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Home My WebLink AboutAgreement A-25-284 Amendment 5 with Mental Health Systems Inc..pdf Agreement No. 25-284 1 AMENDMENT NO. 5 TO SERVICE AGREEMENT 2 This Amendment No. 5 to Service Agreement ("Amendment No. 5") is dated 3 June 24, 2025 and is between MENTAL HEALTH SYSTEMS, INC. dba TURN 4 Behavioral Health Services, a private, Non-Profit, 501(c)(3) Corporation ("Contractor"), and the 5 County of Fresno, a political subdivision of the State of California ("County"). 6 Recitals 7 A. County, through its Department of Behavioral Health (DBH), is a Behavioral Health Plan 8 (BHP) as defined in Title 9 of the California Code of Regulations (C.C.R.) Section 1810.226. 9 B. On June 20, 2023, the County and the Contractor entered into County Agreement No. 10 23-284 ("Agreement"), as a qualified agency to operate a recovery-oriented program for Co- 11 Occurring Disorders Full-Service Partnership (FSP) services for adults and older adults with 12 active co-occurring disorders and symptoms (severe mental illness and substance use 13 disorders). 14 C. On November 7, 2023, the County and the Contractor entered into Agreement No. 23- 15 597("Amendment No. 1"), which amended the Agreement to reflect the correct scope of work 16 and update the rate sheet to include Supplemental/Add On service codes that were previously 17 added by the DBH Director through her authority on Article 25 of the Agreement to 18 accommodate state mandated rate increases. 19 D. On July 9, 2024, the County and the Contractor entered into Agreement No. 24-369 20 ("Amendment No. 2"), which amended the Agreement to increase the specialty mental health 21 services maximum compensation budget amount. 22 E. On January 28, 2025, the County and the Contractor entered into Agreement No. 25-032 23 ("Amendment No.3"), which amended the Agreement to increase the Mental Health Services 24 Act (MHSA) maximum compensation for housing support funds. 25 F. On May 6, 2025, the County and the Contractor entered into Agreement No. 25-171 26 (Amendment No. 4"), which amended the Agreement to increase the maximum compensation 27 due to an increase in billable services which will allow Contractor to continue to submit billing 28 claims for services rendered and received through the entire fiscal year. 1 1 G. The County and the Contractor now desire to further amend the Agreement to increase 2 the maximum compensation and extend the current term by three months with an additional 3 optional three-month extension, to ensure that services remain uninterrupted to the co-occurring 4 population. 5 The parties therefore agree as follows: 6 1. Term. This Amendment extends the term of the Agreement through September 30, 7 2025. The term of this Agreement may be extended for no more than one three-month period 8 only upon written approval of both parties at least thirty (30) days before the first day of the 9 three-month extension period. The County's DBH Director, or designee, is authorized to sign the 10 written approval on behalf of the County based on the Contractor's satisfactory performance. 11 The extension of this Agreement by the County is not a waiver or compromise of any default or 12 breach of this Agreement by the Contractor existing at the time of the extension whether or not 13 known to the County. 14 2. Section 4.2 of the Agreement, beginning on Page 8, Line 25 is amended to add the 15 following: 16 "The maximum compensation payable to the Contractor under this Agreement for 17 the period of July 1, 2025, through September 30, 2025 for Specialty Mental 18 Health Services is Nine Hundred Eighty Seven Thousand Five Hundred and 19 No/100 Dollars ($987,500.00), which is not a guaranteed sum but shall be paid 20 only for services rendered and received. The maximum compensation payable to 21 the Contractor under this Agreement for the period of October 1, 2025 through 22 December 31, 2025 for Specialty Mental Health Services is Nine Hundred Eighty 23 Seven Thousand Five Hundred and No/100 Dollars ($987,500.00)which is not a 24 guaranteed sum but shall be paid only for services rendered and received." 25 3. Section 4.3 of the Agreement, beginning on Page 9, Line 4 is amended to add the 26 following: 27 "The maximum compensation payable to Contractor under this Agreement for the 28 period of July 1, 2025, through September 30, 2025, for Non-Medi-Cal Supports 2 1 is One Hundred Seventy Three Thousand Nine Hundred Thirty and No/100 2 Dollars ($173,930.00). The maximum compensation payable to Contractor under 3 this Agreement for the period of October 1, 2025 through December 31, 2025, for 4 Non-Medi-Cal Supports is One Hundred Seventy Three Thousand Nine Hundred 5 Thirty and No/100 Dollars ($173,930.00)." 6 4. A portion of Section 4.5 beginning on Page 9, Lines 13 through 16 is deleted and 7 replaced with the following: 8 "Total Maximum Compensation. In no event shall the maximum contract 9 amount for all the services provided by the Contractor to County under the terms 10 and conditions of this Agreement be in excess of Eleven Million Eighty Four 11 Thousand Five Hundred Twenty Six and No/100 Dollars ($11,084,526.00) during 12 the entire term of this Agreement." 13 5. All references in the Agreement to Exhibit G1 shall be deemed references to "Revised 14 Exhibit G1-1," which is attached and incorporated by this reference. 15 6. When both parties have signed this Amendment No. 5, the Agreement, Amendment No. 16 1, Amendment No. 2, Amendment No. 3, Amendment No. 4, and this Amendment No. 5 17 together constitute the Agreement. 18 7. The Contractor represents and warrants to the County that: 19 a. The Contractor is duly authorized and empowered to sign and perform its obligations 20 under this Amendment. 21 b. The individual signing this Amendment on behalf of the Contractor is duly authorized 22 to do so and his or her signature on this Amendment legally binds the Contractor to 23 the terms of this Amendment. 24 8. The parties agree that this Amendment may be executed by electronic signature as 25 provided in this section. 26 a. An "electronic signature" means any symbol or process intended by an individual 27 signing this Amendment to represent their signature, including but not limited to (1) a 28 digital signature; (2) a faxed version of an original handwritten signature; or (3) an 3 1 electronically scanned and transmitted (for example by PDF document) version of an 2 original handwritten signature. 3 b. Each electronic signature affixed or attached to this Amendment (1) is deemed 4 equivalent to a valid original handwritten signature of the person signing this 5 Amendment for all purposes, including but not limited to evidentiary proof in any 6 administrative or judicial proceeding, and (2) has the same force and effect as the 7 valid original handwritten signature of that person. 8 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5, 9 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part 10 2, Title 2.5, beginning with section 1633.1). 11 d. Each party using a digital signature represents that it has undertaken and satisfied 12 the requirements of Government Code section 16.5, subdivision (a), paragraphs (1) 13 through (5), and agrees that each other party may rely upon that representation. 14 e. This Amendment is not conditioned upon the parties conducting the transactions 15 under it by electronic means and either party may sign this Amendment with an 16 original handwritten signature. 17 9. This Amendment may be signed in counterparts, each of which is an original, and all of 18 which together constitute this Amendment. 19 10. The Agreement as amended by this Amendment No. 5 is ratified and continued. All 20 provisions of the Agreement not amended by this Agreement No. 5 remain in full force and 21 effect. 22 [SIGNATURE PAGE FOLLOWS] 23 24 25 26 27 28 4 1 The parties are signing this Amendment No. 5 on the date stated in the introductory 2 clause. 3 Mental Health Systems, Inc. dba TURN COUNTY OF FRESNO 4 Behavioral Health Services 5 6 James Callaghan W (,2025 15:39 PDT) Ernest Buddy M es, Chairman of the James C. Callaghan, Jr., CEO & President Board of Supervisors of the County of Fresno 7 Attest: 8 Bernice E. Seidel David 7"an.-w Clerk of the Board of Supervisors 9 ftw0T .,.„_,.V== County of Fresno, State of California David Tanner,VP of Corporate Finance 10 9465 Farnham Street By:_ 11 San Diego, CA 92123 Deputy 12 For accounting use only: 13 Org No.: 56304562 14 Account No.: 7295 Fund No.: 0001 15 Subclass No.: 10000 16 17 18 19 20 21 22 23 24 25 26 27 28 5 Revised Exhibit G1-1 Co-Occuring Full Service Partnership MHS Fresno Impact Fiscal Year(FY) 2025-26(July 1,2025-September 30,2025) PROGRAM EXPENSES 1000:SALARIES&BENEFITS Employee Salaries Acct# Position FTE Admin Direct Total 1101 $ - 1102 - - 1103 - - 1104 - - 1105 - - 1106 - - 1107 - - 1108 - - 1109 - - 1110 - - 1111 - - 1112 - - 1113 - - 1114 - - 1115 - - 1116 - - 1117 - - 1118 - - 1119 - - 1120 - - 1121 - - 1122 - - 1123 - - 1124 - - 1125 - - 1126 - - 1127 - - 1128 - - 1129 - - 1130 - - 1131 - - 1132 - - 1133 - - 1134 - - 1135 - - Personnel Salaries Subtotall 0.00 1 $ Employee Benefits Acct# Description Admin Direct Total 1201 Retirement $ - $ $ - 1202 Worker's Compensation - - 1203 Health Insurance - - 1204 1 Other(specify) - - 1205 10ther(specify) - - 1206 1 Other(specify) - - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit G1-1 Employee Benefits Subtotal: $ - $ - $ - Payroll Taxes&Expenses: Acct# Description Admin Direct Total 1301 OASDI $ - $ $ - 1302 FICA/MEDICARE - - 1303 SUI - - 1304 1 Other(specify) - - 1305 10ther(specify) - - 1306 1 Other(specify) - - Payroll Taxes&Expenses Subtotal: $ - $ - $ - EMPLOYEE SALARIES&BENEFITS TOTAL: $ - $ - $ - 2000:CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ 143 2002 Client Housing Support 155,066 2003 Client Transportation &Support 7,566 2004 IClothing, Food,& Hygiene 7,298 2005 Education Support 143 2006 Employment Support 143 2007 Household Items for Clients 3,428 2008 Medication Supports - 2009 Program Supplies-Medical - 2010 Utility Vouchers 143 2011 Other(specify) - 2012 Other(specify) - 2013 Other(specify) - 2014 1 Other(specify) - 2015 Other(specify) - 2016 Other(specify) - DIRECT CLIENT CARE TOTAL rs 173,930 3000:OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ - 3002 Printing/Postage - 3003 Office, Household & Program Supplies - 3004 jAdvertising - 3005 Staff Development&Training - 3006 Staff Mileage - 3007 Subscriptions& Memberships - 3008 Vehicle Maintenance - 3009 Other(specify) - 3010 Other(specify) - 3011 Other(specify) - 3012 Other(specify) - OPERATING EXPENSES TOTAL: $ - 4000: FACILITIES&EQUIPMENT Acct# Line Item Description Amount 4001 Building Maintenance $ - 4002 Rent/Lease Building - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit G1-1 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities - 4007 Other(specify) - 4008 Other(specify) - 4009 Other(specify) - 4010 Other(specify) - FACILITIES/EQUIPMENT TOTAL: $ - 5000:SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network& Data Management) $ - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) - 5004 ITranslation Services - 5005 Other(specify) - 5006 Other(specify) - 5007 Other(specify) - 5008 Other(specify) - SPECIAL EXPENSES TOTAL: $ - 6000:ADMINISTRATIVE EXPENSES Acct# Line Item Description Amount 6001 Administrative Overhead $ - 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping - 6004 1 External Audit - 6005 Insurance(Specify): - 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Other(specify) - 6009 Other(specify) - 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - ADMINISTRATIVE EXPENSES TOTAL $ - 7000: FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ - 7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data - 7003 Furniture& Fixtures - 7004 1 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 Assets over$5,000/unit(Specify) - 7007 Other(specify) - 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ - TOTAL PROGRAM EXPENSES $ 173,930 Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit G1-1 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description Service Units Rate Amount 8001 Mental Health Services 0 $ - 8002 Case Management 0 - 8003 Crisis Services 0 - 8004 Medication Support 0 - 8005 Collateral 0 - 8006 Plan Development 0 - 8007 Assessment 0 - 8008 Rehabilitation 0 - 8009 Other(Specify) 0 - 8010 1 Other(Specify) 1 01 1 - Estimated Specialty Mental Health Services Billing Totals: 0 $ Estimated %of Clients who are Medi-Cal Beneficiaries 0% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation (FFP)% 1 0% - MEDI-CAL FFP TOTAL $ - 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 SABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ 173,930 REALIGNMENT TOTAL $ 173,930 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ - 8302 PEI -Prevention & Early Intervention - 8303 INN -Innovations - 8304 WET-Workforce Education &Training - 8305 ICFTN -Capital Facilities&Technology I I - MHSA TOTAL $ 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants(Specify) - 8404 Other(Specify) - 8405 1 Other(Specify) - OTHER REVENUE TOTAL $ TOTAL PROGRAM FUNDING SOURCES: 1 $ 173,930 NET PROGRAM COST: $ Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit GI-1 Co-Occuring Full Service Partnership MHS Fresno Impact Fiscal Year(FY)2025-26(July 1,2025-September 30,2025) Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:SALARIES&BENEFITS Employee Salaries 1101 0 1102 0 1103 0 1104 0 1105 0 1106 0 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 0 1116 0 1117 0 1118 0 1119 0 1120 0 1121 0 1122 0 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 1135 0 Employee Benefits 1201 Retirement 1202 Worker's Compensation 1203 Health Insurance 1204 Other(specify) 1205 Other(specify) 1206 Other(specify) Payroll Taxes&Expenses: 1301 OASDI 1302 FICA/MEDICARE 1303 SUI 1304 Other(specify) 1305 Other(specify) 1306 Other(specify) 2000:CLIENT SUPPORT 173,930 2001 Child Care 143 Estimated wrap expenses related to child care for clients 2002 Client Housing Support 155,066 Estimated expenses for housing support for clients 2003 Client Transportation&Support 7,566 Cost of transporting clients by staff(mileage reimbursement or gas for vehicles)and bus passes/cards for client transportation needs. 2004 Clothing,Food,&Hygiene 7,298 Estimated expenses for food&for clothing 2005 Education Support 143 Estimated wrap expenses related to education support for clients 2006 Employment Support 143 Estimated wrap expenses related to employment support for clients 2007 Household Items for Clients 3,428 Estimated wrap expenses related to household items for clients 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Vouchers 143 Estimated wrap expenses related to utility vouchers for clients Fresno County Department of Behavioral Health Contract Budget Narrative Revised 4/10/2020 Revised Exhibit GI-1 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2011 Other(specify) 2012 Other(specify) 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 Other(specify) 3000:OPERATING EXPENSES 3001 Telecommunications 3002 Printing/Postage 3003 Office,Household&Program Supplies 3004 Advertising 3005 Staff Development&Training 3006 Staff Mileage 3007 Subscriptions&Memberships 3008 Vehicle Maintenance 3009 Other(specify) 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) 4000:FACILITIES&EQUIPMENT 4001 Building Maintenance 4002 Rent/Lease Building 4003 Rent/Lease Equipment 4004 Rent/Lease Vehicles 4005 Security 4006 Utilities 4007 Other(specify) 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) 5000:SPECIAL EXPENSES 5001 Consultant(Network&Data Management) 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 1 Other(specify) 6000:ADMINISTRATIVE EXPENSES 6001 Administrative Overhead 6002 Professional Liability Insurance 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) 6008 1 Other(specify) 6009 Other(specify) 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 7000:FIXED ASSETS 7001 Computer Equipment&Software 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data 7003 Furniture&Fixtures 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) 7007 Other(specify) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 4/10/2020 Revised Exhibit GI-1 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 7008 Other(specify) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 173,930 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 173,930 BUDGETCHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 4/10/2020 Revised Exhibit G1-1 Co-Occuring Full Service Partnership MHS Fresno Impact Fiscal Year(FY) 2025-26(October 1, 2025-December 31, 2025) PROGRAM EXPENSES 1000:SALARIES&BENEFITS Employee Salaries Acct# Position FTE Admin Direct Total 1101 $ - 1102 - - 1103 - - 1104 - - 1105 - - 1106 - - 1107 - - 1108 - - 1109 - - 1110 - - 1111 - - 1112 - - 1113 - - 1114 - - 1115 - - 1116 - - 1117 - - 1118 - - 1119 - - 1120 - - 1121 - - 1122 - - 1123 - - 1124 - - 1125 - - 1126 - - 1127 - - 1128 - - 1129 - - 1130 - - 1131 - - 1132 - - 1133 - - 1134 - - 1135 - - Personnel Salaries Subtotall 0.00 1 $ Employee Benefits Acct# Description Admin Direct Total 1201 Retirement $ - $ $ - 1202 Worker's Compensation - - 1203 Health Insurance - - 1204 1 Other(specify) - - 1205 10ther(specify) - - 1206 1 Other(specify) - - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit G1-1 Employee Benefits Subtotal: $ - $ - $ - Payroll Taxes&Expenses: Acct# Description Admin Direct Total 1301 OASDI $ - $ $ - 1302 FICA/MEDICARE - - 1303 SUI - - 1304 1 Other(specify) - - 1305 10ther(specify) - - 1306 1 Other(specify) - - Payroll Taxes&Expenses Subtotal: $ - $ - $ - EMPLOYEE SALARIES&BENEFITS TOTAL: $ - $ - $ - 2000:CLIENT SUPPORT Acct# Line Item Description Amount 2001 Child Care $ 143 2002 Client Housing Support 155,066 2003 Client Transportation &Support 7,566 2004 IClothing, Food,& Hygiene 7,298 2005 Education Support 143 2006 Employment Support 143 2007 Household Items for Clients 3,428 2008 Medication Supports - 2009 Program Supplies-Medical - 2010 Utility Vouchers 143 2011 Other(specify) - 2012 Other(specify) - 2013 Other(specify) - 2014 1 Other(specify) - 2015 Other(specify) - 2016 Other(specify) - DIRECT CLIENT CARE TOTAL rs 173,930 3000:OPERATING EXPENSES Acct# Line Item Description Amount 3001 Telecommunications $ - 3002 Printing/Postage - 3003 Office, Household & Program Supplies - 3004 jAdvertising - 3005 Staff Development&Training - 3006 Staff Mileage - 3007 Subscriptions& Memberships - 3008 Vehicle Maintenance - 3009 Other(specify) - 3010 Other(specify) - 3011 Other(specify) - 3012 Other(specify) - OPERATING EXPENSES TOTAL: $ - 4000: FACILITIES&EQUIPMENT Acct# Line Item Description Amount 4001 Building Maintenance $ - 4002 Rent/Lease Building - Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit G1-1 4003 Rent/Lease Equipment - 4004 Rent/Lease Vehicles - 4005 Security - 4006 Utilities - 4007 Other(specify) - 4008 Other(specify) - 4009 Other(specify) - 4010 Other(specify) - FACILITIES/EQUIPMENT TOTAL: $ - 5000:SPECIAL EXPENSES Acct# Line Item Description Amount 5001 Consultant(Network& Data Management) $ - 5002 HMIS(Health Management Information System) - 5003 Contractual/Consulting Services (Specify) - 5004 ITranslation Services - 5005 Other(specify) - 5006 Other(specify) - 5007 Other(specify) - 5008 Other(specify) - SPECIAL EXPENSES TOTAL: $ - 6000:ADMINISTRATIVE EXPENSES Acct# Line Item Description Amount 6001 Administrative Overhead $ - 6002 Professional Liability Insurance - 6003 Accounting/Bookkeeping - 6004 1 External Audit - 6005 Insurance(Specify): - 6006 Payroll Services - 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) - 6008 Other(specify) - 6009 Other(specify) - 6010 Other(specify) - 6011 Other(specify) - 6012 Other(specify) - ADMINISTRATIVE EXPENSES TOTAL $ - 7000: FIXED ASSETS Acct# Line Item Description Amount 7001 Computer Equipment&Software $ - 7002 Copiers,Cell Phones,Tablets, Devices to Contain HIPAA Data - 7003 Furniture& Fixtures - 7004 1 Leasehold/Tenant/Building Improvements - 7005 Other Assets over$500 with Lifespan of 2 Years+ - 7006 Assets over$5,000/unit(Specify) - 7007 Other(specify) - 7008 Other(specify) - FIXED ASSETS EXPENSES TOTAL $ - TOTAL PROGRAM EXPENSES $ 173,930 Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit G1-1 PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) Acct# Line Item Description Service Units Rate Amount 8001 Mental Health Services 0 $ - 8002 Case Management 0 - 8003 Crisis Services 0 - 8004 Medication Support 0 - 8005 Collateral 0 - 8006 Plan Development 0 - 8007 Assessment 0 - 8008 Rehabilitation 0 - 8009 Other(Specify) 0 - 8010 1 Other(Specify) 1 01 1 - Estimated Specialty Mental Health Services Billing Totals: 0 $ Estimated %of Clients who are Medi-Cal Beneficiaries 0% Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries - Federal Financial Participation (FFP)% 1 0% - MEDI-CAL FFP TOTAL $ - 8100-SUBSTANCE USE DISORDER FUNDS Acct# Line Item Description Amount 8101 Drug Medi-Cal $ - 8102 SABG $ - SUBSTANCE USE DISORDER FUNDS TOTAL $ 8200-REALIGNMENT Acct# Line Item Description Amount 8201 lRealignment $ 173,930 REALIGNMENT TOTAL $ 173,930 8300-MENTAL HEALTH SERVICE ACT(MHSA) Acct# MHSA Component MHSA Program Name Amount 8301 CSS-Community Services&Supports $ - 8302 PEI -Prevention & Early Intervention - 8303 INN -Innovations - 8304 WET-Workforce Education &Training - 8305 ICFTN -Capital Facilities&Technology I I - MHSA TOTAL $ 8400-OTHER REVENUE Acct# Line Item Description Amount 8401 Client Fees $ - 8402 Client Insurance - 8403 Grants(Specify) - 8404 Other(Specify) - 8405 1 Other(Specify) - OTHER REVENUE TOTAL $ TOTAL PROGRAM FUNDING SOURCES: 1 $ 173,930 NET PROGRAM COST: $ Fresno County Department of Behavioral Health Contract Budget Template Revised 4/10/2020 Revised Exhibit GI-1 Co-Occuring Full Service Partnership MHS Fresno Impact Fiscal Year(FY)2025-26(October 1,2025-December 31,2025) Budget Narrative PROGRAM EXPENSE ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000:SALARIES&BENEFITS Employee Salaries 1101 0 1102 0 1103 0 1104 0 1105 0 1106 0 1107 0 1108 0 1109 0 1110 0 1111 0 1112 0 1113 0 1114 0 1115 0 1116 0 1117 0 1118 0 1119 0 1120 0 1121 0 1122 0 1123 0 1124 0 1125 0 1126 0 1127 0 1128 0 1129 0 1130 0 1131 0 1132 0 1133 0 1134 0 1135 0 Employee Benefits 1201 Retirement 1202 Worker's Compensation 1203 Health Insurance 1204 Other(specify) 1205 Other(specify) 1206 Other(specify) Payroll Taxes&Expenses: 1301 OASDI 1302 FICA/MEDICARE 1303 SUI 1304 Other(specify) 1305 Other(specify) 1306 Other(specify) ='Budget FY 25-26 Q2'!B68 173,930 2001 Child Care 143 Estimated wrap expenses related to child care for clients 2002 Client Housing Support 155,066 Estimated expenses for housing support for clients 2003 Client Transportation&Support 7,566 Cost of transporting clients by staff(mileage reimbursement or gas for vehicles)and bus passes/cards for client transportation needs. 2004 Clothing,Food,&Hygiene 7,298 Estimated expenses for food&for clothing 2005 Education Support 143 Estimated wrap expenses related to education support for clients 2006 Employment Support 143 Estimated wrap expenses related to employment support for clients 2007 Household Items for Clients 3,428 Estimated wrap expenses related to household items for clients 2008 Medication Supports 2009 Program Supplies-Medical 2010 Utility Vouchers 143 Estimated wrap expenses related to utility vouchers for clients Fresno County Department of Behavioral Health Contract Budget Narrative Revised 4/10/2020 Revised Exhibit GI-1 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2011 Other(specify) 2012 Other(specify) 2013 Other(specify) 2014 Other(specify) 2015 Other(specify) 2016 Other(specify) 3000:OPERATING EXPENSES 3001 Telecommunications 3002 Printing/Postage 3003 Office,Household&Program Supplies 3004 Advertising 3005 Staff Development&Training 3006 Staff Mileage 3007 Subscriptions&Memberships 3008 Vehicle Maintenance 3009 Other(specify) 3010 Other(specify) 3011 Other(specify) 3012 Other(specify) 4000:FACILITIES&EQUIPMENT 4001 Building Maintenance 4002 Rent/Lease Building 4003 Rent/Lease Equipment 4004 Rent/Lease Vehicles 4005 Security 4006 Utilities 4007 Other(specify) 4008 Other(specify) 4009 Other(specify) 4010 Other(specify) 5000:SPECIAL EXPENSES 5001 Consultant(Network&Data Management) 5002 HMIS(Health Management Information System) 5003 Contractual/Consulting Services (Specify) 5004 Translation Services 5005 Other(specify) 5006 Other(specify) 5007 Other(specify) 5008 1 Other(specify) 6000:ADMINISTRATIVE EXPENSES 6001 Administrative Overhead 6002 Professional Liability Insurance 6003 Accounting/Bookkeeping 6004 External Audit 6005 Insurance(Specify): 6006 Payroll Services 6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) 6008 1 Other(specify) 6009 Other(specify) 6010 Other(specify) 6011 Other(specify) 6012 Other(specify) 7000:FIXED ASSETS 7001 Computer Equipment&Software 7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data 7003 Furniture&Fixtures 7004 Leasehold/Tenant/Building Improvements 7005 Other Assets over$500 with Lifespan of 2 Years+ 7006 Assets over$5,000/unit(Specify) 7007 Other(specify) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 4/10/2020 Revised Exhibit GI-1 PROGRAM EXPENSE ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 7008 Other(specify) PROGRAM FUNDING SOURCES 8000-SHORT/DOYLE MEDI-CAL(FEDERAL FINANCIAL PARTICIPATION) PROVIDE DETAILS OF METHODOLOGY(IES)USED IN DETERMINING MEDI-CAL ACCT# LINE ITEM SERVICE RATES AND/OR SERVICE UNITS,IF APPLICABLE AND/OR AS REQUIRED BY THE RFP 8001 Mental Health Services 8002 Case Management 8003 Crisis Services 8004 Medication Support 8005 Collateral 8006 Plan Development 8007 Assessment 8008 Rehabilitation 8009 Other(Specify) 8010 Other(Specify) TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 173,930 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 173,930 BUDGETCHECK: - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 4/10/2020