HomeMy WebLinkAboutInter Dept DPH DBH-Perinatal Prevention and Early Intervention for Pregnant Parenting Women and Their Infants_D-23-700.pdf D-23-700
1 INTER-DEPARTMENTAL AGREEMENT
2 This INTER-DEPARTMENTAL AGREEMENT is made and entered into this 29th day
3 of May ,2024 by and between the County of Fresno, Department of Behavioral
4 Health, hereinafter referred to as "DBH",and the County of Fresno, Department of Public
5 Health,
6 hereinafter referred to as "DPH". Recitals
7 WHEREAS, the Department of Behavioral Health (DBH), is in need of qualified public
8 health nursing staff to provide medical case management services to pregnant and/or
9 postpartum mothers and their infants in a variety of sites including homes, primary health clinics,
10 OBIGYN providers, community centers, other clinics and treatment centers; and
11 WHEREAS, the Department of Public Health (DPH) has the facilities, equipment and
12 personnel skilled in the provision of such services; and
13 WHEREAS, the DPH is qualified and is willing to provide such services, pursuant to the
14 terms and conditions of this Inter-Departmental Agreement.
15 NOW, THEREFORE, in consideration of their mutual covenants and conditions, the
16 parties hereto agree as follows:
17 1. SERVICES
18 A. DPH shall perform all of the services and responsibilities provided in
19 Exhibit A, Public Health Summary of Services. In addition, DPH will provide services in
20 accordance with the Prevention and Early Intervention State approved work plan and
21 specifically in reference to the Perinatal Prevention and Early Intervention for
22 Pregnant/Parenting Women and Their Infants
23 B. DPH shall provide all services in accordance with the County's Mental
24 Health Plan. DBH may request additional services from DPH which are not otherwise provided
25 for in this Inter-Departmental Agreement, which DPH, at its sole discretion, may provide. If DPH
26 is unable to provide additional services to DBH when requested. DPH shall notify DBH,
27 immediately.
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I Compensation for any such additional services shall be based on actual expenditures incurred
2 by DPH and in accordance with the budget identified in Exhibit B, DPH Budget Summary unless
3 the DBH Director and DPH Director, or their designees, agree otherwise mutually, in writing.
4 C. DBH Contracts Administration shall be responsible for providing any
5 necessary oversight to ensure appropriate accounting of the delivery of services.
6 2. TERM
7 This Inter-Departmental Agreement shall become effective, retroactively, on the 1st
8 day of July 2023 and shall terminate on the 3011 day of June 2026.
Q This Inter-Departmental Agreement, subject to State funding each year, shall
10 automatically be extended for two (2)additional twelve (12)month periods upon the same terms
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and conditions herein set forth, pending approval of both parties, unless written notice of non-
12 renewal is given by DBH's Director, or designee, or DPH's Director, or designee, not later then
13 sixty (60)days prior to the close of the current Inter-Departmental Agreement term.
14 3. TERMINATION
15 A. Non-Allocation of Funds—The terms of this Inter-Departmental Agreement, and
16 the services to be provided thereunder, is contingent on the approval of funds by the
17 appropriating government agency. Should sufficient funds not be allocated, the services
18 provided may be modified, or this Inter-Departmental Agreement terminated, at any time by
19 DBH providing DPH sixty(60) days advance written notice.
20 B. Breach of Contract—DBH may immediately suspend m terminate this |nter-
21 Departmental Agreement in whole or in part, wherein the determination of DBH there is:
22 1) An illegal or improper use offunds;
23 2) A failure to comply with any terms of this Inter-Departmental Agreement;
24 3) A substantially incorrect mr incomplete report submitted tmC>BH;
25 4\ Improperly performed service.
20 In no event shall any payment by DBH constitute a waiver by DBH of any breach of
27 this Inter-Departmental Agreement or any default which may then exist on the part of DPH.
28 Neither shall such payment impair or prejudice anyrannedyovai!ab|ebzDBHwjthnaepectbmtha
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I breach or default. DBH shall have the right to demand of DPH the repayment to DBH of any
2 funds disbursed to DPH under this Inter-Departmental Agreement, which in the judgement of
3 DBH were not expanded in accordance with the terms of this Inter-Departmental Agreement.
4 DPH shall promptly refund any funds upon demand or, at DBH's option such repayment shall be
5 deducted from future payments owing to DPH under this Inter-Departmental Agreement.
6 C. Without Cause—Under circumstances other than those set forth above, this
7 Inter-Departmental Agreement may be terminated by either party upon the giving of thirty(30)
8 days advance written notice of an intention to terminate. However, termination of this Inter-
9 Departmental Agreement shall not affect any pending activities, which shall be handled to their
10 conclusion by DPH.
11 4. COMPENSATION
12 DBH agrees to pay DPH and DPH agrees to receive compensation as follows:
13 Payment shall be made upon certification or other proof satisfactory to DBH, that services have
14 been performed by DPH as specified in this Inter-Departmental Agreement.Allowable
15 expenditures under this Inter-Departmental Agreement are specifically established and
16 identified in Exhibit B.The maximum amount under this Inter-Departmental Agreement for the
17 initial term, July 1, 2023 through June 30, 2024, shall not exceed Two Hundred Eighty
18 Thousand, Five Hundred Eighty-Seven and No/100 Dollars ($280,587).
19 The maximum amount for the period from July 1, 2024 through June 30, 2025 shall
20 not exceed Two Hundred Ninety-Eight Thousand, Eight Hundred Eighty-One and No/100
21 Dollars ($298,881).
22 The maximum amount for the period from July 1, 2025 through June 30, 2026 shall
23 not exceed Three Hundred Eleven Thousand, Five Hundred Twenty-Seven and No/100 Dollars
24 ($311,527).
25 The maximum amount for the period from July 1, 2026 through June 30, 2027 shall
26 not exceed Three Hundred Twenty-Four Thousand, One Hundred Seventy-Nine and No/100
27 Dollars ($324,179).
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I The maximum amount for the period from July 1,2027 through June 30, 2028 shall
2 not exceed Three Hundred Thirty-Nine Thousand, Four Hundred Forty and No/100 Dollars
3
4 The total maximum compensation amount of this Inter-Departmental Agreement for
5 the entire contract term shall not exceed One Million, Five Hundred Fifty-Four Thousand, Six
O Hundred Fourteen and No/100 Dollars ($1,554,614).
7 Payment by DBH shall be in arrears,for services provided during the preceding
8 month, within forty-five (45)days after receipt and verification of DPH invoices by DBH. If DPH
8 should fail to comply with any provision of this Inter-Departmental Agreement, DBH shall be
10 relieved of its obligation for further compensation.All final claims and/or any final budget
11 modification requests shall be submitted by DPH within sixty(60)days following the final month
12 of service for which payment is claimed. No action shall be taken by DBH on claims submitted
13 beyond the sixty(60)day closeout period.Any compensation which is not expended by DPH
14 pursuant to the terms and conditions of this Inter-Departmental Agreement shall automatically
15 revert to DBH
16 5. INVOICING
17 A. TheOPH Business Office shall prepare Inter-Departmental Journal Vouchers,
18 quarterly, for services provided by DPH pursuant to the terms and conditions of this Inter-
19 Departmental Agreement. Journal vouchers shall include applicable supporting documentation,
20 in detail, such as dates of services, hours, and amount(s)charged. Documentation will include
21 the Support Staff Time Report(DFA-7). Journal vouchers shall be subject to County, State of
22 California and Federal audits. Journal vouchers shall be received and reviewed by the DBH
23 Mental Health Contracts Staff Analyst.
24 B. No reimbursements for actual services rendered under this Inter-Departmental
25 Agreement shall be made until Inter-Departmental Journal Vouchers, as identified above, are
26 received and reviewed by OBH. DBH agrees to nn|mbucaa DPH quodedy, in ornaana.within
27 forty-five (45)days after receipt and verification ofDPH'o Journal Vouchers. If journal vouchers
28 or activity reports are incorrect or are otherwise not in proper form or substance, DBH shall have
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I the right to withhold payment as to only that portion of the journal voucher or activity report that
2 is incorrect or improper.
3 C. The journal voucher and all supporting documentation shall be sent to the
4 Department of Behavioral Health, 3676 E. Shields Ave, Fresno, CA 93726, Attention: Mental
5 Health Contracts Division, to the DBH Staff Analyst via inter-office mail (Stop No. 277) or
6 forwarded via email.
7 6. MODIFICATION
8 A. Any matters of this Inter-Departmental Agreement may be modified from time to
9 time by the written consent of DBH and DPH without, in any way, affecting the remainder.
10 B. DPH hereby agrees to any amendments in funding to reflect a reduction in funds
11 from State and Federal Sources. In addition, this Inter-Departmental Agreement is subject to
12 any restrictions, limitations, or enactments of all legislative bodies which affect the provisions,
13 term or funding of this Inter-Departmental Agreement in any manner.
14 7. CONFIDENTIALITY
15 All services performed by DPH under this Inter-Departmental Agreement shall be in
16 strict conformance with all applicable Federal, State of California and/or local laws and
17 regulations relating to confidentiality.
18 8. LICENSES/CERTIFICATES
19 Throughout each term of this Inter-Departmental Agreement, DPH staff shall
20 maintain all necessary licenses, permits, approvals, certificates, waivers, and exemptions
21 necessary for the provision of the services hereunder and required by the laws and regulations
22 of the United States of America, State of California, the County of Fresno, and any other
23 applicable governmental agencies. DPH shall notify DBH immediately in writing of its inability to
24 obtain or maintain such licenses, permits, approvals, certificates,waivers, and exemptions
25 irrespective of the pendency of any appeal related thereto. Additionally, DPH staff shall comply
26 with all applicable laws, rules or regulations, as may now exist or be hereafter changed.
27 9. COMPLIANCE WITH STATE REQUIREMENTS
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1 DPH recognizes that DBH operates its mental health programs under an
2 agreement with the State of California Department of Health Care Services, and that under said
3 agreement the State imposes certain requirements on DBH mental health. DPH shall adhere to
4 all State requirements.
5 DPH recognizes that DBH operates its mental health programs under an
6 agreement with the State of California Department of Health Care Services (DHCS), and that
7 under said agreement the State imposes certain requirements on DBH and its subcontractors.
8 DPH shall adhere to all State requirements, including those identified in Exhibit C, State Mental
9 Health Requirements.
10 10. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
11 A. The parties to this Inter-Departmental Agreement shall comply with applicable
12 laws and regulations, including but not limited to Sections 14100.2 and 5328 et seq. of the
13 Welfare and Institutions Code, Section 431.300 et seq. of Title 42, Code of Federal Regulations,
14 and the Health Insurance Portability and Accountability Act(HI PAA), including but not limited to
15 Section 1320 D et seq, of Title 42, United States Code and it's implementing regulations
16 (including, but not limited to Title 45, CFR, Parts 142,160, 162, and 164)regarding the
17 confidentiality and security of patient information.
18 B. DPH shall protect from unauthorized disclosure, names and other identifying
19 information concerning persons receiving services pursuant to this contract, except for statistical
20 information. This pertains to any and all persons receiving services pursuant to a County-funded
21 program. DPH shall not use such identifying information for any purpose other than carrying out
22 DPH obligations under this contract.
23 C. DPH shall not disclose, except as otherwise specifically permitted by this Inter-
24 Departmental Agreement, authorized by law or authorized by the person served, any such
25 identifying information to anyone other than the State without prior written authorization from the
26 State in accordance with State and Federal Laws.
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1 D. For purposes of the above sections, identifying information shall include, but is
2 not limited to, name, identifying number, symbol, or other identifying particular assigned to the
3 individual, such as finger or voice print, or a photograph.
4 E. Notification of Electronic Breach or Improper Disclosure: During the term of this
5 Inter-Departmental Agreement, DPH shall notify DBH, immediately upon discovery of any
8 breach of Medi-Cal Protected Health Information (PHI)and/or data, where the information
7 and/or data is reasonably believed to have been acquired by an unauthorized person.
Immediate notification shall be made to County's Information Security Officer, within two business days of discovery, at(559)600-5800. DPH shall take prompt corrective action to cure
8 any deficiencies and any action pertaining to such unauthorized disclosure required by
10 applicable Federal and State Laws and regulations. DPH shall investigate such breach and
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provide a written report of the investigation to the County Information Security Officer,
12 postmarked within the thirty(30)working days of the discovery of the breach to the address
13 County of Fresno
Information Security 14 `
2O4ON. Fine Street
15 Fresno, CA83727
16 F. Safeguards. [}PH shall implement administrative, physical, and technical
17 safeguards that reasonably and appropriately protect the confidentiality, integrity, and
avaiiobU�y¢fthep�decbadhea|thinfornnationinc|uding �(eotroni��M| th�ti�onaa�em, r�ceivuo
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19 maintains or transmits on behalf of County; and to prevent use or disclosure of PHI other than
as provided for by this Inter-Departmental Agreement, DPH shall develop and maintain a written
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information privacy and security program that includes administrative, technical and physical
21 safeguards appropriate to the size and complexity of program operations and the nature and
22 scope of its activities. DPH will provide DBH with information concerning such safeguards as
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DBH may reasonably request from time bmtime.
24 [�PH will innp|�rnant strong access controls and other security safeguards and
prenaubonmaoncded |nU/efo|lovvngtonaothnt|ogioo| andphvaicalmcoeoot000nfidenUm|.
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personal /a.8.. PHI)or sensitive data hn authorized users only.
26 []PH will enforce the following administrative and technical password controls on
27 all ayotenno used to pnomsao or store oonfidmnUai, personal, or sensitive data:
1 Peaexvond� nmuatnotbe'
2B '
a. Shared or written down where they are accessible or
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1 recognizable by anyone else; such as taped to computer screens, stored under keyboards, or
2 visible in a work area;
3 b. A dictionary word; and
C. Stored in clear text.2. Passwords must be:
5 a. Eight(8)characters or more in length;
0 b. Changed every ninety(90)days;
7 C. Changed immediately if revealed or compromised; and
8 & Composed of characters from at least three (3)of the
following four(4)groups from the standard keyboard:
10 2) Lowercase letters(a-z);
11 3) Arabic numerals(0 through 9); and
12 4) Non-alphanumeric characters(punctuation
13
DPH will implement the following security controls on each workstation or
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portable computing device /e.g° laptop computer)containing confidential, personal, orsensitive
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data:
16 1. firevval| and/or personal firavvaU;
2 �onUnuouok/uodatedenU-vrusaofbwom� and
17 ' ' updated '
18 3. Patch management process including installation of all operating
system/software vendor security patches.
19
DPH will utilize a commercial encryption solution that has received FIPS 140-2
20 validation to encrypt all confidential, personal, or sensitive data stored on portable electronic
21 media (including, but not limited to, CDs and thumb drives)and on portable computing devices
22 (inc|uding. but not limited to, laptop and notebook mznnpuharn).
23 C>PH will not transmit confidential, personal,or sensitive data via e-mail orother
inbarnottnanmport protocol unless the data is encrypted by solution that has been validated by
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the National Institute of Standards and Technology(NIST)as conforming to the Advanced
25 Encryption Standard 0AES\Algorithm.
26 G. Mitigation of Harmful Effects. DPH shall mitigate, to the extent practicable, any
27 harmful effect that is known hJDPHofause o[disclosure of PHI byOPH0r its subcontractors
28 |n violation of the requirements of these Provisions.
H. Contractor's Contractors. DPH shall ensure that any contractors, including
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1 subcontractors, to whom DPH provides PHI received from or created or received by DPH on
2 behalf of County, agree to the same restrictions and conditions that apply to DPH with respect
3 to such PHI; and to incorporate, when applicable, the relevant provisions of these Provisions
into each subcontract or sub award to such agents or subcontractors.1. Employee Training and Discipline. DPH shall train and use reasonable
5 measures to ensure compliance with the requirements of these Provisions by employees who
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assist in the performance of functions or activities on behalf of County under this Inter-
7 Departmental Agreement and use or disclose PHI; and discipline such employees who
0 intentionally violate any part of these Provisions, including termination of employment.
J. Termination for Cause. Upon County's knowledge of a material breach of these Provisions by DPH, County shall either:
10 1. Provide an opportunity for DPH to cure the breach or end the violation
11 and terminate this Inter-Departmental Agreement, if DPH does not cure the breach or end the
12 violation within the time specified by County; or
13 2. Immediately terminate this Inter-Departmental Agreement if DPH has
breached a material term of these Provisions and cure is not possible.
14 3. If neither cure nor termination is feasible,the County Privacy Officer shall
15 report the violation to the Secretary of the U.S. Department of Health and Human Services.
16
K. Judicial or Administrative Proceedings. County may terminate this Inter-
17 Departmental Agreement in accordance with Section Three(3)of this Inter-Departmental
18 Agreement, if(1) DPH is found guilty in a criminal proceeding for a violation of the HIPAA
Privacy or Security Rule; or(2) a finding or stipulation that the DPH has violated a privacy or
18 security standard or requirement of HIPAA; or other security or privacy laws in an administrative
20 or civil proceeding in which the DPHisaparty.
31 L. Effect of Termination. Upon termination or expiration of this Inter-Departmental
22 Agreement for any reason, [)PH shall return or destroy all PHI received from County(or created
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orrmmaiv�dbvOPHonbeha|fof(�ountv\that DPH still maintains in any form, and shall retain no
copies of such PHI or, if return or destruction is not feasible, it shall continue to extend the
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protections of these Provisions to such information, and limit further use of such PHI to those
25 purposes that make the return or destruction of such PHI infeasible. This provision shall apply to
26 PHI that io |n the possession of subcontractors or agents mf[}PH.
27 M. Disclaimer, DPH makes no warranty or representation that compliance by DPH
�O with theme Provisions, H|P/V\orthe H|PAA regulations will be adequate or satisfactory for
DPH's own purposes or that any information in DPH's possession or control, or transmitted or
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1 received by DPH, is or will be secure from unauthorized use or disclosure. DPH is solely
2 responsible for all decisions made by DPH regarding the safeguarding of PHI.
3 N. Amendment.The parties acknowledge that Federal and State laws relating to
electronic data security and privacy are rapidly evolving and that amendment of these Provisions may be required to provide for procedures to ensure compliance with such
5 developments. The parties specifically agree to take such action as is necessary to implement
O the standards and requirements of HIPAA, the HIPAA regulations and other applicable laws
7 relating to the security or privacy of PHI. Upon County's request, DPH agrees to promptly enter
8 into negotiations with County concerning an amendment to these Provisions embodying written
assurances consistent with the standards and requirements of HIPAA, the HIPAA regulations or other applicable laws. County may terminate this Inter-Departmental Agreement upon thirty(30)
10 days written notice in the event(i) DPH does not promptly enter into negotiations to amend
11 these Provisions when requested by County pursuant to this Section; or(ii) DPH does not enter
12 into an amendment providing assurances regarding the safeguarding of PHI that County in its
13 sole discretion, deems sufficient to satisfy the standards and requirements of HIPAA and the
HIPAA regulations.
14 0. No Third-Party Beneficiaries. Nothing expressed or implied in the terms and
15 conditions of these provisions is intended to confer, nor shall anything herein confer, upon any
16 person other than County or DPH and their respective successors or assignees, any rights,
17 /*x/ euiew obligations o liabilities whatsoever.
18
P. Interpretation. Theternlomndcond0onminthemeProv�koneoh�| be
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interpreted
as broadly os necessary(o implement and comply with H{PYA,the H|P/A
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regulations and applicable State laws.The parties agree that any ambiguity in the terms and
20 conditions of these Provisions shall be resolved in favor of a meaning that complies and is
21 consistent with H|P/V\and the H|PA\negu|ationo.
22 Cl. Regulatory References. A reference in the terms and conditions mfthese
23 Provisions to a section in the HIPAA regulations means the section as in effect or as amended.
R. Survival. The respective rights and obligations of DPH as stated in this Section
24
shall survive the termination or expiration of this Inter-Departmental Agreement.
25 S. No Waiver of Obligations. No change, waiver or discharge of any liability or
28 obligation hereunder on any one or more occasions shall be deemed a waiver of performance of
27 any continuing or other obligation or shall prohibit enforcement of any obligation on any other
28 occasion.
11. AUDITS AND INSPECTIONS
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1 DPH shall at any time during business hours, and as often as DBH may deem
2 necessary, make available to DBH for examination all of its records and data with respect to the
3 matters covered by this Inter-Department Agreement. DPH shall, upon request by DBH, permit
DBH to audit and inspect all such records and data necessary to ensure DPH compliance with
4 the terms of this Inter-Departmental Agreement.
5 Notwithstanding any other provision of law, every contract involving the
6 expenditure of public funds in excess of ten thousand dollars ($10,000) entered into by any
7 state agency, board, commission, or department or by any other public entity, including a city,
8 county, city and county, or district, shall be subject to the examination and audit of the California
State Auditor, at the request of the public entity or as part of any audit of the public entity,for a
9 period of three years after final payment under the contract in accordance with Government
10 Code 8546.7.
11 12. NON-ASSIGNMENT
12 Neither party shall assign,transfer, or subcontract this Inter-Departmental
13 Agreement nor their rights or duties under this Inter-Departmental Agreement without the prior
written consent of the other party.
14 13. RECORDS
15 DPH shall assume responsibility for maintaining detailed records to support its
16 invoices to DBH for services provided under this Inter-Departmental Agreement. DPH shall
17 provide DBH with access to said records for audit purposes. Furthermore, DPH shall retain said
18 records for a minimum of ten (10)years following the expiration of this Inter-Departmental
Agreement. In the event of any outstanding State of California or Federal audits or exceptions,
19 DPH agrees to retain its records until such audits and exceptions are finalized.
20 14. RELATIONSHIP OF PARTIES
21 It is understood that this is an Inter-Departmental Agreement by and between two
22 (2)separate departments of the County of Fresno and is not intended to and shall not be
23 construed to create a relationship of agent, servant, employee, partnership,joint venture, or
association.
24 15. NON-DISCRIMINATION
25 During the performance of this Inter-Departmental Agreement, DPH and DBH
26 shall not unlawfully discriminate against any employee or applicant for employment, or recipient
27 of services, because of race, religious creed, color, national origin, ancestry, physical disability,
28 mental disability, medical condition, genetic information, marital status, sex, gender, gender
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I identity, gender expression, age, sexual orientation, military status or veteran status pursuant to
2 all applicable State of California and Federal statutes and regulations.
3 Contractor shall take affirmative action to ensure that services to intended Medi-Cal
4 beneficiaries are provided without use of any policy or practice that has the effect of
5 discriminating on the basis of race, color, religion, ancestry, marital status, national origin,
6 ethnic group identification, sex, sexual orientation, gender, gender identity, age, medical
7 condition, gene - information,— — health— status or need for health '
or mental or
8 physical disability.
S
16. GOVERNING LA
10
The rights and obligations nf the parties and all interpretation and performance of
11 this Inter-Departmental Agreement shall be governed inall respects by all Federal, State, and
12 local statutes and regulations.
13 17, EbITIRE AGREEMENT
14 ~
This |ntepDepodmnento|Aonaannert, including all Exhibits, constitutes the entire
Inter-Departmental Agreement between DBH and DPH with respect to the subject matter
15
hereof and supersedes all previous agreement negotiations, proposals, commitments,writings,
16 advertisements, publications and understandings of any nature whatsoever unless expressly
17 included in this Inter- Departmental Agreement.
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[�/GN�7�������f�LL(J��
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1 IN WITNESS WHEREOF, the parties hereto have caused this Inter-Departmental
2 Agreement to be executed by the signature below.
3
4 REVIEWED AND RECOMMENDED REVIEWED AND RECOMMENDED
FOR APPROVAL: FOR APPROVAL:
5
DEPARTMENT OF PUBLIC DEPARTMENT OF BEHAVIORAL
6 HEALTH HEALTH
7 ` /By /�/' I ;" By /7�'�l _
8 David Luchini, RN, PHN., Susan L. Holt, L FT
Directo � Director
9 Dipartment of Public Health Department of Behavioral Health
10
11 G-' L _
Date: Date: v'f
12 `� r
13
14 Depa2ment or Behavioral Health
Fund/Subclass: 0001/10000
15 Organization: 56304314
Expenditure Account: 7295/0
16
17 Department of Public Health
Fund/Subclass: 0001//0000
18 Organizations: 56201720
Revenue Account: 5990/0
19
20 FY 2023-24 $280,587.00 (July 1, 2023—June 30, 2024)
21 FY 2024-25 $298,881.00 (July 1, 2024- June 30, 2025)
r
FY 2025-26 $311,527.00 (July 1, 2025-June 30, 2026)
22 FY 2026-27 $324,179.00 (July 1, 2026-June 30, 2027)
23 FY 2027-28 $339,440.00 (July 1, 2027-June 30, 2028)
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Exhibit A
Page 1ofT
DEPARTMENT OF PUBLIC HEALTH
SUMMARY OF SERVICES
ORGANIZATION: Department of Public Health
ADDRESS: 1221 Fulton Street,4m floor, Fresno, CAS3721
TELEPHONE: U559\ 600-1021 FA{ /559\600-1132
SERVICE LOCATION: West Fresno Regional Service Center
142 East California Ave
Fresno, CA937O8
CONTACT PERSON: Li||amneBonQg
Supervising Public Health Nurse
Department of Public Health
CONTRACT PERIOD: July 1. 2033—June 3O. 2O38
CONTRACT AMOUNT: FY2O23-24 $ 280.587
FY2O24-25 $288.881
FY2O25-2G $ 311.527
FY2O26-27 $324.179
FY2O2T-28 $339.440
SUMMARY OFSERVICES:
The Fresno County Department of Behavioral Health (DBH)and the Department of Public Health
(DPH)will establish parameters for the DBH Mental Health Services Act—Perinatal Prevention and
Early Intervention/PEI>Penhotal Wellness Center. Services provided through this center will target
persons served who experience their first episode of mental illness during pregnancy and/or
postpartum, as well as persons served with an acute/chronic history of mental illness during
pregnancy and/or postpartum. Perinatal is defined as the period during pregnancy and up to one year
after childbirth.
Three (3)Public Health Nurses (PHNs)within the Perinatal Wellness Center and the Maternal, Child,
and Adolescent Health (MCAH) programs will provide case management services to pregnant and/or
parenting women and their infants in their homes. Liaison activities with persons served and
providers may beconducted at primary clinics, {}B/GYN off|oee, community centers, c|inioe, and
treatment centers, The PHNe will provide health assessment and screening for pregnant and
postpartum women, which will include screening for symptoms of perinatal mood disorders.
Additionally, PHNs will identify women requiring further evaluation and provide referral and linkage to
needed services and promote client retention in treatment services. PHNav4U also maintain
communication with clinicians to facilitate aunueemfu| interventions and optimal infant birth outcomes.
PHNs may maintain case management services beyond the Perinatal Wellness Center services to
follow through with additional medical, developmental, and comprehensive needs.
TARGET POPULATION:
The pnzgnarn'm intended target population io high-risk parinota| persons served and their infants inun-
served/underserved cultural populations and geographic areas within the County of Fresno. Each
Exhibit
Page 2of7
Department's specific needs and services are detailed below.
U. DP0SHALL PROVIDE THE FOLLOWING SERVICES TO DBH:
1. Provide three(3) Public Health Nurses for the Perinatmi Wellness Center.
2. Accept and process persons served referrals received from community medical providers.
3. Provide case management services to the DBH perinatal persons served and their
infants,which include health screening, assessment, identification of services needed,
providing nursing services needed, referral, and linkage to needed services.
4. When requested, conduct joint home visits with mental health clinicians kJfacilitate
persons served intake and assessment.
5. Provide consultation to perinatal mental health clinical staff regarding medical conditions
affecting persons served.
G. Act as a liaison between community medical providers identifying individuals in need of
services and clinicians providing treatment services to perinatal persons served.
7. Maintain an up-to-date listing of community mental health services available to perinatal
persons served and their infants.
8. Participate in education and training to enhance the PHN's knowledge and skills in screening,
identification, and treatment of perinatal depression and maternal/infant attachment disorders.
9. Attend medical training to bui|d/enhanceskj||s in other areas, such as, but not limited to:
substance use disorder, tobacco, domestic violence prevention, breastfeeding, gestational
diabetes, Sudden Infant Death Syndrome(SIDS), perinatal and child development trainings.
10. Participate in multidisciplinary team meetings to facilitate inter-department communication and
coordination of persons served referrals and treatment services.
11. Identify gaps in the perinatal health care system and develop solutions and recommendations
to problems identified.
12. Maintain a database and make available reports as requested by DBH for the Perinatal
Wellness Center program.
13. DPH shall provide services as identified in the Prevention &Early Intervention Work Plan
approved by the State as it relates to OPH nursing services.
14. Provide comprehensive case management during the PHN home visit through skilled nursing
assessment and nursing intervention, and care coordination of at-risk pregnant and
postpartum women and their infants, children, and their families.
15. Prioritize and triage referrals for medically and/or poyuhoaooiaUy difficult and/or challenging
cases involving high-risk women, infants/children,their families, and pregnant/parenting teens.
Identify appropriate interventions and medically necessary services.
Exhibit
Page 3of7
16. Provide screening, assessment, referral and linkage to health care providers and community
agencies and coordinate linkage of persons served and families to services identified in the
treetment/oanap|an.
17. Provide nurse case management involving high-risk infants/children,their families and high-
risk pregnant/parenting teens to identify appropriate medically necessary services, provide
referral and linkage to health care providers and assess the progress in meeting the infant,
child and pregnant/parenting teen's identified service care plan.
18. Promote persons served retention in treatment services, maintaining communication with
clinicians bz facilitate successful interventions and opt|rno| infant birth outcomes.
19. Consult and collaborate with the persons served prenatal care provider and other agencies to
develop and coordinate the client's plan cJcare.
20. Participate in quality improvement activities, such as case conferences with peers, multi-
disciplinary professionals, or other agencies to problem-solve and coordinate services,
which will improve access to medicallmental health/dental care for persons served.
21. Assist persons served in referring and linking persons served to resources providing food,
clothing, and needed services identified through ongoing assessment during home visits.
22. Screen, assess, and provide education/information on the dangers of tobacco, alcohol and
other drugs and refer bo community-based programs aeneeded.
23. Provide consultation to professional staff in other agencies about specific medical conditions
within their persons served population.
24. Coordinate with the persons served physician on persons served progress in meeting treatment
goals.
25.Assist persons served and their children in accessing Medi-Cal services and other
medically related appointments including obtaining m referral tnospecialist.
26. Provide annual persons served statistical reports involving but not limited to: high-risk
infontm/uh||dnan, high-risk pregnant/parenting teens, substance use disorder, and/or Sudden
Infant Death Syndrome (8|OS). eorequested.
UV. DBH SHALL PROVIDE THE FOLLOWING SERVICES TO 0PH:
1. Provide oversight, through its MHSA Coordinator and/or Mental Health Contracts Staff
Ana|yat, or their designees, and collaborate with DPH and other community agencies tohelp
achieve State program goals and outcomes. |n addition bo contract monitoring ofthe
prognyrn, oversight includes, but is not limited to, coordination with the State Department of
Health Care Services |n regard tn program administration and outcomes.
2. OBH shall omaigt [JPH in making linkages with the mental health system. This will he
accomplished through regularly scheduled meetings as well as formal and informal
consultation.
3. Participate in evaluating the progress of the overall program and the offioiencyof
collaboration with DBHstaff and will he available toDPM for ongoing consultation.
Exhibit A
Page 4of7
4. Gather outcome information from target client grouo/e\and DPH throughout each term of
contract.
5. DBH will work with DPH in developing outcome performance measures to identify program
and client success.
8. To assist DPH efforts towards cultural and linguistic competency, D8H shall provide the
following atno cost toDPH:
A. Mandatory comprehensive cultural competency training shall be offered to nursing
staff assigned to the Perinato/ Wellness Center, ato minimum once per year. County
may provide technical assistance regarding mandatory trainings about the special
needs of diverse populations and will be included in the cultural competency
huining(o).
D. Technical assistance for translating behavioral health and substance use disorder
services information into DBH's threshold languages (Spanish and Hmong).
Translation services and costs associated will be the responsibility of DPH.
111.PERF0R8AANCE OUTCOMES AND MEASURES:
Per Title 9 California Code of Regulations, Division 1, Chapter 14 MHSA, all programs funded through
the Prevention and Early Intervention (PEI) component of the Mental Health Services Act(MHSA) are
required to have outcome and performance reporting requirements. Some reporting requirements are
standard for any and all PEI programs(such as demographic data),and others are dependent on which
nf the six PB strategies the program is classified within.
The following outcomes and data ohoU be mubrnh±md quarterly to DBH^ oo that the Department can
successfully complete its required annual and three-year reporting requirements to the DHCS and the
Mental Health Services Oversight and Accountability Commission (K;H8OAC).
The Pehnota| VVeUneoa Center is doem@5ed an on Early Intervention PE| Strategy (see Section 3710
Early Intervention Program for specific definitions and regulatory requirements). These are mandatory
requirements of any provider receiving funding for PEI Services from Fresno County DBH.
Program shall collect and report information on the following:
° Total number of unduplicated individuals served. |f program serves, families the total number
of individual family nnarnbaro served shall be reported.
w Prevention activities performed separately,as the focus is early intervention.
° Total number of specific services received bv each individual
• Types of and the number of individuals served.
° Timely access to care-- including but not limited to,timeframe from referral to date of first
yon/ica.
* Linkage to services—including but not limited to,timeframe from onset of linkage to date of
warm hand-off and type oflinkage.
° Progress of the persons served symptoms and overall wellness and recovery.
Exhibit
Page 5of7
• Number of hospitalizations(including Emergency Department utilization/visits)for each persons
aemxao.
* Participant engagement in services.
° Persons served engagement.
* Number of cases involved with Child Welfare
Program shall provide, as part ofits reports, \whatb)o|m/aosessnnente/rubriCm it is using to measure
mubzornea such as number screened, numbers enroUed, improved vvaUneoa within padic|panto, and
measuring the number ofindividuals remaining in care through participation in this program. Program
shall identify the types of activities it uses to improve wellness, reduce stress, etc.
Demographic Data:
Additionally,the pro-gram will report the following demographic data of its clients:
1) AGE
w 0-15Chi{dren/Youth
° 18-25 Transition Age Youth [T7\Y)
° 28-59Adu(t
° Ages 8Q+(Older Aduk\.
2) RACE BY THE FOLLOWING CATEGORIES:
* American Indian/Alaska Native
° Asian
° Black or African American
• Native Hawaiian wr Pacific Islander
° White
° Other
° More than one race
* Number of persons served who declined tostate
3\ ETHNICITY BY THE FOLLOWING CATEGORIES:
° Hispanic or Latino eafollows:
o Caribbean
o Central American
u K8exivan/K8edoanArnahcan/Ch|oano
o Puerto Rican
o South American
o Other
o Number of persons served who declined bostate
* Non-Hispanic or Non-Latinos aefollows:
o African
u Asian |nd|an/SouthAeian
o Cambodian
o Chinese
Exhibit
' Page Oof7
n Eastern European
o Filipino
o Japanese's
o Korean
o Middle Eastern
o Vietnamese
o Other
o Number of persons served who declined bostate
w More than one ethnicity
• Number ofpersons served who declined to state
4) PRIMARY LANGUAGE USED LISTED BY THRESHOLD LANGUAGES FOR INDIVIDUAL
COUNTY
* English
° Spanish
° Hnnnng
° Other(specify)
* Unknown
° Number qf persons served who declined tostate
5> SEXUAL ORIENTATION
* Gay orLesbian
* Heterosexual orStraight
° Bisexual
= Questioning or unsure of sexual orientation
° Queer
* Another Sexual Orientation
• Number of persons served who declined tostate
6\ DISABILITIES (Defined as physical or mental impairment ormedical condition lasting at |moet
eb< rnun8la that substantially ||nniba major life acUvity, which is not the naau|t of severe mental
illness).
* Yes, report the number that apply in each domain ofdisabilities
o Communication domain separated by each of the following;
• Difficulty Seeing
= Difficulty hearing or having un-undersbundab|aspeech
• Other(specify)
o Mental domain, not including mental iUnaoe (including but not limited bma
learning disability, developmental disability, dementia)
o Physical/mobility domain
u Chronic health condition(including but not limited to, chronic pain)
o Other(specific)
• No disability
~ Number of persons served who declined bzstate
7) VETERAN STATUS
• Yes
No
• Number of persons served who declined to state
8) GENDER
• Assigned sex at birth
o Male
o Female
o Number of persons served who declined to state
• Current gender identity
o Male
o Female
o Transgender
o Genderqueer
o Questioning or unsure of gender identity
o Another gender identity
o Number of persons served who decline to state
Exception to the demographic data collection is for a program serving children and youth younger
than 18 years of age shall be reported to the extent permissible by California Education Code, Family
Educational Rights and Privacy Act(FERPA), Heath Insurance Portability andAccountablyAct of 1996
(HIPAA), California Information Practices Act, and other applicable state and federal privacy laws. In
such instances the program shall provide written explanation on the attempts and challenges in
obtaining demographic data in these settings.
Except for sexual orientation, current gender identity, and veteran status, program shall collect all the
demographic information required from a minor younger than 12 years of age.
SEPORTS:
Reports shall be submitted quarterly to contractor's assigned Fresno County DBH Staff Analyst via
email and to the MHSA Coordinator via the MHSA@fresnocountyca..qov. Late reports shall be
documented and shall reflect on provider's ability to adhere to contract requirements.
Reports shall provide an update for the program, progress and measure on outcome and goals, and
demographic information on new/unduplicated persons served each quarter.
Departments of Behavioral Health/Public Health MOU Exhibit B
FY 2023-28 DBH/DPH MOU
FY2023-28
Percent Annual 6100 6350 6400 6500 6600 6650 Benefits Total Total
Name Classification Time Salary Salary Unemp. Retirement OASDI Health Ins. Life Ins. Admin. Benefits S&B Step
FY 23-24
Brienna Harker PHN 11 100% $112,831 $112,831 $o $51,067 $8,632 $10,958 $0 $225 $70,882 $183,712 Rot 5 4
Latoya Woods PHN 11 100% $106,109 $106,109 $o $48,025 $8,117 $10,958 $0 $225 $67,325 $173,434 Ret 5 4
Vacant PHN 1 100% $85,680 $85,680 $0 $38,779 $6,555 $10,958 $0 $225 $56,517 $142,196 Ret 5 1
$304,619 $304,620 $0 $137,871 $23,303 $32,874 $0 $675 $194,723 $499,343
FY 24-26
Brienna Harker PHN 11 100% $116,896 $116,896 $243 $53,965 $8,943 $11,177 $0 $230 $74,557 $191,453 Rat 5 5
Latoya Woods PHN 11 100% $116,254 $116,254 $241 $53,669 $8,893 $11,177 $0 $230 $74,210 $190,464 Rat 5 5
Vacant PHN 1 100% $89,970 $89.970 $187 $41,534 $6,883 $11,177 $0 $230 $60.011 $149,981 Rat 5 2
$323,120 $323,120 $671 $149,169 $24,719 $33,531 $0 $689 $208,779 $531,899
FY 25-26
Brienna Harker PHN 11 100% $120,403 $120,403 $255 $56,690 $9,211 $11,401 $0 $235 $77,791 $198.193 Ret 5 5
Latoya Woods PHN 11 100% $120,403 $120,403 $255 $56,690 $9,211 $11,401 $0 $235 $77,791 $198,193 Ret 5 5
Vacant PHN 1 100% $94.474 $94,474 $200 $44,481 $7,227 $11,401 $0 $235 $63,544 $158,018 Ret 5 3
$335,280 $335,280 $710 $157,860 $25,649 $34,202 $0 $704 $219,125 $554,405
FY 26-27
Brienna Harker PHN 11 100% $124.018 $124,018 $268 $59,566 $9,487 $11,629 $0 $240 $81,190 $205,208 Ret 5 5
Latoya Woods PHN 11 100% $124,018 $124,018 $268 $59,566 $9,487 $11,629 $0 $240 $81.190 $205,208 Ret 5 5
Vacant PHN 1 100% $99191 $99,191 $214 $47,642 $7,588 $11,629 $0 $240 $67.313 $166,504 Ret 5 4
$347,228 $347,227 $751 $166,774 $26,563 $34,887 $0 $719 $229,694 $576,921
FY 27-28
Brienna Harker PHN 11 100% $127,741 $127,741 $282 $62,581 $9,772 $11,862 $0 $245 $84,741 $212,482 Ret 5 5
Latoya Woods PHN 11 100% $127,741 $127,741 $262 $62,581 $9,772 $11,862 $0 $245 $84,741 $212,482 Ret 5 5
Vacant PHN 1 100% $106,470 $106,470 $235 $52,161 $8,145 $11,862 $0 $245 $72,647 $179,117 Ret 5 5
$361,951 $361,952 $798 $177,323 $27,689 $35,585 $0 $734 $242,129 $604,080
Unemployment Insurance-No rates will be charged for FY 2023.24
Departments of Behavioral Health/Public Health MOU Exhibit 8
FY2023-24 DBH/OPH MOU
FY 2023-24
Percent Annual 6100 6360 6400 6500 6600 6650 Benefits Total Total FFP DBH
Name Classification Time Salary Salary Unemp,Retirement OASDI Health Ins.Life Ins, Admin, Benefits S&B_ Step FFP 51% DBH 49% DBH
FY 23.24 S&B S$B Month]v
Brienna Harker PHN 11 100% $112,831 $112.831 $0 $51,067 $8.632 $10,956 $0 $225 $70,882 $183,712 Rot 5 4 593s,a $90.019 $7 502
Latoya Woods PHN 1 100% $98,261 598,261 $0 $44,473 57,517 $10,958 s0 $225 563,173 $161,434 Rot 5 4 $82,331 $79,103 6 9
Vacant PHN 1 100% $6500 $85,680 $0 $38,779 $6,555 $10.958 $0 $225 $56,517 $142,196 Rat 5 1 $72,520 $69,676 55.806
$296,771 $296,772 $0 $134,319 $22,703 $32,874 $0 $675 $190,571 $487,342 $248,545 $238,798 $19,900
Overhead Rate DBH-MHSA 14.676% $36,476 $35,046 $2,920
$265.021 5273,844 $22,820
Journal Vouchers biped to
D8H to provide detailed
information and txaakout of
cost by t¢:eetN"
UPDATES
Percent Annual 6100 6350 6400 6500 6600 6650 Benefits Total Total FFP DBH
Name Ciassificetlon Time Salary Salary Unemp. Retirement OASDI Health Ins.Life Ins. Admin, Benerds S 8.B Step FFP 51% DBH 49% DBH
FY 23.24 $&B S 8B Monthiv
Brienna Harker PHN if 100% $112,831 $112,831 $0 $51,067 58,632 $10,958 $0 $225 $70,882 $183.712 Ret 5 4 $93,693 $9D.019 S7.5D2
PHN 11
tatoyaWoods (PromctadtaPHlu tt/srz3) 100% $106,109 5106,109 $0 $48,025 58,117 $10,958 $0 $225 $67,325 $173,434 Rats 4 $80,452 $84,983 $1M
Vacant PHN I 100% $85,680 585.680 $0 $36,779 $6.555 510,958 $0 $225 $56,617 $142,196 Rots 1 $72,520 $69,676 $5,806
$304,619 $304,620 $0 $137,071 $23,303 $32,874 $0 $675 $194,723 $499,343 $254,665 $244,678 $20,390
Overhead Rate DBH-MHSA 14.676% $37.375 $35,909 $2,992
$297,039 $280,587 $23,382
Departments of Behavioral Health/Public Health MOU Exhibit B
FY 2024-25 DSHlDPH MOU
FY 2024-25
Percent Annual 6100 6350 6400 6500 6600 6650 Benefds Total Total FFP DBH
Name Classification Time Salary Salary Unemp. Retirement OASDI Health Ins,Ufa Ins. Admin, Benefits S&B Step FFP 51% DBH 49% DBH
FY 24.25 S&B S&B MonlMv
Brienna Harker PHN ii 100% $116.896 $116,896 $243 $53.965 $8,943 $11,177 $0 $230 $74,657 $191.453 Rats 5 9$7,941 $93,812 $7,818
Latoya Woods PHNI 100% $101.608 $101,608 $211 $46,908 ST,773 $11,177 $0 $230 566,298 $167,906 Rely 5 S$5.632 $82,274 $6.856
Vacant PHNI 100°% $89,970 58%970 $187 541,634 56,883 $11177 $0 5230 $60.011 $14%981 Ret5 2 $76,490 $73,491 ALM
$306,474 $308,474 $641 $142,407 123,598 $33,531 SO $689 $200,867 $509,341 $259.764 $249,677 $20,798
Overhead Rate DBH-MHSA 14.676% $38.123 $36,628 $3,052
$297.867 5286,205 523,850
Journal Vouchers hilted
to DBH to Provide
detailed infwmaaoa and
breakout of cost nx Est
cofiv,"
UPDATES
Percent Annual 6100 6350 6400 6500 6600 6650 Benefits Total Total FFP DBH
Name Classification Time Salary Salary Unemp. Retirement OASO1 Health ins.Life Ins. Admin. Benefits S&B Step FFP 51% OSH 49% DBH
FY 24-25 $&B S&B Monthly
Brienna Harker PHN II 100% 5116,896 $116.696 $243 $53.965 $8,943 $11.177 $0 $230 $74,557 $191.453 Ret5 $ 9$Z641 $93,812 $7,418
Latoya Woods PHN If 100% 5116,254 $116,254 5241 $53,669 $8.893 $11,177 $tl $230 $74.210 $190,464 Ret5 5 9$ 7,137 193.328 J=
Vacant PHNI 100% $69,970 $89,970 $187 541,534 56,883 $11,177 SO S230 560,011 $14%981 Ret5 2 $76.49 $73,491 MM
$323,120 $323,120 $671 $149,169 $24.719 $33,531 $0 $689 $208,779 $531IJ99 $271.268 $260,630 $21,719
Overhead Rate DBH-MHSA 14.676% $39.811 538,250 $3,188
$311,080 $298,881 $24,907
Departments of Behavioral Health/Public Health MOU Exhibit 8
FY 2025-25 DBH/DPH MOU
FY 2025-26
Percent Annual 6100 6350 6400 6500 6600 6650 Benefits Total Total FFP DBH
Name Classification Time Salary Salary Unemp. Ratirernent OASDI Health Ins.Life Ins. Admin. Benefits S&B Step FFP 51% DBH 49% DBH
FY 25-26 S&B 5-J& Monthly
Brienna Harker PHN 11 100% $120.403 $120.403 $0 $56,690 $9,211 $11,401 $0 $235 $77,636 $197,938 Rat 5 5 $100,949 $96A90 $$,082
Latoya Woods PHN 11 100% $110,880 $110.980 $0 $52,206 $8,482 $11,401 $0 $235 $72.323 $183,203 Rat 5 1 $93,434 $89,770 EAgj
Vacant PHN 1 100% 594,474 $94,474 $0 $44,461 $7,227 $11,401 so $235 $63,344 $157.818 Rat 5 3 $80,487 S77.331 $6,444
$325,767 $326,757 $0 $153,376 $24.920 $34,202 $0 $104 $213,202 $533,959 $274,869 $264,090 $22,008
Overhead Rate DBH-MHSA 14.676% $40,340 $38,758 $3,230
$315.209 $302,848 $25,237
Journal Vouchers
billed to 08H to
provide det"ed
Information MIKI
h..k.d of-d hu
UPDATES
Percent Annual 6100 6350 6400 6500 6600 66W Benefits Total Total FFP DBH
Norm Classification Time Salary Salary Unemp. Retirement OASDI Health Ins.Life Ins. Admin. Benefits S&B Step FFP S1% D5H 49% DBH
FY 25-26 SS S&S Monthly
Brienna Harker PHN If 100% $120,403 $120,403 $255 $56,690 $9,211 $11.401 $o $235 $77.791 $198.193 Rat 5 5 $101.079 $97,115 $8,093
Latcya Woods PHN 11 100% $120,403 $120,403 $255 $66,690 $9,211 $11,401 $0 $235 $77,791 $198.193 Rat 5 5 $101.0 $97,115 $&G93
Vacant PHNI 100% $94,474 S94,474 $200 $44,481 $7.227 $11.401 so $235 $63,544 $158,016 Rot 5 3 $80,589 377,429 j§,!j§Z
$335.280 $335,2110 $710 $157,960 $26,649 $34,202 $0 $704 $219,125 $554,405 $282,746 $271,658 $22,638
Overhead Rate DBH-MHSA 14.676% $41,496 $39,669 $3.322
$324,242 $311,627 $25,961
Departments of Behavioral Health/Public Health MOU Exhibit B
FY 2026-27 OBHIDPH MOU
FY 2026.27
Percent Annual 6100 6350 6400 6500 $600 6650 Benefits Total Total FFP DBH
Name Classification Time Salary Salary Unemp.Retirement OASDI Health Ins.Life Ins. Admin. Benefits S&B Step FFP 51% OSH 49% OSH
FY 26-27 -$&B S&B Month
Brienna Harker PHN II 100% $124,018 $124,018 $0 $59,566 $9,487 $11.629 $0 $240 $80,922 $204.940 Rat 5 5 $104,520 $100,421 $6,368
Lataya Woods PHN II 100% $114.233 $114,233 $0 $54,867 $8,739 $11,629 $0 $240 $75,474 $189,707 Rat 5 2 SN.751 $92,957 UM
Vacant PHN 1 100% $99 191 $99 191 SO $47 642 $7 588 $11,629 SO $240 $67,099 $166.290 Rat 5 4 $84,808 $81,482 $6.790
$337,442 $337,442 $0 $162,075 $25,814 $34,087 $0 $719 $223,495 $560,038 $286,078 $274,859 $22,905
Overhead Rate DBH-MHSA 14.676% $41,985 S40,338 $3,362
$320,063 $315.198 $26,266
Journal Vouchers billed to
DSH to provide detailed
information and breakout
of Cost by Cost Canter
UPDATES
Percent Annual 6100 6350 6400 6600 6600 6650 Benefits Total Total FFP DBH
Name Classification Time Salary Salary Unemp.Retirement OAS01 Health Ins.Life Ins Admin, Benefits S&B Step FFP 51% DSH49% DBH
FY 26-27 S&B S&B Monthiv
Brienna Harker PHN 11 100% $124.016 $124,018 $268 $59,566 $9,487 $11,629 $0 $240 $81,190 $205,208 Rot 5 5 $104,656 $100,552 $8.379
Lataya Woods PHN It 100% $124,018 $124,018 $268 $59.566 $9.487 $11,629 SO S240 $81,190 $205.208 Ret 5 5 $104.656 $100,652 $8,379
Vacant PHNI 100% $99,191 $99.191 $214 $47,642 S7,566 $11.629 $0 $240 $67.313 $166.504 Ret5 4 SN.917 S$1.587 $6.799
$347,228 $347,227 $761 $166,774 $20,563 $34,887 $0 $719 $229,694 $576,921 $294,230 $282,692 $23,558
Overhead Rate DBH-MHSA 14.676% $43.181 $41,488 S3,457
$337,411 $324,179 $27.015
Departments of Behavioral HealthlPublic Health MOU Exhibit 8
FY 2027-2e DBH/DPH MOU
FY 2027.28
Percent Annual 6100 6350 6400 6500 6600 6650 Benefits Total Total FFP DBH
Name Classification Time Salary Salary Unemp. Retirement OASOI Health Ins. Life Ins. Admin. Benefits S&B Step FFP 51% DBH 49% DBH
FY 27-23 S&B S&H wnthl
Brienna Harker PHN II 100% $127.741 $127,741 $0 $62,581 $9,772 $11,862 s0 $245 $84.460 $212,200 Rat 5 5 10� 8,222 1 3 978 JIM
Latoya Woods PHN II 100% $119,935 $119,935 $0 $58,757 $9,175 $11.862 so $245 $80.039 $199,974 Ret 5 3 1$01.9e7 S9,7,987 58.166
Vacant PHNI 100% S104,148 S104.148 so $51,022 $7,967 $11,962 $0 S245 $71.096 $175,244 Rst5 5 S89.375 $85,870 $7,156
$351,824 $351,824 $0 $172,361 $26,915 $35,505 $0 $734 $235,594 $587,418 $29%583 $287,035 $23,986
Overhead Rate DBH-MHSA 14.676% $43,967 $42.243 $3,520
$343,550 $330.078 $27,506
Joumat Vauchom bated ro
DBH to Provide debidad
Mdormaaon and broakw
of cost by,-.St Conw-
UPDATES
Percent Annual 6100 6350 6400 6500 6600 6650 Benefits Total Total FFP DBH
Name Classification Time Salary Salary Unemp. Retirement OASDI Health Ins. Life Ins. Admin. Benefits S&B Step FFP 51% DBH 49% DBH
FY 27.26 S&B S&B MonthM
Brienna Harker PHN It 1001% $127,741 $127,741 $282 $62,581 $9.772 $11,862 $0 $245 $64.741 $212.482 RetS 5 $100,366 S104,116 $8,676
Latoya Woods PHN it 100% $127,741 $127,741 $282 $62,581 $9,772 $11,862 $0 $245 $84,741 $212,462 RetS 5 $198,366 5104.116 58M
Vacant PHNI 100% $106,470 S106,470 $235 $52,161 $8.145 $11,862 $0 S24$ $72,647 $179.117 RetS 5 $91.350 $87.767 $7,314
$361,951 $361.952 $798 $177,323 $27,689 $35,585 $0 $734 $242,129 $604.080 $300,081 $295,999 $24,667
Overhead Rate DBH-MHSA 14,676% $45.214 $43,441 $3,620
$353,295 $339,440 $28,287