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HomeMy WebLinkAboutAgreement A-23-533 with CLFAS.pdf Agreement No. 23-533 1 SERVICE AGREEMENT 2 This Service Agreement ("Agreement") is dated October 10, 2023 and is between 3 Centro La Familia Advocacy Services Inc., a Nonprofit Corporation ("Contractor"), and the 4 County of Fresno, a political subdivision of the State of California ("County"). 5 Recitals 6 A. The Department of Behavioral Health (DBH) has provided a Consumer/Family advocacy 7 program since 2011 and continues recognize the need for these services from the community 8 stakeholder process that informs the Mental Health Services Act (MHSA) Plan. On the May 17, 9 2022, County Agreement No. 22-206 was executed with Centro La Familia to provide these 10 services. 11 B. County Agreement No. 22-206 expired when written approval for the extension years 12 was not completed timely. 13 C. Contractor is qualified and willing to continue providing these services pursuant to the 14 terms and conditions of this Agreement. 15 D. This Agreement shall replace, restate, and supersede County Agreement No. 22-206 in 16 its entirety. 17 The parties therefore agree as follows: 18 Article 1 19 Contractor's Services 20 1.1 Scope of Services. The Contractor shall perform all of the services provided in 21 Exhibit A to this Agreement, titled "Scope of Services." 22 Contractor shall perform all services and fulfill all responsibilities as identified in 23 County's Request for Proposal (RFP) No. 22-027 dated December 1, 2021, Addendum No. One 24 (1) to County's RFP No. 22-027 dated December 23, 2021 (hereinafter collectively referred to 25 as COUNTY'S Revised RFP No. 22-027), and Contractor's response to Revised RFP No. 22- 26 027 dated January 5, 2022, all incorporated herein by reference and made part of this 27 Agreement. In the event of any inconsistency among these documents, the inconsistency shall 28 be resolved by giving precedence in the following order: 1) to this Agreement, including all 1 1 exhibits and all amendments thereto, 2) to the Revised RFP No. 22-027, and 3) to Contractor's 2 response to the Revised RFP No. 22-027. A copy of County's Revised RFP No. 22-027 and 3 Contractor's response thereto shall be retained and made available during the term of this 4 Agreement by DBH's Contracts Division. 5 1.1 Guiding Principles. Contractor shall align programs, services, and practices with 6 the vision, mission, and guiding principles of the DBH, as further described in Exhibit B to this 7 Agreement, titled "Fresno County Department of Behavioral Health Guiding Principles of Care 8 Delivery." 9 1.2 Representation. The Contractor represents that it is qualified, ready, willing, and 10 able to perform all of the services provided in this Agreement. 11 1.3 Compliance with Laws. The Contractor shall, at its own cost, comply with all 12 applicable federal, state, and local laws and regulations in the performance of its obligations 13 under this Agreement, including but not limited to workers compensation, labor, and 14 confidentiality laws and regulations. 15 1.4 Meetings. Contractor shall participate in periodic workgroup meetings consisting of 16 staff from County's DBH to discuss service requirements, data reporting, outcomes 17 measurement, training, policies and procedures, overall program operations, and any problems 18 or foreseeable problems that may arise. 19 1.5 Branding. It is mutually agreed by all parties to this Agreement, that the program 20 funded under this Agreement shall be identified and subsequently named/branded through the 21 review and approval of DBH Director or designee. All print or media materials, including 22 program branding and program references shall be reviewed and approved by the DBH Director 23 or designee. The program funded under this Agreement shall be identified as a "County of 24 Fresno, Department of Behavioral Health funded program," and operated by the Contractor 25 under the terms and conditions of this Agreement. 26 1.6 Location Changes. Any change to Contractor's location of the service site(s) may 27 be made only upon sixty (60) days advance written notification to DBH Director and upon written 28 approval from the DBH Director or designee. 2 1 1.7 Monitoring. It is acknowledged by all parties hereto that DBH shall monitor the 2 services provided by Contractor, in accordance with Article Eleven (11) of this Agreement. 3 4 Article 2 5 Reporting Requirements 6 2.1 Reports. The Contractor shall submit the following reports: 7 (A) Outcome Reports 8 Contractor shall submit to County clinical program performance outcome reports, 9 as requested. 10 Outcome reports and outcome requirements are subject to change at County's 11 discretion. Contractor shall provide outcomes as stated in Exhibit A and C. 12 (B) Activity Reports 13 Contractor shall submit to Count's DBH by the 10th of each month all monthly activity 14 and budget reports for the preceding month. 15 (C) Staffing Report 16 Contractor shall submit monthly staffing reports due by the 10th of each month 17 that identify all direct service and support staff by first and last name, applicable 18 licensure/certifications, and full-time hours worked to be used as a tracking tool to 19 determine if Contractor's program is staffed according to the requirements of this 20 Agreement. 21 (D) Mental Health Services Act (MHSA) Reporting 22 Contractor shall adhere to MHSA reporting including but not limited to fiscal, 23 outcomes, and demographics as described in Exhibit A. 24 (E) Additional Reports 25 Contractor shall also furnish to County such statements, records, reports, data, 26 and other information as County may request pertaining to matters covered by this 27 Agreement. In the event that Contractor fails to provide such reports or other 28 information required hereunder, it shall be deemed sufficient cause for County to 3 1 withhold monthly payments until there is compliance. In addition, Contractor shall 2 provide written notification and explanation to County within five (5) days of any funds 3 received from another source to conduct the same services covered by this Agreement. 4 2.2 Monitoring. Contractor agrees to extend to County's staff, County's DBH and the 5 California Department of Health Care Services (DHCS), or their designees, the right to review 6 and monitor records, programs, or procedures, at any time, in regard to persons served, as well 7 as the overall operation of Contractor's programs, in order to ensure compliance with the terms 8 and conditions of this Agreement. 9 Article 3 10 Compensation, Invoices, and Payments 11 3.1 The County agrees to pay, and the Contractor agrees to receive, compensation for 12 the performance of its services under this Agreement as described in Exhibit D to this 13 Agreement, titled "Program Expenses." 14 3.2 Maximum Compensation. The maximum compensation payable to the Contractor 15 under this Agreement for the period of July 1, 2023 through June 30, 2024 shall not exceed One 16 Hundred Thirteen Thousand Five Hundred Sixty-Eight and No/100 Dollars ($113,568.00). The 17 maximum amount payable to the Contractor for the period of July 1, 2024, through June 30, 18 2025, shall not exceed One Hundred Thirteen Thousand Five Hundred Sixty-Eight and No/100 19 Dollars ($113,568.00). The maximum amount payable to the Contractor for the period of July 1, 20 2025, through June 30, 2026, shall not exceed One Hundred Thirteen Thousand Five Hundred 21 Sixty-Eight and No/100 Dollars ($113,568.00). The maximum amount payable to the Contractor 22 for the period of July 1, 2026, through June 30, 2027, shall not exceed One Hundred Thirteen 23 Thousand Five Hundred Sixty-Eight and No/100 Dollars ($113,568.00). In no event shall the 24 maximum compensation amount under this Agreement for all terms combined (July 1, 2023, 25 through June 30, 2027) exceed Four Hundred Fifty Four Thousand Two Hundred Seventy Two 26 and No/100 Dollars ($454,272.00). 27 The Contractor acknowledges that the County is a local government entity, and does 28 so with notice that the County's powers are limited by the California Constitution and by State 4 1 law, and with notice that the Contractor may receive compensation under this Agreement only 2 for services performed according to the terms of this Agreement and while this Agreement is in 3 effect, and subject to the maximum amount payable under this section. The Contractor further 4 acknowledges that County employees have no authority to pay the Contractor except as 5 expressly provided in this Agreement. 6 3.3 Invoices. The Contractor shall submit monthly invoices to DBH by then tenth (10tn) 7 day of each month for actual expenses incurred during the prior month period electronically to 1) 8 dbhinvoicereview@fresnocountyca.gov, 2) dbh-invoices@fresnocountyca.gov; and 3) 9 dbhcontractedservicesdivision@fresnocountyca.gov with a copy to the assigned DBH Staff 10 Analyst. Invoices and reports shall be in such detail as acceptable to DBH, as described in this 11 Agreement. No reimbursement for costs incurred by Contractor for services delivered under this 12 Agreement shall be made until the invoice and supporting documentation is received, verified, 13 and approved by DBH. The Contractor shall submit each invoice within 60 days after the month 14 in which the Contractor performs services and in any case within 60 days after the end of the 15 term or termination of this Agreement. 16 Contractor shall submit to the County by the tenth (10th) of each month a detailed 17 general ledger (GL), itemizing the costs incurred in the previous month. Failure to submit GL 18 reports and supporting documentation shall be deemed sufficient cause for County to withhold 19 payments. 20 At the discretion of County's DBH Director, or designee, if an invoice is incorrect or is 21 otherwise not in proper form or substance, County's DBH Director, or designee, shall have the 22 right to withhold payment as to only that portion of the invoice that is incorrect or improper after 23 five (5) days prior notice to Contractor. Contractor agrees to continue to provide services for a 24 period of ninety (90) days after notification of an incorrect or improper invoice. If after the ninety 25 (90) day period, the invoice(s) is still not corrected to County DBH's satisfaction, County's DBH 26 Director, or designee, may elect to terminate this Agreement, pursuant to the termination 27 provisions stated in Article Six (6) of this Agreement. In addition, for invoices received ninety 28 (90) days after the expiration of each term of this Agreement or termination of this Agreement, 5 1 at the discretion of County's DBH Director, or designee, County's DBH shall have the right to 2 deny payment of any additional invoices received. 3 Contractor shall provide a monthly activity report with each invoice, further described 4 in Article Two (2). In addition, each monthly invoice will be in the format as identified in Exhibit 5 D, showing each budget line item, expenses incurred, and the balance remaining for each 6 budget line item for all services and items as identified in Exhibit D. 7 Contractor shall submit monthly staffing reports that identify all direct service and 8 support staff, applicable licensure/certifications, and full-time hours worked to be used as a 9 tracking tool to determine if Contractor's program is staffed according to the services provided 10 under this Agreement. 11 Contractor must attend County DBH's Business Office training on equipment 12 reporting for assets, intangible and sensitive minor assets. 13 3.4 Travel. Travel shall be reimbursed based on actual expenditures and mileage 14 reimbursement shall be at Contractor's adopted rate per mile, not to exceed the Federal Internal 15 Revenue Services (IRS) published rate. 16 3.5 Payment. The County shall pay each correctly completed and timely submitted 17 invoice within 45 days after receipt. The County shall remit any payment to the Contractor's 18 address specified in the invoice. Payments shall be made after receipt and verification of actual 19 expenditures incurred by Contractor for monthly program costs, as identified in Exhibit D, in the 20 performance of this Agreement in accordance with Exhibit A, and shall be documented to 21 County on a monthly basis by the tenth (10th) of the month following the month of said 22 expenditures. 23 3.6 Funding. The services provided by Contractor under this Agreement are funded in 24 whole or in part by the State of California. In the event that funding for these services is delayed 25 by the State Controller, County may defer payments to Contractor. The amount of the deferred 26 payment shall not exceed the amount of funding delayed by the State Controller to County. The 27 period of time of the deferral by County shall not exceed the period of time of the State 28 Controller's delay of payment to County plus forty-five (45) days. 6 1 3.7 Incidental Expenses. The Contractor is solely responsible for all of its costs and 2 expenses that are not specified as payable by the County under this Agreement. 3 Article 4 4 Term of Agreement 5 4.1 Term. This Agreement is effective on July 1, 2023 and terminates on June 30, 2024, 6 except as provided in section 4.2, "Extension," or Article 6, "Termination and Suspension," 7 below. 8 4.2 Extension. The term of this Agreement may be extended for no more than three, 9 one-year periods only upon written approval of both parties at least 30 days before the first day 10 of the next one-year extension period. The DBH Director or his or her designee is authorized to 11 sign the written approval on behalf of the County based on the Contractor's satisfactory 12 performance. The extension of this Agreement by the County is not a waiver or compromise of 13 any default or breach of this Agreement by the Contractor existing at the time of the extension 14 whether or not known to the County. 15 Article 5 16 Notices 17 5.1 Contact Information. The persons and their addresses having authority to give and 18 receive notices provided for or permitted under this Agreement include the following: 19 For the County: 20 Director, DBH County of Fresno 21 1925 E. Dakota Ave Fresno, CA 93726 22 23 For the Contractor: Executive Director 24 Centro La Familia Advocacy Services Inc. 302 Fresno Street, Suite 102 25 Fresno, CA 93706 26 5.2 Change of Contact Information. Either party may change the information in section 27 5.1 by giving notice as provided in section 5.3. 28 7 1 5.3 Method of Delivery. Each notice between the County and the Contractor provided 2 for or permitted under this Agreement must be in writing, state that it is a notice provided under 3 this Agreement, and be delivered either by personal service, by first-class United States mail, by 4 an overnight commercial courier service, by telephonic facsimile transmission, or by Portable 5 Document Format (PDF) document attached to an email. 6 (A) A notice delivered by personal service is effective upon service to the recipient. 7 (B) A notice delivered by first-class United States mail is effective three County 8 business days after deposit in the United States mail, postage prepaid, addressed to the 9 recipient. 10 (C)A notice delivered by an overnight commercial courier service is effective one 11 County business day after deposit with the overnight commercial courier service, 12 delivery fees prepaid, with delivery instructions given for next day delivery, addressed to 13 the recipient. 14 (D)A notice delivered by telephonic facsimile transmission or by PDF document 15 attached to an email is effective when transmission to the recipient is completed (but, if 16 such transmission is completed outside of County business hours, then such delivery is 17 deemed to be effective at the next beginning of a County business day), provided that 18 the sender maintains a machine record of the completed transmission. 19 5.4 Claims Presentation. For all claims arising from or related to this Agreement, 20 nothing in this Agreement establishes, waives, or modifies any claims presentation 21 requirements or procedures provided by law, including the Government Claims Act (Division 3.6 22 of Title 1 of the Government Code, beginning with section 810). 23 Article 6 24 Termination and Suspension 25 6.1 Termination for Non-Allocation of Funds. The terms of this Agreement are 26 contingent on the approval of funds by the appropriating government agency. If sufficient funds 27 are not allocated, then the County, upon at least 30 days' advance written notice to the 28 Contractor, may: 8 1 (A) Modify the services provided by the Contractor under this Agreement; or 2 (B) Terminate this Agreement. 3 6.2 Termination for Breach. 4 (A) Upon determining that a breach (as defined in paragraph (C) below) has 5 occurred, the County may give written notice of the breach to the Contractor. The written 6 notice may suspend performance under this Agreement, and must provide at least 30 7 days for the Contractor to cure the breach. 8 (B) If the Contractor fails to cure the breach to the County's satisfaction within the 9 time stated in the written notice, the County may terminate this Agreement immediately. 10 (C) For purposes of this section, a breach occurs when, in the determination of the 11 County, the Contractor has: 12 (1) Obtained or used funds illegally or improperly; 13 (2) Failed to comply with any part of this Agreement; 14 (3) Submitted a substantially incorrect or incomplete report to the County; or 15 (4) Improperly performed any of its obligations under this Agreement. 16 6.3 Termination without Cause. In circumstances other than those set forth above, the 17 County may terminate this Agreement by giving at least 30 days advance written notice to the 18 Contractor. 19 6.4 No Penalty or Further Obligation. Any termination of this Agreement by the County 20 under this Article 6 is without penalty to or further obligation of the County. 21 6.5 County's Rights upon Termination. Upon termination for breach under this Article 22 6, the County may demand repayment by the Contractor of any monies disbursed to the 23 Contractor under this Agreement that, in the County's sole judgment, were not expended in 24 compliance with this Agreement. The Contractor shall promptly refund all such monies upon 25 demand. This section survives the termination of this Agreement. 26 27 28 9 1 Article 7 2 Independent Contractor 3 7.1 Status. In performing under this Agreement, the Contractor, including its officers, 4 agents, employees, and volunteers, is at all times acting and performing as an independent 5 contractor, in an independent capacity, and not as an officer, agent, servant, employee, joint 6 venturer, partner, or associate of the County. 7 7.2 Verifying Performance. The County has no right to control, supervise, or direct the 8 manner or method of the Contractor's performance under this Agreement, but the County may 9 verify that the Contractor is performing according to the terms of this Agreement. 10 7.3 Benefits. Because of its status as an independent contractor, the Contractor has no 11 right to employment rights or benefits available to County employees. The Contractor is solely 12 responsible for providing to its own employees all employee benefits required by law. The 13 Contractor shall save the County harmless from all matters relating to the payment of 14 Contractor's employees, including compliance with Social Security withholding and all related 15 regulations. 16 7.4 Services to Others. The parties acknowledge that, during the term of this 17 Agreement, the Contractor may provide services to others unrelated to the County. 18 7.5 Subcontracts. Contractor shall obtain written approval from County's Department of 19 Behavioral Health Director, or designee before subcontracting any of the services delivered 20 under this Agreement. County's Department of Behavioral Health Director, or designee retains 21 the right to approve or reject any request for subcontracting services. Any transferee, assignee, 22 or subcontractor will be subject to all applicable provisions of this Agreement, and all applicable 23 State and Federal regulations. Contractor shall be held primarily responsible by County for the 24 performance of any transferee, assignee, or subcontractor unless otherwise expressly agreed to 25 in writing by County's Department of Behavioral Health Director, or designee. The use of 26 subcontractors by Contractor shall not entitle Contractor to any additional compensation that is 27 provided for under this Agreement. Contractor shall remain legally responsible for the 28 performance of all terms and conditions of this Agreement. 10 1 Article 8 2 Indemnity and Defense 3 8.1 Indemnity. The Contractor shall indemnify and hold harmless and defend the 4 County (including its officers, agents, employees, and volunteers) against all claims, demands, 5 injuries, damages, costs, expenses (including attorney fees and costs), fines, penalties, and 6 liabilities of any kind to the County, the Contractor, or any third party that arise from or relate to 7 the performance or failure to perform by the Contractor (or any of its officers, agents, 8 subcontractors, or employees) under this Agreement. The County may conduct or participate in 9 its own defense without affecting the Contractor's obligation to indemnify and hold harmless or 10 defend the County. 11 8.2 Survival. This Article 8 survives the termination of this Agreement. 12 Article 9 13 Insurance 14 9.1 The Contractor shall comply with all the insurance requirements in Exhibit E to this 15 Agreement. 16 Article 10 17 Data Security 18 10.1 Data Security Requirements. Contractor shall comply with data security 19 requirements in Exhibit F to this Agreement. 20 21 Article 11 22 Inspections, Audits, and Public Records 23 11.1 Inspection of Documents. The Contractor shall make available to the County, and 24 the County may examine at any time during business hours and as often as the County deems 25 necessary, all of the Contractor's records and data with respect to the matters covered by this 26 Agreement, excluding attorney-client privileged communications. The Contractor shall, upon 27 request by the County, permit the County to audit and inspect all of such records and data to 28 ensure the Contractor's compliance with the terms of this Agreement. 11 1 11.2 State Audit Requirements. If the compensation to be paid by the County under this 2 Agreement exceeds $10,000, the Contractor is subject to the examination and audit of the 3 California State Auditor, as provided in Government Code section 8546.7, for a period of three 4 years after final payment under this Agreement. This section survives the termination of this 5 Agreement. 6 11.3 Public Records. The County is not limited in any manner with respect to its public 7 disclosure of this Agreement or any record or data that the Contractor may provide to the 8 County. The County's public disclosure of this Agreement or any record or data that the 9 Contractor may provide to the County may include but is not limited to the following: 10 (A) The County may voluntarily, or upon request by any member of the public or 11 governmental agency, disclose this Agreement to the public or such governmental 12 agency. 13 (B) The County may voluntarily, or upon request by any member of the public or 14 governmental agency, disclose to the public or such governmental agency any record or 15 data that the Contractor may provide to the County, unless such disclosure is prohibited 16 by court order. 17 (C)This Agreement, and any record or data that the Contractor may provide to the 18 County, is subject to public disclosure under the Ralph M. Brown Act (California 19 Government Code, Title 5, Division 2, Part 1, Chapter 9, beginning with section 54950). 20 (D)This Agreement, and any record or data that the Contractor may provide to the 21 County, is subject to public disclosure as a public record under the California Public 22 Records Act (California Government Code, Title 1, Division 7, Chapter 3.5, beginning 23 with section 6250) ("CPRA"). 24 (E) This Agreement, and any record or data that the Contractor may provide to the 25 County, is subject to public disclosure as information concerning the conduct of the 26 people's business of the State of California under California Constitution, Article 1, 27 section 3, subdivision (b). 28 12 1 (F) Any marking of confidentiality or restricted access upon or otherwise made with 2 respect to any record or data that the Contractor may provide to the County shall be 3 disregarded and have no effect on the County's right or duty to disclose to the public or 4 governmental agency any such record or data. 5 11.4 Public Records Act Requests. If the County receives a written or oral request 6 under the CPRA to publicly disclose any record that is in the Contractor's possession or control, 7 and which the County has a right, under any provision of this Agreement or applicable law, to 8 possess or control, then the County may demand, in writing, that the Contractor deliver to the 9 County, for purposes of public disclosure, the requested records that may be in the possession 10 or control of the Contractor. Within five business days after the County's demand, the 11 Contractor shall (a) deliver to the County all of the requested records that are in the Contractor's 12 possession or control, together with a written statement that the Contractor, after conducting a 13 diligent search, has produced all requested records that are in the Contractor's possession or 14 control, or (b) provide to the County a written statement that the Contractor, after conducting a 15 diligent search, does not possess or control any of the requested records. The Contractor shall 16 cooperate with the County with respect to any County demand for such records. If the 17 Contractor wishes to assert that any specific record or data is exempt from disclosure under the 18 CPRA or other applicable law, it must deliver the record or data to the County and assert the 19 exemption by citation to specific legal authority within the written statement that it provides to 20 the County under this section. The Contractor's assertion of any exemption from disclosure is 21 not binding on the County, but the County will give at least 10 days' advance written notice to 22 the Contractor before disclosing any record subject to the Contractor's assertion of exemption 23 from disclosure. The Contractor shall indemnify the County for any court-ordered award of costs 24 or attorney's fees under the CPRA that results from the Contractor's delay, claim of exemption, 25 failure to produce any such records, or failure to cooperate with the County with respect to any 26 County demand for any such records. 27 11.5 Licenses/Certificates. Throughout each term of this Agreement, Contractor and 28 Contractor's staff shall maintain all necessary licenses, permits, approvals, certificates, waivers 13 1 and exemptions necessary for the provision of the services hereunder and required by the laws 2 and regulations of the United States of America, State of California, the County of Fresno, and 3 any other applicable governmental agencies. Contractor shall notify COUNTY immediately in 4 writing of its inability to obtain or maintain such licenses, permits, approvals, certificates, waivers 5 and exemptions irrespective of the pendency of any appeal related thereto. Additionally, 6 Contractor and Contractor's staff shall comply with all applicable laws, rules or regulations, as 7 may now exist or be hereafter changed. 8 11.6 Single Audit Clause. If Contractor expends Seven Hundred Fifty Thousand and 9 No/100 Dollars ($750,000.00) or more in Federal and Federal flow-through monies, Contractor 10 agrees to conduct an annual audit in accordance with the requirements of the Single Audit 11 Standards as set forth in Office of Management and Budget (OMB) 2 CFR 200. Contractor shall 12 submit said audit and management letter to County. The audit must include a statement of 13 findings or a statement that there were no findings. If there were negative findings, Contractor 14 must include a corrective action plan signed by an authorized individual. Contractor agrees to 15 take action to correct any material non-compliance or weakness found as a result of such audit. 16 Such audit shall be delivered to County's DBH Finance Division for review within nine (9) 17 months of the end of any fiscal year in which funds were expended and/or received for the 18 program. Failure to perform the requisite audit functions as required by this Agreement may 19 result in County performing the necessary audit tasks, or at County's option, contracting with a 20 public accountant to perform said audit, or may result in the inability of County to enter into 21 future agreements with Contractor. All audit costs related to this Agreement are the sole 22 responsibility of Contractor. 23 A single audit report is not applicable if Contractor's Federal contracts do not exceed 24 the Seven Hundred Fifty Thousand and No/100 Dollars ($750,000.00) requirement or 25 Contractor's only funding is through Drug-related Medi-Cal. If a single audit is not applicable, a 26 program audit must be performed and a program audit report with management letter shall be 27 submitted by Contractor to County as a minimum requirement to attest to Contractor solvency. 28 Said audit report shall be delivered to County's DBH Finance Division for review no later than 14 1 nine (9) months after the close of the fiscal year in which the funds supplied through this 2 Agreement are expended. Failure to comply with this Act may result in County performing the 3 necessary audit tasks or contracting with a qualified accountant to perform said audit. All audit 4 costs related to this Agreement are the sole responsibility of Contractor who agrees to take 5 corrective action to eliminate any material noncompliance or weakness found as a result of such 6 audit. Audit work performed by County under this paragraph shall be billed to Contractor at 7 County cost, as determined by County's Auditor-Controller/Treasurer-Tax Collector. 8 Contractor shall make available all records and accounts for inspection by County, 9 the State of California, if applicable, the Controller General of the United States, the Federal 10 Grantor Agency, or any of their duly authorized representatives, at all reasonable times for a 11 period of at least three (3) years following final payment under this Agreement or the closure of 12 all other pending matters, whichever is later. 13 Article 12 14 Federal and State Laws 15 12.1 Health Insurance Portability and Accountability Act. County and Contractor each 16 consider and represent themselves as covered entities as defined by the U.S. Health Insurance 17 Portability and Accountability Act of 1996, Public Law 104-191(HIPAA) and agree to use and 18 disclose Protected Health Information (PHI) as required by law. 19 County and Contractor acknowledge that the exchange of PHI between them is only 20 for treatment, payment, and health care operations. 21 County and Contractor intend to protect the privacy and provide for the security of 22 PHI pursuant to the Agreement in compliance with HIPAA, the Health Information Technology 23 for Economic and Clinical Health Act, Public Law 111-005 (HITECH), and regulations 24 promulgated thereunder by the U.S. Department of Health and Human Services (HIPAA 25 Regulations) and other applicable laws. 26 As part of the HIPAA Regulations, the Privacy Rule and the Security Rule require 27 Contractor to enter into an agreement containing specific requirements prior to the disclosure of 28 15 1 PHI, as set forth in, but not limited to, Title 45, Sections 164.314(a), 164.502(e) and 164.504(e) 2 of the Code of Federal Regulations. 3 12.2 Physical Accessibility. In accordance with the accessibility requirements of section 4 508 of the Rehabilitation Act and the Americans with Disabilities Act of 1973, Contractor must 5 provide physical access, reasonable accommodations, and accessible equipment for Medi-Cal 6 beneficiaries with physical or mental disabilities. 7 12.3 References to Laws and Rules. In the event any law, regulation, or policy referred 8 to in this Agreement is amended during the term thereof, the parties hereto agree to comply with 9 the amended provision as of the effective date of such amendment. 10 12.4 Compliance with State Requirements. Contractor recognizes that County operates 11 its mental health programs under an agreement with DHCS, and that under said agreement the 12 State imposes certain requirements on County and its subcontractors. Contractor shall adhere 13 to all State requirements, including those identified in Exhibit G to this Agreement titled, 14 "Behavioral Health Requirements." 15 12.5 Confidentiality. All services performed by Contractor under this Agreement shall be 16 in strict conformance with all applicable Federal, State of California and/or local laws and 17 regulations relating to confidentiality, including all Health Insurance Portability Accounting Act 18 (HIPAA) regulations. 19 12.6 Tax Equity and Fiscal Responsibility Act. To the extent necessary to prevent 20 disallowance of reimbursement under section 1861(v)(1) (I) of the Social Security Act, (42 21 U.S.C. § 1395x, subd. (v)(1)[I1), until the expiration of four (4) years after the furnishing of 22 services under this Agreement, Contractor shall make available, upon written request to the 23 Secretary of the United States Department of Health and Human Services, or upon request to 24 the Comptroller General of the United States General Accounting Office, or any of their duly 25 authorized representatives, a copy of this Agreement and such books, documents, and records 26 as are necessary to certify the nature and extent of the costs of these services provided by 27 Contractor under this Agreement. Contractor further agrees that in the event Contractor carries 28 out any of its duties under this Agreement through a subcontract, with a value or cost of Ten 16 1 Thousand and No/100 Dollars ($10,000.00) or more over a twelve (12) month period, with a 2 related organization, such Agreement shall contain a clause to the effect that until the expiration 3 of four (4) years after the furnishing of such services pursuant to such subcontract, the related 4 organizations shall make available, upon written request to the Secretary of the United States 5 Department of Health and Human Services, or upon request to the Comptroller General of the 6 United States General Accounting Office, or any of their duly authorized representatives, a copy 7 of such subcontract and such books, documents, and records of such organization as are 8 necessary to verify the nature and extent of such costs. 9 10 Article 13 11 Property of County 12 13.1 Fixed Assets. County and Contractor recognize that fixed assets are tangible and 13 intangible property obtained or controlled under County for use in operational capacity and will 14 benefit County for a period more than one (1) year. Depreciation of the qualified items will be 15 on a straight-line basis. For County purposes, fixed assets must fulfill three (3) qualifications: 16 (A) Have life span of over one (1) year; 17 (B) Is not a repair part; and 18 (C) Must be valued at or greater than the capitalization thresholds for the asset type: 19 Asset type Threshold 20 . Land $0 21 . Buildings and Improvements $100,000 22 . Infrastructure $100,000 23 . Tangible $5,000 24 o Equipment 25 o Vehicles Intangible $100,000 26 o Internally Generated Software 27 o Purchased Software o Easements 28 o Patents • And Capital Lease $5,000 17 1 2 Qualified fixed asset equipment is to be reported and approved by County. If it is approved 3 and identified as an asset it will be tagged with a County program number. A Fixed Asset Log 4 will be maintained by County's Asset Management System and inventoried annually until the 5 asset is fully depreciated. During the terms of this Agreement, Contractor's fixed assets may be 6 inventoried in comparison to County's DBH Asset Inventory System. 7 13.2 Sensitive Assets. Certain purchases less than Five Thousand and No/100 Dollars 8 ($5,000.00) but more than One Thousand and No/100 Dollars ($1,000.00) with over a one (1) 9 year life span, and/or are mobile and high risk of theft or loss are sensitive assets. Such 10 sensitive items are not limited to computers, copiers, televisions, cameras, and other sensitive 11 items as determined by County's DBH Director or designee. Contractor shall maintain a 12 tracking system on the items that are not required to be capitalized or depreciated. The items 13 are subject to annual inventory review by the County's DBH for compliance. 14 13.3 Retention and Maintenance. Assets shall be retained by County, as County 15 property, in the event this Agreement is terminated or upon expiration of this Agreement. 16 Contractor agrees to participate in an annual inventory of all County fixed and inventoried 17 assets. Upon termination or expiration of this Agreement, Contractor shall be physically present 18 when fixed and inventoried assets are returned to County possession. Contractor is responsible 19 for returning to County all County owned undepreciated fixed and inventoried assets, or the 20 monetary value of said assets if unable to produce the assets at the expiration or termination of 21 this Agreement. Contractor further agrees to the following: 22 (A) Maintain all items of equipment in good working order and condition, normal wear 23 and tear excepted; 24 (B) Label all items of equipment with County assigned program number, to perform 25 periodic inventories as required by County and to maintain an inventory list showing 26 where and how the equipment is being used in accordance with procedures developed 27 by County. All such lists shall be submitted to County within ten (10) days of any 28 request therefore; and 18 1 (C) Report in writing to County immediately after discovery, the loss or theft of any 2 items of equipment. For stolen items, the local law enforcement agency must be 3 contacted, and a copy of the police report submitted to County. 4 13.4 Equipment Purchase. The purchase of any equipment by Contractor with funds 5 provided hereunder shall require the prior written approval of County's DBH Director or 6 designee, shall fulfill the provisions of this Agreement as appropriate, and must be directly 7 related to Contractor's services or activity under the terms of this Agreement. County's DBH 8 may refuse reimbursement for any costs resulting from equipment purchased, which are 9 incurred by Contractor, if prior written approval has not been obtained from County. 10 13.5 Modification. Contractor must obtain prior written approval from County's DBH 11 whenever there is any modification or change in the use of any property acquired or improved, 12 in whole or in part, using funds under this Agreement. If any real or personal property acquired 13 or improved with said funds identified herein is sold and/or is utilized by Contractor for a use 14 which does not qualify under this Agreement, Contractor shall reimburse County in an amount 15 equal to the current fair market value of the property, less any portion thereof attributable to 16 expenditures of funds not provided under this Agreement. These requirements shall continue in 17 effect for the life of the property. In the event this Agreement expires, the requirements for this 18 Article shall remain in effect for activities or property funded with said funds, unless action is 19 taken by the State government to relieve County of these obligations. 20 21 Article 14 22 Cultural and Linguistic Competency 23 14.1 Equal Access. Contractor shall not discriminate against beneficiaries based on race, 24 color, national origin, sex, disability, or religion. Contractor shall ensure that a limited and/or no 25 English beneficiary is entitled to equal access and participation in federally funded programs 26 through the provision of comprehensive and quality bilingual services pursuant to Title 6 of the 27 Civil Rights Act of 1964 (42 U.S.C. Section 2000d, and 45 C.F.R. Part 80) and Executive Order 28 12250 of 1979. 19 1 14.2 Policies and Procedures. Contractor shall comply with requirements of policies and 2 procedures for ensuring access and appropriate use of trained interpreters and material 3 translation services for all limited and/or no English proficient beneficiaries, including, but not 4 limited to, assessing the cultural and linguistic needs of the beneficiaries, training of staff on the 5 policies and procedures, and monitoring its language assistance program. Contractor's policies 6 and procedures shall ensure compliance of any subcontracted providers with these 7 requirements. 8 14.3 Interpreter Services. Contractor shall notify its beneficiaries that oral interpretation 9 is available for any language and written translation is available in prevalent languages and that 10 auxiliary aids and services are available upon request, at no cost and in a timely manner for 11 limited and/or no English proficient beneficiaries and/or beneficiaries with disabilities. 12 Contractor shall avoid relying on an adult or minor child accompanying the beneficiary to 13 interpret or facilitate communication; however, if the beneficiary refuses language assistance 14 services, the Contractor must document the offer, refusal, and justification in the beneficiary's 15 file. 16 14.4 Interpreter Qualifications. Contractor shall ensure that employees, agents, 17 subcontractors, and/or partners who interpret or translate for a beneficiary or who directly 18 communicate with a beneficiary in a language other than English (1) have completed annual 19 training provided by County at no cost to Contractor; (2) have demonstrated proficiency in the 20 beneficiary's language; (3) can effectively communicate any specialized terms and concepts 21 specific to Contractor's services; and (4) adheres to generally accepted interpreter ethic 22 principles. As requested by County, Contractor shall identify all who interpret for or provide 23 direct communication to any program beneficiary in a language other than English and identify 24 when the Contractor last monitored the interpreter for language competence. 25 14.5 CLAS Standards. Contractor shall submit to County for approval, within ninety (90) 26 days from date of contract execution, Contractor's plan to address all fifteen (15) National 27 Standards for Culturally and Linguistically Appropriate Service (CLAS), as published by the 28 Office of Minority Health and as set forth in Exhibit H "National Standards on Culturally and 20 1 Linguistically Appropriate Services", attached hereto and incorporated herein by reference and 2 made part of this Agreement. As the CLAS standards are updated, Contractor's plan must be 3 updated accordingly. As requested by County, Contractor shall be responsible for conducting 4 an annual CLAS self-assessment and providing the results of the self-assessment to the 5 County. The annual CLAS self-assessment instruments shall be reviewed by the County and 6 revised as necessary to meet the approval of the County. 7 14.6 Training Requirements. Cultural competency training for Contractor staff should be 8 substantively integrated into health professions education and training at all levels, both 9 academically and functionally, including core curriculum, professional licensure, and continuing 10 professional development programs. As requested by County, Contractor shall report on the 11 completion of cultural competency trainings to ensure direct service providers are completing a 12 minimum of eight (8) hours of cultural competency training annually. 13 14.7 Continuing Cultural Competence. Contractor shall create and sustain a forum that 14 includes staff at all agency levels to discuss cultural competence. County encourages a 15 representative from Contractor's forum to attend County's Cultural Humility Committee. 16 17 Article 15 18 Compliance 19 15.1 Compliance. Contractor agrees to comply with County's Contractor Code of 20 Conduct and Ethics and the County's Compliance Program in accordance with Exhibit I. Within 21 thirty (30) days of entering into this Agreement with County, Contractor shall ensure all of 22 Contractor's employees, agents, and subcontractors providing services under this Agreement 23 certify in writing, that he or she has received, read, understood, and shall abide by the 24 Contractor Code of Conduct and Ethics. Contractor shall ensure that within thirty (30) days of 25 hire, all new employees, agents, and subcontractors providing services under this Agreement 26 shall certify in writing that he or she has received, read, understood, and shall abide by the 27 Contractor Code of Conduct and Ethics. Contractor understands that the promotion of and 28 21 1 adherence to the Contractor Code of Conduct is an element in evaluating the performance of 2 Contractor and its employees, agents, and subcontractors. 3 Within thirty (30) days of entering into this Agreement, and annually thereafter, all 4 employees, agents, and subcontractors providing services under this Agreement shall complete 5 general compliance training, and appropriate employees, agents, and subcontractors shall 6 complete documentation and billing or billing/reimbursement training. All new employees, 7 agents, and subcontractors shall attend the appropriate training within thirty (30) days of hire. 8 Each individual who is required to attend training shall certify in writing that he or she has 9 received the required training. The certification shall specify the type of training received and 10 the date received. The certification shall be provided to County's DBH Compliance Officer at 11 1925 E. Dakota Ave, Fresno, California 93726. Contractor agrees to reimburse County for the 12 entire cost of any penalty imposed upon County by the Federal Government as a result of 13 Contractor's violation of the terms of this Agreement. 14 15 Article 16 16 Assurances 17 16.1 Certification of Non-exclusion or Suspension from Participation in a Federal 18 Health Care Program. 19 (A) In entering into this Agreement, Contractor certifies that it is not excluded from 20 participation in Federal Health Care Programs under either Section 1128 or 1128A of the 21 Social Security Act. Failure to so certify will render all provisions of this Agreement null 22 and void and may result in the immediate termination of this Agreement. 23 (B) In entering into this Agreement, Contractor certifies, that the Contractor does not 24 employ or subcontract with providers or have other relationships with providers excluded 25 from participation in Federal Health Care Programs, including Medi-Cal/Medicaid or 26 procurement activities, as set forth in 42 C.F.R. §438.610. Contractor shall conduct initial 27 and monthly exclusion and suspension searches of the following databases and provide 28 22 1 evidence of these completed searches when requested by County, DHCS or the US 2 Department of Health and Human Services (DHHS): 3 (1) www.oig.hhs.gov/exclusions - Office of Inspector General's List of Excluded 4 Individuals/Entities (LEIE) Federal Exclusions 5 (2) www.sam.gov/content/exclusions - General Service Administration (GSA) 6 Exclusions Extractwww.Medi-Cal.ca.gov - Suspended & Ineligible Provider List 7 (3) https:Hnppes.cros.hhs.gov/#/- National Plan and Provider Enumeration 8 System (NPPES) 9 (4) any other database required by DHCS or US DHHS. 10 (C) In entering into this Agreement, Contractor certifies, that Contractor does not 11 employ staff or individual contractors/vendors that are on the Social Security 12 Administration's Death Master File. Contractor shall check the database prior to 13 employing staff or individual contractors/vendors and provide evidence of these 14 completed searches when requested by the County, DHCS or the US DHHS. 15 (D) Contractor is required to notify County immediately if Contractor becomes aware 16 of any information that may indicate their (including employees/staff and individual 17 contractors/vendors) potential placement on an exclusions list. 18 (E) Contractor shall screen and periodically revalidate all network providers in 19 accordance with the requirements of 42 C.F.R., Part 455, Subparts B and E. 20 (F) Contractor must confirm the identity and determine the exclusion status of all its 21 providers, as well as any person with an ownership or control interest, or who is an 22 agent or managing employee of the contracted agency through routine checks of federal 23 and state databases. This includes the Social Security Administration's Death Master 24 File, NPPES, the Office of Inspector General's LEIE, the Medi-Cal Suspended and 25 Ineligible Provider List (S&I List) as consistent with the requirements of 42 C.F.R. § 26 455.436. 27 (G) If Contractor finds a provider that is excluded, it must promptly notify the County 28 as per 42 C.F.R. § 438.608(a)(2), (4). The Contractor shall not certify or pay any 23 1 Excluded provider with Medi-Cal funds, must treat any payments made to an excluded 2 provider as an overpayment, and any such inappropriate payments may be subject to 3 recovery. 4 5 6 Article 17 7 Publicity Prohibition 8 17.1 Self-Promotion. None of the funds, materials, property, or services provided directly 9 or indirectly under this Agreement shall be used for Contractor's advertising, fundraising, or 10 publicity (i.e., purchasing of tickets/tables, silent auction donations, etc.)for the purpose of self- 11 promotion. 12 17.2 Public Awareness. Notwithstanding the above, publicity of the services described in 13 Article 1 of this Agreement shall be allowed as necessary to raise public awareness about the 14 availability of such specific services when approved in advance by County's DBH Director or 15 designee and at a cost to be provided in Exhibit D for such items as written/printed materials, 16 the use of media (i.e., radio, television, newspapers), and any other related expense(s). 17 Article 18 18 Complaints 19 18.1 Documentation. Contractor shall log complaints and the disposition of all complaints 20 from a client or a client's family. Contractor shall provide a copy of the detailed complaint log 21 entries concerning County-sponsored clients to County at monthly intervals by the tenth (10th) 22 day of the following month, in a format that is mutually agreed upon. Besides the detailed 23 complaint log, Contractor shall provide details and attach documentation of each complaint with 24 the log. Contractor shall notify County of all incidents reportable to state licensing bodies that 25 affect County clients within twenty-four (24) hours of receipt of a complaint. Within ten (10) days 26 after each incident or complaint affecting County clients, Contractor shall provide County with 27 information relevant to the complaint, investigative details of the complaint, the complaint and 28 Contractor's disposition of, or corrective action taken to resolve the complaint. 24 1 18.2 Rights of Persons Served. Contractor shall post signs informing persons served of 2 their right to file a complaint or grievance, appeals, and expedited appeals. In addition, 3 Contractor shall inform every person served of their rights as set forth in Exhibit J. 4 18.3 Incident Reporting. Contractor shall file an incident report for all incidents involving 5 clients, following the protocol identified in Exhibit K. 6 Article 19 7 Disclosure of Ownership and/or Control Interest Information 8 19.1 Applicability. This provision is only applicable if Contractor is disclosing entities, 9 fiscal agents, or managed care entities, as defined in Code of Federal Regulations (C.F.R.), 10 Title 42 §§ 455.101, 455.104 and 455.106(a)(1),(2). 11 19.2 Duty to Disclose. In accordance with C.F.R., Title 42 §§ 455.101, 455.104, 455.105 12 and 455.106(a)(1), (2), the following information must be disclosed by Contractor by completing 13 Exhibit L to this Agreement, titled "Disclosure of Ownership and Control Interest Statement." 14 Contractor shall submit this form to the County's DBH within thirty (30) days of the effective date 15 of this Agreement. Additionally, Contractor shall report any changes to this information within 16 thirty-five (35) days of occurrence by completing Exhibit L. Submissions shall be scanned 17 portable document format (pdf) copies and are to be sent via email to County's DBH assigned 18 Staff Analyst. 19 Contractor is required to submit a set of fingerprints for any person with five (5) 20 percent or greater direct or indirect ownership interest in Contractor. County may terminate this 21 Agreement where any person with five (5) percent or greater direct or indirect ownership interest 22 in the Contractor did not submit timely and accurate information and cooperate with any 23 screening method required in CFR, Title 42, Section 455.416. Submissions shall be scanned 24 pdf copies and are to be sent via email to DBHContractedServices@fresnocountyca.gov. 25 County may deny enrollment or terminate this Agreement where any person with five (5) 26 percent or greater direct or indirect ownership interest in Contractor has been convicted of a 27 criminal offense related to that person's involvement with the Medicare, Medicaid, or Title XXI 28 program in the last ten (10) years. 25 1 Article 20 2 Disclosure of Criminal History and Civil Actions 3 20.1 Applicability. Contractor is required to disclose if any of the following conditions 4 apply to them, their owners, officers, corporate managers, or partners (hereinafter collectively 5 referred to as "Contractor"): 6 (A) Within the three (3) year period preceding the Agreement award, they have been 7 convicted of, or had a civil judgment tendered against them for: 8 (1) Fraud or criminal offense in connection with obtaining, attempting to obtain, 9 or performing a public (federal, state, or local) transaction or contract under a public 10 transaction; 11 (2) Violation of a federal or state antitrust statute; 12 (3) Embezzlement, theft, forgery, bribery, falsification, or destruction of records; 13 or 14 (4) False statements or receipt of stolen property. 15 (B) Within a three (3) year period preceding their Agreement award, they have had a 16 public transaction (federal, state, or local) terminated for cause or default. 17 20.2 Duty to Disclose. Disclosure of the above information will not automatically 18 eliminate Contractor from further business consideration. The information will be considered as 19 part of the determination of whether to continue and/or renew this Agreement and any additional 20 information or explanation that Contractor elects to submit with the disclosed information will be 21 considered. If it is later determined that the Contractor failed to disclose required information, 22 any contract awarded to such Contractor may be immediately voided and terminated for 23 material failure to comply with the terms and conditions of the award. 24 Contractor must sign a "Certification Regarding Debarment, Suspension, and Other 25 Responsible Matters— Primary Covered Transactions" in the form set forth in Exhibit M attached 26 hereto and by this reference incorporated herein. Additionally Contractor must immediately 27 advise the County's DBH in writing if, during the term of the Agreement: (1) Contractor becomes 28 suspended, debarred, excluded or ineligible for participation in Federal or State funded 26 1 programs or from receiving federal funds as listed in the excluded parties list system 2 (http://www.epls.gov); or (2) any of the above listed conditions become applicable to Contractor. 3 Contractor shall indemnify, defend, and hold County harmless for any loss or damage resulting 4 from a conviction, debarment, exclusion, ineligibility, or other matter listed in the signed 5 Certification Regarding Debarment, Suspension, and Other Responsibility Matters. 6 Article 21 7 Disclosure of Self-Dealing Transactions 8 21.1 Applicability. This Article 11 applies if the Contractor is operating as a corporation, 9 or changes its status to operate as a corporation. 10 21.2 Duty to Disclose. If any member of the Contractor's board of directors is party to a 11 self-dealing transaction, he or she shall disclose the transaction by completing and signing a 12 "Self-Dealing Transaction Disclosure Form" (Exhibit N to this Agreement) and submitting it to 13 the County before commencing the transaction or immediately after. 14 21.3 Definition. "Self-dealing transaction" means a transaction to which the Contractor is 15 a party and in which one or more of its directors, as an individual, has a material financial 16 interest. 17 Article 22 18 General Terms 19 22.1 Modification. Except as provided in Article 6, "Termination and Suspension," this 20 Agreement may not be modified, and no waiver is effective, except by written agreement signed 21 by both parties. The Contractor acknowledges that County employees have no authority to 22 modify this Agreement except as expressly provided in this Agreement. 23 (A) Notwithstanding the above, non-material changes to services, staffing, and 24 responsibilities of the Contractor, as needed, to accommodate changes in the laws 25 relating to service requirements and specialty mental health treatment, may be made 26 with the signed written approval of County's DBH Director, or designee, and Contractor 27 through an amendment approved by County's County Counsel and the County's Auditor- 28 27 1 Controller/Treasurer-Tax Collector's Office. Said modifications shall not result in any 2 change to the maximum compensation amount payable to Contractor, as stated herein. 3 (B) In addition, changes to line items and expense category subtotals, as set forth in 4 Exhibit D, that when added together during the term of the agreement do not exceed ten 5 percent (10%) of the total maximum compensation payable to Contractor, may be made 6 with the written approval of Contractor and County's DBH Director or designee. These 7 changes may not add or alter any other terms or conditions of the Agreement. Said 8 modifications shall not result in any change to the maximum compensation amount 9 payable to Contractor, as stated herein. 10 22.2 Non-Assignment. Neither party may assign its rights or delegate its obligations 11 under this Agreement without the prior written consent of the other party. 12 22.3 Governing Law. The laws of the State of California govern all matters arising from 13 or related to this Agreement. 14 22.4 Jurisdiction and Venue. This Agreement is signed and performed in Fresno 15 County, California. Contractor consents to California jurisdiction for actions arising from or 16 related to this Agreement, and, subject to the Government Claims Act, all such actions must be 17 brought and maintained in Fresno County. 18 22.5 Construction. The final form of this Agreement is the result of the parties' combined 19 efforts. If anything in this Agreement is found by a court of competent jurisdiction to be 20 ambiguous, that ambiguity shall not be resolved by construing the terms of this Agreement 21 against either party. 22 22.6 Days. Unless otherwise specified, "days" means calendar days. 23 22.7 Headings. The headings and section titles in this Agreement are for convenience 24 only and are not part of this Agreement. 25 22.8 Severability. If anything in this Agreement is found by a court of competent 26 jurisdiction to be unlawful or otherwise unenforceable, the balance of this Agreement remains in 27 effect, and the parties shall make best efforts to replace the unlawful or unenforceable part of 28 28 1 this Agreement with lawful and enforceable terms intended to accomplish the parties' original 2 intent. 3 22.9 Nondiscrimination. During the performance of this Agreement, the Contractor shall 4 not unlawfully discriminate against any employee or applicant for employment, or recipient of 5 services, because of race, religious creed, color, national origin, ancestry, physical disability, 6 mental disability, medical condition, genetic information, marital status, sex, gender, gender 7 identity, gender expression, age, sexual orientation, military status or veteran status pursuant to 8 all applicable State of California and federal statutes and regulation. 9 22.10 No Waiver. Payment, waiver, or discharge by the County of any liability or obligation 10 of the Contractor under this Agreement on any one or more occasions is not a waiver of 11 performance of any continuing or other obligation of the Contractor and does not prohibit 12 enforcement by the County of any obligation on any other occasion. 13 22.11 Conflict of Interest. No officer, agent, or employee of COUNTY who exercises any 14 function or responsibility for planning and carrying out the services provided under this 15 Agreement shall have any direct or indirect personal financial interest in this Agreement. In 16 addition, no employee of County shall be employed by Contractor to fulfill any contractual 17 obligations with County. Contractor shall also comply with all Federal, State of California, and 18 local conflict of interest laws, statutes, and regulations, which shall be applicable to all parties 19 and beneficiaries under this Agreement and any officer, agent, or employee of County. 20 22.12 Entire Agreement. This Agreement, including its exhibits, is the entire agreement 21 between the Contractor and the County with respect to the subject matter of this Agreement, 22 and it supersedes all previous negotiations, proposals, commitments, writings, advertisements, 23 publications, and understandings of any nature unless those things are expressly included in 24 this Agreement. If there is any inconsistency between the terms of this Agreement without its 25 exhibits and the terms of the exhibits, then the inconsistency will be resolved by giving 26 precedence first to the terms of this Agreement without its exhibits, and then to the terms of the 27 exhibits. 28 29 1 22.13 No Third-Party Beneficiaries. This Agreement does not and is not intended to 2 create any rights or obligations for any person or entity except for the parties. 3 22.14 Authorized Signature. The Contractor represents and warrants to the County that: 4 (A) The Contractor is duly authorized and empowered to sign and perform its 5 obligations under this Agreement. 6 (B) The individual signing this Agreement on behalf of the Contractor is duly 7 authorized to do so and his or her signature on this Agreement legally binds the 8 Contractor to the terms of this Agreement. 9 22.15 Electronic Signatures. The parties agree that this Agreement may be executed by 10 electronic signature as provided in this section. 11 (A) An "electronic signature" means any symbol or process intended by an individual 12 signing this Agreement 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 Agreement (1) is deemed 17 equivalent to a valid original handwritten signature of the person signing this Agreement 18 for all purposes, including but not limited to evidentiary proof in any administrative or 19 judicial proceeding, and (2) has the same force and effect as the valid original 20 handwritten signature of that person. 21 (C)The provisions of this section satisfy the requirements of Civil Code section 22 1633.5, subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, 23 Part 2, Title 2.5, beginning with section 1633.1). 24 (D) Each party using a digital signature represents that it has undertaken and 25 satisfied the requirements of Government Code section 16.5, subdivision (a), 26 paragraphs (1) through (5), and agrees that each other party may rely upon that 27 representation. 28 30 1 (E) This Agreement is not conditioned upon the parties conducting the transactions 2 under it by electronic means and either party may sign this Agreement with an original 3 handwritten signature. 4 22.16 Counterparts. This Agreement may be signed in counterparts, each of which is an 5 original, and all of which together constitute this Agreement. 6 [SIGNATURE PAGE FOLLOWS] 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 31 1 The parties are signing this Agreement on the date stated in the introductory clause. 2 Centro La Familia Advocacy Services, Inc. County of Fresno 3 4 nod. 5 Marga6la A. Rocha, Executive Director S QA Piero,Vhairman of the Board of S i the County of Fresno 6 302 Fresno St. 102 Fresno, CA 93706 Attest: 7 Bernice E. Seidel Clerk of the Board of Supervisors 8 County of Fresno, State of California 9 10 By. Deputy '-,— lr,I' G� 11 For accounting use only: 12 Org No.: 56304710 Account No.: 7295 13 Fund No.: 0001 Subclass No.: 14 10000 15 16 17 18 19 20 21 22 23 24 25 26 27 28 32 Exhibit A - Page 1 Mental Health Services Act Consumer/Family Advocacy Services Scope of Work Contractor: Centro La Familia Advocacy Services (CLFAS) 302 Fresno St., Suite 102, Fresno, CA 93706 Contract Period: July 1, 2023, through June 30, 2024, with provision of three (3) twelve-month renewal periods thereafter Contract Budget: $113,568 annually Target Population: Unserved and underserved children/youth, transitional age youth, adults, and older adults and their families/support persons residing in rural and metropolitan areas of Fresno County who may be experiencing a first break in mental illness or experiencing early onset of a crisis. Hours of Operation: Monday— Friday; - 08:30 to 05:OOpm Consumer/Family Advocacy Program Provided in accordance with the Mental Health Services Act (MHSA) guidelines and principles, the Consumer/Family Advocacy program includes the provision of community-based behavioral health support and stigma reduction education services. In addition, outreach and training shall be provided to educate persons served, families/support persons, and the community on: mental health, wellness and recovery; available support and treatment resources; and anti-stigma and suicide prevention. Program goals and objectives include educating and providing supports and services early in the manifestation of mental illness to address and alleviate the symptoms of mental illness before they worsen and trigger involvement with law enforcement, involuntary holds/services, or admission to emergency departments and/or the criminal justice system. In addition, the program shall facilitate and improve the relationships, service linkages, and mental health services between individuals/families/support persons and County of Fresno, as well as other community providers. Consumer/Family Advocate Consumer/Family Advocate staff shall serve as consumer/family advocates fully devoted to the needs of individuals/families/support persons in the community. Staff shall provide community-based responses and advocacy efforts in places where the unserved/underserved may frequent, such as in the home, community centers, and other gathering places throughout Fresno County. The Contractor shall develop a community identity, presence and effective engagement strategies that shall enable the staff to educate, advocate, train and respond to the behavioral health needs (mental health and substance use disorders) of culturally diverse individuals, families and groups. The Contractor may serve as a community representative in policy meetings and committees (Quality Improvement, Cultural Diversity, etc.), and in other community stakeholder settings, such as commissions, boards, and other provider agencies staff meetings. The Consumer/ Family Advocates shall work to develop and improve prevention and early intervention strategies with individuals and families/support persons of individuals who may be experiencing a first break in mental illness or experiencing early onset of a crisis. Advocates shall provide mental health and wellness and recovery education to the family/support persons; assist the family/support persons and individual in developing positive interaction skills and communication techniques; and help build resiliency in the family in an effort to prevent future mental health crisis. The Contractor shall provide: Exhibit A - Page 2 • Family/individual engagement, referrals, linkages and warm handoffs, support services, crisis services, and follow-up services to ensure needs are addressed; • Clear and comprehensive communication of services provided to the community and specifically to the Department of Behavioral Health and its contracted providers through deliberate and regular contacts, in-service trainings, meetings, etc.; • Ongoing and thorough complaint/concern component, including review and analysis of quality improvement goals/objectives sought and achieved, protocols for processing complaints, appropriate responsiveness, follow-up, etc.; • Family advocate training and family peer education on mental health and wellness, available community services and resources, anti-stigma and suicide prevention; • Resource phone number for family/individuals/providers to call for advocacy and support needs and services, including protocols for processing calls and coordinating services; • Community/individual/family education for all age groups, including but not limited to: mental health and wellness, stigma reduction, Mental Health First Aid and suicide prevention; • Build resiliency and de-escalation techniques in the family in an effort to prevent future mental health crisis that requires involuntary psychiatric assessment; • Community resource collaboration and coordination in rural and metropolitan areas and cities of Fresno County; • Outreach and community liaison services coordinated to ensure support services in rural and metropolitan areas and cities of Fresno County; • Collaboration and coordination with Fresno County and other community service providers to enhance and expand awareness of, and access and linkages to available community resources and services; and • Outreach, education and in-service presentations to other community providers regarding available services, and feedback on those services. Reporting The Contractor shall provide reports as requested by the County, including, but may not be limited to: • Outcome Performance Measures - data collection and reporting, including individual/family/support persons feedback on services, providers, policies and procedures. Data collection includes, but is not limited to: age group, race, ethnicity, primary language, numbers served (unique and repeat), gender at birth, current gender identity, sexual orientation, disability, Veteran's status, and duration of time untreated. Outcomes must be measurable and clearly identify the PEI program type, individual services, family services, liaison activities and outcomes of contacts and services. The Contractor shall utilize a computerized tracking system to collect, track and maintain performance measures and other relevant individual data. Indicators (and data source) are to be reported to the DBH Analyst on a monthly basis. See Program Outcomes below. • Individual and family member complaint/concern review process. This complaint review process would include the review of concerns related to individual and stakeholder identified issues such as access to, and satisfaction with County mental health services and contracted services. The complaint/concern review process shall involve continued and active participation on Fresno County's Quality Improvement Council (QIC). Said complaint/concern review process shall include Exhibit A - Page 3 creating individual/family member call logs, reporting mechanisms to the DBH, quality improvement recommendations and additional summaries/reports as needed to DBH designee(s). Informational material relevant to individual/family member needs and perspective shall be provided to individuals/family members. • Monthly staffing reports identifying all staff by classification and FTE. • Fixed Asset Log shall be submitted upon acquisition of fixed asset(s) and resubmitted each month there is an addition or deletion of a fixed asset, or upon request by County. • Monthly expense and revenue invoice and relative General Ledger as described in Article Three (3) of this Agreement and in alignment with the Budget— Exhibit D. Program Outcomes Contractor shall meet or exceed the expectations for data collection and reporting of program outcomes as identified below and in this Contract. Scope of Work Component Snapshot Community- Provide advocacy efforts in places Individuals will be intentionally engaged Sign-in sheets,Pre/Post based Responses where individuals reside and and have the opportunity to take part in Evaluations. frequent, including community the program to voice their needs. They centers, schools,parks,other will have the tools,knowledge,and community-based organizations, resources to respond positively to churches, etc. situations. targeting identified populations with youth and caregivers. Family Consumer Family Advocates will Family/individuals will receive Training Sign-In Advocate participate in Family Advocacy effective,culturally sensitive mental Sheets with topic, Training and Training focusing on holistic, health services to increase their ability Referral log. Family Peer culturally sensitive mental health to respond to the behavioral health Education service delivery. needs(mental health and substance use disorders)of culturally diverse Act as liaisons for family/ individuals,families,and groups. individuals connecting them to County professional staff and other Stabilize situation by linking mental health services. family/individuals to appropriate resources and ensure family/individual progress. Exhibit A - Page 4 Community/ Provide community outreach and Consumers and family members will Sign-in sheets, individual/ presentation to increase public increase awareness of mental health Pre/Post Evaluation. family awareness on the impact of mental issues to minimize education illness. stigma/discrimination and increase familial support and coping skills. Family/Individua Act as liaison between Increase family/individual level of Case management, 1 Engagement family/individuals connecting them functioning,confidence and coping referral log,Needs to appropriate mental health services skills and reduce stigma/discrimination Stressor Survey, that includes linkage,support of mental health. Family Development services,referrals,and warm Matrix,Outcome handoffs. Conduct follow-ups to Comparison ensure needs were met. Tracking Sheet. Complaint/ Monitor complaint/concems Family/individual will be provided a Complaint Review Concerns regarding access to and satisfaction secure and confidential process to voice Form. with mental health services using an their concerns and issues,assuring established process. prompt follow-up for resolution to include the individual,program staff,and management in the process. Community Collaborate and coordinate resources Increased staff knowledge of available Log of collaborative Resource in urban and rural communities in resources for individuals within other meetings and events. Collaboration Fresno County. institutions,including CBOs, and Coordination government entitlements,self-help programs,vocational training,etc. Outreach and Presentations and health fairs in Residents will grow their understanding Sign in sheets,Case Communication urban and rural communities of mental health issues to minimize management,referral of Services including schools,clinics,churches, stigma/discrimination,demystify myths log. and others;presentations on media; and become aware of available case management of individuals and resources/services to seek and receive warm handoff linkage to services assistance. Exhibit A Page 5 of 7 Data Collection shall be completed in the program using the following tools, as referenced above: Tracking Sheets 1) Sign-in sheets—track individuals reached. 2) Call Log—track calls received and outcomes (sample included in Reports section). 3) Referral Log—track referrals made and outcomes (sample included in Reports section). 4) Individual Satisfaction Survey—tracks satisfaction of service delivery and recommended program improvements, will be implemented during family/individual engagement, presentations (sample included in Reports section). 5) Collaborative Meeting and Event Log — Tracks participation by other community entities. Individual Measurements Individual impact outcomes shall be measured using The Needs Survey and The Family Development Matrix. The Needs Survey: The purpose of the survey is to identify the stressors a individual is facing and assist them with resources/services to address the issues. The Needs survey shall be used to determine appropriate services to be provided individuals by CLFA or by referral. The Needs (Stressors) Survey shall be used to assess the needs of individuals related to: • Basic (food, clothing, shelter) • Physical & mental • Needs related to children • Other (immigration, employment) The Family Development Matrix (FDM): The CLFA-tailored strengths-based Family Development Matrix (FDM) tool with 13 indicators is used to assist individuals with problem solving, goal development, and to stimulate decision-making and action. The indicators are domestic violence, risk of abuse, the health and safety of the home, immigration, emotional well-being, purpose for life, access to transportation, knowledge of community resources, family communication skills, parenting skills, child development, literacy, and access to health care. Based on responses, areas are defined as "in crisis," "at risk," "stable," or "self-sufficient." Upon completion, a Family Empowerment plan is jointly developed with the individual, if she/he is willing. Please see attached CLFA FDM Assessment Form and Family Empowerment Plan. Demographic Information and Reporting Information on family/support persons/individuals served shall be tracked through CLFA Intake Form, Individual Demographic and Case Activity Report, and Outcome Comparison. These forms shall be used to compile monthly reports for the Department of Behavioral Health and shall be updated weekly by staff. 1) CLFA Intake which tracks demographic information, direct service, and consent to help the individual. Demographics are: individual name, address, zip code, date of birth, new/existing individual, ethnicity, language, level of Exhibit A Page 6 of 7 education, gender, age bracket, # in household, marital status, legal status, referral source, services provided, high risk, referrals, case status. 2) Individual Demographic and Case Activity Report tracks individual name, address, zip code, date of birth, new/existing individual, ethnicity, language, level of education, gender, age bracket, # in household, marital status, legal status, referral source, services provided, high risk, referrals, case status (sample included in Reports section). 3) Outcome Comparison (utilized for reports to the county) includes date, individual name, staff, event type, initial needs assessment, second needs assessment, follow up/exit assessment, family development matrix outcomes, referrals, and notes. Assessments are conducted every three months, and when a individual leaves the program. The listings below summarize the components of the Centro La Familia Advocacy, Inc., annual goals. Measurable Objectives Overarching Goal 1: Provide direct services for prevention and early intervention that will keep consumers engaged, feeling motivated, resilient, and decrease their likelihood of a mental health crisis. Objective 1: At least 50 individuals will be served the first year, anticipating 20% will be duplicate individuals from this year's program. Objective 2: At least 60 individuals will be served the second year, anticipating 20% are duplicate individuals from previous year. Objective 3: At least 70 individuals will be served the third year, anticipating 30% are duplicate individuals from previous year. Objective 4: At least 70 individuals will be served the fourth year, anticipating 30% are duplicate individuals from previous year. Objective 5: At least 70 individuals will be served the fifth year, anticipating 30% are duplicates individuals from previous year. Overarching Goal 2: Provide appropriate linkages/referrals and warm hand offs (could be more than 1 linkage per individual) to service providers and support consumers and their support system with system of care navigation services. Objective 1: At least 100 linkages will be made per year to service providers. Objective 2: Families will report an increased level of satisfaction as evident by the individual satisfaction survey. Objective 3: The strengths of individuals and their support system will be acknowledged and recognized. Objective 4: As per assessment, individuals' wellness, resiliency, self-efficacy, and self- management skills will be evident and established for long-term success. Objective 5: CLFA's internal Family Development Matrix (FDM) system will provide an independent measurement to show improvement levels on all 13 Exhibit A Page 7 of 7 unique indicators. Overarching Goal 4: Host/Participate in outreach events in both rural and metro Fresno County. Objective 1: Attend a minimum of 12 outreach events per year to reach at least 250 individuals. Objective 2: Engage with media (television/radio/print) and social media platforms (Facebook Live, WhatsApp, Twitter, and others to reach at least 25,000 individuals. Objective 3: Provide information to schools, clinics, community-based organizations, and other entities. Overarching Goal 5: Conduct presentations and trainings. Objective 1: Implement a minimum of 8 educational trainings/presentations each year to reach at least 250 individuals. Objective 2: Cover various topical sessions including: what is mental illness, stress management, anxiety, suicide prevention, stigma reduction, wellness, trauma-informed, among others. Objective 3: Provide opportunity for individuals to build their knowledge and skills related to the topic presented. Exhibit B Fresno County Department of Behavioral Health Guiding Principles of Care Delivery DBH VISION: Health and well-being for our community. DBH MISSION: DBH, in partnership with our diverse community, is dedicated to providing quality, culturally responsive, behavioral health services to promote wellness, recovery, and resiliency for individuals and families in our community. DBH GOALS: Quadruple Aim • Deliver quality care • Maximize resources while focusing on efficiency • Provide an excellent care experience • Promote workforce well-being GUIDING PRINCIPLES OF CARE DELIVERY: The DBH 11 principles of care delivery define and guide a system that strives for excellence in the provision of behavioral health services where the values of wellness, resiliency, and recovery are central to the development of programs, services, and workforce. The principles provide the clinical framework that influences decision-making on all aspects of care delivery including program design and implementation, service delivery, training of the workforce, allocation of resources, and measurement of outcomes. 1. Principle One -Timely Access & Integrated Services o Individuals and families are connected with services in a manner that is streamlined, effective, and seamless o Collaborative care coordination occurs across agencies, plans for care are integrated, and whole person care considers all life domains such as health, education, employment, housing, and spirituality o Barriers to access and treatment are identified and addressed o Excellent customer service ensures individuals and families are transitioned from one point of care to another without disruption of care 1 rev 01-02-2020 B-1 Exhibit B Fresno County Department of Behavioral Health Guiding Principles of Care Delivery 2. Principle Two - Strengths-based o Positive change occurs within the context of genuine trusting relationships o Individuals, families, and communities are resourceful and resilient in the way they solve problems o Hope and optimism is created through identification of, and focus on, the unique abilities of individuals and families 3. Principle Three - Person-driven and Family-driven o Self-determination and self-direction are the foundations for recovery o Individuals and families optimize their autonomy and independence by leading the process, including the identification of strengths, needs, and preferences o Providers contribute clinical expertise, provide options, and support individuals and families in informed decision making, developing goals and objectives, and identifying pathways to recovery o Individuals and families partner with their provider in determining the services and supports that would be most effective and helpful and they exercise choice in the services and supports they receive 4. Principle Four- Inclusive of Natural Supports o The person served identifies and defines family and other natural supports to be included in care o Individuals and families speak for themselves o Natural support systems are vital to successful recovery and the maintaining of ongoing wellness; these supports include personal associations and relationships typically developed in the community that enhance a person's quality of life o Providers assist individuals and families in developing and utilizing natural supports. 5. Principle Five - Clinical Significance and Evidence Based Practices (EBP) o Services are effective, resulting in a noticeable change in daily life that is measurable. o Clinical practice is informed by best available research evidence, best clinical expertise, and values and preferences of those we serve o Other clinically significant interventions such as innovative, promising, and emerging practices are embraced 2 rev 01-02-2020 B-2 Exhibit B Fresno County Department of Behavioral Health Guiding Principles of Care Delivery 6. Principle six- Culturally Responsive o Values, traditions, and beliefs specific to an individual's or family's culture(s) are valued and referenced in the path of wellness, resilience, and recovery o Services are culturally grounded, congruent, and personalized to reflect the unique cultural experience of each individual and family o Providers exhibit the highest level of cultural humility and sensitivity to the self- identified culture(s) of the person or family served in striving to achieve the greatest competency in care delivery 7. Principle Seven -Trauma-informed and Trauma-responsive o The widespread impacts of all types of trauma are recognized and the various potential paths for recovery from trauma are understood o Signs and symptoms of trauma in individuals, families, staff, and others are recognized and persons receive trauma-informed responses o Physical, psychological and emotional safety for individuals, families, and providers is emphasized 8. Principle Eight - Co-occurring Capable o Services are reflective of whole-person care; providers understand the influence of bio-psycho-social factors and the interactions between physical health, mental health, and substance use disorders o Treatment of substance use disorders and mental health disorders are integrated; a provider or team may deliver treatment for mental health and substance use disorders at the same time 9. Principle Nine - Stages of Change, Motivation, and Harm Reduction o Interventions are motivation-based and adapted to the person's stage of change o Progression though stages of change are supported through positive working relationships and alliances that are motivating o Providers support individuals and families to develop strategies aimed at reducing negative outcomes of substance misuse though a harm reduction approach o Each individual defines their own recovery and recovers at their own pace when provided with sufficient time and support 3 rev 01-02-2020 B-3 Exhibit B Fresno County Department of Behavioral Health Guiding Principles of Care Delivery 10. Principle Ten - Continuous Quality Improvement and Outcomes-Driven o Individual and program outcomes are collected and evaluated for quality and efficacy o Strategies are implemented to achieve a system of continuous quality improvement and improved performance outcomes o Providers participate in ongoing professional development activities needed for proficiency in practice and implementation of treatment models 11. Principle Eleven - Health and Wellness Promotion, Illness and Harm Prevention, and Stigma Reduction o The rights of all people are respected o Behavioral health is recognized as integral to individual and community well-being o Promotion of health and wellness is interwoven throughout all aspects of DBH services o Specific strategies to prevent illness and harm are implemented at the individual, family, program, and community levels o Stigma is actively reduced by promoting awareness, accountability, and positive change in attitudes, beliefs, practices, and policies within all systems o The vision of health and well-being for our community is continually addressed through collaborations between providers, individuals, families, and community members 4 rev 01-02-2020 B-4 Exhibit C coU 7epartment of Behavioral Health Policy and Procedure Guide O 1856 O 1r PPG 1.2.7 Section: Mental Health Effective Date: 05/30/2017 Revised Date: 05/30/2017 Policy Title: Performance Outcome Measures Approved by: Dawan Utecht(Director of Behavioral Health), Francisco Escobedo (Sr.Staff Analyst-QA), Kannika Toonnachat(Division Manager-Technology and Quality Management) POLICY: It is the policy of Fresno County Department of Behavioral Health and the Fresno County Mental Health Plan (FCMHP) to ensure procedures for developing performance measures which accurately reflect vital areas of performance and provide for systematic, ongoing collection and analysis of valid and reliable data. Data collection is not intended to be an additional task for FCMHP programs/providers but rather embedded within the various non-treatment, treatment and clinical documentation. PURPOSE: To determine the effectiveness and efficiency of services provided by measuring performance outcomes/results achieved by the persons served during service delivery or following service completion, delivery of service, and of the individuals' satisfaction. This is a vital management tool used to clarify goals, document the efforts toward achieving those goals, and thus measure the benefit the service delivery to the persons served. Performance measurement selection is part of the planning and developing process design of the program. Performance measurement is the ongoing monitoring and reporting of progress towards pre-established objectives/goals. REFERENCE: California Code of Regulations, Title 9, Chapter 11, Section 1810.380(a)(1): State Oversight DHCS Service, Administrative and Operational Requirements Mental Health Services Act (MHSA), California Code of Regulations, Title 9, Section 3320, 3200.050, and 3200.120 Commission on Accreditation of Rehabilitation Facilities (CARF) DEFINITIONS: 1. Indicator: Qualitative or quantitative measure(s) that tell if the outcomes have been accomplished. Indicators evaluate key performance in relation to objectives. It indicates what the program is accomplishing and if the anticipated results are being achieved. MISSION STATEMENT The Department of Behavioral Health is dedicated to supporting the wellness of individuals,families and communities in Fresno County who are affected by,or are at risk of,mental illness and/or substance use disorders through cultivation of strengths toward promoting recovery in the least restrictive environment. Template Review Date 3128116 1 C-1 Exhibit C coU EFe artment of Behavioral Health t Policy and Procedure Guide O 1s56 O F1zEs� Section: Mental Health Effective Date:05/30/2017 PPG 1.2.7 Policy Title: Performance Outcome Measures 2. Intervention: A systematic plan of action consciously adapted in an attempt to address and reduce the causes of failure or need to improve upon system. 3. Fresno County Mental Health Plan (FCMHP): Fresno County's contract with the State Department of Health and Human Services that allows for the provision of specialty mental health services. Services may be delivered by county-operated programs, contracted organizational, or group providers. 4. Objective (Goal): Intended results or the impact of learning, programs, or activities. 5. Outcomes: Specific results or changes achieved as a consequence of the program or intervention. Outcomes are connected to the objectives/goals identified by the program or intervention. PROCEDURE: I. Each FCMHP program/provider shall engage in measurement of outcomes in order to generate reliable and valid data on the effectiveness and efficiency of programs or interventions. Programs/providers will establish/select objectives (goals), decide on a methodology and timeline for the collection of data, and use an appropriate data collection tool. This occurs during the program planning and development process. Outcomes should be in alignment with the program/provider goals. II. Outcomes should be measureable, obtainable, clear, accurately reflect the expected result, and include specific time frames. Once the measures have been selected, it is necessary to design a way to gather the information. For each service delivery performance indicator, FCMHP program/provider shall determine: to whom the indicator will be applied; who is responsible for collecting the data; the tool from which data will be collected; and a performance target based on an industry benchmark, or a benchmark set by the program/provider. III. Performance measures are subject to review and approval by FCMHP Administration. IV. Performance measurement is the ongoing monitoring and reporting of progress towards pre-established objectives/goals. Annually, each FCMHP program/provider must measure service delivery performance in each of the areas/domains listed below. Dependent on the program/provider service deliverables, exceptions must be approved by the FCMHP Administration. 2 1 P a g e C-2 Exhibit C coU EFe artment of Behavioral Health t Policy and Procedure Guide O 1s56 O F1zEs� Section: Mental Health Effective Date:05/30/2017 PPG 1.2.7 Policy Title:Performance Outcome Measures a. Effectiveness of services — How well programs performed and the results achieved. Effectiveness measures address the quality of care through measuring change over time. Examples include but are not limited to: reduction of hospitalization, reduction of symptoms, employment and housing status, and reduction of recidivism rate and incidence of relapse. b. Efficiency of services —The relationship between the outcomes and the resources used. Examples include but are not limited to: service delivery cost per service unit, length of stay, and direct service hours of clinical and medical staff. c. Services access — Changes or improvements in the program/provider's capacity and timeliness to provide services to those who request them. Examples include but are not limited to: wait/length of time from first request/referral to first service or subsequent appointment, convenience of service hours and locations, number of clients served by program capacity, and no-show and cancellation rates. d. Satisfaction and feedback from persons served and stakeholders— Changes or increased positive/negative feedback regarding the experiences of the persons served and others (families, referral sources, payors/guarantors, etc.). Satisfaction measures are usually oriented toward clients, family members, personnel, the community, and funding sources. Examples include but are not limited to: did the organization/program focus on the recovery of the person served, were grievances or concerns addressed, overall feelings of satisfaction, and satisfaction with physical facilities, fees, access, service effectiveness, and efficiency. V. Each FCMHP program/provider shall use the following templates to document the defined goals, intervention(s), specific indicators, and outcomes. 1. FCMHP Outcome Report template (see Attachment A) 2. FCMHP Outcome Analysis template (see Attachment C) 3 1 P a g e C-3 Exhibit D-Page 1 of 44 Consumer Family Advocacy Services Centro La Familia Advocacy Services Fiscal Year(FY)2023-24 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Program Manager 0.05 $ 2,400 $ 2,400 1102 - 1103 - - 1104 - 1105 - - 1106 - 1107 - - 1108 - 1109 - - 1110 - 1111 - - 1112 - 1113 - - 1114 - 1115 - - Direct Personnel Admin Salaries Subtotal 0.05 $ 2,400 $ 2,400 Acct# Program Position FTE Admin Program Total 1116 Consumer Family Advocate 1.00 $ 39,000 $ 39,000 1117 Consumer Family Advocate 0.75 $ 29,250 29,250 1118 - - 1119 - - 1120 - 1121 - - 1122 - 1123 - - 1124 - 1125 - - 1126 - 1127 - - 1128 - 1129 - - 1130 - 1131 - - 1132 - 1133 - - 1134 - Direct Personnel Program Salaries Subtotall 1.75 1 $ 68,250 1 $ 68,250 Admin Program Total Direct Personnel Salaries Subtotal 1.80 $ 2,400 $ 68,250 $ 70,650 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 72 $ 2,048 $ 2,120 1202 Worker's Compensation 17 485 502 1203 Health Insurance 270 9,450 9,720 1204 Other(specify) - - - 1205 10ther(specify) - - - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Exhibit D-Page 2 of 44 1206 10ther(specify) - - I - Direct Employee Benefits Subtotal: $ 359 $ 11,983 $ 12,342 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ - $ - 1302 FICA/MEDICARE 183 5,221 5,404 1303 SUI 13 466 479 1304 Other(specify) - - - 1305 10ther(specify) - - 1306 10ther(specify) - - - Direct Payroll Taxes&Expenses Subtotal: $ 196 $ 5,687 $ 5,883 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 2,955 $ 85,920 $ 88,875 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 3%1 97% 2000: DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support - 2003 Client Transportation&Support 500 2004 Clothing, Food,&Hygiene 3,500 2005 jEclucation Support - 2006 Employment Support - 2007 Household Items for Clients - 2008 Medication Supports - 2009 Program Supplies-Medical - 2010 Utility Vouchers - 2011 Other(specify) - 2012 Other(specify) - 2013 Other(specify) - 2014 Other(specify) - 2015 Other(specify) - 2016 10ther(specify) - DIRECT CLIENT CARE TOTAL $ 4,000 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 2,100 3002 Printing/Postage 300 3003 Office,Household&Program Supplies 2,733 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 1,755 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 355 3009 Other(specify) - 3010 Other(specify) - 3011 Other(specify) - 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 7,243 4000: DIRECT FACILITIES&EQUIPMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Exhibit D-Pa e 3 of 44 Acct# Line Item Description Amount 4001 Building Maintenance $ - 4002 Rent/Lease Building 5,700 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities 900 4007 Other(specify) - 4008 Other(specify) - 4009 Other(specify) - 4010 10ther(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 6,600 5000: DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services-Dr Juan C.Garcia Cultrual Awareness/Mental Health Training 3,000 5004 Translation Services - 5005 Other(specify) - 5006 Other(specify) - 5007 Other(specify) - 5008 Other(specify) - DIRECT SPECIAL EXPENSES T0TAL:1 $ 3,000 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 760 6003 Accounting/Bookkeeping 2,700 6004 External Audit 390 6005 Insurance(Specify): - 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Other(specify) - 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 10ther(specify) - INDIRECT EXPENSES TOTAL $ 3,850 INDIRECT COST RATE 3.51% 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) - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Exhibit D-Page 4 of 44 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ - TOTAL PROGRAM EXPENSES $ 113,568 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description Service Units Rate Amount 8001 Mental Health Services 0 - $ - 8002 Case Management 0 - - 8003 Crisis Services 0 - - 8004 Medication Support 0 - - 8005 Collateral 0 - - 8006 Plan Development 0 - 8007 Assessment 0 - - 8008 Rehabilitation 0 - 8009 Other(Specify) 0 - 8010 10ther(Specify) 0 - Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated%of Clients who are Medi-Cal Beneficiaries 77 Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation(FFP)% 1 0% MEDI-CAL FFP TOTAL $ - 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 SABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ - 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ - REALIGNMENT TOTAL $ - 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ 113,568 8302 PEI-Prevention&Early Intervention - 8303 INN-Innovations - 8304 WET-Workforce Education&Training - 8305 CFTN-Capital Facilities&Technology - MHSA TOTAL $ 113,568 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants(Specify) - 8404 Other(Specify) - 8405 10ther(Specify) - OTHER REVENUE TOTAL $ - TOTAL PROGRAM FUNDING SOURCES: $ 113,568 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Exhibit D-Page 5 of 44 Consumer Family Advocacy Services Centro La Familia Advocacy Services Fiscal Year (FY) 2023-24 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position Contract#/Name/Department/County FTE Program Manager 68/Differential Response-NRC 93706/DSS/Fresno 1 0.95 Total 0.95 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Exhibit D-Page 6 of 44 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Exhibit D-Page 7 of 44 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Exhibit D-Page 8 of 44 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Exhibit D-Page 9 of 44 Consumer Family Advocacy Services Centro La Familia Advocacy Services Fiscal Year(FY)2023-24 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM I AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:DIRECT SALARIES&BENEFITS 88,875 Administrative Positions 2,400 1101 Program Manager 2,400 Provide administrative oversight to the program and direct supervision of the Consumer Family Advocates @.05 FTE($4,000 per mo x 12 mo x.05%=$2,400) 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 10 - Program Positions 68,250 1116 Consumer Family Advocate 39,000 Provide direct services in the program including one-on-ones,linkages,support groups, outreach education,presentations,phone calls,and media education($3,250 per month x 12 months=$39,000) 1117 Consumer Family Advocate 29,250 Provide direct services in the program including one-on-ones,linkages,support groups, outreach education,presentations,phone calls,and media education($3,250 per month x 12 months x.75 FTE=929.2501 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 12,342 1201 Retirement 2,120 Fringe benefits provided to the program staff @ 3%of total salary 1202 Worker's Compensation 502 Budgeted on current salary expenses:@[(.71 per$100)x$2,400]+[(.71 per$100)x $68,250] 1203 Health Insurance 9,720 Health Insurance for staff in program.Rate$450 mo X 1.80 FTE X 12 mo 1204 Other(specify) - 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: 5,883 1301 OASDI - 1302 FICA/MEDICARE 5,404 Required Federal and State contribution @ 7.65%of total salary 1303 SUI 479 Required Federal and State contribution calculated @ 3.8%of each staff members salary for the first$7,000[(.050000)x.0381+[(1.75x7000)x.038 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 4,000 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation&Support 500 Provide clients with bus passes to get to and from appointments for mental health services.Rate$1.25 per bus pass x 400 2004 Clothing,Food,&Hygiene 3,500 Provide clients with emergency support such as hygiene supplies,clothing,etc.as needed to help address immediate needs.Rate$100 per client x 35 clients 2005 Education Support - 2006 Employment Support 2007 Household Items for Clients Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020 Exhibit D-Page 10 of 44 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2008 Medication Supports 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 7,243 3001 Telecommunications 2,100 Cost of cell phone per month to conduct client services and communications at$50 x 12 months x 2 FTE_$1,200+Shared cost of Internet,Landlines(VOIP,PRI)rated at $2500/month x 12 months x 3%=$900 3002 Printing/Postage 300 Postage to mail correspondences to clients at$25 per month x 12 months 3003 Office,Household&Program Supplies 2,733 Office supplies such as pens,paper,desktop items at$227.53 per mo x 12 mo 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 1,755 Travel for program related activities such as client services,outreach events,meetings, trainings,presentations,etc.at.585 per mile x 250 miles per month x 12 months= $1,755 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 355 Shared cost of charging and storage of E-Vehicles used for transportation of clients. 3009 Other(specify) - 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 6,600 4001 Building Maintenance - 4002 Rent/Lease Building 5,700 Office space for staff to conduct services at$1.25 per square foot x 380 square feet x 12 months=$5,700 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles 4005 Security - 4006 Utilities 900 Utility services for staff office space at$2,500 per month x 12 months x 3%=$900 4007 Other(specify) - 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES 3,000 5001 Consultant(Network&Data Management) - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) 3,000 Staff training on Cultural Awareness and Mental Health conducted by Dr.Juan Garcia, LMFT.Occu ring bi-monthly at$500 per training x 6 months=$3,000 5004 Translation Services 5005 Other(specify) - 5006 Other(specify) 5007 Other(specify) 5008 1 Other(specify) 6000:INDIRECT EXPENSES 3,850 6001 Administrative Overhead - 6002 Professional Liability Insurance 760 Cost for general liability insurance services includes Cyber,D&O,Property,Employee Dishonesty,Auto,Professional.Annual Rate$25,337x 3%=$760 6003 Accounting/Bookkeeping 2,700 Cost for contracted accounting services through Industry Standards,Inc.Rate @$7,500 per mo x 12 mo x 3%=$2,700 6004 External Audit 390 cost for annual external auditing services provided by CPA.Rate$13,000 x 3%=$390 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 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020 Exhibit D-Page 11 of 44 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 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) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 1 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 113,568 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 113,568 BUDGETCHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020 Exhibit D-Page 12 of 44 Consumer Family Advocacy Services Centro La Familia Advocacy Services Fiscal Year(FY)2024-25 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Program Manager 0.05 $ 2,500 $ 2,500 1102 - 1103 - - 1104 - 1105 - - 1106 - 1107 - - 1108 - 1109 - - 1110 - 1111 - - 1112 - 1113 - - 1114 - 1115 - - Direct Personnel Admin Salaries Subtotal 0.05 $ 2,500 $ 2,500 Acct# Program Position FTE Admin Program Total 1116 Consumer Family Advocate 1.00 $ 40,200 $ 40,200 1117 Consumer Family Advocate 0.75 $ 30,150 30,150 1118 - 1119 - - 1120 - 1121 - - 1122 - 1123 - - 1124 - 1125 - - 1126 - 1127 - - 1128 - 1129 - - 1130 - - 1131 - - 1132 - - 1133 - - 1134 - - Direct Personnel Program Salaries Subtotall 1.75 1 $ 70,350 $ 70,350 Admin Program Total Direct Personnel Salaries Subtotal 1.80 $ 2,500 $ 70,350 $ 72,850 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 75 $ 2,111 $ 2,186 1202 Worker's Compensation 18 499 517 1203 Health Insurance 270 9,450 9,720 1204 Other(specify) - - - 1205 10ther(specify) - - - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Exhibit D-Page 13 of 44 1206 10ther(specify) - - I - Direct Employee Benefits Subtotal: $ 363 $ 12,060 $ 12,423 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ - $ - 1302 FICA/MEDICARE 191 5,382 5,573 1303 SUI 13 466 479 1304 Other(specify) - - - 1305 10ther(specify) - - 1306 10ther(specify) - - - Direct Payroll Taxes&Expenses Subtotal: $ 204 $ 5,848 $ 6,052 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 3,067 $ 88,258 $ 91,325 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 3%1 97% 2000: DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support - 2003 Client Transportation&Support 400 2004 Clothing, Food,&Hygiene 3,500 2005 Education Support - 2006 Employment Support - 2007 Household Items for Clients - 2008 Medication Supports - 2009 Program Supplies-Medical - 2010 Utility Vouchers - 2011 Other(specify) - 2012 Other(specify) - 2013 Other(specify) - 2014 Other(specify) - 2015 10ther(specify) - 2016 10ther(specify) - DIRECT CLIENT CARE TOTAL $ 3,900 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 2,100 3002 Printing/Postage 300 3003 Office,Household&Program Supplies 994 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 1,200 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 299 3009 Other(specify) - 3010 Other(specify) - 3011 Other(specify) - 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 4,893 4000: DIRECT FACILITIES&EQUIPMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Exhibit D-Pa e 14 of 44 Acct# Line Item Description Amount 4001 Building Maintenance $ - 4002 Rent/Lease Building 5,700 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities 900 4007 Other(specify) - 4008 Other(specify) - 4009 Other(specify) - 4010 10ther(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 6,600 5000: DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services-Dr Juan C.Garcia Cultrual Awareness/Mental Health Training 3,000 5004 Translation Services - 5005 Other(specify) - 5006 Other(specify) - 5007 Other(specify) - 5008 Other(specify) - DIRECT SPECIAL EXPENSES T0TAL:1 $ 3,000 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 760 6003 Accounting/Bookkeeping 2,700 6004 External Audit 390 6005 Insurance(Specify): - 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Other(specify) - 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 10ther(specify) - INDIRECT EXPENSES TOTAL $ 3,850 INDIRECT COST RATE 3.00% 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) - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Exhibit D-Page 15 of 44 7008 Other(specify) I - FIXED ASSETS EXPENSES TOTAL $ - TOTAL PROGRAM EXPENSES $ 113,568 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description Service Units Rate Amount 8001 Mental Health Services 0 - $ - 8002 Case Management 0 - - 8003 Crisis Services 0 - - 8004 Medication Support 0 - - 8005 Collateral 0 - - 8006 Plan Development 0 - 8007 Assessment 0 - - 8008 Rehabilitation 0 - 8009 Other(Specify) 0 - 8010 10ther(Specify) 0 - Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated%of Clients who are Medi-Cal Beneficiaries 77 Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation(FFP)% 1 0% MEDI-CAL FFP TOTAL $ - 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 SABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ - 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ - REALIGNMENT TOTAL $ - 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ 113,568 8302 PEI-Prevention&Early Intervention - 8303 INN-Innovations - 8304 WET-Workforce Education&Training - 8305 CFTN-Capital Facilities&Technology - MHSA TOTAL $ 113,568 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants(Specify) - 8404 Other(Specify) - 8405 10ther(Specify) - OTHER REVENUE TOTAL $ - TOTAL PROGRAM FUNDING SOURCES: $ 113,568 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Exhibit D-Page 16 of 44 Consumer Family Advocacy Services Centro La Familia Advocacy Services Fiscal Year (FY) 2024-25 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position Contract#/Name/Department/County FTE Program Manager 68/Differential Response-NRC 93706/DSS/Fresno 1 0.95 Total 0.95 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Exhibit D-Page 17 of 44 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Exhibit D-Page 18 of 44 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Exhibit D-Page 19 of 44 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Exhibit D-Page 20 of 44 Consumer Family Advocacy Services Centro La Familia Advocacy Services Fiscal Year(FY)2024-25 Budget Narrative PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 91,325 Administrative Positions 2,500 1101 Program Manager 2,500 Provide administrative oversight to the program and direct supervision of the Consumer Family Advocates @.05 FTE($4,166.66 per mo x 12 mo x.05%=$2,500) 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 70,350 1116 Consumer Family Advocate 40,200 Provide direct services in the program including one-on-ones,linkages,support groups, outreach education,presentations,phone calls,and media education($3,350 per month x 12 months=$40,200) 1117 Consumer Family Advocate 30,150 Provide direct services in the program including one-on-ones,linkages,support groups, outreach education,presentations,phone calls,and media education($3,350 per month x 12 months x.75 FTE=$30,150) 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 12,423 1201 Retirement 2,186 Fringe benefits provided to the program staff @ 3%of total salary 1202 Worker's Compensation 517 Budgeted on current salary expenses:@[(.71 per$100)x$2,500]+[(.71 per$100)x $70,3501 1203 Health Insurance 9,720 Health Insurance for staff in program.Rate$450 mo X 1.80 FTE X 12 mo 1204 Other(specify) - 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: 6,052 1301 OASDI - 1302 FICA/MEDICARE 5,573 Required Federal and State contribution @ 7.65%of total salary 1303 SUI 479 Required Federal and State contribution calculated @ 3.8%of each staff members salary for the first$7,000[(.050000)x.038]+[(1.75x7000)x.038 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 3,900 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation&Support 400 Provide clients with bus passes to get to and from appointments for mental health services.Rate$1.25 per bus pass x 320 clients=$400 2004 Clothing,Food,&Hygiene 3,500 Provide clients with emergency support such as hygiene supplies,clothing,etc.as needed to help address immediate needs.Rate$100 per client x 35 clients 2005 Education Support - 2006 Employment Support Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020 Exhibit D-Page 21 of 44 PROGRAM EXPENSE ACCTft LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2007 Household Items for Clients 2008 Medication Supports 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 4,893 3001 Telecommunications 2,100 Cost of cell phone per month to conduct client services and communications at$50 x 12 months x 2 FTE_$1,200+Shared cost of Internet,Landlines(VOIP,PRI)rated at $2500/month x 12 months x 3%=$900 3002 Printing/Postage 300 Postage to mail correspondences to clients at$25 per month x 12 months 3003 Office,Household&Program Supplies 994 Office supplies such as pens,paper,desktop items at$82.83 per mo x 12 mo 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 1,200 Travel for program related activities such as client services,outreach events,meetings, trainings,presentations,etc.at.585 per mile x 171 miles per month x 12 months= $1,200 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 299 Shared cost of charging and storage of E-Vehicles used for transportation of clients. 3009 Other(specify) - 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 6,600 4001 Building Maintenance 4002 Rent/Lease Building 5,700 Office space for staff to conduct services at$1.25 per square foot x 380 square feet x 12 months=$5,700 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles 4005 Security - 4006 Utilities 900 Utility services for staff office space at$2,500 per month x 12 months x 3%=$900 4007 Other(specify) - 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES 3,000 5001 Consultant(Network&Data Management) - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services-Dr Juan C.Garcia 3,000 Staff training on Cultural Awareness and Mental Health conducted by Dr.Juan Garcia, Cultrual Awareness/Mental Health Training LMFT.Occuring bi-monthly at$500 per training x 6 months=$3,000 5004 Translation Services - 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 1 Other(specify) 6000:INDIRECT EXPENSES 3,850 6001 Use this line and only this line for approved indirect - 6002 Professional Liability Insurance 760 Cost for general liability insurance services includes Cyber,D&O,Property,Employee Dishonesty,Auto,Professional.Annual Rate$25,337x 3%=$760 6003 Accounting/Bookkeeping 2,700 Cost for contracted accounting services through Industry Standards,Inc.Rate @$7,500 per mo x 12 mo x 3%=$2,700 6004 External Audit 390 Cost for annual external auditing services provided by CPA.Rate$13,000 x 3%=$390 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 Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020 Exhibit D-Page 22 of 44 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 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) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 1 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 113,568 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 113,568 BUDGETCHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020 Exhibit D-Page 23 of 44 Consumer Family Advocacy Services Centro La Familia Advocacy Services Fiscal Year(FY)2025-26 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Program Manager 0.05 $ 2,500 $ 2,500 1102 - 1103 - - 1104 - 1105 - - 1106 - 1107 - - 1108 - 1109 - - 1110 - 1111 - - 1112 - 1113 - - 1114 - 1115 - - Direct Personnel Admin Salaries Subtotal 0.05 $ 2,500 $ 2,500 Acct# Program Position FTE Admin Program Total 1116 Consumer Family Advocate 1.00 $ 40,200 $ 40,200 1117 Consumer Family Advocate 0.75 $ 30,150 30,150 1118 - 1119 - - 1120 - 1121 - - 1122 - 1123 - - 1124 - 1125 - - 1126 - 1127 - - 1128 - 1129 - - 1130 - - 1131 - - 1132 - - 1133 - - 1134 - - Direct Personnel Program Salaries Subtotall 1.75 1 $ 70,350 $ 70,350 Admin Program Total Direct Personnel Salaries Subtotal 1.80 $ 2,500 $ 70,350 $ 72,850 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 75 $ 2,111 $ 2,186 1202 Worker's Compensation 18 499 517 1203 Health Insurance 270 9,450 9,720 1204 Other(specify) - - - 1205 10ther(specify) - - - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Exhibit D-Page 24 of 44 1206 10ther(specify) - - I - Direct Employee Benefits Subtotal: $ 363 $ 12,060 $ 12,423 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ - $ - 1302 FICA/MEDICARE 191 5,382 5,573 1303 SUI 13 466 479 1304 Other(specify) - - - 1305 10ther(specify) - - 1306 10ther(specify) - - - Direct Payroll Taxes&Expenses Subtotal: $ 204 $ 5,848 $ 6,052 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 3,067 $ 88,258 $ 91,325 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 3%1 97% 2000: DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support - 2003 Client Transportation&Support 400 2004 Clothing, Food,&Hygiene 3,500 2005 Education Support - 2006 Employment Support - 2007 Household Items for Clients - 2008 Medication Supports - 2009 Program Supplies-Medical - 2010 Utility Vouchers - 2011 Other(specify) - 2012 Other(specify) - 2013 Other(specify) - 2014 Other(specify) - 2015 10ther(specify) - 2016 10ther(specify) - DIRECT CLIENT CARE TOTAL $ 3,900 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 2,100 3002 Printing/Postage 300 3003 Office,Household&Program Supplies 994 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 1,200 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 299 3009 Other(specify) - 3010 Other(specify) - 3011 Other(specify) - 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 4,893 4000: DIRECT FACILITIES&EQUIPMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Exhibit D-Pa e 25 of 44 Acct# Line Item Description Amount 4001 Building Maintenance $ - 4002 Rent/Lease Building 5,700 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities 900 4007 Other(specify) - 4008 Other(specify) - 4009 Other(specify) - 4010 10ther(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 6,600 5000: DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services-Dr Juan C.Garcia Cultrual Awareness/Mental Health Training 3,000 5004 Translation Services - 5005 Other(specify) - 5006 Other(specify) - 5007 Other(specify) - 5008 Other(specify) - DIRECT SPECIAL EXPENSES T0TAL:1 $ 3,000 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 760 6003 Accounting/Bookkeeping 2,700 6004 External Audit 390 6005 Insurance(Specify): - 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Other(specify) - 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 10ther(specify) - INDIRECT EXPENSES TOTAL $ 3,850 INDIRECT COST RATE 3.00% 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) - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Exhibit D-Page 26 of 44 7008 Other(specify) I - FIXED ASSETS EXPENSES TOTAL $ - TOTAL PROGRAM EXPENSES $ 113,568 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description Service Units Rate Amount 8001 Mental Health Services 0 - $ - 8002 Case Management 0 - - 8003 Crisis Services 0 - - 8004 Medication Support 0 - - 8005 Collateral 0 - - 8006 Plan Development 0 - 8007 Assessment 0 - - 8008 Rehabilitation 0 - 8009 Other(Specify) 0 - 8010 10ther(Specify) 0 - Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated%of Clients who are Medi-Cal Beneficiaries 77 Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation(FFP)% 1 0% MEDI-CAL FFP TOTAL $ - 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 SABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ - 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ - REALIGNMENT TOTAL $ - 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ 113,568 8302 PEI-Prevention&Early Intervention - 8303 INN-Innovations - 8304 WET-Workforce Education&Training - 8305 CFTN-Capital Facilities&Technology - MHSA TOTAL $ 113,568 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants(Specify) - 8404 Other(Specify) - 8405 10ther(Specify) - OTHER REVENUE TOTAL $ - TOTAL PROGRAM FUNDING SOURCES: $ 113,568 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Exhibit D-Page 27 of 44 Consumer Family Advocacy Services Centro La Familia Advocacy Services Fiscal Year (FY) 2025-26 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position Contract#/Name/Department/County FTE Program Manager 68/Differential Response-NRC 93706/DSS/Fresno 1 0.95 Total 0.95 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Exhibit D-Page 28 of 44 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Exhibit D-Page 29 of 44 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Exhibit D-Page 30 of 44 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Exhibit D-Page 31 of 44 Consumer Family Advocacy Services Centro La Familia Advocacy Services Fiscal Year(FY)2025-26 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 91,325 Administrative Positions 2,500 1101 Program Manager 2,500 Provide administrative oversight to the program and direct supervision of the Consumer Family Advocates @.05 FTE($4,166.66 per mo x 12 mo x.05%=$2,500) 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 10 - Program Positions 70,350 1116 Consumer Family Advocate 40,200 Provide direct services in the program including one-on-ones,linkages,support groups, outreach education,presentations,phone calls,and media education($3,350 per month x 12 months=$40,200) 1117 Consumer Family Advocate 30,150 Provide direct services in the program including one-on-ones,linkages,support groups, outreach education,presentations,phone calls,and media education($3,350 per month x 12 months x.75 FTE=$30,150) 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 12,423 1201 Retirement 2,186 Fringe benefits provided to the program staff @ 3%of total salary 1202 Worker's Compensation 517 Budgeted on current salary expenses:@[(.71 per$100)x$2,500]+[(.71 per$100)x $70,3501 1203 Health Insurance 9,720 Health Insurance for staff in program.Rate$450 mo X 1.80 FTE X 12 mo 1204 Other(specify) - 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: 6,052 1301 OASDI - 1302 FICA/MEDICARE 5,573 Required Federal and State contribution @ 7.65%of total salary 1303 SUI 479 Required Federal and State contribution calculated @ 3.8%of each staff members salary for the first$7,000[(.050000)x.038]+[(1.75x7000)x.038 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 3,900 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation&Support 400 Provide clients with bus passes to get to and from appointments for mental health services.Rate$1.25 per bus pass x 320 clients=$400 2004 Clothing,Food,&Hygiene 3,500 Provide clients with emergency support such as hygiene supplies,clothing,etc.as needed to help address immediate needs.Rate$100 per client x 35 clients 2005 Education Support - 2006 Employment Support Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020 Exhibit D-Page 32 of 44 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2007 Household Items for Clients 2008 Medication Supports 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 4,893 3001 Telecommunications 2,100 Cost of cell phone per month to conduct client services and communications at$50 x 12 months x 2 FTE_$1,200+Shared cost of Internet,Landlines(VOIP,PRI)rated at 3002 Printing/Postage 300 Postage to mail correspondences to clients at$25 per month x 12 months 3003 Office,Household&Program Supplies 994 Office supplies such as pens,paper,desktop items at$82.83 per mo x 12 mo 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 1,200 Travel for program related activities such as client services,outreach events,meetings, trainings,presentations,etc.at.585 per mile x 171 miles per month x 12 months= $1,200 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 299 Shared cost of charging and storage of E-Vehicles used for transportation of clients. 3009 Other(specify) - 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 6,600 4001 Building Maintenance - 4002 Rent/Lease Building 5,700 Office space for staff to conduct services at$1.25 per square foot x 380 square feet x 12 months=$5,700 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles 4005 Security - 4006 Utilities 900 Utility services for staff office space at$2,500 per month x 12 months x 3%=$900 4007 Other(specify) - 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) 5000:DIRECT SPECIAL EXPENSES 3,000 5001 Consultant(Network&Data Management) - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services-Dr Juan C.Garcia 3,000 Staff training on Cultural Awareness and Mental Health conducted by Dr.Juan Garcia, Cultrual Awareness/Mental Health Training LMFT.Occuring bi-monthly at$500 per training x 6 months=$3,000 5004 Translation Services - 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 1 Other(specify) 6000:INDIRECT EXPENSES 3,850 6001 Use this line and only this line for approved indirect - 6002 Professional Liability Insurance 760 Cost for general liability insurance services includes Cyber,D&O,Property,Employee Dishonesty,Auto,Professional.Annual Rate$25,337x 3%=$760 6003 Accounting/Bookkeeping 2,700 Cost for contracted accounting services through Industry Standards,Inc.Rate @$7,500 per mo x 12 mo x 3%=$2,700 6004 External Audit 390 Cost for annual external auditing services provided by CPA.Rate$13,000 x 3%=$390 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 217/2020 Exhibit D-Page 33 of 44 PROGRAM EXPENSE ACCT# LINE ITEM ANT 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) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 1 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 113,568 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 113,568 BUDGET CHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020 Exhibit D-Page 34 of 44 Consumer Family Advocacy Services Centro La Familia Advocacy Services Fiscal Year(FY)2026-27 PROGRAM EXPENSES 1000:DIRECT SALARIES&BENEFITS Direct Employee Salaries Acct# Administrative Position FTE Admin Program Total 1101 Program Manager 0.05 $ 2,500 $ 2,500 1102 - 1103 - - 1104 - 1105 - - 1106 - 1107 - - 1108 - 1109 - - 1110 - 1111 - - 1112 - 1113 - - 1114 - 1115 - - Direct Personnel Admin Salaries Subtotal 0.05 $ 2,500 $ 2,500 Acct# Program Position FTE Admin Program Total 1116 Consumer Family Advocate 1.00 $ 41,400 $ 41,400 1117 Consumer Family Advocate 0.75 $ 31,050 31,050 1118 - - 1119 - - 1120 - 1121 - - 1122 - 1123 - - 1124 - 1125 - - 1126 - 1127 - - 1128 - 1129 - - 1130 - 1131 - 1132 - 1133 - 1134 - Direct Personnel Program Salaries Subtotall 1.75 1 $ 72,450 1 $ 72,450 Admin Program Total Direct Personnel Salaries Subtotal 1.80 $ 2,500 $ 72,450 $ 74,950 Direct Employee Benefits Acct# Description Admin Program Total 1201 Retirement $ 75 $ 2,174 $ 2,249 1202 Worker's Compensation 18 514 532 1203 Health Insurance 270 9,450 9,720 1204 Other(specify) - - - 1205 10ther(specify) - - - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Exhibit D-Page 35 of 44 1206 10ther(specify) - - I - Direct Employee Benefits Subtotal: $ 363 $ 12,138 $ 12,501 Direct Payroll Taxes&Expenses: Acct# Description Admin Program Total 1301 OASDI $ - $ - $ - 1302 FICA/MEDICARE 191 5,542 5,733 1303 SUI 13 466 479 1304 Other(specify) - - - 1305 10ther(specify) - - 1306 10ther(specify) - - - Direct Payroll Taxes&Expenses Subtotal: $ 204 $ 6,008 $ 6,212 DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total $ 3,067 $ 90,596 $ 93,663 DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program 3%1 97% 2000: DIRECT CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ - 2002 Client Housing Support - 2003 Client Transportation&Support 400 2004 Clothing, Food,&Hygiene 2,500 2005 Education Support - 2006 Employment Support - 2007 Household Items for Clients - 2008 Medication Supports - 2009 Program Supplies-Medical - 2010 Utility Vouchers - 2011 Other(specify) - 2012 Other(specify) - 2013 Other(specify) - 2014 Other(specify) - 2015 10ther(specify) - 2016 10ther(specify) - DIRECT CLIENT CARE TOTAL $ 2,900 3000:DIRECT OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ 1,155 3002 Printing/Postage 300 3003 Office,Household&Program Supplies 1,020 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 900 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 180 3009 Other(specify) - 3010 Other(specify) - 3011 Other(specify) - 3012 Other(specify) - DIRECT OPERATING EXPENSES TOTAL: $ 3,555 4000: DIRECT FACILITIES&EQUIPMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Exhibit D-Pa e 36 of 44 Acct# Line Item Description Amount 4001 Building Maintenance $ - 4002 Rent/Lease Building 5,700 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities 900 4007 Other(specify) - 4008 Other(specify) - 4009 Other(specify) - 4010 10ther(specify) - DIRECT FACILITIES/EQUIPMENT TOTAL:j $ 6,600 5000: DIRECT SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network&Data Management) $ - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services-Dr Juan C.Garcia Cultrual Awareness/Mental Health Training 3,000 5004 Translation Services - 5005 Other(specify) - 5006 Other(specify) - 5007 Other(specify) - 5008 Other(specify) - DIRECT SPECIAL EXPENSES T0TAL:1 $ 3,000 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 760 6003 Accounting/Bookkeeping 2,700 6004 External Audit 390 6005 Insurance(Specify): - 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Personnel(Indirect Salaries&Benefits) - 6009 Other(specify) - 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - 6013 10ther(specify) - INDIRECT EXPENSES TOTAL $ 3,850 INDIRECT COST RATE 2.23% 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) - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Exhibit D-Page 37 of 44 7008 Other(specify) I - FIXED ASSETS EXPENSES TOTAL $ - TOTAL PROGRAM EXPENSES $ 113,568 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description Service Units Rate Amount 8001 Mental Health Services 0 - $ - 8002 Case Management 0 - - 8003 Crisis Services 0 - - 8004 Medication Support 0 - - 8005 Collateral 0 - - 8006 Plan Development 0 - 8007 Assessment 0 - - 8008 Rehabilitation 0 - 8009 Other(Specify) 0 - 8010 10ther(Specify) 0 - Estimated Specialty Mental Health Services Billing Totals: 0 $ - Estimated%of Clients who are Medi-Cal Beneficiaries 77 Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation(FFP)% 1 0% MEDI-CAL FFP TOTAL $ - 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 SABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ - 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment REALIGNMENT TOTAL $ - 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ 113,568 8302 PEI-Prevention&Early Intervention - 8303 INN-Innovations - 8304 WET-Workforce Education&Training - 8305 JCFTN-Capital Facilities&Technology - MHSA TOTAL $ 113,568 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants(Specify) - 8404 Other(Specify) - 8405 10ther(Specify) - OTHER REVENUE TOTAL $ - TOTAL PROGRAM FUNDING SOURCES: $ 113,568 NET PROGRAM COST: $ - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Exhibit D-Page 38 of 44 Consumer Family Advocacy Services Centro La Familia Advocacy Services Fiscal Year (FY) 2026-27 PARTIAL FTE DETAIL For all positions with FTE's split among multiple programs/contracts the below must be filled out Position Contract#/Name/Department/County FTE Program Manager 68/Differential Response-NRC 93706/DSS/Fresno 1 0.95 Total 0.95 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Exhibit D-Page 39 of 44 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Exhibit D-Page 40 of 44 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Exhibit D-Page 41 of 44 Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Position Contract#/Name/Department/County FTE Total 0.00 Exhibit D-Page 42 of 44 Consumer Family Advocacy Services Centro La Familia Advocacy Services Fiscal Year(FY)2026-27 Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM I AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 93,663 Administrative Positions 2,500 1101 Program Manager 2,500 Provide administrative oversight to the program and direct supervision of the Consumer Family Advocates @.05 FTE($4,166.66 per mo x 12 mo x.05%=$2,500) 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 10 - Program Positions 72,450 1116 Consumer Family Advocate 41,400 Provide direct services in the program including one-on-ones,linkages,support groups, outreach education,presentations,phone calls,and media education($3,450 per month x 12 months=$41,400) 1117 Consumer Family Advocate 31,050 Provide direct services in the program including one-on-ones,linkages,support groups, outreach education,presentations,phone calls,and media education($3,450 per month x 12 months x.75 FTE=$31,050) 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 12,501 1201 Retirement 2,249 Fringe benefits provided to the program staff @ 3%of total salary 1202 Worker's Compensation 532 Budgeted on current salary expenses:@[(.71 per$100)x$2,500]+[(.71 per$100)x $72,4501 1203 Health Insurance 9,720 Health Insurance for staff in program.Rate$450 mo X 1.80 FTE X 12 mo 1204 Other(specify) - 1205 Other(specify) 1206 Other(specify) - Direct Payroll Taxes&Expenses: 6,212 1301 OASDI - 1302 FICA/MEDICARE 5,733 Required Federal and State contribution @ 7.65%of total salary 1303 SUI 479 Required Federal and State contribution calculated @ 3.8%of each staff members salary for the first$7,000[(.050000)x.038]+[(1.75x7000)x.038 1304 Other(specify) - 1305 Other(specify) 1306 Other(specify) 2000:DIRECT CLIENT SUPPORT 2,900 2001 Child Care - 2002 Client Housing Support - 2003 Client Transportation&Support 400 Provide clients with bus passes to get to and from appointments for mental health services.Rate$1.25 per bus pass x 320 clients=$400 2004 Clothing,Food,&Hygiene 2,500 Provide clients with emergency support such as hygiene supplies,clothing,etc.as needed to help address immediate needs.Rate$100 per client x 25 clients 2005 Education Support - 2006 Employment Support Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020 Exhibit D-Page 43 of 44 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2007 Household Items for Clients 2008 Medication Supports 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 3,555 3001 Telecommunications 1,155 Cost of cell phone per month to conduct client services and communications at$50 x 12 months x 2 FTE=$1,200+Shared cost of Internet,Landlines(VOIP,PRI)rated at $2500/month x 12 months x 3%=$900.Requesting less due to limited budget. 3002 Printing/Postage 300 Postage to mail correspondences to clients at$25 per month x 12 months 3003 Office,Household&Program Supplies 1,020 Office supplies such as pens,paper,desktop items at$85 per mo x 12 mo 3004 Advertising - 3005 Staff Development&Training - 3006 Staff Mileage 900 Travel for program related activities such as client services,outreach events,meetings, trainings,presentations,etc.at.585 per mile x 128.21 miles per month x 12 months= $900 3007 Subscriptions&Memberships - 3008 Vehicle Maintenance 180 Shared cost of charging and storage of E-Vehicles used for transportation of clients. 3009 Other(specify) - 3010 Other(specify) 3011 Other(specify) 3012 1 Other(specify) 4000:DIRECT FACILITIES&EQUIPMENT 6,600 4001 Building Maintenance - 4002 Rent/Lease Building 5,700 Office space for staff to conduct services at$1.25 per square foot x 380 square feet x 12 months=$5,700 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles 4005 Security - 4006 Utilities 900 Utility services for staff office space at$2,500 per month x 12 months x 3%=$900 4007 Other(specify) - 4008 Other(specify) 4009 Other(specify) 4010 1 Other(specify) 5000:DIRECT SPECIAL EXPENSES 3,000 5001 Consultant(Network&Data Management) - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services-Dr Juan C.Garcia 3,000 Staff training on Cultural Awareness and Mental Health conducted by Dr.Juan Garcia, Cultrual Awareness/Mental Health Training LMFT.Occuring bi-monthly at$500 per training x 6 months=$3,000 5004 Translation Services - 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 1 Other(specify) 6000:INDIRECT EXPENSES 3,850 6001 Use this line and only this line for approved indirect - 6002 Professional Liability Insurance 760 Cost for general liability insurance services includes Cyber,D&O,Property,Employee Dishonesty,Auto,Professional.Annual Rate$25,337x 3%=$760 6003 Accounting/Bookkeeping 2,700 Cost for contracted accounting services through Industry Standards,Inc.Rate @$7,500 per mo x 12 mo x 3%=$2,700 6004 External Audit 390 Cost for annual external auditing services provided by CPA.Rate$13,000 x 3%=$390 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 Other(specify) 7000:DIRECT FIXED ASSETS 7001 Computer Equipment&Software 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020 Exhibit D-Page 44 of 44 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 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) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 1 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 113,568 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 113,568 BUDGET CHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 217/2020 Exhibit E Insurance Requirements 1. Required Policies Without limiting the County's right to obtain indemnification from the Contractor or any third parties, Contractor, at its sole expense, shall maintain in full force and effect the following insurance policies throughout the term of this Agreement. (A) Commercial General Liability. Commercial general liability insurance with limits of not less than Two Million Dollars ($2,000,000) per occurrence and an annual aggregate of Four Million Dollars ($4,000,000). This policy must be issued on a per occurrence basis. Coverage must include products, completed operations, property damage, bodily injury, personal injury, and advertising injury. The Contractor shall obtain an endorsement to this policy naming the County of Fresno, its officers, agents, employees, and volunteers, individually and collectively, as additional insureds, but only insofar as the operations under this Agreement are concerned. Such coverage for additional insureds will apply as primary insurance and any other insurance, or self-insurance, maintained by the County is excess only and not contributing with insurance provided under the Contractor's policy. (B) Automobile Liability. Automobile liability insurance with limits of not less than One Million Dollars ($1,000,000) per occurrence for bodily injury and for property damages. Coverage must include any auto used in connection with this Agreement. (C)Workers Compensation. Workers compensation insurance as required by the laws of the State of California with statutory limits. (D) Employer's Liability. Employer's liability insurance with limits of not less than One Million Dollars ($1,000,000) per occurrence for bodily injury and for disease. (E) Professional Liability. Professional liability insurance with limits of not less than One Million Dollars ($1,000,000) per occurrence and an annual aggregate of Three Million Dollars ($3,000,000). If this is a claims-made policy, then (1)the retroactive date must be prior to the date on which services began under this Agreement; (2)the Contractor shall maintain the policy and provide to the County annual evidence of insurance for not less than five years after completion of services under this Agreement; and (3) if the policy is canceled or not renewed, and not replaced with another claims-made policy with a retroactive date prior to the date on which services begin under this Agreement, then the Contractor shall purchase extended reporting coverage on its claims-made policy for a minimum of five years after completion of services under this Agreement. (F) Molestation Liability. Sexual abuse/ molestation liability insurance with limits of not less than Two Million Dollars ($2,000,000) per occurrence, with an annual aggregate of Four Million Dollars ($4,000,000). This policy must be issued on a per occurrence basis. (G)Cyber Liability. Cyber liability insurance with limits of not less than Two Million Dollars ($2,000,000) per occurrence. Coverage must include claims involving Cyber Risks. The cyber liability policy must be endorsed to cover the full replacement value of damage to, E-1 Exhibit E alteration of, loss of, or destruction of intangible property (including but not limited to information or data) that is in the care, custody, or control of the Contractor. Definition of Cyber Risks. "Cyber Risks" include but are not limited to (i) Security Breach, which may include Disclosure of Personal Information to an Unauthorized Third Party; (ii) data breach; (iii) breach of any of the Contractor's obligations under Article 10 and Exhibit F of this Agreement; (iv) system failure; (v) data recovery; (vi) failure to timely disclose data breach or Security Breach; (vii) failure to comply with privacy policy; (viii) payment card liabilities and costs; (ix) infringement of intellectual property, including but not limited to infringement of copyright, trademark, and trade dress; (x) invasion of privacy, including release of private information; (xi) information theft; (xii) damage to or destruction or alteration of electronic information; (xiii) cyber extortion; (xiv) extortion related to the Contractor's obligations under this Agreement regarding electronic information, including Personal Information; (xv) fraudulent instruction; (xvi) funds transfer fraud; (xvii) telephone fraud; (xviii) network security; (xix) data breach response costs, including Security Breach response costs; (xx) regulatory fines and penalties related to the Contractor's obligations under this Agreement regarding electronic information, including Personal Information; and (xxi) credit monitoring expenses. If the Contractor is a governmental entity, it may satisfy the policy requirements above through a program of self-insurance, including an insurance pooling arrangement or joint exercise of powers agreement. 2. Additional Requirements (A) Verification of Coverage. Within 30 days after the Contractor signs this Agreement, and at any time during the term of this Agreement as requested by the County's Risk Manager or the County Administrative Office, the Contractor shall deliver, or cause its broker or producer to deliver, to the County Risk Manager, at 2220 Tulare Street, 16th Floor, Fresno, California 93721, or HRRiskManagement@fresnocountyca.gov, and by mail or email to the person identified to receive notices under this Agreement, certificates of insurance and endorsements for all of the coverages required under this Agreement. (i) Each insurance certificate must state that: (1) the insurance coverage has been obtained and is in full force; (2) the County, its officers, agents, employees, and volunteers are not responsible for any premiums on the policy; and (3) the Contractor has waived its right to recover from the County, its officers, agents, employees, and volunteers any amounts paid under any insurance policy required by this Agreement and that waiver does not invalidate the insurance policy. (ii) The commercial general liability insurance certificate must also state, and include an endorsement, that the County of Fresno, its officers, agents, employees, and volunteers, individually and collectively, are additional insureds insofar as the operations under this Agreement are concerned. The commercial general liability insurance certificate must also state that the coverage shall apply as primary insurance and any other insurance, or self-insurance, maintained by the County E-2 Exhibit E shall be excess only and not contributing with insurance provided under the Contractor's policy. (iii) The automobile liability insurance certificate must state that the policy covers any auto used in connection with this Agreement. (iv) The professional liability insurance certificate, if it is a claims-made policy, must also state the retroactive date of the policy, which must be prior to the date on which services began under this Agreement. (v) The cyber liability insurance certificate must also state that it is endorsed, and include an endorsement, to cover the full replacement value of damage to, alteration of, loss of, or destruction of intangible property (including but not limited to information or data) that is in the care, custody, or control of the Contractor. (B) Acceptability of Insurers. All insurance policies required under this Agreement must be issued by admitted insurers licensed to do business in the State of California and possessing at all times during the term of this Agreement an A.M. Best, Inc. rating of no less than A: VI I. (C) Notice of Cancellation or Change. For each insurance policy required under this Agreement, the Contractor shall provide to the County, or ensure that the policy requires the insurer to provide to the County, written notice of any cancellation or change in the policy as required in this paragraph. For cancellation of the policy for nonpayment of premium, the Contractor shall, or shall cause the insurer to, provide written notice to the County not less than 10 days in advance of cancellation. For cancellation of the policy for any other reason, and for any other change to the policy, the Contractor shall, or shall cause the insurer to, provide written notice to the County not less than 30 days in advance of cancellation or change. The County in its sole discretion may determine that the failure of the Contractor or its insurer to timely provide a written notice required by this paragraph is a breach of this Agreement. (D) County's Entitlement to Greater Coverage. If the Contractor has or obtains insurance with broader coverage, higher limits, or both, than what is required under this Agreement, then the County requires and is entitled to the broader coverage, higher limits, or both. To that end, the Contractor shall deliver, or cause its broker or producer to deliver, to the County's Risk Manager certificates of insurance and endorsements for all of the coverages that have such broader coverage, higher limits, or both, as required under this Agreement. (E) Waiver of Subrogation. The Contractor waives any right to recover from the County, its officers, agents, employees, and volunteers any amounts paid under the policy of worker's compensation insurance required by this Agreement. The Contractor is solely responsible to obtain any policy endorsement that may be necessary to accomplish that waiver, but the Contractor's waiver of subrogation under this paragraph is effective whether or not the Contractor obtains such an endorsement. (F) County's Remedy for Contractor's Failure to Maintain. If the Contractor fails to keep in effect at all times any insurance coverage required under this Agreement, the County may, in addition to any other remedies it may have, suspend or terminate this E-3 Exhibit E Agreement upon the occurrence of that failure, or purchase such insurance coverage, and charge the cost of that coverage to the Contractor. The County may offset such charges against any amounts owed by the County to the Contractor under this Agreement. (G)Subcontractors. The Contractor shall require and verify that all subcontractors used by the Contractor to provide services under this Agreement maintain insurance meeting all insurance requirements provided in this Agreement. This paragraph does not authorize the Contractor to provide services under this Agreement using subcontractors. E-4 Exhibit F Data Security 1. Definitions Capitalized terms used in this Exhibit have the meanings set forth in this section 1. (A) "Authorized Employees" means the Contractor's employees who have access to Personal Information. (B) "Authorized Persons" means: (i) any and all Authorized Employees; and (ii) any and all of the Contractor's subcontractors, representatives, agents, outsourcers, and consultants, and providers of professional services to the Contractor, who have access to Personal Information and are bound by law or in writing by confidentiality obligations sufficient to protect Personal Information in accordance with the terms of this Exhibit L. (C)"Director" means the County's Director of the Department of Behavioral Health or his or her designee. (D)"Disclose" or any derivative of that word means to disclose, release, transfer, disseminate, or otherwise provide access to or communicate all or any part of any Personal Information orally, in writing, or by electronic or any other means to any person. (E) "Person" means any natural person, corporation, partnership, limited liability company, firm, or association. (F) "Personal Information" means any and all information, including any data, provided, or to which access is provided, to the Contractor by or upon the authorization of the County, under this Agreement, including but not limited to vital records, that: (i) identifies, describes, or relates to, or is associated with, or is capable of being used to identify, describe, or relate to, or associate with, a person (including, without limitation, names, physical descriptions, signatures, addresses, telephone numbers, e-mail addresses, education, financial matters, employment history, and other unique identifiers, as well as statements made by or attributable to the person); (ii) is used or is capable of being used to authenticate a person (including, without limitation, employee identification numbers, government-issued identification numbers, passwords or personal identification numbers (PINs), financial account numbers, credit report information, answers to security questions, and other personal identifiers); or (iii) is personal information within the meaning of California Civil Code section 1798.3, subdivision (a), or 1798.80, subdivision (e). Personal Information does not include publicly available information that is lawfully made available to the general public from federal, state, or local government records. (G)"Privacy Practices Complaint" means a complaint received by the County relating to the Contractor's (or any Authorized Person's) privacy practices, or alleging a Security Breach. Such complaint shall have sufficient detail to enable the Contractor to promptly investigate and take remedial action under this Exhibit N. (H) "Security Safeguards" means physical, technical, administrative or organizational security procedures and practices put in place by the Contractor (or any Authorized Persons) that relate to the protection of the security, confidentiality, value, or integrity of Personal Information. Security Safeguards shall satisfy the minimal requirements set forth in section 3(C) of this Exhibit N. F-1 Exhibit F (1) "Security Breach" means (i) any act or omission that compromises either the security, confidentiality, value, or integrity of any Personal Information or the Security Safeguards, or (ii) any unauthorized Use, Disclosure, or modification of, or any loss or destruction of, or any corruption of or damage to, any Personal Information. (J) "Use" or any derivative of that word means to receive, acquire, collect, apply, manipulate, employ, process, transmit, disseminate, access, store, disclose, or dispose of Personal Information. 2. Standard of Care (A) The Contractor acknowledges that, in the course of its engagement by the County under this Agreement, the Contractor, or any Authorized Persons, may Use Personal Information only as permitted in this Agreement. (B) The Contractor acknowledges that Personal Information is deemed to be confidential information of, or owned by, the County (or persons from whom the County receives or has received Personal Information) and is not confidential information of, or owned or by, the Contractor, or any Authorized Persons. The Contractor further acknowledges that all right, title, and interest in or to the Personal Information remains in the County (or persons from whom the County receives or has received Personal Information) regardless of the Contractor's, or any Authorized Person's, Use of that Personal Information. (C)The Contractor agrees and covenants in favor of the Country that the Contractor shall: (i) keep and maintain all Personal Information in strict confidence, using such degree of care under this section 2 as is reasonable and appropriate to avoid a Security Breach; (ii) Use Personal Information exclusively for the purposes for which the Personal Information is made accessible to the Contractor pursuant to the terms of this Exhibit N; (iii) not Use, Disclose, sell, rent, license, or otherwise make available Personal Information for the Contractor's own purposes or for the benefit of anyone other than the County, without the County's express prior written consent, which the County may give or withhold in its sole and absolute discretion; and (iv) not, directly or indirectly, Disclose Personal Information to any person (an "Unauthorized Third Party") other than Authorized Persons pursuant to this Agreement, without the Director's express prior written consent. (D) Notwithstanding the foregoing paragraph, in any case in which the Contractor believes it, or any Authorized Person, is required to disclose Personal Information to government regulatory authorities, or pursuant to a legal proceeding, or otherwise as may be required by applicable law, Contractor shall (i) immediately notify the County of the specific demand for, and legal authority for the disclosure, including providing County with a copy of any notice, discovery demand, subpoena, or order, as applicable, received by the Contractor, or any Authorized Person, from any government regulatory authorities, or in relation to any legal proceeding, and (ii) promptly notify the County F-2 Exhibit F before such Personal Information is offered by the Contractor for such disclosure so that the County may have sufficient time to obtain a court order or take any other action the County may deem necessary to protect the Personal Information from such disclosure, and the Contractor shall cooperate with the County to minimize the scope of such disclosure of such Personal Information. (E) The Contractor shall remain liable to the County for the actions and omissions of any Unauthorized Third Party concerning its Use of such Personal Information as if they were the Contractor's own actions and omissions. 3. Information Security (A) The Contractor covenants, represents and warrants to the County that the Contractor's Use of Personal Information under this Agreement does and will at all times comply with all applicable federal, state, and local, privacy and data protection laws, as well as all other applicable regulations and directives, including but not limited to California Civil Code, Division 3, Part 4, Title 1.81 (beginning with section 1798.80), and the Song- Beverly Credit Card Act of 1971 (California Civil Code, Division 3, Part 4, Title 1.3, beginning with section 1747). If the Contractor Uses credit, debit or other payment cardholder information, the Contractor shall at all times remain in compliance with the Payment Card Industry Data Security Standard ("PCI DSS") requirements, including remaining aware at all times of changes to the PCI DSS and promptly implementing and maintaining all procedures and practices as may be necessary to remain in compliance with the PCI DSS, in each case, at the Contractor's sole cost and expense. (B) The Contractor covenants, represents and warrants to the County that, as of the effective date of this Agreement, the Contractor has not received notice of any violation of any privacy or data protection laws, as well as any other applicable regulations or directives, and is not the subject of any pending legal action or investigation by, any government regulatory authority regarding same. (C)Without limiting the Contractor's obligations under section 3(A) of this Exhibit N, the Contractor's (or Authorized Person's) Security Safeguards shall be no less rigorous than accepted industry practices and, at a minimum, include the following: (i) limiting Use of Personal Information strictly to the Contractor's and Authorized Persons' technical and administrative personnel who are necessary for the Contractor's, or Authorized Persons', Use of the Personal Information pursuant to this Agreement; (ii) ensuring that all of the Contractor's connectivity to County computing systems will only be through the County's security gateways and firewalls, and only through security procedures approved upon the express prior written consent of the Director; (iii) to the extent that they contain or provide access to Personal Information, (a) securing business facilities, data centers, paper files, servers, back-up systems and computing equipment, operating systems, and software applications, including, but not limited to, all mobile devices and other equipment, operating systems, and software applications with information storage capability; (b) F-3 Exhibit F employing adequate controls and data security measures, both internally and externally, to protect (1) the Personal Information from potential loss or misappropriation, or unauthorized Use, and (2) the County's operations from disruption and abuse; (c) having and maintaining network, device application, database and platform security; (d) maintaining authentication and access controls within media, computing equipment, operating systems, and software applications; and (e) installing and maintaining in all mobile, wireless, or handheld devices a secure internet connection, having continuously updated anti-virus software protection and a remote wipe feature always enabled, all of which is subject to express prior written consent of the Director; (iv) encrypting all Personal Information at advance encryption standards of Advanced Encryption Standards (AES) of 128 bit or higher (a) stored on any mobile devices, including but not limited to hard disks, portable storage devices, or remote installation, or (b) transmitted over public or wireless networks (the encrypted Personal Information must be subject to password or pass phrase, and be stored on a secure server and transferred by means of a Virtual Private Network (VPN) connection, or another type of secure connection, all of which is subject to express prior written consent of the Director); (v) strictly segregating Personal Information from all other information of the Contractor, including any Authorized Person, or anyone with whom the Contractor or any Authorized Person deals so that Personal Information is not commingled with any other types of information; (vi) having a patch management process including installation of all operating system and software vendor security patches; (vii) maintaining appropriate personnel security and integrity procedures and practices, including, but not limited to, conducting background checks of Authorized Employees consistent with applicable law; and (viii) providing appropriate privacy and information security training to Authorized Employees. (D) During the term of each Authorized Employee's employment by the Contractor, the Contractor shall cause such Authorized Employees to abide strictly by the Contractor's obligations under this Exhibit N. The Contractor shall maintain a disciplinary process to address any unauthorized Use of Personal Information by any Authorized Employees. (E) The Contractor shall, in a secure manner, backup daily, or more frequently if it is the Contractor's practice to do so more frequently, Personal Information received from the County, and the County shall have immediate, real time access, at all times, to such backups via a secure, remote access connection provided by the Contractor, through the Internet. (F) The Contractor shall provide the County with the name and contact information for each Authorized Employee (including such Authorized Employee's work shift, and at least one alternate Authorized Employee for each Authorized Employee during such work shift) who shall serve as the County's primary security contact with the Contractor and shall be F-4 Exhibit F available to assist the County twenty-four (24) hours per day, seven (7) days per week as a contact in resolving the Contractor's and any Authorized Persons' obligations associated with a Security Breach or a Privacy Practices Complaint. (G)The Contractor shall not knowingly include or authorize any Trojan Horse, back door, time bomb, drop dead device, worm, virus, or other code of any kind that may disable, erase, display any unauthorized message within, or otherwise impair any County computing system, with or without the intent to cause harm. 4. Security Breach Procedures (A) Immediately upon the Contractor's awareness or reasonable belief of a Security Breach, the Contractor shall (i) notify the Director of the Security Breach, such notice to be given first by telephone at the following telephone number, followed promptly by email at the following email addresses: incidents(a)fresnocountyca.gov, 559-600-5900, (559) 600- 4645, dbh contracted services(@fresnocountyca.gov, dbhforensicservices(a�fresnocountyca.gov (which telephone number and email address the County may update by providing notice to the Contractor), and (ii) preserve all relevant evidence (and cause any affected Authorized Person to preserve all relevant evidence) relating to the Security Breach. The notification shall include, to the extent reasonably possible, the identification of each type and the extent of Personal Information that has been, or is reasonably believed to have been, breached, including but not limited to, compromised, or subjected to unauthorized Use, Disclosure, or modification, or any loss or destruction, corruption, or damage. (B) Immediately following the Contractor's notification to the County of a Security Breach, as provided pursuant to section 4(A) of this Exhibit N, the Parties shall coordinate with each other to investigate the Security Breach. The Contractor agrees to fully cooperate with the County, including, without limitation: (i) assisting the County in conducting any investigation; (ii) providing the County with physical access to the facilities and operations affected; (iii) facilitating interviews with Authorized Persons and any of the Contractor's other employees knowledgeable of the matter; and (iv) making available all relevant records, logs, files, data reporting and other materials required to comply with applicable law, regulation, industry standards, or as otherwise reasonably required by the County. To that end, the Contractor shall, with respect to a Security Breach, be solely responsible, at its cost, for all notifications required by law and regulation, or deemed reasonably necessary by the County, and the Contractor shall provide a written report of the investigation and reporting required to the Director within 30 days after the Contractor's discovery of the Security Breach. (C) County shall promptly notify the Contractor of the Director's knowledge, or reasonable belief, of any Privacy Practices Complaint, and upon the Contractor's receipt of that notification, the Contractor shall promptly address such Privacy Practices Complaint, F-5 Exhibit F including taking any corrective action under this Exhibit N, all at the Contractor's sole expense, in accordance with applicable privacy rights, laws, regulations and standards. In the event the Contractor discovers a Security Breach, the Contractor shall treat the Privacy Practices Complaint as a Security Breach. Within 24 hours of the Contractor's receipt of notification of such Privacy Practices Complaint, the Contractor shall notify the County whether the matter is a Security Breach, or otherwise has been corrected and the manner of correction, or determined not to require corrective action and the reason for that determination. (D)The Contractor shall take prompt corrective action to respond to and remedy any Security Breach and take mitigating actions, including but not limiting to, preventing any reoccurrence of the Security Breach and correcting any deficiency in Security Safeguards as a result of such incident, all at the Contractor's sole expense, in accordance with applicable privacy rights, laws, regulations and standards. The Contractor shall reimburse the County for all reasonable costs incurred by the County in responding to, and mitigating damages caused by, any Security Breach, including all costs of the County incurred relation to any litigation or other action described section 4(E) of this Exhibit N. (E) The Contractor agrees to cooperate, at its sole expense, with the County in any litigation or other action to protect the County's rights relating to Personal Information, including the rights of persons from whom the County receives Personal Information. 5. Oversight of Security Compliance (A) The Contractor shall have and maintain a written information security policy that specifies Security Safeguards appropriate to the size and complexity of the Contractor's operations and the nature and scope of its activities. (B) Upon the County's written request, to confirm the Contractor's compliance with this Exhibit N, as well as any applicable laws, regulations and industry standards, the Contractor grants the County or, upon the County's election, a third party on the County's behalf, permission to perform an assessment, audit, examination or review of all controls in the Contractor's physical and technical environment in relation to all Personal Information that is Used by the Contractor pursuant to this Agreement. The Contractor shall fully cooperate with such assessment, audit or examination, as applicable, by providing the County or the third party on the County's behalf, access to all Authorized Employees and other knowledgeable personnel, physical premises, documentation, infrastructure and application software that is Used by the Contractor for Personal Information pursuant to this Agreement. In addition, the Contractor shall provide the County with the results of any audit by or on behalf of the Contractor that assesses the effectiveness of the Contractor's information security program as relevant to the security and confidentiality of Personal Information Used by the Contractor or Authorized Persons during the course of this Agreement under this Exhibit N. (C)The Contractor shall ensure that all Authorized Persons who Use Personal Information agree to the same restrictions and conditions in this Exhibit N. that apply to the Contractor with respect to such Personal Information by incorporating the relevant provisions of these provisions into a valid and binding written agreement between the F-6 Exhibit F Contractor and such Authorized Persons, or amending any written agreements to provide same. 6. Return or Destruction of Personal Information. Upon the termination of this Agreement, the Contractor shall, and shall instruct all Authorized Persons to, promptly return to the County all Personal Information, whether in written, electronic or other form or media, in its possession or the possession of such Authorized Persons, in a machine readable form used by the County at the time of such return, or upon the express prior written consent of the Director, securely destroy all such Personal Information, and certify in writing to the County that such Personal Information have been returned to the County or disposed of securely, as applicable. If the Contractor is authorized to dispose of any such Personal Information, as provided in this Exhibit N, such certification shall state the date, time, and manner (including standard) of disposal and by whom, specifying the title of the individual. The Contractor shall comply with all reasonable directions provided by the Director with respect to the return or disposal of Personal Information and copies of Personal Information. If return or disposal of such Personal Information or copies of Personal Information is not feasible, the Contractor shall notify the County according, specifying the reason, and continue to extend the protections of this Exhibit N to all such Personal Information and copies of Personal Information. The Contractor shall not retain any copy of any Personal Information after returning or disposing of Personal Information as required by this section 6. The Contractor's obligations under this section 6 survive the termination of this Agreement and apply to all Personal Information that the Contractor retains if return or disposal is not feasible and to all Personal Information that the Contractor may later discover. 7. Equitable Relief. The Contractor acknowledges that any breach of its covenants or obligations set forth in this Exhibit N may cause the County irreparable harm for which monetary damages would not be adequate compensation and agrees that, in the event of such breach or threatened breach, the County is entitled to seek equitable relief, including a restraining order, injunctive relief, specific performance and any other relief that may be available from any court, in addition to any other remedy to which the County may be entitled at law or in equity. Such remedies shall not be deemed to be exclusive but shall be in addition to all other remedies available to the County at law or in equity or under this Agreement. 8. Indemnity. The Contractor shall defend, indemnify and hold harmless the County, its officers, employees, and agents, (each, a "County Indemnitee")from and against any and all infringement of intellectual property including, but not limited to infringement of copyright, trademark, and trade dress, invasion of privacy, information theft, and extortion, unauthorized Use, Disclosure, or modification of, or any loss or destruction of, or any corruption of or damage to, Personal Information, Security Breach response and remedy costs, credit monitoring expenses, forfeitures, losses, damages, liabilities, deficiencies, actions, judgments, interest, awards, fines and penalties (including regulatory fines and penalties), costs or expenses of whatever kind, including attorneys' fees and costs, the cost of enforcing any right to indemnification or defense under this Exhibit N and the cost of pursuing any insurance providers, arising out of or resulting from any third party claim or action against any County Indemnitee in relation to the Contractor's, its officers, employees, or agents, or any Authorized Employee's or Authorized Person's, performance or failure to perform under this Exhibit N or arising out of or resulting from the Contractor's failure to comply with any of its obligations under this section 8. The provisions of this section 8 do not apply to the acts or omissions of the F-7 Exhibit F County. The provisions of this section 8 are cumulative to any other obligation of the Contractor to, defend, indemnify, or hold harmless any County Indemnitee under this Agreement. The provisions of this section 8 shall survive the termination of this Agreement. 9. Survival. The respective rights and obligations of the Contractor and the County as stated in this Exhibit N shall survive the termination of this Agreement. 10. No Third Party Beneficiary. Nothing express or implied in the provisions of in this Exhibit N is intended to confer, nor shall anything in this Exhibit N confer, upon any person other than the County or the Contractor and their respective successors or assignees, any rights, remedies, obligations or liabilities whatsoever. 11. No County Warranty. The County does not make any warranty or representation whether any Personal Information in the Contractor's (or any Authorized Person's) possession or control, or Use by the Contractor (or any Authorized Person), pursuant to the terms of this Agreement is or will be secure from unauthorized Use, or a Security Breach or Privacy Practices Complaint. F-8 Exhibit G BEHAVIORAL HEALTH REQUIREMENTS 1. CONTROL REQUIREMENTS The County and its subcontractors shall provide services in accordance with all applicable Federal and State statutes and regulations. 2. PROFESSIONAL LICENSURE All (professional level) persons employed by the County Mental Health Plan (directly or through contract) providing Short-Doyle/Medi-Cal services have met applicable professional licensure requirements pursuant to Business and Professions and Welfare and Institutions Codes. 3. CONFIDENTIALITY Contractor shall conform to and County shall monitor compliance with all State of California and Federal statutes and regulations regarding confidentiality, including but not limited to confidentiality of information requirements at 42, Code of Federal Regulations sections 2.1 et seq; California Welfare and Institutions Code, sections 14100.2, 11977, 11812, 5328; Division 10.5 and 10.6 of the California Health and Safety Code; Title 22, California Code of Regulations, section 51009; and Division 1, Part 2.6, Chapters 1-7 of the California Civil Code. 4. NON-DISCRIMINATION A. Eligibility for Services Contractor shall prepare and make available to County and to the public all eligibility requirements to participate in the program plan set forth in the Agreement. No person shall, because of ethnic group identification, age, gender, color, disability, medical condition, national origin, race, ancestry, marital status, religion, religious creed, political belief or sexual preference be excluded from participation, be denied benefits of, or be subject to discrimination under any program or activity receiving Federal or State of California assistance. B. Employment Opportunity Contractor shall comply with County policy, and the Equal Employment Opportunity Commission guidelines, which forbids discrimination against any person on the grounds of race, color, national origin, sex, religion, age, disability status, or sexual preference in employment practices. Such practices include retirement, recruitment advertising, hiring, layoff, termination, upgrading, demotion, transfer, rates of pay or other forms of compensation, use of facilities, and other terms and conditions of employment. G-1 Exhibit G C. Suspension of Compensation If an allegation of discrimination occurs, County may withhold all further funds, until Contractor can show clear and convincing evidence to the satisfaction of County that funds provided under this Agreement were not used in connection with the alleged discrimination. D. Nepotism Except by consent of County's Department of Behavioral Health Director, or designee, no person shall be employed by Contractor who is related by blood or marriage to, or who is a member of the Board of Directors or an officer of Contractor. 5. PATIENTS' RIGHTS Contractor shall comply with applicable laws and regulations, including but not limited to, laws, regulations, and State policies relating to patients' rights. STATE CONTRACTOR CERTIFICATION CLAUSES 1. STATEMENT OF COMPLIANCE: Contractor has, unless exempted, complied with the non-discrimination program requirements. (Gov. Code§ 12990 (a-f) and CCR, Title 2, Section 111 02) (Not applicable to public entities.) 2. DRUG-FREE WORKPLACE REQUIREMENTS: Contractor will comply with the requirements of the Drug-Free Workplace Act of 1990 and will provide a drug- free workplace by taking the following actions: A. Publish a statement notifying employees that unlawful manufacture, distribution, dispensation, possession or use of a controlled substance is prohibited and specifying actions to be taken against employees for violations. b. Establish a Drug-Free Awareness Program to inform employees about: 1) the dangers of drug abuse in the workplace; 2) the person's or organization's policy of maintaining a drug-free workplace; 3) any available counseling, rehabilitation and employee assistance programs; and, 4) penalties that may be imposed upon employees for drug abuse violations. C. Every employee who works on this Agreement will: 1) receive a copy of the company's drug-free workplace policy statement; and, 2) agree to abide by the terms of the company's statement as a condition of employment on this Agreement. G-2 Exhibit G Failure to comply with these requirements may result in suspension of payments under this Agreement or termination of this Agreement or both and Contractor may be ineligible for award of any future State agreements if the department determines that any of the following has occurred: the Contractor has made false certification, or violated the certification by failing to carry out the requirements as noted above. (Gov. Code §8350 et seq.) 3. NATIONAL LABOR RELATIONS BOARD CERTIFICATION: Contractor certifies that no more than one (1) final unappealable finding of contempt of court by a Federal court has been issued against Contractor within the immediately preceding two (2) year period because of Contractor's failure to comply with an order of a Federal court, which orders Contractor to comply with an order of the National Labor Relations Board. (Pub. Contract Code §10296) (Not applicable to public entities.) 4. CONTRACTS FOR LEGAL SERVICES $50,000 OR MORE- PRO BONO REQUIREMENT: Contractor hereby certifies that Contractor will comply with the requirements of Section 6072 of the Business and Professions Code, effective January 1, 2003. Contractor agrees to make a good faith effort to provide a minimum number of hours of pro bono legal services during each year of the contract equal to the lessor of 30 multiplied by the number of full time attorneys in the firm's offices in the State, with the number of hours prorated on an actual day basis for any contract period of less than a full year or 10% of its contract with the State. Failure to make a good faith effort may be cause for non-renewal of a state contract for legal services, and may be taken into account when determining the award of future contracts with the State for legal services. 5. EXPATRIATE CORPORATIONS: Contractor hereby declares that it is not an expatriate corporation or subsidiary of an expatriate corporation within the meaning of Public Contract Code Section 10286 and 10286.1, and is eligible to contract with the State of California. 6. SWEATFREE CODE OF CONDUCT: a. All Contractors contracting for the procurement or laundering of apparel, garments or corresponding accessories, or the procurement of equipment, materials, or supplies, other than procurement related to a public works contract, declare under penalty of perjury that no apparel, garments or corresponding accessories, equipment, materials, or supplies furnished to the state pursuant to the contract have been laundered or produced in whole or in part by sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor, or with the benefit of sweatshop labor, forced labor, convict labor, indentured labor under penal sanction, abusive forms of child labor or exploitation of children in sweatshop labor. Contractor further declares under penalty of perjury that they adhere to the Sweatfree Code of Conduct as set forth on G-3 Exhibit G the California Department of Industrial Relations website located at www.dir.ca.gov, and Public Contract Code Section 6108. b. Contractor agrees to cooperate fully in providing reasonable access to the Contractor's records, documents, agents or employees, or premises if reasonably required by authorized officials of the contracting agency, the Department of Industrial Relations, or the Department of Justice to determine the Contractor's compliance with the requirements under paragraph (a). 7. DOMESTIC PARTNERS: For contracts of$100,000 or more, Contractor certifies that Contractor is in compliance with Public Contract Code Section 10295.3. 8. GENDER IDENTITY: For contracts of$100,000 or more, Contractor certifies that CONTRACTOR is in compliance with Public Contract Code Section 10295.35. DOING BUSINESS WITH THE STATE OF CALIFORNIA The following laws apply to persons or entities doing business with the State of California. 1. CONFLICT OF INTEREST: Contractor needs to be aware of the following provisions regarding current or former state employees. If Contractor has any questions on the status of any person rendering services or involved with this Agreement, the awarding agency must be contacted immediately for clarification. Current State Employees (Pub. Contract Code M 0410): a). No officer or employee shall engage in any employment, activity or enterprise from which the officer or employee receives compensation or has a financial interest and which is sponsored or funded by any state agency, unless the employment, activity or enterprise is required as a condition of regular state employment. b). No officer or employee shall contract on his or her own behalf as an independent Contractor with any state agency to provide goods or services. Former State Employees (Pub. Contract Code §10411): a). For the two (2) year period from the date he or she left state employment, no former state officer or employee may enter into a contract in which he or she engaged in any of the negotiations, transactions, planning, arrangements or any part of the decision-making process relevant to the contract while employed in any capacity by any state agency. G-4 Exhibit G b). For the twelve (12) month period from the date he or she left state employment, no former state officer or employee may enter into a contract with any state agency if he or she was employed by that state agency in a policy-making position in the same general subject area as the proposed contract within the twelve (12) month period prior to his or her leaving state service. If Contractor violates any provisions of above paragraphs, such action by Contractor shall render this Agreement void. (Pub. Contract Code §10420) Members of boards and commissions are exempt from this section if they do not receive payment other than payment of each meeting of the board or commission, payment for preparatory time and payment for per diem. (Pub. Contract Code §10430 (e)) 2. LABOR CODE/WORKERS' COMPENSATION: Contractor needs to be aware of the provisions which require every employer to be insured against liability for Worker's Compensation or to undertake self-insurance in accordance with the provisions, and CONTRACTOR affirms to comply with such provisions before commencing the performance of the work of this Agreement. (Labor Code Section 3700) 3. AMERICANS WITH DISABILITIES ACT: Contractor assures the State that it complies with the Americans with Disabilities Act (ADA) of 1990, which prohibits discrimination on the basis of disability, as well as all applicable regulations and guidelines issued pursuant to the ADA. (42 U.S.C. 12101 et seq.) 4. CONTRACTOR NAME CHANGE: An amendment is required to change the Contractor's name as listed on this Agreement. Upon receipt of legal documentation of the name change the State will process the amendment. Payment of invoices presented with a new name cannot be paid prior to approval of said amendment. 5. CORPORATE QUALIFICATIONS TO DO BUSINESS IN CALIFORNIA: a. When agreements are to be performed in the state by corporations, the contracting agencies will be verifying that the CONTRACTOR is currently qualified to do business in California in order to ensure that all obligations due to the state are fulfilled. b. "Doing business" is defined in R&TC Section 23101 as actively engaging in any transaction for the purpose of financial or pecuniary gain or profit. Although there are some statutory exceptions to taxation, rarely will a corporate Contractor performing within the state not be subject to the franchise tax. C. Both domestic and foreign corporations (those incorporated outside of California) must be in good standing in order to be qualified to do business in California. Agencies will determine whether a corporation is in good standing by calling the Office of the Secretary of State. G-5 Exhibit G 6. RESOLUTION: A County, city, district, or other local public body must provide the State with a copy of a resolution, order, motion, or ordinance of the local governing body, which by law has authority to enter into an agreement, authorizing execution of the agreement. 7. AIR OR WATER POLLUTION VIOLATION: Under the State laws, the Contractor shall not be: (1) in violation of any order or resolution not subject to review promulgated by the State Air Resources Board or an air pollution control district; (2) subject to cease and desist order not subject to review issued pursuant to Section 13301 of the Water Code for violation of waste discharge requirements or discharge prohibitions; or (3)finally determined to be in violation of provisions of federal law relating to air or water pollution. 8. PAYEE DATA RECORD FORM STD. 204: This form must be completed by all Contractors that are not another state agency or other governmental entity. 9. INSPECTION AND AUDIT OF RECORDS AND ACCESS TO FACILITIES: The State, CMS, the Office of the Inspector General, the Comptroller General, and their designees may, at any time, inspect and audit any records or documents of Contractor or its subcontractors, and may, at any time, inspect the premises, physical facilities, and equipment where Medicaid-related activities or work is conducted. The right to audit under this section exists for ten (10) years from the final date of the contract period or from the date of completion of any audit, whichever is later. Federal database checks. Consistent with the requirements at § 455.436 of this chapter, the State must confirm the identity and determine the exclusion status of Contractor, any subcontractor, as well as any person with an ownership or control interest, or who is an agent or managing employee of Contractor through routine checks of Federal databases. This includes the Social Security Administration's Death Master File, the National Plan and Provider Enumeration System (NPPES), the List of Excluded Individuals/Entities (LEIE), the System for Award Management (SAM), and any other databases as the State or Secretary may prescribe. These databases must be consulted upon contracting and no less frequently than monthly thereafter. If the State finds a party that is excluded, it must promptly notify the Contractor and take action consistent with § 438.610(c). The State must ensure that Contractor with which the State contracts under this part is not located outside of the United States and that no claims paid by a Contractor to a network provider, out-of-network provider, subcontractor or financial institution located outside of the U.S. are considered in the development of actuarially sound capitation rates. G-6 Exhibit G CALIFORNIA ADVANCING AND INNOVATING MEDI-CAL (CAL-AIM) REQUIREMENTS 1. SERVICES AND ACCESS PROVISIONS a. CERTIFICATION OF ELIGIBILITY i. Contractor will, in cooperation with County, comply with Section 14705.5 of California Welfare and Institutions Code to obtain a certification of an individual's eligibility for Specialty Mental Health Services (SMHS) under Medi-Cal. b. ACCESS TO SPECIALTY MENTAL HEALTH SERVICES i. In collaboration with the County, Contractor will work to ensure that individuals to whom the Contractor provides SMHS meet access criteria, as per Department of Health Care Services (DHCS) guidance specified in BHIN 21-073. Specifically, the Contractor will ensure that the clinical record for each individual includes information as a whole indicating that individual's presentation and needs are aligned with the criteria applicable to their age at the time of service provision as specified below. ii. For enrolled individuals under 21 years of age, Contractor shall provide all medically necessary SMHS required pursuant to Section 1396d(r) of Title 42 of the United States Code. Covered SMHS shall be provided to enrolled individuals who meet either of the following criteria, (1) or (11) below. If an individual under age 21 meets the criteria as described in (1) below, the beneficiary meets criteria to access SMHS; it is not necessary to establish that the beneficiary also meets the criteria in (b) below. 1. The individual 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 DHCS, involvement in the child welfare system, juvenile justice involvement, or experiencing homelessness. OR 2. The individual has at least one of the following: a. A significant impairment b. A reasonable probability of significant deterioration in an important area of life functioning c. A reasonable probability of not progressing developmentally as appropriate. d. A need for SMHS, regardless of presence of impairment, that are not included within the mental health benefits that a Medi-Cal Managed Care Plan (MCP) is required to provide. AND the individual's condition as described in subparagraph (11 a-d) above is due to one of the following: G-7 Exhibit G a. A diagnosed mental health disorder, according to the criteria in the current editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM) and the International Classification of Diseases and Related Health Problems (ICD). b. A suspected mental health disorder that has not yet been diagnosed. c. Significant trauma placing the individual at risk of a future mental health condition, based on the assessment of a licensed mental health professional. iii. For individuals 21 years of age or older, Contractor shall provide covered SMHS for clients who meet both of the following criteria, (a) and (b) below: 1. The individual has one or both of the following: a. Significant impairment, where impairment is defined as distress, disability, or dysfunction in social, occupational, or other important activities. b. A reasonable probability of significant deterioration in an important area of life functioning. 2. The individual's condition as described in paragraph (a) is due to either of the following: a. A diagnosed mental health disorder, according to the criteria in the current editions of the DSM and ICD. b. A suspected mental disorder that has not yet been diagnosed. c. ADDITIONAL CLARIFICATIONS i. Criteria 1. A clinically appropriate and covered mental health prevention, screening, assessment, treatment, or recovery service listed within Exhibit A of this Agreement can be provided and submitted to the County for reimbursement under any of the following circumstances: a. The services were provided prior to determining a diagnosis, including clinically appropriate and covered services provided during the assessment process; b. The service was not included in an individual treatment plan; or c. The individual had a co-occurring substance use disorder. ii. Diagnosis Not a Prerequisite 1. Per BHIN 21-073, a mental health diagnosis is not a prerequisite for access to covered SMHS. This does not eliminate the requirement that all Medi-Cal claims, including SMHS claims, include a current Centers for G-8 Exhibit G Medicare & Medicaid Services (CMS) approved ICD diagnosis code d. MEDICAL NECESSITY i. Contractor will ensure that services provided are medically necessary in compliance with BHIN 21-073 and pursuant to Welfare and Institutions Code section 14184.402(a). Services provided to a client must be medically necessary and clinically appropriate to address the individual's presenting condition. Documentation in each individual's chart as a whole will demonstrate medical necessity as defined below, based on the client's age at the time of service provision. ii. For individuals 21 years of age or older, a service is "medically necessary" or a "medical necessity" when it is reasonable and necessary to protect life, to prevent significant illness or significant disability, or to alleviate severe pain as set forth in Welfare and Institutions Code section 14059.5. iii. For individuals under 21 years of age, a service is "medically necessary" or a "medical necessity" if the service meets the standards set forth in Section 1396d(r)(5) of Title 42 of the United States Code. e. COORDINATION OF CARE i. Contractor shall ensure that all care, treatment and services provided pursuant to this Agreement are coordinated among all providers who are serving the individual, including all other SMHS providers, as well as providers of Non-Specialty Mental Health Services (NSMHS), substance use disorder treatment services, physical health services, dental services, regional center services and all other services as applicable to ensure a client-centered and whole-person approach to services. ii. Contractor shall ensure that care coordination activities support the monitoring and treatment of comorbid substance use disorder and/or health conditions. iii. Contractor shall include in care coordination activities efforts to connect, refer and link individual s to community-based services and supports, including but not limited to educational, social, prevocational, vocational, housing, nutritional, criminal justice, transportation, childcare, child development, family/marriage education, cultural sources, and mutual aid support groups. iv. Contractor shall engage in care coordination activities beginning at intake and throughout the treatment and discharge planning processes. v. To facilitate care coordination, Contractor will request a HIPAA and California law compliant client authorization to share the individual's information with and among all other providers involved in the individual's care, in satisfaction of state and federal privacy laws and regulations. f. CO-OCCURRING TREATMENT AND NO WRONG DOOR G-9 Exhibit G i. Per BHIN 22-011, Specialty and Non-Specialty Mental Health Services can be provided concurrently, if those services are clinically appropriate, coordinated, and not duplicative. When a client meets criteria for both NSMHS and SMHS, the individual should receive services based on individual clinical need and established therapeutic relationships. Clinically appropriate and covered SMHS can also be provided when the individual has a co- occurring mental health condition and substance use disorder. ii. Under this Agreement, Contractor will ensure that individual s receive timely mental health services without delay. Services are reimbursable to Contractor by County even when: 1. Services are provided prior to determination of a diagnosis, during the assessment or prior to determination of whether SMHS access criteria are met, even if the assessment ultimately indicates the individual does not meet criteria for SMHS. 2. If Contractor is serving a individual receiving both SMHS and NSMHS, Contractor holds responsibility for documenting coordination of care and ensuring that services are non-duplicative. 2. AUTHORIZATION AND DOCUMENTATION PROVISIONS a. SERVICE AUTHORIZATION i. Contractor will collaborate with County to complete authorization requests in line with County and DHCS policy. ii. Contractor shall have in place, and follow, written policies and procedures for completing requests for initial and continuing authorizations of services, as required by County guidance. iii. Contractor shall respond to County in a timely manner when consultation is necessary for County to make appropriate authorization determinations. iv. County shall provide Contractor with written notice of authorization determinations within the timeframes set forth in BHINs 22-016 and 22-017, or any subsequent DHCS notices. v. Contractor shall alert County when an expedited authorization decision (no later than 72 hours) is necessary due to an individual's specific needs and circumstances that could seriously jeopardize the individual s life or health, or ability to attain, maintain, or regain maximum function. b. DOCUMENTATION REQUIREMENTS i. Contractor will follow all documentation requirements as specified in Article 4.2-4.8 inclusive in compliance with federal, state and County requirements. ii. All Contractor documentation shall be accurate, complete, and legible, shall list each date of service, and include the face-to-face time for each service. Contractor shall document travel and documentation time for each service separately from face-to-face time and provide this information to County upon request. G-10 Exhibit G Services must be identified as provided in-person, by telephone, or by telehealth. iii. All services shall be documented utilizing County-approved templates and contain all required elements. Contractor agrees to satisfy the chart documentation requirements set forth in BHIN 22- 019 and the contract between County and DHCS. Failure to comply with documentation standards specified in this Article require corrective action plans. c. ASSESSMENT i. Contractor shall ensure that all individuals' medical records include an assessment of each individual's need for mental health services. ii. Contractor will utilize the seven uniform assessment domains and include other required elements as identified in BHIN 22-019 and document the assessment in the individual's medical record. iii. For individual s aged 6 through 20, the Child and Adolescent Needs and Strengths (CANS), and for individual s aged 3 through 18, the Pediatric Symptom Checklist-35 (PSC-35) tools are required at intake, every six months during treatment, and at discharge, as specified in DHCS MHSUDS INs 17-052 and 18- 048. iv. The time period for providers to complete an initial assessment and subsequent assessments for SMHS are up to clinical discretion of County; however, Contractor's providers shall complete assessments within a reasonable time and in accordance with generally accepted standards of practice. d. ICD-10 i. Contractor shall use the criteria set forth in the current edition of the DSM as the clinical tool to make diagnostic determinations. ii. Once a DSM diagnosis is determined, the Contractor shall determine the corresponding mental health diagnosis in the current edition of ICD. Contractor shall use the ICD diagnosis code(s) to submit a claim for SMHS to receive reimbursement from County. iii. The ICD Tabular List of Diseases and Injuries is maintained by CMS and may be updated during the term of this Agreement. Changes to the lists of ICD diagnoses do not require an amendment to this Agreement, and County may implement these changes as provided by CMS e. PROBLEM LIST i. Contractor will create and maintain a Problem List for each individual served under this Agreement. The problem list is a list of symptoms, conditions, diagnoses, and/or risk factors identified through assessment, psychiatric diagnostic evaluation, crisis encounters, or other types of service encounters. ii. Contractor must document a problem list that adheres to industry standards utilizing at minimum current SNOMED International, G-11 Exhibit G Systematized Nomenclature of Medicine Clinical Terms (SNOMED CTO) U.S. Edition, September 2022 Release, and ICD- 10-CM 2023. iii. A problem identified during a service encounter may be addressed by the service provider during that service encounter and subsequently added to the problem list. iv. The problem list shall include, but is not limited to, all elements specified in BHIN 22-019. v. County does not require the problem list to be updated within a specific timeframe or have a requirement about how frequently the problem list should be updated after a problem has initially been added. However, Contractor shall update the problem list within a reasonable time such that the problem list reflects the current issues facing the client, in accordance with generally accepted standards of practice and in specific circumstances specified in BHIN 22-019. f. TREATMENT AND CARE PLANS i. Contractor is not required to complete treatment or care plans for clients under this Agreement, except in the circumstances specified in BHIN 22-019 and additional guidance from DHCS that may follow after execution of this Agreement. g. PROGRESS NOTES i. Contractor shall create progress notes for the provision of all SMHS services provided under this Agreement. ii. Each progress note shall provide sufficient detail to support the service code selected for the service type as indicated by the service code description. iii. Progress notes shall include all elements specified in BHIN 22- 019, whether the note be for an individual or a group service. iv. Contractor shall complete progress notes within three business days of providing a service, with the exception of notes for crisis services, which shall be completed within 24 hours. v. Providers shall complete a daily progress note for services that are billed on a daily basis, such as residential and day treatment services, if applicable. h. TRANSITION OF CARE TOOL i. Contractor shall use a Transition of Care Tool for any individual whose existing services will be transferred from Contractor to an Medi-Cal Managed Care Plan (MCP) provider or when NSMHS will be added to the existing mental health treatment provided by Contractor, as specified in BHIN 22-065, in order to ensure continuity of care. ii. Determinations to transition care or add services from an MCP shall be made in alignment with County policies and via a person- centered, shared decision-making process. iii. Contractor may directly use the DHCS-provided Transition of Care Tool, found at https://www.dhcs.ca.gov/Pages/Screening-and- G-12 Exhibit G Transition-of-Care-Tools-for-Medi-Cal-Mental-Health- Services.aspx, or obtain a copy of that tool provided by the County. Contractor may create the Transition of Care Tool in its Electronic Health Record (EHR). However, the contents of the Transition of Care Tool, including the specific wording and order of fields, shall remain identical to the DHCS provided form. The only exception to this requirement is when the tool is translated into languages other than English. i. TELEHEALTH i. Contractor may use telehealth, when it deems clinically appropriate, as a mode of delivering behavioral health services in accordance with all applicable County, state, and federal requirements, including those related to privacy/security, efficiency, and standards of care. Such services will conform to the definitions and meet the requirements included in the Medi-Cal Provider Manual: Telehealth, available in the DHCS Telehealth Resources page at: https://www.dhcs.ca.gov/provqovpart/Pages/TelehealthResources .aspx. ii. All telehealth equipment and service locations must ensure that client confidentiality is maintained. iii. Licensed providers and staff may provide services via telephone and telehealth as long as the service is within their scope of practice. iv. Medical records for individuals served by Contractor under this Agreement must include documentation of written or verbal consent for telehealth or telephone services if such services are provided by Contractor. Such consent must be obtained at least once prior to initiating applicable health care services and consent must include all elements as specified in BHIN 22-019. v. County may at any time audit Contractor's telehealth practices, and Contractor must allow access to all materials needed to adequately monitor Contractor's adherence to telehealth standards and requirements. 3. CLIENT PROTECTIONS a. GRIEVANCES, APPEALS AND NOTICES OF ADVERSE BENEFIT DETERMINATION i. All grievances (as defined by 42 C.F.R. § 438.400) and complaints received by Contractor must be immediately forwarded to the County's Managed Care Department or other designated persons via a secure method (e.g., encrypted email or by fax) to allow ample time for the Managed Care staff to acknowledge receipt of the grievance and complaints and issue appropriate responses. ii. Contractor shall not discourage the filing of grievances and individual s do not need to use the term "grievance" for a complaint to be captured as an expression of dissatisfaction and, therefore, a grievance. G-13 Exhibit G iii. Aligned with MHSUDS IN 18-010E and 42 C.F.R. §438.404, the appropriate and delegated Notice of Adverse Benefit Determination (NOABD) must be issued by Contractor within the specified timeframes using the template provided by the County. iv. NOABDs must be issued to individuals anytime the Contractor has made or intends to make an adverse benefit determination that includes the reduction, suspension, or termination of a previously authorized service and/or the failure to provide services in a timely manner. The notice must have a clear and concise explanation of the reason(s) for the decision as established by DHCS and the County. The Contractor must inform the County immediately after issuing a NOABD. v. Procedures and timeframes for responding to grievances, issuing and responding to adverse benefit determinations, appeals, and state hearings must be followed as per 42 C.F.R., Part 438, Subpart F (42 C.F.R. §§ 438.400 —438.424). vi. Contractor must provide individuals any reasonable assistance in completing forms and taking other procedural steps related to a grievance or appeal such as auxiliary aids and interpreter services. vii. Contractor must maintain records of grievances and appeals and must review the information as part of its ongoing monitoring procedures. The record must be accurately maintained in a manner accessible to the County and available upon request to DHCS. b. Advanced Directives i. Contractor must comply with all County policies and procedures regarding Advanced Directives in compliance with the requirements of 42 C.F.R. §§ 422.128 and 438.6(i) (1), (3) and (4). c. Continuity of Care i. Contractor shall follow the County's continuity of care policy that is in accordance with applicable state and federal regulations, MHSUDS IN 18-059 and any BHINs issued by DHCS for parity in mental health and substance use disorder benefits subsequent to the effective date of this Agreement (42 C.F.R. § 438.62(b)(1)-(2).) 4. QUALITY IMPROVEMENT PROGRAM a. QUALITY IMPROVEMENT ACTIVITIES AND PARTICIPATION i. Contractor shall implement mechanisms to assess person served/family satisfaction based on County's guidance. The Contractor shall assess individual/family satisfaction by: 1. Surveying person served/family satisfaction with the Contractor's services at least annually. 2. Evaluating person served's grievances, appeals and State Hearings at least annually. 3. Evaluating requests to change persons providing services at least annually. G-14 Exhibit G 4. Informing the County and individuals of the results of client/family satisfaction activities. ii. Contractor, if applicable, shall implement mechanisms to monitor the safety and effectiveness of medication practices. This mechanism shall be under the supervision of a person licensed to prescribe or dispense prescription drugs, at least annually and as required by DBH. iii. Contractor shall implement mechanisms to monitor appropriate and timely intervention of occurrences that raise quality of care concerns. The Contractor shall take appropriate follow-up action when such an occurrence is identified. The results of the intervention shall be evaluated by the Contractor at least annually and shared with the County. iv. Contractor shall assist County, as needed, with the development and implementation of Corrective Action Plans. v. Contractor shall collaborate with County to create a QI Work Plan with documented annual evaluations and documented revisions as needed. The QI Work Plan shall evaluate the impact and effectiveness of its quality assessment and performance improvement program. vi. Contractor shall attend and participate in the County's Quality Improvement Committee (QIC) to recommend policy decisions, review and evaluate results of QI activities, including PIPs, institute needed QI actions, and ensure follow-up of QI processes. Contractor shall ensure that there is active participation by the Contractor's practitioners and providers in the QIC. vii. Contractor shall participate, as required, in annual, independent external quality reviews (EQR) of the quality, timeliness, and access to the services covered under this Contract, which are conducted pursuant to Subpart E of Part 438 of the Code of Federal Regulations. (42 C.F.R. §§ 438.350(a) and 438.320) b. TIMELY ACCESS i. Timely access standards include: 1. Contractor must have hours of operation during which services are provided to Medi-Cal individuals that are no less than the hours of operation during which the provider offers services to non-Medi-Cal individual s. If the Contractor's provider only serves Medi-Cal clients, the provider must provide hours of operation comparable to the hours the provider makes available for Medi-Cal services that are not covered by the Agreement or another County. 2. Appointments data, including wait times for requested services, must be recorded and tracked by Contractor, and submitted to the County on a monthly basis in a format specified by the County. Appointments' data should be submitted to the County's Quality Management Department or other designated persons. G-15 Exhibit G 3. Urgent care appointments for services that do not require prior authorization must be provided to individual s within 48 hours of a request. Urgent appointments for services that do require prior authorization must be provided to clients within 96 hours of request. 4. Non-urgent non-psychiatry mental health services, including, but not limited to Assessment, Targeted Case Management, and Individual and Group Therapy appointments (for both adult and children/youth) must be made available to Medi-Cal individuals within 10 business days from the date the individual or a provider acting on behalf of the individual, requests an appointment for a medically necessary service. Non-urgent psychiatry appointments (for both adult and children/youth) must be made available to Medi-Cal individual s within 15 business days from the date the client or a provider acting on behalf of the individual, requests an appointment for a medically necessary service. 5. Applicable appointment time standards may be extended if the referring or treating provider has determined and noted in the individual's record that a longer waiting period will not have a detrimental impact on the health of the individual. 6. Periodic office visits to monitor and treat mental health conditions may be scheduled in advance consistent with professionally recognized standards of practice as determined by the treating licensed mental health provider acting within the scope of their practice. c. PROVIDER APPLICATION AND VALIDATION FOR ENROLLMENT (PAVE) i. Contractor shall ensure that all of its required clinical staff, who are rendering SMHS to Medi-Cal individuals on behalf of Contractor, are registered through DHCS' Provider Application and Validation for Enrollment (PAVE) portal, pursuant to BHIN 20- 071 requirements, the 21st Century Cures Act and the CMS Medicaid and Children's Health Insurance Program (CHIP) Managed Care Final Rule. ii. SMHS licensed individuals required to enroll via the "Ordering, Referring and Prescribing" (ORP) PAVE enrollment pathway (i.e. PAVE application package) available through the DHCS PED Pave Portal, include: Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), Psychologist, Licensed Educational Psychologist, Physician (MD and DO), Physician Assistant, Registered Pharmacist/Pharmacist, Certified Pediatric/Family Nurse Practitioner, Nurse Practitioner, Occupational Therapist, and Speech-Language Pathologist. Interns, trainees, and associates are not eligible for enrollment. G-16 Exhibit G d. PHYSICIAN INCENTIVE PLAN i. If Contractor wants to institute a Physician Incentive Plan, Contractor shall submit the proposed plan to the County which will in turn submit the Plan to the State for approval, in accordance with the provisions of 42 C.F.R. § 438.6(c). 5. DATA, PRIVACY AND SECURITY REQUIREMENTS a. ELECTRONIC PRIVACY AND SECURITY i. Contractor shall have a secure email system and send any email containing PII or PHI in a secure and encrypted manner. Contractor's email transmissions shall display a warning banner stating that data is confidential, systems activities are monitored and logged for administrative and security purposes, systems use is for authorized users only, and that users are directed to log off the system if they do not agree with these requirements. ii. Contractor shall institute compliant password management policies and procedures, which shall include but not be limited to procedures for creating, changing, and safeguarding passwords. Contractor shall establish guidelines for creating passwords and ensuring that passwords expire and are changed at least once every 90 days. iii. Any Electronic Health Records (EHRs) maintained by Contractor that contain PHI or PII for individuals served through this Agreement shall contain a warning banner regarding the PHI or PII contained within the EHR. Contractors that utilize an EHR shall maintain all parts of the clinical record that are not stored in the EHR, including but not limited to the following examples of client signed documents: discharge plans, informing materials, and health questionnaire. iv. Contractor entering data into any County electronic systems shall ensure that staff are trained to enter and maintain data within this system. 6. PROGRAM INTEGRITY a. Credentialing and Re-credentialing of Providers i. Contractor shall ensure that all of their network providers delivering covered services, sign and date an attestation statement on a form provided by County, in which each provider attests to the following: 1. Any limitations or inabilities that affect the provider's ability to perform any of the position's essential functions, with or without accommodation; 2. A history of loss of license or felony convictions; 3. A history of loss or limitation of privileges or disciplinary activity; 4. A lack of present illegal drug use; and 5. The application's accuracy and completeness G-17 Exhibit G ii. Contractor must file and keep track of attestation statements, credentialing applications and credentialing status for all of their providers and must make those available to the County upon request at any time. iii. Contractor is required to sign an annual attestation statement at the time of Agreement renewal in which they will attest that they will follow County's Credentialing Policy and MHSUDS IN 18-019 and ensure that all of their rendering providers are credentialed as per established guidelines. G-18 Exhibit H 1 National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care The National CLAS Standards are intended to advance health equity, improve quality, and help eliminate health care disparities by establishing a blueprint for health and health care organizations to: Principal Standard: 1. Provide effective,equitable,understandable,and respectful quality care and services that are responsive to diverse cultural health beliefs and practices,preferred languages,health literacy,and other communication needs. Governance,Leadership,and Workforce: 2. Advance and sustain organizational governance and leadership that promotes CLAS and health equity through policy,practices,and allocated resources. 3. Recruit,promote,and support a culturally and linguistically diverse governance,leadership,and workforce that are responsive to the population in the service area. 4. Educate and train governance,leadership,and workforce in culturally and linguistically appropriate policies and practices on an ongoing basis. Communication and Language Assistance: 5. Offer language assistance to individuals who have limited English proficiency and/or other communication needs,at no cost to them,to facilitate timely access to all health care and services. 6. Inform all individuals of the availability of language assistance services clearly and in their preferred language,verbally and in writing. 7. Ensure the competence of individuals providing language assistance,recognizing that the use of untrained individuals and/or minors as interpreters should be avoided. 8. Provide easy-to-understand print and multimedia materials and signage in the languages commonly used by the populations in the service area. Engagement,Continuous Improvement,and Accountability: 9. Establish culturally and linguistically appropriate goals,policies,and management accountability,and infuse them throughout the organization's planning and operations. 10. Conduct ongoing assessments of the organization's CLAS-related activities and integrate CLAS-related measures into measurement and continuous quality improvement activities. 11. Collect and maintain accurate and reliable demographic data to monitor and evaluate the impact of CLAS on health equity and outcomes and to inform service delivery. 12. Conduct regular assessments of community health assets and needs and use the results to plan and implement services that respond to the cultural and linguistic diversity of populations in the service area. 13. Partner with the community to design,implement,and evaluate policies,practices,and services to ensure cultural and linguistic appropriateness. 14. Create conflict and grievance resolution processes that are culturally and linguistically appropriate to identify,prevent,and resolve conflicts or complaints. 15. Communicate the organization's progress in implementing and sustaining CLAS to all stakeholders,constituents,and the general public. ��� 1 Think Cultural Health F S(_ U.S.Deporfinentof https://www.thinkculturalhealth.hhs.gov/ �O M H Health and Human Services Office of Minority Health contact@thinkculturalhealth.hhs.gov o�� H-1 Exhibit H 2 The Case for the National CLAS Standards Health equity is the attainment of the highest level of health for all people.'Currently,individuals across the United States from various cultural backgrounds are unable to attain their highest level of health for several reasons,including the social determinants of health,or those conditions in which individuals are born,grow,live,work,and age,2 such as socioeconomic status,education level,and the availability of health services.3 Though health inequities are directly related to the existence of historical and current discrimination and social injustice,one of the most modifiable factors is the lack of culturally and linguistically appropriate services,broadly defined as care and services that are respectful of and responsive to the cultural and linguistic needs of all individuals. Of all the forms of Health inequities result in disparities that directly affect the quality of life for all individuals. Health disparities adversely affect neighborhoods,communities,and the broader society,thus making inequality, injustice in the issue not only an individual concern but also a public health concern. In the United States,it health care is the most has been estimated that the combined cost of health disparities and subsequent deaths due to shocking and inhumane. inadequate and/or inequitable care is$1.24 trillion.4 Culturally and linguistically appropriate services are increasingly recognized as effective in improving —Dr. Martin Luther King,Jr. the quality of care and services.5,6 By providing a structure to implement culturally and linguistically appropriate services,the National CLAS Standards will improve an organization's ability to address health care disparities. The National CLAS Standards align with the HHS Action Plan to Reduce Racial and Ethnic Health Disparities'and the National Stakeholder Strategy for Achieving Health Equity,8 which aim to promote health equity through providing clear plans and strategies to guide collaborative efforts that address racial and ethnic health disparities across the country. Similar to these initiatives,the National CLAS Standards are intended to advance health equity,improve quality,and help eliminate health care disparities by providing a blueprint for individuals and health and health care organizations to implement culturally and linguistically appropriate services.Adoption of these Standards will help advance better health and health care in the United States. Bibliography 1. U.S.Department of Health and Human Services,Office of Minority Health(2011).National Partnership for Action to End Health Disparities.Retrieved from http://minorityhealth.hhs.gov/npa 2.World Health Organization.(2012).Social determinants of health.Retrieved from http://www.who.int/social_determinants/en/ 3. U.S.Department of Health and Human Services,Office of Disease Prevention and Health Promotion.(2010).Healthy people 2020:Social determinants of health.Retrieved from http://www. hea lthypeopl e.gov/2020/to picsobjectives2O20/overvi ew.as px?topicid=39 4. LaVeist,T A.,Gaskin,D.J.,&Richard,P(2009).The economic burden of health inequalities in the United States.Retrieved from the Joint Center for Political and Economic Studies website:http://www. jointeenter.org/sites/default/files/upload/research/files/The%20Economic%2 OBurden%20of%2OHealth%201nequalities%20in%20the%2OUnited%2OStates.pdf 5. Beach,M.C.,Cooper,L.A.,Robinson,K.A.,Price,E.G.,Gary,T.L.,Jenckes,M.W.,Powe,N.R.(2004).Strategies for improving minority healthcare quality.(AHRQ Publication No.04-EO08-02).Retrieved from the Agency of Healthcare Research and Quality website:http://www.ahrq.gov/downloads/pub/evidence/pdf/minqual/minquai.pdf 6.Goode,T.D.,Dunne,M.C.,&Bronheim,S.M.(2006).The evidence base for cultural and linguistic competency in health care.(Commonwealth Fund Publication No.962).Retrieved from The Commonwealth Fund website:http://www.commonwealthfund.org/usr_doc/Goode_evidencebasecultiinguisticcomp_962.pdf 7. U.S.Department of Health and Human Services.(2011).HHS action plan to reduce racial and ethnic health disparities:A nation free of disparities in health and health care.Retrieved from http:// minorityhealth.hhs.gov/npa/f les/Plans/HHS/H HS_Plan_complete.pdf 8. National Partnership for Action to End Health Disparities.(2011).National stakeholder strategy for achieving health equity.Retrieved from U.S.Department of Health and Human Services,Office of Minority Health website:http://www.minorityhealth.hhs.gov/npa/templates/content.aspx?lvl=1&lvlid=33&ID=286 ��� 1 Think Cultural Health F S(_ U.S.Deportment of https://www.thinkculturalhealth.hhs.gov/ 1O M H Health and Human Services Office of Minority Health contact@thinkculturalhealth.hhs.gov o�� H-2 Exhibit I FRESNO COUNTY MENTAL HEALTH COMPLIANCE PROGRAM CONTRACTOR CODE OF CONDUCT AND ETHICS Fresno County is firmly committed to full compliance with all applicable laws, regulations, rules and guidelines that apply to the provision and payment of mental health services. Mental health contractors and the manner in which they conduct themselves are a vital part of this commitment. Fresno County has established this Contractor Code of Conduct and Ethics with which contractor and its employees and subcontractors shall comply. Contractor shall require its employees and subcontractors to attend a compliance training that will be provided by Fresno County. After completion of this training, Contractor, Contractor' employees and subcontractors must sign the Contractor Acknowledgment and Agreement form and return this form to the Compliance Officer or designee. Contractor and its employees and subcontractor shall: 1. Comply with all applicable laws, regulations, rules or guidelines when providing and billing for mental health services. 2. Conduct themselves honestly, fairly, courteously and with a high degree of integrity in their professional dealing related to their contract with the County and avoid any conduct that could reasonably be expected to reflect adversely upon the integrity of the County. 3. Treat County employees, persons served, and other mental health contractors fairly and with respect. 4. NOT engage in any activity in violation of the County's Compliance Program, nor engage in any other conduct which violates any applicable law, regulation, rule or guideline 5. Take precautions to ensure that claims are prepared and submitted accurately, timely and are consistent with all applicable laws, regulations, rules or guidelines. 6. Ensure that no false, fraudulent, inaccurate or fictitious claims for payment or reimbursement of any kind are submitted. 1-1 Exhibit 1 7. Bill only for eligible services actually rendered and fully documented. Use billing codes that accurately describe the services provided. 8. Act promptly to investigate and correct problems if errors in claims or billing are discovered. 9. Promptly report to the Compliance Officer any suspected violation(s) of this Code of Conduct and Ethics by County employees or other mental health contractors, or report any activity that they believe may violate the standards of the Compliance Program, or any other applicable law, regulation, rule or guideline. Fresno County prohibits retaliation against any person making a report. Any person engaging in any form of retaliation will be subject to disciplinary or other appropriate action by the County. Contractor may report anonymously. 10. Consult with the Compliance Officer if you have any questions or are uncertain of any Compliance Program standard or any other applicable law, regulation, rule or guideline. 11. Immediately notify the Compliance Officer if they become or may become an Ineligible person and therefore excluded from participation in the Federal Health Care Programs. 1-2 Exhibit I Fresno County Mental Health Compliance Program Contractor Acknowledgment and Agreement I hereby acknowledge that I have received, read and understand the Contractor Code of Conduct and Ethics. I herby acknowledge that I have received training and information on the Fresno County Mental Health Compliance Program and understand the contents thereof. I further agree to abide by the Contractor Code of Conduct and Ethics, and all Compliance Program requirements as they apply to my responsibilities as a mental health contractor for Fresno County. I understand and accept my responsibilities under this Agreement. I further understand that any violation of the Contractor Code of Conduct and Ethics or the Compliance Program is a violation of County policy and may also be a violation of applicable laws, regulations, rules or guidelines. I further understand that violation of the Contractor Code of Conduct and Ethics or the Compliance Program may result in termination of my agreement with Fresno County. I further understand that Fresno County will report me to the appropriate Federal or State agency. For Individual Providers Name (print): Discipline: ❑ Psychiatrist ❑ Psychologist ❑ LCSW ❑ LMFT Signature: Date: For Group or Organizational Providers Group/Org. Name (print): Employee Name (print): Discipline: ❑ Psychiatrist ❑ Psychologist ❑ LCSW ❑ LMFT ❑ Other: Job Title (if different from Discipline): Signature: Date: 1-3 Exhibit J FRESNO COUNTY MENTAL HEALTH PLAN Grievances Fresno County Mental Health Plan (MHP) provides beneficiaries with a grievance and appeal process and an expedited appeal process to resolve grievances and disputes at the earliest and the lowest possible level. Title 9 of the California Code of Regulations requires that the MHP and its fee-for-service providers give verbal and written information to Medi-Cal beneficiaries regarding the following: • How to access specialty mental health services • How to file a grievance about services • How to file for a State Fair Hearing The MHP has developed a Consumer Guide, a beneficiary rights poster, a grievance form, an appeal form, and Request for Change of Provider Form. All of these beneficiary materials must be posted in prominent locations where Medi-Cal beneficiaries receive outpatient specialty mental health services, including the waiting rooms of providers' offices of service. Please note that all fee-for-service providers and contract agencies are required to give the individuals served copies of all current beneficiary information annually at the time their treatment plans are updated and at intake. Beneficiaries have the right to use the grievance and/or appeal process without any penalty, change in mental health services, or any form of retaliation. All Medi-Cal beneficiaries can file an appeal or state hearing. Grievances and appeals forms and self addressed envelopes must be available for beneficiaries to pick up at all provider sites without having to make a verbal or written request. Forms can be sent to the following address: Fresno County Mental Health Plan P.O. Box 45003 Fresno, CA 93718-9886 (800) 654-3937 (for more information) (559) 488-3055 (TTY) Provider Problem Resolution and Appeals Process The MHP uses a simple, informal procedure in identifying and resolving provider concerns and problems regarding payment authorization issues, other complaints and concerns. Informal provider problem resolution process—the provider may first speak to a Provider Relations Specialist (PRS) regarding his or her complaint or concern. J-1 Exhibit J The PRS will attempt to settle the complaint or concern with the provider. If the attempt is unsuccessful and the provider chooses to forego the informal grievance process, the provider will be advised to file a written complaint to the MHP address (listed above). Formal provider appeal process—the provider has the right to access the provider appeal process at any time before, during, or after the provider problem resolution process has begun, when the complaint concerns a denied or modified request for MHP payment authorization, or the process or payment of a provider's claim to the MHP. Payment authorization issues—the provider may appeal a denied or modified request for payment authorization or a dispute with the MHP regarding the processing or payment of a provider's claim to the MHP. The written appeal must be submitted to the MHP within 90 calendar days of the date of the receipt of the non-approval of payment. The MHP shall have 60 calendar days from its receipt of the appeal to inform the provider in writing of the decision, including a statement of the reasons for the decision that addresses each issue raised by the provider, and any action required by the provider to implement the decision. If the appeal concerns a denial or modification of payment authorization request, the MHP utilizes a Managed Care staff who was not involved in the initial denial or modification decision to determine the appeal decision. If the Managed Care staff reverses the appealed decision, the provider will be asked to submit a revised request for payment within 30 calendar days of receipt of the decision Other complaints— if there are other issues or complaints, which are not related to payment authorization issues, providers are encouraged to send a letter of complaint to the MHP. The provider will receive a written response from the MHP within 60 calendar days of receipt of the complaint. The decision rendered buy the MHP is final. J-2 Exhibit K INCIDENT REPORTING PROTOCOL FOR COMPLETION OF INCIDENT REPORT The Incident Report must be completed for all incidents involving individuals served through DBH's current incident reporting portal, Logic Manager, at https:Hfresnodbh.logicmanager.com/incidents/?t=9&p=1&k=182beOc5cdcd5072bb1864cdee 4d3d6e • The reporting portal is available 24 hours a day, every day. • Any employee of the Contractor can submit an incident using the reporting portal at any time. No login is required. • The designated administrator of the Contractor can add information to the follow up section of the report after submission. • When an employee submits an incident within 24 hours from the time of the incident or first knowledge of the incident, the Contractor's designated administrator, the assigned contract analyst and the Incident Reporting email inbox will be notified immediately via email from the Logic Manager system that there is a new incident to review. • Meeting the 24 hour incident reporting requirements will be easier as there are no signatures to collect. • The user guide attached identifies the reporting process and the reviewer process, and is subject to updates based on DBH's selected incident reporting portal system. • Employees involved in a crisis incident should be offered appropriate Employee Assistance Program (EAP) or similar related wellness and recovery assistance. In conjunction with the DBH's Guiding Principles of Care Delivery and wellness of the workforce, Contractor shall align their practices around this vision and ensure needed debriefing services are offered to all employees involved in a crisis incident. Employees shall be afforded all services to strengthen their recovery and wellness related to the crisis incident. Appropriate follow-up with the employee shall be carried out and a plan for workforce wellness shall be submitted to DBH. Questions about incident reporting, how to use the incident reporting portal, or designating/changing the name of the administrator who will review incidents for the Contractor should be emailed to DBHlncidentReporting@fresnocountyca.gov and the assigned contract analyst. K-1 Exhibit K co�,� Mental Health Plan (MHP) and Substance Use Disorder(SUD) services Incident Reporting System INCIDENT REVIEWER ROLE — User Guide Fresno County Department of Behavioral Health (DBH) requires all of its county-operated and contracted providers (through the Mental Health Plan (MHP) and Substance Use Disorder (SUD) services) to complete a written report of any incidents compromising the health and safety of persons served, employees, or community members. Yes! Incident reports will now be made through an on online reporting portal hosted by Logic Manager. It's an easier way for any employee to report an incident at any time. A few highlights: • No supervisor signature is immediately required. • Additional information can be added to the report by the program supervisor/manager without having to resubmit the incident. • When an incident is submitted, the assigned contract analyst, program supervisor/manager, clinical supervisor and the DBHlncidentReporting mailbox automatically receives an email notification of a new incident and can log in any time to review the incident. Everything that was on the original paper/electronic form matches the online form. • Do away with submitting a paper version with a signature. • This online submission allows for timely action for the health and safety of the persons-served, as well as compliance with state reporting timelines when necessary. As an Incident Reviewer,the responsibility is to: • Log in to Logic Manager and review incident submitted within 48 hours of notification of incident. • Review incident for clarity, missing information and add in additional information deemed appropriate. • Notify DBHlncidentReporting@fresnocountVca.gov if there is additional information to be report after initial submission • Contact.DBHlncidentReporting@fresnocountVca.gov if there are any concerns, questions or comments with Logic Manager or incident reporting. Below is the link to report incidents https://fresnodbh.logicmanager.com/incidents/?t=9&p=1&k=182be0c5cdcd5072bbl864cdee4d3d6e The link will take employees to the reporting screen to begin incident submission: K-2 Exhibit K E 0 Q Y fresnodbh.IogicmanagecmmAncidents/?t=9&p=l&k=182be0c5cdcd5072bbl8Wdee4d3d,,_ LogicManager Incident Report Please complete this form Client Information Name of Facility' Name of Reporting Party' Facility Address' Facility Phone Number' i Mental Health or Substance Use Disorder Program?' Client First Name' Client Last Name- F4 C 4 .,, .. t I .. :.. ..... ... i Client Date of Bi rth Client Address Client I Gender' County of Origin' Summary Subject O Incident(check all that apply)' If Other-specify(i.e.fire,poisoning,epidemic outbreaks,other catastrophes/events that jeopardize the welfare and safety of clients,staff and/or members of the community): Description of the incident' K-3 Exhibit K Similar to the paper version, multiple incident categories can be selected Incident(check all that apply)' Medical Emergency x Deathof Client x Homicide/Homicide Attempt AWOL/Elopement from locked facility Violence/Abuse/Assault(toward others,client and/or property Attempted Suicide(resulting in serious injury) Injury(self-Inflicted or by accident) Medication Error <— C 4 A fresnodbh.logicmaoegeccom/incidents/?t=9&p=1&k=182be0c5cdcd5072bbl864cdee4d3d6e Date of Incident' Time of Incident' Etereexi i Location of Incident' Enter=xt Key People Directly Involved in Incident(witnesses,staff)' F,- Did the Injured Party seek Medical Attention? Select ontio r Attach any additional details B Add File or Drop File Here Reported By Name' Enterexl Reported By Email' Fnter zxt i Reported On 10/30/2019 K-4 Exhibit K As another bonus feature, either drag files (such as a copy of a UOR, additional statements/document) or click on Add File to upl ad a file. 0 fresnodbh.logicmanageccom mcl - =1&k=182beOc5cdcd5072bb1864cdee4d3d6e B Add File or Drop File Here Reported By Name' Reported By Email' Reported On 10/30/2019 Follow Up Action Taken(check all that apply)' Please specify if other Description of Action Taken' msr te:., Outcome Similar to the paper version, multiple Action Taken categories can be selected. Follow Up Action Taken(check all that apply)' Law Enforcement Contacted% Called 911/EMS% Consulted with Physician First Aid/CPR Administered Client removed from building Parent/Legal Guardian Contacted Other When done entering all the information, simply click submit. Any fields that have a red asterisk, require information an will prevent submission of the form if left blank. K-5 Exhibit K A "Thank you for your submission" statement will pop up if an incident is successfully submitted. Click"Reload the Form"to submit another incident. LogicManager Thank you for your submission r RELOAD THE FORM A Notification email will be received when a new incident is reported, or a new comment has been made regarding an incident. Click on "Open this incident in Logic Manager" and the Logic Manager login screen will show. Wed 10/3(12n1911 SYSTEM LogicManager via custom r.support@logicmanager.com <customer.support@logicmanager.com> QNotification- To O DBH Incident Reporting 0If there are problems with how this message is displayed,click here to view it in a web Click here to download pictures.To help protect your privacy,Outlook prevented autom ocrdownload of some pictures in this message. CAUTIONM-EXTERNAL EMAIL-THINK BEFORE YOU CLICK x�right-cfrk>dp and Auld hnem dwnbd Picwr-.Tu Arb �tVdr Outlmk Prevtled aumnvtic danbd dei PiWnfmntlx Lv,eH ,Inc. Hi Mila Arevalo, You have received a notification through LogicManager.Please see the details below. Type:Incident Report Subject:102: Notification To:Mila Arevalo Ocen this incident in LoaicManaaer If using Internet Explorer,click here to open the notification This email was generated by LogicManager.If you have any technical issues, please email su000rtliffioaicmanauercom. K-6 Exhibit K Enter in email address and password. First time users will be prompted to set up a password. C Q O fresnodbh.my.logicmanager.com/login LogicManager Forgot your password? Once logged in,the main screen will show reviewer task(incidents to review). Click on analyst/supervisor follow up to view the incident. A Your Task List a TASK NAME SOURCE STATUS ASSIGNEDTO ASSIGNED BY DUE DATE- Analyst Follow Up In Progress —dhi[ SYSTEM-,V,Managci K-7 Exhibit K This screen below will then pop up. There are 5 tabs to navigate through. Client information will show the client and facility information. No edits can be made to this section. Analyst Follow Up Task Detailz Client lnkrmaxon AA TEST FACI III nameof facility' xame WaeportinBpaxy' sacillry AEErcas' sacniry vhone xumx.' The next tab is Sum ary: No edits can be made to this section. Analyst Follow Up Task Deta ils Client Information Summ ry Follow Up Doan bj t 0 Inclbenl(check all that apply)• Oeath of Dllmt lc If Other specify(Ia fire,po�sonm6.epbemx outbreaks,oVIk,—Urtropkes/ewntslhalleopardlk,the xrclhrcan0 safety olcllenb,uAff,.E/or membefsoflhe c —ly) De criptlon aflhe ind—t' B I / u $ ❑ — — — le E B Q D.A.lnclEent' 10130121013 Time onneiaent' f k«auon ormBlaenr f Task ID:3135ource:103:null « B 3 CANCEL K-8 Exhibit K The next tab is Follow up: This section can be edited. Add to th areas below or make corrections to these fields. Be sure to E w en edits are made.Then Cancel to Exi ut of the incident. Analyst Follow Up Task Details CI—tlnformatmn Summary Follow Up Documents Action Taken(check all that apply)' Law Enforcement Contacted X Pleasespecifyifother D—,,poon of Action Taken' f Outcome' f added inrormadon cause of deem-cancer per caroner 10-31-19� Task ID:313 Source:—null �c c t� CANC The next tab is Documents: View and add attachments to the incident. Be sure to click SAVE when adding documents.Then Cancel to Exit out of the incident. Analyst Follow Up Task Details Client Information Summary Follow Up Documents ---�' ® Add Document " Name Type Source Upload Date Uploaded By CAi No documents yet. Drop files here or click on the Add Document dmpdown. < 5 > » CA 11 C E L Task ID:313 Source:103:null If all tasks are followed up with and the incident no longer needs further review/information, click SUBMIT. Once submitted,the incident will be removed from the task list and no further edits can be made. Notice the SUBMIT button is on every tab. If further information needs to be included, email DBHlncidentReporting@fresnocountycagov K-9 Exhibit K To get back to the home view, click on the Lo is Manager icon at any time. Any incidents that still need review will show on this screen, click o c incident and start the review process again. Lr ,icManager pi— Your Task List 4 TASK NAME SOURCE STATUS ASSIGNEDTO ASSIGNED BY DUE DATE M,W F,11—Up MPmgezz meE hzf SYSTEM.,M—g, K-10 Exhibit L DISCLOSURE OF OWNERSHIP AND CONTROL INTEREST STATEMENT I. Identifying Information Name of entity D/B/A Address(number,street) City State ZIP code CLIA number Taxpayer ID number(EIN) Telephone number ( ) II. Answer the following questions by checking "Yes" or "No." If any of the questions are answered "Yes," list names and addresses of individuals or corporations under"Remarks"on page 2. Identify each item number to be continued. YES NO A. Are there any individuals or organizations having a direct or indirect ownership or control interest of five percent or more in the institution, organizations, or agency that have been convicted of a criminal offense related to the involvement of such persons or organizations in any of the programs established by Titles XVIII, XIX, or XX? ......................................................................................................................... o 0 B. Are there any directors, officers, agents, or managing employees of the institution, agency, or organization who have ever been convicted of a criminal offense related to their involvement in such programs established by Titles XVI 11, XIX, or XX?...................................................................................... n n C. Are there any individuals currently employed by the institution, agency, or organization in a managerial, accounting, auditing, or similar capacity who were employed by the institution's, organization's, or agency's fiscal intermediary or carrier within the previous 12 months? (Title XVIII providers only)........... o 71 III. A. List names, addresses for individuals, or the EIN for organizations having direct or indirect ownership or a controlling interest in the entity. (See instructions for definition of ownership and controlling interest.) List any additional names and addresses under "Remarks" on page 2. If more than one individual is reported and any of these persons are related to each other, this must be reported under"Remarks." NAME ADDRESS EIN B. Type of entity: n Sole proprietorship n Partnership o Corporation 71 Unincorporated Associations o Other(specify) C. If the disclosing entity is a corporation, list names, addresses of the directors, and EINs for corporations under"Remarks." D. Are any owners of the disclosing entity also owners of other Medicare/Medicaid facilities? (Example: sole proprietor, partnership, or members of Board of Directors) If yes, list names, addresses of individuals, and provider numbers........................................................................................................... > 71 NAME ADDRESS PROVIDER NUMBER L-1 Exhibit L YES NO IV. A. Has there been a change in ownership or control within the last year? ....................................................... n n If yes, give date. B. Do you anticipate any change of ownership or control within the year?....................................................... n n If yes, when? C. Do you anticipate filing for bankruptcy within the year?................................................................................ o 0 If yes, when? V. Is the facility operated by a management company or leased in whole or part by another organization?.......... o 0 If yes, give date of change in operations. VI. Has there been a change in Administrator, Director of Nursing, or Medical Director within the last year?......... o 0 VII. A. Is this facility chain affiliated? ...................................................................................................................... o 0 If yes, list name, address of corporation, and EIN. Name EIN Address(number,name) City State ZIP code B. If the answer to question VII.A. is NO, was the facility ever affiliated with a chain? (If yes, list name, address of corporation, and EIN.) Name EIN Address(number,name) City State ZIP code Whoever knowingly and willfully makes or causes to be made a false statement or representation of this statement, may be prosecuted under applicable federal or state laws. In addition, knowingly and willfully failing to fully and accurately disclose the information requested may result in denial of a request to participate or where the entity already participates, a termination of its agreement or contract with the agency, as appropriate. Name of authorized representative(typed) Title Signature Date Remarks L-2 Exhibit M CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS - PRIMARY COVERED TRANSACTIONS INSTRUCTIONS FOR CERTIFICATION 1. By signing and submitting this proposal, the prospective primary participant is providing the certification set out below. 2. The inability of a person to provide the certification required below will not necessarily result in denial of participation in this covered transaction. The prospective participant shall submit an explanation of why it cannot provide the certification set out below. The certification or explanation will be considered in connection with the department or agency's determination whether to enter into this transaction. However, failure of the prospective primary participant to furnish a certification or an explanation shall disqualify such person from participation in this transaction. 3. The certification in this clause is a material representation of fact upon which reliance was placed when the department or agency determined to enter into this transaction. If it is later determined that the prospective primary participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause or default. 4. The prospective primary participant shall provide immediate written notice to the department or agency to which this proposal is submitted if at any time the prospective primary participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 5. The terms covered transaction, debarred, suspended, ineligible, participant, person, primary covered transaction, principal, proposal, and voluntarily excluded, as used in this clause, have the meanings set out in the Definitions and Coverage sections of the rules implementing Executive Order 12549. You may contact the department or agency to which this proposal is being submitted for assistance in obtaining a copy of those regulations. 6. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. CERTIFICATION (1) The prospective primary participant certifies to the best of its knowledge and belief, that it, its owners, officers, corporate managers and partners: (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any Federal department or agency; (b) Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; M-1 Exhibit M (c) Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State or local) terminated for cause or default. (2) Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. Signature: Date: (Printed Name & Title) (Name of Agency or Company) M-2 Exhibit N Self-Dealing Transaction Disclosure Form In order to conduct business with the County of Fresno ("County"), members of a contractor's board of directors ("County Contractor"), must disclose any self-dealing transactions that they are a party to while providing goods, performing services, or both for the County. A self-dealing transaction is defined below: "A self-dealing transaction means a transaction to which the corporation is a party and in which one or more of its directors has a material financial interest." The definition above will be used for purposes of completing this disclosure form. Instructions (1) Enter board member's name, job title (if applicable), and date this disclosure is being made. (2) Enter the board member's company/agency name and address. (3) Describe in detail the nature of the self-dealing transaction that is being disclosed to the County. At a minimum, include a description of the following: a. The name of the agency/company with which the corporation has the transaction; and b. The nature of the material financial interest in the Corporation's transaction that the board member has. (4) Describe in detail why the self-dealing transaction is appropriate based on applicable provisions of the Corporations Code. The form must be signed by the board member that is involved in the self-dealing transaction described in Sections (3) and (4). N-1 Exhibit N (1) Company Board Member Information: Name: Date: Job Title: (2) Company/Agency Name and Address: (3) Disclosure (Please describe the nature of the self-dealing transaction you are a party to) (4) Explain why this self-dealing transaction is consistent with the requirements of Corporations Code § 5233 (a) (5) Authorized Signature Signature: Date: N-2