HomeMy WebLinkAboutAgreement A-25-616 Amendment No. 2 to Agreement with TPOCC.pdf Agreement No. 25-616
1 AMENDMENT NO. 2 TO SERVICE AGREEMENT
2 This Amendment No. 2 to Service Agreement 23-296 ("Amendment No. 2") is dated
3 December 9, 2025 and is between Turning Point of Central California, Inc., a California
4 Non-profit ("Contractor"), and the County of Fresno, a political subdivision of the State of
5 California ("County").
6 Recitals
7 A. On September 22, 2020, the County and the Department of State Hospitals (DSH)
8 entered into Agreement No. 20-340, as amended by County Agreement No. 23-220, effective
9 March 1, 2023, and County Agreement No. 24-307, effective July 1, 2024, to draw down funding
10 to implement a DSH Jail Diversion Pilot program and provide DSH Jail Diversion services.
11 B. On June 20, 2023, the County and the Contractor entered into Agreement No. 23-296,
12 as amended by County Agreement No. 24-533 effective October 8, 2024, to operate a Forensic
13 Behavioral Health Continuum of Care for certain Fresno County residents. The Agreement
14 provides for substance use disorder and co-occurring mental health outpatient (SUD/MH OP),
15 full service partnership (FSP), assertive community treatment (ACT) services under California
16 Assembly Bill (AB) 109 Public Safety Realignment and the Post-Release Community
17 Supervision Act of 2011, mental health diversion under AB1810, California Senate Bill (SB) 317
18 and Penal Code Section 1001.36, and Department of State Hospital (DSH) Jail Diversion
19 services under the DSH Jail Diversion Pilot program funded by DSH. The agreement combined
20 and superseded Agreement Nos. 22-264 and 23-036.
21 C. On June 24, 2025, the County and DSH entered into Agreement No. 25-320, allowing
22 the County to draw down funding to implement a permanent DSH Jail Diversion Program.
23 D. The County and the Contractor now desire to further amend the Agreement to include
24 the DSH Jail Diversion Permanent program within the Forensic Behavioral Health Continuum of
25 Care for the remainder of the contract term and increase the maximum compensation by Three
26 Hundred Nine Thousand, Three Hundred Fifty and No/100 Dollars ($309,350.00).
27 The parties therefore agree as follows:
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1 1. All references to Exhibit A shall be deemed references to "Revised Exhibit A." Revised
2 Exhibit A is attached and incorporated by this reference.
3 2. All references to Exhibit J-1 a shall be deemed references to "Revised Exhibit J-1 a."
4 Revised Exhibit J-1a is attached and incorporated by this reference.
5 3. Section 2 of Amendment No. 1 (Agreement No. 24-533), beginning on Page 1, Line 26
6 and ending on Page 2, Line 9, is deleted in its entirety and replaced with the following:
7 "The maximum compensation payable to the Contractor under this Agreement for
8 FSP/ACT Non-Medi-Cal Support Services for the period of July 1, 2023 through June
9 30, 2024 is One Million, Seven Hundred Forty-Seven Thousand, Four Hundred Eighty-
10 Three and No/100 Dollars ($1,747,483.00). The maximum compensation payable to the
11 Contractor under this Agreement for the period of July 1, 2024 through June 30, 2025 is
12 One Million, Nune Hundred Forty-Two Thousand, Eight Hundred Sixty-Two and No/100
13 Dollars ($1,942,862.00). The maximum compensation payable to the Contractor under
14 this Agreement for FSP/ACT services for the period of July 1, 2025 through June 30,
15 2026 is One Million, Eight Hundred Sixty-One Thousand, Four Hundred Fifty-Four
16 No/100 Dollars ($1,861,454.00). If performance standards are met and this Agreement is
17 extended for additional twelve (12) month terms pursuant to Article 5.2, the maximum
18 compensation payable to the Contractor under this Agreement for FSP/ACT services for
19 the period of July 1, 2026 through June 30, 2027 is One Million, Nine Hundred Forty-
20 Two Thousand, Eight Hundred Sixty-Two and No/100 Dollars ($1,942,862.00) which is
21 not a guaranteed sum but shall be paid only for services rendered and received."
22 4. Section 3 of Amendment No. 1 (Agreement No. 24-533), beginning on Page 2, Line 12
23 through 16 is deleted and replaced with the following:
24 "4.6 Total Maximum Compensation. In no event shall the maximum contract
25 amount for all the services provided by the Contractor to County under the terms and
26 conditions of this Agreement be in excess of Twenty-Seven Million, Six Hundred and
27 One Thousand, Seven Hundred and Fifty-Three and No/100 Dollars ($27,601,753.00)
28 during the entire term of this Agreement."
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1 5. When both parties have signed this Amendment No. 2, the Agreement, Amendment No.
2 1 and this Amendment No. 2 together constitute the Agreement.
3 6. The Contractor represents and warrants to the County that:
4 a. The Contractor is duly authorized and empowered to sign and perform its obligations
5 under this Amendment.
6 b. The individual signing this Amendment on behalf of the Contractor is duly authorized
7 to do so and his or her signature on this Amendment legally binds the Contractor to
8 the terms of this Amendment.
9 7. The parties agree that this Amendment may be executed by electronic signature as
10 provided in this section.
11 a. An "electronic signature" means any symbol or process intended by an individual
12 signing this Amendment to represent their signature, including but not limited to (1) a
13 digital signature; (2) a faxed version of an original handwritten signature; or (3) an
14 electronically scanned and transmitted (for example by PDF document) version of an
15 original handwritten signature.
16 b. Each electronic signature affixed or attached to this Amendment (1) is deemed
17 equivalent to a valid original handwritten signature of the person signing this
18 Amendment for all purposes, including but not limited to evidentiary proof in any
19 administrative or judicial proceeding, and (2) has the same force and effect as the
20 valid original handwritten signature of that person.
21 c. The provisions of this section satisfy the requirements of Civil Code section 1633.5,
22 subdivision (b), in the Uniform Electronic Transaction Act (Civil Code, Division 3, Part
23 2, Title 2.5, beginning with section 1633.1).
24 d. Each party using a digital signature represents that it has undertaken and satisfied
25 the requirements of Government Code section 16.5, subdivision (a), paragraphs (1)
26 through (5), and agrees that each other party may rely upon that representation.
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1 e. This Amendment is not conditioned upon the parties conducting the transactions
2 under it by electronic means and either party may sign this Amendment with an
3 original handwritten signature.
4 8. This Amendment may be signed in counterparts, each of which is an original, and all of
5 which together constitute this Amendment.
6 9. The Agreement as previously amended and as amended by this Amendment No. 2 is
7 ratified and continued. All provisions of the Agreement as previously amended and not
8 amended by this Amendment No. 2 remain in full force and effect.
9 [SIGNATURE PAGE FOLLOWS]
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1 The parties are signing this Amendment No. 2 on the date stated in the introductory
2 clause.
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Turning Point of Central California, Inc. COUNTY OF FRESNO
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6 Ryan Banks, Chief Executive Officer Ernest Buddy Me es, Chairman o�the
Board of Supervisors of the County of Fresno
7 615 S. Atwood St.
Visalia, CA 93277 Attest:
8 Bernice E. Seidel
Clerk of the Board of Supervisors
9 County of Fresno, State of California
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gy: �-� Vie------
11 Deputy
12 For accounting use only:
13 Org No.: 56302081 (DMC); 56302070 (AB109 OP/FSP/ACT); 56304784 (MHSA
13 OP); 56304525 (MHSA FSP/ACT); 56302362 (WPCL); 56302361 (DSH)
14 Account No.: 7295
Fund No.: 0001
15 Subclass No.: 10000
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DocumentlD:e52 1c3873d382d4fl471d8cb64d8e8418b2d802Oc6wNlOdbef7411dOf47
Page 5
Revised Exhibit A
FORENSIC BEHAVIORAL HEALTH — CONTINUUM OF CARE
SCOPE OF WORK
CONTRACTOR: Turning Point of Central California, Inc. (Turning Point)
LOCATION OF SERVICES: 3636 N. First Street, Suite 135
I. BACKGROUND
The 2011 Public Safety Realignment contained in AB 109 specifies local responsibilities for
managing certain adult offenders. The intent of realignment is to allow maximum local flexibility
within the statutory framework for the adult population transfers set forth in AB 109. The authors
of this bill have identified several community interventions to assist this population lead a
productive crime-free life. It is recognized that a number of these people would benefit from
mental health and/or substance use disorder treatment and support services.
Under Assembly Bill (AB) 1810 on June 27, 2018, pre-trial jail diversion is defined as the
"postponement of prosecution, either temporarily or permanently, at any point in the judicial
process from the point at which the accused is charged until adjudication, to allow the defendant
to undergo mental health treatment." Essentially, pre-trial jail diversion will allow mental health
services treatment in lieu of trial and sentencing by a jury or judge for those who have been
deemed to have a mental health illness, which significantly contributed to the act of the crime.
Senate Bill (SB) 317 authorized the ability for the court to suspend proceedings and grant
diversion to individuals charged with misdemeanors who have been found incompetent to stand
trial. Currently individuals that are found incompetent to stand trial are either referred to an out of
county inpatient facility for restoration services or a Full-Service Partnership (FSP) within the
DBH system of care for mental health services. With the passing of SB 317, IST individuals are
more likely to be diverted to community based supports for both mental health and restoration
services.
The Forensic Behavioral Health Continuum of Care (FBH-COC) will be comprised of an
evidence-based, 2-tiered, outpatient, mental health and co-occurring SUD treatment and support
services program specifically tailored to meet the unique needs of the target population. The
benefit to the 2-tiered system will be the flexibility to move the individuals seamlessly from one
level of care to another level of care based on clinical need — all under the same program.
The FBH-COC will include the following levels of care: Assertive Community Treatment (ACT),
Full-Service Partnership (FSP), and Outpatient (OP).
Contractor shall include, at a minimum, the following services in all levels of care:
• Mental health treatment
• Substance use disorder treatment
• Medication support
• Case management
• Crisis intervention
• Housing support
• Peer support
• Criminal justice support
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Revised Exhibit A
• Educational and vocational services
• Rehabilitative services
• Transportation services
• Assistance with child services
• Medi-Cal enrollment
• SSI or SSDI enrollment
• Anger management
• Faith-based support
• Food support
• Outreach and engagement
The FBH-COC is new program and involves many partners. Processes are being developed and
are expected to change to improve service delivery. Contractor shall be flexible and is welcomed to
propose improvements and communicate concerns to County's Department of Behavioral Health
(DBH).
II. TARGET POPULATION
The program is designed to provide services to adults and older adults with criminogenic needs,
including but not limited to individuals who qualify for AB 109 services, AB 1810 services, and
those who have been declared Incompetent to Stand Trial (IST). The target population will include
those who may have little to no criminogenic risk factors.. This proposal is intended to detail costs
and services provided to 100 FSP/ACT persons served at any given time. The program will serve,
at any given time, 20% at Tier I (ACT) and 80% at Tier II (FSP). The program will provide a range
of services that will be tailored to each individual's needs for service type, intensity and duration.
The SAMHSA Risk-Needs-Responsivity (RNR) model identifies that this target population needs
specialized treatment approaches that are dependent upon the needs/risk of each individual — both
psychiatric and criminogenic. Persons served will therefore be assigned to one of three primary
levels of care upon completion of the intake/assessment: ACT, FSP and OP. Within each level are
additional sub-levels that specifically focus treatment on the achievement of competencies and
milestones that form the building blocks to ensure that the individual gradually builds and maintains
earned progress in treatment. In this way, treatment is continually meeting the individual where
they are, and providing the necessary scaffolding to help them improve functioning and life
satisfaction. It is expected that the majority of persons served will be at the OP level of care.
III. LOCATION OF SERVICES
The program will be located in a safe, welcoming office setting, close to community resources and
public transportation. Transportation will be provided by staff through the use of agency vehicles
and individuals will be taught how to use public transportation and provided bus passes or tokens
when appropriate, to further reduce barriers while providing them with a level of assistance that
matches their functional ability. The offices are located at 3636 N. First Street, Suites 162 & 135,
Fresno, CA 93726. The Contractor has housed multiple programs at this facility for several years,
individuals have consistently affirmed that this location is easily accessible. Additionally, the
majority of services are expected to be provided in the field, literally meeting the individuals where
they are in the community.
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Revised Exhibit A
Both suites are located in the same building complex, and both are currently site certified by the
FCMHP to provide specialty mental health services to the AB109 FSP and OP populations. The
ACT/FSP services are expected to be served in suite 162, and the OP services are to be provided
in suite 135. The majority of services, however, are expected to be provided in the field, at
locations that are most convenient for individuals. Telehealth services will be offered if preferred by
the person served, or if there is a public health order to discontinue face to face services.
IV. HOURS OF OPERATION
The ACT, FSP and OP programs maintain office hours of operation Monday through Friday from
8:00 a.m. to 5:00 p.m. Each individual will have a single point of responsibility through a Mental
Health Specialist (MHS). The caseload of each MHS will be low enough to ensure their availability
to the individual and family is appropriate to their service needs; they are able to provide intensive
services and supports when needed, and they can give the individual and/or family member
considerable personal attention. Other members of the team the individual and/or family members
will have access to will include a program psychiatrist, a nurse, social workers and marriage and
family therapists, and peer supports.
The ACT/FSP and OP programs also have 24/7 crisis availability. A trained staff member is
prepared to respond to all crisis situations through rotating scheduled staff of the day (like officer of
the day) during normal work hours and on-call coverage for after-hours. All on-call staff are mental
health professionals and management staff. Updates on person served are readily updated to
these staff members and they have full access to the HER to reference Plan of Care and recent
intervention/medication support. These staff carry a cell phone and remain within 25 miles of the
city to be able to respond to situations within one hour. Telephone interventions are utilized when
sufficient to the purpose; however, staff provide face-to-face services to the extent necessary to
ensure individual safety and resolve the crisis. Emergency housing is available, and staff are
trained to access crisis services if needed. Staff are trained that use of crisis services should be
avoided if safely preventable, as the goals of the program are to reduce/eliminate use of these
services. Staff coordinate care with crisis service workers and residential program staff and seek to
return persons served to supported independence as quickly as is appropriate. Services include
the ability of the MHS, or other team members known to the individual or family to respond to
persons served and family members 24 hours a day, seven days a week. This level of
accessibility for the individual and/or family helps to reduce and prevent negative outcomes for
persons served including unnecessary hospitalizations, incarcerations, or evictions.
V. DESCRIPTION OF SERVICES
The intended benefit of creating a program such as the FBH-COC with multiple tiers and levels of
care is for maximum flexibility to move individuals seamlessly between levels, as clinically
indicated. Most of the persons served will need ongoing, long-term treatment and support. The
Contractor shall provide a level of service and support that will reflect each participant's unique
and individual needs.
1. Behavioral Health
A. Contractor shall provide "core" services to all individuals in the program. Services will
include are but are not limited to the following:
i. Engagement;
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Revised Exhibit A
ii. Transportation Services;
iii. Personal Needs (food, clothing, hygiene, etc.);
iv. Social Activities;
V. Access/linkage to Medical/doctor/Primary Care Physician (PCP);
vi. Housing;
vii. Life Skills Classes;
viii. Ancillary Services;
ix. Peer Support Services;
X. Crisis Intervention Services;
A. Securing Legal Documents;
xii. Entitlements/Benefits;
xiii. Legal Assistance;
xiv. Educational/Employment Support.
B. Contractor shall provide the following clinical services:
i. Treatment Plan/Plan of Care;
ii. Assessment;
iii. Reaching Recovery Tools;
iv. Pediatric Symptom Checklist (PSC) 35 and the Child and Adolescent Needs and
Strengths (CANS) assessment;
V. Individual Therapy;
vi. Group Therapy;
vii. Case Management;
viii. Consultation;
ix. Collateral;
X. Breath/Saliva Testing;
A. Individual & Group SUD services;
xii. Linkage to intensive Outpatient SUD services;
xiii. Linkage to Withdrawal Management;
xiv. Linkage to In-Patient Residential Services;
xv. Linkage to Recovery Residence;
xvi. Changing Offender Behavior (COB) Curriculum;
xvii. Hospitalization/Post Hospitalization Support,
xviii. Post Incarceration Support;
xix. Homelessness Support.
C. Contractor will ensure that all services:
i. Be values-driven, strengths based, individual-driven, and co-occurring capable;
ii. Be culturally and linguistically competent;
iii. Be age, culture, gender, and language appropriate;
iv. Include accommodations for individuals with physical disability(ies);
V. Include close and constant communication and collaboration between Contractor ,
the criminal justice system (including the Courts, Public Defender and Probation);
vi. Include evidence-based practices (EBPs) appropriate for the target population.
D. Methods for service coordination and communication between program and other
service providers shall be developed and implemented consistent with Fresno County
Mental Health Plan (MHP) confidentiality rules.
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Revised Exhibit A
E. Contractor shall maintain up to date caseload record of all individuals enrolled in
services, and provide individual, programmatic, and other demographic information to
DBH.
F. Contractor shall utilize the SAMHSA Risk-Needs-Responsivity (RNR) model to inform
and determine level of intensity of Contractor supervision and the specific interventions
that will be applied based on each individual's level of risk, criminogenic needs and
capacity to respond effectively.
G. Contractor shall ensure billable specialty mental health services meet any/all County,
State, Federal regulations including any utilization review and quality assurance
standards, and provide all pertinent and appropriate information in a timely manner to
DBH to bill Medi-Cal services rendered.
2. Levels of Treatment
A. "Tier 1" —Assertive Community Treatment (ACT)
i. Many of the individuals will be released from jail and enter the FBH-COC at this
level of care. Individuals eligible for this level of intervention may have been
provided services at the level of in-patient psychiatric hospitalization however, due
to diversion, will instead require a high-intensity, wrap-around services in the
community. The ACT Evidence-Based Practice (EBP) is an individual-focused,
community-based, time-unlimited model of delivering comprehensive and effective
services to individuals such as this, who have needs not well met by traditional
approaches to delivering services. Their needs are often complex with disorders that
are often under-managed and further complicated by varying degrees of
involvement with the criminal justice system. For the individuals with the greatest
need, who are admitted to the FBH-COC at the ACT level of care, Contractor is
committed to offering those individuals treatment that is consistent with the full
fidelity ACT model.
ii. Contractor shall ensure the following minimum staffing levels:
a. 10 individuals/clinician or fewer: The ACT team will maintain a low consumer
to staff ratio in the range of 10:1 in order to ensure adequate intensity and
individualization of services
b. 90% or more individuals have face-to-face contact with more than staff
member in 2 weeks: The entire team shares responsibility for each individual;
each clinician contributes expertise as appropriate. The team approach
ensures continuity of care for individuals, and creates a supportive
organizational environment for practitioners.
c. ACT Team will meet at least 4 days/week and reviews each individual each
time, even if only briefly: Daily team meetings allow ACT practitioners to
discuss individuals, solve problems, and plan treatment and rehabilitation
efforts, ensuring all individuals receive optimal service.
d. Supervisor provides services at least 50% of the time: Research has shown
this factor was among the five most strongly related to better outcomes. Team
leaders who also have direct clinical contact are better able to model
appropriate clinical interventions and remain in touch with the individual
served by the team.
e. Less than 20% turnover in 2 years: Whenever possible, the Contractor will
strive to maintain a consistent staffing team to enhance team cohesion;
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Revised Exhibit A
additionally, consistent staffing enhances the therapeutic relationships
between individuals and providers.
f. ACT Team will operate at 95% or more of full staffing over each 12 month
period: Whenever possible, we strive to maintain consistent, multidisciplinary
services with minimal position vacancies.
g. A psychiatric prescriber is assigned directly to the ACT Team: The
psychiatrist/psychiatric prescriber serves as medical director for the team; in
addition to medication monitoring, the psychiatrist/psychiatric prescriber
functions as a fully integrated team member, participating in treatment
planning and rehabilitation efforts.
h. Two full-time nurses or more are members for the ACT Team: The full-time
nursing staff has been found to be a critical ingredient in successful ACT
Teams. The nurses function as full members of the team, which includes
conducting home visits, treatment planning, and daily team meetings. Nurses
can help monitor needed medications and serve to educate the team about
important medication issues.
i. Staff with Substance Use Disorder (SUD) training or supervised SUD
experience: Concurrent substance use disorders are common in persons with
severe mental illness. Appropriate assessment and intervention strategies are
critical.
j. Two FTEs or more with 1 year educational/employment rehabilitation training
or supervised VR experience: ACT teams emphasize skill development and
support in natural settings. Fully integrated ACT teams include vocational
services that enable individuals to find and keep jobs in integrated work
settings.
k. ACT Team will maintain appropriate staff-to-individual ratio: The ACT team
provides an integrated approach to mental health services, through
which the range of treatment issues are addressed from a variety of
perspectives; it is critical to maintain adequate staff size and disciplinary
background in order to provide comprehensive, individualized service
and adequate access/coverage to each individual.
Contractor shall ensure that its ACT Team:
a. Actively recruits a defined population and all cases comply with explicit
admission criteria. ACT is best suited to individuals who do not effectively use
less intensive mental health services.
b. Provides 24-hour coverage: An immediate response can help minimize
distress when persons with severe mental illness are faced with crisis.
When the ACT team provides crisis intervention, continuity of care is
maintained. Non-crisis services are available after hours as appropriate.
c. Will be involved in 95% or more hospital admissions. More appropriate use of
psychiatric hospitalization occurs, and continuity of care is maintained, when
the ACT Team is involved with psychiatric hospitalizations.
d. Is jointly involved in the planning of 95% or more of hospital discharges of
individuals served. Ongoing participation of the ACT Team during an
individual's hospitalization and discharge planning allows the team to help
maintain community supports (e.g., housing), and continuity of service.
e. Serves individuals on a time-unlimited basis, with fewer than 5% graduating
annually: Individuals often regress when they are terminated from short-term
ACT Teams. Time-unlimited services encourage the development of stable,
ongoing therapeutic relationships.
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Revised Exhibit A
f. Provides 80% or more of total face-to-face contacts in the community:
Contacts in natural settings (i.e., where individuals live, work, and interact
with other people) are thought to be more effective than when they occur in
hospital or office settings, as skills may not transfer well to natural settings.
Furthermore, more accurate assessment of the person served can occur in
his or her community setting because the clinician can make direct
observations rather than relying on self-report. Medication delivery, crisis
intervention, and networking are more easily accomplished through home
visits.
g. Retains 95% or more of caseload over a 12-month period: Outreach efforts,
both initially and after an individual is enrolled on an ACT team, help build
relationships and ensure individuals receive ongoing services.
h. Will demonstrate consistently well-thought-out strategies and use street
outreach and legal mechanisms whenever appropriate: Individuals are not
immediately discharged from the ACT Team due to failure to keep
appointments. Retention of persons served is a high priority for ACT teams.
Persistent, caring attempts to engage individuals in treatment helps foster a
trusting relationship between the person served and the ACT team. Assertive
outreach is considered a critical feature of the ACT team.
i. Provides an average of 2 hours/week or more of face-to-face contact per
individual: In order to help individuals with severe and persistent symptoms
maintain and improve their function within the community, high service
intensity is often required.
j. Provides an average of 4 or more face-to-face contacts per week per
individual: ACT Teams are highly invested in their individuals, and maintain
frequent contact in order to provide ongoing, responsive support as needed.
Frequent contacts are associated with improved outcomes.
k. Provides four or more contacts per month per individual with support system in
the community: Developing and maintaining community support further
enhances individual's integration and functioning.
I. Provides individuals with substance use disorders spend, on average, 24
minutes/week or more in formal substance abuse treatment (as determined by
medical necessity): substance use disorders often occur concurrently in
persons with SMI; these co-occurring disorders require treatment that directly
addresses them.
m. Encourages 50% or more of the individuals with substance use disorders
attend at least one substance abuse treatment group meeting during a month
(as determined by medical necessity): Group treatment has been shown to
positively influence recovery for persons with dual disorders (DD).
n. Is fully based in DD treatment principles (stage-wise treatment model that is
non- confrontational, follows behavioral principles, considers interactions of
mental illness and substance abuse, and has gradual expectations of
abstinence), with treatment provided by ACT Team staff: The DD model
attends to the concerns of both SMI and substance abuse for maximum
opportunity for recovery and symptom management.
o. Has peer support staff that are employed full-time: Some research has
concluded that including persons served as staff on case management teams
improves the practice culture, making it more attuned to consumer
perspectives.
p. Provides an Integrated Approach: Individuals benefit when services are
integrated into a single team, rather than when they are referred to many
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Revised Exhibit A
different service providers. Furthermore, an integrated approach allows
services to be tailored to each individual.
B. "Tier 2" — Full Service Partnership (FSP)
i. Service Approach:
a. Contractor shall include the use of innovative approaches resulting in
increased access to services and encouraging and assisting individuals in
transition towards growth, stability, wellness, recovery and self-sufficiency.
b. Contractor shall deliver services with a focus of"meeting the individuals
where they are" utilizing a "whatever it takes" approach.
C. Contractor shall utilize a peer to peer support network that includes hiring
recovering individuals/family members of recovering individuals. Staff shall
employ harm reduction in philosophy and motivational interviewing
techniques and principles. Peer counselors shall be equal partners in the
multi-disciplinary team and play a critical role in developing the recovery
culture and person-centered focus of the team. The team will provide peer
recovery and self-help services and use resources such as Wellness
Recovery Action Plans (WRAP); the UCLA Program for Social and
Independent Living Skills; Trauma Recovery and Empowerment Model
(TREM); and a module for living cooperatively with roommates and
housemates in group residential settings.
d. Contractor shall abide by the FSP Service Delivery Model and the FSP
Objectives and Performance Measures.
ii. Contractor shall ensure the following minimum staffing levels:
a. FSP services will be provided by a multi-disciplinary team.
b. CONTRACTOR shall assign a Personal Service Coordinator (PSC) to each
individual who will act as a "single point of responsibility" within the ACT
Team for coordination services and supports. The PSC will be readily
available to the individual and family as needed and will be culturally
competent and know the community resources of the individual's
racial/ethnic community.
C. A low person served to staff ratio:
(i) 12:1
iii. Contractor shall ensure the following availability of services:
a. Contractor's PSC staff shall be available to provide crisis assessment and
intervention twenty-four hours per day, seven days per week throughout the
year, including telephone and face-to-face contact as needed. There shall be
no barrier to access crisis services based solely on active substance use.
Response to crisis shall be rapid and flexible. The vendor shall collaborate
with facilities and designated County staff to provide emergency placement
should crisis housing, short-term care and inpatient treatment (voluntary or
involuntary) be needed. CONTRACTOR's staff shall provide support to the
maximum extent possible, including accompanying the individual to the
facility, performing a face to face visit if admitted to crisis facility and
remaining with the individual during the assessment. As soon as possible
Contractor staff shall begin the process of planning for discharge and return
to the community.
b. Case management services will be available twenty-four hours per day,
seven days a week throughout the year.
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Revised Exhibit A
iv. Contractor shall ensure that its FSP Team services:
a. "Core" services referenced on page 4, section VI "Description of Services will
be provided by the multi-disciplinary team.
b. The PSC will work closely with the individual to develop an Integrated
Services and Supports Plan (ISSP). The ISSP will provide a map of steps
the individual identifies as necessity to move along their recovery path. The
ISSP will operationalize the fundamental concepts of individual/family
directedness, well resiliency focus, community collaboration,
integrated service experience, and cultural competency
C. In conjunction with the multi-disciplinary team, the PSC will coordinate
linkages to all of the services or benefits that have been defined by the
individual/family and the multi-disciplinary team, and which will be delivered
by community partners in the full-service partnership.
V. Contractor shall ensure the following frequency of services:
a. Contractor shall offer the full array of services and supports, including a
minimum of three (3) face to face contacts per week or as clinically
appropriate.
C. "Tier 3" —Outpatient (OP)
i. Service Approach:
a. Each individual will be provided integrated dual treatment for both Mild to Moderate as
well as Severe Mental Illness (SMI)and Substance Use Disorder(SUD)diagnoses
being addressed as the primary focus of clinical attention. However, to assess,
conceptualize and identify treatment strategies for an individual, assessment of
symptoms and impairments specific to an individual's SUD helps the treatment team
employ targeted interventions that are evidence-based and proven effective for those
specific issues. SUD diagnosis-specific services are also culturally/linguistically
competent, values-driven, and focused on restoring the dignity of every person.
SUD services will be based on the individual's stage of change and based in
harm reduction theory in order to help individuals reduce barriers to treatment.
The role of the Turning Point FBH-COC staff will be to help the individual
achieve measurable goals towards sobriety, stability and physical health with the
use of coping skills and peer support.
ii. Contractor shall ensure that the following OP services meet Drug Medi-Cal -
Organized Delivery System (DMC-ODS) and Mental Health Plan (MHP) provider
manual requirements:
a. Intake Services;
b. Breath/Urine testing;
c. Treatment Plan/POC/Update;
d. Individual therapy;
e. Group therapy;
f. Case Management;
g. Collateral;
h. Consultation;
i. Linkage to Recovery Residences;
j. Contingency Management(pending completion and evaluation of DHCS
contingency management pilot; and
k. Recovery Services.
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Revised Exhibit A
iii. Contractor shall ensure the following linkages to services as needed:
a. Withdrawal Management;
b. In-Patient Residential Treatment Services;
c. Recovery Homes; and
d. Medication Assisted Treatment (MAT).
iv. Availability of Services:
a. Contractor shall make available outpatient services eight (8) hours a day, five (5)
days a week.
V. Contractor shall ensure the following frequency of services:
a. Frequency of services will be provided as clinically indicated.
3. Housing
Housing services are vital to provide stability, reduce hospital/jail visits, and allow for recovery
and the building of resiliency. Individuals living with severe mental illnesses can successfully
live in and maintain housing with frequent, consistent team contact and support. With this in
mind, the Contractor shall offer linkages and financial assistance for a variety of housing options for
persons served including crisis housing, transitional or low-barrier housing, recovery residence,
residential drug treatment, board and care homes, and room and board homes. Because the FBH-
COC population is known to experience many barriers to securing and maintaining housing, the
Contractor provides specialty training to mitigate some of the barriers and to individually
support the persons served with obtaining the least restrictive housing option appropriate for
the individual.
Housing support needs to match the individual's unique needs at a particular point in time. Housing
options range based on individual's level of need with the goal of supporting the individual to
achieve the highest level of independence possible for them individually. FBH-COC persons
served who are parenting children are offered opportunities and options for appropriate housing
as well. Mental Health Service Act (MHSA) program funds are used to subsidize a variety of
housing needs for including emergency housing, rental payments, deposits, utilities, and the
purchase of household goods. The program staff may accompany the individual to meet with
landlords or housing managers to support and advocate as needed. Program staff educate
persons served about expectations of tenancy, lease/rental agreement requirements, and the
importance of remaining courteous of other tenants. Staff regularly visits the housing
environment to ensure it is appropriate to individual needs. Staff work to help persons served
eliminate any problems before an eviction or other negative consequence arises.
The ACT team initially assists persons served with obtaining assistance with rent and utilities
as a part of developing a long-term plan for sustainable independence. Persons served are
assisted with determining eligibility and completing application processes for housing subsidies.
As many individuals may initially require room and board or board and care level housing while
they stabilize, the FBH-COC program will rely on relationships that have been developed
between room and board operators and board and care operators who work solely with the
FSP population in other Turning Point programs and are willing to be patient in working with the
unique set of challenges tied to housing individuals in these difficult stages of recovery. Step up
and permanent housing options are facilitated through the use of community partners such as
Falcon Court, STASIS housing, The Californian apartments, or privately leased apartments.
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Revised Exhibit A
FSP individuals often have difficulty maintaining housing, therefore the Contractor offers and
pursues housing options to overcome barriers experienced by persons served. The goal is for
each individual to be able to maintain safe and sustainable housing at the individual's highest
level of independence.
4. Discharge Planning
Before active program participation is concluded and prior to an approved discharge from the
program; program staff will meet with the individual to develop an individualized strategy that
will assist the individual in maintaining a continued alcohol and drug free lifestyle. This meeting
with the individual must be completed in 30 days prior to the last face to face treatment session
by the counselor. The discharge planning process will include individual's recovery plan, which
the individual will need to identify their relapse triggers, explain how each trigger could cause
them to relapse, then identify their plan to avoid those relapse when confronted by each of the
trigger. Individual will also need to generate a support plan that includes a list of individuals
and/or organizations and activities that can provide support and assistance for individual to
maintain sobriety. Individual and counselor must review the discharge plan; both must sign and
date the discharge plan. After individual and counselor have signed it, then the physician must
review, sign, date, and approve the discharge plan. Once the individual, counselor, and
physician had signed and dated the discharge plan, a copy is given to the individual. Discharge
planning will no longer be dictated by the probation term, it will focus on medical necessity to
determine when appropriately necessary.
5. Collaboration with Probation
The Contractor shall collaborate with the Fresno County Probation Department (the
"Probation Department") to provide screenings on-site at the AB 109 office to individuals who
may need MH and/or SUD services. Individuals who are screened to need services are to be
referred to the appropriate level of care for services. The Contractor shall also make
arrangements to provide assessments to EOP individuals outside of regular business hours
as needed.
The Contractor shall participate with the Probation Department in Pre-Release Coordinated
Clinical Assessment Team (CCAT) teleconferences to discuss EOP incarcerated individual's
case prior to release. This is most helpful as it is often the only time that there is direct access
to California Department of Corrections and Rehabilitation (CDCR) doctors and clinicians to
ask questions related to an EOP incarcerated individual. These teleconferences are done
during regular business hours.
6. Collaboration with Court Services
All individuals who are placed in the FBH-COC will have intermittent requirements to report
back to the collaborative treatment courts regarding the individual's progress. The Contractor
shall identify an individual who will communicate and coordinate with court services and/or
law enforcement, as needed. The CONTRACTOR shall work with court partners to create
and use a standardized form for court reporting. Court reporting should be completed in a
timely fashion and be submitted to the court a minimum of 48 hours in advance of the next
scheduled court hearing.
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Revised Exhibit A
The Contractor will need to be able to provide court attendance assistance to participants by
hosting them in their office for Virtual Court sessions or helping the individual arrange
transportation to hearings as necessary.
The Contractor shall designate staff to attend specialty treatment court hearings, including
but not limited to Mental Health Diversion (MHD) Court and Mental Health Incompetent to
Stand Trial (MIST) Court. Staff will attend hearings on a frequency to be determined by DBH.
The contractor shall also accept referrals from the Felony Incompetent to Stand Trial (FIST)
court.
7. Other Collaborative Relationships
The Contractor shall establish and maintain collaborative relationships with agencies and
individuals who have frequent contact with hospitalized, homeless, or incarcerated adults.
Examples of collaborative relationships include but are not limited to local law enforcement
agencies, Veterans Administration, Marjorie Mason Center, Fresno County Human Services
Departments, Faith Organization, acute psychiatric facilities, schools, community centers, etc.
Letters of introduction, including a description of services and how to contact the FBH-COC
program shall be distributed to potential community partners. There may be a need for a
Memorandum of Understanding (MOU) or Data Use Agreement between the Contractor and
one or more of the community partners if data is to be shared and collected. HIPAA
regulations must always be considered and adhered to when discussing protected health
information (PHI) with another agency.
At some point during the resulting contract, there may be an increased need for collaborative
efforts initiated with other County Departments (such as the Public Defender ["PD"], District
Attorney ["DA"], Sheriff-Coroner ["Sheriff'], Probation Department, Social Services, etc.) that
will require full cooperation by the Contractor.
The Contractor shall be willing to provide information on the program services through
trainings and infographics to our community and criminal justice partners (PD, DA, Sheriff,
Probation, Jail, Social Services, etc.)
8. County Responsibilities
A. Provide oversight and collaborate with Contractor and other County Departments and
community agencies to help achieve State program goals and outcomes. In addition to
contract monitoring of program(s), oversight includes, but not limited to, coordination
with the Department of Health Care Services (DHCS) in regard to program
administration and outcomes.
B. Assist Contractor in making linkages to the appropriate level of care within the
behavioral health system of care to ensure continuity of care. This will be accomplished
through regularly scheduled meetings as well as formal and informal consultation.
C. Participate in evaluating the progress of the overall program and the efficiency of
collaboration with the Contractor staff and will be available to Contractor for ongoing
consultation.
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Revised Exhibit A
D. Receive and analyze statistical outcome data from Contractor throughout the term of
contract on a monthly basis. DBH will notify the Contractor when additional participation
is required. The performance outcome measurement process will not be limited to
survey instruments but will also include, as appropriate, individual and staff interviews,
chart reviews, and other methods of obtaining required information.
E. Recognize that cultural competence is a goal toward which professionals, agencies, and
systems should strive. Becoming culturally competent is a developmental process and
incorporates at all levels the importance of culture, the assessment of cross-cultural
relations, vigilance towards the dynamics that result from cultural differences, the
expansion of cultural knowledge, and the adaptation of services to meet culturally-
unique needs. Offering those services in a manner that fails to achieve its intended
result due to cultural and linguistic barriers is not cost effective. To assist the
Contractor's efforts towards cultural and linguistic competency, County shall provide the
following at no cost to Contractor:
i. Mandatory cultural competency training including sexual orientation and sensitivity
training for Contractor personnel, at minimum once per year. County will provide
mandatory training regarding the special needs of this diverse population and will be
included in the cultural competence training(s), if Contractor does not have a similar
training in place. Sexual orientation and sensitivity to gender differences is a basic
cultural competence principle and shall be included in the cultural competency
training. Literature suggests that the mental health needs of lesbian, gay, bisexual,
transgender (LGBT) individuals may be at increased risk for mental disorders and
mental health problems due to exposure to societal stressors such as stigmatization,
prejudice and anti-gay violence. Social support may be critical for this population.
Access to care may be limited due to concerns about providers' sensitivity to
differences in sexual orientation.
ii. Assistance to Contractor in locating appropriate providers who can translate
behavioral health and substance abuse services information into County's threshold
languages (English, Spanish, and Hmong). Translation services and costs
associated will be the responsibility of the Contractor.
VI. 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 DMC-ODS and MHP provider manual
requirements. Staffing pattern shall include Addiction Specialists, Psychiatrists and
Nurses, Housing Specialists, Employment Specialists, Personal Service Coordinators, Peer
Support Specialists and Outreach and Engagement Coordinators.
Contractor shall maintain staffing levels adequate in relation to the number of open individual cases
at any given point to ensure quality service that meets the requirements of the program.
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 to on co-occurring and trauma informed practice.
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Revised Exhibit A
Contractor shall demonstrate staff proficiency (training and certification) in suicide and crisis
intervention procedures and other training subjects that would benefits 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.
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.
VII. PEER SUPPORT RESOURCES
The Contractor recognizes the value of the use of individual directed peer-to-peer support
networks. As part of an individual's recovery, a variety of peer activities are made available for
persons served. FBH-COC will employ peer support staff who have lived mental health /criminal
justice involvement/substance use disorder experience and has a heart to give back as part of the
FBH-COC treatment team. Individuals often struggle in social situations and having peer-run
activities is a way to have persons served begin to interact in a social situation. Individuals are
encouraged to participate in existing peer support programs in the community and FBH-COC will
sponsor peer support activities facilitated by the Peer Support Specialist at the program site as
well. Peer support services are promoted in a manner that encourages individual responsibility and
participation in their own recovery and seeks to assist individuals in understanding and combating
stigmatization including their own self-imposed stigma. Staff will continue to assist individuals to
develop their own program-based formal and informal support groups.
This approach to treatment provides vital opportunities to engage in pro-social activities while
establishing hope, dignity, and engagement. The Turning Point FBH-COC program will cultivate an
active peer led leadership team that allows opportunity for persons served to build leadership skills
in planning and promoting monthly program events for other persons served. The leadership team
role will instill a sense of purpose for individuals as they volunteer to be greeters, introduce new
individuals to the program, and hold peers accountable to engage in respectful behavior.
VIII. AVERAGE CLIENT LENGTH OF STAY
Individuals will remain in the ACT program for as long as clinically necessary. ACT Teams will
decrease the intensity of services to individuals who are experiencing progress, but should
maintain enough contact so that if circumstances change—they can step in quickly to avoid
symptoms from worsening and prevent minor problems from decompensating into crisis.
Individuals are able to remain in the FBH-COC as long as services are clinically justified. When
services for those individuals with a length of stay longer than the maximum 24-month period under
AB 1810 pre-trial jail diversion, they will be allowed to continue receiving treatment until it is no
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Revised Exhibit A
longer clinically necessary. DBH may require treatment reauthorization every 60 days for
individuals who have completed their pre-trial probation term or AB1810 diversion term if the
program is at capacity and unable to accept new referrals from the Court or Probation.
IX. REPORTING
Contractor shall comply with the following reporting requirements:
1. AB 109 Reporting:
A. Quarterly Program Statistics;
B. Fiscal Reporting, including monthly invoicing; and
C. Contractor shall complete all reports mandated by the CCP.
2. MHSA Reporting
A. Demographics to be collected must include the following data points:
i. Age
ii. Race
iii. Ethnicity
iv. Primary Language
V. Gender Identification at Present
vi. Gender assigned at birth
vii. Sexual Orientation
viii. Veteran Status
ix. Any Disabilities
X. Note: Support services for each participant need to be documented in the
participants chart and be related to their wellness plan.
A. All expense for support services need to be documented, and included in the chart,
and be justified by the wellness plan. All providers do need to provide a cost per
individual served for support services.
3. FSP/ACT Reporting
A. Contractor shall complete quarterly reports, as mandated by the State for FSPs and
ACTs under CCR Title 9, sections 3620.10 and 3530.90. Reports shall be made directly
into the Data Collection and Reporting (DCR) system.
4. 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 are not limited to, the following:
i. Direct data entry in DBH's electronic information system; or
ii. Provide an electronic file compatible with DBH's electronic information system.
5. Contractor shall comply with all reporting requests made by DBH. Reporting requirements
are subject to change as the program develops.
X. PERFORMANCE AND OUTCOME MEASUREMENTS
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Revised Exhibit A
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 FBHP 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 (by the 101" of the month following the report period). 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, 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.
Assertive Community Treatment
1. Effectiveness
a. Psychiatric Hospitalization
Hospitalization refers to any hospital admission captured in Fresno County's electronic
health record, Avatar. Data may be entered by any hospital that utilizes Avatar including
Exodus PHF, Community Behavioral Health Center (CBHC), and Kaweah Delta Psychiatric
Hospital.
i_ Objective: To prevent and minimize the total number of individuals and days spent
in a psychiatric hospital post incarceration.
ii. Indicator: Percentage of individuals enrolled in FSP services that experienced no
psychiatric hospitalizations post incarceration, and the total number of individuals
and days hospitalized post incarceration.
A-16
Revised Exhibit A
iii. Who Applied: ACT individuals served by the program for a minimum of one year.
iv. Time of Measure: Fiscal Year
v. Data Source: DCR/ITWS State database.
vi. Target Goal Expectancy: A minimum of 70% of individuals enrolled in FSP services
will experience no episodes of psychiatric hospitalization post enrollment.
b. Incarcerations
Incarceration refers to individuals confined in a jail or prison setting.
i. Indicator: A reduction of the number of individuals experiencing arrests, the
frequency of arrests, and the numbers of days spent incarcerated compared
to pre-enrollment.
ii. Who Applied: ACT individuals served by the program a minimum of one year.
iii. Time of Measure: Fiscal Year
iv. Data Source: DCR/ITWS State database.
v. Target Goal Expectancy: To reduce the total number of individuals arrested, the
frequency of arrests, and the total number of days incarcerated.
c. Homelessness
Homelessness refers to individuals without a place to live, who are living in a place
not meant for human habitation, or who are living in an emergency shelter.
i. Indicator: Percentage of individuals that experienced no episodes of
homelessness and the total number of days spent homeless compared to pre-
enrollment.
ii. Who Applied: ACT individuals served by the program a minimum of one year.
iii. Time of Measure: Fiscal Year
iv. Data Source: DCR/ITWS State database.
v. Target Goal Expectancy: A minimum of 70% of individuals enrolled in FSP
services will experience no episodes of homelessness. The total number of days
spent homeless will be reduced when compared to 12 months prior to program
enrollment.
d. Medical Hospitalizations
Medical hospitalization refers to individuals who frequently require hospitalization at
a local hospital or emergency department as a result of chronic or untreated physical
health related conditions.
i_ Indicator: Percentage of individuals that experienced no episodes of medical
hospitalizations or ED admissions, and total number of days spent in a hospital
or ED setting compared to pre-enrollment.
ii. Who Applied: ACT individuals served by the program a minimum of one year.
iii. Time of Measure: Fiscal Year
iv. Data Source: DCR/ITWS State database.
v. Target Goal Expectancy: A minimum of 70% of individuals enrolled in FSP
services will experience no episodes of medical hospitalizations or ED
admissions. The total number of days admitted in a medical hospital or ED will be
reduced when compared to 12 months prior to program enrollment.
e. Participation in Educational Settings
Educational setting refers to any learning environment or institution that offers
educational services and curriculum according to specific objectives. Examples may
A-17
Revised Exhibit A
include adult schools, vocational schools, community colleges, universities, and high
schools.
i_ Indicator: Annual percentage of program individuals enrolled in educational
settings.
H. Who Applied: ACT individuals served by the program enrolled in educational
settings.
iii. Time of Measure: Fiscal Year
iv. Data Source: DCR/ITWS State database.
v. Target Goal Expectancy: To have a minimum of 15% of ACT individuals enrolled
in educational settings annually.
f. Participation in Employment or Volunteerism
Employment refers to work environments where individuals are paid competitive
wages in exchange for job related activities performed. Volunteerism refers to
environments where persons served are willingly provide services or complete tasks
without any expectation of financial compensation, but may gain work experience
and job related skills.
i. Indicator: Annual percentage of individuals engaged in employment or
volunteer activities.
ii. Who Applied: ACT individuals served by the program and that participated in
employment or volunteer activities.
iii. Time of Measure: Fiscal Year
iv. Data Source: DCR/ITWS State database.
v. Target Goal Expectancy: To have a minimum of 15% of ACT individuals
participate in employment or volunteer activities annually.
2. Efficiency
a. Cost per Individual Served
Costs include all staffing and overhead costs associated with operation of the program.
i. Indicator: Total program costs compared to number of unique AB 109 individuals
served.
ii. Who Applied: ACT individuals served by the program in Fiscal Year.
iii. Time of Measure: Fiscal Year
iv. Data Source: Avatar and Financial Records
v. Target Goal Expectancy: To keep within budgeted costs for the program.
3.Access
a. Length of time from referral to first contact
i_ Indicator: Percentage of individuals that received first contact attempts within 7
business days of the referral date.
ii. Who Applied: Individuals referred to the program.
iii. Time of Measure: Fiscal Year
iv. Data Source: Avatar
v_. Target Goal Expectancy: 70% of individuals will attempt to be contacted within 7
business days of the referral date.
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Revised Exhibit A
vi. Outcome: The average wait time from referral to first contact was 1 day. 98% of
individuals were contacted within 7 days of the referral date.
b. Length of time from first contact to first assessment appointment offered
i. Indicator: Percentage of individuals offered their first assessment appointment within
10 business days of the first contact date.
ii. Who Applied: Individuals referred to the program and offered an assessment
appointment.
iii. Time of Measure: Fiscal Year
iv. Data Source: Avatar Access Form
v. Target Goal Expectancy: 70% of individuals will be offered their first assessment
appointment within 10 business days of the first contact date.
C. Length of time from assessment to first psychiatry appointment offered
i_ Indicator: Percentage of individuals offered their first psychiatry appointment within
15 business days of their assessment date.
ii. Who Applied: Individuals assessed and enrolled into program services
iii. Time of Measure: Fiscal Year
iv. Data Source: Avatar Referral Form
v_. Target Goal Expectancy: 70% of individuals will be offered their first psychiatry
appointment date within 15 business days of their assessment date.
4. Satisfaction & Feedback of Persons Served & Stakeholders
a. Consumer Perception Survey
Consumer Perception Surveys (CPS) are conducted every six months over a one week
period. Beneficiaries of the MHP are encouraged to participate in filling out the CPS
surveys which are available to individuals served and family members at County and
contracted provider organizations.
i. Indicator: Average percent of individuals served who complete the survey and
response was 'Agree' or 'Strongly Agree' for the following domains: General
Satisfaction, Perception of Access, Perception of Quality and Appropriateness,
Perception of Treatment Participation, Perception of Outcomes of Services,
Perception of Functioning, and Perception of Social Connectedness.
ii. Who Applied: Persons served who completed the survey in November of 2019
for the program.
iii. Time of Measure: The survey was conducted in November of 2019.
iv. Data Source: Consumer Perception Survey data
v. Target Goal Expectancy: More than 50% of individuals served will respond that
they are satisfied with the services they received
Full Service Partnership
1. Effectiveness
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Revised Exhibit A
a. Psychiatric Hospitalization
Hospitalization refers to any hospital admission captured in Fresno County's electronic
health record, Avatar. Data may be entered by any hospital that utilizes Avatar including
Exodus PHF, Community Behavioral Health Center (CBHC), and Kaweah Delta Psychiatric
Hospital.
i_ Indicator: Percentage of individuals enrolled in FSP services that experienced no
psychiatric hospitalizations post incarceration, and the total number of individuals
and days hospitalized post incarceration.
ii. Who Applied: FSP individuals served by the program for a minimum of one year.
iii. Time of Measure: Fiscal Year
iv. Data Source: DCR/ITWS State database.
v. Target Goal Expectancy: A minimum of 70% of individuals enrolled in FSP services
will experience no episodes of psychiatric hospitalization post enrollment.
b. Incarcerations
Incarceration refers to individuals confined in a jail or prison setting.
i_ Indicator: A reduction of the number of individuals experiencing arrests, the
frequency of arrests, and the numbers of days spent incarcerated compared to
pre-enrollment.
ii. Who Applied: FSP individuals served by the program a minimum of one year.
iii. Time of Measure: Fiscal Year
iv. Data Source: DCR/ITWS State database.
v_. Target Goal Expectancy: To reduce the total number of individuals arrested, the
frequency of arrests, and the total number of days incarcerated.
c. Homelessness
Homelessness refers to individuals without a place to live, who are living in a place
not meant for human habitation, or who are living in an emergency shelter.
i_ Indicator: Percentage of individuals that experienced no episodes of
homelessness and the total number of days spent homeless compared to pre-
enrollment.
ii. Who Applied: FSP individuals served by the program a minimum of one year.
iii. Time of Measure: Fiscal Year
iv. Data Source: DCR/ITWS State database.
v. Target Goal Expectancy: A minimum of 70% of individuals enrolled in FSP
services will experience no episodes of homelessness. The total number of days
spent homeless will be reduced when compared to 12 months prior to program
enrollment.
d. Medical Hospitalizations
Medical hospitalization refers to individuals who frequently require hospitalization at
a local hospital or emergency department as a result of chronic or untreated physical
health related conditions.
i. Indicator: Percentage of individuals that experienced no episodes of medical
hospitalizations or ED admissions, and total number of days spent in a hospital
or ED setting compared to pre-enrollment.
ii. Who Applied: FSP individuals served by the program a minimum of one year.
iii. Time of Measure: Fiscal Year
iv. Data Source: DCR/ITWS State database.
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Revised Exhibit A
v. Target Goal Expectancy: A minimum of 70% of individuals enrolled in FSP
services will experience no episodes of medical hospitalizations or ED
admissions. The total number of days admitted in a medical hospital or ED will be
reduced when compared to 12 months prior to program enrollment.
e. Participation in Educational Settings
Educational setting refers to any learning environment or institution that offers
educational services and curriculum according to specific objectives. Examples may
include adult schools, vocational schools, community colleges, universities, and high
schools.
i_ Indicator: Annual percentage of program individuals enrolled in educational
settings.
H. Who Applied: FSP individuals served by the program enrolled in educational
settings.
iii. Time of Measure: Fiscal Year
iv. Data Source: DCR/ITWS State database.
v. Target Goal Expectancy: To have a minimum of 15% of FSP individuals enrolled
in educational settings annually.
f. Participation in Employment or Volunteerism
Employment refers to work environments where individuals are paid competitive
wages in exchange for job related activities performed. Volunteerism refers to
environments where persons served are willingly provide services or complete tasks
without any expectation of financial compensation, but may gain work experience
and job related skills.
i_ Indicator: Annual percentage of individuals engaged in employment or
volunteer activities.
H. Who Applied: FSP individuals served by the program and that participated in
employment or volunteer activities.
iii. Time of Measure: Fiscal Year
iv. Data Source: DCR/ITWS State database.
v. Target Goal Expectancy: To have a minimum of 15% of FSP individuals
participate in employment or volunteer activities annually.
2. Efficiency
a. Cost per Individual Served
Costs include all staffing and overhead costs associated with operation of the program.
Indicator: Total program costs compared to number of unique AB 109 individuals
served.
ii. Who Applied: FSP individuals served by the program in Fiscal Year.
iii. Time of Measure: Fiscal Year
iv. Data Source: Avatar and Financial Records
v. Target Goal Expectancy: To keep within departmental budgeted costs for the
program.
3.Access
a. Length of time from referral to first contact
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Revised Exhibit A
vii. Indicator: Percentage of individuals that received first contact attempts within 7
business days of the referral date.
viii. Who Applied: Individuals referred to the program.
ix. Time of Measure: Fiscal Year
x. Data Source: Avatar
A Target Goal Expectancy: 70% of individuals will attempt to be contacted within 7
business days of the referral date.
xii. Outcome: The average wait time from referral to first contact was 1 day. 98% of
individuals were contacted within 7 days of the referral date.
b. Length of time from first contact to first assessment appointment offered
vi. Indicator: Percentage of individuals offered their first assessment appointment within
10 business days of the first contact date.
vii. Who Applied: Individuals referred to the program and offered an assessment
appointment.
viii. Time of Measure: Fiscal Year
ix. Data Source: Avatar Access Form
x. Target Goal Expectancy: 70% of individuals will be offered their first assessment
appointment within 10 business days of the first contact date.
C. Length of time from assessment to first psychiatry appointment offered
A. Indicator: Percentage of individuals offered their first psychiatry appointment within
15 business days of their assessment date.
vii. Who Applied: Individuals assessed and enrolled into program services
viii.Time of Measure: Fiscal Year
ix. Data Source: Avatar Referral Form
x. Target Goal Expectancy: 70% of individuals will be offered their first psychiatry
appointment date within 15 business days of their assessment date.
4. Satisfaction & Feedback of Persons Served & Stakeholders
a. Consumer Perception Survey
Consumer Perception Surveys (CPS) are conducted every six months over a one week
period. Beneficiaries of the MHP are encouraged to participate in filling out the CPS
surveys which are available to individuals served and family members at County and
contracted provider organizations.
Indicator: Average percent of individuals served who complete the survey and
response was 'Agree' or 'Strongly Agree' for the following domains: General
Satisfaction, Perception of Access, Perception of Quality and Appropriateness,
Perception of Treatment Participation, Perception of Outcomes of Services,
Perception of Functioning, and Perception of Social Connectedness.
ii. Who Applied: Persons served who completed the survey in November of 2019
for the program.
iii. Time of Measure: The survey was conducted in November of 2019.
iv. Data Source: Consumer Perception Survey data
A-22
Revised Exhibit A
Target Goal Expectancy: The program would like to see a majority of persons
served satisfied for each domain.
Outpatient
1. Effectiveness
a. Treatment Objectives/Achievements
i_ Indicator: Percentage of individuals that completed treatment and completed 75%
or more of their treatment plan goals.
ii. Who Applied: A sample of OP individuals served by the program.
iii. Time of Measure: Fiscal Year
iv. Data Source: Avatar/Accucare EHR
v. Target Goal Expectancy: A minimum of 95% of individuals who complete treatment
will complete at least 75% of treatment plan goals.
b. Successful Completion
Indicator: Percentage of individuals that complete treatment or leave with
satisfactory progress.
Who Applied: OP individuals that participated in outpatient substance use disorder
services provided by the program.
iii. Time of Measure: Fiscal Year
iv. Data Source: Accucare EHR/Discharge Summaries and Post treatment surveys
v. Target Goal Expectancy: A minimum of 70% of individuals served will
successfully complete treatment or leave before completion with satisfactory
progress.
c. Psychiatric Hospitalizations/Incarcerations
i_ Indicator: Percentage of individuals that experience zero psychiatric
hospitalizations or incarcerations.
ii. Who Applied: OP individuals that received mental health treatment services.
iii. Time of Measure: Fiscal Year
iv. Data Source: Avatar EHR/Accucare EHR
v_. Target Goal Expectancy: 95% of individuals receiving mental health and co-
occurring treatment will experience zero psychiatric hospitalizations or
incarcerations.
2. Efficiency
a. Cost per Individual
Costs include all staffing and overhead costs associated with operation of the program.
i. Indicator: Total program costs compared to the number of unique OP individuals
served.
ii. Who Applied: OP individuals served by the program.
iii. Time of Measure: Fiscal Year
iv. Data Source: Avatar and Financial Records
v. Target Goal Expectancy: To keep within departmental budgeted costs for the
program.
A-23
Revised Exhibit A
3.Access
a. Length of time from SUD Screening to First Assessment Appointment Offered
Indicator: Percentage of individuals offered an SUD assessment appointment within
10 business days of their SUD screening.
ii. Who Applied: A sample of individuals referred to the program.
in. Time of Measure: Fiscal Year
iv. Data Source: Avatar/Accucare EHR
v. Target Goal Expectancy: 70% of referred individuals will be offered their first SUD
assessment appointment within 10 business days of their SUD screening.
b. Length of time from mental health screening to the first offered mental health
assessment appointment
Indicator: Percentage of individuals offered their first mental health assessment
appointment within 10 business days of initial screening.
Who Applied: A sample of individuals referred to the program.
Time of Measure: Fiscal Year
Data Source: Avatar EHR
Target Goal Expectancy: 70% of individuals will be offered an appointment for their
first mental health assessment within 10 business days of initial screening.
c. Length of time from SUD Assessment to first treatment appointment offered
Indicator: Percentage of individuals offered their first SUD treatment appointment
within 10 business days of their assessment date.
Who Applied: A sample of individuals referred to the program.
Time of Measure: Fiscal Year
Data Source: Accucare EHR
Target Goal Expectancy: A minimum of 70% of individuals will be offered their first
SUD treatment appointment within 10 business days of their assessment date.
d. Length of time from mental health assessment to first treatment appointment offered
Indicator: Percentage of individuals offered their first mental health treatment
appointment within 10 business days of their assessment date.
Who Applied: A sample of individuals referred to the program.
Time of Measure: Fiscal Year
Data Source: Avatar EHR
Target Goal Expectancy: A minimum of 70% of individuals will be offered their first
treatment appointment within 10 business days of their assessment.
e. Length of time from mental health assessment to the first psychiatry appointment
date offered
A-24
Revised Exhibit A
Indicator: Percentage of individuals offered their first psychiatry appointment within 15
business days of their assessment date.
Who Applied: A sample of individuals referred to the program.
Time of Measure: Fiscal Year
Data Source: Avatar EHR
Target Goal Expectancy: A minimum of 70% of individuals will be offered their first
psychiatry appointment within 15 business days of their assessment date.
4. Satisfaction & Feedback of Persons Served & Stakeholders
Consumer Perception Surveys (CPS) are conducted every six months over a one week period.
Beneficiaries of the MHP are encouraged to participate in filling out the CPS surveys which are
available to consumers and family members at County and contracted provider organizations.
Objective: To gauge satisfaction of individuals and collect data for service planning
and quality improvement.
Indicator: Average percent of individuals who complete the survey and response was
'Agree' or 'Strongly Agree' for the following domains: General Satisfaction,
Perception of Access, Perception of Quality and Appropriateness, Perception of
Treatment Participation, Perception of Outcomes of Services, Perception of
Functioning, and Perception of Social Connectedness.
iii. Who Applied: Individuals who completed the survey in June.
iv. Time of Measure: Surveys were completed in June.
v_. Data Source: Consumer Perception Survey data
vi. Target Goal Expectancy: The program would like to see a majority of individuals
satisfied for each domain.
XI. TRANSITIONAL OPTIMIZATION FUNDS
One-time Transition Optimization Funds will be available to specialty mental health
providers and Drug Medi-Cal providers within FY 2023-24 to encourage Contractors to
identify and implement organization changes during the first year of CalAIM Payment
Reform to improve outcomes for persons served and create operational efficiencies.
Contractor is expected to utilize the strategies, tools and knowledge learned to their
programming and continue to improve services for the population served.
Drug Medi-Cal Transition Optimization funds will be provided through County Realignment.
1. Funding Allocation Methodology
A. Each participating contractor is eligible to apply for an allocation of Transition
Optimization Funds up to the maximum amounts stated in Article 4 of the Agreement
and further described below. Transition optimization funds will only be available from
July 1, 2023 through June 30, 2024 and payments shall be on a quarterly basis.
B. Payments will be disbursed upon review and approval by DBH of each deliverable
described below. Quarterly progress reports shall be submitted to DBH in order to show
progress as outlined in the submitted plans and deliverables.
A-25
Revised Exhibit A
C. Payments will be dependent on Contractor demonstrating progress toward meeting
deliverables described in this exhibit. Contractors who fail to submit progress reports by
stated deadlines, or who do not demonstrate adequate progress made, may be
determined ineligible for that quarter's payment at the sole discretion of the County.
D. All invoices will be submitted on a quarterly basis within fifteen (15) days following the
end of the quarter. Invoices submitted thereafter may not be eligible for payment.
2. Responsibilities
A. Letter of Intent
Contractor shall submit a letter of intent to DBH by July 31, 2023 identifying the selected
Transition Optimization Activity(ies) and commitment to meet the deliverable deadlines
as described below. The letter shall include all current Medi-Cal billable specialty mental
health and substance use disorder services agreements the Contractor has with the
County.
The County shall respond to the Contractor's letter of intent within 30 days. The
County's response shall include a breakdown of anticipated payments, as determined
by the County, depending on the Transition Optimization Activity(ies) chosen and
depending on the number of current Medi-Cal billable specialty mental health and
substance use disorder services agreements the Contractor has with the County.
B. Quarterly Reports
Contractor shall submit quarterly progress reports and invoices. Reports shall be
submitted on the dates indicated in the Schedule of Deliverables below. Invoices are
due 15 days after the end of each quarter. All activities shall be completed by June 30,
2024. The report shall include updated plans/tools and progress Contractor has made
toward the Transition Optimization Activity(ies) described in each Contractors' letter of
intent.
C. Schedule of Deliverables: Equity Gap Analysis, Fiscal Monitoring Tool, and
Electronic Health Record
i. Q1 Reports: July-Sept:
a. Letter of Intent: Due July 31, 2023
b. Fiscal Monitoring Tool, Equity Gap Analysis, and Electronic Health Record
Implementation Plans (if applicable): Due September 30, 2023
c. Fiscal Monitoring Tool Identified Practices and Strategies (if applicable): Due
September 30, 2023
ii. Q2 Report: Oct-Dec: Due January 15, 2024
iii. Q3 Report: Jan-Mar: Due April 15, 2024
iv. Q4 Report: Apr-June: Due July 15, 2024
D. All deliverables will be reviewed and approved by DBH prior to payment.
3. Eligible Transition Optimization Activities
A. Fiscal Monitoring Tools: Contractor shall submit to DBH a draft of their fiscal
monitoring tool that shall be used monthly on an ongoing basis to evaluate fiscal health
of the organization. Tools shall, at a minimum, monitor costs, productivity targets and
A-26
Revised Exhibit A
identify one or more practice pattern(s) the organization is employing to increase direct
care time to the Medi-Cal population.
i. Fiscal Monitoring Tools and Implementation Plan: Contractor shall develop fiscal
monitoring tools that will be used monthly to ensure their organizational fiscal health
and implementation plan. Fiscal monitoring tools drafts and implementation plan
shall be submitted to DBH by September 30, 2023.
a. Identified Practice: Identify at least one process improvement that shall be
modified by September 30, 2023.
b. Quarterly Progress Reports: Quarterly progress reports shall be submitted
including but not limited to a narrative of progress, obstacles, alternative
solutions and outcomes.
c. Funding for this activity shall be available up to $25,000 for the initial agreement
with Contractor and up to another$10,000 for each additional agreement.
County shall provide further details on deliverables and payment schedule in
County's response to the Contractor's letter of intent.
B. Equity Gap Analysis: Contractor shall produce a report identifying the race/ethnicity of
population served in fiscal year 2022-23 compared to the County's population as
provided by the County. Contractor shall identify key disparities in both persons served
and amount of services and frequency of transitions to other levels of care received.
Contractor shall identify three (3) strategies they shall employ during FY 2023-24 to
reduce the disparities among underserved population.
i. Report on Underserved Population: Contractor shall submit an Equity Gap Report to
the Department containing including, but not limited to, the following:
a. Identify if it serves specific population within its program(s) and identify whom
the program(s) currently served based on data.
b. Staffing/workforce information and demographics. Report the staffing/workforce
supporting the different programs and populations served by the provider in
Fresno County. This data is to evaluate how the staffing reflects the populations
it is serving.
c. Comparison of the county penetration rates to the demographics of persons
served by the Contractor and program(s) under agreement with DBH.
d. Data on retention of persons served by demographics. Total persons served and
the average length of stay by demographics of the persons served in programs.
(i) Which populations are remaining in the programs by demographics, which
ones are having the shortest stays.
(ii) How long is the average length of stay by the demographics.
e. Identify what data points the Contractor is missing at this time that challenges its
ability to thoroughly assess its equity gap analysis. Examples: Data is not
collected, Data that is missing or under reported, data not captured in its
processes, etc.
A-27
Revised Exhibit A
ii. Equity Improvement Implementation Plan: Contractor shall submit an Equity
Improvement Implementation Plan related to improving health equity by September
30, 2023. The plan shall include the following items at a minimum:
a. Contractor shall select three strategies from below:
(i) Plan shall include specific efforts including, but not limited to, the following
and timelines to increase access to underserved groups.
1. Outreach/Engagement with underserved communities
2. Active attendance/participation in DBH's Diversity Equity and Inclusion
(DEI) workgroup
3. Plan for retention of persons served in programs who are
underrepresented
4. Improvement of demographic data collection including Sexual Orientation
Gender Identity (SOLI)/LGBTQ data.
(ii) Plan shall address workforce capacity to render services to more
underserved populations, through:
1. Development of bilingual personnel
2. Recruitment plan for more diverse workforce to reflect populations
served.
3. Training for workforce to increase capacity to be culturally responsive
4. Development workforce pool for the future that can be bilingual and
bicultural
b. Timeline for each effort shall be included in the plan.
c. Contractor shall identify the measurement to be used to demonstrate successful
implementation of plan. Measure may be identified by the Contractor to best
support their plan and goals.
d. Contractor shall develop and submit policies and procedures to formally support
equity effort.
iii. Quarterly Progress Reports: Use available data including but not limited to, External
Quality Review Organization (EQRO) and EHR data to evaluate the strategies
deployed. Quarterly progress reports shall be submitted including but not limited to a
narrative of the progress, obstacles, alternative solutions and outcomes. The final
quarter shall include a comprehensive final report on the outcomes.
iv. Funding for this activity shall be available up to $25,000 for the initial agreement with
Contractor and up to another$10,000 for each additional agreement. County shall
provide further details on deliverables and payment schedule in County's response
to the Contractor's letter of intent.
C. Electronic Health Record (EHR): The implementation and expansion of the
SmartCare EHR is an essential component of improving oversight with the
implementation of payment reform. Furthermore, a standardized EHR will improve
continuity of care, create transparency across the system, remove obstacles for
individuals accessing services and improve the overall outcomes for persons served.
For Contractors who plan to opt in to use SmartCare or have previously opted into
DBH's former EHR and intend to transition to SmartCare, user fees and costs shall be
waived during FY 2023-2024 and FY 2024-2025.
A-28
Revised Exhibit A
i. Option One: Current EHR Users
a. Strategic Plan: Contractors utilizing DBH's EHR as their current EHR, and who
will continue to utilize SmartCare beginning July 1, 2023, shall provide a plan,
including, but not limited to, how they will optimize Medi-Cal billing, illustrate how
they will utilize the information in the EHR to improve care for persons served,
and a training plan for their organization by September 30, 2023.
b. Quarterly Progress Reports: Quarterly progress reports shall be submitted,
including, but not limited to, a narrative on the progress, obstacles, alternative
solutions and outcomes.
c. Total compensation for this Electronic Health Record activity, Option 1, shall not
exceed $50,000.00 split among all current agreements between the Contractor
and the County for Medi-Cal billable specialty mental health and substance use
disorder services. County shall provide further details on deliverables and
payment schedule in County's response to the Contractor's letter of intent.
ii. Option Two: Non-EHR Users
a. Contractor shall submit an implementation plan by September 30, 2023
regarding how they will transition to utilizing the SmartCare EHR by June 30,
2024. The plan shall include, at a minimum, an identified Go Live Date, plan on
how the current record system will be maintained and utilized, training plan
including number of individuals, and additional supports. The Go Live Date must
occur by June 30, 2024 to receive final payment. Contractor shall work closely
with DBH to identify needs, assignments, collaboration opportunities to
transition.
b. For Option 2, the Contractor shall not be reimbursed more than $200,000 split
among all current agreements between the Contractor and the County for Medi-
Cal billable specialty mental health and substance use disorder services. The
total maximum compensation available for this option, shall include costs for
maintaining current electronic health record/record system and additional
supports and training costs per user. Contractor shall transition both specialty
mental health and Drug Medi-Cal programming to the County's EHR and shall
be required to use the County's EHR for future eligibility agreements with DBH.
County shall provide further details on deliverables and payment schedule in
County's response to the Contractor's letter of intent.
A-29
Revised Exhibit J-1a
Page 1 of 88
Forensic Continuum of Care FSP/ACT
Turning Point of Central California,Inc.
Fiscal Year(FY)2023-24
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct N Administrative Position FTE Admin Program Total
1101 Records Technician 0.69 $ 7,582 $ 7,582
1102 Administrative Assistant 0.60 13,320 13,320
1103 Program Bookkeeper 0.60 13,320 13,320
1104 Secretary 0.60 10,673 10,673
1105 - -
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 2.49 $ 44,895 $ 44,895
Acct N Program Position FTE Admin Program Total
1116 Assistant Program Director 0.60 $ 29,531 $ 29,531
1117 Program Director 0.60 36,030 36,030
1118 Mental Health Specialist 0.69 171,351 171,351
1119 Supervising Personal Services Coordinator 0.60 20,844 20,844
1120 Peer Support 0.69 33,763 33,763
1121 Mental Health Professional 0.69 73,911 73,911
1122 Nurse 0.69 30,831 30,831
1123 - -
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotall 4.55 1 $ 396,261 1 $ 396,261
Admin Program Total
Direct Personnel Salaries Subtotal 7.04 $ 44,895 $ 396,261 $ 441,156
Direct Employee Benefits
Acct N Description Admin Program Total
1201 Retirement $ 1,496 $ 13,209 $ 14,705
1202 Worker's Compensation 532 4,700 5,232
1203 Health Insurance 6,650 58,701 65,351
1204 Other(Dental) 522 4,605 5,127
1205 Other(ACI) 15 132 147
1206 1 Other(Accrued Paid Leave) 4,988 44,029 49,017
Direct Employee Benefits Subtotal: $ 14,203 $ 125,376 $ 139,579
Direct Payroll Taxes&Expenses:
Acct N Description Admin Program Total
1301 OASDI $ 723 $ 6,384 $ 7,107
1302 FICA/MEDICARE 3,118 27,518 30,636
1303 SUI 728 6,428 7,156
1304 Other(specify) - - -
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 4,569 $ 40,330 $ 44,899
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 2 of 88
I $ 63,667 $ 561,967 $ 625,634
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
10% 90%
2000:DIRECT CLIENT SUPPORT
Acd# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support 593,075
2003 Client Transportation&Support 7,000
2004 Clothing&Hygiene 5,000
2005 Education Support 10,000
2006 Employment Support 3,200
2007 Household Items for Clients -
2008 Medication Supports 86,000
2009 Program Supplies-Medical 2,199
2010 Utility Vouchers 19,200
2011 Client Activities 10,000
2012 Client Personal Needs 2,200
2013 Client Food 5,259
2014 Client Physical Exams 91750
2015 Client Testing Materials 1,600
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 754,483
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 3,194
3002 Printing/Postage 332
3003 Office,Household&Program Supplies 3,065
3004 Advertising -
3005 Staff Development&Training 2,763
3006 Staff Mileage 362
3007 Subscriptions&Memberships 272
3008 Vehicle Maintenance/Fuel/Insurance 9,330
3009 Recruitment 2,235
3010 Other(specify) -
3011 Other(specify)
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 21,553
4000:DIRECT FACILITIES&EQUIPMENT
Acd# Line Item Description Amount
4001 Building Maintenance $ 287
4002 Rent/Lease Building 47,534
4003 Rent/Lease Equipment 302
4004 Rent/Lease Vehicles 8,774
4005 Security 498
4006 Utilities 10,113
4007 Equipment Maintenance 362
4008 Other(specify) -
4009 Other(specify)
4 110 Other(specify) -
DIRECT FACILITIES/EQUIPMENT TOTAL: $ 67,870
5000:DIRECT SPECIAL EXPENSES
Acd# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 179
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services 1,374
5005 O/5 Labor Phychiatrist 42,649
5006 Other(specify) -
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 44,202
6000:INDIRECT EXPENSES
Acd#I Line Item Description Amount
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 3 of 88
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ -
Administrative Overhead
6002 Professional Liability Insurance 1,857
6003 Accounting/Bookkeeping -
6004 External Audit 377
6005 Insurance(Specify): -
6006 Payroll Services 2,117
6007 Depreciation(Provider-OwnedEquipment to be Usedfor Progrom Purposes) -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Licenses 876
6010 Indirect 222,716
6011 Other(specify) -
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 227,943
INDIRECT COST RATE 15.00%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 604
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 jAssets over$5,000/unit(Specify)
7007 Expendable Equipment 5,194
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ 5,798
TOTAL PROGRAM EXPENSES $ 1,747,483
PROGRAM FUNDING SOURCES
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 ISABG 1 $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports rensic Behavioral Health Continuum of Care-F $ 754,483
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $ 754,483
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees
8402 Client Insurance -
8403 Grants(Specify)-CCP AB109 797,621
8404 Other(Specify)-DSH Diversion 195,379
8405 Other(Specify)
OTHER REVENUE TOTAL $ 993,000
TOTAL PROGRAM FUNDING SOURCES: 1 $ 1,747,483
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 4 of 88
Forensic Continuum of Care FSP/ACT
Turning Point of Central California, Inc.
Fiscal Year(FY)2023-24
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Records Technician Allocation to CCP&DSH 0.38
Allocation to FSC FSP FFP 0.17
OP 0.45
Total 1.00
Position Contract#/Name/Department/County FTE
Administrative Assistant Allocation to CCP&DSH 0.60
Allocation to FSC FSP FFP 0.27
W PCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Program Bookkeeper Allocation to CCP&DSH 0.60
Allocation to FSC FSP FFP 0.27
W PCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Secretary Allocation to CCP&DSH 0.60
Allocation to FSC FSP FFP 0.27
W PCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Assistant Program Director Allocation to CCP&DSH 0.60
Allocation to FSC FSP FFP 0.27
W PCL 0.13
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 5 of 88
Total 1.00
Position Contract#/Name/Department/County FTE
Program Director Allocation to CCP&DSH 0.60
Allocation to FSC FSP FFP 0.27
W PCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Case Manager Allocation to CCP&DSH 0.69
Allocation to FSC FSP FFP 0.31
Total 1.00
Position Contract#/Name/Department/County FTE
Supervising Personal Services Coordinator Allocation to CCP&DSH 0.60
Allocation to FSC FSP FFP 0.27
W PCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Peer Support Allocation to CCP&DSH 0.69
Allocation to FSC FSP FFP 0.31
Total 1.00
Position Contract#/Name/Department/County FTE
Mental Health Professional Allocation to CCP&DSH 0.69
Allocation to FSC FSP FFP 0.31
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 6 of 88
Total 1.00
Position Contract#/Name/Department/County FTE
Nurse Allocation to CCP&DSH 0.52
Allocation to FSC FSP FFP 0.23
OP 0.25
Total 1.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 7 of 88
Forensic Continuum of Care FSP/ACT
Turning Point of Central California,Inc.
Fiscal Year(FY)2023-24 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 625,634
Administrative Positions 44,895
1101 Records Technician 7,582 The Records Technician will keep track of the Medical Records and will do the billing for
the program.Any additional funds outside of Medi-Cal are used for this/these positions
for non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1102 Administrative Assistant 13,320 The Administrative Assistant will oversee the support staff and will help with all support
staff duties.Any additional funds outside of Medi-Cal are used for this/these positions
for non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1103 Program Bookkeeper 13,320 The Program Bookkeeper will be assisting the clients with their client fees for their
portion of rent if necessary and keeping track of all the incoming and outgoing of petty
cash as needed.Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
1104 Secretary 10,673 Provides direct services to the program by data entry,phone calls,checking in clients,
etc.Any additional funds outside of Medi-Cal are used for this/these positions for non-
treatment and/or non-billable related costs to be able to continue to provide continuity
of care.
1105 0
1106 10
1107 0
1108 0
1109 0
1110 0
1111 0
L111
0
0
0
0
Program Positions 396,261
1116 Assistant Program Director 29,531 The Asssitant Program Director will supervise staff and assist the Program Director. Any
additional funds outside of Medi-Cal are used for this/these positions for non-treatment
and/or non-billable related costs to be able to continue to provide continuity of care.
1117 Program Director 36,030 The Program Director oversees the program and the hiring,training and supervising of
staff.When a staff takes leave,the program is not changed since it's already been
accrued.Our Positions are based on class/step,some might be less and some might be
more,all according to the person's experience and education when they come to work
for Turning Point.Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
1118 Mental Health Specialist 171,351 Mental Health Specialist will carry a caseload while also specializing in linking and
providing services to those interested in engagement in employment and education
services. Any additional funds outside of Medi-Cal are used for this/these positions for
non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1119 Supervising Personal Services Coordinator 20,844 Provides supervision to all Mental Health Specialists to ensure client care,maintain
compliance with Turning Point policies and procedures. Supervisor also assisting in
training new staff and reporting to the Assistant Program Director.Any additional funds
outside of Medi-Cal are used for this/these positions for non-treatment and/or non-
billable related costs to be able to continue to provide continuity of care.
1120 Peer Support 33,763 Serves as a client advocate and provides information and peer support to clients
throughout their recovery process. Any additional funds outside of Medi-Cal are used
for this/these positions for non-treatment and/or non-billable related costs to be able
to continue to provide continuity of care.
1121 Mental Health Professional 73,911 Provides mental health assessment,assessing for Medical Necessity,assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual
and group therapy as client requests,while also providing program support to assist
clients in crisis. Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 8 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1122 Nurse 30,831 Nurses work with the doctors for client care,maintaining compliance with Turning
Point policies and procedures,providing training and ensuring accurate charting in
accordance with Medi-cal. Any additional funds outside of Medi-Cal are used for
this/these positions for non-treatment and/or non-billable related costs to be able to
continue to provide continuity of care.
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits
1201 Retirement 14,705 10-5940 Retirement:Cost of Agency contribution to employee retirement plans.These
are non-treatment related costs.
1202 Worker's Compensation 5,232 10-5930 Workers Compensation Insurance:Cost of workers compensation insurance.
These are non-treatment related costs.
1203 Health Insurance 65,351 10-5950 Health Insurance:Agency cost for health insurance including Vision These are
non-treatment related costs.
1204 Other(Dental) 5,127 10-5960 Dental Insurance:Agency cost for dental insurance.These are non-treatment
related costs.
1205 Other(ACI) 147 10-5990 Other Benefits:Agency cost for other wage related employee benefits.These
are non-treatment related costs.
1206 Other(Accrued Paid Leave) 49,017 10-5980 Accrued Paid Leave:The monetary value of staff Paid Leave hours as they
accrue on a monthly basis.These are non-treatment related costs.
Direct Payroll Taxes&Expenses: 44,899
1301 OASDI 7,107 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes
charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old-
Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare).
These are non-treatment related costs.
1302 FICA/MEDICARE 30,636 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes
charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old-
Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare).
These are non-treatment related costs.
1303 SUI 7,156 10-5920 S.U.I.(State Unemployment Insurance):Employer portion of S.U.I.taxes
charged to the Agency by the various states in which wages are paid.These are non-
treatment related costs.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 754,483
2001 Child Care -
2002 Client Housing Support 593,075 10-7060 Client Housing Assistance:Cost of rent,housing assistance and deposit paid on
behalf of client.(Examples:first/last month deposit,late fees,monthly rent,hotel
charges,room&board,board&care,etc.)
2003 Client Transportation&Support 7,000 10-7015 Client Transportation:Cost for client transportation.(Examples:bus
tokens/passes,taxi,other public transportation,bicycles,etc.)
2004 Clothing&Hygiene 5,000 10-7021 Client Clothing&Hygiene:Cost of client hygiene supplies and non-work related
clothing.(Examples:clothes,shoes,hats,beanies,scarves,soap,toothpaste,deodorant,
grooming supplies,hair accessories,diapers,etc.)
2005 Education Support 10,000 10-7150 Client Educational Material:Cost of course fees and educational materials
distributed to clients and prospective clients.Including court ordered educational class.
2006 Employment Support 3,200 10-7022 Client Employment Support:Cost of client pre-employment preparation and
employment retention.(Examples:job search and interview attire,work boots and tools
required for employment,etc.)
2007 Household Items for Clients -
2008 Medication Supports 86,000 10-7030 Client Medical Expense:Cost of medical supplies or treatment/medical expense
for a specific client.(Examples:co-pays*,prescription/lab work not covered by
insurance,over-the-counter medications*,first aid kit/supplies for client's use at home,
etc.)*if allowable per contract
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 9 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2009 Program Supplies-Medical 2,199 10-6122 Program Supplies-Medical:Cost of medical supplies to be used by staff or
clients at the program location to meet program objective.Such items are to remain at
the program location and not sent home with the client.Such items include,but are not
limited to first aid kits,blood pressure monitor,latex gloves,syringes,hazard disposal
service,sunblock,insect repellent,*over-the-counter medication/vitamins-if allowable
per contract*,etc.
2010 Utility Vouchers 19,200 10-7023 Client Utility/Rental Security Deposits:Cost of client utility bills and/or security
deposits.
2011 Client Activities 10,000 10-7010 Client Activities/Recreation:Cost for client activities&recreation events.
(Examples:cable bill,food/drinks/utensils/decorations needed for a specific client
event,incentive rewards,cash reinforcer,admission fees to events,etc.)
2012 Client Personal Needs 2,200 10-7020 Client Personal Needs:Cost of supplying clients with necessary personal items
not detailed in other accounts.(Examples:birth certificate,DMV fee for ID or license,
clients household cleaning products/house supplies/kitchen supplies for their own
home,pots/pans/dishes,linens,locker lock,paper towels and child related expenses
such as car seat/stroller/play pin/toys,special food for allergies,reinforcers from P&I
funds,laptop,tablet,etc.)
2013 Client Food 5,259 10-6150 Food:Cost of food and drink to be consumed by the residents/clients.
(Examples:Groceries to prepare onsite,outside food brought onsite,food/drinks for
clients)
2014 Client Physical Exams 9,750 10-7080 Client Physical Exams:Cost of client admission physical examinations and TB
testing.
2015 Client Testing Materials 1,600 10-7140 Client Testing Material:Cost of U/A testing supplies,including breathalyzer,
used to determine treatment required for clients.
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 21,553
3001 Telecommunications 3,194 10-6340 Communications:Cost of electronic communications. (Examples:internet,
phone,fax,cell phones,etc.)These are non-treatment related costs.
3002 Printing/Postage 332 10-6400 Postage:Cost of Agency postage and delivery.Including delivery by the U.S.
Post Office,U.P.S.,FedEx or other courier services.These are non-treatment related
costs.
3003 Office,Household&Program Supplies 3,065 10-6110 Office Supplies:Cost of items normally used in an office setting.10-6130 House
Supplies:Cost of supplies used by staff during their scheduled work hours.These items
are normally used to operate the building at the program location.These items are to
remain at program location and not sent home with client.10-6120 Program Supplies:
Cost of any items normally used by clients or to directly benefit the clients to meet
program objectives while receiving services.These items are to remain at the program
location and not sent home with the client.10-6243 General Supplies:Cost of items
generally used by all at program's location.10-6244 Janitorial Supplies&Services:Cost
of items or services to maintain the esthetics of the premises.These are non-treatment
related costs.
3004 Advertising -
3005 Staff Development&Training 2,763 10-6440 Staff Educational Expense:Cost of employee training courses and materials.
(Examples:certification,training,books,etc.)*May include cost of room rental.These
are non-treatment related costs.
3006 Staff Mileage 362 10-6060 Staff Mileage:Cost of employee mileage reimbursement paid in accordance
with FPM section 1005.These are non-treatment related costs.
3007 Subscriptions&Memberships 272 10-6360 Dues&Subscriptions:Cost of membership dues and subscriptions.(Examples:
magazine,newspaper,memberships,etc.)These are non-treatment related costs.
3008 Vehicle Maintenance/Fuel/Insurance 9,330 10-6030 Vehicle Insurance:Cost for vehicle insurance.10-6040 Vehicle Fuel:Cost of gas
in vehicles.10-6050 Vehicle Maintenance:Cost of vehicle maintenance.Including cost
of parts,supplies and labor associated with maintenance and repair of vehicles used by
Agency programs.(Examples:repairs,battery,carwash*Includes:impounds)These are
non-treatment related costs.
3009 Recruitment 2,235 10-6470 Recruitment:Cost of advertising and other employee recruitment expenses.
(Examples:newspaper ad,urine screening,background check,etc.)These are non-
treatment related costs.
3010 Other(specify) -
3011 Other(specify)
3012 Other(s ecif )
4000:DIRECT FACILITIES&EQUIPMENT 67,870
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 10 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM ANT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4001 Building Maintenance 287 10-6330 Building Maintenance:Cost of Agency building repairs and maintenance.
(Examples:electrical work,A/C and heating,hood cleaning,plumbing,deadbolt,door
knob/lock,keys,key tags,air/furnace filters,smoke alarm,cot alarm,exit sign,blinds,
etc.)This account should not be used if a specific outside labor contractor is doing an
identifiable project,in this case use 6603,or projects over$2,000.00 that will require
the procurement process and a WIP to be completed.These are non-treatment related
costs.These are non-treatment related costs.
4002 Rent/Lease Building 47,534 10-6320 Building Rent(Other):Cost of rent/lease payments made for building leases
from outside sources.These are non-treatment related costs.
4003 Rent/Lease Equipment 302 10-6220 Furniture&Equipment Rent/Lease(Other):Cost of rent/lease payments made
for furniture and equipment leases from outside sources.(Examples:high capacity
copier/printer/scanner,washer/dryer,vending machine,furniture,water cooler,
postage meter,etc.)These are non-treatment related costs.
4004 Rent/Lease Vehicles 8,774 10-6020 Vehicle Rent/Lease(Other):Rental cost of non-Agency vehicles and lease of
agency vehicles.
4005 Security 498 10-6390 Security:Cost of installation,maintenance and monthly service fees for
building alarms and other security measures.(Examples:security/surveillance
equipment,service and installation,safes,locks,padlocks,etc.)These are non-
treatment related costs.
4006 Utilities 10,113 10-6350 Utilities:Cost of service for power,gas,water,sewer,garbage,etc.These are
non-treatment related costs.
4007 Equipment Maintenance 362 10-6230 Equipment Maintenance:Cost of repair or maintenance of office/house
equipment and furniture.(Examples:high capacity copier/printer/scanner,replacement
parts such as hard drive,video card,adapter,laptop battery,monitor/printer/phone
cord,cord covers,power strip,surge protector,extension cord,cable ties,drum,hose,
filter,drawer slide set/rollers,keys for filing cabinet,etc.) These are non-treatment
related costs.
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 44,202
5001 Consultant(Network&Data Management) 179 10-6115 Software&Computer Support:Cost of computer software and computer
support.(Examples:Microsoft Office,QuickBooks,PDF converter,Avatar,Vipre anti-
virus,LogMeln,web filter,etc.)This account should not be used for the purchase of
computers and related accessories.Computer accessories such as a mouse,keyboard
and speakers must be coded to 6190.These are non-treatment related costs.
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services 1,374 Paid to outside vendors for translation/interpreter services.Any additional funds
outside of Medi-Cal are used for this/these positions for non-treatment and/or non-
billable related costs to be able to continue to provide continuity of care.
5005 O/S Labor Phychiatrist 42,649 These accounts are assigned to record various professional services provided by
contracted Psychiatrist working as independent agents.Any additional funds outside of
Medi-Cal are used for this/these positions for non-treatment and/or non-billable related
costs to be able to continue to provide continuity of care.
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
6000:INDIRECT EXPENSES 227,943
6001 Administrative Overhead -
6002 Professional Liability Insurance 1,857 10-6370 Insurance:Cost of Agency liability and property insurance.These are non-
treatment related costs.
6003 Accounting/Bookkeeping -
6004 External Audit 377 10-6460 Audit Expense:Cost of outside audit fees.These are non-treatment related
costs.
6005 Insurance(Specify): -
6006 Payroll Services 2,117 10-6482 Payroll Software&Support.These are non-treatment related costs.
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Licenses 876 10-6380 Licenses:Cost in obtaining and renewing licenses and permits.(Examples:
Electronic Medical Records(EMR)database,kitchen/restaurant permit,fire clearance,
facility inspections,vehicle registration,etc.)These are non-treatment related costs.
6010 Indirect 222,716 10-9000's Indirect Allocated Costs.These are non-treatment related costs.
6011 Other(specify) -
6012 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 11 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6013 Other(specify)
7000:DIRECT FIXED ASSETS 5,798
7001 Computer Equipment&Software -
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 604 10-6240 Expendable Furniture:Cost of small,inexpensive Agency property with a
normal useful life generally less than one year or a value that is minor or insignificant,
typically items with a total cost of less than$5000 per item.(Examples:small desk,
portable desk,chair,filing cabinet,mail slots,shelving unit,table,foldable tables/chairs,
bed,mattress,nightstand,room divider,etc.*Includes assembly fee)(For additional
information,see procedures section 0900)These are non-treatment related costs.
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify) -
7007 Expendable Equipment 5,194 10-6190 Expendable Equipment:Cost of purchasing office/house equipment that has a
cost less than$5000 per item.(Examples:electronic stapler/calculator/hole puncher,
computer,monitor,keyboard,mouse,speakers and other computer accessories
including mousepad and wrist pad,desk printer,tablet,tablet cover,lamp,desk lamp,
fan,radio,television,phone,coffee machine,popcorn maker,toaster,refrigerator,
dishwasher,washer,dryer,portable a/c unit,hand soap/hand towel dispenser,fire
extinguisher,dolly,canopy,shed,barbecue,drill,etc.)These are non-treatment related
costs.
7008 Other s ecif -
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,747,483
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,747,483
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 12 of 88
Forensic Continuum of Care FSP/ACT
Turning Point of Central California,Inc.
Fiscal Year(FY)2024-25
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct N Administrative Position FTE Admin Program Total
1101 Records Technician 0.69 $ 8,429 $ 8,429
1102 Administrative Assistant 0.60 14,809 14,809
1103 Program Bookkeeper 0.60 14,809 14,809
1104 Secretary 0.60 11,866 11,866
1105 - -
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 2.49 $ 49,913 $ 49,913
Acct N Program Position FTE Admin Program Total
1116 Assistant Program Director 0.60 $ 32,832 $ 32,832
1117 Program Director 0.60 40,058 40,058
1118 Mental Health Specialist 0.69 190,506 190,506
1119 Supervising Personal Services Coordinator 0.60 23,174 23,174
1120 Peer Support 0.69 37,537 37,537
1121 Mental Health Professional 0.69 82,173 82,173
1122 Nurse 0.69 34,277 34,277
1123 - -
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotall 4.55 1 $ 440,557 1 $ 440,557
Admin Program Total
Direct Personnel Salaries Subtotal 7.04 $ 49,913 $ 440,557 $ 490,470
Direct Employee Benefits
Acct N Description Admin Program Total
1201 Retirement $ 1,663 $ 14,684 $ 16,347
1202 Worker's Compensation 591 5,225 5,816
1203 Health Insurance 7,393 65,257 72,650
1204 Other(Dental) 580 5,119 5,699
1205 Other(ACI) 17 147 164
1206 1 Other(Accrued Paid Leave) 5,546 48,946 54,492
Direct Employee Benefits Subtotal: $ 15,790 $ 139,378 $ 155,168
Direct Payroll Taxes&Expenses:
Acct N Description Admin Program Total
1301 OASDI $ 931 $ 7,097 $ 8,028
1302 FICA/MEDICARE 410 30,594 31,004
1303 SUI 938 7,146 8,084
1304 Other(specify) - - -
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 2,279 $ 44,837 $ 47,116
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Pa a 13 of 88
I $ 67,982 $ 624,772 $ 692,754
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
10% 90%
2000:DIRECT CLIENT SUPPORT
Acd# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support 657,230
2003 Client Transportation&Support 7,782
2004 Clothing&Hygiene 5,559
2005 Education Support 11,118
2006 Employment Support 3,558
2007 Household Items for Clients -
2008 Medication Supports 95,613
2009 Program Supplies-Medical 2,445
2010 Utility Vouchers 21,346
2011 Client Activities 11,118
2012 Client Personal Needs 2,446
2013 Client Food 5,847
2014 Client Physical Exams 10,840
2015 Client Testing Materials 1,779
2016 Other(specify) -
DIRECT CLIENT CARE TOTAL $ 836,681
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 3,551
3002 Printing/Postage 369
3003 Office,Household&Program Supplies 3,408
3004 Advertising -
3005 Staff Development&Training 3,071
3006 Staff Mileage 402
3007 Subscriptions&Memberships 302
3008 Vehicle Maintenance/Fuel/Insurance 10,373
3009 Recruitment 2,485
3010 Other(specify) -
3011 Other(specify)
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 23,961
4000:DIRECT FACILITIES&EQUIPMENT
Acd# Line Item Description Amount
4001 Building Maintenance $ 319
4002 Rent/Lease Building 52,847
4003 Rent/Lease Equipment 336
4004 Rent/Lease Vehicles 9,755
4005 Security 554
4006 Utilities 11,243
4007 Equipment Maintenance 402
4008 Other(specify) -
4009 Other(specify)
4 110 Other(specify) -
DIRECT FACILITIES/EQUIPMENT TOTAL: $ 75,456
5000:DIRECT SPECIAL EXPENSES
Acd# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 199
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services 1,527
5005 O/5 Labor Phychiatrist 47,416
5006 Other(specify) -
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 49,142
6000:INDIRECT EXPENSES
Acd#I Line Item Description Amount
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 14 of 88
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ -
Administrative Overhead
6002 Professional Liability Insurance 2,060
6003 Accounting/Bookkeeping -
6004 External Audit 418
6005 Insurance(Specify): -
6006 Payroll Services 2,349
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Licenses 972
6010 Indirect 252,624
6011 Other(specify) -
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 258,423
INDIRECT COST RATE 15.34%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 671
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 jAssets over$5,000/unit(Specify)
7007 Expendable Equipment 5,774
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ 6,445
TOTAL PROGRAM EXPENSES $ 1,942,862
PROGRAM FUNDING SOURCES
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 ISABG 1 $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports rensic Behavioral Health Continuum of Care-F $ 754,483
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $ 754,483
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance -
8403 Grants(Specify)-CCP AB109 993,000
8404 Other(Specify)-DSH Diversion 195,379
8405 Other(Specify)
OTHER REVENUE TOTALI$ 1,188,379
TOTAL PROGRAM FUNDING SOURCES: 1 $ 1,942,862
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 15 of 88
Forensic Continuum of Care FSP/ACT
Turning Point of Central California, Inc.
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
Records Technician Allocation to CCP&DSH 0.38
Allocation to FSC FSP FFP 0.17
OP 0.45
Total 1.00
Position Contract#/Name/Department/County FTE
Administrative Assistant Allocation to CCP&DSH 0.60
Allocation to FSC FSP FFP 0.27
WPCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Program Bookkeeper Allocation to CCP&DSH 0.60
Allocation to FSC FSP FFP 0.27
WPCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Secretary Allocation to CCP&DSH 0.60
Allocation to FSC FSP FFP 0.27
WPCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Assistant Program Director Allocation to CCP&DSH 0.60
Allocation to FSC FSP FFP 0.27
WPCL 0.13
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 16 of 88
Total 1.00
Position Contract#/Name/Department/County FTE
Program Director Allocation to CCP&DSH 0.60
Allocation to FSC FSP FFP 0.27
WPCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Case Manager Allocation to CCP&DSH 0.69
Allocation to FSC FSP FFP 0.31
Total 1.00
Position Contract#/Name/Department/County FTE
Supervising Personal Services Coordinator Allocation to CCP&DSH 0.60
Allocation to FSC FSP FFP 0.27
WPCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Peer Support Allocation to CCP&DSH 0.69
Allocation to FSC FSP FFP 0.31
Total 1.00
Position Contract#/Name/Department/County FTE
Mental Health Professional Allocation to CCP&DSH 0.69
Allocation to FSC FSP FFP 0.31
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 17 of 88
Total 1.00
Position Contract#/Name/Department/County FTE
Nurse Allocation to CCP&DSH 0.52
Allocation to FSC FSP FFP 0.23
OP 0.25
Total 1.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 18 of 88
Forensic Continuum of Care FSP/ACT
Turning Point of Central California,Inc.
Fiscal Year(FY)2024-25 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 625,634
Administrative Positions 44,895
1101 Records Technician 7,582 The Records Technician will keep track of the Medical Records and will do the billing for
the program.Any additional funds outside of Medi-Cal are used for this/these positions
for non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1102 Administrative Assistant 13,320 The Administrative Assistant will oversee the support staff and will help with all support
staff duties.Any additional funds outside of Medi-Cal are used for this/these positions
for non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1103 Program Bookkeeper 13,320 The Program Bookkeeper will be assisting the clients with their client fees for their
portion of rent if necessary and keeping track of all the incoming and outgoing of petty
cash as needed.Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
1104 Secretary 10,673 Provides direct services to the program by data entry,phone calls,checking in clients,
etc.Any additional funds outside of Medi-Cal are used for this/these positions for non-
treatment and/or non-billable related costs to be able to continue to provide continuity
of care.
1105 0
1106 10
1107 0
1108 0
1109 0
1110 0
1111 0
L111
0
0
0
0
Program Positions 396,261
1116 Assistant Program Director 29,531 The Asssitant Program Director will supervise staff and assist the Program Director. Any
additional funds outside of Medi-Cal are used for this/these positions for non-treatment
and/or non-billable related costs to be able to continue to provide continuity of care.
1117 Program Director 36,030 The Program Director oversees the program and the hiring,training and supervising of
staff.When a staff takes leave,the program is not changed since it's already been
accrued.Our Positions are based on class/step,some might be less and some might be
more,all according to the person's experience and education when they come to work
for Turning Point.Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
1118 Mental Health Specialist 171,351 Mental Health Specialist will carry a caseload while also specializing in linking and
providing services to those interested in engagement in employment and education
services. Any additional funds outside of Medi-Cal are used for this/these positions for
non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1119 Supervising Personal Services Coordinator 20,844 Provides supervision to all Mental Health Specialists to ensure client care,maintain
compliance with Turning Point policies and procedures. Supervisor also assisting in
training new staff and reporting to the Assistant Program Director.Any additional funds
outside of Medi-Cal are used for this/these positions for non-treatment and/or non-
billable related costs to be able to continue to provide continuity of care.
1120 Peer Support 33,763 Serves as a client advocate and provides information and peer support to clients
throughout their recovery process. Any additional funds outside of Medi-Cal are used
for this/these positions for non-treatment and/or non-billable related costs to be able
to continue to provide continuity of care.
1121 Mental Health Professional 73,911 Provides mental health assessment,assessing for Medical Necessity,assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual
and group therapy as client requests,while also providing program support to assist
clients in crisis. Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 19 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1122 Nurse 30,831 Nurses work with the doctors for client care,maintaining compliance with Turning
Point policies and procedures,providing training and ensuring accurate charting in
accordance with Medi-cal. Any additional funds outside of Medi-Cal are used for
this/these positions for non-treatment and/or non-billable related costs to be able to
continue to provide continuity of care.
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits
1201 Retirement 14,705 10-5940 Retirement:Cost of Agency contribution to employee retirement plans.These
are non-treatment related costs.
1202 Worker's Compensation 5,232 10-5930 Workers Compensation Insurance:Cost of workers compensation insurance.
These are non-treatment related costs.
1203 Health Insurance 65,351 10-5950 Health Insurance:Agency cost for health insurance including Vision These are
non-treatment related costs.
1204 Other(Dental) 5,127 10-5960 Dental Insurance:Agency cost for dental insurance.These are non-treatment
related costs.
1205 Other(ACI) 147 10-5990 Other Benefits:Agency cost for other wage related employee benefits.These
are non-treatment related costs.
1206 Other(Accrued Paid Leave) 49,017 10-5980 Accrued Paid Leave:The monetary value of staff Paid Leave hours as they
accrue on a monthly basis.These are non-treatment related costs.
Direct Payroll Taxes&Expenses: 44,899
1301 OASDI 7,107 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes
charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old-
Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare).
These are non-treatment related costs.
1302 FICA/MEDICARE 30,636 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes
charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old-
Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare).
These are non-treatment related costs.
1303 SUI 7,156 10-5920 S.U.I.(State Unemployment Insurance):Employer portion of S.U.I.taxes
charged to the Agency by the various states in which wages are paid.These are non-
treatment related costs.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 754,483
2001 Child Care -
2002 Client Housing Support 593,075 10-7060 Client Housing Assistance:Cost of rent,housing assistance and deposit paid on
behalf of client.(Examples:first/last month deposit,late fees,monthly rent,hotel
charges,room&board,board&care,etc.)
2003 Client Transportation&Support 7,000 10-7015 Client Transportation:Cost for client transportation.(Examples:bus
tokens/passes,taxi,other public transportation,bicycles,etc.)
2004 Clothing&Hygiene 5,000 10-7021 Client Clothing&Hygiene:Cost of client hygiene supplies and non-work related
clothing.(Examples:clothes,shoes,hats,beanies,scarves,soap,toothpaste,deodorant,
grooming supplies,hair accessories,diapers,etc.)
2005 Education Support 10,000 10-7150 Client Educational Material:Cost of course fees and educational materials
distributed to clients and prospective clients.Including court ordered educational class.
2006 Employment Support 3,200 10-7022 Client Employment Support:Cost of client pre-employment preparation and
employment retention.(Examples:job search and interview attire,work boots and tools
required for employment,etc.)
2007 Household Items for Clients -
2008 Medication Supports 86,000 10-7030 Client Medical Expense:Cost of medical supplies or treatment/medical expense
for a specific client.(Examples:co-pays*,prescription/lab work not covered by
insurance,over-the-counter medications*,first aid kit/supplies for client's use at home,
etc.)*if allowable per contract
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 20 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2009 Program Supplies-Medical 2,199 10-6122 Program Supplies-Medical:Cost of medical supplies to be used by staff or
clients at the program location to meet program objective.Such items are to remain at
the program location and not sent home with the client.Such items include,but are not
limited to first aid kits,blood pressure monitor,latex gloves,syringes,hazard disposal
service,sunblock,insect repellent,*over-the-counter medication/vitamins-if allowable
per contract*,etc.
2010 Utility Vouchers 19,200 10-7023 Client Utility/Rental Security Deposits:Cost of client utility bills and/or security
deposits.
2011 Client Activities 10,000 10-7010 Client Activities/Recreation:Cost for client activities&recreation events.
(Examples:cable bill,food/drinks/utensils/decorations needed for a specific client
event,incentive rewards,cash reinforcer,admission fees to events,etc.)
2012 Client Personal Needs 2,200 10-7020 Client Personal Needs:Cost of supplying clients with necessary personal items
not detailed in other accounts.(Examples:birth certificate,DMV fee for ID or license,
clients household cleaning products/house supplies/kitchen supplies for their own
home,pots/pans/dishes,linens,locker lock,paper towels and child related expenses
such as car seat/stroller/play pin/toys,special food for allergies,reinforcers from P&I
funds,laptop,tablet,etc.)
2013 Client Food 5,259 10-6150 Food:Cost of food and drink to be consumed by the residents/clients.
(Examples:Groceries to prepare onsite,outside food brought onsite,food/drinks for
clients)
2014 Client Physical Exams 9,750 10-7080 Client Physical Exams:Cost of client admission physical examinations and TB
testing.
2015 Client Testing Materials 1,600 10-7140 Client Testing Material:Cost of U/A testing supplies,including breathalyzer,
used to determine treatment required for clients.
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 21,553
3001 Telecommunications 3,194 10-6340 Communications:Cost of electronic communications. (Examples:internet,
phone,fax,cell phones,etc.)These are non-treatment related costs.
3002 Printing/Postage 332 10-6400 Postage:Cost of Agency postage and delivery.Including delivery by the U.S.
Post Office,U.P.S.,FedEx or other courier services.These are non-treatment related
costs.
3003 Office,Household&Program Supplies 3,065 10-6110 Office Supplies:Cost of items normally used in an office setting.10-6130 House
Supplies:Cost of supplies used by staff during their scheduled work hours.These items
are normally used to operate the building at the program location.These items are to
remain at program location and not sent home with client.10-6120 Program Supplies:
Cost of any items normally used by clients or to directly benefit the clients to meet
program objectives while receiving services.These items are to remain at the program
location and not sent home with the client.10-6243 General Supplies:Cost of items
generally used by all at program's location.10-6244 Janitorial Supplies&Services:Cost
of items or services to maintain the esthetics of the premises.These are non-treatment
related costs.
3004 Advertising -
3005 Staff Development&Training 2,763 10-6440 Staff Educational Expense:Cost of employee training courses and materials.
(Examples:certification,training,books,etc.)*May include cost of room rental.These
are non-treatment related costs.
3006 Staff Mileage 362 10-6060 Staff Mileage:Cost of employee mileage reimbursement paid in accordance
with FPM section 1005.These are non-treatment related costs.
3007 Subscriptions&Memberships 272 10-6360 Dues&Subscriptions:Cost of membership dues and subscriptions.(Examples:
magazine,newspaper,memberships,etc.)These are non-treatment related costs.
3008 Vehicle Maintenance/Fuel/Insurance 9,330 10-6030 Vehicle Insurance:Cost for vehicle insurance.10-6040 Vehicle Fuel:Cost of gas
in vehicles.10-6050 Vehicle Maintenance:Cost of vehicle maintenance.Including cost
of parts,supplies and labor associated with maintenance and repair of vehicles used by
Agency programs.(Examples:repairs,battery,carwash*Includes:impounds)These are
non-treatment related costs.
3009 Recruitment 2,235 10-6470 Recruitment:Cost of advertising and other employee recruitment expenses.
(Examples:newspaper ad,urine screening,background check,etc.)These are non-
treatment related costs.
3010 Other(specify) -
3011 Other(specify)
3012 Other(s ecif )
4000:DIRECT FACILITIES&EQUIPMENT 67,870
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 21 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM ANT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4001 Building Maintenance 287 10-6330 Building Maintenance:Cost of Agency building repairs and maintenance.
(Examples:electrical work,A/C and heating,hood cleaning,plumbing,deadbolt,door
knob/lock,keys,key tags,air/furnace filters,smoke alarm,cot alarm,exit sign,blinds,
etc.)This account should not be used if a specific outside labor contractor is doing an
identifiable project,in this case use 6603,or projects over$2,000.00 that will require
the procurement process and a WIP to be completed.These are non-treatment related
costs.These are non-treatment related costs.
4002 Rent/Lease Building 47,534 10-6320 Building Rent(Other):Cost of rent/lease payments made for building leases
from outside sources.These are non-treatment related costs.
4003 Rent/Lease Equipment 302 10-6220 Furniture&Equipment Rent/Lease(Other):Cost of rent/lease payments made
for furniture and equipment leases from outside sources.(Examples:high capacity
copier/printer/scanner,washer/dryer,vending machine,furniture,water cooler,
postage meter,etc.)These are non-treatment related costs.
4004 Rent/Lease Vehicles 8,774 10-6020 Vehicle Rent/Lease(Other):Rental cost of non-Agency vehicles and lease of
agency vehicles.
4005 Security 498 10-6390 Security:Cost of installation,maintenance and monthly service fees for
building alarms and other security measures.(Examples:security/surveillance
equipment,service and installation,safes,locks,padlocks,etc.)These are non-
treatment related costs.
4006 Utilities 10,113 10-6350 Utilities:Cost of service for power,gas,water,sewer,garbage,etc.These are
non-treatment related costs.
4007 Equipment Maintenance 362 10-6230 Equipment Maintenance:Cost of repair or maintenance of office/house
equipment and furniture.(Examples:high capacity copier/printer/scanner,replacement
parts such as hard drive,video card,adapter,laptop battery,monitor/printer/phone
cord,cord covers,power strip,surge protector,extension cord,cable ties,drum,hose,
filter,drawer slide set/rollers,keys for filing cabinet,etc.) These are non-treatment
related costs.
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 44,202
5001 Consultant(Network&Data Management) 179 10-6115 Software&Computer Support:Cost of computer software and computer
support.(Examples:Microsoft Office,QuickBooks,PDF converter,Avatar,Vipre anti-
virus,LogMeln,web filter,etc.)This account should not be used for the purchase of
computers and related accessories.Computer accessories such as a mouse,keyboard
and speakers must be coded to 6190.These are non-treatment related costs.
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services 1,374 Paid to outside vendors for translation/interpreter services.Any additional funds
outside of Medi-Cal are used for this/these positions for non-treatment and/or non-
billable related costs to be able to continue to provide continuity of care.
5005 O/S Labor Phychiatrist 42,649 These accounts are assigned to record various professional services provided by
contracted Psychiatrist working as independent agents.Any additional funds outside of
Medi-Cal are used for this/these positions for non-treatment and/or non-billable related
costs to be able to continue to provide continuity of care.
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
6000:INDIRECT EXPENSES 227,943
6001 Administrative Overhead -
6002 Professional Liability Insurance 1,857 10-6370 Insurance:Cost of Agency liability and property insurance.These are non-
treatment related costs.
6003 Accounting/Bookkeeping -
6004 External Audit 377 10-6460 Audit Expense:Cost of outside audit fees.These are non-treatment related
costs.
6005 Insurance(Specify): -
6006 Payroll Services 2,117 10-6482 Payroll Software&Support.These are non-treatment related costs.
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Licenses 876 10-6380 Licenses:Cost in obtaining and renewing licenses and permits.(Examples:
Electronic Medical Records(EMR)database,kitchen/restaurant permit,fire clearance,
facility inspections,vehicle registration,etc.)These are non-treatment related costs.
6010 Indirect 222,716 10-9000's Indirect Allocated Costs.These are non-treatment related costs.
6011 Other(specify) -
6012 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 22 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6013 Other(specify)
7000:DIRECT FIXED ASSETS 5,798
7001 Computer Equipment&Software -
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 604 10-6240 Expendable Furniture:Cost of small,inexpensive Agency property with a
normal useful life generally less than one year or a value that is minor or insignificant,
typically items with a total cost of less than$5000 per item.(Examples:small desk,
portable desk,chair,filing cabinet,mail slots,shelving unit,table,foldable tables/chairs,
bed,mattress,nightstand,room divider,etc.*Includes assembly fee)(For additional
information,see procedures section 0900)These are non-treatment related costs.
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify) -
7007 Expendable Equipment 5,194 10-6190 Expendable Equipment:Cost of purchasing office/house equipment that has a
cost less than$5000 per item.(Examples:electronic stapler/calculator/hole puncher,
computer,monitor,keyboard,mouse,speakers and other computer accessories
including mousepad and wrist pad,desk printer,tablet,tablet cover,lamp,desk lamp,
fan,radio,television,phone,coffee machine,popcorn maker,toaster,refrigerator,
dishwasher,washer,dryer,portable a/c unit,hand soap/hand towel dispenser,fire
extinguisher,dolly,canopy,shed,barbecue,drill,etc.)These are non-treatment related
costs.
7008 Other s ecif -
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,747,483
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,747,483
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 23 of 88
Forensic Continuum of Care FSP/ACT
Turning Point of Central California,Inc.
Fiscal Year(FY)2025-26
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct N Administrative Position FTE Admin Program Total
1101 Records Technician 0.69 $ 8,146 $ 8,146
1102 Administrative Assistant 0.60 14,312 14,312
1103 Program Bookkeeper 0.60 14,312 14,312
1104 Secretary 0.60 11,468 11,468
1105 - -
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 2.49 $ 48,238 $ 48,238
Acct N Program Position FTE Admin Program Total
1116 Assistant Program Director 0.60 $ 31,732 $ 31,732
1117 Program Director 0.60 38,715 38,715
1118 Mental Health Specialist 0.69 184,121 184,121
1119 Supervising Personal Services Coordinator 0.60 22,397 22,397
1120 Peer Support 0.69 36,279 36,279
1121 Mental Health Professional 0.69 79,419 79,419
1122 Nurse 0.69 33,128 33,128
1123 -
1124 -
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotall 4.55 1 $ 425,792 1 $ 425,792
Admin Program Total
Direct Personnel Salaries Subtotal 7.04 $ 48,238 $ 425,792 $ 474,030
Direct Employee Benefits
Acct N Description Admin Program Total
1201 Retirement $ 1,607 $ 14,183 $ 15,790
1202 Worker's Compensation 571 5,049 5,620
1203 Health Insurance 7,145 63,076 70,221
1204 Other(Dental) 560 4,945 5,505
1205 Other(ACI) 16 141 157
1206 1 Other(Accrued Paid Leave) 5,360 47,297 52,657
Direct Employee Benefits Subtotal: $ 15,259 $ 134,691 $ 149,950
Direct Payroll Taxes&Expenses:
Acct N Description Admin Program Total
1301 OASDI $ 746 $ 6,594 $ 7,340
1302 FICA/MEDICARE 3,220 28,426 31,646
1303 SUI 751 6,639 7,390
1304 Other(specify) - - -
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 4,717 $ 41,659 $ 46,376
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Pa a 24 of 88
I $ 68,214 $ 602,142 $ 670,356
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
10% 90%
2000:DIRECT CLIENT SUPPORT
Acd# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support 635,845
2003 Client Transportation&Support 7,521
2004 Clothing&Hygiene 5,373
2005 Education Support 10,745
2006 Employment Support 3,439
2007 Household Items for Clients -
2008 Medication Supports 92,409
2009 Program Supplies-Medical 2,363
2010 Utility Vouchers 20,631
2011 Client Activities 10,773
2012 Client Personal Needs 2,364
2013 Client Food 5,651
2014 Client Physical Exams 10,477
2015 Client Testing Materials 1,719
2016 Other(specify) -
DIRECT CLIENT CARE TOTAL $ 809,309
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 3,432
3002 Printing/Postage 357
3003 Office,Household&Program Supplies 3,294
3004 Advertising -
3005 Staff Development&Training 2,968
3006 Staff Mileage 389
3007 Subscriptions&Memberships 292
3008 Vehicle Maintenance/Fuel/Insurance 10,025
3009 Recruitment 2,402
3010 Other(specify) -
3011 Other(specify)
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 23,158
4000:DIRECT FACILITIES&EQUIPMENT
Acd# Line Item Description Amount
4001 Building Maintenance $ 308
4002 Rent/Lease Building 51,076
4003 Rent/Lease Equipment 325
4004 Rent/Lease Vehicles 9,428
4005 Security 535
4006 Utilities 10,866
4007 Equipment Maintenance 389
4008 Other(specify) -
4009 Other(specify)
4 110 Other(specify) -
DIRECT FACILITIES/EQUIPMENT TOTAL: $ 72,927
5000:DIRECT SPECIAL EXPENSES
Acd# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 192
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services 1,476
5005 O/5 Labor Phychiatrist 45,827
5006 Other(specify) -
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 47,495
6000:INDIRECT EXPENSES
Acd#I Line Item Description Amount
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 25 of 88
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ -
Administrative Overhead
6002 Professional Liability Insurance 1,992
6003 Accounting/Bookkeeping -
6004 External Audit 404
6005 Insurance(Specify): -
6006 Payroll Services 2,271
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Licenses 940
6010 Indirect 242,654
6011 Other(specify) -
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 248,261
INDIRECT COST RATE 15.24%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 648
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 jAssets over$5,000/unit(Specify)
7007 Expendable Equipment 5,580
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ 6,228
TOTAL PROGRAM EXPENSES $ 1,877,735
PROGRAM FUNDING SOURCES
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 ISABG 1 $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports rensic Behavioral Health Continuum of Care-F $ 754,483
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $ 754,483
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance -
8403 Grants(Specify)-CCP AB109 993,000
8404 Other(Specify)-DSH Diversion 130,252
8405 Other(Specify)
OTHER REVENUE TOTALI$ 1,123,252
TOTAL PROGRAM FUNDING SOURCES: 1 $ 1,877,735
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 26 of 88
Forensic Continuum of Care FSP/ACT
Turning Point of Central California, Inc.
Fiscal Year(FY)2025-26
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Records Technician Allocation to CCP 0.38
Allocation to FSC FSP FFP 0.17
OP 0.45
Total 1.00
Position Contract#/Name/Department/County FTE
Administrative Assistant Allocation to CCP 0.60
Allocation to FSC FSP FFP 0.27
WPCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Program Bookkeeper Allocation to CCP 0.60
Allocation to FSC FSP FFP 0.27
WPCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Secretary Allocation to CCP 0.60
Allocation to FSC FSP FFP 0.27
WPCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Assistant Program Director Allocation to CCP 0.60
Allocation to FSC FSP FFP 0.27
WPCL 0.13
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 27 of 88
Total 1.00
Position Contract#/Name/Department/County FTE
Program Director Allocation to CCP 0.60
Allocation to FSC FSP FFP 0.27
WPCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Case Manager Allocation to CCP 0.69
Allocation to FSC FSP FFP 0.31
Total 1.00
Position Contract#/Name/Department/County FTE
Supervising Personal Services Coordinator Allocation to CCP 0.60
Allocation to FSC FSP FFP 0.27
WPCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Peer Support Allocation to CCP 0.69
Allocation to FSC FSP FFP 0.31
Total 1.00
Position Contract#/Name/Department/County FTE
Mental Health Professional Allocation to CCP 0.69
Allocation to FSC FSP FFP 0.31
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 28 of 88
Total 1.00
Position Contract#/Name/Department/County FTE%
Nurse Allocation to CCP 0.52
Allocation to FSC FSP UP 0.23
OP 0.25
Total 1.00
Position Contract#/Name/Department/County FTE%
Court Liason Position Allocation to DSH 100%
Total 1.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 29 of 88
Forensic Continuum of Care FSP/ACT
Turning Point of Central California,Inc.
Fiscal Year(FY)2025-26 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 670,356
Administrative Positions 48,238
1101 Records Technician 8,146 The Records Technician will keep track of the Medical Records and will do the billing for
the program.Any additional funds outside of Medi-Cal are used for this/these positions
for non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1102 Administrative Assistant 14,312 The Administrative Assistant will oversee the support staff and will help with all support
staff duties.Any additional funds outside of Medi-Cal are used for this/these positions
for non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1103 Program Bookkeeper 14,312 The Program Bookkeeper will be assisting the clients with their client fees for their
portion of rent if necessary and keeping track of all the incoming and outgoing of petty
cash as needed.Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
1104 Secretary 11,468 Provides direct services to the program by data entry,phone calls,checking in clients,
etc.Any additional funds outside of Medi-Cal are used for this/these positions for non-
treatment and/or non-billable related costs to be able to continue to provide continuity
of care.
1105 0
1106 10
1107 0
1108 0
1109 0
1110 0
1111 0
L111
0
0
0
0
Program Positions 425,792
1116 Assistant Program Director 31,732 The Asssitant Program Director will supervise staff and assist the Program Director. Any
additional funds outside of Medi-Cal are used for this/these positions for non-treatment
and/or non-billable related costs to be able to continue to provide continuity of care.
1117 Program Director 38,715 The Program Director oversees the program and the hiring,training and supervising of
staff.When a staff takes leave,the program is not changed since it's already been
accrued.Our Positions are based on class/step,some might be less and some might be
more,all according to the person's experience and education when they come to work
for Turning Point.Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
1118 Mental Health Specialist 184,121 Mental Health Specialist will carry a caseload while also specializing in linking and
providing services to those interested in engagement in employment and education
services. Any additional funds outside of Medi-Cal are used for this/these positions for
non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1119 Supervising Personal Services Coordinator 22,397 Provides supervision to all Mental Health Specialists to ensure client care,maintain
compliance with Turning Point policies and procedures. Supervisor also assisting in
training new staff and reporting to the Assistant Program Director.Any additional funds
outside of Medi-Cal are used for this/these positions for non-treatment and/or non-
billable related costs to be able to continue to provide continuity of care.
1120 Peer Support 36,279 Serves as a client advocate and provides information and peer support to clients
throughout their recovery process. Any additional funds outside of Medi-Cal are used
for this/these positions for non-treatment and/or non-billable related costs to be able
to continue to provide continuity of care.
1121 Mental Health Professional 79,419 Provides mental health assessment,assessing for Medical Necessity,assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual
and group therapy as client requests,while also providing program support to assist
clients in crisis. Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 30 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1122 Nurse 33,128 Nurses work with the doctors for client care,maintaining compliance with Turning
Point policies and procedures,providing training and ensuring accurate charting in
accordance with Medi-cal. Any additional funds outside of Medi-Cal are used for
this/these positions for non-treatment and/or non-billable related costs to be able to
continue to provide continuity of care.
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits
1201 Retirement 15,790 10-5940 Retirement:Cost of Agency contribution to employee retirement plans.These
are non-treatment related costs.
1202 Worker's Compensation 5,620 10-5930 Workers Compensation Insurance:Cost of workers compensation insurance.
These are non-treatment related costs.
1203 Health Insurance 70,221 10-5950 Health Insurance:Agency cost for health insurance including Vision These are
non-treatment related costs.
1204 Other(Dental) 5,505 10-5960 Dental Insurance:Agency cost for dental insurance.These are non-treatment
related costs.
1205 Other(ACI) 157 10-5990 Other Benefits:Agency cost for other wage related employee benefits.These
are non-treatment related costs.
1206 Other(Accrued Paid Leave) 52,657 10-5980 Accrued Paid Leave:The monetary value of staff Paid Leave hours as they
accrue on a monthly basis.These are non-treatment related costs.
Direct Payroll Taxes&Expenses: 46,376
1301 OASDI 7,340 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes
charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old-
Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare).
These are non-treatment related costs.
1302 FICA/MEDICARE 31,646 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes
charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old-
Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare).
These are non-treatment related costs.
1303 SUI 7,390 10-5920 S.U.I.(State Unemployment Insurance):Employer portion of S.U.I.taxes
charged to the Agency by the various states in which wages are paid.These are non-
treatment related costs.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 809,309
2001 Child Care -
2002 Client Housing Support 635,845 10-7060 Client Housing Assistance:Cost of rent,housing assistance and deposit paid on
behalf of client.(Examples:first/last month deposit,late fees,monthly rent,hotel
charges,room&board,board&care,etc.)
2003 Client Transportation&Support 7,521 10-7015 Client Transportation:Cost for client transportation.(Examples:bus
tokens/passes,taxi,other public transportation,bicycles,etc.)
2004 Clothing&Hygiene 5,373 10-7021 Client Clothing&Hygiene:Cost of client hygiene supplies and non-work related
clothing.(Examples:clothes,shoes,hats,beanies,scarves,soap,toothpaste,deodorant,
grooming supplies,hair accessories,diapers,etc.)
2005 Education Support 10,745 10-7150 Client Educational Material:Cost of course fees and educational materials
distributed to clients and prospective clients.Including court ordered educational class.
2006 Employment Support 3,439 10-7022 Client Employment Support:Cost of client pre-employment preparation and
employment retention.(Examples:job search and interview attire,work boots and tools
required for employment,etc.)
2007 Household Items for Clients -
2008 Medication Supports 92,409 10-7030 Client Medical Expense:Cost of medical supplies or treatment/medical expense
for a specific client.(Examples:co-pays*,prescription/lab work not covered by
insurance,over-the-counter medications*,first aid kit/supplies for client's use at home,
etc.)*if allowable per contract
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 31 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2009 Program Supplies-Medical 2,363 10-6122 Program Supplies-Medical:Cost of medical supplies to be used by staff or
clients at the program location to meet program objective.Such items are to remain at
the program location and not sent home with the client.Such items include,but are not
limited to first aid kits,blood pressure monitor,latex gloves,syringes,hazard disposal
service,sunblock,insect repellent,*over-the-counter medication/vitamins-if allowable
per contract*,etc.
2010 Utility Vouchers 20,631 10-7023 Client Utility/Rental Security Deposits:Cost of client utility bills and/or security
deposits.
2011 Client Activities 10,773 10-7010 Client Activities/Recreation:Cost for client activities&recreation events.
(Examples:cable bill,food/drinks/utensils/decorations needed for a specific client
event,incentive rewards,cash reinforcer,admission fees to events,etc.)
2012 Client Personal Needs 2,364 10-7020 Client Personal Needs:Cost of supplying clients with necessary personal items
not detailed in other accounts.(Examples:birth certificate,DMV fee for ID or license,
clients household cleaning products/house supplies/kitchen supplies for their own
home,pots/pans/dishes,linens,locker lock,paper towels and child related expenses
such as car seat/stroller/play pin/toys,special food for allergies,reinforcers from P&I
funds,laptop,tablet,etc.)
2013 Client Food 5,651 10-6150 Food:Cost of food and drink to be consumed by the residents/clients.
(Examples:Groceries to prepare onsite,outside food brought onsite,food/drinks for
clients)
2014 Client Physical Exams 10,477 10-7080 Client Physical Exams:Cost of client admission physical examinations and TB
testing.
2015 Client Testing Materials 1,719 10-7140 Client Testing Material:Cost of U/A testing supplies,including breathalyzer,
used to determine treatment required for clients.
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 23,158
3001 Telecommunications 3,432 10-6340 Communications:Cost of electronic communications. (Examples:internet,
phone,fax,cell phones,etc.)These are non-treatment related costs.
3002 Printing/Postage 357 10-6400 Postage:Cost of Agency postage and delivery.Including delivery by the U.S.
Post Office,U.P.S.,FedEx or other courier services.These are non-treatment related
costs.
3003 Office,Household&Program Supplies 3,294 10-6110 Office Supplies:Cost of items normally used in an office setting.10-6130 House
Supplies:Cost of supplies used by staff during their scheduled work hours.These items
are normally used to operate the building at the program location.These items are to
remain at program location and not sent home with client.10-6120 Program Supplies:
Cost of any items normally used by clients or to directly benefit the clients to meet
program objectives while receiving services.These items are to remain at the program
location and not sent home with the client.10-6243 General Supplies:Cost of items
generally used by all at program's location.10-6244 Janitorial Supplies&Services:Cost
of items or services to maintain the esthetics of the premises.These are non-treatment
related costs.
3004 Advertising -
3005 Staff Development&Training 2,968 10-6440 Staff Educational Expense:Cost of employee training courses and materials.
(Examples:certification,training,books,etc.)*May include cost of room rental.These
are non-treatment related costs.
3006 Staff Mileage 389 10-6060 Staff Mileage:Cost of employee mileage reimbursement paid in accordance
with FPM section 1005.These are non-treatment related costs.
3007 Subscriptions&Memberships 292 10-6360 Dues&Subscriptions:Cost of membership dues and subscriptions.(Examples:
magazine,newspaper,memberships,etc.)These are non-treatment related costs.
3008 Vehicle Maintenance/Fuel/Insurance 10,025 10-6030 Vehicle Insurance:Cost for vehicle insurance.10-6040 Vehicle Fuel:Cost of gas
in vehicles.10-6050 Vehicle Maintenance:Cost of vehicle maintenance.Including cost
of parts,supplies and labor associated with maintenance and repair of vehicles used by
Agency programs.(Examples:repairs,battery,carwash*Includes:impounds)These are
non-treatment related costs.
3009 Recruitment 2,402 10-6470 Recruitment:Cost of advertising and other employee recruitment expenses.
(Examples:newspaper ad,urine screening,background check,etc.)These are non-
treatment related costs.
3010 Other(specify) -
3011 Other(specify)
3012 Other(s ecif )
4000:DIRECT FACILITIES&EQUIPMENT 72,927
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 32 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM ANT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4001 Building Maintenance 308 10-6330 Building Maintenance:Cost of Agency building repairs and maintenance.
(Examples:electrical work,A/C and heating,hood cleaning,plumbing,deadbolt,door
knob/lock,keys,key tags,air/furnace filters,smoke alarm,cot alarm,exit sign,blinds,
etc.)This account should not be used if a specific outside labor contractor is doing an
identifiable project,in this case use 6603,or projects over$2,000.00 that will require
the procurement process and a WIP to be completed.These are non-treatment related
costs.These are non-treatment related costs.
4002 Rent/Lease Building 51,076 10-6320 Building Rent(Other):Cost of rent/lease payments made for building leases
from outside sources.These are non-treatment related costs.
4003 Rent/Lease Equipment 325 10-6220 Furniture&Equipment Rent/Lease(Other):Cost of rent/lease payments made
for furniture and equipment leases from outside sources.(Examples:high capacity
copier/printer/scanner,washer/dryer,vending machine,furniture,water cooler,
postage meter,etc.)These are non-treatment related costs.
4004 Rent/Lease Vehicles 9,428 10-6020 Vehicle Rent/Lease(Other):Rental cost of non-Agency vehicles and lease of
agency vehicles.
4005 Security 535 10-6390 Security:Cost of installation,maintenance and monthly service fees for
building alarms and other security measures.(Examples:security/surveillance
equipment,service and installation,safes,locks,padlocks,etc.)These are non-
treatment related costs.
4006 Utilities 10,866 10-6350 Utilities:Cost of service for power,gas,water,sewer,garbage,etc.These are
non-treatment related costs.
4007 Equipment Maintenance 389 10-6230 Equipment Maintenance:Cost of repair or maintenance of office/house
equipment and furniture.(Examples:high capacity copier/printer/scanner,replacement
parts such as hard drive,video card,adapter,laptop battery,monitor/printer/phone
cord,cord covers,power strip,surge protector,extension cord,cable ties,drum,hose,
filter,drawer slide set/rollers,keys for filing cabinet,etc.) These are non-treatment
related costs.
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 47,495
5001 Consultant(Network&Data Management) 192 10-6115 Software&Computer Support:Cost of computer software and computer
support.(Examples:Microsoft Office,QuickBooks,PDF converter,Avatar,Vipre anti-
virus,LogMeln,web filter,etc.)This account should not be used for the purchase of
computers and related accessories.Computer accessories such as a mouse,keyboard
and speakers must be coded to 6190.These are non-treatment related costs.
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services 1,476 Paid to outside vendors for translation/interpreter services.Any additional funds
outside of Medi-Cal are used for this/these positions for non-treatment and/or non-
billable related costs to be able to continue to provide continuity of care.
5005 O/S Labor Phychiatrist 45,827 These accounts are assigned to record various professional services provided by
contracted Psychiatrist working as independent agents.Any additional funds outside of
Medi-Cal are used for this/these positions for non-treatment and/or non-billable related
costs to be able to continue to provide continuity of care.
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
6000:INDIRECT EXPENSES 248,261
6001 Administrative Overhead -
6002 Professional Liability Insurance 1,992 10-6370 Insurance:Cost of Agency liability and property insurance.These are non-
treatment related costs.
6003 Accounting/Bookkeeping -
6004 External Audit 404 10-6460 Audit Expense:Cost of outside audit fees.These are non-treatment related
costs.
6005 Insurance(Specify): -
6006 Payroll Services 2,271 10-6482 Payroll Software&Support.These are non-treatment related costs.
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Licenses 940 10-6380 Licenses:Cost in obtaining and renewing licenses and permits.(Examples:
Electronic Medical Records(EMR)database,kitchen/restaurant permit,fire clearance,
facility inspections,vehicle registration,etc.)These are non-treatment related costs.
6010 Indirect 242,654 10-9000's Indirect Allocated Costs.These are non-treatment related costs.
6011 Other(specify) -
6012 Other(specify)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 33 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6013 Other(specify)
7000:DIRECT FIXED ASSETS 6,228
7001 Computer Equipment&Software -
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 648 10-6240 Expendable Furniture:Cost of small,inexpensive Agency property with a
normal useful life generally less than one year or a value that is minor or insignificant,
typically items with a total cost of less than$5000 per item.(Examples:small desk,
portable desk,chair,filing cabinet,mail slots,shelving unit,table,foldable tables/chairs,
bed,mattress,nightstand,room divider,etc.*Includes assembly fee)(For additional
information,see procedures section 0900)These are non-treatment related costs.
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify) -
7007 Expendable Equipment 5,580 10-6190 Expendable Equipment:Cost of purchasing office/house equipment that has a
cost less than$5000 per item.(Examples:electronic stapler/calculator/hole puncher,
computer,monitor,keyboard,mouse,speakers and other computer accessories
including mousepad and wrist pad,desk printer,tablet,tablet cover,lamp,desk lamp,
fan,radio,television,phone,coffee machine,popcorn maker,toaster,refrigerator,
dishwasher,washer,dryer,portable a/c unit,hand soap/hand towel dispenser,fire
extinguisher,dolly,canopy,shed,barbecue,drill,etc.)These are non-treatment related
costs.
7008 Other s ecif -
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,877,735
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,877,735
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 34 of 88
Forensic Continuum of Care FSP/ACT
Turning Point of Central California,Inc.
Fiscal Year(FY)2026-27
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct N Administrative Position FTE Admin Program Total
1101 Records Technician 0.69 $ 8,429 $ 8,429
1102 Administrative Assistant 0.60 14,809 14,809
1103 Program Bookkeeper 0.60 14,809 14,809
1104 Secretary 0.60 11,866 11,866
1105 - -
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 2.49 $ 49,913 $ 49,913
Acct N Program Position FTE Admin Program Total
1116 Assistant Program Director 0.60 $ 32,832 $ 32,832
1117 Program Director 0.60 40,058 40,058
1118 Mental Health Specialist 0.69 190,506 190,506
1119 Supervising Personal Services Coordinator 0.60 23,174 23,174
1120 Peer Support 0.69 37,537 37,537
1121 Mental Health Professional 0.69 82,173 82,173
1122 Nurse 0.69 34,277 34,277
1123 - -
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotall 4.55 1 $ 440,557 1 $ 440,557
Admin Program Total
Direct Personnel Salaries Subtotal 7.04 $ 49,913 $ 440,557 $ 490,470
Direct Employee Benefits
Acct N Description Admin Program Total
1201 Retirement $ 1,663 $ 14,684 $ 16,347
1202 Worker's Compensation 591 5,225 5,816
1203 Health Insurance 7,393 65,257 72,650
1204 Other(Dental) 580 5,119 5,699
1205 Other(ACI) 17 147 164
1206 1 Other(Accrued Paid Leave) 5,546 48,946 54,492
Direct Employee Benefits Subtotal: $ 15,790 $ 139,378 $ 155,168
Direct Payroll Taxes&Expenses:
Acct N Description Admin Program Total
1301 OASDI $ 931 $ 7,097 $ 8,028
1302 FICA/MEDICARE 410 30,594 31,004
1303 SUI 938 7,146 8,084
1304 Other(specify) - - -
1305 Other(specify)
1306 Other(specify)
Direct Payroll Taxes&Expenses Subtotal: $ 2,279 $ 44,837 $ 47,116
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Pa a 35 of 88
I $ 67,982 $ 624,772 $ 692,754
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin Program
10% 90%
2000:DIRECT CLIENT SUPPORT
Acd# Line Item Description Amount
2001 Child Care $
2002 Client Housing Support 657,230
2003 Client Transportation&Support 7,782
2004 Clothing&Hygiene 5,559
2005 Education Support 11,118
2006 Employment Support 3,558
2007 Household Items for Clients -
2008 Medication Supports 95,613
2009 Program Supplies-Medical 2,445
2010 Utility Vouchers 21,346
2011 Client Activities 11,118
2012 Client Personal Needs 2,446
2013 Client Food 5,847
2014 Client Physical Exams 10,840
2015 Client Testing Materials 1,779
2016 Other(specify) -
DIRECT CLIENT CARE TOTAL $ 836,681
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 3,551
3002 Printing/Postage 369
3003 Office,Household&Program Supplies 3,408
3004 Advertising -
3005 Staff Development&Training 3,071
3006 Staff Mileage 402
3007 Subscriptions&Memberships 302
3008 Vehicle Maintenance/Fuel/Insurance 10,373
3009 Recruitment 2,485
3010 Other(specify) -
3011 Other(specify)
3012 Other(specify)
DIRECT OPERATING EXPENSES TOTAL: $ 23,961
4000:DIRECT FACILITIES&EQUIPMENT
Acd# Line Item Description Amount
4001 Building Maintenance $ 319
4002 Rent/Lease Building 52,847
4003 Rent/Lease Equipment 336
4004 Rent/Lease Vehicles 9,755
4005 Security 554
4006 Utilities 11,243
4007 Equipment Maintenance 402
4008 Other(specify) -
4009 Other(specify)
4 110 Other(specify) -
DIRECT FACILITIES/EQUIPMENT TOTAL: $ 75,456
5000:DIRECT SPECIAL EXPENSES
Acd# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 199
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services 1,527
5005 O/5 Labor Phychiatrist 47,416
5006 Other(specify) -
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL: $ 49,142
6000:INDIRECT EXPENSES
Acd#I Line Item Description Amount
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 36 of 88
Administrative Overhead
6001 Use this line and only this line for approved indirect cost rate $ -
Administrative Overhead
6002 Professional Liability Insurance 2,060
6003 Accounting/Bookkeeping -
6004 External Audit 418
6005 Insurance(Specify): -
6006 Payroll Services 2,349
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Licenses 972
6010 Indirect 252,624
6011 Other(specify) -
6012 Other(specify)
6013 Other(specify) -
INDIRECT EXPENSES TOTAL $ 258,423
INDIRECT COST RATE 15.34%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 671
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 jAssets over$5,000/unit(Specify)
7007 Expendable Equipment 5,774
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ 6,445
TOTAL PROGRAM EXPENSES $ 1,942,862
PROGRAM FUNDING SOURCES
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 ISABG 1 $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports rensic Behavioral Health Continuum of Care-F $ 754,483
8302 PEI-Prevention&Early Intervention -
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $ 754,483
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $ -
8402 Client Insurance -
8403 Grants(Specify)-CCP AB109 993,000
8404 Other(Specify)-DSH Diversion 195,379
8405 Other(Specify)
OTHER REVENUE TOTALI$ 1,188,379
TOTAL PROGRAM FUNDING SOURCES: 1 $ 1,942,862
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 37 of 88
Forensic Continuum of Care FSP/ACT
Turning Point of Central California, Inc.
Fiscal Year(FY)2026-27
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE
Records Technician Allocation to CCP&DSH 0.38
Allocation to FSC FSP FFP 0.17
OP 0.45
Total 1.00
Position Contract#/Name/Department/County FTE
Administrative Assistant Allocation to CCP&DSH 0.60
Allocation to FSC FSP FFP 0.27
WPCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Program Bookkeeper Allocation to CCP&DSH 0.60
Allocation to FSC FSP FFP 0.27
WPCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Secretary Allocation to CCP&DSH 0.60
Allocation to FSC FSP FFP 0.27
WPCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Assistant Program Director Allocation to CCP&DSH 0.60
Allocation to FSC FSP FFP 0.27
WPCL 0.13
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 38 of 88
Total 1.00
Position Contract#/Name/Department/County FTE
Program Director Allocation to CCP&DSH 0.60
Allocation to FSC FSP FFP 0.27
WPCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Case Manager Allocation to CCP&DSH 0.69
Allocation to FSC FSP FFP 0.31
Total 1.00
Position Contract#/Name/Department/County FTE
Supervising Personal Services Coordinator Allocation to CCP&DSH 0.60
Allocation to FSC FSP FFP 0.27
WPCL 0.13
Total 1.00
Position Contract#/Name/Department/County FTE
Peer Support Allocation to CCP&DSH 0.69
Allocation to FSC FSP FFP 0.31
Total 1.00
Position Contract#/Name/Department/County FTE
Mental Health Professional Allocation to CCP&DSH 0.69
Allocation to FSC FSP FFP 0.31
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 39 of 88
Total 1.00
Position Contract#/Name/Department/County FTE
Nurse Allocation to CCP&DSH 0.52
Allocation to FSC FSP FFP 0.23
OP 0.25
Total 1.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 40 of 88
Forensic Continuum of Care FSP/ACT
Turning Point of Central California,Inc.
Fiscal Year(FY)2025-26 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 692,754
Administrative Positions 49,913
1101 Records Technician 8,429 The Records Technician will keep track of the Medical Records and will do the billing for
the program.Any additional funds outside of Medi-Cal are used for this/these positions
for non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1102 Administrative Assistant 14,809 The Administrative Assistant will oversee the support staff and will help with all support
staff duties.Any additional funds outside of Medi-Cal are used for this/these positions
for non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1103 Program Bookkeeper 14,809 The Program Bookkeeper will be assisting the clients with their client fees for their
portion of rent if necessary and keeping track of all the incoming and outgoing of petty
cash as needed.Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
1104 Secretary 11,866 Provides direct services to the program by data entry,phone calls,checking in clients,
etc.Any additional funds outside of Medi-Cal are used for this/these positions for non-
treatment and/or non-billable related costs to be able to continue to provide continuity
of care.
1105 0
1106 10
1107 0
1108 0
1109 0
1110 0
1111 0
L111
0
0
0
0
Program Positions 440,557
1116 Assistant Program Director 32,832 The Asssitant Program Director will supervise staff and assist the Program Director. Any
additional funds outside of Medi-Cal are used for this/these positions for non-treatment
and/or non-billable related costs to be able to continue to provide continuity of care.
1117 Program Director 40,058 The Program Director oversees the program and the hiring,training and supervising of
staff.When a staff takes leave,the program is not changed since it's already been
accrued.Our Positions are based on class/step,some might be less and some might be
more,all according to the person's experience and education when they come to work
for Turning Point.Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
1118 Mental Health Specialist 190,506 Mental Health Specialist will carry a caseload while also specializing in linking and
providing services to those interested in engagement in employment and education
services. Any additional funds outside of Medi-Cal are used for this/these positions for
non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1119 Supervising Personal Services Coordinator 23,174 Provides supervision to all Mental Health Specialists to ensure client care,maintain
compliance with Turning Point policies and procedures. Supervisor also assisting in
training new staff and reporting to the Assistant Program Director.Any additional funds
outside of Medi-Cal are used for this/these positions for non-treatment and/or non-
billable related costs to be able to continue to provide continuity of care.
1120 Peer Support 37,537 Serves as a client advocate and provides information and peer support to clients
throughout their recovery process. Any additional funds outside of Medi-Cal are used
for this/these positions for non-treatment and/or non-billable related costs to be able
to continue to provide continuity of care.
1121 Mental Health Professional 82,173 Provides mental health assessment,assessing for Medical Necessity,assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual
and group therapy as client requests,while also providing program support to assist
clients in crisis. Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 41 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1122 Nurse 34,277 Nurses work with the doctors for client care,maintaining compliance with Turning
Point policies and procedures,providing training and ensuring accurate charting in
accordance with Medi-cal. Any additional funds outside of Medi-Cal are used for
this/these positions for non-treatment and/or non-billable related costs to be able to
continue to provide continuity of care.
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits
1201 Retirement 16,347 10-5940 Retirement:Cost of Agency contribution to employee retirement plans.These
are non-treatment related costs.
1202 Worker's Compensation 5,816 10-5930 Workers Compensation Insurance:Cost of workers compensation insurance.
These are non-treatment related costs.
1203 Health Insurance 72,650 10-5950 Health Insurance:Agency cost for health insurance including Vision These are
non-treatment related costs.
1204 Other(Dental) 5,699 10-5960 Dental Insurance:Agency cost for dental insurance.These are non-treatment
related costs.
1205 Other(ACI) 164 10-5990 Other Benefits:Agency cost for other wage related employee benefits.These
are non-treatment related costs.
1206 Other(Accrued Paid Leave) 54,492 10-5980 Accrued Paid Leave:The monetary value of staff Paid Leave hours as they
accrue on a monthly basis.These are non-treatment related costs.
Direct Payroll Taxes&Expenses: 47,116
1301 OASDI 8,028 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes
charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old-
Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare).
These are non-treatment related costs.
1302 FICA/MEDICARE 31,004 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes
charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old-
Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare).
These are non-treatment related costs.
1303 SUI 8,084 10-5920 S.U.I.(State Unemployment Insurance):Employer portion of S.U.I.taxes
charged to the Agency by the various states in which wages are paid.These are non-
treatment related costs.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 836,681
2001 Child Care -
2002 Client Housing Support 657,230 10-7060 Client Housing Assistance:Cost of rent,housing assistance and deposit paid on
behalf of client.(Examples:first/last month deposit,late fees,monthly rent,hotel
charges,room&board,board&care,etc.)
2003 Client Transportation&Support 7,782 10-7015 Client Transportation:Cost for client transportation.(Examples:bus
tokens/passes,taxi,other public transportation,bicycles,etc.)
2004 Clothing&Hygiene 5,559 10-7021 Client Clothing&Hygiene:Cost of client hygiene supplies and non-work related
clothing.(Examples:clothes,shoes,hats,beanies,scarves,soap,toothpaste,deodorant,
grooming supplies,hair accessories,diapers,etc.)
2005 Education Support 11,118 10-7150 Client Educational Material:Cost of course fees and educational materials
distributed to clients and prospective clients.Including court ordered educational class.
2006 Employment Support 3,558 10-7022 Client Employment Support:Cost of client pre-employment preparation and
employment retention.(Examples:job search and interview attire,work boots and tools
required for employment,etc.)
2007 Household Items for Clients -
2008 Medication Supports 95,613 10-7030 Client Medical Expense:Cost of medical supplies or treatment/medical expense
for a specific client.(Examples:co-pays*,prescription/lab work not covered by
insurance,over-the-counter medications*,first aid kit/supplies for client's use at home,
etc.)*if allowable per contract
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 42 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2009 Program Supplies-Medical 2,445 10-6122 Program Supplies-Medical:Cost of medical supplies to be used by staff or
clients at the program location to meet program objective.Such items are to remain at
the program location and not sent home with the client.Such items include,but are not
limited to first aid kits,blood pressure monitor,latex gloves,syringes,hazard disposal
service,sunblock,insect repellent,*over-the-counter medication/vitamins-if allowable
per contract*,etc.
2010 Utility Vouchers 21,346 10-7023 Client Utility/Rental Security Deposits:Cost of client utility bills and/or security
deposits.
2011 Client Activities 11,118 10-7010 Client Activities/Recreation:Cost for client activities&recreation events.
(Examples:cable bill,food/drinks/utensils/decorations needed for a specific client
event,incentive rewards,cash reinforcer,admission fees to events,etc.)
2012 Client Personal Needs 2,446 10-7020 Client Personal Needs:Cost of supplying clients with necessary personal items
not detailed in other accounts.(Examples:birth certificate,DMV fee for ID or license,
clients household cleaning products/house supplies/kitchen supplies for their own
home,pots/pans/dishes,linens,locker lock,paper towels and child related expenses
such as car seat/stroller/play pin/toys,special food for allergies,reinforcers from P&I
funds,laptop,tablet,etc.)
2013 Client Food 5,847 10-6150 Food:Cost of food and drink to be consumed by the residents/clients.
(Examples:Groceries to prepare onsite,outside food brought onsite,food/drinks for
clients)
2014 Client Physical Exams 10,840 10-7080 Client Physical Exams:Cost of client admission physical examinations and TB
testing.
2015 Client Testing Materials 1,779 10-7140 Client Testing Material:Cost of U/A testing supplies,including breathalyzer,
used to determine treatment required for clients.
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 23,961
3001 Telecommunications 3,551 10-6340 Communications:Cost of electronic communications. (Examples:internet,
phone,fax,cell phones,etc.)These are non-treatment related costs.
3002 Printing/Postage 369 10-6400 Postage:Cost of Agency postage and delivery.Including delivery by the U.S.
Post Office,U.P.S.,FedEx or other courier services.These are non-treatment related
costs.
3003 Office,Household&Program Supplies 3,408 10-6110 Office Supplies:Cost of items normally used in an office setting.10-6130 House
Supplies:Cost of supplies used by staff during their scheduled work hours.These items
are normally used to operate the building at the program location.These items are to
remain at program location and not sent home with client.10-6120 Program Supplies:
Cost of any items normally used by clients or to directly benefit the clients to meet
program objectives while receiving services.These items are to remain at the program
location and not sent home with the client.10-6243 General Supplies:Cost of items
generally used by all at program's location.10-6244 Janitorial Supplies&Services:Cost
of items or services to maintain the esthetics of the premises.These are non-treatment
related costs.
3004 Advertising -
3005 Staff Development&Training 3,071 10-6440 Staff Educational Expense:Cost of employee training courses and materials.
(Examples:certification,training,books,etc.)*May include cost of room rental.These
are non-treatment related costs.
3006 Staff Mileage 402 10-6060 Staff Mileage:Cost of employee mileage reimbursement paid in accordance
with FPM section 1005.These are non-treatment related costs.
3007 Subscriptions&Memberships 302 10-6360 Dues&Subscriptions:Cost of membership dues and subscriptions.(Examples:
magazine,newspaper,memberships,etc.)These are non-treatment related costs.
3008 Vehicle Maintenance/Fuel/Insurance 10,373 10-6030 Vehicle Insurance:Cost for vehicle insurance.10-6040 Vehicle Fuel:Cost of gas
in vehicles.10-6050 Vehicle Maintenance:Cost of vehicle maintenance.Including cost
of parts,supplies and labor associated with maintenance and repair of vehicles used by
Agency programs.(Examples:repairs,battery,carwash*Includes:impounds)These are
non-treatment related costs.
3009 Recruitment 2,485 10-6470 Recruitment:Cost of advertising and other employee recruitment expenses.
(Examples:newspaper ad,urine screening,background check,etc.)These are non-
treatment related costs.
3010 Other(specify) -
3011 Other(specify)
3012 Other(s ecif )
4000:DIRECT FACILITIES&EQUIPMENT 75,456
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 43 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM ANT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4001 Building Maintenance 319 10-6330 Building Maintenance:Cost of Agency building repairs and maintenance.
(Examples:electrical work,A/C and heating,hood cleaning,plumbing,deadbolt,door
knob/lock,keys,key tags,air/furnace filters,smoke alarm,cot alarm,exit sign,blinds,
etc.)This account should not be used if a specific outside labor contractor is doing an
identifiable project,in this case use 6603,or projects over$2,000.00 that will require
the procurement process and a WIP to be completed.These are non-treatment related
costs.These are non-treatment related costs.
4002 Rent/Lease Building 52,847 10-6320 Building Rent(Other):Cost of rent/lease payments made for building leases
from outside sources.These are non-treatment related costs.
4003 Rent/Lease Equipment 336 10-6220 Furniture&Equipment Rent/Lease(Other):Cost of rent/lease payments made
for furniture and equipment leases from outside sources.(Examples:high capacity
copier/printer/scanner,washer/dryer,vending machine,furniture,water cooler,
postage meter,etc.)These are non-treatment related costs.
4004 Rent/Lease Vehicles 9,755 10-6020 Vehicle Rent/Lease(Other):Rental cost of non-Agency vehicles and lease of
agency vehicles.
4005 Security 554 10-6390 Security:Cost of installation,maintenance and monthly service fees for
building alarms and other security measures.(Examples:security/surveillance
equipment,service and installation,safes,locks,padlocks,etc.)These are non-
treatment related costs.
4006 Utilities 11,243 10-6350 Utilities:Cost of service for power,gas,water,sewer,garbage,etc.These are
non-treatment related costs.
4007 Equipment Maintenance 402 10-6230 Equipment Maintenance:Cost of repair or maintenance of office/house
equipment and furniture.(Examples:high capacity copier/printer/scanner,replacement
parts such as hard drive,video card,adapter,laptop battery,monitor/printer/phone
cord,cord covers,power strip,surge protector,extension cord,cable ties,drum,hose,
filter,drawer slide set/rollers,keys for filing cabinet,etc.) These are non-treatment
related costs.
4008 Other(specify)
4009 Other(specify)
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 49,142
5001 Consultant(Network&Data Management) 199 10-6115 Software&Computer Support:Cost of computer software and computer
support.(Examples:Microsoft Office,QuickBooks,PDF converter,Avatar,Vipre anti-
virus,LogMeln,web filter,etc.)This account should not be used for the purchase of
computers and related accessories.Computer accessories such as a mouse,keyboard
and speakers must be coded to 6190.These are non-treatment related costs.
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services 1,527 Paid to outside vendors for translation/interpreter services.Any additional funds
outside of Medi-Cal are used for this/these positions for non-treatment and/or non-
billable related costs to be able to continue to provide continuity of care.
5005 O/S Labor Phychiatrist 47,416 These accounts are assigned to record various professional services provided by
contracted Psychiatrist working as independent agents.Any additional funds outside of
Medi-Cal are used for this/these positions for non-treatment and/or non-billable related
costs to be able to continue to provide continuity of care.
5006 Other(specify)
5007 Other(specify)
5008 Other(specify)
6000:INDIRECT EXPENSES 258,423
6001 Administrative Overhead -
6002 Professional Liability Insurance - 10-6370 Insurance:Cost of Agency liability and property insurance.These are non-
treatment related costs.
6003 Accounting/Bookkeeping 2,060
6004 External Audit - 10-6460 Audit Expense:Cost of outside audit fees.These are non-treatment related
costs.
6005 Insurance(Specify): 418
6006 Payroll Services - 10-6482 Payroll Software&Support.These are non-treatment related costs.
6007 Depreciation(Provider-Owned Equipment to be Used 2,349
6008 Personnel(Indirect Salaries&Benefits) -
6009 Licenses - 10-6380 Licenses:Cost in obtaining and renewing licenses and permits.(Examples:
Electronic Medical Records(EMR)database,kitchen/restaurant permit,fire clearance,
facility inspections,vehicle registration,etc.)These are non-treatment related costs.
6010 Indirect 972 10-9000's Indirect Allocated Costs.These are non-treatment related costs.
6011 Other(specify) 252,624
6012 Other(specify) -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 44 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6013 Other(specify)
7000:DIRECT FIXED ASSETS 6,445
7001 Computer Equipment&Software -
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 671 10-6240 Expendable Furniture:Cost of small,inexpensive Agency property with a
normal useful life generally less than one year or a value that is minor or insignificant,
typically items with a total cost of less than$5000 per item.(Examples:small desk,
portable desk,chair,filing cabinet,mail slots,shelving unit,table,foldable tables/chairs,
bed,mattress,nightstand,room divider,etc.*Includes assembly fee)(For additional
information,see procedures section 0900)These are non-treatment related costs.
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify) -
7007 Expendable Equipment 5,774 10-6190 Expendable Equipment:Cost of purchasing office/house equipment that has a
cost less than$5000 per item.(Examples:electronic stapler/calculator/hole puncher,
computer,monitor,keyboard,mouse,speakers and other computer accessories
including mousepad and wrist pad,desk printer,tablet,tablet cover,lamp,desk lamp,
fan,radio,television,phone,coffee machine,popcorn maker,toaster,refrigerator,
dishwasher,washer,dryer,portable a/c unit,hand soap/hand towel dispenser,fire
extinguisher,dolly,canopy,shed,barbecue,drill,etc.)These are non-treatment related
costs.
7008 Other s ecif -
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 1,942,862
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 1,942,862
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 45 of 88
Forensic Continuum of Care SUD/MH OP
Turning Point of Central California,Inc.
Fiscal Year(FY)2023-24
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Records Technician 0.12 $ 4,810 $ 4,810
1102 Secretary 0.26 10,182 10,182
1103 Bookkeeper 0.26 11,804 11,804
1104 - -
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.64 $ 26,796 $ 26,796
Acct# Program Position FTE Admin Program Total
1116 Intake Assistant 0.26 $ 26,082 $ 26,082
1117 Program Director 0.26 23,695 23,695
1118 Case Manager 0.28 26,972 26,972
1119 Supervising Personal Services Coordinator 0.28 18,180 18,180
1120 Substance Abuse Counselor 0.28 67,080 67,080
1121 Mental Health Professional 0.27 67,041 67,041
1122 Nurse 0.06 7,025 7,025
1123 - -
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 1.69 $ 236,075 $ 236,075
Admin Program Total
Direct Personnel Salaries Subtotal 2.33 $ 26,796 $ 236,075 $ 262,871
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 1,164 $ 7,507 $ 8,671
1202 Worker's Compensation 414 2,671 3,085
1203 Health Insurance 4,846 31,264 36,110
1204 Dental Insurance 380 2,453 2,833
1205 ACI 12 75 87
1206 Accrued Paid Leave 3,879 25,023 28,902
Direct Employee Benefits Subtotal: $ 10,695 $ 68,993 $ 79,688
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ 562 $ 3,628 $ 4,190
1302 FICA/MEDICARE 2,424 15,640 18,064
1303 SUI 566 3,653 4,219
1304 Other(specify) - - -
1305 Other(specify)
1306 1 Other(specify) -
Direct Payroll Taxes&Expenses Subtotal: $ 3,552 $ 22,921 $ 26,473
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 41,043 $ 327,989 $ 369,032
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin I Program
11% 89%
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 46 of 88
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 120,000
2003 Client Transportation&Support 500
2004 Clothing,Food,&Hygiene 1,000
2005 Education Support
2006 Employment Support
2007 Household Items for Clients -
2008 Medication Supports 4,300
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Clothing&Hygiene 1,000
2012 Client Testing Material 9,850
2013 Client Food 300
2014 Other(specify) -
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 136,950
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 2,204
3002 Printing/Postage 706
3003 Office,Household&Program Supplies 3,888
3004 Advertising -
3005 Staff Development&Training 1,957
3006 1 Staff Mileage 372
3007 Subscriptions&Memberships 106
3008 Vehicle Maintenance 936
3009 Recruitment 692
3010 Outreach&Engagement 147
3011 Other(specify) -
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 11,008
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 80
4002 Rent/Lease Building 20,846
4003 Rent/Lease Equipment 519
4004 Rent/Lease Vehicles -
4005 Security 453
4006 Utilities 5,819
4007 Equipment Maintenance 626
4008 Depreciation 159
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:j 28,502
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 26
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify)
5004 Translation Services -
5005 OS Labor Psychiatrist 17,604
5006 1 OS Labor Physician 3,304
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL:j$ 20,934
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 47 of 88
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 2,277
6003 Accounting/Bookkeeping -
6004 External Audit 346
6005 Insurance(Specify): -
6006 Payroll Services 1,928
6007 Depreciation(crovme,-owned equipment to be usedfor Program Purposes)
6008 Personnel(indirect Salaries&Benefits) -
6009 Licenses 5,384
6010 Indirect 75,924
6011 Other(specify) -
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 85,859
INDIRECT COST RATE 15.00%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 2,583
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify)
7007 Expendable Equipment 3,382
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ 5,965
TOTAL PROGRAM EXPENSES $ 658,250
PROGRAM FUNDING SOURCES
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 ISABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees
8402 Clientlnsurance
8403 Grants(Specify)-CCP AB109 658,250
8404 Other(Specify)
8405 Other(Specify) -
OTHER REVENUE TOTAL $ 658,250
TOTAL PROGRAM FUNDING SOURCES: $ 658,250
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 48 of 88
Forensic Continuum of Care SUD/MH OP
Turning Point of Central California,Inc.
Fiscal Year(FY)2023-24
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE%
Records Technician Allocation to FSC OP MH FFP 0.08
Allocation to FSC OP MH CCP 0.02
Allocation to FSC OP SUD FFP 0.25
Allocation to FSC OP SUD CCP 0.10
Allocation to FSC FSP CCP&DSH 0.38
Allocation to FSC FSP FFP 0.17
Total 1.00
Position Contract#/Name/Department/County FTE%
Secretary Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.56
Allocation to FSC OP SUD CCP 0.21
Total 1.00
Position Contract#/Name/Department/County FTE%
Bookkeeper Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.56
Allocation to FSC OP SUD CCP 0.21
Total 1.00
Position Contract#/Name/Department/County FTE%
Intake Assistant Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.57
Allocation to FSC OP SUD CCP 0.21
Total 1.00
Position Contract#/Name/Department/County FTE%
Program Director Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.56
Allocation to FSC OP SUD CCP 0.21
Total 1.00
Position Contract#/Name/Department/County FTE%
Case Manager Allocation to FSC OP SUD FFP 0.72
Allocation to FSC OP SUD CCP 0.28
Total 1.00
Position Contract#/Name/Department/County FTE%
Supervising Personal Services Coordinator Allocation to FSC OP SUD FFP 0.72
Allocation to FSC OP SUD CCP 0.28
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 49 of 88
Total 1.00
Position Contract#/Name/Department/County FTE
Substance Abuse Counselor Allocation to FSC OP SUD FFP 0.72
Allocation to FSC OP SUD CCP 0.28
Total 1.00
Position Contract#/Name/Department/County FTE%
Mental Health Professional Allocation to FSC OP MH FFP 0.17
A19Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.56
Allocation to FSC OP SUD CCP 0.22
Total 1.00
Position Contract#/Name/Department/County FTE%
Nurse Allocation to FSC OP MH FFP 0.04
Allocation to FSC OP MH CCP 0.01
Allocation to FSC OP SUD FFP 0.14
Allocation to FSC OP SUD CCP 0.05
Allocation to FSC FSP CCP&DSH 0.52
Allocation to FSC FSP FFP 0.23
Total 1.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 50 of 88
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 51 of 88
Forensic Continuum of Care SUD/MH OP
Turning Point of Central California,Inc.
Fiscal Year(FY)2023-24 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 369,032
Administrative Positions 26,796
1101 Records Technician 4,810 The Records Technician will keep track of the Medical Records and will do the billing for
the program.Any additional funds outside of Medi-Cal are used for this/these positions
for non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1102 Secretary 10,182 Provides direct services to the program by data entry,phone calls,checking in clients,
etc.Any additional funds outside of Medi-Cal are used for this/these positions for non-
treatment and/or non-billable related costs to be able to continue to provide continuity
of care.
1103 Bookkeeper 11,804 The Program Bookkeeper will be assisting the clients with their client fees for their
portion of rent if necessary and keeping track of all the incoming and outgoing of petty
cash as needed.Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 236,075
1116 Intake Assistant 26,082 The Intake Assistant processes all referrals related to this program.These services
include completeing all new admissions in a timely manner with the goal of opening the
client.Any additional funds outside of Medi-Cal are used for this/these positions for non
treatment and/or non-billable related costs to be able to continue to provide continuity
of care.
1117 Program Director 23,695 The Program Director oversees the program and the hiring,training and supervising of
staff. When a staff takes leave,the program is not changed since it's already been
accrued.Our Positions are based on class/step,some might be less and some might be
more,all according to the person's experience and education when they come to work
for Turning Point.Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
1118 Case Manager 26,972 The Case Managers provide services which will assist individuals in gaining access to
needed medical,social,housing,economic,educational and other services as directed
by the Program Director and Supervising PSC.Any additional funds outside of Medi-Cal
are used for this/these positions for non-treatment and/or non-billable related costs to
be able to continue to provide continuity of care.
1119 Supervising Personal Services Coordinator 18,180 Provides supervision to all Substance Abuse Conselors,Case Managers and Intake
Assistant to ensure client care,maintain compliance with Turning Point policies and
procedures. Supervisor also assisting in training new staff and reporting to the Program
Director.Any additional funds outside of Medi-Cal are used for this/these positions for
non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1120 Substance Abuse Counselor 67,080 The Substance Abuse Counslor is responsible for the Substance Abuse Treatment
services in accordance with program requirements and ADP licensing.Any additional
funds outside of Medi-Cal are used for this/these positions for non-treatment and/or
non-billable related costs to be able to continue to provide continuity of care.
1121 Mental Health Professional 67,041 Provides mental health assessment,assessing for Medical Necessity,assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual
and group therapy as client requests,while also providing program support to assist
clients in crisis. Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 52 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1122 Nurse 7,025 Nurses work with the doctors for client care,maintaining compliance with Turning
Point policies and procedures,providing training and ensuring accurate charting in
accordance with Medi-cal. Any additional funds outside of Medi-Cal are used for
this/these positions for non-treatment and/or non-billable related costs to be able to
continue to provide continuity of care.
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0
Direct Employee Benefits
1201 Retirement 8,671 10-5940 Retirement:Cost of Agency contribution to employee retirement plans.These
are non-treatment related costs.
1202 Worker's Compensation 3,085 10-5930 Workers Compensation Insurance:Cost of workers compensation insurance.
These are non-treatment related costs.
1203 Health Insurance 36,110 10-5950 Health Insurance:Agency cost for health insurance including Vision.These are
non-treatment related costs.
1204 Dental Insurance 2,833 10-5960 Dental Insurance:Agency cost for dental insurance.
1205 ACI 87 10-5990 Other Benefits:Agency cost for other wage related employee benefits.These
are non-treatment related costs.
1206 Accrued Paid Leave 28,902 10-5980 Accrued Paid Leave:The monetary value of staff Paid Leave hours as they
accrue on a monthly basis.These are non-treatment related costs.
Direct Payroll Taxes&Expenses: 26,473
1301 OASDI 4,190 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes
charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old-
Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare).
These are non-treatment related costs.
1302 FICA/MEDICARE 18,064 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes
charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old-
Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare).
These are non-treatment related costs.
1303 SUI 4,219 10-5920 S.U.I.(State Unemployment Insurance):Employer portion of S.U.I.taxes
charged to the Agency by the various states in which wages are paid.These are non-
treatment related costs.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 136,950
2001 Child Care -
2002 Client Housing Support 120,000 10-7060 Client Housing Assistance:Cost of rent,housing assistance and deposit paid on
behalf of client.(Examples:first/last month deposit,late fees,monthly rent,hotel
charges,room&board,board&care,etc.)
2003 Client Transportation&Support 500 10-7015 Client Transportation:Cost for client transportation.(Examples:bus
tokens/passes,taxi,other public transportation,bicycles,etc.)
2004 Clothing,Food,&Hygiene 1,000 10-7021 Client Clothing&Hygiene:Cost of client hygiene supplies and non-work related
clothing.(Examples:clothes,shoes,hats,beanies,scarves,soap,toothpaste,deodorant,
grooming supplies,hair accessories,diapers,etc.)
2005 Education Support
2006 Employment Support
2007 Household Items for Clients -
2008 Medication Supports 4,300 10-6122 Program Supplies-Medical:Cost of medical supplies to be used by staff or
clients at the program location to meet program objective.Such items are to remain at
the program location and not sent home with the client.Such items include,but are not
limited to first aid kits,blood pressure monitor,latex gloves,syringes,hazard disposal
service,sunblock,insect repellent,*over-the-counter medication/vitamins-if allowable
per contract*,etc.
2009 Program Supplies-Medical
2010 Utility Vouchers
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 53 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2011 Clothing&Hygiene 1,000 10-7010 Client Activities/Recreation:Cost for client activities&recreation events.
(Examples:cable bill,food/drinks/utensils/decorations needed for a specific client
event,incentive rewards,cash reinforcer,admission fees to events,etc.)
2012 Client Testing Material 9,850 10-7140 Client Testing Material:Cost of U/A testing supplies,including breathalyzer,
used to determine treatment required for clients.
2013 Client Food 300 10-6150 Food:Cost of food and drink to be consumed by the residents/clients.
(Examples:Groceries to prepare onsite,outside food brought onsite,food/drinks for
clients)
2014 Other(specify) -
2015 Other(specify)
2016 Other(specify)
3000:DIRECT OPERATING EXPENSES 11,008
3001 Telecommunications 2,204 10-6340 Communications:Cost of electronic communications. (Examples:internet,
phone,fax,cell phones,etc.)These are non-treatment related costs.
3002 Printing/Postage 706 10-6400 Postage:Cost of Agency postage and delivery.Including delivery by the U.S.
Post Office,U.P.S.,FedEx or other courier services.These are non-treatment related
costs.
3003 Office,Household&Program Supplies 3,888 10-6110 Office Supplies:Cost of items normally used in an office setting.10-6130 House
Supplies:Cost of supplies used by staff during their scheduled work hours.These items
are normally used to operate the building at the program location.These items are to
remain at program location and not sent home with client.10-6120 Program Supplies:
Cast of any items normally used by clients or to directly benefit the clients to meet
program objectives while receiving services.These items are to remain at the program
location and not sent home with the client.10-6243 General Supplies:Cost of items
generally used by all at program's location.10-6244 Janitorial Supplies&Services:Cost
of items or services to maintain the esthetics of the premises.These are non-treatment
related costs.
3004 Advertising -
3005 Staff Development&Training 1,957 10-6440 Staff Educational Expense:Cost of employee training courses and materials.
(Examples:certification,training,books,etc.)*May include cost of room rental.These
are non-treatment related costs.
3006 Staff Mileage 372 10-6060 Staff Mileage:Cost of employee mileage reimbursement paid in accordance
with FPM section 1005.These are non-treatment related costs.
3007 Subscriptions&Memberships 106 10-6360 Dues&Subscriptions:Cost of membership dues and subscriptions.(Examples:
magazine,newspaper,memberships,etc.)These are non-treatment related costs.
3008 Vehicle Maintenance 936 10-6030 Vehicle Insurance:Cost for vehicle insurance.10-6040 Vehicle Fuel:Cost of gas
in vehicles.10-6050 Vehicle Maintenance:Cost of vehicle maintenance.Including cost
of parts,supplies and labor associated with maintenance and repair of vehicles used by
Agency programs.(Examples:repairs,battery,carwash*Includes:impounds)These are
non-treatment related costs.
3009 Recruitment 692 10-6470 Recruitment:Cost of advertising and other employee recruitment expenses.
(Examples:newspaper ad,urine screening,background check,etc.)
3010 Outreach&Engagement 147 10-6693 0&E Client Needs:Cost related to services and supplies used during outreach
and engagement events/activities.These are non-treatment related costs.
3011 Other(specify) -
3012 1 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 28,502
4001 Building Maintenance 80 10-6330 Building Maintenance:Cost of Agency building repairs and maintenance.
(Examples:electrical work,A/C and heating,hood cleaning,plumbing,deadbolt,door
knob/lock,keys,key tags,air/furnace filters,smoke alarm,co2 alarm,exit sign,blinds,
etc.)This account should not be used if a specific outside labor contractor is doing an
identifiable project,in this case use 6603,or projects over$2,000.00 that will require
the procurement process and a WIP to be completed.These are non-treatment related
costs.
4002 Rent/Lease Building 20,846 10-6320 Building Rent(Other):Cost of rent/lease payments made for building leases
from outside sources.These are non-treatment related costs.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 54 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4003 Rent/Lease Equipment 519 10-6220 Furniture&Equipment Rent/Lease(Other):Cost of rent/lease payments made
for furniture and equipment leases from outside sources.(Examples:high capacity
copier/printer/scanner,washer/dryer,vending machine,furniture,water cooler,
postage meter,etc.)These are non-treatment related costs.
4004 Rent/Lease Vehicles -
4005 Security 453 10-6390 Security:Cost of installation,maintenance and monthly service fees for
building alarms and other security measures.(Examples:security/surveillance
equipment,service and installation,safes,locks,padlocks,etc.)These are non-
treatment related costs.
4006 Utilities 5,819 10-6350 Utilities:Cost of service for power,gas,water,sewer,garbage,etc.These are
non-treatment related costs.
4007 Equipment Maintenance 626 10-6230 Equipment Maintenance:Cost of repair or maintenance of office/house
equipment and furniture.(Examples:high capacity copier/printer/scanner,replacement
parts such as hard drive,video card,adapter,laptop battery,monitor/printer/phone
cord,cord covers,power strip,surge protector,extension cord,cable ties,drum,hose,
filter,drawer slide set/rollers,keys for filing cabinet,etc.) These are non-treatment
related costs.
4008 Depreciation 159 10-8050 Depreciation:This account should be charged for the depreciation expense of
the Agency's tangible assets.These are non-treatment related costs.
4009 Other(specify) -
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 20,934
5001 Consultant(Network&Data Management) 26 10-6115 Software&Computer Support:Cost of computer software and computer
support.(Examples:Microsoft Office,QuickBooks,PDF converter,Avatar,Vipre anti-
virus,LogMeln,web filter,etc.)This account should not be used for the purchase of
computers and related accessories.Computer accessories such as a mouse,keyboard
and speakers must be coded to 6190.These are non-treatment related costs.
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services -
5005 OS Labor Psychiatrist 17,604 These accounts are assigned to record various professional services provided by
contracted Psychiatrist working as independent agents.Any additional funds outside of
Medi-Cal are used for this/these positions for non-treatment and/or non-billable related
costs to be able to continue to provide continuity of care.
5006 OS Labor Physician 3,304 These accounts are assigned to record various professional services provided by
contracted Physician working as independent agents.Any additional funds outside of
Medi-Cal are used for this/these positions for non-treatment and/or non-billable related
costs to be able to continue to provide continuity of care.
5007 Other(specify)
5008 Other(specify)
6000:INDIRECT EXPENSES 85,859
6001 Administrative Overhead -
6002 Professional Liability Insurance 2,277 10-6370 Insurance:Cost of Agency liability and property insurance.These are non-
treatment related costs.
6003 Accounting/Bookkeeping -
6004 External Audit 346 10-6460 Audit Expense:Cost of outside audit fees.These are non-treatment related
costs.
6005 Insurance(Specify): -
6006 Payroll Services 1,928 10-6482 Payroll Software&Support These are non-treatment related costs.
6007 1 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Licenses 5,384 10-6380 Licenses:Cost in obtaining and renewing licenses and permits.(Examples:
Electronic Medical Records(EMR)database,kitchen/restaurant permit,fire clearance,
facility inspections,vehicle registration,etc.)These are non-treatment related costs.
6010 Indirect 75,924 10-9000's Indirect Allocated Costs.These are non-treatment related costs.
6011 Other(specify) -
6012 Other(specify)
6013 1 Other(specify)
7000:DIRECT FIXED ASSETS 5,965
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 55 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA
7003 Furniture&Fixtures 2,583 10-6240 Expendable Furniture:Cost of small,inexpensive Agency property with a
normal useful life generally less than one year or a value that is minor or insignificant,
typically items with a total cost of less than$5000 per item.(Examples:small desk,
portable desk,chair,filing cabinet,mail slots,shelving unit,table,foldable tables/chairs,
bed,mattress,nightstand,room divider,etc.*Includes assembly fee)(For additional
information,see procedures section 0900)These are non-treatment related costs.
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify) -
7007 Expendable Equipment 3,382 10-6190 Expendable Equipment:Cost of purchasing office/house equipment that has a
cost less than$5000 per item.(Examples:electronic stapler/calculator/hole puncher,
computer,monitor,keyboard,mouse,speakers and other computer accessories
including mousepad and wrist pad,desk printer,tablet,tablet cover,lamp,desk lamp,
fan,radio,television,phone,coffee machine,popcorn maker,toaster,refrigerator,
dishwasher,washer,dryer,portable a/c unit,hand soap/hand towel dispenser,fire
extinguisher,dolly,canopy,shed,barbecue,drill,etc.)These are non-treatment related
costs.
7008 Other(specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 658,250
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 658,250
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 56 of 88
Forensic Continuum of Care SLID/MH OP
Turning Point of Central California,Inc.
Fiscal Year(FY)2024-25
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Records Technician 0.12 $ 4,810 $ 4,810
1102 Secretary 0.26 10,182 10,182
1103 Bookkeeper 0.26 11,804 11,804
1104 - -
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.64 $ 26,796 $ 26,796
Acct# Program Position FTE Admin Program Total
1116 Intake Assistant 0.26 $ 26,082 $ 26,082
1117 Program Director 0.26 23,695 23,695
1118 Case Manager 0.28 26,972 26,972
1119 Supervising Personal Services Coordinator 0.28 18,180 18,180
1120 Substance Abuse Counselor 0.28 67,080 67,080
1121 Mental Health Professional 0.27 67,041 67,041
1122 Nurse 0.06 7,025 7,025
1123 - -
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 1.69 $ 236,075 $ 236,075
Admin Program Total
Direct Personnel Salaries Subtotal 2.33 $ 26,796 $ 236,075 $ 262,871
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 1,164 $ 7,507 $ 8,671
1202 Worker's Compensation 414 2,671 3,085
1203 Health Insurance 4,846 31,264 36,110
1204 Dental Insurance 380 2,453 2,833
1205 ACI 12 75 87
1206 Accrued Paid Leave 3,879 25,023 28,902
Direct Employee Benefits Subtotal: $ 10,695 $ 68,993 $ 79,688
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ 562 $ 3,628 $ 4,190
1302 FICA/MEDICARE 2,424 15,640 18,064
1303 SUI 566 3,653 4,219
1304 Other(specify) - - -
1305 Other(specify)
1306 1 Other(specify) -
Direct Payroll Taxes&Expenses Subtotal: $ 3,552 $ 22,921 $ 26,473
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 41,043 $ 327,989 $ 369,032
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin I Program
11% 89%
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 57 of 88
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 120,000
2003 Client Transportation&Support 500
2004 Clothing,Food,&Hygiene 1,000
2005 Education Support
2006 Employment Support
2007 Household Items for Clients -
2008 Medication Supports 4,300
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Clothing&Hygiene 1,000
2012 Client Testing Material 9,850
2013 Client Food 300
2014 Other(specify) -
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 136,950
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 2,204
3002 Printing/Postage 706
3003 Office,Household&Program Supplies 3,888
3004 Advertising -
3005 Staff Development&Training 1,957
3006 1 Staff Mileage 372
3007 Subscriptions&Memberships 106
3008 Vehicle Maintenance 936
3009 Recruitment 692
3010 Outreach&Engagement 147
3011 Other(specify) -
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 11,008
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 80
4002 Rent/Lease Building 20,846
4003 Rent/Lease Equipment 519
4004 Rent/Lease Vehicles -
4005 Security 453
4006 Utilities 5,819
4007 Equipment Maintenance 626
4008 Depreciation 159
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:j 28,502
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 26
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify)
5004 Translation Services -
5005 OS Labor Psychiatrist 17,604
5006 1 OS Labor Physician 3,304
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL:j$ 20,934
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 58 of 88
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 2,277
6003 Accounting/Bookkeeping -
6004 External Audit 346
6005 Insurance(Specify): -
6006 Payroll Services 1,928
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) -
6008 Personnel(Indirect Salaries&Benefits)
6009 Licenses 5,384
6010 Indirect 75,924
6011 Other(specify) -
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 85,859
INDIRECT COST RATE 15.00%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 2,583
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify)
7007 Expendable Equipment 3,382
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ 5,965
TOTAL PROGRAM EXPENSES $ 658,250
PROGRAM FUNDING SOURCES
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 ISABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Clientlnsurance
8403 Grants(Specify)-CCP AB109 658,250
8404 Other(Specify) -
8405 Other(Specify) -
OTHER REVENUE TOTAL $ 658,250
TOTAL PROGRAM FUNDING SOURCES: $ 658,250
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 59 of 88
Forensic Continuum of Care SUD/MH OP
Turning Point of Central California,Inc.
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%
Records Technician Allocation to FSC OP MH FFP 0.08
Allocation to FSC OP MH CCP 0.02
Allocation to FSC OP SUD FFP 0.25
Allocation to FSC OP SUD CCP 0.10
Allocation to FSC FSP CCP&DSH 0.38
Allocation to FSC FSP FFP 0.17
Total 1.00
Position Contract#/Name/Department/County FTE%
Secretary Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.56
Allocation to FSC OP SUD CCP 0.21
Total 1.00
Position Contract#/Name/Department/County FTE%
Bookkeeper Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.56
Allocation to FSC OP SUD CCP 0.21
Total 1.00
Position Contract#/Name/Department/County FTE%
Intake Assistant Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.57
Allocation to FSC OP SUD CCP 0.21
Total 1.00
Position Contract#/Name/Department/County FTE%
Program Director Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.56
Allocation to FSC OP SUD CCP 0.21
Total 1.00
Position Contract#/Name/Department/County FTE%
Case Manager Allocation to FSC OP SUD FFP 0.72
Allocation to FSC OP SUD CCP 0.28
Total 1.00
Position Contract#/Name/Department/County FTE%
Supervising Personal Services Coordinator Allocation to FSC OP SUD FFP 0.72
Allocation to FSC OP SUD CCP 0.28
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 60 of 88
Total 1.00
Position Contract#/Name/Department/County FTE
Substance Abuse Counselor Allocation to FSC OP SUD FFP 0.72
Allocation to FSC OP SUD CCP 0.28
Total 1.00
Position Contract#/Name/Department/County FTE%
Mental Health Professional Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.56
Allocation to FSC OP SUD CCP 0.22
Total 1.00
Position Contract#/Name/Department/County FTE%
Nurse Allocation to FSC OP MH FFP 0.04
Allocation to FSC OP MH CCP 0.01
Allocation to FSC OP SUD FFP 0.14
Allocation to FSC OP SUD CCP 0.05
Allocation to FSC FSP CCP&DSH 0.52
Allocation to FSC FSP FFP 0.23
Total 1.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 61 of 88
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 62 of 88
Forensic Continuum of Care SUD/MH OP
Turning Point of Central California,Inc.
Fiscal Year(FY)2024-25 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 369,032
Administrative Positions 26,796
1101 Records Technician 4,810 The Records Technician will keep track of the Medical Records and will do the billing for
the program.Any additional funds outside of Medi-Cal are used for this/these positions
for non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1102 Secretary 10,182 Provides direct services to the program by data entry,phone calls,checking in clients,
etc.Any additional funds outside of Medi-Cal are used for this/these positions for non-
treatment and/or non-billable related costs to be able to continue to provide continuity
of care.
1103 Bookkeeper 11,804 The Program Bookkeeper will be assisting the clients with their client fees for their
portion of rent if necessary and keeping track of all the incoming and outgoing of petty
cash as needed.Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 236,075
1116 Intake Assistant 26,082 The Intake Assistant processes all referrals related to this program.These services
include completeing all new admissions in a timely manner with the goal of opening the
client.Any additional funds outside of Medi-Cal are used for this/these positions for non
treatment and/or non-billable related costs to be able to continue to provide continuity
of care.
1117 Program Director 23,695 The Program Director oversees the program and the hiring,training and supervising of
staff. When a staff takes leave,the program is not changed since it's already been
accrued.Our Positions are based on class/step,some might be less and some might be
more,all according to the person's experience and education when they come to work
for Turning Point.Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
1118 Case Manager 26,972 The Case Managers provide services which will assist individuals in gaining access to
needed medical,social,housing,economic,educational and other services as directed
by the Program Director and Supervising PSC.Any additional funds outside of Medi-Cal
are used for this/these positions for non-treatment and/or non-billable related costs to
be able to continue to provide continuity of care.
1119 Supervising Personal Services Coordinator 18,180 Provides supervision to all Substance Abuse Conselors,Case Managers and Intake
Assistant to ensure client care,maintain compliance with Turning Point policies and
procedures. Supervisor also assisting in training new staff and reporting to the Program
Director.Any additional funds outside of Medi-Cal are used for this/these positions for
non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1120 Substance Abuse Counselor 67,080 The Substance Abuse Counslor is responsible for the Substance Abuse Treatment
services in accordance with program requirements and ADP licensing.Any additional
funds outside of Medi-Cal are used for this/these positions for non-treatment and/or
non-billable related costs to be able to continue to provide continuity of care.
1121 Mental Health Professional 67,041 Provides mental health assessment,assessing for Medical Necessity,assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual
and group therapy as client requests,while also providing program support to assist
clients in crisis. Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 63 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1122 Nurse 7,025 Nurses work with the doctors for client care,maintaining compliance with Turning
Point policies and procedures,providing training and ensuring accurate charting in
accordance with Medi-cal. Any additional funds outside of Medi-Cal are used for
this/these positions for non-treatment and/or non-billable related costs to be able to
continue to provide continuity of care.
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 10
Direct Employee Benefits
1201 Retirement 8,671 10-5940 Retirement:Cost of Agency contribution to employee retirement plans.These
are non-treatment related costs.
1202 Worker's Compensation 3,085 10-5930 Workers Compensation Insurance:Cost of workers compensation insurance.
These are non-treatment related costs.
1203 Health Insurance 36,110 10-5950 Health Insurance:Agency cost for health insurance including Vision.These are
non-treatment related costs.
1204 Dental Insurance 2,833 10-5960 Dental Insurance:Agency cost for dental insurance.
1205 ACI 87 10-5990 Other Benefits:Agency cost for other wage related employee benefits.These
are non-treatment related costs.
1206 Accrued Paid Leave 28,902 10-5980 Accrued Paid Leave:The monetary value of staff Paid Leave hours as they
accrue on a monthly basis.These are non-treatment related costs.
Direct Payroll Taxes&Expenses: 26,473
1301 OASDI 4,190 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes
charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old-
Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare).
These are non-treatment related costs.
1302 FICA/MEDICARE 18,064 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes
charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old-
Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare).
These are non-treatment related costs.
1303 SUI 4,219 10-5920 S.U.I.(State Unemployment Insurance):Employer portion of S.U.I.taxes
charged to the Agency by the various states in which wages are paid.These are non-
treatment related costs.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 136,950
2001 Child Care -
2002 Client Housing Support 120,000 10-7060 Client Housing Assistance:Cost of rent,housing assistance and deposit paid on
behalf of client.(Examples:first/last month deposit,late fees,monthly rent,hotel
charges,room&board,board&care,etc.)
2003 Client Transportation&Support 500 10-7015 Client Transportation:Cost for client transportation.(Examples:bus
tokens/passes,taxi,other public transportation,bicycles,etc.)
2004 Clothing,Food,&Hygiene 1,000 10-7021 Client Clothing&Hygiene:Cost of client hygiene supplies and non-work related
clothing.(Examples:clothes,shoes,hats,beanies,scarves,soap,toothpaste,deodorant,
grooming supplies,hair accessories,diapers,etc.)
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 64 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2008 Medication Supports 4,300 10-6122 Program Supplies-Medical:Cost of medical supplies to be used by staff or
clients at the program location to meet program objective.Such items are to remain at
the program location and not sent home with the client.Such items include,but are not
limited to first aid kits,blood pressure monitor,latex gloves,syringes,hazard disposal
service,sunblock,insect repellent,*over-the-counter medication/vitamins-if allowable
per contract*,etc.
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Clothing&Hygiene 1,000 10-7010 Client Activities/Recreation:Cost for client activities&recreation events.
(Examples:cable bill,food/drinks/utensils/decorations needed for a specific client
event,incentive rewards,cash reinforcer,admission fees to events,etc.)
2012 Client Testing Material 9,850 10-7140 Client Testing Material:Cost of U/A testing supplies,including breathalyzer,
used to determine treatment required for clients.
2013 Client Food 300 10-6150 Food:Cost of food and drink to be consumed by the residents/clients.
(Examples:Groceries to prepare onsite,outside food brought onsite,food/drinks for
clients)
2014 Other(specify) -
2015 Other(specify)
2016 1 Other(specify)
3000:DIRECT OPERATING EXPENSES 11,008
3001 Telecommunications 2,204 10-6340 Communications:Cost of electronic communications. (Examples:internet,
phone,fax,cell phones,etc.)These are non-treatment related costs.
3002 Printing/Postage 706 10-6400 Postage:Cost of Agency postage and delivery.Including delivery by the U.S.
Post Office,U.P.S.,FedEx or other courier services.These are non-treatment related
costs.
3003 Office,Household&Program Supplies 3,888 10-6110 Office Supplies:Cost of items normally used in an office setting.10-6130 House
Supplies:Cost of supplies used by staff during their scheduled work hours.These items
are normally used to operate the building at the program location.These items are to
remain at program location and not sent home with client.10-6120 Program Supplies:
Cost of any items normally used by clients or to directly benefit the clients to meet
program objectives while receiving services.These items are to remain at the program
location and not sent home with the client.10-6243 General Supplies:Cost of items
generally used by all at program's location.10-6244 Janitorial Supplies&Services:Cost
of items or services to maintain the esthetics of the premises.These are non-treatment
related costs.
3004 Advertising -
3005 Staff Development&Training 1,957 10-6440 Staff Educational Expense:Cost of employee training courses and materials.
(Examples:certification,training,books,etc.)*May include cost of room rental.These
are non-treatment related costs.
3006 Staff Mileage 372 10-6060 Staff Mileage:Cost of employee mileage reimbursement paid in accordance
with FPM section 1005.These are non-treatment related costs.
3007 Subscriptions&Memberships 106 10-6360 Dues&Subscriptions:Cost of membership dues and subscriptions.(Examples:
magazine,newspaper,memberships,etc.)These are non-treatment related costs.
3008 Vehicle Maintenance 936 10-6030 Vehicle Insurance:Cost for vehicle insurance.10-6040 Vehicle Fuel:Cost of gas
in vehicles.10-6050 Vehicle Maintenance:Cost of vehicle maintenance.Including cost
of parts,supplies and labor associated with maintenance and repair of vehicles used by
Agency programs.(Examples:repairs,battery,carwash*Includes:impounds)These are
non-treatment related costs.
3009 Recruitment 692 10-6470 Recruitment:Cost of advertising and other employee recruitment expenses.
(Examples:newspaper ad,urine screening,background check,etc.)
3010 Outreach&Engagement 147 10-6693 0&E Client Needs:Cost related to services and supplies used during outreach
and engagement events/activities.These are non-treatment related costs.
3011 Other(specify) -
3012 1 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 28,502
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 65 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4001 Building Maintenance 80 10-6330 Building Maintenance:Cost of Agency building repairs and maintenance.
(Examples:electrical work,A/C and heating,hood cleaning,plumbing,deadbolt,door
knob/lock,keys,key tags,air/furnace filters,smoke alarm,cot alarm,exit sign,blinds,
etc.)This account should not be used if a specific outside labor contractor is doing an
identifiable project,in this case use 6603,or projects over$2,000.00 that will require
the procurement process and a WIP to be completed.These are non-treatment related
costs.
4002 Rent/Lease Building 20,846 10-6320 Building Rent(Other):Cost of rent/lease payments made for building leases
from outside sources.These are non-treatment related costs.
4003 Rent/Lease Equipment 519 10-6220 Furniture&Equipment Rent/Lease(Other):Cost of rent/lease payments made
for furniture and equipment leases from outside sources.(Examples:high capacity
copier/printer/scanner,washer/dryer,vending machine,furniture,water cooler,
postage meter,etc.)These are non-treatment related costs.
4004 Rent/Lease Vehicles -
4005 Security 453 10-6390 Security:Cost of installation,maintenance and monthly service fees for
building alarms and other security measures.(Examples:security/surveillance
equipment,service and installation,safes,locks,padlocks,etc.)These are non-
treatment related costs.
4006 Utilities 5,819 10-6350 Utilities:Cost of service for power,gas,water,sewer,garbage,etc.These are
non-treatment related costs.
4007 Equipment Maintenance 626 10-6230 Equipment Maintenance:Cost of repair or maintenance of office/house
equipment and furniture.(Examples:high capacity copier/printer/scanner,replacement
parts such as hard drive,video card,adapter,laptop battery,monitor/printer/phone
cord,cord covers,power strip,surge protector,extension cord,cable ties,drum,hose,
filter,drawer slide set/rollers,keys for filing cabinet,etc.) These are non-treatment
related costs.
4008 Depreciation 159 10-8050 Depreciation:This account should be charged for the depreciation expense of
the Agency's tangible assets.These are non-treatment related costs.
4009 Other(specify) -
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 20,934
5001 Consultant(Network&Data Management) 26 10-6115 Software&Computer Support:Cost of computer software and computer
support.(Examples:Microsoft Office,QuickBooks,PDF converter,Avatar,Vipre anti-
virus,LogMeln,web filter,etc.)This account should not be used for the purchase of
computers and related accessories.Computer accessories such as a mouse,keyboard
and speakers must be coded to 6190.These are non-treatment related costs.
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services -
5005 OS Labor Psychiatrist 17,604 These accounts are assigned to record various professional services provided by
contracted Psychiatrist working as independent agents.Any additional funds outside of
Medi-Cal are used for this/these positions for non-treatment and/or non-billable related
costs to be able to continue to provide continuity of care.
5006 OS Labor Physician 3,304 These accounts are assigned to record various professional services provided by
contracted Physician working as independent agents.Any additional funds outside of
Medi-Cal are used for this/these positions for non-treatment and/or non-billable related
costs to be able to continue to provide continuity of care.
5007 Other(specify)
5008 Other(specify)
6000:INDIRECT EXPENSES 85,859
6001 Administrative Overhead -
6002 Professional Liability Insurance 2,277 10-6370 Insurance:Cost of Agency liability and property insurance.These are non-
treatment related costs.
6003 Accounting/Bookkeeping -
6004 External Audit 346 10-6460 Audit Expense:Cost of outside audit fees.These are non-treatment related
costs.
6005 Insurance(Specify): -
6006 Payroll Services 1,928 10-6482 Payroll Software&Support These are non-treatment related costs.
6007 1 Depreciation(Provider-Owned Equipment to be Used
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 66 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6008 Personnel(Indirect Salaries&Benefits) -
6009 Licenses 5,384 10-6380 Licenses:Cost in obtaining and renewing licenses and permits.(Examples:
Electronic Medical Records(EMR)database,kitchen/restaurant permit,fire clearance,
facility inspections,vehicle registration,etc.)These are non-treatment related costs.
6010 Indirect 75,924 10-9000's Indirect Allocated Costs.These are non-treatment related costs.
6011 Other(specify) -
6012 Other(specify)
6013 1 Other(specify)
7000:DIRECT FIXED ASSETS 5,965
7001 Computer Equipment&Software -
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 2,583 10-6240 Expendable Furniture:Cost of small,inexpensive Agency property with a
normal useful life generally less than one year or a value that is minor or insignificant,
typically items with a total cost of less than$5000 per item.(Examples:small desk,
portable desk,chair,filing cabinet,mail slots,shelving unit,table,foldable tables/chairs,
bed,mattress,nightstand,room divider,etc.*Includes assembly fee)(For additional
information,see procedures section 0900)These are non-treatment related costs.
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify) -
7007 Expendable Equipment 3,382 10-6190 Expendable Equipment:Cost of purchasing office/house equipment that has a
cost less than$5000 per item.(Examples:electronic stapler/calculator/hole puncher,
computer,monitor,keyboard,mouse,speakers and other computer accessories
including mousepad and wrist pad,desk printer,tablet,tablet cover,lamp,desk lamp,
fan,radio,television,phone,coffee machine,popcorn maker,toaster,refrigerator,
dishwasher,washer,dryer,portable a/c unit,hand soap/hand towel dispenser,fire
extinguisher,dolly,canopy,shed,barbecue,drill,etc.)These are non-treatment related
costs.
7008 Other(specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 658,250
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 658,250
BUDGETCHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 67 of 88
Forensic Continuum of Care SLID/MH OP
Turning Point of Central California,Inc.
Fiscal Year(FY)2025-26
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Records Technician 0.12 $ 4,810 $ 4,810
1102 Secretary 0.26 10,182 10,182
1103 Bookkeeper 0.26 11,804 11,804
1104 - -
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.64 $ 26,796 $ 26,796
Acct# Program Position FTE Admin Program Total
1116 Intake Assistant 0.26 $ 26,082 $ 26,082
1117 Program Director 0.26 23,695 23,695
1118 Case Manager 0.28 26,972 26,972
1119 Supervising Personal Services Coordinator 0.28 18,180 18,180
1120 Substance Abuse Counselor 0.28 67,080 67,080
1121 Mental Health Professional 0.27 67,041 67,041
1122 Nurse 0.06 7,025 7,025
1123 - -
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 1.69 $ 236,075 $ 236,075
Admin Program Total
Direct Personnel Salaries Subtotal 2.33 $ 26,796 $ 236,075 $ 262,871
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 1,164 $ 7,507 $ 8,671
1202 Worker's Compensation 414 2,671 3,085
1203 Health Insurance 4,846 31,264 36,110
1204 Dental Insurance 380 2,453 2,833
1205 ACI 12 75 87
1206 Accrued Paid Leave 3,879 25,023 28,902
Direct Employee Benefits Subtotal: $ 10,695 $ 68,993 $ 79,688
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ 562 $ 3,628 $ 4,190
1302 FICA/MEDICARE 2,424 15,640 18,064
1303 SUI 566 3,653 4,219
1304 Other(specify) - - -
1305 Other(specify)
1306 1 Other(specify) -
Direct Payroll Taxes&Expenses Subtotal: $ 3,552 $ 22,921 $ 26,473
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 41,043 $ 327,989 $ 369,032
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin I Program
11% 89%
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 68 of 88
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 120,000
2003 Client Transportation&Support 500
2004 Clothing,Food,&Hygiene 1,000
2005 Education Support
2006 Employment Support
2007 Household Items for Clients -
2008 Medication Supports 4,300
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Clothing&Hygiene 1,000
2012 Client Testing Material 9,850
2013 Client Food 300
2014 Other(specify) -
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 136,950
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 2,204
3002 Printing/Postage 706
3003 Office,Household&Program Supplies 3,888
3004 Advertising -
3005 Staff Development&Training 1,957
3006 1 Staff Mileage 372
3007 Subscriptions&Memberships 106
3008 Vehicle Maintenance 936
3009 Recruitment 692
3010 Outreach&Engagement 147
3011 Other(specify) -
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 11,008
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 80
4002 Rent/Lease Building 20,846
4003 Rent/Lease Equipment 519
4004 Rent/Lease Vehicles -
4005 Security 453
4006 Utilities 5,819
4007 Equipment Maintenance 626
4008 Depreciation 159
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:j 28,502
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 26
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify)
5004 Translation Services -
5005 OS Labor Psychiatrist 17,604
5006 1 OS Labor Physician 3,304
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL:j$ 20,934
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 69 of 88
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 2,277
6003 Accounting/Bookkeeping -
6004 External Audit 346
6005 Insurance(Specify): -
6006 Payroll Services 1,928
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) -
6008 Personnel(Indirect Salaries&Benefits)
6009 Licenses 5,384
6010 Indirect 75,924
6011 Other(specify) -
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 85,859
INDIRECT COST RATE 15.00%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 2,583
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify)
7007 Expendable Equipment 3,382
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ 5,965
TOTAL PROGRAM EXPENSES $ 658,250
PROGRAM FUNDING SOURCES
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 ISABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Clientlnsurance
8403 Grants(Specify)-CCP AB109 658,250
8404 Other(Specify) -
8405 Other(Specify) -
OTHER REVENUE TOTAL $ 658,250
TOTAL PROGRAM FUNDING SOURCES: $ 658,250
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 70 of 88
Forensic Continuum of Care SUD/MH OP
Turning Point of Central California,Inc.
Fiscal Year(FY)2025-26
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE%
Records Technician Allocation to FSC OP MH FFP 0.08
Allocation to FSC OP MH CCP 0.02
Allocation to FSC OP SUD FFP 0.25
Allocation to FSC OP SUD CCP 0.10
Allocation to FSC FSP CCP&DSH 0.38
Allocation to FSC FSP FFP 0.17
Total 1.00
Position Contract#/Name/Department/County FTE%
Secretary Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.56
Allocation to FSC OP SUD CCP 0.21
Total 1.00
Position Contract#/Name/Department/County FTE%
Bookkeeper Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.56
Allocation to FSC OP SUD CCP 0.21
Total 1.00
Position Contract#/Name/Department/County FTE%
Intake Assistant Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.57
Allocation to FSC OP SUD CCP 0.21
Total 1.00
Position Contract#/Name/Department/County FTE%
Program Director Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.56
Allocation to FSC OP SUD CCP 0.21
Total 1.00
Position Contract#/Name/Department/County FTE%
Case Manager Allocation to FSC OP SUD FFP 0.72
Allocation to FSC OP SUD CCP 0.28
Total 1.00
Position Contract#/Name/Department/County FTE%
Supervising Personal Services Coordinator Allocation to FSC OP SUD FFP 0.72
Allocation to FSC OP SUD CCP 0.28
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 71 of 88
Total 1.00
Position Contract#/Name/Department/County FTE
Substance Abuse Counselor Allocation to FSC OP SUD FFP 0.72
Allocation to FSC OP SUD CCP 0.28
Total 1.00
Position Contract#/Name/Department/County FTE%
Mental Health Professional Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.56
Allocation to FSC OP SUD CCP 0.22
Total 1.00
Position Contract#/Name/Department/County FTE%
Nurse Allocation to FSC OP MH FFP 0.04
Allocation to FSC OP MH CCP 0.01
Allocation to FSC OP SUD FFP 0.14
Allocation to FSC OP SUD CCP 0.05
Allocation to FSC FSP CCP&DSH 0.52
Allocation to FSC FSP FFP 0.23
Total 1.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 72 of 88
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 73 of 88
Forensic Continuum of Care SUD/MH OP
Turning Point of Central California,Inc.
Fiscal Year(FY)2025-26 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 369,032
Administrative Positions 26,796
1101 Records Technician 4,810 The Records Technician will keep track of the Medical Records and will do the billing for
the program.Any additional funds outside of Medi-Cal are used for this/these positions
for non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1102 Secretary 10,182 Provides direct services to the program by data entry,phone calls,checking in clients,
etc.Any additional funds outside of Medi-Cal are used for this/these positions for non-
treatment and/or non-billable related costs to be able to continue to provide continuity
of care.
1103 Bookkeeper 11,804 The Program Bookkeeper will be assisting the clients with their client fees for their
portion of rent if necessary and keeping track of all the incoming and outgoing of petty
cash as needed.Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
1104 0
1105 0
1106 0
1107 0
1108 0
1109 10
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 236,075
1116 Intake Assistant 26,082 The Intake Assistant processes all referrals related to this program.These services
include completeing all new admissions in a timely manner with the goal of opening the
client.Any additional funds outside of Medi-Cal are used for this/these positions for non
treatment and/or non-billable related costs to be able to continue to provide continuity
of care.
1117 Program Director 23,695
1118 Case Manager 26,972 The Case Managers provide services which will assist individuals in gaining access to
needed medical,social,housing,economic,educational and other services as directed
by the Program Director and Supervising PSC.Any additional funds outside of Medi-Cal
are used for this/these positions for non-treatment and/or non-billable related costs to
be able to continue to provide continuity of care.
1119 Supervising Personal Services Coordinator 18,180 Provides supervision to all Substance Abuse Conselors,Case Managers and Intake
Assistant to ensure client care,maintain compliance with Turning Point policies and
procedures. Supervisor also assisting in training new staff and reporting to the Program
Director.Any additional funds outside of Medi-Cal are used for this/these positions for
non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1120 Substance Abuse Counselor 67,080 The Substance Abuse Counslor is responsible for the Substance Abuse Treatment
services in accordance with program requirements and ADP licensing.Any additional
funds outside of Medi-Cal are used for this/these positions for non-treatment and/or
non-billable related costs to be able to continue to provide continuity of care.
1121 Mental Health Professional 67,041 Provides mental health assessment,assessing for Medical Necessity,assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual
and group therapy as client requests,while also providing program support to assist
clients in crisis. Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
1122 Nurse 7,025 Nurses work with the doctors for client care,maintaining compliance with Turning
Point policies and procedures,providing training and ensuring accurate charting in
accordance with Medi-cal. Any additional funds outside of Medi-Cal are used for
this/these positions for non-treatment and/or non-billable related costs to be able to
continue to provide continuity of care.
1123 0
1124 0
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 74 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 0 -
Direct Employee Benefits
1201 Retirement 8,671 10-5940 Retirement:Cost of Agency contribution to employee retirement plans.These
are non-treatment related costs.
1202 Worker's Compensation 3,085 10-5930 Workers Compensation Insurance:Cost of workers compensation insurance.
These are non-treatment related costs.
1203 Health Insurance 36,110 10-5950 Health Insurance:Agency cost for health insurance including Vision.These are
non-treatment related costs.
1204 Dental Insurance 2,833 10-5960 Dental Insurance:Agency cost for dental insurance.
1205 ACI 87 10-5990 Other Benefits:Agency cost for other wage related employee benefits.These
are non-treatment related costs.
1206 Accrued Paid Leave 28,902 10-5980 Accrued Paid Leave:The monetary value of staff Paid Leave hours as they
accrue on a monthly basis.These are non-treatment related costs.
Direct Payroll Taxes&Expenses: 26,473
1301 OASDI 4,190 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes
charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old-
Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare).
These are non-treatment related costs.
1302 FICA/MEDICARE 18,064 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes
charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old-
Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare).
These are non-treatment related costs.
1303 SUI 4,219 10-5920 S.U.I.(State Unemployment Insurance):Employer portion of S.U.I.taxes
charged to the Agency by the various states in which wages are paid.These are non-
treatment related costs.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 136,950
2001 Child Care -
2002 Client Housing Support 120,000 10-7060 Client Housing Assistance:Cost of rent,housing assistance and deposit paid on
behalf of client.(Examples:first/last month deposit,late fees,monthly rent,hotel
charges,room&board,board&care,etc.)
2003 Client Transportation&Support 500 10-7015 Client Transportation:Cost for client transportation.(Examples:bus
tokens/passes,taxi,other public transportation,bicycles,etc.)
2004 Clothing,Food,&Hygiene 1,000 10-7021 Client Clothing&Hygiene:Cost of client hygiene supplies and non-work related
clothing.(Examples:clothes,shoes,hats,beanies,scarves,soap,toothpaste,deodorant,
grooming supplies,hair accessories,diapers,etc.)
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients -
2008 Medication Supports 4,300 10-6122 Program Supplies-Medical:Cost of medical supplies to be used by staff or
clients at the program location to meet program objective.Such items are to remain at
the program location and not sent home with the client.Such items include,but are not
limited to first aid kits,blood pressure monitor,latex gloves,syringes,hazard disposal
service,sunblock,insect repellent,*over-the-counter medication/vitamins-if allowable
per contract*,etc.
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Clothing&Hygiene 1,000 10-7010 Client Activities/Recreation:Cost for client activities&recreation events.
(Examples:cable bill,food/drinks/utensils/decorations needed for a specific client
event,incentive rewards,cash reinforcer,admission fees to events,etc.)
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 75 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT I DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2012 Client Testing Material 9,850 10-7140 Client Testing Material:Cost of U/A testing supplies,including breathalyzer,
used to determine treatment required for clients.
2013 Client Food 300 10-6150 Food:Cost of food and drink to be consumed by the residents/clients.
(Examples:Groceries to prepare onsite,outside food brought onsite,food/drinks for
clients)
2014 Other(specify) -
2015 Other(specify)
2016 1 Other(specify)
3000:DIRECT OPERATING EXPENSES 11,008
3001 Telecommunications 2,204 10-6340 Communications:Cost of electronic communications. (Examples:internet,
phone,fax,cell phones,etc.)These are non-treatment related costs.
3002 Printing/Postage 706 10-6400 Postage:Cost of Agency postage and delivery.Including delivery by the U.S.
Post Office,U.P.S.,FedEx or other courier services.These are non-treatment related
costs.
3003 Office,Household&Program Supplies 3,888 10-6110 Office Supplies:Cost of items normally used in an office setting.10-6130 House
Supplies:Cost of supplies used by staff during their scheduled work hours.These items
are normally used to operate the building at the program location.These items are to
remain at program location and not sent home with client.10-6120 Program Supplies:
Cast of any items normally used by clients or to directly benefit the clients to meet
program objectives while receiving services.These items are to remain at the program
location and not sent home with the client.10-6243 General Supplies:Cost of items
generally used by all at program's location.10-6244 Janitorial Supplies&Services:Cost
of items or services to maintain the esthetics of the premises.These are non-treatment
related costs.
3004 Advertising -
3005 Staff Development&Training 1,957 10-6440 Staff Educational Expense:Cost of employee training courses and materials.
(Examples:certification,training,books,etc.)*May include cost of room rental.These
are non-treatment related costs.
3006 Staff Mileage 372 10-6060 Staff Mileage:Cost of employee mileage reimbursement paid in accordance
with FPM section 1005.These are non-treatment related costs.
3007 Subscriptions&Memberships 106 10-6360 Dues&Subscriptions:Cost of membership dues and subscriptions.(Examples:
magazine,newspaper,memberships,etc.)These are non-treatment related costs.
3008 Vehicle Maintenance 936 10-6030 Vehicle Insurance:Cost for vehicle insurance.10-6040 Vehicle Fuel:Cost of gas
in vehicles.10-6050 Vehicle Maintenance:Cost of vehicle maintenance.Including cost
of parts,supplies and labor associated with maintenance and repair of vehicles used by
Agency programs.(Examples:repairs,battery,carwash*Includes:impounds)These are
non-treatment related costs.
3009 Recruitment 692 10-6470 Recruitment:Cost of advertising and other employee recruitment expenses.
(Examples:newspaper ad,urine screening,background check,etc.)
3010 Outreach&Engagement 147 10-6693 O&E Client Needs:Cost related to services and supplies used during outreach
and engagement events/activities.These are non-treatment related costs.
3011 Other(specify) -
3012 1 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 28,502
4001 Building Maintenance 80 10-6330 Building Maintenance:Cost of Agency building repairs and maintenance.
(Examples:electrical work,A/C and heating,hood cleaning,plumbing,deadbolt,door
knob/lock,keys,key tags,air/furnace filters,smoke alarm,cot alarm,exit sign,blinds,
etc.)This account should not be used if a specific outside labor contractor is doing an
identifiable project,in this case use 6603,or projects over$2,000.00 that will require
the procurement process and a WIP to be completed.These are non-treatment related
costs.
4002 Rent/Lease Building 20,846 10-6320 Building Rent(Other):Cost of rent/lease payments made for building leases
from outside sources.These are non-treatment related costs.
4003 Rent/Lease Equipment 519 10-6220 Furniture&Equipment Rent/Lease(Other):Cost of rent/lease payments made
for furniture and equipment leases from outside sources.(Examples:high capacity
copier/printer/scanner,washer/dryer,vending machine,furniture,water cooler,
postage meter,etc.)These are non-treatment related costs.
4004 Rent/Lease Vehicles
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 76 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4005 Security 453 10-6390 Security:Cost of installation,maintenance and monthly service fees for
building alarms and other security measures.(Examples:security/surveillance
equipment,service and installation,safes,locks,padlocks,etc.)These are non-
treatment related costs.
4006 Utilities 5,819 10-6350 Utilities:Cost of service for power,gas,water,sewer,garbage,etc.These are
non-treatment related costs.
4007 Equipment Maintenance 626 10-6230 Equipment Maintenance:Cost of repair or maintenance of office/house
equipment and furniture.(Examples:high capacity copier/printer/scanner,replacement
parts such as hard drive,video card,adapter,laptop battery,monitor/printer/phone
cord,cord covers,power strip,surge protector,extension cord,cable ties,drum,hose,
filter,drawer slide set/rollers,keys for filing cabinet,etc.) These are non-treatment
related costs.
4008 Depreciation 159 10-8050 Depreciation:This account should be charged for the depreciation expense of
the Agency's tangible assets.These are non-treatment related costs.
4009 Other(specify) -
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 20,934
5001 Consultant(Network&Data Management) 26 10-6115 Software&Computer Support:Cost of computer software and computer
support.(Examples:Microsoft Office,QuickBooks,PDF converter,Avatar,Vipre anti-
virus,LogMeln,web filter,etc.)This account should not be used for the purchase of
computers and related accessories.Computer accessories such as a mouse,keyboard
and speakers must be coded to 6190.These are non-treatment related costs.
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify) -
5004 Translation Services
5005 OS Labor Psychiatrist 17,604 These accounts are assigned to record various professional services provided by
contracted Psychiatrist working as independent agents.Any additional funds outside of
Medi-Cal are used for this/these positions for non-treatment and/or non-billable related
costs to be able to continue to provide continuity of care.
5006 OS Labor Physician 3,304 These accounts are assigned to record various professional services provided by
contracted Physician working as independent agents.Any additional funds outside of
Medi-Cal are used for this/these positions for non-treatment and/or non-billable related
costs to be able to continue to provide continuity of care.
5007 Other(specify)
5008 Other(specify)
6000:INDIRECT EXPENSES 85,859
6001 Administrative Overhead
6002 Professional Liability Insurance 2,277 10-6370 Insurance:Cost of Agency liability and property insurance.These are non-
treatment related costs.
6003 Accounting/Bookkeeping -
6004 External Audit 346 10-6460 Audit Expense:Cost of outside audit fees.These are non-treatment related
costs.
6005 Insurance(Specify): -
6006 Payroll Services 1,928 10-6482 Payroll Software&Support These are non-treatment related costs.
6007 Depreciation(Provider-Owned Equipment to be Used -
6008 Personnel(Indirect Salaries&Benefits) -
6009 Licenses 5,384 10-6380 Licenses:Cost in obtaining and renewing licenses and permits.(Examples:
Electronic Medical Records(EMR)database,kitchen/restaurant permit,fire clearance,
facility inspections,vehicle registration,etc.)These are non-treatment related costs.
6010 Indirect 75,924 10-9000's Indirect Allocated Costs.These are non-treatment related costs.
6011 Other(specify) -
6012 Other(specify)
6013 Other(specify)
7000:DIRECT FIXED ASSETS 5,965
7001 Computer Equipment&Software
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 77 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
7003 Furniture&Fixtures 2,583 10-6240 Expendable Furniture:Cost of small,inexpensive Agency property with a
normal useful life generally less than one year or a value that is minor or insignificant,
typically items with a total cost of less than$5000 per item.(Examples:small desk,
portable desk,chair,filing cabinet,mail slots,shelving unit,table,foldable tables/chairs,
bed,mattress,nightstand,room divider,etc.*Includes assembly fee)(For additional
information,see procedures section 0900)These are non-treatment related costs.
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify) -
7007 Expendable Equipment 3,382 10-6190 Expendable Equipment:Cost of purchasing office/house equipment that has a
cost less than$5000 per item.(Examples:electronic stapler/calculator/hole puncher,
computer,monitor,keyboard,mouse,speakers and other computer accessories
including mousepad and wrist pad,desk printer,tablet,tablet cover,lamp,desk lamp,
fan,radio,television,phone,coffee machine,popcorn maker,toaster,refrigerator,
dishwasher,washer,dryer,portable a/c unit,hand soap/hand towel dispenser,fire
extinguisher,dolly,canopy,shed,barbecue,drill,etc.)These are non-treatment related
costs.
7008 Other(specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 658,250
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 658,250
BUDGET CHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 78 of 88
Forensic Continuum of Care SLID/MH OP
Turning Point of Central California,Inc.
Fiscal Year(FY)2026-27
PROGRAM EXPENSES
1000:DIRECT SALARIES&BENEFITS
Direct Employee Salaries
Acct# Administrative Position FTE Admin Program Total
1101 Records Technician 0.12 $ 4,810 $ 4,810
1102 Secretary 0.26 10,182 10,182
1103 Bookkeeper 0.26 11,804 11,804
1104 - -
1105
1106
1107
1108
1109
1110
1111
1112
1113
1114
1115
Direct Personnel Admin Salaries Subtotal 0.64 $ 26,796 $ 26,796
Acct# Program Position FTE Admin Program Total
1116 Intake Assistant 0.26 $ 26,082 $ 26,082
1117 Program Director 0.26 23,695 23,695
1118 Case Manager 0.28 26,972 26,972
1119 Supervising Personal Services Coordinator 0.28 18,180 18,180
1120 Substance Abuse Counselor 0.28 67,080 67,080
1121 Mental Health Professional 0.27 67,041 67,041
1122 Nurse 0.06 7,025 7,025
1123 - -
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
Direct Personnel Program Salaries Subtotal 1.69 $ 236,075 $ 236,075
Admin Program Total
Direct Personnel Salaries Subtotal 2.33 $ 26,796 $ 236,075 $ 262,871
Direct Employee Benefits
Acct# Description Admin Program Total
1201 Retirement $ 1,164 $ 7,507 $ 8,671
1202 Worker's Compensation 414 2,671 3,085
1203 Health Insurance 4,846 31,264 36,110
1204 Dental Insurance 380 2,453 2,833
1205 ACI 12 75 87
1206 Accrued Paid Leave 3,879 25,023 28,902
Direct Employee Benefits Subtotal: $ 10,695 $ 68,993 $ 79,688
Direct Payroll Taxes&Expenses:
Acct# Description Admin Program Total
1301 OASDI $ 562 $ 3,628 $ 4,190
1302 FICA/MEDICARE 2,424 15,640 18,064
1303 SUI 566 3,653 4,219
1304 Other(specify) - - -
1305 Other(specify)
1306 1 Other(specify) -
Direct Payroll Taxes&Expenses Subtotal: $ 3,552 $ 22,921 $ 26,473
DIRECT EMPLOYEE SALARIES&BENEFITS TOTAL: Admin Program Total
$ 41,043 $ 327,989 $ 369,032
DIRECT EMPLOYEE SALARIES&BENEFITS PERCENTAGE: Admin I Program
11% 89%
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 79 of 88
2000:DIRECT CLIENT SUPPORT
Acct# Line Item Description Amount
2001 Child Care $ -
2002 Client Housing Support 120,000
2003 Client Transportation&Support 500
2004 Clothing,Food,&Hygiene 1,000
2005 Education Support
2006 Employment Support
2007 Household Items for Clients -
2008 Medication Supports 4,300
2009 Program Supplies-Medical -
2010 Utility Vouchers -
2011 Clothing&Hygiene 1,000
2012 Client Testing Material 9,850
2013 Client Food 300
2014 Other(specify) -
2015 Other(specify)
2016 Other(specify)
DIRECT CLIENT CARE TOTAL $ 136,950
3000:DIRECT OPERATING EXPENSES
Acct# Line Item Description Amount
3001 Telecommunications $ 2,204
3002 Printing/Postage 706
3003 Office,Household&Program Supplies 3,888
3004 Advertising -
3005 Staff Development&Training 1,957
3006 1 Staff Mileage 372
3007 Subscriptions&Memberships 106
3008 Vehicle Maintenance 936
3009 Recruitment 692
3010 Outreach&Engagement 147
3011 Other(specify) -
3012 Other(specify) -
DIRECT OPERATING EXPENSES TOTAL: $ 11,008
4000:DIRECT FACILITIES&EQUIPMENT
Acct# Line Item Description Amount
4001 Building Maintenance $ 80
4002 Rent/Lease Building 20,846
4003 Rent/Lease Equipment 519
4004 Rent/Lease Vehicles -
4005 Security 453
4006 Utilities 5,819
4007 Equipment Maintenance 626
4008 Depreciation 159
4009 Other(specify)
4010 Other(specify)
DIRECT FACILITIES/EQUIPMENT TOTAL:j 28,502
5000:DIRECT SPECIAL EXPENSES
Acct# Line Item Description Amount
5001 Consultant(Network&Data Management) $ 26
5002 HMIS(Health Management Information System) -
5003 Contractual/Consulting Services (Specify)
5004 Translation Services -
5005 OS Labor Psychiatrist 17,604
5006 1 OS Labor Physician 3,304
5007 Other(specify)
5008 Other(specify)
DIRECT SPECIAL EXPENSES TOTAL:j$ 20,934
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 80 of 88
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 2,277
6003 Accounting/Bookkeeping -
6004 External Audit 346
6005 Insurance(Specify): -
6006 Payroll Services 1,928
6007 Depreciation(Provider-Owned Equipment to be Used for Program Purposes) -
6008 Personnel(Indirect Salaries&Benefits)
6009 Licenses 5,384
6010 Indirect 75,924
6011 Other(specify) -
6012 Other(specify)
6013 Other(specify)
INDIRECT EXPENSES TOTAL $ 85,859
INDIRECT COST RATE 15.00%
7000:DIRECT FIXED ASSETS
Acct# Line Item Description Amount
7001 Computer Equipment&Software $
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA Data -
7003 Furniture&Fixtures 2,583
7004 Leasehold/Tenant/Building Improvements -
7005 Other Assets over$500 with Lifespan of 2 Years+ -
7006 Assets over$5,000/unit(Specify)
7007 Expendable Equipment 3,382
7008 Other(specify)
FIXED ASSETS EXPENSES TOTAL $ 5,965
TOTAL PROGRAM EXPENSES $ 658,250
PROGRAM FUNDING SOURCES
8100-SUBSTANCE USE DISORDER FUNDS
Acct# Line Item Description Amount
8101 Drug Medi-Cal $
8102 ISABG $
SUBSTANCE USE DISORDER FUNDS TOTAL $
8200-REALIGNMENT
Acct# Line Item Description Amount
8201 lRealignment $
REALIGNMENT TOTAL $
8300-MENTAL HEALTH SERVICE ACT(MHSA)
Acct# MHSA Component MHSA Program Name Amount
8301 CSS-Community Services&Supports $
8302 PEI-Prevention&Early Intervention
8303 INN-Innovations
8304 WET-Workforce Education&Training
8305 CFTN-Capital Facilities&Technology
MHSA TOTAL $
8400-OTHER REVENUE
Acct# Line Item Description Amount
8401 Client Fees $
8402 Clientlnsurance
8403 Grants(Specify)-CCP AB109 658,250
8404 Other(Specify) -
8405 Other(Specify) -
OTHER REVENUE TOTAL $ 658,250
TOTAL PROGRAM FUNDING SOURCES: $ 658,250
NET PROGRAM COST: $
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 81 of 88
Forensic Continuum of Care SUD/MH OP
Turning Point of Central California,Inc.
Fiscal Year(FY)2026-27
PARTIAL FTE DETAIL
For all positions with FTE's split among multiple programs/contracts the below must be filled
out
Position Contract#/Name/Department/County FTE%
Records Technician Allocation to FSC OP MH FFP 0.08
Allocation to FSC OP MH CCP 0.02
Allocation to FSC OP SUD FFP 0.25
Allocation to FSC OP SUD CCP 0.10
Allocation to FSC FSP CCP&DSH 0.38
Allocation to FSC FSP FFP 0.17
Total 1.00
Position Contract#/Name/Department/County FTE%
Secretary Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.56
Allocation to FSC OP SUD CCP 0.21
Total 1.00
Position Contract#/Name/Department/County FTE%
Bookkeeper Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.56
Allocation to FSC OP SUD CCP 0.21
Total 1.00
Position Contract#/Name/Department/County FTE%
Intake Assistant Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.57
Allocation to FSC OP SUD CCP 0.21
Total 1.00
Position Contract#/Name/Department/County FTE%
Program Director Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.56
Allocation to FSC OP SUD CCP 0.21
Total 1.00
Position Contract#/Name/Department/County FTE%
Case Manager Allocation to FSC OP SUD FFP 0.72
Allocation to FSC OP SUD CCP 0.28
Total 1.00
Position Contract#/Name/Department/County FTE%
Supervising Personal Services Coordinator Allocation to FSC OP SUD FFP 0.72
Allocation to FSC OP SUD CCP 0.28
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 82 of 88
Total 1.00
Position Contract#/Name/Department/County FTE
Substance Abuse Counselor Allocation to FSC OP SUD FFP 0.72
Allocation to FSC OP SUD CCP 0.28
Total 1.00
Position Contract#/Name/Department/County FTE%
Mental Health Professional Allocation to FSC OP MH FFP 0.17
Allocation to FSC OP MH CCP 0.05
Allocation to FSC OP SUD FFP 0.56
Allocation to FSC OP SUD CCP 0.22
Total 1.00
Position Contract#/Name/Department/County FTE%
Nurse Allocation to FSC OP MH FFP 0.04
Allocation to FSC OP MH CCP 0.01
Allocation to FSC OP SUD FFP 0.14
Allocation to FSC OP SUD CCP 0.05
Allocation to FSC FSP CCP&DSH 0.52
Allocation to FSC FSP FFP 0.23
Total 1.00
Position Contract#/Name/Department/County FTE
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE%
Total 0.00
Position Contract#/Name/Department/County FTE
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 83 of 88
Total 0.00
Position Contract#/Name/Department/County FTE
Total 0.00
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 84 of 88
Forensic Continuum of Care SUD/MH OP
Turning Point of Central California,Inc.
Fiscal Year(FY)2026-27 Budget Narrative
PROGRAM EXPENSE
ACCT#I LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1000:DIRECT SALARIES&BENEFITS 369,032
Administrative Positions 26,796
1101 Records Technician 4,810 The Records Technician will keep track of the Medical Records and will do the billing for
the program.Any additional funds outside of Medi-Cal are used for this/these positions
for non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1102 Secretary 10,182 Provides direct services to the program by data entry,phone calls,checking in clients,
etc.Any additional funds outside of Medi-Cal are used for this/these positions for non-
treatment and/or non-billable related costs to be able to continue to provide continuity
of care.
1103 Bookkeeper 11,804 The Program Bookkeeper will be assisting the clients with their client fees for their
portion of rent if necessary and keeping track of all the incoming and outgoing of petty
cash as needed.Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
1104 0
1105 0
1106 0
1107 0
1108 0
1109 0
1110 0
1111 0
1112 0
1113 0
1114 0
1115 0
Program Positions 236,075
1116 Intake Assistant 26,082 The Intake Assistant processes all referrals related to this program.These services
include completeing all new admissions in a timely manner with the goal of opening the
client.Any additional funds outside of Medi-Cal are used for this/these positions for non
treatment and/or non-billable related costs to be able to continue to provide continuity
of care.
1117 Program Director 23,695 The Program Director oversees the program and the hiring,training and supervising of
staff. When a staff takes leave,the program is not changed since it's already been
accrued.Our Positions are based on class/step,some might be less and some might be
more,all according to the person's experience and education when they come to work
for Turning Point.Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
1118 Case Manager 26,972 The Case Managers provide services which will assist individuals in gaining access to
needed medical,social,housing,economic,educational and other services as directed
by the Program Director and Supervising PSC.Any additional funds outside of Medi-Cal
are used for this/these positions for non-treatment and/or non-billable related costs to
be able to continue to provide continuity of care.
1119 Supervising Personal Services Coordinator 18,180 Provides supervision to all Substance Abuse Conselors,Case Managers and Intake
Assistant to ensure client care,maintain compliance with Turning Point policies and
procedures. Supervisor also assisting in training new staff and reporting to the Program
Director.Any additional funds outside of Medi-Cal are used for this/these positions for
non-treatment and/or non-billable related costs to be able to continue to provide
continuity of care.
1120 Substance Abuse Counselor 67,080 The Substance Abuse Counslor is responsible for the Substance Abuse Treatment
services in accordance with program requirements and ADP licensing.Any additional
funds outside of Medi-Cal are used for this/these positions for non-treatment and/or
non-billable related costs to be able to continue to provide continuity of care.
1121 Mental Health Professional 67,041 Provides mental health assessment,assessing for Medical Necessity,assists client in
identifying treatment plan goals according to diagnosis. MHP also provides individual
and group therapy as client requests,while also providing program support to assist
clients in crisis. Any additional funds outside of Medi-Cal are used for this/these
positions for non-treatment and/or non-billable related costs to be able to continue to
provide continuity of care.
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 85 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
1122 Nurse 7,025 Nurses work with the doctors for client care,maintaining compliance with Turning
Point policies and procedures,providing training and ensuring accurate charting in
accordance with Medi-cal. Any additional funds outside of Medi-Cal are used for
this/these positions for non-treatment and/or non-billable related costs to be able to
continue to provide continuity of care.
1123 0
1124 0
1125 0
1126 0
1127 0
1128 0
1129 0
1130 0
1131 0
1132 0
1133 0
1134 10
Direct Employee Benefits
1201 Retirement 8,671 10-5940 Retirement:Cost of Agency contribution to employee retirement plans.These
are non-treatment related costs.
1202 Worker's Compensation 3,085 10-5930 Workers Compensation Insurance:Cost of workers compensation insurance.
These are non-treatment related costs.
1203 Health Insurance 36,110 10-5950 Health Insurance:Agency cost for health insurance including Vision.These are
non-treatment related costs.
1204 Dental Insurance 2,833 10-5960 Dental Insurance:Agency cost for dental insurance.
1205 ACI 87 10-5990 Other Benefits:Agency cost for other wage related employee benefits.These
are non-treatment related costs.
1206 Accrued Paid Leave 28,902 10-5980 Accrued Paid Leave:The monetary value of staff Paid Leave hours as they
accrue on a monthly basis.These are non-treatment related costs.
Direct Payroll Taxes&Expenses: 26,473
1301 OASDI 4,190 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes
charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old-
Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare).
These are non-treatment related costs.
1302 FICA/MEDICARE 18,064 10-5910 F.I.C.A.(Federal Insurance Contributions Act):Employer portion of F.I.C.A.taxes
charged to the Agency by the Internal Revenue Service.F.I.C.A.is comprised of"Old-
Age,Survivors,and Disability Insurance"(OASDI),plus"Hospital Insurance"(Medicare).
These are non-treatment related costs.
1303 SUI 4,219 10-5920 S.U.I.(State Unemployment Insurance):Employer portion of S.U.I.taxes
charged to the Agency by the various states in which wages are paid.These are non-
treatment related costs.
1304 Other(specify) -
1305 Other(specify)
1306 Other(specify)
2000:DIRECT CLIENT SUPPORT 136,950
2001 Child Care -
2002 Client Housing Support 120,000 10-7060 Client Housing Assistance:Cost of rent,housing assistance and deposit paid on
behalf of client.(Examples:first/last month deposit,late fees,monthly rent,hotel
charges,room&board,board&care,etc.)
2003 Client Transportation&Support 500 10-7015 Client Transportation:Cost for client transportation.(Examples:bus
tokens/passes,taxi,other public transportation,bicycles,etc.)
2004 Clothing,Food,&Hygiene 1,000 10-7021 Client Clothing&Hygiene:Cost of client hygiene supplies and non-work related
clothing.(Examples:clothes,shoes,hats,beanies,scarves,soap,toothpaste,deodorant,
grooming supplies,hair accessories,diapers,etc.)
2005 Education Support -
2006 Employment Support
2007 Household Items for Clients
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 86 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
2008 Medication Supports 4,300 10-6122 Program Supplies-Medical:Cost of medical supplies to be used by staff or
clients at the program location to meet program objective.Such items are to remain at
the program location and not sent home with the client.Such items include,but are not
limited to first aid kits,blood pressure monitor,latex gloves,syringes,hazard disposal
service,sunblock,insect repellent,*over-the-counter medication/vitamins-if allowable
per contract*,etc.
2009 Program Supplies-Medical
2010 Utility Vouchers -
2011 Clothing&Hygiene 1,000 10-7010 Client Activities/Recreation:Cost for client activities&recreation events.
(Examples:cable bill,food/drinks/utensils/decorations needed for a specific client
event,incentive rewards,cash reinforcer,admission fees to events,etc.)
2012 Client Testing Material 9,850 10-7140 Client Testing Material:Cost of U/A testing supplies,including breathalyzer,
used to determine treatment required for clients.
2013 Client Food 300 10-6150 Food:Cost of food and drink to be consumed by the residents/clients.
(Examples:Groceries to prepare onsite,outside food brought onsite,food/drinks for
clients)
2014 Other(specify) -
2015 Other(specify)
2016 1 Other(specify)
3000:DIRECT OPERATING EXPENSES 11,008
3001 Telecommunications 2,204 10-6340 Communications:Cost of electronic communications. (Examples:internet,
phone,fax,cell phones,etc.)These are non-treatment related costs.
3002 Printing/Postage 706 10-6400 Postage:Cost of Agency postage and delivery.Including delivery by the U.S.
Post Office,U.P.S.,FedEx or other courier services.These are non-treatment related
costs.
3003 Office,Household&Program Supplies 3,888 10-6110 Office Supplies:Cost of items normally used in an office setting.10-6130 House
Supplies:Cost of supplies used by staff during their scheduled work hours.These items
are normally used to operate the building at the program location.These items are to
remain at program location and not sent home with client.10-6120 Program Supplies:
Cost of any items normally used by clients or to directly benefit the clients to meet
program objectives while receiving services.These items are to remain at the program
location and not sent home with the client.10-6243 General Supplies:Cost of items
generally used by all at program's location.10-6244 Janitorial Supplies&Services:Cost
of items or services to maintain the esthetics of the premises.These are non-treatment
related costs.
3004 Advertising -
3005 Staff Development&Training 1,957 10-6440 Staff Educational Expense:Cost of employee training courses and materials.
(Examples:certification,training,books,etc.)*May include cost of room rental.These
are non-treatment related costs.
3006 Staff Mileage 372 10-6060 Staff Mileage:Cost of employee mileage reimbursement paid in accordance
with FPM section 1005.These are non-treatment related costs.
3007 Subscriptions&Memberships 106 10-6360 Dues&Subscriptions:Cost of membership dues and subscriptions.(Examples:
magazine,newspaper,memberships,etc.)These are non-treatment related costs.
3008 Vehicle Maintenance 936 10-6030 Vehicle Insurance:Cost for vehicle insurance.10-6040 Vehicle Fuel:Cost of gas
in vehicles.10-6050 Vehicle Maintenance:Cost of vehicle maintenance.Including cost
of parts,supplies and labor associated with maintenance and repair of vehicles used by
Agency programs.(Examples:repairs,battery,carwash*Includes:impounds)These are
non-treatment related costs.
3009 Recruitment 692 10-6470 Recruitment:Cost of advertising and other employee recruitment expenses.
(Examples:newspaper ad,urine screening,background check,etc.)
3010 Outreach&Engagement 147 10-6693 0&E Client Needs:Cost related to services and supplies used during outreach
and engagement events/activities.These are non-treatment related costs.
3011 Other(specify) -
3012 1 Other(specify)
4000:DIRECT FACILITIES&EQUIPMENT 28,502
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 87 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
4001 Building Maintenance 80 10-6330 Building Maintenance:Cost of Agency building repairs and maintenance.
(Examples:electrical work,A/C and heating,hood cleaning,plumbing,deadbolt,door
knob/lock,keys,key tags,air/furnace filters,smoke alarm,cot alarm,exit sign,blinds,
etc.)This account should not be used if a specific outside labor contractor is doing an
identifiable project,in this case use 6603,or projects over$2,000.00 that will require
the procurement process and a WIP to be completed.These are non-treatment related
costs.
4002 Rent/Lease Building 20,846 10-6320 Building Rent(Other):Cost of rent/lease payments made for building leases
from outside sources.These are non-treatment related costs.
4003 Rent/Lease Equipment 519 10-6220 Furniture&Equipment Rent/Lease(Other):Cost of rent/lease payments made
for furniture and equipment leases from outside sources.(Examples:high capacity
copier/printer/scanner,washer/dryer,vending machine,furniture,water cooler,
postage meter,etc.)These are non-treatment related costs.
4004 Rent/Lease Vehicles -
4005 Security 453 10-6390 Security:Cost of installation,maintenance and monthly service fees for
building alarms and other security measures.(Examples:security/surveillance
equipment,service and installation,safes,locks,padlocks,etc.)These are non-
treatment related costs.
4006 Utilities 5,819 10-6350 Utilities:Cost of service for power,gas,water,sewer,garbage,etc.These are
non-treatment related costs.
4007 Equipment Maintenance 626 10-6230 Equipment Maintenance:Cost of repair or maintenance of office/house
equipment and furniture.(Examples:high capacity copier/printer/scanner,replacement
parts such as hard drive,video card,adapter,laptop battery,monitor/printer/phone
cord,cord covers,power strip,surge protector,extension cord,cable ties,drum,hose,
filter,drawer slide set/rollers,keys for filing cabinet,etc.) These are non-treatment
related costs.
4008 Depreciation 159 10-8050 Depreciation:This account should be charged for the depreciation expense of
the Agency's tangible assets.These are non-treatment related costs.
4009 Other(specify) -
4010 Other(specify)
5000:DIRECT SPECIAL EXPENSES 20,934
5001 Consultant(Network&Data Management) 26 10-6115 Software&Computer Support:Cost of computer software and computer
support.(Examples:Microsoft Office,QuickBooks,PDF converter,Avatar,Vipre anti-
virus,LogMeln,web filter,etc.)This account should not be used for the purchase of
computers and related accessories.Computer accessories such as a mouse,keyboard
and speakers must be coded to 6190.These are non-treatment related costs.
5002 HMIS(Health Management Information System)
5003 Contractual/Consulting Services (Specify)
5004 Translation Services -
5005 OS Labor Psychiatrist 17,604 These accounts are assigned to record various professional services provided by
contracted Psychiatrist working as independent agents.Any additional funds outside of
Medi-Cal are used for this/these positions for non-treatment and/or non-billable related
costs to be able to continue to provide continuity of care.
5006 OS Labor Physician 3,304 These accounts are assigned to record various professional services provided by
contracted Physician working as independent agents.Any additional funds outside of
Medi-Cal are used for this/these positions for non-treatment and/or non-billable related
costs to be able to continue to provide continuity of care.
5007 Other(specify)
5008 Other(specify)
6000:INDIRECT EXPENSES 85,859
6001 Administrative Overhead -
6002 Professional Liability Insurance 2,277 10-6370 Insurance:Cost of Agency liability and property insurance.These are non-
treatment related costs.
6003 Accounting/Bookkeeping -
6004 External Audit 346 10-6460 Audit Expense:Cost of outside audit fees.These are non-treatment related
costs.
6005 Insurance(Specify): -
6006 Payroll Services 1,928 10-6482 Payroll Software&Support These are non-treatment related costs.
6007 1 Depreciation(Provider-Owned Equipment to be Used
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020
Revised Exhibit J-1a
Page 88 of 88
PROGRAM EXPENSE
ACCT# LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE
6008 Personnel(Indirect Salaries&Benefits) -
6009 Licenses 5,384 10-6380 Licenses:Cost in obtaining and renewing licenses and permits.(Examples:
Electronic Medical Records(EMR)database,kitchen/restaurant permit,fire clearance,
facility inspections,vehicle registration,etc.)These are non-treatment related costs.
6010 Indirect 75,924 10-9000's Indirect Allocated Costs.These are non-treatment related costs.
6011 Other(specify) -
6012 Other(specify)
6013 1 Other(specify)
7000:DIRECT FIXED ASSETS 5,965
7001 Computer Equipment&Software -
7002 Copiers,Cell Phones,Tablets,Devices to Contain HIPAA -
7003 Furniture&Fixtures 2,583 10-6240 Expendable Furniture:Cost of small,inexpensive Agency property with a
normal useful life generally less than one year or a value that is minor or insignificant,
typically items with a total cost of less than$5000 per item.(Examples:small desk,
portable desk,chair,filing cabinet,mail slots,shelving unit,table,foldable tables/chairs,
bed,mattress,nightstand,room divider,etc.*Includes assembly fee)(For additional
information,see procedures section 0900)These are non-treatment related costs.
7004 Leasehold/Tenant/Building Improvements
7005 Other Assets over$500 with Lifespan of 2 Years+
7006 Assets over$5,000/unit(Specify) -
7007 Expendable Equipment 3,382 10-6190 Expendable Equipment:Cost of purchasing office/house equipment that has a
cost less than$5000 per item.(Examples:electronic stapler/calculator/hole puncher,
computer,monitor,keyboard,mouse,speakers and other computer accessories
including mousepad and wrist pad,desk printer,tablet,tablet cover,lamp,desk lamp,
fan,radio,television,phone,coffee machine,popcorn maker,toaster,refrigerator,
dishwasher,washer,dryer,portable a/c unit,hand soap/hand towel dispenser,fire
extinguisher,dolly,canopy,shed,barbecue,drill,etc.)These are non-treatment related
costs.
7008 Other(specify)
TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE: 658,250
TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE: 658,250
BUDGETCHECK: -
Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020