HomeMy WebLinkAboutBBFF Amendment.pdf Agreement No. 23-455
1 AMENDMENT NO. 1 TO SERVICE AGREEMENT
2 This Amendment No. 1 to Service Agreement No. 23-276 is dated the 5'" day of
3 September , 2023 and is between each provider listed in Exhibit A, titled "Provider List,"
4 (collectively referred to as "Contractor"), and the County of Fresno, a political subdivision of the
5 State of California ("County").
6 Recitals
7 A. On June 20, 2023, the County and Contractor entered into County Agreement No. 23-
8 276 ("Agreement"), also referred to as the Bright Beginnings for Families Program, for the
9 operation of a Mental Health Services Act (MHSA) funded Children's Services Program which
10 currently provides Full Service Partnership services for underserved or unserved high-risk
11 children between the ages of 0 to 10 years with Serious Emotional Disturbance (SED) and their
12 families.
13 B. The County and the Contractor now desire to amend the Agreement to fill a community
14 need for Outpatient (OP) and Intensive Case Management (ICM) level of care services for youth
15 ages 0 to 10 years old.
16 The parties therefore agree as follows:
17 1. Article 4, "Compensation, Invoices, and Payments", located on Page Eight (8), Line
18 Fourteen (14) through Page Eleven (11), Line Three (3), beginning with the word `The' and
19 ending with the number `25' is deleted in its entirety and replaced with the following:
20 "4.1 The County agrees to pay, and the Contractor agrees to receive,
21 compensation for the performance of its services under this Agreement as described in Exhibit
22 H1, Exhibit H2, Exhibit H3, and Exhibit H4 to this Agreement.
23 4.2 Specialty Mental Health Services Maximum Compensation. When
24 added together for all three Contractors, the maximum compensation payable to the Contractors
25 under this Agreement for each 12-month period for Specialty Mental Health Services is Eight
26 Million Four Hundred Ninety-Two Thousand Nine Hundred Two and No/100 Dollars
27 ($8,492,902.00), which is not a guaranteed sum but shall be paid only for services rendered and
28 received. The maximum compensation payable to Pacific Clinics for each 12-month period for
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1 Specialty Mental Health Services is Four Million Nine Hundred Fifty-Two Thousand Five
2 Hundred Nineteen and No/100 Dollars ($4,952,519.00). The maximum compensation payable
3 to Exceptional Parents Unlimited, Inc. for each 12-month period for Specialty Mental Health
4 Services is One Million Nine Hundred Eleven Thousand One Hundred Ninety-Eight and No/100
5 Dollars ($1,911,198.00). The maximum compensation payable to Comprehensive Youth
6 Services of Fresno, Inc. for each 12-month period for Specialty Mental Health Services is One
7 Million Six Hundred Twenty-Nine Thousand One Hundred Eighty-Five and No/100 Dollars
8 ($1,629,185.00).
9 4.3 Non-Medi-Cal Supports Maximum Compensation. When added
10 together for all three contractors, the maximum compensation payable to the Contractors under
11 this Agreement for each 12-month period for Non-Medi-Cal Supports is Twenty-Two Thousand
12 Eight Hundred Ninety-One and No/100 Dollars ($22,891.00). The maximum compensation
13 payable to Pacific Clinics for each 12-month period for Non-Medi-Cal Supports is Nine
14 Thousand Six Hundred Forty-One and No/100 Dollars ($9,641.00). The maximum
15 compensation payable to Exceptional Parents Unlimited, Inc. for each 12-month period for Non-
16 Medi-Cal Supports is Eight Thousand and No/100 Dollars ($8,000.00). The maximum
17 compensation payable to Comprehensive Youth Services of Fresno, Inc. for each 12-month
18 period for Non-Medi-Cal Supports is Five Thousand Two Hundred Fifty and No/100 Dollars
19 ($5,250.00).
20 4.4 Transition Optimization Funds. If Contractor opts to apply for transition
21 optimization funds, the maximum amount payable for transition optimization for the period of
22 July 1, 2023 through June 30, 2024 shall not exceed Two-Hundred Fifty Thousand and No/100
23 Dollars ($250,000.00) split among all current agreements between the Contractor and the
24 County for Medi-Cal billable specialty mental health and substance use disorder services as
25 further described in the Scope of Work/Services. All final invoices for transition optimization
26 funds shall be submitted by July 15, 2024. Invoices submitted thereafter, shall not be eligible for
27 payment.
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1 4.5 Total Maximum Compensation. In no event shall the maximum contract
2 amount for all the services provided by the Contractor to County under the terms and conditions
3 of this Agreement, when added together for all three Contractors, be in excess of Seventeen
4 Million Seven Hundred Eighty-One Thousand Five Hundred Eighty-Six and No/100 Dollars
5 ($17,781,586.00) during the entire term of this Agreement. In no event shall the maximum
6 contract amount for all the services provided by Pacific Clinics to County be in excess of Ten
7 Million One Hundred Seventy-Four Thousand Three Hundred Twenty and No/100 Dollars
8 ($10,174,320.00). In no event shall the maximum contract amount for all the services provided
9 by Exceptional Parents Unlimited, Inc. be in excess of Four Million Eighty-Eight Thousand Three
10 Hundred Ninety-Six and No/100 Dollars ($4,088,396.00). In no event shall the maximum
11 contract amount for all the services provided by Comprehensive Youth Services of Fresno, Inc.
12 to County be in excess of Three Million Five Hundred Eighteen Thousand Eight Hundred
13 Seventy and No/100 Dollars ($3,518,870.00).
14 The Contractor acknowledges that the County is a local government entity and does
15 so with notice that the County's powers are limited by the California Constitution and by State
16 law, and with notice that the Contractor may receive compensation under this Agreement only
17 for services performed according to the terms of this Agreement and while this Agreement is in
18 effect, and subject to the maximum amount payable under this section. The Contractor further
19 acknowledges that County employees have no authority to pay the Contractor except as
20 expressly provided in this Agreement.
21 The Contractor will be compensated for performance of its services under this
22 Agreement as provided in this Article. The Contractor is not entitled to any compensation except
23 as expressly provided in this Agreement.
24 4.6 Rate Categories. The program service components for the Contractor(s)
25 shall be categorized under one or more of the following rate categories and as indicated in
26 Exhibit H1, Exhibit H2, and Exhibit H3:
27 (A) Clinic-Site Based: Clinic-Site Based programs shall be defined as programs
28 who provide less than fifty percent (50%) of services in the field. In the field services
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1 are those services that do not occur through telehealth and do not occur in designated
2 sites in which the Contractor is afforded regular access. Designated sites shall be
3 identified by the Contractor and approved by County's DBH Director or designee in
4 writing.
5 (B) Field Based: Field based programs shall be defined as programs that
6 provide more than fifty percent (50%) of services in the field.
7 Full-Service Partnership/Assisted Outpatient Therapy/Therapeutic Behavioral Health
8 Services (FSP/AOT/TBS): FSP/AOT/TBS programs shall provide services in accordance
9 with level of care standards and general requirements as described in the Scope of
10 Services, if applicable.
11 DBH shall continuously monitor the programs and analyze data to review accuracy of
12 rate categories assigned and may only reassign rate categories with the written agreement of
13 both parties pursuant to Article 25."
14 2. Article 4, Page Thirteen (13), Line Ten (10) beginning with the word "specialty" and
15 ending on Page Thirteen (13), Line Fifteen (15) with the letter "H" is deleted in its entirety and
16 replaced with the following:
17 "Specialty Mental Health Services Claimable Services. For claimable services,
18 invoices shall be based on claims entered into the County's billing and transactional database
19 system for the prior month.
20 Monthly payments for claimed services shall only be based on the units of time assigned
21 to each CPT or HCPCS code entered in the County's billing and transactional database
22 multiplied by the practitioner service rates in Exhibits H1, H2, and H3."
23 3. All references in County Agreement No. 23-276 to "Exhibit B" shall be deemed
24 references to "Revised Exhibit B", attached and incorporated by this reference.
25 4. All references in County Agreement No. 23-276 to "Exhibit H" shall be deemed
26 references to "Exhibit H1, Exhibit H2, Exhibit H3 and Exhibit H4", all attached and incorporated
27 by this reference.
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1 5. When both parties have signed this Amendment No. 1, the Agreement and this
2 Amendment No. 1 together constitute the Agreement.
3 6. The Contractor represents and warrants to the County that:
4 a. The Contractor is duly authorized and empowered to sign and perform its obligations
5 under this Amendment.
6 b. The individual signing this Amendment on behalf of the Contractor is duly authorized
7 to do so and his or her signature on this Amendment legally binds the Contractor to
8 the terms of this Amendment.
9 7. The parties agree that this Amendment may be executed by electronic signature as
10 provided in this section.
11 a. An "electronic signature" means any symbol or process intended by an individual
12 signing this Amendment to represent their signature, including but not limited to (1) a
13 digital signature; (2) a faxed version of an original handwritten signature; or (3) an
14 electronically scanned and transmitted (for example by PDF document) version of an
15 original handwritten signature.
16 b. Each electronic signature affixed or attached to this Amendment (1) is deemed
17 equivalent to a valid original handwritten signature of the person signing this
18 Amendment for all purposes, including but not limited to evidentiary proof in any
19 administrative or judicial proceeding, and (2) has the same force and effect as the
20 valid original handwritten signature of that person.
21 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5,
22 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part
23 2, Title 2.5, beginning with section 1633.1).
24 d. Each party using a digital signature represents that it has undertaken and satisfied
25 the requirements of Government Code section 16.5, subdivision (a), paragraphs (1)
26 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 8. This Amendment may be signed in counterparts, each of which is an original, and all of
5 which together constitute this Amendment.
6 9. The Agreement as amended by this Amendment No. 1 is ratified and continued,
7 effective upon execution. All provisions of the Agreement and not amended by this Amendment
8 No. 1 remain in full force and effect.
9 [SIGNATURE PAGE FOLLOWS]
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1 The parties are signing this Amendment No. 1 on the date stated in the introductory
2 clause.
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Please see the attached signatures COUNTY OF FRESNO
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6 Sal ui er , Ch irman of the Board of
Sup ors County of Fresno
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Attest:
8 Bernice E. Seidel
Clerk of the Board of Supervisors
9 County of Fresno, State of California
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By:
11 Deputy
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13 For accounting use only:
14 Org No.: 56304320
Account No.: 7295
15 Fund No.: 0001
Subclass No.: 10000
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DocuSign Envelope ID:36435C04-C818-40C6-8798-DE97C2A42451
1 The parties are signing this Amendment No. 1 to Agreement No. 23-276 on the date
2 stated in the introductory clause.
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4 PACIFIC CLINICS
rJ DocuSig ned by:
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(Authorized Signature)
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8 Kim M. wells Chief Legal officer
9 Print Name & Title
10 251 Llewellyn Avenue
Campbell, CA 95008
11 Mailing Address
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1 The parties are signing this Amendment No. 1 to Agreement No. 23-276 on the date
2 stated in the introductory clause.
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4 EXCEPTIONAL PARENTS UNLIMITED, INC.
5 4, 4'�� %
6 ' uthoriz Signature
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8 Print Name & Title
9 4440 N. First Street
10 Fresno, CA 93726
Mailing Address
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1 The parties are signing this Amendment No. 1 to Agreement No. 23-276 on the date
2 stated in the introductory clause.
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4 COMPREHENSIVE YOUTH SERVICES OF FRESNO, INC.
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(Au orized Signature)
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8 n k yt cA
9 rint Name & Title J U
10 4545 N. West Avenue
Fresno, CA 93705
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Exhibit A
Bright Beginnings for Families Program
for Children Ages 0-10 Years
PROVIDERS LIST
Pacific Clinics
251 Llewellyn Avenue
Campbell, CA 95008
Phone: (408) 379-3790
(559) 446-3054
Contact: Marilyn Sliney, Executive Director, Central Region
Comprehensive Youth Services of Fresno, Inc.
4545 N. West Avenue
Fresno, CA 93705
Phone: (559) 229-3561
Contact: Becky Kramer, Executive Director
Exceptional Parents Unlimited, Inc.
4440 N. First Street
Fresno, CA 93726
Phone: (559) 229-2000
Contact: Lowell Ens, Executive Director
Revised Exhibit B
Page 1 of 16
Bright Beginnings for Families Program
for Children Ages 0 to 10 Years
SCOPE OF SERVICES
I. BACKGROUND
The innovative partnerships that comprise the Bright Beginnings for Families (BBFF) program bring
together the knowledge, skills, expertise, and resources of established community-based providers in an
integrated System of Care model.The network builds upon evidence-based services and activities to
offer an expanded continuum of unduplicated services. Integrated services maximize the use of
resources to broaden the scope, intensity, and accessibility of services and supports to children and
families in rural and metropolitan areas who might otherwise not receive the services they need.
The Contractors' experience with serving culturally and linguistically diverse families has supported
outreach, access and appropriate service delivery to populations that may not be adequately served by
traditional mental health and other support systems.The resulting service delivery system has proven to
be effective in assisting targeted populations with achieving and maintaining wellness and recovery for
their young children. Over time,the fully integrated partnership approach has evolved into a best-
practice model of infant, early childhood, and family treatment that has the potential to be duplicated in
other areas and has increased capacity to reach out to and engage unserved and underserved
populations throughout Fresno County.
The program includes three (3) distinct levels of care— 1) Outpatient (OP)services, 2) Intensive Case
Management (ICM), and 3) Full Service Partnership (FSP).
II.TARGET POPULATION
The BBFF program is designed to provide services to youth ages 0-10 with mental health
symptoms/needs that meet medical necessity for specialty mental health services.The target
population will include youth who present with moderate to severe impairment and a diagnosable
Serious Emotional Disturbance (SED).The program will provide a range of services that will be tailored
to each youth's needs for service type, intensity, and duration. Children will therefore be assigned to
one (1) of three (3) levels of care upon completion of the intake/assessment: Outpatient, Intensive Case
Management, or Full Service Partnership. For children who have mild-to-moderate impairment or need
medications only and do not require specialty mental health services,the Contractors will work with
other programs such as the appropriate Fresno County Department of Behavioral Health (DBH) Wellness
Centers, managed care health plans or other like agencies to develop a collaborative agreement for the
provision or transition of needed services.
III. LOCATION OF SERVICES
Services will be provided at each Contractor's clinic site, in the community, at home and education
locations,whichever is most comfortable for the child and family.The Contractors must also be capable
of offering services through telehealth-phone and telehealth-video should the need arise.
Revised Exhibit B
Page 2 of 16
IV. DESCRIPTION OF SERVICES
The intended benefit of creating a program such as the BBFF program with multiple levels of care is for
maximum flexibility to move children seamlessly between levels, as clinically indicated.The Contractors
shall provide a level of service and support that will reflect each child's unique and individual needs.
A. Behavioral Health
1. Contractors shall provide these services to all children in the program. Services will include
but are not limited to the following:
i. Provide support to the child's family and other members of the child's social
network to help them manage the symptoms and illness of the child and reduce the
level of family and social stress associated with the illness.
ii. Make appropriate referrals and linkages to services that are beyond that of the
contractors' services under this Agreement or as appropriate when
discharging/transitioning a child from the program.
iii. Coordinate services with any other community mental health and non-mental
health providers as well as other medical professionals.
iv. Assist child/family with accessing all entitlements or benefits for which they are
eligible (i.e., Medi-Cal, SSI, Section 8 vouchers, etc.).
v. Develop family support and involvement whenever possible.
vi. Refer child/family to supported education and employment opportunities, as
appropriate.
vii. Provide or link to transportation services when it is critical to initially access a
support service or gain entitlements or benefits.
viii. Provide or refer to peer support activities, as appropriate.
ix. Ensure that clinically appropriate Evidence-Based Practices are utilized in service
delivery at all levels of care—see the table below.
2. Contractors shall deliver a comprehensive specialty mental health program. Behavioral
health services include but are not limited to:
i. Assessment
ii. Treatment or Care planning/Goal setting
iii. Pediatric Symptom Checklist (PSC) 3S and the clinically appropriate version of the
Child and Adolescent Needs and Strengths (CANS) assessment
iv. Individual therapy
v. Group therapy
vi. Family therapy
Revised Exhibit B
Page 3 of 16
vii. Case management
viii. Consultation
ix. Collateral
x. Linkage to additional services and supports including medication services.
xi. Hospitalization/Post Hospitalization Support
3. Contractors will ensure that all services:
i. Be values-driven, strengths based, individual-driven, and co-occurring capable.
ii. Be culturally and linguistically competent.
iii. Be age, culture,gender, and language appropriate.
iv. Include accommodations for children with physical disability(ies)
4. Methods for service coordination and communication between program and other service
providers shall be developed and implemented consistent with Fresno County Mental
Health Plan (MHP) confidentiality rules.
5. Contractors shall maintain up-to-date caseload records of all children enrolled in services,
and provide individual, programmatic, and other demographic information to DBH as
requested.
6. Contractors shall ensure billable specialty mental health services meet any/all County, State,
Federal regulations including any utilization review and quality assurance standards and
provide all pertinent and appropriate information in a timely manner to DBH to bill Medi-Cal
services rendered.
7. Staffing should be appropriate for services needed at each level of care, which should
include case managers, therapists, peer support specialists, psychiatrists, and nurses.
8. Evidence-Based Practices (EBP) utilized in BBFF include Incredible Years, Parent-Child
Interaction Therapy, Child Parent Psychotherapy, Dialectic Behavioral Therapy, Managing
and Adapting Practices, Positive Parenting Program,Trauma Focused Cognitive Behavioral
Therapy, and Attachment Vitamins. Although some EBPs are appropriate for all ages served
under this Agreement, many are more effective and intended for specific age sub-groups of
the target population.
The table below clarifies the EBP, description,target person served sub-group, and the
appropriate agency to provide the service.
Contractors include the following:
Pacific Clinics (PC), Exceptional Parents Unlimited (EPU), Comprehensive Youth
Services (CYS)
Revised Exhibit B
Page 4 of 16
Evidence Based Description Target PC EPU CYS
Treatment Age
Incredible Years (IY) Utilized to prevent, reduce,and treat conduct
problems; increase social competence; and 0-8 years x x x
improve school readiness.
Parent-Child Live therapist-coached sessions with
Interaction Therapy parent/caregiver and child to build safe, positive, x x
(PCIT) and nurturing relationships between parents and
their children. Decreases behavior problems, 2-8 years
improves parenting skills, and enhances the
quality of the relationship.
Child Parent Treatment for children with at least one traumatic
Psychotherapy event and are experiencing behavior, attachment,
(CPP) and/or mental health problems, including PTSD. x x x
Supports and strengthens the relationship 0-5 years
between a child and caregiver; restores a child's
sense of safety and attachment; and improves
cognitive, behavioral,and social functioning.
Dialectic A cognitive behavioral treatment that has been Parents of
Behavioral shown to be effective in treating a wide range of x x x
children
Therapy(DBT) disorders such as depression, eating disorders, 0-18 years
PTSD, and substance dependence.
Managing and Coordinates and supplements the use of evidence-
Adapting Practices based programs for children's mental health. The
(MAP) system is not a single treatment program; rather,
it involves several decision and practice support x
tools to assist in the selection, review, adaptation,
or construction of empirically derived common
treatment elements to match particular child
characteristics. The three main features of the 0-18 years
MAP system are:
• The PracticeWise Evidence-Based
Services Database
• The Clinical Dashboard
• The Practitioner Guides
Positive Parenting Provides education, prevention, and early
Program (Triple P) intervention strategies for parents. The five core
principles of Triple P are:
• Ensuring a safe and engaging
environment; 0-10 years
• Creating a positive learning environment;
• Using assertive discipline;
• Having realistic expectations;and
• Taking care of oneself as a parent
Revised Exhibit B
Page 5 of 16
B. Levels of Treatment
1. Outpatient(OP)
i. The OP level of care focuses primarily on therapeutic appointments for individual
and group treatment as well as case management and medication services, as
needed. Children at this level receive a minimum of one (1) contact per week with at
least one (1) of those contacts being face-to-face per month.
ii. Caseload
maximum caseload: 1:40
iii. Length of Stay
Suggested length of stay is twelve (12)to eighteen (18) months,with each
Contractor evaluating the needs of each enrolled child on an ongoing basis to
ensure that the level of care is clinically appropriate.
2. Intensive Case Management (ICM)
i. Children at this ICM level of care would benefit from regularly scheduled case
management, individual rehabilitation and/or individual therapy. Children at this
level receive a minimum of one (1)to two (2) mental health contacts per week with
one of those contacts being face-to-face.These mental health contacts can include
but are not limited to individual therapy, family therapy,group therapy, case
management, peer support services and/or medication management.
ii. Caseload
maximum caseload: 1:30
iii. Length of Stay
Suggested length of stay is twelve (12)to twenty-four(24) months, with each
Contractor evaluating the needs of each enrolled child on an ongoing basis to
ensure that the level of care is clinically appropriate.
3. Full Service Partnership (FSP)
i. This FSP level of care employs the concept of"whatever it takes", which focuses
on innovative approaches to "no fail" services. Children at this level meet the
State-defined FSP criteria and require higher intensity services to meet their
needs. FSP has an increased focus on engagement, collaboration with the
youth/family and stabilization to achieve mutually agreed upon treatment goals.
Services at this level of care shall be accessible 24/7. Children at the FSP level shall
receive a minimum of three (3) face-to-face contacts per week.
ii. Caseload
maximum caseload: 1:15
Revised Exhibit B
Page 6 of 16
iii. Length of Stay
Suggested length of stay is eighteen (18)to twenty-four(24) months, with each
Contractor evaluating the needs of each enrolled child on an ongoing basis to
ensure that the level of care is clinically appropriate.
C. Admission,Termination and Discharge
1. Entry Criteria
Child must meet at least one (1) of the following criteria for FSP Level services:
i. Have a substantial impairment in at least two (2) of the following categories as a
result of a SED: self-care, school functioning,family relationships, and ability to
function in the community.The child must be at risk of, or already removed from,
the home; or the mental disorder and impairments have been present for more
than six (6) months or are likely to continue for more than one year without
treatment.
ii. Displays psychotic features, is at risk of suicide, and/or is at risk of violence due to a
mental disorder.
iii. Meets special education eligibility requirements under Chapter 26.5 of the
Government Code.
Child must meet one (1) of the following criteria for the OP and ICM services:
i. Has a condition placing them at high-risk for a mental health disorder due to
experience of trauma evidenced by any of the following: scoring in the high-risk
range under a trauma screening tool approved by DBH, involvement in the Child
Welfare system,juvenile justice involvement, or experiencing homelessness.
ii. Meets both of the following requirements:
a. Has at least one (1) of the following: a significant impairment, a reasonable
probability of significant deterioration in an important area of life
functioning, a reasonable probability of not progressing developmentally as
appropriate, a need for specialty mental health services, regardless of
presence of impairment, that are not included within the mental health
benefits that a Medi-Cal managed care plan is required to provide.
b. The youth's condition as described above is due to one (1) of the following:
a diagnosed mental health disorder, a suspected mental health disorder
that has not yet been diagnosed or significant trauma placing the youth at
risk of a future mental health condition, based on the assessment of a
licensed mental health professional.
2. Intake and Initial Assessment
The OP and ICM services are considered access points;therefore, children can be referred
directly to enter the BBFF program based on meeting medical necessity for specialty mental
Revised Exhibit B
Page 7 of 16
health services. Children may be referred to the program for OP or ICM services through
various sources including, but not limited to DBH, schools, individuals, or other agencies.
Children will be referred to the BBFF program for FSP services through DBH's Youth
Wellness Center. Contractors will contact the family of the referred child within twenty-four
(24) hours of receipt of the referral.A face-to-face meeting will be scheduled within three
(3) business days to begin the intake process.
For all levels of care, Contractor shall adhere to the timeliness standards set forth by the
state and County's DBH.An initial mental health assessment will be completed within a
clinically appropriate timeframe. If the timeframe exceeds thirty (30) days,justification for
this delay should be clearly represented in the clinical documentation.
3. Termination and Discharge
Children referred to the BBFF program may be denied services if the child does not meet
medical necessity for specialty mental health services, meets medical necessity for a mental
health diagnosis that is not covered by the County's MHP, and/or the child is over the age of
10 at the time of referral. Children who are determined to be ineligible for BBFF services will
be linked to other appropriate services and resources.
Discharge is determined on a case-by-case basis depending on the child's progress toward
individualized treatment goals. Reasons for discharge include the child or caregiver refuses
or terminates services; the child is transferred to another program mutually agreed upon by
the child, parent/caregiver, and BBFF; mutual agreement that the treatment goals have
been met; and/or the child is 11 years old or older.
V. STAFFING
A. Each Contractor shall provide the following staffing components, at minimum:
1. Staffing shall be appropriate for services needed at each level of care,which would include
any combination of the following classifications: licensed or license-eligible therapists,
personal service coordinators, and family specialists.
2. Licensed or license-eligible therapists:
a. Provide evidenced-based clinical treatment. At least one (1) of the therapist
positions will be occupied by a former person served or family member with
comparable experience to the child and family receiving services.At least one of
the therapist positions shall be occupied by a licensed clinician with advanced
training in infant mental health in order to provide appropriate clinical oversight.
These positions shall be recruited based on linguistic and cultural needs of the
targeted population (e.g., Latino, Southeast Asian,African American, Native
American).
b. Provide linkages and therapeutic services to enrolled children and their caregivers
as identified in the Individual Services and Supports Plan (ISSP).
Revised Exhibit B
Page 8 of 16
3. Family Partners (or equivalent): Shall be occupied by a former person served or family
member with comparable experience to the child and family receiving services.
4. Personal Service Coordinators (PSC): At least one (1) of the PSC positions shall be occupied
by a former person served or family member with comparable experience to the child and
family receiving services.These positions shall be recruited based on linguistic and cultural
needs of the targeted population (e.g., Latino, Southeast Asian,African American, Native
American).A bachelor's degree level is preferred for the requirements of the PSC
positions; however, 12 college units (including psychology, counseling, etc.)with mental
health experience can act as a substitute for the bachelor's degree requirement.
a. Ensure the following is provided by the PSC:
1. Assign a primary PSC to each child served at the FSP level of care.The primary
PSC will work with each child, and family member when appropriate,to develop
the child's ISSP.The ISSP is used to identify the child's goals and describe the
array of services and supports necessary to advance these goals based on the
child's needs and preferences and,when appropriate,the needs and
preferences of the child's family. ISSPs are reviewed by DBH's MHP Managed
Care during chart audits.
2. The PSC will act as a single point of responsibility and contact for the delivery of
personal service coordination for each child, as assigned. Personal service
coordination is the assistance provided to the child, and the child's family when
appropriate,to access medical, educational, social,vocational, rehabilitative,
crisis intervention, or other community services, when needed.
3. Ensure all children and families that receive personal service coordination
services also receive mental health treatment services when a determination is
made by qualified staff using clinically proven assessment tools that a child
and/or family would benefit from mental health treatment. Contractors shall
institute mental health treatment models to meet the mental health treatment
needs of the children/families engaged in services offered in this Agreement.
VI. HOURS OF OPERATION
The standard hours of operation will be Monday through Friday 8:00 AM until 5:00 PM; additional
services will be provided after 5:00 PM and on weekends, as needed, to address child or family concerns
and/or provide services for children and families who are unavailable for services during standard
business hours.
Additionally, Contractors shall provide operational and clinical services in the field, as needed, and
temporarily extend office hours to accommodate and increase timeliness of services.
FSP services will be available to children and their families twenty-four(24) hours a day, seven (7) days a
week.
Revised Exhibit B
Page 9 of 16
VII. GOALS/OUTCOMES
Contractors shall meet or exceed the outcome goals stated in the tables below for all levels of care
within this Agreement:
OUTCOMES
EFFECTIVENESS
Source Tool Description Goal
CANS—Total Percent of children with improved clinical conditions) 80%
and quality of life.
CANS-CBEN Domain Percent of children with reduced emotional and 80%
behavioral problems.
CEDE 2.0 Percent of children that will maintain in-home or 80%
improve to an in-home placement. (Pacific Clinics only)
CANS-CRB Domain Percent of children with reduced risk behaviors. 80%
CANS- LDF School Behavior Percent of children that will maintain or improve school 80%
behaviors.
CANS- LDF School Achievement Percent of children that will maintain or improve school 80%
achievement.
CANS- LDF School Attendance Percent of children that will maintain or improve school 80%
attendance.
PSC-3S Percent of children that will have improved 80%
psychosocial impairment functioning.
CEDE 2.0 Percent of children that will maintain non-involvement 80%
with the juvenile justice system. (Pacific Clinics only)
EFFICIENCY
Source Tool Description Goal
Contractor Finance Department Percent of productivity for Medi-Cal billing. 70%
ACCESS
Source Tool Description Goal
EHR Percent of admitted children that are seen for a 80%
face-to-face appointment within seven(7) business
days from receipt of service referral.
YSS—F Percent of caregivers that are satisfied with their access 80%
to services. (Pacific Clinics only)
SATISFACTION
Source Tool Description Goal
YSS—F Percent of caregivers that will be satisfied with services. 80%
(Total Satisfaction mean score of 4 or higher—Pacific
Clinics only)
Revised Exhibit B
Page 10 of 16
YSS Percent of children that increases 60%
relationships/connections.
YSS Percent of children that form sustainable relationships. 60%
YSS Percent of children with an overall plan of permanency 60%
at Time 1,will connect and live with connection
identified in FSE services.
YSS Percent of children participating in FSE services that will 80%
improve stability of significant relationships in the
youth's life.
Contractors shall utilize a computerized tracking system with which performance and outcome
measures and other relevant person served data, such as demographics,will be maintained.The data
tracking system may be incorporated into the Contractors' electronic health records (EHR) systems or in
stand-alone databases (e.g.,Access or Excel spreadsheets). DBH must be afforded read-only access to
the data tracking system.The following items listed below represent program goals to be tracked and
achieved by the Contractors during the contract terms.
VIII.TRANSITION OPTIMIZATION FUNDS
One-time Transition Optimization Funds will be available to specialty mental health providers and Drug
Medi-Cal providers within FY 2023-24 to encourage Contractors to identify and implement organization
changes during the first year of CalAIM Payment Reform to improve outcomes for persons served and
create operational efficiencies. Contractor is expected to utilize the strategies,tools and knowledge
learned to their programming and continue to improve services for the population served.
A. Funding Allocation Methodology
1. Each participating contractor is eligible to apply for an allocation of Transition Optimization
Funds up to the maximum amounts stated in Article 4 of this Agreement and further
described below.Transition Optimization Funds will only be available from July 1, 2023
through June 30, 2024 and payments shall be on a quarterly basis.
2. Payments will be disbursed upon review and approval by DBH of each deliverable described
below. Quarterly progress reports shall be submitted to DBH in order to show progress as
outlined in the submitted plans and deliverables.
3. Payments will be dependent on Contractor demonstrating progress toward meeting
deliverables described in this Revised Exhibit B. Contractors who fail to submit progress
reports by stated deadlines, or who do not demonstrate adequate progress made, may be
determined ineligible for that quarter's payment at the sole discretion of the County.
4. All invoices will be submitted on a quarterly basis within fifteen (15) days following the end
of the quarter. Invoices submitted thereafter may not be eligible for payment.
B. Responsibilities
Revised Exhibit B
Page 11 of 16
1. Letter of Intent
Contractor shall submit a letter of intent to DBH by July 31, 2023 identifying the selected
Transition Optimization Activity(ies) and commitment to meet the deliverable deadlines as
described below.The letter shall include all current Medi-Cal billable specialty mental health
and substance use disorder services agreements the Contractor has with the County.
The County shall respond to the Contractor's letter of intent within thirty(30) days.The
County's response shall include a breakdown of anticipated payments, as determined by the
County, depending on the Transition Optimization Activity(ies) chosen and depending on the
number of current Medi-Cal billable specialty mental health and substance use disorder services
agreements the Contractor has with the County.
2. Quarterly Reports
Contractor shall submit quarterly progress reports and invoices. Reports shall be submitted
on the dates indicated in the Schedule of Deliverables below. Invoices are due fifteen (15) days
after the end of each quarter.All activities shall be completed by June 30, 2024.The report shall
include updated plans/tools and progress Contractor has made toward the Transition
Optimization Activity(ies) described in each Contractors' letter of intent.
3. Schedule of Deliverables: Equity Gap Analysis, Fiscal Monitoring Tool, and Electronic Health
Record
i. Q1 Reports: July-Sept:
1. Letter of Intent: Due July 31, 2023
2. Fiscal Monitoring Tool, Equity Gap Analysis, and Electronic Health Record
Implementation Plans (if applicable): Due September 30, 2023
3. Fiscal Monitoring Tool Identified Practices and Strategies (if applicable): Due
September 30, 2023
ii. Q2 Report: Oct-Dec: Due January 15, 2024
iii. Q3 Report:Jan-Mar: Due April 15, 2024
iv. Q4 Report: Apr-June: Due July 15, 2024
V. All deliverables will be reviewed and approved by DBH prior to payment.
4. Eligible Transition Optimization Activities
i. Fiscal Monitoring Tools: Contractor shall submit to DBH a draft of their fiscal
monitoring tool that shall be used monthly on an ongoing basis to evaluate fiscal
health of the organization.Tools shall, at a minimum, monitor costs, productivity
targets and identify one or more practice pattern(s)the organization is employing
to increase direct care time to the Medi-Cal population.
Revised Exhibit B
Page 12 of 16
1. Fiscal Monitoring Tools and Implementation Plan: Contractor shall develop
fiscal monitoring tools that will be used monthly to ensure their
organizational fiscal health and implementation plan. Fiscal monitoring tools
drafts and implementation plan shall be submitted to DBH by September
30, 2023.
i. Identified Practice: Identify at least one process improvement that
shall be modified by September 30, 2023.
ii. Quarterly Progress Reports: Quarterly progress reports shall be
submitted including but not limited to a narrative of progress,
obstacles, alternative solutions and outcomes.
iii. Funding for this activity shall be available up to $25,000 for the
initial agreement with Contractor and up to another$10,000 for
each additional agreement. County shall provide further details on
deliverables and payment schedule in County's response to the
Contractor's letter of intent.
ii. Equity Gap Analysis: Contractor shall produce a report identifying the
race/ethnicity of population served in FY 2022-23 compared to the County's
population as provided by the County. Contractor shall identify key disparities in
both persons served and amount of services and frequency of transitions to other
levels of care received. Contractor shall identify three (3) strategies they shall
employ during FY 2023-24 to reduce the disparities among underserved
population.
1. Report on Underserved Population: Contractor shall submit an Equity Gap
Report to the Department containing including, but not limited to,the
following:
i. Identify if it serves specific population within its program(s) and
identify whom the program(s) currently served based on data.
ii. Staffing/workforce information and demographics. Report the
staffing/workforce supporting the different programs and
populations served by the provider in Fresno County.This data is to
evaluate how the staffing reflects the populations it is serving.
iii. Comparison of the County penetration rates to the demographics of
persons served by the Contractor and program(s) under agreement
with DBH.
iv. Data on retention of persons served by demographics.Total persons
served and the average length of stay by demographics of the
persons served in programs.
i. Which populations are remaining in the programs by
demographics,which ones are having the shortest stays.
Revised Exhibit B
Page 13 of 16
ii. How long is the average length of stay by the demographics.
V. Identify what data points the Contractor is missing at this time that
challenges its ability to thoroughly assess its equity gap analysis.
Examples: data is not collected, data that is missing or under
reported, data not captured in its processes, etc.
2. Equity Improvement Implementation Plan: Contractor shall submit an
Equity Improvement Implementation Plan related to improving health
equity by September 30, 2023.The plan shall include the following items at
a minimum:
i. Contractor shall select three (3) strategies from below:
i. Plan shall include specific efforts including, but not limited
to,the following and timelines to increase access to
underserved groups.
1. Outreach/Engagement with underserved
communities
2. Active attendance/participation in DBH's Diversity
Equity and Inclusion (DEI)workgroup
3. Plan for retention of persons served in programs
who are under represented
4. Improvement of demographic data collection
including Sexual Orientation Gender Identity
(SOGI)/LGBTQ data.
ii. Plan shall address workforce capacity to render services to
more underserved populations,through:
1. Development of bilingual personnel
2. Recruitment plan for more diverse workforce to
reflect populations served.
3. Training for workforce to increase capacity to be
culturally responsive
4. Development workforce pool for the future that can
be bilingual and bicultural
ii. Timeline for each effort shall be included in the plan.
iii. Contractor shall identify the measurement to be used to
demonstrate successful implementation of plan. Measure may be
identified by the Contractor to best support their plan and goals.
Revised Exhibit B
Page 14 of 16
iv. Contractor shall develop and submit policies and procedures to
formally support equity effort.
3. Quarterly Progress Reports: Use available data including but not limited to,
External Quality Review Organization (EQRO) and EHR data to evaluate the
strategies deployed. Quarterly progress reports shall be submitted including
but not limited to a narrative of the progress, obstacles, alternative
solutions and outcomes.The final quarter shall include a comprehensive
final report on the outcomes.
4. Funding for this activity shall be available up to$25,000 for the initial
agreement with Contractor and up to another$10,000 for each additional
agreement. County shall provide further details on deliverables and
payment schedule in County's response to the Contractor's letter of intent.
C. Electronic Health Record (EHR):The implementation and expansion of the SmartCare EHR is an
essential component of improving oversight with the implementation of payment reform.
Furthermore, a standardized EHR will improve continuity of care, create transparency across the
system, remove obstacles for individuals accessing services and improve the overall outcomes for
persons served. For Contractors who plan to opt in to use SmartCare or have previously opted into
DBH's former EHR and intend to transition to SmartCare, user fees and costs shall be waived during
FY 2023-2024 and FY 2024-2025.
1. Option One: Current EHR Users
i. Strategic Plan: Contractors utilizing DBH's EHR as their current EHR, and who will
continue to utilize SmartCare beginning July 1, 2023, shall provide a plan,
including, but not limited to, how they will optimize Medi-Cal billing, illustrate
how they will utilize the information in the EHR to improve care for persons
served, and a training plan for their organization by September 30, 2023.
i. Quarterly Progress Reports: Quarterly progress reports shall be
submitted, including, but not limited to, a narrative on the progress,
obstacles, alternative solutions and outcomes.
ii. Total compensation for this EHR activity, Option 1, shall not exceed
$50,000.00 split among all current agreements between the
Contractor and the County for Medi-Cal billable specialty mental
health and substance use disorder services. County shall provide
further details on deliverables and payment schedule in County's
response to the Contractor's letter of intent.
2. Option Two: Non-EHR Users
i. Contractor shall submit an implementation plan by September 30, 2023 regarding
how they will transition to utilizing the SmartCare EHR by June 30, 2024.The plan
shall include, at a minimum, an identified Go Live Date, plan on how the current
record system will be maintained and utilized,training plan including number of
Revised Exhibit B
Page 15 of 16
individuals, and additional supports.The Go Live Date must occur by June 30,
2024 to receive final payment. Contractor shall work closely with DBH to identify
needs, assignments, collaboration opportunities to transition.
ii. For Option 2, the Contractor shall not be reimbursed more than $200,000 split
among all current agreements between the Contractor and the County for Medi-
cal billable specialty mental health and substance use disorder services.The total
maximum compensation available for this option, shall include costs for
maintaining current electronic health record/record system and additional
supports and training costs per user. Contractor shall transition both specialty
mental health and Drug Medi-Cal programming to the County's EHR and shall be
required to use the County's EHR for future eligibility agreements with DBH.
County shall provide further details on deliverables and payment schedule in
County's response to the Contractor's letter of intent.
IX. REPORTS
A. Contractors shall prepare an evaluation report annually, which will be submitted to County's DBH
and made available to partnering and interested local agencies and organizations (e.g., project
collaborators, other community agencies, and mental health treatment providers). Annual
evaluation reports will include the following information: demographics of the target population
served, services provided to each participant, number of hospitalizations, enrollment in school,
results of data analysis compared to planned process, output and outcome measures, barriers to
program implementation and measures taken to overcome those barriers, accomplishments of
program participants, lessons learned, and the final result of any and all satisfaction survey(s).
B. Contractors shall be expected to comply with all contract monitoring and compliance protocols,
procedures, data collection methods, and reporting requirements conducted by County.
C. Additional reports and outcome information may be requested by County at a later date, as needed.
D. Additional Reporting Requirements
Contractors will be responsible for meeting with DBH on a monthly basis, or more often as agreed
upon between DBH and Contractors,for contract and performance monitoring.
Contractors will be required to submit monthly reports to the County that will include, but not be
limited to: the number of persons served served/anticipated to be served; utilization of services by
persons served; and staff composition.These reports will be due within thirty (30) days after the last
day of the previous month or payments may be delayed.
Additional reporting is required for FSPs by DHCS. DHCS uses the FSP Data Collection and Reporting
(DCR)system to ensure adequate research and evaluation, regarding the effectiveness of services
being provided and the achievement of the outcome measures. Contractors will need to report
individual/partner information and outcomes of the FSP program directly into the DCR system. Data
will be submitted through an online interface using specific forms.The Partnership Assessment
Form gathers baseline information about the partner and is completed once the partnership is
established. Key Event Tracking provides a snapshot of changes in key quality of life areas and is
Revised Exhibit B
Page 16 of 16
tracked on a continuous basis throughout the course of the FSP.The Quarterly Assessment collects
updated information about changes in quality of life areas and is completed every three (3) months
from the date the partnership is established.
Continuous improvement is a core tenant of the Department and the Mental Health Services Act
(MHSA). As a result of a multi-year statewide FSP evaluation project that the County DBH
participated in, another question has been added to the State required DCR data as follows:
"How often do you get the social and emotional support that you need?" Response options will be:
"always, usually, sometimes, rarely, or never".
X.COUNTY RESPONSIBILITIES:
COUNTY shall:
A. Assist Contractors' efforts to evaluate the needs of each enrolled child on an ongoing basis to
ensure that the level of care each child is receiving is clinically appropriate.
B. Provide oversight and collaborate with contractors and other County Departments and
community agencies to help achieve State program goals and outcomes. Oversight includes,
but is not limited to, contract monitoring and coordination with the State Department of
Health Care Services in regard to program administration and outcomes.
C. Assist Contractors in making linkages with the total mental health system of care. This will be
accomplished through regularly scheduled meetings as well as formal and informal
consultation.
D. Participate in evaluating overall program progress and efficiency and be available to
contractors for ongoing consultation.
E. Gather outcome information from target person served groups and Contractors throughout each
term of this Agreement. County shall notify contractors when their participation is required. The
performance outcome measurement process will not be limited to survey instruments but will
also include, as appropriate, person served and staff interviews, chart reviews, and other
methods of obtaining required information.
F. Assist Contractors' efforts toward cultural and linguistic competency by providing the
following to contractors:
1. Technical assistance and training regarding cultural competency requirements at no
cost to contractors.
2. Mandatory cultural competency training for contractors' personnel, on an annual
basis, at minimum.
3. Technical assistance for translating information into County's threshold languages
(Spanish and Hmong). Translation services and costs associated will be the responsibility
of contractors.
Exhibit H1
Fresno County Department of Behavioral Health
Specialty Mental Health Services Outpatient Rates
Clinic/Site Based
(less than 50%of services are provided in the field)
Provider Rate
Provider Type Per Hour
Psychiatrist/Contracted Psychiatrist $912.79
Physicians Assistant $409.38
Nurse Practitioner $453.91
RN $370.76
Certified Nurse Specialist $453.91
LVN $194.77
Pharmacist $436.93
Licensed Psychiatric Technician $166.97
Psychologist/Pre-licensed Psychologist $367.09
LPHA(MFT LCSW LPCC)/Intern or Waivered LPHA(MFT LCSW LPCC) $237.56
Occupational Therapist $316.22
Mental Health Rehab Specialist $178.73
Peer Recovery Specialist $187.66
Other Qualified Providers-Other Designated MH staff that bill
medical $178.73
Exhibit H2
Fresno County Department of Behavioral Health
Specialty Mental Health Services Outpatient Rates
Field Based
(at least 50%of services are provided in the field)
Provider Rate
Provider Type Per Hour
Psychiatrist/Contracted Psychiatrist $988.85
Physicians Assistant $443.50
Nurse Practitioner $491.73
RN $401.65
Certified Nurse Specialist $491.73
LVN $211.00
Pharmacist $473.34
Licensed Psychiatric Technician $180.89
Psychologist/Pre-licensed Psychologist $397.68
LPHA(MFT LCSW LPCC)/Intern or Waivered LPHA(MFT LCSW LPCC) $257.35
Occupational Therapist $342.58
Mental Health Rehab Specialist $193.62
Peer Recovery Specialist $203.30
Other Qualified Providers-Other Designated MH staff that bill
medical $193.62
Exhibit H3
Fresno County Department of Behavioral Health
Specialty Mental Health Services Outpatient Rates
FSP and AOT
Provider Rate
Provider Type Per Hour
Psychiatrist/Contracted Psychiatrist $1,140.98
Physicians Assistant $511.73
Nurse Practitioner $567.38
RN $463.45
Certified Nurse Specialist $567.38
LVN $243.47
Pharmacist $546.16
Licensed Psychiatric Technician $208.72
Psychologist/Pre-licensed Psychologist $458.87
LPHA(MFT LCSW LPCC)/Intern or Waivered LPHA(MFT LCSW LPCC) $296.95
Occupational Therapist $395.28
Mental Health Rehab Specialist $223.41
Peer Recovery Specialist $234.58
Other Qualified Providers-Other Designated MH staff that bill
medical $223.41
Exhibit H4
1 of 36
BRIGHT BEGINNINGS FOR FAMILIES
COMPREHENSIVE YOUTH SERVICES OF FRESNO,INC.
Fiscal Year(FY)2023-2024
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 $ $
1102
1103
1104
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.00 $ - $ -
Acct# Program Position FTE Admin Program Total
1116 $ $
1117
1118
1119
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 0.00 $ $
Admin Program Total
Direct Personnel Salaries Subtotal 0.00 $ - $ - $ -
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ -
1202 Worker's Compensation
1203 Health Insurance - - -
1204 Other(specify)
1205 Other(specify)
1206 1 Other(specify)
Direct Employee Benefits Subtotal: $ $ $
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ $ $
1302 FICA/MEDICARE
1303 SUI
1304 Other(specify)
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ - $ - $ -
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ $ $
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
#DIV/01 #DIV/01
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
2 of 36
2000:DIRECT CLIENT SUPPORT
Acd# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support -
2003 Client Transportation&Support 2,000
2004 Clothing,Food,&Hygiene 2,500
2005 Education Support 300
2006 1 Employment Support 200
2007 Household Items for Clients -
2008 Medication Supports 250
2009 Program Supplies-Medical -
2010 Utility Vouchers
2011 Other(specify)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 5,250
3000:DIRECT OPERATING EXPENSES
Acd q Line Item Description Amount
3001 Telecommunications $ -
3002 Printing/Postage
3003 Office,Household&Program Supplies
3004 Advertising
3005 Staff Development&Training
3006 1 Staff Mileage
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Other(specify)
3010 Other(specify)
3011 Other(specify)
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ -
4000:DIRECT FACILITIES&EQUIPMENT
Acd# Line Item Description Amount
4001 Building Maintenance $
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 lUtilities
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:j$
5000:DIRECT SPECIAL EXPENSES
Acct N Line Item Description Amount
5001 Consultant(Network&Data Management) $
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(specify)
5006 I Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
3 of 36
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):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes/ -
6008 Personnel(indirect Salaries&Benefits) -
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ -
INDIRECT COST RATE 0.00%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 s $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures -
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 $
TOTAL PROGRAM EXPENSES $ 5,250
PROGRAM FUNDING SOURCES
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 ISABG $
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
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $ -
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ 5,250
8402 Client Insurance -
8403 Grants(Specify)
8404 Other(Specify) -
8405 Other(Specify) -
OTHER REVENUE TOTALI$ 5,250
TOTAL PROGRAM FUNDING SOURCES: $ 5,250
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
4 of 36
BRIGHT BEGINNINGS FOR FAMILIES
COMPREHENSIVE YOUTH SERVICES OF FRESNO,INC.
Fiscal Year(FY)2023-2024 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS
Administrative Positions
1101 0
1102 0
1103 0
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions
1116 0
1117 0
1118 0
1119 0
1120 0
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits
1201 Retirement
1202 Worker's Compensation
1203 Health Insurance
1204 Other(specify)
1205 Other(specify)
1206 Other(specify)
Direct Payroll Taxes&Expenses:
1301 OASDI
1302 FICA/MEDICARE
1303 SUI
1304 Other(specify)
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 5,250
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation&Support 2,000 The supports are for clients,family members,and caregivers including cash payments,
vouchers,goods,services,items necessary for daily living and transportation. This does
not include housing supports and capital expenditures or the salaries and benefits of
staff used to provide client flexible supports.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
5of36
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2004 Clothing,Food,&Hygiene 2,500 The supports are for clients,family members,and caregivers including cash payments,
vouchers,goods,services,items necessary for daily living(such as food,clothing,
hygiene,etc.). This does not include housing supports and capital expenditures or the
salaries and benefits of staff used to provide client flexible supports. CYS adheres to a
strict internal control procedure regarding gift cards:all gift cards purchased are logged
in by CYS fiscal staff,allocated to programmatic staff,then signed out by the clients.
Until they are issued to the client,all gift cards are locked in bolted safes at the main
office,with restricted access to only a few staff.
2005 Education Support 300 The supports are for clients,family members,and caregivers including cash payments,
vouchers,goods,services,items necessary for daily living
2006 Employment Support 200 The supports are for clients,family members,and caregivers including cash payments,
vouchers,goods,services,items necessary for daily living
2007 Household Items for Clients -
2008 Medication Supports 250 Medication Supports is used to support clients who need assistance with doctor's visits,
eyeglasses,dental etc.
2009 Program Supplies-Medical -
2010 Utility Vouchers
2011 Other(specify)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 1 Other(specify)
3000:DIRECT OPERATING EXPENSES
3001 Telecommunications
3002 Printing/Postage
3003 Office,Household&Program Supplies
3004 Advertising
3005 Staff Development&Training
3006 Staff Mileage
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Other(specify)
3010 Other(specify)
3011 Other(specify)
3012 Other(s ecif )
4000:DIRECT FACILITIES&EQUIPMENT
4001 Building Maintenance
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 Utilities
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 other(specify)
5000:DIRECT SPECIAL EXPENSES
5001 Consultant(Network&Data Management)
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 1 Other(specify)
6000:INDIRECT EXPENSES
6001 Administrative Overhead
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
6 of 36
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA
7003 Furniture&Fixtures
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: 5,250
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 5,250
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
7 of 36
BRIGHT BEGINNINGS FOR FAMILIES
COMPREHENSIVE YOUTH SERVICES OF FRESNO,INC.
Fiscal Year(FY)2024-2025
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 $ $
1102
1103
1104
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.00 $ - $ -
Acct# Program Position FTE Admin Program Total
1116 $ $
1117
1118
1119
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 0.00 $ $
Admin Program Total
Direct Personnel Salaries Subtotal 0.00 $ - $ - $ -
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ -
1202 Worker's Compensation
1203 Health Insurance - - -
1204 Other(specify)
1205 Other(specify)
1206 1 Other(specify)
Direct Employee Benefits Subtotal: $ $ $
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ $ $
1302 FICA/MEDICARE
1303 SUI
1304 Other(specify)
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ - $ - $ -
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ $ $
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
#DIV/01 #DIV/01
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
8of36
2000:DIRECT CLIENT SUPPORT
Acd# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support -
2003 Client Transportation&Support 2,000
2004 Clothing,Food,&Hygiene 2,500
2005 Education Support 300
2006 1 Employment Support 200
2007 Household Items for Clients -
2008 Medication Supports 250
2009 Program Supplies-Medical -
2010 Utility Vouchers
2011 Other(specify)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 5,250
3000:DIRECT OPERATING EXPENSES
Acd q Line Item Description Amount
3001 Telecommunications $ -
3002 Printing/Postage
3003 Office,Household&Program Supplies
3004 Advertising
3005 Staff Development&Training
3006 1 Staff Mileage
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Other(specify)
3010 Other(specify)
3011 Other(specify)
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ -
4000:DIRECT FACILITIES&EQUIPMENT
Acd# Line Item Description Amount
4001 Building Maintenance $
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 lUtilities
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:j$
5000:DIRECT SPECIAL EXPENSES
Acct N Line Item Description Amount
5001 Consultant(Network&Data Management) $
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(specify)
5006 I Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
9 of 36
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):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes/ -
6008 Personnel(indirect Salaries&Benefits) -
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ -
INDIRECT COST RATE 0.00%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures -
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 $
TOTAL PROGRAM EXPENSES $ 5,250
PROGRAM FUNDING SOURCES
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 ISABG $
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 $ 5,250
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology -
MHSATOTAL $ 5,250
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance -
8403 Grants(Specify)
8404 Other(Specify) -
8405 Other(Specify) -
OTHER REVENUE TOTAL $
TOTAL PROGRAM FUNDING SOURCES: $ 5,250
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
10 of 36
BRIGHT BEGINNINGS FOR FAMILIES
COMPREHENSIVE YOUTH SERVICES OF FRESNO,INC.
Fiscal Year(FY)2023-2024 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS
Administrative Positions
1101 0
1102 0
1103 0
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions
1116 0
1117 0
1118 0
1119 0
1120 0
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits
1201 Retirement
1202 Worker's Compensation
1203 Health Insurance
1204 Other(specify)
1205 Other(specify)
1206 Other(specify)
Direct Payroll Taxes&Expenses:
1301 OASDI
1302 FICA/MEDICARE
1303 SUI
1304 Other(specify)
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 5,250
2001 Child Care -
2002 Client Housing Support -
2003 Client Transportation&Support 2,000 The supports are for clients,family members,and caregivers including cash payments,
vouchers,goods,services,items necessary for daily living and transportation. This does
not include housing supports and capital expenditures or the salaries and benefits of
staff used to provide client flexible supports.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
11 of 36
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2004 Clothing,Food,&Hygiene 2,500 The supports are for clients,family members,and caregivers including cash payments,
vouchers,goods,services,items necessary for daily living(such as food,clothing,
hygiene,etc.). This does not include housing supports and capital expenditures or the
salaries and benefits of staff used to provide client flexible supports. CYS adheres to a
strict internal control procedure regarding gift cards:all gift cards purchased are logged
in by CYS fiscal staff,allocated to programmatic staff,then signed out by the clients.
Until they are issued to the client,all gift cards are locked in bolted safes at the main
office,with restricted access to only a few staff.
2005 Education Support 300 The supports are for clients,family members,and caregivers including cash payments,
vouchers,goods,services,items necessary for daily living
2006 Employment Support 200 The supports are for clients,family members,and caregivers including cash payments,
vouchers,goods,services,items necessary for daily living
2007 Household Items for Clients -
2008 Medication Supports 250 Medication Supports is used to support clients who need assistance with doctor's visits,
eyeglasses,dental etc.
2009 Program Supplies-Medical -
2010 Utility Vouchers
2011 Other(specify)
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 1 Other(specify)
3000:DIRECT OPERATING EXPENSES
3001 Telecommunications
3002 Printing/Postage
3003 Office,Household&Program Supplies
3004 Advertising
3005 Staff Development&Training
3006 Staff Mileage
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Other(specify)
3010 Other(specify)
3011 Other(specify)
3012 Other(s ecif )
4000:DIRECT FACILITIES&EQUIPMENT
4001 Building Maintenance
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 Utilities
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 other(specify)
5000:DIRECT SPECIAL EXPENSES
5001 Consultant(Network&Data Management)
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 1 Other(specify)
6000:INDIRECT EXPENSES
6001 Administrative Overhead
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
12 of 36
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6008 Personnel(Indirect Salaries&Benefits)
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA
7003 Furniture&Fixtures
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: 5,250
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 5,250
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
13 of 36
BRIGHT BEGINNINGS FOR FAMILIES
PACIFIC CLINICS
Fiscal Year(FY)2023-2024
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 $ $ $
1102
1103
1104
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.00 $ - $ -
Acct# Program Position FTE Admin Program Total
1116 $ $
1117
1118
1119
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 0.00 $ $
Admin Program Total
Direct Personnel Salaries Subtotal 0.00 $ - $ - $ -
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ -
1202 Worker's Compensation
1203 Health Insurance - - -
1204 Other(specify)
1205 Other(specify)
1206 1 Other(specify)
Direct Employee Benefits Subtotal: $ $ $
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ $ $
1302 FICA/MEDICARE
1303 SUI
1304 Other(specify)
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ - $ - $ -
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ $ $
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
#DIV/01 #DIV/01
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
14 of 36
2000:DIRECT CLIENT SUPPORT
Acd# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support 778
2003 Client Transportation&Support 1,252
2004 Clothing,Food,&Hygiene 4,530
2005 Education Support 192
2006 1 Employment Support -
2007 Household Items for Clients 1,156
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers 578
2011 Client Housing Operating Expenditures 1,155
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 9,641
3000:DIRECT OPERATING EXPENSES
Acd q Line Item Description Amount
3001 Telecommunications $ -
3002 Printing/Postage
3003 Office,Household&Program Supplies
3004 Advertising
3005 Staff Development&Training
3006 1 Staff Mileage
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Other(specify)
3010 Other(specify)
3011 Other(specify)
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ -
4000:DIRECT FACILITIES&EQUIPMENT
Acd# Line Item Description Amount
4001 Building Maintenance $
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 lUtilities
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:j$
5000:DIRECT SPECIAL EXPENSES
Acct N Line Item Description Amount
5001 Consultant(Network&Data Management) $
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(specify)
5006 I Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
15 of 36
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):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes/ -
6008 Personnel(indirect Salaries&Benefits) -
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ -
INDIRECT COST RATE 0.00%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 s $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures -
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 $
TOTAL PROGRAM EXPENSES $ 9,641
PROGRAM FUNDING SOURCES
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 ISABG $
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 $ 9,641
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology -
MHSATOTAL $ 9,641
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance -
8403 Grants(Specify)
8404 Other(Specify) -
8405 Other(Specify) -
OTHER REVENUE TOTAL $
TOTAL PROGRAM FUNDING SOURCES: $ 9,641
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
16 of 36
BRIGHT BEGINNINGS FOR FAMILIES
PACIFIC CLINICS
Fiscal Year(FY)2023-2024 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS
Administrative Positions
1101 0
1102 0
1103 0
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions
1116 0
1117 0
1118 0
1119 0
1120 0
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits
1201 Retirement
1202 Worker's Compensation
1203 Health Insurance
1204 Other(specify)
1205 Other(specify)
1206 Other(specify)
Direct Payroll Taxes&Expenses:
1301 OASDI
1302 FICA/MEDICARE
1303 SUI
1304 Other(specify)
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 9,641
2001 Child Care -
2002 Client Housing Support 778 This includes,but is not limited to: housing subsidies for permanent,transitional and
temporary housing,master leases,motel and other housing vouchers,rental security
deposits,first and last month rental payments,and other fiscal housing supports
resources.
2003 Client Transportation&Support 1,252 This includes bus vouchers and reimbursements for other travel expenses as lack of
transportation is frequently a major barrier for families in accessing services.This also
includes other non-traditional supports to meet the needs that families may have.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
17 of 36
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2004 Clothing,Food,&Hygiene 4,S30 Supports for these basic needs aids in fully realizing the benefits provided through Full
Service Partnerships. In addition to vouchers for these basic necessities,food/snacks
for families are provided during treatment sessions.
2005 Education Support 192 This includes,but is not limited to assistance for youth with linkages to educational
resources and supports,as well as support in addressing any barriers that impact
educational success.
2006 Employment Support -
2007 Household Items for Clients 1,156 Supports the purchase of household items to assist in maintaining a safe,healthy,and
secure home environment.
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers 578 Supports emergency assistance with maintaining electricity,gas,water,trash pic-up,
etc.to maintain a safe and healthy home environment.
2011 Client Housing Operating Expenditures 1,155 This includes,but is not limited to building repair and maintenance,utilities,housing
agency management fees,insurance,property taxes and assessments,credit reporting
fees,and other operating costs incurred in providing child and family housing supports.
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 I knerifvl
ecif
3000:DIRECT OPERATING EXPENSES
3001 Telecommunications
3002 Printing/Postage
3003 Office,Household&Program Supplies
3004 Advertising
3005 Staff Development&Training
3006 Staff Mileage
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Other(specify)
3010 Other(specify)
3011 Other(specify)
3012 other(specify)
4000:DIRECT FACILITIES&EQUIPMENT
4001 Building Maintenance
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 Utilities
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES
5001 Consultant(Network&Data Management)
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 1 Other(specify)
6000:INDIRECT EXPENSES
6001 Administrative Overhead
6002 Professional Liability 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(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
18of36
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA
7003 Furniture&Fixtures
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: 9,641
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 9,641
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
19 of 36
BRIGHT BEGINNINGS FOR FAMILIES
PACIFIC CLINICS
Fiscal Year(FY)2024-2025
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 $ $
1102
1103
1104
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.00 $ - $ -
Acct# Program Position FTE Admin Program Total
1116 $ $
1117
1118
1119
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 0.00 $ $
Admin Program Total
Direct Personnel Salaries Subtotal 0.00 $ - $ - $ -
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ -
1202 Worker's Compensation
1203 Health Insurance - - -
1204 Other(specify)
1205 Other(specify)
1206 1 Other(specify)
Direct Employee Benefits Subtotal: $ $ $
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ $ $
1302 FICA/MEDICARE
1303 SUI
1304 Other(specify)
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ - $ - $ -
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ $ $
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
#DIV/01 #DIV/01
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
20 of 36
2000:DIRECT CLIENT SUPPORT
Acd# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support 778
2003 Client Transportation&Support 1,252
2004 Clothing,Food,&Hygiene 4,530
2005 Education Support 192
2006 1 Employment Support -
2007 Household Items for Clients 1,156
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers 578
2011 Client Housing Operating Expenditures 1,155
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 9,641
3000:DIRECT OPERATING EXPENSES
Acd q Line Item Description Amount
3001 Telecommunications $ -
3002 Printing/Postage
3003 Office,Household&Program Supplies
3004 Advertising
3005 Staff Development&Training
3006 1 Staff Mileage
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Other(specify)
3010 Other(specify)
3011 Other(specify)
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ -
4000:DIRECT FACILITIES&EQUIPMENT
Acd# Line Item Description Amount
4001 Building Maintenance $
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 lUtilities
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:j$
5000:DIRECT SPECIAL EXPENSES
Acct N Line Item Description Amount
5001 Consultant(Network&Data Management) $
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(specify)
5006 I Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
21 of 36
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):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes/ -
6008 Personnel(indirect Salaries&Benefits) -
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ -
INDIRECT COST RATE 0.00%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures -
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 $
TOTAL PROGRAM EXPENSES $ 9,641
PROGRAM FUNDING SOURCES
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 ISABG $
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 $ 9,641
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology -
MHSATOTAL $ 9,641
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance -
8403 Grants(Specify)
8404 Other(Specify) -
8405 Other(Specify) -
OTHER REVENUE TOTAL $
TOTAL PROGRAM FUNDING SOURCES: $ 9,641
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
22 of 36
BRIGHT BEGINNINGS FOR FAMILIES
PACIFIC CLINICS
Fiscal Year(FY)2023-2024 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS
Administrative Positions
1101 0
1102 0
1103 0
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions
1116 0
1117 0
1118 0
1119 0
1120 0
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits
1201 Retirement
1202 Worker's Compensation
1203 Health Insurance
1204 Other(specify)
1205 Other(specify)
1206 Other(specify)
Direct Payroll Taxes&Expenses:
1301 OASDI
1302 FICA/MEDICARE
1303 SUI
1304 Other(specify)
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 9,641
2001 Child Care -
2002 Client Housing Support 778 This includes,but is not limited to: housing subsidies for permanent,transitional and
temporary housing,master leases,motel and other housing vouchers,rental security
deposits,first and last month rental payments,and other fiscal housing supports
resources.
2003 Client Transportation&Support 1,252 This includes bus vouchers and reimbursements for other travel expenses as lack of
transportation is frequently a major barrier for families in accessing services.This also
includes other non-traditional supports to meet the needs that families may have.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
23 of 36
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2004 Clothing,Food,&Hygiene 4,S30 Supports for these basic needs aids in fully realizing the benefits provided through Full
Service Partnerships. In addition to vouchers for these basic necessities,food/snacks
for families are provided during treatment sessions.
2005 Education Support 192 This includes,but is not limited to assistance for youth with linkages to educational
resources and supports,as well as support in addressing any barriers that impact
educational success.
2006 Employment Support -
2007 Household Items for Clients 1,156 Supports the purchase of household items to assist in maintaining a safe,healthy,and
secure home environment.
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers 578 Supports emergency assistance with maintaining electricity,gas,water,trash pic-up,
etc.to maintain a safe and healthy home environment.
2011 Client Housing Operating Expenditures 1,155 This includes,but is not limited to building repair and maintenance,utilities,housing
agency management fees,insurance,property taxes and assessments,credit reporting
fees,and other operating costs incurred in providing child and family housing supports.
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 I knerifvl
ecif
3000:DIRECT OPERATING EXPENSES
3001 Telecommunications
3002 Printing/Postage
3003 Office,Household&Program Supplies
3004 Advertising
3005 Staff Development&Training
3006 Staff Mileage
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Other(specify)
3010 Other(specify)
3011 Other(specify)
3012 other(specify)
4000:DIRECT FACILITIES&EQUIPMENT
4001 Building Maintenance
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 Utilities
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES
5001 Consultant(Network&Data Management)
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 1 Other(specify)
6000:INDIRECT EXPENSES
6001 Administrative Overhead
6002 Professional Liability 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(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
24 of 36
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA
7003 Furniture&Fixtures
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: 9,641
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 9,641
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
25 of 36
BRIGHT BEGINNINGS FOR FAMILIES
EXCEPTIONAL PARENTS UNLIMITED,INC
Fiscal Year(FY)2023-2024
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 $ $
1102
1103
1104
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.00 $ - $ -
Acct# Program Position FTE Admin Program Total
1116 $ $
1117
1118
1119
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 0.00 $ $
Admin Program Total
Direct Personnel Salaries Subtotal 0.00 $ - $ - $ -
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ -
1202 Worker's Compensation
1203 Health Insurance - - -
1204 Other(specify)
1205 Other(specify)
1206 1 Other(specify)
Direct Employee Benefits Subtotal: $ $ $
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ $ $
1302 FICA/MEDICARE
1303 SUI
1304 Other(specify)
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ - $ - $ -
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ $ $
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
#DIV/01 #DIV/01
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
26 of 36
2000:DIRECT CLIENT SUPPORT
Acd# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 1,800
2003 Client Transportation&Support 1,000
2004 Clothing,Food,&Hygiene 1,000
2005 Education Support 900
2006 1 Employment Support 900
2007 Household Items for Clients 1,200
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers 1,200
2011 Other(specify) -
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 8,000
3000:DIRECT OPERATING EXPENSES
Acd q Line Item Description Amount
3001 Telecommunications $ -
3002 Printing/Postage
3003 Office,Household&Program Supplies
3004 Advertising
3005 Staff Development&Training
3006 1 Staff Mileage
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Other(specify)
3010 Other(specify)
3011 Other(specify)
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ -
4000:DIRECT FACILITIES&EQUIPMENT
Acd# Line Item Description Amount
4001 Building Maintenance $
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 lUtilities
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:j$
5000:DIRECT SPECIAL EXPENSES
Acct N Line Item Description Amount
5001 Consultant(Network&Data Management) $
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(specify)
5006 I Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
27 of 36
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):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes/ -
6008 Personnel(indirect Salaries&Benefits) -
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ -
INDIRECT COST RATE 0.00%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 s $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures -
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 $
TOTAL PROGRAM EXPENSES $ 8,000
PROGRAM FUNDING SOURCES
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 ISABG $
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 $ 8,000
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology -
MHSATOTAL $ 8,000
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance -
8403 Grants(Specify)
8404 Other(Specify) -
8405 Other(Specify) -
OTHER REVENUE TOTAL $
TOTAL PROGRAM FUNDING SOURCES: $ 8,000
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
28 of 36
BRIGHT BEGINNINGS FOR FAMILIES
EXCEPTIONAL PARENTS UNLIMITED,INC
Fiscal Year(FY)2023-2024 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS
Administrative Positions
1101 0
1102 0
1103 0
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions
1116 0
1117 0
1118 0
1119 0
1120 0
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits
1201 Retirement
1202 Worker's Compensation
1203 Health Insurance
1204 Other(specify)
1205 Other(specify)
1206 Other(specify)
Direct Payroll Taxes&Expenses:
1301 OASDI
1302 FICA/MEDICARE
1303 SUI
1304 Other(specify)
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 8,000
2001 Child Care -
2002 Client Housing Support 1,800 Partial assistance with emergency rent/housing for clients'family($450 x 4 families per
year =$1,800,
2003 Client Transportation&Support 1,000 Bus tokens or gas reimbursements for clients to access services($20 x 50 families=
$1,000).
2004 Clothing,Food,&Hygiene 1,000 Basic needs support with food,clothing diapers for financially insecure families($20 x
50 families=$1,000).
2005 Education Support 900 Support with books,tutoring,etc(up to$75 per child x 12 children=$900).
2006 Employment Support 900 Assistance with resume building,developing interview skills,etc.(up to$75 per
caregiver x 12=$900).
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
29 of 36
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2007 Household Items for Clients 1,200 Basic furniture,study desk,heater,etc for client households(estimated that up to 12 of
the clients served will need such assistance,$100 x 12=$1,200).
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers 1,200 Provide partial assistance for utility expenses for client households who are financially
insecure (12 families x$100=$1,200).
2011 Other(specify) -
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 1 Other(specify)
3000:DIRECT OPERATING EXPENSES
3001 Telecommunications
3002 Printing/Postage
3003 Office,Household&Program Supplies
3004 Advertising
3005 Staff Development&Training
3006 Staff Mileage
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Other(specify)
3010 Other(specify)
3011 Other(specify)
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT
4001 Building Maintenance
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 Utilities
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 1 Other(specify)
5000:DIRECT SPECIAL EXPENSES
5001 Consultant(Network&Data Management)
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 1 Other(specify)
6000:INDIRECT EXPENSES
6001 Administrative Overhead
6002 Professional Liability 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(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 1 Other(specify)
7000:DIRECT FIXED ASSETS
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
30 of 36
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
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: 8,000
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 8,000
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
31 of 36
BRIGHT BEGINNINGS FOR FAMILIES
EXCEPTIONAL PARENTS UNLIMITED,INC
Fiscal Year(FY)2024-2025
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 $ $
1102
1103
1104
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.00 $ - $ -
Acct# Program Position FTE Admin Program Total
1116 $ $
1117
1118
1119
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 0.00 $ $
Admin Program Total
Direct Personnel Salaries Subtotal 0.00 $ - $ - $ -
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ -
1202 Worker's Compensation
1203 Health Insurance - - -
1204 Other(specify)
1205 Other(specify)
1206 1 Other(specify)
Direct Employee Benefits Subtotal: $ $ $
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ $ $
1302 FICA/MEDICARE
1303 SUI
1304 Other(specify)
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ - $ - $ -
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ $ $
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
#DIV/01 #DIV/01
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
32 of 36
2000:DIRECT CLIENT SUPPORT
Acd# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 1,800
2003 Client Transportation&Support 1,000
2004 Clothing,Food,&Hygiene 1,000
2005 Education Support 900
2006 1 Employment Support 900
2007 Household Items for Clients 1,200
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers 1,200
2011 Other(specify) -
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 8,000
3000:DIRECT OPERATING EXPENSES
Acd q Line Item Description Amount
3001 Telecommunications $ -
3002 Printing/Postage
3003 Office,Household&Program Supplies
3004 Advertising
3005 Staff Development&Training
3006 1 Staff Mileage
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Other(specify)
3010 Other(specify)
3011 Other(specify)
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ -
4000:DIRECT FACILITIES&EQUIPMENT
Acd# Line Item Description Amount
4001 Building Maintenance $
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 lUtilities
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:j$
5000:DIRECT SPECIAL EXPENSES
Acct N Line Item Description Amount
5001 Consultant(Network&Data Management) $
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(specify)
5006 I Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
33 of 36
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):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes/ -
6008 Personnel(indirect Salaries&Benefits) -
6009 Other(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ -
INDIRECT COST RATE 0.00%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures -
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 $
TOTAL PROGRAM EXPENSES $ 8,000
PROGRAM FUNDING SOURCES
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 ISABG $
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 $ 8,000
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology -
MHSATOTAL $ 8,000
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance -
8403 Grants(Specify)
8404 Other(Specify) -
8405 Other(Specify) -
OTHER REVENUE TOTAL $
TOTAL PROGRAM FUNDING SOURCES: $ 8,000
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
34 of 36
BRIGHT BEGINNINGS FOR FAMILIES
EXCEPTIONAL PARENTS UNLIMITED,INC
Fiscal Year(FY)2023-2024 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS
Administrative Positions
1101 0
1102 0
1103 0
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions
1116 0
1117 0
1118 0
1119 0
1120 0
1121 0
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits
1201 Retirement
1202 Worker's Compensation
1203 Health Insurance
1204 Other(specify)
1205 Other(specify)
1206 Other(specify)
Direct Payroll Taxes&Expenses:
1301 OASDI
1302 FICA/MEDICARE
1303 SUI
1304 Other(specify)
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 8,000
2001 Child Care -
2002 Client Housing Support 1,800 Partial assistance with emergency rent/housing for clients'family($450 x 4 families per
year =$1,800,
2003 Client Transportation&Support 1,000 Bus tokens or gas reimbursements for clients to access services($20 x 50 families=
$1,000).
2004 Clothing,Food,&Hygiene 1,000 Basic needs support with food,clothing diapers for financially insecure families($20 x
50 families=$1,000).
2005 Education Support 900 Support with books,tutoring,etc(up to$75 per child x 12 children=$900).
2006 Employment Support 900 Assistance with resume building,developing interview skills,etc.(up to$75 per
caregiver x 12=$900).
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
35 of 36
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2007 Household Items for Clients 1,200 Basic furniture,study desk,heater,etc for client households(estimated that up to 12 of
the clients served will need such assistance,$100 x 12=$1,200).
2008 Medication Supports -
2009 Program Supplies-Medical -
2010 Utility Vouchers 1,200 Provide partial assistance for utility expenses for client households who are financially
insecure (12 families x$100=$1,200).
2011 Other(specify) -
2012 Other(specify)
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 1 Other(specify)
3000:DIRECT OPERATING EXPENSES
3001 Telecommunications
3002 Printing/Postage
3003 Office,Household&Program Supplies
3004 Advertising
3005 Staff Development&Training
3006 Staff Mileage
3007 Subscriptions&Memberships
3008 Vehicle Maintenance
3009 Other(specify)
3010 Other(specify)
3011 Other(specify)
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT
4001 Building Maintenance
4002 Rent/Lease Building
4003 Rent/Lease Equipment
4004 Rent/Lease Vehicles
4005 Security
4006 Utilities
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 1 Other(specify)
5000:DIRECT SPECIAL EXPENSES
5001 Consultant(Network&Data Management)
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services
5005 Other(specify)
5006 Other(specify)
5007 Other(specify)
5008 1 Other(specify)
6000:INDIRECT EXPENSES
6001 Administrative Overhead
6002 Professional Liability 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(specify)
6010 Other(specify)
6011 Other(specify)
6012 Other(specify)
6013 1 Other(specify)
7000:DIRECT FIXED ASSETS
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA
7003 Furniture&Fixtures
7004 Leasehold/Tenant/Building Improvements
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Exhibit H4
36 of 36
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
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: 8,000
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 8,000
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020