ADULT ABUSE REPORTING. Contractor shall establish a procedure acceptable to the Merced County Human Services Agency to ensure that all employees, volunteers, consultants, subcontractor or agents performing service under this contract report adult abuse or neglect to a County welfare agency as defined in California Penal Code, Section 11165.9 et seq.
ADULT ABUSE REPORTING. Contractor shall establish a procedure acceptable to the County to ensure that all employees, volunteers, consultants, sub-contractors or agents performing service under this contract report adult abuse or neglect to a county welfare department as defined in California Penal Code, Section 11165.9. Exhibit C- Scope of Work Contractor shall provide psychiatric services for the County’s BHRS Department. Such services will include, but not be limited to:
ADULT ABUSE REPORTING. Contractor shall establish a procedure acceptable to County to ensure that all employees, volunteers, consultants, sub-contractors or agents performing service under this Agreement report adult abuse or neglect to a county welfare department as defined in California Penal Code, Section 11165.9. Rev. 3/18/2022 Exhibit B – Budget October 1, 2022- June 30, 2023 Revenue Merced County 1,564,197 Total Revenue 1,564,197 Salary & Benefit Expense Salaries-Management 163,279.50 Salaries-Treatment 566,239.50 Salaries-Office 32,058 Vacation/Holiday 30,462.75 Retirement Benefit 22,847.25 Benefit Credit 91,500 Payroll taxes-FICA/MediCare 58,261.50 Payroll taxes-SUI 7,615.50 Workers Comp Insurance 7,311 Total Salary & Benefit Expense 979,575 Operating Expense Professional Services 212,936.25 Training 750 Furniture & Equipment 17,250 Software License, Support, & Upgrades 11,250 Equipment rental 658.50 Equipmant repair & maintenance 81 Vehicle repair & maintenance 4,125 Vehicle fuel 7,125 Facility repair & maintenance 5962.50 Security 2,538 Maintenance 1,125 Storage rent 1,586.25 Building rent 34,692.75 Utilities 8,550 Telephone/Internet 18,825 Insurance 9,750 Employee mileage 13,500 Office expenses 4,125 Employee hiring 330 Delivery expense 825 Total Operating Expense 355,985.25 Allocated Expense Indirect Administration 200,334 Total Allocated Expense 200,334 Client Support Expense Client Support Expense 28,302.75 Total Client Support Expense 28,302.75 Total Expenses 1,564,197 October 30, 2022- June 30, 2023 Staffing Fiscal Year 2023-2024 Revenue Merced County 2,085,596 Total Revenue 2,085,596 Salary & Benefit Expense Salaries‐Management 217,706 Salaries‐Treatment 754,986 Salaries‐Office 42,744 Vacation/Holiday 40,617 Retirement Benefit 30,463 Benefit Credit 122,000 Payroll taxes‐FICA/MediCare 77,682 Payroll taxes‐SUI 10,154 Workers Comp Insurance 9,748 Total Salary & Benefit Expense 1,306,100 Operating Expense Professional Services 283,915 Training 1,000 Furniture & Equipment 23,000 Software License, Support, & Upgrades 15,000 Equipment rental 878 Equipmant repair & maintenance 108 Vehicle repair & maintenance 5,500 Vehicle fuel 9,500 Facility repair & maintenance 7,950 Security 3,384 Maintenance 1,500 Storage rent 2,115 Building rent 46,257 Utilities 11,400 Telephone/Internet 25,100 Insurance 13,000 Employee mileage 18,000 Office expenses 5,500 Employee hiring 440 Delivery expense 1,100 Total Operating Expense 474,647 Allocated Expense Indirect Administration 267,112 To...
ADULT ABUSE REPORTING. If we have reason to suspect that an elderly or incapacitated adult is abused, neglected or exploited, we are required by DC law to immediately make a report and provide relevant information to the DC social services. ( )
ADULT ABUSE REPORTING. Contractor shall establish a procedure acceptable to County to ensure that all employees, volunteers, consultants, subcontractors or agents performing service under this Agreement report adult abuse or neglect to a county welfare department as defined in California Penal Code, Section 11165.9. Rev. 12/09/21 EXHIBIT B-RATES/FISCAL TERMS RATES Rate increases are subject to the approval of the BHRS Director or his/her authorized Designee, and shall not be binding on the County unless so approved, in writing, through an amendment approved by the County’s Board of Supervisors. Each payment shall be conditional on the performance of the services to the full satisfaction of the BHRS Director or his/her Designee. Reimbursement from the County to the Contractor is based on a maximum rate per bed day for provision of Mental Health Rehabilitation Center Services (MHRC). The County and the Contractor agree to the following rates: MHRC Level 1 $460.00/Day 1:1 Monitoring $52.00/Hour DISRUPTIVE BEHAVIORAL UNIT Level 1 $910.00Day
ADULT ABUSE REPORTING. Contractor shall establish a procedure acceptable to the County to ensure that all employees, volunteers, consultants, sub-contractors or agents performing service under this contract report adult abuse or neglect to a county welfare department as defined in California Penal Code, Section 11165.9. Rev. 05/29/20 Exhibit B-Budget January 1, 2017 through June 30, 2017 Clinical fees - Clinical contract LVN 17,178 Training 1,000 Insurance expense 631 Other expenses 250 Administrative support 2,952 Total 22,011 July 1, 2017 - June 30, 2018 Clinical fees - Clinical contract LVN 36,622 Training 2,000 Insurance expense 1,337 Other expenses 500 Administrative support 6,069 Total 46,528 July 1, 2018 - June 30, 2019 Clinical fees - Clinical contract LVN 36,622 Training 2,000 Insurance expense 1,337 Other expenses 500 Administrative support 6,069 Total 46,528 July 1, 2019 - June 30, 2020 Clinical fees - Clinical contract LVN 36,622 Training 2,000 Insurance expense 1,337 Other expenses 500 Administrative support 6,069 Total 46,528 July 1, 2020 - June 30, 2021 Clinical fees - Clinical contract LVN 36,622 Training 2,000 Insurance expense 1,337 Other expenses 500 Administrative support 6,069 Total 46,528 July 1, 2021 – December 31, 2021 Clinical fees - Clinical contract LVN 18,311 Training 1,000 Insurance expense 669 Other expenses 250 Administrative support 3,034 Total 23,264 Exhibit E – HIPAA Business Associate Addendum This Health Insurance Portability Accountability Act (hereafter referred to as “HIPAA”) Business Associate Addendum supplements and is made a part of the parties underlying Agreement by and between the County and the Contractor (referred to hereafter as “Business Associate”).
ADULT ABUSE REPORTING. University shall establish a procedure acceptable to County to ensure that all employees, volunteers, consultants, sub-contractors or agents performing service under this Agreement report adult abuse or neglect to a county welfare department as defined in California Penal Code, Section 11165.9. Rev. 3/04/22 Exhibit B MENTORED STUDENT AGREEMENT Stipend Terms – Must be enrolled for a minimum of one of the following periods - Summer - May/June 2022 through August/September 2022 - Fall – August/ September through December 2022 - Spring – January 2023 through May/June 2023 - Summer – May/June through August/September 2023 I, NAME OF CANDIDATE, desire to participate in the Merced County Behavioral Health and Recovery Services (BHRS) Mentored Internship Program (MIP), hereinafter referred to as “Program”, supported by Merced County Behavioral Health and Recovery Services, hereinafter referred to as “County”. I have been accepted in, and I am pursuing a course of study in Psychology at University of California, Merced, hereinafter referred to as “Educational Partner”.
ADULT ABUSE REPORTING. Contractor shall establish a procedure acceptable to County to ensure that all employees, volunteers, consultants, sub-contractors or agents performing service under this Agreement report adult abuse or neglect to a county welfare department as defined in California Penal Code, Section 11165.9. Exhibit B - Budget and Fiscal terms Startup costs for the period of October 18, 2022 through December 31, 2022 are not based off units of service and are not subject to the cost settlement process defined below. Startup Budget 10/18/22-12/31/22 Direct Costs Personnel Costs Total Salaries $ 67,918.00 Employee Benefits $ 17,659.00 Total Salaries and Benefits $ 85,577.00 Total Operating Costs $ 43,733.00 Indirect Costs/Administrative Overhead Core support services $ 7,112.00 Administrative/Overhead expenses $ 13,578.00 Total Costs $ 150,000.00 Budget 1/1/23-6/30/23 Personnel Expenses FTE Total Program Director/Head of Service 0.3 $ 15,750.00 Program Manager 1 $ 49,920.00 LVN/Psych Tech 4.2 $ 157,248.00 Youth Partner 1.4 $ 34,944.00 Parent Partner 1.4 $ 34,944.00 Clinician 5 $ 197,600.00 Program Supervisor/Lead 1 $ 33,280.00 Clinical Supervisor 1 $ 45,001.00 Registered Nurse 0.5 $ 23,400.00 Compliance Specialist 0.2 $ 4,160.00 Contract Specialist 0.2 $ 4,160.00 Administrative Assistant 1 $ 20,800.00 On-Call per week $ 2,925.00 Total FTEs and Salaries 17.20 $ 624,132.00 Total Employee Benefits 26.50% $ 165,395.00 Total Personnel Expenses $ 789,527.00 Operating Expenses Psychiatrist $ 140,000.00 Security Services $ 15,000.00 Building Lease $ 24,000.00 Communications $ 7,000.00 Equipment/furniture $ 10,000.00 Equipment lease $ 7,500.00 Office Supplies $ 7,500.00 Utilities $ 4,000.00 Recruitment/New Hire Costs $ 5,000.00 Education/Training/Conference/Meetings $ 12,000.00 General Liability Insurance $ 14,500.00 Equipment Maintenance $ 750.00 Mileage $ 3,000.00 Building Maintenance and supplies $ 11,000.00 Food $ 20,000.00 Medical Supplies $ 11,000.00 Dietician $ 600.00 Laundry & Linen $ 2,500.00 Clothing $ 6,000.00 Data Network/Intranet/VOIP $ 17,000.00 IT Outsource $ 29,000.00 Postage/Printing $ 2,000.00 Program Supplies $ 10,000.00 Government fees/taxes $ 1,000.00 Dues/Subscriptions $ 1,000.00 Total Operations Expenditures $ 361,350.00 Total Operations and Personnel Expenditures $ 1,150,877.00 Administrative Core support services 6.0% $ 69,053.00 Administration/Overhead Expenses 11.00% $ 126,596.00 TOTAL BUDGET $ 1,346,526.00 Budget 7/1/23-6/30/24 Personnel Expenses FTE To...
ADULT ABUSE REPORTING. Contractor shall establish a procedure acceptable to the County to ensure that all employees, volunteers, consultants, sub-contractors or agents performing service under this contract report adult abuse or neglect to a County welfare department as defined in California Penal Code, Section 11165.9. Exhibit S-SUD Budget/Fiscal Terms Merced Aegis Treatment Centers, LLC. 2412 242412 1104982495 July 1, 2023 thru June 30, 2024 COUNTY: PROVIDER: MEDI-CAL PROVIDER #: PROVIDER #: NPI #: CONTRACT #: CONTRACT PERIOD: UNIT OF SERVICE RATE Provider Rate Daily Dose - Methadone $18.12 Buprenorphine $27.52 Suboxone $27.95 Naloxone $123.05 Individual Counseling @ 15 min. $71.20 Group Counseling @ 15 min. $71.20 Perinatal $27.83 $71.20 Maximum Methadone Doses Licensed Capacity Methadone Doses LAAM Doses 455 x 365 days = x 156 days = 166,075 70,980 PROPOSED NUMBER OF UNITS OF SERVICE Regular Daily Dose - Methadone 81,271 Buprenorphine 740 Suboxone 4,081 Naloxone 134 Individual Counseling @ 15 min. 23,428 Group Counseling @ 15 min. 0 Perinatal 1,470 82,741 359 TOTAL PROPOSED BUDGET Provider Budget $40,910.10 $25,560.80 Daily Dose - Methadone $1,472,630.52 Buprenorphine $20,364.80 Suboxone $114,063.95 Naloxone $16,488.70 Individual Counseling @ 15 min. $1,668,073.60 Group Counseling @ 15 min. $0.00 TOTAL $3,291,621.57 $3,358,092.47 FEDERAL/STATE SHARE % AMOUNTS Provider Budget Federal Share (50% Provider/50% Admin.) $1,679,046.24 State Share (50% Provider/50% Admin.) $1,679,046.24 Total Federal/State Share % Amounts $3,358,092.47 UNIT OF SERVICE PROPOSED BUDGET Total UOS Federal Share State Share Proposed Budget 50.00% 50.00% Daily Dose - Methadone 82,741 $756,770.31 $756,770.31 $1,513,540.62 Buprenorphine 740 $10,182.40 $10,182.40 $20,364.80 Suboxone 4,081 $57,031.98 $57,031.98 $114,063.95 Naloxone 134 $8,244.35 $8,244.35 $16,488.70 Individual Counseling @ 15 min. 23,787 $846,817.20 $846,817.20 $1,693,634.40 Group Counseling @ 15 min. 0 $0.00 $0.00 $0.00 FINAL GRAND TOTAL BUDGET $1,679,046.24 $1,679,046.24 $3,358,092.47 Merced Aegis Treatment Centers, LLC. 2412 242412 1104982495 July 1, 2024 thru June 30, 2025 COUNTY: PROVIDER: MEDI-CAL PROVIDER #: PROVIDER #: NPI #: CONTRACT #: CONTRACT PERIOD: UNIT OF SERVICE RATE Provider Rate Daily Dose - Methadone $18.12 Buprenorphine $27.52 Suboxone $27.95 Naloxone $123.05 Individual Counseling @ 15 min. $71.20 Group Counseling @ 15 min. $71.20 Perinatal $27.83 $71.20 Maximum Methadone Doses Licensed Capacity Methadone Doses LAAM Doses ...
ADULT ABUSE REPORTING. CONTRACTOR shall establish a procedure acceptable to the COUNTY to ensure that all employees, volunteers, consultants, sub-contractors or agents performing service under this contract report adult abuse or neglect to a county welfare department as defined in California Penal Code, Section 11165.9. Rev. 07/22/2020 Exhibit E – HIPAA Business Associate Addendum This Health Insurance Portability Accountability Act (hereafter referred to as “HIPAA”) Business Associate Addendum supplements and is made a part of the parties underlying Agreement by and between the COUNTY and the CONTRACTOR (referred to hereafter as “Business Associate”).
