HomeMy WebLinkAboutAgreement A-13-315-1 with CYS, EPU, and Uplift Family Services.pdf
COUNTY OF FRESNO
Fresno, CA
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AMENDMENT I TO AGREEMENT
THIS AMENDMENT, hereinafter referred to as Amendment I, is made and entered into this
_______ day of ______________, 2017, by and between the COUNTY OF FRESNO, a Political
Subdivision of the State of California, hereinafter referred to as “COUNTY,” and each provider listed
in Revised Exhibit A, attached hereto and by this reference incorporated herein, and collectively
referred to hereinafter as “CONTRACTORS.” Reference in this Amendment to “party” or “parties”
shall be understood to refer to COUNTY and each individual CONTRACTOR, unless otherwise
specified.
WHEREAS, the parties entered into that certain Agreement, identified as COUNTY Agreement
No. 13-315, effective July 1, 2013, (hereinafter referred to as the Agreement) whereby
CONTRACTOR agreed to provide a Mental Health Services Act (MHSA) funded Full Service
Partnership (FSP) Mental Health and Community Services and Supports services to underserved or
unserved high risk children ages primarily 0–10 with Serious Emotional Disturbance (SED), and their
families.
WHEREAS, the parties desire to amend the Agreement regarding changes as stated below and
restate the Agreement in its entirety.
NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which
is hereby acknowledged, the parties agree as follows:
1. All references in the Agreement to “Exhibit A” shall be replaced by “Revised Exhibit
A.” Revised Exhibit A is attached hereto and incorporated herein by this reference.
2. All references in the Agreement to “Exhibit B” shall be replaced by “Revised Exhibit
B.” Revised Exhibit B is attached hereto and incorporated herein by this reference.
3. All references in the Agreement to “Exhibit C” shall be replaced by “Revised Exhibit
C.” Revised Exhibit C is attached hereto and incorporated herein by this reference.
4. That the following text in the Agreement, Page Three (3), beginning with Paragraph
Four (4), Line Twenty-Three (23), with the number “4” and ending on Page Three (3), Line Twenty-
Seven (27) with the word “Term” shall be deleted and the following inserted in its place:
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COUNTY OF FRESNO
Fresno, CA
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“4. COMPENSATION
“Contingent upon confirmation of funding by the California Department of Health Care
Services, COUNTY agrees to pay CONTRACTOR and CONTRACTOR agrees to receive
compensation for actual expenditures incurred in accordance with the budget projections specified
Revised Exhibit C: Full Service Partnership Budget, attached hereto and incorporated herein by
reference.
The maximum collective compensation under this Agreement for each twelve month
period from July 1, 2013 through June 30, 2017 shall not exceed Three Million Four Hundred Three
Thousand Three Hundred Thirty-Nine and No/100 Dollars ($3,403,339.00). The maximum collective
compensation under this Agreement for the period of July 1, 2017 through June 30, 2018 shall not
exceed Four Million Five Hundred Forty-Eight Thousand Six Hundred Seventy-Nine and No/100
Dollars ($4,548,679.00). The total contract maximum for the entire Term of this Agreement shall not
exceed Eighteen Million One Hundred Sixty-Two Thousand Thirty-Five and No/100 Dollars
($18,162,035.00).”
5. That Paragraph Seven (7) – Modification – of the Agreement, on Page Eight (8),
beginning on Line Seventeen (17), and ending on Page Eight (8), Line Twenty-Four (24) shall be
deleted in its entirety and the following inserted in its place:
“7. MODIFICATION
Notwithstanding the above, changes to services as needed to accommodate changes in
the law relating to mental health and substance use disorder treatment, as set forth in Revised Exhibit
B, may be made with the signed written approval of COUNTY’s DBH Director or designee and
CONTRACTOR through an amendment approved by County Counsel and Auditor. Changes to line
items in the budget, as set forth in Revised Exhibit C, that do not exceed 10% of the maximum
compensation payable to CONTRACTOR, may be made with the written approval of COUNTY’s
Department of Behavioral Health Director, or her designee. Changes to the line items in the budget
that exceed ten percent (10%) of the maximum compensation payable to CONTRACTOR, may be
made with the signed written approval of COUNTY’s Department of Behavioral Health Director, or
designee through an amendment approved by County Counsel and Auditor. Said budget line item
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Fresno, CA
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changes shall not result in any change to the annual maximum compensation amount payable to
CONTRACTOR, as stated in this Agreement.”
6. That Paragraph Nineteen (19) – Health Insurance Portability and Accountability Act – of
the Agreement, on Page Fifteen (15), beginning on Line Seven (7), and ending on Page Twenty-Two
(22), Line One (1) shall be deleted in its entirety and the following inserted in its place:
“19. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
COUNTY and CONTRACTOR each consider and represent themselves as covered
entities as defined by the U.S. Health Insurance Portability and Accountability Act of 1996, Public
Law 104-191(HIPAA) and agree to use and disclose protected health information as required by law.
COUNTY and CONTRACTOR acknowledge that the exchange of protected health
information between them is only for treatment, payment, and health care operations.
COUNTY and CONTRACTOR intend to protect the privacy and provide for the
security of Protected Health Information (PHI) pursuant to the Agreement in compliance with HIPAA,
the Health Information Technology for Economic and Clinical Health Act, Public Law 111-005
(HITECH), and regulations promulgated thereunder by the U.S. Department of Health and Human
Services (HIPAA Regulations) and other applicable laws.
As part of the HIPAA Regulations, the Privacy Rule and the Security Rule require
CONTRACTOR to enter into a contract containing specific requirements prior to the disclosure of
PHI, as set forth in, but not limited to, Title 45, Sections 164.314(a), 164.502(e) and 164.504(e) of the
Code of Federal Regulations (CFR).”
7. That Paragraph Thirty-Three (33) – Notices – of the Agreement, on Page Thirty-Three
(33), beginning on Line Twelve (12), and ending on Page Thirty-Three (33), Line Twenty-Two (22)
shall be deleted in its entirety and the following inserted in its place:
“33. NOTICES
The persons having authority to give and receive notices under this Agreement and their
addresses include the following:
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COUNTY OF FRESNO
Fresno, CA
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COUNTY CONTRACTOR
Director, Fresno County
Department of Behavioral Health SEE REVISED EXHIBIT A
3133 N. Millbrook Avenue
Fresno, CA 93703
Any and all notices between COUNTY and CONTRACTOR provided for or permitted
under this Agreement or by law shall be in writing and shall be deemed duly served when personally
delivered to one of the parties, or in lieu of such personal service, when deposited in the United States
Mail, postage prepaid, addressed to such party.”
8. COUNTY and CONTRACTOR agree that this Amendment I is sufficient to amend the
Agreement No. 13-315; 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 upon execution by all parties.
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1 IN WITNESS WHEREOF , the parties hereto have ex ecuted this Amendment I to Agreement
2 No . 13-315 as of the day and year first hereinabove written .
3
4 ATTEST:
5 CONTRACTOR:
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PLEASE SEE ATTACHED SIGNATURES
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COUNTY OF FRESNO
By: {L~
Chairman , Board of Supervisors
Date: 7 -\ \ -\ 'J
BERNICE E . SEIDEL, Clerk
Board of Supervisors
Date : '/-\\-\1
PLEASE SEE ADDITIONAL
SIGNATURE PAGES ATTACHED
COUNTY OF FRESN O
Fresn o , CA
12345678910111213141516171819202122232425262728APPROVEDASTOLEGALFORM:DANIELC.CEDERBORG,COUNTYCOUNSELBy,Q\APPROVEDASTOACCOUNTINGFORM:OSCARJ.GARCIA,C.P.A.,AUDITOR-CONTROLLER/TREASURER-TAXCOLLECTORByfh'Lf(REVIEWEDANDRECOMMENDEDFORAPPROVAL:DawanUtecht,DirectorDepartmentofBehavioralFlealthFund/Subclass:0001/10000Organization:56304320Account/Program:7295/0-6-COUNTYOFFRESNOFresno,CA
12345678910111213141516171819202122232425262728COMPREHENSIVEYOUTHSERVICESOFFRESNO,INC.PrintName:ChairmanofBoard,orPresidentOranyVicePresidentBy:APrintName:rA.-ypJTitle:Af)CS'tJ"5SecretaryofCbrpqfj-ktion^cjrAnyAssistantSecretary,orChiefFinancialOfficer,orAnyAssistantTreasurerMailingAddress:4545N.WestAvenueFresno,CA93705(559)229-3561Contact:BeckyKramer,ExecutiveDirector7COUNTYOFFRESNOFresno,CA
1 EXCEPTIONAL PARENTS UNLIMTED, INC.
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Print Name: \ r ~""' tl Ce-o \?-0-V
Title: C I\ Ki r l'Y\WA o f l::>oa...-r cl
Chairman of Board, or President
Or any Vice President
~~
Print Name: Sv 2.-f:l(\1 rJ£" E-I f CS
...
{' ~ Title: e ~ ~-secretOf corporatiOI;, or ~
Any Assistant Secretary, or
Chief Financial Officer, or
Any Assistant Treasurer
Mailing Address:
4440 N. Fresno Street
Fresno, CA 93 726
(559) 229-2000
Contact: Ellen Knapp, Executive Director
-8 -
By :_fL~· ~_j_ __
Chairman, Board of Supervisors
Date: __ ·[.!.....-__c\'-1:..\ _-.!.....\]-1-------
BERNICE E. SEIDEL, Clerk
Board of Supervisors
By : &.&ffid\-~sh O'f>i fup ~
Date: __ '1...!....__-.LJl \'---_._1 J.+-----
COUNTY OF FRESN O
Fresno, CA
12345678910111213141516171819202122232425262728UPLIFTFAMILYSERVICES,INC.By:.Printl^VTitle:t&oChairmanofBoard,orPresidentOranyVicePresidentBy:Li-Li\®PrintName:J>-tz>U-nz-'bOTitle:d/^SecretaryofCorporation,orAnyAssistantSecretary,orChiefFinancialOfficer,orAnyAssistantTreasurerMailingAddress:251LlewellynAvexxxCampbell,CA95008(408)379-3790(559)446-3054Contact:MarilynBamford,ExecutiveDirector,CentralRegion-9-COUNTYOFFRESNOFresno,CA
Revised Exhibit A
Page 1 of 1
Mental Health Services Act
Bright Beginnings for Families
Full Service Partnership Services for Children Ages 0–10 Years
Provider List
Uplift Family Services
251 Llewellyn Avenue
Campbell, CA 95008
Phone: (408) 379-3790
(559) 446-3054
Contact: Marilyn Bamford, Executive Director, Central Region
Comprehensive Youth Services of Fresno, Inc.
4545 N. West Avenue
Fresno, CA 93705
Phone: (559) 229-3561
Contact: Becky Kramer, Executive Director
Exceptional Parents Unlimited, Inc.
4440 N. First Street
Fresno, CA 93726
Phone: (559) 229-2000
Contact: Ellen Knapp, Executive Director
Revised Exhibit B
Page 1 of 11
Bright Beginnings for Families
MHSA Full Service Partnership Services to Children/Youth Ages 0 – 10 Years
Scope of Work
ORGANIZATIONS: Uplift Family Services, Inc. (formerly EMQ Families First, Inc.)
1630 E. Shaw Avenue, Suite 150
Fresno, CA 93710
Comprehensive Youth Services of Fresno, Inc. (CYS)
4545 N. West Avenue
Fresno, CA 93705
Exceptional Parents Unlimited, Inc. (EPU)
4440 N. First Street
Fresno, CA 93726
SERVICES: Full Services Partnership Services to Children/Youth 0 – 10 Years
CONTRACT TERM: July 1, 2013 – June 30, 2018
CONTRACT AMOUNT: FY 2013-14 $3,403,339
FY 2014-15 $3,403,339
FY 2015-16 $3,403,339
FY 2016-17 $3,403,339
FY 2017-18 $4,548,679
I. SCHEDULE OF SERVICES:
CONTRACTORS’ staff shall be available to provide services and supports to clients 24 hours per day,
seven (7) days per week.
II. TARGET POPULATION:
CONTRACTORS shall provide Full Service Partnership (FSP) Community Services and Support
services (mental health and non-mental health services) to children and youth, ages 0 - 10, with
serious emotional disturbance (SED), and their families as stated in COUNTY’s RFP #952-5113 and
CONTRACTORS’ response to RFP #952-5113. CONTRACTORS will provide expanded services to
care givers of youth, as needed, to positively impact the wellness and recovery of participating youth.
The target population shall include children and families who live in rural and metro areas; have no or
limited means of payment for services; have traditionally been reluctant to seek services from
traditional mental health settings; and are in danger of homelessness, hospitalizations,
incarcerations, out of home placements, and/or emergency room visits.
A minimum caseload of 250 clients shall be enrolled in this program throughout each twelve (12) month
period of this Agreement. Uplift Family Services will maintain a caseload of 150 children, EPU will
maintain a caseload of 50 children, and CYS will maintain a caseload of 50 children.
III. PROJECT DESCRIPTION:
Uplift Family Services will partner with EPU and CYS, to expand the scope and capacity of
COUNTY’s existing multi-agency FSP Program targeting historically unserved and underserved
children from birth through 10 years of age, and their families.
This program shall meet the requirements of a Mental Health Services Act (MHSA) Full Service
Revised Exhibit B
Page 2 of 11
Partnership (FSP) program as defined in the California Code of Regulations, Title 9, Section
3200.130.
The Individual Services and Supports Plan (ISSP) and the plan of car, both collaboratively created by
the child, family, and CONTRACTORS, determine the services and supports to be provided to each
child and family.
The concepts of wellness and recovery shall be embedded in this program through all interventions
which focuses on the strengths of the family and work toward the goal of enhancing those strengths
and self-sufficiency.
CONTRACTORS shall provide services that encourage children and families to achieve wellness and
recovery, and utilize a “whatever it takes” approach to help children and families reach their treatment
goals. As children and families advance in the program they should be able to reach a level of
wellness and recovery that would allow them to successfully discharge from the program or move to
a lower level of service. CONTRACTORS shall make appropriate decisions that allow them to
efficiently serve enrolled children and families and those that are on a waiting list for services.
IV. CONTRACTORS RESPONSIBILITIES:
CONTRACTORS shall:
A. Provide the following as it relates to CONTRACTORS’ roles:
1. Provide MHSA FSP Care Management/Personal Service Coordination for all children and
families receiving services under this Agreement. Care management, also referred to as
personal service coordination, is described in Section IV.C of this Revised Exhibit B.
2. Coordinate and facilitate collaboration of FSP program to ensure the service delivery
system provides seamless, comprehensive, and intensive services and supports for each
child and family receiving services under this Agreement.
3. Measure and report client and system outcomes consistent with the COUNTY’s MHSA
plan requirements, with Uplift Family Services serving as the manager of outcome data.
CONTRACTORS shall enter data in the State’s Data Collection and Reporting (DCR)
System in accordance with MHSA FSP requirements.
4. Comprehensive Youth Services shall serve as the primary provider of the following
treatment services:
a) Parent-Child Interaction Therapy (PCIT) treatment services for children and families
that meet the criteria for PCIT services. The PCIT treatment model is described in
Section IV.D of this Revised Exhibit B.
b) Child Parent Psychotherapy (CPP) for children and families that meet CPP criteria, as
a secondary provider, as needed. The CPP treatment model is described in Section
IV.F of this Revised Exhibit B.
5. Exceptional Parents Unlimited shall serve as the primary provider of the following
treatment services:
a) Incredible Years (IY) therapy for children and families that meet the criteria for IY
services. The IY treatment model is described in Section IV.E of this Revised Exhibit
B.
b) Child Parent Psychotherapy (CPP) for children and families that meet the criteria for
Revised Exhibit B
Page 3 of 11
CPP services.
c) Parent-Child Interaction Therapy (PCIT) services for children and families that meet
PCIT criteria, as a secondary provider, as needed.
6. Uplift Family Services shall serve as the primary provider of the following treatment
services:
a) Positive Parenting Program (Triple P) services for children and families that meet the
criteria for Triple P services. Triple P is described in Section IV.G of this Revised
Exhibit B.
b) Trauma Focused Cognitive Behavioral Therapy (TF CBT) for children and families that
meet the criteria for TF CBT services. TF CBT is described in Section IV.H of this
Revised Exhibit B.
c) Managing and Adapting Practices (MAP) services for children and families that meet
the criteria for MAP services. MAP services are described in Section IV.I of this
Revised Exhibit B.
7. Institute mental health treatment models other than those listed above, as needed, to meet
the mental health treatment needs of the children and families engaged in services offered
through this Agreement.
B. Provide the following staffing components:
1. Personal Service Coordinators (PSC) will each have a caseload of 12-14 clients. At least
one of the PSC positions shall be occupied by a former client or family member with
comparable experience to the child and family receiving services. These positions shall
be recruited based on linguistic and cultural needs of the targeted population (e.g., Latino,
Southeast Asian, African American, Native American, and/or SED). A Bachelors degree
level is preferred for the requirements of the PSC positions; however, 12 college units
(psychology, counseling, etc.) with mental health experience can act as a substitute for the
Bachelors degree requirement.
2. Family Partners, or equivalent, occupied by a former client or family member with
comparable experience to the child and family receiving services.
3. Licensed or license-eligible therapists to provide linkages and therapeutic services to
enrolled children and their caregivers as identified in the individual services and supports
plan.
4. Licensed or license-eligible therapists to provide evidenced-based clinical treatment. At
least one of the therapist positions will be occupied by a former client or family member
with comparable experience to the child and family receiving services. At least one of the
therapist positions shall be occupied by a licensed clinician with advanced training in infant
mental health in order to provide adequate oversight. These positions shall be recruited
based on linguistic and cultural needs of the targeted population (e.g., Latino, Southeast
Asian, African American, Native American, and/or SED).
C. Provide the following specific services as it relates to Personal Service Coordination:
1. Assign a primary Personal Service Coordinator (PSC) to each identified client. The
primary PSC will work with each client, and family member when appropriate, to develop
the client’s ISSP. The ISSP is used to identify the client’s goals and describe the array of
services and supports necessary to advance these goals based on the client’s needs and
Revised Exhibit B
Page 4 of 11
preferences and, when appropriate, the needs and preferences of the client’s family.
ISSPs are reviewed by COUNTY’s DBH during client chart audits.
2. The PSC will act as a single point of responsibility and contact for the delivery of personal
service coordination for each client. Personal service coordination is the assistance
provided to the child, and the child’s family when appropriate, to access medical,
educational, social, vocational, rehabilitative, crisis intervention, or other community
services, when needed.
3. Ensure all children and families that receive personal service coordination services also
receive mental health treatment services when a determination is made by qualified staff
using clinically-proven assessment tools that a child and/or family would benefit from
mental health treatment. CONTRACTORS shall institute mental health treatment models
to meet the mental health treatment needs of the children/families engaged in services
offered in this Agreement.
D. Provide the following specific services as it relates to the Parent Child Interaction Therapy
(PCIT) treatment model for children ages 2 – 8 years:
1. Provide FSP services to clients that are identified as candidates for PCIT evidenced based
treatment services.
2. PCIT is an effective evidenced-based treatment model with highly specified, step-by step,
live-coached sessions with both the parent/caregiver and the child. Parents learn skills
through PCIT didactic sessions, and, using a transmitter and receiver system, the
parent/caregiver is coached in specific skills as he or she interacts in specific play with the
child. A PCIT trained therapist provides the coaching from behind a one-way mirror.
3. Place emphasis on changing negative parent/caregiver-child patterns by focusing on the
following PCIT treatment goals:
a. Improve the quality of the parent/caregiver-child relationship;
b. Decrease child behavior problems and increase prosocial behaviors;
c. Increase parenting skills, including positive discipline; and
d. Decrease parenting stress.
E. Provide the following specific services as it relates to the Incredible Years (IY) treatment
model for children ages 0 – 8 years:
1. Provide FSP services for clients that are identified as candidates for IY evidenced-based
treatment services.
2. IY is an evidence-based intervention that will be provided for children 0 – 8 years of age
(identified clients ages 0 – 5, and siblings of identified clients ages 6 – 8) under this
Agreement. The IY treatment model consists of components a through c described below:
a. Parent Basic: Educates parents on social learning and child development and non-
violent discipline techniques;
b. Parent Advanced: Help parents/caregivers to cope with personal and interpersonal
problems, collaborate with teachers, and work with their child to foster academic
readiness (peer support for families-parenting groups);
Revised Exhibit B
Page 5 of 11
c. Children’s Groups: Promote pro-social behavior and serves as a source of ongoing
treatment; and
d. Teacher Training: Educate teachers regarding how to manage misbehavior and
develop a plan with the parents/caregivers for behavior management. NOTE: this
component is provided by the Fresno County Office of Education to local school
districts and not funded under this Agreement.
F. Provide the following specific services as it relates to the Child Parent Psychotherapy (CPP)
treatment model for children ages 0 – 5 years:
1. Provide FSP services for clients that are identified as candidates for CPP evidence-based
treatment services.
2. Children who meet CPP criteria will have at least one traumatic event and are
experiencing behavior, attachment, and/or mental health problems, including
posttraumatic stress disorder.
3. Provide supports and strengthens the relationship between a child and caregiver; restore
child’s sense of safety and attachment; and improve cognitive, behavioral, and social
functioning.
G. Provide the following specific services as it relates to Positive Parenting Program (Triple P) for
children ages 0 – 10 years:
1. Provide FSP services for clients that are identified as candidates for Triple P services.
2. Provide education, prevention, and early intervention strategies for parents. Parents learn
the f ive core principles of Triple P:
a. Ensure a safe and engaging environment;
b. Create a positive learning environment;
c. Use assertive discipline;
d. Have realistic expectations; and
e. Take care of oneself as a parent.
H. Provide the following specific services as it relates to Trauma Focused Cognitive Behavioral
Therapy (TF CBT) treatment model for children/youth ages 4 – 10 years:
1. Provide FSP services for clients that are identified as candidates for TF CBT services.
2. TF CBT is used to treat posttraumatic stress and related emotional and behavioral
problems. It has been adapted for use with children who have a wide array of traumatic
experiences, including but not limited to, child sexual abuse, domestic violence, traumatic
loss, and multiple psychological traumas.
I. Provide the following specific services as it relates to the Managing and Adapting Practices
(MAP) services for children and youth ages 0 – 18 years:
1. Provide FSP services for clients that are identified as candidates for MAP services.
2. The MAP system is designed to coordinate and supplement the use of evidence-based
programs for children’s mental health. The system is not a single treatment program;
Revised Exhibit B
Page 6 of 11
rather, it involves several decision and practice support tools to assist in the selection,
review, adaptation, or construction of empirically derived common treatment elements to
match particular child characteristics.
3. The three main features of the MAP system are:
a. The Practice Wise Evidence Based Services Database;
b. The Clinical Dashboard; and
c. The Practitioner Guide.
J. Provide the following as it relates to community outreach:
1. Outreach to target populations through participation in community resource fairs; public
presentations; distribution of informational materials; one-on-one communications with
community partners; and visits to local preschools, schools, daycare centers, and to
consumers of CONTRACTORS’ other programs operated outside the scope of this
Agreement.
2. Use targeted outreach and presentation practices to reach harder to engage communities,
such as the Native American population.
3. Provide outreach and education to referring agencies to assist those agencies as they
determine appropriate resources for clients in need of services, such as those available
under this Agreement.
K. Provide the following as it relates to cultural competence:
1. Recruit and hire staff that have demonstrated experience working with the Latino, African
American, Southeast Asian, Native American, and other minority populations, and have
knowledge about the culture of these targeted groups as well as other diverse
communities.
2. Ensure staff attend annual trainings on cultural competency, awareness, and diversity as
provided by selected bidder(s), or online via COUNTY’s eLearning system.
CONTRACTORS’ staff shall be appropriately trained in providing services in a culturally
sensitive manner.
3. Ensure staff attend civil rights training as provided by CONTRACTORS, or online via
COUNTY’s eLearning system.
4. Recruit and hire bilingual staff. At a minimum, CONTRACTORS shall hire staff who are
competent in Spanish and Hmong, the threshold languages of Fresno County.
5. Secure trained translation and interpretation services in the threshold languages as well
as Cambodian, Russian, Arabic, Armenian, Punjabi, and other languages commonly used
in Fresno County. Translators and interpreters shall be appropriately trained to provide
services in a culturally sensitive manner.
6. Provide services by seeking to understand and placing importance on the traditional
values, beliefs, and family histories of clients, as cultural values and traditions offer special
strengths in treating and helping to guide clients toward wellness and recovery.
7. Provide services within the most relevant and meaningful cultural, gender-sensitive, and
age-appropriate context for the target population.
Revised Exhibit B
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8. Develop plans to continually engage targeted populations.
9. Recruit and hire former client/family members as a significant portion of their staffing in
consultation with COUNTY, as needed.
10. Demonstrate knowledge and experience in working with Latino, Southeast Asian, African
American, Native American communities, and other diverse communities.
11. Develop and expand partnerships with the following unserved and underserved
populations by engaging community leaders and members to identify and document their
specific needs: Latino (migrant workers, immigrants, etc.), African-American (within
targeted zip codes), Southeast Asian (refugees, etc.), and Native American (specific
targeted tribes). Engagement will include visiting rancheros, reservations, and other
targeted population areas.
12. Ensure a streamlined approach is used to provide target populations with access to
appropriate services at convenient times.
13. Distribute literature or informational brochures in threshold languages to clients and
request feedback in regard to engaging and improving access to care for culturally diverse
communities within the service area.
14. Conduct an annual cultural competency self-assessment and provide the results to
COUNTY. COUNTY shall review and revise the self-assessment tool as necessary to
meet COUNTY’s approval.
15. Provide services in communities throughout Fresno County, as opposed to traditional
mental health offices, to increase the frequency of client access of needed services and
decrease reluctance to seek and obtain services due to fear or negative stigma.
16. Promote system of care accountability for performance outcomes which enable children
and their families to live independently, work, maintain community supports, stay in good
health, and avoid substance abuse and incarceration.
17. Develop individual services and supports plans that are flexible and open to meet the
unique needs of the targeted populations.
18. Collaborate with agencies that are recognized and accepted by the targeted populations.
19. Provide family support and help create family partnerships utilizing peer support for
families and parenting support.
20. Establish culturally specific multidisciplinary treatment teams to provide services.
21. Provide supportive housing vouchers and referrals for safe, adequate, and affordable
housing.
22. Provide parenting groups that are conducted in the child and family’s preferred language.
23. Provide gender sensitive services with consideration to gender-specific psychologies and
needs, including the identity and role of the primary care giver, domestic violence, and
24. Ensure staff are trained to keep an open mind and maintain non-judgmental interaction
with clients/families.
25. Seek to hire and train staff and community stakeholders that provide services to the target
Revised Exhibit B
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populations in the development of age specific and gender appropriate program services
and service delivery methods.
26. Ensure hiring and contracting practices are based on local data and reflect the needs of
the population to be served.
27. CONTRACTORS shall attend the COUNTY’s Cultural Diversity Committee monthly
meetings, maintain its own cultural competence oversight committee, and develop a
cultural competency plan to address and evaluate cultural competency issues. COUNTY
shall provide technical assistance and demographic data to CONTRACTORS in relation to
cultural competency planning.
28. Train staff regarding best practice for utilizing interpreters to ensure effective
communication with monolingual clients and families to assist in the delivery of culturally
and linguistically appropriate services.
V. COUNTY RESPONSIBILITIES:
COUNTY shall:
A. Provide oversight, through its MHSA Coordinator or designee, and collaborate with
CONTACTOR and other COUNTY Departments and community agencies to help achieve
State program goals and outcomes. Oversight includes, but is not limited to, contract
monitoring and coordination with the State Department of Health Care Services in regard to
program administration and outcomes.
B. Assist CONTRACTORS in making linkages with the total mental health system of care. This
will be accomplished through regularly scheduled meetings as well as formal and informal
consultation.
C. Participate in evaluating overall program progress and efficiency, and be available to
CONTRACTORS for ongoing consultation.
D. Gather outcome information from target client groups and CONTRACTORS throughout each
term of this Agreement. COUNTY shall notify CONTRACTORS when its participation is
required. The performance outcome measurement process will not be limited to survey
instruments but will also include, as appropriate, client and staff interviews, chart reviews, and
other methods of obtaining required information.
E. Assist CONTRACTORS’ efforts toward cultural and linguistic competency by providing the
following to CONTRACTORS:
1. Technical assistance and training regarding cultural competency requirements at no cost
to CONTRACTORS.
2. Mandatory cultural competency training for CONTRACTORS’ personnel, on an annual
basis, at minimum.
3. Technical assistance for translating information into COUNTY’s threshold languages
(Spanish and Hmong). Translation services and costs associated will be the responsibility
of CONTRACTORS.
VI. PERFORMANCE MEASUREMENT:
A. Data Collection
Revised Exhibit B
Page 9 of 11
1. Data collection and evaluation methods may include, but are not limited to, staff,
participant, and family interviews; and case file reviews.
2. CONTRACTORS shall measure the performance of evidence-based practices through the
use of instrument and measures such as Eyberg Child Behavior Inventory, the Child
Behavior Checklist, the Parent Stress Index, or other similar tools. Uplift Family Services,
as the lead agency, shall work with COUNTY to analyze the data to determine if the
outcomes are higher or lower for specific ethnicities and languages.
3. CONTRACTOR shall conduct consumer satisfaction surveys to identify service efficacy
and opportunities for program development, as well as gaps in meeting cultural needs of
the clients and/or families.
4. CONTRACTOR shall ensure all active program clients and families participate in the semi-
annual State Performance Outcomes Quality Improvement (POQI) survey. CONTRACTOR
will distribute POQI surveys to and collect completed surveys from all active children and
families.
5. CONTRACTOR(S) shall collect data regarding the ethnic and language demographics of
children and/or families receiving services, as well as survey children and families in
regard to improvements to programs to ensure culturally relevant service provision.
6. CONTRACTORS shall maintain all client data in permanent electronic case records, such
as COUNTY’s AVATAR system. CONTRACTORS shall have established policies and
procedures for data collection and client confidentiality, and will be responsible for
maintaining caseload data for clients served.
7. CONTRACTORS shall be responsible for gathering and reporting data in the State’s Data
Collection and Reporting (DCR) system in accordance with the requirements outlined in
the DCR system guidelines.
B. Performance Outcomes
CONTRACTORS’ performance will be evaluated by COUNTY using the following performance
outcomes:
Goal/Objective 1: Children shall demonstrate improved school performance,
decreased involvement with the juvenile justice system, and
decreased need for inpatient crisis intervention services.
Outcome 1A: Children enrolled in grade school (K-8) shall demonstrate
improved school attendance and grades.
Outcome Indicator 1A: % of youth who improve (or maintain a score of 0 or 1) on the
“School Achievement” item within the "Life Domain Functioning”
category of the Child and Adolescent Needs and Strengths
(CANS).
At least 85% of youth will decrease (or maintain at 0) their number
of expulsions/suspensions during the last 3 months of program
participation, in comparison to 3 months prior to program
participation.
Revised Exhibit B
Page 10 of 11
Outcome 1B: Children receiving services shall demonstrate decreased
involvement in the juvenile justice system.
Outcome Indicator 1B: At least 85% of youth will decrease (or maintain at 0) their number
of probation violations during the last 3 months of program
participation, in comparison to 3 months prior to program
participation.
Outcome 1C: Children receiving services shall have less need for inpatient crisis
intervention services, (i.e., County’s Children’s Crisis Assessment
and Intervention Resolution (CCAIR) program).
Outcome Indicator 1C: At least 85% of children will decrease (or maintain at 0) their
number of admissions to inpatient hospitals (i.e. CCAIR).
Goal/Objective 2: Ensure all clients enrolled in the program receive mental health
treatment when the determination is made by qualified staff that
the client and/or family will benefit from such treatment.
Outcome 2: Clients shall be successfully linked to evidence-based treatment or
other mental health service providers in their communities as
required by their mental health treatment plans and ISSPs.
Outcome Indicator 2: 100% of clients will have successful linkages to evidence-based
practices/programs or other appropriate mental health service
providers in their communities, as required by their mental health
treatment plans and ISSPs.
Goal/Objective 3: Improve functioning and emotional well-being for all participating
clients.
Outcome 3A: Clients receiving services shall demonstrate improved functioning
skills.
Outcome Indicator 3A: At least 85% of children served will improve their total CANS
scores between intake and discharge.
Outcome 3B: Clients receiving services shall demonstrate improvement in
targeted behaviors after participating in mental health treatment.
Outcome Indicator 3B: At least 85% of children served in mental health treatment will
improve scores on treatment-specific outcome measures between
the start and end of treatment.
Outcome 3C: The emotional well-being of children receiving services will
improve after participating in the program for a significant period of
time.
Outcome Indicator 3C: % of children who improve (or maintain an average score of 1 or
less) on the "Child Behavioral/Emotional Needs" domain of the
CANS.
Goal/Objective 4: Improve the emotional well-being of identified clients’ caregivers
who are completing evidence based mental health treatment.
Outcome 4A: Caregivers of clients completing evidence based treatment shall
Revised Exhibit B
Page 11 of 11
demonstrate decreased stress levels.
Outcome Indicator 4A: At least 85% of caregivers served will improve their Parent Stress
Index Score (PSI) at discharge in comparison to intake.
Outcome 4B: Caregivers of clients will be able to act as effective advocates for
their children.
Outcome Indicator 4B: % of caregivers who improve (or maintain a score of 0 or 1) on the
"Involvement" item within the "Caregiver Strengths and Needs"
domain of the CANS.
Outcome 4C: Caregivers of clients will develop a significant family and friend
social support network that actively helps with raising their
children.
Outcome Indicator 4C: % of caregivers who improve (or maintain a score of 0 or 1) on the
"Social Resources" item within the "Caregiver Strengths and
Needs" domain of the CANS.
Goal/Objective 5: Ensure clients/families are actively engaged in the program.
Outcome 5: Clients/families will indicate satisfaction with services they receive.
Outcome Indicator 5: At a minimum, 80% percent of clients/families will report their
satisfaction with program services on CONTRACTORS’ consumer
satisfaction surveys, and in the semi-annual State POQI survey.
C. Reports
1. CONTRACTORS shall prepare an evaluation report annually, which will be submitted to
COUNTY’s DBH and made available to partnering and interested local agencies and
organizations (e.g., project collaborators, other community agencies, and mental health
treatment providers). Annual evaluation reports will include the following information:
demographics of the target population served, services provided to each participant, number
of hospitalizations, enrollment in school, results of data analysis compared to planned
process, output and outcome measures, barriers to program implementation and measures
taken to overcome those barriers, accomplishments of program participants, lessons
learned, and the final result of any and all satisfactory survey(s).
2. CONTRACTORS shall be expected to comply with all contract monitoring and compliance
protocols, procedures, data collection methods, and reporting requirements conducted by
COUNTY.
3. Additional reports and outcome information may be requested by COUNTY at a later date,
as needed.
Bright Beginnings for Families (FSP)
Uplift Family Services
Year 5: July 1, 2017 - June 30, 2018
Revised Exhibit C
Page 1 of 6
Admin.Direct Total
0001 5.00 -$ 258,899$ 258,899$
0002 1.00 -$ 61,064$ 61,064$
0003 8.00 -$ 388,788$ 388,788$
0004 1.00 -$ 56,472$ 56,472$
0005 2.00 -$ 68,696$ 68,696$
0006 2.00 -$ 61,858$ 61,858$
0007 2.00 -$ 140,523$ 140,523$
0008 0.50 -$ 23,342$ 23,342$
0009 2.83 -$ 148,715$ 148,715$
24.33 -$ 1,208,357$ 1,208,357$
0030 -$ 74,541$ 74,541$
0031 -$ 17,433$ 17,433$
0032 -$ 12,029$ 12,029$
-$ 104,003$ 104,003$
0040 -$ 48,089$ 48,089$
0041 -$ 18,035$ 18,035$
0042 -$ 300,571$ 300,571$
-$ 366,695$ 366,695$
1,679,055$
1010 50,269$
1011 5,715$
1012 -$
1013 4,799$
1014 -$
60,783$
1060 32,361$
1061 -$
1062 -$
1063 -$
1064 -$
1065 -$
1066 8,134$
1067 -$
1068 1,833$
1069 -$
1070 -$
1071 58,077$
1072 -$
1073 10,400$
1074 3,744$
114,549$
1080 -$
1081 2,013$
1082 12,602$
1083 -$
1084 343,131$
357,746$
Mental Health Clinician II
Facilitator I
Facilitator II
Family Specialist I
Family Partner I
Clinical Program Manager
Budget Categories
FTE %
Total Proposed Budget
Line Item Description
PERSONNEL SALARIES:
Mental Health Clinician I
U.I.
PAYROLL TAX TOTAL
EMPLOYEE BENEFITS:
Retirement
Workers Compensation
Health Insurance (medical vision, life, dental)
Client Services Coordinator
Program Support Staff
SALARY TOTAL
PAYROLL TAXES:
OASDI
MEDICARE
Building Maintenance
Equipment Purchase
FACILITY/EQUIPMENT TOTAL
OPERATING EXPENSES:
Telephone
Answering Service
EMPLOYEE BENEFITS TOTAL
SALARY & BENEFITS GRAND TOTAL
FACILITIES/EQUIPMENT EXPENSES:
Rent/Lease Building
Rent/Lease Equipment
Utilities
Program Supplies - Therapeutic
Program Supplies - Medical
Transportation of Clients
Staff Mileage/Vehicle Maintenance
Staff Training/Registration/Recruitment
Depreciation
Postage
Printing/Reproduction
Publications
Informational Publications
Office Supplies & Equipment
Food
Administrative Overhead
FINANCIAL SERVICES TOTAL
OPERATING EXPENSES TOTAL
FINANCIAL SERVICES EXPENSES:
Accounting/Bookkeeping
External Audit
Professional Liability Insurance
Payroll Services
Staff Travel (Out of County)
Revised Exhibit C
Page 2 of 6
1090 -$
1091 -$
1092 57,648$
57,648$
FIXED ASSETS:
1190 -$
1191 -$
1192 -$
-$
2000 1,423$
2001 2,131$
2001.1 8,346$
2001.2 2,308$
2001.3 355$
2001.4 -$
2001.5 -$
2001.6 2,131$
2001.7 1,065$
2001.8 -$
17,759$
Vol/Units of
Svc Rate $ Amt.
3000 441,615 2.61$ 1,152,615$
3100 245,339 2.02$ 495,585$
3200 0 3.88$ -$
3100 13,995 4.82$ 67,456$
3200 0 -$ -$
3100 0 -$ -$
3200 0 -$ -$
3300 0 -$ -$
700,949 1,715,656$
50%
80%
1,372,524$
4000 -$
4100 -$
4200 -$
4300 -$
-$
5000 915,016$
5100 -$
915,016$
SPECIAL EXPENSES:
Consultant (Network & Data Management)
Translation Services
Contract Psychiatrist
NON MEDI-CAL CLIENT SUPPORT EXPENSE:
Client Housing Support Expenditures (SFC 70)
Client Housing Operating Expenditures (SFC 71)
Clothing, Food & Hygiene (SFC 72)
Client Transportation & Support (SFC 72)
Education Support (SFC 72)
SPECIAL EXPENSES TOTAL
Computers & Software - Telephone System & Computer Network
Furniture & Fixtures
Other- Leased Automobile
FIXED ASSETS TOTAL
MENTAL HEALTH REVENUE:
Mental Health Services (Individual/Family/Group/Therapy)
Case Management
Crisis Services
Employment Support (SFC 72)
Respite Care (SFC 72)
Household Items
Utility Vouchers (SFC 72)
Child Care (SFC 72)
NON MEDI-CAL CLIENT SUPPORT EXPENSE TOTAL:
MHSA FUNDS TOTAL
TOTAL
PROGRAM
REVENUE 2,287,540$
Other
Other
OTHER REVENUE TOTAL
MHSA FUNDS:
CSS Recurring Funds
CSS Non-Recurring Funds
Estimated % of Federal Financial Participation
Estimated % of Clients Served that will be Medi-Cal Eligible
MEDI-CAL REVENUE TOTAL
OTHER REVENUE:
Client Rents
Other
Medication Support
Collateral
Plan Development
Assessment
Rehabilitation
Estimated Medi-Cal Billing Totals
TOTAL
PROGRAM
EXPENSES 2,287,540$
Bright Beginnings for Families (FSP)
Comprehensive Youth Services
Year 5: July 1, 2017 - June 30, 2018
Revised Exhibit C
Page 3 of 6
Admin.Direct Total
0001 0.72 -$ 69,258$ 69,258$
0002 0.06 -$ 8,116$ 8,116$
0003 0.54 -$ 44,192$ 44,192$
0004 6.00 -$ 276,305$ 276,305$
0005 3.00 -$ 100,411$ 100,411$
0006 Varies 43,199$ 43,199$ 86,398$
10.32 43,199$ 541,481$ 584,680$
0030 -$ -$ -$
0031 6,609$ 38,121$ 44,730$
0032 480$ 4,483$ 4,963$
7,089$ 42,604$ 49,693$
0040 3,028$ 17,447$ 20,475$
0041 876$ 5,479$ 6,355$
0042 9,601$ 66,429$ 76,030$
13,505$ 89,355$ 102,860$
737,233$
1010 51,666$
1011 9,389$
1012 11,988$
1013 6,158$
1014 9,000$
88,201$
1060 11,758$
1061 -$
1062 -$
1063 -$
1064 -$
1065 1,031$
1066 10,226$
1067 -$
1068 4,000$
1069 -$
1070 6,000$
1071 4,435$
1072 -$
1073 31,873$
1074 -$
69,323$
1080 -$
1081 2,903$
1082 6,314$
1083 2,363$
1084 2,167$
13,747$
Clinical Supervisor
PCIT Clinicians/Lead Therapist
Personal Service Coordinators
Exec Dir/Finance Mgr/Bookkeeping/Clerical
SALARY TOTAL
PAYROLL TAXES:
Total Proposed Budget
PERSONNEL SALARIES:
Program Manager
Clinical Director
Workers Compensation
Health Insurance (medical vision, life, dental)
EMPLOYEE BENEFITS TOTAL
SALARY & BENEFITS GRAND TOTAL
FACILITIES/EQUIPMENT EXPENSES:
Rent/Lease Building
OASDI
MEDICARE
U.I.
PAYROLL TAX TOTAL
EMPLOYEE BENEFITS:
Retirement
Telephone
Answering Service
Postage
Printing/Reproduction
Publications
Informational Publications
Rent/Lease Equipment
Utilities
Building Maintenance
Equipment Purchase
FACILITY/EQUIPMENT TOTAL
OPERATING EXPENSES:
Staff Training/Registration/Recruitment
Depreciation
OPERATING EXPENSES TOTAL
FINANCIAL SERVICES EXPENSES:
Accounting/Bookkeeping
External Audit
Office Supplies & Equipment
Food
Program Supplies - Therapeutic
Program Supplies - Medical
Transportation of Clients
Staff Mileage/Vehicle Maintenance
Professional Liability Insurance
Payroll Services
Administrative Overhead
FINANCIAL SERVICES TOTAL
Budget Categories
Line Item Description FTE %
Staff Travel (Out of County)
Revised Exhibit C
Page 4 of 6
1090 3,075$
1091 500$
1092 -$
3,575$
FIXED ASSETS:
1190 -$
1191 -$
1192 6,422$
6,422$
2000 -$
2001 -$
2001.1 2,500$
2001.2 2,000$
2001.3 300$
2001.4 200$
2001.5 -$
2001.6 -$
2001.7 -$
2001.8 -$
5,000$
Vol/Units of
Svc Rate $ Amt.
3000 33,669 2.61$ 87,876$
3100 44,190 2.02$ 89,264$
3200 14,730 3.88$ 57,152$
3100 0 4.82$ -$
3200 10,522 2.61$ 27,462$
3100 2,104 2.61$ 5,491$
3200 16,834 2.61$ 43,937$
3300 88,380 2.61$ 230,672$
210,429 541,855$
50%
50%
541,855$
4000 -$
4100 -$
4200 -$
4300 -$
-$
5000 381,646$
5100 -$
381,646$
Translation Services
Contract Psychiatrist
SPECIAL EXPENSES TOTAL
Computers & Software - Telephone System & Computer Network
Furniture & Fixtures
Other- Leased Automobile
SPECIAL EXPENSES:
Consultant (Network & Data Management)
Client Transportation & Support (SFC 72)
Education Support (SFC 72)
Employment Support (SFC 72)
Respite Care (SFC 72)
Household Items
Utility Vouchers (SFC 72)
FIXED ASSETS TOTAL
NON MEDI-CAL CLIENT SUPPORT EXPENSE:
Client Housing Support Expenditures (SFC 70)
Client Housing Operating Expenditures (SFC 71)
Clothing, Food & Hygiene (SFC 72)
Collateral
Plan Development
Assessment
Child Care (SFC 72)
NON MEDI-CAL CLIENT SUPPORT EXPENSE TOTAL:
TOTAL
PROGRAM
EXPENSES 923,501$
MENTAL HEALTH REVENUE:
Mental Health Services (Individual/Family/Group/Therapy)
CSS Recurring Funds
CSS Non-Recurring Funds
MHSA FUNDS TOTAL
TOTAL
PROGRAM
REVENUE 923,501$
Client Rents
Other
Other
Other
OTHER REVENUE TOTAL
MHSA FUNDS:
Rehabilitation
Estimated Medi-Cal Billing Totals
Estimated % of Federal Financial Participation
Estimated % of Clients Served that will be Medi-Cal Eligible
MEDI-CAL REVENUE TOTAL
OTHER REVENUE:
Case Management
Crisis Services
Medication Support
Bright Beginnings for Families (FSP)
Exceptional Parents Unlimited
Year 5: July 1, 2017 - June 30, 2018
Revised Exhibit C
Page 5 of 6
Admin.Direct Total
0001 1.00 -$ 85,280$ 85,280$
0002 2.00 -$ 165,285$ 165,285$
0003 1.00 -$ 52,000$ 52,000$
0004 5.00 -$ 194,000$ 194,000$
0005 0.50 -$ 20,000$ 20,000$
0006 0.50 -$ 23,400$ 23,400$
0007 0.10 -$ 4,620$ 4,620$
0008 0.40 -$ 11,500$ 11,500$
0009 2.00 -$ 51,400$ 51,400$
0010 0.05 -$ 2,615$ 2,615$
0011 0.70 23,500$ -$ 23,500$
0012 0.45 17,240$ -$ 17,240$
0013 1.00 33,280$ -$ 33,280$
0014 0.05 2,350$ -$ 2,350$
0015 0.15 9,750$ -$ 9,750$
0016 0.20 -$ 23,000$ 23,000$
15.10 86,120$ 633,100$ 719,220$
0030 -$ 44,592$ 44,592$
0031 -$ 10,429$ 10,429$
0032 -$ 2,750$ 2,750$
-$ 57,770$ 57,770$
0040 -$ 28,768$ 28,768$
0041 -$ 10,069$ 10,069$
0042 -$ 79,114$ 79,114$
-$ 117,951$ 117,951$
894,941$
1010 60,500$
1011 13,000$
1012 7,500$
1013 10,250$
1014 88,697$
179,947$
1060 4,000$
1061 -$
1062 1,000$
1063 1,500$
1064 -$
1065 -$
1066 9,600$
1067 200$
1068 8,600$
1069 -$
1070 -$
1071 6,500$
1072 4,000$
1073 4,000$
1074 -$
39,400$
1080 -$
1081 3,000$
1082 6,030$
1083 -$
Facilities Coordinator
Administrative Assistant
Budget Categories
FTE %
Total Proposed Budget
Line Item Description
PERSONNEL SALARIES:
Senior Mental Health Clinician
Billing Specialist
Billing Assistant
Mental Health Clinician/Psychologist
Mental Health Clinician
Children's Services Coordinator II (Case Manager)
Family Resource Specialist (Parent Partner)
Children's Services Coordinator III
Suport Services Supervisor
Children's Services Assistant II
Children's Services Assistant I
Call Line/Outreach Supervisor
PAYROLL TAXES:
OASDI
MEDICARE
U.I.
PAYROLL TAX TOTAL
EMPLOYEE BENEFITS:
Operations Manager
Clinical Director
SALARY TOTAL
Rent/Lease Building
Rent/Lease Equipment
Utilities
Building Maintenance
Equipment Purchase
FACILITY/EQUIPMENT TOTAL
Retirement
Workers Compensation
Health Insurance (medical vision, life, dental)
EMPLOYEE BENEFITS TOTAL
SALARY & BENEFITS GRAND TOTAL
FACILITIES/EQUIPMENT EXPENSES:
Informational Publications
Office Supplies & Equipment
Food
Program Supplies - Therapeutic
Program Supplies - Medical
Transportation of Clients
OPERATING EXPENSES:
Telephone
Answering Service
Postage
Printing/Reproduction
Publications
Accounting/Bookkeeping
External Audit
Professional Liability Insurance
Payroll Services
Staff Mileage/Vehicle Maintenance
Staff Travel (Out of County)
Staff Training/Registration/Recruitment
Depreciation
OPERATING EXPENSES TOTAL
FINANCIAL SERVICES EXPENSES:
Revised Exhibit C
Page 6 of 6
1084 164,720$
173,750$
1090 8,900$
1091 600$
1092 2,000$
1093 36,000$
47,500$
FIXED ASSETS:
1190 -$
1191 -$
1192 -$
-$
2000 200$
2001 -$
2001.1 400$
2001.2 400$
2001.3 400$
2001.4 200$
2001.5 -$
2001.6 300$
2001.7 200$
2001.8 -$
2,100$
Vol/Units of
Svc Rate $ Amt.
3000 48,910 2.61$ 127,656$
3100 17,204 2.02$ 34,752$
3200 3,421 3.88$ 13,273$
3100 - 4.82$ -$
3200 58,329 2.61$ 152,239$
3100 6,160 2.61$ 16,078$
3200 30,916 2.61$ 80,691$
3300 43,011 2.61$ 112,259$
207,951 536,947$
50%
50%
536,947$
4000 -$
4100 -$
4200 -$
4300 -$
-$
5000 800,691$
5100 -$
800,691$
Computers & Software - Telephone System & Computer Network
Furniture & Fixtures
Administrative Overhead (includes EHR cost)
FINANCIAL SERVICES TOTAL
CSS Non-Recurring Funds
MHSA FUNDS TOTAL
MENTAL HEALTH REVENUE:
Mental Health Services (Individual/Family/Group/Therapy)
Case Management
Crisis Services
SPECIAL EXPENSES:
Consultant (Network & Data Management)
Translation Services
Contract Services - Billing System
Contract Psychiatrist
SPECIAL EXPENSES TOTAL
Household Items
Utility Vouchers (SFC 72)
Child Care (SFC 72)
NON MEDI-CAL CLIENT SUPPORT EXPENSE TOTAL:
TOTAL
PROGRAM
EXPENSES 1,337,638$
Client Housing Operating Expenditures (SFC 71)
Clothing, Food & Hygiene (SFC 72)
Client Transportation & Support (SFC 72)
Education Support (SFC 72)
Employment Support (SFC 72)
Respite Care (SFC 72)
Collateral
Other- Leased Automobile
FIXED ASSETS TOTAL
NON MEDI-CAL CLIENT SUPPORT EXPENSE:
Client Housing Support Expenditures (SFC 70)
Medication Support
TOTAL
PROGRAM
REVENUE 1,337,638$
MEDI-CAL REVENUE TOTAL
OTHER REVENUE:
Client Rents
Other
Other
Other
Plan Development
Assessment
Rehabilitation
Estimated Medi-Cal Billing Totals
Estimated % of Federal Financial Participation
Estimated % of Clients Served that will be Medi-Cal Eligible
OTHER REVENUE TOTAL
MHSA FUNDS:
CSS Recurring Funds