
the child/youth to fully participate in the teaming process
and service plans including but not limited to the plan
and/or child welfare case plan
4. Improvement in self-management of symptoms, including
self-administration of medications as appropriate
Revised Exhibit A
Page 5 of 10
5. Education of the child/youth and/or their family or
caregiver(s) about, and how to manage the child/youth’s
mental health disorder or symptoms
6. Support of the development, maintenance and use of
social networks including the use and natural and
community resources
7. Support to address behaviors that interfere with the
achievement of a stable and permanent family life
8. Support to address behaviors that interfere with seeking
and maintains a job
9. Support to address behaviors that interfere with a
child/youth’s success in achieving educational objectives
in an academic program in the community
b. Intensive Care Coordination (ICC) that requires active and
ongoing participation in any teaming processes scheduled by
CWS or by the Child Welfare Mental Health Team to insure
coordination of all mental health treatment services that may
involve one or more provider agency(ies).
c. ICC service components/activities include comprehensive
assessment and periodic reassessment, development and
periodic revision of the plan, referral, monitoring and follow-up
activities and transition.
3. CONTRACTOR will be responsible to work cooperatively and
collaboratively with CWS staff, Child Welfare Mental Health Program
staff and all treatment providers, caregivers, and Foster Family Agencies
to achieve the individual and collective treatment goals and support the
CWS case plan, communicate/resolve barriers to care, provide
continuity and warm-handoffs whenever possible when clients transition
from higher to lower or lower to higher levels of care whether within or
outside of Fresno County.
4. CONTRACTOR will provide its service delivery model for Katie A. class
and subclass members from which the revenue projections were
budgeted. This includes the frequency/duration of interventions during
a specified timeframe from which COUNTY will monitor utilization and
potential service capacity.
5. CONTRACTOR will be able to refer to other Fresno County Mental
Health Plan providers, Managed Care Medi-Cal Health Plans and other
community providers as may be appropriate and concurrence with the
CWMH program.
6. CONTRACTOR will identify evidence-based and/or best practices found
effective in serving this target population. This includes the provision of
training, ongoing sustainability and fidelity to a core competency to
CONTRACTOR’S mental health clinicians. To date, CONTRACTOR
and COUNTY have agreed upon the provision of the following evidence-
based practices: Seeking Safety, Motivational Interviewing, Trauma-
Focused Cognitive Behavioral Therapy (TF-CBT), and Psychoanalysis
and Positive Psychology (PPP). This does not exclude other evidence-
based, best or promising practice or therapeutic approaches that
Revised Exhibit A
Page 6 of 10
clinicians may have proficiency and meets the individualized treatment
needs of the client. Any additions or deletions of previous COUNTY
approved evidence-based practice by CONTRACTOR will require
consultation with COUNTY.
7. CONTRACTOR will ensure that the Clinical Supervisors will oversee the
work of the Clinicians, including approving documentation and claiming
in Electronic Medical Records. The Clinical Supervisor will be two years
post license and able to provide Board of Behavioral Sciences (BBS)
supervision.
8. If CONTRACTOR has other agreements with COUNTY to provide
mental health treatment services, it will establish criteria and protocols
to insure referral to services are therapeutically appropriate, benefits the
client and caregiver, achieves the client’s treatment goals and supports
the success of the CWS case plan and avoids any potential for
perceived or actual conflict of interest or self-referral.
B. Affordable Care Act and Medi-Cal Managed Care Plan requirements
1. CONTRACTOR understands that effective January 1, 2014, Medi-Cal
managed care health plans (MCPs) are required to serve Medi-Cal
beneficiaries with mild to moderate impairment of mental, emotional, or
behavioral functioning resulting from a mental health condition defined
by the current Diagnostic and Statistical Manual. Outpatient benefits
available through MCPs include:
a. Individual and group mental health evaluation and treatment
(psychotherapy)
b. Psychological testing, when clinically indicated to evaluate a
mental health condition;
c. Outpatient services for the purposes of monitoring drug
therapy;
d. Psychiatric consultation; and,
e. Outpatient laboratory, drugs, supplies and supplements
(excluding medications as described in the forthcoming “Medi-
Cal Managed Care Plan Responsibilities for Outpatient
Mental Health Services and Coordination with County Mental
Health Plans”)
2. CONTRACTOR will comply with all requirements established by the
Department of Health Care Services, Fresno County Mental Health Plan
and Medi-Cal managed care health plans (MCPs) for screening, referral,
and coordination of care when clinically appropriate.
C. Court-Specific Mental Health Services
1. CONTRACTOR will provide the following court-ordered mental health
services to children and families in CWS:
a. Court-Ordered Mental Health Assessments
Revised Exhibit A
Page 7 of 10
Clinical analysis of the history and current status of a
beneficiary’s mental, emotional, or behavioral disorder;
relevant cultural issues and history; diagnosis; and use of
testing procedures.
b. Psychological and Neuropsychological Evaluations
A structured, analytical interview with the client, minor,
parent, or guardian, which consists of a clinical
assessment, the use of testing instruments, a mental
status examination, and a clinical diagnosis (as
defined/ruled out using the ICD-10) that is performed only
by a Licensed Psychologist with at least 5 years of
postgraduate experience. Service also includes a review
of CPS and mental health services received to date and
contact with relevant others as necessary/possible. A
second psychological or neuropsychological evaluation
may be ordered and must be performed by a different
Licensed Psychologist and independent of the first
evaluation.
2. CONTRACTOR will be responsible for any court reports and/or
necessary testimony.
a. Court Reports
Documented report of assessment and evaluation
findings, progress in treatment, recommendations for
treatment and service plan regarding reunification,
maintenance and termination of parental rights, and
justification for recommendations.
b. Court Testimony
On-site court testimony of assessment and evaluation
findings, treatment and service plan recommendations
regarding reunification, maintenance and termination of
parental rights, and justification for recommendations.
D. Program Evaluation
1. Meet with COUNTY staff monthly or as often as needed for monitoring
of program services, client capacity, staffing levels and to exchange
pertinent operational information, resolve problems, and coordinate
services.
2. CONTRACTOR will adhere to the outcome measures developed by
COUNTY and any requirements established by the California
Department of Social Services and the California Department of Health
Services.
E. Data and Reporting
Revised Exhibit A
Page 8 of 10
1. Maintain and provide the COUNTY monthly with statistics on the number
of individuals/families to include:
a. Number of clients referred for mental health assessments;
average time between referral and the contact with
caregiver; average time between referral and the
assessment; number completed, number of missed/no
show appointments, number that did not meet Medi-Cal
medical necessity criteria
b. Number of clients referred for court-ordered services
including type of service, average time between referral to
contact with the caregiver to schedule the appointment,
average number of days between the referral and the
court-ordered service, number of missed/no show
appointments
c. Average wait time between assessment and first visit with
assigned therapist
d. Average wait time between referral and provision of
medication evaluation
e. Unique clients served; units and dollars of services billed,
average cost per client
f. Number and reasons for discharge from care
g. Current number of active clients in ongoing treatment
h. Total number of positions by discipline in the approved
budget, number of staff hired (including licensure,
ethnicity, bilingual language capability, clinical
training/certification in evidence-based practice(s) and
number of vacancies
(This information, in addition to the outcome measures to be developed,
will be provided to COUNTY monthly via an activity report template
developed by the COUNTY).
2. Maintain case files on each individual/family, including, but not limited to
the following information:
a. Documentation of referrals to/from COUNTY, self-referrals and
others;
b. Chronological record of individual and family services provided
including relevant contact dates, incidents, actions taken, and
results; and,
c. Case closure summary, indicating the reasons for closure and
the results of the services provided.
3. Maintain secure case files with limited access only to designated staff to
ensure confidentiality.
4. Submit a monthly activity report providing data on various case status,
etc . This report will be due no later than the 10th of each month.
Revised Exhibit A
Page 9 of 10
II. COUNTY SHALL BE RESPONSIBLE FOR THE FOLLOWING:
A. Provide mental health service referrals to CONTRACTOR for children and
families in CWS.
B. Designate a contact person for CONTRACTOR to communicate with when
necessary.
C. Meet with CONTRACTOR monthly or as often as needed, to exchange pertinent
information, resolve problems, and work together to coordinate referrals and
services.
D. Support coordination of Intensive Care Coordination meetings initially and no less
than every 90 days for a child/youth identified as a Katie A. Subclass member
E. Convene teaming meetings in alignment with California Partners for Permanency
(CAPP), Senate Bill 163 Wraparound, and Katie A. Core Practice models for which
CONTRACTOR will be required to participate when appropriate
F. Provide education and training on CWS, practice models and Medi-Cal licensing,
documentation and billing requirements as needed
III. PERFORMANCE MEASUREMENTS
Overall Service Objective:
Services provided by the CONTRACTOR will align and support the principles of Fresno’s
child welfare practice model, the Katie A Settlement Agreement, and the Senate Bill 163
Wraparound family-based service program.
Mental Health Services will be integrated, timely, ongoing and uninterrupted in a family-
focused, trauma-informed delivery model that supports the goals of the client plan
developed by COUNTY. Intensive home-based mental health services are expected to
provide children and families in the CWS system with effective treatment, improve
outcomes, promote wellness, aid in resiliency, and maintain family relationships
conducive to healthy emotional development.
Performance Outcomes and Measures:
Under the Katie A. Settlement Agreement and Implementation Plan, the California
Departments of Health Care Services (DHCS) and Social Services (CDSS) are working
to adopt statewide use of a data-informed system of performance oversight,
accountability, and communication that efficiently monitors, measures, and evaluates
access, quality, satisfaction, effectiveness, costs, and outcomes at the individual,
program, and system levels.
Revised Exhibit A
Page 10 of 10
Performance measurements developed by COUNTY will reflect the information required
by DHCS and CDSS. Outcome indicators for this Agreement will include but not be
limited to tracking trends of penetration rates, number of clients, wait times, treatment
duration, types of service, success rates, reunification rates, etc. These indicators will
continue to be developed in conjunction with CONTRACTOR, County, and State
departments.
Revised Exhibit B
Page:1 of 15
FTE %Admin.Direct Total
PERSONNEL SALARIES:
0001 4.00 $31,925 $31,925
0002 1.00 $11,435 $11,435
0003 1.00 $13,749 $13,749
0004 1.00 $6,667 $6,667
0005 2.00 $8,492 $8,492
0006 1.00 $4,764 $4,764
0007 0.20 $4,010 $4,010
0008 0.20 $3,157 $3,157
0009 0.40 $1,856 $1,856
0010 0.06 $721 $721
0011 0.50 $3,179 $3,179
0012 0.20 $2,730 $2,730
SALARY TOTAL 11.56 $20,417 $72,268 $92,685
PAYROLL TAXES:
0030 OASDI $1,266 $4,480 $5,746
0031 FICA/MEDICARE $296 $1,048 $1,344
0032 U.I.$276 $975 $1,251
PAYROLL TAX TOTAL $1,838 $6,503 $8,341
EMPLOYEE BENEFITS:
0040 Retirement $817 $2,890 $3,707
0041 Workers Compensation $613 $2,168 $2,781
0042 $4,492 $15,898 $20,390
EMPLOYEE BENEFITS TOTAL $5,922 $20,956 $26,878
SALARY & BENEFITS GRAND TOTAL $127,904
FACILITIES/EQUIPMENT EXPENSES:
1010 Rent/Lease Building $24,672
1011 Rent/Lease Equipment $600
1012 Utilities $0
1013 Janitorial $0
1014 Maintenance (facility)$444
1015 Security $4,620
1016 Maintenance (durable medical equipment) $0
1017 Depreciation $0
FACILITY/EQUIPMENT TOTAL $30,336
OPERATING EXPENSES:
1060 $11,100
1061 $0
1062 $735
1063 $0
1064 $0
1065 $0
Clinician I
CPM
Clinical Associate Director
Billing Specialist
Client Services Specialist
HIM Technician
ED, Regional Executive Director
Clinical Director
Health Information Management
Legal Notices/Advertising
Publications
Child Welfare Mental Health Services
Uplift Family Services
Start-Up Budget - October 1, 2015 to November 30, 2015
Budget Categories - Total Proposed Budget
Line Item Description (Must be itemized)
Health Insurance (medical vision, life, dental)
Telephone
Answering Service
Postage/Printing/Shipping
Printing/Reproduction
Learning Partner
Research Specialist
Quality Support
Revised Exhibit B
Page:2 of 15
Child Welfare Mental Health Services
Uplift Family Services
Start-Up Budget - October 1, 2015 to November 30, 2015
Budget Categories - Total Proposed Budget1066 $3,500
1067 $0
1068 $0
1069 $400
1070 $0
1071 $0
1072 $1,129
1073 Staff Travel (Out of County)$0
1074 $5,337
1075 Lodging $1,600
OPERATING EXPENSES TOTAL $23,801
FINANCIAL SERVICES EXPENSES:
1080 Accounting/Bookkeeping $0
1081 External Audit $0
1082 Liability Insurance $0
1083 Other - Administrative Overhead $0
FINANCIAL SERVICES TOTAL $0
SPECIAL EXPENSES (Consultant/Etc.):
1087 Consultant (network & data management)$22,500
1088 Translation Services $0
1089 Medication Supports $0
1090 Food Service $0
1091 Laundry Service $0
1092 Medical Waste Disposal $0
1093 Nutritionist Services $0
1094 X-ray and EKG Services $0
1095 Pharmaceutical Consultant $0
1096 Medical Services $0
SPECIAL EXPENSES TOTAL $22,500
FIXED ASSETS:
2000 Computers & Software $27,600
2001 Furniture & Fixtures $22,650
2002 Lifesize set-up $7,500
2003 (2) Therapy Room set-up $7,000
FIXED ASSETS TOTAL $64,750
TOTAL PROGRAM EXPENSES $269,290
Transportation of Clients
Staff Mileage/Vehicle Maintenance
Staff Training/Registration
Office Supplies & Equipment
Household Supplies
Food
Program Supplies - Therapeutic
Program Supplies - Medical
Revised Exhibit B
Page:3 of 15
Child Welfare Mental Health Services
Uplift Family Services
Start-Up Budget - October 1, 2015 to November 30, 2015
Budget Categories - Total Proposed Budget
DIRECT SERVICE REVENUE:
Vol/Units of
Svc Rate $ Amt.
3000 Mental Health Services 0 $0.00 $0
(Assessment, Plan of Care, Individual/Family/Group Therapy, Rehab)
3100 Case Management, Linkage/Brokerage 0 $0.00 $0
3200 Crisis Intervention 0 $0.00 $0
3300 Medication Support 0 $0.00 $0
3400 Collateral 0 $0.00 $0
DIRECT SERVICE REVENUE TOTAL 0 $0
$0
$0
$0
$0
Cost Per Unit #DIV/0!
OTHER REVENUE:
4000 Court Documentation, Report, Appearance
4100 Psychological Evaluations
4200 Other
4300 Other
OTHER REVENUE/SOCIAL SERVICES TOTAL $0
TOTAL PROGRAM REVENUE $0
Medi-cal Revenue
Medi-cal Revenue - 50% FFP
Medi-cal Revenue - 40% EPSDT
Medi-cal Revenue - 10% CGF
Revised Exhibit B
Page:4 of 15
FTE %Admin.Direct Total
PERSONNEL SALARIES:
0001 16.00 $446,955 $446,955
0002 2.00 $80,043 $80,043
0003 Facilitator I 4.00 $100,289 $100,289
0004 1.00 $48,121 $48,121
0005 1.00 $23,333 $23,333
0006 2.00 $29,723 $29,723
0007 1.00 $16,673 $16,673
0008 0.24 $17,262 $17,262
0009 0.24 $13,590 $13,590
0010 0.49 $7,990 $7,990
0011 0.07 $3,102 $3,102
0012 0.50 $11,126 $11,126
0013 0.25 $11,754 $11,754
SALARY TOTAL 28.79 $81,497 $728,464 $809,961
PAYROLL TAXES:
0030 OASDI $5,053 $45,164 $50,217
0031 FICA/MEDICARE $1,182 $10,562 $11,744
0032 U.I.$1,100 $9,834 $10,934
PAYROLL TAX TOTAL $7,335 $65,560 $72,895
EMPLOYEE BENEFITS:
0040 Retirement $3,260 $29,139 $32,399
0041 Workers Compensation $2,445 $21,854 $24,299
0042 $17,929 $160,262 $178,191
EMPLOYEE BENEFITS TOTAL $23,634 $211,255 $234,889
SALARY & BENEFITS GRAND TOTAL $1,117,745
FACILITIES/EQUIPMENT EXPENSES:
1010 Rent/Lease Building $45,629
1011 Rent/Lease Equipment $5,427
1012 Utilities $0
1013 Janitorial $0
1014 Maintenance (facility)$12,196
1015 Security $0
1016 Maintenance (durable medical equipment) $0
1017 Depreciation $10,798
FACILITY/EQUIPMENT TOTAL $74,050
OPERATING EXPENSES:
1060 $50,259
1061 $0
1062 $4,557
1063 $0
1064 $96
Health Insurance (medical vision, life, dental)
Telephone
Answering Service
Postage
Printing/Reproduction
Publications
Quality Support
Clinician I
CPM
Clinical Associate Director
Billing Specialist
Client Services Specialist
HIM Technician
ED, Regional Executive Director
Clinical Director
Health Information Management
Learning Partner
Research Specialist
Line Item Description (Must be itemized)
Child Welfare Mental Health Services
Uplift Family Services
December 1, 2015 to June 30, 2016
Budget Categories - Total Proposed Budget
Revised Exhibit B
Page:5 of 15
Child Welfare Mental Health Services
Uplift Family Services
December 1, 2015 to June 30, 2016
Budget Categories - Total Proposed Budget1065 $0
1066 $8,418
1067 $0
1068 $0
1069 $4,214
1070 $0
1071 $0
1072 $66,804
1073 Staff Travel (Out of County)$0
1074 $55,495
1075 Lodging $0
OPERATING EXPENSES TOTAL $189,843
FINANCIAL SERVICES EXPENSES:
1080 Accounting/Bookkeeping $0
1081 External Audit $1,494
1082 Liability Insurance $16,938
1083 Other - Administrative Overhead $249,554
FINANCIAL SERVICES TOTAL $267,986
SPECIAL EXPENSES (Consultant/Etc.):
1087 Consultant (network & data management)$12,967
1088 Translation Services $875
1089 Medication Supports $53,084
1090 Food Service $0
1091 Laundry Service $0
1092 Medical Waste Disposal $0
1093 Nutritionist Services $0
1094 X-ray and EKG Services $0
1095 Pharmaceutical Consultant $0
1096 Medical Services $0
SPECIAL EXPENSES TOTAL $66,926
FIXED ASSETS:
2000 Computers & Software $0
2001 Furniture & Fixtures $0
FIXED ASSETS TOTAL $0
TOTAL PROGRAM EXPENSES $1,716,550
Transportation of Clients
Staff Mileage/Vehicle Maintenance
Staff Training/Registration
Program Supplies - Medical
Legal Notices/Advertising
Office Supplies & Equipment
Household Supplies
Food
Program Supplies - Therapeutic
Revised Exhibit B
Page:6 of 15
Child Welfare Mental Health Services
Uplift Family Services
December 1, 2015 to June 30, 2016
Budget Categories - Total Proposed Budget
DIRECT SERVICE REVENUE:
Vol/Units of
Svc Rate $ Amt.
3000 Mental Health Services 396,195 $2.61 $1,034,069
(Assessment, Plan of Care, Individual/Family/Group Therapy, Rehab)
3100 Case Management, Linkage/Brokerage 98,760 $2.02 $199,495
3200 Crisis Intervention 0 $0.00 $0
3300 Medication Support 29,668 $4.82 $143,000
3400 Collateral 0 $2.61 $0
3500 ICC 29,668 $2.02 $59,929
3600 IHBS 41,534 $2.61 $108,404
DIRECT SERVICE REVENUE TOTAL 595,825 $1,544,895
$772,448
$617,958
$154,490
$1,544,895
Cost Per Unit $2.59
Social Services Revenue $171,655
OTHER REVENUE:
4000 Court Documentation, Report, Appearance 0 59.41$ $0
4100 Psychological Evaluations 0 -$ $0
4200 Child Welfare System $171,655
OTHER REVENUE/SOCIAL SERVICES TOTAL $171,655
TOTAL PROGRAM REVENUE $1,716,550
Medi-cal Revenue
Medi-cal Revenue - 50% FFP
Medi-cal Revenue - 40% EPSDT
Medi-cal Revenue - 10% CGF
Revised Exhibit B
Page:7 of 15
FTE %Admin.Direct Total
PERSONNEL SALARIES:
0001 18.00 $933,666 $933,666
0002 2.00 $148,559 $148,559
0003 Facilitator I 0.25 $12,225 $12,225
0004 2.00 $71,133 $71,133
0005 1.00 $69,612 $69,612
0006 1.00 $84,968 $84,968
0007 Program Shared Staff 3.13 $192,258 $192,258
SALARY TOTAL 27.38 $192,258 $1,320,163 $1,512,421
PAYROLL TAXES:
0030 OASDI $11,807 $81,072 $92,879
0031 FICA/MEDICARE $2,761 $18,961 $21,722
0032 U.I.$1,904 $13,077 $14,981
PAYROLL TAX TOTAL $16,472 $113,110 $129,582
EMPLOYEE BENEFITS:
0040 Retirement $7,617 $52,305 $59,922
0041 Workers Compensation $2,856 $19,615 $22,471
0042 $45,576 $312,957 $358,533
EMPLOYEE BENEFITS TOTAL $56,049 $384,877 $440,926
SALARY & BENEFITS GRAND TOTAL $2,082,929
FACILITIES/EQUIPMENT EXPENSES:
1010 Rent/Lease Building $76,666
1011 Rent/Lease Equipment $14,033
1012 Utilities $0
1013 Janitorial $0
1014 Maintenance (facility)$7,182
1015 Security $0
1016 Maintenance (durable medical equipment) $0
1017 Depreciation $9,814
FACILITY/EQUIPMENT TOTAL $107,695
OPERATING EXPENSES:
1060 $40,290
1061 $0
1062 $2,385
1063 $0
1064 $400
1065 $0
1066 $8,686
1067 $0
1068 $0
1069 $40,217
1070 $0Program Supplies - Medical
Program Supplies - Therapeutic
Health Insurance (medical vision, life, dental)
Telephone
Answering Service
Postage
Printing/Reproduction
Publications
Legal Notices/Advertising
Office Supplies & Equipment
Household Supplies
Food
Child Welfare Mental Health Services
Uplift Family Services
July 1, 2016 to June 30, 2017
Budget Categories - Total Proposed Budget
Associate Director
Line Item Description (Must be itemized)
Clinician I
Clinical Program Manager
Family Specialist
Clinical Coordinator
Revised Exhibit B
Page:8 of 15
Child Welfare Mental Health Services
Uplift Family Services
July 1, 2016 to June 30, 2017
Budget Categories - Total Proposed Budget1071 $0
1072 $82,463
1073 Staff Travel (Out of County)$0
1074 $24,358
1075 Lodging $0
OPERATING EXPENSES TOTAL $198,799
FINANCIAL SERVICES EXPENSES:
1080 Accounting/Bookkeeping $0
1081 External Audit $2,563
1082 Liability Insurance $17,912
1083 Other - Administrative Overhead $450,000
FINANCIAL SERVICES TOTAL $470,475
SPECIAL EXPENSES (Consultant/Etc.):
1087 Consultant (network & data management)$72,102
1088 Translation Services $0
1089 Medication Supports $68,000
1090 Food Service $0
1091 Laundry Service $0
1092 Medical Waste Disposal $0
1093 Nutritionist Services $0
1094 X-ray and EKG Services $0
1095 Pharmaceutical Consultant $0
1096 Medical Services $0
1097 On Call Staff $0
SPECIAL EXPENSES TOTAL $140,102
FIXED ASSETS:
2000 Computers & Software $0
2001 Furniture & Fixtures $0
FIXED ASSETS TOTAL $0
TOTAL PROGRAM EXPENSES $3,000,000
Transportation of Clients
Staff Mileage/Vehicle Maintenance
Staff Training/Registration
Revised Exhibit B
Page:9 of 15
Child Welfare Mental Health Services
Uplift Family Services
July 1, 2016 to June 30, 2017
Budget Categories - Total Proposed Budget
DIRECT SERVICE REVENUE:
Vol/Units of
Svc Rate $ Amt.
3000 Mental Health Services 773,092 $2.61 $2,017,770
(Assessment, Plan of Care, Individual/Family/Group Therapy, Rehab)
3100 Case Management, Linkage/Brokerage 127,084 $2.02 $256,710
3200 Crisis Intervention 0 $3.88 $0
3300 Medication Support 10,590 $4.82 $51,044
3400 Collateral 63,542 $2.61 $165,845
3500 ICC 21,181 $2.02 $42,786
3600 IHBS 63,542 $2.61 $165,845
DIRECT SERVICE REVENUE TOTAL 1,059,031 $2,700,000
$1,350,000
$1,080,000
$270,000
$2,700,000
Cost Per Unit $2.55
Social Services Revenue $300,000
OTHER REVENUE:
4000 Court Documentation, Report, Appearance 505 59.41$ $30,000
4100 Psychological Evaluations 10,012 2.89$ $28,936
4200 Other $241,064
OTHER REVENUE/SOCIAL SERVICES TOTAL $300,000
TOTAL PROGRAM REVENUE $3,000,000
Medi-cal Revenue - 10% CGF
Medi-cal Revenue
Medi-cal Revenue - 50% FFP
Medi-cal Revenue - 40% EPSDT
Revised Exhibit B
Page:10 of 15
FTE %Admin.Direct Total
PERSONNEL SALARIES:
0001 19.00 $995,776 $995,776
0002 4.00 $221,006 $221,006
0003 Family Specialist 3.00 $105,682 $105,682
0004 1.00 $83,985 $83,985
0005 4.00 $285,169 $285,169
0006 1.00 $76,268 $76,268
0007 1.00 $44,410 $44,410
0008 4.94 $259,372 $259,372
SALARY TOTAL 37.94 $259,372 $1,812,296 $2,071,668
PAYROLL TAXES:
0030 OASDI $16,004 $111,853 $127,857
0031 FICA/MEDICARE $3,743 $26,159 $29,902
0032 U.I.$2,581 $18,036 $20,617
PAYROLL TAX TOTAL $22,328 $156,048 $178,376
EMPLOYEE BENEFITS:
0040 Retirement $10,328 $72,156 $82,484
0041 Workers Compensation $3,872 $27,060 $30,932
0042 $64,533 $451,008 $515,541
EMPLOYEE BENEFITS TOTAL $78,733 $550,224 $628,957
SALARY & BENEFITS GRAND TOTAL $2,879,001
FACILITIES/EQUIPMENT EXPENSES:
1010 Rent/Lease Building $114,386
1011 Rent/Lease Equipment $31,829
1012 Utilities $0
1013 Janitorial $0
1014 Maintenance (facility)$9,216
1015 Security $0
1016 Maintenance (durable medical equipment) $0
1017 Depreciation $6,554
FACILITY/EQUIPMENT TOTAL $161,985
OPERATING EXPENSES:
1060 $56,633
1061 $0
1062 $2,452
1063 $0
1064 $450
1065 $0
1066 $10,458
1067 $0
1068 $0
1069 $53,576
Health Insurance (medical vision, life, dental)
Telephone
Answering Service
Postage
Printing/Reproduction
Publications
Legal Notices/Advertising
Office Supplies & Equipment
Household Supplies
Food
Program Supplies - Therapeutic
Program Shared Staff
Clinician I
Clinician II
Associate Director
Clinical Program Manager
Clinical Coordinator
Client Service Coordinator
Line Item Description (Must be itemized)
Child Welfare Mental Health Services
Uplift Family Services
July 1, 2017 to June 30, 2018
Budget Categories - Total Proposed Budget
Revised Exhibit B
Page:11 of 15
Child Welfare Mental Health Services
Uplift Family Services
July 1, 2017 to June 30, 2018
Budget Categories - Total Proposed Budget1070 $0
1071 $0
1072 $72,381
1073 Staff Travel (Out of County)$0
1074 $44,350
1075 Lodging $0
OPERATING EXPENSES TOTAL $240,300
FINANCIAL SERVICES EXPENSES:
1080 Accounting/Bookkeeping $0
1081 External Audit $3,015
1082 Liability Insurance $19,779
1083 Other - Administrative Overhead $600,000
FINANCIAL SERVICES TOTAL $622,794
SPECIAL EXPENSES (Consultant/Etc.):
1087 Consultant (network & data management)$43,600
1088 Translation Services $0
1089 Medication Supports $52,320
1090 Food Service $0
1091 Laundry Service $0
1092 Medical Waste Disposal $0
1093 Nutritionist Services $0
1094 X-ray and EKG Services $0
1095 Pharmaceutical Consultant $0
1096 Medical Services $0
1097 On Call Staff $0
SPECIAL EXPENSES TOTAL $95,920
FIXED ASSETS:
2000 Computers & Software $0
2001 Furniture & Fixtures $0
FIXED ASSETS TOTAL $0
TOTAL PROGRAM EXPENSES $4,000,000
Transportation of Clients
Staff Mileage/Vehicle Maintenance
Staff Training/Registration
Program Supplies - Medical
Revised Exhibit B
Page:12 of 15
Child Welfare Mental Health Services
Uplift Family Services
July 1, 2017 to June 30, 2018
Budget Categories - Total Proposed Budget
DIRECT SERVICE REVENUE:
Vol/Units of
Svc Rate $ Amt.
3000 Mental Health Services 1,030,790 $2.61 $2,690,362
(Assessment, Plan of Care, Individual/Family/Group Therapy, Rehab)
3100 Case Management, Linkage/Brokerage 169,445 $2.02 $342,279
3200 Crisis Intervention 0 $3.88 $0
3300 Medication Support 14,120 $4.82 $68,058
3400 Collateral 84,722 $2.61 $221,124
3500 ICC 28,242 $2.02 $57,049
3600 IHBS 84,723 $2.61 $221,127
DIRECT SERVICE REVENUE TOTAL 1,412,042 $3,600,000
$1,800,000
$1,440,000
$360,000
$3,600,000
Cost Per Unit $2.55
Social Services Revenue $400,000
OTHER REVENUE:
4000 Court Documentation, Report, Appearance 673 59.41$ $40,000
4100 Psychological Evaluations 14,400 2.89$ $41,616
4200 Child Welfare System $318,384
OTHER REVENUE/SOCIAL SERVICES TOTAL $400,000
TOTAL PROGRAM REVENUE $4,000,000
Medi-cal Revenue
Medi-cal Revenue - 50% FFP
Medi-cal Revenue - 40% EPSDT
Medi-cal Revenue - 10% CGF
Revised Exhibit B
Page:13 of 15
FTE %Admin.Direct Total
PERSONNEL SALARIES:
0001 19.00 $1,025,513 $1,025,513
0002 4.00 $227,606 $227,606
0003 Family Specialist 3.00 $108,838 $108,838
0004 1.00 $86,493 $86,493
0005 4.00 $293,685 $293,685
0006 1.00 $78,546 $78,546
0007 1.00 $45,736 $45,736
0008 4.94 $266,337 $266,337
SALARY TOTAL 37.94 $266,337 $1,866,417 $2,132,754
PAYROLL TAXES:
0030 OASDI $16,436 $115,208 $131,644
0031 FICA/MEDICARE $3,844 $26,944 $30,788
0032 U.I.$2,651 $18,576 $21,227
PAYROLL TAX TOTAL $22,931 $160,728 $183,659
EMPLOYEE BENEFITS:
0040 Retirement $10,602 $74,328 $84,930
0041 Workers Compensation $3,979 $27,876 $31,855
0042 $66,275 $483,120 $549,395
EMPLOYEE BENEFITS TOTAL $80,856 $585,324 $666,180
SALARY & BENEFITS GRAND TOTAL $2,982,593
FACILITIES/EQUIPMENT EXPENSES:
1010 Rent/Lease Building $114,268
1011 Rent/Lease Equipment $15,348
1012 Utilities $0
1013 Janitorial $0
1014 Maintenance (facility)$2,006
1015 Security $0
1016 Maintenance (durable medical equipment) $0
1017 Depreciation $6,547
FACILITY/EQUIPMENT TOTAL $138,169
OPERATING EXPENSES:
1060 $56,625
1061 $0
1062 $2,450
1063 $0
1064 $449
1065 $0
1066 $10,243
1067 $0
1068 $0
1069 $12,879Program Supplies - Therapeutic
Program Shared Staff
Health Insurance (medical vision, life, dental)
Telephone
Answering Service
Postage
Printing/Reproduction
Publications
Legal Notices/Advertising
Office Supplies & Equipment
Household Supplies
Food
Client Service Coordinator
Child Welfare Mental Health Services
Uplift Family Services
July 1, 2018 to June 30, 2019
Budget Categories - Total Proposed Budget
Line Item Description (Must be itemized)
Clinician I
Clinician II
Associate Director
Clinical Program Manager
Clinical Coordinator
Revised Exhibit B
Page:14 of 15
Child Welfare Mental Health Services
Uplift Family Services
July 1, 2018 to June 30, 2019
Budget Categories - Total Proposed Budget1070 $0
1071 $0
1072 $72,375
1073 Staff Travel (Out of County)$0
1074 $22,506
1075 Lodging $0
OPERATING EXPENSES TOTAL $177,527
FINANCIAL SERVICES EXPENSES:
1080 Accounting/Bookkeeping $0
1081 External Audit $3,015
1082 Liability Insurance $19,776
1083 Other - Administrative Overhead $600,000
FINANCIAL SERVICES TOTAL $622,791
SPECIAL EXPENSES (Consultant/Etc.):
1087 Consultant (network & data management)$26,600
1088 Translation Services $0
1089 Medication Supports $52,320
1090 Food Service $0
1091 Laundry Service $0
1092 Medical Waste Disposal $0
1093 Nutritionist Services $0
1094 X-ray and EKG Services $0
1095 Pharmaceutical Consultant $0
1096 Medical Services $0
1097 On Call Staff $0
SPECIAL EXPENSES TOTAL $78,920
FIXED ASSETS:
2000 Computers & Software $0
2001 Furniture & Fixtures $0
FIXED ASSETS TOTAL $0
TOTAL PROGRAM EXPENSES $4,000,000
Program Supplies - Medical
Transportation of Clients
Staff Mileage/Vehicle Maintenance
Staff Training/Registration
Revised Exhibit B
Page:15 of 15
Child Welfare Mental Health Services
Uplift Family Services
July 1, 2018 to June 30, 2019
Budget Categories - Total Proposed Budget
DIRECT SERVICE REVENUE:
Vol/Units of
Svc Rate $ Amt.
3000 Mental Health Services 1,030,790 $2.61 $2,690,362
(Assessment, Plan of Care, Individual/Family/Group Therapy, Rehab)
3100 Case Management, Linkage/Brokerage 169,445 $2.02 $342,279
3200 Crisis Intervention 0 $3.88 $0
3300 Medication Support 14,120 $4.82 $68,058
3400 Collateral 84,722 $2.61 $221,124
3500 ICC 28,242 $2.02 $57,049
3600 IHBS 84,723 $2.61 $221,127
DIRECT SERVICE REVENUE TOTAL 1,412,042 $3,600,000
$1,800,000
$1,440,000
$360,000
$3,600,000
Cost Per Unit $2.55
Social Services Revenue $400,000
OTHER REVENUE:
4000 Court Documentation, Report, Appearance 673 59.41$ $40,000
4100 Psychological Evaluations 14,400 2.89$ $41,616
4200 Child Welfare System $318,384
OTHER REVENUE/SOCIAL SERVICES TOTAL $400,000
TOTAL PROGRAM REVENUE $4,000,000
Medi-cal Revenue - 10% CGF
Medi-cal Revenue
Medi-cal Revenue - 50% FFP
Medi-cal Revenue - 40% EPSDT