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Home My WebLink AboutAgreement A-15-257-3 with Kings View Corporation.pdf- 1 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 AMENDMENT III TO AGREEMENT THIS AMENDMENT, hereinafter referred to as “Amendment III”, is made and entered into this _____day of ______________, 2020, by and between COUNTY OF FRESNO, a Political Subdivision of the State of California, Fresno, California, hereinafter referred to as “COUNTY”, and KINGS VIEW CORPORATION, a California Non-profit, 501 (c) (3) Corporation, whose address is 7170 N. Financial Drive, Suite 1100, Fresno, California 93720, hereinafter referred to as “CONTRACTOR” (collectively as the “parties”). WHEREAS, the parties entered into that certain Agreement, identified as COUNTY Agreement No. A-15-257, effective July 1, 2015 , as amended by COUNTY Amendment No. 15-257-1, effective June 6, 2017, and COUNTY Amendment No. 15-257-2, effective October 1, 2019, hereinafter collectively referred to as COUNTY Agreement No. 15-257, whereby CONTRACTOR agreed to operate a Projects for Assistance in Transition from Homelessness (PATH) program to deliver integrated mental health and supportive housing services to adults who are homeless, or who are at imminent risk of becoming homeless, and have a serious mental illness and/or co-occurring disorder, in an effort to enable this population to live in the community and to avoid homelessness, hospitalization and/or jail detention; WHEREAS, COUNTY and CONTRACTOR now desire to amend the Agreement in order to extend the term of the Agreement; and WHEREAS, the parties desire to amend the Agreement regarding changes as stated below and restate the Agreement in its entirety. NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which is hereby acknowledged, COUNTY and CONTRACTOR agree as follows: 1. That the existing COUNTY Agreement No. 15-257, all text in reference to “Revised Exhibit A” shall be replaced with the text “Revised Exhibit A-1”. Revised Exhibit A-1 is attached hereto and incorporated herein by this reference. 2.That the COUNTY Agreement No. 15-257, as set forth in Amendment II, at Section Five (5), located on Page Three (3), beginning on Line Twenty-One (21) with the word “COMPENSATION” and ending Line Five (5) on Page Four (4) with the word “COUNTY.” be deleted in its entirety. Agreement No. 15-257-3 28th April - 2 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 3.That in the existing COUNTY Agreement No, 15-257, as set forth in the original Agreement at Section Two (2) “TERM”, located on Page Two (2), shall be revised by adding the following at Line Twenty-Five (25) after the word “term”: “This Agreement shall be extended for an additional twelve (12) month period beginning July 1, 2020 through June 30, 2021.” 4.That in the existing COUNTY Agreement No. 15-257, all text in reference to “Revised Exhibit B” shall be replaced with the text “Revised Exhibit B-1”. In addition, Exhibit B-2 will be added to reflect the extended twelve (12) month period beginning July 1, 2020 through June 30, 2021. Revised Exhibit B-1 and Exhibit B-2 are attached hereto and incorporated herein by this reference. 5.That the existing COUNTY Agreement No. 15-257, as set forth in the original Agreement at Section Four (4) “COMPENSATION”, located on Page Three (3), beginning on Line Twenty-One (21) with the word “The” and ending on Page Four (4), Line Two (2) with the word “reference” be deleted and replaced with the following: “The maximum amount of compensation paid to CONTRACTOR by COUNTY shall not exceed Five Hundred Thirty Thousand and No/100 Dollars ($530,000.00) during the twelve (12) month period of July 1, 2015 through June 30, 2016. The maximum amount of compensation paid to CONTRACTOR by COUNTY shall not exceed Five Hundred Ninety Thousand, One Hundred Eighty- Two and No/100 Dollars ($590,182.00) during the twelve (12) month periods of July 1, 2016 through June 30, 2017, July 1, 2017 through June 30, 2018, and July 1, 2018 through June 30, 2019. The maximum amount of compensation paid to CONTRACTOR by COUNTY shall not exceed One Million, Two Hundred Nineteen Thousand, One Hundred Eighty-Two and No/100 Dollars ($1,219,182.00) during the twelve (12) month period of July 1, 2019 through June 30, 2020, with the understanding that the additional Six Hundred Twenty-Nine Thousand and No/100 Dollars ($629,000.00) will be used for the implementation and operational costs of the Rural Mobile Outreach program. The maximum amount of compensation paid to CONTRACTOR by COUNTY shall not exceed Seven Hundred Seventy-Nine Thousand Ninety-Six and No/100 Dollars ($779,096.00) during the twelve (12) month period of July 1, 2020 through June 30, 2021. In no event shall total maximum compensation for this Agreement paid to CONTRACTOR by COUNTY exceed Four Million Two Hundred Ninety-Eight - 3 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Thousand Eight Hundred Twenty-Four and No/100 Dollars ($4,298,824.00). It is understood by the CONTRACTOR and COUNTY that during the twelve (12) month period of July 1, 2015 through June 30, 2016, CONTRACTOR estimates to generate Eighty-Five Thousand, Seven Hundred Twenty-Seven and No/100 Dollars ($85,727.00) in Medi-Cal Federal Financial Participation (FFP) and Twelve Thousand and No/100 Dollars ($12,000.00) in client rent reimbursements to offset CONTRACTOR’s program costs as set forth in the budget, attached hereto as Revised Exhibit B-1 and incorporated herein by reference. During the twelve (12) month periods of July 1, 2016 through June 30, 2017, July 1, 2017 through June 30, 2018, July 1, 2018 through June 30, 2019, and July 1, 2019 through June 30, 2020, CONTRACTOR estimates to generate One Hundred Thousand, Six Hundred Forty-Nine and No/100 Dollars ($100,649.00) in Medi-Cal FFP and Nine Thousand and No/100 Dollars ($9,000.00) in client rent reimbursements to offset CONTRACTOR’s program costs as set forth in the Revised Exhibit B-1. It is further understood by the CONTRACTOR and COUNTY that during the extended twelve (12) month period of July 1, 2020 through June 30, 2021, CONTRACTOR estimates to generate One Hundred Thirteen Thousand, Seven Hundred Fifty and No/100 Dollars ($113,750.00) in Medi-Cal Federal Financial Participation (FFP) and One Thousand Eight Hundred Twenty-One and No/100 Dollars ($1,821.00) in client rent reimbursements to offset CONTRACTOR’s program costs as set forth in the budget, attached hereto as Exhibit B-2 and incorporated herein by reference.” 6.That the COUNTY Agreement No. 257, as set forth in the Amendment II, at Section Four (4) “COMPENSATION”, beginning on Page Two (2), Line Twenty-Eight (28) with the word “H. Payment” and ending on Page Three (3), Line Eighteen (18) with the word “vans” be deleted and replaced with the following: “H. Payment for three (3) vehicles, including equipped vans, and one (1) shower trailer shall be used for Rural Mobile Outreach services described in this Agreement. The vehicles shall be purchased prior to the commencement of services. CONTRACTOR shall be the registered owners of the vehicles and shower trailer with the COUNTY as first lienholder. In the event of termination of this Agreement, COUNTY will immediately invoke the right to repossession of the vehicles and shower trailer, which were purchased through this Agreement, and CONTRACTOR shall - 4 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 cooperate with COUNTY, including but not limited to making vehicles available at 4551 E. Hamilton, Fresno, CA 93702 and immediately transferring title in the vehicles and shower trailer to COUNTY. COUNTY shall pay for the vehicles and shower trailer, upon receipt and verification of a valid purchase order from CONTRACTOR. If purchase is not made prior to end of the contract term, COUNTY has the right to demand reimbursement of the lump sum payment. In no event shall the total cost of the vehicles and shower trailer exceed the maximum compensation for the Rural Mobile Outreach program. CONTRACTOR shall provide fuel for the vehicles so that they are roadworthy, fit for their intended purpose, in good condition and repair, operable and efficient working order, except for reasonable wear and tear. CONTRACTOR shall maintain insurance on the vehicles as specified in Section Ten (10) of this Agreement. The following vehicles and shower trailer shall be purchased in order to provide services under this Agreement. 1)Three (3) vans. 2)One (1) shower trailer.” 7.That the COUNTY Agreement No. 15-257, as set forth in the original Agreement, at Section Seven (7) “MODIFICATION”, at Page Ten (10), beginning with Line Thirteen (13) with the word “Any” and ending on Line Twenty (20) with the word “herein”, be deleted and replaced with the following: “Any matters of this Agreement may be modified from time to time by the written consent of all parties without, in any way, affecting the remainder. Notwithstanding the above, changes to services, staffing, and responsibilities of the CONTRACTOR, as needed, to accommodate changes in the laws relating to mental health treatment, as set forth in Revised Exhibit A-1, may be made with the signed written approval of COUNTY’s DBH Director, or designee, and CONTRACTOR through an amendment approved by COUNTY’s Counsel and the COUNTY’s Auditor-Controller/Treasurer-Tax Collector’s Office. In addition, changes in expense category (i.e., Salary & Benefits, Facilities/Equipment, Operating, Financial Services, Special Expenses, Fixed Assets, etc.) subtotals in the budgets, and changes to the volume of units of services/types of service units to be provided as set forth in Revised Exhibit B-1 and Exhibit B-2, that do not that do not exceed ten percent (10%) of the maximum - 5 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 compensation payable to the CONTRACTOR may be made with the written approval of COUNTY’s DBH Director, or designee. Changes to the expense categories in the budget that exceed ten percent (10%) of the maximum compensation payable to the CONTRACTOR, may be made with the signed written approval of COUNTY’s DBH Director, or his or her designee through an amendment approved by COUNTY’s Counsel and COUNTY’s Auditor-Controller/Treasurer-Tax Collector’s Office . Said modifications shall not result in any change to the annual maximum compensation amount payable to CONTRACTOR, as stated in this Agreement.” 8.That the following be inserted in COUNTY Agreement No. 15-257, as set forth in Amendment II, at Section Seven (7) “REPORTS”, on Page Four (4), Line Twenty-Two (22) after the word “discretion”: “G. Homeless Housing and Assistance Program (HHAP) Reporting – COUNTY is responsible for providing a report to the State which will describe and evaluate the HHAP program funding for essential planning purposes, maintaining program accountability and program monitoring. CONTRACTOR shall submit to COUNTY’s DBH such service outcome reports as reasonably requested by COUNTY’s DBH. Outcome reports and outcome requirements are subject to change at COUNTY’s DBH discretion.” COUNTY and CONTRACTOR agree that this Amendment III is sufficient to amend the Agreement and, that upon execution of this Amendment III, the Agreement, Amendment I, Amendment II, and Amendment III together shall be considered the Agreement. The Agreement, as hereby amended, is ratified and continued. All provisions, terms, covenants, conditions and promises contained in the Agreement and not amended herein shall remain in full force and effect. /// /// /// /// /// /// 1 IN WITNESS WHEREOF , the parties hereto have executed this Amendment Ill to COUNTY 2 Agreement No . 15-257 as of the day and year first hereinabove written . 3 4 COUNTY OF FRESNO ).--- J'f--:-,f'---r--"---4.-<.~'-':-"-=~=-4';.;.,,.:::;.;:......:.:~...,..::....,~l/vf . ~~~ ErnestBuddyMes,Chairman of the 9 10 11 12 13 Title (Chairman of Board , or President , or CEO) 14 Cfo 15 T itle (Secretary of Corporation , or Chief Financial Officer/Treasurer, or any 16 Assistant Secretary or Treasurer) Mailing Address : Kings View Behavioral Health 17 18 19 20 21 22 23 24 7170 North Financial Avenue, Suite 110 Fresno , CA 93720 Phone No .: (559) 256-0100 Contact: Amanda Nugent-Divine , CEO For Account ing Use Only : Fund/Subclass : 0001/10000 Organization : 56302493 AccounUProgram : 7295/0 25 FY 2015-16 : $530 ,000 FY2016-17 : $590 ,182 26 FY 2017-18: $590 ,182 FY 2018-19 : $590 ,182 27 FY2019-20 :$1,219 ,182 FY 2020-21 : $779,096 28 TOT AL: $4 ,298,824 OEL $410 ,777 $410 ,777 $410 ,777 $410 ,777 $410 ,777 $594 ,309 $2 ,648 ,194 Board of Supervisors of the County of Fresno ATTEST: Bern ice E . Seidel Clerk of the Board of Supervisors County of Fresno , State of California By : -~j'),L...Wo.'1:'>-P;L.., ...::::~=:=::,.:.::s:;::....----~ SMHS $119,223 $179,405 $179 ,405 $179,405 $179,405 $184 ,787 $1 ,021,630 - 6 - HMIOT MOBILE OUTREACH $0 $0 $0 $0 $629 ,000 $0 $629 ,000 Revised Exhibit A-1 Page 1 of 8 PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS (PATH) PROGRAM Scope of Work ORGANIZATION: Kings View Corporation ADDRESS: 7170 N. Financial Dr, Ste 110, Fresno, CA 93720 SITE ADDRESS: 4910 E. Ashlan Ave, Ste 118, Fresno, CA 93726 SERVICES: Mental Health, Outreach, Case Management and Supportive Housing Services HOURS OF OPERATION: 8am to 5pm, Monday through Friday REGIONAL DIRECTOR: Virginia Sparks, LMFT CONTRACT PERIOD: July 1, 2015 – June 30, 2021 CONTRACT AMOUNT: $530,000 FY 2015-16 $590,182 FY 2016-17 $590,182 FY 2017-18 $590,182 FY 2018-19 $590,182 FY 2019-20 $729,000 October 31, 2019 – June 30, 2020 (HMIOT) $779,096 FY 2020-21 TARGET POPULATION: Participation in the PATH Program is on a client voluntary basis. The target population to be served under this Agreement are adult clients (18 year and older) who are suffering from serious mental illness and/or co-occurring substance use disorders, and are homeless or at imminent risk of becoming homeless. PROJECT DESCRIPTION: With funding through the Stewart B. McKinney Homeless Assistance Amendments Act of 1990, which authorizes a Federal grant program (Projects for Assistance in Transition from Homelessness (PATH)) to address the needs of people who are homeless and have serious mental illnesses and/or co-occurring disorders, Kings View is able to provide a PATH program for said target population. Kings View PATH program delivers services to clients who are suffering from serious mental illness and substance use disorders and are homeless or at imminent risk of becoming homeless. The goal of the PATH program is to enable clients to live in the community and to avoid homelessness, hospitalization and/or jail detention. The PATH program is comprised of two main components: 1) PATH – Outreach, Engagement, and Linkage Services (OEL); 2) PATH – Specialty Mental Health Treatment Services (SMHS). With the Homeless Mentally Ill Outreach and Treatment (HMIOT) funding opportunity available as a result of SB 840 (chapter 29, Statutes of 2018), a one-time grant in FY 2019-20, the program can commit to combatting homelessness and improving outreach and treatment for those with serious mental illness in Fresno County’s communities. In FY 2019-20, a third component was created with the HMIOT funding, the 3) PATH – Homeless Mentally Ill Outreach Treatment Program (HMIOT). For FY 2020-21, the PATH program will be utilizing the Homeless Housing, Assistance and Prevention Program (HHAP) one-time grant funding authorized by AB 101 (Committee on Budget, Chapter 159, Statues of 2019) to continue the HMIOT service goals by combining the mobile outreach unit(s) with the OEL outreach unit(s) to create an enhanced PATH - OEL program for FY 2020-21. Revised Exhibit A-1 Page 2 of 8 Kings View’s role is to provide outreach, engagement, and linkage services to 350 clients per year, of which 200 will be enrolled in the PATH-OEL where they will receive case management, linkage, consultation, peer support services, supportive interim or bridge housing services. For clients enrolled in ongoing mental health treatment (30 clients at any given time) in PATH-SMHS, clients will receive intensive mental health treatment, case management, linkage, consultation, peer support services, and supportive housing services (housing to a maximum of 10 at any given time). In PATH – HMIOT, mobile outreach tactics will be utilized in the county to reach individuals in need of mental health services and linkages to other programs. Service goals are to help stabilize and transition clients into other County or community mental health programs. The PATH program is a vital resource to the community as it seeks to reduce and end chronic homelessness. The PATH program will serve as a front door for clients into continuum of care services and mainstream mental health, primary health care and the substance abuse services system. . Kings View shall provide: a partnership in which they commit to “meet the client where they are’ in order to assist the enrolled clients achieve their personal recovery and wellness goals. Program will collaborate with other agencies for provision of non-direct mental health services (Federal Qualified Health Clinics (FQHC), Public Guardian, Fresno County etc.). Services will incorporate safety, emergency and crisis procedures in the field and in the organization’s offices, personal services coordination, psychiatric services in the areas of medication, prescription, administration, monitoring and documentation, mental health services, linkage services, supportive housing services, and mobile outreach services. COUNTY’S administrative staff shall monitor and oversee program outcomes, coordinate reporting requirements, and execute contract. King View’s RESPONSIBILITY: 1 Shall provide two main program components and a third for FY 2019-20; one component will consist of an outreach/linkage program, where clients are enrolled and linked to other services based on the needs of the client. The second component is mental health treatment services on an ongoing basis (up to 30 clients at any given time) inclusive of supportive housing services (up to 10 clients). The third component is a mobile outreach effort to reach the rural and unincorporated parts of the county to identify clients in need of linkage and mental health services. For FY 20-21, the mobile outreach effort will be added to the OEL component to expand the already operating outreach efforts. 2 Provide a partnership in which the service provider commits to “meet the client where they are” in order to assist the enrolled clients achieve their personal recovery and wellness goals. 3 Collaborate with other agencies for provision of non-direct mental health services (FQHC, Public Guardian, etc.). These services are particularly needed to reach people with co-occurring chronic or medical conditions. Linkage must be provided for clients to the full range of services. 4 For clients enrolled in the mental health treatment component of the homeless program; client Plan of Care must include and identify at least, client current symptoms, treatment goals, and interventions. 5 Provide appropriate and as requested upon measurable outcomes, State Quarterly Performance Reports, and PATH annual report. I. Kings View PATH program will provide the following staffing components: A. PATH outreach coordinator staff shall be available to provide crisis assessment and intervention, including telephone and face-to-face contact during working hours. Response to crisis shall be rapid and flexible. Coordinators shall collaborate with facilities and designated staff to provide emergency placement should crisis housing, short-term care and inpatient treatment (voluntary or involuntary) be needed. The vendor’s staff shall provide support to the maximum extent possible, including accompanying the client to the County’s Urgent Wellness Center and remain with the client during the assessment. Revised Exhibit A-1 Page 3 of 8 B. The PATH - SMHS program will provide services for up to 30 clients in an ongoing basis. Services include; mental health individual/group therapy, case management linkage, referrals, education in the areas of medication prescription, administration, monitoring and documentation. In addition, program shall: • Assess each client’s mental illness symptoms and behavior and prescribe appropriate medication as necessary. Medication for clients who do not have a third party payor will be provided medication via Kings View’s PATH program selected vendor and/or other resources such as samples, coupons and cost will be the responsibility of Kings View. • Regularly review and document the client’s mental illness symptoms as well as his/her response to the prescribed medications; • Educate the client and family members on the purpose of medication and any side effects; and • Monitor, treat and document any medication side effects. C. The PATH - SMHS program’s client to staff ratio will be no more than 15 clients to each staff. A ratio of 1:15: or one staff serves no more than fifteen clients. D. The FY 2019-20 PATH – HMIOT program will employ multiple mobile outreach teams (with the option of some employees being subcontracted through partner agencies) with assessment and linkage capabilities. These teams will provide outreach to individuals with serious mental illness who are also experiencing homelessness and have not engaged in services. The teams will provide outreach, build rapport, develop trust, and engage individuals in services. E. Evaluate the staff’s competency for performance purposes and establish medication policies and procedures which identify processes to administer medications to clients and train other staff and family members regarding medication education, medication delivery, medication side effects, observation of self administration of medication and medication monitoring. F. Assess and document the client’s mental illness symptoms and behavior in response to medication and monitor for medication side-effects during the provision of observed self-administration and during ongoing face-to-face contacts. G. Staff shall employ harm reduction and motivational interviewing techniques and principles. H. Kings View program staff shall reflect the target population culturally (cultural, linguistic, ethnic, age, gender, sexual orientation) and other social characteristics of the community which the program serves. II. PATH program shall employ the following strategies: A. Integrate physical and mental health services in collaboration with primary care physicians. B. Collaborate with community law enforcement, probation and courts. C. Provide education for clients and family and/or to other caregivers as appropriate to maximize individual choice about the nature of medications, the expected benefits and the potential side effects as well as alternatives to medications. D. Provide culturally competent evidence-based or promising clinical services that are integrated with overall service planning, supportive housing, and employment support, and/or education goals. E. Provide outreach to clients in both the metropolitan and rural areas to reach out to at minimum 350 homeless mentally ill adults, of which, 200 shall be enrolled for outreach services. Revised Exhibit A-1 Page 4 of 8 F. Kings View Program Administrative staff will participate in the Fresno/Madera Continuum of Care (FMCoC) as a member, COUNTY staff will provide technical assistance if needed. G. The Program will participate and utilize the Homeless Management Information System (HMIS) to enter client data. Through the FMCoC, the program will participate in accessing the HMIS to enroll all clients onto the HMIS which is currently overseen by the Housing Authorities of the City and County of Fresno. H. Incorporate the Supplemental Security Income/Social Security Disability Income (SSI/SSDI), SSI/SSDI Outreach, Access. And Recovery (SOAR) as part of the case management services. SOAR provides the program the tools to expedite access to Social Security disability benefits that result in improved housing and treatment outcomes. I. Utilize various engagement tools in the HMIOT rural outreach program such as clothing, food, shoes, blankets, bus passes, hygiene kits etc. and address barriers to engagement such as transportation, pet care, property storage, etc. J. The HMIOT program will collect data from each consumer contacted that will inform future program focus to reflect the needs of the individuals being served. III. The PATH program shall provide the following specific services as it relates to mental health treatment services: A. Program will provide an outreach component, engaging homeless mentally ill and/or those at risk of homelessness and provide appropriate linkage/referral as needed. Within the Outreach component, the program will enroll at minimum 200 clients within a twelve month period. B. Program will provide a mental health treatment component, in which referrals will be approved by the Department of Behavioral Health. The mental health treatment component will service up to 30 adult clients at any given time, on an ongoing basis throughout the contract term who are seriously mentally ill and who are homeless, or at risk of being homeless and/or have a co-occurring disorder. C. Rural outreach will provide engagement with individuals in unincorporated parts of the county who have not received services. Services will include but are not limited to: assessment, case management, crisis intervention, housing, medication support, referrals and linkages. D. CONTRACTOR shall have the flexibility to increase service intensity to a client in response to a client’s needs. Staff shall have the capacity to provide as many contacts as needed to clients experiencing significant problems in daily living. E. Implement mental health service strategies to reduce the number of days a client experiences hospitalization, incarceration and homelessness. F. Provider shall operate a multidisciplinary treatment team including licensed/unlicensed mental health professionals, case managers, peer support specialists and other specialists to support client needs in reaching his/her goals. G. Staff will be available to provide symptom assessment, personal service coordination and supportive counseling to assist clients to cope with and gain mastery of symptoms and disabilities due to mental illness and/or substance abuse. These services shall include, but not be limited to, the following: • Ongoing assessment of the client’s mental illness symptoms and response to treatment; • Education of the client regarding his/her mental illness and the effects (including side effects) of prescribed medications; Revised Exhibit A-1 Page 5 of 8 • Symptom management efforts directed to help the client identify the symptoms and their occurrence patterns and development of methods (internal, behavioral, adaptive) to lessen their effects; and • Provision, both on a planned and on an “as needed” basis, of such psychological support as is necessary to help clients accomplish their personal goals and to cope with the stresses of day-to- day living. H. Provide training and instruction, including individual support, problem solving, skill development, modeling and supervision, in home and community settings, to teach the client to: • Carry out personal hygiene tasks; • Perform household chores, including housekeeping, cooking, laundry and shopping; • Develop or improve money management skills; • Use community transportation; • Providing training and assistance to clients in locating, securing, maintaining and financing safe, clean and affordable housing which is appropriate to their levels of functioning; and • Providing training and instruction, including individual support, problem solving, skill development, modeling and supervision, in home and community settings. I. Provide treatment services that is appropriate as it relates to age, culture, gender and language services and when possible accommodations for physical disability(ies) to clients. J. Assign a case manager (Personal Services Coordinator) within 24 hours of accepting the case and the development of a tentative client centered Plan of Care to meet the client’s needs. K. Ensure that the team members are able to have on hand, in their possession, during regular working hours (and when appropriate) an adequate amount of petty cash with which to make emergency purchases of food, shelter, clothing, prescriptions, transportation, or other items and services as needed for clients. This may include security deposits, rent subsidy, and other items needed by clients. Kings View shall provide policies and procedures as to the handling of petty cash. L. Provide frequent contacts, with clients where they live or are most comfortable, in order to assist them in accessing behavioral and physical health care, financial, education, vocational, rehabilitative, or other needed community services, especially as these services relate to meeting the client’s mental health and housing needs. M. Link clients to appropriate social services, legal advocacy and other representation, provide transportation as necessary and serve as a “representative payee” or refer client to other payee services for client’s SSI/SSD benefits. N. Develop and support the client’s participation in recreational and social activities and positive social relationships and activities in a community setting. Staff shall provide support and help individual clients to establish positive social relationships and activities in community settings. Such services shall include, but not to be limited to, assisting clients in: • Developing social skills and, where needed, the skills to develop meaningful personal relationships; • Planning appropriate and productive use of leisure time including familiarizing clients with available social and recreational opportunities and increasing their use of these activities; • Interacting with landlords, neighbors and others effectively and appropriately; • Developing assertiveness and self-esteem; and • Using existing self-help centers, self-help groups and other social, church and recreational groups to combat isolation and withdrawal experienced by many persons coping with seriousand persistent mental illness. Revised Exhibit A-1 Page 6 of 8 O. Provide alcohol, tobacco and drug abuse services as needed, this will include, but is not limited to, individual and group interventions to assist clients in: • Identifying alcohol, tobacco and drug abuse effects and patterns; • Recognizing the interactive effects of alcohol, tobacco and drug use, psychiatric symptoms, and psychotropic medications; • Developing motivation for decreasing alcohol, tobacco and drug use; • Developing coping skills and alternatives to minimize alcohol, tobacco and drug use; • Achieving periods of abstinence and stability; • Attending appropriate recovery or self-help meetings; and • Achieving an alcohol and drug free lifestyle, if at all possible. P. Provide information, in an educational format, on the use of alcohol, tobacco, prescribed medications, and other drugs of abuse and the impact that chemicals have on the ability to function in major life areas. Information shall also include eating disorders, gambling, overspending, sexual and other addictions, as appropriate. Q. Make appropriate referrals and linkages to addiction services that are beyond that of the Homeless program to individuals with coexisting alcohol, tobacco and drug abuse and other addictive symptoms. R. Minimize client involvement with the criminal justice system, with services to include, but not be limited to: • Helping the client identify precipitants to the client’s criminal involvement; • Providing necessary treatment, support and education to help eliminate any unlawful activities or criminal involvement that may be a consequence of the client’s mental illness; and • Collaborating with police, court personnel and jail/prison officials and psychiatric staff to ensure appropriate use of legal and mental health services. S. Assist client, family and other members of the client’s social network to relate in a positive and supportive manner through such means as: • Education about the client’s illness and their role in the therapeutic process; • Supportive counseling; • Intervention to resolve conflict; • Referral, as appropriate, of the family to therapy, self-help and other family support services; and • Provision to the client’s other support systems with education and information about serious mental illnesses and treatment services and supports. T. Coordinate services with other community mental health and non-mental health providers, as well as other medical professionals. Methods for service coordination and communication between program and other service providers serving the same clients shall be developed and implemented consistent with Fresno County confidentiality rules. U. Initiate voluntary commitment, should there be a need; program staff shall work with County staff within the Adult Services Division. County staff will sign the involuntary commitment papers. V. Provide appropriate client data, as required and requested by PATH grant, HMIOT grant, HHAP grant, State, and County, such data reports include quarterly performance reports, Behavioral Health Board annual update report and quarterly reports, inclusive of demographics, caseload, and measureable outcomes. W. Provide assistance and advocacy in obtaining available public assistance benefits, general relief, SSI/SSDI and accessing needed behavioral health and physical health care for clients. X. Provide whatever direct assistance is reasonable and necessary to ensure that the client obtains the basic necessities of daily life, including transportation. Program shall have vehicles available to staff to transport Revised Exhibit A-1 Page 7 of 8 clients to appointments and social group activities. Bus token/passes will be made available by the vendor to encourage and empower client to utilize public transportation to their scheduled appointments. Y. Ensure billable Mental Health Specialty Services meet any/all County, State, Federal regulations including any utilization review and quality assurance standards. IV. The PATH program will provide specific services as it relates to housing: Success in the community is critically enhanced by obtaining and retaining housing. For clients enrolled into the PATH program, for ongoing treatment services, will receive supported independent housing opportunities and support services (minimum of 10) who accept housing. The program will empower clients to take an active role in the recovery process and provide housing options and maintain clients in independent living by providing needed services, accessing resources and encouraging clients to be independent, productive and responsible. The program will be responsible to negotiate and establish relationships with apartment owners/landlords and/or utilize alternative housing resources such as MHSA Housing Program residential facilities, Housing Authority programs such as the Shelter Plus Care vouchers, and other available housing programs within the community. A. The vendor shall provide whatever direct assistance is reasonable and necessary to ensure that the client obtains the basic necessities of daily life, including but not limited to: • Safe, clean, affordable housing; • Food and clothing; • Appropriate financial support, which may include housing deposits, Supplemental Security Income, Social Security Disability Insurance, General Relief, and money management services. B. Program shall have rapid access to client assistance funds for purchase of furniture, and other items needed by clients. C. Ensure clients maintain their respective housing and utilize supportive housing resources by providing supportive and independent housing, as appropriate. D. Assist clients in coordinating rents, leases, general relief and work with housing owners/landlords. Program staff shall send written notice to owners/landlords of housing facilities that explains the financial responsibility program and the client (tenant) for payment of rent and utilities within 24 hours or the following business day. E. A completed client rental agreement shall document the amount of rent and the minimum utility expense that a client is required to pay. Program staff shall also provide a monthly receipt to client of the payment received and collected. COUNTY RESPONSIBILITIES: 1. Provide oversight of the PATH program. In addition to contract monitoring of program, oversight includes, but not limited to, coordination with the State Department of Health Care Services, Projects for Assistance in Transition from Homelessness (PATH) program in regard to program administration and outcomes. The PATH program administrative staff will meet with the Department liaison on a monthly basis to discuss program client issues, concerns, measurable outcomes and reports, and any other items. 2. Assist the CONTRACTOR in making linkages with the total mental health system. This will be accomplished through regularly scheduled meetings as well as formal and informal consultation 3. Participate in evaluating the progress of the overall program and the efficiency of collaboration with the program administrative staff and will be available to the contractor for ongoing consultation. Revised Exhibit A-1 Page 8 of 8 4. Receive and analyze statistical data outcome information throughout the term of contract. DBH will notify the program when additional participation is required. The performance outcome measurement process will not be limited to survey instruments but will also include, as appropriate, client and staff interviews, chart reviews, and other methods of obtaining required information. 5. 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. County will assist program towards cultural and linguistic competency, DBH shall provide the following at no cost to vendor(s): A. Technical assistance regarding cultural competency requirements and sexual orientation training. B. Mandatory cultural competency training including sexual orientation and sensitivity training for program 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). 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. C. Technical assistance for CONTRACTOR in translating behavioral health and substance abuse services information into DBH’s threshold languages (Spanish, Laotian, Cambodian and Hmong). Translation services and costs associated will be the responsibility of the vendor. Revised Exhibit B-1 Page 1 of 11 OEL FTE % SMHS FTE % OEL Admin OEL SMHS Admin SMHS Total PERSONNEL SALARIES: 0001 Program Direction 0.01 0.01 $0 0002 Clinical Supervisor 0.64 0.16 $0 0003 Case Managers 1.45 0.35 $0 0004 Outreach Engagement Linkage (OEL)1.40 $0 0005 Administrative Specialist 0.80 0.20 $0 0006 $0 0007 $0 $0 SALARY TOTAL 4.30 0.72 $217,305 PAYROLL TAXES: 0031 FICA/MEDICARE $0 0032 SUI $0 0033 Workers Compensation $0 PAYROLL TAX TOTAL $25,067 EMPLOYEE BENEFITS: 0041 Retirement $0 0042 Health Insurance (medical, vision, life, dental)$0 EMPLOYEE BENEFITS TOTAL $42,267 SALARY & BENEFITS GRAND TOTAL $284,639 FACILITIES/EQUIPMENT EXPENSES: 1010 Rent/Lease Building 19,200 5,520 $24,720 1011 Rent/Lease Equipment 2,400 775 $3,175 1012 Utilities 3,200 1,400 $4,600 1013 Building Maintenance 4,250 1,200 $5,450 1015 Rent/Lease Vehicles 10,380 2,520 $12,900 FACILITY/EQUIPMENT TOTAL $39,430 $11,415 $50,845 OPERATING EXPENSES: 1060 Telephone 5,426 1,553 $6,979 1062 Postage 120 30 $150 1066 Office Supplies & Equipment 6,484 1,620 $8,104 1069 Program Supplies - Therapeutic 800 200 $1,000 1072 Staff Mileage/vehicle maintenance 3,860 1,000 $4,860 1076 Other - Program Supplies - Outreach 3,200 8 $3,208 1077 Other - Staff Recruitment/Background Checks 800 200 $1,000 OPERATING EXPENSES TOTAL $20,690 $4,611 $25,301 $233,580 $51,059 OEL SMHS Line Item Description (Must be itemized) $177,769 $39,536 $20,359 $4,708 $35,452 Total Projects for Assistance Transitions from Homelessness (PATH) Kings View Corporation FISCAL YEAR 2015 - 2016 Budget Categories - Total Proposed Budget $6,815 Revised Exhibit B-1 Page 2 of 11 FINANCIAL SERVICES EXPENSES: 1082 Liability Insurance 5,195 1,053 $6,248 1083 Administrative Overhead 23,492 18,310 $41,802 1085 Professional Liability Insurance 2,713 287 $3,000 FINANCIAL SERVICES TOTAL $31,400 $19,650 $51,050 SPECIAL EXPENSES (Consultant/Etc.): 1090 Consultant (network & data management)8,337 10,163 $18,500 1091 HMIS - - $0 0005 Psychiatric Services 23,050 - $23,050 1092 Medication Supports 500 - $500 1093 Other - One Time Emergency Housing 4,000 $4,000 SPECIAL EXPENSES TOTAL $35,887 $10,163 $46,050 FIXED ASSETS: 1190 Computers & Software 4,213 452 $4,665 FIXED ASSETS TOTAL $4,213 $452 $4,665 NON MEDI-CAL CLIENT SUPPORT EXPENSES: 2000 Client Housing Support Expenditures (SFC 70)31,077 21,873 $52,950 2002.1 Clothing, Food & Hygiene (SFC 72)2,500 $2,500 2002.2 Client Transportation & Support (SFC 72)11,000 $11,000 2002.3 Education Support (SFC 72)500 $500 2002.4 Employment Support (SFC 72)500 $500 NON MEDI-CAL CLIENT SUPPORT TOTAL $45,577 $21,873 $67,450 TOTAL PROGRAM EXPENSES $410,777 $119,223 $530,000 77.51%22.49% MEDI-CAL REVENUE: Units of Service Rate $ Amount $ Amount Total 3000 Mental Health Services 0 $2.61 - $0 3100 Case Management 29,341 $2.04 59,856 $59,856 3200 Crisis Services 0 $0.00 - $0 3300 Medication Support 3,789 $4.82 18,263 $18,263 3400 Collateral 0 $2.61 - $0 3500 Plan Development 1,590 $2.61 4,150 $4,150 3600 Assessment 1,263 $2.61 3,296 $3,296 3700 Rehabilitation 41,285 $2.61 107,754 $107,754 Estimated Medi-Cal Billing Totals 77,268 $0 $193,319 $193,319 Estimated % of Federal Financial Participation Reimbursement 50.00%$96,659 $96,659 Estimated % of Clients Served that will be Medi-Cal Eligible 88.69% MEDI-CAL REVENUE TOTAL $0 $85,727 $85,727 OTHER REVENUE: 4000 Other - PATH 306,519 $306,519 4100 Other - Client Reimbursements 12,000 $12,000 OTHER REVENUE TOTAL $306,519 $12,000 $318,519 MHSA FUNDS: 5100 Community Services & Supports Funds 104,258 21,496 $125,754 MHSA FUNDS TOTAL $104,258 $21,496 $125,754 TOTAL PROGRAM REVENUE 410,777 119,223 $530,000 $0 OEL SMHS Total Revised Exhibit B-1 Page 3 of 11 OEL FTE % SMHS FTE % OEL Admin OEL SMHS Admin SMHS Total PERSONNEL SALARIES: 0001 Program Direction 0.045 0.005 7,550 1,250 $8,800 0002 Program Manager 0.60 0.06 63,000 6,300 $69,300 0003 Case Managers 1.20 0.80 50,856 33,904 $84,760 0004 Outreach Engagement Linkage (OEL)2.00 65,208 $65,208 0005 Financial Analyst 0.07 0.0010 3,128 49 $3,177 0006 Administrative Support 0.26 0.08 10,275 3,162 $13,437 0007 Operations Manager 0.04 0.00 2,410 62 $2,472 $0 SALARY TOTAL 4.21 0.95 $247,154 PAYROLL TAXES: 0031 FICA/MEDICARE 1,210 14,276 250 3,172 $18,908 0032 SUI 158 1,866 33 414 $2,471 0033 Workers Compensation 395 4,666 82 1,036 $6,179 PAYROLL TAX TOTAL $27,558 EMPLOYEE BENEFITS: 0041 Retirement 201 2,370 42 526 $3,139 0042 Health Insurance (medical, vision, life, dental)2,578 30,418 534 6,757 $40,287 EMPLOYEE BENEFITS TOTAL $43,426 SALARY & BENEFITS GRAND TOTAL $318,138 FACILITIES/EQUIPMENT EXPENSES: 1010 Rent/Lease Building 20,290 4,454 $24,744 1011 Rent/Lease Equipment 1,920 1,280 $3,200 1012 Utilities 2,952 648 $3,600 1013 Building Maintenance 4,264 936 $5,200 1015 Rent/Lease Vehicles 9,490 3,510 $13,000 FACILITY/EQUIPMENT TOTAL $38,916 $10,828 $49,744 OPERATING EXPENSES: 1060 Telephone 5,340 3,560 $8,900 1062 Postage 120 30 $150 1066 Office Supplies & Equipment 5,940 1,593 $7,533 1069 Program Supplies - Therapeutic 1,000 $1,000 1072 Staff Mileage/vehicle maintenance 3,650 1,350 $5,000 1076 Other - Program Supplies - Outreach 4,000 $4,000 1077 Other - Staff Recruitment/Background Checks 800 200 $1,000 OPERATING EXPENSES TOTAL $19,850 $7,733 $27,583 FINANCIAL SERVICES EXPENSES: Kings View Corporation FISCAL YEAR 2016 - 2017 Budget Categories - Total Proposed Budget Line Item Description (Must be itemized) $57,573$260,565 $7,859$35,567 Projects for Assistance Transitions from Homelessness (PATH) $4,987$22,571 $44,727$202,427 TotalSMHSOEL Revised Exhibit B-1 Page 4 of 111082Liability Insurance 2,880 2,020 $4,900 1083 Administrative Overhead 37,342 16,310 $53,652 1085 Professional Liability Insurance 2,884 721 $3,605 FINANCIAL SERVICES TOTAL $43,106 $19,051 $62,157 SPECIAL EXPENSES (Consultant/Etc.): 1090 Consultant (network & data management)12,680 2,880 $15,560 1091 HMIS 1,500 $1,500 0005 Psychiatric Services 30,000 $30,000 1092 Medication Supports 250 $250 1093 Other - One Time Emergency Housing 10,000 $10,000 SPECIAL EXPENSES TOTAL $24,180 $33,130 $57,310 FIXED ASSETS: 1190 Computers & Software 9,660 2,090 $11,750 FIXED ASSETS TOTAL $9,660 $2,090 $11,750 NON MEDI-CAL CLIENT SUPPORT EXPENSES: 2000 Client Housing Support Expenditures (SFC 70)49,000 $49,000 2002.1 Clothing, Food & Hygiene (SFC 72)2,500 $2,500 2002.2 Client Transportation & Support (SFC 72)11,000 $11,000 2002.3 Education Support (SFC 72)500 $500 2002.4 Employment Support (SFC 72)500 $500 NON MEDI-CAL CLIENT SUPPORT TOTAL $14,500 $49,000 $63,500 TOTAL PROGRAM EXPENSES $410,777 $179,405 $590,182 69.60%30.40% MEDI-CAL REVENUE: Units of Service Rate $ Amount $ Amount Total 3000 Mental Health Services 2101 4.50 9,455 $9,455 3100 Case Management 8,651 $3.75 32,441 $32,441 3200 Crisis Services 200 $6.75 1,350 $1,350 3300 Medication Support 3,100 $8.00 24,800 $24,800 3400 Collateral 2,100 $4.50 9,450 $9,450 3500 Plan Development 4,201 $4.50 18,905 $18,905 3600 Assessment 4,200 $4.50 18,900 $18,900 3700 Rehabilitation 4,200 $4.50 18,900 $18,900 Estimated Medi-Cal Billing Totals 26,652 $0 $134,200 $134,200 Estimated % of Federal Financial Participation Reimbursement 75.00%$100,649 $100,649 Estimated % of Clients Served that will be Medi-Cal Eligible 100.00% MEDI-CAL REVENUE TOTAL $0 $100,649 $100,649 OTHER REVENUE: 4000 Other - PATH 307,403 $307,403 4100 Other - Client Reimbursements 9,000 $9,000 OTHER REVENUE TOTAL $307,403 $9,000 $316,403 MHSA FUNDS: 5100 Community Services & Supports Funds 103,374 69,756 $173,130 MHSA FUNDS TOTAL $103,374 $69,756 $173,130 TOTAL PROGRAM REVENUE 410,777 179,405 $590,182 TotalSMHSOEL Revised Exhibit B-1 Page 5 of 11 Budget Categories - Total Proposed Budget Line Item Description (Must be itemized) OEL FTE % SMHS FTE % OEL Admin OEL SMHS Admin SMHS Total PERSONNEL SALARIES: 0001 Program Direction 0.043 0.007 7,777 1,288 $9,065 0002 Program Manager 0.57 0.057 61,800 6,180 $67,980 0003 Case Managers 1.20 0.80 52,382 34,921 $87,303 0004 Outreach Engagement Linkage (OEL)2.00 67,164 $67,164 0005 Financial Analyst 0.07 0.0010 3,222 50 $3,272 Administrative Support 0.26 0.08 10,583 3,257 $13,840 Operations Manager 0.04 0.00 2,482 64 $2,546 0006 Administrative Support $0 0007 Title $0 SALARY TOTAL 4.18 0.95 $205,410 $45,760 $251,170 PAYROLL TAXES: 0031 FICA/MEDICARE 1,246 14,468 239 3,262 $19,215 0032 SUI 163 1,891 31 427 $2,512 0033 Workers Compensation 407 4,728 84 1,060 $6,279 PAYROLL TAX TOTAL $22,903 $5,103 $28,006 EMPLOYEE BENEFITS: 0041 Retirement 207 2,402 43 538 $3,190 0042 Health Insurance (medical, vision, life, dental)2,606 30,260 539 6,783 $40,188 EMPLOYEE BENEFITS TOTAL $35,475 $7,903 $43,378 SALARY & BENEFITS GRAND TOTAL $263,788 $58,766 $322,554 OEL SMHS Total FACILITIES/EQUIPMENT EXPENSES: 1010 Rent/Lease Building 21,052 4,148 $25,200 1011 Rent/Lease Equipment 2,706 594 $3,300 1012 Utilities 3,280 820 $4,100 1013 Building Maintenance 4,510 1,034 $5,544 1015 Rent/Lease Vehicles 10,840 4,010 $14,850 FACILITY/EQUIPMENT TOTAL $42,388 $10,606 $52,994 OPERATING EXPENSES: 1060 Telephone 5,280 3,660 $8,940 1062 Postage 100 30 $130 1066 Office Supplies & Equipment 6,016 1,737 $7,753 1069 Program Supplies - Therapeutic 1,200 $1,200 1072 Staff Mileage/vehicle maintenance 3,650 1,250 $4,900 1076 Other - Program Supplies - Outreach 4,409 $4,409 1077 Other - Staff Recruitment/Background Checks 800 200 $1,000 OPERATING EXPENSES TOTAL $20,255 $8,077 $28,332 FISCAL YEAR 2017 - 2018 Projects for Assistance Transitions from Homelessness (PATH) Kings View Corporation Revised Exhibit B-1 Page 6 of 11 FINANCIAL SERVICES EXPENSES: 1082 Liability Insurance 3,650 1,350 $5,000 1083 Administrative Overhead 37,342 16,310 $53,652 1085 Professional Liability Insurance 3,034 666 $3,700 FINANCIAL SERVICES TOTAL $44,026 $18,326 $62,352 SPECIAL EXPENSES (Consultant/Etc.): 1090 Consultant (network & data management)13,120 2,880 $16,000 1091 HMIS 1,500 $1,500 1091 Psychiatric Services 30,000 $30,000 1092 Medication Supports 250 $250 1093 Other - One Time Emergency Housing 10,000 $10,000 SPECIAL EXPENSES TOTAL $24,620 $33,130 $57,750 FIXED ASSETS: 1190 Computers & Software 1,200 500 $1,700 FIXED ASSETS TOTAL $1,200 $500 $1,700 NON MEDI-CAL CLIENT SUPPORT EXPENSES: 2000 Client Housing Support Expenditures (SFC 70)50,000 $50,000 2002.1 Clothing, Food & Hygiene (SFC 72)2,500 $2,500 2002.2 Client Transportation & Support (SFC 72)11,000 $11,000 2002.3 Education Support (SFC 72)500 $500 2002.4 Employment Support (SFC 72)500 $500 NON MEDI-CAL CLIENT SUPPORT TOTAL $14,500 $50,000 $64,500 TOTAL PROGRAM EXPENSES $410,777 $179,405 $590,182 69.60%30.40% OEL SMHS Total MEDI-CAL REVENUE: Units of Service Rate $ Amount $ Amount Total 3000 Mental Health Services 2101 4.50 9,455 $9,455 3100 Case Management 8,651 $3.75 32,441 $32,441 3200 Crisis Services 200 $6.75 1,350 $1,350 3300 Medication Support 3,100 $8.00 24,800 $24,800 3400 Collateral 2,100 $4.50 9,450 $9,450 3500 Plan Development 4,201 $4.50 18,905 $18,905 3600 Assessment 4,200 $4.50 18,900 $18,900 3700 Rehabilitation 4,200 $4.50 18,900 $18,900 Estimated Medi-Cal Billing Totals 26,652 $0 $134,200 $134,200 Estimated % of Federal Financial Participation Reimbursement 75.00%$100,649 $100,649 Estimated % of Clients Served that will be Medi-Cal Eligible 100.00% MEDI-CAL REVENUE TOTAL $0 $100,649 $100,649 OTHER REVENUE: 4000 Other - PATH 308,000 $308,000 4100 Other - Client Reimbursements 9,000 $9,000 OTHER REVENUE TOTAL $308,000 $9,000 $317,000 MHSA FUNDS: 5100 Community Services & Supports Funds 102,777 69,756 $172,533 MHSA FUNDS TOTAL $102,777 $69,756 $172,533 TOTAL PROGRAM REVENUE 410,777 179,405 $590,182 Revised Exhibit B-1 Page 7 of 11 Budget Categories - Total Proposed Budget Line Item Description (Must be itemized) OEL FTE % SMHS FTE % OEL Admin OEL SMHS Admin SMHS Total PERSONNEL SALARIES: 0001 Program Direction 0.030 0.005 5,510 927 $6,437 0002 Program Manager 0.54 0.053 59,600 5,875 $65,475 0003 Case Managers 1.20 0.80 53,953 35,969 $89,922 0004 Outreach Engagement Linkage (OEL)2.00 69,179 $69,179 Financial Analyst 0.07 0.0010 3,319 52 $3,371 Administrative Support 0.26 0.08 10,900 3,355 $14,255 0005 Operations Manager 0.04 0.00 2,556 66 $2,622 0006 $0 0007 Title $0 SALARY TOTAL 4.14 0.94 $205,017 $46,244 $251,261 PAYROLL TAXES: 0031 FICA/MEDICARE 1,283 14,401 246 3,292 $19,222 0032 SUI 168 1,882 32 430 $2,512 0033 Workers Compensation 419 4,706 80 1,076 $6,281 PAYROLL TAX TOTAL $22,859 $5,156 $28,015 EMPLOYEE BENEFITS: 0041 Retirement 213 2,391 44 543 $3,191 0042 Health Insurance (medical, vision, life, dental)2,684 30,119 556 6,843 $40,202 EMPLOYEE BENEFITS TOTAL $35,407 $7,986 $43,393 SALARY & BENEFITS GRAND TOTAL $263,283 $59,386 $322,669 OEL SMHS Total FACILITIES/EQUIPMENT EXPENSES: 1010 Rent/Lease Building 21,760 3,840 $25,600 1011 Rent/Lease Equipment 2,706 594 $3,300 1012 Utilities 3,280 820 $4,100 1013 Building Maintenance 4,510 1,034 $5,544 1015 Rent/Lease Vehicles 10,840 4,010 $14,850 FACILITY/EQUIPMENT TOTAL $43,096 $10,298 $53,394 OPERATING EXPENSES: 1060 Telephone 5,280 3,660 $8,940 1062 Postage 100 30 $130 1066 Office Supplies & Equipment 6,322 1,525 $7,847 1069 Program Supplies - Therapeutic 1,200 $1,200 1072 Staff Mileage/vehicle maintenance 3,650 1,250 $4,900 1076 Other - Program Supplies - Outreach 4,900 $4,900 1077 Other - Staff Recruitment/Background Checks 800 200 $1,000 OPERATING EXPENSES TOTAL $21,052 $7,865 $28,917 FINANCIAL SERVICES EXPENSES: 1082 Liability Insurance 3,650 1,350 $5,000 1083 Administrative Overhead 37,342 16,310 $53,652 1085 Professional Liability Insurance 3,034 666 $3,700 FINANCIAL SERVICES TOTAL $44,026 $18,326 $62,352 SPECIAL EXPENSES (Consultant/Etc.): 1090 Consultant (network & data management)13,120 2,880 $16,000 1091 HMIS 1,500 $1,500 1091 Psychiatric Services 30,000 $30,000 1092 Medication Supports 250 $250 1093 Other - One Time Emergency Housing 10,000 $10,000 SPECIAL EXPENSES TOTAL $24,620 $33,130 $57,750 FIXED ASSETS: 1190 Computers & Software 1,200 400 $1,600 FIXED ASSETS TOTAL $1,200 $400 $1,600 Projects for Assistance Transitions from Homelessness(PATH) Kings View Corporation FISCAL YEAR 2018 - 2019 Revised Exhibit B-1 Page 8 of 11NON MEDI-CAL CLIENT SUPPORT EXPENSES: 2000 Client Housing Support Expenditures (SFC 70)50,000 $50,000 2002.1 Clothing, Food & Hygiene (SFC 72)2,500 $2,500 2002.2 Client Transportation & Support (SFC 72)10,000 $10,000 2002.3 Education Support (SFC 72)500 $500 2002.4 Employment Support (SFC 72)500 $500 NON MEDI-CAL CLIENT SUPPORT TOTAL $13,500 $50,000 $63,500 TOTAL PROGRAM EXPENSES $410,777 $179,405 $590,182 69.60%30.40% Revised Exhibit B-1 Page 9 of 11 OEL SMHS Total MEDI-CAL REVENUE: Units of Service Rate $ Amount $ Amount Total 3000 Mental Health Services 2101 4.50 9,455 $9,455 3100 Case Management 8,651 $3.75 32,441 $32,441 3200 Crisis Services 200 $6.75 1,350 $1,350 3300 Medication Support 3,100 $8.00 24,800 $24,800 3400 Collateral 2,100 $4.50 9,450 $9,450 3500 Plan Development 4,201 $4.50 18,905 $18,905 3600 Assessment 4,200 $4.50 18,900 $18,900 3700 Rehabilitation 4,200 $4.50 18,900 $18,900 Estimated Medi-Cal Billing Totals 26,652 $0 $134,200 $134,200 Estimated % of Federal Financial Participation Reimbursement 75.00%$100,649 $100,649 Estimated % of Clients Served that will be Medi-Cal Eligible 100.00% MEDI-CAL REVENUE TOTAL $0 $100,649 $100,649 OTHER REVENUE: 4000 Other - PATH 308,000 $308,000 4100 Other - Client Reimbursements 9,000 $9,000 OTHER REVENUE TOTAL $308,000 $9,000 $317,000 MHSA FUNDS: 5100 Community Services & Supports Funds 102,777 69,756 $172,533 MHSA FUNDS TOTAL $102,777 $69,756 $172,533 TOTAL PROGRAM REVENUE 410,777 179,405 $590,182 Revised Exhibit B-1 Page 10 of 11 OEL FTE % SMHS FTE % HMIOT FTE % OEL Admin OEL SMHS Admin SMHS HMIOT Admin HMIOT Total PERSONNEL SALARIES: 0001 Program Direction 0.028 0.003 5,410 627 $6,037 0002 Program Manager 0.50 0.047 0.150 57,500 5,400 11,706 $74,606 0003 Case Managers 1.20 0.80 55,572 37,047 $92,619 0004 Outreach Engagement Linkage (OEL)2.00 70,217 $70,217 0005 Financial Analyst 0.07 0.0010 0.0100 3,419 54 408 $3,881 Administrative Support 0.26 0.08 0.11 11,227 3,456 10,812 $25,495 0006 Operations Manager 0.04 0.00 2,633 68 $2,701 0007 Outreach Workers HMIOT (8 Mths)1.00 $23,986 $23,986 SALARY TOTAL 4.09 0.93 1.27 $299,542 PAYROLL TAXES: 0031 FICA/MEDICARE 1,322 14,462 3,569 3,524 $22,877 0032 SUI 173 1,887 467 352 $2,879 0033 Workers Compensation 7,515 1,396 $8,911 PAYROLL TAX TOTAL $34,667 EMPLOYEE BENEFITS: 0041 Retirement 219 2,397 823 916 $4,355 0042 Health Insurance (medical, vision, life, dental)2,678 26,249 4,000 2,263 $35,190 EMPLOYEE BENEFITS TOTAL $39,545 SALARY & BENEFITS GRAND TOTAL $373,754 FACILITIES/EQUIPMENT EXPENSES: 1010 Rent/Lease Building 27,156 3,810 8,500 $39,466 1011 Rent/Lease Equipment 2,706 594 1,100 $4,400 1012 Utilities 6,254 820 3,520 $10,594 1013 Building Maintenance 4,510 1,034 3,360 $8,904 1015 Rent/Lease Vehicles 11,810 4,010 $15,820 1016 Equipment Repairs & Maintenance 300 $300 1017 Purchase 3 Vans and 1 Shower-Trailer 217,700 $217,700 FACILITY/EQUIPMENT TOTAL $52,436 $10,268 $234,480 $297,184 OPERATING EXPENSES: 1060 Telephone 5,977 3,660 3,948 $13,585 1062 Postage 100 30 $130 1066 Office Supplies & Equipment 4,288 1,464 7,500 $13,252 1069 Program Supplies - Therapeutic 1,200 $1,200 1072 Staff Mileage/Vehicle Maintenance 4,884 2,918 1,832 $9,634 1076 Other - Program Supplies - Outreach 2,400 25,170 $27,570 1077 Other - Staff Recruitment/Background Checks 800 200 100 $1,100 1079 Communications (software) OPERATING EXPENSES TOTAL $18,449 $9,472 $38,550 $66,471 FINANCIAL SERVICES EXPENSES: 1082 Liability Insurance 6,732 1,596 8,800 $17,128 1083 Administrative Overhead 41,900 17,580 56,610 $116,090 1085 Professional Liability Insurance 6,048 781 3,000 $9,829 FINANCIAL SERVICES TOTAL $54,680 $19,957 $68,410 $143,047 SPECIAL EXPENSES (Consultant/Etc.): 1090 Consultant (network & data management)2,000 1,880 15,000 $18,880 1091 HMIS 1,500 $1,500 1091 Psychiatrist 32,112 $32,112 1092 Medication Supports 250 $250 1093 Other - One Time Emergency Housing 7,532 $7,532 1094 Other - Outside Services Staffing 145,293 $145,293 SPECIAL EXPENSES TOTAL $11,032 $34,242 $160,293 $205,567 FIXED ASSETS: 1190 Computers & Software 1,400 400 3,600 $5,400 1190 Furnishings 3,500 $3,500 1190 Other Minor Equipment FIXED ASSETS TOTAL $1,400 $400 $7,100 $8,900 NON MEDI-CAL CLIENT SUPPORT EXPENSES: 2000 Client Housing Support Expenditures (SFC 70)48,159 30,700 $78,859 2002.1 Clothing, Food & Hygiene (SFC 72)2,500 20,000 $22,500 2002.2 Client Transportation & Support (SFC 72)6,400 7,500 $13,900 2002.3 Education Support (SFC 72)500 3,000 $3,500 2002.4 Employment Support (SFC 72)500 5,000 $5,500 NON MEDI-CAL CLIENT SUPPORT TOTAL $9,900 $48,159 $66,200 $124,259 TOTAL PROGRAM EXPENSES $410,777 $179,405 $629,000 $1,219,182 33.69%14.72% MEDI-CAL REVENUE: Units of Service Rate $ Amount $ Amount $ Amount Total $3,179 $3,876 $46,912 HMIOT HMIOT Total Total $262,880 $56,907 OEL SMHS OEL SMHS $53,967 $205,978 $46,652 $25,359 $5,432 $31,543 $4,823 Projects for Assistance Transitions from Homelessness(PATH) Kings View Corporation FISCAL YEAR 2019 - 2020 Budget Categories - Total Proposed Budget Line Item Description (Must be itemized) Revised Exhibit B-1 Page 11 of 11 3000 Mental Health Services 2101 4.50 9,455 $9,455 3100 Case Management 8,651 $3.75 32,441 $32,441 3200 Crisis Services 200 $6.75 1,350 $1,350 3300 Medication Support 3,100 $8.00 24,800 $24,800 3400 Collateral 2,100 $4.50 9,450 $9,450 3500 Plan Development 4,201 $4.50 18,905 $18,905 3600 Assessment 4,200 $4.50 18,900 $18,900 3700 Rehabilitation 4,200 $4.50 18,900 $18,900 Estimated Medi-Cal Billing Totals 26,652 $0 $134,200 $0 $134,200 Estimated % of Federal Financial Participation Reimbursement 75.00%$100,649 $100,649 Estimated % of Clients Served that will be Medi-Cal Eligible 100.00% MEDI-CAL REVENUE TOTAL $0 $100,649 $0 $100,649 OTHER REVENUE: 4000 Other - PATH 308,000 $308,000 4000 Other- HMIOT 629,000 $629,000 4100 Other - Client Reimbursements 9,000 $9,000 OTHER REVENUE TOTAL $308,000 $9,000 $629,000 $946,000 MHSA FUNDS: 5100 Community Services & Supports Funds 102,777 69,756 $172,533 MHSA FUNDS TOTAL $102,777 $69,756 $0 $172,533 TOTAL PROGRAM REVENUE 410,777 179,405 629,000 $1,219,182 Exhibit B-2 Page 1 of 14 Employee Salaries Acct #Position FTE Admin Direct Total 1101 Program Oversight 0.09 -$ 11,610$ 11,610$ 1102 Program Manager 0.50 - 52,671 52,671 1103 Case Managers 1.20 - 58,985 58,985 1104 Outreach Engagement Linkage 3.00 - 119,300 119,300 1105 Program Staff Accountant 0.04 - 2,195 2,195 1106 Administrative Support 0.26 - 12,628 12,628 1107 - - - 1108 - - - 1109 - - - 1110 - - - 1111 - - - 1112 - - - 1113 - - - 1114 - - - 1115 - - - 1116 - - - 1117 - - - 1118 - - 1119 - - - 1120 - - - Personnel Salaries Subtotal 5.09 -$ 257,389$ 257,389$ Employee Benefits Acct #Admin Direct Total 1201 -$ 4,760$ 4,760$ 1202 - 7,676 7,676 1203 - 34,470 34,470 1204 - - - 1205 - - - 1206 - - - -$ 46,906$ 46,906$ Payroll Taxes & Expenses: Acct #Admin Direct Total 1301 -$ -$ 1302 - 19,690 19,690 1303 - 1,930 1,930 1304 - - - 1305 - - - 1306 - - - -$ 21,620$ 21,620$ -$ 325,915$ 325,915$ Projects For Assistance in Transition From Homelessness -OEL Kings View Corporation Fiscal Year (FY 2020-21) Description Payroll Taxes & Expenses Subtotal: Other (Specify) Other (Specify) EMPLOYEE SALARIES & BENEFITS TOTAL: Other (Specify) Other (Specify) PROGRAM EXPENSES 1000: SALARIES & BENEFITS Retirement Worker's Compensation Health Insurance Other (Specify) Other (Specify) OASDI FICA/MEDICARE SUI Employee Benefits Subtotal: Description Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit B-2 Page 2 of 14 2000: CLIENT SUPPORT Acct #Amount 2001 -$ 2002 6,000 2003 8,592 2004 2,575 2005 515 2006 515 2007 - 2008 - 2009 - 2010 - 2011 - 2012 - 2013 - 2014 - 2015 - 2016 - 18,197$ 3000: OPERATING EXPENSES Acct #Amount 3001 6,828$ 3002 103 3003 3,917 3004 - 3005 - 3006 500 3007 - 3008 20,538 3009 4,872 3010 824 3011 - 3012 - 37,582$ 4000: FACILITIES & EQUIPMENT Acct #Amount 4001 4,645$ 4002 27,971 4003 2,787 4004 6,780 4005 - 4006 6,442 4007 4008 - 4009 - 4010 - 48,624$ 5000: SPECIAL EXPENSES Security Utilities Rent/Lease Equipment Other (Specify) Other (Specify) Other (Specify) Other (Specify) Vehicle Maintenance Line Item Description Line Item Description Line Item Description DIRECT CLIENT CARE TOTAL Other (Specify) Advertising Rent/Lease Building Building Maintenance Education Support Other - Program Supplies - Outreach Staff Development & Training Child Care Rent/Lease Vehicles Client Transportation & Support Client Housing Support Other (Specify) Other (Specify) FACILITIES/EQUIPMENT TOTAL: OPERATING EXPENSES TOTAL: Other - Staff Recruitment/Background Checks Other (Specify) Other (Specify) Telecommunications Printing/Postage Staff Mileage Subscriptions & Memberships Clothing, Food, & Hygiene Other (Specify) Other (Specify) Office, Household & Program Supplies Utility Vouchers Program Supplies - Medical Medication Supports Household Items for Clients Employment Support Other (Specify) Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit B-2 Page 3 of 14 Acct #Amount 5001 15,595$ 5002 1,545 5003 - 5004 500 5005 7,758 5006 55,913 5007 - 5008 - 81,311$ 6000: ADMINISTRATIVE EXPENSES Acct #Amount 6001 58,895$ 6002 8,545 6003 - 6004 - 6005 13,798 6006 - 6007 - 6008 - 6009 - 6010 - 6011 - 6012 - 81,238$ 7000: FIXED ASSETS Acct #Amount 7001 1,442$ 7002 - 7003 7004 - 7005 - 7006 - 7007 - 7008 - 1,442$ Other (Specify) Other (Specify) Other (Specify) Other (Specify) Assets over $5,000/unit (Specify) Other (Specify) Other (Specify) Line Item Description Administrative Overhead Other- One Time Emergency Housing Other (Poverello House Subcontracted) Other (Specify) Other (Specify) HMIS (Health Management Information System) Line Item Description Professional Liability Insurance Accounting/Bookkeeping Line Item Description Contractual/Consulting Services- Psychiatrist Translation Services 594,309$ TOTAL PROGRAM EXPENSES FIXED ASSETS EXPENSES TOTAL ADMINISTRATIVE EXPENSES TOTAL SPECIAL EXPENSES TOTAL: Depreciation (Provider-Owned Equipment to be Used for Program Purposes) External Audit Computer Equipment & Software Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data Furniture & Fixtures Leasehold/Tenant/Building Improvements Liability Insurance: Other (Specify) Other Assets over $500 with Lifespan of 2 Years + Consultant (Network & Data Management) Payroll Services Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit B-2 Page 4 of 14 Acct #Service Units Rate Amount 8001 Mental Health Services 0 - -$ 8002 Case Management 0 - - 8003 Crisis Services 0 - - 8004 Medication Support 0 - - 8005 Collateral 0 - - 8006 Plan Development 0 - - 8007 Assessment 0 - - 8008 Rehabilitation 0 - - 0 -$ 0% - 0%- -$ Acct #Amount 8101 Drug Medi-Cal -$ 8102 SABG -$ -$ Acct #Amount 8201 Realignment -$ -$ Acct #MHSA Component Amount 8301 CSS - Community Services & Supports 102,777$ 8302 PEI - Prevention & Early Intervention - 8303 INN - Innovations - 8304 WET - Workforce Education & Training - 8305 CFTN - Capital Facilities & Technology - 102,777$ Acct #Amount 8401 Client Fees -$ 8402 Client Insurance - 8403 308,000 8404 183,532 8405 - 491,532$ Grants -PATH Other (HHAP) Other (Specify) 8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION) Estimated Specialty Mental Health Services Billing Totals: Estimated % of Clients who are Medi-Cal Beneficiaries Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries Federal Financial Participation (FFP) % MHSA Program Name 8300 - MENTAL HEALTH SERVICE ACT (MHSA) Line Item Description REALIGNMENT TOTAL NET PROGRAM COST: PROGRAM FUNDING SOURCES TOTAL PROGRAM FUNDING SOURCES:594,309$ 0$ SUBSTANCE USE DISORDER FUNDS TOTAL MEDI-CAL FFP TOTAL MHSA TOTAL Line Item Description Line Item Description 8100 - SUBSTANCE USE DISORDER FUNDS OTHER REVENUE TOTAL Line Item Description 8400 - OTHER REVENUE 8200 - REALIGNMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit B-2 Page 5 of 14 Budget Narrative ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000: SALARIES & BENEFITS 325,915 Employee Salaries 257,389 1101 Program Oversight 11,610 Positions will provide agency specific staff oversight and represent and maintain the collaborative relationship between agencies. Provide program management and direction. Ensures operations are running smoothly and in compliance with contract requirements. 1102 Program Manager 52,671 Provides supervision of all staff and program management. 1103 Case Managers 58,985 Provides case management and oversees the physical and mental wellness of individuals to ensure they are supported and can achieve the best outcomes,and referrals to appropriate linkages. 1104 Outreach Engagement Linkage 119,300 Provides outreach and engagement services, provides linkage to needed services. 1105 Program Staff Accountant 2,195 Provides budget guidance, monthly invoicing and other fiscal services. 1106 Administrative Support 12,628 Provides administrative support for the program. 1107 0 - 1108 0 - 1109 0 - 1110 0 - 1111 0 - 1112 0 - 1113 0 - 1114 0 - 1115 0 - 1116 0 - 1117 0 - 1118 0 - 1119 0 - 1120 0 - Employee Benefits 46,906 1201 Retirement 4,760 Cost of 401K 1202 Worker's Compensation 7,676 Workers Comp Insurance 1203 Health Insurance 34,470 Cost of Medical, Vision, Dental, Life and Long Term Disability Insurance 1204 Other (Specify)- 1205 Other (Specify)- 1206 Other (Specify)- Payroll Taxes & Expenses:21,620 1301 OASDI - 1302 FICA/MEDICARE 19,690 Cost of FICA/Medicare 1303 SUI 1,930 Cost of SUI 1304 Other (Specify)- 1305 Other (Specify)- 1306 Other (Specify)- 2000: CLIENT SUPPORT 18,197 2001 Child Care - 2002 Client Housing Support 6,000 Support clients with rent, security deposits, board and care, emergency housing such as hotels/motels, groceries and household supplies. 2003 Client Transportation & Support 8,592 Provides bus passes, bus tokens or any transportaion assistance for clients, such as purchase of bicycle, taxi service or gas. 2004 Clothing, Food, & Hygiene 2,575 Supports clients with clothing, food, and hygiene supplies. 2005 Education Support 515 Assist with education expenses such as books and registration. 2006 Employment Support 515 Cost of employement assistance such as interview clothes, DMV records, ID Cards or birth certficates. 2007 Household Items for Clients - 2008 Medication Supports - 2009 Program Supplies - Medical - 2010 Utility Vouchers - 2011 Other (Specify)- 2012 Other (Specify)- Kings View Corporation Projects For Assistance in Transition From Homelessness -OEL Fiscal Year (FY 2020-21) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit B-2 Page 6 of 14 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2013 Other (Specify)- 2014 Other (Specify)- 2015 Other (Specify)- 2016 Other (Specify)- 3000: OPERATING EXPENSES 37,582 3001 Telecommunications 6,828 Cost of telephone services, cell phones service, data connectivity. 3002 Printing/Postage 103 Aniticapting courier services and postage nesessary for program. Business cards and other special printing in bulk that is less cost effective to outsource rather than utilization of a copier. 3003 Office, Household & Program Supplies 3,917 Includes all supplies used by staff in the course of providing services. 3004 Advertising - 3005 Staff Development & Training - 3006 Staff Mileage 500 Reimbusements to staff for personal vehicle use when lease vehicle not available and require to provide services or other program needs, paid at IRS rate. Any travel transporation fees, such as parking fees. 3007 Subscriptions & Memberships - 3008 Vehicle Maintenance 20,538 Auto repairs & maintenance required to maintain 2 shared leased vehicles and 3 owened county vans for client transporation and program needs, such as oil changes and car washes. Yearly cost of GPS, vehicle tracking service, fuel and DVM fees. 3009 Other - Program Supplies - Outreach 4,872 Supplies provided to consumers by the Outreach Engagement Linkage Team. 3010 Other - Staff Recruitment/Background Checks 824 Thorough background checks and drug testing. 3011 Other (Specify)- 3012 Other (Specify)- 4000: FACILITIES & EQUIPMENT 48,624 4001 Building Maintenance 4,645 Copier maintenance, inspection services, pest control, alarm services, janitorial services and minor building repairs and maintenance. 4002 Rent/Lease Building 27,971 Building space lease. 4003 Rent/Lease Equipment 2,787 Copier lease and water dispenser rental. 4004 Rent/Lease Vehicles 6,780 The cost of 2 shared lease vehicles to assist with program and client needs. 4005 Security - 4006 Utilities 6,442 The cost of gas and electric. 4007 Other (Specify)- 4008 Other (Specify)- 4009 Other (Specify)- 4010 Other (Specify)- 5000: SPECIAL EXPENSES 81,311 5001 Consultant (Network & Data Management)15,595 Kings View Information Technology Department (KVIT) will provide hardware and software support for successful data collection. A database will be designed for this program. KVIT will procure equipment, software & other services from approved & authorized vendors. Provide online, onsite, or phone-based emergency support- 24/7 from the KVIT Help Desk. 5002 HMIS (Health Management Information System) 1,545 Cost for software and training for all users. 5003 Contractual/Consulting Services- Psychiatrist - 5004 Translation Services 500 Anticipating transaltion services to assit clients. 5005 Other- One Time Emergency Housing 7,758 Client emergency housing such as hotels/motels or security deposit. 5006 Other (Poverello House Subcontracted)55,913 Sub-contracted cost for 1 FTE outreach workers through Poverello House. 5007 Other (Specify)- 5008 Other (Specify)- 6000: ADMINISTRATIVE EXPENSES 81,238 6001 Administrative Overhead 58,895 Expenses provides program management, fiscal services, payroll, human resources, accounts payable and other administrative functions. 6002 Professional Liability Insurance 8,545 Cost general and professional liablity insurance. 6003 Accounting/Bookkeeping - 6004 External Audit - 6005 Liability Insurance:13,798 Cost of personal property, accidental and auto insurance. 6006 Payroll Services - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit B-2 Page 7 of 14 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 6007 Depreciation (Provider-Owned Equipment to be Used for Program Purposes) - 6008 Other (Specify)- 6009 Other (Specify)- 6010 Other (Specify)- 6011 Other (Specify)- 6012 Other (Specify)- 7000: FIXED ASSETS 1,442 7001 Computer Equipment & Software 1,442 Anitipating additional computer equipment needed for new staff and or replacement. Duo factor licensing and other computer software. 7002 Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data - 7003 Furniture & Fixtures - 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over $500 with Lifespan of 2 Years + - 7006 Assets over $5,000/unit (Specify)- 7007 Other (Specify)- 7008 Other (Specify)- TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:594,309 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:594,309 - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit B-2 Page 8 of 14 Employee Salaries Acct #Position FTE Admin Direct Total 1101 Program Oversight 0.06 -$ 6,832$ 6,832$ 1102 Program Manager 0.30 - 5,562 5,562 1103 Case Managers 0.80 - 31,001 31,001 1104 Program Staff Accountant 0.02 - 1,097 1,097 1105 Administrative Support 0.26 - 3,560 3,560 1106 - - 1107 - - - 1108 - - - 1109 - - - 1110 - - - 1111 - - - 1112 - - - 1113 - - - 1114 - - - 1115 - - - 1116 - - - 1117 - - - 1118 - - - 1119 - - 1120 - - - Personnel Salaries Subtotal 1.44 -$ 48,052$ 48,052$ Employee Benefits Acct #Admin Direct Total 1201 -$ 884$ 884$ 1202 - 1,438 1,438 1203 - 4,084 4,084 1204 - - - 1205 - - - 1206 - - - -$ 6,406$ 6,406$ Payroll Taxes & Expenses: Acct #Admin Direct Total 1301 -$ -$ -$ 1302 - 3,676 3,676 1303 - 481 481 1304 - - - 1305 - - - 1306 - - - -$ 4,157$ 4,157$ -$ 58,615$ 58,615$ PATH Program- SMHS Kings View Corporation Fiscal Year (FY 2020-21) Description Payroll Taxes & Expenses Subtotal: Other (Specify) Other (Specify) EMPLOYEE SALARIES & BENEFITS TOTAL: Other (Specify) Other (Specify) PROGRAM EXPENSES 1000: SALARIES & BENEFITS Retirement Worker's Compensation Health Insurance Other (Specify) Other (Specify) OASDI FICA/MEDICARE SUI Employee Benefits Subtotal: Description Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit B-2 Page 9 of 14 2000: CLIENT SUPPORT Acct #Amount 2001 -$ 2002 49,604 2003 - 2004 - 2005 - 2006 - 2007 - 2008 - 2009 - 2010 - 2011 - 2012 - 2013 - 2014 - 2015 - 2016 - 49,604$ 3000: OPERATING EXPENSES Acct #Amount 3001 2,791$ 3002 31 3003 1,508 3004 - 3005 - 3006 1,100 3007 - 3008 1,906 3009 1,185 3010 1,236 3011 - 3012 - 9,757$ 4000: FACILITIES & EQUIPMENT Acct #Amount 4001 1,065$ 4002 3,924 4003 612 4004 4,130 4005 - 4006 845 4007 - 4008 - 4009 - 4010 - 10,576$ 5000: SPECIAL EXPENSES Security Utilities Rent/Lease Equipment Other (Specify) Other (Specify) Other (Specify) Other (Specify) Vehicle Maintenance Line Item Description Line Item Description Line Item Description DIRECT CLIENT CARE TOTAL Other (Specify) Advertising Rent/Lease Building Building Maintenance Education Support Other (Staff Recruitment/Background Checks) Staff Development & Training Child Care Rent/Lease Vehicles Client Transportation & Support Client Housing Support Other (Specify) Other (Specify) FACILITIES/EQUIPMENT TOTAL: OPERATING EXPENSES TOTAL: Other (Program Supplies) Other (Specify) Other (Specify) Telecommunications Printing/Postage Staff Mileage Subscriptions & Memberships Clothing, Food, & Hygiene Other (Specify) Other (Specify) Office Supplies & Equipment Utility Vouchers Program Supplies - Medical Medication Supports Household Items for Clients Employment Support Other (Specify) Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit B-2 Page 10 of 14 Acct #Amount 5001 1,936$ 5002 - 5003 33,075 5004 - 5005 256 5006 - 5007 - 5008 - 35,267$ 6000: ADMINISTRATIVE EXPENSES Acct #Amount 6001 18,108$ 6002 804 6003 - 6004 - 6005 1,644 6006 - 6007 - 6008 - 6009 - 6010 - 6011 - 6012 - 20,556$ 7000: FIXED ASSETS Acct #Amount 7001 412$ 7002 7003 - 7004 - 7005 - 7006 - 7007 - 7008 - 412$ Other (Specify) Other (Specify) Other (Specify) Other (Specify) Assets over $5,000/unit (Specify) Other (Specify) Other (Specify) Line Item Description Administrative Overhead Other (Medication Supports) Other (Specify) Other (Specify) Other (Specify) HMIS (Health Management Information System) Line Item Description Professional Liability Insurance Accounting/Bookkeeping Line Item Description Contractual/Consulting Services (Psychiatirist Fees) Translation Services 184,787$ TOTAL PROGRAM EXPENSES FIXED ASSETS EXPENSES TOTAL ADMINISTRATIVE EXPENSES TOTAL SPECIAL EXPENSES TOTAL: Depreciation (Provider-Owned Equipment to be Used for Program Purposes) External Audit Computer Equipment & Software Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data Furniture & Fixtures Leasehold/Tenant/Building Improvements Insurance (Liability): Other (Specify) Other Assets over $500 with Lifespan of 2 Years + Consultant (Network & Data Management) Payroll Services Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit B-2 Page 11 of 14 Acct #Service Units Rate Amount 8001 Mental Health Services 0 - -$ 8002 Case Management 85,000 2.00 170,000 8003 Crisis Services 0 - - 8004 Medication Support 36,000 5.00 180,000 8005 Collateral 0 - - 8006 Plan Development 0 - - 8007 Assessment 0 - - 8008 Rehabilitation 0 - - 121,000 350,000$ 65% 227,500 50%113,750 113,750$ Acct #Amount 8101 Drug Medi-Cal -$ 8102 SABG -$ -$ Acct #Amount 8201 Realignment -$ -$ Acct #MHSA Component Amount 8301 CSS - Community Services & Supports 69,756$ 8302 PEI - Prevention & Early Intervention - 8303 INN - Innovations - 8304 WET - Workforce Education & Training - 8305 CFTN - Capital Facilities & Technology - 69,756$ Acct #Amount 8401 Client Fees -$ 8402 Client Insurance - 8403 - 8404 1,281 8405 - 1,281$ Grants (Specify) Other (Client Rents) Other (Specify) 8000 - SHORT/DOYLE MEDI-CAL (FEDERAL FINANCIAL PARTICIPATION) Estimated Specialty Mental Health Services Billing Totals: Estimated % of Clients who are Medi-Cal Beneficiaries Estimated Total Cost of Specialty Mental Health Services Provided to Medi-Cal Beneficiaries Federal Financial Participation (FFP) % MHSA Program Name 8300 - MENTAL HEALTH SERVICE ACT (MHSA) Line Item Description REALIGNMENT TOTAL NET PROGRAM COST: PROGRAM FUNDING SOURCES TOTAL PROGRAM FUNDING SOURCES:184,787$ 0$ SUBSTANCE USE DISORDER FUNDS TOTAL MEDI-CAL FFP TOTAL MHSA TOTAL Line Item Description Line Item Description 8100 - SUBSTANCE USE DISORDER FUNDS OTHER REVENUE TOTAL Line Item Description 8400 - OTHER REVENUE 8200 - REALIGNMENT Fresno County Department of Behavioral Health Contract Budget Template Revised 2/7/2020 Exhibit B-2 Page 12 of 14 Budget Narrative ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 1000: SALARIES & BENEFITS 58,615 Employee Salaries 48,052 1101 Program Oversight 6,832 Positions will provide agency specific staff oversight and represent and maintain the collaborative relationship between agencies. Provide program management and direction. Ensures operations are running smoothly and in compliance with contract requirements. 1102 Program Manager 5,562 #REF! 1103 Case Managers 31,001 Provides case management and oversees the physical and mental wellness of individuals to ensure they are supported and can achieve the best outcomes,and referrals to appropriate linkages. 1104 Program Staff Accountant 1,097 Provides budget guidance, monthly invoicing and other fiscal services. 1105 Administrative Support 3,560 Provides administrative support for the program and assist with medical billing and records. 1106 0 - 1107 0 - 1108 0 - 1109 0 - 1110 0 - 1111 0 - 1112 0 - 1113 0 - 1114 0 - 1115 0 - 1116 0 - 1117 0 - 1118 0 - 1119 0 - 1120 0 - Employee Benefits 6,406 1201 Retirement 884 Cost of 401K 1202 Worker's Compensation 1,438 Workers Comp Insurance 1203 Health Insurance 4,084 Cost of Medical, Vision, Dental, Life and Long Term Disability Insurance 1204 Other (Specify)- 1205 Other (Specify)- 1206 Other (Specify)- Payroll Taxes & Expenses:4,157 1301 OASDI - 1302 FICA/MEDICARE 3,676 Cost of FICA/Medicare 1303 SUI 481 Cost of SUI 1304 Other (Specify)- 1305 Other (Specify)- 1306 Other (Specify)- 2000: CLIENT SUPPORT 49,604 2001 Child Care - 2002 Client Housing Support 49,604 Support clients with rent, security deposits, board and care, emergency housing such as hotels/motels, groceries and household supplies. 2003 Client Transportation & Support - 2004 Clothing, Food, & Hygiene - 2005 Education Support - 2006 Employment Support - 2007 Household Items for Clients - 2008 Medication Supports - 2009 Program Supplies - Medical - 2010 Utility Vouchers - 2011 Other (Specify)- 2012 Other (Specify)- 2013 Other (Specify)- 2014 Other (Specify)- Kings View Corporation PATH Program- SMHS Fiscal Year (FY 2020-21) Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit B-2 Page 13 of 14 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 2015 Other (Specify)- 2016 Other (Specify)- 3000: OPERATING EXPENSES 9,757 3001 Telecommunications 2,791 Cost of landline telephone services, cell phones service, data connectivity. 3002 Printing/Postage 31 Aniticapting courier services and postage nesessary for program. Business cards and other special printing in bulk that is less cost effective to outsource rather than utilization of a copier. 3003 Office Supplies & Equipment 1,508 Includes all supplies used by staff in the course of providing services. 3004 Advertising - 3005 Staff Development & Training - 3006 Staff Mileage 1,100 Reimbusements to staff for personal vehicle use when lease vehicle not available and require to provide services or other program needs, paid at IRS rate. Any travel transporation fees, such as parking fees. 3007 Subscriptions & Memberships - 3008 Vehicle Maintenance 1,906 Minor auto repairs & maintenance required to maintain lease vehicle for client transporation and program needs, such as oil changes and car washes. Yearly cost of GPS, vehicle tracking service, auto fuel, and DMV fees. 3009 Other (Staff Recruitment/Background Checks)1,185 Thorough background checks and drug testing. 3010 Other (Program Supplies)1,236 Povides supplies, such as workbooks or therapeutic, food and medical supplies to the consumers. 3011 Other (Specify)- 3012 Other (Specify)- 4000: FACILITIES & EQUIPMENT 10,576 4001 Building Maintenance 1,065 Copier maintenance, inspection services, pest control, alarm services, janitorial services and minor building repairs and maintenance. 4002 Rent/Lease Building 3,924 The cost of building lease. 4003 Rent/Lease Equipment 612 Copier lease and water dispenser rental. 4004 Rent/Lease Vehicles 4,130 The cost of shared lease vehicles to assist with program needs. 4005 Security - 4006 Utilities 845 The cost of gas and electric. 4007 Other (Specify)- 4008 Other (Specify)- 4009 Other (Specify)- 4010 Other (Specify)- 5000: SPECIAL EXPENSES 35,267 5001 Consultant (Network & Data Management)1,936 Kings View Information Technology Department (KVIT) will provide hardware and software support for successful data collection. A database will be designed for this program. KVIT will procure equipment, software & other services from approved & authorized vendors. Provide online, onsite, or phone-based emergency support- 24/7 from the KVIT Help Desk. 5002 HMIS (Health Management Information System) - 5003 Contractual/Consulting Services (Psychiatirist Fees) 33,075 Yearly cost to contract with Physician to provide services and treatments to clients at 4 hours per week. 5004 Translation Services - 5005 Other (Medication Supports)256 Client support with medication. 5006 Other (Specify)- 5007 Other (Specify)- 5008 Other (Specify)- 6000: ADMINISTRATIVE EXPENSES 20,556 6001 Administrative Overhead 18,108 Expenses provides program management, fiscal services, payroll, human resources, accounts payable and other administrative functions. 6002 Professional Liability Insurance 804 Cost general and professional liablity insurance. 6003 Accounting/Bookkeeping - 6004 External Audit - 6005 Insurance (Liability):1,644 Cost of personal property, accidental and auto insurance. 6006 Payroll Services - 6007 Depreciation (Provider-Owned Equipment to be Used for Program Purposes) - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020 Exhibit B-2 Page 14 of 14 ACCT #LINE ITEM AMT DETAILED DESCRIPTION OF ITEMS BUDGETED IN EACH ACCOUNT LINE 6008 Other (Specify)- 6009 Other (Specify)- 6010 Other (Specify)- 6011 Other (Specify)- 6012 Other (Specify)- 7000: FIXED ASSETS 412 7001 Computer Equipment & Software 412 Computer software need to support staff. 7002 Copiers, Cell Phones, Tablets, Devices to Contain HIPAA Data - 7003 Furniture & Fixtures - 7004 Leasehold/Tenant/Building Improvements - 7005 Other Assets over $500 with Lifespan of 2 Years + - 7006 Assets over $5,000/unit (Specify)- 7007 Other (Specify)- 7008 Other (Specify)- TOTAL PROGRAM EXPENSE FROM BUDGET NARRATIVE:184,787 TOTAL PROGRAM EXPENSES FROM BUDGET TEMPLATE:184,787 - Fresno County Department of Behavioral Health Contract Budget Narrative Revised 2/7/2020