HomeMy WebLinkAboutA-24-039.pdf Agreement No. 24-039
1 AMENDMENT NO. 1 TO SERVICE AGREEMENT
2 This Amendment No. 1 to Service Agreement ("Amendment No. 1") is dated
3 January 23, 2024 and is between Kings View, a California non-profit corporation
4 ("Contractor"), and the County of Fresno, a political subdivision of the State of California
5 ("County").
6 Recitals
7 A. On June 20, 2023, the County and the Contractor entered into County Agreement No.
8 23-303 ("Agreement") for Mental Health Crisis Intervention Services within the Fresno
9 metropolitan (metro) area, to help reduce stigma and discrimination against mental illness and
10 provide mental health crisis intervention services in a working partnership with Fresno metro
11 first responders.
12 B. County entered into Agreement No. 18-688 with Contractor on December 11, 2018,
13 amended by Agreement No. 22-421 on September 20, 2022, and superseded by Agreement
14 No. 23-303 on June 30, 2023, collectively Agreement No. 23-303.
15 C. On June 19, 2023, pursuant to Section 14132.57 of the Welfare and Institutions Code
16 (W&I), the California Department of Health Care Services (DHCS) released guidance under
17 Behavioral Health Information Notice 23-025 regarding implementation of the Medi-Cal
18 Community-Based Mobile Criss Intervention Services benefit by county mental health plans
19 (MHPs) and Drug-Med-Cal Organized Delivery System (DMC-ODS) by December 31, 2023.
20 D. County is authorized through its Intergovernmental Agreement with the California State
21 Department of Health Care Services (DHCS), hereinafter referred to as State or DHCS to
22 subcontract for Drug Medi-Cal services (DMC) in Fresno County.
23 E. County is authorized to contract with privately operated agencies for the provision of
24 alcohol and other drug treatment services, pursuant to Title 9, Division 4 of the California Code
25 of Regulations and Division 10.5 (commencing with Section 11750) of the California Health and
26 Safety Code.
27 F. The County and the Contractor now desire to amend the Agreement to add a Scope of
28 Work for Medi-Cal Mobile Crisis Response Services.
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1 The parties therefore agree as follows:
2 1. Section 1.1 of the Agreement located at Page One (1), beginning Line Twenty-Two (22)
3 with the word "The" and ending on Line Twenty-Three (23) with the word "Services." is deleted
4 in its entirety and replaced with the following:
5 "The Contractor shall perform all of the services provided in Exhibit A, titled "Scope of
6 Services", and Exhibit A-1, titled "Medi-Cal Mobile Crisis Services"."
7 2. Section 4.1 of the Agreement located at Page Eight (8), beginning Line Eleven (11) with
8 the word "The" and ending Line Thirteen (13) with the word "Agreement." is deleted in its
9 entirety and replaced with the following:
10 "The County agrees to pay, and the Contractor agrees to receive, compensation for the
11 performance of its services under this Agreement as described in Revised Exhibit F, titled
12 "Crisis Intervention Team & Medi-Cal Mobile Crisis Team — Metro"."
13 3. Section 4.2 located at Page Eight (8), beginning Line Fourteen (14) with word "Specialty"
14 and ending Line Twenty-Two (22) with the word "received." is deleted in its entirety and
15 replaced with the following:
16 "Specialty Mental Health Services Maximum Compensation and Drug Medi-Cal
17 Organized Delivery System Services Maximum Compensation. The maximum
18 compensation payable to the Contractor under this Agreement for the period of July 1, 2023
19 through June 30, 2024 for Fresno Metro Crisis Intervention Team Specialty Mental Health
20 Services is Two Hundred Six Thousand, Fourteen and No/100 Dollars ($206,014.00), which is
21 not a guaranteed sum but shall be paid only for services rendered and received. The maximum
22 compensation payable to the Contractor under this Agreement for the period of July 1, 2024
23 through June 30, 2025 for Fresno Metro Crisis Intervention Team Specialty Mental Health
24 Services is Three Hundred Nine Thousand, and Twenty-Two and No/100 Dollars ($309,022),
25 which is not a guaranteed sum but shall be paid only for services rendered and received. The
26 maximum compensation payable to the Contractor under this Agreement for the period of
27 January 23, 2024 through June 30, 2024 for Medi-Cal Mobile Crisis Specialty Mental Health
28 Services is One Hundred Eight Thousand, Nine Hundred and Thirteen and No/100 Dollars
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1 ($108,913.00), which is not a guaranteed sum but shall be paid only for services rendered and
2 received. The maximum compensation payable to the Contractor under this Agreement for the
3 period of July 1, 2024 through June 30, 2025 for Fresno Metro Crisis Intervention Team
4 Specialty Mental Health Services is Two Hundred and Seventeen Thousand, Eight Hundred and
5 Twenty-Six and No/100 Dollars ($217,826.00), which is not a guaranteed sum but shall be paid
6 only for services rendered and received.
7 The maximum compensation payable to the Contractor under this Agreement for the
8 period of January 23, 2024 through June 30, 2024 for Medi-Cal Mobile Crisis Drug Medi-Cal
9 Organized Delivery System is Twenty-One Thousand, Seven Hundred and Eighty-Three and
10 No/100 Dollars ($21,783.00), which is not a guaranteed sum but shall be paid only for services
11 rendered and received. The maximum compensation payable to the Contractor under this
12 Agreement for the period of July 1, 2024 through June 30, 2025 for Medi-Cal Mobile Crisis Drug
13 Medi-Cal Organized Delivery System is Forty-Three Thousand, Five Hundred and Sixty-Five
14 and No/100 Dollars ($43,565.00), which is not a guaranteed sum but shall be paid only for
15 services rendered and received."
16 4. Section 4.3 located at Page Eight (8), beginning Line Twenty-Three (23) with word
17 "MHSA" and ending on Page Nine (9) Line Two (2) with the word "Dollars ($2,190,730.00)." is
18 deleted in its entirety and replaced with the following:
19 "MHSA Prevention and Early Intervention (PEI) Services Maximum Compensation,
20 Crisis Care Mobile Unit (CCMU) Maximum Compensation, and Realignment Maximum
21 Compensation. The maximum compensation payable to the Contractor under this Agreement
22 for the period of July 1, 2023 through June 30, 2024 for MHSA PEI Services is One Million, Nine
23 Hundred Ninety Thousand, Seven Hundred Thirty and No/ 100 Dollars ($1,990,730.00). The
24 maximum compensation payable to the Contractor under this Agreement for the period of July
25 1, 2024 through June 30, 2025 for MHSA PEI Services is One Million, Nine Hundred Ninety
26 Thousand, Seven Hundred Thirty and No/100 Dollars ($1,990,730.00).
27 The maximum compensation payable to the Contractor under this Agreement for the
28 period of January 23, 2024 through June 30, 2024 for CCMU Compensation is One Hundred
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1 Two Thousand, One Hundred Seventy-Eight and No/ 100 Dollars ($102,178.00). The maximum
2 compensation payable to the Contractor under this Agreement for the period of July 1, 2024
3 through June 30, 2025 for CCMU Compensation is Two Hundred Four Thousand, Three
4 Hundred Sixty-Six and No/100 Dollars ($204,366.00).
5 The maximum compensation payable to the Contractor under this Agreement for the
6 period of January 23, 2024 through June 30, 2024 for Realignment Compensation is Five
7 Hundred Four Thousand, Seven Hundred and Forty-Four and No/ 100 Dollars ($504,744.00).
8 The maximum compensation payable to the Contractor under this Agreement for the period of
9 July 1, 2024 through June 30, 2025 for Realignment Compensation is Six Hundred Eighty-Three
10 Thousand, Five Hundred and Twenty and No/100 Dollars ($683,520.00)."
11 5. Section 4.4 beginning with the word "Total" on Page Nine (9), Line Three (3) and ending
12 with the word "Agreement" on Line Six (6) shall be deleted and replaced with the following:
13 "Total Maximum Compensation. In no event shall the maximum contract amount for all
14 the services provided by the Contractor to County under the terms and conditions of this
15 Agreement to be in excess of Six Million, Three Hundred Eighty-Three Thousand, Three
16 Hundred Ninety-One and No/100 Dollars ($6,383,391.00) during the entire term of this
17 Agreement.
18 6. The following shall be inserted on Page Ten (10) after Line Eight (8):
19 "It is understood by the County and Contractor that any Medi-Cal Federal Financial
20 Participation (FFP) and Drug Medi-Cal FFP above the amounts stated herein will be used to
21 directly offset the County's contribution of CCMU, Realignment and MHSA funds as identified in
22 Revised Exhibit F, and may be used to expand program services to persons served and/or
23 increase program capacity with the written approval of the County's DBH Director or designee
24 for such approval.
25 If Contractor fails to generate the Medi-Cal and Drug Medi-Cal revenue amounts set
26 forth in Revised Exhibit F, County shall not be obligated to pay the difference between the
27 amounts and the actual amounts generated."
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1 7. All references in the Agreement to Exhibit F shall be deemed references to Revised
2 Exhibit F.
3 8. When both parties have signed this Amendment No. 1, the Agreement, and this
4 Amendment No. 1 together constitute the Agreement.
5 9. The Contractor represents and warrants to the County that:
6 a. The Contractor is duly authorized and empowered to sign and perform its obligations
7 under this Amendment.
8 b. The individual signing this Amendment on behalf of the Contractor is duly authorized
9 to do so and his or her signature on this Amendment legally binds the Contractor to
10 the terms of this Amendment.
11 10. The parties agree that this Amendment may be executed by electronic signature as
12 provided in this section.
13 a. An "electronic signature" means any symbol or process intended by an individual
14 signing this Amendment to represent their signature, including but not limited to (1) a
15 digital signature; (2) a faxed version of an original handwritten signature; or (3) an
16 electronically scanned and transmitted (for example by PDF document) version of an
17 original handwritten signature.
18 b. Each electronic signature affixed or attached to this Amendment (1) is deemed
19 equivalent to a valid original handwritten signature of the person signing this
20 Amendment for all purposes, including but not limited to evidentiary proof in any
21 administrative or judicial proceeding, and (2) has the same force and effect as the
22 valid original handwritten signature of that person.
23 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5,
24 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part
25 2, Title 2.5, beginning with section 1633.1).
26 d. Each party using a digital signature represents that it has undertaken and satisfied
27 the requirements of Government Code section 16.5, subdivision (a), paragraphs (1)
28 through (5), and agrees that each other party may rely upon that representation.
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1 e. This Amendment is not conditioned upon the parties conducting the transactions
2 under it by electronic means and either party may sign this Amendment with an
3 original handwritten signature.
4 11. This Amendment may be signed in counterparts, each of which is an original, and all of
5 which together constitute this Amendment.
6 12. The Agreement as amended by this Amendment No. 1 is ratified and continued. All
7 provisions of the Agreement and not amended by this Amendment No. 1 remain in full force and
8 effect.
9 [SIGNATURE PAGE FOLLOWS]
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DocuSign Envelope ID:8834EDBB-5349-4C38-8133-352AAEA4E7BC
1 The parties are signing this Amendment No. 1 on the date stated in the introductory
2 clause.
3
KINGS VIEW COUNTY OF FRESNO
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DocuSigned by:
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6 Aman a ugent Divine, CEO Nathan Magsig, Chairman of the Board of
7 1396 W. Herndon Ave. Supervisors of the County of Fresno
Fresno, CA 93711
8 Attest:
Bernice E. Seidel
9 Clerk of the Board of Supervisors
County of Fresno, State of California
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11 By: _ -
Deputy
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For accounting use only:
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Org No.: 56304763 (Metro CIT); 56304763 (MCal Mobile)
14 Account No.: 7295
Fund No.: 0001
15 Subclass No.: 10000
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Exhibit A-1
Medi-Cal Mobile Crisis Benefit Response Team
SCOPE OF WORK
CONTRACTOR: Kings View
PROGRAMS: Metropolitan Crisis Intervention Team (Metro CIT)
LOCATION OF SERVICES: 1925 E. Dakota Ave., Suite Q, Fresno, CA 93726
I. BACKGROUND
Pursuant to Section 14132.57 of the Welfare and Institutions Code (W&I), Department of Health
Care Services (DHCS) sought all necessary federal approvals to provide qualifying community-
based mobile crisis intervention services to eligible Medi-Cal beneficiaries experiencing a mental
health and/or substance use disorder (SUD) crisis. Accordingly, DHCS submitted to the Centers for
Medicare and Medicaid Services (CMS) State Plan Amendment (SPA) 22-0043 that establishes
mobile crisis services as a new benefit in the Medi-Cal program. DHCS is not making any changes
to the existing crisis intervention services and SUD crisis intervention services benefits covered
under the Specialty Mental Health Services (SMHS), DMC and DMC-ODS delivery systems. Medi-
Cal behavioral health delivery systems shall continue covering these services in accordance with
existing federal and state, and contractual requirements.
Upon receiving approval from DHCS of its Medi-Cal mobile crisis implementation plan, Fresno
County shall provide, or arrange for the provision of, qualifying mobile crisis services in accordance
with the requirements set forth in BHIN 23-025. Mobile crisis services are an integral part of
California's efforts to strengthen the continuum of community-based care for individuals who
experience behavioral health crises.
II. SERVICES START DATE
The Contractor shall start services on January9, 2024. In order to meet this start date, Contractor
will be using existing Medi-Cal site certification and DMC-ODS site certification. It is not the
expectation that the Contractor be fully staffed at the start of the services, but will be utilizing
existing staff for these services and hiring and training staff as appropriate.
III. TARGET POPULATION
The target population to be served by this program are individuals currently experiencing an acute
behavioral health crisis, including any behavioral health signs and symptoms, requiring immediate
crisis intervention, de-escalation, but not requiring law enforcement or first responders, within the
Fresno metropolitan (metro) area.
IV. LOCATION OF SERVICES
A-1-1
Exhibit A-1
With the exception of the settings listed in the next paragraph, the mobile crisis response shall be
provided where the person served is in crisis, or at an alternate location of the individual's
choosing. Examples of settings include, but are not limited to:
• Houses and multi-unit housing;
• Workplaces;
• Public libraries;
• Parks;
• Schools;
• Homeless shelters;
• Outpatient clinics;
• Assisted living facilities; and
• Primary care provider settings.
Mobile crisis services shall not be provided in the following settings due to restrictions in federal
law and/or because these facilities and settings are already required to provide other crisis
services:
• Inpatient Hospital;
• Inpatient Psychiatric Hospital;
• Emergency Department;
• Residential SUD treatment and withdrawal management facility;
• Mental Health Rehabilitation Center;
• PHF;
• Special Treatment Program;
• Skilled Nursing Facility;
• Intermediate Care Facility;
• Settings subject to the inmate exclusion such as jails, prisons, and juvenile 21 detention
facilities;• Other crisis stabilization and receiving facilities (e.g., sobering centers, crisis
respite, crisis stabilization units, psychiatric health facilities, psychiatric inpatient hospitals,
crisis residential treatment programs, etc.).
Should the Contractor have any questions about which facilities are not considered part of
community response, they must immediately request such clarification from DBH and approval
prior to providing services.
Mobile crisis teams shall arrive at the community-based location where a crisis occurs in a timely
manner. Specifically, mobile crisis teams shall arrive within 60 minutes of the person served being
determined to require mobile crisis services in the metro area.
Post-crisis follow-up services are to be provided face-to-face, over the phone, using video or via
United States mail as appropriate and in accordance with DBH's Guiding Principles of Care
Delivery.
V. HOURS OF OPERATION
Contractor is required to be available to provide services 24 hours a day, 7 days a week, and 365
days a year.
A-1-2
Exhibit A-1
VI. DESCRIPTION OF SERVICES
The mobile crisis response team (MCRT) will establish a rapid response, individual assessment
and community-based stabilization to persons served who are experiencing a behavioral health
crisis. MCRT services shall be designed to provide relief to persons served experiencing a
behavioral health crisis, including through de-escalation and stabilization techniques; reduce the
immediate risk of danger and subsequent harm; and avoid unnecessary emergency department
care, psychiatric inpatient hospitalizations, and law enforcement involvement. While mobile crisis
services are intended to support an integrated approach to responding to both mental and
substance use related crises, and mobile crisis teams will be carrying, trained, and able to
administer naloxone, this team is not intended to replace emergency medical services for
medical emergencies.
1. Dispatch
The telephone number 559-600-6000 will serve as the crisis services hotline connected to the
dispatch of mobile crisis teams to receive and triage calls from the community. The county's
24/7 Access Line, community partners, and other crisis lines such as the 988 Suicide and
Crisis Lifeline, local law enforcement and 911 systems, and the Family Urgent Response
System (FURS) will be able to refer calls to the county crisis service hotline.
Contractor is inclusive of the hotline operators who shall use a standardized dispatch tool and
procedures to determine when to dispatch a mobile crisis team, versus determine when the
person served needs can be addressed via alternative means. These means include, but are
not limited to, de-escalation by the hotline operator or connection to other services. The
hotline operator may also determine that the call needs to be routed to emergency services if
the situation has developed into a safety risk.
The hotline operators shall be live staff to receive and respond to all calls from the mobile
crisis service hotline. Hotline operators shall follow procedures identifying how mobile crisis
teams will respond to dispatch requests. When screened directly or through the individual
calling on their behalf to request assistance, and the standardized dispatch tool has been
used to determine mobile crisis services need, a mobile crisis team will be dispatched. The
mobile crisis team shall meet the person served who is experiencing the behavioral health
crisis in the location where the crisis occurs unless the person served requests to be met in
an alternative location in the community or cannot be located.
2. Crisis Response & Follow-up
The mobile crisis response teams will not respond with a law enforcement presence unless it
is determined to be required. The goal of the MCRT program is to provide more efficient
access to crisis services to person served, with the main goal of deescalating the situation to
avoid an emergency room visit and/or placement within an inpatient facility.
MCRT services shall include the following services:
- Warm handoffs to appropriate settings and providers when the person served requires
additional stabilization and/or treatment services;
- Coordination with and referrals to appropriate health, social and other services and
supports, as needed;
A-1-3
Exhibit A-1
- And short-term follow-up support to help ensure the crisis is resolved and the person
served is connected to ongoing care.
MCRT services are directed toward the person served in crisis but may include contact with a
family member(s) or other significant support collateral(s) if the purpose of the collateral's
participation is to assist the person served in addressing their behavioral health crisis and
restoring the person served to the highest possible functional level. For children and youth, in
particular, mobile crisis teams shall work extensively with parents, caretakers and guardians,
as appropriate and in a manner that is consistent with all federal and state laws related to
minor consent, privacy and confidentiality.
Contractor shall ensure that persons served receive a follow-up check-in within 72 hours of
the initial mobile crisis response. The purpose of the follow-up check-in is to support
continued resolution of the crisis, as appropriate, and should include the creation of or
updates to the person's served crisis safety plan, or additional referrals to ongoing supports,
as needed. If the person served received a referral to ongoing supports during the initial
mobile crisis response, as part of follow-up the mobile crisis team shall check on the status of
appointments and continue to support scheduling, arrange for transportation, and provide
reminders as needed.
Follow-up may be conducted by any mobile crisis team member who meets DHCS' core
training requirements and may be conducted in-person or via telehealth, which includes both
synchronous audio-only (e.g., telephone) and video interactions. Follow-up may be
conducted by a mobile crisis team member that did not participate in the initial mobile crisis
response. If the mobile crisis team member conducting follow-up is not part of the mobile
crisis team that provided the initial crisis response, the individual providing follow-up shall
coordinate with the team members that participated in the initial mobile crisis response to
gather information on the recent crisis and any other relevant information about the person
served. There may be times when the mobile crisis team is unable to engage the person
served in follow-up. Examples include but are not limited to the person served is in inpatient
treatment, otherwise incapacitated, unwilling to engage, or cannot be reached despite
reasonably diligent efforts. The mobile crisis team shall document those instances where the
person served cannot be engaged for follow-up.
These services will be continuously evaluated by the County and Contractor. The Contractor
must adapt to meet the geographically dispersed needs of those living in metropolitan Fresno
County, the communities' needs as crisis services and demands fluctuate, and as Fresno
County identifies more appropriate CIT models that improve service delivery.
3. Responding to the Needs of Children and Youth
Mobile crisis teams shall work with parents, caregivers, and guardians in a manner consistent
with state and federal privacy and confidentiality laws. These teams prioritize the well-being
and safety of individuals experiencing a crisis while also respecting the privacy and rights of
those involved.
• Assessment and initial contact: When a mobile crisis team responds to a crisis situation
involving a child or youth, they will conduct the standardized assessment tool to gather
relevant information about the situation. This may involve speaking with parents,
A-1-4
Exhibit A-1
caregivers, or guardians to understand the background, triggers, and any immediate
concerns.
• Collaboration and information sharing: The mobile crisis team will work collaboratively
with parents, caregivers, and guardians to develop a comprehensive understanding of the
needs and preferences of the child or youth involved. They may seek consent to
exchange information with relevant professionals, such as primary care providers or
therapists, to ensure comprehensive care.
• Privacy and confidentiality: Mobile crisis teams adhere to state and federal privacy laws,
such as the Health Insurance Portability and Accountability Act (HIPAA) in the United
States. This means they protect the privacy and confidentiality of individuals involved,
unless there is a legal requirement or serious safety concern that necessitates sharing
information with appropriate authorities or professionals.
• Informed consent: Mobile crisis teams will inform parents, caregivers, or guardians about
the purpose of their involvement, the services they can provide, and the limits of
confidentiality. The team will obtain informed consent before initiating any services or
sharing information, ensuring that everyone involved is aware of their rights and
responsibilities.
• Collaboration and support: Throughout the crisis intervention process, mobile crisis teams
will engage parents, caregivers, and guardians in developing a crisis response plan. They
will provide support, education, and resources to enhance the family's ability to manage
crises and promote the well-being of the child or youth.
4. Coordination with Other Delivery Systems
A mobile crisis response is a powerful indicator that an individual needs additional
services or that something is not working well with their current array of services; it
warrants an alert to other providers who are involved in the individual's care and
coordinated follow-up.
Contractor shall establish policies and procedures to ensure mobile crisis services are
integrated into a whole person approach to care. Policies and procedures may include,
but are not limited to:
- Contractor shall alert the person's served Medi-Cal behavioral health delivery
system within 48 hours of a mobile crisis response and provide basic information
about the encounter (e.g., disposition of the mobile crisis call);
- The Medi-Cal behavioral health delivery system shall inform the Contractor if they
are aware if the person served is receiving care management through targeted
case management, ICC, ECM, or any other benefit including non-Medi-Cal
benefits such as Full-Service Partnership;
- Contractor shall alert the person's served MCP, if known, of the behavioral health
crisis; and
- If a mobile crisis team receives information that a person served is receiving
services from a care manager, it shall alert the person's served care manager(s) of
A-1-5
Exhibit A-1
the behavioral health crisis, as applicable, and coordinate referrals and follow-up
consistent with privacy and confidentiality requirements.
- Mobile crisis teams shall ensure that they have the person's served consent for
these disclosures in cases where consent is required by applicable law.
5. Collaboration with Law Enforcement
The Contractor shall establish and maintain collaborative relationships with the Fresno
County Police Departments. The Contractor shall be willing to provide information on the
program services through trainings and infographics to our community and law enforcement
partners.
6. Collaboration with EMS
As a Central California Emergency Medical Services Agency, Fresno County through its
Department of Public Health obtained approval for paramedic triage to alternate destination
(PAD) services Under PAD, local EMS responds via 911 emergency services dispatch or call
from behavioral health provider to a community-based behavioral health crisis where an
involuntary hold has been placed and provides transportation to the county's crisis
stabilization center and no medical emergency is present. The Contractor shall establish and
maintain collaborative relationships with local EMS services as EMS will continue to provide
transportation services for person served.
7. Collaboration with FURS
The local FURS services are coordinated through the Department of Social Services,
Probation Department, and a county contracted provider of behavioral health services for
24/7 in-home/community mobile response within prescribed timeframes for current and
former foster youth, including foster youth currently or formerly involved with Probation
Department. The contracted FURS mobile response team provides services such as de-
escalation, crisis stabilization and reconnection to social services or mental health services.
As with current contracted crisis co-response services, when it is determined that the person
served is eligible for FURS, the mobile crisis hotline and/or team will coordinate services by
informing the individual of FURS as a resource and provide linkage to Child Welfare Services
partners. If appropriate, the mobile crisis hotline may dispose the call to the local FURS
services.
The local FURS services may also refer to the mobile crisis hotline if the youth is determined
to need higher level of care. FURS mobile response team members who are clinical staff are
not delegated authority under the MHP to evaluate for involuntary holds. In the event that the
FURS team is unable to de-escalate a youth that is in crisis, mobile crisis teams may be
dispatched to the location if appropriate.
To ensure effective engagement with FURS and County Social Services so that the most
appropriate system is providing crisis response, interagency collaboration will be needed to
share information, streamline processes and coordinate services effectively. The Contractor
shall establish and maintain collaborative relationships with local FURS services.
A-1-6
Exhibit A-1
8. Documentation and Billing
• Contractor will use Fresno County DBH's electronic health record (EHR) and billing system,
and business management platform to conduct data analysis.
• Contractor must complete all documentation within 24 hours of service delivery, including
but not limited to: access forms, client referral forms and progress notes. In addition, all
related documents need to be uploaded within the same timeframe.
• Contractor must adhere to the documentation standards established in DHCS's CalAIM
Documentation Manuals as well as any future amendments to these documents on the
CaIMHSA website.
• Contractor shall utilize collaborative documentation with the person served whenever it is
clinically indicated. Staff must adhere to DBH's collaborative documentation standards,
which may include training courses offered by DBH.
9. Care Coordination and Community Collaboration
• Contractor shall participate in care coordination activities with DBH, law enforcement and
other community agencies.
• Contractor agrees to coordinate with the Family Urgent Response System in Fresno County
and utilize this program as a resource for qualified individuals.
• Comprehensive knowledge of community resources is essential for case management staff
to refer persons served to appropriate services. Contractor must make all attempts to
ensure program staff are aware of applicable community resources and how to refer to
these programs.
• If the person served is linked to a DBH program, Contractor will notify the service provider
as soon as practicable.
VII. STAFFING
Contractor shall provide a staffing plan that is clear and concise and allows for full implementation
of all services described in the program. Staff shall be qualified in education experience, clinical,
and cultural competencies according to MHP provider manual requirements.
The CIT crisis co-response programs are currently staffed with Licensed or Associate-Level Mental
Health Professionals (LMHP), Licensed or Associate-Level Practitioners of the Healing Arts (LPHA)
and Other Qualified Providers, specifically case managers. The MCRT program shall use these
provider types in teams of two with at least one team member being a licensed or associate level
clinician. This will allow for the clinical support and expertise needed to determine if the person
served requires further treatment at a higher level of care and authority to take the person served
into custody for a 72-hour involuntary hold (5150 hold) under Welfare and Institutions (W&I) 5150.
Contractor shall follow best practice and have the two providers be physically present onsite during
the initial mobile crisis response. At least one onsite team member will conduct the crisis
assessment. At least one onsite team member will be carrying, trained and able to administer
naloxone.
A-1-7
Exhibit A-1
Contractor shall provide robust, comprehensive, and ongoing training and mentoring
to staff in evidence-based practices (EBP) of the program to ensure fidelity and to build
competency and expertise of their staff. In addition to EBPs, Contractor shall provide
training to on co-occurring and trauma informed practice.
All mobile crisis team staff, including hotline operators and mobile crisis responders, shall complete
the DHCS' core training requirements made available on the County's e-learning website. Training
may include, but is not limited to, delivering culturally responsive care, particularly when working
with children, youth and young adults who are LGBTQ+, Black, Indigenous, and People of Color,
involved in the child welfare system, or living with intellectual and/or Developmental Disabilities
(I/DD). Mobile crisis teams shall abide by all state and federal minor consent laws. Required
training shall also include an overview of existing minor consent obligations and appropriate
protocols for communicating with parents, guardians and other responsible adults who may or may
not be present at the time of the crisis. In order to ensure the most appropriate systems are
responding to a crisis, the mobile crisis hotline operator and mobile crisis team will be familiar with
FURS, Regional Centers and other dispatch lines to be able to coordinate referrals as appropriate.
Contractor shall demonstrate staff proficiency (training and certification) in suicide and crisis
intervention procedures and other training subjects that would benefit the individuals in their
wellness goals.
Contractor shall ensure clinical supervisor(s) will oversee the work of the clinicians, including
approving documentation and claiming in the electronic medical records as required. The clinical
supervisor(s) shall be able to provide Board of Behavioral Sciences (BBS) supervision.
All staff, who provide direct care or perform coding/billing functions, must meet the requirements of
the Fresno County Mental Health Plan (FCMHP) Compliance Program. This includes the screening
for excluded persons and entities by accessing or querying the applicable licensing board(s), the
National Provide Data Bank (NPDB), Office of Inspector General's List of Excluded
Individuals/Entities (LEIE), Excluded Parties List System (EPLS) and Medi-Cal Suspended and
Ineligible List prior to hire and monthly thereafter. In addition, all licensed/registered/waivered staff
must complete a FCMHP Provider Application and be credentialed by the FCMHP's Credentialing
Committee. All licensed staff shall have Department of Justice (DOJ), Federal Bureau of
Investigation (FBI), and Sherriff fingerprinting (Live scan) executed.
VIII. REPORTING
Contractor shall comply with the following reporting requirements:
1. DHCS Reporting:
a. Contractor shall provide data necessary for all reports mandated by DHCS.
2. CSI Reporting
a. Contractor shall work with DBH to capture and enter all Client Service Information (CSI),
admission data, and billing information into DBH's data system for the purposes of
effective care coordination and State reporting. Contractor shall provide all necessary
data to allow DBH to capture all CSI data for services provided and to meet all State and
Federal reporting requirements. Methods of providing such information include, but not
limited to, the following:
i. Direct data entry in DBH's electronic information system; or
ii. Provide an electronic file compatible with DBH's electronic information system.
A-1-8
Exhibit A-1
3. Contractor shall comply with all reporting requests made by DBH. Reporting requirements are
subject to change as the program develops.
IX. PERFORMANCE AND OUTCOME MEASUREMENTS
Contractor shall comply with all project monitoring and compliance protocols, procedures, data
collection methods, and reporting requirements requested by the County. County and Contractor
shall use performance outcome measures for evaluating program and system effectiveness to
ensure services and service delivery strategies are positively impacting the service population.
In addition, these measures shall be used to ensure the program is in alignment with MHSA
guiding principles which are inclusive of: an integrated service experience; community
collaboration; cultural competence; individual/family driven service; and wellness, resilience, and
recovery-focused services.
Performance outcome measures shall be tracked on an ongoing basis and used to update the
County monthly. In addition, performance outcome measures are reported to the County annually
in accumulative reports for overall program and contract evaluation. Forms and tools used to
gather, and report data reflecting services provided, populations served, and impact of those
services are to be developed by the County and Contractor. Contractor will work closely with the
County to analyze the data and make necessary adjustments to service delivery and reporting
requirements before the start of each new fiscal year and at appropriate intervals during the fiscal
year.
Measurable outcomes may be reviewed for input and approval by a designated DBH work group
upon contract execution and adjusted as needed each new fiscal year. The purpose of this
review process is to ensure a comprehensive system-wide approach to the evaluation of
programs through an effective outcome reporting process.
The following items listed below represent program goals to be achieved by Contractor. The
program's success will be based on the number of goals it can achieve, resulting from performance
outcomes. Contractor will utilize a computerized tracking system with which outcome measures
and other relevant individual data, such as demographics, will be maintained.
Contractor will collect data about the characteristics of the individuals served and measure service
delivery performance indicators in the four Commission on Accreditation of Rehabilitation Facilities
(CARF) domains listed below, with at least one performance indicator for each of the four domains.
Contractor shall submit annual outcomes on a report template to be provided by the County for
each level of care provided.
1. Effectiveness
2. Efficiency
3. Access
4. Satisfaction & Feedback of Persons Served &Stakeholders
Additional Reporting Requirements
A-1-9
Exhibit A-1
Contractor will be responsible for meeting with DBH on a monthly basis, or more often as agreed
upon between DBH and Contractor, for contract and performance monitoring. Contractor will be
required to submit monthly reports to the County that will include, but not be limited to: dollars
billed for Medi-Cal, CCMU, and MHSA (non-Medi-Cal or non-Medi-Cal services); persons served;
actual expenses; the number of persons served/anticipated to be served; wait lists; utilization of
services by persons served; and staff composition. These reports will be due within 30 days
after the last day of the previous month or payments may be delayed.
DBH requires the following data reporting, which must be submitted to the Department by the 10t" of
each month, unless otherwise indicated. The reporting period is typically the prior month in which
services were provided. The following funding, staffing, services and data must be collected,
maintained and reported by the established deadlines. Reporting templates and requirements are
subject to change based on State and Federal regulations, funding guidelines and efforts to improve
service delivery.
A. Invoices must be submitted each month and shall include expenses and revenues from the
prior month.
B. The Monthly Staffing Report shall be submitted each month and must include each program
staff member, their title, full-time equivalent, salary and other information as deemed
appropriate by DBH.
C. CCMU grant reports must be submitted at least quarterly, but more frequently as needed.
D. Annual Performance Outcome Measures reports shall be completed at least annually and
submitted to DBH as requested. County staff will notify the awarded vendor when its
agency's participation is required. The performance outcome measurement report process
will include survey instruments, person served and staff interviews, chart reviews, and other
methods of obtaining necessary information as appropriate.
The Contractor will be required to provide culturally and linguistically appropriate services that
align with the National Standards for Culturally and Linguistically Appropriate Services and DBH
PPG 1.5.1 Culturally and Linguistically Appropriate Services as well as any updates to these
standards. The program will be required to report staff training related to cultural competency as
requested by DBH.
A-1-10
Revised Exhibit F
Crisis Intervention Team-Metro
Kings View
July 1,2023-January 22,2024
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.03 $ 2,894 $ 2,894
1102 Regional Director 0.11 7,166 7,166
1103 Financial Analyst(Accountant) 0.14 6,652 6,652
1104 Quality Improvement Data Analyst 0.25 10,400 10,400
1105 Administrative Specialist 1.00 25,007 25,007
1106 Program Manager 1.00 57,363 57,363
1107 Clinical Supervisor/UR 1.00 50,960 50,960
1108 - -
1109
1110
1111
1112
1113
1114
1115 - -
Direct Personnel Admin Salaries Subtotal 3.53 $ 160,442 $ 160,442
Acct# Program Position FTE Admin Program Total
1116 Licensed Field Clinician 2.00 $ 89,115 $ 89,115
1117 Unlicensed Field Clinician 8.00 350,875 350,875
1118 Licensed Lead Field Clinician 2.00 108,174 108,174
1119 Case Manager 2.00 52,635 52,635
1120 Per Diem Field Clinician(Licensed) 1,000 hrs/yr 0.50 22,421 22,421
1121 -
1122 -
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134 -
Direct Personnel Program Salaries Subtotal 14.50 $ 623,220 $ 623,220
Admin Program Total
Direct Personnel Salaries Subtotal 18.03 $ 160,442 $ 623,220 $ 783,662
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 2,036 $ 7,909 $ 9,945
1202 Worker's Compensation 2,749 10,678 13,427
1203 Health Insurance 10,678 41,474 52,152
1204 Other(specify) -
1205 Other(specify) - -
1206 Other(specify) - -
Direct Employee Benefits Subtotal:j $ 15,463 j $ 60,061 j $ 75,524
Fresno County Department of Behavioral Health Revised Ex F-1
Revised Exhibit F
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ - $ - $
1302 FICA/MEDICARE 12,208 47,420 59,628
1303 SUI 495 1,922 2,417
1304 Other(specify) - - -
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 12,703 $ 49,342 $ 62,045
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 188,608 $ 732,623 $ 921,231
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
20%1 80%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing, Food,&Hygiene 4,750
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Program Supplies)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 4,750
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 15,975
3002 Printing/Postage 2,300
3003 Office Supplies&Equipment 2,750
3004 Advertising -
3005 Staff Development&Training 7,000
3006 Staff Mileage 500
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 18,825
3009 Other(Staff Recruitment) 750
3010 Other(Insurance)
3011 Other(Uniforms) 2,000
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 50,100
Fresno County Department of Behavioral Health Revised Ex F-2
Revised Exhibit F
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $
4002 Rent/Lease Building 13,150
4003 Rent/Lease Equipment 2,110
4004 Rent/Lease Vehicles 22,000
4005 Security -
4006 Utilities
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 37,260
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 36,363
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services 1,300
5005 Other(EHR Fees) -
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 37,663
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate
Administrative Overhead
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit -
6005 Insurance(Specify):Auto, Property,general, Professional Liability 10,000
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to beUsedforProgramPurposes) -
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(Administrative Overhead) 128,368
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 138,368
INDIRECT COST RATE 13.05%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 8,000
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 1,000
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
Fresno County Department of Behavioral Health Revised Ex F-3
Revised Exhibit F
FIXED ASSETS EXPENSES TOTAL $ 9,000
TOTAL PROGRAM EXPENSES $ 1,198,372
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Crisis Intervention Team
Acct# Line Item Description I I Amount
Estimated Specialty Mental Health Services Billing Totals: 1 1 $ 686,716
Estimated%of Clients who are Medi-Cal Beneficiaries 30%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 206,015
Federal Financial Participation(FFP)% 1 50% 103,007
MEDI-CAL FFP TOTAL 1 $ 103,007
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Medi-Cal Mobile Crisis Benefit SMHS
Acct# Line Item Description Service Units Rate Amount
Transportation Mileage $ -
Mobile Crisis $
Transportation,staff time, per 15 minutes $
Estimated Specialty Mental Health Services Billing Totals: 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries 30%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Federal Financial Participation(FFP)% 1 100%
MEDI-CAL FFP TOTAL $
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Medi-Cal Mobile Crisis Benefit DMC-ODS
Acct# Line Item Description Service Units Rate Amount
Transportation Mileage $
Mobile Crisis $
Transportation,staff time, per 15 minutes $
Estimated Specialty Mental Health Services Billing Totals: 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries 30%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries
Federal Financial Participation(FFP)% 100%
MEDI-CAL FFP TOTAL $ -
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ -
8302 PEI-Prevention&Early Intervention Crisis Intervention&Rural Triage 1,095,365
8303 INN-Innovations -
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $ 1,095,365
8400-OTHER REVENUE
Fresno County Department of Behavioral Health Revised Ex F-4
Revised Exhibit F
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance
8403 Grants(CCMU)
8404 Other(Specify)
8405 Other(Specify)
OTHER REVENUE TOTAL $
TOTAL PROGRAM FUNDING SOURCES: $ 1,198,372
NET PROGRAM COST: $ (0)
Fresno County Department of Behavioral Health Revised Ex F-5
Revised Exhibit F
Crisis Intervention Team-Metro
Kings View
July 1,2023-January 22,2024
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE%
Executive Director PATH SMHS/Fresno 0.01
PATH OEL/Fresno 0.01
PATH STARS 0.03
Blue Sky/Fresno 0.05
Rural Crisis Intervention/Fresno 0.03
Metro CIT/Fresno 0.03
Map Point/Fresno 0.01
Suicide Prevention Follow-up Call/Fresno 0.01
FURS/Fresno 0.03
CVSPH/California State,Tulare,Calaveras,Tuolum 0.13
Shasta 0.09
Tulare 0.26
Madera 0.06
Kings 0.23
Administrative Department 0.02
Total 1.00
Position Contract#/Name/Department/County FTE%
Regional Director PATH SMHS/Fresno 0.02
PATH OEL/Fresno 0.02
PATH STARS 0.06
Blue Sky/Fresno 0.11
Case Manager 0.16
Metro CIT/Fresno 0.105
Map Point/Fresno 0.05
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH/California State,Tulare,Calaveras,Tuolum 0.29
Madera 0.14
Total 1.00
Position Contract#/Name/Department/County FTE%
Accountant PATH SMHS/Fresno 0.02
PATH OEL/Fresno 0.05
PATH STARS 0.05
Blue Sky/Fresno 0.12
Rural Crisis Intervention/Fresno 0.15
Metro CIT/Fresno 0.14
Map Point/Fresno 0.07
FURS/Fresno 0.03
Finance Department 0.37
Total 1.00
Position Contract#/Name/Department/County FTE%
Quality Improvement Data Analyst PATH SMHS/Fresno 0.02
PATH OEL/Fresno 0.05
PATH STARS 0.05
Blue Sky/Fresno 0.12
Rural Crisis Intervention/Fresno 0.25
Metro CIT/Fresno 0.25
Map Point/Fresno 0.07
FURS/Fresno 0.03
Shasta 0.04
Fresno County Department of Behavioral Health Revised Ex F-6
Revised Exhibit F
QI Deparment 1 0.12
Total 1.00
Position Contract#/Name/Department/County FTE%
Administrative Specialist PATH SMHS/Fresno 0.17
PATH CEL/Fresno 0.05
Rural Crisis Intervention/Fresno 0.75
FURS/Fresno 0.03
Total 1.00
Fresno County Department of Behavioral Health Revised Ex F-7
Revised Exhibit F
Crisis Intervention Team-Metro
Kings View
July 1,2023-January 22,2024 Budget Narrative
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 921,231
Administrative Positions 160,"2
1101 Executive Director 2,894 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Regional Director 7,166 Provide program management and direction.Ensures operations are running smoothly
and in compliance with contract requirements.
1103 Accountant 6,652 Prepares and provides budget guidance,monthly invoicing,and other fiscal services.
1104 Quality Improvement Data Analyst 10,400 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.
1105 Administrative Specialist 25,007 Provides administrative support for the program and assist with medical billing and
records.
1106 Program Manager 57,363 Provides supervision of all staff and direct oversight of program management.
1107 Clinical Supervisor/UR 50,960 Provides supervision of all licensed and unlicensed clinical staff.
1108 0 -
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0 -
Program Positions 623,220
1116 Licensed Field Clinician 89,115 Assist with managing the client's illness and reduce its impact on the client's life,and
referrals to appropriate linkages.Services shall include crisis assessments,suicide risk
assessments,safety plan development,disseminating information regarding,and
linkage to,behavioral health services&community resources,and post-crisis case
management and care coordination activities.Additional services can include
assistance locating stable housing,coordinating care meetings,collaboration with
school staff,foster family agencies,regional center representatives,primary care
physicians,inpatient and residential services,social workers,substance use disorder
services,and parole or probation officers.These position may be filled by regular staff
members,on call staff members,per diem staff,licensed and unlicensed clinicians.The
higher cost reflects includes 1/2 of additional FTE and greater differentials to attract
and retain clincians to the MCRT program.The CIT program is two shifts a day and the
MCRT program adds a third shift for overnight calls.
1117 Unlicensed Field Clinicans 350,875 Assist with managing the client's illness and reduce its impact on the client's life,and
referrals to appropriate linkages.Services shall include crisis assessments,suicide risk
assessments,safety plan development,disseminating information regarding,and
linkage to,behavioral health services&community resources,and post-crisis case
management and care coordination activities.Additional services can include
assistance locating stable housing,coordinating care meetings,collaboration with
school staff,foster family agencies,regional center representatives,primary care
physicians,inpatient and residential services,social workers,substance use disorder
services,and parole or probation officers.These position may be filled by regular staff
members,on call staff members,per diem staff,licensed and unlicensed clinicians.The
higher cost reflects includes 1/2 of additional FTE and greater differentials to attract
and retain clincians to the MCRT program.The CIT program is two shifts a day and the
MCRT program adds a third shift for overnight calls.
Fresno County Department of Behavioral Health Revised Ex F-8
Revised Exhibit F
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1118 Licensed Lead Field Clinician 108,174 Assist with managing the client's illness and reduce its impact on the client's life,and
referrals to appropriate linkages.Services shall include crisis assessments,suicide risk
assessments,safety plan development,disseminating information regarding,and
linkage to,behavioral health services&community resources,and post-crisis case
management and care coordination activities.Additional services can include
assistance locating stable housing,coordinating care meetings,collaboration with
school staff,foster family agencies,regional center representatives,primary care
physicians,inpatient and residential services,social workers,substance use disorder
services,and parole or probation officers.These position may be filled by regular staff
members,on call staff members,per diem staff,licensed and unlicensed clinicians.The
higher cost reflects includes 1/2 of additional FTE and greater differentials to attract
and retain clincians to the MCRT program.The CIT program is two shifts a day and the
MCRT program adds a third shift for overnight calls.
1119 Case Manager 52,635 Provides post-crisis case management and care corrdination activities.
1120 Per Diem Field Clinician(Licensed)1,000 hrs/yr 22,421 Per-Diem-Assist with managing the client's illness and reduce its impact on the
client's life,and referrals to appropriate linkages.Services shall include crisis
assessments,suicide risk assessments,safety plan development,disseminating
information regarding,and linkage to,behavioral health services&community
resources,and post-crisis case management and care coordination activities.
Additional services can include assistance locating stable housing,coordinating care
meetings,collaboration with school staff,foster family agencies,regional center
representatives,primary care physicians,inpatient and residential services,social
workers,substance use disorder services,and parole or probation officers.These
position may be filled by regular staff members,on call staff members,per diem staff,
licensed and unlicensed clinicians.The higher cost reflects includes 1/2 of additional
FTE and greater differentials to attract and retain clincians to the MCRT program.The
CIT program is two shifts a day and the MCRT program adds a third shift for overnight
calls.
1121
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
Direct Employee Benefits 75,524
1201 IRetirement 9,945 Cost of 401K
1202 Worker's Compensation 13,427 Workers'Compensation Insurance
1203 Health Insurance 52,152 Cost of medical,vision,dental,life and long-term disability insurance.
1204 Other(specify) - Employee life insurance for employee beneficiaries.
1205 Other(specify)
1206 Other(specify)
Direct Payroll Taxes&Expenses: 62,045
1301 OASDI - Disability insurance
1302 FICA/MEDICARE 59,628 Cost of FICA/Medicare
1303 SUI 2,417 Unemployment insurance
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
Fresno County Department of Behavioral Health Revised Ex F-9
Revised Exhibit F
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2000:DIRECT CLIENT SUPPORT 4,750
2001 Child Care -
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 4,750 Expenses that supports clients with clothing,food,water,blankets,and hygiene
supplies.Also,includes miscellaneous client support items such as pet food,groceries,
DMV identification,and birth certificates.
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Program Supplies)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES S0,100
3001 Telecommunications 15,975 Cost of a cell phone,cell phones service,data connectivity.
3002 Printing/Postage 2,300 Anticipating courier services and postage necessary for program.Business cards,51/50
forms,and other special printing in bulk that is less cost effective to outsource rather
than utilization of a copier.
3003 Office Supplies&Equipment 2,750 Includes all supplies and minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development&Training 7,000 Cost of continuation of staff development,training,and continuing education(CEUs).
Includes,registration cost,travel transportation,staff meals,and lodging expenses.
3006 Staff Mileage 500 Reimbursements to staff for personal vehicle use when lease vehicle not available and
require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 18,825 Minor auto repairs&maintenance required to maintain 11 leased vehicles for client
transportation and program needs.Includes expenses such as oil changes,car washes,
vehicle tracking service,auto fuel,and DMV fees.
3009 Other(Staff Recruitment) 750 Thorough background checks,drug testing,and job postings.
3010 Other(Insurance) - Liability Insurance
3011 Other(Uniforms) 2,000 Intended for the purpose of identifying ourselves to the people we are going to
service,but also to identify who the KV people are to law enforcement,if law
enforcement is called to the the scene for some reason..
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 37,260
4001 Building Maintenance
4002 Rent/Lease Building 13,150 Shared building lease space.
4003 Rent/Lease Equipment 2,110 Shared cost for copier leases and water dispenser rental
4004 Rent/Lease Vehicles 22,000 Cost of(11)leased vehicles to assist with program and client needs
4005 Security -
4006 Utilities
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 Other(specify) -
5000:DIRECT SPECIAL EXPENSES 37,663
5001 Consultant(Network&Data Management) 36,363 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,access
to data/documents/application 24/7.After hours support via email and phone 24/7.
5002 HMIS(Health Management Information System)
Fresno County Department of Behavioral Health Revised Ex F-10
Revised Exhibit F
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services 1,300 Anticipating need of outsource translation services.
5005 Other(EHR Fees) -
5006 Other(specify)
5007 Other(Dispatch)
5008 Other(specify)
6000:INDIRECT EXPENSES 138,368
6001 lAdministrative Overhead -
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit -
6005 Insurance(Specify): 10,000 Direct expense to program general,professional liability,personal property,accidental,
and auto insurance
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Administrative Overhead) 128,368 Expense provides corporate management,fiscal services,payroll,human resources,
accounts payable and other adminstrative functions.
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
7000:DIRECT FIXED ASSETS 9,000
7001 1 Computer Equipment&Software 8,000 Computer equipment and ongoing software licenses
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 1,000 Anticipating cost or replacement furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 1 Other(specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,198,372
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,198,372 0
BUDGET CHECK:
Fresno County Department of Behavioral Health Revised Ex F-11
Revised Exhibit F
Crisis Intervention Team&Medi-Cal Mobile Crisis Team-Metro
Kings View
January 23,2024-June 30,2024
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.03 $ 2,894 $ 2,894
1102 Regional Director 0.11 7,166 7,166
1103 Financial Analyst(Accountant) 0.14 6,652 6,652
1104 Quality Improvement Data Analyst 0.25 10,400 10,400
1105 Administrative Specialist 1.00 25,007 25,007
1106 Program Manager 1.00 65,905 65,905
1107 Clinical Supervisor/UR 1.50 76,440 76,440
1108 - -
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 4.03 $ 194,464 $ 194,464
Acct# Program Position FTE Admin Program Total
1116 Licensed Field Clinician 0.00 $ - $ -
1117 Clinicians 11.00 526,032 526,032
1118 Licensed Lead Field Clinician 2.00 114,328 114,328
1119 Case Manager 4.50 123,192 123,192
1120 Per Diem Team Responder 0.00 - -
1121 Lead Case Manager 1.00 33,356 33,356
1122 Dispatcher 0.00 - -
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 18.50 $ 796,908 $ 796,908
Admin Program Total
Direct Personnel Salaries Subtotal 22.53 $ 194,464 $ 796,908 $ 991,372
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 2,986 $ 12,238 $ 15,224
1202 Worker's Compensation 3,940 16,148 20,088
1203 Health Insurance 22,174 90,869 113,043
1204 Other(specify) 383 1,572 1,955
1205 Other(specify) - -
1206 Other(specify) - -
Direct Employee Benefits Subtotal:j $ 29,483 1 $ 120,827 $ 150,310
Fresno County Department of Behavioral Health Revised Ex F-12
Revised Exhibit F
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ 440 $ 1,803 $ 2,243
1302 FICA/MEDICARE 14,532 59,554 74,086
1303 SUI 600 2,458 3,058
1304 Other(specify) - - -
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 15,572 $ 63,815 $ 79,387
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 239,519 $ 981,550 $ 1,221,069
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
20%1 80%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing, Food,&Hygiene 6,714
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 2,058
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 8,772
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 34,466
3002 Printing/Postage 83
3003 Office Supplies&Equipment 8,041
3004 Advertising -
3005 Staff Development&Training 4,416
3006 Staff Mileage -
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 47,457
3009 Other(Staff Recruitment) 1,864
3010 Other(Insurance) 26,604
3011 Other(Uniforms) 2,500
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 125,431
Fresno County Department of Behavioral Health Revised Ex F-13
Revised Exhibit F
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 11,895
4002 Rent/Lease Building 27,811
4003 Rent/Lease Equipment 5,334
4004 Rent/Lease Vehicles 51,897
4005 Security -
4006 Utilities 2,710
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 99,647
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 63,216
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services 250
5005 Other(EHR Fees) -
5006 Other(specify) -
5007 Other(Dispatch) 15,000
5008 Other(specify) -
DIRECT SPECIAL EXPENSES TOTAL: $ 78,466
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate
Administrative Overhead
6002 Professional Liability Insurance 10,000
6003 Accounting/Bookkeeping -
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to beUsedforProgramPurposes) -
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(Administrative Overhead) 175,965
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 185,965
INDIRECT COST RATE 12.00%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 15,540
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 1,100
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
Fresno County Department of Behavioral Health Revised Ex F-14
Revised Exhibit F
FIXED ASSETS EXPENSES TOTAL $ 16,640
TOTAL PROGRAM EXPENSES $ 1,735,990
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Crisis Intervention Team
Acct# Line Item Description I I Amount
Estimated Specialty Mental Health Services Billing Totals: 1 1 $ 686,716
Estimated%of Clients who are Medi-Cal Beneficiaries 30%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 206,015
Federal Financial Participation(FFP)% 1 50% 103,007
MEDI-CAL FFP TOTAL 1 $ 103,007
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Medi-Cal Mobile Crisis Benefit SMHS
Acct# Line Item Description Service Units Rate Amount
Transportation Mileage $ 200 0.65 $ 130
Mobile Crisis $ 100 3,585.77 $ 358,577
Transportation,staff time, per 15 minutes $ 50 86.73 $ 4,337
Estimated Specialty Mental Health Services Billing Totals: 350 $ 363,044
Estimated%of Clients who are Medi-Cal Beneficiaries 30%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 108,913
Federal Financial Participation(FFP)% 100%1 108,913
MEDI-CAL FFP TOTAL 1 $ 108,913
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Medi-Cal Mobile Crisis Benefit DMC-ODS
Acct# Line Item Description Service Units Rate Amount
Transportation Mileage $ 40 0.65 $ 26
Mobile Crisis $ 20 3,585.77 $ 71,715
Transportation,staff time, per 15 minutes $ 10 86.73 $ 867
Estimated Specialty Mental Health Services Billing Totals: 70 $ 72,609
Estimated%of Clients who are Medi-Cal Beneficiaries 30%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 21,783
Federal Financial Participation(FFP)% 100%1 21,783
MEDI-CAL FFP TOTAL $ 21,783
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment 1 $ 504,744
REALIGNMENT TOTAL $ 504,744
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ -
8302 PEI-Prevention&Early Intervention Crisis Intervention&Rural Triage 895,365
8303 INN-Innovations -
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $ 895,365
8400-OTHER REVENUE
Fresno County Department of Behavioral Health Revised Ex F- 15
Revised Exhibit F
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance
8403 Grants(CCMU) 102,178
8404 Other(Specify) -
8405 Other(Specify) -
OTHER REVENUE TOTAL $ 102,178
TOTAL PROGRAM FUNDING SOURCES: $ 1,735,990
NET PROGRAM COST: $ (0)
Fresno County Department of Behavioral Health Revised Ex F-16
Revised Exhibit F
Crisis Intervention Team&Medi-Cal Mobile Crisis Services-Metro
Kings View
January 23,2024-June 30,2024
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE%
Executive Director PATH SMHS/Fresno 0.01
PATH OEL/Fresno 0.01
PATH STARS 0.03
Blue Sky/Fresno 0.05
Rural Crisis Intervention/Fresno 0.03
Metro CIT/Fresno 0.03
Map Point/Fresno 0.01
Suicide Prevention Follow-up Call/Fresno 0.01
FURS/Fresno 0.03
CVSPH/California State,Tulare,Calaveras,Tuolum 0.13
Shasta 0.09
Tulare 0.26
Madera 0.06
Kings 0.23
Administrative Department 0.02
Total 1.00
Position Contract#/Name/Department/County FTE%
Regional Director PATH SMHS/Fresno 0.02
PATH OEL/Fresno 0.02
PATH STARS 0.06
Blue Sky/Fresno 0.11
Case Manager 0.16
Metro CIT/Fresno 0.105
Map Point/Fresno 0.05
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH/California State,Tulare,Calaveras,Tuolum 0.29
Madera 0.14
Total 1.00
Position Contract#/Name/Department/County FTE%
Accountant PATH SMHS/Fresno 0.02
PATH OEL/Fresno 0.05
PATH STARS 0.05
Blue Sky/Fresno 0.12
Rural Crisis Intervention/Fresno 0.15
Metro CIT/Fresno 0.14
Map Point/Fresno 0.07
FURS/Fresno 0.03
Finance Department 0.37
Total 1.00
Position Contract#/Name/Department/County FTE%
Quality Improvement Data Analyst PATH SMHS/Fresno 0.02
PATH OEL/Fresno 0.05
PATH STARS 0.05
Blue Sky/Fresno 0.12
Rural Crisis Intervention/Fresno 0.25
Metro CIT/Fresno 0.25
Map Point/Fresno 0.07
FURS/Fresno 0.03
Shasta 0.04
Fresno County Department of Behavioral Health Revised Ex F-17
Revised Exhibit F
QI Deparment 1 0.12
Total 1.00
Position Contract#/Name/Department/County FTE%
Administrative Specialist PATH SMHS/Fresno 0.17
PATH CEL/Fresno 0.05
Rural Crisis Intervention/Fresno 0.75
FURS/Fresno 0.03
Total 1.00
Fresno County Department of Behavioral Health Revised Ex F-18
Revised Exhibit F
Crisis Intervention Team&Medi-Cal Mobile Crisis Services-Metro
Kings View
January 23,2024-June 30,2024 Budget Narrative
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 1,221,069
Administrative Positions 194,464
1101 Executive Director 2,894 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Regional Director 7,166 Provide program management and direction.Ensures operations are running smoothly
and in compliance with contract requirements.
1103 Accountant 6,652 Prepares and provides budget guidance,monthly invoicing,and other fiscal services.
1104 Quality Improvement Data Analyst 10,400 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.
1105 Administrative Specialist 25,007 Provides administrative support for the program and assist with medical billing and
records.
1106 Program Manager 65,905 Provides supervision of all staff and direct oversight of program management.
1107 Clinical Supervisor/UR 76,440 Provides supervision of all licensed and unlicensed clinical staff.
1108 0 -
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 10 1 -
Program Positions 796,908
1116 Licensed Field Clinician - Combined with 1117
1117 Clinicians 526,032 Assist with managing the client's illness and reduce its impact on the client's life,and
referrals to appropriate linkages.Services shall include crisis assessments,suicide risk
assessments,safety plan development,disseminating information regarding,and
linkage to,behavioral health services&community resources,and post-crisis case
management and care coordination activities.Additional services can include
assistance locating stable housing,coordinating care meetings,collaboration with
school staff,foster family agencies,regional center representatives,primary care
physicians,inpatient and residential services,social workers,substance use disorder
services,and parole or probation officers.These position may be filled by regular staff
members,on call staff members,per diem staff,licensed and unlicensed clinicians.The
higher cost reflects includes 1/2 of additional FTE and greater differentials to attract
and retain clincians to the MCRT program.The CIT program is two shifts a day and the
MCRT program adds a third shift for overnight calls.
1118 Licensed Lead Field Clinician 114,328 Provides guidance and support to other field clinicains along with usual clinican field
services.Assist with managing the client's illness and reduce its impact on the client's
life,and referrals to appropriate linkages.Services shall include crisis assessments,
suicide risk assessments,safety plan development,disseminating information
regarding,and linkage to,behavioral health services&community resources,and post-
crisis case management and care coordination activities.Additional services can
include assistance locating stable housing,coordinating care meetings,collaboration
with school staff,foster family agencies,regional center representatives,primary care
physicians,inpatient and residential services,social workers,substance use disorder
services,and parole or probation officers.
1119 Case Manager 123,192 This is a MCRT positon that co-responds with Filed Clinicians and provides post-crisis
case management and care coordination activites.This position can be filled by
regular,part-time,on-call and per diem staff.
1120 Per Diem Field Clinician(Licensed)1,000 hrs/yr - These positions have consolidated with 1117 Clinicians.
1121 Lead Case Manager 33,356 Oversees training and schedules Case Managers,while also providing co response and
client follow-up as other case managers.This added position need to support the 6
new MCRT Case Managers.
1122 0 -
1123 0
1124 0
1125 0
1126 0
1127 0
Fresno County Department of Behavioral Health Revised Ex F-19
Revised Exhibit F
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
Direct Employee Benefits 1S0,330
1201 Retirement 15,224 Cost of 401K
1202 Worker's Compensation 20,088 Workers'Compensation Insurance
1203 Health Insurance 113,043 Cost of medical,vision,dental,life and long-term disability insurance.
1204 Other(specify) 1,955 Employee life insurance for employee beneficiaries.
1205 Other(specify) -
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 79,387
1301 OASDI 2,243 Disability insurance
1302 FICA/MEDICARE 74,086 Cost of FICA/Medicare
1303 SUI 3,058 Unemployment insurance
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
Fresno County Department of Behavioral Health Revised Ex F-20
Revised Exhibit F
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2000:DIRECT CLIENT SUPPORT 8,772
2001 Child Care -
2002 Client Housing Support
2003 Client Transportation&Support
2004 Clothing,Food,&Hygiene 6,714 Expenses that supports clients with clothing,food,water,blankets,and hygiene
supplies.Also,includes miscellaneous client support items such as pet food,groceries,
DMV identification,and birth certificates.
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 2,058 Various program suppllies as needed for the program.
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 1 Other(specify)
3000:DIRECT OPERATING EXPENSES 125,431
3001 Telecommunications 34,466 Cost of a cell phone,cell phones service,data connectivity.Increase for the additional
case managers and program leads.
3002 Printing/Postage 83 Anticipating courier services and postage necessary for program.Business cards,51/50
forms,and other special printing in bulk that is less cost effective to outsource rather
than utilization of a copier.
3003 Office Supplies&Equipment 8,041 Includes all supplies and minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development&Training 4,416 Cost of continuation of staff development,training,and continuing education(CEUs).
Includes,registration cost,travel transportation,staff meals,and lodging expenses.
3006 Staff Mileage - Reimbursements to staff for personal vehicle use when lease vehicle not available and
require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 47,457 Minor auto repairs&maintenance required to maintain 11 leased vehicles for client
transportation and program needs.Includes expenses such as oil changes,car washes,
vehicle tracking service,auto fuel,and DMV fees.
3009 Other(Staff Recruitment) 1,864 Thorough background checks,drug testing,and job postings.
3010 Other(Insurance) 26,604 Liability Insurance
3011 Other(Uniforms) 2,500 Intended for the purpose of identifying ourselves to the people we are going to
service,but also to identify who the KV people are to law enforcement,if law
enforcement is called to the the scene for some reason..
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 99,647
4001 Building Maintenance 11,895 Maintenance of building
4002 Rent/Lease Building 27,811 Building lease space.
4003 Rent/Lease Equipment 5,334 Cost for copier leases and water dispenser rental.
4004 Rent/Lease Vehicles 51,897 Cost of leased vehicles to assist with program and client needs.Two additional vehicles
are added to cover the MCRT program.
4005 Security -
4006 Utilities 2,710 Cost of utilities.
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 78,466
Fresno County Department of Behavioral Health Revised Ex F-21
Revised Exhibit F
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
5001 Consultant(Network&Data Management) 63,216 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,access
to data/documents/application 24/7.After hours support via email and phone 24/7.
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services 250 Anticipating need of outsource translation services.
5005 Other(EHR Fees) -
5006 Other(specify) -
5007 Other(Dispatch) 15,000 Dispatch software&services as needed
5008 Other(specify)
6000:INDIRECT EXPENSES 185,965
6001 lAdministrative Overhead -
6002 Professional Liability Insurance 10,000 Direct expense to program for general,professional liability,personal property,
accidental,and auto insurance.
6003 Accounting/Bookkeeping -
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Administrative Overhead) 175,965 Expense provides corporate management,fiscal services,payroll,human resources,
accounts payable and other administrative functions.
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS 16,640
7001 j Computer Equipment&Software 15,540 Computer equipment and ongoing software licenses
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 1,100 Anticipating cost or replacement furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 1 Other(specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,735,990
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,735,990
BUDGET CHECK: -
Fresno County Department of Behavioral Health Revised Ex F-22
Revised Exhibit F
Crisis Intervention Team&Medi-Cal Mobile Crisis Team-Metro
Kings View
Fiscal Year(FY)2024-25
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.03 $ 5,962 $ 5,962
1102 Regional Director 0.11 14,763 14,763
1103 Accountant 0.14 13,703 13,703
1104 Quality Improvement Data Analyst 0.25 21,424 21,424
1105 Administrative Specialist 1.00 51,514 51,514
1106 Program Manager 1.00 135,764 135,764
1107 Clinical Supervisor/UR 1.50 157,466 157,466
1108 -
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 4.03 $ 400,596 $ 400,596
Acct# Program Position FTE Admin Program Total
1116 Licensed Field Clinician 0.00 $ -
1117 Clinicians 11.00 1,081,377 1,081,377
1118 Licensed Lead Field Clinician 2.00 235,147 235,147
1119 Case Manager 4.50 252,842 1 252,842
1120 Per Diem Team Responders 0.00 - -
1121 Lead Case Manager 1.00 68,506 68,506
1122 Dispatcher/Dispatch Counselors 2.00 137,114 137,114
1123 - -
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries SubtotalF 20.50 $ 1,774,986 $ 1,774,986
Admin Program Total
Direct Personnel Salaries Subtotal 24.53 $ 400,596 $ 1,774,986 $ 2,175,582
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 6,152 $ 27,258 $ 33,410
1202 Worker's Compensation 8,117 35,967 44,084
1203 Health Insurance 45,678 202,397 248,075
1204 Life Insurance 790 3,500 4,290
1205 Other(specify)
1206 1 Other(specify)
Direct Employee Benefits Subtotal: $ 60,737 $ 269,122 $ 329,859
Fresno County Department of Behavioral Health Revised Ex F-23
Revised Exhibit F
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ 907 $ 4,017 $ 4,924
1302 FICA/MEDICARE 29,937 132,645 162,582
1303 SUI 1,236 5,474 6,710
1304 Other(specify) - - -
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 32,080 $ 142,136 $ 174,216
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 493,413 $ 2,186,244 $ 2,679,657
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
18% 82%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support
2003 Client Transportation&Support
2004 Clothing,Food,&Hygiene 9,500
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Program Supplies)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 9,500
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 42,781
3002 Printing/Postage 4,690
3003 Office Supplies&Equipment 7,365
3004 Advertising
3005 Staff Development&Training 19,500
3006 Staff Mileage 1,500
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 43,730
3009 Other(Staff Recruitment) 2,500
3010 Other(Insurance) 2,640
3011 Other(specify) 5,250
3012 Other(specify) 2,000
DIRECT OPERATING EXPENSES TOTAL: $ 131,956
Fresno County Department of Behavioral Health Revised Ex F-24
Revised Exhibit F
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ -
4002 Rent/Lease Building 27,088
4003 Rent/Lease Equipment 4,348
4004 Rent/Lease Vehicles 52,520
4005 Security -
4006 Utilities
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:1 $ 83,956
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 123,799
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify)
5004 Translation Services 2,600
5005 Other(AvatarFees) -
5006 Other(IT Support Services) -
5007 Other(Dispatch Software and Panic Buttons) 30,000
5008 Other -
DIRECT SPECIAL EXPENSES TOTAL: $ 156,399
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate
Administrative Overhead
6002 Professional Liability Insurance 30,580
6003 Accounting/Bookkeeping -
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes)
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(Adminstrative Overhead) 338,982
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 369,562
INDIRECT COST RATE 12.00%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 16,000
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 2,000
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify) -
FIXED ASSETS EXPENSES TOTAL $ 18,000
TOTAL PROGRAM EXPENSES $ 3,449,030
Fresno County Department of Behavioral Health Revised Ex F-25
Revised Exhibit F
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Amount
Estimated Specialty Mental Health Services Billing Totals: $ 2,060,149
Estimated%of Clients who are Medi-Cal Beneficiaries 30%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 618,045
Federal Financial Participation(FFP)% 50% 309,022
MEDI-CAL FFP TOTAL $ 309,022
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Medi-Cal Mobile Crisis Benefit SMHS
Acct# Line Item Description Service Units Rate Amount
Transportation Mileage $ 400 0.65 $ 260
Mobile Crisis $ 200 3,585.77 $ 717,154
Transportation,staff time,per 15 minutes $ 100 86.73 $ 8,673
Estimated Specialty Mental Health Services Billing Totals: 700 $ 726,087
Estimated%of Clients who are Medi-Cal Beneficiaries 30%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 217,826
Federal Financial Participation(FFP)% 1 100% 217,826
MEDI-CAL FFP TOTAL $ 217,826
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Medi-Cal Mobile Crisis Benefit DMC-ODS
Acct# Line Item Description Service Units Rate Amount
Transportation Mileage $ 80 0.65 $ 52
Mobile Crisis $ 40 3,585.77 $ 143,431
Transportation,staff time,per 15 minutes $ 20 86.73 $ 1,735
Estimated Specialty Mental Health Services Billing Totals: 140 $ 145,217
Estimated%of Clients who are Medi-Cal Beneficiaries 30%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 43,565
Federal Financial Participation(FFP)% 1 100% 43,565
MEDI-CAL FFP TOTAL $ 43,565
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ 683,520
REALIGNMENT TOTAL][$ 683,520
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ -
8302 PEI-Prevention&Early Intervention Crisis Intervention&Rural Triage 1,990,730
8303 INN-Innovations -
8304 WET-Workforce Education&Training
8305 I CFTN-Capital Facilities&Technology
MHSA TOTAL $ 1,990,730
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance -
8403 Grants(CCMU) 204,366
8404 Other(Specify) -
8405 1 Other(Specify)
Fresno County Department of Behavioral Health Revised Ex F-26
Revised Exhibit F
I OTHER REVENUE TOTALI $ 204,366 I
TOTAL PROGRAM FUNDING SOURCES: $ 3,449,030
NET PROGRAM COST: $ 0
Fresno County Department of Behavioral Health Revised Ex F-27
Revised Exhibit F
Crisis Intervention Team&Medi-Cal Mobile Crisis Services-Metro
Kings View
Fiscal Year(FY)2024-25
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE%
Executive Director PATH SMHS/Fresno 0.01
PATH OEL/Fresno 0.01
PATH STARS 0.03
Blue Sky/Fresno 0.05
Rural Crisis Intervention/Fresno 0.03
Metro CIT/Fresno 0.03
Map Point/Fresno 0.01
Suicide Prevention Follow-up Call/Fresno 0.01
FURS/Fresno 0.03
CVSPH/California State,Tulare,Calaveras,Tuolum 0.13
Shasta 0.09
Tulare 0.26
Madera 0.06
Kings 0.23
Administrative Department 0.02
Total 1.00
Position Contract#/Name/Department/County FTE%
Regional Director PATH SMHS/Fresno 0.02
PATH OEL/Fresno 0.02
PATH STARS 0.06
Blue Sky/Fresno 0.11
Case Manager 0.16
Metro CIT/Fresno 0.11
Map Point/Fresno 0.05
FURS/Fresno 0.03
Suicide Prevention Follow-up Call/Fresno 0.01
CVSPH/California State,Tulare,Calaveras,Tuolum 0.29
Madera 0.14
Total 1.00
Position Contract#/Name/Department/County FTE%
Accountant PATH SMHS/Fresno 0.02
PATH OEL/Fresno 0.05
PATH STARS 0.05
Blue Sky/Fresno 0.12
Rural Crisis Intervention/Fresno 0.15
Metro CIT/Fresno 0.14
Map Point/Fresno 0.07
FURS/Fresno 0.03
Finance Department 0.37
Total 1.00
Position Contract#/Name/Department/County FTE%
Quality Improvement Data Analyst PATH SMHS/Fresno 0.02
PATH OEL/Fresno 0.05
PATH STARS 0.05
Blue Sky/Fresno 0.12
Rural Crisis Intervention/Fresno 0.25
Metro CIT/Fresno 0.25
Map Point/Fresno 0.07
Fresno County Department of Behavioral Health Revised Ex F-28
Revised Exhibit F
FURS/Fresno 0.03
Shasta 0.04
QI Deparment 0.12
Total 1.00
Position Contract#/Name/Department/County FTE%
Administrative Specialist PATH SMHS/Fresno 0.17
PATH CEL/Fresno 0.05
Rural Crisis Intervention/Fresno 0.75
FURS/Fresno 0.03
Total 1.00
Fresno County Department of Behavioral Health Revised Ex F-29
Revised Exhibit F
Crisis Intervention Team&Medi-Cal Mobile Crisis Team-Metro
Kings View
Fiscal Year(FY)2024-25 Budget Narrative
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 2,679,657
Administrative Positions 400,596
1101 Executive Director 5,962 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Regional Director 14,763 Provide program management and direction.Ensures operations are running smoothly
and in compliance with contract requirements.
1103 Accountant 13,703 Prepares and provides budget guidance,monthly invoicing,and other fiscal services.
1104 Quality Improvement Data Analyst 21,424 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.
1105 Administrative Specialist 51,514 Provides administrative support for the program and assist with medical billing and
records.
1106 Program Manager 135,764 Provides supervision of all staff and direct oversight of program management.
1107 Clinical Supervisor/UR 157,466 Provides supervision of all licensed and unlicensed clinical staff.
1108 0 -
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 1,774,986
1116 - Combined with 1117
1117 1,081,377 Assist with managing the client's illness and reduce its impact on the client's life,and
referrals to appropriate linkages.Services shall include crisis assessments,suicide risk
assessments,safety plan development,disseminating information regarding,and
linkage to,behavioral health services&community resources,and post-crisis case
management and care coordination activities.Additional services can include
assistance locating stable housing,coordinating care meetings,collaboration with
school staff,foster family agencies,regional center representatives,primary care
physicians,inpatient and residential services,social workers,substance use disorder
services,and parole or probation officers.These position may be filled by regular staff
members,on call staff members,per diem staff,licensed and unlicensed clinicians.The
higher cost reflects includes 1/2 of additional FTE and greater differentials to attract
and retain clincians to the MCRT program.The CIT program is two shifts a day and the
MCRT program adds a third shift for overnight calls.
1118 235,147 Provides guidance and support to other field clinicains along with usual clinican field
services.Assist with managing the client's illness and reduce its impact on the client's
life,and referrals to appropriate linkages.Services shall include crisis assessments,
suicide risk assessments,safety plan development,disseminating information
regarding,and linkage to,behavioral health services&community resources,and post-
crisis case management and care coordination activities.Additional services can
include assistance locating stable housing,coordinating care meetings,collaboration
with school staff,foster family agencies,regional center representatives,primary care
physicians,inpatient and residential services,social workers,substance use disorder
services,and parole or probation officers.
1119 252,842 This is a MCRT positon that co-responds with Filed Clinicians and provides post-crisis
case management and care coordination activites.This position can be filled by
regular,part-time,on-call and per diem staff.
1120 - These positions have consolidated with 1117 Clinicians.
1121 0 68,506 Oversees training and schedules Case Managers,while also providing co response and
client follow-up as other case managers.This added position need to support the 6
new MCRT Case Managers.
1122 0 137,114 These staff members will take the initial call for services and determine the next best
coarse of action for the client.These staff members will be hired with mental health
experience and receive specialized training and work closely with the clincial team.
1123 0 -
1124 0
Fresno County Department of Behavioral Health Revised Ex F-30
Revised Exhibit F
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
Direct Employee Benefits 329,859
1201 Retirement 33,410 Cost of 401K
1202 Worker's Compensation 44,084 Workers'Compensation Insurance
1203 Health Insurance 248,075 Cost of medical,vision,dental,life and long-term disability insurance.
1204 Life Insurance 4,290 Employee life insurance for employee beneficiaries.
1205 Other(specify) -
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 174,216
1301 OASDI 4,924 Disability insurance
1302 FICA/MEDICARE 162,582 Cost of FICA/Medicare
1303 SUI 6,710 Unemployment insurance
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
Fresno County Department of Behavioral Health Revised Ex F-31
Revised Exhibit F
PROGRAM EXPENSE
ACCT#J LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2000:DIRECT CLIENT SUPPORT 9,500
2001 Child Care -
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 9,500 Expenses that supports clients with clothing,food,water,blankets,and hygiene
supplies.Also,includes miscellaneous client support items such as pet food,groceries,
DMV identification,and birth certificates.
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers
2011 Other(Program Supplies)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 131,956
3001 Telecommunications 42,781 Cost of a cell phone,cell phones service,data connectivity.Increase for the additional
case managers and program leads.
3002 Printing/Postage 4,690 Anticipating courier services and postage necessary for program.Business cards,51/50
forms,and other special printing in bulk that is less cost effective to outsource rather
than utilization of a copier.
3003 Office Supplies&Equipment 7,365 Includes all supplies and minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development&Training 19,500 Cost of continuation of staff development,training,and continuing education(CEUs).
Includes,registration cost,travel transportation,staff meals,and lodging expenses.
3006 Staff Mileage 1,500 Reimbursements to staff for personal vehicle use when lease vehicle not available and
require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 43,730 Minor auto repairs&maintenance required to maintain 11 leased vehicles for client
transportation and program needs.Includes expenses such as oil changes,car washes,
vehicle tracking service,auto fuel,and DMV fees.
3009 Other(Staff Recruitment) 2,500 Thorough background checks,drug testing,and job postings.
3010 Other(Insurance) 2,640 Liability Insurance
3011 Other(specify) 5,250 Intended for the purpose of identifying ourselves to the people we are going to
service,but also to identify who the KV people are to law enforcement,if law
enforcement is called to the the scene for some reason.
3012 Other(specify) 2,000 Cost for miscellaneous computer software.
4000:DIRECT FACILITIES&EQUIPMENT 83,956
4001 Building Maintenance - Maintenance of building
4002 Rent/Lease Building 27,088 Building lease space.
4003 Rent/Lease Equipment 4,348 Cost for copier leases and water dispenser rental.
4004 Rent/Lease Vehicles 52,520 Cost of leased vehicles to assist with program and client needs.Two additional vehicles
are added to cover the MCRT program.
4005 Security -
4006 Utilities
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 156,399
5001 Consultant(Network&Data Management) 123,799 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,access
to data/documents/application 24/7.After hours support via email and phone 24/7.
Fresno County Department of Behavioral Health Revised Ex F-32
Revised Exhibit F
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services 2,600 Anticipating need of outsource translation services.
5005 Other(Avatar Fees) -
5006 Other(IT Support Services) -
5007 Other(Dispatch Software and Panic Buttons) 30,000 Dispatch software needed
5008 Other
6000:INDIRECT EXPENSES 369,562
6001 Administrative Overhead
6002 Professional Liability Insurance 30,580 Direct expense to program for general,professional liability,personal property,
accidental,and auto insurance.
6003 Accounting/Bookkeeping -
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Adminstrative Overhead) 338,982 Expense provides corporate management,fiscal services,payroll,human resources,
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS 18,000
7001 Computer Equipment&Software 16,000 Computer equipment and ongoing software licenses
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 2,000 Anticipating shared cost or replacement furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 3,449,030
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 3,449,030
BUDGETCHECK: -
Fresno County Department of Behavioral Health Revised Ex F-33