HomeMy WebLinkAboutA-24-439 Kings View Mobile Crisis Services.pdf Agreement No. 24-439
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2 AMENDMENT NO. 1 TO SERVICE AGREEMENT
3 This Amendment No. 1 to Service Agreement ("Amendment No. 1") is dated
4 August 20, 2024 and is between Kings View, a California non-profit corporation
5 ("Contractor"), and the County of Fresno, a political subdivision of the State of California
6 ("County").
7 Recitals
8 A. On April 9, 2024, the County and the Contractor entered into Agreement No. 24-148
9 ("Agreement") for Crisis Intervention Team, Medi-Cal Mobile Crisis Benefit Services and add
10 School-based Mobile Crisis Services Pilot within Fresno County, to help reduce stigma and
11 discrimination against mental illness and provide mental health and substance use disorder
12 crisis intervention services in a working partnership with Fresno metro and rural first responders.
13 The Agreement combined and superseded Agreement Nos. 23-303 and 23-308.
14 B. County entered into Agreement Nos. 23-303 and 23-308 on June 30, 2023 for Metro and
15 Rural programs respectively, amended by Agreement Nos. 24-039 and 24-040 on January 23,
16 2024, collectively Agreement Nos. 23-303 and 23-308, to add mandated Medi-Cal Mobile Crisis
17 Response Team (MCRT) services.
18 C. On September 20, 2022, the County entered into Agreement No. 22-420 with Advocates
19 for Human Potential, Inc. (AHP) for the Crisis Care Mobile Units (CCMU) Grant to add case
20 manager staff to the metro and rural programs under this Agreement.
21 D. On March 19, 2024, the County was selected by AHP to receive additional CCMU
22 funding to support case manager and clinical staff positions under this Agreement. The
23 additional CCMU funding will allow the County to reduce Realignment funding that was
24 previously used to fund the Agreement. The Amendment to Grant Agreement 22-420 to include
25 the additional CCMU funds is effective retroactively to January 31, 2024. The amount of
26 Realignment funding reduced will be matched by the additional CCMU funding the County
27 receives.
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1 E. On August 22, 2023, the County entered into Agreement No. 23-416 with California
2 Health Facilities Financing Authority (CHFFA) for the Investment in Mental Health Wellness
3 Grant for Children and Youth, to add case manager and clinical staff, and purchase vehicles to
4 establish school-based mobile crisis response teams.
5 F. On May 30, 2024, the County was granted an extension of the CHFFA grant agreement
6 to allow the County and Contractor additional time to purchase vehicles and outfit the vehicles
7 to allow for transportation of persons-served.
8 G. The County and the Contractor now desire to amend the Agreement retroactive to April
9 9, 2024 to incorporate additional CCMU funding and CHFFA grant extension to continue to build
10 the mobile crisis response program.
11 The parties therefore agree as follows:
12 1. All references to "Exhibit A-2" shall be deemed references to "Revised Exhibit A-2."
13 Revised Exhibit A-2 is attached and incorporated by this reference.
14 2. All references to "Exhibit F" shall be deemed references to "Revised Exhibit F." Revised
15 Exhibit F is attached and incorporated by this reference.
16 3. Section 4 of the Agreement, beginning on Page 10, Line 7, and ending on Page 18, Line
17 15 is deleted and replaced with the following:
18 "4.4 Crisis Care Mobile Unit (CCMU) Maximum Compensation. The
19 maximum compensation payable to the Contractor under this Agreement for the
20 period of April 9, 2024 through June 30, 2024 for CCMU Compensation is Two
21 Hundred Thirty-Two Thousand, Six Hundred Eleven and No/100 Dollars
22 ($232,611.00). The maximum compensation payable to the Contractor under this
23 Agreement for the period of July 1, 2024 through June 30, 2025 for CCMU
24 Compensation is Nine Hundred Eight Thousand, Seven Hundred Thirty-Two and
25 No/100 Dollars ($908,732.00).
26 4.5 CHFFA School-based Mobile Crisis Services Maximum
27 Compensation. The maximum compensation payable to the Contractor under
28 this Agreement for the period of July 1, 2024 through June 30, 2025 for CHFFA
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1 School-based Mobile Crisis Services is One Million, Two Hundred Ninety-One
2 Thousand, Six and No/100 Dollars ($1,291,006.00).
3 4.6 Mental Health Realignment Maximum Compensation. The maximum
4 compensation payable to the Contractor under this Agreement for the period of
5 April 9, 2024 through June 30, 2024 for Mental Health Realignment
6 Compensation is Three Hundred Eighty-Four Thousand, Three Hundred Forty-
7 Seven and No/100 Dollars ($384,347.00). The maximum compensation payable
8 to the Contractor under this Agreement for the period of July 1, 2024 through
9 June 30, 2025 for Mental Health Realignment Compensation is One Million,
10 Seventy Thousand, Five Hundred Twelve and No/100 Dollars ($1,070,512.00).
11 4.7 MHSA Prevention and Early Intervention (PEI) Services Maximum
12 Compensation. The maximum compensation payable to the Contractor under
13 this Agreement for the period of April 9, 2024 through June 30, 2024 for MHSA
14 PEI Services is Eight Hundred Ninety-Six Thousand, Fifty-Nine and No/100
15 Dollars ($896,059.00). The maximum compensation payable to the Contractor
16 under this Agreement for the period of July 1, 2024 through June 30, 2025 for
17 MHSA PEI Services is Three Million, Nine Hundred Eighty-Four Thousand, Two
18 Hundred Thirty-Eight and No/100 Dollars ($3,984,238.00).
19 4.8 Total Maximum Compensation. In no event shall the maximum contract
20 amount for all the services provided by the Contractor to County under the terms
21 and conditions of this Agreement be in excess of Ten Million, Five Hundred
22 Three Thousand, Three Hundred Ninety-Nine and No/100 Dollars
23 ($10,503,399.00) during the entire term of this Agreement. The Contractor
24 acknowledges that the County is a local government entity and does so with
25 notice that the County's powers are limited by the California Constitution and by
26 State law, and with notice that the Contractor may receive compensation under
27 this Agreement only for services performed according to the terms of this
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1 Agreement and while this Agreement is in effect, and subject to the maximum
2 amount payable under this section.
3 The Contractor will be compensated for performance of its services under
4 this Agreement as provided in this Article. The Contractor is not entitled to any
5 compensation except as expressly provided in this Agreement.
6 4.9 Specialty Mental Health Services Claiming. Contractor shall enter
7 claims data into the County's billing and transactional database system within the
8 timeframes established by County. Contractor shall use Current Procedural
9 Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS)
10 codes, as provided in the DHCS Billing Manual available at
11 https://www.dhcs.ca.gov/services/MH/Pages/MedCCC-Library.aspx, as from time
12 to time amended.
13 Claims shall be complete and accurate and must include all required
14 information regarding the claimed services. Claims data entry into the County's
15 electronic health record system shall be the responsibility of Contractor. County
16 shall monitor the volume of services, billing amounts and service types entered
17 into County's electronic health record/information system. Any and all audit
18 exceptions resulting from the provision and reporting of specialty mental health
19 services by Contractor shall be the sole responsibility of Contractor. Contractor
20 will comply with all applicable policies, procedures, directives, and guidelines
21 regarding the use of County's electronic health record/information system.
22 Contractor must provide all necessary data to allow County to bill Medi-Cal, and
23 any other third-party source, for services and meet State and Federal reporting
24 requirements. The necessary data can be provided by a variety of means,
25 including but not limited to: 1) direct data entry into County's electronic health
26 record/information system; 2) providing an electronic file compatible with
27 County's electronic health record/information system; or 3) integration between
28 County's electronic health record/information system and Contractor's
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1 information system(s). Contractor shall maximize the Federal Financial
2 Participation (FFP) reimbursement by claiming all possible Medi-Cal services and
3 correcting denied services for resubmission as needed.
4 It is understood by the County and Contractor that any Medi-Cal FFP and
5 Drug Medi-Cal FFP above the amounts stated herein will be used to directly
6 offset the County's contribution of CCMU, Mental Health Realignment and MHSA
7 funds as identified in Revised Exhibit F, and may be used to expand program
8 services to persons served and/or increase program capacity with the written
9 approval of the County's DBH Director or designee for such approval.
10 If Contractor fails to generate the Medi-Cal and Drug Medi-Cal revenue
11 amounts set forth in Revised Exhibit F, County shall not be obligated to pay the
12 difference between the amounts and the actual amounts generated.
13 4.10 Applicable Fees. Contractor shall not charge any persons served or
14 third-party payers any fee for service unless directed to do so by the County's
15 DBH Director or designee at the time the individual is referred for services. When
16 directed to charge for services, Contractor shall use the uniform billing and
17 collection guidelines prescribed by DHCS.
18 Contractor will perform eligibility and financial determinations, in
19 accordance with DHCS' Uniform Method of Determining Ability to Pay (UMDAP),
20 for all individuals unless directed otherwise by the County's DBH Director or
21 designee.
22 Contractor shall not submit a claim to, or demand or otherwise collect
23 reimbursement from, the person served or persons acting on behalf of the person
24 served for any specialty mental health or related administrative services provided
25 under this Contract, except to collect other health insurance coverage, share of
26 cost, and co-payments (Cal. Code Regs., tit. 9, §1810.365(c)).
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1 The Contractor must not bill persons served, for covered services, any
2 amount greater than would be owed if the County provided the services directly
3 as per and otherwise not bill persons served as set forth in 42 C.F.R. § 438.106.
4 If a person served has dual coverage, such as other health coverage (OHC) or
5 Federal Medicare, Contractor will be responsible for billing the carrier and
6 obtaining a payment/denial or have validation of claiming with no response for
7 ninety (90) days after the claim was mailed before the service can be entered
8 into the County's electronic health record/information system. Contractor must
9 report all third-party collections for Medicare, third-party or client-pay or private-
10 pay in each month. A copy of explanation of benefits or CMS 1500 form is
11 required as documentation. Contractor must comply with all laws and regulations
12 governing the Federal Medicare program, including, but not limited to: 1) the
13 requirement of the Medicare Act, 42 U.S.C. section 1395 et seq; and 2) the
14 regulation and rules promulgated by the Federal Centers for Medicare and
15 Medicaid Services as they relate to participation, coverage and claiming
16 reimbursement. Contractor will be responsible for compliance as of the effective
17 date of each Federal, State or local law or regulation specified.
18 4.11 Invoices. The Contractor shall submit monthly invoices, in arrears by the
19 fifteenth (15th) day of each month, in the format directed by the County. The
20 Contractor shall submit invoices electronically to: 1)
21 dbhinvoicereview@fresnocountyca.gov, 2) dbh-invoices@fresnocountyca.gov;
22 and 3) dbhcontractedservicesdivision@fresnocountyca.gov with a copy to the
23 assigned County's DBH Staff Analyst. At the discretion of County's DBH Director
24 or designee, if an invoice is incorrect or is otherwise not in proper form or
25 substance, County's DBH Director, or designee, shall have the right to withhold
26 payment as to only the portion of the invoice that is incorrect or improper after
27 five (5) days prior notice to Contractor. Contractor agrees to continue to provide
28 services for a period of ninety (90) days after notification of an incorrect or
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1 improper invoice. If after the ninety (90) day period, the invoice is still not
2 corrected to County satisfaction, County's DBH Director, or designee, may elect
3 to terminate this Agreement, pursuant to the termination provisions stated in
4 Article 7 of this Agreement.
5 4.12 Cost Reimbursement Based Invoices. Invoices for cost reimbursement
6 services shall be based on actual expenses incurred in the month of service.
7 Contractor shall submit monthly invoices and general ledgers to County that
8 itemize the line item charges for monthly program costs. The invoices and
9 general ledgers will serve as tracking tools to determine if Contractor's costs are
10 in accordance with its budgeted cost. Failure to submit reports and other
11 supporting documentation shall be deemed sufficient cause for County to
12 withhold payments until there is compliance.
13 Contractor must report all revenue collected from a third-party, client-pay
14 or private-pay in each monthly invoice. In addition, Contractor shall submit
15 monthly invoices for reimbursement that equal the amount due less any revenue
16 collected and/or unallowable cost such as lobbying or political donations from the
17 monthly invoice reimbursements.
18 Travel shall be reimbursed based on actual expenditures and
19 reimbursement shall be at Contractor's adopted rate, not to exceed the Federal
20 Internal Revenue Services (IRS) published rate.
21 4.13 Corrective Action Plans. Contractors shall enter services into the
22 County's billing and transactional database and submit invoices in accordance
23 with the deadlines listed above and information shall be accurate. Failure to meet
24 the requirements set forth will result in a corrective action plan and at the
25 discretion of the County's DBH Director or designee, and may result in financial
26 penalties or termination of Agreement per Article 7.
27 4.14 Payment. Payments shall be made by County to Contractor in arrears,
28 for services provided during the preceding month, within forty-five (45) days after
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1 the date of receipt, verification, and approval by County. All final invoices and/or
2 any final budget modification requests shall be submitted by Contractor within
3 sixty (60) days following the final month of service for which payment is claimed.
4 No action shall be taken by County on claims submitted beyond the sixty (60)
5 day closeout period. Any compensation which is not expended by Contractor
6 pursuant to the terms and conditions of this Agreement shall automatically revert
7 to County.
8 4.15 Specialty Mental Health Services Payments. Payment shall be made
9 upon certification and other proof satisfactory to County that services have
10 actually been performed by Contractor as specified in this Agreement and/or
11 after receipt and verification of actual services provided.
12 4.16 Cost Reimbursement Payments. Payment shall be made upon
13 certification or other proof satisfactory to County that services have actually been
14 performed by Contractor as specified in this Agreement and/or after receipt and
15 verification of actual expenditures incurred by Contractor for monthly program
16 costs, as identified in the budget narratives and budgets identified in Revised
17 Exhibit F, in the performance of this Agreement. County shall not be obligated to
18 make any payments under this Agreement if the request for payment is received
19 by County more than sixty (60) days after this Agreement has terminated or
20 expired.
21 4.17 Recoupments and Audits. County shall recapture from Contractor the
22 value of any services or other expenditures determined to be ineligible based on
23 the County or State monitoring results. The County reserves the right to enter
24 into a repayment agreement with Contractor, with total monthly payments not to
25 exceed twelve (12) months from the date of the repayment agreement, to recover
26 the amount of funds to be recouped. The County has the discretion to extend the
27 repayment plan up to a total of twenty-four (24) months from the date of the
28 repayment agreement. The repayment agreement may be made with the signed
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1 written approval of County's DBH Director, or designee, and Contractor through
2 a repayment agreement. The monthly repayment amounts may be netted against
3 the Contractor's monthly billing for services rendered during the month, or the
4 County may, in its sole discretion, forego a repayment agreement and recoup all
5 funds immediately. This remedy is not exclusive, and County may seek requital
6 from any other means, including, but not limited to, a separate contract or
7 agreement with Contractor.
8 Contractor shall be held financially liable for any and all future
9 disallowances/audit exceptions due to Contractor's deficiency discovered through
10 the State audit process and County utilization review for services provided during
11 the course of this Agreement. At County's election, the disallowed amount will be
12 remitted within forty-five (45) days to County upon notification or shall be withheld
13 from subsequent payments to Contractor. Contractor shall not receive
14 reimbursement for any units of services rendered that are disallowed or denied
15 by the Fresno County Mental Health Plan (Mental Health Plan) utilization review
16 process or through the State of California DHCS audit and review process, cost
17 report audit settlement if applicable, for Medi-Cal eligible beneficiaries.
18 4.18 Incidental Expenses. The Contractor is solely responsible for all of its
19 costs and expenses that are not specified as payable by the County under this
20 Agreement. If Contractor fails to comply with any provision of this Agreement,
21 County shall be relieved of its obligation for further compensation.
22 4.19 Restrictions and Limitations. This Agreement shall be subject to any
23 restrictions, limitations, and/or conditions imposed by County or state or federal
24 funding sources that may in any way affect the fiscal provisions of, or funding for
25 this Agreement. This Agreement is also contingent upon sufficient funds being
26 made available by County, state, or federal funding sources for the term of the
27 Agreement. If the federal or state governments reduce financial participation in
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1 the Medi-Cal program, County agrees to meet with Contractor to discuss
2 renegotiating the services required by this Agreement.
3 Funding is provided by fiscal year. Any unspent fiscal year appropriation
4 does not roll over and is not available for services provided in subsequent years.
5 In the event that funding for these services is delayed by the State
6 Controller, County may defer payments to Contractor. The amount of the
7 deferred payment shall not exceed the amount of funding delayed by the State
8 Controller to the County. The period of time of the deferral by County shall not
9 exceed the period of time of the State Controller's delay of payment to County
10 plus forty-five (45) days.
11 4.20 Additional Financial Requirements. County has the right to monitor the
12 performance of this Agreement to ensure the accuracy of claims for
13 reimbursement and compliance with all applicable laws and regulations.
14 Contractor must comply with the False Claims Act employee training and policy
15 requirements set forth in 42 U.S.C. 1396a(a)(68) and as the Secretary of the
16 United States Department of Health and Human Services may specify.
17 Contractor agrees that no part of any federal funds provided under this
18 Agreement shall be used to pay the salary of an individual per fiscal year at a
19 rate in excess of Level 1 of the Executive Schedule at https://www.opm.gov/
20 (U.S. Office of Personnel Management), as from time to time amended.
21 Federal Financial Participation is not available for any amount furnished to an
22 Excluded individual or entity, or at the direction of a physician during the period of
23 exclusion when the person providing the service knew or had reason to know of
24 the exclusion, or to an individual or entity when the County failed to suspend
25 payments during an investigation of a credible allegation of fraud [42 U.S.C.
26 section 1396b(i)(2)].
27 Contractor must maintain financial records for a minimum period of ten
28 (10) years or until any dispute, audit or inspection is resolved, whichever is later.
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1 Contractor will be responsible for any disallowances related to inadequate
2 documentation.
3 4.21 Contractor Prohibited from Redirection of Contracted Funds.
4 Contractor may not redirect or transfer funds from one funded program to
5 another funded program under which Contractor provides services pursuant to
6 this Agreement except through a duly executed amendment to this Agreement.
7 Contractor may not charge services delivered to an eligible person served under
8 one funded program to another funded program unless the person served is also
9 eligible for services under the second funded program.
10 4.22 Financial Audit Report Requirements for Pass-Through Entities. If
11 County determines that Contractor is a "subrecipient" (also known as a "pass-
12 through entity") as defined in 2 C.F.R. § 200 et seq., Contractor represents that it
13 will comply with the applicable cost principles and administrative requirements
14 including claims for payment or reimbursement by County as set forth in 2 C.F.R.
15 § 200 et seq., as may be amended from time to time. Contractor shall observe
16 and comply with all applicable financial audit report requirements and standards.
17 Financial audit reports must contain a separate schedule that identifies all funds
18 included in the audit that are received from or passed through the County.
19 County programs must be identified by Agreement number, Agreement amount,
20 Agreement period, and the amount expended during the fiscal year by funding
21 source.
22 Contractor will provide a financial audit report including all attachments to
23 the report and the management letter and corresponding response within six
24 months of the end of the audit year to the County's DBH Director or designee.
25 The County's Director or designee is responsible for providing the audit report to
26 the County Auditor.
27 Contractor must submit any required corrective action plan to the County
28 simultaneously with the audit report or as soon thereafter as it is available. The
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1 County shall monitor implementation of the corrective action plan as it pertains to
2 services provided pursuant to this Agreement."
3 4. When both parties have signed this Amendment No. 1, the Agreement, and this
4 Amendment No. 1 together constitute the Agreement.
5 5. The Contractor represents and warrants to the County that:
6 a. The Contractor is duly authorized and empowered to sign and perform its obligations
7 under this Amendment.
8 b. The individual signing this Amendment on behalf of the Contractor is duly authorized
9 to do so and his or her signature on this Amendment legally binds the Contractor to
10 the terms of this Amendment.
11 6. The parties agree that this Amendment may be executed by electronic signature as
12 provided in this section.
13 a. An "electronic signature" means any symbol or process intended by an individual
14 signing this Amendment to represent their signature, including but not limited to (1) a
15 digital signature; (2) a faxed version of an original handwritten signature; or (3) an
16 electronically scanned and transmitted (for example by PDF document) version of an
17 original handwritten signature.
18 b. Each electronic signature affixed or attached to this Amendment (1) is deemed
19 equivalent to a valid original handwritten signature of the person signing this
20 Amendment for all purposes, including but not limited to evidentiary proof in any
21 administrative or judicial proceeding, and (2) has the same force and effect as the
22 valid original handwritten signature of that person.
23 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5,
24 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part
25 2, Title 2.5, beginning with section 1633.1).
26 d. Each party using a digital signature represents that it has undertaken and satisfied
27 the requirements of Government Code section 16.5, subdivision (a), paragraphs (1)
28 through (5), and agrees that each other party may rely upon that representation.
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1 e. This Amendment is not conditioned upon the parties conducting the transactions
2 under it by electronic means and either party may sign this Amendment with an
3 original handwritten signature.
4 7. This Amendment may be signed in counterparts, each of which is an original, and all of
5 which together constitute this Amendment.
6 8. The Agreement as amended by this Amendment No. 1 is ratified and continued effective
7 retroactively to April 9, 2024. All provisions of the Agreement and not amended by this
8 Amendment No. 1 remain in full force and effect.
9 [SIGNATURE PAGE FOLLOWS]
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Docusign Envelope ID:86E07B87-3A6D-461C-9621-B7D10E187205
1 The parties are signing this Amendment No. 1 on the date stated in the introductory
2 clause.
3
4 7s�eFi��r County of Fresno
AT"- N,-St4a D4zw
5 Aman a ugent Divine, CEO �10
6 1396 W. Herndon Ave. Nathan Magsig, Chairman of the Board of
Fresno, CA 93711 Supervisors of the County of Fresno
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Attest:
8 Bernice E. Seidel
Clerk of the Board of Supervisors
g County of Fresno, State of California
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By: cu,---
11 Deputy
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15 For accounting use only:
16 Org No.: 56304763 (Metro); 56304766 (Rural); 56302259 (CCMU); 56302254 (CHFFA);
17 56302363 (MCRT)
Account No.:7295
18 Fund No.: 0001
Subclass No.: 10000
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Revised Exhibit A-2
California Health Facilities Financing Authority (CHFFA)
School-Based Mobile Crisis
SCOPE OF SERVICES
CONTRACTOR: Kings View
I. BACKGROUND
In 2013, Senate Bill 82, the Investment in Mental Health Wellness Act of 2013, established a
competitive grant program to disburse funds to California counties or to their nonprofit or public
agency designees for the purpose of developing mental health crisis support programs. In 2016,
Senate Bill 833 (Section 20) expanded the Investment in Mental Health Wellness Act to specifically
address a continuum of crisis services for children and youth, 21 years of age and under and
allocated funding to develop four mental health programs - crisis residential treatment, crisis
stabilization, mobile crisis support teams and family respite care. The California Health Facilities
Financing Authority (CHFFA) is responsible for developing the program as well as awarding and
administering the grants.
The Fresno County Department of Behavioral Health (DBH) applied for grant funding to enhance
mobile crisis response and post-crisis follow up services in K-12 schools throughout the County.
The Kings View Metro CIT and Rural CIT program will each receive funding to add 2 case
managers and 2 clinicians who will be dedicated to the Investment in Mental Health Wellness
Grant Program for Children and Youth (CY) project. While current Kings View Meto CIT and Rural
CIT clinicians respond to calls for service in K-12 schools, the CY project teams will be dedicated
to this population within the both the metropolitan and rural areas of Fresno County. These teams
will also provide post-crisis services for at least thirty (30) days after the initial crisis response and
provide education for the youth, parents/caregivers, and schools. Calls will be routed through the
current mobile crisis number, (559) 600-6126, where dispatchers will route calls from school
resource officers and other school staff to Kings View clinicians dedicated to this population. Law
enforcement will only be requested if there are safety concerns. The goal is to provide more
efficient access to crisis services and de-escalation to avoid an emergency room visit and/or
placement within an inpatient facility.
II. SERVICES START DATE
The Contractor shall follow the timeline summarized as follows:
Anticipated Timeline
1. APRIL 2024—JUNE 2024— Ramp-up
a. Recruitment and Infrastructure Enhancements
i. Purchase vehicles by October 31, 2024 (as required by CHFFA funding) and
outfit with appropriate equipment
A-2-1
Revised Exhibit A-2
ii. Post job openings and begin recruitment/staff orientation by Fresno County
Mental Health Plan (FCMHP)
b. Coordination with Justice Partners and School Districts
i. Work with different Dispatch agencies and school districts to develop
dispatch criteria and policies.
c. Policies and Procedures
i. Dispatch policies and procedures to be developed at this time with the
assistance of the schools, law enforcement partners and other first
responders
2. JULY 2024—JUNE 2025— Services
a. Contractor will work with DBH to establish a targeted approach to initially focus on
the schools and districts that receive the most crisis calls. The program will then
expand to be inclusive of all K-12 schools.
b. Go-live service date of January 31, 2025 (as required by CHFFA funding)
c. See "Description of Services" section in following sections for more information.
Contractor and DBH shall remain in constant communication with regards to the need to modify the
start-up period earlier or later than anticipated.
III. TARGET POPULATION
The target population to be served by this program are children and youth, 21 years of age and
under, currently experiencing an acute behavioral health crisis, including any behavioral health
signs and symptoms, requiring immediate crisis intervention, de-escalation, and triage services at
schools, K-12, and in the field, within the Fresno metro and rural areas.
IV. LOCATION OF SERVICES
Services shall be provided at K-12 school campuses throughout the Fresno County metro and rural
areas, and in the field, as opposed to services being performed at traditional behavioral health
offices or clinics. Crisis intervention services are intended to be provided in the field where person
served interaction with law enforcement and emergency services personnel (first responders)
typically occurs and where crisis intervention services are most beneficial.
Services are not to be provided in any facility that employs staff who have the ability to evaluate for
and write a Welfare and Institutions Code 5150 hold. These facilities include, but are not limited to:
hospitals, emergency departments, the Fresno County jail, inpatient facilities (e.g., psychiatric
health facilities, crisis stabilization units, crisis residential facilities, skilled nursing facilities, full-
service partnerships, short-term residential treatment programs, etc.), and mental health treatment
facilities (residential or outpatient). Should the Contractor have any questions about which facilities
are not considered part of community response, they must immediately request such clarification
from DBH and approval prior to providing services.
School-based mobile crisis teams shall arrive within 60 minutes of the person served being
determined to require crisis services in the metro area. Contractor is highly encouraged to continue
the existing collaborations with police departments and co-locate with the metro law enforcement
agencies as circumstances permit.
A-2-2
Revised Exhibit A-2
Contractor is required to have office space for clinical staff, which must be Medi-Cal site certified
(see Section 10 of the Fresno County Mental Health Plan Provider Manual) prior to services being
delivered.
Post-crisis follow-up services are to be provided face-to-face, over the phone, using video or via
United States mail as appropriate and in accordance with DBH's Guiding Principles of Care
Delivery.
V. HOURS OF OPERATION
Contractor will be available to provide services from 8:00 am - 5:OOpm, Monday through Friday,
throughout the year including school breaks and vacations, through face-to-face contact and
telephone as needed. Contractor acknowledges extended school hours that cover after-school
activities, and will work with CIT and MCRT staffing as appropriate to provide appropriate
responses. Shift times may be modified, based upon identified need within the school communities
and subject to approval by DBH.
VI. DESCRIPTION OF SERVICES
The school-based mobile crisis program will establish a trauma-informed mobile crisis support
teams dedicated to providing culturally and linguistically appropriate behavioral health crisis
intervention services to children and youth who experience a behavioral health crisis while in
attendance at a Fresno County K-12 school campus. While the current CIT and MCRT teams do
respond to calls for children and youth and provide services at school campuses, the newly
established school-base mobile crisis team will be prioritized to respond to calls at Fresno K-12
schools and will also provide follow-up with the children and youth served, as well as their
parents/caregivers, and the schools. During after-school hours and breaks, the school-based
mobile crisis team will work with current CIT and MCRT to respond to calls that involve children
and youth, twenty-one (21) years of age and under.
The clinicians on this team will receive calls from dispatch, and will not respond with a law
enforcement presence, unless it is determined to be required. The goal of the team is to provide
more efficient access to crisis services for this population, with the main goal of de-escalating the
situation to avoid an emergency room visit and/or placement within an inpatient facility. Follow-up
with the youth will be provided by the case manager to help provide the children and youth, as well
as their families or caregivers with additional services, further mitigating the need for emergency
room services, inpatient placement, and/or involvement with law enforcement. Data gathered from
the utilization and service provision during this pilot project will determine Fresno County DBH's
next steps with regard to this program enhancement.
Services will include but are not limited to assessments, crisis intervention, suicide risk
assessments, community referrals and linkages, case management and care coordination
activities, follow-up with the children and youth for at least thirty (30) days, after the initial call
response, and education for the youth, parent/caregivers, and school.
Case management services will be culturally responsive, strengths-based, trauma-informed and
recovery-oriented. These services must be community-based; incorporate stigma reduction and
suicide prevention; and comprehensive of recovery practices and community engagement during
A-2-3
Revised Exhibit A-2
the course of service delivery. Services will be continuously evaluated by the County and
Contractor. The Contractor must adapt to meet the geographically dispersed needs of those
living in the metro and rural areas of Fresno County, the school communities' needs as crisis
services and demands fluctuate, and as Fresno County identifies more appropriate CIT and
mobile crisis models that improve service delivery.
The combination of a dedicated, trauma-informed team stationed in a central location and
providing culturally and linguistically appropriate services during extended school hours will
ensure timely access and efficient services to the target population. As opportunities are
available, outreach and engagement efforts will take place to ensure that schools, their students
and families, and the local community are aware of the services available by this program and
how to access them. Ongoing discussion with the program's stakeholders will also take place to
invite feedback and ensure that barriers unique to this community are properly assessed and
resolved, so that services are accessed and provided in the most efficient way possible.
A. Documentation and Billing
1. Contractor will use Fresno County DBH's electronic health record (EHR) and
billing system, and business management platform to conduct data analysis.
2. Contractor must complete all documentation within 24 hours of service delivery,
including but not limited to: access forms, client referral forms and progress
notes. In addition, all related documents need to be uploaded within the same
timeframe.
3. Contractor must adhere to the documentation standards established in DHCS's
CalAIM Documentation Manuals as well as any future amendments to these
documents on the CaIMHSA website.
4. Contractor shall utilize collaborative documentation with the person served
whenever it is clinically indicated. Staff must adhere to DBH's collaborative
documentation standards, which may include training courses offered by DBH.
B. Care Coordination and Community Collaboration
1. Contractor shall participate in care coordination activities with DBH, school
administration, law enforcement and other community agencies.
2. Contractor agrees to coordinate with the Family Urgent Response System in
Fresno County and utilize this program as a resource for qualified individuals.
3. Comprehensive knowledge of community resources is essential for case
management staff to refer persons served to appropriate services. Contractor
must make all attempts to ensure program staff are aware of applicable community
resources and how to refer to these programs.
4. If the person served is linked to a DBH program, Contractor will notify the service
provider as soon as practicable.
VII. STAFFING
Contractor shall provide a staffing plan that is clear and concise and allows for full implementation
of all services described in the program. Staff shall be qualified in education experience, clinical,
and cultural competencies according to MHP provider manual requirements..
Staffing for the school-based mobile crisis support teams through CHFFA funding includes the
addition of four clinicians and four case managers specifically for this program. Each team will be
A-2-4
Revised Exhibit A-2
stationed in a location central to the region for which they will provide services in the metropolitan
and rural areas of Fresno County, and will utilize eight vehicles (one for each member of each
team)for transportation to the applicable school of the person served. A team response can be
comprised of a clinician and case manager together, or a clinician or case manager individually.
The clinician must be certified by DBH in order to place individuals on an involuntary hold under
WIC Section 5150.
Contractor shall provide robust, comprehensive and ongoing training and mentoring
to staff in evidence-based practices (EBP) of the program to ensure fidelity and to build
competency and expertise of their staff. In addition to EBPs, Contractor shall provide
training on co-occurring and trauma informed practice.
Contractor shall demonstrate staff proficiency (training and certification) in suicide and crisis
intervention procedures and other training subjects that would benefit the individuals in their
wellness goals.
Contractor shall ensure clinical supervisor(s) will oversee the work of the clinicians, including
approving documentation and claiming in the electronic medical records as required. The clinical
supervisor(s) shall be able to provide Board of Behavioral Sciences (BBS) supervision.
The Contractor recognizes the value of the use of individual directed peer-to-peer support
networks. The program shall work to employ staff who have lived mental health experience.
All staff, who provide direct care or perform coding/billing functions, must meet the requirements of
the Fresno County Mental Health Plan (FCMHP) Compliance Program. This includes the screening
for excluded persons and entities by accessing or querying the applicable licensing board(s), the
National Provide Data Bank (NPDB), Office of Inspector General's List of Excluded
Individuals/Entities (LEIE), Excluded Parties List System (EPLS) and Medi-Cal Suspended and
Ineligible List prior to hire and monthly thereafter. In addition, all licensed/registered/waivered staff
must complete a FCMHP Provider Application and be credentialed by the FCMHP's Credentialing
Committee. All licensed staff shall have Department of Justice (DOJ), Federal Bureau of
Investigation (FBI), and Sherriff fingerprinting (Live scan) executed.
VIII. REPORTING
Contractor shall comply with the following reporting requirements:
1. CHFFA Reporting:
a. Contractor shall provide data necessary for reports mandated by the CHFFA under
CCR Title 4, Division 10 Section 7319(a)(3) and 7319.1(a)(3).
2. CSI Reporting
a. Contractor shall work with DBH to capture and enter all Client Service Information
(CSI), admission data, and billing information into DBH's data system for the
purposes of effective care coordination and State reporting. Contractor shall provide
all necessary data to allow DBH to capture all CSI data for services provided and to
meet all State and Federal reporting requirements. Methods of providing such
information include, but not limited to, the following:
A-2-5
Revised Exhibit A-2
i. Direct data entry in DBH's electronic information system; or
ii. Provide an electronic file compatible with DBH's electronic information
system.
3. Contractor shall comply with all reporting requests made by DBH. Reporting requirements
are subject to change as the program develops.
IX. PERFORMANCE AND OUTCOME MEASUREMENTS
Contractor shall comply with all project monitoring and compliance protocols, procedures, data
collection methods, and reporting requirements requested by the County. County and Contractor
shall use performance outcome measures for evaluating program and system effectiveness to
ensure services and service delivery strategies are positively impacting the service population.
In addition, these measures shall be used to ensure the program is in alignment with MHSA
guiding principles which are inclusive of: an integrated service experience; community
collaboration; cultural competence; individual/family driven service; and wellness, resilience, and
recovery-focused services.
Performance outcome measures shall be tracked on an ongoing basis and used to update the
County monthly. In addition, performance outcome measures are reported to the County annually
in accumulative reports for overall program and contract evaluation. Forms and tools used to
gather, and report data reflecting services provided, populations served, and impact of those
services are to be developed by the County and Contractor. Contractor will work closely with the
County to analyze the data and make necessary adjustments to service delivery and reporting
requirements before the start of each new fiscal year and at appropriate intervals during the fiscal
year.
Measurable outcomes may be reviewed for input and approval by a designated DBH work group
upon contract execution and adjusted as needed each new fiscal year. The purpose of this
review process is to ensure a comprehensive system-wide approach to the evaluation of
programs through an effective outcome reporting process.
The following items listed below represent program goals to be achieved by Contractor. The
program's success will be based on the number of goals it can achieve, resulting from performance
outcomes. Contractor will utilize a computerized tracking system with which outcome measures
and other relevant individual data, such as demographics, will be maintained.
Contractor will collect data about the characteristics of the individuals served and measure service
delivery performance indicators in the four Commission on Accreditation of Rehabilitation Facilities
(CARF) domains listed below, with at least one performance indicator for each of the four domains.
Contractor shall submit annual outcomes on a report template to be provided by the County for
each level of care provided.
1. Effectiveness
a. Hospitalization
Reduce hospital emergency room and psychiatric inpatient utilization.
A-2-6
Revised Exhibit A-2
i. Methodology: Tracking the number of calls received which result in either
an emergency room visit or placement within a psychiatric inpatient facility
and compare that data to the number of calls which were successfully de-
escalated to the point where a higher level of care was not needed.
ii. Time of Measure: Fiscal Year
iii. Roles: Tracking to be completed by the Contractor. Fresno County DBH
will monitor all reporting and stakeholder input processes from hospitals
and psychiatric inpatient facilities.
b. Percentage of Children and Youth Served who Returned for Crisis Services
from Another Institution within 15-30 days.
Decrease in the number of children and youth who return for crisis services at a
hospital emergency department, psychiatric hospital, detainment center,juvenile
hall, or jail, within 15 days of receiving services from the proposed mobile crisis
support team.
i. Methodology: Follow-up with person served and tracking of their outcome
including, but not limited to: successful linkage to other resources; multiple
calls to the mobile crisis support team; or a visit to a hospital emergency
department, psychiatric hospital, detainment center, juvenile hall, or jail,
within 15 days after receiving services from the proposed mobile crisis
support team.
i. Time of Measure: Fiscal Year
ii. Roles: Tracking to be completed by the Contractor. Fresno County DBH
will monitor all reporting and stakeholder input processes from hospitals
and psychiatric inpatient facilities.
c. Reduction in Law Enforcement Involvement
Reduction in law enforcement involvement required for crisis calls (e.g., number of
contacts made, number of person's served taken into custody, number of persons
served transported by law enforcement for assessment.)
i. Methodology: Tracking the number of calls received which result in contact
with law enforcement and what type of contact was made and compare it
to the number of calls which were successfully de-escalated to the point
where involvement by law enforcement was not needed.
iii. Time of Measure: Fiscal Year
iv. Roles: Tracking to be completed by the Contractor. Fresno County DBH
will monitor all reporting and stakeholder input processes from hospitals
and psychiatric inpatient facilities.
2. Efficiency
a. Number of School-Based Mobile Crisis Support Teams, Vehicles, and Staff
The number of school-based mobile crisis support team, including the number of
team vehicles and staff, will be appropriate to meet capacity of the number of calls
received and the needs of the target population.
i. Methodology: Tracking call response times and productivity levels of the
response team compared to the number of calls received.
ii. Time of Measure: Fiscal Year
A-2-7
Revised Exhibit A-2
iii. Roles: Tracking to be completed by the Contractor. Fresno County DBH
will monitor all reporting and stakeholder input processes from persons
served, their families, and Fresno County schools.
b. Program Value and Mitigation of Costs
i. Methodology: Tracking program cost, cost per person served, and the
number of calls successfully de-escalated and comparing these data points
with the approximate cost for equivalent contact with an emergency room,
inpatient psychiatric hospital, and/or law enforcement.
ii. Time of Measure: Fiscal Year
iii. Roles: Tracking to be completed by the Contractor. Fresno County DBH
will monitor all reporting and stakeholder input processes from persons
served, their families, and Fresno County schools.
3. Access
a. Program Participation
Increase in the number of calls received by the school-based mobile response team
and the number of persons served by the program.
i. Methodology: Tracking the number of calls received from each school and
the utilization of the program, over time.
ii. Time of Measure: Fiscal Year
iii. Roles: Tracking to be completed by the Contractor. Fresno County DBH
will monitor all reporting and stakeholder input processes from hospitals
and psychiatric inpatient facilities.
b. Number of Children and Youth Being Served
The number of children and youth served by this program, the number of persons
served fall under the target population, and the number of persons served who fall
outside of the target population.
i. Methodology: Tracking the number of calls received compared to the
number of call responses and persons served. Additional tracking of
demographics of persons served including, but not limited to: school site,
school status, age, race/ethnicity, type of call, and preferred language.
ii. Time of Measure: Fiscal Year
iii. Roles: Tracking to be completed by the Contractor. Fresno County DBH
will monitor all reporting and stakeholder input processes from persons
served, their families, and Fresno County schools.
4. Satisfaction & Feedback of Persons Served & Stakeholders
a. Consumer Perception Surveys
As appropriate, children and youth served, their parents/caregivers, and
stakeholders will be surveyed on their satisfaction with the crisis services provided
by the school-based mobile crisis response team.
i. Methodology: Collecting periodic surveys of persons served, their
parents/caregivers, and stakeholders, which track satisfaction and
feedback of the person surveyed.
ii. Time of Measure: Fiscal Year
A-2-8
Revised Exhibit A-2
iii. Roles: Tracking to be completed by the Contractor. Fresno County DBH
will monitor all reporting and stakeholder input processes from hospitals
and psychiatric inpatient facilities.
Additional Reporting Requirements
Contractor will be responsible for meeting with DBH on a monthly basis, or more often as agreed
upon between DBH and Contractor, for contract and performance monitoring. Contractor will be
required to submit monthly reports to the County that will include, but not be limited to: dollars
billed for Medi-Cal and CHFFA; actual expenses; the number of persons served/anticipated to be
served; wait lists; utilization of services by persons served; and staff composition. These reports
will be due within 30 days after the last day of the previous month or payments may be delayed.
DBH requires the following data reporting, which must be submitted to the Department by the 10th of
each month, unless otherwise indicated. The reporting period is typically the prior month in which
services were provided. The following funding, staffing, services and data must be collected,
maintained and reported by the established deadlines. Reporting templates and requirements are
subject to change based on State and Federal regulations, funding guidelines and efforts to improve
service delivery.
A. Invoices must be submitted each month and shall include expenses and revenues from the
prior month.
B. The Monthly Staffing Report shall be submitted each month and must include each program
staff member, their title, full-time equivalent, salary and other information as deemed
appropriate by DBH.
C. Annual Performance Outcome Measures reports shall be completed at least annually and
submitted to DBH as requested. County staff will notify the Contractor when its agency's
participation is required. The performance outcome measurement report process will
include survey instruments, person served and staff interviews, chart reviews, and other
methods of obtaining necessary information as appropriate.
The Contractor will be required to provide culturally and linguistically appropriate services that
align with the National Standards for Culturally and Linguistically Appropriate Services and DBH
PPG 1.5.1 Culturally and Linguistically Appropriate Services as well as any updates to these
standards. The program will be required to report staff training related to cultural competency as
requested by DBH.
A-2-9
Revised Exhibit F
Crisis Intervention Team-Combined Metro&Rural
Kings View
July 1,2023-January 22,2024
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.06 $ 5,788 $ 5,788
1102 Regional Director 0.27 18,086 18,086
1103 Financial Analyst(Accountant) 0.29 13,780 13,780
1104 Quality Improvement Data Analyst 0.50 19,682 19,682
1105 Administrative Specialist 1.75 47,006 47,006
1106 Program Manager 2.00 114,671 114,671
1107 Clinical Supervisor/UR 2.00 108,236 108,236
1108 - -
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 6.87 $ 327,249 $ 327,249
Acct# Program Position FTE Admin Program Total
1116 Licensed Field Clinician 2.00 89,115 $ 89,115
1117 Unlicensed Field Clinician 24.00 1,040,489 1,040,489
1118 Licensed Lead Field Clinician 3.00 151,571 151,571
1119 Case Manager 3.00 78,952 78,952
1120 Per Diem Field Clinician(Licensed)1,000 hrs/yr 0.50 22,421 22,421
1121 0.00 - -
1122 0.00
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 32.50 $ 1,382,548 $ 1,382,548
Admin Program Total
Direct Personnel Salaries Subtotal 39.37 $ 327,249 $ 1,382,548 $ 1,709,797
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement 3,737 15,654 $ 19,391
1202 Worker's Compensation 5,601 23,662 29,263
1203 Health Insurance 26,290 112,546 138,836
1204 Other(specify) - - -
1205 Other(specify)
1206 Other(specify)
Direct Employee Benefits Subtotal: $ 35,628 $ 151,862 $ 187,490
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI - - $
1302 FICA/MEDICARE 24,735 104,446 129,181
1303 SUI 929 3,897 4,826
1304 Other(specify) - - -
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 25,664 $ 108,343 $ 134,007
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 388,541 $ 1,642,753 $ 2,031,294
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
19%1 81%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing, Food,&Hygiene 6,250
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 1,000
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 7,250
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 30,595
3002 Printing/Postage 3,025
3003 Office Supplies&Equipment 4,350
3004 Advertising -
3005 Staff Development&Training 11,000
3006 Staff Mileage 600
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 45,075
3009 Other(Staff Recruitment) 1,350
3010 Other(Insurance) 14,441
3011 Other(Uniforms) 2,000
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL:j $ 112,436
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 6,725
4002 Rent/Lease Building 29,350
4003 Rent/Lease Equipment 4,110
4004 Rent/Lease Vehicles 47,000
4005 Security 2,550
4006 Utilities 6,702
4007 Other(specify) -
4008 Other(specify)
4009 Other(Specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL: $ 96,437
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 67,550
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services 1,550
5005 Other(EHR Fees) 8,576
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 77,676
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate
Administrative Overhead
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit -
6005 Insurance(Specify):Auto, Property,general, Professional Liability 10,000
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to beUsedforProgramPurposes) -
6008 Personnel(Indirect Salaries&Benefits) 110,087
6009 Other(Administrative Overhead) 165,064
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 285,151
INDIRECT COST RATE 12.19%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 12,500
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 1,100
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(specify)
7008 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
FIXED ASSETS EXPENSES TOTAL $ 13,600
TOTAL PROGRAM EXPENSES 1 $ 2,623,844
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Crisis Intervention Team
Acct# Line Item Description I I Amount
Estimated Specialty Mental Health Services Billing Totals: 1 1 $ 2,878,168
Estimated%of Clients who are Medi-Cal Beneficiaries 30%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 863,450
Federal Financial Participation(FFP)% 50% 431,725
MEDI-CAL FFP TOTAL $ 431,725
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Medi-Cal Mobile Crisis Benefit SMHS
Acct# Line Item Description Service Units Rate Amount
Transportation Mileage $
Mobile Crisis $
Transportation,staff time,per 15 minutes $
Estimated Specialty Mental Health Services Billing Totals: 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries 60%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries -
Federal Financial Participation(FFP)% 1 50%
MEDI-CAL FFP TOTAL $
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Medi-Cal Mobile Crisis Benefit DMC-ODS
Acct# Line Item Description Service Units Rate Amount
Transportation Mileage $
Mobile Crisis $
Transportation,staff time,per 15 minutes $
Estimated Specialty Mental Health Services Billing Totals: 0 $
Estimated%of Clients who are Medi-Cal Beneficiaries 60%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries -
Federal Financial Participation(FFP)% 50%
MEDI-CAL FFP TOTAL $
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $ 0
8102 SABG $ -
SUBSTANCE USE DISORDER FUNDS TOTAL $ 0
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ -
8302 PEI-Prevention&Early Intervention Crisis Intervention&Rural Triage 2,192,119
8303 INN-Innovations -
8304 WET-Workforce Education&Training
8305 1 CFTN-Capital Facilities&Technology
MHSA TOTAL $ 2,192,119
8400-OTHER REVENUE
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance
8403 Grants(CCMU)
8404 Other(Specify)
8405 1 Other(Specify)
OTHER REVENUE TOTAL $ -
TOTAL PROGRAM FUNDING SOURCES: 1 $ 2,623,844
NET PROGRAM COST: $ (0)
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
Crisis Intervention Team-Combined Metro&Rural
Kings View
July 1,2023-January 22,2024
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Executive Director PATH SMHS/Fresno 0.02
PATH OEL/Fresno 0.02
PATH STARS 0.06
Blue Sky/Fresno 0.10
Rural Crisis Intervention/Fresno 0.06
Metro CIT/Fresno 0.06
Map Point/Fresno 0.02
Suicide Prevention Follow-up Call/Fresno 0.02
FURS/Fresno 0.06
CVSPH/California State,Tulare,Calaveras,Tuolum 0.26
Shasta 0.18
Tulare 0.52
Madera 0.12
Kings 0.46
Administrative Department 0.04
Total 2.00
Position Contract#/Name/Department/County FTE%
Regional Director PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.04
PATH STARS 0.12
Blue Sky/Fresno 0.22
Case Manager 0.32
Metro CIT/Fresno 0.210
Map Point/Fresno 0.10
FURS/Fresno 0.06
Suicide Prevention Follow-up Call/Fresno 0.02
CVSPH/California State,Tulare,Calaveras,Tuolum 0.58
Madera 0.28
Total 1.99
Position Contract#/Name/Department/County FTE%
Accountant PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.10
PATH STARS 0.10
Blue Sky/Fresno 0.24
Rural Crisis Intervention/Fresno 0.30
Metro CIT/Fresno 0.28
Map Point/Fresno 0.14
FURS/Fresno 0.06
Finance Department 0.74
Total 2.00
Position Contract#/Name/Department/County FTE%
Quality Improvement Data Analyst PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.10
PATH STARS 0.10
Blue Sky/Fresno 0.24
Rural Crisis Intervention/Fresno 0.50
Metro CIT/Fresno 0.50
Map Point/Fresno 0.14
FURS/Fresno 0.06
Shasta 0.08
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
QI Deparment 0.24
Total 2.00
Position Contract#/Name/Department/County FTE%
Administrative Specialist PATH SMHS/Fresno 0.34
PATH OEL/Fresno 0.10
Rural Crisis Intervention/Fresno 1.50
FURS/Fresno 0.06
Total 2.00
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
Crisis Intervention Team-Combined Metro&Rural
Kings View
July 1,2023-January 22,2024 Budget Narrative
PROGRAM EXPENSE
ACCT#1 LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 2,031,294
Administrative Positions 327,249
1101 Executive Director 5,788 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Regional Director 18,086 Provide program management and direction.Ensures operations are running smoothly
and in compliance with contract requirements.
1103 Accountant 13,780 Prepares and provides budget guidance,monthly invoicing,and other fiscal services.
1104 Quality Improvement Data Analyst 19,682 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.
1105 Administrative Specialist 47,006 Provides administrative support for the program and assist with medical billing and
records.
1106 Program Manager 114,671 Provides supervision of all staff and direct oversight of program management.
1107 Clinical Supervisor/UR 108,236 Provides supervision of all licensed and unlicensed clinical staff.
1108 0 -
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 1,382,548
1116 Licensed Field Clinician 89,115 Assist with managing the client's illness and reduce its impact on the client's life,and
referrals to appropriate linkages.Services shall include crisis assessments,suicide risk
assessments,safety plan development,disseminating information regarding,and
linkage to,behavioral health services&community resources,and post-crisis case
management and care coordination activities.Additional services can include
assistance locating stable housing,coordinating care meetings,collaboration with
school staff,foster family agencies,regional center representatives,primary care
physicians,inpatient and residential services,social workers,substance use disorder
services,and parole or probation officers.These position may be filled by regular staff
members,on call staff members,per diem staff,licensed and unlicensed clinicians.The
higher cost reflects includes 1/2 of additional FTE and greater differentials to attract
and retain clincians to the MCRT program.The CIT program is two shifts a day and the
MCRT program adds a third shift for overnight calls.
1117 Unlicensed Field Clinicans 1,040,489 Assist with managing the client's illness and reduce its impact on the client's life,and
referrals to appropriate linkages.Services shall include crisis assessments,suicide risk
assessments,safety plan development,disseminating information regarding,and
linkage to,behavioral health services&community resources,and post-crisis case
management and care coordination activities.Additional services can include
assistance locating stable housing,coordinating care meetings,collaboration with
school staff,foster family agencies,regional center representatives,primary care
physicians,inpatient and residential services,social workers,substance use disorder
services,and parole or probation officers.These position may be filled by regular staff
members,on call staff members,per diem staff,licensed and unlicensed clinicians.The
higher cost reflects includes 1/2 of additional FTE and greater differentials to attract
and retain clincians to the MCRT program.The CIT program is two shifts a day and the
MCRT program adds a third shift for overnight calls.
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1118 Licensed Lead Field Clinician 151,571 Assist with managing the client's illness and reduce its impact on the client's life,and
referrals to appropriate linkages.Services shall include crisis assessments,suicide risk
assessments,safety plan development,disseminating information regarding,and
linkage to,behavioral health services&community resources,and post-crisis case
management and care coordination activities.Additional services can include
assistance locating stable housing,coordinating care meetings,collaboration with
school staff,foster family agencies,regional center representatives,primary care
physicians,inpatient and residential services,social workers,substance use disorder
services,and parole or probation officers.These position may be filled by regular staff
members,on call staff members,per diem staff,licensed and unlicensed clinicians.The
higher cost reflects includes 1/2 of additional FTE and greater differentials to attract
and retain clincians to the MCRT program.The CIT program is two shifts a day and the
MCRT program adds a third shift for overnight calls.
1119 Case Manager 78,952 Provides post-crisis case management and care corrdination activities.
1120 Per Diem Field Clinician(Licensed)1,000 hrs/yr 22,421 Per-Diem-Assist with managing the client's illness and reduce its impact on the
client's life,and referrals to appropriate linkages.Services shall include crisis
assessments,suicide risk assessments,safety plan development,disseminating
information regarding,and linkage to,behavioral health services&community
resources,and post-crisis case management and care coordination activities.
Additional services can include assistance locating stable housing,coordinating care
meetings,collaboration with school staff,foster family agencies,regional center
representatives,primary care physicians,inpatient and residential services,social
workers,substance use disorder services,and parole or probation officers.These
position may be filled by regular staff members,on call staff members,per diem staff,
licensed and unlicensed clinicians.The higher cost reflects includes 1/2 of additional
FTE and greater differentials to attract and retain clincians to the MCRT program.The
CIT program is two shifts a day and the MCRT program adds a third shift for overnight
calls.
1121
1122 0
1123 0
1124 0
1125 0
1126 0
1127 0
Direct Employee Benefits 187,490
1201 IRetirement 19,391 Cost of 401K
1202 Worker's Compensation 29,263 Workers'Compensation Insurance
1203 Health Insurance 138,836 Cost of medical,vision,dental,life and long-term disability insurance.
1204 Other(Life Insurance) - Employee life insurance for employee beneficiaries.
1205 Other(specify)
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 134,007
1301 OASDI - Disability insurance
1302 FICA/MEDICARE 129,181 Cost of FICA/Medicare
1303 SUI 4,826 Unemployment insurance
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
PROGRAM EXPENSE
ACCT#J LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2000:DIRECT CLIENT SUPPORT 7,250
2001 Child Care -
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 6,250 Expenses that supports clients with clothing,food,water,blankets,and hygiene
supplies.Also,includes miscellaneous client support items such as pet food,groceries,
DMV identification,and birth certificates.
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 1,000 Various program supplies as needed for the program.
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify) -
3000:DIRECT OPERATING EXPENSES 112,436
3001 Telecommunications 30,595 Cost of a cell phone,cell phones service,data connectivity.
3002 Printing/Postage 3,025 Anticipating courier services and postage necessary for program.Business cards,51/50
forms,and other special printing in bulk that is less cost effective to outsource rather
than utilization of a copier.
3003 Office Supplies&Equipment 4,350 Includes all supplies and minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development&Training 11,000 Cost of continuation of staff development,training,and continuing education(CEUs).
Includes,registration cost,travel transportation,staff meals,and lodging expenses.
3006 Staff Mileage 600 Reimbursements to staff for personal vehicle use when lease vehicle not available and
require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 45,075 Minor auto repairs&maintenance required to maintain 11 leased vehicles for client
transportation and program needs.Includes expenses such as oil changes,car washes,
vehicle tracking service,auto fuel,and DMV fees.
3009 Other(Staff Recruitment) 1,350 Thorough background checks,drug testing,and job postings.
3010 Other(Insurance) 14,441 Liability Insurance
3011 Other(Uniforms) 2,000 Intended for the purpose of identifying ourselves to the people we are going to
service,but also to identify who the KV people are to law enforcement,if law
enforcement is called to the the scene for some reason..
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 96,437
4001 Building Maintenance 6,725 Maintenance of building
4002 Rent/Lease Building 29,350 Shared building lease space.
4003 Rent/Lease Equipment 4,110 Shared cost for copier leases and water dispenser rental
4004 Rent/Lease Vehicles 47,000 Cost of(11)leased vehicles to assist with program and client needs
4005 Security 2,550 Cost of security
4006 Utilities 6,702 Cost of utilities.
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify) -
5000:DIRECT SPECIAL EXPENSES 77,676
5001 Consultant(Network&Data Management) 67,550 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,access
to data/documents/application 24/7.After hours support via email and phone 24/7.
5002 HMIS(Health Management Information System)
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services 1,550 Anticipating need of outsource translation services.
5005 Other(EHR Fees) 8,576 EHR licensing fees
5006 Other(specify) -
5007 Other(Dispatch)
5008 Other(specify)
6000:INDIRECT EXPENSES 285,151
6001 lAdministrative Overhead -
6002 Professional Liability Insurance
6003 Accounting/Bookkeeping
6004 External Audit -
6005 Insurance(Specify): 10,000 Direct expense to program general,professional liability,personal property,accidental,
and auto insurance
6006 Payroll Services -
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) 110,087
6009 Other(Administrative Overhead) 165,064 Expense provides corporate management,fiscal services,payroll,human resources,
accounts payable and other adminstrative functions.
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify) -
7000:DIRECT FIXED ASSETS 13,600
7001 1 Computer Equipment&Software 12,500 Computer equipment and ongoing software licenses
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 1,100 Anticipating cost or replacement furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(CHFFA capital acquisition)
7008 1 Other(specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 2,623,844
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 2,623,844 0
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
Crisis Intervention Team&Mobile Crisis Response Team-Combined Metro&Rural
Kings View
January 23,2024-April 8,2024
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.06 $ 2,894 $ 2,894
1102 Regional Director 0.27 9,043 9,043
1103 Financial Analyst(Accountant) 0.29 6,889 6,889
1104 Quality Improvement Data Analyst 0.50 9,841 9,841
1105 Administrative Specialist 2.00 27,165 27,167
1106 Program Manager 2.00 65,903 65,903
1107 Clinical Supervisor/UR 3.00 81,175 81,175
1108 - -
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 8.12 $ 202,910 $ 202,912
Acct# Program Position FTE Admin Program Total
1116 Licensed Field Clinician 0.00 $ - $ -
1117 Clinicians 28.00 655,934 655,934
1118 Licensed Lead Field Clinician 2.00 57,164 57,164
1119 Case Manager 8.00 108,902 108,902
1120 Per Diem Team Responder 0.00 - -
1121 Lead Case Manager 2.00 31,562 31,562
1122 Dispatcher 0.00 - -
1123 Field Clinician Supervisor 0.00
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 40.00 $ 853,562 $ 853,562
Admin Program Total
Direct Personnel Salaries Subtotal 48.12 $ 202,910 $ 853,562 $ 1,056,474
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 3,116 $ 11,690 $ 14,806
1202 Worker's Compensation 4,112 15,425 19,537
1203 Health Insurance 23,138 86,799 109,937
1204 Other(Life Insurance) 400 1,502 1,902
1205 Other(specify) - -
1206 Other(specify) - -
Direct Employee Benefits Subtotal: $ 30,766 $ 115,416 $ 146,182
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ 459 $ 1,723 $ 2,182
1302 FICA/MEDICARE 15,164 56,887 72,051
1303 SUI 626 2,348 2,974
1304 Other(specify) - - -
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 16,249 $ 60,958 $ 77,207
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 249,925 $ 1,029,936 $ 1,279,863
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
20%1 80%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing, Food,&Hygiene 6,714
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 2,058
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 8,772
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 24,466
3002 Printing/Postage 83
3003 Office Supplies&Equipment 8,041
3004 Advertising -
3005 Staff Development&Training 4,416
3006 Staff Mileage -
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 19,857
3009 Other(Staff Recruitment) 1,864
3010 Other(Insurance) 26,604
3011 Other(Uniforms) 2,500
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 87,831
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 11,895
4002 Rent/Lease Building 27,811
4003 Rent/Lease Equipment 5,334
4004 Rent/Lease Vehicles 51,897
4005 Security
4006 Utilities 6,000
4007 Other(specify)
4008 Other(specify)
4009 Other(Specify)
4010 Other(specify) -
DIRECT FACILITIES/EQUIPMENT TOTAL: $ 102,937
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 65,716
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services 250
5005 Other(EHR Fees) -
5006 Other(specify) -
5007 Other(Dispatch) 15,000
5008 Other(specify) -
DIRECT SPECIAL EXPENSES TOTAL: $ 80,966
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate
Administrative Overhead
6002 Professional Liability Insurance $ 10,000.00
6003 Accounting/Bookkeeping -
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to beUsedforProgramPurposes)
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Administrative Overhead) 227,934
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 237,934
INDIRECT COST RATE 15.09%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 15,540
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 1,100
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(CHFFA capital acquisition)
7008 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
FIXED ASSETS EXPENSES TOTAL $ 16,640
TOTAL PROGRAM EXPENSES 1 $ 1,814,943
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Crisis Intervention Team
Acct# Line Item Description I I Amount
Estimated Specialty Mental Health Services Billing Totals: 1 1 $ 1,439,084
Estimated%of Clients who are Medi-Cal Beneficiaries 30%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 431,725
Federal Financial Participation(FFP)% 50% 215,863
MEDI-CAL FFP TOTAL $ 215,863
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Medi-Cal Mobile Crisis Benefit SMHS
Acct# Line Item Description Service Units Rate Amount
Transportation Mileage 260 0.65 $ 169
Mobile Crisis 66 3,585.77 $ 236,661
Transportation,staff time,per 15 minutes 33 86.73 $ 2,862
Estimated Specialty Mental Health Services Billing Totals: 359 $ 239,692
Estimated%of Clients who are Medi-Cal Beneficiaries 60%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries $ 143,815
Federal Financial Participation(FFP)% 1 50% 71,908
MEDI-CAL FFP TOTAL $ 71,908
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Medi-Cal Mobile Crisis Benefit DMC-ODS
Acct# Line Item Description Service Units Rate Amount
Transportation Mileage 55 0.65 $ 36
Mobile Crisis 14 3,585.77 $ 50,201
Transportation,staff time,per 15 minutes 7 86.73 $ 607
Estimated Specialty Mental Health Services Billing Totals: 76 $ 50,844
Estimated%of Clients who are Medi-Cal Beneficiaries 60%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 30,506
Federal Financial Participation(FFP)% 1 50% 15,253
MEDI-CAL FFP TOTAL $ 15,253
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 $ 384,346
REALIGNMENT TOTAL $ 384,346
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ -
8302 PEI-Prevention&Early Intervention Crisis Intervention&Rural Triage 896,060
8303 INN-Innovations -
8304 WET-Workforce Education&Training
8305 1 CFTN-Capital Facilities&Technology
MHSA TOTAL $ 896,060
8400-OTHER REVENUE
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance
8403 Grants(CCMU) 231,514
8404 Grants(CHFFA-Capital) -
8405 lGrants(CHFFA-Personnel)
OTHER REVENUE TOTAL $ 231,514
TOTAL PROGRAM FUNDING SOURCES: $ 1,814,943
NET PROGRAM COST: $ (0)
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
Crisis Intervention Team&Mobile Crisis Response Team-Combined Metro&Rural
Kings View
January 23,2024-April 8,2024
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Executive Director PATH SMHS/Fresno 0.02
PATH OEL/Fresno 0.02
PATH STARS 0.06
Blue Sky/Fresno 0.10
Rural Crisis Intervention/Fresno 0.06
Metro CIT/Fresno 0.06
Map Point/Fresno 0.02
Suicide Prevention Follow-up Call/Fresno 0.02
FURS/Fresno 0.06
CVSPH/California State,Tulare,Calaveras,Tuolum 0.26
Shasta 0.18
Tulare 0.52
Madera 0.12
Kings 0.46
Administrative Department 0.04
Total 2.00
Position Contract#/Name/Department/County FTE%
Regional Director PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.04
PATH STARS 0.12
Blue Sky/Fresno 0.22
Case Manager 0.32
Metro CIT/Fresno 0.210
Map Point/Fresno 0.10
FURS/Fresno 0.06
Suicide Prevention Follow-up Call/Fresno 0.02
CVSPH/California State,Tulare,Calaveras,Tuolum 0.58
Madera 0.28
Total 1.99
Position Contract#/Name/Department/County FTE%
Accountant PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.10
PATH STARS 0.10
Blue Sky/Fresno 0.24
Rural Crisis Intervention/Fresno 0.30
Metro CIT/Fresno 0.28
Map Point/Fresno 0.14
FURS/Fresno 0.06
Finance Department 0.74
Total 2.00
Position Contract#/Name/Department/County FTE%
Quality Improvement Data Analyst PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.10
PATH STARS 0.10
Blue Sky/Fresno 0.24
Rural Crisis Intervention/Fresno 0.50
Metro CIT/Fresno 0.50
Map Point/Fresno 0.14
FURS/Fresno 0.06
Shasta 0.08
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
QI Deparment 0.24
Total 2.00
Position Contract#/Name/Department/County FTE%
Administrative Specialist PATH SMHS/Fresno 0.34
PATH OEL/Fresno 0.10
Rural Crisis Intervention/Fresno 1.50
FURS/Fresno 0.06
Total 2.00
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
Crisis Intervention Team&Mobile Crisis Response Team-Combined Metro&Rural
Kings View
January 23,2024-April 8,2024 Budget Narrative
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 1,279,863
Administrative Positions 202,912
1101 Executive Director 2,894 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Regional Director 9,043 Provide program management and direction.Ensures operations are running smoothly
and in compliance with contract requirements.
1103 Accountant 6,889 Prepares and provides budget guidance,monthly invoicing,and other fiscal services.
1104 Quality Improvement Data Analyst 9,841 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.
1105 Administrative Specialist 27,167 Provides administrative support for the program and assist with medical billing and
records.
1106 Program Manager 6S,903 Provides supervision of all staff and direct oversight of program management.
1107 Clinical Supervisor/UR 81,175 Provides supervision of all licensed and unlicensed clinical staff.
1108 0 -
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 853,562
1116 Licensed Field Clinician - Combined with 1117
1117 Clinicians 655,934 Assist with managing the client's illness and reduce its impact on the client's life,and
referrals to appropriate linkages.Services shall include crisis assessments,suicide risk
assessments,safety plan development,disseminating information regarding,and
linkage to,behavioral health services&community resources,and post-crisis case
management and care coordination activities.Additional services can include
assistance locating stable housing,coordinating care meetings,collaboration with
school staff,foster family agencies,regional center representatives,primary care
physicians,inpatient and residential services,social workers,substance use disorder
services,and parole or probation officers.These position may be filled by regular staff
members,on call staff members,per diem staff,licensed and unlicensed clinicians.The
higher cost reflects includes 1/2 of additional FTE and greater differentials to attract
and retain clincians to the MCRT program.The CIT program is two shifts a day and the
MCRT program adds a third shift for overnight calls.In addition the clinicians may be
assigned to provide services in under the CHFFA-funded school-based pilot program.
1118 Licensed Lead Field Clinician 57,164 Provides guidance and support to other field clinicains along with usual clinican field
services.Assist with managing the client's illness and reduce its impact on the client's
life,and referrals to appropriate linkages.Services shall include crisis assessments,
suicide risk assessments,safety plan development,disseminating information
regarding,and linkage to,behavioral health services&community resources,and post-
crisis case management and care coordination activities.Additional services can
include assistance locating stable housing,coordinating care meetings,collaboration
with school staff,foster family agencies,regional center representatives,primary care
physicians,inpatient and residential services,social workers,substance use disorder
services,and parole or probation officers.
1119 Case Manager 108,902 This is a position that co-responds with Field Clinicians and provides post-crisis case
management and care coordination activities for all disciplines of the program.This
position can be filled by regular,part-time,on-call and per diem staff. In addition the
case manager may be assigned to provide services in under the CHFFA-funded school-
based pilot program.
1120 Per Diem Field Clinician(Licensed)1,000 hrs/yr - These positions have consolidated with 1117 Clinicians.
1121 Lead Case Manager 31,562 Oversees training and schedules Case Managers,while also providing co response and
client follow-up as other case managers.This added position need to support the 6
new MCRT Case Managers.
1122 0 -
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1123 Field Clinician Supervisor Contractor shall ensure clinical supervisor(s)will oversee the work of the clinicians,
including approving documentation and claiming in the electronic medical records as
required.The clinical supervisor(s)shall be able to provide Board of Behavioral
Sciences(BBS)supervision.This position is expected to provide direct clinical services.
This position will be split between the Metro and Rural School Based Programs. In
addition the position may be assigned to provide guidance and support to clinicians
and case managers in providing services in under the CHFFA-funded school-based pilot
program.
1124 0
1125 0
1126 0
1127 0
Direct Employee Benefits 146,182
1201 Retirement 14,806 Cost of 401K
1202 Worker's Compensation 19,537 Workers'Compensation Insurance
1203 Health Insurance 109,937 Cost of medical,vision,dental,life and long-term disability insurance.
1204 Other(Life Insurance) 1,902 Employee life insurance for employee beneficiaries.
1205 Other(specify) -
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 77,207
1301 OASDI 2,182 Disability insurance
1302 FICA/MEDICARE 72,051 Cost of FICA/Medicare
1303 SUI 2,974 Unemployment insurance
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2000:DIRECT CLIENT SUPPORT 8,772
2001 Child Care -
2002 Client Housing Support
2003 Client Transportation&Support
2004 Clothing,Food,&Hygiene 6,714 Expenses that supports clients with clothing,food,water,blankets,and hygiene
supplies.Also,includes miscellaneous client support items such as pet food,groceries,
DMV identification,and birth certificates.
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 2,058 Various program supplies as needed for the program.
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 1 Other(specify)
3000:DIRECT OPERATING EXPENSES 87,831
3001 Telecommunications 24,466 Cost of a cell phone,cell phones service,data connectivity.Increase for the additional
case managers and program leads.
3002 Printing/Postage 83 Anticipating courier services and postage necessary for program.Business cards,51/50
forms,and other special printing in bulk that is less cost effective to outsource rather
than utilization of a copier.
3003 Office Supplies&Equipment 8,041 Includes all supplies and minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development&Training 4,416 Cost of continuation of staff development,training,and continuing education(CEUs).
Includes,registration cost,travel transportation,staff meals,and lodging expenses.
3006 Staff Mileage - Reimbursements to staff for personal vehicle use when lease vehicle not available and
require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 19,857 Minor auto repairs&maintenance required to maintain 11 leased vehicles for client
transportation and program needs.Includes expenses such as oil changes,car washes,
vehicle tracking service,auto fuel,and DMV fees.
3009 Other(Staff Recruitment) 1,864 Thorough background checks,drug testing,and job postings.
3010 Other(Insurance) 26,604 Liability Insurance
3011 Other(Uniforms) 2,500 Intended for the purpose of identifying ourselves to the people we are going to
service,but also to identify who the KV people are to law enforcement,if law
enforcement is called to the the scene for some reason..
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 102,937
4001 Building Maintenance 11,895 Maintenance of building
4002 Rent/Lease Building 27,811 Building lease space.
4003 Rent/Lease Equipment 5,334 Cost for copier leases and water dispenser rental.
4004 Rent/Lease Vehicles 51,897 Cost of leased vehicles to assist with program and client needs.Two additional vehicles
are added to cover the MCRT program.
4005 Security -
4006 Utilities 6,000 Cost of utilities.
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 80,966
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
5001 Consultant(Network&Data Management) 65,716 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,access
to data/documents/application 24/7.After hours support via email and phone 24/7.
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services 250 Anticipating need of outsource translation services.
5005 Other(EHR Fees) -
5006 Other(specify) -
5007 Other(Dispatch) 15,000 Dispatch software&services as needed
5008 Other(specify)
6000:INDIRECT EXPENSES 237,934
6001 Administrative Overhead -
6002 Professional Liability Insurance 10,000 Direct expense to program for general,professional liability,personal property,
accidental,and auto insurance.
6003 Accounting/Bookkeeping -
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Administrative Overhead) 227,934 Expense provides corporate management,fiscal services,payroll,human resources,
accounts payable and other administrative functions.
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS 16,640
7001 Computer Equipment&Software 15,540 Computer equipment and ongoing software licenses
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 1,100 Anticipating cost or replacement furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(CHFFA capital acquisition) 18 vehicles and 2 year maintenance contracts for each vehicle
7008 Other(specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,814,943
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,814,943
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
Crisis Intervention Team, Mobile Crisis Response Team&CHFFA School-Based Mobile Crisis-Combined Metro&Rural
Kings View
April 9,2024-June 30,2024
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.06 $ 2,894 $ 2,894
1102 Regional Director 0.27 9,043 9,043
1103 Financial Analyst(Accountant) 0.29 6,890 6,890
1104 Quality Improvement Data Analyst 0.50 9,841 9,841
1105 Administrative Specialist 2.00 27,168 27,168
1106 Program Manager 2.00 65,902 65,902
1107 Clinical Supervisor/UR 3.00 81,174 81,174
1108 - -
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 8.12 $ 202,912 $ 202,912
Acct# Program Position FTE Admin Program Total
1116 Licensed Field Clinician 0.00 $ - $ -
1117 Clinicians 31.00 742,088 742,088
1118 Licensed Lead Field Clinician 2.00 57,164 57,164
1119 Case Manager 12.00 172,688 172,688
1120 Per Diem Team Responder 0.00 - -
1121 Lead Case Manager 2.00 31,562 31,562
1122 Dispatcher 0.00 - -
1123 Field Clinician Supervisor 0.40 45,934 45,934
1124 - -
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 47.40 $ 1,049,436 $ 1,049,436
Admin Program Total
Direct Personnel Salaries Subtotal 55.52 $ 202,912 $ 1,049,436 $ 1,252,348
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 3,116 $ 14,644 $ 17,760
1202 Worker's Compensation 4,112 19,322 23,434
1203 Health Insurance 23,138 108,739 131,877
1204 Other(Life Insurance) 400 1,881 2,281
1205 Other(specify) - -
1206 Other(specify) - -
Direct Employee Benefits Subtotal: $ 30,766 $ 144,586 $ 175,352
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ 459 $ 2,158 $ 2,617
1302 FICA/MEDICARE 15,164 71,264 86,428
1303 SUI 626 2,942 3,568
1304 Other(specify) - - -
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 16,249 $ 76,364 $ 92,613
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 249,927 $ 1,270,386 $ 1,520,313
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
16%1 84%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing, Food,&Hygiene 6,714
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 2,058
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 8,772
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 24,466
3002 Printing/Postage 83
3003 Office Supplies&Equipment 8,041
3004 Advertising -
3005 Staff Development&Training 4,416
3006 Staff Mileage -
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 19,857
3009 Other(Staff Recruitment) 1,864
3010 Other(Insurance) 26,604
3011 Other(Uniforms) 2,500
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 87,831
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 11,895
4002 Rent/Lease Building 27,811
4003 Rent/Lease Equipment 5,334
4004 Rent/Lease Vehicles 51,897
4005 Security
4006 Utilities 6,000
4007 Other(specify)
4008 Other(specify)
4009 Other(Specify)
4010 Other(specify) -
DIRECT FACILITIES/EQUIPMENT TOTAL: $ 102,937
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 65,716
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services 250
5005 Other(EHR Fees) -
5006 Other(specify) -
5007 Other(Dispatch) 15,000
5008 Other(specify) -
DIRECT SPECIAL EXPENSES TOTAL: $ 80,966
6000:INDIRECT EXPENSES
Acct# Line Item Description Amount
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate
Administrative Overhead
6002 Professional Liability Insurance $ 10,000.00
6003 Accounting/Bookkeeping -
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to beUsedforProgramPurposes)
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Administrative Overhead) 227,934
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 237,934
INDIRECT COST RATE 13.04%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 23,455
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 125
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(CHFFA capital acquisition)
7008 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
FIXED ASSETS EXPENSES TOTAL $ 23,580
TOTAL PROGRAM EXPENSES $ 2,062,333
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Crisis Intervention Team
Acct# Line Item Description I I Amount
Estimated Specialty Mental Health Services Billing Totals: 1 1 $ 1,439,084
Estimated%of Clients who are Medi-Cal Beneficiaries 30%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 431,725
Federal Financial Participation(FFP)% 50% 215,863
MEDI-CAL FFP TOTAL $ 215,863
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Medi-Cal Mobile Crisis Benefit SMHS
Acct# Line Item Description Service Units Rate Amount
Transportation Mileage 260 0.65 $ 169
Mobile Crisis 66 3,585.77 $ 236,661
Transportation,staff time,per 15 minutes 33 86.73 $ 2,862
Estimated Specialty Mental Health Services Billing Totals: 359 $ 239,692
Estimated%of Clients who are Medi-Cal Beneficiaries 60%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries $ 143,815
Federal Financial Participation(FFP)% 1 50% 71,908
MEDI-CAL FFP TOTAL $ 71,908
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Medi-Cal Mobile Crisis Benefit DMC-ODS
Acct# Line Item Description Service Units Rate Amount
Transportation Mileage 55 0.65 $ 36
Mobile Crisis 13 3,585.77 $ 46,615
Transportation,staff time,per 15 minutes 6 86.73 $ 520
Estimated Specialty Mental Health Services Billing Totals: 74 $ 47,171
Estimated%of Clients who are Medi-Cal Beneficiaries 60%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 28,303
Federal Financial Participation(FFP)% 1 50% 14,151
MEDI-CAL FFP TOTAL $ 14,151
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 $ 384,347
REALIGNMENT TOTAL $ 384,347
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ -
8302 PEI-Prevention&Early Intervention Crisis Intervention&Rural Triage 896,059
8303 INN-Innovations -
8304 WET-Workforce Education&Training
8305 1 CFTN-Capital Facilities&Technology
MHSA TOTAL $ 896,059
8400-OTHER REVENUE
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance
8403 Grants(CCMU) 232,611
8404 Grants(CHFFA-Capital) 6,940
8405 lGrants(CHFFA-Personnel) 240,454
OTHER REVENUE TOTAL $ 480,005
TOTAL PROGRAM FUNDING SOURCES: $ 2,062,333
NET PROGRAM COST: $ 0
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
rvention Team,Mobile Crisis Response Team&CHFFA School-Based Mobile Crisis-Combined Metr
Kings View
April 9,2024-June 30,2024
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE%
Executive Director PATH SMHS/Fresno 0.02
PATH OEL/Fresno 0.02
PATH STARS 0.06
Blue Sky/Fresno 0.10
Rural Crisis Intervention/Fresno 0.06
Metro CIT/Fresno 0.06
Map Point/Fresno 0.02
Suicide Prevention Follow-up Call/Fresno 0.02
FURS/Fresno 0.06
CVSPH/California State,Tulare,Calaveras,Tuolum 0.26
Shasta 0.18
Tulare 0.52
Madera 0.12
Kings 0.46
Administrative Department 0.04
Total 2.00
Position Contract#/Name/Department/County FTE%
Regional Director PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.04
PATH STARS 0.12
Blue Sky/Fresno 0.22
Case Manager 0.32
Metro CIT/Fresno 0.210
Map Point/Fresno 0.10
FURS/Fresno 0.06
Suicide Prevention Follow-up Call/Fresno 0.02
CVSPH/California State,Tulare,Calaveras,Tuolum 0.58
Madera 0.28
Total 1.99
Position Contract#/Name/Department/County FTE%
Accountant PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.10
PATH STARS 0.10
Blue Sky/Fresno 0.24
Rural Crisis Intervention/Fresno 0.30
Metro CIT/Fresno 0.28
Map Point/Fresno 0.14
FURS/Fresno 0.06
Finance Department 0.74
Total 2.00
Position Contract#/Name/Department/County FTE%
Quality Improvement Data Analyst PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.10
PATH STARS 0.10
Blue Sky/Fresno 0.24
Rural Crisis Intervention/Fresno 0.50
Metro CIT/Fresno 0.50
Map Point/Fresno 0.14
FURS/Fresno 0.06
Shasta 0.08
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
QI Deparment 1 0.24
Total 2.00
Position Contract#/Name/Department/County FTE%
Administrative Specialist PATH SMHS/Fresno 0.34
PATH CEL/Fresno 0.10
Rural Crisis Intervention/Fresno 1.50
FURS/Fresno 0.06
Total 2.00
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
Crisis Intervention Team,Mobile Crisis Response Team&CHFFA School-Based Mobile Crisis-Combined Metro&Rural
Kings View
April 9,2024-June 30,2024 Budget Narrative
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 1,279,863
Administrative Positions 202,912
1101 Executive Director 2,894 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Regional Director 9,043 Provide program management and direction.Ensures operations are running smoothly
and in compliance with contract requirements.
1103 Accountant 6,890 Prepares and provides budget guidance,monthly invoicing,and other fiscal services.
1104 Quality Improvement Data Analyst 9,841 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.
1105 Administrative Specialist 27,168 Provides administrative support for the program and assist with medical billing and
records.
1106 Program Manager 6S,902 Provides supervision of all staff and direct oversight of program management.
1107 Clinical Supervisor/UR 81,174 Provides supervision of all licensed and unlicensed clinical staff.
1108 0 -
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 1,049,436
1116 Licensed Field Clinician - Combined with 1117
1117 Clinicians 742,088 Assist with managing the client's illness and reduce its impact on the client's life,and
referrals to appropriate linkages.Services shall include crisis assessments,suicide risk
assessments,safety plan development,disseminating information regarding,and
linkage to,behavioral health services&community resources,and post-crisis case
management and care coordination activities.Additional services can include
assistance locating stable housing,coordinating care meetings,collaboration with
school staff,foster family agencies,regional center representatives,primary care
physicians,inpatient and residential services,social workers,substance use disorder
services,and parole or probation officers.These position may be filled by regular staff
members,on call staff members,per diem staff,licensed and unlicensed clinicians.The
higher cost reflects includes 1/2 of additional FTE and greater differentials to attract
and retain clincians to the MCRT program.The CIT program is two shifts a day and the
MCRT program adds a third shift for overnight calls.In addition the clinicians may be
assigned to provide services in under the CHFFA-funded school-based pilot program.
1118 Licensed Lead Field Clinician S7,164 Provides guidance and support to other field clinicains along with usual clinican field
services.Assist with managing the client's illness and reduce its impact on the client's
life,and referrals to appropriate linkages.Services shall include crisis assessments,
suicide risk assessments,safety plan development,disseminating information
regarding,and linkage to,behavioral health services&community resources,and post-
crisis case management and care coordination activities.Additional services can
include assistance locating stable housing,coordinating care meetings,collaboration
with school staff,foster family agencies,regional center representatives,primary care
physicians,inpatient and residential services,social workers,substance use disorder
services,and parole or probation officers.
1119 Case Manager 172,688 This is a position that co-responds with Field Clinicians and provides post-crisis case
management and care coordination activities for all disciplines of the program.This
position can be filled by regular,part-time,on-call and per diem staff. In addition the
case manager may be assigned to provide services in under the CHFFA-funded school-
based pilot program.
1120 Per Diem Field Clinician(Licensed)1,000 hrs/yr - These positions have consolidated with 1117 Clinicians.
1121 Lead Case Manager 31562 Oversees training and schedules Case Managers,while also providing co response and
client follow-up as other case managers.This added position need to support the 6
new MCRT Case Managers.
1122 0 -
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1123 Field Clinician Supervisor 45,934 Contractor shall ensure clinical supervisor(s)will oversee the work of the clinicians,
including approving documentation and claiming in the electronic medical records as
required.The clinical supervisor(s)shall be able to provide Board of Behavioral
Sciences(BBS)supervision.This position is expected to provide direct clinical services.
This position will be split between the Metro and Rural School Based Programs. In
addition the position may be assigned to provide guidance and support to clinicians
and case managers in providing services in under the CHFFA-funded school-based pilot
program.
1124 0
1125 0
1126 0
1127 0 -
Direct Employee Benefits 175,352
1201 Retirement 17,760 Cost of 401K
1202 Worker's Compensation 23,434 Workers'Compensation Insurance
1203 Health Insurance 131,877 Cost of medical,vision,dental,life and long-term disability insurance.
1204 Other(Life Insurance) 2,281 Employee life insurance for employee beneficiaries.
1205 Other(specify) -
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 92,613
1301 OASDI 2,617 Disability insurance
1302 FICA/MEDICARE 86,428 Cost of FICA/Medicare
1303 SUI 3,568 Unemployment insurance
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2000:DIRECT CLIENT SUPPORT 8,772
2001 Child Care -
2002 Client Housing Support
2003 Client Transportation&Support
2004 Clothing,Food,&Hygiene 6,714 Expenses that supports clients with clothing,food,water,blankets,and hygiene
supplies.Also,includes miscellaneous client support items such as pet food,groceries,
DMV identification,and birth certificates.
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 2,058 Various program supplies as needed for the program.
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 1 Other(specify)
3000:DIRECT OPERATING EXPENSES 87,831
3001 Telecommunications 24,466 Cost of a cell phone,cell phones service,data connectivity.Increase for the additional
case managers and program leads.
3002 Printing/Postage 83 Anticipating courier services and postage necessary for program.Business cards,51/50
forms,and other special printing in bulk that is less cost effective to outsource rather
than utilization of a copier.
3003 Office Supplies&Equipment 8,041 Includes all supplies and minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development&Training 4,416 Cost of continuation of staff development,training,and continuing education(CEUs).
Includes,registration cost,travel transportation,staff meals,and lodging expenses.
3006 Staff Mileage - Reimbursements to staff for personal vehicle use when lease vehicle not available and
require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 19,857 Minor auto repairs&maintenance required to maintain 11 leased vehicles for client
transportation and program needs.Includes expenses such as oil changes,car washes,
vehicle tracking service,auto fuel,and DMV fees.
3009 Other(Staff Recruitment) 1,864 Thorough background checks,drug testing,and job postings.
3010 Other(Insurance) 26,604 Liability Insurance
3011 Other(Uniforms) 2,500 Intended for the purpose of identifying ourselves to the people we are going to
service,but also to identify who the KV people are to law enforcement,if law
enforcement is called to the the scene for some reason..
3012 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 102,937
4001 Building Maintenance 11,895 Maintenance of building
4002 Rent/Lease Building 27,811 Building lease space.
4003 Rent/Lease Equipment 5,334 Cost for copier leases and water dispenser rental.
4004 Rent/Lease Vehicles 51,897 Cost of leased vehicles to assist with program and client needs.Two additional vehicles
are added to cover the MCRT program.
4005 Security -
4006 Utilities 6,000 Cost of utilities.
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 80,966
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
5001 Consultant(Network&Data Management) 65,716 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,access
to data/documents/application 24/7.After hours support via email and phone 24/7.
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services 250 Anticipating need of outsource translation services.
5005 Other(EHR Fees) -
5006 Other(specify) -
5007 Other(Dispatch) 15,000 Dispatch software&services as needed
5008 Other(specify)
6000:INDIRECT EXPENSES 237,934
6001 Administrative Overhead -
6002 Professional Liability Insurance 10,000 Direct expense to program for general,professional liability,personal property,
accidental,and auto insurance.
6003 Accounting/Bookkeeping -
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Administrative Overhead) 227,934 Expense provides corporate management,fiscal services,payroll,human resources,
accounts payable and other administrative functions.
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS 23,580
7001 Computer Equipment&Software 23,455 Computer equipment and ongoing software licenses.(CHFFA amount is$6,940)
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 125 Anticipating cost or replacement furniture needs.
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify)
7007 Other(CHFFA capital acquisition)
7008 1 Other(specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 2,062,333
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 2,062,333 0
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
Crisis Intervention Team,Mobile Crisis Response Team&CHFFA School-Based Mobile Crisis-Combined Metro&Rural
Kings View
Fiscal Year(FY)2024-25
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Executive Director 0.06 $ 11,924 $ 11,924
1102 Regional Director 0.27 37,258 37,258
1103 Accountant 0.29 28,384 28,384
1104 Quality Improvement Data Analyst 0.50 40,545 40,545
1105 Administrative Specialist 3.00 163,444 163,444
1106 Program Manager 2.00 274,164 274,164
1107 Clinical Supervisor/UR 3.00 334,439 334,439
1108 -
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 9.12 $ 890,158 $ 890,158
Acct# Program Position FTE Admin Program Total
1116 Licensed Field Clinician 0.00 $ - $ -
1117 Clinicians 30.00 2,787,277 2,787,277
1118 Licensed Lead Field Clinician 2.00 235,147 235,147
1119 Case Manager 12.00 513,283 1 513,283
1120 Per Diem Team Responders 0.00 - -
1121 ILead Case Manager 0.00 - -
1122 Dispatcher/Dispatch Counselors 4.00 274,228 274,228
1123 Field Clinician Supervisor 1.00 114,836 114,836
1124 Case Manager Supervisor 2.00 141,440 141,440
1125 -
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries SubtotalF 51.00 $ 4,066,211 $ 4,066,211
Admin I Program Total
Direct Personnel Salaries Subtotal 60.12 $ 890,158 $ 4,066,211 $ 4,956,369
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 13,168 $ 59,730 $ 72,898
1202 Worker's Compensation 16,898 76,648 93,546
1203 Health Insurance 111,431 505,440 616,871
1204 Life Insurance 1,645 7,458 9,103
1205 Other(specify)
1206 1 Other(specify)
Direct Employee Benefits Subtotal: $ 143,142 $ 649,276 $ 792,418
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ 51,652 $ 255,643 $ 307,295
1302 FICA/MEDICARE 12,081 59,787 71,868
1303 SUI 2,573 11,668 14,241
1304 Other(specify) - - -
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 66,306 $ 327,098 $ 393,404
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 1,099,606 $ 5,042,585 $ 6,142,191
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
18% 82%
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support
2003 Client Transportation&Support
2004 Clothing,Food,&Hygiene 12,500
2005 Education Support
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 2,000
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 14,500
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 82,771
3002 Printing/Postage 6,140
3003 Office Supplies&Equipment 12,360
3004 Advertising
3005 Staff Development&Training 33,000
3006 Staff Mileage 2,200
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 102,755
3009 Other(Staff Recruitment) 4,200
3010 Other(Insurance) 35,028
3011 Other(Uniforms) -
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 278,454
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 13,854
4002 Rent/Lease Building 60,460
4003 Rent/Lease Equipment 8,468
4004 Rent/Lease Vehicles 111,220
4005 Security 5,253
4006 Utilities 13,805
4007 Other(specify)
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:1 $ 213,060
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 269,045
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify)
5004 Translation Services 3,100
5005 Other(AvatarFees) -
5006 Other(IT Support Services) 17,151
5007 Other(Dispatch Software and Panic Buttons) 60,000
5008 Other -
DIRECT SPECIAL EXPENSES TOTAL: $ 349,296
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 $ 39,160
6003 Accounting/Bookkeeping -
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Usedfor Program Purposes)
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Adminstrative Overhead) 804,917
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 844,077
INDIRECT COST RATE 11.11%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $ 26,531
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 22,579
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify) -
7007 Other(CHHFA Vehicle Acquisition) 550,378
7008 Other(specify) -
FIXED ASSETS EXPENSES TOTAL $ 599,488
TOTAL PROGRAM EXPENSES 1 $ 8,441,066
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
PROGRAM FUNDING SOURCES
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)
Acct# Line Item Description Amount
Estimated Specialty Mental Health Services Billing Totals: $ 7,235,674
Estimated%of Clients who are Medi-Cal Beneficiaries 30%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 2,170,702
Federal Financial Participation(FFP)% 50% 1,085,351
MEDI-CAL FFP TOTAL 1 $ 1,085,351
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Medi-Cal Mobile Crisis Benefit SMHS
Acct# Line Item Description Service Units Rate Amount
Transportation Mileage 1050 0.65 $ 683
Mobile Crisis 265 3,585.77 $ 950,229
Transportation,staff time,per 15 minutes 132 86.73 $ 11,448
Estimated Specialty Mental Health Services Billing Totals: 1,447 $ 962,360
Estimated%of Clients who are Medi-Cal Beneficiaries 60%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 577,416
Federal Financial Participation(FFP)% 1 50% 288,708
MEDI-CAL FFP TOTAL 1 $ 288,708
8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION)-Medi-Cal Mobile Crisis Benefit DMC-ODS
Acct# Line Item Description Service Units Rate Amount
Transportation Mileage 230 0.65 $ 150
Mobile Crisis 55 3,585.77 $ 197,217
Transportation,staff time,per 15 minutes 27 86.73 $ 2,342
Estimated Specialty Mental Health Services Billing Totals: 312 $ 199,709
Estimated%of Clients who are Medi-Cal Beneficiaries 60%
Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries 119,825
Federal Financial Participation(FFP)% 11 50% 59,913
MEDI-CAL FFP TOTAL $ 59,913
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 SABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $ 1,070,512
REALIGNMENT TOTAL $ 1,070,512
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $ -
8302 PEI-Prevention&Early Intervention Crisis Intervention&Rural Triage 3,984,238
8303 INN-Innovations -
8304 WET-Workforce Education&Training
8305 I CFTN-Capital Facilities&Technology
MHSA TOTAL $ 3,984,238
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Client Insurance -
8403 Grants(CCMU) 908,732
8404 Grants(CHFFA-Capital) 576,842
8405 1 Grants(CHFFA-Personnel) 466,770
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
I OTHER REVENUE TOTALI $ 1,952,344 I
TOTAL PROGRAM FUNDING SOURCES: 1 $ 8,441,066
NET PROGRAM COST: 1 $ 0
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
!rvention Team,Mobile Crisis Response Team&CHFFA School-Based Mobile Crisis-Combined Metr
Kings View
Fiscal Year(FY)2024-25
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Executive Director PATH SMHS/Fresno 0.02
PATH OEL/Fresno 0.02
PATH STARS 0.06
Blue Sky/Fresno 0.10
Rural Crisis Intervention/Fresno 0.06
Metro CIT/Fresno 0.06
Map Point/Fresno 0.02
Suicide Prevention Follow-up Call/Fresno 0.02
FURS/Fresno 0.06
CVSPH/California State,Tulare,Calaveras,Tuolum 0.26
Shasta 0.18
Tulare 0.52
Madera 0.12
Kings 0.46
Administrative Department 0.04
Total 2.00
Position Contract#/Name/Department/County FTE%
Regional Director PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.04
PATH STARS 0.12
Blue Sky/Fresno 0.22
Case Manager 0.27
Metro CIT/Fresno 0.27
Map Point/Fresno 0.10
FURS/Fresno 0.06
Suicide Prevention Follow-up Call/Fresno 0.02
CVSPH/California State,Tulare,Calaveras,Tuolum 0.58
Madera 0.28
Total 2.00
Position Contract#/Name/Department/County FTE%
Accountant PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.10
PATH STARS 0.10
Blue Sky/Fresno 0.24
Rural Crisis Intervention/Fresno 0.30
Metro CIT/Fresno 0.28
Map Point/Fresno 0.14
FURS/Fresno 0.06
Finance Department 0.74
Total 2.00
Position Contract#/Name/Department/County FTE%
Quality Improvement Data Analyst PATH SMHS/Fresno 0.04
PATH OEL/Fresno 0.10
PATH STARS 0.10
Blue Sky/Fresno 0.24
Rural Crisis Intervention/Fresno 0.50
Metro CIT/Fresno 0.50
Map Point/Fresno 0.14
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
FU RS/Fresno 0.06
Shasta 0.08
QI Deparment 0.24
Total 2.00
Position Contract#/Name/Department/County FTE%
Administrative Specialist PATH SMHS/Fresno 0.34
PATH OEL/Fresno 0.10
Rural Crisis Intervention/Fresno 1.50
FURS/Fresno 0.06
Total 2.00
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
Crisis Intervention Team,Mobile Crisis Response Team&CHFFA School-Based Mobile Crisis-Combined Metro&Rural
Kings View
Fiscal Year(FY)2024-25 Budget Narrative
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 6,142,191
Administrative Positions 890,158
1101 Executive Director 11,924 Position will provide agency specific staff oversight and represent and maintain the
collaborative relationship between agencies.
1102 Regional Director 37,258 Provide program management and direction.Ensures operations are running smoothly
and in compliance with contract requirements.
1103 Accountant 28,384 Prepares and provides budget guidance,monthly invoicing,and other fiscal services.
1104 Quality Improvement Data Analyst 40,545 This position will perform a wide range of duties to support data collection,
management,and reporting needs for all collaborative partnerships.
1105 Administrative Specialist 163,444 Provides administrative support for the program and assist with medical billing and
records.
1106 Program Manager 274,164 Provides supervision of all staff and direct oversight of program management.
1107 Clinical Supervisor/UR 334,439 Provides supervision of all licensed and unlicensed clinical staff.
1108 0 -
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 4,066,211
1116 - Combined with 1117
1117 Clinicians 2,787,277 Assist with managing the client's illness and reduce its impact on the client's life,and
referrals to appropriate linkages.Services shall include crisis assessments,suicide risk
assessments,safety plan development,disseminating information regarding,and
linkage to,behavioral health services&community resources,and post-crisis case
management and care coordination activities.Additional services can include
assistance locating stable housing,coordinating care meetings,collaboration with
school staff,foster family agencies,regional center representatives,primary care
physicians,inpatient and residential services,social workers,substance use disorder
services,and parole or probation officers.These position may be filled by regular staff
members,on call staff members,per diem staff,licensed and unlicensed clinicians.The
higher cost reflects includes 1/2 of additional FTE and greater differentials to attract
and retain clincians to the MCRT program.The CIT program is two shifts a day and the
MCRT program adds a third shift for overnight calls. In addition the clinicians may be
assigned to provide services in under the CHFFA-funded school-based pilot program.
1118 Licensed Lead Field Clinician 235,147 Provides guidance and support to other field clinicains along with usual clinican field
services.Assist with managing the client's illness and reduce its impact on the client's
life,and referrals to appropriate linkages.Services shall include crisis assessments,
suicide risk assessments,safety plan development,disseminating information
regarding,and linkage to,behavioral health services&community resources,and post-
crisis case management and care coordination activities.Additional services can
include assistance locating stable housing,coordinating care meetings,collaboration
with school staff,foster family agencies,regional center representatives,primary care
physicians,inpatient and residential services,social workers,substance use disorder
services,and parole or probation officers.
1119 Case Manager 513,283 This is a position that co-responds with Field Clinicians and provides post-crisis case
management and care coordination activities for all disciplines of the program. This
position can be filled by regular,part-time,on-call and per diem staff. In addition the
case manager may be assigned to provide services in under the CHFFA-funded school-
based pilot program.
1120 - These positions have consolidated with 1117 Clinicians.
1121 Lead Case Manager - Removed(2 FTEs).Changing these positions to Case Managers Supervisors to handle
the additional work load
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1122 Dispatcher/Dispatch Counselors 274,228 These staff members will take the initial call for services and determine the next best
coarse of action for the client.These staff members will be hired with mental health
experience and receive specialized training and work closely with the clincial team.
1123 Field Clinician Supervisor 114,836 Contractor shall ensure clinical supervisor(s)will oversee the work of the clinicians,
including approving documentation and claiming in the electronic medical records as
required.This position is expected to provide direct clinical services.The clinical
supervisor(s)shall be able to provide Board of Behavioral Sciences(BBS)supervision.
This postion will be split between the Metro and Rural School Based Programs. In
addition the position may be assigned to provide guidance and support to clinicians
and case managers in providing services in under the CHFFA-funded school-based pilot
program.
1124 Case Manager Supervisors 141,440 Added(2 FTEs).Oversees training and schedules Case Managers,while also providing
co repsonse and client follow-up as other case managers.Manage MCRT timecards,
scheduling time off requests,interviewing,hiring,onboarding,credentialing,training,
performace evaluations.Assist with purchasing,asset tracking,fleet amintenance
oversight,stakeholder surveys,working with QA,attend meetings,teambuilding.
Direct Employee Benefits 792,418
1201 Retirement 72,898 Cost of 401K
1202 Worker's Compensation 93,546 Workers'Compensation Insurance
1203 Health Insurance 616,871 Cost of medical,vision,dental,life and long-term disability insurance.
1204 Life Insurance 9,103 Employee life insurance for employee beneficiaries.
1205 Other(specify) -
1206 Other(specify) -
Direct Payroll Taxes&Expenses: 393,404
1301 OASDI 307,295 Disability insurance
1302 FICA/MEDICARE 71,868 Cost of FICA/Medicare
1303 SUI 14,241 Unemployment insurance
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
PROGRAM EXPENSE
ACCT#J LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2000:DIRECT CLIENT SUPPORT 14,500
2001 Child Care -
2002 Client Housing Support
2003 Client Transportation&Support -
2004 Clothing,Food,&Hygiene 12,500 Expenses that supports clients with clothing,food,water,blankets,and hygiene
supplies.Also,includes miscellaneous client support items such as pet food,groceries,
DMV identification,and birth certificates.
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients
2008 Medication Supports
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Other(Program Supplies) 2,000 Various program supplies as needed for the program.
2012 Other(specify) -
2013 Other(specify)
2014 Other(specify)
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 278,454
3001 Telecommunications 82,771 Cost of a cell phone,cell phones service,data connectivity.Increase for the additional
case managers and program leads.
3002 Printing/Postage 6,140 Anticipating courier services and postage necessary for program.Business cards,51/50
forms,and other special printing in bulk that is less cost effective to outsource rather
than utilization of a copier.
3003 Office Supplies&Equipment 12,360 Includes all supplies and minor equipment used by staff in the course of providing
services.
3004 Advertising -
3005 Staff Development&Training 33,000 Cost of continuation of staff development,training,and continuing education(CEUs).
Includes,registration cost,travel transportation,staff meals,and lodging expenses.
3006 Staff Mileage 2,200 Reimbursements to staff for personal vehicle use when lease vehicle not available and
require to provide services or other program needs,paid at IRS rate.Any travel
transportation fees,such as parking fees.
3007 Subscriptions&Memberships -
3008 Vehicle Maintenance 102,755 Minor auto repairs&maintenance required to maintain 11 leased vehicles for client
transportation and program needs.Includes expenses such as oil changes,car washes,
vehicle tracking service,auto fuel,and DMV fees.
3009 Other(Staff Recruitment) 4,200 Thorough background checks,drug testing,and job postings.
3010 Other(Insurance) 35,028 Liability Insurance
3011 Other(Uniforms) - Intended for the purpose of identifying ourselves to the people we are going to
service,but also to identify who the KV people are to law enforcement,if law
enforcement is called to the the scene for some reason.
3012 Other(specify) - Cost for miscellaneous computer software.
4000:DIRECT FACILITIES&EQUIPMENT 213,060
4001 Building Maintenance 13,854 Maintenance of building
4002 Rent/Lease Building 60,460 Building lease space.
4003 Rent/Lease Equipment 8,468 Cost for copier leases and water dispenser rental.
4004 Rent/Lease Vehicles 111,220 Cost of leased vehicles to assist with program and client needs.Two additional vehicles
are added to cover the MCRT program.
4005 Security 5,253 Cost of security
4006 Utilities 13,805 Cost of utilities.
4007 Other(specify) -
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 349,296
5001 Consultant(Network&Data Management) 269,045 Kings View Information Technology Department(KVIT)will provide hardware and
software support successful data collection.Information services and management
consisting of managed internet service provider,network and desktop management,
project management,technology procurement,telecommunication management,
strategic technology planning,system documentation,application/data hosting,access
to data/documents/application 24/7.After hours support via email and phone 24/7.
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020
Revised Exhibit F
PROGRAM EXPENSE
ACCT#j LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services 3,100 Anticipating need of outsource translation services.
5005 Other(Avatar Fees) -
5006 Other(IT Support Services) 17,151
5007 Other(Dispatch Software and Panic Buttons) 60,000 Dispatch software needed
5008 1 Other
6000:INDIRECT EXPENSES 844,077
6001 Administrative Overhead
6002 Professional Liability Insurance 39,160 Direct expense to program for general,professional liability,personal property,
accidental,and auto insurance.
6003 Accounting/Bookkeeping -
6004 External Audit
6005 Insurance(Specify):
6006 Payroll Services
6007 Depreciation(Provider-Owned Equipment to be Used
6008 Personnel(Indirect Salaries&Benefits) -
6009 Other(Adminstrative Overhead) 804,917 Expense provides corporate management,fiscal services,payroll,human resources,
accounts payable and other administrative functions.
6010 Other(specify) -
6011 Other(specify)
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS 599,488
7001 Computer Equipment&Software 26,531 Computer equipment and ongoing software licenses.(CHFFA amount is$6,090)
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 22,579 Anticipating shared cost or replacement furniture needs.(CHFFA amount is$19,404)
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify) -
7007 Other(CHHFA Vehicle Acquisition) 550,378
7008 Other(specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 8,441,066
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 8,441,066
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020